結核ワクチン M72/AS01E 導入に向けた準備:世界的な需要予測と主要な影響要因
Judith Kallenberg1, Dominique Milea2, Thomas Breuer3
1GSK, Amsterdam, The Netherlands.
Infectious diseases and therapy
|February 25, 2026
まとめ
新しい結核(TB)ワクチンであるM72/AS01Eは、世界的な影響力を持つ可能性を示しています。需要予測では年間数百万回分の投与量が必要と推定されており、TBワクチン導入のための早期計画の重要性が強調されています。
科学分野:
- * グローバルヘルスと感染症研究。; * ワクチン開発と実装科学。
背景:
- * 結核(TB)は、毎年数百万人に影響を与え、かなりの死亡原因となっている、依然として重大な世界的な健康問題です。; * M72/AS01E候補ワクチンは、青年および成人におけるTB予防のための新しいアプローチを表しており、新しいTBワクチンがなかった1世紀後の重要な進歩となります。
研究 の 目的:
- * 製造能力を確保するために、M72/AS01E結核ワクチンの世界的な需要を推定すること。; * 様々な採用シナリオと影響要因を考慮して、2045年までのワクチン需要を予測すること。
主な方法:
- * TBの負担、資金調達、および国固有の採用能力を組み込んだ世界的な需要予測モデルの開発。; * M72/AS01Eの規制承認を2029年と仮定し、予測は定期的な予防接種とキャッチアップキャンペーンをカバーしました。
主要な成果:
- * 2036年までに年間約5600万回分、2037年の2番目の結核ワクチン発売後には4300万回分に減少する定常状態に達すると予測される需要。; * 7つの国とGavi適格国が主要な需要センターとして特定され、それぞれ需要の61%と50%を占めています。; * シナリオ分析では、有効性、資金調達、および政策勧告に基づいて、需要が+43%から-34%変動する可能性が示されました。
結論:
- * M72/AS01Eワクチンは、世界的なTB負担を軽減する上で大きな可能性を秘めています。; * 成功裏の導入には、積極的な計画、正確な需要予測、および利害関係者の協力が必要です。; * アクセスの遅延を防ぐためには、継続的なモデルの洗練と、資金調達および政策に関する早期の可視性が不可欠です。
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