Evidence map›Paper›PMID 41217793›Full record

ReviewJournal of the International Association of Providers of AIDS Care

Twice-Yearly Injectable Pre-Exposure Prophylaxis With Lenacapavir: Redefining Adherence and Access in the Global Fight Against HIV.

Santosh Sah, Ureeba Iqbal, Trilok Mishra, Najeeb Ullah, Tularam Yadav

Abstract readReview
In one paragraph

Review in Journal of the International Association of Providers of AIDS Care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Santosh SahDow Medical College, Dow University of Health Sciences (DUHS), Karachi, Pakistan.ORCID 0009-0001-9045-0683
Ureeba IqbalDow Medical College, Dow University of Health Sciences (DUHS), Karachi, Pakistan.ORCID 0009-0009-1751-9304
Trilok MishraDow Medical College, Dow University of Health Sciences (DUHS), Karachi, Pakistan.
Najeeb UllahDow Medical College, Dow University of Health Sciences (DUHS), Karachi, Pakistan.
Tularam YadavPrimary Healthcare Centre (PHCC) Jhorahat, Gramthan, Koshi, Nepal.ORCID 0000-0001-5229-3448

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite progress in human immunodeficiency virus (HIV) prevention, global targets remain unmet, with over 1.3 million new infections annually-driven by adherence challenges, stigma, and daily pill fatigue linked to oral pre-exposure prophylaxis (PrEP). Lenacapavir, a long-acting injectable capsid inhibitor approved by the FDA in June 2025, offers transformative twice-yearly subcutaneous dosing with sustained efficacy and minimal drug interactions. PURPOSE 1 and 2 trials demonstrated near-complete protection across cisgender women, men who have sex with men, transgender individuals, and adolescents, highlighting its potential to overcome barriers to PrEP uptake. Its high acceptability, infrequent dosing, and pharmacologic durability make it ideal for individuals facing stigma, mobility constraints, or limited healthcare access. WHO's endorsement marks a pivotal milestone, but real-world implementation must address cold-chain logistics, cost, provider training, and systemic inequities. Integrating lenacapavir through decentralized delivery models, differentiated care, and inclusive national guidelines will be key to equitable access, decreasing gaps and advancing epidemic control.

Indexed as

Anti-HIV AgentsHealth Services AccessibilityHIV InfectionsMedication AdherencePre-Exposure ProphylaxisAcetamidesAdolescentFemaleGlobal HealthHumansIndazolesMaleAcetamidesAnti-HIV AgentsIndazoleslenacapavirglobal healthHIVlenacapavirlong-acting injectablespre-exposure prophylaxis (PrEP)

Identifiers

PMID41217793
PMCPMC12605889

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.