As you sow, so shall you reap Evidence of innovation and drug portfolio diversification from the stock market April 2010 As you sow, so shall you reap Evidence of innovation and drug portfolio diversification from the stock market Bansal, Anushri, GRS Delhi Abstract Drug discovery and development is a risky and time-consuming process. Typically, a new product costs around $1.3 billion and takes 15-20 years to reach the shelves, while an overwhelming majority of innovations fail along the way. The probability of attaining a US Food and Drug Administration (FDA) approval for a compound that has attained a patent grant is a mere 0.02%. However, the pharmaceutical industry’s sustainability and profitability is dependent on product discovery and innovation. Against such a background, this article looks at returns to innovation for 66 companies in the biopharmaceutical industry. Based on Original New Drug Approvals (NDA) by the FDA from 1997-2007 and patent grants from 1984-2005, this study assesses market rewards for bringing new drugs to the market and undertaking risks by diversifying product portfolios. Using an event-study analysis, this article makes two conclusions. First, FDA drug approval receives a positive and long lasting response from the stock market. Second, FDA policies alongside factors such as R&D expenditure, drug type and reputation of the company based on previous drug approvals, play an instrumental role in encouraging pharmaceutical companies to innovate, by reducing the interval between a patent grant and FDA approval. Finally, the market offers sizable rewards for undertaking the risk of product diversification and also rewards frequent participants. Executive summary Purpose of the study: to assess the stock market rewards to pharmaceutical companies for innovation, which the study defines as both bringing new drugs to the market and diversifying the drug portfolio. Major findings: •• FDA approval receives an enthusiastic and enduring response from the stock market. •• Amount invested in R&D, type of drug and FDA review status can encourage or discourage innovation by affecting the interval between patent and FDA approval. •• The market rewards firms for diversifying their drug portfolios and for having obtained multiple patents in the past. Implications for future decision-making: the market rewards make innovation worth seeking out, in spite of the attendant higher risks. towerswatson.com Innovation and drug portfolio diversification 2 April 2010 Introduction Bringing new drugs to market is a time-consuming and expensive process. According to industry estimates for 2006, a typical drug took around 10-15 years to develop and cost roughly $1.3 billion. According to (Dickson and Gagnon 2004; DiMasi 2001; DiMasi, Hansen and Grabowski 2003; DiMasi and Grabowski 2007; Congressional Budget), the increasingly inflexible regulatory environment has made drug development a challenging venture, and the research required to bring a single drug to market often involves testing 5,000-10,000 compounds. Scientific advancements in medicine have helped billions of people, but have also led to greater complexities and increased both the risks and costs of drug development. Garnier (2008) states that research and development (R&D) spending by the pharmaceutical industry increased from $2 billion in 1980 to $43 billion in 2006. Product discovery and innovation are essential to a pharmaceutical firm’s sustainability and profitability. In the book Critical Assessments, Wood (1991, 53) states that: “Innovations introduce new products, embody resource discoveries and technological improvements.” Such innovations help create surplus revenues and hold out abnormal profits as a reward. In light of these challenges and potential rewards, Towers Watson looks at returns for innovation for 66 companies in the biopharmaceutical industry. To measure the market rewards to innovation, we use patent issue and FDA approval as proxies for success. Patent application occurs at the beginning of the R&D process, and a patent grant gives the firm a first-mover advantage against its competitors. A patent can thus be considered an incentive to innovate. An FDA approval, on the other hand, gives a firm licence to market the drug and thus marks the culmination of its R&D efforts. The research measures abnormal returns following announcements of a patent grant and FDA approval towerswatson.com and then examines abnormal returns generated by different kinds of drugs (standard, orphan, priority, new molecular entity [NME] and new chemical formulation) developed by pharmaceutical companies.1 Given that the length of time required to develop a drug increases the risks attendant to drug discovery, we also analyze the factors that affect the interval between a patent grant and FDA approval. Our research suggests that while the stock market does not react to a patent grant, it rewards an FDA approval. Moreover, the rewards of this approval persist for several days after the announcement. The market discounts the value of most patents, given the high risks and uncertainty