Aspen Global, Inc.

近期，种种迹象表明，中国创新药市场的确庞大，但要想分得更大的蛋糕，越来越难了。跨国药企“躺赚”时代早已不复，必须重新打起精神，制定出符合中国创新药市场规律的新战略。 撰文| Erin 十一假期结束至今，约一周时间，就有三家跨国药企中国区先后传出裁员消息，一家是关停整条产品线，伴随裁员；另两家则是裁撤成熟产品的人员，将岗位调整到新晋管线之中。 2015年开启药审改革以来，我国药品审评审批政策逐步接轨国际，创新药市场持续扩容，越来越多海外药企将中国市场放入关键位置。然而，机遇与挑战始终并存，集采、国谈政策持续挤压利润；本土创新研发突飞猛进，市场竞争愈发激烈；药价治理的“尺度”也始终如达摩克利斯之剑般，高悬于想要在零售市场寻找新增长曲线的各类药企头上…… 一切迹象都在暗示一个现状：中国创新药市场的确庞大，但要想分得更大的蛋糕，越来越难了。就算是商业化体系成熟的跨国药企，“躺赚”时代早已不复，必须重新打起精神，重新制定出符合中国创新药市场规律的新战略。 谁在撤离？谁在进击？ 围绕产品布局，大抵可以将如今跨国药企中国区所做的“减法”分为两个类型：裁员，关停部门，撤掉业务线；打包出售。另外，为了将资源更好与创新这一大方向匹配，不少跨国药企也开始选择各种方式纵深在中国市场的布局，值得关注的“加法”是：开设新部门；以及同步早期研发。 2023年辉瑞的“裁撤”，是在当时较为紧张的市场情绪中，一件颇具代表性的大事。当年5月，辉瑞才更换新任中国区疫苗事业部总经理，同年11月就裁撤了整个在华疫苗线业务，并将其核心产品13价肺炎疫苗（沛儿13）交给了本土合作伙伴科园信海代理。 上月底，有消息称，强生全球正在关闭其心血管和代谢药物部门，而在去年，强生还关停了其传染病和疫苗部门。强生全球的这次调整，未来将以何种方式传导至其中国市场，备受业界期待。毕竟，在去年西安杨森更名强生创新制药之际，心血管业务还作为与肿瘤、免疫同等重要的未来新药研发方向。但伴随强生全球将“聚焦创新”作为发展关键词，强生中国无论是制药还是医疗科技，都已经发生了多起人事变动。 而对于一些腰部跨国药企来说，比起将单一事业部关停，或裁掉整个业务线，将冗余业务线“打包出售”可能是更具性价比的方式，甚至还有跨国药企借此从中国市场“撤退”。 这件事在今年以来就时有发生，例如优时比中国出售成熟管线，聚焦创新药；协和麒麟中国通过“中间角色”，将股权出售给维健医药；爱尔康以8款产品换了欧康维视股份…… 优时比与协和麒麟中国的调整代表了两个方向：前者为了集中资源，聚焦创新；后者则是伴随协和麒麟在全球的市场重心调整。 具体来看，优时比在中国的成熟业务包括两大领域，分别是神经和过敏领域。此次出售涉及神经系统成熟产品开浦兰、维派特、优普洛及抗过敏产品仙特明、优泽，以及位于珠海的生产基地，将这一系列产品以6.8亿美元（约48.43亿元人民币）价格出售、剥离和许可给亚洲最大的医疗保健专用资产管理集团康桥资本和全球投资机构穆巴达拉投资公司。 可以看到，优时比的成熟产品在如今的中国市场要么已经触发集采，要么已经被众多仿制药企抢占市场。而相对来讲，优时比的创新药产品却正在以迅猛之势进驻中国市场，例如其双靶点 IL-17A/F 抑制剂比奇珠单抗，在今年7月获得国家药监局批准用于强直性脊柱炎，与该产品在美国获批时间仅相差一年；紧接着，在今年8月，优时比的重症肌无力新药C5补体抑制剂泽勒普肽注射液也在国内获批，同样距离FDA批准时间不到一年。 相比之下，面对集采与中国市场激烈的竞争，协和麒麟在全球战略的调整已经将重心放到欧美市场。协和麒麟发布公告称：“考虑到未来增长战略与外部环境的变化，自去年以来，已经在欧洲与已建立的制药业务的合作伙伴建立了合资联盟，这次将在中国和其他亚洲地区许可产品，包括已建立的制药公司，并由合作伙伴开展销售活动。” 此外，去年12月，老牌仿制药企山德士中国被爱施健收购的发生的逻辑也同样如此。 不过，有撤退，也有进击。例如今年以来人事调整频繁的礼来，伴随2023年10月，其重磅阿尔茨海默新药Donanemab在中国的上市申请获受理，以及今年1月，治疗偏头痛的新药Galcanezumab获批上市，神经科学作为礼来在全球的四大板块之一，似乎也将在中国市场迎来突飞猛进的发展。在此契机下，礼来中国在9月正式官宣了神经科学事业部从跨生化事业部中独立。礼来中国未来将在此领域中“大干一场”的决心已然昭示。 希冀在中国市场扬帆起航的绝非礼来一家，BI早在数年前就提出“中国关键（China Key）”战略，决定在中国不分治疗领域进行全球同步早期研究的大型跨国药企，由此诞生的罕见皮肤病创新靶向药佩索利单抗注射液已在中国获批并进入医保目录。第一三共也在今年提出，中国研发团队也已经成为集团全球开发计划的第一梯队，正在逐步加入全球早期临床研究开发。 进退背后 跨国药企们密集调整，动作不同，方向各异，但都在指向同一个原因：更迅速地抓住机遇，更灵活地应对挑战。 机遇人尽皆知，中国医药市场规模已经成为全球第二大医药市场，仅次于美国，并且市场需求还在不断扩大；中国的新药审评审批机制不断向国际接轨；临床亟需的创新药物临床转化落地也在受到全方位支持…… 但同时，挑战更加不容忽视。 首先是来自集采、医保国谈等政策压力。结合目前的消息，第十批国采也将到来，届时一批跨国药企原研药又将面临“审判”。 集采的压力实际早已具像化，前有礼来治疗注意缺陷多动障碍（ADHD）的药物择思达（盐酸托莫西汀胶囊，Strattera）停止在中国供应，后有BI沐舒坦（盐酸氨溴索注射液）停止销售。 同时，胰岛素国采也给了跨国药企一记重创。在2021年首次全国胰岛素集采中，跨国药企赛诺菲、礼来、诺和诺德都积极参与，其中诺和诺德的门冬胰岛素紧贴“降幅不低于40%”的要求中标，打破了其全球价格体系，实现全球最低价。 然而在集采结果执行当年（2022年），诺和诺德中国市场业绩增长就呈现疲软态势，整体收入仅为162.09亿丹麦克朗（约合22.69亿美元），同比增幅仅为1.2%。其中占据绝大部分的胰岛素产品总收入为103.02亿丹麦克朗（约14.42亿美元），较2021年有所下滑，甚至还不如2020年的业绩。赛诺菲和礼来也在2022年相继遭遇下滑，其中礼来的中国市场降幅高达10%。 