What does controlling a market have to do with being rewarded for saving people from dying of cancer?
It seems to be in line with the this [1] comment but due to completely different reasons. If you have some insight into money allocation in a drug company could give an answer to the linked comment?
If you are second to market you have to test your drug against RealGoodDrug tm and not against a placebo (because that would be immoral).
So you can't come up with a half good drug, or a just as good drug with more side-effects.