involved in the development and application process. But FDA approval heralds the introduction of a successful drug, which increases the parent company’s valuation. The interval between receiving a patent grant and receiving final FDA approval is called the timedifference. Our research shows that time-difference is affected by the R&D investment, the type of drug and the FDA review classification. A pharmaceutical company should pay heed to these factors as they indirectly affect its ability to innovate successfully. Diversifying the company’s drug portfolio entails high risk and cost, but the stock market rewards such risktaking. The market especially rewards companies that diversify from the production of ‘me-too’ drugs, which Heaton (1994, 283) defines as “compounds that have very similar properties to one already known.” The market also recognizes frequent participants, measured by the number of patents granted in previous years. These valuations enable the managers of pharmaceutical companies to make strategic 1 For definitions and terminology, refer to the Appendix 1. Innovation and drug portfolio diversification 3 April 2010 decisions about investing and allocating resources in R&D that consider the associated risks as well as the rewards. The remainder of the paper is structured as follows. Section 2 describes available literature on returns to innovation in the pharmaceutical industry. Section 3 talks in detail of the eventstudy methodology used to evaluate stock market performance. Section 4 describes the sources of data used and the compilation done for the analysis. Section 5 entails the empirical findings from our event study. The effect of different factors on the time taken between a patent grant and FDA approval is discussed in section 6, while section 7 evaluates whether the market appreciates the risk-taking behaviour of the firm both in terms of costs and risks of drug portfolio diversification. The paper concludes in section 8. disciplinary actions) on firm valuations. The data was collected from the Wall Street Journal Index for a 28-year period (1962-1989) and included those firms from the food and drug industries that were present in the CRSP database. Using the eventstudy methodology, these authors find an increase in valuation following FDA approvals recognising the degree of uncertainty and risk involved in the regulatory process. Moreover, they find evidence of leakage of news supporting views of ‘profitable “Diversifying “ the company’s drug portfolio entails high risk and cost, but the stock market rewards such risk taking.” Literature review Lacey and Sharma (2004) look at how new product development outcomes have an effect on firm performance. Using the market model they do an event-study to analyse and compare the impact of positive news on FDA approval to FDA-related negative news. They use the FDA website for approvals and the Lexis/Nexis database for news on adverse events. Using a sample set of 344 approvals and 41 rejections by the FDA, their findings indicate that stock market exuberance on positive news is outweighed by downturn following negative news. In all cases, the magnitude of losses was much higher than gains from positive news. In a follow-up study by Lacey and Sharma (2008), they look at whether the stock market is able to distinguish the “treatment potential of an approved drug.” This they measure by looking at stock market reaction to drugs, differentiated by chemical type and review status given by the FDA. Stock market returns generated for drugs with priority review are three times higher than for standard drugs. In an attempt to answer the question: “Does the public announcement of approval of new drugs affect the market valuation of the sponsoring pharmaceutical company?”, Ahmed (2007) uses the event-study methodology on 400 events of 11 pharmaceutical companies ranging over 23 years. Using OLS and 2SLS regression models he finds mixed results of statistically significant positive abnormal returns and insignificant cumulative abnormal returns following the event. Main data sources for this study are the FDA and COMPUSTAT databases. Analysing the impact of government regulations on a firm’s wealth, Bosch and Lee (1994) examine the effect of FDA decisions (approvals, rejections and towerswatson.com opportunities’ through insider trading. Disciplinary decisions by the FDA result in strong and significant negative reactions from the stock market. Taking the existing literature a step forward, this paper aims to distinguish between the effects of a patent grant and FDA approval for the same drug on stock market valuation. This would help us evaluate whether the market regards a patent grant as a successful innovation by the stock market. Moreover, it brings to fore the importance of time in the drug-development process. The paper ends by investigating the importance of innovative product development for pharmaceutical companies.2 Methodology This study estimates the impact of a drug patent grant and FDA approval on the value of the sponsoring pharmaceutical company. The date of the patent grant and FDA approval are taken as event dates in the stock market. We use the market model to estimate the events’ impact on stock market returns of the company. These returns are calculated over stipulated event windows as in a paper by Lacey and Sharma (2004, 308). In our case these are: •• Three-day event window (the day before through to the day after the event). •• Five-day event window (two days before through to two days after the event). •• Pre-event window to check for leakages (ten days through to two days before the event). •• Post-event window to check for persistence (two days after the event through to ten days after the event). 