Clinical Trials

Numerous clinical trials spanning early to late phases have evaluated adefovir dipivoxil for chronic hepatitis B, liver fibrosis, cirrhosis, and concurrent HIV infections. Sponsored by industry leaders including Gilead Sciences and GlaxoSmithKline alongside government institutions like the National Institute of Diabetes and Digestive and Kidney Diseases, these active, completed, and terminated protocols examined combination antiviral regimens and pharmacokinetic interactions. Ultimately, this body of research led to widespread regulatory marketing approval.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT00973219 COMPLETED
Chronic Hepatitis B
Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
2009-09
NCT02965859 UNKNOWN
Chronic Hepatitis B
Guangzhou Yipinhong Pharmaceutical CO.,LTD
2012-12 PHASE2
NCT02327416 UNKNOWN
Hepatitis B, Chronic
Tongji Hospital
2014-10 PHASE3
NCT00810524 UNKNOWN
Hepatitis B, Chronic
Sun Yat-sen University
2007-01 PHASE4
NCT02826070 UNKNOWN
Hepatitis B, Chronic
Nanfang Hospital, Southern Medical University
2015-04 PHASE4
NCT02327689 UNKNOWN
Hepatitis B, Chronic; Fibrosis
Asian-Pacific Alliance of Liver Disease, Beijing
2015-01 PHASE4
NCT01521975 COMPLETED
Hepatitis B, Chronic
Third Affiliated Hospital, Sun Yat-Sen University
2011-01-01 PHASE4
NCT01436539 UNKNOWN
Chronic Hepatitis B
Jun Cheng
2011-09 PHASE4
NCT00672867 COMPLETED
Patients With LC-B
Bukwang Pharmaceutical
2007-12 PHASE3
NCT01300234 COMPLETED
Hepatitis B
GlaxoSmithKline
2011-03-30 PHASE3
NCT01264354 COMPLETED
Chronic Hepatitis B
Bukwang Pharmaceutical
2010-03 PHASE4
NCT01581242 COMPLETED
Healthy
Bukwang Pharmaceutical
2012-04 PHASE1
NCT00641082 COMPLETED
HBeAg(-) Chronic Hepatitis B With Compensated Liver Function
Bukwang Pharmaceutical
2008-02 PHASE4
NCT01146808 COMPLETED
Hepatitis B; Liver Transplantation
Columbia University
2006-03 PHASE1; PHASE2
NCT00661076 COMPLETED
Hepatitis B, Chronic
Hoffmann-La Roche
2008-08 PHASE3
NCT01353742 COMPLETED
Hepatitis B, Chronic
GlaxoSmithKline
2011-02-21 PHASE1
NCT00531167 COMPLETED
Chronic Hepatitis B
Korea University
2007-04 PHASE4
NCT00715715 WITHDRAWN
Chronic Hepatitis B
Maimonides Medical Center
2008-04
NCT00023309 COMPLETED
HBV (Hepatitis B Virus); Hepatitis B; Hepatitis
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
2001-08 PHASE2
NCT00606099 WITHDRAWN
Chronic Hepatitis B
Novartis
2007-11 PHASE4
NCT00347009 COMPLETED
Hepatitis B, Chronic; Cirrhosis; Fibrosis; Chronic Hepatitis B
GlaxoSmithKline
2005-05 PHASE4
NCT00753467 UNKNOWN
Hepatitis B
Huntington Medical Research Institutes
2008-09 PHASE2
NCT02598063 COMPLETED
Hepatitis B, Chronic
Hoffmann-La Roche
2005-10 PHASE4
NCT00307242 COMPLETED
Chronic Hepatitis B
Thomas Jefferson University
2005-06-17 PHASE4
NCT00371761 COMPLETED
Hepatitis B, Chronic (CHB)
Merck Sharp & Dohme LLC
2006-09 PHASE3
NCT00324961 COMPLETED
Chronic Hepatitis B
GlaxoSmithKline
2006-01 PHASE4
NCT00441974 COMPLETED
Chronic Hepatitis B
GlaxoSmithKline
2006-12 PHASE4
NCT00376259 TERMINATED
Hepatitis B
Novartis
2007-01 PHASE3
NCT00187746 WITHDRAWN
Other Conditions That May Be A Focus of Clinical Attention
University of California, San Francisco
2005-08 PHASE4
NCT00403585 COMPLETED
Hepatitis B, Chronic; Chronic Hepatitis B
GlaxoSmithKline
2006-07 PHASE4
NCT00857675 COMPLETED
Chronic Hepatitis B
GlaxoSmithKline
2002-12 PHASE3
NCT00316719 COMPLETED
Chronic Hepatitis B
GlaxoSmithKline
2006-01 PHASE3
NCT00307489 COMPLETED
Chronic Hepatitis B
Gilead Sciences
2006-03 PHASE2
NCT00116805 COMPLETED
Chronic Hepatitis B
Gilead Sciences
2005-06 PHASE3
NCT00117676 COMPLETED
Chronic Hepatitis B
Gilead Sciences
2005-02 PHASE3
