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RecruitingNCT07202546Updated Jul 23, 2026

A Phase 2b Study Evaluating Oral VH4524184 Regimens in Treatment Naïve Persons With HIV-1 (INNOVATE Study)

A Phase 2 interventional study of VH4524184 and Emtricitabine (FTC) and tenofovir alafenamide (TAF) Fixed Dose Combination (FDC) tablets in HIV Infections, sponsored by ViiV Healthcare. Recruiting at 123 sites in 14 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-23.

Sponsored by ViiV Healthcare · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Feb 2026; still recruiting 7 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
186
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This clinical study is testing a new medication, VH4524184, to see if it can effectively treat HIV-1 in adults who have never received treatment for their infection. The study is comparing two different doses of VH4524184, each taken with the medications emtricitabine and tenofovir alafenamide (FTC/TAF), to a standard HIV treatment called dolutegravir and lamivudine (DTG/3TC). The purpose of the study is to provide data on the long-term antiviral activity of the VH4524184 and provide information regarding dosing formulation for further evaluations.

02

Conditions studied

  • HIV Infections

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Keywords

  • Fixed dose combination
  • Antiretroviral
  • Antiviral
  • Naive viremics
  • Innovate
  • VH4524184
03

In context

HIV Infections

4,259 studies on the registry are indexed under HIV Infections; 241 are open to participants now.

This study's planned enrollment of 186 is above the median of 83 across 3,252 interventional studies indexed under HIV Infections.

Browse HIV Infections studies →

Lead sponsor

ViiV Healthcare is the lead sponsor of 261 studies on the registry; 16 are open to participants now.

Of its 66 completed or terminated interventional studies of FDA-regulated products, 50 (76%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Participant must be at least 18 years of age (or older, if required for adults by local regulations) at the time of signing the informed consent.
  2. Screening CD4+ T-cell count >200 cells/microlitre (µL).
  3. Documented HIV-1 infection and Screening plasma HIV-1 RNA of ≥1000 copies/millilitre (mL). A single repeat of this test is allowed within a single Screening period to determine eligibility.
  4. Treatment-naive: Defined as no ARVs (in combination or monotherapy) received after the diagnosis of HIV-1 infection.
  5. Body weight >=50.0 kilogram (kg) [(110 pounds (lbs)] for participants assigned male at birth and >=45.0 kg (99 lbs) for participants assigned female at birth. BMI within the range 18.5-35.5 kg/m\^2 (inclusive - applies to males and females).
  6. There are no contraceptive requirements for participants assigned male at birth.
  7. Participants assigned female at birth are eligible to participate if they are not pregnant or breastfeeding and one of the following conditions applies:

    • Is a Participant of non-childbearing potential (PONCBP);OR Is a Participant of childbearing potential (POCBP) and using a contraceptive method with a failure rate of less than (\<) 1% prior to and during the study intervention period, and for at least 1 week after the last dose of VH4524184 plus FTC/TAF FDC, or through the end of study (if in the control arm and never received VH4524184).
    • A POCBP must have a negative pregnancy test at Screening (serum) and on Day 1 (urine) before the first dose of study intervention.
    • If a urine test cannot be confirmed as negative (e.g., an ambiguous result), a serum pregnancy test is required. Participant with a positive serum test must be excluded.
  8. Capable of giving signed informed consent. Persons who are placed in an institution by order of a public authority or a court are excluded from participation in this study.

Exclusion criteria

Exclusion Criteria:

  1. Participants who are breastfeeding or plan to breastfeed during the study.
  2. Participants with acute HIV infection, evidenced by acute retroviral syndrome (e.g., fever, malaise, fatigue, etc.) and/or evidence of recent (within 3 months) documented viremia without antibody production and/or evidence of recent (within 3 months) documented seroconversion.
  3. Any evidence of an active Centres for Disease Control and Prevention (CDC) Stage 3 disease [CDC 2014], except cutaneous Kaposi's sarcoma not requiring systemic therapy during the study. Historical CD4+ cell counts less than 200 cells/µL are not exclusionary.
  4. Unstable liver disease known biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones or otherwise stable chronic liver disease per investigator assessment).
  5. History of cirrhosis with or without viral hepatitis co-infection.
  6. Participants with HCV co-infection will be excluded from the study.
  7. Individuals who are co-infected with HIV and HBV will be excluded Participants diagnosed with syphilis at Screening (i.e., positive syphilis testing) should be treated as per local guidelines and will be eligible to enroll at any time regardless of the stage of disease.
  8. Uncontrolled malignancy is excluded, whereas participants who have controlled malignancies may be included in agreement between the investigator and the ViiV Healthcare medical monitor.
  9. Any pre-existing physical, or mental condition (including alcohol or drug abuse) which, in the opinion of the investigator (with or without psychiatric evaluation) or the ViiV Healthcare medical monitor, may interfere with the participant's ability to comply with the dosing schedule and/or protocol evaluations or which may compromise the safety of the participant.
  10. Any condition which, in the opinion of the investigator or the ViiV Healthcare medical monitor, that may interfere with the absorption, distribution, metabolism or excretion of the study interventions or render the participant unable to take oral medication and normal gastrointestinal anatomy or motility or hepatic and/or renal function
  11. Clinically significant CV disease, as defined by history/evidence of congestive heart failure, symptomatic arrhythmia, angina/ischemia, coronary artery bypass grafting surgery or percutaneous transluminal coronary angioplasty or any clinically significant cardiac disease.
  12. Participants receiving any protocol-prohibited medication and who are unwilling or unable to switch to an alternate medication.
  13. History of sensitivity to any of the study medications, or their components or drugs of their class, or a history of drug or other allergy that, in the opinion of the investigator or ViiV Healthcare medical monitor, contraindicates their participation.
  14. Current or anticipated need for chronic anti-coagulation with the exception of the use of low dose acetylsalicylic acid (≤325 mg) or hereditary coagulation and platelet disorders such as hemophilia or Von Willebrand Disease.
  15. Treatment with any of the following agents within 60 days of Screening: radiation therapy, cytotoxic chemotherapeutic agents, any systemic immune suppressant.
  16. Treatment with immunomodulating agents (such as systemic corticosteroids, interleukins, interferons) or any agent with known anti-HIV activity (such as hydroxyurea or foscarnet) within 30 days of Day 1.
  17. Treatment with an HIV-1 immunotherapeutic vaccine within 90 days of Screening.
  18. Exposure to an approved vaccine within 14 days prior to Day 1.
  19. Current enrollment or past participation within the last 30 days before signing of consent in any other clinical study involving an investigational study intervention or any other type of medical research
  20. Participants with known or suspected presence of virologic resistance mutations as defined by the Stanford HIV Drug Resistance Database to INSTIs or NRTIs. This determination will be based on local virologic resistance testing, either at Screening or within the 3 months prior to Screening. ViiV Healthcare clinical virologist and/or ViiV Healthcare medical monitor will verify eligibility to this criterion prior to Day 1.
  21. Creatinine clearance (eGFR) of \<60 mL/min/1.73 m2 via CKD-EPI race neutral method [Delgado, 2021].
  22. ALT >3 times the upper limit of normal (ULN). A single repeat of ALT is allowed within a single screening period to determine eligibility.
  23. Any Grade 4 laboratory abnormality at screening, except for a Grade 4 CPK and lipid abnormalities (e.g., total cholesterol, triglycerides, etc.) will exclude a participant from the study unless the investigator can provide a compelling explanation for the laboratory result(s) and has the assent of the ViiV Healthcare medical monitor. A single repeat of any lab abnormality is allowed within a single screening period to determine eligibility.
  24. Any acute laboratory abnormality at screening which, in the opinion of the investigator, should preclude participation in the study of an investigational compound.
  25. Exclusion criteria for screening ECG (a single repeat is allowed for eligibility determination and will be the screening ECG entered into the eCRF): QT interval corrected for heart rate according to Fridericia's formula (QTcF) >450 msec (males) or >470 msec (females); >480 msec for participants with bundle branch block.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
186 participants (estimated)

Study arms

  • Experimental
    VH4524184 Dose A+ FTC / TAF

    Participants receive a daily oral dose of VH4524184 Dose A (Low dose) in combination with a fixed dose containing FTC/TAF starting Day 1 until Month 12.

    Drug: VH4524184 · Drug: Emtricitabine (FTC) and tenofovir alafenamide (TAF) Fixed Dose Combination (FDC) tablets

  • Experimental
    VH4524184 Dose B + FTC / TAF

    Participants receive a daily oral dose of VH4524184 Dose B (High dose) in combination with a fixed dose containing FTC / TAF beginning on Day 1 until the Month 12.

