Fresh Signs


Exploring New Indications in Pharmaceuticals

The concept of new indications in the pharmaceutical industry involves uncovering fresh evidence that suggests expanded applications for existing drugs or procedures. This kind of information is closely monitored by investors who track such developments through press releases available on companies’ investor relations pages.

Key Insights:

  • New indications imply that an already existing drug could potentially treat a wider range of medical conditions.
  • Repurposing existing drugs can be a more cost-effective approach compared to creating entirely new medications.
  • Investors often view new indications as a positive sign, anticipating increased revenue opportunities for a company with minimal additional investment.


The Mechanism Behind New Indications

New indications serve as an initial indication that a specific drug or procedure holds promise for further exploration. For instance, if a company has already gained regulatory approval for a drug, they might announce new indications if research indicates potential additional applications for that drug. Investors typically welcome such developments as they could open up new revenue streams for a company’s existing products.

In the United States, launching a new drug involves a rigorous and time-consuming process overseen by the Food and Drug Administration (FDA) through the New Drug Application (NDA) pathway. This process can span several years, with some approvals taking over a decade. Despite the lengthy timeline, only around 30% of new drug applicants receive NDA approval.

Important Point:

Although repurposing existing drugs may cut down on Research and Development (R&D) expenses, obtaining final FDA approval for repurposed drugs incurs significant costs. Nevertheless, since these drugs have already navigated the FDA’s approval process, companies often view them as less risky investments compared to developing entirely new drugs.

Therefore, an efficient strategy for pharmaceutical firms to penetrate new markets is by identifying new or expanded applications for products already greenlit by the FDA. Some companies specialize in repurposing approved drugs to expedite the commercialization of novel medications.


Illustrating New Indications with a Real-World Example

Instances of new indications often surface in news updates related to medical treatments and pharmaceutical entities concerning specific drugs or equipment. For example, on August 16, 2018, the FDA granted a new indication for Opdivo (nivolumab), allowing its use in treating advanced melanoma, renal cell carcinoma, and squamous cell carcinoma of the head and neck.

Initially approved in December 2014 for a more limited patient pool, primarily those with advanced melanoma unsuitable for surgery or unresponsive to other treatments, Opdivo’s new indication presents an opportunity for the drug to reach a broader market than initially anticipated.