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White Paper


Lifecycle
Management:
How to Get
More ‘Wag’
From the Tail
This document was
       written by
                       Neal Hansen      Managing Director
                                        Datamonitor Consulting
                       Neal leads a multi-disciplinary team focusing on the provision of
                       customized solutions to leading players in the pharmaceutical and
                       biotechnology industries in key areas suc such as lifecycle
                       management (LCM), portfolio and brand strategy, in- and out-licensing
                       and forecasting.

                       Prior to this role, Neal was the European Head of Consulting within
                       Wood Mackenzie’s Life Sciences Practice. During his time at Wood
                       Mackenzie, Neal led commercial assessment, scenario planning and
                       war gaming projects for numerous top tier and mid-cap pharmaceutical
                       companies in Europe, the US and Japan.

                       Earlier in his career, Neal held various senior roles within Datamonitor
                       including Lead Consultant and Lead Analyst for Strategic and
                       Company Intelligence encompassing Strategic Insight, eHealth Insight
                       and PharmaVitae Company Tracking. He has authored in-depth
                       analysis on strategic issues affecting the pharmaceutical industry,
                       focusing on lifecycle management, pharmaceutical sales force
                       strategies, competitive dynamics in mature and emerging markets and
                       the changing nature of the global generics sector.

                       He has chaired and spoken at numerous conferences in the field of
                       lifecycle management and the changing nature of the generics
                       industry. His work has featured in In Vivo, The Economist, The Wall
                       Street Journal, MedAd News and PharmaFocus. Most recently, he co-
                       authored Pharmaceutical Lifecycle Management Making the Most of
                       Each and Every Brand and leads a Late Stage Lifecycle Menagement
                       Training Course for C.E.Lforpharma.

                       Neal holds a PhD in Pharmacology and a MA in Natural Sciences (both
                       from the University of Cambridge).


                       If you have questions, please contact Neal on +44 20 7551 9199 or
                       nhansen@datamonitor.com

                       To find out more about Datamonitor Consulting contact on
                       info@datamonitorconsulting.com or visit
                       www.datamonitorconsulting.com




White Paper                                                                                       2
Lifecycle Management
Lifecycle Management:
                How to Get More ‘Wag’
                From the Tail

                In the good old days of pharma, when pipelines were plentiful, Western markets were a
                haven for strong prices and double digit growth was a given, little thought or focus was given
                to those teams working with mature brands or those trying to get difficult ‘emerging’ markets
                on the radar. Managing mature brands has often been a thankless ‘caretaking’ task, focused
                on managing the risk in a portfolio far too large to actively drive with as little investment as
                possible, and in many cases even less resources. Meanwhile, driving emerging markets has
                been a battle to get the global business to understand (and even care) that local dynamics,
                stakeholder expectations, business models and growth profiles are different, and thus need
                                    to be catered for differently.

                                            However, in today’s less rosy world, where sources of top line
              Fundamentally, it                  growth, and just as importantly cash flow, are proving more
              boils down to two                  challenging to find, these two deprioritized areas of pharma’s
                key factors –                    past are converging to form one of the fundamental principles
              growth dynamics                    of the next decade’s growth. With the much vaunted patent cliff
                and portfolio                    redressing the relative size and contribution from mature
                 expectation                brands and growth markets, companies that can successfully
                                          marry the two will be those that are best positioned to survive the
                                   coming tempests.

                So why are these two business areas becoming so closely interlinked? Fundamentally, it
                boils down to two key factors – growth dynamics and portfolio expectation. In terms of the
                former, the growth dynamics of brands in new markets are often very different to those in
                the traditional focus regions.

                As its most basic, the lack of effective patent protection in many of these markets means
                that multi-source competition can be expected at any time in the product lifecycle, and thus
                there is no patent cliff from which to fall. As such, for a successful brand, the future potential
                is only limited by the launch of more effective therapies, not by any point in time increase in



White Paper                                                                                                          3
Lifecycle Management
‘generic’ competition. As such, there is much less differentiation between launch brands and
              established brands here.

              The second factor is the expectation by many customers in these markets of a portfolio sell.
              Local companies in many growth markets succeed by selling broad ‘one size fits all’
              branded portfolios, trading off their corporate reputations and setting the expectations of
              local physician, pharmacists and hospitals. With these local portfolios often containing
              branded versions of big pharma’s key drugs, competition becomes more challenging for our
              traditional companies as they do not have the complementary products to sell themselves.
              By building effective established brand portfolios themselves, big pharma can look to take
              on the local players more effectively, providing their own full service portfolios to drive the
              value of their priority brands.

              The question on the lips of many in the industry today is ‘How
                                                                                        How can we
              do we actually make this work – how can we develop a                   develop a business
              business model that allows us to succeed with established               model that allows
              brands in these new markets?’ While there are many                     us to succeed with
              challenges, we will focus here on three key building blocks            established brands
              for future success.                                                       in these new
                                                                                          markets?




White Paper                                                                                                     4
Lifecycle Management
Building Block One: The Right Team and the
              Right Structure
              The first priority of management has to be to get the right team and the right organisational
              structure in place to effectively manage an established brands portfolio to meet the
              company’s goals. As previously discussed, historically these large portfolios of mature
              brands have been managed by small teams, unloved by the rest of the organisation and
              generally ignored. It was not a strategically important place to be, and for some companies
              that will not be named, working in mature brands was the equivalent of being sent to a far
              flung outpost in the military – you must have done something wrong somewhere along the
              line to end up there!

              Today, the profile and structure of these teams are changing. Teams are getting new
              names, moving away from the ‘mature’ tagline suggestive of end-of-life to more strategic
              nomenclature, such as Established, Diversified and Cornerstone. The personnel is changing
              as well, with an international flavour becoming more important, while experience from the
              generics side of the industry and more shrewd business and finance expertise is on the up.
              Teams are becoming more cross-functional, with dedicated medical, business intelligence,
              business development and supply chain functions to support the traditional marketing
              teams. Stronger communication channels with affiliates and greater accountability and
              responsibilities are being assigned. The performance and roles of these teams are creeping
              into CEO presentations and investor communications. The mouse is beginning to roar.
              Established brands teams are now a key place to be to drive growth, not a place to be
              forgotten.




White Paper                                                                                                   5
Lifecycle Management
Building Block Two: Active Portfolio
              Management
              Traditionally, portfolio management for established brands has been a largely passive
              process. Brands would enter the portfolio at an agreed point in their maturity, would
              generally stay in the portfolio ad infinitum, unless a manufacturing or supply chain problem
              crept up, at which point they might be withdrawn. Typically, the only way anything new
              would appear in the portfolio was as a side-effect of a merger, and little was done to actively
              remove brands from the portfolio if they were not performing (assuming the team could even
              tell whether the brands were performing or not!). The end result: Diverse portfolios
              containing often hundreds of brands with sometimes thousands of different formulation and
                                  dosage forms and no underlying strategy.




                  What do we                 So what can be done differently? Active portfolio management
                 need to have                for established brands is attempting to shape the ‘ideal’
                in our portfolio
                                             portfolio for the future, the questions are being asked: What do
                     to be
                                            we need to have in our portfolio to be successful? Where is the
                 successful??
                                          dead wood that we should be eliminating? What else can we do
                                       to drive priority brands?




              In terms of adding to the portfolio, two strategies appear to be the flavour of the year. The
              first is the traditional acquisition in local market - bolstering the company's own portfolio with
              a broader portfolio of a local player to provide an ideal platform for growth. GSK has become
              a master of this strategy, with acquisitions of local companies and product portfolios across
              Latin America, Middle East and North Africa and China in recent years. Pfizer’s 2010
              acquisition of a 40% share in Teuto in Brazil boosted its Latin American presence, while
              Abbott’s acquisition of Piramel in India drives the combined group to the number one spot in
              the local market.




              The second approach is to bolster an existing portfolio with branded generics. AstraZeneca,
              Pfizer and Merck have all adopted this strategy, striking deals with Indian generics players
              such as Torrent, Aurobindo and Sun Pharma to gain access to broader complementary
              product ranges. In such a scenario, players can look to develop complementary portfolios to
              their existing established and innovative brands to offer ‘one stop shop’ services to target
              customers.


White Paper                                                                                                        6
Lifecycle Management
While adding to a portfolio can drive top line growth, better profitability can be sought by
              actively managing out underperforming brands. This can be achieved wholesale by selling
              off or discontinuing entire product ranges, or more subtly by reducing the diversity of product
              formation and dosage form within a brand portfolio. A single brand can often have more than
              20 or 30 different formulations, packaging and dosage forms spread across the globe, and
              understanding which can be harmonised, or rationalised to enhance profitability is
              becoming increasingly important.




