January 2017 Trends in US New Drug Approvals 2016 FDA New Drug Approvals (and Multi-Year Trends) Key Findings In 2016, FDA approved only 19 new therapeutic drugs (new molecular entities or “NMEs”) as compared to 45 approvals in 2015. (The official FDA count is 22 which includes two new imaging agents and one antidote). Taking into account some “specific circumstances” such as 5 approvals in 2015 ahead of PDUFA schedule and a high number of complete response letters in 2016 (12 as compared to only 2 in in 2015), the drop in drug approvals appears not quite as dramatic as headline numbers suggest. Most drug categories (which boosted approval numbers in the years before) had lower approval numbers, including biologics (6 approvals in 2016 vs. 12 in 2015), orphan drugs (7 vs. 21), cancer drugs (4 vs. 15) and diabetes/metabolic drugs (1 vs. 4). Drug approvals in some other therapeutic areas were better, e.g. in immunology (3 approvals), CNS (2) and anti-virals (2). Worldwide peak sales potential from new drugs approved in 2016 was estimated to be $27.3 billion (less than 50% of the $58.6 billion in cumulative peak sales estimated for drugs approved in 2015). The average worldwide peak sales per new drug approved in 2016 is estimated at $1.4 billion, a similar number as in previous years. 11 new prospective “blockbusters” were approved in 2016 (vs. 19 in 2015). A number of large pharma companies which did well in 2015 and the years before did not receive any drug approvals in 2016, namely Novartis (4 approvals in 2015), Johnson & Johnson (2), Bristol-Myers Squibb (2), AstraZeneca (2), GlaxoSmithKline (1) and Takeda (1). As in the years before, over 60% of new drugs approved in 2016 originated at smaller biopharma companies, i.e. at companies outside of the 30 largest biopharma firms. Additional key data on new drugs approved by the FDA since 2003 are available under www.hbmpartners.com/en/industry-reports. The use of data and charts is permitted with reference to “HBM Partners – Trends in New Drug Approvals”. The authors of this report welcome any feedback or corrections: Dr Ulrich Geilinger [email protected] Dr Chandra P. Leo [email protected] Dr Emil Bujak [email protected] Nora Schweizer [email protected] HBM Partners AG, CH-6300 Zug, Switzerland, www.hbmpartners.com phone +41 43 888 71 71 1 New Drug Approvals by FDA in 2016 Comment: The term “new drug” in this report is used for therapeutic new molecular entities (“NMEs”). This includes new chemical entities (“NCEs”) and new biologics (classified by FDA as NMEs). It does not include (a) new non-therapeutic agents such as imaging agents, preventive vaccines etc., some of which are included in the FDA approval numbers and reports, (b) BLA approvals (by CBER) such as fractioned plasma products etc. which are not classified as NMEs by FDA, (c) approvals of previously FDA-approved drugs for new indications, (d) new combinations of previously approved NMEs and (e) biosimilars. NMEs Approved by FDA 2006-2016 (NCEs & Biologics) New Drug (NME) Approvals by FDA # of New Drug Approvals by FDA NCEs approved (FDA list) New biologics approved (FDA list) Therapeutic NMEs approved (HBM analysis) 40 45 45 41 39 24 35 30 24 20 18 17 20 21 10 0 26 26 20 30 28 27 33 22 21 24 33 30 22 19 24 25 15 16 16 2 3 2007 2008 6 6 6 6 2009 2010 2011 2012 11 12 2014 2015 2 2013 Source: FDA (www.fda.gov), HBM analysis Source: FDA, HBM analysis / NME = new molecular entity, NCE = new chemcial entity, i.e. small molecule Note: Biologics not yet in FDA