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Providing broad coverage and incisive analysis of the issues, events, trends and strategies shaping pharmaceutical business, marketing and sales returns with a robust 2017 lineup designed to The Magazine of Pharmaceutical Business and Marketing • medadnews.com • October 2016 • Volume 35, Number 5 • $100 TOP 50 PHARMACEUTICAL COMPANIES meet the needs of our pharmaceutical marketing audience.
The Magazine of Pharmaceutical Business and Marketing • medadnews.com • February 2016 • Volume 35, Number 1 • $25 special By Joshua Slatko • osh.slat [email protected] agenda2016 inside
special By Andre w Humph feature reys Bigger, better, faster, more • and rew.humphre ys @medadnew s.com Top 10 Pipelines top10pipelines
cation The ph was supp arma in from orted b dustry’s the TU y data therapy areas as resear trial RQUOIS R&D con , which E-III cen 100 p demon tratio ercen strated TOP 10 ch and d n has been log t sustain PIPELINE e ic respon ed viro- S ith velopment shifting towards speci se at the a post-tre 12 wee verage cost of return atment ks cine to th getting a s d this patie (SVR12 e mar ecline for some leaders.alty nt popu ) in AbbVie it is more cr ketplace novel medi In lation. u at nearly - overa early W nies cial than $2.5 billi ll resp Abb Decemb Amgen to succeed ever f on, onse rate a Vie annou er 2015 a in th or drug tients tha s mo nced , loitte ccording to a eir R&D compa- t achie notherap accepted that FDA Ast r why 2016 might loo a little diff erent than 201 for pharmaceutical mar eters. in collab r efforts. 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If sli re striving to (AML) treatm nts (H regi marketi ding R buck the aforfied10 w ho ar ent-naïve MAs) men w ng, this Ver &D retu compan therapy e i neligibl ) acute in pa- ill b e the tex on c u rns. Th emen y pipe- (high-do e to myeloi oral, co- first al rrent proj e 10 companies wer tioned t Ve se chem receive stand d leuke- formul l- they ects i rend netoclax i othera ar adul ated thr are focus n the pi e s of ne s be ing d py). d induc t patients ee direc ed on peline, wh elected ba ntech a evel tion with G t-acting approvals, , R&D ich t sed nd Roche. Venetoc oped v i Viekira T1 chroni antiviral and deal-making herapeu approv a a p artnershi Pak (o c HCV treatme other relev activ tic fields al during 2 lax in p dasab mbitasvi infecti nt for ant cr ity, global 016 on trac wi th G uvir tabl r, paritap on. iteria. recent basis by 2 and ge k to gai e- witho ets) is revir, drug 020. nerate b n initial FDA ut ribavi a prescrip and ritonav AbbVie has be lockbuste chr rin for tion m ir tabl r sales on a onic hepa the treatm edicine ets; Squibb anoth en j ointly devel titis C ent of used wi er a certai virus inf adults wi th o r AB sales. medici oping wi n form of ci ection, th ge BVIE F DA d ne expect th Br prov rrho including notype 1 pli uring the ed to ge istol-My al was ini sis (comp peop citi ( elotu fourth nerate ers tially gr ensated) le who hav ale zumab) quarte block Among anted i . FDA mark e s f or Ab a co mbinat f or tr r o f 20 15 buster other fou n Decemb et ased on the early bVie c ion thera eating m ap proved Vie p r rth-quart er 2014 ing ap- top onti thr ulti E esente . -selling nue to be ee pri py i n pa ple myel m- ( d d ata er 2 015 anti prescrip d rive or therap tients who oma ( M ABT-493 from i R &D hi S -inflamm tion m n by th from a Ph ies. Mar hav M) as and AB ts ne xt- ghlights, ab). ato edicine, e wo rld’s ase 3 keting e recei once- T-530) generati Abb - AbbVie ry me d the TN iti plus stand trial th clearanc ved one daily t r being on H C annou ’s long- ication F inhib at showed p e was base to sho eatment o assesse V regim nced term str Humi iting ard o atie d on wed 12 ption for d as a p en at the ategic and fi ra ( ada tion in th f care the nts treated with Empdata weeks p atient an-geno Humi end o nanc limum- e risk rapy ach SVR12 i of t rea s w typic, ra sales o f October ial object stand of disease p ieved a lic- n G T1 no tment ith H CV ph f $18+ 2015, ives, as ard of c rogre 30 per type n-cir resulted . Results arma comp billion. includ for are alone. Thi ssion cent red (GT2) rhotic H in 97- any The N e 2020 gl an i mm s r or death uc- A and 83- CV, 96 100 per to gene reports t orth Chi obal une-sti epresents the compa lso, d at 94 perc -100 pe cent returns, 2016 is rate near hat its cago-base tion. F mulato fir red to a from th ent in ge rcent i n 2024 ly $30 pipeline d bio- DA granted ry anti st FDA c non-c e SURV notype geno- (exclud billion i has th whi breakt body for MM i learanc irrhotic EYO 3 (GT3) ing sal n nom e pote ch will be mar hrou n th e tion G T1 H R-I tria patients. in 2016. While the usual con- AbbVi es from inal peak ntial k gh de is i nd of treatme CV p ati l d emonstr e is on pace alread -year Imbr eted by B signati ica- nt for ents wh ated or ind to y on-the- sales b uvica (ib ristol on for achiev eight o re cei that ications introdu market pr y 2015 rutinib) -Myers Emplici ed SVR12 r weeks w ved sho wi throu ce more oduc , r ecor atta Squibb. ti, trials ates ith ABT rter d u ll contr gh 2020, than 20 n ts). m ding sal ined blo during the of 97 pe -493 a ra- ibute duri includ ew p illion f es o f $ 75 ckbuste fou rcent. Abb nd ABT ng 20 ing sev roducts or partner Jansse 4 million f r sales At the rth quar Vie launc -530 16 and b en appr patients wi or Ab during Americ ter. hed • eyond, i ovals that th n. The bVie in Nov an Coll Phase 3 Imbruv ncluding: py CLL who drug is ap and $ 6 ember ege of Rhe ica indic , CLL pati have prove 89 2b 2015, Ab umato looking like the chroni ation expa ents w received at d for tr safety bVie logy A c lym nsio strom ho ha lea eating data fo presented nnual M • H phocyti n, inclu ’s macro ve del 17p st one p cy data wa r ABT-494 the eeting umira c leukemia ( ding fir kete globuline and p rior the s p from t full 12-wee troversies over ACA remain indicati CLL) st-line d for tr mia. T atients ra- dose reviousl he BALAN k, Phase supp on expansi eating p he med with Wa range y top-li CE urativa (H on, inc who hav atients wi icine is lden- to und ned). Th -I trial • V S) and luding hi e recei th m additiona and the e erstand is study (effica- iekira a uveiti drad A ved at le antle cel lly mar fficac the bou assesse pproval s enitis first-in-c ast one l lymp - 494 y of the i ndarie d a broa • Venetocl for genoty a lass, or prior ther homa (M compar nvestigati s of JAK- d ax for pe 1B pa protein c al, onc apy. CL) ed to onal or 1 sele 17p relaps tient alled B e-daily the rheumatoi placebo al JAK ctivity geneti ed/refrac s in Jap of the ruton’s tyrosine k rapy, d arthr in prev -1 inhibit • c mutati tory CLL pat an first prod Imbruv clini itis wi iously tr or ABT Zinbryta f on ien be ucts inase ica inhi cal trial me th p ersi eated p - supersize version or rel ts with the ing grant to receive FDA (BTK). bits sp t its pri stent and atients • Elo apsing r ed a This w onse af mary ac ti with tuzumab emitting one of Breakthr marketi as one ter 12 w endpoi ve disease Ab for rel multi the few ough Th ng clea and AC eeks of tre nt, achie . The on that list of implications, a bVie is apsed/r ple sclero BT therapi erapy rance af R20 for atm ving an ACR2 devel ef e De ter en nerics). And Clinton has advo- fie opi ractory sis K is a key si s to gain thr signa sup all dose t using 0 r B lds: i ng leadi multi e tion, port lev an L e- mmu ng me ple myel nali gnali e separ and is AbbVi els. The BALAN OCF liv nology, o dicine oma ng comp ng mole ate designat into e’s deci approach, er disease ncology s in these spre lex that cule in the ions. Phase 3 trials w sion to ad CE I and II r and wome , neuroscienc thera ad of mal has a si B-cel gr vance the new e n’s e peutic ignant gnificant l receptor am bega ith a onc sults health. , k idney form mal B cel role in t sig- n during e-daily drug cand Th d isease, ignant B cel ls. Imbr he survi is under w late 2 dosing. idate rough s Im ls uvica bl val and ay for 015 and The Phase Ab pending bruvica to multi ocks signa Ab treating a Phase 3 pr of 2015 for phar- bVie i s breaki in new w is bein ply and ls that bVie i Crohn’ 2 study of o- tec ith o th g inv spread in- s exp s dis AB and ng gr o hnologie er tr eatm estigated al uncontrol pin-re loring ease. T-494 ma marketers, with a whole lot difficult- und i n some s and 6,10 ents one labl leasing ho the oral to- ap 0 i and y. ly combination of growing fi nan- form treat of th proach patient n se ver in combinati that rmone (GnRH) adminis cancer es, s h al ar cated policies that include short- e, multi s, e most w in 35 ave be b lood c on e mediate antago tered gonadotr AbbVie’ ple myel includi idespre countr en treated ancer and d by nist s oma a ng gliobl ad ies by in cl s. M ore endom sex horm elagol o- oncolo nd chroni astom 2015, 16 800-pl inical stu than etriosi ones, ix in di in dev gy pipe c lymph a multi Phase us inves dies pe tigated i s. The ne including seases elopme line conta ocyti - and 3 studi tigators. As rforme n mor w drug c uterine canc nt b eing i ins multi c leukemia. 