Study to Compare Tenofovir Alafenamide (TAF) Versus Tenofovir Disoproxil Fumarate (TDF) in Participants With Chronic Hepatitis B Infection Who Are Positive for Hepatitis B e Antigen
A Phase 3, Randomized, Double-Blind Study to Evaluate the Safety and Efficacy of Tenofovir Alafenamide (TAF) 25 mg QD Versus Tenofovir Disoproxil Fumarate (TDF) 300 mg QD for the Treatment of HBeAg-Positive, Chronic Hepatitis B
2 other identifiers
interventional
875
19 countries
160
Brief Summary
The primary objective of this study is to compare the efficacy, safety, and tolerability of tenofovir alafenamide (TAF) versus tenofovir disoproxil fumarate (TDF) in treatment-naive and treatment-experienced adults with hepatitis B e antigen (HBeAg)-positive chronic hepatitis B virus (HBV) infection.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3
Started Sep 2013
Longer than P75 for phase_3
160 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 20, 2013
CompletedStudy Start
First participant enrolled
September 11, 2013
CompletedFirst Posted
Study publicly available on registry
September 12, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 16, 2015
CompletedResults Posted
Study results publicly available
March 30, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
October 13, 2022
CompletedOctober 10, 2023
September 1, 2023
2.2 years
August 20, 2013
December 9, 2016
September 21, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Percentage of Participants With Hepatitis B Virus (HBV) DNA < 29 IU/mL at Week 48
Week 48
Secondary Outcomes (4)
Percentage of Participants With Hepatitis B e Antigen (HBeAg) Seroconversion to Antibody Against Hepatitis B e Antigen (Anti-HBe) at Week 48
Week 48
Percent Change From Baseline in Hip Bone Mineral Density (BMD) at Week 48
Baseline, Week 48
Percent Change From Baseline in Spine BMD at Week 48
Baseline, Week 48
Change From Baseline at Week 48 in Serum Creatinine
Baseline, Week 48
Other Outcomes (1)
Percentage of Participants With Treatment-emergent Proteinuria by Urinalysis (Dipstick) Through Week 48
Up to 48 weeks
Study Arms (3)
TAF 25 mg
EXPERIMENTALTAF + TDF placebo for 96 weeks (per amendment 1 \& 2) or 144 weeks (per amendment 3).
TDF 300 mg
ACTIVE COMPARATORTDF + TAF placebo for 96 weeks (per amendment 1 \& 2) or 144 weeks (per amendment 3).
Open-label TAF
EXPERIMENTALAll participants who complete the double-blind period (96 weeks or 144 weeks) will be eligible to receive open-label TAF until Week 384 of the study. After the end of study treatment, participants can either switch to commercially available anti-HBV treatments in their country or will be followed every 4 weeks, for up to 24 weeks off treatment (treatment-free follow-up (TFFU)) for safety assessment.
Interventions
25 mg tablet administered orally once daily
Eligibility Criteria
You may qualify if:
- Ability to understand and sign a written informed consent form, which must be obtained prior to initiation of study procedures.
- Adult males and non-pregnant, non-lactating females.
- Documented evidence of chronic HBV infection.
- HBeAg-positive, chronic hepatitis B with all of the following:
- HBeAg-positive at screening.
- Screening HBV DNA ≥ 2 x 10\^4 IU/mL
- Screening serum alanine aminotransferase (ALT) level \> 60 U/L (males) or \> 38 U/L (females) and ≤ 10 x the upper limit of the normal range (ULN).
- Treatment-naive participants (defined as \< 12 weeks of oral antiviral treatment with any nucleoside or nucleotide analogue) OR treatment-experienced participants (defined as participants meeting all entry criteria \[including HBV DNA and serum ALT criteria\] and with ≥ 12 weeks of previous treatment with any nucleoside or nucleotide analogue).
- Previous treatment with interferon (pegylated or non-pegylated) must have ended at least 6 months prior to the baseline visit.
- Adequate renal function.
- Normal electrocardiogram (ECG).
You may not qualify if:
- Females who are breastfeeding.
