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    Ajay Gautam

    BioPharma LatAm

    November 2014

    Mexico

    Biomedical Innovation in Emerging Markets

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    Mumbai to Shanghai, via NY, Mexico and Dubai

    2 IMED Biotech Unit | Scientific Partnering & Alliances

    20121998

    2006

    2009

    http://www.google.com/url?sa=t&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&ved=0CAQQjRw&url=http://www.sxc.hu/photo/1182746&ei=Z4_oUuOoE--E2wXDt4DQDQ&usg=AFQjCNGKgTwgmavL1WLbv0IZPufJZXcXFwhttp://www.google.com/url?sa=t&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&ved=0CAQQjRw&url=http://www.sxc.hu/photo/1182746&ei=Z4_oUuOoE--E2wXDt4DQDQ&usg=AFQjCNGKgTwgmavL1WLbv0IZPufJZXcXFwhttp://www.canstockphoto.com/file_view.php?id=0252778http://www.canstockphoto.com/file_view.php?id=0252778http://www.canstockphoto.com/file_view.php?id=0267252http://www.canstockphoto.com/file_view.php?id=0267252http://pktlib.ta.astrazeneca.net/index.jsp?id=090082f181c1161e&action=view&latest=truehttp://pktlib.ta.astrazeneca.net/index.jsp?id=090082f181c1161e&action=view&latest=truehttp://www.canstockphoto.com/file_view.php?id=0267251http://www.canstockphoto.com/file_view.php?id=0267251
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    AstraZeneca is a global business, strong in

    Emerging Markets

    3 IMED Biotech Unit | Scientific Partnering & Alliances

    50,000employees

    Approx. $4bninvested in R&D annually

    Research across3 continents

    Sales in over

    100 countries

    $25.7bn sales2013, Full Year Results

    Manufacturing in16 countries #2In China

    Emerging Markets

    $5.4bn sales2013, Full Year Results

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    We are accelerating our focus on building a

    competitive pipeline in our 3 core therapy areas

    Content

    Cardio-Metabolism

    Core TAs

    Oncology

    Biologics

    Respiratory, Inflammation,

    Autoimmune

    Small Molecules ImmunotherapiesProtein

    engineering

    We push the boundaries of science to deliver life-changing medicines

    4 IMED Biotech Unit | Scientific Partnering & Alliances

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    We have increased our proximity to bioscience

    clusters and co-located at 3 strategic sites

    5 IMED Biotech Unit | Scientific Partnering & Alliances

    Proximity to NIH,Johns Hopkins

    New site in Cambridge,

    close proximity to University of

    Cambridge and world class UK

    bioscience community

    Connections to Karolinska

    Institute & Medicon Valley

    Gaithersburg MlndalCambridge

    Leverage historical strength

    Respiratory and CV/Met

    Co-locate around

    biologics/specialty care

    Co-locate R&D in world-

    class science cluster

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    Topics

    Looking forward

    AZ fostering innovation in emerging markets

    Innovation in emerging markets

    A few case studies

    IMED Biotech Unit | Scientific Partnering & Alliances6

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    7

    Emerging markets innovation has improved in

    recent years

    Private & government funding for R&D- China: 8x increased funding in 5 yrs- Russia: Skolkovo, Rusnano, RVC, etc.- Brazil: BNDES, state funding, VCs

    Increasedfunding

    Expandedtalent pool

    Large number of science PhDs Overseas returnees Better growth opportunities

    StrongerIP

    IP improvements for drugs Increasing patents from EM companies /

    academics

    Improvedcapabilities

    Bio-med bases, certified clinical sites

    Strong academic institutions Publications in high impact journals

    IMED Biotech Unit | Scientific Partnering & Alliances

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    8

    but unique challenges remain in spite of

    progress

    IMED Biotech Unit | Scientific Partnering & Alliances

    Traditional focus on generics Shift philosophy to innovationInnovationculture

    Ecosystems like Silicon Valley,

    Boston, Cambridge, UK non-existent or at very early stages

    Innovationecosystem

    Need to build expertise inBiology & Translational Science

    Scientificexpertise

    Long lead times, cash flow needs VCs/Capital marketsBusiness model

    Depth and breadth of talentneeds to be built

    Talent pool

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    9

    Emerging markets represent a diverse innovation

    landscape

    IMED Biotech Unit | Scientific Partnering & Alliances

    Gautam, A and Yang, S. 13, 646-647 (2014)

