Actively Recruiting

Phase 2
Age: 18Years +
All Genders
ID07202546

A Phase 2b Randomized, Open-Label Study Evaluating Oral VH4524184 With Emtricitabine and Tenofovir Alafenamide in Adults with HIV-1 Who Have Not Received Treatment

Led by ViiV Healthcare · Updated on 2026-05-08

150

Participants Needed

113

Research Sites

52 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the medication VH4524184 for treating adults with HIV-1 who have never received treatment before. The study compares two doses of VH4524184, each combined with emtricitabine and tenofovir alafenamide (FTC/TAF), against a standard treatment of dolutegravir and lamivudine (DTG/3TC). This phase 2b trial aims to provide data on the long-term antiviral effects and appropriate dosing of VH4524184 for future studies. Participants are randomly assigned to receive either a low or high daily dose of VH4524184 combined with FTC/TAF for 12 months, or the standard DTG/3TC treatment daily for 24 months. Those on VH4524184 may continue with a selected dose plus FTC/TAF from 12 to 24 months. All medications are taken orally, and the study is open-label, meaning participants and researchers know which treatment is given. During the study, participants will undergo regular assessments including blood tests to measure HIV-1 RNA levels and CD4+ T-cell counts, monitoring for side effects, and measuring drug concentrations in the blood. The primary outcome is the percentage of participants achieving HIV-1 RNA suppression below 50 copies/mL at 12 months. Safety and maintenance of viral suppression will also be tracked through month 24. The total participation can last up to two years, with ongoing evaluations to understand long-term treatment effects.

CONDITIONS

Brief Title

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

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • At least 18 years of age at time of informed consent
  • Screening CD4+ T-cell count greater than 200 cells/microlitre
  • Documented HIV-1 infection with plasma HIV-1 RNA of at least 1000 copies/millilitre
  • No prior antiretroviral treatment after HIV-1 diagnosis
  • Body weight at least 50 kg for males assigned at birth, or at least 45 kg for females assigned at birth
  • Body mass index (BMI) between 18.5 and 35.5 kg/m2 inclusive
  • For females assigned at birth: not pregnant or breastfeeding, and either non-childbearing potential or using effective contraception with failure rate under 1%
  • Ability to give signed informed consent
Not Eligible

You will not qualify if you...

  • Breastfeeding or planning to breastfeed during the study
  • Acute HIV infection with recent symptoms or documented viremia without antibody production within 3 months
  • Active CDC Stage 3 disease except cutaneous Kaposi's sarcoma not requiring systemic therapy
  • Unstable liver disease or biliary abnormalities except Gilbert's syndrome or stable chronic liver disease
  • History of cirrhosis with or without viral hepatitis co-infection
  • Hepatitis C virus (HCV) co-infection
  • HIV and hepatitis B virus (HBV) co-infection
  • Uncontrolled malignancy; controlled malignancy may be included with agreement
  • Any condition interfering with study compliance or safety as judged by investigator
  • Conditions affecting absorption, metabolism, or ability to take oral medication
  • Significant cardiovascular disease or history of cardiac events
  • Use of protocol-prohibited medications without willingness to switch
  • Sensitivity or allergy to study medications or components
  • Need for chronic anticoagulation except low-dose aspirin or hereditary coagulation disorders
  • Recent treatment with radiation, chemotherapy, immunosuppressants, or anti-HIV agents within specified timeframes
  • Participation in another clinical study within 30 days prior to consent
  • Known or suspected resistance mutations to integrase inhibitors or nucleoside reverse transcriptase inhibitors
  • Creatinine clearance below 60 mL/min/1.73 m2
  • Alanine transaminase (ALT) levels greater than three times the upper limit of normal
  • Grade 4 laboratory abnormalities except specific exceptions
  • Screening ECG showing prolonged QT interval beyond specified limits

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Up to 24 months depending on assigned treatment arm

Participants receive daily oral doses of study medications including VH4524184 combined with FTC/TAF or DTG plus 3TC for HIV-1 treatment.

