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STATUS Recruitment Complete

Study of Lenacapavir for HIV Pre-Exposure Prophylaxis in People Who Are at Risk for HIV Infection (PURPOSE 2)

LAST UPDATED

December 28, 2023

Clinicaltrials.gov ID

NCT04925752

OVERVIEW

A Phase 3, Double-Blind, Multicenter, Randomized Study to Evaluate the Efficacy and Safety of Subcutaneous Twice Yearly Long-Acting Lenacapavir for HIV Pre-Exposure Prophylaxis in Cisgender Men, Transgender Women, Transgender Men, and Gender Nonbinary People ≥ 16 Years of Age Who Have Sex With Male Partners and Are at Risk for HIV Infection (PURPOSE 2)

PROTOCOL SUMMARY

The goal of this clinical study is to test how well the study drug, lenacapavir (LEN), works in preventing the risk of HIV.

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Participation Requirements

Calendar

Age

16 Years +

Condition

Sex

All

Healthy Icon

Healthy Volunteers

Accepts Healthy Volunteers

Study Details

Medical Condition

Pre-Exposure Prophylaxis of HIV Infection

Gender

Cisgender male, Transgender male, Transgender female, and Gender non-binary

Date

June 2021 - January 2025

Study Type

Interventional

Study Phase

Phase 3

Product

Oral Lenacapavir (LEN), F/TDF, Sub-cutaneous (SC) Lenacapavir (LEN), Placebo SC LEN, PTM F/TDF, PTM Oral LEN, F/TAF (for US participants only)

Eligibility Information

Inclusion

Inclusion Criteria

  • Incidence Phase
  • CGM, TGW, TGM, and GNB who have condomless receptive anal sex with partners assigned male at birth and are at risk for HIV infection.
  • HIV-1 status unknown at screening and no prior HIV-1 testing within the last 3 months.
  • Sexually active with ≥ 1 partner assigned male at birth (condomless receptive anal sex) in the last 12 months and 1 of the following:
  • Condomless receptive anal sex with ≥ 2 partners in the last 12 weeks.
  • History of syphilis, rectal gonorrhea, or rectal chlamydia in the last 24 weeks.
  • Self-reported use of stimulants with sex in the last 12 weeks.
  • Randomized Phase
  • Negative local rapid fourth generation HIV-1/2 Ab/Ag, central fourth generation HIV-1/2 Ab/Ag, and HIV-1 RNA quantitative nucleic acid amplification testing (NAAT).
  • Estimated glomerular filtration rate (eGFR) ≥ 60 mL/min at screening according to the Cockcroft-Gault formula for creatinine clearance (CLcr).
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Exclusion

Exclusion Criteria

  • Incidence Phase
  • Prior use of HIV PrEP (including F/TDF or F/TAF) or HIV postexposure prophylaxis (PEP) in the past 12 weeks or any prior use of long-acting systemic PrEP (including cabotegravir or islatravir).
  • Prior recipient of an HIV vaccine or HIV broadly neutralizing antibody formulation.
  • Randomized Phase
  • 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.
  • Note: Other protocol defined Inclusion/Exclusion criteria may apply.
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Locations

Locations (91)
Other

UAB Sexual Health Research Clinic

Birmingham, Alabama, United States, 35233

Other

Loma Linda University Clinical Trial Center Clinic

Loma Linda, California, United States, 92354

Other

Ruane Clinical Research Group Inc.

Los Angeles, California, United States, 90036

Other

UCLA CBAM Vine Street Clinic

Los Angeles, California, United States, 90038

Other

Charles R. Drew University of Medicine and Science (CDU) - Clinical Translational Research Center (CTRC)

Los Angeles, California, United States, 90059

Other

Mills Clinical Research

Los Angeles, California, United States, 90069

Other

The Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center

Los Angeles, California, United States, 90502

Other

BIOS Clinical Research

Palm Springs, California, United States, 92262

Other

UCSD Anti Viral Research Center

San Diego, California, United States, 92103

Other

Bridge HIV at the San Francisco Department of Public Health

San Francisco, California, United States, 94102

Other

Optimus Medical Group

San Francisco, California, United States, 94102

Other

University of Colorado Clinical and Translational Research Centers (CTRC)

Aurora, Colorado, United States, 80045

Other

Yale University, School of Medicine

New Haven, Connecticut, United States, 06510

Other

Whitman-Walker Institute Inc.

