Pharma Focus Asia Issue 21

Pharma Focus Asia Magazine 21st Issue

Issue 21 2014 www.pharmafocusasia.com 
Rethinking 
Drug Discovery 
Bioprinting 
The patent landscape 
The Six 
Great 
Shifts 
Transforming the 
pharma industry
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Foreword 
to look for investing more in developing new 
products. This would increase the number of 
products serving the market while also meeting 
unmet medical needs by reaching underserved 
markets. 
Succeeding in this new landscape will require 
partnerships between pharmaceutical compa-nies, 
governments and/or non-profit organisa-tions. 
Further, pharmaceutical companies will 
need to step outside their comfort zone and 
develop partnerships with players from other 
industries for better outcomes. 
The cover story of this issue by Brian D 
Smith from PragMedic, UK, provides an insight-ful 
analysis of six great shifts transforming the 
pharma industry. The article covers shifts in 
value, network and information globally, along 
with the systemic shift and trimorphic shift. Dr 
Smith explores the implications of the six great 
shifts and how selection pressures will impact 
pharma strategies. 
Prasanthi Potluri 
Editor 
w w w . p h a r m a f o c u s a s i a . c o m 1 
Gearing up for 
Post-Blockbuster Era 
The golden era of blockbuster drugs is coming to 
an end but there are reasons to believe that new 
growth opportunities exist for pharma compa-nies 
willing to adapt to the change. The FDA 
approved 27 New Molecular Entities (NME) in 
2013, and this number came down from 39 in 
2012 and 30 in 2011. Twenty-eight first-of-a-kind 
drugs were approved annually over the past five 
years. A few more new drugs were reformulated, 
incremental modifications or new indications 
of existing drugs were also done. 
According to Bain & Company, strong 
pharma and biotech companies are restructuring 
their organisations and planning to launch many 
products simultaneously, rather than launching 
one blockbuster every other year. 
Switching to this model, known as ‘Pharma 
3.0’, requires companies to adapt to new busi-ness 
models. The traditional ‘Pharma 1.0’ model 
concentrated on blockbuster drugs, where as 
‘Pharma 2.0’ model focused on bringing more 
product offerings to a global market. The next 
phase of development, ‘Pharma 3.0,’ focuses 
on service components. This model allows phar-maceutical 
companies to target health benefits 
per dollar spent, allowing companies to explore 
a variety of new business models. 
With the changing market dynamics, trans-formation 
of technology, communications and 
business, pharmaceutical companies need
Content 
STRATEGY 
05 Bioprinting 
The patent landscape 
Robert W Esmond, Director, Biotechnology/Chemical Group, 
Sterne, Kessler, Goldstein & Fox P.L.L.C., USA 
11 Creating and Sustaining Cultural Change by 
Focusing on Operational Excellence 
ThomasFriedli, Managing Director TECTEM, 
Vice Director Institute of Technology Management 
NikolausLembke, Research Associate 
ChristianMänder, Research Associate 
University of St.Gallen, Switzerland 
RESEARCH & 
DEVELOPMENT 
22 Rethinking Drug Discovery 
Subhadra Dravida, Founder and CEO of Tran-Scell Biologics & 
TranSTox BioApplications, India 
Prabhat Arya, Department of Organic and Medicinal Chemistry, 
Dr. Reddy's Institute of Life Sciences (DRILS), University of Hyderabad 
Campus, India 
Manufacturing 
27 Validation Projects in China 
Magnus Jahnsson, Director Regulatory Affairs, 
Pharmadule Morimatsu, AB Sweden 
Daniel Nilsson, Director GMP and Validation Services, 
Pharmadule Morimatsu, China 
Erik Östberg, Project Validation Manager, 
Pharmadule Morimatsu, China 
Information 
technology 
32 Quality by Design 
A rapid and systemic approach for 
pharmaceutical analysis 
M V Narendra Kumar Talluri, Assistant Professor, Department 
of Pharmaceutical Analysis, National Institute of Pharmaceutical 
Education and Research, Hyderabad, India 
white paper 
38 Crippled by Cost? CMO Quo Vadis 
Arun Ramesh, Senior Research Analyst, Beroe Inc., India 
2 Pharma Focus Asia ISUE - 21 2014 
11 
27 
COVER STORY 
16 THE SIX 
GREAT 
SHIFTS 
Transforming the 
pharma industry 
Brian D Smith, Managing Director, 
PragMedic, UK
TOGETHER 
WE WRITE 
HISTORY 
WITH 
PEPTIDES 
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Building on our heritage, we pioneer 
innovations to deliver the best quality 
for every peptide need.
Alan S Louie 
Research Director, Health Industry Insights 
an IDC Company, USA 
Christopher-Paul Milne 
Associate Director, Tufts Center for the Study of 
Drug Development, Tufts University, USA 
Douglas Meyer 
Senior Director, Aptuit Informatics Inc., USA 
Frank A Jaeger 
Director, New Business Development 
Solvay Pharmaceuticals, Inc., USA 
Georg C Terstappen 
Chief Scientific Officer, Siena Biotech S.p.A., Italy 
Kenneth I Kaitin 
Director and Professor of Medicine, Tufts Center for the 
Study of Drug Development, Tufts University, USA 
Laurence Flint 
Associate Director, Clinical Research 
Schering-Plough Research Institute, USA 
Neil J Campbell 
CEO, Mosaigen Inc. and Partner 
Endeavour Capital Asia Ltd., USA 
Phil Kaminsky 
Founder, Center for Biopharmaceutical Operations 
University of California, Berkeley, USA 
Rustom Mody 
Director, Quality and Strategic Research 
Intas Biopharmaceuticals Limited, India 
Sanjoy Ray 
Director, Technology Innovation 
Merck Research Laboratories, USA 
4 Pharma Focus Asia ISUE - 21 2014 
Editor 
Prasanthi Potluri 
Editorial Team 
Grace Jones 
Sasidhar Pilli 
Art Director 
M A Hannan 
Product Manager 
Jeff Kenney 
Senior Product 
Associates 
Veronica Wilson 
Ben Johnson 
Circulation Team 
Naveen M 
Sam Smith 
Steven Banks 
Subscriptions 
In-charge 
Vijay Kumar Gaddam 
IT Team 
Krishna Deepak 
James Victor 
Head-Operations 
S V Nageswara Rao 
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Advisory Board 
Sasikant Misra 
Management Consultant 
and Ex-Deputy Director 
CII, Drugs and Pharma Sector 
A member of 
Confederation of 
Indian Industry
strategy 
w w w . p h a r m a f o c u s a s i a . c o m 5 
Bioprinting 
The patent landscape 
The bioprinting of tissues and organs has been big news 
recently. However, the patenting of bioprinting techniques has 
quietly been going on for years. This article will discuss the 
patents covering the three process phases of bioprinting, the 
exceptions to patent infringement for experimental uses, and the 
prospects for further patenting and patent infringement lawsuits. 
Robert W Esmond, Director, Biotechnology/Chemical Group, Sterne, Kessler, Goldstein & Fox P.L.L.C., USA 
Additive manufacturing or 3D 
printing, as known more widely, 
is revolutionising the manufac-ture 
and distribution of products. With 
the expirations of the basic additive 
manufacturing patents, anyone can 
purchase an inexpensive printer and 
replicate products. But these prod-ucts 
are often protected by various 
forms of intellectual property laws.
The widespread additive manufactur-ing 
of products will pose many intel-lectual 
property rights challenges similar 
to those encountered by the recording 
industry in the 2000s when widespread 
copying of copyrighted music began. 
Products made by additive 
manufacturing may infringe intellectual 
property rights as described in the table 
below. The limitations on enforcing the 
rights are also set forth (Table 1). 
Products of commerce may be 
protected by any one of these IP rights. 
But the protection for bioprinted tissues 
and organs is much more limited as 
they are essentially utilitarian. While the 
software and code used to manufacture 
a bioprinted tissue or organ may be 
protected by copyright, the tissue or 
organ itself does not have a means for 
expression, ornamental features, or 
source of origin. In addition, trade 
secret protection for a bioprinted tissue 
or organ will provide little protection 
in view of national regulations that 
require the disclosure of the methods of 
approved making biologics and medical 
devices. 
The best way to protect bioprinting 
innovation is with utility patents. 
While patents are expensive and time 
consuming to obtain and difficult 
to enforce, regulatory approval for 
a bioprinted tissue or organ is very 
expensive and time consuming. There 
is little incentive to invest in obtaining 
regulatory approval if the bioprinted 
tissue or organ can be knocked off once 
approved for marketing. 
In order to determine what patents 
might dominate the making, using and 
selling of bioprinted tissues and organs, 
we carried out a patent landscape search1. 
The landscape search did not attempt 
to cover all patents filed on additive 
manufacturing techniques which are 
thousands in number. 
As shown in table 2 below, the most 
frequent patent filers were located in 
the United States. 
1 Thanks to Rebecca Hammond, Ph.D., for participating 
in the landscape search. 
6 Pharma Focus Asia ISUE - 21 2014 
IP Right Nature of Right Limitations 
Copyright Protects means of 
expression of an idea. 
Useful to protect 
software, code, CAD 
drawings, sculptures and 
3D models. Easy and 
cost-effective to obtain. 
Statutory damages 
are available in many 
countries. 
Protection does not 
extend to the utilitarian 
features of a product. 
Difficult and expensive to 
enforce in court. 
Design patent Protects novel 
ornamental features of a 
product, i.e., the way an 
article “looks.” Easy and 
inexpensive to obtain. 
Protection does not 
extend to the utilitarian 
features of a product. 
Difficult and expensive to 
enforce in court. 
Trade Dress Protects the visual 
appearance of a product 
that indicates the source 
of origin. No filings 
required. 
Protection does not 
extend to the utilitarian 
features of a product. 
Difficult and expensive to 
enforce in court. 
Trademark Protects indication of 
source of origin and 
protects consumers 
from being confused by 
the origins of a product. 
Easy and inexpensive to 
obtain. 
Protection is limited to 
the mark and does not 
extend to the utilitarian 
features of the product. 
Difficult and expensive to 
enforce in court. 
Trade Secret PProtects against 
misappropriation of 
secret information 
about a product 
maintained as a secret. 
Such information may 
include design plans, 
software and code used 
to make the product. 
No filings required but 
steps must be taken to 
ensure secrecy of the 
information. 
Competitors can reverse 
engineer the product and 
method of manufacture. 
Unless trade secret 
misappropriated, there 
is no protection once the 
information is no longer 
“secret.” Difficult and 
expensive to enforce in 
court. 
Utility Patent Grants limited right 
(generally 20 years) to 
exclude others from 
making, using and selling 
claimed a product or 
process. 
Expensive and time 
consuming to obtain. 
Difficult and expensive to 
enforce. 
The Limitations On Enforcing The Rights 
Table 1 
strategy
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pharmaceutical powders. 
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LABORATORIA SMEETS N.V. 
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located at this site
strategy 
Patent Filers 
8 Pharma Focus Asia ISUE - 21 2014 
cell aggregates, each cell aggregate 
comprising a plurality of living 
cells; wherein the cell aggregates 
are embedded in the at least one 
layer of matrix in a non-random 
predetermined pattern, the cell 
aggregates having predetermined 
positions in the pattern. 
This patent appears to cover a tissue 
or organ containing layers of matrix and a 
plurality of living cell aggregates imbedded 
in the layers of the matrix in predetermined 
positions in a pattern. Thus, this patent 
appears to cover all bioprinted tissues and 
organs in the United States through its 
expiration date in 2028. 
B. US 8143055 ‘Self-assembling 
multicellular bodies and methods of 
producing a three-dimensional biologi-cal 
structure using the same’ (Exp. Date 
June 24, 2029) 
Assignee: The Curators of the 
University of Missouri (this patent may 
also be licensed to Organovo, Inc.). It was 
also filed in Australia, Canada, China, 
European Patent Office, Japan and South 
Korea. What is claimed is: 
1. A three-dimensional structure 
comprising: a plurality of multicel-lular 
bodies, each multicellular body 
comprising a plurality of living cells 
cohered to one another; and a plural-ity 
of discrete filler bodies, each filler 
body comprising a biocompatible 
material that resists migration and 
ingrowth of cells from the multicel-lular 
bodies into the filler bodies 
and resists adherence of cells in the 
multicellular bodies to the filler 
bodies, wherein the multicellular 
bodies and filler bodies are arranged 
in a pattern in which each multi-cellular 
body contacts at least one 
other multicellular body or at least 
one filler body. 
This patent appears to cover bioprinted 
tissues and organs containing patterned 
discrete filler bodies that resist migration 
and ingrowth of patterned multicellular 
bodies containing living cells. Such filler 
bodies may include sacrificial hydrogels 
that form tubular engineered blood vessels 
inside tissues and organs. 
The search results were categorised 
into a preprocessing or design phase, 
production phase and post-production 
maturation phase2. 
Bioimaging + CAD + Blueprint 
 
Bioink + Biopaper + Bioprinter 
 
Maturogens + Biomonitoring 
+ Bioreactor 
The most important issued patents 
in each category are described below3. 
Pending applications are not included as 
their issuance as patents is speculative. 
2 See, Vladimir Mironov et al., Regenerative Medicine 3: 
93-103 (2008). 
3 For the complete search results, including pending appli-cations, 
please contact the author at resmond@skgf.com. 
I. Bioimaging + CAD + Blueprint 
Patents 
A. US 8579620 ‘Single-action three-dimensional 
model printing methods’ 
(Exp. Date: May 30, 2031). What is 
claimed is: 
1. A system for printing a 3D 
physical model from an image data 
set, comprising: 
a display component for display-ing 
one or more printing templates; 
and a single-action data process-ing 
component that, in response 
to a printing template selected by 
a single action by a user, executes 
the selected printing template to 
take the image data set as input and 
generates a geometric representation 
for use as input to a 3D printer; 
wherein the selected printing 
template comprises predefined 
instructions for processing the 
image data set. 
The owner of this patent is not 
known. It was filed only in the United 
States. This patent appears to cover a 
system for 3D printing any product 
from an image data set in response to 
a printing template selected by a single 
action by a user. The patent specifica-tion 
makes clear that bioprinted organs 
are contemplated: ‘FIG. 14 illustrates an 
example of printing a physical model of 
selected organs . . .’ 
II. Bioink + Biopaper + Bioprinter 
Patents 
A. US 8241905 ‘Self-assembling cell aggre-gates 
and methods of making engineered 
tissue using the same’ (Exp. Date Mar 
11, 2028) 
Assignee: The Curators of the 
University of Missouri. This patent is 
reportedly licensed to Organovo, Inc4. 
It was filed only in the United States. 
What is claimed is: 
1. A three-dimensional layered 
structure comprising: at least one 
layer of a matrix; and a plurality of 
4 See Organovo’s press release at http://ir.organovo.com/ 
news/press-releases/press-releases-details/2012/Organovo- 
Announces-Two-Issued-Patents-First-Company-Patent-and- 
Key-Founder-Patent1130104/. 
Company/Institution 
Organovo, Inc. (USA) 
University of Missouri (USA) 
Oganogenesis, Inc. (USA, 
Switzerland) 
Harvard Bioscience, Inc. (USA) 
Tengion, Inc. (USA) 
INSERM (France) 
Nanyang Technological University 
(Singapore) 
Cornell Research Foundation, Inc. 
(USA) 
Clemson University (USA) 
Wake Forest University Health 
Sciences (USA) 
Nscrypt, Inc. (USA) 
Medical University of South 
Carolina (USA) 
Novatissue GmbH (Germany) 
Table 2
w w w . p h a r m a f o c u s a s i a . c o m 9 
C. GB2478801 ‘Multilayered 
Vascular Tubes’ (Expiration date March 
16, 2031). 
Assignee: Organovo, Inc. It was also 
filed in Canada, China, European Patent 
Office, Israel, Japan, South Korea, Russia, 
and United States. What is claimed is: 
1. An engineered multilay-ered 
vascular tube comprising an 
outer layer of differentiated adult 
fibroblasts, at least one inner layer 
of differentiated adult smooth 
muscle cells and differentiated 
adult endothelial cells, and having 
the following features: (a) a ratio of 
endothelial cells to smooth muscle 
cells of 1:99 to 45:55; (b) the engi-neered 
multilayered vascular tube 
is compliant; (c) the internal diam-eter 
of the engineered multilayered 
vascular tube is 6 mm or smaller; 
(d) the length of the tube is up to 
30 cm; and (e) the thickness of the 
engineered multilayered vascular 
tube is substantially uniform along 
a region of the tube; provided that 
strategy 
the multilayered vascular tube in 
non-innervated and free of any pre-formed 
scaffold. 
This patent describes in detail how the 
engineered multilayered vascular tube is 
made by laying manually elongate cellular 
bodies and elongate bodies of gel matrix. 
The patent also describes the use of a 
bioprinter to make the same structure. 
This patent appears to cover bioprinted 
multilayered vascular tubes (e.g., tubular 
engineered blood vessels) containing an 
outer layer of differentiated adult fibrob-lasts 
and at least one inner layer of differ-entiated 
adult endothelial cells, with the 
additional required elements (a)-(e). 
D. US 8747880 ‘Engineered Biological 
Nerve Graft, Fabrication and Application 
Thereof ’ (Expiration date May 28, 
2031). 
Assignee: The Curators of the 
University of Missouri (this patent may 
also be licensed to Organovo, Inc.). It was 
also filed in Australia, Canada, China, 
European Patent Office, Israel, Japan and 
Russia. What is claimed is: 
1. A multicellular construct 
consisting essentially of: a multi-cellular 
region comprising: a plural-ity 
of living cells cohered to one 
another to form an elongate graft for 
restoring neural connection between 
the ends of a severed nerve; a plural-ity 
of a cellular channels extending 
axially through the multicellular 
region; and wherein the multicel-lular 
construct does not comprise 
any scaffold material at the time of 
implantation into a living organism 
having a nervous system. 
This patent covers a nerve graft that 
may be made using bioprinting tech-niques. 
E. US7051654 ‘Ink-Jet Printing 
Of Viable Cells’ (Exp. Date May 22, 
2024) 
Assignee: Clemson University. This 
was filed only in the United States. What 
is claimed is: 
36. A method for forming an 
array of viable cells, said method 
comprising:
supplying a cellular composi-tion 
containing cells to at least one 
printer head of an ink-jet printer, 
said printer head defining an orifice 
through which said cellular compo-sition 
is capable of flowing; 
forming one or more droplets 
from said cellular composition; 
flowing the droplets through 
said orifice so that said cells are 
printed onto a substrate; and depos-iting 
a support compound onto said 
substrate for supporting said cells, 
said support compound forming a 
gel after being deposited onto said 
substrate. 
This patent appears to cover a method 
of preparing a bioprinted tissue or organ 
by ink-jet printing a cellular composition 
containing cells and forming a gel after 
deposition. 
F. US7625198 ‘Modular Fabrication 
Systems And Methods’ (Exp. Date Aug. 
10, 2025) 
Assignee: Cornell University. This 
patent was filed only in the United States. 
What is claimed is: 
An article fabrication system 
comprising: a plurality of material 
deposition tools containing one or 
more materials useful in fabricat-ing 
the article; a material deposition 
device having a tool interface for 
receiving said material deposition 
tools, the tool interface of said mate-rial 
deposition device being movable 
in various paths . . . relative to a 
substrate to dispense material . . . a 
system controller operably connected 
to said material deposition device . 
. . and a tool rack comprising tool 
mounts .... 
This patent appears to cover an 
ink jet printer that may be used for 
bioprinting. The specification makes clear 
that it may be configured for deposition 
of a hydrogel with seeded cells. 
II. Maturongens + Biomonitoring 
+ Bioreactor 
Only pending applications were found 
on the post processing steps of bioprint-ing. 
10 Pharma Focus Asia ISUE - 21 2014 
While patents are 
expensive and time 
consuming to obtain 
and difficult to enforce, 
regulatory approval 
for a bioprinted tissue 
or organ is very 
expensive and time 
consuming. 
Thus, much patenting activity has 
been ongoing. Some of the patents overlap 
in coverage. For example, Missouri’s 
US Patent 8132055 appears to cover a 
bioprinted tissue or organ with filler bodies 
that may be sacrificial hydrogels that will 
form tubular engineered blood vessels. 
And, Organovo’s GB2478801 claims an 
engineered multilayered vascular tube with 
certain types of cells and dimensions. The 
engineered multilayered vascular tube 
may also be made with a filler matrix or 
sacrificial hydrogel that forms the tubular 
structure. 
