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.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 3000 (estimated) |
| Sponsor | Gilead Sciences Industry-sponsored |
| Locations | 44 sites (Birmingham, Alabama and 43 other locations) |
| Status | Recruiting |
| Started | March 17, 2026 |
| Main results expected | April 2028 |
| Study ends | April 2029 |
| Registry record updated | October 21, 2026 |
| Trial ID | NCT07473778 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
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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
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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
- Study coordinator: Gilead Clinical Study Information Center
- Email: GileadClinicalTrials@gilead.com
- Phone: 1-833-445-3230 (GILEAD-0)
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.