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Published on: January 5, 2024
Global Cancer Drug Development-A Report From the 2022 Accelerating Anticancer Agent Development and Validation
Brooke E Wilson1,2, Richard Sullivan3,4, Richard Peto5
1Division of Cancer Care and Epidemiology, Queen's Cancer Research Institute, Kingston, Canada.
Abstract:
Rapidly expanding systemic treatment options, combined with improved screening, diagnostic, surgical, and radiotherapy techniques, have led to improved survival outcomes for many cancers over time. However, these overall survival gains have disproportionately benefited patients in high-income countries, whereas patients in low- and middle-income countries (LMICs) continue to experience challenges in accessing timely and guideline concordant care. In September 2022, the Accelerating Anticancer Agent Development and Validation workshop was held, focusing on global cancer drug development. Panelists discussed key barriers such as the lack of diagnostic services and human resources, drug accessibility and affordability, lack of research infrastructure, and regulatory and authorization challenges, with a particular focus on Africa and Latin America. Potential opportunities to improve access and affordability were reviewed, such as the importance of prioritizing investments in diagnostics, investing health infrastructure and work force planning, coordinated drug procurement efforts and streamlined regulatory processing, incentivized pricing through regulatory change, and the importance of developing and promoting clinical trials that can answer relevant clinical questions for patients in LMICs. As a cancer community, we must continue to advocate for and work toward equitable access to high-quality interventions for patients, regardless of their geographical location.
Insights
Global cancer survival gains are unequal, with low- and middle-income countries (LMICs) facing access barriers to timely, guideline-concordant care and new anticancer agents. Addressing these disparities requires investment in diagnostics, infrastructure, workforce, and streamlined drug development and regulatory processes.
Area of Science:
- Oncology
- Global Health
- Health Equity
Background:
- Cancer treatment advancements have improved survival, but benefits are unevenly distributed globally.
- Patients in low- and middle-income countries (LMICs) face significant barriers to accessing timely and appropriate cancer care.
- The Accelerating Anticancer Agent Development and Validation workshop highlighted global disparities in cancer drug development and access.
Purpose of the Study:
- To identify key barriers to global cancer drug development and access, particularly in LMICs.
- To explore opportunities for improving access to and affordability of cancer treatments worldwide.
- To emphasize the need for equitable access to high-quality cancer interventions globally.
Main Methods:
- Discussion and identification of barriers during the Accelerating Anticancer Agent Development and Validation workshop in September 2022.
- Focus on challenges in Africa and Latin America.
- Review of potential opportunities and strategies for improvement.
Main Results:
- Key barriers identified include lack of diagnostic services, insufficient human resources, drug accessibility and affordability issues, weak research infrastructure, and regulatory hurdles.
- Opportunities include prioritizing investment in diagnostics, health infrastructure, and workforce planning.
- Streamlined regulatory processes, coordinated drug procurement, and incentivized pricing were discussed as potential solutions.
Conclusions:
- Equitable access to cancer care requires addressing systemic barriers in LMICs.
- Strategic investments in infrastructure, diagnostics, workforce, and regulatory processes are crucial.
- Continued advocacy and development of relevant clinical trials are essential for global cancer equity.
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