Dec. 7st, 2016: GTAI Webinar Medical Biotechnology in Germany - Dr. Sabine Sydow, Head of vfa bio

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Dec. 7st, 2016: GTAI Webinar Medical Biotechnology in Germany - Dr. Sabine Sydow, Head of vfa bio
fotolia/euthymia
                                    ©©  vfa           (Impfausweis), fotolia/booka (DNA)
Dec. 7st, 2016: GTAI Webinar
Medical Biotechnology in Germany
Dr. Sabine Sydow, Head of vfa bio

Page 1
Dec. 7st, 2016: GTAI Webinar Medical Biotechnology in Germany - Dr. Sabine Sydow, Head of vfa bio
vfa: The Association of Research-Based
Pharmaceutical Companies in Germany
   44 leading research-based pharmaceutical companies are
    organized in the vfa
   Together with their more than 100 subsidiaries and affiliated
    companies, they employ nearly 80,000 people in Germany.
   The vfa members represent more than two-thirds of the entire
    German pharmaceutical market.
   They guarantee therapeutic progress in pharmaceuticals and
    ensure high-quality pharmaceutical therapy.
   In Germany more than 18,000 of their employees work in the
    field of research and development of pharmaceuticals. Here, the
    research-based pharmaceutical companies invest EUR 5.2 billion
    per year in pharmaceutical research.
   vfa bio is the interest group biotechnology within the vfa

Page 2   © vfa | GTAI Webinar Dec. 7th, 2016 | Sydow
Dec. 7st, 2016: GTAI Webinar Medical Biotechnology in Germany - Dr. Sabine Sydow, Head of vfa bio
11 Biotech Reports since the
foundation of vfa bio in 2006

Page 3   © vfa | GTAI Webinar Dec. 7th, 2016 | Sydow
Dec. 7st, 2016: GTAI Webinar Medical Biotechnology in Germany - Dr. Sabine Sydow, Head of vfa bio
The EU‘s centralized authorization
procedure
 Compulsory for e.g. biopharmaceuticals, orphan drugs and
  advanced therapy medicinal products
 Manufacturer can obtain scientific advice from EMA experts
 Documents are submitted to the EMA
   (since 2006 risk management plans are mandatory
    obligation to conduct non-interventional/
   observational studies after registration)

 Assessment by two rapporteurs (national regulatory institutions);
  if applicable recommendation („positive opinion“) of the EMA by
  the Committee for Medicinal Products for Human Use (CHMP)
 Final approval decision by the European Commission (publication
  in the Official Journal of the EU)
 More than 500 registrations in the EU since 1995

Page 4   © vfa | GTAI Webinar Dec. 7th, 2016 | Sydow
Dec. 7st, 2016: GTAI Webinar Medical Biotechnology in Germany - Dr. Sabine Sydow, Head of vfa bio
Centralized authorization procedure (EU)
      Submission/                                        Day 80                              Day 120
                              START
  Validation of Dossier                                 2 Reports                       List of Questions

                                                                                                                   STOP

  Company                             Rapporteur/
                                      Co-Rapporteur                          CHMP

                  Answers

                                                                           Day 150
                                                                        Joined Report
  Company                             Rapporteur/
                                      Co-Rapporteur
                   List of
                  Questions                                Written answer or hearing

                                  STOP                              /           +

   CHMP
                                                                                                       Authorization decision
                                                                                                         (60 days) by the
                                                                                                       European Commission
                                                                                            positive
 Rapporteur/                                                                 Day 210
 Co-Rapporteur                                                                Votum

                  Day 180                              CHMP
               Joined Report                 Benefit-/Risk-Assessment
                                                                                            negative

Page 5    © vfa | GTAI Webinar Dec. 7th, 2016 | Sydow
Dec. 7st, 2016: GTAI Webinar Medical Biotechnology in Germany - Dr. Sabine Sydow, Head of vfa bio
Germany is at the top in Europe in the production
of biopharmaceuticals authorized in the EU
Number of produced biopharmaceutical active substances per country which have
been authorized in the EU (by country)1
                       52

                                                                                       23

                                                                             9    4

                                                         5           9           SE
                                                8
                                                             4           DK                  1
                                                      UK                                     LT                                         1
                                                                                 9     DE                                        2
                      US                        IE           BE NL
                                                                         9              1                                               JP
                                        5                                                                                       KR
                                                                 5                    1 HU                 1
                                                                                 AT                       IN
                                                                                      SI 1                             7
                                       PR                     FR CH
                                                     2                            1     HR

