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Research Policy 35 (2006) 1–23

Exploration and exploitation in innovation systems:


The case of pharmaceutical biotechnology
Victor Gilsing a,∗ , Bart Nooteboom b
a ECIS, Eindhoven University of Technology, TEMA 0.32, P.O. Box 513, 5600 MB Eindhoven, The Netherlands
b Tilburg University, The Netherlands

Received 24 April 2004; accepted 11 June 2005


Available online 19 December 2005

Abstract

This paper develops a theoretical framework for an explanation of how exploitation and exploration build on each other, in
a ‘cycle of discovery’, developed in earlier research. The framework is tested empirically, in the sense of seeing whether it
can help to reconstruct and understand the emergence of the pharmaceutical industry. One of the conclusions is that whereas
recent literature stresses the idiosyncratic nature of the biotechnological revolution, our analysis seems to reveal that this does
not seem to be as unique as suggested. From this, we conclude that the theoretical framework we propose, serves its purpose of
explanation. But there are also some lessons for improving it.
© 2005 Elsevier B.V. All rights reserved.

Keywords: Exploration; Exploitation; Pharmaceutical biotechnology; Sectoral systems

1. Introduction ‘dominant designs’ and mindsets regarding product,


market and organization, in systems of ‘exploitation’
Many studies have analysed the effects of a wide (March, 1991). Broader national institutions, beyond
range of institutions on innovation (Lundvall, 1992; industries, include government, legal systems (includ-
Nelson, 1993; Edquist, 1997; Whitley, 1999; Mowery ing property rights), infrastructure, general training and
and Nelson, 1999; Malerba, 2002, 2004). Some insti- education, labour conditions, financial systems (includ-
tutions are industry-specific, such as systems of pro- ing venture capital), and the like. These have had a
duction, organization, distribution, supply, technical clear influence, e.g. on the biotechnology revolution,
standards, training, and so on. Such institutions may as documented in a range of studies (e.g. Gambardella,
be associated with ‘industry recipes’ (Spender, 1989), 1995; Orsenigo et al., 1998, 2001; Henderson et al.,
1999; Jungmittag et al., 2000; Pisano, 2002; Gassman
∗ Corresponding author. Tel.: +31 40 247 4435;
et al., 2004; McKelvey and Orsenigo, 2004). We fully
fax: +31 40 246 8054.
acknowledge their importance, but in the present paper,
E-mail addresses: v.a.gilsing@tm.tue.nl (V. Gilsing), we do not aim to repeat or extend the study of their
b.nooteboom@uvt.nl (B. Nooteboom). effects. We are interested, rather, in the basic ‘system

0048-7333/$ – see front matter © 2005 Elsevier B.V. All rights reserved.
doi:10.1016/j.respol.2005.06.007
2 V. Gilsing, B. Nooteboom / Research Policy 35 (2006) 1–23

logic’ of how, in a new round of radical innovation, for analyzing innovation in pharmaceuticals than
sector-specific institutions such as dominant designs, firms.
industry recipes, and mindsets change. In other words, This paper looks at issues of both competence
how exploration builds on but also shifts existing sys- (learning, innovation) and governance (management of
tems of exploitation. This system logic is based on a relational risk). We propose that it is the combination
theory of learning, in the sense of discovery, devel- of the two that yields a more complete understand-
oped in earlier work, which entails a dialectic process ing of interfirm networks (Dosi and Marengo, 2000;
of exploitation and exploration (Nooteboom, 2000), Nooteboom, 2000). We identify two main kinds of rela-
intended to explain how radical innovation and struc- tional risk: the hold-up risk familiar from transaction
tural change arise endogenously. In this paper, we dis- cost economics, as a result-specific investments, and
cuss this logic at a sectoral level, to understand the risk of spillover of strategically sensitive knowledge to
transition from exploitation to exploration and vice competitors. Specific investments may occur in other
versa. On the basis of this, we analyze the effects of ways than recognized in transaction cost economics, in
such sectoral dynamics on organizational forms, in par- building up mutual understanding and relation-specific
ticular networks of firms. trust, which are both important, in particular, under
We apply this framework to the pharmaceutical the uncertainty of exploration, with the development
industry to see whether it can help reconstruct and of new knowledge. In contrast with transaction cost
understand the biotechnological revolution. Recent economics, we claim the viability, and indeed indis-
studies on the pharmaceutical industry seem to agree pensability, of trust that, within limits, goes beyond
on the fact that there have been, apart from firm- calculative self-interest. The result is that we employ
specific and national aspects, fundamental changes a range of instruments of governance that include
at the sectoral level (Arora and Gambardella, 1994; coercion by hierarchy or contracts, incentives from
Gambardella, 1995; Orsenigo et al., 1998; Henderson dependence on unique partner value, hostages, and rep-
et al., 1999; Jungmittag et al., 2000; Pisano, 2002; utation, and trust based on ethics, shared values of
Brusoni and Geuna, 2003; Santos, 2003; Gassman conduct, and relation-specific empathy, identification
et al., 2004; McKelvey and Orsenigo, 2004). This and routinization of conduct (for an integrated account,
literature has described in great detail how the advent see Nooteboom, 2004). The paper proceeds as follows.
of molecular biology and genetic engineering yielded a Section 2 discusses the theoretical framework, a ‘cycle
profound transformation of the pharmaceutical indus- of discovery’, which serves as a logic of how explo-
try and induced a new division of labour that required a ration and exploitation are related and build on each
new organizational form made up of networks of scien- other. In Sections 3 and 4, for an empirical test of
tists, specialised new entrants and large pharma firms. our claims, we describe and analyse the transformation
The claim that we submit here is that our system logic process of the emerging pharmaceutical biotechnol-
helps to understand these sectoral dynamics. In this ogy industry (Section 3), and discuss its organizational
way, we aim to go beyond some of the more descriptive implications in the Netherlands (Section 4). In Section
accounts as present in the recent literature and aim to 5, we compare our empirical findings with the claims
contribute to an evolutionary theory at a sectoral level, based on our theoretical framework and we draw some
which holds across different technologies or industries conclusions.
(Nelson, 1994). Apart from the sectoral developments
that have taken place on a worldwide scale, we analyze
how such sectoral dynamics have settled in network 2. Exploration and exploitation: a cycle of
structures in the Netherlands. Although the literature discovery
abounds with claims and empirical evidence on the
role of networks in this industry, a more in-depth Given the aim of this paper to provide a deeper
understanding of how they are structured and of their understanding of the transition from exploitation to
inner functioning is still limited. Analyzing such exploration and vice versa, we need a theory that
networks in more detail echoes the claim by Powell explains it. For that we use a ‘cycle of discovery’
et al. (1996) that networks are a more useful concept (Nooteboom, 2000) that describes and explains how
V. Gilsing, B. Nooteboom / Research Policy 35 (2006) 1–23 3

Fig. 1. Cycle of discovery (Nooteboom, 2000).

exploration and exploitation are mutually related and increases, and new producers jump on the bandwagon.
build on each other. In manufacturing industries, the focus shifts from a
Exploitation, i.e. the efficient employment of current focus on product innovations to process innovations
assets and capabilities, is needed to survive in the short (Abernathy and Utterback, 1978). The new technol-
term. Exploration, i.e. the development of novel capa- ogy/product/market combination develops into a dom-
bilities, is needed to survive in the long term. Thus, to inant design or ‘dominant logic’ (Bettis and Prahalad,
survive in the short and long term, firms must combine 1995) of organization, including network structure and
the two, somehow. That is a paradoxical task. A key ‘industry recipes’ (Spender, 1989), with pressures to
question now is how exploitation and exploration build conform, in ‘organizational isomorphism’ (DiMaggio
on each other. For this, Nooteboom (2000) proposed and Powell, 1983). Competition shifts to efficient pro-
a heuristic ‘cycle of discovery’, with several stages, duction and distribution and new entrants exert further
illustrated in Fig. 1. A key feature of this cycle is an pressure on price. Therefore, for the sake of efficient
alternation of variety of content and variety of context. production, an increase of scale, a division of labour
As described in the standard innovation literature, a and associated specializations emerge. As a result,
variety of alternative forms of a novelty is reduced, variety decreases and the focus shifts to ‘single-loop’
by a process of selection, in convergence on domi- learning between firms (Argyris and Schön, 1978),
nant designs, in technology and organization, in a drive yielding only minor product adaptations and process
towards exploitation. Next, and this part of the cycle is improvements. As a consequence, there is an increase
new, for exploration practices must be confronted with in specialization that entails more specific knowledge
novel conditions and opportunities, in a variety of new on a narrower range of issues.1
contexts. The cycle is discussed in more detail below.
1 This clearly connects with Callon’s notion (2002) of a ‘consol-
2.1. Exploitation idated configuration’. Such a consolidated network is characterized
by a strong similarity of the involved actors that face limited uncer-
Exploitation starts when variety of content (of a tainty as the possible states of the world are known ex ante and
concept, technology, product or practice) that emerges can therefore be anticipated. As a consequence, they develop simi-
lar research and innovation programs leading to a further narrowing
from exploration is reduced, in consolidation, into a of technological options and a further increase in the consolidation
dominant design, as suggested in the innovation lit- of these ‘aligned’ networks. The natural outcome of this process is
erature. As a result of reduced uncertainty, demand formed by incremental innovations.
4 V. Gilsing, B. Nooteboom / Research Policy 35 (2006) 1–23

