Merck & Co (MRK) HIV Investor Event Summary Company Overview - **Company**: Merck & Co, Inc. - **Event Date**: July 17, 2025 - **Location**: Rahway, New Jersey, USA - **Focus**: HIV treatment and prevention pipeline Core Industry Insights - **HIV Landscape**: Approximately 40 million people are living with HIV globally, with 1.3 million new infections in 2023, equating to about 3,500 new infections per day [12][43] - **Market Growth**: The HIV treatment market is expected to grow to approximately $25 billion by the mid-2030s, driven by demand for PrEP (pre-exposure prophylaxis) [43] Key Points from the Call Pipeline and Innovations - **NRTTI Class**: Merck is focusing on a new class of antiretrovirals called NRTTIs (nucleoside reverse transcriptase translocation inhibitors), with islatravir as a leading candidate [10][11] - **Clinical Trials**: - Islatravir is being studied in various regimens, including a once-daily oral treatment and a once-weekly regimen in collaboration with Gilead [22][16] - A once-monthly oral PrEP option, MK8527, is on the cusp of starting Phase III trials [22][35] - **Regulatory Milestones**: - The NDA for derabenuclatrovir has been filed in the US, with a PDUFA date set for April 28, 2026 [16][51] - The company anticipates four new product approvals in the near term, with a potential revenue opportunity exceeding $5 billion from the late-stage HIV portfolio [50][52] Treatment and Prevention Strategies - **Simplification of Regimens**: There is a growing demand for simpler, two-drug regimens that do not include integrase inhibitors, which can reduce pill burden and improve adherence [45][48] - **Addressing Stigma**: New formulations aim to provide discreet dosing options to reduce stigma associated with HIV treatment [46][49] - **Long-Acting Options**: Merck is exploring long-acting formulations and injectable options for both treatment and PrEP, with a focus on convenience and adherence [19][61] Market Research Insights - **Patient Preferences**: Market research indicates that about one-third of individuals prefer a monthly oral option for PrEP, highlighting the need for convenient and discreet dosing [68][69] - **Aging Population**: Half of people living with HIV in the US are 50 or older, necessitating treatment options that consider comorbidities and tolerability [45][43] Competitive Landscape - **Market Positioning**: Merck aims to capture market share against existing treatments by offering differentiated benefits, such as a smaller pill size and rapid onset of protection for PrEP [80][82] - **Resistance Management**: The company emphasizes the importance of having agents with a strong barrier to resistance in their regimens, particularly with the introduction of two-drug combinations [105][108] Additional Important Insights - **Community Engagement**: Merck has a long history of working with global partners to ensure broad access to HIV innovations, including collaborations with the Gates Foundation [42][50] - **Future Innovations**: The company is committed to exploring new therapies and long-acting formulations to address the ongoing unmet needs in HIV treatment and prevention [19][54] This summary encapsulates the key points discussed during the Merck & Co HIV Investor Event, highlighting the company's strategic focus on innovation, market opportunities, and community engagement in the fight against HIV.