TheraRadar
Data updated: May 26, 2026

PREZISTA (darunavir)

Trial Activity: Declining
Infectious Disease Approved 2006-06-23

Prezista is used to manage HIV-1 infection in both adults and children who are at least three years old. To be effective, it must be taken alongside ritonavir and other antiretroviral medications as part of a combination therapy regimen. This drug helps patients with HIV-1 by acting as a protease inhibitor to control the virus.

Source: FDA Label • Johnson & Johnson

How PREZISTA Works

This medication works by acting as an HIV-1 protease inhibitor. As an antiviral drug, it targets the HIV-1 virus to help manage the infection in the body.

Development Insights

Janssen Sciences Ireland UC conducting 11 trials (18%)
36 indications explored (Broad Platform)
hiv infections (11 trials)
hiv-1 infections (9 trials)
hiv (8 trials)
11
Indications
--
Phase 3 Trials
5
Priority Reviews
19
Years on Market

Details

Status
Prescription
First Approved
2006-06-23
Patent Cliff
2027

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Patent cliff and revenue data

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Routes
ORAL
Dosage Forms
SUSPENSION, TABLET

Companies

Active Ingredient: DARUNAVIR

PREZISTA Approval History

2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
322 FDA actions from 2006 to 2023 · 9 indication expansions
Mar 2023 SUPPL
Label · Labeling
Oct 2022 SUPPL
Label · Labeling
Apr 2022 SUPPL
Label · Labeling

What PREZISTA Treats

1 indications

PREZISTA is approved for 1 conditions since its original approval in 2006. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Human Immunodeficiency Virus
Source: FDA Label

PREZISTA 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.

Drugs Similar to PREZISTA

3 of 10

FDA-approved drugs for similar conditions. Compare mechanisms and indications to understand treatment alternatives.

BIKTARVY
BICTEGRAVIR SODIUM
1 shared
Gilead Sciences
Shared indications:
DARUNAVIR
DARUNAVIR
1 shared
Teva
Shared indications:
EMTRICITABINE, RILPIVIRINE AND TENOFOVIR DISOPROXIL FUMARATE
EMTRICITABINE
1 shared
Viatris
Shared indications:
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Clinical Trial Registry

