As the so-called “next frontier” in global
economic
terms, Africa’s disease burden continues to choke and cripple
economic growth across the continent. The highest burden is attributable
to malaria and tuberculosis (TB), which also remain among the deadliest
infectious diseases affecting mankind the world over (Malaria, 627,000
deaths; TB, 1.5 million deaths, in 2020). In achieving self-determination
with respect to the health needs of all who live on the continent,
Africa must align with global north efforts and be a source of health
innovation. This will in part require the creation of an ecosystem
of innovative pharmaceutical R&D and expanding it across the continent
by scaling up through sustained performance and excellence. To this
end, the Holistic Drug Discovery and Development (H3D) Centre at University
of Cape Town in South Africa has risen to this challenge. Here, we
highlight the innovation experiences gained at H3D, covering the advances
made in our quest to contribute to a global pipeline of therapeutic
interventions against malaria and TB. We discuss selected chemical
series starting from their identification, structure–activity
relationships, mode of action, safety, proof-of-concept studies, and
lessons learned.