Prof Clive Badman OBE
Presentation at EIPG - Royal Pharmaceutical Society Scientific Symposium "Advances in Technology Impacting the Pharmaceutical Industry" at the University of Strathclyde, Glasgow 2015.
Risk management in pharmaceutical supply chainMohammad Fat'hy
In the modern day, a company's competitive advantage in most industries will be determined by maximizing its relationships and the diligent management of its forward and backwards facing supply chains.
The ability to effectively manage risks in a supply chain is an absolute must in the skill set of any current supply chain professional. This course will equip and develop procurement and supply chain professionals to be able to operate diligently and effectively with their supply base, mitigating any risks and maximizing all opportunities to gain competitive advantage in their market place.
Transforming Pharmaceutical Operational Performance with Supply Chain Traceab...SupplyScape
Supply chain traceability and trading partner collaboration can bring significant benefits to all participants in the global pharmaceutical supply chain. SupplyScape's consulting leaders review the key considerations and potential benefits of traceability technologies when combined with track and trace strategies.
Risk management in pharmaceutical supply chainMohammad Fat'hy
In the modern day, a company's competitive advantage in most industries will be determined by maximizing its relationships and the diligent management of its forward and backwards facing supply chains.
The ability to effectively manage risks in a supply chain is an absolute must in the skill set of any current supply chain professional. This course will equip and develop procurement and supply chain professionals to be able to operate diligently and effectively with their supply base, mitigating any risks and maximizing all opportunities to gain competitive advantage in their market place.
Transforming Pharmaceutical Operational Performance with Supply Chain Traceab...SupplyScape
Supply chain traceability and trading partner collaboration can bring significant benefits to all participants in the global pharmaceutical supply chain. SupplyScape's consulting leaders review the key considerations and potential benefits of traceability technologies when combined with track and trace strategies.
Supply chain issues in Pharma industryJaimeen Rana
Supply Chain Management in pharmaceutical industry plays a very critical part as availability of the product at right time has to be ensured for unpredictable demand patterns. Issues being faced in this industry and solutions for those problems are mentioned in the presentation.
Meet the most senior supply chain decision makers of top global pharma companies like Abbott, AstraZenca, Baxter, Bayer Healthcare, Boehringer Ingelheim, GSK, Lilly, MSD, Merck, Novo Nordisk, Pfizer, Queisser Pharma, Sandoz, Teva, UCB, and many more…
The New Pharma Ecosystem: 2014 Trends Reshaping the Pharmaceutical Supply ChainLaura Olson
The pharmaceutical industry is undergoing tremendous changes. Numerous forces are re-shaping the new pharmaceutical ecosystem. Technology, demographics, regulations and shifts in wealth are creating transformative change. Increasingly becoming a more patient-centric world, patients use Smart devices to monitor research and evaluate pharmaceutical products. Healthcare reform regulations, the devaluation of the existing pharma model and trend towards patient empowerment and access to information are shaping the changing pharma industry, much as the retail industry was shaped by the multichannel and omni channel retailing trends of recent years. Regulators have become increasingly more cautious when improving innovative medicines. As pharmaceuticals have become more successful in prolonging life and treating illness, many medical conditions are now chronic. Today healthcare providers have become increasingly interested in measuring the outcomes of pharma performance and basing pricing accordingly. There has been a dramatic increase in prescription volume and an increased production and use of generic drugs. Producing pharmaceuticals in other countries can be complicated. Customs, local regulations and other factors impact products and require brands to adapt. Generic pharmaceuticals are becoming the dominant category globally, especially in developing rather than just industrial countries. Adding to the complexity, a large number of pharmaceutical products are made by multiple countries. These factors and the move towards specialty pharmaceuticals and greater production of pharmaceutical products globally have resulted in more pressure on global supply chains. Because supply chains have moved from local to global in operation, even one significant event can interrupt the global supply chain. Events such as hurricanes and typhoons, earthquakes, political and economic upheaval can have serious impacts on global supply chains, adding unforeseen costs and delays. Health care reform magnifies the effect of longer supply chains and increases the intense cost pressure on drug manufacturers. In order to reduce costs, more production as well as research and development are being offshored and outsourced.
