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Study to Compare Bictegravir/Lenacapavir Versus Current Therapy in People With HIV-1 Who Are Successfully Treated With a Complicated Regimen

Status

Active, not recruiting

Phase

Phase 2 / Phase 3

Enrollment

689

Locations

94

Results

Not posted

Publications

2

Study summary

What the protocol is testing.

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

Treatment arms and agents.

DRUG

Bictegravir

Tablets administered orally without regard to food

DRUG

Lenacapavir

Tablets administered orally without regard to food

DRUG

BIC/LEN FDC

Tablets administered orally without regard to food

DRUG

Stable Baseline Regimen

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

From registration to results.

  1. First posted

    Aug 16, 2022

  2. Study start

    Aug 16, 2022

  3. Primary completion

    Sep 29, 2025

  4. Study completion

    Jul 2028

  5. Results posted

    Not reported

  6. Registry updated

    Oct 14, 2025

Outcomes

What the study measures.

Primary 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

Secondary 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 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

Who can take part.

Minimum age
18 Years
Maximum age
Not reported
Sex
ALL
Healthy volunteers
No

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

94 registered sites.

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

Related trials

More studies on Enfuvirtide.

Related PeptideStat pages

Put the record in context.

Research pages describe evidence. Vendor pages, where available, describe independently tracked research-product listings and are not clinical recommendations.