Washington, District of Columbia, United States, 20009

Other

Washington Health Institute

Washington, District of Columbia, United States, 20017

Other

Therafirst Medical Center

Fort Lauderdale, Florida, United States, 33308

Other

Gary Richmond, MD, PA

Fort Lauderdale, Florida, United States, 33316

Other

Midway Immunology & Research Center, LLC

Fort Pierce, Florida, United States, 34982

Other

CAN Community Health

Miami Gardens, Florida, United States, 33055

Other

University of Miami Miller School of Medicine Division of Infectious Disease Research - Converge Miami

Miami, Florida, United States, 33136

Other

Orlando Immunology Center

Orlando, Florida, United States, 32803

Other

CAN Community Health

Sarasota, Florida, United States, 34237

Other

The Hope Clinic at Emory University

Atlanta, Georgia, United States, 30030

Other

Emory University

Atlanta, Georgia, United States, 30303

Other

Emory University Hospital Midtown Infectious Disease Clinic

Atlanta, Georgia, United States, 30308

Other

RMR Core Center

Chicago, Illinois, United States, 60612

Other

University of Illinois at Chicago, Department of Medicine, Division of Infectious Diseases, Project WISH

Chicago, Illinois, United States, 60612

Other

Howard Brown Health Center

Chicago, Illinois, United States, 60613

Other

Indiana University Infectious Diseases Research

Indianapolis, Indiana, United States, 46202

Other

Baptist Health Lexington

Lexington, Kentucky, United States, 40503

Other

Norton Infectious Disease Specialists

Louisville, Kentucky, United States, 40241

Other

LSU-CrescentCare Sexual Health Center- New Orleans Community Health Center

New Orleans, Louisiana, United States, 70119

Other

Johns Hopkins University School of Medicine

Baltimore, Maryland, United States, 21287

Other

The Fenway Institute

Boston, Massachusetts, United States, 02215

Other

Be Well Medical Center

Berkley, Michigan, United States, 48072

Other

Henry Ford Hospital

Detroit, Michigan, United States, 48202

Other

Open Arms Healthcare Center

Jackson, Mississippi, United States, 39202

Other

KC CARE Health Center

Kansas City, Missouri, United States, 64111

Other

St. Michael's Medical Center

Newark, New Jersey, United States, 07102

Other

South Jersey Infectious Disease

Somers Point, New Jersey, United States, 08244

Other

Icahn School of Medicine at Mount Sinai- Mount Sinai Downtown

New York, New York, United States, 10029

Other

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

Chapel Hill, North Carolina, United States, 27514

Other

Cone Health/Regional Center for Infectious Disease Research Center

Greensboro, North Carolina, United States, 27401

Other

Wake Forest University Health Sciences

Winston-Salem, North Carolina, United States, 27103

Other

University of Cincinnati

Cincinnati, Ohio, United States, 45267

Other

The Ohio State University Wexner Medical Center

Columbus, Ohio, United States, 43210

Other

Penn Prevention Unit

Philadelphia, Pennsylvania, United States, 19104

Other

Philadelphia FIGHT Community Health Centers, Jonathan Lax Treatment Center

Philadelphia, Pennsylvania, United States, 19107

Other

Medical University of South Carolina, Infectious Disease Clinic

Charleston, South Carolina, United States, 29425

Other

Prisma Health-Midlands Clinical Research Unit

Columbia, South Carolina, United States, 29203

Other

Prisma Health Internal Medicine Clinic

Greenville, South Carolina, United States, 29605

Other

Methodist University Hospital/University of Tennessee Health Science Center, Clinical Research Center

