- ICH GCP
- Registre américain des essais cliniques
- Essai clinique NCT07645287
A Study of GS-3242 in Combination With Lenacapavir Versus Biktarvy in Virologically Suppressed People With HIV-1
A Phase 2 Randomized, Active-Controlled Study Evaluating the Safety and Efficacy of an Injectable Regimen of GS-3242 in Combination With Lenacapavir Versus Biktarvy (Bictegravir/Emtricitabine/Tenofovir Alafenamide) in Virologically Suppressed People With HIV-1
The study will have two parts: Part A and Part B. In Part A, the goal of the study is to compare the effectiveness of switching to the study drugs GS-3242 plus Lenacapavir (LEN) versus continuing Biktarvy (bictegravir/emtricitabine/tenofovir alafenamide (B/F/TAF)), in virologically suppressed people with HIV-1 (PWH) in treatment Group 1, 2 and 3 at Week 35. In Part B the goal of the study is to compare the effectiveness of switching to the study drugs, GS-3242 and LEN versus continuing B/F/TAF in Groups 4 and 3 at Week 26.
The primary objective of part A is to evaluate the efficacy of switching to intramuscular (IM) GS-3242 plus IM LEN versus continuing on B/F/TAF PWH who are virologically suppressed in treatment Groups 1, 2, and 3 at Week 35 and Part B is to evaluate the efficacy of switching to IM GS-3242 plus IM LEN versus continuing on B/F/TAF in PWH who are virologically suppressed in Treatment Groups 4 and 3 at Week 26.
Aperçu de l'étude
Statut
Les conditions
Type d'étude
Inscription (Estimé)
Phase
- Phase 2
Contacts et emplacements
Coordonnées de l'étude
- Nom: Gilead Clinical Study Information Center
- Numéro de téléphone: 1-833-445-3230 (GILEAD-0)
- E-mail: GileadClinicalTrials@gilead.com
Lieux d'étude
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New South Wales
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Surry Hills, New South Wales, Australie, 2010
- Recrutement
- Taylor Square Private Clinic
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Sydney, New South Wales, Australie, 2010 NSW
- Recrutement
- Momentum Clinical Research Darlinghurst
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Sydney, New South Wales, Australie, 2010
- Recrutement
- East Sydney Doctors
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Victoria
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South Yarra, Victoria, Australie, 3141
- Recrutement
- Prahran Market Clinic,
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Montreal, Canada, H2L 5B1
- Recrutement
- CMU du Quartier Latin
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Vancouver, Canada, V6Z2T1
- Actif, ne recrute pas
- Spectrum Health
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Quebec
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Montreal, Quebec, Canada, H4A 3J1
- Recrutement
- McGill University Health Centre
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PR
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Rio Piedras, PR, Porto Rico, 00925
- Recrutement
- Proyecto ACTU
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San Juan, PR, Porto Rico, 00909
- Recrutement
- Clinical Research Puerto Rico
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San Juan, PR, Porto Rico, 00909
- Recrutement
- Hope Clinical Research
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Arizona
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Phoenix, Arizona, États-Unis, 85015
- Actif, ne recrute pas
- Pueblo Family Physicians
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California
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Beverly Hills, California, États-Unis, 90211
- Recrutement
- Pacific Oak Medical Group
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Los Angeles, California, États-Unis, 90036
- Actif, ne recrute pas
- Ruane Clinical Research Group Inc.
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San Francisco, California, États-Unis, 94102
- Recrutement
- Optimus Medical Group
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San Francisco, California, États-Unis, 94110
- Recrutement
- University of California San Francisco, Community and Clinical Research Center
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Torrance, California, États-Unis, 90502
- Recrutement
- Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center
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Colorado
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Denver, Colorado, États-Unis, 80246
- Recrutement
- Vivent Health
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Florida
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DeLand, Florida, États-Unis, 32720
- Recrutement
- Midland Florida Clinical Research Center, LLC
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Fort Lauderdale, Florida, États-Unis, 33316
- Recrutement
- CAN Community Health Fort Lauderdale
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Ft. Pierce, Florida, États-Unis, 34982
- Recrutement
- Midway Immunology and Research Center
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Miami, Florida, États-Unis, 33133
- Recrutement
- AIDS Healthcare Foundation -Coconut Grove
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Miami Lakes, Florida, États-Unis, 33016
- Recrutement
- Floridian Clinical Research, LLC
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Orlanda, Florida, États-Unis, 32803
- Recrutement
- Orlando Immunology Center, PA
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Pensacola, Florida, États-Unis, 32504
- Recrutement
- AHF - Pensacola
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Sarasota, Florida, États-Unis, 34237
- Recrutement
- CAN Community Health Inc.
