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Biogenerics – Overview and Outlook

www.stratycon.com
© Stratycon Business Solutions Pvt.. Ltd. 2005-07
Contents

Home • Global Biomedicines Industry

– Background
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– Geographic highlights

– Leading classes and products


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– Biologics under development

Last
Last • Biogenerics/ bio-similars/ follow-on biologics

– Background (what products come under this? )

– Accessing regulated markets (Regulatory Status US, EU, Japan)

– Foreseeing Competitive Intensity

– Business Options

– Hurdles & Opportunities

• Concluding Comments

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© Stratycon Business Solutions Pvt.. Ltd. 2005-07
Biologics - Background

Home • Global biologics market is estimated to be ~$ 53 billion (excluding


vaccines) constituting ~9% of global pharmaceutical market1
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• ~125 biologics currently marketed3

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Next • The innovation gap for big pharma is filled by biologics (# of NME
approvals for biotech products have exceeded that of big pharma2 )
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• >400 biologics in development constituting ~19% of all developments

• By 2010, biologics are expected constitute >15% of global


pharmaceutical market1

Ref:: 1IMS Global Insights 2005; ET Dec 30 2006; 2E&Y Biotech Industry Report 2006; 3
PhRMA Report 2006, IMS-New Markets & Products in 2005; Stratycon Estimates © Stratycon Business Solutions Pvt.. Ltd. 2005-07
Biologics constituted ~9.4% of the total
biopharmaceutical market

Sales Estimates – 2005


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US, $32.80

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EU, $12.18

Global pharma, $549 Other, 52.84


Japan, $3.43

ROW, $4.43

• US is the largest market for biologics with >60% of global biotherapeutic sales, ROW constitutes ~8%

Notes: ROW- Rest of the world; Estimation for 2005

Ref:: Stratycon Estimates; ET Dec 30 2006; IMS Midas 2006; 4


© Stratycon Business Solutions Pvt.. Ltd. 2005-07
Geographical Highlights

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• Current market for biologics ~$ 33 bio.
• Growing at >17% YoY
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Previous • EPO constitute major proportion of sales

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• Estimated market size of biologics ~$12 bio


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• Biologics growing faster than US at around 20%
• Germany constitutes 1/3rd of 5EU market
• Human insulin, EPO constitute ~19%, 18%

• Estimated biologics market is ~$3.93 bio


• The biologics market has been growing at 7.3%
• EPO constitutes ~23%, followed by mAb (12%)

Ref:: IMS Industry in Figures 2005; JETRO, Japanese Patent Office Survey, Stratycon 5
Estimates © Stratycon Business Solutions Pvt.. Ltd. 2005-07
But the growth of biotech has continuously
outpaced that of pharmaceuticals

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30%
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25%
YoY Growth in %

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Next 20%

15%
Last
Last

10%

5%

0%
2000 2001 2002 2003 2004 2005

Pharmaceuticals Biologics

• 23% of total industry growth in 2004 came from biotech products

Ref:: IMS Industry in Figures 2005; Stratycon Estimates 6


© Stratycon Business Solutions Pvt.. Ltd. 2005-07
# of block buster biologics have significantly
increased over the last 5 years

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30
# of Biotech Products with >$1bio sales

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25 24

Next
Next 20
20

Last
Last
15

11
10
7
6
5
3 3

0
2000 2001 2002 2003 2004 2005 2006

Ref:: IMS Outlook 2005 & Beyond; Product & Company Research by Stratycon 7
© Stratycon Business Solutions Pvt.. Ltd. 2005-07
..also the number of NBEs approved by FDA till
2005

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25

Previous
Previous 21
# of NBEs approved by US FDA

20
20

Next
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15
15
13
12
Last
Last

10

5 4
2

0
2001 2002 2003 2004 2005 2006 2007 till Nov
30

Ref:: Ronald A. Rader; Record Number of Biopharmaceuticals Approved: 2005 Was a 8


Record-Setting Year; BioPlan Associates 2006, FDA Approval History (Accessed Dec 07) © Stratycon Business Solutions Pvt.. Ltd. 2005-07
Projected biologics market by geography
(2010)
Projected Biologics Sales
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70 66.45
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60
Biologics Market in $bio.

