Ask Indegene Icon

Ask Indegene (Beta)

Online
🧠 Building on our previous conversation...

Hello, how can I help you today?

You may type your question or choose from the options below:

Explore Solutions
Browse Insights
View Case Studies
Read Latest News
Explore Careers
Connect with an Expert
Please enter your full name
Please enter a valid work email
Please enter your message

Thank you!

We'll be in touch. In the meantime, feel free to keep exploring!

#PractitionerLevelConfidence

Indegene
Search Icon
The State of Regulatory Success: Insights from a PTRS Survey
Home
What we think
Reports PTRS & Regulatory Success

The State of Regulatory Success: Insights from a PTRS Survey

The Indegene Regulatory Affairs Digital Council conducted a survey to gather inputs from the industry on the Probability of Technical and Regulatory Success (PTRS). The top-line perspective gives insights into approaches to standardize and digitize this assessment process to ensure the viability of a product through the clinical and regulatory approval process.
PTRS is a critical assessment in product development, encompassing the likelihood of achieving 2 core objectives mentioned below:
PTS (Technical Success)
PRS (Regulatory Success)
Key Focus
Meeting clinical objectives and specifications
Satisfying regulatory requirements
Achieved Through
Clinical program feasibility and risk management strategies
Effective clinical design
Managing potential risks
Staying informed and compliant with regulations
Planning in accordance with requirements
Open communication and collaboration with regulatory agencies
Influential Factors
Trial design
Clinical evidence based on target product profile
Trial robustness, e.g., patient population, inclusion/exclusion criteria
Support and justification of evidence
Effective communication through dossier and briefings
Ability to provide substantiating support for the benefits and risks of the product
PTRS in pharma is increasingly viewed as more than a static risk score. It acts as a decision-support mechanism that connects scientific feasibility with regulatory realism. While the probability of technical and regulatory success is often discussed at milestone reviews, leading organizations treat PTRS as a living assessment that evolves with evidence generation and regulatory interaction.
In practice, PTRS pharma frameworks help leadership teams compare programs consistently across therapeutic areas, development stages, and market strategies. This becomes especially relevant when portfolios include assets with differing clinical complexity, accelerated pathway eligibility, or global filing ambitions.
Importantly, PTRS does not replace expert judgment. Instead, it provides a structured way to document assumptions, surface uncertainty, and enable transparent discussion across clinical, regulatory, safety, and commercial functions. When aligned with governance, PTRS supports prioritization decisions without oversimplifying scientific or regulatory nuance.
Achieving a balance between meeting PTS and PRS is essential for the product's overall success and market viability. A life sciences company should assess PTRS at key stages:
On a governance-defined basis, along with other products in the company portfolio
Early development to align with goals
Preclinical for safety and efficacy
Clinical phases for data-driven adjustments
NDA (New Drug Application) preparation to meet requirements
Post-approval for real-world optimization
Across PTRS drug development lifecycles, the nature of risk evolves. Early-stage assessments tend to focus on scientific plausibility and preclinical translation. As programs enter PTRS clinical trials, uncertainty shifts toward execution feasibility, patient enrollment, endpoint selection, and emerging safety signals.
Regulatory expectations also mature across stages. Early engagement may emphasize development rationale, while later phases demand alignment on data completeness, comparability, and benefit–risk interpretation. As a result, PTRS assessments must adapt to reflect both evidence maturity and regulatory context, rather than relying on a single static model.
Organizations that reassess PTRS at predefined inflection points, such as end-of-Phase interactions or pre-submission milestones, are better positioned to course-correct. This does not imply frequent rework, but rather disciplined updates based on meaningful new inputs.
By treating PTRS as stage-aware rather than phase-agnostic, companies can improve internal alignment and avoid late-stage surprises that impact timelines, resources, or probability of regulatory success.
Regular PTRS assessment aids include:
Informed decisions
Risk management
Resource allocation
Likelihood of a successful product launch
Market longevity
To accomplish this assessment, some key considerations should be applied:
Effective governance and a systematic process across a portfolio of products in various stages of development are essential. It will ensure an unbiased and harmonized technical and regulatory assessment process.
Consider designated post-HA (Health Authority) briefings as a reasonable time point to perform these assessments on an ongoing basis as defined by the company.
The opportunity to transform what is mostly a manual and potentially Excel-based process toward a systematic and digital approach requires a common model.
A model that aggregates data but allows for flexibility due to the variable nature of the inputs in each product submission strategy. Common data types can allow for governance and assessment across a portfolio to be performed.
Diagram illustrating PTRS pharma across PTRS drug development and PTRS clinical trials, mapping probability of technical and regulatory success from discovery through lifecycle management, including strategy, dosing, safety, efficacy, market, and probability of regulatory success decision points aligned to clinical and regulatory milestones.
While individual clinical programs differ drastically and, in many cases, competitive intelligence specific to each therapeutic area is crucial for success, the general scheme of relevant inputs and time points can provide the broader life sciences industry with a framework for achieving success.
The survey of the industry provided a cross-section of responses on PTRS considering standard approaches and use of digital means to manage the assessment, approaches across top and secondary markets, approaches to regulatory intelligence, considerations for accelerated filing pathways, considerations of Real-World Evidence, Governance and Challenges in PTRS.
Rather than benchmarking individual tools or methodologies, the survey offers insight into how organizations currently operationalize PTRS assessment. The responses reflect varying levels of maturity in governance, data integration, and decision cadence, highlighting where industry practices are still evolving.
Viewed through a maturity lens, the findings illustrate how organizations move from ad hoc assessments toward more standardized approaches. This progression is often constrained not by intent, but by the complexity of integrating clinical, regulatory, and external intelligence into a unified PTRS view.
The following sections therefore describe not only adoption levels, but also structural patterns that influence the probability of technical and regulatory success across portfolios.

Survey responses and findings

>81% of organizations are at an early stage of adopting digital tools for 'Clinical Development Program Risk Assessment' and 'Regulatory Risk Assessment'

Bar chart showing organizational readiness to use digital tools for PTRS pharma, comparing regulatory risk assessment and clinical development program risk assessment across maturity levels (basic, developing, advanced, mature), highlighting implications for PTRS drug development, PTRS clinical trials, and probability of technical and regulatory success.
Organizations are using digital methods to evaluate the risks of clinical development programs for successful approval (PTS). Most respondents (45%) indicated that their organizations are at the development or basic stage. Most practical approaches involve a spreadsheet to capture data points; however, the full assessment may include subjective discussion and interview-style discussion at designated time points through a governance process and statistical analysis to perform the full qualification. Some organizations are additionally cataloging individual data points included in the core assessment, with individual clinical programs additional program-specific considerations.
For regulatory risk assessment, an equal proportion of respondents (45%) rated their organizations' readiness as basic and developing, which suggests that organizations have started exploring digital approaches for regulatory risk assessment but are yet to make significant investments. This may be due to resource limitations and the complexity of integrating data from diverse sources, which can be time-consuming. Additional justification may be in the complexity of centralizing the data through a digital solution and the business case for enabling this capability.
Achieving a more mature digital approach can lead to
1.
More effective process governance,
2.
Accessibility and visibility to decision-making across geographies, and
3.
Better collaboration.
Digital maturity in PTRS assessment is less about tooling and more about consistency. Organizations at early stages often capture inputs digitally but rely on manual interpretation and localized decision-making. As maturity increases, data becomes more accessible across functions and geographies, enabling shared visibility into risk drivers.
From a regulatory perspective, this maturity directly influences the probability of regulatory success. Consistent data models allow teams to trace assumptions, compare precedent, and align messaging earlier in the submission lifecycle. This reduces rework and strengthens confidence during health authority interactions.
More advanced organizations also separate data capture from decision logic. This distinction enables flexibility in submission strategy while preserving comparability across assets. While analytics and automation can support this shift, governance remains the primary enabler.
Here are 5 initiatives to start the journey from the basic to a matured stage of digital adoption:
1.
Assess Current Capabilities and Set Clear Goals
Start by conducting an internal assessment of your organization's digital opportunities. Understand the existing skill sets, technology infrastructure, and data sources. Define clear and measurable goals for digital adoption with risk considerations. Establish a clear business case, scope, and expectations.
2.
Invest in Trainings
Provide training and skill development programs for your staff to enhance their digital proficiency. It includes training on data analytics, data management, and using digital tools for risk assessment.
3.
Improve and Integrate Data Quality
Focus on improving the quality of data that you collect and use for risk assessment. Ensure data accuracy, consistency, and reliability; high-quality data are crucial for a meaningful analysis. Address data integration challenges by developing standardized data collection processes and establishing data governance protocols.
4.
Initiate Pilot Projects
Initiate small-scale pilot projects to test and evaluate the effectiveness of digital tools and methodologies in risk assessment. It allows for learning and adjustment before full-scale implementation.
5.
Encourage Collaboration
Explore collaborations with external partners, such as technology providers or data analytics experts, to access additional expertise and resources.

Shifting gears in PTRS assessment: From 64% legacy to 36% Digital

Bar chart showing organizational maturity toward PTRS pharma, highlighting reliance on past clinical trial knowledge versus organization-wide processes and digital tools, illustrating current approaches to PTRS drug development, PTRS clinical trials, and probability of technical and regulatory success.
Two-thirds of respondents (64%) indicated that their organizations rely on knowledge of past clinical trial results and understanding of relevant health authorities (HA) in the corresponding therapeutic areas to influence future decisions. Relevant reference historical evidence provides a benchmark to the basis of justifying the PTRS. There are data available that provides information based on therapeutic area, submissions filing process, and phase of clinical studies that provides reference benchmarking for consideration. Corresponding advisory committees, KOLs (Key Opinion Leaders), and other reference research provide supporting evidence to consider the risks and determination of success. Each company, however, determines its own strategy and product-level requirements to include in its assessment.
36% of organizations have an organization- wide process to assess the PRS at specified time points for each submission being prepared. Such an approach instills discipline into the regulatory decision-making process. By following a structured path, organizations can systematically evaluate the potential outcomes of regulatory submissions, enhancing their overall efficiency.
The lack of organizations leveraging digital tools, such as external and internal data, automation, and analytics for PTRS assessment, represents an opportunity for acceleration in the future. Organizations can gain deeper insights into regulatory success factors, identify trends, and make data-driven decisions.

Assessing regulatory success: 55% prioritize tier 1 markets and 45% expand globally

Bar chart showing how organizations assess probability of regulatory success across markets in PTRS pharma, comparing focus on Tier 1, Tier 1–2, and Tier 1–3 markets, illustrating regulatory success evaluation patterns within PTRS drug development and PTRS clinical trials.
More than half of the respondents (55%) said that their organizations assess regulatory success for only Tier 1 markets, such as the US FDA, EMEA, and MHRA. At the same time, another half (27% + 18%) assess success for secondary and tertiary markets in addition to primary markets. This approach could be driven by the needs of the organization and its filing strategy. They may not be prioritizing other markets as part of the filing strategy. An alternate consideration is that addressing Tier 1 markets establishes a qualification that a submission has received a favourable opinion already and the need to continue assessing risk is minimized. Expanding in secondary and tertiary markets may be a logical step after establishing a strong presence in primary markets, and regulatory success in different markets may still need consideration of local market dynamics and regulations.
Learn about moving Regulatory Teams from Good to Great with Level 5 Leadership

60% of organizations ride the wave of real-world evidence for regulatory success

Bar chart showing approaches used to improve probability of regulatory success in PTRS pharma, including real-world evidence, clinical trial site identification and patient selection, and regulatory intelligence, reflecting practices across PTRS drug development and PTRS clinical trials.
Most organizations are leveraging Real-World Evidence (RWE) to increase confidence in the safety of patients and support a more robust benefit/ risk profile (60%). In total, 30% of respondents mentioned 'clinical trial site identification and patient selection risk management plans.' While only 10% of respondents considered digital means to precedence and regulatory intelligence. There may be room for improvement in how organizations gather, organize, and utilize regulatory intelligence. It can help them stay informed about evolving regulations and influence from precedence, enabling them to make better-informed decisions and navigate regulatory landscapes more efficiently. Simulation techniques for evaluating biomarkers did not get a response as the evidence of biomarkers is likely justified for inclusion through advisory committees and planning stages and, therefore, not included in subsequent assessments for a good reason.

>50% of organizations rely heavily on traditional methods for regulatory alignment

Bar chart showing how organizations ensure alignment with regulatory requirements in PTRS pharma, comparing reliance on central databases, subscriptions, and local operating companies, and reflecting practices across PTRS drug development and PTRS clinical trials that influence probability of regulatory success.
The above findings suggest that organizations rely on local regulatory representatives and regulatory intelligence subscriptions to ensure compliance with regulatory requirements. Subscriptions to regulatory intelligence data offer updates to regulatory requirements, insights to policy and competitors, and other notification services. In comparison, no one adopted digital and ML-enabled solutions for periodic assessment. There is an alignment that organizations are looking for more efficient and expedient solutions to leverage digital solutions for regulatory alignment.
This diversity in strategies, from leveraging local operating companies (LOCs) to central teams, databases, and cutting-edge digital solutions, underscores that very organization needs to consider its company strategy, globalization priority, and portfolio mix to enable regulatory intelligence best.

45% of organizations are leveraging Orbis, Access, or STAR* submissions for regulatory approvals

Bar chart showing organizational status in leveraging Orbis, Access, and STAR submission pathways within PTRS pharma, reflecting accelerated regulatory approaches across PTRS drug development and PTRS clinical trials and their influence on probability of regulatory
A significant number of organizations (45%) have leveraged programs such as Orbis, Access, or STAR for regulatory submissions. However, in some situations, organizations (18%) reported that their clinical programs do not align with any of these programs. These programs have demonstrated extensive benefits to patients, particularly as these have enabled accelerated review pathways to gain market authorization approval. Given tight timelines, these programs run significant risk through the accelerated pathway and require extensive planning and communication to ensure effective collaboration with HAs. Organizations must closely monitor these programs to ensure effective clinical design and HA alignment.

9% of organizations leading the charge: Setting the standard for data governance across systems

Bar chart showing organizational approaches to data governance across systems in PTRS pharma, highlighting levels of data standards, system connectivity, and data cleansing maturity that support PTRS drug development, PTRS clinical trials, and probability of technical and regulatory success.
For 36% of respondents, some systems are connected within their organizations, but there is still a significant amount of data transcription and manual re-entry of information. 27% of respondents have defined data standards and established a governance framework with data cleansing. The complexities in the regulatory organization across data sources to get to a completely digital landscape while advancing significantly continue to evolve. The additional challenge that organizations address include standard naming conventions and consistency in data collection. New data standards are being introduced, and the industry is embracing this change systematically. 9% of respondents reported having a comprehensive approach for onboarding data standards like IDMP and XEVMPD. This group represents organizations that have made significant strides in data governance, emphasizing compliance with regulatory standards.
For organizations looking to improve their data governance, the critical focus areas should include connecting systems more effectively, implementing robust data standards, and prioritizing data quality initiatives. These efforts can help enhance regulatory compliance, reduce errors, and optimize operational efficiency in regulatory affairs.
Data governance plays a foundational role in sustaining PTRS at scale. Without common definitions, traceability, and quality controls, even well-designed assessment models struggle to deliver reliable insights. This is particularly true when assessing probability of technical and regulatory success across diverse therapeutic areas and markets.
Organizations that invest in governance frameworks typically define ownership, data stewardship, and validation rules upfront. Over time, this enables more efficient reassessment cycles and supports longitudinal learning across programs. Importantly, governance does not imply rigidity. Well-designed frameworks allow controlled flexibility to accommodate product-specific nuances.
As PTRS becomes embedded into portfolio governance, data quality increasingly determines confidence in decision outcomes rather than the sophistication of scoring models alone.

Adopting PRS in life sciences: embraced by many, yet challenges remain

Bar chart showing challenges organizations face in adopting PRS within PTRS pharma, including data collection effort, alignment with local operating companies, and maturity gaps, reflecting implications for PTRS drug development, PTRS clinical trials, and probability of regulatory success.
A majority of respondents (45%) did not perceive any challenges with adopting PRS in their organization, indicating that effective governance and methodology to gather the necessary information to evaluate a product portfolio are well understood and managed. However, 27% of the respondents highlighted the challenge of aligning LOC and different groups to the data governance process, possibly due to the challenge of accessing information. 18% of the respondents reported that gathering data to assess risk on a periodic basis takes time, which complements the prior response because organizations may have data accessibility issues. Only 9% of the respondents reported that this is a new area they have not yet initiated. Although a significant portion of organizations are prepared for PTRS, there are still notable challenges. Organizations should establish a governance process for communicating the approach and process to the various stakeholders that should be followed and subsequently clarify data that will contribute to the assessment, including regulatory and competitive intelligence, purchased data on trends and insights, as well as function-specific data from manufacturing, epidemiology, clinical, safety, and other functions.
Establishing a process toward data capture and assessment of the variables and their contribution to determine the probability of technical success and regulatory success separately needs to be defined and communicated across functional areas.
Taken together, the survey findings suggest that PTRS is widely recognized but unevenly operationalized. While methodologies may differ, organizations face common challenges related to data access, alignment, and governance across PTRS drug development lifecycles.
Improving PTRS maturity does not require radical transformation. Incremental improvements in process clarity, assessment cadence, and cross-functional transparency can meaningfully strengthen decision-making. Over time, these changes compound, supporting more predictable outcomes in both development and regulatory engagement.
As regulatory complexity increases, structured approaches to probability of regulatory success will likely become more central to portfolio strategy rather than a supporting activity.

Conclusion

The life sciences industry values the benefits of PTRS assessment. However, data are critical elements for capturing true assessment. Prioritizing data quality and integration enables data- driven decision-making, benefiting both PTRS assessment and broader business strategies. Embracing digital transformation is not an option but a strategic imperative, ensuring enhanced efficiency, regulatory success, and improved patient outcomes.
Acknowledgements
The white paper is sponsored by the members of the Regulatory Affairs Digital Council
Michael O’Flynn

ED, RA Management Digital Strategy, AstraZeneca

Michael O’Flynn
Kim Quaintance-Lunn

VP, US, Regulatory Lead, Bayer

Kim Quaintance-Lunn
Paul Nitschmann

SVP, Regulatory Affairs, Intercept Pharmaceuticals

Paul Nitschmann
Andrew Robertson

VP, Head of Global Regulatory Policy & Innovation, Takeda

Andrew Robertson
Filip Mussen

VP Regional, Regulatory Affairs, Janssen

Filip Mussen
Kristie Gauntt

Head of Global, Regulatory Operations, J&J

Kristie Gauntt
Olivia Maurel

Head of GRA, Sobi

Olivia Maurel
James Rawls

VP, Global , Regulatory Affairs, Sunovion

James Rawls
David Berglund

Global Head Regulatory Operations, AstraZeneca

David Berglund
Scott Cleve

VP Regulatory Operations, Information & Compliance, Daiichi Sankyo

Scott Cleve
Raja Sekhar Vanga

VP, Global Regulatory Affairs, Biocon

Raja Sekhar Vanga
Natalie Tolli

VP, Regulatory Affairs, AbbVie

Natalie Tolli
Martine Zimmerman

SVP, Head of GRA, R&D Quality, Ipsen

Martine Zimmerman
Charbel Haber

SVP, Head of Regulatory Science, Moderna

Charbel Haber
Alison Maloney

VP & Head Regulatory Affairs Americas, Bayer

Alison Maloney
Sridevi Nagarajan

Head, Digital Regulatory Strategy, AstraZeneca

Sridevi Nagarajan
Lisa Ruiz

VP, Regulatory Operations, AbbVie

Lisa Ruiz
Robert Kalesnik- Orszulak

Senior Director, Global Regulatory Strategy, Bristol Myers Squibb

Robert Kalesnik- Orszulak
Amarjeeth Raja Radhakrishnan

Head DevIT- Regulatory Affairs, Novartis

Amarjeeth Raja Radhakrishnan
Srilatha Balakrishnan

Head, Strategic Initiatives, DRA, Novartis

Srilatha Balakrishnan
Edsel David

AVP, Global Regulatory Submissions & Information Management, Labeling & Technology, Amgen

Edsel David
Jennifer Dudinak

SVP, Global Regulatory Sciences, BMS

Jennifer Dudinak
Vladimir Penkrat

Council Chair, AVP, Global Head of Regulatory Affairs, Indegene

Vladimir Penkrat

Let's Partner to Commercialize with Confidence

Powered by Onetrust