ViiV Healthcare showcases long-acting HIV innovation and potential of ultra long-acting pipeline, including new data for first third-generation integrase inhibitor at CROI 2026
- First-in-human data for long-acting formulations of VH184, the first third-generation integrase inhibitor, and early data for capsid inhibitor VH499 to be presented, highlighting progress in ViiV’s ultra long-acting pipeline
- 12-month data to be presented for investigational lotivibart (N6LS) + cabotegravir long-acting, evaluating feasibility of ultra long-acting dosing intervals
- Clinical data and real-world evidence from ViiV’s innovative portfolio include insights for established INSTI-based long-acting Cabenuva (cabotegravir + rilpivirine LA) and 2-drug regimen Dovato (dolutegravir/lamivudine)
Key data to be presented at CROI 2026 by
Advancing the next generation of ultra long‑acting (ULA) HIV treatment candidates: For VH184, the first third-generation INSTI, data from the ongoing first-in-human phase I study of injectable long-acting formulations will provide insights into its ULA potential in future regimens,1 while an additional analysis evaluates its in-vitro resistance profile vs bictegravir.2
Additionally, an interim analysis from the phase IIb EMBRACE study will report long-term data on HIV suppression and safety at 12 months with lotivibart (N6LS), an investigational broadly neutralising antibody administered every four months, in combination with monthly long-acting cabotegravir (
Exploring longer‑interval HIV prevention with cabotegravir ULA: The phase I CAB ULA 012 study explores dose selection of cabotegravir ULA, to support administration every four months, and informs the path toward expanded prevention choices.6
Expanding evidence across different populations for Cabenuva (cabotegravir + rilpivirine LA), the only complete long-acting injectable HIV treatment: Late-breaking results from the phase IIIb VOLITION study will provide an update on Month 11 outcomes among ART-naïve adults who chose to switch to cabotegravir + rilpivirine (CAB+RPV) LA (branded as Vocabria + Rekambys outside the US,
New evidence supporting
Strengthening evidence for dolutegravir-based treatment across populations: The first efficacy meta-analysis between DTG/3TC vs DTG three drug regimens in ART-naïve people with high or very high viral load and/or low CD4 will be presented.14 Several analyses from PASO DOBLE, the largest head-to-head randomised clinical trial of DTG/3TC vs bictegravir, emtricitabine and tenofovir alafenamide (BIC/
Advancing paediatric treatment with LA options and DTG-based regimens: Week 96 and end-of-study results for adolescents (
Key
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Title |
Presenting author |
Oral abstract session |
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CAB+RPV LA Treatment |
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Long-Acting Cabotegravir + Rilpivirine in Adolescents: |
A. Gaur |
Oral Presentation
Next-Generation HIV Strategies for Children and Adolescents: Breakthroughs in Pediatric HIV Prevention, Treatment, and
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DTG/3TC |
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DTG/3TC is Non-Inferior to DTG-based 3-Drug ART in Children with HIV: D3/Penta 21 Week 96 Results |
A. Turkova |
Oral Presentation
Next Generation HIV Strategies for Children and Adolescents: Breakthroughs in Pediatric HIV Prevention, Treatment, and
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Lotivibart (N6LS) |
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Maintenance of HIV Suppression at 12 Months With VH3810109 (N6LS) Q4M + |
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Oral Presentation
Extending the Reach: Long-Acting Antiviral and Novel Delivery
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VH184 |
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Pharmacokinetics and Evaluation of Potential Dosing Regimens for Long-Acting VH4524184 |
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Oral Presentation
Extending the Reach: Long-Acting Antiviral and Novel Delivery
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VH499 |
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Injectable HIV-1 Capsid Inhibitor VH4011499 (VH-499) Formulation Supports Ultra-Long-Acting Dosing |
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Oral Presentation
Extending the Reach: Long-Acting Antiviral and Novel Delivery
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Title |
Presenting author |
Poster abstract session |
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CAB+RPV LA Treatment |
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Early Switch to CAB+RPV LA in Treatment-Naive Adults With HIV-1: Month 11 Outcomes From VOLITION |
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Poster
(G-04) Cabotegravir and Rilpivirine in the "Real World"