政策的压力在2024年也进一步升级，随着医保部门的药价治理触手从挂网伸向了零售端，跨国药企药品想要在零售市场实现新的增长路径似乎也在收窄。 一方面，在“四同”药价治理的威力下，包括原研药在内的非中选药品的挂网价格，正在向集采产品趋近；另一方面，各地医保局纷纷通过上线“比价系统”或是鼓励门诊统筹药店药品销售价格不高于挂网价格销售的方式，让药价在全国范围内实现趋同。 而面对成熟产品价格被“钳制”的命运，大型跨国药企已经洞悉：多年以前“躺赚”的模式不复存在，早早将有限资源转舵至聚焦创新药。以优时比为代表的腰部企业，如今也走上了相似的道路。 最后，尤其值得一提的是，来自中国本土创新力量的竞争，如今也已在不同程度上能够与跨国药企一决高下。 例如，肺癌创新治疗药物琥珀酸莫博赛替尼胶囊，作为全球范围EGFR 20号外显子插入突变晚期非小细胞肺癌治疗史上二十年来的重大突破，在2023年获得优先审评审批程序附条件批准上市。然而，莫博赛替尼最终却因确证性研究数据不达标，无奈于同年4月在全球主动退市。 莫博赛替尼的背后，其实也离不开中国本土创新药的竞争压力。据悉，同年8月，中国本土Biotech的同靶点新药舒沃替尼就获得了国家药监局的正式批准。 近期，中国创新药“头对头”临床挑战跨国药企的消息也层出不穷。先是康方PD-1/VEGF双抗新药依沃西成为全球首个且唯一在III期单药“头对头”临床研究中证明疗效显著优于K药的药物；9月，恒瑞也开启了其补体B因子（CFB）抑制剂HRS-5965胶囊“头对头”对比补体抑制剂王牌产品依库珠单抗注射液的III期临床试验。 其实从今年上半年跨国药企中国区业绩情况来看，默沙东夺下第一宝座，半数MNC重回两位数增长，他们近几年的调整效力是显著的。然而，跨国药企所面临的挑战从未消失，甚至更为严峻了，毕竟谁也不知药价治理的风暴还将以何种形式刮向何方，又是否会有一匹又一匹兼具商业化与创新实力的中国本土药企奔赴而来，与他们进行正面博弈。 一审| 黄佳 二审| 李芳晨 三审| 李静芝 精彩推荐 CM10 | 集采 | 国谈 | 医保动态 | 药审 | 人才 | 薪资 | 榜单 | CAR-T | PD-1 | mRNA | 单抗 | 商业化 | 国际化 ｜ 猎药人系列专题 | 出海 启思会 | 声音·责任 | 创百汇 | E药经理人理事会 | 微解药直播 | 大国新药 | 营销硬观点 | 投资人去哪儿 | 分析师看赛道 | 药事每周谈 | 医药界·E药经理人 | 中国医药手册 创新100强榜单 | 恒瑞 | 中国生物制药 | 百济 | 石药 | 信达 | 君实 | 复宏汉霖 ｜翰森 | 康方生物 | 上海医药 | 和黄医药 | 东阳光药 |  荣昌 | 亚盛医药 | 齐鲁制药 | 康宁杰瑞 | 贝达药业 | 微芯生物 | 复星医药 ｜再鼎医药｜亚虹医药 跨国药企50强榜单 | 辉瑞 | 艾伯维 | 诺华 | 强生 | 罗氏 | BMS | 默克 | 赛诺菲 | AZ | GSK | 武田 | 吉利德科学 | 礼来 | 安进 | 诺和诺德 | 拜耳 | 莫德纳 | BI | 晖致 | 再生元

The emerging therapies for the treatment of idiopathic pulmonary fibrosis include a great deal of emerging drugs Tyvaso (treprostinil), BI 1015550, and others. The emerging therapies in the pipeline have the potential to change the IPF market size and manage the disease burden and progression. LAS VEGAS, Sept. 9, 2024 /PRNewswire/ -- Idiopathic pulmonary fibrosis (IPF) is when the lungs become scarred, and breathing becomes increasingly difficult. Damage to the alveolar epithelium and abnormal wound repair are theorized to be key factors in the development of this disease. Although the cause of IPF is unknown, researchers postulate that the disease probably results from genetic and environmental factors. There is a strong possibility that genetic changes increase a person's risk of developing IPF and subsequent exposure to certain environmental factors that further trigger the disease. However, much is still unknown about this emerging field of study. As per DelveInsight analysis, the total diagnosed prevalent cases of IPF in the 7MM was 193K cases in 2023 which are expected to rise, at a significant CAGR during the study period (2020–2034). The therapeutic approach of IPF involves both nonpharmacological and pharmacological strategies. The goal of the treatment is to slow disease progression, reduce