- Males and females of reproductive potential who are unwilling to use an "effective", protocol specified method(s) of contraception during the study.
- Co-infection with hepatitis C virus, human immunodeficiency virus (HIV), or hepatitis D virus.
- Evidence of hepatocellular carcinoma .
- Any history of, or current evidence of, clinical hepatic decompensation.
- Abnormal hematological and biochemical parameters, including aspartate aminotransferase (AST) \> 10 x ULN.
- Received solid organ or bone marrow transplant.
- History of malignancy within the past 5 years, with the exception of specific cancers that are cured by surgical resection; individuals under evaluation for possible malignancy are not eligible.
- Currently receiving therapy with immunomodulators (eg, corticosteroids), investigational agents, nephrotoxic agents, or agents capable of modifying renal excretion.
- Individuals receiving ongoing therapy with drugs not to be used with tenofovir alafenamide or tenofovir disoproxil fumarate or individuals with a known hypersensitivity to study drugs, metabolites, or formulation excipients.
- Current alcohol or substance abuse judged by the investigator to potentially interfere with participant compliance.
- Any other clinical condition or prior therapy that, in the opinion of the Investigator, would make the participant unsuitable for the study or unable to comply with dosing requirements.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Gilead Scienceslead
Study Sites (160)
Coalition of Inclusive Medicine
Los Angeles, California, 90020, United States
Stanford University Medical Center
Palo Alto, California, 94304, United States
Huntington Medical Research Institutes
Pasadena, California, 91105, United States
Research and Education, Inc.
San Diego, California, 92105, United States
Silicon Valley Research Institute
San Jose, California, 95128, United States
University of Miami
Miami, Florida, 33136, United States
Digestive Disease Associates, PA
Catonsville, Maryland, 21228, United States
Tufts Medical Center, Inc
Boston, Massachusetts, 02111, United States
Henry Ford Health System
Detroit, Michigan, 48202, United States
Sing Chan Private Practice
Flushing, New York, 11354, United States
New Discovery, LLC
Flushing, New York, 11355, United States
Jefferson Medical College
Philadelphia, Pennsylvania, 19107, United States
Xiaoli Ma, PC
Philadelphia, Pennsylvania, 19107, United States
Texas Clinical Research Institute, LLC
Arlington, Texas, 76012, United States
Kelsey Research Foundation
Houston, Texas, 77005, United States
Royal Prince Alfred Hospital
Camperdown, New South Wales, 2050, Australia
Concord Repatriation General Hospital
Concord, New South Wales, 2137, Australia
Westmead Hospital Westmead
Westmead, New South Wales, 2145, Australia
Royal Adelaide Hospital
Adelaide, South Australia, 5000, Australia
Monash Medical Centre
Clayton, Victoria, 3168, Australia
St. Vincent's Hospital
Fitzroy, Victoria, 3065, Australia
Footscray Hospital
Footscray, Victoria, 3011, Australia
Austin Health
Heidelberg, Victoria, 3084, Australia
The Alfred Hospital
Melbourne, Victoria, 3004, Australia
The Royal Melbourne Hospital
Parkville, Victoria, 3050, Australia
Royal Perth Hospital
Perth, Western Australia, 6000, Australia
Tokuda Hospital - Sofia
Sofia, 1407, Bulgaria
MHAT Alexandrovska Medical University, Sofia
Sofia, 1431, Bulgaria
MMA Hospital of Active Treatment
Sofia, 1606, Bulgaria
MHAT Sofia Med
Sofia, 1797, Bulgaria
University of Calgary
Calgary, Alberta, T2N 4Z6, Canada
Zeidler Ledcor Centre Division of Gastroenterology / Department of Medicine
Edmonton, Alberta, T6G 2X8, Canada
Liver and Intestinal Research Centre
Vancouver, British Columbia, V5Z 1H2, Canada
Gordon and Leslie Diamond Health Care Centre
Vancouver, British Columbia, V5Z 1M9, Canada
Dr. John Farley, Inc.
