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BLOG DEEPREAD · 26 · science.org/blogs/pipeline

Derek Lowe
Nine out of ten projects are going to fail, and that number decides everything else

In the Pipeline · started January 2002; by the date this page was checked it has run for twenty-four and a half years, "continuously" by the author's own account, and well past five thousand posts · the blog's year filter spans 2002–2025 and the page reports "Last Year 199" posts, i.e. still close to daily · still publishing; most recent post as checked was 22 September 2026 · entirely free, no paywall · two visible breaks: a near-silent stretch through most of 2003, and the move from Corante to Science/AAAS in August 2015 (followed by a platform migration to science.org in August 2021, with thirteen years of archives carried over intact) · this page is built on 20 posts spanning 1 February 2002 to 24 July 2026, including 7 from the earliest period (2002–2005) and at least 5 on each side of the 2015 move · the site has no author-curated "best of" page, so selection follows the author's own standing categories (Things I Won't Work With, How Not to Do It, Birth of an Idea, AI and Machine Learning) plus outside discussion volume

In August 2015 a man moved a blog he had been writing for thirteen years to a new address. In the introductory post, this is how he described his career:

I have never once worked on any compound that has made it all the way to the market, not in 26 years and counting. If you want to know how come your prescriptions cost so much, it's me.Welcome to "In the Pipeline", 2015-08-03

His name is Derek Lowe. He is a medicinal chemist — nearly thirty years across Schering-Plough, Bayer and Vertex, and since 2017 a director in chemical biology at Novartis. His blog In the Pipeline has run from January 2002 to today: twenty-four and a half years, five days a week, well past five thousand posts, one of the longest-lived science blogs on the internet.

And his central argument is hiding inside that self-deprecating line. It is not modesty. It is a balance sheet.

In July 2026 he read a paper pulling together every estimate of clinical failure rates since the 1960s, and opened with the sentence he has written more often than any other:

I'm fond of saying that the most important single statistic about the drug industry is the clinical failure rate, which is (by any reasonable standard) appallingly high.Clinical Failure Rates Over the Decades: Yikes, 2026-07-24

The numbers: 90% in the 1960s, 81% in the 70s, 80% in the 80s, 88% in the 90s, 91% in the 2000s, 91% in the 2010s. Sixty years, essentially flat. His comparison:

No cutting-edge restaurant could survive if 91% of its innovative dishes proved inedible or outright poisonous. What other industries operate under these bizarre conditions?ibid.

What Lowe has done for twenty-four years is insist on treating that number as an environmental constant of the industry, not as a management problem waiting to be fixed. Every few years someone arrives from outside announcing that they are here to fix it. His job is to stand in the doorway and explain, one at a time, that they have misunderstood what they are up against.

In 2007 the arrival was Intel's Andy Grove, who said publicly that pharma could use some semiconductor urgency — chips had transformed the world, while in Parkinson's "we have gone from levodopa to levodopa." Lowe's answer was fast and hard. He first conceded that everything Grove said was true, then pointed out the thing Grove had not considered: we built the chips.

Ever seen one of those huge blow-ups of a chip's architecture? … And guess what - it's nothing, it's the instructions on the back of a shampoo bottle compared to the complexity of a living system. … Mr. Grove, you can print out the technical specs for your chips. We don't have them for cells.Andy Grove: Rich, Famous, Smart and Wrong, 2007-11-06

Fourteen years later he turned the same argument on AI drug discovery. This time he had a simulation in hand: cut the cost of the preclinical stages by 20%, and the savings vanish next to what you would save by cutting the clinical failure rate by 20%.

All that other stuff is a roundoff error compared to the clinical failure rate.AI and Drug Discovery: Attacking the Right Problems, 2021-03-19

And there are only two roads to a lower clinical failure rate: pick better targets, and know in advance whether the thing is toxic in humans. Those happen to be where machine learning has made the least headway — because everything on the pipeline that generates data in bulk (binding constants, cell activity, animal models) is a proxy. All necessary. None of them a substitute for the one measurement that counts.

But in the end, they're all still just proxies. … if you don't hold your breath when the first human doses start, then you haven't been doing this stuff long enough.ibid.

In 2023 he compressed it into a claim time can settle: there are no existing AI/ML systems that reduce clinical failure risk from target choice or toxicology. By 2026, evaluating a system that claimed to generate biomedical hypotheses on its own, he was still using the same ruler — not benchmark scores, but the literature. The MEK-pathway idea the system "found" for acute myeloid leukemia had been worked on for years; cerivastatin's unusual ability to kill AML cells had been described twenty-five years earlier. None of that work was cited in the paper.

We definitely need all the help with the literature that we can get, but hype we have enough of already.Evaluating "Co-Scientist", a New AI Science System, 2026-05-27

That is his fixed move: never ask which side you are on, ask what the actual number is and what that citation actually says. When the Alzheimer's image-fraud scandal broke in 2022, his first sentence was not outrage but a correction — to people saying the fraud had wasted the field's time since 2006, he replied that the inaccuracy in that is that we have been wasting our time for longer than that. When he took apart a million-view listicle about "eight foods banned in other countries" in 2013, he did not argue the opposite case; he clicked through the article's own citations and found they did not support it. (The links were quietly removed afterwards.) Out of that wreckage he pulled two principles:

There is no essence, no vital spirit. A compound is what it is, no matter where it came from. … Paracelsus was right: the dose makes the poison.Eight Toxic Foods: A Little Chemical Education, 2013-06-21

Incidentally, the thing he is most famous for on the internet is a column called Things I Won't Work With. It covers chlorine trifluoride, one ton of which leaked in the early 1950s and burned through a foot of concrete before eating a metre of sand and gravel below it; and dioxygen difluoride, which sets solid ethanol on fire at 90 kelvin. He calls it Satan's kimchi, and tips his asbestos-lined titanium hat to the 1962 author who reacted it with everything he could find.

It reads like a joke, but it is the other face of the food-chemistry piece. The abstract noun "chemicals" manufactures both fear and contempt; actual substances have actual tempers, actual doses, actual ways of killing you. Twenty-four years in, that is what he has been teaching.

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