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A partnership by:
2016Q1ResultsAnalysis
2
A partnership by:
BiopharmaCEOConfidenceIndex
OverviewandRaBonale
Thelifescienceindustryisanevolvingecosystem.Thisecosystemisdefinedbythe
networkofinterac:onsbetweenbiopharmaceu:calcompanies,servicesfirms,and
diagnos:cscompaniesaswellasthepa:ents,providers,payers,andregulatorsthat
influencemarketdynamics.
Withintheecosystem,thebiopharmasegmentsoperatesinarela:vestateofconflict.
Whilethepathofbringingnewproductstomarketishighlyregulatedthrougha
predictableFDAapprovalprocess,theindustryalsoweathersanongoingseriesofsea
changesfromonedecadetothenext.
AsmarketdynamicsshiC,acompany’sabilitytosucceedisdependentuponitsCEO’s
abilitytonavigatethesechangeswhileremainingoncoursetowardcommercializingits
products.TheC-suite—alongwiththeindustryoverall—wouldbenefitfromanongoing
mechanismtomeasureconfidenceinthemarketinaconsistentmanner.
3
A partnership by:
BiopharmaCEOConfidenceIndex
OverviewandRaBonale(conBnued)
The“BiopharmaCEOConfidenceIndex”isaforward-lookingindicatordesigned
tomeasureC-suitesen:mentandconfidenceinthebiopharmaindustry’s
economy.Thisconfidence—orlackthereof—isdefinedbythedegreeof
op:mismwithinkeybusinessindicators.
Theseindicatorsinclude:
§ CapitalMarkets
§ DealLandscape
§ ClinicalDevelopment
§ RegulatoryAffairs
§ Commercializa:on
§ BusinessModelandWorkforce
Measuringconfidencethrough
thesesixindicatorsover3me
willdemonstrateanebbandflow
ofmarketdynamicsandconfidence
inthefuturesuccessofcompanies
andgrowthintheoverallmarket.
4
A partnership by:
ResearchSpecificaBons
§ 15 minute online survey
§ n=67 CEOs of biopharmaceutical companies.
§ Fielding was conducted between February 22, 2016 – April 1, 2016
Methodology
Sample
Timing
5
A partnership by:
Summary of Q1 2016 Confidence Levels
9% 6%
5% 19%
55%
9%
43% 51%
28%
58%
25%
49%
42% 45%
72%
22% 19% 42%
Capital Markets Deal Making Landscape
Clinical Development Regulatory Affairs Commercialization Buisness Model & Workflow
Very Confident
Somewhat Confident
Not Confident
Overall Confidence (Q1 ’16, n=67)
58%
39%
3%
- Key Business Indicators -
Good
Fair
Poor
Very Confident
Somewhat Confident
Not Confident
Very Confident
Somewhat Confident
Not Confident
Very Confident
Somewhat Confident
Not Confident
Very Confident
Somewhat Confident
Not Confident
Not looking to raise captial
Very Confident
Somewhat Confident
Not Confident
A partnership by:
Qualifying2016Q1ResultsAnalysis
7
A partnership by:
Most CEOs categorize their companies as
privately held; ¼ categorize as start-up
Base : All Respondents Q2. How would you categorize your biopharmaceutical company?
Category of Biopharmaceutical Company
Ó Significant increase / Ô Significant decrease from prior quarter
64%
27%
8%
2%
0%
Privately held company 63% 69%
Start-up biopharma (Less than $250M market cap) 18% 20%
Emerging biopharma ($250M to less than $1B market cap) 12% 9%
Large biopharma ($5B or more market cap) 2% 0%
Mid-sized biopharma ($1B to less than $5B market cap) 6% 2%
Q3 ‘15 (n=51)
Q4 ‘15 (n=54)
Q1 ‘16 (n=67)
8
A partnership by:
73%
58%
28%
39%
0% 3%
Q3 '15 Q4 '15 Q1 '16
0%
100%
Very confident Somewhat confident Not confident
Overall confidence remains strong and does not
dip further in Q1 ‘16
Base : All Respondents Q8. What is your overall level of confidence in the biopharmaceutical business?
