PHARMA GSBD Full and Final

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    OPPORTUNITY FOR

    PHARMACEUTICALOUTSOURCING

    IN INDIA

    GROUP 3

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    GROUP MEMBERS

    AVELINE PERIS

    HARINI SUGANDH AGARWAL

    PRANAV PRAKASH

    KETAKI JADHAV

    HENAL PACNMATIYA

    VISHAKHA VERMA

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    CONTENTS

    Industry overview

    Indian Scenario

    Leading Companies in India which export

    Growth potential

    Reforms/Policies

    Advantages

    Challenges Recommendations

    Comparison with IT/BPO

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    PHARMACEUTICAL INDUSTRY

    TRENDS- GLOBAL SCENARIO Projected of the global pharmaceutical market in 2010 , 4 - 6%

    exceeding $825 billion.

    The global pharmaceutical market sales expected grow th at a

    4 7% CAGR through 2013.

    Global pharmaceutical market value is expected to expand to

    $975+ billion by 2013

    Growth driven by stronger near-term growth in the US market

    and is based on the global macro economy, the changing

    combination of innovative and mature products apart from the

    rising influence of healthcare access and funding on market

    demand.

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    OUTSOURCING

    Used more strategically as a part of business

    strategy.

    Drug discovery till manufacturing of the products

    Pharmaceutical firms have long outsourced

    functions such as manufacturing, packaging,

    clinical trials and sales force mobilization.

    Biotechnology companies

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    WHY PHARMA COMPANIES

    OUTSOURCE

    Cost benefit advantage

    Faster and cheaper

    Improve manufacturing efficiencies

    Reduce excess production capacity by divesting

    facilities

    Divert resources to focus on other competencies to establish consistency and efficiency across

    international networks

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    LEADING SERVICE PROVIDERSFUNCTIONS SERVICE PROVIDERS

    Drug Discovery/Medicinal Chemistry Aurigene, Divi's Laboratories,Syngene, Suven Lifesciences, GVKBio

    Pre-clinicals Vimta Labs, Lambda TherapeuticResearch, Lotus Labs

    Central Lab Services SRL Ranbaxy, Vimta Labs

    Clinical Research Quintiles, Syngene, Chembiotek,Aurigene, Synchron, Reliance,Covance, Parexel

    Manufacturing & Formulations Jubilant Organosys (speciality chemicals/bulk drugs), ShasunChemicals (Custom Synthesis),Medreich, Elder, Divi'sLaboratories

    Bio-informatics and other IT services Strand Genomics, TCS, Satyam,

    Infosys, GVK Bio, Ocimum, JubilantBiosys

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    INDIAN PHARMACEUTICAL INDUSTRY

    Estimated worth $ 4.5 billion- growth at 8-9%

    India's bio-tech industry at 17% growth with

    revenues of Rs 137 Billion Second largest in world in terms of volume

    Ranks 14th in terms of value at over Rs 1 lakh crore

    Growth is fuelled by exports, increased 25% in 2008-

    09

    Highly organized sector

    Meets around 70% of domestic needs

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    INDIAN PHARMACEUTICAL INDUSTRY

    Produces almost every type of medicines

    De-licensing of the pharma industry

    Low costs of production and R&D

    Exports drug, intermediaries, active

    pharmaceutical ingredients, finished dosage

    formulations, bio-pharmaceuticals and clinicalservices.

    Top five destinations for such exports are USA,

    Germany , Russia, UK and China.

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    INDIAINDIA {{ GRADUALLY BUILDING AGRADUALLY BUILDING A

    TRACK RECORDTRACK RECORD

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    INDIAN PHARMACEUTICAL EVOLUTION

    Phase II

    Government Control

    Indian Patent Act 1970

    Drug prices capped

    Local companies begin

    to make an impact

    Phase III

    Development Phase

    Process

    development

    Production

    infrastructure

    creation

    Export initiatives

    Phase IV

    Growth Phase

    Rapid expansion of

    domestic market

    International market

    development

    Research orientation

    Phase V

    Innovation and Research

    New IP law

    Discovery Research

    Convergence

    1970 1980 1990 2000 2010

    Phase I

    Early Years

    Market sharedomination byforeign companies

    Relative absenceof organizedIndian companies

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    MOVING UP THE VALUE CHAIN

    Specialty

    Products

    Innovative

    Products

    TIME

    Generic exports

    to under-developed &

    developing

    countries

    Generic

    exports to

    developedcountries

    API

    Exports

    VALUE

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    WHY INDIA NOW?

    Export procedures simplified

    No import duty

    Drug laws amended to permit global studies

    Patent act amended; IPR in place

    Untapped patient population

    GCP compliant IRBs

    GCP guidelines ICH compliant Start up time reduced to 8-12 weeks

    CAP certified central labs

    13

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    ADVANTAGE INDIA Competent workforce , Large skill base and Vast talent pool

    Unmatched Cost Competitiveness

    Cost-effective chemical synthesis

    Legal & Financial Framework Information & Technology

    Globalisation

    Consolidation

    Strong Local Industry

    Speed

    Availability Of Capital

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    WHY OUTSOURCING INDIA? Greatest potential for cost saving

    Regulatory Compliance

    Good Service and On time delivery

    Govt. policies favoring R & D

    Growth in health insurance sector

    Biggest market with vast potential

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    OUTSOURCING

    OPPORTUNITIES

    INDIA

    BULK DRUGS &FORMULATIONS

    MANUFCATURING CONTRACTMARKETING AND

    SALES

    INTERNATIONAL

    CLINICALTRIALS

    TECHNICALSERVICES

    HERBALSNEUTRACEUTICALS

    BIOINFORMATICSBIOSTATISTICS

    SOFTWAREDEVELOPMENT

    PRIMARYPACKAGINGMATERIALS

    PLANT MACHINERYAND PHARMAEQUIPMENT

    CONTRACT

    R & D

    MEDICINAL

    CHEMISTRY

    OUTSOURCING OPPORTUNITIES IN INDIA

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    MNC PHARMA COMPANIES

    BRISTOL

    MYERS

    SQUIBB

    ROCHE MERCK

    WYETH

    ELI LILLYNOVARTI

    S

    AVENTIS

    PFIZER

    ASTRA

    ZENECA

    GSK

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    OUTSOURCING IN

    PHARMACEUTICAL INDUSTRY

    Drug Discovery And Development (R&D)

    Contract Research and Manufacturing Services

    (CRAMS)

    IT Services

    Business Process Outsourcing (BPO)

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    PRODUCT GROUPS COVERED

    Bulk drugs / drug intermediates

    Drug formulations

    Herbals / Ayurvedics / Homeopathic / Unani

    Medicinal Plants

    Bio-tech / Biological products

    Diagnostics and Surgicals

    NeutraceuticalsCollaborative /contract research

    Clinical trials

    Pharma consultancy services etc.

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    DRUG DISCOVERY

    ANDDEVELOPMENT (R&D)

    The drug innovation process

    The key drivers for Outsourcing/ Offshoring of

    R&D

    Outsourcing across the R&D Value Chain

    City Wise Vendor Analysis

    Other Emerging Trends

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    THE DRUG INNOVATION PROCESS

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    ROAD TO MARKET

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    C.R.O.

    CROs expand the speed and capacity of product

    development pipeline while maintaining Quality

    and High Levels of Regulatory Compliance

    CROs help companies reduced R&D costs

    Drug Companies with a high reliance on CROsstay closer to schedule than those making less use

    of CROs.

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    EMERGING CRO MARKET IN INDIA

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    C.R.O. IN INDIA

    Fast speed of patient enrollment

    Shorter time for clinical trials upto 75% faster

    SPEED OFPATIENT

    ENROLLMENT

    Heterogeneous mix of people

    Vast and diverse disease and patient population

    GENE POOLADVANTAGE

    Highly trained nurses physicians and technicalpersonnel

    India has great IT skillsTALENT POOL

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    C.R.O. IN INDIA

    Numerous world class medical facilities thatmeet global requirements for Clinical TestingINFRASTRUCTURE

    30- 35% cheaper than in the USCOST

    Compliance with Global Ethical and RegulatoryStandards, such as ISO, ICH, GSP, GLBQUALITY

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    OUTSOURCING ACROSS THE

    R&D VALUE CHAIN

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    R&D VALUE CHAIN

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    R&D VALUE CHAIN

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    R&D VALUE CHAIN

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    OUTSOURCING HUBS

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    GROW

    TH

    Manufacturingand MarketingCompanies

    LittleOutsourcing

    before 2000

    Late 1990s

    ContractManufacturing GSK

    Clinical Trials andSite Management GSK

    Clinical DateManagement - GSK

    Early 2000

    Contract Manufacturing Pfizer , Novartis, EliLilly, Wyeth

    IT Services- -GSK, Astra

    Zeneca, WyethDiscovery GSK, Pfizer,Eli Lily

    Clinical Trials And SiteManagement - Aventis,Pfizer, Astra Zeneca, EliLilly

    Clinical DataManagement - Wyeth

    Late 2000 ( 2005

    Onwards)Contract Manufacturing Merck, BMS

    IT Services- -GSK, Pfizer

    Discovery Novartis,Wyeth

    Clinical Trials And Site

    Management - Novartis,Merck

    Clinical Data Management Pfizer

    BPO

    F&A - GSK

    Content Development -

    GSK

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    INDIA HIGH ON THE OUTSOURCING

    LIST FOR CLINICAL TRIALS ! A number of 122 Clinical trials are conducted in India next to

    Taiwan,Mexico,Poland,Brazil.

    GlaxoSmithKline, among the worlds top ten global pharma majors, is

    currently carrying out the largest number of clinical trials in India. UK-based pharma major is conducting 13 drug trials in India for the

    treatment of diseases such as cancer,arthritis,heart disease and constipation.

    Johnson & Johnson, Eli Lilly are conducting respectively eight studies in

    India.

    Suven Life Sciences & Sipra Labs are also actively invloved in the Trials.

    Clinical Trials in India, costs 50% to 60% less than the average cost in the

    US.

    AstraZeneca another global pharma company outsourcing significant

    number of its trials to India

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    CHALLENGES FACED Growth in the domestic formulations market is

    slowing down

    Competition from cheap imports

    Price wars between regional and local pharma

    companies

    MNC pharma companies are getting more aggressive

    at protecting their patents and defending their marketshare after patent expiry.

    Confusion in the grant of EMR, due to lack of

    transparency in the process.

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    OTHER CHALLENGES

    Regulatory obstacles

    Lack of proper infrastructure

    Expensive research equipments Lack of academic collaboration

    Underdeveloped molecular discovery program

    Divide between the industry and study curriculum

    Severe competition

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    INDIA

    PERCEPTIONS & REALITIESPerception RealityGCP awareness absent or low

    Many sites in India are trained in GCP now

    mandated by Government

    Data integrity in question

    Various audits of the study show no adverse

    findingIn India U FDA has audited sites with no major

    comments

    Different languages cause

    confusion and escalate costs

    because of need to translate

    documents

    English used for all healthcare- related activities,

    systems, procedures and drug labels. Only

    patient-related documents need translation

    Telecommunication poor

    Connectivity poor

    Telecommunication facilities good in urban

    areas. Connectivity good EDC studies possible

    electronic transmission of ECG, imagings

    frequent.

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    STEPS TO STRENGTHEN THE INDUSTRY

    1. Attain the right product-mix for sustained future

    growth

    2. Focus on core competencies will play an

    important role

    3. Can look at merger and acquisition options of

    either companies or products.

    4. Improve their R&D efforts and improve

    distribution to penetrate markets.

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    GOVERNMENT INITIATIVES

    Pharmaceutical units are eligible for weighted tax reduction

    at 150% for the research and development expenditure

    obtained

    Two new schemes New Millennium Indian TechnologyLeadership Initiative and the Drugs and Pharmaceuticals

    Research Program have been launched

    Contemplating the creation of SRV or special purpose

    vehicles with an insurance cover to be used for funding

    new drug research

    The Department of Pharmaceuticals is mulling the creation

    of drug research facilities

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    ASSISTANCE TO EXPORTERS

    Issue of RCMC certificates

    Delegations to foreign countries

    Buyer seller meetings

    Foreign buyer details

    Embassy assistance

    Exhibition participation

    Seminars and Conferences

    Technology assistance

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    GROWTH OPPORTUNITIES

    New drugs for neglected diseases

    Under-penetrated Chinese markets

    Global herbal market

    R & D outsourcing

    Diversify their process re-engineering skills

    Drug discovery and development services

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    FUTURE SCENARIOAccording to a study by FICCI-Ernst & Young

    India will open a probable US$ 8 billion market for MNCs

    selling expensive drugs by 2015:

    US$ 20 billion by 2015

    The Minister of Commerce estimates investments of US$6.31 billion

    Public spending on healthcare -7% of GDP in 2007 to 13% of

    GDP by 2015

    Dr Reddy's Laboratories has tied up with GlaxoSmithKline

    Lupin, to tap opportunities of about US$ 200 million in the USoral contraceptives market

    Indian pharmaceutical off-shoring industry is designated to

    turn out to be a US$ 2.5 billion opportunity by 2012

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    CONCLUSION

    India has an opportunity to become the Drug

    Discovery R&D Outsourcing destination to the

    world

    Company can focus efforts on core competencies /

    skills and contract critical services

    Speed to market can be enhanced through

    outsourcing strategic needs symbiotic relationship in marketing and

    commercialization and outsource partners supply

    new innovative products