Gilead Sciences Stock Gains 21% YTD: Buy, Sell or Hold?

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Biotech giant Gilead Sciences, Inc. GILD has put up a strong performance amid a volatile market. Shares of this biotech giant have gained 21.1% year to date against the industry’s decline of 4.7%. The stock has outperformed the sector and the S&P 500 Index in this timeframe.

Gilead Outperforms Industry, Sector & S&P 500 Index

Zacks Investment Research
Zacks Investment Research


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Gilead Sciences is a dominant player in the HIV market with market-leading treatments. Its diverse portfolio also includes drugs for liver, hematology/oncology and inflammation/respiratory diseases.

Approval of new drugs, encouraging pipeline progress and positive data readouts have boosted investors’ sentiment in the past six months.  However, the oncology business is under pressure.

Let's delve into GILD’s strengths and weaknesses to analyze how to play the stock at present.

GILD’s Leading HIV Franchise Will Continue Its Momentum

Gilead’s flagship drug, Biktarvy (bictegravir 50 mg/emtricitabine 200 mg/tenofovir alafenamide 25 mg, BIC/FTC/TAF), for HIV-1 infection has become the number-one prescribed regimen for both treatment-naïve and switch patients. Biktarvy accounts for over 51% share of the treatment market in the United States and should maintain momentum for GILD in the upcoming quarters.

Descovy (FTC 200 mg/TAF 25 mg) for pre-exposure prophylaxis (PrEP) is also witnessing good uptake. It maintains over 40% market share in the PrEP market in the United States.

Gilead’s efforts to innovate its HIV portfolio are impressive. Late-stage studies, PURPOSE 1 and PURPOSE 2, validated lenacapavir’s potential to prevent HIV. The FDA accepted new drug application submissions for twice-yearly lenacapavir for HIV prevention under priority review, with a target action date of June 19, 2025.

The European Medicines Agency validated the Marketing Authorization Application and EU-Medicines for All application for twice-yearly lenacapavir for HIV prevention.

The successful development and potential approval of lenacapavir for the prevention of the disease should solidify Gilead’s HIV franchise.

Per GILD, lenacapavir, with its twice-yearly dosing, could set a new bar for HIV prevention and allow PrEP to reach a larger number of people who could benefit from a prevention regimen.

Livdelzi Approval Strengthens GILD’s Liver Disease Portfolio

The FDA approval of seladelpar for the treatment of primary biliary cholangitis (PBC) has strengthened GILD’s liver disease portfolio and validated its CymaBay acquisition. The drug's initial uptake is encouraging.