    Drug: VH4524184 · Drug: Emtricitabine (FTC) and tenofovir alafenamide (TAF) Fixed Dose Combination (FDC) tablets

  • Active comparator
    DTG + 3TC

    Participants receive a daily oral dose of DTG and 3TC (fixed dose combination) from Day 1 through Month 24.

    Drug: Dolutegravir / Lamivudine (DTG/3TC)

  • Experimental
    VH4524184 selected dose + FTC / TAF

    Participants receive a selected dose of VH4524184, combined with FTC/TAF, orally once daily from to Month 12 to Month 24.

    Drug: VH4524184 · Drug: Emtricitabine (FTC) and tenofovir alafenamide (TAF) Fixed Dose Combination (FDC) tablets

Interventions

  • DrugVH4524184

    Oral tablet will be administered.

  • DrugEmtricitabine (FTC) and tenofovir alafenamide (TAF) Fixed Dose Combination (FDC) tablets

    Oral table will be administered.

    Also known as: DESCOVY

  • DrugDolutegravir / Lamivudine (DTG/3TC)

    Oral tablets will be administered.

    Also known as: DOVATO

06

What researchers measure

Primary outcomes

  1. Percentage of Participants Achieving Plasma Human Immunodeficiency Virus-1 (HIV-1) Ribonucleic Acid (RNA) Suppression (<50 copies/millilitre) as per FDA Snapshot Methodology

    Time frame: At Month 12

Secondary outcomes

  1. Percentage of Participants Maintaining Plasma HIV-1 RNA Suppression (<50 copies/mL) Based on Observed Laboratory Results

    Time frame: Day 1 to Month 24

  2. Percentage of Participants Achieving Plasma HIV-1 RNA Suppression (<50 copies/ml) as per FDA Snapshot Methodology

    Time frame: Day 1 to Month 24

  3. Change From Baseline in Cluster of Differentiation 4 (CD4+) T-cell Counts

    Blood samples will be collected for assessment of T-cells subsets (CD4+ T-cells count) by flow cytometry.

    Time frame: Day 1 to Month 24

  4. Number of Participants with Any Adverse Event (AE)

    Time frame: Day 1 through the continuation period/end of study (approximately Month 36)

  5. Number of Participants with AEs by Severity

    The severity will be assessed using The Division of AIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (DAIDS AE Grading Table) Version 2.1 where Grade 1 = mild, Grade 2 = moderate, Grade 3 = severe, Grade 4 = potentially life-threatening and Grade 5 = Death.

    Time frame: Day 1 through the continuation period/end of study (approximately Month 36)

  6. Number of Participants with AEs Leading to Study Treatment Discontinuation

    Time frame: Day 1 through the continuation period/end of study (approximately Month 36)

  7. Plasma Concentration of VH4524184

    Blood samples will be collected at indicated time point for PK analysis of VH4524184.

