ABSTRACT

IX. POPULATION TOXICOKINETICS 251 X. SUMMARY

REFERENCES

I. INTRODUCTION The pharmaceutical companies throughout the world are undergoing the big­ gest upheaval in their history. With mergers and buy outs, thousands of jobs have been lost and analysts feel that many small companies without a certain critical mass will either be swallowed up by the bigger fish or just sink to the bottom of the pool and disappear. In contrast, the larger companies have re­ alized that they cannot afford to invest increasingly large amounts on research and not only are they critically appraising staffing levels, but also the question­ able need of certain currently undertaken development studies. Costs are con­ tinuing to increase-a new drug costs between $200-300 million-but the re­ turns in terms of new drugs are falling as governments everywhere are cutting their health care expenditures. Only a small fraction of drugs synthesized enter development and it has been estimated by analysts at Lehmann Brothers that less than 3% of all drugs that do finally reach the market achieve sales figures of $500 million within 5 years, the figures necessary to make the total invest­ ment worthwhile.