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Globalization of Innovation:
   Opportunities, Enablers and
           Challenges




            Daniel Getman, Ph.D.
Vice-President, Pfizer Global Research and Development
            Director, St Louis Laboratories
Globalization of Innovation:
     Opportunities, Enablers and Challenges



   Background on Pharmaceutical Industry
   Trends and Opportunities
   Drivers and Enablers
   Accessing Innovation Globally
   Threats to Innovation
New Medicines: Innovation-Driven
                     High Risk and Very Expensive


               What’s behind the little white pill?




                  Typical Net Cost: $1.3 Billion*
                   Invested Over 10 - 15 years



* A. DiMasi and H.G. Grabowski: Managerial and Decision Economics 28 (2007), 469-479.
The Long Road to a New Medicine

                                            1) Ensure Safety
                                            2) Does it work?   File New Drug
1) Ensure Safety                                                Application
                            Phase 3         3) Select dose
2) Does it work?                                                  With FDA
                        Patients (1000s)
                   1) Ensure Safety              1) Seek FDA OK
                   2) Dosing Frequency           2) Go to Humans


   Phase 2                            Phase 1                       Make sure
Patients (100s)               Healthy Volunteers (10s)
                                                                     it’s safe


                     Understand       1) Identify Lead
                     Biology and      2) Optimize Lead
                       Disease
                                      3) File patents
Does it work in humans?



                       Mechanism                      Disease
                Selective COX-2 Inhibition     Pain and Inflammation

                     PDE5 Inhibition           Erectile Dysfunction,
                                              Pulmonary Hypertension
                      Alpha 2 Delta          Epilepsy, Neuropathic Pain,
                                              Anxiety, Sleep Disorders
 Our Work        Nicotine Partial Agonist       Smoking Cessation
Validates or
 Disproves      Tyrosine Kinase Inhibition             Cancer
  Medical          CCR5 Antagonism                   HIV - AIDS
Hypotheses
Sutent
                                        Gastrointestinal Stromal Tumor and
                                               Renal Cell Carcinoma



                           Strong Efficacy in Refractory GIST



                                                   7 Days
                                                   50 mg/d
                                                   Sutent


Source: Demetri, ASCO Virtual Meeting, 2003




                                  Approved in US: Jan 2006
United States Life Expectancy



                1900 - 47 yrs
                2003 - 77.6 yrs
                Factors Affecting Life Expectancy:
                   Improved Sanitation
                   Improved Nutrition
Our Work           Medical Innovation
Impacts
People’s
 Lives
Examples of Medical Innovation



Vaccines          Cardiovascular
                      Drugs


 Penicillin          HIV/AIDS
   and
Antibiotics
                      Cancer
Current Worldwide
  Life Expectancy




Factors Affecting Life Expectancy
            Sanitation
            Nutrition
       Medical Innovation
Recommended Reading
Globalization of Innovation:
     Opportunities, Enablers and Challenges



   Background on Pharmaceutical Industry
   Trends and Opportunities
   Drivers and Enablers
   Accessing Innovation Globally
   Threats to Innovation
Trends and Opportunities

“The U.S. remains the world leader in scientific
and technological innovation, but its dominance is
threatened by economic development elsewhere,
particularly in Asia.”



                     January 16, 2008
                   Citing a NSF report


             http://www.nsf.gov/statistics/seind08/
National Science Board: Science and Engineering Indicators 2008
First university natural sciences degrees,
           by selected country:
                 1985–2005


                              United States



                         China




                     SOURCE: National Science Board,
                     Science and Engineering Indicators 2008
Math and Science scores,
  grades 4 and 8, and
15-yr-old students: 2003




                SOURCE: National Science Board,
                Science and Engineering Indicators
                2008
Estimated R&D expenditures and
        share of world total, by region: 2002




             37%                             29%
                                                              30%




SOURCE: National Science Board, Science and Engineering Indicators 2008
Globalization of Innovation


“We intend to make our
internal capability even more
effective by tapping into the
best scientific capability
outside of our walls -
wherever it exists. That’s why
we are reaching out to
scientists around the world.”
         - Jeff Kindler
       Pfizer Chairman & CEO
Globalization of Innovation:
     Opportunities, Enablers and Challenges



