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B/F/TAF

Phase 3

HIV-1-infection | Small molecule | Infectious Disease |Gilead Sciences, Inc.|Last Updated: Apr 15, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLEDDMCBiomarker
Total Trials3
Total Enrollment645
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03110380Switching to a Fixed Dose Combination of Bictegravir/Emtricitabine/Tenofovir Alafenamide (B/F/TAF) in Human Immunodeficiency Virus Type 1 (HIV-1) Infected Adults Who Are Virologically SuppressedPHASE3 COMPLETED 567Jun 12, 2017Feb 10, 2021Jan 11, 202294 United States, Austria +4
NCT07055451Study of Bictegravir/Emtricitabine/Tenofovir Alafenamide in Newborns Exposed to HIVPHASE1 ACTIVE NOT_RECRUITING 16Aug 12, 2025Mar 1, 2028Apr 15, 20267 United States, South Africa
NCT03960645Study to Evaluate the Pharmacokinetics (PK), Safety, and Efficacy of B/F/TAF in Human Immunodeficiency Virus (HIV)-1 Infected, Virologically Suppressed, Pregnant Women in Their Second and Third TrimestersPHASE1 COMPLETED 62Jun 28, 2019Aug 18, 2022Jun 14, 20248 United States, Dominican Republic +1
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Study Endpoints
Primary Endpoints
Percentage of Participants With HIV-1 RNA ≥ 50 Copies/mL at Week 48 as Defined by the US FDA-Defined Snapshot Algorithm
Week 48

The percentage of participants with HIV-1 RNA ≥ 50 copies/mL at Week 48 was analyzed using the snapshot algorithm, which defines a participant's virologic response status using only the viral load at the predefined time point within an allowed window of time, along with study drug discontinuation status.

Percentage of Participants Experiencing Treatment-emergent Adverse Events (TEAs) Though Week 8 After Neonate Birth
First dose date up to 8 Weeks
Percentage of Participants Experiencing Treatment-emergent Laboratory Abnormalities Through Week 8 After Neonate Birth
First dose date up to 8 Weeks
Pharmacokinetic (PK) parameters for Bictegravir (BIC): AUCinf
Predose up to 72 hours postdose

AUCinf is defined as area under the concentration versus time curve extrapolated to infinite time.

PK parameters for BIC: AUClast
Predose up to 72 hours postdose

AUClast is defined as the area under the concentration versus time curve from time zero to the last quantifiable concentration.

PK parameters for BIC: AUC0-24h
Predose up to 24 hours postdose

AUC0-24h is defined as the partial area under the concentration versus time curve from time 0 to time 24 hours.

PK parameters for BIC: Cmax
Predose up to 72 hours postdose

Cmax is defined as the maximum observed concentration of drug.

PK parameters for BIC: Tmax
Predose up to 72 hours postdose

Tmax is defined as the time (observed time point) of Cmax.

PK parameters for BIC: Cmin
Predose up to 72 hours postdose

Cmin is defined as the minimum observed concentration of drug.

PK parameters for BIC: C24h
At 24 hours postdose

C24h is defined as the concentration of drug at time 24 hours.

PK parameters for BIC: t1/2
Predose up to 72 hours postdose

t1/2 is defined as the terminal elimination half-life.

PK parameters for BIC: Apparent CL/F
Predose up to 72 hours postdose

Apparent CL/F is defined as the apparent total body clearance for extravascular administration.

PK parameters for BIC: Apparent Vz/F
Predose up to 72 hours postdose

Apparent Vz/F is defined as the apparent volume of distribution based on the terminal phase.

Pharmacokinetic (PK) Parameter: AUCtau of Bictegravir (BIC)
Intensive PK: Predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours postdose in second trimester (Weeks 20-28), third trimester (Weeks 30-38), Week 6 post-partum, and Week 12 post-partum

AUCtau is defined as concentration of drug over time (the area under the concentration verses time curve over the dosing interval).

