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Our
PatientsOur
PeopleOur
BusinessOur
CommunityPharmaceutical
Business
Development
A
Scientist’s
View
Robert
J.
Cobuzzi
Jr.,
Ph.D.
Vice
President
and
Acting
Head,
Corporate
Development
Endo
Pharmaceuticals
Inc.
Non-ConfidentialOurPatientsOurPeopleOurBusi12Non-ConfidentialCobuzzi-UPenn–2December2008DisclaimerThestatementsandviewspresentedaremyownandnotthose
ofmyemployer,EndoPharmaceuticalsInc.
-Bob
Cobuzzi2Non-ConfidentialCobuzzi-UPe23Non-ConfidentialCobuzzi-UPenn–2December2008Presentation
Agenda?Endo
Pharmaceuticals?Pharmaceutical
Business/Corporate
Development?The
Drug
Development
Process:
Integral
to
Business
Development?Licensing
Case
Study
–
GSK-Xenoport?Acquisition
Case
Study
–
AstraZeneca-Medimmune?Any
Questions?3Non-ConfidentialCobuzzi-UPe34Non-ConfidentialCobuzzi-UPenn–2December20084Non-ConfidentialCobuzzi-UPe45Non-ConfidentialCobuzzi-UPenn–2December2008Our
CommunityOur
BusinessOur
PeopleEndo
PharmaceuticalsA
proven
leader
in
pain
management?Specialtypharmaceuticalcompany
withexpertise
in
pain
management?Results-focusedorganizationfueledbyemployees’shared
valuesandacommitmenttomaking
a
differencefor…Our
Patients5Non-ConfidentialCobuzzi-UPe56Non-ConfidentialCobuzzi-UPenn–2December2008Nearly
90
Years
of
History?????1920-Foundedasfamily-runpharmaceuticalbusinessinNewYorkCity-LaternamedEndoProducts1969-DuPontacquiresEndo1997-DuPontMerckExecutivesformEndoinmanagementbuyout-AllofEndoLaboratoriesLLC'sgenericproductspurchased-Dealincluded12keybrandproducts,includingPercocet?andPercodan?!NewcompanynamedEndoPharmaceuticalsInc.2000-EndobeginstotradepubliclyonNASDAQ(ENDP)2007-Netsales$1B+-Compoundannualgrowthrateof20%+since20026Non-ConfidentialCobuzzi-UPe67Non-ConfidentialCobuzzi-UPenn–2December2008A
Successful
Foundation…Building
for
the
Future?????GrowingUS-basedpharmaceuticalcompanySuccessfulsalesandmarketingofbrandedandgenericprescriptionpharmaceuticalsApproximately,500homeofficeemployeesand1,000salesrepresentativesEstablisheddevelopmentcapabilitiesStrongcashpositionwithapproximately$1billion
Build
for
the
Future.
Learn
from
the
Past.7Non-ConfidentialCobuzzi-UPe78Non-ConfidentialCobuzzi-UPenn–2December2008Product
Portfolio8Non-ConfidentialCobuzzi-UPe89Non-ConfidentialCobuzzi-UPenn–2December2008Endo’s
Growth
Strategy
?Movefrombestproducttobest
solution
?Leveragepainadjacencies
?Investinnewtherapeuticareaswith
focusoninnovation
?Concentrateonareasofsignificant
unmetmedicalneed,lowcostof
entry,andspecializedtherapeutics
?Exploreallplatformsincludingsmall
molecule,largemoleculeanddrug-
deviceinterplay9Non-ConfidentialCobuzzi-UPe910Non-ConfidentialCobuzzi-UPenn–2December2008Pharmaceutical
Business/
Corporate
Development10Non-ConfidentialCobuzzi-UP1011Non-ConfidentialCobuzzi-UPenn–2December2008The
deal
is
a
beginning,
not
an
end!???Thepurposeofadealistosolveaproblem
–Peoplemakedealstoaccessgoodsorservices
–OrganizationsmakedealsforthesamereasonEndo’s‘problem’
–Nointernaldrugdiscovery
–Developmentcandidatesandapproveddrugs
sourcedexternallybyBusiness/Corporate
DevelopmentDeal‘solutions’cantakemultipleforms
–Licenses,Acquisitions,Partnerships
–Each‘requires’additionalworkbylicensee
?e.g.,development,marketingand/orsales11Non-ConfidentialCobuzzi-UP1112Non-ConfidentialCobuzzi-UPenn–2December2008License
or
