EXCELLENCE - Pharma
EXCELLENCE - Pharma
EXCELLENCE - Pharma
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March/Arpil 2009 Volume 5 Number 2<br />
The global magazine for the pharmaceutical and biopharmaceutical industry<br />
OPERATIONAL<br />
<strong>EXCELLENCE</strong><br />
Lean Manufacturing for <strong>Pharma</strong><br />
EASTERN EUROPE<br />
Bucking the Recession<br />
PROCESS TECHNOLOGY<br />
The Complete Picture?<br />
SHOW PREVIEWS<br />
ACHEMA, INTERPHEX and MEDTEC<br />
OUTSOURCING<br />
How the Internet can Improve Services<br />
www. pharma- mag. com
BD Medical - <strong>Pharma</strong>ceutical Systems<br />
Your confidence,<br />
our commitment<br />
BD Medical - <strong>Pharma</strong>ceutical Systems<br />
is a leading provider of high-quality, clinically-proven<br />
prefillable parenteral delivery systems.<br />
We are committed to earning our customers’ confidence<br />
by providing innovative drug delivery technologies,<br />
utilizing global manufacturing and a high level<br />
of technical expertise.<br />
BD Medical<br />
<strong>Pharma</strong>ceutical Systems<br />
11, rue Aristide Bergès<br />
38800 Le Pont de Claix<br />
France<br />
Tel: +33 (0)4 76 68 36 36<br />
Fax: +33 (0)4 76 68 35 05<br />
www.bd.com/<strong>Pharma</strong>ceuticals
30<br />
outsouRcing — iMpRoving custoMeR satisfaction<br />
Sanjiv Gossain, Cognizant Technology Solutions.<br />
How web technologies are being used by the outsourcing industry to improve<br />
customer service and satisfaction.<br />
pRocess inputs — opeRational excellence<br />
Günter Jagschies, GE Healthcare Life Sciences.<br />
How lean-enabling technologies can play a pivotal role in significantly reducing<br />
waste and, ultimately, costs.<br />
MaRketing — ManufactuRing betteR pRofits?<br />
Michael Kelly and Susan Bolge, Consumer Health Sciences.<br />
Why marketing research and outcomes research will benefit from alliance and<br />
collaboration.<br />
easteRn euRope — positive vibes<br />
Monika Stefanczyk<br />
In times of economic difficulties, there are always regions that profit from the<br />
misfortune of others. The CEE is one such region: Eastern Europe’s outsourcing<br />
industry is flourishing.<br />
pRocess technology — pRoduction pRobleMs<br />
Dr Jamie Weiss, Kepner-Tregoe.<br />
For every problem there is a solution. But sometimes there is a problem for<br />
every solution — especially when corrective measures are implemented without<br />
considering the repercussions further down the process chain.<br />
26 36 50<br />
call for entries now...<br />
contact miranda@via-medialtd.com<br />
34<br />
strap goes contents here<br />
www.pharma-mag.com<br />
ReseaRch Money available<br />
I discussed the recession in the last issue. So let’s take<br />
a more optimistic approach. How would you like £6<br />
million? It could come in useful, I suppose. Well, the<br />
UK Government is looking to give the pharmaceutical<br />
industry this sum for information it probably already has!<br />
The Government’s Technology Strategy Board<br />
— the body responsible for allocating public money<br />
to technology research — is encouraging the<br />
pharmaceutical industry to bid for £6 million of new<br />
funding. This new funding competition will support<br />
research into the security weaknesses of complex<br />
information systems — the technology systems that<br />
underpin our digital world.<br />
As information systems become more complex, to<br />
support our growing demand for richer business and<br />
personal services, they are becoming increasingly<br />
vulnerable — and this means more risk for us all.<br />
If we don’t accurately understand or manage the<br />
increasing complexity of the technology that delivers<br />
our information, we cannot predict where weaknesses<br />
might occur — nor introduce appropriate methods<br />
of protection. This competition will fund research into<br />
new technology-inspired tools, techniques and services<br />
that will help us to model the growth of these complex<br />
information systems.<br />
Because pharmaceutical companies’ expertise in<br />
these techniques (often used in drug development) can<br />
offer valuable insight into how new ideas in this area<br />
could work in real industry environments, the sector’s<br />
experience could be applied when developing ways to<br />
model the growth of complex information infrastructure.<br />
In March and April, the Technology Strategy Board is<br />
providing support to those new to the process through<br />
a series of information days and workshops in the UK.<br />
It has also established a separate “fast-track”<br />
channel for any SMEs bidding for less than £150,000.<br />
This channel is available for a longer period of time,<br />
but is a significantly shorter process. Participants<br />
may bid as many times as they like — while finetuning<br />
their proposals based on feedback from the<br />
Technology Strategy Board — until they become<br />
suitable for investment.<br />
Visit www.networksecurityip.org. And good luck!<br />
Graham Lampard<br />
Comment 05<br />
News — General Round-Up 06<br />
News — ACHEMA Preview 10<br />
News — INTERPHEX Preview 12<br />
News — MEDTEC Preview 14<br />
Drug Delivery — Valois 34<br />
Process Technology — Kemutec 40<br />
Product News 46<br />
People/Calendar 49<br />
Final Word 50<br />
March/April 2009
�<br />
�<br />
�<br />
�<br />
CONTRIbUTORS<br />
Contributing Editor<br />
Graham Lampard<br />
+44 20 7096 7182<br />
graham@via-medialtd.com<br />
Editorial Director<br />
Kevin Robinson<br />
+44 (0) 1392 202 591<br />
kevin@via-medialtd.com<br />
Art Director/Production<br />
Paul Andrews<br />
Tel. +44 (0) 1372 471 549<br />
paul@via-medialtd.com<br />
Web Designer/Marketing Manager<br />
Claire Day<br />
Tel. +44 (0) 1372 471 547<br />
claire@via-medialtd.com<br />
Editorial Advisory Board<br />
Publisher<br />
Miranda Docherty<br />
+44 (0) 1372 471 542<br />
miranda@via-medialtd.com<br />
Group Publisher<br />
Simon Jones<br />
+44 (0) 1372 471 541<br />
simon@via-medialtd.com<br />
Financial Controller<br />
Catherine Swainson<br />
+44 (0) 1372 471 540<br />
catherine@via-medialtd.com<br />
The Editorial Advisory Board of <strong>Pharma</strong> comprises a distinguished panel of experts<br />
from various parts of the pharmaceutical industry. They review technical manuscripts,<br />
suggest topics for inclusion, recommend subject matter and potential authors, and act<br />
as the quality control department for the magazine’s editorial content and direction.<br />
Rory Budihandojo<br />
Computer Validation<br />
Manager<br />
Boehringer Ingelheim<br />
Patrick Crowley<br />
Vice President<br />
Product Line Extensions<br />
GSK (US)<br />
Doug Dean<br />
Partner, <strong>Pharma</strong>ceuticals/<br />
Life Sciences<br />
IBM Business Consulting<br />
Services<br />
Maik W. Jornitz<br />
Group Vice President<br />
Global Product<br />
Management, Bioprocess<br />
Sartorius North America Inc.<br />
Jim McKiernan<br />
Chief Executive Officer<br />
McKiernan Associates<br />
GmbH<br />
Gino Martini<br />
Director, Strategic<br />
Technologies<br />
GSK (UK)<br />
Maireadh Pedersen<br />
VP, Business Development<br />
– <strong>Pharma</strong>ceuticals<br />
Teraview<br />
Ray Rowe<br />
Chief Scientist/Prof of<br />
Industrial <strong>Pharma</strong>ceutics<br />
Intelligensys/Uni of Bradford<br />
Harald Stahl<br />
Technical Marketing<br />
Manager<br />
Niro <strong>Pharma</strong> Systems<br />
Geoff Tovey<br />
Visiting Professor<br />
Dept of <strong>Pharma</strong>cy<br />
King’s College<br />
Peter Murin<br />
Chief Executive Officer<br />
Halocarbon Products Corp.<br />
Rudy Winklhofer<br />
Account Director, Europe<br />
ABI Marketing Public<br />
Relations.<br />
To subscribe<br />
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charge on completion of a registration card. Individuals in other industries or countries may<br />
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Via Media Ltd, Oak House Mews, 43 The Parade, Claygate, Surrey KT10 0PD, UK<br />
The publisher endeavours to collect and include complete, correct and current information in<br />
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publisher does not assume, and hereby disclaims, any liability to any person or entity for any loss<br />
or damage caused by errors or omissions of any kind, whether resulting from negligence, accident<br />
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advertisements contained in the publication, and cannot take any responsibility for any losses or<br />
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Copyright © 2009, Via Media Ltd All rights reserved. No part of this publication may be<br />
reproduced or transmitted in any form or by any means, electronic or mechanical including by<br />
photocopy, recording or information storage and retrieval system, without permission in writing<br />
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Send permission request in writing to Permissions Department, <strong>Pharma</strong>, Fax +44 870 487 3469.<br />
Authorisation to photocopy items for internal or personal use, or the internal or personal use<br />
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Agency, 90 Tottenham Court Road, London W1P 0LP, UK (ISSN: 1742-447X).
ecent talks have been about the<br />
recession, economic downturn,<br />
credit crunch and so on. However,<br />
the pharma giant Pfizer made<br />
a remarkable start to 2009. Pfizer acquired<br />
its rival big pharma company Wyeth for<br />
approximately $68bn for stock and cash. This<br />
acquisition is said to be one of the biggest in<br />
the pharmaceutical history. However, would it<br />
have been better for Pfizer to acquire Amgen<br />
instead of Wyeth?<br />
Pfizer Acquires Wyeth:<br />
Behind the Scenes<br />
Pfizer faces tough competition from generics<br />
after the expiry of its blockbuster drug Lipitor,<br />
in 2011. Lipitor, a cholesterol treatment drug,<br />
generates around $13 billion a year, but is facing<br />
patent expiration in 2011. And the company<br />
is set to face big challenges by 2012, not<br />
only from generics, but also from investors<br />
because of the decline in its R&D productivity.<br />
Though its pipeline has 200 products, there are<br />
no blockbusters to even dent the $30 billion<br />
expected to be lost through the patent expiry of<br />
13 drugs by 2014.<br />
Wyeth is also facing similar challenges from<br />
generic drugs for its antidepressant drug Effexor,<br />
which generates around $3.92 billion annual<br />
revenues. Wyeth was planning to take<br />
over Crucell, a Dutch vaccine company,<br />
but with Pfizer taking over Wyeth, those<br />
plans have been dropped.<br />
The combined pharmaceutical company<br />
(Pfizer and Wyeth) will be one of the biggest<br />
in history and is expected to maintain the top<br />
position for the next 5 years. This acquisition<br />
will enhance the pipeline of products for<br />
therapeutic areas such as Alzheimer’s disease,<br />
autoimmune disease, inflammation, oncology,<br />
pain and others. Pfizer is expected to become<br />
the top player in vaccines, biotherapeutics,<br />
animal health and the consumer market, and<br />
will have more than 15 products with $1 billion<br />
each in annual revenue. This strategic move<br />
from Pfizer also brings out a new business<br />
model, wherein no one product would generate<br />
more than 10% of the total company revenues.<br />
This is to move away from the dependence on<br />
a single blockbuster molecule: Lipitor generates<br />
25% of the company’s revenues.<br />
What Next?<br />
Most of the big pharmaceutical companies are<br />
facing decline in revenues and earnings in the<br />
next 5 years. The merger of Pfizer and Wyeth<br />
may be contagious and will trigger some big<br />
M&A activity in the pharmaceutical industry in<br />
the coming weeks. The pharmaceutical industry<br />
is one of the cash-rich industries that has yet to<br />
see the ravages of the current economic gloom.<br />
Though plagued with R&D challenges,<br />
patent expiries, generic competition<br />
and high drug attrition rates,<br />
pharmaceutical companies<br />
have resorted to various<br />
crisis management strategies<br />
to stay afloat during trying<br />
times. One of these strategies<br />
is M&A activity. With Pfizer taking<br />
a strong and bold step in this<br />
direction, there may be other<br />
companies to follow.<br />
Future M&A Activities<br />
Sanofi-Aventis deal with vaccines,<br />
which makes Crucell a potential buy.<br />
Sanofi-Aventis could look at strengthening<br />
its position in the vaccines area and has been<br />
vying for top position among the pharma<br />
strap goes comment here<br />
www.pharma-mag.com<br />
PfIzER/WYETH: INdICATIVE<br />
Of POOR HEALTH<br />
Frost & Sullivan analyst A Shabeer Hussain, Programme Leader, <strong>Pharma</strong>ceutical and Biotechnology, Healthcare<br />
Group, looks at the reasons for Pfizer’s acquisition of Wyeth, and suggests it bodes ill for the industry.<br />
companies. Though this may be a distant dream<br />
— in light of the Pfizer/Wyeth deal — it could<br />
forge one with Bristol-Myers Squibb (B-MS )<br />
which, if it happens, would push Sanofi-Aventis<br />
to number two after Pfizer.<br />
Eli-Lilly and Takeda have been collaborating in<br />
the antidiabetic drugs area and Eli-Lilly may find<br />
it beneficial to acquire or merge with Takeda.<br />
Johnson & Johnson has a good basis for<br />
acquiring Vertex <strong>Pharma</strong>ceuticals because of the<br />
impressive past deals with Vertex and also the<br />
exciting pipeline consisting of drug candidates<br />
for cystic fibrosis and rheumatoid arthritis. B-MS<br />
and Amgen can forge a deal in the future as<br />
B-MS is always active in M&A activities and<br />
Amgen’s biotech pipeline can boost B-MS’s<br />
position in the pharma industry.<br />
Healthy Industry?<br />
Such M&A deals in the industry are not new<br />
and Pfizer has been part of larger deals in the<br />
past — such as <strong>Pharma</strong>cia. Although the deal<br />
may have brought good news for investors,<br />
an insight into the health of the pharma market<br />
reveals interesting facts. As blockbusters fall off<br />
patent, organic growth has occurred, but pharma<br />
companies have resorted to inorganic growth<br />
through M&A. However, this growth cannot<br />
form a sustainable business model for long. It is<br />
a stopgap arrangement: for Pfizer to stay afloat<br />
during Lipitor patent expiration — and with Wyeth<br />
facing similar circumstances — it had to give into<br />
this deal to prevent itself from sinking too.<br />
The prime question emerging from such M&A<br />
activities is ‘Are these favouring innovation?’<br />
Analysis reveals that ‘innovation’ is not the<br />
primary focus for these companies — and such<br />
activities are just crisis management measures.<br />
These short-term arrangements enhance their<br />
stock price and are purely business-oriented,<br />
not innovation-oriented. Such massive deals are<br />
not a healthy sign, but are clear pointers to the<br />
ill-health of the drug industry.<br />
More information<br />
www.frost.com<br />
March/April 2009
news<br />
www.pharma-mag.com<br />
Dishman to Expand Operations in India and China<br />
The Dishman Group of Ahmedabad, India, has announced capital investments<br />
of more than $33 million; $20 million in the current financial year and<br />
$13 million planned for fiscal year 2009, which begins in April. The global<br />
pharmaceutical services provider will see significant expansion of its<br />
capabilities and offerings this year, with the addition of a high-potency facility<br />
near Dishman’s headquarters in the district of Ahmedabad and a new plant<br />
in Shanghai, China. The facility in India is a state-of-the-art, 4300 m 2 plant<br />
catering to cytotoxic and non-cytotoxic highly active substances, and one of<br />
the largest and most flexible custom manufacturing high-potency facilities<br />
in the world. In Bavla, the plant will be managed and operated by Dishman<br />
subsidiary, Switzerland-based Carbogen Amcis AG, and is scheduled to be<br />
operational by mid-2009.<br />
The facility in Shanghai will include a production plant, a warehouse,<br />
its own dedicated on-site utilities and administrative/quality control offices.<br />
Construction of the facility is under way and is expected to be fully staffed and<br />
operational by the second quarter of 2009. “The new facilities in India and<br />
China will enable customers to collaborate with Dishman as a sole technical<br />
partner from early stage development to market supply, without volume<br />
limitations. The addition of the plant in India offers customers a seamless<br />
approach to high-potency research and development, process optimization and<br />
commercial manufacturing,” said Jay Vyas, Managing Director of Dishman.<br />
The company places a strong focus on safety and security, with an emphasis<br />
on risk management strategy, which provides redundancy of supply in multiple<br />
Asian sites and countries and also provides ease of Asian collaboration.<br />
“Additional locations and infrastructure provide secure options that maximize<br />
speed, flexibility and cost advantages for customers with the same safety and<br />
quality standards, globally,” said Vyas.<br />
March/April 2009<br />
DHL Expands into Contract Packing and Kitting<br />
DHL Exel Supply Chain, a leading logistics services provider, has continued the<br />
expansion of its contract cGMP (current Good Manufacturing Practice) packing<br />
and kitting offering, which will now be available as a standalone service within its<br />
healthcare warehouses and distribution centres across the UK. The solution has<br />
been offered for the past 12 years for customers seeking consolidated warehousing<br />
and packaging activities, providing improved efficiency and reduced waste. Owing<br />
to increased capacity, DHL is now able to offer hand-based assembly, rework<br />
and co-packing as a standalone service to new and existing customers, covering<br />
pharmaceuticals, drug delivery systems, medical devices, surgical consumables and<br />
sample pack preparation. The solution includes secondary packaging, reworking,<br />
kitting and late customization to market or customer specific requirements. DHL is<br />
licensed by the Medicines and Healthcare Products Regulatory Agency to conduct<br />
a range of cGMP packaging services. It also has a number of Qualified Persons to<br />
release products following packaging activities. Jonathan Blamey, Vice President<br />
Product Development Healthcare, DHL Exel Supply Chain EMEA, said: “At DHL, we<br />
take pride in understanding our customers and offering tailored solutions according<br />
to their needs. This solution enhances our current healthcare offering, allowing<br />
more customers to utilize assembly and packaging, combined with storage and<br />
distribution, to deliver an integrated supply chain. This provides increased flexibility<br />
and responsiveness to market requirements.” Caroline Fox, Technical Services<br />
Manager Healthcare, DHL Exel Supply Chain UK, commented: “The solution offers<br />
our customers a cost-effective and consolidated supply chain that is backed by the<br />
expertise and knowledge of the world’s leading logistics services provider. For many<br />
customers, having a complete packaging and distribution service under one roof<br />
means reduced operating costs, with greater supply chain control and visibility.” For<br />
more information, visit www.dhl.co.uk.<br />
GE Collaborates in Indian Plasma Fractionation<br />
Celestial Biologicals Limited (CBL), an associate company of Intas<br />
Biopharmaceuticals Limited, and GE Healthcare, are to set up India’s first<br />
GMP-compliant Plasma Fractionation facility in Ahmedabad. The facility will<br />
be first of its kind in India. The collaboration will include the appropriate<br />
technology, products, processes and project development to establish the<br />
Plasma Fractionation facility. The model being developed in India is replicable in<br />
other developing economies that are currently dependent on imported plasma<br />
products. The facility will be fully functional by early 2010. GE Healthcare was<br />
chosen as the preferred partner for the project for its technological expertise<br />
and the company’s platform solution. “With a comprehensive life sciences<br />
facility such as CBL, a diverse range of solutions and process support are<br />
required. GE Healthcare demonstrated an attractive proposition because, as<br />
a key healthcare and life sciences infrastructure provider, they presented a<br />
holistic approach to cater for multiple aspects of CBL projects seamlessly,”<br />
said Dr Urmish Chudgar, Managing Director, Intas Biopharmaceuticals Limited.<br />
Under this collaboration, CBL and GE Healthcare will jointly set up a pilot Plasma<br />
Fractionation facility of approximately 15,000–40,000 L capacity for at least four<br />
products at CBL’s existing GMP-compliant facility. The companies plan to scaleup<br />
the Plasma Fractionation facility to a capacity of 300,000 L at the same time.
