Study to Compare Bictegravir/Lenacapavir Versus Current Therapy in People With HIV-1 Who Are Successfully Treated With Biktarvy

NCT ID: NCT06333808

Last Updated: 2025-11-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

577 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-03-25

Study Completion Date

2029-12-31

Brief Summary

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The goal of this clinical study is to learn more about the effects of switching to the study drugs, bictegravir (BIC)/lenacapavir (LEN), fixed-dose combination (FDC) versus current therapy bictegravir/emtricitabine/tenofovir alafenamide (B/F/TAF) FDC in people living with HIV-1 (PWH).

The primary objective of this study is to learn how effective it is to switch to BIC/LEN FDC tablets versus continuing on B/F/TAF FDC tablets in virologically suppressed PWH.

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

Participants will be randomized in parallel in one of two treatment groups during the Blinded Phase. Participants in both treatment groups will be given the option to continue BIC/LEN FDC treatment during the Open-Label Phase.
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Treatment Group 1: Bictegravir (BIC)/ Lenacapavir (LEN) (75/50 mg) + PTM B/F/TAF

Blinded Phase: Participants will switch from bictegravir/emtricitabine/tenofovir (B/F/TAF) FDC tablets to BIC/LEN (75/50 mg) FDC tablets and placebo-to-match (PTM) B/F/TAF. Participants will receive a 2-day oral loading dose of LEN 600 mg on Day 1 and on Day 2, in addition to the daily doses of BIC/LEN FDC tablet starting on Day 1 up to end of blinded treatment (EBT) visit.

Open-label (OL) Phase: Following treatment in the Blinded Phase, participants from Treatment Group 1 will receive BIC/LEN FDC tablets through Week 48 in the Open-label Phase. At the OL Week 48 visit, participants from Treatment Group 1 will be given the option to continue to receive BIC/LEN FDC tablets until the conclusion of the OL Phase.

Group Type EXPERIMENTAL

Bictegravir

Intervention Type DRUG

Tablets administered orally without regard to food

Lenacapavir

Intervention Type DRUG

Tablets administered orally without regard to food

Placebo to match B/F/TAF

Intervention Type DRUG

Tablets administered orally without regard to food

Treatment Group 2: B/F/TAF (50/200/25 mg) + PTM BIC/LEN

Blinded Phase: Participants will continue with their B/F/TAF (50/200/25 mg) FDC tablets and start PTM BIC/LEN tablets on Day 1. Participants will receive PTM LEN tablets for 2 days (2 PTM LEN tablets on Day 1 and on Day 2. The blinded phase will continue until the EBT visit.

Open Label Phase: Participants in Treatment Group 2 who complete the EBT visit will be given the option to enter the OL phase to receive BIC/LEN FDC tablets until the conclusion of the OL Phase.

