Teva`s Olafsson starts global markets review
Transcription
Teva`s Olafsson starts global markets review
14 November 2014 COMPANY NEWS 2 Hikma increases its forecast for 2014 2 US$4.5bn Omega buy gives 3 Perrigo OTC lift Pharmstandard sees slide after OTC spin 4 Kabi calls time on its 5 venture in Russia Teva hails European profit improvement 6 Global growth keeps India’s Lupin rising 8 Actavis aims to avoid hostile approaches 9 Jubilant falls despite Canadian launches 10 Sagent looks to buy amid delays at FDA 11 Latin America lifts Glenmark’s growth 12 Endo aims to expand US 13 generics business MARKET NEWS 14 French body outlines nine key proposals 14 Industry urges ICH to 15 offer equal footing NHS savings study welcomed by BGMA 16 PRODUCT NEWS 18 Takeda is denied bar on Hikma’s Mitigare18 EMA guideline allows 19 non-EEA comparator Ranbaxy loses edge on 20 US valganciclovir Canada’s top court to consider damages 21 Amgen sues Sandoz over filgrastim filing 23 FEATURES US awaits biosimilar savings 26 By combining a review of existing studies on potential US savings from biosimilars with analysis of the latest sales data, RAND Corporation has concluded that biosimilars could save the country US$44 billion over the next decade. David Wallace reports. REGULARS Pipeline Watch – Insulin glargine Events – Our regular listing Price Watch UK – Our in-depth look at pricing trends in the UK People – Actavis prefers Pepsi to find finance head 22 24 25 27 Teva’s Olafsson starts global markets review T eva has started a review of all markets in which its Generic Medicine business operates, following the arrival of global head Siggi Olafsson four-and-a-half months ago. Olafsson told investors the review would prioritise “how we want to play in different markets”, as well as “what are the key therapeutic areas and dosage forms we want to offer, and how can we differentiate ourselves from our competition?” “We are a top-three company in close to 30 out of our 60 markets,” Olafsson noted. “We are reviewing each of these markets and prioritising them on where we want to invest, what markets we need to turn around, and where we might want to look for an alternative scenario.” Olafsson revealed that he was aiming to lift the operating profit of Teva’s Generic Medicine business by about six percentage points to 25%-26% by the end of 2017. Having posted margins below 20% last year, the business improved its margin to 22.9% in the third quarter of this year. “Teva’s generics focus is on growing the bottom line,” he stated, adding that the firm would look to cut cost of goods, make its sales and marketing network more efficient and shift its product mix towards more complex products with less competition. In particular, he said, Teva was conducting “an in-depth strategy exercise” to define steps needed to reach short-term and long-term goals in generics “growth markets” outside of North America and Europe. “We have a relatively small business in Brazil which we want to grow further, and the same applies to Mexico,” he said. Declaring that he “felt more comfortable” about Teva pursuing acquisitions, chief executive officer Erez Vigodman stated: “We might pursue generics businesses in emerging markets and G in the complex generics arena if we find the right ones.” For a detailed review of Teva’s plans and performance, turn to page 6. Kremers to be sold for US$1.5bn K remers Urban Pharmaceuticals (KU) – the US generics arm of Belgian biopharmaceutical firm UCB – is to be sold to private-equity firms Advent International and Avista Capital Partners for approximately US$1.53 billion in cash. The transaction – which is subject to regulatory approvals and other closing conditions – has been unanimously approved by UCB’s board of directors and is expected to close in the first quarter of next year. KU, the private-equity firms said, had over the past seven years expanded its portfolio from one key drug to more than twenty “high barrier to entry” generics – including “unusual dosage forms” such as patches, liquids and injectables – in areas such as respiratory drugs, antihypertensives and gastroesophageal reflux disease treatments. “KU is a strong, specialty player in a rapidly growing and changing global generic industry,” commented Advent’s managing director, John Maldonado, “and we believe it will thrive as an independent entity.” As part of the deal, Avista healthcare industry executive Brian Markison – formerly head of dermatology specialist Fougera – will take the helm as KU’s president and chief executive officer. He will succeed George Stevenson, who will leave the New Jersey-based firm to “pursue other interests”. UCB – which acquired KU through its multi-billion dollar deal for German group Schwarz Pharma Manufacturing eight years ago – said it would use the proceeds to reduce its debt and expand its core pipeline in central nervous system and immunology drugs. “We believe Advent and Avista are best positioned to drive KU’s growth to the next stage in the specialty generics market,” asserted Roch Doliveux, UCB’s chief executive officer. G COMPANY NEWS BUSINESS STRATEGY/THIRD-QUARTER RESULTS RESULTS FORECAST N S Norway’s Navamedic Hikma increases its needs narrower niche forecast for 2014 avamedic says that “rapid market changes and strong price pressure” mean that “a pure generics strategy no longer is attractive” to the company. Noting that the generics market had changed “fundamentally over a short period of time”, the Norwegian firm said that “going forward, generic pharmaceuticals will be included in the firm’s portfolio alongside other products only when found attractive”. A “highly selective approach to portfolio expansion” – which will focus on the five “strategic product groups” of female care, urology, dermatology, oral medicine and medical nutrition – is in line with the firm’s recently revised corporate strategy, under which it says it is “actively pursuing products with attractive margin potentials within a smaller number of strategic product groups”. Navamedic also said that its core market would now be defined only as the Nordic region. Pharma sales – including generics along with branded medicines and medical devices – rose by 46% to NOK40.1 million (US$5.88 million) in the third quarter of 2014, accounting for just over twothirds of the company’s NOK58.8 million total. Consumer Care sales more than trebled to NOK12.3 million and Medical Nutrition turnover rose by more than a tenth to NOK6.5 million. Navamedic’s Pharma segment contributed earnings before interest, tax, depreciation and amortisation (EBITDA) that grew to NOK1.7 million from NOK0.2 million in the prior-year period. Group EBITDA advanced from NOK0.8 million to NOK4.2 million. G 2 GENERICS bulletin 14 November 2014 trong performances from its US Injectables and solid-dose Generics operations have led Hikma Pharmaceuticals to raise its growth forecast for group turnover this year from around 5% to 7%. Last year, group sales rose by 23% to US$1.37 billion. With the US Injectables operation continuing to “capture specific market opportunities” – and having acquired Bedford Laboratories in July, followed by the Ben Venue manufacturing site in September – the Jordanian firm has increased its outlook for global Injectables growth from “above 20%” to around 25%. The rise comes despite its Portuguese injectables plant being subject to a warning letter issued by the US Food and Drug Administration (FDA) last month, following an inspection in March (Generics bulletin, 3 November 2014, page 6). Hikma said it anticipated a drop in European Injectables contractmanufacturing sales this year, but its operation in the Middle East and North Africa (MENA) was “on track to deliver slight growth” in 2014. Re-introducing drugs and capitalising on market opportunities would give the US solid-dose Generics business a turnover of around US$215 million this year, Hikma said. This sum, it noted, did not include any contribution from its recently-approved colchicine 0.6mg capsules, which are the subject of a legal battle (see page 18). Hikma’s Branded operation in the MENA region is set for “low single-digit” sales growth. G COMPANY NEWS STRATEGIC ALLIANCES/THIRD-QUARTER RESULTS MERGERS & ACQUISITIONS/FIRST-QUARTER RESULTS H U Hospira gets sole US US$4.5bn Omega buy rights to two mAbs gives Perrigo OTC lift ospira says it now has “exclusive rights” to distribute its biosimilar infliximab in the US and “a number of other major markets” following an amendment to its existing agreement with Celltrion. Having invested US$200 million in a five-year convertible bond that was issued by its Korean partner, Hospira has modified its distribution rights from “co-exclusive”. The US company said the new arrangement would “further solidify our partnership with Celltrion [and] support our efforts to enable improved access for patients”. And Hospira – which markets the rival to Janssen’s Remicade brand under the Inflectra name – has also through the arrangement gained exclusive rights to trastuzumab in the US and a “number of major markets”, along with “the majority of Western Europe”. The US firm, which struck its initial agreement with Celltrion five years ago (Generics bulletin, 16 October 2009, page 13), said it “was not in a position” to share the financial changes to the agreement. Separately, Hospira’s chief executive, Mike Ball, revealed the firm had in late October responded with an action plan to the warning letter issued by the US Food and Drug Administration (FDA) to the company’s injectables manufacturing facility in Mulgrave, Australia Third-quarter sales Reported Constant-currency (US$ millions) change (%) change (%) Americas EMEA Asia-Pacific Specialty Injectables 630 87 63 780 +16.7 +8.3 -2.2 +13.9 +16.9 +8.0 -2.3 +14.0 Devices 208 -1.1 -0.2 Other Pharma 163 +43.6 +42.9 1,151 +14.1 +14.3 Hospira Figure 1: Breakdown by product type and region of Hospira’s sales in the third quarter of 2014 (Source – Hospira) (Generics bulletin, 17 October 2014, page 5). “Many of the response commitments have already been completed or are in the process of being completed,” he stated, reiterating that the letter did not restrict production or shipments from the facility. Improved supply, better product mix and improved pricing helped Specialty Injectable Pharmaceuticals (SIP) sales in the Americas to rise by 16.7% to US$630 million in the third quarter of the year. During the quarter, Hospira faced US generic competition to its Precedex (dexmedetomidine) brand from Mylan, Par and Sandoz after a court lifted an injunction (Generics bulletin, 19 September 2014, page 15). “While Precedex has been a nice financial driver for us, it is not one of our longer-term strategic drivers,” Ball insisted. SIP turnover in Europe, the Middle East and Africa (EMEA) rising by 8.3% to US$87.1 million more than offset a 2.2% sales dip to US$63.4 million in Hospira’s Asia-Pacific region (see Figure 1) as global SIP turnover advanced by 13.9% to US$780 million. With Other Pharma sales that advanced by more than two-fifths adding US$163 million and pump-device sales of US$208 million, the US firm’s group turnover increased by 14.1% to US$1.15 billion. Meanwhile, selling its clinical surveillance software system, TheraDoc, along with a surgical-suction product line for a combined US$110 million helped Hospira to raise its operating profit by more than seven-and-a-half times to US$228 million. G S OTC and generics specialist Perrigo is set significantly to increase its presence in Europe’s consumer healthcare market by snapping up Omega Pharma in a C3.6 billion (US$4.5 billion) cash, shares and debt deal. Joe Papa, Perrigo’s chief executive officer, said that acquiring the Belgian firm would provide Perrigo with “critical mass” in all key European markets and complemented “Perrigo’s US store-brand OTC and supply-chain and quality excellence with Omega’s branded OTC expertise and European commercial infrastructure”. Upon closing early next year, Omega will give Perrigo a diverse range of OTC brands covering a number of categories – including analgesics, cough, cold and allergy remedies, and dermatology – which generated sales of US$1.6 billion in the year to September 2014. Papa said Omega would give Perrigo a “direct commercial presence in 35 European countries” and a sales team of 1,100 people serving 211,000 pharmacists, 105,000 retail stores and 3,900 parapharmacies. Noting widespread restrictions on pharmacy ownership and OTC sales channels in Europe, Papa commented: “There really is not a store-brand opportunity in Europe, with the exception of the UK.” The combined entity would be a “top-five player in the attractive US$30 billion European OTC market”, he continued, with an annual pro forma turnover of around US$5.7 billion, of which around 57% will come from the group’s US operations. Top-line synergies include using Perrigo’s roster of 3,000 products to add line extensions to Omega’s brands as well as marketing the Belgian firm’s brands through Perrigo’s operations in countries including Australia and Mexico. Perrigo is buying Omega’s shares for C2.48 billion and assuming C1.1 billion of debt. Omega’s founder and chief executive officer, Marc Coucke, will receive 25% of the share purchase price and will also join Perrigo’s executive committee. In its financial first quarter ended 27 September 2014, Perrigo increased its group turnover by 2% to US$952 million due to the addition of US$91.9 million of Tysabri (natalizumab) royalties through Elan. Prescription turnover fell by 4% to US$195 million on charges linked to pricing programmes. New-product sales of US$8 million and another US$4 million from acquired Fera products were offset by US$11 million of discontinued products. An 8% decline in Consumer Healthcare sales to US$493 million was due in part to the US market absence of Perrigo’s generic version of Mucinex (guaifenesin) 600mg extended-release tablets that the firm is currently relaunching. Active pharmaceutical ingredient (API) turnover slumped by 43% to US$25 million as Perrigo’s partner, Teva, lost US generic exclusivity for temozolomide. G Business segment First-quarter sales Change (US$ millions) (%) Operating margin (%) Consumer Healthcare Prescription Pharma Nutritionals Specialty Sciences API Other 493 195 125 92 25 22 -8 -4 -3 – -43 +14 13.2 33.3 6.8 16.2 28.3 4.0 Perrigo 952 +2 14.4* * includes US$24.3 million of unallocated expenses Figure 1: Breakdown by business segment of Perrigo’s sales and operating margin in its financial first quarter ended 27 September 2014 (Source – Perrigo) 14 November 2014 GENERICS bulletin 3 COMPANY NEWS MERGERS & ACQUISITIONS NINE-MONTH RESULTS L L India’s Laurus gains Pharmstandard sees a Rs5.5bn injection slide after OTC spin aurus Labs has received “the largest private-equity investment in an Indian active pharmaceutical ingredient (API) manufacturer since 2004” after an affiliate of US-based Warburg Pincus invested Rs5.5 billion (US$89.6 million) in Laurus in return for a minority stake. The Indian firm – which specialises in antiretroviral, oncology, cardiovascular disease and diabetes APIs, and also has a “fast-growing” contract-manufacturing business – said it was at “an important juncture in its evolution”, and would use the cash to, amongst other things, “foray into new business segments”. “In addition to securing growth capital, we look forward to leveraging Warburg Pincus’ deep domain expertise and global network of relationships to help enter new markets and add to our customer base,” said founder and chief executive officer, Satyanarayana Chava. G MANUFACTURING/REGULATORY AFFAIRS Canada bars Micro Lab lines H ealth Canada has restricted imports of products made at Micro Labs’ Indian facilities in Bangalore, Goa and Hosur. The Canadian regulator cited “data-integrity concerns identified in recent inspections by international partners”. None of the products barred from import into Canada qualify for the “medically necessary” status that would allow import following third-party testing (Generics bulletin, 3 November 2014, page 8). Among the banned products are tramadol/acetaminophen that Micro Labs supplied to Actavis, doxazosin and terbinafine marketed by Mylan, and metformin sold under the Ranbaxy label. The ban also affects drugs sold by ECL, Jamp, Marcan, Pharmascience, Septa and Vita. Similar concerns over data-integrity have led Health Canada to issue similar restrictions on imports from Indian facilities operated by Apotex and Ipca. G 14 November 2014 Issue 222 Editor: Deputy Editor: Assistant Editor: Business Reporter: Production Controller: Production Editor: Director of Subscriptions: Group Sales Manager: Awards Manager: Managing Director: Aidan Fry David Wallace Liudmila Kotko Dean Rudge Debi Minal Jenna Meredith Val Davis Anisa Shan Natalie Cornwell Mike Rice Editorial enquiries: GENERICS bulletin, 4 Poplar Road, Dorridge, Solihull, West Midlands B93 8DB, UK. Website: www.Generics-bulletin.com Tel: +44 (0)1564 777550 Fax: +44 (0)1564 777524 E-mail: info@Generics-bulletin.com Advertising enquiries: As above, or ads@Generics-bulletin.com SUBSCRIPTIONS Subscription rates are published at www.Generics-bulletin.com/subscribe. 