A number of patent applications 
were filed on the bioprinting device 
itself, although only Cornell’s US Patent 
7625198 has granted as a patent in the 
United States. 
There is room for additional 
patentable innovations 
While it may seem that it is too late 
to start filing patent applications on 
bioprinting innovations, there remains 
room for further patentable improve-ments. 
A number of researchers have 
questioned whether it will be possible to 
create a functioning bioprinted organ. For 
example, Dr. Darryl D’Lima, a researcher 
at the University of Manchester in Britain, 
has been quoted as saying that “Nobody 
who has any credibility claims they can 
print organs, or believes in their heart 
of hearts that will happen in the next 20 
years5.” And, there have been reports 
that Dr. Gabor Forgacs, inventor of the 
Missouri patents and Scientific Founder 
at Organovo, has questioned whether the 
days of printing organs will ever come6. 
In view of this skepticism, if one discov-ers 
a method of bioprinting a functional 
organ, the patenting of such a method 
should be patentable. 
Existing patent filings may not 
impede commercialisation of 
bioprinted organs 
It will be many years before a functioning 
bioprinted organ is made and approved by 
regulatory authorities. In the meantime, 
the basic patents may expire. Even if they 
do not, many countries have an excep-tion 
to patent infringement under what 
is called the experimental use exception. 
In the United States, the law provides 
for an exception to patent infringement 
when the patented item is tested for devel-opment 
of information for submission 
to the US Food and Drug administra-tion. 
Thus, in many countries, one can 
carry out clinical testing of a patented 
bioprinted organ or tissue without fear 
of patent infringement. 
In conclusion, if the technical 
challenges of making a bioprinted organ 
are overcome, the future of bioprinted 
organs will be very bright. And, the 
patenting activity will continue. 
5 http://www.nytimes.com/2013/08/20/science/next-out-of- 
the-printer-living-tissue.html?pagewanted=all_r=1 
6 See, http://www.fool.com/investing/general/2014/04/09/ 
organovo-holdings-inc-founder-we-may-not-print-org.aspx 
Au t h o r BIO 
Robert W Esmond's intellectual property law experience has 
principally been in the biotechnology and chemical areas. His 
legal experience includes counseling clients in various intellectual 
property matters such as patentability investigations, validity 
and infringement analyses, freedom to operate and FDA/ANDA 
practice. 
strategy
Creating and Sustaining 
Cultural Change by Focusing 
on Operational Excellence 
Over the past decade, the impor-tance 
of Operational Excellence 
(OPEX) in the pharmaceutical 
industry has grown significantly. A mere 
copy and paste from successful auto-motive 
excellence programmes does not 
work for the pharmaceutical structural 
requirements in the long run (Friedli 
et al., 2013). This has been realised by 
most of the pharma companies in the 
past ten years while working their way 
with individual roadmaps. Accordingly 
Lean, along with Six Sigma has grown in 
prominence with their principles, meth-odologies 
and tools supporting OPEX 
initiatives (Friedli et al., 2010, p.220). 
Although highly standardised programmes 
of Operational Excellence (OPEX) have been 
implemented in almost every globally operating 
pharmaceutical company, the success of OPEX 
initiatives differs considerably. This article presents, 
based on the St.Gallen OPEX understanding, an 
overview of the factors that enable a sustainable 
OPEX culture and OPEX implementation. 
ThomasFriedli, Managing Director TECTEM, 
Vice Director Institute of Technology Management 
NikolausLembke, Research Associate 
ChristianMänder, Research Associate 
University of St.Gallen, Switzerland 
strategy
However, the evolution of OPEX in the 
pharma industry showed that the path-way 
to OPEX is more than just about 
applying tools. As each OPEX initia-tive 
is shaped by a company’s culture, 
they tend to vary to a large extent with 
no universal recipe. But based on the 
research and project experiences of the 
Institute of Technology Management of 
the University of St.Gallen, Switzerland 
(ITEM-HSG) some common guidelines 
and procedures are identified. 
A definition of operational 
excellence 
Modern approaches to OPEX have 
evolved from the understanding of Lean 
Production and are generally regarded as 
part of continuous, corporate improve-ment 
concepts (Friedli  Schuh, 2012). 
However, OPEX programmes cannot 
be viewed as standalone or as a set of 
new methods and tools as they comprise 
and rely on several already established 
manufacturing concepts (Friedli et al., 
2010). Operational excellence is about 
the continuous pursuit of improvement 
of a production plant in all dimensions. 
Improvement is measured by balanced 
performance metrics comprising effi-ciency 
and effectiveness, thus providing a 
correlative basis for improvement evalu-ation 
(Friedli et al. 2013, p.24). 
The philosophy of OPEX can 
be traced back to research results on 
excellence by Drucker (1971), Peters 
and Waterman (1982), Hayes and 
Wheelwright (1985), and Schonberger 
(1986), complemented by a long history 
of Japanese manufacturing concepts 
strongly linked to the Toyota Production 
System, which was first published by 
Sugimori (1977). In 2004, the ITEM-HSG 
started its activities in the field 
of pharmaceutical manufacturing 
to better understand OPEX and its 
implementation level in the industry. 
Based on the work of Cua et al. (2001) 
the ITEM-HSG developed a framework 
for the structured discussion of OPEX in 
a pharmaceutical context – the so called 
St.Gallen Operational Excellence Model 
(see Figure1) was established. 
12 Pharma Focus Asia ISUE - 21 2014 
The St.Gallen Operational Excellence Model (Friedli et al. 2013) 
On the highest level of abstraction, 
this model can be divided into two larger 
sub-systems: a technical and a social 
sub-system. 
The technical sub-system comprises 
of Lean practices like Total Productive 
Maintenance (TPM), Total Quality 
Management (TQM), and Just-in-Time 
(JIT). Most of these major operations 
management principles usually aim at 
a certain area of concern (such as low 
equipment availability, low quality, high 
inventories); companies implement them 
in order to address exactly these issues. 
Based on the first benchmarking results 
the ITEM-HSG structured these three 
sub-elements in a logical sequence in 
their implementation, namely: first 
TPM, second TQM and third JIT. 
Without TPM, the goals of TQM cannot 
be achieved, as there can be no stable 
process based on unstable equipment. 
The mastering of TPM and TQM are 
prerequisites to be able to take out waste 
without facing the danger that the whole 
underlying system starts to crash. (Friedli 
et al., 2013, p.17) 
Second, there is a ‘social’ sub-system, 
the so called Effective Management 
System (EMS) which takes up the 
quest for an operational characterisation 
of management quality and work 
organisation. This second system focuses 
on supporting and encouraging people to 
continuously improve processes. (Friedli 
et al., 2013, p.20) 
Standardisation and visual 
management cannot be clearly related 
to either TPM, TQM or JIT. We call 
them basic elements because they can 
be regarded as basic prerequisites for 
successfully implementing the whole 
technical sub-system in operations and 
administration. As Imai (1986) explained 
in his book on continuous improvement, 
it is impossible to improve any process 
before it has been standardised, and thus 
stabilised. Visual management provides 
the workforce with updated information 
on process and performance data which 
assists the deployment of TPM, TQM, 
and JIT principles. (Friedli et al., 2013, 
p.20) 
OPEX in the pharmaceutical 
industry - a status-quo 
The St.Gallen OPEX benchmarking 
assesses a set of production-specific KPIs 
that are closely linked to the technical 
sub-system (comprising TPM, TQM and 
JIT), as well as the social sub-system; 
Totally 50 operational KPIs are collected 
and analysed. A look at the results of the 
past 10 years shows an improvement in 
Figure1: 
strategy
Extract On OPEX And EMS Performance In The Pharmaceutical Industry From 2003 To 2013 
(Friedli et al 2013) 
w w w . p h a r m a f o c u s a s i a . c o m 13 
performance of the global pharmaceuti-cal 
industry in terms of both effective-ness 
and efficiency (Friedli et al. 2013). 
Figure 2 indicates an extract of the 
benchmarking. From a TPM perspective 
the major advancement is the increased 
awareness of the relationship between 
good maintenance and good quality. In 
the TQM section, a positive develop-ment 
of the Complaint Rate Customer 
can be shown. It has decreased from 1 
per cent in 2003 to 0.57 per cent in 
2012. The Rejected Batches score (given 
as percentage of all batches produced) 
stayed at 0.75 per cent from 2003 to 
2012. Looking at JIT performance, the 
median score reveals a change in Raw 
Material Turns i.e., from 4 turns per year 
in 2003 to 5.35 turns per year in 2012. 
Companies are increasingly trying to 
deliver a demand-oriented JIT instead 
of a stock-oriented approach. In the 
St.Gallen OPEX benchmarking (EMS 
way of thinking. Schein (1985) defines 
organisational culture as a set of arte-facts 
(visible behaviour), values (rules, 
standards), and assumptions (invisible, 
unconscious) that are shared by members 
of an organisation. Creating and sustain-ing 
an organisational OPEX culture is 
a key challenge for the leadership team. 
Leadership characterised by a participative 
leadership style is essential to establish a 
high level of collaboration. Continuous 
improvement, the main philosophy of 
OPEX programmes requires shared tasks, 
empowerment, and teamwork with clear 
rules. Thereby it needs to be ensured 
that decisions are made at the lowest 
possible organisational level. Thus, the 
more individuals become involved in 
the decision-making process, the more 
variety and more ideas will be created. 
Further initiating a cultural change is 
mainly driven by activities designed and 
coordinated from corporate level. During 
sub-system) absenteeism and fluctua-tion 
are used as measures of employee 
satisfaction. Absenteeism, measured as 
the percentage of the total working time 
an employee is absent, decreased from 
4 per cent in 2003 to 3.3 per cent in 
2012. Fluctuation, however, increased 
by about 50 per cent from 5 per cent in 
2003 to 7.5 per cent in 2012. (Friedli 
et al., 2013) 
How to create an OPEX culture 
The success of an OPEX program 
depends, to a greater extent on lead-ership 
and behavioural skills than on 
technical skills (Friedli et al., 2010, 
p.202). Managers often think ‘Changing 
Culture’ leads to ‘Changes in the Work’, 
but in fact it is backwards and culture 
is more an outcome than an input. 
‘Changing the Work’ leads to ‘Change 
in the Culture’ as OPEX is a new way of 
leading, new way of working, and new 
Total Productive Maintenance (TPM) 
Comparison of the Benchmark Results from 2003 and 2012(medians) 
2003 2012 
Performance 
Overall Equipment Effectiveness (OEE) 
2003 36% 
2012 55% 
Figure 2: 
+53% 
Unplanned Maintenance 
2003 25% 
2012 18% -30% 
Total Quality Management (TQM) 
Comparison of the Benchmark Results from 2003 and 2012(medians) 
2003 2012 
Performance 
Rejected Batches 
2003 
0.75% 
2012 0.75% 
0% 
Complaint Rate Supplier 
2003 1.0% 
2012 2.0% 
+100% 
Complaint Rate Customer 
2003 1.00% 
2012 0.57% -43% 
Just-in-Time (JIT) 
Comparison of the Benchmark Results from 2003 and 2012(medians) 
2003 2012 
Performance 
Raw Material Turns 
2003 4 
2012 5 
+100% 
Finished Goods Turns 
2003 
9 
2012 7 
-22% 
Service Level 
2003 95% 
2012 97% 
+3% 
Effective Management System (EMS) 
Comparison of the Benchmark Results from 2003 and 2012(medians) 
2003 2012 
Absenteeism 
2003 
7.5% 
4.0% 
2012 3.3% 
+50% 
-19% 
Fluctuation 
2003 5.0% 
2012 
Training Days 
3.0 days 
7.7 days 
2003 
2012 
+157% 
Unskilled Employees 
2003 
2012 4% 
10% 
-60% 
Performance 
strategy
the first stage of implementation, corpo-rate 
support is absolutely essential. An 
obtrusive communication of the benefits 
and need for continuous improvement 
inside the organisation is key aspect for 
the OPEX leader. Besides this, the execu-tion 
of activities with a visible benefit and 
sense for employees as well as the credible 
behaviour is mandatory to successfully 
and sustainably manage OPEX. 
Underlying values have a strong 
influence on the behaviour of employees, 
as values define how they behave, 
regardless of the situation and context 
(Modig  Ahlström, 2012). Learning 
experiences of the organisational 
members, especially those at site level, 
influence these values and consequently 
the sustainable success of OPEX. Besides 
corporate commitment, it is also 
essential to gain the site management‘s 
commitment for the deployment of 
OPEX in order to sustain cultural 
change at site level. This commitment 
should go beyond formal agreements 
and include the active involvement 
of the site leadership (Friedli et al., 
2010, p.203). A common approach 
designed at a corporate level needs to 
be tailored for each site’s specific needs 
to a certain level. In a research project 
with a leading pharma company, the 
St.Gallen OPEX team developed an 
‘OPEX Implementation Reference 
Model’ which comprises eight categories 
of influencing institutional and process-related 
factors (Figure 3). In each of these 
subcategories, practices were identified 
that supported or hampered a sustainable 
implementation. (Friedli et al., 2010, 
p.205) 
The category of ‘Organisational 
Inertia‘ describes the degree to which a 
site is capable of adopting new practices 
and initiatives, i.e. of changing current 
or past practices and ways of working 
and thinking. An organisation‘s ‘culture‘ 
is the sum of its past and current 
assumptions, experiences, philosophy and 
values, and is expressed in its self-image, 
inner workings, interactions with its 
stakeholders and future expectations. This 
addresses differences in the availability 
14 Pharma Focus Asia ISUE - 21 2014 
OPEX Implementation Reference Model (Friedli et al 2010. p.204) 
of highly professionalised corporate 
support, the connection between site 
objectives as defined in the vision and 
mission statement and OPEX objectives, 
as well as the visible engagement of 
corporate support people. ‘Management 
commitment’ means that the high level 
executives at site level directly participate 
in and pay attention to OPEX activities. 
The category of ‘organisational structure’ 
deals with the organisational integration 
of OPEX and available resources. The 
category of ‘people’ describes the level of 
general understanding of OPEX across 
the organisation as well as engagement 
and training of shop floor employees. 
The category of ‘implementation process’ 
focuses on the degree of standardisation 
in dealing with OPEX projects from idea 
selection to knowledge management. The 
more an initiative becomes a regular part 
of organisational activities the more 
standardisation can streamline activities. 
‘Integration’ describes the process of 
attaining close and seamless coordination 
between departments, groups, systems 
and other corporate initiatives. (Friedli 
et al. 2013, p.206ff ) 
Enabling factors 
During the research and project work 
of the ITEM-HSG OPEX team over 
the past ten years it has become clear 
that patterns of OPEX programmes 
feature some common elements. The 
OPEX programmes of Pfizer, Novartis, 
Roche, Genentech and Merck Serono 
show that what matters most is structure 
and, in most cases a corporate support 
function, adequate training method-ologies, 
tools and activities. One of 
the most differentiating factors when 
comparing OPEX initiatives from one 
organisation to another is the way they 
are embedded into the respective global 
and local organisations. Having the right 
OPEX organisation in place unlocks the 
potential of OPEX due to designing, 
executing, coordinating, enabling, and 
communicating functions in order to 
create structures to get the right infor-mation 
at the right time to the right 
people. An OPEX training programme 
is essential for the sensitisation in OPEX 
of the employees at different hierarchi-cal 
levels as well as of course providing 
the necessary knowledge in principles, 
methods, and tools. Furthermore it is 
necessary to establish a common OPEX 
language at corporate management level 
and production sites. A change in the 
culture cannot happen without the use 
of OPEX tools and the execution of 
OPEX activities. As already indicated, 
a change in the way of working leads 
to a change in the culture. ‘You cannot 
create a culture without first introduc-ing 
tools. Culture doesn’t just evolve. 
You need to handle the practical world 
using concrete tools and projects. The 
Figure 3 
strategy
strategy 
w w w . p h a r m a f o c u s a s i a . c o m 15 
cultural element gradually grows as a 
layer on top of the tools if you continu-ously 
emphasize the thoughts behind 
the tools.’ Andrew Finnegan from Novo 
Nordisk (Friedli et al. 2013, p.135) 
Summary 
Today most pharmaceutical manufactur-ers 
apply selected approaches, princi-ples 
and methods as well as tools from 
OPEX in order to increase efficiency. 
Operational Excellence (OPEX) as a 
continuous pursuit of improvements 
in all dimensions leads to changes in 
existing working environments. Changes 
in the work environment in the long 
term lead to changes in the culture. A 
culture of Operational Excellence is not 
a bunch of written rules by the manage-ment 
team; it is the decision by the 
organisation to commit to go beyond 
the ordinariness and not being satis-fied 
with the current status-quo. The 
major driver on a cultural level is the 
promotion of OPEX with all its aspects 
and the increased effort in training. As 
each OPEX initiative is shaped by an 
individual company’s culture, OPEX 
initiatives can vary to a large extent 
and it is the task of the OPEX leaders 
to balance the initiative (Friedli et al., 
2013, p.114). An organisation with an 
OPEX culture provides personal and 
professional satisfaction for the employ-ees 
about what they do and gives the 
company some kind of legitimisation 
and purpose, thereby motivating its 
members to make a contribution in view 
of achieving superior goals (Friedli et 
al., 2010, p.206). 
Literature 
Cua K. O., McKone K. E., Schroeder R. 
G. (2001). Relationships between imple-mentation 
of TQM, JIT, and TPM and 
manufacturing performance. Journal of 
Operations Management, Vol. 19(2), 
pp. 675–694. 
Drucker P.F. (1971). What we can learn 
from Japanese management. Harvard 
Business Review, Vol. 49 No. 2, pp. 
110-22. 
Friedli T., Basu P.B., Gronauer T., 
Restoring Our Competitive Edge: 
Competing Through Manufacturing. 
Wiley, New York. 
Imai M. (1986) Kaizen: The Key to 
Japan's Competitive Success. Random 
House, New York. 
Modig N., Ahlström P. (2012). This is 
lean. Resolving the efficiency paradox. 
Rheologica Publishing, Stockholm. 
Peters, T.J. and Waterman, R.H. 
(1982), In Search of Excellence – 
Lessons from America’s Best-Run 
Companies, HarperCollins Publishers, 
London. 
Schein, E. H. (1985). Organizational 
culture and leadership: A dynamic view. 
Jossey-Bass, San Francisco, CA. 
Schonberger R.J., (1986). Japanese 
Manufacturing Techniques. The Free 
Press, New York. 
Sugimori Y., Kusunoki K., Cho F., 
Uchikawa S. (1977). Toyota Production 
System and Kanban system: materiali-zation 
of just-in-time and respect-for-human 
system. International Journal of 
Production Research, Vol. 15 (6), pp. 
553–564. 
Operational 
excellence is about 
the continuous 
pursuit of 
improvement of a 
production plant in 
all dimensions. 
Werani J. (2010). The pathway to 
operational excellence in the pharma-ceutical 
internal criteria. Editio Cantor Verlag, 
Aulendorf. 
Friedli T. Basu P.B., Bellm D.,Werani J. 
(2013). Leading pharmaceutical opera-tional 
and cases. Springer,Berlin, Heidelberg. 
Friedli, T., Schuh, G. (2012). 
Wettbewerbsfähigkeit der Produktion 
an Hochlohnstandorten. 2. Auflage, 
Springer Verlag, Berlin, Heidelberg. 
Hayes R.H., Wheelwright S.C., (1985). 
Au t h o r BIO 
industry - Overcoming the 
excellence - Outstanding practices 
Thomas Friedli leads a team of 14 researchers and is lecturer in 
Business Administration. His main research focus is the management 
of industrial enterprises with a focus on production management. 
He is editor and author of several books, with his latest book 
‘Leading Pharmaceutical Operational Excellence’. 
Nikolaus Lembke concentrates on the challenges of manufacturing 
companies with a focus on the pharmaceutical industry and the 
implementation of operational excellence. Nikolaus graduated in 
technology management as mechanical engineer at the University 
of Stuttgart (Germany), complemented with a stay at the Nanyang 
Technological University (Singapore). 
Christian Maender concentrates on the challenges faced by 
the pharmaceutical industry. His focus is on the management of 
operational excellence programs. Christian graduated in mechanical 
engineering with a focus on production techniques at the Karlsruhe 
Institute of Technology (Germany).
strategy 
Cover Story 
THE SIX 
GREAT 
SHIFTS 
Transforming the 
pharma industry 
Anyone involved with the life sciences sector can 
see how changes in technology, demographics 
and health economics are driving the industry. 
But these are merely symptoms; beneath 
them lie six great shifts that are transforming 
the industry and - determine which business 
models will survive and which will die. 
