Study to Evaluate the Safety and Efficacy of Lenacapavir (GS-6207) in Combination With an Optimized Background Regimen (OBR) in Heavily Treatment Experienced Participants Living With HIV-1 Infection With Multidrug Resistance (CAPELLA)
HIV-1-infection
About this trial
This is an interventional treatment trial for HIV-1-infection
Eligibility Criteria
Key Inclusion Criteria:
- Adult aged ≥ 18 years (at all sites) or adolescent aged ≥ 12 and weighing ≥ 35 kg (at sites in North America and Dominican Republic)
- Currently receiving a stable failing ARV regimen for > 8 weeks
- Have HIV-1 RNA ≥ 400 copies/mL at screening
- Have multidrug resistance (resistance to ≥2 agents from ≥3 of the 4 main classes of ARV)
- Have no more than 2 fully active ARV remaining from the 4 main classes that can be effectively combined to form a viable regimen
- Able and willing to receive an OBR together with lenacapavir
- No Hepatitis C virus (HCV) ongoing infection
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Sites / Locations
- Ruane Clinical Research Group Inc
- Mills Clinical Research
- Eisenhower Health Center at Rimrock
- One Community Health
- Yale University; School of Medicine
- Washington Health Institute
- Midland Florida Clinical Research Center, LLC
- Gary J. Richmond, M.D., P.A.
- Midway Immunology and Research Center
- Floridian Clinical Research
- AIDS Healthcare Foundation - South Beach
- Orlando Immunology Center
- St. Joseph's Hospital Comprehensive Research Institute
- Triple O Research Institute, P.A.
- Emory Hospital Midtown Infectious Disease Clinic
- Atlanta ID Group, PC
- Chatham County Health Department
- Howard Brown Health Center
- Northstar Healthcare
- Be Well Medical Center
- Southampton Healthcare, Inc.
- Jacobi Medical Center
- New York-Presbyterian/Queens
- North Shore University Hospital/Division of Infectious Diseases
- Atrium Health- Infectious Disease Consultants
- Perelman Center for Advanced Medicine at the Hospital of the University of Pennsylvania
- The Miriam Hospital
- 1265 Union Avenue, 8 East
- Central Texas Clinical Research
- St Hope Foundation
- AIDS Arms, Inc. DBA Prism Health North Texas
- North Texas Infectious Diseases Consultants, P.A.
- The Crofoot Research Center, INC.
- DCOL Center for Clinical Research
- Clinical Alliance for Research and Education - Infectious Diseases, LLC (CARE-ID)
- Vancouver ID Research and Care Centre Society
- Maple Leaf Research/Maple Leaf Medical Clinic
- Clinique de médecine urbaine du Quartier Latin
- The Ottawa Hospital
- Instituto Dominicano de Estudios Virologicos (IDEV)
- Hospital Dr. Salvador Bienvenido Gautier
- Hôpital Sainte-Marguerite
- Hôpital Saint-Louis
- Hôpital Saint-Antoine
- Hôpital Bichat-Claude Bernard
- Universitätsklinikum Frankfurt, Medizinische Klinik II
- Universitätsklinikum Essen, Klinik für Dermatologie und Venerologie
- ICH Study Center GmbH & Co. KG
- University of Naples Federico II
- UOC Malattie Infettive - ASST Spedali Civili Di Brescia - Piazzale Spedali Civili 1
- Divisione di Malattie Infettive, IRCCS Ospedale San Raffaele
- U.O.C. IMMUNODEFICIENZE VIRALI - Istituto Nazionale Malattie Infettive Lazzaro Spallanzani IRCCS
- U.O.C. Malattie Infettive - Fondazione Policlinico Universitario A. Gemelli IRCCS
- National Hospital Organization Nagoya Medical Center
- National Hospital Organization Osaka National Hospital
- Tokyo Medical University Hospital
- Center Hospital of the National Center for Global Health and Medicine
- Durban International Clinical Research Site, Enhancing Care Foundation
- Helen Joseph Hospital
- Vx Pharma
- Perinatal HIV Research Unit (PHRU)
- Hospital Universitari Germans Trías i Pujol