4 GENERICS bulletin 14 November 2014 ower sales of OTC brands following the spin-off its OTCPharm affiliate, as well as weaker revenues from distributed third-party products, led Russia’s Pharmstandard to report a 15.5% decline in group turnover to RUR24.8 billion (US$589 million) in the first nine months of this year (see Figure 1). Pharmstandard’s own sales of Prescription Products rose by 0.5% to RUR4.57 billion, as turnover from its best-selling product, Phosphogliv (glycyrrhizic acid) advanced by over a third to RUR1.10 billion, or almost a fifth of all Prescription turnover. Sales of Combilipen (lidocaine) and Octolipen (alpha-lipoic acid) increased by a fifth to RUR519 million and RUR254 million respectively. However, the company’s OTC segment – led by the antiseptic brand Ingalypt (norsulfazol sodium) – fell by 62.9% to RUR4.42 billion as several brands were transferred to OTCPharm. But Pharmstandard generated RUR3.78 billion of turnover from supplying finished goods and raw materials to OTCPharm. Turnover from third-party products – which made up over a third of the company’s total turnover – slipped by a fifth to RUR8.49 billion. G Nine-month sales (RUR millions) Third-party products 8,487 Prescription 4,566 OTC 4,419 Drug substances 814 Pharmaceuticals 18,286 Change (%) Proportion of total (%) -20.5 +0.5 -62.9 +9.0 -34.4 34.3 18.4 17.8 3.3 73.9 Other 6,473 – 26.1 Pharmstandard 24,760 -15.5 100 Figure 1: Breakdown by business segment of Pharmstandard’s sales in the first nine months of 2014 (Source – Pharmstandard) Individual subscriptions An annual subscription comprises: ■ 20 Generics bulletin newsletters; ■ AND at least 46 weekly News@Genericsbulletin electronic newsflashes containing the week’s top news stories (currently delivered by email). Choice of formats The 20 Generics bulletin newsletters are available: ■ EITHER as the digital Generics bulletin-i for online access by desktop, and tablet and smartphone. Mobile devices can have Apple or Android operating systems. ■ OR in traditional hard-copy print format, delivered by airmail. 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COMPANY NEWS BUSINESS STRATEGY/THIRD-QUARTER RESULTS STRATEGIC ALLIANCES/NINE-MONTH RESULTS E F Mylan turns its gaze Kabi calls time on toward Latin America its venture in Russia xpanding in emerging markets, “especially in Latin America”, is on Mylan’s agenda as it continues to pursue acquisitions beyond its US$5.5 billion deal for Abbott’s branded generics and mature products business in developed markets other than the US. “There are plenty of transactions out there that make strategic and financial sense,” chief executive officer Heather Bresch told investors. Rather than thinking in terms of generics or branded assets, Mylan was looking to strengthen therapeutic franchises, such as in respiratory, she explained, adding that the firm was “aggressively pursuing many things”. Reviewing the strategic rationale for the Abbott deal, Bresch said it would give the group “critical mass around the physician channel throughout Europe” that would create “upside synergies” when combined with Mylan’s strength in the pharmacy sector. “It doubles the size in our top-10 markets outside of the US,” she pointed out. Under the terms of a recently amended deal (Generics bulletin, 3 November 2014, page 3), Mylan will issue to Abbott 110 million shares valued at around US$5.5 billion, while altered product-supply Third-quarter sales Reported Constant-currency (US$ millions) change (%) change (%) North America Europe Rest of world Generics 842 352 414 1,607 +19 +1 +19 +15 +20 +1 +18 +15 Specialty 462 +29 +29 Other 15 +29 – Mylan 2,084 +18 +18 Figure 1: Breakdown by region and business of Mylan’s sales in the third quarter of 2014 (Source – Mylan) arrangements have reduced the multiple to adjusted earnings before interest, tax, depreciation and amortisation (EBITDA) that Mylan is paying from 6.6 to 6.4. Higher volumes in France and Italy, along with recent launches, helped to offset lower pricing as Mylan’s European Generics sales edged ahead by 1% to US$352 million in the third quarter of this year. North American Generics turnover climbed by almost a fifth to US$842 million on recent launches and “capitalising quickly on unanticipated market opportunities”. Among the firm’s recent US launches were generic Combivir (lamivudine/zidovudine) tablets, while Mylan has just added to its US antiretrovirals portfolio with nevirapine extended-release tablets (see page 20). “The US Food and Drug Administration (FDA) continues to struggle to implement the Generic Drug User Fee Amendments (GDUFA) and has simply been unable to perform efficiently as it transforms,” Bresch asserted. “While we find the resulting lack of transparency and timeliness of approvals frustrating, we continue to benefit from our ability to successfully leverage our global network to fill supply gaps resulting from market disruption.” Recent launches helped to push up sales in Australia as Generics sales in Mylan’s Rest of the World region increased by 19% to US$414 million. “Our business in Brazil is gaining traction,” Bresch noted. Including US$462 million from the US Specialty segment, group turnover grew by 18% to US$2.08 billion (see Figure 1). The group’s operating profit increased by 46% to US$495 million. G resenius Kabi has agreed with its local partners to terminate a joint venture in Russia that it formed earlier this year (Generics bulletin, 16 May 2014, page 7). The injectables specialist had intended to combine its Russian business with Binnopharm’s operations in the Commonwealth of Independent States (CIS), with Kabi to hold a 51% stake. “Changing political and regulatory circumstances in the region have made closing the joint venture more challenging than anticipated,” Germany’s Kabi explained. “The company is committed to further grow its business in the region, and is exploring other potential options to cooperate with Binnopharm.” Moscow-based injectables and infusion solutions specialist Binnopharm – which operates two local manufacturing facilities – achieved a turnover last year of US$104 million. In the same period, Kabi’s Russian sales totalled US$73 million. Separately, a recent US Food and Drug Administration (FDA) inspection of Kabi’s injectables manufacturing facility in Grand Island, New York, yielded “encouraging results”, the firm said. These could result in the plant receiving voluntary action indicated (VAI) status, opening the door for new product approvals. Noting that the facility had received three ‘Form 483’ observations following the inspection in October, Kabi pointed out that figure had been eight, including four repeat observations, at the beginning of last year, and 16 in July 2011. “[Zero] observations is very rare these days, and it is common that the FDA audits conclude with a few observations,” group chief executive officer Mark Schneider insisted to investors. Current good manufacturing practice deficiencies (cGMP), including insects found in sterile products and manufacturing areas, led the FDA to issue Kabi’s Grand Island facility with a warning letter at the beginning of 2012 (Generics bulletin, 9 March 2012, page 3). In the first nine months of this year, Kabi’s global turnover stalled at C3.76 billion (US$4.68 billion) as 3% organic growth and a one percentage-point gain from acquisitions were cancelled out by a four-point negative currency impact. Single-digit sales growth in Kabi’s Asia-Pacific and Latin America Africa regions to C723 million and C381 million respectively helped to offset a 3% decline in North American turnover to C1.12 billion (see Figure 1). European sales inched ahead by 1% to C1.54 billion. Taken by product line, just over a third of sales came from Kabi’s Intravenous Drugs business, where turnover rose on an organic basis by 2% to C1.31 billion. Clinical Nutrition sales were up by 6% to C1.02 billion, while the German firm's Infusion Therapy and Medical Devices businesses added almost equal amounts: C724 million and C704 million respectively. Kabi's earnings before interest and tax (EBIT) slipped by 9% to C634 million, cutting its EBIT margin by 1.7 points to 16.9%. G Region Nine-month sales Reported (C millions) change (%) Organic change (%) Europe North America Asia-Pacific Latin America/Africa 1,538 1,118 723 381 +1 -3 +5 +3 +2 ±0 +7 +13 Fresenius Kabi 3,760 ±0 +3 Figure 1: Breakdown by region of Fresenius Kabi’s sales in the first nine months of 2014 (Source – Fresenius Kabi) 14 November 2014 GENERICS bulletin 5 COMPANY NEWS THIRD-QUARTER RESULTS Teva hails European profit improvement A “significant increase in European Union (EU) profitability” helped Teva to increase the operating profit of its Global generics business by 40% to US$556 million in the third quarter of this year. A seven percentage-point margin improvement to 22.9% came on a 2% slide in Global Generics sales to US$2.43 billion. “The profitability of the European generics business is significantly better than a year ago,” pointed out Siggi Olafsson, who joined from Actavis earlier this year to lead the Global Generics business. “We are participating in fewer tenders in Germany and we are running the business for the bottom line,” stated Olafsson, who is conducting a global review of the group’s generics operations. Teva attributed a 3% Generics turnover slide to US$757 million in Europe mainly to “our strategy of pursuing profitable and sustainable business in the region, with a significant decrease in Spain partially offset by increases in certain other markets”. A loss of exclusivity on generic Niaspan (niacin) contributed to US Generics sales slipping by 1% to US$1.12 billion, as did lower sales of generic Adderall (amphetamine salts). These negative impacts were largely offset by recent introductions of generic Xeloda (capecitabine) and Lovaza (omega-3 acid ethyl esters), as well as the exclusive third-quarter launch of a generic rival to Bristol-Myers Squibb’s Baraclude (entecavir) hepatitis C treatment (Generics bulletin, 19 September 2014, page 14). Olafsson insisted that Teva could offer a unique portfolio to an increasingly consolidated US customer base that was eroding prices for the firm’s base business. Looking to expand US hospitals business Among 14 US launches to date this year was the “important milestone” of relaunching four injectables as the firm looked to expand its hospitals business. Noting that the firm’s US injectables plant in Irvine, California, was one of nine sites that Teva had slated for closure – along with six others that the firm had already closed or divested – Olafsson said Teva was looking for acquisition opportunities to fill in gaps in its injectables offering. The US operation had just filed for a generic version of AstraZeneca’s Byetta (exenatide) injectable diabetes treatment, he pointed out, while seven scheduled US launches by the end of this year included a rival to Pfizer’s Celebrex (celecoxib) in mid-December. A 3% Generics sales dip to US$551 million in Teva’s Rest of the World region equated to a 4% local-currency rise on higher sales in Canada and Latin America (see Figure 1). “Latin America is a significant contributor,” Olafsson commented. “We are a strong player in Chile and Peru, and we have a growing business in Argentina. We have a relatively small business in Brazil, which we want to grow further, and the same applies to Mexico.” “We have a very significant business in Russia,” he continued, adding that Teva was working to improve its local product pipeline. “We see double-digit growth in that business, even though the market is growing in high single digits.” Rest of the World sales were largely responsible for Teva’s thirdparty active pharmaceutical ingredient (API) turnover – which was reported as part of the US$2.43 billion Global Generics total – rising by 9% to US$185 million. The stronger API sales helped to push up the Global Generics business’ gross profit by a tenth to US$1.08 billion, improving its gross margin by 4.8 percentage points to 44.3%. A 13% rise in research and development spending to US$134 million was more than balanced out by a 17% cut in sales and marketing expenses to US$388 million. This left the business with an operating profit – excluding amortisation 6 GENERICS bulletin 14 November 2014 Third-quarter sales Reported Local-currency (US$ millions) change (%) change (%) US Europe* Rest of world Generics 1,124 757 551 2,432 -1 -3 -3 -2 -1 -4 +4 -1 Specialty 2,176 +5 +5 450 -10 -7 5,058 ±0 +1 OTC/Others Teva * European Union, Norway, Switzerland, Albania and Balkan states Figure 1: Breakdown by business segment of Teva Pharmaceutical Industries’ sales in the third quarter of 2014 (Source – Teva) and general and administrative expenses – 40% higher at US$556 million and an operating margin seven points stronger at 22.9%. Teva’s group’s operating profit rose by 39% to US$1.11 billion on static turnover of US$5.06 billion as the firm benefitted from a US$122 million pay-out from a paragraph IV patent litigation insurance policy. Almost half – US$1.11 billion – of Specialty Medicine sales that rose by 5% to US$2.18 billion came from the firm’s Copaxone (glatiramer acetate) franchise. Teva is currently rolling out its 40mg three-times-a-week formulation of the multiple-sclerosis treatment as it tries to defend the 20mg strength from looming generic competition. Following recent oral arguments in its case before the US Supreme Court (Generics bulletin, 3 November 2014, page 21), the company anticipates a ruling “late this year or in the first quarter of 2015”. Specialty Medicine also included Oncology sales ahead by almost a fifth to US$299 million after Teva’s recent launches of Granix (tbo-filgrastim) and Lonquex (lipegfilgrastim). The Israeli firm said Granix had captured more than a tenth of the US short-acting granulocyte-colony stimulating factor (G-CSF) market within a year of launch, while Lonquex had gained a similar share of the German long-acting G-CSF market in just under 12 months. Terminating development of balugrastim However, Teva is shelving Oncology research and development as it focuses its Specialty pipeline on central nervous system and respiratory candidates (Generics bulletin, 17 October 2014, page 5). While the company has announced it will terminate development of the balugrastim long-acting G-CSF for US and EU markets by the end of this year, it is not clear whether any biosimilars are among the pipeline projects that the Israeli group has identified “for discontinuation, divestment or partnership”. Having expanded its European respiratory offering during the quarter by introducing DuoResp Spiromax (budesonide/formoterol) inhalers in Ireland, Norway, Sweden and the UK, Teva intends next year to submit an EU application for a fluticasone/salmeterol metered-dose inhaler for asthma and chronic obstructive pulmonary disorder (COPD). The company also plans to file US new drug applications (NDAs) for fluticasone and fluticasone/salmeterol pressurised metered-dose inhalers as asthma treatments. Announcing a US$3 million share buy-back, Teva’s chief executive officer Erez Vigodman stressed that this did not preclude businessdevelopment moves. “I feel more and more comfortable with our level of readiness for acquisitions in general,” he stated. “We might pursue generics businesses in emerging markets and in the complex generics arena if we find the right ones.” G COMPANY NEWS BUSINESS STRATEGY/THIRD-QUARTER RESULTS Impax plans to cut 42 jobs in research I mpax Laboratories intends to slash 42 research and development jobs – or around a quarter of its research team – as part of plans to “to match resources to high-value projects” for its generic and branded pipelines, and produce annual costs savings of around US$8.0 million. Following the reorganisation – under which approximately 49 staff in total will be made redundant – Impax’ generics development operation will consist of 46 “high-value generic products”; 23 abbreviated new drug applications (ANDAs) pending US Food and Drug Administration (FDA) approval; and a further 23 generic projects under development. The generics unit will also be responsible for “earlystage development and analytical functions for all Impax products”. The US firm said it would incur a charge of US$2.0 million in association with the reorganisation, which will be partially offset by saving US$1.5 million in the fourth quarter of this year. Commenting on the amendments to its generics pipeline, the US firm’s president and chief executive officer, Fred Wilkinson, told investors that Impax had “looked at those products that have essentially lost value or which the work to have them put through [the FDA] would distract us from the quality-improvement activities that are a high priority to us”. The firm, he added, had withdrawn several ANDAs and “stopped work” on others. Meanwhile, Impax said its branded division’s focus would be narrowed to three candidates; the Parkinson’s disease treatment Rytary (carbidopa/levodopa), along with two investigational candidates consisting of a bupivacaine patch and a further Parkinson’s disease drug. Furthermore, the branded research team will hold responsibility for “existing late-stage opportunities” for all products, including clinical trials and pharmacovigilance. Generics sales rose by a quarter In the third quarter of this year, launching ursodiol tablets in July (Generics bulletin, 11 July 2014, page 3) – coupled with strong sales of its authorised generic of Sanofi’s Renvela (sevelamer carbonate) tablets – helped Impax’ Global Laboratories generics division to increase its turnover