The world leader in serving science
Tom Sellig
Senior VP, Global Sales
Nov. 12, 2017
New Business Models for Pharma & CDMO’s
22 |
• CDMO Industry Defined
• Key Trends and Implications
• Impact of Mergers & Acquisitions
• New Business Models
• Pharma Market Trends and Implications
• Executive Research Results
• Surviving Inaccurate Forecasts
• Delivering Flexible & Complex Manufacturing Solution
• The Condominium Model
• Summary
Agenda
33 |
CDMO Services Overview
Contract Development & Manufacturing Organization (CDMO) Services
Development Services Finished Dosage FormsAPIs
• Form of tablets, capsules, powders and pills
• Most popular dosage form due to ease of production and usage
Liquid & Semi-solid • Semi-solid preparation (e.g., delivered in form of ointments, creams, pastes, gels, etc.)
Injectable • Liquid preparation in the form of injections, vials and intravenous solutions
Chemical • Small molecules produced in a process of chemical synthesis
Microbials • APIs produced by microbial fermentation; microbes include bacteria and yeast
New technologies • New technologies for emerging therapies, including bioconjugates, cell therapy, and viral therapy
Mammalian • APIs manufactured using mammalian cell lines (e.g., derived from hamster ovaries)
• Pre-formulation and formulation development services
• Analytical testing services
• Regulatory consulting service
• Clinical trial packaging and distribution
Biologic APIs
CDMO services is a $40B segment growing 5 to 7%
Solid
Softgel • Consist of a gelatin based shell surrounding a liquid fill
44 |
CDMO Segment Overview
Pharmaceutical Development
Services
API Manufacturing
Finished Dosage Forms
Chemical(Small Molecule)
Biologics(Large Molecule)
Description
Process development: advanced
formulation and production from
research to clinical / pilot scale
Development and manufacturing of APIs
under current Good Manufacturing
Practices (cGMP)
Commercial scale
manufacturing of small
molecule and biologic drugs
Addressable
Segment Size$2B $20B $4B $15B
Long-term Segment
Growth Rate7 to 8% 6 to 8% 10 to 11% 3 to 4%
55 |
Key trends and strategies - Emerging CMO segmentation
Global Innovators Niche Specialists Capacity-Driven
Revenues $500+ M $100+ M $10-1000 M
Market scope Global (US, EU, Japan) Home region,
some global spillover
Home region
Strategy High value, complex products;
innovative business models
New delivery of late lifecycle
and generic drugs
Fill commodity capacity
Pharmaceutics
capabilities
Broad development tool box,
range of primary dose forms,
preformulation
Specialized formulation and
delivery
Tech transfer and simple
formulation
Regulatory
capabilities
Global registrations and
QA
Global registrations and QA Regional registrations and
QA
Approvals/ portfolio NMEs, new forms
Few generics
New forms, generics, a few
NMEs
Generics, OTC
Examples Patheon
Catalent
Vetter
Fareva
Unither
Lohmann
Famar
Delpharm
Bushu
77 |
CDMO Services Select PlayersPharmaceutical
Development
Services
API ManufacturingFinished Dosage
FormsChemical(Small Molecule)
Biologics(Large Molecule)
( )
( )
A HEALTHIER WORLD. DELIVERED A HEALTHIER WORLD. DELIVERED A HEALTHIER WORLD. DELIVERED A HEALTHIER WORLD. DELIVERED
( )
88 |
CDMO Segment Growth Drivers (1/2)
R&D / Technology Demographics
• Growth of new drugs in development (5% long term historical growth rate)
• Growth of companies with active drug pipelines (7% long term historical growth rate)
• 4,000+ small molecule drugs in trials with increasing demand for HPAPI and complex formulations
• Innovation in dosage forms and delivery methods (e.g., injectables)
• Growth in elderly population with an estimated 1B 60+ year-old people expected to drive $1 trillion in prescription drug sales by 2021
• Continued expansion of middle class and insured population globally
• Increasing incidence of chronic disease
Underlying Drug Demand
Strong fundamentals to support future growth
99 |
CDMO Segment Growth Drivers (2/2)
Demand for Outsourcing
