1.1
From Corporate Organization to Organism
There is a new
competitive reality in the pharmaceutical industry that has
basically emerged in two stages. The first stage was the
introduction of new chemical synthesis and assay technologies that
increased the screening capacity of a company by several orders of
magnitude. The sheer quantities of compounds, the number of
disease targets and the variety of assays that researchers must
employ in the search for new drugs have created an unprecedented
urgency for the development of information systems to store and
manipulate data from these sources. Currently, there are many
point solutions that have been developed to answer that challenge.
The source of
the data flood is not restricted to drug discovery. There is also
an ever-increasing sophistication in the pre-clinical and clinical
evaluation process. Compared to ten years ago, there has been a
tremendous increase in the capacity to profile a compound’s
pharmacokinetic and toxicity profile well before it is tested in
humans. Whereas in the past, one might test a compound in 3 or 4
in vitro assays before advancing to animal and human studies, one
can now run the compound through the gauntlet of dozens of assays.
Clinical studies have also added new dimensions of
complexity with the advent of pharmacogenomic profiling to
stratify test populations and interpret results.
The second
stage in meeting the competitive challenge involves not just
replacing technology with more sophisticated and data-intensive
tools, but the creation of a knowledge environment that allows for
the interoperability between all the various groups in discovery
and development. This stage implies that the R&D organization
itself must be transformed from a collection of independent units
(like cells), to an integrated whole; a functioning organism in
which all parts are in communication with each other. It will not
be a simple task to carry out this transformation.
Partnerships
between end-users and their IT counterparts will be essential to
re-define the way the company structures its internal
collaborations and build information systems that afford the
greatest possible utility to carry this out. Some of the major
components of a modern pharmaceutical IT infrastructure will
include:
-
Middleware
data integration solutions to facilitate access to often
heterogeneous and dispersed information
-
Analytical
applications that foster insight through cross-domain
knowledge exploration and real-time collaboration
-
Research
execution systems that enable more efficient logistics support
related to research materials, reagents and samples
-
The
ability to integrate pre-clinical research, clinical
development and business drivers of corporate success
-
A
collaborative research system to capture project information
from personnel and store and disseminate the resulting
knowledge.
1.2
The Drivers of R&D Transformation
This
transformation is not occurring in a vacuum ? there are several
drivers that are compelling pharmaceutical companies to consider
re-engineering both IT and business processes.
The
pharmaceutical industry environment has changed. There has been,
for some time, tremendous pressure to measure success by the
number of billion dollar drugs a company has on the market. The
rapid success of Celebrex, Viagra and Lipitor has made large
pharmaceutical companies think differently about where they focus
their efforts and how they spend their resources. Anything that
can enhance innovative product development is seen as a strategic
advantage. However, the industry’s current productivity level,
less than one NCE per company per year for the top 50
pharmaceutical companies, falls far short of the 5-6 NCE’s per
year required to meet Wall Street and self-imposed projections for
growth. Of course, the innovation deficit need not be made up
entirely by the introduction of new products. One may also factor
in contributions from new drug delivery systems and formulations (NDDs),
new combination therapies and synergies between diagnostic and
therapeutic products.
Pharmacogenomics
is raising the bar even higher as companies are trying to meet
expectations based on older market models. If 5-6 compounds had to
be marketed to sustain growth in traditional markets, how many
must be discovered and marketed to sustain growth in
micro-segmented markets?
The
use of mass production technology in chemical synthesis and
screening may have improved the situation somewhat, yet it has so
far not been able to substantially increase output at the end of
the pipeline. Therefore, each company must consider how it can
optimize processes to get the most out of the new technologies.
The analogy that has been used to describe this situation is that
you are driving along on the Autobahn in a Mercedes at 100 miles
per hour and somebody asks you to change all four tires. The race
toward market dominance will be won by those companies that can
change the tires of a moving car.
1.3
The Information Spine
Research
and development organizations have been challenged to increase
efficiency in order to get more NCEs on the market while holding
down costs. The critical ingredients for increased efficiency
include information technology tools to improve the
decision-making process, allow organization-wide collaboration and
an underlying information spine to enable easy access to multiple
sources of data.
Today’s
pharmaceutical data sources are highly heterogeneous. They have
become geographically dispersed, either as part of large
multi-national corporations, or through collaborative research.
They are dynamic in an uncontrolled way, sometimes with entries
being copied or modified several times. There is often little
consistency in formats, database management systems, hardware
platforms, access methods and data models. At this level of
organization, it is no wonder that the industry has not been able
to get the most out of the technology that produces the data. At
some point, a company will have to evaluate whether it is worth
generating more information if there is no infrastructure to
extract knowledge and decisions from it.
Data
warehousing had been considered by some as a means to deal with
large amounts of geographically dispersed information. However, it
may in fact not be the ultimate solution to accelerate
pharmaceutical discovery. Generally, warehousing does not provide
mechanisms to distinguish data based on origin or quality and data
mining on these systems still requires knowledge of SQL (used by
less than half of one percent of users).
The
modern information spine will be constructed of middleware systems
that access the different repositories of data without re-casting
them in a warehouse. The middleware will apply standard formatting
rules defined by the business users that essentially wrap the data
and present it to a client side application. Users are presented
with consistent, well-integrated data that they can explore with
queries that are more natural to learn, while application
programmers (as long as they code using an open application
programming interface) no longer need to worry about the origin of
the data. They each can function within their own expertise,
without having to become database gurus. Even though the bottom
layer of data consists of many databases in many formats, the
information spine enables users and programmers to work as if they
are dealing with a single database in a single format. It is this
capability that will enhance collaboration and information
awareness throughout the organization.
