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Industry-academia co-operation
to sustain innovation in drug
discovery


BioDundee 30 May 2012

Campbell Wilson
AstraZeneca
The Perfect Storm
The Perfect Storm for Pharma


                       REGULATORY
                       HURDLES




                             PRICING &
                         REIMBURSEMENT

            PATENT
            EXPIRIES
The Patent Cliff
Patent Expiring
                  Condition       Company     2010 U.S. Sales
in 2011

Lipitor           cholesterol     Pfizer       $5,329,000,000

Zyprexa           antipsychotic   Eli Lily     $2,496,000,000

                                  Johnson &
Levaquin          antibiotics                  $1,312,000,000
                                  Johnson
                                  Johnson &
Concerta          ADHD/ADD                       $929,000,000
                                  Johnson

Protonix          antacid         Pfizer         $690,000,000
Patent Expiring in
                     Condition         Company          2010 U.S. Sales
2012


                                       Bristol-Myers
Plavix               anti-platelet     Squibb /            $6,154,000,000
                                       Sanofi-Aventis


Seroquel             antipsychotic     AstraZeneca         $3,747,000,000

Singulair            asthma            Merck               $3,224,000,000

Actos                type 2 diabetes   Takeda              $3,351,000,000

Enbrel               arthritis         Amgen               $3,304,000,000
Clinical success rates




2004-2011 success rate from Ph I to FDA approval is:
       6.7% for oncology
      12.1% for other indications
Health Technology Assessment Agency
   reimbursement decisions

Disease           Recommend       Recommend        Not recommended          Total
                   Decision       R* Decision                             Decisions
Cardiovascular         23               27              Decision
                                                           14                 64
                     (36%)            (42%)              (22%)              (100%)

Cancer                 29               52                  49                130
                     (22%)            (40%)               (38%)             (100%)

Total decisions        52               79                  63                194
                     (27%)            (41%)               (32%)             (100%)


*R = Recommended decision with restriction to clinical classification or patient group.
Source – Health Economics Consortium, 2008
Impact on the pharmaceutical industry
 AstraZeneca 2011 annual results
                         2011     2010     Actual     CER
                          $m       $m      growth   growth


Revenue                  33,591   33,269     +1%       -2%

Core Operating Profit   13,167    13,603     -3%       -4%

Core EPS                  $7.28    $6.71     +9%      +7%

Reported EPS             $7.33    $5.60    +31%      +29%

Full Year Dividend       $2.80    $2.55
•Fewer successful product launches
•Negative growth
•Long term sustainability of pharma
operating model questioned
Pharma’s response

 Cost constraints

 Divert resources to filling and progressing late-
  stage pipeline

 Consequential reduction in resourcing of drug
  discovery
Pharma’s challenge

 How do we secure long-term sustainability through
  innovative drug discovery?
Pharma’s challenge

 Creative collaboration!
Collaboration models
- the old and the new

• Pharma fully funds            • Pharma and academia share
• Pharma retains all rights       resources, risk and reward
• Pharma reaps all commercial   • Payment for successful outcomes
  benefit                         rather just for the work being done
                                • Significant success means
                                  significant reward
                                • Hand-back rights to academic
                                  partner if Pharma does not
                                  prosecute
                                • Pharma contribution in kind such
                                  as access to compound collection
AstraZeneca-Cancer Research Technology
Strategic Alliance in Cancer Metabolism

CRT show
selected
targets in
theme area        Joint activities within a JMT managed portfolio of projects
                  with 50/50 resourcing (approx. 30 FTE in total)



    Target             Assay                                                    Early Lead
    Validation         Development            HTS            Hit-to-Lead        Optimisation

 Joint project
 acceptance via
 JMT. Project
                                                                                   Project passes
 managed by JPT
                                                                                   to AZ but
                                                                                   monitored via
                                                                                   JMT until
                                                                                   enters AZ
                                                                                   Development
Deal terms – financial structure
• Access fee - in recognition of AstraZeneca gaining access to CR
  UK’s network of scientific investigators in cancer metabolism
• Each party covers its own costs
• Success based milestone payments
 -   Each project start (start of screening)
 -   Each project that successfully delivers (adopted by AZ)
 -   Formal entry to AZ Development
 -   Clinical development milestones through to launch
• Royalty on product sales
AZ – MRCT                                   AZ pursue – Research
                                            Collaboration / licence

Model                                                   or
                                           AZ & MRC pursue jointly                                                           Study /
                                                                                                                             licence
                                           Research Collaboration
                                                                                                                                                                   •AZ licence joint results
                                                                                                                                                                   & MRC compound if




                                                                                                             H2




                                                                                                                             Exercise Option 2
                                                                                      £20K Option Fee




                                                                                                                                                 £20K Option Fee
                                                                   Exercise Option1




                                                                                                               L
                       Selected                                                                                                                                    required




                                                                                                                Ch
                                          MR




                                                                                                                   e
                        Target




                                                                                                                   m
                                             C




                                                                                                                    i st
                                                 Sc
                                                   ree




                                                                                                                        ry
                                                         n



                                                                                                                                                                       •AZ assigns
                                                                                                                                                                       interest in joint
                                                                                                                                                                       results
                                                                                                                                                                       •MRC licence AZ
                                                                                                                                                                       compound if


                                                             Reject Option 1
                                                                                                            Reject Option 2                                            required

                                                                                                                                                                        MRC
                      Rejected                                                                                                                                          pursue
                       Target
                                                                                                        •No further obligations to AZ
                                             Hit from MRC CC                                            •AZ assigns interest in joint
MRC can screen up to 5 Rejected Targets                                                                 results
using the AZ CC – AZ retains Options
                                                                                                        •AZ grants use of joint results /
1&2
                                                 Hit from AZ CC                                         AZ compound to allow MRC
                                                                                                        to perform H2L chemistry
                                                                                                        •AZ retains Option 2
The future?

