Ravi Gupta Profile picture
doctor and health policy @HopkinsMedicine
May 20, 2022 11 tweets 11 min read
1/ NEW: Our paper today in @JAMAHealthForum covering:

🔸Evergreening
🔸Pharmaceutical innovation
🔸Anti-competitive behavior
🔸Clinical value
🔸Patient access

We analyze when & for which existing drugs do brand-name manufacturers pursue new formulations:
jamanetwork.com/journals/jama-… 2/ First, we show that brand-name manufacturers are much more likely to reformulate existing drugs that are blockbusters – those w/ >$1 billion in sales – & those that were granted accelerated approval, but NOT those that were the most therapeutically valuable.