A Study of GS-5423 and GS-2872 in Combination With Capsid Inhibitor Lenacapavir in Virologically Suppressed Adults With HIV-1 Infection
HIV Infections
About this trial
This is an interventional treatment trial for HIV Infections
Eligibility Criteria
Key Inclusion Criteria: On stable oral antiretroviral therapy (ART) consisting of no more than 2 drug classes (with the exception of pharmacologic boosters cobicistat or ritonavir) for ≥ 1 year prior to screening visit 2. A change in ART regimen ≥ 28 days prior to screening visit 2 for reasons other than virologic failure (VF) (eg, tolerability, simplification, drug-drug interaction profile) is allowed. No clinically significant documented historical resistance to the current ART regimen with the exception of isolated nucleoside reverse transcriptase inhibitor mutations including M184V or ≤ 2 thymidine analog mutations (TAMs: M41L, D67N, K70R, L210W, T215Y, and/or K219Q). Plasma HIV-1 RNA < 50 copies/mL at screening visit 2. Documented plasma HIV-1 RNA < 50 copies/mL for ≥ 12 months preceding screening visit 2 (or undetectable HIV-1 RNA level according to the local assay being used if the limit of detection is ≥ 50 copies/mL). Virologic elevations of ≥ 50 copies/mL (transient detectable viremia or "blips") prior to screening are acceptable. Proviral pheynotypic sensitivity to both teropavimab and zinlirvimab at screening or from protocol GS-US-536-5816 within 24 months prior to screening. Screening CD4+ T-cell count ≥ 200 cells/μL at screening visit 2. Key Exclusion Criteria: Comorbid condition requiring ongoing immunosuppression. Evidence of hepatitis C virus (HCV) infection (prior infection cleared spontaneously or with treatment is acceptable) Evidence of current hepatitis B virus (HBV) infection regardless of HBV surface antigen status, at the screening visit 2. History of opportunistic infection or illness indicative of Stage 3 HIV disease. Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Sites / Locations
- Ruane Clinical Research Group, Inc.Recruiting
- Mills Clinical ResearchRecruiting
- UC San Diego (UCSD) AntiViral Research Center (AVRC)Recruiting
- Optimus Medical GroupRecruiting
- University of Colorado Clinical and Translational Research CenterRecruiting
- Yale University; School of Medicine; AIDS ProgramRecruiting
- Georgetown University Medical CenterRecruiting
- Midland Florida Clinical Research Center, LLCRecruiting
- Can Community Health CareRecruiting
- Midway Immunology and Research CenterRecruiting
- Orlando Immunology CenterRecruiting
- Triple O Research Institute, P.A.Recruiting
- Emory University Hospital Midtown Infectious Disease ClinicRecruiting
- Infectious Disease Specialists of AtlantaRecruiting
- Be Well Medical CenterRecruiting
- Southhampton Healthcare, IncRecruiting
- ID Care, P.A.Recruiting
- AXCES Research Group, LLCRecruiting
- Montefiore Medical CenterRecruiting
- NC TraCS Institute - CTRC; University of North Carolina at Chapel HillRecruiting
- Duke University Health CenterRecruiting
- Regional Center for Infectious Disease ResearchRecruiting
- The Brody School of Medicine at East Carolina UniversityRecruiting
- Rosedale Health and WellnessRecruiting
- Prisma Health - Clinical Research UnitRecruiting
- St Jude Children's Research HospitalRecruiting
- Central Texas Clinical ResearchRecruiting
- AIDS Arms, Inc. DBA Prism Health North TexasRecruiting
- North Texas Infectious Diseases Consultant's, P.A.Recruiting
- AXCES Research Group, LLCRecruiting
- The Crofoot Research Center, INCRecruiting
- Clinical Alliance for Research & Education, Infectious Diseases LLC (CARE-ID)Recruiting
- East Sydney DoctorsRecruiting
- Holdsworth House Medical PracticeRecruiting
- Monash HealthRecruiting
- Alfred HospitalRecruiting
- CMU Quartier Latin Inc
- The Ottawa Hospital - General CampusRecruiting
- Maple Leaf Research/Maple Leaf Medical ClinicRecruiting
- University Health Network - Toronto General HospitalRecruiting
- Clinical Research Puerto RicoRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
Experimental
Experimental
Randomized Phase: Lenacapavir (LEN) + Teropavimab Dose A + Zinlirvimab Dose B
Randomized Phase: Antiretroviral Therapy (ART)
Extension Phase: LEN + Teropavimab Dose A + Zinlirvimab Dose B
Extension Phase: ART
Participants will receive oral LEN 600mg, subcutaneous (SC) LEN 927 mg, teropavimab Dose A, and zinlirvimab Dose B on Day 1. Participants will self-administer oral LEN 600 mg on Day 2. The last treatment regimen will include SC LEN + teropavimab Dose A + zinlirvimab Dose B.
Participants will continue their baseline oral ART through Week 52.
At Week 52, participants who receive the study drug of LEN, teropavimab, zinlirvimab, and complete study through Week 52 with human immunodeficiency virus type 1 (HIV-1) ribonucleic acid (RNA) < 50 copies/mL will be given the option to participate in the study extension phase, where they will continue to receive their randomized study drugs treatment regimen until after completion of the primary analysis (unless modified based on the data monitoring committee (DMC) analysis), up to approximately 5 years.
Participants who complete study through Week 52 with HIV-1 RNA < 50 copies/mL and in the absence of confirmed virologic rebound (VR) throughout the randomized phase of the study will be given the option to participate in the extension phase and receive the study drugs of LEN, teropavimab, and zinlirvimab at the dose specified for randomized phase until after completion of the primary analysis (unless modified based on the data monitoring committee (DMC) analysis), up to approximately 5 years. Treatment with study drug will begin at Week 52 and at that time the baseline oral ART will be discontinued.