Overall Level of Confidence in the Biopharmaceutical Business
(Q3 ‘15 n=51, Q4 ‘15 n=54, Q1 ‘16 n=67)
Ó Significant increase / Ô Significant decrease from prior quarter
9
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Pipeline focus shifts towards rare products
while future emphasis continues to be on
specialty
Base : All Respondents Q3. How many of your primary pipeline products are classified as… Q4. What percentage of your current in-line product revenues are classified as… Q5. In the next 18 months, what percentage of your future in-line products will be classified as…
Classification of Primary Pipeline Products
Q3 ‘15 (n=43)
Q4 ‘15 (n=43)
Q1 ‘16 (n=63)
Rare 1.6 1.6 6.1
Specialty 7.1 5.1 2.5
Chronic 2.2 1.1 2.6
Classification of Current In-line Product Revenues
Classification of Future In-line Products
Q3 ‘15 (n=11)*
Q4 ‘15 (n=8)*
Q1 ‘16 (n=9)*
Rare 30% 16% 43%
Specialty 42% 58% 38%
Chronic 28% 26% 19%
Q3 ‘15 (n=51)
Q4 ‘15 (n=54)
Q1 ‘16 (n=67)
Rare 26% 34% 24%
Specialty 45% 37% 50%
Chronic 29% 29% 26%
Ó Significant increase / Ô Significant decrease from prior quarter
Note: Ipsos will monitor this over time to assess whether the shift is
meaningful.
10
A partnership by:
Pipeline focus remains largely on oncology,
followed by immunology and neurology
Assets:
Pipeline Marketed
Q3 ‘15
(n=51)
Q4 ‘15
(n=54)
Q1 ‘16
(n=67)
Q3 ‘15
(n=51)
Q4 ‘15
(n=54)
Q1 ‘16
(n=67)
Oncology 39% 37% 43% 4% 4% 2%
Immunology 20% 17% 21% 0% 0% 0%
Neurology 22% 35% 19% 2% 2% 0%
Cardiology/Vascular Diseases 20% 15% 18% 2% 0% 3%
Infections and Infectious Diseases 14% 17% 16% 2% 0% 0%
Dermatology 6% 9% 13% 0% 2% 0%
Ophthalmology 14% 19% 13% 2% 2% 0%
Drug Device Combinations 10% 6% 10% 0% 0% 2%
Hepatology 14% 11% 10% 0% 0% 0%
Vaccines 4% 6% 10% 0% 0% 0%
Base : All Respondents Q6. In which therapeutic area(s) do you have pipeline assets? Q7. In which therapeutic area(s) do you have marketed assets? Ó Significant increase / Ô Significant decrease from prior quarter
A partnership by:
CapitalMarkets2016Q1ResultsAnalysis
12
A partnership by:
Very confident Somewhat confident Not confident I am not currently looking to raise capital / I am not currently looking to raise capital through public markets / I am not currently looking to raise capital through other sources
Confidence in raising capital through public
markets is in decline
Base : Respondents confident of raising capital Q9. What is your overall confidence in your ability to raise capital in the next 18 months? Q10. How confident are you that your company will raise capital through the public markets in the next 18 months? Q11. How confident are you that your company will raise capital through other sources in the next 18 months?
53%
42% 33% 43%
0% 6% 14% 9%
Q3 '15 Q4 '15 Q1 '16
0%
100%
Overall Confidence in ability to raise capital
Confidence to raise capital through the public markets
Confidence to raise capital through other sources
(n=51) (n=54) (n=67)
34%
18% 30%
30%
2% 13%
34%
39%
Q3 '15 Q4 '15 Q1 '16
0%
100%
55% 53%
32% 33%
0% 3% 14% 12%
Q3 '15 Q4 '15 Q1 '16
0%
100%
(n=44) (n=49) (n=61)
(n=44) (n=49) (n=61)
Ó Significant increase / Ô Significant decrease from prior quarter
13
A partnership by:
Increased focus on biotech sector is top driver
of confidence in ability to raise capital
Base : All Respondents Q9B. What is driving your overall level of confidence in your ability to raise capital in the next 18 months?