Secondary Endpoints
Percentage of Participants With HIV-1 RNA < 50 Copies/mL at Week 48 as Defined by the US FDA-Defined Snapshot Algorithm
Week 48
Change From Baseline in CD4+ Cell Count at Week 48
Baseline; Week 48
PK Parameters for Emtricitabine (FTC), and Tenofovir (TFV): AUCinf
Predose up to 72 hours postdose
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
B/F/TAFEXPERIMENTALBictegravir/emtricitabine/tenofovir alafenamide (B/F/TAF) fixed-dose combination (FDC) tablet + dolutegravir (DTG) placebo tablet + emtricitabine/tenofovir alafenamide (F/TAF) placebo tablet administered without regard to food for at least 48 weeks.
DTG + F/TAFACTIVE_COMPARATORDTG 50 mg tablet + F/TAF FDC tablet + B/F/TAF placebo tablet administered without regard to food for at least 48 weeks.
Open-label Phase B/F/TAF from B/F/TAFEXPERIMENTALParticipants who received B/F/TAF in double-blind phase and from a country where B/F/TAF was not available were given the option to receive B/F/TAF orally once daily for up to 96 weeks in the open-label extension phase.
Open-label Phase B/F/TAF from DTG + F/TAFEXPERIMENTALParticipants who received DTG + F/TAF in double-blind phase and from a country where B/F/TAF was not available were given the option to receive B/F/TAF orally once daily for up to 96 weeks in the open-label extension phase.
Cohort 1: Group A of B/F/TAFEXPERIMENTALFull-term neonate participants, who are exposed to HIV-1 but uninfected, with a weight of ≥ 2.5 kg at birth and their mothers will be assigned to Cohort 1 Group A to evaluate a different pharmacokinetic (PK) sampling scheme than Cohort 1 Group B. Neonate participants will receive a single dose of B/F/TAF fixed-dose combination 1.88/7.5/0.94 mg tablet for oral suspension administered along with 1 antiretroviral as standard of care postnatal prophylaxis at both Visits 1 and 3.
Cohort 1: Group B of B/F/TAFEXPERIMENTALOnce enrollment in Cohort 1 Group A is completed, full-term neonate participants, who are exposed to HIV-1 but uninfected, with a weight of ≥ 2.5 kg at birth and their mothers will be assigned to Cohort 1 Group B to evaluate a different PK sampling scheme than Cohort 1 Group A. Participants will receive a single dose of B/F/TAF fixed-dose combination 1.88/7.5/0.94 mg tablet for oral suspension administered along with 1 antiretroviral as standard of care postnatal prophylaxis at both Visits 1 and 3.
NeonatesNO_INTERVENTIONNeonates who will be born to women participants in the study will be followed from birth up to 8 weeks of age after obtaining consent from the parent or legal guardian. None of the neonates that participate in the study will be treated with the study drug.
Interventions
NameTypeDescription
B/F/TAFDRUG50/200/25 mg FDC tablet(s) administered orally once daily
F/TAFDRUG200/25 mg FDC tablet(s) administered orally once daily
DTGDRUG50 mg tablet(s) administered orally once daily
DTG PlaceboDRUGTablet(s) administered orally once daily
F/TAF PlaceboDRUGTablet(s) administered orally once daily
B/F/TAF PlaceboDRUGTablet(s) administered orally once daily
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites94

Key Inclusion Criteria: * Currently receiving an ARV regimen of DTG+F/TAF or DTG+F/TDF for the following minimum time periods: * ≥ 6 months (if there is documented or suspected nucleoside/nucleotide reverse transcriptase inhibitor (NRTI) resistance prior to the screening visit) * ≥ 3 months (i...

Countries:United StatesAustriaCanadaFranceGermanyPuerto RicoSouth AfricaDominican RepublicThailand
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Recent Changes (Last 90 Days)
MEDIUMMay 26, 2026NCT07055451Status: RECRUITING → ACTIVE_NOT_RECRUITING
LOWMay 24, 2026NCT07055451studyFirstPostDate: changed