HIV vaccine edges closer to wipe-out virus



Progress in drug and vaccine research has transformed the treatment landscape for those living with HIV.

Although a cure may remain elusive, researchers at the largest vaccine producer in the world claim preventative medication is better than ever.

World Health Organisation figures reveal continuing progress in improving the lives of 38 million adults and children living with the virus.

More than half (53 per cent ) of HIV carriers have had the virus suppressed, limiting the risk of infecting others while 79 per cent have been tested and 62 per cent are receiving treatment.

Emmanuel Hanon, senior vice president head of research and development at GlaxoSmithKline vaccines, said prophylactic HIV drugs are now 99 per cent effective.

“HIV is not yet curable, but it is very treatable,” he said.

“Those with the virus who die are not dying as a result of classical HIV symptoms, but from other diseases reducing life expectancy.

“The dream of having a vaccine is closer. We are exploring a vaccine candidate to help prevent infection, as part of the P5 consortium with other pharma companies.”

GSK Global is in partnership with the US National Institutes of Health, Gates foundation and Sanofi to develop a prophylactic vaccine that potentially can be used as a global health asset in regions where the drugs are not used.

It is 25 years since scientists developed the first arsenal of antiretroviral drugs capable of limiting the devastating impact of the disease.

Since then, drug treatment programmes have been updated and refined to become more effective and with significantly fewer side effects.

When taken with a daily oral pill, someone with HIV can live a nearly normal lifespan.

An ambitious plan has been launched in the US by the Department of Health and Human Services to reduce the incidence of HIV domestically by 75 per cent within five years, and by 90 per cent by 2030.

Research and drug development is underway at GSK to potentially offer an injection to protect against the HIV for up to two months, rather than taking a daily pill.

GSK is the world’s largest vaccine research and development company distributing to 158 countries, including the UAE.

The company has a global supply chain from 14 international manufacturing plants.

It can take between 10-26 months to manufacture a single dose of vaccine. That follows years of research and development into finding new and effective drug treatments.

Currently, GSK is collaborating with more than 150 scientific institutions on innovative solutions to pressing healthcare problems threatening human health.

One of those is a new HIV vaccine, currently in phase two of the research and development stage.

A joint venture company between GSK and Pfizer ViiV Healthcare, was established in 2009, employing more than 1100 people to develop HIV treatments.

“The treatment bar for HIV is already very high,” said Mr Hanon, who was speaking from the company’s largest manufacturing plant in Wavre, near Brussels.

“Because of this, unless there is a major discovery in the field that can completely block it, HIV is not an easy target for developers.

“Research and development at GSK is underway now where people can have an injection and they are protected (against the virus) for two months, rather than (having to) take a pill every day.

“On the therapeutic side, it is even more challenging (to develop a vaccine) as someone can now already access highly effective treatment.

“We are in phase two proof of concept for a vaccination schedule for HIV but in developed countries, HIV drugs are already doing an amazing job.”

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The initiative focuses on converting real estate assets into digital tokens recorded on blockchain technology and helps in streamlining the process of buying, selling and investing, the Dubai Land Department said.

Dubai’s real estate tokenisation market is projected to reach Dh60 billion ($16.33 billion) by 2033, representing 7 per cent of the emirate’s total property transactions, according to the DLD.

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Mercer, the investment consulting arm of US services company Marsh & McLennan, expects its wealth division to at least double its assets under management (AUM) in the Middle East as wealth in the region continues to grow despite economic headwinds, a company official said.

Mercer Wealth, which globally has $160 billion in AUM, plans to boost its AUM in the region to $2-$3bn in the next 2-3 years from the present $1bn, said Yasir AbuShaban, a Dubai-based principal with Mercer Wealth.

Within the next two to three years, we are looking at reaching $2 to $3 billion as a conservative estimate and we do see an opportunity to do so,” said Mr AbuShaban.

Mercer does not directly make investments, but allocates clients’ money they have discretion to, to professional asset managers. They also provide advice to clients.

“We have buying power. We can negotiate on their (client’s) behalf with asset managers to provide them lower fees than they otherwise would have to get on their own,” he added.

Mercer Wealth’s clients include sovereign wealth funds, family offices, and insurance companies among others.

From its office in Dubai, Mercer also looks after Africa, India and Turkey, where they also see opportunity for growth.

Wealth creation in Middle East and Africa (MEA) grew 8.5 per cent to $8.1 trillion last year from $7.5tn in 2015, higher than last year’s global average of 6 per cent and the second-highest growth in a region after Asia-Pacific which grew 9.9 per cent, according to consultancy Boston Consulting Group (BCG). In the region, where wealth grew just 1.9 per cent in 2015 compared with 2014, a pickup in oil prices has helped in wealth generation.

BCG is forecasting MEA wealth will rise to $12tn by 2021, growing at an annual average of 8 per cent.

Drivers of wealth generation in the region will be split evenly between new wealth creation and growth of performance of existing assets, according to BCG.

Another general trend in the region is clients’ looking for a comprehensive approach to investing, according to Mr AbuShaban.

“Institutional investors or some of the families are seeing a slowdown in the available capital they have to invest and in that sense they are looking at optimizing the way they manage their portfolios and making sure they are not investing haphazardly and different parts of their investment are working together,” said Mr AbuShaban.

Some clients also have a higher appetite for risk, given the low interest-rate environment that does not provide enough yield for some institutional investors. These clients are keen to invest in illiquid assets, such as private equity and infrastructure.

“What we have seen is a desire for higher returns in what has been a low-return environment specifically in various fixed income or bonds,” he said.

“In this environment, we have seen a de facto increase in the risk that clients are taking in things like illiquid investments, private equity investments, infrastructure and private debt, those kind of investments were higher illiquidity results in incrementally higher returns.”

The Abu Dhabi Investment Authority, one of the largest sovereign wealth funds, said in its 2016 report that has gradually increased its exposure in direct private equity and private credit transactions, mainly in Asian markets and especially in China and India. The authority’s private equity department focused on structured equities owing to “their defensive characteristics.”

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