Financial Data and Key Metrics Changes - Gilead Sciences reported strong performance in Q2 2025, leading to an increase in guidance for both top-line and bottom-line growth for the year [3] - The HIV prevention business saw a significant growth with Descovy sales up 37% quarter over quarter [6] Business Line Data and Key Metrics Changes - The launch of the new HIV prevention therapy, YES2Go, has been described as the strongest execution seen in a launch, with 73% unaided awareness and 95% aided awareness [5][6] - The HIV treatment business is growing at 3%, despite expectations of flat growth due to Part D headwinds, with demand-led growth being the primary driver [36][38] Market Data and Key Metrics Changes - The HIV prevention market is currently underpenetrated, with only 50,000 to 400,000 patients on the drug, compared to a potential 1.2 to 3 million [27][31] - The market for HIV prevention is expected to evolve significantly, with a focus on patients already on other therapies transitioning to YES2Go [29][30] Company Strategy and Development Direction - Gilead is focused on expanding its HIV prevention market, emphasizing the need for broader access and coverage for its therapies [12][16] - The company is also investing in its oncology pipeline, with multiple launches expected, including a CAR T therapy for multiple myeloma and Trodelvy for breast cancer [63][72] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the growth of the HIV prevention business, driven by strong clinical data and payer recognition of the need for unrestricted access [25][57] - The company is preparing for potential macro headwinds but believes its strong clinical profile will help mitigate risks [56][58] Other Important Information - The J code for YES2Go was granted earlier than expected, which is crucial for reimbursement processes [12][13] - Gilead is committed to maintaining a strong pipeline with multiple late-stage programs expected to launch before the loss of exclusivity for Biktarvy in the mid-2030s [49][50] Q&A Session Summary Question: How is the launch of YES2Go performing? - The launch has been strong, with high awareness and early wins in payer negotiations, indicating a positive trajectory for the product [5][12] Question: What are the expectations for the HIV treatment market? - Despite headwinds, the HIV treatment business is growing, primarily driven by demand, with Biktarvy continuing to gain market share [36][38] Question: How does Gilead view potential changes in payer coverage? - Management is confident in achieving broad coverage for YES2Go and believes the clinical efficacy will drive payer acceptance [16][25] Question: What is the outlook for the oncology pipeline? - Gilead sees significant opportunities in oncology, particularly with the upcoming CAR T therapy and Trodelvy, which is expected to become a standard of care in breast cancer [63][72] Question: How is Gilead preparing for macroeconomic challenges? - The company is actively engaging with policymakers and believes its strong portfolio will help navigate potential changes in drug pricing and coverage [56][58]

Core Insights - Merck (MRK) has received FDA acceptance for the new drug application (NDA) for its investigational two-drug regimen doravirine/islatravir (DOR/ISL) aimed at treating virologically suppressed adults with HIV-1 infection, with a decision expected by April 28, 2026 [1][7] Drug Efficacy and Studies - If approved, DOR/ISL would be the first non-integrase inhibitor-based two-drug regimen demonstrating comparable efficacy and safety to the current three-drug standard, BIC/FTC/TAF, in phase III studies [2] - The NDA is supported by data from two pivotal phase III studies (MK-8591A-051 and MK-8591A-052), which showed that DOR/ISL (100 mg/0.25 mg) was non-inferior to comparator antiretroviral therapies in adults with virologically suppressed HIV-1 [3] Ongoing Research and Collaborations - Merck is continuing its HIV research with additional trials, including MK-8591A-053 and MK-8591A-054, which evaluate DOR/ISL in treatment-naïve individuals and those from earlier studies, respectively [9][10] - The company is collaborating with Gilead Sciences (GILD) to evaluate islatravir in combination with GILD's lenacapavir in a phase II study for HIV treatment [10] Stock Performance - Year to date, Merck's shares have decreased by 15.5%, contrasting with a 0.2% rise in the industry [4]

