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Enrolling by invitationNCT07668934TAF;CHBUpdated Jun 25, 2026

TAF in Early/Middle Pregnancy With CHB

A Phase 4 interventional study of TAF and TDF in Hepatitis B Infection, Pregnant Women and Early Pregnancy, sponsored by The Third Affiliated Hospital of Guangzhou Medical University. Enrolling by invitation at 1 site in China. Open to female participants aged 20 Years to 40 Years. Per ClinicalTrials.gov, last updated 2026-06-25.

Sponsored by The Third Affiliated Hospital of Guangzhou Medical University · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year after the study started (first participant enrolled Mar 2025, registered Apr 2026).
Phase
Phase 4
Study type
Interventional
Enrollment
816
Allocation
Randomized
Ages
20 Years to 40 Years
Sex
Female
01

Study summary

The goal of this clinical trial is to study the efficacy and safety of Tenofovir alafenamide (TAF) vs Tenofovir disoproxil fumarate(TDF) in early and middle pregnancy with chronic hepatitis B.

Read the detailed description

The goal of this clinical trial is to study the efficacy and safety of Tenofovir alafenamide (TAF) vs Tenofovir disoproxil fumarate(TDF) in early and middle pregnancy with chronic hepatitis B. Previous studies have found that TAF has good clinical efficacy in the treatment of antiviral therapy in patients with chronic hepatitis B. In order to evaluate the clinical efficacy of TAF after antiviral therapy in pregnant women with chronic hepatitis B in the first and second trimesters, the clinical efficacy of TAF after antiviral therapy was evaluated by comparing the safety (including changes in maternal ALT, bilirubin, creatinine, blood phosphorus, blood lipids, fetal malformation rate, neonatal birth defects, head circumference, height, weight, intelligence and other indicators) and effectiveness (viral load decrease, serological conversion, mother-to-fetal blockade, etc.) with the TDF group.

02

Conditions studied

  • Hepatitis B Infection
  • Pregnant Women
  • Early Pregnancy

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03

In context

Hepatitis B

1,045 studies on the registry are indexed under Hepatitis B; 139 are open to participants now.

This study's planned enrollment of 816 is above the median of 147 across 756 interventional studies indexed under Hepatitis B.

Browse Hepatitis B studies →

Lead sponsor

The Third Affiliated Hospital of Guangzhou Medical University is the lead sponsor of 15 studies on the registry; 8 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
20 Years to 40 Years
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

  • Between the ages of 20 and 40
  • positive for >= 6 months
  • 0-24 week of pregnancy
  • Meets the indications for antiviral therapy in the 2022 version of the guidelines for the prevention and treatment of chronic hepatitis B
  • It is planned to use TAF or TDF antiviral therapy until the end of delivery or long-term administration, and follow-up will be carried out in this research institution
  • Signed for medication

Exclusion criteria

Exclusion Criteria:

  • Previous use of anti- virus drugs (e.g., entecavir, tenofovir, tenofovir alafenol, emintenofovir, adefovir dipoproxil, telbivudine, etc.)
  • Concomitant viral hepatitis A, C, E or other hepatotropic virus infection or AIDS
  • Concomitant cirrhosis, liver cancer or other chronic liver diseases (e.g., alcoholic liver, liver disease, G6PD deficiency, etc.)
  • Patients with heart (such as coronary heart disease, myocardial infarction, heart failure, etc.), lung (such as: lung cancer, , tuberculosis, etc.), kidney (such as: renal failure, elevated creatinine, nephritis, nephrotic syndrome, etc.) and other important organ diseases
  • Chronic diseases such as autoimmune diseases (such as systemic lupus erythematosus, rheumatoid arthritis, anticoagulant antibody syndrome), hypertension, diabetes, thyroid disease, etc
  • Patients with previous pregnancy complications (such as: gestational hypertension, gestational diabetes, gestational eclampsia, etc.)
  • Those who have had fetal or neonatal growth and development defects in previous pregnancies
  • Previous or ongoing use of nephrotoxic medications, , nonsteroidal anti-inflammatory drugs, cytotoxic drugs, or immunomodulators
  • Premedication ultrasound showed fetal malformations, fetal development abnormalities, placental abnormalities, threatened abortion, etc
Terms in these criteria, in plain language(5)

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.

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.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
816 participants (estimated)

Study arms

  • Experimental
    tenofovir alafenamide

    An oral drug for reducing hepatitis B virus levels.

    Drug: TAF

  • Active comparator
    tenofovir disoproxil fumarate

    An oral drug for reducing hepatitis B virus levels.

    Drug: TDF

Interventions

  • DrugTAF

    Taking TAF from early or middle pregnancy

    Also known as: tenofovir alafenamide

  • DrugTDF

    Taking TDF from early or middle pregnancy

    Also known as: tenofovir disoproxil fumarate

06

What researchers measure

Primary outcomes

  1. To assess the incidence of ALT above normal (>=1 time) of mother

    From the time of initiation of antiviral and normal ALT until delivery

    Time frame: not more than 48 weeks

Secondary outcomes

  1. To assess the level of HBV-DNA of baby

    At birth; At 7 months of age

    Time frame: not more than 7 months

  2. To assess the level of HBV-DNA of mother

    Every 4 weeks of pregnancy

    Time frame: not more than 48 weeks

  3. To assess the results of liver Ultrasound of mother

    At the time of enrollment; During childbirth

    Time frame: not more than 48 weeks

  4. To assess the weight in kilograms of baby

    At birth; At 7 months of age

    Time frame: not more than 7 months

  5. To assess the height in meters of baby

    At birth; At 7 months of age

    Time frame: not more than 7 months

  6. The number of HBsAg positive of baby

    At birth; At 7 months of age

    Time frame: not more than 7 months

  7. The number of HBeAg positive of baby

    At birth; At 7 months of age

    Time frame: not more than 7 months

  8. The number of HBsAg positive of mother

    Every 4 weeks of pregnancy

    Time frame: not more than 48 weeks

  9. The number of HBeAg positive of mother

    Every 4 weeks of pregnancy

    Time frame: not more than 48 weeks

  10. The rate of deformity

    Fetal period

    Time frame: not more than 48 weeks

  11. The rate of Birth defect

    At birth

    Time frame: 1 day

  12. The levels of creatinine of mother

    From the time of initiation of antiviral until delivery

    Time frame: not more than 48 weeks

  13. The levels of blood lipids of mother

    From the time of initiation of antiviral until delivery

    Time frame: not more than 48 weeks

07

Study locations

1 site
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 25, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07668934
Lead sponsor
The Third Affiliated Hospital of Guangzhou Medical University
Collaborators
Second Affiliated Hospital of Guangzhou Medical University, Qingyuan People's Hospital
Responsible party
Sponsor
First posted
Jun 25, 2026
Start date
Mar 31, 2025
Primary completion
Mar 30, 2027 (estimated)
Completion
Mar 30, 2028 (estimated)
Last update
Jun 25, 2026

Study contacts

Panpan Zhai
principal investigator · The Third Affiliated Hospital of Guangzhou Medical University

Oversight

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

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