UK court says state health system can fund preventative HIV drug

[August 02, 2016]  By Ben Hirschler

LONDON (Reuters) - A high court judge ruled on Tuesday that an HIV pill to prevent infection can be funded by the state health service in England, in a victory for AIDS campaigners who have been calling for its widespread use.

So-called pre-exposure prophylaxis (PrEP) against HIV, using Gilead Sciences' medicine Truvada, can cut the risk of getting the virus during sex by more than 90 percent, according to clinical studies.

But NHS (National Health Service) England had argued it was not in a position to fund the medicine because PrEP was a preventative service and therefore the responsibility of local authorities.

The high court in London, however, ruled there was nothing to stop NHS England paying for the drug, which was recommended for preventative use by the European Medicines Agency last month.

The National AIDS Trust had brought the legal case, arguing that PrEP was a potential game-changer and was urgently needed in the UK, where more than 4,000 people acquire HIV annually.

Use of PrEP is rising fast in the United States, where tens of thousands of people have filled prescriptions for Truvada to prevent infection.

Despite the win for the British AIDS campaigners, there is no guarantee that PrEP will now get automatic NHS funding.

NHS England said it planned to appeal the decision and, even it loses again, PrEP would be have to be assessed against other priorities.

“Of course, this does not imply that PrEP - at what could be a cost of 10-20 million pounds ($13-26 million) a year - would actually succeed as a candidate for funding when ranked against other interventions," said Jonathan Fielden, NHS England's head of specialised commissioning.

"But in those circumstances, Gilead ... will be asked to submit better prices, which would clearly affect the likelihood that their drug could be commissioned."

Truvada is a combination of two antiretroviral drugs that work to keep HIV, which causes AIDS, from replicating in the body.

(Editing by Mark Potter and Louise Heavens)

[© 2016 Thomson Reuters. All rights reserved.]

Copyright 2016 Reuters. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.