2 For definitions and terminology, refer to the Appendix 1. Innovation and drug portfolio diversification 4 April 2010 In order to calculate the impact of the event, we need to calculate abnormal returns. Abnormal returns have been defined by MacKinlay (1997, 15) as “the actual ex post return of the security over the event window minus its normal return over the event window. The normal return is defined as the expected return without condition on the event taking place. For firm i and event date τ, the abnormal return is AR˙ιτ = R˙ιτ – E(R˙ιτ | X˙ιτ), where AR˙ιτ, R˙ιτ and E(R˙ιτ | X˙ιτ) are the abnormal, actual and normal returns respectively for time periodτ” and Xτ is the “conditioning information for the normal return model”. We perform this analysis separately for the event of a patent grant and the event of an FDA approval. For any security i, the normal returns in the market model is estimated over an estimation window (in our case -310 days through to -11 days), through an ordinary least square regression (OLS): R˙ιτ = a˙ι + b˙ι Rmτ + ε˙ιτ , where R˙ιτ and Rmτ are the returns on security i and the market portfolio over period τ. a, b are the parameter estimates which we use to ‘predict’ normal performance during the event window. Abnormal returns are then calculated as in the event window. Cumulative abnormal returns (CARs) for each security over different intervals are calculated using: We then perform regression analysis to see the impact of portfolio diversification on the stock market valuation of the firm. This we do by looking at the following factors that affect abnormal returns: size of the company, type of drug, chemical composition of the drug and the number of patent and FDA approvals in the past. We use the log of real market capitalization as a proxy for size of the firm. CARi ( τ 1τ2 ) = τ2 ∑ ARiτ τ = τ1 •• According to the Princeton University Data and Statistical Services (n.d.) the average abnormal returns for each company stock are tested to see if they are statistically significant from zero, using: Test = ( 1 n∑ AR ) AR _ SD , where AR is the abnormal return and AR_SD is the standard deviation of the abnormal returns. •• The number of companies which have significant average abnormal returns a day preceding, on the day and a day after the event is calculated. •• The average abnormal return for five days preceding through to five days following the event is calculated. •• CARs for all companies for each event window are tested for robustness. Next we look at the impact of various factors on the time-difference between a patent grant and an FDA approval using regression analysis. Our independent variables are: R&D expenditure at patent grant, type of drug, chemical composition of the drug and past experience of the company. In order to convert the data into real terms we use the IMF country-wise GDP deflator, for each country in our sample, using 2000 as the base year. Data Our main sources for data are: US Food and Drug Administration (n.d.a), Bloomberg, DataStream and the US Food and Drug Administration (n.d.b), International Monetary Fund (2007). Our sample consists of all drug approvals of Original New Drug Approvals (NDA) by the FDA from 1997-2007 inclusive. These data were matched using drug names to get patent information for the same set of companies from bigpatent.com (an official site of the orange book by FDA). The patent grant dates range from 1984-2005, corresponding to our FDA approvals from 1997-2007. These data were crossreferenced on the Electronic Orange Book of the FDA using patent numbers and NDA application numbers. This gave a sample set of 66 companies and 220 events. The daily shares return data for all calendar days from 1984-2007 for the companies in the Abnormal returns (%) Figure 01. Abnormal returns — timeline 0.8 0.6 0.4 0.2 0 –5 –4 –3 –2 –1 0 1 –0.2 2 3 4 5 Days –0.4 statistically significant Patent grant FDA approval Source: Towers Watson calculations based on data from US Food and Drug Administration (n.d.a), Bloomberg, DataStream and the FDA Electronic Orange Book. towerswatson.com Innovation and drug portfolio diversification 5 April 2010 Figure 02 shows that, on average, 15 firms from our sample of 66 are affected by the announcement of a patent grant or an FDA approval. Also, of the firms recording a change in shareholder valuation, roughly 62.5% exhibit positive returns on the day of the announcement. sample were taken from