What Are New Indications in Pharmaceuticals?

Discover how established drugs can find new applications, creating profits and innovations in the pharmaceutical industry

New indications refer to new evidence suggesting that there may be new applications for an existing drug or procedure. This kind of news is keenly tracked by investors, who often find such findings through the press releases issued on companies’ investor relations pages.

Key Takeaways

  • New Indications: News indicating that an existing drug may have a broader range of medical applications.
  • Cost Efficiency: Repurposing existing drugs can be less costly than developing new drugs from scratch.
  • Investment Signal: Investors often see new indications as a positive signal, anticipating new revenue streams for the company.

How New Indications Work

New indications are an early sign that a particular drug or procedure might be worth further investment. For example, a company with an already approved drug would report new indications if their research suggests additional applications for that drug. New indications are seen as a positive development because they could imply more revenue opportunities for existing drugs.

In the United States, getting new drugs to market involves a rigorous and lengthy process, which is overseen by the Food and Drug Administration (FDA). The New Drug Application (NDA) process can take years and only about 30% of applicants get their NDA approved.

Important

Repurposing existing drugs can reduce research and development (R&D) costs, although there are still major expenses in obtaining final FDA approval. Since these drugs have already passed through initial NDA processes, they are often seen as a less risky investment compared to developing new drugs entirely from scratch.

This method of finding new applications for already approved drugs is one of the most efficient ways for pharmaceutical companies to expand into new markets. Some companies even specialize in drug repurposing to speed up the commercialization of new medicines.

Real-World Example of a New Indication

New indications often appear in news releases for medical treatments and pharmaceutical companies. For instance, on Aug. 16, 2018, the FDA approved a new indication for the drug Opdivo (nivolumab), which treats cancers like advanced melanoma, advanced renal cell carcinoma, and advanced squamous cell carcinoma of the head and neck.

Originally approved in December 2014, Opdivo was intended for a more narrow range of conditions. The new indication expands its market reach significantly, representing an opportunity for the drug to enter a broader addressable market than previously anticipated.

Related Terms: FDA approval process, drug market, investor relations, commercialization.

References

  1. U.S. Food and Drug Administration. “Step 3: Clinical Research”.
  2. U.S. Food and Drug Administration. “FDA Grants Nivolumab Accelerated Approval for Third-Line Treatment of Metastatic Small Cell Lung Cancer”.
  3. Opdivo. “Opdivo”.
  4. National Institutes of Health. “Opdivo (Nivolumab): Second PD-1 Inhibitor Receives FDA Approval for Unresectable or Metastatic Melanoma”.

Get ready to put your knowledge to the test with this intriguing quiz!

--- primaryColor: 'rgb(121, 82, 179)' secondaryColor: '#DDDDDD' textColor: black shuffle_questions: true --- ## What is an Investigational New Drug (IND)? - [ ] A new over-the-counter medication - [ ] A drug already approved by the FDA - [x] A drug that is being tested in clinical trials but not yet approved by the FDA - [ ] A generic drug ## Who submits an IND application to the FDA? - [ ] Physicians - [ ] Health insurance companies - [x] Drug manufacturers or sponsors - [ ] Patients ## What is the primary purpose of an IND application? - [x] To obtain permission to start clinical trials on humans - [ ] To market the drug directly to consumers - [ ] To renew an existing drug’s market approval - [ ] To sell the drug internationally ## Which of the following can be included in the IND application? - [ ] Post-marketing study reports - [ ] Prescription data - [x] Preclinical study results - [ ] Pharmacy sales information ## How many phases are there in clinical trials post the approval of an IND application? - [ ] Two - [ ] Three - [ ] Four - [x] Three main phases, plus one additional if necessary ## In which phase of clinical trials is the safety and dosage of the drug typically assessed? - [ ] Phase III - [x] Phase I - [ ] Phase IV - [ ] Phase II ## Which regulatory authority reviews and approves IND applications in the United States? - [ ] CMS - [ ] EMA - [x] FDA - [ ] HIPAA ## For how long is the initial IND application generally valid? - [ ] 1 year - [ ] 3 years - [ ] 5 years - [x] As long as the trial is ongoing and complies with regulatory requirements ## What information must be reported to the FDA during an ongoing IND clinical trial? - [x] Safety reports and any changes in protocol - [ ] Only positive outcomes of the trial - [ ] Insurance claims data - [ ] Marketing strategies ## What can be a consequence if significant new adverse effects are discovered during an IND trial? - [ ] The drug is immediately approved for use - [ ] Clinical trials are expanded without restriction - [ ] Commercial marketing of the drug begins - [x] The IND can be placed on clinical hold or discontinued