statistics in 2003 6 2016 HBM Partners 2 2016a . After a record 45 new drug approvals in 2015, FDA approved only 19 NMEs in During 2016, the FDA received 36 NME applications (NDAs and BLAs), a similar number as in previous years (40 in 2015, 41 in 2014 and 36 in 2013). Therefore, the drop in approvals for 2016 is not related to fewer compounds reaching an approvable stage. John K. Jenkins, the departing Director of the Office of New Drugs, in a presentation in December 2016, explained the main reasons for the very disappointing 2016 numbers as follows: Five new drugs approved in 2015 had 2016 PDUFA dates, thus were approved faster than anticipated, boosting the 2015 approval numbers. In 2016, the FDA issued 12 complete response letters (CRLs) vs. only two in 2015. Four CRLs cited efficacy issues, three safety and four manufacturing issues (in one case, the reasons were not disclosed). We can assume that 4-6 of these initially rejected drugs will eventually be approved. Assuming that the 5 approvals in 2015 ahead of schedule would have been approved in 2016 and adding the 4-6 rejected drugs that will likely be approved later, 2016 drug approval numbers would not look all that bad: i.e. about 30 approvals in 2016 vs 40 approvals in 2015. Drug development is a long-term business and one has to be cautious to jump to conclusions from disappointing approval numbers in any single year. Considering all the above information, we believe that US drug approvals will continue to show a positive trend over the next years, despite the dip in 2016. However, approval numbers of more than 40 NMEs per year, as seen in 2014-15, are not the “new normal”. Please also check respective comments on the subject by Endpoints and FierceBiotech. a The official number of new drugs approved in 2016 is 22; but this includes two imaging agents and one antidote. The number of new therapeutic molecular entities approved is therefore only 19. HBM Report | Trends in US New Drug Approvals | 2 Peak Sales Estimates for New Drugs Approved in 2016 Comment: Estimated annual peak sales of NMEs approved were collected from analyst reports and other sources (in most cases sales estimated 5 years after approval, in some cases later). In case of multiple differing estimates, we calculated the averages. Please note that in our analysis, we use the worldwide peak sales of the new drugs as estimated at the time of approval. Thus, we do not adjust the figures retrospectively when actual sales figures or new estimates become available. Our estimates do not take into account the impact of potential New therapeutics NMEs only future US policy changes regarding drug prices. Peak Sales Potential of New Drugs Approved by FDA 2011-2016 Peak Sales Potential of NCEs and New Biologics Approved by FDA Peak Sales Potential ($ billion) 60 58.6 50 40 Number of Therapeutic NMEs approved 35 30 20 28 39 42.8 27.1 26.8 19 31.3 6.1 3.6 4.8 2011 2012 2013 -53% 27.3 24 10 0 45 36.0 30.4 22.5 16.5 43.2 19.5 16.1 15.8 2014 2015 7.8 WW Peak Sales Estimates Peak Sales NCEs Peak Sales Biologics 2016 HBM Partners Source: FDA, HBM Analysis / NME = new molecular entity Source: FDA (www.fda.gov), HBM analysis 4 Expected cumulative worldwide peak sales of the new drugs approved in 2016 amounted to $27.3 billion (compared to $58.6 billion for 2015 approvals). Peak sales estimates, both for NCEs and new biologics approved in 2016, reached less than 50% of the respective 2015 numbers. The chart below shows our worldwide peak sales estimates compared