Exhibit 3.
Innovation | Likelihood of occurrence at 20 years* |
Brief Summary of Impact |
---|---|---|
Improved identification of persons at risk for Alzheimer’s disease | 30% | No direct impact on mortality or morbidity, but it will identify people at higher risk for guided treatment. |
Primary prevention of Alzheimer’s disease Using therapies based on the amyloid hypothesis | 40% | Delay of onset by a median 5 years (range 3–10 years), slow progression by a mild to moderate amount. |
Primary prevention of Alzheimer’s disease using existing or other new drugs | 40% | Delay of onset by 2–5 years, minor impact on progression. |
Treatment of established Alzheimer’s disease by vaccine, secretase inhibitor, antioxidants, anti-inflammatories, or selective estrogen receptor modulators | 30% | Decrease in rate of progression that is mild to moderate. |
Treatment of established Alzheimer’s disease by cognition enhancers | 40% | Shift back in time by 6 months to 2 years but does not modify the disease. |
Prevention and treatment of Parkinson’s disease by profiling genetic predisposition for susceptibility to environmental toxins | 10% | Eliminate disease in 15% of existing cases, delay onset in 15–20% of cases. |
Treatment of Parkinson’s disease therapies by neurotransplantation | 25% | Shift back in time by 2 to 5 years but does not modify disease. |
Treatment of acute stroke by drugs that minimize cell death | 60% | Decrease in disability due to stroke of median 30% (range 25–50%). |
Treatment of acute stroke by stem cell transplant | 20% | Decrease in disability due to stroke of 25%. |
Improved treatment of depression using new or existing drugs | 70% | 70% improvement in symptoms (e.g. 35% improvement over placebo). |
SOURCE: Adapted from D.P. Goldman et al., Health Status and Medical Treatment of the Future Elderly: Final Report, Pub. no. TR-169-CMS (Santa Monica, Calif.: RAND, 2004), Table 3.3.