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lenacapavir + teropavimab + zinlirvimab


Developer(s)

Gilead

Originator
https://www.gileadclinicaltrials.com/

United States


Drug structure

mAbs

mAbs

LEN

LEN


Drug information

Associated long-acting platforms

Aqueous Solution, Monoclonal antibodies and antibody drug conjugates

Administration route

Subcutaneous, Intravenous

Therapeutic area(s)

HIV

Use case(s)

Treatment

Use of drug

Ease of administration

Administered by a nurse

Frequency of administration

Every 6 months

User acceptance

Not provided

Dosage

Available dose and strength

investigational

Maximum dose

investigational

Recommended dosing regimen

investigational

Additional comments

Not provided

Dosage link(s)

investigational

Drug information

Drug's link(s)

https://go.drugbank.com/drugs/DB18916
https://go.drugbank.com/drugs/DB18867
https://go.drugbank.com/drugs/DB15673

Generic name

Investigational

Brand name

Investigational

Compound type

Biotherapeutic

Drug class/category

capsid inhibitor + 2 bNAbs targeting gp120 on HIV-1 envelope

Summary

LEN+TAB+ZAB (LTZ) harbors the potential to be the first approved long-acting combination treatment regimen with twice-yearly dosing. At CROI2025, the primary results of a Phase 2 study evaluating the investigational combination of LTZ were presented.

Approval status

Investigational. In January 2025, the FDA granted lenacapavir (LEN) with bNAbs (teropavimab [GS-5423, TAB] and zinlirvimab [GS-2872, ZAB]) Breakthrough Therapy Designation, which is intended to expedite the development of new drugs that may demonstrate substantial improvement over available therapy.

Regulatory authorities

In January 2025, the US FDA granted lenacapavir (LEN) with bNAbs (teropavimab [GS-5423, TAB] and zinlirvimab [GS-2872, ZAB]) Breakthrough Therapy Designation, which is intended to expedite the development of new drugs that may demonstrate substantial improvement over available therapy.

Safety

Not provided

Efficacy

Not provided

Evidence Summary

Not provided

Delivery device(s)

Not provided


Scale-up and manufacturing prospects

Scale-up prospects

LEN is commercially manufactured. Production scale up and manufacturing requirements for therapeutic mAbs are primarily related to formulation stability, pharmacokinetic suitability and maintenance of quality attributes. The industrial manufacture of high-concentration broadly neutralising antibody (bNAb) formulations for parenteral administration can introduce production challenges regarding aggregation propensity and formulation viscosity. Exploratory process optimisations such as bNAb co-formulation and multi-specific Ab composition have the potential to reduce overall manufacturing costs

Tentative equipment list for manufacturing

Equipment for injectable: Stainless steel pharmaceutical reactors, glass-lined reactors, rotary evaporator (rotovap), flash chromatography columns, stainless steel autoclave, cooling bath, silica gel chromatography columns, vacuum distillation apparatus, simulated moving bed chromatography system, Chiralpak columns. Industrial bioreactor vessel with a production volume capacity of between 5-25kL. Continuous disc stack centrifuges for bioreactor harvesting with subsequent membrane and depth filtration for supernatant clarification.

Manufacturing

Storage of injectable lenacapavir in borosilicate vials is contraindicated due to issues with chemical compatibility. Instead, it is recommended that vials are made from aluminosilicate glass. Biological activity of bNAbs is highly dependant on their chemical, conformational and structural stability. Reduced glycosylation of bNAbs during manufacture and chemical degradation processes such as deamidation can result in increased aggregation, loss of activity and diminished solubility. Degradation may occur at any stage throughout the manufacturing process.

Specific analytical instrument required for characterization of formulation

Proton nuclear magnetic resonance (1H NMR), High-performance liquid chromatography (HPLC), Ultra-Performance Liquid Chromatography (UPLC). Formulation characterisation for single-entity bNAb production include capillary isoelectric focusing and ion-exchange chromatography for identification of post-translational modifications, subvisible particle quantitation, thermal DSC, size-exclusion chromatography for measurement of concentration dependent aggregation rates and capillary electrophoresis for antibody fragmentation and clipping.


