Weekly HIV pill could replace daily doses
NCT ID NCT05052996
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests if a once-weekly combination of two oral drugs, islatravir and lenacapavir, can keep HIV under control in people whose virus is already suppressed. 142 participants switched from their daily HIV pill to this weekly regimen. The main goal is to see if the virus stays undetectable after 24 weeks. This is not a cure, but aims to make HIV management easier with fewer doses.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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142 people
The number who actually took part.
- Started
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Oct 2021
- Expected to finish
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Mar 2028
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: * Received bictegravir/emtricitabine/tenofovir alafenamide (B/F/TAF) for ≥ 24 weeks at screening. * Documented plasma human immunodeficiency virus type 1 (HIV-1) ribonucleic acid (RNA) \< 50 copies/mL (or undetectable HIV-1 RNA level according to the local assay being used if the limit of detection is ≥ 50 copies/mL) for ≥ 24 weeks before and at screening. * Plasma HIV-1 RNA \< 50 copies/mL at screening. Key Exclusion Criteria: * History of prior virologic failure while receiving treatment for HIV-1. * Prior use of, or exposure to, islatravir (ISL) or lenacapavir (LEN). * Active, serious infections requiring parenteral therapy \< 30 days before randomization. * Active or occult hepatitis B virus (HBV) coinfection, defined as hepatitis B core antibody (HBcAb) positive, hepatitis B surface antigen (HBsAg) positive, or HBV deoxyribonucleic acid (DNA) positive as determined by the central laboratory. * Active hepatitis C virus (HCV) coinfection, defined as detectable HCV RNA. * Any of the following laboratory values at screening: * Creatinine clearance (CLcr) ≤ 30 mL/min according to the Cockcroft-Gault formula * CD4+ T-cells \< 200 cells/mm\^3 (Cohort 1); CD4+ T-cells \< 350 cells/mm\^3 (cohort 2). * Absolute lymphocyte count \< 900 cells/mm\^3 (cohort 2). * Individuals of childbearing potential (as defined in protocol) who have a positive serum pregnancy test at screening or positive urine and serum pregnancy tests at Day 1 prior to study drug administration. * Individuals who plan to continue breastfeeding during the study. * Documented historical or screening resistance reports showing nucleoside/nucleotide reverse transcriptase inhibitors (NRTIs) or non-nucleoside/nucleotide reverse transcriptase inhibitors (NNRTIs) resistance mutations in reverse transcriptase, including M184V/I (Cohort 2). 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.
Contacts and locations
Locations
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AIDS Arms Inc
Dallas, Texas, 75208, United States
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AXCES Research Group
Santa Fe, New Mexico, 87505, United States
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AccessHealth MA
Boston, Massachusetts, 02129, United States
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Atlanta ID Group, PC
Atlanta, Georgia, 30309, United States
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BIOS Clinical Research
Palm Springs, California, 92262, United States
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Be Well Medical Center
Berkley, Michigan, 48072, United States
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Boston Medical Center
Boston, Massachusetts, 02118, United States
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CAN Community Health Care, Inc.
Fort Lauderdale, Florida, 33316, United States
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Central Texas Clinical Research, LLC
Austin, Texas, 78705, United States
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Chatham County Health Department
Savannah, Georgia, 31401, United States
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Community Health Care
Tacoma, Washington, 98405, United States
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Emory University Hospital Midtown Infectious Disease Clinic
Atlanta, Georgia, 30308, United States
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Floridian Clinical Research
Miami Lakes, Florida, 33016, United States
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Hennepin Healthcare HCMC
New Brighton, Minnesota, 55112, United States
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Hoag Medical Group - Newport Beach
Newport Beach, California, 92663, United States
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Howard Brown Health Center
Chicago, Illinois, 60613, United States
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Huntridge Family Clinic
Las Vegas, Nevada, 89104, United States
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ID Care
Hillsborough, New Jersey, 08844, United States
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Indiana CTSI Clinical Research Center
Indianapolis, Indiana, 46202, United States
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JEM Research Institute
Lake Worth, Florida, 33462, United States
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Jacobi Medical Center
The Bronx, New York, 10461, United States
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John A. Burns School of Medicine, University of Hawaii Clinics at Kaka'ako
Honolulu, Hawaii, 96813, United States
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Metro Infectious Disease Consultants
Decatur, Georgia, 30033, United States
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Midway Immunology and Research Center
Ft. Pierce, Florida, 34982, United States
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Mills Clinical Research
Los Angeles, California, 90069, United States
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MultiCare Rockwood Main Clinic
Spokane, Washington, 99202, United States
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NC TraCS Institute - CTRC: University of North Carolina at Chapel Hill
Chapel Hill, North Carolina, 27599, United States
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New York-Presbyterian Queens
Flushing, New York, 11355, United States
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North Texas Infectious Diseases Consultants, P.A.
Dallas, Texas, 75246, United States
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Northstar Healthcare
Chicago, Illinois, 60657, United States
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Optimus Medical Group
San Francisco, California, 94102, United States
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Orlando Immunology Center
Orlando, Florida, 32803, United States
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Pacific Oaks Medical Group
Beverly Hills, California, 90211, United States
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Penn Medicine: Perelman Center for Advanced Medicine at the Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania, 19104, United States
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Peter Shalit, M.D.
Seattle, Washington, 98104, United States
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Philadelphia FIGHT Community Health Centers
Philadelphia, Pennsylvania, 19107, United States
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Public Health Institute at Denver Health
Denver, Colorado, 80204, United States
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Ruane Clinical Research Group, Inc
Los Angeles, California, 90036, United States
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Schiff Center for Liver Diseases/University of Miami
Miami, Florida, 33136, United States
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Southampton Healthcare, Inc.
St Louis, Missouri, 63139, United States
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The Crofoot Research Center, INC
Houston, Texas, 77098, United States
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The George Washington University Medical Faculty Associates Inc.
Washington D.C., District of Columbia, 20037, United States
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Vivent Health
Denver, Colorado, 80246, United States
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Washington Health Institute
Washington D.C., District of Columbia, 20017, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- HIV cure clue: does early treatment shrink the hidden virus?
- Can a cancer drug flush out hidden HIV?
- Can two antibodies and a cancer drug free people with HIV from daily pills?
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- A simple idea to stop STIs: send treatment home with the patient