Quebec First to Reimburse PrEP
- Long-acting injectable PrEP offers a highly effective option for reducing HIV risk.
- On March 5, 2025, Health Canada approved Apretude (cabotegravir), the first long-acting injectable medication for pre-exposure prophylaxis (PrEP) against HIV.
- Apretude contains cabotegravir, available in 3-mL vials containing 600 mg for injection.
Apretude Approved: A New Era in HIV Prevention
Table of Contents
- Apretude Approved: A New Era in HIV Prevention
- Health Canada Approves Apretude for HIV Prevention
- The Effectiveness of Apretude as PrEP
- Important Considerations While Using Apretude
- Side Effects of Apretude
- Quebec First Province to Publicly Reimburse Apretude
- Apretude: A Superior PrEP Option
- Statements from Leaders
- Understanding HIV
- How Apretude Works
- Further Facts
- Apretude: your Questions Answered About This New HIV Prevention Option
- What is Apretude and how does it prevent HIV?
- How effective is Apretude in preventing HIV?
- Who is Apretude for?
- What are the vital considerations while using Apretude?
- What are the potential side effects of Apretude?
- How is Apretude administered?
- Is Apretude available in Canada?
- Why is Apretude a superior PrEP option?
- HIV Statistics in Canada
- Where can I find more facts about Apretude?
Long-acting injectable PrEP offers a highly effective option for reducing HIV risk.
Health Canada Approves Apretude for HIV Prevention
On March 5, 2025, Health Canada approved Apretude (cabotegravir), the first long-acting injectable medication for pre-exposure prophylaxis (PrEP) against HIV. This marks a significant advancement in HIV prevention efforts, offering a new, highly effective option for individuals at risk.
Apretude contains cabotegravir, available in 3-mL vials containing 600 mg for injection. Clinical trials have demonstrated its effectiveness in reducing the risk of HIV acquisition.
The Effectiveness of Apretude as PrEP
Apretude has shown remarkable efficacy in preventing HIV. Studies indicate that PrEP, including Apretude, can lower the risk of getting HIV from sex by 99%. This makes it a powerful tool in the fight against HIV transmission.
It is crucial to adhere to the injection schedule. missing injections can diminish its effectiveness. Apretude’s safety and efficacy have not been established in individuals younger than 12 years old or those weighing less than 35 kg (77 lbs).
Important Considerations While Using Apretude
While Apretude is highly effective against HIV, it’s important to remember that:
- Apretude does not prevent other sexually transmitted infections (STIs).
- Safer sex practices, such as using condoms, are still necessary to reduce the risk of STIs.
- Maintaining an HIV-negative status is essential while receiving Apretude for HIV-1 PrEP.
- Regular HIV testing and awareness of partners’ HIV status are crucial.
According to apretude.com, “You must stay HIV-1 negative to keep receiving APRETUDE for HIV-1 PrEP.Know your HIV-1 status and the HIV-1 status of your partners.”
Side Effects of Apretude
Like all medications, Apretude can cause side effects. Common side effects include:
- headache
- Diarrhea
- Feeling hot
These side effects are generally mild to moderate, temporary, and resolve without treatment.
Quebec First Province to Publicly Reimburse Apretude
On , Quebec became the first province to publicly reimburse APRETUDE (cabotegravir tablets and extended release injectable suspension) for pre-exposure prophylaxis (PrEP) to reduce the risk of sexually acquired HIV-1 infection in at-risk individuals who are HIV-1 negative.
This decision by the Quebec government grants timely access to APRETUDE for at-risk individuals who could benefit from PrEP. APRETUDE is now listed under the Régie de L’assurance Maladie du Québec (RAMQ).
Cases of HIV continue to rise across Canada, including in Quebec, where cases increased 37 per cent between 2019 and 2022. This decision will have a meaningful impact on HIV prevention efforts in the province.
Apretude: A Superior PrEP Option
APRETUDE is the first and only long-acting injectable approved in Canada to help reduce the risk of sexually acquired HIV-1 infection in at-risk adults and adolescents aged 12 years and older, and weighing at least 35kg.
Findings from two real-world evidence studies (OPERA and Trio Health cohorts) showed more than 99 per cent effectiveness of APRETUDE for PrEP in nearly 1,300 individuals. APRETUDE for PrEP has demonstrated superior efficacy to daily oral emtricitabine/tenofovir disoproxil fumarate (FTC/TDF tablets) in reducing the risk of HIV acquisition in two clinical trials, providing more options for prep for Canadians.
Statements from Leaders
we applaud the Quebec government for prioritizing access to new HIV prevention tools like APRETUDE, an critically important step in our collective effort to strengthen HIV prevention in Canada. We look forward to continuing to collaborate with other provinces and territories to ensure equitable access to APRETUDE for all Canadians who could benefit from PrEP.
