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. 2022 Nov;21(11):793-794.
doi: 10.1038/d41573-021-00190-9.

Clinical development times for innovative drugs

Clinical development times for innovative drugs

Dean G Brown et al. Nat Rev Drug Discov. 2022 Nov.

Abstract

New drug development is a race against the clock as soon as the first patents are filed, and understanding the potential timings from first-in-human studies to regulatory approval is crucial for strategic planning. Here, we use information gathered from US FDA review documents to provide insight into the timeframes of successful drug development programmes in the past decade. We define clinical development time as the number of days between the initiation of first-in-human clinical studies and regulatory marketing authorization, and we focus on the development of innovative drugs — those products that are being marketed for the first time that contain a new molecular entity or new active moiety (see Supplementary Box 1 for details of the dataset and analysis, and Supplementary Table 1 for the dataset). We also investigate how FDA regulatory programmes may affect this process.

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Conflict of interest statement

Competing interests

D.G.B. and H.J.W. are employees of Jnana Therapeutics, which does not have a direct bearing on the subject of this paper. H.J.W is a shareholder in AstraZeneca. The other authors declare no competing interests.

Figures

Figure 1.
Figure 1.. Clinical development times for innovative drugs.
Development times for each year’s cohort of drugs has remained stable over the past decade; the median was 8.3 years. See Supplementary Box 1 for details of the dataset and analysis.
Figure 2.
Figure 2.. Clinical development times for innovative drugs as a function of therapeutic class and molecule type.
a. Therapeutic class; one-way ANOVA P = 0.04. b. Molecule type; one-way ANOVA P < 0.01. See Supplementary Box 1 for details of the analysis.

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