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Key Tip – to Profile or not to Profile?
It was the White Queen from Alice in Wonderland who said she could imagine six impossible things before breakfast ... the Project Manager may not be so challenged but may be asked to balance two opposite approaches in early stage medicines development: planning with the expectation of success and the cheapest route to failure. At its simplest, the former carries the at-risk costs of formulation, manufacture, and conduct of clinical trials, whilst the latter will mean delay to market because essential parallel tasks have not been commenced.
At face value, the management challenge this presents is from the Dirty Harry manual of decision science i.e. 'do you feel lucky?' But this blunt choice can be softened somewhat by ensuring that you align to the objectives of your organisation.
Large pharma, despite cash constraints, may commit to at-risk studies and not be distracted by, for instance Phase 0.
At the opposite extreme, an early-stage company may focus just on First time in Humans (FTIH), or even progress to Proof of Concept (PoC) with a minimum package because success at either stage will increase the value of the asset prior to selling on.
But there is a real danger that FTIH or PoC becomes an end in itself and this is dangerous. Potential customers will use the lens of a Product Profile to evaluate the commercial value of the asset and it is essential that early stage companies do the same: a candidate for a chronic therapy that works in primary pharmacology ... but has a half life of 30 mins in FTIH? ... or works in PoC but only when given by IV infusion?
Think with the commercial end in mind: understand the Product Profile.
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