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7817 Annual Report 2009.qxd - Shire

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28 <strong>Shire</strong> plc <strong>Annual</strong> <strong>Report</strong> and Accounts 2009Financial reviewInvestigations or enforcement action by regulatory authorities or law enforcement agencies relating to the Group’s activities in thehighly regulated markets in which it operates may result in the distraction of senior management, significant legal costs and the paymentof substantial compensation or finesThe Group engages in various marketing, promotional and educational activities pertaining to, as well as the sale of, pharmaceutical products ina number of jurisdictions around the world. The promotion, marketing and sale of pharmaceutical products is highly regulated and the operationsof market participants, such as the Group, are closely supervised by regulatory authorities and law enforcement agencies, including the FDA, the USDepartment of Justice and the DEA in the US. Any inquiries or investigations into the operations of, or enforcement or other regulatory action against,the Group by such regulatory authorities could result in the distraction of senior management for prolonged periods of time, significant defence costs,substantial monetary penalties and require extensive government monitoring of Group activities in the future. As an example on September 23, 2009the Group received a subpoena from the US Department of Health and Human Services Office of Inspector General in co-ordination with the USAttorney for the Eastern District of Pennsylvania, seeking production of documents related to the sales and marketing of ADDERALL XR, DAYTRANAand VYVANSE. <strong>Shire</strong> is co-operating and responding to this subpoena.The out-sourcing of services can create a significant dependency on third-parties, the failure of whom can affect the ability to operatethe Group’s business and to develop and market productsThe Group has entered into many agreements with third-parties for the provision of services to enable it to operate its business. If the third-partycan no longer provide the service on the agreed basis, the Group may not be able to continue the development or commercialization of its productsas planned or on a commercial basis. Additionally, it may not be able to establish or maintain good relationships with the suppliers.The Group has also entered into licensing and co-development agreements with a number of parties. There is a risk that, upon expiration ortermination of a third-party agreement, the Group may not be able to renew or extend the agreement with the third-party as commercial interestsmay no longer coincide. In such circumstances, the Group may be unable to continue to develop or market its products as planned and could berequired to abandon or divest a product line.RISK FACTORS RELATED TO THE PHARMACEUTICAL INDUSTRY IN GENERALThe actions of governments, industry regulators and the economic environments in which the Group operates may adversely affectits ability to develop and market its products profitablyChanges to laws or regulations impacting the pharmaceutical industry, in any country in which the Group conducts its business, may adversely impactthe Group’s revenues, financial condition and results of operations. In particular, changes to the regulations relating to orphan drug status may affectthe exclusivity granted to products with such designation.The introduction of new products by competitors may impact future revenuesThe manufacture and sale of pharmaceuticals is highly competitive. Many of the Group’s competitors are large, well-known pharmaceutical,biotechnology, chemical and healthcare companies with considerable resources. Companies with more resources and larger R&D expenditures havea greater ability to fund clinical trials and other development work necessary for regulatory applications. They may also be more successful than theGroup in acquiring or licensing new products for development and commercialization. If any product that competes with one of the Group’s principaldrugs is approved, the Group’s sales of that drug could fall.The pharmaceutical and biotechnology industries are also characterized by continuous product development and technological change. The Group’sproducts could, therefore, be rendered obsolete or uneconomic, through the development of new products, technological advances in manufacturingor production by its competitors.The successful development of pharmaceutical products is highly uncertain and requires significant expenditures and timeProducts that appear promising in research or development may be delayed or fail to reach later stages of development or the market for severalreasons, including:— pre-clinical or clinical tests may show the product to lack safety or efficacy;— delays may be caused by slow enrollment in clinical studies; additional clinical supplies requirements; extended length of time to achieve studyendpoints; additional time requirements for data analysis or dossier preparation; discussions with regulatory agencies, including regulatory agencyrequests for additional pre-clinical or clinical data; delays at regulatory agencies due to staffing or resource limitations; analysis of or changes tostudy design; unexpected safety, efficacy, or manufacturing issues. Delays may arise from shared control with collaborative partners in the planningand execution of the product development, scaling of the manufacturing process, or getting approval for manufacturing;— manufacturing issues, pricing, reimbursement issues, or other factors may render the product economically unviable;— the proprietary rights of others and their competing products and technologies may prevent the product from being developed or commercialized;and— failure to receive necessary regulatory approvals.Success in pre-clinical and early clinical trials does not ensure that large-scale clinical trials will be successful. Clinical results are frequently susceptibleto varying interpretations that may delay, limit, or prevent regulatory approvals. The length of time necessary to complete clinical trials and to submitan application for marketing approval for a final decision by a regulatory authority varies significantly and may be difficult to predict. If the Group’s largescaleor late state clinical trials for a product are not successful, the Group will not recover its substantial investments in that product.In addition, even if the products receive regulatory approval, they remain subject to ongoing regulatory requirements, including, for example, obligationsto conduct additional clinical trials or other non-clinical testing, changes to the product label, new or revised requirements for manufacturing, writtennotifications to physicians, or product recalls or withdrawals. Further, a number of the Group’s products that treat ADHD contain controlled substancesand are subject to regulation by the US DEA and equivalent agencies in other countries.

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