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Completed

NCT Number: NCT05585307

Study of Novel Antiretrovirals in Participants With HIV-1

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.

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Key information

Conditions

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Instituto Dominicano de Estudio Virologicos - IDEV,Substudy-02, Santo Domingo, Dominican Republic

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About this study

This umbrella study will begin with a substudy of bavtavirine (Substudy-01), and later substudies GS-1720 (Substudy-02) and GS-6212 (Substudy-03) will be added. Substudies evaluating additional study drugs will be added in a staggered manner when relevant nonclinical and/or clinical data become available.

  • Substudy-01 enrollment closed, actual enrollment is 13.
  • Substudy-02 enrollment closed, actual enrollment is 28.
  • Substudy-03 enrollment closed, actual enrollment is 8.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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 (estimated glomerular filtration rate (eGFR) ≥ 70 mL/min/1.73 m^2)
  • No clinically significant abnormalities in electrocardiogram (ECG) at screening.

Substudy-01, Substudy-02, and Substudy-03:

  • Participants in substudy-01 should be willing to initiate a non-NNRTI based SOC ART on Day 11.
  • Participants in substudy-02 and Substudy-03 should be willing to initiate any SOC ART on Day 11.
  • Willing and able to comply with meal requirements on dosing days.

Key Exclusion Criteria:

All Substudies:

  • Known historical genotypic or phenotypic resistance to 4 major ARV classes (nucleoside reverse transcriptase inhibitor (NRTI), nonnucleoside reverse transcriptase inhibitor (NNRTI), protease inhibitor (PI), integrase strand-transfer inhibitor (INSTI)).
  • History of an AIDS-defining condition including present at the time of screening.
  • Active, serious infections (other than HIV-1) requiring therapy and including active tuberculosis infection < 30 days prior to randomization.
  • History of or current clinical decompensated liver cirrhosis (eg, ascites, encephalopathy, or variceal bleeding).
  • Any other serious or active clinical condition or prior therapy that, in the opinion of the investigator, would make the individual unsuitable for the study or unable to comply with dosing requirements.
  • Hepatitis C virus (HCV) antibody positive and detectable HCV RNA.
  • 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, or
  • Positive HBV core antibody and negative HBV surface antibody, regardless of HBV surface antigen status, at the screening visit.
  • Hepatic transaminases (aspartate aminotransferase (AST) or alanine aminotransferase (ALT)) > 5 x upper limit of normal (ULN).
  • Current alcohol or substance use judged by the investigator to potentially interfere with individual study compliance.
  • Positive serum pregnancy test at screening or a positive pregnancy test prior to Day 1.
  • Individuals with plan to breastfeed during the study period including the protocol-defined follow-up period.
  • Requirement for ongoing therapy with or prior use of any prohibited medications listed in the protocol. Any prescription medications or over the counter medications, including herbal products, within 28 days prior to start of study drug dosing must be reviewed and approved by the sponsor, with the exception of vitamins and/or acetaminophen and/or ibuprofen.
  • Any current or prior receipt of LA parenteral ARVs such as mAbs targeting HIV-1, injectable CAB, or injectable RPV, for treatment or prophylaxis (PrEP, PEP).

Substudy-01, Substudy-02, Substudy-03:

  • Requirement for ongoing therapy with any prohibited medications listed in protocol.

Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Treatment and study plan

Bavtavirine

Drug

Administered orally

Other names: GS-5894

B/F/TAF

Drug

Administered orally

Other names: Biktarvy®

Standard of Care (Substudy 01)

Drug

Antiretroviral therapy, administered orally

Non-NNRTIs, examples: ABC/DTG/3TC; DTG plus (TAF or TDF) plus (FTC or 3TC)

GS-1720

Drug

Administered orally

Standard of Care (Substudy 02)

Drug

Antiretroviral therapy, administered orally

Example INSTIs: DTG/ABC/3TC or DTG/3TC

GS-6212

Drug

Administered orally

Standard of Care (Substudy 03)

Drug

Antiretroviral therapy, administered orally

Primary outcomes

  1. Substudies 01, 02 and 03: Change From Baseline in Plasma Human Immunodeficiency Virus (HIV)-1 Ribonucleic Acid (RNA) (log10 Copies/mL) at Day 11 Relative to Historical Placebo Data

    Time frame: Baseline, Day 11

Secondary outcomes

  1. Substudies 01, 02 and 03: Change From Baseline in Plasma HIV-1 RNA (log10 Copies/mL) at Day 8 Relative to Historical Placebo Data

    Time frame: Baseline, Day 8

  2. Substudies 01, 02 and 03: Percentage of Participants With Treatment-emergent Adverse Events (TEAEs)

    Time frame: First dose up to last dose (Substudy 01: Up to Day 39; Substudy 02: Up to Day 60; Substudy 03: Up to Day 25)

    An adverse event (AE) was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. TEAEs were defined as any AEs with an onset date on or after the study drug start date.

    Percentages were rounded-off.

  3. Substudies 01, 02 and 03: Percentage of Participants With Graded Laboratory Abnormalities

    Time frame: First dose up to last dose (Substudy 01: Up to Day 39; Substudy 02: Up to Day 60; Substudy 03: Up to Day 25)

    Treatment-emergent laboratory abnormalities were defined as values that increased at least 1 toxicity grade from baseline at any time postbaseline. Laboratory abnormalities were graded using Division of AIDS (DAIDS) scale with grade 0 to 4 where 0 = no grade; 1 = mild, 2 = moderate, 3 = severe; 4 = potentially life-threatening. Participants with at least a 1 grade increased from baseline for an individual laboratory test where the maximum post baseline laboratory abnormality was 1) grade 1 or higher and 2) grade 3 or higher were reported. The maximum postbaseline toxicity grade across all tests for an individual participant was used in analysis. Percentages were rounded-off.