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West Palm Beach, Florida, États-Unis, 33407
- Recrutement
- Triple O Research Institute, PA
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Georgia
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Atlanta, Georgia, États-Unis, 30308
- Recrutement
- Emory University Hospital Midtown Infectious Disease Clinic
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Decatur, Georgia, États-Unis, 30033
- Recrutement
- Metro Infectious Disease Consultants, P.L.L.C.
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Macon, Georgia, États-Unis, 31201
- Recrutement
- Mercer University, Department of Internal Medicine
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Savannah, Georgia, États-Unis, 31401
- Recrutement
- Chatham County Health Department
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Michigan
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Berkeley, Michigan, États-Unis, 48072
- Recrutement
- Be Well Medical Center
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Missouri
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Kansas City, Missouri, États-Unis, 64111
- Recrutement
- KC Care Health Center
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St Louis, Missouri, États-Unis, 63139
- Recrutement
- Southampton Community Healthcare
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New Jersey
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Hillsborough, New Jersey, États-Unis, 08844
- Recrutement
- ID care
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Newark, New Jersey, États-Unis, 07102
- Recrutement
- Saint Michael's Medical Center
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Somers Point, New Jersey, États-Unis, 08244
- Recrutement
- South Jersey Infectious Disease
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New Mexico
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Sante Fe, New Mexico, États-Unis, 87505
- Recrutement
- AXCES Research Group, LLC
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New York
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Brooklyn, New York, États-Unis, 11226
- Recrutement
- Brooklyn Clinical Research
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Flushing, New York, États-Unis, 11355
- Recrutement
- NewYork-Presbyterian Queens
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New York, New York, États-Unis, 10016
- Recrutement
- NYU Langone Health Vaccine Center
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The Bronx, New York, États-Unis, 10467
- Actif, ne recrute pas
- Montefiore Medical Center
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North Carolina
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Huntersville, North Carolina, États-Unis, 28078
- Recrutement
- Rosedale Health and Wellness
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Pennsylvania
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Philadelphia, Pennsylvania, États-Unis, 19107
- Recrutement
- Philadelphia FIGHT Community Health Centers, Jonathan Lax Treatment Center
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Texas
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Austin, Texas, États-Unis, 78705
- Recrutement
- Central Texas Clinical Research
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Bellaire, Texas, États-Unis, 77401
- Recrutement
- St. Hope Foundation
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Dallas, Texas, États-Unis, 75208
- Recrutement
- Prism Health North Texas
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Dallas, Texas, États-Unis, 75246
- Recrutement
- North Texas Infectious Disease Consultants, P.A.
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El Paso, Texas, États-Unis, 79902
- Recrutement
- AXCES Research Group, LLC
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Fort Worth, Texas, États-Unis, 76109
- Actif, ne recrute pas
- Texas Centers for Infectious Disease Associates
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Houston, Texas, États-Unis, 77098
- Recrutement
- The Crofoot Research Center, INC.
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Longview, Texas, États-Unis, 75605
- Recrutement
- Diagnostic Clinic of Longview
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Utah
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Salt Lake City, Utah, États-Unis, 84102
- Recrutement
- AXCES Research Group, LLC
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Virginia
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Annandale, Virginia, États-Unis, 22003
- Recrutement
- Clinical Alliance for Research& Education - Infectious Diseases, LLC(CARE-ID
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Washington
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Seattle, Washington, États-Unis, 98104
- Recrutement
- TribalMed PLLC
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Spokane, Washington, États-Unis, 99202
- Actif, ne recrute pas
- MultiCare-Deaconess Medical Office Building 2
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
- Adulte
- Adulte plus âgé
Accepte les volontaires sains
La description
Key Inclusion Criteria:
- Documented human immunodeficiency virus type 1 (HIV-1) ribonucleic acid (RNA) < 50 copies/mL for ≥ 6 months before screening.
- Plasma HIV-1 RNA levels < 50 copies/mL at screening.
- Receiving bictegravir/emtricitabine/tenofovir alafenamide (coformulated; Biktarvy®) (B/F/TAF) for ≥ 6 months prior to screening.
- No documented resistance to GS-3242 (integrase mutation Q148H/K/R plus at least 2 of the following integrase mutations: L74I/M, T97A, E138A/K/T, or G140A/C/S).
Key Exclusion Criteria:
- Prior use of, or exposure to GS-3242 or LEN.
- History of virologic failure while on an integrase strand transfer inhibitor (INSTI)-based regimen.
- Prior use of any long-acting parenteral antiretroviral 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.