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    10

    Biomedical funding in emerging markets is

    increasing

    IMED Biotech Unit | Scientific Partnering & Alliances

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    11

    Multi-facet aspects need to come together for

    building R&D ecosystems

    IMED Biotech Unit | Scientific Partnering & Alliances

    Innovation

    IP

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    12

    R&D ecosystems are still evolving

    IMED Biotech Unit | Scientific Partnering & Alliances

    # of publication University rankings # of PhD # of patents # of clinical trials

    China

    Israel

    Korea

    Singapore

    Russia

    IndiaBrazil

    Turkey

    Mexico

    S Africa

    Poland

    China

    Israel

    Korea

    Singapore

    Brazil

    IndiaRussia

    Turkey

    Mexico

    S Africa

    Poland

    China

    India

    Russia

    Brazil

    S Africa

    Mexico

    IsraelKorea

    Singapore

    Poland

    Turkey

    China

    Korea

    Brazil

    Russia

    India

    Israel

    S Africa

    TurkeyMexico

    Singapore

    Poland

    China

    Korea

    Israel

    Brazil

    Poland

    India

    Russia

    TurkeyS Africa

    Mexico

    Singapore

    High

    Moderate

    Low

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    Topics

    Looking forward

    AZ fostering innovation in emerging markets

    Innovation in emerging markets

    A few case studies

    IMED Biotech Unit | Scientific Partnering & Alliances13

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    14

    Zhangjiang Hi-Tech Park, Shanghai: A leading R&D

    hub

    IMED Biotech Unit | Scientific Partnering & Alliances

    1992

    Today

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    Israel is a leading innovation cluster

    IMED Biotech Unit | Scientific Partnering & Alliances

    Office of

    ChiefScientist

    Early stage

    funding

    http://www.google.com/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&docid=YufopGIKBAntQM&tbnid=I18cfuQBqqJwgM:&ved=0CAUQjRw&url=http://www.audiotech.com/trends-magazine/the-unfolding-economic-miracle-in-israel/&ei=f3BiUp6vO8fb4AOX74DIDg&bvm=bv.55139894,d.eWU&psig=AFQjCNEeoxryC0ZAQ3zDqsIeRcHVhN8-sg&ust=1382269408473001http://www.google.com/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&docid=YufopGIKBAntQM&tbnid=I18cfuQBqqJwgM:&ved=0CAUQjRw&url=http://www.audiotech.com/trends-magazine/the-unfolding-economic-miracle-in-israel/&ei=f3BiUp6vO8fb4AOX74DIDg&bvm=bv.55139894,d.eWU&psig=AFQjCNEeoxryC0ZAQ3zDqsIeRcHVhN8-sg&ust=1382269408473001
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    Korea: Building strength in translational sciences

    IMED Biotech Unit | Scientific Partnering & Alliances

    Korea Drug Development Fund (KDDF)

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    Singapore transitioned to an innovation hub

    IMED Biotech Unit | Scientific Partnering & Alliances

    Strong government support, FDIs Leading academic research Large talent pool Venture funding

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    Topics

    Looking forward

    AZ fostering innovation in emerging markets

    Innovation in emerging markets

    A few case studies

    IMED Biotech Unit | Scientific Partnering & Alliances18

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    AZ fostering innovation in Emerging Markets

