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Groupe de Recherche en Economie Théorique et Appliquée – UMR CNRS 5113 Do Financial Markets Support Innovation or Inequity in the Biotech Drug Development Process? William Lazonick University of Massachusetts and University of Bordeaux & Mustafa Erdem SakıUniversity of Bordeaux DIME workshop, Innovation and Inequality: Pharma and Beyond, Pisa, Italy, May 15-16, 2010

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Page 1: Lazonick&Sakinc- Presentation - Do Financial Markets ... · Groupe de Recherche en Economie Théorique et Appliquée –UMR CNRS 5113 Do Financial Markets Support Innovation or Inequity

Groupe de Recherche en Economie Théorique et Appliquée – UMR CNRS 5113

Do Financial Markets Support Innovation or Inequity in the Biotech

Drug Development Process?

William Lazonick

University of Massachusetts and University of Bordeaux

&

Mustafa Erdem SakınçUniversity of Bordeaux

DIME workshop, Innovation and Inequality: Pharma and Beyond, Pisa, Italy, May 15-16, 2010

Page 2: Lazonick&Sakinc- Presentation - Do Financial Markets ... · Groupe de Recherche en Economie Théorique et Appliquée –UMR CNRS 5113 Do Financial Markets Support Innovation or Inequity

Groupe de Recherche en Economie Théorique et Appliquée – UMR CNRS 5113

Introduction

Being public: A US phenomenon

Global USA Europe Canada

Public company data

Revenue, US$b 79.1 56.6 16.6 2.2

R&D expense, US$b 22.6 17.2 4.7 0.4

Net income (loss), US$b 3.7 3.7 (0.4) (0.1)

Number of employees 176,210 109,100 49,120 6,930

Number of companies

Public companies 622 313 171 64

Private companies na 1,386 1,619 260

Table 1. Publicly-listed biotechnology companies, by geographic region, 2009

Source: Ernst & Young, Beyond Borders: Global Biotechnology Report, 2010

Page 3: Lazonick&Sakinc- Presentation - Do Financial Markets ... · Groupe de Recherche en Economie Théorique et Appliquée –UMR CNRS 5113 Do Financial Markets Support Innovation or Inequity

Groupe de Recherche en Economie Théorique et Appliquée – UMR CNRS 5113

Introduction

Europe < US on average

2001 2002 2003 2004 2005 2006 2007 2008 2009

USA

Revenue, US$m 71.3 95.2 114.2 129.5 145.3 165.1 219.6 177.9 180.8

R&D expense, US$m 33.4 51.2 43.2 47.6 48.6 68.1 82.4 61.8 55.0

Net income, US$m -14.2 -30.6 -10.3 -13.1 -6.5 -10.3 -7.0 1.1 11.8

Employees 368 449 465 416 na 389 349 329 349

EUROPE

Revenue, US$m 72.4 81.0 77.8 78.9 80.2 73.6 71.5 85.8 97.1

R&D expense, US$m 40.8 48.9 44.1 42.4 26.8 23.3 25.2 26.9 27.5

Net income, US$m -5.8 -27.1 -5.7 -4.9 -15.9 -7.2 -9.3 -7.1 -2.4

Employees 329 327 338 262 na 255 264 271 287

Table 2. Public biotech companies in USA and Europe, average per company revenues, R&D expenses, net income, and employees, 2001-2009

Source: Ernst & Young, Beyond Borders: Global Biotechnology Report, 2010

Page 4: Lazonick&Sakinc- Presentation - Do Financial Markets ... · Groupe de Recherche en Economie Théorique et Appliquée –UMR CNRS 5113 Do Financial Markets Support Innovation or Inequity

Groupe de Recherche en Economie Théorique et Appliquée – UMR CNRS 5113

Introduction

US >> Europe

Table 3. Sources of investment capital for US and European biotech companies, 2001-2009

Source: Ernst & Young, Beyond Borders: Global Biotechnology Report, 2010

2001 2002 2003 2004 2005 2006 2007 2008 2009

USA

Venture capital, US$m 2,392 2,164 2,826 3,551 3,328 3,302 5,464 4,445 4,556

Initial public offering, US$m 208 456 448 1,618 626 944 1,238 6 697

Follow-on and other, US$m 5,330 6,080 11,131 11,810 10,740 16,067 14,689 8,547 12,782

