tenofovir alafenamide
Trade name: genvoya
Approved
Nov 5, 2015
Tenofovir alafenamide, sold under the brand name Vemlidy, is an antiviral medication used against hepatitis B and HIV. It is used for the treatment of chronic hepatitis B virus (HBV) infection in adults with compensated liver disease and is given in combination with other medications for the prevention and treatment of HIV. It is taken by mouth. — Wikipedia
Clinical trial activity
218 trials · 216 clinical orgs · 10 marketing orgs
Earliest trial started Mar 1, 2002 (NCT00036634)
Timeline
2000s
- Jan 1, 2002
Gilead Sciences — Earliest Phase 1 Sponsor(trial)
2010s
- Nov 5, 2015
Gilead Sciences — Earliest FDA Approval
- Nov 5, 2015
Gilead Sciences — NDA Organization
- Jan 1, 2017
Earliest Phase 2 Sponsor(trial)
- Jan 1, 2017
Earliest Phase 3 Sponsor(trial)
- Jul 17, 2018
Johnson and Johnson — Marketing Organization
- Jul 17, 2018
Johnson and Johnson — NDA Secondary Org
2020s
- Jul 8, 2021
Sunshine Lake Pharma Co., Ltd. — Marketing Organization
- Mar 11, 2022
Laurus Labs Ltd — Marketing Organization
- Mar 30, 2022
Cipla — NDA Secondary Org
- Sep 15, 2022
Shilpa Medicare Ltd. — Marketing Organization
- Sep 27, 2022
Cipla — Marketing Organization
- Dec 19, 2022
Aurobindo Pharma — Marketing Organization
- Jan 19, 2023
Lupin — NDA Secondary Org
- Mar 30, 2023
Lupin — Marketing Organization
- May 26, 2023
Aurobindo Pharma — NDA Secondary Org
- Mar 21, 2024
Apotex — Marketing Organization
- Apr 7, 2026
Macleods Pharmaceuticals, Ltd — Marketing Organization
Indications
Approved for
Studied for
- Alveolar Bone Loss · Phase 4
- Anesthesia and Analgesia · Early Phase 1
- Antiretroviral Therapy, Highly Active · Phase 4
- Art · Phase 4
- Arthritis · Phase 4
- Body Weight Changes · Phase 3
- Bone Diseases, Metabolic · Phase 4
- Buprenorphine · Phase 4
- Coinfection · Phase 4
- Coronary Artery Disease · Phase 4
- COVID-19 · Phase 3
- Drug Evaluation · Phase 4
- Drug Misuse · Phase 4
- Drug-Related Side Effects and Adverse Reactions · Phase 4
- Drugs, Investigational · Phase 4
- Fasting · Phase 3
- Fatigue · Phase 2
- Fatty Liver · Phase 4
- Harm Reduction · Phase 4
- Health Personnel · Phase 3
- Healthy Volunteers · Phase 2
- Hematologic Neoplasms · Phase 4
- Hepatitis B · Phase 4
- Hepatitis B, Chronic · Phase 4
- Hepatitis B virus · Phase 4
- Hepatitis C · Phase 4
- Hepatitis C, Chronic · Phase 4
- Hepatitis D · Phase 2
- Hepatitis D, Chronic · Phase 2
- Hepatitis Delta Virus · Phase 2
- Herpes Simplex · Phase 1
- HIV · Phase 4
- HIV-1 · Phase 4
- HIV Seropositivity · Phase 3
- Hormones · Phase 4
- Immunosuppression Therapy · Phase 4
- Infectious Disease Transmission, Vertical · Phase 4
- Insulin Resistance · Phase 1
- Integrase Inhibitors · Phase 2
- Kidney Transplantation · Phase 4
- Leukemia, Lymphoid · Phase 2
- Liver Cirrhosis · Phase 4
- Liver Diseases · Phase 4
- Liver Failure · Phase 4
- Liver Transplantation · Phase 4
- Lung Transplantation · Phase 2
- Lymphoma, Large B-Cell, Diffuse · Phase 2
- Medication Adherence · Phase 3
- Menopause · Phase 4
- Metabolic Side Effects of Drugs and Substances · Phase 2
- Metabolic Syndrome · Phase 4
