Global Biopharma R&D Boasts Increased Funding, Productivity and Product Launches in 2023, says IQVIA Institute Report
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Insights
The reported increase in clinical development productivity, with a composite success rate of 10.8%, indicates a more efficient and effective pharmaceutical R&D landscape. This uptick is significant for investors as it suggests a higher likelihood of investment in R&D converting into marketable products. The introduction of 69 novel active substances (NASs) represents a robust pipeline that could translate into revenue growth for biopharma companies, particularly those with first-in-class launches.
From a market perspective, the focus on cutting-edge modalities like cell and gene therapy and antibody-drug conjugates (ADCs), highlights a shift towards innovation with potentially higher margins. The increased deal activity, with a total value of $140Bn, underscores confidence in the sector's growth prospects, despite a drop in median deal value. The prominence of ADCs in these deals points to a strategic interest in targeted cancer therapies, which have been gaining traction due to their potential for improved efficacy and safety profiles.
The resurgence in biopharma R&D productivity is a positive signal for the industry's financial health and could impact stock valuations. A 17.4 value on the Clinical Development Productivity Index suggests a recovery from previous lows, which may restore investor confidence after the decline in R&D funding levels in 2022. The return to pre-pandemic funding levels of $72Bn and the increase in M&A activity are indicative of a robust investment environment.
It is important to note the geographic diversification in NAS launches, with China's rising domestic industry potentially creating new investment opportunities. However, the disparity between NAS launches in the U.S. and Europe could indicate regulatory and market access challenges. Investors should monitor the distribution of R&D funds and the strategic alignment of M&A activity with high-growth areas such as oncology and neurology, which could drive long-term returns.
The adoption of innovative trial designs and digital methodologies in clinical development is a critical factor in the improved success rates. These methodologies have the potential to reduce costs and shorten time-to-market for new therapies, benefiting both patients and biopharma companies. The shift in focus to areas like neurology and metabolic diseases aligns with global health trends and unmet medical needs, potentially leading to significant clinical advancements.
The surge in obesity trials by 68% and the development of oral GIP/GLP glucagon receptor agonists reflect an evolving treatment landscape for metabolic diseases. This could have profound implications for public health and healthcare spending, given the global rise in obesity rates. The emphasis on personalized medicine, as evidenced by the use of predictive biomarkers, may also lead to more effective and tailored treatments, further enhancing the value proposition of biopharma R&D investments.
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Clinical development productivity rose in 2023, primarily due to an improvement in the composite success rate, a function of phases successfully completed in the year, which rose to
10.8% . This was the highest level since 2018. - Industry and regulator adoption of innovative and technology-driven enablers contributed to productivity gains. These enablers included the use of predictive biomarkers, novel trial design, and digital and decentralized trial methodologies.
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A total of 69 novel active substances (NASs) were launched globally in 2023 – 6 more than the prior year – including 24 first-in-class launches in the
U.S. - Clinical development programs among larger biopharma companies are moving toward newer modalities, including cell and gene therapy, antibody drug conjugates, and radioligand therapies. This is coupled with an increased focus on neurology, infectious diseases, metabolic diseases (including obesity), and rare diseases.
- R&D funding levels and deal activity recovered in 2023 following a steep decline in 2022 from peak levels in 2020-21.
“The improvement in clinical productivity and composite success was notable across all therapy areas, particularly in Phases I and III and in regulatory review,” said Murray Aitken, executive director of the IQVIA Institute for Human Data Science. “This reflects industry-wide ingenuity and regulatory acceptance of innovative data and technology-driven enablers in trial design and digital trial execution. Clinical trial starts have returned to pre-pandemic levels, signaling a recognizable shift in pipelines and clinical development programs to a focus on innovative modalities in oncology, immunology, neurology and metabolic diseases.”
A few key highlights of the report include:
- Clinical development productivity: Industry-wide clinical development productivity rose primarily through better success rates, which surged from historic lows to the highest levels since 2018. Efforts to manage trial complexity and duration have had more mixed results. Clinical development productivity reached a value of 17.4 in 2023 on the Clinical Development Productivity Index, which provides a composite metric that combines success rates, clinical trial complexity and trial duration on an annual basis. This is compared to the 2010 base level of 20 and shows a continued rebound from a low of 12.8 in 2020, with the majority of this growth driven by an increase in success rates.
