Market Analysis for Life Science Start-ups Part One: What you need to Get Funding and Plan for the Future Carolyn Siegal Principal, Siegal Consulting carolyn@siegalconsulting.com 626-798-8700 www.siegalconsulting.com MARKET ANALYSIS: A CLEAR UNDERSTANDING OF PRODUCT, COMPETITION AND CUSTOMERS AND HOW TO GET FROM ONE TO THE OTHER If you are….. • Filing an SBIR or similar grant applications • Raising external capital • Building a business plan for internal purposes and decision making 2 www.siegalconsulting.com Market Analysis Overview Defining the target market Market environment Building a winning target product profile Selecting your market segment Product positioning Industry trends Distribution channels Customer profile Competitive activity Pipeline activity Opportunities and barriers to entry Sales and marketing methods Tool kit: Situational market analysis (landscape) Secondary market research SWOT analysis Buying process Gap analysis Features and benefits Cost and reimbursement Buying process Map the future Tool kit: Target Product Profile Primary market research Income forecast Competitive Matrix SWOT analysis www.siegalconsulting.com 3 Market Research for SBIR Proposals Questions from the NSF Phase II Commercialization Plan • What customer needs will be addressed with your product or service? • Describe who your target customer is. Providing generally-known examples may be helpful. • How does the target customer currently meet that need that you are addressing? Is there is a significant problem that is not yet being addressed? • What is the business model you plan to adopt to generate revenue from your innovation? • Is the target market domestic, international or both? • What channels would you employ to reach the targeted customer? • What is the current size of the broad market you plan to enter and the “niche” market opportunity you are addressing? • What are the growth trends for the market and the key trends in the industry that you are planning to target? • What are the barriers to enter this market? 4 www.siegalconsulting.com Defining Your Market Segment Not too big…not too small, just right! www.siegalconsulting.com 5 Finding the Right Level Right Level • Market share is based on unmet needs, competitive attributes, displacement, buying patterns, customers • Ex. Neuromodulation for Urinary Incontinence, 100 thousand patients per year, Product X can capture the 20% of the market that is dissatisfied with Product B • Unit/demand driven High Level • Market $ # is not informative about competitive advantage • Ex. Anti-cancer drug sales were $50 billion in 2009 • Ex. Clinical laboratory analysis for in vitro diagnostic (IVD) testing, $39 billion mark in 2008 • Ex. Relapsed, refractory multiple myeloma, 20 thousand patients based on patients not responding to current 1st line standard of care 6 www.siegalconsulting.com Need vs. Nice to Have • Need • Information that will inform business decisions • That shows your market knowledge, expertise • That dovetails and adds to the knowledge of an expert • “No data before it’s time” • Model is more sophisticated than the product knowledge/stage • Anticipate the pivot • Most early stage companies change direction on the way to market • Priority vs. budget • If you don’t have money DIY!!! www.siegalconsulting.com 7 DIY Market Research Resources Secondary Data • • • • • • • • • • • • • • • • • Clinical literature Scientific literature Trade literature USPTO.gov SEC.gov http://report.nih.gov/ clinicaltrials.gov Competitor websites Suppliers Medical Associations/Guidance documents Trade associations (BIO, AdvaMed, PMC) Patient advocacy groups (American Cancer Society) Government agencies (NIH, CDC, FDA, DARPA) Foundations (Gates, Michael J Fox) Public health (WHO, NICE) Google Wikipedia Primary Data • • • • Customer and expert interviews LinkedIn groups Analyst reports Association lists and online survey resources • Personal network • Suppliers • Conference competitive intelligence www.siegalconsulting.com 8 DIY Starter Kit • • • • • Target Product Profile Market segment landscape analysis SWOT Competitive matrix Buying process Also a great foundation for business plan 9 www.siegalconsulting.com Target Product Profile Product Description/ Mechanism of Action Primary Indication(s) Target Patient Population/ Route of Administration Dosage and Administration Duration of Treatment Success Criteria (efficacy) for modeling purposes only Very successful Successful ( for modeling purposes only) Minimally Successful ( for modeling purposes only) Expected Primary Endpoint (for modeling purposes only) Single Agent Therapy (3rd Line Relapse/refractory ALL, Mantle Cell, Waldenström’s macroglobulinemia,?) A tissue