The costs of drug discovery, and drug trials, have grown exponentially, resulting in a smaller pipeline of new drugs and massive consolidation throughout the industry.
For software, open source provided a partial answer. By pooling basic technology through groups like the Eclipse Foundation and Apache, software companies have been able to reduce costs while retaining the power to innovate and sell innovations.
While health IT has used the open source process, both publicly (through the VA's redevelopment of its VistA platform) and privately (through groups like Open Health Tools) drug delivery itself remains a proprietary affair.
A number of companies are providing technology that lets Pfizer recruit trial participants online and have those people manage their own therapy. Myrtus is working on the front-end. Exco inTouch provides the mobile e-diary equipment. Perceptive Informatics is providing the back-end processing. The University of California is providing third-party validation.
The result, it's hoped, will be a lower-cost process for trials, which are one of the biggest cost sinks in drug research. Some, like Tomasz Sablinski of Celtic Therapeutics, want to expand the approach into full-fledged open source drug research but we are a long way from that.
A shared IT approach to trials will not, by itself, re-start the new drug pipeline, but it could be the first step toward a shared infrastructure approach that might.