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NCT07473778Recruiting

Implementation Study of Lenacapavir Pre-exposure Prophylaxis for HIV Prevention

Gilead Sciences

Start Date

3/17/2026

Completion Date

4/1/2029

Summary

The goal of this observational study is to generate real-life information on the use of lenacapavir (LEN, YEZTUGO®, (YTG)) for pre-exposure prophylaxis (PrEP) across diverse clinical settings in the United States. The study will characterize how PrEP is initiated, used, and discontinued in routine clinical practice when LEN is added as PrEP option and will evaluate persistence on LEN PrEP. The primary objective of this study is to evaluate real-life persistence on LEN PrEP at Week 52 in diverse clinical settings in the United States.

Eligibility Criteria

Age Range: 18 years to No maximum

Key Inclusion Criteria: * Able to comprehend and provide a signed written informed consent, which must be obtained prior to initiation of screening study procedures; * Willing and able to comply with all study requirements; * Presents at a study site needing or wanting PrEP for HIV prevention as determined by local clinical practice guidelines and institutional protocols, including new PrEP users (PrEP naïve) and current or former users of oral (emtricitabine/tenofovir disoproxil fumarate (coformulated; Truvada®; F/TDF) or emtricitabine/tenofovir alafenamide (coformulated; Descovy®; F/TAF)) or injectable (LEN or cabotegravir (CAB)) PrEP who indicate interest in discussing PrEP methods that they are clinically eligible to receive; * Eligible for LEN PrEP per standard of care procedures, for example, being HIV-1 negative at screening using a Food and Drug Administration (FDA) approved/cleared test for diagnosis of acute or primary HIV-1 infection; * After PrEP counseling to learn about the advantages and disadvantages of various PrEP methods: 1. Selects LEN PrEP as their chosen PrEP method; OR, 2. Selects a different PrEP method or chooses not to start or continue PrEP. Key Exclusion Criteria: * Any other indication not already listed above that would make the participant ineligible for LEN PrEP at enrollment according to local guidelines, organizational protocols, US Prescribing Information (USPI) for the PrEP product, and/or Center for Disease and Control (CDC) guidance. Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Interventions

DRUG

Lenacapavir Injection

DRUG

Emtricitabine/tenofovir disoproxil fumarate (F/TDF)

DRUG

Emtricitabine/tenofovir alafenamide (F/TAF)

DRUG

Cabotegravir (CAB)

DRUG

Lenacapavir Tablet

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Conditions

HIV Infections

Locations

UAB 1917 Research Clinic

Birmingham, Alabama 35222

United States

Pacific Oaks Medical Group

Beverly Hills, California 90211

United States

Ruane Clinical Research Group Inc.

Los Angeles, California 90036

United States

Family Health Centers of San Diego

San Diego, California 92102

United States

UC San Diego (UCSD) AntiViral Research Center (AVRC)

San Diego, California 92103

United States

Mills Clinical Research

West Hollywood, California 90046

United States

Vivent Health

Denver, Colorado 80246

United States

Bliss Health

Orlando, Florida 32803

United States

Pineapple Healthcare Orlando

Orlando, Florida 32829

United States

AHF - Pensacola

Pensacola, Florida 32503

United States

Faebris Medical & Community Education

Atlanta, Georgia 01111

United States

DOM/Project WISH Research Clinic

Chicago, Illinois 60612

United States

Howard Brown Health

Chicago, Illinois 60613

United States

The Clinic NOLA

New Orleans, Louisiana 70115

United States

Chase Brexton Health Care

Baltimore, Maryland 21201

United States

Fenway Health

Boston, Massachusetts 02215

United States

Be Well Medical Center

Berkley, Michigan 48072

United States

Henry Ford Health

Detroit, Michigan 48202

United States

The Aliveness Project

Minneapolis, Minnesota 55409

United States

KC Care Health Center

Kansas City, Missouri 64111

United States

Washington University School of Medicine Infectious Disease Clinical Research Unit

St Louis, Missouri 63110

United States

University of Nebraska Medical Center/Nebraska Medicine Specialty Care Center

Omaha, Nebraska 68198

United States

NYC Health + Hospitals / Bellevue

New York, New York 10016

United States

University of Cincinnati College of Medicine

Cincinnati, Ohio 45267

United States

Ohio State University Infectious Diseases Clinical Trials Unit

Columbus, Ohio 43210

United States

Perelman Center for Advanced Medicine

Philadelphia, Pennsylvania 19107

United States

Abounding Prosperity Inc.

Dallas, Texas 75215

United States

Prism Health

Dallas, Texas 75246

United States

UT Health

Houston, Texas 77009

United States

Thomas Street at Quentin Mease Health Center

Houston, Texas 77030

United States

West Virginia Health Right, Inc.

Charleston, West Virginia 25302

United States