Alzheimer’s treatment pipeline remains large despite 95% attrition rate

The overall attrition rate across all phases is 95 percent, which further highlights that AD is a very high-risk indication for drug development

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While drug candidates for Alzheimer's Disease (AD) fail at a much higher rate than the pharmaceutical industry average, the total number of active drugs in the AD treatment pipeline is relatively large at 583, implying a high level of commercial interest, says GBI Research.

Its latest report states that 77 percent of AD pipeline drugs are in early stages of development, such as the discovery and preclinical phases, whereas therapeutics in phase III development occupy only 3 percent of the overall pipeline, reflecting a high level of attrition in late-stage trials.

Analysis of a large number of clinical trials conducted in the AD market since 2006 yielded an extremely high failure rate across all phases of development: 44 percent for phase I, 69 percent for phase II and 76 percent for phase III, with the latter having almost three times the rate of failure compared with the pharmaceutical industry as a whole.

The overall attrition rate across all phases is 95 percent, which further highlights that AD is a very high-risk indication for drug development.

In light of these findings, the size of the AD developmental pipeline is surprising, but also indicative of the considerable unmet need and substantial commercial opportunities for strong products.

 

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