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Last Updated: April 4, 2025

CLINICAL TRIALS PROFILE FOR BIKTARVY


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All Clinical Trials for BIKTARVY

Trial IDTitleStatusSponsorPhaseStart DateSummary
NCT03259698 ↗ Optimizing the Delivery of HIV nPEP Recruiting Canadian Institutes of Health Research (CIHR) Phase 2 2021-10-01 Despite decades of traditional prevention efforts based on behavior change and condom use, Ontario has seen over 700 new HIV infections annually over the past 10 years. Post-exposure prophylaxis (PEP) is one such approach, in which uninfected persons use 28 days of antiretroviral medications (ARVs) shortly after an HIV exposure to minimize the risk of acquiring HIV. PEP is highly efficacious, is considered a standard of care intervention based on medical and ethical grounds, and is supported by treatment guidelines. Yet several implementation challenges have limited its clinical and public health impact in Ontario, where no formal PEP policy exists. Our proposal seeks to optimize two aspects of delivering PEP for sexual exposures (nPEP). Results will inform the development of a standardized approach to nPEP both province-wide and elsewhere. Thus study has pragmatic, multicenter randomized controlled trial using a 2x2 factorial design to determine whether the proportion of nPEP patients that successfully complete follow-up: 1. is higher among those receiving mobile phone-based text messaging support than among those receiving standard care; and 2. is non-inferior among those receiving care from a sexual health clinic nurse compared to those receiving hospital-based physician care. The prospective, randomized, non-blinded, 2x2 factorial trial that will enroll 318 study participants in Toronto. In Intervention A, we will randomize half of study participants to a text messaging support service ('WelTel'), in which a trained, community-based counselor provides standardized weekly 'check-in' messages during their 12-week course of PEP follow-up. The other half will receive standard care, which does not include any form of active outreach or reminders outside of scheduled appointments. In Intervention B, we will randomize half of participants to receive nurse-led care for PEP follow-up at a local sexual health clinic; the other half will receive standard care by a hospital-based ID physician. The specific activities for each follow-up visit will be clearly defined in a medical directive. In keeping with Ontario legislation on medical directives, nurses will review cases with their authorizing physician or nurse practitioner on a routine basis.
NCT03259698 ↗ Optimizing the Delivery of HIV nPEP Recruiting CIHR Canadian HIV Trials Network Phase 2 2021-10-01 Despite decades of traditional prevention efforts based on behavior change and condom use, Ontario has seen over 700 new HIV infections annually over the past 10 years. Post-exposure prophylaxis (PEP) is one such approach, in which uninfected persons use 28 days of antiretroviral medications (ARVs) shortly after an HIV exposure to minimize the risk of acquiring HIV. PEP is highly efficacious, is considered a standard of care intervention based on medical and ethical grounds, and is supported by treatment guidelines. Yet several implementation challenges have limited its clinical and public health impact in Ontario, where no formal PEP policy exists. Our proposal seeks to optimize two aspects of delivering PEP for sexual exposures (nPEP). Results will inform the development of a standardized approach to nPEP both province-wide and elsewhere. Thus study has pragmatic, multicenter randomized controlled trial using a 2x2 factorial design to determine whether the proportion of nPEP patients that successfully complete follow-up: 1. is higher among those receiving mobile phone-based text messaging support than among those receiving standard care; and 2. is non-inferior among those receiving care from a sexual health clinic nurse compared to those receiving hospital-based physician care. The prospective, randomized, non-blinded, 2x2 factorial trial that will enroll 318 study participants in Toronto. In Intervention A, we will randomize half of study participants to a text messaging support service ('WelTel'), in which a trained, community-based counselor provides standardized weekly 'check-in' messages during their 12-week course of PEP follow-up. The other half will receive standard care, which does not include any form of active outreach or reminders outside of scheduled appointments. In Intervention B, we will randomize half of participants to receive nurse-led care for PEP follow-up at a local sexual health clinic; the other half will receive standard care by a hospital-based ID physician. The specific activities for each follow-up visit will be clearly defined in a medical directive. In keeping with Ontario legislation on medical directives, nurses will review cases with their authorizing physician or nurse practitioner on a routine basis.
