July 2022 PMID 35865092

Why 90% of clinical drug development fails and how to improve it?

Duxin Sun, Wei Gao, Hongxiang Hu, Simon Zhou

Mentions

305
Peak: 21 in Oct 2022
across 6 sources since Feb 2022

Extended reach

142,693
potential audience

Total likes

164

Video views

2,532

Mentions per month

Feb 2022 – May 2025

Where it's discussed

  • News238 articles
  • X / Twitter43 posts
  • Blogs18 articles
  • Bluesky2 posts
  • YouTube2 videos
  • Reddit2 posts

AI synopsis

What people are saying

Several discussions highlight the significance of the STAR system and its potential to reduce failure rates by improving drug selectivity and tissue exposure, with phrases like 'could be a game changer' and 'aims to refine clinical success.' The tone varies from cautiously optimistic to inquisitive, reflecting an interest in the practical applications of the proposed model and its ability to address long-standing challenges in drug development.

AgreementModerate agreement

Most discussions seem aligned with the article's emphasis on the importance of tissue exposure and the STAR model, with several posts supporting its potential to improve success rates.

InterestHigh interest

Posts display curiosity about innovative approaches like the STAR system, suggesting users find the topic relevant and worth exploring further.

EngagementModerate engagement

Comments mention specifics such as the need for better dose optimization and clinical trial design, indicating a moderate level of detailed engagement.

ImpactModerate impact

There is a general perception that adopting the STAR model could positively influence drug development outcomes, though some posts are more cautious or exploratory in tone.

Abstract in brief

  • Ninety percent of clinical drug development fails due to an overemphasis on potency and specificity in drug optimization, overlooking important factors like tissue exposure and selectivity.
  • The proposed structure‒tissue exposure/selectivity-activity relationship (STAR) model classifies drug candidates into four classes based on their potency, selectivity, and tissue exposure, which can help guide clinical efficacy and safety evaluations.
  • Implementing STAR could enhance drug optimization and increase the success rate of clinical drug development by ensuring a better balance between clinical doses, efficacy, and toxicity.

Top posts

Most liked on X and Bluesky
Yüksel Ürün
@DrYukselUrun · X

Why we need Phase III trial?

Oct 31, 2022 · 71 likes · 25 shares · 9,797 followers View post →
PharmaExcipients
@PharmaExcipient · X

Why 90% of clinical drug development fails and how to improve it? https://t.co/QDTDhsld02 #excipients #pharmaceutical #formulation https://t.co/tsbGJMUmG6

Mar 9, 2022 · 3 likes · 1 share · 2,368 followers View post →
Sean Manion
@TheUnjournaling · X

@BioProtocol Here's a breakdown of the timeline from Sun et al., "Why 90% of clinical drug development fails and how to improve it?", Acta Pharmaceutica Sinica B, vol. 12, no. 7, pp. 3049-3062, 2022. https://t.co/Jk5prUhDBW

May 8, 2025 · 3 likes · 576 followers View post →
Duxin Sun
@DuxinSun · X

Why 90% of clinical drug development fails and how to improve it? This perspective proposed a STAR system to improve drug optimization, drug candidate selection, and dose optimization in clinical studies. https://t.co/QzkKxfJm0J https://t.co/ytOoa6wXbB https://t.co/el33InqABl

Jul 11, 2022 · 2 likes · 194 followers View post →
Matthis @ Real Scientists DE
@realscientists.de · Bluesky

Mehr dazu: "Why 90% of clinical drug development fails and how to improve it?" (www.sciencedirect.com/science/arti...)

May 12, 2025 · 2 likes · 1 share View post →
Crying Wolf
@OncologyCompany · X

Why 90% of clinical drug development fails and how to improve it. @sciencedirect https://t.co/ZnToGzens4

Aug 21, 2023 · 1 like · 1 share · 1,319 followers View post →

All mentions

Matthis @ Real Scientists DE
@realscientists.de · Bluesky

Mehr dazu: "Why 90% of clinical drug development fails and how to improve it?" (www.sciencedirect.com/science/arti...)

May 12, 2025 · 2 likes · 1 share View post →
Sean Manion
@TheUnjournaling · X

@BioProtocol Here's a breakdown of the timeline from Sun et al., "Why 90% of clinical drug development fails and how to improve it?", Acta Pharmaceutica Sinica B, vol. 12, no. 7, pp. 3049-3062, 2022. https://t.co/Jk5prUhDBW

May 8, 2025 · 3 likes · 576 followers View post →
The Henrique ⌬
@scihenrique.bsky.social · Bluesky

Why 90% of clinical drug development fails and how to improve it? doi.org/10.1016/j.ap...