Partnership?License=grantofpermissionto‘use’fromoneentitytoanother–––Molecule,patent,diagnostictest,deviceorotherassetDevelopment,commercializationLimitationsforuses,durationand/orterritory?Partnership=associationoftwoormoreentitiesinwhichtheprofitsandlossesaresharedproportionally–Discovery,development,commercialization?TypicalDealTerms––––Upfrontpayment-upondealsigningDevelopmentand/orcommercializationmilestonesRoyaltyonsalesMonetaryamountsvaryconsiderably?Benefits––PaymentscanbemadecontingentonsuccessDealscanbeterminatedwithsomeconsideration(moneyandnotification)?Risks––CanbemoreexpensivethanacquisitionCounterpartyissues–e.g.,territorycontrol12Non-ConfidentialCobuzzi-UP1213Non-ConfidentialCobuzzi-UPenn–2December2008Acquisition??Typicallypurchaseofanassetorstock
–Asset=organization,product,molecule,patent,diagnostictest,deviceorother
–Stock=publicorprivatecompanyTypicalDealTerms
–Paymentdiffers
–Publicvs.privateentity,development-stagevs.marketedproducts?Stockpurchase
?Assetpurchase–Contingentrightsarepossible–Monetaryamountsvaryconsiderably??Benefits
–Fullownershipandrightstoproductsandcandidates
–Mechanismtoacquireenablingtechnologyorknow-howRisks
–It’syours,period13Non-ConfidentialCobuzzi-UP1314Non-ConfidentialCobuzzi-UPenn–2December2008Evaluating
the
Asset/Entity???Doestheassetaddressacommercial/unmetmedicalneed?
–Toaddressacompletelyunmetneedisrare(e.g.,cureforcongestiveheart
failure)
–Isitsufficientlydifferentiatedfromotheravailabletherapies?Doestheproductbenefitoutweightheriskprofileintheintendedindication?
–Dotheavailabledatasupporteffectiveness?
–Dotheavailabledatasupportacceptablesafetyandtolerability?
–Vioxx?(rofecoxib)andAvandia?(rosiglitazonemaleate)caseshaveraisedthe
bar–arethereany“earlywarningsignals”?Doesthenewproducthavemarketexclusivitythatprovidessufficienttimetorecouptheinvestment?
–Patentlife=20yearsfromfiling–compositionofmatter>use>formulation
–Hatch-Waxmanexclusivity-patentrestoration,particularlyhelpfulifnopatent
?7yearsfororphandrug
?5yearsfornewchemical/molecularentity(NCE/NME)
?3yearsforreformulation14Non-ConfidentialCobuzzi-UP1415Non-ConfidentialCobuzzi-UPenn–2December2008Clear
Strategies
Achieve
Alignment,
Efficiencyand
EffectivenessWhat
a
strategy
tells
the
BD&Lorganization:!Whichassets/technologiesareof
interest!Whatwearewillingtopay!Whenweneedthem(portfolioview)!Wherewearelikelytofindcertain
assets!Whointheorganizationwillchampion
andownthenewlyacquiredassetsHow
you
know
your
strategy
is
clear:!BDcommercialleadersarticulatesame
in-licensingpriorities!FrontlineBDpersonnelhavesufficient
clarityonneedstoscreenout~80%of
dealswithinaday!FrontlineBDpersonnelknowhowto
prioritizeandspendtheirtime!BDorganizationknowswhatmessages
tocommunicatetotheprospective
collaboratorsregardingbusinessneeds15Non-ConfidentialCobuzzi-UP15networkBusiness
Development
ProcessProcess
steps
Identification
Initialscreening
Go/
NoGo
Evaluation
Go/
NoGo
DueDiligence
Go/
NoGo
Negotiation/
Integration
16
Activities!Sourcenewassetsfrom
multiplechannels
!Assessassetagainstpreset
criteria
!Decidewhichassetspassto
nextstep
!Prioritizeassets
!Assessassetagainstpreset
criteria!Decideandprioritizewhich
assetspasstonextstep(or
shouldbeaccelerated).!Developpreliminarybusiness
planwithdetailedevaluation!IdentifyAssetChampion!Decideandprioritizewhich
assetspasstonextstep.!Completenegotiations,deal
structuringandbusinessplan!Integrateassetintoportfolio
Non-Confidential
KOLsPharmaVCAcademia
Biotech
Tech.
