UPDATE 48: JANUARY 1 TO JANUARY 31, 2013 PDP FUNDERS GROUP Items in blue or purple should be hyperlinked to the full text version; if I have made mistakes many apologies. If you have any issues that you would like to include in the Update please send them to Jane Rowley (jtfrowley@btinternet.com). FUNDER ANNOUNCEMENTS (SINCE JANUARY 1, 2013) Gates Foundation 30 January 2013: 2013 Annual Letter from Bill Gates Today I am launching my Annual Letter. This year, I concentrate on the power of clear goals and accurate measurement–simple concepts really–to improve the lives of the poorest people around the globe. It may not be the sexiest of themes, but the proof of its impact is undeniable. The lives of the poorest have improved more rapidly in the last 15 years than ever before. During that time, the number of people living in extreme poverty has been reduced by half–extraordinary progress in a short period of time. … 30 January 2013: Gates Foundation Announces Winner of 2013 Gates Vaccine Innovation Award Margarida Matsinhe recognized for her work making vaccines available to more children in Mozambique The Bill & Melinda Gates Foundation today announced the winner of the second Gates Vaccine Innovation Award. The announcement was made in Bill Gates’ fifth annual letter, which provides his personal account of the foundation’s priorities for the coming year. The award recognizes the work of Margarida Matsinhe, a Mozambique-based field officer for VillageReach, a social enterprise that works to increase access to healthcare for underserved communities. Trained in public health, Ms. Matsinhe has helped increase access to vaccines for thousands of children. Ms. Matsinhe played a key role in developing new approaches to improve the logistics of vaccine delivery and collaborating with key partners to achieve Mozambique’s immunization goals. … US - NIH 23 January 2013: NIH-Developed Candidate Dengue Vaccine Shows Promise in Early-Stage Trial A candidate dengue vaccine developed by scientists at the National Institutes of Health has been found to be safe and to stimulate a strong immune response in most vaccine recipients, according to results from an early-stage clinical trial sponsored by the National Institute of Allergy and Infectious Diseases (NIAID), part of the NIH. The trial results appeared in the January 17 issue of the Journal of Infectious Diseases. … The Phase I clinical trial, launched in July 2010 and led by principal investigator Anna Durbin, M.D., at Johns Hopkins Bloomberg School of Public Health in Baltimore, tested a single dose of each of four versions of the investigational dengue vaccine TetraVax-DV. The vaccine was developed by scientists in NIAID’s Laboratory of Infectious Diseases. It is a live-attenuated vaccine, which means that the viruses it contains are weakened enough such that they do not cause illness but still can induce an immune response. Each of the four vaccines tested included different mixtures of components designed to protect against all four dengue viruses. … Wellcome Trust 3 January 2013: Study turns parasite invasion theory on its head Current thinking on how the Toxoplasma gondii parasite invades its host is incorrect, according to a study published in ‘Nature Methods’ describing a new technique to knock out genes. The findings could have implications for other parasites from the same family, including malaria, and suggest that drugs being developed to block this invasion pathway may be unsuccessful. UPDATE 48: JANUARY 1 TO JANUARY 31, 2013 17 January 2013: Early HIV treatment slows damage to immune system A 48-week course of antiretroviral medication taken in the early stages of HIV infection slows the damage to the immune system and delays the need for long-term treatment, according to research published today in the ‘New England Journal of Medicine’ (1). However, the delay was only marginally longer than the time already spent on treatment. 31 January 2013: Main causes of epilepsy in sub-Saharan Africa revealed The largest study of epilepsy in Africa to date reveals that programmes to control parasitic diseases and access to better antenatal care could substantially reduce the prevalence of the disease in this region. … PDP PRESS RELEASES (SINCE JANUARY 1, 2013) FIND 7 January 2013: FIND strengthens partnership with 42 Technology on major new diagnostic programmes The Foundation for Innovative New Diagnostics (FIND), which is driving the development and early implementation of diagnostic tests for tuberculosis (TB), malaria and other diseases of the developing world, has today confirmed an extension to its existing development partnership with 42 Technology (42T). … The consultancy has been appointed to work on a number of major new diagnostic projects involving the development of very low cost and more effective tests that are simple and robust enough to be used in challenging locations and closer to patients. The work will primarily benefit detection and screening initiatives for the control and treatment of TB and malaria, diseases that together account for more than two million deaths each year. However, a number of other ‘neglected’ infectious diseases such as sleeping sickness, which have traditionally received little attention, are also expected to benefit from this collaboration. 