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    Tools and Strategies for Launching a SuccessfulGeneric in Todays Ultra Competitive Environment

    KATE KUHRT

    BERLINSEPTEMBER 27, 2008

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    BEST OF TIMES

    Population all over the world getting older

    Increase in the size of middle class in manycountries

    Governments and employers promoting use ofgeneric drugs in efforts to slow down increase inhealth care spending

    Increased acceptance of generic drugs by patients

    and physicians

    A number of blockbusters losing patent protection

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    AND WORST OF TIMES

    Innovation drought

    ANDA backlog and authorized generics

    Pressure on prices and diminishing margins

    Government regulation

    Consolidation among wholesalers and retailers

    Increased competition

    Generic filings and approvals at all-time high

    A number of new entrants, many from India, often with accessto low-cost APIs

    Overcapacity in manufacturing

    Focus on market share rather than bottom line

    Authorized generics in the U.S.

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    ANDA APPROVALS BY INDIAN GENERICS

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    2007 YTD FINAL ANDA APPROVALS BYCOUNTRY

    USA; 116; 39%

    In ia; 85; 28%

    G many; 25; 8%

    I a ; 23; 8%

    Oth ; 20; 7%

    Ic an ; 6; 2%

    Cana a; 11; 4%

    Switz an ; 13;

    4%

    Source: Newport Strategies Horizon Global system

    Through August

    , 2007

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    ARE THE GENERICS INDUSTRTS GOLDENYEARS OVER?

    Expectation that only the fittest will survive

    Coping strategies aimed at:

    Reducing cost

    Reducing risk Improving speed to market

    Differentiation

    Achieving critical mass

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    COPING STRATEGIES: CONSOLIDATION

    Consolidation expected to continue in pursuit of

    Top-line growth

    Opportunities in new markets

    Synergies

    Example: Barrs acquisition of Pliva

    Biogenerics

    New dose forms

    Presence in emerging markets

    Access to API

    Result: Industry will likely be dominated by a handful of globalplayers plus many small, focused players

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    LEAGUE TABLES ARE CONSTANTLY SHIFTING

    Source: TS Research

    Global IsraelTeva 8400

    Global AustriaSandoz 5960

    Global GermanyMerck KGaA 2200

    EU SloveniaKrka 600

    Global USMylan 1260

    EU Germanyratiopharm 2000

    Global IndiaRanbaxy 1170

    EU GermanyStada 1400

    Global IndiaCipla 740

    US USPerrigo 1024

    Global CanadaApotex 770

    US USWatson 2550

    Global USBarr 3000

    EU HungaryGedeon Richter 600

    Focus HQSales $M

    Global USHospira 3480

    Global IndiaDr Reddys 550

    US USActavis 1835

    US USEndo 650

    Purchase by Mylan expected to close H2 07

    Sold US Business

    Lost Bid for Pliva

    Acquired Mayne

    Acquired Pliva

    Acquired Andrx

    Acquired Betapharm

    Majority stake in Matrix; Acquiring Merck KGaA

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    COPING STRATEGIES: GEOGRAPHICDIVERSIFICATION: EUROPE Recent Examples

    Barr-Pliva

    Mylan-Merck Generics

    Hospira-Mayne

    DRL-Betapharm

    Matrix-Docpharma

    Ranbaxy-Terapia

    Aurobindo-Milpharm

    Alkem close to buying two firms in UK and Germany

    Pros Counterweight to the U.S. market

    Some markets still focused on branded generic

    Rapid growth of pharma industry in E. Europe and Russia

    Cons Some markets as competitive as U.S.

