Pharma Trends Dr. Brian W Tempest www.briantempest.com Mumbai May 9 2014 Hale & Tempest Dr Brian Tempest advises Companies, Banks, High Net Worth Individuals and Investment Funds on their Strategy in the Emerging World based on his wide experience in China, Japan, South East Asia and India where he has lived for the last decade. Brian has worked for Ranbaxy Laboratories since 1995 holding the position of Managing Director and Chief Executive Officer until 2005. He was then Chief Mentor and Non Executive Director until 2008 when he retired. He is one of the few westerners to have led a Sensex Nifty 50 Indian blue Chip MNC and as a result has a valuable insight into India. Brian has also worked for Glaxo as Regional Director Far East and Regional Director Middle East & Africa from 1985 to 1992. Brian has worked in the Pharmaceutical Industry for the last 41 years and has managed Healthcare businesses in North America, South America, Europe, Africa, Middle East, Australasia, China, Japan and India. He has also led many sessions at Investor Meetings held around the world. He is now Independent Chairman of Religare Capital Markets PLC , a Non Executive Director of Fortis Healthcare the leading Asian Healthcare Company, a Non Executive Director of SRL the largest Indian Diagnostic Company and a Non Executive Director of Glenmark Pharmaceuticals. He is a member of the SCRIP Global awards panel and is on the Editorial Board of the Journal of Generic Medicines. Brian speaks at global conferences and more information on these presentations can be found on his website www.briantempest.com. Brian has a PhD in Polymer Chemistry from Lancaster University in 1971 and in 2009 he became Chairman of the Advisory Board for the Lancaster University Management School, UK. He is a Fellow of the Royal Society of Medicine and a Fellow of the Royal Society of Chemistry and is a Chartered Chemist. He is now Chairman and Senior Partner of Hale & Tempest Co Ltd Hale & Tempest 2013 The Year of 8 Blockbusters source: Evaluate March 2014 Hale & Tempest 2013 the 8 Blockbusters source: Evaluate March 2014 Hale & Tempest Sovaldi (sofosbuvir) for Hepatitis C Source: Pharmatimes February 7 2014 •In USA Gilead Sciences charges Sovaldi at $1000 a day for a 12 week course -$84,000 •The cost of manufacture of the same 12 week course is $68 to $136 according to MSF generating a gross profit over 99% •In India and other emerging markets Gilead plans to charge $2,000 for a 24 week course leading to a gross profit of 86% Hale & Tempest South Africa IP actions - back to 1998 Source: Leaky Pharma 27 Jan 2014 •1998 Merck vs Mandela, Big Pharma PR disaster •India Trips interpretation - Enhanced Therapeutic Efficacy vs Incremental Efficacy •2014 Merck, PhRMA, Lobbyist PAE vs RSA again •“This is genocide, This can sentence South Africans to death” – RSA Health Minister (Motsoaldi) •WHO Executive Board – “we cannot be sidetracked from our course of action of defending public health and the right to life” (DG Precious Matsoso) Hale & Tempest •Sovaldi Q1 2014 sales a record $2.2b Access & Innovation Hale & Tempest IP Protection source: Swiss Federal Institute of Intellectual Property Oct 2006 Hale & Tempest First Herceptin Trastuzumab Biosimilar source: ET January 14 2014 Rs 40,000 per 440mg vial, Roche halved price at Rs 55,000 Hale & Tempest Big Pharma Shuffle source: FT Hale & Tempest Cash Acquisitions vs free cash flow source: FT 19 February 2014 Hale & Tempest Acquisition, Divestment & Spin Offs in 2014 valued at $220b from 2012 $50b •Novartis - divested Blood Diagnostics, Animal Health, OTC, Vaccines and gained GSK Oncology •Bayer - Bayer Material Sciences likely sale and interested in Merck OTC •Pfizer - Nutrition & Zoetis Animal Health divested but bidding for AstraZeneca (who may bid for Shire) •GSK - divest tail products, drinks brands, oncology brands and acquired vaccines and OTC •Valeant - bidding for Allergan •Teva - looking for large acquisition •Shire - buys ViroPharma and Fibrotech •Mylan - looking at Meda •Sun - buying Ranbaxy Hale & Tempest •Merck – OTC and Generics for sale R&D Spending by Country source: Economist March 22 2014 Hale & Tempest USA Generic Market - Latest Challenges source: Jefferies 10 March 2014 Hale & Tempest EU Chemical Sales source: Chemistry World September 2013 Hale & Tempest Open letter to Barroso from the Chairman of INEOS (Jim Radcliffe) on 7 March 2014 Hale & Tempest Pharma FDI source: PWC April 2014 Hale & Tempest CPhI Russia 137 Companies Source: 17 April 2014 •China 67 •Russia 21 •India 12 •Italy 7 •Czech Republic 5 •Poland, Germany, South Korea 4 •Indonesia, Pakistan, Romania, Latvia, Slovakia, Morocco, Jordan, Spain, Greece, France, Ukraine Hale & Tempest Switzerland, Malaysia 1 Source of Big Pharma Sales Growth source: PWC 2014 Hale & Tempest Russia 2020 Strategy 90% local manufacture of VLS list Hale & Tempest Russia – Low Volume Growth source: PharmaTrac March 2014 Hale & Tempest Russia – Value Sales Growth source: PharmaTrac March 2014 Hale & Tempest Russia Pharma Industry source: PWC April 2014 Hale & Tempest Russia - Protek already has 158 products source: CPhI Russia 17 April 2014 Hale & Tempest India New Government? Hale & Tempest Corruption source: Hindu January 2014 Hale & Tempest Military vs Health source: FT 24February 2014 Hale & Tempest Sun Pharma Q4 2012 Source: Generics Bulletin 15 February 2013 Hale & Tempest Sun + Ranbaxy source: Sun investor presentation 9 April 2014 Hale & Tempest Sun Track Record of Turnaround source: Sun Investor presentation 19 April 2014 Hale & Tempest India after Sun-Ranbaxy source: Sun Investor presentation 9 April 2014 Hale & Tempest World Top 15 after Sun-Ranbaxy source: Sun Investor presentation 19 April 2014 Hale & Tempest Indian Pharma in USA source: Citi Research August 2013 Hale & Tempest Indian Pharma in Europe source: Citi Research August 2013 Hale & Tempest India Pharma – EU to EM, % of Sales source: Citi Research August 2013 Hale & Tempest brian.tempest@clara.co.uk www.briantempest.com Hale & Tempest