Study of Lenacapavir and Emtricitabine/Tenofovir Disoproxil Fumarate (F/TDF) in Prevention of HIV in Cisgender Women in the United States (HPTN 102)

NCT ID: NCT06101329

Last Updated: 2025-09-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

253 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-11-17

Study Completion Date

2028-01-31

Brief Summary

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The goal of this clinical study is to look at how lenacapavir (LEN) passes through the body and to assess the safety of LEN and emtricitabine/tenofovir disoproxil fumarate (F/TDF) for prevention of HIV in the cisgender women in the US.

The primary objectives of this study are: 1) to characterize the pharmacokinetics (PK) of LEN in United States (US) cisgender women; 2) to evaluate the safety of LEN and F/TDF for pre-exposure prophylaxis (PrEP) in US cisgender women; and 3) to evaluate the general acceptability of LEN injections and oral F/TDF in US cisgender women.

Detailed Description

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Conditions

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Pre-Exposure Prophylaxis of HIV Infection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Randomized Phase: Lenacapavir (LEN) Group

Participants will receive subcutaneous (SC) lenacapavir (LEN) 927 mg on Day 1 and Week 26 and oral LEN 600 mg on Days 1 and 2.

Group Type EXPERIMENTAL

Lenacapavir Tablet

Intervention Type DRUG

Tablets administered orally without regard of food

Lenacapavir Injection

Intervention Type DRUG

Injection administered subcutaneously

Randomized Phase: Emtricitabine/Tenofovir Disoproxil Fumarate (F/TDF) Group

Participants will receive oral F/TDF (200/300 mg) daily for 52 weeks.

Group Type EXPERIMENTAL

Emtricitabine/Tenofovir Disoproxil Fumarate (F/TDF)

Intervention Type DRUG

200/300mg fixed dose combination (FDC) tablets administered orally

PK Tail Phase: F/TDF

After the completion of the Randomized Phase, participants in LEN group will be transitioned to receive F/TDF and participants in F/TDF group will continue to receive F/TDF in the PK Tail Phase. All participants will receive F/TDF, once daily for 78 weeks beginning 26 weeks after the last LEN injection.

Group Type EXPERIMENTAL

Emtricitabine/Tenofovir Disoproxil Fumarate (F/TDF)

Intervention Type DRUG

200/300mg fixed dose combination (FDC) tablets administered orally

Interventions

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Lenacapavir Tablet

Tablets administered orally without regard of food

Intervention Type DRUG

Lenacapavir Injection

Injection administered subcutaneously

Intervention Type DRUG

Emtricitabine/Tenofovir Disoproxil Fumarate (F/TDF)

200/300mg fixed dose combination (FDC) tablets administered orally

Intervention Type DRUG

Other Intervention Names

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GS-6207 GS-6207 Yeztugo® Truvada®

Eligibility Criteria

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Inclusion Criteria

* Report at least 1 episode of condomless vaginal or anal sex with a cisgender man in the 12 months before enrollment.
* Hepatitis B virus (HBV) surface antigen (HBsAg) negative.
* Self-report one or more of the following in the past 12 months (except for incarceration, which could have occurred in the past 5 years):

1\) Noninjection recreational drug use (ecstasy, cocaine, crack cocaine, methamphetamine, ketamine, 3,4-methylenedioxy-methamphetamine, or prescription drugs apart from those prescribed by a licensed provider); 2) Alcohol dependence (defined as Cut Down, Annoyed, Guilty, and Eye Opener score of 2); binge-drinking, defined as 4 or more drinks at a time; 3) History of STIs, such as gonorrhea, chlamydia, or syphilis; 4) Exchange of sex for commodities, such as drugs, money, or shelter; 5) Incarceration (jail or prison \> 24 hours within the past 5 years); 6) Two or more sexual partners who were assigned male at birth; 7) Sexual partner assigned male at birth with history of either injection or noninjection recreational drug use, sexually transmitted infections (STIs), human immunodeficiency virus (HIV) diagnosis or unknown HIV status, additional sex partners during the course of his sexual relationship with the individual, or incarceration (jail or prison \> 24 hours within the past 5 years)
* Negative local rapid HIV-1/2 antibody (Ab)/antigen (Ag) test, central HIV-1/2 Ab/Ag, and HIV-1 RNA quantitative nucleic acid amplification testing (NAAT).
* Estimated glomerular filtration rate (GFR) at least 60 mL/min at screening according to the Cockcroft-Gault formula for creatinine clearance (CLcr).

Exclusion Criteria

* Self-reported history of previous positive results on an HIV test.
* One or more reactive or positive HIV test result at screening or enrollment, even if HIV infection is not confirmed.
* Past or current participation in HIV vaccine or HIV broadly neutralizing antibody study unless individual provides documentation of receipt of placebo (ie, not active product).
* Prior use of long-acting systemic pre-exposure prophylaxis (PrEP) (including cabotegravir (CAB) or islatravir studies).
* Acute viral hepatitis A or acute or chronic hepatitis B or C infection.
* Severe hepatic impairment or a history of or current clinical decompensated liver cirrhosis (eg, ascites, encephalopathy, variceal bleeding, etc).
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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HIV Prevention Trials Network

NETWORK

Sponsor Role collaborator

Gilead Sciences

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Gilead Study Director

Role: STUDY_DIRECTOR

Gilead Sciences

Locations

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UAB, 1917 Research Clinic

Birmingham, Alabama, United States

Site Status

UCSD Antiviral Research Center (AVRC)

San Diego, California, United States

Site Status

George Washington University Medical Faculty Associates

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

Site Status

Ponce de Leon Center Clinical Research Site

Atlanta, Georgia, United States

Site Status

Fenway Health

Boston, Massachusetts, United States

Site Status

Rutgers New Jesey Medical School - Clinical Research Center

Newark, New Jersey, United States

Site Status

Cornell Clinical Trials Unit, New York Presbyterian Hospital - Weill Cornell Medicine

New York, New York, United States

Site Status

Harlem Prevention Center CRS

New York, New York, United States

Site Status

ICAP at Columbia University - Bronx Prevention Center

The Bronx, New York, United States

Site Status

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

Chapel Hill, North Carolina, United States

Site Status

Penn Prevention Research Unit

Philadelphia, Pennsylvania, United States

Site Status

Countries

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United States

Related Links

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Other Identifiers

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GS-US-528-6020

Identifier Type: -

Identifier Source: org_study_id

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