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Finding Opportunities for Fully Integrated Risk Management in Biopharmaceutical Projects John Franc, BS, MBA, PMP

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An integrative view of how risk management can be effectively utilized by project managers in drug development and commercialization.

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Page 1: Project Risk Management

Finding Opportunities for Fully Integrated Risk Management in

Biopharmaceutical Projects

John Franc, BS, MBA, PMP

Page 2: Project Risk Management

J. Franc, Slide 2

Key Concepts

• Find and develop opportunities for key stakeholder buy-in

• Plan and execute within the right scope for the project

• Build links with operations and commercialization

• Identify and communicate the success of project risk management

• Upside opportunities• Assuring flawless execution

Page 3: Project Risk Management

J. Franc, Slide 3

Agenda

• R&D Project risk management

• Manufacturing risk management

• Commercial / brand risk management

• Measuring value

Page 4: Project Risk Management

J. Franc, Slide 4

Typical Large Pharma Project Management Model

• R&D-based project governance • Strong matrix organization• Cross-functional team and subteam structure with divisional

representation• PP&M roles and challenges

Objective project governance (are risks being addressed?) Integration

• Separate divisional systems / planning functions

Page 5: Project Risk Management

J. Franc, Slide 5

Guideposts for Effective Project Risk Management

• Be sure you have identified the right risks Summarize the project objective (launch date(s), desired

indication(s), sustainable drug product launch inventory) Use the appropriate tools (Risk Breakdown Structure, Probability x

Impact matrix, Schedule Risk assessment)

• Align the team, line management and governance committee on impact to the project

• Focus everyone on managing / being proactive against the identified risks

• Monitor progress made against those risks

Page 6: Project Risk Management

J. Franc, Slide 6

General Project Risk Management Process

Initiate Project Risk Management Process

Step1 . Risk Assessment

Risk Identification

Risk Analysis

Risk Assessment

Step 2. Risk Control

Risk Reduction Plan

Risk Response Expected Effectiveness

Ris

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anag

emen

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ls

Step 3. Risk Communication

Risk Communication

Output: Results of the Project Risk Management Process

Step 4. Risk Review

Risk Review

Plan found Acceptable

Further assessment required

Page 7: Project Risk Management

J. Franc, Slide 7

Sample Project Objective

• Launch <product> by <date> in US, <date> in EU for <indication>, with potential for <upside indication>, and to build sufficient launch inventories to enable this

Page 8: Project Risk Management

J. Franc, Slide 8

Scope Considerations

• Stage of drug development

• Business unit performance measuresR&D - Timeline ExecutionManufacturing - Cost, Supply chain performance,

Product and Process QualitySales & Marketing - Brand & launch optimization

Page 9: Project Risk Management

J. Franc, Slide 9

R&D Project Risk Management

• Pre-decision point planning: Project manager deliverable for mid-to-late stage projects

Phase 3 Approval/Launch

File NDA/MAA

RegulatoryMilestones

Decision Points

T – 1 mo

T – 1 mo

Ris

k M

an

ag

em

en

t P

lan

nin

g

T – 6 mo

Prep for Decision

Prep for Decision

Prep for Decision

Monitor, Control to Filing

Phase 2

Filing Target Reality

Phase 1b/2a

Initial topline data

Page 10: Project Risk Management

J. Franc, Slide 10

R&D Project Risk Management Example

• Step 1. Risk Assessment: Identification• Example: New-to-company manufacturing process. Different EMEA

vs FDA comparator requirements Identify threats to approval/launch

Initiate Project Risk Management Process

Risk Assessment

Risk Identification

Risk Analysis

Risk Assessment

Risk Control

Risk Reduction Plan

Risk Response Expected Effectiveness

Ris

k M

ana

gem

ent

Too

ls

Risk Communication

Risk Communication

Output: Results of the Project Risk Management Process

Risk Review

Risk Review

Plan found Acceptable

Further assessment required

Page 11: Project Risk Management

J. Franc, Slide 11

R&D Project Risk Management Example

• Step 1. Risk Assessment: Assess threats to approval and launch by probability and impact

