Document Type
Article
Publication Date
2-2015
ISSN
1544-5208
Publisher
Project HOPE
Language
en-US
Abstract
Multidrug-resistant bacterial diseases pose serious and growing threats to human health. While innovation is important to all areas of health research, it is uniquely important in antibiotics. Resistance destroys the fruit of prior research, making it necessary to constantly innovate to avoid falling back into a pre-antibiotic era. But investment is declining in antibiotics, driven by competition from older antibiotics, the cost and uncertainty of the development process, and limited reimbursement incentives. Good public health practices curb inappropriate antibiotic use, making return on investment challenging in payment systems based on sales volume. We assess the impact of recent initiatives to improve antibiotic innovation, reflecting experience with all sixty-seven new molecular entity antibiotics approved by the Food and Drug Administration since 1980. Our analysis incorporates data and insights derived from several multi-stakeholder initiatives under way involving governments and the private sector on both sides of the Atlantic. We propose three specific reforms that could revitalize innovations that protect public health, while promoting long-term sustainability: increased incentives for antibiotic research and development, surveillance, and stewardship; greater targeting of incentives to high-priority public health needs, including reimbursement that is delinked from volume of drug use; and enhanced global collaboration, including a global treaty.
Recommended Citation
Kevin Outterson, John H. Powers, Gregory W. Daniel & Mark B. McClellan,
Repairing the Broken Market for Antibiotic Innovation
,
in
34
Health Affairs
277
(2015).
Available at:
https://scholarship.law.bu.edu/faculty_scholarship/123
Comments
Boston University School of Law, Law and Economics Research Paper No. 15-32