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Supported by

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NATAP and wikipedia

GS-3242+LEN


Developer(s)


Drug structure

GS-3242 and LEN

GS-3242 and LEN

NATAP and wikipedia


Drug information

Associated long-acting platforms

Aqueous drug particle suspension, Oral solid form

Administration route

Oral, Subcutaneous, Route of administration is being determined in the clinical program

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
To be determined

Frequency of administration

Every 6 months
Other/Variable/Unknown : To be determined

User acceptance

To be determined

Dosage

Available dose and strength

to be determined

Maximum dose

to be determined

Recommended dosing regimen

to be determined

Additional comments

Not provided

Dosage link(s)

Not yet available

Drug information

Drug's link(s)

https://go.drugbank.com/drugs/DB15673

Generic name

GS-3242 + lenacapavir

Brand name

investigational

Compound type

Small molecule

Drug class/category

INSTI+capsid inhibitor

Summary

Not provided

Approval status

Unknown

Regulatory authorities

Unknown

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-643-7710

Identifier

NCT07645287

Link

https://clinicaltrials.gov/study/NCT07645287

Phase

Phase II

Status

Recruiting

Sponsor

Gilead Sciences

More details

The study will have two parts: Part A and Part B. In Part A, the goal of the study is to compare the effectiveness of switching to the study drugs GS-3242 plus Lenacapavir (LEN) versus continuing Biktarvy (bictegravir/emtricitabine/tenofovir alafenamide (B/F/TAF)), in virologically suppressed people with HIV-1 (PWH) in treatment Group 1, 2 and 3 at Week 35. In Part B the goal of the study is to compare the effectiveness of switching to the study drugs, GS-3242 and LEN versus continuing B/F/TAF in Groups 4 and 3 at Week 26. The primary objective of part A is to evaluate the efficacy of switching to intramuscular (IM) GS-3242 plus IM LEN versus continuing on B/F/TAF PWH who are virologically suppressed in treatment Groups 1, 2, and 3 at Week 35 and Part B is to evaluate the efficacy of swit

Purpose

A Study of GS-3242 in Combination With Lenacapavir Versus Biktarvy in Virologically Suppressed People With HIV-1

Interventions

Intervention 1

GS-3242 Tablet

Intervention 2

GS-3242 Injection

Intervention 3

Lenacapavir Tablet

Intervention 4

Lenacapavir Injection

Intervention 5

B/F/TAF

Countries

United States of America
Australia
Canada
Puerto Rico

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2026-06-15

Anticipated Date of Last Follow-up
2026-08-04

Estimated Primary Completion Date
2027-08-01

Estimated Completion Date
2033-04-01

Actual Primary Completion Date
Not provided

Actual Completion Date
Not provided

Studied populations

Age Cohort

Genders

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
No

Comments about the studied populations

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 broadl

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

175

Allocation

Randomized

Intervention model

Parallel Assignment

Intervention model description

Not provided

Masking

Open label

Masking description

Not provided

Frequency of administration

Every 6 months

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Oral
Intramuscular

Use case

Treatment

Key resources

Type Title Content Link
Link Protocol design and endpoint interpretation https://synapse.patsnap.com/blog/clinical-landscape-nct07645287-gs-3242-trial-report-2026-mcp

GS-US-643-6557

Identifier

NCT07708727

Link

https://clinicaltrials.gov/study/NCT07708727

Phase

Phase II/III

Status

Not yet recruiting

Sponsor

Gilead Sciences

More details

The study will have two portions: Phase 2 and Phase 3. Phase 2 will further have 2 parts: Part A and Part B. The goal of Phase 2, Part A is to assess the effectiveness of study drugs GS-3242 plus Lenacapavir (LEN) versus Biktarvy (bictegravir/emtricitabine/tenofovir alafenamide (B/F/TAF)), in people with HIV-1 (PWH) who are new to treatment. This will be done in Treatment Groups 1, 2 and 3 at Week 35. The goal of Phase 2, Part B is to compare the effectiveness of study drugs, GS-3242 and LEN versus B/F/TAF in Groups 4 and 3 at Week 26. The goal of Phase 3 is to assess the long-term effectiveness of study drug GS-3242 and LEN versus B/F/TAF, at Week 52. The primary objectives of this study are: Phase 2, Part A: To evaluate the efficacy of intramuscular (IM) GS-3242 plus IM LEN versus B

Purpose

Study of an Injectable Regimen of GS-3242 With Lenacapavir Compared to Biktarvy in People New to HIV-1 Treatment

Interventions

Intervention 1

GS-3242 Tablet

Intervention 2

GS-3242 Injection

Intervention 3

Lenacapavir Tablet

Intervention 4

Lenacapavir Injection

Intervention 5

B/F/TAF

Countries

Not provided

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
2026-07-01

Actual Start Date
Not provided

Anticipated Date of Last Follow-up
2026-07-13

Estimated Primary Completion Date
2030-10-01

Estimated Completion Date
2033-04-01

Actual Primary Completion Date
Not provided

Actual Completion Date
Not provided

Studied populations

Age Cohort

Genders

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
No

Comments about the studied populations

Key Inclusion Criteria: * HIV-1 ribonucleic acid (RNA) ≥ 500 copies/mL at screening. * Antiretroviral (ARV) treatment-naive, except for prior use of oral daily pre-exposure prophylaxis (PrEP) or postexposure prophylaxis (PEP) up to 1 month prior to screening. Key Exclusion Criteria: * Prior usage of, or exposure to LEN or GS-3242 * Prior use of any long-acting parenteral ARV 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.

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

700

Allocation

Randomized

Intervention model

Parallel Assignment

Intervention model description

Not provided

Masking

Open label

Masking description

Not provided

Frequency of administration

Every 6 months

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Oral
Intramuscular

Use case

Treatment

Key resources

Not provided

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

There are no publication

Additional documents

No documents were uploaded

Useful links


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