Evidence map›Paper›PMID 34250265›Full record

ArticleWellcome open research2021

There is no market for new antibiotics: this allows an open approach to research and development.

Dana M Klug, Fahima I M Idiris, Mark A T Blaskovich, Frank von Delft, Christopher G Dowson, Claas Kirchhelle, Adam P Roberts, Andrew C Singer, Matthew H Todd

Abstract read
In one paragraph

Article in Wellcome open research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed.

  1. The 3D Value Framework for Sustainable Access to Effective Antibiotics.Health care analysis : HCA : journal of health philosophy and policy · 2026
    Article
  2. Review
  3. Review
  4. Article
  5. Review
  6. Article
  7. Review
  8. Infectious Keratitis Management: 10-Year Update.Journal of clinical medicine · 2025
    Review
  9. Review
  10. Article
  11. Review
  12. Review
  13. New Agents Are Coming, and So Is the Resistance.Antibiotics (Basel, Switzerland) · 2024
    Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Dana M KlugSchool of Pharmacy, University College London, London, WC1N 1AX, UK.ORCID https://orcid.org/0000-0002-8982-0640
Fahima I M IdirisSchool of Pharmacy, University College London, London, WC1N 1AX, UK.ORCID https://orcid.org/0000-0001-8844-7592
Mark A T BlaskovichCentre for Superbug Solutions, Institute for Molecular Bioscience, The University of Queensland, Lucia, Queensland, 4072, Australia.ORCID https://orcid.org/0000-0001-9447-2292
Frank von DelftCentre for Medicines Discovery, The University of Oxford, Oxford, OX3 7DQ, UK.ORCID https://orcid.org/0000-0003-0378-0017
Christopher G DowsonSchool of Life Sciences, University of Warwick, Coventry, CV4 7AL, UK.ORCID https://orcid.org/0000-0002-8294-8836
Claas KirchhelleSchool of History, University College Dublin, Dublin, Ireland.ORCID https://orcid.org/0000-0003-0910-8133
Adam P RobertsDepartment of Tropical Disease Biology, Liverpool School of Tropical Medicine, Liverpool, L3 5QA, UK.ORCID https://orcid.org/0000-0002-0760-3088
Andrew C SingerUK Centre for Ecology & Hydrology, Wallingford, OX10 8BB, UK.ORCID https://orcid.org/0000-0003-4705-6063
Matthew H ToddSchool of Pharmacy, University College London, London, WC1N 1AX, UK.ORCID https://orcid.org/0000-0001-7096-4751

Funding

Medical Research Council MR/N002679/1Medical Research Council MR/P007503/1Medical Research Council MR/S014934/1Wellcome Trust
6 · The paper itself

Abstract

There is an increasingly urgent need for new antibiotics, yet there is a significant and persistent economic problem when it comes to developing such medicines. The problem stems from the perceived need for a "market" to drive commercial antibiotic development. In this article, we explore abandoning the market as a prerequisite for successful antibiotic research and development. Once one stops trying to fix a market model that has stopped functioning, one is free to carry out research and development (R&D) in ways that are more openly collaborative, a mechanism that has been demonstrably effective for the R&D underpinning the response to the COVID pandemic. New "open source" research models have great potential for the development of medicines for areas of public health where the traditional profit-driven model struggles to deliver. New financial initiatives, including major push/pull incentives, aimed at fixing the broken antibiotics market provide one possible means for funding an openly collaborative approach to drug development. We argue that now is therefore the time to evaluate, at scale, whether such methods can deliver new medicines through to patients, in a timely manner.

Indexed as

AMRantibioticsdrug developmentdrug discoveryeconomicsincentivesopen sciencepolicy

Identifiers

PMID34250265
PMCPMC8237369

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.