Gilead study of GS-3242 with Lenacapavir for people starting HIV treatment compared with Biktarvy
Official title: An Operationally Seamless Phase 2/3 Randomized, Open-label, 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 Treatment-Naive People With HIV-1
Run by Gilead Sciences · NCT07708727 · Data updated 2026-11-12
This study tests whether injecting GS-3242 with Lenacapavir can work as well as Biktarvy for people newly starting HIV treatment.
Quick facts
| Phase | Phase2; Phase3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 700 (estimated) |
| Sponsor | Gilead Sciences Industry-sponsored |
| Locations | 21 sites (Torrance, California and 20 other locations) |
| Status | Recruiting |
| Started | July 29, 2026 |
| Main results expected | October 2030 |
| Study ends | April 2033 |
| Registry record updated | November 10, 2026 |
| Trial ID | NCT07708727 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Treatment-naive adults with HIV-1 infection and HIV RNA ≥ 500 copies/mL, who have not previously used Lenacapavir or GS-3242 and have not used long-acting injectable ARV therapies.
✕Probably not a fit
People who do not respond to the injectable regimen or have contraindications to the study drugs may not see benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a Phase 2/3 interventional trial evaluating an injectable regimen of GS-3242 plus Lenacapavir versus the standard oral Biktarvy in treatment-naive adults with HIV-1. Phase 2 includes Part A and Part B to compare short-term efficacy at 26–35 weeks across multiple treatment groups. Phase 3 follows to assess long-term effectiveness at 52 weeks. Interventions include GS-3242 and Lenacapavir in both tablet and injectable forms alongside B/F/TAF, with primary endpoints focused on virologic efficacy. Eligibility requires HIV-1 RNA ≥ 500 copies/mL at screening and no prior LEN or GS-3242 exposure, among other criteria, and several sites are involved in the United States.
Why it matters
Potential benefit: If successful, participants and future patients may have a new injectable treatment option that could simplify HIV therapy while maintaining viral suppression.
How similar studies have gone: Prior short-acting and long-acting antiretroviral strategies have shown promise, but this exact injectable GS-3242/Lenacapavir approach in treatment-naive patients is being studied to establish efficacy versus B/F/TAF.
Who can join: the full rules
Show full inclusion / exclusion criteria
Key Inclusion Criteria: * HIV-1 ribonucleic acid (RNA) ≥ 500 copies/mL at screening. * Antiretroviral (ARV) treatment-naive, except for prior use of oral daily pre-exposure prophylaxis (PrEP) or postexposure prophylaxis (PEP) up to 1 month prior to screening. Key Exclusion Criteria: * Prior usage of, or exposure to LEN or GS-3242 * Prior use of any long-acting parenteral ARV 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.
Where it's running
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Lundquist Inst Biomedical Innovation Harbor-UCLA
Torrance, California, United States Recruiting -
Yale University; School of Medicine; AIDS Program
New Haven, Connecticut, United States Recruiting -
Midway Immunology and Research Center
Ft. Pierce, Florida, United States Recruiting -
Floridian Clinical Research, LLC
Miami Lakes, Florida, United States Recruiting -
Orlando Immunology Center, PA
Orlando, Florida, United States Recruiting -
Triple O Research Institute, P.A.
West Palm Beach, Florida, United States Recruiting
Show 15 more locations
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Emory University Hospital Midtown Infectious Disease Clinic
Atlanta, Georgia, United States Recruiting -
Metro Infectious Disease Consultants, P.L.L.C
Decatur, Georgia, United States Recruiting -
KC care Health Center
Kansas City, Missouri, United States Recruiting -
Saint Michael's Medical Center
Newark, New Jersey, United States Recruiting -
St Hope Foundation, Inc,
Bellaire, Texas, United States Recruiting -
Prism Health North Texas
Dallas, Texas, United States Recruiting -
North Texas Infectious Diseases Consultants, PA
Dallas, Texas, United States Recruiting -
Texas Centers for Infectious Disease Associates
Fort Worth, Texas, United States Recruiting -
MultiCare Health System - Deaconess Medical Office Building 2
Spokane, Washington, United States Recruiting -
McGill University Health Centre
Decarie Montreal, Canada Recruiting -
CHU de Québec-Université Laval
Québec, Canada Recruiting -
Proyecto ACTU
Rio Piedras, Pr, Puerto Rico Recruiting -
HOPE Clinical Research
San Juan, Pr, Puerto Rico Recruiting -
ICH Study Center GmbH & Co. KG
Hamburg, Germany Not yet recruiting -
Hospital Universitario Virgen de las Nieves
Granada, Spain Not yet recruiting
Study contacts
- Study coordinator: Gilead Clinical Study Information Center
- Email: leadClinicalTrials@gilead.com
- Phone: 1-833-445-3230 (GILEAD-0)
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.