54 trials
Trial Sponsor ID Phase Status Title
NCT02384967 DARULIGHT ANRS 165 DARULIGHT 2014-001505-40 Ph 2 completed Evaluation of a Dose Reduction of Darunavir (400 mg/d) in Virologically Suppressed HIV-1 Patients
NCT02470650 Cost-Effect-Clinic 2014-004820-24 Ph 4 withdrawn Cost-effectiveness of Different Antiretroviral Treatment in Patients HIV Naive
NCT04718805 CR108955 TMC114IFD1004, 2020-003397-43 Ph 1 completed A Study of Darunavir in the Presence of Cobicistat When Administered as a Fixed Dose Combination Under Fed Conditions
NCT04661397 CR108922 2020-003396-18, TMC114FD2HTX1007 Ph 1 completed A Study in Healthy Participants to Assess the Effect of Darunavir, Emtricitabine, and Tenofovir Alafenamide in the Presence of Cobicistat as Fixed Dose Combination (Darunavir/Cobicistat/Emtricitabine/Tenofovir Alafenamide) Compared With Co-administration of the Separate Agents
NCT04208061 CR108697 2019-003328-19, TMC114FD1HTX1002 Ph 1 completed A Study of Darunavir in Combination With Cobicistat or Ritonavir, and Dabigatran Etexilate in Healthy Participants
NCT02578550 CR107887 TMC114FD2HTX1001, 2015-001264-18 Ph 1 completed A Bioequivalence Study of Darunavir, Emtricitabine, and Tenofovir Alafenamide, in the Presence of Cobicistat in Healthy Participants
NCT01400412 results posted ACTG A5303 1U01AI068636 Ph 2 completed Bone, Immunologic, and Virologic Effects of a Antiretroviral Regimen
NCT02275780 DRIVE-FORWARD results posted 1439-018 MK-1439-018, 2014-001127-69 Ph 3 completed Safety and Efficacy of Doravirine (MK-1439) in Participants With Human Immunodeficiency Virus 1 (HIV-1) (MK-1439-018)
NCT02437110 results posted 150126 15-N-0126 Ph 1 completed HERV-K Suppression Using Antiretroviral Therapy in Volunteers With Amyotrophic Lateral Sclerosis (ALS)
NCT01605084 SUPPRESS AI424-493 2011-006186-18 Ph 3 withdrawn Second-line Treatment of HIV-1 With Ritonavir Boosted Atazanavir or Darunavir With an Optimized NRTI Backbone
NCT02486133 Dualis DUA-1463-SPI-0320-I Ph 3 completed Dual Therapy With Boosted Darunavir + Dolutegravir
NCT02475915 SEARCH 019 Ph 1, Ph 2 completed Efficacy of VHM After Treatment Interruption in Subjects Initiating ART During Acute HIV Infection
NCT01281813 results posted CR017230 TMC114IFD3001, 2017-000285-30 Ph 3 completed TMC114IFD3001 - Study Providing Continued Access to Treatment With Darunavir (DRV)/Ritonavir(Rtv) in HIV1 Infected Adults, Adolescents and Children Aged 3 Years or Above and Coming From Previous Company Sponsored Studies With DRV
NCT00537394 results posted A5241 10395, ACTG A5241 Ph 3 completed Optimizing Treatment for Treatment-Experienced, HIV-Infected People
NCT04183738 i2-D²EFT 2019-10-i2-DEFT 18Q065 Ph 4 withdrawn Inflammation and Co-Infections in D²EFT
NCT01695954 results posted 11-01787 Ph 1 completed Pharmacokinetic Study of Pitavastatin and Ritonavir-Boosted Darunavir or Efavirenz
NCT04236453 CR108649 2019-002245-37, TMC114FD2HTX1005 Ph 1 terminated A Study in Healthy Participants to Assess the Effect of Darunavir, Emtricitabine, and Tenofovir Alafenamide in the Presence of Cobicistat When Administered as a Fixed Dose Combination (Darunavir/Cobicistat/Emtricitabine/Tenofovir Alafenamide) Compared to the Co-administration of the Separate Agents
NCT01348763 results posted MRV_DRV_PK 2009-014924-42 Ph 1 completed The Maraviroc Darunavir/Ritonavir Once Daily Pharmacokinetic Study
NCT02155101 MANET results posted ChantalIRCB Ph 3 completed Efficacy and Safety Study of Darunavir for the Treatment of HIV/AIDS
NCT03101644 UCL-LB-02 Ph 4 completed Optimization of Darunavir Therapy and Dosage Recommendations
NCT01138605 CR016768 TMC114-TiDP29-C232, 2009-017013-29 Ph 2 completed TMC114-TiDP29-C232 - Study Providing Continued Access to Treatment With Darunavir (DRV)/Ritonavir (Rtv) for Children Coming From Any of the Three Ongoing Tibotec Sponsored Pediatric Studies With DRV
NCT02116660 RANIA results posted 0518-284 2013-001637-40, MK-0518-284 Ph 2 terminated Evaluation of Renal Function, Efficacy, and Safety When Switching From Tenofovir/Emtricitabine Plus a Protease Inhibitor/Ritonavir, to a Combination of Raltegravir (MK-0518) Plus Nevirapine Plus Lamivudine in HIV-1 Participants With Suppressed Viremia and Impaired Renal Function (MK-0518-284)
NCT01641367 MULTI-OCTAVE results posted ACTG A5288 1U01AI068636 Ph 4 completed A5288/MULTI-OCTAVE: Management Using Latest Technologies to Optimize Combination Therapy After Viral Failure
NCT02489487 VM-1500-002 Ph 1 completed Study in Healthy Volunteers to Investigate the Safety, Tolerability and Pharmacokinetics of VM-1500
