Last night, the U.S. Food and Drug Administration’s (FDA) Antiviral Drugs Advisory Committee recommended that emtricitabine/tenofovir disoproxil fumarate (FTC-TDF, marketed by Gilead Pharmaceuticals as Truvada) be indicated for use in preventing HIV, in what is known as pre-exposure prophylaxis (PrEP). The advisory committee’s recommendations will now be considered by the FDA, which is expected to issue a final decision on the matter by June 15, 2012. The FDA usually accepts the advice of its advisory panels.
Kenneth H. Mayer, MD, Medical Research Director and Co-Chair of The Fenway Institute (Photo credit: Marilyn Humphries)
Fenway Health issued a statement commending the FDA panel’s decsion and Dr. Kenneth H. Mayer, Fenway’s Medical Research Director and Co-Chair of The Fenway Institute, was quoted in a Reuters story that was picked up by a number of major news outlets.
“Today is an exiciting day for HIV prevention. Although FTC-TDF for PrEP is not a panacea, this approach can prevent many new infections and could dramatically impact HIV transmission worldwide,” said Dr. Mayer. “We at Fenway Health are gratified to have been involved with this field of research for several decades and are delighted to have helped to demonstrate the utility of this approach for prevention.”
You can read the full Fenway Health statement here.
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Today, the U.S. Food and Drug Administration (FDA) is reviewing a supplemental new drug application for emtricitabine/tenofovir disoproxil fumarate (FTC-TDF) to reduce the risk of acquiring HIV in men and women by pre-exposure prophylaxis (PrEP), offered as part of a comprehensive HIV-prevention package including risk reduction counseling.
FTC-TDF is an anti-HIV medication being reviewed by the FDA for use in preventing HIV infection.
PrEP has the potential to be a game-changer in the effort to curb HIV infection worldwide. Fenway Health called on the FDA to approve PrEP use in at-risk populations in written comments filed on April 26.
“We believe that if the FDA looks closely at the science, it will see the merit of allowing PrEP to be added to our tool kit to prevent HIV infections,” said Kenneth Mayer, M.D., Medical Research Director and Co-Chair of The Fenway Institute at Fenway Health and a leading researcher in the field of biomedical HIV prevention. “We must deploy new tools to prevent new infections, which are affecting 50,000 Americans each year and more than 2 million people worldwide, most in Africa,” Mayer continued. “PrEP combined with sustained behavioral interventions and medical care to maintain adherence could help us finally begin to turn the tide with this virus.”
Earlier this year, The Fenway Institute issued a Policy Focus summarizing the state of PrEP and microbicides research as of January 2012, looking at willingness to use PrEP among various populations, addressing concerns about PrEP that could present obstacles to implementation, offering strategies for effective implementation, and examining policy issues related to cost and how to make PrEP accessible to those most vulnerable to HIV.
“PrEP has the potential to dramatically reduce HIV incidence among gay men, heterosexual women and men, and other populations,” said Sean Cahill, Director of Health Policy Research at The Fenway Institute and author of the report. “We look forward to action by the U.S. Food and Drug Administration and the World Health Organization this year to make PrEP available to those most vulnerable to HIV. PrEP could prove an invaluable new tool in the fight against HIV.”
Cahill has also authored a couple of op-ed pieces arguing for the approval of PrEP as an HIV prevention tool, first on March 26 on The Boston Globe’s Podium online opinion blog and then yesterday, May 9, on The Huffington Post.
We’ll be closely watching today’s hearing and will keep you posted about the FDA’s decision.
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The Massachusetts HIV Testing Bill was signed into law by Governor Patrick on Friday, April 28.
Fenway Health applauds the Governor’s signing of the Massachusetts HIV Testing Bill. While not perfect, it does make important change to state law, most importantly moving to an oral consent model for HIV testing. This will help normalize the process and make it a more widespread part of routine medical care in the Commonwealth, allowing us to identify many unaware of their HIV status and get them connected to care and services earlier in the progression of their HIV disease. This will lead to better health outcomes and help reduce lifetime cost-of-care.
The bill as passed does leave intact some barriers to sharing important medical information between providers to ensure the best care possible for HIV patients. We are confident that by working with our community partners and friends in the legislature, these issues can be addressed while still maintaining patient confidentiality.
We thank everyone involved in moving the Testing Bill forward for their thoughtful deliberation and dedication throughout this process, and we look forward to continuing to work together to eliminate barriers to high-quality care for all Massachusetts residents living with HIV/AIDS.
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