Opinion: The decades-long journey to Gilead’s twice-a-year HIV prevention drug lenacapavir

Gilead’s twice-a-year HIV prevention drug lenacapavir is 30 years in the making. Here’s the story behind it.

Jun 23, 2025 - 09:50
 0
Opinion: The decades-long journey to Gilead’s twice-a-year HIV prevention drug lenacapavir

On Thursday, the FDA approved lenacapavir, to be sold as Yeztugo, for the prevention of HIV in the U.S. The below essay, adapted from “Breakthrough: The Quest for Life-Changing Medicine” by William Pao, looks at lenacapavir’s decades-long journey to approval.

By the mid-1990s, the AIDS epidemic had become a pandemic, with more than 3 million new HIV infections and more than 1 million AIDS-related deaths each year. A million children, most of them in sub-Saharan Africa, had been orphaned by AIDS. The numbers just kept going up and up.

Read the rest…