Vacuum Mixer Dryer with Conical Floor<br />
As a specialist supplier of<br />
mixers and dryers for dry, wet<br />
and paste-like goods, amixon<br />
manufactures vacuum mixer<br />
dryers, reactors and vertical<br />
twin- and single-shaft mixers.<br />
Because of its all-over mixing<br />
movement, the machine is<br />
capable of achieving extremely<br />
short drying times, evaporating<br />
any liquid from the mixture in a<br />
very short period of time. Now,<br />
amixon offers a new generation<br />
of vacuum mixer dryers: the<br />
AMT series. Machines in the<br />
AMT series differ from previous<br />
models because of their conical floor, which allows complete and automatic selfemptying<br />
to be achieved with free-flowing material. A further benefit is that because<br />
of a patented, helical-ribbon mixing tool, even mixing is also achieved in the cone.<br />
A three-dimensional movement of the mixture is achieved as it moves upwards at<br />
the periphery and then downwards again in the centre. The mixer, the helical ribbon,<br />
the mixing arms and the mixing shaft are all heated, so that drying is extremely fast,<br />
gentle and even. The tank is vacuum- and pressure proof, which means that pressuredependent<br />
reactions can also be managed.<br />
The AMT mixer dryer reactor is suitable for drying powders, suspensions,<br />
pastes and doughs. Cutting rotors can accelerate the mixing and drying process<br />
and, at the same time, perform deagglomeration. As a further option, the tanks<br />
can be fitted with a heated inspection door that creates dead space. As the<br />
patented mixing tool is only fixed and driven at the top, it is not necessary to<br />
extend the shaft right through the product. Machines in the AMT series were<br />
developed to fulfil high-level hygiene requirements; they can be used as sterile<br />
equipment/reactors and comply FDA regulations, EHEDG requirements and 3a<br />
sanitary standards. Available in 23 (100–40,000 L), each vacuum mixer dryer<br />
and reactor is customized according to customer requirements and process<br />
parameters (www.amixon.de).<br />
Please visit amixon at the ACHEMA, Frankfurt, Germany, May 11-15, 2009,<br />
Hall 6 Booth E3-E6<br />
Phico Awarded £1 Million for Trials<br />
Phico Therapeutics has been granted a Wellcome Trust Strategic Translational<br />
Award totalling £1.03 million to cover Phase I and II trials of its lead<br />
candidate, SASPject PT1.2, for the decolonization of MRSA and S. aureus.<br />
PT1.2 is based on a new class of antibacterial proteins called SASPs, which<br />
bind to bacterial DNA and resulting in rapid “speed of kill.” If successful,<br />
PT1.2 will provide a major new weapon in the fight against MRSA and<br />
other bacterial infections. Dr Ted Bianco, Director of Technology Transfer<br />
at the Wellcome Trust commented: “There is an urgent need to develop<br />
innovative ways to manage the transmission of antibiotic-resistant bacteria<br />
in the hospital and care-home environments. The approach being taken by<br />
Dr Fairhead and colleagues is imaginative and original. If successful, this<br />
technology may provide an important new tool in the fight against MRSA and<br />
other pathogenic bacteria.”<br />
Flic Gabbay, a Senior Partner in TranScrip and Chairman of Phico has been<br />
instrumental in assisting Phico with the strategic development of the portfolio<br />
— at board level, within the development decision making processes and,<br />
with assistance from her team, supporting the successful award application.<br />
According to Dr Gabbay: “I am very proud of the team effort to help facilitate<br />
the development of the product, which addresses the continuing twin<br />
problems of transmission and drug-resistance. We are delighted that the<br />
Wellcome Trust sees the potential of PT1.2. This award will enable Phico<br />
to conduct Phase I and II clinical trials, with results expected in the third<br />
quarters of 2009 and 2010, respectively.” It is anticipated that TranScrip<br />
Partners will continue to provide strategic and operational support to Phico<br />
(www.wellcome.ac.uk).<br />
Conical mixer dryer,<br />
Reactor<br />
for all dry, moist and suspended materials –<br />
also for sterile materials!<br />
Range from 100 liters to 40,000 liters<br />
Steril Reactor<br />
Extremely powerful mixing-drying –<br />
for powder and even for highty viscous goods<br />
Ideal heat transmission – vessel, shaft and mixing<br />
device are fully temperature-controlled<br />
Ideal protection of the materials through low speeds<br />
Heated spiral mixing tool is only supported and<br />
driven from above<br />
Manhole on the side or above is temperature<br />
controlled<br />
Very high residual emptying rates –<br />
up to 99,999 %<br />
amixon GmbH<br />
33106 Paderborn · Halberstädter Straße 55 · Germany<br />
Phone: +49 5251 688888-0 · Telefax: 688888-999<br />
eMail: info@amixon.de · www.amixon.com<br />
© AMT 01/2008 2C/GB
news<br />
www.pharma-mag.com<br />
Successful Data Capture in Remote Areas<br />
Pilot work undertaken by Cmed (Horsham, UK) with GSK demonstrated the<br />
utility of Cmed’s intelligent Data Acquisition and Management system in a<br />
challenging geographic setting — specifically, Burkino Faso, Mali, Kenya<br />
and Tanzania. Given that one of GSK’s objectives is to discover, develop<br />
and make available new drugs and vaccines for the treatment or prevention<br />
of diseases in the developing world, they looked to move away from a<br />
dependence on traditional web-eDC, which is negatively affected by the<br />
vagaries of Internet connectivity in remote areas. GSK were keen to explore<br />
the use of Cmed’s Timaeus system, its comprehensive functionality and its<br />
geographic versatility in that setting. A single system, which both captures<br />
and manages paper and electronic data, Timaeus is a “next generation”<br />
application with an architecture that allows wireless communication by all<br />
types of low and high bandwidth mobile (cell) phone technologies. Not only<br />
is it able to function with good Internet connectivity, via web-eDC, but its<br />
ability to communicate over a small bandwidth means it is also able to cope<br />
with the restricted Internet connectivity increasingly found in practice. The<br />
consequent extremely low bandwidth needed to communicate means that<br />
Timaeus can operate in areas of interest where Internet access is, at best,<br />
problematic. The pilot was deemed by all to be “a complete success” with a<br />
clear demonstration that data can be captured electronically — both reliably<br />
and comprehensively — in geographic areas with limited or no access to the<br />
Internet. “We are extremely grateful for the support and confidence shown<br />
in both Cmed and Timaeus by a company like GSK,” said David Connelly,<br />
CEO of Cmed. He added: “We have demonstrated the ability to capture<br />
and wirelessly stream clinical data from many remote geographic areas,<br />
with obvious benefits to data quality and timeliness. The positive reaction<br />
from investigator sites was also a real added bonus.” Write to contact@<br />
cmedresearch.com for more information.<br />
Invitrogen + Applied Biosystems = LIFE<br />
Invitrogen Corporation and Applied Biosystems Inc. have merged to form<br />
Life Technologies Corporation and will be traded on the NASDAQ Global<br />
Select Market under the ticker symbol, LIFE. “This is an exciting time<br />
in the history of Invitrogen and Applied Biosystems,” said Greg Lucier,<br />
Chairman and Chief Executive Officer of Life Technologies. “By combining<br />
these two highly respected brands, we are not only creating a stronger<br />
company, but an industry thought leader, uniquely positioned to help<br />
our customers accelerate and drive new discoveries and commercial<br />
applications. “On behalf of the new management team, I want to welcome<br />
all employees to our new company,” Lucier added. “I am confident that<br />
together we will change the future of life science.” For more information,<br />
visit www.invitrogen.com.<br />
March/April 2009<br />
Foster Fosters a New Name<br />
Foster <strong>Pharma</strong>, a business unit of Foster Corporation, has changed its name to<br />
Delivery Science, reflecting the unit’s specific core competency in melt extrusion<br />
and markets served. Delivery Science specializes in the melt extrusion blending<br />
of active ingredients and polymers, and provides contract process development,<br />
scale up and manufacturing services in a cGMP cleanroom environment. The<br />
company serves start-up through to top tier companies in pharmaceutical,<br />
combination medical device and nutritional markets. Services include blending<br />
APIs for oral, implantable, subcutaneous, transmucosal or transdermal dosage<br />
forms. Finished forms of custom blended materials include pellets, powder, fibres<br />
and film (www.fostercorporation.com).<br />
TTP Completes AZ Automation Project<br />
TTP LabTech (Royston, UK) has successfully completed a major laboratory<br />
automation project with AstraZeneca. The project, which took more than<br />
3 years to complete, involved the design and build of a fully automated<br />
system for salt and polymorph screening of novel compounds. The system<br />
completed its SAT (site acceptance test) late last year before coming online<br />
at AstraZeneca’s research facility in Södertälje, Sweden. This unique<br />
system for synthesizing and analysing crystalline materials was designed in<br />
partnership between AstraZeneca and TTP LabTech. The overall objectives<br />
were to increase throughput, to explore experimental space efficiently and<br />
reliably and to automate the analysis of huge amounts of data. The project<br />
has been undertaken in stages, the first of which was a prototyping stage.<br />
This stage helped to minimize risk by tackling those design elements<br />
that carried the greatest number of unknowns, early in the project. The<br />
next stage was the full design and build of a single screening machine to<br />
demonstrate control, functionality and consistency of the basic automated<br />
polymorph screening processes. Now, TTP LabTech has been asked to<br />
replicate the entire system to double the overall throughput.<br />
Dr Philip Blenkinsop, MD, TTP LabTech commented: “This has been<br />
a very challenging project for TTP LabTech, requiring a number of novel<br />
solutions to be developed from both a hardware and software perspective.<br />
The completion of the first system is a real milestone and we look forward<br />
to delivering the next system with the next year.” The AstraZeneca Project<br />
Manager, Matti Ahlqvist commented: “Working in partnership with TTP<br />
LabTech has resulted in an excellent solution. We set a very demanding<br />
specification and are delighted that virtually all the functionality has been<br />
achieved. Now that the first system is up and running for our drug projects,<br />
we look forward to the delivery of the second system and further increasing<br />
throughput.” For more information, visit www.ttplabtech.com.<br />
TTP LabTech successfully delivers a fully automated chemistry<br />
system for salt and polymorph screening to AstraZeneca.
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02.03.09<br />
DIAGNOSING<br />
FROM A<br />
DISTANCE<br />
THE GLOBAL<br />
RISE OF TELECARE<br />
MONITORING<br />
READ MORE AT INVESTINYORKSHIRE.COM/SHARE<br />
SHARE OUR STRENGTH<br />
March/April 2009
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ACHEMA 2009 PREPARES<br />
fOR TAkE Off<br />
ore than 3100 exhibitors<br />
from 50 countries have<br />
already booked exhibition<br />
space at ACHEMA<br />
2009 — the leading international event<br />
for chemical engineering, environmental<br />
protection and biotechnology. It takes<br />
place at the Frankfurt Messe in Frankfurt<br />
am Main, Germany, from 11–15 May and<br />
runs alongside an international congress<br />
comprising 900 lectures focused on stateof-the-art<br />
developments.<br />
“ACHEMA 2009 continues to be the<br />
world’s largest industry event and, once<br />
again, looks to be on course to attract<br />
more than 150,000 visitors from 100<br />
different countries,” explained Mike Day, UK<br />
and Ireland representative for ACHEMA.<br />
“The event is truly a global showcase<br />
for manufacturers and distributors alike<br />
because it attracts large numbers of<br />
buyers and senior executives from around<br />
the world.” Already, more than 600<br />
suppliers have taken exhibition space,<br />
with three halls now fully booked. The British contingent, currently<br />
66 exhibitors, is easily the largest international group, followed by<br />
Italy, the US, Switzerland, China and France. ACHEMA 2009 is also<br />
receiving support from a number of UK-based professional bodies and<br />
March/April 2009<br />
government agencies, including the Institution<br />
of Chemical Engineers, GAMBICA and UKTI.<br />
Jacqui Cressey, Marketing Manager, IChemE<br />
Publications, which is the hub for chemical,<br />
biochemical and process engineering<br />
professionals worldwide, said: “IChemE views<br />
ACHEMA’s delegates as a key audience to<br />
engage with about communicating all aspects<br />
of chemical, process, biochemical and<br />
related engineering. As well as promoting the<br />
advancement of both the science and practice<br />
of chemical engineering within the profession,<br />
IChemE aims to increase the public recognition<br />
of chemical engineering, both in terms of what<br />
chemical and process engineers do and the<br />
benefits that their work brings to society.”<br />
GAMBICA, the trade association that<br />
represents the interests of companies in the<br />
instrumentation, control, automation and<br />
laboratory technology industry in the UK,<br />
will once again — with assistance from UK<br />
Trade and Investment — continue to support<br />
British companies exhibiting at ACHEMA<br />
2009. Tim Collins, GAMBICA’s director of the<br />
laboratory technology sector commented: “The benefits of exhibiting<br />
at ACHEMA are enormous; if you are looking for new business<br />
partners or to meet existing ones, the show is a must.” Visit<br />
www.achema.de for more information.<br />
ANALYSETTE 22 MICROTEC PLUS<br />
The measuring cells of the new Analysette 22 MicroTec plus<br />
from Fritsch are located in convenient cartridges that, during the<br />
switch from wet to dry measurements, can be exchanged without<br />
tools! And when the cartridge is not being used, it’s stored in the<br />
corresponding dispersion unit. With the Analysette 22 MicroTec<br />
plus, technicians can choose between two individual measuring<br />
ranges or combine them. This provides maximum flexibility<br />
and an overall measuring range from 0.08–2000 µm, with an<br />
outstanding resolution of up to 108 measuring channels. The wet<br />
dispersion unit is equipped with a very powerful centrifugal pump<br />
for the optimal transport of high concentration/heavy particles<br />
through the measurement system. With the help of an intelligent<br />
liquid-level-sensor, three individual amounts of liquids can be<br />
set by default and, in addition, common organic solvents can be<br />
used as suspension liquids. All this, combined with an effective<br />
and variable ultrasonic system linked to flexible software, which<br />
also manages complex measurement sequences, results in a<br />
powerful, fully automatic and reproducible system that will tackle<br />
challenging dispersion and measurement requirements as well.<br />
Visit FRITSCH GmbH at ACHEMA (Hall 6.1, Booth J9–J12) or,<br />
online, at www.fritsch-laser.com.