LogiQuest Season 2 - Challenges and Opportunities for Organized 3PL in Pharma...Mahindra Logistics
The team came up with a well-researched presentation that demonstrated the challenges and opportunities for organized 3PL in Supply Chain. The team, Dark Horses from NITIE, won the LogiQuest Season 2.
Security Of The Pharmaceutical Supply Chain - Part 4b: The Pharmaceutical Ind...Stuart Silverman
Security Of The Pharmaceutical Supply Chain - Part 4b: The Pharmaceutical Industry Relies Heavily On Sourcing From India & China – India Segment
SPECIAL FOCUS - The environment as a risk to the supply chain.
Waste in hospitals - everywhere - is massive. Up to 50% of consumables and devices purchased are never used on a patient. Support activities are highly manual, repetitive and done by professional clinical staff...
This presentation sets out the strategic environment and discusses the development and successful implementation of a leading-edge process and supply chain solution for hospitals.
The Only Summit To Gather Key Stakeholders Across The Entire Healthcare Supply Chain. Developing a robust and strategic supply chain network. bringing together the region’s leading healthcare regulators, providers, operators, distributors and manufacturers to create a cohesive, strategic supply network.
Autologous and Allogeneic Cell Therapy Industrialisation – Overcoming Clinical Manufacturing Hurdles Early
A presentation by Chief Operating Officer, Dr Stephen Ward
Supply chain issues in Pharma industryJaimeen Rana
Supply Chain Management in pharmaceutical industry plays a very critical part as availability of the product at right time has to be ensured for unpredictable demand patterns. Issues being faced in this industry and solutions for those problems are mentioned in the presentation.
Meet the most senior supply chain decision makers of top global pharma companies like Abbott, AstraZenca, Baxter, Bayer Healthcare, Boehringer Ingelheim, GSK, Lilly, MSD, Merck, Novo Nordisk, Pfizer, Queisser Pharma, Sandoz, Teva, UCB, and many more…
The New Pharma Ecosystem: 2014 Trends Reshaping the Pharmaceutical Supply ChainLaura Olson
The pharmaceutical industry is undergoing tremendous changes. Numerous forces are re-shaping the new pharmaceutical ecosystem. Technology, demographics, regulations and shifts in wealth are creating transformative change. Increasingly becoming a more patient-centric world, patients use Smart devices to monitor research and evaluate pharmaceutical products. Healthcare reform regulations, the devaluation of the existing pharma model and trend towards patient empowerment and access to information are shaping the changing pharma industry, much as the retail industry was shaped by the multichannel and omni channel retailing trends of recent years. Regulators have become increasingly more cautious when improving innovative medicines. As pharmaceuticals have become more successful in prolonging life and treating illness, many medical conditions are now chronic. Today healthcare providers have become increasingly interested in measuring the outcomes of pharma performance and basing pricing accordingly. There has been a dramatic increase in prescription volume and an increased production and use of generic drugs. Producing pharmaceuticals in other countries can be complicated. Customs, local regulations and other factors impact products and require brands to adapt. Generic pharmaceuticals are becoming the dominant category globally, especially in developing rather than just industrial countries. Adding to the complexity, a large number of pharmaceutical products are made by multiple countries. These factors and the move towards specialty pharmaceuticals and greater production of pharmaceutical products globally have resulted in more pressure on global supply chains. Because supply chains have moved from local to global in operation, even one significant event can interrupt the global supply chain. Events such as hurricanes and typhoons, earthquakes, political and economic upheaval can have serious impacts on global supply chains, adding unforeseen costs and delays. Health care reform magnifies the effect of longer supply chains and increases the intense cost pressure on drug manufacturers. In order to reduce costs, more production as well as research and development are being offshored and outsourced.
LogiQuest Season 2 - Challenges and Opportunities for Organized 3PL in Pharma...Mahindra Logistics
The team came up with a well-researched presentation that demonstrated the challenges and opportunities for organized 3PL in Supply Chain. The team, Dark Horses from NITIE, won the LogiQuest Season 2.
