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Company
Once again, the fear of impurities
by
Chon, Seung-Hyun
Jun 10, 2021 05:55am
Fear of impurities is spreading again in the domestic pharmaceutical industry. There is a high risk that the aftermath of large-scale withdrawal of impurities from Canada will also damage Korea. Pharmaceutical companies are nervous in that it is a new type of impurity that is different from the one that has built a verification system over the past three years. ◆Start investigating impurities of new types from Canada and panic because there is no test method According to the industry on the 7th, pharmaceutical companies are looking at the details of impurities of angiotensin II receptor blockers (ARB) such as Irbesartan, Losartan, and Valsartan. On the 4th, the Ministry of Food and Drug Safety ordered the three ingredients to submit the results of the "Azido" impurity evaluation and test test by the 14th, and began to seek countermeasures. Health Canada announced on the 31st of last month that Azido was detected in Irbesartan, Losartan and Valsartan from nine pharmaceutical companies, including Teva and Sandoz, and that voluntary recovery is underway. They are large enough to reach a total of 227 lot numbers. Irbesartan had 124 lot numbers, Losartan with 97 and Valsartan with 6 lot numbers. Health Canada announced on the 31st of last month that Azido was detected in three ingredients of nine pharmaceutical companies: Irbesartan, Losartan, and Valsartan, and voluntary recovery is underway. Pharmaceutical companies are very nervous in that impurities detected in Canada are new types that have not been previously found. An official from a pharmaceutical company said, "We asked the supplier for data on Azido, but we are not sure if there is any." Azido is a type of carcinogenic substance in the azide family. There is no known specific risk of cancer in the human body, although it may increase the risk of cancer. Nitrosamines such as "NDMA" and "NDEA" have been detected in Korea since 2018, but no recovery measures have been taken due to the detection of azide-based impurities. In raw materials such as Irbesartan, Losartan, and Valsartan, Azido is a harmful substance without standardization. The risk of Azido detection was not recognized in advance, and there are currently no Azido impurities test methods. The development is similar to that of the detection of NDMA in Valsartan three years ago. NDMA, a carcinogenic substance detected in the Valsartan issue, is a harmful substance that does not have a standard. Neither government nor pharmaceutical companies were able to recognize the dangers of detecting NDMA from raw materials for Valsartan. The MFDS drew up a test method to detect NDMA in the raw materials of Valsartan, and prepared a new standard. The fact that the cause of Azido is unknown also amplifies anxiety. The MFDS looked at the manufacturing environment in which NDMA can be produced after the impurity Valsartan wave erupted. NDMA detected in Valsartan-based drugs was created by chemical reactions during the manufacturing process. In the process of manufacturing Valsartan, a major intermediary, "Biphenyltrazol", was manufactured, and NDMA was created in the process of synthesizing Biphenyltrazol and rapidly cooling it using nitric acid after tetrazol formation. As with the initial discovery of NDMA, the risk of Azido is still unknown. "People who take daily medicines containing Azido below the acceptable level for 70 years are not expected to increase their risk of cancer," Health Canada said. Until recently, pharmaceutical companies have completed inspections of nitrosamine impurities such as NDMA and NDEA. In November 2019, the MFDS ordered pharmaceutical companies to submit a report on the possibility of nitrosamine-based impurities in all raw materials and finished drugs, and the data submission was completed in a year and a half. The MFDS must submit data on impurities in all medicines to allow lot release without testing for nitrosamines impurities. However, if a large-scale suspension of sales due to the detection of excess impurities of a new type rather than nitrosamines, confusion over impurities is expected to spread throughout the industry. An official from the MFDS said, "Recovery of drugs including Azido is currently underway in Canada alone.""In Canada, we expect to be able to collect related data through raw material drug clients as we have tested the impurities. We are in the process of collecting information."
