MANUFACTURING IN THE PHARMACEUTICAL VALUE CHAIN Prof. Charles L. Cooney Department of Chemical Engineering Program on the Pharmaceutical Industry Drug Development Lectures Nov 21, 2013 1 THE STATE OF THE PHARMACEUTICAL INDUSTRY Where is it going in 2014? • Sales ~$1 trillion and growing at <4% • R & D ~ 15% of sales - an increasingly virtual infrastructure • Marketing - pricing/advertising/e-commerce • Development - increasing expectations, complexity in clinical trials, low productivity • Structure - consolidation, partnerships and outsourcing 2 CHARACTERISTICS OF PHARMACEUTICAL MARKETS • Concentrated~ 85% of market in 15 countries • Focused - 4 therapeutic areas dominate market CV, GI, CNS, anti-infectives • Fragmented – Largest product (Lipitor) is ~ 5 % of market – Largest company (Pfizer) is ~$50 billion – Top 10 companies have one third of market • Technically diverse - research strategy and production methods There is a high cost of complexity 3 Global Sales • ~$900 billion and growing at <5% – US growth at 1-2% to ~$300 billion – Top 5 EU (France, Germany, Spain, Italy, UK) 3-4% to ~$200 billion – Japan 3-4% to ~$85 billion – Pharmamerging at 14-15% to >$100 billion 4 TODAY HEALTH CARE COST PRICING PRESSURES 5 We Have a Problem • Pressure on Pricing – Increased use of generics – Introduction of biosimilars – Therapeutic substitution – Demand for global access – Political and social activism • Increased cost – Increased regulation – Smaller markets – Market and supply chain complexity – Security and integrity of supply chain October 14, 2004 2004 Copyright Massachusetts Institute of Technology 6 Risk = Probability X Impact Institute of Technology Courtesy of US forest Service on Wikimedia Commons. Public domain. 7 Typical P&L Big Pharma* Generic Manufacturers** • COGS are a very significant portion of Generic’s P&L • COGS for Big Pharma are significant in absolute dollar terms *Source: Annual reports of major 15 pharmaceutical companies **Source: Teva’s 2004 annual report 8 PHARMACEUTICAL INDUSTRY STRUCTURE Value Chain Organization Fully Integrated Producer of Drug Product API Manufacture API Manufacture Formulation & Finishing Formulation & Finishing Generic Producer of API 9 Packaging Packaging Generic Producer of Drug Product 9 SUPPLY CHAIN IN PHARMACEUTICAL MANUFACTURING 10 SUPPLY CHAIN IN PHARMACEUTICAL MANUFACTURING 11 SUPPLY CHAIN DYNAMICS 12 Secondary Drug Distribution Uncontrolled Foreign Sources Retail Manufacturer Secondary Distributor Major Distributor Secondary Distributor Retail Retail Retail In practice, we must embrace & manage risk Courtesy of Felicity and Phillip on Wikimedia Commons. License CC BY. 14 MIT OpenCourseWare http://ocw.mit.edu 15.136J / 7.547J / 10.547J / ESD.691J / HST.920J / BCMP 230 Principles and Practice of Drug Development Fall 2013 For information about citing these materials or our Terms of Use, visit: http://ocw.mit.edu/terms.