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HIV InfectionsPhase 3NCT07682961

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

A Phase 3 study testing Lenacapavir, Lenacapavir Tablet and Teropavimab in people with HIV Infections, run by Gilead Sciences at 19 sites in 3 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

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… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
HIV Infections
What is being tested?
Lenacapavir, Lenacapavir Tablet and Teropavimab
Could I receive a placebo?
No, everyone receives an active treatment
How many people
590 participants
Where
19 sitesin 3 countries
Study dates
14 Jul 2026to Mar 2033
Phase
Phase 3
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 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 RNA test < 50 copies/mL (undetectable HIV-1 RNA level according to the local assay being used if the limit of detection is ≥ 50 copies/mL) within the last 6 months prior to screening.
  • 1) If > 1 plasma HIV-1 RNA measurements in the last 6 months prior to screening are available, all 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).
  • On a stable oral ARV therapy (ART) for ≥ 6 months prior to screening.
  • A change in ART regimen ≥ 3 months prior to the screening visit for reasons other than virologic failure (VF) (eg, tolerability, simplification, drug-drug interaction profile) is allowed; individuals with a change in ART regimen ≥ 3 months prior to screening must have been on the regimen for ≥ 3 months prior to screening, and all HIV-1 RNA measurements in that period must be < 50 copies/mL. There are no permitted changes to ART regimens between screening and Day 1.

Who cannot join

  • History of an opportunistic infection or illness indicative of Stage 3 HIV disease.
  • History of treatment failure.
  • Known or suspected resistance to either CAB or RPV.
  • Resistance to CAB defined as the following mutations: G118R, Q148K, Q148R, T66K+L74M, E92Q+N155H, E138A+Q148R, E138K+Q148K/R, G140C+Q148R, G140S+Q148H/K/R, Y143H+N155H, and Q148R+N155H.
  • Resistance to RPV defined as the following mutations: K101E and P; E138A, G, K, R, and Q; V179L; Y181C, I, and V; Y188L; H221Y; F227C; M230I and L, and the combination of L100I/K103N.
  • Individuals with a dermatologic condition or implanted prothesis overlying the gluteal injection site for CAB + RPV.
Show all 30Show fewer
  • Known hypersensitivity to the study intervention, its metabolites, or formulation excipients.
  • Active, serious infections (other than HIV-1) requiring therapy < 30 days prior to randomization.
  • Active tuberculosis infection.
  • Acute hepatitis of any cause < 30 days before randomization.
  • History of, or current clinical decompensated liver cirrhosis (eg, ascites, encephalopathy, or variceal bleeding) or severe hepatic impairment (Child-Pugh Class C).
  • Active malignancy requiring acute systemic therapy.
  • Have poor venous access that would limit phlebotomy or intravenous (IV) infusion of study drugs.
  • Prior use of, or exposure to, LEN or a broadly neutralizing antibody (bNAb) for HIV-1.
  • Prior use of, or exposure to, long-acting (LA) injectable CAB or LA injectable RPV.
  • Prior use of, or exposure to, ibalizumab, fostemsavir, or maraviroc.
  • Baseline regimen consisting of monotherapy with any single antiretroviral (ARV).
  • Treatment with immunosuppressant therapies (eg, corticosteroids, immunoglobulins, and other immune- or cytokine-based therapies) within 4 weeks of screening (with the exception of a single short course of corticosteroids lasting ≤ 7 days) or have a comorbid condition with an anticipated need ongoing immunosuppressive treatment during the study.
  • Hepatitis C virus (HCV) antibody positive and HCV RNA detectable.
  • Chronic hepatitis B virus (HBV) infection, as determined by either:
  • Positive HBV surface antigen and negative HBV surface antibody, regardless of HBV core antibody status, at the screening visit.
  • Positive HBV core antibody and negative HBV surface antibody, regardless of HBV surface antigen status, at the screening visit.
  • Severe renal impairment-estimated glomerular filtration rate < 30 mL/min according to the Cockcroft-Gault formula.
  • Abnormal electrocardiogram (ECG) at the screening visit that is clinically significant, as determined by the investigator.
  • Any of the following laboratory values at screening:
  • Alanine aminotransferase > 5 x upper limit of normal (ULN).
  • Direct bilirubin > 1.5 x ULN.
  • Platelets < 50,000/mm^3.
  • Hemoglobin < 8.0 g/dL.
  • Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

19 sites in 3 countries. Contact the study team or a site near you to ask about taking part.