Bloomberg. The daily market return data were taken from DataStream using the World DS Pharm – Price Index (PHRMCWD (PI)). This was matched with our security data using calendar days. The IMF country-wise GDP deflator has been taken from the International Monetary Fund, World Economic Outlook Database, October 2007. If a company’s returns are negative a day before the event, it might be because of earlier ‘false alarms’. News leaks that never led to actual announcements in the past would give the market reason to treat the upcoming event with skepticism. Timeline of market reactions We look at how the announcement of a patent grant and FDA approval affect the stock market valuation of a firm five days before and after the event. “On “ average, 15 firms from our sample of 66 are affected by the announcement of a patent grant or an FDA approval. Also, of the firms recording a change in shareholder valuation, roughly 62.5% exhibit positive returns on the day of the announcement.” Market virtually ignores patent grant but rewards FDA approval As shown in the movement of returns from a patent grant in Figure 01, all market returns around the event date are statistically insignificant. This indicates the market’s general unresponsiveness to a patent grant. After an FDA approval, the increase in returns on the day of the event and the next day can be categorized as an announcement effect. This reflects the importance of FDA approval for a pharmaceutical company, given the costs, risks and time required to get a drug ready for the market. Announcement affects stock market valuations of companies As discussed by Lacey and Sharma (2004), the losses from product development setbacks are greater than the profits gained by product development successes. The news of a patent issue or an FDA drug approval might be outweighed by other company-specific news that affects returns Next, we compute the number of companies exhibiting a change in shareholder value on the announcement day and one day after the announcement. Figure 02. Announcement effect 0 5 10 15 Number of companies 20 Patent grant Day –1 4 7 Day 0 9 6 Day +1 7 7 FDA approval Day –1 7 8 Day 0 11 6 Day +1 10 Positive 5 Negative Source: Towers Watson calculations based on data from US Food and Drug Administration (n.d.a), Bloomberg, DataStream and the FDA Electronic Orange Book. towerswatson.com Innovation and drug portfolio diversification 6 April 2010 negatively the day of or after the event. According to the US Food and Drug Administration (n.d.c), negative news could be a patent expiration, drug recall or drug safety warning by the FDA. We next look at how a patent issue and FDA approval affect the returns for various event windows by analyzing CARs for all firms.3 Market unresponsive to patent grants As shown in Figure 03, considering all companies as a group, the stock market valuation across different windows for a patent grant is as follows: •• There is evidence that the news of an upcoming drug patent is leaked to the market. However, a negative CAR of 0.88% indicates that the market regards this news with skepticism. •• A patent grant leads to an increase in the sponsoring firm’s market value in the five-day event window, but the firm’s market value falls between three and 11 days after the event. The stock market’s response to the news of a patent grant is mixed. The market recognizes and rewards the patent grant by increasing the overall value of the firm. However, the rewards are shortlived, and the firm’s returns become negative within three to 11 days after the event. The market’s initial exuberance might give way to caution in the face of the uncertainty and high risk of failure during the development phase. Market rewards FDA drug approval The market reacts much more positively to an FDA drug approval than to a patent. When we track FDA “To “ the stock market, FDA approval represents successful innovation and the market rewards the pharmaceutical firm’s improved prospects with a substantially higher valuation.” approvals for the same drugs that received a patent, we see positive significant abnormal returns across all event windows. •• A positive CAR of 2.2% between three and 11 days before the event suggests that news of an impending FDA drug approval is often leaked. •• High and positive CARs in the three- and five-day event windows once again highlight the importance of a drug approval for a pharmaceutical company. •• Positive CARs in the post-event window suggest that the effects of an FDA approval persist long after the event. An FDA approval suggests good times ahead for the firm’s performance. To the stock market, FDA approval represents successful innovation and the market rewards the pharmaceutical firm’s improved prospects with a substantially higher valuation. The higher valuations emphasize the necessity of taking risks and investing in R&D. 3 See regression Table 1 in Technical Appendix CARs (%) Figure 03. Cumulative abnormal returns across firms 7 5.83 6 5 4 3 2.2 2 0.69 1 0 –1 –2 2.44 2.05 –0.88 –3 –4 –5 Pre-announcement –0.17 –2.29 3-day 5-day Post-announcement