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Active, Not Recruiting

NCT Number: NCT07047716

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

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.

Active, Not Recruiting

This study is active but is not currently recruiting participants.

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Key information

Age range

16 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

UAB Sexual Health Research Clinic, Birmingham, Alabama, United States

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Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

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:
  • 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.

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.

Treatment and study plan

Lenacapavir Injection

Drug

Administered intramuscularly

Lenacapavir Tablet

Drug

Administered orally

Primary outcomes

  1. Plasma LEN Ctrough at Week 52

    Time frame: Week 52

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

  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)

Sponsors and collaborators

Lead sponsor

Gilead Sciences

Industry

Registry information

Official study title

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

Acronym: PURPOSE 365

Important dates

Study start
2025
Primary completion
2028
Study completion
2028
First posted
Jul 2, 2025
Registry last updated
Jun 22, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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