I.P.
NCE
505(b)(2)
Cobuzzi-UPenn–2December2008networkBusinessDevelopmentPr1617Non-ConfidentialCobuzzi-UPenn–2December2008
The
Drug
Development
Process:Integral
to
Business
Development17Non-ConfidentialCobuzzi-UP1718Non-ConfidentialCobuzzi-UPenn–2December2008Bob’s
Scientific
“Insights”?????Datatalks…
–Allquestionshaveanswers,thetrickistoaskthe“right”questions
–Goodexperimentshaveonlyoneprimaryendpoint/variableStatisticsonlyidentifytendenciesinpopulations
–Notwoentitiesinapopulationareevenclosetoidentical
–Tendenciesareinformaboutsubgroups/strataMulticellularorganismsaregovernedbyinteractivesystems
–NothinghappensinisolationDeterminationofBenefitvs.Riskistheprimaryobjective
–Contextiseverything
–Non-humanexperimentsprovideinformation,notanswersDrugdevelopmentislearnedthroughexperience,notaclassroom
–Itisnecessarytounderstanddrugdevelopmenttoevaluateadrug18Non-ConfidentialCobuzzi-UP1819Non-ConfidentialCobuzzi-UPenn–2December2008Pharmaceutical
Drug
Development??????Objective=Demonstratethatbenefit(s)>risksIdentifyarelevanttargetandapotentialmodulatorEstablishpreliminarysafety,pharmacologyandchemicalcharacterizationEvaluatehumanpharmacokineticsandpharmacodynamicsStepsmustoccurinaregulatedsequenceintendedtoensuresafety(animalandhuman)aswellasdatareproducibility
–DevelopmentisgovernedbyUSCodeofFederalRegulations(CFR)
Section312andcomparableinternationallawsAlloftheaboveappliestoassetevaluation19Non-ConfidentialCobuzzi-UP1920Non-ConfidentialCobuzzi-UPenn–2December2008Drug
Discovery
(months
to
years)???Identifyaspecificbiologicaltargetcrucialtoaspecificdiseaseprocess
–E.g.,cellsurfacereceptor,ionchannelorenzymeSynthesizeandscreencompounds(tenstomillions)basedupontargetinteraction
–generate“l(fā)eadcompounds”
–Requirement=sufficientpatentprotectiontowarrantdevelopmentcostChoosecompoundsfordevelopmentbaseduponthefollowingcriteria(notcomprehensive):–––––Targetspecificity(i.e.,doesn’tinteractwithothercriticaltargetswithinthebody)SufficientpotencyNoovertorlimitingtoxicity(-ies)ADMEpropertiessupportdesiredeffect(route-dependent)Minimaldruginteractionpredicted?Conductinitialanimalpharmacologystudiestoevaluateactivityinmodelsintendedtomimicthehumanconditionofinterest
–Choosemodelsandinterpretdatacarefully!20Non-ConfidentialCobuzzi-UP20Non-ConfidentialPreclinical
Testing
(9
months
to
3
years)????Animaltoxicologystudiesandfurtherpharmacologiccharacterization
–ExposuredurationinexcessofinitialclinicalexposurePharmacokinetictesting
–FocusedonADME(absorption,distribution,metabolismandexcretion)Physicochemicalcharacterization
–chemicalstructure,purity,stabilityandshelf-lifeChemistry,ManufacturingandControls(aka,CMC)
–Pharmaceuticaldevelopmentstudiestoconverttheactive
pharmaceuticalingredient(API)intotheintendedclinical“doseform”
(e.g.,tablet)
–Optimizemanufacturing(APIandfinaldosageform)onanindustrial
scaleforthelowestfeasiblecost
–Establishstabilityofintendedclinicaldosageform
21Cobuzzi-UPenn–2December2008Non-ConfidentialPreclinicalTe2122Non-ConfidentialCobuzzi-UPenn–2December2008Investigational
New
Drug
(IND)
Application????INDApplication
–SubmittedtotheU.S.FoodandDrugAdministration(FDA)torequestpermission
tobeginhuman/clinicaltesting
–Summarizesresultsofpre-clinicalexperiments
