www.pwc.com/pharma Biotech What’s next for the business of big molecules? A special report for attendees of the 2012 BIO International Convention Contents Page Introduction 04 Where are we now 04 Fluke or first signs of spring? 04 How many millions did you say? 06 Venture funding falls short 06 Big Pharma can’t bridge the gap 08 Asia smartens up its act… 09 …but the acid test’s innovation 09 Special report: Massachusetts’ biotechs beat the industry blues 11 Joined-up thinking 17 Playing nicely 17 Patient money 18 Back to school 18 United front 18 Collaborating competitors 19 Swapping notes with the big spenders 19 Package deals 20 Pulling together 20 References 21 Contacts 23 28 Introduction The biotech industry is a barometer of the world’s health in several respects. The products it develops are a measure of the progress mankind’s making in the war on disease; the investment it attracts is a measure of wider economic conditions; and the way it operates is a measure of the extent to which the traditional business paradigm is shifting. So we wanted to look at how the industry’s faring, as the 2012 BIO International Convention unfolds. PwC’s updated the analysis we completed two years ago, when we published “Biotech reinvented”— an assessment of the industry’s achievements in the 30 years since its birth.1 We’ve also included a special section on Massachusetts’ biotechs, in recognition of the major role they play. Where are we now? In mid-2010, when we first reviewed the state of the biotech sector, we concluded it hadn’t fulfilled its early promise. It seemed to us that there were three particular problems: • The industry hadn’t delivered a significant increase in productivity, measured in terms of new medicines reaching the market • The business model on which it relied was under great strain; and • The US was in danger of losing its lead, as the biomedical research base moved east. Meanwhile, pharma was also struggling to translate the discoveries of the past decade into safe, effective, new medicines. Mapping the human genome was one thing; applying the insights the molecular sciences provided, quite another. So what was the solution? One way forward, we suggested, was closer collaboration. If the biotech and pharma sectors joined forces, they might be able to develop new medicines more effectively and capitalize together on the opportunities arising from the push towards personalized healthcare. 4 Biotech What’s next for the business of big molecules? Two years on, there’s bad news and good: productivity’s still low, and money scarce, but the biotech and pharma industries are no longer trying to “go it alone.” A growing number of biotech and pharma companies are collaborating—with patient advocacy groups and medical charities, with academia, and with each other. And these are real, long-term collaborations, not just one-off licensing deals. Fluke or first signs of spring? Let’s start by looking at productivity. In 2010, we noted that the annual number of medicines approved by the Food and Drug Administration (FDA) had remained broadly constant since 1990, when the impact of the biotech industry first began to show. It typically takes a decade to develop a new medicine, and the earliest biotech companies originated in the ’80s. So, if they’d succeeded in improving productivity, there should have been some sign of it by this point. Today, the evidence is more encouraging. In 2011, the FDA’s Center for Drug Evaluation and Research (CDER) approved 30 new medicines—a higher number than at any time since 2004 (see Figure 1). Twelve of them were first-inclass therapies.2 And nine are expected to generate peak sales of more than $1 billion a year.3 Big Pharma was responsible for more than a third of these new products, but several biotech companies also had noteworthy successes. Massachusetts-based Vertex Pharmaceuticals was behind Incivek, one of two medicines that could transform the treatment of hepatitis C—the other being Merck & Co.’s Victrelis. Human Genome Sciences co-developed Benlysta, the first new therapy for systemic lupus erythematosus in 50 years, with GlaxoSmithKline (GSK). And Incyte crept under the wire at the end of 2011 with Jakafi, the first approved treatment for myelofibrosis.4 Figure 1: The number of new medicines reaching the market has picked up Number of products approved 35 30 25 20 15 10 23 20 5 0 27 2 24 5 17 7 23 6 31 5 2000 2001 2002 2003 2004 16 2 18 18 2005 43 35 New molecular entities 18 4 16 2 21 3 19 6 15 6 24 6 2006 2007 2008 2009 2010 2011 Biologics license applications 28 20 74 Source: US Food and Drug Administration Note: New molecular entities and biologics licence applications approved by CDER 75 40 38 26 too. A recent study There are other issues, 17 of 4,275 medicines moving through clinical trials to FDA approval suggests that the failure rate is actually increasing. Between 2003 and 2010, only one in 10 treatments reached the market, compared with a previous rate of one in five or six.5 But a few buds don’t necessarily mean the backyard’s flourishing, and a closer look at the figures shows that the number of biologics approved by the FDA has stayed the same for the past three years. In fact, it’s still slightly lower than in 2002, when seven new biologics were approved. Seen from a historical perspective, then, the picture isn’t quite so positive. The global pipeline is also becoming more concentrated. Nearly 31% of the molecules currently in research and development (R&D) cover cancer and autoimmune diseases (see Figure 2). 23 Figure 2: The global pipeline’s getting very narrow Oncology & immunomodulators Systemic anti-infectives Central nervous system Cardiovascular Musculoskeletal Endocrine Gastro-intestinal Respiratory Other Dermatology Sensory organs Genito-urinary Blood 0 1,000 Research 2,000 Pre-clinical 3,000 Phase I 4,000 Phase II 5,000 Phase III 6,000 Filed Source: EvaluatePharma Biotech What’s next for the business of big molecules? 5 How many millions did you say? And developing a new medicine is still an expensive business, although just how expensive is the subject of fierce debate. In 2006, the Tufts Center for the Study of Drug Development pegged the average cost at $1.24 billion for a large molecule and $1.32 billion for a small molecule (based on an estimate of $802 million in 2000 dollars, uplifted by 64% to reflect rising costs).6 But, in early 2011, two academics challenged these figures. They argued that Tufts had committed some serious methodological “errors” and used too small a sample to represent the industry as a whole. The real cost of developing a new treatment, they claimed, was more like $59 million in 2006 dollars—the equivalent of $75 million today.7 Various other commentators have now joined the battle. In February 2012, for example, a couple of journalists at Forbes added up the amount invested in R&D by each of the 12 Big Pharma companies for the past 15 years, adjusted it for inflation, and then divided it by the number of approvals each company secured over the same period. The result? Amgen was a model of efficiency; it spent “just” $3.7 billion on each of the molecules it launched. AstraZeneca, by contrast, spent nearly three times as much.8 So where does the truth lie? Harvard economist Frederic Scherer suggests that it lies somewhere in the middle. Scherer finds fault with certain aspects of Tufts’ analysis. But it’s clear “by any reckoning,” he says, that average costs per approved molecule “have risen greatly over recent decades to levels measured in the hundreds of millions of dollars.” 