   Background on Pharmaceutical Industry
   Trends and Opportunities
   Drivers and Enablers
   Accessing Innovation Globally
   Threats to Innovation
Drivers and Enablers

   Increasingly skilled workforce
      Return of experienced scientists
      Emerging capabilities

   Strong government support and investment
   State-of-the-art facilities and equipment
   Increasing intellectual property rights
   Participate in growing markets
       Brazil, Russia, Korea, India, China
   Internet and communications
      Increased bandwidth and lower costs

   Lower cost – but will likely increase over time
Globalization of Innovation:
     Opportunities, Enablers and Challenges



   Background on Pharmaceutical Industry
   Trends and Opportunities
   Drivers and Enablers
   Accessing Innovation Globally
   Threats to Innovation
Our Global Organization
                   Major Research Sites Worldwide



                              RTC
     Rinat, SF            Cambridge, MA        Sandwich, UK               Tokyo,
                                                                          Japan

LaJolla, CA                       Groton, CT                  Shanghai,
                                                                China
     CA           St Louis, MO
  Incubator


                                                                    Singapore



                 > 11,000 Researchers Worldwide
                 > $7.5B Annual R&D Investment
Biotherapeutics & Bioinnovation Center
                 A new model for drug discovery
                                                San Francisco
  Research Unit
  Collaborations                                    TBD
  Incubator
  Portfolio Company                                  Cell
                                                    Biology


                         RGo
                                                    Rinat
                                                                            RNAi

                      Fabrus
          San Diego
                               Scripps
                                         CovX      BBC              RTC                 TBD   Boston

                                                                           Stem Cells

                      Wintherex
                                                                           MIT
                                                        Coley


                                            TBD               Stem Cells


Current                                                             TBD
                                          TBD
Planned
                                  Asia                                     Europe
The Pfizer Incubator
        www.thepfizerincubator.com/index.html




   Founder(s)                                     TPI acquires
   IP, know-how            NewCo                 exclusive rights
                           Executes
                           Research
        TPI                  Plan
 Funding, facilities,                               Spin out
 operational support

Entity Creation           Incubation            Exit Scenarios
Drug Pfinder®
                     An Innovative Partnership

    A Partnership with academia to internalize novel targets




        Pfizer gets …                               The collaborator gets …
                                  University

• Jump-start Discovery projects                •Access to Pfizer’s screening
                                               expertise and chemical collection
• Access to attractive targets
                                               •   Chemical tools for basic science
• Intellectual property
                                               •   Research funding
• Expertise, reagents, tools
                                               •   Involvement in drug discovery
•   Relationships
                                               •   Relationships
                          www.drugpfinder.com
Bend Research Inc. – Pfizer Licensing Opportunity
             Spray-Dried Dispersion (SDD)


  www.bendres.com
This initiative provides an
 opportunity for companies
  to advance problematic
 low-solubility compounds
    that otherwise stall in
  development, or require
     medicinal chemistry
         intervention.



                            3 Stages
         Stage 1: Non-Confidential Technical Evaluation
         Stage 2: Feasibility Study
         Stage 3: Pfizer License & Option Negotiation
Translational Medicine Call for Proposals
                  www.pfizer.com/translationalmedicine
1
      Pfizer identifies problem to
    address and completes Request
     For Proposal (RFP) Template
                  2

                       RFP on public website and
                      distributed to known potential
                                 partners
                                      3
                                          Proposals received, reviewed
               Pfizer                         and winner selected.
             manages
                                          Agreements completed with
             alliance
            through a                              center(s).
            milestone-                                  4
               driven                                          Center completes required
           collaboration                                    studies to solve the problem any
                                                              research plan modifications
                                                                      jointly agreed

          Oncology                Measures of Anti-Tumor Efficacy and Apoptosis
        Inflammation              Biomarkers for Disease-Modifying Anti-Rheumatic Drugs
       Ophthalmology              Ocular Blood Flow and Glaucoma
        Neurosciences             Exposure/EEG Response Data (Schizophrenia and Alzheimer's)
Strategic Investments in China




