CClinicalTrials.gg
Active, not recruitingNCT07047716PURPOSE 365Updated Aug 28, 2026

Study of Lenacapavir as a Once-Yearly Injection for HIV Pre-exposure Prophylaxis (PrEP)

A Phase 3 interventional study of Lenacapavir Injection and Lenacapavir Tablet in HIV Pre-exposure Prophylaxis, sponsored by Gilead Sciences. Active, not recruiting at 31 sites in United States. Open to participants aged 16 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-08-28.

Sponsored by Gilead Sciences · Phase 3, Interventional, and Prevention

Phase
Phase 3
Study type
Interventional
Enrollment
339
Allocation
Non-randomized
Ages
16 Years and older
Sex
All
01

Study summary

The goal of this clinical study is to learn more about the study drug lenacapavir (LEN), safety, tolerability, and pharmacokinetics (how LEN is absorbed, modified, distributed, and removed from the body of the participants) of once-yearly intramuscular for HIV pre-exposure prophylaxis (PrEP) in people with an indication for PrEP.

The primary objective of this study is to evaluate the pharmacokinetics (PK) and the safety and tolerability of intramuscular (IM) every 12 months (Q12M) LEN for PrEP among people with an indication for PrEP.

02

Conditions studied

  • HIV Pre-exposure Prophylaxis
03

In context

Lead sponsor

Gilead Sciences is the lead sponsor of 680 studies on the registry; 24 are open to participants now.

Of its 259 completed or terminated interventional studies of FDA-regulated products, 249 (96%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
16 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Key Inclusion Criteria:

  • At least 16 years of age at screening.
  • Receptive anal or vaginal sex in the past 6 months and at least 1 of the following:

    1. Condomless receptive sex (vaginal or anal) with 1 or more sex partners of unknown HIV status during the past 6 months
    2. For a person who has engaged in anal sex in the past 6 months: diagnosis of syphilis, gonorrhea, or chlamydia in the past 6 months
    3. For a person who has engaged in vaginal sex in the past 6 months: diagnosis of syphilis or gonorrhea in the past 6 months
    4. Sex with partner known to be living with HIV with an unknown or detectable viral load in the past 6 months
  • Negative local rapid fourth generation HIV-1/2 antibody (Ab)/antigen (Ag) test, central fourth generation HIV-1/2 Ab/Ag, and HIV-1 RNA quantitative nucleic acid amplification testing (NAAT) at screening.

Key Exclusion Criteria:

  • Current signs or symptoms suggesting HIV infection
  • Acute viral hepatitis A, B, or C or evidence of chronic hepatitis B or C infection
  • Severe hepatic impairment or a history of or current clinical decompensated liver cirrhosis (eg, ascites, encephalopathy, variceal bleeding)
  • Past or current participation in HIV vaccine or HIV broadly neutralizing antibody study unless participant provides documentation of receipt of placebo (ie, not active product)
  • Prior use of oral LEN in the past 90 days or subcutaneous LEN in the past 18 months

Note: Other protocol defined Inclusion/Exclusion criteria may apply.

05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
339 participants (actual)

Study arms

  • Experimental
    Lenacapavir (LEN)

    Participants with an indication for pre-exposure prophylaxis will receive for approximately 52 weeks: * LEN 3000 mg injection once on Day 1 * Oral LEN 600 mg on Day 1 and Day 2 during the Main Study Period Participant will receive additional oral LEN if IM injection are not available. If participants choose to not receive additional LEN injections, they will continue onto the pharmacokinetic (PK) Tail Phase for up to 52 weeks.

    Drug: Lenacapavir Injection · Drug: Lenacapavir Tablet

  • Experimental
    LEN Extension Phase

    Participants with an indication for pre-exposure prophylaxis will receive LEN 3000 mg injection once on Day 1 (approximately one year after their initial dose) during the Extension Phase. Participants will receive oral LEN if IM injections are not available. If participants choose to not receive additional LEN injections, they will continue onto the PK Tail Phase for up to 52 weeks.

