Is India losing its pharma edge?



There is a minor ripple of concern following the announcement that US-based Abbott Pharmaceuticals would be buying the healthcare division of Piramal Laboratories. With this, and along with Ranbaxy’s being bought by Daiichi Sankyo, observers have noted, India’s pharma sector is now roughly half owned by foreign multinationals – a situation the country hasn’t seen since the 1970s.

That was when India effectively legalized medical piracy.

Patents were restricted and Indian firms became experts at reverse engineering drugs. Prices were low, not least because the huge research and development costs for new molecules were being borne by the multinational firms.

The introduction of intellectual property rights into the World Trade Organisation brought an end to this cozy affair. Some Indians feel this marked the beginning of the end of Indian pharma, that the multinationals’ picking up Indian firms today is a consequence of that decision.

That’s part of the story. But the fact is that Indian firms were also pressured by the country’s drug price control system. Firms like Piramal depended on overseas sales to compensate for the thin margins they made on sales at home.

Another factor was the rise of generics. Previously multinationals didn’t bother with the generics business. Today, most recognize this has to be part of their portfolio. Hence Daiichi Sankyo’s decision to go for Ranbaxy.

A key question is why Indian firms were unable to develop their own research and development capability, to generate their own original molecules. Ranbaxy was among the foremost in trying this path. Others, like Cipla, focussed on generic production of off-patent products.

But it was always a gamble. No firm can predict if they will ever get a viable medicine no matter how much money the spend on their laboratories. Often, even multinational firms depend on two or three drugs for the bulk of their profits. Once patents expire and if they don’t get a new discovery, they are doomed.

From a distance, it looks an absolutely bizarre business model. Indian firms were always going to have a problem of size. It takes half a billion dollars or so to produce a new molecule. With a constricted domestic market thanks to price controls and an overseas market characterized by regulatory hassles and fighting expensive legal battles over patents, that sort of money was always going to be hard to find.

So is it over for Indian pharma?

One, I don’t think it really matters whether the pharma sector is foreign or Indian. Ownership doesn’t matter. What does matter is that all these firms are setting up research centers in India, doing clinical trials, and otherwise employing and training Indians. I spoke with a senior Abbot executive just weeks before the Piramal buyout and clearly using India as a base for product development was part of his firm’s vision.

Two, it was inevitable that the Indian pharma sector was going to see some consolidation. After the top 30 firms, the rest get less than one per cent of market share. There will be some more foreign purchases, largely by firms looking for a generics capability. But the multinational share will stabilize at some point.

Three, as India’s economy grows and, hopefully, the government looks beyond simply cheap drug prices and to the idea of providing material incentives for pharma innovation, Indian firms will start to get the internal capacities to generate new molecules. Indian firms own more US Federal Drug Administration approved pharma plants in the world than any country except the US itself – so they are getting some traction in global markets.
And, pharma may yet see its entire business model turned on its head if gene therapy starts to take off.

Whether India is ready for that, of course, is another story altogether.

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  • D10

    I think you’ve made a good point about survival and growth of Indian pharmaceuticals, especially in the light of the new patent regime. However, I do feel that in India growth of pharmaceuticals will have to find a model which incorporates cheap drug pricing, in particular in the context of life-saving drugs and those which are commonly used.

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  • http://www.zojila.com Ron Jose

    I hope this is not a ploy by foreign corporations to control the market price of drugs. It is vital for the third world to have cheap generics

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    Jagdish Reply:

    National security is at stake. Therefore a giant Indian consortium of Drug companies is needed. No sector can simply be left and accepted that foriegn companies can dominate it. Many drugs such as glucophage known as metformin were based of Aryur-vedic formulations. Indians never profitied from this. Indian companies should recieve government subsidies so they can compete.

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  • sharan

    It has to happen as Indian cos heavily relied on generics. All these cos are owned by businessmen who are interested in making money not in investing in R&D. The prices are not so low that they have thin margins.
    The will to put money in R&D is not there.Anyways Ranbaxy and Piramal owners made huge money and went into more money making business. Anyway let the owner of the business be anyone but let them provide qualitty medicines to masses of India.