Company
Family testing for rare genetic diseases are needed
by
Eo, Yun-Ho
Jun 09, 2021 06:08am
As the number of rare genetic diseases that can be managed increases, the importance of early diagnosis through family tests is emerging. According to the KDCA's "2019 Statistical Yearbook of Rare Disease Patients," the number of new rare diseases in 2019 stood at 55,499 with about one per 1,000 population. The number of patients suffering from each rare disease is rare, but the total population is indescribably large. Many neighbors around us are already living with rare diseases. However, the development of the medical and pharmaceutical industries has enabled prediction and management of certain genetic diseases. For example, Fabry disease, one of the most common resource accumulation diseases, is a genetic disease passed down from parent generation to child generation. The cause of Fabry disease is that women with genetic variation have a 50% chance of passing it on to their children regardless of gender, and men are 100% inherited from their daughters and not from their sons. Therefore, patients with Fabry disease may not be their fault, but sometimes live under the social stigma and negative perception of "genetic disease" as the patients. Genetic possibility of Fabry disease However, since Fabry disease is a treatable, it is most important to inform family members as soon as one of the family members is diagnosed and start treatment before the disease progresses to severe conditions. This can prevent worsening symptoms and irreversible organ damage, and especially the younger generation can relieve vague anxiety about childbirth by making family plans in advance. In fact, patients with Fabry disease often postpone or avoid the second-generation plan for fear that their children will inherit the disease. Fabry disease is a legally designated "preconception genetic diagnosis" that allows patients with Fabry disease to conceive a healthy fetus. Preimplantation diagnosis is a method of transplanting embryos that do not have the gene of the disease into the womb through pre-pregnancy genetic testing to help pregnant a child without genetic disease. Fabry disease patients often hesitate or give up pregnancy itself," said Kwon Young-joo, a professor of kidney medicine at Korea University Guro Hospital. Professor Kwon said, "But with institutional help, we can give birth to healthy children without worrying about heredity." If Fabry disease has been diagnosed after pregnancy, it is recommended that a newborn screening test is performed to determine whether a child is born with Fabry disease or not for proper treatment and prognosis. This is because if a child is diagnosed with Fabry disease, he or she will visit the hospital periodically as he or she grows up to monitor the progress of the disease, and if necessary, the prognosis may be good if treatment begins early in childhood. There is also an unmet demand. Genetic diagnosis before implantation is non-reimbursed, and not yet been covered by health insurance. Consequently, there may be an economic burden on the cost. "Genetic diagnosis before implantation is not covered by health insurance yet," said Professor Kwon Young-joo. Diagnosis is also recommended for the healthy life of children. "As much effort is being made by health authorities and all walks of life to overcome the low birthrate problem, consideration and review are needed in these careful areas."
Company
Merz’s OTC drug Pantogar released as health functional food
by
Nho, Byung Chul
Jun 09, 2021 06:08am
The hair loss OTC drug Pantoga received attention after its unexpected release as a health functional food recently, after removing some of its ingredients. Pantogar was approved by the Korean Ministry of Food and Drug Safety in 2002, and the original developer, Merz in Germany, had globally launched Pantogar in 1976. The newly launched Pantovigar Vegan has not been officially released in Korea but is being sold in pharmacies in Germany. According to industry sources, the import of Pantogar was discontinued for the reason of change in manufactories last year, and the drug currently out of stock in all online pharmaceutical shops including Onlinepharm and theSHOP. However, if the import was discontinued simply due to the change of manufactories as Merz Korea explained, the health functional food Pantovigar that was launched recently would generally be manufactured in line with the existing OTC drug Pantogar. Also, in terms of demonstrating its efficacy, it is not easily understood why the company decided to sell it as a health functional food instead of an OTC, which is better for verifying the drug’s efficacy. The OTC Pantogar is composed of L-cystine 20 mg, medicinal yeast 100 mg., Keratin 20 mg, Thiamine nitrate 60mg, Para-aminobenzoic acid 20 mg, and Calcium D-Pantothenate 60 mg, etc. On the other hand, the new Pantovigar Vegan contains cystine, Pantothenate, Thiamine Nitrate, D-Biotin, Iron, Zinc, Rice Germ Protein, Yeast power, etc. One difference to note is that the Pantovigar vegan does not contain keratin, an animal protein. Under these circumstances, Merz's German headquarters had completely split the aesthetic business and over-the-counter drug business of Merz Korea in July last year. As a result, Merz Korea’s business domain now only covers medical aesthetics products such as its botulinum toxin, Xeomin, etc. The company’s representative OTC Pantogar is now being sold and marketed by HUH Pharma, its scar treatment Contractubex by C&C Healthcare, and its API of the liver during Hepamerz by Hanwha Pharma in Korea. According to IQVIA, Pantogar sold 1.3 billion and 0.6 billion won in 2019 and 2020. Regarding Pantogar, Merz Korea said, “The pharmaceutical business unit and aesthetics business unit of Merz Korea was separated into two parts in the middle of last year. The pharmaceutical business is now controlled directly by our headquarters in Germany, so we cannot provide exact information on whether or when Pantogar will be launched in Korea.”