NCT03259698 ↗ Optimizing the Delivery of HIV nPEP Recruiting St. Michael's Hospital, Toronto Phase 2 2021-10-01 Despite decades of traditional prevention efforts based on behavior change and condom use, Ontario has seen over 700 new HIV infections annually over the past 10 years. Post-exposure prophylaxis (PEP) is one such approach, in which uninfected persons use 28 days of antiretroviral medications (ARVs) shortly after an HIV exposure to minimize the risk of acquiring HIV. PEP is highly efficacious, is considered a standard of care intervention based on medical and ethical grounds, and is supported by treatment guidelines. Yet several implementation challenges have limited its clinical and public health impact in Ontario, where no formal PEP policy exists. Our proposal seeks to optimize two aspects of delivering PEP for sexual exposures (nPEP). Results will inform the development of a standardized approach to nPEP both province-wide and elsewhere. Thus study has pragmatic, multicenter randomized controlled trial using a 2x2 factorial design to determine whether the proportion of nPEP patients that successfully complete follow-up: 1. is higher among those receiving mobile phone-based text messaging support than among those receiving standard care; and 2. is non-inferior among those receiving care from a sexual health clinic nurse compared to those receiving hospital-based physician care. The prospective, randomized, non-blinded, 2x2 factorial trial that will enroll 318 study participants in Toronto. In Intervention A, we will randomize half of study participants to a text messaging support service ('WelTel'), in which a trained, community-based counselor provides standardized weekly 'check-in' messages during their 12-week course of PEP follow-up. The other half will receive standard care, which does not include any form of active outreach or reminders outside of scheduled appointments. In Intervention B, we will randomize half of participants to receive nurse-led care for PEP follow-up at a local sexual health clinic; the other half will receive standard care by a hospital-based ID physician. The specific activities for each follow-up visit will be clearly defined in a medical directive. In keeping with Ontario legislation on medical directives, nurses will review cases with their authorizing physician or nurse practitioner on a routine basis.
NCT03259698 ↗ Optimizing the Delivery of HIV nPEP Recruiting Unity Health Toronto Phase 2 2021-10-01 Despite decades of traditional prevention efforts based on behavior change and condom use, Ontario has seen over 700 new HIV infections annually over the past 10 years. Post-exposure prophylaxis (PEP) is one such approach, in which uninfected persons use 28 days of antiretroviral medications (ARVs) shortly after an HIV exposure to minimize the risk of acquiring HIV. PEP is highly efficacious, is considered a standard of care intervention based on medical and ethical grounds, and is supported by treatment guidelines. Yet several implementation challenges have limited its clinical and public health impact in Ontario, where no formal PEP policy exists. Our proposal seeks to optimize two aspects of delivering PEP for sexual exposures (nPEP). Results will inform the development of a standardized approach to nPEP both province-wide and elsewhere. Thus study has pragmatic, multicenter randomized controlled trial using a 2x2 factorial design to determine whether the proportion of nPEP patients that successfully complete follow-up: 1. is higher among those receiving mobile phone-based text messaging support than among those receiving standard care; and 2. is non-inferior among those receiving care from a sexual health clinic nurse compared to those receiving hospital-based physician care. The prospective, randomized, non-blinded, 2x2 factorial trial that will enroll 318 study participants in Toronto. In Intervention A, we will randomize half of study participants to a text messaging support service ('WelTel'), in which a trained, community-based counselor provides standardized weekly 'check-in' messages during their 12-week course of PEP follow-up. The other half will receive standard care, which does not include any form of active outreach or reminders outside of scheduled appointments. In Intervention B, we will randomize half of participants to receive nurse-led care for PEP follow-up at a local sexual health clinic; the other half will receive standard care by a hospital-based ID physician. The specific activities for each follow-up visit will be clearly defined in a medical directive. In keeping with Ontario legislation on medical directives, nurses will review cases with their authorizing physician or nurse practitioner on a routine basis.
NCT03499483 ↗ Biktarvy for Non-Occupational Post-Exposure Prophylaxis (nPEP) Recruiting Fenway Community Health Phase 4 2019-01-24 Study will evaluate the safety and tolerability of once daily Biktarvy for 28 days for prevention of HIV infection in HIV-1-seronegative adults after high-risk sexual contact. (non-occupational post exposure prophylaxis - nPEP)
NCT03502005 ↗ Efficacy, Safety & Tolerability of Switching EFV/TDF/FTC to BIC/FTC/TAF in Virologically Suppressed Adults With HIV-1 Completed Gilead Sciences Phase 4 2018-03-01 This study evaluates the efficacy, safety and tolerability of switching from the older, established single tablet regimen of ATRIPLA® (EFV/FTC/TDF) to a new single tablet regimen of BIKTARVY® (BIC/FTC/TAF), in HIV-1 infected adult subjects who are virologically suppressed (HIV-1 RNA<50 copies/mL).
NCT03502005 ↗ Efficacy, Safety & Tolerability of Switching EFV/TDF/FTC to BIC/FTC/TAF in Virologically Suppressed Adults With HIV-1 Completed Midland Research Group, Inc. Phase 4 2018-03-01 This study evaluates the efficacy, safety and tolerability of switching from the older, established single tablet regimen of ATRIPLA® (EFV/FTC/TDF) to a new single tablet regimen of BIKTARVY® (BIC/FTC/TAF), in HIV-1 infected adult subjects who are virologically suppressed (HIV-1 RNA<50 copies/mL).
>Trial ID>Title>Status>Phase>Start Date>Summary
Showing 1 to 7 of 7 entries

