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Supported by

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Gilead

GS-3242


Developer(s)

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.


Drug structure

Structure of GS-3242

Structure of GS-3242

Gilead


Drug information

Associated long-acting platforms

Not provided

Administration route

Oral, Intramuscular

Therapeutic area(s)

HIV

Use case(s)

Treatment

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


Drug information

Drug's link(s)

Not provided

Generic name

GS-3242

Brand name

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.

Delivery device(s)

Not provided


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


Clinical trials

GS-US-544-5905-05

Identifier

NCT07001319

Link

https://clinicaltrials.gov/study/NCT07001319

Phase

Phase I

Status

Recruiting

Sponsor

Gilead Sciences

More details

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

Purpose

Study of GS-3242 in Participants With HIV-1; Substudy-05

Interventions

Intervention 1

GS-3242
Dosage: single oral dose 450mg on day1 and day2

Intervention 2

Biktarvy (bictegravir/emtricitabine/tenofovir alafenamide)

Intervention 3

Standard of Care examples: ABC/ DTG/3TC; DTG plus (TAF or TDF) plus (FTC or 3TC)

Countries

United States of America
Thailand

Sites / Institutions

Not provided

Trials dates

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

Studied populations

Age Cohort

  • Adults
  • Older Adults

Genders

  • All

Accepts pregnant individuals
No

Accepts lactating individuals
No

Accepts healthy individuals
No

Comments about the studied populations

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).

Health status

Positive to : HIV
Negative to : HCV, HBV

Study type

Interventional (clinical trial)

Enrollment

30

Allocation

Non-randomized

Intervention model

Sequential assignment

Intervention model description

Not provided

Masking

Open label

Masking description

Not provided

Frequency of administration

Once

Studied LA-formulation(s)

Tablet

Studied route(s) of administration

Oral

Use case

Treatment

Key resources

Not provided

GS-US-544-5905

Identifier

NCT05585307

Link

https://clinicaltrials.gov/study/NCT05585307

Phase

Phase I

Status

Completed

Sponsor

Gilead Sciences

More details

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.

Purpose

Study of Novel Antiretrovirals in Participants With HIV-1

Interventions

Intervention 1

Bavtavirine

Intervention 2

Standard of care

Intervention 3

GS-3242

Intervention 4

GS-1720

Intervention 5

GS-6212

Countries

United States of America
Dominican Republic
Thailand

Sites / Institutions

Not provided

Trials dates

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

Studied populations

Age Cohort

  • Adults
  • Older Adults

Genders

  • All

Accepts pregnant individuals
No

Accepts lactating individuals
No

Accepts healthy individuals
No

Comments about the studied populations

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

Health status

Negative to : HBV, HCV
Positive to : HIV

Study type

Interventional (clinical trial)

Enrollment

49

Allocation

Non-randomized

Intervention model

Sequential assignment

Intervention model description

Not provided

Masking

Open label

Masking description

Not provided

Frequency of administration

Not provided

Studied LA-formulation(s)

Tablet

Studied route(s) of administration

Oral

Use case

Treatment

Key resources

Not provided

twice yearly LEN+GS-3242 PLANNED H1 2026

Identifier

Not provided

Link

Not provided

Phase

Phase II

Status

Not yet recruiting

Sponsor

Gilead Sciences

More details

Not provided

Purpose

Not provided

Interventions

Not provided

Countries

Not provided

Sites / Institutions

Not provided

Trials dates

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

Studied populations

Age Cohort
Unspecified

Genders
Unspecified

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
Unspecified

Comments about the studied populations

Not provided

Health status

Not provided

Study type

Not provided

Enrollment

Not provided

Allocation

Not provided

Intervention model

Not provided

Intervention model description

Not provided

Masking

Not provided

Masking description

Not provided

Frequency of administration

Every 6 weeks

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Subcutaneous

Use case

Treatment

Key resources

Type Title Content Link
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

Excipients

Proprietary excipients used

Not provided

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

Not provided

Residual solvents used

Not provided


Patent info

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


Supporting material

Publications

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.

Additional documents

No documents were uploaded


Access principles

Collaborate for development

Consider 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

Share technical information for match-making assessment

Provide 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

Work with MPP to expand access in LMICs

In 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


Comment & Information

Not provided