Brian D Smith, Managing Director, PragMedic, UK 
16 Pharma Focus Asia ISUE - 21 2014
strategy 
BOX 
1 
w w w . p h a r m a f o c u s a s i a . c o m 17 
Many languages have an 
equivalent to the expression 
“Seeing the forest for the 
trees”, meaning the ability to discern the 
big picture from little details. That ability 
is important in life but especially true for 
leaders of life sciences sector. Every day we 
are bombarded with news of innovative 
technology, tighter regulation and new 
approaches to controlling healthcare 
spending. The challenge is to see how these 
myriad factors are combining to shape 
the sector. Only by doing so do industry 
leaders stand any hope of preparing for 
the future. My work uses evolutionary 
science to enable this necessary foresight. 
In this article, I’ll talk a little about the 
basic ideas behind my research before 
moving onto the findings. I’ll conclude 
by suggesting some practical implications 
that you may like to act on. 
Organisms and organisations 
All good science is based on a well-supported 
theory; an explanation of 
how the world works. Germ theory, 
atomic theory and gravity, for example, 
are all good explanations that help us 
understand and manage the world 
around us. To understand a sector as 
complicated as life sciences, we need a 
very good theory and luckily we have 
one; evolution by natural selection. 
Darwin’s profound insight was first used 
to explain the profusion of species on 
our planet, but, in more recent years, 
has been used to explain the behaviour 
of industries. This is possible because 
biological and economic systems are both 
examples of complex, adaptive systems. 
That is, they are both large collections 
of many different entities that interact 
with and adapt to each other. Whether 
we are trying to understand organisms 
or organisations, the basic science is the 
same. 
Complex, adaptive systems are 
characterised by non-linear behaviour; 
it’s practically impossible to predict what 
will happen in the long run. Instead, 
we can observe how the countless, 
seemingly random interactions result 
gradually in patterns of behaviour. 
We call these emergent properties. 
The flocking behaviour of birds is an 
emergent property as are traffic jams. 
In my research, I consider how many 
different components of the life sciences 
sector combine to create emergent 
properties and what these properties 
imply for the competitive strategies of 
companies operating in this sector. 
From the complex adaptive system 
of the life sciences sector, six important 
properties emerge: three from the 
industry’s social environment, three from 
its technological context. Each one is a 
shift from the way the world used to be 
to how it is transforming. And each shift 
creates an evolutionary selection pressure 
that favours some business models and 
discriminates against others. That’s why 
understanding these pressures and their 
implications is for the sector’s business 
leaders. In the following sections, I’ll 
describe the shifts, their origins and the 
selection pressures they create. 
1. The great value shift 
The great value shift (see BOX 1) is a 
fundamental change both in how value 
is defined and who defines it. It is also 
about an increase in the heterogene-ity 
of value definition. It arises from 
the interaction of a number of separate 
social factors: demographics, healthcare 
inflation, rising expectations and disease 
patterns, amongst others. 
The great value shift creates a 
selection pressure in favour of business 
models that can understand what multi-dimensional, 
customer-perceived value 
is and create that context-specific value 
through its combination of product, 
services and pricing. At the same 
time, the value shift creates a selection 
pressure against business models that 
continue to understand value only in 
terms of clinical outcomes as defined 
by healthcare professionals and value-creation 
only in terms of products. 
2. The global shift 
The global shift (see BOX 2) is a wide-reaching 
change in what customers 
want and where they are. Importantly, 
it includes not just globalisation of 
demand but also fragmentation of 
customer needs to accommodate many 
non-clinical factors such as aesthetics 
and convenience. It creates multiple, 
diverse global segments within any 
disease or therapy area. It arises from 
the interaction of trade internation-alisation, 
multinational corporations, 
increasing global wealth and subse-quent 
maturation and fragmentation 
of customer needs. 
The global shift applies a selection 
pressure in favour of business models 
that can understand the heterogeneity of 
their market and use that understanding 
to select which parts to focus upon and 
deliver value to those targeted customers 
on a global basis. At the same time, the 
value shift creates a selection pressure 
against business models that continue 
A shift in the definition of the value of treatments, interventions and 
associated products and services from a relatively simple and ubiq-uitous 
definition of value as improved clinical outcome, as defined by 
healthcare professionals, to a much more complex, context-specific 
definition of value defined in terms of clinical, economic and other 
factors by some combination of healthcare professionals, payers 
and patients or their proxies
BOX 
2 
A shift in the demand pattern for treatments, interventions and associ-ated 
products and services from one which is geographically focussed 
on western economies and in which demand heterogeneity is limited 
and based mostly on differing clinical requirements, to one in which 
demand has a global geographic spread and is very heterogeneous 
along multiple dimensions of clinical requirements, payer prefer-ences 
and patient needs, both clinical and otherwise. 
to view market heterogeneity only 
in clinical terms are unable to focus 
their resources appropriately and 
cannot deliver customer-specific value 
globally. 
3. The network shift 
The network shift (see BOX 3) is a 
profound change in the way firms and 
other organisations structure themselves. 
It involves two factors: a reduction in 
the scope of what firms do within their 
own organisation and strengthening of 
their relationships with other organisa-tions. 
In essence, it is a shift from big 
firms to networked organisations that 
are more complex, more fluid and less 
well defined than we are used to. It arises 
from the combination of changes in 
capital markets, changes in transaction 
costs within and between companies, 
the specialisation of corporate capabili-ties 
and the increasing need to manage 
business risk. 
The network shift applies a selection 
pressure in favour of business models 
that can build and manage dynamic, 
symbiotic networks of different 
organisational entities and use that 
structure to create better returns, better 
manage risk or some combination of 
the two across any part of the value 
chain. At the same time, the network 
shift creates a selection pressure against 
business models that persist in unicentric 
structures that fail to optimise returns 
and risk across the value chain. 
18 Pharma Focus Asia ISUE - 21 2014 
The systeomic shift 
The systeomic shift (see BOX 4) is a shift 
of great consequence in the science and 
technology of the sector. It represents a 
move from a 19th century, Oslerian para-digm 
of medicine to a systems approach 
that seeks to support the efforts of indi-viduals 
to maintain their own wellbe-ing. 
It is based on enabling technologies, 
such as gene sequencing, biomarkers and 
synthetic biology. These enable bioin-formatics 
which in turn enables systems 
biology and so systems medicine. 
The systeomic shift applies a selection 
pressure in favour of business models that 
can translate system medicine into an 
improvement of returns or a reduction 
risk at any point in the value chain. 
Conversely, it creates a selection pressure 
against business models that remain on 
a reductionist, hierarchical, population 
based understanding of disease or injury 
and the ways we manage them. 
strategy 
The information shift 
The information shift (see BOX 5) is 
much more than the expansion of infor-mation 
technology. It is an inflection 
point in what information we collect, 
from where and how we manipulate 
and apply it. Importantly, it influences 
not only how we discover and develop 
drugs, devices and other medical tech-nologies 
but also how we produce prod-ucts, 
deliver services and understand our 
customers’ needs. It is based upon plat-form 
technologies such as biosensors and 
improved chips, memories and batter-ies. 
These enable connectivity, wearable 
technology and artificial intelligence. 
Alongside this sit new capabilities in 
making sense of large-scale data. 
The information shift applies 
a selection pressure in favour of 
business models that use information 
to improve returns or reduce risk, 
whether that is in RD, Operations 
or Sales and Marketing. The obverse 
is that the information shift creates 
a selection pressure against business 
models that remain based on the use of 
information in a small-scale, fragmented, 
unidirectional and deductive manner. 
The trimorphic shift 
The trimorphic shift (see BOX 6) is 
a three way polarisation in the way 
that companies focus their resources. 
In essence, it involves research-based 
firms becoming even more innovative, 
low-cost firms becoming incredibly lean 
and efficient and customer-centric firms 
becoming excellent at tailoring their 
BOX 
3 
A shift in the focus of economic activity from organisations with 
predominant centres and well-defined, stable boundaries and scope 
to one in which the focus of economic activity is polycentric networks 
with fluid, ill-defined boundaries and scope.
strategy 
Elephants and Antelopes co-exist but 
use different approaches. In the same 
way, how companies use IT or systems 
medicine or create value differs, whilst 
still adapting to, the selection pressures 
implied by the shifts. 
And the take home? First, recognise 
these great shifts and don’t become too 
focussed on individual factors in the 
BOX 
6 
A shift in our approach to 
understanding, perceiv-ing 
and managing the 
continuum of mental and 
physical health, illness 
and injury from one that 
is essentially reactive, 
population-based and 
hierarchical to one that 
is proactive, personalised 
and participatory. 
w w w . p h a r m a f o c u s a s i a . c o m 19 
value propositions to segments of one. 
It arises from advances in supply chain 
architectures, research and development 
technologies and sales and marketing 
methodologies. Alongside this sits 
the polarisation and specialisation of 
corporate cultures in line with their 
business model. 
The trimorphic shift applies a 
selection pressure in favour of busi-ness 
models that focus on creating value 
by either product excellence, operational 
excellence or customer intimacy and 
by targeting the parts of the global 
market that will respond to such an 
offer Similarly, the trimorphic shift will 
apply a selection pressure against firms 
that do not focus their resources and 
adopt a strategy that “straddles” across 
the three approaches. Such firms, who 
may have good products, efficient opera-tions 
and effective sales and market-ing 
processes will find themselves at a 
BOX 
4 
disadvantage to those more focussed 
firms with either excellent products, 
hyper-efficient operations and the ability 
to identify and satisfy very small and 
specific customer segments. 
Shifting your company 
The implications of the 6 great shifts 
are fundamental and real. In simple 
terms, firms will only survive if they 
BOX 
5 
A shift in the collection, 
storage, use and commu-nication 
of information 
from small-scale, frag-mented, 
unidirectional 
and deductive to large-scale, 
integrated, perva-sive 
and inductive. 
adapt to the selection pressures created 
by the shifts. But these pressures are 
huge and often work against each other, 
just like the need to be big and fast on 
the African savannah. In practice, this 
means that firms must and will evolve 
into their chosen market habitats and in 
the process become ever more special-ised. 
Roche, for example, is evolving into 
an outcome-oriented, research hyper-intensive 
firm, as recent acquisitions 
show. Medtronic is pushing towards a 
customer-intimate firm in which prod-uct 
development complements rather 
than leads its strategy. And Mylan is 
specialising into a hyper-efficient cost 
leader. Many other firms are evolving 
into networked entities, keeping only 
their differentiating activities in house. 
How they respond to the six shifts varies 
according to their chosen habitat: Au t h o r BIO 
Brian D Smith is a world-recognised authority on competitive 
strategy in the pharmaceutical and medical technology sectors. 
He researches the evolution of the sector at the University of 
Hertfordshire, UK and SDA Bocconi, Italy. He welcomes comments 
and questions on brian.smith@pragmedic.com. 
A shift in our approach to 
understanding, perceiving 
and managing the contin-uum 
of mental and physi-cal 
health, illness and injury 
from one that is essentially 
reactive, population-based 
and hierarchical to one that 
is proactive, personalised 
and participatory. 
market. Second, understand that these 
shifts are inexorable and that you can 
only adapt to them, not stop them. 
Third, use the selection pressures as 
guides, allowing them to shape your 
choice of markets, strategies and 
structures. As someone once wisely 
said: It’s easy to lead a market – just 
work out where it’s going and get in 
front.
India inc aims for pharma 
dominance by 2020 
Innovation  Technology to steer 2014 
edition of CPhI/ P-MEC India 
• Preceded by 2nd Annual India Pharma Awards 
2014 
• CPhI India Technical Seminar on industry 
trends  challenges 
• +28000 Pharma professionals from 
+95 countries expected to attend 
UBM India, today announced the event highlights of 
CPhI India, which is co-located with P-MEC India, 
ICSE India  BioPh and slated for 2nd-4th December 
2014 at the Bombay Exhibition Centre in Mumbai, 
India. The three days industry event, wherein key 
players of the pharmaceutical sector, worldwide, 
will congregate to connect, share and ideate, will be 
preceded by the India Pharma Awards, scheduled 
for 1st December 2014 at the Westin Hotel, Mumbai. 
P-MEC India, co-located with CPhI India and in its 
8th year, provides the industry with an international 
platform to showcase pharmaceutical equipment, 
machinery and technology to a forum of decision 
makers from across the world. Additionally, ICSE 
India has rapidly gained a positive reputation in the 
market by offering direct access to the outsourcing 
and contract services sector which is one of the fast-est 
growing segments within the Indian pharmaceuti-cal 
industry. 
At CPhI India 2014, UBM will also release India 
Pharma Report, conducted with the help of research 
partner Global Business Reports. The report, in addi-tion 
to an overview of trends and analysis from key 
industry players, will explore new growth areas emerg-ing 
across the country and feature a robust analysis 
of the Indian pharma market. 
Mr. Joji George, Managing Director, UBM India 
said “Against the backdrop of India constantly seek-ing 
to match and surpass western quality standards 
while maintaining lower manufacturing costs, at UBM, 
our objective for CPhI 2014 is to help elevate India as 
the global pharmaceutical destination by showcasing 
the unique positioning of the Indian pharma market 
20 Pharma Focus Asia ISUE - 21 2014 
and provide an optimum investment platform amidst 
its global counterparts.” 
2nd India Pharma Awards, 2014 1st 
December 2014, Westin Garden City, 
Mumbai. 
Recognizing leading 
innovators across 9 
categories, the India 
Pharma Awards initiated 
by UBM India acknowledge 
innovation and excellence in 
the Indian Pharmaceutical 
Industry, thus creating an 
industry platform to celebrate the contribution 
of the key players amongst their Indian and 
international fraternity. Against the backdrop of 
the global pharma industry increasingly looking 
at India for higher quality and low cost pharma 
solutions, the India Pharma Awards celebrate 
the thinkers and creators who consistently break 
new ground in the pharma sector thereby taking 
the value chain to its next level. Ernst  Young is 
the process advisor for this prestigious event and 
the jury panel for 2014 India Pharma Awards is 
chaired by: 
• Dr. Sudarshan Jain, Managing Director, 
Abbott Healthcare Solutions, 
• Dr. Ajit Dangi, President and CEO, 
Danssen Consulting, 
• Dr. Safia Rizvi, Managing Director, 
UCB India Private Ltd, 
• Mr. Devinder Pal, President, 
Catalyst Pharma Consulting 
• Mr. S V Veerramani, Founder  Chairman, 
Fourrts (India)  President, IDMA. 
Advertorial 
Read more: www.indiapharmaawards.in
28000+ Pharma professionals. 
Three days of pure business networking. 
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Mix with the world of pharma, 
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2-4 December 2014 
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RESEARCH  DEVELOPMENT 
The quest to undertake biological targets that are 
based on the regulation of signalling pathways 
is challenging the classical thinking in the drug 
discovery arena. Historically, the complexity of the 
biological system was underestimated! It is now well-accepted 
that compared to old biological targets 
that were focused on single gene or gene products, 
we need to undertake targets that are derived 
from complex and dynamic signaling pathways. 
Subhadra Dravida, Founder and CEO of Tran-Scell Biologics  TranSTox BioApplications, India 
Prabhat Arya, Department of Organic and Medicinal Chemistry, Dr. Reddy's Institute of Life 
Sciences (DRILS), University of Hyderabad Campus, India 
22 Pharma Focus Asia ISUE - 21 2014 
Drug discovery is a tough busi-ness! 
At the same time, it is 
the domain that provides an 
opportunity to improve the quality of 
human health and allows recovering from 
the suffering due to various biological 
disorders. 
In the past decades, we have witnessed 
a major limitation in creating the next-generation 
drugs despite a significant 
boost in the financial spending for 
research and development. After the 
completion of the human genome project, 
we were guaranteed a plethora of novel 
Rethinking 
Drug Discovery
RESEARCH  DEVELOPMENT 
Drug Discovery – A Paradigm 
Shift 
Pre-genomic era 
Regulation and 
de-regulation of 
signaling 
pathway-based 
research 
Pre-genomic era 
Single, isolated 
biological 
targets, such as 
enzymes 
w w w . p h a r m a f o c u s a s i a . c o m 23 
biological targets with the hope of 
producing novel drugs with fewer side 
effects. The genomics research has made 
us appreciate the high level complexity 
of our biological system and at the same 
time, it challenges the classical thinking 
in the drug discovery arena. 
1.0 Classical drug discovery 
approach: the pre-genomic era 
Over the decades, the biomedical drug 
discovery community’s efforts were 
focused on a single gene and the gene 
product, such as isolated enzymes, for 
example: kinases and phosphatases (See 
Figure 1). During this course of drug 
discovery, serious efforts were made to 
obtain the 3D structural information 
of a given enzyme; this was then heav-ily 
guided by extensive computational 
studies leading to the design of novel 
small molecules serving to kick-start the 
drug discovery programme. In this age, 
for example, the challenge is to discover 
novel small molecule that has the poten-tial 
to hit only one i.e. the desired kinases 
or phosphatases. The post-genomic era 
taught us that this is not going to be an 
easy undertaking, keeping in mind that 
human genome encodes more than 600 
kinases and ~250 phosphatases. 
2.0 The post-genomic era 
The completion of the human genome 
that resulted in the indication of nearly 
30,000 genes promised a flood of targets 
to be further undertaken in drug discov-ery 
(see Figures 2 and 3). Although highly 
useful, the information at gene level is 
not easy to translate to functional protein 
complexes that are the key to various cell 
signalling events. Moreover, this infor-mation 
also does not lead to any post-secondary 
modifications that proteins 
undergo, such as glycosylation and ubiq-uitination 
etc., and, their effects on the 
signalling functions. In fact significant 
progress made in genomics and proteom-ics 
research has brought us to the doors 
of a high degree of complexity that lies 
in our biological system. Furthermore, 
it also challenges us to develop new 
research models for understanding the 
complexity of gene functions, such as 
the Protein-Protein Interaction (PPI) 
networks (commonly known as the 
signalling pathways) that are central to 
various cell functions in normal as well 
as disease states. The moment we accept 
the fact that, proteins do not function 
in isolation and that they are a part of 
highly complex network machinery, sets 
new challenges to examine their role(s) 
Historical Drug Discovery! 
Figure 1 
Biological Target 
Structural Information 
Structure-Guided 
Small Molecule Discovery 
• Biased Approach 
• Need for new research models 
small molecule 
binder 
• Well-defined 
• Compact 
• Deep pocket 
Figure 2 
in the drug discovery arena. Why is this 
case? The pathways that involve multiple 
protein-protein interactions are highly 
complex and dynamic. In many cases, 
even though, we as a community have 
been successful to obtain the structural 
information of a given protein-protein 
interaction, their participation is much 
more complex (for example, multi-protein 
complexes), and often leads to a limited 
information capture for the design of 
small molecules with desired biological 
effects. 
3.0 Biological targets: signaling 
pathways-based approach 
The earlier approaches focused on 
enzymes (such as kinases and phos-phatases) 
and relied heavily upon the 
structural information of a given isolated 
target which would then aid in the design 
and synthesis of small molecules. With a 
few exceptions, in most cases, the organic 
synthesis and medicinal chemistry efforts 
led to producing heterocyclic compounds 
and small molecules that are rich in the 
sp2 character. The growing desire to 
undertake biological targets that are 
focused on protein-protein interactions 
and on the de-regulation of dynamic sign-aling 
pathways is changing our thought 
process for the choice of small molecules 
serving as a good starting point to devel-oping 
the drug discovery research path. 
Unlike the deep and well-defined pock-ets 
that enzymes do offer, in general, 
PPIs involve a shallow, large surface area
Going-in for Pathways! 
Figure 3 
with extensive hydrophobic interactions 
(see Figure 4). Over the years, bioactive 
natural products have shown an excellent 
track record as modulators of PPIs, and, 
in most cases, this is achieved through 
allosteric sites rather than functioning at 
the PP-interface. Despite much progress 
that has been made towards obtaining 
structural information of a given PPI, due 
to the nature of these interactions that 
are generally a part of complex multi-meric 
protein complex, cell-based screens 
remain the choice to search for novel 
small molecules. 
The drive to embrace the signal-ling 
pathway-based approach is the 
hallmark in the modern drug discovery 
arena! And, this need is also seriously 
questioning our classical approaches 
to accessing small molecules that were 
biased towards simple, flat, heterocyclic 
compounds. A million dollar question in 
this game, heavily relies on high quality 
functional cell-based (or commonly called 
as phenotype or pathway-centric) screen- 
24 Pharma Focus Asia ISUE - 21 2014 
ing which is the choice of discovering 
small molecules required in the program. 