Gilead Clinical Study Information Center contact

1-833-445-3230 (GILEAD-0)

GileadClinicalTrials@gilead.com

19 sites in 3 countries

United States16 sites, 16 recruiting
  • Clinical Alliance for Research & Education - Infectious Diseases, LLC (CARE-ID)

    Annandale, Virginia, 22003

    Recruiting
  • Atlanta ID Group, PC

    Atlanta, Georgia, 30309

    Recruiting
  • Be Well Medical Center

    Berkley, Michigan, 48072

    Recruiting
  • North Texas Infectious Diseases Consultants, P.A.

    Dallas, Texas, 75246

    Recruiting
  • Midland Florida Clinical Research Center, LLC

    DeLand, Florida, 32720

    Recruiting
  • CAN Community Health Fort Lauderdale

    Fort Lauderdale, Florida, 33316

    Recruiting
  • Midway Immunology and Research Center

    Ft. Pierce, Florida, 34982

    Recruiting
  • KC CARE Health Center

    Kansas City, Missouri, 64111

    Recruiting
  • CAN Community Health Miami Gardens

    Miami Gardens, Florida, 33055

    Recruiting
  • BLISS Health Inc.

    Orlando, Florida, 32803

    Recruiting
  • Optimus Medical Group

    San Francisco, California, 94102

    Recruiting
  • Chatham County Health Department

    Savannah, Georgia, 31401

    Recruiting
  • TribalMed PLLC

    Seattle, Washington, 98104

    Recruiting
  • MOORE Clinical Research, Inc d/b/a TrueBlue Clinical Research

    Tampa, Florida, 33614

    Recruiting
  • Triple O Research Institute, P.A.

    West Palm Beach, Florida, 33407

    Recruiting
  • Atlantic Clinical Research Institute

    West Palm Beach, Florida, 33409

    Recruiting

Other trials in United States

Australia2 sites, 2 recruiting
  • Taylor Square Private Clinic

    Surry Hills, New South Wales, 2010

    Recruiting
  • East Sydney Doctors

    Sydney, New South Wales, 2010

    Recruiting

Other trials in Australia

Japan1 site, 1 recruiting
  • National Hospital Organization Osaka National Hospital

    Osaka, 540-0006

    Recruiting

Other trials in Japan

About this study

Official title: A Phase 3, Randomized, Open-label Study to Evaluate the Efficacy and Safety of Switching to Long-acting Antiretroviral Therapy of Broadly Neutralizing Antibodies Teropavimab and Zinlirvimab in Combination With the Capsid Inhibitor Lenacapavir Twice-Yearly Versus Cabotegravir and Rilpivirine Every 8 Weeks in Virologically Suppressed Adults With HIV-1 on Oral Daily Antiretroviral Therapy

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.

Conditions
HIV Infections
Being tested
Lenacapavir, Lenacapavir Tablet, Teropavimab, Zinlirvimab, Cabotegravir
Medical subject headings
HIV Infections

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • LenacapavirDrug

    Also called LEN

    Administered subcutaneously

  • Lenacapavir TabletDrug

    Also called LEN

    Administered orally

  • TeropavimabDrug

    Also called TAB, GS-5423

    Administered intravenously (IV)

  • ZinlirvimabDrug

    Also called ZAB, GS-2872

    Administered IV

  • CabotegravirDrug

    Also called CAB

    Administered intramuscular (IM)

