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Undersøgelse for at evaluere sikkerheden og effektiviteten af ​​Lenacapavir (GS-6207) i kombination med et optimeret baggrundsregime (OBR) i tunge behandlingserfarne deltagere, der lever med HIV-1-infektion med multidrug-resistens (CAPELLA)

9. september 2026 opdateret af: Gilead Sciences

Et fase 2/3-studie for at evaluere sikkerheden og effektiviteten af ​​langtidsvirkende capsidhæmmer GS-6207 i kombination med en optimeret baggrundsbehandling i kraftig behandling Erfarne mennesker, der lever med HIV-1-infektion med multiresistens

The primary objective of this study is to evaluate the antiviral activity of lenacapavir (formerly GS-6207) administered as an add-on to a failing regimen for 14 days (functional monotherapy) in people with human immunodeficiency virus type 1 (HIV-1) (PWH) with multi-drug resistance (MDR).

Studieoversigt

Status

Aktiv, ikke rekrutterende

Betingelser

Intervention / Behandling

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

72

Fase

  • Fase 2
  • Fase 3

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

      • Ottawa, Canada, K1H 8L6
        • The Ottawa Hospital
    • British Columbia
      • Vancouver, British Columbia, Canada, V6Z 2C9
        • Vancouver ID Research and Care Centre Society
    • Ontario
      • Toronto, Ontario, Canada, M5G 1K2
        • Maple Leaf Research/Maple Leaf Medical Clinic
    • Quebec
      • Montreal, Quebec, Canada, H2L 4E9
        • Clinique de médecine urbaine du Quartier Latin
      • Santo Domingo, Dominikanske republik, 10103
        • Instituto Dominicano de Estudios Virologicos (IDEV)
      • Santo Domingo, Dominikanske republik, 10514
        • Hospital Dr. Salvador Bienvenido Gautier
    • California
      • Los Angeles, California, Forenede Stater, 90036
        • Ruane Clinical Research Group Inc
      • Los Angeles, California, Forenede Stater, 90069
        • Mills Clinical Research
      • Palm Springs, California, Forenede Stater, 92264
        • Eisenhower Health Center at Rimrock
      • Sacramento, California, Forenede Stater, 95817
        • One Community Health
    • Connecticut
      • New Haven, Connecticut, Forenede Stater, 06510
        • Yale University; School of Medicine
    • District of Columbia
      • Washington D.C., District of Columbia, Forenede Stater, 20017
        • Washington Health Institute
    • Florida
      • DeLand, Florida, Forenede Stater, 32720
        • Midland Florida Clinical Research Center, LLC
      • Fort Lauderdale, Florida, Forenede Stater, 33316
        • Gary J. Richmond, M.D., P.A.
      • Ft. Pierce, Florida, Forenede Stater, 34982
        • Midway Immunology and Research Center
      • Hialeah, Florida, Forenede Stater, 33016
        • Floridian Clinical Research
      • Miami Beach, Florida, Forenede Stater, 33139
        • AIDS Healthcare Foundation - South Beach
      • Orlando, Florida, Forenede Stater, 32803
        • Orlando Immunology Center
      • Tampa, Florida, Forenede Stater, 33614
        • St. Joseph's Hospital Comprehensive Research Institute
      • West Palm Beach, Florida, Forenede Stater, 33401
        • Triple O Research Institute, P.A.
    • Georgia
      • Atlanta, Georgia, Forenede Stater, 30309
        • Atlanta ID Group, PC
      • Atlanta, Georgia, Forenede Stater, 30308
        • Emory Hospital Midtown Infectious Disease Clinic
      • Savannah, Georgia, Forenede Stater, 31401
        • Chatham County Health Department
    • Illinois
      • Chicago, Illinois, Forenede Stater, 60613
        • Howard Brown Health Center
      • Chicago, Illinois, Forenede Stater, 60657
        • Northstar Healthcare
    • Michigan
      • Berkley, Michigan, Forenede Stater, 48072
        • Be Well Medical Center
    • Missouri
      • St Louis, Missouri, Forenede Stater, 63139
        • Southampton Healthcare, Inc.
    • New York
      • Flushing, New York, Forenede Stater, 11355
        • New York-Presbyterian/Queens
      • Manhasset, New York, Forenede Stater, 11030
        • North Shore University Hospital/Division of Infectious Diseases
      • The Bronx, New York, Forenede Stater, 10461
        • Jacobi Medical Center
    • North Carolina
