Abstract
Background
The pace of innovation, the creative engine of the pharmaceutical industry, has been variably described as stagnant, stable, or accelerating depending on the metric used for assessment or the quality of evidence. If the predominant perception holds that the speed of innovation is sluggish, pressure for changes in the regulatory environment intensifies.
Methods
A systematic evaluation of the course of innovation in this industry was performed by applying a formula derived from economic market share theory to estimate the innovative contribution of each new molecular entity approved since 1938. The total and average innovation scores per year are described based on the therapeutic class, mechanism, and drug target. These data are compared to the number and percent of first-in-class drugs per year.
Results
The average annual score based on therapeutic class novelty has been declining; however, the therapeutic class total innovation score has been stable since the mid-1970s with occasional significant peaks of activity. While the average score based on mechanism or target experienced a decline beginning in the 1950s and 1960s, it has begun to rise since the early 1990s. Notably, the total innovation score has steadily increased since the 1970s. These variations closely parallel the number of first-in-class drugs approved on an annual basis.
Conclusions
While the reasons underlying these activities are likely complex, there is a temporal association between regulatory efforts to expedite drug development and approval. These findings should be considered when considering future incentivizing regulations and policies.
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References
OECD/Eurostat. Oslo Manual 2018: Guidelines for Collecting, Reporting and Using Data on Innovation, 4th Edition, The Measurement of Scientific, Technological and Innovation Activities. 2019. OECD Publishing, Paris/Eurostat, Luxembourg. https://doi.org/10.1787/9789264304604-en.
Kola I. The state of innovation in drug development. Clin Pharmacol Ther. 2008;83(2):227–30. https://doi.org/10.1038/sj.clpt.6100479.
Cuatrecasas P. Drug discovery in jeopardy. J Clin Invest. 2006;116(11):2837–42.
Drews J. Innovation deficit revisited: reflections on the productivity of pharmaceutical R and D. Drug Discov Today. 1998;3(11):491–4.
Lanthier M, Miller KL, Nardinelli C, Woodcock J. An improved approach to measuring drug innovation finds steady rates of first-in-class pharmaceuticals, 1987–2011. Health Aff. 2013;32(8):1433–9. https://doi.org/10.1377/hlthaff.2012.0541.
Schmid EF, Smith DA. Keynote review: is declining innovation in the pharmaceutical industry a myth? Drug Discov Today. 2005;10(15):1031–9.
Kesselheim AS, Wang B, Avorn J. Defining, “innovativeness” in drug development: a systematic review. Clin Pharmacol Ther. 2013;94(3):336–48.
Kalyanaram Gurumurthy, Urban Glen L. Dynamic effects of the order of entry on market share, trial penetration, and repeat purchases for frequently purchased consumer goods. Mark Sci. 1992;11(3):235–50.
Office of Pharmaceutical Quality: NDA Classification Codes. Man Policies Proced Cent Drug Eval Res. 2015;1–1.
US FDA. Manual Of Policies And Procedures Center For Drug Evaluation And Research MAPP 7400.13 Procedures Office of New Drugs the Established Pharmacologic Class for Use in the Highlights of Prescribing Information. 2018.
Affairs V. Medication Reference Terminology (MED-RT™) Documentation U.S. Department of Veterans Affairs 2018(May):1–16.
Wishart DS, Feunang YD, Guo AC, Lo EJ, Marcu A, Grant JR, et al. DrugBank 5.0: A major update to the DrugBank database for 2018. Nucleic Acids Res. 2018;46:D1074–82.
Kalyanaram G, Robinson WT, Urban GL. Order of market entry: established empirical generalizations 1995. Market Sci. 1995;14:G212–21.
Commissioner Office of the Consumer Updates-Kefauver-Harris Amendments Revolutionized Drug Development. Updated 3 July 2018. 2018;1. https://www.fda.gov/ForConsumers/ConsumerUpdates/ucm322856.htm.
Kesselheim AS, Wang B, Franklin JM, Darrow JJ. Trends in utilization of FDA expedited drug development and approval programs, 1987–2014: cohort study. BMJ. 2015. https://doi.org/10.1136/bmj.h4633.
US Food and Drug Administration. Guidance for industries: expedited programs for serious conditions-drugs and biologice. US Food Drug Adm. 2017; https://www.fda.gov/ucm/groups/fdagov-public/@fdagov-drugs-gen/documents/document/ucm358301.pdf.
US FDA. Food and Drug Administration Safety and Innovation Act (FDASIA). 2018. https://www.fda.gov/regulatory-information/selected-amendments-fdc-act/food-and-drug-administration-safety-and-innovation-act-fdasia. Accessed 27 Aug 2020.
Pitts PJ, Brady P. From the valley of death to the crossroads of opportunity: a discussion of evolving benefit/risk evaluation standards. Ther Innov Regul Sci. 2018;52(5):531–6.
Schmid EF, Smith DA, Smith DA. Discovery innovation and the cyclical. Drug Discov Today. 2002;7(10):1–6.
Wardell WM, DiRaddo J. Measurement of pharmaceutical innovation. J Clin Pharmacol. 1980;20(1):1–9.
EMA/CHMP. Innovation in Medicine. Medicines/Human Regulatory/Innovations in Medicine. 2020. https://www.ema.europa.eu/en/human-regulatory/research-development/innovation-medicines.
Farrell AT, Goldberg KB, Pazdur R. Flexibility and innovation in the FDA’s novel regulatory approval strategies for hematologic drugs. Blood. 2017;130(11):1285–9.
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While this work was completed while MR was an employee of miRagen Therapeutics and CDB was an employee of the US Food and Drug Administration, MR is currently an employee of Viveve Medical, Inc., and CDB is an employee of Sunovian Pharmaceuticals, Inc. The opinions in this paper represent those of the authors and not necessarily those of the FDA or any of their places of employment.
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Robberson, M., Breder, C.D. A Multifaceted Perspective of Pharmaceutical Innovation: A Consideration of the Regulatory Role. Ther Innov Regul Sci 55, 262–269 (2021). https://doi.org/10.1007/s43441-020-00210-7
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DOI: https://doi.org/10.1007/s43441-020-00210-7