Core Insights - Gilead Sciences, Inc. (GILD) has announced that the FDA has placed a clinical hold on studies for pipeline candidates GS-1720 and GS-4182 for HIV treatment due to safety concerns regarding CD4+ T-cell and lymphocyte counts [1][3][4] - Following the announcement, GILD shares fell by 2.6%, although the stock has gained 20% year-to-date, contrasting with a 0.5% decline in the industry [1] Gilead's HIV Treatment Pipeline - The clinical hold affects two phase II/III studies comparing the combination of GS-1720 and GS-4182 with Biktarvy in both virologically suppressed and treatment-naive HIV-1 patients, as well as three additional phase I studies [4][7] - Despite the setback, Gilead remains a market leader in HIV treatments, with Biktarvy accounting for over 51% of the U.S. treatment market [5][6] Market Performance and Future Prospects - Biktarvy continues to be the leading prescribed regimen for HIV-1 infection, while Descovy maintains over 40% market share in the PrEP market [6][7] - Gilead's late-stage studies for lenacapavir, which is under priority review for HIV prevention, could further solidify its position in the market [8] - However, Biktarvy sales may face pressure due to changes in Medicare Part D, impacting overall HIV growth [9] Competitive Landscape - Gilead faces competition from GSK plc, which is seeing strong demand for its HIV portfolio, including Cabenuva and Apretude [9][10]

Core Viewpoint - Gilead Sciences' stock experienced a decline of over 2% following negative news regarding its investigational HIV treatment program, contrasting with a 0.6% gain in the S&P 500 index [1][2]. Regulatory Action - The U.S. Food and Drug Administration (FDA) has ordered a halt to Gilead's clinical trials involving a two-drug combination aimed at treating HIV [2]. - The FDA's decision was prompted by findings of low CD4+ T-cell levels in some trial participants, although the cause of these deficiencies remains unclear [4]. Drug Information - The two drugs involved are GS-1720, a weekly administered treatment, and GS-4182, a pill version of lenacapavir (commercially known as Sunlenca) [5]. - Gilead is also testing these drugs against its existing HIV treatment, Biktarvy, in various stages of clinical trials [4]. Pipeline and Future Prospects - Despite the FDA's hold, Gilead has indicated that it is developing numerous other HIV combination treatments that are not impacted by this regulatory action [5]. - The company maintains a robust pipeline with 58 investigational programs, suggesting that the FDA's pause may not represent a significant setback for Gilead [6].

Core Viewpoint - Gilead Sciences, Inc. has demonstrated strong performance in a volatile market, with shares up 21.1% year-to-date, significantly outperforming the industry and the S&P 500 Index, which declined by 4.7% [1][8]. Group 1: HIV Market Leadership - Gilead is a dominant player in the HIV market, with its flagship drug Biktarvy accounting for over 51% of the treatment market share in the U.S. [4] - The company’s Descovy for pre-exposure prophylaxis (PrEP) maintains over 40% market share in the U.S. [5] - The FDA has accepted new drug applications for lenacapavir for HIV prevention, with a target action date of June 19, 2025, which could enhance Gilead's HIV franchise [5][6]. Group 2: Liver Disease Portfolio - The FDA approval of seladelpar (Livdelzi) for primary biliary cholangitis (PBC) strengthens Gilead's liver disease portfolio and validates its CymaBay acquisition [7][9]. Group 3: Oncology Business Challenges - Gilead's oncology portfolio, including the Cell Therapy franchise and Trodelvy, faces competitive pressures, particularly in the U.S. and Europe, which are expected to continue into 2025 [10]. - Despite challenges, positive results from the phase III ASCENT-03 study on Trodelvy indicate potential for improvement in the oncology business [11]. Group 4: Financial Performance and Estimates - Gilead's shares trade at a price/earnings ratio of 13.70x forward earnings, lower than the large-cap pharma industry's average of 14.62x but higher than its historical mean of 10.53x [12]. - Earnings estimates for Gilead have increased, with the 2025 bottom-line estimate rising to $7.91 from $7.87, and the 2026 estimate improving to $8.39 from $8.31 [14]. Group 5: Strategic Positioning and Dividends - Gilead's strategic deals and acquisitions are aimed at diversifying its business, although Biktarvy sales may face pressure due to Medicare Part D redesign [17]. - The company has a strong cash position of $7.9 billion as of March 31, 2025, and has consistently increased dividends, declaring a quarterly dividend of $0.79 per share for Q2 2025, indicating a sustainable yield of 2.91% [18].