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March/April 2009
show preview<br />
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Covering the Life<br />
SCienCeS SpeCtrum<br />
NTERPHEX is the world’s most aspect of drug manufacturing, from process<br />
trusted source for leading-edge<br />
technology, education and sourcing<br />
development through to delivery to market.<br />
of the products and services that Education<br />
drive scientific innovation for Life Sciences The INTERPHEX Conference will feature<br />
manufacturing. It covers drug development three days of comprehensive educational<br />
through to market — accelerating regulated opportunities to reflect the trends and challenges<br />
products for patient care globally — and takes facing pharmaceutical and biopharmaceutical<br />
place from March 17–19 at the Jacob K. Javits professionals today. Attendees can choose from<br />
Convention Center, New York, NY, USA. more than 70 sessions and workshops to help<br />
The exhibition comprises four major<br />
them acquire valuable knowledge and gain a<br />
segments: Facilities, Outsourcing & Contract<br />
Services, Information Technology and<br />
competitive edge.<br />
Manufacturing/Processing. Visitors will find More information<br />
technology solutions and education for every www.interphex.com<br />
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March/April 2009<br />
Exhibition Hours<br />
Tuesday, March 17<br />
10:00 am – 5:00 pm<br />
Wednesday, March 18<br />
10:00 am – 5:00 pm<br />
Thursday, March 19<br />
10:00 am – 3:00 pm<br />
Conference Hours<br />
Tuesday, March 17<br />
9:00 am – 4:15 pm<br />
Wednesday, March 18<br />
9:00 am – 4:15 pm<br />
Thursday, March 19<br />
9:00 am – 11:15 am<br />
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QUICk<br />
dISCONNECT<br />
COUPLINGS<br />
Biopharmaceutical process engineers seeking a secure and<br />
cost-effective aseptic disconnect from equipment now have<br />
a reliable, easy-to-use solution: the HFC39 Series couplings<br />
from Colder Products Company. Extensively tested for<br />
biocompatibility and performance, the HFC39 Series<br />
couplings are designed to prevent external organisms from<br />
entering through the connector and into the flow path during<br />
disconnection.<br />
When integrated into presterilized single-use systems,<br />
the HFC39’s automatic shut-off valves allow an aseptic<br />
disconnection by closing off the flow path prior to fully<br />
disconnecting. For the first time, operators can complete<br />
an aseptic break between silicone tubing assemblies. The<br />
valve design also eliminates the need for pinch clamps<br />
or tubing welders. “Biopharmaceutical manufacturers<br />
have been using HFC39 connections for years, proving<br />
the product’s reliability,” said John Boehm, Business Unit<br />
Manager, Bioprocessing, Colder Products Company. “Now<br />
we have validated its aseptic disconnect capability, giving<br />
bioprocessors the confidence to use the HFC39 in their<br />
most critical applications.”<br />
The Container Closure Integrity Test, using the Microbial<br />
ingress testing, was performed at Northview Laboratories.<br />
The Barrier Challenge and Biocompatibility tests on the<br />
materials of construction were performed by NAMSA<br />
Laboratories. A full Validation Report Package is available at<br />
www.colder.com.<br />
The plastic components of the HFC39 couplings are<br />
made from polysulfone and the seals are made from<br />
platinum-cured silicone. Both meet USP Class VI standards<br />
and will withstand autoclave, EtO, Gamma or E-Beam<br />
sterilization methods. The couplings function reliably with<br />
working pressure from vacuum to 125 psi (8.6 bar), and<br />
in temperatures from -40 °F to 280 °F (-40–138 °C). The<br />
HFC39 couplings have a 3/8″ (9.5 mm) diameter flow path<br />
and are available with hose barbs for 1/4″, 3/8″ and 1/2″<br />
(6.4 mm, 9.5 mm and 12.7 mm) tubing.<br />
show preview<br />
www.pharma-mag.com<br />
NEW MOISTURE/SOLIdS ANALYSER<br />
Arizona Instrument has added the Computrac MAX 4000 to its line of moisture<br />
and solids analysers. The analyser builds on the successes of its predecessor,<br />
the Computrac MAX 2000, with a more user friendly interface and a slew of<br />
additional features designed to offer the end-user faster throughput, greater<br />
control of testing conditions and more comprehensive test data.<br />
It features a full colour screen that displays separate graphs for rate of<br />
moisture evolution and total moisture evolution. It also features a full ten<br />
digit alphanumeric keypad for entering sample information. The MAX 4000<br />
facilitates faster throughput via a forced air cooling system that allows the<br />
instrument to cool from test temperature to idle temperature, 25% faster than<br />
previous models. It also features a Temperature Ramp Rate Control option<br />
that allows the user to control the rate at which the instrument heats from idle<br />
to test temperature. There are also a number of new options for test ending<br />
criteria that offer the user greater flexibility and control.<br />
Also featured is a web server option that allows test results to be<br />
downloaded and test parameters to be uploaded via a local intranet. Using the<br />
new USB port, test results can be captured directly from an instrument using<br />
an external flash memory device. The USB port can interface directly with a<br />
barcode reader, a printer, or a nitrogen control module.<br />
The Parameter Expert option of the MAX® 4000 assists the end-user in<br />
the development of repeatable, sample specific test parameters. Start the<br />
Parameter Expert program, follow the on-screen prompts and, after a few<br />
tests, the instrument will return an optimal parameter set for the sample.<br />
More information<br />
Shari Houtler<br />
Marketing Manager<br />
T. +1 602 470 1414<br />
F. +1 602 281 1744<br />
E. marketing@azic.com<br />
www.azic.com<br />
OSHA RECOMMENdS INdUSTRIAL VACUUMS<br />
AS PART Of A SOLId MAINTENANCE PLAN<br />
Following the recent increase in combustible-dust related explosions,<br />
the Occupational Safety and Health Administration is now standing on<br />
the doorsteps of many pharmaceutical facilities. With plant managers<br />
looking to bulk up maintenance and safety plans, industrial vacuum<br />
manufacturer Nilfisk CFM will be on hand at Interphex 2009 (Booth #1565)<br />
to answer maintenance questions and showcase several of the company’s<br />
pharmaceutical vacuums, including the new Nilfisk CFM 118 EXP, which will<br />
be demonstrated live at 10 am, 1 pm, and 4 pm daily.<br />
Available in two electric models, the 118EXP is designed to collect dry<br />
materials while the 118 EXPW is equipped for picking up liquids and other<br />
wet hazardous materials. Both are composed entirely of 304 stainless-steel<br />
and equipped with conductive accessories to eliminate percussion arcing<br />
and static charge. Most importantly, the 118 EXP-series has undergone<br />
extensive testing and is CSA approved for use in Class I, Group D and<br />
Class II, Groups E, F and G environments.<br />
In addition to the Nilfisk CFM 118EXP, the company will also display<br />
these popular pharmaceutical vacuums: the IVT 1000 with Safe-Pak,<br />
GM80, Nilfisk CFM 3156 and Nilfisk CFM 3508.<br />
More information<br />
T. + l 800 645 3475<br />
www.stop-the-dust.com<br />
March/April 2009
show preview<br />
www.pharma-mag.com<br />
MEdTEC:<br />
THE INSIdE TRACk<br />
Want to know how to be a world leader in medical innovation? Need to know how technology transfer can support the<br />
medical device industry? Or do you require an update on future EU legislation for medical devices? Then all the answers<br />
to these — and lots more questions — will be revealed at the MEDTEC UK 2009 Conference.<br />
eing held on 25–26 March 2009 at the Birmingham NEC<br />
as part of the MEDTEC UK medical device manufacturing<br />
technologies exhibition, the MEDTEC UK Conference<br />
once again offers an unrivalled line-up of industry leading<br />
presentations on the most important issues impacting the medical devices<br />
sector. The conference is taking place alongside Advanced Manufacturing<br />
UK, which incorporates various manufacturing-focused events, such as<br />
MTEC Sensors, Measurement & Instrumentation, Machine Building &<br />
Automation, VTX Vision Technology Exhibition, 3C Contamination Control &<br />
Cleanroom Products, Practical Vacuum & Surfaces UK and the new Green<br />
Manufacturing Exhibition and Conference.<br />
3Cs<br />
The 3C (Contamination Control and Cleanroom Products) Exhibition is<br />
for those involved in the protection and prevention of particle infection<br />
to personnel, products or the environment. The leading UK-based<br />
suppliers of cleanroom technology, associated products and services<br />
will be on hand so that visitors can see, test and compare the best<br />
solutions for their contamination prevention needs. Meet with suppliers<br />
March/April 2009<br />
who understand the requirements and needs of your industry, from<br />
automotive to medical, food and beverage to microelectronics and<br />
everything in between.<br />
MEDTEC Conference<br />
The issues under discussion at the MEDTEC Conference are designed to<br />
provide every medical device industry professional with the inside track<br />
on the latest global thinking, developments and strategies to ensure<br />
they remain at the top of the information tree. The keynote addresses<br />
(innovation, technology transfer and legislation) will be complemented by a<br />
comprehensive series of sessions focusing on “Regulation” and “Effective<br />
Medical Devices and Diagnostic Development” on Wednesday 25 March,<br />
and “Regulation: Part 2” and “Testing Medical Devices” on Thursday 26<br />
March. Chaired by Peter Schroeer, Director of Europe Quality Systems<br />
and Regulatory Affairs at Ethicon Endo Surgery, a Johnson & Johnson<br />
company, the programme on Wednesday 25 March will open with the<br />
following keynotes:<br />
• “What it Takes to be a World Leader in Medical Innovations,” by<br />
Martyn Howgill, Executive Director of InHealth. His presentation will
look at anticipating the needs of patients, medical delivery systems<br />
and those who pay (Deming, Stanford Biodesign model; the power of<br />
diversity), balancing rights and responsibilities (ethical clarity), accessing<br />
capital (innovations can’t help patients unless they are manufactured),<br />
entering the healthcare system (distribution channels and comparative<br />
effectiveness) and recognizing opportunities (Kurzweil and exponential<br />
change, DNA sequencing costs, nanotechnology, prevention and<br />
diagnosis, and artificial intelligence).<br />
• “The Role of Technology Transfer in Supporting the Medical Device<br />
Industry,” by Dr Matthew Killeen, Technology Analyst at London<br />
Technology Network. He will highlight key therapeutic areas, core medical<br />
device technologies, the competitiveness of the UK’s medical device<br />
industry, the technology landscape of university-based medical device<br />
research, future trends and emerging technologies. He will also use case<br />
study examples to illustrate the role of technology transfer and brokerage<br />
organizations in supporting the translation of publicly funded research<br />
to the growth of the medical device industry, and he will ask whether<br />
university-based research is equipped to meet industrial demands.<br />
Wednesday’s programme will continue with sessions dedicated to the topic<br />
of regulation and will be chaired by Johnson & Johnson’s Peter Schroeer:<br />
• “Conducting Clinical Trials Under the Revision,” Dr Peter Wall, Principal<br />
Consultant, Isca Healthcare Research.<br />
• “How the Amendments to the MDD Affect Manufacturers,” Henry Sibun,<br />
Manager, Medical and Health Services, TUV Product Service.<br />
• “Directives Revision: Changes to the Regulatory Framework for<br />
Combination Products,” Sharon Frank, Director Regulatory Affairs EMEA,<br />
Cordis (a Johnson & Johnson Company).<br />
• “The Future of Medical Device Labelling in Europe,” Mika Reinikainen,<br />
Managing Director, AbNovo.<br />
• “The Recast of the Medical Device Directive,” Peter Schroeer.<br />
Also on Wednesday, the effective medical device and diagnostic<br />
development sessions — chaired by Jan Pietzsch, Cons. Assistant<br />
Professor at Stanford University and President of Wing Tech Inc. — will<br />
start with an introduction by InHealth’s Martyn Howgill and embrace the<br />
following:<br />
• Device and diagnostic development: a roadmap<br />
• Needs assessment and risk analysis<br />
• Formulation/concept and feasibility<br />
• Design and development/verification and validation<br />
• Final validation/product launch preparation<br />
• Product launch and post-launch assessment.<br />
On Day Two, Thursday 26 March, the opening chairman’s address by<br />
Andrew Vaughan, Consultant, AJV Regulatory Services, will be followed<br />
by the keynote on “The Future of the EU Legislation on Medical Devices”<br />
by Elisabethann Wright, Counsel, Hogan & Hartson LLP. These will be<br />
followed by a series of focused sessions:<br />
• “Assessing and Addressing the Impact of REACH,” Jesús Rueda<br />
Rodríguez, Regulatory Affairs Manager of the European Diagnostic<br />
Manufacturers Association.<br />
• “Environmental Compliance: The Challenges,” Andrew Vaughan.<br />
• “Eco-Innovation for Medical Devices and the EuP Directive,” Jamie<br />
O’Hare, Researcher, University of Bath and Consultant for Environ UK.<br />
• “Vigilance as a Part of a Post-Market Surveillance Plan,” Jeremy Tinkler,<br />
Director of Regulatory Affairs, MedPass International.<br />
• “Post-Market Surveillance Requirements in Europe,” Dr Stefan Menzl,<br />
Director, Regulatory Affairs, Compliance and Clinical Research,<br />
EMEA, AMO.<br />
show preview<br />
www.pharma-mag.com<br />
ThE issUEs UNDEr DisCUssiON aT ThE MEDTEC<br />
CoNFERENCE ARE DESIgNED To PRovIDE EvERy<br />
MEDiCal DEviCE iNDUsTry PrOfEssiONal<br />
WiTh ThE iNsiDE TraCK ON ThE laTEsT GlObal<br />
ThiNKiNG, DEvElOPMENTs aND sTraTEGiEs.<br />
Tecvac Biomedical Coatings<br />
Tecvac Limited will show a complete range of biocompatible, wear-resistant,<br />
high lubricity coatings on the Medilink West Midlands stand. Tecvac Ltd, part<br />
of the Wallwork Heat Treatment Group, based at Swavesey (Cambridge, UK),<br />
specializes in Nitron coatings using ‘biologically inert’ ultra-hard materials<br />
such as titanium nitride, and biocompatibles such as pure gold and silver,<br />
to coat implants, medical instruments, probes and accessories. Tecvac has<br />
also recently developed a set of new, low temperature plasma processing<br />
technologies that allow plastic surfaces to be sterilized, coated or modified to<br />
the highest clinical standards, to ensure biocompatible solutions. A full range of<br />
metallurgical and analytical services is supported by the latest heat treatment<br />
techniques, with controlled environments and advanced cleaning systems<br />
to ensure that any implants, probes or core materials used for components<br />
or instruments can be coated to the best performance standards. Tecvac’s<br />
flexible low friction coatings replicate the smoothest mirror finish and have<br />
been specified in knee and hip applications for very long periods, with complete<br />
clinical histories.<br />
Tecvac’s PVD coating technology allows very thin, high integrity, high<br />
adhesion coatings of very hard and often very lubricious materials to be<br />
applied to metal surfaces, including titanium, steel, nickel and aluminium.<br />
These coatings, between 1 and 30 (or more) microns, extend from superhard<br />
Titanium Nitride (TiN) and Chromium Nitride (CrN) — some three times<br />
as hard as high quality chrome plate — to highly lubricious (and extremely<br />
hard) diamond-like carbon coatings with very low coefficients of friction, as<br />
low as 0.01. These DLC coatings are both inert and highly wear-resistant,<br />
with hardness values of up to 4500 HV (45 GPA), and are more than four<br />
times as hard as chrome plate. DLC coatings are compatible with human<br />
tissue, with a unique combination of lubricity and high hardness, which can<br />
radically improve the performance of implants, prostheses, the moving parts of<br />
medical instruments and artificial joint components. Tecvac’s PVD technology<br />
also allows many other elements — such as molybdenum, yttrium, carbon,<br />
aluminium, gold, silver and various carbides or nitrides — to be deposited to<br />
meet special requirements.<br />
For more information<br />
Tecvac’s Coatings and Services<br />
Ian Haggan or Andy Fox<br />
Tel. +44 1954 233 700<br />
www.tecvac.com<br />
Titanium nitride coated knee component.<br />
March/April 2009
show strap preview goes here<br />
www.pharma-mag.com<br />
Running concurrently, the testing medical devices sessions on Thursday<br />
will be chaired by Janette Benaddi, Chief Executive Officer of Medvance,<br />
and will embrace the following:<br />
• “Requirements for Good Testing Practices (MDD, IVDD, EN ISO/IEC<br />
17025, GLP),” Jean-Pierre Boutrand, General Manager, Scientific Director<br />
Biomatech, a NAMSA Division.<br />
• “Clinical Investigation of Medical Devices for CE Marking: Designing an<br />
Appropriate Clinical Trial,” Janette Benaddi.<br />
• “Risk Management: A Process for Sustainability,” Paul Lafferty, Principal<br />
Consultant, Quintiles.<br />
• “A Systematic Approach to Biocompatibility,” Ken Brummitt, Principal<br />
Research Engineer, DePuy International (a Johnson & Johnson<br />
company).<br />
• “Information Systems to Support Medical Device Design,” Sarah Egan,<br />
Product Manager and Senior Information Author, Granta Design.<br />
• “Investigational Device Exemptions: Obtaining US FDA Approval for<br />
Conducting Clinical Studies to Get Market Approval,” Tedd Gosian,<br />
President, Medvance.<br />
World-Beating<br />
The West Midlands medical technology cluster will be out in force at<br />
MEDTEC 2009, raising the bar in patient care, medical proficiency and<br />
healthcare service, with innovative technologies, brilliant concepts and lifechanging<br />
applications. Ten inspirational and rapidly developing companies<br />
have been chosen by medical and healthcare industry specialist,<br />
MedilinkWM, to benefit from the bespoke branded pods, where they<br />
March/April Nov/Dec 2008 2009<br />
can reach a national audience of more than 2600 purchasers, specifiers,<br />
engineers and end-users, supported by Advantage West Midlands.<br />
Award-winning precision metal pressings manufacturer, Clamason<br />
Industries Ltd, will announce its new contract with the world’s third largest<br />
drugs company, Sanofi-Aventis, at MEDTEC and showcase its work<br />
for the pharmaceutical giant — displaying the new SoloStar insulin pen<br />
that contains its highly complex indexing washer that allows the user to<br />
accurately dial and dispense the correct dosage of insulin.<br />
The UK’s largest independent silicone compounder and manufacturer,<br />
Primasil Silicones Ltd, brings an innovative new laser etching process<br />
to MEDTEC, which allows vital information to be displayed on platinumcured<br />
silicone tubing. For the first time, part numbers, batch numbers or<br />
use by dates can be permanently etched onto a medical tube, safely and<br />
efficiently using a unique process — “SureTrace” — which has no effect<br />
on the performance of the tube. The Football Association’s approved<br />
cardiology screening specialist, Physiological Measurements Ltd, will<br />
exhibit its brand new mobile VO2 Max testing and motion analysis to<br />
MEDTEC, demonstrating how the new service, in addition to ECG and<br />
echocardiogram services, provides comprehensive diagnostic testing for all<br />
professional athletes.<br />
Expanding their operation in Coventry, Advanced Therapeutic Materials<br />
Ltd is developing a radically improved delivery process of compression<br />
therapy, a tailor-made garment for sufferers of conditions including<br />
ulceration, lymphoedema and DVT. MEDTEC visitors can find out about<br />
advanced 3D imaging and unique prescription software that is being trialled<br />
by clinicians to produce seamless compression garments that can deliver<br />
precise pressures accurately and reliably over the whole treatment area.<br />
And the leading manufacturer of springs, clips, stampings, wire shapes<br />
and subassemblies, Albion Springs, will be tempting visitors with its flexible<br />
manufacturing service.<br />
Zybert Computing’s Secure Portable Office Key (SPOK) makes its debut<br />
at MEDTEC, in a bid to transform data access and protection in healthcare<br />
services. Allowing authorized clinicians to access patient records from<br />
any global location, without leaving a trace of the confidential data, the<br />
SPOK initiates an encrypted and secure connection to the specific data<br />
required, without copying the record. Removing the need for a central<br />
database, the SPOK enhances the reliability and effectiveness of data<br />
management in a changing healthcare service. And, making its mark at<br />
MEDTEC, Micro Spring & Presswork is a specialist manufacturer of a<br />
wide range of springs, presswork and assemblies for the medical industry,<br />
while Magellan Technology is set to launch an RFID-based low cost<br />
mobile phone for mobile health workers, currently being trialled by a key<br />
UK health organization. This development by Magellan Technology builds<br />
on its successful technologies for the management of orthopaedic loaner<br />
kits, which are currently being rolled out worldwide by Zimmer and Stryker,<br />
using RFID tags and systems within the clinical and inventory management<br />
processes in hospitals. MedilinkWM’s CEO Tony Davis said: “The West<br />
Midlands’ medical technology sector is renowned for its exceptional<br />
expertise, skill-base and innovative culture. In today’s global market, the<br />
entrepreneurial spirit, inventiveness and passion on display on our stand<br />
are in huge demand, which is demonstrated by the worldwide success of<br />
these companies.”<br />
For further information<br />
Visit www.medtecukshow.com and www.advancedmanufacturinguk.com for full<br />
details, including session abstracts and speaker biographies.