EUROPE

Venture capital, US$m 1,374 1,155 3,551 1,447 1,738 1,907 1,604 1,369 1,102

Initial public offering, US$m 175 26 0 359 691 907 1,010 111 144

Follow-on and other, US$m 723 108 1,602 1,596 1,577 3,069 4,880 1,115 2,771

Ratio EUROPE:USA

Venture capital 0.57 0.53 1.26 0.41 0.52 0.58 0.29 0.31 0,24

Initial public offering 0.84 0.06 0.00 0.22 1.10 0.96 0.82 18.50 0,21

Follow-on and other 0.14 0.02 0.14 0.14 0.15 0.19 0.33 0.13 0,22

Page 5: Lazonick&Sakinc- Presentation - Do Financial Markets ... · Groupe de Recherche en Economie Théorique et Appliquée –UMR CNRS 5113 Do Financial Markets Support Innovation or Inequity

Groupe de Recherche en Economie Théorique et Appliquée – UMR CNRS 5113

Introduction

Why has so much money flowed into an industry with such a long history of unprofitability?

Solution to this “Pisano puzzle”:

A combination of government funding and the speculative stock market

Lazonick and Tulum (2009)

Page 6: Lazonick&Sakinc- Presentation - Do Financial Markets ... · Groupe de Recherche en Economie Théorique et Appliquée –UMR CNRS 5113 Do Financial Markets Support Innovation or Inequity

Groupe de Recherche en Economie Théorique et Appliquée – UMR CNRS 5113

Introduction

• How important have the government-funded knowledge base and government subsidies been in financing the drug development process?

• To what extent has the equity finance that has flowed into the biotech industry actually funded drug development?

• If this equity finance did not fund innovation, then how was it used and where did it go? Put differently, what is the relation between value creation and value extraction in a biopharmaceutical firm?

Page 7: Lazonick&Sakinc- Presentation - Do Financial Markets ... · Groupe de Recherche en Economie Théorique et Appliquée –UMR CNRS 5113 Do Financial Markets Support Innovation or Inequity

Groupe de Recherche en Economie Théorique et Appliquée – UMR CNRS 5113

Methodology

• To develop a model of the phenomenon that captures the essence of the real-world experience of biopharmaceutical companies

• To understand the financial evolution of the firm – that is, its sources and uses of funds

• To understand the impacts of this financial evolution on value creation and value extraction

• To understand the dynamics of value creation/extraction for the sake of building databases for industry studies and policy analyses

Page 8: Lazonick&Sakinc- Presentation - Do Financial Markets ... · Groupe de Recherche en Economie Théorique et Appliquée –UMR CNRS 5113 Do Financial Markets Support Innovation or Inequity

Groupe de Recherche en Economie Théorique et Appliquée – UMR CNRS 5113

Methodology

Figure 1. The financial evolution of the firm in terms of the sources of funds

Source: Adapted from Lazonick and Tulum 2009

Page 9: Lazonick&Sakinc- Presentation - Do Financial Markets ... · Groupe de Recherche en Economie Théorique et Appliquée –UMR CNRS 5113 Do Financial Markets Support Innovation or Inequity

Groupe de Recherche en Economie Théorique et Appliquée – UMR CNRS 5113

Figure 2. The financial evolution of the firm in terms of the uses of funds

Methodology

Page 10: Lazonick&Sakinc- Presentation - Do Financial Markets ... · Groupe de Recherche en Economie Théorique et Appliquée –UMR CNRS 5113 Do Financial Markets Support Innovation or Inequity

Groupe de Recherche en Economie Théorique et Appliquée – UMR CNRS 5113

Case Study #1: Pharmacyclics

• Founded in Sunnyvale CA in 1991

• Raised $25.8 million in IPO in 1995 while the most advanced drug candidate was in its Phase I/II clinical trials

• The candidate reached Phase III in 1998

Page 11: Lazonick&Sakinc- Presentation - Do Financial Markets ... · Groupe de Recherche en Economie Théorique et Appliquée –UMR CNRS 5113 Do Financial Markets Support Innovation or Inequity

Groupe de Recherche en Economie Théorique et Appliquée – UMR CNRS 5113

Case Study #1: Pharmacyclics

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VCVC VC

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Figure 3. Pharmacyclics finance and revenue recognition/expense, June 1991-December 2009