Core Viewpoint - Gilead Sciences and GSK are leading companies in the HIV treatment market, each with strong portfolios and growth prospects, making it challenging to choose between them [3][25]. Gilead Sciences (GILD) - Gilead is a dominant player in the HIV market, with HIV drug sales accounting for 69% of total product sales in Q1 2025 [1]. - The flagship drug Biktarvy holds over 51% market share in the U.S. treatment market for HIV-1 infection [4]. - Descovy, for pre-exposure prophylaxis (PrEP), maintains over 40% market share in the U.S. [5]. - Gilead's innovation efforts include the late-stage studies for lenacapavir, which has received FDA priority review for HIV prevention, with a target action date of June 19, 2025 [5][6]. - Gilead's oncology portfolio includes the breast cancer drug Trodelvy and the Cell Therapy franchise, which is facing competitive pressures [7]. - The liver disease portfolio has been strengthened by the recent FDA approval of seladelpar for primary biliary cholangitis [8]. - As of March 31, 2025, Gilead's total debt-to-total-capital ratio was 56.7%, with $7.9 billion in cash and $22.1 billion in long-term debt [9]. GSK - GSK's HIV portfolio is driven by strong demand for Cabenuva, Apretude, and Dovato, with Dovato being the largest product in the HIV portfolio [10][11]. - GSK is developing three new integrase inhibitors (INSTIs) and has five planned launches, which are expected to drive future performance [12]. - Key drugs like Nucala and new oncology drugs Jemperli and Ojjaara are contributing to GSK's growth [13]. - GSK's recent approvals include vaccines and treatments for various conditions, although challenges in China and potential changes in U.S. vaccination policies may impact vaccine sales [14]. - As of March 31, 2025, GSK's net debt was $23.2 billion, with a debt/capital ratio of 57.4% [15]. Financial Estimates and Performance - GILD's 2025 sales are estimated to decrease by 0.84%, while EPS is expected to improve by 71.21% [16]. - GSK's 2025 sales are projected to increase by 6.2%, with EPS also expected to rise by 6.17% [18]. - GILD's shares have gained 15.7% this year, outperforming GSK's 14.7% increase, while the industry has declined by 6.2% [21]. - GILD trades at 13.11X forward earnings, while GSK trades at 8.44X [22]. - GSK offers a higher dividend yield of 4.48% compared to GILD's 3.08% [24]. Investment Outlook - Gilead's innovation in the HIV portfolio and potential approval of lenacapavir are strong growth catalysts [25]. - However, GILD's revenue may face pressure from new Medicare Part D models and challenges in the oncology sector [26]. - GSK's strong position in the HIV market, successful new launches, and promising pipeline candidates suggest it may be a better investment choice at current valuations [27][28].