2.1.1. Implications for innovation networks been neglected, relative to the question how nov-
When novelty gets consolidated in dominant elty settles down into dominant designs and gets
designs, knowledge gets more codified, which enables diffused.
a more rapid diffusion. A need and a basis arise for more For exploration that yet maintains such exploitation,
formal governance (Nooteboom, 2004). There is a need one next needs to open up to a new variety of contexts
because relations become more distant and therefore of application, in generalisation. These novel contexts
less personalised, and codification of knowledge yields of application may be sought voluntarily, in an expan-
a greater risk of spillover. There is a basis because sion of activity. In economics, there is a pressure to
there is more information about options, outcomes and extend the market as growth in the original market
tasks for constructing contractual arrangements, and stagnates. While firms may actively search for novel
codification of knowledge yields better opportunities contexts of application, new conditions of market and
for contract specification and monitoring. A reputation technology may also be imposed from outside one’s
mechanism has developed. Trust shifts from relation- familiar niche. An illustration of this, in the develop-
specific to institutions-based trust (Nooteboom, ment of the multimedia industry, is that publishers were
2002), as the appropriate institutions arise, in the first not very pro-active in developing the potential and
form of technical and behavioural standards, rep- use of Internet, and went along in digitalization and
utation mechanisms, and legal and organizational electronic distribution of text only later, for fear of los-
forms. ing their position (Gilsing, 2005).
Stringent technical requirements and opportunities A novel context, either sought outside or imposed
of more codified information, reduced uncertainty, spe- from outside, is needed for three reasons (Nooteboom,
cialization, and more formal governance are best facil- 2000). The first is that established capabilities arose
itated by ties that are strong in some respects and and consolidated in a given niche, and therefore per-
weak in others. Ties are strong in terms of high and form well there, and are taken for granted, so that new
often specific investments in the organization of pro- conditions are needed to gain new insights in limits
duction and distribution, and in durability, to ensure a of validity. The second reason is to build motivation
stable, efficient division of labour, and a pay-back to for change, resulting from such limits, in the novel
the investments. The drive for efficiency requires the context. The third reason is to yield insight into poten-
elimination of redundant relations. This pushes for a tial novel content of practice, for which inspiration is
less dense structure of the network. Increased codifi- found in the novel context. Thus, the move of gen-
cation of knowledge and the emergence of standards eralization, into a novel context, yields the basis for
further diffusion without the need for relation-specific exploration.
investments of mutual understanding. There is less
need for variability and variety for exploring novel 2.2. Exploration
combinations. Increased competitive pressure narrows
the potential for trust and creates a need for contracts. First, to maintain exploitation as much as possi-
At the same time, reduced uncertainty and more cod- ble, there is an attempt to make minor adjustments to
ified, diffused knowledge on a narrow range of issues established practice, in what is called differentiation.
enable the specification of contracts and the monitor- Insights for differentiation may come from previous
ing of compliance. So, whereas ties show strength in experience, in novel selections from familiar reper-
terms of duration, ties show generally lower strength toires, which are retrieved in an attempt to improve fit in
in terms of lower frequency of contacts for knowledge the novel context. Insights may also come from local
exchange, less mutual openness and a narrower range knowledge embedded within the novel context. Key
of issues included in ties. is that these insights easily fit into existing practice.
The interesting question next is how one gets away As a consequence, innovation is incremental, com-
from the dominant designs in technology and from plexity stays limited and existing network structure
prevailing industry recipes regarding organization, for suffices.
a next round of (radical) innovation. In the litera- However, such incremental adaptations may turn to
ture on innovation and evolution, this question has be insufficient to fit to the novel context. When differ-
V. Gilsing, B. Nooteboom / Research Policy 35 (2006) 1–23 5

entiation is not sufficient, or if the novel context indi- analogy to evolution in biology) or not amenable to
cates novel opportunities, more profound changes are explanation.
needed, in reciprocation: experiments are conducted
with novel elements adopted from the novel context, 2.2.1. Implications for innovation networks
which seem to be successful where familiar practice Concerning forms and instruments of governance,
fails, in hybrids of established and new elements. It we argue that formal contractual safeguards are prob-
may turn out that in some respects these new elements lematic in innovation, especially in the stages of more
perform better in the novel context, so that one tries to radical change (Nooteboom, 2004). Emerging novelty
incorporate such elements in the established practice, is by definition uncertain, which makes it difficult to
or adopts local practices while incorporating elements specify outcomes upfront. In addition, a contract needs
from the established practice. This allows for exper- to be monitored, which to a large extent is determined
imentation with new elements, to test their potential, by the nature of the knowledge base: when knowledge
while existing basic design principles are increasingly is tacit and subject to radical change, monitoring may
being questioned. In other words, the phase of recip- be very difficult. In addition, there is a relational argu-
rocation forms the ‘topple point’ between exploitation ment that detailed contracts aimed at the prevention
and exploration. On the one hand, it still allows for of opportunism are a signal of distrust (Nooteboom,
ongoing exploitation, albeit in new forms, whereas 2000). This is especially the case when relations are
on the other hand it provides insights concerning the (mainly) informal and coordinated by mechanisms
potential of novel elements, and concerning the con- such as social norms and reputation, putting a strong
straints imposed by existing designs on the realization limit on the use of contracts. As a consequence, the
of that potential. Once this hybrid practice starts to more radically new exploration/innovation is, the more
yield diminishing returns, inconsistencies, and added one can only use more informal instruments such as
complexity, this provides an incentive and insight for relation-specific trust, and reputation by word of mouth
more radical architectural change, in novel structures or early results, such as first prototypes, within the
of old and new elements. This is the stage of ‘explo- developing innovation community. It is known from
ration of novel combinations’. The existing network studies of trust that it is stimulated by the condition
structure no longer suffices and needs restructuring in that one needs each other, and there are no alternatives.
order to open up to new variety of content. This stage Then one will simply have to make it work, in mutual
of exploration entails a radical reconfiguration of old give and take. Trust is further engendered by mutual
systems of exploitation that are no longer consistent respect among professionals struggling with shared
with emerging novelty.2 problems. An informal safeguard against free-riding
In this scheme, one can recognise the principles may be that in order to keep up with new knowledge
of evolutionary thinking: consolidation entails selec- development, all partners have to do their part, in give
tion among novelty, generalization entails transmis- and take, to keep up with the development of their
sion, and differentiation, reciprocation and exploration absorptive capacity, and shared tacit knowledge, to ben-
generate new variety of forms. However, the latter efit from what partners develop. An informal safeguard
process of variety generation has been neglected by against hold-up on the basis of specific investments is
evolutionary economics and innovation theory, which that no one knows yet which investments will turn out
have taken the generation of novelty as random (by to be generic and which specific. An informal safe-
guard against the use of confidential information as a
2 This clearly connects with Callon’s notion (2002) of an ‘emer- hostage is that it is not certain what knowledge could
gent configuration’. Such an emergent network forms a break away be used as a hostage. In radical innovation, knowledge
from existing competences in consolidated networks, resulting in may soon become obsolete, and then is not functional
high uncertainty as the possible states of the world are unknown as a hostage.
and only to be understood through trial and error. As a consequence, In this situation, risks and opportunities for oppor-
research and innovation ‘programs’ are in a constant state of flux and
develop along the way through a process of cooperation and mutual
tunism are uncertain, and this uncertainty is shared by
learning. In analogy with our logic proposed here, such emergent all. Opportunism and poaching are restrained by an
networks may give rise to consolidated networks and vice versa. unknown risk of retaliation, and by the reputational
6 V. Gilsing, B. Nooteboom / Research Policy 35 (2006) 1–23

risk of destroying options for future collaboration. This Table 1


risk also is not known, since one does not have a clue Key characteristics of exploration and exploitation
what options for what kinds of relations, and with Exploration Exploitation
whom, may be at stake. Furthermore, since it is not Competence
clear yet what designs will ultimately be accepted in Radical innovation Incremental innovation
markets, and there is no manifest demand yet, com- Technology oriented Product and process oriented
Experimentation with novel Experimentation in
petition is hardly an issue. As a result there is mutual combinations organization
dependence in unknown risks, concerning technology, Tacit knowledge Codified knowledge
products, markets, and options for future relations. All
Governance
one can do, and can afford to do, is gamble on trustwor- Spin-offs, new entrants Entrance by incumbents
thiness, which may be reciprocal and self-sustaining. Loose alliances Formal alliances, acquisitions
This informal, unspecified governance requires close Limited use of contracts Contracts
and densely embedded interaction, which is needed Relation-based trust Institution-based trust
also for the lack of codified knowledge. So, the net- Networks
work structure needs to be dense to yield reputation Dense, open networks Non-dense, more exclusive
mechanisms, needed in view of the limited feasibil- networks
Informal, flexible ties Formalisation
ity of contractual control. Moreover, density enables Limited size, high entry, Stabilisation
to utilize third parties to aid judgement of the meaning and exit
and value of knowledge (triangulation), and to aid in its Locally embedded Delocalised
absorption. The cost of redundant relations is both lim- Strength of ties
ited, in view of limited size of relation-specific invest- High frequency of interaction Low frequency of interaction
ments, and of limited relevance, since in exploration Short duration Long duration
competition is less on price than on feasibility and fast High(er) openness Limited openness
prototyping. Transitional process
With regard to tie strength, in exploration uncer- Divergence in knowledge Convergence in knowledge
tainty is wide ranging, covering many possible issues and organization and organization
Variety through break-up of Selection by the institutional
of technology, market and organization, and as a result existing networks and environment
ties tend to be strong in the range of issues involved new relations to outsiders
as well as in trust and openness, while generally weak
in formal control. So, trust is needed, next to repu-
tation mechanisms, due to the limited feasibility of 3. Pharmaceutical biotechnology
contractual control. Moreover, to build mutual under-
standing one may require relation-specific investments, Biotechnology as such is not an industry, but refers
which require sufficient frequency of interaction and/or more to a set of technologies that profoundly affect
duration, to make such investments worthwhile. How- existing industries such as agriculture, food-processing
ever, duration need not be very long, since in view of and human health (Pisano, 2002). In this section, we
fast knowledge change specific investments in mutual focus on the impact of the biotechnological revolution
understanding have a short economic life. Duration on the global pharmaceutical industry, and how it set-
should not be too long for two reasons. First, it should tled in network structures in the Netherlands.3 Since
not inhibit fast re-configuration of ties, to enable explo- the biotechnological revolution in the pharmaceutical
ration of novel combinations. Second, long duration industry has been largely global in nature (Henderson,
may yield too much identification, in reduction of cog-
nitive distance, killing learning potential (Nooteboom,
3 We thank Bo Carlsson (Case Western Reserve University, Cleve-
2000; Wuyts et al., in press). Specific investments are
recouped, mostly, on the basis of frequent interaction, land, OH), Patrick Cohendet (University Louis Pasteur, Strassbourg),
Christien Enzing (TNO-STB, Delft, the Netherlands) and Felix Jan-
which is needed also in view of the wide range of issues szen (Rotterdam School of Management, Erasmus University) for
involved in ties, and for building relation-specific trust their valuable comments on an earlier version of this section. Of
(Table 1). course, any error remains entirely our responsibility.
V. Gilsing, B. Nooteboom / Research Policy 35 (2006) 1–23 7

