Wednesday, July 23, 2014

GSK 大幅整頓 藥物品項 (asset swap, Novartis/ divestment, mature medicines)

大藥廠 急著脫手「成熟藥」【經濟日報╱編譯林佳賢/綜合外電】 2014.07.14 03:24 am 包括葛蘭素史克(GSK)等大藥廠正與私募基金談判出售旗下價值上百億美元的藥品資產,以因應暢銷藥品失去專利保護及成本攀升的衝擊。英國電訊報引述消息人士報導,英國的葛蘭素史克、阿斯特捷利康(Astrazeneca),美國亞培、輝瑞及默克(Merck),還有法國的賽諾菲(Sanofi),都在找尋出脫專利過期藥品的方法。消息人士指出,具備保健產業經驗的百仕通、Advent國際、Cinven等私募基金,可能對收購藥品資產感興趣。在部分暢銷藥品失去專利保護、面臨學名藥競爭、成本壓力攀升和發掘新藥品出現困難時,全球大藥廠正重新調整旗下藥品資產組合。葛蘭素史克日前進行大膽改革,將專利過期藥品列為「成熟藥物」,在財報中單獨呈現。該藥廠正與資產管理公司Lazard合作,並已探詢數家私募基金接手旗下資產的意願。【2014/07/14 經濟日報】

GSK invites private equity to bid for older drugs – sources  BY BEN HIRSCHLER AND FREYA BERRY LONDON Fri May 30, 2014 12:41am GlaxoSmithKline has invited private equity firms to consider making offers for a range of its older drugs sold in Western markets, according to three people with direct knowledge of the matter. The move is part of a reshaping of the drugmaker's business, which also involves a major asset swap deal struck last month with Novartis. Chief Executive Andrew Witty said last month that Britain's biggest pharmaceuticals company could dispose of individual medicines or a broader portfolio of older established products. A GSK spokesman had no further comment on the potential disposals on Thursday. Private equity firms approached by GSK include Advent International, Blackstone and KKR, the sources said, and the drugmaker is being advised by Lazard. Officials at Lazard and the three private equity firms declined to comment. GSK said at its first-quarter results on April 30 that it was evaluating options to "maximise the value of our portfolio and currently reviewing our Established Products Portfolio". The portfolio includes products such as the antidepressant Paxil, migraine treatment Imitrex and Zantac for stomach acid. The company has started breaking out results for these mature medicines for the first time this year as a prelude to a potential divestment of at least some of them. "You should not be surprised if we were able to transact a disposal of some of that established product portfolio in the next year or two," Witty told reporters last month. "That is not part of our future." One person familiar with GSK's thinking said it was in "no rush" to dispose of the 50 or so older medicines in the division and it also planned to retain rights to most of the products in emerging markets, where they form an important part of GSK's business. Sales of established products totalled 814 million pounds in the first quarter of 2014, down 11 percent on a year earlier, reflecting increased competition from cheaper generic copies. Around half of those sales were made in emerging markets. Although sales of these older medicines are declining, they are still very profitable. Core operating profit for established products was 485 million pounds in the first quarter, down from 609 million a year earlier, representing an operating margin of 59.6 percent against 27.3 percent for the group as a whole. The drugmaker's approach to private equity firms was first reported by Sky News. GSK shares ended 0.5 percent higher, after falling 1.6 percent on Wednesday following news that Britain's Serious Fraud Office had launched a criminal investigation into the company's commercial practices.

WIDER INDUSTRY TREND GSK has already disposed of some non-core products. Last September it agreed to sell thrombosis medicines Arixtra and Fraxiparine to South Africa's Aspen Pharmacare for 700 million pounds or around two times their annual sales. Assuming a similar sales multiple, the Western-markets half of the current established drugs portfolio might be worth around 3.25 billion pounds, based on the level of sales reported in the first quarter. GSK's decision to review its portfolio of older prescription drugs is part of a wider industry trend. Once companies divest their mature drugs, the remaining faster-growing and newer products can boost the top-line sales rate. Pfizer, the biggest U.S. drugmaker, has created a similar established products unit as a possible prelude to eventually divesting its mature drugs, and other firms are considering their options. France's Sanofi and U.S. drugmakers Merck & Co and Abbott Laboratories are all exploring selling off some of their older drugs that have lost patent protection, Reuters reported last month. Finding a keen buyer, however, may not be so easy. The appetite among rival drugmakers for such ageing assets is limited, leaving private equity firms as the most obvious purchasers, since they can milk the cash flow without having to worry about the expense of drug development.

 

Bayer替健保省錢!! 采視明 (Eylea(R)aflibercept) 來勢洶洶 PK ranibizumab (lucentis)

采視明®瓶裝注射液 Eylea®aflibercept  40mg/ml solution for intravitreal injection vial僅供眼科玻璃體內注射用。EYLEA必須由合格醫師注射。Eylea的建議劑量為2 mg aflibercept,相當於50微升。Eylea開始治療時為前三個月每個月注射1次,連續注射3次,之後則為每2個月注射1次。患者於治療一年後,若病情需要,建議注射方式為每4~12週接受1次治療。

許可證字號 衛署菌疫輸字第 000936  本藥限由醫師使用

適應症 適用於治療非息肉狀脈絡膜血管病變(PCV)的血管新生型(溼性)年齡相關性黃斑部退化病變。

(醫療科技評估報告經濟評估結論

1. 在成本效益部分,建議者所遞送的國內經濟學研究,分析結果呈現使用

aflibercept 相較於 ranibizumab,可增加 0.006  QALYs並減少醫療花費共

新台幣 34,351  2. PBAC 針對 aflibercept 完成醫療科技評估報告,且做出接受收載的決定,原因為係基於最小成本分析結果 3. 近期 NICE  SMC 亦完成醫療科技評估報告,一致做出建議收載的決定,認為於英國 aflibercept 是符合成本效益的藥品治療 4. 建議者估算 aflibercept 納入健保後,第一年到第五年藥費,約五千五百萬元至一億六千萬元,由於可能取代現有治療藥品,節省部分已給付藥品支出,因此若本藥品納入給付,將不增加健保財務支出。查驗中心認為廠商預估應屬合宜。惟若健保給付條件無限制 aflibercept  ranibizumab 擇一使用,則廠商所預估之預算衝擊可能有所低估。

Source: http://www.nhi.gov.tw/

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