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Letters Lenacapavir in HIV prevention

Gilead’s anti-diversion clause for lenacapavir exploits vulnerable communities

BMJ 2024; 387 doi: https://doi.org/10.1136/bmj.q2659 (Published 29 November 2024) Cite this as: BMJ 2024;387:q2659
  1. Alejandra Armenta Espinosa, HIV advocate1,
  2. Timothy P Daly, postdoctoral researcher in public health2
  1. 1College of Ethnologists and Social Anthropologists, Mexico City, Mexico
  2. 2UMR 1219 Bordeaux Population Health, University of Bordeaux and INSERM, Bordeaux, France
  1. timothy.daly{at}u-bordeaux.fr

Following the promising multicentre, international Purpose 1 and Purpose 2 clinical trials with lenacapavir for HIV prevention in vulnerable populations, Gilead’s anti-diversion clause to make the generic formula unavailable in certain middle income countries where trial participants live is more than what Yamey and Machingaidze call “a missed …

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