Apr 24, 2025 View post →
love being humans
@sh97742284 · X

@Sujata1978 Why 90% of clinical drug development fails and how to improve it? https://t.co/OSQ4PacaYi

Mar 26, 2024 · 15 followers View post →
Stetson
@stetson_thacker · X

Sources: 1) https://t.co/jTZAM45IKK 2) https://t.co/6aJDBKLjb1 3) https://t.co/SChsF8rd9Q 4) https://t.co/6aJDBKLjb1

Nov 15, 2023 · 875 followers View post →
Crying Wolf
@OncologyCompany · X

Why 90% of clinical drug development fails and how to improve it. @sciencedirect https://t.co/ZnToGzens4

Aug 21, 2023 · 1 like · 1 share · 1,319 followers View post →
biotech archives
@bot_biotech · X

Why 90% of clinical drug development fails and how to improve it? https://t.co/AYzssIEO5f

Mar 25, 2023 · 162 followers View post →
cinnamon roll
@xyifa · X

Why 90% of clinical drug development fails and how to improve it? https://t.co/KLX3bUP14J

Mar 5, 2023 · 2,848 followers View post →
Ranjeet Kumar
@kumar_ranjeet · X

RT @DrYukselUrun: Why we need Phase III trial?

Nov 3, 2022 · 25 shares · 1,078 followers View post →
Brenda González
@BrendaGzzMD · X

RT @DrYukselUrun: Why we need Phase III trial?

Nov 1, 2022 · 25 shares · 136 followers View post →
Andrea Apolo, M.D.
@apolo_andrea · X

RT @DrYukselUrun: Why we need Phase III trial?

Nov 1, 2022 · 25 shares · 8,891 followers View post →
Rafael Fonseca MD
@Rfonsi1 · X

RT @DrYukselUrun: Why we need Phase III trial?

Nov 1, 2022 · 25 shares · 15,546 followers View post →
A. Brock
@ABrock91938744 · X

RT @DrYukselUrun: Why we need Phase III trial?

Nov 1, 2022 · 25 shares · 4 followers View post →
Abhijit Pal
@DrAbhiPal · X

RT @DrYukselUrun: Why we need Phase III trial?

Nov 1, 2022 · 25 shares · 987 followers View post →
Santhosh Ambika
@RenoHemonc · X

RT @DrYukselUrun: Why we need Phase III trial?

Nov 1, 2022 · 25 shares · 4,015 followers View post →
Eunice Alejandra .
@EuniceAlejand15 · X

RT @DrYukselUrun: Why we need Phase III trial?

Nov 1, 2022 · 25 shares · 1,236 followers View post →
luis basbus
@LuisBasbus · X

RT @DrYukselUrun: Why we need Phase III trial?

Oct 31, 2022 · 25 shares · 224 followers View post →
CParkMD
@CParkMD · X

RT @DrYukselUrun: Why we need Phase III trial?

Oct 31, 2022 · 25 shares · 21,505 followers View post →
Peter van der Wal (he/him)
@pavdwal · X

RT @DrYukselUrun: Why we need Phase III trial?

Oct 31, 2022 · 25 shares · 64 followers View post →
Cristina Ibáñez
@cribanec · X

RT @DrYukselUrun: Why we need Phase III trial?

Oct 31, 2022 · 25 shares · 397 followers View post →
Daniela Shveid Gerson
@DSG_MD · X

RT @DrYukselUrun: Why we need Phase III trial?

Oct 31, 2022 · 25 shares · 358 followers View post →
Neeraj Agarwal, MD, FASCO
@neerajaiims · X

RT @DrYukselUrun: Why we need Phase III trial?

Oct 31, 2022 · 25 shares · 16,427 followers View post →
G Curigliano MD PhD
@curijoey · X

RT @DrYukselUrun: Why we need Phase III trial?

Oct 31, 2022 · 25 shares · 7,615 followers View post →
Antonio Torres
@viniciu_antonio · X

RT @DrYukselUrun: Why we need Phase III trial?

Oct 31, 2022 · 25 shares · 340 followers View post →
Cristiane D Bergerot
@crisbergerot · X

RT @DrYukselUrun: Why we need Phase III trial?

Oct 31, 2022 · 25 shares · 8,161 followers View post →
Petros Grivas
@PGrivasMDPhD · X

RT @DrYukselUrun: Why we need Phase III trial?

