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The 10 Biggest Bottlenecks Slowing Drug Development

  • August 4, 2026

  • 8 min

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  • 1

    Patient recruitment for clinical trials is a significant bottleneck, necessitating a balance between scientific rigor and practical considerations.

  • 2

    The complexity of clinical trials has increased, making patient recruitment more challenging due to evolving regulatory requirements and specific inclusion criteria.

  • 3

    Boards and executives must adapt to the intensified competition in drug development, as outdated strategies hinder funding opportunities.

  • 4

    Accurate measurement of target engagement in tissues is crucial, as current reliance on plasma-based assays limits the ability to address underlying challenges.

  • 5

    Translational predictability remains a major bottleneck, especially for neurodegenerative diseases, due to reliance on inadequate model systems.

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