OTC15-08-14p1_OTC15/11/2005 p1&24 12/08/2014 18:23 Page 1 15 August 2014 COMPANY NEWS 2 Sanofi races ahead 2 of OTC competitors 3 Meda grabs Rottapharm for SEK21.2bn Omega outlines European ambitions 4 GSK has no plans to 6 spin off Consumer Valeant faces US lawsuit 7 over alleged insider trading RB sees opportunity 8 in medical devices Procter & Gamble starts culling brands 9 GNC’s Retail plan in doubt 10 as CEO leaves Negative currency effects 11 damage Bayer Taisho looks to increase 12 demand for OTCs Pfizer committed to 13 Consumer Healthcare Celesio to soon see 14 McKesson benefits GENERAL NEWS 15 MHRA calls for proposals to put OTC drugs on black list Russia considers non-pharmacy sales Asthma use worries lead Singulair safety concerns Body weight is no issue for emergency contraceptives 15 MARKETING NEWS 19 Infirst to make global debut with Dr Cocoa launch in US Bayer bolsters Berocca in US and UK Australians can access Merck’s Nasonex OTC Prestige offers dairy defence 19 FEATURES 24 OTC market growth remains fragile 24 16 17 18 20 21 21 REGULARS Events – Our regular listing 23 People – Walgreens Boots Alliance 27 appoints leadership team RB starts revolution with £100mn R&D investment A new £100 million (CC126 million) UKbased consumer healthcare research and development centre announced by Reckitt Benckiser (RB) will play a key role in the company’s drive to “create a revolution” in the sector, according to the firm’s chief executive officer Rakesh Kapoor. Kapoor told OTC bulletin that the Centre of Scientific Excellence would give the fastmoving consumer-goods (FMCG) giant the “right infrastructure, the right technical abilities and most importantly the right people” to deliver the innovations in consumer healthcare that would enable RB to be a “global leader in this new health revolution”. “We have world-class talent on this site and they deserve a world-class facility,” he pointed out, “and it will become a magnet for talent from around the world.” Based at the company’s existing site in Hull, the new facility – set to open in 2018 – would become the “global technical innovation hub” for the firm’s consumer-health powerbrands, such as Nurofen and Strepsils, Kapoor said. “The centre will be working on developing effective and innovative solutions for everyday ailments,” Kapoor revealed. “In particular, it will lead ground-breaking research in pain management and indigestion relief,” he explained, “as well as in how to use flavours to make the mouth salivate and make on-the-go remedies more palatable, and in combining these developments with active ingredients.” The innovation that would come out of the new facility would make a real difference to how people managed their health, Kapoor claimed. “People are living longer, the global population is increasing and our health services will struggle to cope,” he added. “Self-care has to be a critical part of the solution. But for self-care to work, effective innovations are needed that provide effective remedies with great convenience, supported by excellent consumer information.” Noting that the new centre would represent the largest investment in research and development in the company’s history, Kapoor claimed that RB approached consumer healthcare in- Reckitt Benckiser’s chief executive officer, Rakesh Kapoor, said the Centre of Scientific Excellence would help the firm to become “a global leader in this new health revolution” novation differently from traditional pharmaceutical companies. “We look at product development through the eyes of consumers, we mine the science and we find new ways to provide relief overthe-counter,” he said. “This innovation makes a very real difference to people’s health.” “When we think about innovation, we don’t think about molecules first,” Kapoor explained. “Of course eventually we do think about molecules or products wouldn’t get made, but we think first about how to educate and bring behavioural change.” “Take hygiene for example,” Kapoor explained. “Hygiene is the basis for good health and with our Dettol brand – a range which will also benefit from the investment – we educate millions of mums around the world on how to keep their children safe from illnesses and diseases which are caused by bad hygiene practices.” Hand-in-hand with RB’s attention to consumer education, Kapoor said, came a need to keep healthcare practitioners up-to-date on the best way to treat everyday ailments. This was another area of focus for the firm. However, innovation would only drive change if it was widely available, Kapoor insisted, noting that he had asked for a “coalition ■ Continued on page 27 OTC15-08-14p2-14_Layout 1 12/08/2014 18:19 Page 2 OTC COMPANY NEWS Second-Quarter Results Sanofi races ahead of OTC competitors S anofi’s Consumer Healthcare business is growing faster than all its competitors in the segment, thanks to the switch of Nasacort in the US and strong sales in emerging markets, according to the company’s chief executive officer Chris Viehbacher. Speaking as the French firm posted Consumer Healthcare sales up by 20.2% to C816 million in the second quarter of 2014, Viehbacher said the business had become an “extremely important part” of Sanofi and had been growing “incredibly well”. Even excluding the transfer of products “previously reported in prescription pharmaceuticals” in the prior-year period, the division had still outpaced the competition, Viehbacher noted, with sales rising by 9.2% in the quarter. Expanding on Consumer Healthcare’s place within the Sanofi group, Viehbacher explained that it enabled brands to “live for decades” and provided the “long-term revenues” that a company like Sanofi needed to ensure the financial stability required to take research and development risks. Furthermore, Consumer Healthcare kept the company “in touch regularly with actual consumers”, he claimed, adding that it was important for Sanofi “never to forget the people aspect of our business”. Meanwhile, following the switch of NasaBusiness Allegra Doliprane Essentiale Enterogermina Lactacyd Dorflex Nasacort No Spa Maalox Other Consumer Healthcare brands Consumer Healthcare Diabetes Genzyme Generics Oncology/Other Pharmaceutical Pharmaceuticals Region Second-quarter sales (CC millions) Change (%) CER* Proportion of sales (%) Emerging Markets US Western Europe Rest of World 434 177 161 44 +36.4 +23.2 ±0.0 -25.0 53 22 20 5 Total Consumer Healthcare 816 +20.2 100 * CER is constant exchange rates Figure 2: Sanofi’s Consumer Healthcare sales in the second quarter of 2014 by region (Source – Sanofi) cort in the US (OTC bulletin, 25 October 2013, page 1), the company was gearing up for the potential switch of Eli Lilly’s erectile dysfunction drug Cialis (tadalafil), Viehbacher noted. Having acquired the rights to switch the product in Europe, Japan and the US (OTC bulletin, 30 May 2014, page 1), Sanofi believed there was an exciting opportunity to open up a new OTC category, Viehbacher said, and to drive further strong growth at its OTC franchise. If a switch was given the go-ahead, Sanofi anticipated marketing Cialis OTC after the “expiration of certain patents”, the firm noted. Cialis has been approved as a prescription medicine in more than 120 countries worldwide with a number of indications, including erectile dysfunction and the signs and symptoms of benign prostatic hyperplasia. Second-quarter sales (CC millions) Change (%) CER* Proportion of sales (%) 94 70 55 36 32 27 26 25 23 428 816 1,788 643 466 3,107 6,820 +53.8 +4.4 +10.5 +31.0 +41.7 +55.0 – +20.8 +4.3 +9.8 +20.2 +16.2 +29.1 +65.7 – +7.2 1 >1 >1 >1 >1 >1 >1 >1 >1 5 10 22 8 6 38 84 Vaccines 718 -0.4 9 Animal Health 537 +6.2 7 8,075 +6.4 100 Total Sanofi * CER is constant exchange rates Figure 1: Sanofi’s sales in the second quarter of 2014 broken down by business (Source – Sanofi) 2 In 2013, Cialis generated worldwide sales of US$2.16 billion (C1.62 billion) and since its launch has generated turnover of more than US$14 billion. Turning to the company’s second-quarter results, Sanofi said the 9.2% rise in Consumer Healthcare turnover – excluding the transfer of prescription products – had been due to the successful Nasacort launch and a strong showing in Emerging Markets. Nasacort (triamcinolone acetonide) had generated C21 million in US sales in the three months, Sanofi noted. Total Nasacort sales were C26 million, putting the brand into seventh place in Sanofi’s roster of Consumer Healthcare brands (see Figure 1). Indicated to treat “seasonal and year-round nasal allergies in adults and children two years of age or older”, Nasacort offered the 60 million Americans who suffered from nasal allergies a new OTC treatment option, Sanofi said. The fexofenadine-based brand Allegra was the best-selling of Sanofi’s established brands in the three months, with sales up by 53.8% to C94 million at constant exchange rates. Sanofi’s nine top-selling Consumer Healthcare brands had total sales of C388 million in the second quarter, just under half of the division’s total. On a regional basis, more than half – 53% – of Consumer Healthcare’s sales were generated in Emerging Markets, where turnover advanced by 36.4% in constant currencies to C434 million (see Figure 2). In the US, sales of Nasacort helped to lift turnover in the region by 23.2% to C177 million. Sales in Western Europe remained flat at C161 million, while turnover in the Rest of World region slipped back by 25.0% to C44 million. Consumer Healthcare accounted for 10% of Sanofi’s total second-quarter sales, which increased by 6.4% at constant exchange rates to C8.08 billion. OTC OTC bulletin 15 August 2014 OTC15-08-14p2-14_Layout 1 12/08/2014 18:19 Page 3 COMPANY NEWS OTC Mergers & Acquisitions Meda grabs Rottapharm for SEK21.2bn M eda is set to buy privately-owned Italian firm Rottapharm in a deal worth SEK21.2 billion (C2.30 billion) to create what it claims will be a “European speciality pharma leader”. The Swedish firm said the deal – which is worth around 4.6-times Rottapharm’s 2013 sales of C500 million – boosted its consumer healthcare business with a range of “clinically-proven” non-prescription brands. These had nearly no generic competition and were sold primarily through doctors and healthcare professionals. Rottapharm’s non-prescription brands include the Dona glucosamine range, Saugella femininehygiene line and ArmoLIPID nutraceutical. Jörg-Thomas Dierks, Meda’s chief executive officer, said the acquisition marked an “important step in creating a stronger, improved Meda”. officer Heather Bresch told investors. “The Abbott transaction certainly gives us a beginning foothold on OTC,” Bresch stated. “We have got real opportunities to look at some of these brands that we are now acquiring, as well as perhaps to add some products that would be very strategic and would allow us to build upon the Mylan equity through all channels.” uary 2017. The deal – which is expected to close in the fourth quarter of 2014 – would give Rottapharm’s owners, the Rovati family, a 9% stake in Meda. Cost synergies from the deal were expected to reach SEK900 million per year, Meda claimed, and would come into full effect in 2016. Synergies would be driven by “efficiencies in administration, sales and marketing, and research and development”, the firm said, with additional upsides outside of these areas from selling Meda products in new markets as well as repatriating certain licences to Meda. The deal comes just a few months after Meda rejected a takeover approach from generics specialist Mylan (OTC bulletin, 9 May 2014, page 3). Having already turned down Mylan’s initial approach in April (OTC bulletin, 11 April 2014, page 4), Meda rebuffed a second approach in May, explaining that its decision had been based on a “strong belief in the continued potential of Meda as a standalone company and the assumption that a transaction cannot be completed as it lacks sufficient support from Meda’s largest shareholder”. Meda posted a 5% rise in sales of its OTC products to SEK3.13 billion in 2013, as its key brands entered new markets. OTC brands accounted for 24% of Meda’s 2013 sales, which grew by 3% to SEK13.1 billion. OTC OTC Rottapharm had a number of “highly-differentiated brands”, he pointed out, and held a leading position in the doctor-recommended, clinically-proven consumer healthcare space. The combined business – with sales of approximately SEK18 billion – would have an “improved balance” between prescription and non-prescription products, Dierks claimed, and benefit from increased investment opportunities. Furthermore, the deal would expand Meda’s reach in emerging markets, the company said, thanks to Rottapharm’s established presence in regions such as South-East Asia. Meda has agreed to pay SEK15.3 billion in cash for Rottapharm, along with 30 million Meda shares valued at SEK3.3 billion and a payment of SEK2.6 billion deferred until Jan- Business Strategy/Second-Quarter Results Mylan exploring opportunities in Europe M ylan intends to explore opportunities to build up an OTC operation in Europe to complement the US firm’s pending US$5.3 billion (C4.0 billion) purchase from Abbott of a roster of more than 100 mature brands and branded generics in developed markets. “We think OTC is an interesting channel, in some respects even outside the US more than inside the US,” Mylan’s chief executive 15 August 2014 Number 427 Editor: Matt Stewart Editor-in-Chief: Aidan Fry Production Editor: Jenna Meredith Assistant Editors: Liudmila Kotko, Marie McEvoy Business Reporter: Tom Gallen Contributing Editor: David Wallace Advertising Controller: Debi Minal Director of Subscriptions: Val Davis Group Sales Manager: Anisa Shan Awards Manager: Natalie Cornwell Managing Director: Mike Rice Editorial enquiries: OTC bulletin, 4 Poplar Road, Dorridge, Solihull, West Midlands B93 8DB, UK. 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While due care has been taken to ensure the accuracy of information contained in this publication, the publisher makes no claim that it is free of error and disclaims any liability whatsoever for any decisions or actions taken as a result of its contents. © OTC Publications Ltd.All rights reserved. OTC bulletin® is registered as a trademark in the European Community. ISSN 1742-0784. Company registered in England No 2765878. Printed by Warwick Printing Company Limited, Leamington Spa CV31 1QD, UK. 3 OTC15-08-14p2-14_Layout 1 12/08/2014 18:19 Page 4 OTC COMPANY NEWS Business Strategy Omega outlines European ambitions O mega Pharma is committed to becoming the third-largest OTC player in Europe within four years, according to chief operating officer Christoph Staeuble. Speaking exclusively to OTC bulletin, Staeuble revealed that the Belgium-based company’s objective was to reach C2.0 billion in annual sales by 2018. Omega had generated sales of C1.2 billion in 2013, Staeuble pointed out, putting the firm in fifth place in the European OTC market, one place behind Reckitt Benckiser. “Our objective is to get to C2.0 billion, but we have plans to take us to C3.0 billion,” Staeuble noted. “That is our ambition.” Omega had spent the last four years building the company into an “efficient machine” that could have a “transformational impact” on the categories in which it operated, Staeuble said. This strategy had involved bringing in new talent, putting in place the right culture and developing a “five-year master plan” for the company’s brands, he explained. “The group now has a machine in place that operates in 35 countries and in most cases can handle a business double or triple the size.” The company’s investment had already begun to pay off, Staeuble noted, with Omega now among the top-four OTC firms in Belgium, France, the Netherlands, Sweden and the UK. Transformation of the UK business Neil Lister, general manager of Omega Pharma UK, had led a “transformation” of the UK business, Staeuble said, which had seen Omega move from thirteenth to the number-four spot in the country’s OTC market in three years. Christoph Staeuble, Omega Pharma’s chief operating officer, said the firm had the “machinery in place to commercialise new brands rapidly across the group” 4 Lister told OTC bulletin that putting the right team in place, focusing on the pharmacist and educating the consumer had helped to propel Omega UK up the rankings and had left the company well-positioned to “accelerate” its growth momentum going forward. Staeuble explained that the UK was one of the first of Omega’s businesses to undergo this structural and cultural transformation, with the group planning to replicate this success in a number of markets including Germany. Omega had been working on the German business for 12 months, Staeuble said, and was committed to turning it into a top-10 OTC company in the country by 2017. Expanding on how the group ran its 35 national businesses, Staeuble noted that Omega made central choices concerning brands, categories and best approaches, but each country’s general manager had the freedom to “push the envelope locally”. Lessons learnt in one country could then be applied across the whole group, he explained. “What sets us apart from most of our competitors,” Staeuble claimed, “is that our general managers are entrepreneurs, running their country as if it were their own business.” “We are a very flat organisation, we have three people on the executive committee, we have 25 general managers and we have our corporate staff, but that is pretty much it,” Staeuble explained. “We don’t have a complex matrix of support organisations or middle management and that is part of the secret.” A focus across the group on delivering organic growth over the past four years had helped to lift Omega’s sales by 40% in the period to C1.2 billion in 2013, Staeuble noted. Omega had invested “amazing amounts of time and money” into improving its innovation capability, Staeuble said. This investment had created a “five-year funnel” of new product development for each of Omega’s brands, and included line extensions and next-generation molecules or technologies. Omega had also benefitted from gaining GlaxoSmithKline’s (GSK’s) non-core OTC brands in Europe for C470 million in cash in 2012, Staeuble pointed out (OTC bulletin, 16 March 2012, page 1). The basket of brands included Abtei vitamins, minerals and supplements; Lactacyd feminine hygiene