Clinical trials

GS-US-536-5939

Identifier

NCT05729568

Link

https://clinicaltrials.gov/study/NCT05729568

Phase

Phase II

Status

Active, not recruiting

Sponsor

Gilead Sciences

More details

The goal of this study is to test the effectiveness, safety, and tolerability of the combination of broadly neutralizing antibodies (bNAbs) (teropavimab (TAB; GS-5423) and zinlirvimab (ZAB; GS-2872)) with lenacapavir (LEN) in virologically suppressed adults with HIV-1 infection. The purpose of this study is to evaluate the efficacy of switching to a regimen of LEN, TAB and ZAB, versus continuing on baseline oral antiretroviral therapy (ART) as determined by the proportion of participants with human immunodeficiency virus-1 (HIV-1) ribonucleic acid (RNA) ≥ 50 copies/mL at Week 26.

Purpose

A Study of Teropavimab and Zinlirvimab in Combination With Capsid Inhibitor Lenacapavir in Virologically Suppressed Adults With HIV-1 Infection

Interventions

Intervention 1

Teropavimab

Intervention 2

Zinlirvimab

Intervention 3

Lenacapavir Tablet

Intervention 4

Lenacapavir Injection

Intervention 5

Antiretroviral Therapy

Countries

United States of America
Australia
Canada
Puerto Rico

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2023-05-15

Anticipated Date of Last Follow-up
2026-04-02

Estimated Primary Completion Date
Not provided

Estimated Completion Date
2030-12-01

Actual Primary Completion Date
2024-07-02

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: * On stable oral antiretroviral therapy (ART) consisting of no more than 2 drug classes (with the exception of pharmacologic boosters cobicistat or ritonavir) for ≥ 1 year prior to screening visit 2. A change in ART regimen ≥ 28 days prior to screening visit 2 for reasons other than virologic failure (VF) (eg, tolerability, simplification, drug-drug interaction profile) is allowed. * No clinically significant documented historical resistance to the current ART regimen with the exception of isolated nucleoside reverse transcriptase inhibitor mutations including M184V or ≤ 2 thymidine analog mutations (TAMs: M41L, D67N, K70R, L210W, T215Y, and/or K219Q). * Plasma human immunodeficiency virus-1 (HIV-1) ribonucleic acid (RNA) \< 50 copies/mL at screening visit 2. * Doc

Health status

Negative to : HCV, HBV
Positive to : HIV

Study type

Interventional (clinical trial)

Enrollment

83

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

Subcutaneous
Intravenous

Use case

Treatment

Key resources

Type Title Content Link
Link Mponponsuo K, McMahon JH, Gorgos L, Morales-Ramirez J, Workowski K, Brunetta J, Ogbuagu O, Collins SE, VanderVeen LA, Huang H, Baeten JM, Eron JJ. Efficacy and Safety of Lenacapavir, Teropavimab, and https://www.askgileadmedical.com/docs/conference/Ogbuagu_CROI2025_oral_LEN+TAB+ZAB%20Ph2%20W26@pdf
Link Positive Proof-of-Concept Data for Investigational Combination Regimen of Lenacapavir with Broadly Neutralizing Antibodies as a Potential Twice-Yearly Approach for the Treatment of HIV https://www.gilead.com/news/news-details/2023/gilead-presents-positive-proof-of-concept-data-for-investigational-combination-regimen-of-lenacapavir-with-broadly-neutralizing-antibodies-as-a-potential-twice-yearly-approach-for-the-treatm
Link Gilead Presents New HIV Treatment and Cure Research Data at CROI 2025, Including an Investigational Long-Acting, Twice-Yearly Therapy Option https://www.gilead.com/news/news-details/2025/gilead-presents-new-hiv-treatment-and-cure-research-data-at-croi-2025-including-an-investigational-long-acting-twice-yearly-therapy-option

GS-US-536-5816

Identifier

NCT04811040

Link

https://clinicaltrials.gov/ct2/show/NCT04811040

Phase

Phase I

Status

Completed

Sponsor

Gilead Sciences

More details

Not provided

Purpose

Evaluate the safety and tolerability of a combination of the broadly neutralizing antibodies (bNAbs) teropavimab (formerly GS-5423) and GS-2872 in combination with the HIV capsid inhibitor lenacapavir