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50

Last
Last 40

30
24.92

20

11.08
9.55
10

0
US EU Japan ROW

Ref:: Stratycon Estimates 9


© Stratycon Business Solutions Pvt.. Ltd. 2005-07
Home

Leading Classes &


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Products
Last
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Erythropoietin, TNF, insulin analogs and cancer antibodies are
leading biologic categories (excluding vaccines)
Neulasta/Neupogen G-CSF from Amgen is the leading biologic with
2005 global sales of $3.5 bio.
Top 10 biologics constitute 49.5% of total biologics market

10
© Stratycon Business Solutions Pvt.. Ltd. 2005-07
Erythropoietin is the leading class of biologic
constituting ~22% of biologic market (excl. vaccines)

Home

12.0 Erythropoietins
10.9
Previous
Previous TNF
10.0
Insulin & analogs
2005 Global Sales $ bio.

Next
Cancer Antibodies
Next
8.0 7.6
7.2 Interferon Beta
6.8
G-CSF
Last
Last
6.0
Human Growth Hormone

Rec. Coagulation Factors


3.8 3.8
4.0
Interferon Alpha
2.3 2.2 2.1
Enzyme Replacement
2.0
1.3 1.1
1.0 Antiviral Antibody

Follicle Stimulating Hormones


0.0

11
© Stratycon Business Solutions Pvt.. Ltd. 2005-07
7 of top 10 products have annual global sales of > $ 2
bio. (2005)

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4.0
Neulasta/NEUPOGEN
3.5
Previous
Previous 3.5 3.33 3.32 3.27 MabThera/Rituxan

3.0 Procrit/Eprex
2005 Global Sales $ bio.

Next
Next 2.57 2.54 2.46 Aranesp
2.5

Enbrel
Last
Last 2.0 1.81
1.72
Remicade
1.54
1.5
Epogen

1.0 NeoRecormon,Epogin

Herceptin
0.5

Avonex
0.0

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© Stratycon Business Solutions Pvt.. Ltd. 2005-07
Leading Biotech Products
2005 ww Sales
Product Compound Company Growth (Y0Y) %
Home ($ bio.)*

NEULASTA /NEUPOGEN Peg/filgrastim Amgen 3.50 31.5%


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MABTHERA/ RITUXAN rituximab Roche/Genentech 3.33 22.0%

PROCRIT/ EPREX epoetin alfa J&J 3.32 -7.0%


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ARANESP darbepoietin alfa Amgen 3.27 32.0%

ENBREL etanercept Amgen 2.57 42.0%


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Last

REMICADE infliximab J&J 2.54 18.0%

EPOGEN epoetin Alfa Amgen 2.46 -6.0%

NEORECORMON,
epoetin beta Roche 1.81 8.0%
EPOGIN

HERCEPTIN trastuzumab Roche 1.72 48.0%

AVONEX interferon beta-1a Biogen Idec 1.54 8.90%

Total of Top 10 26.07

Notes: *World Wide Sales in US $ billion


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© Stratycon Business Solutions Pvt.. Ltd. 2005-07
4 of $2 + bio. biologics are growing at more than 20%
Y0Y

Top 10 biologics - 2005


Home 4.0

Neulasta/Neupogen
3.5 MabThera/Rituxan
Procrit/Eprex Aranesp
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2005 Global Sales in $ bio.

