Wardell W M, Hassar M, Anavekar S N, Lasagna L
Clin Pharmacol Ther. 1978 Aug;24(2):133-45. doi: 10.1002/cpt1978242133.
Information was obtained on 1,103 new chemical entities (NCEs) first tested in man from 1963 through mid-1975 by 36 U. S.-owned and 10 foreign-owned pharmaceutical companies operating in the U. S. Of these NCEs 1,029 reached the stage of IND filing. The portion of the U. S. industry responsible for the NCEs was relatively concentrated; 7 of the 36 companies accounted for half of the NCEs and 4 of these accounted for one-third. Although the annual worldwide rate of testing of NCEs by U. S. companies appeared to rise and then fall from 1963 through 1966, since 1966 the rate has been fairly constant. With time, however, a higher proportion of U. S.-owned NCEs is being first studied in man abroad. The annual rate of IND filings for U. S.-owned NCEs generally declined from 1965 to 1972, whereas the rate was fairly constant for foreign-owned NCEs over the entire period. The overall success rate in drug development has been low; nearly 90% of the NCEs studied in man are dropped prior to NDA submission, but about 88% of the NDAs submitted are approved for market. The 1974-1975 data indicate that the mean durations of the IND and NDA phase were then 4 and 2 years, respectively. However, there were variations in the time required for DNA approval between different pharmacologic areas. The data described in this paper represent the first baselines against which future trends in the processes of drug development and approval can be measured.
收集了1963年至1975年年中期间,在美国运营的36家美国制药公司和10家外国制药公司首次在人体进行测试的1103种新化学实体(NCE)的信息。在这些NCE中,1029种进入了IND申报阶段。负责NCE的美国制药行业部分相对集中;36家公司中的7家占了NCE的一半,其中4家占了三分之一。尽管从1963年到1966年,美国公司每年在全球范围内测试NCE的速率似乎先上升后下降,但自1966年以来,该速率一直相当稳定。然而,随着时间的推移,越来越多的美国NCE首先在国外进行人体研究。美国NCE的IND申报率从1965年到1972年总体呈下降趋势,而外国NCE在整个期间的申报率相当稳定。药物研发的总体成功率一直很低;在人体中研究的NCE中,近90%在提交NDA之前就被放弃了,但提交的NDA中约88%被批准上市。1974 - 1975年的数据表明,当时IND阶段和NDA阶段的平均持续时间分别为4年和2年。然而,不同药理领域的NDA批准所需时间存在差异。本文所述数据代表了首个基线,可据此衡量药物研发和批准过程中的未来趋势。