9 EvaluatePharma predicts that, by 2016, there’ll be seven such best-sellers (see Table 1).10 But Humira—the product that will probably head the league—is forecast to generate only 80% of the revenues Lipitor earned in its heyday. Venture funding falls short If the biotech industry’s contribution to productivity is still questionable, what about the business model on which it’s historically relied? We argued two years ago that this model—based as it is on external investment, typically venture capital—was under pressure. Again, the news is mixed. On the upside, US venture capitalists are back on the scene; venture funding in the domestic biotech sector topped $4.7 billion in 2011, 22% more than in 2010. On the downside, the total number of deals dipped again, after perking up in 2010 (see Figure 3)11. And first-round financings fell by 19%; only 98 of the deals struck in 2011 involved start-ups.12 What’s more, only 13% of the venture capitalists the US National Venture Capital Association (NVCA) recently polled said they plan to increase the amount they invest in the sector.13 And, to judge from events in the first quarter of 2012, they meant what they said. There were just 99 deals with a combined value of $780 million in the three months ending March 2012. That’s little better than in 2009, when there were 94 deals collectively worth $705 million.14 It’s harder still to get venture capital in Europe and Asia. In 2011, venture funding in the European biotech industry dropped to $1.2 billion—down from $1.4 billion the previous year—as the Eurozone’s problems cast a shadow over the entire region.15 And, in Asia, venture backing plays a much smaller role. In the first half of 2011, Asian biotechs raised only $81 million, a fraction of the venture funding raised in the US and Europe.16 Table 1: Top of the pops Top 10 drugs in 2009 (global sales in $bn) Top 10 drugs in 2016 (global sales in $bn) Lipitor 12.0 Humira 9.7 Plavix 9.1 Avastin 7.6 Seretide/Advair 8.1 Rituxan 7.7 Enbrel 7.3 Crestor 7.5 Humira 6.7 Enbrel 7.2 Remicade 6.5 Seretide/Advair 7.0 Avastin 6.2 Januvia/Janumet 6.8 Diovan 6.1 Herceptin 6.5 Rituxan 6.1 Remicade 6.1 Crestor 6.1 Prevnar 13 (conj. vaccine) 5.8 Source: EvaluatePharma In other words, the biotech industry hasn’t driven development costs down greatly. Yet neither—currently, at any rate—is it bringing in the sort of income the old blockbusters produced. In 2009, five of the 10 top-selling medicines were biologics. And market research firm 6 Biotech What’s next for the business of big molecules? Figure 3: US venture funding is still scarce for first-timers 1,400 1,200 $m 1,000 800 600 400 200 0 103 94 2 Q1 2009 124 119 17 Q2 2009 Q3 2009 112 153 112 18 23 6 Q4 2009 111 Q1 2010 Q2 2010 Q3 2010 122 108 4 Q4 2010 Amount invested 16 105 21 Q1 2011 Q2 2011 111 99 6 Q3 2011 6 Q4 2011 24 Q1 2012 Number of deals Source: PwC/National Venture Capital Association MoneyTree™ Things may still pick up: 36% of the US venture capitalists the NVCA surveyed hope to invest more heavily in European biotechs, while 44% have their eyes on Asia. But even if they do spread their wings, it’s obvious the industry won’t be awash with cash. The same NVCA survey shows that 39% of US venture capitalists intend to cut the amount they invest in life sciences firms over the next three years— some of them by as23much as a third.17 Why? Primarily because there are better opportunities elsewhere. As Table 2 shows, the biotech sector delivers much lower returns than those that can be obtained from many other sectors. Indeed, in the past five years, it’s typically delivered a pooled gross internal rate of return that’s less than a third of the return from investing in information technology.18 Realizing a return has also, of course, become much harder. In 2011, there were only eight initial public offerings (IPOs) in the US biotech sector, and they raised only $517 million—compared with the 19 IPOs that fetched more than $1.2 billion in 2007.19 In short, venture capitalists aren’t likely to pile back into the industry while the economic outlook remains so uncertain. Table 2: The biotech sector offers lower returns than many other sectors 2006 2007 2008 2009 2010 Average Information Tech. 19.53 22.45 46.22 59.92 82.97 92.44 Hardware/Systems -0.31 48.74 16.44 70.51 53.13 75.40 Software/Services 9.85 12.83 25.78 44.52 47.14 56.05 Manufacturing 22.02 5.39 22.01 34.17 50.63 53.69 Media/Comms -2.34 4.43 17.41 47.15 56.01 49.06 Chemicals/Materials -4.98 37.21 4.61 1.49 64.73 41.22 Consumer/Retail -0.32 -5.35 10.25 41.19 18.59 25.87 3.74 7.76 12.01 11.72 27.31 25.02 Industrial 13.73 -16.94 58.53 N/A N/A 18.44 Financial Services 21.25 -8.05 3.00 14.66 11.73 17.04 Healthcare/Biotech Energy 2.18 18.86 6.79 9.24 5.22 16.92 Electronics -5.76 2.31 5.13 14.59 17.52 13.52 Other/Fund of Funds -7.41 12.41 -2.98 16.82 11.48 12.13 -67.81 4.69 0.05 -1.10 24.25 -15.97 Environmental Source: Cambridge Associates Note: The pooled gross internal rate of return (%) delivered by companies receiving an initial investment in the years 2006 to 2010 Biotech What’s next for the business of big molecules? 7 Figure 4: Big Pharma’s trimming its R&D expenditure 70 70 60 60 47.90 $bn 50 50 40 40 30 30 26.03 29.77 31.01 2001 2001 2002 2002 34.45 37.02 39.86 42.97 47.38 46.44 2008 2008 2009 2009 50.71 49.48 2010 2010 2011 2011 20 20 10 10 0 2000 2000 2003 2003 2004 2004 Total R&D expenditure 2005 2005 2006 2006 2007 2007 Projected expenditure if rate of increase were constant Source: Pharmaceutical Research and Manufacturers of America (PhRMA) Note: Between 2000 and 2007, R&D expenditure rose at a compound annual growth rate of 9.1%. If this trend had continued, PhRMA’s members would now spend nearly $68 billion a year on R&D Big Pharma can’t bridge the gap Some of the largest biopharma companies are now trying to fill the gap. In 2011, they collectively contributed $694 million—nearly 15% of the total venture capital invested in the US biotech sector that year.20 Three firms have also topped up the pot with new funds. In September 2011, Merck & 23 Co. launched the Global Health Innovation Fund and Merck Research Venture Fund, with $250 million each to invest.21 Then, in March 2012, GSK and Johnson & Johnson teamed up with Index Ventures to create a $200 million fund for backing earlystage biotech companies.22 It’s too early to evaluate the success of this last fund. But Merck & Co. has already put $37 million into a digital pharma marketing company and two diagnostics providers, via the first of the two funds it set up.23 It’s also made four fund-to-fund investments through its Research Venture Fund and tied up with Flagship Ventures to find suitable biotech candidates.24 Yet Big Pharma’s in no position to pick up all the slack. Most of the leading players are under pressure themselves, as their earnings from aging medicines tumble over the “patent cliff.” Witness the fact that the members of trade body Pharmaceutical Research and Manufacturers of America (PhRMA) cut their R&D expenditure by 2.4% in 2011 (see Figure 4).25 That’s the third such drop in the past five years, and the equivalent of an 8.5% fall in real terms since 2007.26 At least one biopharma firm has now pulled out of the venture game altogether. Executives at Biogen Idec, which began life as a biotech start-up itself, believe there are better ways of supporting innovation, such as sponsoring university research. And they say the usual argument for becoming a corporate venture capitalist—that you get preferential treatment when it’s time to buy a new technology—is essentially a myth, or should be, because the backers owe it to their shareholders to strike the best deal for all concerned.27 These trends imply that the business model on which the biotech industry has relied is indeed very vulnerable. The “ivy-league” candidates will still be able to attract venture funding, but there won’t be enough cash to sustain the entire sector. 8 Biotech What’s next for the business of big molecules? Figure 5: The US still attracts the bulk of all foreign direct biopharma investment 73.3 70 70 60 60 $bn 50 50 40 40 36.7 29.8 30 30 20 20 19.7 27.5 17.7 16.8 12.2 10 10 0 China Singapore India Inward investment (2003-2006) Inward investment (2007-2010) 0.7 2.9 2.0 2.8 South Korea Malaysia United States Share of investment flows going into R&D (2007-2010) Source: Jones Lang LaSalle bioinformatics center and several interinstitutional centers for translational China Singapore India South Korea What, then, about our next hypothesis: research.31 Meanwhile, the South Korean that the research base is moving east and government has put about $5 billion into the US is losing its lead in biomedical two biotech clusters in Osong and Daegu, research? Some of the patterns we and is now actively promoting the identified in 2010 have continued. The development of a domestic biosimilars number of students completing doctorates industry.32 in the physical and biological sciences is Singapore—which already has a thriving still soaring in China, for example.28 biotech base—has pledged to invest 23 The returnee trend seems to be another $2.8 billion (in US dollars) on accelerating, too. Unfortunately, there’s biomedical R&D by 2016.33 Malaysia no hard data on reverse migration. But aims to sink nearly $3 billion of public the Chinese Ministry of Education and private funds in the sector during the estimates that, in 2010, 134,800 overseas second phase of its national Chinese students went back after getting biotechnology plan.34 And China dwarfs a foreign education. That’s more than them all; in mid-2011, Beijing announced double the number who returned in that it intends to spend more than $300 2008.29 And recruitment consultancy billion on science and technology in the Kelly Services predicts that as many as next five years, with biotech one of seven 300,000 Indian professionals working top priorities.35 30 abroad could go