{"id":838066,"date":"2026-07-31T11:55:12","date_gmt":"2026-07-31T11:55:12","guid":{"rendered":"https:\/\/www.newsbeep.com\/ca\/838066\/"},"modified":"2026-07-31T11:55:12","modified_gmt":"2026-07-31T11:55:12","slug":"a-new-kind-of-hiv-pill-just-passed-its-first-test-in-humans-sciencealert","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/ca\/838066\/","title":{"rendered":"A New Kind of HIV Pill Just Passed Its First Test in Humans : ScienceAlert"},"content":{"rendered":"<p>Scientists have just announced the results from the first  <a href=\"https:\/\/www.sciencealert.com\/clinical-trials\" class=\"lar_link lar_link_outgoing\" data-linkid=\"73032\" data-postid=\"211416\" rel=\"nofollow noopener\" target=\"_self\">clinical trial<\/a> in people with HIV-1 of a new antiretroviral drug, which suggests it could be a very useful new tool in treating the  <a href=\"https:\/\/www.sciencealert.com\/virus\" class=\"lar_link lar_link_outgoing\" data-linkid=\"73053\" data-postid=\"211416\" rel=\"nofollow noopener\" target=\"_self\">virus<\/a>.<\/p>\n<p>The drug is currently known as &#8216;VH-499&#8217; (that&#8217;s short for VH4011499), and it works by inhibiting the virus&#8217;s capsid protein, without which  <a href=\"https:\/\/www.sciencealert.com\/hiv\" class=\"lar_link lar_link_outgoing\" data-linkid=\"73049\" data-postid=\"211416\" rel=\"nofollow noopener\" target=\"_self\">HIV<\/a> cannot proliferate to harmful or transmissible levels.<\/p>\n<p>&#8220;Advancements in care and prevention have transformed HIV-1 into a manageable chronic condition and reduced transmission rates,&#8221; write clinical pharmacologist Rulan Griesel and team in a <a href=\"https:\/\/doi.org\/10.1093\/cid\/ciag452\" rel=\"nofollow noopener\" target=\"_blank\">paper announcing the clinical trial results<\/a>.<\/p>\n<p>&#8220;While many individuals achieve durable suppression with current [antiretroviral] regimens, some continue to face challenges related to drug-drug interactions, adherence, tolerability, stigma, and access.&#8221;<\/p>\n<p><img decoding=\"async\" width=\"688\" height=\"507\" src=\"https:\/\/www.newsbeep.com\/ca\/wp-content\/uploads\/2026\/07\/GettyImages-1134490110.jpg\" alt=\"A New Kind of HIV Pill Just Passed Its First Test in Humans With HIV\" class=\"wp-image-211457\"   loading=\"lazy\"\/>A transmission electron micrograph of HIV-1 virus capsids (purple). (Callista Images\/Connect Images\/Getty Images)<\/p>\n<p>VH-499, a drug that passed its lab-based <a href=\"https:\/\/doi.org\/10.1128\/aac.00309-25\" rel=\"nofollow noopener\" target=\"_blank\">preclinical trials<\/a> with flying colors, works by interfering with the virus&#8217;s ability to produce its proteinaceous shell, known as a capsid.<\/p>\n<p>Those preclinical trials described its ability to stop HIV-1 from replicating as &#8216;potent&#8217;.<\/p>\n<p>Now, a randomized, double-blind, placebo-controlled phase 2a trial has suggested this is a drug worth seeing through.<\/p>\n<p>It&#8217;s important to note this research was funded by ViiV Healthcare, a British pharmaceutical company and a joint venture of Pfizer and <a href=\"https:\/\/en.wikipedia.org\/wiki\/GSK_plc\" rel=\"nofollow noopener\" target=\"_blank\">GSK<\/a>, so there is some vested interest in profiting from the development of this drug.<\/p>\n<p>Some members of the research team are employees of ViiV Healthcare and GSK.<\/p>\n<p>However, the clinical trial findings have been independently verified as part of the scientific peer-review process, before being published in the <a href=\"https:\/\/en.wikipedia.org\/wiki\/Infectious_Diseases_Society_of_America\" rel=\"nofollow noopener\" target=\"_blank\">Infectious Diseases Society of America<\/a>&#8216;s journal <a href=\"https:\/\/doi.org\/10.1093\/cid\/ciag452\" rel=\"nofollow noopener\" target=\"_blank\">Clinical Infectious Diseases<\/a>.<\/p>\n<p>VH-499 was first tested in adults without HIV-1 <a href=\"https:\/\/viivexchange.com\/content\/dam\/cf-viiv\/viivexchange\/medical\/pdf\/aids-2024-thakkar-vh-499-oral-ftih-wepeb105-final-disc.pdf\" rel=\"nofollow noopener\" target=\"_blank\">in results presented in 2024<\/a> by a team led by GSK.