–FDAhas30daystocommentfromtimeofsubmissionApplicationincludesaclinicaltrialplan
–Describesthediseasestate(s)andtypesofhumanstudiesInitialclinicalstudyprotocolisincludedintheIND
–Typicallydescribesmethodologyandanalyticstoidentifyasafeandtolerable
dose
–IndividualstudyprotocolsareapprovedbytheInstitutionalReviewBoard(IRB)ProgressreportsaresubmittedatleastannuallytoFDA22Non-ConfidentialCobuzzi-UP2223Non-ConfidentialCobuzzi-UPenn–2December2008Clinical
Trials
($$$
+
ttt)???Phase1(6monthsto1year)
–Smallpharmacokineticstudiestypicallyin“normalhealthyvolunteers”
–Purpose=identifysafedosagerangeandinitialhumanADMEcharacterization
–Studycosts=$0.5Mto$2MPhase2(6monthsto2years)
–Initialexploratorytrialsinsmallgroupsofvolunteerpatients(n=20to50)to
establishproof-of-conceptintargetdiseasestate(aka,Phase2a)
–Larger,placebo-controlledtrials(n=50-500)withvolunteerpatientstodetermine
optimalefficaciousdose,safetyandtolerability
–Eachstudycosts=$1Mto$50MPhase3(1year–5years)
–Placebo-controlledtrialsthatcanincludethousandsofvolunteerpatientswiththe
diseaseofinterest
–Studiesconfirm(clinicallyandstatistically)drugsafety,tolerabilityand
effectiveness
–Requiresreplicatestudiesatintendeddose
–Eachstudycosts=$1Mto$250M)23Non-ConfidentialCobuzzi-UP2324Non-ConfidentialCobuzzi-UPenn–2December2008New
Drug
Application
(NDA)
Process?NDA=requesttotheFDAforpermissiontomarketthedrug–––AlldatatodemonstratesafeandefficaciousintreatingtheintendedpatientsandcanbemadeconsistentlyDocumentformatandcontentgovernedbyUSCFR314andcomparableinternationallawsTypically!100,000‘pages’ofinformation–filedelectronically?FDA
Review/Approval
(10
to
18
months
)––ReviewtimelinesandsubmissioncostgovernedbyPrescriptionDrugUserFeeAct(PDUFA)FDAcanconveneoutsideAdvisoryCommitteetoaddressspecificissues(e.g.,commentingonaspecificsafetyissuesuchasPML/Tysabri)?NotallNDAsareapprovedoninitialsubmission*––––Only64%ofNDAreviewscompletedin2007resultedinan“Approval”28%ofreviewsweredeemed“Approvable”,8%were“Non-approvable”UnapprovedNDAsnowissued“CompleteResponseLetters”byFDACompleteresponseindicatesindicatesthatchangesmustbemadebeforetheapplicationcanbeapproved,butdoesnotgiveinsightintoultimateapprovability*Source=Reuters2008-/article/pressRelease/idUS130687+09-Jan-
2008+PNW2008010924Non-ConfidentialCobuzzi-UP2425Non-ConfidentialCobuzzi-UPenn–2December2008Post-marketing
Studies???FDArequirescontinuedmonitoringofapprovedproducts
–Spontaneousadverseeventsmustbereportedperiodicallyoronan
expeditedtime-scaledependingonmultiplefactorsFDAmayrequire,orsponsormaychoose,toconductpost-approvalstudies(Phase4)
–Learnmoreaboutthedrugeffectonaparticulargroupofpatients
–SupportariskminimizationprogramStudiesconductedtosupportnewusesofanapproveddrug(newindications)aresubmittedtotheFDAforreviewintheformofaSupplementalNDA
–AnsNDAtypicallyrequireslesstimethantheoriginalNDAtoreview(6-
12months)25Non-ConfidentialCobuzzi-UP2526Non-ConfidentialCobuzzi-UPenn–2December2008
Licensing
Case
Study
‘Beauty
is
in
the
eye
…’GSKLicensesGabapentinProdrugfromXenoport
totreatRestlessLegSyndrome(RLS)26Non-ConfidentialCobuzzi-UP2627Non-ConfidentialCobuzzi-UPenn–2December2008GSK-Xenoport
Joint
Press
Release
LONDON&SANTACLARA,Calif.,Feb08,2007
(BUSINESSWIRE)
GlaxoSmithKline(GSK)andXenoPort,Inc.
