Drugs / Bictegravir
last change Aug 2026 re-read 9 days ago

Bictegravir

Small molecule

Developed for
HIV infectious disease · hepatitis B virus infection · HIV wasting syndrome · primary viral infectious disease · coronary atherosclerosis
Investigated by
Gilead Sciences · Chelsea and Westminster NHS Foundation Trust · Merck Sharp & Dohme LLC · Imperial College London · Weill Medical College of Cornell University · Advancing Clinical Therapeutics Globally for HIV/AIDS and Other Infections
+32 more · Analysis Group, Inc. · Anna Cruceta · Azienda Ospedaliera San Paolo · Brigham and Women's Hospital · CAN Community Health · Carmen Hidalgo Tenorio · Catholic University of the Sacred Heart · Costello Medical Inc. · Cristina Mussini · Emory University · Fenway Community Health · Fundacion Clinic per a la Recerca Biomédica · Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic · Harvard Medical School (HMS and HSDM) · Institut de Médecine et d'Epidémiologie Appliquée - Fondation Internationale Léon M'Ba · Janssen Research & Development, LLC · Judit Pich Martínez · Maple Leaf Research · McGill University Health Centre/Research Institute of the McGill University Health Centre · Mexican Social Security Institute · Midway Specialty Care Center · National Institute of Allergy and Infectious Diseases (NIAID) · Ospedale Amedeo di Savoia · Ospedale Policlinico San Martino · Quest Clinical Research · The University of Texas Health Science Center, Houston · Tulika Singh, MD · University Hospital of Siena · University of Maryland, Baltimore · University of Missouri-Columbia · University of Nairobi · University of Southern California

Regulatory milestones approvals, filings & regulatory actions · 4 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed HIV infectious disease 2 milestones
Filed US (FDA) — HIV infectious disease 2026-04-29

“FDA accepted its New Drug Application (NDA) submission for bictegravir 75 mg/lenacapavir 50 mg (BIC/LEN)” gilead.com ↗

Filed US (FDA) — HIV infectious disease 2017-06-12

“it has submitted a New Drug Application (NDA) to the U.S. Food and Drug Administration ( FDA ) for an investigational, once-daily single tablet regimen containing bictegravir” gilead.com ↗

Approved Indication not stated 2 milestones
Approved EU (EMA) Biktarvy — 2018-06-21 europa.eu ↗
Approved US (FDA) BIKTARVY — 2018-02-07 fda.gov ↗