Interventions

Intervention 1

Drug: Oral Lenacapavir

Intervention 2

Drug: Subcutaneous Lenacapavir

Intervention 3

Biological: Teropavimab

Intervention 4

Biological: Zinlirvimab

Countries

United States of America

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2021-04-08

Anticipated Date of Last Follow-up
2024-12-19

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2022-06-09

Actual Completion Date
2023-10-26

Studied populations

Age Cohort

Genders

Accepts pregnant individuals
Unspecified

Accepts lactating individuals
Unspecified

Accepts healthy individuals
No

Comments about the studied populations

On first-line antiretroviral therapy (ART) for ≥ 2 years prior to screening. A change in ART regimen ≥ 28 days prior to screening for reasons other than virologic failure (VF) (eg, tolerability, simplification, drug-drug interaction profile) is allowed.

Health status

Positive to : HIV
Negative to : HCV, HBV
Other health status: No history of opportunistic infection or illness indicative of Stage 3 HIV disease; No comorbid condition(s) requiring ongoing immunosuppression.

Study type

Interventional (clinical trial)

Enrollment

32

Allocation

Randomized

Intervention model

Parallel Assignment

Intervention model description

Not provided

Masking

Double-blind masking

Masking description

Double (Participant, Investigator). Clinical pharmacologist and sponsor are not masked to treatment assignment.

Frequency of administration

Other/Variable/Unknown

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Oral
Subcutaneous

Use case

Treatment

Key resources

Not provided

DAYBREAK-1 (GS-US-536-5938)

Identifier

NCT07682961

Link

https://clinicaltrials.gov/study/NCT07682961

Phase

Phase III

Status

Recruiting

Sponsor

Gilead Sciences

More details

The goal of this clinical study is to compare how effective a long-acting injectable treatment of lenacapavir (LEN), teropavimab (TAB), and zinlirvimab (ZAB) versus (CAB) and rilpivirine (RPV) injections given every 8 weeks in adults with HIV-1 whose virus is well controlled on daily oral treatment, after 1 year (52 weeks) of the treatment. The primary objective of this study are to evaluate the efficacy of switching to the regimen of LEN, TAB, and ZAB versus switching to CAB and RPV in virologically suppressed people with HIV-1 (PWH) as determined by the proportion of participants with HIV-1 RNA ≥ 50 copies/mL at Week 52.

Purpose

Study of Lenacapavir, Teropavimab, and Zinlirvimab Versus Cabotegravir and Rilpivirine in Virologically Suppressed Adults With HIV-1 on Oral Daily Antiretroviral Therapy

Interventions

Intervention 1

Lenacapavir(LEN)+ Teropavimab(TAB)+ Zinlirvimab (ZAB)
Dosage: oral LEN 600 mg, SC LEN 927 mg, and IV infusions of TAB & ZAB on D1. Participants will self-administer oral LEN 600 mg on D2. Every 26 weeks, participants receive SC LEN + IV inf. of TAB & ZAB til W92

Intervention 2

Active Comparator: Treatment Group 2: Cabotegravir (CAB) + Rilpivirine (RPV)
Dosage: Participants will discontinue their baseline oral antiretroviral therapy (ART) and will receive intramuscular (IM) CAB 600 mg + RPV 900 mg on Day 1, Week 4 and then every 8 weeks for up to 92 weeks.

Countries

United States of America
Australia
Japan

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
2026-07-01

Actual Start Date
2026-07-14

Anticipated Date of Last Follow-up
2026-08-13

Estimated Primary Completion Date
2029-03-01

Estimated Completion Date
2033-03-01

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: * Human immunodeficiency virus type 1 (HIV-1) susceptibility results from screening meeting specific criteria: 1\) Proviral phenotypic susceptibility to both TAB and ZAB by the investigational protocol-defined assay at screening. * At least 1 documented HIV-1 RNA level measured between 6 months and 12 months (+2 months) prior to screening. This and any other HIV-1 RNA measurements documented in this period must be \< 50 copies/mL (undetectable HIV-1 RNA level according to the local assay being used if the limit of detection is ≥ 50 copies/mL). A single virologic elevation of ≥ 50 copies/mL and \< 400 copies/mL (transient detectable viremia or "blips") prior to screening are acceptable if the subsequent plasma HIV-1 RNA level is \< 50 copies/mL. * A plasma HIV-1