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Campbell Wilson

  • 1. Industry-academia co-operation to sustain innovation in drug discovery BioDundee 30 May 2012 Campbell Wilson AstraZeneca
  • 2.
  • 3.
  • 5. The Perfect Storm for Pharma REGULATORY HURDLES PRICING & REIMBURSEMENT PATENT EXPIRIES
  • 6. The Patent Cliff Patent Expiring Condition Company 2010 U.S. Sales in 2011 Lipitor cholesterol Pfizer $5,329,000,000 Zyprexa antipsychotic Eli Lily $2,496,000,000 Johnson & Levaquin antibiotics $1,312,000,000 Johnson Johnson & Concerta ADHD/ADD $929,000,000 Johnson Protonix antacid Pfizer $690,000,000
  • 7. Patent Expiring in Condition Company 2010 U.S. Sales 2012 Bristol-Myers Plavix anti-platelet Squibb / $6,154,000,000 Sanofi-Aventis Seroquel antipsychotic AstraZeneca $3,747,000,000 Singulair asthma Merck $3,224,000,000 Actos type 2 diabetes Takeda $3,351,000,000 Enbrel arthritis Amgen $3,304,000,000
  • 8. Clinical success rates 2004-2011 success rate from Ph I to FDA approval is: 6.7% for oncology 12.1% for other indications
  • 9. Health Technology Assessment Agency reimbursement decisions Disease Recommend Recommend Not recommended Total Decision R* Decision Decisions Cardiovascular 23 27 Decision 14 64 (36%) (42%) (22%) (100%) Cancer 29 52 49 130 (22%) (40%) (38%) (100%) Total decisions 52 79 63 194 (27%) (41%) (32%) (100%) *R = Recommended decision with restriction to clinical classification or patient group. Source – Health Economics Consortium, 2008
  • 10. Impact on the pharmaceutical industry AstraZeneca 2011 annual results 2011 2010 Actual CER $m $m growth growth Revenue 33,591 33,269 +1% -2% Core Operating Profit 13,167 13,603 -3% -4% Core EPS $7.28 $6.71 +9% +7% Reported EPS $7.33 $5.60 +31% +29% Full Year Dividend $2.80 $2.55
  • 11. •Fewer successful product launches •Negative growth •Long term sustainability of pharma operating model questioned
  • 12. Pharma’s response  Cost constraints  Divert resources to filling and progressing late- stage pipeline  Consequential reduction in resourcing of drug discovery
  • 13. Pharma’s challenge  How do we secure long-term sustainability through innovative drug discovery?
  • 15. Collaboration models - the old and the new • Pharma fully funds • Pharma and academia share • Pharma retains all rights resources, risk and reward • Pharma reaps all commercial • Payment for successful outcomes benefit rather just for the work being done • Significant success means significant reward • Hand-back rights to academic partner if Pharma does not prosecute • Pharma contribution in kind such as access to compound collection
  • 16. AstraZeneca-Cancer Research Technology Strategic Alliance in Cancer Metabolism CRT show selected targets in theme area Joint activities within a JMT managed portfolio of projects with 50/50 resourcing (approx. 30 FTE in total) Target Assay Early Lead Validation Development HTS Hit-to-Lead Optimisation Joint project acceptance via JMT. Project Project passes managed by JPT to AZ but monitored via JMT until enters AZ Development
  • 17. Deal terms – financial structure • Access fee - in recognition of AstraZeneca gaining access to CR UK’s network of scientific investigators in cancer metabolism • Each party covers its own costs • Success based milestone payments - Each project start (start of screening) - Each project that successfully delivers (adopted by AZ) - Formal entry to AZ Development - Clinical development milestones through to launch • Royalty on product sales
  • 18. AZ – MRCT AZ pursue – Research Collaboration / licence Model or AZ & MRC pursue jointly Study / licence Research Collaboration •AZ licence joint results & MRC compound if H2 Exercise Option 2 £20K Option Fee £20K Option Fee Exercise Option1 L Selected required Ch MR e Target m C i st Sc ree ry n •AZ assigns interest in joint results •MRC licence AZ compound if Reject Option 1 Reject Option 2 required MRC Rejected pursue Target •No further obligations to AZ Hit from MRC CC •AZ assigns interest in joint MRC can screen up to 5 Rejected Targets results using the AZ CC – AZ retains Options •AZ grants use of joint results / 1&2 Hit from AZ CC AZ compound to allow MRC to perform H2L chemistry •AZ retains Option 2