The endless frontier? The recent increase of R&D productivity in pharmaceuticals

Background: Studies on the early 2000s documented increasing attrition rates and duration of clinical trials, leading to a representation of a "productivity crisis" in pharmaceutical research and development (R&D). In this paper, we produce a new set of analyses for the last decade and report a recent increase of R&D productivity within the industry. Methods: We use an extensive data set on the development history of more than 50,000 projects between 1990 and 2017, which we integrate with data on sales, patents, and anagraphical information on each institution involved. We devise an indicator to quantify the novelty of each project, based on its set of mechanisms of action. Results: First, we investigate how R&D projects are allocated across therapeutic areas and find a polarization towards high uncertainty/high potential reward indications, with a strong focus on oncology. Second, we find that attrition rates have been decreasing at all stages of clinical research in recent years. In parallel, for each phase, we observe a significant reduction of time required to identify projects to be discontinued. Moreover, our analysis shows that more recent successful R&D projects are increasingly based on novel mechanisms of action and target novel indications, which are characterized by relatively small patient populations. Third, we find that the number of R&D projects on advanced therapies is also growing. Finally, we investigate the relative contribution to productivity variations of different types of institutions along the drug development process, with a specific focus on the distinction between the roles of Originators and Developers of R&D projects. We document that in the last decade Originator-Developer collaborations in which biotech companies act as Developers have been growing in importance. Moreover, we show that biotechnology companies have reached levels of productivity in project development that are equivalent to those of large pharmaceutical companies. Conclusions: Our study reports on the state of R&D productivity in the bio-pharmaceutical industry, finding several signals of an improving performance, with R&D projects becoming more targeted and novel in terms of indications and mechanisms of action

Influence of fluid-mechanical coupling in gas generation in undersaturated petroleum reservoirs

Among the several mechanisms of producing an oil reservoir, the gas expansion mechanism is an important primary recovery process. During the depletion of the reservoir, the pore pressure may reach values below the bubble pressure of the oil, allowing the gas release. From the geomechanical point of view, the change in pore volume, due to production, changes the dynamics of gas generation, since it is dependent upon the change in pore pressure. Studies considering the fluid-mechanical coupling show the relationship between variations of fluid pressure and porous structure of the reservoir. This work aims to study the influence of the fluid-mechanical partial coupling (one and two-way) in the process of gas release during recovery of hydrocarbon. It was used the partial coupling methodology developed by ATHENA/GTEP – PUC-Rio. The model called “A” has only one producing well, while the model called “B” has four injection wells, besides the producer. Initially, the oil present in the reservoir is in undersaturated condition. In model “A” was observed that the pressure drop of fluid is more accentuated, until it reaches the bubble pressure, when considering the two-way coupling. Consequently, the gas release initiation occurs earlier than one-way coupling scheme. After starting gas generation, the rates of pressure change in both partial coupling scenarios tend to equalize. In terms of compaction and subsidence, it was observed most significant displacements values in two-way coupling, highlighting the rigorous consideration of the geomechanical effects in the applied methodology. In model “B”, it was observed that the consideration of the two-way coupling resulted in a recovery scenario without generation of gas, unlike the results shown by the one-way coupling in which gas was generated during 40% of total simulation time. In geomechanical terms it was observed, as presented previously, that the values of vertical displacement were greater in the two-way coupling. The methodology used in this paper proved to be capable of simulating coupled process in a blackoil reservoir, as could be observed by the results. Furthermore, the use of one-way partial coupling scheme, which is widely used in the oil industry, showed results quite different in terms of gas liberation, when are compared with the two-way partial coupling scheme, which was developed in a more rigorous way

Tuberculosis/HIV/AIDS coinfection in Porto Alegre, RS/Brazil - invisibility and silencing of the most affected groups

OBJECTIVE: To analyze how belonging to certain social groups contributes to constituting the vulnerabilities associated with illnesses due to tuberculosis/HIV/AIDS coinfection. METHODOLOGYThis is a qualitative study carried out in the city of Porto Alegre, state of Rio Grande do Sul, in regions of high social vulnerability. Twenty coinfected people were interviewed in specialized health services between August and December 2016. The analysis was based on the frameworks The Sound of Silence and Vulnerability and Human Rights. RESULTS: Socioeconomic conditions were decisive for the constitution of the vulnerability conditions. Processes of people invisibilization, and the silencing of their voices, in a scenario marked by economic, racial and gender inequalities, contributed for their health needs not to be understood and effectively taken into account in the services actions. FINAL CONSIDERATIONS: The more effective strategies are to legitimize voices and to understand the needs of those affected by coinfection, the greater the chances that programmatic responses to the problem will be successful

Female high heel shoes: a study of comfort

Protection was the basic principle underlying the creation of footwear, once humankind felt the need to protect feet from direct contact with soil, heat, cold and sharp objects. However, this accessory soon acquired cultural, aesthetic, symbolic significance, and apparently it was not related to comfort. This work aims to analyze comfort in women footwear, especially high heels shoe. We intended to understand the emotional relationship of consumers with this type of accessory, as well as to understand to what extent women are willing to give up comfort in favor of aesthetics. For this purpose, a questionnaire was designed, aimed at the female audience in order to understand the relevance of women's footwear, their daily relationship with shoes, the specificity of heels and the problems caused by it.This work is supported by FEDER funds through the Competitivity Factors Operational Programme - COMPETE and by national funds through FCT – Foundation for Science and Technology within the scope of the project POCI-01-0145-FEDER-007136info:eu-repo/semantics/publishedVersio

