FDA OKs Gilead’s Descovy for HIV Prevention
FDA has approved Gilead Sciences’ Descovy (emtricitabine 200 mg and tenofovir alafenamide 25 mg) for use in at-risk adults and adolescents weighing at least 35kg for HIV-1 pre-exposure prophylaxis (PrEP) to reduce the risk of HIV-1 infection from sex, excluding those who have receptive vaginal sex. The drug was first approved in 2016 in combination with other antiretoviral drugs to treat HIV-1 infection in adults and pediatric patients.
An FDA release says PrEP is an HIV prevention method in which people who do not have HIV take medicine on a daily basis to reduce their risk of getting HIV if they are exposed to it. “Descovy for PrEP should be used as part of a comprehensive strategy, including adherence to daily administration and safer sex practices, including condoms, to reduce the risk of sexually acquired infections,” it says.
Approval was based on data from a double-blind multinational trial in 5,387 HIV-negative men and transgender women who have sex with men and were at risk of HIV-1 infection. The trial compared once daily Descovy to Gilead’s other PrEP therapy Truvada (emtricitabine, tenofovir disoproxil fumarate, 200 mg/300 mg). The primary endpoint was the rate of HIV-1 infection in each group, and data showed that Descovy was similar to Truvada in reducing the risk of acquiring HIV-1 infection. The most common adverse reaction was diarrhea.
The approval also required a boxed warning for those who take Descovy who also have hepatitis B virus (HBV) to be aware of the risk of exacerbations of HBV if they discontinue Descovy therapy.