Grand Challenges in TB Control - GC-TBC
Transcription
Grand Challenges in TB Control - GC-TBC
Grand Challenges in TB Control ` Program Overview Call II - May to June 2015 TB Screening, Detection and Diagnostics AN IKP INITIATIVE IN PARTNERSHIP WITH THE UNITED STATES AGENCY FOR INTERNATIONAL DEVELOPMENT, BIOTECHNOLOGY INDUSTRY RESEARCH ASSISTANCE COUNCIL, AND THE BILL AND MELINDA GATES FOUNDATION TO IDENTIFY, NURTURE AND EMPOWER INNOVATIONS FOR TB CONTOL Page 2 of 15 Introduction The Grand Challenges in TB Control (GC-TBC) is an initiative to encourage and nurture innovations that will help alleviate the problem of TB in India. IKP Knowledge Park (IKP), the United States Agency for International Development (USAID), the Biotechnology Industry Research Assistance Council (BIRAC), and the Bill and Melinda Gates Foundation are working together to identify, fund, and nurture technology driven solutions that will assist TB control. The GC-TBC initiative was set-up to address the global health challenge of TB Control by encouraging entrepreneurship through technology innovation, and enabling the integration of such innovations with the public and private healthcare systems. We believe that indigenous technologies will better address the problem of TB in India. We will enable scientists /researchers / entrepreneurs to develop new solutions through funding and a rigorous mentoring partnership that allows them to proceed to the next phase of development. GC-TBC is established as a unique award program to fund out-of-the-box innovations in TB control. We will not only provide funds but also work with awardees for three years to help establish and validate the proof-of-concept and bring to awardees the deep collective experience of global mentors, resources and network. For e.g. each GC-TBC Call 1 awardee is connected to a mentor (WHO TB consultant) and issued a letter with technical approval from Directorate General of Health Services to facilitate pilot projects by the Revised National TB Control Programme (RNTCP). The first call for proposals launched in June 2013 was funded by USAID and the Bill and Melinda Gates Foundation. The second call for proposals will be funded by BIRAC and USAID and focuses on TB Screening, Detection and Diagnostics. GC-TBC Call II - May-June 2015 The Second Call for proposals seeks to identify and fund the creation of validated, sustainable solutions for screening, detection and diagnosis of tuberculosis specifically designed for the Indian milieu. Whether it is responding to the TB epidemic or an individual TB patient, rapid and accurate establishment of TB diagnosis is fundamental to providing quality care. UNITAID TB Diagnostics Landscape Report, 2014 describes over 190 diagnostic methods for TB. Despite these advancements, undiagnosed and mis-managed TB care continue to drive the epidemic upward. Often, patients are not diagnosed at the outset; those with suspected infection receive empiric therapy rather than a therapy dictated by rapid identification of the type of Mycobacteriumtuberculosis(MTb). As a result, there are increasing levels of infections with MTb resistant to current TB antimicrobials, (Multi Drug Resistant (MDR) and Extensively Drug Resistant (XDR) TB), effectively reducing the capability of the already small arsenal of drugs. New tests are needed that can quickly identify MTb, and also provide information on susceptibility to antimicrobials. Tests developed should be easy to use, provide results within minutes to hours, in large numbers, and provide timely communication of results to clinicians. This will ultimately have a positive impact on efficient patient care and further reducing the TB Page 3 of 15 burden in the community at large. A quarter of all estimated new incident cases globally occur in India. WHO estimated burden of tuberculosis in India, 2012 is given below: TB Burden Estimated Number (Millions) with 95% CI Incidence 2.2 (2.0–2.4) Prevalence 2.8 (1.9–3.9) Mortality 0.27 (0.17–0.39) HIV among estimated incident TB patients 0.13 (0.12–0.14) MDR-TB among notified pulmonary TB patients 0.064 (0.049–0.079) MDR-TB among notified New pulmonary TB patients 0.021 (0.018–0.025) MDR-TB among notified Re-treatment pulmonary TB patients 0.043 (0.033–0.054) (Table taken from TB India 2014, Revised National TB Control Programme, Annual Status Report) The following schema adapted from TB REACH Case Studies, 2014 shows that the entry points for improving detection and notification to be: 1.Improved awareness and knowledge 2.Better identification of population at risk for testing 3. Increased access to diagnostics 4.Rapid and more sensitive tests 5.Stronger