to sales estimates 5 years after therapeutics NMEs launch for the New US market only asonly provided by EvaluatePharma. Peak Sales Potential of New Drugs Approved by FDA 2011-2015 Peak Sales Potential of New Drugs (NMEs) Approved by FDA 58.6 Peak Sales Potential ($ billion) 60 50 Worldwide Peak Sales Estimates 5+ Years After Launch 40 43.2 36.0 30.4 30 27.3 22.5 20 23.6 10 11.9 13.9 15.7 2011 2012 2013 30.7 15.0 0 Source: FDA, HBM Analysis Source: FDA (www.fda.gov), HBM analysis 2014 2015 US Peak Sales Estimates 5 Years After Launch (EvaluatePharma) 2016 HBM Partners 3 HBM Report | Trends in US New Drug Approvals | 3 Number of Potential Blockbusters New therapeutics NMEs only Peak Sales Estimates of New Biologics (BLA) Approved by FDA Number of New Potential Blockbusters and Average Peak Sales Potential for New Drugs Approved Average Peak Worldwide Sales Potential per NME ($ million) Number of NMEs Approved With Expected Blockbuster Status (Peak Sales =>$1bn) 10 14 15 11 1'566 1'430 1'436 2015 2016 1'169 804 2011 Source: FDA, HBMHBM Analysis Source: FDA (www.fda.gov), analysis 10 19 895 2012 2013 2014 HBM Partners 5 In 2016, 11 (i.e. more than half) of the new drugs approved had “blockbuster” potential, i.e. were expected to reach sales of $1 billion or more per year. This number is lower than in the three previous years, but similar to 2011 and 2012. The average peak sales potential per NME approved in 2016 amounted to $1.4 billion. Three potential blockbusters were approved in immunology (vs. one in 2015), two in cancer (six in 2015) and two in anti-virals (two in 2015). Potential new blockbusters approved in 2014-2016 are listed on the next page. HBM Report | Trends in US New Drug Approvals | 4 List of New “Blockbuster” Drugs Approved 2014-2016 (i.e. worldwide peak sales estimate at time of approval ≥ $1 billion) Year 2014 2015 2016 Worldwide Peak Sales Drug Name (Ingredient) / Drug Sponsor (Country) / Indication Estimate ($bn) Harvoni (ledipasvir/sofosbuvir) / Gilead Sciences (USA) / Hepatitis C 10.00 Opdivo (nivolumab) / Bristol-Myers Squibb (USA) / Skin cancer 4.50 Keytruda (pembrolizumab) / Merck & Co. (USA) / Skin cancer 2.72 Viekira Pak (ombitasvir, paritaprevir, ritonavir, dasabuvir) / AbbVie (USA) / Hepatitis C 2.33 Plegridy (peginterferon beta-1a) / Biogen (USA) / Multiple Sclerosis 1.83 Otezla (apremilast) / Celgene (USA) / Psoriasis 1.79 Sylvant (siltuximab) / Johnson & Johnson (USA) / Rare lymphatic system disease 1.45 Ofev (nintedanib) / Boehringer Ingelheim (Germany) / Idiopathic pulmonary fibrosis (IPF) 1.40 Cyramza (ramucirumab) / Eli Lilly (USA) / Stomach cancer 1.40 Esbriet (pirfenidone) / Roche (Switzerland) / Idiopathic pulmonary fibrosis (IPF) 1.35 Zydelig (idelalisib) / Gilead Sciences (USA) / Blood cancer 1.33 Trulicity (dulaglutide) / Eli Lilly (USA) / Diabetes type 2 1.27 Farxiga (dapaglifozin) / AstraZeneca (UK) / Diabetes type 2 1.23 Entyvio (vedolizumab) / Takeda (Japan) / Autoimmune disease 1.23 Zerbaxa (ceftolozane/tazobactam) / Merck & Co. (USA) / Bacterial infections 1.05 Entresto (sacubitril/valsartan ) / Novartis (Switzerland) / Chronic heart failure 6.40 Orkambi (lumacaftor 200 mg/ ivacaftor 125 mg ) / Vertex Pharmaceuticals (USA) / Cystic fibrosis 5.20 Ibrance (palbociclib ) / Pfizer (USA) / Breast cancer 4.40 Praluent (alirocumab ) / Sanofi (France) / Hypercholesterolemia (HeFH), artherosclerosis 3.50 Repatha (evolocumab ) / Amgen (USA) / Hypercholesterolemia (HeFH), artherosclerosis 3.15 Tresiba (insulin degludec