Evidence map›Paper›PMID 40214707›Full record

ArticlePharmaceutical medicine2025

Cost and Duration of Clinical Trials in Drug Development by Japanese Pharmaceutical Companies.

Norihiro Okada, Yosuke Takahashi

Abstract read
In one paragraph

Article in Pharmaceutical medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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

2 authors.

Norihiro OkadaOffice of Pharmaceutical Industry Research, Nihonbashi Life Science Bldg., 2-3-11 Nihonbashi-honcho, Chuo-ku, Tokyo, 103-0023, Japan. opir-sp@jpma.or.jp.
Yosuke TakahashiOffice of Pharmaceutical Industry Research, Nihonbashi Life Science Bldg., 2-3-11 Nihonbashi-honcho, Chuo-ku, Tokyo, 103-0023, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUnderstanding parameters such as cost and duration, which reflect the scale of clinical trials, is essential for government agencies to formulate pharmaceutical policies and for pharmaceutical companies to strategically allocate resources. As most studies on clinical trial costs and durations have primarily focused on pharmaceutical companies developing drugs in the USA, understanding actual trial costs and durations for Japanese pharmaceutical companies engaged in global development or development within their own countries remains challenging.

objectivesThis study aimed to clarify the actual phase-specific costs and durations of clinical trials conducted by leading Japanese pharmaceutical companies and to identify the factors influencing these parameters.

methodsWe conducted a questionnaire-based survey among 22 pharmaceutical companies headquartered in Japan. Respondents from each company retrospectively identified clinical trials for new drug applications or for expanding approved disease indications, conducted between 2012 and 2022, providing cost and duration data of each clinical trial. We calculated summary statistics for costs and durations by phase and conducted an exploratory analysis of the variables influencing these parameters.

resultsIn total, 631 projects with clinical trials conducted by these companies were analyzed. The median costs in the analysis population were 859 million Japanese yen (JPY) for Phase 1, 1,739 million JPY for Phase 2, and 4,183 million JPY for Phase 3. For reference, the median annual average exchange rates during the study period were 109 JPY per US dollar (USD) and 130 JPY per euro (EUR). The median durations were 20 months for Phase 1, 29 months for Phase 2, and 31 months for Phase 3. For projects targeting approval only in Japan, the median Phase 3 cost was 3,050 million JPY, while for projects targeting approval involving the USA or Europe, it was 8,083 million JPY.

conclusionsThis study quantifies the costs and durations incurred by Japanese pharmaceutical companies in conducting clinical trials, revealing the high costs associated with projects targeting approval involving the USA or Europe. The findings highlight the substantial investments required by the Japanese pharmaceutical industry to bring new drugs to the global market.

Indexed as

Clinical Trials as TopicDrug DevelopmentDrug IndustryDrug CostsJapanRetrospective StudiesSurveys and QuestionnairesTime Factors

Identifiers

PMID40214707
PMCPMC12126346

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Registered trials

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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.