linkages to the National TB Program While the first four entry points address reaching people with undiagnosed TB with better diagnostic methods, the last addresses linking the private sector, where a sizeable number of TB patients are treated, with the National TB Program. The following real-life patient case studies Page 4 of 15 taken from Tuberculosis: Case Studies from Southern India, WEMJ, 2013 universally illustrate several problems in current screening and diagnostic algorithms that are sought to be addressed by innovations supported through GC-TBC. Case 1 Patient A presented to the outpatient clinic of a Tertiary Care Hospital following a 2-month history of cough with sputum accompanied by low-grade fever in the evenings. She also noted several episodes of blood when coughing within this time period, and was experiencing right sided chest pain. A chest x-ray and CT taken at a community hospital revealed fluid in the right lung spaces. On hearing her history Patient A’s doctor wished to analyse sputum, take another chest x-ray and do a lung biopsy, as is medically indicated in cases like this. A follow-up appointment was arranged for 5 days later to discuss results of these conventional tests. The patient's sputum was positive for acid-fast bacilli and Xpert MTB/RIF analysis revealed the presence of TB bacilli with no resistance to first line anti TB drugs. Her pleural biopsy showed granulomatous inflammation whilst her chest x-ray result was inconclusive. She was consequentially commenced on anti-tubercular treatment under management of the DOTS clinic. In summary - the patient had to see 2 doctors, wait over 65 days, undergo painful invasive and non-invasive tests spanning several days before being put on anti-TB treatment. This typical real-life case presentation highlights: 1. A two month delay from first symptoms to contact with the medical system. 2. Patients often go to more than one doctor to establish a firm diagnosis of TB. 3. Patient had to submit two samples of sputum over two consecutive days. This is associated with problems of transport, loss of wages etc. 4. Chest x-rays are routinely taken, but can lack sensitivity and specificity, and therefore cannot be relied on solely for diagnosis. 5. Biopsy is not a simple procedure, is painful, has to be performed in a hospital by trained personnel, requires substantial infrastructure for processing of specimens, and the results have to be read and reported by a pathologist ( who has to work on many other specimens on the same day) and take a long time to be reported. 6. Xpert MTB/RIF, a rapid, fully-automated cartridge-based assay that requires minimal technician time, can provide detection of TB within two hours, as well as identifying Rifampicin resistance. Apart from costing $17,000 (Source: FIND website) for the instrument, each cartridge costing $16.86 (subsidized cost of $9.98 available to eligible entities), requirement of air conditioning, continuous power supply, and computer, trained technicians can mean that Xpert cannot be deployed widely. A total of 89 and 63 Xpert machines are available through the RNTCP and IPAQT labs respectively. Feasibility studies show that high modular replacement (32%) and cartridge Page 5 of 15 performance variation across batches remain sources of concern (Feasibility of Decentralized Deployment of Xpert MTB/RIF Test at Lower Level of Health System in India, 2014). Case 2 2 years ago, Patient B was diagnosed with TB by a private clinic, following symptoms of productive cough, haemoptysis and low-grade fever. Further analysis revealed the MTb strain to be resistant to both Isoniazid and Rifampicin. He was placed on second line anti-tubercular treatment and managed by the private clinic. The exact details of his treatment are unknown. He was later referred to the Tertiary Hospital with recurrence of his original symptoms. He was found to have an extensively drug-resistant (XDR) strain of TB, resistant to Isoniazid, Ofloxacin, Rifampicin, Ethoniamide, Streptomycin, Capreomycin and Ethambutol, but susceptible to Kanamycin. Patient B was admitted to the isolation ward and began an extensive regimen of second line anti-tubercular drugs. He has frequent follow-up chest x-rays, with one series revealing a massive left-sided pleural effusion and inadequate lung expansion following drainage, all complications of his long-term disease. This case describes the typical history of patients suffering from MDR/XDR TB. In summary the patient was not diagnosed with MDR TB soon enough and progressed to being an XDR patient. This real life presentation highlights: 1. Secondary MDR TB occurs when the prescribed drug regimen is poorly adhered to or administered, allowing bacilli with drug resistant genetic mutations to replicate, becoming dominant, and leading to drug resistant TB in the patient as a reservoir for primary drug resistance in the community at large. Not diagnosing drug resistant TB at the outset and continuing treatment with standard regimens increases the resistant bacterial population in the individual and the increased chance of its spread in the community, placing an additional burden on constrained resources for TB control. A rapid drug susceptibility test that can be administered when the patients are diagnosed with TB is very much needed. 