OnCo
ideasIdea

Scale up public drug development that takes academic assets to phase 1

The US government already runs a small programme that turns academic cancer discoveries into drugs ready for human trials. Scale it up tenfold and copy it in other countries.

NCI's Experimental Therapeutics (NExT) programme and the Cancer Research UK Centre for Drug Development show that public bodies can run medicinal chemistry, pharmacology and IND-enabling work on academic targets and then license candidates to companies. Both are small relative to the pipeline of stranded academic discoveries. The proposal is to expand these to tens of concurrent programmes each, prioritising undruggable and neglected targets, with explicit licensing-out at phase 1 or 2 and revenue returning to the programme. Public development is also the natural home for assets with no commercial sponsor (rare cancers, generics, combinations of competitors' drugs).

Hypothesis
A tenfold expansion of public drug development capacity brings at least fifteen academically-originated oncology candidates to phase 1 per year within six years and results in at least five licences to industry on terms that recover a meaningful share of costs.
Rationale
NExT has progressed multiple agents to the clinic and licensed several; CRUK's centre has taken dozens of agents into humans and contributed to approved drugs (including through its early support of PARP inhibitor and abiraterone development). The model works at small scale; the question is whether it scales, which the pilot tests.
What would test it
Fund an expansion tranche of ten new programmes with public milestone reporting and compare progression and licensing rates with the historical programme baseline.
Maturity
early clinical
Who has to act
policy
Cost to try
Large (over $50M)
Years to first evidence
6
Bottlenecks it attacks

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