Pharmaceutical Industry Dynamics that drove the formation & growth of the Competitive Intelligence function Neil Mahoney – President Global Business Management Concepts 126 Clinton Road Fairfield, NJ 07004 973-882-1201 Agenda for Presentation • • • • • • Government Impact on Industry Dynamics Portfolio Planning Impact CI Function and its Operations Role of Internal CI versus Consultants Key Counter Intelligence Concepts Summary and Conclusions Index of CPI versus HCPI from 1962-2001 600 500 400 300 Kefauver Hearings Impact 200 Medicare 1965 100 Nixon Wage & Price Controls Hatch Waxman Act of 1984 EU Created 1993 HMO Acts of 1973,76,78 Prescription Drug User Fee Act 1992 0 -100 Clinton Healthcare Debacle 1992 GATT Update 1995 1962 1974 1984 1992 2001 CPI: Consumer Price Index; HCPI: Healthcare CPI (Rx and Medical Supplies ) Source: Bureau of Labor Statistics Total Drug Development Time from Synthesis to Approval 16 14 12 Approval Phase Clinical Phase Preclinical Phase 14.2 11.6 8.1 8 4 2 1.8 2.1 10 6 2.8 14.2 2.1 5.5 6.3 4.4 2.5 5.1 5.9 6.1 1970's 1980's 1990's 3.2 0 1960's Source: DiMasi, J.A., “New Drug Development in U.S. 1963-1999”, Clinical Pharmacology & Therapeutics 2001. Generic Share of U.S. Rx Unit Market 50% 45% 40% 40% 35% 35% 30% 30% 46% 47% 47% 35% 32% 33% 27% 25% 20% 42% 44% 43% 43% 22% 23% 19% 15% 10% 5% 0% 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 Source: IMS Health 2001 NCE Lifecycle Sales Analysis Average Percent of Peak Sales Potential 96% 100% Hatch Waxman Exclusivity 80% 96% 95% 100% 83% 75% 76% 71% 64% 60% 53% 41% 40% 46% 32% 21% 20% 6% 0% 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Years After Launch Source: IMS (Based on 816 NCE’s launched since 1983) NCE = New Chemical Entity = New Molecular Entity NCE Lifecycle Sales Analysis Average Percent of Peak Sales Potential by Brand and Generic % Share 120% Hatch Waxman Exclusivity 100% 96% 96% 95% 100% 83% 76% 75% 80% 71% 64% 60% 46% 65% 85% 90% 53% 41% 40% 68% 32% 67% 21% 20% 31% 10% 10% 6% 8% 4% 0% 1 2 3 4 5 6 7 Ethical Share 8 9 10 11 12 13 14 15 Generic Share Source: IMS (Based on 816 NCE’s launched since 1983) NCE = New Chemical Entity = New Molecular Entity USA is key to NCE Success % Sales of NCE Launches – 1997-2001 70% 62% 60% 50% 40% 30% 21% 20% 7% 10% Japan ROW 10% 0% USA EU Source: IMS Health, MIDAS Comparison of Average Price Per Rx in 2000 Indexed to 1995 Pricing for NME and IMD 2.50 2.20 2.00 2.26 2.45 1.75 1.50 1.00 1.00 0.50 0.00 Pre 1995 Standard IMD Standard NME NME: New Molecular Entity IMD: Incrementally Modified Drug Sources: Scott-Levin SPA data; Internal analysis Priority IMD Priority NME Field Force Expansions Exemplify Increased Investment Spend to Accelerate Market Penetration 89.5 90 81.6 80 74.9 70 62.9 56.4 60 50 40 48.2 41.6 38.6 36.8 40.6 30 20 10 0 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 Source: Scott-Levin’s Sales Force Trends Industry Tries to Improve Discovery Process • Utilizes new Technologies: - High Throughput Screening - Combinatorial Chemistry - Genomics for Target and Lead Finding • Evaluate Strategic Opportunities - Disease Strategy for Target Areas - Platform Technologies - Target Product Profiles Ethical Pharmaceuticals R&D Expenditures 35 30 30.5 Ex-US US 25.7 6.9 25 5.7 20 15.2 15 3.3 23.6 10 20.0 4.1 5 1.9 0 1.5 1980 0.7 0.4 11.9 3.4 1985 1990 2000 2001 Clinical Development Projects per Phase 24 98 2001 488 1136 714 27 115 2000 453 994 652 35 139 1999 471 914 631 29 121 1998 479 873 562 0 200 400 Phase I Phase II 600 Phase III 800 Filed Sources: Pharmaprojects, UBS Warburg, CDER/FDA 1000 NME Approved 1200 Industry Supplements internal R&D with BD&L/M&A Activity 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% PFE NVS RCH GSK LLY WYE JNJ BMS AVE MRK ABT SGP AZN Licensed 51% 11% 34% 21% 3% 39% 78% 92% 41% 32% 49% 84% 35% Reseach 49% 89% 66% 79% 97% 61% 22% 8% 59% 68% 51% 16% 65% Source: Evaluate, Internal Analysis The Industry Compensates by Shifting Emphasis to Blockbuster Drugs 80% 72% 70% 60% 72% % Top 5 Drugs 65% 55% 53% 50% 40% 53% 53% 46% 38% 36% 34% 32% 30% 20% 10% 0% Sources: Evaluate, IMS Health - Midas 25% The trend for blockbusters is improving Number of products achieving global sales over $500 million 120 110 100 91 75 80 60 44 34 27 60 20 40 20 40 48 57 1998 1999 2000 66 2001 0 500 million -1billion Source: IMS Health: MIDAS, Dec 2001 >1billion But, only a small % of NCEs Become Blockbusters Sales Total Per Annum • • • • • $1.8 Billion or > $920 Million - $1.8 Billion $460 Million - $920 Million $180 Million - $460 Million < $180 Million % Achieving 1.0% 1.0% 2.0% 6.0% 90.0% Average for all Drugs -- $265 Million per Annum