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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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Citations
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Small Molecules in Development for the Treatment of Spinal Muscular Atrophy

TL;DR: Both repurposed drugs and small-molecule compounds discovered following medicinal chemistry optimization for the potential treatment of SMA are reviewed.
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ConMedNP: a natural product library from Central African medicinal plants for drug discovery

TL;DR: The results prove that drug discovery, beginning with natural products from the Central African flora, could be promising and the 3D structures are available and could be useful for virtual screening and natural product lead generation programs.
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Financing Drug Research: What are the Issues?

TL;DR: The immediate cause of high drug prices is government granted patent monopolies, which allow drug companies to charge prices that are often 400 percent, or more, above competitive market prices.
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MedusaDock 2.0: Efficient and Accurate Protein-Ligand Docking With Constraints.

TL;DR: A web server with a user-friendly online graphical interface as a platform for accurate and efficient protein-ligand molecule docking, capable of incorporating structural constraints, experimentally derived or theoretically predicted, to improve accuracy and efficiency.
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Translational research in the pharmaceutical industry: from bench to bedside.

TL;DR: A bi-directional dialogue between research scientists and clinicians concerning the biology of mechanism of action and clinical basis for disease will deliver biomarkers that enable drug development decisions to be made earlier and with increased confidence.
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.
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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.