by just over a quarter to US$146 million. The US company recently bolstered its generics pipeline and manufacturing space by agreeing to acquire US-based generics player CorePharma, along with affiliates Amedra and Lineage, for US$700 million (Generics bulletin, 17 October 2014, page 1). A short time after that deal was announced, Global Laboratories president Carole Ben-Maimon left the company (Generics bulletin, 3 November 2014, page 27). Wilkinson told investors that a “formal search” had not begun for a new generics head, but asserted that “this industry is small enough for us to know who is out there, who is available, and who might be interested and might fit our profile”. Wilkinson also said that operations at its Hayward, California, and Taiwan facilities remained unchanged following Impax’ responses to multiple ‘Form 483’ observations at the facilities in August. “Although we have not received any official notification of any change in our status, the ongoing dialogue with the FDA has been constructive,” he insisted. “We’ve also committed to the agency that we will continue to send them monthly updates on our remediation programmes as well as our quality-improvement initiatives.” Branded sales falling by 29% to US$12.1 million limited Impax’ turnover growth to a rise of just under a fifth to US$158 million. But the higher sales helped Impax turn a prior-year operating loss of US$0.19 million into a US$25.5 million operating profit. G 8 GENERICS bulletin 14 November 2014 SECOND-QUARTER RESULTS Global growth keeps India’s Lupin rising D ouble-digit growth across all of Lupin’s global markets – except in South Africa – helped the Indian firm to increase its formulations sales by 19% to Rs28.0 billion (US$456 million) in its financial second quarter ended 30 September 2014. Formulations turnover in the US, which accounted for 45% of these sales, rose by almost a quarter to Rs12.7 billion, as Lupin launched three products during the quarter. The Indian firm now boasts 75 products in its US portfolio, of which it said 31 were market leaders, while 54 were in the top three by market share. Managing director Nilesh Gupta said Lupin’s pipeline – which includes 95 abbreviated new drug applications (ANDAs) pending approval in the US – was “evolving well”. “We expect significant developments in the dermatology and inhalation space in the quarters to come,” he commented. Meanwhile in India – where Lupin during the quarter reached an agreement with Korea’s LG Life Sciences to distribute insulin glargine under the fantasy name Basugine (Generics bulletin, 5 September 2014, page 20) – formulations sales grew by a fifth to Rs7.99 billion. Turnover in Japan increased by 12% to Rs3.46 billion, and in Europe by 11% to Rs876 million. South African growth was limited in comparison, with sales rising through the firm’s Pharma Dynamics business by 5% to Rs1.06 billion (see Figure 1). However, Lupin pointed out, in constant-currency terms this translated to a 15% rise to ZAR187 million (US$17.2 million). In Lupin’s Rest of the World region, sales rose by 16% to Rs1.89 billion. Towards the end of the quarter, the Indian firm reached a deal with Merck Serono to develop, manufacture and market a range of “affordable, high-quality medicines” in emerging markets, including in “major markets” such as Brazil, Mexico, Indonesia and the Philippines (Generics bulletin, 19 September 2014, page 4). Including global sales of active pharmaceutical ingredients (APIs) that were ahead by 11% adding Rs3.18 billion, Lupin’s group turnover increased by 18% to Rs31.2 billion. The Indian firm’s profit before tax improved by almost a quarter to Rs8.32 billion. G Second-quarter sales Change (Rs millions) (%) Proportion of total (%) US India Japan South Africa Europe Rest of World Formulations 12,716 7,990 3,459 1,057 876 1,887 27,985 +23 +20 +12 +5 +11 +16 +19 41 26 11 3 3 6 90 APIs 3,183 +11 10 Lupin 31,168 +18 100 Figure 1: Breakdown by region and business of Lupin’s sales in its financial second quarter ended 30 September 2014 (Source – Lupin) IN BRIEF BEXIMCO PHARMACEUTICALS increased its sales by 8.5% to BDT8.27 billion (US$107 million) in the first nine months of this year. The Bangladeshi firm improved its operating profit by 6.9% to BDT1.77 billion. G COMPANY NEWS BUSINESS STRATEGY/SECOND-QUARTER RESULTS Habitrol will expand Reddy’s OTC range D r Reddy’s is looking to widen its OTC offerings in the US after agreeing to acquire the title and rights to Novartis’ Habitrol (nicotine) smoking-cessation transdermal patch, subject to final US Federal Trade Commission (FTC) review. In its financial second quarter ended 30 September 2014, Reddy’s improved its generics sales in North America by 8% to Rs14.3 billion (US$233 million). This was thanks to improved market shares for key products including decitabine, for which Reddy’s said it now had a 70% market share, as well as azacitidine and ziprasidone. The Indian firm during the quarter launched US rivals to Sunovion’s Xopenex (levalbuterol) inhalation solution (Generics bulletin, 3 October 2014, page 19), and also filed two abbreviated new Second-quarter sales Change (Rs millions) (%) Proportion of total (%) North America India Russia/CIS Europe Rest of world Global Generics 14,293 4,799 4,798 1,434 3,545 28,868 +8 +14 -13 -19 +95 +9 40 13 13 4 10 80 Pharma Services, APIs 6,392 ±0 18 618 -1 2 35,879 +7 100 Proprietary Products/other Dr Reddy’s Figure 1: Breakdown by region and business of Dr Reddy’s Laboratories’ sales in its financial second quarter ended 30 September 2014 (Source – Dr Reddy’s) drug applications (ANDAs) to take its total pending US Food and Drug Administration (FDA) approval to 72. That pipeline included 45 ANDAs containing paragraph IV patent challenges and 11 first-to-file opportunities, Reddy’s pointed out. Meanwhile, Reddy’s said domestic turnover rising by 14% to Rs4.80 billion represented its “highest ever quarterly revenue”, as the firm launched two products during the quarter. And “strong growth” in Venezuela – where turnover rose by 248% in constant-currency terms – helped almost double the firm’s sales in its Rest of the World region where Reddy’s also launched two products to Rs3.55 billion (see Figure 1). However, these rises were partially offset by double-digit turnover slips in Russia and the Commonwealth of Independent States (CIS) and Europe. In the former region, sales fell by 13% to Rs4.80 billion, as the devaluation of the rouble led Russian sales to slide by 11% to Rs4.13 billion. Reddy’s offered no explanation for its European turnover dropping by almost a fifth to Rs1.43 billion. Nevertheless, the firm’s Global Generics sales increased by 9% to Rs28.9 billion. Sales from the firm’s Pharmaceutical Services and Active Ingredients (PSAI) business stagnated at Rs6.39 billion as the company submitted three drug master files (DMFs) in the US and made six similar filings in Europe. Proprietary Products turnover slipping by 1% to Rs618 million limited Reddy’s’ overall growth, as the group’s total sales increased by 7% to Rs35.9 billion. A 37% hike in research and development spending to Rs4.11 billion cut the Indian firm’s pre-tax profit by a tenth to Rs6.94 billion. G MERGERS & ACQUISITIONS/THIRD-QUARTER RESULTS Actavis aims to avoid hostile approaches A ctavis will aim to focus on “friendly deals” rather than hostile takeovers, the group’s chief executive officer Brent Saunders stated as media speculation linked the firm with a ‘white knight’ move to rescue ophthalmics specialist Allergan from Valeant’s hostile attention. “People have been trained to hate each other for months, and perhaps years, during a hostile fight,” Saunders remarked. “The rhetoric is ramped up and a lot of value can be destroyed.” With Forest’s integration into Actavis well underway after a US$30.9 billion deal was completed on 1 July, Saunders is looking for further deals. “If it was the right strategic opportunity with strong financial fundamentals that created long-term enduring growth for our company, we would be very interested,” he stated. In the current low-interest-rate environment, he added, “you are going to regret it if you just used your money to buy shares and pay dividends”. Meanwhile, Saunders pledged, Actavis would continue to invest in respiratory and biosimilar development projects. “The next generics frontier is respiratory, and after that it is biosimilars,” he stated. Actavis is building inventory for generic Pulmicort (budesonide) as it awaits the outcome of patent litigation, while it is working on device-dependent targets such as Advair (fluticasone/salmeterol). “Biologics are incredibly important to us on both the brand and biosimilar side,” Saunders continued. Hailing Actavis’ alliance with Amgen as “the smart way for us to enter the biosimilar arena”, he said the firm would continue to invest in biosimilars, either by expanding its relationship with Amgen or going it alone. Amgen has just revealed it is working on nine biosimilar candidates (see page 20). Among 228 abbreviated new drug applications (ANDAs) that Actavis has pending US approval are 60 it says have first-to-file status. “Strength in the base business” offset delayed launches and additional competition to Actavis’ generic version of Lidoderm (lidocaine) and its authorised generic of Concerta (methylphenidate) as North American Generics sales stalled at US$980 million. In Canada, the firm said its generics operation had “reached a top-five position”. Total International turnover outside of North America – from brands as well as generics – increased by 15% to US$661 million, as contributions of US$67.5 million from Forest and US$45.2 million from Warner Chilcott more than made up for the sales Actavis lost by selling its Western European generics operations to Aurobindo. The UK business benefitted from its “ability to identify product shortages”. Including US$1.61 billion from the expanded North American brands business and US$423 million from its US Anda Distribution arm (see Figure 1), Actavis advanced its group turnover by 83% to US$3.68 billion. But the group posted an operating loss of US$1.05 billion as amortisation and impairment charges added to research and development investment of US$392 million – US$248 million for brands, US$115 million for generics and US$28.5 million for biosimilars. G Third-quarter sales Change (US$ millions) (%) Proportion of total (%) North American Brands North American Generics International Anda Distribution 1,619 980 661 423 – ±0 +15 +38 44 27 18 11 Actavis 3,683 +83 100 Figure 1: Actavis’ sales in the third quarter of 2014 (Source – Actavis) 14 November 2014 GENERICS bulletin 9 COMPANY NEWS BUSINESS STRATEGY Pfizer could divide into two from 2017 P fizer could split into two businesses, one covering mature products and the other innovative and pipeline drugs, in 2017, the originator has told investors. At around the same time, the company’s five biosimilar candidates are slated to start reaching the market. Chief financial officer Frank D’Amelio said by 2017 Pfizer would have the separate financial records for its Global Established Products (GEP) division that would be necessary for a public transaction such as a spin-off or initial public offering (IPO), and would probably be needed for a private deal like a divestment or joint venture. In the meantime, chief executive officer Ian Read said, the GEP division would continue to explore “a multitude of opportunities” for business-development deals following its acquisition in September of US generic injectables specialist InnoPharma for up to US$360 million (Generics bulletin, 8 August 2014, page 3). Pfizer’s third-quarter GEP sales declined by 7% to US$6.24 billion – just over half of group turnover of US$12.4 billion – as the firm’s Lipitor (atorvastatin) faced generic competition in the US and Japan. “Increasing spending on biosimilar programmes” contributed to the division’s operating profit dipping by 4% to US$3.99 billion. At present, Pfizer is enrolling for or conducting Phase III clinical trials for biosimilar infliximab, rituximab and trastuzumab. A Phase I study for adalimumab is underway, while the firm has just completed a Phase I trial for bevacizumab. G 10 GENERICS bulletin 14 November 2014 SECOND-QUARTER RESULTS Jubilant falls despite Canadian launches I ntroducing finished-dose zolmitriptan and bulk quetiapine in Canada failed to prevent a sales and profits decline by Jubilant Life Sciences’ Pharmaceuticals business segment in the Indian group’s financial second quarter ended 30 September 2014. Canada accounted for two of the 15 solid-dose formulations approvals that Jubilant obtained during the quarter, as well as one of the six active pharmaceutical ingredients (APIs) filings it made during the three-month period. Higher sales of “key radiopharmaceutical products” helped to offset the impact of a production shut-down at the contract manufacturing unit’s sterile injectables facility in Spokane, US, as the firm worked to resolve problems identified in a warning letter issued by the US Food and Drug Administration (FDA). Pharmaceuticals turnover fell by 11% to Rs6.14 billion (US$100 million). The segment’s earnings before interest, tax, depreciation and amortisation (EBITDA) margin tumbled by just over 14 percentage points to 11.3%, which Jubilant blamed on the Spokane warning letter, a postponed solid-dose order in Japan and delays in US approvals. The group’s Life Science Ingredients segment overcame additional competition and “changes in regulatory requirements for aqueous paraquat” in China to post a 2% turnover increase to Rs7.57 billion, albeit at an EBITDA margin that halved to 8.2%. As a result, the group’s EBITDA margin almost halved to 10.0% on turnover down by 5% to Rs13.7 billion. G COMPANY NEWS MANUFACTURING/SECOND-QUARTER RESULTS BUSINESS STRATEGY/THIRD-QUARTER RESULTS W S Import alerts remain Sagent looks to buy on Wockhardt plants amid delays at FDA ockhardt was able to offer little news on tackling the import alerts imposed by the US Food and Drug Administration (FDA) on its Indian facilities in Chikalthana and Waluj as the company reported US sales down by more than half in its financial second quarter ended 30 September 2014. “The status of the import alerts on the Chikalthana and Waluj facilities remains unchanged,” Wockhardt stated. “The company’s efforts to put remediation measures in place continues.” Having seen its Waluj plant get an alert midway through last year (Generics bulletin, 7 June 2013, page 5), the Indian company got a similar ban on exporting finished drugs from its Chikalthana site to the US around 12 months ago (Generics bulletin, 6 December 2013, page 3). These import bans were reflected in the firm’s second-quarter US sales plummeting by 56.3% – equivalent to a 56.7% local-currency drop – to Rs2.28 billion (US$37.1 million). The US business – which has 75 abbreviated new drug applications (ANDAs) pending approval – Region Second-quarter sales (Rs millions*) Change (%) Proportion of total (%) India/Emerging 3,960 +14.9 39 UK France Ireland Other Europe 2,300 420 380 140 3,240 -3.8 +45.3 +14.5 – -2.1 22 4 4 1 31 US 2,280 -56.3 22 810 – 8 10,290 -14.0 100 Litigation compensation Wockhardt * rounded to the nearest Rs10 million Figure 1: Breakdown by region of Wockhardt’s sales in its financial second quarter ended 30 September 2014 (Source – Wockhardt) accounted for 22% of group turnover that declined by 14.0% to Rs10.3 billion, even including an Rs810 million boost from litigation compensation (see Figure 1). Launching 17 products in its domestic market helped Wockhardt to increase its sales in India and Emerging Markets by 14.9% to Rs3.96 billion. European turnover slipped slightly to Rs3.24 billion on a 3.8% slide to Rs2.30 billion in the UK, where sales fell by 11.7% on a local-currency basis. That fall was offset in part by 14.5% sales growth to Rs380 million in Ireland, and by a 45.3% recovery to Rs420 million in France. Higher staff and research and development costs contributed to Wockhardt’s pre-tax profit decreasing by 36.4% to Rs820 million. G IN BRIEF IDT AUSTRALIA has agreed to pay up to US$18.0 million to acquire 23 previously marketed US generics from undisclosed vendors. The firm plans to transfer production of the 23 tablets and capsules – which include antidepressants and antihypertensives, as well as antiinfectives and Parkinson’s disease drugs – to its Melbourne facility, with launches targetted for the first half of 2016. “Discussions have already commenced with potential distribution partners,” IDT revealed. G agent Pharmaceuticals will look to follow up its US$85.3 million deal for Canada’s Omega Laboratories with further acquisitions as generic approval rates by the US Food and Drug Administration (FDA) remain “dismally low”, according to the US-based injectables specialist’s chairman and chief executive officer, Jeff Yordon. While Sagent would continue to file at least 15 dossiers per year with the FDA, Yordon said the company could not rely on timely approvals, so acquisitions would become “more important”. “We have no visibility, we cannot interact with the FDA to get information about anything related to approvals,” he complained, adding that since the agency had implemented fully a system of communicating mainly through complete response letters, average approval times had risen from about 31 to nearer 40 months. Discussing