Traditionally, small molecule toolbox 
small molecule binder 
Need for a new thinking! 
• map large surface area 
• shallow surface 
• combination of several weak 
interactions 
• extended hydrophobic interactions 
• possible hot spots 
Figure 4 
within the pharma setting contains 
compounds that are more biased towards 
enzymes than on PPIs and pathways. In 
Enzymes Vs Protein-Protein Interactions 
RESEARCH  DEVELOPMENT
w w w . p h a r m a f o c u s a s i a . c o m 25 
most cases, these compounds also lack 
the general features that are commonly 
found on bioactive natural products, 
such as 3D architectures, and, rich in 
chiral display of functional groups etc, 
functioning on pathways. 
4.0 Translational chemical biology: 
need for new collaborative working 
models! 
There are two prime reasons to explore 
new research models in drug discovery (see 
Figure 5), and these are: (i) as discussed 
above, the traditional pharma collection 
of small molecules contains compounds 
that lack the features commonly found 
in bioactive natural products that are 
known to function as the modulators of 
PPIs and signalling pathways; and, (ii) 
in general, most pharma expertise resides 
in the classical drug discovery approaches 
with a focus on kinases, phosphatases 
and other enzymes. The development of 
a phenotype or pathway-based screen-ing 
program is still in its infancy within 
most or several pharma groups. With an 
in-depth look at the current limitations 
covering both points within the pharma 
community, it is becoming apparent that 
these bottlenecks can be taken care-of 
by working closely with the academic 
groups. Outlined below are some of the 
advantages that would allow taking care 
of these two short-comings. 
The need for a good starting point 
as the functional small molecule is the 
crest of the chemical challenges. The 
growing interest in undertaking PPI 
or pathway-based targets is challenging 
the organic synthesis and medicinal 
chemistry community to develop novel 
approaches that allow a rapid generation 
of small molecules inspired by bioac-tive 
natural products or hybrid natural 
products. The goal here is to build the 
next generation chemical toolboxes 
with compounds that have 3D shapes, 
present sufficient molecular complexity 
from the medicinal chemistry point of 
view and are more close to a wide variety 
of bioactive natural products. To meet 
these challenges, the academic commu-nity 
has developed several path forward 
Translational Chemical Biology Model 
approaches, and, some these include: 
Diversity-Oriented Synthesis (DOS), 
Biology-Oriented Synthesis (BIOS) and 
Functional-Oriented Synthesis (FOS). 
In all these approaches, the long-term 
goal is to access a new generation of small 
molecules that are obtained through 
the inspiration from bioactive natural 
products. Because these new synthesis 
efforts are highly demanding in the meth-odology 
development, and, at present, 
mainly practiced in academic labs, 
building collaborative working models 
with the relevant academic community 
is not surprising. So is the case for the 
phenotypic or pathway-based cellular 
screening. From the past several years’ 
observations, it is now clear that several 
academic labs across the globe have estab-lished 
an outstanding expertise in this 
domain that requires working on very 
high risk projects involving identifica-tion 
and understanding the nature of 
the biological targets. One of the key 
features of the translational chemical 
biology model is that it allows obtain-ing 
a thorough understanding of the 
biological target by an extensive use of 
biophysics tools, such as, protein NMR, 
X-Ray, SPR etc. 
Exploring some of these demanding 
and high risk research areas by working 
closely with the academic community, 
it is indeed possible to develop next 
generation path forward approaches 
within the drug discovery arena. Cities 
such as Boston, San Diego, Montreal and 
Toronto have shown tremendous advan-tages 
in embracing these new research 
models. Specifically, Boston leads the way 
in embracing new research models (for 
example, Research at the Broad Institute 
of Harvard and MIT) and, in building a 
new research culture that has strong roots 
in academia and the pharma sector. A 
recent contribution of US$650 million 
as the philanthropic donation to Broad 
is the true testimony. It would be nice to 
Figure 5 
Organic Synthesis 
Novel Chemical Toolbox 
Natural Products 
Natural Product-inspired 
Hybrid Natural Products 
Cell Signaling Biology 
(Biological Questions/ 
Novel Assays) 
Cellular Assays 
Zebrafish Assays 
Other Organisms 
Biophysics and 
Structural Biology 
SPR 
Protein NMR 
Computational Tools 
RESEARCH  DEVELOPMENT
Emerging Direction In Cancer Research 
Opinion 
Tackling the cancer stem cells - 
what challenges do they pose? 
See: 
Nat. Rev. Drug Disc. July 2014 
Figure 6 
Why understanding 
and selective killing 
of cancer stem cells 
is important? 
see efforts like this in a country like India, 
who are aspiring to be a powerhouse in 
building ‘knowledge-based economy’. 
5.0 Embracing New Directions: An 
Example in Cancer Research 
In this section, we outline an example of 
a translational chemical biology model 
and its utilisation in embracing a new 
direction in cancer research (see Figure 
6). In addition to the toxicity issues, one 
of the major problems with cancer drugs 
is their inability to control the growth/ 
re-birth of cancer cells over a period of 
time. In the past several years, it has 
been shown that there is potential to 
overcome this problem if we are able to 
design small molecules that are highly 
selective in killing Cancer Stem Cells 
(CSCs). The lack of an ability to kill 
CSCs by most anti-cancer drugs leads 
to cancer cells formation and this then 
leads to metastasis. Until very recently, 
it has been shown that it is possible to 
identify novel small molecules that are 
highly effective as selective killers and 
these compounds in combination with 
the traditional anti-cancer drugs appear 
26 Pharma Focus Asia ISUE - 21 2014 
to be a promising path-forward approach. 
Once again, through developing novel 
cancer stem cells-based phenotype screens 
either in cells or in zebrafish combined 
with a novel chemical toolbox having 
natural product-inspired and hybrid 
natural products provides an excellent 
opportunity to practice working with 
Au t h o r BIO 
new models to reach highly unique drug 
candidates that may prove to be more 
effective than the traditional anti-cancer 
drugs. 
6.0 Summary 
As we have seen for the past several 
years, the current practice of drug 
discovery seems to be a losing battle 
and not much has come out to benefit 
the society that is desperately looking 
for next generation effective medicines 
at an affordable cost. We are hoping 
that through embracing some of these 
new research working models and build-ing 
like-minded teams that are a nice 
blend of skill-sets from academia and 
pharma sector would allow reaching 
the objectives that are not possible 
to be achieved with classical working 
models. A challenging task is to build 
teams to undertake high-risk research 
programmes, and, this requires a deeper 
understanding of the need of so called 
‘collective competence’. Only time will 
tell, whether, climbing this mountain 
would lead to a productive path that 
the patient community would benefit 
from, and this remains to be seen in 
days ahead! 
All references are available at www. 
pharmafocusasia.com 
A Scientist by profession, Subhadra Dravida led global stem cell 
research and commercialization initiatives in regenerative medicine 
and drug discovery domains for over 12 years. She holds over 
two dozen patents in the field of regenerative medicine and has 
significant expertise in converting promising research into business 
opportunities. 
PhD (1985) from the University of Delhi and PDFs at Cambridge and 
McGill, Prabhat worked at the National Research Council (NRC) of 
Canada for nearly 20 years; and also, had a short stint at the Ontario 
Institute for Cancer Research (OICR) to help build the medicinal 
chemistry program. 
RESEARCH  DEVELOPMENT
Manufacturing 
Validation Projects 
in China 
This article is a firsthand account of the experiences of Pharmadule in guiding 
leading Chinese manufacturers through facility investment projects aimed at 
compliance with Chinese, US and EU GMP requirements. These manufacturers have 
been among the first in the world to fully embrace the work procedures outlined in 
ICH Q8, Q9 and Q10. Implementing these guidelines in large organisations would 
be a challenge with any global market, but it turns out that the Chinese market 
offers both advantages and cultural disadvantages when managing change. 
w w w . p h a r m a f o c u s a s i a . c o m 27 
Magnus Jahnsson, Director Regulatory Affairs, Pharmadule Morimatsu, AB Sweden 
Daniel Nilsson, Director GMP and Validation Services, Pharmadule Morimatsu, China 
Erik Östberg, Project Validation Manager, Pharmadule Morimatsu, China 
Between 1997 and 2000 Pharmadule 
built a number of pharmaceutical 
manufacturing facilities in China 
for both domestic manufacturers and 
multi-national pharmaceutical compa-nies, 
including Eli Lilly and AstraZeneca. 
The multi-national companies required 
GMP compliance and validation services 
comparable to the level that exist today. 
The facilities delivered for Chinese manu-facturers 
would comply with international 
GMP requirements; but it became evident 
at that time that the Chinese GMP regula-tion 
was immature in comparison with the 
EU regulations and guidelines. In 2011, 
all of this changed when China launched 
the new GMP regulations which elevated 
the requirements to a level equivalent 
with international cGMPs. 
At about the same time, Pharmadule 
refocused the strategy towards the 
Chinese market and has since then
Manufacturing 
28 Pharma Focus Asia ISUE - 21 2014 
a decade or more to fully implement in a 
multi-national pharmaceutical company 
in the EU or the US are accomplished 
in a matter of months. 
In recent assignments completed by 
Pharmadule in the Chinese market, the 
philosophy described by international 
regulators in ICH Q8 – Pharmaceutical 
Development, Q9 – Quality Risk 
Management and Q10 – Pharmaceutical 
Quality System have been seamlessly 
integrated with the concepts of Process 
Validation as described in the FDA 
Process Validation Guidance from 2010 
and ASTM E2500 - Standard Guide for 
Specification, Design, and Verification of 
Pharmaceutical and Biopharmaceutical 
Manufacturing Systems and Equipment. 
Other international standards have also 
been taken into consideration in order 
to create a state-of-the-art Validation 
Master Plan. This Validation Master 
Plan governs the entire product and 
process life cycle (as shown in Figure1) 
and is used to manage all of the phases 
of an investment project. The main steps 
of this plan combine to form a control 
strategy allowing an unbroken chain of 
traceable verifications all the way from 
the product attributes (e.g., shelf life) 
via Quality by Design activities in the 
Process Design and scale-up, through 
design and qualification, all the way 
to process validation. This level of 
traceability is rare even with established 
international companies. 
Implementing a new QA culture and 
a new paradigm for process validation 
has of course not been an altogether 
easy task. There have been a number of 
obstacles, some obvious, some less so. 
But there have also been circumstances 
in China that enabled the shift. 
Key observations 
It was a positive surprise to find that 
the degree of process understanding 
was very high among engineers, 
comparable or even exceeding western 
expectations. This can probably be 
attributed to the effectiveness of the 
Chinese education system. However, 
this process understanding was rarely 
fully leveraged into the process 
design and the GMP documentation. 
With the right tools and training, 
process understanding could easily 
be transcribed into Critical Quality 
Attributes, Critical Process Parameters 
and ultimately risk-based control 
strategies. Defining these boundaries 
and limits for the process in Quality 
by Design work has been both efficient 
and accurate. Quality by Design also 
facilitated, and eliminated unnecessary 
aspects of Technology Transfer, since 
Process Design departments, Operations 
and QA worked closely together. An 
impediment that could slow down 
changes is that within the Chinese 
culture, there traditionally is no 
challenge to authority. This puts a cap 
on the capability of innovative thinking 
and creative solutions. Corporate culture 
in China rarely encourages coworkers to 
take risks and explore new solutions. In 
fact, many companies punish employees 
that take risks and fail, with public 
shaming and fines. It is, therefore, 
important to note that, in contrast to 
the engineers, operators in the facilities 
do not have the same level of training 
as their western counterparts and will 
not take own initiatives. They normally 
only speak Chinese and will, for the 
reasons stated above, follow the SOPs 
they are given very rigorously. When 
training operators, this must be taken 
into account. 
Turning process understanding 
and Quality by Design into User 
Requirement Specifications is a 
challenge that is not unique to Chinese 
manufacturers. International companies 
also regularly fail in this area. The 
sheer number of process engineers, 
support from management, detailed 
instructions and a flexible approach 
to change, allowed rewriting of the 
URSs to enable traceability of critical 
parameters and aspects. Revamping 
the URSs has consequently been easier 
than expected. This is a key activity 
in providing the foundation both for 
procurement and for the rest of the 
validation activities (In the new draft 
been carrying out Validation, Quality 
Management Systems, GMP compliance 
improvement, and design projects in 
China. Compared to the projects in 
the late 1990s, assignments recently 
undertaken required Pharmadule 
to consider a number of significant 
changes in the Chinese marketplace 
when designing a modernised approach 
for project execution in China and other 
emerging markets. 
One major difference is that while 
European and American pharma 
manufacturers typically have a QA/ 
QC-force amounting to up to 40 
per cent of the production staff, the 
Chinese companies we have encountered 
have very small QA/QC-departments, 
mainly focusing on QC and batch 
release testing. Quality is typically 
tested and validated into the products 
and processes. Interestingly enough, 
these immature QA and QC practices 
partially enable the transition to modern 
validation planning and execution. 
The reason is that, in contrast to 
the multi-national pharmaceutical 
companies Pharmadule has worked 
with, over the last 25 years, Chinese 
companies do not have bureaucratic and 
over-compliant Quality Management 
Systems and validation frameworks. 
Rather, they could be characterised 
as non-compliant with EU or US 
regulations. This is of course a concern 
when it comes to the current level of 
Quality Assurance expertise. However, 
our Chinese clients have been very open 
to embracing new ideas and knowledge, 
allowing them to evolve faster than any 
other market where Pharmadule has 
worked in the past. Organisations offer 
little resistance to change, provided they 
understand the benefits and the details 
of the new approaches. Consequently, 
implementation of new business 
processes can be much quicker than 
in Europe and the US. 
When a new facility is being 
built, it provides the manufacturer 
an opportunity to completely change 
the approach to Quality Assurance and 
validation. Changes that would take half
w w w . p h a r m a f o c u s a s i a . c o m 29 
Pharmadule Life Cycle Model 
Quality Assurance 
Operations 
Pre-validation Quality 
Risk Management 
Regulatory Filing ICH CTD 
Module3 / CMC 
Engineering  Design 
Construction 
Good Engineering Practice 
testing / verification 
GMP-compliant Qualification 
Figure 1 
Manufacturing
Annex 15 to the EU GMP guidelines, 
URSs are specifically highlighted as part 
of the validation process). In China 
there is an additional challenge that 
increases the importance of URSs. 
Traditional Chinese vendor 
management pushes all the responsibility 
for design, commissioning and 
qualification — up until at least 
Operational Qualification — on the 
equipment vendors. Audits and contract 
management have not been common 
practices. On the contrary, maintaining 
good relationships between business 
parties is considered so important 
that relationships sometimes supersede 
written agreements. If the supplier is to 
play a big part in the qualification, as is 
the intention (such as in ASTM E2500) 
then the supplier must initially undergo 
an audit to ensure that they are able to 
provide risk-based documentation, next 
get a URS that allows them to write 
risk-based documentation and finally 
communicate during the design phase to 
ensure an understanding and alignment 
with the risk-based principles needed. 
This has been and will be an area that 
needs attention from the validation 
team. 
As a project moves closer to the 
next step in the life cycle, Process 
Validation (referred to as Process 
Performance Qualification in the 
latest FDA guideline), the state of the 
Quality Management System becomes 
much more important. This represents 
both a practical and cultural change 
for the Chinese pharma manufacturing 
industry. Quality Management Systems 
have traditionally been focusing on how 
to achieve the product specification in 
accordance with GMP and Pharmacopeia 
by extensive end testing of products 
and intermediates. Process Validation 
has frequently consisted of three 
batches, tested in accordance with the 
product specification as defined in the 
registration file. There is no scientific 
basis for specifying the number of 
validation batches to three, and while 
this practice may still be acceptable in 
the EU, there is a movement in the US 
30 Pharma Focus Asia ISUE - 21 2014 
Implementing a new 
QA culture and a new 
paradigm for process 
validation has of 
course not been an 
altogether easy task. 
But there have also 
been circumstances 
in China that enabled 
the shift. 
Currently the industry in China is 
waiting to see how the Chinese FDA 
will interpret and enforce the new GMPs 
from 2011. This may seem to be long 
overdue since now over three years have 
passed since the regulation was launched, 
but the CFDA recognised that the new 
requirements were setting a completely 
new standard for the industry and gave 
a grace period until January 2014. This 
year a large number of sterile and aseptic 
manufacturers are being inspected by 
the authorities. It has been recognised 
that while central CFDA has been very 
strict in their interpretation, China is 
an enormous country and it will take 
time for the new interpretations to 
trickle down to the provincial CFDA 
inspectorates. Therefore, the industry 
is still awaiting the outcome of local 
inspections. This gridlock will probably 
remain for the rest of 2014 and well 
into 2015. If the CFDA is enforcing 
the new GMP as vigorously as they 
have announced, there will surely be an 
increasing demand for new equipment 
and facilities, but the main demand will 
be new well-documented and improved 
Quality Management Systems. 
Many of the leading manufacturers 
are not waiting for the results of the first 
real CFDA new GMP audits, but have 
instead chosen to aim for compliance 
with EU GMPs for their current project 
portfolio. This might even be the case for 
projects without objectives of exporting 
to the EU, but is rather done to be able 
to set up strict quality objectives for 
their projects. 
Conclusions 
Our recent experience suggests that 
leading Chinese manufacturers not only 
have adopted the Quality by Design 
approach, but that they also fully 
appreciate the regulatory implications 
as well as the business drivers in 
implementing enhanced process 
understanding. 
In applying Quality by Design and 
Risk and Science-based approaches, 
the Chinese are in some regards better 
equipped to manage the changes of the 
on to a more science-based approach. 
Extended testing i.e extra tests outside 
the product specification to obtain 
an even more robust verification, an 
expected practice in the EU and US 
has not been the normal practice in 
China either. 
One of the main advantages of risk 
and science-based validation is that it 
provides a control strategy based on 
residual risk after process design and 
equipment qualification. This control 
strategy is an input for the Design of 
Experiments for process validation 
batches that provides a scientific 
rationale for the number of batches and 
defines the extended testing needed. 
Control strategies also help define 
appropriate programmes for continuous 
process performance monitoring i.e. 
Continued Process Verification. In 
order to achieve this goal there is a 
need to implement a Pharmaceutical 
Quality System including a number 
of elements that traditionally 
have not been prioritised. Change 
Management, Deviation Management, 
Supplier Management, Continual 
Improvements and Product Quality 
Reviews are examples of activities that 
need to be implemented not just in the 
documentation, but also in practice. 
This is a major cultural change for most 
Chinese pharma manufacturers. 
Manufacturing
Manufacturing 
w w w . p h a r m a f o c u s a s i a . c o m 31 
organisations that this brings, due to 
the lack of quality history. Since there 
is a lack of understanding regarding the 
extent to which the new CFDA GMP 
will be enforced, and the similarities on 
paper between EU and the new Chinese 
GMPs, many leading manufacturers aim 
for compliance with EU GMP in current 
projects. While the industry as a whole is 
still behind EU and the US in terms of 
cGMP compliance, the gap is decreasing, 
and it is decreasing rapidly. In a not too 
distant future, Chinese manufacturers 
are likely to catch up and even surpass 
EU and US manufacturers both in terms 
of compliance and quality performance. 
However, China still has issues with 
management, leadership, innovation 
and creativity that are slowing the pace 
of the development down for the time 
being. Changing this probably presents a 
bigger challenge than implementing new 
industry regulations and guidelines. 
Au t h o r BIO 
Magnus Jahnsson has more than twenty years’ experience from the 
pharmaceutical field, both from the industry and from regulatory 
authorities. He has worked extensively in the fields of RD, 
manufacturing, QA and regulatory affairs and has held positions 
with AstraZeneca, European Medicines Agency and Pharmadule. 
Daniel Nilsson has more than 15 years experience from the (bio) 
pharmaceutical industry spanning all different areas of validation 
and QA work, and management consulting, for multi-national and 
Chinese manufacturers. He lives in China since 2012. Daniel holds a 
Master’s degree in Chemical Engineering from the Royal Institute of 
Technology in Stockholm. 
Erik Östberg has 8 years of experience from the Life Science 
industry and has worked for many multi-national manufacturers. 
He is specialised in management of complex validation projects. 
Erik lives in Shanghai since 2011. He holds a Master’s degree in 
Biochemical Engineering from Chalmers University of Technology 
in Gothenburg, Sweden. 