      • Charlotte, North Carolina, Forenede Stater, 28209
        • Atrium Health- Infectious Disease Consultants
    • Pennsylvania
      • Philadelphia, Pennsylvania, Forenede Stater, 19104
        • Perelman Center for Advanced Medicine at the Hospital of the University of Pennsylvania
    • Rhode Island
      • Providence, Rhode Island, Forenede Stater, 02906
        • The Miriam Hospital
    • Tennessee
      • Memphis, Tennessee, Forenede Stater, 38163
        • 1265 Union Avenue, 8 East
    • Texas
      • Austin, Texas, Forenede Stater, 78705
        • Central Texas Clinical Research
      • Bellaire, Texas, Forenede Stater, 77401
        • St Hope Foundation
      • Dallas, Texas, Forenede Stater, 75246
        • North Texas Infectious Diseases Consultants, P.A.
      • Dallas, Texas, Forenede Stater, 75215
        • AIDS Arms, Inc. DBA Prism Health North Texas
      • Houston, Texas, Forenede Stater, 77098
        • The Crofoot Research Center, INC.
      • Longview, Texas, Forenede Stater, 75605
        • DCOL Center for Clinical Research
    • Virginia
      • Annandale, Virginia, Forenede Stater, 22003
        • Clinical Alliance for Research and Education - Infectious Diseases, LLC (CARE-ID)
      • Marseille, Frankrig, 13009
        • Hôpital Sainte-Marguerite
      • Paris, Frankrig, 75012
        • Hôpital Saint-Antoine
      • Paris, Frankrig, 75018
        • Hôpital Bichat-Claude Bernard
      • Paris, Frankrig, 75010
        • Hôpital Saint-Louis
      • Bergamo, Italien, 24127
        • University of Naples Federico II
      • Brescia, Italien, 25100
        • UOC Malattie Infettive - ASST Spedali Civili Di Brescia - Piazzale Spedali Civili 1
      • Milan, Italien, 20127
        • Divisione di Malattie Infettive, IRCCS Ospedale San Raffaele
      • Roma, Italien, 00149
        • U.O.C. IMMUNODEFICIENZE VIRALI - Istituto Nazionale Malattie Infettive Lazzaro Spallanzani IRCCS
      • Rome, Italien, 00168
        • U.O.C. Malattie Infettive - Fondazione Policlinico Universitario A. Gemelli IRCCS
      • Nagoya, Japan, 460-0001
        • National Hospital Organization Nagoya Medical Center
      • Osaka, Japan, 540-0006
        • National Hospital Organization Osaka National Hospital
      • Tokyo, Japan, 1600023
        • Tokyo Medical University Hospital
      • Tokyo, Japan, 1628655
        • Center Hospital of the National Center for Global Health and Medicine
      • Badalona, Spanien, 08916
        • Hospital Universitari Germans Trías i Pujol
      • Barcelona, Spanien, 08036
        • Hospital Clinic de Barcelona
      • Madrid, Spanien, 28046
        • Hospital Universitario La Paz
      • Seville, Spanien, 41013
        • Hospital Universitario Virgen del Rocío
      • Durban, Sydafrika, 4302
        • Durban International Clinical Research Site, Enhancing Care Foundation
      • Johannesburg, Sydafrika, 2092
        • Helen Joseph Hospital
      • Pretoria, Sydafrika, 87
        • Vx Pharma
      • Soweto, Sydafrika, 2013
        • Perinatal HIV Research Unit (PHRU)
      • Kaohsiung City, Taiwan, 81362
        • Kaohsiung Veterans General Hospital
      • Kaohsiung City, Taiwan, 80756
        • Kaohsiung Medical University Chung-Ho Memorial Hospital
      • New Taipei City, Taiwan, 22060
        • Far Eastern Memorial Hospital
      • Taipei, Taiwan, 10048
        • National Taiwan University Hospital
      • Taoyuan City, Taiwan, 33004
        • Taoyuan General Hospital, Ministry of Health and Welfare
      • Bangkok, Thailand, 10700
        • Faculty of Medicine Siriraj Hospital, Mahidol University
      • Bangkok, Thailand, 10400
        • Faculty of Medicine Ramathibodi Hospital, Mahidol University
      • Bangkok, Thailand, 10330
        • Thai Red Cross AIDS Research Center
      • Khon Kaen, Thailand, 40002
        • Faculty of Medicine, Khon Kaen University
      • Nonthaburi, Thailand, 11000
        • Bamrasnaradura Infectious Diseases Institute
      • Essen, Tyskland, 45122
        • Universitätsklinikum Essen, Klinik für Dermatologie und Venerologie
      • Hamburg, Tyskland, 20146
        • ICH Study Center GmbH & Co. KG
    • Hesse
      • Frankfurt am Main, Hesse, Tyskland, 60590
        • Universitätsklinikum Frankfurt, Medizinische Klinik II

