UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000031832
Receipt number R000036354
Scientific Title Treatment Outcomes in Chronic Hepatitis B Patients on Sequential Therapy With Tenofovir Alafenamide (TAF)
Date of disclosure of the study information 2018/03/22
Last modified on 2023/10/26 23:35:46

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Basic information

Public title

Treatment Outcomes in Chronic Hepatitis B Patients on Sequential Therapy With Tenofovir Alafenamide (TAF)

Acronym

Treatment Outcomes in Chronic Hepatitis B Patients on Sequential Therapy With Tenofovir Alafenamide (TAF)

Scientific Title

Treatment Outcomes in Chronic Hepatitis B Patients on Sequential Therapy With Tenofovir Alafenamide (TAF)

Scientific Title:Acronym

Treatment Outcomes in Chronic Hepatitis B Patients on Sequential Therapy With Tenofovir Alafenamide (TAF)

Region

Japan Asia(except Japan) North America


Condition

Condition

Chronic hepatitis B

Classification by specialty

Hepato-biliary-pancreatic medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To describe rate of persistence and/or improvement of viral suppression with TAF as with previous anti-HBV (hepatitis B virus) treatment.

Basic objectives2

Others

Basic objectives -Others

Describe persistence of ALT (alanine aminotransferase) normalization and/or improvement of ALT levels with TAF as with previous anti-HBV treatment
To describe trends in serum creatinine and calculated creatinine clearance as available by local labs.
To describe trends in bone mass from baseline to 24 months after switch.

Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase

Phase IV


Assessment

Primary outcomes

Improvement and/or Persistence of Viral Suppresion [ Time Frame: 24 months ]
To describe rate of persistence and/or improvement of viral suppression with TAF as with previous anti-HBV treatment

Key secondary outcomes

ALT Normalization and/or Improvement [ Time Frame: 24 months ]
To describe persistence of ALT normalization and/or improvement of ALT levels with TAF as with previous anti-HBV treatment

Creatinine Clearance Trends [ Time Frame: 24 months ]
To describe trends in calculated creatinine clearance as available by local labs.
Serum Creatinine Trends [ Time Frame: 24 months ]
To describe trends in serum creatinine as available by local labs.

Bone Mass Density Trends [ Time Frame: 24 months ]
To describe trends in bone mass density from baseline to end of study.


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

TAF, 25mg, 24 months

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1Male or female, age over18 years
2CHB (chronic hepatitis B) diagnosis confirmed by positive HBsAg or HBV DNA or HBeAg or documented history of CHB in physician note
3 Currently maintained on antiviral therapy for at least 48 weeks with any HBV DNA value at Screening/Baseline and planned to be switched to TAF by their physician
4 Routinely monitored for serum HBV DNA PCR (polymerase chain reaction), liver chemistry including AST (aspartate aminotransferase )/ALT/total bilirubin, renal chemistry including BUN (blood urea nitrogen)/Cr/CO2 (carbon dioxide) by their physicians every 3-6 months and a bone density scan at least every 2year as per routine clinical care (one at baseline,and one 2 years after switch).
5 Estimated creatinine clearance >15 ml/min (using the Cockcroft-Gault method) at Screening/Baseline Visit. (Note: multiply estimated rate by 0.85 for women).
6 Willing and able to provide informed consent
7 Able to comply with dosing instructions for study drug administration and able to complete the study schedule of assessments

Key exclusion criteria

1 Pregnant women, women who are breastfeeding or who believe they may wish to become pregnant during the course of the study
2 Previous recipient of a liver transplant
3 Co-infection with human immunodeficiency virus (HIV) or hepatitis C (HCV) or hepatitis D (HDV)
4 Severe or uncontrolled comorbidities
5 Current or known hepatic decompensation (below 2 years) (e.g ascites, encephalopathy, or variceal hemorrhage) with a Child-Pugh score of B or C
6 Malignancy including liver cancer within 5 years except cancers curable by surgical resection (e.g. basal cell skin cancer and squamous cell cancer)
7 On any of the disallowed concomitant medications listed in the prior and concomitant medications list (pg. 11). Subjects on prohibited medications who are otherwise eligible will need a wash out period of at least 30 days prior to the Screening/Baseline visit.
8 Males and females of reproductive potential who are unwilling to use "effective" protocol-specified method(s) of contraception during the study.
9 Current substance or alcohol abuse judged by the investigator to potentially interfere with subject compliance.
10 Any other clinical conditions that, in the opinion of the Investigator, would make the subject unsuitable or unable to comply with any of the study procedures

Target sample size

251


Research contact person

Name of lead principal investigator

1st name Mindie
Middle name H
Last name Nguyen

Organization

Stanford University Medical Center

Division name

Division of Gasteroenterology and Hepatology

Zip code

94304

Address

750 Welch Road, #210

TEL

650-736-1371

Email

mindiehn@stanford.edu


Public contact

Name of contact person

1st name Akiko
Middle name
Last name Mizuta

Organization

Stanford University Medical Center

Division name

Division of Gasteroenterology and Hepatology

Zip code

94304

Address

750 Welch Road, #210, Palo Alto, CA 94304

TEL

650-736-1371

Homepage URL


Email

amizuta@stanford.edu


Sponsor or person

Institute

Stanford University Medical Center

Institute

Department

Personal name



Funding Source

Organization

Gilead Sciences

Organization

Division

Category of Funding Organization

Outside Japan

Nationality of Funding Organization

USA


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Stanford University Reserch Conpliance Offfice

Address

3000 El Camino Real Five Palo Alto Square, 4th Floor Palo Alto, CA 94306

Tel

650-724-7141

Email

sam.doan@stanford.edu


Secondary IDs

Secondary IDs

YES

Study ID_1

NCT03471624

Org. issuing International ID_1

ClinicalTrials.gov identifier (NCT number)

Study ID_2

E 45054

Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

Stanford University Medical Center(USA),San Jose Gastroenterology(USA),Kyushu University Hospital(Japan),Nagoya City University(Japan), Osaka City University(Japan), Saga University Hospital(Japan), Hanyang University Seoul Hospital(South Korea),Nowon Eulji Medical Center, Eulji University College of Medicine(South Korea), Sanggye Paik Hospital, Inje University College of Medicine(South Korea),Kaohsiung Medical University Hospital(Taiwan),E-Da Hospital(Taiwan), China Medical University Hospital(Taiwan)


Other administrative information

Date of disclosure of the study information

2018 Year 03 Month 22 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

270

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2018 Year 04 Month 01 Day

Date of IRB

2018 Year 03 Month 29 Day

Anticipated trial start date

2018 Year 04 Month 15 Day

Last follow-up date

2021 Year 09 Month 07 Day

Date of closure to data entry

2021 Year 11 Month 30 Day

Date trial data considered complete

2022 Year 04 Month 30 Day

Date analysis concluded

2023 Year 09 Month 30 Day


Other

Other related information



Management information

Registered date

2018 Year 03 Month 22 Day

Last modified on

2023 Year 10 Month 26 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000036354


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name