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Outcomes for Individuals who Initiate CAB+RPV LA in OPERA with Viral Loads ≥50 vs. <50 copies/mL |
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Poster
(G-04) Cabotegravir and Rilpivirine in the "Real World"
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Body Mass Index and Virologic Outcomes in Individuals on CAB+RPV LA in the OPERA Cohort |
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Poster
(G-04) Cabotegravir and Rilpivirine in the "Real World"
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Safety And Pharmacokinetics of Long-Acting Cabotegravir and Rilpivirine in Young Children 10 - <40kg |
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Poster
(P-04) Pharmacokinetics, Safety, and Use of ARVs, Old and New, in Infants, Children, and Adolescents
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Dose Selection of Ultra-Long-Acting Cabotegravir as HIV-1 Pre-Exposure Prophylaxis: A Phase 1 Study |
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Poster
(F-02) Going the Distance: Pharmacokinetics of Next-Generation Long-Acting Agents
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Injection Site Reactions More Common and Bothersome with Single Doses of Lenacapavir vs Cabotegravir |
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Poster
(S-01) Who is Using Injectable PrEP, and How's That Going?
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Cabotegravir LA for PrEP: Progress in HIV Prevention from Three Years of OPERA Data |
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Poster
(S-01) Who is Using Injectable PrEP, and How's That Going?
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Comparing PrEP coverage and HIV acquisition between |
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Poster
(S-01) Who is Using Injectable PrEP, and How's That Going?
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EBONI M12 Results: High Real-World Effectiveness and Acceptance of |
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Poster
(U-05) Special Populations
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DTG/3TC |
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Effect of DTG/3TC vs. BIC/ |
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Themed Discussion and Poster
(I-02) Extra Large Challenges in Steatotic Liver Disease
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CD4/CD8 T Cell Telomere Length at 96 Weeks in the PASO-DOBLE Trial Comparing BIC/ |
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Poster
(L-03) Biomarkers of Aging
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Transcriptomic Changes in Adipose Tissue of People with HIV on BIC/ |
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Poster
(L-01) Weight Gain and Metabolic Disorders
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Efficacy and safety of switching to DTG/3TC dual therapy from B/F/TAF among older adults ≥60 years |
L. A. Ombajo |
Poster
(G-02) TLD and HIV Treatment in LMIC: What Are We Learning?
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Meta-analysis of DTG/3TC vs DTG 3DRs in ART-Naive People With High Baseline Viral Loads and Low CD4+ |
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Poster
(G-05) Clinical Trials and Observational Studies of Antiretroviral Therapy
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DTG |
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Viral Suppression with Dolutegravir-Based Regimens in Children ≤5 Years Old in |
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Poster
(P-05) Viral Suppression and Drug Resistance in Children and Adolescents With HIV
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VH184 |
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Third-Generation INSTI VH4524184 (VH-184) Has an Enhanced Resistance Profile vs Bictegravir |
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Poster
(H-01) Integrase Resistance
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VH499 |
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Population PK and Exposure-Response Analysis of Orally Administered VH4011499 in people living with HIV-1 |
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Poster
(F-02) Going the Distance: Pharmacokinetics of Next-Generation Long-Acting Agents
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About Apretude (cabotegravir long-acting)
Apretude is a medicine used for preventing sexually transmitted HIV-1 infection (pre-exposure prophylaxis or PrEP) in adults and adolescents weighing at least 35 kg who are at high risk of being infected. Individuals must have a negative HIV-1 test prior to initiating Apretude (with or without an oral lead-in with oral cabotegravir) for HIV-1 PrEP. It should be used in combination with safer sex practices, such as using condoms. Apretude contains the active substance cabotegravir.
Please consult the full Prescribing Information here.