Regular visits throughout treatment period

Trial Site Locations

Total: 113 locations

1

GSK Investigational Site

Bakersfield, California, United States, 93301

Actively Recruiting

2

GSK Investigational Site

Palm Springs, California, United States, 92262

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3

GSK Investigational Site

West Hollywood, California, United States, 90046

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4

GSK Investigational Site

Aurora, Colorado, United States, 80045

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5

GSK Investigational Site

New Haven, Connecticut, United States, 06501

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6

GSK Investigational Site

Ft. Pierce, Florida, United States, 34982

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7

GSK Investigational Site

Hollywood, Florida, United States, 33021

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8

GSK Investigational Site

Miami, Florida, United States, 33136

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9

GSK Investigational Site

Miami Gardens, Florida, United States, 33055

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10

GSK Investigational Site

Oakland Park, Florida, United States, 33334

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11

GSK Investigational Site

Orlando, Florida, United States, 32803

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12

GSK Investigational Site

Orlando, Florida, United States, 32803

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13

GSK Investigational Site

West Palm Beach, Florida, United States, 33409

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14

GSK Investigational Site

Atlanta, Georgia, United States, 30308

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15

GSK Investigational Site

Macon, Georgia, United States, 31201

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16

GSK Investigational Site

Louisville, Kentucky, United States, 40202

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17

GSK Investigational Site

Columbia, Missouri, United States, 65212

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18

GSK Investigational Site

Kansas City, Missouri, United States, 64111

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19

GSK Investigational Site

Omaha, Nebraska, United States, 68106

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20

GSK Investigational Site

Newark, New Jersey, United States, 07102

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21

GSK Investigational Site

Albany, New York, United States, 12208

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22

GSK Investigational Site

Manhasset, New York, United States, 11030

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23

GSK Investigational Site

Charlotte, North Carolina, United States, 28204

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24

GSK Investigational Site

Greensboro, North Carolina, United States, 27401

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25

GSK Investigational Site

Wilmington, North Carolina, United States, 28401

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26

GSK Investigational Site

Cincinnati, Ohio, United States, 45267

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27

GSK Investigational Site

Bellaire, Texas, United States, 77401

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28

GSK Investigational Site

Dallas, Texas, United States, 75246

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29

GSK Investigational Site

Houston, Texas, United States, 77025

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30

GSK Investigational Site

Houston, Texas, United States, 77030

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31

GSK Investigational Site

Longview, Texas, United States, 75605

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32

GSK Investigational Site

Seattle, Washington, United States, 98104

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33

GSK Investigational Site

Buenos Aires, Argentina, 1023

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34

GSK Investigational Site

Buenos Aires, Argentina, 1427

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35

GSK Investigational Site

Buenos Aires, Argentina, C1425AGC

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36

GSK Investigational Site

Ciudad Autonoma Buenos Aires, Argentina, C1002ABJ

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37

GSK Investigational Site

Ciudad Autonoma de Bueno, Argentina, 1405

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38

GSK Investigational Site

Mar del Plata, Argentina, B7600FZO

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39

GSK Investigational Site

San Miguel de Tucumán, Argentina, T4000IHE

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40

GSK Investigational Site

Sydney, New South Wales, Australia, 2010

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41

GSK Investigational Site

Clayton, Victoria, Australia, 3168

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42

GSK Investigational Site

Melbourne, Victoria, Australia, 3004

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43

GSK Investigational Site

Antwerp, Belgium, 2000

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44

GSK Investigational Site

Brussels, Belgium, 1000

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45

GSK Investigational Site

Ghent, Belgium, 9000

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46

GSK Investigational Site

Montreal, Quebec, Canada, H2L 4P9

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47

GSK Investigational Site

Montreal, Quebec, Canada, H4A 3J1

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48

GSK Investigational Site

Nantes, France, 44093

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49

GSK Investigational Site

Nîmes, France, 30029

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50

GSK Investigational Site

Paris, France, 75012

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51

GSK Investigational Site

Berlin, Germany, 10787

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52

GSK Investigational Site

Cologne, Germany, 50937

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53

GSK Investigational Site

Frankfurt, Germany, 60590

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54

GSK Investigational Site

Hamburg, Germany, 20146

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55

