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Implementation Study of Lenacapavir Pre-exposure Prophylaxis for HIV Prevention

RecruitingObservational study

Pioneering Research to Optimize Pre-exposure Prophylaxis (PrEP) Expansion With Lenacapavir (LEN)

Who can join

Ages 18 and older · All sexes

Full eligibility criteria
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.

About the study

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.

What is being tested

Sponsor: Gilead Sciences · Participants: 3,000 · Started: Mar 17, 2026

Contact the study team

Official record on ClinicalTrials.gov — NCT07473778

Locations in the U.S.

AlabamaUAB 1917 Research Clinic, Birmingham
CaliforniaPacific Oaks Medical Group, Beverly Hills
Ruane Clinical Research Group Inc., Los Angeles
Family Health Centers of San Diego, San Diego
UC San Diego (UCSD) AntiViral Research Center (AVRC), San Diego
Mills Clinical Research, West Hollywood
ColoradoVivent Health, Denver
FloridaCAN Community Health, Miami
Bliss Health, Orlando
Pineapple Healthcare Orlando, Orlando
AHF - Pensacola, Pensacola
GeorgiaFaebris Medical & Community Education, Atlanta
Grady Memorial Hospital, Atlanta
IllinoisDOM/Project WISH Research Clinic, Chicago
Howard Brown Health, Chicago
Rush University Medical Center/Division of Infectious Diseases, Chicago
Ruth M. Rothstein CORE Center, Chicago
LouisianaThe Clinic NOLA, New Orleans
MarylandChase Brexton Health Care, Baltimore
MassachusettsFenway Health, Boston
MichiganBe Well Medical Center, Berkley
Henry Ford Health, Detroit
MinnesotaThe Aliveness Project, Minneapolis
MissouriKC Care Health Center, Kansas City
Washington University School of Medicine Infectious Disease Clinical Research Unit, St Louis
NebraskaUniversity of Nebraska Medical Center/Nebraska Medicine Specialty Care Center, Omaha
New YorkColombia University Irving Medical Center, New York
NYC Health + Hospitals / Bellevue, New York
BronxCare Health System, The Bronx
OhioUniversity of Cincinnati College of Medicine, Cincinnati
Ohio State University Infectious Diseases Clinical Trials Unit, Columbus
PennsylvaniaPerelman Center for Advanced Medicine, Philadelphia
TennesseeVanderbilt University Medical Center, Nashville
TexasAbounding Prosperity Inc., Dallas
Prism Health, Dallas
Thomas Street at Quentin Mease Health Center, Houston
UT Health, Houston
West VirginiaWest Virginia Health Right, Inc., Charleston

Conditions

From ClinicalTrials.gov, data retrieved Sep 29, 2026. Each study sets its own eligibility; the study team decides who can join.