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Fostemsavir

Phase 3

HIV Infections | Small molecule | Infectious Disease |GSK plc|Last Updated: Aug 14, 2026

Target and mechanism

ModalitySmall molecule

Also known as Fostemsavir (FTR)

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLEDDMC
Total Trials2
Total Enrollment213

FDA Designations

No designations recorded

Clinical trial landscape

Fostemsavir · 2 trials · 1 indication

Phase 3 1Phase 1 1
NCT07393659A Continued Access Study for Participants Transitioning From ViiV Healthcare-sponsored or ViiV Healthcare-collaborative Parent Studies for HIV TreatmentHIV Infections
RECRUITING181 Analytics
PHASE3RECRUITING
A Continued Access Study for Participants Transitioning From ViiV Healthcare-sponsored or ViiV Healthcare-collaborative Parent Studies for HIV Treatment
HIV InfectionsUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of participants who discontinue the study intervention and the reason for discontinuation
Throughout the study period (from rollover visit at Day 1 until the end of study/withdrawal visit)
Number of participants with serious adverse events (SAE)
Throughout the study period (from rollover visit at Day 1 until the end of study /withdrawal visit)

A SAE is defined as any untoward medical occurrence that, at any dose, results in results in death, is life- threatening, requires inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability/incapacity, is a congenital anomaly/birth defect in the offspring of a study participant, abnormal pregnancy outcomes or a suspected transmission of any infectious agent via an authorized medicinal product.

Number of participants with adverse events of special interest (AESI)
Throughout the study period (from rollover visit at Day 1 until the end of study /withdrawal visit)

An adverse event (AE) is any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AESI is defined as an AE of a scientific and medical concern specific to the study intervention, which may require further investigation in order to characterize and understand it.

Part 1: Area under the plasma concentration-time curve (AUC) from time zero to the last quantifiable time point (AUC[0-t]) of temsavir
Predose (Day 1) until 72 hour post dose
Part 1: AUC from time zero extrapolated to infinite time (AUC[0-infinity]) of temsavir
Predose (Day 1) until 72 hour post dose
Part 1: Maximum observed plasma concentration (Cmax)
Predose (Day 1) until 72 hour post dose

Secondary Endpoints

Part 1: Time to Cmax (Tmax) of temsavir
Predose (Day 1) until 72 hour post dose
Part 1: Elimination half-life (T1/2) of temsavir
Predose (Day 1) until 72 hour post dose
Part 1: Concentration at 12 hours post-dose of temsavir
12 hours post-dose
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Continued Access GroupEXPERIMENTALParticipants with HIV-1 who received the study intervention and completed the protocol-defined treatment period in ViiV Healthcare-sponsored or ViiV Healthcare-collaborative parent studies (2020-001029-30, 2020-001426-57), and who continue to receive the study intervention from their respective parent study.
Part 1: Treatment sequence ABCEXPERIMENTALParticipants will receive FTR 3×200 mg ER tablets (Treatment A) in Period 1 followed by FTR 3×200 mg ER tablets (Treatment B) in Period 2 followed by FTR 600 mg ER tablet (Treatment C, reference) in Period 3.
Part 1: Treatment sequence BCAEXPERIMENTALParticipants will receive FTR 3×200 mg ER tablets (Treatment B) in Period 1 followed by FTR 600 mg ER tablet (Treatment C, reference) in Period 2 followed by FTR 3×200 mg ER tablets (Treatment A) in Period 3.
Part 1: Treatment sequence CABEXPERIMENTALParticipants will receive FTR 600 mg ER tablet in Period 1 (Treatment C, reference) followed by FTR 3×200 mg ER tablets (Treatment A) in Period 2 followed by FTR 3×200 mg ER tablets (Treatment B) in Period 3.
Part 1: Treatment sequence ACBEXPERIMENTALParticipants will receive FTR 3×200 mg ER tablets (Treatment A) in Period 1 followed by FTR 600 mg ER tablet (Treatment C, reference) in Period 2 followed by FTR 3×200 mg ER tablets (Treatment B) in Period 3.
Part 1: Treatment sequence BACEXPERIMENTALParticipants will receive FTR 3×200 mg ER tablets (Treatment B) in Period 1 followed by FTR 3×200 mg ER tablets (Treatment A) in Period 2 followed by FTR 600 mg ER tablet (Treatment C, reference) in Period 3.
Part 1: Treatment sequence CBAEXPERIMENTALParticipants will receive FTR 600 mg ER tablet (Treatment C, reference) in Period 1 followed by FTR 3×200 mg ER tablets (Treatment B) in Period 2 followed by FTR 3×200 mg ER tablets (Treatment A) in Period 3.
Part 2: Treatment sequence DEEXPERIMENTALParticipants will receive the selected low-dose formulation of FTR 3 × 200 mg ER tablets in a fasted state (Treatment D) in Period 1 and following a high fat high calorie meal (Treatment E) in Period 2.
Part 2: Treatment sequence EDEXPERIMENTALParticipants will receive the selected low-dose formulation of FTR 3 × 200 mg ER tablets following a high fat high calorie meal (Treatment E) in Period 1 and in a fasted state (Treatment D) in Period 2.

