{"id":67,"date":"2026-06-17T23:39:13","date_gmt":"2026-06-17T23:39:13","guid":{"rendered":"https:\/\/astinovabiolabs.com\/blog\/?p=67"},"modified":"2026-06-17T23:39:13","modified_gmt":"2026-06-17T23:39:13","slug":"synthesis-of-lenacapavir","status":"publish","type":"post","link":"https:\/\/astinovabiolabs.com\/blog\/synthesis-of-lenacapavir\/","title":{"rendered":"Synthesis of Lenacapavir"},"content":{"rendered":"\n<h1 class=\"wp-block-heading\" id=\"lenacapavir-yeztugo-prep-and-sunlenca-hiv-1-treatment-drug-intelligence-dossier\">Lenacapavir (YEZTUGO (PrEP) and SUNLENCA (HIV-1 treatment)) \u2014 Drug Intelligence Dossier<\/h1>\n\n\n\n<p><strong>Compiled:<\/strong>&nbsp;2026-06-17 \u00b7&nbsp;<strong>Trigger event:<\/strong>&nbsp;FDA approval, 2025-06-18&nbsp;<strong>Innovator:<\/strong>&nbsp;Gilead Sciences, Inc. (development code GS-6207)&nbsp;<strong>Status:<\/strong>&nbsp;Approved NME<\/p>\n\n\n\n<p><strong>INN:<\/strong>&nbsp;lenacapavir<strong>Brand (US):<\/strong>&nbsp;YEZTUGO (PrEP) and SUNLENCA (HIV-1 treatment)<strong>CAS:<\/strong>&nbsp;2189684-44-2<strong>ChEMBL:<\/strong>&nbsp;\u2014<strong>MW:<\/strong>&nbsp;968.3 g\/mol<strong>NDA #:<\/strong>&nbsp;NDA 220020 \/ 220018 (YEZTUGO, PrEP); original NME NDA 215974 \/ 215973 (SUNLENCA, treatment, 2022-12-22)<strong>Approval:<\/strong>&nbsp;2025-06-18<\/p>\n\n\n\n<p>Lenacapavir (Sunlenca \/ for PrEP, Yeztugo) is a <strong>first-in-class HIV-1 capsid inhibitor<\/strong> \u2014 a multi-stage inhibitor that targets the viral capsid protein (CA) rather than an enzyme.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"3-synthesis-route-of-the-originator\">Synthesis Route of the Originator<\/h2>\n\n\n\n<p>Lenacapavir is among the most synthetically complex small molecules ever approved (MW 968 free acid; 10 fluorines; 3 stereocentres; indazole + pyridine + cyclopropane-fused pyrazole + alkynyl sulfone). Gilead&#8217;s commercial route (Org. Process Res. Dev. 2024, DOI 10.1021\/acs.oprd.4c00242) converges three major fragments onto a bis-bromopyridine core that already carries the pre-set (1S)-1-amino-2-(3,5-difluorophenyl)ethyl group. The four end-game operations are: (1) Sonogashira-type alkynylation at pyridine C6 with 3-methyl-3-(methylsulfonyl)but-1-yne; (2) amide coupling of the C2 amine with the chiral (3bS,4aR) difluoro-trifluoromethyl cyclopropa-cyclopenta-pyrazole acetic acid; (3) Suzuki\u2013Miyaura coupling at C3 with the 3-amino-4-chloro-1-(2,2,2-trifluoroethyl)indazol-7-yl boronic ester; (4) telescoped bis-methanesulfonylation of the indazole 3-amino group followed by hydrolysis to the mono-methanesulfonamide, giving the API; conversion to the sodium salt gives the drug substance. The major fragments are made in dedicated multistep asymmetric sequences: the pyrazole fragment in a 10-step route (OPRD 2024, DOI 10.1021\/acs.oprd.4c00235) via (1R,5R)-2,2-dimethoxybicyclo[3.1.0]hexan-3-one from (R)-epichlorohydrin (OPRD 2024, DOI 10.1021\/acs.oprd.4c00527); the enantiopure benzylic-amine fragment via a new asymmetric route (JOC 2024, DOI 10.1021\/acs.joc.4c02380); a concise one-pot Heck\/Suzuki variant of the assembly is also reported (OPRD 2025, DOI 10.1021\/acs.oprd.5c00443). All five end-game intermediate SMILES were validated in RDKit (final free acid == target). Transformation names and the four-step order are verbatim from the OPRD 2024 abstract; per-step reagents\/temperatures are representative unless quoted \u2014 verify against the primary OPRD\/JOC papers before scale-up.