targeted cytotoxic prodrug that is bioreduced to PRODUCT (reduced PRODUCT), a highly potent DNA topoisomerase II inhibitor. Phase Ib Patients with advanced Lymphoid neoplasms. POC in patient with Multiple Myeloma. Phase 1b would be a short run in trial starting on dose level below the phase 1 solid tumor study. Phase II program will be broad based in areas other than MM if Product is successful. These include, ALL, Mantle Cell, Waldenström’s, AML, CLL, DLBCL, Follicular. Most of these would require a randomized phase 3 studies and require at lease 600+ patients. ALL, Mantle, Waldenström’s would require single arm studies but these are small prevalence diseases Patients with DLBCL, Follicular, Mantle, Waldenström’s who have failed front-line and at least one second-line multi-agent regimen with alkylating agents and/or Rituximab. Patients with ALL who have failed at least 1 regimen who are not candidates for BMT. Oral Administered daily (or BID) for 5 days with nine day rest in a 28 day cycle or daily for 5 days for 2 weeks with 12 days rest. Dose to be determined from Phase 1 trial in lymphoid and/or solid malignancy trials. Up to 6-12 months Observed response rate (ORR) of > 50% with RD of > 12 months This is dependent on the indication selected. ORR of 40-50% with RD of 10-12 months ORR of 30% with RD of 7-10 months ORR 0 – 10% efficacy is not supportive of further development as a single agent. Phase I Preliminary Bioavailability Phase II ORR and Duration of Response (need both endpoints for 3rd line approval) www.siegalconsulting.com Combination Therapy (2nd Line in MDS, Mantle, CLL, DLBCL, ?? ) Same Phase Ib MTD, DLT, PK/PD, Safety in combination with Doxorubicin, Rituximab (?), Fludarabine (?), lenalidomide (?) in selected population of Lymphoid neoplam Dependent on indication selected from phase 1 and/or Product development Phase 2 As above in a randomized phase II In combination with chemotherapy or biologic who have failed frontline therapy or after first relapse. Oral Administered daily (or BID) for 5 days with nine day rest in a 28 day cycle or daily for 5 days for 2 weeks with 12 days rest. Dose to be determined from Phase 1b combination trial in lymphoid neoplasm trial. Up to 6-12 months ORR of > 80% with a PFS of > 12 months ORR of 50-60% with a PFS of 10-12 months ORR of 45% with PFS of > 10 months ORR of 0 – 10% efficacy is not supportive of further development in combination. Phase I Phase II ORR and Duration of Response (need both endpoints for 1 st or 2nd line approval) 10 Market Segment - Landscape Analysis • Merges situational analysis and mapping/landscapes • Key market attributes • Epidemiology/demographics • Market behaviors • Trends • Key competitive attributes • Competitive matrix • SWOT of your Target Product Profile • Map products against market attributes • Drivers and hurdles • Validate assumptions from secondary and primary market research www.siegalconsulting.com 11 Market Landscape Analysis Tyrosine Kinase Inhibitors in Acute Myelogenous Leukemia Likely Impact on Standard of Care Low Medium Tipifarnib Phase III High Lestaurtinib Product Phase II Phase I Sorafenib Tandutinib Sunitinib No combination data available for sunitinib, tipifarnib will not directly address flt3 mutant but overall benefit in first line may impact treatment selection FLT3 Other MTKI w/ flt3 Other targeting 10/11/2011 selective www.siegalconsulting.com 12 SWOT • Strategic planning method • Project/Product/Business Venture • Factors that are helpful vs. harmful to achieving business objective • Internal factors • Strengths • Weaknesses • External factors • Opportunities • Threats • A way to summarize hurdles and opportunities in one page • Do before market research to see what you are missing • Do after market research to summarize what you learned www.siegalconsulting.com 13 14 REMICADE – SWOT Analysis Weakness Strengths • Largest number of approved indications, including a pediatric label in Crohn’s disease • REMICADE was the only approved drug for Crohn’s disease and ulcerative colitis for almost 9 years and has an archive of experience across indications. • Infusion once in 8 weeks limits office visits and improves patient convenience. • As it is administered at a hospital/rheumatology clinic, patients usually do not have reimbursement concerns. • Robust data supporting remission with full steroid withdrawal at 1 year for CD; considered gold standard in IBD4 • Chimeric antibody vs. competitor mAbs that are humanized • Black box warning of risk of infections especially tuberculosis • Being an IV infusion drug, patients have to face inconveniences of traveling to an infusion center. • Duration of infusion is long (2 hours) • Mostly reserved