Company
MNCs bid for ‘themed’ victory with innovation and legacy
by
Eo, Yun-Ho
Jun 09, 2021 06:07am
Whichever the cause, the decision of the Big Pharmas to ‘focus on their strengths’ is more than just a pretext for reorganizing their businesses. Setting a clear ‘theme’ can have a positive effect on the image of a company. Also, dividing its business does not mean a loss of drive. However, such divisions will bring one company to lose its cash cow, and the other to lose its new product line. In this sense, the divisions will intensify companies’ competition for survival and movement to specialize their domain. ◆Reorganizing by theme for a reason=The theme of a company's pipeline leads to consistency of its message. For example, Pfizer’s Upjohn was a spin-off of its off-patent drug business, but its merger with Mylan added biosimilars, generics, and over-the-counter drugs to its pipeline. Organon, which pursues leadership in women’s health, has established its pipeline in the field of cardiovascular, urinary, respiratory, dermatology, and biosimilars. In other words, the spin-offs can let one company can purse innovation, while the other succeeds legacy brands. The brand power held by legacy product lines is also a competitive edge that cannot be ignored. In this sense, the restructuring, which enabled Pfizer and MSD to focus on developing and launching innovative new anticancer and rare disease drugs while their spinoffs - Viatris and Organon - became specialty pharmaceutical companies that focus on chronic disease or women’s health, was a convincing move from the stockholder’s viewpoint. However, there is a loophole in the reasoning of these spin-offs and sales. Ironically that Pfizer’s biosimilar, as well as MSD’s blockbuster drugs such as the diabetic drug ‘Januvia,’ Takeda’s OTC drug ‘Actinum’ remains in the original company. ◆Specificity of the Korean market= Also, the Korean subsidiaries of the multinational pharmaceutical companies may face a different situation due to the inherent characteristic of the Korean market. In Korea, original drugs tend to sell strong regardless of their patent status. This may partially be due to the generic drug pricing policies in Korea, but many Korean subsidiaries of multinational pharmaceutical companies have been enjoying strong sales even after patent expiry. In fact, Viatris Korea accounts for more than half of Pfizer Korea's sales. Just last year, Viatris's lead statin product ‘Lipitor,’ recorded 185.5 billion won in prescription sales. Also, even without the ‘Januvia’ family, Organon Korea’s originals ‘Atozet,’ ‘Cozaar,’ ‘Singular’ had in total recorded around 150 billion won’s worth in sales last year. Launching combination drugs that succeed the originality of originators is therefore a strategy that companies can choose to take in the Korean market. Viatris had recently released ‘Lipitor Plus,’ an atorvastatin and ezetimibe combination drug. Viatris aims to target the Korean market with Lipitor’s brand power and the fact that they use the original API. Under the stepped pricing system that was newly applied, Lipitor Plus’s price was set lower than Atozet. The results remain to be seen, however, Korea is an adequate market for testing new strategies based on manufacturing pharmacy such as by improving the convenience of chronic disease drugs, etc. On the other hand, the Korean subsidiaries that have let go of their cash cows may need to brace for sluggish sales growth depending on their reimbursement situation, as due to the nature of Korea’s national health insurance system, new drugs are not easily prescribed without reimbursement in Korea. Pfizer is currently working to list its ‘Vyndamax,’ and two other follow-on drugs that have been listed are facing RSA re-evaluations soon. MSD recently failed to expand its 'Keytruda' reimbursement to first-line lung cancer, which was key to expanding the scope of prescription for the drug. These are risks that cannot be ignored from the Korean subsidiary’s perspective. An official from a multinational pharmaceutical company said, “The separation of roles seems to be happening between multinational pharmaceutical companies as well. In the future, the companies will be divided into those that reduce their sales division while focusing on reimbursing high-price drugs, and those that increase collaboration with domestic companies and implement various sales strategies.”
