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> Record changed: 2026-11-04

# Study of an Injectable Regimen of GS-3242 With Lenacapavir Compared to Biktarvy in People New to HIV-1 Treatment

NCT07708727

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07708727)

Phase

Phase 2/Phase 3

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07708727)

Recruitment status

Recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07708727)

Participants

700

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07708727)

Lead sponsor

Gilead Sciences

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07708727)

Start date

2026-07-29

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07708727)

Number of sites

16

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07708727)

## Title and summary

**Summary**

The study will have two portions: Phase 2 and Phase 3\. Phase 2 will further have 2 parts: Part A and Part B. The goal of Phase 2, Part A is to assess the effectiveness of study drugs GS-3242 plus Lenacapavir (LEN) versus Biktarvy (bictegravir/emtricitabine/tenofovir alafenamide (B/F/TAF)), in people with HIV-1 (PWH) who are new to treatment. This will be done in Treatment Groups 1, 2 and 3 at Week 35\. The goal of Phase 2, Part B is to compare the effectiveness of study drugs, GS-3242 and LEN versus B/F/TAF in Groups 4 and 3 at Week 26\. The goal of Phase 3 is to assess the long-term effectiveness of study drug GS-3242 and LEN versus B/F/TAF, at Week 52\. The primary objectives of this study are: Phase 2, Part A: To evaluate the efficacy of intramuscular (IM) GS-3242 plus IM LEN versus B/F/TAF in treatment-naive people with HIV-1 (PWH) in Treatment Groups 1, 2, and 3 at Week 35\. Phase 2, Part B: To evaluate the efficacy of IM GS-3242 plus IM LEN versus B/F/TAF in treatment-naive PWH in Treatment Groups 4 and 3 at Week 26\. Phase 3: To evaluate the efficacy of IM GS-3242 plus IM LEN versus B/F/TAF in treatment-naive PWH at Week 52.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07708727)

**Short title**

Study of an Injectable Regimen of GS-3242 With Lenacapavir Compared to Biktarvy in People New to HIV-1 Treatment

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07708727)

**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

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07708727)

## Status and phase

**Control arm**

Open label

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07708727)

**Registry reports results**

No

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07708727)

**Listing at source**

Listed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07708727)

**Recruitment status**

Recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07708727)

**Phase**

Phase 2/Phase 3

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07708727)

**Study type**

Interventional

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07708727)

## Dates

**Completion date**

2033-04-01

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07708727)

**First posted**

2026-07-16

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07708727)

**Registry last updated**

2026-10-13

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07708727)

**Primary completion date**

2030-10-01

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07708727)

**Start date**

2026-07-29

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07708727)

## Size and sites

**Participants**

700

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07708727)

**Participant count basis**

Estimated

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07708727)

**Planned participants**

700

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07708727)

**Protocol amendments**

0

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07708727)

**Number of sites**

16

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07708727)

## Sponsor and oversight

**Data monitoring committee**

Yes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07708727)

**Registry sponsor category**

Industry

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07708727)

**Lead sponsor**

Gilead Sciences

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07708727)

**Source registry**

ClinicalTrials.gov

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07708727)

## Identifiers

**Registry ID**

NCT07708727

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07708727)

**ClinicalTrials.gov ID**

NCT07708727

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07708727)

**Registry record**

Open registry record

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07708727)

## Study design

**Allocation**

Randomised

**Model**

Parallel groups

**Purpose**

Treatment

**Masking**

No masking

Sources for study design

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07708727)

## Outcomes

### Primary outcomes

1. Phase 2: 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  
Timeframe: Week 35
2. Phase 2: Part B: Proportion of Participants With HIV-1 RNA < 50 Copies/mL at Week 26 as Determined by the US FDA Snapshot Algorithm  
Timeframe: Week 26
3. Phase 3: Proportion of Participants With HIV-1 RNA < 50 Copies/mL at Week 52 as Determined by the US FDA Snapshot Algorithm  
Timeframe: Week 52

