Health Care

Health Biotech Sector - A Defining Moment
S Natesh, DBT (natesh.dbt@nic.in)

 

Health Biotech Sector - A Defining Moment
The first ever, independent survey of 21 homegrown health biotech firms in India (Frew SE, Rezaie R, Sammut SM, Ray M, Daar AS and Singer PA. 2007. India's health biotech sector at a crossroads. Nature Biotechnology 25 (4): 403-417, April 2007) has revealed that they are not only headed for future growth but also, in some cases, for developing innovative products for world markets. The interview based study found that while policies and support of the government and the expertise and efficiencies of the private sector have each contributed to the development of this sector, it is the creativity and astute management of the firms themselves that has been a crucial element of success.

Lessons learnt

The study provides the following valuable lessons for all developing countries wishing to strengthen their health innovation systems and for individual companies planning to develop or enhance their biotech capacity.

  • Many local firms started small with one or a few familiar products and/or services to generate early revenues, and leveraged early success for later growth
  • Firms have been resourceful in exploring various financial opportunities from both domestic and international sources, without having to surrender much equity
  • Successful firms have proactively established and maintained collaborations and partnerships with both public and private organizations in India and abroad
  • Firms are aiming to become more competitive by patenting their products and technologies globally. At the national level, they have been able to capitalize on the domestic policy of emphasizing process patenting over product patenting to build strong capabilities on generics manufacturing
  • Successful Indian firms have been able to establish and maintain favourable reputations internationally


Barriers to success

However, the survey also pointed out several obstacles that are hindering the development of the health biotech sector:
  • Delays in commercialization caused by multiple regulatory agencies
  • Shortage of advanced training programmes and scarcity of qualified personnel

  • Overall lack of public-private collaionboration
  • Few Indian academics show entrepreneurial ambition in biotech
  • Dearth of financial resources and burdening bureaucracy
  • Lack of national prioritization diverts focus from domestic health needs
  • High cost associated with domestic distribution

Recommendations for development

On the basis of the study, the authors made six recommendations to
encourage continued growth of the sector:

  • Harmonize pharmaceutical regulatory system into one regulatory agency and ensure adequate training for regulatory personnel
  • Increase training programmes in advance biotech through a single agency for science mentoring and guidance
  • Ensure translation of initiatives in the draft Biotech Strategy into policies that increase effective public-private collaboration and encourage academic scientists to pursue entrepreneurial ventures to commercial research
  • Create a favourable and enabling financial environment for enterprise creation and private sector development, including early stage research and product development
  • Identify national priorities for public health and use a targeted funding approach to ensure development of products and services that address local health needs
  • Improve public health infrastructure and/or give incentives to private firms to develop innovative distribution strategies


The findings of this survey will be of interest to biotech firms across the globe seeking partnerships with Indian firms, venture capitalists seeking investment opportunities, foundations interested in global health solutions and developing world governments seeking ideas about successful innovation strategies.

SPECIAL SUPPLEMENT

BOSTONMay 6-9, 2007
BIOPHARMA SECTOR IN THE COUNTRY


New Tax Exemptions for Clinical Research Organisations

N.S. Samant, DBT (nssamant.dbt@nic.in) and Prachi Saroop, DBT (psaroop@dbt.nic.in)

The Government of India has exempted Clinical Research Organisations (CRO's) in India from the provisions of service tax laws on export of services. This includes new drugs such as vaccines and herbal remedies.
       
World over, CRO's are gaining greater importance in field clinical trials because of their global access to investigating sites, specialized local expertise and competitive pricing strategies. The global turnover of CROs is estimated at US $15.8 billion.

The Indian Clinical Research Industry accounts for just over US $100 million and is projected to reach a size of around US $ 250-300 million by the year 2010. India has considerable strengths in terms of well-trained English speaking doctors, necessary hospital infrastructure, large disease burden in the population and a diverse human genetic pool. This has resulted in sizeable inflow of foreign funds as well as savings in the outflow of foreign exchange spent on clinical trials by indigenous companies.

Global multinationals have primarily been outsourcing research activities to Indian CROs so as to remain cost competitive. Indian CROs, even while striving to enhance their share in the global clinical trial industry, have to face ever-increasing competition from Latin American, Russian, Chinese and East European CROs. If the price base of the clinical trial industry of USA is taken as 100, India and China run neck-to-neck with a price base of around 66, Latin American countries following closely at 75 and East European countries at 80. Thus, China and Latin American countries are extremely close to India in terms of cost for clinical trials.
              
Service Tax on CRO's in India till recently was 12.24% and its recovery from clients was seriously eroding their cost advantage and overall competitiveness. Further, the amount spent by indigenous companies on clinical trials on their own products, which are usually outsourced to CROs (fully or partially) was getting reduced as it made plough back of the same money into in-house R&D facilities more attractive

These exemptions will help in making India a most favored destination for clinical trails.

India: A New Hub for Clinical Research
  • Large, diverse and therapy-naïve population with varying gene pool
  • Low trial cost per unit patient
  • Suitable legislation in place
  • Clinical research extended to chronic diseases (e.g cardio, nephro, neuro, joints, reproduction etc.)
  • World Class Clinical Research Training and Translational Centres
  • Large number of CROs for initiating collaborative multinational trials
  • Clinical trial units coming up in medical colleges and pharma units