Could a shot replace daily HIV pills? new trial tests Two-Injection combo
NCT ID NCT07645287
First seen Jun 25, 2026 · Last updated Sep 04, 2026 · Updated 5 times
Summary
This Phase 2 trial tests whether switching to a combination of two injectable drugs, GS-3242 and lenacapavir, works as well as staying on the daily pill Biktarvy for people with HIV who already have the virus under control. About 175 participants will be randomly assigned to either the injectable regimen or continue their current pill. The main goal is to see if the injectable keeps the virus suppressed at 35 weeks (Part A) and 26 weeks (Part B).
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- GS-3242 and lenacapavir (injectable drugs)
- What this could lead to
- If successful, this could offer people with HIV a long-acting injectable alternative to daily pills, making treatment easier and more private.
- What could go wrong
- This is an early Phase 2 trial with only 175 participants. The injectable regimen may not keep the virus suppressed as well as the daily pill, and side effects from the injections are possible.
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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 175 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2026
- Expected to finish
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Apr 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: * Documented human immunodeficiency virus type 1 (HIV-1) ribonucleic acid (RNA) \< 50 copies/mL for ≥ 6 months before screening. * Plasma HIV-1 RNA levels \< 50 copies/mL at screening. * Receiving bictegravir/emtricitabine/tenofovir alafenamide (coformulated; Biktarvy®) (B/F/TAF) for ≥ 6 months prior to screening. * No documented resistance to GS-3242 (integrase mutation Q148H/K/R plus at least 2 of the following integrase mutations: L74I/M, T97A, E138A/K/T, or G140A/C/S). Key Exclusion Criteria: * Prior use of, or exposure to GS-3242 or LEN. * History of virologic failure while on an integrase strand transfer inhibitor (INSTI)-based regimen. * Prior use of any long-acting parenteral antiretroviral 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.
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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
49 sites in 4 countries. 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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AHF - Pensacola
RECRUITINGPensacola, Florida, 32504, United States
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AIDS Healthcare Foundation -Coconut Grove
RECRUITINGMiami, Florida, 33133, United States
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AXCES Research Group, LLC
RECRUITINGSante Fe, New Mexico, 87505, United States
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AXCES Research Group, LLC
RECRUITINGEl Paso, Texas, 79902, United States
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AXCES Research Group, LLC
RECRUITINGSalt Lake City, Utah, 84102, United States
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Be Well Medical Center
RECRUITINGBerkeley, Michigan, 48072, United States
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Brooklyn Clinical Research
RECRUITINGBrooklyn, New York, 11226, United States
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CAN Community Health Fort Lauderdale
RECRUITINGFort Lauderdale, Florida, 33316, United States
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CAN Community Health Inc.
RECRUITINGSarasota, Florida, 34237, United States
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CMU du Quartier Latin
RECRUITINGMontreal, H2L 5B1, Canada
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Central Texas Clinical Research
RECRUITINGAustin, Texas, 78705, United States
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Chatham County Health Department
RECRUITINGSavannah, Georgia, 31401, 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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Clinical Research Puerto Rico
RECRUITINGSan Juan, PR, 00909, Puerto Rico
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Diagnostic Clinic of Longview
RECRUITINGLongview, Texas, 75605, United States
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East Sydney Doctors
RECRUITINGSydney, New South Wales, 2010, Australia
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Emory University Hospital Midtown Infectious Disease Clinic
RECRUITINGAtlanta, Georgia, 30308, United States
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Floridian Clinical Research, LLC
RECRUITINGMiami Lakes, Florida, 33016, United States
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HOPE Clinical Research
RECRUITINGSan Juan, PR, 00909, Puerto Rico
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ID care
RECRUITINGHillsborough, New Jersey, 08844, United States
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KC CARE Health Center
RECRUITINGKansas City, Missouri, 64111, United States
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Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center
RECRUITINGTorrance, California, 90502, United States
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McGill University Health Centre
RECRUITINGMontreal, Quebec, H4A 3J1, Canada
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Mercer University, Department of Internal Medicine
RECRUITINGMacon, Georgia, 31201, United States
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Metro Infectious Disease Consultants, P.L.L.C.
RECRUITINGDecatur, Georgia, 30033, United States
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Midland Florida Clinical Research Center, LLC
RECRUITINGDeLand, Florida, 32720, United States
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Midway Immunology and Research Center
RECRUITINGFt. Pierce, Florida, 34982, United States
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Momentum Clinical Research Darlinghurst
RECRUITINGSydney, New South Wales, 2010 NSW, Australia
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Montefiore Medical Center
ACTIVE_NOT_RECRUITINGThe Bronx, New York, 10467, United States
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MultiCare-Deaconess Medical Office Building 2
ACTIVE_NOT_RECRUITINGSpokane, Washington, 99202, United States
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NYU Langone Health Vaccine Center
RECRUITINGNew York, New York, 10016, United States
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NewYork-Presbyterian Queens
RECRUITINGFlushing, New York, 11355, United States
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North Texas Infectious Disease Consultants, P.A.
RECRUITINGDallas, Texas, 75246, United States
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Optimus Medical Group
RECRUITINGSan Francisco, California, 94102, United States
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Orlando Immunology Center, PA
RECRUITINGOrlanda, Florida, 32803, United States
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Pacific Oak Medical Group
RECRUITINGBeverly Hills, California, 90211, United States
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Philadelphia FIGHT Community Health Centers, Jonathan Lax Treatment Center
RECRUITINGPhiladelphia, Pennsylvania, 19107, United States
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Prahran Market Clinic,
RECRUITINGSouth Yarra, Victoria, 3141, Australia
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Prism Health North Texas
RECRUITINGDallas, Texas, 75208, United States
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Proyecto ACTU
RECRUITINGRio Piedras, PR, 00925, Puerto Rico
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Pueblo Family Physicians
ACTIVE_NOT_RECRUITINGPhoenix, Arizona, 85015, United States
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Rosedale Health and Wellness
RECRUITINGHuntersville, North Carolina, 28078, United States
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Ruane Clinical Research Group Inc.
ACTIVE_NOT_RECRUITINGLos Angeles, California, 90036, United States
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Saint Michael's Medical Center
RECRUITINGNewark, New Jersey, 07102, United States
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South Jersey Infectious Disease
RECRUITINGSomers Point, New Jersey, 08244, United States
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Southampton Community Healthcare
RECRUITINGSt Louis, Missouri, 63139, United States
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Spectrum Health
ACTIVE_NOT_RECRUITINGVancouver, V6Z2T1, Canada
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St. Hope Foundation
RECRUITINGBellaire, Texas, 77401, United States
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Taylor Square Private Clinic
RECRUITINGSurry Hills, New South Wales, 2010, Australia
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Texas Centers for Infectious Disease Associates
ACTIVE_NOT_RECRUITINGFort Worth, Texas, 76109, United States
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The Crofoot Research Center, INC.
RECRUITINGHouston, Texas, 77098, United States
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TribalMed PLLC
RECRUITINGSeattle, Washington, 98104, United States
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Triple O Research Institute, PA
RECRUITINGWest Palm Beach, Florida, 33407, United States
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University of California San Francisco, Community and Clinical Research Center
RECRUITINGSan Francisco, California, 94110, United States
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Vivent Health
RECRUITINGDenver, Colorado, 80246, United States
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Other studies related to the condition(s) this trial covers.
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