Probability Very High 5 5 10 20 40 80

High 4 4 8 16 32 64Moderate 3 3 6 12 24 48

Low 2 2 4 8 16 32Very Low 1 1 2 4 8 16

1 2 4 8 16Impact Very Low Low Moderate High Very High

P x I Risk Prioritization Matrix

EU requires additonal

comparator study

Insufficient specialized product marketing personnel

by launch

Ambiguous Phase 3 efficacy results

0

0.2

0.4

0.6

0.8

1

0 4 8 12 16 20 24

Impact

Pro

bab

ility

Avoid / Mitigate (include in base plan)

Accept

1Very Low

2Low

HighModerate

Very High

Contingency

Unable to transfer experience/knowledge of critical process parameters to commercial scale

Example: New to company manufacturing process. Different EMEA vs FDA comparator requirements

Page 12: Project Risk Management

J. Franc, Slide 12

R&D Project Risk Management Example

• Step 2. Risk Control: Response plans and Expected Effectiveness

After R

esponse

Before

Res

ponse

0

10

20

30

40

50

60

70

Hire specialized product marketing sales force

Conduct additonal comparator study for EU

Contract to experienced 3rd party manufacturer

Conduct additional sub-population analyses

What more can be done to reduce the risk? Are new risks introduced by the identified

response plans?

Example: New to company manufacturing process . Different EMEA vs FDA comparator requirements

Page 13: Project Risk Management

J. Franc, Slide 13

Integrating R&D and Manufacturing Risk Management

Phase 3 Approval/

Launch

File NDA/MAA

RegulatoryMilestones

Decision Points

T – 1 mo

T – 1 mo

R&

D R

isk

M

an

ag

em

en

t P

lan

nin

g

T – 6 mo

Prep for Decision

Prep for Decision

Prep for Decision

Monitor, Control to Filing

Phase 2

Filing Target Reality

Phase 1b/2a

Initial topline data

Ma

nu

fac

turi

ng

Ris

k M

an

ag

em

en

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lan

nin

g

Monitor, Control to Launch

Page 14: Project Risk Management

J. Franc, Slide 14

Manufacturing Risk Management Example

• Step 1. Risk Assessment: Identification Identify threats to API, DP process approval/launch

Initiate Project Risk Management Process

Risk Assessment

Risk Identification

Risk Analysis

Risk Assessment

Risk Control

Risk Reduction Plan

Risk Response Expected Effectiveness

Ris

k M

ana

gem

ent

Too

ls

Risk Communication

Risk Communication

Output: Results of the Project Risk Management Process

Risk Review

Risk Review

Plan found Acceptable

Further assessment required

Manufacturing WBS Category

Short Description of Threat

Engineering Band 4 containment needed

Tech TransferNo experience/knowledge of critical process parameters to commercial scale

Facilities Planned finishing plant shutdown in early 2006Planning Long lead item intermediatesPlanning Validation coincides with height of hurricane season

Page 15: Project Risk Management

J. Franc, Slide 15

Manufacturing Risk Management Example

• Steps 1 and 2: Risk Assessment and Risk Control Account for threats to process approval/launch in the plan using schedule

risk analysis

Manufacturing WBS Category

Short Description of ThreatApproach for accounting for in

plan

Engineering Band 4 containment neededAccount for construction completion uncertainty in schedule

Tech TransferNo experience/knowledge of critical process parameters to commercial scale

Include milestones for identifying CPP and steps for testing ability to mitigate when beyond normal operating conditions

Facilities Planned finishing plant shutdown in early 2006Account for shutdown in schedule; competition for plant time after re-opens

Planning Long lead item intermediatesHighlight to mgmt when risk authorization needed to purchase

Planning Validation coincides with height of hurricane season

Account for increased likelihood of failed batches in worst case estimate for completion of campaign

Page 16: Project Risk Management

J. Franc, Slide 16

Manufacturing Risk Management Example

• Steps 1 and 2: Risk Assessment and Risk Control Monte Carlo sensitivity analysis to identify activities on which to focus mitigation

