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  • What the New Bio/Pharma Business

    Model Means for CMOs and CROs

    Jim Miller

    Interphex

    May 2012

  • Agenda

    Outline

    2011 review

    New bio/pharma

    business model

    Key challenges and

    opportunities

    Final thoughts

    Key points Strengthening market

    New pharma priorities

    Pharma still investing in

    manufacturing facilities

    New pharma manufacturing

    needs and technologies

    Preferred provider model

    favors larger suppliers

    2

  • 2011 review

    Contract services market improved

    -5% 0% 5% 10% 15% 20%

    Annual Growth Rate

    Contract Revenue Growth

    2011 2010

    Most of contract services

    industry enjoyed more

    growth in 2011

    Discovery services providers

    in Asia grew most rapidly

    API manufacturers hurt by

    Swiss Franc strength

    Many private API

    manufacturers did well

    3

    CMC

    Clinical

    API

    Preclin EM

    Preclin DM

    Sources: PharmSource Advantage database and revenue estimates; public reports

  • Dose CMO overview

    NME approvals up, outsourced NMEs down

    0%

    10%

    20%

    30%

    40%

    50%

    60%

    2006 2007 2008 2009 2010 2011

    Sh

    are

    of

    Ap

    pro

    va

    ls

    NDA Approvals by FDA

    NME Non-NME

    High % of older APIs in 2011

    505(3) b filings

    Branded generics, new forms

    Only 33% of injectable

    NMEs outsourced

    2006-2010 avg. = 51%

    24 CMOs got approvals:

    Patheon 7

    DSM 3

    Catalent 2

    4

    23 18

    24

    22

    26

    Number above bar is number of NME approvals.

    Source: FDA data, PharmSource analysis

    32

  • 2011 review

    R&D spending continues to climb

    80

    100

    120

    140

    160

    180

    2007 2008 2009 2010 2011

    R&D Spending Index 2007=100

    Segments other than global

    bio/pharma spending more

    CMOs and CROs report

    rapid growth but not evenly

    Phase 2/3 projects growing as

    early stage companies

    resurrect shelved projects

    Preclinical/Phase 1 lags due to

    lack of financial support

    Global bio/pharma

    outsourcing more, esp. small

    molecule-related

    5

    $-

    $50.0

    $100.0

    $ B

    illi

    on

    Global

    Mid-size

    Generic

    Early

  • R&D funding

    Total VC up but early stage support weak

    $-

    $1,000

    $2,000

    $3,000

    $4,000

    $5,000

    $6,000

    200

    0

    200

    1

    200

    2

    200

    3

    200

    4

    200

    5

    200

    6

    200

    7

    200

    8

    200

    9

    201

    0

    201

    1

    VC Investment in BioPharma in US

    First Time VC Follow-on VC

    6

    Total venture capital has

    improved but established

    companies favored

    VCs favor companies with

    later phase candidates

    Many were shelved in 2008

    when funding was difficult

    Earliest stage companies are

    having a difficult time

    Likely to be less VC in future

    as investors back away

  • Bio/Pharma adapts to new environment

    New growth

    opportunities

    Reduce R&D Risk Manage Costs

    Biologics

    Niche products

    Emerging markets

    Kill it early

    POC focus

    In-licensing

    Partnering

    Fewer therapeutic

    areas

    Greater outsourcing

    7

    New industry environment

    Loss of blockbusters

    Price and volume resistance

    Low R&D productivity

  • Challenges facing CR&D industry

    Impact of price/volume pressure on bio/pharma

    0%

    10%

    20%

    30%

    40%

    50%

    60%

    70%

    80%

    90%

    100%

    NovartisBranded

    Sandoz

    Pharma Cost Structure

    EBT

    Admin

    R&D

    Mktg

    CGS

    8

    EU & US debt /cost crises

    Lower drug prices/ margins

    Smaller volumes

    Lack of bank capital (EU)

    Margin squeeze hits costs

    Reduced R&D and marketing

    Pressure to reduce cost of goods

    (CGS)

    More outsourcing if cost-effective

    Bio/pharma companies

    must preserve branded

    model

  • Global pharma trends

    Outsourcing depends on value of know-how

    Specialized

    Know-how

    Foundational

    Know-how

    Mature

    Know-how

    Occasional need

    Costly to

    build/maintain

    Core to strategy

    Knowledge-

    generating

    Widely-available

    Routine

    Slow evolution

    Materials

    engineering

    Cytotoxics

    Genetic mouse

    breeding

    Biomanufacturing

    Methods development

    Injectable

    formulations

    Protocol design

    Sm. mole API

    Solid dose

    Raw materials

    testing

    Trial monitoring

    Propensity to outsource

    High Low High

    9

  • Challenges facing CMO industry

    Bio/pharma investing in growth targets

    $-

    $5

    $10

    $15

    $20

    Global Generic Mid-size

    CapEx 2007-11 $ billion

    2007

    2008

    2009

    2010

    2011

    Companies invest where

    there is growth

    Large molecule API/dose

    Vaccines

    Emerging markets

    More countries granting tax-

    favored status to bio/pharma

    UK

    Ireland

    Hungary

    Singapore

    Switzerland

    10

  • Challenges facing CMO industry

    Many projects recently announced or completed

    Company Facility Details Country Investment

    GSK Dose Expansion Ireland $ 60

    Merck Dose new vaccine facility Ireland $ 270

    Novartis Dose new facility Russia ?

    Roche Dose clinical supplies Switzerland $ 270

    GSK Dose facility expansion UK $ 60

    Genzyme Dose-inject Injectables Ireland $ 208

    Novartis Dose-solid OTCs Switzerland $ 42

    BI Dose-solid Hipo solid USA $ 50

    Roche Dose-solid clinical supplies USA ?

