RSV prevention options for infants and older adults: A specific expanding competitive arena

Livio Garattini1, Antonio Clavenna2

  • 1Department of Health Policy, Institute for Pharmacological Research Mario Negri IRCCS, Milan, Italy.

Insights

New pharmaceutical options for Respiratory Syncytial Virus (RSV) are emerging, including monoclonal antibodies and vaccines. This review helps European policymakers manage the financial impact of these expensive RSV preventatives.

Area of Science:

  • Virology
  • Public Health
  • Health Economics

Background:

  • Respiratory Syncytial Virus (RSV) is a common respiratory virus causing mild illness in most but severe disease in vulnerable populations like infants and the elderly.
  • Current prevention strategies include monoclonal antibodies (mABs) for infants and vaccines for older adults.
  • The market for RSV preventatives has recently expanded significantly after decades with limited options.

Purpose of the Study:

  • To provide an overview of the diverse and increasing range of pharmaceutical products for RSV prevention.
  • To offer recommendations for European policymakers to manage the financial implications of new, costly RSV interventions.
  • To prevent the potential overestimation of RSV as a public health risk driven by commercial interests.

Main Methods:

  • Review and analysis of currently available and emerging pharmaceutical options for RSV prevention.
  • Assessment of the market landscape for RSV therapeutics.
  • Economic impact analysis concerning public pharmaceutical expenditures in Europe.

Main Results:

  • The pharmaceutical landscape for RSV prevention has become crowded with new monoclonal antibodies and vaccines.
  • Existing options are primarily targeted at infants and older adults.
  • New interventions present a significant potential financial burden on European healthcare systems.

Conclusions:

  • A strategic approach is needed to manage the introduction and cost of new RSV preventatives.
  • Policy recommendations are crucial to ensure rational use and control expenditure on RSV interventions.
  • Careful consideration of RSV's public health impact versus commercial influence is necessary for European policy.

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