products; Nytol sleep aids; Solpadeine pain relievers; and Zantac indigestion and heartburn medicines. The acquired brands had been a “phenomenal fit” with Omega’s existing portfolio, Staeuble insisted, as the company had been able to “bolt on” most of the assets to categories of products it was already active in. All of the assets acquired from GSK had grown at double-digit rates, Staeuble said. Some brands, including the German natural remedy product Granufink, had doubled in size. Developing “razor sharp claims” – such as “one 15-minute treatment is all that it takes to kill 100% of head lice” for its Lyclear brand in the UK – and improving pharmacist training were two of the methods Omega had used to grow the GSK brands, Staeuble revealed. Asked if Omega had plans for further acquisitions, Staeuble said if opportunities like the GSK deal came along, Omega would “gladly go after them”. On the look-out for opportunities Staeuble noted that the company was also on the look-out for new concepts and technologies, created by entrepreneurs or smaller enterprises, that it could fund and bring to the market. In line with this strategy, Omega had in 2012 acquired a small Belgian sports nutrition brand named Etixx, Staeuble explained. Omega planned to launch Etixx in nine markets in 2015 and anticipated annual sales of around C25 million in the first year. “We will continue to do things like this,” Staeuble insisted, “because we have the machinery in place to commercialise new brands rapidly across the group.” Turning to the markets Omega wanted to operate in, Staeuble said the company had resisted setting up subsidiaries outside of Europe. However, the firm was currently exploring the possibility of establishing “alliances” with companies operating in countries like the US and Japan, Staeuble revealed. Omega had made a “conscious choice” a number of years ago to focus purely on European markets, Staeuble noted. “Each of the group’s European countries has a plan in the next four years to at least double, but in many cases to triple or quadruple, its scale. We feel that focusing on these markets will yield bigger rewards than if we start to spread ourselves too thinly.” Commenting on the specific plans for the UK business, Lister explained that Omega was aiming to become the third-largest OTC company in the country by 2017. Omega had recently overtaken Bayer as the fourth-largest OTC company in the UK, Lister pointed out, reporting sales up by 19.5% to £127 OTC bulletin 15 August 2014 OTC15-08-14p2-14_Layout 1 12/08/2014 18:19 Page 5 COMPANY NEWS OTC million in the 52 weeks ended 14 June 2014. Noting that Omega UK occupied thirteenth position in 2011, Lister said he “hoped and expected” the growth recorded over the past three years would continue and accelerate going forward. Each year since 2011, Omega UK had averaged like-for-like growth of 20%, he noted. Omega’s existing portfolio of OTC brands – including Buttercup cough syrups, Jungle Formula insect repellents and TCP first-aid products – had been boosted by GSK’s household names such as Hedex analgesics and Phillips’ Milk of Magnesia upset-stomach remedies. But Lister played down the impact that the GSK acquisition – which had given Omega UK 10 brands – had made on the growth of the business. “I know the GSK deal made a lot of headlines when it happened,” Lister said, “but actually there has been a lot more to the success of Omega than that.” “If I look at the specific areas where we’ve made a difference, the main element is in our approach to self-care,” he explained. Omega had “cracked the code of self-care”, Lister claimed, and had established a model for delivering it in a sustainable way. Expanding on the changes to Omega’s approach in the UK, Lister said the company had begun by investing in its regulatory affairs team. Omega’s “regulatory army” was responsible for generating health claims for brands and putting together materials that the firm could take to pharmacists and consumers, he noted. Increased focus on pharmacy Omega had also increased its focus on the pharmacist and pharmacy, Lister revealed. “We built the first in-house pharmacy field salesforce to focus on training rather than just selling,” he pointed out. This had been supported by investments into brand and category training for pharmacists. Noting that Omega had put the “first ever” pharmacist on television in advertisements for its Prevalin allergy brand (OTC bulletin, 12 April 2013, page 14), Lister insisted that the company had “put the pharmacist first” in a number of its activities. Omega had also adapted its approach to consumers, Lister pointed out. “The important thing is our focus on educating consumers and telling them more about the benefits of our products,” he explained. “When you see our advertisements, you’ll see a big focus on education, a big focus on factual comments about our brands and how consumers can use them.” To get the message across to consumers, Omega had increased its marketing spending, Lister pointed out. The company had estimated that so far in 2014, Omega had been the sec15 August 2014 OTC bulletin ond-biggest spender among its OTC competitors on advertising in the UK. By implementing this strategy over the past three years, Omega had created a “blueprint” for future growth, Lister said. This model could be applied across the company’s existing categories to unlock the growth potential of its brands, he added. Omega had already applied this blueprint to a number of the brands acquired from GSK in 2011, Lister revealed. The brands that the company had supported had grown by a “minimum of 10%”, Lister said, with sales of some brands doubling. Lister noted that Omega had been able to add value to some of the GSK brands by coupling them with existing technologies in the company’s portfolio. “We had for many years in the Omega group a fantastic anti-snoring product called Silence and we rebranded that as Nytol,” Lister explained. “We’ve turned that product from nothing to £1.0 million (C1.3 million) in sales within a year.” Omega had also picked up Beconase hayfever nasal sprays from GSK, Lister pointed out, and launched an antihistamine tablet variant under the BecoAllergy brand name. “We’ve been able to leverage the scale of both of those brands to create something that has grown the category and grown the share of the brand,” Lister noted. Asked about how Omega planned to develop its UK brands going forward, Lister said the company was focusing on opportunities to grow its categories as a whole, rather than individual brands. Lister pointed out that there were still opportunities in “mature categories” that had “existed for many years and had been declining” to which Omega could apply its approach. The firm had proven that its model could introduce innovative products in mature categories, Lister said, pointing to the sleep-aid category with Nytol and the allergy category with Beconase. What was important, Lister said, was to have brands with “disruptive” claims that challenged the status quo, and that consumers and pharmacists could buy into. Looking at untapped categories Omega would also look at “untapped categories” in the UK such as weight management, sports nutrition and cholesterol, Lister said. “We are experiencing phenomenal growth in these categories that didn’t really exist 10 to 20 years ago,” he noted. Weight management was the category of products that presented Omega with the best opportunity for growth, Lister said. The XLSMedical brand had grown from its launch in Neil Lister, general manager of Omega Pharma UK, said the company had “cracked the code of self-care” 2012 to be the number-one slimming tablet in the UK, Lister explained. “Globally, the UK is second only to the US in the obesity rankings,” Lister pointed out, “so I think that this brand has a long way to go.” Lister noted that Omega had experienced some difficulties in getting XLS-Medical to market, as retailers were more interested in meal replacements than slimming products. “It has taken us a long time to unwind a lot of the miscommunication over this category that’s existed for many years,” commented Lister, “as well as public perceptions about side effects or ineffectiveness.” XLS-Medical had been clinically proven to work, Lister said, and higher sales figures recorded by Omega in the French market indicated that the brand could grow to be up to four-times larger in the UK. Asked if Omega UK planned to develop any new brands in the future, Lister said that this was definitely out of the question. “I certainly don’t want to be creating new local brands because history would show it’s a very inefficient way to be growing categories.” “So I’m looking to the group to launch European and global brands which we will happily take,” Lister explained. “I am also looking at the technologies that exist in Omega’s global portfolio to identify ones that can be launched under our 40 existing brands in the UK.” Lister promised that Omega UK would continue to invest behind its brands to ensure continued growth going forward. “As we increase our brand portfolio, we’ll invest more and spend more money on advertising and training.” Omega had already taken “significant strides” towards becoming the third-largest OTC company in the UK by 2017, Lister said. “We’ve done a lot of work over the last three years putting the machinery together and putting the team in place,” he noted. “This will allow us to deliver our products to consumers in a meaningful way going forward.” OTC 5 OTC15-08-14p2-14_Layout 1 12/08/2014 18:19 Page 6 OTC COMPANY NEWS Business Strategy/Second-Quarter Results GSK has no plans to spin off Consumer G laxoSmithKline (GSK) has insisted that it has no near-term plans to spin off its Consumer Healthcare business, after the company’s chief executive officer, Andrew Witty, hinted at the possibility. Speaking to the Financial Times newspaper, Witty said that the firm had the option to spin off its Consumer Healthcare division if a time came when it offered more value as a standalone company. Responding to the comments, a spokesperson for GSK told OTC bulletin that “there are no such plans to spin off the Consumer Healthcare business in the near term”. However, the company’s recent deal to establish a consumer healthcare joint venture with Novartis (OTC bulletin, 25 April 2014, page 1) had strengthened the value of the business, the spokesperson added, and delivered “enhanced options for the long-run”. Witty’s remarks came a few months after GSK announced that its Consumer Healthcare business would assume 63.5% control of the Consumer Healthcare joint venture with proforma 2013 sales of £6.5 billion (C7.9 billion). The Consumer Healthcare joint venture is one part of a three-part deal between GSK and Novartis. This will also see the Swiss firm Region Second-quarter sales (£ millions) Business Second-quarter sales (£ millions) Oral health Wellness Nutrition Skin health Consumer Healthcare -10 -18 -7 -27 ±0 -9 +7 -19 42 36 15 7 1,022 -14 -4 100 * CER is at constant exchange rates Figure 1: GlaxoSmithKline Consumer Healthcare’s sales in the second quarter ended 30 June 2014 broken down by business (Source – GlaxoSmithKline) snap up GSK’s oncology business for up to US$16.0 billion (C11.9 billion), including US$1.5 billion contingent on a development milestone. Meanwhile, Novartis will divest its Vaccines business, excluding flu products, to GSK for US$7.1 billion plus royalties, including US$1.8 billion in milestone payments. GSK reported Consumer Healthcare sales down by 14% to £1.02 billion in the second quarter. At constant exchange rates, the fall was a less dramatic 4% (see Figure 1). The company blamed the decline on supply issues which had hit sales of its smoking-cessation products and Alli weight-loss brand, as well as the Bactroban skin-care line in China. Simon Dingemans, GSK’s chief financial Change 2013/2014 (%) £ CER* Proportion of total (%) 536 -12 +3 52 Europe 291 -15 -10 28 US 195 -18 -11 19 1,022 -14 -4 100 * CER is at constant exchange rates Figure 2: GlaxoSmithKline Consumer Healthcare’s turnover in the second quarter ended 30 June 2014 broken down by region (Source – GlaxoSmithKline) Second quarter (£ millions) Change 2013/2014 (%) £ CER* Proportion of total (%) Core sales Pharmaceuticals and Vaccines 4,539 -12 -4 82 Consumer Healthcare 1,022 -14 -4 18 Total 5,561 -13 -4 100 Core operating profit Pharmaceuticals and Vaccines Consumer Healthcare Total** 1,485 -21 -12 91 142 -29 -20 9 1,407 -25 -14 100 * CER is at constant exchange rates ** After corporate and other unallocated costs of £220 million Figure 3: GlaxoSmithKline’s ‘core’ sales and operating profit in the second quarter of 2014. Core results exclude amortisation, goodwill, restructuring costs, legal charges and other items (Source – GlaxoSmithKline) 6 Proportion of total (%) 434 366 151 71 Rest of World Total Consumer Healthcare Change 2013/2014 (%) £ CER* officer, said that the supply issues had impacted all three of the firm’s key regions – Europe, US and Rest of World – but remediation plans had now been put in place and supply levels had started to improve. “Overall we expect the consumer business to be broadly flat at the top line this year,” Dingemans reported. The supply issues that hit sales of smokingcessation products and Alli pushed Wellness turnover down by 18% as reported – 9% at constant exchange rates – to £366 million. Wellness’ poor performance meant Oral health maintained its position as the leading Consumer Healthcare segment for the second quarter running, despite sales falling by 10% as reported and remaining flat at constant exchange rates at £434 million. Sensodyne sales had risen by 6% at constant exchange rates, GSK said, offsetting a 19% decline in Aquafresh sales, due in part to supply issues related to a move to a new manufacturing site in the US. Commenting on the company’s Oral health franchise, Witty said that it remained “very strong”, but now existed as almost two separate businesses. Over the past few years, GSK’s priority in Oral health had moved away from the base Aquafresh brand – which operated in the general toothpaste market – and towards the premium sector, Witty noted, pointing out that Sensodyne and Parodontax as well as dry mouth and dentures brands, now accounted for 76% of the firm’s sales in the category. Skin health sales, down by 27%, or 19% at constant exchange rates, to £71 million, had been primarily affected by lower turnover of Bactroban in China. Sales of Horlicks rising by 5%, with particularly strong growth in India, and of Boost growing by 11%, were behind the 7% constantcurrency improvement of the Nutrition segment to £151 million. As reported, however, turnover fell back by 7%. OTC bulletin 15 August 2014 OTC15-08-14p2-14_Layout 1 12/08/2014 18:19 Page 7 COMPANY NEWS OTC Switches Flonase OTC to hit US in 2015 G laxoSmithKline’s (GSK’s) Flonase Allergy Relief nasal spray will soon be available without a prescription in the US after the Food and Drug Administration (FDA) approved the prescription-to-OTC switch of the fluticasone propionate-based product. Noting that fluticasone propionate was the “number one prescribed allergy treatment ingredient”, GSK said that Flonase Allergy Relief had been approved as an OTC treatment for the “temporary relief of the symptoms of hayfever or upper respiratory allergies”. A once-a day treatment, the product was the first OTC medicine indicated for all nasaland eye-related allergy symptoms, GSK pointed out, adding that the product was “full prescription strength” and provided “24 hours of non-drowsy relief”. Flonase Allergy Relief would be launched in stores in early 2015, the company noted. Vidhu Bansal-Dev, vice-president of respiratory health research and development at GSK Consumer Healthcare, said Flonase Allergy Relief provided allergy suffers with simple and effective OTC relief that would make the difference between a “day lost to allergies and a day enjoying their favourite activities”. Flonase Allergy Relief will enter an already crowded US OTC allergy market, which was recently bolstered by the launch of Sanofi’s Nasacort Allergy 24HR (triamcinolone acetonide) following the product’s switch in 2013 (OTC bulletin, 25 October 2013, page 1). OTC Constant-currency shortfalls in European and US sales – of 10% and 11% respectively – had reflected the supply issues, GSK said, highlighting the 3% growth in Rest of World markets (see Figure 2). As reported, turnover in Europe slipped back by 15%, in the US by 18% and in Rest of World by 12%. Consumer Healthcare contributed 18% of GSK’s core sales that declined by 13% – 4% at constant exchange rates – to £5.56 billion in the second quarter (see Figure 3). Core sales and operating profit exclude amortisation, goodwill, restructuring costs, legal charges and other items. Less than 10% of GSK’s core operating profit came from Consumer Healthcare after a 29% drop to £142 million. At constant currency rates, Consumer Healthcare’s operating profit declined by a fifth. OTC 15 August 2014 OTC bulletin Legal Cases/Second-Quarter Results Valeant faces US lawsuit over alleged insider trading V aleant Pharmaceuticals is facing a lawsuit in the US brought by ophthalmics specialist Allergan that accuses the company of violating federal securities law. The Canadian firm is involved in a protracted takeover move for Allergan that began in April (OTC bulletin, 25 April 2014, page 5). In June, Valeant took its bid hostile after Allergan’s board rejected a revised takeover offer (OTC bulletin, 27 June 2014, page 3). The lawsuit filed in California alleges that Valeant, along with hedge fund Pershing Square and its principal William Ackman, “violated federal securities law prohibiting insider trading, engaged in other fraudulent practices and failed to disclose legally-required information”. Allergan claims that between February and April 2014, Pershing Square purchased Allergan stock and securities, which were then valued at over US$3.2 billion (C2.4 billion), from shareholders “while fully aware of Valeant’s non-public takeover intentions”. This move, Allergan alleges, secured value for Pershing Square and “deprived the selling stockholders of value appreciation, worth approximately US$1.2 billion, upon Valeant’s initial takeover bid on 22 April 2014”. In