ACTIVE_NOT_RECRUITING

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

Conditions

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

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.

Official Title

An Operationally Seamless Phase 2/3, Randomized, Active-Controlled Study Evaluating the Safety and Efficacy of an Oral Weekly Regimen of GS-1720 in Combination With GS-4182 Versus Biktarvy in Treatment-Naive People With HIV-1

Quick Facts

Study Start:2024-10-21
Study Completion:2030-08
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:ACTIVE_NOT_RECRUITING

Study ID

NCT06613685

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. * HIV-1 RNA ≥ 500 copies/mL at screening.
  2. * 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.
  1. * 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.
  2. * 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.
  3. * Any of the following laboratory values at screening:
  4. 1. CD4 cell count \< 200 cells/mm3 at screening.
  5. 2. Estimated glomerular filtrations arate \< 60 mL/min according to the Modification of Diet in Renal Disease formula.
  6. 3. Hepatic transaminases (aspartate aminotransferase and alanine aminotransferase) \> 1.5 × upper limit of normal (ULN).
  7. 4. Direct bilirubin \> 1.5 × ULN.
  8. 5. Platelets count \< 50,000 cells/mm3.
  9. 6. Hemoglobin \< 8.0 g/dL.
  10. * Active or occult hepatitis B virus infection.
  11. * Active hepatitis C virus infection.

Contacts and Locations

Principal Investigator

Gilead Study Director
STUDY_DIRECTOR
Gilead Sciences

Study Locations (Sites)

UAB 1917 Research Clinic
Birmingham, Alabama, 35222
United States
The Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center
Torrance, California, 90502
United States
Mills Clinical Research
West Hollywood, California, 90046
United States
Georgetown University Medical School
Washington, District of Columbia, 20007
United States
Midland Florida Clinical Research Center, LLC
DeLand, Florida, 32720
United States
Midway Immunology and Research Center
Fort Pierce, Florida, 34982
United States
Floridian Clinical Research, LLC
Miami Lakes, Florida, 33016
United States
Orlando Immunology Center
Orlando, Florida, 32803
United States
Triple O Research Institute, P.A.
West Palm Beach, Florida, 33407
United States
Emory University Hospital Midtown Infectious Disease Clinic
Atlanta, Georgia, 30308
United States
Mercer University, Department of Internal Medicine
Macon, Georgia, 31201
United States
University of Mississippi Medical Center
Jackson, Mississippi, 39216
United States
Saint Michael's Medical Center
Newark, New Jersey, 07102
United States
NYU Langone Health Vaccine Center
New York, New York, 10016
United States
Medical University of South Carolina (MUSC) Research Nexus
Charleston, South Carolina, 29425
United States
St Hope Foundation, Inc.
Bellaire, Texas, 77401
United States
Prism Health North Texas, Aids Arms
Dallas, Texas, 75208
United States
North Texas Infectious Diseases Consultants, PA
Dallas, Texas, 75246
United States
Texas Centers for Infectious Disease Associates
Fort Worth, Texas, 76104
United States
UT Health San Antonio
San Antonio, Texas, 78229
United States
MultiCare Rockwood Main Clinic
Spokane, Washington, 99202
United States

Collaborators and Investigators

Sponsor: Gilead Sciences

  • Gilead Study Director, STUDY_DIRECTOR, Gilead Sciences

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2024-10-21
Study Completion Date2030-08

Study Record Updates

Study Start Date2024-10-21
Study Completion Date2030-08

Terms related to this study

Additional Relevant MeSH Terms

  • HIV-1-infection