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Adapt and Survive: the Changing Face of R&D in the Pharmaceutical Industry and its Impact on Cheminformatics Dr. Wendy A. Warr http://www.warr.com Wendy Warr & Associates

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Page 1: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

Adapt and Survive: the Changing

Face of R&D in the Pharmaceutical

Industry and its Impact on

Cheminformatics

Dr. Wendy A. Warr

http://www.warr.com

Wendy Warr & Associates

Page 2: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

Wendy Warr & Associates

The Long Road to a New Medicine

Registration

Full development

Exploratory

development

Discovery

Source: Pfizer

Page 3: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

Drug Discovery and Development

Wendy Warr & Associates

Page 4: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

Wendy Warr & Associates

Page 5: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

Drug Discovery and Development

Wendy Warr & Associates

Page 6: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

Wendy Warr & Associates

From Concept to Product: 10-15

Years

Target identification and validation

Lead identification

Lead optimization

Preclinical development

Phase I

Phase II

Phase III

FDA review and scale up to manufacturing

Months/years

4-6 months

4-6 months

18 months

4-6 months

12-24 months

2-3 years

6-24 months

Page 7: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

Wendy Warr & Associates

Attrition

Stage Compounds In Compounds Out

Lead identification Up to 50,000 100-200

Lead optimization 100-200 20

Preclinical 20 1-5

Phase I 1-5 1-3

Phase II 1-3 1-2

Phase III 1-2 1

Page 8: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

The Cost

Wendy Warr & Associates

$-

$0.20

$0.40

$0.60

$0.80

$1.00

$1.20

$1.40

1975 1987 2000 2005

Billi

on

s (

Co

nsta

nt

do

llars

, ye

ar

2000)

Source: DiMasi, Grabowski. Managerial and

Decision Economics 2007, 28, 469-479

Page 9: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

Only Two in Ten Approved Drugs Produce

Revenues That Exceed Average R&D Costs

Wendy Warr & Associates

Source: Vernon, Golec, DiMasi. Health Economics Letters 2009

Page 10: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

Pharmaceutical Industry Productivity 2000-2010

Wendy Warr & Associates

Page 11: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

Number of New Molecular Entities

Approved

Wendy Warr & Associates

0

10

20

30

40

50

60 1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

Page 12: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

Wendy Warr & Associates

Why the Fall in Numbers of New

Chemical Entities?

• Easiest drugs already found

• Companies ultra-cautious about

withdrawals

• Disruption from mergers

• Or is it just the normal cycle?

Page 13: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

Number of New Molecular Entities

Approved

Wendy Warr & Associates

0

10

20

30

40

50

60 1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

Page 14: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

Investment in R&D

• R&D spending by drug companies in

the US fell by $1.2 billion in 2011

• US venture capital investment in biotech

fell by 43% in the first quarter of 2012

• National Institutes of Health budget will

not rise in 2013

Wendy Warr & Associates

Page 15: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

Wendy Warr & Associates

“One of the most frustrating things is

that people who bring you sugared

drinks and potato chips have a higher

multiple than an industry that will save

your life.”

Chris Viehbacher, CEO, Sanofi

Page 16: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

Measuring Return from

Investment in R&D

• 10/12 top pharma saw internal rate of

return (IRR) fall from 11.8% in 2010 to

8.4% in 2011

• Cost of bringing a drug to market

increased by 21%

• Number of compounds in late stage

development decreased from 23 to 18

Wendy Warr & Associates

Source: Deloitte and Thomson Reuters

Page 17: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

Measuring Return from

Investment in R&D

• More value from product commercialization

than lost from late-stage failures

• Non-R&D costs have declined; higher

operating margin

• To combat high costs in future, R&D

organizations will share capabilities in non-

competitive R&D areas

Wendy Warr & Associates

Source: Deloitte and Thomson Reuters

Page 18: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

Global Pharmaceutical Market

Wendy Warr & Associates

0

1

2

3

4

5

6

7

8

9

10

0

100

200

300

400

500

600

700

800

900

1000

Sales*

% Growth over previous year

*Constant $ in billions based on Q410

Page 19: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

Wendy Warr & Associates

Threats to the Industry

• CAGR in sales falling

• Generic competition (“the

patent cliff”)

• Price pressures

• Crowded markets

• Increasing R&D budgets

• Declining productivity

Page 20: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

Wendy Warr & Associates

The Solution?

• Mergers and acquisitions

• Cost cutting

• Restructuring

• Diversification

• In-licensing

• Alliances and outsourcing

• Target emerging markets

• Personalized medicine

• Portfolio management techniques

• Life cycle management

Page 21: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

Consolidation: Pharma

Pfizer now comprises the following companies:

• Warner Lambert (Agouron, Farmitalia,

Jouvenal, Parke-Davis)

• Pharmacia (Monsanto, Searle, Sugen,

Upjohn)

• Wyeth (American Cyanamid, American Home

Products, A.H.Robins, Genetic Institute)

Wendy Warr & Associates

Source: Bill Town

Page 22: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

Consolidation: Cheminformatics

Wendy Warr & Associates

Source: Bill Town

Acclerys now comprises the following former

companies:

MSI (Biodesign, Cambridge Molecular Design,

Polygen, Biosym, BioCad), Synopsys,

Oxford Molecular (Biostructure, CAChe,

Chemical Design, HDI, PSI (Fein Marquart),

GCG, Intelligenetics, Cambridge Combinatorial),

Synomics, SciTegic, Symyx (MDL (ORAC, OHS)),

Contur Software AB

Page 23: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

Wendy Warr & Associates

M&As: the Impact on Productivity

• Rationalization needed after merger

– TAs, research sites, conflicting informatics

• Disruption

• Momentum lost in research

• Entrenched camps develop

• Decision making loses objectivity

• Growth is largely from cost savings

• Benefits of scale not proven beyond a certain size

• M&As are self-limiting

Page 24: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

Product Lifecycle Management

• New indications

• Reformulations

• Combination drugs

• Rx to OTC

• Branded generics

• Mergers and acquisitions

• Alliances

• Pricing

• Patent protection

strategies

• New markets

• Refocusing R&D spend

• Reducing development

time

• Branding and rebranding

Wendy Warr & Associates

Page 25: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

Wendy Warr & Associates

Making R& D More Virtual

• Semantic technologies

• Computer-aided molecule design

• Predictive biosimulation – virtual cells, organs, animals

– complete digital model of man

Source: Steve Arlington, Pricewaterhouse Coopers

Page 26: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

RSC Prospect

Wendy Warr & Associates

Page 27: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

A Challenge for OCR

Wendy Warr & Associates

1870 1830 1910 1930

1969

Source: InfoChem

Page 28: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

“Article of the Future”

Wendy Warr & Associates

Page 29: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

Wendy Warr & Associates

Making R& D More Virtual

• Semantic technologies

• Computer-aided molecule design

• Predictive biosimulation – virtual cells, organs, animals

– complete digital model of man

Source: Steve Arlington, Pricewaterhouse Coopers

Page 30: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

Wendy Warr & Associates

Rational Drug Design

• Receptor structure unknown, ligand

structures unknown

• Receptor known, ligand known

• Receptor known, ligand unknown

• Receptor unknown, ligands known

Page 31: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

Wendy Warr & Associates

Rational Drug Design

• Receptor structure unknown, ligand

structures unknown

• Receptor known, ligand known

• Receptor known, ligand unknown

• Receptor unknown, ligands known

Page 32: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

Wendy Warr & Associates

Rational Drug Design

• Receptor structure unknown, ligand

structures unknown

• Receptor known, ligand known

• Receptor known, ligand unknown

• Receptor unknown, ligands known

Page 33: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

Wendy Warr & Associates

Docking a Ligand in a Protein

Source: Cambridge Crystallographic Data Centre

Page 34: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

Wendy Warr & Associates

Rational Drug Design

• Receptor structure unknown, ligand

structures unknown

• Receptor known, ligand known

• Receptor known, ligand unknown

• Receptor unknown, ligands known

Page 35: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

De novo Drug Design

Wendy Warr & Associates

Source: SimBioSys

Page 36: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

Wendy Warr & Associates

Rational Drug Design

• Receptor structure unknown, ligand

structures unknown

• Receptor known, ligand known

• Receptor known, ligand unknown

• Receptor unknown, ligands known

Page 37: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

Pharmacophore Model

Wendy Warr & Associates

Source: Accelrys

Page 38: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

Wendy Warr & Associates

Biological Activity

Structural Properties

+ Statistical

Relationship QSAR

Validation

toxicology pharmacology

calculated

properties

measured

properties

Physicochemical &

Quantitative Structure Activity

Relationships (QSAR)

Page 39: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

A Markush Structure

Wendy Warr & Associates

Frequency variation

n = 1-3

Substituent variation

Homology variation

Position variation( )n

methyl or ethyl

alkyl

amino

Frequency variation

n = 1-3

Substituent variation

Homology variation

Position variation( )n

methyl or ethyl

alkyl

amino

Source: Digital Chemistry

Page 40: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

Source:

ChemAxon

Page 41: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

Wendy Warr & Associates

Drug Discovery in the 1970s

Page 42: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

Wendy Warr & Associates

Drug Discovery in the 1970s

• Unplanned innovation

• Serendipity

• Drugs based on natural products

• Chemists used intuition

• Random screening

• Linear workflow

• Informatics only peripheral

Page 43: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

Wendy Warr & Associates

Advances of the 1990s

• The human genome project

• Genomics

• Proteomics

• Growth in knowledge of protein structures – X-ray crystallography

– NMR

– homology modeling

• High throughput screening (HTS)

• Combinatorial chemistry

• Bioinformatics and cheminformatics

Page 44: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

Wendy Warr & Associates

Drug Discovery Today

• Start with knowledge of a biological target

– and maybe a known protein structure

• Screen the fewest compounds needed

• Vast quantities of data

• Informatics is of strategic importance

• Informatics supports decision making

• Multi-disciplinary teams share knowledge

• “Fail early”: predict druglikeness

Page 45: Adapt and Survive: the Changing Face of R&D in the ...infochim.u-strasbg.fr/CS3_2012/Lectures/Warr.pdf · •Cost of bringing a drug to market increased by 21% •Number of compounds

Changing strategies

• Pharma 1.0 – Blockbuster model

– Focus on top line

• Pharma 2.0 – Strategies addressed in this talk

– Focus on bottom line

• Pharma 3.0 – Delivering health outcomes

– Being customer-centric

– Being payer-insightful

Wendy Warr & Associates

Source: Carolyn Buck Luce, Ernst &Young