TheraRadar

Briefs tagged "Eli Lilly"

2 briefs

9 min read

IGF-1R: 20 Years of Cancer Failures, Then a $2 Billion Eye Drug

Pfizer, Amgen, Lilly, Merck, and Astellas all failed at IGF-1R in cancer. Then a shelved Roche antibody became the only effective treatment for thyroid eye disease. Same receptor, completely different biology.

Five major pharmas spent two decades chasing IGF-1R as a cancer target. Every Phase 3 trial failed. The only IGF-1R drug ever approved is for thyroid eye disease — Tepezza, which generated $1.9 billion in 2024 and 8x exceeded its acquirer's peak forecast. Eleven more IGF-1R-for-TED programs are now in clinical trials, including the literal cancer-graveyard compound being resurrected by Sling Therapeutics. Targets don't travel. Disease context decides.

13 min read

Alzheimer's: 20 Years, 99% Failure, $42 Billion, Two Drugs

Two drugs finally broke through. They work only before most patients are ever diagnosed.

Alzheimer's drug development has a 99.6% failure rate - the highest of any disease. Between 2003 and 2021, zero new treatments were approved while $42.5 billion was spent on clinical trials. Then lecanemab and donanemab broke through. But 27% slowing of cognitive decline, brain swelling in up to 1 in 4 patients, and $26,000/year raises the question: is this enough?

Get the next Brief in your inbox — free

Every drug has multiple stories. Most never get told. One brief every week. No spam.

Archive lives at /briefs/. Unsubscribe anytime.