Core Viewpoint - Gilead Sciences, Inc. reported lower-than-expected first-quarter 2025 results, with adjusted earnings per share (EPS) of $1.81 and total revenues of $6.7 billion, both missing consensus estimates [1][2] Group 1: Financial Performance - Adjusted EPS of $1.81 missed the Zacks Consensus Estimate by a penny, while the previous year reported a loss per share of $1.32 [1] - Total revenues of $6.7 billion were flat year over year and missed the Zacks Consensus Estimate of $6.8 billion [1] - Key drugs Biktarvy and Trodelvy missed sales expectations, leading to a decline in stock price post-announcement [2] Group 2: HIV Portfolio Strength - Gilead's HIV product sales contributed $4.6 billion in the first quarter, with Biktarvy sales increasing 7% year over year to $3.15 billion despite missing estimates [4] - Biktarvy holds over 51% market share in the U.S. treatment market, indicating strong momentum [5] - The pipeline candidate lenacapavir showed 100% efficacy for HIV prevention in women, with FDA priority review expected by June 19, 2025 [6][7] Group 3: Liver Disease Portfolio - FDA approval of seladelpar for primary biliary cholangitis (PBC) strengthens Gilead's liver disease portfolio, with initial uptake being encouraging [8] Group 4: Oncology Business Challenges - Gilead's oncology portfolio faces competitive pressures, particularly in the Cell Therapy franchise and breast cancer drug Trodelvy, which saw lower-than-expected sales [10] - Potential launches of anito-cel and Trodelvy in 2026 may bolster the oncology business [11] Group 5: Stock Performance and Valuation - Gilead's shares have gained 13.6% year to date, outperforming the industry and S&P 500 [12] - The stock trades at a price/earnings ratio of 12.80x forward earnings, lower than the large-cap pharma industry's average of 15.77x [15] - The bottom-line estimate for 2025 has slightly decreased to $7.91, while the estimate for 2026 has increased to $8.69 [16] Group 6: Strategic Outlook - Gilead's continuous innovation in the HIV portfolio and strategic acquisitions are seen as positive for long-term growth [19][20] - The company maintains a strong cash position of $7.9 billion as of March 31, 2025, supporting a sustainable dividend yield of 2.97% [21]

Core Viewpoint - Gilead Sciences, Inc. reported disappointing first-quarter 2025 results, with adjusted earnings per share (EPS) of $1.81 and total revenues of $6.7 billion, both missing consensus estimates [1][2][3] Financial Performance - Adjusted EPS of $1.81 missed the Zacks Consensus Estimate by a penny, compared to a loss per share of $1.32 in the same quarter last year [1] - Total revenues of $6.7 billion were flat year over year and missed the Zacks Consensus Estimate of $6.8 billion [1] - Total product sales decreased 1% year over year to $6.6 billion, while excluding Veklury, product sales increased 4% to $6.3 billion [3] Product Sales Breakdown - HIV product sales grew 6% year over year to $4.6 billion, exceeding both the Zacks Consensus Estimate and model estimate of $4.5 billion [3] - Biktarvy sales increased 7% year over year to $3.15 billion but missed the Zacks Consensus Estimate of $3.2 billion [4] - Descovy sales surged 38% year over year to $586 million, beating the Zacks Consensus Estimate of $479 million [5] - Liver Disease portfolio sales rose 3% to $758 million, driven by higher demand for HBV and HDV drugs [6] - Veklury sales plummeted 45% to $302 million, missing the Zacks Consensus Estimate of $387 million [7] - Cell Therapy product sales decreased 3% to $464 million, missing the Zacks Consensus Estimate of $491 million [7] Cost and Margin Analysis - Adjusted product gross margin slightly increased to 85.5% from 85.4% in the year-ago quarter [11] - Research and development expenses totaled $1.3 billion, down from $1.4 billion in the previous year [11] - SG&A expenses amounted to $1.2 billion, down from $1.3 billion [11] Dividend and Guidance - Gilead declared a quarterly dividend of $0.79 per share for Q2 2025, payable on June 27, 2025 [12] - The company reiterated its 2025 guidance, projecting product sales between $28.2 billion and $28.6 billion, with adjusted EPS anticipated in the range of $7.70-$8.10 [13] Pipeline Updates - The FDA accepted new drug application submissions for lenacapavir for HIV prevention, with a target action date of June 19, 2025 [14] - Gilead received conditional marketing authorization for seladelpar for the treatment of primary biliary cholangitis [14] Overall Performance Assessment - Gilead's first-quarter results were disappointing, particularly due to a decline in oncology drugs affecting revenue growth [15] - Despite challenges, Biktarvy maintained its dominant position in the HIV market, and Descovy showed strong performance [15] - The potential approval of lenacapavir could further strengthen Gilead's HIV franchise amid increasing competition [16]

