FDAers Find Increases in Tropical Disease Drug Development

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Three FDA researchers writing in the online PLOS journal have found a significant increase in the development of new tropical disease drugs after Congress enacted the priority review voucher legislation. They note data showing increases for both high- and low- prevalence conditions. In the post-voucher period, development has centered on three diseases: dengue, malaria, and tuberculosis. This is not surprising, given that these are very high-prevalence conditions, which will therefore have large markets for approved drugs, the researchers write. “However, the results of the statistical analysis indicate that only the increase in development of drugs for low-prevalence tropical diseases is statistically significant. Therefore, while the total number of development programs is larger for high-prevalence conditions, the proportional increase has been much higher for low-prevalence conditions as a group.”


The researcher also note that while there have been many drug development programs begun for such diseases, the rate of failure remains high. “Most tropical disease drug development programs begun between 2007–2013 have already failed, many without even reaching clinical development,” they write. “This level of failure is not unusual in drug development. However, because the [voucher] is a prize awarded only after successful development and provides no compensation if development fails, it is possible that if failure rates remain high, companies will determine that the cost of development is not worth the potential prize, and drug development starts will return to pre-voucher levels.”

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