Vancouver, British Columbia, V6A 4B6, Canada
Vancouver Infectious Disease Research and Care Centre
Vancouver, British Columbia, V6Z 2C7, Canada
Gastrointestinal Research Institute (GIRI)
Vancouver, British Columbia, V6Z 2K5, Canada
University of Manitoba, Health Sciences Center
Winnipeg, Manitoba, R3E 3P4, Canada
The Ottawa Hospital
Ottawa, Ontario, K1H 8L6, Canada
University Health Network / Toronto General Hospital
Toronto, Ontario, M5G 2C4, Canada
Inspiration Research Limited
Toronto, Ontario, M5T 2S8, Canada
Toronto Liver Centre
Toronto, Ontario, M6H 3M1, Canada
Hopital Beaujon
Clichy, 92110, France
Hopital Pitie Salpetriere
Paris, 75651, France
Hopital Civil de Strasbourg
Strasbourg, 67091, France
Hopital Paul Brousse
Villejuif, 94804, France
Queen Mary Hospital
Hong Kong, Hong Kong
Princess Margaret Hospital
Lai Chi Kok, Hong Kong
Prince of Wales Hospital
Shatin, Hong Kong
Alice Ho Miu Ling Nethersole Hospital
Tai Po, Hong Kong
Tuen Mun Hospital
Tuenmen, Hong Kong
BYL Nair Hospital & T N Medical College
Mumbai, Maharashtra, 400008, India
Government Medical College and Superspecialty Hospital
Nagpur, Maharashtra, 440003, India
Midas Multispecialty Hospital
Nagpur, Maharashtra, 440010, India
SMS Medical College & Hospital
Jaipur, Rajasthan, 302004, India
Postgraduate Institute of Medical Education & Research
Chandigarh, 160012, India
YR Gaitonde Centre for AIDS Research and Education
Chennai, 600113, India
VGM Hospital
Coimbatore, 641005, India
Gleneagles Global Hospital
Hyderabad, 500004, India
Centre for Liver Research & Diagnostic, Deccan College of Medical Sciences and Allied Hospitals
Hyderabad, 500058, India
S. R Kalla Memorial Gastro & General Hospital
Jaipur, 302001, India
Peerless Hospital & B.K.Roy Research Center
Kolkata, 700 094, India
Postgraduate Institute of Medical Education & Research
Kolkata, 700020, India
Seth GS Medical College and KEM Hospital
Mumbai, 400012, India
All India Institute of Medical Sciences
New Delhi, 110029, India
Sir Ganga Ram Hospital
New Delhi, 110060, India
Institute of Liver and Biliary Sciences
New Delhi, 110070, India
Global Hospital Super Specialty & Transplant Centre
Pārel, 400 012, India
Nirmal Hospital
Surat, 395002, India
Azienda Ospedaliera di Bologna - Policlinico S. Orsola Malpighi
Bologna, 40138, Italy
Istituto Europeo di Oncologia
Bologna, 40138, Italy
Azienda Ospedaliero Universitaria Ospedali Riuniti di
Foggia, 71100, Italy
Policlinico Universitario G. Martino via Consolare
Messina, 98124, Italy
Azienda Ospedale San Paolo
Milan, 20142, Italy
Azienda Ospedaliera di Padova
Padua, 35100, Italy
Azienda Ospedaliera di Padova
Padua, 35121, Italy
Azienda Ospedaliero Universitaria Pisana
Pisa, 56124, Italy
Kyushu University Hospital
Fukuoka, Fukuoka-shi, 812-8582, Japan
Shin-Kokura Hospital
Fukuoka, 803-8505, Japan
National Hospital Organization Kyushu Medical Center
Fukuoka, 810-8563, Japan
Kagawa Prefectural Central Hospital
Kagawa, 760-8557, Japan
Kobe City Medical Center General Hospital
Kobe, 650-0047, Japan
Yamanashi Prefectural Central Hospital
Kofu, 400-8506, Japan
Kurume University Hospital
Kurume, 830-0011, Japan
Kyoto Prefectural University of Medicine
Kyoto, 602-8566, Japan
Japan Red Cross Musashino Hospital