Oct 31, 2022 · 25 shares · 18,381 followers View post →
Ceprec
@CeprecOaxaca · X

Why 90% of clinical drug development fails and how to improve it? - ScienceDirect https://t.co/gJJZumSR0q

Oct 31, 2022 · 498 followers View post →
biodomtomi
@biodomtomi · X

Why 90% of clinical drug development fails and how to improve it? - ScienceDirect #clinical #drugdevelopment https://t.co/EN3lgaVwxM

Oct 31, 2022 · 171 followers View post →
Ricardo Carvalho
@rcarvalhoonco · X

RT @DrYukselUrun: Why we need Phase III trial?

Oct 31, 2022 · 25 shares · 2,268 followers View post →
Yuly A. Remolina
@Yuly_Remo · X

RT @DrYukselUrun: Why we need Phase III trial?

Oct 31, 2022 · 25 shares · 209 followers View post →
Stetson
@stetson_thacker · X

RT @DrYukselUrun: Why we need Phase III trial?

Oct 31, 2022 · 25 shares · 875 followers View post →
Pablo Nieto Guindo
@Pablonietog82 · X

RT @DrYukselUrun: Why we need Phase III trial?

Oct 31, 2022 · 25 shares · 228 followers View post →
Daniel Castellano
@cdanicas · X

RT @DrYukselUrun: Why we need Phase III trial?

Oct 31, 2022 · 25 shares · 3,684 followers View post →
Garbiñe Lizeaga
@GarbineLizeaga · X

RT @DrYukselUrun: Why we need Phase III trial?

Oct 31, 2022 · 25 shares · 1,214 followers View post →
nel cuevas muñoz
@MunozNel · X

RT @DrYukselUrun: Why we need Phase III trial?

Oct 31, 2022 · 25 shares · 147 followers View post →
ONCOVID
@ONCOVID_19 · X

RT @DrYukselUrun: Why we need Phase III trial?

Oct 31, 2022 · 25 shares · 374 followers View post →
Yüksel Ürün
@DrYukselUrun · X

Why we need Phase III trial?

Oct 31, 2022 · 71 likes · 25 shares · 9,797 followers View post →
biotech archives
@bot_biotech · X

Why 90% of clinical drug development fails and how to improve it? https://t.co/AYzssIEO5f

Aug 21, 2022 · 162 followers View post →
Duxin Sun
@DuxinSun · X

Why 90% of clinical drug development fails and how to improve it? This perspective proposed a STAR system to improve drug optimization, drug candidate selection, and dose optimization in clinical studies. https://t.co/QzkKxfJm0J https://t.co/ytOoa6wXbB https://t.co/el33InqABl

Jul 11, 2022 · 2 likes · 194 followers View post →
Mirage News
@MirageNewsCom · X

Why 90% of clinical drug development fails and how to improve it? https://t.co/QfQaRoHiBC

Apr 11, 2022 · 1,252 followers View post →
Duxin Sun
@DuxinSun · X

Why 90% of Clinical Drug Development Fails and How to Improve it? https://t.co/zaC5o1r4Db. https://t.co/FdjlDqUCob https://t.co/QaARkEXybk

Mar 12, 2022 · 194 followers View post →
PharmaExcipients
@PharmaExcipient · X

RT @PharmaExcipient: Why 90% of clinical drug development fails and how to improve it? https://t.co/QDTDhsld02 #excipients #pharmaceutical…

Mar 9, 2022 · 1 share · 2,368 followers View post →
PharmaExcipients
@PharmaExcipient · X

Why 90% of clinical drug development fails and how to improve it? https://t.co/QDTDhsld02 #excipients #pharmaceutical #formulation https://t.co/tsbGJMUmG6

Mar 9, 2022 · 3 likes · 1 share · 2,368 followers View post →
Duxin Sun
@DuxinSun · X

Why 90% of Clinical Drug Development Fails and How to Improve It? STAR System for general public: https://t.co/FdjlDqUCob Perspective of STAR system: https://t.co/zaC5o1r4Db Research paper of STAR system: https://t.co/7aEgzLvFOd Prof. Sun Lab webpage: https://t.co/9i7yiOLu92 https://t.co/SQryhbk6bp

Feb 23, 2022 · 1 like · 194 followers View post →
Miguel Pereira-Silva, PharmD | PhD, PG
@miguel_persilva · X

Why 90% of clinical drug development fails and how to improve it? https://t.co/r6qklTndz1

Feb 17, 2022 · 1,446 followers View post →