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Joseph A. DiMasi, Ph.D.  Director of Economic Analysis Tufts Center for the Study of Drug Development Tufts University SLA Pharmaceutical & Health Technology Division Spring Meeting Boston, MA, March 19, 2007 Measuring Trends in the Development of New Drugs: Time, Costs, Risks and Returns
Agenda ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
New Drug Development Times
Mean U.S. Approval and Clinical Phases for U.S. New Drug Approvals, 1963-2004 Total Phase IND Phase Approval Phase Points are 3-year moving averages Source: Tufts CSDD, 2006
Clinical and Approval Times Vary Across Therapeutic Classes, 2002-04 12.1 7.6 8.5 7.5 8.0 6.3 9.8 Source: Tufts CSDD, 2006 6.9
New Drug Development Risk
Approval Success Rates for NCEs Also Vary by Therapeutic Class Source: Tufts CSDD Impact Report, 8(3): May/June 2006
Pharmaceutical R&D Productivity
New Drug Approvals Are Not Keeping Pace with Rising R&D Spending Source: Tufts CSDD Approved NCE Database, PhRMA, 2005 R&D expenditures are adjusted for inflation R&D Expenditures New Drug Approvals
Recent Productivity Decline in the Drug Industry: Is this a Unique Phenomenon? ,[object Object],Source: U.S. Senate, Report of the Subcommittee on Antitrust and Monopoly, 87 th  Congress, 1 st  Session, “Study of Administered Prices in the Drug Industry,” June 27, 1961, p.136
Pharmaceutical R&D Costs and Returns
Opportunity Cost for Investments ,[object Object],[object Object],[object Object],[object Object]
Out-of-Pocket and Capitalized Costs per Approved Drug Source: DiMasi et al., J Health Economics 2003;22(2):151-185
Pre-approval and Post-approval R&D Costs per Approved Drug Source: DiMasi et al., J Health Economics 2003;22(2):151-185
Annual Growth Rates for Out-of-Pocket R&D Costs Source: DiMasi et al., J Health Economics 2003;22(2):151-185
Mean Number of Subjects in NDAs for NMEs Sources: Boston Consulting Group, 1993; Peck,  Food and Drug Law J, 1997; PAREXEL, 2002
Clinical Trial Complexity Index (Phases I-III) Source: DataEdge, 2002
Summary for R&D Costs ,[object Object],[object Object],[object Object],[object Object]
Summary for R&D Costs (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Returns to New Drug Development
Present Values of Net Sales and R&D Cost for New Drugs by Sales Decile (millions of 2000 $) Source: Grabowski et al., PharmacoEconomics 2002; 20(Suppl 3):11-29
Biopharmaceutical R&D Costs
Transition Probabilities for Clinical Phases Source: DiMasi and Grabowski, Managerial and Dec Econ 2007, in press
Clinical Development and Approval Times 97.7 90.3 Source: DiMasi and Grabowski, Managerial and Dec Econ 2007, in press
** All R&D costs (basic research and preclinical development) prior to initiation of clinical testing Pre-Approval Out-of-Pocket (cash outlay) and Time Costs per Approved New Biopharmaceutical* * Based on a 30.2% clinical approval success rate Source: DiMasi and Grabowski, Managerial and Dec Econ 2007, in press
Why Might Biopharma Cost Differ? ,[object Object],[object Object],[object Object],[object Object]
Biopharmaceutical and Pharma  R&D Costs Compared
* All R&D costs (basic research and preclinical development) prior to initiation of clinical testing Pre-Approval Out-of-Pocket Cost per Approved New Molecule ** Based on a 5-year shift and prior growth rates for the preclinical and clinical periods Source: DiMasi and Grabowski, Managerial and Dec Econ 2007, in press
* All R&D costs (basic research and preclinical development) prior to initiation of clinical testing Pre-Approval Capitalized Cost per Approved New Molecule ** Based on a 5-year shift and prior growth rates for the preclinical and clinical periods Source: DiMasi and Grabowski, Managerial and Dec Econ 2007, in press
The Pace of Competitive Development
Market Exclusivity for First-in-Class has Declined: Mean Time to First Follow-on Approval  Source: DiMasi and Paquette, PharmacoEconomics 2004;22(Suppl 2):1-14
Percent of Follow-on Drugs Reaching Clinical Milestone Prior to First-in-Class Drug Reaching Same Milestone Source: DiMasi, Paquette, PharmacoEconomics 2004;22(Suppl 2):1-14
Follow-on Approvals Create Competition Resulting in Price Discounts Source: DiMasi, 2000 [http://aspe.hhs.gov/health/reports/drug-papers/dimassi/dimasi-final.htm] * Analysis based on FYs 1995-1999.
Impact of Improvements in Drug Development Productivity
Cost Reductions from Higher Clinical Success Rates Source: DiMasi, PharmacoEconomics 2002; 20(Suppl 3):1-10
Cost Reductions from Simultaneous Percentage Decreases in All Phase Lengths Source: DiMasi, PharmacoEconomics 2002; 20(Suppl 3):1-10
Trends in Drug Development Pipelines
Clinical Testing Pipelines for Large Pharmaceutical Firms* Have Grown in Recent Years (Phase I Starts per year) Source: Tufts CSDD Impact Report, 8(3): May/June 2006  * Ten largest pharmaceutical firms
Trends in New Drug Development Pipelines* by Therapeutic Class Source: Tufts CSDD Impact Report, 8(3): May/June 2006 * Ten largest pharmaceutical firms
Large Pharmaceutical Firms* are Increasingly Licensing-in New Drugs Source: Tufts CSDD Impact Report, 8(3): May/June 2006  * Ten largest pharmaceutical firms
Conclusions ,[object Object],[object Object],[object Object],[object Object]