Date: 3/1/2005 4:26:50 PMSamples: 1000Unique ID: 20Name: Launch

Completion Std Deviation: 2.66 mons95% Confidence Interval: 0.16 monsEach bar represents 1 mon

Completion Date

Fre

qu

en

cy

Cu

mu

lativ

e P

rob

ab

ility

2/27/088/19/07 11/7/08

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

0.9

1.0

0.02

0.04

0.06

0.08

0.10

0.12

0.14

0.16 Completion Probability Table

Prob ProbDate Date0.05 10/24/070.10 11/20/070.15 12/7/070.20 12/21/070.25 1/1/080.30 1/11/080.35 1/25/080.40 2/4/080.45 2/14/080.50 2/25/08

0.55 3/5/080.60 3/14/080.65 3/26/080.70 4/4/080.75 4/18/080.80 5/2/080.85 5/20/080.90 6/6/080.95 7/11/081.00 11/7/08

Page 17: Project Risk Management

J. Franc, Slide 17

Manufacturing Risk Management Example

• Steps 3 and 4: Risk Communication and Review Manufacturing governance committee endorses

Short Description of ThreatApproach for accounting for in

planManufacturing

Governance Action

Band 4 containment neededAccount for construction completion uncertainty in schedule

Acknowledged and accounted for

No experience/knowledge of critical process parameters to commercial scale

Include milestones for identifying CPP and steps for testing ability to mitigate when beyond normal operating conditions

Acknowledged and further clarity around

contingency plans (including equipment to be used) requested

Planned finishing plant shutdown in early 2006Account for shutdown in schedule; competition for plant time after re-opens

Accelerate construction of 2nd

finishing plant

Long lead item intermediatesHighlight to mgmt when risk authorization needed to purchase

Approved

Validation coincides with height of hurricane season

Account for increased likelihood of failed batches in worst case estimate for completion of campaign

Acknowledged and accounted for

Initiate Project Risk Management Process

Risk Assessment

Risk Identification

Risk Analysis

Risk Assessment

Risk Control

Risk Reduction Plan

Risk Response Expected Effectiveness

Ris

k M

ana

gem

ent

Too

ls

Risk Communication

Risk Communication

Output: Results of the Project Risk Management Process

Risk Review

Risk Review

Plan found Acceptable

Further assessment required

Page 18: Project Risk Management

J. Franc, Slide 18

Integrating Commercialization or Brand Risk Management

• Focus: Value proposition driven

Phase 3 Approval/Launch

File NDA/MAA

RegulatoryMilestones

Decision Points

T – 1 mo

T – 1 mo

T – 6 mo

Prep for Decision

Prep for Decision

Prep for Decision

Monitor, Control to Filing

Phase 2

Filing Target Reality

Phase 1b/2a

Initial topline data

Monitor, Control to Launch

Refined Brand Risk

Management

Monitor, Control to Launch

Early Draft Brand Plans

Bra

nd

Ris

k

Ma

na

ge

me

nt

R&

D R

isk

M

an

ag

em

en

t P

lan

nin

g

Ma

nu

fac

turi

ng

Ris

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an

ag

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Page 19: Project Risk Management

J. Franc, Slide 19

Brand Risk Management

• Adapt tools to brand / marketing format• P x I matrix as a bubble chart• Assess threats and opportunities against a

meaningful threshold for impact (20% or $100M topline global sales in any year)

• Initiate risk response planning well before launch

Page 20: Project Risk Management

J. Franc, Slide 20

Brand Risk Management Example

• Step 1. Risk Assessment: Identification and assessment• Example: Novel medicine for hepatitis B with significant market

potential in south east Asia

Initiate Project Risk Management Process

Risk Assessment

Risk Identification

Risk Analysis

Risk Assessment

Risk Control

Risk Reduction Plan

Risk Response Expected Effectiveness

Ris

k M

ana

gem

ent

Too

ls

Risk Communication

Risk Communication

Output: Results of the Project Risk Management Process

Risk Review

Risk Review

Plan found Acceptable

Further assessment required

Identify threats and

opportunities to global approval and launch plan

What more can be done to reduce the risk? Enhance the opportunities?