for second-line+ in rheumatoid arthritis, psoriasis, and ankylosing spondylitis. Threats Opportunities • REMICADE is the only IV anti-TNF and is thought to offer a faster response than other anti-TNFs • Strong foothold in Crohn’s disease and ulcerative colitis indications with robust patient registry data creates an advantage over other anti-TNFs. • Cannibalization with SIMPONI IV formulation (Phase III)8 • Results from HUMIRA 52-week trial in UC induction & maintenance are pending. If data is positive, HUMIRA could take away share from REMICADE in UC.7 • Abatacept (ORENCIA) has shorter infusion time (30 min vs. 1 hour for REMICADE) and similar efficacy to anti-TNFs. • Due to different MoA, ORENCIA and ACTEMRA are better positioned to target anti-TNF refractory patients. • Novel oral drugs in pipeline (JAK, MAPK, SYK inhibitors) Sources:1Drugs@FDA – REMICADE Label, 2Jeff Stoll “Is the anti-TNF Market Facing a Seismic Shift?, Scientia Advisors, May 12, 2011, 3Jeffrey G Stoll and Uma Yasothan, Rheumatoid Arthritis Market – Nature Review – Drug Disc, Vol 8, Sep, 2008, 694, 4“Anti-TNF Treatments and IBD” University of Manitob, 5“Positioning of REMICADE relative to SIMPONI in leading indication – RA”, PharmaShare, 6“Surveyed Gastroenterologists Indicate That Humira Has Advantages Over Remicade In Maintaining Clinical Remission Of Crohn’s Disease, Decision Resources, Jan 26, 2009, 7Armuzzi, A. & Pugliese, D., “Adalimumab for ulcerative colitis — is the glass half empty or half full?, Nat. Rev. Gastroenterol. Hepatol. 8, 249–251 (2011), ” New Therapies in the Management of Rheumatoid Arthritis”, 8Maya H Buch et al., “New Therapies in the Management of Rheumatoid Arthritis”, Curr Opin Rheumatol. 2011;23(3):245-251 www.siegalconsulting.com Reaction Yield Purity Capacity Processing Speed Scale-up Synthetron™ S3 98% Highest 1.5 Kg/hour Fastest Linear Microreactor 90% Good 5 gram/hour Moderate Parallel Batch 76% Varies Multi-kg/hours Slow est Non-Linear Extrapolation of experimental results to commercial use characteristics www.siegalconsulting.com Additional Requirements No external cooling required Requires cooling & maintaining 0°C Cooling capabilities to 40°C & below Siegal Consulting - Confidential Chemical Synthesizer Competitor Comparison 10/11/2011 Competitive Matrix 15 Buying Process Tailor to your product/your industry 6 stages • Problem recognition • Information search • Evaluation of alternatives • Purchase decision • Purchase • Post-purchase evaluation Validate your assumptions with secondary and primary market research www.siegalconsulting.com 16 Treatment Process: RA RA Patients 1% adult pop, 2.1 million NSAID 75%, 1.2 million MTX 15%, 250 K 30-40% of TNF blocker treated will progress, annual ~40K Non-MTX DMARD or MTX 2nd TNF Blocker www.siegalconsulting.com MTX + + Non-MTX DMARD TNF Blocker Other Biologic www.siegalconsulting.com Under Treatment 75%, 1.6 million Area Target Product Profile, identification of commercial challenges Device to provide visual cues to visually impaired Commercialization Plan, support in- license agreement POC rapid diagnostic test, Q Fever KOL IDS’s to support in-licensing-in-licensing HDAC-inhibitor, oncology, PTCL, Lung cancer Top-line competitive clinical assessment to support venture investment Malignant melanoma Partnering support; non-confidential docs and exhibit prep Antibody library generation Strategic advisor; SBIR companies Antibody discovery and development, Power wheel chair, Lyme disease field inoculation, microneedle transdermal path, Alzheimer therapeutic, cardiac monitoring device, OCT imaging, early detection for Parkinson's, mobile wireless ECG, Oncology research tool based on modified Blactam Pipeline; resource allocation/prioritization Rheumatoid arthritis Out-licensing strategic partner assessment, identification Oncology Pricing analysis and recommendations for Phase 2 product to support outlicensing Oncology Deal comp analysis and recommendations Cardiac output monitor Partner identification for out-licensing Cystic fibrosis Acquisition opportunity vetting Oncology, supportive care Commercial Assessment and Sales Forecast Pre-clinical TNF Blocker Analysis of industry standards for SG&A and Product Marketing to support US sales forecast Japanese Pharma Corporate summary for investor review Lab equipment/process for rapid chemical reaction processing Commercialization plan for SBIR grant application Liposomal formulation , chemotherapy, breast cancer www.siegalconsulting.com Siegal Consulting - Confidential Type 10/11/2011 Consulting Projects 18 Next Session • Working group • Hands-on web time/mentoring • Pick a “Tool” to focus on. 19 www.siegalconsulting.com 20 www.siegalconsulting.com