Company
Patent dispute over Pelubi SR is not over
by
Kim, Jin-Gu
Jun 09, 2021 06:07am
Pelubi SRThe patent dispute of Daewon's anti-inflammatory drug Pelubi SR continues. Youngjin, Huons, and Chong Kun Dang won patent dispute of Pelubi. Among them, Youngjin has received generic for exclusivity alone. According to the pharmaceutical industry on the 7th, at least three companies are considering patent challenges for Pelubi SR: Mothers Huons, and Chong Kun Dang. Although they have not filed a formal patent judgment yet, it is known that they have started developing their own generics. The industry expects the Pelubi SR patent dispute to be fiercer than the previous case of Pelubi. This is because Pelubi SR's Rx performance is higher than that of Pelubi. According to UBIST, a pharmaceutical market research firm, Rx performance of Pelubi SR last year was ₩30.1 billion. Among them, Pelubi SR's sales account for 60-70%. Pelubi & Pelubi SR are registered with composition Patent. The patent for Pelubi SR expires in October 2033. Huons and Mothers are officially in the development of generics for Pelubi SR . Biological equivalence tests were approved in May and July last year respectively. Recently, Chong Kun-dang is said to have started developing its own generic. The pharmaceutical industry understands that these companies' patent challenge for Pelubi SR is imminent. In addition to the three companies, attention is also being paid to whether companies that have challenged existing Pelubi patents such as Youngjin will try again. If one of them files a patent trial, the remaining companies' patent challenges are expected to follow within 14 days. Pelubi and Pelubi SR are said to be difficult to develop due to the nature of the preparation. "It is expected that it will be more difficult to prove biological equivalence than to win a patent dispute," a pharmaceutical industry said. "We understand that three companies voluntarily withdrew their patents in the previous patent dispute for Pelubi because they also failed to develop generics." In the case of Pelubi, which expire in November 2028, Youngjinl, Huons, and Chong Kundang won the first trial. Mothers, Hutecs, and Nexpharm, which challenged patents with them, voluntarily withdrew their judgment on patents. The generic for exclusivity of generic for Pelubi was acquired exclusively by Youngjin. Youngjin received a license for Peluvi's generic Pelps late last month. The MFDS granted Pelps generic for exclusivity on the same day. Huons was also granted Hubirofen, generic for Pelubi on the same day, but generic for exclusivty was not given. It is said that this is because the MFDS ordered supplementation of data. It is known that Chong Kun Dang did not apply for permission for generic for Peluvi.