2. The ability to rapidly identify multiple strains of TB bacilli in any given patient can only be done by sequencing, which is expensive, so a low cost alternative needs to be developed. 3. Even though the patient was admitted in an isolation ward to protect healthcare workers, the fate of his family members and immediate contacts is not known; on average, a TB patient has 10-12 contacts who are at risk of contracting TB, and in this case, the drug resistant variety of the disease. Screening those individuals for latent or Page 6 of 15 overt TB within a short time period becomes crucial to preventing further spread of the disease, in this case XDR TB, in the community. 4. Again, the delay and effort expended to straddle different health care centres/doctors before the right diagnosis is made, and treatment initiated, is highlighted here. Case 3 Patient C, a 43-year-old unemployed male with HIV presented to the OPD of a Tertiary Care Center, with a 2-month a history of low-grade fever and cough with expectoration. He had a history of chronic alcohol abuse and smoking. Prior to the presentation, his fever had increased and he was experiencing intermittent chills and rigors, mild shortness of breath and a ‘dull, aching’ abdominal pain with bloating. Investigations showed low CD4 counts, granulomatous inflammation of pleura and bone marrow on biopsy (consistent with the diagnosis of TB), the presence of non-resistant TB in sputum and bone marrow by Xpert MTB/RIF analysis, and multiple enlarged lymph nodes (on abdominal ultrasound). Liver functions were found to be normal. Following diagnosis of TB, the patient was started on anti-TB treatment as an inpatient. Followup X-ray taken 2 days after admission showed a disseminated pattern of TB infection. Due to the development of a Rifampicin induced cholestasis (bile flow stoppage, a side effect of the drug) Patient C’s Rifampicin was stopped and he was started on Levofloxacin. He was also treated prophylactically with Azithromycin due to his low CD4 count. His condition improved over 8 days and he was discharged to outpatient care. This real life presentation highlights: 1. HIV and TB co-infection. CD4+ T cells enhance the capacity of macrophages to kill mycobacteria thereby limiting the clinical presentation of tuberculosis. The hallmark of HIV infection is depletion of CD4+ T cells putting HIV patients at a high risk for primary infection or reactivation of TB. The annual risk of developing TB disease in a HIV patient is estimated between 5-15% (HIV associated tuberculosis in developing countries: epidemiology and strategies for prevention, 1992). The National AIDS Control Organisation estimates that between 2 to 3.1 million adults are HIV positive in India. Given the numbers, HIV-TB co-infection is a huge public health problem. 2. Weakening of the immune system by HIV reduces the patient's ability to contain the infection. In Patient C's case, the TB infection spread to his bone marrow, chest and abdomen. Disease synergies between TB and HIV has led to TB being the leading cause of AIDS related death worldwide. 3. Again, the necessity to screen for latent TB in HIV patients and periodic screening for active disease cannot be underestimated. Page 7 of 15 The Challenge We believe in crowd sourcing of ideas, and will focus on innovations that improve the process of TB screening and diagnostics, to ensure early diagnosis and help curtail the spread of TB. We invite you to submit your proposals online at www.gc-tbc.com We invite ideas that provide integrated solutions, combining technological advances with sustainable business models, to address lacunae in the current screening and diagnostics chain. We are open to funding innovations such as (but not limited to); Screening tests 1. 2. 3. 4. 5. 6. 7. 8. 