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Know Your End-Market!
   Medical & Pharmaceutical Trends Impacting the
         Chemicals and Materials Industry


A panel discussion with Frost & Sullivan's leading Chemicals &
                      Materials analysts:
     Hariharan Ramasubramanian, Dr Leonidas Dokos

                      27 February 2009
Focus Points


•   Introduction
•   Impact of Economic downturn
•   Key Medical & Pharmaceutical Trends
•   Materials for Medical Devices
        •   Product Segmentation
        •   Challenges, Drivers and Growth
•   Chemical Excipients
        •   Product Segmentation
        •   Challenges, Drivers and Growth
•   Major Industry Participants
•   Conclusion



                                             2
Introduction




               3
The Integrated Industry Perspective – Healthcare
represents a crucial downstream end-user

                     Coatings,
      Plastics
                     Adhesives                       Performance          Specialty
        and                          Packaging
                        and                            Materials          Chemicals
     Polymers
                      Sealants




  Aerospace        Aerospace       Automotive &     Automotive &      Automotive &
  & Defense        & Defense       Transportation   Transportation    Transportation
 Automotive &     Automotive &
                                    Electronics     Environment          Electronics
 Transportation   Transportation

  Electronics      Electronics      Healthcare       Healthcare        Environment

  Healthcare       Healthcare          Food         Construction           Energy

 Construction     Construction                                           Healthcare


                                                                     Source: Frost & Sullivan
                                                                        Source: Frost & Sullivan



                                                                                              4
The Medical and Pharmaceutical end-use markets for
Materials and Chemicals

                                           Healthcare

                                   Medical & Pharmaceutical



                    Materials in                        Chemicals Excipients for
                    Healthcare                           Pharmaceutical Drugs




   Materials in                      Materials in
  Medical Devices                     Medical
                                     Packaging




                                                                                   5
Economic Downturn

Impact on Medical and Pharmaceutical Markets




                                               6
Impact on Sectors of the Economy
Market Indices as an Indicator for Industry Prospects
•                           The effects of the downturn has disproportionately affected different segments of the
                            economy
•                           The healthcare sector has outperformed the broader market
                                                                        US Market Indices
                            16,000

                            14,000
    Indices value (units)




                            12,000


                            10,000


                             8,000                                                                                              Healthcare
                                                                                                                                Indices, while
                             6,000                                                                                              declining,
                                                                                                                                have still
                             4,000                                                                                              outperformed
                                Dec-07         Feb-08        Mar-08     May-08     Jul-08        Aug-08       Oct-08   Nov-08   the broader
                                         Dow Jones Industrial Average                       NasDaq Biotech                      market
                                         NasDaq Financials                                  NASDAQ Transportation
                                         S&P HEALTHCARE INDEX                               PHLX SEMICONDUCTOR SECTOR INDEX


•                      This implies that investors expect that, while the healthcare sector will be
                       affected by the downturn, it will still out-perform the general economy

                                                                                                                                                 7
Winners and Losers…

                      High                                                                     Elite: Companies which have
                                     Elite                      Winners                        high cash reserves, but
                                                                                 Big Pharma    unable to do much to improve
                                                                                               their business because of the
                                                                                               unfavorable situation
                                             Big imaging
                                             companies                                         Winners: Companies which
 Financial Leverage




                                                            Big device                         have high cash reserves and
                                                            companies
                                                                                               are able to leverage this
                                                                                  Big IVD      situation successfully through
                                    Losers                      Opportunists                   strategies    like   M&A     /
                                                                 Small device                  alliances.
                                                                 companies
                                    Discretionary product
                                    manufacturers           Generic                            Opportunists:      Companies
                                                            manufacturers                      which     have     the    best
                                                                                Home care
                                                                                               opportunity to grow during the
                                                                                companies      economic downturn
                      Low                                                                      Losers: Companies likely to
                             High     Business risks in economic downturn               Low    loose their revenues due to
                                                                                               economic downturn
                                                                    Source: Frost & Sullivan




                                                                                                                                8
What is the way forward …?

 •   Medical devices becomes a more attractive segment for plastics
     suppliers facing declines in their other key end user segments.
 •   The prospects for higher margins and a stable demand acts as a
     major incentive for companies to invest.
 •   However, a focussed - rather than piecemeal – approach to the
     market will be important for companies looking for long term growth
     in this segment.
 •   Plastics in Medical devices to grow at a CAGR of 5.4% in the period
     2009-2015.

