Pharma Turkey Dergisi Eylül – Ekim 2017 Sayısı
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What are the goals you set for the Turkish market?<br />
We have a common distribution channel and it is very<br />
important for these patients. We’re in production of existing<br />
licensed products, but also a leading government<br />
agency. FDG agent, is now known and widely used. We are also<br />
R & D and P & D. In <strong>Turkey</strong>, there is no other organization with<br />
that extensive R & D and P & D team. Both in Gebze we<br />
have our own R & D and P & D team. In addition, we cooperate<br />
with Ankara University. We are developing common drugs at<br />
the RÜAG facility with Ankara University. These drugs<br />
are in the literature, but we are developing these drugs for the<br />
first time in <strong>Turkey</strong>. Some are used in the diagnosis of cancers<br />
and some other for diseases. In Alzheimer’s disease,<br />
including brain scanning can also be used. Our R & D team are<br />
trying to develop with our instructor at Ankara University and<br />
even doing animal experiments. Even less so<br />
in Europe, which began to give the first fruits of the work we<br />
do at this facility. We were able to produce a very special<br />
product such as Fluorodopan to (FDOPA)<br />
and Floroestradiol (FES) there. We have not yet realized the<br />
stage of licensing, but will be presented to the service of our<br />
people once they are licensed. Parkinson’s<br />
and Alzheimer’s disease in the FDOPA being used, you<br />
know that Alzheimer’s is still an incurable disease. States<br />
spend less due to there is no treatment for this disease. Now<br />
Alzheimer’s diagnosis not available but FDG PET and F DOPA<br />
scanning is an important touchstone for diagnostic of AD<br />
and PD. Probably nuclear medicine will play a very serious role<br />
in diagnosis and treatment of Alzheimer and Parkinson. We<br />
expect it to be in the immunotherapy and genetically and these<br />
are new cancer diagnosis and treatment systems. Nuclear<br />
medicine will play a very important role in this field and we<br />
started our work.<br />
You are doing big investments in <strong>Turkey</strong>. Do you get along<br />
with state authority and give incentives?<br />
We use certain incentives when we made investments but we<br />
want to use more incentives in research and development<br />
activities. There are a number of incentives that we can<br />
use. Maybe more can be done. We can even produce these<br />
products abroad, we can export. But our dimension is a bit<br />
small. So we are below the thresholds of these incentives.<br />
Do you want to meet your overseas demands by exporting or<br />
by making production in that region?<br />
We also have overseas facilities in production. We have our own<br />
facilities in Romania, Bulgaria and Egypt. Apart from that, we<br />
are producing contracted products in Kuwait and<br />
Dubai. We are probably there for 10 years as we carry out our<br />
production and we are regularly inspected by<br />
authorities in both of these countries as well as <strong>Turkey</strong> TAEK<br />
are regularly inspected by the Ministry of Health. Making<br />
radioactive drug production has a huge responsibility. The<br />
knowledge and experience here is very important. Beneficial to<br />
public health fits under control and we are able to fulfill these<br />
even in very difficult geography.<br />
Do the states in the region you are investing support you?<br />
They do not provide. Even not entering the European Union.<br />
We realized even install facilities in Bulgaria, Romania and<br />
Poland. The conditions were very difficult and there was no<br />
other production facility. Cancer patients there find healing<br />
with our products patients with diagnosis of Nuclear Medicine<br />
started to improve the health standards of those countries. In<br />
this way, the healthcare service is also getting cheaper because<br />
it is not a cheap diagnosis in total, but when you look at the<br />
total cost of treatment for a cancer patient, it seriously reduces<br />
the overall cost. You apply the right treatment available in<br />
early diagnosis. Nuclear medicine is the best way of<br />
learning that drug is effective or not. We provide a serious<br />
development of oncology and cardiology as well as nuclear<br />
medicine. I can say that we can clearly see the development of<br />
the health system in the places we go. In these regions,<br />
demand was difficult to achieve in the first year, but demand<br />
occurs much later. Firstly, doctors and health<br />
professionals must be trained. “Radioactivity damage people<br />
and environment fear” can exist. The result is a diagnosis<br />
widely used in the United States and developed countries. If it’s<br />
planned, it doesn’t harm the person.<br />
Are there any other countries where you want to invest?<br />
We are interested in developing geographies if there is<br />
local investors.<br />
In our production, we are exporting to 25 countries in longterm<br />
isotopes up to India. We rely on the network of Turkish<br />
Airlines in our transfers within the country. The airline is<br />
important because our products needs to be on plane and<br />
shipped very quickly. In the place we refer to, a special team<br />
meets our product and takes them to the hospital immediately.<br />
What do you want to add?<br />
We attach great importance for new products. There are some<br />
products that can be brought from abroad but only we can<br />
produce them. In this sense, we also need more support from<br />
the government. You are investing in facilities, but you are<br />
having difficulty maintaining continuity when there is a problem<br />
with that test. If we enter in procurement contracts and says<br />
that you’re doing, but three times, it was announced and<br />
banned if you can not deliver. You can not make a backup of the<br />
facility because it is not economically sufficient. If you do not<br />
establish any facilities, <strong>Turkey</strong> will not benefit from it unless you<br />
enter the tender. Patients will either be victims or will come<br />
from abroad at high cost, loss of foreign exchange. But if there<br />
are disruptions in the production of our products making up<br />
impasses like the state of being banned from bidding. Such a<br />
special exception should be in the public should be supported, I<br />
think.<br />
Awareness of nuclear medicine in developing regions for<br />
particular item is too low, but this is also a critical area. More<br />
important element that this is a field, which will have more<br />
space than today in the diagnosis and treatment in the long<br />
term. We are searching every area for diagnosis and treatment<br />
as well as nuclear medicine.<br />
<strong>Pharma</strong><br />
September- October ‘17 29