Study to Evaluate the Safety and Efficacy of Lenacapavir (GS-6207) in Combination With Other Antiretroviral Agents in People Living With HIV

NCT ID: NCT04143594

Last Updated: 2024-10-02

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

183 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-11-22

Study Completion Date

2023-09-19

Brief Summary

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The primary objective of this study is to evaluate the efficacy of lenacapavir (formerly GS-6207) containing regimens in people living with human immunodeficiency virus (HIV) (PLWH).

Detailed Description

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Conditions

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HIV-1-infection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Lenacapavir, F/TAF, and TAF

Induction phase: Participants will receive lenacapavir (LEN) 600 mg (2 X 300 mg, tablet) orally on Days 1 and 2, followed by LEN 300 mg tablet orally on Day 8 plus emtricitabine/ tenofovir alafenamide (F/TAF) (200/25 mg) fixed-dose combination (FDC) tablets once daily orally from Day 1 to Week 28 plus LEN 927 mg (309 mg/mL; 2 X 1.5 mL) via subcutaneous (SC) injection on Day 15.

Maintenance phase: Participants will receive LEN 927 mg (309 mg/mL; 2 X 1.5 mL) via SC injection on Week 28 and every 6 months (26 weeks) thereafter plus TAF 25 mg tablets once daily orally at Week 28 and will continue up to Week 80.

Participants willing to continue the study beyond Week 80 will continue to receive SC LEN 927 mg injection every 6 months (26 weeks) and oral daily TAF 25 mg tablets from Week 80 onwards.

Group Type EXPERIMENTAL

Oral Lenacapavir

Intervention Type DRUG

Tablets administered without regard to food

F/TAF

Intervention Type DRUG

Tablets administered without regard to food

Subcutaneous Lenacapavir

Intervention Type DRUG

Administered in the abdomen via subcutaneous injections

TAF

Intervention Type DRUG

Tablets administered without regard to food

Lenacapavir, F/TAF, and BIC

Induction phase: Participants will receive LEN 600 mg (2 X 300 mg, tablet) orally on Days 1 and 2, followed by LEN 300 mg tablet orally on Day 8 plus F/TAF (200/25 mg) FDC tablets once daily orally from Day 1 to Week 28 plus LEN 927 mg (309 mg/mL; 2 X 1.5 mL) via SC injection on Day 15.

Maintenance phase: Participants will receive LEN 927 mg (309 mg/mL; 2 X 1.5 mL) via SC injection on Week 28 and every 6 months (26 weeks) thereafter plus bictegravir (BIC) 75 mg tablets once daily orally at Week 28 and will continue up to Week 80.

Participants willing to continue the study beyond Week 80 will continue to receive SC LEN 927 mg injection every 6 months (26 weeks) and oral daily BIC 75 mg tablets from Week 80 onwards.

Group Type EXPERIMENTAL

Oral Lenacapavir

Intervention Type DRUG

Tablets administered without regard to food

F/TAF

Intervention Type DRUG

Tablets administered without regard to food

Subcutaneous Lenacapavir

Intervention Type DRUG

Administered in the abdomen via subcutaneous injections

BIC

Intervention Type DRUG

Tablets administered without regard to food

Lenacapavir and F/TAF

Induction phase: Participants will receive LEN 600 mg (2 X 300 mg, tablet) orally on Days 1 and 2, followed by LEN 300 mg tablet orally on Day 8 plus F/TAF (200/25 mg) FDC tablets once daily orally from Day 1 to Week 28 plus LEN 927 mg (309 mg/mL; 2 X 1.5 mL) via SC injection on Day 15.

Maintenance phase: Participants will receive LEN 927 mg (309 mg/mL; 2 X 1.5 mL) via SC injection on Week 28 and every 6 months (26 weeks) thereafter plus bictegravir (BIC) 75 mg tablets once daily orally at Week 28 and will continue up to Week 80.

Participants willing to continue the study beyond Week 80 will continue to receive SC LEN 927 mg injection every 6 months (26 weeks) and oral daily BIC 75 mg tablets from Week 80 onwards.

Group Type EXPERIMENTAL

Oral Lenacapavir

Intervention Type DRUG

Tablets administered without regard to food

F/TAF

Intervention Type DRUG

Tablets administered without regard to food

B/F/TAF

Participants will receive bictegravir/emtricitabine/tenofovir alafenamide (B/F/TAF) (50/200/25 mg) FDC tablets once daily orally from Day 1 and throughout their participation in the study up to Week 80

Group Type ACTIVE_COMPARATOR

B/F/TAF

Intervention Type DRUG

Tablets administered without regard to food

Interventions

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Oral Lenacapavir

Tablets administered without regard to food

Intervention Type DRUG

F/TAF

Tablets administered without regard to food

Intervention Type DRUG

Subcutaneous Lenacapavir

Administered in the abdomen via subcutaneous injections

Intervention Type DRUG

TAF

Tablets administered without regard to food

Intervention Type DRUG

BIC

Tablets administered without regard to food

Intervention Type DRUG

B/F/TAF

Tablets administered without regard to food

Intervention Type DRUG

Other Intervention Names

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GS-6207 Descovy® GS-6207 Biktarvy®