                                             Companies such as Invibio
                                            (Victrex) and LyondellBasell
                                            that have built up a separate
                                            brand image and identity for
                                              their medical products are
                                              well placed to grow in this
                                                       segment


                                                                            9
What is the way forward …? (contd)

 •   As the era of blockbuster drugs continues to approach its end, the
     smaller and specialist companies are better placed for survival.
 •   The pharmaceutical industry is more apprehensive about the upcoming
     expirations of patented drugs than the global economic contraction.
 •   The expiration of patents means that manufacturers of excipients need to
     be prepared to do business with a larger number of companies in a wider
     geographical spread and at a more cost-driven supply basis.
 •   Strategic partnerships and
     alliances will become more                “In over 23 years in the industry,
     crucial than ever.                          I've never really seen pharma
 •   Even amidst the current                        sales being affected by an
     challenging economic climate                   economic downturn in the
     the market for pharmaceutical              western world. We're probably
     excipients will perform better            one of the industries that will be
     than other chemicals markets               affected the last and the least.quot;
     with a forecast CAGR                       – CEO of one of world’s top 30
     between 2009-2015 of 3.3%.                        pharma companies.


                                                                                    10
Key Medical & Pharmaceutical Drivers and Trends

             “Doctor, I feel a pain in…”




                                                  11
Pharmaceutical trends with Respect to Chemicals &
Materials – what lies ahead…
•   In 2000, 10% (606 million) of the global population was aged 60+. By 2050 this
    will be more than 21% (2 billion).
•   The aging of population and the need for more medical devices and
    sophisticated drugs will create undisputedly more demand for materials, active
    ingredients and chemical excipients.
•    There is increasing
     competition from low-cost
     manufacturers. These are
     located in Asia, especially in
     India and China, and are
     continuously enlarging their
     capacity while improving at
     the same time the quality,
     credibility and reliability.




                                                               Source: Frost & Sullivan


                                                                                          12
Pharmaceutical trends with Respect to Chemicals &
Materials – what lies ahead… (contd)

•   Global mortality from chronic diseases will increase 50% by 2025.
•   Cardiovascular diseases will remain the main global mortality chronic
    disease by 2025 with cancer and respiratory diseases increasingly
    affecting more people.
•   75% of people aged 60+ have
    one chronic condition, while
    50% have two or more
    chronic conditions.
•   Chronic diseases account
    for more than 60% of all
    health care spending.




                                                                   Source: Frost & Sullivan




                                                                                              13
Performance Material Trends in the Medical Devices
         and Pharma Packaging Markets




                                                     14
Market Segmentation
Plastics in Medical Devices


                         Plastics in Medical Devices



       Polypropylene     Polyethylene                  PVC           Eng Plastics


     • Syringes        • Syringe Plungers     • Catheters        • Surgical
                                                                   Equipment
     • Labware         • Labware              • Medical Bags
                                                                 • Sterilisation
     • Medical Bags    • Medical Bags         • Administration
                                                                   Trays
                                                Sets
                       • Administration
                                                                 • Medical Device
                         Sets
                                                                   Housings
                                                                 • Implants




                                                                                    15
Key Themes in the Performance Materials Industry
Trends of Specific Importance to the Medical Device Industry


                       Performance Materials Market: Impact of Key Industry Themes,
                        Performance Materials Market: Impact of Key Industry Themes,
                       2009
                        2009
                   10
                    10                                                                                                  Key selling points for
                                Security                Conservation of
                                 Security                Conservation of                                                engineering and high
                                            Safety        resources
                                             Safety        resources                                                    performance plastics
   Market Impact
  Market Impact




                                                                             Performance
                                                                              Performance
                                    Lifestyle trends
                                     Lifestyle trends                               Differentiation
                   5
                                                                                     Differentiation
                       5
                                                                                   Multiple                             Technical and Service
                                                                                    Multiple
                                                                                functionalities                         Differentiation
                                                                                 functionalities
                                                                                            Sustainable
                                                                                              Sustainable
                                                                                             production
                                                                                              production
                                                                                        Expansion                       PVC Replacement
                                                                                         Expansion
                   0
                       0
                        0                                            5                            Supply chain 10
                            0                                            5                         Supply chain 10
                                                            Internal Impact
                                                             Internal Impact
                                                                                            Source: Frost & Sullivan
                                                                                             Source: Frost & Sullivan

Key                                         Trends with High Impact on the Medical Devices Market