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"204\" src=\"https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-12-1024x204.png\" alt=\"\" class=\"wp-image-68\" srcset=\"https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-12-1024x204.png 1024w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-12-300x60.png 300w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-12-768x153.png 768w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-12-1536x306.png 1536w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-12.png 1928w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"128\" src=\"https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-13-1024x128.png\" alt=\"\" class=\"wp-image-69\" srcset=\"https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-13-1024x128.png 1024w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-13-300x38.png 300w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-13-768x96.png 768w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-13-1536x192.png 1536w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-13-2048x256.png 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"162\" src=\"https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-14-1024x162.png\" alt=\"\" class=\"wp-image-70\" srcset=\"https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-14-1024x162.png 1024w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-14-300x47.png 300w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-14-768x121.png 768w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-14-1536x243.png 1536w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-14-2048x324.png 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"325\" src=\"https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-15-1024x325.png\" alt=\"\" class=\"wp-image-71\" style=\"aspect-ratio:3.1508615637088266;width:430px;height:auto\" srcset=\"https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-15-1024x325.png 1024w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-15-300x95.png 300w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-15-768x244.png 768w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-15.png 1216w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p class=\"has-small-font-size\"><sup>a<\/sup>Reagents and conditions: (1) 3-methyl-3-(methylsulfonyl)but-1-yne (alkynyl sulfone), Pd\/Cu catalysis, amine base \u2014 selective at the C6-bromide, leaving the C3-bromide for the later Suzuki step (per OPRD 2024 final-assembly sequence; exact catalyst\/solvent in the primary paper \u2014 representative here). The (1S) benzylic stereocentre is set upstream in the amine-fragment synthesis (JOC 2025, DOI 10.1021\/acs.joc.4c02380; discovery uses an Ellman (S)-sulfinamide, the process uses a dynamic kinetic resolution).; (2) (2-{(3bS,4aR)-5,5-difluoro-3-(trifluoromethyl)-3b,4,4a,5-tetrahydro-1H-cyclopropa[3,4]cyclopenta[1,2-c]pyrazol-1-yl}acetic acid) + a standard amide-coupling activator (e.g. T3P\/HATU + amine base) \u2014 representative; the C3-bromide is retained for the next step. The pyrazole fragment is built in a 10-step asymmetric route (OPRD 2024, DOI 10.1021\/acs.oprd.4c00235) via the (1R,5R)-2,2-dimethoxybicyclo[3.1.0]hexan-3-one intermediate from (R)-epichlorohydrin CAS 51594-55-9 (OPRD 2025, DOI 10.1021\/acs.oprd.4c00527). Fragment C acid = CAS 1620056-83-8; alkynyl sulfone = CAS 2109226-54-0.; (3) Indazol-7-yl pinacol boronic ester (3-amino, 4-chloro, N1-CH\u2082CF\u2083), Pd catalyst, base, aqueous co-solvent \u2014 forms the pyridine\u2013indazole biaryl bond (per OPRD 2024). A concise one-pot sequential Heck\/Suzuki variant is also reported (OPRD 2025, DOI 10.1021\/acs.oprd.5c00443). The indazole 3-amino group is carried free at this stage.; (4) Methanesulfonyl chloride (excess) bis-mesylates the indazole 3-NH\u2082 to N(SO\u2082CH\u2083)\u2082; controlled hydrolysis removes one mesyl to give the mono-methanesulfonamide (the API motif). Telescoped per OPRD 2024 final assembly.; (5) Treat the free acid (acidic methanesulfonamide N\u2013H) with a sodium base; crystallise \u2192 lenacapavir sodium (C\u2083\u2089H\u2083\u2081ClF\u2081\u2080N\u2087NaO\u2085S\u2082, MW 990.3), the drug substance in SUNLENCA and YEZTUGO..