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  • http://www.cliniminds.com Bhavin Babaria

    India is becoming the most favored destination for clinical trials across world & thanks to its patent policy. Also the regulatory procedures have been made stricter than what it was earlier, like compulsory registration in CTRI before conducting any clinical trial on human volunteers. Also India, has benefit of potential well trained and experienced scientist pool, not to mention the number of Indians working in NASA. This scientists are of great ability and have considerable knowledge as well. The only problem till date why any Indian molecule had not been taken so far was becoz of the cost involved after all this procedures. With foreign companies investing their resources in India, I would say its not end of Indian Pharma, but its like making an impact of Indian pharma globally, and a new era of global pharma industry is rising.
    Although the prices of life saving drugs is still a concern, but still with the increasing Research and strong policies it will surely show its benefits as well.

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  • Nikhil

    Foreign capital and global practices in pharma sector in India means we may see new diseases being discovered in India that will promised to be healed by existing drugs offered by our pharma companies. Ka-ching at the stock market!!

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  • sunit

    Consider the following comments from Opinions Column of the science journal `Nature` by WK Lim of Malaysia–
    “No Asian nation is represented among the top 20, ranked by the average number of citations per published paper”.
    “The exam-centric Asian education system has created a workforce more adept at imitation than innovation (Wk. Lim ,Science 327, 1576–1577; 2010)”.
    So expecting any drug discovery of significance is out our reach for the time being. And all the regulatory procedures that our government is implementing as a forethought came to the West as afterthought, thus putting us at double disadvantage.
    As for the take-overs are concerned, the same companies which price their products at exhorbitant levels citing patent and drug discovery costs, will price the generics at exhorbitant levels citing quality and other intangibles. And our netas and beaurocrats are waiting to oblige them.

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  • Indians

    U.S. will make sure India looses the edge in everything especially PHARMA too. COURTSEY THE TRITOR LEADER/S OF INDIA.

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  • haseeb

    He is a jewel of Art and craft-God bless him always- love you my gru
    haseeb

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  • Shwetank Bhushan

    Absolutely brilliant .. BUT I disagree with one of the assumptions ..

    “Petrol is a fuel that is used only by the middle class and the rich. The only machines that use petrol to any great extent are:
    * Cars
    * Two-wheelers
    * Portable generator sets
    The poor don’t use any of these. The middle class and the rich do.”

    Petrol/Diesel is majorly used for public transport and goods carrier .. and price hike even by a fraction directly/indirectly kills the poor if not the middle class or the rich.

    Fantastic point of view though ………

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  • Kunal

    I think this is a hillariously-misleading article albeit for a different reason. Mr. Mitra is hell bent on implying “as petrol is not used by the poor, Govt is justified in raising price”. If I use this logic, Govt should sharply increase prices and/or taxes on houses, jeans/high-end clothing, furniture, audio/video equipment, restaurants, hotels………..Mr. Mitra is forgetting that high taxes are business / economy / job destroyers, i.e., if Govt raises taxes it would destroy whatever little gain middle-class scooter-owning “rich” people have made. Mr. Mitra, do some research on GNP per capita growth rate vs. tax rates and you would find an astonishing correlation. China / Korea / Hong Kong / Taiwan’s GNP per capita (absolute and growth rate) increased in 2-3 years when they reduced the tax rate. Hong Kong with a flat 18% tax rate has a higher GNP per capita than most of the European countries including UK!! Mr. Mitra’s argument notwithstanding, watch inflation go up hurting the very poor people, all of us are so passionate about.

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  • http://www.facebook.com/ajfrod Arjun Rodrigues

    Petrol use to be used mainly by the rich, Diesel mainly for trucks, the is why it was subsidized, petrol was taxed more. things change, now the middle class use cars, more are on the roads, the govt should give a tax rebate on hybrid cars, which use less fuel

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  • anjani

    This guy is delusional…the indirect affect of price rise is more on poor & middle class….

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  • vinayak

    There are lakhs of electricians, plumbers, vegetable vendors… and many self employed youth are riding motorcycle, scooters and mopeds… are they rich?? Such hikes really damage their day to day survival.
    Let us take an example of an electician who moves using a two wheeler. Does not have stable income.. earns anything between 100 to 500 per day.. depending upon the season and work available. Even if he earns 15000 per month, do you fit him into a middle class? When the man lives in a urban village like badli, munirka, kotla.. on rented house..
    While the hike is inevitable, the scrupulous way it is done – that’s what makes every one angry. Why can’t they oil firms keep increasing/decreasing every fortnight – as mandated. The morons running the UPA govt will not let them do it – because – it suits them to hold the hike before major elections and it does not immediately hurt them when the price is raised when there is no immediate election.