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

590

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

Intravenous

Use case

Treatment

Key resources

Not provided

NCT05612178

Identifier

NCT05612178

Link

https://clinicaltrials.gov/study/NCT05612178

Phase

Phase I

Status

Active, not recruiting

Sponsor

National Institute of Allergy and Infectious Diseases (NIAID)

More details

Not provided

Purpose

Evaluate the safety and effects of repeated doses of 3BNC117-LS and 10-1074-LS on persistent viral reservoirs in people living with HIV who are currently receiving suppressive antiretroviral therapy.

Interventions

Intervention 1

Biological: 3BNC117-LS

Intervention 2

Biological: 10-1074-LS

Intervention 3

Other: Sterile Saline

Countries

United States of America

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2023-07-26

Anticipated Date of Last Follow-up
2026-06-03

Estimated Primary Completion Date
2027-03-31

Estimated Completion Date
2027-03-31

Actual Primary Completion Date
Not provided

Actual Completion Date
Not provided

Studied populations

Age Cohort

Genders

Accepts pregnant individuals
No

Accepts lactating individuals
No

Accepts healthy individuals
No

Comments about the studied populations

Adult persons of any sex or gender, aged 18 years to 70; with confirmed HIV-1 infection and receiving antiretroviral therapy with plasma HIV-1 RNA levels of < 50 copies/mL and no reported interruption of ART for 7 consecutive days or longer for at least 96 weeks.

Health status

Positive to : HIV
Negative to : HBV, HCV

Study type

Interventional (clinical trial)

Enrollment

105

Allocation

Randomized

Intervention model

Parallel Assignment

Intervention model description

Not provided

Masking

Triple-blind masking

Masking description

Triple (Participant, Care Provider, Investigator)

Frequency of administration

Other/Variable/Unknown : "Administered 3 times at 20-week intervals. "

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intravenous

Use case

Treatment

Key resources

Not provided

YCO-0971

Identifier

NCT03554408

Link

https://clinicaltrials.gov/study/NCT03554408

Phase

Phase I

Status

Completed

Sponsor

Rockefeller University

More details

Not provided

Purpose

Evaluate the pharmacokinetic profile, tolerability and safety of 10-1074-LS in the first clinical study administered individually or in combination with 3BNC117-LS to individuals with and without HIV.

Interventions

Intervention 1

Drug: Subcutaneous 10-1074-LS

Intervention 2

Drug: Subcutaneous 3BNC117-LS

Intervention 3

Drug: Intravenous 10-1074-LS

Intervention 4

Drug: Intravenous 3BNC117-LS

Countries

United States of America

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2018-06-20

Anticipated Date of Last Follow-up
Not provided

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2021-02-04

Actual Completion Date
2021-02-04

Studied populations

Age Cohort

Genders

Accepts pregnant individuals
No

Accepts lactating individuals
No

Accepts healthy individuals
Yes

Comments about the studied populations

Study participants placed into groups of HIV-infected and HIV-uninfected individuals. Inclusion criteria for HIV positive groups: Males and females aged 18-65 who have documented HIV-1 infection and are currently receiving antiretroviral therapy with < 50 copies/ml plasma HIV-1 RNA levels and CD4+ T cell count of > 300 cells/μL. Inclusion criteria for HIV negative groups: Males and females aged 18-65 who have low risk for HIV infection and agree to implement two methods of effective contraception if sexually active.

Health status

Positive to : HIV
Considered at low risk of : HIV
Negative to : HIV, HBV, HCV

Study type

Interventional (clinical trial)

Enrollment

77

Allocation

Randomized

Intervention model

Parallel Assignment

Intervention model description

Not provided

Masking

Double-blind masking

Masking description

Double (Participant, Investigator)

Frequency of administration

Other/Variable/Unknown : "Dose escalation study "

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Subcutaneous
Intravenous

Use case

Treatment

Key resources

Not provided

MCA-0994

Identifier

NCT04250636

Link

https://clinicaltrials.gov/study/NCT04250636

Phase

Phase I

Status

Completed

Sponsor

Rockefeller University

More details

Not provided

Purpose

Evaluate the antiviral activity, pharmacokinetics and safety of single intravenous infusions of the bNAbs 3BNC117-LS and 10-1074-LS in HIV-infected individuals who are not currently receiving ART.