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Our team of API experts anticipates what might obstruct the way, creating the structures<br />
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www.pharma-mag.com<br />
For more information, please call +1 816-767-3900 North America, +44 131-451-2451 Europe or visit www.aptuit.com<br />
March/April Nov/Dec 2008 2009
strap outsourcing goes here<br />
www.pharma-mag.com<br />
GLObAL dELIVERY<br />
THE IMPACT Of THE<br />
SERVICES CLOUd<br />
Sanjiv Gossain, UK Managing Director of Cognizant Technology solutions, explains how web 2.0<br />
technologies are being used by the outsourcing industry to improve customer service and satisfaction.<br />
ncreasingly, companies want<br />
a provider that can nimbly shift<br />
tasks and labour among its<br />
own global network of work<br />
centres”, BusinessWeek, November 2007. The<br />
shift from multinational to transnational to global<br />
corporations is well under way, and the need for<br />
borderless business collaboration is becoming<br />
ever more vital.<br />
Today’s business climate is, increasingly,<br />
neither time nor location based, meaning<br />
that companies must build strong global<br />
capability themselves or through a network<br />
of suppliers to compete. One method being<br />
used to strengthen links between partners in<br />
remote locations is the adoption of web 2.0<br />
technology. Once solely the domain of the<br />
consumer, enterprises are now taking web 2.0<br />
principles and ideas and applying them to the<br />
business world. In particular, outsourcing firms<br />
and their customers have a lot to gain from<br />
creating bespoke online networking platforms<br />
to improve the quality and speed of globally<br />
delivered projects.<br />
Evolution of Outsourcing<br />
When pharmaceutical firms first started<br />
to outsource business and IT functions,<br />
March/April Nov/Dec 2008 2009<br />
their primary goal was cost cutting — with<br />
outsourcers using imported, low-cost labour to<br />
supplement existing staff. Through the offshore<br />
relocation, cost-effectiveness immediately<br />
improved, but the model was insufficiently<br />
equipped to perform anything beyond basic<br />
engagements. When inadequate results were<br />
delivered on more complex projects, the<br />
immediate need to revise and resolve meant that<br />
any short-term cost savings disappeared.<br />
The latest model of outsourcing puts longterm<br />
business impact at its core. Characterized<br />
by seamless integration between provider and<br />
customer, IT providers taking this approach<br />
combine the cost-effectiveness of offshore<br />
production and on-the-ground expertise needed<br />
two manage projects at the highest level.<br />
The one element that continues to contribute<br />
to the outsourcing industry’s rapid growth —<br />
apart from the availability of talent — is, of<br />
course, their improved results. Competition<br />
amongst outsourcing providers is intense and<br />
outsourcers continue to drive down costs<br />
through developing, utilizing and maximizing<br />
resources in India, China, Europe, North and<br />
South America. With these resources spreading<br />
throughout the globe, their efficient use is<br />
crucial in generating competitive advantage —<br />
and advanced collaboration over the Internet is<br />
key to this process.<br />
During the last few years, consumer web 2.0<br />
technologies have redefined how the Internet<br />
can be used to connect remote individuals,<br />
and the business world has taken note.<br />
Developments like blogs, wikis, VoIP and IM, and<br />
websites such as eBay, YouTube, Facebook and<br />
MySpace have all contributed towards a historic<br />
shift towards online networking and collaborative<br />
content generation.<br />
Companies in the pharmaceutical industry,<br />
learning from the rapid evolution and massive<br />
success of these consumer services, are<br />
now looking to incorporate similar techniques<br />
into their own business models, blurring the<br />
boundaries between consumer and enterprise<br />
IT. An early example of this is streaming<br />
online video, which is now commonly used to<br />
disseminate information throughout a business,<br />
having been popularized by sites such as<br />
YouTube or the BBC iPlayer.<br />
Taking these principles further, forwardthinking<br />
organizations are developing structured<br />
platforms — sometimes referred to as the<br />
“Services Cloud” — that foster a collaborative,<br />
real-time, knowledge-sharing portal through<br />
which they can deliver significant time-to-market,<br />
JUDGEMENT aND CrEaTiviTy CaN<br />
CoME FRoM ANy ASPECT oF THE<br />
oRgANIzATIoN, So To LEvERAgE<br />
aND MaxiMizE iNTEllECTUal CaPiTal,<br />
oRgANIzATIoNS NEED To DEvELoP A<br />
lEaDErshiP MODEl ThaT ENCOUraGEs<br />
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cost and transformational value to clients. In<br />
this way, web 2.0 is helping to move global<br />
outsourcing forward by ensuring that clients are<br />
given the best possible level of service, and are<br />
able to profit from new, more collaborative ways<br />
of working. It allows outsourcers to develop<br />
new levels of customer intimacy and satisfaction<br />
and, if correctly implemented, can result in<br />
dramatically reduced interaction costs, but with<br />
an improved result, made possible by drawing<br />
upon a global pool of talent and using the ability<br />
to track project performance in real-time.<br />
The Services Cloud<br />
Real-time collaboration on specific projects<br />
between global, regional and local development<br />
centres through one central portal is the first<br />
benefit of a web 2.0 platform. Consultants<br />
across the globe are encouraged to collaborate<br />
to solve specific business problems using the<br />
best delivery resources, regardless of location.<br />
For example, a developer in China, a tester in<br />
Hungary, a designer in Chennai and an analyst<br />
in the US can collaborate in real-time to execute<br />
a project for a European-based pharmaceutical<br />
company, using tools such as web conferencing<br />
and IM to overcome physical distance. These<br />
tools make it easier for colleagues to simulate<br />
face-to-face conversation and reduce the<br />
possibility of any misunderstandings. This is very<br />
similar to an open-source development, except<br />
that it is a defined project, with set deliverables<br />
and a particular process to follow. Within such a<br />
virtual work environment, remote colleagues can<br />
use their combined experience, knowledge and<br />
creativity, avoid duplication of work and complete<br />
the given task more quickly.<br />
Collaboration like this gives clients a global<br />
pool of knowledge from which they can draw<br />
appropriate resources, even if a project is<br />
primarily being delivered by staff working in<br />
just one offshore location. In today’s hypercompetitive<br />
IT market, the ability to tap and<br />
share intellectual capital increasingly separates<br />
the market leaders from the rest. This is<br />
especially true when operating on a global<br />
basis, where constantly moving projects<br />
are simultaneously worked on in multiple<br />
locations. In these situations it’s imperative that<br />
managers trust remote staff and understand<br />
that whilst asleep, progress, decisions and<br />
possibly mistakes will be made. This puts a<br />
premium on employee empowerment, with<br />
consultants across the globe being trusted to<br />
make the right decisions.<br />
Sanjiv Gossain<br />
Judgement and creativity can come from<br />
any aspect of the organization, so to leverage<br />
and maximize intellectual capital, organizations<br />
need to develop a leadership model that<br />
encourages individuals to share insights. This<br />
has the potential to improve the knowledge of<br />
all onshore and offshore agents, meaning clients<br />
can expect better results, while employees learn<br />
on the job from talent pools located elsewhere.<br />
Here, web-based, participative community<br />
models can be built, using wikis, forums, blogs<br />
and social bookmarking.<br />
As an example, at Cognizant we now have<br />
more than 10,000 regular bloggers, which<br />
attract two million page views per month<br />
and 17,000 active commenters. Our wikis<br />
have reached 8000 pages, with more than<br />
100 different communities, while the social<br />
bookmarking system is now in excess of<br />
75,000 bookmarks. This sharing of knowledge<br />
has helped to improve the timeliness and<br />
quality of responses to customers, while also<br />
bridging geographic boundaries and reinforcing<br />
our own corporate values and identity.<br />
The above techniques help consultants<br />
improve their quality of work and speed of final<br />
delivery, but what else does web 2.0 bring to<br />
pharmaceutical institutions using outsourced<br />
services? Aside from faster, better results, the<br />
main benefit comes from the ability to gain<br />
outsourcing<br />
www.pharma-mag.com<br />
valuable insight into each project as it happens,<br />
using the platform to capture, measure and<br />
display consultants’ performance in real-time.<br />
In the same way that a consumer can track<br />
the precise status of an order with an online<br />
retailer such as Amazon.com, banks that have<br />
gone down the outsourcing route can be given<br />
direct access to their service provider’s system,<br />
where they can log-in and check up on the<br />
progress of any particular project at any time.<br />
Reporting can also be improved as clients get<br />
real-time visibility of their projects 24 hours a<br />
day, compared with the periodic and static<br />
reports issued in the past. As a result, the<br />
provider can develop a much greater sense of<br />
transparency and trust.<br />
Conclusion<br />
Global delivery represents the future of the<br />
outsourcing industry, but efficient use of<br />
remote resource is essential to maximize<br />
the potential benefits. By partnering with<br />
outsourcers who have adapted their business<br />
to incorporate these modern ways of working,<br />
pharmaceutical companies can move quickly<br />
to generate valuable competitive advantage.<br />
web 2.0 technology makes the best use of<br />
an organization’s intellectual capital — taking<br />
quality, efficiency and productivity of service to<br />
new levels.<br />
March/April 2009
operational excellence<br />
www.pharma-mag.com<br />
SECURING THE fUTURE<br />
Of PHARMA THROUGH<br />
OPERATIONAL <strong>EXCELLENCE</strong><br />
Günter Jagschies, PhD, Senior Director, Strategic Customer Relations, gE Healthcare Life Sciences, reviews how<br />
lean-enabling technologies can play a pivotal role in significantly reducing waste and, ultimately, costs.<br />
ith economic pressures and a<br />
smaller pipeline of blockbuster<br />
drugs, bio/pharmaceutical<br />
manufacturers must reduce<br />
the costs of development and production. While<br />
wholesale cost-reducing measures can play their<br />
part in the short-term, a longer-term strategy is to<br />
achieve operational excellence. Many industries,<br />
such as the food and automotive, have adopted<br />
the principles of high volume/low profit operations<br />
for a number of decades. 1,2 Two questions<br />
remain to be answered: why has it taken so long<br />
for the bio/pharmaceutical industries to make a<br />
similar transition, and why have such processes<br />
and methodologies finally become important to<br />
drug manufacturers?<br />
The bio/pharmaceutical industries have<br />
witnessed a number of new challenges in the<br />
last few years. Looking back, we can certainly<br />
see that companies face the usual requirement<br />
to grow revenues and profits; but we also see<br />
developing pressure on drug prices as the large<br />
healthcare providers (both public and private)<br />
re-evaluate many of the therapies they purchase<br />
and use. Bio/pharmaceutical manufacturers are<br />
also facing rising sales and marketing costs as<br />
well as certain operational costs (energy and raw<br />
materials). It is a challenging economic climate<br />
for all industries. They are also having to manage<br />
substantial financial risks, such as deciding<br />
whether to build new facilities or use existing<br />
plants that are more adaptable and flexible to<br />
changing manufacturing needs. Additionally, the<br />
threat of bio/generics remains a serious risk to the<br />
income of branded products — particularly from<br />
the emerging economies of Asia. We now have<br />
a situation where manufacturers must implement<br />
operational improvements to ensure they remain<br />
competitive on a global scale.<br />
While this seems like a tall order, the<br />
industries are meeting these challenges<br />
head on by consolidating and embracing the<br />
concepts of Lean and operational excellence.<br />
Such approaches include the use of process<br />
analytical technology, platform-based processes<br />
March/April 2009<br />
and disposable production components,<br />
all of which can reduce time-to-market and<br />
the costs of development and manufacture,<br />
through increasing product and process quality,<br />
and reducing waste — the keys to achieving<br />
“operational excellence.”<br />
Achieving World-Class<br />
Performance<br />
Operational excellence describes the goal<br />
of achieving superior yields, lead-times and<br />
throughput, while eliminating waste. It is a<br />
systematic approach to attaining world-class<br />
performance in productivity, quality and delivery<br />
of services and/or goods. Two effective tools<br />
for achieving this are Lean and Six Sigma. GE<br />
Healthcare Life Sciences is one of the companies<br />
at the forefront of Lean-enabling technology,<br />
anticipating some of the industry pressures a<br />
few years ago and implementing a program of<br />
Lean initiatives. It recognized that their rapid pace<br />
of growth created many process improvement<br />
opportunities. Other companies have also been<br />
heavily investing in operational excellence tools.<br />
Lean can be broadly described through five<br />
principles:<br />
• Define value — from the end-user’s point of view.<br />
• Identify the value stream — develop an<br />
understanding of how value flows to the<br />
product/service/person/object that is moving<br />
through the process.<br />
• Establish flow — creating a situation where the<br />
product/service/person/object moving through<br />
the process does so with no interruptions or<br />
issues.<br />
• Examine ‘pull’ from the end-user — until<br />
something needs doing from that perspective,<br />
don’t do it.<br />
• Describe perfection — it’s the aim that can<br />
never be achieved, but processes will be<br />
improved by trying.<br />
The main focus of Lean-enabling technologies<br />
is to reduce waste, which can occur through<br />
overproduction, transportation, inventory, defects<br />
and under-utilization, amongst other issues. Figure 1<br />
Figure 1: The benefits of implementing Lean and Six Sigma.<br />
shows where time and money can be saved when<br />
implementing operational excellence tools.<br />
The Future of Biopharmaceuticals<br />
Many experts in the biopharmaceutical industry<br />
agree that the future lies in MAbs (monoclonal<br />
antibodies) (Figure 2). The debate that exists is<br />
based on what scale production of MAbs should<br />
be; some people already believe that we are not<br />
far off continuous manufacturing at the multiton<br />
scale. In his case study of very large-scale<br />
monoclonal antibody production, Kelley looked at<br />
a single-branded product need of up to 10,000<br />
kg/year. 3 He concluded that such production<br />
is possible with current technology and saw<br />
little or no need to turn to unproven alternatives<br />
simply for cost reasons. In our own study that<br />
looked at the production-scale of currently<br />
marketed biopharmaceuticals, we saw at least<br />
four recognizable trends that would reduce<br />
average production scales for novel protein<br />
drugs, and concluded that the future of antibody<br />
manufacturing would need to offer solutions for a<br />
small group of therapeutics at the ton-scale and<br />
much more economical production of proteins<br />
at 50–500 kg volumes — achievable through<br />
operational excellence. 4
Are We at a Crossroads?<br />
In an increasingly competitive market, the<br />
biopharmaceutical industry must quickly respond<br />
to a number of tough decisions. With processes<br />
such as cell culture improving to generate<br />
increased yields and the development towards<br />
multi-product/multi-scale manufacturing across<br />
multiple sites, we must ask ourselves if we really<br />
need to invest in new and expensive technology<br />
to meet current and future manufacturing<br />
demands; or should we just look at continuous<br />
improvement of current techniques, technologies<br />
and operations? While it is important to push<br />
the boundaries of new technologies, the general<br />
consensus in the industry suggests that much<br />
more can be done by maximizing the potential<br />
of current products; that is, squeezing out<br />
waste and implementing operational excellence<br />
principles. 3,7<br />
During the last decade, innovations from<br />
chromatography suppliers, such as GE<br />
Healthcare, have helped biomanufacturers to<br />
overcome many issues, providing dedicated tools<br />
for difficult challenges, such as media screening<br />
and column packing, and resins that can cope<br />
with high titres and specific purification issues —<br />
providing higher productivity. But what about the<br />
next decade? Where does the industry need to<br />
focus? We envisage that in the coming decade<br />
there will be an increasing need for MAbs as<br />
therapeutics, product titres for MAbs will reach<br />
levels of 5 g/L or greater and certain diseases,<br />
such as influenza, will require greater speed to<br />
develop and produce vaccines to minimize the<br />
impact of pandemics.<br />
Table I highlights our research into current<br />
industry best performances, summarizing<br />
our findings and providing an indication of<br />
where the industry stands today and the<br />
improvements that may be achievable.<br />
Implementing Lean can help you find ways to<br />
create better process flow, reduce downtime<br />
and stoppages, and reduce non-productive<br />
activities such as changeover time between<br />
production campaigns, cleaning procedures,<br />
or the preparation of equipment and process<br />
buffers. However, Lean and Lean-enabling<br />
tools can also be used in process development<br />
and optimization. One example is HTPD (High<br />
Throughput Process Development) on filter<br />
plates, which allows identification of the most<br />
appropriate chromatography conditions for a<br />
process by running a series of experiments in<br />
a very short period of time, helping to define<br />
the design space and limits of operation. 11<br />
This also helps to select the most appropriate<br />
chromatography resins for each step.<br />
Figure 2: How monoclonal antibodies are driving the industry. 5,6<br />
Figure 3 highlights how Lean concepts can<br />
be applied to a chromatographic process step<br />
to improve on first generation tools. In our<br />
interpretation, we assume that only the loading of<br />
material to be purified, the removal of impurities<br />
from the bound product in several wash and strip<br />
steps, and the elution of the purified intermediate<br />
product are essential value-adding activities.<br />
Preparation of resin slurry and column packing as<br />
well as cleaning (CIP) and equilibration are not.<br />
Disposable Technology<br />
One of the main features of Lean is to critically<br />
review process steps; for example, if the same<br />
quality result can be achieved with one less<br />
step, process engineers can implement Lean to<br />
remove unnecessary operations. For example, by<br />
applying at least three chromatography steps to<br />
purify protein pharmaceuticals such as antibodies<br />
is still considered sacrosanct by many. However,<br />
there are at least two published variations of<br />
a two-step chromatography process with the<br />
promise to meet quality objectives in many of<br />
the cases where they have been applied. 9,10<br />
Two-step purification methods may not reduce<br />
the direct costs by much, relative to other<br />
improvements, but by taking a holistic view, you<br />
can see smaller buffer volumes will be required<br />
and, consequently, buffer preparation and<br />
storage requirements are reduced.<br />
operational excellence<br />
www.pharma-mag.com<br />
There are many benefits to implementing a<br />
disposable technology program, with reduction<br />
and elimination of<br />
• validation<br />
• cross-contamination<br />
• laborious cleaning processes.<br />
Furthermore, disposable technology can help<br />
to lower operating costs: it allows for smaller<br />
technology footprints, increased yields (through<br />
optimized productivity) and faster time-to-market.<br />
One example of disposable technology is the<br />
AKTA ready Liquid Chromatography system<br />
designed for process scale-up and production<br />
for Phase I-III drug development and full scale<br />
production. It is part of GE Healthcare’s portfolio<br />
of ReadyToProcess solutions and operates<br />
with ready-to-use disposable flowpaths and<br />
pre-packed, pre-qualified chromatography<br />
columns: this eliminates the risk of crosscontamination<br />
as well as the need for cleaning<br />
and cleaning validation.<br />
Other ReadyToProcess products include<br />
the WAVE Bioreactor and WAVE Mixer used in<br />
combination with the disposable CellBag for<br />
upstream applications. Also, connections to<br />
assembly components, such as media bags<br />
and tubing for upstream and downstream<br />
applications, can be made more economic,<br />
safer and simpler with ReadyMate disposable<br />
aseptic connectors. All of the products are<br />
General Best in Class Metrics Specific Best in Class Metrics<br />
– Facility utilization = 80-100%<br />
– Cost = 15% CoS (100 USD/g)<br />
– Process yield = 70-80%<br />
– Time = 10 days upstream<br />
2 days downstream<br />
strap operational goes excellence here<br />
www.pharma-mag.com<br />
Figure 3: Lean applied to chromatography, comparing a classic step with 1st generation tools and a modern step with current tools.<br />
designed to provide maximum flexibility and<br />
to simplify and speed up bioprocessing<br />
for scalable and smooth operations from<br />
fermentation through to purification. Such<br />
technology helps to achieve operational<br />
excellence through the removal of unnecessary<br />
steps, whilst at the same time allowing facilities<br />
to become incredibly flexible and adaptable to<br />
the changing needs of the market.<br />
Conclusion<br />
There is absolutely no doubt that bio/<br />
pharmaceutical manufacturers must critically<br />
evaluate their processes to determine if<br />
they are running at an optimum level. For<br />
biopharmaceuticals, a switch and focus to the<br />
mass production of monoclonal antibodies<br />
means that it is now more important than ever to<br />
ensure that development and manufacture is as<br />
efficient and economical as possible. ‘Trimming<br />
the excess fat’ enables manufacturers to do<br />
more with less — and will result in reduced costs,<br />
increased productivity and, ultimately, delivering<br />
much better value for money.<br />
A couple of trends to keep an eye on during<br />
the coming decade are<br />
1. efficient manufacturing of biopharmaceutical<br />
proteins at widely varying scale and fast<br />
changing schedules<br />
2. small-scale, flexible technologies for rapid<br />
experimentation and efficient production of<br />
small volumes used in testing, clinical trials and<br />
small patient populations.<br />
Disposable solutions and “ready-to-use”<br />
products offer the required manufacturing<br />
flexibility to cope with the changing demands<br />
of the industry, while both upstream and<br />
March/April 2009<br />
downstream processes are becoming<br />
increasingly integrated and more industryfriendly.<br />
Continued improvements in<br />
chromatography (capacity, throughput and<br />
quality) and membranes (such as reduced<br />
need for filter area) will be complemented with<br />
numerous approaches to improve ease-of-use<br />
and increase efficiency.<br />
Suppliers to the bio/pharmaceutical<br />
industry will need to take these trends and<br />
developments into account, and companies<br />
such as GE Healthcare will be working closely<br />
with the industry to provide the necessary<br />
tools to achieve operational excellence. But we<br />
are not just looking at short-term issues. It is<br />
important to recognize the challenges facing bio/<br />
pharmaceutical production during the course<br />
of the next decade, which includes flexible<br />
development and manufacturing, multi-product<br />
facilities, and tackling the issues of biosimilars<br />
and generics.<br />
Regardless of whether you are a contract<br />
manufacturer or produce your own bio/<br />
pharmaceuticals, there are huge pressures on<br />
the industry to develop operational excellence<br />
— and the current economic climate prevents<br />
investing vast sums into completely redesigning<br />
development and manufacturing processes.<br />
But naturally, the global issue remains to never<br />
lose sight of the overriding need to provide<br />
innovative medicines.<br />
More information<br />
Günter Jagschies, PhD<br />
Senior Director, Strategic Customer Relations<br />
GE Healthcare, Uppsala, Sweden.<br />
guenter.jagschies@ge.com<br />
References<br />
1. V. Bornsztejn and M. Ebbens, “Leaning the<br />
way in Bioprocess,” www1.gelifesciences.<br />
com.<br />
2. http://en.wikipedia.org/wiki/Sakichi_Toyoda.<br />
3. B. Kelley, “Very Large Scale Monoclonal<br />
Antibody Purification: The Case for<br />
Conventional Unit Operations,” Biotechnol.<br />
Prog. 2007, 23, 995-1008.<br />
4. G. Jagschies, “Quo vadis? — where are we<br />
heading biopharma?” BioPharm International,<br />
in print.<br />
5. Biotechnology Medicines Survey (2004)<br />
www.phrma.org.<br />
6. Biotechnology Medicines Survey (2006)<br />
www.phrma.org.<br />
7. C. Driscoll, “A Lean Version of Lean,” www.<br />
contractpharma.com (June 2006).<br />
8. G. Jagschies, K. Lacki, et al., “Accelerated<br />
Development of a Downstream Purification<br />
Process for Production of a Monoclonal<br />
Antibody: a case study”, presented at<br />
Recovery of Biological Products XIII, Quebec,<br />
Canada, June 2008.<br />
9. “Anion Exchange Purification of Mabs: Weak<br />
Partitioning Chromatography,” S. Vunnum,<br />
presented at ACS, BIOT Division, San<br />
Francisco, September 2006.<br />
10. “Current and future advances in development<br />
of downstream processes for purification of<br />
monoclonal antibodies,” H. J. Johansson,<br />
presented at IBC Bioprocess International<br />
Conference, San Francisco, November 2006.<br />
Capto, MabSelect, MabSelect SuRe, PreDictor,<br />
ReadyToProcess, Sepharose, are trademarks<br />
of GE Healthcare companies.<br />
11. G. Jagschies, K. Lacki, et al., “Accelerated<br />
Development of a Downstream Purification<br />
Process for Production of a Monoclonal<br />
Antibody: a case study,” presented at<br />
Recovery of Biological Products XIII, Quebec,<br />
Canada, June 2008.