home by 2015. These efforts are bearing fruit. Between The emerging Asian economies are also 2004 and 2009, the number of listed still ramping up their investment in biopharma companies in Asia climbed biotech R&D. The Indian government from 276 to 370, and their combined plans to spend $297 million in the coming revenues nearly tripled from $27.4 billion financial year alone. Much of that money to $73 billion.36 At least two Indian and will go on setting up a new national five Chinese biopharma firms have now Asia smartens up its act… joined the “billion-dollar club,” with several Malaysian firms close behind.37 Malaysia United States Many of the big multinationals have also been setting up Asian R&D hubs. In fact, R&D accounted for 31% of the 653 cross-border biotech and pharma investments that fDi Markets recorded in Asia from 2004-2011.38 China, Singapore, and India attracted most of this money, although the US still gets the biggest share of all foreign direct biopharma investment (see Figure 5).39 … but the acid test’s innovation Even so, between 2007 and 2010, Asia’s top five biopharma players collectively brought in $70 billion. Yet they continue to lag way behind the leading developed economies in terms of innovation. The number of biotech patent applications originating in the US is far higher than in any other country (see Figure 6).40 But it’s not just the number of applications that counts, it’s also their quality—and here, too, the US reigns supreme. Biotech What’s next for the business of big molecules? 9 Internationally recognized patents are Figure 6: US scientists apply for more biotech patents than scientists in any other generally a better test of innovation than country (thousands) those that are only recognized in the inventor’s country of origin. In 2010, 42% 3 3 United States 4 of all US inventors and 37% of all 5 Japan Japanese inventors who applied for 5 China 3 patents in any field of technology filed 7 abroad. So did 40% of those based in Germany India, although the number of 52% Korean Republic 59 11 applications was much smaller. But more 50% United Kingdom than 95% of the applications Chinese France inventors submitted were filed 41% Switzerland 7 16 domestically.41 That’s not all. One researcher—reasoning that most of the medicines developed worldwide are marketed in the US, and that FDA approval is therefore31% a good global benchmark—looked at the location 26% of a of every listed inventor pharmaceutical patent in the FDA Orange Book between 2000 and 2009. Sixty percent of them were based in the US, and 31.5% in just seven other countries. Only one inventor lived in India, and only two in China (see Figure 7).42 Of course, this doesn’t mean the US—or any other developed country with a strong record of biotech R&D—can afford 44% Netherlands 42% Canada 21 34% Source: World Intellectual Property Organization 31% Note: The top 10 countries generating biotech patent applications between 2005 and 2009 to be complacent. By the end of 2010, there were 187 novel investigational drugs undergoing clinical trials in China, and 39 of them are covered by US or European patents, suggesting they have global potential.43 China’s standing as a source of innovation could soon improve, then, but the US looks likely to stay in pole position for some time to come. 21% Figure 7: Most biopharma invention still originates in the US 90 North America Europe East & South Asia Middle East Australasia South America 80 No. of patents (%) 70 60 50 40 30 20 10 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 Source: Yali Friedman, “Location of pharmaceutical innovation: 2000–2009” Notes: (1). Data for 2000 only cover January to June; (2). Where inventors from more than one country co-developed a patent, each country was assigned a proportionate share of the credit. 10 Biotech What’s next for the business of big molecules? Special Report Massachusetts’ biotechs beat the industry blues Medicines in the pipeline Biotech companies 900 500 Testing the local temperature – we’ve assessed the overall state of the industry in the rest of our report, but what’s happening here in Massachusetts? More than 500 biotech companies have set up home in the state—and they’ve already developed more than 50 biologics, with another 900-odd medicines in the pipeline.1 In short, Massachusetts’ biotechs play a major role in the global biotech industry. So how are they are coping, as the business of big molecules evolves? “The Massachusetts life sciences industry employs more than 50,000 people” Capital achievements The first thing to note is the success biotechs in Massachusetts—and New England in general—have enjoyed in attracting venture funding. Between January 2009 and March 2012, venture capitalists invested $13.1 billion in the US biotech sector. Nearly 25% of the money went to companies based in New England.2 The region’s youngest biotechs have done especially well. Over the past three years, they’ve brought in $2.4 billion by way of seed and early-stage capital—more than biotechs in any other part of the country, including Silicon Valley (see Figure 1).3 400 New England 350 Silicon Valley San Diego 300 US $m Special Report Figure 1: New England’s biotechs attract the biggest share of early-stage venture capital 250 200 150 100 50 0 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 2009 2009 2009 2009 2010 2010 2010 2010 2011 2011 2011 2011 2012 Source: PwC/National Venture Capital Association MoneyTree™ Note: Figures include seed and early-stage venture capital So Massachusetts’ biotechs seem to be bucking one of the strongest trends we’ve noticed in recent years: the decline in venture backing for scientific start-ups. Venture capital has played a key part in financing new biotech firms for the past 30 years, but the global evidence suggests that it’s getting more and more difficult to attract such funds. Of course, venture capital alone isn’t responsible for the relatively good health in which the region’s biotechs find themselves. Massachusetts also brings in a disproportionate share of federal research dollars. In 2011, it received $2.5 billion in funding from the National Institutes of Health—more than 11% of the total amount awarded.4 And the state itself has been very supportive. In June 2008, the Massachusetts Legislature passed the Life Sciences Act—a 10-year, $1-billion initiative proposed by Governor Deval Patrick to promote the local life sciences industry.5 Figure 2: The state is actively supporting the biotech sector 3.5 1.2 2.7 Capital projects Company grants and loans 37 Academic research grants Tax incentives Funding of interns for workforce development 131 23 Equipment and supply grants for schools Other grants 19 Source: Jones Lang LaSalle Note: Millions of dollars disbursed between June 2008 and June 2011 (figures rounded) By June 2011, the Massachusetts Life Sciences Center, which manages the program, had disbursed more than $217 million in research grants, loans, workforce development schemes, and the like (see Figure 2).6 12 PwC | Massachusetts’ biotechs beat the industry blues Indeed, Massachusetts boasts a higher concentration of top-flight scientists and engineers than any other US state. At last count, there were some 35,000 employees with engineering and sciences doctorates working in the region. While that’s less in absolute terms than in several other states, when you factor differences in the size of the population into the equation, Massachusetts is way ahead of the crowd (see Table 1). A biomedical “super cluster” This biomedical “super cluster” has produced a clutch of remarkably innovative companies collectively employing more than 50,000 people (see Table 2). Some of the largest firms are now in Big Pharma’s hands. In July 2010, for example, Merck KGaA bought Millipore for $7 billion.7 And, in February 2011, Sanofi snapped up Genzyme for just over $20 billion, with further payments contingent on how well Genzyme’s products perform.8 But Biogen Idec, which started life in 1978 and ranks among the foremost companies in the region, is still independent. It’s developed a number of breakthrough medicines, including multiple sclerosis treatments Avonex and Tysabri, and cancer and autoimmune disease therapy Rituxan. It also has a strong pipeline, with some very promising products in Phase III trials, including treatments for hemophilia and amyotrophic lateral sclerosis.9 Table 1: Massachusetts has the country’s highest concentration of people with scientific and engineering PhDs State No. of employees with PhDs in sciences & engineering, 2008 Population (thousands) No. of employees with PhDs in sciences & engineering per 100,000 people Massachusetts 35,000 6,594 531 California 95,700 36,962 259 New York 49,000 