Biotherapeutics

Biotherapeutics like monoclonal antibodies are crucial for treating diseases but remain inaccessible in many low- and middle-income countries. MPP is working on improving access through voluntary licensing, technology transfer, and collaborations with key stakeholders.

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Biotherapeutics such as recombinant proteins and monoclonal antibodies (mAbs) have become mainstays in the treatment and prevention of many diseases. The proportion of biotherapeutics among new drug approvals has significantly increased in recent years, as has the number of biotherapeutics included on the WHO Essential Medicines List. See latest report HERE.

However, a combination of health system challenges, higher prices and barriers to market entry have hindered broad access to biotherapeutics, especially in low- and middle-income countries (LMICs). As these new, more complex technologies emerge that can have a significant impact on public health, it is important that suitable approaches to support affordable access in LMICs are developed.

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MPP’s Mandate Grows Following WHO and Feasibility Study Recommendations

In 2019, the report of the WHO Expert Committee on the Selection and Use of Essential Medicines noted that “in the case of cancer, it would be important that the MPP also explore the application of its model to biotherapeutics so as to facilitate early entry of biosimilars through voluntary licensing agreements in LMICs.” Following this recommendation, between 2019 and 2021, MPP undertook a feasibility study to explore the possibility of expanding its licensing model to biotherapeutics.

The analysis highlighted some of the possible challenges of working on biotherapeutics, including the significantly higher costs and longer timelines for developing biosimilars compared to small molecules, as well as the potential importance of technology transfer. The study also highlighted the critical public health need, the increasing interest from governments and other stakeholders, and the possible opportunities for improving affordability and access by adapting MPP’s model to biotherapeutics. This assessment has been published as a peer-reviewed scientific article in The Lancet Global Health, and in November 2021, the MPP Board decided to expand MPP’s mandate to include biotherapeutics.

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MPP Stands Ready to Contribute to the Biotherapeutics Space

MPP is now actively working on bringing more affordable, equitable, and sustainable access to biotherapeutics in LMICs through voluntary licensing and technology transfer. This work is complemented by a new MPP workstream dedicated to Technology Transfer, which is currently overseeing, together with WHO, the implementation of the mRNA Technology Transfer Programme.

In addition, and drawing from the feasibility study, MPP has also adapted its Prioritisation Framework to identify biotherapeutics that could meet critical public health needs in LMICs. Our prioritisation list now includes several biotherapeutics across a number of disease areas that we consider particularly salient from a public health perspective. These include cancer management, with a particular focus on immuno-oncology medicines that have demonstrated compelling efficacy across a variety of settings, such as diabetes, cardiovascular and metabolic disorders, and infectious diseases like HIV and respiratory syncytial virus (RSV).

MPP now stands ready to contribute to the biotherapeutics space. This will include collaboration with stakeholders such as future Unitaid grantees, pharmaceutical and biotech companies, and universities to establish viable business models for access to mAbs in LMICs.[1]

[1] Unitaid’s call for proposals to establish viable business models for access to monoclonal antibodies in LMICs

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In this animation, Dr. Greg Martin from the Global Health Channel introduces the groundbreaking potential of immunotherapy in cancer treatment, specifically focusing on immune checkpoint inhibitors (ICIs). The film explores how MPP is working to make these life-saving treatments accessible and affordable in low- and middle-income countries (LMICs). Learn how MPP’s efforts in voluntary licensing and biosimilar development could transform cancer care for some of the world’s most vulnerable populations.

