MedPath
EMA Approval

Descovy

J05AR17

emtricitabine and tenofovir alafenamide

Antivirals for systemic use

emtricitabinetenofovir alafenamide

HIV Infections

emtricitabinetenofovir alafenamide

Basic Information

J05AR17

emtricitabine and tenofovir alafenamide

Antivirals for systemic use

Therapeutic indication

Descovy is indicated in combination with other antiretroviral agents for the treatment of adults and adolescents (aged 12 years and older with body weight at least 35 kg) infected with human immunodeficiency virus type 1 (HIV-1).

Overview Summary

This is a summary of the European public assessment report (EPAR) for Descovy. It explains how the Agency assessed the medicine to recommend its authorisation in the EU and its conditions of use. It is not intended to provide practical advice on how to use Descovy.

For practical information about using Descovy, patients should read the package leaflet or contact their doctor or pharmacist.

Authorisations (1)

EMEA/H/C/004094

Gilead Sciences Ireland UC,IDA Business & Technology Park,Carrigtohill,County Cork,T45 DP77,Ireland

Authorised

April 21, 2016

Active Substances (3)

emtricitabinetenofovir alafenamide

emtricitabine

tenofovir alafenamide

Documents (9)

CHMP summary of positive opinion for Descovy

February 24, 2016

INITIAL_MARKETING_AUTHORISATION_DOCUMENTS

Descovy : EPAR - Public assessment report

May 31, 2016

INITIAL_MARKETING_AUTHORISATION_DOCUMENTS

Descovy : EPAR - Procedural steps taken and scientific information after authorisation

December 1, 2016

CHANGES_SINCE_INITIAL_AUTHORISATION

Descovy : EPAR - Risk-management-plan summary

March 17, 2020

RISK_MANAGEMENT_PLAN_SUMMARY

CHMP summary of positive opinion for Descovy

February 24, 2016

CHANGES_SINCE_INITIAL_AUTHORISATION

Descovy : EPAR - Public assessment report

May 31, 2016

CHANGES_SINCE_INITIAL_AUTHORISATION

Descovy : EPAR - Product Information

June 1, 2016

DRUG_PRODUCT_INFORMATION

Descovy : EPAR - All Authorised presentations

May 31, 2016

AUTHORISED_PRESENTATIONS

Descovy : EPAR - Summary for the public

May 31, 2016

OVERVIEW_DOCUMENT

Overview Q&A (8)

Question

How is Descovy used?

Answer

Descovy can only be obtained with a prescription and treatment should be started by a doctor experienced in managing HIV infection.

Descovy is available as tablets, each containing 200 mg of emtricitabine and either 10 or 25 mg of tenofovir alafenamide. The recommended dose is one tablet per day, and the strength of Descovy tablet chosen by the doctor depends on which other medicines it is given with. For further information, see the summary of product characteristics (also part of the EPAR).

Question

How does Descovy work?

Answer

Tenofovir alafenamide is a ‘prodrug’ of tenofovir, meaning that it is converted into the active substance tenofovir in the body. Tenofovir and emtricitabine are related antiviral agents called reverse transcriptase inhibitors. They block the activity of reverse transcriptase, an enzyme made by the virus that allows it to reproduce itself in the cells it has infected. By blocking reverse transcriptase, Descovy reduces the amount of HIV in the blood and keeps it at a low level. It does not cure HIV infection or AIDS, but it can hold off damage to the immune system and avoid the development of infections and diseases associated with AIDS.

Question

What benefits of Descovy have been shown in studies?

Answer

The active substances in Descovy (emtricitabine and tenofovir alafenamide) are already approved to treat HIV infection together with two other active substances (elvitegravir and cobicistat) as part of the combination medicine Genvoya. The company therefore presented data from the studies previously used to approve Genvoya, including 2 studies in 1,733 previously untreated adults, where around 90% of patients responded to treatment, and another study showing benefit was maintained when patients treated with other effective combinations were switched to Genvoya.

The company also provided data from supporting studies including studies looking at the way Descovy was absorbed in the body. These studies showed that Descovy produces comparable levels of emtricitabine and tenofovir alafenamide in the body to Genvoya.

Question

What are the risks associated with Descovy?

Answer

The most common side effect with Descovy (which may affect 1 in 10 people) is nausea (feeling sick). Other common side effects include diarrhoea and headache. For the full list of all side effects and restrictions with Descovy, see the package leaflet.

Question

What measures are being taken to ensure the safe and effective use of Descovy?

Answer

A risk management plan has been developed to ensure that Descovy is used as safely as possible. Based on this plan, safety information has been included in the summary of product characteristics and the package leaflet for Descovy, including the appropriate precautions to be followed by healthcare professionals and patients.

Question

Other information about Descovy

Answer

The European Commission granted a marketing authorisation valid throughout the European Union for Descovy on 21 April 2016.

For more information about treatment with Descovy, read the package leaflet (also part of the EPAR) or contact your doctor or pharmacist.

Question

What is Descovy and what is it used for?

Answer

Descovy is an antiviral medicine used in combination with other medicines to treat individuals infected with human immunodeficiency virus type 1 (HIV-1), a virus that causes acquired immune deficiency syndrome (AIDS). It is used in adults and adolescents aged over 12 years and who weigh at least 35 kg.

Descovy contains the active substances emtricitabine and tenofovir alafenamide.

Question

Why is Descovy approved?

Answer

The Agency’s Committee for Medicinal Products for Human Use (CHMP) decided that Descovy’s benefits are greater than its risks and recommended that it be approved for use in the EU. Descovy contains tenofovir alafenamide which is effective at a lower dose than the established medicine tenofovir disoproxil and offers the possibility of reduced side effects. Similarly to Genvoya, Descovy offers an alternative option to giving emtricitabine with tenofovir disoproxil.

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