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Thursday, 22 October 2026

22 Oct · Biotech · In brief

Biotech · Thursday, 22 October 2026

Biotech, in brief

22 stories · 24 sources

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What is moving · 1 of 4

Old medicines tried on new illnesses

Building ↑

Brepocitinib, already sold for a rare skin disease, passed two trials in an eye disease. [1] A UK trial has begun testing metformin, a diabetes pill, and atomoxetine, an ADHD drug, in people with Alzheimer's. [7] In mice, BCG, a tuberculosis vaccine, cut the brain tangles linked to dementia. [8]

What is moving · 2 of 4

Infections coming back

High ↑

Whooping cough cases worldwide rose about 103% from their pandemic low between 2020 and 2023. [11] Five in every 100 US flu tests came back positive last week, the most for this time of year in a decade. [10] Ebola reached Nigeria in a woman who had been on holiday in Uganda. [3]

What is moving · 3 of 4

Money flowing back to young biotechs

Building ↑

27 small biotechs joined the stock market through reverse mergers in nine months, the most since 2021. [15] TriGemX, a company making a migraine drug, will get $246 million by merging with a listed shell company. [6] Eli Lilly could pay METiS, a Hong Kong drug company, up to $1.1 billion in a research deal. [6]

What is moving · 4 of 4

Drugmakers dropping projects

Steady →

GSK ended a trial of a backup hepatitis B drug a day after its main hepatitis B drug was approved. [14] CSL, an Australian drugmaker, planned 3,000 job cuts and posted its first yearly loss since 1994. [12]

Roivant's pill brepocitinib passes two final trials in non-infectious uveitis, an eye inflammation that can cause blindness

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Roivant, a US drug company, said on Wednesday that its pill brepocitinib passed two final-stage trials in non-infectious uveitis. [1][2]

Who is involved

Who is involved

Why it matters

The next steps to watch are the full trial results and Priovant's request to the US regulator in the first half of 2027. [1][2]

Who gains

It kept a 25% stake in Priovant when it handed over brepocitinib in 2022, so it shares in the drug's success without running its trials. [1]

Nobody knows yet

Whether brepocitinib works better than Humira for uveitis.

No trial has tested the two side by side, and BioPharma Dive notes that drugs never compared directly are hard to rank. [1]

Nobody knows yet

How safe brepocitinib was in the uveitis trials.

The reports we could read give the weeks to treatment failure and the steroid result, but no side-effect figures. [1][2]

Good news

In two trials of 371 people with an eye disease that can cause blindness, half of those on a new pill went more than 48 weeks before their treatment failed, against 12 weeks on a dummy pill.

The short version

That's the story in short.

The whole story has 13 more parts.

or swipe up for the next storyor scroll on for the next story ↓

The whole story, in 13 parts ↓

Part 1 of 13 · Who else is involved

Part 1 of 13 · Who else is involved

Part 2 of 13 · How it unfolded

Part 3 of 13

Uveitis is inflammation inside the eye, and the non-infectious kind is not caused by a germ.

Part 3 of 13

It can lead to blindness. [1][2]

Part 4 of 13

The two trials, called Clarity-1 and Clarity-2, took in 371 patients between them. [1][2]

Part 5 of 13

Half the patients on the pill went more than 48 weeks before their treatment failed, against 12 weeks for those on a dummy pill. [1]

Part 6 of 13

Treatment failure is a score built from eye inflammation and other signs of the disease. [1]

Part 7 of 13

Patients on the pill also went 40 weeks without needing steroids, strong drugs that calm the immune system, the company said. [1]

Part 8 of 13

Roivant said the pill met every one of its other goals too, including clearing swelling at the centre of the retina, called macular oedema. [1]

Part 9 of 13

The same pill is already sold in the US as Lisraya for dermatomyositis, a rare skin disease, after approval in August. [1][2]

Part 10 of 13

Priovant, the Roivant unit that owns the pill, plans to ask the US regulator to approve it for uveitis in the first half of 2027. [1][2]

Part 11 of 13

Roivant estimates that 70,000 to 190,000 people in the US have the disease, and more than 40,000 already take Humira or a similar drug. [2]