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[text_editor_styles] => Array ( [alignment] => left [text_colour_font] => text-default [background_colour] => false [background_image] => [background_image_style] => center / cover no-repeat [overlay_colour] => false ) ) [6] => Array ( [acf_fc_layout] => post_grid [show_latest_posts] => [post_grid_layout] => rectangular [background_colour] => bg-grey [posts_per_row] => 2 [posts_to_display_in_grid] => Array ( [0] => WP_Post Object ( [ID] => 16189 [post_author] => 15 [post_date] => 2024-01-09 14:13:03 [post_date_gmt] => 2024-01-09 13:13:03 [post_content] => [post_title] => Prioritisation [post_excerpt] => Prioritisation of medicines ensures that MPP focuses its efforts on interventions for which such mechanism could have the greatest public health impact. [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => prioritisation [to_ping] => [pinged] => [post_modified] => 2025-08-13 10:12:39 [post_modified_gmt] => 2025-08-13 08:12:39 [post_content_filtered] => [post_parent] => 10 [guid] => https://medicinespatentpool.org/?page_id=16189 [menu_order] => 0 [post_type] => page [post_mime_type] => [comment_count] => 0 [filter] => raw ) [1] => WP_Post Object ( [ID] => 13040 [post_author] => 20 [post_date] => 2022-11-28 15:53:05 [post_date_gmt] => 2022-11-28 14:53:05 [post_content] => The Lancet Global Health published a paper by Medicines Patent Pool co-authors on expanding access to biotherapeutics in low- and middle-income countries (LMICs) through public health non-exclusive voluntary intellectual property licensing. The key elements identified as relevant to support access to affordable biosimilars in LMICs through licensing include:
  • prioritising potential biotherapeutic targets according to their potential for public health impact
  • supporting biosimilar product and clinical development
  • facilitating biosimilars’ entry and use in LMICs
Click here to access the document Co-authors include Sébastien Morin, Giulia Segafredo, Aditi Das, Meghmala Das, Nicola Loffredi, Amina Larbi, Elena Villanueva, Kim Mwamelo, Sandra Nobre, Manuele Piccolis and Esteban Burrone. [post_title] => Expanding access to biotherapeutics in low-income and middle-income countries through public health non-exclusive voluntary intellectual property licensing: considerations, requirements, and opportunities [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => expanding-access-to-biotherapeutics-in-low-income-and-middle-income-countries-through-public-health-non-exclusive-voluntary-intellectual-property-licensing-considerations-requirements-and-opportuni [to_ping] => [pinged] => [post_modified] => 2022-12-12 15:56:20 [post_modified_gmt] => 2022-12-12 14:56:20 [post_content_filtered] => [post_parent] => 0 [guid] => https://medicinespatentpool.org/?post_type=news-publications&p=13040 [menu_order] => 0 [post_type] => news-publications [post_mime_type] => [comment_count] => 0 [filter] => raw ) [2] => WP_Post Object ( [ID] => 17351 [post_author] => 6 [post_date] => 2024-07-05 16:32:09 [post_date_gmt] => 2024-07-05 14:32:09 [post_content] => Geneva – The Medicines Patent Pool (MPP), Unitaid, IAVI and Wellcome proudly announced the publication of “Novel Approaches to Enable Equitable Access to Monoclonal Antibodies in Low- and Middle-Income Countries" in PLOS Global Public Health. A collaborative effort across co-authors from all partner organisations, the article draws on a multistakeholder consultation to address critical barriers and proposes innovative strategies to enable equitable access to monoclonal antibodies (mAbs) in low- and middle-income countries.  Monoclonal antibodies – lab-engineered antibodies that mimic human antibodies in defending against disease – are revolutionising the management of various non-communicable and autoimmune diseases in high-income countries. Some mAbs have also been approved for infectious diseases, and many others are currently in development. However, due to systemic challenges, access to mAbs in low- and middle-income countries remains very limited.  This publication describes the challenges inhibiting the accessibility of mAbs in low- and middle-income countries, which include prohibitive costs and ill-adapted formulations, insufficient investment in development for mAbs that target infectious diseases, limited production base, complex intellectual property and regulatory environments and inadequate commercial incentives in low- and middle-income country markets. It outlines possible approaches to overcome these challenges across the value chain, including development and manufacturing, licensing and technology transfer, regulatory pathways, demand creation, and approaches specific to diseases facing different market challenges, including case studies of potential trailblazer mAbs to address specific infectious diseases of public health importance for low- and middle-income countries. The article provides key recommendations for making these powerful tools more accessible and affordable in regions where they could address unmet needs in the global health response and accelerate progress toward global targets. MPP and partners remain committed to working with global health agencies, funders, the private sector, and affected communities to enable equitable access to mAbs for infectious diseases in low- and middle-income countries.  Read the full open-access article here: Novel approaches to enable equitable access to monoclonal antibodies in low- and middle-income countries | PLOS Global Public Health  [post_title] => The Medicines Patent Pool, Unitaid, IAVI and Wellcome publish novel approaches to enable equitable access to monoclonal antibodies in low- and middle-income countries [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => the-medicines-patent-pool-unitaid-iavi-and-wellcome-publish-novel-approaches-to-enable-equitable-access-to-monoclonal-antibodies-in-low-and-middle-income-countries [to_ping] => [pinged] => [post_modified] => 2024-07-22 10:27:08 [post_modified_gmt] => 2024-07-22 08:27:08 [post_content_filtered] => [post_parent] => 0 [guid] => https://medicinespatentpool.org/?post_type=news-publications&p=17351 [menu_order] => 0 [post_type] => news-publications [post_mime_type] => [comment_count] => 0 [filter] => raw ) [3] => WP_Post Object ( [ID] => 17597 [post_author] => 6 [post_date] => 2024-07-31 11:09:22 [post_date_gmt] => 2024-07-31 09:09:22 [post_content] => The commentary “Access to highly effective long-acting RSV-monoclonal antibodies for children in LMICs—reducing global inequity” published in The Lancet Global Health, highlights the significant impact of Respiratory syncytial virus (RSV) on child health, especially in low-income and middle-income countries (LMICs). It emphasises the need for strategies to prevent severe RSV lower respiratory tract infections (LRTI) in infants, given the high disease burden, associated mortality, and limited healthcare access in these regions.  The commentary underscores the urgent need to bridge the gap in healthcare equity. As we strive to advance child health, it is imperative that we ensure the availability of long-acting RSV-monoclonal antibodies to children in LMICs. By prioritising access, we can significantly reduce the burden of severe RSV lower respiratory tract infections and associated mortality. Access the commentary (full access)    Manuele Piccolis explains: [post_title] => Advancing Child Health: Innovative RSV Prevention Strategies in LMICs - Insights from The Lancet Global Health [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => advancing-child-health-innovative-rsv-prevention-strategies-in-lmics-insights-from-the-lancet-global-health [to_ping] => [pinged] => [post_modified] => 2024-08-21 14:46:49 [post_modified_gmt] => 2024-08-21 12:46:49 [post_content_filtered] => [post_parent] => 0 [guid] => https://medicinespatentpool.org/?post_type=news-publications&p=17597 [menu_order] => 0 [post_type] => news-publications [post_mime_type] => [comment_count] => 0 [filter] => raw ) ) [number_of_posts_to_show] => -1 [post_type] => news-publications [disease_styles] => [news_publication_type] => [people_type] => [company_type] => [story_type] => [include_filters] => [show_images] => 1 [show_events_from_date] => all ) )

