Study of GS-3242 in Participants With HIV-1; Substudy-05

NCT ID: NCT07001319

Last Updated: 2025-12-24

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

RECRUITING

Clinical Phase

PHASE1

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-05-29

Study Completion Date

2027-02-28

Brief Summary

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This study is part of a master study. The goal of master protocol (GS-US-544-5905, NCT05585307) is to learn how novel antiretrovirals (medicines that stop the virus from multiplying) affect the human immunodeficiency virus-1 (HIV-1) infection in people living with HIV (PWH).

Substudy GS-US-544-5905-05 is to learn more about the study drug GS-3242 in PWH.

Detailed Description

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To refer master study protocol (GS-US-544-5905), refer to NCT05585307 on https://clinicaltrials.gov/

Conditions

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HIV-1-infection

Study Design

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Allocation Method

NA

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Cohort 1: Single Dose of GS-3242

Participants in cohort 1 will receive single dose of GS-3242 450 mg on Days 1 and 2 in the fasted condition.

After assessments on Day 11 or upon early termination (ET), the participants initiate a regimen of bictegravir/emtricitabine/tenofovir alafenamide (Biktarvy®) (BVY), or an alternative standard of care (SOC) antiretroviral (ART) regimen (example INSTI + NRTIs: dolutegravir (DTG)/abacavir (ABC)/3TC or DTG/3TC) up to Day 39.

Following the completion of Cohort 1, additional cohorts may be opened for enrollment if further data are needed. Doses of GS-3242 will be based on safety and pharmacokinetic (PK) data from ongoing Phase 1a studies.

Group Type EXPERIMENTAL

GS-3242

Intervention Type DRUG

Administered orally

BVY

Intervention Type DRUG

Administered orally

Standard of Care

Intervention Type DRUG

Antiretroviral therapy, administered orally Non-NNRTIs, examples: ABC/ DTG/3TC; DTG plus (TAF or TDF) plus (FTC or 3TC)

Interventions

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GS-3242

Administered orally

Intervention Type DRUG

BVY

Administered orally

Intervention Type DRUG

Standard of Care

Antiretroviral therapy, administered orally Non-NNRTIs, examples: ABC/ DTG/3TC; DTG plus (TAF or TDF) plus (FTC or 3TC)

Intervention Type DRUG

Other Intervention Names

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Biktarvy®

Eligibility Criteria

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Inclusion Criteria

All Substudies:

* Plasma human immunodeficiency virus-1 (HIV-1) ribonucleic acid (RNA) ≥ 5000 copies/mL but ≤ 400,000 copies/mL at screening.
* Cluster of differentiation 4 (CD4) cell count \> 200 cells/mm\^3 at screening.
* Antiretroviral (ARV) treatment-naive or treatment-experienced but naive to the investigational ARV drug class being investigated in the given substudy and have not received any ARV within 12 weeks of screening, including medications received for pre-exposure prophylaxis (PrEP) or postexposure prophylaxis (PEP) (note that current or prior receipt of long acting (LA) parenteral ARVs such as monoclonal antibodies (mAbs) targeting HIV-1, injectable cabotegravir (CAB), injectable rilpivirine (RPV) or injectable Lenacapavir (LEN) is exclusionary).
* Have adequate renal function (estimated glomerular filtration rate (eGFR) ≥ 70 mL/min/1.73 m\^2)
* No clinically significant abnormalities in electrocardiogram (ECG) at screening.

Substudy-05:

* Willing to initiate BVY provided by the sponsor, or an alternative SOC ART regimen selected by the investigator on Day 11 or upon ET.
* Participants must also be willing to comply with meal requirements on dosing days.

Exclusion Criteria

All Substudies:

* Known historical genotypic or phenotypic resistance to 4 major ARV classes (nucleoside reverse transcriptase inhibitor (NRTI), nonnucleoside reverse transcriptase inhibitor (NNRTI), protease inhibitor (PI), integrase strand-transfer inhibitor (INSTI)).
* History of an AIDS-defining condition including present at the time of screening.
* Active, serious infections (other than HIV-1) requiring therapy and including active tuberculosis infection \< 30 days prior to randomization.
* History of or current clinical decompensated liver cirrhosis (eg, ascites, encephalopathy, or variceal bleeding).
* Any other serious or active clinical condition or prior therapy that, in the opinion of the investigator, would make the individual unsuitable for the study or unable to comply with dosing requirements.
* Hepatitis C virus (HCV) antibody positive and detectable HCV RNA.
* Chronic hepatitis B virus (HBV) infection, as determined by either:

* 1\. Positive HBV surface antigen and negative HBV surface antibody, regardless of HBV core antibody status, at the screening visit, or
* 2\. Positive HBV core antibody and negative HBV surface antibody, regardless of HBV surface antigen status, at the screening visit.
* Hepatic transaminases (aspartate aminotransferase (AST) or alanine aminotransferase (ALT)) \> 5 x upper limit of normal (ULN).
* Current alcohol or substance use judged by the investigator to potentially interfere with individual study compliance.
* Positive serum pregnancy test at screening or a positive pregnancy test prior to Day 1.
* Individuals with plan to breastfeed during the study period including the protocol-defined follow-up period.
* Requirement for ongoing therapy with or prior use of any prohibited medications listed in the protocol. Any prescription medications or over the counter medications, including herbal products, within 28 days prior to start of study drug dosing must be reviewed and approved by the sponsor, with the exception of vitamins and/or acetaminophen and/or ibuprofen.
* Any current or prior receipt of LA parenteral ARVs such as mAbs targeting HIV-1, injectable CAB, or injectable RPV, or injectable LEN, for treatment or prophylaxis (PrEP, PEP).

Substudy-05:

* Requirement for ongoing therapy with any prohibited medication.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 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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Franco Felizarta, MD

Bakersfield, California, United States

Site Status RECRUITING

Ruane Clinical Research Group, Inc

Los Angeles, California, United States

Site Status RECRUITING

Mills Clinical Research

Los Angeles, California, United States

Site Status RECRUITING

Quest Clinical Research

San Francisco, California, United States

Site Status RECRUITING

Washington Health Institute

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

Site Status RECRUITING

Midland Florida Clinical Research Center, LLC

DeLand, Florida, United States

Site Status RECRUITING

AIDS Healthcare Foundation - Northpoint

Fort Lauderdale, Florida, United States

Site Status RECRUITING

Midway Immunology & Research Center, LLC

Ft. Pierce, Florida, United States

Site Status RECRUITING

BLISS Health

Orlando, Florida, United States

Site Status RECRUITING

Orlando Immunology Center, PA

Orlando, Florida, United States

Site Status RECRUITING

Triple O Research Institute, P.A.

West Palm Beach, Florida, United States

Site Status RECRUITING

Chatham County Health Department

Savannah, Georgia, United States

Site Status RECRUITING

Indiana University School of Medicine

Indianapolis, Indiana, United States

Site Status RECRUITING

Be Well Medical Center

Berkley, Michigan, United States

Site Status RECRUITING

KC CARE Health Center

Kansas City, Missouri, United States

Site Status RECRUITING

University of Cincinnati College of Medicine

Cincinnati, Ohio, United States

Site Status RECRUITING

Central Texas Clinical Research

Austin, Texas, United States

Site Status RECRUITING

Prism Health North Texas

Dallas, Texas, United States

Site Status RECRUITING

North Texas Infectious Diseases Consultant's, P.A.

Dallas, Texas, United States

Site Status RECRUITING

AXCES Research Group, LLC

El Paso, Texas, United States

Site Status RECRUITING

AXCES Research Group, LLC

Salt Lake City, Utah, United States

Site Status RECRUITING

Institute of HIV Research and Innovation (IHRI)

Bangkok, , Thailand

Site Status RECRUITING

Faculty of Medicine Ramathibodi Hospital, Mahidol University

Bangkok, , Thailand

Site Status RECRUITING

Faculty of Medicine Siriraj Hospital, Mahidol University

Bangkok, , Thailand

Site Status RECRUITING

Srinagarind Hospital, Faculty of Medicine, Khon Kaen University

Khon Kaen, , Thailand

Site Status RECRUITING

Bamrasnaradura Infectious Diseases Institute

Nonthaburi, , Thailand

Site Status RECRUITING

The HIV Netherlands Australia Thailand Research Collaboration (HIV-NAT),Thai Red Cross AIDS and Infectious Disease Research Center

Pathumwan, , Thailand

Site Status RECRUITING

Countries

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United States Thailand

Central Contacts

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Gilead Clinical Study Information Center

Role: CONTACT

Phone: 1-833-445-3230 (GILEAD-0)

Email: [email protected]

Related Links

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Other Identifiers

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GS-US-544-5905-05

Identifier Type: -

Identifier Source: org_study_id