 4 Wholly-Owned factories      Pfizer R&D China          Pfizer Foundation-
 at Dalian, Wuxi and Suzhou        Established R&D        hospital management
                                                           program with Peking
  Dalian factory is the first       center in Shanghai
                                                           university
    to pass GMP in China            with nearly 200
                                    employees in 2008        Established in 2004,
                                                               have trained
                                                               hundreds of hospital
                                                               directors in 4 years

      Pfizer is one of the biggest Multi-National Companies in China
                 with total investments exceeding US$ 500M
Pfizer Clinical Research Units (CRUs)
            (Phase 1 Units)




             Brussels


      New Haven

                          Singapore
Pfizer Clinical Research Units (CRUs)
                            1 Unit with 3 sites
                 Innovation through Standardization!!!

   Operate identically (systems, SOPs, medical practice, etc.)

   Highly standardized & technologically most advanced:
        On-line, real time data capture
        Data lock 24 hrs after Last Subject Last Visit
        Speed to quality decisions
Globalization of Innovation:
     Opportunities, Enablers and Challenges



   Background on Pharmaceutical Industry
   Trends and Opportunities
   Drivers and Enablers
   Accessing Innovation Globally
   Threats to Innovation
Some Challenges we face as an industry
         Threats to Biomedical Innovation

    Life Sciences is a innovation – driven industry
    Create and maintain a supportive environment


Intellectual                                   Price
 Property                                     Controls
   Issues




                        Increasing           Restricted
Litigation             Government            Access to
                       Regulation            Medicines
The Long Road to a New Medicine

                                            1) Ensure Safety
                                            2) Does it work?   File New Drug
1) Ensure Safety                                                Application
                            Phase 3         3) Select dose
2) Does it work?                                                  With FDA
                        Patients (1000s)
                   1) Ensure Safety              1) Seek FDA OK
                   2) Dosing Frequency           2) Go to Humans


   Phase 2                            Phase 1                       Make sure
Patients (100s)               Healthy Volunteers (10s)
                                                                     it’s safe

                                      1) Identify Lead
                     Understand       2) Optimize Lead
                     Biology and      3) File patents
                       Disease
Intellectual Property - Globally
               Some challenges we face
   2008:
      Potential changes to U.S. Patent Law

   2007:
      U.S. Supreme Court ruling on KSR International Co. v.
       Teleflex Inc.
   2006:
      Compulsory licenses declared in medium income countries
       (Thailand and Brazil)
   2006:
      India rejects Novartis Glivec patent

   1994:
      Agreement on TRIPS (Trade Related Aspects of Intellectual
       Property Rights) – international agreement administered by
       WTO (World Trade Organization)
      Contains requirements that nations’ laws must meet for
       Intellectual Property
Globalization of Innovation:
Opportunities, Enablers and Challenges




     Happy to take questions!

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Globalization of Innovation: Opportunities for Drug Discovery Worldwide