Eligibility Criteria

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Inclusion Criteria

* Antiretroviral (ARV) naive with no use of any ARV within one month of screening. Use of pre-exposure prophylaxis (PrEP) (any duration), post-exposure prophylaxis (PEP) (any duration), or HIV-1 treatment (\< 10 days therapy total) \> 1 month prior to screening is permitted
* HIV-1 ribonucleic acid (RNA) ≥ 200 copies/mL at screening
* Cluster Determinant 4+ (CD4+) cell count ≥ 200 cells/microliter at screening

Exclusion Criteria

* Current Hepatitis B Virus (HBV) or Hepatitis C virus (HCV) infection
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Gilead Sciences

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Gilead Study Director

Role: STUDY_DIRECTOR

Gilead Sciences

Locations

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Valleywise Community Health Center - McDowell

Phoenix, Arizona, United States

Site Status

Pueblo Family Physicians

Phoenix, Arizona, United States

Site Status

Ruane Clinical Research Group Inc

Los Angeles, California, United States

Site Status

Mills Clinical Research at Men's Health Foundation

Los Angeles, California, United States

Site Status

Eisenhower Health Center at Rimrock

Palm Springs, California, United States

Site Status

University of Colorado, Denver, University of Colorado Hospital

Aurora, Colorado, United States

Site Status

Denver Public Health

Denver, Colorado, United States

Site Status

Yale University; School of Medicine

New Haven, Connecticut, United States

Site Status

Georgetown University Hospital

Washington D.C., District of Columbia, United States

Site Status

Whitman-Walker Institute, Inc.

Washington D.C., District of Columbia, United States

Site Status

Washington Health Institute

Washington D.C., District of Columbia, United States

Site Status

Midland Florida Clinical Research Center, LLC

DeLand, Florida, United States

Site Status

Midway Immunology and Research Center

Ft. Pierce, Florida, United States

Site Status

Floridian Clinical Research

Hialeah, Florida, United States

Site Status

AHF-The Kinder Medical Group

Miami, Florida, United States

Site Status

AIDS Healthcare Foundation - South Beach

Miami Beach, Florida, United States

Site Status

Orlando Immunology Center

Orlando, Florida, United States

Site Status

St. Joseph's Hospital Comprehensive Research Institute

Tampa, Florida, United States

Site Status

Triple O Research Institute, P.A.

West Palm Beach, Florida, United States

Site Status

Atlanta ID Group, PC

Atlanta, Georgia, United States

Site Status

August University Medical Center

Augusta, Georgia, United States

Site Status

Infectious Disease Specialists of Atlanta

Decatur, Georgia, United States

Site Status

Mercer University, Department of Internal Medicine

Macon, Georgia, United States

Site Status

Chatham County Health Department

Savannah, Georgia, United States

Site Status

Howard Brown Health Center

Chicago, Illinois, United States

Site Status

Northstar Healthcare

Chicago, Illinois, United States

Site Status

Indiana University Infectious Diseases Research

Indianapolis, Indiana, United States

Site Status

Be Well Medical Center

Berkley, Michigan, United States

Site Status

St. John Newland Medical Associates

Southfield, Michigan, United States

Site Status

KC CARE Health Center

Kansas City, Missouri, United States

Site Status

AHF-Midtown

New York, New York, United States

Site Status

Montefiore Medical Center

The Bronx, New York, United States

Site Status

East Carolina University, The Brody School of Medicine

Greenville, North Carolina, United States

Site Status

Rosedale Infectious Diseases

Huntersville, North Carolina, United States

Site Status

University of Cincinnati

Cincinnati, Ohio, United States

Site Status

Case Clinical Research Site/University Hospitals Cleveland Medical Center

Cleveland, Ohio, United States

Site Status

The Ohio State University Medical Center

Columbus, Ohio, United States

Site Status

Allegheny Health Network

Pittsburgh, Pennsylvania, United States

Site Status

St. Jude Children's Research Hospital

Memphis, Tennessee, United States

Site Status

Central Texas Clinical Research

Austin, Texas, United States

Site Status

St Hope Foundation

Bellaire, Texas, United States

Site Status

Prism Health North Texas

Dallas, Texas, United States

Site Status

North Texas Infectious Diseases Consultants, P.A.

Dallas, Texas, United States

Site Status

Texas Centers for Infectious Disease Associates

Fort Worth, Texas, United States

Site Status

The Crofoot Research Center, Inc.

Houston, Texas, United States

Site Status

DCOL Center for Clinical Research

Longview, Texas, United States

Site Status

Clinical Alliance for Research & Education - Infectious Diseases, LLC (CARE-ID)

Annandale, Virginia, United States

Site Status

Peter Shalit, M.D.