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Aucun (étiquette ouverte)
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
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Expérimental: Part A: Group 1 of GS-3242 + LEN
Participants will be randomized to receive oral loading doses of GS-3242 in combination with LEN oral tablets, followed by intramuscular (IM) injections of GS-3242 and LEN up to 52 weeks.
|
Administré par voie orale
Autres noms:
Administered orally
Administered intramuscularly (IM)
Administered IM
Autres noms:
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Expérimental: Part A: Group 2 of GS-3242 + LEN
Participants will be randomized to receive oral loading doses of GS-3242 in combination with LEN oral tablets, followed by a IM injections of GS-3242 (at a different dose than Group 1) and LEN up to 52 weeks.
|
Administré par voie orale
Autres noms:
Administered orally
Administered intramuscularly (IM)
Administered IM
Autres noms:
|
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Expérimental: Part A: Group 3 of B/F/TAF
Participants will be randomized to continue to receive 50/200/25 mg of B/F/TAF daily for up to 52 weeks.
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Administré par voie orale
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Expérimental: Part B: Group 4 (Conditional) of GS-3242 + LEN
Participants will be enrolled (non-randomized) to receive oral loading doses of GS-3242 in combination with LEN oral tablets, followed IM injection of GS-3242 and LEN (at different doses than Groups 1 and 2) up to 52 weeks.
|
Administré par voie orale
Autres noms:
Administered orally
Administered intramuscularly (IM)
Administered IM
Autres noms:
|
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Délai |
|---|---|
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Part A: Proportion of Participants With HIV-1 RNA ≥ 50 Copies/mL at Week 35 as Determined by the United States (US) Food and Drug Administration (FDA) Snapshot Algorithm
Délai: Week 35
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Week 35
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Part B: Proportion of Participants With HIV-1 RNA ≥ 50 Copies/mL at Week 26 as Determined by the US FDA Snapshot Algorithm
Délai: Week 26
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Week 26
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Mesures de résultats secondaires
Mesure des résultats |
Délai |
|---|---|
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Part A and Part B: Proportion of Participants With HIV-1 RNA ≥ 50 Copies/mL at Week 52 as Determined by the US FDA Snapshot Algorithm
Délai: Week 52
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Week 52
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Part A: Proportion of Participants With HIV-1 RNA < 50 Copies/mL at Week 35 as Determined by the US FDA Snapshot Algorithm
Délai: Week 35
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Week 35
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Part A and Part B: Proportion of Participants With HIV-1 RNA < 50 Copies/mL at Week 52 as Determined by the US FDA Snapshot Algorithm
Délai: Week 52
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Week 52
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Part A: Change From Baseline in Clusters of Differentiation 4 (CD4) Cell Count at Week 35
Délai: Baseline, Week 35
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Baseline, Week 35
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Part A and Part B: Change From Baseline in Clusters of Differentiation 4 (CD4) Cell Count at Week 52
Délai: Baseline, Week 52
|
Baseline, Week 52
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Part B: Change From Baseline in CD4 Cell Count at Week 26
Délai: Baseline, Week 26
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Baseline, Week 26
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Part A: Percentage of Participants Experiencing Treatment-Emergent Adverse Events (AEs) Through Week 35
Délai: Up to Week 35
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Up to Week 35
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Part A and Part B: Percentage of Participants Experiencing Treatment-Emergent Adverse Events (AEs) Through Week 52
Délai: Up to Week 52
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Up to Week 52
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Part B: Percentage of Participants Experiencing Treatment-Emergent AEs Through Week 26
Délai: Up to Week 26
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Up to Week 26
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Part A: Group 1 and 2:Trough Concentrations of GS-3242 and LEN at Week 18
Délai: Week 18
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Week 18
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Part A: Group 1 and 2:Trough Concentrations of GS-3242 and LEN at Week 35
Délai: Week 35
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Week 35
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Part A: Group 1 and 2 and Part B: Groups 1 and 2:Trough Concentrations of GS-3242 and LEN at Week 52
Délai: Week 52
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Week 52
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Part B: Trough Concentrations at GS-3242 and LEN at Week 26
Délai: Week 26
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Week 26
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Part B: Proportion of Participants With HIV-1 RNA < 50 Copies/mL at Week 26 as Determined by the US FDA Snapshot Algorithm
Délai: Week 26
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Week 26
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Collaborateurs et enquêteurs
Parrainer
Les enquêteurs
- Directeur d'études: Gilead Study Director, Gilead Sciences
Publications et liens utiles
Liens utiles
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Réel)
Achèvement primaire (Estimé)
Achèvement de l'étude (Estimé)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- GS-US-643-7710
Plan pour les données individuelles des participants (IPD)
Prévoyez-vous de partager les données individuelles des participants (DPI) ?
Informations sur les médicaments et les dispositifs, documents d'étude
Étudie un produit pharmaceutique réglementé par la FDA américaine
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