Clinical Trial Conditions for BIKTARVY

Condition Name

106540-101234567891011HIV-1-infectionHIV InfectionsHuman Immunodeficiency VirusHiv[disabled in preview]
Condition Name for BIKTARVY
Intervention Trials
HIV-1-infection 10
HIV Infections 6
Human Immunodeficiency Virus 5
Hiv 4
[disabled in preview] 0
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Condition MeSH

179540024681012141618HIV InfectionsAcquired Immunodeficiency SyndromeInfectionsCommunicable Diseases[disabled in preview]
Condition MeSH for BIKTARVY
Intervention Trials
HIV Infections 17
Acquired Immunodeficiency Syndrome 9
Infections 5
Communicable Diseases 4
[disabled in preview] 0
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Clinical Trial Locations for BIKTARVY

Trials by Country

+
Trials by Country for BIKTARVY
Location Trials
United States 57
Canada 7
Italy 6
United Kingdom 5
China 5
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Trials by US State

+
Trials by US State for BIKTARVY
Location Trials
Massachusetts 5
Georgia 4
California 4
Florida 3
Texas 3
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Clinical Trial Progress for BIKTARVY

Clinical Trial Phase

57.9%23.7%7.9%10.5%0246810121416182022Phase 4Phase 3Phase 2[disabled in preview]
Clinical Trial Phase for BIKTARVY
Clinical Trial Phase Trials
Phase 4 22
Phase 3 9
Phase 2 3
[disabled in preview] 4
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Clinical Trial Status

42.1%23.7%10.5%23.7%046810121416RecruitingNot yet recruitingActive, not recruiting[disabled in preview]
Clinical Trial Status for BIKTARVY
Clinical Trial Phase Trials
Recruiting 16
Not yet recruiting 9
Active, not recruiting 4
[disabled in preview] 9
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Clinical Trial Sponsors for BIKTARVY