Musashino, 180-8610, Japan
Hyogo College of Medicine
Nishinomiya, 663-8501, Japan
Okayama University Hospital
Okayama, 700-8558, Japan
Osaka Red Cross Hospital
Osaka, 543-8555, Japan
Osaka University Hospital
Osaka, 545-8586, Japan
National Hospital Organization Nagasaki Medical Center
Ōmura, 856-8562, Japan
Hokkaido University Hospital
Sapporo, 060-8648, Japan
Medical Hospital of Tokyo Medical and Dental University
Tokyo, 113-8519, Japan
Auckland Clinical Studies Limited
Auckland, 1142, New Zealand
Waikato Hospital (District Health Board)
Hamilton, 2001, New Zealand
Uniwersytecki Szpital Kliniczny w Bialymstoku Klinika
Bialystok, 15-540, Poland
Szpital Specjalistyczny
Chorzów, 41-500, Poland
SPZOZ, Wojewódzki Specjalistyczny Szpital
Lodz, 91-347, Poland
SP ZOZ Wojewódzki Szpital Zakazny
Warsaw, 01-201, Poland
Centrum Badan Klinicznych
Wroclaw, 50-349, Poland
Institutul National de Boli Infectioase "Prof. Dr. Matei Bals"
Bucharest, 021105, Romania
Centrul Medical de Diagnostic si Tratament "Dr. Victor Babes"
Bucharest, 030303, Romania
Spitatul Clinic de Boli Infectioase Constanta
Constanța, 900709, Romania
Gastromedica SRL
Iași, 700506, Romania
Spitalul Clinic Judetean de Urgenta Timisoara
Timișoara, 300736, Romania
Lipetsk Regional Center for Prevention and Control of AIDS and Infectious Diseases
Lipetsk, 398043, Russia
Scientific Research Institute of Nutrition
Moscow, 115446, Russia
People's Friendship University of Russia
Moscow, 117198, Russia
1st Moscow State Medical University University Clinical Hospital #3
Moscow, 119435, Russia
Limited Liability Company "Modern Medicine Clinic"
Moscow, 121170, Russia
Institute of Clinical Immunology RAMS, Clinic of Immunopathology
Novosibirsk, 630084, Russia
Scientific Research Institute of Clinical Immunology
Novosibirsk, 630099, Russia
Municipal Clinical Hospital n.a. S.P. Botkin
Saint Petersburg, 191167, Russia
Research Institute of Influenza
Saint Petersburg, 197376, Russia
Medical Company Hepatology
Samara, 443063, Russia
Sverdlovsk Regional Clinical Hospital #1
Yekaterinburg, 620102, Russia
National University Hospital Singapore
Singapore, 119228, Singapore
Singapore General Hospital
Singapore, 169608, Singapore
Changi General Hospital Pte Ltd.
Singapore, 529889, Singapore
Kosin University College of Medicine
Busan, Seo-gu, 602702, South Korea
Pusan National University Hospital
Busan, 602-739, South Korea
SoonChunHyang University Hospital Cheonan
Cheonan, 330-721, South Korea
Keimyung University Dongsan Medical Center
Daegu, 700-712, South Korea
Kyungpook National University Hospital
Daegu, 700-721, South Korea
Konyang University Hospital
Daejeon, 302-718, South Korea
Inje University Ilsan Paik Hospital
Gyeonggi-do, 411-706, South Korea
Ajou University Hospital
Gyeonggi-do, 443-380, South Korea
Seoul National University Bundang Hospital
Gyeonggi-do, 463-707, South Korea
Seoul National University Hospital
Seoul, 110-744, South Korea
Severance Hospital Yonsei University Health System
Seoul, 120-752, South Korea
Samsung Medical Center
Seoul, 135-710, South Korea
Gangnam Severance Hospital
Seoul, 135-720, South Korea
Seoul Saint Mary Hospital
Seoul, 137-701, South Korea
Asan Medical Center
Seoul, 138-736, South Korea
