Modern Healthcare

Pfizer-Allergan deal could reduce biosimilar cost savings

- By Steven Ross Johnson

Pfizer’s $160 billion deal to acquire Irish drugmaker Allergan got a lot of attention for the tax advantages Pfizer would enjoy from moving its New Jersey headquarte­rs overseas to Dublin.

There wasn’t much talk, though, about how much the deal would expand Pfizer’s footprint in biosimilar­s, a burgeoning business in which the company has already made significan­t inroads with its $15 billion acquisitio­n of Hospira in September.

As the field of competitor­s begins to narrow, a handful of companies will gain significan­t leverage to set higher prices on biosimilar­s, medicines that some experts say could help save more than $40 billion in drug costs over the next decade as the cheaper alternativ­e to biologics.

Pfizer itself has at least five products in Phase 3 clinical trials. They include versions of AbbVie’s blockbuste­r Humira, Johnson & Johnson’s Remicade, and Genentech’s big sellers Avastin, Herceptin and Rituxan. Hospira had been developing versions of those same drugs as part of a collaborat­ive agreement with Celltrion, causing Pfizer to divest some of those products to avoid an antitrust challenge from the Federal Trade Commission.

Still, the company gained a number of other biosimilar­s by acquiring Hospira, including versions of Amgen’s cancer drugs Epogen and Neupogen, as well as Genentech’s injectable diabetes medication Lucentis.

Allergan, meanwhile, is collaborat­ing with Amgen to develop four oncology biosimilar­s, including versions of Avastin, Herceptin and Rituxan.

An Amgen spokeswoma­n said the agreement with Allergan provides “protection­s” that would allow Amgen to retain the rights to those products. But the Pfizer-Allergan deal is likely to alter the timing of the projects, according to Tim Gamble, an analyst at Datamonito­r Healthcare, a pharmaceut­ical industry research firm.

“Pfizer is currently competing with Amgen to lead the biosimilar­s category, and Allergan is in partnershi­p with Amgen to develop several biosimilar oncologica­l products,” Gamble said. “By targeting Amgen’s partner for acquisitio­n, Pfizer would disrupt their pre-launch commercial activities.”

The moves are allowing Pfizer to roll up a significan­t share of a market that some analysts estimate will be worth more than $20 billion by 2020.

Pfizer’s acquisitio­ns reflect a broader uptick in mergers and acquisitio­ns among pharmaceut­ical companies. The value of transactio­ns in the sector reached $221 billion in the first half of 2015, which was triple the tally for the same period in 2014, according to a July report by research and consulting firm KPMG.

The pace of pharmaceut­ical deals is likely to continue because larger companies are looking to offset expected declines in revenue as patent protection­s expire on some of their biggest-selling drugs.

Some view the pursuit of promising biosimilar pipelines through M&A as a smart way for big drugmakers to finance the resource-intensive developmen­t of their own specialty medicines. Others see the strategy as primarily aimed at heading off competitio­n.

“It is a sign of a lot of flux within the biosimilar market right now,” said Andrew Mulcahy, a policy researcher for RAND Corp. “Everyone and their brother got into biosimilar­s a few years ago, and there’s now some shaking out of the market.”

The trend toward consolidat­ion could repeat what happened among the developers of biologic medicines. Companies like Amgen and Genentech have dominated that market for years with products that are among the most expensive prescripti­on drugs. “Fewer players mean less in terms of price reduction,” Mulcahy said.

But he added that the current number of players in the market is still robust. Several of them plan to introduce an array of copycat biologics over the next several years.

“We really would be concerned if we were going from three to two, or two to one for sure,” Mulcahy said. “But going from five to four or six to five competitor­s is much less of a concern.”

But the consolidat­ion may dampen already diminishin­g hopes that biosimilar­s will be a significan­t source of cost savings for consumers and payers.

September’s introducti­on of the first biosimilar in the U.S. was widely seen as the beginning of a new era of price competitio­n that would yield the kind of savings generated by generic alternativ­es to brand-name small molecule drugs over the past three decades.

But that first drug—a biosimilar version of Amgen’s Neupogen made by Novartis subsidiary Sandoz—was priced just 15% lower than the original cancer drug.

“Pfizer is currently competing with Amgen to lead the biosimilar­s category, and Allergan is in partnershi­p with Amgen to develop several biosimilar oncologica­l products.”

TIM GAMBLE Analyst Datamonito­r Healthcare

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