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“Top-Down” “Middle-Out” “Bottom-Up” - mcisb

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The Consequences<br />

• Fiercely competitive market<br />

• Technologies -> high throughput screening strategies<br />

using 100,000’s of compounds and biological assays<br />

relevant to disease mechanism<br />

• Refinement of compound structure & activity to<br />

enhance benefit and reduce potential for side effects<br />

• Increasing speed and volume through pipeline<br />

• BUT: Significantly increased output from Discovery<br />

into Development not mirrored by increased success<br />

in development. ….…… Why??<br />

Adriano M Henney PhD

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