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HIV Pipeline Cabotegravir-LA HIV Pipeline Cabotegravir-LA

HIV Pipeline Cabotegravir-LA - PowerPoint Presentation

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Uploaded On 2019-02-15

HIV Pipeline Cabotegravir-LA - PPT Presentation

GSK744 CAB For PrEP INI ViiV Topical microbicide Oral Longacting LA parenteral 1 Fostemsavir BMS663068 Prodrug of BMS626529 Attachment inhibitor BMS ViiV MK8591 EFdA ID: 751991

inhibitor ns3 abt ns5a ns3 inhibitor ns5a abt ns5b 7977 gt1 rbv sof tablet age janssen bms updated patent

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Slide1

HIV Pipeline

Cabotegravir-LA

(GSK-744; CAB)For PrEPINIViiV

Topical microbicide

Oral

Long-acting (LA) parenteral

1

Fostemsavir

(BMS-663068)

Prodrug of BMS-626529Attachment inhibitorBMS  ViiV

MK-8591 (EFdA)NRTTI6Merck

Dapivirine(TMC120; DPV)IVR for PrEPNNRTIJanssen  IPMFiled with EMA

Other parenteral

Cenicriviroc

7(TBR-652; CVC)Not for X4-tropic HIVEntry inhibitorTakeda  Tobira

PC-1005(MIV-150+zinc acetate) Multipurpose gel including for PrEPNNRTIPopulation Council; NIH

GSK3640254 Maturation InhibitorGSK

PRO-140 (PA14)3Not for X4-tropic HIVEntry inhibitor; mAb(not an ARV) CytoDyn

ABX464Rev inhibitor5Abivax

Potential first-in-class to reach market

Cabotegravir-LA + Rilpivirine-LA

Maintenance strategy

ViiV + Janssen

Vicriviroc (MK-4176)

± MK-2048

IVR for PrEP10Entry Inhibitor ± INI NIH; Merck

GSK2838232Requires a boosterMaturation InhibitorGSK

TMB-60711(MK-8122, PPL-100)Protease inhibitorAmbrilia TaiMed

UB-4214(TMB-355)mAb against CD4(not an ARV)United Biopharma

VRC018bNAb against gp120For preventionNIH

VRC family8 (VRC01LS, VRC07, VRC07-523LS, 10E8VLS, N6LS …)bNAbs against gp120For prevention or treatmentNIH

MK-4250MOA unknownMerck

MK-8504NRTI (TFV prodrug)Merck

P

Being studied in adolescents and/or children

P

P

P

Vesatolimod

(GS-9620)9TLR7 agonist / Immunomodulator(not an ARV)Gilead

GS-9131NRTIGilead

GS-620712(GS-CA2)Capsid inhibitorGilead

GS-972213bNAb against gp120Gilead

10-1074(LS) + 3BNC117(LS)

14bNAbs against gp120For prevention or treatmentRockefeller; NIH

PGDM1400 + PGT121bNAbs against gp120For prevention or treatmentIAVI

Medicines Patent PoolList not exhaustive. Last updated on: 10/2018

MK-8527MOA unknownMerck

MK-8583

NRTI

MerckSlide2

Child & Adolescent HIV Pipeline

Medicines Patent Pool

List not exhaustive. Last updated on: 11/19/2018§TAF is also being studied in children with chronic hepatitis B in Ph2/3 studyDolutegravirIntegrase inhibitor

ViiV[down to 4w]

Cabotegravir-LAI +

Rilpivirine-LAI

Maintenance strategy

ViiV + Janssen[12-17y]

Oral

Long-acting (LA) parenteral1Other parenteral

VRC01, VRC01-LSbNAb against gp120As maintenanceNIH[up to 5y]

DoravirineNNRTIMSD[12-17y]DapivirineIVR for PrEP

NNRTI

Janssen  IPM

Filed with EMA[15-17y]Topical microbicide

Licensed to MPPBictegravirIntegrase inhibitorGilead[2-17y, VS]

VS Virologically suppressed

TAF§NRTIGilead[1m-17y, VS]

Also Ph2/3Also Ph1/2

Microneedle Patch (of RAL, or EfdA?)

Queens’ Univ. of Belfast; PATH

PIP Confirmed

Preclinical or

Formulation Development

Ibalizumab

(Trogarzo®, TMB355)mAb against CD4TaiMed

Biologics; TheratechnologiesSolid Drug Nanoparticles (SDN of DRV/r, LPV/r…)Univ. LiverpoolVRC01, VRC01-LS

bNAb against gp120As prophylaxisNIH[Neonates]Slide3

Paritaprevir

/r (ABT-450/r)NS3/4A inhibitorEnanta + AbbVie

HCV Direct-Acting Antivirals (DAAs) Marketed or under active clinical developmentSofosbuvir(GS-7977/PSI-7977; SOF) NS5B inhibitor – nuc 2GileadGlecaprevir(ABT-493; GLE) 5NS3/4A inhibitorEnanta + AbbVie

Daclatasvir(BMS-790052; DCV)NS5A inhibitorBMS

Pibrentasvir(ABT-530; PIB) NS5A inhibitor

AbbVieDasabuvir

(ABT-333)NS5B inhibitor – non-nucAbbVie

Asunaprevir 3 (BMS-650032)NS3/4A inhibitorBMS

Ombitasvir(ABT-267; OBV)NS5A inhibitorAbbVie

Voxilaprevir(GS-9857; VOX)NS3/4A inhibitorGileadLedipasvir (GS-5885; LDV)NS5A inhibitorGileadVelpatasvir(GS-5816; VEL)NS5A inhibitorGileadSimeprevir(TMC435; SIM; SMV)NS3/4A inhibitorJanssenOdalasvir(ACH-3102)NS5A inhibitor

