Gilead, US FDA Ponder Innovative Designs For Descovy HIV Prevention Study In Women

Advisory committee sent a clear message that pre-exposure prophylaxis studies are needed in cisgender women, but what those studies might look like, and whether the agency can exercise its statutory authorities to ensure they are conducted, is less clear.

KORONADAL CITY, PHILIPPINES – JANUARY 28, 2017: Rubik's Cube was invented in 1974 by Hungarian sculptor and professor of architecture Erno Rubik. Hands of a young lady trying to solve the puzzle. - Image
Gilead and the FDA are trying to solve the problem of how to study Truvada's successor, Descovy, for PrEP in cisgender women. • Source: Shutterstock

Despite a close vote recommending against approval of Gilead Sciences Inc.’s Descovy (emtricitabine/tenofovir alafenamide) for HIV pre-exposure prophylaxis in cisgender women, a US Food and Drug Administration advisory committee sent Gilead and the agency a clear message: the sponsor needs to perform prevention efficacy studies in this population.

What is less clear, however, is what those studies might look like, and whether the FDA will try to hold Gilead to its voluntary commitment to conduct such studies through public pressure or some

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