Part 12 of 13

The pill came from Pfizer, which handed it to Priovant in 2022 in return for a 25% stake. [1]

Part 13 of 13

The trials did not test the pill against Humira, AbbVie's best-selling immune drug, so any claim that it works better rests on separate trials. [1]

Nigeria's Ebola patient was first treated for malaria

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Nigeria's first Ebola patient of this outbreak is a 42-year-old woman, the wife of a diplomat, who spent two and a half weeks on holiday in Kampala, Uganda's capital. [3]

She flew home to Abuja on 3 October and fell ill three days later. [3] Two private hospitals first treated her for malaria, which starts with similar signs. [3]

Two weeks passed between her first symptoms and the Ebola test, while two hospitals treated her for malaria.

Health officials were alerted only on 19 October, and tests confirmed Ebola the next day. [3] The outbreak began in Congo in May and has passed 9,500 cases there. [20]

Why it matters

She is stable and improving, and none of her 44 contacts has shown symptoms, the health minister said. [3]

Why it matters

Uganda's government says it has no Ebola, and the WHO declared it free of the virus in August, so where she caught it is still unexplained. [3][4]

How it works

Why some drug trials time how long an illness stays away

How it works

In an illness that comes and goes, one check-up cannot tell a working drug from a lucky quiet spell, so trials time how long until it returns.

How it works · step 1 of 5

Some illnesses flare up, calm down and flare again

How it works · step 2 of 5

One check-up on one day can catch a quiet spell by luck

How it works · step 3 of 5

So the trial starts a clock for each patient and waits for the illness to return

How it works · step 4 of 5

It compares the week by which half of each group has had a flare

How it works · step 5 of 5

A drug that pushes that halfway week later is keeping the illness away

The twist

The test is not whether patients look well on one day. It is how long they stay well, because a calm eye at one visit can be luck.

The picture

5 of 10

half the group has had a flare

A made-up group of ten. The halfway week is when the fifth person flares. On brepocitinib it came after more than 48 weeks; on a dummy pill after 12.

Seen the same day

Roche's multiple sclerosis pill

The trials timed how long until a patient's disability got worse and stayed worse for 12 weeks, so a short bad spell did not count.

Seen the same day

Arcus's kidney cancer drug

Cancer trials time how long until a tumour starts growing again, and Arcus's results were judged on that and on survival.

Seen the same day

Whooping cough after the pandemic

A count taken in 2020 looked like a big drop, and by 2023 cases had risen about 103%, so one year's snapshot was a quiet spell, not the end.

Seen the same day

Nigeria's Ebola contacts

No symptoms today does not clear the 44 contacts, so officials wait out the 21 days the virus can take to show.

The catch

The halfway week says nothing about any one person, since some patients on the pill may flare in week two.

The catch

The trial's own definition of failure also decides when the clock stops.

The whole

A person with uveitis lives inside this clock, never sure whether a calm month will last.

The whole

A trial can describe a whole group, and it still cannot tell any one of them when the next flare will come.

Who pays

They stay in isolation through the virus's waiting period of up to 21 days, though none has symptoms. [3]

Nobody knows yet

Where Nigeria's Ebola patient caught the virus.

She spent two and a half weeks in Kampala and stopped in Ethiopia's capital, while Uganda's government says it has no Ebola. [3][4]

Good news

Nigeria's first Ebola patient of this outbreak is stable and improving, and none of her 44 contacts has shown symptoms.

Roche shows new MS data before a US decision

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Roche, the Swiss drugmaker, presented new results for fenebrutinib, its experimental pill for multiple sclerosis, at a meeting in Toronto. [5]

Multiple sclerosis is a disease in which the immune system damages the brain and spinal cord.

In pooled data from two final trials, the risk of disability getting worse and staying worse for 12 weeks was 16% lower on the pill. [5]

It also slowed the yearly loss of brain volume by 23%. [5] The US regulator has accepted Roche's request for approval. [5]

Why it matters

Doctors see slowing disability as the main contest among the next MS drugs, analysts at Guggenheim Securities say. [5]

Why it matters

Analysts expect peak sales of about $1.2 billion a year in total, and Roche's drug chief, Teresa Graham, says one form of MS alone could bring that much. [5]

How it works

Roche's multiple sclerosis pill

The trials timed how long until a patient's disability got worse and stayed worse for 12 weeks, so a short bad spell did not count.