injection) / Novo Nordisk (Denmark) / Diabetes type 1 and 2 3.05 Genvoya (elvitegravir, cobicistat, emtricitabine, tenofovir alafenamide) / Gilead Sciences (USA) / HIV-1 3.00 Darzalex (daratumumab ) / Johnson & Johnson (USA) / Blood cancer 2.45 Tagrisso (osimertinib ) / AstraZeneca (UK) / Lung cancer 2.40 Alecensa (alectinib ) / Roche (Switzerland) / Lung cancer 2.20 Rexulti (brexpiprazole ) / Otsuka Pharmaceutical (Japan) / Schizophrenia, depression 2.20 Cosentyx (secukinumab ) / Novartis (Switzerland) / Psoriasis 2.00 Ninlaro (ixazomib ) / Takeda (Japan) / Multiple melanoma 1.70 Uptravi (selexipag ) / Actelion (Switzerland) / Pulmonary arterial hypertension 1.48 Nucala (mepolizumab ) / GlaxoSmithKline (UK) / Asthma 1.25 Daklinza (daclatasvir ) / Bristol-Myers Squibb (USA) / Hepatitis C 1.00 Kanuma (sebelipase alfa ) / Alexion (USA) / Enyzme replacement 1.00 Empliciti (elotuzumab) / Bristol-Myers Squibb (USA) / Multiple melanoma 0.99 Veltassa (patiromer for oral suspension ) / Relypsa (USA) / Hyperkalemia 0.97 Epclusa (sofosbuvir and velpatasvir) / Gilead Sciences (USA) / Hepatitis C 5.14 Tecentriq (atezolizumab) / Roche (Switzerland) / Bladder cancer 4.63 Venclexta (venetoclax) / Abbvie (USA) / Blood cancer 2.00 Xiidra (lifitegrast) / Shire (Ireland) / Dry eye disease 1.88 Zepatier (elbasvir and grazoprevir) / Merck & Co. (USA) / Hepatitis C 1.88 Ocaliva (obeticholic acid) / Intercept (USA) / Autoimmune disease 1.77 Spinraza (nusinersen) / Biogen (USA) / Genetic diseases 1.50 Eucrisa (crisaborole) / Pfizer (USA) / Atopic Dermatitis 1.37 Nuplazid (pimavanserin) / Acadia Pharmaceuticals (USA) / Parkinson's disease 1.33 Zinbryta (daclizumab) / Biogen (USA) / Multiple Sclerosis 1.23 Taltz (ixekizumab) / Eli Lilly (USA) / Psoriasis 0.98 Note: Drug sponsor = drug owner at time of approval HBM Report | Trends in US New Drug Approvals | 5 NewApprovals therapeutics NMEs by only Therapeutic Area New Drug Number of New Drugs Approved by Therapeutic Area Number of New Drugs (NMEs) Approved in 2016 by Therapeutic Area # of NMEs approved 0 5 $7.5 4 Cancer 2 Infections viral $7.0 3 Immunology $4.0 2 Genetic Ophthalmology 10 $2.1 1 # of NMEs - Average 2011-2015 $1.9 # of NMEs - 2016 2 CNS/Pain/Behaviour Diabetes/Metabolic/Endocrinology 1 $1.6 NMEs 2016 - Peak sales estimates $0.9 HBM Partners Source: FDA Source: FDA (www.fda.gov), HBM analysis 6 Only 4 new cancer drugs were approved in 2016 (as compared to 15 in 2015 and an average of >10 during the years 2011-15). By contrast, approval numbers in other therapeutics areas such as viral infections, immunology, genetic disease or CNS were comparable to previous years. The chart below provides a longer-term picture of approval numbers by major therapeutic area (i.e. for New therapeutics NMEs only therapeutic areas with at least 10 new drug approvals 2007-2016). New Drugs Approved by FDA 2003-2012 – By Location Of Drug Originator Number of New Drugs (NMEs) Approved by Therapeutic Area for [2007-11] vs. [2012-16] # of NMEs Approved by FDA 2007-11 and 2012-16 40 2007-11 2012-16 Strong increase in drug approvals Modest increase in drug approvals 30 Decrease in drug approvals 24 50 19 20 10 8 14 6 2 9 11 11 10 8 13 12 9 12 10 12 0 Source: FDA, HBM Analysis Source: FDA (www.fda.gov), HBM analysis HBM Partners 8 Therapeutic areas: Cancer (incl. cancer-related conditions), diabetes/metabolic diseases/endocrinology, respiratory diseases, viral infections, other infections (incl. bacterial, fungal and parasitic infections), cardiovascular/vascular