About Vocabria (cabotegravir)
Vocabria injection is indicated - in combination with rilpivirine injection - for the treatment of Human Immunodeficiency Virus type 1 (HIV-1) infection in adults and adolescents (at least 12 years of age and weighing at least 35 kg) who are virologically suppressed (HIV-1 RNA <50 copies/mL) on a stable antiretroviral regimen without present or past evidence of viral resistance to, and no prior virological failure with agents of the non-nucleoside reverse transcriptase inhibitors (NNRTI) and integrase inhibitor (INI) class.
Vocabria tablets are indicated - in combination with rilpivirine tablets - for the short-term treatment of HIV-1 infection in adults and adolescents (at least 12 years of age and weighing at least 35 kg) who are virologically suppressed (HIV-1 RNA <50 copies/mL) on a stable antiretroviral regimen without present or past evidence of viral resistance to, and no prior virological failure with agents of the NNRTI and INI class for:
- oral lead-in to assess tolerability of Vocabria and rilpivirine prior to administration of long acting Vocabria injection plus long acting rilpivirine injection.
- oral therapy for adults who will miss planned dosing with Vocabria injection plus rilpivirine injection.
Vocabria tablets are only indicated for treatment of HIV-1 in combination with rilpivirine tablets, therefore, the prescribing information for Edurant (rilpivirine) tablets should also be consulted for recommended dosing.
Please consult the full Summary of Product Characteristics for all the safety information: Vocabria 400mg/600 mg prolonged-release suspension for injection and Vocabria 30 mg film-coated tablets
About Rekambys (rilpivirine)
Rekambys is indicated - in combination with cabotegravir injection - for the treatment of HIV-1 infection in adults and adolescents (at least 12 years of age and weighing at least 35 kg) who are virologically suppressed (HIV-1 RNA < 50 copies/mL) on a stable antiretroviral regimen without present or past evidence of viral resistance to, and no prior virological failure with, agents of the NNRTI and INI class.
Rekambys should always be co-administered with a cabotegravir injection. The prescribing information for cabotegravir injection should be consulted for recommended dosing. Rekambys may be initiated with oral lead-in or without (direct to injection).
Please consult the full Summary of Product Characteristics for all the safety information: Rekambys 600mg/900 mg prolonged-release suspension for injection
About Cabenuva (cabotegravir + rilpivirine)
Cabenuva is indicated as a complete regimen for the treatment of HIV-1 infection in adults and adolescents 12 years and older and weighing at least 35 kg to replace the current antiretroviral regimen in those who are virologically suppressed (HIV-1 RNA <50 c/ml) on a stable antiretroviral regimen with no history of treatment failure and with no known or suspected resistance to either cabotegravir or rilpivirine.
The complete regimen combines the integrase strand transfer inhibitor (INSTI) cabotegravir, developed by
INSTIs inhibit HIV replication by preventing the viral DNA from integrating into the genetic material of human immune cells (T-cells). This step is essential in the HIV replication cycle and is also responsible for establishing chronic disease. Rilpivirine is an NNRTI that works by interfering with an enzyme called reverse transcriptase, which stops the virus from multiplying.
Please consult the full Prescribing Information here.
About Dovato (dolutegravir and lamivudine)
Dovato is indicated for the treatment of Human Immunodeficiency Virus type 1 (HIV-1) infection in adults and adolescents above 12 years of age weighing at least 40 kg in the EU, and weighing at least 25kg in the US, with no known or suspected resistance to the integrase inhibitor class, or lamivudine.
Please consult the full Prescribing Information here.
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18 L. A. Ombajo et al. Efficacy and safety of switching to DTG/3TC dual therapy from B/F/TAF among older adults ≥60 years. Presented at the 33rd Conference on Retroviruses and Opportunistic Infections (CROI).
19 A. Gaur et al. Long-Acting Cabotegravir+Rilpivirine in Adolescents:
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22 A. Turkova et al. DTG/3TC is Non-Inferior to DTG-based 3-Drug ART in Children with HIV: D3/Penta 21 Week 96 Results. Presented at the 33rd Conference on Retroviruses and Opportunistic Infections (CROI).
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