19,541 251 Pennsylvania 30,000 12,605 238 Texas 39,900 24,782 161 Special Report The private and public cash that’s gone into the region has helped build a strong biomedical research hub. Massachusetts’ biotechs can call on some of the country’s leading scientists, both at universities like Harvard and MIT, and at research organizations like the Joslin Diabetes Center, Whitehead Institute, and Broad Institute. The area also contains several world-class hospitals, including Massachusetts General, Brigham and Women’s, and the Dana-Farber Cancer Institute. Source: National Sciences Foundation, Science and Engineering State Profiles Table 2: More than 50,000 people work in Massachusetts’ life sciences industry Sector 2007 2008 2009 2010 Biotechnology R&D 24,565 26,439 26,759 26,812 Medical equipment and supplies manufacturing 11,315 10,963 10,527 10,759 Pharmaceutical and medicine manufacturing 9,139 9,581 9,706 9,500 Medical and diagnostic laboratories 4,682 4,830 4,976 4,930 Source: National Sciences Foundation, Science and Engineering State Profiles Plenty of smaller firms are making their mark on the sector as well. Take Vertex Pharmaceuticals, which developed hepatitis C protease inhibitor Incivek.10 The product was approved in May 2011 and generated sales of $456.8 million by December 2011, making it one of the most successful launches in recent history.11 Vertex has now pulled off another coup, with FDA approval of cystic fibrosis drug Kalydeco in January 2012. Even though Kalydeco is only approved for a small subset of cystic fibrosis sufferers—those who have the G551D genetic mutation— analysts expect it to generate peak sales of $1 billion, rising to as much as $3 billion if it proves effective in the larger cystic fibrosis population.12 PwC | Massachusetts’ biotechs beat the industry blues 13 Special Report Table 3: Top 10 US regions measured by biotech patent applications, 2008-2009 No. of applications Share of US total (%) Boston-Worcester-Manchester 1,061.9 5.54 San Jose-San Francisco-Oakland 1,029.3 5.37 New York-Newark-Bridgeport 670.5 3.50 Washington-Baltimore-Northern Virginia 552.3 2.88 San Diego-Carlsbad-San Marcos 544.1 2.84 Philadelphia-Camden-Vineland 394.8 2.06 Los Angeles-Long Beach-Riverside 390.5 2.04 Raleigh-Durham-Carey 253.7 1.32 Seattle-Tacoma-Olympia 175.3 0.91 Chicago-Naperville-Michigan City 174.4 0.91 Source: OECD patents database New Haven’s Trovis Pharmaceuticals (a subsidiary of Clinical Data) also scored a hit in early 2011, when it won approval for Viibryd, an oral medication for serious depressive disorders.13 Meanwhile, Cubist Pharmaceuticals is in the final stage of testing a new treatment for Gram-negative bacterial infections, which analysts predict could generate revenues of $2 billion. The company already has a successful product for Gram-positive infections under its belt.14 And Momenta Pharmaceuticals, a Cambridge-based biotech specializing in the characterization and engineering of complex medicines, has just earned top place in the latest Globe 100 list of the state’s best-performing public companies. Thanks to its generic version of antiblood-clotting drug Lovenox, Momenta nearly quadrupled its profits last year.15 This pattern of innovation looks set to continue. In August 2011, Massachusetts’ biotechs had 567 candidates in clinical trials—76 of them in Phase III—as well as 14 products pending approval.16 And, if the latest figures on US patent applications are any guide, there’s more in the pipeline. In 2008 and 2009, scientists in the Boston-WorcesterManchester corridor applied for more biotech patents than scientists in any other area of the country (see Table 3).17 In other words, Massachusetts’ biotechs don’t seem to be suffering from the productivity crisis that’s dogged the biopharmaceutical industry as a whole for the past decade. On the contrary, they appear to be at the top of their game. Brain buddies Such success has inevitably attracted Big Pharma’s attention. Most of the major European and Asian pharma firms now have a substantial presence in Massachusetts, and some of them have recently been expanding. In October 2010, for example, Novartis announced plans to spend another $600 million on its Cambridge research campus.18 Sanofi has been building a $65-million oncology research center in the city.19 Pfizer has just moved into Shire Pharmaceuticals’ old Cambridge premises, while it completes a new office-lab. And Shire itself has moved to a new 96-acre site in Lexington, which it purchased for $165 million in 2010.20 A number of large pharma companies have also bought local biotechs, as we’ve already remarked. What’s arguably more noteworthy, though, is the trend toward collaboration rather than acquisition. Two years ago, when we published “Biotech reinvented,” we suggested that the biotech and pharma sectors should cooperate— both with each other and with other parties—to develop new medicines more effectively and capitalize on the growing demand for personalized healthcare.21 That now seems to be happening to a much greater extent. In the academic arena, for example, Pfizer has teamed up with eight Boston-based research institutions to hunt for candidate drugs.22 And Gilead Sciences has joined forces with Yale School of Medicine to focus on new molecular mechanisms for cancer.23 14 PwC | Massachusetts’ biotechs beat the industry blues Several significant biotech-pharma partnerships have also been announced. In February 2011, Aveo Pharmaceuticals signed a deal with Astellas Pharma under which the two companies will jointly develop and commercialize Aveo’s lead product for renal cancer.24 Then, in October 2011, Biogen Idec teamed up with San Francisco’s Portola Pharmaceuticals to co-develop an oral Syk-inhibitor for the treatment of various autoimmune diseases.25 A month later, Aileron Therapeutics and Roche agreed to expand an existing alliance to develop new medicines using Aileron’s “stapled peptide” platform. The collaboration could see Aileron earn more than $1.1 billion.26 And, in January 2012, Forma Therapeutics joined forces with Boehringer Ingelheim and Janssen Biotech—a mere seven months after negotiating a groundbreaking pact with Genentech, which we’ve discussed in more detail on p.17 of our report.27 Special Report Chill winds That’s not to say Massachusetts’ biotechs have been completely immune to the problems currently facing the sector. Government funding for basic research remains a perennial worry, especially while the US economy continues to languish in the aftermath of the worst recession since the 1930s. And though some of the region’s biotechs have secured mouth-watering deals, many others are still struggling to raise the cash they need. Lackluster demand for new biotech stocks has also taken its toll on two highly regarded local firms that floated earlier this year. When Merrimack Pharmaceuticals went public in March 2012, its share price fell 14% on the first day of trading. But, by mid-April, it was back in positive territory, where it’s managed to remain.28 Meanwhile, stem-cell manufacturer Verastem has seen its stock hover around the offering price of $10 per share since its debut in February 2012.29 Yet institutional investors aren’t turning their backs on all biotechs, as another local firm has proved. Rare disease specialist Synageva BioPharma completed a reverse merger last November and a follow-on offering in January 2012. It planned to raise $60 million but ended up netting $84 million, after selling nearly 3.6 million shares, including an overallotment of 466,209 shares.30 And, by mid-May, its stock was trading at 52% more than the opening price.31 Leading light In all, then, Massachusetts’ biotechs have fared much better than many of their rivals in other parts of the US—and, indeed, the world. The region has also been steadily cementing its lead as the country’s top cluster for early-stage innovation in the life sciences. Times may be tough but there are good grounds for hope. Massachusetts’ biotechs, it seems, are beating the industry blues. PwC | Massachusetts’ biotechs beat the industry blues 15 Special Report References 1. Massachusetts Biotechnology Council, “Massachusetts By the Numbers,” http://www. massbio.org/economic_development/the_ massachusetts_supercluster/massachusetts_by_ the_numbers 15. Robert Weisman, “Momenta: The perfect Massachusetts success story,” The Boston Globe (May 20, 2012), http://articles.boston.com/2012-05-20/ globe-100/31699141_1_momenta-chief-executivemomenta-pharmaceuticals-brand-name-drug 27. John Carroll, “Forma scores another Big Pharma deal in $700M J&J cancer pact,” FierceBiotech (January 10, 2012), http://www. fiercebiotech.com/story/forma-scores-another-bigpharma-deal-700m-jj-cancer-pact/2012-01-10 2. MoneyTreeTM PwC and the National Venture Capital Association (NVCA), based on data provided by Thomson Reuters. The biotech sector covers developers of technologies promoting drug development, disease treatment, and a deeper understanding of living organisms. It includes human, animal, and industrial biotechnology products, and services; biosensors; biotechnology equipment; and pharmaceuticals. It excludes medical devices and equipment. 