NCT00855335 results posted CR015442 TMC114HIV3015 Ph 3 completed A Single-arm, Open-label, Study to Assess the Pharmacokinetics of Darunavir and Ritonavir, Darunavir and Cobicistat, Etravirine, and Rilpivirine in HIV-1 Infected Pregnant Women
NCT02671383 DRV WRHI052 Ph 3 completed Evaluation of Low-dose Darunavir in a Switch Study
NCT02277600 206285 AI438-044 Ph 1 completed A Phase 1 Antiretroviral Drug-Drug Interaction Study in Healthy Volunteers (DDI)
NCT01928407 DATA IMEA 040-DATA Ph 4 completed Evaluation of the Efficacy and Safety Between Two Antiretroviral Regimens, in HIV-1-infected Treatment-naïve Subjects With Low CD4 Counts
NCT01448707 PROTEA results posted CR018370 TMC114IFD3003, 2011-001635-23 Ph 3 completed A Clinical Trial Comparing the Efficacy of Darunavir/Ritonavir Monotherapy Versus a Triple Combination Therapy Containing Darunavir/Ritonavir and 2 Nucleoside/Nucleotide Reverse Transcriptase Inhibitors in Patients With Undetectable Plasma HIV-1 RNA on Current Treatment
NCT02475135 CR107430 2015-001213-27, TMC114FD2HTX1002 Ph 1 completed Relative Bioavailability and Food Effect for Darunavir/Cobicistat/Emtricitabine/Tenofovir Alafenamide Fixed Dose Combination
NCT00855413 results posted CID 0821 Ph 4 terminated HIV Viremia and Persistence in Acutely HIV-Infected Patients Treated With Darunavir/Ritonavir and Etravirine
NCT00936793 090186 09-CC-0186 Ph 1 completed Drug Interaction Study Between Inhaled Beclomethasone and Protease Inhibitors in Healthy Volunteers
NCT02503462 DRVCOBI Ph 4 terminated Effect of Cobicistat Versus Ritonavir Boosting on the Brain Permeation of Darunavir in HIV-infected Individuals
NCT01519336 NP28089 Ph 1 completed A Study of Drug-Drug Interaction Between Darunavir and Danoprevir Administered Together With Low-Dose Ritonavir in Healthy Volunteers
NCT00757783 results posted CR015439 TMC114HIV4023 Ph 4 completed Changes in Triglyceride and Other Lipids (Levels of Fats Found in Blood) When Taking Darunavir Compared to Atazanavir in HIV-infected Patients That Have Never Received Treatment
NCT02159352 results posted AI444-093 Ph 1 completed Study Assessing the Effects of Darunavir/Ritonavir or Lopinavir/Ritonavir on the Pharmacokinetics of Daclatasvir in Healthy Participants
NCT01374802 results posted 1220.49 2011-000505-41 Ph 1 completed Effect of Multiple Dosing With BI 201335 on the Pharmacokinetics of Darunavir Co-administered With Ritonavir in Healthy Male and Female Volunteers
NCT00677300 RADAR Merck 072-00 Ph 4 completed Raltegravir And Darunavir Antiretroviral in Antiretroviral Naive Patients
NCT00811954 results posted ACTG A5257 1U01AI068636 Ph 3 completed Comparative Study of Three NNRTI-Sparing HAART Regimens
NCT00993148 MIDAS results posted MIDAS Ph 2 completed Maraviroc Plus Darunavir/Ritonavir for Treatment-Naïve Patients Infected With R5-tropic HIV-1
NCT00630734 results posted 07-0272 TMC114HIV4003 Ph 4 completed Genetic Predictors of Variability in the Drug-drug Interaction Between Darunavir/Ritonavir and Pravastatin
NCT00919854 results posted CR012553 TMC114-TiDP29-C228 Ph 2 completed A Safety Study to Evaluate the Antiviral Activity of Darunavir in Combination With Ritonavir in HIV 1 Infected Children
NCT00849160 RADAR CREPATS 001 Ph 3 completed Study of Protease Inhibitor Regimen Switch in HIV-1 Infected Patients With Undetectable Viral Load to Prove the Non-inferiority of Once Daily Dose Regimen Versus the Current Twice Daily Regimen to Maintain the Viral Load Under the Limit of Detection.
NCT01199939 INROADS results posted CR017149 TMC125HIV4007 Ph 2 completed A Study of the Once Daily Combination of Etravirine and Darunavir/Ritonavir As Dual Therapy in Early Treatment-Experienced Patients
NCT01810887 CR100323 JNS011-JPN-01 Ph 4 completed A Phase 4 Study to Evaluate Pharmacokinetics and Safety of Darunavir Along With Ritonavir in Healthy Male Japanese Participants
NCT01619527 CR100699 TMC114IFD1003, 2012-000273-23 Ph 1 completed A Study to Assess the Bioequivalence of Darunavir When Co-Administrated With Cobicistat Under Fed and Fasted Conditions
NCT01323257 CR018010 TMC435-TiDP16-C115 Ph 1 completed TMC435-TiDP16-C115 - A Study in Healthy Volunteers Investigating the Pharmacokinetic Interaction Between TMC435 and Erythromycin and Between TMC435 and Darunavir/Ritonavir (DRV/r)
NCT00915655 DIONE results posted CR016312 TMC114-TiDP29-C230, 2008-004631-37 Ph 2 completed A Study to Evaluate Antiviral Activity of Darunavir + Ritonavir in HIV-1 Infected Adolescents
NCT00867152 112934 Ph 1 completed GSK1349572 Drug Interaction With Etravirine and Either Darunavir/Ritonavir or Lopinavir/Ritonavir
NCT00744887 CR015421 Ph 1 completed TMC114-TiDP3-C181: Study to Assess the Pharmacokinetics of Darunavir (DRV) With Different Doses of Ritonavir in Healthy Volunteers.