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Pharma Focus Asia April 2014 - Approved LO.indd 1 20/03/2014 08:47:54
Information technology 
Quality by Design 
A rapid and systemic approach 
for pharmaceutical analysis 
The article presents a novel approach to applying Quality by Design (QbD) 
principles to the development of analytical methods. Common critical parameters 
in HPLC - gradient time, temperature, pH of the aqueous eluent, and stationary 
phase - are evaluated within the Quality by Design framework. It is useful for 
the robust analytical method development and Design Space optimisation. 
M V Narendra Kumar Talluri, Assistant Professor, Department of Pharmaceutical Analysis, National Institute of Pharmaceutical Education 
and Research, Hyderabad, India 
32 Pharma Focus Asia ISUE - 21 2014
The first step is to define the intended 
purpose of the analytical method. This has 
been called the Analytical Target Profile 
(ATP). The ATP is the set of criteria 
that defines at what level the analytes 
are measured; and accuracy or precision 
of method in which matrix analytes are 
estimated or over what concentrated 
range. After the identification of ATPs, 
proper analytical techniques are selected 
based on the defined ATPs, for example, 
for impurity/stability profiling of drug, 
HPLC is more reliable technique other 
than GC or UV techniques. The method 
under development will then follow a 
risk assessment which is the 3rd step in 
method development. All parameters, 
starting from sample preparation to 
end of the method (data analysis) are 
studied during risk assessment. Parameters 
which have more influence on critical 
quality attribute (CQAs) are found out 
to construct the design space. CQAs 
are the responses that are measured 
to judge the quality of the developed 
analytical methods, for example, total 
analysis time, peak tailing, lower limit of 
detection or quantification, resolution of 
critical pairs, precision of the analytical 
method which are the critical quality 
attributes for chromatographic methods. 
w w w . p h a r m a f o c u s a s i a . c o m 33 
Quality by design (QbD) is defined 
in ICH Q8 (R1) guidelines 
as ‘a systematic approach to 
pharmaceutical development starting with 
pre-defined objectives with an emphasis 
on product and process understanding 
control’. Within the pharmaceutical 
industry there is increasing discussion 
about the principles of QbD analytical 
methods. For many years, analysts used 
to develop a method based on trial and 
error approach. With this traditional 
approach, many unexpected results are 
observed during the stage of validation 
in chromatographic methods (HPLC/ 
GC etc) including the disappearance 
of a few peaks or appearance of new 
peaks creating a need to go back from 
starting of the method development steps. 
This approach is very tedious and time 
consuming and it cannot give robust 
results. This can be avoided by applying 
Quality by design (QbD) approach. The 
degradants (impurities) can be separated 
(or quantified) using chromatographic 
techniques which can be tuned by many 
variables and all these variables can be 
optimised by QbD. 
QbD has been initiated since 2002 
and in Jan-2013 was fully adopted in 
the pharmaceutical industry through 
several regulatory initiatives such as FDA’s 
cGMP for the 21st Century (Figure 1), 
and the new regulatory documents, ICH 
Q8, Q9 and Q10. Initiation of QbD 
concept by regulatory authorities has 
sparked several publications in this area. 
In QbD approach, many statistical tools 
are involved like Design of Experiment 
(DoE), Multivariate Analysis and six 
sigma methodologies. Since last decade 
the number of publications increased 
every year based on the experimental 
design in chromatography. 
Quality by Design steps for 
analytical method development 
To begin the development of a QbD 
acquiescent analytical method and finally 
reach the definition of its Design Space 
(DS), a total of four steps need to be 
completed as illustrated in figure 2. 
History Of Quality By Design implementation process 
FDA launched 
new concepts 
such as QbD, 
design space 
Guidance 
on process 
validation 
Full 
Implentation of 
Qbd January 
2013 
PAT 
Initiatives-recurrent 
theme as QbD 
cGMP for the 
21st Century: 
A Risk based 
Approach by 
FDA 
FDA issued 
guidance 
clarifies the 
QbD approach 
to processing 
human drugs 
Figure 1 
Information technology
Pharma Focus Asia Issue 21
Pharma Focus Asia Issue 21
Pharma Focus Asia Issue 21
Pharma Focus Asia Issue 21
Pharma Focus Asia Issue 21
Pharma Focus Asia Issue 21
Pharma Focus Asia Issue 21
Pharma Focus Asia Issue 21
Pharma Focus Asia Issue 21
Pharma Focus Asia Issue 21
Pharma Focus Asia Issue 21
Pharma Focus Asia Issue 21
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Pharma Focus Asia Issue 21

  • 1. Issue 21 2014 www.pharmafocusasia.com Rethinking Drug Discovery Bioprinting The patent landscape The Six Great Shifts Transforming the pharma industry
  • 2. Processed and packaged as promised. Bosch. Processing equipment and packaging machinery from Bosch achieve the agreed performance. Day after day. Year after year. GMP-compliant systems ensure the required pharmaceutical product quality. Simple validation, cleaning and steri lization processes and low maintenance requirements increase production effi ciency. Experienced employees with extensive know-how guarantee professional service worldwide. Learn more at www.boschpackaging.com schwarzspringer China-Pharm Oct 28 – 31, 2014 Shenzhen Convention and Exhibition Center [Hall 1] We are looking forward to seeing you!
  • 3. Foreword to look for investing more in developing new products. This would increase the number of products serving the market while also meeting unmet medical needs by reaching underserved markets. Succeeding in this new landscape will require partnerships between pharmaceutical compa-nies, governments and/or non-profit organisa-tions. Further, pharmaceutical companies will need to step outside their comfort zone and develop partnerships with players from other industries for better outcomes. The cover story of this issue by Brian D Smith from PragMedic, UK, provides an insight-ful analysis of six great shifts transforming the pharma industry. The article covers shifts in value, network and information globally, along with the systemic shift and trimorphic shift. Dr Smith explores the implications of the six great shifts and how selection pressures will impact pharma strategies. Prasanthi Potluri Editor w w w . p h a r m a f o c u s a s i a . c o m 1 Gearing up for Post-Blockbuster Era The golden era of blockbuster drugs is coming to an end but there are reasons to believe that new growth opportunities exist for pharma compa-nies willing to adapt to the change. The FDA approved 27 New Molecular Entities (NME) in 2013, and this number came down from 39 in 2012 and 30 in 2011. Twenty-eight first-of-a-kind drugs were approved annually over the past five years. A few more new drugs were reformulated, incremental modifications or new indications of existing drugs were also done. According to Bain & Company, strong pharma and biotech companies are restructuring their organisations and planning to launch many products simultaneously, rather than launching one blockbuster every other year. Switching to this model, known as ‘Pharma 3.0’, requires companies to adapt to new busi-ness models. The traditional ‘Pharma 1.0’ model concentrated on blockbuster drugs, where as ‘Pharma 2.0’ model focused on bringing more product offerings to a global market. The next phase of development, ‘Pharma 3.0,’ focuses on service components. This model allows phar-maceutical companies to target health benefits per dollar spent, allowing companies to explore a variety of new business models. With the changing market dynamics, trans-formation of technology, communications and business, pharmaceutical companies need
  • 4. Content STRATEGY 05 Bioprinting The patent landscape Robert W Esmond, Director, Biotechnology/Chemical Group, Sterne, Kessler, Goldstein & Fox P.L.L.C., USA 11 Creating and Sustaining Cultural Change by Focusing on Operational Excellence ThomasFriedli, Managing Director TECTEM, Vice Director Institute of Technology Management NikolausLembke, Research Associate ChristianMänder, Research Associate University of St.Gallen, Switzerland RESEARCH & DEVELOPMENT 22 Rethinking Drug Discovery Subhadra Dravida, Founder and CEO of Tran-Scell Biologics & TranSTox BioApplications, India Prabhat Arya, Department of Organic and Medicinal Chemistry, Dr. Reddy's Institute of Life Sciences (DRILS), University of Hyderabad Campus, India Manufacturing 27 Validation Projects in China Magnus Jahnsson, Director Regulatory Affairs, Pharmadule Morimatsu, AB Sweden Daniel Nilsson, Director GMP and Validation Services, Pharmadule Morimatsu, China Erik Östberg, Project Validation Manager, Pharmadule Morimatsu, China Information technology 32 Quality by Design A rapid and systemic approach for pharmaceutical analysis M V Narendra Kumar Talluri, Assistant Professor, Department of Pharmaceutical Analysis, National Institute of Pharmaceutical Education and Research, Hyderabad, India white paper 38 Crippled by Cost? CMO Quo Vadis Arun Ramesh, Senior Research Analyst, Beroe Inc., India 2 Pharma Focus Asia ISUE - 21 2014 11 27 COVER STORY 16 THE SIX GREAT SHIFTS Transforming the pharma industry Brian D Smith, Managing Director, PragMedic, UK
  • 5. TOGETHER WE WRITE HISTORY WITH PEPTIDES shop.bachem.com Building on our heritage, we pioneer innovations to deliver the best quality for every peptide need.
  • 6. Alan S Louie Research Director, Health Industry Insights an IDC Company, USA Christopher-Paul Milne Associate Director, Tufts Center for the Study of Drug Development, Tufts University, USA Douglas Meyer Senior Director, Aptuit Informatics Inc., USA Frank A Jaeger Director, New Business Development Solvay Pharmaceuticals, Inc., USA Georg C Terstappen Chief Scientific Officer, Siena Biotech S.p.A., Italy Kenneth I Kaitin Director and Professor of Medicine, Tufts Center for the Study of Drug Development, Tufts University, USA Laurence Flint Associate Director, Clinical Research Schering-Plough Research Institute, USA Neil J Campbell CEO, Mosaigen Inc. and Partner Endeavour Capital Asia Ltd., USA Phil Kaminsky Founder, Center for Biopharmaceutical Operations University of California, Berkeley, USA Rustom Mody Director, Quality and Strategic Research Intas Biopharmaceuticals Limited, India Sanjoy Ray Director, Technology Innovation Merck Research Laboratories, USA 4 Pharma Focus Asia ISUE - 21 2014 Editor Prasanthi Potluri Editorial Team Grace Jones Sasidhar Pilli Art Director M A Hannan Product Manager Jeff Kenney Senior Product Associates Veronica Wilson Ben Johnson Circulation Team Naveen M Sam Smith Steven Banks Subscriptions In-charge Vijay Kumar Gaddam IT Team Krishna Deepak James Victor Head-Operations S V Nageswara Rao Pharma Focus Asia is published by In Association with Ochre Media Private Limited #9-1-129/1,201, 2nd Floor, Oxford Plaza, S. D. Road, Secunderabad - 500 003, Telangana, INDIA Tel: +91 40 4961 4567, Fax: +91 40 4961 4555 Email: info@pharmafocusasia.com www.pharmafocusasia.com|www.verticaltalk.com|www.ochre-media.com © Ochre Media Private Limited. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means, elec-tronic, photocopying or otherwise, without prior permission of the publisher and copyright owner. Whilst every effort has been made to ensure the accuracy of the information in this publication, the publisher accepts no responsibility for errors or omissions. The products and services advertised are not endorsed by or connected with the publisher or its associates. The editorial opinions expressed in this publication are those of individual authors and not necessarily those of the publisher or of its associates. Copies of Pharma Focus Asia can be purchased at the indicated cover prices. For bulk order reprints minimum order required is 500 copies, POA. Advisory Board Sasikant Misra Management Consultant and Ex-Deputy Director CII, Drugs and Pharma Sector A member of Confederation of Indian Industry
  • 7. strategy w w w . p h a r m a f o c u s a s i a . c o m 5 Bioprinting The patent landscape The bioprinting of tissues and organs has been big news recently. However, the patenting of bioprinting techniques has quietly been going on for years. This article will discuss the patents covering the three process phases of bioprinting, the exceptions to patent infringement for experimental uses, and the prospects for further patenting and patent infringement lawsuits. Robert W Esmond, Director, Biotechnology/Chemical Group, Sterne, Kessler, Goldstein & Fox P.L.L.C., USA Additive manufacturing or 3D printing, as known more widely, is revolutionising the manufac-ture and distribution of products. With the expirations of the basic additive manufacturing patents, anyone can purchase an inexpensive printer and replicate products. But these prod-ucts are often protected by various forms of intellectual property laws.
  • 8. The widespread additive manufactur-ing of products will pose many intel-lectual property rights challenges similar to those encountered by the recording industry in the 2000s when widespread copying of copyrighted music began. Products made by additive manufacturing may infringe intellectual property rights as described in the table below. The limitations on enforcing the rights are also set forth (Table 1). Products of commerce may be protected by any one of these IP rights. But the protection for bioprinted tissues and organs is much more limited as they are essentially utilitarian. While the software and code used to manufacture a bioprinted tissue or organ may be protected by copyright, the tissue or organ itself does not have a means for expression, ornamental features, or source of origin. In addition, trade secret protection for a bioprinted tissue or organ will provide little protection in view of national regulations that require the disclosure of the methods of approved making biologics and medical devices. The best way to protect bioprinting innovation is with utility patents. While patents are expensive and time consuming to obtain and difficult to enforce, regulatory approval for a bioprinted tissue or organ is very expensive and time consuming. There is little incentive to invest in obtaining regulatory approval if the bioprinted tissue or organ can be knocked off once approved for marketing. In order to determine what patents might dominate the making, using and selling of bioprinted tissues and organs, we carried out a patent landscape search1. The landscape search did not attempt to cover all patents filed on additive manufacturing techniques which are thousands in number. As shown in table 2 below, the most frequent patent filers were located in the United States. 1 Thanks to Rebecca Hammond, Ph.D., for participating in the landscape search. 6 Pharma Focus Asia ISUE - 21 2014 IP Right Nature of Right Limitations Copyright Protects means of expression of an idea. Useful to protect software, code, CAD drawings, sculptures and 3D models. Easy and cost-effective to obtain. Statutory damages are available in many countries. Protection does not extend to the utilitarian features of a product. Difficult and expensive to enforce in court. Design patent Protects novel ornamental features of a product, i.e., the way an article “looks.” Easy and inexpensive to obtain. Protection does not extend to the utilitarian features of a product. Difficult and expensive to enforce in court. Trade Dress Protects the visual appearance of a product that indicates the source of origin. No filings required. Protection does not extend to the utilitarian features of a product. Difficult and expensive to enforce in court. Trademark Protects indication of source of origin and protects consumers from being confused by the origins of a product. Easy and inexpensive to obtain. Protection is limited to the mark and does not extend to the utilitarian features of the product. Difficult and expensive to enforce in court. Trade Secret PProtects against misappropriation of secret information about a product maintained as a secret. Such information may include design plans, software and code used to make the product. No filings required but steps must be taken to ensure secrecy of the information. Competitors can reverse engineer the product and method of manufacture. Unless trade secret misappropriated, there is no protection once the information is no longer “secret.” Difficult and expensive to enforce in court. Utility Patent Grants limited right (generally 20 years) to exclude others from making, using and selling claimed a product or process. Expensive and time consuming to obtain. Difficult and expensive to enforce. The Limitations On Enforcing The Rights Table 1 strategy
  • 9. Creative with Powders cGMP Manufacturing and Development for you Supporting your innovation around chronic inammation, restoration of cartilage, gastrointestinal health calcium supplements, menopause, constipation antioxidants sachet lling with powders and liquids. Key facts: 3 manufacturing sites (site 1: 2100 m² – site 2: 3100 m² - site 3: 2200 m²) 50 employees of which 6 as QA/QC t 5IFDPNQBOZXBTGPVOEFEJOCZ.S4NFFUTBT a family-owned company at Deurne Belgium, and IBTGSPNUIFCFHJOOJOHGPDVTFEPOUIFQSPEVDUJPOPG pharmaceutical powders. t YUFOTJPOPGUIFQSPEVDUJPOBSFBJO t *OBUIJSETJUFXBTDVTUPNCVJMEGPSPOFDVTUPNFS 5FM
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  • 12. strategy Patent Filers 8 Pharma Focus Asia ISUE - 21 2014 cell aggregates, each cell aggregate comprising a plurality of living cells; wherein the cell aggregates are embedded in the at least one layer of matrix in a non-random predetermined pattern, the cell aggregates having predetermined positions in the pattern. This patent appears to cover a tissue or organ containing layers of matrix and a plurality of living cell aggregates imbedded in the layers of the matrix in predetermined positions in a pattern. Thus, this patent appears to cover all bioprinted tissues and organs in the United States through its expiration date in 2028. B. US 8143055 ‘Self-assembling multicellular bodies and methods of producing a three-dimensional biologi-cal structure using the same’ (Exp. Date June 24, 2029) Assignee: The Curators of the University of Missouri (this patent may also be licensed to Organovo, Inc.). It was also filed in Australia, Canada, China, European Patent Office, Japan and South Korea. What is claimed is: 1. A three-dimensional structure comprising: a plurality of multicel-lular bodies, each multicellular body comprising a plurality of living cells cohered to one another; and a plural-ity of discrete filler bodies, each filler body comprising a biocompatible material that resists migration and ingrowth of cells from the multicel-lular bodies into the filler bodies and resists adherence of cells in the multicellular bodies to the filler bodies, wherein the multicellular bodies and filler bodies are arranged in a pattern in which each multi-cellular body contacts at least one other multicellular body or at least one filler body. This patent appears to cover bioprinted tissues and organs containing patterned discrete filler bodies that resist migration and ingrowth of patterned multicellular bodies containing living cells. Such filler bodies may include sacrificial hydrogels that form tubular engineered blood vessels inside tissues and organs. The search results were categorised into a preprocessing or design phase, production phase and post-production maturation phase2. Bioimaging + CAD + Blueprint  Bioink + Biopaper + Bioprinter  Maturogens + Biomonitoring + Bioreactor The most important issued patents in each category are described below3. Pending applications are not included as their issuance as patents is speculative. 2 See, Vladimir Mironov et al., Regenerative Medicine 3: 93-103 (2008). 3 For the complete search results, including pending appli-cations, please contact the author at resmond@skgf.com. I. Bioimaging + CAD + Blueprint Patents A. US 8579620 ‘Single-action three-dimensional model printing methods’ (Exp. Date: May 30, 2031). What is claimed is: 1. A system for printing a 3D physical model from an image data set, comprising: a display component for display-ing one or more printing templates; and a single-action data process-ing component that, in response to a printing template selected by a single action by a user, executes the selected printing template to take the image data set as input and generates a geometric representation for use as input to a 3D printer; wherein the selected printing template comprises predefined instructions for processing the image data set. The owner of this patent is not known. It was filed only in the United States. This patent appears to cover a system for 3D printing any product from an image data set in response to a printing template selected by a single action by a user. The patent specifica-tion makes clear that bioprinted organs are contemplated: ‘FIG. 14 illustrates an example of printing a physical model of selected organs . . .’ II. Bioink + Biopaper + Bioprinter Patents A. US 8241905 ‘Self-assembling cell aggre-gates and methods of making engineered tissue using the same’ (Exp. Date Mar 11, 2028) Assignee: The Curators of the University of Missouri. This patent is reportedly licensed to Organovo, Inc4. It was filed only in the United States. What is claimed is: 1. A three-dimensional layered structure comprising: at least one layer of a matrix; and a plurality of 4 See Organovo’s press release at http://ir.organovo.com/ news/press-releases/press-releases-details/2012/Organovo- Announces-Two-Issued-Patents-First-Company-Patent-and- Key-Founder-Patent1130104/. Company/Institution Organovo, Inc. (USA) University of Missouri (USA) Oganogenesis, Inc. (USA, Switzerland) Harvard Bioscience, Inc. (USA) Tengion, Inc. (USA) INSERM (France) Nanyang Technological University (Singapore) Cornell Research Foundation, Inc. (USA) Clemson University (USA) Wake Forest University Health Sciences (USA) Nscrypt, Inc. (USA) Medical University of South Carolina (USA) Novatissue GmbH (Germany) Table 2
  • 13. w w w . p h a r m a f o c u s a s i a . c o m 9 C. GB2478801 ‘Multilayered Vascular Tubes’ (Expiration date March 16, 2031). Assignee: Organovo, Inc. It was also filed in Canada, China, European Patent Office, Israel, Japan, South Korea, Russia, and United States. What is claimed is: 1. An engineered multilay-ered vascular tube comprising an outer layer of differentiated adult fibroblasts, at least one inner layer of differentiated adult smooth muscle cells and differentiated adult endothelial cells, and having the following features: (a) a ratio of endothelial cells to smooth muscle cells of 1:99 to 45:55; (b) the engi-neered multilayered vascular tube is compliant; (c) the internal diam-eter of the engineered multilayered vascular tube is 6 mm or smaller; (d) the length of the tube is up to 30 cm; and (e) the thickness of the engineered multilayered vascular tube is substantially uniform along a region of the tube; provided that strategy the multilayered vascular tube in non-innervated and free of any pre-formed scaffold. This patent describes in detail how the engineered multilayered vascular tube is made by laying manually elongate cellular bodies and elongate bodies of gel matrix. The patent also describes the use of a bioprinter to make the same structure. This patent appears to cover bioprinted multilayered vascular tubes (e.g., tubular engineered blood vessels) containing an outer layer of differentiated adult fibrob-lasts and at least one inner layer of differ-entiated adult endothelial cells, with the additional required elements (a)-(e). D. US 8747880 ‘Engineered Biological Nerve Graft, Fabrication and Application Thereof ’ (Expiration date May 28, 2031). Assignee: The Curators of the University of Missouri (this patent may also be licensed to Organovo, Inc.). It was also filed in Australia, Canada, China, European Patent Office, Israel, Japan and Russia. What is claimed is: 1. A multicellular construct consisting essentially of: a multi-cellular region comprising: a plural-ity of living cells cohered to one another to form an elongate graft for restoring neural connection between the ends of a severed nerve; a plural-ity of a cellular channels extending axially through the multicellular region; and wherein the multicel-lular construct does not comprise any scaffold material at the time of implantation into a living organism having a nervous system. This patent covers a nerve graft that may be made using bioprinting tech-niques. E. US7051654 ‘Ink-Jet Printing Of Viable Cells’ (Exp. Date May 22, 2024) Assignee: Clemson University. This was filed only in the United States. What is claimed is: 36. A method for forming an array of viable cells, said method comprising:
  • 14. supplying a cellular composi-tion containing cells to at least one printer head of an ink-jet printer, said printer head defining an orifice through which said cellular compo-sition is capable of flowing; forming one or more droplets from said cellular composition; flowing the droplets through said orifice so that said cells are printed onto a substrate; and depos-iting a support compound onto said substrate for supporting said cells, said support compound forming a gel after being deposited onto said substrate. This patent appears to cover a method of preparing a bioprinted tissue or organ by ink-jet printing a cellular composition containing cells and forming a gel after deposition. F. US7625198 ‘Modular Fabrication Systems And Methods’ (Exp. Date Aug. 10, 2025) Assignee: Cornell University. This patent was filed only in the United States. What is claimed is: An article fabrication system comprising: a plurality of material deposition tools containing one or more materials useful in fabricat-ing the article; a material deposition device having a tool interface for receiving said material deposition tools, the tool interface of said mate-rial deposition device being movable in various paths . . . relative to a substrate to dispense material . . . a system controller operably connected to said material deposition device . . . and a tool rack comprising tool mounts .... This patent appears to cover an ink jet printer that may be used for bioprinting. The specification makes clear that it may be configured for deposition of a hydrogel with seeded cells. II. Maturongens + Biomonitoring + Bioreactor Only pending applications were found on the post processing steps of bioprint-ing. 10 Pharma Focus Asia ISUE - 21 2014 While patents are expensive and time consuming to obtain and difficult to enforce, regulatory approval for a bioprinted tissue or organ is very expensive and time consuming. Thus, much patenting activity has been ongoing. Some of the patents overlap in coverage. For example, Missouri’s US Patent 8132055 appears to cover a bioprinted tissue or organ with filler bodies that may be sacrificial hydrogels that will form tubular engineered blood vessels. And, Organovo’s GB2478801 claims an engineered multilayered vascular tube with certain types of cells and dimensions. The engineered multilayered vascular tube may also be made with a filler matrix or sacrificial hydrogel that forms the tubular structure. A number of patent applications were filed on the bioprinting device itself, although only Cornell’s US Patent 7625198 has granted as a patent in the United States. There is room for additional patentable innovations While it may seem that it is too late to start filing patent applications on bioprinting innovations, there remains room for further patentable improve-ments. A number of researchers have questioned whether it will be possible to create a functioning bioprinted organ. For example, Dr. Darryl D’Lima, a researcher at the University of Manchester in Britain, has been quoted as saying that “Nobody who has any credibility claims they can print organs, or believes in their heart of hearts that will happen in the next 20 years5.” And, there have been reports that Dr. Gabor Forgacs, inventor of the Missouri patents and Scientific Founder at Organovo, has questioned whether the days of printing organs will ever come6. In view of this skepticism, if one discov-ers a method of bioprinting a functional organ, the patenting of such a method should be patentable. Existing patent filings may not impede commercialisation of bioprinted organs It will be many years before a functioning bioprinted organ is made and approved by regulatory authorities. In the meantime, the basic patents may expire. Even if they do not, many countries have an excep-tion to patent infringement under what is called the experimental use exception. In the United States, the law provides for an exception to patent infringement when the patented item is tested for devel-opment of information for submission to the US Food and Drug administra-tion. Thus, in many countries, one can carry out clinical testing of a patented bioprinted organ or tissue without fear of patent infringement. In conclusion, if the technical challenges of making a bioprinted organ are overcome, the future of bioprinted organs will be very bright. And, the patenting activity will continue. 5 http://www.nytimes.com/2013/08/20/science/next-out-of- the-printer-living-tissue.html?pagewanted=all_r=1 6 See, http://www.fool.com/investing/general/2014/04/09/ organovo-holdings-inc-founder-we-may-not-print-org.aspx Au t h o r BIO Robert W Esmond's intellectual property law experience has principally been in the biotechnology and chemical areas. His legal experience includes counseling clients in various intellectual property matters such as patentability investigations, validity and infringement analyses, freedom to operate and FDA/ANDA practice. strategy
  • 15. Creating and Sustaining Cultural Change by Focusing on Operational Excellence Over the past decade, the impor-tance of Operational Excellence (OPEX) in the pharmaceutical industry has grown significantly. A mere copy and paste from successful auto-motive excellence programmes does not work for the pharmaceutical structural requirements in the long run (Friedli et al., 2013). This has been realised by most of the pharma companies in the past ten years while working their way with individual roadmaps. Accordingly Lean, along with Six Sigma has grown in prominence with their principles, meth-odologies and tools supporting OPEX initiatives (Friedli et al., 2010, p.220). Although highly standardised programmes of Operational Excellence (OPEX) have been implemented in almost every globally operating pharmaceutical company, the success of OPEX initiatives differs considerably. This article presents, based on the St.Gallen OPEX understanding, an overview of the factors that enable a sustainable OPEX culture and OPEX implementation. ThomasFriedli, Managing Director TECTEM, Vice Director Institute of Technology Management NikolausLembke, Research Associate ChristianMänder, Research Associate University of St.Gallen, Switzerland strategy
  • 16. However, the evolution of OPEX in the pharma industry showed that the path-way to OPEX is more than just about applying tools. As each OPEX initia-tive is shaped by a company’s culture, they tend to vary to a large extent with no universal recipe. But based on the research and project experiences of the Institute of Technology Management of the University of St.Gallen, Switzerland (ITEM-HSG) some common guidelines and procedures are identified. A definition of operational excellence Modern approaches to OPEX have evolved from the understanding of Lean Production and are generally regarded as part of continuous, corporate improve-ment concepts (Friedli Schuh, 2012). However, OPEX programmes cannot be viewed as standalone or as a set of new methods and tools as they comprise and rely on several already established manufacturing concepts (Friedli et al., 2010). Operational excellence is about the continuous pursuit of improvement of a production plant in all dimensions. Improvement is measured by balanced performance metrics comprising effi-ciency and effectiveness, thus providing a correlative basis for improvement evalu-ation (Friedli et al. 2013, p.24). The philosophy of OPEX can be traced back to research results on excellence by Drucker (1971), Peters and Waterman (1982), Hayes and Wheelwright (1985), and Schonberger (1986), complemented by a long history of Japanese manufacturing concepts strongly linked to the Toyota Production System, which was first published by Sugimori (1977). In 2004, the ITEM-HSG started its activities in the field of pharmaceutical manufacturing to better understand OPEX and its implementation level in the industry. Based on the work of Cua et al. (2001) the ITEM-HSG developed a framework for the structured discussion of OPEX in a pharmaceutical context – the so called St.Gallen Operational Excellence Model (see Figure1) was established. 12 Pharma Focus Asia ISUE - 21 2014 The St.Gallen Operational Excellence Model (Friedli et al. 2013) On the highest level of abstraction, this model can be divided into two larger sub-systems: a technical and a social sub-system. The technical sub-system comprises of Lean practices like Total Productive Maintenance (TPM), Total Quality Management (TQM), and Just-in-Time (JIT). Most of these major operations management principles usually aim at a certain area of concern (such as low equipment availability, low quality, high inventories); companies implement them in order to address exactly these issues. Based on the first benchmarking results the ITEM-HSG structured these three sub-elements in a logical sequence in their implementation, namely: first TPM, second TQM and third JIT. Without TPM, the goals of TQM cannot be achieved, as there can be no stable process based on unstable equipment. The mastering of TPM and TQM are prerequisites to be able to take out waste without facing the danger that the whole underlying system starts to crash. (Friedli et al., 2013, p.17) Second, there is a ‘social’ sub-system, the so called Effective Management System (EMS) which takes up the quest for an operational characterisation of management quality and work organisation. This second system focuses on supporting and encouraging people to continuously improve processes. (Friedli et al., 2013, p.20) Standardisation and visual management cannot be clearly related to either TPM, TQM or JIT. We call them basic elements because they can be regarded as basic prerequisites for successfully implementing the whole technical sub-system in operations and administration. As Imai (1986) explained in his book on continuous improvement, it is impossible to improve any process before it has been standardised, and thus stabilised. Visual management provides the workforce with updated information on process and performance data which assists the deployment of TPM, TQM, and JIT principles. (Friedli et al., 2013, p.20) OPEX in the pharmaceutical industry - a status-quo The St.Gallen OPEX benchmarking assesses a set of production-specific KPIs that are closely linked to the technical sub-system (comprising TPM, TQM and JIT), as well as the social sub-system; Totally 50 operational KPIs are collected and analysed. A look at the results of the past 10 years shows an improvement in Figure1: strategy
  • 17. Extract On OPEX And EMS Performance In The Pharmaceutical Industry From 2003 To 2013 (Friedli et al 2013) w w w . p h a r m a f o c u s a s i a . c o m 13 performance of the global pharmaceuti-cal industry in terms of both effective-ness and efficiency (Friedli et al. 2013). Figure 2 indicates an extract of the benchmarking. From a TPM perspective the major advancement is the increased awareness of the relationship between good maintenance and good quality. In the TQM section, a positive develop-ment of the Complaint Rate Customer can be shown. It has decreased from 1 per cent in 2003 to 0.57 per cent in 2012. The Rejected Batches score (given as percentage of all batches produced) stayed at 0.75 per cent from 2003 to 2012. Looking at JIT performance, the median score reveals a change in Raw Material Turns i.e., from 4 turns per year in 2003 to 5.35 turns per year in 2012. Companies are increasingly trying to deliver a demand-oriented JIT instead of a stock-oriented approach. In the St.Gallen OPEX benchmarking (EMS way of thinking. Schein (1985) defines organisational culture as a set of arte-facts (visible behaviour), values (rules, standards), and assumptions (invisible, unconscious) that are shared by members of an organisation. Creating and sustain-ing an organisational OPEX culture is a key challenge for the leadership team. Leadership characterised by a participative leadership style is essential to establish a high level of collaboration. Continuous improvement, the main philosophy of OPEX programmes requires shared tasks, empowerment, and teamwork with clear rules. Thereby it needs to be ensured that decisions are made at the lowest possible organisational level. Thus, the more individuals become involved in the decision-making process, the more variety and more ideas will be created. Further initiating a cultural change is mainly driven by activities designed and coordinated from corporate level. During sub-system) absenteeism and fluctua-tion are used as measures of employee satisfaction. Absenteeism, measured as the percentage of the total working time an employee is absent, decreased from 4 per cent in 2003 to 3.3 per cent in 2012. Fluctuation, however, increased by about 50 per cent from 5 per cent in 2003 to 7.5 per cent in 2012. (Friedli et al., 2013) How to create an OPEX culture The success of an OPEX program depends, to a greater extent on lead-ership and behavioural skills than on technical skills (Friedli et al., 2010, p.202). Managers often think ‘Changing Culture’ leads to ‘Changes in the Work’, but in fact it is backwards and culture is more an outcome than an input. ‘Changing the Work’ leads to ‘Change in the Culture’ as OPEX is a new way of leading, new way of working, and new Total Productive Maintenance (TPM) Comparison of the Benchmark Results from 2003 and 2012(medians) 2003 2012 Performance Overall Equipment Effectiveness (OEE) 2003 36% 2012 55% Figure 2: +53% Unplanned Maintenance 2003 25% 2012 18% -30% Total Quality Management (TQM) Comparison of the Benchmark Results from 2003 and 2012(medians) 2003 2012 Performance Rejected Batches 2003 0.75% 2012 0.75% 0% Complaint Rate Supplier 2003 1.0% 2012 2.0% +100% Complaint Rate Customer 2003 1.00% 2012 0.57% -43% Just-in-Time (JIT) Comparison of the Benchmark Results from 2003 and 2012(medians) 2003 2012 Performance Raw Material Turns 2003 4 2012 5 +100% Finished Goods Turns 2003 9 2012 7 -22% Service Level 2003 95% 2012 97% +3% Effective Management System (EMS) Comparison of the Benchmark Results from 2003 and 2012(medians) 2003 2012 Absenteeism 2003 7.5% 4.0% 2012 3.3% +50% -19% Fluctuation 2003 5.0% 2012 Training Days 3.0 days 7.7 days 2003 2012 +157% Unskilled Employees 2003 2012 4% 10% -60% Performance strategy
  • 18. the first stage of implementation, corpo-rate support is absolutely essential. An obtrusive communication of the benefits and need for continuous improvement inside the organisation is key aspect for the OPEX leader. Besides this, the execu-tion of activities with a visible benefit and sense for employees as well as the credible behaviour is mandatory to successfully and sustainably manage OPEX. Underlying values have a strong influence on the behaviour of employees, as values define how they behave, regardless of the situation and context (Modig Ahlström, 2012). Learning experiences of the organisational members, especially those at site level, influence these values and consequently the sustainable success of OPEX. Besides corporate commitment, it is also essential to gain the site management‘s commitment for the deployment of OPEX in order to sustain cultural change at site level. This commitment should go beyond formal agreements and include the active involvement of the site leadership (Friedli et al., 2010, p.203). A common approach designed at a corporate level needs to be tailored for each site’s specific needs to a certain level. In a research project with a leading pharma company, the St.Gallen OPEX team developed an ‘OPEX Implementation Reference Model’ which comprises eight categories of influencing institutional and process-related factors (Figure 3). In each of these subcategories, practices were identified that supported or hampered a sustainable implementation. (Friedli et al., 2010, p.205) The category of ‘Organisational Inertia‘ describes the degree to which a site is capable of adopting new practices and initiatives, i.e. of changing current or past practices and ways of working and thinking. An organisation‘s ‘culture‘ is the sum of its past and current assumptions, experiences, philosophy and values, and is expressed in its self-image, inner workings, interactions with its stakeholders and future expectations. This addresses differences in the availability 14 Pharma Focus Asia ISUE - 21 2014 OPEX Implementation Reference Model (Friedli et al 2010. p.204) of highly professionalised corporate support, the connection between site objectives as defined in the vision and mission statement and OPEX objectives, as well as the visible engagement of corporate support people. ‘Management commitment’ means that the high level executives at site level directly participate in and pay attention to OPEX activities. The category of ‘organisational structure’ deals with the organisational integration of OPEX and available resources. The category of ‘people’ describes the level of general understanding of OPEX across the organisation as well as engagement and training of shop floor employees. The category of ‘implementation process’ focuses on the degree of standardisation in dealing with OPEX projects from idea selection to knowledge management. The more an initiative becomes a regular part of organisational activities the more standardisation can streamline activities. ‘Integration’ describes the process of attaining close and seamless coordination between departments, groups, systems and other corporate initiatives. (Friedli et al. 2013, p.206ff ) Enabling factors During the research and project work of the ITEM-HSG OPEX team over the past ten years it has become clear that patterns of OPEX programmes feature some common elements. The OPEX programmes of Pfizer, Novartis, Roche, Genentech and Merck Serono show that what matters most is structure and, in most cases a corporate support function, adequate training method-ologies, tools and activities. One of the most differentiating factors when comparing OPEX initiatives from one organisation to another is the way they are embedded into the respective global and local organisations. Having the right OPEX organisation in place unlocks the potential of OPEX due to designing, executing, coordinating, enabling, and communicating functions in order to create structures to get the right infor-mation at the right time to the right people. An OPEX training programme is essential for the sensitisation in OPEX of the employees at different hierarchi-cal levels as well as of course providing the necessary knowledge in principles, methods, and tools. Furthermore it is necessary to establish a common OPEX language at corporate management level and production sites. A change in the culture cannot happen without the use of OPEX tools and the execution of OPEX activities. As already indicated, a change in the way of working leads to a change in the culture. ‘You cannot create a culture without first introduc-ing tools. Culture doesn’t just evolve. You need to handle the practical world using concrete tools and projects. The Figure 3 strategy
  • 19. strategy w w w . p h a r m a f o c u s a s i a . c o m 15 cultural element gradually grows as a layer on top of the tools if you continu-ously emphasize the thoughts behind the tools.’ Andrew Finnegan from Novo Nordisk (Friedli et al. 2013, p.135) Summary Today most pharmaceutical manufactur-ers apply selected approaches, princi-ples and methods as well as tools from OPEX in order to increase efficiency. Operational Excellence (OPEX) as a continuous pursuit of improvements in all dimensions leads to changes in existing working environments. Changes in the work environment in the long term lead to changes in the culture. A culture of Operational Excellence is not a bunch of written rules by the manage-ment team; it is the decision by the organisation to commit to go beyond the ordinariness and not being satis-fied with the current status-quo. The major driver on a cultural level is the promotion of OPEX with all its aspects and the increased effort in training. As each OPEX initiative is shaped by an individual company’s culture, OPEX initiatives can vary to a large extent and it is the task of the OPEX leaders to balance the initiative (Friedli et al., 2013, p.114). An organisation with an OPEX culture provides personal and professional satisfaction for the employ-ees about what they do and gives the company some kind of legitimisation and purpose, thereby motivating its members to make a contribution in view of achieving superior goals (Friedli et al., 2010, p.206). Literature Cua K. O., McKone K. E., Schroeder R. G. (2001). Relationships between imple-mentation of TQM, JIT, and TPM and manufacturing performance. Journal of Operations Management, Vol. 19(2), pp. 675–694. Drucker P.F. (1971). What we can learn from Japanese management. Harvard Business Review, Vol. 49 No. 2, pp. 110-22. Friedli T., Basu P.B., Gronauer T., Restoring Our Competitive Edge: Competing Through Manufacturing. Wiley, New York. Imai M. (1986) Kaizen: The Key to Japan's Competitive Success. Random House, New York. Modig N., Ahlström P. (2012). This is lean. Resolving the efficiency paradox. Rheologica Publishing, Stockholm. Peters, T.J. and Waterman, R.H. (1982), In Search of Excellence – Lessons from America’s Best-Run Companies, HarperCollins Publishers, London. Schein, E. H. (1985). Organizational culture and leadership: A dynamic view. Jossey-Bass, San Francisco, CA. Schonberger R.J., (1986). Japanese Manufacturing Techniques. The Free Press, New York. Sugimori Y., Kusunoki K., Cho F., Uchikawa S. (1977). Toyota Production System and Kanban system: materiali-zation of just-in-time and respect-for-human system. International Journal of Production Research, Vol. 15 (6), pp. 553–564. Operational excellence is about the continuous pursuit of improvement of a production plant in all dimensions. Werani J. (2010). The pathway to operational excellence in the pharma-ceutical internal criteria. Editio Cantor Verlag, Aulendorf. Friedli T. Basu P.B., Bellm D.,Werani J. (2013). Leading pharmaceutical opera-tional and cases. Springer,Berlin, Heidelberg. Friedli, T., Schuh, G. (2012). Wettbewerbsfähigkeit der Produktion an Hochlohnstandorten. 2. Auflage, Springer Verlag, Berlin, Heidelberg. Hayes R.H., Wheelwright S.C., (1985). Au t h o r BIO industry - Overcoming the excellence - Outstanding practices Thomas Friedli leads a team of 14 researchers and is lecturer in Business Administration. His main research focus is the management of industrial enterprises with a focus on production management. He is editor and author of several books, with his latest book ‘Leading Pharmaceutical Operational Excellence’. Nikolaus Lembke concentrates on the challenges of manufacturing companies with a focus on the pharmaceutical industry and the implementation of operational excellence. Nikolaus graduated in technology management as mechanical engineer at the University of Stuttgart (Germany), complemented with a stay at the Nanyang Technological University (Singapore). Christian Maender concentrates on the challenges faced by the pharmaceutical industry. His focus is on the management of operational excellence programs. Christian graduated in mechanical engineering with a focus on production techniques at the Karlsruhe Institute of Technology (Germany).