Drivers of Confidence in Ability to Raise Capital in Next 18 Months
22%
18%
16%
15%
12%
9%
9%
9%
6%
6%
5%
5%
3%
3%
2%
0%
0%
16%
More focus on biotechnology sector/therapeutic area 8% 15%
Company performance/depends on global markets/IPO environment 18% 20%
Discussions with Investors/Potential investor groups/Bankers 16% 17%
Strong clinical data/evidence 10% 17%
Strong/novelty pipeline of products 14% 13%
Capital from both public and private sectors/Public capital markets 18% 11%
Company valuations/Liquidity 12% 9%
Unmet medical needs 4% 2%
High business development activity 6% 6%
Election cycle/track record 0% 6%
Focus towards more revenue 6% 6%
Qualitative technology 0% 0%
Not raising the capital 4% 2%
Uncertain market conditions 4% 2%
Continued progress/growth 4% 2%
Past experience/history of company 8% 4%
Global economy forecasts 4% 2%
Others 14% 15%
Q3 ‘15 (n=51)
Q4 ‘15 (n=54)
Q1 ‘16 (n=67)
Ó Significant increase / Ô Significant decrease from prior quarter
14
A partnership by:
Very confident Somewhat confident Not confident I am not planning to file an IPO or go public
Base : Self-Categorized As Private Held Company Q12. How confident are you that your company will file for an IPO or go public in the next 18 months? Q13. Are your efforts focused on raising debt or equity capital?
Focus of Efforts
CEOs are confident in their ability to go public.
Efforts remain focused on raising capital
47% 44%
25% 26%
0% 0%
28% 30%
Q3 '15 Q4 '15 Q1 '16
0%
100%
(n=32) (n=37) (n=43)
Ó Significant increase / Ô Significant decrease from prior quarter
82%
5%
13%
Q3 ‘15 (n=51)
Q4 ‘15 (n=54)
Q1 ‘16 (n=67)
Raising equity capital
77% 83%
Raising debt 8% 6%
Not applicable 16% 11%
Confidence that company will file an IPO/go public in next 18 months
A partnership by:
DealLandscape2016Q1ResultsAnalysis
16
A partnership by:
Base : All Respondents Q14. What is your overall assessment of the deal making landscape?
Confidence in deal making continues to drop
Ó Significant increase / Ô Significant decrease from prior quarter
82%
45%
16%
51%
2% 5%
Q3 '15 Q4 '15 Q1 '16
0%
100%
Good Fair Poor
Overall Assessment of the Deal Making Landscape
(Q3 ‘15 n=51, Q4 ‘15 n=54, Q1 ‘16 n=67)
Ô
Ó
17
A partnership by:
Strong/novelty of pipeline products 14% 26%
Large companies focus on new technology/external product 16% 26%
Availability of capital/assets 16% 13%
Large number of deals 16% 9%
Level of interest in prospective partners 6% 9%
Merger and acquisition activity with large pharma/Consolidation 18% 11%
Price sensitivity 8% 11%
Size/volume of the deal 8% 6%
Company valuations 6% 6%
Interests in oncology products 6% 4%
Ability to access unmet medical needs 0% 0%
Past experience 4% 2%
Others 31% 15%Ô
Don’t know/not sure 2% 2%
Base : All Respondents Q14B. What is driving your overall level of confidence in the deal making landscape?
Drivers of Confidence in the Deal Making Landscape
25%
24%
24%
16%
16%
9%
9%
3%
3%
3%
3%
2%
8%
0%
A strong product pipeline, large company focus
on new tech, and the availability of capital/assets
drive deal making confidence
Q3 ‘15 (n=51)
Q4 ‘15 (n=54)
Q1 ‘16 (n=67)
Ó Significant increase / Ô Significant decrease from prior quarter
18
A partnership by:
As in prior quarters, out-licensing is the primary
commercialization lever
Base : All Respondents Q15. How confident are you that your company will complete a deal to out-license one or more pipeline assets or marketed products in the next 18 months? Q16. How confident are you that your company will complete a deal to in-license one or more pipeline assets or marketed products in the next 18 months?
Very confident Somewhat confident Not confident I am not currently seeking out-licensing deals
Very confident Somewhat confident Not confident I am not currently seeking in-licensing deals
43% 43% 31%
24% 2%
5%
24% 28%
Q3 '15 Q4 '15 Q1 '16
0%
100%
Confidence that company will out-license one or more pipeline assets or marketed
products in the next 18 months
Confidence that company will in-license one or more
pipeline assets or marketed
products in the next 18 months
22% 18% 20% 16% 2% 9%
57% 57%
Q3 '15 Q4 '15 Q1 '16
0%
100%
(n=51) (n=54) (n=67)
(n=51) (n=54) (n=67) Ó Significant increase / Ô Significant decrease from prior quarter
19
A partnership by:
Oncology remains the focus in deal-making.