1994; Jungmittag et al., 2000), we cannot ignore some then screened for their therapeutic potential. So, the
of the essential developments that have largely taken discovery of new drugs was a mainly tacit capability
place outside the Netherlands. In Section 3.1, we start that was highly dependent on the skills of individual
with a brief overview of the pharmaceutical industry chemists, which made it difficult to codify. Still, this
before the biotechnology revolution arrived. Next we search process of random screening worked very well
analyse the impact made by biotechnology along the for a large number of years and generated important
cycle of discovery, first the move from exploitation classes of drugs, making this period after WWII the
to differentiation (Section 3.2), and then the move to ‘golden age’ of the pharmaceutical industry (McKelvey
reciprocation and exploration (Section 3.3). Finally, we and Orsenigo, 2004; Pisano, 2002). In terms of our
discuss the implications of these sectoral dynamics for cycle of discovery, we can characterise this period as
the emergence of new organizational forms (Section one with a strong focus on incremental innovations
3.4). In this analysis, we do not present new empirical and the exploitation of the existing knowledge base
evidence. Instead, we make use of some highly insight- of organic chemistry.
ful, secondary sources that have extensively described
the revolutionary changes in this industry, and to which 3.2. From exploitation to differentiation
the reader is referred.
The advent of biotechnology had an impact on
3.1. Before the biotechnological revolution this knowledge base of organic chemistry in so far
as its application in pharmaceuticals was concerned.
The core knowledge base of the pharmaceutical In the early 1980s, some first signs emerged that
industry until the early 1960s was formed by organic things were changing. The massive public funding for
chemistry. It had developed in Germany and the UK health-related research after WWII began to bear fruit.
in the late 19th century and had consolidated in differ- Substantial progress in scientific areas such as phys-
ent types of dominant designs formed by a variety of iology, pharmacology, enzymology and cell biology
chemical production processes. These processes gener- created a growing understanding of the biochemical
ated different types of products that, in generalisation, and molecular roots of diseases and of the effectiveness
were used for a wide range of applications ranging from of existing drugs in curing these diseases (Jungmittag
polymers, paints and coatings, lubricants, cosmetics, et al., 2000). These new medical insights in diseases
and detergents to pharmaceuticals. It was this grow- offered researchers new areas to apply and develop
ing body of knowledge on and experience with organic their skills and to diversify the development of new
chemistry that increasingly enabled to produce phar- drugs. The first biotechnological revolution created a
maceuticals on a large-scale and in a reliable way. As far branching of the knowledge base of organic chemistry,
as such pharmaceutical applications were concerned, which was formed by a combination of organic
organic chemistry provided the possibility to develop chemistry and molecular biology. So, the established
an in-depth understanding of the chemical properties practice based on organic chemistry remained, whereas
of molecules and how they interact with one another. molecular biology provided novel elements into this
However, organic chemistry did not provide an under- practice. Although the core knowledge base remained
standing of the human body. As a consequence, the firmly rooted in organic chemistry, this new biological
prevailing industry recipes and mindsets were focused knowledge enabled chemists to take a more rational
on understanding the properties of chemical entities approach to the design of new drugs: it enabled them
and producing them reliably in large quantities (Santos, to define the search space more accurately and to take
2003), not on understanding the biological underpin- a more structured approach to the screening process.
nings of specific diseases. At best, organic chemists So, random screening turned into a more guided
could develop a sense of a relation between a chemical search process (McKelvey, 1997; Pisano, 2002).
compound and its potential therapeutic effect (Pisano, During this period, those pharmaceutical firms that
2002). These chemists therefore tended to focus on the had maintained absorptive capacity through in-house
synthesis of chemical compounds that had already been R&D and developed close relations with networks of
shown to have positive effects. These compounds were individual scientists were able to make this transition
8 V. Gilsing, B. Nooteboom / Research Policy 35 (2006) 1–23

(Gambardella, 1995; Pisano, 2002; Santos, 2003; reciprocation, consisting of a hybrid structure of exist-
McKelvey and Orsenigo, 2004). As a consequence, ing and new elements that enables to test the potential
the productivity of the existing search process of these of these novel elements, and in which basic design prin-
firms improved substantially (Nightingale, 2000). The ciples are increasingly being questioned.
advent of molecular biology enabled pharmaceutical
firms to now fully exploit the possibilities of the exist- 3.3. Reciprocation and beyond
ing knowledge base of organic chemistry (McKelvey
and Orsenigo, 2004). In terms of our cycle of discovery, In the late 1980s and early 1990s, a second wave in
these empirical findings fit with the phase of differenti- the molecular biological revolution emerged: genetic
ation as it was the established practice of search based engineering. This second revolution was more radical
on organic chemistry to which novel elements (molecu- than the first revolution as it opened up completely new
lar biology) were added. These novel elements yielded areas for innovation and altered the drug discovery pro-
incremental adaptations to this established practice, cess in profound ways. Genetic engineering forms an
namely a more rational approach to search and screen- umbrella-name for a newly emerging set of complex
ing. So, in differentiation we see that novel elements and multidisciplinary technologies, formed by among
enabled a more scientific understanding of diseases others recombinant DNA (rDNA), monoclonal anti-
and that the ‘trial-and-error’ nature of the search body technology, gene therapy, and later combinatorial
process was increasingly being complemented by a chemistry and high throughput screening. The appli-
more structured approach. Still, basic design principles cation of these new knowledge bases followed two
were maintained as the random character of the search different types of technological trajectories. One was
process did not disappear and the sequential nature of the application of these genetic engineering techniques
the search process of drug discovery remained in tact. as a process tool to produce proteins, the other trajec-
These extended efforts of exploitation of the existing tory consisted of a combination of genetic engineering
knowledge base of organic chemistry made its lim- and molecular biology and acted as a research tool to
itations increasingly visible, first slowly but towards enhance the speed and efficiency of the discovery pro-
the end of the millennium increasingly more apparent. cess of new drugs.
These limitations became manifest by the increasing The first trajectory opened up a completely new
number of existing patents by pharma companies that perspective as its focus was on new process devel-
were expiring, in combination with a decreasing num- opment that enabled to produce proteins synthetically
ber of potential ‘blockbusters’ in the pipe-line.4,5 In in large(r) amounts that been unavailable for com-
line with our theoretical analysis, this growing accu- mercial use until then (Henderson et al., 1999). Most
mulation of failures was indicative of the fact that of these proteins were based on natural or modified
adaptations made in the phase of differentiation turned human proteins and their therapeutic qualities were
out to be insufficient and did not further improve per- well understood through organic chemistry (Henderson
formance. Based on our logic of the cycle of discovery, et al., 1999; McKelvey and Orsenigo, 2004). In terms
when differentiation is not sufficient for adaptation, we of the logic of the cycle of discovery, this reflects a
anticipate experiments with novel elements, adopted move to the phase of reciprocation as a hybrid prac-
from a novel context, which seem to be successful tice was created that was built up of existing elements
where established practice fails. This is the phase of (understanding still based on organic chemistry) and
new elements (genetic engineering), and that formed
4 An example is formed by Eli Lilly’s patents for its very successful a topple point between exploitation and exploration:
Prozac (against depressions) which expired from the beginning of it was exploitation of the existing knowledge on the
2001. The turn-over of US$ 2.3 billion in 2001 has halved in a few curing effects of familiar proteins, it was exploration
months and could not be compensated for by increasing sales of other of new processes that enabled to produce (existing
new medicines (FD, January 2002).
5 According to Jan Leschly, former CEO of SmithKline Beecham,
and new) proteins. However, it also revealed a con-
“Big pharma cannot afford to rest on its laurels. If today’s successful
straint on realising this new potential, namely the lack
pharma companies do nothing then their sales will be halved within of a fundamental understanding of the engineering of
10 years from now” (Ernst and Young, 2001a). biotechnology-based processes. Not only was such a
V. Gilsing, B. Nooteboom / Research Policy 35 (2006) 1–23 9

