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FDA to Decide on Twice-Yearly HIV Preventive Drug Lenacapavir

Generic manufacturers are set to produce lenacapavir for as little as $25 per patient annually

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Overview

  • The FDA will issue its decision on lenacapavir’s approval for HIV prevention by June 19, 2025.
  • Interim results from the Phase 3 PURPOSE 1 trial showed twice-yearly injections prevented HIV infection with 100 percent efficacy in cisgender women.
  • Gilead has partnerships with six generic manufacturers to supply lenacapavir in 120 low-income countries and will deliver two million doses at no profit before generics launch.
  • University of Liverpool analysis estimates that large-scale production could reduce annual costs to as low as $25 per patient, compared with anticipated US prices near $25,000.
  • Advocacy groups have raised concerns over the exclusion of Brazil, Argentina and parts of Eastern Europe from Gilead’s licensing agreements.