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efficacious for depression only, a 15% probability for weight loss only, and a 5%probability that it would be efficacious for both depression and weight loss at thesame time. It is worth not<strong>in</strong>g here, accord<strong>in</strong>g <strong>to</strong> FDA, a pharmaceutical must provedual <strong>in</strong>dications <strong>in</strong> addition <strong>to</strong> prov<strong>in</strong>g each <strong>in</strong>dication separately if it wants <strong>to</strong> be able<strong>to</strong> claim therapeutic effects for people from both disorders. Like Phase I, Phase IIwould require two years <strong>of</strong> cl<strong>in</strong>ical test<strong>in</strong>g <strong>to</strong> complete. Phase II was expected <strong>to</strong> cost$40 million, <strong>in</strong>clud<strong>in</strong>g a $2.5 million licens<strong>in</strong>g miles<strong>to</strong>ne payment <strong>to</strong> LAB.Phase IIIIn Phase III, Davanrik would be adm<strong>in</strong>istrated <strong>to</strong> 1000-5000 volunteers <strong>to</strong> determ<strong>in</strong>esafety and efficacy <strong>in</strong> long term use. Because <strong>of</strong> the number <strong>of</strong> volunteers and nature<strong>of</strong> test<strong>in</strong>g, this was the most costly <strong>of</strong> the phases and was expected <strong>to</strong> take three years<strong>to</strong> complete. The costs and probabilities <strong>of</strong> success depended on the outcome fromPhase II. If Davanrik was effective for only depression, Phase III trials would cost$200 million <strong>in</strong>clud<strong>in</strong>g a $20 million payment <strong>to</strong> LAB, and have an 85% chance <strong>of</strong>success. If it were effective for weight loss only, it would cost $150 million <strong>in</strong>clud<strong>in</strong>ga $10 million LAB payment, and have a 75% chance <strong>of</strong> success. If, however, it wasefficacious for both weight loss and depression, more specialised trials would berequired <strong>to</strong> determ<strong>in</strong>e efficacy for the dual <strong>in</strong>dication. The <strong>to</strong>tal cost <strong>of</strong> the Phase IIIcl<strong>in</strong>ical tests for the two separate <strong>in</strong>dications <strong>to</strong>gether with the dual <strong>in</strong>dication wasexpected <strong>to</strong> be $500 million, <strong>in</strong>clud<strong>in</strong>g a $40 million licens<strong>in</strong>g payment <strong>to</strong> LAB, andhad a 70% chance <strong>of</strong> successful outcome. Under this scenario, there was a 15%chance <strong>of</strong> a successful outcome for depression only, and a 5% chance <strong>of</strong> a successfuloutcome for weight loss only. The probability <strong>of</strong> complete failure <strong>of</strong> the dual<strong>in</strong>dications or either separate <strong>in</strong>dication was only 10%.Davanrik had substantial potential pr<strong>of</strong>its, especially if it was effective both as atreatment for depression and weight loss, if the drug were approved only for thetreatment <strong>of</strong> depression, it would cost $250 million <strong>to</strong> launch, and had acommercialization present value <strong>of</strong> $1.2 billion. If Davanrik were only approved forPage | 41

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