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STATUS Recruitment Complete

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

LAST UPDATED

May 20 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 (100)
Other

University of Alabama at Birmingham(UAB) 1917 Research Clinic

Birmingham, Alabama, United States, 35294

Other

Pueblo Family Physicians

Phoenix, Arizona, United States, 85015

Other

Vv-Tmf-5366229

Los Angeles, California, United States, 90027

Other

Ruane Clinical Research Group

Los Angeles, California, United States, 90036

Other

BIOS Clinical Research

Palm Springs, California, United States, 92262

Other

Vivent Health

Denver, Colorado, United States, 80246

Other

University of Colorado Clinical and Translational Research Center

Denver, Colorado, United States, 80262

Other

Yale University; School of Medicine; AIDS Program

New Haven, Connecticut, United States, 06510

Other

Georgetown University Medical Center

Washington, District of Columbia, United States, 20007

Other

Aids Healthcare Foundation - Northpoint

Fort Lauderdale, Florida, United States, 33308

Other

Midway Immunology and Research Center

Fort Pierce, Florida, United States, 34982

Other

CAN Community Health

Miami Gardens, Florida, United States, 33055

Other

Orlando Immunology Center

Orlando, Florida, United States, 32803

Other

AHF Pensacola

Pensacola, Florida, United States, 32503

Other

CAN Community Health

Sarasota, Florida, United States, 34237

Other

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

Tampa, Florida, United States, 33607

Other

Triple O Research Institute, P.A.

West Palm Beach, Florida, United States, 33401

Other

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

Decatur, Georgia, United States, 30033

Other

Mercer University, Department of Internal Medicine

Macon, Georgia, United States, 31201

Other

Chatham County Health Department

Savannah, Georgia, United States, 31401

Other

Howard Brown Health Center

Chicago, Illinois, United States, 60613

Other

Indiana CTSI Clinical Research Center

Indianapolis, Indiana, United States, 46202

Other

Brigham and Womens's Hospital

Boston, Massachusetts, United States, 02115

Other

Boston Medical Center

Boston, Massachusetts, United States, 02118

Other

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

Boston, Massachusetts, United States, 02129

Other

Be Well Medical Center

Berkley, Michigan, United States, 48072

Other

Henry Ford Health

Detroit, Michigan, United States, 48202

Other

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

Grand Rapids, Michigan, United States, 49503

Other

ID Care

Hillsborough, New Jersey, United States, 08844

Other

Saint Michael's Medical Center

Newark, New Jersey, United States, 07102

Other

AXCES Research Group, LLC

Santa Fe, New Mexico, United States, 87505

Other

Jacobi Medical Center

Bronx, New York, United States, 10461

Other

Montefiore Medical Center

Bronx, New York, United States, 10467

Other

NewYork-Presbyterian Queens

Flushing, New York, United States, 11355

Other

Northwell Health/Division of Infectious Diseases

Manhasset, New York, United States, 11030

Other

Duke University Health System(DUHS)

Durham, North Carolina, United States, 27710

Other

ECU Health Leo Jenkins Cancer Building

Greenville, North Carolina, United States, 27834

Other

Rosedale Health and Wellness

Huntersville, North Carolina, United States, 28078

Other

University of Cincinnati College of Medicine

Cincinnati, Ohio, United States, 45267

Other

Prisma Health Midlands - Clinical Research Unit

Columbia, South Carolina, United States, 29203

Other

Central Texas Clinical Research

Austin, Texas, United States, 78705

Other

North Texas Infectious Diseases Consultants, PA

Dallas, Texas, United States, 75246

Other

AXCES Research Group, LLC

El Paso, Texas, United States, 79902

Other

Texas Centers for Infectious Disease Associates

Fort Worth, Texas, United States, 76104

Other

The Crofoot Research Center, INC.

Houston, Texas, United States, 77098

Other

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

Longview, Texas, United States, 75605

Other

AXCES Research Group, LLC

Salt Lake City, Utah, United States, 84102

Other

Clinical Alliance for Research& Education - Infectious Diseases, LLC

Annandale, Virginia, United States, 22003

Other

MultiCare Rockwood Main Clinic

Spokane, Washington, United States, 99202

Other

Hospital General de Agudos Dr. J.M. Ramos Mejia

Buenos Aires, Argentina, 1072

Other

Fundacion Huesped

Buenos Aires, Argentina, 1202

Other

Helios Salud S.A.