31 January 2013: The Cochrane Library publishes new systematic review on Xpert MTB/RIF Xpert® MTB/RIF can accurately and quickly detect both TB and drug-resistant strains, according to a new study. The authors of the new systematic review assessing the diagnostic accuracy of the Xpert test published in The Cochrane Library say their study can provide timely advice for clinicians and policymakers in countries where TB is a major public health problem. … IDRI 24 January 2013: IDRI and Orangelife Register Rapid Diagnostic for Leprosy for Use in Brazil IDRI (Infectious Disease Research Institute), in conjunction with OrangeLife, a Brazilian diagnostic company, today announces the registration of a rapid diagnostic test for leprosy, offering new hope for early diagnosis and treatment. The test was registered through ANVISA, Brazil’s regulatory authority. … According to Malcolm Duthie, Senior Scientist at IDRI, the diagnostic test is simple and easy to use. “The test requires just a single drop of blood, mixed with a developing reagent,” he explained. “From there, a line develops and it’s somewhat like a pregnancy test: the appearance of two lines indicates the test is positive and the person has leprosy.” He added that scientific publications regarding the rapid diagnostic indicate its ability to diagnose the presence of infection before clinical symptoms appear, in most cases. … MMV 7 January 2013: UPDATE 48: JANUARY 1 TO JANUARY 31, 2013 MMV and partners handover SMS for Life in Tanzania to Government MMV is pleased to announce that complete ownership of the SMS for Life programme in Tanzania was transferred to the Ministry of Health and Social Welfare (MoHSW) on 1 January 2013. SMS for Life, now fully implemented across the country, uses widely available mobile phone technology to monitor antimalarial stock levels at healthcare facilities and pharmacies to prevent stock-outs. Healthcare workers send weekly SMS messages to a central database, where the information is used to facilitate rapid replenishment of stocks where required. … PATH (including MVI and OWH) 7 January 2013: PATH Malaria Vaccine Initiative and Inovio Pharmaceuticals partner to accelerate development of malaria vaccines and innovative delivery technologies The PATH Malaria Vaccine Initiative (MVI) and Inovio Pharmaceuticals, Inc. (NYSE MKT: INO) today announced a follow-on collaboration to advance malaria vaccine development and new vaccination delivery technologies. Researchers will test whether a novel vaccine approach that combines genetically engineered DNA with an innovative vaccine delivery technology called electroporation could induce an immune response in humans that protects against malaria parasite infection. … This follow-on agreement for clinical development builds on a 2010 research and development collaboration between Inovio and MVI. Inovio researchers and their academic collaborators developed novel DNA plasmids targeting multiple malaria parasite antigens and conducted studies in rodents to demonstrate induction of broad immune responses. The success of these studies resulted in an expanded collaboration, in which further testing demonstrated potent T cell and antibody responses in other animal models. … 25 January 2013: Dr. Anurag Mairal to lead technology solutions group Dr. Anurag Mairal, an expert in product and market development, has been named global program leader for Technology Solutions at PATH. Dr. Mairal will oversee research and development, commercialization, and implementation of health technologies in the areas of maternal and neonatal health, nutrition, water and sanitation, health management information systems, reproductive health, vaccine-related technologies, and diagnostics for infectious and noncommunicable diseases. … Sabin Vaccine Institute 17 January 2013: Integrated Neglected Tropical Disease Control and Elimination Programs: A Global Health ‘Best Buy’ A recently released report, entitled “Social and Economic Impact Review on Neglected Tropical Diseases,” highlights links between neglected tropical diseases (NTDs) and socio-economic prosperity. Published by Hudson Institute’s Center for Science in Public Policy, in partnership with the Global Network for Neglected Tropical Diseases, an initiative of the Sabin Vaccine Institute, the paper found NTD control and elimination efforts to be both inexpensive and highly effective, especially when paired with other major disease treatment efforts, making NTD programs one of the most costeffective public health interventions available. … 30 January 2013: John Cummins Joins the Sabin Foundation Europe Board of Trustees Sabin Foundation Europe today announced the election of John Cummins, Group Treasurer of the Royal Bank of Scotland, to the charity’s Board of Trustees. Mr. Cummins has more than 20 years of experience in the treasury and finance industry, including serving as