Generalizing the 5/10/15 Rule for U.S. Drug Development, Or The Cycle of the New

“U.S. drug development cycle, which he says “always follows the 5/10/15 rule. For the first 5 years, companies hype new drugs; next 5 years all hidden side effects are exposed, leading to black-box warnings and class action lawsuits; in [the] last 5 years, the companies start dissing their own old drug as the patent runs out to begin the hype cycle for their next new drug.” 

-Jane Metclafe, “2023 Predictions-The Good, The Bad, and the Ugly.” neo.life. January 2023

This article on 2023 predictions is worth reading in full. However, I particularly found this piece interesting. Ultimately, this is about how incentives drive behavior. So, we might generalize this rule to something like: “Any novel thing goes through a period that focuses on benefits, another period on the risks, then finally becomes the status quo that will be replaced by some other, new thing.”

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