Estimates of Clinical Attrition
Anyway, here's a toy analysis - Clinical attrition rates are the subject of a lot of analyses, the most rigorous ones usually involve the survey of a set of large pharma companies, and then analysis of the attrition. This is simple, and has led to various estimates of around 1:10 survival from phase 1 to launch to a 1:20 number. So 90 to 95% of compounds entering clinical trials fail, success probability is about 0.05. My hunch is that this is an underestimate - Logically, large pharma should be the best at pushing things through development, and if analysis is restricted to this best-in-class subset, surely the attrition of the remainder should be higher. Let's do a back of the envelope calculation, and let the data speak - or at least point us to the data we actually need to put together in order to do it right. I don't have time to point to some references for these numbers, that is for another day; remember, I'm only half way through my list of urgent things to do, or I will be in trouble.....
So, picking up on the discussion of kinase inhibitor attrition recently - about 20% of the USAN named compounds make it to market - this is roughly the same as the non-kinase set of drugs (data not shown). So this is 1:5 attrition (or 0.2 probability). Now, for the kinases, we have a pretty good set of data for all compounds that have entered clinical trials, and the ratio of non-USAN to USAN compounds is about 3:1, so using a steady state assumption (which is probably reasonable, data not shown, but the subject of a future post), gives a transition probability from entering clinical trials to non-proprietary name assignment of 0.25.
So overall, the attrition, from this small, but well characterised set is (0.2 * 0.25) which is 0.05, or 1 in 20. So things hang together quite well, and the number is sorta consistent with other analyses. Next some correlation with chemical properties.