Tagged: R&D

Reflections on James Lind’s Scurvy Trial, Pharmacoeconomics, Sovaldi and Other Hot Topics in Clinical Research

Yesterday we celebrated May 20 as International Clinical Trials Day because James Lind started his famous trial of scurvy treatments on this date in 1747. Lind’s study remains noteworthy as perhaps the first controlled study that demonstrated the efficacy of a treatment that is still known to be effective. Lind conducted the multiarm trial aboard… Read more »

Biopharma’s R&D Productivity Problem Resurfaces as We Enter 2014

While FDA approvals of truly new drugs and biologics soared to 39 in 2012, the story as we enter 2014 shows a striking reversion to lower productivity levels that have long plagued the industry. The number of FDA approvals dropped to 27 in 2013. Big Pharma can take credit for only 14 of the approved… Read more »

Clinical Research Now: One Foot in the 21st Century, the Other in Ancient Greece

We do 21st century biology in our laboratories and then do clinical trials that Hippocrates would have been quite comfortable with.  – Roger Perlmutter, executive vice president of Merck and president of Merck Research Laboratories, in a panel discussion at the Forbes Healthcare Summit in October. Perlmutter’s characterization of current clinical trials rings true.  Much… Read more »

AMP Foreshadows Higher Clinical Trial Success Rates Despite Growing Complexity

A key focus at this year’s AMP conference is Next Generation Sequencing (NGS), transformative first for diagnostics but increasingly for biopharma development and patient care. Rapid progress in NGS is essential for development of many oncology drugs. You also see ample evidence at AMP that NGS will drive remarkable advances across the therapeutic spectrum. NGS… Read more »

Risk-Based Monitoring: Where are the Benefits?

I got a call this morning from a frustrated colleague who runs the oncology franchise in Europe for a big pharma company. Despite a substantial investment in software that promised increased focus and efficiency through risk-based monitoring, my colleague is seeing neither. Did I have any suggestions? Questions about why technology is not producing expected… Read more »

Looking Ahead: Reducing Risk in Biologics Trials

Despite their complexity, biologics are going mainstream. According to a report by Evaluate Pharma, biologics represent 40% of development pipelines for companies they surveyed. You might even say biologics programs involve lower risks than small-molecule programs – a higher percentage of biologics progress from preclinical to approval. But going mainstream hasn’t made biologics more predictable…. Read more »

Monitoring Article Goes Live in Journal of Clinical Research Best Practices

The article about risk-based monitoring that I mentioned a couple of weeks ago is now online. “Adaptive Monitoring: Risk-Based Monitoring and Beyond” appears in the September issue of the Journal of Clinical Research Best Practices.  Norman Goldfarb, the editor, keeps a close eye on trends in clinical development. He had this to say about the… Read more »

Why Not Continuous Development?

While development of pharmaceutical products has traditionally followed a phased approach, a continuous model of development is possible and offers substantial reductions in development timelines and risk. Historical chokepoints demanded a “batched” approach during trials and between phases.  Many things have changed, but the chokepoints largely remain. It’s time to do something about them. The… Read more »