Study of Oral Weekly GS-1720 and GS-4182 Compared With Biktarvy in People With HIV-1 Who Have Not Been Treated

NCT ID: NCT06613685

Last Updated: 2025-11-21

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

PHASE2/PHASE3

Total Enrollment

675 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-10-21

Study Completion Date

2030-08-31

Brief Summary

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The goal of this clinical study is to learn more about the experimental drugs GS-1720 (an oral, long-acting integrase strand transfer inhibitor (INSTI)) and GS-4182 (a prodrug of Lenacapavir (LEN)); to compare the combination of GS-1720 and GS-4182 with the current standard-of-care treatment bictegravir/emtricitabine/tenofovir alafenamide (B/F/TAF) (Biktarvy), to see if the combination of GS-1720 and GS-4182 is safe and if it works for treating human immunodeficiency virus type 1 (HIV-1) infection in treatment-naive people with HIV-1 (PWH).

This study has two phases: Phase 2 and Phase 3.

The primary objectives of this study are:

Phase 2: To evaluate the efficacy of oral weekly GS-1720 coadministered with GS-4182 versus continuing Biktarvy (BVY) in treatment-naive PWH at Week 24.

Phase 3: To evaluate the efficacy of oral weekly GS-1720/GS-4182 fixed-dose combination (FDC) tablet regimen versus continuing BVY in treatment-naive PWH at Week 48.

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

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators
Phase 2 of the study has 2 periods: Randomized and Extension, which are both open label.

Phase 3 of the study has 2 periods: Randomized Period which would be double-blind (at least Week 96), followed by an Extension Period which will be Open-label.

Study Groups

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Phase 2: GS-1720 + GS-4182 (Treatment Group 1)

Participants will receive a 1-day loading dose of GS-1720 (1300 mg) and GS-4182 (600 mg) on Day 1.Thereafter, participants will take weekly doses of single agent GS-1720 (650 mg) and GS-4182 (300 mg) coadministered for at least 48 weeks.

Group Type EXPERIMENTAL

GS-1720

Intervention Type DRUG

Tablets administered orally without regard to food

GS-4182

Intervention Type DRUG

Tablets administered orally without regard to food

Phase 2: B/F/TAF (Treatment Group 2)

Participants will receive B/F/TAF (50/200/25 mg) daily for at least 48 weeks.

Group Type ACTIVE_COMPARATOR

Bictegravir/emtricitabine/tenofovir alafenamide

Intervention Type DRUG

Tablets administered orally without regard to food

Phase 2 Extension Phase: GS-1720/GS-4182 Fixed-dose Combination (FDC)

At the end of the randomized treatment, Phase 2 participants will be given the option to participate in the Extension Phase. Phase 2 Treatment Group 1 will switch to GS-1720/GS-4182 FDC (650/300 mg) weekly. Phase 2 Treatment Group 2 will receive a loading dose of GS-1720/GS-4182 FDC (1300 mg/600 mg) on Extension Phase Day 1, then GS-1720/GS-4182 FDC (650/300 mg) weekly. Participants who choose to enter the Extension Phase will receive GS-1720/GS-4182 FDC tablets until the product becomes available or until Gilead Sciences elects to discontinue the study, whichever occurs first.

Group Type EXPERIMENTAL

GS-1720/GS-4182 FDC

Intervention Type DRUG

Tablets administered orally without regard to food

Phase 3: GS-1720/GS-4182 FDC + Placebo to Match (PTM) B/F/TAF (Treatment Group 1)

Participants will receive a 1-day loading dose of GS-1720/GS-4182 FDC on Day 1. Thereafter, participants will receive GS-1720/GS-4182 FDC tablets weekly + PTM B/F/TAF once daily. Participants will receive treatment for at least 96 weeks.

Group Type EXPERIMENTAL

GS-1720/GS-4182 FDC

Intervention Type DRUG

Tablets administered orally without regard to food

Placebo to Match BVY

Intervention Type DRUG

Tablets administered orally without regard to food

Phase 3: B/F/TAF + PTM GS-1720/GS-4182 FDC (Treatment Group 2)

Participants will receive oral B/F/TAF daily along with PTM GS-1720/GS-4182 FDC weekly for at least 96 weeks. Additionally, participants will receive a 1-day loading dose of PTM GS-1720/GS-4182 on Day 1.

