DRUG
Bictegravir
Tablets administered orally without regard to food
Status
Active, not recruiting
Phase
Phase 2 / Phase 3
Enrollment
689
Locations
94
Results
Not posted
Publications
2
Study summary
The goal of this clinical study is to learn more about the effects of switching to the study drugs, bictegravir (BIC) plus lenacapavir (LEN), versus current therapy (Phase 2) and BIC/LEN fixed-dose combination (FDC) versus current therapy (Phase 3) in people living with HIV (PWH).
Interventions
DRUG
Tablets administered orally without regard to food
DRUG
Tablets administered orally without regard to food
DRUG
Tablets administered orally without regard to food
DRUG
SBR will include a combination of antiretroviral (ARV) regimen. ARV regimen may include the following, except for participants taking a single tablet regimen or taking a complete parenteral regimen (Cabenuva). * Nucleos(t)ide Reverse Transcriptase Inhibitors: * Abacavir * Emtricitabine * Lamivudine * Tenofovir alafenamide * Tenofovir disoproxil fumarate * Zidovudine * Non-Nucleosite Reverse Transcriptase Inhibitors: * Delavirdine * Efavirenz * Nevirapine * Rilpivirine * Doravirine * Integrase Inhibitors: * Bictegravir * Cabotegravir * Dolutegravir * Elvitegravir * Raltegravir * Protease Inhibitors: * Atazanavir * Darunavir * Fosamprenavir * Indinavir * Lopinavir * Nelfinavir * Saquinavir * Tipranavir * Chemokine Co-receptor 5 (CCR5) Antagonist: * Maraviroc * Fusion Inhibitors: * Enfuvirtide * gp120 Attachment Inhibitor: * Fostemsavir * Anti-CD4 Monoclonal Antibodies: * Ibalizumab-uiyk
Timeline
First posted
Aug 16, 2022
Study start
Aug 16, 2022
Primary completion
Sep 29, 2025
Study completion
Jul 2028
Results posted
Not reported
Registry updated
Oct 14, 2025
Outcomes
Phase 2: Proportion of Participants With HIV-1 RNA ≥ 50 Copies/mL at Week 24 as Determined by the US FDA-defined Snapshot Algorithm
Time frame · Week 24
Phase 3: Proportion of Participants With HIV-1 RNA ≥ 50 Copies/mL at Week 48 as Determined by the US FDA-defined Snapshot Algorithm
Time frame · Week 48
Phase 2: Proportion of Participants With HIV-1 RNA < 50 Copies/mL at Week 24 as Determined by the US FDA-defined Snapshot Algorithm
Time frame · Week 24
Phase 2: Change From Baseline in CD4 Cell Count at Week 24
Time frame · Baseline, Week 24
Phase 2: Percentage of Participants Experiencing Treatment-emergent Adverse Events (AEs) Through Week 24
Time frame · First dose date up to Week 24
Phase 2: Pharmacokinetic (PK) Parameter: Cmax of Bictegravir (BIC) and Lenacapavir (LEN) at Steady State
Time frame · Day 1 up to Week 24
Cmax is defined as the maximum observed concentration of drug.
Phase 2: PK Parameter: AUCtau of BIC and LEN at Steady State
Time frame · Day 1 up to Week 24
AUCtau is defined as the area under the concentration versus time curve over the dosing interval.
Phase 2: PK Parameter: Ctau of BIC and LEN at Steady State
Time frame · Day 1 up to Week 24
Ctau is defined as the observed drug concentration at the end of the dosing interval.
