Attrition in the pharmaceutical industry : reasons, by Alexander Alex, C. John Harris, Dennis A. Smith

By Alexander Alex, C. John Harris, Dennis A. Smith

With a spotlight on case reviews of R&D courses in various affliction parts, the publication highlights primary productiveness matters the pharmaceutical has been dealing with and explores capability methods of enhancing study effectiveness and efficiency.

• Takes a finished and holistic method of the issues and capability strategies to drug compound attrition
• Tackles an issue that provides billions of bucks to drug improvement courses and well-being care costs
• Guides discovery and improvement scientists via R&D phases, educating necessities and the explanation why medications can fail
• Discusses capability methods ahead using new techniques and possibilities to lessen attrition

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Extra info for Attrition in the pharmaceutical industry : reasons, implications, and pathways forward

Sample text

The Avandia story certainly provides a cautionary tale, but it is common for high‐profile drugs to be targets for controversy, and the debate over safety and efficacy can rage throughout the drug’s patent life. 7 First in Class, Best in Class, and the Role of the Payer The pharmaceutical industry has been very successful in delivering valuable drugs that have changed the course of medical treatment. The introduction of antibiotics; cardiovas­ cular drugs; steroids, both topical and inhaled; statins; anti‐TNF biologics; antiulcer drugs; histamine antagonists; analgesics; antidepressants; immunosuppressants; and even contraceptives, to make an incomplete list, has changed the course of patients’ lives.

These are areas where both regula­ tors and payers would welcome new innovation. But the focus on new targets that failed to translate into clinical efficacy has been a major source of attrition in modern portfolios. Indeed, in a review of sources of attrition by the management consultancy firm McKinsey’s, novel mechanisms were twice as likely to suffer attrition in clinical development than known mechanisms [53]. Selecting which biological mechanisms we choose, in most disease areas, remains the primary challenge.

Is the quality‐adjusted life year (QALY) even index‐linked to inflation by those users? If this trend continues, many projects in exciting areas of emerging biology will ­probably be strangled at birth on the basis of commercial analysis. It has been argued that pricing agreements in Europe might transfer the full burden of development costs to those markets where higher prices can be obtained [50]. A move to a situation where the first‐ in‐class drug takes the vast majority of the available market might not be desirable for patients since accumulated experience shows different patients may do better on different drugs within a class.

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