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A Study to Compare Efficacy and Safety of Tenofovir Used Alone or in Combination With Pegylated Interferon Alpha-2b in Participants With Chronic Hepatitis B and Elevated Alanine Aminotransferase (MK-4031-384)

This study has been withdrawn prior to enrollment.
Information provided by (Responsible Party):
Merck Sharp & Dohme Corp. Identifier:
First received: November 12, 2012
Last updated: September 18, 2013
Last verified: September 2013

This study will compare monotherapy with tenofovir to sequential therapy with pegylated interferon alpha-2b (pegIFN-2b) followed by tenofovir, and to combination therapy with pegIFN-2b + tenofovir, in participants with hepatitis B e antigen (HBeAg)-positive chronic hepatitis B and elevated alanine aminotransferase (ALT). All enrolled participants will be be administered tenofovir alone for 8 weeks and then will be randomly assigned to 1 of the 3 treatment arms.

Condition Intervention Phase
Hepatitis B
Drug: Tenofovir
Biological: Pegylated interferon alpha-2b
Phase 4

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: An Open-Label, Pilot, Randomized, Multi-Center Study to Compare Efficacy and Safety of Tenofovir Monotherapy Alone With Tenofovir Monotherapy Followed by Concurrent Combination of Pegylated Interferon-Alpha-2b and Tenofovir or Tenofovir Monotherapy Followed by Sequential Therapy of Pegylated Interferon-Alpha-2b and Tenofovir in HBeAG-Positive Chronic Hepatitis B Patients With Raised ALT.

Resource links provided by NLM:

Further study details as provided by Merck Sharp & Dohme Corp.:

Primary Outcome Measures:
  • Number of participants who responded to treatment [ Time Frame: Week 128 ] [ Designated as safety issue: No ]
  • Number of participants experiencing adverse events (AEs) [ Time Frame: Up to 128 weeks ] [ Designated as safety issue: Yes ]
  • Number of participants discontinuing study therapy due to AEs [ Time Frame: Up to 104 weeks ] [ Designated as safety issue: No ]

Enrollment: 0
Study Start Date: August 2013
Estimated Study Completion Date: August 2017
Estimated Primary Completion Date: August 2017 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: Tenofovir Monotherapy
Tenofovir 300 mg tablet, orally (PO) once daily for 8 weeks, then Tenofovir 300 mg tablet, PO, once daily for an additional 96 weeks (total treatment duration 104 weeks)
Drug: Tenofovir
Other Name: Truvada
Experimental: PegIFN-2b/Tenofovir Sequential Therapy
Tenofovir 300 mg tablet, PO, once daily for 8 weeks, then PegIFN-2b, 1.5 mcg/kg subcutaneously (SC), once weekly, for 24 weeks, then Tenofovir 300 mg tablet, PO, once daily for 72 weeks (total treatment duration 104 weeks)
Drug: Tenofovir
Other Name: Truvada
Biological: Pegylated interferon alpha-2b
Other Names:
  • SCH 054031
  • MK-4031
Experimental: Peg-IFN-2b + Tenofovir Combination Therapy
Tenofovir 300 mg tablet, PO once daily for 8 weeks, then pegIFN-2b, 1.5 mcg/kg SC once weekly and tenofovir 300 mg tablet, PO, once daily for 24 weeks, and then tenofovir 300 mg tablet, PO, once daily for 72 weeks (total treatment duration 104 weeks)
Drug: Tenofovir
Other Name: Truvada
Biological: Pegylated interferon alpha-2b
Other Names:
  • SCH 054031
  • MK-4031


Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Chronic hepatitis B (hepatitis B surface antigen [HBsAg]-positive for >6 months or evidence of chronic hepatitis B in liver biopsy)
  • Elevated serum ALT level
  • Liver biopsy or a non-invasive investigation within 12 months prior to randomization with Chronic Hepatitis B
  • Treatment naïve or history of interferon for not more than 1 month, taken at least 6 months before enrollment
  • Compensated liver disease

Exclusion Criteria:

  • Known hypersensitivity to tenofovir, interferon alpha-2b, and/or any other component of the study products
  • Co-infection with hepatitis C virus (HCV), hepatitis D virus (HDV) or human immunodeficiency virus (HIV)
  • Need for prolonged or frequent use of systemic acyclovir or famciclovir
  • Previously received lamivudine or an investigational anti-hepatitis B virus (HBV) nucleoside or nucleotide analog and were resistant to these drugs
  • History of variceal bleeding or other GI bleeding due to portal hypertension, hepatic encephalopathy, spontaneous bacterial peritonitis, Grade III and IV esophageal varices unless banded or other clinical signs of hepatic decompensation
  • History of hepatocellular carcinoma (HCC) or findings suggestive of possible HCC
  • Need for potentially hepatotoxic drugs (e.g. dapsone, erythromycin, fluconazole, ketoconazole, rifampin, and anti-tuberculosis regimens) or nephrotoxic drugs (e.g. frequent nonsteroidal anti-inflammatories, aminoglycosides, amphotericin B, and foscarnet)
  • One or more additional known primary or secondary causes of liver disease, other than hepatitis B
  • History of clinical pancreatitis
  • Pregnant or breastfeeding
  • Female participants of childbearing potential and male participants must be willing to use acceptable method of birth control.
  • Medical condition that requires frequent or prolonged use of systemic corticosteroids
  • Use of warfarin or other anticoagulants during 30 days prior to screening or if expected to be needed during the study period
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

No Contacts or Locations Provided
  More Information

No publications provided

Responsible Party: Merck Sharp & Dohme Corp. Identifier: NCT01727271     History of Changes
Other Study ID Numbers: 4031-384
Study First Received: November 12, 2012
Last Updated: September 18, 2013
Health Authority: India: Institutional Review Board

Additional relevant MeSH terms:
Hepatitis A
Hepatitis B
Hepatitis B, Chronic
DNA Virus Infections
Digestive System Diseases
Enterovirus Infections
Hepadnaviridae Infections
Hepatitis, Chronic
Hepatitis, Viral, Human
Liver Diseases
Picornaviridae Infections
RNA Virus Infections
Virus Diseases
Peginterferon alfa-2b
Tenofovir disoproxil
Anti-HIV Agents
Anti-Infective Agents
Anti-Retroviral Agents
Antineoplastic Agents
Antiviral Agents
Enzyme Inhibitors
Immunologic Factors
Molecular Mechanisms of Pharmacological Action
Nucleic Acid Synthesis Inhibitors
Pharmacologic Actions
Physiological Effects of Drugs processed this record on March 01, 2015