response to the lawsuit, Valeant said that Allergan’s “true purpose” behind bringing litigation was to interfere with Allergan shareholders’ efforts to call a special meeting. In July, Valeant called on Allergan shareholders to hold a meeting to “remove six of the firm’s directors and appoint new directors” who could “fully evaluate” Valeant’s offer. Valeant insisted that it was confident that Allergan’s “desperate attempt” to delay the meeting by filing a lawsuit would not succeed. Allergan filed its lawsuit two weeks after Valeant revealed it had contacted financial market regulators in the US and Canada in response to “false and misleading statements” regarding its business made by Allergan. Explaining the reason for contacting the Securities and Exchange Commission (SEC) in the US, Valeant said Allergan had “falsely asserted” that its Bausch & Lomb eye-care business was experiencing stagnant or declining sales. Bausch & Lomb had performed “extremely well”, Valeant noted, delivering 11% organic growth over the 11 months the company had owned the business. In May 2013, Valeant agreed to pay private-equity firm Warburg Pincus US$8.7 billion for the global eye-health specialist (OTC bulletin, 31 May 2013, page 1). Valeant pointed out that it had also contacted Canada’s Autorité des marchés financiers in response to “comments made by Allergan’s management board about Valeant” at recent investor meetings held in the country. Allergan misled investors Michael Pearson, Valeant’s chairman and chief executive officer, said Allergan had attempted to “mislead investors and manipulate the market for Valeant stock” in both Canada and the US. Valeant’s bid for Allergan, Pearson claimed, represented a “strategically compelling and enormously value-creating opportunity for Allergan shareholders”. Pearson’s comments came shortly before Valeant reported second-quarter sales up by 86% to US$2.04 billion, driven by double-digit gains in its Developed Markets and Emerging Markets regions. The double-digit growth of Bausch & Lomb had boosted sales in Developed Markets, which had risen by 85% to US$1.48 billion, Valeant said, as had turnover increases across its dermatology prescription brands and its consumer and oral-health businesses. Turnover had jumped by 90% to US$561 million in Emerging Markets, Valeant noted, thanks to double-digit advances across SouthEast Asia, South Africa and the company’s EMENA region, which covers Eastern Europe, the Middle East and North Africa. OTC IN BRIEF ■ KRKA said turnover from its non-prescription products – including self-medication lines and cosmetics – had declined by 9.1% to C58.8 million in the first half of 2014. The Slovenian firm said gains in its West Europe region had been offset by lower sales in its domestic market due to the weak cough and cold season. Turnover in Slovenia had fallen by 19.4% to C2.9 million, Krka reported. OTC 7 OTC15-08-14p2-14_Layout 1 12/08/2014 18:19 Page 8 OTC COMPANY NEWS First-Half Results RB sees opportunity in medical devices R eckitt Benckiser (RB) will look to take advantage of the less heavily-regulated medical-device route to introduce innovative consumer healthcare products to the market, according to chief executive officer Rakesh Kapoor. Speaking as RB announced its first-half results, Kapoor said that while the company would continue to operate in the more tightly-regulated licensed OTC medicines space, it saw an opportunity to introduce new products more quickly in categories such as sexual health by using medical-device regulations. Explaining the advantages of the medicaldevice route, Kapoor said it allowed RB to make health claims for a product while also creating enough barriers to entry for the company’s competitors. Asked if the firm was looking to avoid heavily-regulated categories, Kapoor insisted that the company was “just using regulation appropriately” to introduce innovative products faster to market. Kapoor recently criticised the strict regulation of OTC medicines at the 50th Annual Meeting of the Association of the European SelfMedication Industry, the AESGP. He called for OTC medicines to be authorised for non-prescription sale globally as soon as safety, efficacy and appropriate use had been established (OTC bulletin, 16 June 2014, page 1). Conceding that it was true that the OTC industry needed regulation to “ensure that only safe and effective products get into consumers’ daily lives”, he argued that the role of regulators should be “to protect supply chains, not to limit access or limit the market-place for consumers”. “The goal should be to look for reasons to approve, not excuses to block,” Kapoor insisted. Turning to the company’s first-half results, Kapoor reported sales at RB’s Health division up by 4% – 14% in constant currencies – to £1.25 billion (C1.58 billion) during the first Region First-half sales (£ millions) Business First-half sales (£ millions) Proportion of total (%) Hygiene Health Home RB Pharmaceuticals Portfolio Brands Food 1,825 1,247 871 344 228 152 -8 +4 -11 -14 -14 -5 +3 +14 – -8 -7 +3 39 27 19 7 5 3 Total Reckitt Benckiser 4,667 -7 +3 100 * CER is constant exchange rates Figure 1: Reckitt Benckiser’s sales in the first half ended 30 June 2014 by business (Source – Reckitt Benckiser) six months of 2014. Health accounted for 27% of RB’s total first-half sales, which fell back by 7% to £4.67 billion (see Figure 1). “Broad-based growth” across RB’s Powerbrands – including Durex, Gaviscon, Mucinex and Scholl – had been driven by brand innovation and the roll-out of existing products into new markets, Kapoor said. Scholl had delivered strong results, Kapoor pointed out, with the launch of Scholl Velvet Smooth Pedi “well received” across Europe. RB was now preparing to introduce the product into China and a number of emerging markets in the second half of 2014, he added. After the close of the period, RB announced that it had agreed to sell its Scholl footwear business to German private equity firm Aurelius for an undisclosed sum. RB noted that it would retain the rights to Scholl footcare. Furthermore, Durex and Gaviscon had also been stand-out performers during the six months, Kapoor said, with both brands demonstrating “strong underlying growth”. In addition to the continued growth of RB’s established brands, “good progress” had also been made integrating the recent K-Y buy into its US and Canadian businesses, Kapoor noted. Announcing the acquisition in March, RB Change 2013/2014 (%) £ CER* Proportion of total (%) Europe and North America LAPAC** RUMEA*** Other**** 2,375 1,175 621 496 -3 -8 -12 – +2 +9 +5 – 51 25 13 11 Total Reckitt Benckiser 4,667 -7 +3 100 * CER is constant exchange rates ** LAPAC region consists of Australia/New Zealand, Latin America, North Asia, and South and South-East Asia *** RUMEA consists of Middle East, North Africa and Turkey, Russia and the CIS, and Sub-Saharan Africa **** RB Pharmaceuticals and Food, which are not reported as part of any region Figure 2: Reckitt Benckiser’s sales in the first half ended 30 June 2014 by region (Source – Reckitt Benckiser) 8 Change 2013/2014 (%) £ CER* said that the brand would sit beside its existing Durex line of condoms, lubricants and sex aids to create a “unique portfolio of brands” in the sexual well-being market (OTC bulletin, 17 March 2014, page 4). On a regional basis, only Europe and North America reported a rise in Health turnover. Growth had been led by new product launches under the Scholl and MegaRed brands across a number of European markets, RB said. An overall downturn in group turnover in the region had been due to negative currency effects, the company noted (see Figure 2). In the LAPAC region – consisting of Australia/New Zealand, Latin America, North Asia and South and South-East Asia – the “positive benefits” of RB’s OTC collaboration with Bristol-Myers Squibb in Latin America (OTC bulletin, 22 February 2013, page 1), had been offset by a slowdown in India and the “negative impact of currency movements”. Health turnover in RB’s RUMEA region – which covers the Middle-East, North Africa and Turkey, Russia and the Commonwealth of Independent States (CIS), and Sub-Saharan Africa – had been hit by the “volatility” of a number of markets due to the political situation in Eastern Europe. Meanwhile, RB has announced plans to pursue a “de-merger” of its Pharmaceuticals unit over the next 12 months. Explaining the rationale behind the move, RB said it felt the division had the “potential to deliver significant longterm value creation as a stand-alone business”. Spinning off RB Pharmaceuticals would allow the company to focus on its core strategy to be “a global leader in consumer health and hygiene”, RB claimed. The firm announced the strategic review of its Pharmaceuticals business in October last year (OTC bulletin, 8 November 2013, page 12). OTC OTC bulletin 15 August 2014 OTC15-08-14p2-14_Layout 1 12/08/2014 18:19 Page 9 COMPANY NEWS OTC Business Strategy/Annual Results Procter & Gamble starts culling brands P rocter & Gamble is to cut radically its portfolio of brands and focus on just 70 to 80 core brands organised into a dozen business units, according to chief executive officer AG Lafley. Speaking as the consumer goods giant announced its annual results, Lafley said that the 70 to 80 core brands were “consumer preferred and customer supported”. However, he did not provide a list of which brands would stay with the company. A spokesperson for Procter & Gamble told OTC bulletin that it was too early to say whether the brand cull would impact on the company’s wholly-owned US OTC unit or PGT Healthcare, the OTC joint venture it established with Teva Pharmaceutical Industries in 2011 (OTC bulletin, 16 November 2011, page 1). Lafley noted that over the past three years the 70 to 80 core brands had accounted for 90% of the firm’s sales and over 95% of its profits. “This new streamlined Procter & Gamble will continue to grow faster and more sustainably, while creating more value,” Lafley claim- 15 August 2014 OTC bulletin ed. “Importantly this will be a much simpler, much less complex company of leading brands that is easier to manage and operate.” The firm planned to “harvest, partner-out, discontinue or divest” 90 to 100 brands, Lafley said, noting that combined sales of these brands had fallen by 3% per year over the past three years. “As we rationalise business and brand portfolios, product lines and stock-keeping units, Procter & Gamble’s brands and products will be easier to shop,” Lafley insisted, “and more productive and profitable for our customers, partners and for the company.” Lafley’s announcement came just a few months after Procter & Gamble said it was looking for acquisitions to expand its OTC operations (OTC bulletin, 9 May 2014, page 5). Speaking in April, Jon Moeller, the firm’s chief financial officer, revealed that the company was considering adding to its OTC business and was currently “looking for opportunities”. Noting that PGT had enabled Procter & Gamble to “accelerate significantly” the growth of its OTC operations internationally, Moeller said the company was seeking to expand into new markets that offered “smart, value-creating opportunities”. Meanwhile, Procter & Gamble noted that sales at its Personal Health Care business – which includes its OTC operations – had improved in the 12 months ended 30 June 2014. The firm said the rise in turnover – including sales from PGT – had been driven by “innovation and market expansion” which had “more than offset” a weak cough and cold season. Sales at Procter & Gamble’s Health Care unit – including its Oral Care, Pet Care and Personal Health Care businesses – edged up by 1% to US$7.80 billion (C5.82 billion). Procter & Gamble said that better Oral Care and Personal Health Care turnover had offset a fall in Pet Care sales due to product recalls. The Health Care unit accounted for 9.4% of Procter & Gamble’s total annual sales, which increased by 1% to US$83.1 billion. OTC 9 OTC15-08-14p2-14_Layout 1 12/08/2014 18:19 Page 10 OTC COMPANY NEWS Business Strategy/Second-Quarter Results GNC’s Retail plan in doubt as CEO leaves G NC Holding’s turnaround plan for its US Retail business has been cast into doubt following the sudden departure of the company’s chief executive officer Joe Fortunato. Michael Archbold – former head of US clothing retailer Talbots and previously chief operating officer of Vitamin Shoppe – has been named as GNC’s new chief executive officer with immediate effect. The US-based nutritional supplements retailer made the announcement one week after Fortunato had outlined a fresh strategy to “turn the tide” for the company’s Retail business in 2014, based on “simplified pricing, more impactful marketing, and appealing to a broader consumer base”. Asked if GNC would still implement Fortunato’s turnaround plan, a spokesperson for the firm did not rule out a change of direction. Speaking before his sudden departure – as GNC reported sales down by 0.2% to US$675 million (C504 million) in the second quarter – Fortunato claimed that during 2014 the “broader market” for supplements had “softened”. There had also been a “broad shift in shopping patterns” across the whole retail industry for supplements, he added, with consumers making less frequent visits to stores. To address the challenges facing its domestic Retail business, Fortunato said GNC would launch a programme of “strategic initiatives”. GNC’s product pricing in its retail stores needed to become more straightforward, Fortunato insisted. The company planned to reduce bundled product promotions, he said, and instead run event-driven promotions to draw consumers into stores. Noting that GNC’s core consumer base was male, Fortunato said the company wanted to use “tailored products” to attract more females. Therefore, protein-based drinks, probiotics and cosmetics aimed at women would be introduced, he revealed. New marketing strategy Going forward, GNC would utilise social media better to increase brand awareness, Fortunato said. This formed part of a new marketing strategy that would increase brand awareness of GNC products among new consumers. By pursuing this strategy, GNC would protect its brand, and position the company for future success, Fortunato claimed. “We expect to see progress on these fronts as the year goes on and into 2015,” he added. Turning to GNC’s second-quarter results, Fortunato said the expansion of the company’s e-commerce business – consisting of gnc.com, luckyvitamin.com and discountsupplements. co.uk – had helped to push up sales at the Retail division by 0.6% to US$506 million. Growth in the Retail segment had also been supported by the performance of GNC’s newlyopened stores, Fortunato noted, with 149 outlets added in the past 12 months. The Retail performance had been hampered by an increased dependence on bundled promotions and a fall in store traffic, Fortunato said. Meanwhile, GNC’s Franchise revenue had declined by 0.4% to US$110 million, Fortunato reported, due to “regulatory and geopolitical factors” in a number of international markets. A decrease was also reported at GNC’s Manufacturing/Wholesale division, with sales falling by 5.8% to US$59.6 million. As of 30 June 2014, GNC was present in more than 8,700 locations, of which over 6,500 – including 1,050 franchises and 2,232 Rite Aid in-store units – were based in the US. The company also had franchise operations in some 50 countries. OTC Business Strategy/Second-Quarter Results Herbalife to expand Chinese operation H erbalife has announced plans to expand its manufacturing capabilities in China to meet increased demand for its products in the country. Located in Nanjing, Jiangsu province, the “state of the art facility” would ultimately produce up to 65% of Herbalife’s total product requirements for China, the US-based directselling supplement company said. The plant was expected to be open by the end of 2015, Herbalife noted, with the company investing US$40 million (C30 million) into the facility’s development. Explaining the rationale behind the move, Richard Goudis, Herbalife’s chief operating officer, said the company was opening the plant in response to “steady and sustainable growth in China”. “It is important that our infrastructure is robust enough to meet the demand we are seeing now and expect to see in the future,” he added. Herbalife already has a presence on the ground in China, with a manufacturing facility 10 in Suzhou, Jiangsu province, and a botanical extraction plant in Changsha, Hunan province. The firm revealed its plans for China shortly after it reported a single-digit rise in secondquarter sales to US$1.31 billion, as turnover improved in five of its six global business regions. Herbalife’s sales advanced by 7.1%, led by growth in China and the Europe, Middle East and Africa (EMEA) region. China – Herbalife’s second-smallest market in terms of sales – was the stand-out performer, with turnover jumping by 44% to US$170 million (see Figure 1). Meanwhile, Herbalife said it continued to face an “unprecedented and unrelenting attack” on its business from hedge fund Pershing Square. In December 2012, Pershing Square claimed that Herbalife was an illegal pyramid scheme as it made more money from recruitment than from selling products (OTC bulletin, 18 January 2013, page 5). Pershing Square had continued to wage “a campaign of misinformation” against Herbalife, Region Second-quarter Change sales (US$ millions) (%) Asia-Pacific 306 +2.4 North America 251 +1.2 EMEA* 227 +22 South and Central America 203 -8.5 China 170 +44 Mexico 149 +2.1 1,306 +7.1 Total Herbalife * Europe, Middle East and Africa Figure 1: Herbalife’s sales in the second quarter of 2014 broken down by region (Source – Herbalife) the company said. This had included presentations criticising Herbalife’s business model and offering financial incentives to former employees to complain about their experiences, the company claimed. Despite the ongoing allegations, Herbalife said it had the “utmost trust” in the integrity of its business model. Pershing Square’s claims would “crumble under serious and independent scrutiny”, the firm insisted. OTC OTC bulletin 15 August 2014 OTC15-08-14p2-14_Layout 1 12/08/2014 18:19 Page 11 COMPANY NEWS OTC Second-Quarter Results Negative currency effects damage Bayer N egative currency and