Twice-Yearly HIV shot could replace daily pill regimen
NCT ID NCT07683000
First seen Jul 06, 2026 · Last updated Jul 31, 2026 · Updated 3 times
Summary
This phase 3 trial tests whether a combination of two broadly neutralizing antibodies (teropavimab and zinlirvimab) plus a capsid inhibitor (lenacapavir), given as injections just twice a year, can keep HIV under control as well as daily oral medications. The study enrolls adults with HIV-1 whose virus is already suppressed. Participants either switch to the long-acting injectable regimen or continue their usual daily pills. The main goal is to see if the injectable regimen maintains viral suppression at 52 weeks.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- lenacapavir, teropavimab, and zinlirvimab
- What this could lead to
- If successful, this could offer people with HIV a twice-yearly injection instead of daily pills, simplifying treatment and improving adherence.
- What could go wrong
- This is an early-phase 3 trial, so results may not confirm long-term safety or efficacy. Some participants may experience side effects or viral rebound.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 590 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2026
- Expected to finish
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Mar 2033
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Key Inclusion Criteria: * Human immunodeficiency virus type 1 (HIV-1) susceptibility results from screening meeting specific criteria: 1\) Proviral phenotypic susceptibility to both TAB and ZAB by the investigational protocol-defined assay at screening. * Plasma HIV-1 RNA levels \< 50 copies/mL at screening. * At least 1 documented HIV-1 RNA level measured between 6 months and 12 months (+2 months) prior to screening. This and any other HIV-1 RNA measurements documented in this period must be \< 50 copies/mL (undetectable HIV-1 RNA level according to the local assay being used if the limit of detection is ≥ 50 copies/mL). A single virologic elevation of ≥ 50 copies/mL and \< 400 copies/mL (transient detectable viremia or "blips") prior to screening are acceptable if the subsequent plasma HIV-1 RNA level is \< 50 copies/mL. * A plasma HIV-1 RNA test \< 50 copies/mL (undetectable HIV-1 RNA level according to the local assay being used if the limit of detection is ≥ 50 copies/mL) within the last 6 months prior. * If \> 1 plasma HIV-1 RNA measurements in the last 6 months prior to screening are available, all must be \< 50 copies/mL (undetectable HIV-1 RNA level according to the local assay being used if the limit of detection is ≥ 50 copies/mL). * On a stable oral antiretroviral (ARV) therapy (ART) for ≥ 6 months prior to screening. * A change in ART regimen ≥ 3 months prior to the screening visit for reasons other than virologic failure (eg, tolerability, simplification, drug-drug interaction profile) is allowed; individuals with a change in ART regimen ≥ 3 months prior to screening must have been on the regimen for ≥ 3 months prior to screening, and all HIV-1 RNA measurements in that period must be \< 50 copies/mL. There are no permitted changes to ART regimens between screening and Day 1. Key Exclusion Criteria: * History of an opportunistic infection or illness indicative of Stage 3 HIV disease. * Known hypersensitivity to the study intervention, its metabolites, or formulation excipients. * Active, serious infections (other than HIV-1) requiring therapy \< 30 days prior to randomization. * Active tuberculosis infection. * Acute hepatitis of any cause \< 30 days before randomization. * History of, or current clinical decompensated liver cirrhosis (eg, ascites, encephalopathy, or variceal bleeding) or severe hepatic impairment (Child-Pugh Class C). * Active malignancy requiring acute systemic therapy. * Have poor venous access that would limit phlebotomy or intravenous (IV) infusion of study drugs. * Prior use of, or exposure to, LEN or a broadly neutralizing antibody (bNAb) for HIV-1. * Prior use of, or exposure to, long-acting (LA) injectable cabotegravir (CAB) or LA injectable rilpivirine (RPV). * Prior use of, or exposure to, ibalizumab, fostemsavir, or maraviroc. * Current use of, or exposure to, nevirapine or zidovudine. * Baseline regimen consisting of monotherapy with any single ARV. * Treatment with immunosuppressant therapies (eg, corticosteroids, immunoglobulins, and other immune- or cytokine-based therapies) within 4 weeks of screening (with the exception of a single short course of corticosteroids lasting ≤ 7 days) or have a comorbid condition with an anticipated need ongoing immunosuppressive treatment during the study. * Hepatitis C virus (HCV) antibody positive and HCV RNA detectable. * Chronic hepatitis B virus (HBV) infection, as determined by either: 1. Positive HBV surface antigen and negative HBV surface antibody, regardless of HBV core antibody status, at the screening visit. 2. Positive HBV core antibody and negative HBV surface antibody, regardless of HBV surface antigen status, at the screening visit. Note: Individuals found to be susceptible to HBV infection (eg, negative hepatitis B surface antibody at the screening visit, regardless of prior HBV vaccination history) should be recommended to receive an HBV vaccination. Those who remain non-immune will receive regular testing for HBV. * Severe renal impairment-estimated glomerular filtration rate \< 30 mL/min according to the Cockcroft-Gault formula. * Abnormal electrocardiogram (ECG) at the screening visit that is clinically significant, as determined by the investigator. * Any of the following laboratory values at screening: 1. Alanine aminotransferase \> 5 × upper limit of normal (ULN). 2. Direct bilirubin \> 1.5 × ULN 3. Platelets \< 50,000/mm\^3. 4. Hemoglobin \< 8.0 g/dL. Note: Other protocol defined Inclusion/Exclusion criteria may apply.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
2 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Be Well Medical Center
RECRUITINGBerkeley, Michigan, 48072, United States
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Clinical Alliance for Research & Education - Infectious Diseases, LLC (CARE-ID)
RECRUITINGAnnandale, Virginia, 22003, United States
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