Sponsor Name

trials02468101214Gilead SciencesViiV HealthcareChelsea and Westminster NHS Foundation Trust[disabled in preview]
Sponsor Name for BIKTARVY
Sponsor Trials
Gilead Sciences 13
ViiV Healthcare 4
Chelsea and Westminster NHS Foundation Trust 3
[disabled in preview] 8
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Sponsor Type

71.1%26.5%00102030405060OtherIndustryNIH[disabled in preview]
Sponsor Type for BIKTARVY
Sponsor Trials
Other 59
Industry 22
NIH 1
[disabled in preview] 1
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BIKTARVY: A Comprehensive Update on Clinical Trials, Market Analysis, and Projections

Introduction

BIKTARVY, a triple-combination antiretroviral therapy consisting of bictegravir, emtricitabine, and tenofovir alafenamide, has been a cornerstone in the treatment of HIV-1 infection since its approval in 2017. This article delves into the latest clinical trial outcomes, market performance, and future projections for BIKTARVY.

Clinical Trial Outcomes

BICSTaR Study

The BICSTaR study, a multinational, prospective, observational cohort study, has provided significant insights into the effectiveness and safety of BIKTARVY in real-world settings. The study enrolled 2,379 people with HIV across 12 countries and focused on both treatment-naïve (TN) and treatment-experienced (TE) participants.

  • Four-Year Outcomes: The study reported high levels of virologic suppression, with 98% of TN and 97% of TE participants achieving HIV-1 RNA <50 copies/mL at four years. There was no treatment-emergent resistance to BIKTARVY, and discontinuation due to drug-related adverse events was low, at 7% overall[1].

  • Adherence and Patient-Reported Outcomes: The study also highlighted high adherence rates among TE participants, with mean adherence scores of 95% at baseline and 97% at 24 months. Patient-reported outcomes showed improvements in overall symptoms and mental component summary scores for TN participants, while remaining stable for TE participants[1].

Phase 3 Clinical Trials

BIKTARVY has been extensively studied in nine phase 3 clinical trials involving both TN and virologically suppressed participants.

  • Treatment-Naïve Studies: Studies such as 1489 and 1490 compared BIKTARVY to other antiretroviral regimens like ABC/DTG/3TC and DTG+FTC/TAF. These studies demonstrated that BIKTARVY was noninferior in achieving virologic suppression and had a favorable safety profile[3][5].

  • Virologically Suppressed Studies: Studies 1844 and 1878 involved switching participants from other regimens to BIKTARVY, showing that BIKTARVY maintained high rates of virologic suppression and had a low incidence of drug-related adverse events[3].

Long-Term Efficacy and Safety

A 96-week open-label extension from Week 144 to Week 240 of the clinical trials showed durable viral suppression. Using an M=E analysis, 97.7% to 99.5% of participants maintained virologic suppression at Week 240, depending on the study and the regimen switched from[5].

Market Analysis

Current Market Performance

BIKTARVY has been a blockbuster drug for Gilead Sciences, driving significant revenue growth in the HIV market.

  • Third Quarter 2024 Financial Results: BIKTARVY sales increased by 13% to $3.5 billion in the third quarter of 2024 compared to the same period in 2023, driven by higher demand and average realized price[2].

  • Market Dominance: BIKTARVY has been the number one prescribed regimen for both treatment-naïve and switch patients, with 80% of prescriptions resulting from switches. This dominance is supported by updated U.S. HIV treatment guidelines recommending BIKTARVY for initial use in most people with HIV[4].

Future Projections

Forecasted sales for BIKTARVY are robust, reflecting its strong clinical performance and market acceptance.

  • Sales Forecasts: With forecasted sales of $7.674 billion in 2024, BIKTARVY is expected to secure Gilead’s leading position in the HIV arena for years to come. These projections are based on its compelling efficacy data, minimal adverse events, and strong market infiltration[4].

  • Regional Expansion: Further regional launches are expected to contribute to the upward growth trend for BIKTARVY, solidifying its position as a preferred treatment option globally[4].

