Clinical trial Recruiting at 44 sites Observational Ages 18 and up

Lenacapavir (YEZTUGO) as an HIV PrEP option in routine clinical care

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

Run by Gilead Sciences · NCT07473778 · Data updated 2026-11-12

This project will see if using lenacapavir (YEZTUGO) as a PrEP option helps people at risk for HIV stay on prevention over one year in U.S. clinics.

More HIV Infections trials

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment3000 (estimated)
SponsorGilead Sciences
Industry-sponsored
Locations44 sites (Birmingham, Alabama and 43 other locations)
StatusRecruiting
StartedMarch 17, 2026
Main results expectedApril 2028
Study endsApril 2029
Registry record updatedOctober 21, 2026
Trial IDNCT07473778 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults who are HIV-1 negative, present at a participating clinic wanting or needing PrEP, and are eligible for lenacapavir under local clinical procedures — including new users and those switching from oral or injectable PrEP.

Probably not a fit

People living with HIV, those with contraindications to lenacapavir, or those unable to attend follow-up visits or access the participating clinics are unlikely to benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational, real-world project follows people at U.S. clinical sites who start, switch to, or consider lenacapavir (YEZTUGO) as HIV PrEP and records how it is initiated, used, and stopped in routine practice. It includes new PrEP users and current or former users of oral PrEP (F/TDF or F/TAF) and injectable PrEP (cabotegravir), and collects data on persistence on LEN PrEP through Week 52. Participants are enrolled under standard-of-care procedures with informed consent and require HIV-1 negative status at screening. Data from participating clinics in the United States will be pooled by the sponsor to characterize real-life patterns of LEN PrEP use.

Why it matters

Potential benefit: If successful, results could show that lenacapavir provides a convenient long-acting PrEP option that helps more people stay protected against HIV.

How similar studies have gone: Long-acting injectable PrEP with cabotegravir has shown strong efficacy in clinical trials, but lenacapavir’s use for PrEP is newer and real-world evidence remains limited.

Who can join: the full rules

Show full inclusion / exclusion 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.

Where it's running

  • UAB 1917 Research Clinic
    Birmingham, Alabama, United States
    Recruiting
  • Pacific Oaks Medical Group
    Beverly Hills, California, United States
    Recruiting
  • Ruane Clinical Research Group Inc.
    Los Angeles, California, United States
    Recruiting
  • Sutter Health- East Bay Advanced Care
    Oakland, California, United States
    Recruiting
  • Family Health Centers of San Diego
    San Diego, California, United States
    Recruiting
  • UC San Diego (UCSD) AntiViral Research Center (AVRC)
    San Diego, California, United States
    Recruiting
Show 38 more locations
  • Mills Clinical Research
    West Hollywood, California, United States
    Recruiting
  • Vivent Health
    Denver, Colorado, United States
    Recruiting
  • CAN Community Health
    Miami, Florida, United States
    Recruiting
  • Bliss Health
    Orlando, Florida, United States
    Recruiting
  • Pineapple Healthcare Orlando
    Orlando, Florida, United States
    Recruiting
  • AHF - Pensacola
    Pensacola, Florida, United States
    Recruiting
  • Faebris Medical & Community Education
    Atlanta, Georgia, United States
    Recruiting
  • Grady Memorial Hospital
    Atlanta, Georgia, United States
    Recruiting
  • Northwestern Medicine
    Chicago, Illinois, United States
    Recruiting
  • DOM/Project WISH Research Clinic
    Chicago, Illinois, United States
    Recruiting
  • Rush University Medical Center/Division of Infectious Diseases
    Chicago, Illinois, United States
    Recruiting
  • Ruth M. Rothstein CORE Center
    Chicago, Illinois, United States
    Recruiting
  • Howard Brown Health
    Chicago, Illinois, United States
    Recruiting
  • The Clinic NOLA
    New Orleans, Louisiana, United States
    Recruiting
  • Ochsner Baptist Medical Center
    New Orleans, Louisiana, United States
    Recruiting
  • Chase Brexton Health Care
    Baltimore, Maryland, United States
    Recruiting
  • Fenway Health
    Boston, Massachusetts, United States
    Recruiting
  • Be Well Medical Center
    Berkley, Michigan, United States
    Recruiting
  • Henry Ford Health
    Detroit, Michigan, United States
    Recruiting
  • The Aliveness Project
    Minneapolis, Minnesota, United States
    Recruiting
  • KC Care Health Center
    Kansas City, Missouri, United States
    Recruiting
  • Washington University School of Medicine Infectious Disease Clinical Research Unit
    St Louis, Missouri, United States
    Recruiting
  • University of Nebraska Medical Center/Nebraska Medicine Specialty Care Center
    Omaha, Nebraska, United States
    Recruiting
  • NYC Health + Hospitals / Bellevue
    New York, New York, United States
    Recruiting
  • Colombia University Irving Medical Center
    New York, New York, United States
    Recruiting
  • BronxCare Health System
    The Bronx, New York, United States
    Recruiting
  • University of Cincinnati College of Medicine
    Cincinnati, Ohio, United States
    Recruiting
  • Ohio State University Infectious Diseases Clinical Trials Unit
    Columbus, Ohio, United States
    Recruiting
  • Perelman Center for Advanced Medicine
    Philadelphia, Pennsylvania, United States
    Recruiting
  • Philadelphia FIGHT
    Philadelphia, Pennsylvania, United States
    Recruiting
  • Medical University of South Carolina
    Charleston, South Carolina, United States
    Recruiting
  • Vanderbilt University Medical Center
    Nashville, Tennessee, United States
    Recruiting
  • Abounding Prosperity Inc.
    Dallas, Texas, United States
    Recruiting
  • Prism Health
    Dallas, Texas, United States
    Recruiting
  • UT Health
    Houston, Texas, United States
    Recruiting
  • Thomas Street at Quentin Mease Health Center
    Houston, Texas, United States
    Recruiting
  • Kelley-Ross Pharmacy
    Seattle, Washington, United States
    Recruiting
  • West Virginia Health Right, Inc.
    Charleston, West Virginia, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.