The Food and Drug Administration has approved a new shape of pre - exposure prophylaxis ( PrEP ) for preventing cases of HIV . The treatment is called Apretude , and it ’s the first PrEP medicine to be take via shot rather as a once - daily pill . Apretude will only need to be take once a month initially , then every two months , in all likelihood supply a more convenient option for many people .
The first PrEP discourse , Truvada , was approved by the FDA in 2012 . In 2019 , Descovybecamethe second PrEP treatment to be approved . Both were developed by Gilead Sciences and swear on a two - drug compounding of exist antivirals commonly used to treat HIV . When take as prescribed , PrEP is extremely effectual at prevent sexually transmitted HIV infections ( around 99 % effectual ) , though it ’s less efficient ( 74 % ) at preventing infection sign on from partake contaminated needles .
The growing use of PrEP haslikely contributedto decline rate of raw HIV infections seen recently in the U.S. , but its carrying out has run into stumble . The brand - name drug have been relatively expensive , costing over $ 1,500 per month without insurance policy . Until lately , even PrEP substance abuser with insurance policy stilloften facedhigh out - of - pouch costs . And it ’s only this yr , following lengthy resistance by Gilead , that other drug manufacturer wereallowedto widely produce a generic equivalent to Truvada , which has led to a incisive price drop for the treatment .

Photo: Sean Gallup (Getty Images)
out of doors of cost , the once - daily dose for PrEP presented a challenge , since many people eligible for the discourse may not be able-bodied or uncoerced to keep their regimen . So Apretude may offer more opportunities for preparation to be used .
The drug is an extended - release injectable reprieve of the HIV antiviral cabotegravir , develop by ViiV Healthcare . It ’s been approved for teens and adult who are considered to be at higher risk for contracting HIV-1 , the primary subtype of the computer virus in the U.S. People starting on Apretude will take it once a month for the first two calendar month , and then every two month later on . Those considering Apretude can also first take the unwritten interpretation of cabotegravir for a month , to appraise its tolerability .
“ Today ’s approval adds an important tool in the attempt to cease the HIV epidemic by put up the first selection to prevent HIV that does not involve taking a casual pill , ” say Debra Birnkrant , director of the Division of Antivirals in the FDA ’s Center for Drug Evaluation and Research , in the FDA’sannouncementof the approval . “ This injection , yield every two months , will be critical to addressing the HIV epidemic in the U.S. , let in help gamey - peril individuals and certain groups where adhesion to day-after-day medicine has been a major challenge or not a realistic option . ”

Though Apretude may represent an important step onward for HIV bar , it will not come tattily . The list price of the drug isexpectedto go around $ 3,700 per dose , harmonize to NBC News . Over a twelvemonth ’s meter on a six - dose schedule , the drug will cost around $ 22,000 a year , or roughly the same amount that Truvada did annually . commence this year , however , many health coverage programme will berequiredto ante up the intact costs of preparation , without any out - of - pocket price for users . But eminent list monetary value can still limit the handiness and affordability of a drug , particularly for uninsured people .
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