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Study to Compare an Oral Weekly Islatravir/Lenacapavir Regimen With Standard of Care in Virologically Suppressed People With HIV-1 (ISLEND-2)

LAST UPDATED

April 17 2025

Clinicaltrials.gov ID

NCT06630299

OVERVIEW

A Phase 3, Randomized, Open-Label, Active-Controlled Study to Evaluate a Switch to an Oral Weekly Islatravir/Lenacapavir Regimen in People With HIV-1 Who Are Virologically Suppressed on Standard of Care (ISLEND-2)

PROTOCOL SUMMARY

The goal of this clinical study is to learn more about the safety and efficacy of switching to a once weekly tablet of islatravir/lenacapavir (ISL/LEN) regimen versus continuing standard of care treatment in people with human immunodeficiency virus (PWH) who are virologically suppressed (HIV-1 RNA levels < 50 copies/mL) on a stable standard of care regimen for ≥ 6 months prior to screening. The standard of care includes 2 or 3 medicines, antiretroviral agents (ARVs). The primary objective of the study is to evaluate the efficacy of switching to oral weekly ISL/LEN tablet regimen versus continuing standard of care in virologically suppressed PWH at Week 48.

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Participation Requirements

Calendar

Age

18 Years +

Condition

Sex

ALL

Healthy Icon

Healthy Volunteers

No

Study Details

Medical Condition

HIV-1-Infection

Gender

N/A

Date

October 2024 - June 2027

Study Type

INTERVENTIONAL

Study Phase

PHASE3

Product

ISL/LEN, Antiretroviral Combinations

Eligibility Information

Inclusion

Inclusion Criteria

  • HIV-1 RNA < 50 copies/mL for ≥ 6 months before screening, as documented by:
  • 1. One HIV-1 RNA < 50 copies/mL immediately preceding the 24 weeks period prior to screening.
  • 2. Within 24 weeks prior to screening, if HIV-1 RNA results are available, all levels must be < 50 copies/mL.
  • 3. During the 6 to 12 months period prior to screening, transient detectable viremia ≥ 50 copies/mL is acceptable ("blip") as long as it is not confirmed on 2 consecutive visits.
  • Plasma HIV-1 RNA levels < 50 copies/mL at screening.
  • Are receiving guideline-recommended standard of care treatment such as International Antiviral Society (IAS), Department of Health and Human Services (DHHS), European AIDS Clinical Society (EACS) consisting of 2 or 3 ARVs for ≥ 6 months prior to screening and willing to continue until Day 1. Individuals in Treatment Group 2 must also be willing to continue their standard of care through at least Week 96.
  • Individuals assigned female at birth and of childbearing potential who engage in heterosexual intercourse must agree to use protocol-specified methods of contraception.
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Exclusion

Exclusion Criteria

  • Prior virologic failure.
  • Prior use of, or exposure to, ISL or LEN.
  • Active, serious infections requiring parenteral therapy within 30 days before randomization.
  • Active tuberculosis infection.
  • Acute hepatitis within 30 days before randomization.
  • Hepatitis B virus (HBV) infection, as determined below at the screening visit:
  • 1. positive HBV surface antigen OR
  • 2. positive HBV core antibody and negative HBV surface antibody. Note: individuals found to be susceptible to HBV infection (eg negative hepatitis B surface antibody at the screening visit, regardless of prior HBV vaccination history) should be recommended to receive HBV vaccination.
  • Active hepatitis C virus (HCV) coinfection, defined as detectable HCV RNA. Note: individuals with prior/inactive HCV infection (defined as undetectable HCV RNA) may be enrolled.
  • Any of the following laboratory values at screening:
  • 1. Creatinine clearance (CLcr) ≤ 30 mL/min according to the Cockcroft-Gault formula
  • 2. Alanine aminotransferase (ALT) > 5 x upper limit of normal (ULN)
  • 3. Direct bilirubin > 1.5 x ULN
  • 4. Platelets < 50,000/μL
  • 5. Hemoglobin < 8.0 g/dL
  • Note: Other protocol defined Inclusion/Exclusion criteria may apply.
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Locations