Showing 50 of 54 trials

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Key Completed Trials

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Trial Timeline

Full development history with FDA approval milestones

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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.

PREZISTA FDA Label Details

Indications & Usage

FDA Label (PDF)

PREZISTA is indicated for the treatment of Human Immunodeficiency Virus.

View full patent landscape →
2 OB patents · 1 families · 79 international docs across 26 countries

PREZISTA Patents & Exclusivity

Latest Patent: Jun 2027

Patents (2 active)

US7700645*PED Expires Jun 26, 2027
US7700645 Expires Dec 26, 2026
Source: FDA Orange Book

Pro Intelligence Preview

Deep insights for PREZISTA

Revenue Insights

  • Quarterly revenue tracking
  • Historical trend analysis

Patent Timeline

  • Cliff: 2027
  • 74 active patents

Trial Analysis

  • 61 total trials
  • Stage: Declining

Competitive Landscape

  • 10 similar drugs
  • Same target/indication analysis
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Full approval history • All patents • Revenue trends • Competitor analysis

Data Sources

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

How We Calculate These Metrics

Trial Activity Stage

Measures the current development activity pattern based on trial phases, status, and trends. Important: This measures R&D activity, not commercial lifecycle.

Trial statuses: "Active" means recruiting or ongoing. "Completed" means reached planned endpoint. "Terminated" means stopped early—often due to safety, efficacy, or business reasons.

  • Growth: High proportion of early-phase trials (Phase 1/2), active development
  • Expansion: Significant Phase 3 activity, approaching or pursuing approvals
  • Mature: Substantial Phase 4 post-marketing studies
  • Stable: Mixed phase distribution, steady development
  • Declining: Low active trial ratio, reduced R&D investment