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  • Suresh BV Bharadwaj

    Vladimir Putin, Lal Bahadur
    Shastri, Sir Sheshadri Iyer & Sir M Vishweshwarayya’s grand-sons Ravindra
    & DK Ravi, VS Acharya & BS Yeddyurappa (Churches were attacked; BSY was
    CM; VSA was HM), Rajat Gupta (made Indian companies globally competitive),
    Sanjay Gandhi, Rajiv Gandhi (converted to Christianity but was the son of a
    Parsee Iranian Shia Muslim), Homi Jehangir Bhabha (a relative of Pakistan
    Founder Mohammad Ali Jinnah), Shah Rukh Khan (father is a Pakistani Muslim),
    Indira Gandhi (husband was the Parsee-Speaking Iranian Shia Muslim Firoz
    Jehangir Nawab Khan Ghandy; USA President Richard Nixon sent USA’s 7th Naval
    Fleet , carrying atom bombs, against India during 1971 Bangladesh war but
    India’s trusted friend Russia sent its own naval fleet to defend India &
    told USA that any USA war against India is a USA war against USSR; the furious
    & sadistic Richard Nixon ordered for the assassination of Indira Gandhi
    & her sons with the help of Non-Aryan European Christian male & female
    human bodies, GPS & REMOTE SENSING SATELLITE – NANO & BIO TECH SENSORS–NEURO
    IMAGER –OR – BODY SCANNER – NEURO SCIENCE – NEURO PHYSIOLOGICAL – NEUTO PSYCHIATRIC – NEURO & BODY CLINICAL
    TRIAL – NEURO PSYCHOLOGAL – BASED REMOTE BODY AREA NETWORKS (BAN), REMOTE MIND
    READING NETWORKS & REMOTE MIND CONTROL NETWORKS, REMOTE EVERY BODY PART TOUCHING,
    MASSAGING, ROMANCING, LENGTHENING, SHORTENING, MOLESTING & RAPING NETWORKS
    & REMOTE 24-HOURS-A-DAY TALKING, SINGING, SOUND BLASTING & SLEEP
    DEPRIVING NETWORKS) Rajesh Pilot (a PM prospect & a future rival),
    Jithendra Prasad (contested against the Non-Aryan European Italian Roman
    Catholic Christian Sonia Antonia Maino for President of Italian National
    Congress), Madhav Rao Scindia (a PM prospect), LTTE Prabhakaran, his sons,
    daughter & wife (make Sri Lankan Buddhists & Sri Lankan Hindu Tamils
    fight & weaken each other), Raja Ram Mohan Roy (failed to convert him to
    Christianity), Narendra Vivekananda Paramahamsa (attracted European Christian
    females, including the sexually promiscuous Margaret Isabella, who gave him STD
    disease), Ramakrishna Paramahamsa (tricked him into worshipping his traumatized
    wife as Goddess Kali) & Mahatma Gandhi (made to eat meat & hear sheep’s
    voices inside his brain; killed by the European Greek Christian Nathuram Godse,
    whose European Greek ancestors came to India during Alexander’s invasion &
    European Christian Crusade Wars against Jewish Rabbi Freedom Fighter Joshua
    Jesus Christ’s Jewish Israel & Muhammad’s Arabia), Netaji Subhash Chandra
    Bose (made to have sex with Non-Aryan European Christian God Adolph Hitler
    worshipping European German Christian woman), Aurobindo Ghose (did not allow his
    wife to join him in Pondicherry but he was coerced into having a live in relationship
    with a twice-divorced, sexually promiscuous French woman) & Jawaharhal
    Nehru (did not allow him to sleep until 3 am every day until he wrote to Mahatma
    killer & Non-Aryan European Greek Christian Nathuram Godse’s Greek
    Christian relative Edwina Mountbatten) were victims of the Non-Aryan European
    Christian & USA Conspiracy to monitor, manipulate & control Asian
    Indians, Chinese, Japanese, Burmese, Koreans & Nepalese. OM!

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