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Phase IIIb & IV Studies Reflect The Evolution
  of Industry Needs And Market Realities

                      January 11, 2012


                        Hani Zaki
                      Managing Director
      Clinical Development Outsourcing Strategies, LLC
                     www.cdoStrat.com
An Industry In Transition
    Historical Perspective                        Present State                             Future State
Insulated from global economics       Tech/Info revolution + economic realities    in-step w/global data + economics




                                                                                   • Trading “conditional approvals”
                                        • A new global                               for proactive development
                                          healthcare, regulatory and               • Economics to take center stage
•   Commercially driven                   economic reality                         • Clin/Sci understanding to
•   Low clinical/scientific value       • Proactive safety focus: maintain           increase personalized medicine
•   Selective publications                benefits and reduce risks                • Sophistication in Dx will force
•   Increasing post-approval            • “Continuous Development” – No              faster adoption of disruptive
    obligations                           bright white lines between                 technologies (EHR)
                                          Phases; responsibility to generate       • Data, data, and more data
                                          and test hypotheses
Growing pipelines, profits, budgets    Shrinking pipelines, profits, budgets      Balanced pipelines, profits, budgets

• Broad budgets with spend              • Increasing questions and                  • Greater comfort for budgeting
  by commercial and R&D                   regulatory demands with shrinking           over product life-cycle
• Budgets increased YOY                   budget                                    • Increasing collaborations
• Sector allowed for “non-              • Clin/Sci understanding leading              (payors, pharma, regulators)
  traditional” innovations                to complex/expensive studies              • Increasing patient awareness
                                                                                      and collaboration

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Phase IIIB & IV Studies Reflect the Evolution of Industry Needs & Market Realities

  • 1. Phase IIIb & IV Studies Reflect The Evolution of Industry Needs And Market Realities January 11, 2012 Hani Zaki Managing Director Clinical Development Outsourcing Strategies, LLC www.cdoStrat.com
  • 2. An Industry In Transition Historical Perspective Present State Future State Insulated from global economics Tech/Info revolution + economic realities in-step w/global data + economics • Trading “conditional approvals” • A new global for proactive development healthcare, regulatory and • Economics to take center stage • Commercially driven economic reality • Clin/Sci understanding to • Low clinical/scientific value • Proactive safety focus: maintain increase personalized medicine • Selective publications benefits and reduce risks • Sophistication in Dx will force • Increasing post-approval • “Continuous Development” – No faster adoption of disruptive obligations bright white lines between technologies (EHR) Phases; responsibility to generate • Data, data, and more data and test hypotheses Growing pipelines, profits, budgets Shrinking pipelines, profits, budgets Balanced pipelines, profits, budgets • Broad budgets with spend • Increasing questions and • Greater comfort for budgeting by commercial and R&D regulatory demands with shrinking over product life-cycle • Budgets increased YOY budget • Increasing collaborations • Sector allowed for “non- • Clin/Sci understanding leading (payors, pharma, regulators) traditional” innovations to complex/expensive studies • Increasing patient awareness and collaboration