STAT+: Gilead to pay $40 million to settle claims it delayed newer HIV treatment to boost profits

Gilead was accused of boosting profits by marketing an HIV drug without disclosing harmful side effects while delaying development of a safer alternative.

Gilead Sciences agreed in principle to pay $40 million to more than 2,600 people living with HIV who claimed the company boosted profits by marketing an HIV drug without disclosing harmful side effects while delaying development of a safer alternative treatment.

The agreement caps a dispute that cast a harsh spotlight on a strategy that Gilead allegedly used to maximize revenues and extend the life span of a best-selling product, but at the expense of patients. For its part, the company issued a statement in which it did not admit wrongdoing and continued to maintain it has “never stopped working to improve the lives of people with HIV.”

Here is the backstory: In 2001, Gilead won U.S. regulatory approval to market Viread, the first of several HIV medicines that were based on a key component known as tenofovir disoproxil fumarate, or TDF. Although effective, there was a catch: TDF is not well absorbed by the body, so a relatively large dose is needed. But long-term use of a large dose can be toxic to the kidneys or cause loss of bone mass.

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