The idea, in story 2: Why some drug trials time how long an illness stays away →

Nobody knows yet

Whether Roche's 16% lower risk of worsening disability is a real effect.

Fierce Biotech calls it a numerical reduction, and it comes from pooling the results of two trials. [5]

Arcus kidney cancer drug lifts its shares 8%

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Shares of Arcus Biosciences, a US drug company, rose 8% on Tuesday after new results for casdatifan, its experimental kidney cancer drug. [6]

The drug is in final-stage testing and works the same way as Welireg, a kidney cancer drug that Merck already sells. [6]

At an event for investors, Arcus showed follow-up results from earlier trials. [6] An analyst at Leerink Partners wrote that together they suggest a step up in strength over Welireg. [6]

Why it matters

The comparison with Welireg comes from Arcus's own trials, not from a test of the two drugs side by side. [6]

Why it matters

The drug is aimed at clear cell kidney cancer, the most common kind, where an analyst said it could be used at every stage. [6]

How it works

Arcus's kidney cancer drug

Cancer trials time how long until a tumour starts growing again, and Arcus's results were judged on that and on survival.

The idea, in story 2: Why some drug trials time how long an illness stays away →

What's really going on

Roivant's eye pill and Arcus's kidney cancer drug lifted investor hopes this week on figures the companies released themselves.

What's really going on

Each is said to beat an older drug, Humira or Welireg, but those claims come from the new drug's own trials, not from testing the two side by side. [1][6]

UK trial tests two old drugs on Alzheimer's

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A UK trial called AD-SMART has started testing whether metformin, a diabetes pill, and atomoxetine, an ADHD drug, help people with Alzheimer's disease. [7]

It is a platform trial: several drugs are tested at once against one shared group taking a dummy pill. [7]

A drug that shows no benefit can be dropped and a new one added. [7] It will take in 1,200 people with mild to moderate Alzheimer's at more than 30 sites. [7]

Why it matters

Both drugs may calm inflammation in the brain, which helps drive the damage, said the lead scientist, Paresh Malhotra of Imperial College London. [7]

Why it matters

About 600,000 people in the UK have Alzheimer's, and the first results are expected in 2030. [7]

Nobody knows yet

Whether metformin or atomoxetine help people with Alzheimer's.

AD-SMART has only just started, and its first results are expected in 2030. [7]

A tuberculosis vaccine protects mice from dementia signs

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Scientists at Johns Hopkins University gave BCG, a vaccine against tuberculosis that is also used to treat bladder cancer, to mice bred to develop dementia. [8]

Eight to nine months later, vaccinated mice were about five times more likely to show fewer tau tangles, the protein clumps linked to Alzheimer's. [8]

They also did better on a memory test and lived longer. [8] The study appeared in the journal Science Advances. [8]

Why it matters

Studies in people have linked BCG treatment for bladder cancer to 12% to 78% less dementia, but those studies cannot show the vaccine was the cause. [8]

Why it matters

This result is in mice, and the authors call for large trials in people. [8]

Nobody knows yet

Whether BCG protects people from dementia.

The new result is in mice, and the human evidence comes from bladder cancer patients in studies that cannot show cause. [8]

Most penicillin allergies in Australia are not real

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Most Australians who report an allergy to penicillin, a common antibiotic, are not truly allergic, and Australia's main body of immunologists has changed its guidelines as a result. [9]

About one in ten Australians, some 2.8 million people, carry the label. [9] Many got it after a rash or nausea, or from a parent's memory of a childhood reaction. [9]

The new guidelines tell family doctors how to check the label and when to send patients to a specialist. [9]

Why it matters

People with the label get broader antibiotics, which also kill helpful gut bacteria and give superbugs, germs few drugs can kill, room to spread. [9]

Why it matters

They also stay longer in hospital, said Nick Cooling, who leads the allergy group of Australia's college of family doctors. [9]

Who gains

Once the label is checked they can get the narrower antibiotic, which does less harm to helpful gut bacteria. [9]

Nobody knows yet

How many of Australia's 2.8 million penicillin labels will actually be checked.