Group Type ACTIVE_COMPARATOR

Bictegravir/emtricitabine/tenofovir alafenamide

Intervention Type DRUG

Tablets administered orally without regard to food

Placebo to Match GS1720/GS-4182 FDC

Intervention Type DRUG

Tablets administered orally without regard to food

Phase 3 Extension Phase: GS-1720/GS-4182 Fixed-dose Combination (FDC)

After the end of blinded treatment, Phase 3 participants will be given the option to participate in the Extension Phase. Phase 3 Treatment Group 1 will continue to receive GS-1720/GS-4182 FDC weekly while PTM B/F/TAF will be discontinued. Phase 3 Treatment Group 2 will switch to receive GS-1720/GS-4182 FDC tablets weekly. Participants in Treatment Group 2 will also receive a 1-day loading dose of GS-1720/GS-4182 FDC on Extension Phase Day 1.

Participants who choose to enter the Phase 3 Extension Phase will receive GS-1720/GS-4182 FDC tablets until the product becomes available or until Gilead Sciences elects to discontinue the study, whichever occurs first.

Group Type EXPERIMENTAL

GS-1720/GS-4182 FDC

Intervention Type DRUG

Tablets administered orally without regard to food

Interventions

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GS-1720

Tablets administered orally without regard to food

Intervention Type DRUG

GS-4182

Tablets administered orally without regard to food

Intervention Type DRUG

Bictegravir/emtricitabine/tenofovir alafenamide

Tablets administered orally without regard to food

Intervention Type DRUG

GS-1720/GS-4182 FDC

Tablets administered orally without regard to food

Intervention Type DRUG

Placebo to Match BVY

Tablets administered orally without regard to food

Intervention Type DRUG

Placebo to Match GS1720/GS-4182 FDC

Tablets administered orally without regard to food

Intervention Type DRUG

Other Intervention Names

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Biktarvy ®

Eligibility Criteria

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Inclusion Criteria

* HIV-1 RNA ≥ 500 copies/mL at screening.
* Antiretroviral (ARV) treatment-naive, except the use of oral pre-exposure prophylaxis (PrEP) or postexposure prophylaxis (PEP) with emtricitabine/tenofovir disoproxil fumarate (FTC/TDF) or F/TAF, up to 1 month prior to screening.

Exclusion Criteria

* Prior use of any long acting parenteral antiretrovirals (ARVs) such as monoclonal antibodies, broadly neutralizing antibodies targeting HIV-1, LEN, injectable cabotegravir (including oral cabotegravir lead-in), and/or injectable rilpivirine.
* Documented resistance to the integrase strand-transfer inhibitor class, specifically, resistance-associated mutations E92G/Q, G118R, F121Y, Y143C/H/R, S147G, Q148H/K/R, N155H/S, or R263K in the integrase gene.
* Any of the following laboratory values at screening:

1. CD4 cell count \< 200 cells/mm3 at screening.
2. Estimated glomerular filtrations arate \< 60 mL/min according to the Modification of Diet in Renal Disease formula.
3. Hepatic transaminases (aspartate aminotransferase and alanine aminotransferase) \> 1.5 × upper limit of normal (ULN).
4. Direct bilirubin \> 1.5 × ULN.
5. Platelets count \< 50,000 cells/mm3.
6. Hemoglobin \< 8.0 g/dL.
* Active or occult hepatitis B virus infection.
* Active hepatitis C virus 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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UAB 1917 Research Clinic

Birmingham, Alabama, United States

Site Status

The 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

Georgetown University Medical School

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, LLC

Miami Lakes, Florida, United States

Site Status

Orlando Immunology Center

Orlando, Florida, United States

Site Status

Triple O Research Institute, P.A.

West Palm Beach, Florida, United States

Site Status

Emory University Hospital Midtown Infectious Disease Clinic

Atlanta, Georgia, United States

Site Status

Mercer University, Department of Internal Medicine

Macon, Georgia, United States

Site Status

University of Mississippi Medical Center

Jackson, Mississippi, United States

Site Status

Saint Michael's Medical Center

Newark, New Jersey, United States

Site Status

NYU Langone Health Vaccine Center

New York, New York, United States

Site Status

Medical University of South Carolina (MUSC) Research Nexus

Charleston, South Carolina, United States

Site Status

St Hope Foundation, Inc.

