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GSK Annual Report 2002

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Product approvals<br />

Country/Region<br />

Product (Approval Date) Description<br />

Description of business GlaxoSmithKline 19<br />

In <strong>2002</strong>, approvals were received for a number of new products, including several significant new indications and formulations for existing<br />

products, as summarised in the table below.<br />

Augmentin XR USA (October) extended release formulation of amoxicillin (a beta-lactam antibiotic)<br />

and clavulanate (a beta lactamase inhibitor) for adult respiratory tract<br />

infections<br />

Avandamet USA (October) fixed dose combination of Avandia and metformin for type 2 diabetes<br />

Avodart USA (October) 2 year data on dutasteride, a 5-alpha reductase inhibitor for the<br />

treatment of benign prostatic hypertrophy (BPH)<br />

Avodart Europe (July) dutasteride, for the treatment of BPH<br />

Epivir USA (October) once daily dosing with lamivudine, a reverse transcriptase inhibitor, for<br />

HIV<br />

Flixotide Europe (October) lower age limit for fluticasone, an inhaled corticosteroid for asthma<br />

Flonase USA (May) intranasal fluticasone for nasal symptoms<br />

Flutide Japan (October) fluticasone in a CFC-free inhaler<br />

Lotronex USA (June) reintroduction of alosetron for irritable bowel syndrome (IBS)<br />

Paxil CR USA (February) paroxetine, a selective serotonin re-uptake inhibitor for panic disorder<br />

Pediarix USA (December) combined diphtheria, tetanus, pertussis, hepatitis B and polio vaccine<br />

for children<br />

Serevent Diskus USA (March) dry powder formulation of salmeterol (a long-acting beta blocker) for<br />

COPD<br />

Serevent MDI and Diskus Japan (April) salmeterol in both metered dose and dry powder inhalers for asthma<br />

Sultanol Diskus Japan (March) the short-acting beta blocker salbutamol in a dry powder device for<br />

asthma<br />

Twinrix 2 dose Europe (September) combined vaccine for hepatitis A and B<br />

Valtrex USA (September) valaciclovir, a DNA polymerase inhibitor for the treatment of cold sores<br />

Wellbutrin SR USA (June) additional strength of bupropion for depression<br />

Zovirax cream USA (December) aciclovir, a DNA polymerase inhibitor for the treatment of cold sores<br />

Zyloric tablets Japan (March) allopurinol, a xanthine-oxidase inhibitor, for the treatment of gout<br />

R&D Processes – Discovery, Commercialisation & Delivery<br />

Genetics<br />

Research<br />

Discovery<br />

Research<br />

Intellectual property<br />

validated targets<br />

and leads<br />

Centres<br />

of Excellence<br />

for Drug Discovery<br />

"CEDDs"<br />

Pre-clinical<br />

Development<br />

New Product<br />

Development<br />

Drugs Products<br />

New<br />

Medicines<br />

of Proven<br />

Value<br />

R&D processes<br />

In line with GlaxoSmithKline's strategic intent to become the<br />

indisputable leader in the industry, R&D has set itself the goal of<br />

becoming the industry’s most productive R&D organisation. Steps<br />

to achieve this have included initiatives to both reduce the time<br />

taken in all phases of the discovery and development chain; and<br />

also to gain earlier understanding of candidate molecules,<br />

increasing the probability of making a new medicine available to<br />

treat patients as soon as possible.<br />

R&D measures this productivity not just by the number and<br />

innovation of the products it creates, but also by the<br />

commercial value of the product's ability to address the unmet<br />

needs of healthcare customers including patients, healthcare<br />

professionals, budget holders and regulators; each with their<br />

own perspective on what constitutes a valuable new product.<br />

R&D is now positioned to ensure that it generates the right<br />

safety, efficacy and quality information to respond to these<br />

different perspectives through data demonstrating the overall<br />

social benefits of the new medicine; increased length or quality<br />

of life, and increased workplace productivity.<br />

One of the historical contradictions in the pharmaceutical<br />

industry has been the need to lever the advantages of a large<br />

organisation without losing the creative spirit of the research<br />

environment. In GlaxoSmithKline, R&D has been structured to<br />

balance the areas that benefit from large scale with those that<br />

take advantage of being small to enhance their productivity.<br />

The key areas that benefit from being large are those that are<br />

capital intensive or high throughput activities such as<br />

compound screening; those that require scarce skills; and<br />

those that are highly regulated, mainly at the later end of the<br />

development chain. Other areas flourish to their best<br />

advantage if the structural unit remains small: the units can<br />

respond quickly to the changing environment; the opportunity<br />

for scientists to interact is optimised; and the need for return<br />

on investment is focussed through the fostering of an<br />

entrepreneurial, accountable culture.

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