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Strategic Pharma Issues . Dr. Brian W Tempest www.briantempest.com brian.tempest@clara.co.uk Mumbai, India January 2013. A Slide from a UK Headhunter. Asian Growth source: Bangkok Post 26 July 2012. The Biggest Healthcare Fraud in History
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Strategic Pharma Issues Dr. Brian W Tempest www.briantempest.com brian.tempest@clara.co.uk Mumbai, India January 2013
The Biggest Healthcare Fraud in History Source: Daily Mail 3 July 2012
Big Pharma Business Model Brokensource: Pharmatimes World News April 2012
USA Life Expectancy & Pharma CostsSource: US Health in International Perspective Jan 2013
The Strategic Changes by Big PharmaSource: FT December 5 2012, Franz Humer, Roche Chairman • Possible to cut 30-50% off development costs via CT efficiencies • Shift from product focus to patient focus using diagnostic tools • In Europe there isn’t one Government or politician interested in the health of the Industry • USA & Latin American countries open to rewarding innovation • Industry has to change fundamentally how it manages costs • Leaner headquarters & smaller central functions • Division of the industry into 2 parts • A Innovative businesses able to charge a premium price • B Large scale manufacturers who can compete on cost
The Teva Future – Standing StillSource: RBC Capital 12 December 2012
Teva Losing Control of Costs in the EUsource: Teva June 2012
Reference Pricing in Central Europe Source : Istanbul September 2012 • Pharma purchases reduced from 1.7% of GDP to 1.0% of GDP in Turkey • Russia, South Korea & Saudi Arabia health ministries now requesting Turkish prices • Everybody is referencing everybody else on Pharma prices in Europe • Bulgaria is currently referencing prices in 17 other countries
BiosimiIar Issues in EU/USA • Rituximab –100 pat Roche, >600 pat Generics • Interchangeability unlikely • Could be different INN name in USA and EU • Cabilly patents may delay US mAbs to 2018 • EU first mAb in 2013 from Hospira/Celltrion • Pharmacovigilance data needed • EPO side effects in Thailand widely quoted • 400 biosimilar manufacturers in China but none will reach EU/USA • Biobetters need a full dossier with health economic data
Sandoz Biosimilars – an 18 years ROIsource: Pharmacloud June 2012
NIBS (tyrosine kinase inhibitors)Will these small molecules replace mAbs? • Axitinib, Pfizer, cancer • Cediranib, AZ, cancer • Pazopanib, GSK, cancer • Regorafenib, Bayer, cancer • Semaxanib, Sugen, cancer • Sorafenib, Bayer(Nexavar),cancer • Sunitinib, Pfizer, cancer • Toceranib, Pfizer, cancer • Vandetanib, AZ, cancer • Tofactinib, Pfizer, RA
Hisun-Pfizer JV to have 1500 staff in 2013source: Fierce Pharma
Thank You brian.tempest@clara.co.uk www.briantempest.com