Event windows statistically significant Patent grant date FDA approval date Source: Towers Watson calculations based on data from US Food and Drug Administration (n.d.a.), Bloomberg, DataStream and the FDA Electronic Orange Book. towerswatson.com Innovation and drug portfolio diversification 7 April 2010 A long, slow path from patent grant to FDA approval R&D expenditure affects time-difference Figure 05 shows a negative relationship between average annual R&D expenditure and time-difference. This implies that the larger the investment in R&D, the shorter the duration of the drug development process. This inference is quite logical, given that higher R&D investment would concentrate more resources into production of a drug. Drug development is an extremely complex and timeconsuming process. According to our analysis of a 23-year period from 1984-2007, the time lag between patent grant and FDA approval ranges from a few months to up to 19 years. The mean interval is 7.01 years.4 During this interval, the drug goes through various stages of development, from the pre-clinical phase to the clinical phases (Phase I, Phase II and Phase III) and, finally, to the FDA for an approval. Moreover, drug development is very risky. The probability of attaining an FDA approval for a compound that has attained a patent grant is 0.02%.5 Figure 04 provides an overview of the development process. 4 The drug development process generally takes 10-15 years (Congressional Budget Office 2006). Our data show a downward bias, which might be because a preclinical phase takes six to seven years, and a patent is generally granted during that phase. We consider the analysis from the date of patent grant and thus the discrepancy. 5 This is a reasonable assumption given that out of 5,000-10,000 compounds that enter the R&D pipeline, only one drug makes it all the way to FDA approval, and a drug receives a drug patent during its preclinical development phase. Against this backdrop, we look at the relationship between R&D investment and time-difference. Figure 04. Time-difference: FDA approval 1 FDA-approved drug FDA approval 5 c o m p o u n d s Phase III Phase II Phase I 250 5,000 Patent Pre-clinical 0 1 2 3 4 5 6 7 8 9 10 Mean time-lag (years) Source: Towers Watson calculations based on data from Pharmaceutical Research and Manufacturers of America (2008) and European Federation of Pharmaceutical Industries and Associations (2007). Average R&D expenditure ($ million) Figure 05. R&D expenditure by time-lag 1600 1400 1200 1000 800 600 400 200 0 1-3 Average R&D expenditure 4-6 7-9 10-13 Time-lag (years) Linear (average R&D expenditure) Source: Towers Watson calculations based on data from US Food and Drug Administration (n.d.a), Bloomberg, DataStream and the FDA Electronic Orange Book. towerswatson.com Innovation and drug portfolio diversification 8 April 2010 Effects of R&D expenditure and other factors on time-difference cumbersome for orphan drugs, the FDA gives drug companies an incentive to invest more in innovation. To confirm the relationship between R&D expenditure and time-difference and to explore the effects of other factors, we perform regression analysis and find the following results: Portfolio diversification and firm valuation •• A 1% increase in R&D expenditure leads to a marginal decrease of around four months in time lag. •• An orphan drug6 is characterized by a lower time-difference than a standard drug. This might be because a drug that treats a rare disease or a critical medical condition attains an accelerated development/review status from the FDA. Having established that the stock market rewards innovation in new drug development, this section analyzes whether: •• The market appreciates risk-taking behaviour by the firm, in terms of both costs and diversification. We look at the impact of an event on the market valuation of a firm that invests in producing an NME, a drug with a new chemical formulation, a priority drug and an orphan drug.7 •• The market recognizes frequent participants, as measured by the number of patent grants and FDA approvals in previous years. The interval between a patent grant and an FDA approval depends on factors such as R&D investment, the kind of drug being developed and FDA review policy. We use FDA statistics and classifications to assess the level of innovation of new drug application (NDA) approvals in the past decade. FDA review policy impacts innovation The review and approval process generally takes 18 months, according to the FDA. An accelerated development/review status can shorten the duration of the time-difference, which can be extremely important. By making the review process less Figure 06 shows that from 1997-2007, 43 of 220 drugs received an FDA priority review. This implies that only 20% of drugs in our sample represent 6 For definitions and terminology, refer to Appendix 1. 