RecruitingPhase 3NCT07047716

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

A Phase 3, Single-Arm Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of Once-Yearly Intramuscular Lenacapavir for HIV Pre-exposure Prophylaxis (PrEP) in People With an Indication for PrEP


Sponsor

Gilead Sciences

Enrollment

350 participants

Start Date

Jul 22, 2025

Study Type

INTERVENTIONAL

Conditions

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.


Eligibility

Min Age: 16 Years

Inclusion Criteria7

  • 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:
  • Condomless receptive sex (vaginal or anal) with 1 or more sex partners of unknown HIV status during the past 6 months
  • 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
  • For a person who has engaged in vaginal sex in the past 6 months: diagnosis of syphilis or gonorrhea in the past 6 months
  • 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.

Exclusion Criteria5

  • 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

Interventions

DRUGLenacapavir Injection

Administered intramuscularly

DRUGLenacapavir Tablet

Administered orally


Locations(31)

UAB Sexual Health Research Clinic

Birmingham, Alabama, United States

UCLA Clinic Care

Los Angeles, California, United States

Ruane Clinical Research Group, Inc.

Los Angeles, California, United States

UCLA Vine Street Clinic

Los Angeles, California, United States

Mills Clinical Research

Los Angeles, California, United States

BIOS Clinical Research

Palm Springs, California, United States

UCSD AntiViral Research Center (AVRC)

San Diego, California, United States

Bridge HIV, San Francisco Department of Public Health

San Francisco, California, United States

Yale University; School of Medicine; AIDS Program

New Haven, Connecticut, United States

Whitman-Walker Institute, Inc.

Washington D.C., District of Columbia, United States

Children's National Hospital

Washington D.C., District of Columbia, United States

Midway Immunology and Research Center

Ft. Pierce, Florida, United States

The ID Prevention Research Unit

Miami, Florida, United States

University of South Florida - Curran Children's Health Center

Tampa, Florida, United States

The Hope Clinic of Emory University

Atlanta, Georgia, United States

Ponce de Leon Center Clinical Research Site

Atlanta, Georgia, United States

University of Illinois-Chicago (UIC), Center for Dissemination and Implementation Sciences (CDIS)

Chicago, Illinois, United States

Howard Brown Health Center

Chicago, Illinois, United States

University Medical Center

New Orleans, Louisiana, United States

Johns Hopkins Hospital - Clinical Research Unit

Baltimore, Maryland, United States

Fenway Health

Boston, Massachusetts, United States

Be Well Medical Center

Berkley, Michigan, United States

Icahn School of Medicine at Mount Sinai - Clinical and Translational Research Center

New York, New York, United States

ICAP at Columbia University- Bronx Prevention Center

The Bronx, New York, United States

NC TraCS Institute - CTRC, University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, United States

Penn Prevention Unit

Philadelphia, Pennsylvania, United States

Philadelphia FIGHT Community Health Centers, Jonathan Lax Treatment Center

Philadelphia, Pennsylvania, United States

St. Jude Children's Research Hospital

Memphis, Tennessee, United States

Central Texas Clinical Research

Austin, Texas, United States

The Crofoot Research Center

Houston, Texas, United States

Vaccine Trials Unit - Fred Hutchinson Cancer Center / University of Washington

Seattle, Washington, United States

View Full Details on ClinicalTrials.gov

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NCT07047716


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