potential acquisition targets, Yordon acknowledged a “general consensus that the market in emerging countries for injectable generics is going to be very attractive”. However, he stressed, Sagent’s focus would be less on geographic expansion than on buying assets that were financially accretive, added manufacturing capabilities and offered attractive baskets of approved products. “You have to kiss 100 frogs to find a prince,” he commented, adding that financial capacity was not necessarily a limiting factor on deals. “As long as you are disciplined, investors in the debt market will be willing to go along for the ride.” Having spent around US$85 million in cash on Omega at the start of October, the company has agreed a US$80 million loan facility with JPMorgan Chase to fund further acquisitions and investment in its Sagent China Pharmaceuticals (SCP) facility that holds FDA approval for carboplatin and is scheduled to have its lyophilisation line inspected by the US agency early next year. Revealing plans to install a second line at SCP next year, Yordon said the firm had started to transfer products to the site using the FDA’s CBE-30 process that required three months of stability data. Omega offers 26-product pipeline Yordon said Montreal-based Omega offered a broad portfolio of sterile injectable vials such as antiseptics and oncology drugs, with leading positions in molecules including furosemide, glycopyrrolate, neostigmine and octreotide. The Canadian firm marketed its portfolio of 93 products in more than 40 countries, including in Asia and Africa, and had a pipeline of 26 generics set for launch between 2014 and 2019 (Generics bulletin, 17 October 2014, page 3). Integration was underway, he added. Excluding Omega, Sagent ended the third quarter of this year with 43 products – represented by 67 abbreviated new drug applications (ANDAs) – pending FDA review, and another three products across nine ANDAs approved and awaiting launch. A further 19 products spread across 29 ANDAs were in pre-filing development. Launching 11 products in 29 presentations since 30 September 2013 contributed US$12.8 million to Sagent’s third-quarter turnover that increased by 7%, or by US$4.5 million, to US$65.4 million. The launches more than offset an US$8.0 million decline in sales of older products, largely due to lower prices for docetaxel and zoledronic acid. Third-quarter turnover was split almost equally between antiinfectives, oncology and critical-care drugs. Price declines cut the firm’s gross margin by 1.8 percentage points to 28.7%. But lower product-development spending helped Sagent to improve its operating profit by 30% to US$4.04 million. G 14 November 2014 GENERICS bulletin 11 COMPANY NEWS SECOND-QUARTER RESULTS Latin America lifts Glenmark’s growth L atin America sales more than doubling to Rs2.31 billion (US$37.6 million) helped Glenmark offset a turnover dip in the US, as the Indian group’s sales increased by 14.9% to Rs16.8 billion in its financial second quarter ended 30 September 2014. “The environment continues to be tough, especially in the US,” commented Glenmark’s chairman and managing director, Glenn Saldanha. “US product approvals have slowed down considerably, and the channel consolidation has impacted overall sales.” Product approvals were limited to two – for rivals to Boehringer Ingelheim’s Micardis (telmisartan) tablets and Valeant’s Vanos (fluocinonide) cream (Generics bulletin, 8 August 2014, page 23) – as the firm’s US turnover fell by 9.0% to Rs5.08 billion. The Indian firm said those approvals left 72 abbreviated new drug applications (ANDAs) pending FDA approval, of which 30 contained paragraph IV certifications. In Latin America, sales soared by 139% thanks to Glenmark’s turnover in Mexico and Venezuela trebling and quadrupling respectively. In the former, the Indian firm said sales had been bolstered thanks to the launch of two oncology drugs during the quarter, while in Venezuela the firm received approvals for three products. Glenmark reported “moderate growth” of 12% for its subsidiary in Brazil, where the Indian firm received one approval during the quarter. Indian sales rose by 14.5% Meanwhile, the Indian firm’s domestic turnover rose by 14.5% to Rs4.78 billion, as the company increased its share for cardiovascular and respiratory disease treatments, as well as for its anti-infectives, diabetes drugs and gynaecology products. Conversely, the firm’s market share for its dermatology portfolio fell. Furthermore, the Indian firm pointed to strong sales in Eastern Europe – in particular, Poland – as its overall sales in the continent rose by a quarter to Rs1.31 billion. Admitting that the business environment in Romania had been “extremely challenging”, Glenmark said it had on the other hand improved its sales in the UK by “over 50%”, despite pricing pressure and “a lack of new launches”. Active pharmaceutical ingredient (API) sales leaping by almost three-fifths to Rs1.60 billion more than offset Glenmark’s turnover in its Rest of the World business stagnating at Rs1.74 billion (see Figure 1). But the Indian firm anticipates “good growth” in Russia during its next financial year ending 30 March 2016 as sales of its recently launched Kerwort (imiquimod) and Sertamykol (sertaconazole) “ramp up”. “These are two important product launches,” Glenmark asserted. The Indian group’s pre-tax profit was unmoved at Rs2.20 billion. G Region Second-quarter sales (Rs millions) Change (%) Proportion of total (%) US India Latin America Rest of world Europe APIs 5,076 4,782 2,309 1,740 1,306 1,595 -9.0 +14.5 +139.0 ±0.0 +25.1 +57.9 30 28 14 10 8 9 Glenmark 16,807 +14.9 100 Figure 1: Breakdown by business segment and region of Glenmark Pharmaceuticals’ sales in its financial second quarter ended 30 September 2014 (Source – Glenmark) 12 GENERICS bulletin 14 November 2014 IN BRIEF SIEGFRIED has received operating approval for an initial phase at the active pharmaceutical ingredients (APIs) facility it recently finished building in Nantong, near Shanghai, China. Having started construction midway through last year, the Swiss group is starting to make pilot validation batches (Generics bulletin, 19 September 2014, page 8). Siegfried plans in the second quarter of 2015 to produce its first commercial batches at the Nantong site. NEULAND LABORATORIES overcame a “2% increase in rawmaterial costs” to post a 61% rise in pre-tax profit to Rs75.1 million (US$1.22 million) in its financial second quarter ended 30 September 2014. The Indian active pharmaceutical ingredients (APIs) producer – which has just raised around Rs250 million through a share offering – increased its turnover by 16% to Rs1.21 billion. JGL is setting up its own operations in Belarus through an office in Minsk. Having previously worked with a local partner for the past three years, the Croatian firm expects to increase its exports to Belarus by a half to C1.5 million (US$1.9 million) next year as it expands its product range, especially with nasal sprays and travelsickness remedies. To date, JGL has registered 15 products in Belarus, including the seawater-based Aqua Maris line. In addition, the nasal decongestant Rinomaris (xylometazoline) and the rosacea treatment Rozamet (metronidazole) are currently pending authorisation. ORIOLA KD is considering divesting its Russian operations as it explores the “strategic options” for the businesses. The Finnish wholesaler said it had appointed a financial advisor to “investigate the conditions” for selling its Russian pharmaceutical wholesale and retail businesses and had already “conducted negotiations”. Oriola’s Russian operations – which consist of 229 pharmacies in the Moscow region, a logistics hub in Moscow and 12 regional distribution centres – made an operating loss of C31.0 million (US$38.6 million) on a turnover of C558 million in the first nine months of this year. ROCHEM INTERNATIONAL has moved into renovated 5,600 sq m headquarters in Hauppauge, New York. The raw-materials sourcing specialist – which was previously based in nearby Ronkonkoma – said the move would allow it to consolidate its East Coast inventory into a single warehouse next to administrative offices, thereby offering “better control, additional cost savings and expedited shipments to customers”. DIVI’S LABORATORIES increased its turnover by 47% to Rs8.33 billion (US$135 million) in the three months ended 30 September 2014. But higher raw-material costs limited to 12% the Indian firm’s pre-tax profit improvement to Rs2.93 billion. EL KENDI intends by 2016 to open a biosimilars manufacturing facility in Algeria. The Jordanian company plans to produce mainly cancer treatments at the plant. DSM said its DSM Sinochem Pharmaceuticals (DSP) joint venture contributed C99 million (US$123 million) to its turnover in the third quarter of this year. This represented an increase of 15%. GVK BIOSCIENCES has agreed to acquire Chennai-based toxicology testing specialist Vanta Bioscience for an undisclosed fee. By midNovember, the European Medicines Agency (EMA) intends to have gathered responses from national regulatory agencies about which products relied on bioequivalence studies conducted at a GVK site in Hyderabad, India (see page 14). The agency said an inspection had raised concerns about the reliability of such studies. G COMPANY NEWS BUSINESS STRATEGY/THIRD-QUARTER RESULTS Endo aims to expand US generics business E ndo is looking at “new platforms and new verticals” for its US generics business from which the firm would be able to “benefit from better competitive dynamics and better margin profiles”, according to president and chief executive officer Rajiv De Silva. “Areas like semisolids, ophthalmics and injectables continue to be of interest,” he said. With Endo having closed its US$600 million deal for US generics player Dava Pharmaceuticals in August (Generics bulletin, 11 July 2014, page 3), De Silva added that the firm would “certainly” be looking to conduct more generic transactions following its agreement for branded specialty company Auxilium Pharmaceuticals (Generics bulletin, 17 October 2014, page 4). That transaction is set to close in the first half of next year. “The US generics business has been a substantial growth driver,” De Silva insisted. “We think it is a very attractive asset and we intend to build upon it.” The US firm – which has also this year bought US niche generics specialist Boca for US$225 million – pointed out that it had already completed its annual target of eight abbreviated new drug application (ANDA) filings, leaving 70 ANDAs pending US Food and Drug Administration (FDA) approval. Bolstered by the addition of sales from Dava and Boca, in addition to the “continued success” of its authorised generic of the US firm’s own Lidoderm (lidocaine) patch, Endo’s US generics sales soared by almost three quarters to US$319 million in the third quarter of this year (see Figure 1). “The hydrocodone/acetaminophen 300mg combination we got from Boca is a very important contributor for this year, and I would say Dava is off to a reasonable start,” De Silva commented. Business unit Third-quarter sales (US$ millions) Change (%) Proportion of total (%) US Generics US Brands Devices International 319 241 110 94 +74 -34 -1 – 42 32 14 12 Endo 764 +16 100 Figure 1: Breakdown by business unit of Endo Health Solutions’ sales in the third quarter of 2014 (Source – Endo) Excluding inorganic effects, Endo said its base generics business had grown by 13% thanks to increased sales of controlled substances. International sales added US$94 million to group turnover, as the US firm at the end of the quarter appointed Norbert Oppitz to head its Latin America, Africa and Export Markets business (Generics bulletin, 8 August 2014, page 13). This operation includes – in addition to Canada through Paladin – locations in South Africa through Paladin’s controlling stake in Litha Healthcare and in Mexico through generics player Somar, which Endo bought earlier this year for an undisclosed sum (Generics bulletin, 16 May 2014, page 3). The US Generics and International sales combined more than overcame a sales slump of a third to US$241 million from Endo’s US brands as group turnover rose by 16% to US$764 million. But Devices sales continued to struggle, slipping by 1% to US$110 million. G 14 November 2014 GENERICS bulletin 13 MARKET NEWS REGULATORY AFFAIRS/BIOLOGICAL DRUGS French body outlines nine key proposals A nine-point plan detailing measures that would help to develop France’s biosimilars market has been published by local generics industry Gemme. The plan follows an event held by Gemme in conjunction with the European Generic medicines Association (EGA) in October aimed at fostering growth and raising awareness of biosimilars (Generics bulletin, 17 October 2014, page 10). Creating a “climate of trust” by publishing “official and objective” information on biosimilars for healthcare professionals and patients is Gemme’s first recommendation. The association also suggests creating a reference list of similar biologic medicines – as defined by local medicines agency ANSM – to provide doctors with “complete information on possible therapeutic alternatives”. Promoting the early provision of biosimilars and establishing a specific and “simplified” evaluation process for biosimilars by effectiveness body HAS are also among Gemme’s recommendations, along with having HAS formulate “medico-economic” recommendations to encourage the most efficient use of medicines that offer the same therapeutic benefits. HAS should also set prescribing targets for biosimilars in each product class, Gemme suggests, and include these targets as part of contracts with healthcare establishments. French authorities should also encourage hospitals to reference at least one biosimilar medicine in each product class, Gemme proposes. Finally, the association says the country must reinvest part of the savings generated by biosimilars into research and training. “Biological drugs represent more than 25% of spending on medicines in France,” Gemme stated, noting that seven of the country’s top 10 medicines in terms of annual cost were biologicals. In the next five years, the association noted, several oncology and auto-immune biologics – representing spending of more than C1 billion (US$1.26 billion) annually – would lose patent protection in France. G REGULATORY AFFAIRS/BIOLOGICAL DRUGS China invites biosimilar input I nterested parties have until 29 November to comment on the first draft biosimilars guideline published by China’s Center for Drug Evaluation (CDE). The Center – which forms part of the country’s State Food and Drug Administration (SFDA) – said it had started writing the ‘biosimilar drug-development and evaluation technical guideline’ in January this year. Among the topics covered in the draft guideline are pharmacological assessment as well as pre-clinical and clinical studies, according to law firm Ropes & Gray. The guideline defines a biosimilar as a therapeutic biologic that is similar to an approved original biologic in quality, safety and efficacy, and that has the same amino-acid sequence. Original reference products must be approved in China, while – as is common in other jurisdictions – biosimilars cannot serve as reference drugs. European and US standards are also reflected in the Chinese guideline adopting a “stepwise approach” to demonstrating biosimilarity based on comparative safety, effectiveness and quality data. Such data, the guideline notes, can be drawn from in vitro analytical studies, animal studies or human clinical trials. Extrapolation of indications, Ropes & Gray notes, may be permitted where the mechanism of action is the same for treating the indicated diseases. G 14 GENERICS bulletin 14 November 2014 IN BRIEF US SENATORS Amy Klobuchar and Chuck Grassley have called upon the US Federal Trade Commission (FTC) to publish data for the past two years on ‘pay-for-delay’ or reverse-payment patentlitigation settlements. “The 2013 and 2014 numbers will help Congress understand whether the [Supreme] Court’s decision in Actavis vs. FTC has altered the behaviour of drug manufacturers, and what legislative reforms are needed,” argued the senators, who are co-sponsoring legislation aimed at combating such settlements. CGPA – the Canadian Generic Pharmaceutical Association – has donated C$25,000 (US$22,000) to local information provider Care-Ring Voice Network to help caregivers hold online training workshops on the safe use of medications. The association said the workshops would “provide an opportunity for caregivers to learn, get answers and share their experiences with the medication taking habits of seniors”. “Too often, caregivers are under-supported and don’t have enough information regarding the proper use of medications, the compliance with prescriptions and the prevention of risks related to interactions or side effects,” commented CGPA president Jim Keon. THE EUROPEAN COMMISSION has launched a public consultation on patents and standards. Open until 31 January 2015, the consultation is aimed at gathering “information and views on the interplay between standardisation and intellectual-property rights such as patents”. In particular, the Commission will focus on how the current standardisation framework for patents performs, and how it should evolve to remain efficient. RUSSIA’s private healthcare market is expected to grow