Interventions

NameTypeDescription
FostemsavirDRUGParticipants receive oral tablets with the dosages depending on the weight of the participants.
Dolutegravir (DTG)/ Lamivudine (3TC)DRUGParticipants receive oral tablets with the dosages depending on the weight of the participants.
Fostemsavir 600 mgDRUGFostemsavir tablets will be administered via oral route.
Fostemsavir 200 mgDRUGFostemsavir tablets will be administered via oral route.
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Eligibility Criteria

Age Range18 Years to 50 Years
SexALL
Healthy VolunteersNo
Study Sites4

Inclusion Criteria: * Investigator confirmation of the participant's continued clinical benefit from the parent study intervention and the participant's completion of the protocol-defined treatment period in the parent study. The Investigator should ensure that the participant is still eligible for...

Countries:South AfricaUnited States
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Recent Changes (Last 90 Days)

MEDIUMAug 14, 2026NCT07393659Status: NOT_YET_RECRUITING → RECRUITING
MEDIUMAug 14, 2026NCT07393659Status: NOT_YET_RECRUITING → RECRUITING

Frequently asked questions about Fostemsavir

What is Fostemsavir used for?

Fostemsavir is used for the treatment of HIV infections. It is a small molecule drug being developed by GSK plc (GSK) for this infectious disease indication. The drug is currently in Phase 3 clinical development, with ongoing studies evaluating its use in patients with HIV.

What does Fostemsavir target?

Fostemsavir is an attachment inhibitor that targets the HIV-1 gp120 protein, preventing the virus from attaching to and entering host CD4+ T cells. By blocking this initial step of viral entry, Fostemsavir inhibits HIV replication. This mechanism is specific to HIV-1 and is being studied in patients with HIV infections.

Who makes Fostemsavir?

Fostemsavir is being developed by GSK plc, a global biopharma company listed on the London Stock Exchange under the ticker GSK. The drug is being studied for the treatment of HIV infections and is currently in Phase 3 clinical development.

What phase is Fostemsavir in?

Fostemsavir is in Phase 3 clinical development for the treatment of HIV infections. It is an investigational drug, meaning it has not yet been approved by regulatory authorities. The Phase 3 program includes a continued access study for participants transitioning from earlier ViiV Healthcare-sponsored or collaborative parent studies.

What clinical trials is Fostemsavir in?

Fostemsavir has two clinical trials listed. NCT04757974 is a completed Phase 1 relative bioavailability study with 32 participants. NCT07393659 is a recruiting Phase 3 continued access study with 181 participants, conducted in South Africa for HIV treatment. Both trials enroll patients with HIV infections.

Is Fostemsavir the same as FTR?

Yes, Fostemsavir is also known as FTR. This abbreviation is used in clinical and research contexts to refer to the same drug. Fostemsavir (FTR) is being developed by GSK plc for the treatment of HIV infections and is currently in Phase 3 clinical development.