                                                     ES                          IT
                                                                                                                      SG
                                                                                                  1
                                                                                                  IL
                                            1
                                         AR
1. Analysis of 125 biopharmaceutical active substances authorized in the EU, whose production location is known. Of these, 28 drugs are manufactured at
several production locations; A total of 24 countries are represented; Source: http://www.vfa.de/de/arzneimittel-forschung/datenbanken-zu-
arzneimitteln/amzulassungen-gentec.html; Medical Biotechnology in Germany 2015, BCG/vfa bio

Page 6         © vfa | GTAI Webinar Dec. 7th, 2016 | Sydow
Dec. 7st, 2016: GTAI Webinar Medical Biotechnology in Germany - Dr. Sabine Sydow, Head of vfa bio
10-year comparison: Growing importance
of biopharmaceuticals in Germany
  Marketing authorizations                                                             Market share of biopharmaceuticals
  Well over 200 biopharmaceuticals on the             market1                          Market share of biopharmaceuticals on the total
                                                                                       pharmaceuticals market has almost doubled
                                 +71
                                               226                                                  12%                                 22% (7.5 billion)
                                                                                                    (€ 2.6 billion)
                  155
                                                                                         88%                                  78%

                 2005                         2014                                                     20062                      2014

  Pipeline                                                                              Employment
   Number of pipeline products has more than doubled                                   Continuously increasing employment figures

                              +348                                                                              +11,295
                                               604                                                                               37,715
                                                              Phase III                         26,420
                    256                                       Phase II
                                                              Phase I

                 2005                          2014                                                  2005                          2014

1. Includes biotechnologically and genetically manufactured vaccines 2. First itemisation in the Biotech Report 2007 for the calendar year 2006
Source: Medical Biotechnology in Germany 2015, BCG/vfa bio

Page 7         © vfa | GTAI Webinar Dec. 7th, 2016 | Sydow
Dec. 7st, 2016: GTAI Webinar Medical Biotechnology in Germany - Dr. Sabine Sydow, Head of vfa bio
15 newly authorized original biopharma-
ceuticals: More than ever before

Number of new marketing authorizations1

Share of bio-
                         23%      31%      25%       4%       27%      27%      12%      18%      29%       30%       30%
pharmaceuticals
                                                                                                    49                 50
                                                                                                             47
                                                               44
                                                                                                    11                15
                                            40                                                               11
                                   36                          11
                                             8                                   34                  3
                                                                                                              3
                                                                1                 4
                                   10        2
                                                      27                                   28
                                    1                  1                                   5
                          22                                            22
                                                                                                                             Biopharmaceuticals:
                           5                                             5
                                                                         1                          35       33       35
                                            30                 32                30                                            Originals
                                   25                 26                                                                       Biosimilars
                                                                                           23
                          17                                            16
                                                                                                                               Other medicinal
                                                                                                                               products2

                        2005      2006     2007     2008     2009      2010     2011     2012     2013      2014      2015

1. New authorizations in Germany/EU; new active substances or new combinations of known active substances including
biosimilars 2. With chemical and other active substances; Source: EMA; European Commission; vfa; BCG analysis;
Source: Medical Biotechnology in Germany 2016, BCG/vfa bio

Page 8        © vfa | GTAI Webinar Dec. 7th, 2016 | Sydow
Dec. 7st, 2016: GTAI Webinar Medical Biotechnology in Germany - Dr. Sabine Sydow, Head of vfa bio
Biopharmaceutical pipeline
sees double-digit growth in Phase I of clinical development

                                                             Pipeline 20151 – according                                  Share of biosimilars
        Pipeline 2005 to          20151                       to active substance type                                    in pipeline 20151

  Change from
                           +3%     +4%                         +8%          +2%         -6%         -9%                      +2%      +27%
  previous year
                                     627                        387                                                          585
                            604
                   587
                           +4%
                     +10%     132                                72                                                          100
                   115   127

