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FDA grants tentative OK to generic twice-yearly HIV prevention shot

FDA granted tentative approval to Dr. Reddy's generic lenacapavir, a twice-yearly HIV prevention injection priced at $40 a year for 120 countries, AllAfrica and AP reported.

Developing story: what's new
  1. AllAfrica is now reporting this
  2. New headline Was: “FDA tentatively approves generic twice-yearly HIV prevention shot”
  3. Our desk updated its story
  4. Still developing
  5. WPRI 12, Local 10 and 7 more are now reporting this
  6. Our desk updated its story
  7. Still developing
  8. Reuters is now reporting this
3 earlier updates
  1. New headline Was: “Approval of a cheap version of HIV-prevention shot lenacapavir raises hopes in low-income countries”
  2. Our desk filed its story
  3. AP is now reporting this

Wire reporting: (AP, via Local 10), (AFP, via IOL)

The U.S. Food and Drug Administration granted approval for a generic version of lenacapavir, a twice-yearly injection used to prevent HIV, Dr. Reddy's Laboratories and Unitaid said, according to AllAfrica and AFP-via-IOL.1,10 AP described the action as tentative, the usual FDA label for generics while the originator remains under patent, and said it is meant to support quality checks for HIV drugs supplied abroad.2

AllAfrica said the Indian manufacturer developed the generic with Unitaid, Wits RHI and the Clinton Health Access Initiative, and that it is to be available at $40 per person per year in 120 countries under a September 2025 pricing agreement.1 AP said that price matches daily preventive pills now in use and that the product is aimed at 120 low- and middle-income countries.2

AllAfrica said Gilead Sciences first won U.S. approval for lenacapavir in June 2025 after large trials described as more than 99.9 percent effective.1 AP said the branded U.S. product, Yeztugo, remains patent-protected and cannot be sold as a generic in the United States, with a U.S. list price of $28,218 a year before insurance.2

AP said Gilead last year licensed six generic makers royalty-free for a set of countries in sub-Saharan Africa, Asia and Latin America.2 Deepak Sapra of Dr. Reddy's called it "a moment of immense pride for all of us at Dr Reddy's," AllAfrica reported.1 AP said a Gilead spokesperson stated the company believes it enabled the fastest sustainable path to expanding access.2

AP, citing WHO figures, said 41 million people were living with HIV last year and 570,000 died of HIV-related causes.2 Common side effects include injection-site reactions, headache and nausea, and people must be tested for HIV before starting and at each shot, AP reported.2

Partners told AP generic supply could begin in some places within weeks, with other licensed makers still awaiting FDA action, and that buying and delivering the drug remains unfinished work.2 Reuters's full report could not be read from this desk.4

Sources

  1. AllAfricaNigeria: Cheap Version of Breakthrough HIV Prevention Shot Approved
  2. APApproval of a cheap version of HIV-prevention shot lenacapavir raises hopes in low-income countries
  3. WPRI 12FDA approves generic twice-a-year HIV prevention shot
  4. ReutersDr Reddy's gets tentative US FDA nod for generic HIV prevention
  5. (AP, via Local 10)Approval of a cheap version of HIV-prevention shot lenacapavir raises hopes in low-income countriesAlso (AP, via Anchorage Daily News), (AP, via The Seattle Times), (AP, via The Philadelphia Inquirer), (AP, via KSAT), (AP, via ClickOnDetroit), (AP, via ClickOrlando)
  6. (AFP, via IOL)Generic lenacapavir HIV prevention shot wins US FDA approval

How it’s being reported

5 sources

First reported by KSATKSAT

AllAfricaWPRI 12APReutersIOL

Where they agree

  • FDA approved a generic of twice-yearly lenacapavir, announced by Dr. Reddy's and Unitaid.
  • The product is aimed at low- and middle-income countries, not U.S. retail sale of a generic.

Side by side

Each outlet's article broken down by our newsroom, in our own words. To read what they wrote, use the button under each one.

AllAfricaAllAfrica

Nigeria: Cheap Version of Breakthrough HIV Prevention Shot Approved

The $40 pricing deal and comments from Dr. Reddy's and Unitaid.

Daily Trust report that the FDA approved a low-cost generic of twice-yearly lenacapavir, with a $40-a-year price for 120 countries.

Leaves out U.S. brand list price and Gilead statement on access.

The $40 pricing deal and comments from Dr. Reddy's and Unitaid.

What it reports

  • Generic is to be available at $40 per person per year in 120 countries under a September 2025 pricing agreement.
  • Partners named include Unitaid, Wits RHI and the Clinton Health Access Initiative.
  • Gilead's original was approved in June 2025 after large trials described as more than 99.9 percent effective.
  • Daily pills only work if taken consistently; a twice-yearly shot is presented as an alternative for PrEP.

Leaves out U.S. brand list price and Gilead statement on access.

APAP

Approval of a cheap version of HIV-prevention shot lenacapavir raises hopes in low-income countries

Gives this outlet’s account of the story.

Gives this outlet’s account of the story.

AP has legal limits on how other sites show its reporting, so here you get its headline and our one-line take. For its full point of view, go straight to the source.

Same copy also at: (AP, via Local 10) · (AP, via Anchorage Daily News) · (AP, via The Seattle Times) · (AP, via The Philadelphia Inquirer) · (AP, via KSAT) · (AP, via ClickOnDetroit) · (AP, via ClickOrlando)