Konkuk University Medical Center
Seoul, 143-729, South Korea
Korea University Guro Hospital
Seoul, 152-703, South Korea
SMG-SNU Boramae Medical Center
Seoul, 156-707, South Korea
Chung-Ang University Hospital
Seoul, 156-755, South Korea
Ulsan University Hospital
Ulsan, 682-714, South Korea
Yonsei Unversity Wonju
Wŏnju, 220-701, South Korea
Pusan National University Yangsan Hospital
Yangsan, 626-770, South Korea
Hospital Universitari Vall d'Hebron
Barcelona, 08035, Spain
Hospital Universitario Virgen del Rocio
Seville, 4103, Spain
Chiayi Christian Hospital
Chiayi City, 60002, Taiwan
Hualien Tzu Chi Medical Center
Hualien City, 970, Taiwan
Kaohsiung Med. College Hosp. Dept. of Internal Medicine
Kaohsiung City, 80756, Taiwan
China Medical University Hospital
Taichung, 404, Taiwan
National Cheng Kung University Hospital
Tainan, 70403, Taiwan
National Taiwan University Hospital
Taipei, 10002, Taiwan
Cathay General Hospital
Taipei, 10630, Taiwan
Far-Eastern Memorial Hospital
Taipei, 220, Taiwan
Ankara Üniversitesi Gastroenteroloji Bilim Dalı Cebeci
Ankara, 06100, Turkey (Türkiye)
University of Uludag
Bursa, 16059, Turkey (Türkiye)
Dicle University Medical Faculty Department of Infectious Diseases
Diyarbakır, 21280, Turkey (Türkiye)
Istanbul Universitesi Cerrahpassa Tip Fakultesi Enfeksiyon
Istanbul, 34098, Turkey (Türkiye)
Ege Universitesi Tip Fakultesi Hastanesi
Izmir, 35100, Turkey (Türkiye)
Barts & The London NHS Trust
London, E1 1BB, United Kingdom
Royal Free Hospital
London, NW3 2QG, United Kingdom
King's College Hospital
London, SE5 9RS, United Kingdom
Nottingham University Hospitals NHS Trust
Nottingham, NG7 2UH, United Kingdom
Related Publications (7)
Buti M, Lim YS, Chan HLY, Agarwal K, Marcellin P, Brunetto MR, Chuang WL, Janssen HLA, Fung SK, Izumi N, Jablkowski MS, Abdurakhmanov D, Abramov F, Wang H, Botros I, Yee LJ, Mateo R, Flaherty JF, Osinusi A, Pan CQ, Shalimar X, Seto WK, Gane EJ. Eight-year efficacy and safety of tenofovir alafenamide for treatment of chronic hepatitis B virus infection: Final results from two randomised phase 3 trials. Aliment Pharmacol Ther. 2024 Dec;60(11-12):1573-1586. doi: 10.1111/apt.18278. Epub 2024 Sep 27.
PMID: 39327857DERIVEDLim YS, Chan HLY, Ahn SH, Seto WK, Ning Q, Agarwal K, Janssen HLA, Pan CQ, Chuang WL, Izumi N, Fung S, Shalimar, Brunetto M, Hui AJ, Chang TT, Lim SG, Abramov F, Flaherty JF, Wang H, Yee LJ, Kao JH, Gane E, Hou J, Buti M. Tenofovir alafenamide and tenofovir disoproxil fumarate reduce incidence of hepatocellular carcinoma in patients with chronic hepatitis B. JHEP Rep. 2023 Jul 13;5(10):100847. doi: 10.1016/j.jhepr.2023.100847. eCollection 2023 Oct.
PMID: 37771546DERIVEDChan HLY, Buti M, Lim YS, Agarwal K, Marcellin P, Brunetto M, Chuang WL, Janssen HLA, Fung S, Izumi N, Abdurakhmanov D, Jablkowski M, Celen MK, Ma X, Caruntu F, Flaherty JF, Abramov F, Wang H, Camus G, Osinusi A, Pan CQ, Shalimar, Seto WK, Gane E; GS-US-320-0110 and GS-US-320-0108 investigators. Long-Term Treatment With Tenofovir Alafenamide for Chronic Hepatitis B Results in High Rates of Viral Suppression and Favorable Renal and Bone Safety. Am J Gastroenterol. 2024 Mar 1;119(3):486-496. doi: 10.14309/ajg.0000000000002468. Epub 2023 Aug 9.