symptoms, prevent acute exacerbations, and prolong survival. Currently, two drugs, OFEV (nintedanib) and ESBRIET (pirfenidone), are approved for treating IPF. These drugs are classified as anti-fibrotic agents, which clinical trials have shown to slow down lung fibrosis or scarring. Pirfenidone is a modified pyridine small molecule with anti-fibrotic, anti-inflammatory, and antioxidant properties. Learn more about the FDA-approved IPF drugs @ Drugs for Idiopathic Pulmonary Fibrosis Treatment Pirfenidone reduces the likelihood of respiratory-related hospitalization over a year of treatment. It is generally well-tolerated, with mild side effects such as skin rash, weight loss, nausea, and fatigue. However, there have been instances of abnormal liver function, including elevated serum alanine aminotransferase (ALT), aspartate aminotransferase (AST), and bilirubin levels, necessitating regular liver function monitoring for patients on pirfenidone. Nintedanib is an intracellular tyrosine kinase inhibitor that binds to adenosine triphosphate binding sites, thus inhibiting the signaling pathways associated with vascular endothelial growth factor receptor, fibroblast growth factor receptor 1–3, and platelet-derived growth factor receptor α and β. The main side effects are diarrhea and nausea, which are manageable with medication, but hepatotoxicity can occur in rare cases. Before May 2022, ESBRIET and OFEV were the only approved treatments for IPF available on the market. However, Sandoz Pharmaceutical recently launched a generic version of pirfenidone in the US. This new entry is expected to significantly impact Hoffmann-La Roche's ESBRIET market and disrupt the market for OFEV as well. Over the years, various drugs have been studied for treating IPF. With the ongoing need for more advanced and specific treatment approaches, new therapies beyond conventional methods are being developed for IPF. To know more about IPF treatment options, visit @ New Treatment for Idiopathic Pulmonary Fibrosis Companies across the globe are diligently working toward the development of novel treatment therapies with a considerable amount of success over the years. To date, there are several emerging market players, United Therapeutics, Boehringer Ingelheim, Pliant Therapeutics, Inc., and others that are developing drugs for the treatment of IPF. Discover which therapies are expected to grab major IPF market share @ Idiopathic Pulmonary Fibrosis Market Report Tyvaso (treprostinil), developed by United Therapeutics, is a prostacyclin mimetic approved to treat pulmonary arterial hypertension (PAH; WHO Group 