Focus in neurology drops after increased
attention in Q4 ‘15
Base : All Respondents Q17. In which therapy area(s) are you focused on doing a deal?
Therapy Area of Focus
Q3 ‘15
(n=51)
Q4 ‘15
(n=54)
Q1 ‘16
(n=67)
Oncology 35% 37% 37%
Neurology 18% 33% 16%Ô
Immunology 10% 13% 16%
Ophthalmology 6% 17% 13%
Infections and Infectious Diseases 12% 11% 13%
Cardiology/Vascular Diseases 10% 17% 10%
Vaccines 0% 4% 8%
Dermatology 4% 6% 6%
Genetic Disease 12% 9% 5%
Hepatology 10% 6% 5%
Pulmonary/Respiratory Diseases 10% 6% 5%
Drug Device Combinations 0% 4% 5%
Others 4% 13% 8%
Of the 37% of CEOs focused on doing a deal in oncology, 96% have pipeline assets in oncology.
Ó Significant increase / Ô Significant decrease from prior quarter
20
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CEOs feel that deal values are remaining stable
Base : All Respondents Q18. Are deal values – whether licensing or M&A – increasing or decreasing? Q19. What is the overall sense of competition in deals? Q20. How concerned are you about competitive activity? Ó Significant increase / Ô Significant decrease from prior quarter
14% 19%
65% 60%
22% 21%
Q3 '15 Q4 '15 Q1 '16 0%
100%
Very concerned Somewhat concerned Not concerned
Level of Concern with Competitive Activity (Q3 ‘15 n=51, Q4 ‘15 n=54, Q1 ‘16 n=67)
37% 25%
61% 66%
2% 9%
Q3 '15 Q4 '15 Q1 '16 0%
100%
Intense Moderate Weak
Overall Sense of Competition in Deals (Q3 ‘15 n=51, Q4 ‘15 n=54, Q1 ‘16 n=67)
59% 21% 35%
63%
6% 16%
Q3 '15 Q4 '15 Q1 '16 0%
100%
Increasing Remaining stable Decreasing
State of Deal Values (Q3 ‘15 n=51, Q4 ‘15 n=54, Q1 ‘16 n=67)
Ó
Ô
21
A partnership by:
Most CEOs anticipate increased activity in the
next 18 months or more
Base : All Respondents Q21. Will you react to or initiate a competitive move in the next…
65% 69% 75%
59% 46%
64%
45% 50% 43%
29% 41% 39%
35% 32% 25%
41% 54%
36%
55% 50% 57%
71% 59% 61% Yes
No
Will React to or Initiate Competitive Move in the Next…
(Q3 ‘15 n=51, Q4 ‘15 n=54, Q1 ‘16=67)
Ó Significant increase / Ô Significant decrease from prior quarter
Q3 ’15 Q4 ‘15 Q1 ‘16 Q3 ’15 Q4 ‘15 Q1 ‘16 Q3 ’15 Q4 ‘15 Q1 ‘16 Q3 ’15 Q4 ‘15 Q1 ‘16
6 months 12 months 18 months 19+ months
A partnership by:
ClinicalDevelopment2016Q1ResultsAnalysis
23
A partnership by:
Confidence in delivering clinically differentiated
assets remains high
Base: All Respondents Q22. What is your overall confidence in your ability to drive clinically differentiated programs? Q22B. What is driving your overall level of confidence in your ability to drive clinically differentiated programs?
Overall Confidence in Ability to Drive Clinically Differentiated Programs (Q3 ‘15 n=51, Q4 ‘15 n=54, Q1 ‘16 n=67)
40% of those who are very confident
have pipeline assets in oncology.
Drivers of Confidence Q3 ‘15 (n=51)
Q4 ‘15 (n=54)
Q1 ‘16 (n=67)
Good clinical/supportive data 29% 17% 24%
Novel approach of the drug development 4% 17%Ó 19%
Expert consultation to position products 8% 17% 16%
Strong differentiated results/good delivery results 18% 24% 13%
Proprietary/novel technology 18% 13% 9%
Unique mechanism of action of products 10% 11% 8%
Strength of our internal pipeline products 4% 7% 6%
Safety profile 4% 2% 5%
Relationship with FDA 6% 0% 5%
Product knowledge/support 6% 6% 3%
Ability to address large unmet clinical need 10% 7% 2%
Regulartory insights 8% 0% 2%
Past experience 10% 2% 0%
Others 29% 24% 15%
65% 72%
35% 28%
Q3 '15 Q4 '15 Q1 '16
0%
100%
Very confident Somewhat confident Not confident
Ó Significant increase / Ô Significant decrease from prior quarter
24
A partnership by:
1 Year
2 Years
3 Years
4 Years
5 Years
CEOs are confident that they will deliver
relevant therapies in 4-5 years
Base: All Respondents Q24. How confident are you that you will deliver relevant therapies in the next…?
