Great article on the future of Teva:
globes.co.il
"Copaxone Is Not Viagra"
By Eliav Alaluf
Teva, until not long ago the flagship of Israel's business world, is proving a disappointment to investors. The rate of sale of Teva's multiple sclerosis drug, Copaxone, did not fulfil initial forecasts; and in the generic field too, the ever fiercer competition impinged on the company's performances. Is management at fault? Talks with various sources indicate that the problem lies not with Teva as a company, but with investors' and analysts' overly high expectations of the Copaxone drug.
The truth is, though, that investors couldn't care less where the blame lies. What they definitely do want to know, right now, is when Teva can be expected to emerge from its crisis and resume its tremendous growth rate of the past twelve years, with the share price posting the equivalent of a 20,000% advance. "Manager of the Decade" Eli Hurvitz is quoted by some reports as saying that the second half of 1998 will be different, in terms of results, from the first half. He still pins most of his hopes on the success of Copaxone's penetration.
A senior analyst at the Dillon Reed investment bank published a report in the middle of last week, containing a Strong Buy recommendation, and arguing that the problem with the Teva share is not the company, but its surrounding uncertainty.
"Globes" accordingly went to Yair Lapidot, general manager of National Communications of the Bank Leumi group, and senior analyst Alon Last, with a number of questions that many investors would undoubtedly like to ask.
"Globes": Yair Lapidot, is Teva capable of producing a blockbuster that will jump-start its sales?
Lapidot: "At present, Teva appears incapable of producing a blockbuster. A blockbuster, by definition, is an ethical drug sold in a volume of several hundreds of millions of dollars, sometimes even billions. One blockbuster drug would be capable of springing Teva to the big leagues, like Eli Lilly, Pfizer and other ethical companies. Teva does not have the capital to invest in R&D, usually amounting to hundreds of millions of dollars, as do the leading ethical drug companies.
"Building Teva up into an entity capable of coping with blockbuster drugs on the scale of Pfizer's Viagra is a complex strategic task, which will undoubtedly take a long time. At least for the near future, it seems, Teva will have to build itself up in relatively small niches. Which is to say, Teva must focus on fields defined by the giants as unattractive, and not operate in the development of drugs for cancer, heart disease and suchlike".
Are you saying Teva is incapable of becoming a global giant?
"Just as Israel cannot be expected to produce a plane that will beat McDonnell Douglas, one hardly sees Teva devastating Eli Lilly. If anything, it would be a mission for several generations. The second generation of Copaxone may prove attractive. If it shows proven MRI results, can be swallowed rather than injected, and gets better results than the present generation, it will be able to achieve sales of #$300-600 million annually. The next generation of Copaxone is not due any time soon, and nobody knows whether it possesses those advantages".
Will Teva be able to utilise its marketing agreement with Biovail to boost sales?
"In the short term, Biovail has no good tidings for Teva. For the long term, however, Biovail is undoubtedly reinforcing Teva's standing in the generic field. I am aware that many analysts have expressed the hope that Teva will be receiving significant drugs for distribution in the United States. Meanwhile, it has obtained approval to distribute one product - a drug - for improving blood flow by reducing viscosity.
"The drug is intended for patients whose limb arteries are chronically blocked. The ethical version is manufactured by HMR, which markets Copaxone, and it has an ethical market of $190 million".
Can Teva improve its position by breaking into Europe?
"Teva acquired a number of companies in Europe, including in Hungary and Britain. These acquisitions represent an initial foothold in a relatively virgin market, in terms of the generic field in general and from Teva's viewpoint in particular. The generic market is expected to take a long time to develop, and depends on the elimination of the branded generic. In contrast to the United States, today, if you wish to market a generic drug in Europe, you must do so under your company's name.
"In practise, the marketing system required for marketing generic drugs in Europe is identical to that required for marketing ethical drugs in the United States. Relatively small players such as Teva, concentrating on the generic market, do not have the money for it. No breakthrough is therefore to be expected in this field in the next few quarters.
"Teva is meanwhile taking steps to streamline its manufacturing system, while channelling activities to plants that have a relative edge in production. This is a long-term plan that is expected to yield altogether a $20 million saving by the end of 1999".
Alon Last, what about the thirteen applications made to the FDA for approval to market generic products?
