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

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

With a spotlight on case stories of R&D courses in a number of disorder components, the publication highlights basic productiveness concerns the pharmaceutical has been dealing with and explores power methods of enhancing learn effectiveness and efficiency.

• Takes a accomplished and holistic method of the issues and power ideas to drug compound attrition
• Tackles an issue that provides billions of greenbacks to drug improvement courses and healthiness care costs
• Guides discovery and improvement scientists via R&D phases, instructing specifications and the reason why medicines can fail
• Discusses strength 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

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1 (Cont’d) Anesthetic, anticonvulsant, anxiolytic, sedative, and hypnotic Laxative Psychedelic therapy Antipruritic Cardiovascular disease Sedative hypnotic antisickness Antineoplastic Contrast agent Antihelminthic Appetite suppressant Antidepressant Indication Self‐poisoning Marketed as a psychiatric drug; withdrawn after it became widely used recreationally Hepatotoxicity Cataracts, alopecia, ichthyosis Withdrawn because of risk of teratogenicity; returned to market for use in leprosy and multiple myeloma under FDA orphan drug rules Neutropenia Carcinogenicity Cardiovascular and metabolic reaction Metabolic reaction Interactions with food products containing tyrosine Nephropathy Reason Attrition in Phase IV 31 In recent years, there have been several high‐profile examples including Bayer’s Baycol, GlaxoSmithKline’s Avandia, and Merck’s Vioxx Baycol (cerivastatin), a cholesterol‐lowering statin that was approved in 1997 and voluntarily withdrawn by Bayer in 2001 after 31 deaths were reported due to severe rhabdomyolysis in patients taking the drug [39].

National Institute for Clinical Excellence (NICE) in the United Kingdom) on strategic thinking in project teams is now driving the introduction of “real‐world evidence” early in project planning. The introduction of hard cutoffs on price might render certain therapeutic areas simply commercially nonviable in the countries where it is applied. 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.

Small biotechnology companies may thrive in this space, but for multinational pharmaceutical companies, the likely returns may be too small, with the need for blockbuster drugs expected to earn >1$B/year to sustain multinational profitability. Even new targets in old areas are difficult territory, as AstraZeneca has found with the phase III failure of it’s first‐in‐class SYK inhibitor fostamatinib for rheumatoid arthritis. Pfizer succeeded with it’s also first‐in‐class JAK inhibitor tofacitinib, but not in Europe [52], at least so far.

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