ClinicalTrials.gg
Active, not recruitingNCT03343431Updated May 30, 2025

Antiviral Prophylaxis and Infant Vaccination to Prevent Perinatal Hepatitis B Infection

A Phase 3 interventional study of Anti-HBV antiviral prophylaxis in Hepatitis B and Pregnancy, sponsored by Institut de Recherche pour le Developpement. Active, not recruiting at 20 sites in 2 countries. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-05-30.

Sponsored by Institut de Recherche pour le Developpement · Phase 3, Interventional, and Prevention

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Phase
Phase 3
Study type
Interventional
Enrollment
504
Allocation
Not applicable
Ages
18 Years and older
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 41 studies testing tenofovir in Hepatitis B — none open to participants now, 4 under way, 2 of them phase 3. Tenofovir · Hepatitis B.

Enrollment
4th of 41
504 · median 100
Started
2018
with 4 others
Phase 3
10 of 41
none open now
Registered
31st of 41
by date
Lead sponsor
2 of 41
Institut de Recherche pour le Developpement

Among the 41 studies testing tenofovir in Hepatitis B, this one is the 4th largest by enrollment, is one of 5 that started in 2018, is one of 10 in phase 3, and was the 31st registered.

Hepatitis B

1,046 studies on the registry are indexed under Hepatitis B; 139 are open to participants now.

Browse Hepatitis B studies →

Open to participants now

None of the 41 studies testing tenofovir in Hepatitis B is open now. The open studies under Hepatitis B, anywhere →

About tenofovir

Tenofovir: first FDA approval 2001 (VIREAD), first EMA approval 2002. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 80 Hepatitis B studies recruiting now, 40 (50%) set no upper age limit and 35 (44%) stop at 75 or younger; 14 take children under 18; 20 take healthy volunteers.

This study: 18 Years and older · female · no healthy volunteers.

The full table on the hub →

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Download CSVNarrow it in search →With an account: the 41 studies testing tenofovir in Hepatitis B as a file.
02

Study summary

Most new hepatitis B virus (HBV) infections are acquired perinatally. In this study, pregnant women with HBsAg and HBeAg will receive tenofovir disoproxil fumarate during the last trimester of pregnancy and for two months following delivery. Their infants will receive hepatitis B (HB) immunization, starting with a first dose soon after birth. We hypothesize that the risk of mother-to-child transmission of HBV will be lower than 2%. The results of the study will help define policy to manage HBV infected pregnant women to prevent perinatal transmission.

Read the detailed description

This is a prospective multi-center, multi-country (Thailand and Lao PDR), open-label, single arm clinical trial in HBsAg and HBeAg positive pregnant women (from 28 weeks until one year postpartum) and their infants (until 18 months of age). Pregnant women with HBsAg and HBeAg will receive tenofovir disoproxil fumarate 300 mg once daily from 28 weeks of pregnancy until two months postpartum. Their infants will receive hepatitis B (HB) immunization, starting with the first dose soon after birth.

The study aims to show that substituting maternal antiviral treatment for infant HBIg can be favorably considered in settings where HBIg plus vaccine has been used as well as in settings where only vaccine is used. A significant improvement over the standard HBIg + vaccine strategy would be that adding an antiviral strategy results in less than 2% transmission. A total of 499 women and their infants will be enrolled in public hospitals in Thailand and Lao PDR.

The study will be monitored by a Data and Safety Monitoring Board (DSMB) at least annually.

03

Conditions studied

  • Hepatitis B
  • Pregnancy

Browse trials for

Keywords

  • Hepatitis B
  • Hepatitis B eAg
  • Pregnancy
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Pregnancy
  • Age ≥18 years
  • Negative antibody test during current pregnancy
  • Positive test during current pregnancy
  • Positive HBeAg using a rapid test during current pregnancy
  • Absence of clinical symptoms of liver disease
  • Gestational age of 28 weeks (+/- 7 days) based on the obstetrician judgment guided by the review of the date of last menstruation period.
  • Willing and able to provide written
  • Agreeing to bring her infants(s) at the planned study visits at one of the study site until the last visit (18 months after birth) and to inform the site investigators if plans to move to another place and not be able to return to the clinic
  • Understand the need for adequate infant immunization for her infant(s) and accept that blood draws will be performed to determine the infant HBV infection status

Exclusion criteria

Exclusion Criteria:

  • Receipt of anti- antivirals at any time during the last 9 months
  • Known liver cirrhosis or evidence of hepatocellular carcinoma
  • \<50 ml/min, calculated using the Cockcroft-Gault formula
  • Confirmed dipstick proteinuria >1+ (>30 mg/dL) or normoglycemic glycosuria
  • Evidence of pre-existing fetal anomalies incompatible with life
  • Any concomitant condition or treatment that, in the view of the clinical site investigator, would contraindicate participation or compromise adherence to treatment and satisfactory follow up in the study.
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
504 participants (actual)

Interventions

  • Tenofovir disoproxil fumarate (TDF), one 300 mg tablet once a day from 28 weeks' gestation through two months postpartum

    Also known as: tenofovir disoproxil fumarate

06

What researchers measure

Primary outcomes

  1. Infant hepatitis B infection status

    HBsAg positive confirmed by PCR detection of HBV DNA.

