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Biktarvy

Phase 3

HIV/AIDS | Small molecule | Infectious Disease |Gilead Sciences, Inc.|Last Updated: Dec 17, 2025

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
RandomizedCONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment447
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03696160The Late Presenter Treatment Optimisation StudyPHASE3 COMPLETED 447Mar 5, 2019Jun 17, 2024Dec 17, 202553 Belgium, France +5
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Study Endpoints
Primary Endpoints
Treatment Failure
Earliest at 12 weeks, latest 48 weeks

Composite outcome: treatment failure due to either virological or clinical reasons. Virological reasons can either be insufficient virological response or viral rebound. Clinical reasons can be death related to HIV/AIDS/opportunistic infection or severe bacterial infection, new or recurrent AIDS defining event, any serious non-AIDS defining event or clinically relevant adverse events of any grade or immune reconstitution inflammatory syndrome requiring treatment

Secondary Endpoints
Proportion of Patients With HIV-RNA Viral Load <50 Copies/mL
Week 24, 36 and 48
Time to Reach CD4 (Cluster of Differentiation 4) Count >200/µL
Through study completion, up to 48 weeks.
Proportion of Patients With CD4 Cell Count <200 and < 350μL at Week 4, 8, 12, 24, 36, 48
4, 8, 12, 24, 36, 48 weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
BiktarvyEXPERIMENTALBictegravir is an inhibitor of HIV-1 integrase that is being evaluated for the treatment of HIV-1 infection. Biktarvy® received marketing authorisation valid throughout the European Union (EU) in June 2018. Biktarvy is a combination of bictegravir, emtricitabine, and tenofovir (B/F/TAF). Method of administration: One combined B 50mg/F 200mg/TAF 25mg tablet taken orally once daily for up to 48 weeks without regard to food.
SymtuzaEXPERIMENTALSymtuza® is a boosted PI indicated for the treatment of HIV-1 infection. Symtuza® received marketing authorisation valid throughout the EU in September 2017. Symtuza is a combination of darunavir, cobicistat, emtricitabine and tenofovir alafenamide (D/C/F/TAF) Method of administration: One combined D 800mg/C 150mg/F 200mg/TAF 10mg tablet taken orally once daily for up to 48 weeks with the addition of food.
Interventions
NameTypeDescription
BiktarvyDRUGIntegrase inhibitor used to treat HIV-1 infection
SymtuzaDRUGProtease inhibitor used to treat HIV-1 infection
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites53

Inclusion Criteria: 1. The ability to understand and sign a written informed consent form (ICF) and must be willing to comply with all study requirements. 2. Male or non-pregnant, non-lactating females†. 3. Age ≥ 18 years. 4. Have documented, untreated HIV-1 infection with either: 1. AIDS with ...

Countries:BelgiumFranceGermanyIrelandItalySpainUnited Kingdom
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