                                                                                                                                                 16
Key Themes in the Performance Materials Industry (Contd…)
Changing Lifestyle Trends

                                    2005
                                                                    Patient Driven
                   Secondary Care
                                                                    •    Available personalised healthcare
                                                                         and choice
                                             2010
Changes in the                                                      •    Patient knowledge through multiple
 Changes in for
demand       the          Primary Care                                   channels
 demand
healthcare   for
 healthcare
diagnostics
 diagnostics
                                                                    •    Public pressure on government
                                                       2015         •    One stop shop
                           Home Care/ Self
                              Testing                               •    Consumer responsive providers,
                                                                         products and services
                                         Source: Frost & Sullivan


                                                                    Implications for Material Selection
       Demand Volume                                                •    Unique design principles required
       •      Affordability                                         •    High robustness required off the
                                                                         device
       •      Waiting Lists
                                                                    •    Aesthetics also assume higher
       •      Public Anxiety                                             importance
       •      Development of demand                                 •    Opportunities are created therefore
                                                                         for engineering plastics in these
              management policies and strategies                         applications
              e.g. demand driven financing




                                                                                                               17
European Markets for Plastics in Medical Devices
Strong Growth Prospects
       Revenues forecast to grow at a CAGR of 6.2% in the period 2008-15


                   Plastics in Medical Devices: Volume and Revenue
                               Forecasts (Europe), 2005-2015

           350.0                                                             800.0

           300.0                                                             700.0
                                                                             600.0
           250.0




                                                                                     € Million
                                                                             500.0
           200.0
      kt




                                                                             400.0
           150.0
                                                                             300.0
           100.0
                                                                             200.0
            50.0                                                             100.0
             0.0                                                             0.0
                   2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015


                                                                 Source: Frost & Sullivan



                                                                                                 18
Plastics in Medical Devices Market: For Plastics Suppliers Developing
Relationships with Key End User Groups is Crucial to Success


                                                                                   Direct supply is
                        Polymer Suppliers      LyondellBasell
                                                                                   the most
                                                                                   preferred route


                          Compounding          RTP Compounding



                                               Gerresheimer
                  Tier 1 Component Producers      Wilden
                                                                           High influence on
                                                                           material selection
                         Pharma Companies                                  and often specify
                                               Boehringer                  materials to be
                                                Ingelheim                  used
    Note: company
 names are intended                                             Source: Frost & Sullivan
   as examples only
 and do not represent
  real relationships


                                                                                                      19
Plastics in Medical Packaging:
The Pharmaceutical Blisters Market Excerpt

  Key Market Segments
                                                                            The Pharmaceutical Blisters Market Example –
  •   Containers                                                                        Strong Drivers for Growth
  •   Vials & Ampoules
  •   Blister Packs
  •   Sachets & Strips                                                                                                          Blister Market
                                                                                             Cost Efficiency
  •   Container Tubes                                                                            of High
                                                                                                                                Growth
  •   Pre-fillable Syringes                                                                     Volume
                                                                  Restraints                   Containers




                                          Key Growth Drivers
                                                                                                                                        Growth in
                                                                                                                                       Combination
                                                                                                                                          Drugs
                                                                                                                          Increase
                       Source: MediSeal                                                                                in Calendared
                                                                                                         Increasing         Smart
                                                                                                          Efforts in     Packaging
                                                                                         Growth in
                                                                                                            Drug
                                                                                           Anti-
      The pharmaceutical                                                    Increasing Counterfeiting   Compliance

        blisters market is                                                Regulations for Efforts
                                                                Increasing Compliance
                                                                                                                Drivers
      expected to grow at a                                       Barrier
                                                               Requirements
      CAGR of 6.6% in the
         period 2008-14
                                                           2008                                                          2014 and beyond

                                                                                                                          Source: Frost & Sullivan


                                                                                                                                                 20
Frost & Sullivan Studies in the Area

      Plastics in Medical Devices                            Medical Packaging

     • European Markets for Plastics in               • European Markets for Pharma
       Medical Devices – M348 - Feb, 09                 Packaging – M137 – Apr, 09
     • U.S. Markets for Plastics in Medical           • Materials for Medical Packaging – TI
       Devices – N540 – Apr, 09                         – D0E9 – Dec, 07
     • U.S. Polymers in Medical Tubings
       and Catheters – N498 – Jan, 09
     • Western European Medical Silicones
       Markets – M04A – Nov, 06


                   End Market Studies of Interest – Medical Devices IRG


              • US Infusion Pumps Market – N3A5 - Feb, 09
              • European Insulin Delivery Devices Market – M2CD – Oct, 08
              • Others……..



