PHARMACEUTICAL PRODUCT STRATEGY Using Dynamic Modeling for Effective Brand Planning PHARMACEUTICAL PRODUCT STRATEGY Using Dynamic Modeling for Effective Brand Planning Mark Paich, Corey Peck, and Jason J. Valant CRC PR ESS Boca Raton London New York Washington, D.C. Library of Congress Cataloging-in-Publication Data Paich Mark. Pharmaceutical product strategy : using dynamic modeling for effective brand planning / Mark Paich, Corey Peck, and Jason Valant. p. cm. Includes bibliographical references and index. ISBN 0-8493-2729-6 (alk. paper) 1. Drugs--Marketing. 2. Brand name products--Mathematical models. 3. Pharmaceutical industry--Mathematical models. I. Peck, Corey. II. Valant, Jason. III. Title. HD9665.5.P35 2004 615′.1′0688—dc22 2004054037 This book contains information obtained from authentic and highly regarded sources. Reprinted material is quoted with permission, and sources are indicated. A wide variety of references are listed. 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Visit the CRC Press Web site at www.crcpress.com © 2005 by CRC Press No claim to original U.S. Government works International Standard Book Number 0-8493-2729-6 Library of Congress Card Number 2004054037 Printed in the United States of America 1 2 3 4 5 6 7 8 9 0 Printed on acid-free paper PREFACE This is a book about new ideas—new approaches to strategy development in and commercial evaluation of pharmaceutical marketplaces, new struc- tural representations of dynamic concepts, and new software tools that assist in model development and analysis. All innovations, by definition, replace existing paradigms; this work is organized to take the reader through the progression from older traditions to new, more powerful, analytic frameworks. Chapter 1 details the traditional approach to Brand Planning in the pharmaceutical industry and highlights some limitations of existing approaches. Chapter 2 introduces the Dynamic Modeling framework, pre- sents its key advantages over current approaches, and offers examples of important insights this methodology has provided to some of our clients. Chapter 3 guides the reader through the Dynamic Modeling language that is used in subsequent examples. Chapter 4 describes an important sector of the Dynamic Modeling approach called Patient Flow, which illustrates how potential, current, and former patients move through the marketplace. A simplified example that includes epidemiology and treatment algorithms is provided and is extended in subsequent text. Chapter 5 shows how the example in Chapter 4, which we call the Standard Template, can be extended to meet specific conditions seen in certain pharmaceutical markets. Chapter 6 describes data formats, sources, and analysis important in populating the Patient Flow sector of the Standard Template. Chapter 7 employs the Dynamic Modeling language to address situations (involving patient dynamics) that do not easily fit the Standard Template. Chapter 8 introduces the physician component of pharmaceutical marketplaces by showing the structure and analysis surrounding Doctor Adoption of pre- scription therapies. Chapter 9 details how such therapies can be evaluated on dimensions of Treatment Attractiveness and how such utility calcula- tions impact marketplace dynamics. Chapter 10 joins the three main sectors v vi (cid:2) Pharmaceutical Product Strategy of the Standard Template to show how pharmaceutical markets are driven by the dynamic interaction of Patient Flow, Doctor Adoption, and Treat- ment Attractiveness. Chapter 11 illustrates how fully integrated models can be used to better understand market dynamics and to develop more effective marketing strategies. Chapter 12 details how the Dynamic Modeling approach can be used to investigate network effects in disease markets and to quantify any first mover advantage in reaching the marketplace. Chapter 13 addresses how uncertainty in model inputs can be handled, particularly in cases of latent markets in which no historical data are available. Chapter 14 shows how individual models of specific indications can be combined to create an overall portfolio model. Finally, Chapter 15 demonstrates how the Dynamic Modeling approach can be used to analyze pipeline portfolio dynamics associated with the drug development process. Much of this work uses a progressively more detailed model of a hypothetical pharmaceutical market to illustrate the details and resulting power of the Dynamic Modeling approach. Versions of the sample models throughout the book are available through our Web site, http://www.Lex- idyne.com, and accessed using software available from various vendors. ACKNOWLEDGMENTS This work would not have been possible without the dedicated efforts of a widely dispersed team, the members of which go far beyond the names listed on the front cover. We would like to thank Tom Waters, Harvey Kane, Pat Roberson, Steve Zollo, Mike Masiello, Tao Woolfe, and the rest of the talented folks at CRC Press for giving us the opportunity for, and assisting us in the completion of, this book. Without their guidance and patience, the process would still be in the conceptualization stage. Our thanks go to our colleagues, clients, and business associates who generously offered their insights and contributions to this work. Cynthia Willey, Sue Steven, Steve Peterson, Julie Stafford, and Steven Bloom went above and beyond the call of duty in contributing some of the real-world examples and vignettes shown throughout this work. A very special thanks goes to Julie Stafford and our strategic partners at AXIA Management Consultants for their tireless efforts in positioning this book and providing thoughtful and timely feedback throughout the development process. Lindsey Carmichael and Kirk Solo were instrumental in providing content suggestions and directional feedback during both the early and late stages of this book’s development. Molly Shea was a valuable behind-the-scenes member of our team in terms of industry research, chapter editing, and content discussions over the course of this project’s development. And, as always, thanks to Dean Tavalry for his guiding wisdom throughout the years. As practitioners of the Dynamic Modeling approach, we have been blessed to benefit from a unique vantage point created by those who have come before us. Most notably, our heartfelt appreciation goes to the irreplaceable Barry Richmond—you are sorely missed. To our families and friends who endured, with lasting patience, not only the development of this book but also the years of consulting vii viii (cid:2) Pharmaceutical Product Strategy engagements (usually far from home) on which it is based, we can only give our everlasting thanks for your love and understanding. And finally, to our parents who so selflessly gave each of us the support and resulting freedom to pursue whatever paths life’s journey presented to us. We are forever in your debt. THE AUTHORS The authors are principals at Lexidyne, LLC – a leading international consultancy in the conceptualization, application, and implementation of the Dynamic Modeling process for analysis and strategy development. Lexidyne counts four of the world’s top 10 pharmaceutical firms and three of the world’s top 10 biotech firms among its current clients, as well as Fortune 500 companies in the automotive and basic materials industries. In addition, several major consulting firms have utilized Lexidyne to help develop their capacity to use these innovative techniques with their own clientele. Mark Paich has a doctorate degree in System Dynamics from the Mas- sachusetts Institute of Technology (MIT) and is widely recognized as one of the premier practitioners of the Dynamic Modeling approach over the past quarter century. A former specialist at McKinsey and Company, he has been instrumental in mentoring and fostering the talent of an extraor- dinary number of the individuals who practice in this arena. Jason Valant has over ten years of consulting and modeling experience and has been instrumental in developing data analysis techniques for examining longitudinal patient dynamics for the pharmaceutical and bio- tech industries. He also specializes in the application of the Dynamic Modeling approach to issues of economic development and workforce planning in both the public and private sector. Corey Peck has been advancing the state of the art application of the Dynamic Modeling paradigm to the pharmaceutical realm for nearly a decade, particularly in the areas of market analysis, brand planning, and new product development. His expertise extends to other arenas such as inventory control and pricing systems, CRM initiatives, and the dynamics ix