    Watson Dose-specialty patches and gels USA $ 44

    11

  • Challenges facing CMO industry

    Tax incentives are difficult hurdle for CMOs

    Base

    Case

    Tax

    Incentive

    CGS

    Savings

    Revenue $ 100 $ 100 $ 100

    CGS 20 20 14

    R&D 20 20 20

    SG&A 30 30 30

    EBT 30 30 36

    Tax rate 25% 10% 25%

    Net income $ 22.5 $ 27.0 $ 27.0

    Matching tax

    breaks requires

    big CGS savings

    Manufacturing

    costs must drop

    30% to match tax

    savings

    12

  • Challenges facing CMO industry

    Global Pharma has complex manufacturing calculus

    13

    Make

    or Buy?

    Basic requirements Unit cost

    Security of supply

    Technology

    Cost flexibility

    IP protection

    Financial impacts Tax implications

    Government subsidies

    Exchange rate exposure

    Restructuring costs Severance arrangements

    Disposal of old facilities

    Commercial demands Local market portfolio

    Local market approvals

    Local market brand

    CMO model addresses only basic requirements

  • Challenges facing CMO industry

    Lower unit volumes a threat

    Lower volume products

    Niche products

    Orphan drugs

    Branded generics

    Emerging markets

    Inventory management

    Lower inventories to free

    cash for deals

    Long-term challenge

    Smaller CMOs compete

    for commercial work

    Traditional CMO cost

    structure a liability

    Large scale, large batch

    campaigning model

    New technologies may

    change in-vs-out calculus

    14

    CMO industry will face new cost pressures and

    increased competition

  • Challenges facing CMO industry

    New technologies challenge CMOs

    API manufacture

    Microreactors

    Improving cell culture and

    fermentation yields

    Bioreactors in a bag

    Dose manufacture

    Disposable contact parts

    Continuous processing

    Automation

    Pre-processed inputs (e.g.,

    SCF syringes)

    Lower capital costs

    Smaller facilities

    Simpler HVAC

    Smaller equipment

    Lower operating costs

    Lower facility operating costs

    Less direct and indirect labor

    Faster line changeovers

    Less working capital

    More inventory turns

    15

    CMO industry will face added competition from in-

    house manufacture even from smaller companies

  • Global pharma trends

    Outsourcing favors preferred providers

    Pharma Preferred Clinical

    CRO Providers

    Sanofi Covance

    Lilly Covance, Quintiles,

    Icon, i3, Parexel

    Pfizer Icon, Parexel

    GSK PPD, Parexel

    BMS Icon, Parexel

    Eisai PPD

    Otsuka Covance

    Elan PPD

    Takeda Covance, Quintiles

    16

    80+% of outsourced clinical

    work going to preferred

    suppliers

    Previous experience, size

    and price drive choice of

    preferred provider

    Integrated service model

    winning out over functional

    services model

  • Challenges and trends facing CR&D industry

    Integrated models for early development

    Services

    Business Model

    Discovery

    Chem/Bio

    Solid

    State

    chem

    API

    Proc

    Dev

    Preclin

    Tox

    API

    CTM

    Anal.

    Dev/Test

    Dose

    Form

    Dose

    CTM

    Clin

    Pkg

    Fully integrated

    development Aptuit, Wuxi, AMRI

    Integrated CMC Biologics CMOs

    Integrated

    chemistry ShangPharma, GVK Ricerca

    Integrated dose Patheon, Catalent

    Niche/specialty

    provider

    17

    A strategic response to supplier consolidation

    and quick to clinic/quick to fail

  • Dose CMO overview

    API/Dose one-stop CMOs emerging

    Small molecule

    Siegfried

    AMRI

    Cambrex

    DSM

    Large molecule

    Rentschler

    BI

    Laureate

    Cook Pharmica

    Rationale

    Differentiate by offering

    customers single supplier

    Reduce supply chain complexity

    Reduce sourcing expense

    Capture more of spend

    Will it be successful?

    Some traction in large

    molecule segment

    Will global bio/pharma buy it?

    18

    Potential threat to dose-only CMOs

  • Global pharma trends

    Preferred deals force CROs to consolidate

    Q 14%

    CVD 10%

    Icon 7%

    Parexel 8%

    inVentiv 6%

    INC 5%

    PPD 10%

    Others 40%

    Clinical CRO Market $14 B Spend

    Major acquisitions build size

    INC+Kendle = $750 M

    inVentiv + PharmaNet +i3 =

    $900 M

    But integration could be a

    distraction

    Market leaders build on

    scale

    CVD: Data mining to make

    clinical site selection more

    efficient

    19

  • Dose CMO overview

    Consolidation underway, faces major hurdles

    Consolidation drivers

    EU debt crisis

    Global pharma sourcing

    Return on capital focus

    Consolidation barriers

    Low entry barriers

    High exit barriers

    Cost of moving products

    Weak differentiation

    Marginal CMO profitability

    Lack of capital

    Consolidation events

    Ben Venue exit

    Nextpharma BE bankruptcy

    Patheon

    Exits semisolids

    Exits PR site

    CPL closed Buffalo site

    Osny absorbed by Cenexi

    Akrimax failure

    A few market leaders have

    differentiated themselves

    Examples: Vetter, DPT

    20

    CMO consolidation could be messy,

    and threaten drug supply

  • Final thoughts

    Industry undergoing slow consolidation

    External environment will pressure CMOs

    New manufacturing requirements and technologies

    are the greatest threats, not India and China

    Success strategies Strong, reliable operating performance

    Innovative business models

    21