Group Type EXPERIMENTAL

Bictegravir

Intervention Type DRUG

Tablets administered orally without regard to food

Lenacapavir

Intervention Type DRUG

Tablets administered orally without regard to food

B/F/TAF

Intervention Type DRUG

Tablets administered orally without regard to food

Placebo to match BIC/LEN

Intervention Type DRUG

Tablets administered orally without regard to food

Interventions

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Bictegravir

Tablets administered orally without regard to food

Intervention Type DRUG

Lenacapavir

Tablets administered orally without regard to food

Intervention Type DRUG

B/F/TAF

Tablets administered orally without regard to food

Intervention Type DRUG

Placebo to match B/F/TAF

Tablets administered orally without regard to food

Intervention Type DRUG

Placebo to match BIC/LEN

Tablets administered orally without regard to food

Intervention Type DRUG

Other Intervention Names

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GS-9883 GS-6207 Biktarvy ®

Eligibility Criteria

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Inclusion Criteria

* Currently receiving B/F/TAF for at least 6 months prior to screening.
* If plasma human immunodeficiency virus type 1 (HIV-1) ribonucleic acid (RNA) measurements in the last 6 months prior to screening are available, all levels must be \< 50 copies/mL.
* At least one documented HIV-1 RNA level measured between 6 and 12 months (± 2 months) prior to screening. This and any other HIV-1 RNA measurements documented in this period must be \< 50 copies/mL.
* Plasma HIV-1 RNA levels \< 50 copies/mL at screening.
* No documented or suspected resistance to BIC (including integrase strand-transfer inhibitor resistant (INSTI-R) mutations T66A/I/K, E92G/Q, G118R, F121Y, Y143C/H/R, S147G, Q148H/K/R, N155H/S, or R263K in the integrase gene).
* No documented or suspected resistance to tenofovir alafenamide (TAF) (TAF; mutations K65R, K65N, K70E, Q151M or T69 insertion, or ≥ 3 of the following thymidine analog mutations \[M41L, D67N, K70R, L210W, T215Y/F, K219Q/E/N/R\] in the reverse transcriptase gene).
* Estimated glomerular filtration rate ≥ 30 mL/min according to the Cockcroft-Gault formula for creatinine clearance.

Exclusion Criteria

* Positive serum pregnancy test or pregnant at screening or a positive pregnancy test prior to Day 1 randomization.
* Breastfeeding (nursing).
* Prior use of, or exposure to, LEN.
* Active, serious infections (other than HIV-1) requiring parenteral therapy \< 30 days prior to randomization.
* Active tuberculosis infection.
* Acute hepatitis \< 30 days before randomization.
* Chronic hepatitis B virus (HBV) infection, as determined by either:

* Positive HBV surface antigen and negative HBV surface antibody, regardless of HBV core antibody status, at the screening visit.
* Positive HBV core antibody and negative HBV surface antibody, regardless of HBV surface antigen status, at the screening visit.
* Known hypersensitivity to the study drug, its metabolites, or any formulation excipient.
* History of or current clinical decompensated liver cirrhosis (eg, ascites, encephalopathy, or variceal bleeding).
* Abnormal electrocardiogram (ECG) at the screening visit that is clinically significant as determined by the investigator.
* Active malignancy requiring acute systemic therapy.
* Any of the following laboratory values at screening:

* Alanine aminotransferase \> 5 × upper limit of normal (ULN).
* Direct bilirubin \> 1.5 × ULN.
* Platelets \< 50,000/mm\^3.
* Hemoglobin \< 8.0 g/dL.
* Requirement for ongoing therapy with or prior use of any prohibited medications listed in the protocol.
* Participation or planned participation in any other clinical study (including observational studies) without prior approval from the sponsor.
* Any other clinical condition or prior therapy that, in the opinion of the investigator, would make the participant unsuitable for the study or unable to comply with dosing requirements.
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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Praxis am Ebertplatz

Cologne, , Germany

Site Status

Pueblo Family Physicians

Phoenix, Arizona, United States

Site Status

Be Well Medical Center

Berkeley, California, United States

Site Status

Pacific Oaks Medical Group

Beverly Hills, California, United States

Site Status

Ruane Clinical Research Group Inc.

Los Angeles, California, United States

Site Status

Alta Bates Summit Medical Center, Summit Campus, East Bay Advanced Care

Oakland, California, United States

Site Status

BIOS Clinical Research

Palm Springs, California, United States

Site Status

UCSD Anti Viral Research Centre (AVRC)

San Diego, California, United States

Site Status

Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center

Torrance, California, United States

Site Status

Mills Clinical Research

West Hollywood, California, United States

Site Status

Public Health Institute at Denver Health

Denver, Colorado, United States

Site Status

Yale University School of Medicine (study visits)

New Haven, Connecticut, United States

Site Status

Midland Florida Infectious Diseases Specialists, PL - Orange City

DeLand, Florida, United States

Site Status

Therafirst Medical Center

Fort Lauderdale, Florida, United States

Site Status

CAN Community Health

Fort Lauderdale, Florida, United States

Site Status

Midway Immunology and Research Center

Ft. Pierce, Florida, United States

Site Status

AIDS Healthcare Foundation - The Kinder Medical Group

Miami, Florida, United States

Site Status

Schiff Center for liver Diseases/University of Miami

Miami, Florida, United States

Site Status

Floridian Clinical Research

Miami Lakes, Florida, United States

Site Status

Orlando Immunology Center

Orlando, Florida, United States

Site Status

Bliss Healthcare

Orlando, Florida, United States

Site Status

AHF Pensacola

Pensacola, Florida, United States

Site Status

CAN community Health

Sarasota, Florida, United States

Site Status

Triple O Research Institute, P.A.