•Smaller biopharma companies developing greater share of new drugs and lack in-house capabilities
•Heightened regulatory burdens requiring expertise to navigate through approval
•Preference for end-to-end solutions, flexibility, and scalability offered by larger CDMOs
• Increasing complexity in biomanufacturing
• Increasing uptake of biologics coupled with near-to-medium term capacity constraints
Strong fundamentals to support future growth
1010 |
Biologics Impact
0
100
200
300
400
500
600
700
Advanced Therapies Monoclonal Antibodies
Nu
mb
er
of
Pip
eli
ne
Ca
nd
ida
tes
Biologics Pipeline
Phase 3
Phase 2
Phase 1
Biologics approaching 50% of pipeline
Many small molecule candidates are
injectable
Advanced therapies challenge legacy
biologics and injectable CMO capacity
New manufacturing technologies
Small batch sizes
Many autologous products
Advanced Therapies=Gene and cell therapy, cancer vaccines
Source: GlobalData Pharma Intelligence Center
1111 |
Outsourced FDA approvals 2012 - 2017
39
28
4148
2733
48
52
58
69
71
35
0
20
40
60
80
100
120
140
2012 2013 2014 2015 2016 2017 - 6months
NDA/BLA Approvals 2012-2017
NME Non-NME
15 16
2 1
13
19
0
5
10
15
20
25
30
35
40
NME Non-NME
Nu
mb
er
of
Ap
pro
va
ls
Dose Manufacturing of 2017 NDA/BLA Approvals
Through July
In-house Only
In & Out
Outsourced Only
57%
Out
47%
Out
Source: PharmSource STRATEGIC ADVANTAGE
1212 |
Outsourced Dosage Form Approvals
Patheon14
Vetter9
Baxter4
Pfizer3Recipharm
2
BI2
Single11
Outsourced Injectable NME Approvals 2012-2017
Patheon30
Catalent12
Fareva3
Aenova3
PCI3
Singles10
Outsourced Solid Dose NME Approvals 2012-2017
Source: PharmSource STRATEGIC ADVANTAGE
1313 |
M&A re-shaping CMC services industry
0 10 20 30 40
Multi-service
Packaging
Analytical/Formulation
BioAPI
Small API
Dose
CMC Acquisitions 2014-2017
1515 |
Demand forecasts influence manufacturing decisions for new product
launches more than all other factors.
Managing the more predictable manufacturing variables is imperative for building a strong
foundation for accurate forecasting.
Some of the more
predictable
variables in
demand forecasting
for new product
launches include:
“The manufacturing cost incurred during the whole process is the most predictable one and one
can expect to have the least amount of variance here. But as you know, it’s a very complex thing
and we don’t have sole control over it, so sometimes it becomes uncontrollable.”
–Assoc Director, Global Business Development, Large Pharma Co, US
Ingredients & raw
materials costs
Manufacturing
costs
Pricing structure
of the product
Formulation
process
1616 |
Reimbursement
rates are another
variable that is
difficult to forecast.
Actual market demand is challenging to predict and incorporate into a
new product’s demand forecast.
Market uptake and competitor strategies are highly volatile.
“You’d expect a certain type of doctor to use a product,
but you find out in the end that doctors don’t want to
prescribe it because they’re committed to using the
alternate drug. We launched an injectable that replaces
surgery. Upon launch, we found that the surgeons didn’t
want a simple, 15-minute procedure when they were
trained all their lives as surgeons - they wanted to do
surgery. Companies can do a lot of research, but sometimes there’s an unknown.”
–Sr Director of API Manufacturing, Mid-Size Pharma Co, US
Market UptakeCompetitorStrategies
In order to realistically predict market share for a new
product, companies must be cognizant of not only the
willingness of the market to adopt the product, but
also of what their competitors are doing
Physicians and consumers can respond to new
product launches in different ways that can be
difficult to predict, especially because of the lack of
structure in today’s variable pricing
ReimbursementRates
1717 |
Pharma Market Trends and Implications
Pharmaceutical
companies
worldwide
are under
tremendous
pressure
to reduce the cost of drugs
Regulators
Legislators
Payers
Patients
Achieving accurate demand forecasts is extremely
challenging, especially for new drug launches.