Security Of The Pharmaceutical Supply Chain - Part 4b: The Pharmaceutical Ind...Stuart Silverman
Security Of The Pharmaceutical Supply Chain - Part 4b: The Pharmaceutical Industry Relies Heavily On Sourcing From India & China – India Segment
SPECIAL FOCUS - The environment as a risk to the supply chain.
Waste in hospitals - everywhere - is massive. Up to 50% of consumables and devices purchased are never used on a patient. Support activities are highly manual, repetitive and done by professional clinical staff...
This presentation sets out the strategic environment and discusses the development and successful implementation of a leading-edge process and supply chain solution for hospitals.
The Only Summit To Gather Key Stakeholders Across The Entire Healthcare Supply Chain. Developing a robust and strategic supply chain network. bringing together the region’s leading healthcare regulators, providers, operators, distributors and manufacturers to create a cohesive, strategic supply network.
Autologous and Allogeneic Cell Therapy Industrialisation – Overcoming Clinical Manufacturing Hurdles Early
A presentation by Chief Operating Officer, Dr Stephen Ward
Our first webinar in the MDC Connects Series 2021 | A Guide to Complex Medicines.
This slide deck takes a closer look at the state of play for Complex Medicine and highlights the potential opportunity for the UK.
Prof Peter Simpson, Medicines Discovery Catapult
Presentation by Robin Wilson, Lead Technologist, High Value
Manufacturing, Technology Strategy Board.
This was delivered at the Advanced Manufacturin Strategy: One Year On
event held at NESTA, London on 29 October 2009.
Pitches from the 10 finalist teams selected to compete for the £100,000 Grand Prize of the inaugural OneStart competition in 2013, hosted by the Oxbridge Biotech Roundtable and SR One.
Learn more about this year's competition: http://oxbridgebiotech.com/onestart
Open Innovation Strategy in Sigma Life Sciences_NCET2 Webinar Oct 09Rebecca Poon
Use of open innovation to complement internal R&D function for bandwidth, increased efficiency and risk management with the goal of maintaining leadership in product and technology. Case studies in a life science company.
Maurizio Battistini, EIPG Vice-President
EIPG Presentation at Pharmaceutical Supply Chains I, a training school organised by Cost Action CA15105: European Medicines Shortages Research Network – addressing supply problems to patients (Medicines Shortages), Lisbon 2017
Claude Farrugia, EIPG President
EIPG Presentation at European Clinical Trial Day, an international conference organised by AFI and Regione Lombardia, endorsed by EIPG, Milan 2017
Claude Farrugia, EIPG Vice-President
EIPG Presentation at VAPI-UPIP Seminar “Implementation of the new Delegated Act on Falsified Medicines”, Limelette 2016.
Prof Kristien De Paepe
Presentation at EIPG - Royal Pharmaceutical Society Scientific Symposium "Advances in Technology Impacting the Pharmaceutical Industry" at the University of Strathclyde, Glasgow 2015.
Dr Gavin Halbert
Presentation at EIPG - Royal Pharmaceutical Society Scientific Symposium "Advances in Technology Impacting the Pharmaceutical Industry" at the University of Strathclyde, Glasgow 2015.
Prof Angela Timoney
Presentation at EIPG - Royal Pharmaceutical Society Scientific Symposium "Advances in Technology Impacting the Pharmaceutical Industry" at the University of Strathclyde, Glasgow 2015.
Prof Alastair Florence
Presentation at EIPG - Royal Pharmaceutical Society Scientific Symposium "Advances in Technology Impacting the Pharmaceutical Industry" at the University of Strathclyde, Glasgow 2015.
Jean Pierre Paccioni, EIPG President
Presentation at EIPG – BIPA Symposium “Clinical Trials Research” at the Faculty of Pharmacy, Medical University of Sofia, Sofia 2014.
Jacques Morénas, Deputy Director, Inspection Division, ANSM
Presentation at EIPG – BIPA Symposium “Clinical Trials Research” at the Faculty of Pharmacy, Medical University of Sofia, Sofia 2014.
Borislav Borissov, Former Head of BDA
Presentation at EIPG – BIPA Symposium “Clinical Trials Research” at the Faculty of Pharmacy, Medical University of Sofia, Sofia 2014.