Fiscal years end June 30th. 2010 values consist only of six months between July and December 2009. US$ thousands

Page 12: Lazonick&Sakinc- Presentation - Do Financial Markets ... · Groupe de Recherche en Economie Théorique et Appliquée –UMR CNRS 5113 Do Financial Markets Support Innovation or Inequity

Groupe de Recherche en Economie Théorique et Appliquée – UMR CNRS 5113

Case Study #1: Pharmacyclics

• Formation over in-licenses from UT

• Critical support of NCI

• Unsophisticated partnership structure

• Highly fluctuated ownership structure

• Moderate turnover of executives

• Utilization of stock options as a form of compensation exceptionally

• Rise and fall of employment

Page 13: Lazonick&Sakinc- Presentation - Do Financial Markets ... · Groupe de Recherche en Economie Théorique et Appliquée –UMR CNRS 5113 Do Financial Markets Support Innovation or Inequity

Groupe de Recherche en Economie Théorique et Appliquée – UMR CNRS 5113

Case Study #1: Pharmacyclics

Figure 4. Pharmacyclics employment, 1996-2009

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1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009

Employees with M.D.

and Ph.D. degrees

R&D, manufacturing, quality assurance,

control and regulatory affairs

Fiscal year end

number of total employees

Page 14: Lazonick&Sakinc- Presentation - Do Financial Markets ... · Groupe de Recherche en Economie Théorique et Appliquée –UMR CNRS 5113 Do Financial Markets Support Innovation or Inequity

Groupe de Recherche en Economie Théorique et Appliquée – UMR CNRS 5113

Case Study #1: Pharmacyclics

• FDA rejections

• Continuing NCI support

• Restructuring in 2009

• Lifesaver partnership in 2009

• NASDAQ notification

Page 15: Lazonick&Sakinc- Presentation - Do Financial Markets ... · Groupe de Recherche en Economie Théorique et Appliquée –UMR CNRS 5113 Do Financial Markets Support Innovation or Inequity

Groupe de Recherche en Economie Théorique et Appliquée – UMR CNRS 5113

Case Study #2: MorphoSys

• Founded in Martinsried near Munich in 1992

• Raised €25.8 million in IPO in 1999 without any drug candidate in clinical trials

• The first drug candidate reached Phase I in 2005

Page 16: Lazonick&Sakinc- Presentation - Do Financial Markets ... · Groupe de Recherche en Economie Théorique et Appliquée –UMR CNRS 5113 Do Financial Markets Support Innovation or Inequity

Groupe de Recherche en Economie Théorique et Appliquée – UMR CNRS 5113

Case Study #2: MorphoSys

Figure 5. MorphoSys finance and revenue recognition/expense, 1997-2009, € thousands

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capital

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Schering AGprivate

placement to

ins. investors

conversion of

bonds issued

to Novartis

private

placement

to ins. investors

private

placement to

ins. investors

Page 17: Lazonick&Sakinc- Presentation - Do Financial Markets ... · Groupe de Recherche en Economie Théorique et Appliquée –UMR CNRS 5113 Do Financial Markets Support Innovation or Inequity

Groupe de Recherche en Economie Théorique et Appliquée – UMR CNRS 5113

Case Study #2: MorphoSys

• Resolution of patent dispute with Cambridge Antibody Technology in 2002

• Two major acquisitions in 2005 and 2006

• Substantial change in ownership since 1992

• Continuous increase in workforce

• Very stable executive committee

• Rising stock option exercises along stable stock price after 2004

• Vivid partnership activity

Page 18: Lazonick&Sakinc- Presentation - Do Financial Markets ... · Groupe de Recherche en Economie Théorique et Appliquée –UMR CNRS 5113 Do Financial Markets Support Innovation or Inequity

Groupe de Recherche en Economie Théorique et Appliquée – UMR CNRS 5113

Case Study #2: MorphoSysFigure 6. MorphoSys Partnerships, 1996-2009

Red and pink areas indicate active and dormant years of collaboration respectively. Yellow areas indicate non-collaborative years.