Company
Hemlibra reimbursement disapproval raises anxiety
by
Nho, Byung Chul
Jun 08, 2021 06:01am
The head-on clash between the ‘standard to first consider immune tolerance induction (ITI·antibody removal) therapies’ and the ‘due prescription rights of doctors·convenience in administration·saving NHI finances’ have received industry attention. On the 3rd, the Health Insurance Review and Assessment Service (HIRA) held a Pediatric Department Special Review Committee to review medical benefit reimbursement of Hemlibra and disapproved its reimbursement. Therefore the clash between the industry·patient groups and the authorities in normalizing its reimbursement is deemed inevitable. The reimbursement standard for Hemlibra that was implemented in February this year allows reimbursement for pediatric hemophilia patients ▲who failed ITI therapy; ▲who meet the ITI eligibility requirements but have a doctor’s note proving they cannot receive ITI therapy; and ▲whose antibodies reappeared after a successful ITI therapy. On the other hand, for hemophilia patients with antibodies, the reimbursement guidelines recommend to HCPs to first consider using ITI therapy. HIRA’s regulations prioritize the use of ITI therapy in high-antibody patients in years 1-5, patients with frequent bleeding, and patients with intracranial bleeding. The issue arose regarding the reimbursement standard ‘Those who meet the ITI eligibility requirements but have a doctor’s note proving they cannot receive ITI therapy.' The committee requested objective data proving that it was difficult to secure venous blood vessels and that it was impossible to attempt ITI therapy when administering Hemlibra. However, the medical community and patient groups protest saying that “Most patients are under 5 years of age, therefore, providing data on the state of their blood vessels following intravenous injections and objective measurement of their pain is virtually impossible. The specificity of the circumstances and environment isn't being considered.” In other words, their argument is that requesting data based on scientific grounds when there is no objective data to present is in itself nonsense. Two large hospitals, A and B Hospital in Seoul and Daegu, had administered Hemlibra to 4 hemophilia patients under the age of 12 during the last two months according to doctors’ justifiable opinion. The pharmaceutical cost of Hemlibra amounted to 30 million won per patient for the 2 months, and if the hospitals decided to exercise their right of claim rather than suffer the loss, the cost will solely be imposed on the patients. On this, an official from the Korean Society on Thrombosis and Hemostasis said, “Insisting or forcing pediatric hemophilia patients under the age of 12 to receive intravenous ITI therapy is not a desirable means of treating the disease. Also, the HIRA's disapproval of reimbursement for Hemlibra this time is inconsistent with the reimbursement standard that explicitly states that Hemlibra may be administered with a justifiable doctor’s note." Patient groups also strongly expressed their objection, pointing out that “Current standards do not require ITI therapies before existing bypassing therapies. Making the decision to administer Hemlibra does not mean that the doctors did not consider ITI therapies. The committee’s decision to restrict only Hemlibra with such a condition is unacceptable.” Meanwhile, the deliberation results of the Pediatric Department Special Review Committee will be finalized after resolution by the Central Review & Assessment Coordination Committee, and the claims for re-examination and objections to adjust drug costs may be filed within 60 days. Attention is now on whether the voices of the pediatric patients and their parents will be reflected in addition to the efforts made through Cheong Wa Dae’s public petition and Anti-Corruption and the Civil Rights Commission’s adjustment efforts.
Company
Pros and cons of the spin-offs and sales of Big Pharmas
by
Eo, Yun-Ho
Jun 08, 2021 06:01am