67 trials es have of d e than 4 ompou fibroid ers an nvestiga ple ne were regist been init Decemb 0 studie nd has be s d tumor ted i n m w mol AbbVie ered iated w er s totaling 3,00 en inv AbbVi types. ore ecules submitted a on www. ith Imb 0 es- e’s next than 15 ment-na s clinica ruvica -plus su B-c big ap di fferen ïve C NDA f ltrials.go Significant bjects. ell lymph proval t RE LL patie or ibrut v. Pipe oma could SON nts, b inib fo Produc line Activ more of everything. With the has fi 2 (Bcl-2) come i ATE-2 stu ased on r r use t Launch ity led a n in es an cial responsibility falling to New inhibi the fo gland dy. Th esults f treat- d Key Data F Dr tor vene rm Jou ese rom the Ph ening the exclusive marketing thor ug App to of the rnal of M data, publ Se low iza clax. • ven A tion licati signi ase Imbruvic ppro Ap on The com edi ished • a: First-L vals Tha pl (N ficantly decre cine 3 Veneto ine CLL t W r icati DA) ( N in The • clax (ABT1 ill Con elap on ( and a Ma pany EJM), f Viekir 99/GD tribute sed/re M Ne a: Japan C-0199) to 2016 “No matter the outcome of AA) for gre ase ou w En- • Zinb Approva : R/R CLL and fr ssi d nd ryta l for (17P • Bey actory rketi on- the tha : Relapsing GT1B Mutatio Elotuzum ond 17p vene ng fr risk of t t Remitt n) • ab: R/R (R/R to Au ee sur he ing Mu Humir multiple dele ) clax - v pr p ltiple Scle • a: Hidrad myelom tion. CLL in risk ival ogr rodu rosis Hum enitis Su a P in p patient of d , PFS) an essio ct Ke ira: Uveit ppurativ rior n or • y Data is a lato ity atient s w eat Elagol Read rs d re s w ith h ( d si de ix: Top- outs a u view i ove gni ath ( • ABT line data nd Re ring stat th tre ral fic p -122: P from 2nd gulato Ja u chr atm l sur antly d ro- • hase 2 Phas ry Su nua s wa omosome ent- v Imbruv data in RA e 3 endome bmissi by t r s gr naï ival e • ica: Pha and P trios ons (4 h y 2 anted b v , O cre Imbr se 3 rea sA is study Q2015 e E 016 e patients 6 S) ve ase uvica: P dout and – 201 MA and valid Dur d th • Im hase 3 r regulato 6) base y U. rsu e bruvica: eadout an ry filin d S ing 5 s c • Phase d regu g of R/R In on r ati . re the four year hlor Imbruv 2 readou latory fil FL the c esults f on gu- s and amb • ica: Phas t and re ing of T l has th u Duve e 2 read gulator N MCL inical r be U.S qua old cil i lisib: Ph out and y filing o presidential election just eight t om a en . re er n • Du ase 3 da regulato f TN DLB rial P prov gul rter of 2 with C velisib: ta reado ry filing CL , ve hase 2, id ator • Phase 2B ut in CL of R/R consumers and some prom- n ed y 015, LL. Venetoc data in L MZL eto op agency a • lax: Pha iNHL clax d en- prior it was ABT- se 2B d period for new biologics from 12 em labe ity cce 414: Pha ata in iN l review f pte repor • AL se 2 data HL onstr stu X-0061: in 2nd the presidential contest, what ated dy. d Abb ted t Phase 2 line GBM or hat B da a 7 with g Vie Vie’s sNDA th ta in RA 9.4 p e enot kira Pak e rcent ype 1b (G without and Key Ph gran • Ne ase (HC xt-gen H Transi V T1b rib ted • CV: Pha tions a ) an ) chr av ABT-494 se 3 star nd Cl d com on irin i • : Phase t inical T ic he n Veneto 3 start (RA rial Sta pens patitis patie • clax/Imb ) rts (4Q15 at n ABT- ruvica/Ga – ed C ts 122: Phas zyva: C 2016) cirrhosis vir • AB e 2 sta ombina us T-122: P rt (psoria tion stu infe • hase 2 s sis) dy (Chil c ABT-122 tart (axi d- tion : Phase al SpA) Pug 3 start (RA h A). The app ) months away, the candidates are inent high-priced drugs and li- to seven years. AbbVie Lon g-Term St rategy is more certain is that consum- © 2015 25
F EBRUAR Y 2016 M ED AD N certainly talking more, present- “hikes” (we’re looking at you, On the right side of the spec- ers, and not just politicians, will TOP 10 PIPELINES: EWS • 13 ing a smorgasboard of health Martin Shkreli) have pushed the trum are the Republicans, who continue to pressure the pharma he pharma industry s R care policies with potential im- issue of pharma pricing into the are united on repealing Presi- industry to drive consumer costs concentration has been pact that remains to be seen. political arena as well. dent Obama’s health care law down,” Zilligen says. “Consum- shifting towards specialty Drug pricing, an issue that’s therapy areas as research According to Michael Zilligen, and decentralizing Medicaid by ers are assuming (voluntarily and development returns been lurking inside the health president of Ogilvy Common- proposing block grants that can or involuntarily) more fi nancial decline for some leaders. care debate for a long time, has Health Payer Marketing, the be managed by the states. The responsibility for premiums, co- 13 become much more prominent present menu of presidential GOP, Zilligen notes, has gen- payments, coinsurance, and de- special By Christ iane True feature thanks to a few high-profi le love candidates off ers options for • chris.tr erally been criticized for focus- uelove@ ductibles, and therefore are ex- medadn ews.com salesforc esweet1 products and price jumps. Big nearly every taste. On the far left, ing on repeal without off ering ercising more infl uence on drug The 6 data just keeps getting bigger, Democratic Sen. Bernie Sanders sweet a full or partial replacement. selection and use. So, the indus- Industry experts tell Med Ad News about 16 trends that 16 they and marketers are beginning is advocating for a single payer, Nonetheless, the presidential try needs to continue improving believe will affect sales-force strategies in the immediate future. n honor of our 1 16 6 t years, w rends, let d hen the ’s go bac ifferent. I world wa k te n 2000. s very – even as m I levision, The X- any no o Files lau new to fi nd ways to convert it into ma and a ne kne were on nch in t comp w a hi o tax-supported, Medicare-like rched in a rmies of p bout a in access to s space,” unds ar front-runners’ approaches steer of d nd out harma l-Qaeda, he says. e expect its ability to communicate the etails a of physi ceutical s by continu “We expect ed to ids and tchot cian ales an irre e to Now, i s’ offices reps versi decline. T the trend IDNs, ACO n 2016 chkes in , leaving t digita ble shift in his tr s, and but sale , The X- their wake. rails l channel physi end is dr groups, large indep s force Files are bac hospit s as wel cian prefer iven Stievater e (even s are sig k o als with l as pra ences to says. ndent physi from 2007 t nifcantly s n televisio In 2015, the n restricti ctice acq cian forces o th malle n, ve rep uisition in the U e first qu r than th again umber policies.” by 64,000 rep nited S arter o ey were st reps e of phy C actionable intelligence. Due to s tates de f 2013, s gree ither to sicians pus ustome , and c a exce plan for all (a “universal health dus cuts lined fro les eded 50 perca moder hing b e r experienc t clear of Medicare (or other) ry volunta contin m 98,000 less t ate degr ack ven more e wil u value proposition of therapeu- and other rily reti ed in 2015) to han 50 pe ent, Kh ee or a s ad and l suffer e ever fo tch red the u . The Bu rcent a dkar say e de- dress the sales rce comp been otchkes biquitou in- t David S re freely a s. “This m 5 orchestrat anies t succee back in 2009. s pen at tievat ccessi ean and o s ded by D s, mug athenahealt er, dire ble,” he sa s ion pro marketi upplant aesh Al-Qae s, growt h b ctor, str ys. blem ng ed, for t . Paper de da has h” i elieves t ategic s . present he most tail aids have been n the a hat ther olutions, s di ations. part, by i with phys bility of ph e will b gital and And ch nteracti icians arma e “modes p non ange ve digi of new dr . This wil sales re t rolifera -personal rising expectations from clients, tical sal s will co tal ug c l be driv ps to gain te, top channel es fo ntinue PCS lasses s en by t time Aevery physic s plan”). Moving toward the po- rces operate, Thot K9 c u h ians are hi o price negotiation or control and cited a affect h holes ch as immu he launch leads our by s t t ome tic advances (in consumer lan- re mor u ow phar Howe erol-low nosu es o poor exp ind t once to e abou gh so mace ver ering ppres awarenes er ustry mers – phys t what i me of the tre u- inf , though agents. sants and s of the ience and channel, st ician s happe nds ormation abo there ma wil pro engag which rategies s and pa ning wit o ut y be in l be for blem ement r