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The price of innovation: new estimates of drug development costs

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TLDR
The research and development costs of 68 randomly selected new drugs were obtained from a survey of 10 pharmaceutical firms and used to estimate the average pre-tax cost of new drug development.
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This article is published in Journal of Health Economics.The article was published on 2003-03-01 and is currently open access. It has received 4135 citations till now. The article focuses on the topics: Fixed cost & Total cost.

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Projecting future drug expenditures—2007

TL;DR: It is expected that expenditures in 2007 will be influenced by similar factors, with few costly new products reaching the market, increased concern over product safety reducing the use of older agents and slowing the diffusion of newer agents, leading to slower growth in expenditures.
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The Long Wait for a New Drug for Human African Trypanosomiasis

TL;DR: The limitations of current chemotherapeutic approaches to manage HAT are examined, the constraints to new drug development exploring drug failures and new drugs on the horizon are considered, and the epidemiological, political, social, and economic factors influencing drug development are considered.
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Therapeutic strategies underpinning the development of novel techniques for the treatment of HIV infection

TL;DR: This review presents details of the anti-HIV inhibitors discovered with computer-aided approaches and provides an overview of the recent five-year achievements in the treatment of HIV infection and the application of computational methods to current drug design.
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Phenocopy – A Strategy to Qualify Chemical Compounds during Hit-to-Lead and/or Lead Optimization

TL;DR: The evaluation of off-target effects by the phenocopy approach allows a more accurate and integrated view on optimized compounds, supplementing classical biological evaluation parameters such as potency and selectivity.
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Driving earlier clinical attrition: if you want to find the needle, burn down the haystack. Considerations for biomarker development.

TL;DR: Focusing only on picking the winners earlier will not solve the problem, and it is essential that the evaluation of these biomarkers also enables the earlier termination of the molecules that will not have the required activity.
References
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Journal ArticleDOI

Cost of innovation in the pharmaceutical industry.

TL;DR: The research and development costs of 93 randomly selected new chemical entities (NCEs) were obtained from a survey of 12 U.S.-owned pharmaceutical firms and used to estimate the pre-tax average cost of new drug development.
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Risks in new drug development: approval success rates for investigational drugs.

TL;DR: It is necessary to select patients suitable for vaginal or laparoscopic mesh placement for use in the neonatal intensive care unit based on prior history and once they provide informed consent for surgery.
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A New Look at the Returns and Risks to Pharmaceutical R&D

TL;DR: The study finds that the performance of new drugs introduced during the latter half of the 1970s was markedly better than that of early 1970s introductions, consistent with the more rapid rate of industry growth in real R&D expenditures.
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Returns on Research and Development for 1990s New Drug Introductions

TL;DR: Examining the worldwide returns on R&D for drugs introduced into the US market in the first half of the 1990s reveals that a number of dynamic forces are currently at work in the industry, in particular,R&D costs as well as new drug introductions, sales and contribution margins increased significantly compared with their 1980s values.
Journal ArticleDOI

New drug development in the United States from 1963 to 1999.

TL;DR: It is necessary to select patients suitable for vaginal or laparoscopic mesh placement for use in the neonatal intensive care unit based on prior history and once they provide informed consent for surgery.
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Frequently Asked Questions (8)
Q1. What have the authors contributed in "The price of innovation: new estimates of drug development costs" ?

For example, DiMasi et al. this paper found that the average out-of-pocket cost per new drug is US $ 403 million ( 2000 dollars ). 

Can further improve their performance in terminating research early for compounds that will not make it to approval, then this will help lower out-of-pocket and capitalized costs. The growth rate for gross margins for recent years was also substantially lower than the growth rate for R & D outlays, leading to the suggestion that R & D growth rates could lessen in the future. The authors will examine costs by therapeutic category in future research. The R & D cost data for this study can be used in further analyses of R & D productivity at the firm level in future research. 

The categories “Toxicology and Safety Testing (4.5%),” Pharmaceutical Dosage Formulation and Stability Testing (7.3%),” “Regulatory: IND and NDA (4.1%),” “Bioavailability (1.8%),” and “Other (9.0%)” would each have to be decomposed into shares for pre-human R&D, pre-approval clinical period R&D, and post-approval R&D. 

In addition, the congressional debates on Medicare prescription drug coverage and various new state initiatives to fill gaps in coverage for the elderly and the uninsured have intensified the interest in the performance of the pharmaceutical industry. 

The growth rate in capitalized costs, however, is driven more by the fact that preclinical costs have a lower share of total out-of-pocket costs in the current study than in the previous studies, and time costs are necessarily proportionately more important for preclinical than for clinical expenditures. 

Once drug developers believe that they have enough evidence of safety and efficacy, they will compile the results of their testing in an application to regulatory authorities for marketing approval. 

In addition, the vast majority of the manufacturers with products that have received orphan drug designations are biotech firms or small niche pharmaceutical firms (see http://www.fda.gov/orphan/designat/list.htm). 

By all accounts, pharmaceutical firms have contracted out drug development activities at a rapidly growing rate over their study period, and the share of pharmaceutical R&D expenditures currently accounted for by outsourcing is substantial.