Unveiling New Indications: Expanding Horizons for Existing Drugs

Discover how new indications reveal broader applications for existing pharmaceutical drugs, providing exciting opportunities for healthcare advancements and investment potential.

New indications is a term used by pharmaceutical companies to highlight new evidence suggesting that there may be additional applications for an existing drug or medical procedure. This type of development is eagerly followed by investors through press releases on companies’ investor relations pages.   

Key Takeaways

  • New indications suggest an existing drug may have a broader range of medical uses than previously thought.
  • Repurposing existing drugs is often more cost-effective than developing new ones from scratch.
  • Investors view new indications optimistically, expecting access to new revenue streams at lower costs.

Understanding New Indications

New indications are early indicators that a specific drug or procedure may hold potential for further investment. For instance, a company having regulatory approval for a drug would report new indications if research suggests additional applications are possible. Investors see these indications as promising since they could signal new revenue opportunities for the company’s existing drugs.   

In the United States, companies must navigate a rigorous, often lengthy process to bring new drugs to market. The Food and Drug Administration (FDA) oversees the development and approval of new drugs via the New Drug Application (NDA) process. This procedure typically spans years, with some cases extending over a decade. Despite the duration, only about 30% of new applicants get their NDAs approved.   

Important

Though repurposing existing drugs can cut research and development (R&D) costs, significant expenses are still associated with securing final FDA approval for these repurposed drugs. However, since these drugs have already passed through the FDA’s NDA process, they are often seen as lower-risk investments compared to developing new drugs from scratch.   

For this reason, one of the most efficient methods for pharmaceutical companies to break into new markets is by finding new or expanded applications for their FDA-approved products. In fact, some companies focus expressly on repurposing approved drugs to expedite the commercialization of new medicines.   

Real-World Example of a New Indication

New indications frequently appear in news releases from medical and pharmaceutical companies concerning their drugs or equipment. For instance, on Aug. 16, 2018, the FDA announced a new indication approval for the drug Opdivo (nivolumab), targeting cancers such as advanced melanoma, renal cell carcinoma, and squamous cell carcinoma of the head and neck.   

Originally approved in December 2014 with a narrower scope, targeting patients with advanced melanoma that was unresponsive to other treatments or unresectable, the new indication allowed the drug entry into a larger market than previously anticipated.   

Related Terms: drug repurposing, regulatory approval, commercialization, investor relations.

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 --- ## The New Drug Application (NDA) is primarily submitted to which regulatory body? - [ ] World Health Organization (WHO) - [x] U.S. Food and Drug Administration (FDA) - [ ] Centers for Disease Control and Prevention (CDC) - [ ] National Institutes of Health (NIH) ## The main goal of the New Drug Application (NDA) is to: - [ ] Discover new drugs - [x] Get permission to market a new drug - [ ] Conduct pre-clinical trials - [ ] Obtain funding for drug research ## Which of the following is a key component of a New Drug Application (NDA)? - [ ] Marketing strategy - [x] Clinical trial data - [ ] Patient testimonials - [ ] Retail pricing ## Who typically submits a New Drug Application (NDA)? - [ ] Healthcare providers - [ ] Patients - [x] Pharmaceutical companies - [ ] Insurance companies ## Before submitting a New Drug Application (NDA), a drug typically goes through which phase of trials? - [x] Clinical trials - [ ] General release - [ ] Over-the-counter status - [ ] Legislative approval ## Approximately how long can it take for the FDA to review a New Drug Application (NDA)? - [ ] 1 month - [ ] 3 months - [x] 6 months to 1 year - [ ] 2 years ## What does the FDA evaluate during the review of a New Drug Application (NDA)? - [x] Safety and effectiveness of the drug - [ ] Marketing strategies - [ ] Employment practices - [ ] Manufacturing costs ## A successfully approved New Drug Application (NDA) leads to what outcome? - [ ] Rejection of other similar drugs - [x] Authorization to market the new drug in the U.S. - [ ] Transfer of patent rights - [ ] Immediate recall of any existing drugs for the same condition ## What can the FDA suggest if additional information is needed for a New Drug Application (NDA)? - [ ] Borrowing secrets from competitors - [x] Requests for additional studies or data - [ ] Immediate re-submission - [ ] Waiving certain regulatory requirements ## If a New Drug Application (NDA) is denied, what is a possible step a pharmaceutical company might take? - [ ] Discontinue the drug - [x] Address the FDA’s concerns and resubmit the application - [ ] Begin marketing without approval - [ ] Transfer the drug to a non-U.S. market immediately