3.0

Epogen Remicade Enbrel


2.5
Next
Next

2.0
NeoRecormon,Epogin
Last
Last Herceptin
1.5 Avonex

1.0

0.5

0.0
-10% 0% 10% 20% 30% 40% 50% 60%

YoY Growth

• The Strongest growth was observed for Avastin - bevacizumab (+141%), Humira (+64%) and Herceptin (+48%)

Note: Avastin & Humira doesn’t feature in top 10 biologics

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© Stratycon Business Solutions Pvt.. Ltd. 2005-07
Home

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Pipeline of Biologics
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~19% of all drugs under development are biologics, with mAbs


accounting for ~34% of all biologics being developed.
~46% of biologics in clinical stages are being developed for cancer.
In 2010, ~50% of all new approved pharmaceuticals will be biologics.

15
© Stratycon Business Solutions Pvt.. Ltd. 2005-07
Monoclonal antibodies, gene therapy are constitute
major proportion of biologic pipeline apart from
vaccines
# of Biologic in Development by Category
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62
Others
Previous
Previous 8
Interleukins
9
Immune based therapy
Growth Factors 16
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Interferons 18

Antisense 20
Last
Last Cellular therapy 21
Recombinant Hormones/Proteins 43
Gene Therapy 46
Vaccines 62
mAbs
160

0 50 100 150 200

• ~19% of all pipelines are biotech products

Notes: Could include pre-clinical molecules hence total is more than

Ref:: PhRMA Report 2006; 16


© Stratycon Business Solutions Pvt.. Ltd. 2005-07
Biologic pipeline has major focus on
cancer, infectious diseases, HIV/AIDS
# of Biologic in Development by Disease Segment
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18
Other
4
Previous
Previous Transplantation
4
Growth Disorders
6
Eye Conditions
Skin Disorders
7
Next
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Blood Disorders 10
Respiratory Disorders 13
Digestive 14
Last
Last
Diabetes/Related 15
Neurologic Disorders 17
Cardiovascular 22
AIDS/HIV Related 22
Autoimmune 44
Infectious Diseases
50
Cancer/Related
210

0 50 100 150 200 250

Ref:: PhRMA Report 2006 17


© Stratycon Business Solutions Pvt.. Ltd. 2005-07
Home

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Biosimilars
Last
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Current global market of biosimilars is estimated to be less than


$100 mio. Regulated markets are taking the next step for
biosimilars. ROW countries could act as a launch pad taking
products subsequently to regulated markets.

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© Stratycon Business Solutions Pvt.. Ltd. 2005-07
Biosimilars - Background

Home • The current global biosimilars market is estimated to be ~ $100


mio.
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• With the advent of EMEA’s progress in drafting guidelines, the
scenarios is expected to be bright
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• By 2011, biologics worth $18 bio. annual sales are expected to
lose patent protection in developed pharmaceutical markets
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• The global biogenerics market opportunity is estimated to be
worth >$2 bio by 2008, (but it could be to the tune of >$5 bio.
considering possible market expansion)
– EPO, CSFs and hGHs are expected to account for the majority of the
biosimilar sales
• US still lags behind entangled with a number of debates and
influencing stake holders

Ref:: The Future of Biogenerics- PharmaVoice – May 2005; Chemical & Engineering News - 19
June 6, 2005; F&S Articles, Stratycon Analysis © Stratycon Business Solutions Pvt.. Ltd. 2005-07
Selected biologics with expired patent

Product Compound Company Expired


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Neupogen G-CSF Amgen 2006


Previous
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Novolin Human Insulin NovoNordisk 2005

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Protropin Growth hormone Genetech 2005

Activase t-PA Genentech/BI 2005

Last
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Epogen, Procrit EPO-α Amgen/J&J/Sankyo 2004

Nutropin Growth Hormone Genentech 2003

Humatrope Growth Hormone Eli Lilly 2003

Avonex Interferon b1a Biogen 2003

Intron A Interferon a2b Schering Plough 2002

Humulin Human Insulin Eli Lilly 2001

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© Stratycon Business Solutions Pvt.. Ltd. 2005-07
Home

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Biosimilars - Regulatory
Last
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EU has guidelines in place for approval of biosimilars, US and Japan


lag behind in the process.