portfolio effects had offset gains made by a number of Bayer Consumer Care’s key brands, the German firm said, as it posted a 1.9% fall in OTC sales in the second quarter of 2014. Consumer Care reported turnover of C932 million in the three months, as only one out of the division’s six best-selling brands – the Bepanthen/Bepanthol skin-care range – reported an increase in sales. However, excluding currency and portfolio effects, Consumer Care’s sales improved by 4.2%, with four of the company’s best-sellers – Aleve analgesics, Canesten antifungals and Supradyn multivitamins, as well as Bepanthen/ Bepanthol – all posting gains. Only sales of the division’s leading brand Aspirin and the One-A-Day vitamin line failed to deliver better constant-currency sales in the quarter, Bayer noted, adding that Aspirin’s turnover had been impacted by a weak cough and cold season in Europe. As a result, worldwide Consumer Care sales of Aspirin slipped back by 16.4% to C92 milBrand (business unit) Contour (Medical Care) Advantage (Animal Health) Aspirin** Bepanthen/Bepanthol Aleve/naproxen Ultravist (Medical Care) Canesten Gadovist (Medical Care) Supradyn One-A-Day Top-10 total Consumer Health total Business Second-quarter sales Change (CC millions) 2013/2014 (%) Pharmaceuticals 2,960 +4.6 656 +39.0 932 595 358 1,885 -1.9 -9.4 -1.1 -4.3 – – – 310 – – – +20.6 Total Bayer HealthCare 4,845 +0.9 729 +32.5 Figure 3: Breakdown of Bayer HealthCare’s sales and earnings before interest and tax (EBIT) in the second quarter of 2014 (Source – Bayer) lion in the second quarter. Adjusted for currency effects, the decline was 9.0%. Total Aspirin sales – including Aspirin Cardio, which is part of the Pharmaceuticals division – were 7.5% lower at C209 million (see Figure 1). Consumer Care’s best performer was Bepanthen/Bepanthol, whose sales improved by 16.7% – 22.4% adjusted for currency effects – to C91 million. Turnover had been “considerably higher in all regions”, Bayer noted, but especially in emerging markets. Second-quarter sales (CC millions) 165 140 92 91 83 76 66 57 38 43 Change 2013/2014 (%) C CER* -16.2 -5.4 -16.4 +16.7 -2.4 -12.6 -5.7 +16.3 ±0.0 -4.4 -13.9 -1.7 -9.0 +22.4 +4.5 -8.4 +0.9 +22.3 +7.8 -0.8 851 -6.2 -1.3 1,885 -4.3 +1.1 Figure 1: Sales of the top-10 best-selling brands in Bayer’s Consumer Health division in the second quarter of 2014. Brands are part of the Consumer Care business unit unless stated (Source – Bayer) Region Second-quarter sales (EE millions) Europe 726 Change 2013/2014 (%) C CER* +0.8 +2.9 North America 589 -8.5 -3.3 Asia/Pacific 286 -5.0 +1.7 Latin America/Africa/Middle East 284 -6.6 +10.2 1,885 -4.3 +1.1 * CER is constant exchange rates Figure 2: Breakdown of Bayer Consumer Health’s sales in the second quarter of 2014 by region (Source – Bayer) 15 August 2014 OTC bulletin Change 2013/2014 (%) Consumer Care Medical Care Animal Health Consumer Health * CER is constant exchange rates ** Total Aspirin sales – including Aspirin Cardio, which is part of the Pharmaceuticals division – were C209 million Total Bayer Consumer Health EBIT (CC millions) Supradyn had also performed well, Bayer noted, with sales boosted by product launches. This had advanced the brand’s turnover by 7.8% to C38 million when adjusted for currency effects. As reported, Supradyn’s sales were flat. Meanwhile, sales of the naproxen brand Aleve dropped back by 2.4% – a rise of 4.5% when adjusted for currency effects – to C83 million, while Canesten posted turnover down by 5.7% to C66 million, or up by 0.9% excluding a 4.8% negative currency impact. The Consumer Care business accounted for 49% of second-quarter turnover at Bayer’s Consumer Health division, which dropped back by 4.3% to C1.89 billion. Sales edged up by 1.1% when adjusted for currency and portfolio effects. Bayer’s top-10 Consumer Health brands formed 45% of total divisional sales, the same as in the prior-year period. Europe remained Consumer Health’s biggest region in terms of sales, with turnover improving by 0.8% – 2.9% adjusted for currency effects – to C726 million (see Figure 2). Turnover in the Asia/Pacific region shrank by 5.0% to C286 million. When adjusted for currency effects, sales moved forward by 1.7%. However, turnover in the region is likely to be boosted going forward following Bayer’s recent acquisition of Dihon Pharmaceutical in China for an undisclosed sum (OTC bulletin, 17 March 2014, page 1). In North America, turnover slipped back by 8.5% – 3.3% adjusted for currency effects – to C589 million. Consumer Health’s second-quarter earnings before interest and tax (EBIT) jumped by a fifth to C310 million (see Figure 3). The results were announced as Bayer prepared to complete its US$14.2 billion (C10.6 billion) deal for Merck & Co’s Consumer Care unit (OTC bulletin, 9 May 2014, page 1). OTC 11 OTC15-08-14p2-14_Layout 1 12/08/2014 18:19 Page 12 OTC COMPANY NEWS First-Quarter Results Taisho looks to increase demand for OTCs J apan’s Taisho Pharmaceutical said that it was working to strengthen its sales and marketing activities and help drive demand for OTC products in what it described as a sluggish domestic market. Domestic turnover at the company’s SelfMedication division fell back by 4.6% to ¥34.0 billion (C247 million) in the company’s first quarter ended 30 June 2014, as turnover in the majority of product categories declined following tax-driven price rises. To help drive demand, the Self-Medication division was “increasing coordination between marketing and sales activities”, Taisho pointed out, “and working to enhance direct communication with consumers by expanding into new distribution channels, such as mail-order”. Furthermore, the company would continue to respond to the growing consumer need to “age healthily and beautifully” by developing new products to tackle “lifestyle diseases”, such as metabolic syndrome. In April last year, Taisho successfully claimed Japan’s first prescription-to-OTC switch of a medicine indicated to treat high cholesterol with the launch of Epadel T (600mg ethyl icosapentate), and said it would continue to broaden its range of category 1 medicines – OTC products deemed to hold the greatest degree of risk – by identifying further switch candidates (OTC bulletin, 26 April 2013, page 1). Later in 2013, Taisho explained that it intended to introduce further prescription-to-OTC Business Business First-quarter sales Change (¥ billions) (%) Change (%) -4.6 +6.2 +3.8 – +5.6 +3.3 153.5 17.2 9.6 0.9 27.7 3.1 -0.2 +11.1 +7.1 – +9.1 +23.2 Japan International OTC drugs International energy drinks International other International Others 34.0 4.0 2.4 0.2 6.6 0.6 Total Self-Medication 41.2 -3.0 184.3 +1.4 Prescription operations 27.2 +5.6 114.7 +0.4 Total for Taisho 68.4 +0.3 299.0 +1.0 Figure 1: Taisho Pharmaceutical’s sales in the first quarter ended 30 June 2014. Forecasted sales are for the year ending 31 March 2015 compared with actual sales in the previous year (Source – Taisho Pharmaceutical) switch products in Japan in the coming years to help revive the domestic OTC market and address growing concerns surrounding the country’s low birth rate and ageing population (OTC bulletin, 11 October 2013, page 4). Overall turnover at Taisho’s Self-Medication division fell back by 3.0% to ¥41.2 billion, despite a 5.6% rise in international sales to ¥6.6 billion (see Figure 1). Other sales added the remaining ¥0.6 billion to the total. International sales of the division’s OTC products grew by 6.2% to ¥4.0 billion, while international turnover from energy drinks improved by 3.8% to ¥2.4 billion. Earlier this year, Taisho expanded its international offering by acquiring the rights to the Flanax OTC naproxen-based analgesic in the First-quarter sales Change (¥ billions) (%) Forecast sales (¥ billions) Change (%) Lipovitan D Other Lipovitan Total Lipovitan brand Cold remedies (Pabron brand) Hair treatments (RiUP brand) Biofermin Livita series Gastrointestinal treatments Analgesics (Naron brand) Laxatives (Colac brand) Zena brand Cold remedies (Vicks brand) Tokuhon Other Self-Medication products 10.5 5.8 16.3 4.1 3.0 1.6 1.0 0.9 0.9 0.8 0.7 0.4 0.3 4.0 -4.3 -1.3 -3.3 -2.5 -8.1 +0.6 -14.7 -3.0 -8.3 -10.4 -6.6 -10.4 -33.4 – 43.2 23.7 66.8 26.0 14.2 6.8 4.8 4.2 4.1 3.6 3.2 3.4 1.4 15.0 -2.6 +2.2 ±0.0 ±0.0 -8.9 +2.1 +1.9 -2.4 -1.3 +1.1 -1.0 +6.4 +6.1 – Total Domestic Self-Medication 34.0 -4.6 153.5 -0.2 Figure 2: Breakdown of Taisho Pharmaceutical’s Self-Medication sales in Japan in the three months ended 30 June 2014. Forecasted sales are for the year ending 31 March 2015 compared with actual sales in the financial year ended 31 March 2014 (Source – Taisho Pharmaceutical) 12 Forecast sales (¥ billions) Philippines from Roche for an undisclosed sum (OTC bulletin, 17 March 2014, page 4). Commenting on the deal at the time, Taisho pointed out that Flanax – which it described as one of the leading brands in the local analgesics market – reinforced its position in a category where it already offered the Tempra range of anti-inflammatories. Meanwhile, domestic sales of Taisho’s core Lipovitan brand of tonics and nutrient drinks slipped back by 3.3% to ¥16.3 billion during the three months (see Figure 2). Turnover from Lipovitan D fell by 4.3% to ¥10.5 billion, while sales of other Lipovitan products dropped by 1.3% to ¥5.8 billion. The decline in sales of other Lipovitan products had been driven by lower sales of both the 100ml variant and 50ml variant, Taisho noted, although the firm expected turnover from both sizes to improve in the remainder of the year. Sales of Pabron cold remedies declined by 2.5% to ¥4.1 billion, as a poor performance from mainstay general cold remedies offset a good showing from nasal decongestants. Turnover from the Vicks brand of cold remedies dropped even faster, falling by 10.4% to ¥0.4 billion. The RiUP minoxidil-based hair-regrowth brand posted first-quarter sales down by 8.1% to ¥3.0 billion, as demand slumped after consumers stocked up before a price rise took effect in April. Meanwhile, sales of the Livita brand in Japan’s “food for specified health use” category dropped by 14.7% to ¥1.0 billion, while turnover from gastrointestinal treatments declined by 3.0% to ¥0.9 billion. The Naron brand of analgesics fell by 8.3% to ¥0.9 billion, while the Colac range of laxatives posted sales down by 10.4% to ¥0.8 billion. OTC OTC bulletin 15 August 2014 OTC15-08-14p2-14_Layout 1 12/08/2014 18:19 Page 13 COMPANY NEWS OTC Second-Quarter Results Pfizer committed to Consumer Healthcare “A great store of value” exists in Pfizer’s Consumer Healthcare unit, according to chairman and chief executive officer Ian Read. Asked by financial analysts if the recent consolidation in the industry – that has seen Bayer snap up Merck & Co’s Consumer Care division (OTC bulletin, 9 May 2014, page 1), and GlaxoSmithKline and Novartis announce an OTC joint venture (OTC bulletin, 25 April 2014, page 1) – had prompted the US-based company to review the future of its Consumer Healthcare division, Read insisted that the OTC medicines space was a business that Pfizer “wanted to be in”. Expanding on the value that existed in Pfizer’s Consumer Healthcare unit, Read pointed out that the firm had an “active prescriptionto-non-prescription switch strategy”. Pfizer was continuing to “evaluate a number of prescription drugs for potential switch to non-prescription status”, a spokesperson for the company told OTC bulletin. Categories of drugs that would have “the greatest positive impact on people and healthcare systems” were Pfizer’s priority, the spokesperson added. This active switch strategy saw the company launch in the US on 27 May 2014 an OTC version of AstraZeneca’s proton-pump inhibitor (PPI) under the brand name Nexium 24HR (OTC bulletin, 30 May 2014, page 1). Indicated for the treatment of frequent heartburn, Nexium 24HR (20mg esomeprazole) had been approved for OTC use by the US Food and Drug Administration (FDA) in March. Speaking at the time of the launch, Paul Business Second-quarter sales (US$ millions) Global Established Pharmaceutical 6,513 -6 51 3,547 -5 28 Global Vaccines Consumer Healthcare Global Oncology Global Vaccines, Oncology and Consumer Healthcare 1,097 912 570 2,579 +13 +14 +16 +14 9 7 4 20 134 – 1 12,773 -2 100 Other Total Pfizer Figure 1: Pfizer’s sales in the second quarter of 2014 broken down by business (Source – Pfizer) gains”, rolling out new products and increased marketing support behind the Vitafusion and L’il Critters brands. US Personal Care Products – which includes First Response pregnancy tests and Trojan condoms, as well as Avid – accounted for 41% of Church & Dwight’s Consumer unit’s domestic sales, which rose by 0.7% to US$599 million. The company’s US Household Products business made up the remaining 59% of the Consumer division’s domestic turnover. International Consumer sales advanced by 2.9% to US$137 million. Total group sales improved by 2.6% to US$808 million. tus in the country (OTC bulletin, 25 July 2014, page 12). If approved, Nexium Control would be the first PPI available GSL in the UK, and the first medicine effectively to be switched directly from prescription-only to GSL status without an intervening period of market availability restricted to pharmacy. Meanwhile, Pfizer’s plan to switch the cholesterol-lowering drug Lipitor (atorvastatin calcium) from prescription-to-non-prescription status in the US had continued to progress at a “good pace”, a spokesperson for the company told OTC bulletin in February (OTC bulletin, 7 February 2014, page 8). A statin has never been granted OTC status in the US before and it is now more than a decade since Bristol-Myers Squibb and Merck & Co attempted to switch Pravachol (pravastatin) and Mevacor (lovastatin) respectively (OTC bulletin, 30 June 2000, page 16). Read made his comments on Pfizer’s Consumer Healthcare business as the company reported second-quarter sales at the unit up by 14% to US$912 million (C681 million). Pfizer said that the double-digit growth recorded by Consumer Healthcare in the three months had been primarily due to the launch of Nexium 24HR in late May. Launching Nexium during the quarter helped to drive up Consumer Healthcare’s US sales by 33% to US$449 million. In contrast to the growth recorded in the US, international Consumer Healthcare turnover remained flat at US$463 million. Consumer Healthcare accounted for 35% of Pfizer’s Global Vaccines, Oncology and Consumer Healthcare unit’s sales, which increased by 14% to US$2.58 billion (see Figure 1). With Pfizer’s other two units losing ground, total group sales fell by 2% to US$12.8 billion. OTC OTC Sturman, president of Pfizer Consumer Healthcare, said the OTC availability of Nexium 24HR in its domestic market marked the “first step” in the company’s efforts to “build a strong global position in digestive health”. European launch of Nexium Control Pfizer is preparing to launch Nexium OTC in the European Union (EU) under the Nexium Control name (see page 19). Authorised as a non-prescription medicine in all 28 member states last October – after becoming the EU’s third centrally-switched medicine – Nexium Control is for the short-term treatment in adults of reflux symptoms (OTC bulletin, 11 October 2013, page 11). In July, the UK’s Medicines and Healthcare products Regulatory Agency (MHRA) issued a proposal to switch Nexium Control from pharmacy to general-sale list (GSL) sta- Church & Dwight gets boost from Avid ncreased sales of Vitafusion vitamins helped raise turnover at Church & Dwight’s US Personal Care Products business by 1.3% to US$244 million (C182 million) in the second quarter of 2014. Church & Dwight added Vitafusion, along with the L’il Critters vitamin brand, to its Personal Care unit when it acquired vitamins, minerals and supplements (VMS) business Avid Health in October 2012 (OTC bulletin, 14 September 2012, page 1). James Craigie, Church & Dwight’s chairman and chief executive officer, said the “continued growth” of Avid during the three months had been driven by “significant distribution 15 August 2014 OTC bulletin Proportion of sales (%) Global Innovative Pharmaceutical Second-Quarter Results I Change 2013/2014 (%) 13 OTC15-08-14p2-14_Layout 1 12/08/2014 18:19 Page 14 OTC COMPANY NEWS First-Half Results Celesio to soon see McKesson benefits C elesio will soon start to benefit from its takeover by US pharmaceutical wholesaler McKesson as a new “coordination team” begins to identify the areas for potential synergies, according to the pan-European wholesaler and retailer’s new chairman of the management board Marc Owen. The company had already begun integrating itself into the Distribution Solutions division of McKesson, Owen said, after McKesson in February acquired over 75% of Celesio’s shares following a protracted takeover process (OTC bulletin, 7 February 2014, page 1). Now the takeover was virtually complete, the “company itself, its partners, customers and employees” would all start to benefit from the “added value generated by sharing procurement activities, expanding the product range and opening up new sales channels”, Owen insisted. “Future development will hinge on how quickly the international platform can be set up,” he warned, “so the coordination team will therefore be tasked with identifying areas of potential, laying the groundwork and then effecting a gradual alignment with McKesson’s organisation structure.” The combined McKesson/Celesio entity will have annual sales in excess of US$150 billion (C110 billion), approximately 81,500 employees worldwide and operations in 20 countries. Owen took over as chairman of Celesio’s management board on 16 July, after McKesson made sweeping changes to the management team (OTC bulletin, 30 May 2014, page 27). Formerly president of McKesson Specialty Health, Owen was drafted in to replace Dr Marion Helmes as head of Celesio. Helmes – who had held the joint positions of speaker of the management board and chief financial officer – had now left the firm. Another McKesson executive, Alain Vach- Business First-half sales Change (CC millions) 2013/2014 (%) 9,150 1,781 – +1.1 +6.0 – 162.7 137.8 -65.4 -9.7 +8.8 – Total Celesio 10,931 +1.8 235.1 -12.1 Figure 1: Celesio’s sales and earnings before interest, tax, depreciation and amortisation (EBITDA) in the first half of 2014, broken down by business (Source – Celesio) raw materials and components in order to produce over 7,500 stock-keeping units. “Aggressively managing these purchases helps ensure timely production and customer delivery,” Gay insisted. Gay’s comments came as Nutraceutical posted sales up by 9.5% to US$55.6 million (C41.5 million) in its third quarter ended 30 June 2014. best practice at its existing pharmacies, and completely new developments (OTC bulletin, 18 December 2012, page 1). The aim of the concept, Celesio said, was to develop a “competitive pan-European pharmacy network” that unified the company’s own pharmacies and its partner pharmacies to “offer comprehensive patient services”. In the UK, the Lloydspharmacy chain – which accounts for the bulk of Consumer Solutions’ turnover – had performed well in the six months, Celesio pointed out, with an increase in revenues from services to hospitals and the provision of homecare. Improved sales of generic drugs had also offset government price cuts. Across the rest of Europe, sales at the company’s Norwegian pharmacy chain – its second biggest after the UK – had advanced significantly in local currencies, Celesio noted, as better sales of OTC products, especially allergy medicines, and higher revenues from services countered the poor cold and flu season. In Italy, the firm had seen a “pleasing increase” in sales of OTC products, Celesio said, thanks to implementing the European Pharmacy Network concept. This had completely offset the impact of lower prescription sales caused by government cut backs, it added. Celesio’s “expansive strategy” for its Swedish pharmacy continued to be driven forward, the firm pointed out, but although higher sales and better cost management had improved margins, earnings still remained lower than expected. Consumer Solutions’ earnings before interest, tax, depreciation and amortisation (EBITDA) had “surged” by 8.8% to C138 million in the six months, Celesio noted. Adjusted for special effects, EBITDA moved forward by 9.8%. The Consumer Solutions division accounted for 16% of Celesio’s sales in the quarter, which crept up by 1.8% to C10.9 billion. EBITDA slipped back by 12.1% to C235 million. Celesio’s dominant Pharmacy Solutions wholesale division posted a 1.1% rise in sales to C9.15 billion in the period. OTC OTC on, has now taken over Helmes’ role of chief financial officer. First-half sales at the Celesio’s Consumer Solutions division increased by 6.0% to C1.78 billion in the period (see Figure 1), as the company continued to roll out its European Pharmacy Network concept. In March, Helmes revealed that the pilot phase of the European pharmacy concept under the ‘Lloyds’ banner had “proved a success” and would be expanded further in 2014 (OTC bulletin, 28 March 2014, page 5). Rolling out pharmacy concept The firm has now started rolling out the key elements of the concept in the rest of its 2,175 pharmacies, and has also started to invite partner pharmacies in France and Germany to adopt the concept in line with national regulations. Focused on offering “new and comprehensive advisory and other healthcare services”, the concept – which had already been introduced to over 100 stores – had helped “strengthen the role” of pharmacists as both “competent healthcare advisors” and as service providers for national healthcare systems, the firm said. Launched in late 2012, the new Europe-wide Lloyds concept featured “innovative service formats, high-quality products and the latest technologies”, the company explained, and had been based on “comprehensive” market studies, Nutraceutical focuses on material costs utraceutical International will manage aggressively its raw material costs and inventory levels to lower its overheads in the future, according to chairman and chief executive officer Bill Gay. Noting that the US-based nutritional supplements firm’s financial success was “heavily impacted by raw material and packaging costs”, Gay pointed out that it sourced over 4,000 14 Change 2013/2014 (%) Pharmacy Solutions Consumer Solutions Other Business Strategy/Third-Quarter Results N EBITDA (CC millions) OTC bulletin 15 August 2014 OTC15-08-14p15-18_Layout 1 12/08/2014 19:02 Page 2 GENERAL NEWS OTC International Self-Care Day Regulatory Affairs Industry pushes MHRA calls for proposals to self-care habit put OTC drugs on black list “T T here has never been a more urgent need to focus the world’s attention on the importance of better self-care”, according to Erica Mann, chair of the World Self-Medication Industry (WSMI) and president of Bayer Consumer Care. Speaking at an event to celebrate International Self-Care Day on 24 July 2014 in Washington, US, Mann said that the day served as an “opportunity to highlight the importance of making self-care a lifelong habit”. “Empowering consumers and patients to become active shapers of their health and wellbeing,” Mann insisted, “is the single most effective, common-sense way to improve health, reduce healthcare costs and relieve the growing burden on health professionals.” Sponsored by the Consumer Healthcare Products Association (CHPA) and the WSMI, the event was the first in the US to celebrate International Self-Care Day and served to highlight to US policymakers the value of selfcare and the role of non-prescription products as self-care tools. As part of the celebrations, the CHPA announced that the US Senate had passed a resolution to designate 24 July as International Self-Care Day. The 24 July – or 24/7 – had been chosen to remind people that self-care can be practised 24 hours a day, seven days a week. Dr Gerald Dziekan, WSMI director-general, said the senate resolution was an “important step” in recognising the value of self-care. “The benefits of self-care are well documented,” Dziekan pointed out, “but we’ve only begun to harness its enormous potential to improve individual health and make healthcare more sustainable.” “Even incremental adoption of a few simple measures can have a dramatic, even life-saving impact,” he added. Commenting on the success of this year’s Self-Care Day, the CHPA said that in the US it had gained wide-ranging media coverage, through use of print, social and digital media, as well as outreach activities to generate grassroots support for the day. Furthermore, more than 55,000 people had emailed the US Congress through the CHPA’s online platform, the association noted, calling for OTC medicines to be reimbursable through insurance plans. OTC 15 August 2014 OTC bulletin he UK’s Medicines and Healthcare products Regulatory Agency (MHRA) is one of the agencies seeking proposals for which nonprescription medicines should be added to a ‘black’ list of OTC products intended to carry the safety features introduced by the European Union’s (EU’s) Falsified Medicines Directive. Under the terms of Directive, which entered into force in January 2013, non-prescription medicines listed as having been “assessed to be at risk of falsification” and featured on the black list will have to bear the required safety features, including a unique identifier. Five selection criteria for black list The list will be compiled by the European Commission based on five criteria: ■ price and sales volume of the product; ■ number and frequency of past incidents of falsification; ■ specific characteristics of the product; ■ severity of conditions treated by the product; ■ other potential risks to public health. The European Commission has asked all member states to submit their proposals for the list by 3 October 2014. Member states have also been asked to submit proposals for which prescription medicines should be placed on a ‘white’ list of medicines that should not have to carry the safety features. The Directive also provides for member states to notify the Commission when they believe a non-prescription medicine is at risk of falsification based on the five criteria. The Association of the European Self-Medication Industry, the AESGP, said it understood that the European Commission would require all five criteria to be fulfilled for a non-prescription medicine to be included on the list. Updating its position on how to compile the black list, the AESGP said it believed that the Commission should populate the proposed list only with “specific marketing authorisations/products”. Noting that currently there were primarily two possibilities for populating the black list – by marketing authorisation (product) or by active substance, which meant by the International Non-Proprietary Name (INN), possibly along with the pharmaceutical form and the strength – the AESGP claimed that by setting the active substance as the main criterion, significant risks would arise. “Products could be included in the black list without presenting a documented incident of falsification,” the AESGP pointed out. “Furthermore, such a provision could lead to a mismatch between the existing risks and the establishment of tools that effectively address such challenges,” it added, “while it will generate significant costs not contributing to the objective of the legislation to establish proportionate measures.” The association also said that entries on the black list should only be based on incidents of falsification that have taken place within the legal supply chain. It would not be reasonable, it noted, to consider incidences outside the legal supply chain – such as through an internet-based pharmacy outside the EU – when defining possible entries on the black list. Inclusion on the black list should also not be based on just one single or a few falsification incidents, particularly in the case of a substance-based approach, the AESGP added. The AESGP also called for measures introduced by the Directive not to be implemented before 2020. “Significant investments need to be undertaken concerning the adjustment of production lines to the new requirements,” the AESGP pointed out, “while previous experiences with verification systems at national level showed considerable problems and delays due to the number and the complexity of the interventions needed, as well as the number of stakeholders involved in the implementation of the new provisions.” Companies need to be ready and able Consideration needed to be given to the capacity and to the readiness of all stakeholders involved in the introduction of the new provisions, the association said. Therefore, deadlines for the application of the measures introduced by the Directive should not be “unnecessarily tight” and should take into account the “capacity of industry and national authorities to respond to such modifications”, it argued. “Based on the feedback received from our members, it would be reasonable to have an implementation not before the year 2020,” the AESGP said. OTC 15 OTC15-08-14p15-18_Layout 1 13/08/2014 09:10 Page 3 OTC GENERAL NEWS Regulatory Affairs Russia considers non-pharmacy sales M any OTC drugs could soon be sold in Russia’s grocery stores and supermarkets. A draft list of OTC drugs for non-pharmacy sale has been drawn up by the Ministry of Health at the request of first deputy prime minister, Igor Shuvalov. However, the Pharmacy Guild of independent community pharmacies and the Russian Pharmaceutical Association representing pharmacy chains have both objected strongly to the proposal, which is likely be considered by the government this autumn. The draft list – based upon several criteria including low health-risk for consumers and minimum standards for product storage – contains seven categories of products: antihistamines, antiseptics, antivirals, cough and cold preparations, iron preparations, medicinal charcoal and nasal preparations. No specific active ingredients are mentioned. Last year’s biggest-selling OTC category in Russian pharmacies – cough and cold preparations (OTC bulletin, 16 June 2014, page 8) – is listed in the form of external ointments, lozenges and nasal inhalers. Antihistamines are present as topical gels, ointments and emulsions for external use, while seawater nasal sprays are also included. Antiseptics for treating sore throats are listed in all their various forms, including aerosol solutions, lozenges and topical sprays (see Figure 1). Serious concerns have been raised, however, by Russia’s pharmacists. Elena Nevolina, executive director of the Pharmacy Guild, believes such a move outside pharmacy could Antihistamines Topical emulsions, gels and ointments Antiseptics for sore throats Aerosols and sprays for topical use Buccal tablets Drops for oral and topical use Lozenges Pastilles Solutions for topical use Antivirals Creams and ointments for external use Cough and cold preparations External ointments Lozenges Nasal inhalers Iron preparations Capsules Chewable lozenges Film-coated tablets Solutions for oral use Syrups Tablets Medicinal charcoal Capsules Granules Powder and paste for oral use Powder for suspension tablets Nasal preparations based on seawater and sodium chloride Nasal aerosols, drops and sprays Figure 1: Russia’s draft list of OTC drugs for non-pharmacy sale is based on the anatomical and therapeutic chemical (ATC) classification system (Source – Russian Pharmacy Guild) lead to an uncontrolled flow of counterfeit medicines, endangering public health. Political decision will hurt pharmacy Meanwhile, Alexander Apazov, chairman of the Russian Pharmaceutical Association, insisted: “This political decision will hit pharmacy very badly.” At a meeting of the association, called to discuss ways of preventing the change, he stressed that pharmacy chains needed to define a clear “line of defence” that would convince society and the government that change was unnecessary. Meanwhile, Victor Evtukhov, deputy head of the Ministry of Industry and Trade, commented that making a limited number of medicines available outside pharmacy would benefit both large and smaller retailers, and that expanding distribution channels would encourage new business development. Non-prescription medicines may currently be sold outside pharmacies in Russia, but such sales are limited to licensed ‘pharmacy kiosks’. Sales of OTC products through Russian pharmacies increased by 9% to RUB9.2 billion (C19 million) at retail prices in 2013, as higher prices drove up consumer spending (OTC bulletin, 16 June 2014, page 8). OTC IN BRIEF Regulatory Affairs ■ BARMER-GEK health insurance fund said that more than four-fifths of homoeopathy users in Germany report improved physical and mental well-being, according to a survey of almost 7,000 people that it insured. According to the survey – conducted in conjunction with the Bertelsmann Foundation – 87% of homoeopathy users believe such remedies can succeed where conventional medicine has failed. Almost half of those questioned cited ‘general complaints’ as a reason for visiting a homoeopathy practitioner, with chronic and acute complaints cited by 43% and 32% respectively. Similarly, around half of the participants said homeopaths offered relief that patients had not found elsewhere and devoted more time to patients than other doctors. OTC 16 FDA looks at antiseptics and sunscreens T he US Food and Drug Administration (FDA) has announced a series of meetings to discuss the standards used to demonstrate that OTC antiseptics used in healthcare settings are safe and effective, as well as the scope of safety testing required for sunscreen ingredients marketed as OTC medicines. On 3 September, the agency’s Nonprescription Drugs Advisory Committee (NDAC) will discuss OTC antiseptics, with a focus on active ingredients marketed as OTC products and used for a variety of functions in professional healthcare settings. These functions, the FDA noted, included such uses as: healthcare personal hand washes and rubs; surgical hand scrubs; and patient and pre-injection skin preparations. Meanwhile, on 4 and 5 September, NDAC will tackle the need for various types of safety data, including clinical and non-clinical data, for sunscreens used chronically in individuals over the age of 6 months to help prevent skin cancer and skin ageing. The meeting comes three years after the FDA tightened its controls on sunscreen products. The tighter restrictions mean that only sunscreens with a Sun Protection Factor (SPF) value of 15 or higher can claim to reduce the risk of skin cancer and early skin ageing; while claims the products are “waterproof”, “sweatproof” or “sunblock” are banned. OTC OTC bulletin 15 August 2014 OTC15-08-14p15-18_Layout 1 12/08/2014 19:02 Page 4 GENERAL NEWS OTC Regulatory Affairs EFSA rejects Clasado claim C lasado’s appeal to the European Food Safety Authority (EFSA) relating to its Bimuno GOS food constituent, which is claimed to reduce gastrointestinal discomfort, has again received an unfavourable opinion from the authority’s Panel on Dietetic Products, Nutrition and Allergies (NDA). Noting that all but one of the studies provided by the firm – via the Maltese competent authority – had been submitted in previous unsuccessful applications for the same claim (OTC bulletin, 23 August 2013, page 18), the NDA said no further (scientific) substantiation had been supplied for a cause-and-effect relationship between Bimuno and the claimed effect. Lack of substantiation was also the reason why a further three applications made under Article 13.5 of the health claims Regulation 1924/2006 were rejected by the EFSA Panel. All had included requests for the protection of proprietary data. Natural Alternative International had provided 11 human intervention studies in its application through the UK’s competent authority. Despite this, its claim relating to the consumption of beta-alanine leading to an increase in physical performance during shortduration, high-intensity exercise was turned down. The proposed consumers were healthy adults aged between 19 and 71 years. Meanwhile, DSM Nutritional Products and Kemin Foods – applying through the French competent authority – had also been unable to establish a cause-and-effect relationship, the EFSA Panel pointed out, between a combination of lutein and zeaxanthin, and improved vision under bright light conditions in the “general healthy population”. The Panel also rejected Swedish company DoubleGood’s claim relating to the effect of a combination of L-threonine, L-valine, L-leucine, L-isoleucine, L-lysine and chromium picolinate on the reduction of post-prandial glycaemic responses in adults. OTC