  • RilpivirineDrug

    Also called RPV

    Administered IM

Study groups in NCT07682961
Study groupRoleWhat they receive
Treatment Group 1: Lenacapavir(LEN)+ Teropavimab(TAB)+ Zinlirvimab (ZAB)ExperimentalParticipants will receive oral LEN 600 mg, subcutaneous (SC) LEN 927 mg, and intravenously (IV) infusions of TAB and ZAB on Day 1. Participants will self-administer oral LEN 600 mg on Day 2. Every 26 weeks, participants will receive SC LEN and IV infusions of TAB and ZAB up to Week 92. After Week 92, eligible participants will have an option to continue LEN + TAB + ZAB in the extension phase, until completion of the extension phase, permanently discontinuing the extension phase or the extension is discontinued at the sponsor's sole discretion, whichever occurs first.
Receives: Drug: Lenacapavir; Drug: Lenacapavir Tablet; Drug: Teropavimab; Drug: Zinlirvimab
Treatment Group 2: Cabotegravir (CAB) + Rilpivirine (RPV)Active comparatorParticipants 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. After Week 92, eligible participants will have an option to continue LEN + TAB + ZAB in the extension phase, until completion of the extension phase, permanently discounting the extension phase or the extension is discontinued at the sponsor's sole discretion, whichever occurs first.
Receives: Drug: Cabotegravir; Drug: Rilpivirine

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Proportion of Participants With HIV-1 ribonucleic acid (RNA) ≥ 50 Copies/mL at Week 52 as Defined by the United States (US) Food and Drug Administration (FDA) Snapshot Algorithm.

    Measured: Week 52

Secondary outcomes (12)
  1. Proportion of Participants With HIV-1 RNA ≥ 50 Copies/mL at Week 92 as Defined by the US FDA Snapshot Algorithm.

    Measured: Week 92

  2. Proportion of Participants With HIV-1 RNA < 50 Copies/mL at Week 52 as Determined by the US FDA Snapshot Algorithm

    Measured: Week 52

  3. Proportion of Participants with HIV-1 RNA < 50 copies/mL at Week 92 as Determined by the US FDA Snapshot Algorithm.

    Measured: Week 92

  4. Change From Baseline in clusters of differentiation 4 (CD4) (CD4)+ T-cell Counts at Week 52

    Measured: Baseline, Week 52

  5. Change From Baseline in CD4+ T-cell Counts at Week 92

    Measured: Baseline, Week 92

  6. Percentage of Participants Experiencing Treatment-Emergent Adverse Events (AEs)

    Measured: Up to Week 92

  7. Percentages of Participants Prematurely Discontinuing Their Study Treatment due to an AE

    Measured: Up to Week 92

  8. Trough Concentrations for LEN, TAB, and ZAB at Week 26

    Measured: Week 26

  9. Trough Concentrations for LEN, TAB, and ZAB at Week 52

    Measured: Week 52

  10. Trough Concentrations for LEN, TAB, and ZAB at Week 104

    Measured: Week 104

  11. Percentages of Participants With Antidrug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) of TAB

    Measured: Up to 92 Weeks

  12. Percentages of Participants With of ADAs and NAbs of ZAB

    Measured: Up to 92 Weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Jul 2026
  2. Study start14 Jul 2026
  3. Primary completionMar 2029 (estimated)
  4. Study completionMar 2033 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
590 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07682961
Sponsor's protocol ID
GS-US-536-5938
Other IDs
2025-524335-39, 2025
Status last verified
Aug 2026
First submitted
26 Jun 2026
Last updated
14 Aug 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Lenacapavir, Lenacapavir Tablet and Teropavimab in people with HIV Infections, run by Gilead Sciences at 19 sites in 3 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 30 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 14 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 19 sites in United States, Australia, Japan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Gilead Clinical Study Information Center (1-833-445-3230 (GILEAD-0), GileadClinicalTrials@gilead.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Proportion of Participants With HIV-1 ribonucleic acid (RNA) ≥ 50 Copies/mL at Week 52 as Defined by the United States (US) Food and Drug Administration (FDA) Snapshot Algorithm. (time frame: Week 52). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Aug 2026.

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