Achillion  JanssenBoceprevir(SCH-503034)NS3/4A inhibitorMerckVaniprevir 4(MK-7009)NS3/4A inhibitorMerckGrazoprevir (MK-5172; GZR)NS3/4A inhibitorMerck

Elbasvir(MK-8742; EBR)NS5A inhibitorMerckRuzasvir(MK-8408; RZR) NS5A inhibitor MerckUprifosbuvir(MK-3682; UPR)NS5B inhibitor – nuc MerckRavidasvir 9 (PPI-668; ASC16; RDV) NS5A inhibitor Presidio

 Pharco; Ascletis

Filed with CFDA Danoprevir/ritonavir

6 (ITMN-191, ASC08)NS3/4A inhibitorRoche; Ascletis TD-6450NS5A inhibitorTheravance  TREKtxTelaprevir(VX-950)NS3/4A inhibitorVertex  Janssen AL-335

NS5B inhibitor – nuc Alios (now Janssen)Not pangenotypicPangenotypicIndividual pangenotypic potential per published in vitro data:1Pangenotypic coverage not verifiable

Faldaprevir 7(BI 201335)NS3/4A inhibitorBI  TREKtxGSK2878175 8Oral & LAPNS5B inhibitor – non-nuc GSKFuraprevir (TG-2349)

NS3/4A inhibitorTaiGen MB-110NS5A inhibitorMicrobio Co.CC-31244NS5B inhibitor – non-nuc Cocrystal PharmaList not exhaustive. Host-targeting agents are not included Medicines Patent Pool. Last updated on: 8/2018

NUCAT-527NS5B inhibitor - nucAtea Pharmaceuticals

Discontinued9

SH229

NS5B inhibitor

Nanjing

Sanhome PharmaceuticalsSlide4

Paritaprevir

/r (ABT-450/r)NS3/4A AbbVieSofosbuvir(GS-7977) NS5B – nucGileadGlecaprevir(ABT-493) NS3/4AAbbVie

Pibrentasvir(ABT-530) NS5AAbbVieDasabuvir (ABT-333)NS5B – non-nucAbbVieOmbitasvir(ABT-267)NS5A AbbVie

Voxilaprevir(GS-9857)NS3/4A Gilead

Ledipasvir (GS-5885)

NS5AGileadVelpatasvir

(GS-5816)NS5A Gilead

Simeprevir(TMC435)NS3/4A Janssen

Grazoprevir (MK-5172)NS3/4A Merck

Elbasvir(MK-8742)NS5AMerckRavidasvir (PPI-668; RDV) NS5A Presidio  Pharco, AscletisSofosbuvir(GS-7977) NS5B – nucGileadDaclatasvir(BMS-790052)NS5A BMSGT1~4b

Sofosbuvir(GS-7977) NS5B – nucGilead Sofosbuvir(GS-7977) NS5B – nucGilead

MarketedPhase III+Velpatasvir(GS-5816)NS5A Gilead

Sofosbuvir(GS-7977) NS5B – nucGilead

Sofosbuvir

(GS-7977) NS5B – nucGilead+GT1, ± RBV for GT1, 4dGT1GT1, 4, 5, 6; + RBV for GT3aParitaprevir

/r (ABT-450/r)NS3/4A Ombitasvir(ABT-267)NS5A± RBV for GT4Medicines Patent PoolList not exhaustive. Last updated on: 8/2018± RBV GT1, 4; + SOF for GT3c GT1~6

GT1~6eGT1~6fPFDA-approved for age 12+

HCV DAA Combination RegimensFixed-dose combinationPPaediatric investigation underwayP

PPPP

PRavidasvir (PPI-668; RDV) NS5A Presidio

 Pharco, Ascletis

Danoprevir/ritonavir (ITMN-191, ASC08)

NS3/4A inhibitorRoche; Ascletis

+P+RBVgSlide5

Regimen

Age 12+Age 6 to <12 yrsAge 3 to < 6 yrsSOF + RBV

Approved(GT2, 3; ≥35kg)Phase 2 (GT2, 3)1(small tablet or granules for young children)SOF/LDVApproved (GT1, 4-6; ≥35kg)Two Phase 2 studies

(1/2-dose tablet)

OBV/PTV/r ± DSV ± RBVPhase 3

SOF/LDV + RBV

Phase 2

(GT3 only)(Tablet or “age-appropriate dose or formulation”) GRZ/EBR

Phase 2 (GT1, 4 only)(Tablet or granules for young children)

SOF/VELPhase 2 (Tablet of “age-appropriate dose”)SOF/VEL/VOXMay be covered in Registry for paediatric & adolescent patientsSOF + DCVPhase 3(Age 8-18, GT4 only, Egypt; 1 or ½ tablet)2

--GLE/PIBPhase 3, with Expanded Access Program(“Paediatric formulation” for 3 to <12 yrs)List not exhaustive. Some studies are investigator-initiated.Medicines Patent Pool. Last updated 11/2018

PangenotypicNot pangenotypic

Development Progress of Paediatric HCV Regimens