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医药创新销售收入的分布情况。

The distribution of sales revenues from pharmaceutical innovation.

作者信息

Grabowski H G, Vernon J

机构信息

Department of Economics, 314 Social Sciences, Box 90097 Duke University, Durham, NC 27708, USA.

出版信息

Pharmacoeconomics. 2000;18 Suppl 1:21-32. doi: 10.2165/00019053-200018001-00005.

Abstract

OBJECTIVE

This report updates our earlier work on the returns to pharmaceutical research and development (R&D) in the US (1980 to 1984), which showed that the returns distributions are highly skewed. It evaluates a more recent cohort of new drug introductions in the US (1988 to 1992) and examines how the returns distribution is emerging for drugs with life cycles concentrated in the 1990s versus the 1980s.

DESIGN AND SETTING

Methods were described in detail in our earlier reports. The current sample included 110 new drug entities (including 28 orphan drugs), and sales data were obtained for the period 1988 to 1998, which represented between 7 and 11 years of sales for the drugs included. 20 years was chosen as the expected market life for this cohort, and a 2-step procedure was used to project future sales for the drugs--during the period until patent expiry and then beyond patent expiry until the 20-year time-horizon was completed. Thus, the values in the first half of the life cycle are essentially based on realised sales, while those in the second half are projected using information on patent expiry and other inputs.

MAIN OUTCOME MEASURES AND RESULTS

Peak annual sales for the top decile of drugs introduced between 1988 and 1992 in the US amounted to almost $US1.1 billion compared with peak sales of less than $US175 million (1992 values) for the mean compound. In particular, the top decile accounted for 56% of overall sales revenue. Although the sales distributions were skewed in both our earlier and current analysis, the top decile in the later time-period exhibited more rapid rates of growth after launch, a peak that was more than 50% greater in real terms than for the 1980 to 1984 cohort, and a faster rate of expected decline in sales after patent expiry. One factor contributing to the distribution of sales revenues becoming more skewed over time is the orphan drug phenomenon (i.e. most of the orphan drugs are concentrated at the bottom of the distribution).

CONCLUSION

The distribution of sales revenues for new drug compounds is highly skewed in nature. In this regard, the top decile of new drugs accounts for more than half of the total sales generated by the 1988 to 1992 cohort analysed. Furthermore, the distribution of sales revenues for this cohort is more skewed than that of the 1980 to 1984 cohort we analysed in previous research.

摘要

目的

本报告更新了我们此前关于美国制药研发(R&D)回报的研究工作(1980年至1984年),该研究表明回报分布高度不均衡。本报告评估了美国近期一批新药上市情况(1988年至1992年),并研究了生命周期集中在20世纪90年代与80年代的药物,其回报分布是如何呈现的。

设计与背景

我们此前的报告已详细描述了研究方法。当前样本包括110种新药实体(包括28种孤儿药),并获取了1988年至1998年期间的销售数据,这些数据代表了所纳入药物7至11年的销售情况。本研究将20年选为这批药物的预期市场寿命,并采用两步法预测药物的未来销售额——在专利到期前以及专利到期后直至满20年的时间范围内。因此,生命周期前半段的数值基本上基于实际销售额,而后半段的数值则利用专利到期信息及其他数据进行预测。

主要观察指标与结果

1988年至1992年在美国推出的新药中,销售额最高的十分之一的年度峰值销售额接近11亿美元,而平均化合物的峰值销售额不到1.75亿美元(1992年价值)。特别是,销售额最高的十分之一占总销售收入的56%。尽管在我们早期和当前的分析中,销售分布均不均衡,但后期时间段中销售额最高的十分之一在推出后呈现出更快的增长速度,其实际峰值比1980年至1984年那批药物高出逾50%,且专利到期后销售额的预期下降速度更快。随着时间推移,导致销售收入分布变得更加不均衡的一个因素是孤儿药现象(即大多数孤儿药集中在分布的底部)。

结论

新药化合物的销售收入分布本质上高度不均衡。在这方面,新药中销售额最高的十分之一占1988年至1992年所分析批次药物总销售额的一半以上。此外,该批次药物的销售收入分布比我们之前研究中分析的1980年至1984年批次的分布更加不均衡。

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