basic scientific understanding lacking, the longstand- words, a basic design principle of exploitation, random
ing experience in the industry of developing chemi- screening, was being sacrificed. As we argued in our
cal processes but also appeared irrelevant as far as theoretical analysis, in the phase of reciprocation basic
the development of such biotechnology-based pro- design principles are increasingly being questioned,
cesses was concerned (Henderson et al., 1999). As in hybrid structures. Randomness, as a basic design
a result, established large pharma firms did not have principle of the search process, was now being elim-
the required capabilities to further explore this route, inated through maximising rationality as a new design
which was therefore mainly explored by new entrants principle. In terms of the cycle of discovery, this was in
(McKelvey and Orsenigo, 2004). To reduce complex- one step from differentiation to beyond reciprocation.
ity and risks, most new entrants focused therefore on However, this proved to be too large a step.
producing existing proteins that were already in use In the early 1990s, it became increasingly clear that
as drugs or proved to be difficult to upscale through this fully rational approach did not deliver satisfactory
traditional chemical processes. However, they ignored results as it showed disappointing performance,
the development of new ones (Henderson et al., 1999). incurred high costs, and provided unattractive revenue
As a consequence, scepticism emerged whether rDNA- potential (Nightingale, 2000). The reasons were as
based processes could be scaled-up at all. In the early follows. To improve rationality as much as much
1990s, therefore, it became clear that the avenue taken as possible, firms started to rely more and more on
by this first trajectory was more expensive and difficult substantial computing power that supported the search
than anticipated. Moreover, the new entrants pursu- process by producing accurate approximations of
ing this trajectory lacked competencies in the field chemical compounds and by enabling refined simula-
of clinical testing and regulatory approval procedures. tions of their potential effects on diseases. The initial
As a consequence, this trajectory exhausted over time, expectation was that such simulations could replace
increasingly yielding diminishing returns (Henderson labour-intensive experiments, however, they appeared
et al., 1999; McKelvey and Orsenigo, 2004). to lack sufficient accuracy and also proved to be more
The second trajectory had its focus on the search costly than anticipated (Henderson et al., 1999). More-
and discovery of new drugs. The combination of over, this rational and large-scale approach to drug
molecular biology and genetic engineering techniques discovery also led to the development of increasingly
opened up a fundamentally new way of discovery: similar drugs across pharmaceutical firms, resulting
it enabled to identify upfront clearly defined search into little product performance differences and con-
spaces, potential targets and effective heuristics. This sequently lower market potential (Nightingale, 2000).
new search method that emerged was based on a ‘lock Because of these reasons, maximising rationality in
and key’ philosophy of finding a molecule that binds the discovery process was increasingly considered as
to a protein and turns it off, preventing the protein unattractive. As a response, firms moved away from
from initiating disease causing effects (Nightingale, this new approach and started to introduce again some
2000). The challenge then was to find one or more randomness into their search process in order to be able
lead compounds that could function as such a ‘key’ to differentiate from competitors (Nightingale, 2000).
that fits the protein as the ‘lock’. Whereas in the period So, this newly established practice of maximising ratio-
of random screening drug compounds were basically nality of the screening process, forming a step beyond
‘discovered’, this new rational approach was aimed reciprocation, was increasingly abandoned, whereas
at the ‘design’ of drugs, following the more scientific firms started to search for possibilities to introduce
understanding of the biological underpinnings of randomness back again. In fact, this was now recip-
diseases (Pisano, 2002). So, the random nature of rocation as an important element of the old practice
the search process, considered a limitation in the (randomness) was incorporated again into the search
phase of differentiation, was addressed explicitly by process. In line with our logic of discovery, this resulted
introducing an approach of maximising rationality in into a hybrid practice of old elements (randomness)
the search process through the incorporation of novel and new elements (large-scale, parallel screening pro-
technologies. In fact, the ultimate goal now became cess), whereas other elements of the old practice, such
to design new drugs as rationally as possible. In other as the knowledge base on organic chemistry and serial
10 V. Gilsing, B. Nooteboom / Research Policy 35 (2006) 1–23

testing procedures, were increasingly considered as separated, trajectories have converged, leading to the
obsolete. development of combinatorial chemistry (Henderson
The key technology that enabled this shift away et al., 1999; McKelvey and Orsenigo, 2004). This tech-
from purely rational drug discovery was formed, nology enabled pharmaceutical firms to produce large
initially, by high throughput screening technologies numbers of different compounds in a reliable and cost-
(HTS), which enabled to combine a rational and a ran- effective manner (Gordon et al., 1994; Pisano, 2002).
dom approach (Henderson et al., 1999; Nightingale, So, HTS in combination with combinatorial chemistry
2000; McKelvey and Orsenigo, 2004). Whereas the enabled a return to random screening, although in a
original process of random screening was fairly labour way that was much quicker and more productive than
intensive, this technology of HTS was an automated, before (Nightingale, 2000; Pisano, 2002; McKelvey
robotics-based process that enabled the in vitro (in and Orsenigo, 2004).7 This shift from a sequential
stead of in vivo) testing of large numbers of com- process of screening hundreds of compounds towards
pounds. It represented a transition from the sequential, a parallel process of screening ten-thousands of
craft-based search process to a parallel, large-scale compounds, generated vast amounts of data. A proper
screening process by automated robots.6 In essence, interpretation of these data then required state-of-the-
HTS is a random screening technology like tradi- art software in the field of database, datamining, data
tional labour-intensive screening, but much faster and management, statistical analysis, visualisation tech-
cheaper (Pisano, 2002). niques, and so on (Gambardella, 1995; Nightingale,
Following our logic, increasing experience with 2000).8 As a consequence, the clear potential of
such a hybrid structure in reciprocation yielded insights combining both trajectories provided an incentive and
in both its potential and in the constraints imposed insight for a more architectural radical change beyond
on the realization of that potential. Insights into the reciprocation, in the phase with a focus on exploration
potential indicated the possibility of a more funda- of a novel structure of old elements (randomness)
mental understanding of diseases and their underlying and new elements (recombinant DNA, monoclonal
mechanisms, and the possibility to attack these causes antibody technology, HTS, combinatorial chemistry,
instead of curing symptoms of those diseases, as was and state-of-the-art software technologies).
customary practice (Nightingale, 2000; Pisano, 2002).
Constraints were formed by limited possibilities for 3.4. From technology to organization: networks as
synthesizing new compounds rapidly and efficiently new organizational forms
and for handling the vast amounts of data generated by
HTS. The data requirements could be handled by the Following our logic along the cycle of discovery, the
increasing availability of computing power. The other move beyond reciprocation makes that existing organi-
constraint, possibilities to rapidly synthesize large zational forms no longer suffice and need restructuring
amounts of compounds, required a new synthesis pro- in order to open up to new variety of content. In line with
cess. It was here that the first trajectory with its focus on these theoretical claims, the empirical evidence clearly
process development came into sight again. Whereas indicates that to realise the new potential invoked by
in the second trajectory the focus was on drug devel- the radical change beyond reciprocation, new organi-
opment and building a fundamental understanding of zational forms were needed.
their potential effects, testing them at a large-scale Without exception, new entrants formed by small
required process development capabilities that had start-ups that specialised in biotechnological research,
been explored in the first trajectory, mostly by new have been at the leading edge in transforming the
entrants. So, throughout the 1990s the two, initially
7 This random character is still present, even with new drugs that

are introduced at today’s markets. Pfizer’s Viagra was initially devel-


6 In the 1980s compounds were sequentially checked for toxicity, oped as a treatment for hypertension, which proved to be limitedly
absorption, carcinogenicity and so on, often consuming numbers of successful. However, it has become an enormously successful drug
years. Towards the second-half of the 1990s, this testing procedure for erectile dysfunctionings.
had turned into a parallel process in which all checks were determined 8 Analysis of these data through such databases is also referred to

simultaneously (Sykes, 1997). a as ‘in silico analysis of populations’ (Nightingale, 2000).