will be a tients – p h the cu f physicia these n tense d enab ced to ad spread . “As eact to r ffected harma s- ns inter ew produ emand fo led o dress s, compani ealign a by thes sales f will not b ested in he cts, the r u rchestr this issue es nd rethi e trends orce e enou arin numbers se pred ation – through nk how as compa reduced phys gh to tu g more ictive cu where upsk data- The 16 reps are nies icia rn the ti about th to coord stomer analy ille marketing agencies are being tren deploye “In s n acce de again em inate all t ti d sales reps ss, s litical middle, Hillary Clinton is ds picke d. ome of th exper t the tre a company, ouch cs on th es tend to allow a “free-er” market d out is actua e specialt ts generally agr nd of ” Khed a custo eir iPad guage) — including outcomes by exper lly much wo ies, th e channel kar notes mer see s c e [rep e. s s ts are: ologists, 27 perce rse,” Kh access] in such as ins . “Non-t from edkar sa num creased ide sal radit pushing bac nt are availabl ys. “Among onber use. es wi ional Th k on rep ll continue to e number of sales re number s to e, but 73 pe - see has stopped de has fall some d rcent a p This bi en faste egree. T re 1 s g inc r than t he oncolo In co clining. rease in he gen gi refuse to the eral st njuncti forced to do more and know see reps numbe average KAMs on wit . h the only potential nominee to the number is espe r of onco ” will be t the gr c ow system to work. Simply put, the of n ially pro logists w “above t he lau th of cco e and real world evidence. In rding to Khedka w onco blemati ho he nches P r says logy pr c consid 6 imp brand of ne rat . “ o w princip ap Khe seekin There wil ducts in ering rove diagnosis” anprograms to al at ZS Asso dkar, manag g inform l be an in the pipe Asales reps m ci ing going f ation a crease in line, d ate bout trea the firs ay s, the orward, bu thes onco tmen t time even see number of this is t the e new co logists ccordin t. Unite in year a mod oncolo other tr mpoun g to Sti d State s. The nu est upt channels.” gists are end that complemds partne evater, t 36 p s has bo mber of re ick for turning away from rships wi his stra ercent l ttomed ps ents Apayers. I th IDNs tegy will more about more. Biosimilars ess th out in th r to lo nc , ph inclu i e e defend the ACA and to propose ncrease in re an its to arou ps to ot ok at t reasingl armacie de peak nd her y, Republican candidates have not ps in 2 65,00 pr he full pa sales fo s, and eve maj the absence of compelling val- or patent is expecte 005. T 0, ovide s tient d rces wi n expi d becau he mode ervices isease ll need of FDA rations se most st play out fully i beyond experience and new d are of th Vari n the dr “H rug approv over and e able i with s 2016, but ug itself owever, mo als is g the numbe wil ncentive ome of th you’v . “This wil in spa st new la rowin r l beco compen health e progr e had g l not ces suc unche g. 3 me less satio system ams tha limpses only small numbh as o s ar variable. n In s like G t have of th ncology wit e large mo May 2 eisinge begun is Kh e h few pr lecule fiv 015, Boehringe r,” he sa with big are about to present one more edkar rs of add escribers, so s e-year pa r In ys. s keeping the basic structures of r ays. “W itional r lth test t rtnershi gelheim y e ou proposed actions that attempt to -care dr will no eps will b gh sal he valu p with S establi t e u sh ue messages, the national and iven sale return t e neede as compani s force ogi e of digi tter Health ed a s fo o th d,” s may es, a tal h to ex rces of ye e large, pri es w modestly nd insigh ealth sol plo steryea ma- Aand rei orry abo grow, deliver ts from utions, m re and r.” and r gning i ut compli y of hea advanced d obile techno ewards, n extreme ance In M lth care. ata a l- Rep ac accor payout rep b arch 20 nalytics cess wil ding to curves ehavior Heal 14, Daiichi Sa in the as physi l continu diff Khedk will fla thCare’s Ce nkyo In cians e to decl erences bet ar. This tten furt joint-deve nter f c. (excep change ine perfo wee means pay her, lopm or Conn and Par headache to innovator brand t maybe behavio rming n low-perfo out to ser ent a ected Hea tners 2 cas r re v gree lt Medicare, Medicaid, and the es in certai ps will shr rming e as a men h ent control drug prices. ). n limited ink reps and fibr coaching t to creat ered a i e a mo political spotlights will remain . high- llation wh platform bi o ha for le app lation th ve been patients with a ccording to erapy. Th prescri tr ZS’ support e goal of bed oral anti ial the first Access Mo Th patients this m coa time, l nitor Report ere wi improve pa living with atr obile app wi gu- Awillin ess than half Ke ll be cont tien i ll be g a “Thi to see reps free of , for y Acco inued tion, a t adhere l fibrillation by to s decreas doctors are 4 unt Managers growt s well as nce and com h onc e in access i ly, Khedkar h of provi fosterin plia elping managers already fed up with ologists s says. (KAM der to th g feedba nce to m part s Obama health law in place. – down t icularly ). Me e patien ck loops th edica- r t. o a quar extreme ck & Co. at con on drug prices. Manufacturers ter who ar for his tre Heal establi nect the Whatever the Republicans e ‘ nd wi th Sys shed a easy t pharma manufacll be not col tem as progra 22 • MED o see’ iceab labor far back m with AD NEW le espe ation is as 2012 Geisin S FEBRUA Tto focus turers cially a outcome design . The m ger RY th t ed t 2016 dedicate at ha s by focu o impr ulti-yea d accou ve been facilitate sing ove pat r nt teams late shar on innova ient hea call phys ed decisi tive sol lth ing on icians and i on mak utions th traditional small molecule ge- and cl mprov ing betwee at i e ad n Both Sanders and Clinton have nical car heren patients a might be saying, though, actual e proces ce to treatme nd need to continue developing two ses. nt plans nerics. And the rising tide of discussed other government repeal of ACA seems unlikely. approaches: scrutinize the pro- SALES FORCE SWEET 16: technology means more new actions to help infl uence, if not “As the fi eld narrows, candi- posed policies as closely as pos- Industry experts tell ed Ad ews media – wearables in particu- control, drug prices, an area dates will likely tone down their sible in order to be prepared for about 16 trends that they believe lar – are becoming a part of the the ACA did not address. They healthcare hyperbole and direct multiple scenarios, and develop will aff ect sales-force lives of more patients. For more strategies in the The Ma a ine of har aceutical Business an Mar etin • e a news co • April 2 16 • olu e 35 Nu er 2 • 1 both have called for empower- their attention to healthcare and refi ne value propositions.” immediate future. about all this, read on. ing Medicare to take advantage legislation that focuses on revis- Regarding pricing, many in- of its massive buying power to ing the ACA and the healthcare side the industry are advocating 22 The election/pricing negotiate bulk discounts from system rather than repealing it,” internal action before govern- pharma to lower drug prices says Geoff Melick, chief innova- ment has a chance to drop the special By Med Ad News s feature taff for seniors, and to allow Ameri- tion offi cer, Sandbox. “Consider- hammer. “Certainly new pricing medical advertisinghallo cans to import drugs from other Medical Advertising Hall Of Fame 2016ffame s with any year that in- ing the majority of the ACA pro- models, more outcomes data The Medical Advertising Hall of Fame honored C. Marshall Paul and Scott Cotherman countries. Additionally, they are as 2016 inductees; Ken Begasse Sr. was the Lifetime Achievement Award recipient visions are already in eff ect, with he Me and clearer value propositions dica Ha l Advertisin cludes February 29th, ll of Fame g si des o its 2 elected f the in 016 ind ma dustry. He T bla uctees a rket res began as a ck-tie cer t a earch em from 1 analyst fo Mr. Feb. ony on 963 to 1 r Merc Cothe Pierre Ho 11, 2016, IMS where 965, then k as rman ser both proposing eliminating so- tel in New Yor at The he sp moved to chairper ved thre more than 11 million consumers Marshal bec ent son of the MAH e years should be driving pricing ef- l Paul k City. C. oming 17 years panding , m a b and Sc arket r Co co-owne efore the organ F, ex- the U.S. presidential elec- ott Cot esearche mmun r of Hea to inclu ization’s mis her r, icatio lth de providi of CAHG, r man, form When HCI wa ns (HCI care n sion epres er CEO ) in 198 support res g educat A inductio ented th in 1997, s sold to 2. ources ional and n cla e newes he b ACNiel ation for th Bega ss. Additio t ecame presiden sen of industr e next ge sse Sr. nally, ACNiels ‘Through y executive ner- tion and its associated health annu was recogniz Ken en/HC t of ou s. called pay-for-delay settlements al M ed wit As pre I through 20 fo t his c receiving insurance subsidies AHF Lifetime A h the siden 10. cused areer, Scott forts, but at the end of the day, ment Award. pu t of H on securi CI, Mr. Pa ng th chieve- rsued a g investing e pres Durin pro oal of pro ul in the future ent by g his 50-year motion r viding p Shapiro ,” sa maceuti ca esearch showing therimary , president ys Robi cal m reer in pha effective accompl of Co n resea arketing r- ness of, a ishments and rbett. “His rch, Mr. and rela betwee nd relati have bot Paul s ted n, the diff onship had a prof contribut care policy implications will be h the ma pent time on compo erent p agen ound ions in patent litigation (in which nufact nents. His effortsromo yieldtion cy and our impact o through the exchanges and an- urer an in ind n our marketers should be working d service formatio the pas ustry – n that ed t, the spa to commun allowe in present, nning icate d marke to the future. H and leadi About the MAHF effic and pro ters e ng us iently and mote Yes, he was led by e ge more e more an ind xample. The M neration ffectively but he ustry vis edical Ad of marke . A also touche ionary; Fame wa vertising H efited f ters have level d us taking center stage in pharma s fou all of rom the ben- becaus on a person brand name manufacturers pay nded dur gui inform s e of his al other 10 million enrolled in the ing 1996 to: dance th ation and ense of fa integri towards reasonable pricing as • Docu at he provi irnes ty, loyal s t ment th “Medical ad ded. everyt , and pas y, C. Ma e history ve hing he sion for rshal of the indu ing too rtising i did.” l Paul • stry. l that s a leve Ken Be Honor the de magnifies rag- gasse Sr.’s retired men tailing at the effe 37 year career s who ha and women a fraction of ct of s before panned HEALTHCARE COMMUNICATIONS AGENCIES ve made expens d 201 his untimely s e e 0. contri ignificant , thereby in tailing’s He began death butions to keting’s ROI, creas car his car in generic competitors to hold off adverti the medi ing mar- e when h eer in Medicaid program, the repeal sing profession cal duri ” Mr. Pau e establishe health- their target,” says Steve Stefa- Indu – ng his in l concluded Respir d ctees. MAHF duction sp atory The and led way, adverti ee and rapy the sin ch. “In Pulmonar Departm • At solut g can off this Hospita y Lab ent tract an ion nece er part l. at Greenwich d honor marke ssary of the A chanc talent to next-gene ting to creat his car e meet the medic ration efficie e needed eer into ing switched profess al adve mand ncy increa joined adver ion – Fu rtising ed by t singly the tising when he on marketing less expensive ge- ture Famer care e he spot light de- small Kim of the ACA doesn’t seem like a s. xpenditures on h ny ad age mich & C no, managing director, Ashfi eld • Honor . ealth- ncy in om indu day: At the en Norwa pa- stry c Good a d of an account lk, Conn., as recogniz reatives by p dvertis the exec ing grea rocess c ing works a at Kimm utive. After – Heritage t, retired an be effec nd th ich, Mr. Be a de Awards campaigns to ens tively e Sudle gasse cade Awar . The ure succ managed r & Hen Sr. joined d allows the indu Heritage Mr. ess.” seni nessey, t appropr stry to Cotherman was or positi hen went on t iate hom pay CEO jus Ne ons at Lowe o directors age to wri in the 54-ye t the th lson Communications, Mc Comm viable option. Whether some , and acc ters, art o ar h ird Adams, Market Access. “Patients should mad ount p rganizat istory of Healt e eopl ion t h, MBS a great camp e who hat began the /V aign Corbett as of Co OX, and finally on- come to Advert Frank ncentr MAH life. ly be ising, which J. an agenc ic Pharm CEO Sco F memb came CAHG even y a Adver tt Cotherman care ership is ope as and tual- co-founde tising, advertising n to healt Corbet now op While d by li agenci h- t. Durin erates his career was his son. cations, and c es and pu as CEO g his 15-year tinui onsi b- , Mr. Co te ng busine marked of nearl sts of the wa therman’ nure ss suc by con- believe it should be struck down y 40 agen leaders rd-look s for- his most cess, c i be able to have access to medi- companie ies and ng style notable possibly pu bett to pos s. blishing ant itione the one achievem icipate a d Cor- he was ent – a changes in nd capital the m proudest nd For more the in ize on entoring and of – was informatio – such dustry and soc youn development of and its annual n about the as the imp iety g talent. ceremony, MAHF health act of pe “H tact David please care. Und rsonali e helpe Gideon, exe con- agen er his l zed strategy, to pusd us all at david@ cutive cy conti eadership to ‘dream’ or not, it’s illogical that any new davidgideon.ne director, H nued t , the h in our o ad cines that can help them. This is t e led th apt and what the boundari . e expans grow could b e cy’s g ion of the a . on e done, not to se s of lobal foo gen- the obv aligni tprint by ious or th ttle ng wi singul strategy,” e easy-t beco th TBWA/W arly says Ken o-sell ming chai orld of Conce Bega rman Health, ntric sse Jr., CE spanning 4 of a n “He Health E O 8 offi etwork ’d rather xperience. 24 • ces in 36 coun righ lose a sitting president is going to take MED A t s pitch with D trategy than wi really the take-home message.” NEWS F tries. the EBRUARY 2 strategy that coul 016 n a pitch dn’t wo with a rk.” medad news Ken Bega that coverage away and leave 21 Stefano notes many incidents sse, Sr. million people without insur- in the recent past where pricing MEDICAL ADVERTISING ance.” models, outcomes data, and val- HALL OF FAME: But no matter what happens ue propositions did not support he edical Advertising all of Fame with the ACA, the ongoing con- the kinds of price increases that honored . arshall aul troversy over pricing of drugs companies took. “In my opinion, and cott otherman as 2016 inductees en will continue. the current case of the former Begasse r. was the hedge fund manager, Martin ifetime Achievement Award recipient. 24 continued on page 6
The Magazine of Pharmaceutical Business and Marketing • medadnews.com • June 2016 • Volume 35, Number 3 • $25
annualreport insi e By An rew u phreys • [email protected] io specialfeature
By Ch payeraccess ristiane Truelove • ch ris.truelove@medadn ews.com communication materi als, all of that ideal. our campaigns, around Beda rd says hen aimed at p developing launc ayers, the em h campaigns a phasis is on th therapy can provid e overall value n e, especially in ter Different ia nosis eed. ms of an unmet Novello agrees. T he thing inence ith that takes on mo a payer, at least re prom- To reach payer audiences, companies have to focus far less brand can to me, is makin clearly establish an unm g sure the value to et need in ter on pr the payer, and that’s of va ms of omotional tactics and show the value of their products. and their provid lue to their members er net ork, he says. by value is all the benefi ts of the dru And hat I mean ferentia g, and hop s physicians pl ted benefi ts, in ter efully dif- ay less of a role i cost. ms of clinical, div choices for n drug Today, ided by the patients, and payers managed markets Hi pharma c more, ust is a huge class ghly d iff erentiated ompanies – and talking about ma – you’re not v an d ben efi cial p that serv the agencies h naged markets or ie ed more favora roducts ar e A e them – have found ealth pl ans or a gani ations like bly than me-too p shif themselves prescription b en They’re lookin roducts, he say ting their tactics a you’ve got group efi t m anagers, n o g from a cost perspec s. motion-voiced c ay from the pro- purchasing organ w impact ould tive to see hat th ampaigns aimed a really large p i ations, you’ve be on their budg e count managers, n t doctors. It’s ac ractices that run lik got Patient ex et as ell. ot the sales reps, - integrated d e businesses. ou perience is p articu this audienc ho hold s ay elivery net orks, have edicare tar larly importan t e. And meetings ith ith cians and combinations of p Rating ystem Pr in t he uently as payers come as hospitals, and in hysi- “Patient ogram, ontup once yearly, not infre- these diff er some case, insurer e xperience is i n e says. or month the every eek, t ent types of organiza s. All of princip cluded as one of th ly that reps meet o eeks, deeper tions have to les as to hethe e guidi ng ith physicians. than effi cacy and look much ation r or not some of At T safety.” s ill get paid these organi- he Bloc, managed l , he says. o yo examined markets commun ooking to make sur u’re absolutely What through w ications are e that these patien o payers want hat the agency experience, that t ts have a positiv lens, ontupe says. calls the “triple aim hey don’t walk ar e this,’ or, ‘I didn ound going, ‘I hat hat tripl ’t get this service,’ o ed o ho e aim’ is, and it’s r it to me.’ Yo r ‘No one expl do companies rea through the eally come to u want to be abl ained physi ch payers Just l Aff ordable Care light pening, h e to explain what is h cians, payers an ike triangle, h Act, it’s three par y it’s happening, a ap- drugs co t information abo e told Med Ad News ts of a derstand nd really make i mpanies are ut the triangle i . “The fi rst par able as possible, t as un- in promoting. But th s patient experien t of the becomes v hich is hy hea formation they w e kind of health ce. So when you’ ery importan lth literacy SAcco ant diff ers. plans or these organi re talking to need t, and hy these organ rding to Daniel care organi ed groups, these to focus on mak i ations inV le Bedard, managin ations, yo managed h ing sure these patien entiv ealth an g director, u have to make sure yo at’s happening, h ts understand aged arkets, he their member experi u impact at to talk to th paign is aimed at ther the cam- ence. What’s hap hat to talk to eir physician abou the physician or th patient Is it sm pening with th their insurer about t, ant to have a co e payer, it’s import- ooth Is it simple o does th at Novello str , and ho to do th State of the Bio In ustry nsistent brand sto tient respon e esses the importance at. sure y ry. ou an d ther pa- of t ou have a con t to make e, because that’s ver comes ith payers. alking about out sistent brand story, the provider compo y important to ou have to ma - municating as one that you’re com- nent, the integra comes evidence ke sure there is out- brand regardless orks, the large ted delivery net- available for hat y she says. “But of the audienc hospital system about the drug, he says. And ou’re trying to prove there ar e certain e, make money by s. Those organi ations hat ill reso ly diff erences b etween providing a bett about outc hen payers an nate ith a payer v o that’s er patient experi omes, they ant t to talk nate ith ersus hat i one angle e al ence. ulation – the results for an a physician, and ll reso- help drive population ays look at. ... say, over eight entire pop- on their the campaign has t h e have to “They patients ith ty frame of referen o be based produc ealth outcomes. want t o know pe 2 diabetes. I ce and their goal t, or our program hat does our thi what specific pati t’s certainly impo s. im s ith the product s drug should be ent population a rtant to look throug pact the population do, to help used in, Novello payer versus that h the optic of hat can Physicians, on says. of a physician, a the population? e do more to impac the other hand hat are their importan nd understandin And then fi nally, t ho an indiv , often ant to kn t drivers for ma g o those a it’s about net costs. idual patient can o hat are the king decisions, re the three sides of th The physician do on a medicat challenges and barr and member e triangle: patient ill make a produc ion. unmet need iers, and hat are experience, popu needs of th t choice based s, says Gregory N their and net costs. lation health out e patient in fro on the gy, at c ovello, senior VP hat e an comes, These la nt of them, on ann anaged arkets. , strate- t to do is position rger organi ati tupe says. ing to Their op all of our the ov ons need to think overlap a little bit tic is start- erall best choice about hat the past more ith physician is for all of their member , but they look at the eco s than in s. The outloo remains bright due to a favorable regulatory arena, support for biopharma-friendly a presc nomic much more th ribing physic an ian ould, although starting to blur as p those lines are hysicians take on more ity for cost of care. accountabil- Messages o f safety and effi cacy diences, Bedar resonate across al d says, but payers are l au- ering the impac going to be t to their pla consid- of care an ns in terms of ov d similar factors. erall costs Ben urtis, seni or VP, director of in tegic services at in tegrated and str Ventiv ealth a- points out the team anaged arkets, s at pharma compani physicians an d payers ar es that serve legislation and development incentives, expanding scientifi c opportunities in ey therapeutic areas you e diff erent. “F have sales reps, or physician s, for payers, you h agers, t hey have diff er ave account man- says. A l ent tools t hat t ot of times, h hey use,” Curtis tion that is p en e think abou rovided to the two diff t the informa- of them erent aud don’t apply. For iences, all cian example, we can tal s about convenien k to physi- conv ce, ho a product enient for a patien may be more ad t and therefore th herent. ey are more But that h ole convenience sto The Magazine of Pharmaceutical Business and Marketing • medadnews.com • August 2016 • Volume 35, Number 4 • $25 ry d resonate ith a payer, b oesn’t necessarily ecause there that’s three tim may be a produc such as immuno-oncology, and big pharma s continued push to obtain innovation. es a day instead of one t costs half time a day the amount. ou’re real , but banker and ly talking as mor more fi nancially foc e of a to turn that used, so you either story into somet have them, or l hing that resonates eave it out of the e uation compl ith Daniel Sontupe, etely. executive VP of The Bloc Value Bu payer strategy ilders, The Bloc at division, says th ’s managed markets e V d ision los iv s affe ersi cts you t r members on y o n a n f th eed for servic umber of leve e man es, they may als ls. In addition to aud o experience lost wages an aged physical, emo d increased i tio en na c l, and soc e mar ial b 1,2 makes i kets urdens. ts in form The pr ation ne eds v ogram Bloc ery di Value Build ff erent. ers produce dilated eye d for Regne exam at lea ron helps ca st once a ye se manag e ar. rs encourag e people wi 12 th diabetes to • MED AD NEW get a co S JUN mprehens E 2016 ive
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References : 1. Centers for D Health isease Control a in America. Atlan nd Prevention. T B ta, GA: US Dep he State of Visio lindness. Cost o artment of Health n, Aging, and Pu f vision problems. and Human Se blic 2013. Acces Costs. http://co rvices; 2011. 2. P sed May 8, 2015 stofvision.preve revent . ntblindness.org/co sts. Published 016 has been full 5 mors. Medivation possesses one
of ups and downs 16 other suitors have reportedly A E ACCESS for the world of marketed prostate cancer ther- jumped into the ring to try to ac- enue. The combined business To reach payer audiences, companies apy, Xtandi, which generated have to focus far less on promotional bio. For example, consists of multiple, durable a 2 almost 2 billion in 2015 sales quire Medivation, including tactics and show the value a large amount of nnual As- By An rew u phreys • [email protected] biotechnology company stocks and could top 5 billion in peak traZeneca, Pfi zer, and Am- billion-dollar franchises, each of their products. took a beating during January, annual sales. Medivation also gen. Medivation’s stock price with best-in-class products. The with biotech valuations taking a has two oncology assets in clini- came in at 60.46 on May 31st. robust portfolio includes more than 30 recent and planned 12 report huge hit throughout the volatile cal trials. Meanwhile, Sanofi has OF THE YEAR fi rst quarter. FDA in April ap- a signifi cant presence in prostate Shire Ba alta er e product launches with 5 billion proved just the second biosimi- cancer as well as a strong her- in 32 illion eal sales potential by 2020. specialfeature u ira s rei n continues lar to reach the U.S. marketplace, itage in oncology. But despite By Joshu DTC A ie lan s Ste centr a Slatko • [email protected] and the regulatory agency addi- Sanofi ’s established tradition in Initially announced in January, What’s new, and To DTC or not to DTC what’s next, in DTC top That’s not really much of a question – unless you’re the American Medical Association. for 5 illion We asked agency leaders what clients are asking for t’s been eight months no since the Amer- today that the the boards of y were not asking fo selling chemotherapy drugs, the ican edical Association called for an out- derstanding what they mig r a year ago – and inherent Abb ie s biologic therapy for autoimmune diseases was the worldwide prescription-drug sales tionally has approved a variety in AMA’s positi ht be asking for a year from now that 2 e icines right ban on d on. Giv irect to consumer advertising si e and gro th en the relative they are not a Shire