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© Stratycon Business Solutions Pvt.. Ltd. 2005-07
EU has defined regulatory requirements
for biosimilars

Home • EMEA has developed guidelines for approval of biosimilars


– Draft guidelines, including specific clinical and non-clinical data requirements for four
product types:
Previous
Previous • Recombinant insulin, human growth factor, erythropoietin and CSFs

• The Committee for Medicinal Products for Human Use (CHMP) issues specific
Next
Next guidelines on case by case
– Comparability studies are required to substantiate evidence for safety, efficacy and quality
– Advised to approach EMEA for detailed case by case basis guidance on studies required to
Last
Last
be conducted
– Product-class specific guidance documents on pre-clinical and clinical studies to be
conducted for the development of biosimilars will be progressively available

– The authority for marketing approval of a biosimilar lies with EC

• Omnitrope is the first biosimilar to be approved in EU, which was earlier approved
in Australia by TGA. Biopartner’s Valtropin is approved and α interferon is under
review
• Note: EU has constituted 10 year data exclusivity period for all pharmaceutical innovators.
(this prevents a patent challenger to use innovators safety & efficacy data)

Ref: EMEA (Accessed Jan 07)


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© Stratycon Business Solutions Pvt.. Ltd. 2005-07
US is still in the process of developing
guidelines for biosimilars

Home • Currently there is no clear guidelines and authority for approval of


biosimilars
Previous
Previous • Drugs generally covered by Federal Drug & Cosmetic Act, and biologics
approved under Public Health and Safety Act
Next
Next
– Most of the Biologics are approved through BLA
– Some early biologics, such as human growth hormone (hGH), insulin, and
conjugated estrogens, were approved as drugs by FDA under the FD&C Act
Last
Last
– ANDAs could be applicable for these products, subject to FDA resolution of the
scientific and other issues involved.
• Guidelines for approval of biosimilars currently not defined
– No equivalent of ANDA under PH&S act for approval of follow on biologics
(biosimilars)
– The congress and the FDA are considering various scientific and legal issues
surrounding follow-on biologics, to define a regulatory process for follow on
biologics
• Biosimilar Omnitrope is approved in US

Ref: FDA
23
© Stratycon Business Solutions Pvt.. Ltd. 2005-07
US - Some products under NDA may be approved
without new ‘follow on biologics’ legislation!

Home Approved Through NDA Approved Through BLA

Previous
Previous
Insulin Interferons

Growth Hormone, FSH, LH,


Next
Next tPA
hCG, TSH

Calcitonin EPO
Last
Last

PTH mAb

Imigucerase Enzymes

Aprotinin

Hyaluronidase

Ref: FDA
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© Stratycon Business Solutions Pvt.. Ltd. 2005-07
Japan – PDMA – Office of biologics
evaluates generic biologics

Home • Currently there is no guidelines for approval of biosimilars


• CPAC & MHFW are authorities for pharmaceuticals
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– Central Pharmaceutical Affairs Council evaluates and makes the
recommendation & the Ministry of Health and Family Welfare makes the
decision on approval of drugs, biologics
Next
Next

• PMDA (Pharmaceutical & Medical Devices Agency) – Office of Biologics


Last
Last – Provides consultations concerning the clinical trials of new drugs and medical
devices
– Has ‘Office of biologics’ for handling biotech medicines including generic
biologicals
• Use of foreign clinical data is very limited while approval of new
medicines, and less likely that glycosolated proteins will be recognised as
generics

Ref: MHW, JPMA Report 2006


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© Stratycon Business Solutions Pvt.. Ltd. 2005-07
Home

Previous
Previous

Next
Next

Last
Last Biosimilars –
Competitive Intensity

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© Stratycon Business Solutions Pvt.. Ltd. 2005-07
Foreseeing Competitive Intensity

Home • How big is the market?

