Enoxaparin Becat commercial strategy
ROVI has set out a clear strategy to launch a biosimilar enoxaparin into key countries in the EU ex Spain. As expected, the first launch in Germany has occurred. As of 31 December 2017, national registration approval has been granted in 13 out of the 26 countries (Germany, France, the UK, Italy, Norway, Sweden, Austria, Hungary, Slovenia, Estonia, Latvia, Slovakia and Bulgaria). The national phase of the decentralised procedure (DCP) in the rest of the 26 countries in the EU (excluding Lithuania) is expected to be completed, with marketing authorisation granted at local country level in 2018. We forecast launch in the UK, Italy and France within 18 months. Launch timings are dependent on capacity coming online; ROVI will have limited initial capacity over the next 12 months as manufacturing lines are gradually approved by the regulators.
ROVI has 20 years of expertise in the low molecular weight heparin (LMWH) market and, apart from Sanofi, no other company has this level of experience in Europe. ROVI’s vertically integrated manufacturing process is a competitive advantage. It owns the IP/registration dossier on its biosimilar enoxaparin, has a full API manufacturing process production, filing and packaging) and has the distribution structure in place. Its vertical integration across the board reduces the cost structure for its biosimilar enoxaparin. ROVI will manufacture the API, and fill and package its biosimilar enoxaparin. ROVI has therefore been investing significant capex (€19.9m in 2017, €18.1m in 2016) to increase capacity in all its plants, including its San Sebastian de los Reyes plant (approved by authorities in Europe) and Julian Camarillo plant (approved by authorities in Europe, the US, Korea, Brazil and Gulf countries) ahead of a potential launch. ROVI acquired the San Sebastian de Los Reyes plant for a €4m investment (in 2015). This investment increases the annual production capacity by 120 million syringes.
ROVI already has a strong presence in the Spanish heparin market (with Hibor) and the launch of biosimilar enoxaparin outside Spain will further substantiate its heparin portfolio. While ROVI expects to continue promoting Hibor in Spain (and Portugal) in the near term (patent expiry in October 2019), there is less visibility beyond that point as the strategy ROVI employs will be dependent on the evolution of the Spanish LMWH market and whether competitors (including Techdow) launch any competing biosimilar enoxaparin, Sanofi’s pricing tactics and whether Hibor’s competitive profile holds.
Forecast €160m peak sales in Europe alone
Ultimately, the factors determining ROVI’s success in each individual market in Europe, the US and the rest of the world will be a function of pricing, the number of new entrants, potential for interchangeability, growth in existing patient demographics and the potential for non-anticoagulant indications. Unit growth drivers include an increasing prevalence of thromboembolic diseases worldwide related to demographics and growing underlying patient numbers (both surgical and medical). Non-anticoagulant indications represent upside.
ROVI will stagger the European launch schedule, partly determined by near-term capacity constraints as mentioned above. We forecast launch in the UK and Italy in 2018 and France in 2019, while we assume launch in Spain in 2020. We have focused on modelling launches in the key European markets in the near term. However, ROVI’s actual launch into each country could vary in timing versus our assumptions. In Europe we assume ROVI will launch its biosimilar enoxaparin at a price discount to Lovenox/Clexane and can achieve a peak penetration of 20%. We assume competitor biosimilars will launch not long after ROVI. We note that Chinese pharmaceutical company, Shenzhen Techdow Pharmaceutical (Techdow), has launched its biosimilar enoxaparin (Inhixa) in Germany and the UK.
ROVI intends to launch the product in emerging markets through partners. Lovenox sales in these markets were €0.5bn in 2017 (source: Sanofi 2017 annual report). We assume a 25% royalty rate on sales in these markets (based on 20% penetration and at a price discount to current Lovenox/Clexane pricing). ROVI would likely receive upfront payments as part of any licensing deal; we have not factored this into our model or valuation. We forecast total peak sales of €160.2m, which include Europe and the international opportunity ex-US. In the US market, ROVI is in advanced discussions with a partner. Once an agreement has been announced, the enoxaparin dossier will need to be resubmitted. Given the lack of visibility on the timing and launch ahead of a partnering agreement, we currently assume no sales for the US opportunity.