{"id":166592,"date":"2024-12-16T11:04:37","date_gmt":"2024-12-16T17:04:37","guid":{"rendered":"https:\/\/tecscience.tec.mx\/en\/?p=166592"},"modified":"2024-12-18T13:48:04","modified_gmt":"2024-12-18T19:48:04","slug":"lenacapavir-hiv-drug","status":"publish","type":"post","link":"https:\/\/tecscience.tec.mx\/en\/health\/lenacapavir-hiv-drug\/","title":{"rendered":"Why Lenacapavir Was Named the 2024 Breakthrough of the Year"},"content":{"rendered":"\n<p>The injectable HIV medication <a href=\"https:\/\/www.science.org\/content\/article\/breakthrough-2024#section_breakthrough\" target=\"_blank\" rel=\"noreferrer noopener\">lenacapavir<\/a> has been selected as the 2024 Breakthrough of the Year by <em>Science<\/em> magazine. Following remarkable results from two large-scale clinical trials that demonstrated a complete reduction in new HIV infections, this groundbreaking treatment offers a glimmer of<strong> hope for reducing the virus&#8217;s incidence worldwide.<\/strong><\/p>\n\n\n\n<p>The publication emphasized that HIV continues to infect over a million people annually, while a vaccine remains <a href=\"\/en\/health\/hiv-vaccine\/\" target=\"_blank\" rel=\"noreferrer noopener\">out of reach<\/a>. &#8220;But this year the world got a glimpse of what might be<strong> the next best thing<\/strong>: an injectable drug that protects people for 6 months with each shot,&#8221; <em>Science<\/em> noted.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">The Impact of Lenacapavir in Two Clinical Trials<\/h2>\n\n\n\n<p>Although injectable lenacapavir has been available for two years as a treatment for individuals who do not respond to other medications, it now stands poised to become <strong>the most effective form of pre-exposure prophylaxis (PrEP)<\/strong>, says <em>Science<\/em>.<\/p>\n\n\n\n<p>In June, lenacapavir revolutionized PrEP by reporting <strong>zero infections in a blinded <a href=\"https:\/\/www.nejm.org\/doi\/10.1056\/NEJMoa2407001\" target=\"_blank\" rel=\"noreferrer noopener\">study<\/a><\/strong> of more than 5,000 cisgender women and adolescent girls in South Africa and Uganda who received the injections.<\/p>\n\n\n\n<p>By September, a second PrEP <a href=\"https:\/\/www.nejm.org\/doi\/10.1056\/NEJMoa2411858\" target=\"_blank\" rel=\"noreferrer noopener\">trial<\/a> using lenacapavir recorded <strong>only two infections among over 2,000 <\/strong>cisgender men, transgender men and women, and non-binary individuals who have sex with men across South America, Asia, Africa, and the United States.<\/p>\n\n\n\n<p><strong>&#8220;You don\u2019t see data like this every day,&#8221;<\/strong> said Mitchell Warren, executive director of AVAC, a nonprofit organization originally established as the AIDS Vaccine Advocacy Coalition and now increasingly focused on advancing PrEP solutions.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Unveiling the HIV Capsid Protein<\/h2>\n\n\n\n<p>Another reason lenacapavir earned the title of Breakthrough of the Year is its foundation on a novel understanding of <strong>the HIV capsid protein&#8217;s structure and function<\/strong>. The drug targets and inhibits this protein to achieve its effects.<\/p>\n\n\n\n<p>&#8220;Many other viruses have their own capsid proteins, which form a shell around their genetic material, making the success of this drug an exciting step toward<strong> developing similar inhibitors<\/strong> for other viral diseases,&#8221; the article explained.<\/p>\n\n\n\n<p>Unlike traditional HIV medications that disrupt viral enzymes by binding to their active sites, lenacapavir interacts with the capsid proteins <strong>forming a protective cone around the viral RNA<\/strong>. Initially, researchers considered the capsid an &#8220;unviable&#8221; target for drugs. However, recent discoveries revealed the cone to be a stable yet flexible structure, enabling Gilead scientists to develop lenacapavir.<\/p>\n\n\n\n<p>The main challenge was the drug&#8217;s low solubility, which hindered its absorption. Transforming it into an injectable form turned this limitation into its greatest advantage,<strong> granting it an exceptionally long half-life in the body.<\/strong><\/p>\n\n\n\n<p>Approved in the United States in 2012, oral PrEP pills offer strong protection against HIV but <strong>have faced barriers in lower-income countries<\/strong> due to limited access and societal stigma.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">A \u201cTurning Point\u201d in HIV Prevention<\/h2>\n\n\n\n<p>According to <em>Science<\/em>, lenacapavir could be a &#8220;turning point&#8221; in getting closer to achieve the Joint United Nations Programme on HIV\/AIDS (UNAIDS) goal <strong>of reducing new infections to below 370,000 by next year and fewer than 200,000 by 2030.<\/strong><\/p>\n\n\n\n<p>The drug\u2019s potential also lies <strong>in scaling production and ensuring accessibility<\/strong>, said Linda-Gail Bekker, an infectious disease specialist at the University of Cape Town who led one of the efficacy trials for the Gilead Sciences-developed drug.<\/p>\n\n\n\n<p>The pharmaceutical company plans to produce a low-cost generic version for 120 developing countries, though others, such as Brazil, will not yet benefit from this discount.<\/p>\n\n\n\n<p><strong><em>Did you find this story interesting? Would you like to publish it? Contact our content editor to learn more at\u00a0<a href=\"mailto:marianaleonm@tec.mx\">marianaleonm@tec.mx<\/a><\/em><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A large efficacy trial in African adolescent girls and young women reported in June that these shots reduced HIV infections to zero, which offers hope when it comes to prevention.<\/p>\n","protected":false},"author":18,"featured_media":166596,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_eb_attr":"","footnotes":""},"categories":[86],"tags":[],"class_list":["post-166592","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v21.0 (Yoast SEO v27.6) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Lenacapavir, the HIV Drug, Considered 2024 Breakthrough | 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