diseases, genetic diseases, immunology-related diseases & inflammation, CNS and behavioural diseases incl. pain. HBM Report | Trends in US New Drug Approvals | 6 New Orphan Drugs Approved The increasing number of orphan drug approvals since 2010 has been one of the main drivers for high drug approval numbers in 2014 and 2015. In 2016, only 7 (!) orphan drugs were approved by FDA, the lowest number seen since 2010. The drop in orphan drug approvals is, of course, closely related to fewer cancer New therapeutics NMEs only drugs approved (as these often seek orphan status for their first approved indication). New Orphan Drugs Approved by FDA 2003-2012 New Orphan Drugs Approved by FDA # of New Orphan Drugs Approved by FDA 20 35% 15 35% 35% 7 4 38% 17 47% 4 37% Other 31% 11 9 6 0 44% 39% 27% 10 5 21 % Share of All Drugs Approved 2 6 7 7 11 4 12 9 7 2 8 2 2 2 3 2 2 3 2 3 2 2 1 2 2007 2008 2009 2010 2011 2012 2013 2014 3 5 Cancer 6 2 3 5 Genetic 2 2015 2016 HBM Partners Source: FDA, HBM Analysis Source: FDA (www.fda.gov), HBM analysis 9 Despite the low number of orphan approvals in 2016, we expect the strong overall trend for more orphan drugs submitted to and approved by FDA to continue. “First-In Class” Drugs Approved 9 (or 47%) of the 19 new drugs approved in 2016 were classified by FDA as “first-in-class”, i.e. with a new mechanism different from existing drugs. As mentioned in last year’s report, the relatively high proportion (40-50%) of first-in-class compounds is encouraging and an indication that biopharma companies push forward the development of genuinely new drugs. 2011 2012 2013 2014 2015 2016 # of new drugs approved 28 35 24 39 45 19 Thereof “first-in-class” drugs 13 19 9 16 16 9 “First in class” approvals in % 46% 54% 38% 41% 36% 47% HBM Report | Trends in US New Drug Approvals | 7 New Drugs Approved by Location of Drug Sponsor/Owner and Drug Originator Definitions: The “Drug Sponsor/Owner” is the company that owns the drug at time of approval or has licensed it for US or worldwide markets. “Location” is the location of the company’s headquarters. The “Drug Originator” is the company that undertook the first serious pre-clinical or clinical development effort. Note: therapeutics Quite a numberNew of new drugsNMEs wereonly originally discovered at universities or research institutions. New Drugs Approved by FDA 2003-2012 – By Location Of Drug Sponsor New Drug Approvals (NMEs) by Location/Headquarter of Drug Sponsor/Owner # of NMEs Approved by FDA ROW 40 6 Japan Europe 30 2 2 USA 2 1 3 20 1 2 5 8 9 1 2 12 14 2008 2009 15 10 9 1 4 9 11 10 9 2 2 22 12 1 5 25 24 16 13 8 7 0 2007 2010 2011 2012 2013 2014 2015 2016 HBM Partners Source: FDA, HBM Analysis Source: FDA (www.fda.gov), HBM analysis 10 US companies increasingly dominate the US drug approval rankings. This was especially obvious in 2016, when only 6 (out of 19) new drugs approved by FDA were “sponsored” by non-US companies and only 3 (!) New therapeutics NMEs from only non-US companies. new drugs approved originated New Drugs Approved by FDA 2003-2012 – By Location Of Drug Originator # of NMEs Approved by FDA New Drug Approvals (NMEs) by Location/Headquarter of Drug Originator 1 5 ROW (incl. Canada) 40 Japan Europe 30 USA 7 20 2 10 11 7 1 2 9 11 1 5 3 3 3 4 7 3 13 12 9 21 13 8 8 8 7 2007 2008 2009 2010 16 7 3 26 23 16 9 0 Source: FDA, HBM Analysis Source: FDA (www.fda.gov), HBM analysis 2011 2012 2013 2014 2015 2016 HBM Partners 11 HBM Report | Trends in US New Drug Approvals | 8 New Drug Approvals by