Bellaire, Texas, United States

Site Status

Prism Health North Texas, Aids Arms

Dallas, Texas, United States

Site Status

North Texas Infectious Diseases Consultants, PA

Dallas, Texas, United States

Site Status

Texas Centers for Infectious Disease Associates

Fort Worth, Texas, United States

Site Status

UT Health San Antonio

San Antonio, Texas, United States

Site Status

MultiCare Rockwood Main Clinic

Spokane, Washington, United States

Site Status

Clinique Médicale L'Actuel

Montreal, , Canada

Site Status

Chronic Viral Illness Service / McGill University Health Centre

Montreal, , Canada

Site Status

Ottawa Hospital Research Institute

Ottawa, , Canada

Site Status

Universitätsklinikum Bonn, Medizinische Klinik und Poliklinik I, Immunologische Studienambulanz

Bonn, , Germany

Site Status

Universitätsmedizin Essen, Universitätsklinikum Essen, Klinik für Dermatologie, Venerologie und Allergologie, HPSTD-Ambulanz

Essen, , Germany

Site Status

ICH Study Center GmbH & Co. KG

Hamburg, , Germany

Site Status

Medizinische Hochschule Hannover, Klinik für Rheumatologie und Immunologie, Gebäude K14

Hanover, , Germany

Site Status

Klinikum rechts der Isar, Technische Universität München, Klinik und Poliklinik für Innere Medizin II

München, , Germany

Site Status

Wojewódzki Szpital Obserwacyjno-Zakaźny im. Tadeusza Browicza

Bydoszcz, , Poland

Site Status

Punkt Zdrowia

Gdansk, , Poland

Site Status

Samodzielny Publiczny Wojewódzki Szpital Zespolony w Szczecinie

Szczecin, , Poland

Site Status

Unidade Local de Saude de Amadora Sinatra EPE, Hospital Prof. Doutor Fernando Fonseca

Amadora, , Portugal

Site Status

Unidade Local de Saúde de Lisboa Ocidental E.P.E. - Hospital Egas Moniz

Lisbon, , Portugal

Site Status

Unidade Local de Saúde de Santo Maria E.P.E. - Hospital Santa Maria

Lisbon, , Portugal

Site Status

Unidade Local de Saúde de Santo António, E.P.E.

Porto, , Portugal

Site Status

Unidade Local de Saúde de São João E.P.E.

Porto, , Portugal

Site Status

HOPE Clinical Research

San Juan, PR, Puerto Rico

Site Status

Proyecto ACTU

San Juan, PR, Puerto Rico

Site Status

Institutul National De Boli Infectioase Prof. Dr. Matei Bals

Bucharest, , Romania

Site Status

Spitalul Clinic De Urgenta Prof Dr Agrippa Ionescu

Bucharest, , Romania

Site Status

Spitalul Clinic De Boli Infectioase Cluj-Napoca

Cluj-Napoca, , Romania

Site Status

Spitalul Clinic de Boli Infectioase Constanta

Constanța, , Romania

Site Status

Clinical Hospital of Infectious Diseases and Pneumophysiology Dr. Victor Babes Timisoara

Timișoara, , Romania

Site Status

JOSHA Research

Bloemfontein, , South Africa

Site Status

Durban International Clinical Research Site, Enhancing Care Foundation

Durban, , South Africa

Site Status

Synergy Biomed Research Institute

East London, , South Africa

Site Status

CRISMO Research Center

Germiston, , South Africa

Site Status

WITS RHI Research Centre

Johannesburg, , South Africa

Site Status

Clinical Research Institute of South Africa (CRISA)

KwaZulu-Natal, , South Africa

Site Status

FPD Ndevana Community Research Site

Ndevana, , South Africa

Site Status

The Aurum Institute Tembisa Clinic 4

Tembisa, , South Africa

Site Status

Hospital Clinic de Barcelona

Barcelona, , Spain

Site Status

Hospital Clinico San Carlos

Madrid, , Spain

Site Status

Hospital Universitario Fundación Jiménez Díaz

Madrid, , Spain

Site Status

Hospital Universitario Virgen de la Victoria

Málaga, , Spain

Site Status

Hospital Universitario Alvaro Cunqueiro

Pontevedra, , Spain

Site Status

Hospital Arnau de Vilanova de Valencia

Valencia, , Spain

Site Status

Countries

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United States Canada Germany Poland Portugal Puerto Rico Romania South Africa Spain

Related Links

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Other Identifiers

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2024-512505-66

Identifier Type: OTHER

Identifier Source: secondary_id

GS-US-695-7156

Identifier Type: -

Identifier Source: org_study_id

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