Tharani Napper, Government Affairs & Market Access Director, ViiV Healthcare Canada
While the communities we reach continue to be over-represented in new HIV cases, Quebec’s decision to include a new option for PrEP on the list of drugs reimbursed by the public plan is a step forward in HIV prevention in our province. At RÉZO, we’ve been informing our communities about PrEP, how it effectively works and its effectiveness in preventing HIV for nearly 15 years. Access to PrEP remains an issue in quebec and Canada. we believe that the more options available for PrEP, and the more financially accessible it is, the more we can increase its use and reduce new cases of HIV.
Alexandre Dumont Blais, Executive Director, RÉZO
Understanding HIV
HIV (human immunodeficiency virus) attacks the body’s immune system and is spread by contact with certain bodily fluids of a person with HIV, most commonly during unprotected sex or through sharing injected drug equipment.
If untreated, HIV can lead to AIDS (acquired immunodeficiency syndrome), the most severe stage of HIV infection.While there is no cure, proper treatment and care allow people with HIV to maintain a high quality of life and avoid transmission.
In 2023, there were 2,434 new HIV diagnoses, a 35 per cent increase from the previous year. In 2022, an estimated 65,270 people were living with HIV in Canada, with 129 deaths attributed to HIV.
How Apretude Works
APRETUDE (cabotegravir extended-release injectable suspension) is a long-acting injectable pre-exposure prophylaxis (PrEP) option proven superior to daily oral FTC/TDF in reducing HIV acquisition. Cabotegravir is an integrase strand transfer inhibitor (INSTI).
INSTIs inhibit HIV replication by preventing the viral DNA from integrating into the genetic material of human immune cells (T-cells). This step is essential in the HIV replication cycle and is responsible for establishing chronic disease.
Further Facts
For complete safety information, consult the Product Monograph or call 1-877-393-8448.
Apretude: your Questions Answered About This New HIV Prevention Option
Apretude is a groundbreaking long-acting injectable medication for pre-exposure prophylaxis (PrEP) against HIV. Approved by Health Canada, it offers a highly effective new option for individuals at risk. This Q&A covers everything you need to know about Apretude, from its effectiveness and usage to potential side effects and its availability in Canada.
What is Apretude and how does it prevent HIV?
Apretude is the first long-acting injectable medication approved in Canada for pre-exposure prophylaxis (PrEP) against HIV. It contains cabotegravir, an integrase strand transfer inhibitor (INSTI).
INSTIs work by blocking HIV replication. They prevent the viral DNA from integrating into the genetic material of human immune cells (T-cells), a crucial step for establishing chronic disease. By inhibiting this process, Apretude substantially reduces the risk of HIV acquisition.
How effective is Apretude in preventing HIV?
Apretude is highly effective in preventing HIV. Studies show that PrEP,including Apretude,can lower the risk of getting HIV from sex by 99%. real-world evidence studies (OPERA and Trio Health cohorts) showed more than 99% effectiveness of Apretude for prep in nearly 1,300 individuals. Clinical trials have also demonstrated Apretude’s superior efficacy compared to daily oral emtricitabine/tenofovir disoproxil fumarate (FTC/TDF) tablets.
Who is Apretude for?
Apretude is approved for at-risk adults and adolescents aged 12 years and older, weighing at least 35 kg, to help reduce the risk of sexually acquired HIV-1 infection.
What are the vital considerations while using Apretude?
Apretude does not prevent other STIs: continue to practice safer sex, such as using condoms, to reduce the risk of sexually transmitted infections.
Maintain HIV-negative status: It is essential to be HIV-negative while receiving Apretude for HIV-1 prep. Regular HIV testing and awareness of partners’ HIV status are crucial.
Adhere to the injection schedule: Missing injections can diminish its effectiveness.
What are the potential side effects of Apretude?
Like all medications, Apretude can cause side effects. Common side effects include:
Headache
Diarrhea
Feeling hot
These side effects are generally mild to moderate, temporary, and resolve without treatment.
How is Apretude administered?
Apretude is administered as an extended-release injectable suspension. The specific injection schedule should be resolute by a healthcare provider.
Is Apretude available in Canada?
Yes, Health Canada approved Apretude on March 5, 2025. Quebec became the first province to publicly reimburse Apretude for PrEP, making it more accessible to at-risk individuals. ViiV Healthcare Canada is working with other provinces and territories to ensure equitable access to Apretude for all canadians who coudl benefit from PrEP.
Why is Apretude a superior PrEP option?
Apretude offers several advantages over daily oral PrEP medications:
Long-acting: Apretude is a long-acting injectable, reducing the need for daily pills.
High efficacy: Studies have demonstrated Apretude’s superior efficacy compared to daily oral PrEP.
* Increased adherence: The less frequent dosing schedule may improve adherence to PrEP, leading to better protection against HIV.
HIV Statistics in Canada
| Year | New HIV Diagnoses | Estimated People Living with HIV | Deaths Attributed to HIV |
| :—-: | :—————-: | :———————————: | :————————-: |
| 2023 | 2,434 | N/A | N/A |
| 2022 | N/A | 65,270 | 129 |
Where can I find more facts about Apretude?
For complete safety information, consult the product Monograph or call 1-877-393-8448. Also, you can visit apretude.com.
