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Daily Digest Archive for July 29, 2002

Q: FROM MENTEE ERIN R. IN KY
I was wondering how common a drug researcher is and if
there is a "need" for them right now.

 






July 29, 2002
A: FROM MENTOR KRISTIN TAGHON. TO READ BIO. CLICK HERE.

Erin,
I asked my friend who is in Quality Control at a pharmaceutical. She said that
there is a great demand for drug researchers. She said that advanced education
is definitely needed. You would definitely need a Master's; a PhD is preferred
in order to gain respect and advance in your career.

July 29, 2002
A: FROM MENTOR DENISE HARBERT. TO READ BIO. CLICK HERE.

There are many different types of drug researchers. The life cycle of a drug starting from creation to the time it is no longer made is very complex and involves thousands of people. Here is a description of the most common process:

1. A chemist in a laboratory creates a new combination of substances which have not been put together in that way before. The ideas for these combinations can be spontaneous or random, the result of an accidental discovery made while researching something else, or perhaps an attempt to improve a drug that already exists by enhancing it. This is the piece I'm not very knowledgeable about, so perhaps another mentor can talk more about this.

2. A medical researcher prepares research protocols to get approval for experimentation on laboratory animals. This involves a lot of paperwork and background reading. See Mentee Alison B's question about lab animal experimentation http://www.uic.edu/orgs/gem-set/archive020725q1.htm.

3. If the research protocols are approved, a research team begins experimenting with the drug on animals. This team would include at least one person with each of the following areas of expertise: animal care, veterinary medicine, the disease or ailment the drug was created to treat or improve, statistics or biostatistics, funding and grant management, etc. The role of the statistician/biostatistician is just as important to the research as the veterinary scientist's. In order to prove that a drug's efficacy outweighs its side-effects, the research needs the proper experimental design, randomization, data collection, and data analysis. Test and control groups must be created and compared. A test group is a group of animals that gets the drug and a control group is a similar group of animals that gets a placebo instead. (A placebo is a pill that looks the same, but has no drug in it.) Both groups have the same disease or ailment that the drug is supposed to treat. That way, statistics can determine whether or not the drug is effective or has side-effects. If both groups of animals improve at the same rate, then it is probably because of something other than the drug, like the animals' natural immune systems. If both groups vomit frequently, then it is probably not a side effect caused by the drug. It might be caused by something like the animals' diets or the disease itself. Without a properly selected control group, you would not be able to tell the difference between the drug and other factors.

4. If the experimentation on laboratory animals goes well, then a medical researcher will prepare research protocols to get approval for experimentation on humans. This step is very slow and involves even more paperwork and background reading than the protocols to experiment with animals. The Food and Drug Administration (FDA) of the U.S. federal government is the agency that regulates all drug experimentation on humans. They have very strict rules about what researchers can and cannot do in their experiments. First and foremost, their job is to protect human life. They have the authority to shut down any drug research if there is any evidence to suggest that the research could be causing more harm than good. This human experimentation phase of the drug is referred to as the "FDA clinical trials". A drug must successfully pass through several levels of clinical trials before it is approved. If the drug successfully passes through all phases of the FDA clinical trials, then the FDA approves it for sale to any U.S. citizen who has a prescription for it.

5. Next, the pharmaceutical company that created the drug must figure out how to get U.S. doctors to write prescriptions for their drug. This involves sales and marketing research. Many pharmaceutical companies hire outside consulting firms like the one I used to work for to perform this research. This involves a team of business people, mathematicians, statisticians, and computer programmers. The business people discuss "story problems" in English with the mathematician/statistician, who then figures out a way to solve those problems by analyzing data and/or building mathematical models. The mathematician/statistician then communicates the data and model building process to the computer programmers who write the code to process the numbers. The numbers and formulas that come out of that code are then communicated back through the mathematician/statistician, business people, and eventually to the pharmaceutical company that implements the solution. Think of it like this: Have you ever gotten a free sample of medication from a doctor? The doctor got that sample from a sales representative who works for the pharmaceutical company that made the drug. The sales rep visited the doctor, told him/her about the drug (what it's used for, how effective it is, what side effects it has, etc.), gave him/her a sample of the drug, then asked him/her to consider prescribing it to patients. How did that sales rep know to go to that particular doctor to talk about that particular drug? Mathematical and statistical modeling. Every time someone in the U.S. fills a prescription, it's entered into a computer. The computer retains the drug type, the date, and the doctor that prescribed it. A data vendor then collects that information from pharmacies all over the country and compiles it into one huge database. A consulting firm buys the data, then builds models on it to identify doctor prescribing behavior. They mathematically compute how many doctors prescribe drugs for different medical problems, how many times those doctors should be visited, how many free samples they should be given, and how many sales reps are needed to visit them. The pharmaceutical company then hires sales reps and implements the plan.

6. Eventually, after years of sales, the drug's patent will expire. Most of the time, another pharmaceutical company will start making a generic version of the drug for much cheaper than the original. The original lowers in price in order to compete, and eventually the price is so low that it's not worth the cost of the sales reps to visit the doctors to promote the drug. The sales reps are assigned to promote different drugs, and eventually the original drug stops selling and the pharmaceutical company stops making it.

Right now, there is a tremendous need for drug researchers, especially in the clinical trial (4) and sales and marketing (5) phases. These phases require tremendous expertise and master's or doctorate level educations. There are simply not enough people out there who are qualified for and interested in doing that type of work. That is why most of those professionals can demand salaries of $100,000+ per year, depending on education and expertise.

However, the demand and salaries for such positions may change in the future. One of the great debates going on in the U.S. Congress right now is whether or not certain Americans should qualify for free drugs and whether or not the prices of drugs sold in the U.S. should be regulated by the government. Many drugs sold in the U.S. cost two to ten times more than the same drug sold in different countries. Americans with decent health insurance plans pay $10 to $25 per medication and their insurance company pays the rest. But people who have no health insurance (unemployed, part time workers, disabled, retired, etc.) cannot afford the drugs. They often suffer without the medical treatment that they need. If the U.S. decides to regulate this process, then pharmaceutical company profits will go down and they will not have as much money to spend on researching and promoting their drugs to doctors. Regardless, as long as there are diseases on Earth, there will be a need for drug researchers. If this is a field you are interested in, then pursue it. Simply be aware that your salary might be lower in the future than people who are in those professions now.

 

 

 

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