Evidence map›Paper›PMID 24833294›Full record

ReviewNature reviews. Drug discovery2014

Lessons learned from the fate of AstraZeneca's drug pipeline: a five-dimensional framework.

David Cook, Dearg Brown, Robert Alexander, Ruth March, Paul Morgan, Gemma Satterthwaite, Menelas N Pangalos

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Drug discovery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 511 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
511citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

511 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Implementation of the In Vitro Seizure Liability Assay (iLAPharmacology research & perspectives · 2026
    Article
  6. Key regulatory elements of the TGFβ-LRRC15 axis predict disease progression and immunotherapy resistance across cancer types.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  7. Article
  8. Building structure activity relationships to avoid toxicity due to unwanted central nervous system ion channel activity.Toxicological sciences : an official journal of the Society of Toxicology · 2026
    Article
  9. Review
  10. Review
  11. Article
  12. Review
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451 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

David CookAstraZeneca, Innovative Medicines and Early Development, Alderley Park, Macclesfield SK10 4TG, UK.
Dearg BrownAstraZeneca, Innovative Medicines and Early Development, Alderley Park, Macclesfield SK10 4TG, UK.
Robert AlexanderAstraZeneca, Innovative Medicines & Early Development, 141 Portland Street, 10th Floor Cambridge, Massachusetts 02139, USA.
Ruth MarchAstraZeneca, Innovative Medicines and Early Development, Alderley Park, Macclesfield SK10 4TG, UK.
Paul MorganAstraZeneca, Innovative Medicines and Early Development, Alderley Park, Macclesfield SK10 4TG, UK.
Gemma SatterthwaiteAstraZeneca, Innovative Medicines and Early Development, Alderley Park, Macclesfield SK10 4TG, UK.
Menelas N PangalosAstraZeneca, Innovative Medicines and Early Development, Alderley Park, Macclesfield SK10 4TG, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Maintaining research and development (R&D) productivity at a sustainable level is one of the main challenges currently facing the pharmaceutical industry. In this article, we discuss the results of a comprehensive longitudinal review of AstraZeneca's small-molecule drug projects from 2005 to 2010. The analysis allowed us to establish a framework based on the five most important technical determinants of project success and pipeline quality, which we describe as the five 'R's: the right target, the right patient, the right tissue, the right safety and the right commercial potential. A sixth factor - the right culture - is also crucial in encouraging effective decision-making based on these technical determinants. AstraZeneca is currently applying this framework to guide its R&D teams, and although it is too early to demonstrate whether this has improved the company's R&D productivity, we present our data and analysis here in the hope that it may assist the industry overall in addressing this key challenge.

Indexed as

Biomedical ResearchDrug DesignDrug DiscoveryDrug IndustryModels, OrganizationalAnimalsClinical Trials as TopicDecision Making, OrganizationalDrug Evaluation, PreclinicalDrugs, InvestigationalEfficiency, OrganizationalHumansOrganizational CultureResearch Support as TopicTechnology, PharmaceuticalDrugs, Investigational

Identifiers

PMID24833294

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.