TheraRadar
Data updated: Jun 28, 2026

RUKOBIA (fostemsavir tromethamine) · VIIV HLTHCARE

Infectious Disease Approved 2020-07-02

RUKOBIA is indicated for the treatment of human immunodeficiency virus type 1 (HIV-1) infection in heavily treatment-experienced adults. It is used in combination with other antiretroviral agents for patients with multidrug-resistant HIV-1 who are failing their current regimen. This therapy is specifically reserved for cases where treatment failure is driven by resistance, intolerance, or safety considerations.

How RUKOBIA Works

RUKOBIA is an HIV-1 antiretroviral agent that functions as a gp120-directed attachment inhibitor. By targeting the gp120 protein on the virus, the medication prevents the virus from attaching to host cells. This inhibition of the attachment phase provides a mechanism to treat HIV-1 infection in patients with limited treatment options.

2
Indications
--
Phase 3 Trials
1
Priority Reviews
6
Years on Market

Details

Status
Prescription
First Approved
2020-07-02
Patent Cliff
2029

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Routes
ORAL
Dosage Forms
TABLET, EXTENDED RELEASE

Companies

Active Ingredient: FOSTEMSAVIR TROMETHAMINE

RUKOBIA Approval History

2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
3 FDA actions from 2020 to 2024 · 1 indication expansions
Feb 2024 SUPPL
Label · Labeling
Jan 2022 SUPPL
Efficacy
Jul 2020 ORIGINAL Priority
New Drug · Type 1 - New Molecular Entity

What RUKOBIA Treats

1 indications

RUKOBIA is approved for 1 conditions since its original approval in 2020. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Human Immunodeficiency Virus Type 1
Source: FDA Label

RUKOBIA Competitive Set

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

VIIV HLTHCARE's other novel FDA approvals

Other CDER-designated drugs from the same sponsor (2016–2025).

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Active Pipeline

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Key Completed Trials

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Trial Timeline

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

RUKOBIA FDA Label Details

Indications & Usage

FDA Label (PDF)

RUKOBIA, in combination with other antiretroviral(s), is indicated for the treatment of human immunodeficiency virus type 1 (HIV-1) infection in heavily treatment-experienced adults with multidrug-resistant HIV-1 infection failing their current antiretroviral regimen due to resistance, intolerance, or safety considerations [see Clinical Studies ]. RUKOBIA, a human immunodeficiency virus type 1 (HIV-1) gp120-directed attachment inhibitor, in combination with other antiretroviral(s), is indicated for the treatment of HIV-1 infection in heavily treatment-experienced adults with multidrug-resistan...

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2 OB patents · 1 families · 60 international docs across 28 countries

RUKOBIA Patents & Exclusivity

Latest Patent: Jul 2029

Patents (2 active)

US8168615 Expires Jul 13, 2029
US7745625 Expires Nov 19, 2027
Source: FDA Orange Book

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Patent Timeline

  • Cliff: 2029
  • 2 active patents

Trial Analysis

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  • Development stage analysis

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.