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. 2023 May 9;329(18):1607–1608. doi: 10.1001/jama.2023.3079

Table. Five-Year Net Sales for Newly Marketed Prescription Drugs, 2008-2016.

Drug characteristics Drugs, No. (%) Sales, median (IQR), $, in millionsa Adjusted mean ratio (95% CI)b P value
All drugs 315 806 (252-2012)
Orphan designation for first approved indication
No 232 (74) 812 (228-2351) [Reference]
Yes 83 (26) 719 (298-1771) 0.6 (0.3-1.1) .09
Novelty
Reformulation 116 (37) 459 (105-1108) [Reference]
Novel active ingredient 199 (63) 1184 (427-2934) 2.3 (1.4-3.8) .001
Ingredient type
Biologic 73 (23) 1122 (247-2525) [Reference]
Small molecule 242 (77) 733 (265-1908) 1.4 (0.7-2.9) .40
Approval pathway
Traditional approval 283 (90) 723 (216-1939) [Reference]
Accelerated approval 32 (10) 1368 (622-3910) 2.1 (0.8-5.5) .11
Indication
Nononcology 260 (83) 706 (210-1911) [Reference]
Oncology 55 (17) 1322 (590-2956) 1.4 (0.7-3.0) .33
Route of administration
Oral 175 (55) 905 (343-2591) [Reference]
Injected 103 (33) 1048 (273-2333) 1.2 (0.6-2.3) .66
Other 37 (12) 241 (48-728) 0.3 (0.1-0.6) .001
Year first marketed (per year)c 1.0 (0.9-1.1) .63
a

Sales were obtained from SSR Health, which collects these data from public Securities and Exchange Commission filings. We verified missing values by directly searching these filings. Four drugs had no publicly reported net sales, in which case 0 was rounded to $0.1 for the log-transformed model. All sales were converted to 2021 dollars using the Consumer Price Index for All Urban Consumers.

b

Adjusted mean ratios are derived from the exponentiated estimate from the linear regression model of log-transformed net sales. This can be interpreted as a ratio of mean sales between each group and the reference. For example, mean net sales were 2.3 times higher for drugs containing novel active ingredients compared with reformulated drugs.

c

Year first marketed was included as a continuous variable in the model. The date of market entry was determined based on the first year a price was listed in SSR Health.