West Palm Beach, Florida, 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

Claudia T Martorell MD LLC dba The Research Institute

Springfield, Massachusetts, United States

Site Status

Henry Ford Health

Detroit, Michigan, United States

Site Status

KC Care health Center

Kansas City, Missouri, United States

Site Status

Southampton Community Healthcare, Inc.

St Louis, Missouri, United States

Site Status

ID Care, LLC

Hillsborough, New Jersey, United States

Site Status

Saint Michael's Medical Center

Newark, New Jersey, United States

Site Status

New Jersey Medical School - Clinical Research Center

Newark, New Jersey, United States

Site Status

South Jersey Infectious Disease

Somers Point, New Jersey, United States

Site Status

AXCES Research Group, LLC

Santa Fe, New Mexico, United States

Site Status

New York-Presbyterian Queens

Flushing, New York, United States

Site Status

Montefiore Medical Center

The Bronx, New York, United States

Site Status

The Brody School of Medicine at East Carolina University , ECU Adult Specialty Care

Greenville, North Carolina, United States

Site Status

Rosedale Health and Wellness

Huntersville, North Carolina, United States

Site Status

Philadelphia FIGHT Community Health Centers

Philadelphia, Pennsylvania, United States

Site Status

Medical University of South Carolina (MUSC) Research Nexus

Charleston, South Carolina, United States

Site Status

Central Texas Clinical Research

Austin, Texas, United States

Site Status

St Hope Foundation, Inc.

Bellaire, Texas, United States

Site Status

AIDS Arms, Inc. DBA Prism Health North Texas

Dallas, Texas, United States

Site Status

North Texas Infectious Diseases Consultants, PA

Dallas, Texas, United States

Site Status

AXCES Research Group, LLC

El Paso, 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

AXCES Research Group, LLC

Salt Lake City, Utah, United States

Site Status

Clinical Alliance For Research & Education - Infectious Diseases. LLC (CARE-ID)

Annandale, Virginia, United States

Site Status

Peter Shalit MD

Seattle, Washington, United States

Site Status

Community Health care

Tacoma, Washington, United States

Site Status

Helios Salud S.A.

Buenos Aires, , Argentina

Site Status

Fundacion Huesped

Buenos Aires, , Argentina

Site Status

Instituto CAICI SRL

Santa Fe, , Argentina

Site Status

Taylor Square Private Clinic

Darlinghurst, New South Wales, Australia

Site Status

Alfred Hospital(Alfred Health)

Melbourne, Victoria, Australia

Site Status

Prahran Market Clinic

South Yarra, Victoria, Australia

Site Status

Chronic Viral Illness Service/McGill University Health Centre (MUHC)

Decarie Montreal, , Canada

Site Status

Clinique Médicale l'Actuel

Montreal, , Canada

Site Status

The Ottawa Hospital - General Campus

Ottawa, , Canada

Site Status

Regina General Hospital

Regina, , Canada

Site Status

St. Paul's Hospital, John Ruedy Clinic-Immunodeficiency Clinic (JRC-IDC)

