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US public investment in development of mRNA covid-19 vaccines: retrospective cohort study

OBJECTIVE: To estimate US public investment in the development of mRNA covid-19 vaccines. DESIGN: Retrospective cohort study. SETTING: Publicly funded science from January 1985 to March 2022. DATA SOURCES: National Institutes of Health (NIH) Report Portfolio Online Reporting Tool Expenditures and Re...

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Autores principales: Lalani, Hussain S, Nagar, Sarosh, Sarpatwari, Ameet, Barenie, Rachel E, Avorn, Jerry, Rome, Benjamin N, Kesselheim, Aaron S
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group Ltd. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9975718/
https://www.ncbi.nlm.nih.gov/pubmed/36858453
http://dx.doi.org/10.1136/bmj-2022-073747
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author Lalani, Hussain S
Nagar, Sarosh
Sarpatwari, Ameet
Barenie, Rachel E
Avorn, Jerry
Rome, Benjamin N
Kesselheim, Aaron S
author_facet Lalani, Hussain S
Nagar, Sarosh
Sarpatwari, Ameet
Barenie, Rachel E
Avorn, Jerry
Rome, Benjamin N
Kesselheim, Aaron S
author_sort Lalani, Hussain S
collection PubMed
description OBJECTIVE: To estimate US public investment in the development of mRNA covid-19 vaccines. DESIGN: Retrospective cohort study. SETTING: Publicly funded science from January 1985 to March 2022. DATA SOURCES: National Institutes of Health (NIH) Report Portfolio Online Reporting Tool Expenditures and Results (RePORTER) and other public databases. Government funded grants were scored as directly, indirectly, or not likely related to four key innovations underlying mRNA covid-19 vaccines—lipid nanoparticle, mRNA synthesis or modification, prefusion spike protein structure, and mRNA vaccine biotechnology—on the basis of principal investigator, project title, and abstract. MAIN OUTCOME MEASURE: Direct public investment in research and vaccine development, stratified by the rationale, government funding agency, and pre-pandemic (1985-2019) versus pandemic (1 January 2020 to 31 March 2022). RESULTS: 34 NIH funded research grants that were directly related to mRNA covid-19 vaccines were identified. These grants combined with other identified US government grants and contracts totaled $31.9bn (£26.3bn; €29.7bn), of which $337m was invested pre-pandemic. Pre-pandemic, the NIH invested $116m (35%) in basic and translational science related to mRNA vaccine technology, and the Biomedical Advanced Research and Development Authority (BARDA) ($148m; 44%) and the Department of Defense ($72m; 21%) invested in vaccine development. After the pandemic started, $29.2bn (92%) of US public funds purchased vaccines, $2.2bn (7%) supported clinical trials, and $108m (<1%) supported manufacturing plus basic and translational science. CONCLUSIONS: The US government invested at least $31.9bn to develop, produce, and purchase mRNA covid-19 vaccines, including sizeable investments in the three decades before the pandemic through March 2022. These public investments translated into millions of lives saved and were crucial in developing the mRNA vaccine technology that also has the potential to tackle future pandemics and to treat diseases beyond covid-19. To maximize overall health impact, policy makers should ensure equitable global access to publicly funded health technologies.
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spelling pubmed-99757182023-03-01 US public investment in development of mRNA covid-19 vaccines: retrospective cohort study Lalani, Hussain S Nagar, Sarosh Sarpatwari, Ameet Barenie, Rachel E Avorn, Jerry Rome, Benjamin N Kesselheim, Aaron S BMJ Research OBJECTIVE: To estimate US public investment in the development of mRNA covid-19 vaccines. DESIGN: Retrospective cohort study. SETTING: Publicly funded science from January 1985 to March 2022. DATA SOURCES: National Institutes of Health (NIH) Report Portfolio Online Reporting Tool Expenditures and Results (RePORTER) and other public databases. Government funded grants were scored as directly, indirectly, or not likely related to four key innovations underlying mRNA covid-19 vaccines—lipid nanoparticle, mRNA synthesis or modification, prefusion spike protein structure, and mRNA vaccine biotechnology—on the basis of principal investigator, project title, and abstract. MAIN OUTCOME MEASURE: Direct public investment in research and vaccine development, stratified by the rationale, government funding agency, and pre-pandemic (1985-2019) versus pandemic (1 January 2020 to 31 March 2022). RESULTS: 34 NIH funded research grants that were directly related to mRNA covid-19 vaccines were identified. These grants combined with other identified US government grants and contracts totaled $31.9bn (£26.3bn; €29.7bn), of which $337m was invested pre-pandemic. Pre-pandemic, the NIH invested $116m (35%) in basic and translational science related to mRNA vaccine technology, and the Biomedical Advanced Research and Development Authority (BARDA) ($148m; 44%) and the Department of Defense ($72m; 21%) invested in vaccine development. After the pandemic started, $29.2bn (92%) of US public funds purchased vaccines, $2.2bn (7%) supported clinical trials, and $108m (<1%) supported manufacturing plus basic and translational science. CONCLUSIONS: The US government invested at least $31.9bn to develop, produce, and purchase mRNA covid-19 vaccines, including sizeable investments in the three decades before the pandemic through March 2022. These public investments translated into millions of lives saved and were crucial in developing the mRNA vaccine technology that also has the potential to tackle future pandemics and to treat diseases beyond covid-19. To maximize overall health impact, policy makers should ensure equitable global access to publicly funded health technologies. BMJ Publishing Group Ltd. 2023-03-01 /pmc/articles/PMC9975718/ /pubmed/36858453 http://dx.doi.org/10.1136/bmj-2022-073747 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Research
Lalani, Hussain S
Nagar, Sarosh
Sarpatwari, Ameet
Barenie, Rachel E
Avorn, Jerry
Rome, Benjamin N
Kesselheim, Aaron S
US public investment in development of mRNA covid-19 vaccines: retrospective cohort study
title US public investment in development of mRNA covid-19 vaccines: retrospective cohort study
title_full US public investment in development of mRNA covid-19 vaccines: retrospective cohort study
title_fullStr US public investment in development of mRNA covid-19 vaccines: retrospective cohort study
title_full_unstemmed US public investment in development of mRNA covid-19 vaccines: retrospective cohort study
title_short US public investment in development of mRNA covid-19 vaccines: retrospective cohort study
title_sort us public investment in development of mrna covid-19 vaccines: retrospective cohort study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9975718/
https://www.ncbi.nlm.nih.gov/pubmed/36858453
http://dx.doi.org/10.1136/bmj-2022-073747
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