P3 and PDUFA Due Dilligance Checklist

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Fundamentals

  • Cash

whats the cash runway, FCF?

  • Debt

debt/obligations (royalty or milestone)

  • Dillution

planned capital raises (Form 3)?

  • Trades

recent SEC Form 4, 144, 13F, NP?

  • Holders

institution, ETF, insider, retail?

Company

  • Management

CEO, CFO track record?

  • Corporate Strategy

multiple drugs?

  • Transparency

IR communication clear, frequently, consistently with quality data?

  • Partnership, M&A

strategic partnerships or buyout rumors?

  • history

scandals, clinical holds, crl, trial terminations, withdrawals?

Drug

  • product

indication, moa, PD, PK, Toxicity

  • Study design

Randomized, double-blind, controlled?

  • Comparison

placebo or SoC?

  • Treatment

dosing, multiple treatments?

  • Patients

how many and which biomarkers?

  • SAP

trial rules?

  • PE

p-value, CI, effect size, CR rate?

  • SE

alpha-controlled? any SE left out? any post-hoc results?

  • Relevance

Clinical and statistical meaningful?

  • HR, RR

cohorts show similar treatment effects?

  • Sensitivity analyses

crossover, dropout data?

  • Adverse event

AE, SAE, discontinuations?

  • Class effects

AE normal for the indication?

  • Black-box

warnings, contraindications, REMS?

  • NNT, NNH

benefit/harm ratio?

  • Extension Study

follow-up trials, new indications?

  • P1/2

consistent efficacy and safety results?

  • SoC

whats SoC and can the drug become SoC?

  • IP

Substance, indication, formula and how long?

Competitors

  • Rivals

Which competing drugs are in late-stage trials, regulatory review, on the market?

  • Generics

risk of generics/biosimilars entering the market, already on the market?

Regulatory

  • Acceptance

chosen trial endpoints accepted by FDA/EMA?

  • Designations

Fast Track, Breakthrough, Orphan, PRIME, Rolling submission?

  • Meetings

Pre-NDA, Type-C, End-of-Phase-2 meetings?

  • AdCom

outcome of Advisory comitee?

  • EMA

Scientific Advice?

  • Expansion

plans to file for approval in other markets like EU, Japan, or China?

Market acceptance

  • CMC, cGMP

standards fulfilled?

  • supply chain

is the supply chain fully prepared to support commercial launch and can it scale?

  • Firnal Form

patient-ready form for commercialization?

  • Sales, Marketing

sales and marketing team in place, or plans and hires underway to support launch, job openings?

  • Acceptance

KOLs, medical societies, and patient groups support the drug’ use?

  • CAGR

whats expected market growth?

  • Pricing

pricing strategy?

  • Peak sales

price × patient number?

  • Reimbursement

payers/insurance accept price?

  • Burden

frequent hospital visits, monitoring needed?

  • Distribution

retail pharmacies, specialty pharmacies, or hospital use only?

  • Analysts

rating, revenue, sales projection?