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March/April 2009
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MARkETING:<br />
RESEARCH ANd<br />
OUTCOMES AbOUNd<br />
e hear a lot about the<br />
importance of greater<br />
collaboration between<br />
marketing and development. But the value<br />
of partnering marketing research and<br />
outcomes research for brand marketing and<br />
for the benefit of each function goes largely<br />
unrecognized. In fact, in most pharma/<br />
biotech companies, the two functions<br />
typically work in isolation — unaware of<br />
each other’s research priorities — often<br />
tapping the same sources and rarely<br />
planning collaborative research. But as<br />
both groups face increased pressure to<br />
maximize the value of their research with<br />
ever-shrinking budgets they are beginning to<br />
realize that collaboration can offer significant<br />
opportunities, reduce costs, and boost value<br />
for each function and for the company.<br />
Where MR and OR<br />
Functions Overlap<br />
In the simplest terms, the focus of market<br />
research is to produce analyses that<br />
inform and monitor marketing strategy. In<br />
contrast, outcomes research publishes<br />
information to demonstrate a product’s<br />
cost-effectiveness and value to insurers,<br />
physicians, pharmacists, patients and<br />
regulators. Outcomes researchers use<br />
data from surveys, literature searches and<br />
R&D to measure the burden of illness on<br />
society, work productivity and quality of<br />
March/April 2009<br />
life, and analyse the impact of healthcare<br />
interventions on patient outcomes.<br />
While their goals differ, both groups use<br />
data to drive their functional priorities and<br />
support the marketing of a brand. Often<br />
they use the same data, such as quantitative<br />
surveys and transactional databases from<br />
common sources. Despite tapping into these<br />
common sources, it is rare that the two<br />
groups collaborate to conduct joint research.<br />
This lack of collaboration can lead to<br />
inefficiencies that, in extreme cases, can lead<br />
each department to commission separate<br />
research on the same topic.<br />
Benefits of Collaboration<br />
There are benefits for both marketing<br />
research and outcomes research<br />
in collaboration. By learning each<br />
department’s plans and strategies,<br />
marketing and outcomes researchers<br />
can identify partnership opportunities to<br />
conduct joint research, or leverage research<br />
already conducted for other purposes.<br />
Shared data and communications also<br />
strengthen the results of each function<br />
— achieving better-designed surveys,<br />
more comprehensive journal articles and<br />
a stronger, more definitive rationale for<br />
reimbursement. The other compelling<br />
reason for the partnership is a practical one<br />
— saving time and costs. In a time when<br />
growing research demands are being put<br />
on ever-shrinking budgets, the collaboration<br />
provides an opportunity to share research<br />
costs across both functional areas.<br />
What’s in it for marketing research?<br />
Tapping into the scientific insight of<br />
outcomes researchers — who typically have<br />
greater access to scientific data and key<br />
opinion leaders — can bring additional values<br />
to a marketing research survey. With input<br />
from outcomes research, marketing research<br />
can often improve the overall design of the<br />
survey and quality of information collected.<br />
Their insight helps marketing researchers<br />
define disease criteria, utilize appropriate and<br />
validated measurement criteria and ensure
What’s marketing research got to do with outcomes research?<br />
More than you think. Opportunities abound in collaboration as<br />
Michael Kelly, President, and Susan Bolge, PhD, Senior Director of<br />
Outcomes research, Consumer health sciences, explain.<br />
that research inputs are aligned with current<br />
published literature.<br />
The involvement of marketing research in<br />
outcomes research work also helps to ensure<br />
that all communications incorporate brand<br />
marketing messages. For outcomes research,<br />
input from marketing research can be used<br />
to improve the quality, credibility and value of<br />
journal articles and presentations at medical<br />
conferences. Most likely, marketing research<br />
has access to existing data sources that were<br />
originally commissioned to identify marketing<br />
opportunities, but can be leveraged further to<br />
support key outcomes research objectives.<br />
Road Map to Collaboration<br />
To fully leverage survey information for<br />
an outcomes research publication, four<br />
important factors need to be taken into<br />
consideration when designing a survey.<br />
1. The first is recognizing the importance<br />
of using validated scales. These are a<br />
series of survey questions that, when<br />
asked using specific order and wording,<br />
have been accepted by the scientific<br />
community as appropriate to measure<br />
specific concepts.<br />
2. The second is taking additional time and<br />
effort to gain Institutional Review Board<br />
(IRB) approval of the study design before<br />
it goes into the field. IRB approval is more<br />
often being required by journals for any<br />
published data.<br />
3. The third is involving key opinion<br />
leaders early. Opinion leaders provide a<br />
tremendous resource during the survey<br />
design phase and will benefit themselves<br />
from knowledge of the survey when they<br />
act as lead author in the publication.<br />
4. And finally, and more generally, planning<br />
ahead is crucial. Approaching the<br />
survey with hypotheses and planning for<br />
unexpected results will ensure that the<br />
final results are useful for both marketing<br />
research and outcomes research objectives.<br />
Collecting and<br />
Using Data Efficiently<br />
When either research function needs<br />
specific data, researchers are tasked to<br />
find the best, most efficient source of<br />
high-quality data that fits their project<br />
schedule and budget. Before considering<br />
original marketing research, they research<br />
existing sources. One credible source of<br />
current patient health data is Consumer<br />
Health Sciences’ (CHS) annual, syndicated<br />
National Health and Wellness Survey<br />
(NHWS) — the largest self-reported<br />
patient database of its kind. The NHWS<br />
provides insight into the current market<br />
for medications and patient-reported<br />
outcomes in more than 100 therapy areas.<br />
Marketing and outcomes researchers can<br />
acquire specific segments of the survey<br />
and have CHS conduct original research on<br />
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Tel : +33 (0)1 45 35 93 00 - Fax : +33 (0)1 45 35 95 00<br />
www.sfstp.org - E-mail : info@sfstp.org<br />
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Informations & Inscriptions<br />
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the survey’s respondents to quickly and<br />
efficiently address their research priorities.<br />
CHS and its staff scientists also provide<br />
outcomes research analysis and consulting,<br />
and will author abstracts, manuscripts,<br />
presentations and posters. In addition, they<br />
evaluate and suggest ways the data can be<br />
leveraged across MR and OR functions.<br />
A single survey like the NHWS can be<br />
used by both outcomes research and market<br />
research for more advanced purposes than<br />
sizing a market and improving physician<br />
diagnoses. For market researchers,<br />
multivariate analyses on the survey results<br />
can lead to broader insights that have<br />
a direct impact on marketing strategy.<br />
Segmentation techniques, for example,<br />
can be conducted by market research to<br />
identify homogeneous patient targets for an<br />
upcoming consumer campaign.<br />
On the outcomes research side, statistical<br />
analyses can be conducted to measure<br />
the burden of illness, the overall patient<br />
quality of life, work productivity loss and<br />
healthcare utilization of different patient<br />
groups. In isolation, each of these analyses<br />
provides support to help justify the need for<br />
pharmaceutical therapy. Taken collectively,<br />
however, these measures can be powerful<br />
inputs to provide financial justification for<br />
reimbursement by payers. They can be<br />
used to demonstrate the true value of<br />
pharmaceutical therapy on improving the<br />
direct and indirect costs of patients with a<br />
specific condition.<br />
Conclusion<br />
Greater communication between outcomes<br />
researchers and marketing researchers, along<br />
with utilizing the most cost-efficient, highquality<br />
resources, are the keys to gaining<br />
value and leveraging costs for each function.<br />
By communicating research priorities<br />
and identifying opportunities for survey<br />
collaboration, each function will benefit with<br />
information that is more scientifically rigorous,<br />
more aligned with marketing strategy and<br />
more cost-effective for the company.<br />
Common Questions Researchers Ask<br />
Market Research<br />
• What is the size of the treated and untreated patient population in my therapy area?<br />
• What are the marketing opportunities for my product in development?<br />
• Is there an opportunity for my product in a new patient type that we are considering?<br />
• Are there new opportunities for a pipeline or inline brand?<br />
• How do patients on my brand differ from patients on competitive brands?<br />
marketing<br />
www.pharma-mag.com<br />
Outcomes Research<br />
• What are the prevalence and the unmet needs of a disease state?<br />
• What is the burden of illness of the patient population in my therapy area?<br />
• What is the impact of treatment on improving a patient’s quality of life, work productivity and overall healthcare<br />
utilization?<br />
• Does pharmaceutical therapy reduce the overall cost of treating a patient for a specific condition?<br />
How a Research Partnership Identified Misdiagnosed Bipolar Patients<br />
A study of depression patients who participated in the NHWS illustrates how a survey can be used to support the<br />
objectives of outcomes research, market research and brand marketing. The marketing research priority of the<br />
survey was to identify what proportion of the diagnosed unipolar depression population in the US should have<br />
been diagnosed with bipolar depression, and to determine the key drivers of misdiagnosis. The outcomes research<br />
objective was to determine key markers during patient visits that could be used by clinicians to identify patients who<br />
should be diagnosed as bipolar and to quantify the economic and humanistic burden of misdiagnosis.<br />
Respondents to the syndicated online survey of 1500 patients, who were diagnosed with unipolar depression,<br />
were recruited from the NHWS database. Two key contributions were made by outcomes research. The first was<br />
the identification criteria for manic symptoms, using the Diagnostic and Statistical Manual of Mental Disorders,<br />
Fourth Edition (DSM-IV). Specific survey questions were crafted using these criteria to identify the bipolar subset in<br />
the sample. The second contribution was the inclusion of the Psychological General Well-Being (PGWB) scale — a<br />
validated scale of 22 questions designed to measure individuals’ subjective feelings of well-being or distress.<br />
This scale was critical to provide a side-by-side comparison of the quality of life of both the unipolar and bipolar<br />
depression populations.<br />
With this survey — and the contributions made by both functional areas — marketing research was able to size<br />
the misdiagnosed bipolar population in the US and determine the key drivers that lead to misdiagnosis. The results<br />
support the case for targeting this patient population. The population was large enough to justify the added marketing<br />
communication resources required to educate physicians on how to improve their diagnosis.<br />
Outcomes research was able to identify key markers that would help physicians identify potential misdiagnosed<br />
bipolar patients during an office visit. Specifically, misdiagnosed patients were more likely to be diagnosed with<br />
anxiety and to experience a poor quality of life. By publishing these results in peer-reviewed journals, outcomes<br />
researchers make the information available to physicians, which can help to improve diagnoses and, with the support<br />
of marketing and sales efforts, ultimately increase the use of bipolar therapy.<br />
References<br />
Results were published in the following articles and posters, co-authored by<br />
a CHS scientist:<br />
1. Awad AG, Rajagopalan K, Bolge SC, McDonnell DD. Quality of Life of Misdiagnosed<br />
Patients with Bipolar Disorder. Prim Care Companion J Clin Psychiatry; 9(3):195-202.<br />
2. Bolge SC, Thompson T, Bourne E, Nanry K. Characteristics and symptomatology of<br />
patients diagnosed with unipolar depression at risk for undiagnosed bipolar disorder: a<br />
bipolar survey. CNS Spectr; 13(3):216-24.<br />
3. Nanry K, Bolge S, Bourne E, Thompson T, Leadbetter R. Misdiagnosed bipolar<br />
disorder: patient characteristics and symptomology [Poster]. 19th US<br />
Psychiatric & Mental Health Congress, New Orleans, LA, November 2006.<br />
4. Rajagopalan K, Bolge SC. Quality of life: misdiagnosed bipolar vs depression<br />
and bipolar disorder [Poster]. 4th European Stanley Conference on<br />
Bipolar Disorder, Aarhus, Denmark, September 2004.<br />
March/April 2009
eastern europe<br />
www.pharma-mag.com<br />
CzeCh RepubliC and poland<br />
attRaCtive loCations foR phaRma<br />
ccording to analysis carried out<br />
by PMR and described in the<br />
recent report, “<strong>Pharma</strong>ceutical<br />
Contract Manufacturing and API<br />
Sourcing in Central and Eastern Europe,”<br />
the most attractive countries in the region for<br />
finding partners for contract manufacturing<br />
and API sourcing are the Czech Republic and<br />
Poland. One of the main advantages of the<br />
CEE (Central and Eastern Europe) region as a<br />
whole, above China and India — which pose<br />
a serious competitive threat — is the much<br />
lower level of counterfeiting, which will be<br />
minimized by impending EU legislation.<br />
The drying up of R&D pipelines, overinvestment<br />
in previous decades, regulatory<br />
hurdles, which delay new approvals, and<br />
the losing of patent protection on many of<br />
their blockbuster products, have forced<br />
manufacturers to sell their production plants<br />
and reduce their workforces. As a consequence<br />
— made worse by the global financial crisis<br />
— big pharma companies are tapping into the<br />
global contract manufacturing market more and<br />
more, including the CEE area.<br />
Countries Tried and Tested<br />
The pharmaceutical industry in the Czech<br />
Republic is one of the most developed of the<br />
CEE countries. There are many companies<br />
that specialize in API sourcing and contract<br />
manufacturing. The biotechnology industry is<br />
developing rapidly and providing a platform for<br />
specialization. There are also many companies<br />
focusing on the manufacture of dietary<br />
supplements under contract.<br />
<strong>Pharma</strong>ceutical companies looking<br />
for sourcing and contract manufacturing<br />
opportunities may also benefit from the Polish<br />
pharmaceutical industry, where they can find<br />
companies with a long tradition of producing<br />
natural pharmaceutical raw materials, along<br />
March/April 2009<br />
with products based on biotech methods and<br />
chemically manufactured API and finished<br />
dosage forms. Other advantages of the<br />
country’s economy include the prominent<br />
role of science and highly ethical corporate<br />
behaviour. Both the Czech Republic and<br />
Poland are members of the <strong>Pharma</strong>ceutical<br />
Inspection Convention and <strong>Pharma</strong>ceutical<br />
Inspection Co-operation Scheme (jointly<br />
referred to as the PIC/S), which guarantees<br />
a high level of implementation of the<br />
internationally recognized GMP rules.<br />
API Competitive Edge Lost<br />
The more prohibitive operating costs of the<br />
GMP-compliant off-patent API production<br />
— in general, some 25% of site operating<br />
costs — as well as a dramatic increase in<br />
other industry-related regulations, has made<br />
European API manufacturers increasingly<br />
uncompetitive, in terms of the costs of API<br />
production, during the last 20–30 years. As<br />
a result, many European API producers have<br />
been squeezed out by competition from Asia.<br />
The situation has been exacerbated by the<br />
fact that, in many cases, EU regulations have<br />
not kept pace with dramatic changes in the<br />
marketplace. The lack of proper oversight,<br />
control and inspection of, for example,<br />
importers of API from Asia, has encouraged<br />
the non-compliant and illegal trading of such<br />
substances in Europe.<br />
At present, one of the main advantages<br />
of companies based in the CEE region —<br />
particularly those that are members of the<br />
EU, given the considerable competitive threat<br />
posed by China and India — is the much lower<br />
level of counterfeiting. This is complemented<br />
by their cultural and geographical proximity to<br />
Western companies, combined with labour<br />
costs, which are still lower than those of<br />
Western countries.<br />
EU Finds Solution to Counterfeit API<br />
Methods of producing counterfeit drugs have<br />
become increasingly sophisticated. For example,<br />
some 10–20 years ago, most counterfeit drugs<br />
did not contain any APIs. Now, although there<br />
are many counterfeit APIs, another trend has<br />
appeared: an increasing number of counterfeit<br />
drugs have real APIs. It is estimated that there<br />
are some 5000 rogue APIs manufacturers<br />
in China, and about 3000 of them are not<br />
even Chinese GMP compliant. The European<br />
countries in which counterfeit drugs are most<br />
widespread are Russia and Ukraine.<br />
In December 2008, a number of amendments<br />
to Directive 2001/83/EC were proposed. Certain<br />
changes also pertain to API; their main objective<br />
being to make medicines on the European market<br />
safer by imposing stricter requirements on APIs<br />
imported from third countries. First, manufacturers<br />
of medicinal products will be obliged to audit all<br />
companies that manufacture the API they use. In<br />
addition, various proposed measures will ensure<br />
that imported APIs have been manufactured<br />
in accordance with rules that establish safety<br />
standards, matching those in the EU.<br />
Member states will also have to improve<br />
inspections. This concerns, in particular,<br />
those countries in which the level of public<br />
health protection — in terms of the regulatory<br />
framework, control and supervision — does<br />
not match the EU. All in all, we believe that the<br />
regulations will increase the competitiveness of<br />
EU-based companies, in terms of quality, and<br />
will compel some manufacturers to switch to<br />
EU API suppliers more frequently, to simplify<br />
supply chains.<br />
More information<br />
Monika Stefanczyk<br />
Head <strong>Pharma</strong>ceutical Market Analyst<br />
T. +48 12 618 90 57<br />
E. monika.stefanczyk@pmrpublications.com
eastern europe<br />
www.pharma-mag.com<br />
Romanian maRket satuRated<br />
fter an impressive increase of<br />
approximately 30% a year between<br />
2004 and 2006, the growth rate<br />
of the Romanian pharmaceutical<br />
market declined by 11% in Leu, in 2007, and<br />
the estimated growth figure for 2008 is about<br />
8% year on year. Between 2008 and 2010, the<br />
Romanian market will grow by approximately<br />
9.5% year on year to almost €2.4 billion in 2010,<br />
according to PMR’s new report, “<strong>Pharma</strong>ceutical<br />
Market in Romania 2008. Development<br />
Forecasts 2008–2010.”<br />
Vibrant Growth<br />
In recent years, the Romanian pharmaceutical<br />
market has passed through a period of<br />
growth, following the general trend of the<br />
Romanian economy. Romania’s accession<br />
to the EU, in January 2007, set the tone for<br />
the development of all its economic markets,<br />
not just pharmaceuticals. All of the major<br />
regulatory changes on the market were aimed<br />
at harmonization with EU directives, and the<br />
attitude of the authorities has turned more<br />
towards transparency and openness. EU<br />
accession removed border taxes and led to<br />
an increase in competition and more imported<br />
generic drugs. Furthermore, the number of<br />
registered medicines rose as a result of the<br />
simplification of the registration procedure for<br />
new medicines from the EU.<br />
The market has matured in the last 2 years,<br />
and growth, which was seen to be general<br />
between 2004 and 2006, was more specific to<br />
therapeutic categories, such as cardiovascular<br />
and oncology. In 2007, the retail market<br />
increased by 19% in value terms. Conversely,<br />
the hospital market declined by 20% because<br />
some health programmes switched from hospital<br />
to retail. Last year, the retail market represented<br />
85% of the total market, and it is predicted that<br />
this figure will continue to rise — to about 90% in<br />
2010 (Figure 1).<br />
After an increase of approximately 30% per<br />
year between 2004 and 2006, the growth rate<br />
of the market declined by 11% to €1.8 billion in<br />
2007, and the estimated growth figure for 2008 is<br />
about 8% year on year. Between 2008 and 2010,<br />
the Romanian market will grow by approximately<br />
9.5% year on year to almost €2.4 billion in 2010.<br />
Potential<br />
The cardiovascular drug market has grown more<br />
rapidly than the overall market: in 2007, it grew<br />
Share of retail and hospital market as a proportion of total pharmaceutical market value in Romania, 2008-2010<br />
e – estimate<br />
f – forecast<br />
Figure 1: Share of retail and hospital market as a proportion of total pharmaceutical market value in<br />
Romania, 2008-2010.<br />
Figure 2: <strong>Pharma</strong>ceutical market by ATC categories in terms of value in Romania, 2007.<br />
by more than 13% in value and by more than<br />
30% in volume. This market is the most extensive<br />
subdivision of the overall market, with sales worth<br />
RON 1.2 billion (about €370 million) in 2007. The<br />
market share of drugs used in cardiovascular<br />
system diseases, overall, has grown steadily in<br />
the last few years — from a 15% share in 2003<br />
to 20% in 2007.<br />
The leading manufacturer on the<br />
cardiovascular market is, without doubt, Servier,<br />
which has a market share of 25%. Its four drugs<br />
— Preductal, Prestarium, Tertensif and Detralex<br />
— are the best selling cardiovascular medicines<br />
in Romania. In second place, some distance<br />
behind, is Terapia Ranbaxy, followed by Pfizer,<br />
Krka and LaborMed.<br />
The potential of the cardiovascular market is<br />
still considerable; it is estimated that 8 million<br />
Romanians are in need of treatment, but only half<br />
are treated. For the next few years, we expect the<br />
market to grow further — and to remain as one<br />
of the leading therapeutic categories — though<br />
growth will not be as impressive as that which<br />
preceded 2007. The main growth drivers in 2008<br />
will be antineoplastic and immunostimulating<br />
agents, in addition to drugs used to combat<br />
diseases of the musculoskeletal system (Figure 2).<br />
More information<br />
Marketing Department, PMR Publications<br />
T. +48 12 618 90 20<br />
E. marketing@pmrpublications.com<br />
March/April 2009
strap eastern goes europe here<br />
www.pharma-mag.com<br />
ukRainian maRket expeCted<br />
to double in value<br />
he Ukrainian pharmaceutical<br />
market has been growing quite<br />
rapidly during the last five years —<br />
by 25–30% per annum, in terms<br />
of value, to $2.6 billion in 2007. In H1 2008,<br />
it had already exceeded $1.6 billion, growing<br />
by 42% year on year (Figure 1). Independent<br />
pharmaceutical analysts PMR expects the<br />
Ukrainian market to grow by more than 25%<br />
per annum between 2008 and 2010 and<br />
to be worth $5.7 billion in 2010. According<br />
to the latest PMR report, “<strong>Pharma</strong>ceutical<br />
Market in Ukraine 2008,” if a reimbursement<br />
system and health insurance had been<br />
implemented promptly, the market would<br />
have grown even more rapidly.<br />
Growth Forecasts<br />
