Gilead Sciences is moving forward with plans to supply its innovative HIV prevention injection, lenacapavir, to low-income countries, even in the face of potential funding uncertainties. This promise hinges on securing a U.S. FDA approval by June 19, 2025, Reuters reported. The drug has shown nearly 100% efficacy in trials, positioning it as a potential game changer in the fight against HIV.
Central to Gilead's strategy is offering lenacapavir at cost for the first two to three years and partnering with six generic manufacturers to make affordable versions available in 120 low- and middle-income countries. The initial focus will be on reaching 2 million people in 18 low-income countries, working alongside initiatives like PEPFAR and the Global Fund, according to Gilead’s official statements. However, the plan faces potential hurdles due to recent cuts in U.S. funding for HIV programs, raising concerns about its implementation.
Despite these challenges, the broader vision remains supported by global organizations such as the Gates Foundation and Elton John AIDS Foundation, indicating that international cooperation could maintain momentum regardless of U.S. financial backing. Notably, the market expectation is strong, with projected U.S. sales of lenacapavir hitting $1 billion annually by 2026. Advocates worry about the potential spike in HIV infections if preventive measures are disrupted, underscoring the importance of maintaining support and funding.