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. 2020 Feb 19;2:23. Originally published 2018 Apr 26. [Version 3] doi: 10.12688/gatesopenres.12817.3

Table 11. Estimated additional costs to launch 18 “missing” products.

Disease Archetype Additional number of candidates
needed at preclinical phase (range *)
Additional investment needed to achieve
one expected launch, $, millions (range *)
HIV/AIDS Unprecedented
vaccine
125 (85-190) 2844.4 (1740.8 – 4755.8)
TB Unprecedented
vaccine
169 (115-257) 3845.6 (2355.1 – 6432.8)
Malaria Unprecedented
vaccine
171 (117-261) 3891.1 (2396.1 – 6533)
Hepatitis C Simple vaccine 6 (4-8) 222.2 (133.3 – 325.8)
Hepatitis C Complex vaccine 30 (21-46) 915.6 (576.8 –1544.3)
Multiple diarrheal
diseases
Simple vaccine 11 (8-17) 406.6 (266.6 – 692.4)
Multiple diarrheal
diseases
Complex vaccine 35 (24-53) 1057.4 (659.2 – 1779.3)
TB Complex NCE 27 (18-41) 495.0 (297.0 – 826.8)
12 NTDs ** Simple NCE 101 (70-155) 1851.6 (861.5 – 2331.5)
12 NTDs ** Complex NCE 478 (326-728) 8762.9 (5378.7 – 14680.6)

*The range reports the results generated by the sensitivity analysis ((changing all probabilities of success per phase to 10% higher and 10% lower, all costs per phase to 10% higher and lower, and all possible combinations of these changes).

**These diseases are Buruli ulcer, Chagas disease, dengue, hookworm, human African trypanosomiasis (HAT), leishmaniasis, leprosy, lymphatic filariasis, onchocerciasis, schistosomiasis, trachoma, and trichuriasis