V. Gilsing, B. Nooteboom / Research Policy 35 (2006) 1–23 11

highly scientific knowledge created at universities into their organization through close links to science and
potentially commercially useful techniques and prod- small specialised firms (Pisano, 2002; Santos, 2003).
ucts (Reiss et al., 2000; McKelvey and Orsenigo, 2004; As a consequence, the new industry recipe that emerged
Pisano, 2002; Roijakkers, 2003).9 At the same time throughout the 1990s and basically still prevails until
though, these new entrants have not wiped out incum- today, was that new entrants specialised in the new and
bent firms, on the contrary. The large cognitive dis- more radical technologies such as genomics, gene ther-
tance between the newly developing knowledge base apy, combinatorial chemistry and son on. In doing so,
on biotechnology and the existing knowledge base of (most of) the new entrants did not aim to become drug
organic chemistry (Powell et al., 1996), as well as producers themselves, but rather acted as providers of
the profound differences between old and new search these new technologies that formed the research tools
routines, has made the successful adoption of the in the drug discovery process of the large pharma firms.
new technologies difficult for incumbents, although As a consequence, the capability of these large pharma
this has varied substantially among them (Reis et firms to access and absorb such external knowledge has
al., 2000; Roijakkers, 2003; Santos, 2003; McKelvey increasingly become a key success factor in the indus-
and Orsenigo, 2004). Especially, firms that adopted try (McKelvey and Orsenigo, 2004). In general, drugs
the first molecular techniques in the early 1980s and that were developed in-house had a much higher prob-
that made the subsequent transition from random to ability of failure than drugs of which development was
guided drug discovery proved to be successful in man- based on the use of external licences (Gambardella et
aging this change process (Zucker and Darby, 1997; al., 2000). So, the new entrants have functioned as the
Henderson et al., 1999; Pisano, 2002; McKelvey and ‘transfer channel’ of new technology from science to
Orsenigo, 2004). These firms had developed strong established pharma firms. At the same time, these large
in-house R&D-capabilities and nurtured close links pharma firms disposed over the capabilities to deal with
to scientists that enabled them to build up and main- (clinical) testing and regulatory approval procedures,
tain sufficient absorptive capacity and identify relevant which the new entrants basically lacked.
external knowledge (Gambardella, 1995; Henderson et In sum, these empirical findings, as extensively
al., 1999; Reis et al., 2000; Santos, 2003).10 These described in the literature, are in line with our theo-
continuous investments in such external links and in retical claim: in order to be able to realise the potential
in-house R&D substantially increased the costs of the of the novel combination, the existing organizational
search process, whereas firms initially believed that the form (in-house R&D) no longer sufficed and needed
new techniques would reduce these costs (Nightingale, restructuring to open up to cognitive variety (scientific
2000). Although a costly affair, firms that had not made knowledge accessed and recombined by new entrants).
this initial transition nor had developed relations with As analysed, this network has proven to be an effective
scientists, were often very slow followers and often organizational form for dealing with the new chal-
proved to be unsuccessful in adopting the new tech- lenges, making it a more useful concept for analyzing
niques (Gambardella, 1995; Pisano, 2002). innovation than firms (Powell et al., 1996). Therefore,
So, the biotechnology revolution has proven to be we further analyze how these sectoral dynamics have
competence enhancing for those large pharma firms settled in different types of network structures. In doing
that timely changed their search routines and adapted so, we will focus on the Netherlands.

9 In the literature, these small specialised firms are often referred

to as Dedicated Biotechnology Firms (DBFs). These DBFs connect


4. Understanding networks in the Netherlands
a ‘basic scientific environment’ with its emphasis on the importance
of new knowledge with a ‘techno-economic environment’, which In this section, we will focus on developing an
emphasizes economic value (McKelvey, 1997). As such they form understanding of the networks that have emerged in
a new type of boundary organizations that can be labelled as ‘firm the Netherlands in the late 1980s towards the early
laboratories’ (Callon, 2002).
10 In a study on this topic, Gambardella (1992) found that in-house years of the new millennium. Although the literature
scientific capabilities importantly explained firm differences in their abounds with claims and empirical evidence on the
R&D productivity, when controlling for firm size. role of networks in this industry (Gambardella, 1995;
12 V. Gilsing, B. Nooteboom / Research Policy 35 (2006) 1–23

Powell et al., 1996; Henderson et al., 1999; Orsenigo


et al., 2001; McKelvey and Orsenigo, 2004), a more
detailed understanding of how they are structured and
of their inner-functioning is still underdeveloped. The
aim here is therefore to open up this ‘black box’ by ana-
lyzing these networks along two lines: (1) density and Fig. 2. Emerging knowledge value chain and learning regimes in the
strength of the interfirm relations that make up these field of general platform technologies.
networks, and (2) a combined competence and gov-
ernance perspective. To analyze networks in this way Given this, we will further focus on DBFs in these
has not been done yet in the literature, which makes general platform technologies. In this field, a ‘knowl-
it not a straightforward task. Therefore, to be able to edge value chain’ has emerged throughout the 1990s,
analyze networks along these lines and not to make our as schematically depicted in Fig. 2:
analysis unnecessarily complex, we abstract from spe- Within this value chain we can discern between two
cific issues that may be typical for Dutch firms in this main types of learning regimes, namely:
industry. This choice makes our analysis potentially - Learning regime 1: Focus on exploration (embedded
also more relevant for understanding similar networks within a network of DBFs with academia).
in other countries.11 - Learning regime 2: Focus on exploitation (embedded
In the Netherlands, the majority of the ‘new within a network of DBFs and large pharma).
breed’ of Dedicated Biotechnology Firms (DBFs) were
engaged, through contract research services, in gen- Concerning sources of data, we needed information
eral platform technologies (see also Appendix A). In on a broad range of issues, from data on industry
doing so (most of) the new entrants did not aim to characteristics, on structural and relational embed-
become drug producers themselves, but rather acted dedness and on interfirm learning and innovation
as providers of these new technologies that were used activities. In this respect, our primary source of data
in the drug discovery process of the large pharma firms. is formed by industry reports and studies. Given the
Specialisation in platform technologies has the benefit (growing) importance of the biotechnology industry
that in general time-to-market is shorter and that there to the Dutch economy, it has been extensively studied
are less risks involved as compared with the “block- over the past 10–15 years. These studies were carried
buster” model. This latter often requires lengthy and out by individual (scientific) researchers, specialised
costly clinical trials with a higher chance of failure, but research institutes and consultancy firms. Clients
also with potentially very high revenues if successful.12 of these studies ranged from the Dutch Ministry of
Economic Affairs,13 the Dutch Ministry of Transport
and Telecommunication, various industry associations
11 Various empirical studies have indicated that there are some (e.g. Biopartner, Nefarma), the OECD and EU. Most
major invariances across countries in the properties of innovation pat- of these reports cover (some of) the issues that we
terns of the biotechnology sector (Marsili, 2001). The links between are interested in and, taken together, these multiple
science, DBFs and large pharmaceutical firms seem to be such a
general property of the biotechnology industry. Although a sectoral
sources enabled us to develop an approximation
characteristic as such, the strength of these links varies notably across of our network constructs over the late 1980s and
countries, with the strongest links in the US (Henderson et al., 1999; throughout the 1990s. Using a variety of industry
Pisano, 2002). Such growing similarities seem to appear because
countries increasingly imitate ‘best practices’, as well as due to the
global nature of the sectoral changes in markets, demand and com- segment, with high risks and possibly high gains, which reflects its
petition in the pharmaceutical industry (McKelvey and Orsenigo, more liberal and market-based institutional framework (Casper and
2004). Kettler, 2001).
12 In this respect, Dutch DBFs tend to resemble German biotech- 13 At the time, the first author was employed at this Ministry and

nology firms, most of which have also specialised in general platform acted as the principal coordinator for such industry studies. His role
technologies. This is not so surprising given the fact that the national was to monitor these studies in terms of progress and to maintain
instititutional framework of the Netherlands resembles the German quality standards. Moreover, such progress reports were regularly
context, sometimes also referred as the ‘Rhine-land model’. In con- discussed with firms in the field and/or with industry watchers at
trast, the UK, for example, tends to specialise in the therapeutics meetings during which the first author was also present.
V. Gilsing, B. Nooteboom / Research Policy 35 (2006) 1–23 13

reports also enabled us to triangulate among them. In institutes, and its main focus was on exploring new
addition, we have approached two recognized industry knowledge. We distinguish between two periods, one
experts with our analysis. We asked them to check period from the late 1980s towards the late 1990s and
whether our analyses were correct in terms of facts a second period from the late 1990s onwards.
and completeness and whether key information was
missing. Most of the innovation dynamics in this 4.1.1. From the late 1980s towards the late 1990s
industry have taken place in a relatively short period From the 1980s towards the middle of the 1990s,
of time, with, as far as the Netherlands is concerned, a the knowledge base on general purpose platform
major chunk throughout the 1990s and the early years technologies had a mainly stand-alone nature due to
of the new millennium (EZ, 2000; Enzing et al., 2005). its strong basis in molecular biology and/or genetic
This enabled us to study (relatively) recent events, engineering technologies. In this period, there were
enhancing the reliability of our experts’ judgement. As no DBFs created through divestment from existing
a result, this combination of data collection methods pharmaceutical firms, which was indicative of the
(industry reports and experts’ judgement) has enabled large cognitive distance with the existing knowledge
us to also triangulate between these two sources, which base of organic chemistry. Also, the unwillingness
is important for internal validity and reliability.14 of the existing labour force of organic chemists to
There are two methods of identifying networks ‘give up’ their powerful positions to pharmacologists
(Knoke and Kuklinski, 1982). A realist approach is and biotechnologists prevented incumbent firms from
based on the subjective perception of the involved jumping onto these new opportunities (Degenaar and
actors. The identification of a network is determined Janszen, 1996). Following the highly science-based
by ‘the limits that are consciously experienced by all nature of knowledge, the majority of DBFs cooper-
or most of the actors that are members of the entity’ ated intensively with (public) research institutes (EZ,
(Knoke and Kuklinksi, 1982, p. 22). A nominalist 1998). The learning outcome of this search process was
approach is based on the viewpoint of the researcher. formed by abstract and codified knowledge. The search
Identification of a network is based on the application process of scientific discovery itself was characterised
of his analytical framework used. In this respect, by a lot of trial-and-error and was highly specific to
we have followed a nominalist approach by only individual persons and research communities (Enzing,
considering those networks with relevance from an 2000). This process entailed many elements that were
innovation perspective. difficult to codify, such as test set-up, accurate exe-
We now further analyse each learning regime more cution, interpretation of test results, and so on. It was
in depth: in Section 4.1, we discuss a network with a characterised by serial, incremental improvements,
focus on exploration (learning regime 1) and in Section leading to the accumulation of tacit knowledge within
4.2, we discuss a network with a focus on exploitation stable research groups of academics and DBFs (Enzing
(learning regime 2). Furthermore, in Appendix A, we and Kern, 2002). So, a science-based and fast-changing
provide more background information of the develop- knowledge base developed, with cumulative charac-
ment of the pharmaceutical biotechnology industry in teristics and high specificity to a network of DBFs
the Netherlands from the late 1980s onwards. and academics (Enzing and Kern, 2002). Relations
between these people were dense and of fairly high
4.1. Learning regime 1: Technological exploration durability (4–5 years or more) with frequent inter-
action (varying between daily and weekly contacts,
Learning regime 1 was embedded in a network made van Geenhuizen, 1999) in mutual openness on mainly
up of relations between DBFs and (public) research search-related and technological issues. Coordination
took place through a combination of contracts and
14 For the analysis of networks we have studied 26 reports and
social mechanisms. Contracts were used to arrange
22 articles. We have approached Christien Enzing of TNO and economic aspects such as fees for using scientific staff
Sander Kern of Dialogic who have both conducted numerous stud-
ies on biotechnology for the Dutch ministry of Economic Affairs,
(fte’s) and laboratory facilities as well as allocating
the EU and the OECD (Paris). See for more information on Enzing intellectual property rights to the people involved.
www.stb.tno.nl and for more information on Kern www.dialogic.nl. Next to this, coordination was mainly social in terms
14 V. Gilsing, B. Nooteboom / Research Policy 35 (2006) 1–23