Sources: PriceWaterhouse Coopers, SCRIP History of Key Pharmaceutical Mergers 1989 Bristol-Myers Squibb Smithkline Beecham 1992 Marion Merrell Dow 1993 Rhone Poulenc-Rorer 1994 Roche/Syntex Wyeth/Cyanamid 1995 Glaxo Wellcome Pharmacia & Upjohn Hoechst Marion Roussel 1998 Roche/Boehringer Mannheim 2000 Pharmacia/Monsanto Pfizer/Warner-Lambert Glaxo & SmithKline 2003 Pfizer/Pharmacia 1996 Novartis 1999 Aventis AstraZeneca Sanofi-Synthelabo 2001 Abbott/Knoll BMS/Dupont 2004 Sanofi-Aventis Functional Functional Geographic Critical Mass Portfolio Portfolio/ Geographic Functional/ Geographic Pharmaceutical Industry Stratification ($Billions) Pre Cox-2 Issues Market Capitalization 9/04 300 250 Pfizer 200 J&J 150 Novartis 100 50 Lilly Abbott Takeda Wyeth SGP Bayer Roche AZN GSK Sanofi-Aventis Merck BMS 0 0.0 10.0 20.0 30.0 40.0 Pharmaceutical Revenues for 2004 Sources: Lotus-One-Source, Evaluate, Internal Analysis 50.0 Pharmaceutical Industry Stratification ($Billions) Post Cox-2 Issues Market Capitalization 2/05 250 200 J&J Pfizer 150 GSK Novartis Sanofi-Aventis Roche 100 Abbott Lilly 50 Bayer Wyeth SGP AZN BMS Merck 0 0.0 10.0 20.0 30.0 Pharmaceutical Revenues for 2004 40.0 50.0 What are the next set of Gov’t actions? • Medicare adding drug benefit for elderly will put more burden on the Federal budgets and spur Congress to find ways to reduce price of prescriptions • Import of medication from foreign sources where local government dictates pricing will undermine freedom of pricing in the U.S. market Price Pressures will Drive Consolidations in order to Maintain Earning Levels Sales Price Units Sales M&S M&S R&D R&D G&A G&A EBIT EBIT Price Units Price Pressures limits Industry ability to use price for growth Industry continues to consolidate in order to cut infrastructure costs: -Reduce sales reps - Eliminate TA areas in Research -Reduce duplication in support functions Consolidations protects Earnings growth & Capital value Summary Points on Industry Dynamics • Gov’t regulations have changed the industry dynamics requiring it to become more efficient • Gov’t price pressures will increase as Rx drug benefit is expanded and parallel importation rules are relaxed, which will drive more consolidations • These dynamics forced the industry to improve the planning processes Agenda for Presentation • • • • • • Government impact on Industry Dynamics Portfolio Planning Impact CI Function and its Operations Role of Internal CI versus Consultants Key Counter Intelligence Concepts Summary and Conclusions Portfolio Planning Process 1. Perform Environmental Analysis 2. Create a Vision of the Future 3. Conduct Internal Assessment 4. Decide on a Strategic Position 5. Develop Strategy Actions 7. Manage the Planning Process 6. Develop a Plan Planning Process in the 1980’s • Focus was on internal portfolio opportunities • External view emphasized market research data for current competitors (Static View) • A cursory run from PharmaProjects constituted competitive assessment for future environment • A “Plan” was more of a wish list of what management needed to meet growth rates and not what could be accomplished in a changing competitive environment What does Market Research tell you? • The met and unmet needs of the current customers (focus on providers) • The perception of current products • The marketing positioning and differentiation among current products – – – – Pricing Key attributes Promotion program Detailing support This Static View was inadequate for Impactful Portfolio Planning • It failed to predict changes in the market place due to: – – – – New technologies Process improvements by competitors New competitive segments (Generics, Biotech) Managed Care impact on segmentation of market • Which resulted in misallocation of resources for optimizing portfolio Changes to Improve Planning Process • Evaluate Strategic Opportunities - Disease Strategy for Target Areas - Platform Technologies - Target Product Profiles • More analysis on pipeline developments (ethical, biotech and generic segment) to determine impact on internal development portfolio Management Recognized Need for Better Insights on Competitors Activities • Thus, CI units began to emerge in different functions within organizations to address the competitive issues that had blindsided them • CI functions required broader skill sets than Market Research departments since the scope encompassed responsibilities and issues across the business chain, including processes as well as product issues CI supports Portfolio Management Competitive Intelligence supports optimization of future portfolio 1. Perform Environmental Analysis 2. Create a Vision of the