<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"845\" src=\"https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-16-1024x845.png\" alt=\"\" class=\"wp-image-72\" srcset=\"https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-16-1024x845.png 1024w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-16-300x248.png 300w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-16-768x634.png 768w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-16-1536x1267.png 1536w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-16.png 1738w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"957\" src=\"https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-17-1024x957.png\" alt=\"\" class=\"wp-image-73\" srcset=\"https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-17-1024x957.png 1024w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-17-300x280.png 300w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-17-768x718.png 768w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-17-1536x1436.png 1536w, https:\/\/astinovabiolabs.com\/blog\/wp-content\/uploads\/2026\/06\/image-17.png 1746w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"4-crystal-forms-salts-and-solid-state-profile\">Crystal Forms, Salts, and Solid-State Profile<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>API in approved drug product:<\/strong>\u00a0Lenacapavir sodium (C\u2083\u2089H\u2083\u2081ClF\u2081\u2080N\u2087NaO\u2085S\u2082, MW 990.3; free acid C\u2083\u2089H\u2083\u2082ClF\u2081\u2080N\u2087O\u2085S\u2082, MW 968.3). Light yellow to yellow solid; practically insoluble in water. Highly lipophilic (cLogP ~6.4) and high-MW \u2014 formulated as an oral tablet (low\/variable oral bioavailability 4\u20137%) and, critically, as a long-acting SC injectable that forms a subcutaneous depot for slow release over months.<\/li>\n\n\n\n<li><strong>Strengths approved:<\/strong>\u00a0Tablets 300 mg; SC injection 463.5 mg\/1.5 mL (309 mg\/mL)<\/li>\n\n\n\n<li><strong>Third-party polymorph activity:<\/strong>\u00a0Salt\/crystalline-form applications under Section 3(d) opposition in India; monitor SureChEMBL\/Espacenet for third-party activity. Genuine generic threat is gated to ~2041 by the long-acting\/use estate, not by polymorph forms.<\/li>\n\n\n\n<li><strong>Originator polymorph filing:<\/strong>\u00a0Gilead solid-form \/ salt patents (US 11,267,799 + choline-salt family) protect the marketed sodium form<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"81-cmc-manufacturing-risk-profile\">CMC \/ manufacturing risk profile<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>API DMF holder:<\/strong>\u00a0Gilead Sciences (in-house API process; commercial route in OPRD 2024, DOI 10.1021\/acs.oprd.4c00242)<\/li>\n\n\n\n<li><strong>Drug product CMO:<\/strong>\u00a0Gilead \u2014 oral tablet (300 mg) + sterile long-acting SC injectable (the depot-forming solution is the differentiating, IP-protected drug product)<\/li>\n\n\n\n<li><strong>KSM supply:<\/strong>\u00a0(R)-epichlorohydrin (commodity \u2192 chiral bicyclic ketone \u2192 pyrazole fragment); 3,5-difluorophenyl building blocks; the bis-bromopyridine core; 3-methyl-3-(methylsulfonyl)but-1-yne; the 3-amino-4-chloro-1-(trifluoroethyl)indazole boronate. Value concentrates in the two chiral-fragment syntheses (pyrazole, benzylic amine).<\/li>\n\n\n\n<li><strong>Critical process risk:<\/strong>\u00a0(1) Setting and preserving 3 stereocentres (the (1S) amine and (3bS,4aR) cyclopropane) \u2014 chiral-fragment synthesis governs API quality. (2) Two Pd-catalysed couplings (Sonogashira + Suzuki) \u2192 Pd removal to ICH-Q3D. (3) Highly fluorinated, high-MW, low-solubility molecule \u2014 handling\/crystallisation challenges. (4) The bis-methanesulfonylation\/hydrolysis selectivity. (5) Drug-product: reproducible long-acting SC depot performance (the commercial moat).<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"54-key-peer-reviewed-literature\">Key peer-reviewed literature<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Matthews PC et al.,\u00a0<em>Lancet Gastroenterol Hepatol<\/em>\u00a02026 \u2014\u00a0<a href=\"https:\/\/doi.org\/10.1016\/S2468-1253(26)00046-4\">A changing HIV treatment landscape: what does lenacapavir mean for people living with HBV?