Food and drug administration′s critical path initiative and innovations in drug development paradigm: Challenges, progress, and controversies

During the last decade, despite increased investment in drug research and development related activity, stagnation in new drug discovery has been documented. Despite a 70% increase in investment in research and development-related activities, a 40% fall in launch of new chemical entities was seen du...

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Main Authors: Rajiv Mahajan, Kapil Gupta
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2010-01-01
Series:Journal of Pharmacy and Bioallied Sciences
Subjects:
Online Access:http://www.jpbsonline.org/article.asp?issn=0975-7406;year=2010;volume=2;issue=4;spage=307;epage=313;aulast=Mahajan
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author Rajiv Mahajan
Kapil Gupta
author_facet Rajiv Mahajan
Kapil Gupta
author_sort Rajiv Mahajan
collection DOAJ
description During the last decade, despite increased investment in drug research and development related activity, stagnation in new drug discovery has been documented. Despite a 70% increase in investment in research and development-related activities, a 40% fall in launch of new chemical entities was seen during 1994-2004. A steep rise in the attrition rate of drug development has complicated the matter. Rising cost and increased attrition rates proved major barriers to investment in higher risk drugs or in therapies for uncommon diseases or diseases that predominantly afflict the poor. This prompted Food and Drug Administration (FDA) to highlight this problem in a 2004 white paper classified as "Critical Path Initiative" (CPI) and to initiate steps to target stagnation and rise in attrition rates. Many new drug development projects have started worldwide taking cue from CPI; adopting microdosing, adaptive designs and taking advantage of newly developed biomarkers under the CPI. This review discusses the various strategies adopted under CPI to decrease attrition rate and stagnation of new drug development, and the challenges and controversies associated with CPI.
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spelling doaj.art-d106efc786744ee3b47e2a292dd8edbf2022-12-21T19:23:50ZengWolters Kluwer Medknow PublicationsJournal of Pharmacy and Bioallied Sciences0975-74060976-48792010-01-012430731310.4103/0975-7406.72130Food and drug administration′s critical path initiative and innovations in drug development paradigm: Challenges, progress, and controversiesRajiv MahajanKapil GuptaDuring the last decade, despite increased investment in drug research and development related activity, stagnation in new drug discovery has been documented. Despite a 70% increase in investment in research and development-related activities, a 40% fall in launch of new chemical entities was seen during 1994-2004. A steep rise in the attrition rate of drug development has complicated the matter. Rising cost and increased attrition rates proved major barriers to investment in higher risk drugs or in therapies for uncommon diseases or diseases that predominantly afflict the poor. This prompted Food and Drug Administration (FDA) to highlight this problem in a 2004 white paper classified as "Critical Path Initiative" (CPI) and to initiate steps to target stagnation and rise in attrition rates. Many new drug development projects have started worldwide taking cue from CPI; adopting microdosing, adaptive designs and taking advantage of newly developed biomarkers under the CPI. This review discusses the various strategies adopted under CPI to decrease attrition rate and stagnation of new drug development, and the challenges and controversies associated with CPI.http://www.jpbsonline.org/article.asp?issn=0975-7406;year=2010;volume=2;issue=4;spage=307;epage=313;aulast=MahajanBiomarkersclinical trialsdrug developmentmicrodosing
spellingShingle Rajiv Mahajan
Kapil Gupta
Food and drug administration′s critical path initiative and innovations in drug development paradigm: Challenges, progress, and controversies
Journal of Pharmacy and Bioallied Sciences
Biomarkers
clinical trials
drug development
microdosing
title Food and drug administration′s critical path initiative and innovations in drug development paradigm: Challenges, progress, and controversies
title_full Food and drug administration′s critical path initiative and innovations in drug development paradigm: Challenges, progress, and controversies
title_fullStr Food and drug administration′s critical path initiative and innovations in drug development paradigm: Challenges, progress, and controversies
title_full_unstemmed Food and drug administration′s critical path initiative and innovations in drug development paradigm: Challenges, progress, and controversies
title_short Food and drug administration′s critical path initiative and innovations in drug development paradigm: Challenges, progress, and controversies
title_sort food and drug administration s critical path initiative and innovations in drug development paradigm challenges progress and controversies
topic Biomarkers
clinical trials
drug development
microdosing
url http://www.jpbsonline.org/article.asp?issn=0975-7406;year=2010;volume=2;issue=4;spage=307;epage=313;aulast=Mahajan
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