Monday, September 24, 2012

Big Pharma : The Cost of Innovation


    The years 2011-15 are very important for the big pharma(-ceutical) companies due to what is called as 'Patent Cliff'. Several of them are losing the patent protection of some of their high selling drugs. With a dry pipeline of new drugs which could be patented, the analysts have already started to rerate the pharma companies, especially those who employ huge R&D capital like Merck, Pfizer, Astrazeneca, GSK etc. The concerned companies have also started to cut their R&D quota and related employees. This trend of cutting on R&D, could lead to a grim situation in the coming years as the discovery of new and effective drugs would be affected badly by this attitude. But, the pharma companies have their woes and cribs that the present IPR regime has been causing them Huge Losses!
    By present IPR or Intellectual Property Rights regime, it means that any patent remains active for a certain duration during which only the patent holder can manufacture and sale the drug. Once the patent expires, several other players can also sell a version of the drug called Generics. Thus, with the end of exclusive rights to the patent holding company, the competition increases and the price of the drug falls drastically.
    Lets see if this really causes loss to the companies or not. To understand this lets first have a little understanding about the patents.
    (Just one thought : If it is really causing losses, why are they not bankrupt by now? ;) )

    A patent can be of various types with the 'Utility' patents being the most common. They are provided for 'new, non-obvious & useful Process, Machine, Article of manufacture, Composition of matter' etc and is granted for 20 years from the date of application of the patent. Patents are also provided for Design (Design Patents) and are provided for 14 years from the date of patent application.
    The patent durations used to be 17 years from the issue date before June 8, 1995. But to accommodate the  recommendations set forth by Trade Related Aspect of Intellectual Property Rights (TRIPS), it has been changed to 20 years from the earliest filing date and the magical date has been set as June 8, 1995.

    Lipitor's, world's most selling drug, actual patent expired in Mar 2010 but Pfizer obtained an extension on the patent for another 20 months till Nov 2011. After this, Ranbaxy along with Teva Pharmaceuticals were given the rights to produce the generic version, Atorvastatin calcium, of the world's best selling drug. Walgreen and other four large drug and grocery chains have sued Pfizer for obtaining a fraudulent patent after the expiry of the original patent. They have accused Pfizer of making a deal with Ranbaxy (and Teva) to go slow on the production of the generic so that Lipitor could still make good sales. Pfizer defends saying that they have additional patents on Lipitor's name which run till 2016. Lipitor's sales hit as high as $12.9 Bn in 2004 making it the highest selling drug of all times.

    Now Lipitor is one off example where the original innovator has made substantial returns on its investment. But is it true for all companies? Lets have a look at the data compiled by InnoThink Center for Research in Biomedical Innovation. 

    They have taken a simple approach of adding the total R&D expenses of the big pharma companies and divided it by the number of drugs approved during the years 1997-2011. This gives a mind-boggling figure of upto $11.79 Bn per drug that has got the patent protection in all these years. The lowest figure is of $3.6 Bn. Certainly several drugs do not generate this kind of revenues to make good of the R&D expenses as per the presented data. 
    However, arguments by Donald Light and Rebecca Warburton negates this style of estimation. They say that the 'New Active Ingredients' patented during all these years might be low (eg. 5 for AstraZeneca) but the patented variations of the existing drugs are the major source of profits for the drug companies and such incremental patented drugs account for 60% of the total US drug budget. There are other arguments too, which if accounted for, would bring down the 'R&D spending per drug' to as low as one-third of the presented data. In all likelihood, it should be between $1 Bn to $4 Bn.
    Astrazeneca has been posting an average sales revenue of $30.94 Bn in the past 5 years with a CAGR of 7.24% while the average PAT stood at $7.25 Bn with a profit margin of approximately 23%.
    Since the patent of 20 years is counted from the date the patent has been first applied, the effective duration of patents reduces to 10-12 years. It takes time to push the first lot of the drug to the market after the patent is applied for.
    Now, to see that if this kind of profit is good enough to make up for the amount invested in R&D or not, we assume that the company sells only 5 patented drugs for the next 10 years, all acquired in the year 2012. This assumption spares us from accounting the increased innovation cost per drug due to increasing complexities in drug R&D. Thus the investment in R&D pegs at $20 Bn taking the higher end of the our estimate of $1 Bn to $4 Bn per drug.

    Sales
    2012-2022
    $432.4 Bn
    PAT
    2012-2022
    $99.45 Bn

    An investment of $20 Bn gives about 400% returns on investment in 10 years through one of the most conservative calculations.

    So where is the loss to the innovator company? They easily recover their investment on R&D and make huge profits on the patents in the span of 10 years. Here we took the example of a company with highest cost of R&D per drug. The profits increase many folds for someone like Novartis or Merck. The so-called losses due to the limited patents are the revenues foregone due to the introduction of generics based on the patented or 'branded' drugs. The generics are generally priced in the range of 10-30% of the cost of the actual drug. EvaluatePharma estimates 'Sales at Risk from Patent Expirations in 2011-16' at $267bn. For eg. Lipitor's sales sky-rocketed to $9.6 Bn in 2011 but fell by 42% YOY in Q1 2012 after the exclusivity on the drug expired. 

    The end of patent-protection of a blockbuster drug leads to a beginning of big gains for the generics companies. The reason is clear. They get a solid market of the patented drug for minimal investment. Thus, the major portfolio of the drug companies consists of Generics. 

    Blockbuster drugs like Lipitor, Zyprexa, Levaquin, Concerta & Protonix have seen their patents expiring in 2011 while drugs like Plavix (anti-platelet), Seroquel (antipsychotic), Singulair (asthma), Actos (Diabetes - type 2) and Enbrel (arthritis) ar expiring in 2012.
    In fact, Lupin, Dr. Reddy's and Sun Pharma have all got the USFDA approval for selling the  generic version of Seroquel in Sept 12. Similarly, Ranbaxy launched the generic version of Actos in US recently.
    Natco Pharma is expected to launch the generic version of anti-ulcer drug lansoprazole in the US next quarter as the 5th player in the $800 mn-a-year market for the drug.
    But with the number of patented drugs losing patent going down in the coming years, the new sources of revenues for the generic-based pharma companies are capped in the long term. Thus, an investment in companies which spend heavily on R&D and secure patents for their innovation would fetch more in the coming years than the generics selling companies. However, the timing would be of utmost importance. For eg. Pfizer is set to lose some of its patented drugs which account for about 28% of its revenues by 2013. And in absence of any major discovery, the revenues are expected to fall drastically. An investment opportunity would arise only after the market price of the stock reflects all such negatives.

    So what are the companies which should be on radar for a good investment opportunity? Will talk about it next time. :)


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