Abstract
Innovative medicinal products are required for progress in many therapeutic areas, and in particular, oncology. For these products to succeed, pharmaceutical companies must generate the relevant and robust clinical data required to meet the needs of regulators and healthcare providers. In addition, real-world and health economic evidence is increasingly required to support pricing and reimbursement for innovative medicinal products. To incorporate all of these requirements into the innovative medicinal product strategy early in development, the core principles of how product strategies are developed and applied must be revisited and end-to-end strategic planning implemented. This paper reviews the hurdles faced during development of the integrated strategy for innovative medicinal products, particularly in the oncology field, and examines which functions of a pharmaceutical company should play the greatest role in addressing patient and different stakeholders’ needs. It will then illustrate how Medical Affairs activities are evolving to take on this strategic leadership role.
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References
European Commission. A cancer plan for Europe. Feb 2021. https://ec.europa.eu/info/strategy/priorities-2019-2024/promoting-our-european-way-life/european-health-union/cancer-plan-europe_en. Accessed Nov 2021.
Wouters OJ, McKee M, Luyten J. Estimated research and development investment needed to bring a new medicine to market, 2009–2018. JAMA. 2020;323(9):844–53.
Krendyukov A, Gattu S. Critical factors shaping strategy development of an innovative medicine in oncology. Pharm Med. 2020;34(2):103–12.
US Food and Drug Administration. The drug development process. https://www.fda.gov/ForPatients/Approvals/Drugs/default.htm. Accessed 1 Mar 2022.
European Medicines Agency. The European regulatory system for medicines: a consistent approach to medicines regulation across the European Union, 2017. https://www.ema.europa.eu/en/documents/leaflet/european-regulatory-system-medicines-european-medicines-agency-consistent-approach-medicines_en.pdf. Accessed 11 Feb 2022.
Porter ME, Lee TH. The strategy that will fix health care: providers must lead the way in making value the overarching goal. Harvard Bus Rev. 2013;91(10):50–67.
Krendyukov A. Innovative oncology products: time to revisit the strategy development? ESMO Open. 2019;4(5):e000571.
Albrecht B, Menu P, Peters M, Stiehl L. Launches in oncology: the elements of success. https://www.mckinsey.com/industries/pharmaceuticals-and-medical-products/our-insights/launches-in-oncology-the-elements-of-success. Accessed 11 Feb 2022.
European Federation of Pharmaceutical Industries and Associations. The pharmaceutical industry in figures: key data 2017. https://www.efpia.eu/media/219735/efpia-pharmafigures2017_statisticbroch_v04-final.pdf. Accessed 11 Feb 2022.
IQVIA Market Prognoses, Sep 2018; IQVIA Institute, Dec 2018. The global use of medicines in 2019 and outlook to 2023. IQVIA Institute for Human Data Science. 2019. https://www.iqvia.com/insights/the-iqvia-institute/reports/the-global-use-of-medicine-in-2019-and-outlook-to-2023. Accessed 11 Feb 2022.
Prasad V, Mailankody S. Research and development spending to bring a single cancer drug to market and revenues after approval. JAMA Intern Med. 2017;177(11):1569–75.
Hughes JP, Rees S, Kalindjian SB, Philpott KL. Principles of early drug discovery. Br J Pharmacol. 2011;162(6):1239–49.
Singh H, Pazdur R, Xu L, Liu K. FDA breakthrough therapy designation for oncology products: the CBER experience. J Clin Oncol. 2018;36(15 Suppl.):e18585.
European Medicines Agency. Launch of PRIME: paving the way for promising medicines for patients, 2016. https://www.ema.europa.eu/en/news/launch-prime-paving-way-promising-medicines-patients. Accessed 11 Feb 2022.
Krendyukov A, Singhvi S, Zabransky M. Value of adaptive trials and surrogate endpoints for clinical decision-making in rare cancers. Front Oncol. 2021;11:636561.
Krendyukov A. Early access provision for innovative medicinal products in oncology: challenges and opportunities. Front Oncol. 2020;10:1604.
Porter ME, Lee TH. Why strategy matters now. N Engl J Med. 2015;372(18):1681–4.
Slomiany M, Madhavan P, Kuehn M, Richardson S. Value frameworks in oncology: comparative analysis and implications to the pharmaceutical industry. Am Health Drug Benef. 2017;10(5):253–60.
Ivandic V. Requirements for benefit assessment in Germany and England: overview and comparison. Health Econ Rev. 2014;4(1):12.
Krendyukov A, Nasy D. Evolving communication with healthcare professionals in the pharmaceutical space: current trends and future perspectives. Pharm Med. 2020;34(4):247–56.
Dezzani L. 4 Cornerstones of pharma Medical Affairs. 2021. https://www.linkedin.com/pulse/4-cornerstones-pharma-medical-affairs-luca-dezzani. Accessed 11 Feb 2022.