16. Massachusetts Biotechnology Council, “Biotechnology Industry Snapshot 2011” (2011). 28. Merrimack’s opening price was $7 per share. The closing price on May 14, 2012, was $7.41 per share. Details taken from NASDAQ, “Merrimack Pharmaceuticals Stock Chart,” http://www.nasdaq. com/symbol/mack/stock-chart 3. Ibid. 4. Massachusetts Biotechnology Council, op. cit. 5. Massachusetts Life Sciences Center, “Translating Good Science into Good Business,” p. 3. 6. Massachusetts Life Sciences Center, “FY 2011 Annual Report: Delivering on the Promise,” p. 6. 7. Merck Group press release, “Merck KGaA Completes Millipore Acquisition and Launches New Merck Millipore Division” (July 15, 2010), http:// www.merckgroup.com/en/media/extNewsDetail.h tml?newsId=BFC4CF612120F249C12577600051A CAA&newsType=1 8. Nina Sovich & Noelle Mennella, “Sanofi to buy Genzyme for more than $20 billion,” Reuters (February 16, 2011), http://www.reuters.com/ article/2011/02/16/us-genzyme-sanofiidUSTRE71E4XI20110216 9. “Biogen Idec (BIIB) PT Lifted To $148 By UBS Securities On Pipeline Optionality, ‘Buy’ Maintained,” iStockAnalyst (May 9, 2012), http:// www.istockanalyst.com/finance/story/5831705/ biogen-idec-biib-pt-lifted-to-148-by-ubs-securitieson-pipeline-optionality-buy-maintained# 10. Asher Mullard, “2011 FDA drug approvals,” Nature Reviews Drug Discovery, Vol. 11 (February 2012), pp. 91-94. 11. “Vertex posts 4Q profit on growing Incivek sales,” Associated Press (February 2, 2012), http:// finance.yahoo.com/news/Vertex-posts-4Q-profitapf-1137554779.html 12. Andrew McConaghie, “Kalydeco to be landmark in cystic fibrosis treatment,” InPharm (January 2, 2012), http://www.inpharm.com/news/171406/ kalydeco-be-landmark-cystic-fibrosis-treatment 13. Liz Jones Hollis & Jennifer Levin, “FDA approvals of 2011,” FierceBiotech (February 1, 2012), http://www.fiercebiotech.com/ node/293810/print 17. Organization for Economic Co-operation and Development, “OECD Biotechnology Statistics, 2009,” (2009), p. 71. 18. Curt Nickisch, “Novartis Plans $600 Million Expansion In Cambridge,” wbur (October 27, 2010), http://www.wbur.org/2010/10/27/novartisexpands-in-cambridge#comments 19. Todd Wallack, “Another drug giant bringing jobs to Mass.,” The Boston Globe (July 8, 2010), http://www.boston.com/business/healthcare/ articles/2010/07/08/another_drug_giant_ bringing_jobs_to_mass/ 20. Alex Philippidis, “Massachusetts Sees $2B Construction Boom from the Biopharma Industry,” Genetic Engineering & Biotechnology News (April 6, 2012), http://www.genengnews.com/ keywordsandtools/print/3/26733/ 21. PwC, “Biotech reinvented: Where do you go from here?” (2010), http://www.pwc.com/gx/en/ pharma-life-sciences/publications/biotechreinvented.jhtml 22. Heidi Ledford, “Drug buddies,” Nature, Issue 474 (June 22, 2011), pp.433-434. 23. Gilead Sciences press release, “Yale and Gilead Sciences Announce Cancer Research Collaboration” (March 30, 2011), http://www.gilead.com/ pr_1544168 24. Ryan McBride, “Aveo Pharma Lands $1.4B Deal with Astellas, A Few Months Ahead of Cancer Trial Result,” Xconomy (February 16, 2011), http://www. xconomy.com/boston/2011/02/16/aveo-pharmalands-1-4b-deal-with-astellas-a-few-months-aheadof-cancer-trial-result/ 25. Luke Timmerman, “Portola Grabs $45M Upfront From Biogen Idec to Develop Autoimmune Drugs,” Xconomy (October 27, 2011), http://www. xconomy.com/san-francisco/2011/10/27/ portola-clinches-45m-upfront-from-biogen-idec-todevelop-autoimmune-drugs/ 26. Aileron Therapeutics news release, “Roche and Aileron Therapeutics Expand Collaboration for Stapled Peptide Drugs” (November 16, 2011), www. aileronrx.com 14. Megg Tirrell, “Drugmaker-Neglected Bacteria Gives Cubist $2 Billion Market,” Bloomberg Businessweek (September 15, 2011), http://www. businessweek.com/news/2011-09-15/drugmakerneglected-bacteria-gives-cubist-2-billion-market.html 16 PwC | Massachusetts’ biotechs beat the industry blues 29. Verastem’s closing price on May 14, 2012, was $9.53. Details taken from NASDAQ, “Verastem Stock Chart,” http://www.nasdaq.com/symbol/vstm/ stock-chart 30. Synageva BioPharma press release, “Synageva BioPharma Announces $60 Million Proposed Public Offering of Common Stock” (January 4, 2012), http://ir.synageva.com/phoenix. zhtml?c=96240&p=irol-pressArticle&ID=1644729 &highlight=; and Synageva BioPharma press release, “Synageva BioPharma Announces Closing of Public Offering and Exercise of Over-Allotment Option” (January 10, 2012), http://ir.synageva. com/phoenix.zhtml?c=96240&p=irol-pressArticle &ID=1646544&highlight= 31. Synageva BioPharma’s stock closed at $38.29 per share on May 14, 2012, compared with an opening price of $25.18 on January 10, 2012. Details taken from NASDAQ, “Synageva Biopharma Stock Chart,” http://www.nasdaq.com/symbol/geva/ stock-chart Figure 8: The number of biotech-pharma alliances is creeping up again 80 450 70 400 Number of deals 300 50 250 40 200 30 150 20 100 10 50 0 2006 2006 2007 2007 2008 2008 Number of deals 2009 2009 2010 2010 2011 2011 Average deal value ($m) 350 60 A 0 Average deal value Sources: Burrill & Co., Windhover Note: All deals between biotech and pharma companies exceeding $20 million. Data for 2011 are projected from the figures for the nine months to 30 September 2011 Joined-up thinking Playing nicely So two of the three concerns we expressed in 2010 still look valid. But, fortunately, there’ve been other major developments in the intervening two years as well. The “biotech-ification” of Big Pharma has continued, just as we predicted. The trend towards collaboration has been even more 23 pronounced. In 2010, we identified three particular forms of collaboration: Take the way biotech and pharma companies are starting to come together. In 2011, there were an estimated 65 alliances worth more than $20 million. That’s still lower than before (see Figure 8).44 But some of these partnerships have been structured much more creatively. • Pre-competitive discovery federations—where public and private institutions pool their resources to overcome bottlenecks in early-stage biomedical research • Competitive development consortia— where rival biopharma companies form syndicates to develop the most promising molecules in their combined portfolios; and • Service-provision alliances—where biopharma companies and service providers join forces to offer healthcare packages for patients with specific diseases. We cited a few instances but remarked that they were rare. Today, there are many more collaborations—and some of them hint at the emergence of new business models. The deal Forma Therapeutics struck with Roche subsidiary Genentech is a good example. In June 2011, Forma handed over worldwide rights to one of its earlystage cancer medication programs. In return, Genentech paid an upfront lump sum and will make additional milestone payments, if Forma meets certain scientific and commercial criteria.45 There’s nothing novel about such terms. What sets the deal apart is the fact that Genentech also bought an option to acquire any resulting compound outright, rather than licensing it in and paying royalties. So, if Forma succeeds, it will be able to sell the compound and deliver a return to its investors without going public or getting acquired. That means its venture backers can keep growing the company and benefit fully from any subsequent sale.46 Forma isn’t the only biotech exploring new ways of realizing value without turning to the capital markets or a trade buyer. Antibody specialist Adimab has built a business based on selling access to its high-tech platform for discovering new human antibodies, instead of getting into drug development itself. Nimbus Discovery has adopted the same approach.47 Quanticel Pharmaceuticals has taken a slightly different tack. It’s sold Celgene an exclusive three-and-a-half year license to its platform for analyzing genetic variations in individual patients’ tumors. But the $45-million package includes a stake in the company and an exclusive option to buy Quanticel at a later date. So Quanticel has effectively given its venture backers an immediate return on their money, as well as making sure it’s got capital to grow.48 Meanwhile, Warp Drive Bio, which aims to discover new products by analyzing the genomes of plants, animals and wild organisms, has given Sanofi—one of its three venture backers—a non-exclusive option to buy the company. But the deal cuts both ways. Warp Drive Bio will retain the rights to many of the assets it develops Biotech What’s next for the business of big molecules? 