EUROPEAN COMMISSION MEMO Brussels, 15 November 2013 EU launches new research projects to combat antimicrobial resistance Why is research on antimicrobial resistance important? Antimicrobial agents – such as antibiotics – have dramatically reduced the number of deaths from infectious diseases during the 70 years since their introduction. However, through overuse and misuse, many micro-organisms have become resistant to them. This growing "antimicrobial resistance" (AMR) is estimated to cause each year some 25 000 deaths and over €1.5 billion in healthcare expenses and productivity losses in Europe alone. The situation is serious because antimicrobials have become an essential tool for modern medicine. Many surgical operations could not be performed without them. Yet, industrial investment in the development of new antibiotics has declined dramatically, and only a few products that could be used to combat resistant infections are in the late-stage of development. A co-ordinated and large-scale European research effort is therefore required to bring new effective antibiotics or alternative treatments to patients, and to re-engage industry to carry out research and develop new products in this area. Scientific research and innovation are also necessary to inform policy-making on AMR and to develop new diagnostic tools, such as quick tests to identify the causes of infections and the need for antimicrobial treatment. Finally, research on vaccines and other preventive measures offer the prospect of blocking the spread of infections thereby reducing the need for antimicrobials. What are the 15 new EU research projects on antimicrobial resistance about? Seven of the new projects aim to develop novel antibiotics, vaccines or alternative treatments for drug-resistant microbial infections. Other projects set out to identify better methods to use currently available antibiotics, study antibiotic resistance within the food chain, or utilise novel nano technology for the delivery of antimicrobial drugs. As well as doing much-needed research in this area, the projects will also boost the European economy by directly supporting the work of 44 innovative small and medium-sized enterprises. A full list of the projects is in a table at the end of this MEMO. How much has the EU devoted to research in this field? During the last 16 years, the European Union has invested some €800 million in research and innovation to fight AMR, including the 15 new research projects announced today which the EU supports with more than €90 million. MEMO/13/996 The rising awareness of the AMR threat is reflected in a six fold increase in the amount being invested, from some €84 million during the EU's 1998-2002 research programme to about €522 million for the 2007-13 period. Most of the EU investment is used to support collaborative projects i.e. international research and innovation teams involving the most capable players from across Europe and abroad. In addition, some €100 million of EU funding has been invested alongside contributions from the pharmaceutical industry within the Innovative Medicines Initiative (IMI) publicprivate partnership, notably through the 'New drugs 4 bad bugs' programme, under which five AMR-related projects have been launched since June 2012. Has EU AMR-related research had any successes? EU-funded research has helped to identify promising chemical compounds for future antibiotics; to develop new diagnostic tests; to better understand how microbes and humans interact; to assess antibiotic prescription practices across Europe; and to carry out clinical trials to optimise the use of current antibiotics. For example, Swiss pharmaceutical group Roche announced plans this month to resume the development of antimicrobial drugs while taking over an experimental drug developed through the EU-funded project NABATIVI by Polyphor AG, a European SME. In other words, EU research investment triggered the development of a novel class of antimicrobial drugs and helped attract a big pharmaceutial company to start again developing antibiotics. EU-funded researchers in the SONO project have also found a way of using sound waves to apply antibacterial coatings on hospital robes and sheets. The concept has already been proven (and patented) on a lab scale. Once commercialised, the technology should significantly decrease the incidence of potentially life threatening