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AFRICA

S15

CVJAFRICA • Volume 26, No 2, H3Africa Supplement, March/April 2015

Strategic investments in non-communicable diseases

(NCD) research in Africa: the GSK Africa NCD Open Lab

Matthew D Hall, Ann M Dufton, Roy M Katso, Sally A Gatsi, Pauline M Williams, Michael E Strange

Abstract

In March 2014, GSK announced a number of new strategic

investments in Africa. One of these included investment of

up to 25 million Pounds Sterling (£25 million) to create the

world’s first R&D Open Lab to increase understanding of

non-communicable diseases (NCDs) in Africa. The vision

is to create a new global R&D effort with GSK working in

partnership with major funders, academic centres and govern-

ments to share expertise and resources to conduct high-quality

research. The Africa NCD Open Lab will see GSK scientists

collaborate with scientific research centres across Africa. An

independent advisory board of leading scientists and clini-

cians will provide input to develop the strategy and selection

of NCD research projects within a dynamic and networked

open-innovation environment. It is hoped that these research

projects will inform prevention and treatment strategies in

the future and will enable researchers across academia and

industry to discover and develop new medicines to address the

specific needs of African patients.

Keywords:

non-communicable diseases, Africa, open innovation,

collaboration, training, capacity building

Cardiovasc J Afr

2015;

26

: S15–S17

www.cvja.co.za

DOI:

10.5830/CVJA

-2015-042

In 2012, the World Health Assembly endorsed an important

new health goal (the ‘25 by 25’ goal) to reduce avoidable

mortality from non-communicable diseases (NCDs) by 25% by

2025.

1

Furthermore, the 66th World Health Assembly, United

Nations (UN) member states adopted a resolution on NCDs

that reinforces commitments made in 2011’s UN Declaration on

NCDs and signals consensus on the three pillars of the global

NCD architecture – action, accountability and coordination.

2

This alignment of the UN’s World Health Assembly, the World

Health Organisation, and other entities are recognised as positive

steps for combating NCDs.

NCDs account for 63% of all deaths globally, with 80%

of the global burden occurring in low- and middle-income

countries.

3

While NCDs are currently the leading cause of

death in all regions except Africa, current projections indicate

that by 2020, the largest increases in NCD deaths will occur

in Africa. Furthermore, by 2030, the number of deaths from

NCDs in Africa is projected to exceed the combined deaths from

communicable, nutritional, maternal and perinatal deaths as the

most common causes of death, if current trends continue.

3

Currently, NCDs are increasing in Africa. Mbanya and

colleagues found that approximately 12 million people were

living with diabetes in Africa in 2010; this is projected to increase

to approximately 24 million by 2030.

4

Other contributors to the

increase in diabetes may also include anti-retroviral treatment

(ART) for HIV/AIDS. ART has been shown to increase the risk

of cardiometabolic dysregulation; this dysregulation is associated

with obesity and increased insulin resistance.

5

Therefore increase

in incidences of NCDs will result from the aforementioned

factors, including the increased lifespan of people living with

infectious diseases.

GSK understands that there is much more to be done to

appreciate and address the burden of NCDs, with a particular

focus on Africa. As a science-led global healthcare company,

GSK is committed to harnessing its scientific expertise,

partnerships and global reach to develop and make products

for people who need them, wherever they live. Research and

development areas include HIV, vaccines, and diseases of the

developing world. GSK has pioneered a number of innovative

new models to help stimulate innovation: working in partnership

with others, and opening up access to its expertise, facilities and

intellectual property.

6

For example, the Tres Cantos Open Lab Foundation was

established by GSK in 2010 and offers a unique approach to

discovering novel, safe, appropriate and affordable medicines

for diseases of the developing world with industry, academia,

non-governmental organisations and governments working

together. The Tres Cantos Open Lab is the world’s first open

laboratory for diseases of the developing world and provides an

opportunity for scientists from around the world to partner with

GSK scientists, using GSK’s facilities and expertise, to test their

own ideas and design appropriate projects at the very early stages

of drug discovery.

7

Building on this and other initiatives, GSK’s chief executive

officer, Sir Andrew Witty, announced new strategic investments

in sub-Saharan Africa at the 5th European Union–Africa

Business Forum in Brussels in March 2014. These investments

also included the Africa NCD Open Lab, which was designed

to address pressing health needs and contribute to long-term

business growth. Over the next five years, GSK will make

targeted investments of up to £130 million in Africa, which

will contribute to the development of home-grown capabilities

and skills in Africa.

8

The long-term goal is to equip Africa to

discover, develop and produce the medicines required for African

patients.

GSK, Medicines Research Centre, Stevenage,

Hertfordshire, United Kingdom

Matthew D Hall, PhD,

matthew.d.hall@gsk.com

Ann M Dufton, MSc

Roy M Katso, PhD

Pauline M Williams, MD

GSK, Brentford, Middlesex, United Kingdom

Sally A Gatsi, PharmD

Michael E Strange, PhD