  • 20. strategy Cover Story THE SIX GREAT SHIFTS Transforming the pharma industry Anyone involved with the life sciences sector can see how changes in technology, demographics and health economics are driving the industry. But these are merely symptoms; beneath them lie six great shifts that are transforming the industry and - determine which business models will survive and which will die. Brian D Smith, Managing Director, PragMedic, UK 16 Pharma Focus Asia ISUE - 21 2014
  • 21. strategy BOX 1 w w w . p h a r m a f o c u s a s i a . c o m 17 Many languages have an equivalent to the expression “Seeing the forest for the trees”, meaning the ability to discern the big picture from little details. That ability is important in life but especially true for leaders of life sciences sector. Every day we are bombarded with news of innovative technology, tighter regulation and new approaches to controlling healthcare spending. The challenge is to see how these myriad factors are combining to shape the sector. Only by doing so do industry leaders stand any hope of preparing for the future. My work uses evolutionary science to enable this necessary foresight. In this article, I’ll talk a little about the basic ideas behind my research before moving onto the findings. I’ll conclude by suggesting some practical implications that you may like to act on. Organisms and organisations All good science is based on a well-supported theory; an explanation of how the world works. Germ theory, atomic theory and gravity, for example, are all good explanations that help us understand and manage the world around us. To understand a sector as complicated as life sciences, we need a very good theory and luckily we have one; evolution by natural selection. Darwin’s profound insight was first used to explain the profusion of species on our planet, but, in more recent years, has been used to explain the behaviour of industries. This is possible because biological and economic systems are both examples of complex, adaptive systems. That is, they are both large collections of many different entities that interact with and adapt to each other. Whether we are trying to understand organisms or organisations, the basic science is the same. Complex, adaptive systems are characterised by non-linear behaviour; it’s practically impossible to predict what will happen in the long run. Instead, we can observe how the countless, seemingly random interactions result gradually in patterns of behaviour. We call these emergent properties. The flocking behaviour of birds is an emergent property as are traffic jams. In my research, I consider how many different components of the life sciences sector combine to create emergent properties and what these properties imply for the competitive strategies of companies operating in this sector. From the complex adaptive system of the life sciences sector, six important properties emerge: three from the industry’s social environment, three from its technological context. Each one is a shift from the way the world used to be to how it is transforming. And each shift creates an evolutionary selection pressure that favours some business models and discriminates against others. That’s why understanding these pressures and their implications is for the sector’s business leaders. In the following sections, I’ll describe the shifts, their origins and the selection pressures they create. 1. The great value shift The great value shift (see BOX 1) is a fundamental change both in how value is defined and who defines it. It is also about an increase in the heterogene-ity of value definition. It arises from the interaction of a number of separate social factors: demographics, healthcare inflation, rising expectations and disease patterns, amongst others. The great value shift creates a selection pressure in favour of business models that can understand what multi-dimensional, customer-perceived value is and create that context-specific value through its combination of product, services and pricing. At the same time, the value shift creates a selection pressure against business models that continue to understand value only in terms of clinical outcomes as defined by healthcare professionals and value-creation only in terms of products. 2. The global shift The global shift (see BOX 2) is a wide-reaching change in what customers want and where they are. Importantly, it includes not just globalisation of demand but also fragmentation of customer needs to accommodate many non-clinical factors such as aesthetics and convenience. It creates multiple, diverse global segments within any disease or therapy area. It arises from the interaction of trade internation-alisation, multinational corporations, increasing global wealth and subse-quent maturation and fragmentation of customer needs. The global shift applies a selection pressure in favour of business models that can understand the heterogeneity of their market and use that understanding to select which parts to focus upon and deliver value to those targeted customers on a global basis. At the same time, the value shift creates a selection pressure against business models that continue A shift in the definition of the value of treatments, interventions and associated products and services from a relatively simple and ubiq-uitous definition of value as improved clinical outcome, as defined by healthcare professionals, to a much more complex, context-specific definition of value defined in terms of clinical, economic and other factors by some combination of healthcare professionals, payers and patients or their proxies
  • 22. BOX 2 A shift in the demand pattern for treatments, interventions and associ-ated products and services from one which is geographically focussed on western economies and in which demand heterogeneity is limited and based mostly on differing clinical requirements, to one in which demand has a global geographic spread and is very heterogeneous along multiple dimensions of clinical requirements, payer prefer-ences and patient needs, both clinical and otherwise. to view market heterogeneity only in clinical terms are unable to focus their resources appropriately and cannot deliver customer-specific value globally. 3. The network shift The network shift (see BOX 3) is a profound change in the way firms and other organisations structure themselves. It involves two factors: a reduction in the scope of what firms do within their own organisation and strengthening of their relationships with other organisa-tions. In essence, it is a shift from big firms to networked organisations that are more complex, more fluid and less well defined than we are used to. It arises from the combination of changes in capital markets, changes in transaction costs within and between companies, the specialisation of corporate capabili-ties and the increasing need to manage business risk. The network shift applies a selection pressure in favour of business models that can build and manage dynamic, symbiotic networks of different organisational entities and use that structure to create better returns, better manage risk or some combination of the two across any part of the value chain. At the same time, the network shift creates a selection pressure against business models that persist in unicentric structures that fail to optimise returns and risk across the value chain. 18 Pharma Focus Asia ISUE - 21 2014 The systeomic shift The systeomic shift (see BOX 4) is a shift of great consequence in the science and technology of the sector. It represents a move from a 19th century, Oslerian para-digm of medicine to a systems approach that seeks to support the efforts of indi-viduals to maintain their own wellbe-ing. It is based on enabling technologies, such as gene sequencing, biomarkers and synthetic biology. These enable bioin-formatics which in turn enables systems biology and so systems medicine. The systeomic shift applies a selection pressure in favour of business models that can translate system medicine into an improvement of returns or a reduction risk at any point in the value chain. Conversely, it creates a selection pressure against business models that remain on a reductionist, hierarchical, population based understanding of disease or injury and the ways we manage them. strategy The information shift The information shift (see BOX 5) is much more than the expansion of infor-mation technology. It is an inflection point in what information we collect, from where and how we manipulate and apply it. Importantly, it influences not only how we discover and develop drugs, devices and other medical tech-nologies but also how we produce prod-ucts, deliver services and understand our customers’ needs. It is based upon plat-form technologies such as biosensors and improved chips, memories and batter-ies. These enable connectivity, wearable technology and artificial intelligence. Alongside this sit new capabilities in making sense of large-scale data. The information shift applies a selection pressure in favour of business models that use information to improve returns or reduce risk, whether that is in RD, Operations or Sales and Marketing. The obverse is that the information shift creates a selection pressure against business models that remain based on the use of information in a small-scale, fragmented, unidirectional and deductive manner. The trimorphic shift The trimorphic shift (see BOX 6) is a three way polarisation in the way that companies focus their resources. In essence, it involves research-based firms becoming even more innovative, low-cost firms becoming incredibly lean and efficient and customer-centric firms becoming excellent at tailoring their BOX 3 A shift in the focus of economic activity from organisations with predominant centres and well-defined, stable boundaries and scope to one in which the focus of economic activity is polycentric networks with fluid, ill-defined boundaries and scope.
  • 23. strategy Elephants and Antelopes co-exist but use different approaches. In the same way, how companies use IT or systems medicine or create value differs, whilst still adapting to, the selection pressures implied by the shifts. And the take home? First, recognise these great shifts and don’t become too focussed on individual factors in the BOX 6 A shift in our approach to understanding, perceiv-ing and managing the continuum of mental and physical health, illness and injury from one that is essentially reactive, population-based and hierarchical to one that is proactive, personalised and participatory. w w w . p h a r m a f o c u s a s i a . c o m 19 value propositions to segments of one. It arises from advances in supply chain architectures, research and development technologies and sales and marketing methodologies. Alongside this sits the polarisation and specialisation of corporate cultures in line with their business model. The trimorphic shift applies a selection pressure in favour of busi-ness models that focus on creating value by either product excellence, operational excellence or customer intimacy and by targeting the parts of the global market that will respond to such an offer Similarly, the trimorphic shift will apply a selection pressure against firms that do not focus their resources and adopt a strategy that “straddles” across the three approaches. Such firms, who may have good products, efficient opera-tions and effective sales and market-ing processes will find themselves at a BOX 4 disadvantage to those more focussed firms with either excellent products, hyper-efficient operations and the ability to identify and satisfy very small and specific customer segments. Shifting your company The implications of the 6 great shifts are fundamental and real. In simple terms, firms will only survive if they BOX 5 A shift in the collection, storage, use and commu-nication of information from small-scale, frag-mented, unidirectional and deductive to large-scale, integrated, perva-sive and inductive. adapt to the selection pressures created by the shifts. But these pressures are huge and often work against each other, just like the need to be big and fast on the African savannah. In practice, this means that firms must and will evolve into their chosen market habitats and in the process become ever more special-ised. Roche, for example, is evolving into an outcome-oriented, research hyper-intensive firm, as recent acquisitions show. Medtronic is pushing towards a customer-intimate firm in which prod-uct development complements rather than leads its strategy. And Mylan is specialising into a hyper-efficient cost leader. Many other firms are evolving into networked entities, keeping only their differentiating activities in house. How they respond to the six shifts varies according to their chosen habitat: Au t h o r BIO Brian D Smith is a world-recognised authority on competitive strategy in the pharmaceutical and medical technology sectors. He researches the evolution of the sector at the University of Hertfordshire, UK and SDA Bocconi, Italy. He welcomes comments and questions on brian.smith@pragmedic.com. A shift in our approach to understanding, perceiving and managing the contin-uum of mental and physi-cal health, illness and injury from one that is essentially reactive, population-based and hierarchical to one that is proactive, personalised and participatory. market. Second, understand that these shifts are inexorable and that you can only adapt to them, not stop them. Third, use the selection pressures as guides, allowing them to shape your choice of markets, strategies and structures. As someone once wisely said: It’s easy to lead a market – just work out where it’s going and get in front.
  • 24. India inc aims for pharma dominance by 2020 Innovation Technology to steer 2014 edition of CPhI/ P-MEC India • Preceded by 2nd Annual India Pharma Awards 2014 • CPhI India Technical Seminar on industry trends challenges • +28000 Pharma professionals from +95 countries expected to attend UBM India, today announced the event highlights of CPhI India, which is co-located with P-MEC India, ICSE India BioPh and slated for 2nd-4th December 2014 at the Bombay Exhibition Centre in Mumbai, India. The three days industry event, wherein key players of the pharmaceutical sector, worldwide, will congregate to connect, share and ideate, will be preceded by the India Pharma Awards, scheduled for 1st December 2014 at the Westin Hotel, Mumbai. P-MEC India, co-located with CPhI India and in its 8th year, provides the industry with an international platform to showcase pharmaceutical equipment, machinery and technology to a forum of decision makers from across the world. Additionally, ICSE India has rapidly gained a positive reputation in the market by offering direct access to the outsourcing and contract services sector which is one of the fast-est growing segments within the Indian pharmaceuti-cal industry. At CPhI India 2014, UBM will also release India Pharma Report, conducted with the help of research partner Global Business Reports. The report, in addi-tion to an overview of trends and analysis from key industry players, will explore new growth areas emerg-ing across the country and feature a robust analysis of the Indian pharma market. Mr. Joji George, Managing Director, UBM India said “Against the backdrop of India constantly seek-ing to match and surpass western quality standards while maintaining lower manufacturing costs, at UBM, our objective for CPhI 2014 is to help elevate India as the global pharmaceutical destination by showcasing the unique positioning of the Indian pharma market 20 Pharma Focus Asia ISUE - 21 2014 and provide an optimum investment platform amidst its global counterparts.” 2nd India Pharma Awards, 2014 1st December 2014, Westin Garden City, Mumbai. Recognizing leading innovators across 9 categories, the India Pharma Awards initiated by UBM India acknowledge innovation and excellence in the Indian Pharmaceutical Industry, thus creating an industry platform to celebrate the contribution of the key players amongst their Indian and international fraternity. Against the backdrop of the global pharma industry increasingly looking at India for higher quality and low cost pharma solutions, the India Pharma Awards celebrate the thinkers and creators who consistently break new ground in the pharma sector thereby taking the value chain to its next level. Ernst Young is the process advisor for this prestigious event and the jury panel for 2014 India Pharma Awards is chaired by: • Dr. Sudarshan Jain, Managing Director, Abbott Healthcare Solutions, • Dr. Ajit Dangi, President and CEO, Danssen Consulting, • Dr. Safia Rizvi, Managing Director, UCB India Private Ltd, • Mr. Devinder Pal, President, Catalyst Pharma Consulting • Mr. S V Veerramani, Founder Chairman, Fourrts (India) President, IDMA. Advertorial Read more: www.indiapharmaawards.in
  • 25. 28000+ Pharma professionals. Three days of pure business networking. (You may need to carry more than one appointment dairy.) Mix with the world of pharma, products, people solutions 2-4 December 2014 Bombay Convention Exhibition Centre, Mumbai, India Enjoy exclusive benefits with your online registration: w *VIISJGLEVKIIRXV]XSXLIILMFMXMSRSREPPWLS[HE]W w *EWXXVEGOIRXV]MRXSXLIILMFMXMSREZSMHMRKPSRKUYIYIW w 'SQTPMQIRXEV]HMKMXEPGST]SJ+PSFEPYWMRIWW6ITSVX-RHME
  • 26. w 'SQTPMQIRXEV]GST]SJXLISJJMGMEPWLS[GEXEPSKYI w %GGIWWXS8IGLRMGEP7IQMREVWTVIWIRXIHF]PIEHMRKILMFMXSVW w 6IGIMZITIVWSREPM^IHIRXV]FEHKI[IPPMREHZERGI w 2IX[SVOERHKEMREGGIWWXSSRISJXLI[SVPH WJEWXIWXKVS[MRK 4LEVQEQEVOIXW w %RHQER]QSVI Co-located with: In partnership with: Supported by: Register online and enjoy an exemption from the `500 registration fee. Log on to: www.cphi.com/india
  • 27. RESEARCH DEVELOPMENT The quest to undertake biological targets that are based on the regulation of signalling pathways is challenging the classical thinking in the drug discovery arena. Historically, the complexity of the biological system was underestimated! It is now well-accepted that compared to old biological targets that were focused on single gene or gene products, we need to undertake targets that are derived from complex and dynamic signaling pathways. Subhadra Dravida, Founder and CEO of Tran-Scell Biologics TranSTox BioApplications, India Prabhat Arya, Department of Organic and Medicinal Chemistry, Dr. Reddy's Institute of Life Sciences (DRILS), University of Hyderabad Campus, India 22 Pharma Focus Asia ISUE - 21 2014 Drug discovery is a tough busi-ness! At the same time, it is the domain that provides an opportunity to improve the quality of human health and allows recovering from the suffering due to various biological disorders. In the past decades, we have witnessed a major limitation in creating the next-generation drugs despite a significant boost in the financial spending for research and development. After the completion of the human genome project, we were guaranteed a plethora of novel Rethinking Drug Discovery
  • 28. RESEARCH DEVELOPMENT Drug Discovery – A Paradigm Shift Pre-genomic era Regulation and de-regulation of signaling pathway-based research Pre-genomic era Single, isolated biological targets, such as enzymes w w w . p h a r m a f o c u s a s i a . c o m 23 biological targets with the hope of producing novel drugs with fewer side effects. The genomics research has made us appreciate the high level complexity of our biological system and at the same time, it challenges the classical thinking in the drug discovery arena. 1.0 Classical drug discovery approach: the pre-genomic era Over the decades, the biomedical drug discovery community’s efforts were focused on a single gene and the gene product, such as isolated enzymes, for example: kinases and phosphatases (See Figure 1). During this course of drug discovery, serious efforts were made to obtain the 3D structural information of a given enzyme; this was then heav-ily guided by extensive computational studies leading to the design of novel small molecules serving to kick-start the drug discovery programme. In this age, for example, the challenge is to discover novel small molecule that has the poten-tial to hit only one i.e. the desired kinases or phosphatases. The post-genomic era taught us that this is not going to be an easy undertaking, keeping in mind that human genome encodes more than 600 kinases and ~250 phosphatases. 2.0 The post-genomic era The completion of the human genome that resulted in the indication of nearly 30,000 genes promised a flood of targets to be further undertaken in drug discov-ery (see Figures 2 and 3). Although highly useful, the information at gene level is not easy to translate to functional protein complexes that are the key to various cell signalling events. Moreover, this infor-mation also does not lead to any post-secondary modifications that proteins undergo, such as glycosylation and ubiq-uitination etc., and, their effects on the signalling functions. In fact significant progress made in genomics and proteom-ics research has brought us to the doors of a high degree of complexity that lies in our biological system. Furthermore, it also challenges us to develop new research models for understanding the complexity of gene functions, such as the Protein-Protein Interaction (PPI) networks (commonly known as the signalling pathways) that are central to various cell functions in normal as well as disease states. The moment we accept the fact that, proteins do not function in isolation and that they are a part of highly complex network machinery, sets new challenges to examine their role(s) Historical Drug Discovery! Figure 1 Biological Target Structural Information Structure-Guided Small Molecule Discovery • Biased Approach • Need for new research models small molecule binder • Well-defined • Compact • Deep pocket Figure 2 in the drug discovery arena. Why is this case? The pathways that involve multiple protein-protein interactions are highly complex and dynamic. In many cases, even though, we as a community have been successful to obtain the structural information of a given protein-protein interaction, their participation is much more complex (for example, multi-protein complexes), and often leads to a limited information capture for the design of small molecules with desired biological effects. 3.0 Biological targets: signaling pathways-based approach The earlier approaches focused on enzymes (such as kinases and phos-phatases) and relied heavily upon the structural information of a given isolated target which would then aid in the design and synthesis of small molecules. With a few exceptions, in most cases, the organic synthesis and medicinal chemistry efforts led to producing heterocyclic compounds and small molecules that are rich in the sp2 character. The growing desire to undertake biological targets that are focused on protein-protein interactions and on the de-regulation of dynamic sign-aling pathways is changing our thought process for the choice of small molecules serving as a good starting point to devel-oping the drug discovery research path. Unlike the deep and well-defined pock-ets that enzymes do offer, in general, PPIs involve a shallow, large surface area
  • 29. Going-in for Pathways! Figure 3 with extensive hydrophobic interactions (see Figure 4). Over the years, bioactive natural products have shown an excellent track record as modulators of PPIs, and, in most cases, this is achieved through allosteric sites rather than functioning at the PP-interface. Despite much progress that has been made towards obtaining structural information of a given PPI, due to the nature of these interactions that are generally a part of complex multi-meric protein complex, cell-based screens remain the choice to search for novel small molecules. The drive to embrace the signal-ling pathway-based approach is the hallmark in the modern drug discovery arena! And, this need is also seriously questioning our classical approaches to accessing small molecules that were biased towards simple, flat, heterocyclic compounds. A million dollar question in this game, heavily relies on high quality functional cell-based (or commonly called as phenotype or pathway-centric) screen- 24 Pharma Focus Asia ISUE - 21 2014 ing which is the choice of discovering small molecules required in the program. Traditionally, small molecule toolbox small molecule binder Need for a new thinking! • map large surface area • shallow surface • combination of several weak interactions • extended hydrophobic interactions • possible hot spots Figure 4 within the pharma setting contains compounds that are more biased towards enzymes than on PPIs and pathways. In Enzymes Vs Protein-Protein Interactions RESEARCH DEVELOPMENT
