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Quadruple-Checkerboard: A Modification of the Three-Dimensional Checkerboard for Studying Drug Combinations
Published on: July 24, 2021
Accelerating resistance, inadequate antibacterial drug pipelines and international responses
1Center for Anti-Infective Agents, Eckpergasse 13, 1180 Vienna, Austria. utheuretzbacher@cefaia.com
Abstract:
The pandemic of multidrug-resistant (MDR) pathogens and their continuing spread is beyond dispute. In contrast to the past, today's antibacterial research and development (R&D) pipelines are nearly dry, failing to provide the flow of novel antibiotics required to match the clinical challenges of the multidrug resistance (MDR) crisis. Concerned over the rapidly worsening potential global healthcare crisis caused by MDR bacteria and the lack of robust drug pipelines, several multinational campaigns have issued policy recommendations and have initiated broad discussion with a goal of stimulating the development of novel antibacterial drugs and technologies. These activities have resulted in intensified co-operation between the USA and the EU. The recently announced extensive 'Action plan against the rising threats from antimicrobial resistance' substantially ramps up action within the EU. In recognising the potential crisis caused by MDR and the limited treatment options, the European Commission decided on an unprecedented approach to drive the search for novel antibiotics by integrating the pharmaceutical industry, the research capacities of universities and small companies supported by public funding along with pricing/reimbursement and regulatory bodies. The European Commission has shown leadership and put action plans in place. Only the future will tell whether these initiatives will help curb the impact of the MDR pandemic.
Insights
The rise of multidrug-resistant pathogens necessitates new antibiotics. The EU
Area of Science:
- * Infectious Diseases and Microbiology
- * Pharmaceutical Research and Development
- * Public Health Policy
Background:
- * The escalating global crisis of multidrug-resistant (MDR) pathogens presents a significant threat to public health.
- * Current antibacterial research and development (R&D) pipelines are insufficient to address the growing challenge of MDR.
- * A lack of novel antibiotics exacerbates the clinical challenges posed by MDR bacteria.
Purpose of the Study:
- * To highlight the urgent need for novel antibacterial drugs and technologies.
- * To discuss multinational efforts, particularly between the USA and EU, aimed at stimulating R&D.
- * To examine the European Commission's 'Action plan against the rising threats from antimicrobial resistance' and its integrated approach.
Main Methods:
- * Review of policy recommendations and multinational campaign discussions.
- * Analysis of the European Commission's 'Action plan against the rising threats from antimicrobial resistance'.
- * Examination of the integrated approach involving industry, academia, small companies, and regulatory bodies.
Main Results:
- * Intensified cooperation between the USA and EU in addressing antimicrobial resistance.
- * The EU has launched a comprehensive action plan to combat antimicrobial resistance.
- * An unprecedented integrated strategy is being employed to drive the search for novel antibiotics.
Conclusions:
- * The European Commission has demonstrated leadership by implementing action plans to combat MDR.
- * The success of these initiatives in mitigating the MDR pandemic remains to be seen.
- * Future outcomes will determine the effectiveness of the integrated approach in stimulating antibiotic R&D.
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