              The final approach is to consider the previously unthinkable: to invest in classic lifecycle
              management strategies, such as reformulations and fixed dose combinations, for off-patent
              established brands. Many companies are now taking seriously the much longer lifecycle
              opportunities presented by growth markets, converting brand portfolios tailored originally to
              the West to the growing needs of the new world. Brands such as Novartis’s Voltaren
              (diclofenac) demonstrate what can be achieved by harnessing LCM for the needs of growth
              markets, generating 2010 sales of close to $800m with less than 1% coming from the US.




White Paper                                                                                                     7
Lifecycle Management
Building Block Three: A Change in Expectation
              Management
              The last critical building block is as much a change in commercial philosophy as it is a
              change in strategy. Pharma has been used to high margin, low volume and high sales
              performance from a limited portfolio of brands. Seeking the same from an expansion of
              established brands and new markets is unrealistic, so companies must adapt to the mindset
              of lower margins, higher volume, portfolio selling, and must evolve their ROI expectations
              accordingly.




White Paper                                                                                                8
Lifecycle Management
Conclusion
                                                                                          Where will the
              For many stuck in an old-school pharma mindset, this all sounds like        investment for
              a lot of hard work for an unspectacular return. So why bother? Why             the next
              not place your bets on the next big blockbuster and focus resources          generation of
              there? While this is a nice idea, the critical question is where will the     R&D come
              investment for the next generation of R&D come from?                            from?

              Without a strong, functioning established brands and growth market engine to
              generate cash, the R&D engine will be forced to run leaner and leaner, and the risk of
              spectacular corporate failures will continue to rise.




White Paper                                                                                            9
Lifecycle Management
ABOUT
                  Datamonitor Consulting
                  Datamonitor Healthcare Consulting is a leading life sciences strategic consultancy firm that
                  helps clients to operate smarter and more profitably in the complex pharmaceutical and
                  biotech industries.

                  Through our industry focus, depth of functional expertise, and strong scientific and market
                  knowledge, we are able to tackle highly complex challenges, issues and opportunities in
                  your business and market.

                  Over 90% of our clients are repeat customers – confirmation that we continue to deliver the
                  vision, collaboration and critical decision-making support you expect from a valued
                  independent advisor. To discuss your business requirements further, please contact us at
                  info@datamonitorconsulting.com.




       Datamonitor is owned and operated by Informa plc (“Informa”) whose registered office is Mortimer House, 37-41 Mortimer
       Street, London, W1T 3JH. Registered in England and Wales Number 3099067.



White Paper                                                                                                                     10
Lifecycle Management

