ClinicalTrials.gg
RecruitingNCT07473778PROPELUpdated Oct 21, 2026

Implementation Study of Lenacapavir Pre-exposure Prophylaxis for HIV Prevention

An observational study in HIV Infections, sponsored by Gilead Sciences. Recruiting at 44 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-21.

Sponsored by Gilead Sciences · Observational

From the registry’s dates

  • Started Mar 2026; still recruiting 7 months later.
Updated Oct 21, 20267 sites added1 site removedGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
3,000
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 84 studies in HIV Infections by Gilead Sciences — 2 open to participants now, 8 under way, 4 of them phase 3. HIV Infections · Gilead Sciences.

Started
2026
with 1 other
Observational
5 of 84
1 open now
Registered
83rd of 84
by date

Among the 84 studies in HIV Infections by Gilead Sciences, this one is one of 2 that started in 2026, is one of 5 observational ones, and was the 83rd registered.

HIV Infections

4,735 studies on the registry are indexed under HIV Infections; 245 are open to participants now.

Browse HIV Infections studies →

Open to participants now

2 of the 84 studies in HIV Infections by Gilead Sciences are open now, in 3 countries. Recruiting first, the newest first:

By country, each count listing its studies:

All 2 open studies →

Who these studies take

Of the 159 HIV Infections studies recruiting now, 104 (65%) set no upper age limit and 42 (26%) stop at 75 or younger; 31 take children under 18; 60 take healthy volunteers.

This study: 18 Years and older · all sexes.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 84 studies in HIV Infections by Gilead Sciences, or all of them as a file.
02

Study 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.

03

Conditions studied

  • HIV Infections

Browse trials for

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Sampling method
Non-probability sample

Study population

People who need or want HIV prevention services identified and engaged through routine clinical practice

Eligibility criteria

Key Inclusion Criteria:

  • Able to comprehend and provide a signed written , 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 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.

Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
3,000 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • LEN PrEP

    Participants in diverse clinical settings in the United States (US) who choose subcutaneous (SC) Lenacapavir (LEN) Pre-Exposure Prophylaxis for HIV Prevention (PrEP) at enrollment in the study or anytime during the follow-up period

    Drug: Lenacapavir Injection · Drug: Lenacapavir Tablet

  • Other PrEP

    Participants in diverse clinical settings in the United States (US) who choose other PrEP options ( F/TDF, F/TAF, CAB) or No PrEP.

    Drug: Emtricitabine/tenofovir disoproxil fumarate (F/TDF) · Drug: Emtricitabine/tenofovir alafenamide (F/TAF) · Drug: Cabotegravir (CAB)

Interventions

  • Administered via subcutaneous (SC) injection

    Also known as: YEZTUGO®

  • DrugEmtricitabine/tenofovir disoproxil fumarate (F/TDF)

    Tablets administered orally

    Also known as: Truvada®

  • DrugEmtricitabine/tenofovir alafenamide (F/TAF)

    Drug page: Emtricitabine tenofovir alafenamide

    Tablets administered orally

    Also known as: Descovy®

  • Administered via intramuscular (IM) injection

    Also known as: CAB

  • Administered orally

06

What researchers measure

Primary outcomes

  1. Proportion of Participants with LEN PrEP Persistence at Week 52

    LEN PrEP persistence at Week 52 is defined as the proportion of participants receiving a LEN injection at enrollment who had an on-time injection at Week 26 and an on-time Week 52 visit ('on time' is defined as ≤ 28 weeks from the last injection).

    Time frame: Week 52

Secondary outcomes

  1. Uptake of PrEP: Proportion of Participants Who Decided to Use PrEP at Enrollment (Baseline) and Different Types of PrEP

    Time frame: Baselines (Day 1, date of the first LEN/CAB injection or oral PrEP prescription)

  2. PrEP Persistence: Proportion of Participants who Persistently Used PrEP at Weeks 26, 78 and 104, Overall and by PrEP Type

    Time frame: Up to Week 104

  3. PrEP Coverage: Proportion of Days Protected by PrEP at Weeks 26, 52, 78, and 104, Overall and by PrEP Type

    Time frame: Up to Week 104

  4. PrEP Persistence: Mean Duration of PrEP Use

    Time frame: Up to Week 104

  5. PrEP Continuation: Proportion of Participants who Continued to Use PrEP at Week 26, 52, 78, and 104, Overall and Specific Types of PrEP