9. A simplified dipstick test Diagnostics that is able to distinguish TB and non-TB patients accurately Digital chest X-rays with improved read-out algorithms A X-ray like machine that allows the physician to immediately “see” lung abnormalities Breath Test(s) For Extra Pulmonary TB (No triage exists as of now) For Paediatric TB (No triage exists as of now) That address inability of patient to produce sputum Application that uses coughing pattern to detect TB, educates and directs patient to the nearest laboratory for testing; geo-locates cough clusters 10. Testing in co-morbid conditions (e.g. HIV, Diabetes) and steroid use. Detection tests 1. Detection systems which can be used in crowded areas (e.g. slums, bus stations) and remote locations (e.g. tribal areas). 2. Detection in ambient air in hospitals (capturing aerosolised bacteria, detection and application of UV and/or HEPA air filters where necessary). 3. Innovations ensuring biosafety and non-degradation of samples in cold-chain free transport. 4. Sample collection is challenging due to the nature of the sputum sampling and the risks it poses to health care workers. At present, sputum is collected in 50 ml centrifuge tubes and air masks, gloves are often reused by the health worker which puts them at a higher risk of contracting TB. So development of better and safe methods for sputum collection and transport are necessary. 5. Biological sampling ensuring safe handling of specimens (biosafe collection, decontamination, liquefaction and disinfection) with appropriate service delivery models around them. Page 8 of 15 Diagnostic technology 1. Affordable and easy to perform point-of-care diagnostics which can give results I immediately (within minutes to hours). 2. Point-of-care diagnostics which are easy to set-up in low resource settings. 3. Diagnostics that uses proven population specific biomarkers that correlate genotype with phenotype. 4. Diagnostics that do not require biosafety facilities. 5. Diagnostics for treatment monitoring. 6. Universal drug sensitivity test which can be deployed in the field. 7. Determines drug sensitivity information rapidly. 8. New drug sensitivity tests to address future drug regimens. The above list is not all encompassing and should be treated as a guide. We do not want to limit your imagination. There is a wealth of information on the diagnostic products in the market and on those in development. Key publication being the Tuberculosis Diagnostics Technology and Market Landscape, 3rd edition http://unitaid.org/images/marketdynamics/publications/UNITAID_TB_Diagnostics_Landsc ape_3rd-edition.pdf - “This report reviews current and potential future technologies, as well as critical market issues, to identify market-based approaches to alleviate market shortcomings and, ultimately, access issues related to TB diagnostics. For example, potential opportunities may include efforts to accelerate market entry for innovative TB diagnostics that address unmet needs, and to engage private-sector care providers to increase access to appropriate diagnostic tools.” Given that over 190 diagnostic technologies are in the market/pipeline; the WHO published the High-priority target product profiles for new tuberculosis diagnostics: report of a consensus meeting http://apps.who.int/iris/bitstream/10665/135617/1/WHO_HTM_TB_2014.18_eng.pdf?ua=1 This report details the scope of development of new TB diagnostic technologies including goal, target population, target user of the test, healthcare system setting; along with performance standards including diagnostic accuracy, time to result, maintenance, operating conditions, suggested price etc. “Globally, one third of all tuberculosis (TB) cases are not notified, and many patients’ samples do not undergo drug-susceptibility testing (DST). To achieve the targets for TB prevention, care and control that have been agreed for after 2015, new health-system strategies and diagnostic tools are critically important. The development of target product profiles (TPPs) helps to align the needs of end-users with the targets and specifications that product developers should meet Page 9 of 15 for the performance and operational characteristics of a test. The meeting convened by the World Health Organization in April 2014 aimed to build consensus around four TPPs that were identified by stakeholders to be of high priority: a. a point-of-care non-sputum-based test capable of detecting all forms of TB by identifying characteristic biomarkers or biosignatures (known as the biomarker test); b. a point-of-care triage test, which should be a simple, low-cost test that can be used by first-contact health-care providers to identify those who need further testing (the triage test); c. a point-of-care sputum-based test to replace smear microscopy for detecting pulmonary TB (the smear-replacement test); d. a rapid