HIV prevention breakthrough? Twice-Yearly shot could replace daily pills

NCT ID NCT07497594

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This study in Brazil offers young men who have sex with men, transgender, and non-binary people a choice between a daily pill or a twice-yearly injection to prevent HIV. Researchers will follow 1,500 participants for up to two years to see how well each option works in real life, how safe it is, and whether people stick with it. The goal is to expand prevention options and make it easier for high-risk groups to stay protected.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
lenacapavir (long-acting injection) and daily oral tenofovir disoproxil fumarate/emtricitabine
What this could lead to
If successful, this could provide a convenient twice-yearly injection option for HIV prevention, potentially improving adherence and reducing new infections among high-risk groups.
What could go wrong
This is an observational study without randomization, so results may be less definitive. Participants choose their own prevention method, which could introduce bias. Long-term safety and effectiveness in real-world settings are still being evaluated.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • CEDAP - Centro Especializado em Diagnóstico, Assistência e Pesquisa

    RECRUITING

    Salvador, Estado de Bahia, 40100-010, Brazil

  • CTA/Policlínica Centro

    RECRUITING

    Florianópolis, Santa Catarina, 88010-400, Brazil

  • Centro de Referência e Treinamento em DST/Aids de São Paulo

    RECRUITING

    São Paulo, São Paulo, 04121-000, Brazil

  • Centro de Referência em IST/Aids de Campinas (SMS/PMC)

    RECRUITING

    Campinas, São Paulo, 13013-000, Brazil

  • Coordenadoria de IST/Aids da Cidade de São Paulo

    RECRUITING

    São Paulo, São Paulo, 01509-020, Brazil

  • Fundação de Medicina Tropical Heitor Vieira Dourado

    RECRUITING

    Manaus, Amazonas, 69040-000, Brazil

  • Hospital Geral de Nova Iguaçu

    RECRUITING

    Nova Iguaçu, Rio de Janeiro, 26030-380, Brazil

  • Instituto Nacional de Infectologia Evandro Chagas

    RECRUITING

    Rio de Janeiro, Rio de Janeiro, 21040-360, Brazil