    Time frame: Up to Week 104

  6. PrEP Interruptions Assessed by Proportion of Participants who Adopted/Continued PrEP at Enrollment and Experienced Interruptions at Different Time Points at Week 26, 52, 78, and 104

    Time frame: Up to Week 104

  7. PrEP Interruptions Assessed by Proportion of Participants who Needed one or More LEN PrEP Re-initiations who Adopted/Continued LEN PrEP at Enrollment, at Week 26, 52, 78, and 104

    Time frame: Up to Week 104

  8. PrEP Interruptions Assessed by Time Between Injections for Participants Initiating LEN PrEP who had to Re-initiate LEN PrEP

    Time frame: Week 26, Week 52, Week 78, and Week 104

  9. Switching (Any Switch): Proportion of Participants Who Use any PrEP Method Different from the PrEP Method Adopted/Continued at Enrollment, at Weeks 26, 52, 78, and 104

    Time frame: Week 26, Week 52, Week 78, and Week 104

  10. Switch (Switch to LEN PreP): Proportion of Participants Switching to LEN PrEP among Participants who did not Initiate LEN PrEP at Enrollment, at Weeks 26, 52, 78, and 104

    Time frame: Week 26, Week 52, Week 78, and Week 104

  11. Time to First LEN Injection: Days From Enrollment and Choice of LEN PrEP to First Dose of LEN Injection as PrEP

    Time frame: Up to Week 104

  12. Proportion of Participants with Receipt of First LEN PrEP Injection on the Same Day as Enrollment in the Study

    Time frame: Enrollment up to Week 104

07

Study locations

44 of 44 sites recruiting
  • UAB 1917 Research Clinic
    Birmingham, Alabama 35222, United States
    Recruiting
  • Pacific Oaks Medical Group
    Beverly Hills, California 90211, United States
    Recruiting
  • Ruane Clinical Research Group Inc.
    Los Angeles, California 90036, United States
    Recruiting
  • Sutter Health- East Bay Advanced Care
    Oakland, California 94609, United States
    Recruiting
  • Family Health Centers of San Diego
    San Diego, California 92102, United States
    Recruiting
  • UC San Diego (UCSD) AntiViral Research Center (AVRC)
    San Diego, California 92103, United States
    Recruiting
  • Mills Clinical Research
    West Hollywood, California 90046, United States
    Recruiting
  • Vivent Health
    Denver, Colorado 80246, United States
    Recruiting
  • CAN Community Health
    Miami, Florida 33055, United States
    Recruiting
  • Bliss Health
    Orlando, Florida 32803, United States
    Recruiting
  • Pineapple Healthcare Orlando
    Orlando, Florida 32829, United States
    Recruiting
  • AHF - Pensacola
    Pensacola, Florida 32503, United States
    Recruiting
  • Faebris Medical & Community Education
    Atlanta, Georgia 01111, United States
    Recruiting
  • Grady Memorial Hospital
    Atlanta, Georgia 30303, United States
    Recruiting
  • Northwestern Medicine
    Chicago, Illinois 60611, United States
    Recruiting
  • DOM/Project WISH Research Clinic
    Chicago, Illinois 60612, United States
    Recruiting
  • Rush University Medical Center/Division of Infectious Diseases
    Chicago, Illinois 60612, United States
    Recruiting
  • Ruth M. Rothstein CORE Center
    Chicago, Illinois 60612, United States
    Recruiting
  • Howard Brown Health
    Chicago, Illinois 60613, United States
    Recruiting
  • The Clinic NOLA
    New Orleans, Louisiana 70115, United States
    Recruiting
  • Ochsner Baptist Medical Center
    New Orleans, Louisiana 70121, United States
    Recruiting
  • Chase Brexton Health Care
    Baltimore, Maryland 21201, United States
    Recruiting
  • Fenway Health
    Boston, Massachusetts 02215, United States
    Recruiting
  • Be Well Medical Center
    Berkley, Michigan 48072, United States
    Recruiting
  • Henry Ford Health
    Detroit, Michigan 48202, United States
    Recruiting
  • The Aliveness Project
    Minneapolis, Minnesota 55409, United States
    Recruiting
  • KC Care Health Center
    Kansas City, Missouri 64111, United States
    Recruiting
  • Washington University School of Medicine Infectious Disease Clinical Research Unit
    St Louis, Missouri 63110, United States
    Recruiting
  • University of Nebraska Medical Center/Nebraska Medicine Specialty Care Center
    Omaha, Nebraska 68198, United States
    Recruiting
  • NYC Health + Hospitals / Bellevue
    New York, New York 10016, United States
    Recruiting
  • Colombia University Irving Medical Center
    New York, New York 10032, United States
    Recruiting
  • BronxCare Health System
    The Bronx, New York 10457, United States
    Recruiting
  • University of Cincinnati College of Medicine
    Cincinnati, Ohio 45267, United States
    Recruiting
  • Ohio State University Infectious Diseases Clinical Trials Unit
    Columbus, Ohio 43210, United States
    Recruiting
  • Perelman Center for Advanced Medicine
    Philadelphia, Pennsylvania 19107, United States
    Recruiting
  • Philadelphia FIGHT
    Philadelphia, Pennsylvania 19107, United States
    Recruiting
  • Medical University of South Carolina
    Charleston, South Carolina 29425, United States
    Recruiting
  • Vanderbilt University Medical Center
    Nashville, Tennessee 37204, United States
    Recruiting
  • Abounding Prosperity Inc.
    Dallas, Texas 75215, United States
    Recruiting
  • Prism Health
    Dallas, Texas 75246, United States
    Recruiting
  • UT Health
    Houston, Texas 77009, United States
    Recruiting
  • Thomas Street at Quentin Mease Health Center
    Houston, Texas 77030, United States
    Recruiting
  • Kelley-Ross Pharmacy
    Seattle, Washington 98122, United States
    Recruiting
  • West Virginia Health Right, Inc.
    Charleston, West Virginia 25302, United States
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