Future 3. Conduct Internal Assessment - Monitor competitor activity at tactical/product level to ensure no major impact on environmental view 4. Decide on a Strategic Position 5. Develop Strategy Actions 6. Develop a Plan 7. Manage the Planning Process – CI tracks competitor activity to ensure achievement of plan objectives Strategic and Operational Levels Strategic Level Support Senior Management Investor Relations Corporate Planning - M&A Evaluations Wall Street Monitoring Divisional Challenges Operational Level Support Licensing Development Marketing - Product Evaluations Clinical Tracking Market Dynamics Goal for CI Functions • CI ultimate goal is to serve as backbone of portfolio and operational planning process • Tactical collection of competitive processes and product developments should result in projections of future competitive environment • This allows management to allocate resources to win or hold market share in the future environment and maximize return on investments Agenda for Presentation • • • • • • Government impact on Industry Dynamics Portfolio Planning Impact CI Function and its Operations Role of Internal CI versus Consultants Key Counter Intelligence Concepts Summary and Conclusions What is Competitive Intelligence? • Competitive Intelligence is a process that gathers and analyses information from various sources on specific business issues to develop insights that management can use in decision making • Competitive Intelligence improves various aspects of the planning process including product positioning, sales forecasting, and resource allocation to enhance portfolio optimization, thus improving financial performance CI has various mandates • Benchmarking Across Competitors – Comparison across group of competitors • Company Level Analysis – Portfolio view of key competitors • Functional Issues – Explore process, system, or structure • Product Level Support – Licensing evaluations – Competitive pipeline tracking – Promotional support or message changes CI needs and focus varies across the business chain Research Licensing Development Tech Ops Disease Analysis Platforms Technologies Targets Clinical Endpoints Potential Claims Time to Market Clinical Issues Potential Products Mechanism of Action Company Reviews Competitive Bidders Marketing LCM Phase III & IV Market Dynamics Environment Bulk Sources Cost Analyses Technical Assessments New Formulations Patents Regulatory issues Generic Launches CI Work Process Model Databases R&D - Private ADIS R&D Insight R&D Focus IDdb3 Pharmaprojects Decision Resources – DB4 Product/Company Investment Reports SEC Reports IMS Audits Promotional Audits Internet Publications ClinicalTrials Disease Advocates Internal Human Collection Summarize Analyze Recommend External Human Collection Dissemination Summary Reports Detailed Reports Product Evaluations Alerts Three Levels of Databases Private R&D Databases Several vendors gather information from publications, congresses, press releases, R&D days, and patent filings to reflect pipeline developments in Pharma and Biotech industries. Private Commercial Databases Several vendors gather information from surveys and audits on such items as revenues, units, prescriptions, sales forces, product detailing, promotional spending, CME, and journals. Agencies sell analyst reports and other published data. Public Databases Government agencies, industry groups, patient advocacy groups, individuals, special interest groups, university sites, and medical sites offer multiple opportunities to gather information. Uses of Various Databases • R&D databases establishes framework of players in area, some insights on progress and positioning, possibly hospitals and physicians involved • Private commercial databases provides insights into portfolio developments and promotional support levels and priorities • Public databases give insight into portfolio, possible trial locations, physicians involved, and provides leads for primary interviewing Review of Private R&D Databases Start Date Updates Records ADIS R&D Insight ADIS Int’l 1986 Weekly 7,182 IDdb3 Current Drugs 1991 Daily 17,500 IMS R&D Focus IMS Health 1991 Weekly 13,600 NDA Pipeline F-D-C Reports 1990 Monthly 14,589 Pharmaproject PJB Publications 1980 Weekly 20,090 Database Publisher Note: Record totals are from January 2002, except IDdb3 from 2001 Key R&D Database Features • • • • • • • • • Drug name Trade name Originator Licensee/licensor Patent Assignee CAS Registry Number Laboratory Code Pharmacological Action Therapeutic Class • • • • • • • • • Clinical indications Nomenclature Molecular formula Development status Development history Abstracts Text