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

12 år og ældre (Barn, Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Key Inclusion Criteria:

  • Adult aged ≥ 18 years (at all sites) or adolescent aged ≥ 12 and weighing ≥ 35 kg (at sites in North America and Dominican Republic)
  • Currently receiving a stable failing ARV regimen for > 8 weeks
  • Have HIV-1 RNA ≥ 400 copies/mL at screening
  • Have multidrug resistance (resistance to ≥2 agents from ≥3 of the 4 main classes of ARV)
  • Have no more than 2 fully active ARV remaining from the 4 main classes that can be effectively combined to form a viable regimen
  • Able and willing to receive an OBR together with lenacapavir
  • No Hepatitis C virus (HCV) ongoing infection

Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Sekventiel tildeling
  • Maskning: Firedobbelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Cohort 1A: Lenacapavir

Participants with HIV-1 ribonucleic acid (RNA) ≥ 400 copies/mL and with a <0.5 log10 HIV-1 RNA decline at Cohort Selection visit compared with screening visit will receive oral lenacapavir (LEN) 600 mg tablet on Days 1 and 2 and 300 mg tablet on Day 8, while continuing their failing regimen in the blinded Functional Monotherapy Period (Baseline to Day 14); followed by unblinded Maintenance Period where participants will receive subcutaneous (SC) LEN 927 mg and will initiate an optimized background regimen (OBR) at Day 1 SC Visit (14 days after the first dose of oral LEN).

At Week 52 (relative to Day 1 SC), participants will be given an option to receive SC lenacapavir injections every 6 months (26 weeks), while continuing their OBR, until the product becomes accessible to participants through an access program or until Gilead elects to discontinue the study in the country.

Tablets administered without regard to food

Andre navne:
  • GS-6207
  • Sunlenca®

Administered in the abdomen via subcutaneous injections

Andre navne:
  • GS-6207
  • Sunlenca®

Failing antiretroviral (ARV) regimen defined by the lack of efficacy. Any combination of approved and unapproved agents that could potentially be part of the failing regimen.

Optimized background regimen as prescribed by the Investigator

Placebo komparator: Cohort 1B: Placebo to Lenacapavir

Participants with HIV-1 RNA ≥ 400 copies/mL and with a <0.5 log10 HIV-1 RNA decline at the Cohort Selection visit compared with screening visit will receive oral LEN placebo on Days 1, 2, and 8 while continuing their failing regimen in the blinded Functional Monotherapy Period (Baseline to Day 14); followed by unblinded Maintenance Period where participants will receive oral LEN 600 mg on Days 15 and 16 and 300 mg on Day 22, and will initiate an OBR on Day 15. At Day 1 SC (14 days after the first dose of oral LEN), participants will receive SC LEN 927 mg while continuing OBR.