IN BRIEF ■ REGENECA – a division of VivaCeuticals – has issued a voluntary recall of certain lots of its RegenESlim appetite control dietary supplement in the US. The recall was issued after the stimulant DMAA was found in the product. OTC 15 August 2014 OTC bulletin Switches Asthma use worries lead Singulair safety concerns O ff-label use of Merck & Co’s OTC version of Singulair (montelukast) by asthma patients may lead to adverse outcomes, according to members of the US Food and Drug Administration’s (FDA’s) Non-prescription Drugs Advisory Committee, who recently voted to reject a partial switch of Singulair to OTC status. At its meeting in May – the minutes of which have only recently been made public – the committee said Singulair’s safety as an OTC medicine for the relief of allergy symptoms, “considering potential off-label use”, had not been adequately demonstrated (OTC bulletin, 9 May 2014, page 1). It voted 11-4 against the switch of 10mg montelukast film-coated tablets under the brand name Singulair Allergy for adults aged 18 years and older for the temporary relief of hayfever and other upper respiratory allergy symptoms, namely nasal congestion, runny nose, itchy watery eyes, sneezing, and itching of the nose. While prescription Singulair was indicated to treat asthma, off-label use for the condition was of concern in the OTC setting, some committee members argued, because patients would “not be able to adequately self-assess the severity of their asthma condition”. Asthma patients could also potentially “under- or over-treat” their condition, the members added. Some committee members also claimed that there would be “significant” unapproved use of OTC Singulair in the paediatric population. These members expressed concern that children could be given a full 10mg adult dose, or that parents could attempt to “split tablets” to obtain the 5mg dose indicated for children in the prescription setting. In addition to reviewing off-label use, the committee also addressed the potential for Singulair Allergy to cause neuropsychiatric events. The committee noted that there was a “low frequency” of a broad set of neuropsychiatric events associated with montelukast but that these risks needed to be “addressed sufficiently in the OTC labelling prior to a switch”. Merck should conduct a “prospective placebo controlled trial”, the committee recommended, to assess neuropsychiatric events. The body also voted 11-4 that the risk/benefit profile of montelukast was not supportive of OTC use in adults for the nasal indication proposed by Merck. While safety issues and the risk/benefit profile with off-label use for asthma in the OTC population were the committee’s main concerns, the body also noted that the complexity of the OTC label could make it difficult for the average adult to understand. OTC Regulatory Affairs ASMI seeks complementary progress “C omplementary medicines regulation [in Australia] needs to be rigorous but consistent with risk, as well as timely and balanced, if the industry is to build consumer confidence,” according to the Australian Self-Medication Industry’s (ASMI’s) regulatory and scientific affairs director Steve Scarff. Noting that Australian regulators had mechanisms in place to ensure claims made about complementary medicines were “accurate, balanced and not misleading”, Scarff argued that there was “room for improvement”. The regulatory process needed to be transparent so consumers could have confidence in the health claims made for individual products, he added. Scarff made his comments in response to an article published in The Australian that called on pharmacists not to sell complementary medicines as they were not proven medicines. The article referenced a 2010 study that had shown up to 90% of complementary medicines reviewed by the country’s Therapeutic Goods Administration (TGA) to be “non-compliant”. It also noted that only 31% of complementary medicines randomly tested between September 2012 and December 2013 had not breached regulatory requirements. Scarff said building consumer trust in complementary medicines required manufacturers to be able to substantiate claims for individual products. Consumers needed to have access to evidence-based information about complementary medicines, Scarff said, and called on the government to invest in research. OTC 17 OTC15-08-14p15-18_Layout 1 12/08/2014 19:02 Page 5 OTC GENERAL NEWS Regulatory Affairs Regulatory Affairs EFSA says no to Body weight is no issue for InQpharm claim emergency contraceptives I E nQpharm Europe cannot claim that a standardised aqueous extract of white kidney bean (phaseolus vulgaris L.) – the active ingredient known as PhaseLite in Omega Pharma’s XLS-Medical Carb Blocker – can reduce body weight, the European Food Safety Authority (EFSA) has stated. Responding to an application via the UK’s competent authority, EFSA’s Panel on Dietetic Products, Nutrition and Allergies (NDA) said the firm had not provided sufficient evidence to establish a cause-and-effect relationship between food consumption and the outcome. The claimed effect was “helps to reduce body weight”, while the proposed target population was “the general population that wants to lose or manage their weight”. InQpharm claimed that the extract – which is also marketed under the brand names Glucosanol, Glycolite, Phase 2 and Starchlite – could achieve the claimed effect in three ways. These were: reducing the digestion of starch and therefore the absorption of dietary glycaemic complex carbohydrates by the body; delaying gastric emptying; and reducing feelings of hunger. InQpharm had also requested that the proprietary data behind its Article 13.5 “new function” health claim – based on newly-developed scientific evidence – should be protected under the provisions of the health claims Regulation 1924/2006. Although the NDA acknowledged that one human intervention study out of the four supplied had shown a reduction in body weight when the extract was consumed for 12 weeks, it pointed out that the study had been “at risk of bias” through “unblinding”. Furthermore, a supporting study had suffered from “methodological limitations”, the EFSA Panel noted, and “no evidence was provided for a mechanism by which the standardised aqueous extract from white kidney bean could exert the claimed effect”. OTC IN BRIEF ■ PUBLIC CITIZEN – a US-based consumer group – has petitioned the Food and Drug Administration (FDA) to revise the proposed labelling for OTC benzocaine oral health products and remove the infant teething indication. OTC 18 mergency contraceptives containing levonorgestrel or ulipristal acetate are effective in all women regardless of body weight, according to Europe’s Committee for Medicinal Products for Human Use (CHMP). Following a review of the efficacy of emergency contraceptives in overweight women, the CHMP concluded that the products could “continue to be used in women of all weights as the benefits are considered to outweigh the risks”. In February, the CHMP said it would review emergency contraceptives containing levonorgestrel and ulipristal acetate. This was in response to the release of “new data suggesting that a high body weight could impair the effectiveness” of such products (OTC bulletin, 7 February 2014, page 14). The emergency contraceptives under review were the levonorgestrel-based Norlevo, Levodonna and Levonelle, as well as Ellaone, which contains ulipristal acetate. The review was triggered by the Swedish medicines regulatory agency under Article 31 of European Union Directive 2001/83/EC. Explaining its decision, the CHMP said the available evidence to suggest that the effectiveness of emergency contraceptives was reduced with increased body weight was “too limited and not robust enough”. Noting that for ulipristal acetate there existed some data from clinical trials to suggest a possible trend for a reduced effectiveness in overweight women, the CHMP concluded that this data was “too limited and insufficiently precise to draw definite conclusions”. This was also the case for levonorgestrel, the CHMP added. The product information for emergency contraceptives should be updated to include the results of these studies, the CHMP said. Pointing out that Norlevo manufacturer HRA Pharma had already altered the product’s patient information leaflet to advise against its use by overweight women, the CHMP recommended that these statements should be deleted. HRA Pharma altered the leaflet for Norlevo in November 2013 to include the statement: “In clinical trials contraceptive efficacy was reduced in women weighing 75kg or more, and levonorgestrel was not effective in women who weighed more than 80kg.” In response to HRA’s move, France’s medicines agency, ANSM, advised women weighing over 80kg to “seek another method of emergency contraception” (OTC bulletin, 13 December 2013, page 11). The CHMP recommendation will now be sent to the European Commission, which will take a legally-binding decision throughout the European Union’s 28 member states. Earlier this year, Health Canada ruled that emergency contraceptives available OTC in the country must carry a warning advising against their use by overweight women (OTC bulletin, 11 April 2014, page 13). Health Canada said the label and packaging leaflet of levonorgestrel-based emergency contraceptives should be updated to warn consumers that the products were “less effective in women weighing 165-176 pounds (75-80kg) and not effective in women weighing over 176 pounds”. The leaflet would also advise women weighing over 165 pounds to “ask a healthcare professional for advice on alternative methods of emergency contraception”, the agency added. Meanwhile, Australia’s Therapeutic Goods Administration (TGA) and New Zealand’s regulator Medsafe are currently reviewing the efficacy of emergency contraceptives in women weighing more than 70kg (OTC bulletin, 17 March 2014, page 10). OTC Regulatory Affairs EFSA decides niacin DRVs for infants I nfants aged between seven and 11 months have the same niacin requirements as adults, the European Food Safety Authority (EFSA) has decided. This is also true of children and adolescents, as well as pregnant and lactating women. Following a request from the European Commission to determine Dietary Reference Values (DRVs) for niacin, EFSA concluded that the average requirement of 5.5mg niacin equivalent (NE) per 1,000 kcal and Population Reference Intake of 6.6mg NE per 1,000 kcal – which have been in place since 1993 – “also applied to these age and life-stage groups”. OTC OTC bulletin 15 August 2014 OTC15-08-14p19-21_Layout 1 12/08/2014 18:28 Page 2 MARKETING NEWS OTC Product Launches Product Launches German Nexium Infirst to make global debut sets zero target with Dr Cocoa launch in US P I fizer Consumer Healthcare is promising “a large-scale, attention-grabbing television campaign” to accompany the launch of its Nexium Control heartburn remedy in Germany. As the central message of the campaign for the 20mg esomeprazole tablets, Pfizer has chosen “1 Tablette am Tag, 24 Stunden Schutz, Ziel: Null Sodbrennen”. This translates as “One tablet during the day, 24-hour protection, Goal: Zero heartburn”. A Pfizer spokesperson told OTC bulletin that the German commercials for the pharmacyonly medicine would be adapted from a panEuropean template. She declined to comment on the duration or budget of the campaign. Intended targets for the 24-hour protection message are frequent heartburn sufferers, namely those who experience the condition more than twice per week. The same messages appear on launch trade- OTC Nexium’s German launch will be supported by a “large-scale, attention-grabbing television campaign” press advertising, which also highlights the television campaign and features the headline “Die Nr.1 der Säureblocker jetzt rezeptfrei”, or “The number-one acid blocker is now available without a prescription”. According to the trade advertising, Nexium Control offers “better acid control compared to other proton-pump inhibitors”, delivering 70% more acid blockers to the proton pump. “The launch of Nexium Control will be accompanied by an attention-grabbing, integrated campaign that, through a 360-degree communication strategy, combines television spots with both print and online advertising,” the spokesperson stated. Pfizer – which is also rolling out the brand in France, Italy and the UK following a panEuropean centralised switch procedure (OTC bulletin, 26 July 2013, page 1) – has given the German version recommended retail prices of C7.59 for a pack of seven enteric-coated tablets, and C11.97 for a pack of 14. OTC 15 August 2014 OTC bulletin nfirst Healthcare’s Dr Cocoa chocolate-flavoured cough-remedy brand is set to make its global debut at the beginning of September. Three liquids are to be launched onto the US paediatric cough/cold remedy market that is said to be worth in excess of US$350 million (C262 million) at retail. Designed for children aged between four and 13 years, the range of patent-protected cough liquids comprises Long-Acting Cough Relief, Daytime Cough and Cold Relief and Night Time Cough and Cold Relief variants. These contain ingredients such as dextromethorphan, phenylephrine and diphenhydramine. Noting that many parents struggled to get their children to take medicine as directed, the UK-based company pointed out that the product line was formulated with 10% real cocoa to improve dosing compliance. Packaging for the cough liquids features the Dr Cocoa owl character, which is said by Infirst to depict a family doctor speaking to children and parents in a “knowledgeable and credible way”, and will appear across all marketing for the range. The launch will be supported by a multimedia campaign, with the message that Dr Cocoa provides “relief with a smile”. “A suite of social-media platforms was in development”, James Barickman, general manager of Infirst’s US arm, told OTC bulletin, and would include the Dr Cocoa Facebook page. The brand website was also being “expanded and updated” with news of the roll out. The Dr Cocoa line of three chocolate-flavoured cough liquids is said to be formulated with 10% real cocoa to improve dosing compliance in children Infirst secured the rights to Dr Cocoa from Pernix Therapeutics at the end of last year, after the firm – which developed the products using some of Infirst’s intellectual property – said it did not have the “discretionary resources” to “prudently and effectively” take the brand into the US OTC marketplace (OTC bulletin, 13 December 2013, page 7). Pointing out that Infirst was currently “exploring other markets”, Barickman said the company anticipated extending Dr Cocoa’s reach beyond the US in 2016. Speaking to OTC bulletin in December last year, Manfred Scheske, Infirst’s chief executive officer, said that if the milestones laid out were met, the firm also hoped to launch its own cocoa-flavoured cough liquid in one European country in “late 2014”. OTC Advertising Campaigns Omega Pharma’s Lyclear makes UK return O mega Pharma’s Lyclear head-lice treatment is returning to UK television screens from 18 August to highlight the 100% effectiveness of the brand. The 30-second creative aired earlier this year as part of the firm’s doubled annual investment in television advertising to £2.0 million (C1.5 million) (OTC bulletin, 28 March 2014, page 16). Set to run until 21 September, the advertisement will emphasise how the ‘dual-action’ formula of the Lyclear Sensitive and Treatment Spray products – which are both classed as medical devices – suffocate and dehydrate lice. Thanks to Omega’s increased marketing spend, the firm claimed Lyclear now held a 22.3% share of the UK head-lice market. This was worth £25.3 million at retail according to IRI, making it the second-biggest brand in the market behind Thornton & Ross’ Hedrin. The campaign would continue to be supported by public relations activity and pharmacytraining materials, Omega noted. Lyclear will also continue its partnership with parenting website Netmums, sponsoring head-lice forums and ‘back-to-school’ pages. OTC 19 OTC15-08-14p19-21_Layout 1 12/08/2014 18:28 Page 3 OTC MARKETING NEWS Product Launches/Line Extensions Bayer bolsters Berocca in US and UK B ayer is extending the reach of its Berocca vitamin supplements with the nationwide US roll-out of a formulation developed specifically for the gap in the local market between energy products and multivitamins. The firm has also launched a mango-flavoured addition to its UK line of effervescent tablets. Positioned as an energy-support product, the US-specific formula contains guarana and caffeine in addition to the B-vitamins, magnesium and zinc in the original effervescent tablets that are currently available in around 70 other markets. The recommended daily dose of one US tablet is claimed to provide “about as much caffeine as a cup of coffee”. Berocca was being targeted at US consumers aged between 25 and 49 years that lived a “full, fast-paced life”, the company noted, with the claim that it supported “mental sharpness and physical energy”. Bayer added that the tablets – available in both orange and mixed-berry flavours – came in two- and 10-count packs to fit with the target audience’s busy lifestyle. The US version of Berocca had previously been tested as an orange variant in Duane Reade stores across New York City. To help launch the range nationwide, Bayer has created a campaign in partnership with actor and comedian Joel McHale, who plays a fictional brand ambassador called Brock Spedwell. The 15- and 30-second television spots show Spedwell – who also features in videos on the brand’s YouTube channel – as a motivational speaker inspiring people to try Berocca. Bayer is supporting the launch further with a refreshed brand website, buyberocca.com, as well as updated Facebook and Twitter profiles. There will also be a nationwide sampling tour and public-relations activity. Mango flavour to deliver £1mn in UK Meanwhile, in the UK, the firm expects the addition of the mango-flavoured effervescent tablets to deliver over £1.0 million (C1.3 million) at retail within the first year of launch. Noting that mango-flavoured products were “very much on-trend”, Bayer told OTC bul- Comedian and actor Joel McHale plays a fictional brand ambassador called Brock Spedwell in Berocca’s