<\/p>\n<p><img decoding=\"async\" src=\"https:\/\/www.newsbeep.com\/ca\/wp-content\/uploads\/2026\/07\/1785498910_108_0.jpg\" alt=\"YouTube Thumbnail\" tabindex=\"0\" role=\"button\" class=\"youtube-thumbnail-preview\" loading=\"lazy\"\/> frameborder=&#8221;0\u2033 allow=&#8221;accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share&#8221; referrerpolicy=&#8221;strict-origin-when-cross-origin&#8221; allowfullscreen&gt;<\/p>\n<p>That phase 1 trial determined that the drug was well-tolerated by adults without HIV-1, but this next step is where we can really start seeing its potential.<\/p>\n<p>For the phase 2a trial, twenty-three adults with HIV-1 who had not started any kind of antiretroviral therapy participated. <\/p>\n<p>On day 1 of the trial, 20 of the participants were given VH-499 as an oral pill at a dose of either 25, 100, or 250 mg; three were given a  <a href=\"https:\/\/www.sciencealert.com\/what-is-a-placebo\" class=\"lar_link lar_link_outgoing\" data-linkid=\"102371\" data-postid=\"211416\" rel=\"nofollow noopener\" target=\"_self\">placebo<\/a>. They repeated these doses on day 6.<\/p>\n<p>Then, at day 11, all participants started a standard antiretroviral therapy regimen.<\/p>\n<p>Before starting the treatment, all participants had more than 3,000 copies of the virus per milliliter (mL) of blood plasma: what is considered a high viral load.<\/p>\n<p>By day 11, everyone who took VH-499 during the study saw their viral loads drop.<\/p>\n<p><img decoding=\"async\" width=\"1190\" height=\"560\" src=\"https:\/\/www.newsbeep.com\/ca\/wp-content\/uploads\/2026\/07\/Screenshot-2026-07-30-at-16.21.42.png\" alt=\"A New Kind of HIV Pill Just Passed Its First Test in Humans With HIV\" class=\"wp-image-211472\"   loading=\"lazy\"\/>VH-499 demonstrated highly potent antiviral activity. (Griesel et al., <a href=\"https:\/\/medinfo.gsk.com\/5f95dbd7-245e-4e65-9f36-1a99e28e5bba\/71d05abe-6cd9-4c6c-b26f-6ad0b793bac2\/71d05abe-6cd9-4c6c-b26f-6ad0b793bac2_viewable_rendition__v.pdf\" rel=\"nofollow noopener\" target=\"_blank\">Conference on Retroviruses and Opportunistic Infections<\/a>, 2025)<\/p>\n<p>You might notice those decreases were somewhat dose-dependent, meaning people who took a higher dose of VH-499 saw the greatest effects. <\/p>\n<p>Meanwhile, people in the placebo group saw almost no change in their viral load.<\/p>\n<p>&#8220;We show that VH\u2011499 had highly potent antiviral activity, was well tolerated, and had a favorable safety profile in adults with HIV\u20111 who were naive to ART,&#8221; the study&#8217;s authors <a href=\"https:\/\/doi.org\/10.1093\/cid\/ciag452\" rel=\"nofollow noopener\" target=\"_blank\">conclude<\/a>.<\/p>\n<p>The new trial also confirms the drug does not significantly interfere with the enzyme <a href=\"https:\/\/en.wikipedia.org\/wiki\/CYP3A4\" rel=\"nofollow noopener\" target=\"_blank\">CYP3A4<\/a>.<\/p>\n<p>That&#8217;s a perk, because CYP3A4 is often caught in the crossfire of unwanted drug interactions when it comes to HIV treatments. <\/p>\n<p>Lenacapavir, marketed under the brand name Yeztugo, is another HIV treatment and prevention medication. <\/p>\n<p>It is most often administered as a shot <a href=\"https:\/\/www.businesswire.com\/news\/home\/20250520465880\/en\/Yeztugo-Lenacapavir-Is-Now-the-First-and-Only-FDA-Approved-HIV-Prevention-Option-Offering-6-Months-of-Protection\" rel=\"nofollow noopener\" target=\"_blank\">every six months,<\/a> lasting the whole way through, so it certainly still has the edge on VH-499 and other capsid inhibitors in terms of coverage. <\/p>\n<p>It was even named <a href=\"https:\/\/www.science.org\/content\/article\/breakthrough-2024\" rel=\"nofollow noopener\" target=\"_blank\">2024 &#8220;Breakthrough of the Year&#8221;<\/a> by Science magazine. <\/p>\n<p>You might be wondering how VH-499 stands any chance against this golden boy.