Optimization of Pharmaceutical R&D Programs and Portfolios: by Zoran Antonijevic

By Zoran Antonijevic

Very little has been released on optimization of pharmaceutical portfolios. additionally, so much of released literature is coming from the economic facet, the place likelihood of technical good fortune (PoS) is handled as fastened, and never due to improvement method or layout. during this booklet there's a powerful specialise in influence of research layout on PoS and eventually at the worth of portfolio. layout concepts which are mentioned in several chapters are dose-selection options, adaptive layout and enrichment. a few improvement suggestions which are mentioned are indication sequencing, optimum variety of courses and optimum selection criteria.

This ebook contains chapters written through authors with very wide backgrounds together with monetary, medical, statistical, selection sciences, advertisement and regulatory. Many authors have lengthy held govt positions and feature been concerned with determination making at a product or at a portfolio point. As such, it really is anticipated that this publication will allure a truly huge viewers, together with choice makers in pharmaceutical R&D, advertisement and monetary departments. The meant viewers additionally comprises portfolio planners and bosses, statisticians, choice scientists and clinicians.

Early chapters describe ways to portfolio optimization from gigantic Pharma and enterprise Capital standpoints. they've got more advantageous specialise in funds and methods. Later chapters current chosen statistical and selection research tools for optimizing drug improvement courses and portfolios. a few methodological chapters are technical; although, with a number of exceptions they require a comparatively uncomplicated wisdom of facts by means of a reader.

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Currently, R & D executives are often forced to “pick the winners” in this information-poor setting based on a combination of clinical promise and near-term budget availability. ” By linking trial design, investment and 3 Drug Development and the Cost of Capital 47 value, R & D organizations can test more agents in trials and either scale up the investment or “kill the losers” based on bona fide clinical data. Finally, transparently linking financial metrics to clinical development decisions and building optionality into the portfolio allows managers to make more rapid, fact-based decisions about where and how to deploy scarce R & D capital to optimize returns: among therapeutic areas and asset classes, over time.

Aspirational Drug Development Other biases that can corrupt the portfolio include teams engaging in “aspirational” drug development. In this case, the drug development team aspires to an outcome— that may or may not be grounded in the scientific realities of the drug’s safety and efficacy performance. For example, a marketing team may have the desire to have a safer drug, but the clinical data may not demonstrate a difference in adverse events (AEs) using descriptive statistics, or the drug may not have even been studied in such a way that a superiority safety claim can be justified.

This metric is more useful than an NPV (which assumes 100 % probability of success) and can be risk adjusted to take into account the probability of success for compounds in the pre-registration phase of drug development. While some risks are known—for example, the probability of patent expiry is 100 %—others are less certain, such as the: • Probability that the animal data predicts clinical outcomes. • Probability of the occurrence of unexpected safety findings. • Probability that a product is adequately differentiated.

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