ChemiconMarketing

GeneFrontierOut-licensing

& MarketingAstellas

Schering Plough

OncoMed

Shionogi Co

Merck Co

Novoplant

Eos Biotech

Chiron

Out-licensing

Xoma

Eli Lilly

Boehringer

Ingelheim

Cross-licensing

R&D &

Cross-licensing Daiichi

Sankyo

Novartis

Oridis Biomed

Centocor

ImmunoGen

Bayer AGBayer

Schering

R&D &

Out-licensingGalapagos

GenesisPfizer

Biogen

Roche

ProChon

GPC AG

LeukoSite

DuPont (BMS)

Boehringer Mannheim

Pharmacia & Upjohn

Lonza

Crucell & DMS

R&D

Manufacturing

In-licensing

& Manufacturing

University of Melbourne

Dyax 2

CAT

Genentech

BioSite Inc

SCA Ventures

Dyax 1

In-licensing

Phase 1

Phase 2

Page 19: Lazonick&Sakinc- Presentation - Do Financial Markets ... · Groupe de Recherche en Economie Théorique et Appliquée –UMR CNRS 5113 Do Financial Markets Support Innovation or Inequity

Groupe de Recherche en Economie Théorique et Appliquée – UMR CNRS 5113

Case Study #3: Myriad Genetics

• Founded in Salt Lake City UT in 1991

• Raised $49 million in IPO in 1995 without any product

• The launch of first product in 1997

• First drug candidate (in-licensed) reached Phase II in 2001

Page 20: Lazonick&Sakinc- Presentation - Do Financial Markets ... · Groupe de Recherche en Economie Théorique et Appliquée –UMR CNRS 5113 Do Financial Markets Support Innovation or Inequity

Groupe de Recherche en Economie Théorique et Appliquée – UMR CNRS 5113

Case Study #3: Myriad Genetics

Figure 7. Myriad Genetics finance and revenue recognition/expense, June 1991-December 2009

Fiscal years end June 30th. 2010 values consist only of six months between July and December 2009. US$ thousands

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capital/equity/

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private

placement to

Ciba Geigy

private

placement to

institutional

investors

private

placement

to Bayer

IPOprivate

placement

to Schering

Plough

public

offering

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Schering AG

private

placement to

a 'European'

company

2 private

placements to

institutional

investors

public

offerin

public

offering

public

offering

public

offerin

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Groupe de Recherche en Economie Théorique et Appliquée – UMR CNRS 5113

Case Study #3: Myriad Genetics

• Quest for patents

• Attraction for investors

• Remarkable growth of workforce

• Moderate turnover in the executive committee

• Stock options and bonuses

• High volume stock trade

Page 22: Lazonick&Sakinc- Presentation - Do Financial Markets ... · Groupe de Recherche en Economie Théorique et Appliquée –UMR CNRS 5113 Do Financial Markets Support Innovation or Inequity

Groupe de Recherche en Economie Théorique et Appliquée – UMR CNRS 5113

Case Study #3: Myriad Genetics

Figure 8. Myriad Genetics, average total compensation and it components, five highest paid executives, 1995-2009

Top three in 1995, top four in 1996 and 1997 and top six in 2008. Numbers are in thousands¹Include life insurance payments, 401(k) contributions, and a payment with respect to a resignation agreement for 2008

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1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009

Fixed Compensation Bonus Other Compensatory Benefits¹ Stock Options Exercised

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Groupe de Recherche en Economie Théorique et Appliquée – UMR CNRS 5113

Case Study #3: Myriad Genetics

Figure 9. Myriad stock price, 1995-2010

Source: Yahoo! Finance

Shares traded, millions

Stock price, U

S$

Page 24: Lazonick&Sakinc- Presentation - Do Financial Markets ... · Groupe de Recherche en Economie Théorique et Appliquée –UMR CNRS 5113 Do Financial Markets Support Innovation or Inequity

Groupe de Recherche en Economie Théorique et Appliquée – UMR CNRS 5113

Case Study #4: Galapagos

• Founded in Mechelen, Belgium in 1999

• Adopted a hybrid business model

• Raised €22.4 million in IPO in 2005 without any product

• The first drug candidate (in-licensed) reached Phase II in 2006

Page 25: Lazonick&Sakinc- Presentation - Do Financial Markets ... · Groupe de Recherche en Economie Théorique et Appliquée –UMR CNRS 5113 Do Financial Markets Support Innovation or Inequity

Groupe de Recherche en Economie Théorique et Appliquée – UMR CNRS 5113

Case Study #4: Galapagos

Figure 10. Galapagos finance and revenue recognition/expense, 2002-2009, € thousands