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Dimasi 2007s

  • 1. Joseph A. DiMasi, Ph.D. Director of Economic Analysis Tufts Center for the Study of Drug Development Tufts University SLA Pharmaceutical & Health Technology Division Spring Meeting Boston, MA, March 19, 2007 Measuring Trends in the Development of New Drugs: Time, Costs, Risks and Returns
  • 2.
  • 4. Mean U.S. Approval and Clinical Phases for U.S. New Drug Approvals, 1963-2004 Total Phase IND Phase Approval Phase Points are 3-year moving averages Source: Tufts CSDD, 2006
  • 5. Clinical and Approval Times Vary Across Therapeutic Classes, 2002-04 12.1 7.6 8.5 7.5 8.0 6.3 9.8 Source: Tufts CSDD, 2006 6.9
  • 7. Approval Success Rates for NCEs Also Vary by Therapeutic Class Source: Tufts CSDD Impact Report, 8(3): May/June 2006
  • 9. New Drug Approvals Are Not Keeping Pace with Rising R&D Spending Source: Tufts CSDD Approved NCE Database, PhRMA, 2005 R&D expenditures are adjusted for inflation R&D Expenditures New Drug Approvals
  • 10.
  • 12.
  • 13. Out-of-Pocket and Capitalized Costs per Approved Drug Source: DiMasi et al., J Health Economics 2003;22(2):151-185
  • 14. Pre-approval and Post-approval R&D Costs per Approved Drug Source: DiMasi et al., J Health Economics 2003;22(2):151-185
  • 15. Annual Growth Rates for Out-of-Pocket R&D Costs Source: DiMasi et al., J Health Economics 2003;22(2):151-185
  • 16. Mean Number of Subjects in NDAs for NMEs Sources: Boston Consulting Group, 1993; Peck, Food and Drug Law J, 1997; PAREXEL, 2002
  • 17. Clinical Trial Complexity Index (Phases I-III) Source: DataEdge, 2002
  • 18.
  • 19.
  • 20. Returns to New Drug Development
  • 21. Present Values of Net Sales and R&D Cost for New Drugs by Sales Decile (millions of 2000 $) Source: Grabowski et al., PharmacoEconomics 2002; 20(Suppl 3):11-29
  • 23. Transition Probabilities for Clinical Phases Source: DiMasi and Grabowski, Managerial and Dec Econ 2007, in press
  • 24. Clinical Development and Approval Times 97.7 90.3 Source: DiMasi and Grabowski, Managerial and Dec Econ 2007, in press
  • 25. ** All R&D costs (basic research and preclinical development) prior to initiation of clinical testing Pre-Approval Out-of-Pocket (cash outlay) and Time Costs per Approved New Biopharmaceutical* * Based on a 30.2% clinical approval success rate Source: DiMasi and Grabowski, Managerial and Dec Econ 2007, in press
  • 26.
  • 27. Biopharmaceutical and Pharma R&D Costs Compared
  • 28. * All R&D costs (basic research and preclinical development) prior to initiation of clinical testing Pre-Approval Out-of-Pocket Cost per Approved New Molecule ** Based on a 5-year shift and prior growth rates for the preclinical and clinical periods Source: DiMasi and Grabowski, Managerial and Dec Econ 2007, in press
  • 29. * All R&D costs (basic research and preclinical development) prior to initiation of clinical testing Pre-Approval Capitalized Cost per Approved New Molecule ** Based on a 5-year shift and prior growth rates for the preclinical and clinical periods Source: DiMasi and Grabowski, Managerial and Dec Econ 2007, in press
  • 30. The Pace of Competitive Development
  • 31. Market Exclusivity for First-in-Class has Declined: Mean Time to First Follow-on Approval Source: DiMasi and Paquette, PharmacoEconomics 2004;22(Suppl 2):1-14
  • 32. Percent of Follow-on Drugs Reaching Clinical Milestone Prior to First-in-Class Drug Reaching Same Milestone Source: DiMasi, Paquette, PharmacoEconomics 2004;22(Suppl 2):1-14
  • 33. Follow-on Approvals Create Competition Resulting in Price Discounts Source: DiMasi, 2000 [http://aspe.hhs.gov/health/reports/drug-papers/dimassi/dimasi-final.htm] * Analysis based on FYs 1995-1999.
  • 34. Impact of Improvements in Drug Development Productivity
  • 35. Cost Reductions from Higher Clinical Success Rates Source: DiMasi, PharmacoEconomics 2002; 20(Suppl 3):1-10
  • 36. Cost Reductions from Simultaneous Percentage Decreases in All Phase Lengths Source: DiMasi, PharmacoEconomics 2002; 20(Suppl 3):1-10
  • 37. Trends in Drug Development Pipelines
  • 38. Clinical Testing Pipelines for Large Pharmaceutical Firms* Have Grown in Recent Years (Phase I Starts per year) Source: Tufts CSDD Impact Report, 8(3): May/June 2006 * Ten largest pharmaceutical firms
  • 39. Trends in New Drug Development Pipelines* by Therapeutic Class Source: Tufts CSDD Impact Report, 8(3): May/June 2006 * Ten largest pharmaceutical firms
  • 40. Large Pharmaceutical Firms* are Increasingly Licensing-in New Drugs Source: Tufts CSDD Impact Report, 8(3): May/June 2006 * Ten largest pharmaceutical firms
  • 41.

Editor's Notes

  1. Distribution of Research Terminations by Therapeutic Category
  2. Total Capitalized Cost Reductions from Increases in the Clinical Success Rate
  3. Capitalized Clinical and Total Cost Reductions from Simultaneous Reductions in all Phase Times