Georgina Gal, Regulatory Affairs Manager, AbbVie, Hungary
Presentation at EIPG – BIPA Symposium “Clinical Trials Research” at the Faculty of Pharmacy, Medical University of Sofia, Sofia 2014.
Claude Farrugia, EIPG Vice-President
Presentation at EIPG – VAPI-UPIP Symposium “Biotech and Advanced Therapies: Challenges and Opportunities” at the Faculty of Medicine and Pharmacy, Campus Jette, Vrije Universiteit van Brussel, Brussels 2013
More from European Industrial Pharmacists Group (20)
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Phone Us ❤85270-49040❤ #ℂall #gIRLS In Surat By Surat @ℂall @Girls Hotel With...
Future supply chains for the pharmaceutical industry – a collaborative approach
1. Future Supply Chains for the
pharmaceutical industry – a
collaborative approach
Clive Badman OBE
Vice President, Pre-Competitive Activities
GlaxoSmithKline R&D
Industrial Board Chairman, CMAC
3. 3
The Business Environment has changed in Pharma
“For most of the postwar era, the pharmaceutical industry
has been the most profitable sector of the U.S. economy by
virtually any performance measure (return on equity, return
on sales, etc.).
This superior performance was based on four structural
pillars:
(1) latitude to charge relatively high prices, (2) long product
life cycles, (3) 'blockbuster' drugs, and (4) relatively high
R&D productivity."
Professor Gary Pisano, Harvard Business School.
Quoted in Pisano, “Science Business: The Promise,
the Reality, and the Future of Biotech,” HBS, 2006
4. 4
Pharmaceutical Industry Trends
Working Capital Reduction Estimated to be
$200billion!
Release working capital for re-
investment
Patent Cliff: $150bn pharma sales going
generic 2010 – 2016.
Managing the transition
Blockbusters to smaller products: More
frequent, targeted therapies
Current infrastructure sized
for blockbuster volumes
Pressures on top and bottom line: new
markets, efficiency programs
New market / patient needs
Tight cost control
Societal Pressures: Rare diseases, diseases
of the developing world
Smaller patient populations
Cost sensitive needs
5. 5
Supply Chain 1-2Years Start to Finish
Problem: Currently, It’s a long way to the Patient
Outsourced Stages Make Active Ingredient Formulate and distribute
Slow
High Inventories between steps
Long lags for changes to be seen in Formulated Product
Risks mitigated by dual supplies, stocks and over capacity
Product quality variability introduces cost and risk
New technologies require patient-demand centric supply
Higher cost/dose
Formulation can be
specific to source of active
Limits access to
medicines
Little chance for
process improvement
6. Overview
• Established 2011, Demand led
• Portfolio of funding
– EPSRC Centre; DTC, ICT
– £34m UK RPIF Capital
– £23m AMSCI Supply Chain
• 80 staff and rising : international talent
• Pre-competitive, leverage
• £100m Technology Innovation Centre @
Strathclyde, Glasgow physical hub
• 3 founding tier 1s GSK, AZ, Novartis.
• Tier 2 technology companies
7. Facilities for Collaboration & Training: Forward Plans
• TIC building at Strathclyde, dedicated facility – Feb
2015
• Co-locate multidisciplinary teams - academic and
industry researchers; collaborative ethos
•Processing, analysis and modelling
• UK-RPIF – £11.4M Capital Award to establish a
World-Class Facility for Continuous Manufacturing
and Crystallisation Research for Pharmaceutical
Products.
