Can a newer hepatitis b drug protect babies while being gentler on their bones?
NCT ID NCT05466071
First seen Aug 31, 2026 · Last updated Sep 01, 2026 · Updated 1 time
Summary
This trial compares two antiviral drugs, tenofovir alafenamide (TAF) and tenofovir disoproxil fumarate (TDF), in pregnant women with high hepatitis B virus levels. The goal is to see if TAF can prevent passing the virus to the baby as effectively as TDF, but with fewer side effects like bone density loss. Researchers will follow 200 women and their infants for two years, tracking infection rates, birth defects, and the mothers' liver health.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- tenofovir alafenamide (TAF), an antiviral drug
- What this could lead to
- If TAF works as well as the standard drug but with fewer side effects for babies, it could become a safer option for pregnant women with high hepatitis B levels.
- What could go wrong
- This is a mid-stage trial with 200 participants, so results may not apply to everyone. TAF's safety in pregnancy is still being studied, and unknown risks to the infant remain possible.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 200 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2021
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
We enroll Child-bearing age women with chronic HBV infection, who already become middle/late pregnancy, and visit in 3 hospitals (The Third Affiliated Hospital of Guangzhou Medical University, People's Hospital of Guangzhou Huadu District and He Xian Memorial Hospital of Guangzhou Panyu District).
- Ages
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20 to 40 years
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age of 20-40 years. * Positive for HBsAg ≥6 months. * HBV DNA load of ≥ 2×10\^5 IU/ml. * Gestation 24-28 weeks . * Pregnancies are orally administrated with TAF (25mg/day) or TDF (300mg/day) from 24-28 weeks of gestation. * The good compliance of patients. Exclusion Criteria: * Patients with antibodies against HIV, HCV, HDV, or other forms of chronic liver disease. * Evidence of hepatocellular carcinoma, decompensated liver disease, auto-immune hepatitis, or significant renal, cardiovascular, respiratory or neurological comorbidity. * Concurrent treatment with nephrotoxic drugs, glucocorticoids, cytotoxic drugs, nonsteroidal anti-inflammatory drugs, or immune modulators. * Ultra-sonographic evidence of fetal deformity, abnormal fetal development or placental abnormality. * Clinical signs of threatened miscarriage. * History of complication of pregnancy. * History of nucleoside analogues (NA) treatment.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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The Third Affiliated Hospital, Guangzhou Medical University
RECRUITINGGuangzhou, Guangdong, 510150, China
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Other studies related to the condition(s) this trial covers.
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- Can a TB infection leave a mark on the placenta?
- Can a new pill push hepatitis b virus to undetectable levels?
- Can virtual mindfulness groups support pregnant individuals at risk?
- Can surveillance catch birth defects early in HIV-Affected pregnancies?
- Could a smartphone program ease pregnancy stress?