By Muhammad Amaan with agency report
Gilead could bring the Acquired Immune Deficiency Syndrome pandemic towards an end if the United States pharmaceutical giant opens up access to its game-changing new Human Immunodeficiency Virus drug, the executive director of the Joint United Nations Programme on HIV/AIDS, Winnie Byanyima told AFP.
Byanyima urged Gilead to “make history” by allowing generic manufacturing of Lenacapavir, a twice-yearly injectable antiretroviral medication used to treat HIV patients.
She urged Gilead to open up Lenacapavir to the UN-backed Medicines Patent Pool international organisation, whereby cheaper generic versions could be sold under licence in low- and middle-income nations.
Whatever the financial rewards of creating Lenacapavir, the renown of being the company that conquered the AIDS pandemic would be greater, Byanyima said.
“Gilead has an opportunity to take us closer to ending AIDS as a public health threat. Gilead has an opportunity to save the world. To save the world, literally,” from the pandemic, Byanyima told AFP in an interview at UNAIDS’ headquarters in Geneva.
“They can be the company that wins a Nobel Prize, for example. The reward doesn’t come just through money. There is also recognition, imagine how great it would be,” the UNAIDS boss added.
While around 10 million people with HIV still need to be reached with antiretroviral therapy, around 30 million are on such treatment. Byanyima said this was only possible thanks to innovations from pharmaceutical companies like Gilead.
But Lenacapavir is “so highly effective, it’s in a different category of preventive medicines,” she said.
“Those people hiding from the law — gay men, trans women — who could come out just twice a year to get their injection and be safe,” she said, not to mention young women in Africa, fearing stigma and domestic violence.
Lenacapavir was approved for use for HIV patients in the US and the European Union in 2022. It is available for around $40,000 a year in the US.
It is also being tested for potential pre-exposure prophylaxis use, to prevent people without HIV from getting the virus — with very promising interim results.
Byanyima insisted that through tiered pricing — for example, someone in Nepal paying a fraction of the price of someone in Britain — Gilead could still turn a profit on Lenacapavir.
She added, “We could come close to ending this disease,” saying that the pharma company has previously said it is in talks with governments and organisations “as we work to reach our access goals.”
Broadly speaking, HIV innovations were producing better products for prevention and treatment with greater efficacy and fewer side effects, Byanyima said.
However, “a vaccine is very, very difficult to make. Same as a cure. But we have everything in between now for people to live long, healthy lives,” she noted.
Some 1.3m people were newly infected with HIV last year. UNAIDS maintains it’s possible to end HIV as a public health threat by 2030 — but only if leaders make the right decisions on funding, resourcing, and rights.
“We do see countries making progress towards that, which also proves that it is possible,” said Byanyima.
She said that since 2010, some countries in sub-Saharan Africa had reduced new infections by more than half, and deaths by up to 60 per cent.
However, “we also have regions such as Eastern Europe, Central Asia, and Latin America where we see new infections moving in the wrong direction and rising,” with stigma pushing people away from services.
Byanyima also warned of a “well-coordinated, well-resourced pushback” against LGBTQ rights, reproductive rights, and gender equality.
She cited the harsher Anti-Homosexuality Act imposed in her native Uganda, moves to decriminalize female genital mutilation in The Gambia, and the US Supreme Court stripping constitutional protections for abortion.
The 25th International AIDS Conference takes place in Munich, Germany, from Monday to Friday, bringing together governments, civil society, academia, scientists, and people living with HIV to share knowledge.
Byanyima said she wanted to see a boost in the political will to conquer the AIDS pandemic.
“Fulfil the promise that this disease will end. No one should suffer, from living with HIV. We have all the possibilities for people to live healthy lives. And we should do it,” she said.
