Research Roundup: Rising malaria resistance, Point-of-care influenza test, Pre-extensively drug-resistant TB treatment

Research Roundup: Rising malaria resistance, Point-of-care influenza test, Pre-extensively drug-resistant TB treatment

TOP NEWS IN R&D

Rising resistance threatens a key malaria drug

Global Health NOW (11/14), features ASTMH

A study published last week and presented at the American Society of Tropical Medicine & Hygiene’s (ASTMH’s) annual meeting found that the malaria parasite is acquiring partial resistance to artemisinin, a key drug used to treat children with severe malaria, meaning that infection takes longer to clear and is not always being completely cleared by the drug. The researchers found partial resistance to the drug in 11 of the 100 children treated in the study, with 10 patients “cured” of severe malaria having a resurgence of the same strain within a month of the original infection, implying that the first treatment did not fully eliminate the parasite. More studies are needed to determine how widespread artemisinin resistance is in Africa. Still, the findings underscore the need for novel or alternative drugs to be used in the treatment of severe malaria.?

CDC taps Alveo Technologies to develop avian flu A(H5) point-of-need MDx

360Dx (11/14)

The US Centers for Disease Control and Prevention (CDC) has awarded Alveo Technologies a contract to develop a molecular assay to detect and differentiate the H5 subtype of avian influenza A from seasonable influenza A and B viruses in humans, as the ongoing spread of H5N1 in animals across the United States raises concerns about a new pandemic as regular flu season looms. Currently, only CDC and US state and jurisdictional public health labs have access to CDC’s molecular test to detect the H5 strain of influenza A, which could lead to delays in diagnosis or treatment if we start to see transmission between humans. Decentralized testing capabilities at the point of care will be needed to ensure any spread between humans is detected and controlled quickly to avoid another pandemic, as well as to reduce the burden on centralized laboratories.

Early results of first trial conducted exclusively in people with pre-extensively drug-resistant tuberculosis show promise

endTB consortium press release (11/13)

Last week, the endTB consortium announced the completion of the endTB-Q trial, the first Phase 3 randomized controlled trial to exclusively enroll people with pre-extensively drug-resistant tuberculosis (pre-XDR-TB), with preliminary results demonstrating that a shorter, less toxic treatment strategy of four drugs achieved high cure rates overall, especially in those with non-severe cases of TB disease. Pre-XDR-TB has historically been treated with toxic regimens that last up to two years, are hard to tolerate, and are not very effective. This study tested a personalized medicine strategy, with disease severity and early treatment response used to decide between a six- or nine-month treatment regimen. The study included participants from India, Kazakhstan, Lesotho, Pakistan, Peru, and Vietnam.


NEWS FROM GHTC

Statement on the Global Coalition for Local and Regional Production, Innovation and Equitable Access

GHTC, FIND, Medicines for Malaria Venture, IAVI, PATH, and TB Alliance joint statement (11/15)

Opinion:?Invest in ‘triple rapid’ tests to fight mpox, H5N1 bird flu, and beyond

STAT?(11/12), cowritten by Blueprint Biosecurity Executive Director Jacob Swett


HIGHLIGHTS FROM THE WEEK

Nirsevimab 89% effective against RSV hospitalization for babies, CDC estimates

CIDRAP?(11/15)

Lenacapavir for PrEP demonstrates strong efficacy, adherence in Phase 3 trial

DrugTopics?(11/13)

Cutting-edge test uses DNA sequencing to yield diagnoses for some medical mysteries

NBC News?(11/12)

US FDA lifts clinical hold on Novavax's combo COVID-flu shot

Reuters (11/11)

Opinion:?‘More mortality, more illness’: Global health community braces for impact of U.S. election

Science (11/11)

Paxlovid cuts COVID hospitalization, death risk and speeds symptom relief, studies find

CIDRAP?(11/11)


AVIAN FLU R&D ROUNDUP

Hawaii reports first H5 avian flu detection in wastewater

CIDRAP?(11/13)

H9N2 avian flu infects 7 more in China

CIDRAP?(11/12)

Canadian teen with suspected avian flu in critical condition

CIDRAP?(11/12)

Bird flu infections more widespread among US dairy workers than thought – study?

The Guardian?(11/11)


MPOX R&D ROUNDUP

United States’ first known case of more severe strain of mpox confirmed in California

CNN?(11/16)

Mpox vaccination shortage delays Kinshasa's drive against outbreak

Reuters?(11/13)

Mpox cases plateau in Congo's epicenter but rise in other countries

Newsweek?(11/11)


UPCOMING EVENTS

November 18-21

2024 Global Health Landscape Symposium

Virtual; Washington, DC

November 19

High-level meeting on access and appropriate use of new antibacterial treatments in India

Virtual

November 21

InSciLead: Gender-Inclusive Science, Access & Leadership Dialogue

New Delhi, India

December 3

Webinar: "Implementation research for the appropriate use of, and access to, antimicrobials"

Virtual

December 3

Webinar: "Update on injectable lenacapavir for PrEP"

Virtual

December 5

GHIT R&D Forum 2024

Virtual

February 4-5

Antimicrobial Chemotherapy Conference 2025

Virtual


Interested in more global health innovation news? Every week GHTC scours media reports worldwide to deliver essential global health R&D news and content to your inbox. Subscribe to receive our weekly R&D News Roundup.


Photo credit: PATH/Enoch Kavindele Jr


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