Confidence in Delivery of Relevant Therapies in the Next… (Q3 ‘15 n=51, Q4 ‘15 n=54, Q1 ‘16 n=67)
22% 12%
28% 25%
51% 63%
0%
100%
39%
24% 26%
42%
35% 34%
0%
100%
63% 49% 20% 37% 18% 13% 0%
100%
75% 66%
18% 30% 8% 5% 0%
100%
86% 85% 14% 12% 0% 3%
Q3 '15 Q4 '15 Q1 '16
0%
100%
Very confident Somewhat confident Not confident
Ó Significant increase / Ô Significant decrease from prior quarter
Ô
Ó
Ó
25
A partnership by:
Assurance in in-house clinical capability is low
with ½ of CEOs reporting limited capabilities
Base: All Respondents Q23. Historically, how would you rate the productivity of your clinical development functions? Q25. How would you describe your in-house clinical capabilities?
Productivity Rating of Clinical Development Functions
(Q3 ‘15 n=51, Q4 ‘15 n=54, Q1 ‘16 n=67)
In-house Clinical Capabilities (Q3 ‘15 n=51, Q4 ‘15 n=54, Q1 ‘16 n=67)
55% of CEOs with pipeline assets in oncology
feel their in-house capabilities are limited
Good Fair Poor Comprehensive Adequate Limited
69%
52%
26%
46%
6% 2%
Q3 '15 Q4 '15 Q1 '16
0%
100%
20%
6%
47% 45%
33%
49%
Q3 '15 Q4 '15 Q1 '16
0%
100%
Ó Significant increase / Ô Significant decrease from prior quarter
Ô
Ó
26
A partnership by:
Amid concerns with in-house clinical functions
and capabilities, outsourcing is becoming an
increasingly important strategy
Base: All Respondents Q26. How much clinical development activity do you outsource?
Amount of Outsourced Clinical Development Activity
Ó Significant increase / Ô Significant decrease from prior quarter
8%
10%
15%
61%
6%
1-25% 8% 4%
26-50% 12% 11%
51-75% 29% 19%
76-100% 39% 56%
I currently don’t outsource any clinical development activities
12% 11%
Q3 ‘15 (n=51)
Q4 ‘15 (n=54)
Q1 ‘16 (n=67)
27
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Primary Care
Specialty Care
Rare Disease
Competitive intensity for trial recruiting remains
stable in primary and specialty care; more
intense for rare disease
Base: All Respondents Q27. How is the competitive intensity for trial recruiting changing in primary care, specialty care, and rare disease?
State of Competitive Intensity (Q3 ‘15 n=51, Q4 ‘15 n=54, Q1 ‘16 n=67)
More intense Stable Less intense
65% 61%
26% 27% 10% 12%
Q3 '15 Q4 '15 Q1 '16
0%
100%
16% 16%
65% 54%
20% 30%
0%
100%
41% 33%
59% 66%
0% 2% 0%
100%
Ó Significant increase / Ô Significant decrease from prior quarter
A partnership by:
RegulatoryAffairs2016Q1ResultsAnalysis
29
A partnership by:
Confidence in the regulatory environment is
steady, but low
Base: All Respondents Q28. What is your overall confidence in the regulatory environment? Q28B. What is driving your overall level of confidence in the regulatory environment?