  • 30. w w w . p h a r m a f o c u s a s i a . c o m 25 most cases, these compounds also lack the general features that are commonly found on bioactive natural products, such as 3D architectures, and, rich in chiral display of functional groups etc, functioning on pathways. 4.0 Translational chemical biology: need for new collaborative working models! There are two prime reasons to explore new research models in drug discovery (see Figure 5), and these are: (i) as discussed above, the traditional pharma collection of small molecules contains compounds that lack the features commonly found in bioactive natural products that are known to function as the modulators of PPIs and signalling pathways; and, (ii) in general, most pharma expertise resides in the classical drug discovery approaches with a focus on kinases, phosphatases and other enzymes. The development of a phenotype or pathway-based screen-ing program is still in its infancy within most or several pharma groups. With an in-depth look at the current limitations covering both points within the pharma community, it is becoming apparent that these bottlenecks can be taken care-of by working closely with the academic groups. Outlined below are some of the advantages that would allow taking care of these two short-comings. The need for a good starting point as the functional small molecule is the crest of the chemical challenges. The growing interest in undertaking PPI or pathway-based targets is challenging the organic synthesis and medicinal chemistry community to develop novel approaches that allow a rapid generation of small molecules inspired by bioac-tive natural products or hybrid natural products. The goal here is to build the next generation chemical toolboxes with compounds that have 3D shapes, present sufficient molecular complexity from the medicinal chemistry point of view and are more close to a wide variety of bioactive natural products. To meet these challenges, the academic commu-nity has developed several path forward Translational Chemical Biology Model approaches, and, some these include: Diversity-Oriented Synthesis (DOS), Biology-Oriented Synthesis (BIOS) and Functional-Oriented Synthesis (FOS). In all these approaches, the long-term goal is to access a new generation of small molecules that are obtained through the inspiration from bioactive natural products. Because these new synthesis efforts are highly demanding in the meth-odology development, and, at present, mainly practiced in academic labs, building collaborative working models with the relevant academic community is not surprising. So is the case for the phenotypic or pathway-based cellular screening. From the past several years’ observations, it is now clear that several academic labs across the globe have estab-lished an outstanding expertise in this domain that requires working on very high risk projects involving identifica-tion and understanding the nature of the biological targets. One of the key features of the translational chemical biology model is that it allows obtain-ing a thorough understanding of the biological target by an extensive use of biophysics tools, such as, protein NMR, X-Ray, SPR etc. Exploring some of these demanding and high risk research areas by working closely with the academic community, it is indeed possible to develop next generation path forward approaches within the drug discovery arena. Cities such as Boston, San Diego, Montreal and Toronto have shown tremendous advan-tages in embracing these new research models. Specifically, Boston leads the way in embracing new research models (for example, Research at the Broad Institute of Harvard and MIT) and, in building a new research culture that has strong roots in academia and the pharma sector. A recent contribution of US$650 million as the philanthropic donation to Broad is the true testimony. It would be nice to Figure 5 Organic Synthesis Novel Chemical Toolbox Natural Products Natural Product-inspired Hybrid Natural Products Cell Signaling Biology (Biological Questions/ Novel Assays) Cellular Assays Zebrafish Assays Other Organisms Biophysics and Structural Biology SPR Protein NMR Computational Tools RESEARCH DEVELOPMENT
  • 31. Emerging Direction In Cancer Research Opinion Tackling the cancer stem cells - what challenges do they pose? See: Nat. Rev. Drug Disc. July 2014 Figure 6 Why understanding and selective killing of cancer stem cells is important? see efforts like this in a country like India, who are aspiring to be a powerhouse in building ‘knowledge-based economy’. 5.0 Embracing New Directions: An Example in Cancer Research In this section, we outline an example of a translational chemical biology model and its utilisation in embracing a new direction in cancer research (see Figure 6). In addition to the toxicity issues, one of the major problems with cancer drugs is their inability to control the growth/ re-birth of cancer cells over a period of time. In the past several years, it has been shown that there is potential to overcome this problem if we are able to design small molecules that are highly selective in killing Cancer Stem Cells (CSCs). The lack of an ability to kill CSCs by most anti-cancer drugs leads to cancer cells formation and this then leads to metastasis. Until very recently, it has been shown that it is possible to identify novel small molecules that are highly effective as selective killers and these compounds in combination with the traditional anti-cancer drugs appear 26 Pharma Focus Asia ISUE - 21 2014 to be a promising path-forward approach. Once again, through developing novel cancer stem cells-based phenotype screens either in cells or in zebrafish combined with a novel chemical toolbox having natural product-inspired and hybrid natural products provides an excellent opportunity to practice working with Au t h o r BIO new models to reach highly unique drug candidates that may prove to be more effective than the traditional anti-cancer drugs. 6.0 Summary As we have seen for the past several years, the current practice of drug discovery seems to be a losing battle and not much has come out to benefit the society that is desperately looking for next generation effective medicines at an affordable cost. We are hoping that through embracing some of these new research working models and build-ing like-minded teams that are a nice blend of skill-sets from academia and pharma sector would allow reaching the objectives that are not possible to be achieved with classical working models. A challenging task is to build teams to undertake high-risk research programmes, and, this requires a deeper understanding of the need of so called ‘collective competence’. Only time will tell, whether, climbing this mountain would lead to a productive path that the patient community would benefit from, and this remains to be seen in days ahead! All references are available at www. pharmafocusasia.com A Scientist by profession, Subhadra Dravida led global stem cell research and commercialization initiatives in regenerative medicine and drug discovery domains for over 12 years. She holds over two dozen patents in the field of regenerative medicine and has significant expertise in converting promising research into business opportunities. PhD (1985) from the University of Delhi and PDFs at Cambridge and McGill, Prabhat worked at the National Research Council (NRC) of Canada for nearly 20 years; and also, had a short stint at the Ontario Institute for Cancer Research (OICR) to help build the medicinal chemistry program. RESEARCH DEVELOPMENT
  • 32. Manufacturing Validation Projects in China This article is a firsthand account of the experiences of Pharmadule in guiding leading Chinese manufacturers through facility investment projects aimed at compliance with Chinese, US and EU GMP requirements. These manufacturers have been among the first in the world to fully embrace the work procedures outlined in ICH Q8, Q9 and Q10. Implementing these guidelines in large organisations would be a challenge with any global market, but it turns out that the Chinese market offers both advantages and cultural disadvantages when managing change. w w w . p h a r m a f o c u s a s i a . c o m 27 Magnus Jahnsson, Director Regulatory Affairs, Pharmadule Morimatsu, AB Sweden Daniel Nilsson, Director GMP and Validation Services, Pharmadule Morimatsu, China Erik Östberg, Project Validation Manager, Pharmadule Morimatsu, China Between 1997 and 2000 Pharmadule built a number of pharmaceutical manufacturing facilities in China for both domestic manufacturers and multi-national pharmaceutical compa-nies, including Eli Lilly and AstraZeneca. The multi-national companies required GMP compliance and validation services comparable to the level that exist today. The facilities delivered for Chinese manu-facturers would comply with international GMP requirements; but it became evident at that time that the Chinese GMP regula-tion was immature in comparison with the EU regulations and guidelines. In 2011, all of this changed when China launched the new GMP regulations which elevated the requirements to a level equivalent with international cGMPs. At about the same time, Pharmadule refocused the strategy towards the Chinese market and has since then
  • 33. Manufacturing 28 Pharma Focus Asia ISUE - 21 2014 a decade or more to fully implement in a multi-national pharmaceutical company in the EU or the US are accomplished in a matter of months. In recent assignments completed by Pharmadule in the Chinese market, the philosophy described by international regulators in ICH Q8 – Pharmaceutical Development, Q9 – Quality Risk Management and Q10 – Pharmaceutical Quality System have been seamlessly integrated with the concepts of Process Validation as described in the FDA Process Validation Guidance from 2010 and ASTM E2500 - Standard Guide for Specification, Design, and Verification of Pharmaceutical and Biopharmaceutical Manufacturing Systems and Equipment. Other international standards have also been taken into consideration in order to create a state-of-the-art Validation Master Plan. This Validation Master Plan governs the entire product and process life cycle (as shown in Figure1) and is used to manage all of the phases of an investment project. The main steps of this plan combine to form a control strategy allowing an unbroken chain of traceable verifications all the way from the product attributes (e.g., shelf life) via Quality by Design activities in the Process Design and scale-up, through design and qualification, all the way to process validation. This level of traceability is rare even with established international companies. Implementing a new QA culture and a new paradigm for process validation has of course not been an altogether easy task. There have been a number of obstacles, some obvious, some less so. But there have also been circumstances in China that enabled the shift. Key observations It was a positive surprise to find that the degree of process understanding was very high among engineers, comparable or even exceeding western expectations. This can probably be attributed to the effectiveness of the Chinese education system. However, this process understanding was rarely fully leveraged into the process design and the GMP documentation. With the right tools and training, process understanding could easily be transcribed into Critical Quality Attributes, Critical Process Parameters and ultimately risk-based control strategies. Defining these boundaries and limits for the process in Quality by Design work has been both efficient and accurate. Quality by Design also facilitated, and eliminated unnecessary aspects of Technology Transfer, since Process Design departments, Operations and QA worked closely together. An impediment that could slow down changes is that within the Chinese culture, there traditionally is no challenge to authority. This puts a cap on the capability of innovative thinking and creative solutions. Corporate culture in China rarely encourages coworkers to take risks and explore new solutions. In fact, many companies punish employees that take risks and fail, with public shaming and fines. It is, therefore, important to note that, in contrast to the engineers, operators in the facilities do not have the same level of training as their western counterparts and will not take own initiatives. They normally only speak Chinese and will, for the reasons stated above, follow the SOPs they are given very rigorously. When training operators, this must be taken into account. Turning process understanding and Quality by Design into User Requirement Specifications is a challenge that is not unique to Chinese manufacturers. International companies also regularly fail in this area. The sheer number of process engineers, support from management, detailed instructions and a flexible approach to change, allowed rewriting of the URSs to enable traceability of critical parameters and aspects. Revamping the URSs has consequently been easier than expected. This is a key activity in providing the foundation both for procurement and for the rest of the validation activities (In the new draft been carrying out Validation, Quality Management Systems, GMP compliance improvement, and design projects in China. Compared to the projects in the late 1990s, assignments recently undertaken required Pharmadule to consider a number of significant changes in the Chinese marketplace when designing a modernised approach for project execution in China and other emerging markets. One major difference is that while European and American pharma manufacturers typically have a QA/ QC-force amounting to up to 40 per cent of the production staff, the Chinese companies we have encountered have very small QA/QC-departments, mainly focusing on QC and batch release testing. Quality is typically tested and validated into the products and processes. Interestingly enough, these immature QA and QC practices partially enable the transition to modern validation planning and execution. The reason is that, in contrast to the multi-national pharmaceutical companies Pharmadule has worked with, over the last 25 years, Chinese companies do not have bureaucratic and over-compliant Quality Management Systems and validation frameworks. Rather, they could be characterised as non-compliant with EU or US regulations. This is of course a concern when it comes to the current level of Quality Assurance expertise. However, our Chinese clients have been very open to embracing new ideas and knowledge, allowing them to evolve faster than any other market where Pharmadule has worked in the past. Organisations offer little resistance to change, provided they understand the benefits and the details of the new approaches. Consequently, implementation of new business processes can be much quicker than in Europe and the US. When a new facility is being built, it provides the manufacturer an opportunity to completely change the approach to Quality Assurance and validation. Changes that would take half
  • 34. w w w . p h a r m a f o c u s a s i a . c o m 29 Pharmadule Life Cycle Model Quality Assurance Operations Pre-validation Quality Risk Management Regulatory Filing ICH CTD Module3 / CMC Engineering Design Construction Good Engineering Practice testing / verification GMP-compliant Qualification Figure 1 Manufacturing
  • 35. Annex 15 to the EU GMP guidelines, URSs are specifically highlighted as part of the validation process). In China there is an additional challenge that increases the importance of URSs. Traditional Chinese vendor management pushes all the responsibility for design, commissioning and qualification — up until at least Operational Qualification — on the equipment vendors. Audits and contract management have not been common practices. On the contrary, maintaining good relationships between business parties is considered so important that relationships sometimes supersede written agreements. If the supplier is to play a big part in the qualification, as is the intention (such as in ASTM E2500) then the supplier must initially undergo an audit to ensure that they are able to provide risk-based documentation, next get a URS that allows them to write risk-based documentation and finally communicate during the design phase to ensure an understanding and alignment with the risk-based principles needed. This has been and will be an area that needs attention from the validation team. As a project moves closer to the next step in the life cycle, Process Validation (referred to as Process Performance Qualification in the latest FDA guideline), the state of the Quality Management System becomes much more important. This represents both a practical and cultural change for the Chinese pharma manufacturing industry. Quality Management Systems have traditionally been focusing on how to achieve the product specification in accordance with GMP and Pharmacopeia by extensive end testing of products and intermediates. Process Validation has frequently consisted of three batches, tested in accordance with the product specification as defined in the registration file. There is no scientific basis for specifying the number of validation batches to three, and while this practice may still be acceptable in the EU, there is a movement in the US 30 Pharma Focus Asia ISUE - 21 2014 Implementing a new QA culture and a new paradigm for process validation has of course not been an altogether easy task. But there have also been circumstances in China that enabled the shift. Currently the industry in China is waiting to see how the Chinese FDA will interpret and enforce the new GMPs from 2011. This may seem to be long overdue since now over three years have passed since the regulation was launched, but the CFDA recognised that the new requirements were setting a completely new standard for the industry and gave a grace period until January 2014. This year a large number of sterile and aseptic manufacturers are being inspected by the authorities. It has been recognised that while central CFDA has been very strict in their interpretation, China is an enormous country and it will take time for the new interpretations to trickle down to the provincial CFDA inspectorates. Therefore, the industry is still awaiting the outcome of local inspections. This gridlock will probably remain for the rest of 2014 and well into 2015. If the CFDA is enforcing the new GMP as vigorously as they have announced, there will surely be an increasing demand for new equipment and facilities, but the main demand will be new well-documented and improved Quality Management Systems. Many of the leading manufacturers are not waiting for the results of the first real CFDA new GMP audits, but have instead chosen to aim for compliance with EU GMPs for their current project portfolio. This might even be the case for projects without objectives of exporting to the EU, but is rather done to be able to set up strict quality objectives for their projects. Conclusions Our recent experience suggests that leading Chinese manufacturers not only have adopted the Quality by Design approach, but that they also fully appreciate the regulatory implications as well as the business drivers in implementing enhanced process understanding. In applying Quality by Design and Risk and Science-based approaches, the Chinese are in some regards better equipped to manage the changes of the on to a more science-based approach. Extended testing i.e extra tests outside the product specification to obtain an even more robust verification, an expected practice in the EU and US has not been the normal practice in China either. One of the main advantages of risk and science-based validation is that it provides a control strategy based on residual risk after process design and equipment qualification. This control strategy is an input for the Design of Experiments for process validation batches that provides a scientific rationale for the number of batches and defines the extended testing needed. Control strategies also help define appropriate programmes for continuous process performance monitoring i.e. Continued Process Verification. In order to achieve this goal there is a need to implement a Pharmaceutical Quality System including a number of elements that traditionally have not been prioritised. Change Management, Deviation Management, Supplier Management, Continual Improvements and Product Quality Reviews are examples of activities that need to be implemented not just in the documentation, but also in practice. This is a major cultural change for most Chinese pharma manufacturers. Manufacturing
  • 36. Manufacturing w w w . p h a r m a f o c u s a s i a . c o m 31 organisations that this brings, due to the lack of quality history. Since there is a lack of understanding regarding the extent to which the new CFDA GMP will be enforced, and the similarities on paper between EU and the new Chinese GMPs, many leading manufacturers aim for compliance with EU GMP in current projects. While the industry as a whole is still behind EU and the US in terms of cGMP compliance, the gap is decreasing, and it is decreasing rapidly. In a not too distant future, Chinese manufacturers are likely to catch up and even surpass EU and US manufacturers both in terms of compliance and quality performance. However, China still has issues with management, leadership, innovation and creativity that are slowing the pace of the development down for the time being. Changing this probably presents a bigger challenge than implementing new industry regulations and guidelines. Au t h o r BIO Magnus Jahnsson has more than twenty years’ experience from the pharmaceutical field, both from the industry and from regulatory authorities. He has worked extensively in the fields of RD, manufacturing, QA and regulatory affairs and has held positions with AstraZeneca, European Medicines Agency and Pharmadule. Daniel Nilsson has more than 15 years experience from the (bio) pharmaceutical industry spanning all different areas of validation and QA work, and management consulting, for multi-national and Chinese manufacturers. He lives in China since 2012. Daniel holds a Master’s degree in Chemical Engineering from the Royal Institute of Technology in Stockholm. Erik Östberg has 8 years of experience from the Life Science industry and has worked for many multi-national manufacturers. He is specialised in management of complex validation projects. Erik lives in Shanghai since 2011. He holds a Master’s degree in Biochemical Engineering from Chalmers University of Technology in Gothenburg, Sweden. “autoclaves are our business” Laboratory autoclaves delivering the ultimate in steam sterilising performance and reliability • Choice of more than 60 standard autoclaves • Small benchtop and high capacity free-standing designs • Standard ranges up to 700L • Special designs more than 7,500 litres capacity • Choice of top or front loading models • Antimicrobial finish • Noted for small footprint and high capacity • Low loading heights • World-wide recognition for build quality multiple installation of rectangular and cylindrical chamber Priorclaves double-door Priorclaves small-footprint, free-standing Priorclaves call +44 (0)20 8316 6620 email sales@priorclave.co.uk visit www.priorclave.co.uk Pharma Focus Asia April 2014 - Approved LO.indd 1 20/03/2014 08:47:54
  • 37. Information technology Quality by Design A rapid and systemic approach for pharmaceutical analysis The article presents a novel approach to applying Quality by Design (QbD) principles to the development of analytical methods. Common critical parameters in HPLC - gradient time, temperature, pH of the aqueous eluent, and stationary phase - are evaluated within the Quality by Design framework. It is useful for the robust analytical method development and Design Space optimisation. M V Narendra Kumar Talluri, Assistant Professor, Department of Pharmaceutical Analysis, National Institute of Pharmaceutical Education and Research, Hyderabad, India 32 Pharma Focus Asia ISUE - 21 2014
  • 38. The first step is to define the intended purpose of the analytical method. This has been called the Analytical Target Profile (ATP). The ATP is the set of criteria that defines at what level the analytes are measured; and accuracy or precision of method in which matrix analytes are estimated or over what concentrated range. After the identification of ATPs, proper analytical techniques are selected based on the defined ATPs, for example, for impurity/stability profiling of drug, HPLC is more reliable technique other than GC or UV techniques. The method under development will then follow a risk assessment which is the 3rd step in method development. All parameters, starting from sample preparation to end of the method (data analysis) are studied during risk assessment. Parameters which have more influence on critical quality attribute (CQAs) are found out to construct the design space. CQAs are the responses that are measured to judge the quality of the developed analytical methods, for example, total analysis time, peak tailing, lower limit of detection or quantification, resolution of critical pairs, precision of the analytical method which are the critical quality attributes for chromatographic methods. w w w . p h a r m a f o c u s a s i a . c o m 33 Quality by design (QbD) is defined in ICH Q8 (R1) guidelines as ‘a systematic approach to pharmaceutical development starting with pre-defined objectives with an emphasis on product and process understanding control’. Within the pharmaceutical industry there is increasing discussion about the principles of QbD analytical methods. For many years, analysts used to develop a method based on trial and error approach. With this traditional approach, many unexpected results are observed during the stage of validation in chromatographic methods (HPLC/ GC etc) including the disappearance of a few peaks or appearance of new peaks creating a need to go back from starting of the method development steps. This approach is very tedious and time consuming and it cannot give robust results. This can be avoided by applying Quality by design (QbD) approach. The degradants (impurities) can be separated (or quantified) using chromatographic techniques which can be tuned by many variables and all these variables can be optimised by QbD. QbD has been initiated since 2002 and in Jan-2013 was fully adopted in the pharmaceutical industry through several regulatory initiatives such as FDA’s cGMP for the 21st Century (Figure 1), and the new regulatory documents, ICH Q8, Q9 and Q10. Initiation of QbD concept by regulatory authorities has sparked several publications in this area. In QbD approach, many statistical tools are involved like Design of Experiment (DoE), Multivariate Analysis and six sigma methodologies. Since last decade the number of publications increased every year based on the experimental design in chromatography. Quality by Design steps for analytical method development To begin the development of a QbD acquiescent analytical method and finally reach the definition of its Design Space (DS), a total of four steps need to be completed as illustrated in figure 2. History Of Quality By Design implementation process FDA launched new concepts such as QbD, design space Guidance on process validation Full Implentation of Qbd January 2013 PAT Initiatives-recurrent theme as QbD cGMP for the 21st Century: A Risk based Approach by FDA FDA issued guidance clarifies the QbD approach to processing human drugs Figure 1 Information technology