HIV Prevention Research & Development Investment in 2013 In a changing global development, economic, and human rights landscape Emily Donaldson, AVAC Presenting on behalf of the HIV Vaccines & Microbicides Resource Tracking Working Group Presented at the International AIDS & Economics Network Pre-conference, Melbourne, July 2014 Methodology • Comprehensive and consistent investment data collection and disaggregation methodology since 2004 • Data collection January – June 2014 • R&D Categories: • Data Sources: • Preventive HIV vaccines (307 grants) • Public funders (447 grants) • Microbicides (84 grants) • Philanthropic (141 grants) • Pre-exposure prophylaxis (54 grants) • Industry (7 grants) • Treatment as prevention (80 grants) • Male circumcision (20 grants) • Female condom (4 grants) • Prevention of vertical transmission (24 grants) • HSV-2 vaccines (22 grants) • HIV cure (150 grants) • Therapeutic HIV vaccines (45 grants) HIV Vaccines & Microbicides Resource Tracking Working Group Global HIV Prevention R&D Investment, 2009 – 2013 (US$ millions) US$1.22B US$1.27B US$1.28B 2010 2011 US$1.31B US$1.26B $1,200 $1,000 $800 $600 $400 $200 $0 2009 Female Condoms Treatment as Prevention* Pre-exposure Prophylaxis Preventive Vaccines HIV Vaccines & Microbicides Resource Tracking Working Group 2012 2013 Prevention of Vertical Transmission Adult Male Circumcision Microbicides Global HIV Prevention R&D Investment 2013 by Funder Type (US$ millions) 37, 3% 193, 15% 65, 5% 77, 6% 887, 71% US Public-Sector European Public-Sector Other Governments Philanthropic Industry HIV Vaccines & Microbicides Resource Tracking Working Group Global HIV Prevention R&D Investment 2012 & 2013 (US$ millions) Funding Source Amount 2013 Amount 2012 % Change from 2012 US Public-Sector 887 925 -4% European PublicSector 77 86 -10% Other Governments 65 69 -6% Philanthropic 193 203 -5% Industry 37 34 +9% 1.26 1.31 -4% All HIV Prevention R&D HIV Vaccines & Microbicides Resource Tracking Working Group 2013 Investment and Year-Over-Year Change HIV Vaccines & Microbicides Resource Tracking Working Group 2013 International Development Funding $154M HIV Vaccines & Microbicides Resource Tracking Working Group Global HIV Prevention R&D Investment 2013 by Prevention Option (US$ millions) 2, 0% 32, 3% 36, 3% 44, 3% 117, 9% 210, 17% 818, 65% Preventive HIV Vaccines Microbicides Pre-exposure Prophylaxis Treatment as Prevention Male circumcision Female Condom Prevention of vertical transmission HIV Vaccines & Microbicides Resource Tracking Working Group Global HIV Prevention R&D Investment 2012 & 2013 (US$ millions) HIV Prevention Option Amount 2013 Amount 2012 % Change from 2012 Preventive HIV vaccines 818 847 -3% Microbicides 210 245 -14% Pre-exposure Prophylaxis 36 31 +16% Treatment as Prevention 117 98 +19% Male circumcision 32 41.6 -23% Female condoms 2.2 2 +10% Prevention of vertical transmission 44 43.8 +0.5% 1.26 1.31 -4% All HIV Prevention R&D HIV Vaccines & Microbicides Resource Tracking Working Group HIV Prevention Trial Participants by Region 2013 Advocacy, policy and funding trends • The US public sector funds the majority of HIV prevention R&D. • Philanthropic organizations increasingly fund vital parts of HIV prevention research. • Industry funding stayed almost flat and shifted to later development stages. • International development priorities are evolving. • The enabling environment has a profound effect on where trials take place and whether they are able to happen. HIV Vaccines & Microbicides Resource Tracking Working Group Acknowledgements Significant contributions from the Working Group organizations, AVAC, the International AIDS Vaccine Initiative (IAVI), and the Joint United Nations Programme on HIV/AIDS (UNAIDS) and Working Group members Kevin Fisher (AVAC), Reuben Granich (UNAIDS), Thomas Harmon (IAVI), Polly Harrison (AVAC) and Mitchell Warren (AVAC). For the full report, including graphics and past reports, visit www.hivresourcetracking.org