Study of Oral Weekly GS-1720 and GS-4182 Versus Biktarvy in People With HIV-1 Who Are Virologically Suppressed

Last updated: September 22, 2025
Sponsor: Gilead Sciences
Overall Status: Active - Not Recruiting

Phase

2/3

Condition

N/A

Treatment

Bictegravir/emtricitabine/tenofovir alafenamide

Placebo to Match GS1720/GS-4182 FDC

GS-1720

Clinical Study ID

NCT06544733
GS-US-695-6509
2024-511054-50
  • Ages > 18
  • All Genders

Study Summary

The goal of this clinical study is to learn more about the experimental drugs GS-1720 and GS-4182; to compare the combination of GS-1720 and GS-4182 with the current standard-of-care treatment bictegravir/emtricitabine/tenofovir alafenamide (B/F/TAF, BVY), to see if the combination of GS-1720 and GS-4182 is safe and if it works for treating human immunodeficiency virus type 1 (HIV-1) infection.

This study has two phases: Phase 2 and Phase 3.

The primary objectives of this study are:

Phase 2: To evaluate the efficacy of switching to oral weekly GS-1720 in combination with GS-4182 versus continuing BVY in virologically suppressed people with HIV-1 (PWH) at Week 24.

Phase 3: To evaluate the efficacy of switching to oral weekly GS-1720/GS-4182 Fixed-dose combination (FDC) tablet regimen versus continuing BVY in virologically suppressed PWH at Week 48.

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  • Documented plasma HIV-1 RNA < 50 copies/mL for ≥ 24 weeks before and at screening.

  • Receiving BVY for ≥ 24 weeks prior to screening.

Exclusion

Key Exclusion Criteria:

  • Prior use of, or exposure to LEN, GS-1720, or GS-4182.

  • History of virologic failure while on an integrase strand-transfer inhibitor (INSTI)-based regimen.

  • Documented integrase strand-transfer inhibitor (INSTI) resistance, specifically,resistance-associated mutations (RAMs) E92G/Q, G118R, F121Y, Y143C/H/R, S147G,Q148H/K/R, N155H/S, or R263K in the integrase gene.

  • Prior use of any long-acting (LA) parenteral antiretrovirals (ARV) such asmonoclonal antibodies (mAbs) or broadly neutralizing antibodies (bNAbs) targetingHIV-1, injectable cabotegravir (including oral cabotegravir lead-in), or injectablerilpivirine.

  • Any of the following laboratory values at screening:

  • Clusters of differentiation 4 (CD4) cell count < 200 cells/mm^3 at screening

  • Glomerular filtration rate < 60 mL/min according to the Modification of Diet inRenal Disease formula

  • Hepatic transaminases (aspartate aminotransferase (AST) and alanineaminotransferase (ALT) > 1.5 × upper limit of normal (ULN)

  • Direct bilirubin > 1.5 × ULN

  • Platelets count < 50,000 cells/mm^3

  • Hemoglobin < 8.0 g/dL

  • Active or occult hepatitis B virus (HBV) infection.

  • Active hepatitis C virus (HCV).

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

Study Design

Total Participants: 675
Treatment Group(s): 6
Primary Treatment: Bictegravir/emtricitabine/tenofovir alafenamide
Phase: 2/3
Study Start date:
August 20, 2024
Estimated Completion Date:
June 30, 2029

Connect with a study center

  • The Crofoot Research Center, INC.

    Vancouver, V6Z 2C7
    Canada

    Site Not Available

  • Centro Ararat, Inc.

    San Juan 4568127, PR 00717
    Puerto Rico

    Site Not Available

  • Clinical Research Puerto Rico

    San Juan 4568127, PR 00909-1711
    Puerto Rico

    Site Not Available

  • HOPE Clinical Research

    San Juan 4568127, PR 00909
    Puerto Rico

    Site Not Available

  • Proyecto ACTC

    San Juan 4568127, PR 00935
    Puerto Rico

    Site Not Available

  • Centro Ararat, Inc.

