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Clinical Trials in the USA / NCT06749054
Recruiting Phase 2

Evaluation of Long-Acting Lenacapavir for the Treatment of HIV-1 in Treatment-experienced Adolescents and Children

NCT06749054 · tracked via the Priya Life Science USA tracker
Sponsor
Gilead Sciences
Phase
Phase 2
Started
2025-03-26
Last updated
2026-04-24

Condition(s) studied

HIV-1-infection

Investigational drug(s) / intervention(s)

Oral LenacapavirSubcutaneous LenacapavirOptimized Background Regimen (OBR)

Oral Lenacapavir: Tablets administered without regard to food

Subcutaneous Lenacapavir: Administered via subcutaneous injections

Optimized Background Regimen (OBR): Optimized background regimen as prescribed by the Investigator

Study summary

The goal of this clinical study is to learn more about the study drug, lenacapavir (LEN). The study will assess the safety, tolerability, and efficacy of long-acting LEN when combined with other medicines in adolescents and children living with HIV-1 who weigh at least 35 kg and have been treated before for HIV-1. The study will also see how easy it is for participants to take LEN as injection or an oral pill.

The primary objectives are to evaluate the pharmacokinetics and safety of LEN in combination with optimized background regimen (OBR) in TE pediatric participants with HIV-1.

Eligibility

Sex
ALL
Min age
Max age
17 Years
Healthy volunteers
No
Key Inclusion Criteria: * Body weight at screening ≥ 35 kg. * On a stable failing antiretroviral (ARV) regimen for \> 8 weeks before screening and willing to continue the regimen until Day 1. * Plasma HIV-1 RNA ≥ 400 copies/mL on at least 2 consecutive occasions spanning at least 6 months, including at screening. * Have previously changed their ARV regimen due to treatment failure. * ARV treatment options limited due to resistance, tolerability, contraindications, safety, drug access. * Able and willing to commit to taking LEN in combination with their OBR. * The following laboratory parameters at screening: 1. Estimated glomerular filtration rate (eGFR) ≥ 60 mL/min/1.73 m\^2 using Bedside Schwartz Formula. 2. Absolute neutrophil count \> 0.50 GI/L (\> 500 cells/mm\^3). 3. Hemoglobin ≥ 85 g/L (\> 8.5 g/dL). 4. Platelets ≥ 50 GI/L (≥ 50,000/mm\^3). 5. Hepatic transaminases (aspartate aminotransferase and alanine aminotransferase) ≤ 5 × upper limit of normal. 6. Total bilirubin ≤ 23 μmol/L (≤ 1.5 mg/dL) and direct bilirubin ≤ 7 μmol/L (≤ 0.4 mg/dL). Key Exclusion Criteria: * Life expectancy ≤ 1 year. * An opportunistic illness requiring treatment within the 30 days prior to screening. * Evidence of active pulmonary or extra-pulmonary tuberculosis within 3 months prior to screening. * Hepatitis C virus (HCV) antibody positive with detectable HCV RNA at screening. * Hepatitis B virus (HBV) surface antigen (HBsAg) positive or HBV core antibody (antibody against hepatitis B core antigen (anti-HBc)) positive; if individual is HBsAg negative and anti-HBc positive but HBV DNA undetectable, individual may be enrolled. Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Primary outcome measure(s)

Trial sites (9)

FacilityCityRegionStatus
Grady Health System, Ponce De Leon Center Atlanta Georgia Recruiting
FAMCRU Cape Town South Africa Recruiting
CRISMO Research Centre Germiston South Africa Recruiting
Wits RHI Shandukani Research Centre CRS Johannesburg South Africa Recruiting
Rahima Moosa Mother and Child Hospital Johannesburg South Africa Recruiting
Clinical Research Institute of South Africa (CRISA) KwaDukuza South Africa Recruiting
Durban International Clinical Research Site, Enhancing Care Foundation KwaZulu - Natal South Africa Recruiting
Be Part Research Pty (Ltd) Paarl South Africa Recruiting
Perinatal HIV Research Unit (PHRU) Soweto South Africa Withdrawn

More Gilead Sciences trials in the USA

Other trials for the same condition

Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT06749054 on ClinicalTrials.gov ↗ ← All trials in the USA