Previous
Previous

Next
Next
• How complex is the manufacturing process?

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• Will the regulatory approval be through a relatively abbreviated


process?

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© Stratycon Business Solutions Pvt.. Ltd. 2005-07
Biosimilars – Evaluating Probable
Competitive Intensity
Size of bubble: Innovator Brand Sales -2005 ($ bio.)
7
Home

Neupogen
Previous
Previous 6
Retuxan

Next
Next 5
Procrit/Eprex
Ease of Mnf. Score

Last
Last Enbrel
4

Humulin
3
Avastin

2
Genotropin

1
1 2 3 4 5 6 7

Reg. Simplicity
Portfolio Development Path (considering market size)

Ref: Stratycon Analysis – Draft


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© Stratycon Business Solutions Pvt.. Ltd. 2005-07
Leading Generic Companies & their
biosimilar portfolio
Interfero
Company EPO CSF Insulin HGH tPA mAb Total
Home n
Teva/Sicor/BTG D M M M 4

Previous
Previous
Sandoz M 1
Pliva (+Mayne) M D M 3
Stada D D D 3
Next
Next
BioPartners/LG
M M M M M 5
LS
BioGeneriX D D 2
Last
Last
GeneMedix D M D D 4
Dragon M 1
Biocon D M M D D D D 7
Scino Pharma D D D D D 5
SciGen M M M D D 5
Wockhardt M D M D 4
DRL D M D 3
Shanta Biotech M D M M D 5
Total 11 9 6 7 9 3 6 52
Total (M) 5 5 5 4 4 1 0 24

Note: List is not complete, M: Marketed, D: Developing

Ref: News releases, company research 29


© Stratycon Business Solutions Pvt.. Ltd. 2005-07
Biogenerics – Probable Competitive Outcomes
under regulatory uncertainty

Biosimilars Regulatory
Process in Question
Home

Doesn’t Require large Requires large


Previous
Previous Clinical Tests Clinical Trials

Next
Next Less More
Time to Time to
Market Market

Last
Last Higher
Higher Price Lower Price Lower Competitive
Competitive
Differential Differential Intensity
Intensity

Authorized Bio- Limited Change in


similar well in Expanded Demand Next Gen
Demand
advance Biologics

Price & Competitive


Equilibrium Incremental product
Next Gen
Focus on Next Innovations
Biologics
Focus on Next Potential Potential Biologic
Biologic going off patent – going off patent?
Process Innovations
!get it first to the market
for cost cutting

Likely Strategies by Innovator


30
© Stratycon Business Solutions Pvt.. Ltd. 2005-07
Constraints & Drivers

Home
CONSTRAINTS DRIVERS

Previous
Previous
• Regulatory • Biologics segment size & growth
– No clear cut regulatory mechanism in – Biologics performance exceeds that
US, Japan of overall market
Next
Next
• Technological – Biologics worth $18 bio. Will go off
patent by 2011
– Manufacturing complexity
• Increasing pressure to reduce
Last
Last – High setup & manufacturing costs
healthcare expenditure
– Higher cost to prove comparability
– Evolving regulatory mechanisms to
• Market Factors recognise biosimilars (EU, Australia)
– Next generation biologics • Semi/unregulated markets as launch
– Limited discounting ability pad
(discounting in the range 25% to
30%) • Generic majors like Teva, Maine,
Pliva developing biosimilar
– Authorised generics/price cuts
capabilities through partnerships as
– Gaining acceptance by clinicians well
(brand based competition)

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© Stratycon Business Solutions Pvt.. Ltd. 2005-07
Business Options – Step by step
approach?

Home

Japan!
Previous
Previous

Next
Next US

Last
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EU

Unregulated Markets

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© Stratycon Business Solutions Pvt.. Ltd. 2005-07
Analyzing business options

Home

Market yourself?
Authorized
Previous
Previous Generics?
Selective partnering?
Next
Next
Have/ Can build

Complete partnering?
Last
Last

Marketing & Regulatory


Market in Question competency?

