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WHO Endorses Monthly PrEP Pill and Six-Month Injection as Funding Gaps Loom

New global guidelines recommend long-acting oral PrEP with a six-month injectable alternative under a patent pool license poised to expand access despite severe budget shortfalls

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Overview

  • WHO formalized Phase 2 data on MK-8527, confirming its safety and 30-day protective levels and endorsed six-month lenacapavir injections at the IAS 2025 conference
  • The agency updated treatment guidance to include dual therapy with dolutegravir and lamivudine for patients maintaining undetectable viral loads
  • Medicines Patent Pool unveiled a voluntary license covering 133 countries, including all low-income and sub-Saharan African nations, to accelerate distribution of new HIV prevention and treatment options
  • WHO recommended rapid HIV self-test kits to streamline diagnosis and enable community-based delivery of long-acting prevention tools
  • UNAIDS data officers warned that global budget cuts are forcing the suspension of prevention programs and could delay implementation of these breakthroughs