    Time frame: Day 1 to Month 24

07

Study locations

123 of 123 sites recruiting
  • GSK Investigational Site
    Bakersfield, California 93301, United States
    Recruiting
  • GSK Investigational Site
    Palm Springs, California 92262, United States
    Recruiting
  • GSK Investigational Site
    West Hollywood, California 90046, United States
    Recruiting
  • GSK Investigational Site
    Aurora, Colorado 80045, United States
    Recruiting
  • GSK Investigational Site
    New Haven, Connecticut 06501, United States
    Recruiting
  • GSK Investigational Site
    Ft. Pierce, Florida 34982, United States
    Recruiting
  • GSK Investigational Site
    Hollywood, Florida 33021, United States
    Recruiting
  • GSK Investigational Site
    Miami, Florida 33136, United States
    Recruiting
  • GSK Investigational Site
    Miami Gardens, Florida 33055, United States
    Recruiting
  • GSK Investigational Site
    Oakland Park, Florida 33334, United States
    Recruiting
  • GSK Investigational Site
    Orlando, Florida 32803, United States
    Recruiting
  • GSK Investigational Site
    Orlando, Florida 32803, United States
    Recruiting
  • GSK Investigational Site
    West Palm Beach, Florida 33409, United States
    Recruiting
  • GSK Investigational Site
    Atlanta, Georgia 30308, United States
    Recruiting
  • GSK Investigational Site
    Macon, Georgia 31201, United States
    Recruiting
  • GSK Investigational Site
    Chicago, Illinois 60637, United States
    Recruiting
  • GSK Investigational Site
    Louisville, Kentucky 40202, United States
    Recruiting
  • GSK Investigational Site
    Columbia, Missouri 65212, United States
    Recruiting
  • GSK Investigational Site
    Kansas City, Missouri 64111, United States
    Recruiting
  • GSK Investigational Site
    Omaha, Nebraska 68106, United States
    Recruiting
  • GSK Investigational Site
    Hackensack, New Jersey 07601, United States
    Recruiting
  • GSK Investigational Site
    Newark, New Jersey 07102, United States
    Recruiting
  • GSK Investigational Site
    Albany, New York 12208, United States
    Recruiting
  • GSK Investigational Site
    Manhasset, New York 11030, United States
    Recruiting
  • GSK Investigational Site
    Charlotte, North Carolina 28204, United States
    Recruiting
  • GSK Investigational Site
    Durham, North Carolina 27710, United States
    Recruiting
  • GSK Investigational Site
    Greensboro, North Carolina 27401, United States
    Recruiting
  • GSK Investigational Site
    Wilmington, North Carolina 28401, United States
    Recruiting
  • GSK Investigational Site
    Cincinnati, Ohio 45267, United States
    Recruiting
  • GSK Investigational Site
    Bellaire, Texas 77401, United States
    Recruiting
  • GSK Investigational Site
    Dallas, Texas 75246, United States
    Recruiting
  • GSK Investigational Site
    Houston, Texas 77025, United States
    Recruiting
  • GSK Investigational Site
    Houston, Texas 77030, United States
    Recruiting
  • GSK Investigational Site
    Longview, Texas 75605, United States
    Recruiting
  • GSK Investigational Site
    Seattle, Washington 98104, United States
    Recruiting
  • GSK Investigational Site
    Buenos Aires, 1023, Argentina
    Recruiting
  • GSK Investigational Site
    Buenos Aires, 1427, Argentina
    Recruiting
  • GSK Investigational Site
    Buenos Aires, C1425AGC, Argentina
    Recruiting
  • GSK Investigational Site
    Ciudad Autonoma Buenos Aires, C1002ABJ, Argentina
    Recruiting
  • GSK Investigational Site
    Ciudad Autonoma de Bueno, 1405, Argentina
    Recruiting
  • GSK Investigational Site
    Mar del Plata, B7600FZO, Argentina
    Recruiting
  • GSK Investigational Site
    San Miguel de Tucumán, T4000IHE, Argentina
    Recruiting
  • GSK Investigational Site
    Sydney, New South Wales 2010, Australia
    Recruiting
  • GSK Investigational Site
    Clayton, Victoria 3168, Australia
    Recruiting
  • GSK Investigational Site
    Melbourne, Victoria 3004, Australia
    Recruiting
  • GSK Investigational Site
    Antwerp, 2000, Belgium
    Recruiting
  • GSK Investigational Site
    Brussels, 1000, Belgium
    Recruiting
  • GSK Investigational Site
    Ghent, 9000, Belgium
    Recruiting
  • GSK Investigational Site
    Montreal, Quebec H2L 4P9, Canada
    Recruiting
  • GSK Investigational Site
    Montreal, Quebec H4A 3J1, Canada
    Recruiting
  • GSK Investigational Site
    Bordeaux, 33000, France
    Recruiting
  • GSK Investigational Site
    Caen, 14033, France
    Recruiting
  • GSK Investigational Site