                                                                                               21
Chemical Excipients for the Pharmaceutical Industry
              Product Segmentation




                                                      22
Pharmaceutical trends with Respect to Chemicals – the
expected shift

•   New opportunities in the global pharmaceutical market will appear as
    the business and market models are evolving.
•   Liposomal technologies have the potential to increase the effectiveness
    of compounds especially in the anti-cancer, neurological and anti-fungal
    drug areas.
•   By 2015 opportunities will                                             Pre
                                                                          2005
    be more prominent in niche                       Blockbuster Model
    drugs and research and
    development.                                                                     2015
                                     Opportunities
•   By 2020 integrated               in the Global       Niche Drugs and R&D
                                        Pharma
    packages of products and            Market

    services will focus on patient                                                            2020
    monitoring & compliance.                              Integration & Supply Chain
•   Integration of pharma,
    diagnostics, medical devices,
                                                                               Source: Frost & Sullivan
    patient monitoring and
    healthcare IT.

                                                                                                      23
Introduction to Chemical Excipients for Pharmaceuticals


•   Excipients are inactive ingredients used to formulate active ingredients
    into finished dosage forms.
•   Excipients are used to:
      • provide a matrix in which the drug can be handled
      • control rate of dosage
      • aid in the processing of the drug delivery system during its
         manufacture
      • protect, support or enhance stability, bioavailability or patient
         acceptability
      • assist in product identification
      • enhance any other attribute of the overall safety, effectiveness or
         delivery of the drug during storage or use
      • improve comfort when taking drug such ease of swallowing and better
         taste



                                                                               24
Chemical Excipients - Main Product Types


                        Flavourants &
                         Colourants
        Disintegrants                   Glidants &
                                        Lubricants



     Coatings                              Preservatives &
                                            Antioxidants



    Binders & Fillers                   Sweeteners
                          Excipients




                                                             25
Major Challenges


•   The global adoption of Current Good Manufacturing Practices (cGMPs) is the
    major challenge for this industry representing the required total commitment of a
    company to a set of regulations, codes, and guidelines for the highest possible
    quality in manufacture of drugs, medical devices, diagnostic products, food
    products and Active Pharmaceutical Ingredients (APIs).
•   Asian companies are trying to incorporate
    cGMPs with various degrees of success.
•   Since 2004, several blockbuster drugs have
    lost patent protection and this trend is
    expected to become more prominent up to
    2011.                                                                   Source: Colorcon

•   The active promotion of generics as a high-
    quality low-expense alternative is expected to
    widen the market base for these products.


                                                Source: Innercap Technologies



                                                                                          26
Major Drivers

•   The fastest growing region is Asia, due to its growing economy, and
    continued improvement in the health care system.
•   The changing attitude of pharmaceutical industry towards excipients
    considering them more than just inactive ingredients but crucial in improving the
    performance of the end-product (medicinal drug).
•   The outsourcing of services in the
    pharmaceutical industry is growing. The reasons
    include the declining investments in research and
    development (R&D), increasing generic
    penetration, and the growing development costs.
•   Modern contract manufacturing organisations
    (CMOs) offer a wide range of services ranging from
    pre-clinical development to commercial batch
    manufacturing to active/non-active manufacturing,
    as well as packaging and distribution.
•   Smooth delivery of a consistent dosage over time is the objective, with
    the need for fewer administrations, optimal use of the delivered drug, and
    increased patient compliance with the treatment programme.
                                                                                        27
The global pharmaceutical excipients market will perform
better than other chemicals markets

•   The downturn in growth is expected to last throughout 2009 and 2010
    affecting at a different degree different regions.
•   The market is expected to
    return to previous level of
    activities and growth from
    2011.
•   Even amidst the current
    challenging economic climate
    the market for pharmaceutical
    excipients will perform better
    than other chemicals markets.
•   The CAGR of the period
    2009-2015 will be 3.3%.