    IMED Biotech Unit | Scientific Partnering & Alliances

    Russia

    ChinaIsrael

    Korea

    Taiwan

    http://www.canstockphoto.com/file_view.php?id=3836312http://www.canstockphoto.com/file_view.php?id=3836312http://www.sxc.hu/pic/m/b/bo/boooyaka/1134388_israel_flag_button_.jpghttp://www.sxc.hu/pic/m/b/bo/boooyaka/1134388_israel_flag_button_.jpghttp://pktlib.ta.astrazeneca.net/index.jsp?id=090082f181d548fe&action=view&latest=truehttp://pktlib.ta.astrazeneca.net/index.jsp?id=090082f181d548fe&action=view&latest=truehttp://www.hadassah.org.il/Englishhttp://www.hadassah.org.il/Englishhttp://www.canstockphoto.com/file_view.php?id=0252778http://www.canstockphoto.com/file_view.php?id=0252778
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    Leading personalized cancer research with Petrov

    Institute in Russia

    IMED Biotech Unit | Scientific Partnering & Alliances

    N. N. Petrov

    Institute of Oncology

    1st of its kind research collaboration in Russia

    Better understand disease mutations in Russian patients

    Petrov is oldest and largest oncology center in Russia

    One of largest archival tumor samples in Europe

    1 Million+ samples, from over 270,000 patients

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    Cardiac regeneration research with SIBS in China

    IMED Biotech Unit | Scientific Partnering & Alliances

    Research at Shanghai Institute of Biological Sciences (SIBS)

    in partnership with AstraZeneca colleagues in Sweden

    Understand how newly formed coronary vessels first

    develop

    Recent publication in Science

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    Translational oncology research with KHIDI in

    Korea

    IMED Biotech Unit | Scientific Partnering & Alliances

    Pre-clinical and translational oncology projects

    4 projects per year for 3 years, initiated from March 2014

    KHIDI to coordinate solicitation of proposals from Korealocal researchers

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    Open innovation with NRPB in Taiwan

    IMED Biotech Unit | Scientific Partnering & Alliances

    Open innovation initiative at AZ

    Team up with NRPB in Taiwan to explore new indications and

    unmet medical needs with academic researchers

    Joint efforts to evaluate proposals from academics and funding

    provided from NRPB for R&D

    20 compounds provided for drug repurposing

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    Accessible through an Open Innovation Website

    http://openinnovation.astrazeneca.com

    24 IMED Biotech Unit | Scientific Partnering & Alliances

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    Pharmacology ToolboxCompounds with optimised pharmacological properties are available for preclinical research to explore

    novel disease biology and advance scientific knowledge

    Target InnovationDo you have an innovative target idea for a drug discovery project? We may be able to help you

    validate your idea, by providing access to our compound library

    Clinical Compound BankPatient-ready compounds with evidence of human target coverage and manageable tolerability are

    being offered for novel clinical and translational research

    Open Innovation offerings across all stages of

    research

    25 IMED Biotech Unit | Scientific Partnering & Alliances

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    New Molecule ProfilingSophisticated cheminformatics and screening technologies are offered to explore the properties and

    therapeutic innovation potential of novel compounds

    Suggestion BoxDo you have an idea, technology, or suggestion that fits outside of the above mentioned collaboration

    offerings?

    R&D ChallengesTo expand our problem solving ecosystem, we are sharing key R&D hurdles and looking to collaborate

    with and reward those who bring innovative solutions

    Open Innovation offerings across all stages of

    research

    26 IMED Biotech Unit | Scientific Partnering & Alliances

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    Topics

    Looking forward

    AZ fostering innovation in emerging markets

    Innovation in emerging markets

    A few case studies

    IMED Biotech Unit | Scientific Partnering & Alliances27

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    Predicting the future

    One may underestimate the long term changes

    IMED Biotech Unit | Scientific Partnering & Alliances

    In the short term, people tend to grossly overestimate what theycan do in the long term, however, 25 years or greater Id say,

    people underestimate what they can do. (1)

    - Leroy Hood

    Crystal ball gazing

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    29 IMED Biotech Unit | Scientific Partnering & Alliances

    20122000

    19941987

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    30 IMED Biotech Unit | Scientific Partnering & Alliances