Memphis, Tennessee, United States, 38103

Other

St Jude Children's Research Hospital

Memphis, Tennessee, United States, 38105

Other

Meharry Medical College Clinical and Transitional Research Center

Nashville, Tennessee, United States, 37208

Other

Central Texas Clinical Research

Austin, Texas, United States, 78705

Other

Centro San Vincente

El Paso, Texas, United States, 79915

Other

The Crofoot Research Center, INC

Houston, Texas, United States, 77098

Other

Ofiice of Dr. Peter Shalit, MD

Seattle, Washington, United States, 98104

Other

Hospital General de Agudos JM Ramos Mejia

Buenos Aires, Argentina, 1072

Other

Fundacion Huesped

Buenos Aires, Argentina, 1202

Other

Instituto de Investigaciones Clinicas Mar del Plata

Buenos Aires, Argentina, B7600

Other

Unidade de Pesquisa Clinica em Vacinas (UPqVac) da Faculdade de Medicina da Universidade

Belo Horizonte - MG, Brazil, 30130-100

Other

Fundação Bahiana de Infectologia

Canela-Salvador, Brazil, 40110-060

Other

Fundação de Medicina Tropical Doutor Heitor Vieira Dourado / Fundação Medicina Tropical do Amazonas - FMT/IMT/AM

Manauas, Brazil, 69040-000

Other

Hospital General de Nova Iguaçu - HGNI

Nova Iguaçu, Brazil, 26030-380

Other

Grupo Hospitalar Conceição/ Hospital Nossa Senhora da Conceição S.A.

Porto Alegre, Brazil, RS 91350 200

Other

Instituto Nacional de Infectologia Evandro Chagas / Fundação Oswaldo Cruz - INI FIOCRUZ

Rio de Janeiro, Brazil, 21040-360

Other

Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo

Sao Paulo, Brazil, 01246-903

Other

Centro de Referência e Treinamento DST/AIDS

Sao Paulo, Brazil, 04121-000

Other

Center for Management and Research. SPDM-Paulista Association for the Development of Medicine-Hospital São Paulo/Federal

Sao Paulo, Brazil, 06519-332

Other

Centro de Investigacion Farmaceutica Especializada de Occidente S.C.

Guadalajara C.P., Mexico, 44160

Other

Asociacion Civil Impacta Salud y Educacion - Sede Barranco

Barranco, Peru, 15063

Other

Instituto de Medicina Tropical "Daniel Alcides Carrion", Facultad de Medicina Humana, UNMSM

Callao, Peru, 7006

Other

Asociacion Civil Selva Amazonica

Iquitos, Peru

Other

Via Libre

Lima, Peru, 15001

Other

Asociacion Civil Impacta Salud y Educacion - Sede San Miguel

Lima, Peru, 15088

Other

Ararat Research Center

San Juan, Puerto Rico, 00717

Other

Centro Ararat- San Juan

San Juan, Puerto Rico, 00909

Other

Desmond Tutu Health Foundation

Cape Town, South Africa, 7925

Other

Wits Reproductive Health and HIV Institute (Wits RHI)

Johannesburg, South Africa, 2038

Other

The Aurum Institute: Pretoria Clinical Research Centre

Pretoria, South Africa, 87

Other

Setshaba Research Centre

Soshanguvhe, South Africa, 0152

Other

The Aurum Institute Tembisa CRC, Clinic 4

Tembisa, South Africa, 1632

Other

FPD-DTHF Ndevana Commuity Research Site

Vincent, South Africa, 5217

Other

Institute of HIV Research and Innovation

Bangkok, Thailand, 10330

Other

King Chulalongkorn Memorial Hospital

Bangkok, Thailand, 10330

Other

The HIV Netherlands Australia Thailand Research Collaboration (HIV-NAT), Thai Red Cross AIDS research Centre

Bangkok, Thailand, 10330

Other

Ramathibodi Hospital, Mahidol University

Bangkok, Thailand, 10400

Other

Research Institute for Health Sciences, Chiang Mai University

Chiang Mai, Thailand, 50200

Other

Srinagarind Hospital, Khon Kaen University

Khon Kaen, Thailand, 40002

Other

Bamrasnaradura Infectious Disease Institute

Nonthaburi, Thailand, 11000