Drug name
Last update: Sep 2026Developer(s)
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3BNC117; CAS 1412902-17-0. Long-acting variants: 3BNC117-LS (teropavimab, GS-5423) and 3BNC117-LS-J
investigational
Biotherapeutic
bNAb targeting the CD4 binding site of gp120 on HIV-1 envelope
3BNC117 is a recombinant human IgG1 kappa bNAb cloned from an HIV-infected viraemic controller. It is a second-generation bNAb that binds the CD4 binding site on the HIV-1 envelope and, beyond neutralising virus, can engage Fc receptors to promote clearance of infected cells. It is the parent molecule of teropavimab (3BNC117-LS, GS-5423), the LS-modified long-acting variant that Gilead licensed from Rockefeller in January 2020 and is developing with zinlirvimab (10-1074-LS) and lenacapavir. The LS Fc modification roughly doubled half-life (median 2.8 versus 1.4 weeks in macaques), and teropavimab reached a mean half-life of 63.5 days after a 2,550 mg IV dose in people with HIV, which is what makes the six-monthly regimen feasible.
Not approved in any jurisdiction as of September 2026. The parent antibody 3BNC117 has been studied up to phase 2 in treatment and cure research. Its long-acting variant teropavimab (3BNC117-LS) is in phase 3 with zinlirvimab and lenacapavir, and holds US FDA breakthrough therapy designation for that combination (January 2025).
No marketing authorisation application identified for 3BNC117. Developed under US FDA IND 118225 (Rockefeller University); combination trials with albuvirtide conducted in China by Frontier Biotechnologies.
Intravenous
Monoclonal antibodies and antibody drug conjugates
Investigational. Doses studied: 1, 3, 10 and 30 mg/kg IV, single or repeated.
30 mg/kg IV per infusion
No approved or established regimen. Phase 2 treatment-interruption studies used repeated 30 mg/kg IV infusions of 3BNC117, alone or with 10-1074.
Pharmacokinetics are shortened in viraemic individuals (half-life 9.6 days versus 17.6 days without HIV), consistent with antigen-mediated clearance. Pre-screening of participant virus for 3BNC117 sensitivity was used in several trials.
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There are either no relevant patents or these were not yet submitted to LAPaL