17 unless Sanofi exercises the option. And, if it reaches certain milestones, it can force Sanofi to buy it at a predetermined price.49 So, even if the stock markets are still depressed and trade buyers are sparse, the biotech industry’s actively pursuing new business models—although the pressure’s on to deliver. As FierceBiotech reporter John Carroll recently noted, “Big Pharma’s trigger finger is getting increasingly itchy when it comes to killing unwanted or unsuccessful collaboration pacts.”50 Patient money Some biotech and pharma companies are also looking for new allies, and several have turned to patient advocacy groups as a source of funding. Vertex got $75 million from the Cystic Fibrosis Foundation when it was developing Kalydeco, for example. It repaid that trust in January 2012, when it won FDA approval for the first medicine to target the mutated gene that causes cystic fibrosis. It will also pay the foundation a share of the proceeds from all sales.51 Similarly, Amylin Pharmaceuticals has joined forces with the Juvenile Diabetes Research Foundation to fund a series of clinical trials on the effectiveness of a combination therapy for Type 1 diabetes.52 And, in April 2012, the Michael J. Fox Foundation agreed to pay for further testing of a therapy developed by Sanofi that might treat the mental symptoms of Parkinson’s disease.53 The “venture philanthropist” model, as it’s been called, is now spreading outside the US. In March 2012, Britain’s Wellcome Trust launched a $310-million fund to invest directly in healthcare and life sciences companies.54 Cancer Research UK has also teamed up with a European venture capital firm to create a nearly $78-million fund for boosting the development of new cancer treatments.55 Back to school United front There’s been a significant rise in the number of alliances with academic institutions, too, although this is largely a Big Pharma trend. Pfizer’s gone “back to school” in a big way. In May 2010, it linked up with Washington University School of Medicine in St Louis to identify new uses for existing compounds.56 Then, in November 2010, it started building a translational research network that now includes 20 US universities and academic medical centers.57 Several new precompetitive federations for grappling with “big data” have simultaneously emerged. The Pistoia Alliance is one such instance; it draws on the “crowd” wisdom of pharma and informatics experts from a wide range of organizations to devise and document best practice in R&D.60 And Sage Bionetworks is an open-source forum where computational biologists can pool their data and brainpower to crack particularly difficult problems.61 Other industry giants have also been dusting off their textbooks (see Table 3). Between January and September 2011, there were 30 new biopharma alliances with academic bodies, nearly double the total for 2010.58 And the pace shows no sign of slowing. In early 2012, for example, Eli Lilly signed Cambridge University up to its “Open Innovation Drug Discovery Platform,” bringing the number of participating European institutions to more than 60.59 The National Institutes of Health (NIH) has also just embraced “crowd-sourcing” in an effort to “teach old drugs new tricks,” as Health and Human Services Secretary Kathleen Sebelius put it. The NIH’s National Center for Advancing Translational Sciences and its industry partners Pfizer, AstraZeneca, and Lilly are tapping the nation’s “brightest minds” to test various compounds that have been studied in humans but shelved, to see whether new uses can be found for them.62 Table 3: Big Pharma’s calling on the profs Academic institution Therapeutic focus AstraZeneca & GSK Manchester University Inflammatory diseases Bayer University of California San Francisco Translational research Gilead Sciences Yale School of Medicine Novel molecular mechanisms for cancer Johnson & Johnson 10 academic “superstars” Multiple Merck & Co. Sanford-Burnham Institute Alzheimer’s disease & major psychiatric disorders University of Southern California Health science University of North Carolina HIV University of California San Francisco HIV Novo Nordisk Oxford University Rheumatoid arthritis & other autoimmune inflammatory diseases Roche University of California Los Angeles Genomics University of Geneva & Institute of Bioinformatics Translational research University of California San Francisco Oncology, aging, diabetes & inflammation Columbia University Diabetes Stanford University Early-stage research Weill Cornell Medical College Tuberculosis University of California San Diego Acne Sanofi These moves mark a profound shift. Medical charities and patient organizations have long supported basic research, but they’re now moving down the pipeline—and the biotech industry’s ready to play with them. Source: PwC Note: Key biopharma alliances with academic institutions in 2011 18 Biotech What’s next for the business of big molecules? It’s not just non-competitive or precompetitive partnerships that are flavor of the month, though. Co-development pacts between rival companies have become equally popular, especially in the oncology arena. AstraZeneca and Merck & Co. kicked off in 2009, when they agreed to share the cost of testing a combination therapy based on two compounds they’d developed separately. Today, there are at least four more such arrangements. Novartis and Amgen are jointly investigating a therapy for breast cancer. Novartis has also hooked up with GSK to co-develop a treatment for advanced solid tumors. Bristol-Myers Squibb and Roche are collaborating on a melanoma product. And Sanofi’s working with Merck KGaA on a combination therapy for multiple forms of cancer.63 This new spirit of cooperation is now spilling over into other therapeutic areas. In May 2011, Roche and Merck struck a deal to co-promote Victrelis, Merck’s new treatment for chronic hepatitis C. More unusually, the two companies also agreed to pool resources and study “novel combinations of marketed and investigational medicines [for hepatitis C] from both organizations.” 64 23 There’s been a similar surge in the number of alliances with diagnostics providers, both to satisfy public demand for personalized medicine and to address the concerns of healthcare payers reluctant to reimburse costly new therapies that can’t be directed at known “responders.” Last year’s crop of approvals included two cancer products with companion diagnostics: Pfizer’s Xalkori for the treatment of patients with advanced non-small cell lung cancer that’s ALK-positive; and Roche’s Zelboraf, for people with BRAF-positive metastatic melanoma.65 This trend’s obviously set to continue. In 2011, the biopharma industry formed 34 new partnerships to develop companion diagnostics—up from 19 in 2009 (see Figure 9). The FDA’s refusal to approve leukemia treatment Omapro without a diagnostic to identify the target patient population probably acted as a spur.66 But diagnostic biomarkers have other benefits as well. They can save a lot of time and Figure 9: Twinning with diagnostic providers is on the rise 40 34 35 No. of deals Collaborating competitors 30 25 25 19 20 14 15 10 7 6 5 0 2006 2007 2008 2009 2010 2011 Source: PwC analysis, using data from Windhover, IDV Technology and company press releases money during clinical trials by narrowing down the subset of patients on whom a molecule should be tested and exposing defects more rapidly. Swapping notes with the big spenders The financial pressure from cashstrapped healthcare payers has also led to much more collaboration between biopharma companies and their customers. GSK pioneered this policy; its executives now consult health officials and insurers at least five years before a product is due to leave its labs. But GSK’s certainly not alone in talking to the people who hold the purse strings.67 In 2011, Pfizer paired up with US health insurer Humana to research the health problems of the elderly. AstraZeneca and HealthCore agreed to work together on a study of how to treat disease more cost-effectively. Sanofi brought in Medco Health Solutions to stress-test its entire Phase I development program. And several smaller companies are starting to follow suit.68 Of course, it’s one thing to talk, another to listen—especially when the feedback’s not favorable. But some companies are clearly acting on what they’re told. GSK is a case in point; the firm pulled a diabetes product mid-way through development because healthcare payers weren’t sufficiently convinced of its value.69 Biotech What’s next for the business of big molecules? 