a Director of the International Finance Facility for Immunisation Company (IFFIm) which has raised more than USD $4 billion for vaccines for the developing world. … TB Alliance 7 January 2013: TB Alliance Announces TB Veteran Dr. Carlos Morel as Chairman of its Board of Directors The Global Alliance for TB Drug Development (TB Alliance) is pleased to announce the appointment of UPDATE 48: JANUARY 1 TO JANUARY 31, 2013 Dr. Carlos Morel to Chairman of its Board of Directors. Dr. Morel is the Director of the Center for Technological Development in Health (CDTS) of the Oswaldo Cruz Foundation (FIOCRUZ), a scientific institution dedicated to public health, biomedical research and development located in Brazil, a high TB burden country. … TB Alliance also announces the appointment of Dr. Jaap F. Broekmans as Vice-Chairman of its Board of Directors. Dr. Broekmans is currently Chair of WHO's Global Task Force on TB Impact Measurement (since 2007) and Adjunct Professor, Epidemiology, at the Johns Hopkins Bloomberg School of Public Health. … 11 January 2013: Improving the Therapeutic Potential of Pyrazinamide Pyrazinamide (PZA) is an incredibly important sterilizing agent in the treatment of tuberculosis and is considered responsible for reducing the duration of treatment from the previous 9-12 months, to the current short-course of 6 months produced by the standard regimen (HRZE).Beyond its contribution in the current first-line regimen, the TB Alliance, through its ongoing novel regimen development program is finding that PZA is critical to any treatment shortening regimen, including those that contain newer agents currently in clinical development. PZA has the ability to synergize with other drugs and this synergy drives the treatment-shortening potential of experimental regimens, such as PaMZ (PA-824 + moxifloxacin + pyrazinamide) currently under clinical development. However, resistance to PZA is on the rise, creating potential problems for PZA-containing regimens in development. Yet, there may be ways to circumvent this resistance. Investigating whether this is possible is the focus of a 1-year, $250,000 grant from the US NIH ACTG. … TBVI 14 January 2013: Financial support for two vaccine candidates The vaccine candidates MTBVAC, developed by the University of Zaragoza and produced by BIOFABRI, and HBHA, developed by Institute Pasteur Lille and produced in collaboration with AERAS, have been awarded with financial support for further development. BIOFABRI will receive $ 430,000 to support a PhaseI clinical trial carried out by Centre Hospitalier Universitaire Vaudois, Lausanne. Institut Pasteur Lille, will receive $ 350,000 for HBHA to fund GMP production of HBHA and studies to select an adjuvant. … 15 January 2013: Open call for application TB vaccine evaluation … The current call for applications focuses on testing the protective efficacy of new vaccine candidates, formulations or delivery systems in a guinea pig experiment. Up to 8 vaccine slots are available. The proposed vaccine candidates will be judged by a Selection Panel whose members are independent of laboratories that may apply for slots in the guinea pig experiments. After a selection has been made, the candidates may be grouped into appropriate experimental schedules that will enable the most suitable use of challenge dose, control groups, and most efficient use of the facilities. Motivated applications can be sent to TBVI before 17:00 CEST, 10 May 2013. RECENTLY RELEASED PDP REPORTS/ BRIEFING PAPERS/ ARTICLES Articles in Peer Reviewed Journals • • • • Induction and Regulation of T Cell Immunity by the Novel TB Vaccine M72/AS01 in South African Adults. Day CL et al. Am. J. Respir. Crit. Care Med. .January 10, 2013rccm.2012081385OC Shark variable new antigen receptor (Vnar) single domain antibody fragments: stability and diagnostic applications. Griffiths K et al. Antibodies 2013, 2(1), 66-81; doi:10.3390/antib2010066 Genomic analysis of smooth tubercle bacilli provides insights into ancestry and pathoadptation of Mycobacterium tuberculosis. Supply P et al. Nature Genetics(2013) doi:10.1038/ng.2517 Reducing Stock-Outs of Life Saving Malaria Commodities Using Mobile Phone Text-Messaging: SMS for Life Study in Kenya. Githinji S et al. PLoS ONE 8(1): e54066. doi:10.1371/journal.pone.0054066. UPDATE 48: JANUARY 1 TO JANUARY 31, 2013 • Development and pre-clinical assessment of a 73kD chimeric fusion protein as a defined subunit vaccine for leprosy. Duthie MS et al. Vaccine. January 2013. Other PDP Publications/ Briefing papers • Costing Dengue Cases And Outbreaks: A Guide To Current Practices And Procedures. Armien B et al. IVAC. December 2012. RECENTLY RELEASED PDP RELATED REPORTS/ BRIEFING PAPERS/ ARTICLES Reports/ briefing papers/ books Sustaining the drive to overcome the global impact of neglected tropical diseases. WHO January 2013. From Promises to Progress: The First Annual Report on the London Declaration on NTDs. Uniting to combat NTDs. January 2013. Strengthening Mechanisms to Prioritize, Coordinate, Finance, and Execute R&D to Meet Health Needs in Developing Countries. IOM Discussion Paper. January 2013. Future of PrEP and Microbicide Research: Trial Design and Regulatory Issues. Forum for Collaborative HIV Research. Materials from a meeting held January 7, 2013. USAID: Report to Congress: Health-related research and development strategy. 