Funding R&D for diseases of the developing world - Jon Pender, International Federation of Pharmaceutical Manufacturers & Associations (IFPMA) ppt, 3.88Mb
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The role of the pharmaceutical R&D based industry in addressing diseases of the developing world (DDW) Jon D. Pender Vice President, IP & Access, Global Health Government Affairs, Public Policy and Patient Advocacy, GSK Chair, Global Health Committee, IFPMA CEWG Open Forum | Geneva | 6 April 2011 © IFPMA 2011 Tackling DDW Basic Research - Academia - Government Agencies - R&D Industry Research & Development - R&D Industry - Product Development Partnerships (PDP) Manufacture - R&D Industry - Generic Industry Access and Delivery - Governments - Foundations - Private Sector - Civil Society a combined effort to benefit patients in developing countries © IFPMA 2011 Industry commits resources to R&D R&D for DDW is conducted through multiple channels Independent efforts Partnerships/academia Dedicated R&D facilities *(Current industry involvement & partnerships - illustrative only - not comprehensive) © IFPMA 2011 R&D for a New Medicine © IFPMA 2011 Industry R&D for DDW is Growing… # R&D Projects by IFPMA Companies, with Product Development Partnerships or alone R&D for TDR 10 Priority Diseases: -Chagas - Dengue - Human African Trypanosomiasis - Leishmaniasis - Leprosy - Lymphatic Filariasis - Malaria - Onchocerciasis - Schistosomiasis - Tuberculosis 1 project = 1 compound in development OR 1 screening programme for 1 disease Source: 2005, Moran et al. “New Landscape...”; 200610, IFPMA Status Report © IFPMA 2011 ...and increasingly collaborative # Medicines and Vaccines R&D Projects with Product Development Partnerships or alone © IFPMA 2011 Factors for Increased DDW R&D Product Development Partnerships Large Scale Donor Funding for Access Increased notfor-profit R&D work New Approaches © IFPMA 2011 Current Industry DDW R&D is Mostly Early Stage © IFPMA 2011 Some DDWs are More Neglected than Others 4 Approved Meds: ALL intravenous or intramuscular, 3 are v. old 0 Approved Meds 2 Approved Meds: 1) intravenous & side effects 2) v. expensive 2 Approved Meds: BOTH less effective against fatal late stage 1 Approved Med: Effective, large donation program. Resistance? 3 Approved Meds: Effective, large donation program 3 Approved Meds: Effective, large donation program 1 Approved Med: Effective, large donation program (HAT = Human African Trypanosomiasis or “Sleeping Sickness”) Source: 2010 IFPMA Status Report © IFPMA 2011 Funding for R&D for DDW is Growing… © IFPMA 2011 ….But a Funding Crisis is Looming Dalberg Study for IFPMA (2007) Total Funding for PDPs to 2007 = USD 0.5 billion Est. funding to take current PDP pipelines to approval AND to augment inadequate pipelines for Most Neglected Diseases = USD 8.3 billion Estimated funding needs profile for Neglected diseases R&D drugs – 2008-2017 USD B 1.5 Mid-range funding need for the next 10 years USD 8.3 B 1.2 1.1 1.1 1.0 1.0 1.0 0.9 0.8 Other diseases 0.6 HAT/ VL/ Chagas Malaria 0.5 0.3 0.4 TB 0.0 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Sources: Global plan to Stop TB 2006-2015; MMV financial plan 2008-2017; DNDi Busi ness plan 2007-2014; Dalberg inter views and analysis. Source: Dalberg for IFPMA 11 © IFPMA 2011 DDW R&D Trends that will Impact Financing Maturing Pipeline Some Avenues of Research Prove Fruitless New Funding Sources / Incentives • More projects entering expensive later stages (clinical trials) • Need to invest in trials infrastructure & regulatory frameworks • Regulatory delays can be significant (e.g. ~4 years in S. Africa) • From Development, return to Basic Research (e.g. Dengue) • Implications for total funding and for overall timeframe • Advanced Market Commitment (AMC) • Priority Review Voucher (PRV) • Recognition of Importance of DDW R&D © IFPMA 2011 Summary DDW R&D has increased substantially Increased activity by Product Development Partnerships Increased investment, in-kind & not-for-profit contribution by industry Current DDW R&D is mainly in less expensive earlier stages Funding requirements will increase as more projects move into clinical trials Industry is working to help expand and improve current DDW efforts Current volume of DDW R&D inadequate to deliver enough new medicines for all the most needy diseases Shortfall is significant – funding to date perhaps 10 % of what is needed Additional funding critical to achieve adequate range of new medicines & vaccines for the Most Neglected Diseases © IFPMA 2011 Conclusions R&D Industry welcomes new sustainable proposals that complement the current innovation system IFPMA committed to the implementation of the relevant provisions of the GSPoA Pools Tech transfer Factors for new successful proposals: • able to be implemented in the short to medium-term • sufficiently credible to engage key funding sources • endorsed by key providers of research and development • demonstrably non-erosive of existing efforts © IFPMA 2011 Thank You! © IFPMA 2011