Evidence map›Paper›PMID 39589133›Full record

Trial reportClinical infectious diseases : an official publication of the Infectious Diseases Society of America2025

Efficacy and Safety of Switching to Daily Bictegravir Plus Lenacapavir From a Complex HIV Treatment Regimen: A Randomized, Open-Label, Multicenter Phase 2 Study (ARTISTRY-1).

Karam Mounzer, Jihad Slim, Moti Ramgopal, Malcolm Hedgcock, Mark Bloch, Jorge Santana, Ines Mendes, Ying Guo, Priyanka Arora, Jairo M Montezuma-Rusca and 3 more

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter StudyClinical Trial, Phase II
In one paragraph

Trial report in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05502341 (An Operationally Seamless Phase 2/3 Randomized, Open-label, Multicenter, Active-Controlled Study to Evaluate the Safety and Efficacy of Bictegravir/Lenacapavir Versus Stable Baseline Regimen in Virologically Suppressed People With HIV-1 on Stable Complex Treatment Regimens), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05502341 phase2 / phase3active not recruitingnot on this map

An Operationally Seamless Phase 2/3 Randomized, Open-label, Multicenter, Active-Controlled Study to Evaluate the Safety and Efficacy of Bictegravir/Lenacapavir Versus Stable Baseline Regimen in Virologically Suppressed People With HIV-1 on Stable Complex Treatment Regimens

TypeinterventionalSponsorGilead SciencesRan2022 to 2028Enrolled689ConditionsHIV-1-infectionArmsBictegravir, Lenacapavir, BIC/LEN FDC, Stable Baseline Regimen
3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Review
  4. Tenofovir, Interferon Pathways, and Mucosal Immunity: Implications for People Living With HIV.American journal of reproductive immunology (New York, N.Y. : 1989) · 2026
    Review
  5. Review
  6. Review
  7. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Karam MounzerThe Jonathon Lax Immune Disorders Treatment Center, Philadelphia FIGHT, Philadelphia, Pennsylvania, USA.ORCID 0000-0001-8537-7103
Jihad SlimNew York Medical College, Valhalla, New York, USA.ORCID 0000-0002-4192-7246
Moti RamgopalMidway Immunology and Research Center, Fort Pierce, Florida, USA.
Malcolm HedgcockSpectrum Health, Vancouver, British Columbia, Canada.
Mark BlochHoldsworth House Medical Practice, Darlinghurst, New South Wales, Australia.
Jorge SantanaSchool of Medicine, University of Puerto Rico, San Juan, Puerto Rico.ORCID 0000-0003-2822-3401
Ines MendesPatient Safety, Gilead Sciences, Inc., Foster City, California, USA.ORCID 0009-0009-7094-7703
Ying GuoBiostatistics, Gilead Sciences, Inc., Foster City, California, USA.
Priyanka AroraClinical Pharmacology, Gilead Sciences, Inc., Foster City, California, USA.ORCID 0009-0003-8894-892X
Jairo M Montezuma-RuscaClinical Development, Gilead Sciences, Inc., Foster City, California, USA.
Peter SklarClinical Development, Gilead Sciences, Inc., Foster City, California, USA.ORCID 0009-0000-7071-6942
Jared M BaetenClinical Development, Gilead Sciences, Inc., Foster City, California, USA.
Sorana Segal-MaurerMedical Affairs, Gilead Sciences, Inc., Foster City, California, USA.ORCID 0009-0000-1113-4977

Funding

Gilead Sciences.
6 · The paper itself

Abstract

backgroundComplex antiretroviral therapy (ART) regimens, such as those requiring multiple tablets, several doses per day, or both, can negatively affect quality of life and treatment adherence among people with human immunodeficiency virus (HIV).

methodsARTISTRY-1 is a phase 2/3, operationally seamless, randomized, open-label, multicenter, active-controlled study (GS-US-621-6289; NCT05502341). Phase 2 of the study enrolled adults with plasma HIV-1 RNA <50 copies/mL receiving a complex ART regimen for ≥6 months. Efficacy and safety outcomes were evaluated after a switch to bictegravir (BIC) (75-mg) + lenacapavir (LEN) (25- or 50-mg) regimens, compared with continuing on a complex ART regimen through 24 weeks.

resultsOverall, 128 participants were assigned randomly to begin BIC 75 mg + LEN 25 mg (n = 51) or BIC 75 mg + LEN 50 mg (n = 52) or continue on their complex ART regimen (n = 25). At week 24, HIV-1 RNA was ≥50 copies/mL in 0 of 51, 1 of 52 (1.9%), and 0 of 25 participants in the 3 groups, respectively. CD4 cell counts and percentages remained stable through week 24; the median change from baseline in CD4 cell count (interquartile range) was 18 (-39 to 70), -16 (-80 to 93), and 42 (-36 to 90) cells/µL, respectively. There were no study discontinuations due to a serious adverse event through week 24. Both BIC + LEN dosing regimens were well tolerated, with similar safety profiles observed between groups.

conclusionsThese data support the continued evaluation of the combination of BIC and LEN to optimize treatment in people with HIV and virologic suppression who are receiving complex ART regimens.

Indexed as

Anti-HIV AgentsHeterocyclic Compounds, 4 or More RingsHIV InfectionsQuinolonesAcetamidesAdultAmidesCD4 Lymphocyte CountDrug Therapy, CombinationFemaleHeterocyclic Compounds, 3-RingHIV-1HumansIndazolesMaleMiddle AgedAcetamidesAmidesAnti-HIV AgentsbictegravirHeterocyclic Compounds, 3-RingHeterocyclic Compounds, 4 or More RingsIndazoleslenacapavirPiperazinesPyridonesQuinolonesRNA, Viralantiretroviral therapybictegravirefficacylenacapavirsafety

Identifiers

PMID39589133
PMCPMC12043062

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.