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STATUS Recruitment Complete

Study of Lenacapavir as a Once-Yearly Injection for HIV Pre-exposure Prophylaxis (PrEP) (PURPOSE 365)

LAST UPDATED

June 22 2026

Clinicaltrials.gov ID

NCT07047716

OVERVIEW

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 (PURPOSE 365)

PROTOCOL 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.

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Participation Requirements

Calendar

Age

16 Years +

Condition

Sex

ALL

Healthy Icon

Healthy Volunteers

true

Study Details

Medical Condition

HIV Pre-exposure Prophylaxis

Gender

Cisgender men, Transgender women, Transgender men, Cisgender women, and Gender non-binary

Date

July 2025 - September 2028

Study Type

INTERVENTIONAL

Study Phase

PHASE3

Product

Lenacapavir Injection, Lenacapavir Tablet

Eligibility Information

Inclusion

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:
  • 1. Condomless receptive sex (vaginal or anal) with 1 or more sex partners of unknown HIV status during the past 6 months
  • 2. 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
  • 3. For a person who has engaged in vaginal sex in the past 6 months: diagnosis of syphilis or gonorrhea in the past 6 months
  • 4. 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.
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Exclusion

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.
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Locations

Locations (31)
Other

UAB Sexual Health Research Clinic

Birmingham, Alabama, United States, 35233

Other

UCLA Clinic Care

Los Angeles, California, United States, 90035

Other

Ruane Clinical Research Group, Inc.

Los Angeles, California, United States, 90036

Other

UCLA Vine Street Clinic

Los Angeles, California, United States, 90038

Other

Mills Clinical Research

Los Angeles, California, United States, 90069

Other

BIOS Clinical Research

Palm Springs, California, United States, 92262

Other

UCSD AntiViral Research Center (AVRC)

San Diego, California, United States, 92103

Other

Bridge HIV, San Francisco Department of Public Health

San Francisco, California, United States, 94102

Other

Yale University; School of Medicine; AIDS Program

New Haven, Connecticut, United States, 06510

Other

Whitman-Walker Institute, Inc.

Washington D.C., District of Columbia, United States, 20009

Other

Children's National Hospital

Washington D.C., District of Columbia, United States, 20010

Other

Midway Immunology and Research Center

Ft. Pierce, Florida, United States, 34982

Other

The ID Prevention Research Unit

Miami, Florida, United States, 33136

Other

University of South Florida - Curran Children's Health Center

Tampa, Florida, United States, 33606

Other

The Hope Clinic of Emory University

Atlanta, Georgia, United States, 30030

Other

Ponce de Leon Center Clinical Research Site

Atlanta, Georgia, United States, 30303

Other

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

Chicago, Illinois, United States, 60612

Other

Howard Brown Health Center

Chicago, Illinois, United States, 60613

Other

University Medical Center

New Orleans, Louisiana, United States, 70119

Other

Johns Hopkins Hospital - Clinical Research Unit

Baltimore, Maryland, United States, 21287

Other

Fenway Health

Boston, Massachusetts, United States, 02215

Other

Be Well Medical Center

Berkley, Michigan, United States, 48072

Other

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

New York, New York, United States, 10029

Other

ICAP at Columbia University- Bronx Prevention Center

The Bronx, New York, United States, 10451

Other

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

Chapel Hill, North Carolina, United States, 27599

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

St. Jude Children's Research Hospital

Memphis, Tennessee, United States, 38105

Other

Central Texas Clinical Research

Austin, Texas, United States, 78705

Other

The Crofoot Research Center

Houston, Texas, United States, 77098

Other

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

Seattle, Washington, United States, 98104