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Supported by
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Gilead Sciences, Inc. Originator
https://www.gilead.com/
United States of America 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. |

Structure of GS-3242
Gilead
Not provided
Oral, Intramuscular
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.
400 mg, 800 mg and 1200mg IM & 450 mg PO
1200 mg IM
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
Approved dosing regimen is not available (as of March 2026)
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NCT07001319
https://clinicaltrials.gov/study/NCT07001319
Phase I
Recruiting
Gilead Sciences
This study is part of a master study. The goal of master protocol (GS-US-544-5905, NCT05585307) is to learn how novel antiretrovirals (medicines that stop the virus from multiplying) affect the human immunodeficiency virus-1 (HIV-1) infection in people living with HIV (PWH). Substudy GS-US-544-5905-05 is to learn more about the study drug GS-3242 in PLHIV. Participants will receive single dose of GS-3242 450 mg on Days 1 and 2 in the fasted condition. On day 11, they intiate SoC or Biktarvy
Study of GS-3242 in Participants With HIV-1; Substudy-05
Intervention 1
Intervention 2
Intervention 3
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2025-05-29
Anticipated Date of Last Follow-up
2026-01-22
Estimated Primary Completion Date
2026-04-01
Estimated Completion Date
2027-02-01
Actual Primary Completion Date
Not provided
Actual Completion Date
Not provided
Age Cohort
Genders
Accepts pregnant individuals
No
Accepts lactating individuals
No
Accepts healthy individuals
No
Key Inclusion Criteria: All Substudies: * Plasma human immunodeficiency virus-1 (HIV-1) ribonucleic acid (RNA) ≥ 5000 copies/mL but ≤ 400,000 copies/mL at screening. * Cluster of differentiation 4 (CD4) cell count \> 200 cells/mm\^3 at screening. * Antiretroviral (ARV) treatment-naive or treatment-experienced but naive to the investigational ARV drug class being investigated in the given substudy and have not received any ARV within 12 weeks of screening, including medications received for pre-exposure prophylaxis (PrEP) or postexposure prophylaxis (PEP) (note that current or prior receipt of long acting (LA) parenteral ARVs such as monoclonal antibodies (mAbs) targeting HIV-1, injectable cabotegravir (CAB), injectable rilpivirine (RPV) or injectable Lenacapavir (LEN) is exclusionary).
Interventional (clinical trial)
30
Non-randomized
Sequential assignment
Not provided
Open label
Not provided
Treatment
NCT05585307
https://clinicaltrials.gov/study/NCT05585307
Phase I
Completed
Gilead Sciences
Master protocol: The goal of this master clinical trial study is to learn how novel antiretrovirals (medicines that stop the virus from multiplying) affect the human immunodeficiency virus-1 (HIV-1) infection in people living with HIV (PWH). Substudy-01 (GS-US-544-5905-01) will evaluate bavtavirine in PWH. Substudy-02 (GS-US-544-5905-02) will evaluate GS-1720 in PWH. Substudy-03 (GS-US-544-5905-03) will evaluate GS-6212 in PWH. Substudy GS-US-544-5905-05 is to learn more about the study drug GS-3242 in PWH.
Study of Novel Antiretrovirals in Participants With HIV-1
Intervention 1
Intervention 2
Intervention 3
Intervention 4
Intervention 5
Not provided
Anticipated Start Date
Not provided
Actual Start Date
2022-10-26
Anticipated Date of Last Follow-up
2025-04-18
Estimated Primary Completion Date
Not provided
Estimated Completion Date
Not provided
Actual Primary Completion Date
2024-02-17
Actual Completion Date
2024-03-18
Age Cohort
Genders
Accepts pregnant individuals
No
Accepts lactating individuals
No
Accepts healthy individuals
No
Key Inclusion Criteria: All Substudies: * Plasma human immunodeficiency virus-1 (HIV-1) ribonucleic acid (RNA) ≥ 5000 copies/mL but ≤ 400,000 copies/mL at screening. * Cluster of differentiation 4 (CD4) cell count \> 200 cells/mm\^3 at screening. * Antiretroviral (ARV) treatment-naive or treatment-experienced but naive to the investigational ARV drug class being investigated in the given substudy and have not received any ARV within 12 weeks of screening, including medications received for pre-exposure prophylaxis (PrEP) or postexposure prophylaxis (PEP) (note that current or prior receipt of long acting (LA) parenteral ARVs such as monoclonal antibodies (mAbs) targeting HIV-1, injectable cabotegravir (CAB), or injectable rilpivirine (RPV) is exclusionary). * Have adequate renal function
Interventional (clinical trial)
49
Non-randomized
Sequential assignment
Not provided
Open label
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Not provided
Treatment
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Phase II
Not yet recruiting
Gilead Sciences
Not provided
Not provided
Not provided
Not provided
Not provided
Anticipated Start Date
2026-06-01
Actual Start Date
Not provided
Anticipated Date of Last Follow-up
Not provided
Estimated Primary Completion Date
Not provided
Estimated Completion Date
Not provided
Actual Primary Completion Date
Not provided
Actual Completion Date
Not provided
Age Cohort
Unspecified
Genders
Unspecified
Accepts pregnant individuals
Unspecified
Accepts lactating individuals
Unspecified
Accepts healthy individuals
Unspecified
Not provided
Not provided
Not provided
Not provided
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Treatment
| Type | Title | Content | Link |
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| Link | Gilead at JP Morgan 2026 Healthcare Conference | https://s29.q4cdn.com/585078350/files/doc_downloads/2026/GILD-JP-Morgan-Presentation-12-January-2026.pdf |
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There are either no relevant patents or these were not yet submitted to LAPaL
Arens, Y., & Gulick, R. M. (2025). Future options for long-acting HIV treatment and prevention. Current Opinion in HIV and AIDS, 20(1), 39-47.
Purpose of review
The aim of this review was to describe future options for long-acting HIV treatment and preexposure prophylaxis (PrEP) regimens featuring both innovations with currently approved antiretrovirals and a profile of investigational agents in the pipeline.
Recent findings
Newer formulations and modes of delivery for existing antiretroviral drugs and a number of investigational agents are under study for long-acting HIV treatment and PrEP. Regimens with weekly oral dosing for HIV treatment, monthly oral dosing for HIV PrEP, and injectable agents with longer dosing intervals (every 3 months or longer) for treatment and PrEP are in clinical development. Newer agents with novel mechanisms of action and newer modes of administration including vaginal rings, implants, patches, and rectal douches also are under investigation.
Summary
Despite the success of current antiretroviral therapy and PrEP with one-pill, once-daily regimens, there is a continuing need for new formulations, investigational agents, and novel modes of delivery to overcome barriers to implementation and ensure real-world effectiveness. Newer long-acting antiretroviral regimens for HIV treatment and PrEP using novel preparations and strategies will offer choice, enhance adherence, decrease toxicity, and improve patient and provider satisfaction.
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Collaborate for developmentConsider on a case by case basis, collaborating on developing long acting products with potential significant public health impact, especially for low- and middle-income countries (LMICs), utilising the referred to long-acting technology Not provided |
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Share technical information for match-making assessmentProvide necessary technical information to a potential partner, under confidentiality agreement, to enable preliminary assessment of whether specific medicines of public health importance in LMICs might be compatible with the referred to long-acting technology to achieve a public health benefit Not provided |
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Work with MPP to expand access in LMICsIn the event that a product using the referred to long-acting technology is successfully developed, the technology IP holder(s) will work with the Medicines Patent Pool towards putting in place the most appropriate strategy for timely and affordable access in low and middle-income countries, including through licensing Not provided |
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