Seattle, Washington, United States

Site Status

MultiCare Rockwood HIV Critical Care Clinic

Spokane, Washington, United States

Site Status

Instituto Dominicano de Estudios Virológicos (IDEV)

Santo Domingo, , Dominican Republic

Site Status

Clinical Research Puerto Rico

San Juan, , Puerto Rico

Site Status

HOPE Clinical Research

San Juan, , Puerto Rico

Site Status

Proyecto ACTU, School of Medicine, University of Puerto Rico

San Juan, , Puerto Rico

Site Status

Countries

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United States Dominican Republic Puerto Rico

References

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Gupta SK, Berhe M, Crofoot G, Benson P, Ramgopal M, Sims J, McDonald C, Ruane P, Sanchez WE, Scribner A, Liu SY, VanderVeen LA, Dvory-Sobol H, Rhee MS, Baeten JM, Koenig E. Lenacapavir administered every 26 weeks or daily in combination with oral daily antiretroviral therapy for initial treatment of HIV: a randomised, open-label, active-controlled, phase 2 trial. Lancet HIV. 2023 Jan;10(1):e15-e23. doi: 10.1016/S2352-3018(22)00291-0.

Reference Type BACKGROUND
PMID: 36566079 (View on PubMed)

VanderVeen, L. A., et al. Resistance Analysis of Long-Acting Lenacapavir in People With HIV Who are Treatment-Naïve After 80 Weeks of Treatment [Poster14]. European Meeting on HIV & Hepatitis 2023, Rome, Italy.

Reference Type BACKGROUND

Jogiraju V, Shelton M, Dheri P, Ling J, Wang H, Dvory-Sobol H, et al. Pharmacokinetics of Lenacapavir Alone and When Coadministered With Other Antiretrovirals in People With HIV [Poster PII-056]. American Society for Clinical Pharmacology and Therapeutics (ASCPT) Annual Meeting; 2023 22-24 March; Atlanta, GA.

Reference Type BACKGROUND

Hagins D, Koenig E, Safran R, Santiago L, Wohlfeiler M, Hsiao C, et al. Long-Acting Lenacapavir in a Combination Regimen for Treatment Naïve PWH: Week 80 [Poster 522]. Conference on Retroviruses and Opportunistic Infections (CROI); 2023 19-22 February; Seattle, WA.

Reference Type BACKGROUND

VanderVeen LA, Margot N, Naik V, Dvory-Sobol H, Rhee MS, Callebaut C. Resistance Analysis of Long-Acting Lenacapavir in Treatment-Naïve People With HIV at 54 Weeks [Poster EPB239]. AIDS 2022; 2022 29 July-2 August; Montreal, Quebec, Canada.

Reference Type BACKGROUND

Gupta SK, Sims J, Brinson C, Cruickshank FA, Oguchi G, Morales J, et al. Lenacapavir as part of a Combination Regimen in Treatment-Naïve People with HIV: Week 54 Results [Presentation]. Virtual Conference on Retroviruses and Opportunistic Infections (CROI) 2022; 2022 12-16 February.

Reference Type BACKGROUND

VanderVeen, L, Margot N, Naik V, et al. Interim Resistance Analysis of Long-Acting Lenacapavir in Treatment-Naïve People with HIV at 28 Weeks (CALIBRATE) [Abstract Oral 73]. Presented at: ID Week; 2021 September 29 - October 03.

Reference Type BACKGROUND

Gupta SK, Berhe M, Crofoot G, et al. Long-Acting Subcutaneous Lenacapavir Dosed Every 6 Months as part of a Combination Regimen in Treatment-Naïve People with HIV: Interim 16-week Results of a Randomized, Open-label, Phase 2 Induction-Maintenance Study (CALIBRATE) [Abstract OALB0302]. Presented at: International AIDS Society (IAS) Conference; 2021 July 18-21.

Reference Type BACKGROUND

Hagins D, Berhe M, Crofoot GE, Ramgopal MN, Sims J, McDonald C, Ruane PJ, Sanchez WE, Scribner A, Benson P, Liu SY, Vanderveen LA, Dvory-Sobol H, Rhee MS, Gupta SK. Final efficacy and safety of twice-yearly subcutaneous lenacapavir in treatment-naive people with HIV: randomized study. AIDS. 2025 Oct 7. doi: 10.1097/QAD.0000000000004372. Online ahead of print.

Reference Type DERIVED
PMID: 41056006 (View on PubMed)

Harris P, Henderson R, Hayward P. Highlights from the 11th IAS Conference on Science. Lancet HIV. 2021 Aug;8(8):e459. doi: 10.1016/S2352-3018(21)00161-2. No abstract available.

Reference Type DERIVED
PMID: 34358495 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan: Week 28 Analysis

View Document

Document Type: Statistical Analysis Plan: Week 54 Analysis

View Document

Document Type: Statistical Analysis Plan: Week 80 Final Analysis

View Document

Related Links

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Other Identifiers

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GS-US-200-4334

Identifier Type: -

Identifier Source: org_study_id

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