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Get More From Mature Brands

  • 1. White Paper Lifecycle Management: How to Get More ‘Wag’ From the Tail
  • 2. This document was written by Neal Hansen Managing Director Datamonitor Consulting Neal leads a multi-disciplinary team focusing on the provision of customized solutions to leading players in the pharmaceutical and biotechnology industries in key areas suc such as lifecycle management (LCM), portfolio and brand strategy, in- and out-licensing and forecasting. Prior to this role, Neal was the European Head of Consulting within Wood Mackenzie’s Life Sciences Practice. During his time at Wood Mackenzie, Neal led commercial assessment, scenario planning and war gaming projects for numerous top tier and mid-cap pharmaceutical companies in Europe, the US and Japan. Earlier in his career, Neal held various senior roles within Datamonitor including Lead Consultant and Lead Analyst for Strategic and Company Intelligence encompassing Strategic Insight, eHealth Insight and PharmaVitae Company Tracking. He has authored in-depth analysis on strategic issues affecting the pharmaceutical industry, focusing on lifecycle management, pharmaceutical sales force strategies, competitive dynamics in mature and emerging markets and the changing nature of the global generics sector. He has chaired and spoken at numerous conferences in the field of lifecycle management and the changing nature of the generics industry. His work has featured in In Vivo, The Economist, The Wall Street Journal, MedAd News and PharmaFocus. Most recently, he co- authored Pharmaceutical Lifecycle Management Making the Most of Each and Every Brand and leads a Late Stage Lifecycle Menagement Training Course for C.E.Lforpharma. Neal holds a PhD in Pharmacology and a MA in Natural Sciences (both from the University of Cambridge). If you have questions, please contact Neal on +44 20 7551 9199 or nhansen@datamonitor.com To find out more about Datamonitor Consulting contact on info@datamonitorconsulting.com or visit www.datamonitorconsulting.com White Paper 2 Lifecycle Management
  • 3. Lifecycle Management: How to Get More ‘Wag’ From the Tail In the good old days of pharma, when pipelines were plentiful, Western markets were a haven for strong prices and double digit growth was a given, little thought or focus was given to those teams working with mature brands or those trying to get difficult ‘emerging’ markets on the radar. Managing mature brands has often been a thankless ‘caretaking’ task, focused on managing the risk in a portfolio far too large to actively drive with as little investment as possible, and in many cases even less resources. Meanwhile, driving emerging markets has been a battle to get the global business to understand (and even care) that local dynamics, stakeholder expectations, business models and growth profiles are different, and thus need to be catered for differently. However, in today’s less rosy world, where sources of top line Fundamentally, it growth, and just as importantly cash flow, are proving more boils down to two challenging to find, these two deprioritized areas of pharma’s key factors – past are converging to form one of the fundamental principles growth dynamics of the next decade’s growth. With the much vaunted patent cliff and portfolio redressing the relative size and contribution from mature expectation brands and growth markets, companies that can successfully marry the two will be those that are best positioned to survive the coming tempests. So why are these two business areas becoming so closely interlinked? Fundamentally, it boils down to two key factors – growth dynamics and portfolio expectation. In terms of the former, the growth dynamics of brands in new markets are often very different to those in the traditional focus regions. As its most basic, the lack of effective patent protection in many of these markets means that multi-source competition can be expected at any time in the product lifecycle, and thus there is no patent cliff from which to fall. As such, for a successful brand, the future potential is only limited by the launch of more effective therapies, not by any point in time increase in White Paper 3 Lifecycle Management
  • 4. ‘generic’ competition. As such, there is much less differentiation between launch brands and established brands here. The second factor is the expectation by many customers in these markets of a portfolio sell. Local companies in many growth markets succeed by selling broad ‘one size fits all’ branded portfolios, trading off their corporate reputations and setting the expectations of local physician, pharmacists and hospitals. With these local portfolios often containing branded versions of big pharma’s key drugs, competition becomes more challenging for our traditional companies as they do not have the complementary products to sell themselves. By building effective established brand portfolios themselves, big pharma can look to take on the local players more effectively, providing their own full service portfolios to drive the value of their priority brands. The question on the lips of many in the industry today is ‘How How can we do we actually make this work – how can we develop a develop a business business model that allows us to succeed with established model that allows brands in these new markets?’ While there are many us to succeed with challenges, we will focus here on three key building blocks established brands for future success. in these new markets? White Paper 4 Lifecycle Management
  • 5. Building Block One: The Right Team and the Right Structure The first priority of management has to be to get the right team and the right organisational structure in place to effectively manage an established brands portfolio to meet the company’s goals. As previously discussed, historically these large portfolios of mature brands have been managed by small teams, unloved by the rest of the organisation and generally ignored. It was not a strategically important place to be, and for some companies that will not be named, working in mature brands was the equivalent of being sent to a far flung outpost in the military – you must have done something wrong somewhere along the line to end up there! Today, the profile and structure of these teams are changing. Teams are getting new names, moving away from the ‘mature’ tagline suggestive of end-of-life to more strategic nomenclature, such as Established, Diversified and Cornerstone. The personnel is changing as well, with an international flavour becoming more important, while experience from the generics side of the industry and more shrewd business and finance expertise is on the up. Teams are becoming more cross-functional, with dedicated medical, business intelligence, business development and supply chain functions to support the traditional marketing teams. Stronger communication channels with affiliates and greater accountability and responsibilities are being assigned. The performance and roles of these teams are creeping into CEO presentations and investor communications. The mouse is beginning to roar. Established brands teams are now a key place to be to drive growth, not a place to be forgotten. White Paper 5 Lifecycle Management