Table 2
Learning regime 1—Technological exploration
Late 1980s to late 1990s Late 1990s-onwards
Properties of knowledge base (competence)
Highly tacit (search process) Highly tacit (search process)
Highly codified (search output) Highly codified (search output)
Low systemicnessa Medium to high systemicnessa
Medium rate of change Medium to high rate of change
Governance
Contracts, mutual self-interest, peer reviews, reputational control Network core: contracts, mutual self-interest, peer reviews
and reputational control
Periphery: contracts (mostly licenses)
Networks
High density, small size, informal, inflexible ties, locally embedded Network core: high density, small size, informal and flexible
ties, locally embedded
Periphery: low density, high entry and exit, delocalised
Strength of ties
High frequency of interaction, long duration, high openness, low Network core: high frequency of interaction, long duration,
cognitive distance high openness, low cognitive distance
Periphery: low frequency of interaction, short-medium dura-
tion, limited openness
a Systemic knowledge refers to the extent in which knowledge is built up of an integration of (1) different scientific and/or engineering

disciplines, or (2) different competencies such as R&D, manufacturing, marketing, and so on (Teece, 1986; Malerba and Breschi, 1997).

of peer reviews and reputational control in view of period. So, these exploration networks were formed by
academic quality standards (van Geenhuizen, 1999). dense networks of strong ties between universities and
In this network, a clear spatial concentration could DBFs that enabled them to develop an in-depth under-
be observed, especially around universities in Amster- standing and critical peer reviews (Enzing and Kern,
dam, Groningen, Leiden, Utrecht, Nijmegen, Wagenin- 2002) (see also Table 2).
gen, Maastricht, and Delft. The mainly tacit search
process meant that personal contacts and frequent inter- 4.1.2. From the late 1990s and onwards
action were necessary to accommodate an effective Towards the end of the 1990s, platform technolo-
transfer of this tacit knowledge (van Geenhuizen and gies increasingly became more multidisciplinary in
van der Knaap, 1997). In addition, physical proxim- nature and entailed varying combinations of disci-
ity facilitated easy access to a talent pool of skilled plines. Examples of such systemic platform technolo-
workers, facilitating knowledge spill-overs through the gies are DNA chips, rDNA arrays, proteomic analysis
mobility of researchers. In addition, opportunities were combining electrophoresis, and NMR, and genomic
generally diffuse, requiring regular checks, and adap- sequencing (Degenaar and Janszen, 1996; Enzing,
tations of the search process into the most promising 2000). In addition, combinations with software and
search direction (van Geenhuizen, 1999).15 The impor- microelectronics started to develop that allowed for
tance of physical proximity was further indicated by miniaturisation, automation, and data-mining. This
the fact that most patents are assigned to inventors from was also reflected in a growth of the number of
within the Netherlands (Allansdottir et al., 2002) in this patents with multiple assignees, especially over the
second-half of the 1990s (Allansdottir et al., 2001). In
this respect, opportunities increased, which was also
15 These findings are in line with a recent study on biotech firms
reflected by the fact that the number of entrants further
in Sweden. In this study it was found that geographical proximity
was especially important firms–university cooperation, much less for
accelerated to 22 in 2000 (Biopartner, 2001), providing
firm–firm cooperation or university–university cooperation (McK- further substance to the emerging Dutch pharmaceuti-
elvey et al., 2003). cal biotechnology industry.
V. Gilsing, B. Nooteboom / Research Policy 35 (2006) 1–23 15

Due to the mainly monodisciplinary orientation Learning regime 2 was embedded in a network made
of their academic partners in this learning regime 1, up of relations between DBFs and large pharma firms
DBFs have also actively started to search and access (see Fig. 2 again). The rationales underlying this net-
complementary (scientific) knowledge, wherever it work were as follows. Large pharma firms needed to
was located. As a result these dense networks of strong keep up to date with a rapidly changing knowledge
ties between universities and DBFs were opening up to base that was also diverse and systemic, built up from
complementary, outside sources of knowledge. Such various disciplines. At the same time, opportunities
outside sources were formed by universities, research pertained to niches and were also diffuse, making it
institutes and other networks outside the Netherlands, difficult for pharma firms to decide in which fields
either at various locations in the US, the UK, and Ger- of knowledge to invest and which to ignore (Ernst
many (Enzing et al., 2003). Because this knowledge at and Young, 2001a,b). Therefore, large pharma-firms
universities and research institutes was codified, it was made use of alliances with various small DBFs, which
easily accessible and transferable by means of publica- enabled them to explore various opportunities at the
tions or Internet (Ernst and Young, 2002). Especially same time, without making substantial specific invest-
the use of Internet enabled DBFs to share information ments. The attractive but diffuse nature of opportunities
with anyone around the globe and to access public and the fact that knowledge was highly specific to
databases with state-of-the-art (scientific) knowledge. these DBFs meant that network structure was made
These relations relied much less on geographical up of mainly bilateral relations between large pharma-
proximity and could take place over (very) long firms and DBFs. For these DBFs, a core performance-
distances (van Geenhuizen and van der Knaap, 1997). yardstick is ‘time-to-patent’ (Degenaar and Janszen,
So, these more virtual linkages with these distant 1996; Ernst and Young, 1999, 2001c.
created a non-dense periphery that was complementary This combination of attractive, diffuse opportunity
to these dense, local research networks. Relations in conditions and a rapidly changing knowledge base
this periphery were generally of low strength in terms required diversity in search spaces. As a result, a net-
of duration, frequency and entailed a limited set of work structure emerged that combined a variety of
specific technological issues (Enzing and Kern, 2002). decentralised approaches with the ability to coordi-
The division of partners over the category ‘local’ versus nate this diversity in a fairly light way. This net-
‘distant’ ties was approximately 50–50%. Although work structure also explains why in most cases DBFs
the periphery was made up for 50% of such distant ties, did not cooperate closely together when they were
the share of licensing agreements and formal R&D col- already cooperating with a large pharma-firm. To inter-
laborations was small (approximately 10%) indicating act directly with one another would require specific
the high volatility of these ties (Enzing et al., 2005) cognitive investments from the involved DBFs. DBFs
(see also again Table 2). Governance and coordination were highly specialised in a specific technological field
of these relations took place in various forms such as and given the stand-alone nature of knowledge, poten-
licenses, technology partnerships or by research con- tial linkages among these specialised fields were absent
tracts with scientific organizations. This also explained or very limited (Degenaar and Janszen, 1996). This did
the large inflows of knowledge from US-based licences not provide an attractive perspective for a sufficient
into the Netherlands (Degenaar and Janszen, 1996; duration of such a relation in order to recoup such
Enzing et al., 2003) (see also Table 2 again). investments. As a consequence, spill-overs between
DBFs were very limited (EZ, 1998; Senker, 1998) (see
4.2. Learning regime 2: Technological also Table 3).
exploitation An important governance instrument in this
network was formed by research contracts, possibly
Learning regime 2 was concerned with exploitation, complemented by minority equity arrangements (Ernst
more than with new knowledge creation (Degenaar and and Young, 1999; Enzing, 2000). These contracts
Janszen, 1996; Ernst and Young, 1999). We study this regulated contract research, contract manufacturing,
learning regime from the late 1980s towards the late custom synthesis, development, sequencing, testing,
1990s towards the early years of the new millennium. software design, and so on. They aimed to provide
16 V. Gilsing, B. Nooteboom / Research Policy 35 (2006) 1–23