and Baxalta by pharmaceutical brands, but seismolo- of spending on pharmaceuticals versus sking for today. Here ar I healthcare services, doctors pointing fi ngers at drug ad- e their responses. gists are having a diffi cult time picking up vertising for the after increasing the cost of healthcare seems like NICK CAPAN shocks from this mighty pronouncement, given a glorifi ed bait and switch. After all, services provided by EAR, executive VP that there have not really been any. Pharma brands are director, GSW: , executive creative doctors and ho Many clients still spending furiously on DTC – something like a bill spitals account for more than half of tot are seeking out new and di erent ways to en healthcare spending, while prescription drugs make up audi gave their approval of the transac- ences for lead generation/acquisition. We are seeing aga turnge towi dollars more in 2015 than in al th company has not been very suc- ion third part ab y “trusted” ve of promising and innovative bio pe 2014, ith out a tenth – and the cost of care i ndors and associatio more gro th cted this year – and patients are still demanding and e - enrollment vs. Brand. ns as the platform for rapidly than the cost of drugs, Martins Shkreligro ing notwith- much more com. There are some sharing more information about drugs and medi- social media space to engage KOLs and bloggers clients dabblingas advocat in the standing. “cont cal conditions, ith or ithout approval ent sharers.” This trend may pick up es and their doctors. A A’s pronouncement may from “If only politicians and the AMA would appre- advertisers to think di erently. The third mpartyomentum, groups but that it could requires help brands th leader in 201 for the fourth consecutive calendar term; after Gilead s Sovaldi fi nished runner-up to e mos not u ciate the fact that drug costs make up less t in the social medi ite be in the same unique unbranded content a space are seeking out Global biopharma company nute instructing the tide notclass to as come ing in, a- “If than 10 percent of the overall healthcare on a regular b tion in late May and it closed on non-promotional outreach is d asis. The investment in medicines throughout the fi rst cessful at developing new-gen- but it’s certainly not far behind. only politicians costs, and by most account in their ROI models. icult for many advertisers to justify The trouble ith A A’s proposed and the AMA would sponsible for saving m s are re- appreciate the fact that drug ulti-million AMY YAN, strategic planning director, engagement, direct-to-consume of dollars, and lives, by prevent-s Area 23 r ban, according costs : to Evoke Group CEO Reid Connol make up less than 1 ing costlier healthcare problems,” We’ve been seeing a greater appetite for pharma to engage on so- ly, percent o 0 is that it is based on a fundamental f the overa says Joan ildermuth, e ecu- cial media, including ll healthcare some of the most ser misunderstanding of the costs, and by mos en conditions like onco ious, historically HC insi e tive VP, global logy. P-driv- AbbVie in late April acquired ind t accounts are creative director and their Men Who Speak UpFo prostater instance cancer, one educationof program June 3. Shire agreed to pay 45.57 and the role of patient and consumerustry responsible for saving multi- managing director, Juice Pharma, our clients is Bayer, eration cancer medicines, note launched Facebook and YouT half of the year. The presence of communications. After all, ith phy- millions of orld ide. is partly be ube e orts over the dollars, and lives, cause social platforms, includ past year. This sicians and payers both serving as gate- and ing by pre There is add YouTube, are consumin Facebook, Instagram Humira in 2014, its fellow hepatitis C treatment Harvoni too over as the o. 2 seller globally last year. venting costlier itionally the small that speak to older Americansg ev areer no mo exceptionre of consumers’ to this trend. time. BrandsThis keepers, DTC ads can’t “sell” a healthca problem of reality in a digital age: nyt re problems.” is also due to th on their o n. hat they hing consumers a e rise in understanding of the bene ts that social ca re e pecting mor can o er. With believes, is help consumersn understand do, onnolly ho formation e in- the proliferation of in all thei there’s incr paid social adve r interactions ith eased recognition of the ability rtising products, Stemcentrx and its lead late- new and diff erent options ma companies, and pharma is no diff erent. awareness and tra c, of these o erings to drive in cash and stock for each Baxalta y help improve their even to brands for hea “Consumers want and need information media pro le and community are not topwhich goals. o industry insiders. lth. rganizing a social a rare kind of from prescription-medicine brands I expect more clients asking to build deeper, more data-driven “We wo rked in a category recently where a revolution- nien ary new breakthrough product for a fairly devastating con- t channels,” says James Coghlan, senior VP, instrategic conve- understanding of their customers and leveraging that understand- planning director, Area 23. “This is the 21st century, and ing for highly personalized CRM programs dition was appr li oved and available,” Connolly told a more inclusive model is re uired. Ignorance may activities across channels, devices, and properties.that respond We’re toalready patients’ see- News. “How ing clients who are building some of this infrastructure that enables ever, beca Med Ad the use there were some best remedy for pat not be collection and analysis of this data. The next step is to utilize the data specialfeature infection, prior authori ation and some hoops to go throughhurdles for with the heard ph ients in research, e h stage asset HCP, many physicians weren’t even telling consumers ysicians bemoaning th ave actually for more personalized com share, for a total of 32 billion. advertising for products that theye d believeiscontinuation had previously of DT munications and relationship building. By osh Sanofi fi rst reached out to about this game-changing product. But, when asked about RICH LEVY, executive VP u a superbug that is resistant to helped drive patient compliance.” a Slat o • jo rovalpituzumab the product by a suitabl FCB Health: , chief creative o cer, e and informed patient, the phy- Not everyone in the industry is so enamored ith DT , sh. sician would agree it was the What we are seeing is a shift from the tec [email protected] best o a philos hnological clearer e ample of hy it is so importantption. Ithat can’t consumers think of a ophical attempt to understand what personalized shiny objecmedicinet to can actually mea get, and stay, educated and have a voice in their health.” TOP n for the patient and 20 BRANDS BY DTC SPENDING a lot of ‘we need to build an app becausethe that’sprovider. what While you theredo’ con- is still m Others have pointed out another fundamental misun- versa tesirine. Rank tions there are more a Ran nd more questions being ask ive fast ie youn Baxalta initially rebuff ed Shire’s k what is actually meant to be a U.S. DTC e Medivation about a deal toward 2015 2014 % Change ccomplished w d about Bran These q ith these initiatives. many antibiotics, became the d Compan Media Versus uestions lead to a ver Rova-T is undergoing y y di e TOP 20 COMPA ($ in solution se rent kind of dialo NIES BY DTC SPEND 1 1 millions) Prior Year t moving pharma ever more into a truly cogue and The new generation of hep C drugs has com ING Cialis Eli Lilly media and 220.4 content strategy that provides a nsumer centric Rank Rank 2 5 -11.4 in the c more U Xeljanz onsumers’ lives. Social relevant presence irstYearAfter 2015 .S. DTC % Change P zer goe has become al 2014 Compan 169.0 5.1 s beyond that with most the norm but it y Media Versus 3 stand beginning to devise strategies that under- ($ in 2 El Bristol-Myers how to lev 1 1 millions) Prior Year iquis erage the empower P zer Squ 157.7 behaviors, independent resear ed patient, their health tracking ack registrational trials for small cell 1,087.9 ibb/P zer -28.0 ch in Launch 2 4 10 motivations, and the r off er during the summer of 2015, 7 Bristol-Mye -0.7 Lyrica* Google” to steer the conversations that patients are h ise of “Dr. the the olden days of rs Squ P zer l TBWA Wo the end of March, and another 3 ibb 394.7 5 154.7 each ate 1 0s a 2 77.8 18 Invokana 46.4 other and with aving with he top 200 med- 20 fi rst known case of its kind in the AbbVi their doctors. 