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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05423106
Registration number
NCT05423106
Ethics application status
Date submitted
6/06/2022
Date registered
21/06/2022
Titles & IDs
Public title
A Single and Multiple Ascending Dose Study of JNJ-64457744
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Scientific title
A Phase 1, Blinded, Randomized, Placebo-controlled, First-in-human Study of Orally Administered JNJ-64457744 to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics After Single and Multiple Ascending Doses
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Secondary ID [1]
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64457744HPB1001
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Secondary ID [2]
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CR109208
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Healthy
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Hepatitis B, Chronic
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Condition category
Condition code
Infection
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Other infectious diseases
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Oral and Gastrointestinal
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - JNJ-64457744
Treatment: Drugs - Placebo
Treatment: Drugs - Tenofovir Disoproxil Fumarate (TDF)
Treatment: Drugs - Tenofovir Alafenamide (TAF)
Treatment: Drugs - Entecavir (ETV)
Treatment: Drugs - JNJ-64457744
Experimental: Part 1: JNJ-64457744 or Placebo (Single Ascending Dose [SAD] Cohorts A-F) - Non-Asian healthy participants will receive a SAD of either JNJ-64457744 or matching placebo as an oral formulation under fasted conditions on Day 1. Cohort F will be optional.
Experimental: Part 1: JNJ-64457744 (Cohorts G-H) - Non-Asian healthy participants will receive 3 single doses of JNJ-64457744 as an oral formulation in 3 intervention periods (to assess inter-subject PK-PD) matching the doses evaluated in Cohorts A, C and E for Cohort G and Cohorts B, D and F for Cohort H, under fasted conditions on Day 1. Cohort H will be optional for Intervention period 3.
Experimental: Part 1: JNJ-64457744 or Placebo (Cohort I) - Non-Asian healthy participants who previously received study intervention under fasted conditions will receive either JNJ-64457744 or matching placebo as an oral formulation (depending upon what was administered previously in Cohorts A to F) under fed conditions on Day 1.
Experimental: Part 1: JNJ-64457744 or Placebo (Cohort J) - Asian healthy participants will receive a single dose at one single dose level of either JNJ-64457744 or matching placebo, as an oral formulation, under fasted conditions on Day 1.
Experimental: Part 1: JNJ-64457744 (Cohort K) - Optional Cohort K: Non-Asian healthy participants will receive an oral formulation of JNJ-64457744 in the first intervention period and will cross over to receive the other formulation during the second intervention period, under fasted conditions on Day 1.
Experimental: Part 2 JNJ-64457744 or Placebo - Chronic hepatitis B participants who are virologically suppressed on nucleos(t)ide analog (NA) treatment (tenofovir disoproxil fumarate \[TDF\], tenofovir alafenamide \[TAF\] and entecavir \[ETV\]) will receive a single dose at one single dose level of either JNJ-64457744 or matching placebo as an oral formulation, under fasted condition on Day 1.
Experimental: Part 3: JNJ-64457744 or Placebo (Multiple Ascending Doses [MADs]) - Participants will receive MADs of either JNJ-64457744 or matching placebo once weekly under fasted conditions as an oral formulation.
Treatment: Drugs: JNJ-64457744
JNJ-64457744 will be administered as oral solution.
Treatment: Drugs: Placebo
Placebo will be administered as an oral formulation.
Treatment: Drugs: Tenofovir Disoproxil Fumarate (TDF)
TDF tablet will be administered orally
Treatment: Drugs: Tenofovir Alafenamide (TAF)
TAF tablet will be administered orally.
Treatment: Drugs: Entecavir (ETV)
ETV tablet will be administered orally.
Treatment: Drugs: JNJ-64457744
JNJ-64457744 will be administered as oral tablet.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Part 1, 2 and 3: Number of Participants With Serious Adverse Events (SAEs)
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Assessment method [1]
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SAE is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly; suspected transmission of any infectious agent via medicinal product; or any important medical events.
