Breaking the sound barrier: global monoclonal antibody pharmacoequity - Summary - MDSpire

Breaking the sound barrier: global monoclonal antibody pharmacoequity

  • By

  • Huub C. Gelderblom

  • Glenda Gray

  • Brian Kelley

  • June 23, 2026

  • 0 min

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Objective:

To address the inequitable global access to monoclonal antibodies (mAbs), particularly in low- and middle-income countries (LMICs).

Approach:
    Key Findings:
    • Over 130 mAbs are approved in the US, but only 16 are on the WHO Essential Medicines List.
    • Nirsevimab for RSV prevention could improve access to mAbs in LMICs.
    • Combining mAbs could create a viable production scale to reduce costs.
    Interpretation:

    The integration of long-acting infectious disease mAbs with existing WHO Essential Medicines List mAbs could create a comprehensive approach to improving global access to these therapies.

    Limitations:
    • The approach relies on political mobilization and structural changes.
    • Current manufacturing and distribution capacities may not meet increased demand.
    Conclusion:

    Connecting long-acting infectious disease mAbs with existing mAbs could enhance access in global health.

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