Evidence map›Paper›PMID 25159693›Full record

ArticleSocial science & medicine (1982)2015

Peering into the pharmaceutical "pipeline": investigational drugs, clinical trials, and industry priorities.

Jill A Fisher, Marci D Cottingham, Corey A Kalbaugh

Abstract read
In one paragraph

Article in Social science & medicine (1982), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–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

19 citing papers in PubMed.

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  15. Exceptional Risk: Healthy Volunteers' Perceptions of HIV/AIDS Clinical Trials.Journal of acquired immune deficiency syndromes (1999) · 2018
    Article
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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

3 authors.

Jill A FisherDepartment of Social Medicine, University of North Carolina at Chapel Hill, 333E MacNider Hall, CB #7240, Chapel Hill, NC 27599-7240, USA. Electronic address: jill.fisher@unc.edu.
Marci D CottinghamDepartment of Social Medicine, University of North Carolina at Chapel Hill, 324 MacNider Hall, CB #7240, Chapel Hill, NC 27599-7240, USA. Electronic address: cottingham@unc.edu.
Corey A KalbaughDepartment of Epidemiology, University of North Carolina at Chapel Hill School of Public Health, 2101 McGavran-Greenberg Hall, CB #7435, Chapel Hill, NC 27599-7435, USA. Electronic address: kalbaugh@email.unc.edu.

Funding

VANDERBILT UNIVERSITY CTSA FOR PEDIATRIC RESEARCHUL1RR024975 · NCRR · VANDERBILT UNIVERSITY · PI BERNARD, GORDON RAPHAEL · 2007 to 2011
$45.7M
The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Phase I Clinical Trials and the Informed Consent of Healthy SubjectsR21CA131880 · NCI · VANDERBILT UNIVERSITY · PI FISHER, JILL A · 2009 to 2010
$385k
NCATS NIH HHS UL1 TR000445NCI NIH HHS 5R21CA131880NCI NIH HHS R21 CA131880NCRR NIH HHS 1UL1RR024975NCRR NIH HHS UL1 RR024975
6 · The paper itself

Abstract

In spite of a growing literature on pharmaceuticalization, little is known about the pharmaceutical industry's investments in research and development (R&D). Information about the drugs being developed can provide important context for existing case studies detailing the expanding--and often problematic--role of pharmaceuticals in society. To access the pharmaceutical industry's pipeline, we constructed a database of drugs for which pharmaceutical companies reported initiating clinical trials over a five-year period (July 2006-June 2011), capturing 2477 different drugs in 4182 clinical trials. Comparing drugs in the pipeline that target diseases in high-income and low-income countries, we found that the number of drugs for diseases prevalent in high-income countries was 3.46 times higher than drugs for diseases prevalent in low-income countries. We also found that the plurality of drugs in the pipeline was being developed to treat cancers (26.2%). Interpreting our findings through the lens of pharmaceuticalization, we illustrate how investigating the entire drug development pipeline provides important information about patterns of pharmaceuticalization that are invisible when only marketed drugs are considered.

Indexed as

Clinical Trials as TopicDrug DesignDrug IndustryResearchAcquired Immunodeficiency SyndromeClinical Trials, Phase I as TopicClinical Trials, Phase II as TopicClinical Trials, Phase III as TopicDrug ApprovalDrugs, InvestigationalInternationalityMental DisordersMorbidityNeoplasmsPrescription Drug OveruseUnited StatesDrugs, InvestigationalCancerClinical trialsGlobal burden of diseaseHIV/AIDSMental illnessPharmaceuticalizationPharmaceuticalsR&D

Identifiers

PMID25159693
PMCPMC4334744

What OpenQuestion holds

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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.