                                                                 Source: Frost & Sullivan




                                                                                            28
Technologically advanced excipients and environmentally friendly
products will grow faster than commoditised excipients

•   The Global Pharmaceutical Excipients market is valued at $2.28 billion and
    was divided among the following excipients market segments as shown below.
•   The market for pharmaceutical excipients will perform better than other chemicals
    markets.
•   Binders represent the largest market segment, albeit mostly including
    commoditised products.
•   Disintegrants are expected to
    exhibit a CAGR of 4.6% during
    the period 2009-2015.
•   The market for controlled-
    release pharmaceuticals is
    growing rapidly with companies
    increasingly turning to drug
    delivery technologies as a means
    of expanding product lifecycles,
    enhancing drug efficacy and
    maximizing revenues.
                                                                      Source: Frost & Sullivan



                                                                                                 29
Major Industry Participants

      Pharmaceutical Excipients - Materials for Medical Applications




                                                                       30
Conclusion




•   The healthcare sector (medical & pharmaceutical) continues to provide
    opportunities for innovative companies, even in the current economic scenario
•   Companies willing to enter/strengthen their position in the market will however
    have to invest in developing the R&D capabilities, and also strong business
    development and technical service teams to cater to this segment
     •   In the pharmaceuticals segment, industry participants need to forge business
         relationships with generics manufacturers and align accordingly their distribution
         networks.
•   Individual markets researched by Frost & Sullivan recently including the
    plastics in medical devices and packaging and the global pharmaceutical
    excipients are all showing excellent potential for market participants




                                                                                              31
Next Steps

 Register for Frost & Sullivan’s Growth Opportunity Newsletter and keep
 abreast of innovative growth opportunities
 (www.frost.com/news)

 Register for the next Chairman’s Series on Growth:
 (www.frost.com/growthEU)

 Join us at our 3rd Annual Customer Contact Executive MindXchange (June
 2009, Europe)

 Join us in London on 19 – 20 May at Growth, Innovation and Leadership
 2009: A Frost & Sullivan Global Congress on Corporate Growth Event
 (www.frost.com/giluk)

 Request a proposal for a Growth Partnership Service to support you and your
 team to accelerate the growth of your company.




                                                                               32
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          What would you like to see from Frost & Sullivan?

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Other?


                Please inform us by taking our survey.

                                                              33
For Additional Information



    Steve Lee
    Strategic Account Manager
    Chemicals, Materials and Food, Asia Pacific
    (65) 6890 0914
    steve.lee@frost.com




Medical & Pharmaceutical Trends Impacting the Chemicals and Materials Industry




                                                                           34

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Medical & Pharmaceutical Trends Impacting The Chemicals And Materials Industry Feb09

