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ResearchBrief
2025Indicatorsof
Progressforthe
LifeSciencesSector
HOWWILLWEKNOWIFTHESECTOR
ISADVANCINGIN2025?
JANUARY
2025
TableofContents·
Overview1
1.Greatertrustinlifesciencescompanies3
2.Reductioninout-of-pocketcostsforpatients5
3.Expandedpatientaccesstohealthcareservices7
4.Progressonthe“MakeAmericaHealthyAgain”agenda9
5.Morefocusondiseasepreventionandearlyintervention11
6.Restoredgrowthintheemergingbiopharmasector13
7.Improvementsinclinicaldevelopmentdecision-making,15
processesandtechnologydeployment
8.Expandeduseofnoveladvancedtherapies17
9.HigherFreshnessIndexforlifesciencescompanyproductportfolios19
10.IncreasedcontributionfrommarketsoutsideofU.S.21
toglobalsalesforlifesciencescompanies
References23
AbouttheInstitute26
REFERENCINGTHISREPORT
Pleaseusethisformatwhenreferencingcontentfromthisreport:
Source:IQVIAInstituteforHumanDataScience.ResearchBrief:2025IndicatorsofProgressfortheLifeSciencesSector:
Howwillweknowifthesectorisadvancingin2025?Availablefrom
?2025IQVIAanditsaffiliates.Allreproductionrights,quotations,broadcasting,publicationsreserved.Nopartofthispublicationmaybereproducedor
transmittedinanyformorbyanymeans,electronicormechanical,includingphotocopy,recording,oranyinformationstorageandretrievalsystem,withoutexpresswrittenconsentofIQVIAandtheIQVIAInstitute.
2025IndicatorsofProgressfortheLifeSciencesSector:Howwillweknowifthesectorisadvancingin2025?
Overview
Theyearaheadforthelifesciencessectorwillbedefinedbyadvancesinscience,researchanddevelopment,
marketplacedynamics,economics,andpolitics.There
willbesuccessesandchallengesalongtheway,andnoshortageofuncertainty.Thisresearchbriefoutlines
severalfactorsthatcanbeusedasindicatorsofpositiveprogressin2025forthelifesciencesindustryacross
multipledomains,includingindustryreputation,
researchandclinicaldevelopmentproductivity,biotechfunding,earlyintervention,therapeuticinnovation,
patientaccesstohealthcareservices,andhealthpolicy.Theseindicatorsarenotintendedaspredictionsofwhatwillhappen—butratheraseriesofexplicitmarkersthatwillreflectprogressiftheyareachievedbytheendof
theyear.
?Greatertrustinlifesciencescompanies:Alackofpublictrustinthepharmaceuticalindustryleadstodiminishedpoliticalsupportandcredibility,patienthesitancy,andlessuseofmedicines.Progresswillberecognizedifthepositivepublicviewofthe
pharmaceuticalindustryimprovesto25%in2025from20%lastyear.
?Reductioninout-of-pocketcostsforpatients:
Drugpricesareperceivedbythepublictobetoohighlargelythroughtheout-of-pocketcostsborneby
patientswithorwithoutinsurance,andareaflashpointforpolicymakers,leadingtofinger-pointingamong
stakeholdersanddrivingmisguidedpolicies.Progressin2025willbeachievedifaveragebrandprescriptionout-of-pocketcostsfallbelow$25andtheshareof
brandprescriptionscarryingpatientcostsofmorethan$125fallstolessthan3%ofthetotal.
?Expandedpatientaccesstohealthcareservices:
Fewerinteractionsbetweenpatientsandhealthcareprofessionalsresultinfeweropportunitiesfor
medicinestobeconsideredastreatmentoptions
andtheirfullvaluedeliveredtopatients.Forthelifesciencessector,progresscanbemarkedbyproxy
measuressuchasthestabilizationofthenumberofactivepharmaciesin2025(wherepharmacyclosuresinover-saturatedareasareoffsetbyopeningsin
pharmacydesertareas);anincreaseof2%inthe
numberofprimarycareactiveprescriberstomatchgrowthinthe65+population;andgrowthinnew
brandprescriptionsof4%,upfromthe1.5%growthin2024.