The country has about 300 immunologists, so the work depends on family doctors taking it up. [9]

Good news

Most Australians labelled allergic to penicillin are not, and new guidelines now let their family doctors check the label.

US flu starts early with a changed strain

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Five in every 100 US flu tests came back positive last week, the highest for this time of year in ten years, according to data from the CDC, the US public health agency. [10]

On the West Coast the figure was 10.7%, against 0.5% a year earlier. [10] The main strain is H1N1, which now carries a small change called G155E. [10]

Share of flu tests coming back positive in mid-October. At the peak of a flu season it is usually about 30%.

Small lab studies found that antibodies from people exposed to flu last year did not recognise it, especially those from teenagers and young adults. [10]

Why it matters

Doctors worry the strain could hit younger people harder, because many of them have not met this version of H1N1. [10]

Why it matters

Fewer people are taking flu shots: about 58 million US adults had one last season, down more than 20% from 2019-20. [10]

Who pays

Their antibodies often missed the changed H1N1 strain, and fewer people are getting flu shots. [10]

Nobody knows yet

Whether the changed H1N1 flu strain makes young people sicker.

The antibody studies behind the worry were small, and the chief executive of the Infectious Diseases Society of America said they are no cause for alarm. [10]

Whooping cough rebounds after the pandemic

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A global study in Nature Medicine estimates 18.9 million cases of whooping cough and 115,000 deaths in 2023. [11]

Whooping cough is a bacterial infection of the airways that is most dangerous for babies. [11]

Between 1990 and 2023 the death rate fell 61% and cases fell 42%, once the changing age of populations is taken out. [11]

But after an unusually low count during the pandemic, cases rose about 103% between 2020 and 2023. [11]

Why it matters

  • Africa south of the Sahara65 · 65%
  • Rest of the world35 · 35%
Share of the world's whooping cough deaths in 2023, by the study's estimate.

Africa south of the Sahara now has about 65% of the world's deaths, and babies under six months face the highest risk. [11]

Why it matters

The authors call for babies to be vaccinated on time, and pregnant women where it is advised. [11]

How it works

Whooping cough after the pandemic

A count taken in 2020 looked like a big drop, and by 2023 cases had risen about 103%, so one year's snapshot was a quiet spell, not the end.

The idea, in story 2: Why some drug trials time how long an illness stays away →

Who pays

The region has about 65% of the world's whooping cough deaths, and babies under six months face the highest risk. [11]

Nobody knows yet

How exact the whooping cough numbers are.

They are modelled estimates for 204 countries, and the uncertainty around the death rebound runs from 2% to 175%. [11]

Good news

The world's death rate from whooping cough fell by 61% between 1990 and 2023, once the changing age of populations is taken out.

CSL picks a GSK leader as its new chief

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CSL, an Australian maker of medicines from blood plasma and of flu vaccines, named Deborah Waterhouse as its next chief executive. [12][13][10]

She runs ViiV Healthcare, GSK's HIV medicines business, which had sales of 7.7 billion pounds in 2025. [13]

She starts on 1 February 2027 and will be the first woman to lead CSL. [12][13] The last chief left in February, after the share price fell and investors grew frustrated. [12]

Why it matters

CSL lost $2.6 billion in its last financial year, its first loss since it listed in 1994, mostly from writing down Vifor, a Swiss company it bought in 2022. [12]

Why it matters

Its shares have more than doubled since June, and it had announced 3,000 job cuts. [12]

Who pays

The company announced 3,000 job cuts after a run of lowered sales and profit forecasts. [12]

Part of a signal

Big companies cutting jobs

Also seen in Gaming, Finance and Tech.

Some of these firms are cutting because they lost money, like CSL.