19 To Package deals Pulling together The number of biotech and pharma companies collaborating with other organizations to tap into demand for personalized healthcare and create new ways of adding value is also on the rise. In May 2010, for example, Pathway Genomics entered into a marketing pact with Walgreens to supply direct-toconsumer genetic testing kits. The FDA called a halt to the deal, but it’s indicative of the direction in which things are moving.70 But perhaps the clearest sign of this new willingness to collaborate is GSK’s compact with McLaren, the high-tech engineering firm behind Formula 1 racing. The biopharma industry has traditionally taken the view that it’s “different” from other industries—and so there’s little it can learn from them. In September 2011, GSK put old prejudices aside when it embarked on a five-year partnership to enhance its manufacturing, R&D, and consumer healthcare businesses with McLaren’s engineering and technological expertise.74 Other, more successful ventures have since been launched. In January 2012, Proteus Biomedical signed a contract with British pharmacy group Lloydspharmacy to sell pills containing edible microchips that communicate with a disposable monitoring patch worn on the shoulder. The service will cost patients about $78 a month and the two companies will split any profits.71 Meanwhile, GSK has linked up with specialist technology provider MedTrust Online to launch an iPhone app that lets oncologists search for clinical trials by cancer type and automatically identifies the trial centers nearest their patients.72 And Pfizer has started offering an automated vascular health check service in British pharmacies.73 In general, then, the last two years have provided fresh grounds for hope. The biotech sector’s productivity is still open to question, the business model it’s traditionally relied on is shaky, and there’s been an undeniable geographic shift in the biomedical research base. But US scientists are as inventive as ever; some biotech companies aren’t just tightening their belts, they’re finding new ways to get funding and add value; and the biopharma community as a whole is trying to pull together. 20 Biotech What’s next for the business of big molecules? References 1. PwC, “Biotech reinvented: Where do you go from here?” (2010), http://www.pwc.com/gx/en/ pharma-life-sciences/publications/biotechreinvented.jhtml 2. Chris Morrison, “Biopharma In 2011: A Year of Transition,” IN VIVO (January 2012), Vol. 30, No. 1, p. 9. 3. Consensus forecasts provided by EvaluatePharma. 4. Asher Mullard, “2011 FDA drug approvals,” Nature Reviews Drug Discovery, Vol. 11 (February 2012), pp. 91-94. 5. Michael Hay, Jesse Rosenthal et al., “Trial and Error: Breaking Down Clinical Trial Success Rates,” 13th Annual Bio CEO Investor Conference (New York City, United States: February 15, 2011). 6. Joseph A. DiMasi, “Costs and Returns for New Drug Development,” FTC Roundtable on the Pharmaceutical Industry (Washington DC, United States: October 20, 2006), http://www.ftc.gov/be/ workshops/pharmaceutical/DiMasi.pdf; and Joseph A. DiMasi & Henry G. Grabowski, “The Cost of Biopharmaceutical R&D: Is Biotech Different?” Managerial and Decision Economics, Vol. 28 (2007), pp. 469-479. 7. Light and Warburton claim the sample used by Tufts is too small and too slewed towards Big Pharma to be representative of the situation in the industry as a whole. They also argue that Tufts’ methodology is at fault in four key respects: 1) that it includes “opportunity” costs as well as out-of pocket costs, and the former should be excluded; 2) that the cost of capital used to determine those opportunity costs is much too high; 3) that the calculations exclude the impact of tax credits on R&D outlays; and 4) that they overstate failure rates in late-stage development, where the highest costs are incurred. For further details, see Donald W. Light & Rebecca Warburton, “Demythologizing the high costs of pharmaceutical research,” BioSocieties, Vol. 6 (February 7, 2011), pp. 34-35 8. The journalists concerned recognized that investments made in one year don’t translate into approved medicines for many more years, but they argued that using 15-years’ worth of data stopped their estimates being skewed by short-term periods when R&D budgets or drug approvals varied dramatically. For further details, see Matthew Herper, “The Truly Staggering Cost Of Inventing New Drugs,” Forbes (February 10, 2012), http:// www.forbes.com/sites/ matthewherper/2012/02/10/the-truly-staggeringcost-of-inventing-new-drugs 9. F.M. Scherer, “R&D Costs and Productivity in Biopharmaceuticals,” Harvard Kennedy School Faculty Research Working Paper Series (December 2011), RWP11-046. 10.EvaluatePharma, “World Preview 2016” (June 2011). 11.MoneyTreeTM Report from PwC and the National Venture Capital Association, based on data provided by Thomson Reuters. The biotech sector covers developers of technologies promoting drug development, disease treatment and a deeper understanding of living organisms. It includes human, animal, and industrial biotechnology products and services; biosensors; biotechnology equipment; and pharmaceuticals. It excludes medical devices and equipment. 12.David Thomas, “Venture Capital increases in 2011, but . . . ,” BioTechNow (January 24, 2012), http://www.biotech-now.org/?s=venture+capital+ increases%2C+but 13.US National Venture Capital Association, “Vital Signs: The Threat to Investment in U.S. Medical Innovation and the Imperative of FDA Reform” (October 2011). 14.MoneyTreeTM Report, op. cit. 15.Dealogic, Capital IQ and Dow Jones VentureSource. 16.Walter Yang, “Biotech plummets in 3Q11,” Nature Biotechnology, Vol. 29 (November 8, 2011), p. 962, http://www.nature.com/nbt/journal/v29/ n11/full/nbt.2036.html 17. Ibid. 18.Cambridge Associates, “U.S. Venture Capital Index And Selected Benchmark Statistics: Private Investments, September 30, 2011” (2012), p. 16. 19.MoneyTreeTM Report, op. cit. 20.“Corporate Venture Capital Activity On Three-Year Upward Trend,” NVCA Today (April 2012), http://nvcatoday.nvca.org/index.php/ corporate-venture-capital-activity-on-three-yearupward-trend.html 21.Chris Morrison, “Merck’s $500 Million Venture Bet – Industry’s Latest and Largest Attempt to Get Closer to VCs,” IN VIVO (September 15, 2011), http://invivoblog.blogspot.co.uk/2011/09/ mercks-500-million-venture-bet.html 22.“Johnson & Johnson, Glaxo plot $200 million biotech venture capital fund,” Bloomberg News (March 21, 2012), http://www.nj.com/business/ index.ssf/2012/03/johnson_johnson_glaxo_ plot_200.html 23.To date, Merck’s Global Health Innovation Fund has invested $17 million in Physicians Interactive, and $10 million apiece in diagnostics developers Daktari Diagnostics and Aviir. For further information, see CrunchBase, http://www. crunchbase.com/financial-organization/merckglobal-health-innovation-fund 24.Arlene Weintraub, “Merck Teams With Flagship to Bankroll Early Biotech Ventures,” Xconomy (April 10, 2012), http://www.xconomy.com/ boston/2012/04/10/merck-teams-with-flagship-tofund-early-biotech-ventures/ 25.Pharmaceutical Research and Manufacturers of America, “PhRMA Member Companies Invested $49.5 Billion In Research and Development in 2011” (April 12, 2012), http://www.phrma.org/media/ releases/phrma-member-companies-invested-49-5billion-research-development-2011 26.In 2007, Big Pharma’s total R&D expenditure was $47.90 billion. This is the equivalent of $51.97 billion in 2011 dollars, based on the change in the US Consumer Price Index between 2007 and 2011. 27.Luke Timmerman, “Why Biogen Idec Got Out of the Corporate VC Business,” Xconomy (January 27, 2012), http://www.xconomy.com/ boston/2012/01/27/why-biogen-idec-got-out-ofthe-corporate-vc-business/ 28.US National Science Foundation, “Science and Engineering Indicators 2012” (2012), http://www. nsf.gov/statistics/seind12/c0/c0i.htm 29.Vivek Wadhwa, Sinali Jain et al., “The Grass is Indeed Greener in India and China for Returnee Entrepreneurs” (April 2011), p. 3. 30.Kelly Services, “Reverse Migration of Engineering Professionals into India” (November 2011). 31.Government of India, “Indian Expenditure Budget Vol. I, 2012-2013,” Part III, pp. 35-36, http:// indiabudget.nic.in/ub2012-13/eb/po.pdf 32.Suzanne Elvidge & Maribel Rios, “Success Stories from the Asia-Pacific,” BioProcess International, Vol. 10, No. 2 (February 2012), pp. 20–31; and Michelle Hoffman, “Biosimilars or Bust: Are biosimilars the next big thing or just the next big bubble?” BioPharm International, Volume 24, Issue 7 (August 1, 2011), p. 8. 33.Agency for Science, Technology and Research ((A*STAR) Singapore, “Singapore’s biomedical sciences R&D effort gets boost of S$3.7 billion ($2.8 billion)” (28 December 2010), http://www. eurekalert.org/pub_releases/2010-12/afstsbs122810.php 34.