?Inclusiveprogressonthe“MakeAmerica
HealthyAgain”(MAHA)agenda:AsthenextU.S.
administrationbringsnewapproachesandprioritiestothehealthcaresector,thepotentialexistsforpolicyandregulatoryactionsthatbringuncertainty,delaysanddisruptionfortheindustry.Apositiveindicatorin2025willbeaninclusiveapproach—includingthelifesciencessector—todefiningandpursuingaMAHA
agendathatinvolvespublic/privatefundingfocusedonpreventionandunderstandingdiseaseetiology.
?Morefocusondiseasepreventionandearly
intervention:Thelifesciencessectorremainsheavilydependentondevelopingandcommercializing
treatmentsforlate-stagediseaseandsymptom
management.ConsistentwiththeMAHAagenda,
progressinplacingmorefocusandfundingfordiseasepreventionandearlyinterventionwillbeanimportantindicatorfortheindustry.Thiscouldincludeimprovingvaccinationratesforchildrentopre-pandemiclevels
wheremorethan20statesreportMMRvaccinationratesinexcessof95%;andincreasedspendingonprimarycareto6%oftotalhealthspendingin2025.
Therewillbesuccessesand
challengesalongtheway,andnoshortageofuncertainty.
|1
?Restoredgrowthintheemergingbiopharma
sector:Emergingbiopharmacompaniesrequirestablefundingsourcesandexitstrategies,bothofwhichhavebeenchallengingoverthepastthreeyears.Sincethesecompaniesrepresentabout60%ofclinicaltrialactivityglobally,theirstrengthandgrowtharevitaltothe
broadersector.In2025,ariseintheXBIBiotechIndexof20%andgrowthinthevalueofannouncedM&A
biopharmadealsto$200Bnwillbeimportantpositiveindicatorsforthispartoftheinnovationecosystem.
?Improvementsinclinicaldevelopmentdecision-making,processes,andtechnologydeployment:
Pharmaceuticalresearchanddevelopmentis
highlyriskyandPhaseIIprojectsuccessrateshavehoveredstubbornlyaround30%inrecentyearsat
thetotalindustrylevel—resultinginhigherclinicaldevelopmentcostsandmorethan13yearselapsingfrompatentfilingtopatientavailabilityofnew
medicines.Manyeffortstoimprovedecision-making,processes,andtechnologydeploymentmaybe
reflectedinanincreaseinaveragePhaseIIsuccessratesforindustry-sponsoredinterventionaltrialstomorethan35%in2025andwouldmarkapositiveinflectionpointforthesector.
?Expandeduseofnoveladvancedtherapies:
Thelifesciencessectorhasmadegreatprogress
inbringingthroughdevelopmentandregulatory
approval,andgrowinganumberofnovelcellandgenetherapiesandotheradvancedmodalities.However,
Achievingtheindicatedlevelsof
changewillreflectmeaningful
advancementforthesector—
andpositiveoutcomesforother
stakeholderswhorelyonlifesciencesfortheadvancementofhealthandwellnessforall.
thelimitedaccessanduseofthesetherapiesbringsuncertainsustainabilitytothisareaofinnovation.
Positiveindicatorsofprogressin2025wouldbethe
increaseduseofCART-celltherapies,forexample,inthirdlineorlatermultiplemyelomatomorethan8%oftreatmentregimensintheU.S.and5%inEU4+UK.Additionally,bringingapprovedsicklecellgene
therapiesapprovedin2023totreatjust2%ofeligiblepatientsbytheendoftheyearwouldreflectpositivelyonthesenoveladvancedtherapies.
?HigherFreshnessIndexforlifesciencescompany
productportfolios:Balancingthecycleofinvestmentininnovationwiththegenerationofreturnsduringadefinedperiodofexclusivityisahallmarkofsuccessfullifesciencescompanies.Inrecentyears,product
portfolioshavenotbeenfullyreplenishedatthe
rateneededtosustaininvestmentininnovation.An
indicatorofprogressin2025wouldbeanimprovementintheFreshnessIndexthatwouldtaketheshareof
brandeddrugsalesfromlaunchesinthepriorfiveyearsfrom20%to25%,andtheshareofsalesfromlaunchesinthepriordecadefrom60%to65%.
?Increasedcontributionfrommarketsoutsideof
theU.S.toglobalsalesoflifesciencescompanies:Forglobalcompanies,over-dependenceonasingle
marketcanconcentratecommercialriskandincrease
theimpactofpolicychangesthatmaybeimposedtolimitgrowthinpayerexpenditureonmedicines.Inthiscontext,ametricofpositiveprogressin2025wouldbetheshareofglobalbrandeddrugsalesfromoutside
theU.S.increasingtomorethan40%,alevelnotseensince2013.