At Week 52 (relative to Day 1 SC), participants will be given an option to receive SC lenacapavir injections every 6 months (26 weeks), while continuing their OBR, until the product becomes accessible to participants through an access program or until Gilead elects to discontinue the study in the country.

Tablets administered without regard to food

Andre navne:
  • GS-6207
  • Sunlenca®

Administered in the abdomen via subcutaneous injections

Andre navne:
  • GS-6207
  • Sunlenca®

Failing antiretroviral (ARV) regimen defined by the lack of efficacy. Any combination of approved and unapproved agents that could potentially be part of the failing regimen.

Optimized background regimen as prescribed by the Investigator

Tablets administered without regard to food

Eksperimentel: Cohort 2: Lenacapavir

Participants with a ≥ 0.5 log10 copies/mL HIV-1 RNA decline at the Cohort Selection Visit compared with the screening visit or with HIV-1 RNA < 400 copies/mL or if Cohort 1 is fully enrolled will receive oral LEN 600 mg tablet on Days 1 and 2 and 300 mg tablet on Day 8, and will initiate an OBR on Day 1 in Oral Lead-in Period (Baseline to Day 14); followed by Maintenance Period where participants will receive SC LEN 927 mg at Day 1 SC Visit (14 days after the first dose of oral LEN) while continuing their OBR.

At Week 52 (relative to Day 1 SC), participants will be given an option to receive SC lenacapavir injections every 6 months (26 weeks), while continuing their OBR, until the product becomes accessible to participants through an access program or until Gilead elects to discontinue the study in the country.

Tablets administered without regard to food

Andre navne:
  • GS-6207
  • Sunlenca®

Administered in the abdomen via subcutaneous injections

Andre navne:
  • GS-6207
  • Sunlenca®

Optimized background regimen as prescribed by the Investigator

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Tidsramme
Procentdel af deltagere i kohorte 1, der opnår en reduktion på ≥ 0,5 log10 kopier/ml i human immundefektvirus-1 ribonukleinsyre (HIV-1 RNA) fra baseline til slutningen af ​​den funktionelle monoterapiperiode
Tidsramme: Baseline op til dag 1 SC-besøg (14 dage efter den første dosis oral lencapavir) eller dag 15
Baseline op til dag 1 SC-besøg (14 dage efter den første dosis oral lencapavir) eller dag 15

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Percentage of Participants in Cohort 1 With Plasma HIV-1 RNA < 50 Copies/mL at Week 26 Based on the US FDA-defined Snapshot Algorithm
Tidsramme: Week 26 (26 weeks after first dose of subcutaneous lenacapavir)

The percentage of participants in cohort 1 with plasma HIV-1 RNA < 50 copies/mL at Week 26 was analyzed using the United States Food and Drug Administration (US FDA)-defined snapshot algorithm, which defines a participant's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status.

Week 26 (26 weeks after first dose of subcutaneous lenacapavir)
Percentage of Participants in Cohort 1 With Plasma HIV-1 RNA < 200 Copies/mL at Week 26 Based on the US FDA-defined Snapshot Algorithm
Tidsramme: Week 26 (26 weeks after first dose of subcutaneous lenacapavir)

The percentage of participants in cohort 1 with plasma HIV-1 RNA < 200 copies/mL at Week 26 was analyzed using the US FDA-defined snapshot algorithm, which defines a participant's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status.

Week 26 (26 weeks after first dose of subcutaneous lenacapavir)
Percentage of Participants in Cohort 1 With Plasma HIV-1 RNA < 50 Copies/mL at Week 52 Based on the US FDA-defined Snapshot Algorithm
Tidsramme: Week 52 (52 weeks after first dose of subcutaneous lenacapavir)

The percentage of participants in cohort 1 with plasma HIV-1 RNA < 50 copies/mL at Week 52 was analyzed using the US FDA-defined snapshot algorithm, which defines a participant's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status.