    Drug: Lenacapavir Injection · Drug: Lenacapavir Tablet

Interventions

  • DrugLenacapavir Injection

    Administered intramuscularly

  • DrugLenacapavir Tablet

    Administered orally

06

What researchers measure

Primary outcomes

  1. Plasma LEN Ctrough at Week 52

    Ctrough is defined as the concentration at the end of the dosing interval.

    Time frame: Week 52

  2. Percentage of Participants Experiencing Treatment-emergent Adverse Event (TEAEs)

    Time frame: First dose up to 30 days post last dose (approximately 3 years)

  3. Percentage of Participants Experiencing Treatment-emergent Clinical Laboratory Abnormalities

    Time frame: First dose up to 30 days post last dose (up approximately 3 years)

  4. Percentage of Participants With Discontinuation due to Adverse Event

    Time frame: First dose up to 30 days post last dose (approximately 3 years)

07

Study locations

31 sites
  • UAB Sexual Health Research Clinic
    Birmingham, Alabama 35233, United States
  • UCLA Clinic Care
    Los Angeles, California 90035, United States
  • Ruane Clinical Research Group, Inc.
    Los Angeles, California 90036, United States
  • UCLA Vine Street Clinic
    Los Angeles, California 90038, United States
  • Mills Clinical Research
    Los Angeles, California 90069, United States
  • BIOS Clinical Research
    Palm Springs, California 92262, United States
  • UCSD AntiViral Research Center (AVRC)
    San Diego, California 92103, United States
  • Bridge HIV, San Francisco Department of Public Health
    San Francisco, California 94102, United States
  • Yale University; School of Medicine; AIDS Program
    New Haven, Connecticut 06510, United States
  • Whitman-Walker Institute, Inc.
    Washington D.C., District of Columbia 20009, United States
  • Children's National Hospital
    Washington D.C., District of Columbia 20010, United States
  • Midway Immunology and Research Center
    Ft. Pierce, Florida 34982, United States
  • The ID Prevention Research Unit
    Miami, Florida 33136, United States
  • University of South Florida - Curran Children's Health Center
    Tampa, Florida 33606, United States
  • The Hope Clinic of Emory University
    Atlanta, Georgia 30030, United States
  • Ponce de Leon Center Clinical Research Site
    Atlanta, Georgia 30303, United States
  • University of Illinois-Chicago (UIC), Center for Dissemination and Implementation Sciences (CDIS)
    Chicago, Illinois 60612, United States
  • Howard Brown Health Center
    Chicago, Illinois 60613, United States
  • University Medical Center
    New Orleans, Louisiana 70119, United States
  • Johns Hopkins Hospital - Clinical Research Unit
    Baltimore, Maryland 21287, United States
  • Fenway Health
    Boston, Massachusetts 02215, United States
  • Be Well Medical Center
    Berkley, Michigan 48072, United States
  • Icahn School of Medicine at Mount Sinai - Clinical and Translational Research Center
    New York, New York 10029, United States
  • ICAP at Columbia University- Bronx Prevention Center
    The Bronx, New York 10451, United States
  • NC TraCS Institute - CTRC, University of North Carolina at Chapel Hill
    Chapel Hill, North Carolina 27599, United States
  • Penn Prevention Unit
    Philadelphia, Pennsylvania 19104, United States
  • Philadelphia FIGHT Community Health Centers, Jonathan Lax Treatment Center
    Philadelphia, Pennsylvania 19107, United States
  • St. Jude Children's Research Hospital
    Memphis, Tennessee 38105, United States
  • Central Texas Clinical Research
    Austin, Texas 78705, United States
  • The Crofoot Research Center
    Houston, Texas 77098, United States
  • Vaccine Trials Unit - Fred Hutchinson Cancer Center / University of Washington
    Seattle, Washington 98104, United States
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References and documents

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 28, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07047716
Lead sponsor
Gilead Sciences
Responsible party
Sponsor
First posted
Jul 2, 2025
Start date
Jul 22, 2025
Primary completion
Sep 2028 (estimated)
Completion
Sep 2028 (estimated)
Last update
Aug 28, 2026

Study contacts

Gilead Study Director
study director · Gilead Sciences

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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