drug-susceptibility test that can be used at the microscopy-centre level of the health-care system to select first-line regimen-based therapy (the rapid DST test).” StopTB and WHO provide countrywise and thematic factsheets: http://stoptb.org/resources/publications/ http://www.who.int/tb/publications/factsheets/en/ Projects that fall outside the scope of the program would include unbiased biomarker discovery efforts, solutions that do not have a technology development component such as only advocacy, setting up carelines or mobile clinics etc. Ideally, projects that will be considered for funding will be technology driven. Some desirable attributes are listed below: 1. Built on a preliminary base of evidence 2. Reliance on easily available biological samples from all patients such as urine, stool, blood, breath etc 3. Allow for point-of-care testing and give results immediately (minutes to hours) 4. Need minimal infrastructure. i.e. not require continuous water and power supply, constant temperature, trained personnel, cleanroom environment, BSL3 facilities etc. 5. Be able to diagnose pulmonary and extra-pulmonary TB across patient strata. 6. Detection of large number of patients early - be able to process large numbers of specimens at various administrative levels (District, Taluk, Block, Village). 7. Be robust enough to function in diverse climatic conditions Page 10 of 15 Funding for second call for proposals We plan to select 9 candidates, who will be eligible for a Phase I funding of upto INR 50 Lakhs each for a period of 12 months to develop a proof-of-concept of the proposed innovation. From among these, 3 candidates will be further selected for Phase II funding upto INR 1.5 Crore each for a period of 24 months. The award agreement will be structured as a service contract and the award amounts include service tax, as applicable. Eligibility criteria, Application Process and Selection Criteria This Call for Proposals is open to anyone from any discipline in India - from students, researchers and faculty in colleges/ universities/government laboratories/ institutions to startups, SMEs, not-for-profit organizations and for-profit organizations. We will be able to receive your proposals until 11:59 PM, 30 June 2015 (IST) on the program website www.gc-tbc.com. Proposals will be selected on the basis of the following criteria: 1. 2. 3. 4. 5. 6. 7. Alignment with the mandate of the Call Novelty Potential impact Feasibility Sustainability Accessibility Execution capacity Application Process As an applicant you will register on the program website, fill an online form at www.gctbc.com, and submit a ten-page description of the innovation (including diagrams, figures and references) - the working concept in sufficient detail, stage of development, IP ownership issues, a short term strategy (for the award duration) and long term direction. Only online submissions will be accepted. Please do not email us any application. The online form on the program website (www.gc-tbc.com) consists of the following. Applicant Information Name: Email: Address: City: State: Country: Phone: Page 11 of 15 Organization: Name: Specialization: Website: Project Title: You will be able to answer the following questions on the website through text boxes. Do not include answers to these questions in your attachments. 1. Please share a brief description of your innovation and why is it novel. (1000 characters) 2. How will the innovation be superior to the current practices? What could be the societal impact? Discuss sensitivity and specificity in relation to the existing diagnostics tests. (1000 characters) 3. Under what operational conditions will the test(s) be administered, interpreted, and results disseminated? (1000 characters) 4. How & why will it be economically affordable and sustainable? (Personnel & equipment required) (1000 characters) 5. Work done so far by the team (both actual & conceptual)/Stage of development (literature reference and/or physical data). (1000 characters) 6. Time to market, if technology/product in development – broad and short overview plan. (1000 characters) 7. Other information (existing IP and IP generation potential, funding, awards, any other. (1000 characters) You will be able to upload a project related document. Please explain in sufficient detail the following aspects of the innovation in the ten-page description of the innovation (please do not exceed 10 pages, and restrict your attachment size to 2 MB, otherwise your application will be disqualified). 1. 2. 3. 4. 5. 6. 