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placement to

Fortis Bank

private

placement to

institutional

investors to

finance its

ProSkelia

acquisition

private placement to

GSK in connection

with their alliance

private

placement to

institutional

investorsVC

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Groupe de Recherche en Economie Théorique et Appliquée – UMR CNRS 5113

Case Study #4: Galapagos

• Rapid acquisitions after IPO

• Cooperation with governmental organizations

• Complex partnership structure

• Workforce growth after acquisitions

• Utilization of stock options

• Very stable ownership structure

Page 27: Lazonick&Sakinc- Presentation - Do Financial Markets ... · Groupe de Recherche en Economie Théorique et Appliquée –UMR CNRS 5113 Do Financial Markets Support Innovation or Inequity

Groupe de Recherche en Economie Théorique et Appliquée – UMR CNRS 5113

Case Study #4: Galapagos

Figure 11. Ownership of more than 3 percent of Galapagos shares, December 2004-March 2010

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AlpInvest Partners N.V. Burri l l & Company

Apax Partners S.A. Abingworth Management Limited

Delta Lloyd Asset Management N.V. Crucel l NV

Gestion Deelnemingen BV Johnson & Johnson

David M. Knott Partnership Fortis Bank (Nederland) N.V.

Global Opportunities (GO) Capital Asset Management B.V. GSK

NIB Capital Private Equity Co-Investments 2000

Source: Thomson Reuters and company reports

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Groupe de Recherche en Economie Théorique et Appliquée – UMR CNRS 5113

Preliminary Findings

• Equity investors view biopharmaceutical companies as sources of speculative gains. Especially after the IPO, there is a strong tendency toward value extraction even for companies that still require years to reap the fruits of their research

• Different firms pursue different financial strategies in the face of varying alternative sources of finance

• Access to government funding is critical for companies to develop their proprietary technology. This funding may take the form of research grants to founders through universities or direct grants to the company

Page 29: Lazonick&Sakinc- Presentation - Do Financial Markets ... · Groupe de Recherche en Economie Théorique et Appliquée –UMR CNRS 5113 Do Financial Markets Support Innovation or Inequity

Groupe de Recherche en Economie Théorique et Appliquée – UMR CNRS 5113

Preliminary Findings

• The content of proprietary technology, therapeutic research area, and/or coverage of patents also has a major impact on the development of the company’s financial strategy

• Whatever a company’s business and financial strategy, compensation through the exercise of stock options becomes important to executives and employees after the IPO, with short-term stock-price fluctuations providing them with windows of opportunity to reap the gains. This focus on the possibilities for short-term financial gain stands in stark contrast to the inevitably long-term and sustained investments that the companies must make to research and develop innovative products

Page 30: Lazonick&Sakinc- Presentation - Do Financial Markets ... · Groupe de Recherche en Economie Théorique et Appliquée –UMR CNRS 5113 Do Financial Markets Support Innovation or Inequity

Groupe de Recherche en Economie Théorique et Appliquée – UMR CNRS 5113

Further Research

• Detailed analyses of the importance of government funding for the drug development process, including not only the amount and forms of finance (research grants and financial subsidies) but also the extent and form of organizational integration of the publicly-funded knowledge-creation process with product development by the business enterprise

• Detailed analyses of the ways in which short-term financial gains from stock-option exercises may conflict with the long-term financial requirements of product development

• Comparative analyses of partnerships, focusing on the purpose and importance of alliances for the different partners

Page 31: Lazonick&Sakinc- Presentation - Do Financial Markets ... · Groupe de Recherche en Economie Théorique et Appliquée –UMR CNRS 5113 Do Financial Markets Support Innovation or Inequity

Groupe de Recherche en Economie Théorique et Appliquée – UMR CNRS 5113

Further Research

• Detailed mapping of the various scientific and financial contributions to the development of biopharmaceutical products by parties such as scientists, research institutes, early investors, and founders of start-ups to determine the relation of these contributions to the ultimate sharing of the gains from innovative enterprise

• Methodological specification of how to collect information about the drug development process required for this type of research, how to compare and integrate qualitative and quantitative data derived from a variety of sources, and why it is critical to have a dynamic theory of innovative enterprise as an integrative analytical framework

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Groupe de Recherche en Economie Théorique et Appliquée – UMR CNRS 5113

Further Research

Thank you for your attention