OnCo
ideasIdea

Patent-free open-source development of repurposed and off-patent cancer drugs

Fund trials of old, cheap drugs with anti-cancer signals without seeking patents, and have generic makers produce them, so cost, not profit, decides whether patients get them.

A philanthropic programme (building on the Anticancer Fund, Cures Within Reach and the Repurposing Drugs in Oncology project) selects repurposing candidates by strength of signal (for example propranolol in angiosarcoma, metformin in specific molecular subgroups, mebendazole, statins in defined contexts), funds definitive randomised trials through academic networks, and commits in advance to open, patent-free results with pre-agreed generic supply. Label changes are pursued through regulatory pathways that allow non-commercial sponsors, or through guideline inclusion where labelling is impractical. Pairing with the non-profit pharma and indication-exclusivity ideas makes the economics self-sustaining.

Hypothesis
An open repurposing programme funded at $30 million a year delivers at least three guideline-changing randomised results within seven years at under $10 million per trial, and the resulting treatments are available at generic prices in all participating countries within two years of publication.
Rationale
STAMPEDE showed that adding cheap generics (abiraterone was not generic then, but docetaxel and later celecoxib arms were) to standard care in a platform can change practice; the Add-Aspirin trial and the Anticancer Fund's portfolio demonstrate the pipeline exists. The barrier is sponsorship and a path to label, not science.
What would test it
Fund two randomised trials with committed generic supply and pre-registered guideline-inclusion plans; evaluate accrual, cost and guideline uptake at five years.
Maturity
early clinical
Who has to act
philanthropy
Cost to try
Medium ($1M to $50M)
Years to first evidence
5
Bottlenecks it attacks

Connected

7top

Pages like this

not linked directly; found by shared links