hospital acquired infections. ERC grantee Craig MacLean at the University of Oxford in the United Kingdom is studying ways to slow down the rate of bacterial evolution by recycling drugs rather than just prescribing new ones. In his research, he is combining molecular biology, genetics and biochemistry to examine the ecological and genetic causes of antibiotic resistance. Under IMI’s New Drugs 4 Bad Bugs programme, the COMBACTE project has established a Europe-wide network of 293 clinical sites with associated laboratories in 34 countries. The project is working to improve clinical trial design, and in 2014 it will start conducting clinical trials with innovative anti-infectious agents developed by the pharmaceutical companies in the project. 2 LIST OF NEW RESEARCH PROJECTS ON ANTIMICROBIAL RESISTANCE Project acronym, full name & link to full project summary including contact persons of all partners BELLEROPHON ComBinig cELLular and humoral immunE RespOnses as a vaccine strategy against staPHhylOcoccus aureus pathogeN CD-VAX Oral Vaccination against Clostridium difficile Infection Countries of participants Project coordinator & main contact UK (coordinator) , David Wyllie, University of Oxford david.wyllie@ndm.ox. ac.uk € 5.498.829 Simon Cutting, Royal Holloway and Bedford New College s.cutting@rhul.ac.uk € 5.808.756,8 Barry Plant, University College Cork plantb@mac.com € 5.999.748 Jaap Wagenaar, Utrecht University, The Netherlands j.wagenaar@uu.nl €8.999.809 Thomas Lion, Labdia Labordiagnostik GmbH thomas.lion@ccri.at € 5.844.418 e-mail address EU contribution for the project FR, CH, DE UK (coordinator) , FR, BE, DE CF MATTERS Cystic Fibrosis Microbiome-determined Antibiotic Therapy Trial in Exacerbations: Results Stratified IE (coordinator) , EFFORT NL (Coordinator) , Ecology from Farm to Fork Of microbial drug Resistance and Transmission UK, FR, US, DE, BE DE, ES, FR, IT, BE, DK, PL, CH, BG, FUNGITECT Optimized Diagnostics for Improved Treatment Stratification in Invasive Fungal Diseases AT (coordinator) , FORMAMP Innovative Nanoformulation of Antimicrobial Peptides to Treat Bacterial Infectious Diseases NABARSI New AntiBacterials with Inhibitory activity on Aminoacyl-tRNA Synthetases SE (coordinator) , DE, NL, FR (2), DK Dr Helena Bysell, SP SVERIGES TEKNISKA FORSKNINGSINSTI TUT AB, Sweden helena.bysell@sp.se €7.945.494 NL (coordinator) , John Hays, Erasmus universitair medisch centrum Rotterdam j.hays@erasmusmc.n l € 4.102.157,5 NAREB Nanotherapeutics for antibiotic resistant emerging bacterial pathogens FR (coordinator) , NL, UK , ES , PL, DE, BE, NO, IT Prof Brigitte Gicquel, INSTITUT Pasteur, France bgicquel@pasteur.fr €9.674.158 DE, BA, CH UK, LV, ES 3 NeoStrep Development of Group B Streptococcal vaccine to alleviate emerging antibiotic resistance through elimination of current prophylactic antibiotic strategies in GBS prevention NOFUN Novel antifungals to treat resistant organisms SE (coordinator) , Thomas Areschoug, Lunds Universitet thomas.areschoug@ med.lu.se € 5.999.172 Michael Bromley, University of Manchester mike.bromley@manc hester.ac.uk € 4.550.286 Bernard Joris, Université de Liege bjoris@ulg.ac.be € 5.988.941 Patrick Jault, Ministère de la Défence patrick.jault@sante.d efense.gouv.fr € 3.838.422 DK, IE UK (coordinator) , DE, ES, SE MON4STRAT Therapeutic Beta-Lactam Monitoring for Stratified Treatment of hospitalacquired pneumonia, improved dose-dependent efficacy, decreased treatment duration, and prevention of emergence of resistance PHAGOBURN Evaluation of phage therapy for the treatment of Escherichia coli and Pseudomonas aeruginosa burn wound infections (Phase I / II clinical trial) PneumoNP Nanotherapeutics to treat antibiotic resistant Gramnegative bacteria caused pneumonia Infections BE (coordinator) , ES (coordinator) , DK, NL, DE, IT, FR Ms. Aiertza Mentxu, FUNDACION CIDETEC, Spain maiertza@cidetec.es €5.682.351 TAILORED-Treatment Development of tailored antimicrobial treatment regimens and novel hostpathogen insights for respiratory tract infections and sepsis NL (coordinator) , j.hays@erasmusmc.n l € 5.975.383 IL, SE, ES John Hays, Erasmus universitair medisch centrum Rotterdam THINPAD Targeting the HIV-1 Nucleocapsid Protein to fight Antiretroviral Drug Resistance IT (coordinator) , Maurizio Botta, Universita' degli Studi di Siena botta@unisi.it € 5.691.950 FR, ES, US, EE FR (coordinator) , BE, CH ES, FR 4