- Methadone · Phase 4
- Minority Health · Phase 3
- Multiple Sclerosis, Relapsing-Remitting · Phase 2
- Neoplasms · Phase 3
- Obesity · Phase 4
- Opioid-Related Disorders · Phase 4
- Osteoporosis · Phase 4
- Overweight · Phase 3
- Patient Acceptance of Health Care · Phase 2
- Patient Compliance · Phase 4
- Pre-Exposure Prophylaxis · Phase 3
- Pregnancy · Phase 2
- Renal Insufficiency · Phase 4
- Renal Insufficiency, Chronic · Phase 4
- Safety · Phase 4
- Sexually Transmitted Diseases · Phase 4
- Tenofovir · Phase 4
- Transplant Recipients · Phase 4
- Treatment Adherence and Compliance · Phase 3
- Tuberculosis · Phase 4
- Tuberculosis, Pulmonary · Phase 2
- Virus Diseases · Phase 4
- Weight Gain · Phase 2
Mechanism of action
Q72547 inhibitor
Combination products
biktarvy
with emtricitabine, bictegravir
Also known as bictegravir, embitcitabine, tenofovir alafenamide, bictegravir/emtricitabine/tenofovir alafenamide 50/200/25 mg
descovy
with emtricitabine
genvoya
with emtricitabine, cobicistat, elvitegravir
Also known as elvitegravir, cobicistat, emtricitabine, and tenofovir alafenamide
odefsey
with emtricitabine, rilpivirine
symtuza
with emtricitabine, darunavir, cobicistat
Approval history
- approvedFast trackNov 5, 2015
Chemistry & pharmacology
SMILES
CC(C)OC(=O)[C@H](C)N[P@](=O)(CO[C@H](C)Cn1cnc2c(N)ncnc21)Oc1ccccc1- Mol. weight
- 476.47 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral
- Availability
- Prescription Only
Oral
Yes
Parenteral
No
Topical
No
Sources
- ChEMBLCHEMBL2107825 ↗
- WikipediaTenofovir alafenamide ↗
- ChEMBLCHEMBL2364637 ↗
Also known as
- alafenamide
- alafenamide
- elvitegravir / cobicistat / emtricitabine / tenofovir alafenamide
- emtricitabine / rilpivirine hydrochloride / tenofovir alafenamide
- emtricitabine / tenofovir alafenamide
- genvoya
- genvoya
- gs 7340
- gs 7340
- gs 7340
- gs 7340
- gs 7340
- gs-7340
- gs-7340
- gs-7340
- gs-7340
- gs-7340
- gs-734003
- gs-734003
- tenofovir alafenamide
- tenofovir alafenamide
- tenofovir alafenamide
- tenofovir alafenamide
- tenofovir alafenamide
- tenofovir alafenamide
- tenofovir alafenamide
- tenofovir alafenamide
- tenofovir alafenamide
- tenofovir alafenamide fumarate
- tenofovir alafenamide fumarate
- tenofovir alafenamide fumarate
- tenofovir alafenamide fumarate
- tenofovir alafenamide fumarate
- tenofovir alagenamide
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07258251 | Phase 4 | Jan 1, 2026 | Government of Thailand, Mahidol University, The Task Force for Global Health |
| NCT07295873 | Phase 1 | Dec 30, 2025 | GNI Group |
| NCT07253220 | N/A | Dec 1, 2025 | Sun Yat-Sen University |
| NCT07202546 | Phase 2 | Nov 28, 2025 | ViiV Healthcare |
| NCT07307586 | Phase 3 | Sep 1, 2025 | Zhengzhou University |
| NCT07055451 | Phase 1 | Aug 12, 2025 | Gilead Sciences |
| NCT07203118 | Phase 2/Phase 3 (Phase 3) | Jul 1, 2025 | Xintong Pharmacy Company |
| NCT07075146 | Phase 3 | May 5, 2025 | Instituto Mexicano del Seguro Social |
| NCT06947356 | N/A | May 3, 2025 | Guangzhou Medical University |
| NCT06891066 | Phase 2 | Apr 14, 2025 | Merck |
| NCT07031063 | Phase 4 | Apr 1, 2025 | Instituto Mexicano del Seguro Social |