Financial Data and Key Metrics Changes - The base business, excluding Veclury, grew 4% year over year, primarily driven by growth in the HIV business [6][50] - Total product sales, including Veclury, were down by 1% from last year, reflecting fewer COVID-19 related hospitalizations [8][50] - Non-GAAP diluted EPS was $1.81, with a product gross margin flat year over year at 85% [52][54] Business Line Data and Key Metrics Changes - HIV sales were up 6% year over year, with Biktarvy sales increasing by 7% [7][22] - Livedelzi achieved first-quarter sales of $40 million, reflecting early momentum in its launch [27] - Veclury sales were down 45% year over year, reflecting lower rates of COVID-19 related hospitalizations [28] - Trodelvy sales were down 5% year over year, impacted by inventory dynamics and lower average realized price [29][98] - Cell therapy sales were down 3% year over year, with Yescarta sales up 2% year over year [31] Market Data and Key Metrics Changes - The HIV treatment market continues to grow at an expected rate of 23% annually [22] - Descovy sales increased by 38% year over year, driven by higher average realized price and demand [23][78] - The liver disease segment saw sales of $758 million, up 3% year over year [26] Company Strategy and Development Direction - The company is focused on multiple upcoming launches, including lenacapavir, anetocel, and Trodelvy [13][34] - Gilead Sciences, Inc. has no major loss of exclusivity (LOE) until the end of 2033, positioning itself for top-line growth across therapeutic areas [14] - The company is increasing investment in US manufacturing and R&D infrastructure [15][89] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the upcoming FDA decision on lenacapavir for PrEP, with a potential launch immediately following [9][38] - The company remains well-positioned to adapt to potential policy outcomes in the US [14] - Management noted that the first quarter was lighter than expected but emphasized the variability of the business [54][93] Other Important Information - Gilead Sciences, Inc. received an upgrade in its long-term debt rating from BBB+ to A- [58] - The company returned $1.7 billion to shareholders in the first quarter of 2025 through dividends and share repurchases [58] Q&A Session Summary Question: Expectations for lenacapavir for PrEP and reimbursement dynamics - Management is excited about the upcoming PDUFA date and expects around 75% access within the first six months post-launch, reaching about 90% at the twelve-month mark [62] Question: Impact of HHS and CDC cuts on launch dynamics - Management has not seen anything that would alter plans for the lenacapavir launch and is actively engaging with policymakers [68] Question: Implications of COVID-19 on Descovy and lenacapavir - Descovy saw a 38% growth year over year, driven by market development initiatives, which supports the opportunity for lenacapavir [78] Question: Tariff risks and US market supply - Management indicated that the majority of Gilead's IP is in the US, which suggests lower value for pharmaceutical imports, and they have invested significantly in US manufacturing [86][89] Question: Cannibalization of Descovy by lenacapavir - Management believes lenacapavir will attract both switch patients from daily orals and naive patients, potentially accelerating market growth [124]

Financial Performance - Total product sales, excluding Veklury, increased by 4% year-over-year (YoY) to $6.3 billion[9, 13] - Total HIV product sales increased by 6% YoY, driven by pricing and demand, reaching $4.6 billion[9, 13] - Biktarvy sales increased by 7% YoY, reaching $3.1 billion[9, 17] - Descovy sales increased significantly by 38% YoY, reaching $586 million[9, 17] - Liver disease product sales increased by 3% YoY, reaching $758 million, driven by increased demand across PBC, HBV, and HDV products[13, 20] - Veklury sales decreased by 45% YoY to $302 million, reflecting lower COVID-19 related hospitalizations[13, 23] - Cell Therapy product sales decreased by 4% YoY to $464 million[13] Product & Pipeline Updates - Trodelvy sales decreased by 5% YoY to $293 million due to inventory dynamics and pricing[9, 13] - Livdelzi sales reached $40 million in Q125, showing continued launch momentum in PBC[9, 19] - Positive topline Phase 3 ASCENT-04 data evaluating Trodelvy + pembrolizumab in 1L PD-L1+ mTNBC[9] - Livdelzi received EU approval in February 2025 for PBC, including related pruritus[9, 38]