The whole signal →

GSK drops a backup hepatitis B drug

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GSK has ended the first human trial of GSK3965193, a drug it had been testing as a next hepatitis B treatment. [14] The study began in 2022. [14]

GSK called it a strategic decision on the US register of clinical trials, and would not say whether the drug is finished. [14]

The news came a day after US approval of Hibsago, GSK's hepatitis B drug that lets some patients stop treatment. [14]

Why it matters

GSK had already dropped another follow-up drug this year, leaving one in a mid-stage trial. [14]

Why it matters

Hibsago is approved only for adults without liver scarring, so other patients depend on the drugs that come next. [14]

Who pays

Hibsago is approved only for adults without liver scarring, and GSK has now stopped work or trials on two of its follow-up drugs. [14]

Back-door stock listings hit a five-year high

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27 biotech companies joined the stock market through reverse mergers in the first nine months of 2026, the most in a year since 2021, a J.P. Morgan report says. [15]

In a reverse merger, a private company takes over a listed one, often a struggling biotech with little left but its listing. [15]

Biotech reverse mergers counted by J.P. Morgan. This year's figure covers only January to September.

In 19 of the 27, chosen investors also bought new shares. [15] There were just 12 such deals in all of 2025. [15]

Why it matters

Big investors are backing many of these newly listed companies from their first day, the report says. [15]

Why it matters

Venture funding still fell, from $9.9 billion in the second quarter to $6.7 billion in the third. [15]

Who gains

A listing with little behind it can be sold to a private company that wants a quick way onto the stock market, and 27 such deals happened in nine months. [15]

Migraine drug company joins the market through a shell

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TriGemX Bio, a company developing a migraine drug, agreed to go public by merging with a listed shell company set up by TCGX, an investment firm. [6]

The deal gives it $246 million: $86 million held by the shell and $160 million from new investors. [6]

The company began as Kallyope, which studied signals between the gut and the brain, and it sold off its obesity drugs. [6]

Its drug, elismetrep, is in late-stage tests for migraine attacks. [6]

Why it matters

A merger with a shell company lets a young biotech reach the stock market without a normal first share sale. [6]

Why it matters

The $160 million comes from a handful of well-known investment firms. [6]

Lilly hires METiS to design drug carriers with AI

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Eli Lilly, one of the world's biggest drugmakers, struck a research deal with METiS TechBio, a drug company based in Hong Kong. [6]

METiS will use AI to design lipid nanoparticles, tiny fatty shells that carry RNA and other genetic medicines into cells. [6]

Lilly wants shells that deliver to chosen tissues of the body. [6] Lilly could pay up to $1.1 billion, and the companies did not say how much of that is guaranteed. [6]

Why it matters

These shells already carry many RNA medicines, so a better one could matter for that whole family of drugs. [6]

Who gains

It can announce a deal worth up to $1.1 billion without saying how much it must actually pay. [6]

Big diet study finds no overall bowel cancer link

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A US study of 461,682 people aged 50 to 71 found no overall link between eating ultra-processed food and bowel cancer. [16]

Ultra-processed foods include some wholegrain and dairy products as well as processed meats, and they make up more than half the calories US adults eat. [16]

The team, led by Erikka Loftfield of the US National Cancer Institute, followed people for a median of 18.8 years. [16]

Wholegrain and dairy foods from this group went with less cancer, and processed meat with more. [16]

Why it matters

People reported their diet only once, in 1995 and 1996, and the study shows links, not causes. [16]

Why it matters

It suggests that what a food contains matters more than how processed it is. [16]

Obesity genes found beyond body weight

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Johns Hopkins researchers compared the genes of 151,642 people with clinical obesity and 128,874 without. [17]

Clinical obesity is a newer definition that counts harm from body fat, not just weight against height, which is what BMI measures. [17]

They found 127 gene regions linked to it, and 63 of them had no link to BMI. [17]

A score built from these genes predicted heart attacks, heart failure and strokes better than a BMI-based score. [17]

Why it matters

The work was a poster at a genetics meeting in Montreal this week and is a preprint, not yet checked by other scientists. [17]

Why it matters

The team says more work is needed before such scores change care. [17]

A malaria add-on drug finds its dose in children

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A small trial in Kenya and Zambia gave sevuparin, a drug related to the blood thinner heparin, to 23 children with severe malaria. [18]

It is meant to be added to normal malaria treatment and acts on the red blood cells the parasite has infected. [18]

