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Interested in more global health innovation news? Every week GHTC scours media reports worldwide to deliver essential global health R&D news and content to your inbox. Sign up now to receive our weekly R&D News Roundup email.Last week, Moderna announced that its new booster shot targeted at the omicron subvariant of COVID-19 raises immune protection against subvariants by increasing levels of omicron-blocking antibodies up to 15 times pre-booster levels. Moderna also said that an early analysis showed that while the antibodies generated by the booster were less effective against the rapidly growing BQ.1.1 subvariant, they could still block it. This announcement follows similar positive findings that were released by Pfizer and BioNTech earlier this month about their own bivalent coronavirus vaccine booster. However, Novavax also recently released results showing that their bivalent booster did not show a stronger response than their original booster.Last week, an analysis done by researchers from TB Alliance, Stop TB Partnership, and the World Health Organization estimated that the BPaLM/BPaL treatment regimen for drug-resistant tuberculosis (DR-TB) could save governments up to US$740 million a year. Implementation of the all-oral, shorter regimen is estimated to be 40 to 90 percent less expensive than current drug regimens for DR-TB, when accounting for drug costs, healthcare costs, and patient-incurred costs. The cost savings from the new regimen coupled with the shorter time period and the fewer drugs that are easier to tolerate, BPaLM/BPaL could contribute to more people with DR-TB having access to treatment and improved treatment experiences.Last week, the World Health Organization (WHO) announced that WHO and the Ugandan government are planning to test three candidate Ebola vaccines in a clinical trial with the intent to help address the ongoing outbreak in the country. The first doses are expected to arrive this week, although it is unclear when exactly the trial will start. The vaccines being used in the trial include one produced by IAVI, one developed by the Sabin Vaccine Institute, and a final developed by the Jenner institute at the University of Oxford. While there have been questions about the usefulness of the trial if it concludes after the outbreak ends, the results of the trials could provide essential information that will help prevent future Sudan Ebolavirus outbreaks even if it concludes after the current outbreak. Additionally, the trial design will enable all participants to receive a vaccine (though some will receive it after a delay) as opposed to a standard randomized controlled trial in which one group gets a placebo.

In evaluating the G20 Bali Leaders’ Declaration, Global Health Technologies Coalition (GHTC) recognizes and applauds several encouraging commitments but urges leaders to walk the walk when it comes to making greater investments in research and development (R&D) and addressing emerging and persistent health threats with greater urgency. Promising support for The Pandemic Fund, ACT-A, and enhancing local capacity GHTC was pleased to see G20 leaders launch The Pandemic Fund in concert with this week’s summit in Bali. We believe this fund will be a critical mechanism for new R&D capacity-building investments and will help facilitate a coordinated and consistent approach to pandemic preparedness and response strengthening. We also echo the declaration’s focus on equity and inclusive membership in The Pandemic Fund’s governance structures, though we remain concerned that concrete targets and accountability provisions should have been included to establish a deeper commitment to diverse representation.  Additionally, GHTC welcomes G20 leaders’ expressed support for the Access to COVID-19 Tools Accelerator (ACT-A), highlighting the continued importance of this cooperative framework to accelerate the development, manufacturing, distribution of, and equitable access to new health technologies in the fight against COVID-19. As the initiative enters a new phase, R&D must continue to be a central pillar to ensure that vaccines, therapeutics, and diagnostics keep up with new variants. While we commend G20 leaders for highlighting the need to draw lessons from ACT-A external evaluations, they did not specify recommendations from those reports that they look to act upon. Several evaluations noted the need for greater integration of lower- and middle-income countries and partners in ACT-A’s model and that a joint platform should be established to coordinate work across product areas. We urge leaders to take tangible steps in advancing these recommendations in the coming months. GHTC was also encouraged to see the G20 articulate the need for strengthening local and regional health product manufacturing capacities and cooperation, as well as sustainable global and regional R&D networks, to facilitate better access to health technologies in lower- and middle-income countries. Insufficient urgency to mobilize against AMR and “the big three” While it was noteworthy to have global health R&D reflected throughout the final communique from G20 leaders, unfortunately the declaration also fell short in several areas. For instance, while GHTC was pleased to see that antimicrobial resistance (AMR) was elevated as part of pandemic preparedness, it was disappointing that countries failed to specify commitments and plans for addressing AMR, including planned investments to strengthen the pipeline of new tools to combat this growing health threat.  Similarly, enduring health challenges such as tuberculosis, malaria, HIV, and neglected tropical diseases did not receive a single mention, reinforcing the perception that they have fallen further off global leaders’ radars, even as new data confirms that the COVID-19 pandemic has eroded hard-won progress in these areas. Continued neglect of these pandemics is a recipe for increased backsliding and puts the goal of universal health coverage at risk. Investment in developing new tools to combat these long-standing threats is key to achieving broad health goals endorsed by the G20 in recent years.  A promising vision must be backed by greater commitment and accountability It was refreshing that this year’s declaration highlighted the importance of global health R&D in several areas, especially in relation to pandemic preparedness, and underscored that R&D investments and prioritization must continue to be a focus of national, regional, and global bodies to combat emerging and ongoing health threats. However, the declaration was light on tangible commitments and failed to address some of the world’s leading and most persistent health threats. To realize the vision of this declaration and the G20’s health goals more broadly, we call on leaders to make specific pledges and be more accountable to the principles outlined in the communique.