    San Juan, 00717
    Puerto Rico

    Site Not Available

  • Clinical Research Puerto Rico

    San Juan, 00909-1711
    Puerto Rico

    Site Not Available

  • HOPE Clinical Research

    San Juan, 00909
    Puerto Rico

    Site Not Available

  • Proyecto ACTC

    San Juan, 00935
    Puerto Rico

    Site Not Available

  • UAB 1917 Research Clinic

    Birmingham, Alabama 35294
    United States

    Site Not Available

  • UAB 1917 Research Clinic

    Birmingham 4049979, Alabama 4829764 35294
    United States

    Site Not Available

  • Pacific Oaks Medical Group

    Beverly Hills, California 90211
    United States

    Site Not Available

  • Mills Clinical Research

    Los Angeles, California 90069
    United States

    Site Not Available

  • Ruane Clinical Research Group

    Los Angeles, California 90036
    United States

    Site Not Available

  • BIOS Clinical Research

    Palm Springs, California 92262
    United States

    Site Not Available

  • UCSF Division of HIV, Infectious Diseases & Global Medicine

    San Francisco, California 94110
    United States

    Site Not Available

  • Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center

    Torrance, California 90502
    United States

    Site Not Available

  • Pacific Oaks Medical Group

    Beverly Hills 5328041, California 5332921 90211
    United States

    Site Not Available

  • Mills Clinical Research

    Los Angeles 5368361, California 5332921 90069
    United States

    Site Not Available

  • Ruane Clinical Research Group

    Los Angeles 5368361, California 5332921 90036
    United States

    Site Not Available

  • BIOS Clinical Research

    Palm Springs 5380668, California 5332921 92262
    United States

    Site Not Available

  • UCSF Division of HIV, Infectious Diseases & Global Medicine

    San Francisco 5391959, California 5332921 94110
    United States

    Site Not Available

  • Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center

    Torrance 5403022, California 5332921 90502
    United States

    Site Not Available

  • Georgetown University Medical Center

    Washington, District of Columbia 20007
    United States

    Site Not Available

  • Georgetown University Medical Center

    Washington D.C. 4140963, District of Columbia 4138106 20007
    United States

    Site Not Available

  • Midland Florida Clinical Research Center, LLC

    DeLand, Florida 32720
    United States

    Site Not Available

  • CAN Community Health

    Fort Lauderdale, Florida 33316
    United States

    Site Not Available

  • Midway and Immunology Research Center

    Fort Pierce, Florida 34982
    United States

    Site Not Available

  • AIDS Healthcare Foundation - The Kinder Medical Group

    Miami, Florida 33133
    United States

    Site Not Available

  • Floridian Clinical Research

    Miami Lakes, Florida 33016
    United States

    Site Not Available

  • Orlando Immunology Center

    Orlando, Florida 32803
    United States

    Site Not Available

  • CAN Community Health

    Sarasota, Florida 34237
    United States

    Site Not Available

  • Triple O Research Institute, P.A.

    West Palm Beach, Florida 33407
    United States

    Site Not Available

  • Midland Florida Clinical Research Center, LLC

    DeLand 4152890, Florida 4155751 32720
    United States

    Site Not Available

  • CAN Community Health

    Fort Lauderdale 4155966, Florida 4155751 33316
    United States

    Site Not Available

  • Midway and Immunology Research Center

    Ft. Pierce 4156018, Florida 4155751 34982
    United States

    Site Not Available

  • AIDS Healthcare Foundation - The Kinder Medical Group

    Miami 4164138, Florida 4155751 33133
    United States

    Site Not Available

  • Floridian Clinical Research

    Miami Lakes 4164186, Florida 4155751 33016
    United States

    Site Not Available

  • Orlando Immunology Center

    Orlando 4167147, Florida 4155751 32803
    United States

    Site Not Available

  • CAN Community Health

    Sarasota 4172131, Florida 4155751 34237
    United States

    Site Not Available

  • Triple O Research Institute, P.A.