(Nasdaq:XNPT)todayannouncedanexclusive
agreementtoco-developandcommercialize
XP13512,auniqueprodrugofgabapentinthat
improvesitsbioavailability,intheUSandother
countriesworldwide,excludingcertainAsian
countries.XP13512iscurrentlyinPhaseIII
developmentforRestlessLegsSyndrome(RLS)
andinPhaseIIdevelopmentforneuropathicpain.
Priorclinicaltrialresultshavebeenencouraging.27Non-ConfidentialCobuzzi-UP2728Non-ConfidentialCobuzzi-UPenn–2December2008GSK-Xenoport
Deal
Terms
?Up-front=$75million
?Aggregatemilestonepaymentsof
–"$65millionfordevelopmentactivitiesleading
uptotheNDAfilingforRLS
–"$210millioninotherpotentialdevelopmentand
regulatorymilestonepayments
–"$290millioninpotentialsalesmilestone
paymentsforRLSandneuropathicpain
–Double-digitroyaltypaymentsonUSsales
unlessXenoPortelectstoco-promote,thennet
profitshare,andentitledtodetailREQUIP
productscurrentlyindevelopmentbyGSK
–AsianrightspreviouslylicensedbyXenoPortto
AstellasPharmaInc.28Non-ConfidentialCobuzzi-UP2829Non-ConfidentialCobuzzi-UPenn–2December2008What
would
you
have
done?
?Whatwasthecommercial/unmetmedicalneed?
?Doestheproductbenefitoutweightheriskprofileinthe
intendedindication?
?DoesthenewproducthaveIPorjustHatch-Waxman
exclusivity–i.e.,istheresufficienttimetorecoupthe
investment?29Non-ConfidentialCobuzzi-UP2930Non-ConfidentialCobuzzi-UPenn–2December2008Restless
Leg
Syndrome
?Causeofpainfullegsthatismorenoticeableatrest
–Symptomsworseninearlyeveningandnight
?Pathobiologypoorlyunderstood
–Comorbidtomultipleconditionsincludinganemia,kidney
disease,diabetes,Parkinson’sdisease,peripheralneuropathy,
migraine,etc.
–Drugsideeffectseenwithantiemetics,anticonvulsants,
antipsychotics,etc.