Which opportunities become threats to other areas?

Short Description of Risk ProbabilityRisk

ExposureEarliest risk

to occur

Patent enforced in major emerging market

Low$$$

2H07

Able to increase treatment rate in major emerging market

Moderate$$$

2H08

Secure exempt status for import duty required by key SE Asian country

Low

$$

2H06

No IP protection in major emerging market

High($$$$$)

2H07

Treatment rates do not increase as planned in US

Low($$$)

1Q06

Opp

ortu

nitie

sT

hrea

ts

Page 21: Project Risk Management

J. Franc, Slide 21

Brand Risk Management Example

• Steps 2-4: Risk Controls, Communication and Review• Risk Review

Marketing endorses Manufacturing governance committee reviews and requests

additional plan review

Initiate Project Risk Management Process

Risk Assessment

Risk Identification

Risk Analysis

Risk Assessment

Risk Control

Risk Reduction Plan

Risk Response Expected Effectiveness

Ris

k M

ana

gem

ent

Too

ls

Risk Communication

Risk Communication

Output: Results of the Project Risk Management Process

Risk Review

Risk Review

Plan found Acceptable

Further assessment required

Short Description of Risk ProbabilityRisk

ExposureEarliest risk

to occurMarketing

Governance ActionManufacturing

Governance Action

Patent enforced in major emerging market

Low

$$$

2H07 Establish dialogue with patent office and develop claims (endorsed)

Prepare contingency plan for major manufacturing expansion

Able to increase treatment rate in major emerging market

Moderate

$$$

2H08 Accelerate regulatory and marketing staffing plan (endorsed)

Prepare contingency plan for major manufacturing expansion

Secure exempt status for import duty required by key SE Asian country

Low

$$

2H06 Negotiate for duty exempt status in government budget process

Complete plans for investment in SE Asian manufacturing

No IP protection in major emerging market

High($$$$$)

2H07 Same as for opportunity

Same as for opportunity

Treatment rates do not increase as planned in US

Low($$$)

1Q06 Same as for opportunity

Same as for opportunity

Page 22: Project Risk Management

J. Franc, Slide 22

Example: Risk Management Maturity by Function

• Carefully consider and account for when integrating across functions

Unawareness

Buy-in

Ownership

Awareness

Understanding

Self-concern

Tryout

Adoption

Institutionalization

Internalization

Time

Sales& Marketing

Phase I/IIa

Phase IIIR&D

Manufacturing

PP&M

Page 23: Project Risk Management

J. Franc, Slide 23

Managing to See Value

For Pharmaceuticals

Timeline (patent life maximized)Quality (products, processes)Safety (highest business impact)

Value Were risks avoided?

Predicted?

Impact Was the output used to set expectations

and manage risk?

Scope Did participants feel time was well spent?

Was the plan improved?

A long-term proposition

Page 24: Project Risk Management

J. Franc, Slide 24

Beating the Odds: What Can Happen When Risks Are Owned and Managed

15 16 1710 11 12 13 18 19 20 21

Phase III Start to Filing (months)

14 22 23 24

Initial Proposed Timeline

Risks Identified:•Study X dbase lock (20 – 30 – 60d)

•Additional time needed to understand data (4-8 wks)

•Additional time needed to review and finalize with partner

Schedule Risk Assessment 10% 50% 90%

Team Risk Mitigation Actions•Team spent additional $$ to achieve dbase close-out in 20d

•Conducted sub-group analyses in parallel w/ topline results

•Time window limit posed for comments

Actual Performance

Governance ActionResources mobilized

5% Likely? Ok, but we’ll show them how it’s

done!

Page 25: Project Risk Management

J. Franc, Slide 25

Key Concepts

• Find and develop opportunities for key stakeholder buy-in

• Plan and execute within the right scope for the project

• Build links with operations and commercialization

• Identify and communicate the success of project risk management

• Upside opportunities• Assuring flawless execution

Page 26: Project Risk Management

J. Franc, Slide 26

• Questions?