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Objectives • New drug approval process • Pricing of new drugs • Off ...

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3/15/13%<br />

Transition probabilities 1993-2002<br />

DiMasi and Grabowski (2007a)<br />

NDAs are Filed Electronically and Can Consist <strong>of</strong><br />

as Many as 15 Different Sections:<br />

• Index<br />

• Summary<br />

• Chemistry, Manufacturing, and Control (CMC)<br />

• Samples, Methods Validation Package, and Labeling<br />

• Nonclinical Pharmacology and Toxicology<br />

• Human Pharmacokinetics and Bioavailability<br />

• Microbiology (for anti-microbial <strong>drug</strong>s only)<br />

• Clinical Data<br />

• Safety Update Report (typically submitted 120 days after the<br />

NDA's submission)<br />

• Statistical<br />

• Case Report Tabulations and Case Report Forms<br />

• Patent Information and Patent Certification<br />

• Other Information<br />

FDA Pain Points in Drug Development<br />

• Bureaucratic<br />

& slow<br />

• Not creative<br />

• Risk averse<br />

especially to<br />

innovative<br />

technologies<br />

7%

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