The Ukrainian pharmaceutical market is<br />
the second largest, after Russia, of any of<br />
the CIS countries. In addition, it has been<br />
developing quite rapidly during the last<br />
few years, but there is still considerable<br />
potential for growth. Today, it is strongly<br />
influenced by the following factors:<br />
Ukraine’s recent membership of the WTO,<br />
the need to implement GMP standards<br />
from 2009 onwards, and the prospects for<br />
the introduction of an obligatory medical<br />
insurance system.<br />
According to PMR’s Head <strong>Pharma</strong>ceutical<br />
Analyst Monika Stefanczyk: “Despite the<br />
numerous obstacles on the Ukrainian<br />
market — which include low per capita<br />
drug consumption, an old-fashioned and<br />
March/April 2009<br />
inadequate healthcare system, the lack of<br />
a reimbursement system, a high level of<br />
bureaucracy, an inadequate legal framework<br />
and an unstable political situation — PMR is<br />
quite optimistic in forecasting further market<br />
development.” The market is considered<br />
to have a great deal of potential for growth<br />
because it is still relatively small, especially<br />
when you take the population into account.<br />
For example, the Polish market has a smaller<br />
population of approximately 38 million, but<br />
was still worth more than three times its<br />
Ukrainian counterpart in 2007. Stefanczyk<br />
added: “We have also observed factors<br />
such as increasing investment attractiveness<br />
— including an unrestricted pricing policy,<br />
the significant prevalence of generics and<br />
OTC products on the market, and Ukraine’s<br />
membership of the WTO.”<br />
Another pertinent factor is associated with<br />
trends on the international pharmaceutical<br />
market. Global manufacturers are now<br />
under pressure from the low price of<br />
generics, particularly those produced<br />
by Indian manufacturers. By contrast,<br />
Indian companies have become more<br />
concerned about competition from<br />
European and Chinese manufacturers. This<br />
renders the markets of the CIS countries,<br />
including Ukraine, of great interest to<br />
foreign companies looking for investment<br />
opportunities.<br />
Cardiovascular Drugs:<br />
Undeveloped but Promising<br />
Drugs that are used to treat alimentary<br />
tract and metabolic diseases comprise the<br />
largest category of the retail pharmaceutical<br />
market in Ukraine. In addition, drugs used for<br />
cardiovascular system diseases are the third<br />
largest category, whereas in the majority of<br />
European countries, such as Poland, France<br />
and Romania, this category is the largest, as<br />
e – estimate<br />
f – forecast<br />
Source: Report “<strong>Pharma</strong>ceutical market in Ukraine 2008. Development forecasts 2008-2010”,<br />
PMR Publications, a division of PMR Ltd., 2008<br />
Figure 1:Value ($ bn) and y-o-y change in the pharmaceutical market in Ukraine, 2008-2010<br />
well as one of the most rapidly developing<br />
groups of drugs. However, PMR expects<br />
this category to develop very dramatically<br />
between 2008 and 2010, at an average<br />
rate of 38% year on year, in terms of value.<br />
In 2007, sales in this category were worth<br />
$246 million, and in H1 2008, the category<br />
witnessed one of the fastest increases in<br />
sales value on the market.<br />
More information<br />
Marketing Department<br />
T. +48 12 618 90 20<br />
E. marketing@pmrpublications.com
27-28 April, 2009,<br />
Munich Marriott,<br />
Munich<br />
strap goes here<br />
www.pharma-mag.com<br />
4th Annual<br />
eMarketing Summit<br />
Influence new and existing customers with sharper<br />
and more innovative eMarketing strategies<br />
The best way to organise your eMarketing<br />
teams: What should be the profile of your<br />
eMarketing team<br />
Branding: from product strategy to<br />
implementation: Learn new ways to better<br />
align your brand plan and digital tactics<br />
for long-term relationships between your<br />
customers and brands<br />
Successful social media marketing.<br />
Inspiration from other industries:<br />
Learn lessons from eBay, Amazon and Dell.<br />
Hear how financial industry embraced<br />
social networking.<br />
Physician communities and search<br />
behavior: Learn to engage with doctors<br />
online and understand what content they<br />
are looking for<br />
For the latest updates and more information visit www.eyeforpharma.com/emarketing<br />
March/April 2009
strap drug delivery goes here<br />
www.pharma-mag.com<br />
dispensing<br />
solutions<br />
The transition from CFC to HFA metering valves has been a complex<br />
issue for the pMDI industry. Nasal and pulmonary drug delivery device<br />
manufacturer, Valois <strong>Pharma</strong>, highlighted its innovative range of<br />
dispensing solutions at the recent <strong>Pharma</strong>pack 2009 show in Paris.<br />
he production of CFCs<br />
(chlorofluorocarbons), which<br />
deplete the ozone layer, was<br />
banned by developed nations<br />
in 1996, in accordance with the 1987<br />
Montreal Protocol. However, an “essential<br />
use” exemption was granted to the<br />
pharmaceutical industry, notably for<br />
the production of pMDIs, to allow<br />
replacement products using HFA to<br />
be brought to market. As there are<br />
physicochemical differences between<br />
the two propellants, moving to HFA meant<br />
that both the drug formulation and the<br />
components of the pressurized inhalers<br />
— in particular, the metering valves and<br />
gaskets — had to be completely<br />
redesigned. In addition, the US has<br />
introduced a total ban (effective 31<br />
December 2008) on the production<br />
and sale of CFC inhalers that contain<br />
albuterol; so, Valois <strong>Pharma</strong>, using<br />
expertise gained during a number<br />
of years, has developed metering<br />
valves that use HFA as the<br />
propellant, the pharmaceutical<br />
industry’s choice to replace<br />
CFCs. During the last 3 years,<br />
the company has made major<br />
investments to grow its<br />
capacity to create solutions<br />
for nasal and pulmonary<br />
drug delivery, such as<br />
building its new R&D<br />
centre in Le Vaudreuil<br />
(France), strengthening<br />
its R&D teams and<br />
devoting approximately<br />
7% of its annual<br />
revenue to new product<br />
development.<br />
March/April 2009<br />
Valois <strong>Pharma</strong> has launched<br />
several proprietary products, a<br />
number of which were on display<br />
at <strong>Pharma</strong>pack:<br />
• Equadel, the first patientindependent<br />
spray pump.<br />
Completely controlling<br />
user variability, Equadel<br />
allows the same<br />
dose and spray to be<br />
dispensed every time,<br />
irrespective of how much<br />
pressure is exerted by<br />
the patient. Its ergonomic<br />
design makes it a perfect<br />
fit for ethical drugs and,<br />
in particular, for New<br />
Molecular Entities,<br />
either local or systemic,<br />
that are dispensed<br />
via the nasal route.<br />
Equadel opens up new<br />
opportunities for drug<br />
product Life Cycle Management.<br />
• Freepod, a second generation<br />
preservative-free system (PFS). The Freepod<br />
pump is specially designed for use with<br />
preservative or partially preservative-free<br />
UsINg exPerTIse gAINeD<br />
DUrINg A NUMber oF<br />
yeArs, VAloIs PHArMA<br />
HAs DeVeloPeD MeTerINg<br />
VAlVes THAT Use HFA, THe<br />
PHArMACeUTICAl INDUsTry’s<br />
ProPellANT oF CHoICe.<br />
formulations. Robust design, easy filling and<br />
an array of customizations make it a safe<br />
and perfect fit for unpreserved over-thecounter<br />
nasal decongestants.<br />
• Landmark, an award-winning integrated<br />
dose indicator for pressurized metered<br />
dose inhalers (pMDIs), has been developed<br />
in compliance with FDA guidance to<br />
integrate a dose-counting mechanism<br />
into pMDI drug products. Landmark<br />
is designed to be adaptable to any<br />
pMDI actuator and valve. This patented<br />
mechanical dose indicator<br />
technology contributes to<br />
the improvement of patient<br />
compliance and safety<br />
while remaining both easy<br />
to use and cost effective.<br />
Landmark won an FEA<br />
(European Aerosol<br />
Federation) international<br />
aerosol award in 2007.<br />
• Prohaler, a smart dry<br />
powder inhaler (DPI), has<br />
been developed with a<br />
patient-based design<br />
approach that makes<br />
it highly intuitive and<br />
simple to use by<br />
all patients (such<br />
as asthmatics and<br />
patients with bronchitis).<br />
Its novel powder dispersion<br />
technology enables high lung deposition,<br />
even if the patient’s inhalation flow rate is<br />
low. Moreover, its unique patient safety<br />
feature avoids any risk of double-dosing<br />
and wasted doses.<br />
For more information<br />
Visit www.valois.com/pharma
European magazine for supply chain<br />
professionals who are responsible for<br />
manufacturing, warehousing and logistics<br />
Each issue covers<br />
Supply Chain Leadership<br />
Logistics and<br />
Warehousing<br />
Manufacturing<br />
Supply Chain IT
strap process goes technology here<br />
www.pharma-mag.com<br />
solution-Caused<br />
pRoblems and how<br />
to pRevent them<br />
March/April 2009<br />
Dr Jamie Weiss, senior Consultant, Kepner-Tregoe, analyses<br />
the root causes of production problems and how companies<br />
decide how best to correct or prevent them from happening.<br />
MANy oF THe ToUgH ProbleMs oUr ClIeNTs AsK Us To FACIlITATe<br />
CAN be CHArACTerIzeD As solUTIoN-CAUseD ProbleMs.<br />
THAT Is, THey HAVe A ProbleM, THey FIND THe CAUse, THey PUT<br />
A CorreCTIVe ACTIoN IN PlACe To MAKe THe ProbleM go<br />
AwAy, AND All oF A sUDDeN THey HAVe A DIFFereNT ProbleM!
pharmaceutical company<br />
produced a compound using<br />
three ingredients. One of them, call<br />
it Substance A, had a tendency<br />
to stick to the machine that grinds it up, causing<br />
shut-downs and costing money for maintenance<br />
and clean-up. The producer decided that if<br />
Substance A was ground more finely, they could<br />
stop it from sticking. The change was within the<br />
process specifications, so they made it, and all<br />
their headaches went away. Shortly afterwards<br />
— at the sister facility that blends the three<br />
substances together — they opened the barrels<br />
of Substance A and found it caked solid, and<br />
only removable with a hammer and chisel. The<br />
finer grind solved the problem of sticking, but led<br />
to a new problem: caking.<br />
As a consultant, a major component of<br />
my job involves working directly with client<br />
companies to help them analyse the root<br />
causes of problems and decide how best to<br />
correct or prevent them. Kepner-Tregoe has<br />
been engaged in this for almost 50 years, and I<br />
have been doing it for more than 20 years. We<br />
train people in our analytical rational process<br />
methodologies; we train trainers to train others;<br />
we train facilitators to run investigations; and<br />
we consult around problem-solving processes,<br />
systems and the human performance system<br />
factors that drive them. Occasionally, a problem<br />
comes up that is just too hot for the client’s<br />
resources to handle — often for political<br />
reasons — and we get called in to do the<br />
facilitation ourselves.<br />
process technology<br />
www.pharma-mag.com<br />
Recognizing Solution-Caused<br />
Problems<br />
Many of the tough problems our clients ask us<br />
to facilitate can be characterized as solutioncaused<br />
problems. That is, they have a problem,<br />
they find the cause, they put a corrective action<br />
in place to make the problem go away, and<br />
all of a sudden they have a different problem,<br />
and often a much bigger one. Like the caking<br />
problem, the following examples — revised and<br />
disguised to protect client confidentiality — are<br />
typical solution-caused problems.<br />
The switch: A chewable tablet failed a<br />
hardness test and became too hard at 12<br />
months of ageing. Speculation in the company<br />
lab focused on how the winter weather’s<br />
low-humidity might have caused excessive<br />
March/April 2009
process strap goes technology here<br />
www.pharma-mag.com<br />
hardness. But the weather was no drier than<br />
previous winters, begging the question of<br />
why the hardness started when it did. It was<br />
finally discovered that, unknown to the drug<br />
manufacturer, a supplier had changed the starch<br />
content of one of the tablet’s excipients — with<br />
no thought to the affect on the final product —<br />
increasing it by more than 25%. The increase<br />
of the starch content, combined with the low<br />
humidity, caused the hardness failure.<br />
The fix: When ‘black specks’ appeared in an<br />
ingredient, the manufacturer’s analysis identified<br />
them as small pieces of shredded gasket<br />
material. These findings were sent to the supplier<br />
of the ingredient, who quickly responded that<br />
they had corrected the problem by inserting a<br />
704 stainless steel mesh filter to separate out the<br />
black specks. The black specks disappeared,<br />
and everyone was happy. But a month later,<br />
the client began noticing ‘shiny specks’ in the<br />
same ingredient from the same supplier. When<br />
analysed, these shiny specks turned out to be<br />
704 stainless steel.<br />
The improvement: A billion dollar-a-year<br />
drug failed appearance tests for colour, suddenly<br />
putting patient safety, company revenues and<br />
shareholder value at risk. This top-selling tablet<br />
was supposed to be white, but instead it was<br />
coming out dark yellow. Although safety and<br />
efficacy were determined to be uncompromised,<br />
the pills ‘just didn’t look right,’ especially to<br />
patients who had already used them. As a result,<br />
the manufacturer suspended production for<br />
more than 6 months. The cause was traced to<br />
a supplier who unilaterally decided to remove<br />
a substance with some potentially toxic effects<br />
from their part of the blend. They thought<br />
they were being good corporate citizens, but<br />
unknown to them, the ‘bad’ ingredient had a<br />
key role in stabilizing the colour; without it, colour<br />
varied unacceptably.<br />
Types of Solution-Caused<br />
Problems<br />
These kinds of issues are expensive, disruptive,<br />
and more common than may be suspected.<br />
When discovered and analysed, they lead to<br />
embarrassment, some finger-pointing and a lot<br />
of head-shaking. If we deconstruct them, we can<br />
see that there are different types of problems.<br />
Containment-Caused Problems: The<br />
‘stainless steel specks’ problem is an instance<br />
of failing to find the root cause in the first place,<br />
and of adopting an interim action instead of<br />
a permanent corrective one. Think of it as a<br />
containment-caused problem. The unasked<br />
question up front is clearly, “Why was the gasket<br />
March/April 2009<br />
material getting into the blend in the first place,<br />
and how could this be prevented?” Perhaps<br />
the gaskets have changed in size or shape<br />
or composition; perhaps the recommended<br />
replacement period has been exceeded;<br />
perhaps some change in the process — in<br />
speed, temperature or pressure — has<br />
subjected the gaskets to unexpected wear. The<br />
supplier never found the root cause — the cause<br />
of the cause! — and implemented a fix that did<br />
not act against degrading gaskets, but merely<br />
filtered them out after they had broken down.<br />
And, when installing the filters, the supplier never<br />
asked what might go wrong in specific enough<br />
detail to prevent the problem.<br />
Problem-Relocation Problems: In the<br />
‘caking problem,’ the change did solve the local<br />
problem of sticking, but caused a downstream<br />
problem of caking. Again, the failure to consider<br />
potential problems with the corrective action<br />
led to the new problem. Perhaps some were<br />
considered within grinding, but the range did<br />
not extend to mixing, leading to a change that<br />
would have otherwise been vetoed, had the<br />
proper causal analysis taken place. In addition,<br />
it seems clear that the specifications for grinding<br />
were set too broadly, allowing the product that<br />
was technically within specifications to fail. We<br />
often see this in process re-engineering or Six<br />
Sigma, where it goes by the name of suboptimization.<br />
In the problem-solving sphere, it<br />
looks like the old carnival game of Whack-a-<br />
Mole: each time you hit a symptomatic mole, it<br />
pops up again somewhere else! What is needed<br />
here is not more or harder ‘whacking,’ but<br />
rather a better, more precise hammer that gets<br />
past suppressing the symptoms to attacking<br />
the root cause.<br />
Often, issues of problem relocation have<br />
organizational foundations: incentive systems<br />
that are too locally based, the pressure to show<br />
quick results, and the isolation of different parts<br />
of the process from each other, all contribute<br />
to the creation of issues like this. I experienced<br />
one client situation where, in the course of<br />
tracking down a problem, we noticed that<br />
they had a severe back-order problem in their<br />
shipping department. But here’s the catch — the<br />
products that were slowest in going out were<br />
high-volume products, things they made three<br />
shifts a day, 24 hours a day, not the low-volume<br />
products that can often lag in shipping. The<br />
cause was an incentive program run amok that<br />
favoured the production and expediting of lowvolume<br />
‘onesie-twosies’ — and favoured them<br />
a bit too much. The folks in the warehouse were<br />
letting the rewards drive their performance, and<br />
drive it right into the ground.<br />
Opportunity-Caused Problems: The<br />
‘hardness failure’ and ‘appearance failure’ cases<br />
might better be labelled as opportunity-caused<br />
problems. Someone changed a variable without<br />
thinking that it would affect the final product.<br />
Once again, no one asked what might go<br />
wrong if they did this. After all, they were trying<br />
to improve the process/product, not degrade<br />
it; but when you are taking advantage of an<br />
opportunity, you are taking an action, and<br />
actions can have unintended consequences.<br />
Failure-to-Communicate Problems: All<br />
solution-caused problems are compounded by<br />
communication problems. As the guard in the
movie, Cool Hand Luke was fond of saying:<br />
“What we have here is a failure to communicate.”<br />
In the cases cited above, someone failed to<br />
communicate a change that could affect the<br />
process one or more steps downstream.<br />
Communication can fail within supplier<br />
relationships and within the same organization.<br />
Failure-to-Understand Change Problems:<br />
Whenever you introduce a change into a<br />
process, you are potentially introducing variation.<br />
It doesn’t matter whether the change comes<br />
from trying to solve a problem or from trying to<br />
optimize a process — changes cause problems,<br />
and change is change — it needs to be analysed<br />
and managed.<br />
How to Avoid Solution-Caused<br />
Problems<br />
Solution-caused problems are surprisingly<br />
pervasive, but they can be avoided. There<br />
are three elements required to minimize the<br />
occurrence of solution-caused problems and,<br />
if a problem does occur, to reduce its impact<br />
without creating more problems.<br />
1. An Analytical Approach<br />
Asking ‘what could go wrong?’ all by itself is<br />
a start, but just asking the question, and even<br />
listing a few potential problems, will not by itself<br />
minimize the chance of something going wrong.<br />
Our experience tells us that you have to be<br />
quite detailed about the potential problems and<br />
specific enough to be able to hypothesize some<br />
likely causes for each potential problem.<br />
Causes are crucial because any preventive<br />
action you take must be directed at the causes,<br />
not just at the effects. Of course, not all attempts<br />
at prevention will succeed perfectly. To be an<br />
effective preventive action, an action simply<br />
needs to significantly reduce the probability of<br />
the potential problem’s occurrence. Despite<br />
attempts to prevent it, should the potential<br />
problem actually occur, we need contingent<br />
actions aimed at the effect to reduce its impact.<br />
2. A Change Management System that<br />
Builds-In an Analytical Approach<br />
In the heat of the moment, like trying to get<br />
a costly line back up and running again,<br />
people may skip some steps to speed up<br />
the process. One of the first steps skipped is<br />
asking, “What might go wrong?” As a result,<br />
we find that building a ‘Potential Problem<br />
Analysis’ step into the SOPs is required to<br />
channel behaviour. It may sound cynical to say,<br />
but most people are not rational, unless they<br />
have to be, and will tend to avoid painstaking<br />
analysis if they can. Many corrective and<br />
preventive action systems — whether in the<br />
cGMP world of pharmaceuticals, the ISO world<br />
of heavy manufacturing or in other regulated<br />
industries (like nuclear power generation) —<br />
exist under applicable guidelines that require<br />
a change management system. Minimally,<br />
all changes need to be logged in a central<br />
registry, described and dated. More stringent<br />
systems should require a full experimental or<br />
manufacturing validation of the new component<br />
or process before proceeding. Such a system is<br />
an optimal place for potential problem analysis;<br />
a requirement that all changes be submitted to<br />
such analysis makes clear sense.<br />
3. A Learning Culture<br />
Finally, to apply potential problem analysis, the<br />
To APPly PoTeNTIAl ProbleM ANAlysIs, yoU MUsT bUIlD A CUlTUre<br />
THAT ACCePTs THe FACT THAT UNANTICIPATeD ProbleMs wIll oCCUr,<br />
AND belIeVes THAT IT Is beTTer To CoNsIDer THeM IN ADVANCe<br />
rATHer THAN To Try To reACT To THeM AFTer THey oCCUr.<br />
company must build a culture that accepts<br />
the fact that unanticipated problems will occur,<br />
and believes that it is better to consider them<br />
in advance than to try to react to them after<br />
they occur. It is curious to me that most people<br />
would not even consider going on a family<br />
vacation without doing some informal potential<br />
problem analysis, and acting upon it: have the<br />
newspapers and mail held, have the neighbours<br />
feed the pets, convert cash to traveller’s<br />
cheques, keep one credit card separate in case<br />
of robbery, etc. Yet when faced with applying<br />
the same kind of thinking to the launch of a new<br />
product or the upgrade of an existing one, they<br />
resist mightily.<br />
One subtle cause of this is in the human<br />
performance systems that companies structure<br />
to reward employees. When it comes to<br />
problems and potential problems, there is a<br />
built-in structural asymmetry. Specifically, it is<br />
easy to see if someone has solved a problem:<br />
all you have to do is look to see if the product or<br />
the processes associated with it are up to spec<br />
again. By contrast, it is close to impossible to<br />
process technology<br />
www.pharma-mag.com<br />
ascertain whether someone has successfully<br />
prevented a potential problem from occurring.<br />
All you have to examine is the fact of nonoccurrence,<br />
and that can be explained by<br />
assuming that there never was a potential<br />
problem in the first place, or that some other<br />
unplanned event prevented it from occurring.<br />
In short, you cannot prove that your preventive<br />
action minimized the probability of the problem<br />
occurring, or that your contingent action<br />
minimized the effects.<br />
We have all met people who take great pride<br />
in their problem-solving skills, and we may have<br />
been struck by the notion that these people<br />
would have fewer problems to solve if they<br />
just thought ahead. But if they did, then they<br />
wouldn’t have any fun problems to solve, and<br />
would lose the acclaim and regard that go along<br />
with such heroic actions.<br />
There are, in fact, ways to reward people for<br />
anticipating and preventing future problems.<br />
They require some clear thinking and not a<br />
little creativity, and their administration requires<br />
consistency and clarity. But if addressing<br />
potential problems is not seen as a valued<br />
activity by employees and managers, they will<br />
tend to avoid doing it.<br />