McKinsey & Company. A vision for Medical Affairs in 2025. 2019. https://www.mckinsey.com/industries/life-sciences/our-insights/a-vision-for-medical-affairs-in-2025. Accessed 11 Feb 2022.
Hodi FS, O’Day SJ, McDermott DF, Weber RW, Sosman JA, Haanen JB, et al. Improved survival with ipilimumab in patients with metastatic melanoma. N Engl J Med. 2010;363(8):711–23.
Schnipper LE, Davidson NE, Wollins DS, et al. American Society of Clinical Oncology statement: a conceptual framework to assess the value of cancer treatment options. J Clin Oncol. 2015;33(23):2563–77.
Cherny NI, de Vries EGE, Dafni U, et al. ESMO-magnitude of clinical benefit scale version 1.1. Ann Oncol. 2017;28:2340–66.
NCCN. NCCN clinical practice guidelines in oncology (NCCN guidelines) with NCCN evidence blocks. 2016. https://www.nccn.org/guidelines/guidelines-with-evidence-blocks. Accessed 11 Apr 2017.
Maemondo M, Inoue A, Kobayashi K, Sugawara S, Oizumi S, Isobe H, et al. Gefitinib or chemotherapy for non-small-cell lung cancer with mutated EGFR. N Engl J Med. 2010;362(25):2380–8.
Finn RS, Dering J, Conklin D, Kalous O, Cohen DJ, Desai AJ, et al. PD 0332991, a selective cyclin D kinase 4/6 inhibitor, preferentially inhibits proliferation of luminal estrogen receptor-positive human breast cancer cell lines in vitro. Breast Cancer Res. 2009;11(5):1–13.
IQVIA Institute for Human Data Science. Digital health trends 2021. https://www.iqvia.com/-/media/iqvia/pdfs/institute-reports/digital-health-trends-2021/iqvia-institute-digital-health-trends-2021.pdf. Accessed 26 Nov 2021.
Farhood R, Keenan G, Gooljarsingh TL, Heim M, Salem L, Tebbey P, Walz A. Medical Affairs launch excellence. Best practices for medical affairs. https://medicalaffairs.org/wp-content/uploads/2021/05/Launch-Excellence-Standards-Guidance.pdf. Accessed 11 Feb 2022.
McKinsey & Company. Pharma Medical Affairs 2020 and beyond. 2014. https://www.mckinsey.com/industries/life-sciences/our-insights/pharma-medical-affairs-2020-and-beyond. Accessed 11 Feb 2022.
Deloitte Insights. Key factors to improve drug launches. Why drug launches miss market expectations and what to do about it. 2020. https://www2.deloitte.com/content/dam/insights/us/articles/6491_Commercial-launch-success-analysis/DI_Key-factors-to-improve-drug-launches.pdf. Accessed 11 Feb 2022.
Business Research Company. Global oncology drugs market trends, strategies, and opportunities in the oncology drugs market 2021–2030. https://www.einnews.com/pr_news/545137494/global-oncology-drugs-market-trends-strategies-and-opportunities-in-the-oncology-drugs-market-2021-2030. Accessed 11 Feb 2022.
Grand View Research. &airs outsourcing market size, share & trends analysis report by services (MSLs, medical writing & publishing), by industry (pharmaceutical, biopharmaceutical), by region, and segment forecasts, 2021–2028). https://www.grandviewresearch.com/industry-analysis/medical-affairs-outsourcing-market. Accessed 11 Feb 2022.
Hurst JH. Cancer immunotherapy innovator James Allison receives the 2015 Lasker~DeBakey Clinical Medical Research Award. J Clin Investig. 2015;125(10):3732–6.
NBC News. Nobel winner fought for drug company interest in cancer discovery. https://www.nbcnews.com/health/health-news/nobel-winner-fought-drug-company-interest-cancer-discovery-n915446. Accessed 27 Nov 2021.
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Andriy Krendyukov is an employee of Apogenix AG, and Dévi Nasy is an employee of Daiichi Sankyo Deutschland GmbH. The opinions and ideas expressed in this article are personal and do not necessarily represent those of the companies. Andriy Krendyukov and Dévi Nasy declare that they have no other potential conflicts of interest that might be relevant to the contents of this article.
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AK conceptualized and designed this work, performed the literature search and data analysis, and created and co-authored the manuscript. DN reviewed the results and co-authored the manuscript. Both authors have read and approve the final submitted manuscript, and agree to be accountable for the work.
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Krendyukov, A., Nasy, D. Medical Affairs and Innovative Medicinal Product Strategy Development. Pharm Med 36, 71–82 (2022). https://doi.org/10.1007/s40290-022-00424-0
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DOI: https://doi.org/10.1007/s40290-022-00424-0