09

Timeline

2 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Mar 2026 (actual). Primary completion is estimated for Apr 2028, 25 months after the start.

Of 201 observational studies under HIV Infections, half reached primary completion within 38 months of starting (the median), counting those still running; a quarter within 16 and three quarters within 69. This study's planned 25 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 11, 2026
First posted
Mar 16, 2026
StartActual
Mar 17, 2026
Primary completionEst.
Apr 2028
CompletionEst.
Apr 2029
Last update
Oct 21, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Sites
7 sites added, 1 site removed
Show 7 added (7 United States)
  • Ochsner Health System · New Orleans, United States
  • Sutter Health- East Bay Advanced Care · Oakland, United States
  • Northwestern Medicine · Chicago, United States
  • Ochsner Baptist Medical Center · New Orleans, United States
  • Philadelphia FIGHT · Philadelphia, United States
  • Medical University of South Carolina · Charleston, United States
  • Kelley-Ross Pharmacy · Seattle, United States
Show 1 removed
  • Ochsner Health System · New Orleans, United States
across 2 updates, Oct 1, 2026 – Oct 21, 2026
Show all 2 updates
  1. Oct 21, 2026
    6 sites added, 1 site removed
    Show 6 added (6 United States)
    • Sutter Health- East Bay Advanced Care · Oakland, United States
    • Northwestern Medicine · Chicago, United States
    • Ochsner Baptist Medical Center · New Orleans, United States
    • Philadelphia FIGHT · Philadelphia, United States
    • Medical University of South Carolina · Charleston, United States
    • Kelley-Ross Pharmacy · Seattle, United States
    Show 1 removed
    • Ochsner Health System · New Orleans, United States
    + 1 other change: verification date
  2. Oct 1, 2026
    1 site added
    Show site
    • Ochsner Health System · New Orleans, United States

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07473778
Lead sponsor
Gilead Sciences
Responsible party
Sponsor
First posted
Mar 16, 2026
Start date
Mar 17, 2026
Primary completion
Apr 2028 (estimated)
Completion
Apr 2029 (estimated)
Last update
Oct 21, 2026

Study contacts

Gilead Clinical Study Information Center
Contact
GileadClinicalTrials@gilead.com
1-833-445-3230 (GILEAD-0)
Gilead Study Director
study director · Gilead Sciences

Oversight

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

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