Interventions

Intervention 1

Drug: 3BNC117-LS

Intervention 2

Drug: 10-1074-LS

Countries

United States of America

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2020-10-13

Anticipated Date of Last Follow-up
Not provided

Estimated Primary Completion Date
Not provided

Estimated Completion Date
Not provided

Actual Primary Completion Date
2022-01-21

Actual Completion Date
2022-02-11

Studied populations

Age Cohort

Genders

Accepts pregnant individuals
No

Accepts lactating individuals
No

Accepts healthy individuals
No

Comments about the studied populations

Study participants are individuals with HIV-1 infection who have not received antiretroviral therapy (either by choice, intolerance or ART-naïvety) for at least 28 days prior to study enrolment with plasma HIV-1 RNA levels between 500 - 100,000 copies/mL and CD4+ T cell counts > 300 cells/μl.

Health status

Positive to : HIV
Negative to : HBV, HCV

Study type

Interventional (clinical trial)

Enrollment

6

Allocation

Not provided

Intervention model

Single group assignment

Intervention model description

Not provided

Masking

Open label

Masking description

None (Open Label)

Frequency of administration

Other/Variable/Unknown : "Single intravenous infusions of the long-acting bNAbs 10-1074-LS and 3BNC117-LS dosed at 30mg/kg. "

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intravenous

Use case

Treatment

Key resources

Not provided

RIO

Identifier

NCT04319367

Link

https://clinicaltrials.gov/study/NCT04319367

Phase

Phase II

Status

Recruiting

Sponsor

Imperial College London

More details

Not provided

Purpose

Evaluate whether the combination of 3BNC117-LS and 10-1074-LS can prevent HIV viral rebound after discontinuing early-initiation antiretroviral treatment in adults during primary HIV infection.

Interventions

Intervention 1

Drug: Investigational Medicinal Product (3BNC117-LS and 10-1074-LS)

Intervention 2

Drug: Placebo

Countries

United Kingdom
Denmark

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2021-05-17

Anticipated Date of Last Follow-up
2024-04-16

Estimated Primary Completion Date
2027-07-31

Estimated Completion Date
2027-07-31

Actual Primary Completion Date
Not provided

Actual Completion Date
Not provided

Studied populations

Age Cohort

Genders

Accepts pregnant individuals
No

Accepts lactating individuals
No

Accepts healthy individuals
No

Comments about the studied populations

Individuals aged 18-60 who are currently receiving a stable antiretroviral therapy (ART) regimen resulting in an undetectable HIV viral load for a time period of at least one year, which commenced within three months of documented primary HIV infection. Current CD+ T cell counts > 500 cells/µL with a nadir of CD4+ > 350 cells/µL are required. Study participants were required to be vaccinated against COVID-19 at least 28 days before enrolment.

Health status

Positive to : HIV
Negative to : HBV, HCV, COVID 19

Study type

Interventional (clinical trial)

Enrollment

72

Allocation

Randomized

Intervention model

Parallel Assignment

Intervention model description

Not provided

Masking

Triple-blind masking

Masking description

Triple (Participant, Investigator, Outcomes Assessor)

Frequency of administration

Other/Variable/Unknown : "Single infusions of the long-acting bNAbs 10-1074-LS and 3BNC117-LS "

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intravenous

Use case

Treatment

Key resources

Not provided

RHIVIERA-02

Identifier

NCT05300035

Link

https://clinicaltrials.gov/study/NCT05300035

Phase

Phase II

Status

Recruiting

Sponsor

ANRS, Emerging Infectious Diseases

More details

Not provided

Purpose

Evaluate the efficacy of an intervention consisting of the long-acting broadly neutralising antibodies 3BNC117-LS and 10-1074-LS + ART in reducing HIV-1 replication during primary HIV-1 infection.

