REPRINT FROM JULY 28, 2008 BioCentury Roche’s opportunity
Most analyses of Roche’s offer to buy the rest of
Whether or not Genentech management thinks the initial
Genentech Inc. have focused on whether the price is too
offer insulting, they’re big boys and girls and can take it. They
low, or Genentech Chairman and CEO Arthur Levinson was
know — as does anyone who has done a deal — that the
dissed because he wasn’t informed before it was made public,
discussion about valuation and the discussion about strategy
or whether Roche is taking advantage of the weak dollar, or
going forward are not totally codependent.
buying ahead of the upcoming data on Avastin in the
Regarding the timing of the offer, yes, the weak dollar may
adjuvant colorectal cancer setting, or ahead of the expiration
be an incentive to act now. So may the upcoming Avastin
of its option on ex-U.S. rights to Genentech products in
data, if Roche assumes it will be positive. But both of those
2015. And most have assumed both that the deal is being
are tactical considerations for pulling the trigger, not strate-
done to gain access to the biotech’s research engine and,
somewhat contradictorily, that it will wreck Genentech.
The same can be said for the expiration of the product
But our best guess is that these interpretations miss the
option, but even more so. In corporate terms, 2015 is an
This week’s report on Roche’s proposedGenentech acquisition was reported andwritten by Editor-in-Chief Karen Bernstein
option to ex-U.S. rights to the biotech’s
and Senior Writers Aaron Bouchie and
p r o d u c t s , a n d i t c o n s o l i d a t e s
Stacy Lawrence, with additional reporting
Genentech’s U.S. sales on its P&L. by Senior Editor Peter A. Rittenhouse and
offer is an opening bid and it is clear that
Staff Writer Stephen Hansen. Data devel-opment was led by Managing Editor SusanSchaeffer, Research Director Walter Yangand Research Manager Kevin Lehnbeuter.
make it easier for the two sides to share
management was informed of the offer Sunday evening.
novel protein architectures), assets (e.g., chemical libraries),
On the pharma’s July 22 earnings call, Chairman Franz
intellectual property (e.g., antibody production), unique
Humer said the board voted on the plan on Sunday, pre-
capabilities (e.g., exploratory development, modeling and
sented the plan to the LaRoche family that evening, and
simulation) and know-how of the combined research organi-
announced it publicly on Monday. According to Humer’s
zation will strengthen the Group’s ability to innovate,”
letter to Genentech’s three independent directors, this was
Roche spokesperson Daniel Piller said via email.
because the pharma “wished to be sure that all Genentech
On a conference call, William Burns, CEO of Roche’s
and Roche shareholders are fully informed about the pro-
pharmaceuticals division, emphasized the importance of the
researchers being able to share technologies without getting
Whether the ultimate price will match Genentech’s high
of $99.66 on Dec. 5, 2005, a year driven by data and sales
“You want to move in a more seamless way to be able to
for Avastin bevacizumab, is less clear. That is certainly not
access technology, make it available to the researchers,
what the market is expecting: the stock closed Friday at $96,
wherever they are, and allow them to get on with their job,”
up $14.18 (17%) on the week. This is the first time the stock
he said. “Now you may think it’s a rather soft dimension
BioCentury, THE BERNSTEIN REPORT ON BIOBUSINESS Commentary, What Roche needs
that’s a reality. And therefore, this is
not the typical deal that’s designed to
big transaction, there are still plenty of
ways to muck it up in the execution.
telling, is that Roche’s drugs in the U.S.
quickly put on the P&L. It’s got more
to play the traditional big pharma script:
years later, the only real value left would
year there were more “green lights than
even those wouldn’t be getting the care
ing products the biotech itself partnered,
Genentech’s products; the overall phar-
Roche’s play on Genentech in the 1990s,
financial engineering in addition to gain-
for only CHF3.9 billion ($3.3 billion).
you’ve got to address that issue,” Humer
selling off bits of the biotech as it did in
hind which is the very clever strategy of
combining Genentech and Roche’s U.S.
