CClinicalTrials.gg
RecruitingNCT06749054Updated Apr 24, 2026

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

A Phase 2 interventional study of Oral Lenacapavir and Subcutaneous Lenacapavir in HIV-1-infection, sponsored by Gilead Sciences. Recruiting at 9 sites in 2 countries. Open to participants aged Up to 17 Years. Per ClinicalTrials.gov, last updated 2026-04-24.

Sponsored by Gilead Sciences · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Mar 2025; still recruiting 1 year 6 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
12
Allocation
Not applicable
Ages
Up to 17 Years
Sex
All
01

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.

02

Conditions studied

  • HIV-1-infection
03

In context

Lead sponsor

Gilead Sciences is the lead sponsor of 680 studies on the registry; 24 are open to participants now.

Of its 259 completed or terminated interventional studies of FDA-regulated products, 249 (96%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Up to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
12 participants (estimated)

Study arms

  • Experimental
    LEN

    Participants will receive oral LEN 600 mg on Days 1 and 2. Participants will also receive 2 doses of LEN 927 mg as subcutaneous (SC) injection on Day 1 and Week 26 along with their OBR per clinical practice. At the Week 52, participants will be given the option to receive SC LEN every 6 months while continuing their OBR for at least another 2 SC LEN doses in the extension phase.

    Drug: Oral Lenacapavir · Drug: Subcutaneous Lenacapavir · Drug: Optimized Background Regimen (OBR)

Interventions

  • DrugOral Lenacapavir

    Tablets administered without regard to food

    Also known as: GS-6207, Sunlenca®

  • DrugSubcutaneous Lenacapavir

    Administered via subcutaneous injections

    Also known as: GS-6207, Sunlenca®

  • DrugOptimized Background Regimen (OBR)

    Optimized background regimen as prescribed by the Investigator

06

What researchers measure

Primary outcomes

  1. Pharmacokinetic (PK) Parameter: Ctrough, W26 of Lenacapavir (LEN)

    Ctrough, W26 is defined as the plasma concentration at the end of the dosing interval at Week 26.

    Time frame: Week 26

  2. Percentage of Participants Experiencing Treatment-Emergent Adverse Events (AEs) Through Week 26

    Time frame: First dose date up to Week 26

  3. Percentage of Participants Experiencing Treatment-Emergent Laboratory Abnormalities Through Week 26

    Time frame: First dose date up to Week 26

Secondary outcomes

  1. PK Parameter: Cmax, D1-W26 of LEN

    Cmax, D1-W26 is defined as the maximum observed concentration of drug from Day 1 to Week 26.

    Time frame: Day 1 up to Week 26

  2. PK Parameter: AUC D1-W26 of LEN

    AUC D1-W26 is defined as the partial area under the concentration versus time curve from Day 1 to Week 26.

    Time frame: Day 1 up to Week 26

  3. Percentage of Participants Experiencing Treatment-Emergent AEs Through Week 52

    Time frame: First dose date up to Week 52

  4. Percentage of Participants Experiencing Treatment-Emergent Laboratory Abnormalities Through Week 52

    Time frame: First dose date up to Week 52

  5. Percentage of Participants With Plasma HIV-1 RNA < 50 Copies/mL at Week 26 Based on the US Food and Drug Administration (FDA)-Defined Snapshot Algorithm

    Time frame: Week 26

  6. Percentage of Participants with Plasma HIV-1 RNA < 50 Copies/mL at Week 52 Based on the US FDA-Defined Snapshot Algorithm

    Time frame: Week 52

  7. Change From Baseline in Clusters of Differentiation (CD4)+ Cell Counts at Week 26

    Time frame: Baseline, Week 26

  8. Change From Baseline in CD4+ Cell Counts at Week 52

    Time frame: Baseline, Week 52

  9. Percent Change From Baseline in CD4+ at Week 26

    Time frame: Baseline, Week 26

  10. Percent Change From Baseline in CD4+ at Week 52

    Time frame: Baseline, Week 52

  11. General Acceptability of Oral LEN as Assessed by Percentage of Participants With Acceptability Questionnaire Responses on Day 1

    To assess the acceptability of the study drug, the participants will complete questionnaire including a question on general acceptability of the assigned study drug on an ordinal 5-category scale.

    Time frame: Day 1

  12. General Acceptability of Oral LEN as Assessed by Percentage of Participants With Acceptability Questionnaire Responses on Day 2

    To assess the acceptability of the study drug, the participants will complete questionnaire including a question on general acceptability of the assigned study drug on an ordinal 5-category scale.

    Time frame: Day 2

  13. General Palatability of Oral LEN as Assessed by Percentage of Participants With Palatability Questionnaire Responses on Day 1

    To assess the palatability of the study drug, the participants will complete questionnaire including a question on general palatability of the assigned study drug on an ordinal 5-category scale.

    Time frame: Day 1

  14. General Palatability of Oral LEN as Assessed by Percentage of Participants With Palatability Questionnaire Responses on Day 2

    To assess the palatability of the study drug, the participants will complete questionnaire including a question on general palatability of the assigned study drug on an ordinal 5-category scale.

    Time frame: Day 2

07

Study locations

8 of 9 sites recruiting
  • Grady Health System, Ponce De Leon Center
    Atlanta, Georgia 30308, United States
    Recruiting
  • FAMCRU
    Cape Town, 7505, South Africa
    Recruiting
  • CRISMO Research Centre
    Germiston, 1401, South Africa
    Recruiting
  • Wits RHI Shandukani Research Centre CRS
    Johannesburg, 2038, South Africa
    Recruiting
  • Rahima Moosa Mother and Child Hospital
    Johannesburg, 2112, South Africa
    Recruiting
  • Clinical Research Institute of South Africa (CRISA)
    KwaDukuza, 4449, South Africa
    Recruiting
  • Durban International Clinical Research Site, Enhancing Care Foundation
    KwaZulu - Natal, 4093, South Africa
    Recruiting
  • Be Part Research Pty (Ltd)
    Paarl, 7626, South Africa
    Recruiting
  • Perinatal HIV Research Unit (PHRU)
    Soweto, 2013, South Africa
    Withdrawn
08

References and documents

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06749054
Lead sponsor
Gilead Sciences
Responsible party
Sponsor
First posted
Dec 27, 2024
Start date
Mar 26, 2025
Primary completion
Mar 2027 (estimated)
Completion
Sep 2027 (estimated)
Last update
Apr 24, 2026

Study contacts

Gilead Clinical Study Information Center
Contact
GileadClinicalTrials@gilead.com
1-833-445-3230 (GILEAD-0)
Gilead Study Director
study director · Gilead Sciences

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion