TY - JOUR AU - Krieger, Joshua L AU - Li, Danielle AU - Papanikolaou, Dimitris TI - Missing Novelty in Drug Development JF - National Bureau of Economic Research Working Paper Series VL - No. 24595 PY - 2018 Y2 - May 2018 DO - 10.3386/w24595 UR - http://www.nber.org/papers/w24595 L1 - http://www.nber.org/papers/w24595.pdf N1 - Author contact info: Joshua L. Krieger Harvard Business School Rock 213 Boston, MA 02163 Tel: 7818833737 E-Mail: jkrieger@hbs.edu Danielle Li MIT Sloan School of Management 100 Main St, E62-484 Cambridge, MA 02142 E-Mail: danielle.li@mit.edu Dimitris Papanikolaou Kellogg School of Management Northwestern University 2211 Campus Drive, Office 4319 Evanston, IL 60208 Tel: 847/491-7704 E-Mail: d-papanikolaou@kellogg.northwestern.edu AB - This paper provides evidence that risk aversion leads pharmaceutical firms to underinvest in radical innovation. We define a drug candidate as novel if it is molecularly distinct from prior candidates. Using our measure, we show that firms face a risk-reward tradeoff when investing in novel drugs: while novel drug candidates are less likely to be approved by the FDA, they are based on patents with higher indicators of value. We show that–counter to the predictions of frictionless models–firms respond to a plausibly exogenous positive shock to their net worth by developing more of these riskier novel candidates. This pattern suggests that financial market imperfections may lead even large public firms to behave as though they are risk averse, therefore hindering their willingness to invest in potentially valuable novel drugs. ER -