Medical Discovery Exchange (MDx)
Protocol + Impact Metrics Table | Data Story

Impact Data Story

Protocol + Transforms Biomedical Economics

Comprehensive analysis of reproducibility’s impact across cost, capital, efficiency, and system-wide capacity. All metrics compare 45% baseline reproducibility to 85% with Protocol +.

The Data Story

Protocol + transforms biomedical economics by addressing the single largest cost driver: preclinical signal quality. Every stakeholder benefits from improving reproducibility from 45% to 85%: discovery companies deploy 2× more programs per fund; investors see 2–2.2× portfolio advantage with smaller checksets; NIH unlocks ~$19–20B in virtual capacity with the same budget; and patients gain access to 410 additional therapies over a decade. The cumulative recoverable waste—~$108B over 10 years—becomes capital for new programs rather than write-offs from failed trials.

Metric Dimension Baseline (45%) Protocol + (85%) Improvement Impact Type Per-Year Savings
Financial Impact: Approval Economics
Cost Structure Per-Approval Cost (Failure-Adjusted) $879M ~$408M ↓ 53% Cost Reduction $471M
NIH-Level Analysis Cost per Approval (NIH Budget) $1.34B ~$622M ↓ 54% Budget Efficiency ~$19–20B
Capital & Financing: Investor Impact
Financing Capital Required (Phase II) ~$120M ~$75M ↓ 38% Dilution Reduction $45M
Portfolio Math Programs per Fund (Same $) 1.0× 2.0× ↑ 100% Portfolio Advantage 2x Shots
Approvals & Throughput: System Capacity
NIH Capacity Approvals per Year (NIH Budget) 35 76 ↑ 117% Throughput Gain +41/yr
Discovery Impact Therapies Approved (10-Year Horizon) 350 760+ ↑ 117% Therapeutic Access +410 total
Waste & Recoverable Value: Capital Reallocation
Cost Breakdown Waste from False-Positive Programs (Per-Approval) $350M $80–100M ↓ 71–77% Major Opportunity ~$350M
Annual Savings by 2031 Recoverable Waste (Annual) ~$8–10B New Pool Reinvestment Source $8–10B
Cumulative (10-Year) Recoverable Capital (2026–2036) ~$108B 2.3× NIH Long-Term Value $108B total
Efficiency: Cost per Scientific Outcome
Scientific Quality Reproducibility Rate 45% 85% ↑ 89% Signal Quality 40 ppts
Program Efficiency Cost per Reproducible Result $1.95B ~$480M ↓ 75% Efficiency Gain $1.47B
Stakeholder Summary: Who Wins Most
Discovery Companies Net Benefit (per program family) $471M saved +2.0x programs Portfolio Math Max
Investors / VCs Portfolio Expected Value 1.0× 2.0–2.2× ↑ 100–120% Return on Capital 2–2.2x
NIH / Public Funders Virtual Capacity Gain $47.22B $47.22B + $19–20B +40% impact Budget Leverage ~$19–20B
Patients & Society Additional Therapies (10 Years) 350 760+ +410 Therapeutic Access 410 more
18 impact metrics across 5 stakeholder categories
Baseline (45% reproducibility)
Protocol + (85% reproducibility)
Capacity or Gain

The Data Story

Protocol + transforms biomedical economics by addressing the single largest cost driver: preclinical signal quality. Every stakeholder benefits from improving reproducibility from 45% to 85%: discovery companies deploy 2× more programs per fund; investors see 2–2.2× portfolio advantage with smaller checksets; NIH unlocks ~$19–20B in virtual capacity with the same budget; and patients gain access to 410 additional therapies over a decade. The cumulative recoverable waste—~$108B over 10 years—becomes capital for new programs rather than write-offs from failed trials.

Join the conversation.

Sign up for updates, news & inspiration.

A newsletter will be sent to your email once a month.

Quick Links

© 2026 Protocol+, medical discovery exchange, convergence intelligence.

All Rights Reserved