• Wolfson award - £0.75M Capital Award – ToF-SIMS
• Continuous Processing Equipment
• State-of-the-art analysis and characterisation capabilities
• Comprehensive suite of PAT tools
• Continuous process skids for process development
• National PAT Network
Facilities open to use by wider academic and industrial community (www.cmac.ac.uk)
8. 6 month highlights
• International Symposium 20/21st May 2014, Boston
• 250 leaders: industry, regulators, academic
• 8 white papers published
• Skills + Talent Pipeline
• Out: Johnson Matthey, GSK, Mettler, Lilly, SME
• In: academic recruits from Delft, GSK
• New Masters program started, Doctoral Training
• Research impact increasing (80 people + growing)
• Publications, conferences, licensing, patent
• International US/ UK joint funding
• Hosted recent national EPSRC Manufacturing the Future conf
• Higher TRL activity
• Company projects, Collaborative RD –InnovateUK, AMSCI , skids
• Major Projects
• £34m RPIF Capex , £22.7m AMSCI Remedies Supply Chain
9. Isolate API in a form that delivers optimal drug
performance allowing access to products
beyond current manufacturing capability
Particles, processes and specifications
for drug substance allowing optimisation of
processes and product performance
Consistent drug substance
throughout development and manufacture
“Consistency by design”
Consistent
Particles
Better
Particles
Novel Particles
Research Focus on Particles
Exploit continuous manufacturing to deliver:
10. Demand-Led Scope: from synthesis to formulated product
synthesis crystallisation isolation/drying secondary manufacture
11. PLATFORM AND APPLICATION PROJECTS
Processes and Technologies developed:
Continuous Manufacturing techniques
that shrink factory scale, provide speed. low
cost
Improved Purification Technologies that
support quality and yield improvements
Improved Analytical Technologies for in-
line monitoring and quality assurance
Supportive Regulatory Regimes for these
emerging technologies
Developing new End-to-End SC platforms
that support patient-centric supply models
Remote
Diagnostics
Distribution
in hours/days
‘on demand’
Formulations
customised to patient
End-to-End Supply Chain Opportunity
Reducing Inventory within primes from 216 days to c. 70 days
Manufacturing – cost of quality, Achieve >5σ, Right-First-Time
1-2 yrs Inventory days of supply – opportunity to reduce 50%
Reduce Cycle Time by half (start materials to pack)
Reduced Drug Development by 10% (cost to market)
Enhance Flexibility and Service to patients
Safeguard UK jobs and retain UK’s leading global position
Solutions that
start and end
with the patient
Opportunity: Patient-driven responsive supply model
Enhancing
UK Mfg
capability
Smart Packs that
support compliance
12. Remote
Diagnostics
Distribution
in hours/days
‘on demand’
Formulations
customised to patient
Solutions that
start and end
with the patient
Proposed Supply Chain Collaborations
Enhancing
UK Mfg
capability
Smart Packs that
support compliance
App A : API
£7.4m
Univ. of Strathclyde (CMAC)
GSK, AZ
Chirotech Technology Ltd
Robinson Brothers Ltd
C-tech Innovation Ltd
Cambridge Reactor Design
Syrris Ltd
IntensiChem Ltd
Platform
Commercial
£2.8m
IfM
Cambridge
GSK, AZ
SAP UK Ltd
Intersys Ltd
App B : Primary to Secondary
£7.6m
AZ, GSK
Alconbury Weston Ltd
Cogent SCC
Process Systems Enterprise Ltd
Perceptive Engineering Ltd
Britest Ltd
GEA Process Engineering Ltd
Mettler-Toledo Ltd
University of Strathclyde (CMAC
App C: Excipients
£1.4m
Albany
Molecular
Research Ltd
(UK)
GSK,AZ
Crystec Ltd
App D Agile packs
£1.0m
AZ, GSK
App E Printed
Electronics £0.4m
Centre for
Process
Innovation (CPI)
GSK, AZ
Platform
Clinical
£2.1m
GSK, AZ
IfM
Cambridge
Intersys Ltd
13. The Size of the Change is Vast. (and not
a journey you can make on your own…)
Public
sector
funding
Academic
Partners
Supply
Chain
Industry
Partners
• IMI (Innovative
Medicines Initiative)
• CMAC
Employment
Wellbeing
Profitable by
Meeting
Societal Need
Problems to
Answer
14. 14
Why?
• Collaboration in this space will build on existing manufacturing and
scientific strengths.
• Linking Academia and Industry in this way will provide the skills to succeed.
• These technologies will be part of a shift in to manufacturing being
controlled by countries with the best skills not the lowest labour costs.
If we want a part of this we need the right Academic and Industrial landscape
to thrive.