Over 60% of drug
forecasts over- or
underestimate peak
revenues by more
than 40% of actual
peak revenues
A
substantial
number of
forecasts
over-
estimate by
more than
160% of the
actual peak
revenues of
the product
Forecast
Actual
Forecast
Actual
Fore-
cast
Each new drug’s success is susceptible to variations in the
external environment, the uncertainty of drug development,
and the unpredictable actions of competitors
About two-
thirds of new
drugs fail
to meet
pre-launch consensus
expectations
for their first year on the
market
1818 |
Implications of Forecast Uncertainty
Incorrect forecasts have serious consequences for
both operational efficiency and the bottom line.
It is estimated
that a delay in
launch costs an
average of $15
million per drug,
per day
When a
company is unable to
meet demand, the
lack of inventory can
result in…
loss of
sales
product
risk
overworked
employees
Overestimating
demand forces
manufacturers to
mark down the
price of the product
which can, in
some cases, lead to
plant closures and
employee layoffs
$15M per day
Co
sts
Inaccuracies in
demand
forecasting
increases in
complex manufac-
turing processes
combined
with
are driving a
need for more
choices in
manufacturing
solutions
1919 |
Yesterday’s approach no longer fits the new drug development landscape
30 - 40%
On new
indication for
rare or
orphan
diseases
60-90%
Of all new
compounds entering
development will
need specialized
manufacturing
High-volume, Uniform
Manufacturing Needs
TIME
PAST
Generic Generic
New Blockbuster New Blockbuster New Blockbuster
New BlockbusterNew BlockbusterNew Blockbuster
Generic GenericBiosimilar
Generic Generic Biosimilar
New Blockbuster New Blockbuster New Blockbuster
New Blockbuster New Blockbuster New Blockbuster
2014
Rare
Smaller Volumes,
Novel Manufacturing
approaches
EKG monitor
watch
EEG headset Orphan Niche Niche
2020 |
Choosing the right partner is more crucial than ever
COST TO DEVELOP
$1.188
B
2010
$1.576
B
2015
33%
SALES
$816M
2010
$416M
2015
50%
Are you certain your partner can overcome today’s barriers?
TECHNOLOGY
TRANSFER
REGULATORY MANUFACTURING
CHALLENGES
SIMPLIFYING
THE SUPPLY
CHAIN
Trends in costs and returns are upside down
2121 |
Flexible Manufacturing Business Models Deliver Value
TRADITIONAL MODEL
DEDICATED FACILITY
FRACTIONAL OWNERSHIP
GLOBAL NETWORK ACCESS
CONDOMINIUM
Fixed capacity
Flexibility in dose
form, manufacturing
process design,
continuous
manufacturing
options, etc.
Single facility for
one client total
flexibility around
capacity and use.
Suitable for multi-
product launches.
Can mix portfolio
within change part
range.
Single facility built for
2-3 clients. Flexible
capacity within defined
bands. Suitable for
clients with single or
double product launches.
Can mix product portfolio
within change part range.
Full access to capacity
within an agreed upon
notice. Ideal for clients with
uncertain manufacturing
schedules and market
demands. Facilities
pre-exist in
global network.
New facility designed
specifically to client
needs. Ideal for complex
formulations or
challenging delivery
systems. Manufacturing
runway from development
to commercial.
ENTERPRISE
For companies that own
facilities in need of
operational improvements.
Patheon can manage
these facilities while
allowing companies
to focus on their
core competencies.
2222 |
Dedicated Capacity Model
DEMAND
TIME
MANUFACTURE AS NEEDED
?QUANTITIES NEEDED
OVER 12 MONTHS? ?
PRODUCTS
PRODUCED
FACILITY
MIXABLE
PORTFOLIO
COMPLIMENTARY TO
CLIENT NETOWRK
2323 |
Fractional Ownership Model
MIXABLE
PORTFOLIO
COMPLIMENTARY T
O CLIENT NETOWRK
UNCERTAIN
QUANTITIES NEEDED
18 MONTHS
FACILITY
SECTIONS ALLOTTED
OTHER CLIENTS
DEMAND
TIME
Flexibility
2424 |
Global Network Access Model
TOTAL
PATHEON
CAPACITY
I WILL NEED THIS CAPACITY
SOMETIME SOON
RESERVED FOR YOU
APPROVAL
2525 |
Enterprise Solutions
DEMAND
TIME
MANUFACTURE AS NEEDED
?OPTIMIZE OPERATIONS
OR CLOSE FACILITIES?? ?