Mergers, spin-offs, buying, selling... news shows that global Big Pharmas have been busy constantly changing their shape. In particular, the issue that gained the most attention for the past few years was the companies' spin-offs and sales. Although the companies' made the decision under the premise of ‘focusing on one’s strengths,’ such divisions and sales have brought out both positive and negative views. One thing to note is that these changes have been occurring 'serially' among global pharmaceutical companies. ◆Change in the development trend and surging investment cost = Although it is difficult to pinpoint the root cause of the constant change, a trend is evident. Development of new drugs is difficult, even without specifying the 1 in 10,000 probability of success. Also, successful development does not directly translate to actual sales. And this problem continues to intensify. Hidden within the shadow of the often-discussed ‘open innovation' n the global market. exists the rampant new drug famine. Discovering new substances is difficult and the risk keeps increasing, so ‘sharing’ the burden became the solution. With the field of chronic disease ruled out as ‘drugs in need have already been released,’ the industry's focus is now on anticancer drugs and rare diseases. Also, with the increase of cutting-edge new drugs that have dozens of indications for a single substance, Big Pharmas are now faced with a situation where they would need to spend astronomical amounts just on the Phase III trial of its new drugs. As the direct discovery of candidate substances has become increasingly difficult and buying promising new substances (candidate substances) or venture businesses that own such substances, the companies' investment spending has skyrocketed as well. From the Big pharma’s perspective, this means that their already-high proportion of investments have doubled. Not only Takeda, Pfizer, and MSD, which carried out spin-offs and sales of its business units, but companies that prided in their R&D such as Novartis, Sanofi, and Bayer have announced at least 3-5 acquisitions of drug substances or companies every year. The size of mergers and acquisitions by global companies had already exceeded 400 trillion won in 2019. The advent of the 'age of high-priced drugs’ that is emerging as a social issue is not unrelated to this large amount of investments. A Business Development personnel who returned to the Korean subsidiary after working at its global headquarters said, “Big Pharmas are reducing directly conducted projects that start from substance discovery. The companies have turned their direction to buying promising substances to reduce the investment risk. However, the problem that companies face is that the price of venture businesses that own such substances have also been rising rapidly.” ◆Stock price and stockholders… the BU system and spin-offs = The rise in investment cost and corporate spin-offs may seem unrelated at a glance, but this is also not the case. A company's stock price and its stockholders are currently exerting wider influence on the decision-making process of the Big Pharmas than in the past. For example, when a company maintains its size and only increases investment, investors worry that the stock price will fall due to decreased cash flow. The corporate spin-off is one option that such companies could select in these cases. No matter how promising a new drug may be, investment in its substance eventually affects the financial solvency of the company. Spin-offs allow the company to divide its size and profit structure. In other words, the company can subdivide its business by concept to an investment-focused part and a legacy part – and recreate the company. Equity spin-offs do not burden the company as there is no exercise of appraisal rights. Since the company becomes a legally independent company after the spin-off, the spin-off may go public immediately afterward. Prior to such spin-offs, most multinational pharmaceutical companies first proceed with restructurings that have a split-off tendency that may serve as a foothold for improving the financial solvency of the company or for the sale of its businesses. For example, before Pfizer completed its spin-off of Viatris, it had established a 3-Business Unit system and separated its legacy brand ‘Upjohn,’ then spun-off Upjohn and combined it with Mylan N.V. to form Viatris. The recent MSD’s spin-off of Organon and Takeda’s sale of its diabetes and OTC business, Novartis’ decision to independently operate its pharmaceuticals and oncology division, and Abbott’s separation of ts biopharmaceutical division as Abbvie were all made in the same context. An official from one multinational pharmaceutical company said, “The criticism that the pharmaceutical companies are now acting on behalf of its shareholders rather than their patients also stem from this phenomenon. However, with the proportion of venture capital (VC) investors (financial investors) increasing, the companies do not have many options to choose from with regards to their operations."