between 10% and 12% between 2015 and 2019, according to a report by market researcher PMR. While growth in 2013 had been “at a slightly less rapid rate than in the previous years because of the deterioration in the economic situation of the country”, the growth between 2015 and 2019 would be driven by “growing prices for medical services and the gradual recovery of personal insurance budgets of employees of large companies”. OIG – the Office of Inspector General within the US Department of Health and Human Services – plans to investigate US Food and Drug Administration (FDA) inspections of generics firms by the end of the US fiscal year ending 30 September 2015. “We will determine the extent to which FDA conducts inspections of generic drug manufacturers,” the OIG states in a ‘work plan’ document. “We will also describe the results of such inspections and the enforcement actions taken by the FDA in response to shortcomings or deficiencies.” EMA – the European Medicines Agency – has released a timetable indicating that the agency’s committee for human medicinal products (CHMP) will in late November publish a list of outstanding issues or CHMP opinion on bioequivalence studies carried out by GVK Biosciences. Earlier this year, companies with products that were approved in Europe on the basis of clinical work carried out by GVK were asked to notify regulators (Generics bulletin, 8 August 2014, page 15). MCC – South Africa’s Medicines Control Council – has validated two electronic common technical document (eCTD) submissions using software firm Extedo’s reviewing and validation tool. “The successful registrations – of a new chemical entity and a generic drug – mark an important milestone in MCC’s efforts to introduce the eCTD standard to South Africa,” Extedo said, adding that the process would help the MCC to “dramatically reduce registration times”. G MARKET NEWS PRICING & REIMBURSEMENT REGULATORY AFFAIRS/INDUSTRY ASSOCIATIONS T I Teva tops Germany’s Industry urges ICH GWQ tender winners to offer equal footing eva and its Ratiopharm affiliate proved most successful in capturing supply contracts in the 10th tender round run by Germany’s GWQ ServicePlus alliance of 43 health funds insuring around 7 million Germans. Stada’s Aliud Pharma and Sandoz’ Hexal and 1A Pharma were also major winners. With 95 of more than 500 individual supply contracts awarded, Teva/Ratiopharm led the field, followed by Aliud with 79 and Hexal/1A Pharma with 57. Zentiva/Sanofi picked up 40 contracts, Berlin-based Aristo Pharma 38 and Torrent’s Heumann/Heunet 36, while the former Actavis business now owned by Aurobindo secured 21 supply deals. GWQ said the 226 active ingredients or combinations, spread across 342 bidding lots, had an annual retail value through its partner funds of around C430 million (US$538 million). Almost two-thirds – 221 – of the bidding lots were awarded on an exclusive basis, while the other 121 were divided between three suppliers. Most of the contracts start on 1 February next year and end on 31 December 2016. Among the molecules supplied by the three companies will be atorvastatin, bisoprolol, candesartan, clopidogrel, ibuprofen and omeprazole, as well as three that are among around 70 ingredients covered by a GWQ tender for the first time – capecitabine, telmisartan and telmisartan/hydrochlorothiazide. G INTELLECTUAL PROPERTY Call to de-link access from IP A recently established US-India intellectual property (IP) working group should “engage in dialogue that would de-link access to medicines from IP”, originator group Biotechnology Industry Organization (BIO) has suggested in its response to an out-of-cycle review of Indian IP policy that is being conducted by the US Trade Representative (Generics bulletin, 3 November 2014, page 11). “The Indian government has several mechanisms for improving affordability and accessibility of medicines without resorting to compulsory licences or revocation of patents,” BIO contends. Describing compulsory licences as “the greatest concern of the global biotechnology industry”, the originators’ body says the position of India’s new Modi government is unclear. However, it welcomes the Indian Department of Industrial Policy and Promotion (DIPP) deferring a decision on granting such a licence for dasatinib. Another US brand body, PhRMA, wants the Modi government to disband the previous regime’s committee for considering compulsory licences and clarify that it will never issue such a licence “on the basis that a company has failed to demonstrate why the product has not been produced locally”. But the secretary-general of the Indian Pharmaceutical Alliance (IPA), Dilip Shah, points out: “The only compulsory licence granted so far [in India] is for Bayer’s Nexavar (sorafenib).” In upholding that licence, he observes, the Mumbai High Court had found that Nexavar was “not available at a reasonably affordable price” and clarified that a patent holder could satisfy Indian authorities why the patented product could not be manufactured locally, thereby meeting the requirement that the drug was ‘worked’ in India. “Difficulties in obtaining injunctions as well as apprehensions about the lack of patent linkage have been overstated to the US Trade Representative,” the IPA’s Shah maintains. G GPA – the International Generic Pharmaceutical Alliance, representing the global generics industry – has met with the steering committee of the International Conference on Harmonisation (ICH) to lobby for ICH executive board membership. The request follows a letter sent to the steering committee by the IGPA earlier this year insisting that the generics industry should have equal status to the originator industry within the ICH, which develops global quality, safety and efficacy standards (Generics bulletin, 5 September 2014, page 1). “Having participated in ICH since 1997,” the IGPA said, “we have the utmost respect for ICH and what it has accomplished.” Noting that the executive board would perform the ICH’s executive function, the IGPA noted that this function had “historically been performed by global regulators and brand pharmaceutical industry representatives, without the beneficial input that the generics industry can provide”. “Even administrative decisions can significantly impact the outcome of a proceeding,” the IGPA stated, adding: “We believe the generics industry should be a full part of those discussions and decisions.” “If IGPA is permitted to join the executive board, it would fully participate in all decisions relating to ICH management and harmonisation of global drug quality, safety and efficacy standards,” the generics association promised. “We would like to be full participants,” the IGPA said, “so that we can help ICH to represent public health in the 21st century.” Representing the IGPA, David Gaugh – the US Generic Pharmaceutical Association’s (GPhA’s) vice-president for sciences and regulatory affairs – told a meeting of the ICH’s steering committee in Lisbon, Portugal, on 9 November that it was “essential for the generic and biosimilar medicines industry to partner with ICH in global harmonisation and quality efforts impacting public health”. “ICH guidelines are being broadly and increasingly applied to generic and biosmilar industries by regulators,” Gaugh said, emphasising that “with one set of standards, it is imperative that all key industry sectors have an equal voice”. ‘Interested party’ is too limiting Limiting the IGPA’s role to that of an ‘interested party’ would exclude the generics industry association from important discussions, Gaugh said. These covered issues including the structure and administrative policies and procedures of ICH, as well as the selection of topics for harmonisation. Interested parties were also “outnumbered on expert working groups” and were often viewed as “optional attendees to the working group meetings”, Gaugh observed, adding that they were also excluded from being rapporteurs, topic leaders and deputy topic leaders. The opportunity for equal input was therefore “limited in some cases, resulting in no or restricted generic perspectives”, Gaugh said, noting that the number of IGPA experts in working groups was largely limited to one, compared to two for other industry associations. In spite of these limitations, however, Gaugh insisted that the IGPA had a “consistent history of contributions”. “Excluding a major stakeholder from administrative processes results in a lack of transparency and representation,” Gaugh concluded, insisting that it was “time to create a space for generic and biosimilar producers’ inclusion in dialogue with regulators at the global level”. Urging ICH to “enter a new phase where the rules that apply to all of industry are no longer made by the few”, Gaugh said this change was “necessary in order to support ICH’s future strength and credibility”. G 14 November 2014 GENERICS bulletin 15 MARKET NEWS REGULATORY AFFAIRS Italy’s biosimilars low on ADR reports A “low proportion of adverse drug reactions (ADR) reports concern biosimilars” in Italy, according to a study published by the US National Center for Biotechnology Information (NCBI). Analysing the Italian spontaneous reporting system database, the study found that just 0.2% – or 298 – of the 171,201 ADR reports collected during the study period related to biosimilars. And of these, only “a low proportion” – 10.1% – indicated drug ineffectiveness, the study found. Biological drugs as a whole – including branded biologics and biosimilars – accounted for 5.6% of the ADR reports, the study found, adding that these reports were mainly issued by hospital-based physicians. Two-thirds of the biologicals reports involved monoclonal antibodies and fusion proteins. 95% of reports included product name “In terms of traceability, 94.8% of biological-related reports included an identifiable product name, whilst only 8.6% indicated the corresponding batch number,” the study noted. Meanwhile, Italian generics association Assogenerici has held an event in Rome, Italy, at the start of November “to discuss the challenges and opportunities offered by biosimilar medicines in Italy”. The event – held in collaboration with the European Generic medicines Association’s (EGA’s) European Biosimilars Group (EBG) – “highlighted the essential role of biosimilar medicines” to attending industry stakeholders. This included presenting the findings of a sustainability study undertaken by market researcher GfK on behalf of the EGA earlier this year (Generics bulletin, 20 June 2014, page 1). EGA director-general Adrian van den Hoven said Italy was “playing a leading role in biosimilar medicines uptake across Europe”, insisting that the country’s health service “cannot miss the opportunity for greater access to the new biosimilar medicines coming to market, which will be key drivers of sustainability in healthcare”. The EGA also recently collaborated with the Polish Generic Medicines Association, the PZPPF, to host a similar event in Warsaw, Poland, on 28 October. Highlighting the findings of the GfK study, the Polish association called for “a multi-stakeholder approach”. G INTELLECTUAL PROPERTY India issues patent guideline F inal guidelines for examining pharmaceutical patent applications have been issued by India’s office of the controller-general of patents, designs and trademarks. The document follows draft guidelines published earlier this year (Generics bulletin, 21 March 2014, page 15). Under section 3(d) of India’s Patents Act, the guideline states, non-patentable inventions include “the mere discovery of a new form of a known substance which does not result in the enhancement of the known efficacy of that substance”. The guidance explains that “salts, esters, ethers, polymorphs, metabolites, pure form, particle size, isomers, mixtures of isomers, complexes, combinations and other derivatives of the known substance shall be considered to be the same substance, unless they differ significantly with regard to efficacy”. A section on prior-art searching has been modified following stakeholder comments on the draft guideline. The guidance now no longer requires applicants to disclose the international non-proprietary name (INN) of the pharmaceutical substance. G 16 GENERICS bulletin 14 November 2014 PUBLICATIONS NHS savings study welcomed by BGMA A report by the UK’s Academy of Medical Royal Colleges that identifies nearly £2 billion (US$3.2 billion) of cost savings the National Health Service (NHS) could make by providing more appropriate care in 16 areas of clinical practice has been welcomed by the British Generic Manufacturers Association (BGMA). BGMA director-general Warwick Smith said using generics “already saves the NHS in England over £12 billion per year”. And “every further 1% swing to the use of generic medicines saves a further £160 million and promotes innovation by competing with established treatments”. In a section on waste, the report says treating gastro-oesophageal reflux disease with an off-patent proton-pump inhibitor is a “cheap, effective way to reduce symptom burden and disease progression”, as well as “a high-value intervention with little potential waste”. “Whilst we support the take-up of new medicines where they offer more cost-effective treatment for patients,” the BGMA said, “the use of generic medicines where they are the cost-effective alternative remains crucial to reduce the NHS drugs bill.” Using generics, the association insisted, “allows financial headroom to enable the NHS to afford newer treatments, as well as providing competition to incentivise the development of innovative medicines”. Meanwhile, the BGMA noted that auditing was the theme of the most recent ‘quality forum’ meeting that the association held with the UK’s Medicines and Healthcare products Regulatory Agency (MHRA) on 12 November. Launched earlier this year (Generics bulletin, 2 May 2014, page 10), the forum meets three times annually. G INTELLECTUAL PROPERTY UPC aims to avoid conflict L egal actions that are either pending before, or have been concluded by, the planned European Unified Patent Court (UPC) will preclude any opt-out from the pan-European system, the legal group of the UPC’s preparatory committee has clarified in the 17th draft of the court’s rules of procedure. “The risk that the UPC and national courts deal one after the other with the same European patent – and reach diverging decisions – can thus be reduced,” explained the committee. Similarly, once an action on a European patent or application subject to an opt-out is pending or completed before a national court, that opt-out cannot be reversed to obtain a ruling from the UPC. Other amendments in the 17th draft include rules on languages, such as where more than one language is used in proceedings. A hearing on the rules of procedure will take place in Trier, Germany, on 26 November. A preparatory committee meeting held in Brussels, Belgium, on 4 November heard that several contracting member states “hope to be able to ratify [the UPC] in the course of 2015”. Training of candidate judges will begin early next year. G IN BRIEF EMA – the European Medicines Agency – has made available a new bulk-update management tool to help marketing-authorisation holders to edit information in the agency’s XEVMPD database. G A place for efficient pharma business development and networking. 