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Timepoint [1]
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Up to Week 8
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Primary outcome [2]
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Part 1, 2 and 3: Number of Participants With SAEs by Severity
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Assessment method [2]
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SAE is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly; suspected transmission of any infectious agent via medicinal product; or any important medical events. Severity will be graded according to the Division of Division of Acquired Immunodeficiency Syndrome (DAIDS) grading table where Grade 1: Mild; Grade 2: Moderate; Grade 3: Severe; Grade 4: Potentially Life-threatening.
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Timepoint [2]
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Up to Week 8
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Primary outcome [3]
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Part 1, 2 and 3: Number of Participants With Clinical Laboratory Abnormalities
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Assessment method [3]
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Number of participants with clinical laboratory abnormalities (including hematology, biochemistry, coagulation, urinalysis) will be reported.
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Timepoint [3]
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Up to 8 weeks
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Primary outcome [4]
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Part 1, 2 and 3: Number of Participants With Clinical Laboratory Abnormalities by Severity
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Assessment method [4]
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Number of participants with clinical laboratory abnormalities (including hematology, biochemistry, coagulation, urinalysis) will be reported. Severity will be graded according to the Division of AIDS (DAIDS) grading table where Grade 1: Mild; Grade 2: Moderate; Grade 3: Severe; Grade 4: Potentially Life-threatening.
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Timepoint [4]
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Up to 8 weeks
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Primary outcome [5]
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Part 1, 2 and 3: Number of Participants With Electrocardiograms (ECGs), Echocardiography, Vital Signs and Physical Examination Abnormalities
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Assessment method [5]
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Number of participants with abnormalities in ECGs, echocardiography, vital signs and physical examination will be reported.
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Timepoint [5]
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Up to Week 8
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Primary outcome [6]
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Part 1, 2 and 3: Number of Participants With Electrocardiograms (ECGs), Echocardiography, Vital Signs and Physical Examination Abnormalities by Severity
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Assessment method [6]
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Number of participants with abnormalities in ECGs, echocardiography, vital signs and physical examination will be reported. Severity will be graded according to the Division of AIDS (DAIDS) grading table where Grade 1: Mild; Grade 2: Moderate; Grade 3: Severe; Grade 4: Potentially Life-threatening.
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Timepoint [6]
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Up to 8 weeks
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Primary outcome [7]
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Part 1, 2 and 3: Plasma concentration of JNJ-64457744
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Assessment method [7]
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Plasma concentration of JNJ-64457744 will be reported.
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Timepoint [7]
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Up to Week 8
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Secondary outcome [1]
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Part 1: Plasma Concentration of JNJ-64457744: Within-Participant Analysis
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Assessment method [1]
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Plasma concentration of JNJ-64457744 assessed within-participant after administration of 3 different single doses under fasted conditions will be reported.
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Timepoint [1]
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Up to 5 weeks
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Secondary outcome [2]
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Part 1: Plasma Concentration of JNJ-64457744 Under Fed and Fasted Condition
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Assessment method [2]
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Plasma Concentration of JNJ-64457744 under fed and fasted conditions will be reported.
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Timepoint [2]
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Up to 5 weeks
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Secondary outcome [3]
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Part 1: Plasma Concentration of JNJ-64457744 Under Fasted Condition in Healthy Adult Asian Participants
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Assessment method [3]
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Plasma concentration of JNJ-64457744 under fasted conditions in healthy adult Asian participants will be reported.
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Timepoint [3]
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Up to 5 weeks
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Secondary outcome [4]
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Part 1: Plasma Concentration of JNJ-64457744 Formulation Under Fasted Conditions
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Assessment method [4]
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Plasma Concentration of JNJ-64457744 formulation as compared with an oral solution formulation under fasted conditions will be reported.