Trials 41

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 15 trials · 1 met primary
Phase 1 NCT04950530 Dec 2022 → Feb 2024 HIV infectious disease Chelsea and Westminster NHS Foundation Trust Completed No outcome recorded
Phase 1 NCT04853524 May → Jun 2021 — Janssen Research & Development, LLC Withdrawn No outcome recorded Stop: Business
Phase 1 NCT03960645 Jun 2019 → Jul 2022 HIV infectious disease Gilead Sciences Completed No outcome recorded
Phase 1 NCT02400307 Apr → Jul 2015 HIV infectious disease Gilead Sciences Completed No outcome recorded
Phase 1 NCT02275065 Oct 2014 → Jan 2015 HIV infectious disease Gilead Sciences Completed Met primary
Phase 23 trials
Phase 2 NCT05052996 Oct 2021 → Dec 2023 overdue HIV infectious disease Gilead Sciences Active not recruiting No outcome recorded
Phase 2 NCT04483674 Dec 2020 → Nov 2022 primary viral infectious disease Anna Cruceta Unknown No outcome recorded
Phase 2 NCT02397694 Mar → Nov 2015 HIV infectious disease Gilead Sciences Completed No outcome recorded
Phase 2/33 trials · 1 met primary
Phase 2/3 NCT06532656 Nov 2024 → Jul 2030 expected HIV infectious disease Gilead Sciences Active not recruiting No outcome recorded
Phase 2/3 NCT05502341 Aug 2022 → Sep 2025 overdue HIV infectious disease Gilead Sciences Active not recruiting Met primary
Phase 2/3 NCT02881320 Sep 2016 → Mar 2025 overdue HIV infectious disease Gilead Sciences Active not recruiting No outcome recorded
Phase 38 trials · 5 met primary
Phase 3 NCT06630286 Oct 2024 → Apr 2026 overdue HIV infectious disease Gilead Sciences Active not recruiting Met primary
Phase 3 NCT06333808 Mar 2024 → Oct 2025 overdue HIV infectious disease Gilead Sciences Active not recruiting Met primary
Phase 3 NCT05630755 Feb 2023 → Oct 2024 overdue HIV infectious disease Merck Sharp & Dohme LLC Active not recruiting Met primary
Phase 3 NCT04416906 Oct 2020 → May 2023 HIV infectious disease Judit Pich Martínez Completed No outcome recorded
Phase 3 NCT04653194 Sep 2020 → Jul 2023 HIV infectious disease Chelsea and Westminster NHS Foundation Trust Completed No outcome recorded
Phase 3 NCT04155554 Jan → Aug 2020 HIV infectious disease University Hospital of Siena Unknown No outcome recorded
Phase 3 NCT03631732 Aug 2018 → Aug 2019 HIV infectious disease Gilead Sciences Completed Met primary
Phase 3 NCT02603107 Nov 2015 → May 2017 HIV infectious disease Gilead Sciences Completed Met primary
Phase 422 trials · 1 met primary · 2 missed
Phase 4 NCT07476339 Jun 2026 → Jun 2027 expected HIV infectious disease CAN Community Health Recruiting No outcome recorded
Phase 4 NCT06602622 Aug 2024 → Nov 2025 overdue HIV wasting syndrome Mexican Social Security Institute Recruiting No outcome recorded
Phase 4 NCT06375304 May 2024 → Jun 2026 overdue HIV infectious disease McGill University Health Centre/Research Institute of the McGill University Health Centre Not yet recruiting No outcome recorded
Phase 4 NCT06374758 Apr 2024 → May 2026 overdue HIV infectious disease University of Missouri-Columbia Recruiting No outcome recorded
Phase 4 NCT06104306 Dec 2023 → Jan 2025 HIV infectious disease Gilead Sciences Completed No outcome recorded
Phase 4 NCT04944654 Jan → May 2023 HIV infectious disease Chelsea and Westminster NHS Foundation Trust Terminated No outcome recorded Stop: Business
Phase 4 NCT05663892 Nov 2022 → Nov 2024 overdue HIV infectious disease Maple Leaf Research Active not recruiting No outcome recorded
Phase 4 NCT05602506 Nov 2022 → Mar 2024 HIV infectious disease Fundacion Clinic per a la Recerca Biomédica Completed No outcome recorded
Phase 4 NCT05243602 Feb 2022 → Apr 2023 HIV infectious disease University of Nairobi Completed No outcome recorded
Phase 4 NCT04636437 Jul 2021 → Oct 2024 HIV infectious disease Advancing Clinical Therapeutics Globally for HIV/AIDS and Other Infections Completed Missed primary
Comparator or background therapy22 trials
Phase 2 NCT06338826 Background Feb 2025 → Sep 2027 expected HIV infectious disease ANRS, Emerging Infectious Diseases Not yet recruiting No outcome recorded
Phase 2 NCT05719441 Background Aug 2024 → Apr 2028 expected — National Institute of Allergy and Infectious Diseases (NIAID) Recruiting No outcome recorded
Phase 2 NCT05729568 Background May 2023 → Jul 2024 overdue HIV infectious disease Gilead Sciences Active not recruiting No outcome recorded
Phase 2/3 NCT06613685 Comparator Oct 2024 → Mar 2026 HIV infectious disease Gilead Sciences Terminated No outcome recorded Stop: Business
Phase 2/3 NCT06544733 Comparator Aug 2024 → Jan 2028 expected HIV infectious disease Gilead Sciences Active not recruiting No outcome recorded

News releases announcing trial results or a regulatory action · 29

DateIssuerRelease
2026-08-27 Gilead Sciences Regulatory U.S. FDA Approves Gilead’s Bixlenvo™, a New Once-Daily Single Tablet Option for Virologically Suppressed Adults With HIV, Including Those on Complex Regimens gilead.com ↗
2026-04-29 Gilead Sciences Regulatory U.S. FDA Grants Priority Review of New Drug Application for Gilead’s Once-Daily HIV Treatment of Bictegravir Plus Lenacapavir gilead.com ↗
The FDA has granted priority review of the application and assigned a Prescription Drug User Fee Act (PDUFA) action date of August 27, 2026.
2025-11-19 Merck Sharp & Dohme LLC Results Merck Announces Positive Topline Results from the Pivotal Phase 3 Trial Evaluating Investigational, Once-Daily, Oral, Two-Drug, Single-Tablet Regimen of Doravirine/Islatravir (DOR/ISL) in Treatment-Naïve Adults with HIV-1 Infection merck.com ↗
The success criterion for the primary efficacy hypothesis, as measured by the percentage of participants with HIV-1 RNA levels <50 copies/mL at Week 48, was met, with DOR/ISL demonstrating non-inferiority to once-daily oral bictegravir/emtricitabine/tenofovir alafenamide i [BIC/FTC/TAF (50 mg/200 mg/25 mg)].
2025-10-19 Gilead Sciences Results Gilead to Spotlight New Virology Data Across HIV, Viral Hepatitis and Respiratory Diseases at IDWeek 2025 gilead.com ↗
New Data Show Higher Treatment Satisfaction After Switching from IM CAB+RPV to Biktarvy ®
2024-11-12 Gilead Sciences Results Scientific Leadership Spotlighted as Gilead Presents Research Data Across Its Broad and Innovative HIV Treatment Portfolio and Pipeline gilead.com ↗
New outcomes from two datasets derived from the Bictegravir Single Tablet Regimen (BICSTaR) study are consistent with the results observed from multiple Phase 3 clinical trials, which demonstrated the sustained efficacy, safety profile, and high barrier to resistance of Biktarvy.
2024-11-07 Gilead Sciences Results Late-Breaking Clinical Data and Real-World Evidence Presented at HIV Glasgow as Gilead Extends Leadership Efforts Toward Ending the Epidemic gilead.com ↗
Four-Year Outcomes From Real-World BICSTaR Study Further Demonstrate the Consistent Efficacy and Safety Profile of Biktarvy, Providing Insights for HIV Clinical Care
2024-07-23 GlaxoSmithKline Results ViiV Healthcare announces positive data demonstrating 2-drug regimen Dovato is as effective as 3-drug regimen Biktarvy for maintenance therapy of HIV-1 gsk.com ↗
Findings showed that switching to DTG/3TC in virologically suppressed adults living with HIV demonstrated non-inferior efficacy in maintaining viral suppression compared with switching to BIC/FTC/TAF.
2024-03-05 Gilead Sciences Results Gilead’s Innovative HIV Treatment Research Pipeline Aims to Address Unmet Needs and Advance Public Health gilead.com ↗
The findings help support the efficacy and safety profile of switching individuals with HIV on complex regimens to a potentially less complex combination of bictegravir and lenacapavir.
2023-07-23 Gilead Sciences Results New Biktarvy® Data Presented at IAS 2023 Further Demonstrate Safety and Efficacy Profile in a Broad Range of People and Communities Affected by the Global HIV Epidemic gilead.com ↗
Gilead Sciences, Inc. (Nasdaq: GILD) today announced results from multiple studies reinforcing Biktarvy ® (bictegravir 50 mg/emtricitabine 200 mg/tenofovir alafenamide 25 mg tablets, B/F/TAF) as a treatment option for a broad range of people with HIV.
2023-02-23 GlaxoSmithKline Results ViiV Healthcare announces positive data demonstrating long-acting injectable Cabenuva (cabotegravir, rilpivirine) is as effective as daily oral Biktarvy (BIC/FTC/TAF) for the treatment of HIV-1 gsk.com ↗
12-month findings from the SOLAR study showed that the every-two-month regimen of CAB+RPV LA demonstrated non-inferior efficacy compared to continuation of daily oral BIC/FTC/TAF
2023-02-23 ViiV Healthcare Results ViiV HEALTHCARE ANNOUNCES POSITIVE DATA DEMONSTRATING LONG-ACTING INJECTABLE CABENUVA (CABOTEGRAVIR, RILPIVIRINE) IS AS EFFECTIVE AS DAILY ORAL BIKTARVY (BIC/FTC/TAF) FOR THE TREATMENT OF HIV-1 viivhealthcare.com ↗
Study findings showed that CAB+RPV LA dosed every two months achieved the primary endpoint of non-inferior virologic efficacy versus daily oral BIC/FTC/TAF, while 90% of participants who switched to CAB+RPV LA from BIC/FTC/TAF, and who completed a survey (n=425), preferred the long-acting regimen.
2022-02-16 Gilead Sciences Results New Clinical Data Support the Sustained Efficacy of Long-acting Lenacapavir, Gilead’s Investigational HIV-1 Capsid Inhibitor gilead.com ↗
In the oral lenacapavir + F/TAF arm, 85% achieved an undetectable viral load.

All press releases naming this drug 38 releases

DateIssuerRelease

Evidence & citations 12 cited values

Every value below carries the sentence it was read from. 69 sources stand behind the page.

FieldValueCited text
Known as bictegravir “The goal of this clinical study is to learn about the safety and efficacy of switching to once weekly tablet of islatravir/lenacapavir (ISL/LEN) regimen versus continuing...” NCT06630286 ↗
62

“Participants on any stable second-generation integrase strand transfer inhibitor-based 3DR regimen with HIV-1 RNA < 50 copies/mL plasma for at least 3 months were randomized to...” PMID 39226296 ↗ Feb 2025

“The study seeks to understand how anti-HIV drug Biktarvy, which contains the drugs tenofovir alafenamide (TAF), emtricitabine (FTC), and bictegravir (BIC) is absorbed and how...” NCT04039217 ↗

“Objective:To evaluate the effectiveness, safety, and tolerability of Doravirine/Lamivudine/Tenofovir Disoproxil Fumarate (DOR/3TC/TDF) compared with...” NCT07075146 ↗

“Antiretroviral therapy, administered orally may include regimens such as: bictegravir/emtricitabine/tenofovir alafenamide, darunavir/cobicistat/emtricitabine/tenofovir...” NCT05729568 ↗

“To assess patient reported treatment satisfaction and medication tolerability in virologically suppressed HIV-1 infected adults who are at least 65 years of age who switch to a...” NCT05147740 ↗

“Second generation integrase inhibitor 1) Bictegravir 50 mg/ alafenamide tenofovir 25 mg/ emtricitabine 200 mg (BIC/TAF/FTC); 2) Dolutegravir 50 mg/ abacavir 600 mg/ lamivudine...” NCT06602622 ↗

“Data support the use of single-tablet coformulated bictegravir (30 mg), emtricitabine (120 mg), and tenofovir alafenamide (15 mg) for treatment of HIV in children aged at least...” PMID 38621393 ↗ Apr 2024

“Bictegravir 50 mg / tenofovir alafenamide 25 mg / emtricitabine 200 mg or dolutegravir 50 mg / lamivudine 300 mg / abacavir 600 mg, both combinations in a single tablet, will...” NCT07138144 ↗

“The integrase (INI) inhibitors (for example, bictegravir, dolutegravir, elvitegravir/cobicistat, and raltegravir) will be administered in combination with TAF/FTC, as appropriate.” NCT04442737 ↗

“B/F/TAF is a fixed-dose combination of bictegravir (50 mg), emtricitabine (200 mg), and tenofovir alafenamide (25 mg), administered orally, once daily, without food requirements.” NCT06375304 ↗

Show 52 more sources

Known as BIC “The study seeks to understand how anti-HIV drug Biktarvy, which contains the drugs tenofovir alafenamide (TAF), emtricitabine (FTC), and bictegravir (BIC) is absorbed and how...” NCT04039217 ↗
15

“Objective:To evaluate the effectiveness, safety, and tolerability of Doravirine/Lamivudine/Tenofovir Disoproxil Fumarate (DOR/3TC/TDF) compared with...” NCT07075146 ↗

“bictegravir/emtricitabine/tenofovir alafenamide (BIC/FTC/TAF) or dolutegravir/lamivudine/abacavir (DTG/3TC/ABC), are associated with metabolic, renal, and cardiovascular adverse effects” NCT07138144 ↗

“Because coformulated bictegravir, emtricitabine, and tenofovir alafenamide [BIC/FTC/tenofovir alafenamide (TAF)] is effective for HIV treatment, it was evaluated for use for PEP.” PMID 34991141 ↗ May 2022

“Studies 1878 and 1844 demonstrated non-inferior efficacy of switching suppressed HIV-1-infected adults to bictegravir/emtricitabine/tenofovir alafenamide (BIC/FTC/TAF)” PMID 31430369 ↗ Dec 2019

“The second generation integrase strand transfer inhibitors (INSTIs) dolutegravir (DTG) and bictegravir (BIC) are widely prescribed for the treatment of HIV” NCT04311957 ↗

“BIK was a fixed dose combination of 50 mg Bictegravir (BIC) + 200 mg Emtricitabine (FTC) + 25 mg Tenofovir alafenamide (TAF).” NCT04542070 ↗

“once-daily bictegravir/emtricitabine/tenofovir alafenamide (BIC/FTC/TAF; B/F/TAF) during pregnancy.” PMID 37939141 ↗ Nov 2023

“bictegravir (BIC) + emtricitabine/tenofovir alafenamide (F/TAF) fixed dose combination (FDC)” NCT02397694 ↗

“Bictegravir 50 mg/ alafenamide tenofovir 25 mg/ emtricitabine 200 mg (BIC/TAF/FTC)” NCT06602622 ↗

“Bictegravir (BIC) plus Emtricitabine (FTC) plus Tenofovir Alafenamide (TAF)” NCT07031063 ↗

Show 5 more sources

Known as BICTEGRAVIR SODIUM ChEMBL registry synonym — accepted as the source's own label CHEMBL3989866 ↗
Known as Bictegravir sodium component of biktarvy ChEMBL registry synonym — accepted as the source's own label CHEMBL3989866 ↗
Known as Bictegravir/FTC/TAF “This is a phase IV, unicentric, open, pilot, randomized, controlled trial to evaluate Bictegravir/FTC/TAF.” NCT05602506 ↗
Known as GS-9883 ChEMBL registry synonym — accepted as the source's own label CHEMBL3989866 ↗
Known as GS-9883 SODIUM ChEMBL registry synonym — accepted as the source's own label CHEMBL3989866 ↗
Known as GS-9883-01 ChEMBL registry synonym — accepted as the source's own label CHEMBL3989866 ↗
Known as GS-9883-01 SODIUM ChEMBL registry synonym — accepted as the source's own label CHEMBL3989866 ↗
Action Inhibit “Bictegravir is a potent integrase strand-transfer inhibitor (INSTI)” PMID 34302760 ↗ Jul 2021
Modality Small molecule — CHEMBL3989866 ↗
Route Oral “Bictegravir tablet(s) administered orally once daily” NCT02275065 ↗