<\/p>\n<p><a href=\"https:\/\/www.sciencealert.com\/newsletter?utm_source=promo_stargazing\" rel=\"nofollow noopener\" target=\"_blank\"><img decoding=\"async\" width=\"642\" height=\"336\" src=\"https:\/\/www.newsbeep.com\/ca\/wp-content\/uploads\/2026\/07\/FOMO-1200x628-_Dont-miss-the-next-breakthrough_-cosmic-colourful-642x336.jpg\" alt=\"Subscribe to ScienceAlert's free fact-checked newsletter\" class=\"wp-image-201722\"   loading=\"lazy\"\/><\/a><\/p>\n<p>Well, lenacapavir has a downside: it&#8217;s known to affect that enzyme, CYP3A4, which means it may be less ideal for people dealing with multiple health issues for which they are taking many different medications.<\/p>\n<p><a href=\"https:\/\/clinicalinfo.hiv.gov\/en\/guidelines\/hiv-clinical-guidelines-adult-and-adolescent-arv\/drug-interactions-capsid-inhibitor\" rel=\"nofollow noopener\" target=\"_blank\">Depending on what those other medications are<\/a>, lenacapavir may be contraindicated (i.e., the combination of drugs is known to cause harm in some way) or affect dosage.<\/p>\n<p>The new study&#8217;s <a href=\"https:\/\/doi.org\/10.1093\/cid\/ciag452\" rel=\"nofollow noopener\" target=\"_blank\">authors suggest<\/a> VH-499 may therefore be &#8220;advantageous for people with comorbidities or complex polypharmacy&#8221;.<\/p>\n<p><a href=\"https:\/\/doi.org\/10.1128\/aac.00309-25\" rel=\"nofollow noopener\" target=\"_blank\">Preclinical trials<\/a> that pitted VH-499 against a collection of laboratory strains and chimeric  <a href=\"https:\/\/www.sciencealert.com\/virus\" class=\"lar_link lar_link_outgoing\" data-linkid=\"73053\" data-postid=\"211416\" rel=\"nofollow noopener\" target=\"_self\">viruses<\/a> showed the drug &#8220;potently inhibited both early and late stages of HIV-1 replication and had resistance profiles similar to lenacapavir&#8221;.<\/p>\n<p>Related: <a href=\"https:\/\/www.sciencealert.com\/7th-hiv-remission-raises-hope-of-long-lasting-treatment-for-more-people\" rel=\"nofollow noopener\" target=\"_blank\">7th HIV Remission Raises Hope of Long-Lasting Treatment For More People<\/a><\/p>\n<p>But we won&#8217;t know what VH-499 really has to offer until the phase 3 trials, when the drug is given to a much larger group of people, and researchers formally compare it against existing treatments.<\/p>\n<p>It&#8217;s only after phase 3 trials that drugs will be put to market.<\/p>\n<p>&#8220;Our findings support the potential of VH-499 to diversify long-acting therapies, offering promise for advancing progress toward the UNAIDS 2030 goal of ending HIV-1 transmission as a public health threat,&#8221; the authors <a href=\"https:\/\/doi.org\/10.1093\/cid\/ciag452\" rel=\"nofollow noopener\" target=\"_blank\">conclude<\/a>.<\/p>\n<p>The research is published in <a href=\"https:\/\/doi.org\/10.1093\/cid\/ciag452\" rel=\"nofollow noopener\" target=\"_blank\">Clinical Infectious Diseases<\/a>.<\/p>\n<p>This article was fact-checked by <a href=\"https:\/\/www.sciencealert.com\/rachel\" rel=\"nofollow noopener\" target=\"_blank\">Rachel Garner<\/a> and edited by <a href=\"https:\/\/www.sciencealert.com\/peter-dockrill\" rel=\"nofollow noopener\" target=\"_blank\">Peter Dockrill<\/a>. While we pride ourselves on our process, we are only human. If you spot a mistake, <a href=\"https:\/\/www.sciencealert.com\/contact-us\" rel=\"nofollow noopener\" target=\"_blank\">please let us know<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"Scientists have just announced the results from the first clinical trial in people with HIV-1 of a new&hellip;\n","protected":false},"author":2,"featured_media":838067,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10],"tags":[49,48,84,315],"class_list":["post-838066","post","type-post","status-publish","format-standard","has-post-thumbnail","category-health","tag-ca","tag-canada","tag-health","tag-msft-content"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/posts\/838066","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/comments?post=838066"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/posts\/838066\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/media\/838067"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/media?parent=838066"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/categories?post=838066"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/tags?post=838066"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}