7 For definitions and terminology, refer to Appendix 1. Figure 06. New drug applications by therapeutic applications and chemical type (1997-2007) 20% Priority 71% Standard 9% 0 10 20 30 40 50 60 Orphan 70 Percentage 90 100 80 Formulation NME 87% 28 New formulation 86% 56 13 Other 47% 83 5 17 Priority 16 81 Standard 2 Orphan Source: Towers Watson calculations based on data from US Food and Drug Administration (n.d.a). towerswatson.com Innovation and drug portfolio diversification 9 April 2010 a significant advance over existing medicine. Most companies invest in standard drugs whose therapeutic qualities are similar to those of existing drugs, thereby requiring little modification and keeping R&D costs low. According to estimates by DiMasi, Hansen and Grabowski (2003), the mean clinical-period-out-of-pocket costs are 33.5% higher for a priority drug than for a standard drug. Moreover, out of the 220 drugs in our sample, 87 are NMEs that contain an active ingredient that has never been marketed before. According to a research report by the The National Institute for “The “ market offers sizable rewards for undertaking the risk of product diversification and also rewards frequent participants.” Health Care Management Research and Educational Foundation (2002), highly innovative drugs — those that represent an advance over available therapy and contain a new active ingredient — are much less common than standard drugs. Our research finds that only 28% of drugs fall into the former category. In this context, we analyze whether the stock market rewards firms for bringing innovative products to market. More specifically, we try to establish whether companies that market drugs with new active ingredients or that attain a priority review by the FDA outperform companies that ‘play it safe’ with less innovative, standard drugs. The stock market appreciates drug diversification and experience •• Priority and orphan drugs. Confirming our expectations, the stock market rewards firms for taking risks and diversifying their drug portfolio. The valuation for a drug attaining priority review or orphan status by the FDA is roughly 2% higher than the valuation attained by a standard drug. •• Patent grants in previous years. The higher the number of patents issued to the company in previous years, the higher its market valuation in the five-day event window of an FDA approval. This shows that the market recognizes and rewards companies that have been granted patents in previous years. The market appears to reward firms for portfolio diversification over and above the production of standard drugs. These results should encourage firms to undertake risks and diversify the drug portfolio because the remuneration for doing so is significant. Innovation directly affects performance Based on a 23-year period from 1984-2007, we analyze a drug’s progress from the time it receives a patent to when it reaches the FDA for approval. The substantial change in shareholder valuation on the announcement day and persistence of high market returns a few days after the announcement highlights the importance of FDA approval to the drug company. FDA policies — along with factors such as R&D expenditure, drug type and reputation of the company based on previous drug approvals — play an instrumental role in encouraging pharmaceutical companies to innovate. Some of these factors also encourage innovation by reducing the interval between a patent grant and FDA approval. The market offers sizable rewards for undertaking the risk of product diversification and also rewards frequent participants. In light of such conclusive evidence, we can say with assurance that innovation affects the overall performance of a drug firm. Managers making strategic investment and resource allocation decisions should consider these findings and their impact on overall firm performance as they embark on R&D efforts. References Ahmed, I. 2007. The market return to pharmaceutical product approval. Master diss., The University of Texas at Arlington, http://hdl.handle.net/10106/380 (accessed June 3, 2009) and Manufacturers of America. 2008. Profile 2008: Bosch, J. C., and I. Lee. 1994. ‘Wealth effects of food and drug administration (FDA) decisions’. Managerial and Decision Economics 15 (6): 589-599. EBSCO, http://web. ebscohost.com (accessed July 22, 2009). Dickson, M., and J. P. Gagnon. 2004. ‘Key factors in Congressional Budget Office. 2006. Research and Development in the Pharmaceutical Industry. Washington, DC: CBO, October. Quoted in Pharmaceutical Research 2008. Profile 2008: Pharmaceutical Industry. Washington towerswatson.com Pharmaceutical Industry. 