Conclusion<br />
Solution-caused problems are all too common<br />
and are an indication of an incomplete approach<br />
to resolving issues. Companies can quickly earn<br />
back multiples of time and money that they<br />
invest in installing the skills needed to attack<br />
problems, systems to track them and a mind-set<br />
that values preventing them.<br />
About the Author<br />
Dr Jamie Weiss (jweiss@kepner-tregoe.com )<br />
is a Kepner-Tregoe senior consultant, who has<br />
helped pharmaceutical and medical device<br />
clients improve their CAPA Systems around rootcause<br />
analysis, issue tracking, and correctiveaction<br />
implementation.<br />
Kepner-Tregoe, Inc. has earned a worldwide<br />
reputation for improving business results<br />
through people. A global leader in effecting<br />
successful change and improvement, KT<br />
helps clients achieve lasting results through<br />
a proven approach of process, facilitation,<br />
and transfer. Focusing on the needs of the<br />
organization’s people, skills, capabilities, and<br />
performance environment, KT continues<br />
to find innovative ways to integrate human<br />
resources into an organization’s strategy,<br />
structure, and systems, and the processes in<br />
which goals are accomplished.<br />
March/April 2009
strap process goes technology here<br />
www.pharma-mag.com<br />
CoRking faCility foR gsk<br />
Kemutec Powder Technologies ltd has supplied a complete line to gsK’s r&D facility in Cork.<br />
emutec Powder Technologies<br />
has continued to demonstrate<br />
its ability to meet the unique<br />
challenges posed by its clients with<br />
the installation of a high specification package<br />
for GSK at the company’s Cork facility in the<br />
Republic of Ireland. It is the latest in a long line of<br />
machinery — including sifters and mills — that<br />
have been supplied to GSK’s production facilities<br />
worldwide, and it demonstrates Kemutec’s<br />
status as a preferred supplier.<br />
GSK had several requirements of the package<br />
to fulfil, central of which was to accommodate a<br />
multi-product process train. This was achieved<br />
by designing in quick change operating<br />
parameters, equipment speeds, type of grinding<br />
media and even the sieve and screen type.<br />
The package consists of two RB100 screw<br />
feeders, which lead into two KEK Series 220<br />
Under-Driven Cone Mills. These in turn feed into<br />
two KEK K650 Centrifugal Sifters. Mobile and<br />
sliding support mechanisms were developed to<br />
allow a milling or sieving operation to be added or<br />
removed from the process quickly and easily. The<br />
sifters are mounted on moveable structures, as<br />
March/April 2009<br />
GSK required them to be interchangeable with<br />
two existing flat-deck machines. The offset of the<br />
inlet flanges on the two types of sifter varied to<br />
a significant degree and, for this reason, custom<br />
sections of tubing for the screw feeders were<br />
designed to adapt the position of the feeders in<br />
relation to the sifters. The stairs in the centre of<br />
the assembly and the platform are also a bespoke<br />
design manufactured by Kemutec, and are<br />
moveable to allow maintenance to be carried out<br />
on the equipment.<br />
Impressively, all the machines used in the<br />
package are manufactured in C22 Hastelloy,<br />
thus accommodating the corrosive nature<br />
of materials and cleaning fluids. All of the<br />
machines were pressure designed to allow<br />
them to be fully flooded during CIP for product<br />
dissolution, providing an extremely effective<br />
form of cleaning. Another factor that had to be<br />
considered was the space available, which was<br />
at such a premium that a significant proportion<br />
of the ceiling had to be cut away in order to<br />
accommodate the assembly.<br />
Martin Thomson, Sales Director of Kemutec,<br />
said: “This project continues our desire as a<br />
company to work with GSK, and to constantly<br />
develop and provide solutions for their unique<br />
demands.” Such a versatile package has been of<br />
great benefit to GSK, and reflects how Kemutec<br />
is constantly exceeding customer expectations.<br />
magnetiC agitatoRs aid hygiene<br />
terility and ease of cleaning are<br />
very important in production<br />
processes in the biotechnology<br />
and pharmaceuticals industries.<br />
This is why modern magnetic agitators are<br />
indispensable in these sectors. They offer<br />
various benefits, such as absolute sealing,<br />
low maintenance requirements and more<br />
space on the tank cover for all types of<br />
connectors. The units of the BMR series<br />
from Zeta, a member of the Christ Water<br />
Technology Group, meet all requirements<br />
that exist today for GMP-compliant<br />
production — just like Zeta’s process<br />
systems.<br />
In particular, the open design of the<br />
magnetic impeller permits the important<br />
CIP (clean in place). This has been proven<br />
in independent studies carried out by<br />
the Swiss University, in Wädenswil, in<br />
accordance with the three methods:<br />
European Hygienic Engineering & Design<br />
Group (EHEDG), Total Organic Carbon (TOC)<br />
GSK’s R&D facility in Cork was fitted out by Kemutec.<br />
and Riboflavin. A further decisive property<br />
is the design of the ceramic sleeve bearing,<br />
whose generous dimensions and material<br />
combination (silicon carbide on zirconium<br />
oxide) offer the longest possible operating<br />
lifetime. Thanks to the hydrodynamic<br />
properties of the agitator blade and the<br />
patented ‘lift-off’ lubrication channels,<br />
wear and the release of unwanted particles<br />
are almost negligible. If it should become<br />
necessary to replace the bearing sleeves,<br />
this can be done easily in situ.<br />
These properties are also the reason for<br />
the increased use of the BMR magnetic<br />
agitators, as a reduced exposure to germs<br />
and bacteria can extend the shelf life of<br />
a product. The units are available with a<br />
transmittable torque of 0.3 Nm to 200 Nm<br />
for tanks with a maximum stirred volume<br />
of up to 45,000 litres. The Zeta product<br />
range also includes magnetic agitators for<br />
bioreactors, mixing units, conventionally<br />
sealed agitators and defoaming units.<br />
Further information<br />
sales@kemutec.com<br />
www.kemutec.com<br />
More information<br />
www.zeta.com.<br />
Photo: Christ Water Technology Group<br />
These BMR magnetic agitators are suitable for use<br />
in cell-culture fermenters with filling volumes of 2 to<br />
approximately 3000 litres.
Where food<br />
and pharma meet<br />
NBT is the authoritative source of information regarding all<br />
aspects of raw materials and ingredients, applied R&D,<br />
production, processing technologies, health management,<br />
business trends and marketing.<br />
Volume 4 Number 2 March/April 2008<br />
Bone<br />
& Joint<br />
Health<br />
Collagen Hydrolysate and EFAs<br />
Executive Profile<br />
Sunny Outlook for BioPlus<br />
Functional Ingredients<br />
Carbohydrates and the Modern Diet<br />
Plant Extracts<br />
GLA: The Woman's EFA<br />
The Future's<br />
Bright for Organics<br />
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phaRma plant engineeRing<br />
Competition in a gRowth maRket<br />
In the run up to ACHeMA 2009, the organizers have released a number of trend reports. Number 15 reviews<br />
“A New Conceptual Approach and the Trend to Disposables in biopharmaceutical Manufacturing.”<br />
he worldwide pharmaceutical<br />
market is a very lucrative place<br />
for drug producers, equipment<br />
suppliers, service providers<br />
and consultants. The world pharmaceutical<br />
market more than doubled in size between<br />
1998 and 2006, and the global production of<br />
pharmaceutical products rose to €351 billion<br />
in 2006 (compared with €136 billion, 16 years<br />
earlier). The increase in production volumes<br />
has been particularly impressive in Europe in<br />
recent years, rising from €63 billion in 1990 to<br />
€190 billion in 2007. France (2006 production<br />
volume: €34.4 billion), UK (€24.8 billion) and<br />
Germany (€23.7 billion) are the predominant<br />
pharmaceutical producers in Europe. The US,<br />
however, is the world market leader, with a<br />
39.3 % share of total production, followed by<br />
Europe and Japan. To satisfy demand, a number<br />
of capital projects have been initiated and<br />
completed worldwide, creating what appears<br />
to be the ideal growth market for companies<br />
that specialize in the design and delivery of<br />
pharmaceutical plants and equipment.<br />
Events in Ireland are one reason for the<br />
competitive nature of the market. Government<br />
subsidies at the end of the 1990s and the<br />
beginning of the new millennium helped the<br />
country to become the world’s sixth largest<br />
pharmaceutical producer within the space<br />
of a few years. Production volumes reached<br />
€14.9 billion in 2006. In the wake of these<br />
developments, highly capable engineering<br />
service providers based on the Anglo-Saxon<br />
March/April 2009<br />
model were set up. When government funding<br />
came to an end, the suppliers increased their<br />
focus on continental Europe. There is also<br />
another significant difference compared with<br />
the chemical plant design and construction<br />
market. The customer base ranges from<br />
multinational corporations, which have in-house<br />
production operations, to family managed SMEs<br />
(particularly in Germany) and specialist contract<br />
manufacturers.<br />
The products and manufacturing techniques<br />
can also vary considerably, ranging from<br />
conventional pharmaceutical active ingredients<br />
to biopharmaceuticals. The demands are equally<br />
complex, including conceptual design, basic and<br />
detailed engineering, project management and<br />
contractual terms and conditions. In general, the<br />
following demanding requirements differentiate<br />
plant engineering projects in the pharmaceutical<br />
sector from industries such as chemicals:<br />
• tight schedules (time to market)<br />
• conformance with GMP (Good Manufacturing<br />
Practice) guidelines<br />
• equipment quality monitoring.<br />
Plant engineering projects in the<br />
pharmaceutical industry are usually based on a<br />
triangular relationship between the plant owner<br />
(the customer), an engineering partner (such<br />
as a general engineering services or general<br />
contractor) and equipment suppliers. In the<br />
chemical industry, the projects are conducted<br />
for the most part by EPC (Engineering,<br />
Procurement, Construction) organizations,<br />
but pharmaceutical plant owners normally<br />
play a much more active role in the planning<br />
and procurement process. Projects goals<br />
differ considerably between the chemical and<br />
pharmaceutical industries. The project partners<br />
normally agree on the schedule, product<br />
quality and output in the chemical industry,<br />
and these items are used as acceptance<br />
criteria. In the pharmaceutical industry, the<br />
plant owner is responsible for quality and<br />
production volumes. The processes are often<br />
not dedicated to a single product, and active<br />
ingredients are often synthesized on lines that<br />
produce multiple products.<br />
Few Opportunities for Consolidation<br />
Specialized engineering service providers<br />
have evolved during the years, and have<br />
adapted to the structure and requirements<br />
of the industry. However, consolidation in the<br />
engineering services sector has taken place<br />
in recent years, in response to more stringent<br />
regulatory requirements and increasing schedule<br />
and cost pressures — as well as the demand<br />
for globally active service providers. And the<br />
pressure has not subsided. In the wake of the<br />
recent boom, chemical plant engineering service<br />
providers have been able to exercise greater<br />
influence on contractual terms and conditions,<br />
but competition in the pharmaceutical plant<br />
engineering sector remains intense.<br />
“Most customers still have a strong preference<br />
for lump-sum pricing agreements or pricing<br />
on actual expense with an upper cost limit<br />
on their projects,” explained Ralf Roepenack,
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Managing Director of the engineering firm,<br />
NNE <strong>Pharma</strong>plan. In addition to fixed pricing,<br />
customers also try to impose penalties for<br />
schedule overruns or even when project team<br />
members are replaced. “Trust plays a crucial role<br />
in the pharmaceutical industry, and penalties can<br />
even be imposed for changes in key personnel,”<br />
said Robert Schwarz, Managing Director of VTU<br />
Engineering. It is essential for engineering service<br />
providers to carefully scrutinize RFQs (requests<br />
for quotations) as part of their risk management<br />
programme. “If the customer sends out<br />
requests for lump-sum bids, then the system/<br />
plant description will have to be very detailed,”<br />
emphasized another planner.<br />
As many parts as possible must be<br />
prefabricated. Subsystems are produced<br />
as skids and modules. In contrast to the<br />
chemical industry, where individual solutions<br />
are regarded as a competitive advantage,<br />
there is a trend towards standardization in the<br />
pharmaceutical industry. “It often happens that<br />
similar plants in a corporation generate very<br />
detailed individual requirement profiles. Given<br />
the incessant increase in cost pressure and<br />
the need for regulatory compliance, we are<br />
forced to standardize parts,” said Dr Bernhard<br />
Luy, Managing Director of the pharmaceutical<br />
engineering company, Glatt. Very lengthy<br />
specifications and contracts are a constant<br />
source of irritation. A 1500 page specification<br />
for a fermenter is just one example of extreme<br />
attention to detail. Yet, the hope remains that<br />
plant-level standards will become less important<br />
in the future and the industry will rediscover<br />
the advantage of pragmatic specifications on<br />
increasing cost pressure. A number of suppliers<br />
that have to deal with very lengthy specifications<br />
and RFQs do not share this optimism. Christian<br />
Stark from Christ, which specializes in ultrapure<br />
water treatment systems, claims: “Both<br />
contractors and plant owners are contributing<br />
to the proliferation of specifications. Customers<br />
for the most part used to accept our proposals,<br />
but engineering firms now often generate their<br />
own standards.” The problem for specialist<br />
suppliers is that they are often reluctant to draw<br />
attention to incorrect RFQ documentation or<br />
specifications, which do not reflect the current<br />
state of technology for fear of being excluded<br />
from the evaluation process.<br />
Increasing Focus on Cost<br />
The fact that customers are increasingly cost<br />
aware will have an impact, not only on the project<br />
but also on production. It will not necessarily<br />
reduce the willingness to invest in technology,<br />
March/April 2009<br />
but it will focus attention on production costs.<br />
And there, technology is decisive. However, a<br />
troublesome problem always arises when you<br />
try to optimize a process in the pharmaceutical<br />
industry. The original process flow and production<br />
methods have been validated. The process has<br />
to be requalified and revalidated when changes<br />
are made. Many customers are unwilling to<br />
invest the time and effort to get this done. This is<br />
when the expertise of specialist engineering firms<br />
can help. Consultants need to have a thorough<br />
understanding of GMPs, so that they are able<br />
to assess whether a change can be introduced<br />
without affecting the approval and GMP status of<br />
a production line or product.<br />
A Change in Concept and<br />
Parametric Release<br />
Parametric release reflects a new fundamental<br />
approach to quality assurance, replacing<br />
end-product quality control. It represents a<br />
major paradigm shift in the pharmaceutical<br />
industry, affecting engineering and the entire<br />
pharmaceutical process. “As batch sizes<br />
continue to decrease in the pharmaceutical<br />
industry, the proportion of overall production<br />
costs, which are directly related to quality<br />
control, continues to increase,” explained<br />
Werner Zesch from international management<br />
consultants, Arthur D. Little. The FDA’s PAT<br />
(Process Analytical Technology) initiative has<br />
stimulated the debate. Quality assessment<br />
must ensure that a pharmaceutical product<br />
conforms to the approved release specification.<br />
Parametric release based on successful<br />
qualification, process validation and improved<br />
process control, combined with suitable<br />
monitoring, is acceptable if product quality<br />
is guaranteed. This approach will lead to the<br />
increased use of automation and analytical<br />
systems, and organizational changes such as<br />
the complete release process.<br />
Operational Excellence<br />
In the future, engineering service providers and<br />
equipment suppliers will have to address another<br />
trend in the pharmaceutical industry. Customers<br />
are striving for operational excellence, which will<br />
help them to reduce costs and ensure product<br />
quality. A reduction in throughput times is one<br />
element of this strategy. It gives producers<br />
greater flexibility to react to market needs. “With<br />
a continuous production flow that is similar<br />
to automotive industry practices, you can<br />
significantly reduce throughput times compared<br />
with conventional ‘campaign’ production,”<br />
claimed Dr Frank Stieneker, Director of the<br />
<strong>Pharma</strong>ceutical Process Technology Working<br />
Group (APV). As a result, modular design will<br />
become an increasingly common feature of<br />
system architecture. Cost pressure is not the<br />
only factor driving change in engineering and<br />
technology. New classes of active ingredients<br />
are also having a noticeable effect. New system<br />
designs are needed to meet growing market<br />
demand for biopharmaceuticals (world market in<br />
2006: €58.5 billion), because cleaning following<br />
the fermentation process is currently creating<br />
production bottlenecks. Dr Hermann Allgaier,<br />
Managing Director, Merckle Biotec GmbH, is<br />
convinced that, in the future, these processes<br />
will run to an increasing extent in disposables.<br />
The production systems, from the reactor to the<br />
purification filter, are thrown away rather than<br />
cleaned after they are used. Compared with a<br />
stainless steel system, the amount of cleaning<br />
and cleaning validation effort is drastically<br />
reduced. It also takes less time to construct<br />
these systems, because scale-up is much<br />
simpler. “The approach can substantially reduce<br />
the amount of basic and detailed engineering<br />
effort,” explained Allgaier.<br />
Conclusion<br />
Owners, contractors and suppliers will have<br />
to work more closely together in the future.<br />
Owners will need to take a holistic approach and<br />
be willing to optimize their existing processes.<br />
Producers will also have to be prepared to<br />
accept greater project risk, especially when<br />
the schedule is very tight. Contractors will face<br />
some very big challenges. They will be expected<br />
to provide specialist expertise, and they will<br />
have to retain qualified personnel. They will also<br />
need to balance the differing needs of SMEs<br />
and global corporations, which are both part of<br />
their customer base. At ACHEMA 2009 there<br />
will be many opportunities to gather information<br />
on the newest developments in pharma plant<br />
engineering and to discuss the trends that will<br />
affect plant owners, contractors and suppliers.<br />
Both the congress programme and the<br />
exhibition will offer various options: for instance,<br />
there are nearly 50 lectures on processes and<br />
apparatus for pharmaceutical production at the<br />
congress, about a third of which address the<br />
production of biopharmaceuticals.<br />
For more information<br />
Dr Kathrin Rübberdt<br />
Tel. +49 6975 64 277<br />
Fax +49 6975 64 272<br />
presse@dechema.de<br />
www.achema.de
The <strong>Pharma</strong>ceutical Market<br />
Outlook to 2018<br />
strap country goes survey here<br />
www.pharma-mag.com<br />
Key threats and opportunities for Big <strong>Pharma</strong> and<br />
its responses to them<br />
Identify the key challenges and opportunities in the global pharma market, benchmark the growth<br />
strategies of leading companies and understand how the market will evolve through to 2018...<br />
The pharmaceutical industry must respond to a number of key challenges over the next ten years<br />
in order to sustain recent levels of growth. Falling levels of R&D productivity and the exposure of<br />
an increasing amount of blockbuster drugs to generic competition as a result of patent expiries<br />
are among the most notable concerns for pharma players. Recent strategies have seen a rise<br />
in outsourcing and the restructuring of R&D processes, with a movement away from internally<br />
driven R&D organizations with Centers of R&D Excellence and Disease Focused R&D Centers.<br />
Turbulence in the global economy is also having a significant impact<br />
upon the biotech industry, where externally funded companies are<br />
particulary vulnerable to investment downturns.<br />
‘The <strong>Pharma</strong>ceutical Market Outlook to 2018’ is a report<br />
published by Business Insights that explores the key threats<br />
and opportunities facing the pharma industry over the next ten<br />
years. This report analyses how leading companies including<br />
Pfizer, Roche, GSK, and Merck & Co. are optimizing their<br />
approaches and growth strategies to succeed in the changing<br />
market landscape. The performances of the top 10 pharma<br />
companies over the past five years are also assessed and a<br />
proprietary Business Insights survey evaluates the views of<br />
industry executives as to future market growth, biotech M&A<br />
activity, personalised medicine and pipeline developments.<br />
Identify key trends and developments in the global pharma<br />
landscape over the next ten years, compare the strategic<br />
responses of leading players and evaluate competitor sales,<br />
pipelines and prospects...<br />
For more information on this report<br />
email distribution@globalbusinessinsights.com<br />
or call Jessica Rose on +44 161 238 4044.<br />
March/April 2009
products<br />
www.pharma-mag.com<br />
Whether it is new equipment, machinery or plant, the latest product developments are showcased here<br />
Speed and Precision — Hand in Hand<br />
The GPC series of pipette calibration balances from Sartorius can be integrated<br />
into everyday lab processes flexibly and comfortably, helping the user achieve<br />
precise and reliable pipetting on a daily basis.<br />
The balances in the GPC series are ideally suited for gravimetrically testing<br />
the volume of any pipette size. With 6 mL and 21 mL sampling chambers, the<br />
series can calibrate pipettes with a volume of up to 1000 µL, depending on the<br />
model. If needed, larger volumes can be calibrated using the GPC65-CW or<br />
GPC225-CW. Sartorius also offers an optional 50 mL sampling chamber with a<br />
special pipette draft shield.<br />
Several fine details of design make this calibration balance stand out, not<br />
only for its precision, but also for its ease of use. For example, these models<br />
do not require a standard draft shield. This saves users significant time,<br />
as they do not need to open and close the draft shield. Another example is<br />
the evaporation trap, fitted as standard, which maintains the humidity at<br />
60%–90%, thus preventing loss of liquid from the sampling chamber. In<br />
addition, the modularly designed system allows users to adjust their pipette<br />
calibration workstation so that they can work ergonomically.<br />
The liquid taken up in the pipette is weighed on a balance. The balance<br />
transmits the weight value to a PC, where the calculations are performed, for<br />
example, by Sartorius’s Picaso software. The volume of the liquid is calculated<br />
from its weight and density and compared with the nominal volume for the<br />
pipette. After taking a series of measurements, the calibration results are<br />
printed as a GLP-compliant report.<br />
March/April 2009<br />
The new GPC series of pipette calibration balances from Sartorius.