          460                              Active
                                           substances in:
           88                  -3%
                       +2%                      Phase III
                                    243
                                                                143                                                          243
                   244     250                  Phase II
                                                Phase I
                                                                                                                                          2/3 of which
  256     179                                                                                                                                 are
                                                                                                                                          monoclonal
   49
                                                                            115                                                            antibodies
                              +11%                                                      104
  105                  ±0%                                                   24
                                    252                         172                      33                                  242
                   228     227
          193                                                                53
                                                                                         32
                                                                                                     21                                 42
  102                                                                                                       3
                                                                             38          39                                               32
                                                                                                     15     3
                                                                                                                                       10
 2005     2009     2013    2014    2015                       Mono-               Other            Gene                  New active     Bio-
                                                              clonal   Vaccines2 recomb.          therapy                substances   similars
                                                            antibodies           proteins          drugs
1. Number of new active substances in the most advanced phase 2. Biotechnologically and genetically manufactured
Comment: Phase I/IIa included in Phase I; Active substances in approval procedure included in Phase III; Active substances
in global studies conducted by companies operating in Germany; Source: EvaluatePharma; Citeline’s Pharmaprojects Pipeline
Service, Jan 2016; vfa; Company information; BCG analysis; Medical Biotechnology in Germany 2016, BCG/vfa bio

Page 9          © vfa | GTAI Webinar Dec. 7th, 2016 | Sydow
Dec. 7st, 2016: GTAI Webinar Medical Biotechnology in Germany - Dr. Sabine Sydow, Head of vfa bio
The importance of biopharmaceuticals
continues to increase
Sales and share of biopharmaceuticals in the total pharmaceuticals market1, 2
(net, Germany, in billion euros [€])

 2014                                                                                                2015

           Chemical                                                                                            Chemical
           and                                                    Biopharmaceuticals:                          and
                                            Biopharma-                                                                                 Biopharma-
           other                22.0%                             Change 2014 – 2015                           other           22.9%
                                            ceuticals                                                                                  ceuticals
           active                                                 +9.7% growth                                 active
                                            € 7.5 billion                                                                              € 8.2 billion
           substances                                                                                          substances
           78.0%                                                                                               77.1%

                                                                  Total market:
            Total: € 34.1 billion                                 Change 2014 – 2015                          Total: € 35.9 billion
                                                                  +5.4% growth

1. Total net sales (pharmacy and hospital market in the statutory and private health insurance sectors) according to the ApU
(selling price of pharmaceutical companies) minus the statutory manufacturers' rebates 2. IMS Health
Comment: Biopharmaceuticals = medicinal products whose active substances are manufactured using genetically altered
organisms; Source: IMS Health; BCG analysis; Medical Biotechnology in Germany 2016, BCG/vfa bio

Page 10        © vfa | GTAI Webinar Dec. 7th, 2016 | Sydow
More than two thirds of sales are in
immunology, oncology and metabolism

Sales1 of biopharmaceuticals in Germany 2015
 Change
                             +10%             +11%             +12%              +9%              -9%            +11%            +6%        +25%
 2014 – 2015

            million €            8,242         2,423

                                                               1,801

                                                                                1,642

                                                                                                  691
                                                                                                                   416
                                                                                                                                  367
                                                                                                                                             902
                                                            71% of sales

                               Total         Immuno- Oncology                 Metabolism CNS                    Haema-         Infection4   Other5
                                               logy2                                                            tology3
1. Total net sales (pharmacy and hospital market in the statutory and private health insurance sectors) according to the ApU
(selling price of pharmaceutical companies) minus the statutory manufacturers' rebates 2. Includes TNF-α inhibitors;
excludes multiple sclerosis (s. CNS) 3. Excludes haematological oncology 4. Includes vaccines and antiviral active
substances 5. Includes osteoporosis, eye and respiratory diseases; Source: IMS Health; BCG analysis;
Medical Biotechnology in Germany 2016, BCG/vfa bio
Page 11        © vfa | GTAI Webinar Dec. 7th, 2016 | Sydow
Medical biotechnology in Germany 2025:
Seven theses at a glance
        Companies are investing continuously in the biopharmaceutical pipeline: High
 1
        number of development candidates in pipeline, share of new approvals around 30-40%

        Benefits for more and more patients: New approvals and indication extensions will
 2
        enable more patients to be treated with biopharmaceuticals in the future

        Unmet medical need: Biopharmaceuticals will become established in further areas of
 3
        application

        Renaissance of vaccines: The importance of vaccines will increase, particularly with
 4
        the introduction of therapeutic vaccines

        Personalized medicine a growing trend: The share of personalized/stratified
 5
        biopharmaceuticals will increase significantly

        Biopharmaceutical advances thanks to new technologies: New analysis concepts
 6
        and therapeutic applications will continue to improve treatment options for patients

        On the way from manufacturer to healthcare partner: Not only biopharmaceuticals
 7
        themselves but also the involvement in the provision of integrated healthcare will be
        crucial

Source: Medical Biotechnology in Germany 2015, BCG/vfa bio

Page 12       © vfa | GTAI Webinar Dec. 7th, 2016 | Sydow
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