### Secondary outcomes

1. Phase 2: Parts A and B: Proportion of Participants With HIV-1 RNA < 50 Copies/mL at Week 12 as Determined by the US FDA Snapshot Algorithm  
Timeframe: Week 12
2. Phase 2: Parts A and B: Proportion of Participants With HIV-1 RNA < 50 Copies/mL at Week 52 as Determined by the US FDA Snapshot Algorithm  
Timeframe: Week 52
3. Phase 2: Parts A and B: Change From Baseline in Clusters of Differentiation 4 (CD4) Cell Count at Week 12  
Timeframe: Baseline, Week 12
4. Phase 2: Part A: Change From Baseline in CD4 Cell Count at Week 35  
Timeframe: Baseline, Week 35
5. Phase 2: Parts A and B: Change From Baseline in CD4 Cell Count at Week 52  
Timeframe: Baseline, Week 52
6. Phase 2: Part B: Change From Baseline in CD4 Cell Count at Week 26  
Timeframe: Baseline, Week 26
7. Phase 2: Parts A and B: Percentage of Participants Experiencing Treatment-Emergent Adverse Events (AEs) Through Week 12  
Timeframe: From first dose date up to Week 12
8. Phase 2: Part A: Percentage of Participants Experiencing Treatment-Emergent AEs Through Week 35  
Timeframe: Week 35
9. Phase 2: Part B: Percentage of Participants Experiencing Treatment-Emergent AEs Through Week 26  
Timeframe: From first dose date up to Week 26
10. Phase 2: Parts A and B and Phase 3: Percentage of Participants Experiencing Treatment-Emergent AEs Through Week 52  
Timeframe: From first dose date up to Week 52
11. Phase 2: Part A: Groups 1 and 2: Trough Concentrations of GS-3242 and LEN at Week 18  
Timeframe: Week 18
12. Phase 2: Part A: Groups 1 and 2: Trough Concentrations of GS-3242 and LEN at Week 35  
Timeframe: Week 35
13. Phase 2: Part A and Part B: Trough Concentrations of GS-3242 and LEN at Week 52  
Timeframe: Week 52
14. Phase 2: Part B: Trough Concentrations of GS-3242 and LEN at Week 26  
Timeframe: Week 26
15. Phase 3: Proportion of Participants with HIV-1 RNA < 50 copies/mL at Week 104 as determined by the US FDA snapshot algorithm  
Timeframe: Week 104
16. Phase 3: Change From Baseline in CD4 Cell Count at Week 52  
Timeframe: Baseline, Week 52
17. Phase 3: Change From Baseline in CD4 Cell Count at Week 104  
Timeframe: Baseline, Week 104
18. Phase 3: Percentage of Participants Experiencing Treatment-Emergent AEs Through Week 52  
Timeframe: From first dose up to Week 52
19. Phase 3: Percentage of Participants Experiencing Treatment-Emergent AEs Through Week 104  
Timeframe: From first dose up to Week 104

Sources for outcomes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07708727)

## Eligibility

**Sex**

All

**Age groups**

Adults, Older adults

**Minimum age**

18 Years

**Healthy volunteers**

No

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.

Sources for eligibility

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07708727)

## Sites

- Lundquist Inst Biomedical Innovation Harbor-UCLATorrance, United StatesRecruiting
- Yale University; School of Medicine; AIDS ProgramNew Haven, United StatesRecruiting
- Midway Immunology and Research CenterFt. Pierce, United StatesRecruiting
- Orlando Immunology Center, PAOrlando, United StatesRecruiting
- Triple O Research Institute, P.A.West Palm Beach, United StatesRecruiting
- Emory University Hospital Midtown Infectious Disease ClinicAtlanta, United StatesRecruiting
- Metro Infectious Disease Consultants, P.L.L.CDecatur, United StatesRecruiting
- KC care Health CenterKansas City, United StatesRecruiting
- St Hope Foundation, Inc,Bellaire, United StatesRecruiting
- Prism Health North TexasDallas, United StatesRecruiting
- North Texas Infectious Diseases Consultants, PADallas, United StatesRecruiting
- Texas Centers for Infectious Disease AssociatesFort Worth, United StatesRecruiting
- McGill University Health CentreDecarie Montreal, CanadaRecruiting
- CHU de Québec-Université LavalQuébec, CanadaRecruiting
- Proyecto ACTURio Piedras, Puerto RicoRecruiting
- HOPE Clinical ResearchSan Juan, Puerto RicoRecruiting

Sources for sites

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07708727)

## References

- Related resource (www.gileadclinicaltrials.com)  
Source: [www.gileadclinicaltrials.com](https://www.gileadclinicaltrials.com/study?nctid=NCT07708727)

### Other registry identifiers

- 2026-526026-40

Sources for references

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07708727)

## Related records

### Drugs (1)

- [Lenacapavir](https://trialight.com/data/asset/lenacapavir-74d8f142-1b1a-4ee0-8e45-708b1970a1ed.md)

### Lead sponsors (1)

- [Gilead Sciences](https://trialight.com/data/company/gilead-sciences-dc2ce801-6c14-47ef-b8fc-217ce33be039.md)

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