Biomedical Engineering Reference
In-Depth Information
deals were codevelopment/copromotion deals. Of the seven
deals from these nine that provided financial terms of
the deal, we found that the up-front payment ranged between
$5 million and $125 million, with an average of $50 million,
whereas total milestone payments ranged from $67 million to
$800 million, with an average of $336 million. Over the past
few years, there has been a relatively low level of risk capital
both for public and private markets, given the economic
climate and the fact that even in areas with well-proven
business models (mAbs) private investors have found it tough
to exit and public investors have been faced by years of
negative profitability. As a result, collaborations have become
increasingly important to earlier-stage biotech companies in
supporting cashburn and clinical development.
FP programs have not escaped deal attrition. In our deal
analysis, we count at least three deal terminations over the
past few years, and a further three deal restructurings.
Terminations were mainly due to Big Pharma companies
changing their strategic direction, while restructurings were
mainly due to reorganizations of R&D responsibilities and
marketing rights, or because the FP developer was looking
for less exposure to development costs.
Meanwhile, we have seen some acquisitions of FP devel-
opers (most notably Amgen's $16 billion acquisition of
Immunex to capture Enbrel), but these have been fewer
in number than the collaborations. There are four reasons for
this: first, it can be cheaper (depending on the level of up-
front payments) and easier to form a collaboration than to
acquire a company. Second, there is less risk with collabo-
rations—if it goes wrong, or if data is weak, or even if the
Big Pharma/Big Biotech company has a strategy change and
wants to move out of the area, it is easier for these multi-
national companies to exit the collaboration. Third, FP
developers are likely more incentivized to ensure the FP
generates strong data with a milestone structure in place.
Last, there is a risk of a brain drain if a Big Pharma acquires
an early-stage drug developer, given the change in work
environment.
REFERENCES
1. Adams CP, Brantner VV. (2006) Estimating the cost of new
drug development: is it really 802 million dollars? Health Aff.
(Millwood) 25(2), 420-428.
2. Comfort C. (2011) Virtually the same percentage of surveyed
rheumatologists selected Enbrel 1 and Humira as the most
efficacious agent for the treatment of rheumatoid arthritis.
Decision Resources, 1 March.
3. Comfort C. (2011) For the treatment of moderate to severe
psoriasis, the highest proportion of surveyed dermatologists
and MCOS indicate that Humira and Enbrel 1 have the best
overall clinical profile when compared to other currently
available agents. Decision Resources, 7 February.
4. Singer N. (2009) In Wyeth, Pfizer Sees a Drug Pipeline. New
York Times Magazine, 26 January.
5. Timmerman L. (2007) Abbott's Humira Threatens Amgen in
Psoriasis Market. Bloomberg, 7 February.
6. Grogan K. (2010) Psoriasis market worth $6.8 billion in 2019.
PharmaTimes, 10 August.
7. Comfort C. (2010) Humira replaces Enbrel 1 as the therapy
perceived by dermatologists to be the most efficacious for the
treatment of moderate to severe psoriasis. Decision Resources,
23 March.
8. Cohen J, Wilson A. (2009) New challenges to medicare
beneficiary access to mAbs. MAbs 1(1), 56-66.
9. Moots RJ, Haraoui B, Matucci-Cerinic M, van Riel PLCM,
Kekow J, Schaeverbeke T, et al. (2011) Differences in biologic
dose-escalation, non-biologic and steroid intensification
among three anti-TNF agents: evidence from clinical practice.
Clin. Exp. Rheumatol. 29(1), 26-34.
10. Choi S. (2011) The use of Etanercept Enbrel 1 as sole treat-
ment for grade I acute graft versus host disease NCT00726375.
Clinicaltrials, 30 September.
11. Comfort C. (2011) Bristol-Myers Squibb's Orencia 1 garners
greatest patient share among non-tnf biologics in the treatment
of rheumatoid arthritis. Decision Resources, 11 July.
12. Luo A. (2009) BMS, Final Clinical Study Report for Study
IM101084. 17 December.
13. Luo A. (2010) BMS, Final Clinical Study Report for Study
IM101108. 10 April.
14. Silverman M. (2011) Idiopathic thrombocytopenic purpura.
Medscape, 21 January.
15. Kuter DJ, Bussel JB, Lyons RM, Pullarkat V, Gernsheimer TB,
Senecal FM, et al. (2008) Efficacy of romiplostim in patients
with chronic immune thrombocytopenic purpura: a double-
blind randomised controlled trial. Lancet 371(9610), 395-403.
16. Nathan DM, Buse JB, DavidsonMB, Ferrannini E, Holman RR,
Sherwin R, et al. (2009) Medical management of hyperglycae-
mia in type 2 diabetes mellitus: a consensus algorithm for the
initiation and adjustment of therapy: a consensus statement from
the American Diabetes Association and the European Associa-
tion for the Study of Diabetes. Diabetologia 52(1), 17-30.
17. Cook MN, Girman CJ, Stein PP, Alexander CM. (2007) Initial
monotherapy with either metformin or sulphonylureas often
fails to achieve or maintain current glycaemic goals in patients
DISCLAIMER
The views expressed are the opinions of the individual
authors only and are in no way connected to either WestLB
or Datamonitor. No recommendation or opinion concerning
any equity security is made in this chapter. The authors
received no financial support for this research and declare no
competing financial interests.
ACKNOWLEDGMENT
The authors are grateful to Dr Giordano Pula, University
of Bath, UK, for his helpful comments on earlier drafts.
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