television advertising letin that the latest variant provided a specific exotic fruit flavour for consumers in addition to its existing tropical-fruit option. Currently available at Boots, the tablets would be widely available across the grocery, pharmacy and convenience sector from September, the firm noted. The mango variant will feature in the brand’s most recent television sponsorship campaign with Channel 5 (OTC bulletin, 16 June 2014, page 14). It will also be promoted via Berocca’s Facebook page and through in-store activity. OTC Advertising Complaints NJOY spot did not imply e-cigarette benefit A Thornton & Ross’ Hedrin head-lice brand is looking to remind UK parents that children are just as susceptible to head-lice infestation when playing with their friends as they are at school. It aims to do this through a nationwide campaign in 125 indoor play centres. Set to last for four weeks – ahead of the ‘back-to-school’ period – the campaign will include wall posters encouraging consumers to “Defend your family from head lice”. Discount leaflets offer parents £1.50 (CC1.89) off the price of the Hedrin Protect & Go leave-in conditioning spray launched last year (OTC bulletin, 23 August 2013, page 23). Through the leaflets, Thornton & Ross added, parents would also be directed to enter their details on the Hedrin website. This would give them the chance to win a £1,000 ‘Dream Ticket’ voucher. OTC 20 UK television advertisement for NJOY electronic cigarettes – e-cigarettes – did not misleadingly imply that smoking the product was healthier than smoking tobacco cigarettes, the UK’s Advertising Standards Authority (ASA) has ruled. “Friends don’t let friends smoke” was the message in the 30- and 60-second versions of the advertisement, which was launched at the beginning of the year as part of the US-based firm’s US$50 million (C37 million) promotional spend outside of its domestic market (OTC bulletin, 17 January 2014, page 15). The spot showed two friends helping each other in various situations such as moving house, before one friend was shown giving the other the NJOY product to stop them from smoking. A voiceover stated: “For everything that friends do for each other, return the favour. Give a friend an NJOY King electronic cigarette.” While the advertisement implied that the product was preferable to smoking tobacco cigarettes, the ASA noted, there might have been a number of reasons why a friend might suggest smoking e-cigarettes in place of tobacco products. Furthermore, no express health claims related to the product had been made, the watchdog added. OTC IN BRIEF ■ RB – Reckitt Benckiser – has entered into a “multi-year, nine-figure global partnership” with social networking site Facebook to “effectively reach consumers in their digital lives”. The two firms will collaborate initially in Australia, Brazil, Canada, India, Italy, the UK and the US to connect Facebook users with brands such as Mucinex and Mega- Red, with “rapid expansion of the relationship” planned over the next three years. The partnership will also bring together employees from the global sales, marketing and creative teams of the two firms, which will hold joint recruiting events at universities to find “the best talent for both companies”. OTC OTC bulletin 15 August 2014 OTC15-08-14p19-21_Layout 1 13/08/2014 09:14 Page 4 MARKETING NEWS OTC Product Launches Prestige offers dairy defence P restige Brands claims it is offering US consumers the first OTC option to relieve the symptoms of lactose intolerance or sensitivity, as well as trapped wind – ‘gas’ – with the addition of a Plus Dairy Defense product under its Beano line of gastrointestinal remedies. A national survey of women aged over 55 years conducted on behalf of the brand – which also comprises the original Beano tablets, Beano Meltaways and a Beano to Go travel pack – had Beano Plus Dairy Defense is said to relieve both trapped wind and symptoms of lactose intolerance or sensitivity highlighted that 46% of respondents frequently suffered from gas, pressure or bloating after consuming dairy products, the US-based company pointed out. Three-quarters had said they avoided “problem foods” such as vegetables, beans and whole grains due to “digestive issues”, Prestige added. As Beano Plus Dairy Defence contained two natural food enzymes, the firm explained, the raspberry-sorbet-flavoured chewable tablets could break down both these problem foods and the lactose found in dairy products. Consumers are advised to take one tablet before meals that contain such ingredients. The survey had also found that nearly twothirds of people would be willing to try a new product that relieved both gas and lactose sensitivity, Prestige added. Product Launches Australians can access Merck’s Nasonex OTC A ustralian consumers are now among some of the first in the world to be able to buy mometasone furoate OTC – in the same strength as a prescription variant – for their allergic rhinitis symptoms with the launch of Nasonex Allergy spray by Merck & Co’s Consumer Care business. Containing 50µg per actuation, the spray was switched by the Australian Therapeutic Goods Administration (TGA) last October. It now holds schedule 2 – pharmacy-only – status. Mometasone furoate has been available as a non-prescription medicine in Sweden since 2004. It also gained OTC status in Finland in 2013. Suitable for adults and children aged 12 years and over who suffer from limited allergic rhinitis, Nasonex Allergy is indicated for relief from sneezing, congestion and itchy and runny nose. It is still available – as Nasonex – on prescription for allergic rhinitis in adults, adolescents and children aged between three and 11 years. The prescription variant is also indicated for acute rhinosinusitis and nasal polyps in those aged over 12 and 18 years respectively. Merck said it aimed “significantly” to grow the Australian OTC intranasal corticosteroid market – claimed to be worth A$18.4 million (C12.8 million) at retail – by launching the spray in time for the spring/summer allergy season. Noting that over 15% of Australians suffered Nasonex Allergy was approved as schedule 2 (pharmacy-only) medicine by the TGA in October 2013 with the condition, Andrew Jenkin, regional director for Merck Consumer Care Australia, said the OTC availability of Nasonex Allergy offered patients “easier access to an effective and trusted therapeutic choice for relief of their symptoms”. This was consistent with the firm’s goal of “working with pharmacy in supporting good patient health outcomes through self-care”, he added. A television campaign will air in September to support the launch, along with a public-relations campaign, point-of-sale materials and pharmacy training. The firm said that additional product information could be found on the new website, nasonexallergy.com.au. OTC ■ ETIXX – the sports nutrition brand owned by Omega Pharma – will become the official sponsor of the Quick Step cycling team from 2015. Currently known as Omega Pharma Quick Step, the team will be called Etixx Quick Step until the 2017 season. Busy people who suddenly notice that their pain has gone feature in launch German television advertising for Bayer’s next-generation Aspirin tablets, contain 500mg acetylsalicylic acid as microparticles (OTC bulletin, 25 July 2014, page 16). Running on major channels from early August, the 28-second commercial created by Düsseldorf agency BBDO shows a businessman, a female train passenger and a male office worker. During a computer-generated cutaway, a voiceover explains how the tablets’ “micro-active technology” enables users to experience a noticeable reduction in pain twice as quickly as people taking standard Aspirin tablets. The advertisement ends with the sign-off message “Not just quick, but twice as quick”. Dutch firm YouMedical has entered into an exclusive agreement with US-based Prestige Brands to launch in the US and Canada its Wartie technology for the treatment of warts and verrucas. Under the terms of the deal – which is part of the “international commercialisation” of Wartie – Prestige has been granted the exclusive rights to market and sell the technology under its Compound W brand, while YouMedical – which also owns the Footner foot-care line and the Nailner range for treating nail fungus – will assume production and supply responsibility. Suitable for those aged four years and above, Wartie’s ‘precision tip’ is said only to freeze the wart, leaving the surrounding healthy skin unharmed. OTC OTC OTC OTC IN BRIEF 15 August 2014 OTC bulletin 21 Generics Awards Ad 4/8/14_Layout 1 04/08/2014 14:30 Page 1 OTC15-08-14p23Events_Layout 1 12/08/2014 18:01 Page 2 EVENTS OTC SEPTEMBER 17-20 September ■ ■ Expopharm 2014 Munich, Germany A four-day international pharmaceutical trade fair and conference. Contact: Expopharm. Tel: +49 6196 928 830. Fax: +49 6196 928 404. Email: visitors@expopharm.de. Website: www.expopharm.de. 22-23 September ■ China: Regulatory Affairs for Pharmaceuticals London, UK Variations, registrations and renewals in China will be discussed at this two-day meeting. Contact: Informa UK. Tel: +44 20 7017 7481. Fax: +44 20 7017 7823. Email: registration@pti-europe.co.uk. Website: www.pti-europe.co.uk. ■ Vitafoods Africa ■ 13-15 October ■ Dubai, UAE Countries to be covered at this two-day meeting will include Bahrain, Egypt, Iran, Iraq, Kuwait, Lebanon, Libya, Qatar, Saudi Arabia, Syria, and Yemen. Contact: Management Forum. Tel: +44 1483 730071. Fax: +44 1483 730008. Email: registrations@managementforum.co.uk. Website: www.management-forum.co.uk. Global Generics & Biosimilars Awards 2014 Paris, France These new Awards will recognise the achievements of the global generics and biosimilars industries. Organised by Generics bulletin, they will reward business development initiatives, clever licensing deals and smart legal manoeuvres. Contact: Generics bulletin. Tel: +44 1564 777 550. Fax: +44 1564 777 524. Email: natalie.cornwell@genericsbulletin.com. Website: www.generics-bulletin.com. 11th TOPRA Annual Symposium Brussels, Belgium A three-day event run by The Organisation for Professionals in Regulatory Affairs (TOPRA). Contact: TOPRA. 15 August 2014 OTC bulletin Pharmaceutical Regulatory Affairs in the Middle East Pharmaceutical Labelling Berlin, Germany Speakers from Boehringer Ingelheim, GlaxoSmithKline, Meda, Merck Sharpe & Dohme, the Proprietary Association of Great Britain (PAGB), Reckitt Benckiser and Sanofi will attend this this two-day seminar. Contact: Informa UK. Tel: +44 20 7017 7481. Fax: +44 20 7017 7823. Email: registrations@informa-ls.com. Website: www.informa-ls.com/ pharmalabelling. Natural Products Scandinavia 28-29 October 5-8 November ■ OTC Pharma China Shanghai, China Topics to be discussed at this fourday conference will include marketing and branding strategies for new launch products; prescriptionto-OTC switch strategies and opportunities; regulatory strategies for herbal OTC products; a special focus session on traditional Chinese medicinal products; and expansion strategies from Asia and beyond. OTC bulletin subscribers can enjoy a 15% discount by quoting P46252OB during registration. Contact: IBC Asia. Maximise Self-Care Potential: Through Asia Regulatory Harmonisation Phuket, Thailand The 10th World-Self Medication Industry (WSMI) Asia-Pacific Regional Conference will form part of this two-day event, which will include sessions on: ‘Asia self-medication market trends, health policy and consumer practice’; ‘Value and potential of OTC’; ‘Communication, education and partnership in self-care’; ‘Regulatory challenges and opportunities in the OTC industry’; and ‘Prescription-to-OTC switches and borderline products’. Contact: WSMI. Tel: +33 450 284 728. Fax: +33 450 284 024. Email: conference@tsmia.or.th. Website: www.tsmia.or.th/Phuket2014 /main.html. CRN’s Annual Symposium for the Dietary Supplement Industry California, US A four-day conference organised by the US Council for Responsible Nutrition (CRN). Contact: CRN. Tel: +1 202 204 7700. Fax: +1 202 204 7701. Email: webmaster@crnusa.org. Website: www.crnusa.org/2014events/. 13-14 November ■ 9th International Alliance Conference Berlin, Germany This two-day meeting will bring together manufacturers, outsource sales and marketing service providers (distributors) and industry opinion leaders in health and beauty. Contact: Ceuta Healthcare. Tel: +44 1202 449 709. Email: lorian.pitman@ceuta healthcare.com. Website: www.ceutaalliance.com/ 2014_conference_berlin.html. 28-31 October ■ 21-22 October ■ NOVEMBER 28-29 October ■ Malmö, Sweden A two-day trade show for natural products, health foods, natural beauty and organic products. Contact: Diversified Business Communications UK. Tel: +44 1273 645 141. Email: zoejc@divcom.co.uk. Website: www.naturalproducts scandinavia.com. 7 October ■ Brussels, Belgium ‘Herbal (medicinal) products, food supplements and self-care medical devices: Paving the way towards a coherent system’ is the theme of this two-day event run by the Association of the European Self-Medication Industry, the AESGP. There will be sessions on: ‘Finding the right balance for herbal (medicinal) products, food supplements and self-care medical devices’; ‘Ensuring the right assessment of food supplements and health claims’; and ‘Adjusting the medical device legislation to consumer needs’. Speakers will include: Basil Mathioudakis and Paola Testori Coggi of the European Commission; Werner Knöss of the Committee on Herbal Medicinal Products (HMPC); and Ioanna Chinou of the European Medicines Agency (EMA). Contact: AESGP. Tel: +32 2 735 51 30. Fax: +32 2 735 52 22. Email: o.bua@aesgp.eu. Website: www.aesgp.eu/events/Brussels2014/. 26-27 October 1-3 October Johannesburg, South Africa This three-day event is claimed to be the leading nutraceutical meeting for Africa’s functional food, dietary supplements and complementary and alternative medicines (CAMS) industries. Contact: IIR. Tel: +27 1 1771 7222. Email: jlues@iir.co.za. Website: www.iir.co.za/vitafoodsafrica. AESGP Conference Tel: +44 20 7510 2560. Fax: +44 20 7537 2003. Email: meetings@topra.org. Website: www.topra.org. OCTOBER ■ Tel: +65 6508 2401. Email: register@ibcasia.com.sg. Website: www.otcpharmachina.com. 7-8 October 17-18 November ■ EuroPLX 56 Nice, France This two-day conference will provide a forum for business development decision makers for discussing and negotiating collaborative agreements in licensing, marketing, and distribution of patented medicines, generics, biosimilars, OTC products, medical devices and food supplements. Contact: RauCon. Tel: +49 6222 9807 0. Fax: +49 6222 9807 77. Email: meetyou@europlx.com. Website: www.europlx.com. 18 November ■ ASMI Annual Conference Sydney, Australia ‘Self-Care: A brighter and healthier future’ is the theme of this one-day conference organised by the Australian Self-Mediation Industry (ASMI). Contact: ASMI. Tel: +61 2 9922 5111. Fax: +61 2 9959 3693. Email: claire@asmi.com.au. Website: www.asmi.com.au/events/. 23 OTC15-08-14p24-27_Layout 1 12/08/2014 19:36 Page 2 OTC MARKET RESEARCH OTC market growth remains fragile While OTC sales in the UK grew in 2013, trends for some of the largest product categories have demonstrated a need to guard against complacency in what remains a delicately balanced market. Matt Stewart reports. T alk of an ageing and growing population may be fuelling confidence in the future of the global OTC industry, but in the UK, population growth has slowed somewhat and the after effects of the global recession have changed consumer behaviour. All of this has put the OTC market in a delicate position. Although overall retail value sales in the UK OTC market had improved by 2.2% to £2.45 billion (C3.08 billion) in the 12 months ended 28 December 2013 (see Figure 1), “all the OTC categories, along with the whole fast-moving consumer-goods (FMCG) market have struggled”, according to Martin Wood, head of strategic insight – retail at market researcher IRI. “We’ve seen volumes across food, health and beauty decline over the past year or two,” Wood pointed out, “basically because of people cutting back.” Population growth had not been quite as strong as it had been previously, Wood noted, primarily due to migration factors, with levels of inward migration over the past few years not as high as the levels seen in the previous decade. This had been compounded by the recession, Wood noted, which had had a lasting impact on UK consumer behaviour. While some people had not been affected at all, others had dramatically cut their spending and had been happy to switch from the major mainstream retailers to hard-discounters, such as Aldi and Lidl. “It’s not just about price,” Wood pointed out, “the discounters have improved their product range and quality, and opened many new stores.” “Together with clever advertising and use of social media,” he added, “the discounters have increased penetration across all sectors Category Sales Change (£ millions) (%) Decongestants 227.6 +0.4 Medicated confectionery 119.7 -2.6 Cough liquids 96.7 -5.9 Total cough, cold and sore throat 444.0 -1.8 Figure 5: Breakdown of retail sales the UK OTC cough, cold and sore throat market in the 12 months ended 28 December 2013 (Source – IRI) 24 of society including among the better-off.” Discounters and pound stores – which generally only offer a very limited range of OTC medicines and account for only a very small part of the OTC market – had taken sales away from some of the UK’s biggest retailers, including supermarket giants such as Tesco, Wood noted. This rise in the popularity of discounters had led to more sales of low-priced OTC products, mainly store-brands, Wood said, and a decline in OTC sales through some of the “big four” supermarkets. With a change in consumer behaviour had also come changes in the promotional mix, Wood pointed out. With people not buying the same quantities on multi-buys as previously, retailers themselves had been “moving away from multi-buys to price-led promotions”. “These are general statements really on the recession,” Wood admitted, “but they play out across all categories, including OTC.” Decline in volume sales As Figure 2 shows, volume sales of OTC products had fallen back by 0.9% to 942 million packs in 2013, reflecting the tougher market conditions and a high level of cold and flu