Be that as it may, the state of Basel’s
the pharma’s reliance on the biotech’s
Make a splash
CHF17.9 billion ($15 billion), or 58%.
T h e t o p t h r e e s e l l e r s c a m e f r o m
Genentech, as did five of the top 10. DAVID FLORES KAREN BERNSTEIN, Ph.D. BioCentury®
BioCentury®, The BioCentury 100, and The Clear Route are trademarks of BIOCENTURY PUBLICATIONS INC. All contents Copyright 2011, BIOCENTURY PUBLICATIONS INC. ALL RIGHTS RESERVED. No part of this
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The contents of this publication are gathered from sources believed to be reliable, but in any case arenot warranted by the publisher for a particular use or purpose. Also, the content and opinions hereinmay change without notice and do not constitute investment advice. BioCentury, THE BERNSTEIN REPORT ON BIOBUSINESS Commentary, Co. Ltd. is contributing three NMEs in Phase III develop-
At the same time, the numbers illustrate how much more
Only three of the top 10 were Roche drugs.
aggressive Genentech has been on market development than
Last week, Burns told the conference call that the issue of
has Roche: Genentech drugs with line extensions account for
a more challenging U.S. environment for pharmaceutical
10% of Roche’s pipeline, while Roche’s account for 6%, not
sales in general is “peripheral to the main event,” which is to
counting another 6% of products that the pharma has not
enhance R&D. But the numbers argue that building strategic
access to the U.S. market by acquisition, rather than retool-
Indeed, in the past 10 years alone, Genentech has ob-
ing, retraining or refurbishing the company’s Nutley opera-
tained FDA approvals for at least seven label expansions.
By contrast, of the 12 products Roche has launched in the
Along the way, Roche also would continue to get
U.S. since 1995, only three have been major successes, and
Genentech’s research engine. The obvious question is how
none is selling over $1 billion in the U.S.: CellCept
much innovation this will inject into the pharma’s future,
mycophenolate for transplant rejection, which was approved
although the biotech arguably looks more efficient in bring-
in 1995; Xeloda capecitabine for breast, colorectal and
ing its own research and in-licensed projects to market than
gastric cancers, which was approved in 2001; and Boniva
ibandronate for osteoporosis, which was approved in 2005.
Roche’s pharmaceuticals division spent CHF7.6 billion
Meanwhile, several drugs have proven to be disappoint-
($6.4 billion) on R&D in 2007 and has at least 33 in-house
compounds in the clinic, of which 23 are disclosed to be
The first was Posicor mibefradil, a T channel calcium
novel. Genentech spent $2.3 billion on R&D last year and has
channel antagonist for hypertension and angina. Approved
about 29 compounds in the clinic, of which 21 are novel.
in June 1997, it was pulled from the market a year later. A
In terms of Roche’s late-stage pipeline, neither side is
Phase IV trial failed to show a mortality benefit in congestive
contributing much at the moment. Genentech has only two
heart failure, and it was clear that it had lots of drug-drug
novel compounds in Phase III, while Roche Pharma has none.
interactions — more than 25 — including with nitrates and
Indeed, Roche’s 59.9% owned Chugai Pharmaceutical Roches top 20
Drugs either discovered or derived from partnerships with Genentech (NYSE:DNA) accounted for nine of Roches top 20 drugs in 2007. Global sales of these drugs represented 58% of the total 2007 sales of the top 20. Moreover, of the 18 drugs in the top 20 with U.S. sales, Genentechs products accounted for 73% of the total sales in the group. (A) Since OSI (NASDAQ:OSIP) initially did the Tarceva deal with both Genentech and Roche (SWX:ROG), U.S. sales of the drug were allocated to Genentech and the rest of world sales went to Roche in calculating the percentage of global sales tied to each company; Green = Genentech drug or drug from Genentech deal; Blue = Roche drug or drug from Roche deal Product [ranked by global sales] Global sales Product [ranked by U.S. sales] U.S. sales CHF30.7B ($25.8B) CHF14.2B ($11.9B) BioCentury, THE BERNSTEIN REPORT ON BIOBUSINESS Commentary,
“thus significantly enhancing its ability
to leverage international clinical trials
A l s o d i s a p p o i n t i n g w a s T a s m a r
tolcapone for Parkinson’s disease (PD),
to California from Nutley,” he noted.