1) and pulmonary hypertension associated with interstitial lung disease (PH-ILD; WHO Group 3), aiming to enhance exercise capacity. The company is currently conducting a global Phase III clinical trial called TETON 1 to evaluate Tyvaso for the treatment of patients with IPF. BI 1015550, an experimental oral PDE4B inhibitor with both antifibrotic and anti-inflammatory properties, is under development by Boehringer Ingelheim. Recently, the company released encouraging 12-week Phase II data demonstrating a reduction in lung function decline in IPF patients. The drug is now in Phase III of clinical trials. PLN-74809, the leading program from Pliant Therapeutics, is an oral, small-molecule dual selective inhibitor targeting αVβ1 and αVβ6 integrins, under development for idiopathic pulmonary fibrosis (IPF) and primary sclerosing cholangitis (PSC). These integrins are responsible for the upstream activation of TGF-β1 in fibrotic tissues. By inhibiting these integrins, PLN-74809 aims to block TGF-β1 activation, thus preventing the growth of fibrotic tissue in the lungs and bile ducts. The drug is currently in Phase II of clinical development. Fipaxalparant (HZN-825), developed by Horizon Therapeutics/Amgen, is an oral selective lysophosphatidic acid receptor 1 (LPAR-1) antagonist that has demonstrated promising early clinical results in treating systemic sclerosis. The company is now conducting a Phase II pivotal trial to assess HZN-825 for the treatment of IPF. Discover more about drugs for IPF in development @ Idiopathic Pulmonary Fibrosis Clinical Trials The anticipated launch of these emerging therapies for IPF are poised to transform the market landscape in the coming years. As these cutting-edge therapies continue to mature and gain regulatory approval, they are expected to reshape the IPF market landscape, offering new standards of care and unlocking opportunities for medical innovation and economic growth. DelveInsight estimates that the market size for IPF is expected to grow from USD 3.2 billion in 2023 with a significant CAGR by 2034. This growth can be attributed to the increasing prevalent cases over the globe and thus the surge in treatment options. The expected launch of emerging therapies for IPF treatment is expected to boost the market in the forecast period (2023–2034). DelveInsight's latest published market report titled as Idiopathic Pulmonary Fibrosis Market Insight, Epidemiology, and Market Forecast – 2034 will help you to discover which market leader is going to capture the largest market share. The report provides comprehensive insights into the IPF country-specific