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Gilead Poised to Secure U.S. Approval for Biannual HIV Prevention Shot

Gilead aims to supply generic versions in 120 low-income countries under agreements that exclude Brazil, Argentina and parts of Eastern Europe.

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Ian Haddock, shown at the 35th Annual GLAAD Media Awards New York in 2024, participated in a trial of lenacapavir.
A medical assistant draws blood from a patient on National HIV Testing Day in Miami, Fla., in 2017.
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Overview

  • Phase 3 trials showed lenacapavir’s twice-yearly injection achieved 100% efficacy in preventing HIV infection in cisgender women.
  • U.S. regulatory approval is expected on June 19, paving the way for the first long-acting preventive HIV injection in America.
  • Gilead partnered with six generic manufacturers to produce low-cost versions of lenacapavir for 120 designated low-income countries.
  • The company pledged to supply no-profit doses of lenacapavir to about 2 million people before generic versions become available.
  • Advocates warn that an expected U.S. list price near $25,000 per year and licensing exclusions for key middle-income nations could hinder broader access.