Collectively,these10indicatorsofprogressforthelifesciencessectorrepresentadiverserangeoffactors
thatcurrentlypreventtheindustryfromrealizingitsfullpotential.Achievingtheindicatedlevelsofchangewillreflectmeaningfuladvancementforthesector
—andpositiveoutcomesforotherstakeholderswhorelyonlifesciencesfortheadvancementofhealthandwellnessforall.
2|2025IndicatorsofProgressfortheLifeSciencesSector:Howwillweknowifthesectorisadvancingin2025?
|3
1.Greatertrustinlifesciencescompanies
Publictrustinthepharmaceuticalindustryhasdecreasedoverthelastfewyearstoapointwhereonly20%ofthepublichaspositiveviewsoftheindustryin2024,lower
thanallotherindustriesanddespiteaverysmallincreasefrom20231(Exhibit1).Thislackofpositivereputation
reflectsgeneralperceptionsthatpharmaceutical
manufacturersareprioritizingprofitsoveradvancesinpatientandpublichealththathavebeenamplifiedbyactionssuchasoff-labelmarketing,overcharginggovernmentprograms,andconcealingdata.2
WhiletheCOVID-19pandemicinitiallygavea
positiveboosttothepharmaceuticalindustryafter
vaccinesandtherapeuticswereintroduced3,thiswasreversed,partiallyinfluencedbycriticswhoblamed
pharmaceuticalcompaniesforworkinghand-in-handwithpublichealthauthoritieswhowereenforcingstrictmeasurestocombatthespreadofinfections,includingvaccinemandates,socialdistancingandlock-downs,
thatincreasinglybecamemoreunpopular.Lowtrustinfederal,stateandlocalpublichealthagenciesappeartohavebeenassociatedwithconcernsaboutprivatesectorinfluence,excessiverestrictions,andlowtrustingovernmentoverall.4
Exhibit1:RatingsofU.S.industriesandsectors,2023–24
Farming/AgricultureAccounting Sports Retail Education Airline Movie Television Banking LegalOilandGas
Advertising/Publicrelations
TheFederalGovernmentPharmaceutical
%2023%2024Changepct.pts.
43
31
36
36
35
34
34
35
25
24
21
25
18
59
46424240
37363535
28
27
26
25
20
64
5
3
11
6
2
2
2
2
1
3
3
1
5
2
%Very/Somewhatpositive
Source:
/poll/650318/grocery-restaurant-industry-images-slide.aspx
.
Lowtrustinfederal,stateandlocalpublichealthagenciesappeartohavebeenassociatedwithconcernsaboutprivatesectorinfluence,excessiverestrictions,andlowtrustingovernmentoverall.
Trustinthepharmaceuticalindustrymatters.5Itimpactsthewillingnessofpolicymakersandpolicyinfluencers
toworkwithandsupportindustry,andthewillingnessofhealthcareprovidersandpatientorganizations
topartnerwithindustry.Itcanimpactrecruitment
andretentionoftalent.Itcanimpactpatients’trust
inmedicinesandtheirwillingnesstoparticipatein
clinicaltrials.Anditcandrivevaccinehesitancy,the
abandonmentofprescribedtreatments,andlow
adherenceratesforchronicmedicines.Therefore,an
improvementinthepublictrustisessentialforthe
pharmaceuticalindustry.Thiswillrequirestrategicandsustainedeffortstoenhancethequalityofinformationsharedwiththepublic,toadvancetransparencyaboutindustryresearch,products,andbroaderpublichealthefforts,tolistentothepublicandpatients,andtobuildtrustingrelationshipsandpartnershipswithallrelevantstakeholders,includingclinicians,providers,payers,
patients,policymakersandpolicyinfluencers.
Thepharmaceuticalindustryhasmadeeffortsover
recentyearstocounterthenegativeperceptionsof
theindustryandboostitsreputation,includingthe
advertisingcampaign“GoBoldly,”amulti-yearefforttohighlightthecurrenteraofrevolutionarybiomedical
scienceandshowcasetheindustry’sunsungheroes
whoaredrivingcutting-edgeadvancesinscienceandhighlightingthetremendousopportunitythatexists
totacklethemostcomplexanddevastatinghealth
conditions.6Therearealsohopesthatrecentadvancesinnoveloncologytherapies,effectiveGLP-1obesity
medications,andotherbiotherapeuticinnovations,
suchascellandgenetherapies,willfurthersupporttherebuildingofapositiveindustryimage.
