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Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest www.briantempest.com Centre for Doctoral Training in Healthcare, University of Oxford, UK 8 March 2012

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Page 1: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

The Sustainability of Generics

Dr. Brian W Tempest

www.briantempest.com

Centre for Doctoral Training in Healthcare, University of Oxford, UK

8 March 2012

Page 2: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

Dr Brian Tempest advises Companies, Banks, High Net Worth Individuals and Investment Funds on their Strategy in the Emerging World based on his wide experience in China, Japan, South East Asia

and India where he has lived for the last decade.Brian has worked for Ranbaxy Laboratories since 1995 holding the position of Managing Director and Chief Executive Officer until 2005. He was then Chief Mentor and Non Executive Director until 2008 when he retired. He is one of the few westerners to have led a Sensex Nifty 50 Indian blue Chip MNC and as a result has a valuable insight into India. Brian has also worked for Glaxo as Regional Director

Far East and Regional Director Middle East & Africa from 1985 to 1992.Brian has worked in the Pharmaceutical Industry for the last 41 years and has managed Healthcare

businesses in North America, South America, Europe, Africa, Middle East, Australasia, China, Japan and India. He has also led many sessions at Investor Meetings held around the world.

He is now Independent Chairman of Religare Capital Markets PLC , a Non Executive Director of Fortis Healthcare the leading Asian Healthcare Company, a Non Executive Director of SRL the

largest Indian Diagnostic Company and a Non Executive Director of Glenmark Pharmaceuticals. He is a member of the SCRIP Global awards panel and is on the Editorial Board of the Journal of

Generic Medicines. Brian speaks at global conferences and more information on these presentations can be found on his website www.briantempest.com.

Brian has a PhD in Polymer Chemistry from Lancaster University in 1971 and in 2009 he became Chairman of the Advisory Board for the Lancaster University Management School, UK. He is a

Fellow of the Royal Society of Medicine and a Fellow of the Royal Society of Chemistry and is a Chartered Chemist. He is now Chairman and Senior Partner of Hale & Tempest Co Ltd

Page 3: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

Healthcare Pressures Forever - 2050

Page 4: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

Healthcare will explode further in Asia

Page 5: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

Consolidation in Generics 2003 - 2010

Page 6: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

Structural Changes -

Big Pharma

Page 7: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

Fewer New Molecules Approved

Page 8: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

2010-21 FDA NCEs Source: Fiercebiotech 22 Jan 2011

2011-34 (15 Big Pharma)

Page 9: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

Eventually the cost of capital consumed showed a poor return

“Nobody endured these lessons harder than Pfizer. The company built the world’s largest pharmaceutical research centre in Connecticut, USA , a 160 acre site with more than 5,000 employees at its peak and 2.7m sq ft of research space. But the only major drug to come out of the sprawling facility in the past 20 years was the smoking cessation treatment Chantix” Source; Pharmatimes February 2012

Page 10: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

Approvals & Reimbursements Source: Pharmatimes UK August 2011

Page 11: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

US 2010 False Claims Fines Chemistry World Jan 2011

2011 False Claims Fines - Pfizer $2.3b, Lilly $1.4b, J&J $1.b

Page 12: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

Top Five US Industries for layoffs in 09/10Source Challenger, Gray & Christmas

Page 13: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

Merck – No 1 Layoffs in 2011 source FiercePharma

Page 14: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

Big Pharma Strategies

Share repurchase - AZ, Pfizer, Sanofi Aventis Shedding businesses – Pfizer $1.9b nutrition,

$3.6b animal health, £2.4b Capsugel Eye Care - Novartis & Alcon Consumer Healthcare – Sanofi Aventis, GSK OTC – P&G with Teva DPI Inhaler – Pfizer & Mylan Generics – Pfizer, Sanofi Aventis, AZ Pharmemerging – GSK, Abbott, Daichi Sankyo

Page 15: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

M&A Deals in Pharmemerging MarketsSource: Company Filings, Mape Securities

Page 16: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

Structural Changes -

Generic Companies

Page 17: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

Pricing PressuresSource: Watson

Page 18: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

European Generic Prices Source Ranbaxy

Page 19: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

Mylan won’t follow “irrational behavior” Source : Generics Bulletin 5 August 2011

Page 20: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

India Pharma Stock has consistently outperformed Global Peers Bloomberg

Page 21: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

Emerging Market Equities in last 12mSource: 30 Jan 2012 Business Standard

Page 22: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

Rising CompetitionSource: JM Financials 24 August 2011, Deutche Bank 8 July 2011

With generic Lotrel higher strengths there was an unexpected excessive number of generics approved after the exclusive period ended

Increased competitive activity with para 4 filings. Multiple players for small opportunities.

Small new Indian players in para 4 - Macleods for Lipitor, Hetero for Nexium

Page 23: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

India & China Generic Companies

Source – FT

Page 24: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

Top 25 Global Generic CompaniesSource: Generics Bulletin 10 June 2011

Page 25: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

Next 24 Global Generic CompaniesSource: Generics Bulletin 10 June 2011

Page 26: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

USA Generics Filings Source: Deutsche bank July 2010

Page 27: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

Pending ANDAs source: Deutsche Bank Jan 2012

Page 28: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

US Litigation Risks are Substantial

Patent Challenges on rise - 65 FTFs in 2009 Generic success rate at 48% (76% with deals) 3 courts hold 69%, with 36% success e.g. NJ 4 courts never ruled against generics e.g. NY At Risk launches on the rise - 6 in 2009 Teva has 12 of the 28 At Risk launches 2002/9

Source RBC Capital Markets January 15 2010

Recent At Risk launch damages include – Apotex $0.44b, Sun $0.9b, Teva $1b+ Famvir

Teva rethinking At Risk strategy

Page 29: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

China Pharma Industry Capex PlansSource: Stravencom

Page 30: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

India Pharma Industry Capex PlansSource: MAPE

Page 31: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

FDA DMFs from China 3Q 2011

Page 32: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

FDA DMFs from India 3Q 2011

Page 33: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

Indian Generic FDA ANDA Approvals

Page 34: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

Indian Companies Changing HandsSource Mint Research December 13 2011

Page 35: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

Frost & Sullivan forecast the Global Generic Market at $231b in 2017 FiercePharma

Page 36: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

70% of Top products will be Biologic-2016Source: Sandoz EGA Conference 2011

Page 37: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

Biosimilar Patent Expiries $17b in 2015 Source: Sandoz

Page 38: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

Biosimilar Patent Expires $64b in 2015Source: IMS

Page 39: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

Number of mABs entering the clinic annually rose to 54 in 2008 Source: Tufts

Page 40: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

How much is a Biosimilar worth?Source: Datamonitor

Page 41: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

Biosimilar Partnerships – New Faces

Cipla & Biomab, China $165m 12 products Richter & Stada – mABs Celltrion, Korea & Hospira, Egis, Hikma, BB Biocon & Mylan, USA Teva & Lonza, EU Biocon Idec & Samsung, Japan Watson & Amgen, USA Fuji Film & Kyowa Hakko Kirin Baxter & Momenta, USA Actavis & Bioton,Poland Pfizer & Hisun, China

Page 42: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

A New World Order in Generics is Coming with New Faces

Page 43: Hale & Tempest The Sustainability of Generics Dr. Brian W Tempest  Centre for Doctoral Training in Healthcare, University of Oxford,

Hale & Tempest

Thank [email protected]

www.briantempest.com