Doctors raised the dose step by step and settled on 3 mg per kilogram of body weight, given three times in 16 hours. [18]

One child died, and the researchers judged it unrelated to the drug. [18]

Why it matters

Malaria is a leading reason African children go to hospital, and about 95% of the world's malaria deaths are in Africa. [18]

Why it matters

This first stage checked only safety and dose, so whether the drug saves lives needs a larger trial. [18]

A Chinese diabetes drug linked to kidney protection

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A study of 3,305 people in China with type 2 diabetes and kidney damage looked at PEG-loxenatide, a drug from the same family as Ozempic. [19]

Over about three years, people taking it had about half the risk of serious kidney events. [19]

The study looked back at records from six hospitals and did not assign treatments by chance. [19] A lower heart risk seen at first disappeared when similar patients were matched. [19]

Why it matters

Studies like this can be misled by who gets prescribed a drug, so the authors call the heart result exploratory and ask for a randomised trial, one that assigns treatments by chance. [19]

A cattle virus is found in a person for the first time

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French authorities confirmed that a patient in Lyon who died in early October had been infected with Shamonda virus. [21]

It is the first time the virus has been found in a person. [21] Shamonda is spread by tiny biting flies called midges, and until now it has mostly infected cattle. [21]

This summer it reached Western Europe for the first time, with animal cases in at least 12 countries, including France, Ireland and Spain. [21]

Why it matters

The patient had a badly weakened immune system, and officials say the brain problems seen before death were very likely linked to the virus. [21]

Why it matters

France's agriculture ministry says no risk to the wider public has been found, and it is working with the WHO and the ECDC, Europe's disease agency, to learn how the infection happened. [21]

Part of a signal

Germs crossing borders and species

Also seen in Food.

When a germ turns up somewhere new, the first cost is a closed door.

The whole signal →

US delays a customs rule on posted medicines

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The Trump administration pushed back a US customs rule that threatened medicines Americans buy by post from abroad, days before it was due to start on 22 October. [22]

The rule makes shippers mark every package with codes showing what is inside and fill in a data form for each one. [22]

It is aimed at collecting tariffs on cheap imports and at catching illegal drugs such as fentanyl. [22] It now starts on 20 January. [22]

Why it matters

Millions of Americans import their own prescriptions, often from Canada, because they cost far less there. [22]

Why it matters

Pharmacies warned the rule could cut that off, and patients sent the FDA, the US medicines regulator, at least 109,000 letters asking it to protect personal shipments. [22]

Drugmakers give nothing to a fund for nature's genes

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The Cali Fund, set up so that companies profiting from nature's genetic material pay towards conservation, has received just $10,656 in pledges, of which $7,085 has been paid. [23]

It aimed to raise $1 billion a year, and no large drug company has given anything. [23]

Drug research relies on the genetic codes of plants, animals and microbes, now often stored in public online databases. [23]

The fund asks firms for 1% of their profits or 0.1% of their sales. [23]

Why it matters

Drugmakers' international trade body says the fund overlaps with existing law and asks for money whether or not a medicine used such data. [23]

Why it matters

The fund is on the agenda at COP17, the UN biodiversity summit, which opened this week in Yerevan, Armenia. [23]

Experts urge saying most children survive measles

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Some US experts in health messaging say officials should admit that most healthy children recover fully from measles, STAT reports. [24]

The US has more than 4,400 measles cases this year, double the 2025 total. [24] Measles vaccination rates fell in more than 1,600 US counties between 2017 and 2024. [24]

Official messages stress the worst cases, and vaccine sceptics have used that to claim the danger is exaggerated. [24]

Why it matters

Admitting that most children are fine earns the trust to explain why that is not good enough when a safe vaccine exists, said Katrine Wallace, an epidemiologist at the University of Illinois Chicago. [24]

Why it matters

A 2025 survey by KFF, a US health research group, found more than half of US parents were not worried about measles. [24]

The truth, across the day

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Why it works on people

Setting a new drug beside a famous one makes it sound like a race the new drug won, even when the two never ran in the same trial.

That's the whole Biotech day.

22 stories, 24 sources.