2011-2015. December 2012. PDP RELATED NEWS/ ARTICLES (SINCE JANUARY 1, 2013) HIV/AIDS • • • • • • • • • • Malaria • • TB • • • • 10 January: New Insights Into HIV Vaccine Will Improve Drug Development 10 January: GeoVax announces enrollment completion for phase 1/2 clinical trial for HIV/AIDS therapeutic vaccine 11 January. HIV Vaccines: New insight for researchers 17 January: HIV trial under scrutiny 28 January: DNA vaccine tattoo triggers HIV immune response A tale of two vaccines: Lessons from polio that could inform the development of an HIV vaccine. Esparza J. AIDS. 2 January 2012 Combination implementation for HIV prevention: moving from clinical trial evidence to population-level effects. Chang LW et al. The Lancet Infectious Diseases, Volume 13, Issue 1, Pages 65 - 76, January 2013 'It looks like you just want them when things get rough': Civil society perspectives on negative trial results and stakeholder engagement in HIV prevention trials. Koen J et al. Developing World Bioethics. 25 January 2013:1471-8847. Vaccine induction of antibodies against a structurally heterogeneous site of immune pressure within HIV-1 envelope protein variable regions 1 and 2. Liao H et al. Immunity. 10 January 2013 MTN-001: Randomized pharmacokinetic cross-over study comparing tenofovir vaginal gel and oral tablets in vaginal tissue and other compartments. Hendrix C et al. PLoS One. 31 January 2013 The ongoing quest for malaria vaccines. Hayward P. The Lancet Infectious Diseases, Volume 13, Issue 1, Pages 21 - 22, January 2013 Malaria and lymphatic filariasis: the case for integrated vector management. van den Berg H et al. The Lancet Infectious Diseases, Volume 13, Issue 1, Pages 89 - 94, January 2013 3 January: FDA approval of new TB drug benefits patients and highlights the agency’s lifesaving programs 17 January: Hudson Institute and Global Network Report: NTDs a “Best Buy” in Global Health Intensified regimen containing rifampicin and moxifloxacin for tuberculous meningitis: an open-label, randomised controlled phase 2 trial. Rulami R et al. The Lancet Infectious Diseases, Volume 13, Issue 1, Pages 27 - 35, January 2013 Assessment of the Xpert MTB/RIF assay for diagnosis of tuberculosis with gastric UPDATE 48: JANUARY 1 TO JANUARY 31, 2013 NTDs • • Vaccines Other • • • • • • • • • lavage aspirates in children in sub-Saharan Africa: a prospective descriptive study. Bates M et al. The Lancet Infectious Diseases, Volume 13, Issue 1, Pages 36 - 42, January 2013 16 January: Global Partners Making Progress Against Neglected Tropical Diseases, New Report and Scorecard Show 16 January: WHO heralds “new phase” in the fight against neglected tropical diseases 16 January: Somewhat less neglected tropical diseases 30 January: New research centre to tackle NTDs 22 January: European Commission approves Novartis' meningitis B vaccine, Bexsero A single dose of any of four different live attenuated tetravalent dengue vaccines is safe and immunogenic in flavivirus-naïve adults: a randomized, double blind clinical trial. Durbin AP et al. J Infect Dis. (2013). doi: 10.1093/infdis/jis936. First published online: January 17, 2013 8 January: The Evolving Role of the Private Sector in Global Health 24 January: EDCTP and EFPIA sign memorandum of understanding on a Clinical Research Fellowship Scheme for sub-Saharan Africa 28 January: Debate Erupts At WHO Over “Consensus” On Financing R&D For The Poor UK investments in global infectious disease research 1997–2010: a case study. Head MG et al. The Lancet Infectious Diseases, Volume 13, Issue 1, Pages 55 - 64, January 2013 Global paediatric advanced life support: improving child survival in limited-resource settings. Ralston ME et al. The Lancet, Volume 381, Issue 9862, Pages 256 - 265, 19 January 2013 ONGOING CONSULTATIONS FDA posts draft microbicide guidance for public comment The U.S. Food and Drug Administration (FDA) is seeking public comment on its newly-posted draft guidance for industry, entitled "Vaginal Microbicides: Development for the Prevention of HIV Infection." The purpose of the guidance is to assist sponsors in all phases of microbicide development. It outlines the types of nonclinical studies and clinical trials recommended throughout the drug development process to support approval of vaginal microbicides for prevention of human immunodeficiency virus (HIV). The FDA welcomes comments on this guidance until February 21, 2013. The guidance document is available at: http://www.fda.gov/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/ucm328834.htm UPCOMING MEETINGS February 20 2013: IAVI Donors Meeting. London February 26 2013: EVI 15th Anniversary Symposium. Heidelberg. Germany. March 25-27: Third Global Forum on TB Vaccines. Cape Town, South Africa October 20-24 2013: Seventh EDCTP Forum. Dakar, Senegal.