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. 2022 Jan 11;56(2):313–322. doi: 10.1007/s43441-021-00364-y

Table 2.

Estimated multiples and returns for investment in drug development Biopharma companies

Investment multiple (x) Annual return (%)
Value 95% CIa p value Value (%) 95% CIa p value
FDA orphan designation status
 Orphan 7.2x (5.6–9.0) < 0.001 46 (37–56) < 0.001
 Non-orphan 2.1x (1.6–2.6) 12 (8–16)
Number of indications
 Multi-indication 2.9x (2.3–3.7) < 0.001 21 (15–29) < 0.001
 Single-indication 1.7x (1.3–2.2) 11 (7–14)
Molecule type
 Biologic OR gene/cell therapy 1.8x (1.4–2.2) < 0.001 16% (11–21) < 0.001
 Small-molecule 3.6x (2.8–4.5) 19 (15–25)
Disease area
 Oncology 4.3x (3.5–5.4) < 0.001 26 (21–33) < 0.001
 CNS 2.6x (2.0–3.2) < 0.001 17 (13–22) < 0.001
 Otherb 1.5x (1.2–1.9) 8 (4–11)
Overall 2.6x (2.0–3.3) 15 (11–19)

Multiples and annual returns were estimated assuming an investment horizon from Pre-Clinic until FDA approval. Valuation data from our sample of 311 Biopharma acquisitions (2005–2020) were inflation adjusted to 2020 values and combined with previously published success rates and development periods to calculate multiples and returns [11, 16].

FDA US Food and Drug Administration, CNS Central nervous system

a95% confidence intervals were calculated based on empirical 2.5th and 97.5th percentiles from the conducted sensitivity analysis

bThe disease category other includes immunology, infectious disease, cardiovascular, dermatology, internal medicine, and ophthalmology