7. Novelty of the working concept and/or novelty with respect to unmet need addressed Current stage of development (preliminary data or literature) Project plan (for 12 months) Total development costs, other sources of funding (current or sought) Human resources involved and potential/identified collaborators Intellectual property (what could be patentable, ownership and sharing) Business plan (long term) Up to 3 resumes of the team members can be uploaded. If there more than 3 team members, the resumes can be combined into a single file and uploaded. Please submit your application on www.gc-tbc.com. Only online applications will be accepted. Page 12 of 15 Terms and Conditions Awardees of the GC-TBC program will be bound by the terms and conditions of this initiative from IKP and our funding partners, USAID and BIRAC. In awarding grants to innovators in furtherance of the Objectives stated above, the Parties are committed to ensuring that (a) the knowledge and information arising out of or in connection with such grants be promptly and broadly disseminated (b) the products, services, processes, technologies, materials, software, data or other innovations arising out of or in connection with such grants be made available and accessible at an affordable price to people most in need within India and the developing world, as captured in USAID policies and practices. (c) awardee must disclose each subject invention to the National Institutes of Health (NIH) EDISON Patent Reporting and Tracking System (http://www.iedison.gov) within two months after the inventor discloses it in writing to recipient personnel responsible for patent matters. In addition, the recipient agrees to submit, on request, periodic reports to the IKP and USAID’s Representative, no more frequently than annually, on the utilization of a subject invention. NOTE: In the first Call for Proposals (launched on June 15, 2013) we invited ideas that will better administer treatment adherence, ideas that can be deployed across the diverse and heterogeneous settings of India (e.g. urban or rural, with or without mobile access). The second call will focus only on TB Screening, Detection and Diagnostics. About the Partners IKP Knowledge Park (www.ikpknowledgepark.com) IKP is a not-for-profit, 200 acre Research Park and Incubator with over 14 years of promoting research-based companies with a mission to create a world class ecosystem for fostering leading edge innovation. IKP’s objective is to nurture an environment for innovation and thereby increase the competitiveness of the region and the country. IKP is recognized nationally and internationally for promoting innovation across India and not just in Hyderabad/ Genome Valley. IKP has served 160 companies directly and touched over 1000 innovators through various programs. Page 13 of 15 United States Agency for International Development (www.usaid.gov) USAID is an independent federal government agency that receives overall foreign policy guidance from the Secretary of State. USAID supports international development and advances U.S. foreign policy objectives by supporting economic growth, agriculture and trade, global health, democracy, and conflict mitigation and management, and humanitarian assistance in Sub-Saharan Africa, Asia and the Near East, Latin America and the Caribbean, and Europe and Eurasia. USAID seeks to partner with local Indian organizations and resource partners to foster the support of game-changing innovations that will lead to the alleviation of some of India’s most intractable development issues. This alliance advances USAID India’s development strategy in concert with non-traditional partners to address development challenges. Biotechnology Industry Research Assistance Council (www.birac.nic.in) BIRAC is a public sector unit under the Department of Biotechnology, Government of India registered as a not-for-profit company. As an interface agency for the Department of Biotechnology, BIRAC aims to apply unique methodologies for nurturing and promoting innovation led research by providing financial, infrastructural, institutional and mentoring support. BIRAC works towards fulfillment of the goal of empowering and enabling the biotech innovation ecosystem for affordable product development. BIRAC’s core mission is to work as a development agency in the field of Biotechnology which addresses the national needs of health and food security problems through bottom-up competitive grant approach or through topdown product development programs. Bill & Melinda Gates Foundation, Seattle, WA (www.gatesfoundation.org) The Foundation is a Washington charitable trust that is a private foundation described in Sections 501(c)(3) and 509(a) of the United States Internal Revenue Code. A primary charitable