00s, e Janssen In a year we will see fewer questions about how to do this and more B pletely changed the conv a e rl ea 4 5 352.8 -2.8 6 – 149.8 103.0 the it nd ncy fo Johnson & Johnson Harvoni Gilead about wh years t bes took ea port a lth 5 344.8 7 135.7 at is the best way to do this t ipitor rl–y ed b s e r C co un is arvo 3 AstraZeneca 33.7 6 Lyrica** N/A Health, Fitbit, Withings, etc. will all have – A increasinglypple HealthKit, leverageable Go o tion drug -ofselling an y data fro the P zer ogle and get t pr d trea risten a ni s lea 6 6 324.0 -4 8 4 134.5 9.3 platforms in terms of messaging as well as data collection and tar- an o $5 billion in annual salesc patients ith genotypem 1 V en Allergan .9 Latuda Sunovion onc other four t all ri tment-e peri31 en aro c ya s icat 3 9 13 e the time p- tre a ions 7 4 12.6 27.1 – Prevnar 1 0.5 -27.2 geting. Additionally – f randomi atment-na v ersation about launches. na in partner We Eli Lilly 3 P zer there will be less asking about the importance staye produc o break our enc Me 8 299.7 10 3 128.7 of a mobile rst media strategy and more of a simple acceptance of d th $ n 157 ed ed Ja d Ad out lung cancer (SCLC). The novel 8 Merck -9.7 Viagra N/A ere f t crosse 10 es to ledipasvir sofosbuvir e New the P zer it. I do wonder how much print bi , pan i TB r saying that it “signifi cantly under- 9 286.4 125.0 o ti or sev d th llion r or ledipasvir sofosbuvir plusese thout WA\ s Talk abou elati – 39.4 -40.8 will su er with this: as it becomes . But ib W o phone call was made about a Valeant 11 – Bristol-Myers increasingly relevant for ISI al nam mes ha en at bar avirin n 1 infec 3 per c we orldHea t nship Opdivo icines based on e co irrhosi ll? the United States. And as this mag- 10 12 226.7 one some clie from pharma’sv launchnse cl rier, i trial tion What lth and rel GlaxoSmithKline N/A Squ 121.9 to de-prioritize that for nts are already 2014 e chan cutive yea G 61 cent 41 s. yo challeng Gi atio 12 ibb N/A TVC and mo looking , ged. The bigges t enrolle - in type 4 a Results sho e u learned? lea nship 11 18 207.6 87.7 – Farxiga experiences. bile video and other digital past $ Gilead’ rs. -337-0113the 4 es d. Wha betw Novo Nordisk AstraZeneca s d Phas ith genotypend 5 4 of t did you face t ma een 12 173.3 13 16 119.9 N/A 10 bi hep ages 6 in this study,. Of e III c 3 pe hos d tha de i 19 Gilead Sciences 184.6 Xarelto Janssen mar llion dr t 5 t l TRON rc e ith geno- r ? What t work 14 116.9 Joan Wildermuth, executive VP, global creat ket in it ug ass cirrhosis. year he 31 p inica ent 3 41 of those t isten en a les so 13 10 138.2 152.2 11 Chantix 43.8 did the e act, one yearsa aftes fi r a o s or older and 23 perce l -2 evaluateachi sons ha Amgen P zer managing dire s rvoni, ble f 34 atie in trea ev enoug ro 1 136.1 15 15 112.7 ctor, Juice P ive director, t full Among percent nts ed VR1 h H ve 4 – 0.3 Humira*** 9.3 Point harma Worldwide: disease r ye pa tme d arv to to wor ave y Sano AbbVie -of-Care technologies me thin its cous ar on of ledipasvi patients receivi er tien nt-n 2. be y k w ou e biomarker-specifi c therapy is 15 134.3 16 – 112.0 34.5 wal have become ho v and high cholesterol are t o the e ts a ve oni for 12 eE E our p ith a ver be 9 N/A Jublia l posters, tties, with ery d in n ith or itho i Whil ers clie en f valued” the company. Shire’s fi rst Dainippon Sumit Valeant in-o ce tablets, wa interactive i g. B viri t had th genot or previously-t - e on nt w ortunate omo 108.5 iting room v ffer ov their sta al b h week later to Medivation’s CEO. 16 15 130.5 -31. N/A brochure sized – a ideos – from wall to lau ent beasts ut aldi n, 10 r s e they take seriou est? o rea 4 17 nd the 2015 sales generat- nc in ofo 6 yp k nd We lly – a azine was going to press, several Roche Anoro Ellipta GlaxoSmith- ized m bility to deliver o ce h revolution has been busyfe eat-ctio ment 0 pe sb ng 12 pe ut e 6 V s ards for excell, G pus obile mes -by-o ce personal- in uvir ith rcent cirrhosis. In th r il he 17 11 90.1 12.1 102.0 saging. Mark g its , and the Gilead-le us -na ve andrce 100 p VR12. eated insp ead i d yo Boehringer Ingelheim Kline N/A the advantages of reaching a etercaptives ha veaud recognized tha o n children fe of the recently of nt n eeks 24 in irin sly the lle s that u 18 88.4 18 – Premarin t P.O.C. o ers launched ne treatment-e 7 7 out 25 fection g the re nce clien – -29.1 P ze are laser focused on their health. ience at a ty during arch 2017. umira’s key ri T of As a age spo are c t. Celgene 19 r 95.9 time when they achieved sustained virologic response 12 ba- he sN pa is st senior ncy t nsibil ertai 19 14 87.6 – Belsomra N/A Chatbot Chatbot Chatbot! That’s all you’ll hear about in a year. and d erc of V IV-1DA c tients achievedudy th leade eam t ity of mot nly hi Ironwood N/A Merck a hep products e pe ent n 7 7 treat- approval for patients ith , e work pro r in this or o do their gh, 20 19 95.3 N/A m rvoni include eks a rien ivating an 20 – 82.1 -19.9 Tami u Ge People want questions answered the moment they think of them, atch fter ced by d eleva duc ganization, I very Biogen Notes: *for diabetes; **for bromyl nentech 89 t heir Adverse completing p ata o-in ted, t of our best work. d 62.2 .9 23.3 on the platforms they are already on. And, overwhelmingly, those Be are, brand fi marst atients IO fr fect the as eac in Note: Total spend comp N/A gia; ***for psor d, seem likely, ov so ev N- om io y imagi h t tern ’ve derived from cancer stem cells rises broadcast, print, outdoor, B iasis platforms are messaging apps. We need to be there. And we need ease -year num aldi fos ents observe 4 the Pha n as supported eam al tea watched T therapy VR12 st n mem buv u p ed m continue proposal was an all-stock deal val- 2B and cinema; excludes digital Total spend comprises broadca st al i for 1 dy, roduced f pos b to be prepared for a worthwhile exchange and to answer the types ates, l r it 2 hic se sible. I’m er Sanofi proceeded to make its di st, print, outdoor, B2B, and cinema; ex chan na b to y mild ho d e III op proud rom reache t gita ed $2 .46 billion yo ge ers it types 1 or 4ek chroni o be e l ut ribavi h evaluate prime-time players were in the N e se cludes of questions people are really asking. Those wh ce. u may neverrs – get a aga 2 pe an h s fo en- of the prou s bey in s in. d ledi . r the labe the re agenc d o ond what people o om rce included nasrin pasvir patients t d l The n lat y; bu f the ’s trust and loyalty. do it well will win e dis- malaise 6 ntpe , h ere reatment of arv geno- at ionship that hast more ma work e N e se composition-of-matter patent e pires arv eadache 7 per gener- demonstrateco that 6c p oni thou ure of o impo we’v se e 16 • oni co T opha -infected iV in gh. We ur rt MED AD NEWS JUN of last year, representing an average nd he approvalrcent . as ry of patie fect in p work antly E 2016 ngitis ion amo as artne was no de t , I’m sults fr many red his Just cent include nt th IV. D susta ye on t without c possib a year removed fr 1, om and s achi ng in ars, so t three le. record books and more tha ION-2 andthree ION-3 Phasealso d ev ercent 321 ed, v he sequ hallenges 12 support cent a V treaed VR12. The studyata set out ersus incredi ential launches and targets delta-like protein its or to tapering ov ble pace o , III studiesed ION- nd 3 dr ued at $30 billion when the com- total revenue ith ovaldi,om G 24 by perc tm 35 stakeh ive align am re e treat ent olde er f w $52.50-per-share off er in mid- during the course peated the process re riting the on eeks of ledipasvir so eval - nt pa ment -na ve r me time. In ork g genotype 1 V pati co leader s around the nt on the work was rumor mill to attempt to acquire al participants inclu uatin mpensatedtients, -e perienced 45 pe 5 addi m arvoni. n g e i the u ight attest, tion, w do ight, ma or ncludi r- glob ac e aunch ubl the nit it cirr ng se of proven the e, and as ross during December 2016 in the nited arvoni generated sales i of $2 ing fos three y of pa ho p – a ro many i buvir sis 20 percatie ad t th the lea Rico ed t n 5 lways ap o any agency of nearly $1.45 billion per product. in ed i d re ates, Euded pa ents. Tri- IV tients ts ith yiel proaches align th e fi n n Octob follo -on - ho tenofo anti e that ds im ment – had ere tients from vir dis re re ent bein porta an d spectaculaal qu er failed treat rope, a em trov takin . The sharing a g fear nt learnings.d trButie espite arter 20 protease previous tri op iral AR g less ab d-and cou r $1 of 14 ment- nd Pue citab ro il one o are ccou ou -tru rse of 20 .13 billion , na or rilpivir ine ith efaviren fum V regimens: f fund ntability f t the we’ e tools 3 (DLL3) that is expressed in 2 3. 