    Generic uptake high at the expense of margins

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    COPING STRATEGIES: GEOGRAPHICDIVERSIFACTION: JAPAN

    Pros

    Japanese generics market seen as having a tremendousgrowth potential

    Currently % by value, 7% by volume

    Cons

    Some still skeptical about actual market potential

    Difficult for foreign companies to do it alone

    Acquisitions, JVs, and marketing agreements provideready access to:

    Manufacturing

    Marketing

    Distribution relationships

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    Acquisitions

    Zydus Cadila acquired a 00% stake in Nihon Universal Yakuhin in April 2007

    Joint Ventures

    In November 200 , Ranbaxy increased equity stake in Nippon Chemiphar from0% to 0%

    Marketing Agreements

    In August 200 , Lupin entered into a long-term marketing agreement with KyowaPharmaceutical

    In March 200 , Hospira-Taiyo agreement to sell each others injection agents

    Additional companies to watch

    Continued speculation that Teva will eventually acquire a Japanese firm

    Rumors that one of the three large generics (Nichi-iko, Sawai, Towa) will comeunder part ownership by a large multinational

    Torrent Pharma opened a fully-owned subsidiary in Yokohama in April 200

    Dr. Reddy's considering setting up an office in Tokyo or Osaka

    COPING STRATEGIES: GEOGRAPHICDIVERSIFACTION: JAPAN

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    COPING STRATEGIES: BACKWARDINTEGRATION INTO API Recent examples

    Mylan-Matrix

    Barr-Pliva

    Pros

    More control over cost and access to API

    Decreasing number of established API manufacturers stillindependent due to M&A

    Different parts of the value chain may make money in different products

    Faster response times

    Cons

    No one plant can make all APIs required by a typical generic

    Making just enough for captive use often not economical

    Other dose companies wary of buying API from a competitor

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    COPING STRATEGIES: MOVINGMANUFACTURING AND R&D TO LOWER-COST COUNTRIES Applies to both API and dose

    Examples Sandoz multiple units in India

    Teva scientists in Faridabad, acquired Regent Drugs (JK)

    Apotex manufacturing and R&D facilities in Bangalore

    Ratiopharm R&D center in Goa Stada production sites in Russia, Vietnam ( 0: 0 JV) and China

    Perrigo JV in China for ibuprofen

    Actavis API development facility and CRO in India

    Pros Abundance of scientists

    Cost savings Cons

    Language barriers

    Potential for intellectual property theft

    Quality control

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    COPING STRATEGIES: ALLIANCES WITHCOMPANIES IN LOWER-COST COUNTRIES Applies to both API and dose Manufacturing

    Examples Alpharma-Shasun

    200 agreement for 0 finished dose products and undisclosed number of APIs

    Actavis-Orchid

    2007 agreement involving cephs in Europe

    Development, manufacturing, and distribution agreement for 0 non-cephs inthe U.S.

    Pros Cost savings

    Access to a diverse talent pool

    Cons Longer response time to changes in market dynamics

    Potential delays due to regulatory issues Potential loss of IP

    Challenges with managing long-distance relationships

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    COPING STRATEGIES: SOURCING APIFROM LOWER-COST COUNTRIES

    Examples

    Teva, Apotex, Watson has been sourcing from India for years

    Indian companies increasingly sourcing out of China

    Pros

    Cost savings Many qualified API sources to choose from

    Cons

    Many API sources with limited track record

    FDA inspections more lax overseas?

    Language barrier QA costs

    Potential shortages due to stricter enforcement of localenvironmental laws

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    COPING STRATEGIES: SOURCING APIFROM LOWER-COST COUNTRIES (cont)

    Source: Newport Strategies Horizon Global

    74

    2518

    8

    17

    104

    0

    20

    40

    60

    80

    100

    120

    Established Less Established Potential Future

    NumberofCorpo

    rateGroups

    India

    China

    +2

    +

    +2

    -

    +7

    +

    Change from 200

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    COPING STRATEGIES: FOCUS ON NICHEPRODUCTS

    Examples

    Ranbaxy, DRL eyeing Bradley Pharmaceuticals(dermatology)

