Table 5. Important or game changing products proposed by the Commission on Investing in Health that could help achieve a grand convergence in global health by 2035.
Diagnostics | Drugs | Vaccines | |
---|---|---|---|
Short term
(available before 2020) | |||
Important | POC diagnostics
for HIV, TB, malaria; POC vital load for HIV |
New artemisinin co-formulations for malaria; new
TB drug co-formulations *; curative drugs for hepatitis C; new antivirals for influenza; long-acting contraceptive implant; safe, effective, shorter duration therapy for active and latent TB; new drugs for NTDs * (with high efficacy and few side effects) |
Moderately efficacious (50%) malaria vaccine;
conjugated typhoid vaccine; staphylococcal vaccine; heat-stable vaccines; new adjuvants to reduce multiple dosing of vaccines; more effective influenza vaccines in elderly people |
Potentially
game-changing |
Single encounter treatment for malaria: a one-dose
cure for vivax and falciparum |
||
Medium term
(available before 2030) | |||
Important | Antimicrobials based on a new mechanism of
action |
Combined diarrhea vaccine
* (rotavirus,
enterotoxigenic E. coli, typhoid, shigella); protein-based universal pneumococcal vaccine; RSV vaccine; hepatitis C vaccine * |
|
Potentially
game-changing |
New classes of antiviral drugs | HIV vaccine
*; TB vaccine
*; highly efficacious
malaria vaccine *; universal influenza vaccine |
Abbreviations: POC: point-of-care; NTDs: neglected tropical diseases; RSV: respiratory syncytial virus; TB: tuberculosis
*The 18 “missing” products based on modeling the current pipeline (vaccines against HIV, TB, malaria, and hepatitis C; combined vaccine against multiple diarrheal diseases; complex NCE for TB; NCEs for 12 NTDs (based on the WHO list of NTDs at http://www.who.int/neglected_diseases/mediacentre/factsheet/en).