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The Global Antimicrobial Resistance Research and Development Hub Evidence-based decision making for AMR R&D


The Global Knowledge Centre for AMR R&D

Tackling antimicrobial resistance is absolutely essential to safeguard global health Antimicrobial resistance (AMR) continues to be one of the biggest threats facing humanity. AMR currently kills more people than HIV/AIDS and malaria combined - 4.95 million people globally in 2019 - one in five of those deaths was a child under the age of five. If no action is taken now, by 2050 we are set to enter a post-antibiotic era in which resistant infections could become the leading cause of death world-wide. AMR exerts significant economic impacts, with consequences for international trade, health care costs and productivity. Inaction now will lead to predicted costs of 100 trillion USD by 2050. Misuse and overuse of antibiotics continues to drive drug resistance, but limited access to the most effective drugs is also a major factor fuelling AMR. AMR is complex and needs to be tackled at multiple levels across many different sectors – human, animal and environment. Collective action at scale and across a critical mass of countries is urgently required, especially amidst rising resistance rates globally. Investment in research, development and innovation are crucial elements in mitigating the impacts of AMR and developing solutions in terms of effective policies, products or tools that lead to prevention, containment or mitigation of AMR.


The Global Knowledge Centre for AMR R&D

“We call for a new international R&D Collaboration Hub to maximise the impact of existing and new anti-microbial basic and clinical research initiatives as well as product development.” Hamburg G20 Leaders ́ Declaration: Shaping an interconnected world, 8th July 2017

Key objectives: Our Vision A sustainable ecosystem for the research and development of the solutions, tools, products and strategies we need to mitigate the ongoing impacts of AMR

Our Mission We provide an evidence base to enhance AMR R&D activities and policies across the One Health spectrum

• Inform high-level decision makers on R&D pipelines and other relevant aspects of AMR R&D, in order to identify and prioritise R&D gaps and help focus high-level decision-making, • Facilitate the efficient allocation of resources, • Promote increased investments into push and pull incentives for AMR R&D in order to maximize the impact of national and international research activities, • Foster international research collaboration among different partners globally, including industry and academia, • Support the filling of product pipelines with priority candidates, using an appropriate mix of incentives, with a view to the development of deployable products, while recognizing the importance of access, prudent use, and stewardship, • Inform policy makers on AMR R&D and keep attention on AMR at high political levels, • Raise and maintain public awareness and visibility through communication of the work of the Hub and its results.


The Global Knowledge Centre for AMR R&D

About Us Building on the adoption of the ‘Global Action Plan on Antimicrobial Resistance’ in May 2015 by the World Health Assembly (WHA) and the publication of ‘The Review on Antimicrobial Resistance’ in 2016, there was a growing awareness of the need for harmonized and immediate action on a global scale to ensure treatment and prevention of infectious diseases to mitigate the rising tide of AMR.

The research and development (R&D) of and sustainable investment into new effective strategies, tools and products that could lead to prevention, containment or mitigation of AMR was highlighted as a key feature of any strategy to combat AMR. However, there was recognition of the need for increased coordination of R&D investments to help prioritize the development of the products, tools and strategies with the highest potential societal impact and to prevent overlaps and duplicative efforts, especially given limited resources and finite funds. With a mandate to further improve the coordination of international efforts and initiatives to tackle AMR while further increasing investments into R&D for AMR, the Global AMR R&D Hub (hereafter ‘Hub’) was launched on the margins of the WHA in May 2018. Operations began in January 2019 with the establishment of a small Secretariat in Berlin, funded by the German government, to conduct the administrative planning and implementation of the Hub‘s activities.

The Hub comprises a Board of Members (currently 17 countries, European Commission, Bill & Melinda Gates Foundation and Wellcome) as the key decision making body and 5 Observers (WHO, FAO, OECD, WOAH, Africa CDC), supported by the Hub Secretariat based in Berlin, as well as a Stakeholder Group (20 organisations from academia, industry, funders and civil society).