Table 3 important point: although the cognitive distance with


Learning regime 2—Technological exploitation its existing knowledge base of organic chemistry was
Late 1980s towards 2001, 2002 fairly large, a pharma firm did not need to engage
Properties of knowledge base (competence) in specific cognitive investments (such as mastering
Highly tacit (search process) all of these tacit competences and search routines)
Highly codified (search output) nor in the build-up of trust.16 This also explained the
Medium systemicnessa possibility of cooperating without the need of being
Medium to high rate of change
physically close. These factors then made contracts a
Governance rational choice. Its value lay mainly in regulating a
Contracts ‘first-right-of-refusal’ for the large pharma firm that
Network position
Trust-in-competence
contributed the costs of doing research, manufacturing
and marketing. This entailed the rights to have first,
Networks
exclusive access to the results upon which he could
Low density
Small size decide whether to use these or not. The fact that knowl-
Open, structural holes edge as an outcome of the search process was highly
Locally disembedded codified explained why contracts could be used in the
Strength of ties field of general platform technologies (and in biotech-
Low frequency of interaction nology in general) as it allowed a direct assessment
Medium duration (2–5 years) of the amount of progress being made. The high rate
Low openness of change explained the importance of evaluation on
High cognitive distance
a regular basis. Depending on the outcome of such an
a Systemic knowledge refers to the extent in which knowledge is evaluation, the contractual relation was durable as long
built up of an integration of (1) different scientific and/or engineering as opportunities proved to be viable. If not, relations ter-
disciplines, or (2) different competencies such as R&D, manufactur-
minated and parties separated. This easy break-up was
ing, marketing, and so on (Teece, 1986; Malerba and Breschi, 1997).
possible due to the fact that specific cognitive invest-
ments were limited and trust-in-intention was not a key
some duration to the relationship and to assure the coordinating mechanism (Roijakkers et al., 2005).
DBF of sufficient resources (especially money) to
do research. In general, these contracts were being
evaluated every 2–3 years (EZ, 1998). 5. Comparing empirical findings with
The case of Dutch DBFs specialised in general plat- theoretical claims and conclusions
form technologies now raises some interesting ques-
tions, such as: Why were contracts such an important In this section, we discuss whether our logic of
coordinating mechanism? How were these contracts the transition between exploitation and exploration at
monitored given the high rate of change induced by the a sectoral level, and the organizational implications
exploration activities in learning regime 1? And how following from that, are supported by our empirical
did the cognitive distance between large pharma firms analysis of the biotechnological revolution. To do so,
and DBFs affect the need for specific cognitive invest-
ments?
16 Although large pharma firms did not need to make such highly
In essence, the contract regulated a relatively
specific, cognitive investments, they needed to constantly invest in
arms–length relationship between two parties. A DBF their absorptive capacity through in-house R&D. This enabled them
devoted a lion’s share of its resources to explore a spe- to develop and maintain a broader, more general perspective than the
cific technological field to which the large pharma firm specialised DBFs. Such a broader perspectice was required in order to
contributed by financial resources. From the viewpoint be able to develop new drugs that were marketable after all, as well as
of a large pharma firm, it was basically subcontracting to assess the value of new investment proposals by DBFs. Following
McKelvey and Orsenigo (2004), this broader orientation of large
research to a DBF, and its interest mainly concerned pharma firms formed another reason why this division of labour with
the codified knowledge that came out of this search DBFs persisted, apart from the complementary assets argument of
process, not so much this process itself. This was an dealing with the complexities of product approval procedures.
V. Gilsing, B. Nooteboom / Research Policy 35 (2006) 1–23 17

we discuss our findings on learning regime 1 (Section in terms of duration and stability. These distant ties
5.1) and learning regime 2 (Section 5.2). As a final step created the required diversity at the input-side of this
we relate the empirical findings to the general logic of learning regime, i.e. diversity in sources of knowl-
our cycle of discovery and discuss in how far it has edge. As analysed, these distant ties were coordinated
served as an adequate theory of understanding the tran- through licences that enabled to access and use this
sition between exploitation and exploration. Based on distant, codified knowledge without the need for sub-
that we conclude (Section 5.3). stantial specific cognitive investments and the build-up
of trust.
5.1. Learning regime 1: Technological exploration This is in contrast with our prediction that in
such exploration-oriented networks coordination takes
Learning regime 1, as it developed in the first place through informal mechanisms such as reputation,
period from the mid 1980s towards the mid-late 1990s, trust-in-competence, and mutual self-interest. The
focused specifically on the development of an in-depth explanation for this is that knowledge held by these
understanding of stand-alone, science-based knowl- distant ties, at often distant locations, is highly codified
edge. This search process was embedded in relations through publications and patents. Its potential value
of fairly high durability with frequent interaction in can therefore readily be assessed given the generally
mutual openness on mainly search-related and techno- high absorptive capacity present in the dense, local
logical issues. In order to deal with this complexity, network. The high rate of change of knowledge made
a dense network of strong ties emerged, coordinated that such distant sources of knowledge succeeded
by a combination of research contracts, mutual self- one another on a regular basis, which required the
interest and social mechanisms such as peer control constant monitoring for new potential sources. This
and review. As argued, the research contract arranged relatively high turn-over of such distant ties was
some key economic aspects and the allocation of intel- possible because the knowledge base was of a mainly
lectual property rights, but beyond that, coordination stand-alone nature. Substantial technological interde-
was mainly social in terms of peer reviews and reputa- pendencies were absent or weak, so that these distant
tional control in view of academic quality standards. ties could be replaced without the risk of creating
These findings on learning regime 1 do provide sup- bottlenecks in adjacent technological areas. So, the
port for our claim that exploration requires a dense locus of diversity of knowledge was in the periphery
network. In contrast to our earlier hypothesis on tie of the network, whereas selection and triangulation
strength is the finding that relations were strong in dura- took place in the core of the network, with more dense
tion and partly coordinated by contracts, as a comple- and stronger ties. Hence, the periphery compensated
ment to social coordination. The role of contracts can for potential dynamic inefficiencies of the core.17
be explained by the fact that they specified the inputs
to the search process (in terms of fte’s and the use of 5.2. Learning regime 2: Technological
laboratory facilities) and ownership issues with regard exploitation
to the outcomes of the search process. Such capacity-
related inputs can indeed be specified upfront, whereas This learning regime formed the transition from
the codified nature of knowledge as outcome of the exploration to exploitation. As predicted for exploita-
search process enabled to specify allocation of intellec- tion networks, we find a non-dense network, formed
tual property rights. As argued, the search process itself by a hub-and-spoke structure with the pharma firm
was highly tacit and was therefore coordinated through
social mechanisms. According to our arguments, as set
out before, such durable and to some extent formally 17 This is in line with some recent findings by Aharonson et al.

coordinated ties would yield insufficient variety for (2004) on the pharmaceutical biotechnology industry in Canada
exploration. Interestingly, these localised, dense net- as well as with findings by Owen-Smith and Powell (2004) on
the biotechnology cluster around Boston. Both studies indicate that
works were complemented, from approximately the biotech firms operate within a geographically embedded cluster from
late 1990s onwards, by a non-dense periphery of ties, where they maintain large numbers of strategic alliances, many of
outside the Netherlands, with generally low strength them at long distances.
18 V. Gilsing, B. Nooteboom / Research Policy 35 (2006) 1–23

in the core of the network. The stand-alone nature of mulation of failures within differentiation (indicated by
knowledge and the strong specialisation of DBFs made the lowering number of patents in the pipeline) that her-
that there were virtually no relations among them. This alded the move to reciprocation, (3) the hybridisation of
network structure enabled a large pharma firm to gain the knowledge base in old and novel elements in recip-
access to scientific research. These bilateral relations rocation (importing genetic engineering technologies
between the central pharma firm and DBFs created while keeping randomness), and (4) the emergence of
a non-dense network structure made up of relations new organizational structures (networks of scientists,
that were of limited strength and mainly coordinated specialised new entrants, and large pharma firms) that
through contracts. As argued, contracts could be used enabled to fully realise the new potential of novel com-
given the codified outcome of the search process. binations. Also in line with the analysis along the cycle
These findings provide support for our prediction of discovery was the finding that it proved to be very
that in exploitation non-dense networks are selected, difficult to skip one or more phases. This applied to
made up of relations that are strong in duration but show two different levels. At a sectoral level, the approach of
less strength in terms of frequency of contact mutual maximising rationality in the search process reflected
openness and breadth of issues covered. In addition, a transition of moving in one large step from differ-
support is also found for our claim that in exploitation entiation to beyond reciprocation, which ultimately
formal coordination mechanisms are selected such as failed. At a firm level, the empirical evidence indi-
contracts and formal control mechanisms. cated that firms making the transition to the phase
of differentiation first and then reciprocation had an
5.3. Conclusions advantage over firms who tried to move directly from
exploitation to full exploration, by skipping differen-
The focus of this paper is on a basic ‘system logic’ tiation and/or reciprocation. Another claim that could
of not only how exploration builds on, but also shifts be substantiated entailed the need to change existing
existing systems of exploitation. Based on a cycle of industry recipes on organization, i.e. to open up the
discovery, developed in earlier research, we discussed organization to new cognitive variety. As the empirical
this logic at a sectoral level and analysed how, in a new evidence indicated, firms who had invested in external
round of radical innovation, sector-specific institutions links with new entrants and scientists and that devel-
such as dominant designs, industry recipes, and mind- oped drugs based on external licences, were far more
sets changed. Furthermore, we analysed the effects of successful than firms that stuck to in-house develop-
such sectoral dynamics on organizational forms, in par- ment (Gambardella, 1995; Gambardella et al., 2000).
ticular networks of firms. The question now is in how From this, we may conclude that our logic has served
far our cycle of discovery has served as an adequate its purpose, although there are also new insights and
theory for explaining the sectoral transitions between lessons for improving it. One new insight connects
exploitation and exploration and the implications for with our claim that the experimentation with novel
innovation networks? elements in reciprocation yields insights in the con-
In Section 3, we discussed the changes that have straints in realising the potential. Such insights may
affected the worldwide pharmaceutical industry. Fol- invoke new innovations in adjacent areas that enable to
lowing this analysis we can argue that these radical ‘lift’ the constraints. However, this may not always be
changes can be well understood in terms of our cycle practically possible such as the case of rDNA-based
of discovery. The different phases from exploration to technology, as a process-tool for the manufacturing
exploitation (consolidation, generalisation) and from of proteins, indicated: the unavailability of scientific
exploitation to exploration (differentiation, reciproca- and/or experience-based knowledge inhibited the up
tion) could all be identified. Moreover, various key scaling of this trajectory. In other words, insights in
claims made per phase could be substantiated such constraints and motivation to lift them as such are
as: (1) novel elements (molecular biology) added to not enough and the ultimate consequence may be that
the established search practice of random screening the realisation of the novel potential simply becomes
(based on organic chemistry) indicated the move from blocked. This trajectory of biotechnology as a process
exploitation to the phase of differentiation, (2) the accu- tool yielded a second new insight, namely that also
V. Gilsing, B. Nooteboom / Research Policy 35 (2006) 1–23 19