- Hospital Clinic de Barcelona
- Hospital Universitario La Paz
- Hospital Universitario Virgen del Rocío
- Kaohsiung Medical University Chung-Ho Memorial Hospital
- Kaohsiung Veterans General Hospital
- Far Eastern Memorial Hospital
- National Taiwan University Hospital
- Taoyuan General Hospital, Ministry of Health and Welfare
- Thai Red Cross AIDS Research Center
- Faculty of Medicine Ramathibodi Hospital, Mahidol University
- Faculty of Medicine Siriraj Hospital, Mahidol University
- Faculty of Medicine, Khon Kaen University
- Bamrasnaradura Infectious Diseases Institute
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Placebo Comparator
Experimental
Cohort 1A: Lenacapavir
Cohort 1B: Placebo to Lenacapavir
Cohort 2: Lenacapavir
Participants with human-immunodeficiency virus-1 ribonucleic acid (HIV-1 RNA) ≥ 400 copies/mL and with a <0.5 log10 HIV-1 RNA decline at Cohort Selection visit compared with screening visit will receive oral lenacapavir 600 mg tablet on Days 1 and 2 and 300 mg tablet on Day 8, while continuing their failing regimen in blinded Functional Monotherapy Period (Baseline to Day 14); followed by unblinded Maintenance Period where participants will receive subcutaneous (SC) lenacapavir 927 mg and will initiate an OBR at Day 1 SC Visit (14 days after the first dose of oral lenacapavir). Participants will receive their subsequent SC lenacapavir injection at Week 26 Visit (relative to Day 1 SC). At Week 52 (relative to Day 1 SC), participants will be given an option to receive SC lenacapavir injections every 6 months (26 weeks), while continuing their OBR, until product becomes accessible to participants through an access program or until Gilead elects to discontinue the study in the country.
Participants with HIV-1 RNA ≥ 400 copies/mL and with a <0.5 log10 HIV-1 RNA decline at the Cohort Selection visit compared with screening visit will receive oral lenacapavir placebo on Days 1, 2, and 8 while continuing their failing regimen in blinded Functional Monotherapy Period (Baseline to Day 14); followed by unblinded Maintenance Period where participants will receive oral lenacapavir 600 mg on Days 15 and 16 and 300 mg on Day 22, and will initiate an OBR on Day 15. At Day 1 SC (14 days after the first dose of oral lenacapavir), participants will receive SC lenacapavir 927 mg while continuing OBR. Participants will receive their next SC injection at the Week 26 Visit (relative to Day 1 SC). At Week 52 (relative to Day 1 SC), participants will be given an option to receive SC lenacapavir every 6 months (26 weeks), while continuing their OBR, until the product becomes accessible to participants through an access program or until Gilead elects to discontinue study in the country.
Participants with a ≥ 0.5 log10 copies/mL HIV-1 RNA decline at the Cohort Selection Visit compared with the screening visit or with HIV-1 RNA < 400 copies/mL or if Cohort 1 is fully enrolled will receive oral lenacapavir 600 mg tablet on Days 1 and 2 and 300 mg tablet on Day 8, and will initiate an OBR on Day 1 in Oral Lead-in Period (Baseline to Day 14); followed by Maintenance Period where participants will receive SC lenacapavir 927 mg at Day 1 SC Visit (14 days after the first dose of oral lenacapavir) while continuing their OBR. Participants will receive their subsequent SC lenacapavir injection at the Week 26 Visit (relative to Day 1 SC). At Week 52 (relative to Day 1 SC), participants will be given the option to receive SC lenacapavir injections every 6 months (26 weeks), while continuing their OBR, until the product becomes accessible to participants through an access program or until Gilead elects to discontinue the study in the country.