title: The trials and tribulations of repurposing metformin and other generic drugs for tuberculosis.
abstract: There are a number of generic drugs that might be useful in treating tuberculosis, but will they ever get to the patients who need them? They might, but not without a lot of help. There are intellectual property issues, endpoint issues, cost of research issues, economic incentive issues, preclinical validation issues, "who is in charge" issues and many more. It is clear that repurposed generic drugs have the potential to make a safe, effective, quick and affordable impact on a global disease of poverty such as tuberculosis. But without the economic incentives that are usually in place for drug development, can we muster the scientific, economic and governmental support to bring them to the patients?
authors.affiliation: Cures Within Reach, 8025 Lamon Avenue, Skokie, IL 60077 USA.
authors.forename: Bruce E
authors.initials: BE
authors.lastname: Bloom
mesh_terms: D000818:Animals; D000995:Antitubercular Agents / Q000627:therapeutic use*; D058492:Drug Repositioning; D016568:Drugs, Generic / Q000627:therapeutic use; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D008687:Metformin / Q000627:therapeutic use*; D014376:Tuberculosis / Q000188:drug therapy*
chemical_list: D000995:Antitubercular Agents; D016568:Drugs, Generic; D007004:Hypoglycemic Agents; D008687:Metformin
keywords: economic incentives; generic drugs; intellectual property; metformin; repurposing; social finance; tuberculosis