in early exploration (in reciprocation) process innova- theory at a sectoral level and seems to have the potential
tions can emerge, whereas we claimed that, in line with of generalisation across technologies and/or sectors.18
the received wisdom in the innovation literature, pro- Such a theory has only started to emerge (Nelson, 1994;
cess innovations are generally to be expected towards Malerba, 2004).
exploitation (in consolidation to enable the move to
generalisation). Another new insight is that we have
seen phases going on at the same time, indicating that Appendix A. Pharmaceutical biotechnology in
shifts between phases are not such a linear process as the Netherlands
described, but in fact reveal the possibility of over-
lapping phases or even the possibility of ‘jumps’: in In this appendix, we provide a brief overview of
one step from differentiation to beyond reciprocation the development of the pharmaceutical biotechnol-
as indicated by the approach of maximising rational- ogy industry in the Netherlands from the late 1980s
ity in the search process. Still, our cycle of discovery onwards. In this way, this appendix serves as a con-
enabled us to decompose the complexity of these tran- cise background to the analysis of the exploration and
sitions and indicated that there is indeed a logic: one exploitation networks as analysed in Section 4. Apart
step from differentiation to beyond reciprocation ulti- from the performance of Dutch firms, both for explo-
mately proved to be a step too far and required a return ration and exploitation, we also provide some descrip-
to reciprocation before being able to move on again. tive statistics on Dutch DBFs.
There are also points for improvement. In our analy-
sis along the cycle of discovery, we have taken a rather A.1. Performance: exploration and exploitation
voluntaristic view on the motivation of firms to adapt to
change. As indicated, the willingness to change is not The track record of the Netherlands in the field of
spread equally over firms. A lack of willingness may pharmaceutical biotechnology is mixed. The position
ultimately result in a lack of ability to change, with seems particularly strong in exploration, i.e. scientific
major consequences for firms themselves. A lesson is research. In terms of the number of publications per
therefore that such a voluntaristic view holds for some 1000 researchers, as one of the key performance
firms but certainly not for all of them. This connects measures scientific output, the Netherlands rank as the
with a second lesson, which is that the case of pharma- highest in the world, already since 1994 (OECD, 2005).
ceutical biotechnology provides further evidence for With 40 biopharmaceutical publications per 1000
the notion that change can indeed be imposed from researchers in 1994/1995 and 49 in 1999/2000, the
outside, instead of being voluntarily sought by incum- Netherlands is far ahead of other European countries as
bents. The described shifts in knowledge bases were well as the US and Japan (OECD, 2005). However, the
largely exogenous to the pharmaceutical industry in the growth of the number of publications is levelling off
sense that molecular biology and genetic engineering and other countries are catching up quickly. Moreover,
originated from search activities outside the involved over the period from 1994 to 2000, the focus of these
firms. These shifts have been endogenous in the sense publications has shifted from fundamental research
that their adaptation has largely occurred within (suc- (+3%) to applied research and technology develop-
cessful) firms themselves and by establishing links with ment (+31%). This growing shift in publications from
new entrants. exploration to more exploitation oriented themes is not
A final point is as follows: whereas recent literature backed by a particular strong position in exploitation.
stresses the idiosyncratic nature of the biotechnolog- According to recent figures, the Netherlands occupy,
ical revolution, our analysis seems to reveal that this in the overall ranking of nations, a 7th position
may perhaps not be as unique as suggested. Based in terms of number of fte’s (1178 in 2000) and a
on the logic of our cycle of discovery, it was pos- 12th position in terms of numbers of biotechnology
sible to reconstruct and understand some of the sys-
tem logic that characterized the transitional process 18 A further indication for this can be found when studying the
between exploitation and exploration in this industry. In development of the multimedia industry in the Netherlands through-
this respect, our logic may contribute to an evolutionary out the 1990s (see Gilsing, 2005).
20 V. Gilsing, B. Nooteboom / Research Policy 35 (2006) 1–23

companies (approximately 120 in 2000, Biopartner, seed capital is virtually absent in the Netherlands (EZ,
2001). So, despite its strong scientific reputation, the 2000). Finally, another important issue is a strong lack
Netherlands have not built up an equal reputation of a risk-taking culture and therefore virtually no incen-
in commercialisation of this knowledge (Enzing et tives for academics to become entrepreneur (Enzing,
al., 2005). The majority of DBFs have specialised in 2003; Enzing et al., 2005).
R&D rather than production and have not been able to On the other hand, things have been changing from
leave the early development phase. As a consequence, around the mid 1990s. Biotechnology has increasingly
most Dutch DBFs are small, employing less than 50 become one of the key-areas of interest for policymak-
employees and most of them even less than 25 (Enzing ers. As a consequence, various policy measures have
and Kern, 2002). So, in contrast to a particularly strong been developed, among others the creation of a so-
position in exploration, the position in exploitation is called TechnoStarters Fund, aimed at raising seed capi-
rather mediocre. There may be various reasons for this. tal and venture capital for biotechnology start-ups (EZ,
The emergence and growth of biotechnology is 2000). In the meantime, from the early 1990s towards
shaped to an important extent by the presence and struc- the early years in the new millennium, the number of
ture of downstream industries that provide demand entrants by DBFs per annum increased from 4 in 1994
for biotechnology and its related products (Senker and to an average of approximately 10 in 1998 and beyond,
van Zwanenberg, 2001). Although large and integrated making approximately 120 in total in 2001 (Biopartner,
pharmaceutical firms are absent in the Netherlands, 2001). The total employment in the Dutch pharmaceu-
there are still a few medium-sized multinational firms tical industry was estimated in 2001 at 15.100 jobs and
with clear involvements in pharmaceutical biotechnol- had increased on average with 3.5% when compared
ogy, namely AKZO Nobel (Organon, Organon Tech- with 1994. Annual investments in pharmaceutical R&D
nika and Intervet), DSM-Gist Brocades (largest global have also increased substantially: from D 198 million
manufacturer of penicillin), Yamenouchi and Solvay (1994) to D 401 million (2001) (Enzing et al., 2005), an
Pharmaceuticals. Moreover, foreign pharmaceutical increase of about 100%.
firms have clinical research being carried out in the
Netherlands and have relations with Dutch DBFs. So, A.2. Some descriptive statistics on the general
although the ‘demand side’ for Dutch DBFs may not profile of Dutch DBFs
be as attractive as in some other countries, it does not
seem to form the only explanation. There may be more In 2001, around 65% of the total firms involved
reasons for this moderate strength of the Dutch phar- in biotechnology in the Netherlands (approximately
maceutical biotechnology industry. In this respect, we 125 firms) were formed by DBFs with a focus phar-
can differentiate between two types of factors, policy as maceutical biotechnology (approximately 80 in total).
well as business-related. Throughout the 1980s and into These start-ups had R&D as their core activity and
the 1990s, Dutch industrial policy has tended to favour engaging in R&D collaboration has become a wide-
existing firms over new firms. Applying for R&D-funds spread phenomenon for these firms. The majority of
in this period required the ability to clearly formulate them (approximately 65 firms) worked closely with
research ideas and potential markets, which was gener- universities or semi-public research institutes (Enzing
ally easier for large(r) than for small firms (EZ, 1998, et al., 2003). Cooperation is mainly formed by means of
2000). Moreover, a powerful, ethical lobby of environ- joint projects to which the involved parties contribute
mentalists has exerted pressure for strong regulation in through bringing in (a combination of) finance, spe-
the field of biotechnology, which created another bar- cific knowledge or specialised researchers (Enzing et
rier for start-ups (Enzing, 2003; Enzing et al., 2005). al., 2003).
On the business side, Dutch banks have shown to be Most of these DBFs tended to specialise in niche
very risk-averse. Moreover, venture capitalists tended markets, niche technologies or specific activities within
to require a return on sales within 1 year, which was the pharmaceutical R&D process, such as drug discov-
far beyond the scope of start-ups with their strong ery, lead optimisation, and/or drug delivery. In doing
focus on R&D. Given this focus, most start-ups needed so, these DBFs acted as specialised suppliers to the
seed capital before turning to venture capital. However, large pharmaceutical firms, both inside and outside the
V. Gilsing, B. Nooteboom / Research Policy 35 (2006) 1–23 21

Netherlands. The largest proportion of partners (35%) Biopartner, 2002. The Netherlands Life Sciences Report 2001.
with which R&D collaboration took place were based Biopartner, Leiden.
Brusoni, S., Geuna, A., 2003. An international comparison of sectoral
in the Netherlands, formed by either Dutch firms or for-
knowledge bases: persistence and integration in the pharmaceu-
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