    West Palm Beach 4177887, Florida 4155751 33407
    United States

    Site Not Available

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

    Decatur, Georgia 30033
    United States

    Site Not Available

  • Mercer University, Department of Internal Medicine

    Macon, Georgia 31201
    United States

    Site Not Available

  • Chatham County Health Department

    Savannah, Georgia 31401
    United States

    Site Not Available

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

    Decatur 4191124, Georgia 4197000 30033
    United States

    Site Not Available

  • Mercer University, Department of Internal Medicine

    Macon 4207400, Georgia 4197000 31201
    United States

    Site Not Available

  • Chatham County Health Department

    Savannah 4221552, Georgia 4197000 31401
    United States

    Site Not Available

  • Be Well Medical Center

    Berkley, Michigan 48072
    United States

    Site Not Available

  • Be Well Medical Center

    Berkley 4985744, Michigan 5001836 48072
    United States

    Site Not Available

  • KC CARE Health Center

    Kansas City, Missouri 64111
    United States

    Site Not Available

  • KC CARE Health Center

    Kansas City 4393217, Missouri 4398678 64111
    United States

    Site Not Available

  • Saint Michael's Medical Center

    Newark, New Jersey 07102
    United States

    Site Not Available

  • Saint Michael's Medical Center

    Newark 5101798, New Jersey 5101760 07102
    United States

    Site Not Available

  • AXCES Research Group, LLC

    Santa Fe, New Mexico 87505
    United States

    Site Not Available

  • AXCES Research Group, LLC

    Santa Fe 5490263, New Mexico 5481136 87505
    United States

    Site Not Available

  • NewYork-Presbyterian Queens

    Flushing, New York 11355
    United States

    Site Not Available

  • NYU Langone Health Vaccine Center

    New York, New York 10016
    United States

    Site Not Available

  • NewYork-Presbyterian Queens

    Flushing 5117472, New York 5128638 11355
    United States

    Site Not Available

  • NYU Langone Health Vaccine Center

    New York 5128581, New York 5128638 10016
    United States

    Site Not Available

  • Rosedale Health and Wellness

    Huntersville, North Carolina 28078
    United States

    Site Not Available

  • Rosedale Health and Wellness

    Huntersville 4472370, North Carolina 4482348 28078
    United States

    Site Not Available

  • Central Texas Clinical Research

    Austin, Texas 78705
    United States

    Site Not Available

  • St Hope Foundation, Inc.

    Bellaire, Texas 77401
    United States

    Site Not Available

  • North Texas Infectious Diseases Consultants, PA

    Dallas, Texas 75246
    United States

    Site Not Available

  • Prism Health North Texas, Oak Cliff Health Center

    Dallas, Texas 75215
    United States

    Site Not Available

  • AXCES Research Group, LLC

    El Paso, Texas 79902
    United States

    Site Not Available

  • Texas Centers for Infectious Disease Associates

    Fort Worth, Texas 76104
    United States

    Site Not Available

  • The Crofoot Research Center, INC.

    Houston, Texas 77098
    United States

    Site Not Available

  • DCOL Center for Clinical Research

    Longview, Texas 75605
    United States

    Site Not Available

  • Central Texas Clinical Research

    Austin 4671654, Texas 4736286 78705
    United States

    Site Not Available

  • St Hope Foundation, Inc.

    Bellaire 4673353, Texas 4736286 77401
    United States

    Site Not Available

  • North Texas Infectious Diseases Consultants, PA

    Dallas 4684888, Texas 4736286 75246
    United States

    Site Not Available

  • Prism Health North Texas, Oak Cliff Health Center

    Dallas 4684888, Texas 4736286 75215
    United States

    Site Not Available

  • AXCES Research Group, LLC

    El Paso 5520993, Texas 4736286 79902
    United States

    Site Not Available

  • Texas Centers for Infectious Disease Associates

    Fort Worth 4691930, Texas 4736286 76104
    United States

    Site Not Available

  • The Crofoot Research Center, INC.

    Houston 4699066, Texas 4736286 77098
    United States

    Site Not Available

  • DCOL Center for Clinical Research

    Longview 4707814, Texas 4736286 75605
    United States

    Site Not Available

  • Peter Shalit, MD

    Seattle, Washington 98104
    United States

    Site Not Available

  • Peter Shalit, MD

    Seattle 5809844, Washington 5815135 98104
    United States

    Site Not Available

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