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Immediate Intervention Arm

Phase 2

HIV Prevention | Small molecule | Infectious Disease |Gilead Sciences, Inc.|Last Updated: Dec 17, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedCONTROLLEDBiomarker
Total Trials1
Total Enrollment304
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04742491Pre-Exposure Prophylaxis for Transgender Women in the US and South AmericaPHASE2 COMPLETED 304Mar 26, 2021Aug 16, 2024Dec 17, 20255 United States, Brazil
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Study Endpoints
Primary Endpoints
PrEP Uptake
0-18 months

Time to PrEP initiation is defined as the duration from enrollment to the PrEP start date.

PrEP Adherence
0-18 months

Self-reported adherence to daily PrEP by study visit

Acceptability and Feasibility of Co-located Services
0-18 months

Number of participants accepting co-located GAHT services at baseline and subsequent quarterly study visits.

Participant Retention at Weeks 26, 52 and 78
Weeks 26, 52, 78

Participant retention at weeks 26, 52 and 78 by study arm. Retention defined as the number of participants who completed the visit divided by the number of participants who are expected or have completed the visit.

Acceptability and Feasibility of Peer Health Navigation
0-18 months

The average number of peer health navigator encounters.

PrEP Persistent
0-18 months

PrEP persistent is defined as the proportion of study visits where a participant demonstrates high adherence to PrEP among those who initiated PrEP at the study clinic. High adherence at a visit is based on drug concentrations in dried blood spots (DBS): Truvada (TDF/FTC): TFV-DP ≥ 900 fmol/punch Descovy (TAF/FTC): TFV-DP ≥ 950 fmol/punch PrEP persistent reflects sustained high PrEP adherence across multiple visits over time, rather than high PrEP adherence at a single point.

Secondary Endpoints
Examining Changes in Sexual Risk-taking Behavior
0-18 months
Prevalence of STI Infection (GC, CT, Syphilis) at Baseline
0 months
Estimate Prevalence of Baseline Laboratory Values.
0 months
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
Immediate Intervention ArmEXPERIMENTALPrEP (pre-exposure prophylaxis) provision, STI screening and treatment, GAHT (gender-affirming hormonal therapy), peer-health management using strengths-based management. PrEP provision includes using one daily tablet of Descovy (emtricitabine 200 mg and tenofovir alafenamide 25mg, FTC/TAF) or one daily tablet of Truvada (emtricitabine 200 mg and tenofovir disoproxil fumarate 300 mg, FTC/TDF) in the US, and one daily tablet of Truvada (emtricitabine 200 mg and tenofovir disoproxil fumarate 300 mg, FTC/TDF) in Brazil.
Deferred Intervention ArmEXPERIMENTAL0-6 months PrEP (pre-exposure prophylaxis) provision and STI screening and treatment. From months 6-18, GAHT (gender-affirming hormonal therapy) and peer-health management using strengths-based management. PrEP provision includes one daily tablet of Descovy (emtricitabine 200 mg and tenofovir alafenamide 25mg, FTC/TAF) or one daily tablet of Truvada (emtricitabine 200 mg and tenofovir disoproxil fumarate 300 mg, FTC/TDF) in the US, and one daily table of Truvada (emtricitabine 200 mg and tenofovir disoproxil fumarate 300 mg, FTC/TDF) in Brazil.
Interventions
NameTypeDescription
Immediate Intervention ArmDRUGTruvada, Descovy in the United States; Truvada in Brazil
Deferred Intervention ArmDRUGTruvada, Descovy in the United States; Truvada in Brazil
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Eligibility Criteria
Age Range18 Years — N/A
SexMALE
Healthy VolunteersYes
Study Sites5

Inclusion Criteria: * TGW (assigned male at birth, trans-feminine spectrum - as defined in the SSP Manual - by self-report) who meet all of the following criteria are eligible for inclusion in this study. * Eighteen years or older at the time of screening. * Willing and able to provide informed con...

Countries:United StatesBrazil
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Competitive Landscape -HIV Prevention 2 trials
CompanyTickerTrialsLead PhaseDrugs
Abbott LaboratoriesABT1PHASE4Undisclosed
Gilead Sciences, Inc.GILD1PHASE4Undisclosed
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