Unravelling the intricated photophysical behavior of 3-(pyridin-2-yl)triimidazotriazine AIE and RTP polymorphs

The development of purely organic materials showing multicolor fluorescent and phosphorescent behaviour represents a formidable challenge in view of practical applications. Herein the rich photophyisical behaviour of 3-(pyridin-2- yl)triimidazotriazine (TT-Py) organic molecule, comprising excitation-dependent fluorescence and phosphorescence under ambient conditions in both blended film and crystalline phase, is investigated by means of steady state, time resolved and ultrafast spectroscopies and interpreted on the basis of X-ray diffraction studies and DFT/TDDFT calculations. In particular, by proper excitation wavelength, dual fluorescence and dual phosphorescence of molecular origin can be observed together with low energy phosphorescences resulting from aggregate species. It is demonstrated that the multiple emission property is originated by the copresence, in the investigated system, of an extended polycyclic nitrogen-rich moiety (TT), strongly rigidified by p-p stacking interactions and short C\u2013H...N hydrogen bonds, and a fragment (Py) featuring partial conformational freedom

Toxicity and Clinical Results after Proton Therapy for Pediatric Medulloblastoma: A Multi-Centric Retrospective Study

Medulloblastoma is the most common malignant brain tumor in children. Even if current treatment dramatically improves the prognosis, survivors often develop long-term treatment-related sequelae. The current radiotherapy standard for medulloblastoma is craniospinal irradiation with a boost to the primary tumor site and to any metastatic sites. Proton therapy (PT) has similar efficacy compared to traditional photon-based radiotherapy but might achieve lower toxicity rates. We report on our multi-centric experience with 43 children with medulloblastoma (median age at diagnosis 8.7 years, IQR 6.6, M/F 23/20; 26 high-risk, 14 standard-risk, 3 ex-infant), who received active scanning PT between 2015 and 2021, with a focus on PT-related acute-subacute toxicity, as well as some preliminary data on late toxicity. Most acute toxicities were mild and manageable with supportive therapy. Hematological toxicity was limited, even among HR patients who underwent hematopoietic stem-cell transplantation before PT. Preliminary data on late sequelae were also encouraging, although a longer follow-up is needed

C7orf59/LAMTOR4 phosphorylation and structural flexibility modulate ragulator assembly

Ragulator is a pentamer composed of p18, MP1, p14, C7orf59, and hepatitis B virus X-interacting protein (HBXIP; LAMTOR 1-5) which acts as a lysosomal scaffold of the Rag GTPases in the amino acid sensitive branch of TORC1 signaling. Here, we present the crystal structure of human HBXIP-C7orf59 dimer (LAMTOR 4/5) at 2.9 angstrom and identify a phosphorylation site on C7orf59 which modulates its interaction with p18. Additionally, we demonstrate the requirement of HBXIP-C7orf59 to stabilize p18 and allow further binding of MP1-p14. The structure of the dimer revealed an unfolded N terminus in C7orf59 (residues 1-15) which was shown to be essential for p18 binding. Full-length p18 does not interact stably with MP1-p14 in the absence of HBXIP-C7orf59, but deletion of p18 residues 108-161 rescues MP1-p14 binding. C7orf59 was phosphorylated by protein kinase A (PKA) in vitro and mutation of the conserved Ser67 residue to aspartate prevented phosphorylation and negatively affected the C7orf59 interaction with p18 both in cell culture and in vitro. C7orf59 Ser67 was phosphorylated in human embryonic kidney 293T cells. PKA activation with forskolin induced dissociation of p18 from C7orf59, which was prevented by the PKA inhibitor H-89. Our results highlight the essential role of HBXIP-C7orf59 dimer as a nucleator of pentameric Ragulator and support a sequential model of Ragulator assembly in which HBXIP-C7orf59 binds and stabilizes p18 which allows subsequent binding of MP1-p149915891602CNPQ - Conselho Nacional de Desenvolvimento Científico e TecnológicoFAPESP – Fundação de Amparo à Pesquisa Do Estado De São Paulo2014/12445-0; 2017/21455-7; 2014/17264-3190174/2012-

Polymorphism-dependent aggregation induced emission of a push-pull dye and its multi-stimuli responsive behavior

A comprehensive optical investigation of 1,1-dicyano-2,2-bis(4-dimethylaminophenyl)ethylene (1) is presented. The compound crystallizes in four different forms all displaying AIE behavior. The crystalline forms A and B are yellow-orange-emissive, while C and D are green-emissive. On the basis of X-ray structural analysis, the weak intermolecular interactions account for restricted internal rotations, leading to fluorescence enhancement in the crystals; however, the difference in emission color is ascribed to the various conformations of the molecules in the four crystalline forms. In addition, the emission color of crystals of A can be tuned by heating and grinding, that of B by grinding only, while crystals of C show chronochromic behavior. An explanation for such a rich variety of luminescence behavior is formulated here through the use of steady state and time resolved photoluminescence, X-ray diffraction analysis and DFT and TDDFT calculations. The involved chromic mechanism appears to be mainly associated with surface defects induced by the external stimuli rather than an amorphization process, as frequently observed for other stimuli responsive compounds