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WHO Drug Information, Vol. 39, No. 2, 2025

Drug name

Last update: Jul 2026

lepetegravir + lenacapavir pacfosacil (GS-1720+GS-4182)

Developer(s)

Drug information

Drug's link(s)

Not provided

Generic name

lepetegravir + lenacapavir pacfosacil

Brand names

investigational

Compound type

Small molecule

Drug class/category

INSTI+capsid inhibitor

Summary

The candidate HIV treatment regimen based on the co-administration of GS-1720+GS-4182 is investigated as once-weekly oral regimen in people with HIV. The trials using GS-1720 and/or GS-4182 were put on clinical hold in June 2025, because some participants developed low levels of CD4+T-cells and reduced count of total white blood cells.

Approval status

investigational

Regulatory authorities

investigational

Therapeutic area(s)

  • HIV
Use case(s)
  • Treatment

Administration route

Oral

Associated long-acting platforms

Oral solid form

Use of drug

Ease of administration
  • Self-administered
Frequency of administration
  • Weekly
User acceptance
To be determined

Dosage

Available dose and strength

GS-1720 (650 mg tablet) and GS-4182 (300 mg tablet) (or the fixed-dose combination)

Maximum dose

GS-1720 (650 mg tablet) and GS-4182 (300 mg tablet)

Recommended dosing regimen

investigational dosing is ongoing

Additional comments

Not provided

Dosage link(s)

Not provided

Associated compounds, formulations and regimens

Associated compounds
Compare

Lenacapavir pacfosacil (GS-4182)
lepetegravir (GS-1720)

Associated technologies

Not provided

Additional information

Not provided

Developer(s)

Gilead
Originator
United States

Gilead

Drug structure

Scale-up and manufacturing prospects

Scale-up prospects

Undisclosed

Tentative equipment list for manufacturing

Undisclosed

Manufacturing

Undisclosed

Specific analytical instrument required for characterization of formulation

Undisclosed

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)

No delivery device

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