  4. Substudy 01: Pharmacokinetic (PK) Parameter: Cmax of Bavtavirine

    Time frame: Cohorts 1, 2 and 3 (Day 1: Predose, 0.5, 1, 2, 3, 4, 5, 6, 8, and 12 hours postdose); Cohort 3: Day 2: Predose, 0.5, 1, 2, 3, 4, 5, 6, and 8 hours postdose

    Cmax was defined as the maximum observed concentration of drug.

  5. Substudy 01: PK Parameter: AUC of Bavtavirine

    Time frame: Day 1 up to Day 11

    AUC was defined as the area under the concentration versus time curve.

  6. Substudy 01: PK Parameter: Plasma Concentration of Bavtavirine

    Time frame: Days 8 and 11

  7. Substudy 02: PK Parameter: Cmax of GS-1720

    Time frame: Days 1 and 2: Predose, 0.5, 1, 2, 3, 4, 5, 6, 8 and (optional) 12 hours postdose

    Cmax was defined as the maximum observed concentration of drug.

  8. Substudy 02: PK Parameter: AUC of GS-1720

    Time frame: Day 1 up to Day 11

    AUC was defined as the area under the concentration versus time curve.

  9. Substudy 02: PK Parameter: Plasma Concentration of GS-1720

    Time frame: Days 8 and 11

  10. Substudy 03: PK Parameter: Cmax of GS-6212

    Time frame: Days 1 and 10 (Predose, 0.25, 0.5, 1, 2, 3, 4, 6, 8 and (optional) 12 hours postdose)

    Cmax was defined as the maximum observed concentration of drug.

  11. Substudy 03: PK Parameter: AUC0-8h of GS-6212

    Time frame: Days 1 and 10 (Predose, 0.25, 0.5, 1, 2, 3, 4, 6, 8 and (optional) 12 hours postdose)

    AUC0-8h was defined as the area under the concentration versus time curve spanning from 0 to 8 hours post dose.

  12. Substudy 03: PK Parameter: AUCtau of GS-6212

    Time frame: Day 10 (Parameter estimated based on observed data from 0 to 8 hours postdose)

    AUCtau was defined as the area under the curve from time zero to end of dosing interval.

  13. Substudy 03: PK Parameter: Plasma Concentration of GS-6212

    Time frame: Days 1 and 10: 8 hours postdose

  14. Substudy 03: PK Parameter: Ctrough of GS-6212 (Day 10)

    Time frame: Day 10 (Parameter estimated based on observed data from 0 to 8 hours postdose)

    Ctrough was defined as concentration at the end of the dosing interval.

  15. Substudy 03: PK Parameter: Cavg of GS-6212 (Day 10)

    Time frame: Day 10 (predose to 8 hours postdose)

    Cavg was defined as average plasma concentration during dose administration.

  16. Substudies 01, 02 and 03: Percentage of Participants at Any Measurement Achieving HIV-1 RNA < 50 Copies/mL by Day 11 at Each Dose Level

    Time frame: Up to Day 11

    Percentages were rounded-off.

  17. Substudies 01, 02 and 03: Percentage of Participants With Emergence of Viral Resistance to the ARV Class of the Given Drug

    Time frame: Up to Day 11

    The antiretroviral (ARV) class of given drugs would be BVY or NNRTIs (Substudy 01) or INSTIs (Substudy 02) or INSTIs (Substudy 03).

    Percentages were rounded-off.

  18. Substudy 01: Maximum Inhibitory Quotient (IQ) of Bavtavirine by Mean Plasma Concentration (Ct) up to Day 11

    Time frame: Up to Day 11

    Inhibitory quotient was calculated as the ratio of bavtavirine in vivo exposure to in vitro plasma concentration. IQ is defined as paEC95. paEC95 = protein-adjusted effective concentration to achieve 95% effective inhibition. The IQ ≥ 2 indicated higher reduction in viral load with less rebound.

  19. Substudy 02: Inhibitory Quotient (IQ) of GS-1720 by Mean Plasma Concentration (Ct) at Day 11

    Time frame: Day 11

    Inhibitory quotient was calculated as the ratio of GS-1720 in vivo exposure to in vitro plasma concentration. IQ is defined as paEC95. paEC95 = protein-adjusted effective concentration to achieve 95% effective inhibition. The IQ ≥ 2 indicated higher reduction in viral load with less rebound.

  20. Substudy 03: Inhibitory Quotient (IQ) of GS-6212 by Ctrough at Day 11

    Time frame: Day 11

    Ctrough is the plasma concentration of the drug just before the next dose. Inhibitory quotient was calculated as the ratio of GS-1720 in vivo exposure to in vitro Ctrough. IQ is defined as paEC95. paEC95 = protein-adjusted effective concentration to achieve 95% effective inhibition. The IQ ≥ 2 indicated higher reduction in viral load with less rebound.

Sponsors and collaborators

Lead sponsor

Gilead Sciences

Industry

Registry information

Official study title

An Umbrella Phase 1b, Open-label, Multi-Cohort Study to Evaluate Safety, Pharmacokinetics, and Antiviral Activity of Novel Antiretrovirals in Participants With HIV-1

Important dates

Study start
2022
Primary completion
2024
Study completion
2024
First posted
Oct 18, 2022
Registry last updated
May 8, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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