PMID: 37561058DERIVEDCathcart AL, Chan HL, Bhardwaj N, Liu Y, Marcellin P, Pan CQ, Shalimar, Buti M, Cox S, Parhy B, Zhou E, Martin R, Chang S, Lin L, Flaherty JF, Kitrinos KM, Gaggar A, Izumi N, Lim YS. No Resistance to Tenofovir Alafenamide Detected through 96 Weeks of Treatment in Patients with Chronic Hepatitis B Infection. Antimicrob Agents Chemother. 2018 Sep 24;62(10):e01064-18. doi: 10.1128/AAC.01064-18. Print 2018 Oct.
PMID: 30038044DERIVEDSeto WK, Asahina Y, Brown TT, Peng CY, Stanciu C, Abdurakhmanov D, Tabak F, Nguyen TT, Chuang WL, Inokuma T, Ikeda F, Santantonio TA, Habersetzer F, Ramji A, Lau AH, Suri V, Flaherty JF, Wang H, Gaggar A, Subramanian GM, Mukewar S, Brunetto MR, Fung S, Chan HL. Improved Bone Safety of Tenofovir Alafenamide Compared to Tenofovir Disoproxil Fumarate Over 2 Years in Patients With Chronic HBV Infection. Clin Gastroenterol Hepatol. 2018 Jun 20:S1542-3565(18)30633-5. doi: 10.1016/j.cgh.2018.06.023. Online ahead of print.
PMID: 29933096DERIVEDAgarwal K, Brunetto M, Seto WK, Lim YS, Fung S, Marcellin P, Ahn SH, Izumi N, Chuang WL, Bae H, Sharma M, Janssen HLA, Pan CQ, Celen MK, Furusyo N, Shalimar D, Yoon KT, Trinh H, Flaherty JF, Gaggar A, Lau AH, Cathcart AL, Lin L, Bhardwaj N, Suri V, Mani Subramanian G, Gane EJ, Buti M, Chan HLY; GS-US-320-0110; GS-US-320-0108 Investigators. 96 weeks treatment of tenofovir alafenamide vs. tenofovir disoproxil fumarate for hepatitis B virus infection. J Hepatol. 2018 Apr;68(4):672-681. doi: 10.1016/j.jhep.2017.11.039. Epub 2018 Jan 17.
PMID: 29756595DERIVEDChan HL, Fung S, Seto WK, Chuang WL, Chen CY, Kim HJ, Hui AJ, Janssen HL, Chowdhury A, Tsang TY, Mehta R, Gane E, Flaherty JF, Massetto B, Gaggar A, Kitrinos KM, Lin L, Subramanian GM, McHutchison JG, Lim YS, Acharya SK, Agarwal K; GS-US-320-0110 Investigators. Tenofovir alafenamide versus tenofovir disoproxil fumarate for the treatment of HBeAg-positive chronic hepatitis B virus infection: a randomised, double-blind, phase 3, non-inferiority trial. Lancet Gastroenterol Hepatol. 2016 Nov;1(3):185-195. doi: 10.1016/S2468-1253(16)30024-3. Epub 2016 Sep 22.
PMID: 28404091DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Gilead Clinical Study Information Center
- Organization
- Gilead Sciences
Study Officials
- STUDY DIRECTOR
Gilead Study Director
Gilead Sciences
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 20, 2013
First Posted
September 12, 2013
Study Start
September 11, 2013
Primary Completion
November 16, 2015
Study Completion
October 13, 2022
Last Updated
October 10, 2023
Results First Posted
March 30, 2017
Record last verified: 2023-09
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP
- Time Frame
- 18 months after study completion
- Access Criteria
- A secured external environment with username, password, and RSA code.
Qualified external researchers may request IPD for this study after study completion. For more information, please visit our website at https://www.gileadclinicaltrials.com/transparency-policy/