Actively Recruiting
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 FTCTAF, against a standard treatment of dolutegravir and lamivudine DTG3TC. 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 FTCTAF for 12 months, or the standard DTG3TC treatment daily for 24 months. Those on VH4524184 may continue with a selected dose plus FTCTAF 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 copiesmL 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
Eligibility Criteria
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
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
Research Team
U
US GSK Clinical Trials Call Center
E
EU GSK Clinical Trials Call Center
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