Very confident Somewhat confident Not confident
Overall Confidence in Regulatory Environment
(Q3 ‘15 n=51, Q4 ‘15 n=54, Q1 ‘16 n=67)
Drivers of Confidence Q3 ‘15 (n=51)
Q4 ‘15 (n=54)
Q1 ‘16 (n=67)
Inconsistent regulations 16% 9% 21%
High FDA approval rates 18% 15% 19%
Improved FDA interactions/responsive 22% 24% 18%
Good regulatory group 10% 9% 16%
Consistent principles by FDA 12% 19% 9%
History/experience with FDA 18% 7% 8%
FDA leadership changes 0% 0% 6%
Lack of experience at FDA 8% 9% 3%
Political pressure/environment 0% 0% 3%
FDA personnel issues 0% 0% 3%
Payers uncertainity 4% 0% 2%
Delays in product approval 4% 0% 0%
Others 18% 28% 12%Ô
None/nothing 0% 0% 2%
31% 22%
53% 58%
16% 19%
Q3 '15 Q4 '15 Q1 '16
0%
100%
Ó Significant increase / Ô Significant decrease from prior quarter
30
A partnership by:
Confidence is high among CEOs that they will
file an NDA or BLA in 5 years; short term
confidence remains low
Base: All Respondents Q29. How confident are you that your company will file an NDA or BLA for one or more products in the next…?
Very confident Somewhat confident Not confident
Confidence that Company will File an NDA or BLA for One or More Products in the Next… (Q3 ‘15 n=51, Q4 ‘15 n=54, Q1 ‘16 n=67)
1 Year
2 Years
3 Years
4 Years
5 Years
14%
3% 10% 10%
77% 87%
0%
100%
22%
10% 14% 24%
65% 66%
0%
100%
39% 31%
26% 27%
35% 42%
0%
100%
53% 43% 28% 37% 20% 19%
0%
100%
69% 64% 22%
30% 10% 6%
Q3 '15 Q4 '15 Q1 '16
0%
100%
Ó Significant increase / Ô Significant decrease from prior quarter
31
A partnership by:
Geographic distribution of clinical trials is consistent with previous quarters. CEOs are increasingly less
confident in receiving approvals
Base: All Respondents Q30. In which geographies are you conducting clinical trials? Q31. How confident are you that you will receive approval for a new indication for an existing product in the next 18 months?
Clinical Trial Geographies Confidence in Receiving Approval for a New Indication for an Existing Product in the
Next 18 months
Ó Significant increase / Ô Significant decrease from prior quarter
96%
51%
43%
9%
Q3 ‘15 (n=51)
Q4 ‘15 (n=54)
Q1 ‘16 (n=67)
United States 90% 87%
Rest of World 41% 39%
Europe 57% 46%
Japan 16% 9%
3%
10%
25%
61%
Q3 ‘15 (n=51)
Q4 ‘15 (n=54)
Q1 ‘16 (n=67)
Very confident 12% 6%
Somewhat confident
12% 9%
Not confident 10% 7%
I currently do not have any pending approvals
for new indications on existing products
67% 78%
Ó
32
A partnership by:
The frequency of FDA approvals is expected to
remain stable over the next 18 months
Base: All Respondents Q32. How do you think the frequency of FDA approvals will change over the next 18 months?
Expected Change in Frequency of FDA Approvals Over the Next 18 months (Q3 ‘15 n=51, Q4 ‘15 n=54, Q1 ‘16 n=67)
20% 16%
71% 76%
10% 8%
Q3 '15 Q4 '15 Q1 '16
0%
100%
Increase Remain stable Decrease
Ó Significant increase / Ô Significant decrease from prior quarter
33
A partnership by:
41% 39% 53% 52%
6% 9% 0%
100%
Confidence in global approval process is
moderate in US, EU, & Japan; low throughout
rest of world
Base: All Respondents Q33. How confident are you in the regulatory approval process in…
Very confident Somewhat confident Not confident
Confidence in Global Regulatory Approval Processes (Q3 ‘15 n=51, Q4 ‘15 n=54, Q1 ‘16 n=67)
United States
Europe
Japan
Rest of World
37% 33% 61% 61%
2% 6% 0%
100%
12% 10%
59% 58% 29% 31%
0%
100%
12% 5%
51% 45% 37%
51%
Q3 '15 Q4 '15 Q1 '16
0%
100%
Ó Significant increase / Ô Significant decrease from prior quarter
A partnership by:
CommercializaBon2016Q1ResultsAnalysis
35
A partnership by:
Drivers of Confidence Q3 ‘15 (n=51)
Q4 ‘15 (n=54)
Q1 ‘16 (n=67)
No commercializing infrastructure 31% 32% 39%
Have a good team of commercializing 18% 19% 12%
Limited resources/less experienced personnel 12% 15% 9%
Development/early stage of company development 0% 0% 8%
Have experienced personnel 6% 11% 6%
Market size/world wide presence 0% 0% 6%
Do not have marketing products 8% 6% 3%
Outsource commercialization activities 8% 4% 2%
Have prior experience in commercialization 10% 2% 2%
No prior experience in commercializing 4% 4% 0%
Others 2% 9% 16%
A lack of commercializing infrastructure &
resources is driving low confidence in
commercialization capabilities
Base: All Respondents Q34. What is your overall confidence in your company’s current commercialization capabilities? Q34B. What is driving your overall level of confidence in your company’s current commercialization capabilities?