Company
HPV vaccine market expands 55% midst COVID-19
by
An, Kyung-Jin
Jun 07, 2021 06:06am
The market for the vaccine to prevent cervical cancer has expanded by the greatest amount ever. The increased inoculation rate of the high-priced 'Gardasil 9' has led the total market growth. MSD, which owns two HPV vaccines - 'Gardasil' and 'Gardasil 9' - accounted for 97% of the total market, and boasted its overwhelming influence in the domestic market. According to the industry research institution IQVIA on the 7th, the HPV vaccine market size in Q1 of this year was 22.9 billion won. This was a 55.5% increase from the same quarter of the previous year and the highest-ever quarterly sales record. The COVID-19 outbreak had temporarily slowed down market growth in the first half of last year, but sales turned back upwards in the second half. Since then, the market has been breaking its own record for three consecutive quarters. Compared to the 11.6 billion won in Q1 of 2017, the market size has doubled in 4 years. The high-priced ‘Gardasil 9’ acted as a catalyst in the HPV vaccine’s market growth. In Q1, sales of MSD’s ‘Gardasil 9’ recorded 17.4 billion won, which was a 75.6% YoY increase compared to the 9.9 billion won of the same quarter last year. In the same period, MDS’s other HPV vaccine, ‘Garadsil’ sold 4.8 billion won. Although ‘Garadsil’ also showed a 19.0% YoY increase from the 4.1 billion won in Q1 last year, the market was completely overwhelmed by the surge in sales of ‘Gardasil 9.’ In the same period, GSK’s ‘Cervarix’ sales fell 12.0% in one year to record 0.7 billion won in Q1 this year. Among the three products authorized in the Korean HPV vaccine market, the other two, which are MSD products, account for 97.1% of the domestic HPV vaccine market. In other words, MSD has a monopoly over Korea’s HPV vaccine market. MSD has grasped the lead in Korea’s HPV vaccine market in 2016 with the government selecting ‘Gardasil’ and ‘Cervarix’ as products for Korea’s National Immunization Project, and MSD releasing its follow-up ‘Gardasil 9,’ in the latter half of the same year. After selling 2.5 billion won in the first year of its release, sales of ‘Gardasil 9’ grew rapidly to 15.1 billion won in 2017, and 20.9 billion won in 2018. Since becoming the market leader product in 2019, raising 40.5 billion won in sales, twice the amount compared to the sales of ‘Gardasil,’ it had continued its rise ever since. In Q1 this year, the market share of ‘Gardasil 9’ was 76.0%, which was three times than that of ‘Gardasil.’ ‘Gardasil 9’ is a human papillomavirus virus (HPV) vaccine that was manufactured by adding five HPV serotypes 31, 33, 45, 52, and 58 in addition to the four HPV serotypes 6, 11, 16, 18 already in ‘Garadasil.’ It is being distributed at a high price with the differentiation that it covers the most amount of HPV types among existing HPV vaccines. The cost of inoculation paid by the consumers varies by hospital, but a single shot of 'Gardasil 9' may at most be 100,000 won more expensive than ‘Cervarix.’ Nevertheless, the demand for ‘Gardasil 9’ among adults not subject to NIP increases. News that the vaccine can prevent other HPV-related diseases such as anal cancer, genital warts, premalignant lesion, in addition to cervical cancer had spread through word of mouth, and the ‘couple vaccination’ promotions in obstetrics and gynecology clinics have been increasing the number of male inoculations every year as well. Since last year, the vaccination age for HPV vaccines was expanded to 45 years, and the rate of reinoculations has also increased significantly. One other factor that may have lead to a sales surge in Q1, is the pre-supply orders from hospitals and clinics in preparation for the price hike announced by the pharmaceutical company. MSD Korea has raised the supply price of 'Gardasil 9' and 'Gardasil' by 15% from April this year, citing rising production input costs. MSD Korea has changed its domestic distributor for ‘Gardasil 9' and 'Gardasil' to HK Inno.N this year and has been conducting co-promotion with the company ever since.