GSK Investigational Site

München, Germany, 80337

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56

GSK Investigational Site

Bergamo, Italy, 24127

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57

GSK Investigational Site

Milan, Italy, 20122

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58

GSK Investigational Site

Milan, Italy, 20127

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59

GSK Investigational Site

Milan, Italy, 20142

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60

GSK Investigational Site

Milan, Italy, 20157

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61

GSK Investigational Site

Palermo, Italy, 90127

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62

GSK Investigational Site

Roma, Italy, 00149

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63

GSK Investigational Site

Roma, Italy

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64

GSK Investigational Site

Fukuoka, Japan, 810-8563

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65

GSK Investigational Site

Kanagawa, Japan, 221-0855

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66

GSK Investigational Site

Okinawa, Japan, 901-2725

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67

GSK Investigational Site

Osaka, Japan, 534-0021

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68

GSK Investigational Site

Osaka, Japan, 540-0006

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69

GSK Investigational Site

Tokyo, Japan, 160-0023

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70

GSK Investigational Site

Tokyo, Japan, 162-8655

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71

GSK Investigational Site

Bydgoszcz, Poland, 85-030

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72

GSK Investigational Site

Gdansk, Poland, 80-405

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73

GSK Investigational Site

Gaia, Portugal, 4434-502

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74

GSK Investigational Site

Porto, Portugal, 4099-001

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75

GSK Investigational Site

Porto, Portugal, 4200-319

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76

GSK Investigational Site

A Coruña, Spain, 15006

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77

GSK Investigational Site

Alicante, Spain, 03010

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78

GSK Investigational Site

Almeira, Spain, 04009

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79

GSK Investigational Site

Badalona, Spain, 08916

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80

GSK Investigational Site

Barcelona, Spain, 08003

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81

GSK Investigational Site

Barcelona, Spain, 08036

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82

GSK Investigational Site

Barcelona, Spain, 08041

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83

GSK Investigational Site

Barcelona, Spain, 08097

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84

GSK Investigational Site

Barcelona, Spain, 08830

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85

GSK Investigational Site

Elche Alicante, Spain, 03203

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86

GSK Investigational Site

Getafe, Spain, 28905

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87

GSK Investigational Site

Granada, Spain, 18014

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88

GSK Investigational Site

HebrOn, Spain, 08035

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89

GSK Investigational Site

Madrid, Spain, 28006

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90

GSK Investigational Site

Madrid, Spain, 28007

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91

GSK Investigational Site

Madrid, Spain, 28020

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92

GSK Investigational Site

Madrid, Spain, 28031

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93

GSK Investigational Site

Madrid, Spain, 28040

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94

GSK Investigational Site

Madrid, Spain, 28041

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95

GSK Investigational Site

Madrid, Spain, 28046

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96

GSK Investigational Site

Marbella, Spain, 29603

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97

GSK Investigational Site

Málaga, Spain, 29010

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98

GSK Investigational Site

Murcia, Spain, 30003

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99

GSK Investigational Site

Palma de Mallorca, Spain, 07120

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100

GSK Investigational Site

Palma de Mallorca, Spain, 07198

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101

GSK Investigational Site

Sabadell Barcelona, Spain, 08208

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102

GSK Investigational Site

Santa Cruz de Tenerife, Spain, 38320

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103

GSK Investigational Site

Santander, Spain, 39011

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104

GSK Investigational Site

Seville, Spain, 41013

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105

GSK Investigational Site

Seville, Spain, 41014

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106

GSK Investigational Site

Valencia, Spain, 46014

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107

GSK Investigational Site

Valencia, Spain, 46026

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108

GSK Investigational Site

Vigo Pontevedra, Spain, 36312

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109

GSK Investigational Site

Zaragoza, Spain, 50009

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110

GSK Investigational Site

Kaohsiung City, Taiwan, 807

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111

GSK Investigational Site

Kaohsiung City, Taiwan, 813

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112

GSK Investigational Site

Taipei, Taiwan, 11217

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113

GSK Investigational Site

Taoyuan, Taiwan, 330

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Research Team

U

US GSK Clinical Trials Call Center

E

EU GSK Clinical Trials Call Center

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

4

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