World’s First EDI Module with Membrane Stage<br />
With Septron Bio-Safe, Christ now offers the world’s first EDI (electrodeionization)<br />
module with an integrated membrane stage. It is based upon the<br />
proven and patented spiral-wound technology and has an additional membrane<br />
stage for removal of particles and bacteria.<br />
The EDI module is available in a cold-water version and one that can be<br />
sanitized with hot water. Both are available in various sizes with outputs of<br />
500 to 3000 L/h. The combination of this module with a preceding reverse<br />
osmosis stage makes it possible — without additional ultrafiltration — to<br />
produce HPW (Highly Purified Water) with bacterial counts of ≤10 CFU/100<br />
mL. The module can be retrofitted quickly and easily on existing Osmotron<br />
systems and permits a considerable improvement in the microbiological safety<br />
of existing pure water systems.<br />
The cold-water version of the Septron Bio-Safe offers the benefits of high purity<br />
water quality and low energy costs and is particularly suitable for pharmaceutical<br />
applications where high efficiency and low costs are important. Long-term<br />
bacteria-free operation is assured by periodical replacement of the membrane<br />
stage during routine maintenance of the pure water system by a Christ service<br />
engineer. If desired, the integrity of this stage can be checked at any time.<br />
The membrane stage is exchanged with the aid of a special replacement<br />
kit that ensures contact-free handling, thus guaranteeing GMP-compliant<br />
operation of the system. No intervention by the user is necessary. In the hotwater-resistant<br />
Septron Bio-Safe, the complete system — including<br />
the preceding process steps — can be sanitized at >80 °C,<br />
resulting in even better system safety.<br />
More information<br />
www.christwater.com<br />
Photo: Christ Water Technology Group<br />
Septron Bio-Safe is the world’s first electro-deionization module with<br />
an integrated membrane stage. It is based on the proven and patented<br />
spiral-wound technology and has an additional membrane unit to remove particles<br />
and bacteria.<br />
New Biological Safety Cabinet<br />
Thermo Fisher Scientific Inc. has introduced the Thermo Scientific 1300 Series B2<br />
total exhaust biological safety cabinet. The innovative design presents advanced<br />
DC motor technology, increasing user safety as well as protecting samples from<br />
contaminants.<br />
Furthermore, the cabinet exceeds the highest quality and safety standard<br />
recommendations from NSF/ANSI 49 for the use of volatile toxic chemical and<br />
radionuclides in cell culture applications. The cabinets also meet the current<br />
recommendations of the National Institute for Operational Safety and Health<br />
(NIOSH) Alert for Hazardous Drug Preparation.<br />
The 1300 Series B2 maximizes safety and improves workflow sterility in any<br />
laboratory, while maintaining ease of use. It joins the full range of NSF-certified<br />
biological safety cabinets provided by Thermo Fisher Scientific and is available in<br />
4 and 6 foot-wide models.<br />
The safety cabinets utilize HEPA filters to maintain a clean air inflow<br />
and downflow across the entire sample area. Hard-ducted to the external<br />
environment, the 1300 Series B2 prevents recirculation of any air or gas into<br />
the sample chamber. Automatic adjustment of the air downflow during HEPA<br />
filter loading vastly improves product safety and increases filter life. It provides a<br />
timed UV light option, which not only reduces the risk of contamination, but also<br />
prevents frequent bulb replacement and reduces maintenance costs. In addition,<br />
cleaning is simplified by the single-piece stainless steel work tray, which<br />
minimizes loss of pipette tips or spills into the drain pan.<br />
All Class II, Type B2 biological safety cabinets are built for applications that<br />
require working with greater than minute quantities of volatile toxic chemicals<br />
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University Selects Bio-Rad<br />
System to Screen Affinity Reagents<br />
The University of Toronto has<br />
selected Bio-Rad Laboratories’<br />
ProteOn XPR36 protein interaction<br />
array system to screen proteinspecific<br />
affinity reagents, including<br />
antibodies and antibody fragments.<br />
It is part of an international<br />
consortium pilot study arranged<br />
by the SGC (Structural Genomics<br />
Consortium) and Human Proteome Resource<br />
Centre — whose goal it is to systematically<br />
generate high quality affinity reagents for exploration of the human proteome. The<br />
consortium chose the multiplexed SPR (surface plasmon resonance) instrument from<br />
Bio-Rad for its ability to rapidly screen biomolecular interactions.<br />
“The pilot project will generate a wealth of protein-specific reagents that will require<br />
a fast, accurate evaluation of their binding affinities,” said Renee LeMaire-Adkins,<br />
Marketing Manager, Protein Interaction Technology, Bio-Rad. “The design of the ProteOn<br />
XPR36 is ideal for this purpose as it permits the label-free kinetic analysis of six ligands<br />
measured against six analytes for 36 data points per experiment.”<br />
The result of a workshop, in March 2008, the pilot study seeks to demonstrate the<br />
feasibility of a variety of methods to generate better affinity reagents for specific protein<br />
targets. Researchers from around the world will be sending their affinity reagents to the<br />
University of Toronto for testing on the ProteOn and results are expected to be published<br />
in the first half of 2009. A second workshop will be held in March 2009 when the initial<br />
results will be summarized and evaluated.<br />
ProteOn XPR36 Protein Interaction Array System<br />
The ProteOn XPR36 protein interaction array system is a multiplexed SPR biosensor<br />
that allows users to simultaneously measure the interactions of six different ligand<br />
proteins with panels of six different concentrations of analyte. This yields comprehensive<br />
kinetic profiles in a single experiment without the need for regeneration — termed<br />
One-shot Kinetics. Utilizing a novel optical design and state-of-the-art microfluidics,<br />
the ProteOn XPR36 system provides much higher throughout for the rapid screening of<br />
protein interactions than traditional SPR devices.<br />
More information<br />
T. +1 800 424 6723<br />
E. lsg.orders.us@bio-rad.com<br />
and radionuclides, or the aseptic processing of hazardous drugs. However, the<br />
cabinet is part of a more complex containment system that is critical for user<br />
safety and operational efficiency. Be sure to contact a Thermo Scientific service<br />
representative for more information on proper installation.<br />
More information<br />
www.thermo.com/1300B2<br />
March/April 2009
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www.pharma-mag.com<br />
ICSE - the International<br />
Contract Services Exhibition<br />
ICSE is the international stage, with in<br />
CPhI, for companies providing outsourcing<br />
services in Clinical trials, Contract research,<br />
Custom manu facturing, Biotechnology, IT,<br />
Analytical services, Packaging services and<br />
Logistics. ICSE represents every sector and<br />
major disciplines of the pharmaceutical<br />
industry, making it the must-attend event<br />
for any business or individual in the contract<br />
services and clinical outsourcing sector.<br />
Go to www.icsexpo.com for details<br />
on how to be part of ICSE 2009<br />
or e-mail icsesales@cmpi.biz.<br />
13-15 October<br />
Feria de Madrid, Spain<br />
THE INTERNATIONAL CONTRACT SERVICES EXHIBITION<br />
March/April 2009<br />
2009<br />
CLINICAL TRIALS | CONTRACT RESEARCH | BIOTECHNOLOGY | IT | CUSTOM MANUFACTURING | ANALYTICAL SERVICES | PACKAGING SERVICES | LOGISTICS
8–13 March<br />
Pittcon 2009<br />
Chicago, Illinois, USA<br />
www.pittcon.org<br />
17–19 March<br />
Interphex<br />
New York, New York, USA<br />
www.interphex.com<br />
15–17 April<br />
Chemspec India 2009<br />
Mumbai, India<br />
www.dmgworldmedia.co.uk<br />
21–23 April<br />
CPhI Japan 2009<br />
Tokyo, Japan<br />
www.cphi.com<br />
21–23 April<br />
ICSE/P-MEC Japan 2009<br />
Tokyo, Japan<br />
www.cphi.com<br />
11–15 May<br />
ACHEMA 2009<br />
Frankfurt am Main, Germany<br />
www.achema.de<br />
18–21 May<br />
BIO<br />
Atlanta, Georgia, USA<br />
http://convention.bio.org/<br />
23–25 June<br />
CPhI China<br />
Beijing, PRC<br />
www.cphi.com<br />
24–25 June<br />
ExcipientFest Europe 2009<br />
Basel, Switzerland<br />
www.excipientfest.com/europe<br />
AGRO_Isa_210x140_Info09.qxp:605124_AGRO_Isa_185x128_EU 14.01.2009 15:56 Uhr Seite 1<br />
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CytotoxiC theRapies to<br />
feel the sting of geneRiCs<br />
Cytotoxic therapy, or chemotherapy as it is commonly known, has been the cornerstone of cancer treatment<br />
for many years and involves the use of drugs that are toxic to all cells — including those that are perfectly<br />
healthy. while relatively effective, this leads to the unpleasant side-effects commonly associated with cytotoxic<br />
treatment, such as vomiting, nausea, alopecia and fatigue.<br />
espite this — and the rise in prominence of<br />
targeted therapies — cytotoxics are used<br />
in almost all cancer types and, as a result,<br />
high volume sales make up the second<br />
largest selling class of cancer therapeutics. However, given<br />
the relative maturity of this therapeutic class, generics<br />
companies remain keen to emulate the success of several<br />
cytotoxic brands that have attained blockbuster sales (more<br />
than $1bn) in recent years, and according to independent<br />
market analyst Datamonitor, 1 generic incursion will cause<br />
a decline in total cytotoxic market value after it reaches a<br />
peak of $16.5bn in 2013. 2<br />
Cytotoxic Therapies:<br />
Second Largest Class<br />
An estimated 11 million people are affected with cancer<br />
worldwide; a number that is likely to rise in the future<br />
given the ageing nature of the global population. Lung,<br />
breast, prostate and colorectal cancer (CRC) are the<br />
four most common types of cancer, accounting for<br />
approximately 40% of the total. Cytotoxic agents help<br />
to kill cancer cells — or stop them from multiplying —<br />
making them applicable in almost every cancer type.<br />
Unfortunately, they also attack healthy cells, which leads<br />
to the aforementioned side-effects. However, cytotoxic<br />
treatment regimes remain effective, and for many years<br />
cytotoxic therapy has been used to treat cancer either<br />
alone, or in combination with other treatment types, such<br />
as radiotherapy.<br />
According to Datamonitor oncology analyst, Chandni<br />
Surti, sales of the 25 cytotoxic therapy cancer brands that<br />
are currently available in the seven major markets (7MM)<br />
in 2007 totalled $10bn. Even though targeted therapies<br />
are becoming more and more popular, cytotoxics remain<br />
the backbone of cancer treatment. Eleven of the 25 brands<br />
are approved for use in breast<br />
References<br />
1. Commercial Insight: Cytotoxic Therapy Cancer Brands<br />
— Looming Patent Expiries Limit Market Growth.<br />
2. 7MM: France, Germany, Italy, Japan, Spain, UK and US.<br />
March/April 2009<br />
cancer — the incidence of which was estimated to reach<br />
455,315 in the 7MM in 2008. As the incidence of cancer<br />
continues to rise with the ageing population, the use of<br />
effective cytotoxic therapies is likely to remain strong.<br />
Therapy Brand Market Leaders<br />
Sanofi-Aventis markets four out of the 25 cytotoxic therapy<br />
cancer brands: Eloxatin (oxaliplatin), Taxotere (docetaxel),<br />
Gliadel (carmustine) and TS-1 (tegafur + gimeracil +<br />
oteracil), which it co-develops with Taiho, making it the<br />
current market leader. Taken together, Eloxatin and<br />
Taxotere are approved for use in the four major cancer<br />
types, making them the top two sellers with combined<br />
sales of $3.8bn in 2007.<br />
Taxotere and TS-1 are the leading cytotoxic therapy<br />
cancer brands by number of approved indications.<br />
Taxotere is approved for use in six cancer types:<br />
breast cancer, gastrointestinal cancers, endometrial<br />
cancer, non-small cell lung cancer (NSCLC), ovarian<br />
cancer, and squamous cell carcinoma of the head<br />
and neck (SCCHN). TS-1 is currently only approved in<br />
Japan, where it is used to treat breast cancer, CRC,<br />
gastrointestinal cancers, NSCLC, pancreatic cancer and<br />
SCCHN. TS-1 is forecast to launch for gastric cancer in<br />
the US in 2010 and in the EU in 2012.<br />
Sanofi-Aventis’ Eloxatin is a DNA-interactive cytotoxic<br />
agent that is used extensively for CRC in the US, EU and<br />
Japan. Sales of Eloxatin generated $2bn in the 7MM in<br />
2007, making it the best-selling cytotoxic therapy cancer<br />
brand ahead of Taxotere ($1.8bn) and Eli Lilly’s Gemzar<br />
(gemcitabine, $1.2bn). However, patent expiries for<br />
these leading cytotoxic brands, Eloxatin in 2007 (EU) and<br />
Taxotere in 2010 (US & EU), are likely to have a significant<br />
impact on Sanofi-Aventis’ performance in the broader<br />
oncology market. Eloxatin’s patent is also set to expire in<br />
Japan in May 2013 and the US in August 2016. Higher<br />
generic erosion rates are applicable in the US compared<br />
with the remaining major markets, implying a greater dent<br />
in brand sales. In fact, the impact of generics is expected<br />
to reduce the cytotoxic therapy brands overall US market<br />
share from 56% in 2007 to 31% in 2017.<br />
Newer Brands Compete<br />
Eisai/Johnson & Johnson’s Dacogen (decitabine) and<br />
Celgene/Nippon Shinyaku’s Vidaza (azacitidine) are<br />
antimetabolite cytotoxic agents approved in the US for<br />
myelodysplastic syndromes (MDS), a type of blood cancer<br />
that can progress to leukaemia. Following its launch in<br />
2006, Dacogen has become a major competitive threat<br />
to Vidaza, which was launched earlier in 2004. Dacogen<br />
made $137m in 2007, allowing it to quickly catch up with<br />
the sales of Vidaza ($140m).<br />
Datamonitor forecasts Dacogen sales to grow in line<br />
with Vidaza during the forecast period of 2007 to 2017.<br />
Chandni Surti says: “Both hypomethylating agents seek<br />
EU approval for use in MDS and Datamonitor forecasts<br />
their launch to occur around the same time in 2009. The<br />
increase in sales forecast for Dacogen ($1.3bn) and Vidaza<br />
($1.2bn) helps boost sales of the total cytotoxic therapy<br />
cancer brand market to $14.9bn in 2017.”<br />
Further Information<br />
Matthew Dick<br />
T. + 44 20 7675 7824<br />
E. mdick@datamonitor.com
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