    Time frame: Six months of age

Secondary outcomes

  1. Maternal HBV DNA changes

    Description of the effect of tenofovir disoproxil fumarate on maternal HBV DNA levels

    Time frame: From enrollment until end of study treatment scheduled 2 months after delivery

  2. Infant levels of anti-HBs antibodies

    Levels of anti-HBs antibodies in infants in the absence of HBIg administration at birth

    Time frame: At 1, 2, 4, 6, and 12 months of age

  3. HBV infection status in all infants regardless of maternal response to study treatment

    HBsAg positive confirmed by PCR detection of HBV DNA in all infants, i.e. including those born to women with unsatisfactory virological response to study treatment

    Time frame: At 6 months of age

  4. Serious adverse events

    Occurrence of maternal serious adverse events (ICH SAEs) including DAIDS grade 4 signs and symptoms regardless of their relatedness to the study treatment

    Time frame: From enrollment until 12 months postpartum

  5. Serious adverse events

    Occurrence of infant serious adverse events (ICH SAEs) including DAIDS grade 4 signs and symptoms regardless of their relatedness to the study treatment

    Time frame: From birth until 12 months of age

  6. Preterm live births

    Proportion of neonates born alive before 37 weeks of pregnancy

    Time frame: Delivery

  7. Low birth weight

    Proportion of neonates born alive with birth weight of 2,499 g or less, regardless of gestational age

    Time frame: Delivery

  8. Active or previous transient infection in children

    Detection of anti-HBc antibodies among all infants

    Time frame: At 18 months of age

07

Study locations

20 sites
  • Champasak Hospital
    Champasak, Lao People's Democratic Republic
  • Luang Prabang Provincial Hospital
    Luang Prabang, Lao People's Democratic Republic
  • Savannakhet Provincial hospital
    Savannakhet, Lao People's Democratic Republic
  • Sayaboury Hospital
    Sayaboury, Lao People's Democratic Republic
  • 103 Hospital
    Vientiane, Lao People's Democratic Republic
  • Mahosot Hospital
    Vientiane, Lao People's Democratic Republic
  • Mother and Newborn Hospital
    Vientiane, Lao People's Democratic Republic
  • Setthathirath Hospital
    Vientiane, Lao People's Democratic Republic
  • Chiang Kham Hospital
    Chiang Kham, Phayao 56110, Thailand
  • Nopparat Rajathanee Hospital
    Bangkok, 10230, Thailand
  • Prapokklao Hospital
    Chanthaburi, 22000, Thailand
  • Health Promotion Center Region 1
    Chiang Mai, 50100, Thailand
  • Nakornping Hospital
    Chiang Mai, 50180, Thailand
  • Chiangrai Prachanukroh Hospital
    Chiang Rai, 57000, Thailand
  • Chonburi Hospital
    Chon Buri, 20000, Thailand
  • Banglamung Hospital
    Chon Buri, 20150, Thailand
  • Lampang Hospital
    Lampang, 52000, Thailand
  • Lamphun Hospital
    Lamphun, 51000, Thailand
  • Samutprakarn Hospital
    Samut Prakan, 10280, Thailand
  • Samutsakhon Hospital
    Samut Sakhon, 74000, Thailand
08

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — We are willing to share our data to answer important research questions requiring large datasets, after completion of the original research plan and substudies. Data-sharing agreements will include: an approval of the research plan by appropriate ethics committees, a commitment to using data for research purposes only and to securing the data or/and the samples using appropriate methods. Data used for publications will be released in a timely manner. De-identified study data will be accessible through the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Data and Specimen Hub or DASH (dash.nichd.nih.gov/). However, as of May 25, 2025, the DASH website will be unable to support new submissions for the next several months. The PI will submit the data when new submissions are open.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form

Time frame: At the same time as related publications

Access criteria: See Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Data and Specimen Hub or DASH

Data sharing details ↗ · dash.nichd.nih.gov

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Aug 2018 to primary completion in May 2023, 57 months.

Of 50 phase 3 interventional studies under Hepatitis B, half reached primary completion within 15 months of starting (the median), counting those still running; a quarter within 9 and three quarters within 34. This study's 57 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 6, 2017
First posted
Nov 17, 2017
StartActual
Aug 2, 2018
Primary completionActual
May 13, 2023
CompletionEst.
Jun 30, 2025
Last update
May 30, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 30, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03343431
Lead sponsor
Institut de Recherche pour le Developpement
Collaborators
Chiang Mai University, Ministry of Health, Thailand, Ministry of Health, Lao PDR
Responsible party
GONZAGUE JOURDAIN (Researcher, Institut de Recherche pour le Developpement) — Principal investigator
First posted
Nov 17, 2017
Start date
Aug 2, 2018
Primary completion
May 13, 2023
Completion
Jun 30, 2025 (estimated)
Last update
May 30, 2025

Study contacts

Gonzague Jourdain, MD, PhD
principal investigator · Chiang Mai University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in May 2025. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Tenofovir

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