eprintid: 20112 rev_number: 11 eprint_status: archive userid: 1589 dir: disk0/00/02/01/12 datestamp: 2016-02-17 10:39:23 lastmod: 2024-03-24 18:43:39 status_changed: 2016-02-17 10:39:23 type: article metadata_visibility: show creators_name: Wendler, Alexandra creators_name: Wehling, Martin title: Translatability scoring in drug development: eight case studies subjects: ddc-610 divisions: i-61900 abstract: Translational medicine describes the transfer of basic in vitro and in vivo data into human applications. In the light of low rates of market approvals for new medical entities, better strategies to predict the risk of drug development should be used to increase output and reduce costs. Recently, a scoring system to assess the translatability of early drug projects has been proposed. Here eight drugs from different therapeutic areas have been subjected to a retrospective test-run in this system fictively located at the phase II-III transition. The scores gained here underline the importance of biomarker quality which is pivotal to decrease the risk of the project in all cases. This is particularly evident for gefitinib. The EGFR mutation status is a breakthrough biomarker to predict therapeutic success which made this compound clinically acceptable, and this is plausibly reflected by a considerable increase of the translatability score. For psychiatric and Alzheimer's drugs, and for a CETP-inhibitor, the lack of suitable biomarkers and animal models is reflected by a low translatability score, well correlating with the excessive translational risk in these areas. These case studies document the apparent utility of the scoring system, at least under retrospective conditions, as the scores correlate with the outcomes at the level of market approval. Prospective validation is still missing, but these case studies are encouraging. date: 2012 publisher: BioMed Central id_scheme: DOI ppn_swb: 165716022X own_urn: urn:nbn:de:bsz:16-heidok-201126 language: eng bibsort: WENDLERALETRANSLATAB2012 full_text_status: public publication: Journal of Translational Medicine volume: 10 number: 39 place_of_pub: London pagerange: 1-11 issn: 1479-5876 citation: Wendler, Alexandra ; Wehling, Martin (2012) Translatability scoring in drug development: eight case studies. Journal of Translational Medicine, 10 (39). pp. 1-11. ISSN 1479-5876 document_url: https://archiv.ub.uni-heidelberg.de/volltextserver/20112/1/12967_2011_Article_1021.pdf