Interventions

Intervention 1

Drug: Recombinant human monoclonal antibodies (3BNC117-LS and 10-1074-LS)

Intervention 2

Drug: Placebo

Countries

France

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2024-04-11

Anticipated Date of Last Follow-up
2024-12-23

Estimated Primary Completion Date
2026-12-10

Estimated Completion Date
2028-12-10

Actual Primary Completion Date
Not provided

Actual Completion Date
Not provided

Studied populations

Age Cohort

Genders

Accepts pregnant individuals
No

Accepts lactating individuals
No

Accepts healthy individuals
No

Comments about the studied populations

Study participants are individuals with confirmed HIV-1 infection aged 18-70 at screening and no prior history of hypersensitivity or contraindication to 10-1074-LS or 3BNC117-LS intravenous infusions.

Health status

Positive to : HIV
Negative to : HCV, HBV, TB, COVID 19

Study type

Interventional (clinical trial)

Enrollment

69

Allocation

Randomized

Intervention model

Parallel Assignment

Intervention model description

Not provided

Masking

Triple-blind masking

Masking description

Triple (Participant, Care Provider, Investigator)

Frequency of administration

Other/Variable/Unknown : "Dual intravenous infusion of the long-acting bNAbs 10-1074LS & 3BNC117LS between day 7 and 10. "

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intravenous

Use case

Treatment

Key resources

Not provided

IAVI C100

Identifier

NCT04173819

Link

https://clinicaltrials.gov/study/NCT04173819

Phase

Phase I/II

Status

Completed

Sponsor

International AIDS Vaccine Initiative

More details

Not provided

Purpose

Evaluate the safety and pharmacokinetics of the combination broadly neutralizing antibodies, 3BNC117-LS-J and 10-1074-LS-J, in healthy American and African Adults.

Interventions

Intervention 1

Biological: 3BNC117-LS-J

Intervention 2

Biological: 10-1074-LS-J

Intervention 3

Biological: Combination 3BNC117-LS-J and 10-1074-LS-J

Intervention 4

Biological: Placebo

Countries

United States of America
Kenya
Rwanda
South Africa
Uganda

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2019-01-25

Anticipated Date of Last Follow-up
2025-05-02

Estimated Primary Completion Date
2023-09-01

Estimated Completion Date
2023-09-01

Actual Primary Completion Date
2023-09-01

Actual Completion Date
2023-09-01

Studied populations

Age Cohort

Genders

Accepts pregnant individuals
No

Accepts lactating individuals
Unspecified

Accepts healthy individuals
Yes

Comments about the studied populations

Healthy male and female individuals aged between 18-45 who are willing to undergo HIV testing, risk reduction counselling and receive HIV test results; in addition to maintaining low-risk behaviour for the entire trial duration.

Health status

Considered at low risk of : HIV
Negative to : HIV, HCV, HBV, TB

Study type

Interventional (clinical trial)

Enrollment

225

Allocation

Randomized

Intervention model

Parallel Assignment

Intervention model description

Not provided

Masking

Double-blind masking

Masking description

Double (Participant, Investigator)

Frequency of administration

Other/Variable/Unknown : "Single infusions of the long-acting bNAbs 10-1074-LS-J and 3BNC117-LS-J (either alone or in-combination at differing ratios). "

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Subcutaneous
Intravenous

Use case

PrEP

Key resources

Not provided

MCA-1031

Identifier

NCT05245292

Link

https://clinicaltrials.gov/study/NCT05245292

Phase

Phase I

Status

Completed

Sponsor

Rockefeller University

More details

Not provided

Purpose

Evaluate the antiretroviral activity and safety of the broadly neutralising antibodies 3BNC117-LS and 10-1074-LS in combination with IL-15 superagonist complex N-803.

Interventions

Intervention 1

Drug: 3BNC117-LS

Intervention 2

Drug: 10-1074-LS

Intervention 3

Drug: N803

Countries

United States of America

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2022-12-07

Anticipated Date of Last Follow-up
2026-03-30

Estimated Primary Completion Date
2025-12-31

Estimated Completion Date
2025-12-31

Actual Primary Completion Date
2025-12-09

Actual Completion Date
2025-12-31

Studied populations

Age Cohort

Genders

Accepts pregnant individuals
No

Accepts lactating individuals
No

Accepts healthy individuals
No

Comments about the studied populations

Study participants are males and females aged 18-70 with a confirmed HIV-1 infection who are currently receiving a stable antiretroviral treatment regimen (< 50 copies/ml plasma HIV-1 RNA) for at least 48 weeks with no reported continuous interruption of treatment greater than 7 days. CD4+ T cell counts were required to be > 450 cells/μL at enrolment with a cell count nadir of ≥ 200 cells/μL and HIV-1 RNA plasma levels at < 20 copies/ml.