“BiotechCorp aims for RM9bil investment,” The Star (May 4, 2011), http://www.biomalaysia.com. my/2011/index.php?option=com_content&view=a rticle&id=103:biotechcorp-aims-for-rm9bilinvestment&catid=41:media-coverage&Itemid=120 35.Wang Yu & Li Xiang, “China placing priority on biotechnology,” China Daily (June 28, 2011), www. chinadaily.com.cn/bizchina/2011-06/28/ content_12790544.htm 36.Economist Intelligence Unit, “Asia Competition Barometer: Pharmaceuticals” (2012). 37.“China dominates the billion-dollar club,” BioSpectrum, Vol. 9, Issue 6 (June 2011), p. 18. 38.Economist Intelligence Unit, op. cit. 39.Jones Lang LaSalle, “Global Life Sciences Cluster Report, 2011.” 40.World Intellectual Property Organisation, “World Intellectual Property Indicators 2011” (December 2011). 41.Ibid. 42.Yali Friedman, “Location of pharmaceutical innovation: 2000–2009,” Nature Reviews Drug Discovery 9 (November 2010), pp. 835-836. 43.Jingzong Qi, Qingli Wang, et al., “Innovative drug R&D in China,” Nature Reviews Drug Discovery, Vol. 10 (May 2011), pp. 333-334. 44.Ted Agres, “Partnering for Success...and Survival,” Drug Discovery and Development (6 December 2011), http://www.dddmag.com/ articles/2011/12/partnering-successand-survival 45.“2011 Alliance of the Year Nominee: Forma/ Genentech,” IN VIVO (November 28, 2011), http:// invivoblog.blogspot.co.uk/2011/11/2011-allianceof-year-nominee.html 46.Ibid. 47.“Partnering,” Nimbus Discovery website, http:// www.nimbusdiscovery.com/index.php?id=72 48.Luke Timmerman, “Celgene To Pump $45M into Quanticel to Discover Cancer Drugs, Gets Option To Acquire,” Xconomy (November 4, 2011), http:// www.xconomy.com/san-francisco/2011/11/04/ celgene-to-pump-45m-into-quanticel-to-discovercancer-drugs-gets-option-to-acquire/ 49.Arlene Weintraub, “Warp Drive Bio Launches With $125M from Third Rock, Greylock, Sanofi,” Xconomy (January 10, 2012), http://www.xconomy. com/boston/2012/01/10/warp-drive-bio-launcheswith-125m-from-third-rock-greylock-sanofi/ 50.John Carroll, “Analysis: Big Pharma is backing out of more biotech deals,” FierceBiotech (May 16, 2011), http://www.fiercebiotech.com/story/ analysis-big-pharma-backing-out-more-biotechdeals/2011-05-16 51.“All together now: Charities help Big Pharma,” The Economist (April 21, 2012), http://www. economist.com/node/21553027 52.Juvenile Diabetes Research Foundation press release, “JDRF and Amylin Partner to Investigate Co-Formulating Two Hormones for Treatment of Biotech What’s next for the business of big molecules? 21 Type 1 Diabetes” (May 10, 2011), http://www.jdrf. org/index.cfm?page_id=115726 53.“All together now,” op. cit. 54.“Wellcome Trust launches Venture Capital arm,” European Biotechnology News (March 21, 2012), http://www.eurobiotechnews.eu/news/news/201201/wellcome-trust-launches-venture-capital-arm. html 55.Paul Jump, “Cancer Research UK to join forces with venture capitalist,” The Times Higher Education (March 31, 2012), http://www. timeshighereducation.co.uk/story.asp?sectioncode =26&storycode=419502&c=1 56.Washington University in St Louis press release, “Washington University, Pfizer announce groundbreaking research collaboration” (May 17, 2010), http://news.wustl.edu/news/Pages/20770. aspx 57.Pfizer, “Centers for Therapeutic Innovation,” http://www.pfizer.com/research/rd_works/ centers_for_therapeutic_innovation.jsp 58.Morrison, “Biopharma in 2011: A year of transition,” op. cit. 59.Gianluigi Cuccureddu, “University of Cambridge Joins Eli Lilly’s ‘Open Innovation Drug Discovery Platform,’” Innovation Management ( January 13, 2012), http://www.innovationmanagement. se/2012/01/13/university-of-cambridge-joins-elilillys-open-innovation-drug-discovery-platform/ 60.Pistoia Alliance website, http://www. pistoiaalliance.org/ 61.Luke Timmerman, “Sage Bionetworks Moves from Thinking Stage to Doing Stage,” Xconomy (April 18, 2012), http://www.xconomy.com/ san-francisco/2012/04/18/sage-bionetworksmoves-from-thinking-stage-to-doing-stage/ 62.Donna Young, “NIH-industry venture taps ‘crowdsourcing’ for teaching old drugs new tricks,” SCRIP Intelligence (May 4, 2012), http://www. scripintelligence.com/home/NIH-industry-venturetaps-crowdsourcing-for-teaching-old-drugs-newtricks-330136 63.Shannon Fisher, “Big Pharma + Big Pharma = Collaborative Fight to Cancer,” PharmaShare (April 2012), http://www.pharma-share.com/big-pharmabig-pharma-collaborative-approach-fight-cancer 64. Merck press release, “Merck and Roche Establish Strategic Agreements in Fight Against Chronic Hepatitis C” (May 17, 2011), http://www. merck.com/newsroom/news-release-archive/ corporate/2011_0517.html 65.Mullard, op. cit. 66.Andrew Pollack, “A Push to Tie New Drugs to Testing,” The New York Times (December 26, 2011), http://www.nytimes.com/2011/12/27/health/ pressure-to-link-drugs-and-companion-diagnostics. html?pagewanted=all 67.Lewis Krauskopf, “Insight: Pharma asks the money question earlier for new drugs,” Reuters (December 20, 2011), http://www.reuters.com/ article/2011/12/20/us-payorsidUSTRE7BJ1QG20111220 68.Ibid. 69.Ibid. 70.Bruce Japsen & Sandra M. Jones, “Walgreens postpones carrying Pathway Genomics genetic test kit,” Los Angeles Times (May 13, 2010), http:// articles.latimes.com/2010/may/13/business/ la-fi-dna-kits-20100513 71.Andrew Jack, “Pharmacy to offer ‘intelligent medicines,’” Financial Times (January 15, 2012), http://www.ft.com/cms/s/0/ebe31fac-3e11-11e1ac9b-00144feabdc0.html#axzz1thkrCeXt 72.Peter Mansell, “GSK, MedTrust launch iPhone/ iPad app for cancer trials,” PharmaTimes (June 8, 2010), http://www.pharmatimes.com/Article/1006-08/GSK_MedTrust_launch_iPhone_iPad_app_ for_cancer_trials.aspx 73.Pfizer press release, “Pfizer Launches New Pharmacy-Based 74.Vascular Health Check Service” (June 7, 2010), http://www.vascularhealthcheck.com/z_aux/z_ assets/press/news/Pfizer-Vascular-Health-CheckPress-Release-7-june-2010.pdf 75.GlaxoSmithKline press release, “GlaxoSmithKline (GSK) and McLaren Group announce innovative strategic partnership” (September 15, 2011), http://www.gsk.com/media/ pressreleases/2011/2011-pressrelease-625498.htm 22 Biotech What’s next for the business of big molecules? Contacts Global Simon Friend Partner, Global Pharmaceutical and Life Sciences Industry Leader PwC UK [44] 20 7213 4875 [email protected] Steve Arlington Partner, Global Pharmaceutical and Life Sciences Advisory Services Leader PwC UK [44] 20 7804 3997 [email protected] Michael Swanick Partner, Global Pharmaceutical and Life Sciences Tax Services Leader PwC US [1] 267 330 6060 [email protected] Doug Strang Partner, US Pharmaceutical and Life Sciences Advisory Services co-Leader PwC US [1] 267 330 3045 [email protected] Mike Goff Partner, US Pharmaceutical and Life Sciences Advisory Services co-Leader PwC US [1] 203 219 7722 [email protected] Jim Connolly Partner, US Pharmaceutical and Life Sciences Assurance Services Leader PwC US [1] 617 530 6213 [email protected] Michael Papetti Partner, US Pharmaceutical and Life Sciences PwC US [1] 617 530 6327 [email protected] Steve Demarco Partner, US Pharmaceutical and Life Sciences PwC US [1] 617 530 5519 [email protected] Tracy Lefteroff Partner, US Pharmaceutical and Life Sciences PwC US [1] 408 817 4176 [email protected] Jo Pisani Partner, Pharmaceutical and Life Sciences, Strategy PwC UK [44] 20 7804 3744 [email protected] Sandy Johnston Partner, European Pharmaceutical and Life Sciences Advisory Services PwC UK [44] 20 7213 1952 [email protected] Ingrid Maes Director, Pharmaceutical and Life Sciences Advisory Services PwC Belgium [32] 3 259 3305 [email protected] Martin Schloh Partner, Pharmaceutical and Life Sciences Advisory Services PwC Germany [49] 89 5790 5102 [email protected] Clive Bellingham Partner, Pharmaceutical and Life Sciences Advisory Services PwC Swizerland [41] 58 792 28 22 [email protected] United States Europe Asia Pacific Sujay Shetty Director, Pharmaceutical and Life Sciences Advisory Services PwC India [91] 22 6669 1305 [email protected] Middle East John Cannings Partner, Australia Pharmaceutical and Life Sciences Leader PwC Australia [61] 2 826 66410 [email protected] Sally Jeffery Partner, Healthcare Advisory Services, Middle East PwC United Arab Emirates [971] 4 304 3154 [email protected] Marketing Attila Karacsony Director, US Pharmaceutical and Life Sciences Marketing PwC US [1] 973 236 5640 [email protected] Marina Bello Valcarce Global Pharmaceutical and Life Sciences Marketing and Knowledge Management PwC UK [44] 20 7212 8642 [email protected] Biotech What’s next for the business of big molecules? 23 www.pwc.com/pharma PwC firms help organisations and individuals create the value they’re looking for. 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