"Approval has been received to market four products. It should be noted that there is a difference between FDA approvals for ANDA products, and provisional approvals. An ANDA approval means that the product is a whole generic substitute, and pharmacists sell it as if it were the original product.
"Suppose a person goes into a pharmacy and asks for a certain drug. The pharmacist may give him a generic substitute. In this industry, whoever does an aggressive marketing job and allows pharmacists bigger discounts - wins".
What does the presence of competing generic products imply?
"In the generic field, all competing products are, in effect, equivalent, and accordingly, the only differentiation is in the price. Each incoming company offers lower prices. It is not uncommon to see cases in which, four months after the expiry of a patent, the drug price plunges 80%-90%, due to unbridled competition. Obviously, when prices fall, there is no chance of high profitability".
Yair Lapidot, is Teva capable of making brand names of its products?
"The marketing system of Teva-USA is based on marketing to pharmacists. For Teva to be able to create itself a brand name, it will need to invest many tens of millions of dollars in marketing and publicity, and there is no assurance that so doing will result in marketing differentiation. One hardly sees Teva taking such a step".
What is Copaxone's potential?
"In January 1997, I warned that Copaxone was not going to be a hit. In May 1997, over a year ago, I said in an interview with "Globes" that Copaxone could reasonably be expected to reach $150-180 million sales, in contrast to forecasts put out by others, of $300-500 million.
"Today, Copaxone is being used by an estimated 8,000 multiple sclerosis patients. Copaxone is not Viagra. This is not a product that provides a total response to a problem. Copaxone helps reduce the frequency of multiple sclerosis attacks by 30%, and that, too, at the price of a daily injection. Only patients with very severe cases of multiple sclerosis, evidently, are prepared to expose themselves to the suffering involved in daily injections.
"More than a year ago, I thought that reducing the frequency of attacks from one a year to 0.7 a year did not, as far as a large proportion of potential patients were concerned, justify the bother of taking the injections, the side effects and the price. These things are also true, however, of competing products. Also, Teva has yet to present MRI tests, which will prove the statistical certainty of the drug. This weakens Copaxone's standing among neurologists, who regard MRI results as an unshakeable criterion.
"The improvement in patients' disability index is also in dispute, and there is also the threat of the competing product of Biogen, which posted incontestable results in MRI tests and which needs to be injected only once a week. Biogen's success means pulling the rug out from under Copaxone.
"In Canada, Copaxone may sell better than Biogen's parallel product, because Biogen received approval to market the drug in Canada only last week, and Teva thus has the advantage of being first. Biogen is not yet approved for marketing in Europe, which means that Copaxone's potential has not yet been exhausted. But I revert to the assessment of $150-180 million a year as the probable outcome over two to three years".
In the past, there was speculation about a hostile take-over of Teva. Is such a move possible, in your opinion?
"A hostile take-over is not impossible, but is definitely not the most likely possibility. In fact, I tend to doubt the possibility of Teva's being acquired at all. The main reason we are given that a hostile take-over is impossible is a "poison pill" mechanism, a delaying device of a directorial reshuffle. Only one third of the members of the Board of Directors can be replaced in any one year, and the purchaser must therefore wait three years before achieving absolute control of the board.
"The main point is that, to this day, we have not seen any hostile take-over of a generic company by an ethical company. Ethical companies do not view the generic field as an attractive one. Today, the battle between ethical companies is a question of who will be first to succeed in developing a blockbuster. Generic companies try to develop copies of drugs whose patent is shortly due to expire. This means that the nature of the generic industry is not suited to the management style of ethical companies.
"The prospects are better, although not good, for acquisition by some leading generic company, or some lower league ethical company.
"As regards Teva specifically, it is not clear whether the founding nucleus will waive control in the company. Teva's strategy is to grow, mainly through acquisitions, usually by means of shares, other than when acquiring small companies. Teva still thinks in terms of the founders' controlling core, which, in the United States, is almost irrelevant. It is not likely, either, that we will see a share swap deal that will significantly dilute the founders' share".
In your opinion, has Teva or its management failed?
"In our opinion, no. This year, due to an exceptional and unfortunate combination of circumstances, was one that Teva would like to forget. In the long term, we see Teva as a company worth investing in, but in the short term, we do not expect any dramatic leap forward".
Published by Israel's Business Arena July 28, 1998 |