Safety and Tolerability

Adverse Events

Clinical trials and real-world studies have consistently shown that BIKTARVY has a favorable safety profile.

  • Drug-Related Adverse Events: The BICSTaR study reported that drug-related adverse events were low, with 17% and 14% of TN and TE participants, respectively, experiencing such events. Serious drug-related adverse events were rare, occurring in less than 1% of participants[1].

  • Weight Change: The most commonly reported reason for discontinuation due to adverse events was weight change, affecting 4% of participants[1].

Patient Adherence and Outcomes

Adherence Rates

High adherence rates have been a hallmark of BIKTARVY treatment.

  • BICSTaR Study: The study showed that TE participants maintained high adherence rates, with mean adherence scores of 95% at baseline and 97% at 24 months. This high adherence was associated with stable or improved patient-reported outcomes[1].

Patient-Reported Outcomes

Patient-reported outcomes have been positive, reflecting the overall effectiveness and tolerability of BIKTARVY.

  • Symptom Improvement: TN participants in the BICSTaR study showed improvements in overall symptoms and mental component summary scores over four years, while TE participants maintained stable outcomes[1].

Investigational Regimens and Future Directions

Innovative Dosing Frequencies

Gilead is exploring investigational regimens with once-daily, once-weekly, and twice-yearly dosing frequencies to expand treatment options and address unmet needs in HIV treatment.

  • Ending the Global Epidemic: These innovative regimens aim to contribute to ending the global HIV epidemic by providing more flexible and effective treatment options[1].

Key Takeaways

  • Clinical Efficacy: BIKTARVY has demonstrated high levels of virologic suppression and a favorable safety profile in both clinical trials and real-world studies.
  • Market Dominance: BIKTARVY is a leading drug in the HIV market, with strong sales growth and forecasted continued dominance.
  • Patient Adherence: High adherence rates and positive patient-reported outcomes underscore the effectiveness and tolerability of BIKTARVY.
  • Future Directions: Investigational regimens with innovative dosing frequencies are being developed to further enhance treatment options.

FAQs

What are the key components of BIKTARVY?

BIKTARVY is a triple-combination antiretroviral therapy consisting of bictegravir, emtricitabine, and tenofovir alafenamide.

How effective is BIKTARVY in achieving virologic suppression?

BIKTARVY has consistently shown high rates of virologic suppression, with 98% of treatment-naïve and 97% of treatment-experienced participants achieving HIV-1 RNA <50 copies/mL at four years in the BICSTaR study[1].

What are the common adverse events associated with BIKTARVY?

Common adverse events include weight change, with serious drug-related adverse events being rare. The overall discontinuation rate due to drug-related adverse events is low, at 7%[1].

How does BIKTARVY compare to other HIV treatments in terms of adherence?

BIKTARVY has been associated with high adherence rates, with mean adherence scores of 95% at baseline and 97% at 24 months in the BICSTaR study, indicating strong patient compliance[1].

What are the future projections for BIKTARVY sales?

Forecasted sales for BIKTARVY are expected to reach $7.674 billion in 2024, solidifying its position as a leading treatment option in the HIV market[4].

Are there any ongoing or future clinical trials for BIKTARVY?

Yes, BIKTARVY is being studied in additional clinical trials, including the ongoing BICSTaR study and other investigations into innovative dosing frequencies[1][3].

References

  1. Gilead Sciences, "Scientific Leadership Spotlighted as Gilead Presents Research Data Across Its Broad and Innovative HIV Treatment Portfolio and Pipeline," November 12, 2024.
  2. Gilead Sciences, "Gilead Sciences Announces Third Quarter 2024 Financial Results," November 6, 2024.
  3. BIKTARVY HCP Site, "BIKTARVY Clinical Trial Experience | Official HCP Site."
  4. Clarivate, "Biktarvy, the booming blockbuster, drives HIV market," July 26, 2019.
  5. BIKTARVY HCP Site, "Clinical Studies in Treatment-Naïve Adults | BIKTARVY."

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