Promising medical advances for 2026

Nature Medicine has selected promising clinical studies for 2026, emphasizing long-lasting vaccines and innovative treatments. Key areas include tuberculosis, HIV, long Covid, stem cells, and cholesterol. These developments could transform the fight against global diseases.

Nature Medicine has highlighted five clinical studies poised to advance medicine in 2026. The first is a phase 3 trial for a long-lasting tuberculosis vaccine involving 20,000 participants in South Africa, Kenya, Malawi, Zambia, and Indonesia. In 2023, tuberculosis caused 11 million cases and 1.25 million deaths, with the current vaccine losing effectiveness in adolescence, a high-risk period. Results are expected in three years, marking the most promising development in nearly a century.

For HIV, the RIO study by Rockefeller, Imperial, and Oxford universities tests a six-month antibody cocktail. After five months off antivirals, 75% of participants maintained undetectable viral loads, with some for up to two years, compared to 11% in the placebo group.

Addressing long Covid, which causes fatigue and cognitive issues, the UK's National Institute for Health allocated 6.8 million pounds in 2021. The research targets blood vessels, inflammation, and clots, with findings due in 2026.

The Nest trial uses bone marrow stem cells injected through nasal vessels to repair brain damage. Building on a 2010 vision study, it has treated about 200 individuals, yielding significant improvements in Alzheimer's, amyotrophic lateral sclerosis, Parkinson's, multiple sclerosis, and traumatic encephalopathy. The process is safe and takes under an hour.

Finally, the Lp(a)Horizon trial evaluates pelacarsen against Lp(a) lipoprotein, genetically linked to heart attacks and strokes. Involving 7,000 global participants, it reduces levels by 80%, with results in 2026 potentially addressing the world's leading cause of death.

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Illustration showing microscopic mechanisms of long COVID—persistent viruses, inflammation, and micro-clots—with scientists researching in a lab.
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Long COVID research points to lingering virus, inflammation and micro-clots—while treatments remain unproven

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New research syntheses suggest long COVID—typically defined as symptoms lasting at least two months after SARS‑CoV‑2 infection with no alternative explanation—may be driven by overlapping processes including viral persistence, chronic inflammation and tiny blood clots. Scientists say there are still no approved, evidence-based treatments, though rehabilitation strategies and several experimental approaches, including metformin given early in infection, are under study.

In 2025, Indians went beyond chasing weight loss or wellness hacks to renegotiate their relationships with food, medicine and their own bodies.

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Alzheimer's trials are shifting to a multi-target approach inspired by cancer research, even after failures with Novo Nordisk's semaglutide. Only two drugs, Eli Lilly's Kisunla and Eisai and Biogen's Leqembi, are widely approved to slow progression. This evolution treats the brain-wasting disease as a complex system, seeking new ways to halt it amid its global impact.

An analysis suggests that promising mRNA cancer vaccines could deliver health benefits worth $75 billion annually in the United States. This estimate comes amid a recent cut in federal funding for vaccine development. Researchers warn that reducing investment risks losing these potential gains.

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A Cold Spring Harbor Laboratory study demonstrated CAR T-cell therapy can reverse age-related intestinal decline in mice by targeting senescent cells. While promising, experts caution on safety risks, off-target effects, dosing, and costs for human use.

In response to the chikungunya virus circulation, Cuba's health system has launched an intervention using Biomodulina T to protect those over 70 in Havana. This national science-based strategy aims to bolster natural defenses and reduce inflammatory aftereffects. The study involves nearly 700 people at the Abelardo Ramírez polyclinic.

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Animals across pets, livestock, wildlife and aquaculture are increasingly affected by chronic illnesses long associated with people. A Risk Analysis paper led by the Agricultural University of Athens outlines an integrated model to monitor and manage these conditions across species.

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