Chemical structure Chemical name Private R&D Databases Issues • • • • Various databases rarely agree on current development status of a particular compound Data is usually 6-18 months old as it is collected from public forums, most of which require submission and review months in advance Lack specific facts or insights desired by management related to a competitor’s drug Phase IV trials rarely identified Private Commercial Databases Issues • • • Many managers define the commercial databases as “competitive intelligence” and this is their view of the function While there is valuable insights available from this data, it is retroactive data and it does not address all issues (promotional messages, Phase IV activity, etc) that may impact the future promotion of a product It is of value when combined with primary CI to give a full picture of product support Value of Internal Human Collection • Taps into expertise of internal associates to confirm database and external human collection inputs • Captures internal experts information picked up in the course of working in a therapeutic area from attending meetings, congresses, interacting with personnel from other pharmaceutical companies, and from interactions with external vendors Value of External Human Collection • Primary collection captures more current information and potentially gives more relevant insight to specific company issues or hypotheses • Various inputs across a large interview audience helps build the CI analyst’s base for projecting the competitive situation Sources for External Human Collection • • • • • • • • • • Clinical Development: Physicians & Staff Thought Leaders Vendors and Suppliers Functional Experts Ex-employees Special Interest Groups Industry Organizations Supply Chain (Wholesalers, Retailers, MCOs) Wall Street Analysts Publications Key Collection Opportunities • Congresses – Collection of knowledgeable experts and company personnel in one location – Posters have lots of valuable data and insights into trail progress and potential product positioning – Company presentations are trying to build awareness of new product with physician community • Company Presentations – R&D days – Wall Street meetings – Industry meetings Landscape Sweep by Franchise Clinical Development Pipelines •Competitive Products in Phase II/III/IV •Product Profile •Protocol Design •Progress Update •Trial Issues •Side Effects •Potential Impact Marketing And Sales Activities •Therapeutic Overview •Product Ranking •Product Growth •Promotion Support •Detailing Levels •DTC •Symposia •Physician CME Events •Field pay and incentives Generic Activities •Patents Evaluation •Exclusivity Status •API Status •Generic Formulations •Open Issues •Generic Launch Timing •Franchise Mgt Plan by Brand company Landscape Sweep Sources • Secondary data sources – – – – R&D: Adis, IDdb3, R&D Focus, Prous, Centerwatch M&S: IMS, Verispan, PDDA, Scott Levin Generic: Orange Book, Patent Filings, Paragraph IV Publications • Primary interviews – R&D: KOLs, Clinical Investigators, CROs – M&S: Physicians, Pharmacy Directors, MCO – Generic: API producers, import/export agents Summary of CI Process • It takes various sources to build the story around a competitor’s product • No one source usually gives the entire story, but enough pieces and an experienced CI expert can provide excellent projections of a company’s product or franchise strategy • Thus, CI function has a monumental task of collecting from numerous sources in an ethical manner to draw conclusions about the future, often for numerous products and issues Agenda for Presentation • • • • • • Government impact on Industry Dynamics Portfolio Planning Impact CI Function and its Operations Role of Internal CI versus Consultants Key Counter Intelligence Concepts Summary and Conclusions Role of Internal CI Group • • • • • • Establish CI role and customer base Create CI processes and procedures Provide planning support to operational people for portfolio planning Identify and prioritize “Key Intelligence Topics” (KITs) Manage and allocate CI investments Enhance and improve the CI process Role of Consultants • • • • • Supply manpower to supplement internal CI group to handle workload on timely basis Provide expertise and contacts to support internal CI projects Provide objective view free of internal politics and influence Serve as anonymous collector of CI for client so as not to reveal interest in area Ensure focus on key issues as needed CI decides on use of Consultants • Internal CI group decides on utilization of consultants – – – • Supplement manpower Play a specific role Partner in CI effort Internal CI has more access to private