Overview

Virological and Clinical Anti-Hepatitis B Virus (HBV) Efficacy of Tenofovir and Emtricitabine in Patients With HIV/HBV co-Infection

Status:
Completed
Trial end date:
2006-08-01
Target enrollment:
0
Participant gender:
All
Summary
This is a randomized multicentre trial of emtricitabine (FTC) versus tenofovir (TDF)/FTC in antiretroviral naive subjects with HIV/HBV co-infection over 48 weeks (Clinical Trial A). Plus, a 12 week viral kinetic substudy comparing a subgroup of patients on Clinical Trial A is being conducted. (Substudy A1)
Phase:
Phase 4
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
International Antiviral Therapy Evaluation Center
Collaborator:
Gilead Sciences
Treatments:
Efavirenz
Emtricitabine
Tenofovir
Zidovudine
Criteria
Inclusion Criteria:

- Written informed consent

- Documented HIV infection

- Age 18 - 70 years

- HBV DNA > 10E6 copies/ml

- ALT < 10 x ULN (upper limit of normal)

- Creatinine <= 2.0mg/dl

- Platelet count >= 50,000/mm3

- HIV-1 therapy naive

- No prior exposure to anti-HBV agents

Exclusion Criteria:

- Hepatitis C viral RNA (CV-RNA) positive or Anti-hepatitis A virus immunoglobulin M
(HAV IgM) positive

- Acute hepatitis (serum ALT > 1000 U/L)

- Prior LAM, TDF, or adefovir dipivoxil (ADV) therapy

- Active opportunistic infection

- Pregnancy or lactation

- Other chronic liver disease

- Concurrent malignancy requiring cytotoxic chemotherapy

- Decompensated or Child's C cirrhosis

- Alfa-fetoprotein (AFP) > 3X ULN (unless negative computed tomography [CT] scan or
magnetic resonance imaging [MRI] within 3 months of entry date)