Worked example

Pfizer at CHRNA4

As of the edition of 20 October 2026, Pfizer is on route B at CHRNA4 (neuronal acetylcholine receptor subunit alpha-4), position 4 of 2,016 on that route, with a score of 0.798.

Sources: ClinicalTrials.gov, approval registers, ChEMBL, FDA Orange Book and Purple Book.

Route and score

Route B  Score 0.798

Biology proven in humans0.79
How much the company cares0.95
Room, and a reason to act now0.67

Each part runs from 0 to 1; 0.5 is neutral, and an unknown fact counts as neutral.

What moved the score

Proof in humans at the target+0.294
Active at the target or its disease area recently+0.226
Took its own drug far in human testing+0.225
Few other companies active at the target+0.128
The company’s own follow-on drug+0.044
Why its own drug stopped0.000
Trials at the target more often meet than miss their main endpoint0.000

The facts that decided the route

  • Does the company have its own row at this target, rather than being counted under a drug that acts on many targets? The company has its own row at this target As of 20 October 2026.
  • Has the company not been dissolved without a successor? The company still exists or has a successor As of 26 September 2026.
  • Does the company have a marketed drug at this target? The company has a marketed drug at this target As of 10 May 2006.
  • Does the company have no approved follow-on drug at this target? The company has no approved follow-on of its own As of 10 May 2006.
  • Is the protein the drug acts on identified, and not only a complex it belongs to? The protein the drug acts on is on record, not only its complex As of 20 October 2026.
  • Does a source say which of the drug's many targets it is designed for? The target the drug is designed for is established As of 20 October 2026.

The drugs

DrugStatusFurthest phaseTrialsUS protection
NicotineMarketedPhase 4424none listed
VareniclineMarketedPhase 4231none listed
CP-601927StoppedPhase 22none listed

The trials behind it

TrialDrugPhaseStatusYearsParticipantsResult
NCT01396135CP-601927Phase 1Withdrawn2011 to 20110No results posted
NCT00741884VareniclinePhase 2Withdrawn2010 to 20110No results posted
NCT01098240CP-601927Phase 2Terminated2010 to 2011297No results posted
The registry records: “See termination reason in detailed description.”
NCT01574703VareniclinePhase 4Completed2012 to 20154,595Main endpoint missed
NCT01312909VareniclinePhase 4Completed2011 to 2018312Main endpoint missed
NCT01244061VareniclinePhase 4Completed2010 to 2012498Main endpoint met
NCT01234142VareniclinePhase 1Completed2010 to 201145No results posted
NCT01061710VareniclineCompleted2010 to 201420No results posted
NCT01104636VareniclineCompleted2010 to 20111,177No results posted
NCT01078298VareniclinePhase 4Completed2010 to 2012525Main endpoint met
NCT01013454VareniclinePhase 1Completed2009 to 200912No results posted
NCT00889720VareniclinePhase 4Completed2009 to 201016No results posted

All companies at CHRNA4 · Pfizer’s page