On
the client side of the information spine, tools for visualizing
and mining large volumes of information allow the analyst to
interactively explore structure in the data and discover hidden or
unexpected relationships. New software has recently been developed
that can handle numerical, categorical, genomic and unstructured
text. Rather than replacing SAS or other statistical and mining
tools, visualization is used to enhance these capabilities by
adding in the power of visual discernment, through the recognition
of outliers, patterns and movement. This is the capability that
will enhance innovation and discovery.
As
the technologies of combinatorial synthesis and high throughput
screening advance, an increasing burden is placed on the research
infrastructure to support what has essentially become a
manufacturing effort. Research execution systems, a new category
of tools for discovery, facilitate the process of acquiring
reagents, requesting screens and tracking the movement of sample.
This is a capability that can ultimately improve the productivity
of an R&D operation.
Much
of the potential benefit of technological advances is predicated
on being able to bring to bear all of the information at a
company’s disposal to understand or predict the behavior of a
drug against a specific disease, to plan experiments and to
evaluate strategy in the context of new results. This
knowledge-led R&D process requires that scientists (and
business users) formulate questions freely using information from
all parts of the company to gain insight into their project. By
freeing the users and IS/IT staff from the constraints of existing
legacy and domain specific systems, they can begin to think more
naturally about information from all sources and use it in
creative and innovative ways.
1.4
Changing the Wheels of a Moving Car
Implementation
of this new system is a lot different than simply installing a
suite of programs. It will involve extensive interviews among the
users and management to define current business processes and
determine how to design a system to optimize those processes.
Multidisciplinary design teams will be required in order to gain
from their expertise and their buy-in. Moving from legacy systems
to systems based on full collaboration and sharing of knowledge is
a major undertaking and one that will require a culture shift in
most organizations.
Not
everyone can afford to dedicate such effort and resources to
changing their informatics infrastructure, particularly smaller
companies. A new business model has emerged in Internet space that
might be able to address that problem: the Application Service
Provider (ASP). ASPs provide remote sourcing and management of
technically complex applications using the Internet
telecommunications infrastructure. The application of the ASP
model to R&D efforts in the life sciences finally enables
small and midsize biotechnology and pharmaceutical companies to
have the same access to state-of-the-art information technology
(IT) as their large competitors. In effect, the ASP model will
drive IT innovation into the most innovative segments of the life
sciences industry.
1.5
Democratizing Business Strategy
In
addition to the science and technology, a company must integrate
its understanding of the market, including its competitors,
political forces, customer trends and the patent landscape.
According to Dr. Joseph Villafranca, Vice President of
Biopharmaceuticals at Bristol Myers Squibb, the company is seeking
competitive advantage by modifying their research and development
organization to do just that.
Bristol
Myers Squibb had just undergone a major organizational change in
the summer of 1999, organizing by governance rather than by
individual projects. In doing so, they are now able to integrate
project activities by considering all aspects: science,
technology, manufacturing, healthcare systems, customers,
competition and products. According to Dr. Villafranca, “It is
quite interesting now to go to a meeting where there is
representation from the marketing group, representation from
clinical, representation from drug discovery, as you are talking
about an early discovery program”. He noted that the integration
from discovery to marketing provided many unexpected benefits and
insights. The intelligence contributed by the business side
“came as a surprise to a lot of the discovery scientists, who
feel that they are the intellectual engine of the company.”
Knowledge
management systems facilitate this type of cooperation by
essentially capturing what may be described as meta-data ? the
information held within an individual or group. These include
lessons learned, such as the optimal way to conduct an experiment,
or organize a team or information about competitors and the
market. It not only includes recorded knowledge, but also
facilitates the flow of knowledge throughout the organization.
This may be achieved by maintaining a database of in-house experts
that can be searched by topic. Once experts in a particular area
are identified, an individual can contact them to obtain vital
information first hand.
The
improvement of discovery, development and licensing performance
can be achieved by systematic assessment of research, technology,
patents, companies and changes in those parameters over time.
Because the majority of this competitive intelligence information
is available only in free text form, which has traditionally has
been difficult to explore for associations and trends, leading
companies will be able to better position their research and
products by employing informatics systems based on text-based
search and visualization. In the new R&D paradigm, competitive
intelligence and business strategy are the responsibility of
everyone from the bench scientist to chief executive officer.
Information will be key democratizing business strategy.
1.6
Conclusion
Research
informatics has emerged as an essential component of competitive
advantage in the pharmaceutical industry. It has been well
established that inefficiencies in R&D have largely arisen
because of the inability to freely access and share information
and the inadequacy of conventional tools to explore relationships
between data. As with any business tool, the success of research
informatics to eliminate these inefficiencies lies not only in the
power of technology, but also in the ability of the individual and
the organization to use it as it was intended. Therefore, it will
be essential that re-design of information technology progress
step-by-step with business re-organization. In today’s data- and
knowledge-intensive pharmaceutical industry, they are one and the
same.
1.1 From Corporate Organization to Organism
1.2 The Drivers of R&D Transformation
1.3 The Information Spine
1.4 Changing the Wheels of a Moving Car
1.5 Democratizing Business Strategy
2. The Information Spine for P