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(accessed August 12, 2008) Appendix 1 Most of the technical terminology has been taken from US Food and Drug Administration (n.d.a) unless otherwise mentioned. Following are the definitions for the terms used in the paper: “Active Ingredient – An active ingredient is any component that provides pharmacological activity or other direct effect in the diagnosis, cure, mitigation, treatment, or prevention of disease, or to affect the structure or any function of the body of man or animals.” “New Drug Application (NDA) Number – This six digit number is assigned by FDA staff to each application for approval to market a new drug in the United States. A drug can have more than one application number if it has different dosage forms or routes of administration. In Drugs@FDA, you can find the NDA number under the column named “FDA Application.” towerswatson.com NDA chemical types Number Meaning 1 New molecular entity (NME) 2 New ester, new salt, or other noncovalent derivative 3 New formulation 4 New combination 5 New manufacturer 6 New indication 7 Drug already marketed, but without an approved NDA 8 OTC (over-the-counter) switch “New Molecular Entity (NME) – A New Molecular Entity is an active ingredient that has never before been marketed in the United States in any form.” Innovation and drug portfolio diversification 11 April 2010 “Accelerated Development – After the IND has been filed, a drug that can be used by patients who are suffering from life-threatening or seriously debilitating conditions, for which no other drug treatment exists, can qualify for accelerated development. Approval can be based on surrogate endpoints or on an FDA determination that the drug can be used safely if distribution is limited.” “Me-too drugs – arise when a company produces a compound that has very similar properties to one already known and which offers in preliminary clinical trials little medical advantage to the physician or patient.” (Heaton 1994) “Chemical Type – The Chemical Type represents the newness of a drug formulation or a new indication for an existing drug formulation.” Review Classification – The NDA and BLA classification system provides a way of describing Review classifications Letter Meaning P Priority review drug: A drug that appears to represent an advance over available therapy S Standard review drug: A drug that appears to have therapeutic qualities similar to those of an already marketed drug O Orphan drug – a product that treats a rare disease affecting fewer than 200,000 Americans drug applications upon initial receipt and throughout the review process and prioritizing their review. (List of Review Classifications and their meanings) Technical appendix Table 1. Abnormal returns - timeline Abnormal returns (%)/days Patent grant FDA approval Day –5 –0.028 (0.0019) 0.066 (0.0012) Day –4 0.083 (0.0013) 0.263* (0.0013) Day –3 –0.123* (0.0007) 0.105 (0.0014) –0.023 00.219 (0.0008) (0.0019) Day –1 –0.033 (0.0029) –0.111 (0.0019) Day 0 (Event day) 0.333 (0.0021) 0.133 (0.0018) Day 1 0.302 (0.0019) 0.643** (0.0025) Day 2 0.206 (0.0019) 0.335 (0.0024) Day 3 0.149 (0.0018) –0.201 (0.0018) Day 4 –0.058 (0.0011) 0.100 (0.0014) Day 5 –0.027 (0.0007) 0.094 (0.0018) 172 222 0.000 0.000 Day –2 Observations R-squared Robust standard errors in parentheses *** p<0.01, ** p<0.05, * p<0.1 towerswatson.com Innovation and drug portfolio diversification 12 April 2010 Table 2. Cumulative abnormal returns Cumulative abnormal returns (%)/event window Patent grant FDA approval –0.885*** (0.002) 2.198*** (0.0043) 3-day –0.170 (0.0056) 5.831*** (0.0073) 5-day 0.694*** (0.0025) 2.047*** (0.0036) –2.286*** (0.0037) 2.438*** (0.0055) 222 222 0.000 0.000 Pre-announcement Post-announcement Observations R-squared Robust standard errors in parentheses *** p<0.01, ** p<0.05, * p<0.1 Table 3. Time difference between patent grant and FDA approval Time difference between patent grant and FDA approval Log of R&D expenditure at patent grant –0.349** (0.156) Priority drug 2.876* (1.472) Orphan drug –3.823*** (0.762) NME 1.351 (0.925) New formulation 1.298 (0.928) Priority drug*NME –3.582* (1.917) Priority drug*New formulation –1.500 (2.041) Orphan drug*NME 2.390 (1.525) Number of FDA approvals in year prior to approval 0.030 (0.355) Previous patent grants 0.009 (0.403) Constant Observations R-squared 7.371*** (1.069) 153 0.091 Robust standard errors in parentheses *** p<0.01, ** p<0.05, * p<0.1 towerswatson.com Innovation and drug portfolio diversification 13 April 2010 Table 4. Portfolio diversification Abnormal returns (%) Preannouncement 3-day 5-day Postannouncement Log of market cap at FDA approval 0.298* (0.162) –0.388 (0.316) –0.318 (0.315) –0.083 (0.134) Priority drug 1.935 (1.964) 0.254 (2.277) 2.066* (1.093) 1.699 (1.929) Orphan drug 0.748 (0.767) 1.505 (1.247) 2.099* (1.199) 0.593 (1.162) NME 0.150 (0.642) –1.175 (1.347) 0.064 (0.704) 0.598 (0.659) New formulation 0.328 (1.383) –0.250 (0.641) 1.311 (0.936) 0.709 (0.801) Priority drug*NME –2.184 (2.199) –0.001 (2.563) 0.325 (1.329) 0.354 (2.216) Priority drug* New formulation –2.171 (2.608) –0.053 (2.580) –1.000 (1.546) –1.842 (2.069) Orphan drug* New formulation 1.081 (1.160) –0.421 (2.532) –0.986 (2.298) –0.715 (1.609) Previous FDA approvals 0.096 (0.275) 0.320 (0.314) 0.156 (0.225) 0.031 (0.198) Previous patent grants –0.186 (0.294) –0.143 (0.336) 0.529* (0.275) –0.156 (0.266) –3.130** (1.526) 4.698 (3.769) 2.068 (3.036) 0.612 (1.556) 175 175 175 175 0.059 0.040 0.074 0.045 Constant Observations R-squared Robust standard errors in parentheses *** p<0.01, ** p<0.05, * p<0.1 towerswatson.com Innovation and drug portfolio diversification 14 875 Third Avenue New York, NY 10022 USA Cert no. 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