Islatravir + lenacapavir
Kept virus undetectable for 96 weeks in phase 2. Two phase 3 trials.
Current treatment controls the virus and prevents transmission, but it is lifelong. Research moves on two fronts: ever less frequent dosing and drug-free remission.
The latest developments, newest first.
New cases from Essen and Kansas City, all after bone marrow transplants for cancer. Not an option for most patients.
Lenacapavir plus two antibodies kept 89% of patients suppressed for a year.
Each column is a step on the road to the pharmacy. Colors show the type of treatment.
Kept virus undetectable for 96 weeks in phase 2. Two phase 3 trials.
Twice-yearly dosing. 89% suppressed at 52 weeks.
96% suppressed. Next test: dosing every 6 months.
Aims to mimic natural drug-free control of the virus.
Aim to clear hidden virus. Still years from clinical use.
Candidates that looked promising and were stopped. Most treatments tested never reach the market.
2023 · Janssen's preventive vaccine; phase 3 showed no protection.
Not for most; 13 people in remission after transplants. Current treatment: Daily or injectable antiretrovirals.
Fasevia tracks 5 candidates: Islatravir + lenacapavir (Phase 3); Lenacapavir + 2 bNAbs (Phase 2); N6LS + cabotegravir (Phase 2); N-803 (Phase 1); CAR-T e células NK modificadas (Lab / pilot).
The furthest along today is Islatravir + lenacapavir (MSD · Gilead), in phase 3. Kept virus undetectable for 96 weeks in phase 2. Two phase 3 trials.
A drug has to complete phase 3 and be reviewed by health agencies such as the FDA or EMA, which usually takes several years. The leading candidate today is in phase 3.