Company
Sales in the herpes zoster market have halved in 2 years
by
An, Kyung-Jin
Jun 04, 2021 06:06am
Sales in the domestic shingles prevention vaccine market, which had been on the mend, fell again. In December last year, sales of two vaccines to prevent shingles fell as the vaccination rate fell in the wake of the third pandemic of COVID-19. According to IQVIA, a pharmaceutical research institute, the size of the vaccine market for shingles prevention in the first quarter was ₩10.9 billion, down 10.8% from ₩12.2 billion a year earlier. It is down 44.5% from ₩19.7 billion. The first quarter of last year was a time when the economy stagnated sharply as COVID-19 pandemic began around the world. South Korea's two vaccines for shingles prevention were competing, but sales fell to the lowest level. This year's sales declined from the first quarter of last year, further slowing down. Two types of shingles prevention vaccines are being sold in Korea, including MSD's Zostavax and SK Bioscience's Sky Zoster. It was monopolized by Zostavax, but it continued to grow rapidly with the advent of Sky Zoster in late 2017. The successful shingles prevention vaccine market has worsened in the face of an unexpected infection crisis. Its fourth quarter sales increased to ₩27.9 billion and halved to ₩12.2 billion in the early stages of COVID-19 crisis. Although its second quarter sales recovered to ₩22.6 billion, but decreased again to ₩20.3 billion in third quarter and ₩17.3 billion in fourth quarter. Until the first quarter of this year, quarterly sales have fallen for three consecutive quarters, and have rarely recovered. The industry believes that the vaccine market for shingles prevention is more easily affected by factors such as the epidemic of infectious diseases than other drug markets prescribed for chronic diseases. Since it is a vaccine to prevent diseases, not treatments used in urgent situations, the inoculation rate will inevitably fall if patients avoid visits to medical institutions. The fact that the COVID-19 vaccination, developed by Pfizer and AstraZeneca since early this year, has also had some impact on the decrease in the number of other vaccinations. The market for adult vaccines is sluggish, with the exception of pneumococcal vaccines that benefited from COVID-19. Both Zostavax and Sky Zoster have drawn similar quarterly sales distributions since last year. Sales of Zostavax in the first quarter were ₩6.5 billion, down 10.9% from a year earlier. This is a 40.6% decrease from $10.9 billion (10.9 billion KRW) in previous quarter.Sky Zoster posted sales of ₩4.4 billion in the first quarter, down 10.6% from a year earlier. Compared to the previous quarter, it decreased by 30.6%. As sales of the two products showed similar ups and downs, market share was similar. Sky Zoster's share in the first quarter stood at 40.4%, no significant difference from 40.3% a year earlier. There is another variable in the domestic shingles prevention vaccine market. GSK reportedly applied to the MFDS for the approval of Shingrix earlier this year. Starting with FDA approval in 2017, Shingrix is a product that has been sold in major countries around the world. Demand was high enough to cause scarcity overseas. Market competition is expected to intensify if GSK starts selling Shingrix in Korea.
Company
Roche Korea conducts the voluntary retirement program
by
Jun 03, 2021 05:56pm
Roche Korea conducts the Early Retirement Program (ERP). In the first half of this year alone, many multinational pharmaceutical companies, including Viatris, Astellas, and GSK, started reducing the number of people. According to pharmaceutical industry on the 3rd, Roche Korea is currently conducting ERP for reorganization. The first target is the sales department. At the end of last year, Roche reportedly conducted ERP for some manager-level employees in the sales department. It is heard that specific size and conditions of ERP are under discussion. Industries estimate that it will be about 20% of 60-70 employees in sales department. It is heard that ERP will be carried out for desk job departments in second half of this year. In the first half of this year alone, five to six multinational companies conducted ERP to reorganize or sell their business units, including Viatris, Astellas, GSK, Zuellig Pharma, Jansen, and Roche. Viatris, which split from Pfizer and merged with Mylan, operated ERP as part of its global headquarters' massive restructuring plan. In the process, several managers appear to have resigned. GSK also conducted ERP to some sales and marketing executives while reorganizing its business structure. In particular, as telecommuting and non-face-to-face marketing have increased due to COVID-19 outbreak, and the reporting system has changed, management executives are mainly on the ERP list. The reason for the implementation of Astellas Pharma and Zuellig Pharma's ERP is the deterioration of management. In order to overcome the situation in which patents of major items expire or are damaged in the long term, restructuring has begun. Astellas said its goal is to reduce its total staff by 40%. Zuellig announced it would restructure about 80% of its 100 sales staff. It posted operating losses for the third consecutive year last year, with a debt ratio of 30,000%. Janssen is different from other companies. Janssen, which sold its Hyangnam plant to Whanin, added ERP as an option in the process of redeploying its employees. Employees who want to stay will be transferred to the Songdo plant in Incheon. Retention of employment is a fundamental principle. Employees who do not want this can choose the ERP. Meanwhile, Sanofi and Lilly also conducted ERP late last year due to the COVID-19 crisis.
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