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Elvitegravir Drug Asset Due Diligence Report 2026: Clinical, IP, Market, Deals, and Go/No-Go

16 July 2026
8 min read

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This Elvitegravir Drug Asset Due Diligence Report was built with PatSnap Life Sciences MCP workflows. Drug & Asset MCP establishes identity, ownership and stage; Clinical Trials MCP checks design, endpoints and readouts; Company & Deal Intelligence MCP reconstructs transaction precedent. Explore the MCP servers used in this report.

Decision date: 15 July 2026. Currency fields are presented in US$ millions as returned by the deal dataset. This is a screening memorandum, not legal, medical, patent or investment advice.

Withdrawn

Highest phase

21

Registered trials

22

Result records

1

Matched deals

Executive recommendation: HOLD / OPTION

Decision memo

Preserve optionality until clinical differentiation, transaction economics, and freedom-to-operate are sufficiently de-risked.

The central underwriting question is whether Elvitegravir can convert its Small molecule drug profile and HIV integrase biology into clinically meaningful differentiation while preserving an investable safety, IP and commercial position.

1. Asset identity and development status

AssetElvitegravir (query alias: elvitegravir)
Modality / targetSmall molecule drug; HIV integrase; HIV-1 integrase inhibitors
Highest global statusWithdrawn
OriginatorGilead Sciences, Inc.
Active developersNot disclosed

The MCP disease footprint includes no disclosed indication. The highest-phase flag is a useful orientation point, but the licensing case depends on indication-level evidence and rights, not the global label alone.

2. Clinical program: design and endpoint audit

RegistryPhaseStatusEnrollmentLead primary endpoint
ChiCTR1900027321Phase 4Not yet recruiting138HIV antibody positive rate
EUCTR2016-002006-39-ITPhase 4Not Recruiting30• Percentage of subjects with Ultrasensitive HIV RNA <5 copies/mL at week 48 (FDA Snapshot algorithm)
NCT06087913Phase 1Completed68Number and Severity of Adverse Events

The trial set should be diligenced for randomization, comparator relevance, endpoint hierarchy, analysis population, multiplicity, geographic mix and readout timing. For early-stage studies, safety and dose selection can be as decision-critical as response rate.

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3. Clinical readouts: what is known

Virologic failure In ART-naive HIV patients with high pre-therapy viral load burden initiating on common core agents

Not Applicable; n=not disclosed; evaluation: not stated. Reported fields: VF: adjusted hazard ratio = 1.46(95% CI, 1.05 - 2.03); adjusted hazard ratio = 2.24(95% CI, 1.5 - 3.34); adjusted hazard ratio = 4.13(95% CI, 1.85 - 9.24); VF: adjusted hazard ratio = 1.46(95% CI, 1.05 - 2.03); adjusted hazard ratio = 2.24(95% CI, 1.5 - 3.34); adjusted hazard ratio = 4.13(95% CI, 1.85 - 9.24); VF: adjusted hazard ratio = 1.46(95% CI, 1.05 - 2.03); adjusted hazard ratio = 2.24(95% CI, 1.5 - 3.34); adjusted hazard ratio = 4.13(95% CI, 1.85 - 9.24)

A Phase 2/3 Multicenter, Open-Label, Multicohort, Two-Part Study Evaluating the Pharmacokinetics (PK), Safety, and Antiviral Activity of Elvitegravir (EVG) Administered With a Background-Regimen (BR) Containing a Ritonavir-Boosted Protease Inhibitor (PI/r) in HIV-1 Infected, Antiretroviral Treatment-Experienced Pediatric Subjects

Phase 2/3; n=31; evaluation: not stated. Reported fields: Pharmacokinetic (PK) Parameter: AUCtau of EVG(Mean): GLSM Ratio (%) (Test/Reference) = 135.73(90% CI, 116.24 - 158.49); Pharmacokinetic (PK) Parameter: AUCtau of EVG(Mean): GLSM Ratio (%) (Test/Reference) = 135.73(90% CI, 116.24 - 158.49); Pharmacokinetic (PK) Parameter: AUCtau of EVG(Mean) = 24028.3 h*ng/mL (Standard Deviation, 7302.44)

Virologic outcomes among treatment naïve HIV+ patients initiating common first antiretroviral therapy core agents in the OPERA observational database

Not Applicable; n=not disclosed; evaluation: not stated. Reported fields: VF: adjusted hazard ratio = 1.2(95% CI, 0.97 - 1.49); adjusted hazard ratio = 2.12(95% CI, 1.65 - 2.74); adjusted hazard ratio = 3.75(95% CI, 2.61 - 5.38); VF: adjusted hazard ratio = 1.2(95% CI, 0.97 - 1.49); adjusted hazard ratio = 2.12(95% CI, 1.65 - 2.74); adjusted hazard ratio = 3.75(95% CI, 2.61 - 5.38); VF: adjusted hazard ratio = 1.2(95% CI, 0.97 - 1.49); adjusted hazard ratio = 2.12(95% CI, 1.65 - 2.74); adjusted hazard ratio = 3.75(95% CI, 2.61 - 5.38)

These fields are structured evidence signals, not a substitute for statistical review. The next diligence pass should reconcile denominators, confidence intervals, follow-up, censoring, dose cohorts and treatment-emergent toxicity against the original abstract, registry and protocol.

4. Market and competitive position

Elvitegravir addresses its disclosed development indications. Commercial attractiveness rests on addressable biomarker-positive patients, treatment-line placement, duration, administration burden, pricing and displacement of entrenched standards. The modality—Small molecule drug—must demonstrate a benefit large enough to offset class-specific safety and operational costs.

The strongest market-validation signal in this screen is partner behavior: 1 matched transaction record(s) indicate that sophisticated counterparties have assigned strategic value to the asset or its rights. That does not establish net present value; probability of success, remaining R&D spend, royalties, cost sharing and territorial scope still need modeling.

5. Transaction precedent and economics

DateTransactionPhase at dealDisclosed economics
2005-03-22Amendment signed by Japan Tobacco Corporation and GILEAD SCIENCES, INC. on May 17, 2010Not disclosedFinancial terms not disclosed

Headline values are not directly comparable. Diligence should normalize upfront cash, equity, development and sales milestones, tiered royalties, opt-in mechanics, cost sharing, change-of-control clauses and geography.

6. IP and freedom-to-operate screen

The milestone feed surfaced a patent-application signal described as “Application of elvitegravir in preparation of antitumor drugs”.

The claim chart should separately test composition or sequence coverage, formulation and dosing, indication and biomarker claims, combinations, manufacturing know-how, prosecution history, term extensions and third-party blocking rights. Confirm that licensed patents, data and know-how track every granted territory and field.

7. Principal risks and diligence gates

  • Therapeutic index across KRAS/BRAF mutation subgroups
  • On-target toxicity and adaptive MAPK resistance
  • Lack of matched efficacy results in the current MCP result set

Cross-functional diligence should also test CMC comparability, supply chain, pharmacovigilance, regulatory correspondence, data integrity, investigator concentration, partner obligations and change-of-control restrictions.

8. Final go/no-go memorandum

HOLD / OPTION

Preserve optionality until clinical differentiation, transaction economics, and freedom-to-operate are sufficiently de-risked.

Required pre-signing gates: reproduce key efficacy analyses; complete an indication-specific safety review; run a full patent-family and freedom-to-operate search; model risk-adjusted economics by territory; and reconcile all rights, sublicenses and encumbrances.

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Data provenance: PatSnap Drug & Asset MCP, Clinical Trials MCP, and Company & Deal Intelligence MCP; accessed 15 July 2026. Counts and status fields may change as source records update.

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