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NCT07708727PHASE2, PHASE3Recruiting

Study of an Injectable Regimen of GS-3242 With Lenacapavir Compared to Biktarvy in People New to HIV-1 Treatment

Gilead Sciences

Start Date

7/29/2026

Completion Date

4/1/2033

Summary

The study will have two portions: Phase 2 and Phase 3. Phase 2 will further have 2 parts: Part A and Part B. The goal of Phase 2, Part A is to assess the effectiveness of study drugs GS-3242 plus Lenacapavir (LEN) versus Biktarvy (bictegravir/emtricitabine/tenofovir alafenamide (B/F/TAF)), in people with HIV-1 (PWH) who are new to treatment. This will be done in Treatment Groups 1, 2 and 3 at Week 35. The goal of Phase 2, Part B is to compare the effectiveness of study drugs, GS-3242 and LEN versus B/F/TAF in Groups 4 and 3 at Week 26. The goal of Phase 3 is to assess the long-term effectiveness of study drug GS-3242 and LEN versus B/F/TAF, at Week 52. The primary objectives of this study are: Phase 2, Part A: To evaluate the efficacy of intramuscular (IM) GS-3242 plus IM LEN versus B/F/TAF in treatment-naive people with HIV-1 (PWH) in Treatment Groups 1, 2, and 3 at Week 35. Phase 2, Part B: To evaluate the efficacy of IM GS-3242 plus IM LEN versus B/F/TAF in treatment-naive PWH in Treatment Groups 4 and 3 at Week 26. Phase 3: To evaluate the efficacy of IM GS-3242 plus IM LEN versus B/F/TAF in treatment-naive PWH at Week 52.

Eligibility Criteria

Age Range: 18 years to No maximum

Key Inclusion Criteria: * HIV-1 ribonucleic acid (RNA) ≥ 500 copies/mL at screening. * Antiretroviral (ARV) treatment-naive, except for prior use of oral daily pre-exposure prophylaxis (PrEP) or postexposure prophylaxis (PEP) up to 1 month prior to screening. Key Exclusion Criteria: * Prior usage of, or exposure to LEN or GS-3242 * Prior use of any long-acting parenteral ARV therapy (ART) medications such as monoclonal antibodies or broadly neutralizing antibodies targeting HIV-1, injectable cabotegravir (including oral cabotegravir lead-in), or injectable rilpivirine. Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Interventions

DRUG

GS-3242 Tablet

DRUG

GS-3242 Injection

DRUG

Lenacapavir Tablet

DRUG

Lenacapavir Injection

DRUG

B/F/TAF

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Conditions

HIV-1-infection

Locations

Lundquist Inst Biomedical Innovation Harbor-UCLA

Torrance, California 90502

United States

Yale University; School of Medicine; AIDS Program

New Haven, Connecticut 06510

United States

Midway Immunology and Research Center

Ft. Pierce, Florida 34982

United States

Orlando Immunology Center, PA

Orlando, Florida 32803

United States

Triple O Research Institute, P.A.

West Palm Beach, Florida 33401

United States

Emory University Hospital Midtown Infectious Disease Clinic

Atlanta, Georgia 30308

United States

Metro Infectious Disease Consultants, P.L.L.C

Decatur, Georgia 30033

United States

KC care Health Center

Kansas City, Missouri 64111

United States

St Hope Foundation, Inc,

Bellaire, Texas 77401

United States

Prism Health North Texas

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 76109

United States

McGill University Health Centre

Decarie Montreal, H4A 3J1

Canada

CHU de Québec-Université Laval

Québec, G1V 4G2

Canada

Proyecto ACTU

Rio Piedras, PR 00925

Puerto Rico

HOPE Clinical Research

San Juan, PR 00909

Puerto Rico