BMJ 2005;331:895-897 (15 October), doi:10.1136/bmj.331.7521.895
Education and debate
Disappointing biotech
Roberta Joppi, visiting scientist1,
Vittorio Bertele', head, regulatory policy laboratory1,
Silvio Garattini, director1
1 Mario Negri Institute for Pharmacological Research, Via Eritrea 62, 20157 Milan, Italy
Correspondence to: S Garattini garattini@marionegri.it
Biotechnology offered the hope of cheaper and better drugs. Analysis of biotech products licensed in Europe shows the reality is somewhat different
| The first 150 words of the full text of this article appear below. |
Introduction
The advent of DNA recombinant techniques and other biotechnologies
has raised expectations for more selective drugs. The techniques
promise "magic bullets" that are better tolerated because they
are more similar to endogenous products and cheaper to make
thanks to potential large scale production. Thus biotech products
offer a good model for assessing the level of therapeutic innovation
of drugs. We assessed the biotech medicines approved by the
European Medicine Evaluation Agency from its inception in 1995
to 2003, when the European pharmaceutical law was revised.
1 The agency approved 87 biotech products, corresponding to 65
active ingredients, during this period. Four were approved for
diagnostic purposes. How innovative were the 61 licensed with
more therapeutic indications?
Innovation of biotech substances
The box shows the 61 active substances classified according
to their type of benefit compared with existing treatment or
placebo, as appropriate (see bmj.com for details of the indications).
We obtained the information from the
. . . [Full text of this article]
Evidence supporting innovation
Poorly assessed poor innovation

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