Company The table below shows that several large pharma companies with a strong approval track record did not receive any drug approvals in 2016, most notably Johnson & Johnson (2 approvals in 2015), Bristol-Myers Squibb (2), GlaxoSmithKline, (1) Novartis (4), Takeda (1) and AstraZeneca (2). Only Merck & Co., Biogen and Eli Lilly scored more than one approval in 2016 (as compared to 9 companies with 2 or more approvals in 2015). As mentioned previously, drug development is a long-term effort and a low (or high) number of drug approvals in a single year is not a reliable indicator of a company’s strength in drug development. New Drugs Approved by Company 2012-16 and 2016 2012-2016 Ranked by Peak Sales Company 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 Gilead Sciences Roche Johnson & Johnson Bristol-Myers Squibb Novartis Pfizer Biogen Merck & Co. GlaxoSmithKline Vertex Pharmaceuticals Sanofi Takeda AstraZeneca Eli Lilly Abbvie Amgen Novo Nordisk Celgene Boehringer Ingelheim Actelion Shire Otsuka Pharmaceutical 2016 Peak Sales Peak Sales # of Drugs Estimates # of Drugs Estimates Approved ($ billion) Approved ($ billion) 6 8 7 5 6 7 4 8 6 2 6 4 5 6 2 3 1 2 4 2 2 2 26.9 16.9 11.3 10.5 10.2 9.7 7.4 7.3 7.3 7.3 6.4 5.5 5.1 5.0 4.3 3.8 3.1 3.0 2.8 2.5 2.5 2.5 1 1 1 2 2 1 2 1 1 - 5.1 4.6 1.4 2.7 2.2 0.9 1.4 2.0 1.9 - Source: FDA (www.fda.gov), HBM analysis HBM Report | Trends in US New Drug Approvals | 9 New Drug Approvals by Company Size Definitions: “Top ten pharma companies” = Pharma companies ranked within the top ten worldwide by pharma sales. “Other large pharma/biotech companies” =Biopharma companies ranked between 11 and 30 in terms of worldwide sales (Note: Gilead is included in this group even though Gilead moved into the top ten recently). “Smaller pharma/biotech companies” = Other (smaller) biopharma companies. The “Drug Sponsor/Owner” is the company that owns the drug at time of approval or has licensed it for US or worldwide markets. New therapeutics NMEs only New Drugs Approved by FDA 2006-2015 – By Size of Drug Sponsor New Drugs (NMEs) Approved by Size of Drug Sponsor/Owner Smaller pharma/biotech companies Other large pharma/biotech companies # of NME Approvals 45 Top ten pharma companies 40 35 16 53% 30 46% 25 10 5 0 36% 14 35% 20 15 Top 10 Pharma‘s Share of Approvals 6 2 9 25% 13 2 5 13 4 9 13 18% 5 4 18 31% 6 4 10 11 4 13 10 9 11 42% 41% 16 33% 14 15 7 4 8 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 Source: FDA, HBMHBM Analysis Source: FDA (www.fda.gov), analysis HBM Partners 12 The 42% share of 2016 approvals, accounted for by the top ten pharma companies, is above the long-term share. Thus, Big Pharma cannot be “blamed” for the recent weakness in drug approvals. Mid-sized and smaller companies saw a stronger drop in approval numbers. As we show later in this report, only about 50% of all drugs approved during the last years were developed in-house by the respective sponsor. About 30% of drugs approved were in-licensed and about 20% were acquired through M&A (before such drugs were approved). Companies of all sizes are active on the “buy” and “sell” side. Even though larger companies have a somewhat higher proportion of approved drugs that were in-licensed or acquired (vs. developed in-house), this cannot be generalized. Looking at the top ten pharma companies during the 10 years from 2007-2016, the share of internally developed drugs among their approvals has fallen below 50%, while drugs acquired through M&A or inlicensing have become