incidences in December 2012. The delicate nature of the OTC market could be summed up by what happened to the indigestion remedies segment in the gastrointestinal category over the past 12 months. While overall sales of gastrointestinal products ticked up by 0.7% to £260 million – driven by products for irritable bowel syndrome and antidiarrhoeals – the category’s powerhouse indigestion remedies segment declined by 0.5% to £120 million (see Figure 3). Wood said that while a variety of factors were in play, the key was that the indigestion remedies segment relied too heavily on one key brand to drive market growth: Gaviscon. “Reckitt Benckiser (RB) would consistently bring out a variation of Gaviscon which would bring something new to the market,” Wood said, “and there is no doubt RB has not been doing as much of that over the past few years.” The prevailing trends in the UK around population growth and economic uncertainty, combined with the slowdown in innovation from RB on Gaviscon, had led to stagnation in the indigestion remedies segment, Wood explained. Category Sales Change (£ millions) (%) Adult oral analgesics 353.4 +1.1 Topical analgesics 82.9 +12.2 Paediatric analgesics 74.0 -3.1 Oral lesions & toothache 33.5 +1.4 Total pain relief +2.1 543.9 Figure 4: Breakdown of the UK OTC pain-relief market in the 12 months ended 28 December 2013 (Source – IRI) Furthermore, this had also applied to the UK OTC market as a whole, Wood insisted. “Consistently over a period of years, RB focused on a few key brands and made sure it had a systematic approach to new product development which kept the pipeline of innovation coming through every year for its big brands,” he pointed out. “However, RB seems to have run out of steam when it comes to line extensions on its big brands,” Wood claimed. “In addition, it has had to absorb a number of SSL brands acquired in 2010 (OTC bulletin, 30 July 2014, page 1) – which involved tackling regulatory issues and disposals – and the firm’s entry into the UK vitamins market is yet to have any measurable impact.” “All those things drain management time and limit the opportunities to go and present new things to retailers,” he added. It needed to be recognised, Wood said, that when RB launched a good new sub-brand or variant it “materially” impacted on the total market. As other firms had not done this to the same extent, the whole market suffered”. “My contention would be that a relative absence of growth from RB is one reason why the total market has not been growing as much as it was,” Wood pointed out, “and no one else has been able to step up and fill the hole.” Turning to the key product categories in the market, pain relief remained the biggest contributor to the UK’s OTC market, with value sales rising by 2.1% to £544 million in the 12 months (see Figure 4). Topical analgesics was the standout variant in the pain-relief category, with sales advancing by 12.2% to £82.9 million. Wood said that the topical analgesics sector had for almost a decade “over performed” for a whole variety of reasons. “Sports heat rubs, such as Mentholatum’s Deep Heat, have consistently performed well,” Wood pointed out, “while the introduction of heat patches was a big innovation in the marOTC bulletin 15 August 2014 OTC15-08-14p24-27_Layout 1 13/08/2014 09:11 Page 3 MARKET RESEARCH OTC Fall in paediatric analgesics By contrast to the topicals market, sales of paediatric analgesics slipped back by 3.1% to £74 million, a decline Wood blamed on a weaker cold and flu season than in 2012. “Paediatric analgesics always correlates more strongly with winter remedies compared with adult analgesics, where sales improved by 1.1% to £353 million,” Wood explained. “This is because colds and flu is the overwhelming reason for purchasing for children, whereas adults buy painkillers more often for less seasonal ailments, such as headaches and back pain.” 15 August 2014 OTC bulletin Category Sales (£ millions) Change 2012/2013 (%) Proportion of total (%) 543.9 444.0 415.4 352.2 259.6 135.5 107.6 59.0 57.9 42.5 32.5 +2.1 -1.8 +2.4 +1.8 +0.7 +4.2 +21.9 +0.3 +2.0 +7.5 +8.3 22 18 17 14 11 6 4 2 2 2 1 2,450.1 +2.2 100 Pain relief Cough, cold and sore throat Skin care Vitamins and minerals Gastrointestinal Smoking cessation Hayfever remedies Weight management Eye-care treatments Sleep aids Medicated mouthwashes/sprays Total OTC Figure 1: Retail sales in the UK OTC market in the 12 months ended 28 December 2013. Figures exclude sales in Northern Ireland, and through health-food stores, mail-order/internet only vendors and discounters (Source – IRI) OTC packs sold OTC 3,000 Volume sales (million packs) ket. Although they have been around for a while now, they have done well over the period.” One of the biggest reasons, especially in the past few years, had been the switch of Novartis’ diclofenac-based Voltarol brand, Wood said. “We have seen Voltarol adding a lot of value to the market as Novartis has launched first pharmacy-only and then general-sale list (GSL) products” Wood pointed out. Voltarol products were now much more widely available, he noted, and as all variants – including Voltarol Pain-eze Emulgel, Voltarol Emulgel-P and Voltarol Heat – carried quite a high price tag, they contributed significantly to value growth in the topicals category. Novartis claim Voltarol is the biggestselling topical pain-relief brand in the UK and – including its oral formulations – the secondbiggest selling pain-relief brand overall. In 2013, the company bolstered its UK Voltarol range by launching Voltarol 12 Hour Emulgel-P and backed the whole range with significant marketing activity including a £6.0 million television campaign. Two million people had bought a topical Voltarol product in 2013, Novartis said, noting that half a million people had tried a Voltarol gel product for the first time in the 12 months. Furthermore, another big pain-relief brand had entered the topicals space in 2013, Wood pointed out, with RB rolling out a range of topical variants under its best-selling Nurofen brand name. Launched early last year, RB’s four Nurofen topical products had been designed to meet the “number-one consumer need” in the UK’s topical products market – “speed of relief” – according to the UK-based consumer goods giant (OTC bulletin, 29 March 2014, page 13). The launch of the topicals range was part of a bigger shift in RB’s marketing for Nurofen. The company wants to turn its range of pain relievers into a “brand people love” by presenting a consistent brand image through the “Lives bigger than pain” campaign, launched in February 2013 (OTC bulletin, 22 February 2013, page 17). 2,000 1,000 0 OTC packs dispensed on prescription Prescription-only packs 1,220 1,238 +1.5% 288 260 -9.6% 951 942 2012 2013 -0.9% Figure 2: Annual volume sales in the UK pharmaceuticals market in 2012 and 2013 (Source – IRI/IMS) In contrast to the pain category, the cough, cold and sore throat category could not escape the impact of a weak season. Wood pointed out, however, that as the data only covered the end of the 2012/2013 season and the start of the 2013/2014 season, the comparison seasonto-season was hampered somewhat. Sales in the category as a whole had dropped by 1.8% to £444 million in the 12 months, Wood said, but this was compared to a very strong cough and cold season at the end of 2012. “December 2012,” Wood explained, “was a particularly spectacular month for cold and flu sales, thanks to a peak in incidence of illness combined with colder weather.” In product category terms, decongestants were the only major product type to post a rise in sales and even then it was only a modest 0.4% jump to £228 million (see Figure 5). This had been driven by the launch of Nurofen Cold and Flu – which contains the decongestant pseudoephedrine combined with ibuprofen – and a strong performance from Johnson & Johnson’s premium-priced Sudafed line. The big fall in cough liquid sales had been Category Sales Change (£ millions) (%) Indigestion remedies 119.5 -0.5 Antidiarrhoeals 49.5 +3.9 Laxatives 48.9 ±0.0 Stomach upset remedies 17.1 -0.3 Infant gastro 9.3 -1.8 IBS* treatments 7.9 +10.9 Travel sickness 6.9 -1.0 259.6 +0.7 Total gastrointestinal * Irritable Bowel Syndrome Figure 3: Breakdown of retail sales in the UK OTC gastrointestinal market in the 12 months ended 28 December 2013 (Source – IRI) driven by retailers rationalising the range that they carried, following a raft of new product development, Wood noted. This was especially true around the mucusrelief area, he said, adding that Johnson & Johnson’s Benylin brand and Stada’s Covonia range had suffered particularly badly. OTC 25 Deals Database...News...News Extras...Briefings... Reports...Events...Useful Contacts Essential Business Development Tools For The OTC Industry The OTCToolbox website gives OTC decision-makers worldwide immediate online access to authoritative business development tools. Our information services – Deals Database, News, News Extras, Briefings, Reports, Events and Useful Contacts – can help you... NEW IDEAS BETTER WAYS How OTC leaders view innovation Deliver the future Think Inside The Box Visit www.OTCToolbox.com ToolboxA4InnovationsAd-080714.indd 1 NEWIDEAS BETTERWAYS NEW IDEAS BETTERWAYS NEWIDEAS INNOVATIONS BETTERWAYS NEW IDEAS NEW IDEAS BETTERWAYS NEWIDEASNEWIDEAS Edition 1,BETTERWAYS July 2014 BETTERWAYS NEW IDEASNEW IDEAS NEWIDEAS NEWIDEASNEWIDEAS NEW IDEAS BETTER WAYS BETTERWAYS BETTERWAYS NEW IDEAS BETTERWAYS How OTC NEWIDEAS leaders BETTERWAYS view innovation NEW IDEAS BETTERWAYS The first-ever edition of our NEWIDEAS quarterly OTC Innovations review BETTERWAYS – NEW IDEAS BETTER WAYS – NEW IDEAS discusses the need for a broad BETTERWAYS innovation strategy in the global non-prescription market, explores NEWIDEAS views on innovation at some of the BETTERWAYS leading global OTC players, and NEW IDEAS looks at approaches to early-stage BETTERWAYS innovation in consumer healthcare. NEWIDEAS BETTERWAYS NEW IDEAS BETTERWAYS NEWIDEAS BETTERWAYS NEW IDEAS BETTERWAYS NEWIDEAS BETTERWAYS NEW IDEAS BETTERWAYS NEWIDEAS Produced by Deborah Wilkes, BETTERWAYS Editor & Publisher of the OTCToolbox website NEW IDEAS www.OTCToolbox.com BETTERWAYS BETTERWAYSBETTERWAYS BETTERWAYSBETTERWAYS NEW IDEASNEW IDEAS BETTERWAYSBETTERWAYS NEWIDEASNEWIDEAS BETTERWAYSBETTERWAYS NEW IDEASNEW IDEAS BETTERWAYSBETTERWAYS NEWIDEASNEWIDEAS BETTERWAYSBETTERWAYS NEW IDEASNEW IDEAS BETTERWAYSBETTERWAYS NEWIDEASNEWIDEAS BETTERWAYSBETTERWAYS NEW IDEASNEW IDEAS BETTERWAYSBETTERWAYS NEWIDEASNEWIDEAS BETTERWAYSBETTERWAYS NEW IDEASNEW IDEAS BETTERWAYSBETTERWAYS NEWIDEASNEWIDEAS BETTERWAYSBETTERWAYS NEW IDEASNEW IDEAS BETTERWAYSBETTERWAYS NEWIDEASNEWIDEAS BETTERWAYSBETTERWAYS NEW IDEASNEW IDEAS BETTERWAYSBETTERWAYS NEWIDEASNEWIDEAS BETTERWAYSBETTERWAYS NEW IDEASNEW IDEAS BETTERWAYSBETTERWAYS New Ideas Better Ways is a new quarterly OTC Innovations review from OTCToolbox, which will keep you informed about news, views, technological developments and innovative products. Edition 1 discusses the need for a broad innovation strategy in the global non-prescription market, explores views on innovation at some of the leading global OTC players, and looks at approaches to early-stage innovation in consumer healthcare. J BL US IS T H ED the past… BETTERWAYS PU Analyse NEW IDEAS 08/07/2014 15:02 OTC15-08-14p24-27_Layout 1 12/08/2014 19:36 Page 4 PEOPLE OTC Manufacturers Nelsons names Hinton as CEO U K-based natural health products firm Nelsons has appointed David Hinton – formerly president of its US business, Nelson Bach USA – as chief executive officer. He replaces Najib Fayad, who has retired after just over seven years at the helm. As head of Nelson Bach USA – which also covers Canada and Latin America – Hinton had expanded distribution of the Rescue range of stress-relief remedies and Nelsons H+Care haemorrhoid cream into mainstream drug outlets, Nelsons pointed out. He had also, Nelsons said, driven the launch of the Pur-Absorb Iron liquid iron supplement into mass-retail channels. Robert Wilson, the company’s chairman, said Hinton’s “experience and successes in the US” made him the “right person to take Nelsons into the new era globally”. Commenting on his new role, Hinton said he was “looking forward” to making Nelsons “more efficient, more innovative and ultimately bigger”. OTC Business Strategy RB starts revolution with R&D investment ■ Continued from front page of stakeholders from other companies, regulators, key opinion leaders and patient groups” to join forces. This would create an environment where people would be “empowered to take ownership of their own everyday health needs”, he added, echoing his keynote speech at the recent meeting of the Association of the European Self-Medication Industry, the AESGP, where he called for OTC medicines to be authorised for non-prescription sale globally as soon as safety, efficacy and appropriate use had been established (OTC bulletin, 16 June 2014, page 1). “I don’t believe, with the growing and ageing population, our healthcare systems will be able to cope with the everyday needs of people,” Kapoor pointed out, “and I think that a regulatory framework that allows people to take care of their own ailments is going to be an important part of RB’s drive to create a revolution in consumer health.” OTC 15 August 2014 OTC bulletin Wholesalers & Retailers Walgreens Boots Alliance appoints leadership team G regory Wasson, chief executive officer of Walgreens, will lead the combined Walgreens/Alliance Boots business once the US drugstore chain’s full takeover of the UK-based wholesaler and retailer is completed. The deal is expected to close in the first quarter of 2015, subject to shareholder and regulatory approvals. Wasson has been named president and chief executive officer of the enlarged business, which will be called Walgreens Boots Alliance and be headquartered in Chicago, US. Meanwhile, Stefano Pessina, currently executive chairman of Alliance Boots, will take on the role of executive vice-chairman with responsibility for strategy as well as mergers and acquisitions. Pessina will also chair a new strategy committee of the board of directors. Walgreens will pay US$9.5 billion (C7.1 billion) to acquire the remaining 55% stake in Alliance Boots it does not already own. The company completed its initial investment in Alliance Boots at the start of August 2012, paying US$6.7 billion in cash and shares for a 45% stake in the privately-owned firm (OTC bulletin, 10 August 2012, page 8). The combined company will also benefit from the joint agreement between Walgreens, Alliance Boots and US pharmaceutical wholesaler AmerisourceBergen, which was signed last year (OTC bulletin, 29 March 2013, page 1). Walgreens Boots Alliance, the two companies noted, would consist of four divisions: Walgreen Co, the largest drugstore chain in the US; Boots, the leading health and beauty retailer in the UK and Ireland; Pharmaceutical Wholesale and International Retail, which would include the Alliance Healthcare wholesaling business; and Global Brands, which would cover Boots brands sold through third parties. Ornella Barra, currently chief executive officer of Alliance Boots’ wholesale business, will take charge of the enlarged company’s Global Wholesale and International Retail operations, while Alex Gourlay – who moved to Walgreens from Alliance Boots last year (OTC bulletin 23 August 2013, page 31) – has been named president of Walgreens. Another Alliance Boots executive, Ken Murphy, managing director of Health & Beauty International and Brands, will take on the role of president of the Global Brands division, with Simon Roberts, currently managing director of Alliance Boots’ Health & Beauty business in the Stefano Pessina (pictured left), and Gregory Wasson (pictured right) UK and Ireland, taking charge of the Boots unit. Other senior appointments include Jeff Berkowitz, who will be president of Pharma and global market access at the combined firm, having served as president of the Walgreens Boots Alliance Development division since the partnership was established in 2012. Tim McLevish, Walgreens’ chief financial officer, will take on the same role in a global capacity at Walgreens Boots Alliance. Positive step for the industry Commenting on the formation of Walgreens Boots Alliance, Pessina said that the “expected creation of the new enterprise” represented a “very positive step for the future of the healthcare industry as a whole”. Wasson explained that a three-year “next chapter” plan for Walgreens Boots Alliance had already been laid out, with the aim of maximising “the scope and scale of the new combined company”. The plan would provide a “differentiated retail experience” that would transform the retail model for health and wellness, while also changing the way women shopped for beauty products, the firms claimed. Furthermore, it would see the combined business develop an “integrated pharmacy and healthcare” offering. This would “advance the role of pharmacists and provide access to innovative services”, they noted, adding that it would also “reinvent the pharmaceutical value chain and deliver a seamless speciality pharmacy model”. With the plan in place, the combined business was expected to generate sales of between US$126 billion and US$130 billion in 2016, Walgreens and Alliance Boots noted. OTC 27 Do you know what your OTC competitors are doing and thinking? OTC bulletin print OTC bulletin-i digital We do… Read all about it in OTC bulletin Written by OTC specialists from an OTC industry perspective The best decision-makers in the OTC industry don’t have the time to go looking for good information. They let it come to them. They subscribe to OTC bulletin. Join thousands of subscribers from competitor companies in over 35 countries who are already benefitting from commercial intelligence about business opportunities in the global non-prescription medicines and dietary supplements markets. 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Take out a subscription TODAY at www.OTC-bulletin.com or contact: subscriptions@OTC-bulletin.com Bulletin Publishing Group, OTC Publications Ltd, 4 Poplar Road, Dorridge, Solihull B93 8DB, UK. (Tel: +44 (0)1564 777550; Fax: +44 (0)1564 777524). Registered in England No: 2765878. VAT No: GB 608 0432 69. OTC Advert.indd 1 10/04/2014 13:40