In2025,animprovementinthepublicviewofthe
pharmaceuticalindustrywillbeapositiveindicatorofprogressforthesector,especiallyifthepositiveviewincreasesfrom20%to25%ormore.Thiswouldstill
reflectalowlevelofpublicperceptionandtrust,butameasureableimprovementoverthecourseoftheyear.
INDICATOROFPROGRESS
Improvementinthepositivepublicviewofthepharmaceuticalindustryin2025
to25%from20%in2024
Trustinthepharmaceuticalindustrymatters.Itimpactsthewillingnessofpolicymakersandpolicyinfluencerstoworkwithandsupport
industry,andthewillingnessofhealthcareprovidersandpatientorganizationstopartnerwithindustry.
4|2025IndicatorsofProgressfortheLifeSciencesSector:Howwillweknowifthesectorisadvancingin2025?
|5
2.Reductioninout-of-pocketcostsforpatients
Patientout-of-pocketcostsforprescriptiondrugsareaflashpointintheU.S.healthcaresystemandunderpinmuchofthepoliticaldiscussionaboutdrugpricing.
Aggregateout-of-pocketcostsreached$91Bnin2023,anincreaseof$5Bnovertheprioryear,andlargely
associatedwithretailpharmacydrugs.
Morethan92%ofprescriptionshaveafinalout-of-pocketcostbelow$20,mostlyforgenericdrugsthatcarrylowpatientcosts;however,1%ofprescriptions,or71millionannually,haveassociatedpatientcostsabove$125.
Moreover,1%ofpatientsreachannualout-of-pocket
costsabove$2,000,andamongMedicarebeneficiaries,some3%reachthislevel,largelyduetobenefitdesign.7
During2024(throughOctober31),averagebrand
out-of-pocketcostsrosesharplyandreached$28.22,driveninpartbytheincreasingvolumeofprescriptionsforweight-lossdrugs,whichinsomecasesarenot
coveredbyinsurance(Exhibit2).Thepercentageof
brandprescriptionsfilledbypatientsandcarryingacostofmorethan$125alsoincreasedto4.3%oftotaltransactions.
Whiletheunderlyingdriversofpatientout-of-pocket
costsaremanyandvaried—includinginsurancedesign,pharmacybenefitmanagerpractices,CMSpolicy,
manufacturerpricing—thevisibilityofthesecostsandtheattentiontheydrawparticularlybypolicymakers
meantheycarrydisproportionateimportancetotheoveralllifesciencessector.
Exhibit2:Averagebrandout-of-pocketcostandshareover$125,2018—YTDOct2024
$30
$28
$26
$24
$22
$20
$18
$16
Averagebrand*out-of-pocketcost
5.0%
$28.22
4.5%
$26.01
4.0%
$25.72
$24.33
3.5%
3.0%
2.5%
2.0%
201820192020202120222023YTDOct2024
Shareofbrand*prescriptions
without-of-pocketcosts>$125
4.3%
4.0%
4.0%
3.6%
201820192020202120222023YTDOct2024
AllbrandsAllbrandsexclGLP-1s
Source:IQVIALibraries–Out-of-PocketCostLibrary,Oct2024;IQVIAInstitute,Dec2024.
*includesbrandsandbrandedgenerics.
Thevisibilityofthesecostsandtheattentiontheydrawparticularlyby
policymakersmeantheycarrydisproportionateimportancetotheoveralllifesciencessector.
6|2025IndicatorsofProgressfortheLifeSciencesSector:Howwillweknowifthesectorisadvancingin2025?
Fingerpointingamongstakeholdersastowhois
responsible,andpolicyinterventionsthattargetthesecostsbutcanhavesignificantunintendedconsequences,havebecomecommonplace.Therefore,progressin
reducingthelevelofout-of-pocketcostsandthenumberofAmericanswhofaceunaffordablelevelswilltranslatetoprogressforthelifesciencessectormorebroadly.
