The Changing Face of the Biopharmaceutical Industry— Creating a Culture of Innovation Dr. Bahija Jallal Executive Vice President Research and Development Agenda Industry Challenges Identity Crisis Innovation: The Path Forward 2 Industry Challenges Negative Perception Cycle time Costs / ROI Competition Shareholder Pressures Payer expectations Patent cliff Disease challenges Regulatory Environment Negative Perception Harris Survey of Industries that are “Trustworthy” and “Honest” Source: The Harris Poll, December 15, 2011, More Stringent Regulatory Requirements Differentiation Efficacy Safety 5 Reimbursement Challenges Changing Reimbursement Models – Value-Based Pricing (UK) – Comparative Effectiveness 6 Government Spending Cuts Hit Drug Prices Hard Italy introduced temporary price cuts Germany increased the mandatory rebates imposed on pharmaceutical companies to 10 percent from 6 percent China cut prices an average of 19 percent on more than 150 drugs Turkey imposed 11 to 23 percent price cuts on prescription drugs Spain is requiring doctors to prescribe generic drugs rather than brand names 7 Measuring Productivity R&D Productivity = Number of Approvals R&D Spend 8 High Denominator in the Productivity Equation 1 Lagging five-year average includes NCEs and BLAs. BLAs included 1986 onward; biologics approvals in prior years assumed to be negligible 2 PhRMA members only (~40 leading pharmacos) R&D Productivity Rising cost of drug development Declining productivity Why? The science has never been better. 10 The Industry Faces an Identity Crisis Yesterday’s Pharma • Blockbuster Drugs • Industrialized Research • Scale-driven Processes Today’s BioPharma • Personalized Medicine • Depth of Understanding • Nimble Processes Built around a “technology” versus Built around a “concept” 11 Solutions Diversify Innovate • OTC • Generics • Biosimilars Restructure Emerging Market Growth 12 Innovation: Back to the Basics Best Science Best Scientists Business Focus 13 in·no·va·tion noun \i-nə-vā-shən\ 1: the introduction of something new 2: a new idea, method, or device : novelty Innovation can’t be engineered or mandated, but you can increase the odds of it happening. An Innovation-Inspiring Environment • Encourages diversity of ideas • Supports experimentation • Encourages risk-taking Culture of Collaboration Accessing the best science wherever it lives. How We Collaborate M&A Licensing Academic Partnerships MediVentures Incubators 50% of programs are collaborations Alliances Partnering At MedImmune, We Favor Collaborations Where Goals, Risks and Rewards Are Shared The Old Model • No strings attached funding • High risk, “blue skies” projects • Endowments • And increasingly… • Pay to “access” university network • Unrealistic IP positions The New Model • Focus on disease mechanisms • Shared goals and objectives • Complementary skill base • Jointly funded by academia and industry • Shared risks and rewards • True “collaboration” Example: MedImmune / INSERM collaboration Industry first Strong contributions from partners 1 Lille 1 – Inserm—unique science, technology & IP 1 1 4 1 1 6 4 1 1 1 1 Caen 1 1 1 1 1 Rennes 1 1 1 Tours 1 1 Rouen1 Paris Orléans 2 1 1 1 1 1 1 Dijon Nantes 1 Poitiers 1 Reims Na ncyStrasbourg 1 1 1 1 Bordeaux 1 1 1 1 1 Clermont- Lyon Grenoble Ferrand 1 1 1 1 1 Toulouse 1 1 Joint PI collaborative relationship 1 1 1 1 1 1 – MedImmune—complimentary science, technology, IP & investment Montpellier RoussetNice Marseille 1 1 1 1 2 1 Long-term science-focused collaboration Partnerships & Collaborations 20 Example: Peer to Peer Collaborations Respiratory assets Industry first Jointly develop and commercialize clinical-stage Inflammation Portfolio Oncology asset Developing proven asset Utilize translational medicine / right clinical population to unlock potential of asset Publications & Patents As A Foundation Peer reviewed manuscripts …foster highest quality science Conference posters, abstracts, presentations …create connections, new ideas, relationships Review articles & book chapters …further scientific knowledge, understanding Patent filings …bring focus to intellectual property, importance of invention 22 Always Follow the Science Fostering Innovation and Dedication to Robust Science Managing the Business Realities People and Leadership Foresight to Think 10 Years Ahead Anticipate the needs of patients – 10 years from now Anticipate the market – 10 years from now Anticipate the regulatory landscape – 10 years from now 25 Those Who Innovate Survive 1990 2012 26 Questions & Discussion Shareholder Pressures “I don’t see pharmaceutical shares outperforming. Buying a drug stock is buying a pretty big risk these days.” Chief Investment Officer of a Major European Investment Firm (Bloomberg.com) 28