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Drug information

Drug's link(s)

Not provided

Generic name

GS-3242

Brand names

Not provided

Compound type

Small molecule

Drug class/category

Integrase Strand Transfer Inhibitors (INSTIs)

Summary

GS-3242 is a long-acting injectable (LAI) under development for the treatment of people living with HIV with plasma HIV-1 RNA levels of 5,000–400,000 copies/mL. In vitro data predict a dosing interval of ≥3 months. Two clinical studies (Phase 1a/1b) are ongoing. In Phase 1a, intramuscular doses of 400 mg (n=9), 800 mg (n=8), or 1200 mg (n=9) were administered. In Phase 1b, participants received GS-3242 250 mg orally on Days 1 and 2. Interim results showed treatment-emergent adverse events limited to injection-site reactions (Grade 1: 58%; Grade 2: 42%). Mean plasma HIV-1 RNA reduction was −2.31 log10 copies/mL. The terminal half-life was 47–56 days, with dose-proportional Cmax values of 5,062 μg/mL (400mg) , 9,640 μg/mL (800 mg), and 14,580 μg/mL (1200mg), respectively.

Approval status

Not approved yet.

Regulatory authorities

Not approved yet.

Therapeutic area(s)

  • HIV
Use case(s)
  • Treatment

Administration route

Oral, Intramuscular

Associated long-acting platforms

Not provided

Use of drug

Ease of administration
  • Administered by a community health worker
  • Administered by a nurse
  • Administered by a specialty health worker
  • Self-administered
Frequency of administration
  • Once
  • Every 4 months
  • Every 3 months
User acceptance
Phase 1b trial interim results show that the TEAEs are: Grade 1 Injection site pain - 58%; Grade 2 Injection site pain - 42%; Headache; Nausea & Malaise. The formulation needs cold chain.

Dosage

Available dose and strength

400 mg, 800 mg and 1200mg IM & 450 mg PO

Maximum dose

1200 mg IM

Recommended dosing regimen

Based on clinical trial dosing plan: 1) 400 mg IM (possible dosing interval of Q3M or longer) 2) 800 mg IM (possible dosing interval of Q3M or longer) 3) 1200 mg IM (possible dosing interval of Q3M or longer) 4) 450 mg PO

Additional comments

Approved dosing regimen is not available (as of March 2026)

Dosage link(s)

Not provided

Associated compounds, formulations and regimens

Associated formulations and regimens
Compare

GS-3242+LEN

Associated technologies

Not provided

Additional information

Not provided

Developer(s)

Gilead
Originator
United States of America

Gilead

Gilead Sciences, Inc. is a leading American biopharmaceutical company headquartered in Foster City, California. Founded in 1987 by Michael L. Riordan, the company has grown into a global powerhouse in the development of antiviral drugs and has significantly expanded its presence in oncology and inflammatory diseases. In Feb 2026, Gilead announced its intention to acquire Arcellx for $7.8 billion.

Drug structure

Scale-up and manufacturing prospects

Scale-up prospects

Not provided

Tentative equipment list for manufacturing

Not provided

Manufacturing

Not provided

Specific analytical instrument required for characterization of formulation

Not provided

Excipients & delivery device(s)

Proprietary excipients used

Not provided

Novel excipients or existing excipients at a concentration above Inactive Ingredient Database (IID) for the specified route of administration

Not provided

Residual solvents used

Not provided

Delivery device(s)

Not provided

Safety, Efficacy and Evidence Summary

Safety

Not provided

Efficacy

Not provided

Evidence Summary

Not provided

References and relevant studies

Not provided

There are either no relevant patents or these were not yet submitted to LAPaL