[an error occurred while processing this directive]
[ Skip Navigation ]
old browser notice

Return To Special Issue Home

June 19, 2006
Volume 84, Number 25
p. 50

Accounting For R&D

Many Doubt The $800 Million Pharmaceutical Price Tag

Bette Hileman

It is a mantra among industry advocates that development of a novel drug—a new molecular entity—costs about $800 million. That figure, calculated in 2001 by the Tufts Center for the Study of Drug Development (CSDD), has now been adjusted for inflation and revised to $1.2 billion to $1.3 billion.

Pharmaceutical industry spokesmen use the figure to justify high drug prices. Even Food & Drug Administration officials repeat the number uncritically. Janet Woodcock, FDA's acting deputy commissioner for operations, says: "The cost to produce a successful new molecule has gone up very sharply and is now about $800 million."

What is the origin of this figure?

Joseph A. DiMasi, director of economic analysis at CSDD, performed the original calculation. He took 68 new molecular entities that industry had developed from scratch without any prior research by government or nonprofit organizations. After adding up the development costs for the 68 drugs, DiMasi came up with an average R&D cost of about $400 million per drug. He then asked: What could this $400 million have earned if it had been invested in the stock market for the eight to 10 years it takes to develop a typical medicine? This is known as the opportunity cost of capital. He assumed that the money would grow at 11% per year and calculated that $400 million actually cost industry about $800 million. In 2005, DiMasi took the $800 million figure and asked: "What is it worth today?" That is how he came up with an adjusted total of $1.2 billion to $1.3 billion.

Several aspects of this methodology are controversial. First, there is a dispute over whether most new molecular entities are developed without any research in academic or government labs, such as the National Institutes of Health. CSDD claims that the majority of drugs are developed entirely by pharmaceutical firms. It is only cancer and AIDS drugs that usually receive significant government-funded R&D before they are licensed to pharmaceutical companies, says Christopher-Paul Milne, assistant director of CSDD.

Many who study the pharmaceutical industry, however, say the majority of drugs are partially developed by NIH or by researchers at universities and other nonprofit institutions and then licensed to pharmaceutical firms. Some experts claim it is only the exceptional drug that is developed wholly by a drug company. In typical cases, they say, drugs are worked on for years by government or academic researchers but have not gone through clinical testing before being licensed to a large drugmaker. If significant development occurs before a pharmaceutical is licensed to a drug company, the total cost of R&D, including the license, is lower for the commercial firm because taxpayers' money has paid for a big portion of the R&D. Unfortunately, no researcher seems to have come up with precise figures on how much outside R&D goes into the average drug, says Daniel Carpenter, professor of government at Harvard University.

Another criticism of the CSDD figure is that DiMasi should have adjusted the $400 million figure downward to account for the R&D tax credit. Industry takes a federal tax credit of 20% on all R&D expenses above a certain base amount, and some states give additional R&D tax credits. Critics also say that an 11% annual growth rate for opportunity costs is unrealistically high.

Peter Lurie, deputy director of Public Citizen's Health Research Advisory Group, says the average cost of developing a drug is about $240 million. In calculating this total, he estimates that half the R&D cost of the average new molecular entity was paid for with taxpayer money. He does not compute the opportunity costs of the money that goes into drug development, because on the federal tax forms, R&D outlays are considered expenses that are paid for with that year's sales. They are not capitalized. And he accounts for the savings from the investment tax credit received as a rebate on R&D expenses.

Milne, however, defends the $1.2 billion estimate. The Federal Trade Commission critiqued CSDD's economic study and came up with an even higher figure, he says. It is standard practice to include opportunity costs in such an economic analysis, he explains.

Merrill Goozner, director of the Integrity in Science Project at the Center for Science in the Public Interest, has a different take on the issue: "Do you see any other industry that makes the argument that they are not going to invest in R&D if they don't get high prices? Every other industry says, 'We have to invest in R&D, or we don't come up with new products and processes.'"

MORE ON PHARMA FLUX

Pharma Flux

Fundamental changes erupt across the industry as companies strive to improve drug efficacy and safety and R&D efficiency in the face of negative public opinion

Patient Activism

Researchers Are Admonished To Stay Focused

NEXT STORY: Science - Improving Efficiency

C&EN SPECIAL ISSUE: Pharma's Road Ahead

Cover Page Thumbnail
Pharma's Road Ahead
Volume 84, Issue 25
June 19, 2006
Table Of Contents
Web Feature: The Human Face of Pharma

Seventeen individuals whose lives depend on, or whose livelihoods are affected by, the pharmaceutical industry offer unique perspectives on what pharma's future should be.

Glossary

Drug R&D Terminology

Investigational New Drug Application (INDA) is what a drug company files with the Food & Drug Administration to get permission to begin testing a candidate drug in humans.

Lead is a compound that has potential to treat disease.

Lead optimization involves modification of a lead compound to increase activity or minimize side effects.

New Drug Application (NDA) is what a drug company files with FDA to get permission to market a new drug after clinical trials provide evidence of its efficacy and safety.

Phase I clinical trial involves testing a candidate drug in a small group of healthy volunteers (20-100) to determine the drug's safety and tolerability; how long it is active; and how it is absorbed, distributed, metabolized, and excreted.

Phase II clinical trial involves testing a candidate drug in 100-500 volunteer patients to determine the drug's efficacy in treating the disease it is intended to cure or treat, side effects, and effective dose strength and dosing schedule.

Phase III clinical trial involves testing a candidate drug in larger numbers of volunteer patients (several hundred to thousands) suffering from a disease or diagnosed with a condition the drug is intended to cure or treat to get more information on efficacy, safety, and side effects.

Postmarketing surveillance constitutes ongoing monitoring of marketed drugs for safety and adverse events that are not revealed by clinical trials.

Preclinical testing of a drug candidate involves extensive laboratory and animal studies to evaluate biological activity against the disease target, safety, and pharmacokinetics.

Target is a protein that is believed to play a key role in a disease or condition.

Target validation involves determining a target's function and determining that the target can be modulated by a drug to produce a therapeutic effect-that it is "druggable."

NOTE: A comprehensive glossary of drug discovery is available at www.alzforum.org. SOURCES: www.phrma.org; www.ppdi.com

More on Pharma in Flux

Patient Activism

Researchers Are Admonished To Stay Focused

Accounting For R&D

Many Doubt The $800 Million Pharmaceutical Price Tag