  • 1. Know Your End-Market! Medical & Pharmaceutical Trends Impacting the Chemicals and Materials Industry A panel discussion with Frost & Sullivan's leading Chemicals & Materials analysts: Hariharan Ramasubramanian, Dr Leonidas Dokos 27 February 2009
  • 2. Focus Points • Introduction • Impact of Economic downturn • Key Medical & Pharmaceutical Trends • Materials for Medical Devices • Product Segmentation • Challenges, Drivers and Growth • Chemical Excipients • Product Segmentation • Challenges, Drivers and Growth • Major Industry Participants • Conclusion 2
  • 4. The Integrated Industry Perspective – Healthcare represents a crucial downstream end-user Coatings, Plastics Adhesives Performance Specialty and Packaging and Materials Chemicals Polymers Sealants Aerospace Aerospace Automotive & Automotive & Automotive & & Defense & Defense Transportation Transportation Transportation Automotive & Automotive & Electronics Environment Electronics Transportation Transportation Electronics Electronics Healthcare Healthcare Environment Healthcare Healthcare Food Construction Energy Construction Construction Healthcare Source: Frost & Sullivan Source: Frost & Sullivan 4
  • 5. The Medical and Pharmaceutical end-use markets for Materials and Chemicals Healthcare Medical & Pharmaceutical Materials in Chemicals Excipients for Healthcare Pharmaceutical Drugs Materials in Materials in Medical Devices Medical Packaging 5
  • 6. Economic Downturn Impact on Medical and Pharmaceutical Markets 6
  • 7. Impact on Sectors of the Economy Market Indices as an Indicator for Industry Prospects • The effects of the downturn has disproportionately affected different segments of the economy • The healthcare sector has outperformed the broader market US Market Indices 16,000 14,000 Indices value (units) 12,000 10,000 8,000 Healthcare Indices, while 6,000 declining, have still 4,000 outperformed Dec-07 Feb-08 Mar-08 May-08 Jul-08 Aug-08 Oct-08 Nov-08 the broader Dow Jones Industrial Average NasDaq Biotech market NasDaq Financials NASDAQ Transportation S&P HEALTHCARE INDEX PHLX SEMICONDUCTOR SECTOR INDEX • This implies that investors expect that, while the healthcare sector will be affected by the downturn, it will still out-perform the general economy 7
  • 8. Winners and Losers… High Elite: Companies which have Elite Winners high cash reserves, but Big Pharma unable to do much to improve their business because of the unfavorable situation Big imaging companies Winners: Companies which Financial Leverage Big device have high cash reserves and companies are able to leverage this Big IVD situation successfully through Losers Opportunists strategies like M&A / Small device alliances. companies Discretionary product manufacturers Generic Opportunists: Companies manufacturers which have the best Home care opportunity to grow during the companies economic downturn Low Losers: Companies likely to High Business risks in economic downturn Low loose their revenues due to economic downturn Source: Frost & Sullivan 8
  • 9. What is the way forward …? • Medical devices becomes a more attractive segment for plastics suppliers facing declines in their other key end user segments. • The prospects for higher margins and a stable demand acts as a major incentive for companies to invest. • However, a focussed - rather than piecemeal – approach to the market will be important for companies looking for long term growth in this segment. • Plastics in Medical devices to grow at a CAGR of 5.4% in the period 2009-2015. Companies such as Invibio (Victrex) and LyondellBasell that have built up a separate brand image and identity for their medical products are well placed to grow in this segment 9
  • 10. What is the way forward …? (contd) • As the era of blockbuster drugs continues to approach its end, the smaller and specialist companies are better placed for survival. • The pharmaceutical industry is more apprehensive about the upcoming expirations of patented drugs than the global economic contraction. • The expiration of patents means that manufacturers of excipients need to be prepared to do business with a larger number of companies in a wider geographical spread and at a more cost-driven supply basis. • Strategic partnerships and alliances will become more “In over 23 years in the industry, crucial than ever. I've never really seen pharma • Even amidst the current sales being affected by an challenging economic climate economic downturn in the the market for pharmaceutical western world. We're probably excipients will perform better one of the industries that will be than other chemicals markets affected the last and the least.quot; with a forecast CAGR – CEO of one of world’s top 30 between 2009-2015 of 3.3%. pharma companies. 10
  • 11. Key Medical & Pharmaceutical Drivers and Trends “Doctor, I feel a pain in…” 11
  • 12. Pharmaceutical trends with Respect to Chemicals & Materials – what lies ahead… • In 2000, 10% (606 million) of the global population was aged 60+. By 2050 this will be more than 21% (2 billion). • The aging of population and the need for more medical devices and sophisticated drugs will create undisputedly more demand for materials, active ingredients and chemical excipients. • There is increasing competition from low-cost manufacturers. These are located in Asia, especially in India and China, and are continuously enlarging their capacity while improving at the same time the quality, credibility and reliability. Source: Frost & Sullivan 12
  • 13. Pharmaceutical trends with Respect to Chemicals & Materials – what lies ahead… (contd) • Global mortality from chronic diseases will increase 50% by 2025. • Cardiovascular diseases will remain the main global mortality chronic disease by 2025 with cancer and respiratory diseases increasingly affecting more people. • 75% of people aged 60+ have one chronic condition, while 50% have two or more chronic conditions. • Chronic diseases account for more than 60% of all health care spending. Source: Frost & Sullivan 13