❸ Funded by the German Federal Ministry for Education & Research


The Global Knowledge Centre For AMR R&D

Activities with Global Impact

“Global AMR R&D Hub data and collaboration was key in informing Canada’s rationale for an incentive pilot… Joël Denis, Vice Chair Global AMR R&D Hub & Director General for Vaccines And Therapeutic Readiness, Public Health Agency of Canada

“….we engaged the Hub Secretariat to determine which research lines would best complement the ongoing international effort in this space. I encourage other public funders to follow this approach” Dr. Jasper Claesson, Dept of Pharmaceutical Affairs and Medical Technology, Dutch Ministry of Health, Welfare and Sport


The Global Knowledge Centre For AMR R&D

Our Approach The combination of a strong data foundation with a unique global platform for exchange of information, offers the potential for co-creation of solutions for AMR across the push and pull spectrum


The Global Knowledge Centre For AMR R&D

Key Activities

Dynamic Dashboard A close to real-time online platform on public and philanthropic funding (since 2017) and current initiatives in AMR R&D across the One Health continuum. It is the most comprehensive source of information on AMR R&D available globally. To date, we have information on over 14,800 projects worth ~12.8 billion USD from 249 funders worldwide across all One Health sectors – human, animal, environment and plant – and growing – in the Investment Gallery. The Dashboard also displays WHO’s analysis of the antibacterial clinical pipeline (therapeutics & vaccines) Pipeline Gallery - as well as incentives available world-wide for the development of new antibacterials – Incentives Gallery. Reports & Focused Analyses

dashboard.globalamrhub.org

Dynamic Dashboard Analysis Reports were published in 2020 and 2021, with the next analysis due for publication in Q1 2024. A Cross-Sectoral Report (projects involving >1 One Health Sector) was added in 2022 & a Social Sciences report due in Q1 2024.

The Global Knowledge Centre For AMR R&D

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The Global Knowledge Centre For AMR R&D

Key Activities

Fostering Collective & Accelerated Action On Push & Pull Incentives Landmark analyses of national policy tools and market potential of new antibiotics and diagnostics addressing priority needs in AMR – 2019 - 2021 Following a call on the Hub from the G20 Japan in 2019 to analyze push and pull mechanisms for AMR R&D, three key studies and policy briefs were published in 2021, that explored the challenges inhibiting a more unified and co-ordinated global action in the field of incentives for AMR product development (specifically antibiotics and diagnostics).

Access our reports & policy briefs here globalamrhub.org

G7-requested reports on incentivizing the development of new antimicrobials – May 2022 & 2023 Initiated by a G7 request in 2021, the Hub in collaboration with WHO delivered two progress reports to G7 Finance & Health Ministers in April 2022 and 2023 to help support deliberations regarding activities countries are taking to incentivise the development of antimicrobials, highlighting the need for timely and concrete action on R&D and equitable access to new antimicrobials addressing the most critical public health needs. Establishment of a Pull Incentives Working Group – April 2022; Outcome Reports – April 2023, August 2023 Focused on the valuation of antimicrobials, nine working group sessions have taken place between 2022 and 2024 comprising the Hub’s members, technical representatives and invited experts. Presentations and discussions on existing and planned incentives models, including from Canada, United Kingdom, Sweden, Germany, European Union, Japan and on the Transfer Exclusivity Extension Model (Prof. Pierre Dubois) and a Pan EU model (DRIVE-AB alumni). To stimulate discussions, we have also generated a ‘Market Incentives Guide’ (Sept 2023) for policy makers and engaged with stakeholders to gain further perspectives, resulting in ‘A shared dialogue on Pull Incentives’ (Aug 2023).

Establishment of the One Health Working Group - 2024 Building on the information on investments in cross sectoral AMR R&D in the Dynamic Dashboard and with recent developments in the field such as the Quadripartite’ One Health AMR Priority Research Agenda, the One Health Working Group represents a platform for sharing perspectives across funders and ministries to further implementing One Health research and defining specific needs and ways of working. Defining. The first One Health working group meeting was held in February 2024.


