In treating diseases of inflammation, rheumatic disease, pain, etc., it is generally quite predictive when moving from in vitro to in vivo animal studies (e.g. is it down-regulating inflammatory transcription factor NF-kB, or not?). But it becomes much less predictive translating endpoints from animals to humans. That's, very generally, because it is difficult to assess disease measures of improvement in inflammation in animals and translate that to humans (pain, discomfort, edema, these processes may present much differently in rats versus humans, for example). Great animal data may not mean you'll get such a strong effect in human subjects, and thus the failure rate for these drugs in clinical studies is quite high compared to vaccine and antibiotic human trials, because those vaccines were shown to be ineffective earlier in development. This was a very general explanation, to be sure, and I'll dig through my archives for some papers on this and try to add links later.