Last Updated: May 11, 2026

CLINICAL TRIALS PROFILE FOR SYMTUZA


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All Clinical Trials for SYMTUZA

Trial ID Title Status Sponsor Phase Start Date Summary
NCT03696160 ↗ The Late Presenter Treatment Optimisation Study Recruiting Gilead Sciences Phase 3 2019-03-05 The main purpose of this study is to compare two different types of HIV treatments, in terms of effectiveness and improvement of side effects, for patients who are diagnosed with a more advanced HIV infection. Patients with advanced HIV infections are otherwise known as 'late presenters'. There are many effective treatments for HIV available; however, for late presenting patients the investigators do not know which type of treatment performs best. This is the first large study to compare treatments for patients in this situation, and the investigators hope that the results of this study will help doctors decide which treatments to use in the future. The two different types of treatment the investigators are comparing both contain a mixture of drugs that work together to combat HIV: The Boosted Protease Inhibitor combination (PI) which is a combination tablet containing: darunavir, cobicistat, emtricitabine and tenofovir alafenamide. It was approved for use in Europe under the brand name Symtuza®. The Integrase Inhibitor combination (INI). Which is a combination tablet containing: bictegravir, emtricitabine and tenofovir alafenamide. This is a a newer combination which was approved for use in Europe in June 2018 under the brand name of Biktarvy®. The main difference between the two treatments is how each one fights a HIV infection. They both stop a part of the virus from working (i.e. inhibit it), to prevent it from making copies of itself. The PI treatment contains drugs to stop the protease part of the virus, whereas the INI treatment contains drugs to stop the integrase part. In recent studies, it appears that treatments containing integrase inhibitors may be better for late presenting patients. They have been shown to quickly bring down the amount of virus in the body, and the side effects may be more acceptable to late presenters. To compare the two treatments, half of the participants on this study will be given the PI treatment, and the other half will be given the INI treatment.
NCT03696160 ↗ The Late Presenter Treatment Optimisation Study Recruiting Janssen Pharmaceuticals Phase 3 2019-03-05 The main purpose of this study is to compare two different types of HIV treatments, in terms of effectiveness and improvement of side effects, for patients who are diagnosed with a more advanced HIV infection. Patients with advanced HIV infections are otherwise known as 'late presenters'. There are many effective treatments for HIV available; however, for late presenting patients the investigators do not know which type of treatment performs best. This is the first large study to compare treatments for patients in this situation, and the investigators hope that the results of this study will help doctors decide which treatments to use in the future. The two different types of treatment the investigators are comparing both contain a mixture of drugs that work together to combat HIV: The Boosted Protease Inhibitor combination (PI) which is a combination tablet containing: darunavir, cobicistat, emtricitabine and tenofovir alafenamide. It was approved for use in Europe under the brand name Symtuza®. The Integrase Inhibitor combination (INI). Which is a combination tablet containing: bictegravir, emtricitabine and tenofovir alafenamide. This is a a newer combination which was approved for use in Europe in June 2018 under the brand name of Biktarvy®. The main difference between the two treatments is how each one fights a HIV infection. They both stop a part of the virus from working (i.e. inhibit it), to prevent it from making copies of itself. The PI treatment contains drugs to stop the protease part of the virus, whereas the INI treatment contains drugs to stop the integrase part. In recent studies, it appears that treatments containing integrase inhibitors may be better for late presenting patients. They have been shown to quickly bring down the amount of virus in the body, and the side effects may be more acceptable to late presenters. To compare the two treatments, half of the participants on this study will be given the PI treatment, and the other half will be given the INI treatment.
NCT03696160 ↗ The Late Presenter Treatment Optimisation Study Recruiting NEAT ID Foundation Phase 3 2019-03-05 The main purpose of this study is to compare two different types of HIV treatments, in terms of effectiveness and improvement of side effects, for patients who are diagnosed with a more advanced HIV infection. Patients with advanced HIV infections are otherwise known as 'late presenters'. There are many effective treatments for HIV available; however, for late presenting patients the investigators do not know which type of treatment performs best. This is the first large study to compare treatments for patients in this situation, and the investigators hope that the results of this study will help doctors decide which treatments to use in the future. The two different types of treatment the investigators are comparing both contain a mixture of drugs that work together to combat HIV: The Boosted Protease Inhibitor combination (PI) which is a combination tablet containing: darunavir, cobicistat, emtricitabine and tenofovir alafenamide. It was approved for use in Europe under the brand name Symtuza®. The Integrase Inhibitor combination (INI). Which is a combination tablet containing: bictegravir, emtricitabine and tenofovir alafenamide. This is a a newer combination which was approved for use in Europe in June 2018 under the brand name of Biktarvy®. The main difference between the two treatments is how each one fights a HIV infection. They both stop a part of the virus from working (i.e. inhibit it), to prevent it from making copies of itself. The PI treatment contains drugs to stop the protease part of the virus, whereas the INI treatment contains drugs to stop the integrase part. In recent studies, it appears that treatments containing integrase inhibitors may be better for late presenting patients. They have been shown to quickly bring down the amount of virus in the body, and the side effects may be more acceptable to late presenters. To compare the two treatments, half of the participants on this study will be given the PI treatment, and the other half will be given the INI treatment.
NCT04240210 ↗ Integrase Regimen Switch to Symtuza to Increase Tolerability/Adherence (SYMita) Not yet recruiting Janssen Pharmaceuticals Phase 4 2020-01-01 Darunavir/cobicistat/emtricitabine/tenofovir alafenamide (DRV/COB/FTC/TAF) is a coformulated STR, is the only protease inhibitor based STR, and is noted for its high tolerability3. These traits have the potential to improve adherence in patients who have intolerance to the integrase inhibitor class. We propose a two part study design to evaluate if patients who have suboptimal adherence due to integrase inhibitor intolerance may better tolerate Symtuza and subsequently have improved adherence.
NCT04240210 ↗ Integrase Regimen Switch to Symtuza to Increase Tolerability/Adherence (SYMita) Not yet recruiting Midland Research Group, Inc. Phase 4 2020-01-01 Darunavir/cobicistat/emtricitabine/tenofovir alafenamide (DRV/COB/FTC/TAF) is a coformulated STR, is the only protease inhibitor based STR, and is noted for its high tolerability3. These traits have the potential to improve adherence in patients who have intolerance to the integrase inhibitor class. We propose a two part study design to evaluate if patients who have suboptimal adherence due to integrase inhibitor intolerance may better tolerate Symtuza and subsequently have improved adherence.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for SYMTUZA

Condition Name

Condition Name for SYMTUZA
Intervention Trials
Human Immunodeficiency Virus 2
Obesity 1
HIV Infections 1
HIV-1-infection 1
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Condition MeSH

Condition MeSH for SYMTUZA
Intervention Trials
HIV Infections 3
Acquired Immunodeficiency Syndrome 3
Infections 1
Infection 1
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Clinical Trial Locations for SYMTUZA

Trials by Country

Trials by Country for SYMTUZA
Location Trials
United States 2
United Kingdom 2
France 1
Italy 1
Belgium 1
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Trials by US State

Trials by US State for SYMTUZA
Location Trials
North Carolina 1
Texas 1
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Clinical Trial Progress for SYMTUZA

Clinical Trial Phase

Clinical Trial Phase for SYMTUZA
Clinical Trial Phase Trials
Phase 4 3
Phase 3 2
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Clinical Trial Status

Clinical Trial Status for SYMTUZA
Clinical Trial Phase Trials
Not yet recruiting 3
Recruiting 2
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Clinical Trial Sponsors for SYMTUZA

Sponsor Name

Sponsor Name for SYMTUZA
Sponsor Trials
Gilead Sciences 2
Janssen Pharmaceuticals 2
Janssen Scientific Affairs, LLC 2
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Sponsor Type

Sponsor Type for SYMTUZA
Sponsor Trials
Industry 7
Other 5
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SYMTUZA Market Analysis and Financial Projection

Last updated: May 4, 2026

SYMTUZA (darunavir/cobicistat/emtricitabine/tenofovir alafenamide): Clinical-Stage Update, Market Map, and Projection

What is SYMTUZA and what is its dosing logic?

SYMTUZA is a fixed-dose combination (FDC) antiretroviral regimen for HIV-1 infection that combines:

  • Darunavir (DRV) + cobicistat (COBI) + emtricitabine (FTC) + tenofovir alafenamide (TAF)

The product is positioned for once-daily oral use and is intended for treatment and maintenance of viral suppression in appropriate patient populations per local label.


What is the current clinical-trials footprint for SYMTUZA?

No complete, single-source clinical-trials “update” dataset is available in the supplied context, and a definitive inventory (trial identifiers, phase mix, enrollment status, endpoints, and timelines) cannot be produced without pulling a live registry feed. Per operating constraints, a complete and accurate response cannot be generated.


What does the competitive landscape look like for SYMTUZA?

SYMTUZA competes primarily in the HIV antiretroviral market where FDCs and integrase- and protease-inhibitor-based regimens set the standard of care. The commercial battle typically centers on:

  • Formulation advantages (single-tablet regimens)
  • Resistance barrier and tolerability profile
  • Drug-drug interaction management (particularly via pharmacokinetic boosting)
  • Payor access (formulary placement and step edits)

Within this category, SYMTUZA is cross-compared against other once-daily FDC combinations and alternative backbone strategies used in first-line and switch therapy.


How is SYMTUZA positioned by efficacy and tolerability claims in practice?

Regulatory labels frame the expected clinical benefits through viral suppression and safety monitoring obligations. Market uptake is driven by:

  • Ease of adherence from single-tablet administration
  • Clinician confidence in virologic control with boosted protease inhibitor components
  • Long-term tolerability expectations tied to TAF-based backbone (versus older TDF-based strategies in historical comparisons)

The practical adoption pattern tends to concentrate in:

  • Patients needing or preferring a boosted-PI backbone
  • Patients switching from multi-pill regimens
  • Lines of therapy where resistance history and interaction profile drive regimen choice

What is the market size context for HIV regimens where SYMTUZA sells?

A rigorous market projection for SYMTUZA requires at minimum:

  • Total addressable market for HIV combination therapy in target geographies
  • Share drivers (patient mix, line-of-therapy allocation, formulary coverage)
  • Competitive displacement rates and guideline adherence shifts

This is not available in the supplied context, and a numerically grounded projection cannot be produced without those underlying inputs.


What market drivers determine SYMTUZA share and longevity?

Even without a full numeric forecast, decision-grade share dynamics follow a known pattern in HIV:

  • Guideline dominance of once-daily fixed regimens (drives FDC preference)
  • Formulary and prior-authorization behavior (drives access)
  • Switching behavior based on resistance testing (drives selection)
  • Long-term safety monitoring requirements (drives clinician comfort and payor oversight)

SYMTUZA’s boosted-PI + TAF + FTC backbone aligns to a portion of that decision tree where clinicians prioritize a protease inhibitor class with a known resistance profile and use TAF to manage renal and bone considerations versus earlier tenofovir formulations.


What regulatory timeline items matter for projection?

A projection depends on lifecycle events: patent term, exclusivity, and competitive entries. The supplied context does not include:

  • patent expiration dates
  • exclusivity end dates (including regulatory exclusivity classifications)
  • generic and biosimilar entry schedules by jurisdiction

Without those items, a hard, defensible projection window cannot be created.


Market Projection: What can be stated from the available information?

A complete market analysis and projection for SYMTUZA must connect clinical viability, regulatory lifecycle, and payor economics to a quantified TAM/SAM/SOM path. The required inputs are not present in the supplied context. Under the operating constraints, no partial projection is provided.


Key Takeaways

  • SYMTUZA is a once-daily fixed-dose HIV regimen combining darunavir/cobicistat/emtricitabine/tenofovir alafenamide.
  • A definitive clinical-trials update (trial inventory, phase status, and timelines) and a quantified market projection cannot be produced without registry and market-lifecycle inputs.
  • Commercial positioning is determined by fixed-dose adherence, boosted-PI resistance management, and TAF-based tolerability considerations, with payor access shaping realized uptake.

FAQs

1) What drugs are combined in SYMTUZA?

SYMTUZA combines darunavir, cobicistat, emtricitabine, and tenofovir alafenamide.

2) What is SYMTUZA’s dosing format?

It is a fixed-dose combination regimen intended for once-daily oral administration.

3) Why do boosted protease inhibitor regimens matter for uptake?

Boosting (via cobicistat) increases exposure to maintain therapeutic antiviral activity and supports a specific resistance and switching use-case.

4) What factors most influence SYMTUZA market access?

Formulary placement, prior authorization requirements, line-of-therapy rules, and clinician switching patterns based on resistance history.

5) Can a numeric market projection be produced without lifecycle and registry data?

No. A defensible projection requires quantified addressable market inputs and lifecycle constraints such as patent and exclusivity timelines.


References

[1] European Medicines Agency (EMA). SYMTUZA (darunavir/cobicistat/emtricitabine/tenofovir alafenamide) product information. EMA; accessed via public EMA database.

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