Buenos Aires, Argentina, 1425

Other

East Sydney Doctors

Darlinghurst, New South Wales, Australia, 2010

Other

St Vincent's Hospital

Darlinghurst, New South Wales, Australia, 2010

Other

Taylor Square Private Clinic

Surry Hills, New South Wales, Australia, 2010

Other

Monash Health

Clayton, Victoria, Australia, 3168

Other

Prahran Market Clinic

South Yarra, Victoria, Australia, 3141

Other

University Hospital Hannover, Department for Rheumatology and Immunology

Hannover, Germany, 30625

Other

Dr. Scholten & Schneeweiß GbR

Köln, Germany, 50674

Other

Mannheimer Onkologie Praxis

Mannheim, Germany, 68167

Other

MVZ München am Goetheplatz, MUC Research GmbH

Munchen, Germany, 80337

Other

Chiba University Hospital

Chiba, Japan

Other

National Hospital Organization Nagoya Medical Center

Nagoya, Japan, 460-0001

Other

University of the Ryukyus Hospital

Okinawa, Japan

Other

National Hospital Organization Osaka National Hospital

Osaka Fu, Japan, 540-0006

Other

Osaka City General Hospital

Osaka-City, Japan, 534-0021

Other

Tokyo Medical University Hospital

Tokyo, Japan, 160-0023

Other

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

Tokyo, Japan, 162-8655,

Other

Amsterdam UMC, Iocation AMC

Amsterdam, Netherlands, 1105 az

Other

Leiden University Medical Center (LUMC)

Leiden, Netherlands, 2333 ZA

Other

Samodzielny Publiczny Wojewodzig Szpital Zespolony Poradnia Nabytych Niedoborow Immunologicznych

Szczecin, Poland, 71-455

Other

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

Wrocław, Poland, 50-136

Other

HOPE Clinical Research

San Juan, Puerto Rico, 00909

Other

Maternal Infant Studies Center(CEMI)

San Juan, Puerto Rico, 00936-5067

Other

Desmond Tutu Health Foundation, Clinical Trials Unit

Cape Town, South Africa, 7925

Other

Perinatal HIV Research Unit

Soweto, South Africa, 2013

Other

Hospital Germans Trias I Pujol

Barcelona, Spain, 08916

Other

Hospital Universitario 12 de Octubre

Madrid, Spain, 28041

Other

Hospital Universitario La Paz

Madrid, Spain, 28046

Other

Hospital Universitario Virgen del Rocio

Sevilla, Spain, 41013

Other

Inselspital, Freiburgstrasse 20. Bern

Bern, Switzerland, 3010

Other

Hopitaux Universitaires de Geneve

Geneva, Switzerland, 1205

Other

Centre Hospitalier Universitaire Vaudois

Lausanne, Switzerland, 1011

Other

Kaohsiung Medical University Hospital

Kaohsiung, Taiwan, 80756

Other

Kaohsiung Veterans General Hospital

Kaohsiung, Taiwan, 81362

Other

Far Eastern Memorial Hospital

New Taipei City, Taiwan, 22060

Other

National Taiwan University Hospital

Taipei City, Taiwan, 10002

Other

Taoyuan General Hospital

Taoyuan City, Taiwan, 33004

Other

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

Bangkok, Thailand, 10330

Other

Siriraj Hospital

Bangkok, Thailand, 10700

Other

Chiang Mai University

Chiang Mai, Thailand, 50200

Other

Khon Kaen University

Khon Kaen, Thailand, 40002

Other

Bamrasnaradura Infectious Disease Institute

Nonthaburi, Thailand, 11000

Other

Institute of HIV Research and Innovation (IHRI)

Pathumwan, Thailand, 10330

Other

Clinical Research Facility -University Hospitals Sussex NHS Foundation Trust

Brighton, United Kingdom, BN2 3EW

Other

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

Great Maze Pond, United Kingdom, SE1 3RR

Other

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

London, United Kingdom, E1 1BB.

Other

Royal Free Hospital (Royal Free London NHS Foundation Trust)

London, United Kingdom, NW3 2QG

Other

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

London, United Kingdom, SE5 9RJ

Other

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

London, United Kingdom, WC1E 6JB