  • 14. Performance Material Trends in the Medical Devices and Pharma Packaging Markets 14
  • 15. Market Segmentation Plastics in Medical Devices Plastics in Medical Devices Polypropylene Polyethylene PVC Eng Plastics • Syringes • Syringe Plungers • Catheters • Surgical Equipment • Labware • Labware • Medical Bags • Sterilisation • Medical Bags • Medical Bags • Administration Trays Sets • Administration • Medical Device Sets Housings • Implants 15
  • 16. Key Themes in the Performance Materials Industry Trends of Specific Importance to the Medical Device Industry Performance Materials Market: Impact of Key Industry Themes, Performance Materials Market: Impact of Key Industry Themes, 2009 2009 10 10 Key selling points for Security Conservation of Security Conservation of engineering and high Safety resources Safety resources performance plastics Market Impact Market Impact Performance Performance Lifestyle trends Lifestyle trends Differentiation 5 Differentiation 5 Multiple Technical and Service Multiple functionalities Differentiation functionalities Sustainable Sustainable production production Expansion PVC Replacement Expansion 0 0 0 5 Supply chain 10 0 5 Supply chain 10 Internal Impact Internal Impact Source: Frost & Sullivan Source: Frost & Sullivan Key Trends with High Impact on the Medical Devices Market 16
  • 17. Key Themes in the Performance Materials Industry (Contd…) Changing Lifestyle Trends 2005 Patient Driven Secondary Care • Available personalised healthcare and choice 2010 Changes in the • Patient knowledge through multiple Changes in for demand the Primary Care channels demand healthcare for healthcare diagnostics diagnostics • Public pressure on government 2015 • One stop shop Home Care/ Self Testing • Consumer responsive providers, products and services Source: Frost & Sullivan Implications for Material Selection Demand Volume • Unique design principles required • Affordability • High robustness required off the device • Waiting Lists • Aesthetics also assume higher • Public Anxiety importance • Development of demand • Opportunities are created therefore for engineering plastics in these management policies and strategies applications e.g. demand driven financing 17
  • 18. European Markets for Plastics in Medical Devices Strong Growth Prospects Revenues forecast to grow at a CAGR of 6.2% in the period 2008-15 Plastics in Medical Devices: Volume and Revenue Forecasts (Europe), 2005-2015 350.0 800.0 300.0 700.0 600.0 250.0 € Million 500.0 200.0 kt 400.0 150.0 300.0 100.0 200.0 50.0 100.0 0.0 0.0 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Source: Frost & Sullivan 18
  • 19. Plastics in Medical Devices Market: For Plastics Suppliers Developing Relationships with Key End User Groups is Crucial to Success Direct supply is Polymer Suppliers LyondellBasell the most preferred route Compounding RTP Compounding Gerresheimer Tier 1 Component Producers Wilden High influence on material selection Pharma Companies and often specify Boehringer materials to be Ingelheim used Note: company names are intended Source: Frost & Sullivan as examples only and do not represent real relationships 19
  • 20. Plastics in Medical Packaging: The Pharmaceutical Blisters Market Excerpt Key Market Segments The Pharmaceutical Blisters Market Example – • Containers Strong Drivers for Growth • Vials & Ampoules • Blister Packs • Sachets & Strips Blister Market Cost Efficiency • Container Tubes of High Growth • Pre-fillable Syringes Volume Restraints Containers Key Growth Drivers Growth in Combination Drugs Increase Source: MediSeal in Calendared Increasing Smart Efforts in Packaging Growth in Drug Anti- The pharmaceutical Increasing Counterfeiting Compliance blisters market is Regulations for Efforts Increasing Compliance Drivers expected to grow at a Barrier Requirements CAGR of 6.6% in the period 2008-14 2008 2014 and beyond Source: Frost & Sullivan 20
  • 21. Frost & Sullivan Studies in the Area Plastics in Medical Devices Medical Packaging • European Markets for Plastics in • European Markets for Pharma Medical Devices – M348 - Feb, 09 Packaging – M137 – Apr, 09 • U.S. Markets for Plastics in Medical • Materials for Medical Packaging – TI Devices – N540 – Apr, 09 – D0E9 – Dec, 07 • U.S. Polymers in Medical Tubings and Catheters – N498 – Jan, 09 • Western European Medical Silicones Markets – M04A – Nov, 06 End Market Studies of Interest – Medical Devices IRG • US Infusion Pumps Market – N3A5 - Feb, 09 • European Insulin Delivery Devices Market – M2CD – Oct, 08 • Others…….. 21
  • 22. Chemical Excipients for the Pharmaceutical Industry Product Segmentation 22
  • 23. Pharmaceutical trends with Respect to Chemicals – the expected shift • New opportunities in the global pharmaceutical market will appear as the business and market models are evolving. • Liposomal technologies have the potential to increase the effectiveness of compounds especially in the anti-cancer, neurological and anti-fungal drug areas. • By 2015 opportunities will Pre 2005 be more prominent in niche Blockbuster Model drugs and research and development. 2015 Opportunities • By 2020 integrated in the Global Niche Drugs and R&D Pharma packages of products and Market services will focus on patient 2020 monitoring & compliance. Integration & Supply Chain • Integration of pharma, diagnostics, medical devices, Source: Frost & Sullivan patient monitoring and healthcare IT. 23