does this better than Nutley. If not, then
Genentech’s “remuneration culture,” in-
marketed by Valeant Pharmaceuti- cals International.
lipase inhibitor that was approved in1999 to treat obesity, was supposed to
Roche sales breakdown
be a blockbuster. But it wasn’t user-friendly: its main side effects are gas-
As a unit of Roche (SWX:ROG), sales from Genentech (NYSE:DNA) accounted for 28% of the big
pharmas total drug sales in 1H08, compared to 17% looking back 5 years to 2003. The biotechs sales
accounted for 71% of Roches total drug sales in North America in 1H08.
now also sold in a low dose over-the- c o u n t e r f o r m u l a t i o n b y G l a x o -
On a product basis, drugs from Genentech accounted for nearly two-thirds of global sales of the
SmithKline plc. Worldwide sales in
top 20 drugs listed by Roche in 1H08, compared to 33% in 2003. (A) U.S. sales of Tarceva allocated
to Genentech and the rest of world sales went to Roche, as OSI (NASDAQ:OSIP) initially did the 3UHVFULSWLRQ VDOHV E\ XQLW
strated its ability to build markets in itsfranchise areas through aggressive post-
take of Activase tPA proved slow,Genentech ran the 41,021-patient
GUSTO study to show it was better atreducing mortality in heart attack pa-
“That’s good clinical marketing,” said
an ex-Roche manager who did not wantto be identified. “That’s what Genentech
1RUWK $PHULFDQ VDOHV
has done well — a strategy to fullysupport their molecules and really de-
velop the market. And that’s what Roche
has never done — get the data to sup-port the brands.”
Genentech has done with Avastin. clinicaltrials.gov lists 459 trials of Avastin(many of which aren’t being run by the
company), but Genentech says it’s test-
Sales RIW drugs (A)
indications; clinicaltrials.gov shows 254
commercial center of gravity to SouthSan Francisco will provide a sort of
shock therapy to Roche’s internationalproduct development teams (IPDs). BioCentury, THE BERNSTEIN REPORT ON BIOBUSINESS Commentary,
happy dining; if a Genentecher is in charge, Schwan’s first big
move as CEO may be the best one he ever makes.
Genentech management and puts an outsider in charge. In
that event, Roche could be left in two years with the worst
ChugaiPharmaceutical Co. Ltd. (Tokyo:4519), Tokyo, Japan
of all possible worlds, having killed both Nutley and South
Genentech Inc. (NYSE:DNA), South San Francisco, Calif. GlaxoSmithKline plc (LSE:GSK; NYSE:GSK), London, U.K.
