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nidan7500

04/23/19 11:46 AM

#190247 RE: Biostockclub #190236

Thanks Biostockclub:

The biotech era in late-stage drug R&D and marketing has arrived. And it looks like it’s here to stay

by john carroll — on April 23, 2019 09:15 AM EDT

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IQVIA also tracked a distinct slip in success rates, with the overall composite rate sliding from 14.4% to 11.4% last year. The report concludes:

Trial productivity has been highest for respiratory, infectious disease and endocrinology and lowest for oncology and declined 27% from 2013 to 2018 across all trial phases, heavily influenced by a decrease in productivity in Phase I.

CNS Diseases not mentioned and yet it is the area of great need?



As always, that problem with productivity has focused attention on a new set of technologies that have been grabbing the attention of R&D execs. And here’s the tool kit that IQVIA sees as the most likely to spur real change — though they’re likely to get some kickback on several of these.

IQVIA’s spotlight fell on:

Digital health technologies to enable the capture of drug efficacy and safety data remotely, which can improve patient safety, enable virtual trial formats and ease site work burden. (read ERP)

Patient-reported outcomes that will shed new light on patient experience and drug efficacy and safety outside the clinical setting and lead to accelerated trial times as endpoints shift. Read QOL/RWD/RWE

• Real-world data to optimize trial design, speed investigator and site selection, and enable new trial designs by acting as virtual control arms and supporting pragmatic, adaptive and RWE registry trials.

Predictive analytics and artificial intelligence to identify new clinical hypotheses, reduce trial design risks and speed enrollment by identifying protocol-ready patients. (SEE)

Shifts in types of drugs tested, for instance, to targeted therapies and next-generation biotherapeutics that improve efficacy and success rates and have accelerated development timelines but require longer-term patient follow-up.

Biomarker testing availability to help narrow patient populations to those more likely to see effect, resulting in improvements in efficacy, safety and success.

Regulatory landscape changes that will encourage the adoption of precision medicine approaches, novel trial designs and endpoints while providing means for accelerated drug approvals and regulatory success.

Pools of pre-screened patients and direct-to-patient recruitment, which will facilitate enhanced trial enrollment, shortened trial duration and faster market availability.



Maybe we are on the right track w/changes in locations and methods, timing accelerated RWE.