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PRODUCTION OF A FFO RDA DAB BLE CHEM O THERA PY M . Sja Sja msul Arif A rif in Pr es esid id ent Direc Dire ctor of PT. Kimia Fa r ma. Tb Tb k
2
AG EN DA … . 1. 2. 3. 4.
G LO BA L CA CAN N CE CER R M A RKE KET T IN DO N ESIA N PHA HAR RM A M A RKE KET T KF EFFO RT SUMMARY
G LO BA L CA CAN N CE CER R … … .. M a rket Size: Size: 6 5 b illion USD USD G row th Ra te: 2 3 % Third biggest therapy class O ut of 8 2 b lockb lockbuuster d rug rug s 7 a re a ntica tica ncer* *MabThera, Glivec, Eloxatin, Gemzar, Casodex, Taxotere & Zometa 3
Business Source:
Wire – , 2008 – IMS Health
CAN CA N CE CER R IN INCIDE CIDEN N CE G LO BA LLY … . 4
18,30% 17,90% 14,60% 12,20% 11,50%
5,50%
5,20%
3,60%
3,40%
2,30%
2,20%
1,80%
1,60%
TO P 5 CA CAN N CE CER RS G LO BA BALLLY BY BY G EN DE DER R … .. TOP 5 IN FEMALES
36.70%
Breast
Large Bowel
17.30%
Melanoma of Skin TOP 5 IN MALES
18.50%
Large Bowel
14.10%
Lung Melanoma of Skin Non Hodgkins Lymphoma
5
12.90% 4.90%
8.90%
Lung
29.20%
Prostate
11.40%
Non Hodgkins Lymphoma
0.10%
UN IQ UE THE HER RA PHY BEHA HAV V IO UR … … ..
Note : 50% of growth is driven by New Drugs 6
7
INDO IN DO N ESIAN PHA HAR RM A M A RKE KET T….
8
9
MARKET ANALYSIS ( Cancer Product ) … 10
Value Val ue : IDR Billions
RA N K
CO M PA N Y
2008
G %
2007
G %
2006
1
LC
144
(7 .7 )
156
2 1 .4
156
2
MNC
78
3 5 .2
58
3 1 .9
44
3
MNC
43
5 .9
40
5 2 .9
27
4
LC
28
36 3 6 .8
20
3 2 .7
15
5
LC
27
4 .2
26
1 1 .2
23
6
MNC
25
(7 .9 )
28
1 0 .9
25
Bas ased ed on IT ITMA Data MAT Dec 20 0 8
KF a s a sta te O w n Com Compp a ny … 11
¨
W e have ha ve b usines inesss f rom ro m d ow n strea tre a m to up strea tre a m : ¤
W e a lso lso ha ha ve ma ma ny ra ng e of p rod ucts & to ser ser ve ma ny customers ( p riva te sector & g overnm ove rnment ent sector sector )
KF EF EFFO RT … . 12
q
q
q
KF will develop strategic products for Cancer & HIV AIDS KF w w ill coop coop era tion with w ith na na tional Insura nce & Ca ncer Hospital KF w ill ha ha ve a colla b ora tion w ith ith:: q
q q
Domestic Partner : BATAN Foreign Pa rtn rtner er : Na p rod & 3 M
In f utu ture re KF w ill b uild a Pla nt f or d evelop in ingg Ca Canncer & HI HIV V p rod ucts (a lrea d y f in inis ishhed )
13
Pr eve evenntio tionn Ca Ca ncer Ther eraa p eu eutic ticss 1. 2. 3. 4.