Key Activities

Find out more here

globalamrhub.org

Keeping AMR High On The Political Agenda Evidence-based Recommendations on AMR R&D • Recommendations on AMR R&D for G20 based on the Dashboard analyses & reports in 2021, 2021 & 2023 • G7 requested progress reports in 2022 and 2023 on incentivizing the development of new antibacterials included recommendations across the push and pull spectrum for health and finance ministers to aid their deliberations, highlighting the need to stimulate R&D whilst considering equitable access to new antimicrobials. At the start of Italy’s G7 Presidency, the Hub delivered evidence on AMR R&D to the Italian Health Minister in Jan 2024 • Member of the European Commission’s AMR One Health Network & EDCTP3 • Provision of evidence on AMR R&D to the 6th meeting of the Global Leaders Group on AMR (Feb 2023) and in follow up consultation on the antibiotic development and access crisis (Sep 2023) & the Evidence for Action Meeting, Malta (Feb 2024).

Advocacy, knowledge sharing and awareness • The Hub participates in and host sessions at numerous conferences, workshops and webinars, e.g. Global Leaders Group, Quadripartite, World AMR Congress, World Health Summit, Centre for Science and Environment & the European Health Forum Gastein. • We also author a variety of articles and op-eds sharing evidence and perspectives on AMR R&D across the One Health spectrum, e.g. One Health Lens for AMR R&D funding (OMICS Journal), AMR R&D needs greater push through policies (Down To Earth, CSE) & A Global Hub supporting research into AMR (The Guardian, supplement) & are called upon by new agencies and outlets to provide expert opinion (Deutsche Welle, Dec 2023). • Our Newsletter (launched in 2020) and AMR Snapshots interview series (launched in 2021) keep AMR in the spotlight, the latter features experts such as the UK Special Envoy on AMR, Dame Sally Davies and Sweden’s ambassador for AMR, Dr. Malin Grape. • 1st Recommendation for G20 on AMR R&D (Nov 2020).

Photos (top-bottom): G20 India, Gandhinagar, Aug 23 European Health Forum Gastein, Sept 23 Global Leaders Group on AMR, 6th Meeting, Feb 23

❽ The Global Knowledge Centre For AMR R&D


2024 & Beyond We are at an inflection point in which transformative change for action against AMR can happen - 2024 represents a crucial year for AMR. UNGA’s HLM on AMR in September and the High Level Ministerial Meeting on AMR in Saudi Arabia in November is a unique chance to shape the AMR agenda for the next decade. It’s important to remember that resistance is a natural phenomenon – one that we can limit but can’t stop. Our vision is to support the development of a sustainable ecosystem for the R&D of the solutions, tools, products and strategies we need to mitigate the ongoing impacts of AMR. Using our unique resources, we continue to keep a clear focus on creating a strong and credible knowledge foundation to help guide decision-making for AMR R&D and as a platform for information exchange, enhanced collaboration and co-creation of solutions. Opportunities that can be leveraged for impact.

KEY FOCUS AREAS Focus on Push Incentives: Providing the evidence base to strengthen the AMR R&D ecosystem and promote coordination and collaboration. Support the establishment of AMR R&D targets to address priority public health needs, offering a platform for monitoring progress towards their attainment.

Focus on Pull Incentives: We are set to expand our work on pull incentives, exploring the usefulness of establishing a pull incentive co-ordination platform to align individual pull incentives globally, accelerate and track progress and assess effectiveness, whilst encouraging transparency and exchange of lessons learned. Focus on Access: Strengthen efforts to prioritise equity and global access to new and existing priority antibacterials as well as AMR diagnostics and vaccines Focus on One Health: One Health continues to be at the core of what we do. Building on our existing activities and knowledge reports, we will leverage the Hub’s One Health working group and the Quadripartite’s One Health AMR Priority R&D Agenda to support implementation of One Health research globally.


Stakeholders & Collaborators


Contact Us globalamrhub@dzif.de https://globalamrhub.org https://dashboard.globalamrhub.org/

Funding: @GlobalAMRHub


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