UNDERUTILIZED
CLIENT FACILITIES
CLIENT OWNED
FACILITIES
CLIENT FOCUSES ON
CORE COMPETENCIES
INSTEAD OF
MANUFACTURING
OPERATIONS
OPTIMIZE OPERATIONS
REFACTOR NEW LINES
CLOSE LINES
2626 |
Condominium Model
DEVELOPMENT COMMERCIAL
REQUIRES UNIQUE
PROCESS
FACILITY
SECTIONS ALLOTTED
DEMAND
TIME
FLEX PURCHASE
WITHIN BAND
2828 |
The Condominium Model
To focus on specialty products in dedicated suites in partnership with our clients, the
approach differs from the conventional CMO offering at Patheon to one known as the
CONDOMINIUM MODEL:
• Fully serviced GMP tailored facilities
• Management of novel dosage forms in conjunction with clients
• Facility design and build expertise
• Extensive complex Technology Transfer experience
• Global expert support
• Welcoming client ‘person in plant’ operation
2929 |
Possible Condo Business Models to Suit Your Strategy
• Flexible business models to match Client clinical and commercialization plans
Dedicated: Client to pay for the facility design and construction and then utilizes as
needed to meet its needs. Patheon operates and staffs the unit and supplies
product. Annual minimum revenues would be needed to support the facility
Multi-client: Client to pay for the facility and either license others or grant Patheon
license to produce products. Clients would pay a license or usage fee to Client in
addition to normal CMO charges. CMO revenues offset the minimum overall
suite revenues.
3030 |
Staged Approach to Investment / Deal
Four distinct phases:
• Construction: Suite construction, equipment ordering and IQ,OQ, PQ
• Capital and project management fees. Limited suite revenue expectations. Some dedicated resource
staffing to be covered.
• Development and Registration: Suite operation at low usage and staffing to transfer projects,
optimize, file and wait for approval
• Interim level suite fees aligned to staffing and usage. Growth of dedicated resources toward approval
• Commercial: Product validation and launch. Commercial supply and ongoing pipeline
management.
• Full suite fees apply and full staffing for microsphere suite
• Traditional CMO project development and commercial revenues for non dedicated downstream processing
• Termination: End of term or project failure. Removal of equipment
• Return suite to normal use and capability. Return all IP and dedicated equipment
3131 |
Does your CDMO offer all that you need?
Truly flexible
business
models
Unmatched
technical
capabilities
Proven excellence in technology
transferGlobal network of
locationsIndustry-leading client services
organization
3232 |
• The number of products outsourced are growing in Development, Clinical Supply and
Commercial Manufacturing
• The complexities of molecules & the technical requirement is increasing e.g. biologics,
advanced delivery systems, unique technologies, etc.
• CDMO’s play a much larger role in supporting CMC requirement among licensing deals
between small, emerging companies and medium sized to Big Pharma
• Inaccuracies in demand forecasting of commercial products along with complex
manufacturing processes are driving a need for more choices in new business models.
• We strongly believe that the demand for innovative business models and flexible
manufacturing solutions such as Condominium models will increase
Summary
3535 |
Independent Research Results
Demand Forecast
Manufacturing Costs
Reimbursement Rates
Market Demand
Competitor Products
Raw Materials Costs
Supply of API
* Research completed by ORC International, March 2016
3636 |
Independent Research Results
The majority of companies recognize a significant
need to improve demand forecasts – they are
looking to third parties for assistance and establishing
secondary production lines as a back-up.
Almost all companies are more likely to outsource
if there is a high degree of forecast uncertainty.
The majority of companies indicated that they are
very likely to consider at least one of the new outsourced manufacturing
models, including dedicated capacity, fractional ownership, condo model,
and network options.
* Research completed by ORC International, March 2016