TY - JOUR KW - Chromosome Mapping KW - Databases, Genetic KW - Drug Approval KW - Genetic Association Studies KW - Genetic Predisposition to Disease KW - Genetics, Medical KW - Genome-Wide Association Study KW - Humans KW - Linkage Disequilibrium KW - Medical Subject Headings KW - Molecular Targeted Therapy KW - Polymorphism, Single Nucleotide AU - Matthew R. Nelson AU - Hannah Tipney AU - Jeffery L. Painter AU - Judong Shen AU - Paola Nicoletti AU - Yufeng Shen AU - Aris Floratos AU - Pak Chung Sham AU - Mulin Jun Li AU - Junwen Wang AU - Lon R. Cardon AU - John C. Whittaker AU - Philippe Sanseau AB - Over a quarter of drugs that enter clinical development fail because they are ineffective. Growing insight into genes that influence human disease may affect how drug targets and indications are selected. However, there is little guidance about how much weight should be given to genetic evidence in making these key decisions. To answer this question, we investigated how well the current archive of genetic evidence predicts drug mechanisms. We found that, among well-studied indications, the proportion of drug mechanisms with direct genetic support increases significantly across the drug development pipeline, from 2.0% at the preclinical stage to 8.2% among mechanisms for approved drugs, and varies dramatically among disease areas. We estimate that selecting genetically supported targets could double the success rate in clinical development. Therefore, using the growing wealth of human genetic data to select the best targets and indications should have a measurable impact on the successful development of new drugs. BT - Nature Genetics DA - 2015-08 DO - 10.1038/ng.3314 IS - 8 LA - eng N2 - Over a quarter of drugs that enter clinical development fail because they are ineffective. Growing insight into genes that influence human disease may affect how drug targets and indications are selected. However, there is little guidance about how much weight should be given to genetic evidence in making these key decisions. To answer this question, we investigated how well the current archive of genetic evidence predicts drug mechanisms. We found that, among well-studied indications, the proportion of drug mechanisms with direct genetic support increases significantly across the drug development pipeline, from 2.0% at the preclinical stage to 8.2% among mechanisms for approved drugs, and varies dramatically among disease areas. We estimate that selecting genetically supported targets could double the success rate in clinical development. Therefore, using the growing wealth of human genetic data to select the best targets and indications should have a measurable impact on the successful development of new drugs. PY - 2015 SP - 856 EP - 860 T2 - Nature Genetics TI - The support of human genetic evidence for approved drug indications VL - 47 SN - 1546-1718 ER -