  • 24. Introduction to Chemical Excipients for Pharmaceuticals • Excipients are inactive ingredients used to formulate active ingredients into finished dosage forms. • Excipients are used to: • provide a matrix in which the drug can be handled • control rate of dosage • aid in the processing of the drug delivery system during its manufacture • protect, support or enhance stability, bioavailability or patient acceptability • assist in product identification • enhance any other attribute of the overall safety, effectiveness or delivery of the drug during storage or use • improve comfort when taking drug such ease of swallowing and better taste 24
  • 25. Chemical Excipients - Main Product Types Flavourants & Colourants Disintegrants Glidants & Lubricants Coatings Preservatives & Antioxidants Binders & Fillers Sweeteners Excipients 25
  • 26. Major Challenges • The global adoption of Current Good Manufacturing Practices (cGMPs) is the major challenge for this industry representing the required total commitment of a company to a set of regulations, codes, and guidelines for the highest possible quality in manufacture of drugs, medical devices, diagnostic products, food products and Active Pharmaceutical Ingredients (APIs). • Asian companies are trying to incorporate cGMPs with various degrees of success. • Since 2004, several blockbuster drugs have lost patent protection and this trend is expected to become more prominent up to 2011. Source: Colorcon • The active promotion of generics as a high- quality low-expense alternative is expected to widen the market base for these products. Source: Innercap Technologies 26
  • 27. Major Drivers • The fastest growing region is Asia, due to its growing economy, and continued improvement in the health care system. • The changing attitude of pharmaceutical industry towards excipients considering them more than just inactive ingredients but crucial in improving the performance of the end-product (medicinal drug). • The outsourcing of services in the pharmaceutical industry is growing. The reasons include the declining investments in research and development (R&D), increasing generic penetration, and the growing development costs. • Modern contract manufacturing organisations (CMOs) offer a wide range of services ranging from pre-clinical development to commercial batch manufacturing to active/non-active manufacturing, as well as packaging and distribution. • Smooth delivery of a consistent dosage over time is the objective, with the need for fewer administrations, optimal use of the delivered drug, and increased patient compliance with the treatment programme. 27
  • 28. The global pharmaceutical excipients market will perform better than other chemicals markets • The downturn in growth is expected to last throughout 2009 and 2010 affecting at a different degree different regions. • The market is expected to return to previous level of activities and growth from 2011. • Even amidst the current challenging economic climate the market for pharmaceutical excipients will perform better than other chemicals markets. • The CAGR of the period 2009-2015 will be 3.3%. Source: Frost & Sullivan 28
  • 29. Technologically advanced excipients and environmentally friendly products will grow faster than commoditised excipients • The Global Pharmaceutical Excipients market is valued at $2.28 billion and was divided among the following excipients market segments as shown below. • The market for pharmaceutical excipients will perform better than other chemicals markets. • Binders represent the largest market segment, albeit mostly including commoditised products. • Disintegrants are expected to exhibit a CAGR of 4.6% during the period 2009-2015. • The market for controlled- release pharmaceuticals is growing rapidly with companies increasingly turning to drug delivery technologies as a means of expanding product lifecycles, enhancing drug efficacy and maximizing revenues. Source: Frost & Sullivan 29
  • 30. Major Industry Participants Pharmaceutical Excipients - Materials for Medical Applications 30
  • 31. Conclusion • The healthcare sector (medical & pharmaceutical) continues to provide opportunities for innovative companies, even in the current economic scenario • Companies willing to enter/strengthen their position in the market will however have to invest in developing the R&D capabilities, and also strong business development and technical service teams to cater to this segment • In the pharmaceuticals segment, industry participants need to forge business relationships with generics manufacturers and align accordingly their distribution networks. • Individual markets researched by Frost & Sullivan recently including the plastics in medical devices and packaging and the global pharmaceutical excipients are all showing excellent potential for market participants 31
  • 32. Next Steps Register for Frost & Sullivan’s Growth Opportunity Newsletter and keep abreast of innovative growth opportunities (www.frost.com/news) Register for the next Chairman’s Series on Growth: (www.frost.com/growthEU) Join us at our 3rd Annual Customer Contact Executive MindXchange (June 2009, Europe) Join us in London on 19 – 20 May at Growth, Innovation and Leadership 2009: A Frost & Sullivan Global Congress on Corporate Growth Event (www.frost.com/giluk) Request a proposal for a Growth Partnership Service to support you and your team to accelerate the growth of your company. 32
  • 33. Your Feedback is Important to Us What would you like to see from Frost & Sullivan? Growth Forecasts? Competitive Structure? Emerging Trends? Strategic Recommendations? Other? Please inform us by taking our survey. 33
  • 34. For Additional Information Steve Lee Strategic Account Manager Chemicals, Materials and Food, Asia Pacific (65) 6890 0914 steve.lee@frost.com Medical & Pharmaceutical Trends Impacting the Chemicals and Materials Industry 34