  • 1. Globalization of Innovation: Opportunities, Enablers and Challenges Daniel Getman, Ph.D. Vice-President, Pfizer Global Research and Development Director, St Louis Laboratories
  • 2. Globalization of Innovation: Opportunities, Enablers and Challenges  Background on Pharmaceutical Industry  Trends and Opportunities  Drivers and Enablers  Accessing Innovation Globally  Threats to Innovation
  • 3. New Medicines: Innovation-Driven High Risk and Very Expensive What’s behind the little white pill? Typical Net Cost: $1.3 Billion* Invested Over 10 - 15 years * A. DiMasi and H.G. Grabowski: Managerial and Decision Economics 28 (2007), 469-479.
  • 4. The Long Road to a New Medicine 1) Ensure Safety 2) Does it work? File New Drug 1) Ensure Safety Application Phase 3 3) Select dose 2) Does it work? With FDA Patients (1000s) 1) Ensure Safety 1) Seek FDA OK 2) Dosing Frequency 2) Go to Humans Phase 2 Phase 1 Make sure Patients (100s) Healthy Volunteers (10s) it’s safe Understand 1) Identify Lead Biology and 2) Optimize Lead Disease 3) File patents
  • 5. Does it work in humans? Mechanism Disease Selective COX-2 Inhibition Pain and Inflammation PDE5 Inhibition Erectile Dysfunction, Pulmonary Hypertension Alpha 2 Delta Epilepsy, Neuropathic Pain, Anxiety, Sleep Disorders Our Work Nicotine Partial Agonist Smoking Cessation Validates or Disproves Tyrosine Kinase Inhibition Cancer Medical CCR5 Antagonism HIV - AIDS Hypotheses
  • 6. Sutent Gastrointestinal Stromal Tumor and Renal Cell Carcinoma Strong Efficacy in Refractory GIST 7 Days 50 mg/d Sutent Source: Demetri, ASCO Virtual Meeting, 2003 Approved in US: Jan 2006
  • 7. United States Life Expectancy  1900 - 47 yrs  2003 - 77.6 yrs  Factors Affecting Life Expectancy:  Improved Sanitation  Improved Nutrition Our Work  Medical Innovation Impacts People’s Lives
  • 8. Examples of Medical Innovation Vaccines Cardiovascular Drugs Penicillin HIV/AIDS and Antibiotics Cancer
  • 9. Current Worldwide Life Expectancy Factors Affecting Life Expectancy Sanitation Nutrition Medical Innovation
  • 11. Globalization of Innovation: Opportunities, Enablers and Challenges  Background on Pharmaceutical Industry  Trends and Opportunities  Drivers and Enablers  Accessing Innovation Globally  Threats to Innovation
  • 12. Trends and Opportunities “The U.S. remains the world leader in scientific and technological innovation, but its dominance is threatened by economic development elsewhere, particularly in Asia.” January 16, 2008 Citing a NSF report http://www.nsf.gov/statistics/seind08/ National Science Board: Science and Engineering Indicators 2008
  • 13. First university natural sciences degrees, by selected country: 1985–2005 United States China SOURCE: National Science Board, Science and Engineering Indicators 2008
  • 14. Math and Science scores, grades 4 and 8, and 15-yr-old students: 2003 SOURCE: National Science Board, Science and Engineering Indicators 2008
  • 15. Estimated R&D expenditures and share of world total, by region: 2002 37% 29% 30% SOURCE: National Science Board, Science and Engineering Indicators 2008
  • 16. Globalization of Innovation “We intend to make our internal capability even more effective by tapping into the best scientific capability outside of our walls - wherever it exists. That’s why we are reaching out to scientists around the world.” - Jeff Kindler Pfizer Chairman & CEO
  • 17. Globalization of Innovation: Opportunities, Enablers and Challenges  Background on Pharmaceutical Industry  Trends and Opportunities  Drivers and Enablers  Accessing Innovation Globally  Threats to Innovation
  • 18. Drivers and Enablers  Increasingly skilled workforce  Return of experienced scientists  Emerging capabilities  Strong government support and investment  State-of-the-art facilities and equipment  Increasing intellectual property rights  Participate in growing markets  Brazil, Russia, Korea, India, China  Internet and communications  Increased bandwidth and lower costs  Lower cost – but will likely increase over time
  • 19. Globalization of Innovation: Opportunities, Enablers and Challenges  Background on Pharmaceutical Industry  Trends and Opportunities  Drivers and Enablers  Accessing Innovation Globally  Threats to Innovation
  • 20. Our Global Organization Major Research Sites Worldwide RTC Rinat, SF Cambridge, MA Sandwich, UK Tokyo, Japan LaJolla, CA Groton, CT Shanghai, China CA St Louis, MO Incubator Singapore > 11,000 Researchers Worldwide > $7.5B Annual R&D Investment