Throughout2024,anumberofbipartisanhealth
legislationswerepassedintheU.S.Congress,includinganextensionoftelehealthflexibilitythatoriginated
fromtheCOVID-19pandemic8,andarangeofhealth
legislationsregardingMedicare,poisoncontroland
Alzheimer’sdisease.9Despitebipartisanagreement
abouttheurgencytoreformandensuretransparencyaboutpharmacybenefitsmanagementtolowerdrugpricesandout-of-pocketcostsforpatients,legislationwasnotenacted.ThemomentumforPharmacyBenefit
ManagerPBM-reformwasgrowinginCongressfollowingareportbytheFederalTradeCommissionandseveral
committeehearingsbutCongresswasnotabletomoveforwardwithalegislativeinitiative.10
During2025wecanexpecttoseePBMlegislation
resurfaceinthenewCongress,whilefullimplementationoftheInflationReductionActwillcapcoinsurancefor
Medicarebeneficiariesat$2000.Meaningfulimpact
forpatients—andthelifesciencessector—wouldbe
achievediftheaveragebrandout-of-pocketcostreversestheupwardtrendseensince2021andfallsbelow$25
in2025.Inaddition,iffewerthan3%ofthebrand
prescriptionsfilledcarryout-of-pocketcostsover$125,thiscanbeseenasamarkerofprogressandwillreducethetensionsthatresultfromthecurrentlevelofpatientresponsibilityfordrugcosts.
INDICATORSOFPROGRESS
?AveragebrandOOPcostfallsbelow$25
?ShareofbrandprescriptionswithOOPover$125fallstolessthan3%
Progressinreducingthelevelofout-of-pocketcostsandthenumberof
Americanswhofaceunaffordablelevelswilltranslatetoprogressforthelifesciencessectormorebroadly.
|7
3.Expandedpatientaccesstohealthcareservices
Patientaccesstohealthcareservicesisafundamentalrequirementforahealthsystemtofunction.Increasedaccesstoservicescanpointtomorediagnoses,leadingtoearlierinitiationofpharmacotherapies,offering
treatmentoptionstoundertreatedpopulations,anddrivingappropriateuseofmedicines.Itisalsodirectlylinkedtotheabilityoflifesciencescompaniesto
contributetothepreventionortreatmentofdisease.
Accesstohealthcareserviceswasdisruptedduring
theCOVID-19pandemicandhasnotfullyrecovered,leavingscreening,diagnosis,andtreatmentgaps.7
Therearealsostructuralchallengestopatientaccess,includingtheclosureofnearly2,300pharmaciesintheU.S.sincethebeginningof2024.11Inaddition,useoftelehealthserviceshasdeclinedsincethepeakofthepandemic,andwhileCongresshasextendedmany
MedicaretelehealthflexibilitiesthroughMarch31,2025,intheAmericanReliefAct2025,thereremainslonger-termunpredictabilityinreimbursementfortelehealthproviders.12Therearealsohealthcareworkforce
challengesintheU.S.,wherethemedicalcolleges
projectaphysicianshortageofupto86,000physiciansby2036.13Therearesimilarchallengesgloballywithanestimatedshortageof6.4millionphysiciansin
132countries.14
Proxymeasuresforpatientaccesstohealthcareservicesincludethenumberofretailpharmaciesinoperation,
thenumberofactiveprescribersper100,000population,andgrowthinthenumberofprescriptionsfilledper
capita.Acrossthesemeasures,declininglevelof
availabilityanduseareobservedinthemostrecent2024data(Exhibit3).
Exhibit3:Patientaccesstohealthcareservices
IndexofretailpharmaciesJan2020
toOct2024
100
99
98
97
96
95
94
93
92
91
90
520
518
516
514
512
510
508
506
504
502
1-1-2020
7-1-2020
1-1-2021
7-1-2021
1-1-2022
7-1-2022
1-1-2023
7-1-2023
1-1-2024
7-1-2024
500
Activeprescribersper100kpopulation
>65years
2020202120222023YTDOct2024
10%
5%
0%
-5%
-10%
-15%
Percapitaprescriptiongrowth
2020202120222023YTDOct2024
NBRxTRx
Source:IQVIASupplierRelations,Nov2024.
Increasedaccesstoservicescanpointtomorediagnoses,leadingtoearlierinitiationofpharmacotherapies,offeringtreatmentoptionstoundertreatedpopulations,anddrivingappropriateuseofmedicines.
8|2025IndicatorsofProgressfortheLifeSciencesSector:Howwillweknowifthesectorisadvancingin2025?
