Table of Contents
- Clinical trials overview
- Study populations
- Trial design and phases
- Treatments compared
- Main outcomes measured
- Trial status and enrollment
Clinical trials overview
Two interventional studies are investigating Gs-4182 in people with HIV-1 infection.[1][2] Both studies test weekly oral regimens and compare them with Biktarvy, which is listed in the trial data as bictegravir/emtricitabine/tenofovir alafenamide.[1][2]
Study populations
One trial includes people with HIV-1 who are virologically suppressed, meaning the virus is already well controlled in the blood.[1] The other trial includes people with HIV-1 who are treatment-naive, which means they have not been treated for HIV-1 before.[2]
Trial design and phases
Both studies are listed as Phase 4 and are interventional trials, so the researchers are giving study treatments and watching what happens.[1][2] The trial plans also include Phase 2 and Phase 3 parts in the outcome descriptions, which means the studies measure results at earlier and later time points within the same research program.[1][2]
Treatments compared
In both studies, Gs-4182 is given with GS-1720 as a weekly oral regimen, meaning the medicine is taken by mouth once each week.[1][2] The comparison treatment is Biktarvy, which is used as the active control in both trials.[1][2]
In the first study, the Phase 2 part evaluates switching to oral weekly GS-1720 plus Gs-4182 versus continuing Biktarvy at Week 24.[1] The Phase 3 part evaluates a fixed-dose combination tablet of GS-1720/GS-4182 versus Biktarvy at Week 48.[1]
In the second study, the Phase 2 part evaluates oral weekly GS-1720 with Gs-4182 versus Biktarvy at Week 24 in treatment-naive people.[2] The Phase 3 part evaluates the fixed-dose combination tablet regimen versus Biktarvy at Week 48 in treatment-naive people.[2]
Main outcomes measured
The main outcome in the suppressed-population study is the proportion of participants with HIV-1 RNA ≥ 50 copies/mL at Week 24 for the Phase 2 part and at Week 48 for the Phase 3 part, using the US FDA-defined snapshot algorithm.[1] This outcome checks how many people have virus levels at or above a set threshold, which helps show whether viral control is maintained.[1]
The main outcome in the treatment-naive study is the proportion of participants with HIV-1 RNA < 50 copies/mL at Week 24 for the Phase 2 part and at Week 48 for the Phase 3 part, also using the US FDA-defined snapshot algorithm.[2] This outcome shows how many people reach a low virus level after starting treatment.[2]
Trial status and enrollment
The trial for people who are virologically suppressed is listed as Authorised and has an enrollment of 82 participants.[1] The trial for people who have not been treated before is listed as Completed and has an enrollment of 675 participants.[2]



