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
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View full resultsBasic Information
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COMPLETED
PHASE2
183 participants
INTERVENTIONAL
2019-11-22
2023-09-19
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
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.
Oral Lenacapavir
Tablets administered without regard to food
F/TAF
Tablets administered without regard to food
Subcutaneous Lenacapavir
Administered in the abdomen via subcutaneous injections
TAF
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.
Oral Lenacapavir
Tablets administered without regard to food
F/TAF
Tablets administered without regard to food
Subcutaneous Lenacapavir
Administered in the abdomen via subcutaneous injections
BIC
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.
Oral Lenacapavir
Tablets administered without regard to food
F/TAF
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
B/F/TAF
Tablets administered without regard to food
Interventions
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Oral Lenacapavir
Tablets administered without regard to food
F/TAF
Tablets administered without regard to food
Subcutaneous Lenacapavir
Administered in the abdomen via subcutaneous injections
TAF
Tablets administered without regard to food
BIC
Tablets administered without regard to food
B/F/TAF
Tablets administered without regard to food
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* HIV-1 ribonucleic acid (RNA) ≥ 200 copies/mL at screening
* Cluster Determinant 4+ (CD4+) cell count ≥ 200 cells/microliter at screening
Exclusion Criteria
18 Years
ALL
No
Sponsors
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Gilead Sciences
INDUSTRY
Responsible Party
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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
Pueblo Family Physicians
Phoenix, Arizona, United States
Ruane Clinical Research Group Inc
Los Angeles, California, United States
Mills Clinical Research at Men's Health Foundation
Los Angeles, California, United States
Eisenhower Health Center at Rimrock
Palm Springs, California, United States
University of Colorado, Denver, University of Colorado Hospital
Aurora, Colorado, United States
Denver Public Health
Denver, Colorado, United States
Yale University; School of Medicine
New Haven, Connecticut, United States
Georgetown University Hospital
Washington D.C., District of Columbia, United States
Whitman-Walker Institute, Inc.
Washington D.C., District of Columbia, United States
Washington Health Institute
Washington D.C., District of Columbia, United States
Midland Florida Clinical Research Center, LLC
DeLand, Florida, United States
Midway Immunology and Research Center
Ft. Pierce, Florida, United States
Floridian Clinical Research
Hialeah, Florida, United States
AHF-The Kinder Medical Group
Miami, Florida, United States
AIDS Healthcare Foundation - South Beach
Miami Beach, Florida, United States
Orlando Immunology Center
Orlando, Florida, United States
St. Joseph's Hospital Comprehensive Research Institute
Tampa, Florida, United States
Triple O Research Institute, P.A.
West Palm Beach, Florida, United States
Atlanta ID Group, PC
Atlanta, Georgia, United States
August University Medical Center
Augusta, Georgia, United States
Infectious Disease Specialists of Atlanta
Decatur, Georgia, United States
Mercer University, Department of Internal Medicine
Macon, Georgia, United States
Chatham County Health Department
Savannah, Georgia, United States
Howard Brown Health Center
Chicago, Illinois, United States
Northstar Healthcare
Chicago, Illinois, United States
Indiana University Infectious Diseases Research
Indianapolis, Indiana, United States
Be Well Medical Center
Berkley, Michigan, United States
St. John Newland Medical Associates
Southfield, Michigan, United States
KC CARE Health Center
Kansas City, Missouri, United States
AHF-Midtown
New York, New York, United States
Montefiore Medical Center
The Bronx, New York, United States
East Carolina University, The Brody School of Medicine
Greenville, North Carolina, United States
Rosedale Infectious Diseases
Huntersville, North Carolina, United States
University of Cincinnati
Cincinnati, Ohio, United States
Case Clinical Research Site/University Hospitals Cleveland Medical Center
Cleveland, Ohio, United States
The Ohio State University Medical Center
Columbus, Ohio, United States
Allegheny Health Network
Pittsburgh, Pennsylvania, United States
St. Jude Children's Research Hospital
Memphis, Tennessee, United States
Central Texas Clinical Research
Austin, Texas, United States
St Hope Foundation
Bellaire, Texas, United States
Prism Health North Texas
Dallas, Texas, United States
North Texas Infectious Diseases Consultants, P.A.
Dallas, Texas, United States
Texas Centers for Infectious Disease Associates
Fort Worth, Texas, United States
The Crofoot Research Center, Inc.
Houston, Texas, United States
DCOL Center for Clinical Research
Longview, Texas, United States
Clinical Alliance for Research & Education - Infectious Diseases, LLC (CARE-ID)
Annandale, Virginia, United States
Peter Shalit, M.D.
Seattle, Washington, United States
MultiCare Rockwood HIV Critical Care Clinic
Spokane, Washington, United States
Instituto Dominicano de Estudios Virológicos (IDEV)
Santo Domingo, , Dominican Republic
Clinical Research Puerto Rico
San Juan, , Puerto Rico
HOPE Clinical Research
San Juan, , Puerto Rico
Proyecto ACTU, School of Medicine, University of Puerto Rico
San Juan, , Puerto Rico
Countries
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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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Provided Documents
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Document Type: Study Protocol
Document Type: Statistical Analysis Plan: Week 28 Analysis
Document Type: Statistical Analysis Plan: Week 54 Analysis
Document Type: Statistical Analysis Plan: Week 80 Final Analysis
Related Links
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Gilead Clinical Trials Website
Other Identifiers
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GS-US-200-4334
Identifier Type: -
Identifier Source: org_study_id
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