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WONDERS 2 Study

Infectious Diseases

WONDERS 2 Study: Exploring a Once-Weekly HIV Treatment Option

The WONDERS 2 Study is a Phase 2/3 clinical trial being conducted by Wits RHI to assess the safety and efficacy of a novel once-weekly oral HIV-1 treatment regimen in people who have never received antiretroviral therapy (ART). The study evaluates whether a combination of GS-1720 (an integrase strand-transfer inhibitor) and GS-4182 (a lenacapavir prodrug) can be a viable alternative to daily HIV treatment.

Objectives

  • Evaluate if a once-weekly regimen is as effective as the daily Biktarvy® (bictegravir/emtricitabine/tenofovir alafenamide) standard-of-care.
  • Measure viral suppression (HIV-1 RNA <50 copies/mL), CD4 cell recovery, and safety.
  • Understand treatment satisfaction and long-term tolerability.

Who Can Participate

Adults (18+) living with HIV-1 who:

  • Are treatment-naïve
  • Have HIV-1 RNA ≥500 copies/mL
  • Have CD4 ≥200 cells/mm³

Individuals who have taken long-acting injectables or have active hepatitis or TB are not eligible.

Latest Update

April 2025

For more information about WONDERS 2 Study, please email rhicomms@wrhi.ac.za.