Overall Confidence in Commercialization Capabilities
(Q3 ‘15 n=51, Q4 ‘15 n=54, Q1 ‘16 n=67)
22% 19%
29% 25%
49% 55%
Q3 '15 Q4 '15 Q1 '16
0%
100%
Ó Significant increase / Ô Significant decrease from prior quarter
Very confident Somewhat confident Not confident
36
A partnership by:
Company will launch a new product or new indication for
an existing product
Company will achieve the forecasted revenue for a new
or follow-on product
Company will achieve a positive change in formulary
status
Majority of CEOs are not planning to launch a new product, don’t have any forecasted revenue for a new
product, and don’t expect a formulary status change
Base: All Respondents Q35. How confident are you that your company will launch a new product or new indication for an existing product in the next 18 months Q36. How confident are you that your company will achieve the forecasted revenue for a new or follow-on product in the next 18 months? Q37. How confident are you that your company will achieve a positive change in formulary status in the next 18 months?
Very confident Somewhat confident Not confident
I am not planning to launch a new product or new indication /I currently do not have any forecasted revenue for a new or follow-on product/I will not have a formulary status change
12%
3%
8% 9%
2% 9%
78% 79%
Q3 '15 Q4 '15 Q1 '16
0%
100%
28% 13% 6% 8% 4%
15% 63% 64%
0%
100%
20% 9% 12%
15%
2% 8%
67% 69%
0%
100%
(n=51) (n=54) (n=67)
Ó
Ó Ô
Ó Significant increase / Ô Significant decrease from prior quarter
37
A partnership by:
Independent commercialization drops further as
more CEOs partner with external parties
Base: All Respondents Q38. Are you planning to commercialize independently or in partnership with an external party?
Commercialization Plan
Ó Significant increase / Ô Significant decrease from prior quarter
9%
70%
21%
Yes, I plan to commercialize independently
28% 17%
I will commercialize in partnership with external partners
47% 61%
I will outsource more than 50% of my commercialization efforts
26% 22%
Q3 ‘15 (n=51)
Q4 ‘15 (n=54)
Q1 ‘16 (n=67)
A partnership by:
BusinessModelandWorkflow2016Q1ResultsAnalysis
39
A partnership by:
CEOs retain confidence in ability to find the
appropriate supporting resources
Base: All Respondents Q39. How confident are you that you can find the appropriate internal resources to support your clinical and commercial portfolio? Q39B. What is driving your overall level of confidence in your ability to find the appropriate internal resources to support your clinical and commercial portfolio?
Confidence in Ability to Find Appropriate Internal Resources to Support Clinical/
Commercial Portfolio (Q3 ‘15 n=51, Q4 ‘15 n=54, Q1 ‘16 n=67)
Drivers of Confidence Q3 ‘15 (n=51)
Q4 ‘15 (n=54)
Q1 ‘16 (n=67)
Availability of qualitative/skilled personnel 26% 11% 15%
Have prior experience 6% 4% 13% Mergers and acquisition/Downsizing created large pool of talent 8% 13% 10%
Attracting experienced industry professionals 10% 11% 9%
Outsource the activities 0% 7% 8% Interest from pharmaceutical industry in our products 0% 0% 8%
Have a good team of personnel 0% 0% 6%
Multiple geographic locations 12% 6% 5%
Strong network 6% 4% 5% Limited budget to maintain FTEs/tough labor market 4% 2% 5%
Capital structure 0% 0% 5%
Intense hiring competition 18% 7% 3%
Difficult to hire the best people 4% 6% 3%
Adequate staffing 4% 13% 0%
Others 28% 17% 15%
None/nothing 2% 0% 0%
49%
42% 45%
49%
6% 9%
Q3 '15 Q4 '15 Q1 '16
0%
100%
Very confident Somewhat confident
Not confident
Ó Significant increase / Ô Significant decrease from prior quarter
40
A partnership by:
Model is still to outsource non-core business functions. Although most CEOs still plan to increase
staff, large scale (10%+ increase) hiring plans are slowing
Base: All Respondents Q40. Is your business model to build internal capabilities, outsource discreet functions, or outsource all functions that are not core business? Q41. Which of the following best describes your hiring plans in the next 18 months?