Locations (99)
Recruitment Complete

University of Alabama at Birmingham(UAB) 1917 Research Clinic

Birmingham, Alabama, United States, 35294

Recruitment Complete

Pueblo Family Physicians

Phoenix, Arizona, United States, 85015

Recruitment Complete

Vv-Tmf-5366229

Los Angeles, California, United States, 90027

Recruitment Complete

Ruane Clinical Research Group

Los Angeles, California, United States, 90036

Recruitment Complete

BIOS Clinical Research

Palm Springs, California, United States, 92262

Recruitment Complete

Vivent Health

Denver, Colorado, United States, 80246

Recruitment Complete

University of Colorado Clinical and Translational Research Center

Denver, Colorado, United States, 80262

Recruitment Complete

Yale University; School of Medicine; AIDS Program

New Haven, Connecticut, United States, 06510

Recruitment Complete

Georgetown University Medical Center

Washington, District of Columbia, United States, 20007

Recruitment Complete

Aids Healthcare Foundation - Northpoint

Fort Lauderdale, Florida, United States, 33308

Recruitment Complete

Midway Immunology and Research Center

Fort Pierce, Florida, United States, 34982

Recruitment Complete

CAN Community Health

Miami Gardens, Florida, United States, 33055

Recruitment Complete

Orlando Immunology Center

Orlando, Florida, United States, 32803

Recruitment Complete

AHF Pensacola

Pensacola, Florida, United States, 32503

Recruitment Complete

CAN Community Health

Sarasota, Florida, United States, 34237

Recruitment Complete

BayCare Health System, Inc./St. Joseph's Hospital

Tampa, Florida, United States, 33607

Recruitment Complete

Triple O Research Institute, P.A.

West Palm Beach, Florida, United States, 33401

Recruitment Complete

Metro Infectious Disease Consultants, P.L.L.C.

Decatur, Georgia, United States, 30033

Recruitment Complete

Mercer University, Department of Internal Medicine

Macon, Georgia, United States, 31201

Recruitment Complete

Chatham County Health Department

Savannah, Georgia, United States, 31401

Recruitment Complete

Howard Brown Health Center

Chicago, Illinois, United States, 60613

Recruitment Complete

Indiana CTSI Clinical Research Center

Indianapolis, Indiana, United States, 46202

Recruitment Complete

Brigham and Womens's Hospital

Boston, Massachusetts, United States, 02115

Recruitment Complete

Boston Medical Center

Boston, Massachusetts, United States, 02118

Recruitment Complete

Community Research Initiative of New England d/b/a Community Resource Initiative (CRI)

Boston, Massachusetts, United States, 02129

Recruitment Complete

Be Well Medical Center

Berkley, Michigan, United States, 48072

Recruitment Complete

Henry Ford Health

Detroit, Michigan, United States, 48202

Recruitment Complete

Trinity Health Michigan d/b/a Trinity Health Grand Rapids Hospital

Grand Rapids, Michigan, United States, 49503

Recruitment Complete

ID Care

Hillsborough, New Jersey, United States, 08844

Recruitment Complete

Saint Michael's Medical Center

Newark, New Jersey, United States, 07102

Recruitment Complete

AXCES Research Group, LLC

Santa Fe, New Mexico, United States, 87505

Recruitment Complete

Jacobi Medical Center

Bronx, New York, United States, 10461

Recruitment Complete

Montefiore Medical Center

Bronx, New York, United States, 10467

Recruitment Complete

NewYork-Presbyterian Queens

Flushing, New York, United States, 11355

Recruitment Complete

Northwell Health/Division of Infectious Diseases

Manhasset, New York, United States, 11030

Recruitment Complete

Duke University Health System(DUHS)

Durham, North Carolina, United States, 27710

Recruitment Complete

ECU Health Leo Jenkins Cancer Building

Greenville, North Carolina, United States, 27834

Recruitment Complete

Rosedale Health and Wellness

Huntersville, North Carolina, United States, 28078

Recruitment Complete

University of Cincinnati College of Medicine

Cincinnati, Ohio, United States, 45267

Recruitment Complete

Prisma Health Midlands - Clinical Research Unit

Columbia, South Carolina, United States, 29203

Recruitment Complete

Central Texas Clinical Research

Austin, Texas, United States, 78705

Recruitment Complete

North Texas Infectious Diseases Consultants, PA

Dallas, Texas, United States, 75246

Recruitment Complete

AXCES Research Group, LLC

El Paso, Texas, United States, 79902

Recruitment Complete

Texas Centers for Infectious Disease Associates

Fort Worth, Texas, United States, 76104

Recruitment Complete

The Crofoot Research Center, INC.

Houston, Texas, United States, 77098

Recruitment Complete

Clinical Alliance for Research& Education - Infectious Diseases, LLC (CARE-ID)

Longview, Texas, United States, 75605

Recruitment Complete

AXCES Research Group, LLC

Salt Lake City, Utah, United States, 84102

Recruitment Complete

Clinical Alliance for Research& Education - Infectious Diseases, LLC

Annandale, Virginia, United States, 22003

Recruitment Complete

MultiCare Rockwood Main Clinic

Spokane, Washington, United States, 99202

Recruitment Complete

Fundacion Huesped

Buenos Aires, Argentina, 1202

Recruitment Complete

Helios Salud S.A.

