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Published: Jul 25, 2007 12:00 AM
Modified: Jul 25, 2007 05:57 AM

HIV drugs get start elsewhere

Hit by setbacks, corporate changes, Triangle companies lose dominance in drug development

 

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HIV/AIDS -- BY THE NUMBERS

39.5 million: Number of people worldwide with HIV infections.

1.2 million: Number of people in the United States with HIV/AIDS.

60 million: Number of people expected to be infected with HIV by 2015 if current rate continues.

40,000: Number of new HIV infections in the United States last year.

11,000: Number of people in North Carolina with an HIV infection in 2005.

8,192: Number of people in North Carolina with AIDS in 2005.

13 to 64: The age range of people who should be routinely screened for HIV infection, according to Centers for Disease Control and Prevention.

50: Percentage of the people diagnosed with AIDS in 2005 who were African-American.

12: Percentage of the U.S. population that is African-American.

69: Percentage of AIDS cases in 2005 diagnosed among African-Americans 13 to 19.

16: Percentage of U.S. teenagers, age 13 to 19, who are African-American.

HENRY J. KAISER FAMILY FOUNDATION, UNAIDS, U.S. CENTERS FOR DISEASE CONTROL AND PREVENTION

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Rivals dominate now

The drug makers that are grabbing HIV/AIDS patients, doctors and activists' attention these days are Gilead, the California biotech company that overtook GSK as the leading supplier of HIV/AIDS medicines last year; Merck and Pfizer, large drug makers with new classes of HIV/AIDS drugs in advanced testing; and Tibotec, a Belgian company with three HIV/AIDS drugs in development.

Gilead's accomplishment relied on the acquisition of Triangle Pharmaceuticals. Truvada, Gilead's best-selling HIV/AIDS pill, contains the drug that Triangle Pharmaceuticals had in late-stage testing when it was acquired.

"We are absolutely determined to maintain the leadership in the HIV market; it's the most important thing to us," said Norbert Bischofsberger, head of research and development at Gilead.

But Gilead, which derives about 80 percent of its revenue from the sale of HIV/AIDS drugs, is also branching out. In Durham, where it employs 117, Gilead is working on new hepatitis medicines. Research on HIV/AIDS is no longer carried out there.

Now Trimeris is a question mark. The Morrisville company spent 10 years developing Fuzeon, which prevents the virus from entering a healthy cell. It was highly anticipated, but sales have disappointed. In recent months, there have been layoffs and a management shake-up. AlphaVax, too, went through a management shake-up, and work on its vaccine has stalled.

Some of the most innovative HIV/AIDS research in the Triangle today is conducted at Argos Therapeutics, a Durham company testing a vaccine that promises to attack the smarter and more evolved virus, and at Duke, where researchers are working on a test that promises to help doctors prescribe the HIV/AIDS drug cocktail most suited to each patient.


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Staff writer Sabine Vollmer can be reached at 829-8992 or sabine.vollmer@newsobserver.com.
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