Description of Business Model Hiring Plans in the Next 18 Months
37% of CEOs who plan to increase staff by 10%
+ have pipeline assets in oncology
Ó Significant increase / Ô Significant decrease from prior quarter
Q3 ‘15 (n=51)
Q4 ‘15 (n=54)
Q1 ‘16 (n=67)
Outsource functions that
are not core
business
57% 59%
Outsource discreet
functions 29% 32%
Build internal capabilities
14% 9%
12%
8%
25%
52%
3%
Q3 ‘15 (n=51)
Q4 ‘15 (n=54)
Q1 ‘16 (n=67)
No change in overall staffing
2% 13%
Increase staff by 1%-5%
4% 7%
Increase staff by 6%-10%
16% 15%
Increase staff by more than 10%
78% 63%
Decrease staff 0% 2%
61%
33%
6%
Ó
41
A partnership by:
Unlike in previous quarters, overall staffing in
corporate leadership is largely expected to
remain the same
Base: All Respondents Q42. What staffing changes do you anticipate making to the following functions in the next 18 months?
Areas of Anticipated Staffing Changes in the Next 18 months (Q3 ‘15 n=51, Q4 ‘15 n=54, Q1 ‘16 n=67)
55%
34% 43%
61%
3% 2% 2% 0%
100%
55% 46%
41% 42%
0% 4% 12%
0%
100%
28% 13% 2% 6%
0%
71% 81%
0%
100%
20% 8%
8% 6%
2%
73% 85%
0%
100%
18% 12% 8% 10% 2%
73% 78%
Q3 '15 Q4 '15 Q1 '16
0%
100%
Corporate Leadership
Business Development & Licensing
Field Force (sales, sales management)
Payor Marketing
Key Account Management
Will add staff Overall staffing will remain the same Will remove staff I do not have this function
Ô
Ó
Ô Ó
Ó Significant increase / Ô Significant decrease from prior quarter
42
A partnership by:
Despite a directional decline, staffing emphasis
continues to be on clinical development
Base: All Respondents Q42. What staffing changes do you anticipate making to the following functions in the next 18 months?
Areas of Anticipated Staffing Changes in the Next 18 months (Q3 ‘15 n=51, Q4 ‘15 n=54, Q1 ‘16 n=67)
Of those looking to increase staffing in clinical
development, 46% have pipeline assets in oncology.
Will add staff Overall staffing will remain the same Will remove staff I do not have this function
26% 12% 6% 12%
2% 2%
67% 75%
0%
100%
10% 9% 14% 13%
2%
77% 76%
0%
100%
84% 72%
16% 21% 8%
0%
100%
53% 39%
16% 21% 2% 2%
29% 39%
0%
100%
18% 12%
8%
19%
3%
75% 66%
Q3 '15 Q4 '15 Q1 '16
0%
100%
Brand Marketing
Health Economy
Clinical Development
Medical Affairs
Commercial Excellence
Ó
Ó
Ó Significant increase / Ô Significant decrease from prior quarter
A partnership by:
LargestRisktoBusiness2016Q1ResultsAnalysis
44
A partnership by:
Capital stability and clinical results persist as
the largest concerns to business
Base: All Respondents Q43. What is the single largest risk to your business in the next 18 months?
Single largest risk to your business in the next 18 months
Q3 ‘15 (n=51)
Q4 ‘15 (n=54)
Q1 ‘16 (n=67)
Capital/financing/funding stability 35% 41% 40%
Clinical trial failure/clinical results 33% 37% 30%
FDA/regulatory approvals/outcomes 16% 9% 8%
Competition 0% 0% 6%
Partnership environment 0% 0% 5%
Technical execution 4% 2% 2%
Payer uncertainity 4% 2% 0%
Global economy downturn 8% 0% 0%
Others 6% 11% 10%
Ó Significant increase / Ô Significant decrease from prior quarter
A partnership by:
Thankyou!
SteveGirling
IpsosHealthcare
203-840-3518
KevinHampton
KineBcos
919-678-3206
SaraDemy
Demy-Colton
212-288-4233