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Achieving Launch Excellence in Asia-Pacific Transcript ... - IMS Health

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For example, the companies failed to develop a deep understand<strong>in</strong>g of the<br />

<strong>in</strong>digenous economies, historical trends, cultural predilections and public policy<br />

among other th<strong>in</strong>gs. The launch was compromised <strong>in</strong> each case as a result. They<br />

needed to consider that the approaches they had been us<strong>in</strong>g <strong>in</strong> Western markets<br />

might not fit local circumstances. What will work <strong>in</strong> the US for example is not<br />

necessarily go<strong>in</strong>g to work <strong>in</strong> Korea.<br />

Of course. So homework was not done then.<br />

To a certa<strong>in</strong> extent, yes, but you have to remember that these markets were<br />

generally unknown territory. And other factors contributed as well, such as an<br />

absence of clear forecast<strong>in</strong>g data <strong>in</strong> these emerg<strong>in</strong>g markets, compounded by<br />

the fact that the majority of patients were undiagnosed, under compliant or<br />

under served. With a lack of data on the true healthcare system <strong>in</strong> the target<br />

country, it is difficult for pharmaceutical companies to adequately plan launches.<br />

And of course there are the challenges faced with <strong>Asia</strong> be<strong>in</strong>g such a dynamic<br />

market.<br />

What do you mean by that?<br />

Well, markets <strong>in</strong> <strong>Asia</strong> are chang<strong>in</strong>g all the time. So launch pr<strong>in</strong>ciples have to be<br />

revised more often than would be necessary <strong>in</strong> a traditional market, which isn’t<br />

go<strong>in</strong>g to change much over time. To give you an example, the market <strong>in</strong> Ch<strong>in</strong>a<br />

has changed beyond all recognition from the market it was a year ago, so launch<br />

pr<strong>in</strong>ciples that were used last year simply won’t be appropriate today. In some<br />

countries, the landscape changes so fast that strategies have to be revised even<br />

dur<strong>in</strong>g the launch process itself.<br />

So what k<strong>in</strong>ds of changes take place <strong>in</strong> these markets that can have<br />

such an impact on launch success or failure?<br />

It can be <strong>in</strong>troduction of new regulations, government reforms, changes <strong>in</strong><br />

<strong>in</strong>surance regulations, or more drastically, policy change as a result of a change<br />

of leadership follow<strong>in</strong>g an election can change the potential success and entire<br />

outlook for a launch overnight – for <strong>in</strong>stance <strong>in</strong> the US with the pass<strong>in</strong>g of the<br />

<strong>Health</strong>care Reform legislation creat<strong>in</strong>g expanded coverage for un<strong>in</strong>sured<br />

Americans. In the <strong>Asia</strong>n context, the healthcare reform activities <strong>in</strong> Ch<strong>in</strong>a as well<br />

as is the impact of mandatory drug pric<strong>in</strong>g controls on generic supply driven by<br />

the recent elections <strong>in</strong> the Philipp<strong>in</strong>es.<br />

I see. So how can pharmas be better prepared to launch?<br />

At <strong>IMS</strong> <strong>Health</strong>, we have identified the five drivers for launch uptake <strong>in</strong> any<br />

country are Advocacy, Approval, Access, Adoption and Adherence. But <strong>in</strong><br />

addition, companies need to consider what we call the Three As of pharma<br />

5

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