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Productivity enablers: Regulatory agencies are generally attempting to make changes which the industry finds positive, including greater simplication, transparency and speed, but the pace of change differs across geographies. Large pharmaceutical companies have shifted country utilization over the last decade by reprioritizing and rationalizing country selection for trials. Innovative program approaches, including use of biomarkers and compressed trial strategies, yield significant time savings and greater productivity. Novel trial designs were used in
18% of trials in 2021-2023, led by oncology where more than29% of trials use a novel design. Decentralized methodologies peaked but remain a stable feature of trial activity, albeit at a lower level than 2020, which was driven by COVID-19.
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New drug approvals and launches: A total of 69 novel active substances (NASs) were launched globally in 2023 – six more than the prior year – and representing a return to pre-COVID-19 levels. A total of 362 NASs have launched globally in the past five years, including 113 NASs launched in the
U.S. but not launched inEurope as of the end of 2023. While the number of NAS launches inChina is rising, an increasing number are not available in other countries, reflecting both a rising domestic industry and a mix of reduced barriers and rising incentives for multinational NAS launches.
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Clinical trial activity: Clinical trial starts declined
15% in 2023 from 2022, a third of which was driven by a reduction in COVID-19 trials. This decline also reflected a shift in clinical development programs among large biopharma companies away from immuno-oncology to a focus on hot spots, including cell and gene therapies, antibody-drug conjugates (ADCs), multi-specific antibodies and obesity treatments. Emerging biopharma companies started 416 fewer non-COVID-19 trials in 2023 than at the peak in 2021, while larger companies started 524 fewer. The top four diseases in trial starts – oncology, metabolic/endocrinology, immunology, and neurology – accounted for79% of those trial starts and declined less than other diseases. There was a notable increase of68% in obesity clinical trials in 2023 from 2022, nearly double the number from five years ago. This included 124 drugs in active development, of which46% have oral formulations in development and40% are GIP/GLP glucagon receptor agonists.
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R&D funding: In 2023, global funding of biopharmaceutical research and development increased to
, up from$72B n in 2022. In the same period, M&A activity jumped to$61B n from$140B n in 2022, while the median deal value fell for the second year in a row. The leading deals in 2023 included 11 that were over$78B n and were focused on cancer, neurology and cardiovascular diseases. The largest focus area of deals was antibody-drug conjugates (ADCs), which had six totaling$5B n .$90B n
About the IQVIA Institute for Human Data Science
The IQVIA Institute for Human Data Science contributes to the advancement of human health globally through timely research, insightful analysis and scientific expertise applied to granular non-identified patient-level data.
Fulfilling an essential need within healthcare, the Institute delivers objective, relevant insights and research that accelerate understanding and innovation critical to sound decision making and improved human outcomes. With access to IQVIA’s institutional knowledge, advanced analytics, technology and unparalleled data, the Institute works in tandem with a broad set of healthcare stakeholders to drive a research agenda focused on Human Data Science, including government agencies, academic institutions, the life sciences industry, and payers. More information about the IQVIA Institute can be found at www.IQVIAInstitute.org.
About IQVIA
IQVIA (NYSE:IQV) is a leading global provider of advanced analytics, technology solutions, and clinical research services to the life sciences industry. IQVIA creates intelligent connections across all aspects of healthcare through its analytics, transformative technology, big data resources and extensive domain expertise. IQVIA Connected Intelligence™ delivers powerful insights with speed and agility — enabling customers to accelerate the clinical development and commercialization of innovative medical treatments that improve healthcare outcomes for patients. With approximately 87,000 employees, IQVIA conducts operations in more than 100 countries.
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Kerri Joseph, IQVIA Investor Relations (kerri.joseph@iqvia.com)
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Trent Brown, IQVIA Media Relations (trent.brown@iqvia.com)
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Source: IQVIA
FAQ
How did the composite success rate in clinical development improve in 2023?
How many novel active substances (NASs) were launched globally in 2023?
What are some of the newer modalities that clinical development programs are moving towards?
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