treatment guidelines, patient pool analysis, and epidemiology forecast to help understand the key opportunities and assess the market's underlying potential. The IPF market report proffers epidemiological analysis for the study period 2020–2034 in the 7MM segmented into: Total Diagnosed Prevalent Cases of Idiopathic Pulmonary Fibrosis Gender-specific Diagnosed Prevalent Cases of Idiopathic Pulmonary Fibrosis Age-specific Diagnosed Prevalent Cases of Idiopathic Pulmonary Fibrosis Severity-specific Diagnosed Prevalent Cases of Idiopathic Pulmonary Fibrosis The report provides an edge while developing business strategies by understanding trends shaping and driving the 7MM IPF market. Highlights include: 11-year Forecast 7MM Analysis Epidemiology-based Market Forecasting Historical and Forecasted Market Analysis upto 2034 Emerging Drug Market Uptake Peak Sales Analysis Key Cross Competition Analysis Industry Expert's Opinion Access and Reimbursement Download this IPF market report to assess the epidemiology forecasts, understand the patient journeys, know KOLs' opinions about the upcoming treatment paradigms, and determine the factors contributing to the shift in the IPF market. Also, stay abreast of the mitigating factors to improve your market position in the IPF therapeutic space. Related Reports Idiopathic Pulmonary Fibrosis Pipeline Idiopathic Pulmonary Fibrosis Pipeline Insight – 2024 report provides comprehensive insights about the pipeline landscape, pipeline drug profiles, including clinical and non-clinical stage products, and the key idiopathic pulmonary fibrosis companies, including FibroGen, United Therapeutics, Bellerophon Therapeutics, MediciNova, Novartis, Endeavor BioMedicines, Pliant Therapeutics, Nitto Denko, Kadmon Pharmaceuticals, Calliditas Therapeutics, Avalyn Pharmaceuticals, PureTech Health, Taiho Pharmaceutical, Bristol-Myers Squibb, Galecto Biotech AB, CSL Behring, Celgene Pharmaceutical, Vicore Pharma, Boehringer Ingelheim, Guangdong Raynovent, Sunshine Lake Pharma co, Suzhou Zelgen Biopharmaceuticals, Algernon Pharmaceuticals, Horizon Therapeutics, Daewoong Pharmaceutical, Metagone Biotech, AstraZeneca, Lung Therapeutics, Bridge Biotherapeutics, AstraZeneca, Kinarus AG, Insmed, Reviva Pharmaceuticals, Annapurna Bio, Guangdong Hengrui Pharmaceutical Co., Ltd, Ark Biosciences, Ocean Biomedical, among others. Cough in Idiopathic Pulmonary Fibrosis Market Cough in Idiopathic Pulmonary Fibrosis Market Insights, Epidemiology, and Market Forecast – 2034 report delivers an in-depth understanding of the disease, historical and forecasted epidemiology, as well as the