Effortstoexpandpatientaccesstohealthcareservices—especiallyinunderservedpopulationsand
communities—havebeenpursuedbymultiplepolicyandbusinessinitiatives.Theexpansionoftelehealthservicesandreimbursementduringthepandemicisonesuchexample—notwithstandingthelong-termuncertaintythatremains.Homecaresolutions,wherehealthcareservicesaredeliveredinthepatient’s
home—turningthehomeintothe“hospitalofthe
future”—arealsobeingpurusedbyhealthsystems.15Theincorporationofdigitaltoolstoenableremote
monitoring,supportpatientengagementanddeliverdigitaltherapeuticsandcarealsoprovideexpandedopportunitiesforhealthcareservices.16
Improvementsinpatientaccesstohealthcareservicesin2025willbeapositiveindicatorforlifesciences
companies.Proxymeasurescanbeusedtoreflect
progressduringthecourseoftheyear.Stabilizationinthenumberofretailpharmaciesatthelevelrecordedattheendof2023wouldmarkprogress,especially
totheextentthatclosuresofpharmaciesinover-
saturatedurbanareasareoffsetbynewpharmacies
openingin“pharmacydeserts”orcommunitiescurrentlyunderserved.Anincreaseinthenumberofactive
primarycarephysiciansrelativetothepopulationovertheageof65wouldalsobeapositivemeasureifthis
returnedtothe2023levelof518family/internalmedicineprescribersper100,000populationover65years.
Finally,anotherpositivemeasurewouldbegrowthin
newbrandprescription(NBRx)startsrisingfrom1.5%fortheyear-to-dateOctober2024tomorethan4%in
2025,asseeninthepriorthreeyears,andsignallingtheinitiationoftreatmentformorepatients.
Stabilizationinthenumberofretail
pharmaciesatthelevelrecordedattheendof2023wouldmarkprogress.
INDICATORSOFPROGRESS
?Numberoftotalactivepharmaciesstabilizesatthelevelseenattheendof2023
?Numberoffamily/internalmedicineactiveprescribersreaches518per100,000populationover65years,anincreaseof2%overthenumberinOctober2024andareturntothelevelof2023
?GrowthinNBRxofmorethan4%in2025,upfrom1.5%inYTDOctober2024
|9
4.Progressonthe“MakeAmericaHealthyAgain”agenda
ThenewTrumpadministrationandthenominated
secretaryfortheDepartmentofHealthandHuman
Services,RobertF.KennedyJr.,havepromiseda
sweepingefforttooverhaulU.S.healthpoliciesunderthe“MakeAmericaHealthyAgain”(MAHA)slogan.
Keyelementsintheambitiousplansincludeanew
strategyforcurbingtheriseinchronicdiseasesin
America,firstandforemostamongchildren,but
amongAmericansofallagesaswell,bansand/or
restrictionsontheuseofchemicalsinagricultureand
food,andareformoftheleadinghealthagenciesin
theU.S.,includingtheFDA,NIHandCDCaimingto
cleanupallegedcorruptionintheinteractionbetweengovernmentofficialsandindustrylobbyists.Inaddition,effortstoreduceover-regulationacrossallpartsof
theeconomycouldalsohaveanimpactonregulatory
reviewsandguidancethataffectlifesciencescompanies,includingnewdrugapprovals,safetymonitoring,and
long-termfollow-upstudies.
RobertF.KennedyJr.—whoissubjecttoSenate
confirmation—hasmadeacallforarobusteffortto
combattheriseinchronicdiseasesintheU.S.,which
reflectsthebroadrecognitionoftheseriousnature
ofthisissue,asevidencedbyanabundanceofdata.17Theadministration’semphasisisexpectedtobeon
understandingandaddressingtherootcausesof
chronicdiseases,includinglifestyle,foodandnutrition,andtheenvironment.
PlansbytheDepartmentofGovernmentEfficiency
(DOGE)mayalsofallundertheMAGAagenda,in
particularthosethatincludereducingregulatory
barrierstolower-cost,higher-qualityhealthinsuranceandmedicalcare.Somehavesuggestedthiswould
involvemajorreformsoftheroleandoperationof
theFoodandDrugAdministration18andcouldlead
toareductionintheelapsedtimefornewlypatented
medicinestobelaunchedintheU.S.,whichcurrently
standsatamedianof13.8yearsfornewdrugslaunchedthroughSeptember30,2024,thelongestperiodsince2017(Exhibit4).
Exhibit4:TimefromfirstpatentfilingtoU.S.launchfornovelactivesubstances,2014-2024
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
20142015201620172018201920202021202220232024*
.0-5years6-10years.11-15years16-20years.20+yearsMedian
20
10
0
Source:IQVIAInstituteNASDatabase,December2024.
*YTDSept30,2024.
10|2025IndicatorsofProgressfort
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