Despite the growing global burden of infectious diseases, the development of vaccines targeting endemic priority pathogens remains hindered by significant funding gaps and limited commercial incentives. While pandemic preparedness has attracted substantial investment, many bacterial pathogens continue to be overlooked, leaving promising vaccine candidates without a clear path to market.
Traditional biotech models often struggle to advance these candidates through clinical development and commercialization, particularly when expected returns on investment fall below conventional commercial benchmarks. Bridging this gap requires new approaches that align public health priorities with sustainable development and commercialization strategies.
First presented during Alcimed’s Healthcare Strategy Practice’s keynote presentation at Vaccine Congress Europe in October 2026, this white paper explores how lessons learned from antibiotic development, particularly the model of the Global Antibiotic Research and Development Partnership (GARDP), could be applied to endemic priority vaccine development. Building on this approach, the paper introduces the concept of an Endemic Pathogen Vaccines Engine (EPV Engine): a collaborative model designed to advance promising vaccine candidates through a network of external partners while retaining the strategic capabilities needed to drive development, regulatory approval, and commercialization. The EPV engine is built on the Healthcare Strategy Practice’s comprehensive view of the field and aims at presenting an engine that is realistic if currently hypotheical.