market trends, market drivers, market barriers, and key cough in idiopathic pulmonary fibrosis companies, including NeRRe Therapeutics, Trevi Therapeutics, Algernon Pharmaceuticals, Seyltx Inc., Melius Pharma AB, Cellular Sciences, Emphycorp, among others. Pulmonary Fibrosis Pipeline Pulmonary Fibrosis Pipeline Insight – 2024 report provides comprehensive insights about the pipeline landscape, pipeline drug profiles, including clinical and non-clinical stage products, and the key pulmonary fibrosis companies, including Roche, Boehringer Ingelheim, Galecto Biotech, Cipla, Gilead Sciences, Fibrogen, Bristol-Myers Squibb, among others. Pulmonary Fibrosis Market Pulmonary Fibrosis Market Insights, Epidemiology, and Market Forecast – 2032 report delivers an in-depth understanding of the disease, historical and forecasted epidemiology, as well as the market trends, market drivers, market barriers, and key pulmonary fibrosis companies, including Roche, Boehringer Ingelheim, Galecto Biotech, Cipla, Gilead Sciences, Fibrogen, Bristol-Myers Squibb, among others. About DelveInsight DelveInsight is a leading Business Consultant and Market Research firm focused exclusively on life sciences. It supports pharma companies by providing comprehensive end-to-end solutions to improve their performance. Get hassle-free access to all the healthcare and pharma market research reports through our subscription-based platform PharmDelve . Contact Us Shruti Thakur [email protected] +14699457679 Logo: SOURCE DelveInsight Business Research, LLP

近日，多家药企陆续公布了2024年上半年财务业绩。爱施健上半年股价下跌，受制于中国带量采购政策，亚洲成为报告期内唯一一个商业化药品销售出现负增长的地区。 爱施健全球增长5%，受中国带量采购影响较大 南非制药公司爱施健（JSE:APN）发布了截至2024年6月30日财年的年度财务业绩。按固定汇率计算，收入同比增长5%，达到447亿南非兰特（25亿美元），但EBITDA同比下降3%至113亿南非兰特。由于业绩低于投资者预期，Aspen股价下跌约10%。 爱施健称中国带量采购政策是造成这一情况的主要原因，该公司的注射产品速避凝（低分子肝素）（一种抗凝剂）和得普利麻（丙泊酚）（镇静催眠剂）在中国的受政策影响“比预期更严重”，导致该公司在亚洲的商业化药品业务同比下降26%，亚洲是该公报告期内唯一一个商业化药品销售出现负增长的地区。 截至撰稿时，爱施健尚未召开年度财报电话会议。不过，该公司在2024年3月和2023年8月举行的财报电话会议上详细讨论了其中国战略。GBI数据显示，爱施健目前在中国市场上有13种产品获得了批准，其中大部分是仿制药。随着带量采购临近，该公司一些关键产品将受到影响。8月份首席执行官Stephen Saad对此表示，爱施健必须考虑“我们如何应对在中国的局面？我们是否只能接受这样的减值并最终退出中国市场？”这一主要问题，就像因带量采购而损失市场份额的一些竞争对手一样。爱施健也认为，离开中国将会“损失巨大的机会”，Saad表示：“如果运作得当，中国应当成为爱施健业务中最大的市场”。 为了减轻带量采购产生的部分影响，爱施健于2023年12月以9260万欧元（1.005亿美元）的价格收购了山德士（中国）制药有限公司，囊获了该公司在中国的产品组合。Saad预测，虽然2024年将是艰难的一年，但将为中国市场从2025年开始增长的未来奠定基础。 全球医疗情报领导者 解锁隐藏在数据中的商业潜力  关于 G B I ” 自从2002年成立以来，GBI始终以技术为驱动，为药企、器械及行业相关服务商提供贯穿生命周期的全球药品市场竞争数据、全球行业资讯、HCPs洞察、全国医疗器械数据等商业信息与洞察，助力企业在进行战略布局和决策时，脱颖而出。历经20余年的深耕细作GBI已成为95%以上跨国药企、国内头部药企、咨询与投资机构等医疗圈灯塔用户值得信赖的长期合作伙伴。 联系我们 投稿 | 发稿 | 媒体合作 ▶ zhangxinyue13@baidu.com 数据库 | 咨询服务 | 资讯追踪 ▶ 点击左下“阅读原文”完成表单填写 点击阅读原文，解锁完整双语新闻