PrEP (pre-exposure prophylaxis) has become such a central part of HIV prevention that it can be hard to remember that in the decade before its 2012 approval by the US Food and Drug Administration, “PrEP was a code word for unethical research.” So says Mitchell Warren, longtime head of the HIV prevention advocacy group AVAC, recalling how, in the 2000s, early trials to determine PrEP’s efficacy fell apart in Cameroon, Nigeria, and Thailand amid accusations from activists that researchers were not treating trial subjects ethically—for instance, by not necessarily guaranteeing lifetime HIV tre