Health status

Negative to : HBV, HCV
Positive to : HIV

Study type

Interventional (clinical trial)

Enrollment

28

Allocation

Not provided

Intervention model

Single group assignment

Intervention model description

Not provided

Masking

Open label

Masking description

None (Open Label)

Frequency of administration

Other/Variable/Unknown : "Single intravenous infusions of the long-acting bNAbs 10-1074-LS (dosed at 10mg/kg) and 3BNC117-LS (dosed at 30mg/kg) on day zero. "

Studied LA-formulation(s)

Injectable

Studied route(s) of administration

Intravenous

Use case

Treatment

Key resources

Not provided

DAYBREAK 2 (GS-US-536-6544)

Identifier

NCT07683000

Link

https://clinicaltrials.gov/study/NCT07683000

Phase

Phase III

Status

Recruiting

Sponsor

Gilead Sciences

More details

The goal of this clinical study is to compare how effective a long-acting treatment of injectable combination of lenacapavir (LEN), teropavimab (TAB), and zinlirvimab (ZAB) is versus continuing a daily oral HIV treatment in adults with HIV-1 whose virus is already well controlled, after 1 year (52 weeks) of treatment. The primary objective of this study is to evaluate the efficacy of switching to the regimen of LEN, TAB, and ZAB versus continuing an oral stable baseline regimen (SBR) in virologically suppressed people with HIV-1 (PWH) as determined by the proportion of participants with HIV-1 RNA ≥ 50 copies/mL at Week 52.

Purpose

Study of Lenacapavir, Teropavimab, and Zinlirvimab in Virologically Suppressed Adults With HIV-1 on Stable Oral Treatment Regimens

Interventions

Intervention 1

Lenacapavir

Intervention 2

Lenacapavir Tablet

Intervention 3

Teropavimab

Intervention 4

Zinlirvimab

Intervention 5

SBR

Countries

United States of America

Sites / Institutions

Not provided

Trials dates

Anticipated Start Date
Not provided

Actual Start Date
2026-07-14

Anticipated Date of Last Follow-up
2026-07-29

Estimated Primary Completion Date
2029-03-01

Estimated Completion Date
2033-03-01

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: * Human immunodeficiency virus type 1 (HIV-1) susceptibility results from screening meeting specific criteria: 1\) Proviral phenotypic susceptibility to both TAB and ZAB by the investigational protocol-defined assay at screening. * Plasma HIV-1 RNA levels \< 50 copies/mL at screening. * At least 1 documented HIV-1 RNA level measured between 6 months and 12 months (+2 months) prior to screening. This and any other HIV-1 RNA measurements documented in this period must be \< 50 copies/mL (undetectable HIV-1 RNA level according to the local assay being used if the limit of detection is ≥ 50 copies/mL). A single virologic elevation of ≥ 50 copies/mL and \< 400 copies/mL (transient detectable viremia or "blips") prior to screening are acceptable if the subsequent plas

Health status

Not provided

Study type

Interventional (clinical trial)

Enrollment

590

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

Intravenous
Subcutaneous

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

Description

Lenacapavir, zinlirvimab and teropavimab combination and dosage form for treatment of HIV

Brief description

Provided are methods for administering long-acting anti-HIV broadly neutralizing antibodies twice annually, e.g., Q6M, Q24W, Q25W or Q26W.

Representative patent

WO2024044477

Category

Combination, Dosing Regimen, Method of Treatment

Patent holder

Gilead Sciences

Exclusivity

Not provided

Expiration date

August 11, 2043

Status

Granted: TW Pending: AU, CA, CN, EP, JP, LR, US


Supporting material

Publications

There are no publication

Additional documents

No documents were uploaded

Useful links


Additional information

Not provided