  • 21. Biotherapeutics & Bioinnovation Center A new model for drug discovery San Francisco Research Unit Collaborations TBD Incubator Portfolio Company Cell Biology RGo Rinat RNAi Fabrus San Diego Scripps CovX BBC RTC TBD Boston Stem Cells Wintherex MIT Coley TBD Stem Cells Current TBD TBD Planned Asia Europe
  • 22. The Pfizer Incubator www.thepfizerincubator.com/index.html Founder(s) TPI acquires IP, know-how NewCo exclusive rights Executes Research TPI Plan Funding, facilities, Spin out operational support Entity Creation Incubation Exit Scenarios
  • 23. Drug Pfinder® An Innovative Partnership A Partnership with academia to internalize novel targets Pfizer gets … The collaborator gets … University • Jump-start Discovery projects •Access to Pfizer’s screening expertise and chemical collection • Access to attractive targets • Chemical tools for basic science • Intellectual property • Research funding • Expertise, reagents, tools • Involvement in drug discovery • Relationships • Relationships www.drugpfinder.com
  • 24. Bend Research Inc. – Pfizer Licensing Opportunity Spray-Dried Dispersion (SDD) www.bendres.com This initiative provides an opportunity for companies to advance problematic low-solubility compounds that otherwise stall in development, or require medicinal chemistry intervention. 3 Stages  Stage 1: Non-Confidential Technical Evaluation  Stage 2: Feasibility Study  Stage 3: Pfizer License & Option Negotiation
  • 25. Translational Medicine Call for Proposals www.pfizer.com/translationalmedicine 1 Pfizer identifies problem to address and completes Request For Proposal (RFP) Template 2 RFP on public website and distributed to known potential partners 3 Proposals received, reviewed Pfizer and winner selected. manages Agreements completed with alliance through a center(s). milestone- 4 driven Center completes required collaboration studies to solve the problem any research plan modifications jointly agreed Oncology Measures of Anti-Tumor Efficacy and Apoptosis Inflammation Biomarkers for Disease-Modifying Anti-Rheumatic Drugs Ophthalmology Ocular Blood Flow and Glaucoma Neurosciences Exposure/EEG Response Data (Schizophrenia and Alzheimer's)
  • 26. Strategic Investments in China  4 Wholly-Owned factories  Pfizer R&D China  Pfizer Foundation- at Dalian, Wuxi and Suzhou Established R&D hospital management program with Peking Dalian factory is the first center in Shanghai university to pass GMP in China with nearly 200 employees in 2008 Established in 2004, have trained hundreds of hospital directors in 4 years Pfizer is one of the biggest Multi-National Companies in China with total investments exceeding US$ 500M
  • 27. Pfizer Clinical Research Units (CRUs) (Phase 1 Units) Brussels New Haven Singapore
  • 28. Pfizer Clinical Research Units (CRUs) 1 Unit with 3 sites Innovation through Standardization!!!  Operate identically (systems, SOPs, medical practice, etc.)  Highly standardized & technologically most advanced:  On-line, real time data capture  Data lock 24 hrs after Last Subject Last Visit  Speed to quality decisions
  • 29. Globalization of Innovation: Opportunities, Enablers and Challenges  Background on Pharmaceutical Industry  Trends and Opportunities  Drivers and Enablers  Accessing Innovation Globally  Threats to Innovation
  • 30. Some Challenges we face as an industry Threats to Biomedical Innovation  Life Sciences is a innovation – driven industry  Create and maintain a supportive environment Intellectual Price Property Controls Issues Increasing Restricted Litigation Government Access to Regulation Medicines
  • 31. The Long Road to a New Medicine 1) Ensure Safety 2) Does it work? File New Drug 1) Ensure Safety Application Phase 3 3) Select dose 2) Does it work? With FDA Patients (1000s) 1) Ensure Safety 1) Seek FDA OK 2) Dosing Frequency 2) Go to Humans Phase 2 Phase 1 Make sure Patients (100s) Healthy Volunteers (10s) it’s safe 1) Identify Lead Understand 2) Optimize Lead Biology and 3) File patents Disease
  • 32. Intellectual Property - Globally Some challenges we face  2008:  Potential changes to U.S. Patent Law  2007:  U.S. Supreme Court ruling on KSR International Co. v. Teleflex Inc.  2006:  Compulsory licenses declared in medium income countries (Thailand and Brazil)  2006:  India rejects Novartis Glivec patent  1994:  Agreement on TRIPS (Trade Related Aspects of Intellectual Property Rights) – international agreement administered by WTO (World Trade Organization)  Contains requirements that nations’ laws must meet for Intellectual Property
  • 33. Globalization of Innovation: Opportunities, Enablers and Challenges Happy to take questions!