Percentages were rounded off.

Week 52 (52 weeks after first dose of subcutaneous lenacapavir)
Percentage of Participants in Cohort 1 With Plasma HIV-1 RNA < 200 Copies/mL at Week 52 Based on the US FDA-defined Snapshot Algorithm
Tidsramme: Week 52 (52 weeks after first dose of subcutaneous lenacapavir)

The percentage of participants in cohort 1 with plasma HIV-1 RNA < 200 copies/mL at Week 52 was analyzed using the US FDA-defined snapshot algorithm, which defines a participant's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status.

Percentages were rounded off.

Week 52 (52 weeks after first dose of subcutaneous lenacapavir)
Percentage of Participants in Combined Cohorts 1 and 2 With Plasma HIV-1 RNA < 50 Copies/mL at Week 104 Based on the US FDA-defined Snapshot Algorithm
Tidsramme: Week 104 (104 weeks after first dose of subcutaneous lenacapavir)

The percentage of participants in combined cohorts 1 and 2 with plasma HIV-1 RNA < 50 copies/mL at Week 104 was analyzed using the US FDA-defined snapshot algorithm, which defines a participant's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status.

Percentages were rounded off.

Week 104 (104 weeks after first dose of subcutaneous lenacapavir)
Percentage of Participants in Combined Cohorts 1 and 2 With Plasma HIV-1 RNA < 200 Copies/mL at Week 104 Based on the US FDA-defined Snapshot Algorithm
Tidsramme: Week 104 (104 weeks after first dose of subcutaneous lenacapavir)

The percentage of participants in combined cohorts 1 and 2 with plasma HIV-1 RNA < 200 copies/mL at Week 104 was analyzed using the US FDA-defined snapshot algorithm, which defines a participant's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status.

Percentages were rounded off.

Week 104 (104 weeks after first dose of subcutaneous lenacapavir)
Percentage of Participants in Combined Cohorts 1 and 2 With Plasma HIV-1 RNA < 50 Copies/mL at Week 156 Based on the US FDA-defined Snapshot Algorithm
Tidsramme: Week 156 (156 weeks after first dose of subcutaneous lenacapavir)

The percentage of participants in combined cohorts 1 and 2 with plasma HIV-1 RNA < 50 copies/mL at Week 156 was analyzed using the US FDA-defined snapshot algorithm, which defines a participant's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status.

Percentages were rounded off.

Week 156 (156 weeks after first dose of subcutaneous lenacapavir)
Percentage of Participants in Combined Cohorts 1 and 2 With Plasma HIV-1 RNA < 200 Copies/mL at Week 156 Based on the US FDA-defined Snapshot Algorithm
Tidsramme: Week 156 (156 weeks after first dose of subcutaneous lenacapavir)

The percentage of participants in combined cohorts 1 and 2 with plasma HIV-1 RNA < 200 copies/mL at Week 156 was analyzed using the US FDA-defined snapshot algorithm, which defines a participant's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status.

Percentages were rounded off.

Week 156 (156 weeks after first dose of subcutaneous lenacapavir)

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Efterforskere

  • Studieleder: Gilead Study Director, Gilead Sciences

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Generelle publikationer

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

21. november 2019

Primær færdiggørelse (Faktiske)

5. oktober 2020

Studieafslutning (Anslået)

1. januar 2028

Datoer for studieregistrering

Først indsendt

28. oktober 2019

Først indsendt, der opfyldte QC-kriterier

31. oktober 2019

Først opslået (Faktiske)

4. november 2019

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

1. oktober 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

9. september 2026

Sidst verificeret

1. september 2026

Mere information

Begreber relateret til denne undersøgelse

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • GS-US-200-4625
  • 2019-003814-16 (EudraCT nummer)
  • 2019 (U.S. NIH-bevilling/kontrakt)

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

INGEN

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ja

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .