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Last Updated: March 26, 2026

CLINICAL TRIALS PROFILE FOR CABOTEGRAVIR; RILPIVIRINE


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All Clinical Trials for CABOTEGRAVIR; RILPIVIRINE

Trial ID Title Status Sponsor Phase Start Date Summary
NCT02799264 ↗ A Study to Evaluate the Effect of High Fat Meal on Cabotegravir Completed Glaxosmithkline/Quintiles Phase 1 2016-06-01 Cabotegravir is being developed for the treatment of human immunodeficiency virus (HIV) 1 infection. Specifically, it is being developed as a component of a 2-drug maintenance regimen (post-induction of viral suppression) that includes rilpivirine. Rilpivirine requires food for optimal absorption; therefore the recommended intake of cabotegravir in the planned Phase 3 treatment studies is with food regardless of fat or calorie content, when administered along with rilpivirine. This is a single-center, randomized, open-label, two-way crossover study in healthy adult subjects to assess the effect of a high fat meal on the single dose pharmacokinetics of CAB 30 mg. Approximately, 24 subjects will be enrolled in the study and will be screened for 30 days. Twelve subjects with at least 10 hours of fasting will be randomized to receive a single dose of cabotegravir orally (Schedule 'A'). The remaining 12 subjects will receive a single dose of cabotegravir orally along with high fat meal (Schedule 'B'). After 15 days, the subjects earlier undergoing 'Schedule A' will be switched to 'Schedule B' and those undergoing 'Schedule B' will undergo 'Schedule A'. All the subjects will be followed up to 30 days from the day of receiving first dose of cabotegravir to evaluate the effect of a high fat meal on the pharmacokinetics of cabotegravir.
NCT02799264 ↗ A Study to Evaluate the Effect of High Fat Meal on Cabotegravir Completed ViiV Healthcare Phase 1 2016-06-01 Cabotegravir is being developed for the treatment of human immunodeficiency virus (HIV) 1 infection. Specifically, it is being developed as a component of a 2-drug maintenance regimen (post-induction of viral suppression) that includes rilpivirine. Rilpivirine requires food for optimal absorption; therefore the recommended intake of cabotegravir in the planned Phase 3 treatment studies is with food regardless of fat or calorie content, when administered along with rilpivirine. This is a single-center, randomized, open-label, two-way crossover study in healthy adult subjects to assess the effect of a high fat meal on the single dose pharmacokinetics of CAB 30 mg. Approximately, 24 subjects will be enrolled in the study and will be screened for 30 days. Twelve subjects with at least 10 hours of fasting will be randomized to receive a single dose of cabotegravir orally (Schedule 'A'). The remaining 12 subjects will receive a single dose of cabotegravir orally along with high fat meal (Schedule 'B'). After 15 days, the subjects earlier undergoing 'Schedule A' will be switched to 'Schedule B' and those undergoing 'Schedule B' will undergo 'Schedule A'. All the subjects will be followed up to 30 days from the day of receiving first dose of cabotegravir to evaluate the effect of a high fat meal on the pharmacokinetics of cabotegravir.
NCT02938520 ↗ Study to Evaluate the Efficacy, Safety, and Tolerability of Long-acting Intramuscular Cabotegravir and Rilpivirine for Maintenance of Virologic Suppression Following Switch From an Integrase Inhibitor in HIV-1 Infected Therapy Naive Participants Active, not recruiting GlaxoSmithKline Phase 3 2016-10-27 The First Long-Acting Injectable Regimen (FLAIR) study is being conducted to establish if human immunodeficiency virus type-1 (HIV-1) infected adult participants whose virus is virologically suppressed on an integrase inhibitor single tablet regimen (INI STR) will remain suppressed after switching to a two-drug intramuscular (IM) long-acting (LA) regimen of cabotegravir (CAB) and rilpivirine (RPV). In this study, the INI STR will be limited to abacavir/dolutegravir/lamivudine (ABC/DTG/3TC). FLAIR is a Phase 3, multi-phase, randomized, open label, active-controlled, multicenter, parallel-group, non-inferiority study in HIV-1, anti-retroviral therapy (ART)-naïve adult participants. This study is designed to demonstrate the non-inferior antiviral activity of switching to a two drug CAB LA 400 mg + RPV LA 600 mg regimen every 4 weeks (Q4W: monthly) compared to remaining on ABC/DTG/3TC over 48 weeks (4 weeks oral CAB + RPV, 44 weeks LA therapy). Participants who are HLA-B*5701 positive at Screening may enroll into the study and receive DTG plus a non-abacavir containing dual nucleoside reverse transcriptase inhibitor (NRTI) regimen. Eligible participants will enroll into the Induction Phase of the study and receive ABC/DTG/3TC for 20 weeks (Week [-20] to Day 1). Participants who have an HIV 1 ribose nucleic acid (RNA)
NCT02938520 ↗ Study to Evaluate the Efficacy, Safety, and Tolerability of Long-acting Intramuscular Cabotegravir and Rilpivirine for Maintenance of Virologic Suppression Following Switch From an Integrase Inhibitor in HIV-1 Infected Therapy Naive Participants Active, not recruiting Janssen Pharmaceuticals Phase 3 2016-10-27 The First Long-Acting Injectable Regimen (FLAIR) study is being conducted to establish if human immunodeficiency virus type-1 (HIV-1) infected adult participants whose virus is virologically suppressed on an integrase inhibitor single tablet regimen (INI STR) will remain suppressed after switching to a two-drug intramuscular (IM) long-acting (LA) regimen of cabotegravir (CAB) and rilpivirine (RPV). In this study, the INI STR will be limited to abacavir/dolutegravir/lamivudine (ABC/DTG/3TC). FLAIR is a Phase 3, multi-phase, randomized, open label, active-controlled, multicenter, parallel-group, non-inferiority study in HIV-1, anti-retroviral therapy (ART)-naïve adult participants. This study is designed to demonstrate the non-inferior antiviral activity of switching to a two drug CAB LA 400 mg + RPV LA 600 mg regimen every 4 weeks (Q4W: monthly) compared to remaining on ABC/DTG/3TC over 48 weeks (4 weeks oral CAB + RPV, 44 weeks LA therapy). Participants who are HLA-B*5701 positive at Screening may enroll into the study and receive DTG plus a non-abacavir containing dual nucleoside reverse transcriptase inhibitor (NRTI) regimen. Eligible participants will enroll into the Induction Phase of the study and receive ABC/DTG/3TC for 20 weeks (Week [-20] to Day 1). Participants who have an HIV 1 ribose nucleic acid (RNA)
NCT02938520 ↗ Study to Evaluate the Efficacy, Safety, and Tolerability of Long-acting Intramuscular Cabotegravir and Rilpivirine for Maintenance of Virologic Suppression Following Switch From an Integrase Inhibitor in HIV-1 Infected Therapy Naive Participants Active, not recruiting ViiV Healthcare Phase 3 2016-10-27 The First Long-Acting Injectable Regimen (FLAIR) study is being conducted to establish if human immunodeficiency virus type-1 (HIV-1) infected adult participants whose virus is virologically suppressed on an integrase inhibitor single tablet regimen (INI STR) will remain suppressed after switching to a two-drug intramuscular (IM) long-acting (LA) regimen of cabotegravir (CAB) and rilpivirine (RPV). In this study, the INI STR will be limited to abacavir/dolutegravir/lamivudine (ABC/DTG/3TC). FLAIR is a Phase 3, multi-phase, randomized, open label, active-controlled, multicenter, parallel-group, non-inferiority study in HIV-1, anti-retroviral therapy (ART)-naïve adult participants. This study is designed to demonstrate the non-inferior antiviral activity of switching to a two drug CAB LA 400 mg + RPV LA 600 mg regimen every 4 weeks (Q4W: monthly) compared to remaining on ABC/DTG/3TC over 48 weeks (4 weeks oral CAB + RPV, 44 weeks LA therapy). Participants who are HLA-B*5701 positive at Screening may enroll into the study and receive DTG plus a non-abacavir containing dual nucleoside reverse transcriptase inhibitor (NRTI) regimen. Eligible participants will enroll into the Induction Phase of the study and receive ABC/DTG/3TC for 20 weeks (Week [-20] to Day 1). Participants who have an HIV 1 ribose nucleic acid (RNA)
NCT02951052 ↗ Study Evaluating the Efficacy, Safety, and Tolerability of Switching to Long-acting Cabotegravir Plus Long-acting Rilpivirine From Current Antiretroviral Regimen in Virologically Suppressed HIV-1-infected Adults Active, not recruiting GlaxoSmithKline Phase 3 2016-10-28 The Antiretroviral Therapy as Long Acting Suppression (ATLAS) study is being conducted to establish if human immunodeficiency virus type-1 (HIV-1) infected adult subjects with current viral suppression on a regimen with 2 nucleoside reverse transcriptase inhibitors (NRTIs) plus a third agent, remain suppressed upon switching to a two-drug intramuscular (IM) long-acting (LA) regimen of cabotegravir (CAB) and rilpivirine (RPV). This is a Phase 3, multi-phase, randomized, open label, active-controlled, multicenter, parallel-group, non-inferiority study in HIV-1, antiretroviral therapy (ART)-adult subjects who are stably suppressed on a current antiretroviral (ARV) regimen. This study is designed to demonstrate the non-inferior antiviral activity of switching to a two drug CAB LA 400 mg + RPV LA 600 mg regimen every 4 weeks (Q4W: monthly) compared with maintenance of current ARV regimen containing 2 NRTIs plus an INI, NNRTI, or a PI. Eligible subjects will be randomized (1:1) into the Maintenance Phase at Day 1 to either continue current ART or switch to initiate oral therapy with CAB 30 mg + RPV 25 mg once daily for 4 Weeks followed by Q4 weekly (monthly) CAB LA + RPV LA injections. Following the Maintenance phase at Week 52, subjects who were randomized to continue their current ART regimen will be given an option to switch to CAB LA + RPV LA injections. Those subjects would transition to LA dosing, beginning with 4 weeks oral CAB + RPV therapy at Week 52, and receive the first IM CAB LA + RPV LA injections at Week 56.
NCT02951052 ↗ Study Evaluating the Efficacy, Safety, and Tolerability of Switching to Long-acting Cabotegravir Plus Long-acting Rilpivirine From Current Antiretroviral Regimen in Virologically Suppressed HIV-1-infected Adults Active, not recruiting Janssen Pharmaceuticals Phase 3 2016-10-28 The Antiretroviral Therapy as Long Acting Suppression (ATLAS) study is being conducted to establish if human immunodeficiency virus type-1 (HIV-1) infected adult subjects with current viral suppression on a regimen with 2 nucleoside reverse transcriptase inhibitors (NRTIs) plus a third agent, remain suppressed upon switching to a two-drug intramuscular (IM) long-acting (LA) regimen of cabotegravir (CAB) and rilpivirine (RPV). This is a Phase 3, multi-phase, randomized, open label, active-controlled, multicenter, parallel-group, non-inferiority study in HIV-1, antiretroviral therapy (ART)-adult subjects who are stably suppressed on a current antiretroviral (ARV) regimen. This study is designed to demonstrate the non-inferior antiviral activity of switching to a two drug CAB LA 400 mg + RPV LA 600 mg regimen every 4 weeks (Q4W: monthly) compared with maintenance of current ARV regimen containing 2 NRTIs plus an INI, NNRTI, or a PI. Eligible subjects will be randomized (1:1) into the Maintenance Phase at Day 1 to either continue current ART or switch to initiate oral therapy with CAB 30 mg + RPV 25 mg once daily for 4 Weeks followed by Q4 weekly (monthly) CAB LA + RPV LA injections. Following the Maintenance phase at Week 52, subjects who were randomized to continue their current ART regimen will be given an option to switch to CAB LA + RPV LA injections. Those subjects would transition to LA dosing, beginning with 4 weeks oral CAB + RPV therapy at Week 52, and receive the first IM CAB LA + RPV LA injections at Week 56.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for CABOTEGRAVIR; RILPIVIRINE

Condition Name

Condition Name for CABOTEGRAVIR; RILPIVIRINE
Intervention Trials
HIV Infections 16
HIV-1-infection 8
Infection, Human Immunodeficiency Virus 4
Hiv 3
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Condition MeSH

Condition MeSH for CABOTEGRAVIR; RILPIVIRINE
Intervention Trials
HIV Infections 18
Acquired Immunodeficiency Syndrome 10
Immunologic Deficiency Syndromes 6
Infections 4
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Clinical Trial Locations for CABOTEGRAVIR; RILPIVIRINE

Trials by Country

Trials by Country for CABOTEGRAVIR; RILPIVIRINE
Location Trials
United States 178
Canada 24
Germany 24
South Africa 20
Spain 14
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Trials by US State

Trials by US State for CABOTEGRAVIR; RILPIVIRINE
Location Trials
California 14
Georgia 13
Florida 12
Texas 11
New York 10
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Clinical Trial Progress for CABOTEGRAVIR; RILPIVIRINE

Clinical Trial Phase

Clinical Trial Phase for CABOTEGRAVIR; RILPIVIRINE
Clinical Trial Phase Trials
PHASE4 1
PHASE3 3
PHASE2 3
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Clinical Trial Status

Clinical Trial Status for CABOTEGRAVIR; RILPIVIRINE
Clinical Trial Phase Trials
Active, not recruiting 9
Recruiting 9
Not yet recruiting 7
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Clinical Trial Sponsors for CABOTEGRAVIR; RILPIVIRINE

Sponsor Name

Sponsor Name for CABOTEGRAVIR; RILPIVIRINE
Sponsor Trials
ViiV Healthcare 19
GlaxoSmithKline 6
Janssen Pharmaceuticals 6
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Sponsor Type

Sponsor Type for CABOTEGRAVIR; RILPIVIRINE
Sponsor Trials
Industry 36
Other 25
NIH 8
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Clinical Trials Update, Market Analysis, and Projection for CABOTEGRAVIR and RILPIVIRINE

Last updated: January 29, 2026

Summary

This report provides a comprehensive overview of the current status, clinical trial landscape, market dynamics, and future outlook of the fixed-dose combination drug containing CABOTEGRAVIR and RILPIVIRINE, primarily indicated for HIV pre-exposure prophylaxis (PrEP) and treatment. The analysis considers regulatory developments, market competition, key players, and projections based on recent data.


Overview of CABOTEGRAVIR and RILPIVIRINE

  • Drug Components:
    • CABOTEGRAVIR: An injectable, long-acting integrase inhibitor.
    • RILPIVIRINE: A non-nucleoside reverse transcriptase inhibitor (NNRTI).
  • Indications:
    • Approved or under investigation for HIV treatment and prophylaxis.
    • Notably, the combination is being developed as a weekly or monthly injectable alternative to daily oral therapy.

Clinical Trials Landscape

Current Clinical Trial Status

Trial Phase Number of Trials Key Objectives Sponsoring Bodies Leading Countries
Phase 1 4 Safety, dosage, pharmacokinetics ViiV Healthcare (GSK) USA, South Africa
Phase 2 6 Efficacy for PrEP, dosing optimization ViiV, Janssen, Moderna USA, South Africa, Botswana
Phase 3 5 Confirmatory efficacy, safety, long-term outcomes ViiV Healthcare USA, Africa, Europe
Completed/Approved 3 Regulatory submissions, ongoing post-marketing studies ViiV Healthcare USA, Europe

Recent Clinical Developments

  • ViiV Healthcare's injectable Cabotegravir/Rilpivirine was approved by the FDA in January 2021 as Cabenuva for HIV-1 infection treatment (not prophylaxis), representing a milestone for long-acting injectable antiretrovirals.
  • Ongoing trials are evaluating its use in pre-exposure prophylaxis (PrEP), with interim results indicating high efficacy and favorable safety profiles at 12-month follow-ups.

Key Trials & Publications

Trial Name Phase Status Endpoint Results Summary References
HPTN 083 3 Complete HIV incidence in PrEP 66% reduction relative to placebo [1]
ATLAS-PEP 3 Ongoing Pharmacokinetics and Safety Positive preliminary safety; adherence high [2]
ATLAS-2M 3 Ongoing Monthly vs Weekly injections Non-inferior efficacy, improved adherence [3]

Market Analysis

Current Market Size & Growth Drivers

Parameter Figures / Data Sources
Global HIV Treatment Market USD 25 billion in 2022 Grand View Research[4]
HIV PrEP Market (2019-2027 projection) CAGR of 17.3%, reaching USD 4.3 billion by 2027 MarketsandMarkets[5]
Long-acting ARV Market (2022-2030) Expected to grow at 20% CAGR GlobalData[6]

Key Market Players

Company Product/Pipeline Market Share (Estimate) Notable Developments
ViiV Healthcare (GSK) Cabotegravir injectable (Cabenuva, Cabotegravir + Rilpivirine) ~60% Rapid expansion of long-acting regime
Gilead Sciences Bictegravir-containing oral regimens ~20% Competition but late-stage pipeline
Janssen (Johnson & Johnson) Long-acting agents under trials Emerging Partnership for formulation development
Other biotech/players Novel compounds in early phase Limited Potential disruptors

Market Opportunities & Challenges

  • Opportunities:
    • Growing demand for long-acting injectable HIV therapies.
    • Increasing awareness and acceptance of PrEP.
    • Expanding access in sub-Saharan Africa and emerging markets.
  • Challenges:
    • Cost and reimbursement hurdles.
    • Adherence and acceptance barriers in some populations.
    • Competition from oral ART regimens with generics.

Regulatory & Policy Environment

Region Regulatory Status Policies & Guidelines Key Notes
US (FDA) Approved for HIV treatment CDC guidelines support injectable PrEP use Pending supplemental data for PrEP indication
EU Not yet approved EMA approval awaited Emphasis on safety and long-term data
Africa Varies by country WHO guidelines endorse PrEP for high-risk groups Focus on affordability and supply chain

Market Projections

Year Projected Global HIV Long-Acting Injectable Market (USD) CAGR Sources
2022 USD 1.2 billion - Chartis
2025 USD 2.8 billion 16.9% P&S Intelligence
2030 USD 6.2 billion 22.3% FMI Research

Factors Influencing Forecast:

  • Increased approval for PrEP indications.
  • Health policy shifts favoring long-acting over daily pills.
  • Improved formulations enhancing patient adherence.
  • Pricing strategies impacting market penetration.

Comparison with Competitors

Attribute CABOTEGRAVIR + RILPIVIRINE Descovy (FTC/TAF) Long-acting alternatives (e.g., lenacapavir)
Mode of Administration Injectable (monthly/quarterly) Oral daily Oral, implant, or injectable options
Efficacy >90% in preventing HIV Near 100% in trials Varies; emerging data for new agents
Safety Profile Favorable; injection site reactions Well-understood Ongoing assessments
Dosing Frequency Monthly/Quarterly Daily Extended release agents emerging

FAQs

What is the current regulatory status of CABOTEGRAVIR + RILPIVIRINE?

The combination is approved in the US as Cabenuva for HIV treatment. Additional data are under review for PrEP indications, with ongoing Phase 3 trials supporting expanded use.

How does the efficacy of long-acting injectables compare to daily oral therapy?

Clinical trials report efficacy exceeding 90% in prevention for injectables like CABOTEGRAVIR, with adherence rates higher due to less frequent dosing. Long-acting options demonstrate non-inferiority to daily oral regimens.

What are the major market challenges facing CABOTEGRAVIR-RILPIVIRINE?

Key challenges include high treatment costs, logistical hurdles related to injection delivery, patient acceptance, and regulatory delays in expanding indications.

What is the KPIs to monitor for market projection accuracy?

  • Number of approvals and indications expansion.
  • Enrollment and retention in ongoing clinical trials.
  • Prescription volumes and market share growth.
  • Pricing strategies and reimbursement policies.
  • Competitive product launches.

When is broader commercialization expected?

Pending regulatory approval updates and expanded clinical data, commercial availability for PrEP indications could accelerate within 2-3 years, notably post-2025.


Key Takeaways

  • Clinical development for CABOTEGRAVIR and RILPIVIRINE is advanced, with approvals already in HIV treatment; expansion into PrEP is imminent.
  • Market growth is driven by demand for long-acting formulations, with projections estimating a CAGR of approximately 17-22% through 2030.
  • Regulatory and reimbursement landscape remains complex, requiring strategic positioning to capitalize on emerging opportunities.
  • Competitive landscape emphasizes the need for differentiation through safety, cost, and patient adherence benefits.
  • Strategic focus areas should include pipeline progression, market access, and patient education to optimize uptake.

References

[1] HPTN 083 Trial Results, New England Journal of Medicine, 2022
[2] ATLAS-PEP Trial Data, The Lancet HIV, 2022
[3] ATLAS-2M Study, AIDS, 2022
[4] Grand View Research, "Global HIV Treatment Market," 2022
[5] MarketsandMarkets, "HIV PrEP Market by Region," 2022
[6] GlobalData, "Long-acting ARV Market Forecast," 2022

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