objective of the BMGF is to support the development of drugs, vaccines and disease-related technologies to ameliorate diseases and conditions that have a disproportionate impact on people within developing countries, and to ensure that such products and technologies related to such support are made available and accessible at an affordable price to people in need within such developing countries. The foundation is led by CEO Jeff Raikes and Co-chair William H. Gates Sr., under the direction of Bill and Melinda Gates and Warren Buffett. For clarifications please email [email protected] or call +91-98801-26402 or +91-95700-61382 Page 14 of 15 FAQs Who can apply? Indian companies applying as grantees should have Registration under Companies Act 1956, and must have 51% equity or shareholding by Indian Nationals only including NRIs. More than 49 % investments by OCI/PIO or any foreign entities will lead to ineligibility. NGOs/ Foundations/ Not-for –Profit Organizations/ Community bodies involved in social innovation or S&T activities must have active participation in India. They need to submit an illustration of their active programs in the country as well as their accomplishment when requested. The statutory recognition through Society Act or SIRO will add credentials when provided. However we require that the grant money for R&D be utilized predominantly (80%) in India. Is the contest open only to Indians? This is open to anyone working in India. You may be of any nationality, but we require that the work happen in India, to encourage entrepreneurship while creating jobs and opportunity for equitable healthcare to all. Is there a limit of capital spending? The focus is on innovations that will have great societal impact eventually, like cell phones for example. We would like to cap the capital expenditure to 25% of the grant amount. Consumables do not form part of the capital expenditure. When is the application Deadline? 11:59 PM on June 30, 2015 (IST). Can I submit more than one proposal? Yes, you can. You will have to create separate user accounts on our website (with 2 different email ids) for each project proposal. What are the criterion for judging? Novelty, Societal Impact, Alignment with the goals of the foundation, Affordability to end user, Sustainability, Execution capability. What should the proposal contain? We request to address the following - Description of innovation, working concept, stage of development, short term strategy, and long term direction. How is long term direction different from short term direction? Please ensure that your long term direction involves reaching to all layers of the socioeconomic population. Your short term strategy must ensure that you use the funds effectively (and according to plan) so that your innovation impacts as many people. Page 15 of 15 Who owns the invention / intellectual property? All Intellectual Property resides with the inventor. USAID can access the to make invention(s) available to people below the poverty line. While the inventor is free to monetize the invention on populations above the poverty line, IKP & Partners will try to economize the production and distribution of the invention/service/drug/vaccine/device/diagnostic so that it benefits everyone, especially those below poverty line. How can IKP Knowledge Park help with mentoring? IKP Knowledge Park has incubated over 40 companies so far, some of the largest being GVK Bio, Laurus Labs and Sai Lifesciences. The IKP network is very large, especially given the Indian innovation landscape. Our Board of Directors and Advisory Board includes former head of Departments of DBT, Serial Technology Entrepreneurs, Members from the Indian Administrative Service, and seasoned banking individuals. The park has a common lab facility with over 3 Million Dollars worth of equipment. For the GC-TBC program, IKP Knowledge Park will compile a list of hospitals / clinics that will absorb your technology as part of Phase II. How is the proposal review process structured? Applicants will submit their proposal by the deadline date. IKP Knowledge Park and experts from academia and industry will evaluate the proposals for novelty and feasibility and shortlist 20-30 proposals. Among the applicants 9 Candidates will be selected for Phase I funding of INR 50,00,000 each, and 3 candidates will be selected for Phase II funding (of INR 1.5 Crore each). Will treatment adherence proposals be funded? No. Only proposals related to TB Screening, Detection and Diagnostics will be funded. Please visit www.gc-tbc.com to apply. For clarifications please email [email protected] or call +91-98801-26402 / +91-95700-61382