Gilead's Phase III PURPOSE 2 trial shows lenacapavir, a twice-yearly HIV drug, outperformed daily Truvada, reducing HIV infections by 96% compared to background HIV incidence. The trial enrolled cis- and transgender men, transgender women, and gender non-binary individuals, with lenacapavir proving 89% more effective than Truvada. Based on these results, the independent Data Monitoring Committee recommended offering lenacapavir to all participants.