Buenos Aires, Argentina, 1425

Recruitment Complete

East Sydney Doctors

Darlinghurst, New South Wales, Australia, 2010

Recruitment Complete

St Vincent's Hospital

Darlinghurst, New South Wales, Australia, 2010

Recruitment Complete

Taylor Square Private Clinic

Surry Hills, New South Wales, Australia, 2010

Recruitment Complete

Monash Health

Clayton, Victoria, Australia, 3168

Recruitment Complete

Prahran Market Clinic

South Yarra, Victoria, Australia, 3141

Recruitment Complete

University Hospital Hannover, Department for Rheumatology and Immunology

Hannover, Germany, 30625

Recruitment Complete

Dr. Scholten & Schneeweiß GbR

Köln, Germany, 50674

Recruitment Complete

Mannheimer Onkologie Praxis

Mannheim, Germany, 68167

Recruitment Complete

MVZ München am Goetheplatz, MUC Research GmbH

Munchen, Germany, 80337

Recruiting

Chiba University Hospital

Chiba, Japan

Recruiting

National Hospital Organization Nagoya Medical Center

Nagoya, Japan, 460-0001

Recruiting

University of the Ryukyus Hospital

Okinawa, Japan

Recruiting

National Hospital Organization Osaka National Hospital

Osaka Fu, Japan, 540-0006

Recruiting

Osaka City General Hospital

Osaka-City, Japan, 534-0021

Recruiting

Tokyo Medical University Hospital

Tokyo, Japan, 160-0023

Recruiting

Japan Institute for Health Security National Center for Global Health and Medicine

Tokyo, Japan, 162-8655,

Recruitment Complete

Amsterdam UMC, Iocation AMC

Amsterdam, Netherlands, 1105 az

Recruitment Complete

Leiden University Medical Center (LUMC)

Leiden, Netherlands, 2333 ZA

Recruitment Complete

Samodzielny Publiczny Wojewodzig Szpital Zespolony Poradnia Nabytych Niedoborow Immunologicznych

Szczecin, Poland, 71-455

Recruitment Complete

Wroclawskie Centrum Zorowia Samodzielny Publiczn Zaklad Opieki Zdrowotnej Sp Zoo Osrodek Profilaktyczno-Leczniczy Chorob Zakaznych I Terapi Uzaleznien

Wrocław, Poland, 50-136

Recruiting

HOPE Clinical Research

San Juan, Puerto Rico, 00909

Recruitment Complete

Maternal Infant Studies Center(CEMI)

San Juan, Puerto Rico, 00936-5067

Recruitment Complete

Desmond Tutu Health Foundation, Clinical Trials Unit

Cape Town, South Africa, 7925

Recruitment Complete

Perinatal HIV Research Unit

Soweto, South Africa, 2013

Recruitment Complete

Hospital Germans Trias I Pujol

Barcelona, Spain, 08916

Recruitment Complete

Hospital Universitario 12 de Octubre

Madrid, Spain, 28041

Recruitment Complete

Hospital Universitario La Paz

Madrid, Spain, 28046

Recruitment Complete

Hospital Universitario Virgen del Rocio

Sevilla, Spain, 41013

Recruitment Complete

Inselspital, Freiburgstrasse 20. Bern

Bern, Switzerland, 3010

Recruitment Complete

Hopitaux Universitaires de Geneve

Geneva, Switzerland, 1205

Recruitment Complete

Centre Hospitalier Universitaire Vaudois

Lausanne, Switzerland, 1011

Recruiting

Kaohsiung Medical University Hospital

Kaohsiung, Taiwan, 80756

Recruitment Complete

Kaohsiung Veterans General Hospital

Kaohsiung, Taiwan, 81362

Recruitment Complete

Far Eastern Memorial Hospital

New Taipei City, Taiwan, 22060

Recruitment Complete

National Taiwan University Hospital

Taipei City, Taiwan, 10002

Recruitment Complete

Taoyuan General Hospital

Taoyuan City, Taiwan, 33004

Recruitment Complete

The HIV Netherlands Australia Thailand Research Collaboration (HIV-NAT), Thai Red Cross AIDS Research

Bangkok, Thailand, 10330

Recruitment Complete

Siriraj Hospital

Bangkok, Thailand, 10700

Recruitment Complete

Chiang Mai University

Chiang Mai, Thailand, 50200

Recruitment Complete

Khon Kaen University

Khon Kaen, Thailand, 40002

Recruitment Complete

Bamrasnaradura Infectious Disease Institute

Nonthaburi, Thailand, 11000

Recruitment Complete

Institute of HIV Research and Innovation (IHRI)

Pathumwan, Thailand, 10330

Recruitment Complete

Clinical Research Facility -University Hospitals Sussex NHS Foundation Trust

Brighton, United Kingdom, BN2 3EW

Recruitment Complete

Harrison Wing Research Unit, Southwark Wing, Guy's Hospital (Guy's & St. Thomas' NHS Foundation Trust)

Great Maze Pond, United Kingdom, SE1 3RR

Recruitment Complete

Grahame Hayton Unit, Ambrose King Centre, Royal London Hospital (Barts Health NHS Trust)

London, United Kingdom, E1 1BB.

Recruitment Complete

Royal Free Hospital (Royal Free London NHS Foundation Trust)

London, United Kingdom, NW3 2QG

Recruitment Complete

Caldecot Centre, King's College Hospital (King's College Hospital NHS Foundation Trust)

London, United Kingdom, SE5 9RJ

Recruitment Complete

Mortimer Market Centre (Central and North West London NHS Foundation Trust)

London, United Kingdom, WC1E 6JB