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Biomarkers and sustainable innovation in cardiovascular drug development: lessons from near and far afield
Russell M Medford1, T Forcht Dagi, Robert S Rosenson
1The Salutramed Group, Inc., Atlanta, GA, USA. rmedford@salutramed.com
Abstract:
Future innovative therapies targeting cardiovascular disease (CVD) have the potential to improve health outcomes and to contain rising healthcare costs. Unsustainable increases in the size, cost and duration of clinical trial programs necessary for regulatory approval, however, threaten the entire innovation enterprise. Rising costs for clinical trials are due in large part to increasing demands for hard cardiovascular clinical endpoints as measures of therapeutic efficacy. The development and validation of predictive and surrogate biomarkers, as laboratory or other objective measures predictive or reflective of clinical endpoints, are an important part of the solution to this challenge. This review will discuss insights applicable to CVD derived from the use of predictive biomarkers in oncologic drug development, the evolving role of high density lipoprotein (HDL) in CVD drug development and the impact biomarkers and surrogates have on the continued investment from multiple societal sources critical for innovative CVD drug discovery and development.
Insights
Biomarkers can reduce clinical trial costs for cardiovascular disease (CVD) therapies. Predictive and surrogate biomarkers, like high-density lipoprotein (HDL), offer objective measures to streamline drug development and ensure innovation.
Area of Science:
- Biomedical research
- Cardiovascular medicine
- Drug development
Background:
- Cardiovascular disease (CVD) therapies offer potential health improvements and cost savings.
- Rising clinical trial costs, driven by hard clinical endpoints, threaten CVD therapeutic innovation.
- Biomarkers are crucial for assessing therapeutic efficacy and ensuring continued investment.
Purpose of the Study:
- To review the role of predictive and surrogate biomarkers in cardiovascular disease (CVD) drug development.
- To explore insights from oncologic biomarker applications for CVD.
- To discuss the evolving role of high-density lipoprotein (HDL) in CVD drug development.
Main Methods:
- Literature review of biomarker applications in cardiovascular disease (CVD) and oncology.
- Analysis of the impact of biomarkers on clinical trial design and cost-effectiveness.
- Examination of high-density lipoprotein (HDL) as a biomarker in CVD.
Main Results:
- Predictive and surrogate biomarkers can serve as objective measures for therapeutic efficacy.
- Biomarkers can potentially reduce the size, cost, and duration of clinical trials.
- High-density lipoprotein (HDL) plays an evolving role in CVD drug development.
Conclusions:
- Biomarker development and validation are essential for sustainable innovation in cardiovascular disease (CVD) therapies.
- Objective measures like biomarkers can mitigate rising clinical trial costs.
- Continued investment in CVD drug discovery relies on efficient and effective development pathways.
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