Truvada PrEP REMS Needs More Work, FDA Panel Says

In a marathon meeting, the Antiviral Drugs Advisory Committee endorses use of Gilead’s emtricitabine/tenofovir fixed-dose combination for pre-exposure prophylaxis to reduce the risk of sexually acquired HIV infection, but some committee members say Gilead’s REMS needs more “teeth,” including a linkage between a documented negative HIV test and access to the drug.

An FDA advisory committee endorsed the use of Gilead Sciences Inc. HIV drug Truvada (emtricitabine/tenofovir) for pre-exposure prophylaxis (PrEP) but called for a stricter Risk Evaluation and Mitigation Strategy than that proposed by the sponsor, including possibly linking prescribing to evidence of a negative HIV test.

In a marathon, 12½-hour meeting May 10, the Antiviral Drugs Advisory Committee voted to support the use of Truvada as...

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