NCT00115245 COMPLETED
Chronic Hepatitis B
Novartis
2004-11 PHASE3
NCT00095121 COMPLETED
Chronic Hepatitis B
Gilead Sciences
2004-06 PHASE3
NCT01205165 COMPLETED
Hepatitis B, Chronic
GlaxoSmithKline
2004-12-17 PHASE4
NCT00071201 COMPLETED
Chronic Hepatitis B
Gilead Sciences
2003-06 PHASE3
NCT00489151 Unknown status
Hepatitis B
Hospital Authority Hong Kong|The University of Hong Kong
2005-06 Not Applicable
NCT00644761 COMPLETED
Hepatitis B
Gilead Sciences
2004-02 PHASE2
NCT00644761 Completed
Hepatitis B
Gilead Sciences
2004-02 Phase 2
NCT00645294 COMPLETED
Hepatitis B
Gilead Sciences
2003-02 PHASE1; PHASE2
NCT00230477 Completed
Hepatitis B
University of Washington|Gilead Sciences|GlaxoSmithKline
2003-04 Phase 4
NCT00158717 Completed
Hepatitis B
Gilead Sciences
2003-04 --
NCT00001082 COMPLETED
Cytomegalovirus Infections; HIV Infections
National Institute of Allergy and Infectious Diseases (NIAID)
1996-12 PHASE3
NCT00489151 UNKNOWN
Hepatitis B
Hospital Authority, Hong Kong
2005-06
NCT00002184 COMPLETED
HIV Infections
Gilead Sciences
PHASE2
NCT00000843 COMPLETED
HIV Infections
National Institute of Allergy and Infectious Diseases (NIAID)
PHASE1
NCT00002346 COMPLETED
HIV Infections
Gilead Sciences
PHASE1
NCT00002161 COMPLETED
HIV Infections
Gilead Sciences
NCT00002426 COMPLETED
HIV Infections
Gilead Sciences
NCT00000912 COMPLETED
HIV Infections
National Institute of Allergy and Infectious Diseases (NIAID)
PHASE2
NCT00001087 COMPLETED
HIV Infections
National Institute of Allergy and Infectious Diseases (NIAID)
PHASE2
NCT00002379 COMPLETED
HIV Infections
Gilead Sciences
PHASE2
NCT00002219 UNKNOWN
HIV Infections
Gilead Sciences
PHASE2
NCT00000885 COMPLETED
HIV Infections
National Institute of Allergy and Infectious Diseases (NIAID)
PHASE2
NCT00051077 WITHDRAWN
HIV Infections; Hepatitis B; Hepatitis C
National Institute of Allergy and Infectious Diseases (NIAID)
PHASE2
NCT00158704 TERMINATED
Hepatitis B
Gilead Sciences
2002-01
NCT00023153 COMPLETED
HIV Infections; Chronic Hepatitis B
National Institute of Allergy and Infectious Diseases (NIAID)
2001-08 PHASE3
NCT00000892 COMPLETED
HIV Infections
National Institute of Allergy and Infectious Diseases (NIAID)
NCT00033163 COMPLETED
HIV Infections; Hepatitis B
National Institute of Allergy and Infectious Diseases (NIAID)
PHASE2
NCT00002128 COMPLETED
HIV Infections
Gilead Sciences
PHASE1
NCT00002206 COMPLETED
HIV Infections
Gilead Sciences
PHASE1
NCT00013702 COMPLETED
Hepatitis B; HIV Infection
National Institute of Allergy and Infectious Diseases (NIAID)
2001-03 PHASE2
NCT00230477 COMPLETED
Hepatitis B
University of Washington
2003-04 PHASE4
NCT00002398 COMPLETED
HIV Infections
Gilead Sciences
NCT00002220 COMPLETED
HIV Infections
Merck Sharp & Dohme LLC
PHASE3
NCT00002234 COMPLETED
HIV Infections
Gilead Sciences
PHASE2
NCT00002419 COMPLETED
HIV Infections
Gilead Sciences
PHASE2

(data from https://clinicaltrials.gov, updated on 2021-03-29)

Check the Adefovir Dipivoxil (GS 0840) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Adefovir dipivoxil is hydrolyzed to adefovir and subsequently phosphorylated to its active diphosphate metabolite, which competitively inhibits hepatitis B virus reverse transcriptase and induces DNA chain termination to block viral replication. This inhibition of viral genomic synthesis suppresses viral load and mitigates hepatic inflammation, directly providing therapeutic benefit in clinical conditions such as chronic hepatitis B, liver fibrosis, and cirrhosis.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

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Note: Technical data last updated: Sep 1, 2026.