Vancouver, , Canada

Site Status

Cool Aid Community Health Centre

Victoria, , Canada

Site Status

Instituto Dominicano de Estudios Virologicos - IDEV

Santo Domingo, , Dominican Republic

Site Status

Praxis Dr. Knechten

Aachen, , Germany

Site Status

Novopraxis Berlin

Berlin, , Germany

Site Status

Universitätsklinikum Frankfurt

Frankfurt, , Germany

Site Status

Universitätsklinikum Hamburg Eppendorf

Hamburg, , Germany

Site Status

LMU Klinikum der Universität

Munich, , Germany

Site Status

Klinikum rechts der Isar der Technischen Universitaet Muenchen

München, , Germany

Site Status

ASST degli Spedali Civili di Brescia - Spedali Civili di Brescia - INCIPIT - PIN

Brescia, , Italy

Site Status

Azienda Ospedaliero Universitaria Ospedali Riuniti (Policlinico di Foggia)

Foggia, , Italy

Site Status

IRCCS Ospedale San Raffaele

Milan, , Italy

Site Status

Fondazione IRCCS San Gerardo dei Tintori - ASST di Monza - A. O. San Gerardo

Monza, , Italy

Site Status

Fondazione IRCCS Policlinico San Matteo di Pavia

Pavia, , Italy

Site Status

Istituto Nazionale Malattie Infettive Lazzaro Spallanzani IRCCS

Roma, , Italy

Site Status

Fondazione Policlinico Universitario A Gemelli-Rome

Roma, , Italy

Site Status

National Hospital Organization Nagoya Medical Center

Aichi, , Japan

Site Status

National Hospital Organization Osaka National Hospital

Osaka, , Japan

Site Status

Center Hospital of the National Center for Global Health and Medicine

Tokyo, , Japan

Site Status

ProcliniQ Investigacion Clinica Toriello Guerra, Tlalpan

Mexico City, , Mexico

Site Status

Unidad de Atencion Medica e Investigacion en Salud

Mérida, , Mexico

Site Status

HOPE Clinical Research

San Juan, PR, Puerto Rico

Site Status

Proyecto ACTU

San Juan, PR, Puerto Rico

Site Status

Kyungpook National University Hospital

Daegu, , South Korea

Site Status

National Medical Center

Seoul, , South Korea

Site Status

Severance Hospital, Yonsei University Health System

Seoul, , South Korea

Site Status

The Catholic University of Korea, Seoul St. Mary's Hospital

Seoul, , South Korea

Site Status

Hospital Universitario Germans Trias i Pujol

Badalona Barcelona, , Spain

Site Status

Hospital Clinic de Barcelona

Barcelona, , Spain

Site Status

Hospital Universitario Ramon y Cajal

Madrid, , Spain

Site Status

Hospital Universitario La Paz - PPDS

Madrid, , Spain

Site Status

Hospital Universitario Virgen del Rocio - PPDS

Seville, , Spain

Site Status

Consorcio Hospital General Universitario de Valencia

Valencia, , Spain

Site Status

Kaohsiung Medical University Chung-Ho Memorial Hospital

Kaohsiung City, , Taiwan

Site Status

Kaohsiung Veterans General Hospital

Kaohsiung City, , Taiwan

Site Status

National Taiwan University Hospital

Taipei, , Taiwan

Site Status

Taoyuan General Hospital, Ministry of Health and Welfare

Taoyuan, , Taiwan

Site Status

Liverpool University Hospitals NHS Foundation Trust, Royal Liverpool Hospital

Liverpool, , United Kingdom

Site Status

King's College Hospital, Weston Education Centre

London, , United Kingdom

Site Status

Chelsea and Westminster Hospital NHS Foundation Trust, St Stephen's Centre, Chelsea and Westminster Hospital

London, , United Kingdom

Site Status

St Mary's Hospital - PPDS

London, , United Kingdom

Site Status

Mortimer Market Centre

London, , United Kingdom

Site Status

Countries

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United States Argentina Australia Canada Dominican Republic Germany Italy Japan Mexico Puerto Rico South Korea Spain Taiwan United Kingdom

Related Links

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Other Identifiers

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2023-510022-33

Identifier Type: OTHER

Identifier Source: secondary_id

jRCT2051240046

Identifier Type: REGISTRY

Identifier Source: secondary_id

GS-US-621-6290

Identifier Type: -

Identifier Source: org_study_id

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