  • 6. Building Block Two: Active Portfolio Management Traditionally, portfolio management for established brands has been a largely passive process. Brands would enter the portfolio at an agreed point in their maturity, would generally stay in the portfolio ad infinitum, unless a manufacturing or supply chain problem crept up, at which point they might be withdrawn. Typically, the only way anything new would appear in the portfolio was as a side-effect of a merger, and little was done to actively remove brands from the portfolio if they were not performing (assuming the team could even tell whether the brands were performing or not!). The end result: Diverse portfolios containing often hundreds of brands with sometimes thousands of different formulation and dosage forms and no underlying strategy. What do we So what can be done differently? Active portfolio management need to have for established brands is attempting to shape the ‘ideal’ in our portfolio portfolio for the future, the questions are being asked: What do to be we need to have in our portfolio to be successful? Where is the successful?? dead wood that we should be eliminating? What else can we do to drive priority brands? In terms of adding to the portfolio, two strategies appear to be the flavour of the year. The first is the traditional acquisition in local market - bolstering the company's own portfolio with a broader portfolio of a local player to provide an ideal platform for growth. GSK has become a master of this strategy, with acquisitions of local companies and product portfolios across Latin America, Middle East and North Africa and China in recent years. Pfizer’s 2010 acquisition of a 40% share in Teuto in Brazil boosted its Latin American presence, while Abbott’s acquisition of Piramel in India drives the combined group to the number one spot in the local market. The second approach is to bolster an existing portfolio with branded generics. AstraZeneca, Pfizer and Merck have all adopted this strategy, striking deals with Indian generics players such as Torrent, Aurobindo and Sun Pharma to gain access to broader complementary product ranges. In such a scenario, players can look to develop complementary portfolios to their existing established and innovative brands to offer ‘one stop shop’ services to target customers. White Paper 6 Lifecycle Management
  • 7. While adding to a portfolio can drive top line growth, better profitability can be sought by actively managing out underperforming brands. This can be achieved wholesale by selling off or discontinuing entire product ranges, or more subtly by reducing the diversity of product formation and dosage form within a brand portfolio. A single brand can often have more than 20 or 30 different formulations, packaging and dosage forms spread across the globe, and understanding which can be harmonised, or rationalised to enhance profitability is becoming increasingly important. The final approach is to consider the previously unthinkable: to invest in classic lifecycle management strategies, such as reformulations and fixed dose combinations, for off-patent established brands. Many companies are now taking seriously the much longer lifecycle opportunities presented by growth markets, converting brand portfolios tailored originally to the West to the growing needs of the new world. Brands such as Novartis’s Voltaren (diclofenac) demonstrate what can be achieved by harnessing LCM for the needs of growth markets, generating 2010 sales of close to $800m with less than 1% coming from the US. White Paper 7 Lifecycle Management
  • 8. Building Block Three: A Change in Expectation Management The last critical building block is as much a change in commercial philosophy as it is a change in strategy. Pharma has been used to high margin, low volume and high sales performance from a limited portfolio of brands. Seeking the same from an expansion of established brands and new markets is unrealistic, so companies must adapt to the mindset of lower margins, higher volume, portfolio selling, and must evolve their ROI expectations accordingly. White Paper 8 Lifecycle Management
  • 9. Conclusion Where will the For many stuck in an old-school pharma mindset, this all sounds like investment for a lot of hard work for an unspectacular return. So why bother? Why the next not place your bets on the next big blockbuster and focus resources generation of there? While this is a nice idea, the critical question is where will the R&D come investment for the next generation of R&D come from? from? Without a strong, functioning established brands and growth market engine to generate cash, the R&D engine will be forced to run leaner and leaner, and the risk of spectacular corporate failures will continue to rise. White Paper 9 Lifecycle Management
  • 10. ABOUT Datamonitor Consulting Datamonitor Healthcare Consulting is a leading life sciences strategic consultancy firm that helps clients to operate smarter and more profitably in the complex pharmaceutical and biotech industries. Through our industry focus, depth of functional expertise, and strong scientific and market knowledge, we are able to tackle highly complex challenges, issues and opportunities in your business and market. Over 90% of our clients are repeat customers – confirmation that we continue to deliver the vision, collaboration and critical decision-making support you expect from a valued independent advisor. To discuss your business requirements further, please contact us at info@datamonitorconsulting.com. Datamonitor is owned and operated by Informa plc (“Informa”) whose registered office is Mortimer House, 37-41 Mortimer Street, London, W1T 3JH. Registered in England and Wales Number 3099067. White Paper 10 Lifecycle Management