FDA Approves Gilead’s Sunlenca for Some HIV Patients

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FDA has approved Gilead’s Sunlenca (lenacapavir), described as a new type of antiretroviral medication for adult patients with human immunodeficiency virus type 1 (HIV-1) whose infections cannot be successfully treated with other available treatments due to resistance, intolerance, or safety considerations. An agency announcement says that after the oral tablet and subcutaneous injection starting dose arecompleted, Sunlenca is administered as subcutaneous injections once every six months.

The drug is the first in a new class called capsid inhibitors to be approved by the agency to treat HIV-1, the notice says. It works by blocking the HIV-1 virus’ protein shell, thus interfering with multiple essential steps of the viral lifecycle. It is given in combination with other antiretrovirals.

The efficacy and safety of Sunlenca were established through a multicenter clinical trial with 72 patients whose HIV infections were resistant to multiple classes of HIV medications, FDA says. The most common adverse effects were injection site reactions and nausea.

FDA granted Sunlenca priority review, fast track, and breakthrough therapy designations.

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