–Mayrelatetoimbalanceofcentraldopaminergicpathways,
e.g.,hypoactivationofD2receptors30Non-ConfidentialCobuzzi-UP3031Non-ConfidentialCobuzzi-UPenn–2December2008XP13512
(aka,
Solzira?)???Transportedpro-drugofgabapentin
–Intendedtoaddresslowbioavailabilityofgabapentinbytargetinghigh-
capacitynutrienttransporter
–Gabapentinabsorptionislow,saturableandlimitedtoduodenumand
upperjejunum
–Rapidlyconvertedand>70%bioavailableQualifiesasaNewMolecularEntity
–PotentiallylongpatentlifeinadditiontoHatch-WaxmanexclusivityClinicalstudiescomplete,NDAfiled
–Phase3RCTinn=220ptswithmoderatetosevereRLS
?StatisticallysignificantmeanchangefromBLatweek-12inIRLSscale
?SignificantchangeinresponderrateofClinicalGlobalImpressionat12-
weeks
–10Nov2008pressreleaseindicatesNDAwithdrawnbyGSK
?Citedthatdataforasinglestudymustbereformatted
?Delayspaymentof$23MmilestonetoXenoport31Non-ConfidentialCobuzzi-UP3132Non-ConfidentialCobuzzi-UPenn–2December2008Problem
Solved??GSK’sExistingRLSDrugwasRequip?(ropiniroleHCl)
–Non-ergolinedopamineD2andD3dopaminereceptor
agonist
–ApprovedfortreatmentofRLSin2005
–GSKdevelopedtheRLSindicationandmarket??PotentialissueswithRequipforRLS
–Riskofcardiacvalulopathyandotheradverseeffects
–Impendingpatentexpiryofimmediatereleaseform
–Off-labeluseofgabapentinindicatedeffectivenessin
RLSPotentialbenefitsofSolzira
–Neurontinwasahugecommercialsuccesswithalotof
potentialuses,includingRLS
–Longpatentlife
–Relativelybenignsafetyprofileofgabapentin(sedation)
–HelpsenhanceRLSfranchiseinwhichGSKinvested
heavilyRequip?(ropiniroleHCl)?GlaxoSmithKline?InitiallyApproved1997?GenericEntry2008
(MultipleCompanies)32Non-ConfidentialCobuzzi-UP3233Non-ConfidentialCobuzzi-UPenn–2December2008Solzira
Update
GSK
and
XenoPort
Announce
Plans
to
Withdraw
and
Resubmit
New
Drug
Application
Requesting
Approval
of
Solzira(TM)
for
Restless
Legs
Syndrome
RESEARCH
TRIANGLE
PARK,
N.C.
&
SANTA
CLARA,
Calif.,
Nov
10,
2008
(BUSINESS
WIRE)
GlaxoSmithKline(NYSE:GSK)andXenoPort,Inc.(Nasdaq:XNPT)
announcedtodaythattheNewDrugApplication(NDA)forSolzira(TM)
(gabapentinenacarbil)ExtendedReleaseTabletsforthetreatmentof
moderate-to-severeprimaryRestlessLegsSyndrome(RLS)hasbeen
withdrawn.TheUnitedStatesFoodandDrugAdministration(FDA)has
requestedthatthedatainasinglestudybereformatted.Inaddition,
GSKwillconductareviewofothertrialdatasetstakingthisinputinto
account.Thewithdrawaldoesnotrelatetothecontentofthefiling.GSK
planstoresubmittheNDAquicklyoncethisworkiscomplete.
TheresubmissionwillleadtoadelayinthereceiptbyXenoPortof
milestonepaymentsof$23millionintheaggregatefromGSKand
AstellasPharmaInc.,whichareassociatedwiththeacceptancebythe
FDAoftheNDAforSolzira.33Non-ConfidentialCobuzzi-UP3334Non-ConfidentialCobuzzi-UPenn–2December2008
Acqusition
Case
Study
‘Beauty
is
in
the
eye
…’AstraZenecaAcquisitionofMedimmune34Non-ConfidentialCobuzzi-UP3435Non-ConfidentialCobuzzi-UPenn–2December2008Third
Party
Press
Release
AstraZeneca
stock
falls,
MedImmune
surges
on
news
of
$15
billion
merger;
analysts
say
benefits
of
deal
won't
emerge
for
years.
By
Aaron
Smith,
CNNM
staff
writer
April
23
2007:
3:17
PM
EDT
NEW
YORK
(CNNM)
--
AstraZeneca's
stock
tumbled
Monday
after
the
company
said
it
would
pay
$15
billion
to
acquire
MedImmune,
a
deal
that
some
industry
analysts
are
calling
too
expensive,
and
risky.
The
deal's
near-term
benefit
is
limited,
analysts
say,
but
they
believe
the
deal
may
make
AstraZeneca
more
competitive
in
the
fast-growing
biotech
sector
in
years
to
come.
"The
rumor
of
MEDI
being
bought
has
been
in
the
market
for
several
weeks,
but
there
was
little
expectation
that
the
deal
would
be
as
big
as
it
is,"
wrote
Hamed
Khorsand,
analyst
for
BWS
Financial,
in
a
published
note.
AstraZeneca's
stock
slid
5
percent
following
the
announcement
while
MedImmune's
stock
surged
18
percent.