    Nantes, 44093, France
    Recruiting
  • GSK Investigational Site
    Nîmes, 30029, France
    Recruiting
  • GSK Investigational Site
    Paris, 75012, France
    Recruiting
  • GSK Investigational Site
    Paris, 75013, France
    Recruiting
  • GSK Investigational Site
    Berlin, 10787, Germany
    Recruiting
  • GSK Investigational Site
    Cologne, 50937, Germany
    Recruiting
  • GSK Investigational Site
    Frankfurt, 60590, Germany
    Recruiting
  • GSK Investigational Site
    Hamburg, 20146, Germany
    Recruiting
  • GSK Investigational Site
    München, 80337, Germany
    Recruiting
  • GSK Investigational Site
    Bergamo, 24127, Italy
    Recruiting
  • GSK Investigational Site
    Milan, 20122, Italy
    Recruiting
  • GSK Investigational Site
    Milan, 20127, Italy
    Recruiting
  • GSK Investigational Site
    Milan, 20142, Italy
    Recruiting
  • GSK Investigational Site
    Milan, 20157, Italy
    Recruiting
  • GSK Investigational Site
    Roma, 00149, Italy
    Recruiting
  • GSK Investigational Site
    Roma, Italy
    Recruiting
  • GSK Investigational Site
    Fukuoka, 810-8563, Japan
    Recruiting
  • GSK Investigational Site
    Kanagawa, 221-0855, Japan
    Recruiting
  • GSK Investigational Site
    Okinawa, 901-2725, Japan
    Recruiting
  • GSK Investigational Site
    Osaka, 534-0021, Japan
    Recruiting
  • GSK Investigational Site
    Osaka, 540-0006, Japan
    Recruiting
  • GSK Investigational Site
    Tokyo, 108-8639, Japan
    Recruiting
  • GSK Investigational Site
    Tokyo, 160-0023, Japan
    Recruiting
  • GSK Investigational Site
    Tokyo, 162-8655, Japan
    Recruiting
  • GSK Investigational Site
    Bydgoszcz, 85-030, Poland
    Recruiting
  • GSK Investigational Site
    Gdansk, 80-405, Poland
    Recruiting
  • GSK Investigational Site
    Porto, 4099-001, Portugal
    Recruiting
  • GSK Investigational Site
    Porto, 4200-319, Portugal
    Recruiting
  • GSK Investigational Site
    Vila Nova de Gaia, 4434-502, Portugal
    Recruiting
  • GSK Investigational Site
    Daegu, 700-721, South Korea
    Recruiting
  • GSK Investigational Site
    Gwangju, 61469, South Korea
    Recruiting
  • GSK Investigational Site
    Pusan, 49241, South Korea
    Recruiting
  • GSK Investigational Site
    Seoul, 03722, South Korea
    Recruiting
  • GSK Investigational Site
    A Coruña, 15006, Spain
    Recruiting
  • GSK Investigational Site
    Alicante, 03010, Spain
    Recruiting
  • GSK Investigational Site
    Almería, 04009, Spain
    Recruiting
  • GSK Investigational Site
    Badalona, 08916, Spain
    Recruiting
  • GSK Investigational Site
    Barcelona, 08003, Spain
    Recruiting
  • GSK Investigational Site
    Barcelona, 08036, Spain
    Recruiting
  • GSK Investigational Site
    Barcelona, 08041, Spain
    Recruiting
  • GSK Investigational Site
    Barcelona, 08097, Spain
    Recruiting
  • GSK Investigational Site
    Barcelona, 08830, Spain
    Recruiting
  • GSK Investigational Site
    Elche Alicante, 03203, Spain
    Recruiting
  • GSK Investigational Site
    Getafe, 28905, Spain
    Recruiting
  • GSK Investigational Site
    Granada, 18014, Spain
    Recruiting
  • GSK Investigational Site
    HebrOn, 08035, Spain
    Recruiting
  • GSK Investigational Site
    Madrid, 28006, Spain
    Recruiting
  • GSK Investigational Site
    Madrid, 28007, Spain
    Recruiting

Showing the first 100 of 123 sites across 14 countries.

08

References and documents

Individual participant data

Plan to share: Yes — Sudy Sponsor will assess requests from qualified researchers for anonymized individual patient-level data and related study documents. Data sharing is subject to certain criteria, conditions, and exceptions. For further information, refer to https://www.viiv-studyregister.com/documents/About\_ViiV\_Patient\_Level\_Data\_Sharing\_Final\_25Sep2023.pdf

Supporting information: Study protocol, Sap, Icf, Csr

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 23, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07202546
Lead sponsor
ViiV Healthcare
Responsible party
Sponsor
First posted
Oct 2, 2025
Start date
Feb 11, 2026
Primary completion
Jun 11, 2027 (estimated)
Completion
May 22, 2028 (estimated)
Last update
Jul 23, 2026

Study contacts

US GSK Clinical Trials Call Center
Contact
GSKClinicalSupportHD@gsk.com
877-379-3718
EU GSK Clinical Trials Call Center
Contact
GSKClinicalSupportHD@gsk.com
+44 (0) 20 89904466

Oversight

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

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