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Timepoint [4]
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Up to 5 weeks
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Eligibility
Key inclusion criteria
* Normal left ventricular heart function as defined as left ventricular ejection fraction (LVEF) greater than or equal to (>=) 5 percent (%), as assessed by 2 dimension electrocardiogram (2DECHO) at screening
* All women must have a negative urine pregnancy test at screening and Day -1 (of each intervention period, if applicable)
* A woman must not be of childbearing potential
* Part 1 and 3: Must have an estimated creatinine clearance greater than (>) 80 milliliter (mL) per minute at screening, calculated by the modification of diet in renal disease (MDRD) formula
* Part 2: Must have chronic HBV infection. HBV infection must be documented by serum HBsAg positivity at screening
* Must be fully vaccinated against coronavirus disease 2019 (COVID-19) at least 2 weeks prior to screening calculated by the modification of diet in renal disease (MDRD) formula
* Participants in Cohorts A-I and K in Part 1 must not have maternal and paternal parents and/or grandparents of Asian ethnicity (that is, China, Japan, Korea as confirmed by interview) Participants in Cohort J must have maternal and paternal parents and grandparents of Asian ethnicity (that is, China, Japan, Korea as confirmed by interview)
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Minimum age
18
Years
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Maximum age
55
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
* History of cardiac arrhythmias (example, extrasystole, tachycardia at rest), history of risk factors for Torsades de Pointes syndrome (example, hypokalemia, family history of long QT syndrome) or history or other clinical evidence of significant or unstable cardiac disease (example, angina, congestive heart failure, myocardial infarction, diastolic dysfunction, significant arrhythmia, coronary heart disease, and/or clinically significant electrocardiogram ([ECG] abnormalities), moderate to severe valvular disease or uncontrolled hypertension at screening. Any evidence of second and third degree heart block or right bundle branch block is also exclusionary
* Participants with abnormal sinus rhythm (heart rate less than [<] 45 or > 100 beats per minute [bpm]), QT corrected for heart rate according to Fridericia's formula (QTcF) > 450 milliseconds (ms) for male participants and > 470 ms for female participants, QRS >= 120 ms, PR interval >220 ms, abnormal conduction, or any other clinically significant abnormalities on a 12-lead ECG at screening
* Family history of inherited mitochondrial disorders such as inherited mitochondrial myopathy, mitochondrial encephalomyopathy with lactic acidosis and stroke-like episodes (MELAS) syndrome
* Known allergies, hypersensitivity, or intolerance to JNJ-64457744 or its excipients
* History of clinically significant drug allergy such as, but not limited to, sulfonamides and penicillins, or drug allergy witnessed in previous studies with experimental drugs
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people analysing the results/data
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Intervention assignment
Other
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
4/07/2022
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
20/03/2023
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Sample size
Target
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Accrual to date
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Final
60
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Recruitment in Australia
Recruitment state(s)
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Grafton
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Janssen Research & Development, LLC
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of the study is to evaluate the safety and tolerability of: single ascending dose (SAD) and multiple ascending dose (MAD) administration of JNJ-64457744, administered to healthy adult participants (Part 1 and Part 3), including a cohort of Asian participants (Part 1); and after single dose administration of JNJ-64457744 to chronic hepatitis B (CHB) participants who are virologically suppressed on nucleos(t)ide analog (NA) treatment (tenofovir disoproxil fumarate \[TDF\], tenofovir alafenamide \[TAF\], or entecavir \[ETV\]) (Part 2).
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Trial website
https://clinicaltrials.gov/study/NCT05423106
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Janssen Research and Development, LLC Clinical Trial
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Address
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Janssen Research and Development LLC
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
The data sharing policy of the Janssen Pharmaceutical Companies of Johnson \& Johnson is available at www.janssen.com/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu
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When will data be available (start and end dates)?
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Available to whom?
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Available for what types of analyses?
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How or where can data be obtained?
IPD available at link: https://www.janssen.com/clinical-trials/transparency
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05423106