That's
on
top
of
MedImmune's
14
percent
stock
gain
on
April
12,
when
the
company
said
it
was
exploring
"strategic
alternatives,"
Wall
Street
code
for
considering
a
buyer.35Non-ConfidentialCobuzzi-UP35SanfordC.Bernstein36Cobuzzi-UPenn–2December2008Deal
Terms??$58
a
share
in
an
all-cash
$15.2
billiontransaction
–Offerrepresentsa20percentpremiumto
MedImmune'sstockpricedaybeforeclose
–50percentabovetradingpriceinearlyApril,before
thecompanypubliclysaiditwasputtingitselfupfor
saleHarshCommentary
–AstraZenecapaid$58asharebutonlyhadtopay
$44ashare"justtobreakeven"inachievingshort-
term
–Dealcouldpayofffiveor10yearswhen
MedImmune'svaccineplatformeventuallygivesthe
companyacompetitiveedgeinthefast-growing
biotechsector?GbolaAmusa,analystforinvestmentresearchfirm
Non-ConfidentialSanfordC.Bernstein36Cobuzzi3637Non-ConfidentialCobuzzi-UPenn–2December2008What
would
you
have
done????Whatwasthecommercial/unmetmedicalneedaddressedbytheacquisition?
–Wasthedealworththeprice?Doesthepipeline/productbenefitoutweightheriskprofileintheintendedindications?DoesthenewproducthaveIPorjustHatch-Waxmanexclusivity–i.e.,istheresufficienttimetorecouptheinvestment?37Non-ConfidentialCobuzzi-UP3738Non-ConfidentialCobuzzi-UPenn–2December2008AstraZeneca’s
problem??“Thoughhighlyprofitable,drugcompaniessuchasAstraZenecahavestruggledwithWallStreet'sconcernthattheylackastrong"pipeline,"orrosteroffuturedrugs.AstraZenecamarketssomeoftheworld'stop-sellingtreatments,includingCrestorforhighcholesterolandNexiumforheartburn,buthasstruggledtofinddrugsthatcouldbecomefutureblockbusters.Itabandoneddevelopmentofonepotentialheartdrugyesterdayafterdisappointingresultsinclinicaltrials.”
–StephenHeuser,BostonGlobe,April24,2007Additionalrealities––––Bigpharmareliesuponblockbusterdrugs(i.e.,sales>$750M–$1B)HigherhurdleswithsmallmoleculesincludegreatersafetyscrutinyGreaterspecificityofbiologicsperceivedassolutionBiologicscurrentlycommandahighersellingpriceduetocostofgoods,improvedoutcomesandlackofgenericpathway38Non-ConfidentialCobuzzi-UP3839Non-ConfidentialCobuzzi-UPenn–2December2008Problem
Solved?????MedImmune's"vast"pipelinemadeita"aprimetargettobeacquiredbyalargepharmaceuticalcompany.“
–AaronSmith,CNNMstaffwriterMulti-productportfolioandpipeline
–Synagis,treatmentforacommonrespiratoryvirus,accountedfor$1.1billionof
$1.2billioninannualsalesin2006
–Late-stagetrialsforNumax,next-generationofSynagiswereongoing
–NasalfluvaccineFluMistsold$36million
–Ethyol,adrugtoreducechemotherapysideeffects,sold$87millionAstraZenecaacquired“…alargestableofearly-stageresearchprojects,threemarketeddrugs,and20years'worthofexperiencedevelopingvaccinesandbiologicals,ordrugsproducedinlivingcells.”
–-StephenHeuser,BostonGlobe,April24,2007Onlytime(andstockprice)willtellifthiswasasuccessfuldeal39Non-ConfidentialCobuzzi-UP3940Non-ConfidentialCobuzzi-UPenn–2December2008AZN
2-year
Stock
Performance
StockPerformancevs.S&P500
DealAnnouncement
Adownwardtrend,yes…but,companysizemakesrootcauseanalysisdifficult40Non-ConfidentialCobuzzi-UP4041Non-ConfidentialCobuzzi-UPenn–2December2008ANY
QUESTIONS?41Non-ConfidentialCobuzzi-UP41Our
PatientsOur
PeopleOur
Business
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