Projan Steven J
Wyeth Research, Pearl River NY 10965, USA.
Curr Opin Microbiol. 2003 Oct;6(5):427-30. doi: 10.1016/j.mib.2003.08.003.
Since the advent of the antibiotic era in the late 1940s drug discovery and development has evolved into an expensive, time consuming, cumbersome and bureaucratic process involving multiple interest groups such as pharmaceutical manufacturers, governmental regulatory authorities, patent officers, academic and clinical researchers and trial lawyers. It would seem that the least involved among the interest groups are the consumers of health care themselves. Politicians and the public alike complain loudly about drug prices although fewer and fewer new therapies are being developed. The cost and complexities of drug discovery and development have shifted the investment equation away from the development of drugs targeting short course therapies for acute diseases and towards long-term treatment of chronic conditions. Coupled with the failure of large investments into target-based approaches to produce novel antibacterial agents, companies large and small have exited from this field despite a growing clinical need.
自20世纪40年代末抗生素时代来临以来,药物研发已演变成一个昂贵、耗时、繁琐且官僚化的过程,涉及多个利益集团,如制药商、政府监管机构、专利官员、学术和临床研究人员以及诉讼律师。在这些利益集团中,医疗保健消费者似乎是参与度最低的。尽管新疗法的研发越来越少,但政治家和公众都大声抱怨药价。药物研发的成本和复杂性使投资方向从针对急性疾病的短期疗法药物开发转向慢性病的长期治疗。再加上对基于靶点的方法进行大量投资未能产生新型抗菌药物,尽管临床需求不断增加,大大小小的公司都已退出该领域。