Ea r ly Dete Detecction a nd Scre reenin eningg Dia g nos osis is a nd Tr ea tmen tmentt Sup p or ortt a nd Reh ehaa b ilitation Pa lliative Ca re
14
STRA TEG YC PRO PRO DU DUC CT FO R CA N CE CER R
LIS IST T PRO DUCT O N CO LO G Y BY BY KF (N (NA A PRO D) … … .. N o . Pr o d uc uct N am a me
St r e ng ht ht
Pa ck ck si ze
1
N a p r o - Ta x
Pa cl i t a x e l 3 0 mg
6 mg /
ml
v i a l 5 ml
2
Ci st e e n
C i sp l a t i n 1 0 mg
1 mg /
m l
v i a l 1 0 ml
3
Ci st e e n
C i sp l a t i n 5 0 mg
1 mg /
m l
v i a l 5 0 ml
4
A l lt r e x
M e t ho t r e x a t e 5 0 mg
2 5 mg / ml
v i a l 2 ml
5
A l lt r e x
M e t ho t r e x a t e 2 .5 mg
t a b l e t 2 .5 mg
1 0 0 ta b
6
N a p r o ci l
5 - Fl uo ur o ur a ci l 5 0 0 mg
1 0 0 mg / ml
v i a l 1 0 mg
7
N a p rod ox
D o x o r ub i ci n 1 0 mg
2 mg /
ml
v i a l 5 ml
8
N a p rod ox
D o x o r ub i ci n 5 0 mg
2 mg /
ml
v i a l 2 5 ml
9
N zy top
Et o p o si d e 1 0 0 mg
2 0 mg /
ml
v i a l 5 ml
10
Xi f e n
Ta mo x i f e n 1 0 mg
1 0 mg /
ca p sul
1 0 x 1 0 ca p
11
Xi f e n
Ta mo x i f e n 2 0 mg
2 0 mg /
ca p sul
1 0 x 1 0 ca p
C y cl o p ho sp ha mi d i e
5 0 0 mg
vi a l
12
15
A ct i ve Pha rm r ma Ing
13
Ta ce e d o
D o ci t a x e l
2 0 mg
vi a l
14 15
Ta ce e d o 4 -E - Ep ee e e d oo-1 0
D o ci t a x e l Ep irir ub ub ic i ci n
8 0 mg 1 0 mg
vi a l vi a l
16
4 -E - Ep ee e e d oo-5 0
Ep irir ub ub ic i ci n
5 0 mg
vi a l
17
A b i ng e m – 2 0 0
G e mci t a b i ne i nj
2 0 0 mg
vi a l
18
A b i ng e m – 1 G r
G e mci t a b i ne i nj
1 .0 0 0 mg
vi a l
16
17
To Produce Affordable Price 18
¨
To make ma ke cop cop y p rod uct ¤
¤
¤
¨ ¨
Cooperation with Naprod (specialist oncology product) 1 8 SKU p rod uct chem chemotera otera py Sa ving ving Cost Cost ( 20 % – 5 0 % EP )
Ea sy to g et a nd a vala va la ila b le in a ll pr ovinc ovinces Q ua lity lity g ua ra nteed
P R I C E 19
C O M P A R A T I V E
Epirubicin 10 mg
4 - Ep eed o - 1 0 Ep i r u b i c i n
N ap r o d Ko m p et i t o r
1 8 5 .0 0 0 2 3 0 .0 0 0
Price Ratio (%) 80 10 0
Epirubicin 50 mg
4 - Ep eed o - 5 0 Ep i ru ru b ic ic in in
N ap r o d Ko m p et et i t or or
9 0 0 .0 0 0 1 . 13 13 0 .0 .0 0 0
80 10 0
Taceed o 2 0 Taxotere Taxotere Brexel rexel
N ap r o d Kompetitor ompetitor A Kompetitor ompetitor B
RAT ATIIO N A L DR DRUG UG US USE E (W HO 2 0 0 1 ) 20
q
Patients receive medicines appropriate to their clinic linicaa l nee needd s
q
Doses that meet their individual requirement.
q
For a n a d eq ua te p eriod of tim ti me
q
The lowest cost to them and their community
21
W HA H A T IS … .B .BIO IO - EQ UIV UIVA A LEN T 22
G EN ERIC DRUG SUBS SUBST TIT ITU UTE REQ UIR IRE EM EN T … 23
Source : FDA Division of Bioequivalence
To Cond Conduuct Sin inee r g y … . 24
¨
¨
¨ ¨
To support & supply government needs for Social Health Insurance To ma ma ke co co -op era tion w ith N a tiona tiona l Hea lth Insurance Co-op era tion w ith Can Ca ncer Hosp Hosp ita l Mutual benefit for government, health insurance corporate, hospitals and public to complete cancer treatments
25
SUM M A RY … .. q
q
KF committed to launch chemotherapy product & af forda ble pric price KF committed to assist government health program
q
Sin inerg erg y p rog ra m w ith g overn overnm met, hea lth insuura nce , hos ins hospp ita ls f or imp implementin lementingg of integ in teg ra ted ca ncer trea tm tmen entt