About bictegravir
Bictegravir manufacturers are led by the originator, Gilead Sciences, which sells it only in the single-tablet regimen Biktarvy, while Indian companies make generic versions under licence for low- and middle-income countries. Bictegravir is an HIV integrase inhibitor. Biktarvy combines bictegravir with emtricitabine and tenofovir alafenamide and is the most prescribed HIV treatment in the US. Pharmaceutical companies can source bictegravir combination tablets and API for licensed territories through supply or out-licensing.
Bictegravir key facts
|
Property |
Bictegravir |
|---|---|
|
INN |
Bictegravir (as sodium) |
|
Molecular formula / weight |
C21H18F3N3O5 / 449.4 g/mol (base) |
|
Drug class |
Integrase strand transfer inhibitor (INSTI) |
|
Brand name |
Biktarvy (bictegravir / emtricitabine / tenofovir alafenamide) |
|
Originator |
Gilead Sciences |
|
Dosage form and strengths |
Tablets: 50/200/25 mg (adults); 30/120/15 mg (children) |
|
Indication |
HIV-1 infection in adults and children, as a complete regimen |
|
First approval |
US FDA, February 2018 (Biktarvy) |
|
EU approval |
2018 |
|
Market position |
More than 51% of the US HIV treatment market; USD 6.7 billion sales in the first half of 2025 |
|
US patent settlement |
No generic entry expected before 1 April 2036 (settlements with Lupin, Cipla, Laurus, October 2025) |
|
EU patent expiry |
2033 (per Gilead) |
|
LMIC access |
Licensed through the Medicines Patent Pool for generic production in eligible countries |
|
Standalone product |
Not available; sold only in Biktarvy |
Bictegravir manufacturers and licensing history
Gilead developed bictegravir and launched it only as part of Biktarvy, a once-daily single tablet with emtricitabine and tenofovir alafenamide. The FDA approved Biktarvy in February 2018, and the EU later that year. A lower-dose tablet for children followed.
Biktarvy became Gilead's flagship HIV product, with more than half of the US HIV treatment market. From March 2022, Lupin, Laurus and Cipla filed ANDAs challenging Biktarvy patents. In October 2025, Gilead settled with all three, and no US generic entry is expected before 1 April 2036, subject to standard acceleration provisions.
For low- and middle-income countries, Gilead licensed bictegravir through the Medicines Patent Pool, and Indian companies produce generic bictegravir combinations for those markets. Buyers should confirm GMP status, WHO prequalification and licence territory before choosing a supplier.
Bictegravir dosage forms and dossier types
Bictegravir is supplied only in fixed-dose combination tablets with emtricitabine and tenofovir alafenamide.
|
Form |
Strengths |
Typical dossier |
Notes |
|---|---|---|---|
|
Bictegravir / emtricitabine / TAF tablets (adult) |
50/200/25 mg |
US ANDA (from 2036); WHO PQ; national CTD |
Reference Biktarvy |
|
Bictegravir / emtricitabine / TAF tablets (paediatric) |
30/120/15 mg |
US ANDA; national CTD |
Children |
|
Bictegravir sodium API |
Bulk |
DMF |
Available to licensed producers |
|
Target market |
Dossier format |
Key requirement |
|---|---|---|
|
United States |
ANDA (eCTD) |
No generic entry expected before 1 April 2036 |
|
European Union |
EU CTD |
Patent expiry 2033 per Gilead |
|
Low- and middle-income countries |
WHO PQ; national CTD |
Medicines Patent Pool licence territory |
Bictegravir regulatory and patent status
The FDA approved Biktarvy in February 2018. Under October 2025 settlements with Lupin, Cipla and Laurus, no generic Biktarvy is expected in the US before 1 April 2036. Gilead reports EU patent expiry in 2033. In low- and middle-income countries, generic bictegravir combinations are available under the Medicines Patent Pool licence.
Bictegravir mechanism of action and therapeutic use
Bictegravir blocks HIV integrase, the enzyme that inserts viral DNA into the host cell's genome. It has a high barrier to resistance. In Biktarvy, it is combined with emtricitabine and tenofovir alafenamide, which block HIV reverse transcriptase. Biktarvy is taken once daily as a complete regimen for HIV-1 infection in adults and children.
Bictegravir licensing and sourcing
Bictegravir suppliers and licensing partners typically offer finished-product supply or dossier out-licensing for licensed territories. Buyers usually compare GMP status, WHO prequalification, licence territory and patent position. Current offers and supplier contacts are listed among the bictegravir manufacturers on Pipelinepharma.
Frequently asked questions about bictegravir
Who manufactures bictegravir? Gilead Sciences makes bictegravir and sells it in Biktarvy. Indian companies make generic versions under the Medicines Patent Pool licence for low- and middle-income countries.
When can generic Biktarvy launch in the US? Under October 2025 settlements, no generic Biktarvy is expected in the US before 1 April 2036, subject to standard acceleration provisions.
Is bictegravir available on its own? No. Bictegravir is sold only in Biktarvy, combined with emtricitabine and tenofovir alafenamide.
What forms and strengths of bictegravir are available? Biktarvy is available as 50/200/25 mg tablets for adults and 30/120/15 mg tablets for children.
What is bictegravir used for? Bictegravir, in Biktarvy, is used as a complete once-daily regimen for HIV-1 infection.
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