| NCT06830668 | Phase 4 | Feb 28, 2025 | Gilead Sciences, Government of China |
| NCT06589518 | Phase 2 | Jan 1, 2025 | Sungkyunkwan University |
| NCT06560684 | Phase 2 | Oct 29, 2024 | National Institute of Allergy and Infectious Diseases (NIAID) |
| NCT06613685 | Phase 2/Phase 3 (Phase 3) | Oct 21, 2024 | Gilead Sciences |
| NCT06630286 | Phase 3 | Oct 9, 2024 | Gilead Sciences |
| NCT06338826 | Phase 2 | Oct 1, 2024 | Assistance Publique - Hôpitaux de Paris, Government of France |
| NCT06719310 | Phase 1/Phase 2 (Phase 2) | Aug 28, 2024 | Capital Medical University, Jiangsu Aidea Pharmaceutical Co., Ltd |
| NCT06337032 | Phase 4 | Aug 27, 2024 | Gilead Sciences |
| NCT06544733 | Phase 2/Phase 3 (Phase 3) | Aug 20, 2024 | Gilead Sciences |
Organizations
Research & Development (216)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Gilead Sciences | For profit | 60 | 25 | 5 | 2002 |
| Janssen Pharmaceutica NV | For profit | 17 | 15 | 4 | 2017 |
| Merck | For profit | 11 | 6 | 3 | 2018 |
| CONRAD | For profit | 7 | 2 | 2 | 2016 |
| Fundacion SEIMC-GESIDA | Academic/Hospital | 7 | 7 | 1 | 2018 |
| National Institute of Allergy and Infectious Diseases (NIAID) | Government | 7 | 4 | 3 | 2019 |
| Sun Yat-Sen University | Academic/Hospital | 7 | 7 | 2 | 2019 |
| ViiV Healthcare | For profit | 7 | 4 | 4 | 2018 |
| Jiao Tong University | Academic/Hospital | 6 | 2 | 3 | 2019 |
| Emory University | Academic/Hospital | 5 | 4 | 2 | 2017 |
| Fudan University | Academic/Hospital | 5 | 4 | 2 | 2021 |
| Harvard University | Academic/Hospital | 5 | 3 | 4 | 2018 |
| National Taiwan University | Academic/Hospital | 5 | 4 | 3 | 2010 |
| Capital Medical University | Academic/Hospital | 4 | 1 | 3 | 2020 |
| Eastern Virginia Medical School | Academic/Hospital | 4 | 3 | 2 | 2018 |
| United States Agency for International Development | Government | 4 | 0 | 2 | 2016 |
| University of Barcelona | Academic/Hospital | 4 | 3 | 3 | 2020 |
| University of London | Academic/Hospital | 4 | 3 | 4 | 2020 |
| Assembly Biosciences | For profit | 3 | 3 | 1 | 2018 |
| Centers for Disease Control and Prevention (CDC) | Government | 3 | 0 | 2 | 2017 |
Marketing (17)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Apotex | For profit | MKTG | Mar 21, 2024 |
| Aurobindo Pharma | For profit | MKTG | Dec 19, 2022 |
| Aurobindo Pharma | For profit | NDA2 | May 26, 2023 |
| Cipla | For profit | MKTG | Sep 27, 2022 |
| Cipla | For profit | NDA2 | Mar 30, 2022 |
| Gilead Sciences | For profit | SYN | Nov 5, 2015 |
| Gilead Sciences | For profit | NDA | Nov 5, 2015 |
| Johnson and Johnson | For profit | MKTG | Jul 17, 2018 |
| Johnson and Johnson | For profit | NDA2 | Jul 17, 2018 |
| Laurus Labs Ltd | For profit | MKTG | Mar 11, 2022 |
| Lupin | For profit | NDA2 | Jan 19, 2023 |
| Lupin | For profit | SYN | Jul 18, 2023 |
| Lupin | For profit | MKTG | Mar 30, 2023 |
| Lupin | For profit | SYN | Mar 30, 2023 |
| Macleods Pharmaceuticals, Ltd | For profit | MKTG | Apr 7, 2026 |
| Shilpa Medicare Ltd. | For profit | MKTG | Sep 15, 2022 |
| Sunshine Lake Pharma Co., Ltd. | For profit | MKTG | Jul 8, 2021 |