<\/a>\u00a0(PMID 42269621)<\/li>\n\n\n\n<li>Carbajal C et al.,\u00a0<em>Clin Microbiol Rev<\/em>\u00a02026 \u2014\u00a0<a href=\"https:\/\/doi.org\/10.1128\/cmr.00395-25\">Interactions between long-acting antiretrovirals and opioids: a call for clinical awareness<\/a>\u00a0(PMID 41817180)<\/li>\n\n\n\n<li>Charpentier C et al.,\u00a0<em>Antimicrob Agents Chemother<\/em>\u00a02026 \u2014\u00a0<a href=\"https:\/\/doi.org\/10.1128\/aac.00228-26\">A French national observatory of people with HIV initiating lenacapavir-based&#8230;<\/a>\u00a0(PMID 42268209)<\/li>\n\n\n\n<li>Raccagni AR et al.,\u00a0<em>Expert Opin Pharmacother<\/em>\u00a02026 \u2014\u00a0<a href=\"https:\/\/doi.org\/10.1080\/14656566.2026.2685830\">Injectable long-acting pre-exposure prophylaxis for HIV prevention: advancements and&#8230;<\/a>\u00a0(PMID 42240197)<\/li>\n\n\n\n<li>Sax PE et al.,\u00a0<em>AIDS Patient Care STDS<\/em>\u00a02026 \u2014\u00a0<a href=\"https:\/\/doi.org\/10.1177\/10872914261455402\">People with HIV Continuing on Complex Regimens in the Era of Treatment Optimization:&#8230;<\/a>\u00a0(PMID 42244221)<\/li>\n\n\n\n<li>Idrees M et al.,\u00a0<em>Ann Med Surg (Lond)<\/em>\u00a02026 \u2014\u00a0<a href=\"https:\/\/doi.org\/10.1097\/MS9.0000000000005097\">Commentary on PURPOSE-1 and PURPOSE-2 trials of lenacapavir: a breakthrough in HIV prevention<\/a>\u00a0(PMID 42254175)<\/li>\n\n\n\n<li>Zhang H et al.,\u00a0<em>J Clin Pharmacol<\/em>\u00a02026 \u2014\u00a0<a href=\"https:\/\/doi.org\/10.1002\/jcph.70218\">A Phase 1 Study to Evaluate the Potential Drug-Drug Interaction Between Islatravir and&#8230;<\/a>\u00a0(PMID 42213486)<\/li>\n\n\n\n<li>Endo T et al.,\u00a0<em>J Infect Chemother<\/em>\u00a02026 \u2014\u00a0<a href=\"https:\/\/doi.org\/10.1016\/j.jiac.2026.102980\">Perioperative pharmacokinetics of lenacapavir during massive hemorrhage in a patient&#8230;<\/a>\u00a0(PMID 42048836)<\/li>\n\n\n\n<li>Beres LK et al.,\u00a0<em>Lancet HIV<\/em>\u00a02026 \u2014\u00a0<a href=\"https:\/\/doi.org\/10.1016\/S2352-3018(26)00034-2\">Targeted universalism for long-acting PrEP: an urgent need to avoid risk targeting and&#8230;<\/a>(PMID 41965241)<\/li>\n\n\n\n<li>Vellas C et al.,\u00a0<em>J Clin Virol<\/em>\u00a02026 \u2014\u00a0<a href=\"https:\/\/doi.org\/10.1016\/j.jcv.2026.105939\">HIV-1 gag genotypic resistance testing using short-read and long-read next-generation&#8230;<\/a>(PMID 41886877)<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Lenacapavir (YEZTUGO (PrEP) and SUNLENCA (HIV-1 treatment)) \u2014 Drug Intelligence Dossier Compiled:&nbsp;2026-06-17 \u00b7&nbsp;Trigger event:&nbsp;FDA approval, 2025-06-18&nbsp;Innovator:&nbsp;Gilead Sciences, Inc. (development code GS-6207)&nbsp;Status:&nbsp;Approved NME INN:&nbsp;lenacapavirBrand (US):&nbsp;YEZTUGO (PrEP) and SUNLENCA (HIV-1 treatment)CAS:&nbsp;2189684-44-2ChEMBL:&nbsp;\u2014MW:&nbsp;968.3 g\/molNDA #:&nbsp;NDA 220020 \/ 220018 (YEZTUGO, PrEP); original NME&hellip;<\/p>\n","protected":false},"author":1,"featured_media":74,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[17],"tags":[25,24],"class_list":["post-67","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-fda-approved-small-molecules","tag-hiv-1-capsid-inhibitor","tag-lenacapavir"],"_links":{"self":[{"href":"https:\/\/astinovabiolabs.com\/blog\/wp-json\/wp\/v2\/posts\/67","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/astinovabiolabs.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/astinovabiolabs.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/astinovabiolabs.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/astinovabiolabs.com\/blog\/wp-json\/wp\/v2\/comments?post=67"}],"version-history":[{"count":1,"href":"https:\/\/astinovabiolabs.com\/blog\/wp-json\/wp\/v2\/posts\/67\/revisions"}],"predecessor-version":[{"id":75,"href":"https:\/\/astinovabiolabs.com\/blog\/wp-json\/wp\/v2\/posts\/67\/revisions\/75"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/astinovabiolabs.com\/blog\/wp-json\/wp\/v2\/media\/74"}],"wp:attachment":[{"href":"https:\/\/astinovabiolabs.com\/blog\/wp-json\/wp\/v2\/media?parent=67"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/astinovabiolabs.com\/blog\/wp-json\/wp\/v2\/categories?post=67"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/astinovabiolabs.com\/blog\/wp-json\/wp\/v2\/tags?post=67"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}