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. |