6 b 14 also incl inhi treatment, ve including rt o arate a tough conver ve le tha 015, more than a bitor- or ho men o panies revealed their discussions n ill nd t ud co-infectionin TDF and ment tal to r co arne ovaldi’ io hen cirrhosis. based regimens, and e. p nti d April in the form of a letter to fo n dur ed pa Patie rocess toge maneuv nuous sations, re a tien pe , the biopharma company Medi- . Pu s $10.2 billion the yearing be t rin-free armsT rc re nts raltegr eri improv and t together, a rial pa ts en present appro ima i th ng generated $1 .14 billion i thir he ith tion in t of the total IV-infectedth V I popul avir Med er. through ement, d better rates of rticipants inco them ribavi- Ad N the tates and October 201 in the Eu- ead l n 1 pen the nited tates. ompar be ews align- ast arvo sated V inf V tween a monster It’s la eading the cavalry as Humira, chemical year, entity by ni and ova In Novem4 to ,0 0 a tel easy to po - tion is associaec y something DTC fo perc chi tion alone, 30 int far t n sa r e ent. eved VR o tion o he most evles fo ldi pandedb useer, FDA approved arvoni of revenue. ai unch ut a f typ 12 cirrho IV a- ming fo such as Harvonill the di er ov ov arvoni is a combina-r Gil- e 4 ted i ed i But r $50- er half aldi ith le er for , 5 an in cations of sisend- and the subsequentth an inc V c co-inf th What are a c we $100 mi ence 80-plus percent of SCLC pa- any V d 6 pa are more a s $32.64 bi the t l nd, during August. company’sdi total revenue of infecti chronic hepatitisien patoc re ec- es, big ouple of cu lion in say, pasvir and ell fected ith IV. In addit ts ith ase rio Medivation’s lead executive, ll on ellu stage liver d ris or sma key us abo annu ion. geno- lar e al vation after Sanofi ith pl and in p In February, carcino FDA ap k ll, shar lem ut the such ra us om e? ents t s is ments, ribav ind disea pl risten ha imilariti atie vi m i- t To DTC or not to DTC isn t really much thou pid up approved iri nt rus ica a l se and he- e all gre es. ropean Union, but other signifi cant out n RB s tio iver can n at g ta co hepatitis ns products a launch- Remicade. After ranking No. 3 on in the hep h,C marketplace.r ke In the fi r e a V ion, -in- for p cer ro We’v available in more than 60 markets oom of eks s for 12 eeks ar rov hal f of is begi ne t an a di v ed . are a of all shape e had 2016, enced, of arvonialtern rvoni sease pa oni f addition few th 22 nn reat at . tients or use constan s and sizes e bene t of launchin ’s $9.3 bil- .3 percent to arv $5.5 ing to - geno e therapy to 24 a i in al and di for as rv t ts. sale on ru “Harv type 1 patients t oni in coh advan chr eren Firs ; and s rose i sales ere do n on reatmen onic process c tiated t, it’s imp as you tient tumors and is not evident gle-tablet regii – m ced sto e n g gro th a ry ra ote 16.4 bi st the fi rst a it t-e pe binatio liver tion lled D at launch. Ourtiv e , the Bannockburn, Ill.-based Bax- cam percent, thoughllion and o V – h cirrhosis.ri - n it s, an isrupti to hav re David Hung. After Sanofi went ternationa d se e n m in on a of a uestion – unless you re the e from con en for nd h a gi t our b to ident ag clear lion off er was turned down. cure rat va ve ra en the best-selling medicine list for 2014, In l mark Japan and o ldi tinues to demonstratethe on lhigh tal ma n the nds ify c cy uses a July 201 all fi l es trea y s in- rapeu apar ateg intellectual property is e pected to re- al from the Ja ets of i e across aand r t rket tic area. All t by ory conven- . ts a tolerable side eff ecment a u size, nding ope for treating a variety of autoimmune 5, arvo ther in inclu of nique are cap b a space i ra abour ni ea - ding tho nge able of devends, re n space and elpane been of pa Next, n their re gar chroni se rned consid se tient fa we’v lo dless of to- in ap cult ho have populatiohistoricallyt pro- ll dow e seen spective marketplace.ping in a c he fare for theistr treatmentp rov-o er n w clien and ownin d patitis genotyp y of ea to cure, ed Every day wihen it ts wi in healthy tissue. Registrational ults. Ph.D., e e sa among ns co th the g , me American Medical Association. Primarily due to V, Japan has one lth, y h t s t very alta will benefi t from a lower tax s the ands of yo hou o velopmen Norbert Bischofber t op b public with its off er in late April, of e cut mo a qu erati est pr the hig 1 infectionf ive VP of st diffi - costs. As we know,ur reps the couldality be mipro onal excellence.od ucts Remicade dropped a spot to fourth in he Gilea t and chief scientifi r c motio dustr st rates of liv d. e esearch an to the el nal main in eff ect and aid the medicine’s iali label and prescribin ger, llions in opporpiec 1 mi ed are plan. Multid requires many pro e in disorders. aunched in the nited llion pe country. Ofer the ca more than in pleased th d de- cess t the cludes gu o fected it op ncer offic se ply t t get a tunity le i of a v at the arvonier at veral hat hings to g given fe h n Japa ny ider ida g information no audie by 25 pi cted V, s on it nce eld nc eld piece o ac ece rus. E - . . ith an 7 n chronic patient popus u for h force, es and t cording t the 0- 0 se i ealth is hi and he many channelss, an beyond y o trials for third-line SCLC are ex- genotype 1 strainper of ally n the ghly the prob d mult totaled $1.6 in- The supplemela se i care pr sign rate as Shire is based in Dublin, cent are in tio mp aroun i cant. Havingabi a well-architec iply b d Europe s cation ns. lity of ex y the Medivation board quickly t ortant o- d launch exc he product’s e billion - ty sN ntal ne 30 e orts, and cution ou place based on 2015 sales totals. The in ales the pe DA V ellence, al f r vi- s 4-6 as su ai arvoni’s approvall 2015, of arvon ap are im a robust d detai lure sales life. aunch the prova dru per ted s in J mos i op l f g a ativ led Da plan tates during January 2003, umira apan. tly d TRON en- pp or V ppli- Finally e for la ependen y 1 throu ue to labe orted by d , we unch succe i - l trials 111 an g ins k cy planning gh Day BI TEC BI A MA n Japan as sup- for 12 eeks2. tudy in patients 1 ith V gen-eno- ight-dri now 1 ata f that ss. process 4 • MED 11 rom of bud ven, h a lau AD otype evaluat d get size – isi gh-im nch plan geared , NEWS AUGUST 20 4 or 5 E E - ve months in the pact i pected to complete enrollment an e cr niti d t d itical. The traati Ireland. When the deal was an- reatment- ho er arvon succ ves – toward ess o reg rejected it. Sanofi responded 16 i ma j ardless The long-acting human insulin an- e t r failu rk ecto e periencere in the r et can ry drug’s sales for last year amounted atment arv har e of your oft of yo oni ener d en ur rst -na ve unde work lau de d first fu rsta be nch termine i ll yea ate ore ollars nding fore . The the orld ide sales for marketer AbbVie th o pea r on go-to- o laun client f ch r ut th mar the – shar s wh As impressive as umira’s perfor- such th e a on the ket p customers pen o inv h e p r in lans, in est BI DEA S IN 2 16 ei ro u et than ipitor sales at it custome righ , pre g the hts a ct see s u in its ing a p r t-sizin ssure-t ir ain hilo base g thei es nl decisions – isop and r in ting t by year-end 2016. Rova-T is un- i ely to r s hy of “ bran vest heir failing fa d ment nounced in January, Baxalta had eac the nv potenti b h g ar ased by issuing a letter threatening a alog is marketed 120-plus countries ate. T iably s st” in s al, and instead, his i ee ervic a to $ . 7 billion after reaching about s not a the gr e to re ningdopt- cap smart bout a eatest mance has been during the past de- ita exp h suc l, and endi igh level of specess topped $14 billion last year. umira e ort. ture of out of reso urces, nd, bu intellec t been a stand-alone business for der investigation as a third-line 16 tual hostile takeover. At the end of is approved to treat rheumatoid ar- cade, $ . 7 billion in 2014. The decreased by Sanofi . Lantus is the most-stud- I ST EA only about six months. Baxter treatment in SCLC. There is no Harvoni rench drugmaker Sanofi May, Sanofi was preparing to thritis, psoriasis, rohn’s disease and than t o years of market life are un- overall sales for the immune-mediat- ied basal insulin ith more than 10 A TE A NC had spun off the drug manufac- currently approved therapy for ’s sales results in less went public in late April name candidates it would put other related conditions. The drug is precedented. Approved by . . regu- ed infl ammatory diseases treatment years of clinical evidence in diabetes The new generation of hep C drugs turer in July to streamline its op- SCLC. Rova-T has been submit- specialfeature forward to replace the entire annyawards ere partly attributed to the loss of treatment. The drug is indicated for has completely changed with its off er to buy the San By An rew u phreys • [email protected] marketed in Japan by Eisai. lators during October 2014, the hep-