more important. For other company size categories, the trend is less clear. HBM Report | Trends in US New Drug Approvals | 10 Originators of New Drugs Approved by Company Size Definitions: The “Drug Originator” is the company that undertook the first serious pre-clinical or clinical development effort. Note: Quite a number of new drugs were originally discovered at universities or research institutions and then transferred to a biopharma company for further development. New therapeutics NMEs only New Drugs Approved by FDA 2006-2015 – By Size of Drug Sponsor New Drugs (NMEs) Approved by Size of Drug Originator Smaller pharma/biotech companies % of New Drugs Approved Originated from Smaller Biopharma Companies Other large pharma/biotech companies Top ten pharma companies # of NME Approvals 50 75% 45 68% 40 35 64% 63% 54% 30 25 20 15 29% 10 5 2 15 5 9 1 4 0 14 18 8 5 2 6 4 68% 51% 20 29 12 8 13 6 8 2 4 22 15 15 3 64% 63% 5 7 6 2 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 Source: FDA, HBM HBM Analysis Source: FDA (www.fda.gov), analysis HBM Partners 13 The majority of new drugs approved by FDA in 2016 (and the years before) originated at smaller companies, i.e. companies outside of the largest 30 biopharma firms. As these smaller companies often out-license their drug candidates or get acquired before approval, the number of approvals under their name (16 in 2015 and 7 in 2016, see chart on last page) understates their important contribution to pharmaceutical innovation. Of course, some smaller companies are also active licensors and acquirers in some cases. HBM Report | Trends in US New Drug Approvals | 11 NMEsInnovation only InternalNew vstherapeutics External New Drugs Approved by FDA 2006-2015 - Inhouse vs. External Development New Drugs (NMEs) Approved – In-House Development vs. In-Licensed or Acquired Through M&A 45 # of NMEs Approved 40 35 Drugs acquired through M&A 80% In-Licensed drugs % of In-Licensed or Acquired Drugs 50% 25 2 20 35% 15 2 4 5 11 5 4 41% 43% 4 8 13 11 2008 51% 13 9 43% 6 13 16 20 14 11 7 4 2007 10 2009 2010 2011 2012 2013 22 12 2014 47% 5 5 11 0 69% 13 6 30 10 71% Inhouse development 4 10 2015 2016 HBM Partners Source: FDA, HBM HBM Analysis Source: FDA (www.fda.gov), analysis 14 About half of the drugs approved in 2016 were in-licensed or acquired through M&A. Interestingly, internally developed drugs have done well with a higher percentage of approvals shown recently (mainly in 2013, 2014 and 2015). However, there still seems to be a long-term trend towards more in-sourcing of drugs, especially through M&A. January 2017 Please address questions, comments or corrections to: Dr Ulrich Geilinger [email protected] About HBM Partners HBM Partners is among the global leaders in healthcare-focused investing with approximately $1.5 billion in assets under management. HBM focuses on development stage, growth and buy-out financings of private and public biopharma, medical device and diagnostics companies. Investments in private companies usually range between $10 million to $50 million. HBM Partners advises HBM Healthcare Investments AG, HBM BioCapital as well as specialized public equity funds. HBM Partners has been an active contributor to value creation in its portfolio companies, generating over 50 trade sales and IPOs since its inception in 2001. HBM Partners AG, CH-6300 Zug, Switzerland, www.hbmpartners.com, phone +41 43 888 71 71 HBM Report | Trends in US New Drug Approvals | 12
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