2 days to engage with 20 or more prospective partners and discuss one-to-one in- and out-licensing, quality control, OTC products, contract manufacturing, development, biosimilars, nutraceuticals and more. th December 2014 5 2 Register before count is d l ia c e p s a e iv to rece FOR MORE INFORMATION, VISIT www.pharmeet.com Alternatively, contact us: Email: pharmeet@pharmeet.com Phone: +34 91 637 0660 Fax: +34 91 637 4955 PRODUCT NEWS ANTIHYPERTENSIVES GOUT TREATMENTS A T Apotex confirms win Takeda is denied bar over UK perindopril on Hikma’s Mitigare UK appeals court was right to reverse an earlier patents court ruling that prevented Apotex from recovering damages from Servier due to an interim injunction barring the generics firm from selling a rival to Coversyl (perindopril) during an ultimately unsuccessful patentinfringement lawsuit, the country’s Supreme Court has confirmed. Servier had in 2008 been ordered by a UK high court to pay Apotex £17.5 million (US$28.0 million) for delaying competition through the interim injunction (Generics bulletin, 17 October 2008, page 15). But in 2010, a Patents Court judge told Apotex to repay the damages because its tablets would have been made in Canada using a process that infringed a Canadian patent (Generics bulletin, 9 April 2010, page 18). Subsequently, however, the Court of Appeal ruled that the principle of Servier’s ‘illegality defence’ depended on the circumstances of individual cases, and did not apply in the case of perindopril tablets manufactured by Apotex in Canada and imported into the UK (Generics bulletin, 18 May 2012, page 19). Dismissing Servier’s appeal against the most recent ruling, the Supreme Court’s panel of five judges agreed that the originator’s defence did not apply to Apotex’ actions. “In this appeal, Servier is attempting to extend the doctrine of illegality beyond any previously reported decision,” stated Lord Toulson. “I see no good public policy reason to do so.” G 18 GENERICS bulletin 14 November 2014 akeda has been denied a preliminary injunction against Hikma in the US over the generics firm’s Mitigare (colchicine) 0.6mg capsules. However, a Delaware district court said it would extend a temporary restraining order against Hikma to allow the originator to make an immediate appeal, provided Takeda posted a substantial bond. Delaware District Judge Sue Robinson recently issued the temporary restraining order on the basis that Hikma’s product – approved by the US Food and Drug Administration (FDA) as a 505(b)(2) hybrid new drug application using data from Takeda’s Colcrys original – would infringe all five US method-of-use patents protecting the gout flare treatment (Generics bulletin, 17 October 2014, page 19). However, reviewing Takeda’s demand for a preliminary injunction, Robinson said that the originator’s claim of a specific intent on Hikma’s part to induce an infringing use of Mitigare “cannot be inferred from the knowledge – actual or based on ‘market realities’ – that a generic product may be used in infringing ways”. There must be “affirmative evidence of specific intent and action to induce infringement.” “The question remains whether the proposed label is a sufficient catalyst to constitute active steps to encourage direct infringement,” Robinson found, concluding: “Takeda has not carried its burden of persuasion in this regard.” Hikma has announced that its financial forecast for 2014 “does not reflect any contribution from colchicine” (see page 2). G PRODUCT NEWS ANTI-INFLAMMATORY DRUGS REGULATORY AFFAIRS/BIOLOGICAL DRUGS A B Canadian court finds EMA guideline allows Celebrex patent valid non-EEA comparator potex and Mylan have failed to persuade Canada’s Federal Court of Appeal to overturn a ruling that prevents the generics firms from obtaining a notice of compliance (NOC), or marketing authorisation, for celecoxib until Canadian patent 2,177,576 expires on 14 November. Federal Judge Sean Harrington had previously found in separate cases for Mylan (Generics bulletin, 7 March 2014, page 18) and Apotex (Generics bulletin, 2 May 2014, page 17) that the patent protecting Pfizer’s Celebrex brand was not invalid due to a lack of utility. Both firms had failed to convince Harrington that the ‘576 patent promised to reduce side effects in humans compared to other nonsteroidal inflammatory drugs (NSAIDs). Moreover, Apotex had unsuccessfully argued that the patent promised to reduce side effects in humans, with Harrington determining that the use of the word “subjects” did not extend to cover humans: “That may have been a wish, an aspiration, a goal, a target or an advantage,” he said, but “there was no actual promise”. On appeal, Judge Marc Noël “found no error” in Harrington’s “exercise of discretion” in either case, especially concerning his interpretation of the patent’s alleged promises. “The promise doctrine will hold an inventor to an elevated standard only where a clear and unambiguous promise has been made,” he said. “Where the validity of a patent is challenged on the basis of an alleged unfulfilled promise,” Nöel stated, “the patent will be construed in favour of the patentee where it can reasonably be read by the skilled person as excluding this promise.” “It becomes clear that no explicit promise of treatment in humans was made. Apotex itself recognises that the claims speak only of subjects,” he stated. “In my view, the Federal Court judge correctly held that the promise of the patent did not extend to humans.” Furthermore, Noël concluded, “not one case cited by Apotex stands for the proposition that a promise, once made and shown not to have been met, must be construed as invalidating the invention as a whole”. G ANTIDEPRESSANTS Mylan loses Australian appeal M ylan’s Alphapharm has failed to convince the High Court of Australia to overturn a lower court’s ruling on a patent-term extension for Lundbeck’s Lexapro (escitalopram) antidepressant. Australia’s Commissioner of Patents, the High Court said in a split decision, had been justified in granting Lundbeck a three-and-a-half year patent-term extension running until December 2012. G ANTIRETROVIRALS Silarx comes first on Epivir S ilarx Pharmaceuticals has become the first company to secure US approval for a generic version of Viiv’s Epivir (lamivudine) 10mg/ml oral solution. By challenging Viiv’s US patent 6,004,968 – which expires on 20 September 2018 – without triggering patent litigation that could have blocked approval, Silarx secured 180-day generic market exclusivity that will start when it launches the antiretroviral drug. G iosimilar applicants in the European Union (EU) can now use a comparator product authorised outside of the European Economic Area (EEA) for their clinical development after the European Medicines Agency (EMA) adopted a revised overarching guideline on biosimilars. While the revised guideline officially comes into force on 30 April 2015, the EMA said “applicants can apply some or all provisions of this guideline from today”. “This new concept is expected to facilitate the global development of biosimilars and to avoid unnecessary repetition of clinical trials,” the EMA stated. Any non-EEA approved comparator drug used for clinical trials or in vivo non-clinical studies has to be “authorised by a regulatory authority with similar scientific and regulatory standards as EMA”, such as by International Conference on Harmonisation (ICH) countries, the guideline dictates. The applicant is responsible for establishing that the comparator is representative of the reference medicine authorised in the EEA. Bridging data to the EEA-authorised reference products will always include analytical studies comparing the biosimilar, EEA-authorised original and non-EEA-authorised comparator, the guideline lays out, adding that it may also include clinical pharmacokinetic or pharmacodynamic studies. Congratulating the EMA on adopting the revised guideline, the European Generic medicines Association (EGA) and its affiliated European Biosimilars Group (EBG) said the update was “an important step forward in facilitating the global development of biosimilar medicines while avoiding unnecessary repetition of clinical trials across geographic boundaries”. In particular, the EBG welcomed the addition of a scientific definition that biosimilars must show “similarity to the reference medicinal product in terms of quality characteristics, biological activity, safety and efficacy based on a comprehensive comparability exercise”. Scientific principles for such comparability exercises are, the guideline explains, “based on those applied for evaluation of the impact of changes in the manufacturing process of a biological medicinal product”, as outlined in the ICH’s Q5E chapter on comparability of biological products subject to changes in their manufacturing process. Clinical trials “may not be necessary” if similar efficacy and safety can be deduced from other data. Active substances in biosimilars and reference biologics must share the same amino-acid sequence, the guideline continues, while the “posology and route of administration” should also be the same. Deviations from the original, such as in terms of strength, pharmaceutical form or excipients must be justified, including through additional data where necessary. While changes to improve efficacy would preclude a biosimilar approach, alterations to enhance safety – such as lower levels of impurities or immunogenicity – “may not preclude biosimilarity”, the EMA states. “If biosimilarity has been demonstrated in one indication, extrapolation to other indications of the reference product could be acceptable with appropriate scientific justification,” the guideline clarifies. On pharmacovigilance, it recommends that any biological drug linked to an adverse reaction report be clearly identified “with due regard to its brand name and batch number”. Absent from the overarching guideline are any recommendations on interchangeability between biosimilars and reference products. “Substitution policies are within the remit of the EU member states,” it points out. G 14 November 2014 GENERICS bulletin 19 PRODUCT NEWS ANTIVIRAL DRUGS Ranbaxy loses edge on US valganciclovir R anbaxy must forfeit its 180-day exclusivity for a generic version of Roche’s Valcyte (valganciclovir) 450mg tablets in the US, the Indian firm has been told by the US Food and Drug Administration (FDA). A communication from the agency said that its original decisions granting tentative approval for Ranbaxy’s abbreviated new drug application (ANDA) for the antiviral – as well as tentative approvals for ANDAs for esomeprazole 20mg and 40mg tablets – were “in error because of the compliance status of the facilities referenced in the ANDAs at the time the tentative approvals were granted”. “FDA has rescinded the previously-granted tentative approvals for Ranbaxy’s ANDAs,” the company confirmed. The firm said it was “disappointed with this development and is actively evaluating all available options to preserve its rights”. Moreover, Ranbaxy observed, the FDA said it had determined that the company’s esomeprazole and valganciclovir ANDAs “did not have any data-integrity issues”. The FDA has now granted Dr Reddy’s and Endo final approvals for rivals to Valcyte, which Endo said had US sales of around US$440 million in the year ended September 2014, according to IMS Health. Follows manufacturing setbacks Ranbaxy has suffered a series of setbacks linked to manufacturing and data-integrity deficiencies detected by the FDA. Last year, Ranbaxy’s plant in Mohali, India, was placed under import alert and subjected to certain terms of an FDA consent decree (Generics bulletin, 20 September 2013, page 3), which had previously been applied to the company’s sites in Dewas and Paonta Sahib, India (Generics bulletin, 13 January 2012, page 3). Earlier this year, the firm’s Toansa facility in Punjab, India, was also subjected to certain terms of the decree (Generics bulletin, 3 February 2014, page 3). Connecticut attorney general George Jepsen recently filed a citizen petition urging the FDA to waive Ranbaxy’s right to launch the first US rival to AstraZeneca’s Nexium (esomeprazole) with 180-day exclusivity unless the agency was prepared to immediately approve the ANDA (Generics bulletin, 19 September 2014, page 21). Under the terms of a 2008 agreement, Ranbaxy had agreed to drop litigation with AstraZeneca in return for the right to launch the first US Nexium rival on 27 May 2014, with 180-day exclusivity (Generics bulletin, 2 May 2008, page 11). G BIOLOGICAL DRUGS Amgen pipeline grows to nine A mgen has expanded the pipeline of biosimilars it is developing from six to nine programmes. The firm’s general manager for biosimilars, Scott Foraker, said biosimilars were “a good strategic fit” for the biologics specialist and represented “a compelling growth opportunity with the potential to deliver more than US$3 billion in annual revenues”. While Amgen has already disclosed its initial six biosimilar monoclonal antibody candidates – infliximab and rituximab that are at the “clinical ready phase”, as well as adalimumab, bevacizumab, cetuximab and trastuzumab – it has not identified the three programmes it has just added to its roster. The US company expects to launch its first biosimilar in 2017, with four more to follow through to 2019. G 20 GENERICS bulletin 14 November 2014 IN BRIEF LUPIN has been awarded final US Food and Drug Administration (FDA) approval for its generic rival to Pfizer’s Celebrex (celecoxib) 50mg capsules. The Indian firm – which also received a tentative nod from the agency for 100mg, 200mg and 400mg strengths – joins Mylan and Teva in having received approval for the lowest strength of the blockbuster analgesic (Generics bulletin, 6 June 2014, page 18). Only Teva has received final approvals for all four strengths. Under separate settlement agreements reached with the originator, Teva, Mylan and Actavis may launch versions of the analgesic – which had US sales of US$2.44 billion for the 12 months ended June 2014 – from December. APOTEX has withdrawn its appeal to Canada’s Supreme Court over Sanofi’s Plavix (clopidogrel). The Supreme Court had allowed the appeal earlier this year (Generics bulletin, 14 February 2014, page 15), following a 2013 appeals court decision that overturned an earlier ruling that Apotex version of the drug did not infringe Canadian patent 1,336,777 (Generics bulletin, 9 August 2013, page 18). EDENBRIDGE PHARMACEUTICALS plans in the near future to start shipping the first generic rival to Merck & Co’s Stromectol (ivermectin) 3mg tablets in the US. The anthelmintic agent marks the New Jersey-based company’s first abbreviated new drug application (ANDA) approval. PHARMAC – New Zealand’s Pharmaceutical Management Agency – has published the results of its latest pharmaceutical tender. Included are sole-supply deals for Mylan’s Dicarz (carvedilol) 6.25mg, 12.5mg and 25mg tablets, ezetimibe 10mg tablets and Zimybe (ezetimibe/ simvastatin) 10mg/10mg, 10mg/20mg, 10mg/40mg and 10mg/80mg tablets, as well as for Apotex’ amlodipine 5mg and 10mg tablets. DR REDDY’S has received US Food and Drug Administration (FDA) approval for the first US rival to Pfizer’s Rapamune (sirolimus). The Indian firm’s version of the immunosuppressant is available as 1mg and 2mg tablets. IMPAX has submitted a marketing-authorisation application for its ‘IPX066’ carbidopa/levodopa extended-release capsules to the European Medicines Agency (EMA). The company said it had “initiated a process to find a partner” to market the Parkinson’s Disease treatment in territories outside the US. FDA – the US Food and Drug Administration – has published updated draft guidance on bioequivalence requirements for methylphenidate extended-release oral formulations. The guidance sets out details of two recommended studies – one fed, one fasting – for the attention deficit hyperactivity disorder drug. STADA has launched paracetamol efferverscent 1g tablets in Spain. The rival to Bristol-Myers Squibb’s Efferalgan is available in 20- and 40-tablet packs. MYLAN has launched a US rival to Boehringer Ingelheim’s Viramune XR (nevirapine) 400mg extended-release tablets following US Food and Drug Administration (FDA) approval. BIOOUTSOURCE says it has expanded its research and development capabilities “to leverage rapid growth in the biosimilars market”. Among the development targets for the UK-based contract-testing and characterisation specialist are Actemra (tocilizumab), Orencia (abatacept), Stelara (ustekinumab), Synagis (palivizumab) and Yervoy (ipilimumab). G PRODUCT NEWS RESPIRATORY DRUGS ANTIHYPERTENSIVES S I Baltic states approve Canada’s top court AirFluSal for Sandoz to consider damages andoz has received approval for its AirFluSal Forspiro (fluticasone/ salmeterol) inhaler in Estonia, Latvia and Lithuania. The Baltic states granted marketing authorisations for the 50µg/250µg and 50µg/500µg strengths of the rival to GlaxoSmithKline’s Seretide brand, for patients with asthma and/or chronic obstructive pulmonary disease (COPD). “We look forward to launching this important new product in the Baltics in the near future and making it available to a steadily growing number of people suffering from asthma and COPD,” stated Sandoz’ global respiratory head, Jan-Torsten Tews. Including the three Baltic states, Sandoz noted that AirFluSal Forspiro had now been approved in 13 European countries, as well as in South Korea. The respiratory treatment has also received approval in Mexico, where it will be sold as IrFlosol Forspiro (Generics bulletin, 5 September 2014, page 18). Sandoz has so far rolled out AirFluSal Forspiro in five countries. After introducing the drug in Denmark at the start of this year (Generics bulletin, 3 February 2014, page 15), launches followed in Germany, Norway and Sweden (Generics bulletin, 11 July 2014, page 21), as well as in South Korea (Generics bulletin, 6 June 2014, page 16). The firm recently overcame legal challenges to AirFluSal launched by GlaxoSmithKline in Germany – over the use of the colour purple, similar to the originator’s Viani Diskus device – as well as in Norway and Denmark (Generics bulletin, 17 October 2014, page 18). G ssues around damages owed to generics companies in Canada through the country’s Patented Medicines (Notice of Compliance), or PM(NOC), patent-linkage litigation system will be considered by the Supreme Court of Canada. The court has granted Sanofi leave to appeal against a series of Court of Appeal rulings that clarified the ability of Apotex and Teva to claim damages over delays to marketing generic versions of Sanofi’s Altace (ramipril) antihypertensive due to an invalid patent (Generics bulletin, 4 April 2014, page 15). Apotex and Teva had previously successfully defended themselves over Sanofi’s appeal against a 2009 Canadian Federal Court ruling that several claims of Altace’s Canadian patent 1,341,206 were invalid (Generics bulletin, 18 November 2011, page 18). However, while in progress, the lawsuit had prevented them from marketing their versions. Earlier this year, the Federal Court of Appeal dismissed as “largely speculative” an attempt by Sanofi to assert that – in the hypothetical market that had to be established in order to calculate compensation for the generics firms – Canadian firm Pharmascience would have been first to enter the generic ramipril market. While Sanofi had argued that section eight of the PM(NOC) regulations – covering delays to generic market entry