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

Table 3. Further definitions of archetypes to guide classification of product candidates.

Product archetype Description from P2I v.1 model Examples Further definition
Repurposed
drug
Simple Drug has sufficient safety data to
start development in phase II
azithromycin, doxycycline Any drug that has already been approved for market use in humans and is
now being used in a new formulation or for a new indication.
Complex Drug requires some phase I clinical
trials to verify safety in humans
moxidectin Any drug that has already been approved for market use in humans and
still requires clinical trials to verify safety in humans.
New
chemical
entity (NCE)
Simple Validated target/mechanism of
action
primaquine Any chemically synthesized drug that is part of a well-established class of
drugs or has a mechanism of action that has already been approved for
market use in humans. It is not the first of its class to be approved.
Complex Novel target/mechanism of action
without understanding of disease
pathogenesis
imatinib Any chemically synthesized drug that is first in its class as determined
by having a novel target/mechanism of action regardless of the drug’s
indication.
Biologics Simple Validated target/mechanism of
action
human monoclonal antibody
m102.4
Any drug that is synthesized from a living organism that is part of a well-
established class of drugs or has a mechanism of action that has already
been approved for market use in humans. It is not the first of its class to
be approved.
Complex Novel target/mechanism of action polyclonal IgG antibodies Any drug that is synthesized from a living organism that is first in its class
as determined by having a novel target/mechanism of action regardless of
the drug’s indication.
Vaccines Simple Platform has been used to develop
other vaccines.
Hep A, Hep B, polio, killed or live
attenuated vaccines
Any vaccine platform that has been extensively researched and approved
for use in the past. Pathogen has readily-identifiable vaccine targets
that lack complexity. Conferral of immunity against disease-causing
microorganism is expected as natural immunity to the pathogen is
protective. Platform is likely to elicit robust protective response.
Complex Requires completely novel
approach; no platform; no existing
research
Pneumococcal conjugate vaccine,
meningitis B, DNA or mRNA
vaccines
Any vaccine platform that requires a novel approach that has not been
successfully approved for use in the past. Conferral of immunity against
disease-causing microorganism is difficult to induce and maintain and
natural immunity is not protective against reinfection. Platform may elicit
incomplete/insufficient immunity and require boosting over time.
Unprecedented Defined in the same way as
complex vaccines, but with lower
probabilities of success
HIV, TB, malaria vaccines All vaccine candidates for HIV, TB, and malaria are classified as
“unprecedented” due to much higher attrition rates at phases II and III
than other complex vaccines
Other
products
This category refers to vector
control products
Long-lasting insecticide-treated
bed nets, new chemical pesticides
Chemical pesticides intended for global public health use that aim to
control/kill vectors associated with transmitting poverty-related diseases;
biological control interventions that aim to control/kill vectors associated
with transmitting poverty-related diseases; veterinary vaccines designed
to prevent animal-to-human transmission of neglected diseases.
Diagnostics Assay
development
Development of a diagnostic assay Lateral flow tests, qualitative/
quantitative molecular tests
Any new diagnostic that represents menu extension on an existing
platform with an assay targeting a neglected disease.
Simple
technical
platform
development
Development of a technical
platform that enhances current
technology
Ultrasensitive malaria rapid
diagnostic test
Any new diagnostic that relies on a novel approach to sample processing
or target detection.