updated introduction

claude_rewrite
Will King 2 years ago
parent 510ad55d49
commit e5e052db35

@ -26,6 +26,9 @@
\title{The effects of market conditions on enrollment and completion of clinical trials\\ \small{Preliminary Draft}} \title{The effects of market conditions on enrollment and completion of clinical trials\\ \small{Preliminary Draft}}
\author{William King} \author{William King}
\usepackage{multirow}
\usepackage{multicol}
\begin{document} \begin{document}
\maketitle \maketitle

@ -12,15 +12,35 @@ and fiscal policy question that has been debated for
decades. decades.
Due to the complicated legal and competitive landscape, unintended consequences Due to the complicated legal and competitive landscape, unintended consequences
are common are common
\cite{van_der_gronde_addressing_2017}. \cite{vandergronde_addressingchallengehighpriced_2017}.
One critical aspect to successfully introduce a novel pharmaceutical or even One essential step to introduce a novel pharmaceutical - or even
a generic compound is to establish that the drug as packaged and sold will to begin selling a generic compound - is to establish that the drug as packaged and sold will
have acceptable safety and efficacy profiles. have acceptable safety and efficacy profiles.
This is done using clinical trials. When evaluating these compounds in a clinical trial, both outcomes are possible:
\begin{enumerate}
\item The compound demonstrates sufficient safety and efficacy, and proceeds in the appoval process. \ref{Item:EndSuccess}
\item The compound fails to demonstrate sufficient safety and efficacy, and the approval process halts. \ref{Item:EndFail}
\item The trial is terminated before it can acheive one of the first two outcomes, for reasons unrelated to safety and efficacy concerns. \label{Item:Terminate}
\end{enumerate}
\begin{table}
\caption{}\label{tab:}
\begin{center}
\begin{tabular}{p{0.4\textwidth}|p{0.3\textwidth}|p{0.3\textwidth}|}
\cline{2-3}
\multirow{2}{*}{} & \multicolumn{2}{c|}{Drug-Indication Match} \\
\cline{2-3}
& safe and efficacious & not safe nor efficatious \\
\hline
\multirow{2}{*}{Discovery process} & Known good & Known bad \\
\cline{2-3}
& Unknown & Unkown \\
\cline{2-3}
\end{tabular}
\end{center}
\end{table}
To adequately guide public policy it is crucial that robust, causally-identified
statistical models are available to describe the interaction between
various players within the space.
While it is known that pharmaceutical companies withdraw some drugs from While it is known that pharmaceutical companies withdraw some drugs from
their development pipeline due to commercialization concerns their development pipeline due to commercialization concerns
( (
@ -34,6 +54,11 @@ the market, patients might be loath to enroll in clinical trials,
causing the trial to fail for reasons unrelated to the scientific or causing the trial to fail for reasons unrelated to the scientific or
commercial viability of the therapy. commercial viability of the therapy.
To adequately guide public policy it is crucial that robust, causally-identified
statistical models are available to describe the interaction between
various players within the space.
This work endeavors to estimate the change in probability of successful completion This work endeavors to estimate the change in probability of successful completion
of a clinical trial due to the existence of alternative drugs on the market. of a clinical trial due to the existence of alternative drugs on the market.
In particular, it seeks to establish whether such an impact is mediated In particular, it seeks to establish whether such an impact is mediated

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