Biotherapeutics such as recombinant proteins and monoclonal antibodies (mAbs) have become mainstays in the treatment and prevention of many diseases. The proportion of biotherapeutics among new drug approvals has significantly increased in recent years, as has the number of biotherapeutics included on the WHO Essential Medicines List. See latest report HERE.

However, a combination of health system challenges, higher prices and barriers to market entry have hindered broad access to biotherapeutics, especially in low- and middle-income countries (LMICs). As these new, more complex technologies emerge that can have a significant impact on public health, it is important that suitable approaches to support affordable access in LMICs are developed.

MPP’s Mandate Grows Following WHO and Feasibility Study Recommendations

In 2019, the report of the WHO Expert Committee on the Selection and Use of Essential Medicines noted that “in the case of cancer, it would be important that the MPP also explore the application of its model to biotherapeutics so as to facilitate early entry of biosimilars through voluntary licensing agreements in LMICs.” Following this recommendation, between 2019 and 2021, MPP undertook a feasibility study to explore the possibility of expanding its licensing model to biotherapeutics.

The analysis highlighted some of the possible challenges of working on biotherapeutics, including the significantly higher costs and longer timelines for developing biosimilars compared to small molecules, as well as the potential importance of technology transfer. The study also highlighted the critical public health need, the increasing interest from governments and other stakeholders, and the possible opportunities for improving affordability and access by adapting MPP’s model to biotherapeutics. This assessment has been published as a peer-reviewed scientific article in The Lancet Global Health, and in November 2021, the MPP Board decided to expand MPP’s mandate to include biotherapeutics.

MPP Stands Ready to Contribute to the Biotherapeutics Space

MPP is now actively working on bringing more affordable, equitable, and sustainable access to biotherapeutics in LMICs through voluntary licensing and technology transfer. This work is complemented by a new MPP workstream dedicated to Technology Transfer, which is currently overseeing, together with WHO, the implementation of the mRNA Technology Transfer Programme.

In addition, and drawing from the feasibility study, MPP has also adapted its Prioritisation Framework to identify biotherapeutics that could meet critical public health needs in LMICs. Our prioritisation list now includes several biotherapeutics across a number of disease areas that we consider particularly salient from a public health perspective. These include cancer management, with a particular focus on immuno-oncology medicines that have demonstrated compelling efficacy across a variety of settings, such as diabetes, cardiovascular and metabolic disorders, and infectious diseases like HIV and respiratory syncytial virus (RSV).

MPP now stands ready to contribute to the biotherapeutics space. This will include collaboration with stakeholders such as future Unitaid grantees, pharmaceutical and biotech companies, and universities to establish viable business models for access to mAbs in LMICs.[1]

[1] Unitaid’s call for proposals to establish viable business models for access to monoclonal antibodies in LMICs

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