Doesn’t have/can’t build Out-license?

33
© Stratycon Business Solutions Pvt.. Ltd. 2005-07
Comments

Home • Biologics approved through NDA and easy to manufacture could be the
first targets for generic manufacturers
Previous
Previous • Semi/unregulated markets could act as launch pad for biosimilars and
could be beneficial in accelerated approvals in regulated markets (once
the guidelines are in place)
Next
Next
• Big generic companies like Teva, Sandoz, Pliva have significant focus
on biosimilars and have access to market and marketing resources
Last
Last
• Medium size/ biotechs from developing world are increasingly following
collaborative models to accelerate commercialization of their biologics
• Biologic innovators will move forward with the next-generation
biologics trying to make up for revenue loss due to biosimilars
– This is facilitated by biotech innovators bridging the innovation gap of big
pharmaceuticals

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© Stratycon Business Solutions Pvt.. Ltd. 2005-07
Home

Previous
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Next
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Back-up
Last
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© Stratycon Business Solutions Pvt.. Ltd. 2005-07
Global Pharmaceutical Market Sales
Global Pharmaceuticals Sales 2005
Home

Previous
Previous

Next
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2005

$265.70 169.5 60.3 46.4 24

Last
Last

$0.00 $100.00 $200.00 $300.00 $400.00 $500.00 $600.00

North America Europe Japan Asia, Africa and Australia Latin America

Ref:: 1IMS Industry in Figures - 2005 36


© Stratycon Business Solutions Pvt.. Ltd. 2005-07
Biopharmaceuticals’ share of global
prescription sales

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Previous
Previous

Next
Next

Last
Last

Ref:: IMS - 2004 37


© Stratycon Business Solutions Pvt.. Ltd. 2005-07
Generic Pharmaceutical Sales in US

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25 54%
53.3%
Previous
Previous

52%
20
Generic Sales in US - $ bio

Next
Next 50.5%
50%

% Generic Rx
15

Last
Last 48.1% 48%
47.4%
10 46.6%
46.5%
46%

5
44%

11 13 14.3 16 18 22
0 42%
2000 2001 2002 2003 2004 2005

Ref:: GPhA 38
© Stratycon Business Solutions Pvt.. Ltd. 2005-07
Leading products Next 10 (rank 10 to 20)

Next 10 biologics - 2005


Home 1.5

1.4 Humira
Avastin
Previous
Previous
1.3
Rebif
Neupogen
2005 Global Sales in $ bio.

Lantus
1.2 Humalog
Next
Next

Pegasys
1.1 Synagis

Last
Last
1.0 Betaferon
Humulin

0.9

0.8

0.7

0.6
-20% 0% 20% 40% 60% 80% 100% 120% 140% 160%

YoY Growth

39
© Stratycon Business Solutions Pvt.. Ltd. 2005-07
Analysis of approval pattern of biologics
by expression system & source (US)
Products by Expression System
Home
45
40 0 Natural Extract
35
# of Biologics

1
Mammalian cell
Previous
Previous 30 8 26 culture
25 4 Yeast
20
10
15 2 Bacteria
Next
Next
10
13
5 11
None (Synthetic)
0 0
Last
Last NDA BLA
Products by Source

45
40
native DNA
35 2

# of Biologics
30
rDNA
25
21 41
20
Synthetic
15
10
5 11

0
NDA BLA

Ref: Biopharm Intl;


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© Stratycon Business Solutions Pvt.. Ltd. 2005-07
Evaluating ease of manufacturing

Home

Expression System

Previous
Previous

Next
Next

Last
Last

Source (Natural DNA/


Chemical Modification
rDNA/ synthetic)

41
© Stratycon Business Solutions Pvt.. Ltd. 2005-07

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