Assuming the deal goes through, the world will know
Roche (SWX:ROG), Basel, Switzerland
fairly quickly just how smart Basel is: if a Roche person is in
Valeant Pharmaceuticals International (NYSE:VRX), Aliso Viejo,
charge, Schwan will be killing the goose, and we wish him
Genentech pipeline
More than half of Genentechs clinical pipeline of NMEs comes from external sources, including licensing deals as well as its Tanox acquisition. Onlya few NMEs are in Phase III, while the company has a significant number of line extensions filling the late-stage portfolio. (A) Discovered by Genen-tech under a 2003 collaboration with Curis; (B) Compound linking Genentechs Herceptin trastuzumab with ImmunoGens DM1 toxin
In-house - NMEs Product [partner] Status [indication]
Ph III [1st-line HER2-pos metastatic breast cancer]; Ph II
Ph II [non-Hodgkins lymphoma (NHL), non-small cell
lung cancer (NSCLC)]; Ph Ib [colorectal cancer]
Ph II [colorectal cancer, basal cell carcinoma (BCC),
Ph II [HER2-pos metastatic breast cancer]
In-licensed - NMEs Product [partner] Status [indication]
Ph III [rheumatoid arthritis (RA), lupus]; Ph II [relapsing-
Ph II [hepatocellular carcinoma (HCC), renal cell carci-
noma (RCC), NSCLC, breast cancer and colorectal cancer]
Ph II [NHL, NSCLC]; Ph Ib [colorectal cancer]
Ph II [B cell lymphoma]; Ph I [B cell lymphoma, multiplemyeloma (MM), follicular NHL]
Ph I/II [chronic lymphocytic leukemia (CLL), small celllung cancer, lymphoid malignancies]
3rd-generation anti-CD20 mAb [Biogen Idec]
Anti-IL13 (TNX-650) [from Tanox acquisition]
BioCentury makes people think
There is only one journal — BioCentury, the Bernstein Report
on BioBusiness® — that is recognized by key decision makersas the best source of perspective, interpretation and analysisfor top managers and investors in the biotech community. BioCentury, THE BERNSTEIN REPORT ON BIOBUSINESS Genentech Pipeline, from previous page In-licensed - NMEs (continued) Product [partner] Status [indication]
Ph I [secondary prevention of cardiovascular events]
In-house - line extensions Product [partner] Status [indication]
Ph III [1st-line metastatic RCC, relapsed glioblastomamultiforme (GBM), adjuvant colon cancer, adjuvant HER2-neg breast cancer, adjuvant HER2-pos breast cancer,adjuvant NSCLC, diffuse large B cell lymphoma, 1st-lineadvanced gastric cancer, 1st-line HER2-neg metastaticbreast cancer,1st-line HER2-pos metastatic breast cancer,1st-line metastatic ovarian cancer, gastrointestinal stromaltumors (GIST), high risk carcinoid, hormone refractoryprostate cancer, newly diagnosed GBM, metastatic headand neck cancer, relapsed platinum-sensitive ovariancancer, 2nd-line metastatic breast cancer]; Ph III [plusTarceva for 1st-line metastatic non-squamous NSCLC]; PhII [extensive SCLC, non-squamous NSCLC w/previouslytreated CNS metastases, relapsed MM]
Ph III [diabetic macular edema, retinal vein occlusion]
TNKase tenecteplase [Boehringer Ingelheim]
Ph III [central venous access device occlusion, catheterclearance]
In-licensed - line extensions Product [partner] Status [indication]
CD20Ph III [RA DMARD-inadequate responders, active RA,
ANCA-associated vasculitis, lupus, CLL, follicular NHL]
Ph III [adjuvant NSCLC, 1st-line metastatic NSCLC]; Ph III[plus Avastin for 2nd-line metastatic NSCLC]
Valuing Viagra: What Is Restoring Potency Worth?Printed from ACP Online. Document URL: http://www.acponline.org/journals/ecp/julaug99/kwok.htm Close this window Effective Clinical Practice Valuing Viagra: What Is Restoring Potency Worth? Effective Clinical Practice, July/August 1999. For author affiliations, current addresses, and contributions, see end of text. Context. The use
OEM Online First, published on July 5, 2012 as 10.1136/oemed-2011-100255 Association between exhaled breath condensatenitrate + nitrite levels with ambient coarse particleexposure in subjects with airways diseaseSarah Manney,1 C M Meddings,2 R M Harrison,2,12 A H Mansur,1 A Karakatsani,3A Analitis,4 Klea Katsouyanni,4 D Perifanou,4 I G Kavouras,5 N Kotronarou,5J J de Hartog,6 J Pekkanen,7,8 K