caused by patent litigation – should not, “as a matter of jurisdiction”, allow compensation for lost sales for unauthorised indications, the appeals court said the originator had “referred to no authority to support its submission”. G 14 November 2014 GENERICS bulletin 21 PIPELINE WATCH Gate opens for insulin glargine in Europe S anofi’s Lantus (insulin glargine) blockbuster could soon face biosimilar competition in Europe as November brings the expiry of supplementary protection certificates (SPCs) attached to the European molecule patent EP0,368,187 in Norway and Switzerland. However, six-month paediatric SPC extensions protect the long-acting basal insulin analogue until next year in most of Europe’s largest markets. In September this year, the European Commission approved Eli Lilly’s and Boehringer Ingelheim’s Abasria rival to Lantus as Europe’s first biosimilar insulin (Generics bulletin, 19 September 2014, page 1). Lantus is Sanofi’s highest-selling drug, generating global sales of C4.57 billion (US$5.67 billion) in first nine months of 2014, C643 million of which came from Western Europe and C3.03 billion from the US. Ark Patent Intelligence notes that while Lantus’ US molecule patent is set to expire in February 2015, Sanofi triggered a 30-month stay on approval for Lilly and Boehringer’s hybrid 505(b)(2) version by suing for alleged infringement of a patent protecting the marketed dosage formulation. The stay runs until mid-2016. October and November bring SPC expires for two antipsychotics, Otsuka’s Abilify (aripiprazole) and Janssen’s Invega (paliperidone). SPC expiries in October/November INN Country October Aripiprazole France, Germany*, Italy*, Netherlands*, Romania* Spain, Sweden, Switzerland, UK* Paliperidone Austria, Belgium, Cyprus, France, Germany, Greece, Italy, Luxembourg, Netherlands, Romania, Spain, Sweden, UK November Artemether/Lumefantrine Spain Bupropion Ireland Irbesartan/Hydrochlorothiazide Portugal Icatibant Austria, Belgium, Cyprus, France, Germany, Greece, Hungary, Italy, Luxembourg, Netherlands, Portugal, Spain, Sweden, UK Insulin glargine Norway, Switzerland Nevirapine Portugal Paliperidone Denmark, Finland, Ireland, Norway Selamectin Austria, Belgium, Denmark, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Luxembourg, Netherlands, Norway, Portugal, Slovenia, Spain, Sweden * indicates that the paediatric extension to the SPC remained an application at expiry Figure 1: Molecules for which supplementary protection certificates (SPCs) expire in key markets during October and November 2014 (Source – Ark Patent Intelligence) In several European countries, Otsuka had applied for paediatric extensions to European patent EP0,367,141. These have since been rejected in France and Sweden, and are still in the application stages in Germany and the Netherlands (see Figure 1). Invega’s SPCs were based on European patent EP0,368,388. However, Ark points out, data exclusivity has to date constrained generic competition. While Abilify’s data exclusivity expired in June 2014, allowing generic approvals two years later, Invega’s eight-year term runs until mid-2015, and a oneyear extension for a new indication could bar generics until mid-2018. As Figure 2 shows, eight-year data exclusivity ends in November for drugs including AstraZeneca’s Byetta (exenatide) diabetes drug. G Data exclusivity expiries in October/November INN Country/Region October Almotriptan Argatroban Switzerland Belgium, France, Germany, Italy, Luxembourg, Netherlands, Sweden, UK Cinacalcet European Union Darifenacin European Union Delapril/Manidipine Belgium, France, Germany, Italy, Luxembourg, Netherlands, Sweden, UK Emtricitabine Switzerland Ethinylestradiol/Levonorgestrel Belgium, France, Germany, Italy, Luxembourg, Netherlands, Sweden, UK Firocoxib Switzerland Mannitol Belgium, France, Germany, Italy, Luxembourg, Netherlands, Sweden, UK Olmesartan/Hydrochlorothiazide Canada* Pazopanib US November Amotosalen plasma European Union Anagrelide European Union Capsaicin US Dasatinib European Union Dibotermin alfa Switzerland Exenatide European Union Golimumab Australia Melagatran Switzerland Melatonin Australia Romidepsin US Technetium (99mtc) mertiatide Belgium, France, Germany, Italy, Luxembourg, Netherlands, Sweden, UK Ximelagatran Switzerland * This will be followed by a no-marketing period of two years during which a notice of compliance will not be granted to a generic manufacturer. In addition, a further six months of data protection will be added to the eight-year term for studies of olmesartan in paediatric populations. Figure 2: Molecules for which data exclusivity expires in key markets during October and November 2014 (Source – Ark Patent Intelligence) This monthly update of key patent, SPC and data exclusivity data is extracted from Ark Patent Intelligence Expiry Database. Covering 50 countries and over 1,600 INNs, Ark Expiry Database contains watertight data teamed with the ultimate in generic launch analysis. For further information, visit www.arkpatentintelligence.com, or contact: Europe: +44 870 879 0081. North America: +1 704 665 1986. Or e-mail: hello@arkpatentintelligence.com. 22 GENERICS bulletin 14 November 2014 PRODUCT NEWS IN BRIEF SANDOZ is claiming the first launch of a generic rival to Baxter’s Cytoxan (cyclophosphamide) in the US. The oncology injectable – developed by Sandoz’ partner and abbreviated new drug application (ANDA) holder Jiangsu Hengrui Medicine – is available in 500mg, 1g and 2g single-dose vials. Citing IMS Health data for the year ended September 2014, Sandoz said cyclophosphamide injectables had US sales of around US$420 million. FARMAK has extended its portfolio in Ukraine by launching citicoline in 30ml and 60ml oral solutions. The firm had previously offered the cardiovascular treatment – which is being marketed under the name Lira – as 500mg/4ml and 1,000mg/4ml injectables. In addition, the company has also introduced Ototon (phenazone/ lidocaine) 16mg/ml ear drops, indicated for treating otitis. HOSPIRA has introduced US rivals to AbbVie’s Zemplar (paricalcitol) for injection 2µg/1ml, 5µg/1ml and 10µg/2ml multidose vials following final US Food and Drug Administration (FDA) approval. The treatment for secondary hyperparathyroidism in patients with chronic kidney disease would “increase dosing efficiency and reduce waste to healthcare providers in the renal dialysis and hospital dialysis markets”, Hospira commented. NHS – the UK’s National Health Service – could save around £1.1 billion (US$1.8 billion) over the next five years by systematically switching HIV treatment from patented to generic antiretrovirals (ARVs), according to research conducted by local health researchers from Liverpool and London. “Similar savings are feasible for other European countries, given parallel patent-expiry dates,” the researchers said at an HIV Drug Therapy Congress in Glasgow, Scotland. BRECKENRIDGE says it is finalising plans to launch a US rival to AstraZeneca’s Seroquel (quetiapine) tablets. The firm said the schizophrenia and bipolar disorder drug would be supplied by abbreviated new drug application (ANDA) holder Alembic in 25mg, 50mg, 100mg, 200mg, 300mg and 400mg strengths. ANSM – France’s medicines agency – has added Inopharm’s rivals to UCB’s Atarax (hydroxyzine) 25mg tablets to the country’s répertoire of generic equivalents. Inopharm’s versions are available under the molecule name and four fantasy names. Aguettant has a listing for a rival to GlaxoSmithKline’s Levophed (noradrenaline) 8mg/4ml injectable solution, while Ipsen has added an authorised generic of its own Smecta (diosmectite) 3g oral solution. MYLAN has started shipping its generic version of Warner Chilcott’s Loestrin 24 Fe (norethindrone/ethinylestradiol) 1mg/0.2mg tablets in the US, after receiving final approval from the US Food and Drug Administration (FDA). Citing IMS Health data for the year ended September 2014, Mylan said Loestrin 24 Fe had annual US sales of around US$24.4 million. Last year, Amneal Pharmaceuticals struck a deal with Actavis to acquire a version of the oral contraceptive as a condition of Actavis securing US Federal Trade Commission clearance for its acquisition of Warner Chilcott (Generics bulletin, 4 October 2013, page 5). PHARMA ACTION has opened a plant in Rheda-Wiedenbrueck, Germany, dedicated to producing crude heparin that the firm claims will have the capacity to process “around 60% of Europe’s traceable heparin raw material”. Production at the facility – which has a 3,500 sq m production area and was constructed with joint venture partner Tönnies (Generics bulletin, 18 October 2013, page 4) – is due to start by the end of the year. G BIOLOGICAL DRUGS Amgen sues Sandoz over filgrastim filing S andoz has not met its obligations under the US biosimilars filing framework in seeking approval for a rival to Amgen’s Neupogen (filgrastim), according to a lawsuit filed by the originator in a California district court. In late July, Sandoz’ application became the first US biosimilar filing to be accepted by the US Food and Drug Administration (FDA) for review (Generics bulletin, 8 August 2014, page 1). Noting that the Biosimilars Price Competition and Innovation Act (BPCIA) requires biosimilar applicants to disclose their applications and manufacturing information to the originator within 20 days of filing, Amgen’s lawsuit says Sandoz has “refused to provide Amgen with the Biologics Licence Application (BLA) and manufacturing information in a timely manner”. The decision on Sandoz’ part to “follow only those parts of the BPCIA they consider helpful, and to flaunt the part they consider unhelpful to them” is unlawful, Amgen maintains. The disclosure of the BLA and manufacturing information required by the BPCIA “allows the innovator to assess which patents the biosimilar applicant’s activities could infringe and critically, to start a process that will allow the innovator to bring its patent claims before the applicant can begin selling an infringing product and thereby irreparably damage the market,” Amgen stated. By not providing this information, Sandoz was attempting “to prevent Amgen from learning the details of their processes for manufacture, to avoid patent-infringement litigation on any manufacturing patents and to avoid the patent exchanges required by the statute, and instead go directly to litigation”, the originator believes. Claiming that Sandoz’ failure to follow the statutory framework was “part of a carefully orchestrated scheme to deprive Amgen of the substantive and procedural benefits of the BPCIA”, the originator insisted that “this lawsuit is necessary because [Sandoz] refuse to follow the rules”. Amgen is seeking a declaration that Sandoz has engaged in unfair competition, along with an injunction to prevent the generics firm from marketing its filgrastim as well as “compensatory damages”. A spokesperson for Sandoz said that Amgen’s lawsuit “comes as no surprise”. “As Sandoz is the first company using the pathway to bring cost-effective biosimilars to market in the US,” Sandoz told Generics bulletin, “it is understandable that Amgen and Sandoz might take a different view of the BPCIA provisions. We look forward to the court’s resolution of this matter and Sandoz will not comment further on the litigation at this stage.” Amgen has also filed a citizen petition urging the FDA to require that all biosimilar applications contain a certification from the applicant that it will provide a copy of the application to the sponsor of the reference product, as well as “information that fully describes the manufacture of the proposed biosimilar product”, within 20 days of the FDA accepting the application for review. “This certification should be required for all biosimilar applications that have not been accepted for review by the FDA,” Amgen insists. Celltrion recently revealed that it had initiated the filing process for its Remsima (infliximab) rival to Janssen’s Remicade brand (Generics bulletin, 5 September 2014, page 17). The South Korean firm had said that it expected Remsima to be the first biosimilar monoclonal antibody to be accepted for filing by the FDA, having previously filed a lawsuit against Janssen that challenged the originator’s patents to clear the way for Celltrion to launch its version (Generics bulletin, 18 April 2014, page 19). However, Celltrion recently withdrew the litigation (Generics bulletin, 3 November 2014, page 1). G 14 November 2014 GENERICS bulletin 23 EVENTS DECEMBER 19-21 November 2014 ■ 2-4 December ■ Miami, USA This three-day event is being organised by the US Generic Pharmaceutical Association (GPhA) and is the global event of the worldwide generics industry. It is the annual joint meeting of the Canadian, European, Japanese, South African and US generics industry associations, the CGPA, EGA, JGA, NAPM and GPhA. Topics covered will include market trends, regulatory developments and intellectual property. There will be speakers from companies such as Actavis and Mylan along with opportunities to network. CPhI & P-MEC India Mumbai, India This is a three-day exhibition and networking event which will also provide technical and educational seminars. Contact: UBM. Tel: +31 2040 99544. E-mail: cphiindia@ubm.com. Website: www.cphi.com. Contact: Jennifer Nguyen, GPhA. Tel: +1 202 249 7127. E-mail: jnguyen@gphaonline.org. Website: www.gphaonline.org. 10 December ■ FEBRUARY CRED Generics 9-11 February London, UK This is a course run by Topra looking at regulatory affairs in the generics industry. The course will cover issues including legislation relating to abridged applications and bioequivalence studies. ■ GPhA 2015 Annual Meeting 21 January MARCH 8th EGA Pharmacovigilance Discussion Forum Contact: Lucia Romagnoli, GPA Conferences. Tel: +44 7562 876 873. E-mail: events@egagenerics.com. Register online at www.egagenerics.com or www.egaevents.org. APRIL 9-10 March ■ London, UK This European Generic medicines Association (EGA) event will take the form of a discussion forum with speakers from the industry as well as from agencies. EuroPLX 57 Cascais, Portugal This meeting provides a forum for business-development decision makers to discuss and negotiate agreements, inlicensing, marketing and distribution of patented medicines, generics, biosimilars, OTC products, medical devices and food supplements. Contact: Lucia Romagnoli, GPA Conferences. Tel: +44 7562 876 873. E-mail: events@egagenerics.com. Register online at www.egagenerics.com or www.egaevents.org. 14th EGA Regulatory & Scientific Affairs Conference London, UK This two-day conference will follow the EGA’s Pharmacovigilance Forum. Both events are at the same venue in London. Topics covered at both meetings will include risk-management plans, periodic safety update reports, joint studies and inspections. Contact: Lucia Romagnoli, GPA Conferences. Tel: +44 7562 876 873. E-mail: events@egagenerics.com. Register online at www.egagenerics.com or www.egaevents.org. 13-15 April ■ 12-13 March ■ 7th Pharmeet DIA 27th Annual EuroMeeting Paris, France Issues to be covered at this three-day event include innovation, clinical trials legislation and medical devices. There will be speakers from firms including Amgen and Sanofi. Contact: DIA. Tel: +41 61 225 5151. E-mail: diaeurope@diaeurope.org. Website: www.diaeurope.org. Contact: Raucon. Tel: +49 6222 9807 0. E-mail: meetyou@europlx.com. Website: www.europlx.com. 22-23 January 10th EGA Legal Affairs Forum Brussels, Belgium This is a two-day event organised by the EGA which will look at issues including litigation, regulatory matters and patent settlements. The forum will also offer networking opportunities. Contact: GPhA. Tel: +1 202 249 7127. E-mail: jnguyen@gphaonline.org. Website: www.gphaonline.org. JANUARY ■ 18-19 March ■ Miami, US This is a three-day meeting of the US Generic Pharmaceutical Association (GPhA) which will look at regulatory issues and opportunities for the industry. There will also be networking opportunities. Contact: Topra. Tel: +44 (0) 207 510 2560. E-mail: info@topra.org. Website: www.topra.org. ■ 17th IGPA Annual Conference 23-24 April ■ Mallorca, Spain This two-day event is designed to offer delegates the opportunity to network as well as the chance to strike licensing deals for a wide range of products including biosimilars. Contact: PharMeet. Tel: +34 91 637 0660. E-mail: pharmeet@pharmeet.com. Website: www.pharmeet.com. SAVE THE DATE ... 13th EGA International Biosimilars Conference London, UK This meeting is organised by the EGA and will cover topics including industry developments and regulatory issues for the biosimilars industry. Contact: Lucia Romagnoli, GPA Conferences. Tel: +44 7562 876 873. E-mail: events@egagenerics.com. Register online at www.egagenerics.com or www.egaevents.org. The Global Generics & Biosimilars Awards 2015 will be held in Madrid, Spain on Tuesday 13 October 2015. 24 GENERICS bulletin 14 November 2014 For more information on how to enter, sponsor and attend, contact Natalie Cornwell on +44 (0) 1564 777550 or email: awards@generics-bulletin.com PRICE WATCH ............ UK Forecasting the need for price concessions ■ For further information see www.bppi.co.uk. Alternatively, contact Charles Joynson at WaveData Limited, UK. Tel: +44 (0)1702 425125. E-mail: cjoynson@wavedata.co.uk. profitability Retail +"'&&8 +)'&&6 Price (£) +$'&&4 +#'&&2 , , # , , , , ,, , , , , , , , , , , , , , , , , , , , , $ , , $ , , $ , , $ , , $ , , $ , , $ , , $ , , $ , , $ Sep 14 Oct 14 , , # Mar 14 Apr 14 May 14 Jun 14 -2 ,+#'&& Nov 12 Dec 12 Jan 13 Feb 13 Mar 13 Apr 13 May 13 Jun 13 Jul 13 Aug 13 Sep 13 Oct 13 +, 0 -4 ,+$'&& -6 ,+)'&& Figure 1: Average trade, Drug Tariff and Concession prices for 21-tablet packs of co-amoxiclav 250mg/125mg, showing dispensing losses (Source – WaveData) Average Concession (%$%% 40 profitability Retail Tariff Drug ( "$%% 35 Concession Oct 14 £37.95 ( %$%% 30 (!"$%% 25 Concession Aug 14 £5.94 Price (£) (!%$%% 20 (&"$%% 15 (&%$%% 10 ("$%%5 Nov )&! )12 &! )&! )&! Dec 12 Jan )& 13 )& Feb 13 )& )& Mar 13 )& Apr )& )13 & May 13 )& Jun )& 13 )& Jul)& )& 13 )& Aug )& )13 & Sep 13 )& )& Oct 13 )& Nov )& )13 & Dec 13 )& )& Jan 14 )& )& Feb 14 )& )& Mar 14 )& Apr )14 & )& May 14 )& Jun 14 )& )& Jul)& 14 )& & Aug )& )14 & Sep 14 )& )& Oct 14 )& () 0 )("$%% -5 )(&%$%% -10 Figure 2: Average trade, Drug Tariff and Concession prices for 30-tablet packs of exemestane 25mg, showing dispensing losses (Source – WaveData) Average Retail profitability Tariff Drug +(''8 +(''7 +!(''6 +"(''5 +#(''4 +$(''3 +)(''2 +%(''1 -2 ,+)('' ,%) ,%) ,%) ,%) ,%$ ,%$ ,%$ ,%$ ,%$ ,%$ ,%$ ,%$ ,%$ ,%$ ,%$ ,%$ ,%$ ,%$ ,%$ ,%$ ,%$ ,%$ %$ ,%$ ,%$ ,%$ ,%$ ,%$ ,%# ,%# ,%# ,%# ,%# ,%# ,%# ,%# Feb 14 Mar 14 Apr 14 0 Nov 12 Dec 12 Jan 13 Feb 13 Mar 13 Apr 13 May 13 Jun 13 Jul 13 Aug 13 Sep 13 Oct 13 +, -1 ,+%('' ,%# ,%# ,%# ,%# ,%# ,%# ,%# ,%# ,%# ,%# ,%# ,%# Figure 3: Average trade and Drug Tariff prices for 28-tablet packs of bicalutamide 150mg, showing dispensing profit declining into losses (Source – WaveData) Average )"&%% 16 Retail profitability Tariff Drug )'&%% 14 )#&%% 12 )%&%% 10 ) &%%8 )"&%%6 )'&%%4 )#&%%2 )* 0 -2 *)#&%% -4 *)'&%% *# *# *# *# # * * * * * * * * * * * * * * * * * * * * * * * * *' *' *' *' *' *' *' *' *' *' *' *' *' *' *' *' *' *' *' *' Sep 14 Oct 14 Please specify the product and period of time you would like to investigate and email your request to info@wavedata.co.uk. Drug Tariff Jul 14 Long-term product price trends or other price analyses are available. Average Nov 12 Dec 12 Jan 13 Feb 13 Mar 13 Apr 13 May 13 Jun 13 Jul 13 Aug 13 Sep 13 WANT MORE LIKE THIS? Concession 10 + &'&& Price (£) ore frequent adjustments to reimbursement prices are currently being considered by the English authorities, which want to make the funding system for community pharmacy more responsive and account for “all margin within the annual sum” (Generics bulletin, 17 October 2014, page 25). Meanwhile, however, the Pharmaceutical Services Negotiating Committee (PSNC) – the body representing community pharmacists’ interests – continues to negotiate monthly price concessions from the authorities for products whose trade prices in the marketplace exceed those in the official Drug Tariff of reimbursement prices. Nine ingredients in 12 presentations were granted price concessions last month, which was somewhat below the usual number. At present, actual trade prices are collected quarterly to arrive at category M reimbursement prices in the Drug Tariff, which usually have a three-month lifespan. A shorter timescale would clearly make the funding system more responsive. Meanwhile, pharmacists are dispensing some products at a loss. Charles Joynson, WaveData’s managing director, says that analysis has shown that low prices do not drive availability issues. Neither has any association been found between the direct-marketing activities of wholesalers and product availability. What is apparent, however, is that retail profitability – the difference between Drug Tariff and average trade price – is a significant factor in whether there are any common features in the trade-price histories of products granted concessionary prices, and whether there are any earlier, telltale signs that pharmacists are likely to be dispensing products unprofitably. Products for which a price concession is eventually granted experience some months of declining retail profitability, and eventually dispensing losses, before the concessionary price is granted. Typical examples are 21-tablet packs of co-amoxiclav 250mg/125mg (see Figure 1) and 30-tablet packs of exemestane 25mg (see Figure 2). Of the 49 products granted concessionary prices, 34 exhibited this pattern, according to Joynson. Of the rest, 13 were already receiving price concessions at the start of the two-year period studied and the remaining handful failed to show any period of profit decline. Of the 34 concessionary products, 41% gave more than three months warning of impending losses, but another 32% lost profitability more quickly. Another 43 products, however, were not granted a price concession and yet also experienced profit declines turning into dispensing losses during the period. Bicalutamide and esomeprazole were typical of this group (see Figures 3 and 4). “The main difference between the two groups was that products granted price concessions would have generally resulted in far greater financial losses for pharmacists than the others,” comments Joynson, who adds that 94% of all products that caused dispensing losses were in category M. Pharmacists would have lost as much as £5.90 (US$9.36) on average for dispensing co-amoxiclav in April 2014 without the monthly price concession, while the loss would have been £6.77 on average for exemestane last month. The comparable losses for dispensing bicalutamide and esomeprazole without price concessions were £1.08 and £3.40, respectively, both in November 2013. G Price (£) M Figure 4: Average trade and Drug Tariff prices for 28-capsule packs of esomeprazole 40mg, showing dispensing profit declining into losses (Source – WaveData) 14 November 2014 GENERICS bulletin 25 MARKET RESEARCH US awaits biosimilar savings By combining a review of existing studies on potential US savings from biosimilars with analysis of the latest sales data, RAND Corporation has concluded that biosimilars could save the country US$44 billion over the next decade. David Wallace reports. Study E ver since 2009’s Biosimilars Price Competition and Innovation Act (BPCIA) set out the US regulatory framework, there has been anticipation of significant savings once biosimilars enter the market. Market researcher RAND Corporation has reviewed a series of previous savings studies, in tandem with 2013 sales data, to provide the latest estimate. “We predict that biosimilars will lead to a US$44.2 billion reduction in direct spending on biologic drugs from 2014 to 2024, or about 4% of total biologic spending over the same period,” the RAND report states, acknowledging that the final figure could fall between US$13 billion and US$66 billion. “Our estimate,” RAND states, “uses recent data and transparent assumptions” while combining prior research (see Figure 1) with 2013 US sales data on more than 100 biologics, including all blockbuster biologics. RAND noted that its forecast assumed year-onyear originator growth of 10%, as well as an increase in the share of originator sales exposed to biosimilar competition from 10% in the first year to 20% in the tenth. It also assumes biosimilar market penetration of 60%, and a biosimilar price discount of 35%. These “informed guesses” were also used to estimate the way the projected overall savings would be split between different product classes (see Figure 2). The report finds that US cost savings from biosimilars will be influenced by four main drivers: safety and efficacy; payment; acceptability; and competition. While these drivers build on each other, the report notes, “a single strong driver can lead to significant cost savings even with lacklustre results elsewhere in the framework”. “We caution against expecting savings similar to those from small-molecule generics for biosimilars, Other Non-interferon immunostimulants Anti-TNF Erythropoetins Interferons Colonystimulating factors Longacting insulins Fastacting insulins mAb antineoplastics Figure 2: Breakdown by product type of potential US cost savings from biosimilars (Source – RAND Corporation) but rather view those as an upper bound of the potential savings,” the study states. “Details on interchangeability, naming conventions, market exclusivity for originators and clinical research requirements will have a direct impact on biosimilar competition and uptake, and therefore on cost savings.” Ralph Neas, president and chief executive officer of the US Generic Pharmaceutical Association (GPhA), said there was “unanimous agreement that biosimilars will promote competition, enable significant savings, and provide millions of patients with alternatives to costly biologic drugs”. “It is an exciting time for the industry,” Neas stated, “and recent FDA actions constitute major steps forward. We look forward to witnessing the transformative potential of these innovative therapies as they are integrated into the American health system.” G Approach Scope Time frame Price reduction Saving Grabowski et al., 2007 as applied in Goodman et al., 2009 (base case) Economic model 6 major categories of biologics, top 20 biologics by sales only, all payers 2009-2019 12% to 20% varies by product US$10 billion Grabowski et al., 2007 as applied in Goodman et al., 2009 (sensitivity analyses) Economic model 6 major categories of biologics, top 20 biologics by sales only, all payers 2009-2019 12% to 40% varies by product US$1 billion to US$44 billion Ahlstrom et al., 2007 (Avalere Health) Actuarial model Federal payers only 2008-2017 10% to 51% varies by product and increasing over time US$3.6 billion Engel and Novitt, 2007 Actuarial model Excludes Enhanced Primary Care, Medicare Part B only (office-based, physicianadministered biologics) 2007-2016 Unknown US$14.4 billion Miller and Houts, 2007 (Express Scripts) Actuarial model Select markets, all commercial players 2007-2016 25% US$71 billion CBO, 2008 Actuarial model All biologics 2009-2018 20% to 40% varies by product and increasing over time US$25 billion Shapiro et al., 2008 Actuarial model Top 12 biologic classes 2010-2019 25% to 35% varies by assumption US$67 billion to US$108 billion Figure 1: Select estimates of potential US cost savings from biosimilars (Source – RAND Corporation) 26 GENERICS bulletin 14 November 2014 PEOPLE APPOINTMENTS Camargo’s Castillo leads development C amargo – the US-based 505(b)(2) hybrid new drug application (NDA) specialist – has named Steven Castillo as its vice-president of drug development. During a 25-year career that has included roles with GlaxoSmithKline (GSK) and Novartis’ Alcon unit, Castillo has, according to Camargo, amassed a “broad therapeutic expertise” in areas including infectious diseases, oncology, ophthalmology, dermatology and biological drugs. “Steven is a tremendous asset to our team,” commented president and chief executive officer Ken Phelps. “His experience in each stage of drug development, combined with outstanding leadership qualities, strengthens our team and will better support the success of our clients.” G APPOINTMENTS Mendonça moves to Mylan M ylan has appointed Victor Mendonça as vice-president of global policy and market access in Europe. Mendonça previously oversaw market access at the European Generic medicines Association (EGA), having previously served as an advisor to the board of Portuguese regulatory agency Infarmed. He has also worked for Boehringer Ingelheim as a product manager in Portugal. G IN BRIEF PERRIGO has hired Adriane Siefert as senior legal counsel, based at the group’s US headquarters in Allegan, Michigan. She will work on issues including drafting and negotiating commercial contracts. AKRIKHIN has appointed Irina Redzyuk as its vice-president of regulatory affairs. She previously served in similar roles with firms including Ferring and Teva Russia. EAASM – the European Alliance for Access to Safe Medicine – has promoted its board member Cathalijne van Doorne as chairperson. She takes over the role at the anti-counterfeiting body from Jim Thomson, who remains on its board. G APPOINTMENTS Actavis prefers Pepsi to find finance head A ctavis has announced that Pepsi’s Maria Teresa Hilado will join the company on 8 December to succeed Todd Joyce as the firm’s chief financial officer. Joyce – who has served in the role since October 2009, having initially taken it up on an acting basis in July of that year – will, however, remain with the firm until “early 2015” to “support the transition”. Hilado will join Actavis from PepsiCo, where she currently serves as senior vice-president of finance and treasurer. Previously, she worked in the same role with Schering-Plough. “Tessa is an experienced finance leader whose nearly three decades in financial leadership roles at some of the world’s leading multinational corporations will be invaluable to Actavis as we continue our evolution,” said president and chief executive officer Brent Saunders. Joyce will depart the company after a 17-year association, having joined Watson Pharmaceuticals in 1997 as corporate controller before being promoted and adding the role of treasurer to his responsibilities around four years later. Commenting on Joyce’s retirement, Actavis’ executive chairman Paul Bisaro stated: “Todd has been an integral part of the executive leadership team that has reshaped our company from a US-centric generic company into a truly global, specialty pharma leader.” G APPOINTMENTS Gehler heads Siegfried sites S iegfried’s chief communications officer, Peter Gehler, has from 1 November taken on “management and coordination” of the Swiss group’s industrial site in Zofingen, Switzerland, along with the committees that represent four other companies at the site. The Swiss group said the site was to be “further developed in the coming years” under the Pharmapark Siegfried Zofingen name “to develop an attractive and competitive location for Siegfried and other companies in the pharmaceutical field”. Subsequent to taking on the role, Gehler has stepped down from Siegfried’s executive committee; however, he has retained his responsibilities as chief communications officer – a position he has held since 2000 – and will also continue to manage the Swiss group’s manufacturing facilities in Zofingen. G All that’s happening in consumer healthcare Read all about it in OTC bulletin The best decision-makers in the OTC industry don’t have the time to go looking for good information. They let it come to them. They subscribe to OTC bulletin. NEW AVAILABLE INSTANTLY WORLDWIDE OTC bulletin-i is the digital i-edition of OTC bulletin. Now available online for desktop access, it delivers the latest OTC bulletin on the day of publication with no postal delay. It also comes – at NO EXTRA CHARGE – as an app for mobile access by tablet and smartphone. OTC bulletin-i subscribers also get access to a fullysearchable archive. This contains over five years of OTC news and analysis in more than 100 back issues. electronic newsflash Take out a subscription TODAY at www.OTC-bulletin.com or contact: subscriptions@OTC-bulletin.com 14 November 2014 GENERICS bulletin 27 Generics bulletin print Generics bulletin-i digital News@Genericsbulletin electronic newsflash The best decision-makers in the generics industry don’t have the time to go looking for good information. They let it come to them. They subscribe to Generics bulletin. Join thousands of subscribers from competitor companies in nearly 60 countries who are already benefitting from commercial intelligence about business opportunities in the global generic medicines and biosimilars markets. GOOD VALUE - Individual subscription rates start from just £895 AVAILABLE INSTANTLY WORLDWIDE Generics bulletin-i is the digital i-edition of Generics bulletin. Now available online for desktop access, it delivers the latest Generics bulletin on the day of publication with no postal delay. It also comes – at NO EXTRA CHARGE – as an app for mobile access by tablet and smartphone. INDIVIDUAL SUBSCRIPTIONS An annual subscription comprises: n 20 Generics bulletin newsletters; n AND at least 46 weekly News@Genericsbulletin electronic newsflashes containing the week’s top news stories (currently delivered by email). CHOICE OF FORMATS The 20 Generics bulletin newsletters are available: n EITHER as the digital Generics bulletin-i for online access by desktop AND tablet and smartphone. These mobile devices can have Apple or Android operating systems; n OR in traditional hard-copy print format, delivered by airmail; CORPORATE SUBSCRIPTIONS A corporate subscription provides location-, country- or company-wide access to Generics bulletin-i subscribers also get access to a fully-searchable archive. This contains over Generics bulletin-i. five years of generics news and analysis in more than 100 back issues. These offer an invaluable resource for researching marketing opportunities, benchmarking competitive strengths, evaluating Contact subscriptions@Generics-bulletin.com. regulatory changes and assessing product developments. Existing subscribers can get 20% OFF when they upgrade their subscriptions to include Generics bulletin-i. Contact subscriptions@Generics-bulletin.com. Take out a subscription TODAY at www.Generics-bulletin.com or contact: subscriptions@Generics-bulletin.com Bulletin Publishing Group, OTC Publications Ltd, 4 Poplar Road, Dorridge, Solihull B93 8DB, UK. (Tel: +44 (0)1564 777550; Fax: +44 (0)1564 777524). Registered in England No: 2765878. VAT No: GB 608 0432 69
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