databases and must decide on how much to share or provide information to consultants Agenda for Presentation • • • • • • Government impact on Industry Dynamics Portfolio Planning Impact CI Function and its Operations Role of Internal CI associates and Consultants Key Counter Intelligence Concepts Summary and Conclusions There are different levels of exposures Legal Questions at R&D day Questions on Wall Street Questions at Congresses Physician interviews Industry Meetings Patent filings CMPM Minutes Web Sites Press Releases Gov’t Reporting Illegal Hacking into systems Breaking into buildings Stealing documents Bribing employees Bugging meeting rooms Breaking into hotels Stealing documents Intercepting faxes Planting a mole What are the initial steps to defend yourself? 1. Identify critical information that needs to be protected 2. Analyze the threat of competitor obtaining this critical information 3. Analyze the vulnerabilities in the organization that a competitor can exploit 4. Assess the risk of a competitor utilizing an approach to exploit the vulnerability 5. Apply appropriate countermeasures Why identify critical information? • • • A job done everyday becomes mundane Thus, the person working on it no longer understands that this is proprietary So by identifying it as critical and stressing this to the individuals involved, the awareness is raised back to the correct level of importance Where do leak happen? • • • • • • • Congresses where scientists or physicians are presenting on a compound Physicians working on your trials Suppliers Vendors Industry Meetings Field Forces Investment Analysts Selling the company’s potential and meeting reporting requirements can’t be stopped • • • Congresses where the company is trying to build excitement about its pipeline and build momentum with physicians Investment Analysts receive a lot of guidance and have access to senior management to encourage investment in the firm’s stock SEC reporting is required by government agencies But some sort of balance is needed! Selling and Promoting Protecting your strategies TIMING IS THE KEY!!! Misinformation can be dangerous • • Misinformation can be illegal if it misleads investors SEC filed fraud case against Germany’s E.On AG (holding company) when it issued false statements in Germany since it also had stock on U.S. exchange What are some things you can do? • • • • • • Form multidisciplinary watch committees Assign responsibility for handling suspicious phone calls and surveys Limit access to sensitive information Mark and control documents Limit what employees carry on trips Assume all international fax, phone and emails are intercepted Keep Awareness High • Regular communications on subject – – • • Training courses Email updates (Pfizer has cartoons to emphasize key points sent out weekly) Annual renewal of employee confidentiality agreements by having each employee sign a new form Include in staff meetings to discuss any suspicious activity or level of balance needed Points to Remember • • You can’t protect everything You can’t protect anything forever BUT • • • Never make it easy! Never make it cheap! Don’t just give it away! Agenda for Presentation • • • • • • • Government impact on Industry Dynamics Portfolio Planning Impact CI Function and its Operations Role of Novartis Industry Research (CI) Group Role of Consultants Key Counter Intelligence Concepts Summary and Conclusions CI Creates the Future View • Projecting how competitive pipeline products are progressing in the clinics and what the expected positioning will be once it hits the market • Determining the status of generic threats against the portfolio • Handling special projects across all functions when it involves investigating competitors activities Thus, the CI Focus is not on Customers • • • • • • • Clinical Developmental Physicians and Staff Thought Leaders Vendors and Suppliers Functional Experts Ex-employees Special Interest Groups Industry Organizations Goal for CI Functions • CI ultimate goal should be to serve as backbone of strategic and operational planning process • Tactical collection of competitive processes and product developments should result in projections of future competitive environment • This process allows management to better allocate resources and maximize return on investments Summary of CI Role • The CI function was created to improve the planning cycle by collecting detailed competitive information to project future environments • Most CI departments started within a functional area supported by local management • The challenge is to expand and integrate the CI function across the organization Thank You ….. Q&A