    Pros Less competition

    Margins in difficult formulations likely to remain higher

    Inhaled products, certain injectables, controlled release

    Cons Even $20M products attracting interest

    If multiple generics get involved, may not recoupinvestment

    Costly barriers to entry for certain products

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    COPING STRATEGIES: INNOVATION

    New formulations

    Andrx Altoprev (controlled-release lovastatin)

    Ranbaxy Riomet (metformin oral solution)

    New molecules

    Best known examples: Pliva Zithromax (azithromycin), Teva

    Copaxone (glatiramer) Ranbaxy expects to be the first Indian pharma co to launch a new NCE

    (exp. 20 )

    Pros

    Potential for big returns during patent and exclusivity period

    Cons Original R&D very expensive and risky: It may take 000s of failuresbefore a successful NCE

    Possible reimbursement issues and higher marketing costs for genericplus products

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    COPING STRATEGIES: PARAGRAPH IVPATENT CHALLENGES

    Pros

    Generic companies can make a considerable amount ofmoney during the 80-day exclusivity period

    First-to-market generic company often maintains a big

    market share even after the end of the exclusivity

    Cons

    Expensive and risky

    Authorized generics and shared exclusivity reduce the

    potential payoff from the initial 80 days

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    PARAGRAPH IV PATENT CHALLENGES

    As of September 7, 2007, challenges on productsencompassing

    unique brand names

    282 unique molecules or molecule combinations

    8 unique dose forms

    In 200 , 27 molecules (or new combinations) first wereexposed to patent challenges

    So far in 2007, 7 molecules (or combinations) have seentheir first patent challenges

    Source: FDA, Newport Strategies Horizon Global

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    IMPORTANCE OF API IN PATENTCHALLENGES

    Risk of supplier failure is high for companies involved with patentchallenges

    Even one day of delay can cost the company FTF status

    Risk is also high for API manufacturers

    Generics may settle with innovators or do deals with other

    generics who use other API sources If dose company is backward integrated into API, may switch to

    internal API source when convenient

    If development starts too early, product may be withdrawn frommarket

    Backward integration into API may provide crucial advantages Coordinated API and dose development

    Coordinated regulatory submissions

    Speedy addressing of any issues

    Improved knowledge of polymorphs

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    COPING STRATEGIES: SOPHISTICATEDPRODUCT SELECTION

    Companies need to pick products for development very carefully

    It is not enough to look at sales data!

    Pharmacodynamics

    Toxicity Country Regulations Pack Pricing Reimbursement

    Data Needs during Product Selection

    Approvals

    API Sources Company Data Manufacturing Capabilities Bioequivalence Stability

    Sales

    Dose Form and Strength Patents, Patent Challenges Labeling Chemistry, Synthesis Data Exclusivity Market Exclusivity

    Targeting EvaluationDeal

    MakingFormulation

    DevtRegistration

    & ReviewLaunch

    LaunchL 8 monthsL 8 years L 7 years L years

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    COPING STRATEGIES: SOPHISTICATEDPARTNER SELECTION

    Companies need to pick partners and acquisitiontargets carefully

    Data Needs during Partner Selection

    Patent portfolio

    Patent challenge experience Approvals Backward/forward integration Current alliances Location

    Product portfolio

    Product pipeline Geographic reach Financials Regulatory experience Manufacturing capabilities

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    TOOLS TO TH RESCUE!

    Access global market, intellectual property and product info

    Predict key data in advance (e.g. competitiveness, genericlaunch date)

    Flexible, fast searching across multiple, exacting criteria

    Identify early, viable source of API supply and backupsources

    Spot in- and out-licensing capabilities

    Identify potential partner companies with multiple, exacting

    criteria

    Keep a watchful eye on potential acquisition targets and trackcompetitors

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    THANK YOU!

    Kate Kuhrt

    Newport Strategies

    Thomson Reuters

    2 Commercial Street

    Portland, Maine 0 0

    USA

    + (207) 87 - 700 x2

    [email protected]