US FDA approves Gilead's twice-yearly injection for HIV prevention

5 months ago (reuters.com)

Who will take this drug? Every sexually active person? Would insurers pay for prophylaxis?

  • Anyone at risk of exposure.

    https://hivinfo.nih.gov/understanding-hiv/fact-sheets/pre-ex...

    • thanks for that link.

      if you are HIV negative, have had anal or vaginal sex in the past 6 months, and:

        Have a sexual partner with HIV (especially if the partner has an unknown or detectable viral load), or
        Have not consistently used a condom, or
        Have been diagnosed with a sexually transmitted infection (STI) in the past 6 months.
      

      This is a very, very high number of candidate patients! Anyone who inconsistently uses a condom. "During 2011–2015, 14.8 percent of women and 19 percent of men aged 15–44 reported that they used a condom ‘every time’ they had intercourse in the past 12 months,” the NCHS team wrote in their report." [1]

      [1] https://www.nbcnews.com/health/health-news/third-u-s-men-use...

      1 reply →

  • I can think of a few cases where this would be a good idea. IV drug users, those engaging in risky sex, sex workers, hospital workers after accidental exposure, HIV positive mothers, those with drug resistant HIV, people with HIV positive partners, and anyone who cares to.

    • Honestly some of the people that would benefit the most probably aren't going to be taking this. E.g IV drug users, sex workers, and people engaging in risky sex might not be the people that are likely to proactively seek this out. A decent subset of this population probably will use this but a sizeable proportion won't.

      2 replies →

  • My guess is that it's cost effective to pay for prevention.

    • > My guess is that it's cost effective to pay for prevention.

      Is there any prevention with this vaccine ? Or you will make an "lighter type" of disease as with other viruses ?

  • Insurance (at least some) do pay for oral HIV prophylaxis (in the US)

    • It’s part of Obamacare, all insurances (with small exception) are required to pay for HIV prophylaxis for vulnerable populations (I.e gay or the ones having sex with multiple partners without condom, so basically everyone who needs it).

  • Here in Spain people in risk groups can get it from the government. No insurers necessary (personally I don't even have health insurance other than the state system)

  • Most gay men will

    • Everyone currently taking PrEP I would think. As long as it's cost competitive and accessible. Having to take a shot every 6 months is a hell of a lot more convenient and reliable than having to take a pill every day.

This is awesome news, with a lot of the recent news I was worried this was not going to happen or we would get some stupid fear mongering (or some puritanical reason used).

Now the real question is insurance. Is this cheaper than the pills?

To my knowledge even the previous injections were hard to get insurance to pay for given how cheap you can get truvada since its generic.