Clinical Trials

Several clinical trials evaluate telbivudine across patient cohorts affected by viral liver diseases, focusing on chronic hepatitis B, compensated chronic hepatitis B, HBsAg-positive renal allograft recipients, and pediatric populations. Ranging from Phase 1 safety evaluations and Phase 4 post-marketing studies to non-phased observational research, these investigations were sponsored by entities including Novartis Pharmaceuticals, Hoffmann-La Roche, and National Taiwan University Hospital. The clinical portfolio consists primarily of completed trials alongside terminated studies.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT02956850 Completed
Hepatitis B Chronic
Hoffmann-La Roche
2016-12-12 Phase 1
NCT02894554 Terminated
HBsAg-positive Renal Allograft Recipients
National Taiwan University Hospital
2014-07 Phase 4
NCT01379508 Completed
Chronic Hepatitis B
Novartis Pharmaceuticals|Novartis
2011-03-21 Phase 4
NCT01163240 Completed
Liver Diseases|Hepatitis Chronic|Hepatitis Viral Human|Hepatitis|Virus Diseases|Digestive System Diseases|Hepatitis B Chronic|Hepatitis B|DNA Virus Infections
Novartis Pharmaceuticals|Novartis
2009-06 --
NCT00877149 Completed
Compensated Chronic Hepatitis B
Novartis Pharmaceuticals|Novartis
2009-03 Phase 4

(data from https://clinicaltrials.gov, updated on 2024-05-22)

Check the Telbivudine product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Telbivudine is a synthetic thymidine nucleoside analogue that selectively inhibits hepatitis B virus (HBV) reverse transcriptase, thereby blocking viral DNA chain elongation and halting viral synthesis within infected hepatocytes. By suppressing active viral replication, telbivudine reduces hepatic viral load and mitigates progressive viral liver pathology in patients with chronic hepatitis B.

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>).

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