Phase 3: Proportion of Participants With HIV-1 RNA < 50 Copies/mL at Week 48 as Determined by the US FDA-defined Snapshot Algorithm
Time frame · Week 48
Phase 3: Change From Baseline in CD4 Cell Count at Week 48
Time frame · Baseline, Week 48
Phase 3 (BIC/LEN 75 mg/50 mg FDC): Proportion of Participants from With HIV-1 RNA ≥ 50 Copies/mL at Week 96 as Determined by the US FDA-defined Snapshot Algorithm
Time frame · Week 96
Phase 3 (BIC/LEN 75 mg/50 mg FDC): Change From Baseline in CD4 Cell Count at Week 96
Time frame · Baseline, Week 96
Eligibility
Key Inclusion Criteria: * If plasma HIV-1 RNA measurements in the 6 months prior to screening are available, all levels must be \< 50 copies/mL. * At least one documented plasma HIV-1 RNA level measured between 6 and 12 months (± 2 months) prior to screening. This and any other HIV-1 RNA measurements documented in this period must be \< 50 copies/mL * Plasma HIV-1 RNA levels \< 50 copies/mL at screening. * Currently receiving a complex antiretroviral (ARV) regimen due to previous viral resistance, or intolerance, or contraindication to existing single-tablet regimens (STR), and on this regimen for at least 6 months prior to the screening visit. The criteria to define a complex regimen in this study are as follows: * A regimen containing a boosted protease inhibitor or a nonnucleos(t)ide reverse transcriptase inhibitor (NRTI) plus at least 1 other third agent (ie, an agent from a class other than NRTIs) (eg, bictegravir/emtricitabine/tenofovir alafenamide (coformulated; Biktarvy®)(BVY) + darunavir/cobicistat, BVY + etravirine), or * A regimen of ≥ 2 pills/day, or a regimen requiring dosing more than once daily, or * A regimen containing parenteral agent(s) (excluding a complete long-acting injectable regimen, such as intramuscular cabotegravir plus rilpivirine) as well as oral agents. * No documented or suspected resistance to bictegravir (BIC). * Estimated glomerular filtration rate ≥ 15 mL/min according to the Cockcroft-Gault formula for creatinine clearance (CLcr) who are not on renal replacement therapy. Key Exclusion Criteria: * Prior use of, or exposure to, lenacapavir (LEN) * Active tuberculosis infection * Chronic hepatitis B virus (HBV) infection Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Study locations
Argentina · Australia · Canada · Dominican Republic · France · Germany · Italy · Japan · Puerto Rico · South Africa · South Korea · Spain · Taiwan · United Kingdom · United States. Showing up to 24 locations stored in the fast local snapshot.
Be Well Medical Center
Berkeley, California, United States
Pacific Oaks Medical Group
Beverly Hills, California, United States
Ruane Clinical Research Group, Inc
Los Angeles, California, United States
Alta Bates Summit Medical Center, Summit Campus, East Bay Advanced Care
Oakland, California, United States
Bios Clinical Research
Palm Springs, California, United States
University of California San Diego (UCSD)
San Diego, California, United States
Lundquist Institute for Biomedical Innovation at Harbor - UCLA Medical Center
Torrance, California, United States
The Men's Health Foundation
West Hollywood, California, United States
Denver Health Medical Center
Denver, Colorado, United States
Yale University; School of Medicine; AIDS Program
New Haven, Connecticut, United States
Midland Florida Clinical Research Center, LLC
DeLand, Florida, United States
Therafirst Medical Centers
Fort Lauderdale, Florida, United States
Gary Richmond, MD, PA, Inc.
Fort Lauderdale, Florida, United States
Midway Immunology & Research Center, LLC
Ft. Pierce, Florida, United States
Schiff Center for liver Diseases/University of Miami
Miami, Florida, United States
Floridian Clinical Research
Miami Lakes, Florida, United States
Orlando Immunology Center
Orlando, Florida, United States
Therapeutic Concepts, PA
Orlando, Florida, United States
Triple O Research Institute PA
West Palm Beach, Florida, United States
Atlanta ID Group
Atlanta, Georgia, United States
Mercer University School of Medicine
Macon, Georgia, United States
Howard Brown Health Center
Chicago, Illinois, United States
Kansas City Care Clinic
Kansas City, Missouri, United States
Southampton Healthcare, Inc.
St Louis, Missouri, United States
Publications
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