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Clinical Development - Current Trends and Challenges

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BIOTECH SUPPLY

CHAIN

ACADEMY

October 8-9, 2012

Crowne Plaza, Foster City, CA

Leveraging Technology to Transform

the Clinical Trial Supply Chain

Leon Wyszkowski : Fisher Clinical Supplies

David Northrup : Accenture

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2

Top ranked clinical trial supply chain pain points

Source: Tufts CSDD

Short lead times

Poor Clinical & supply team communication

Protocol readiness / accuracy

Inaccurate forecast

Poor visibility

(3)

Technology in Clinical Development is evolving

Fisher Clinical Services perspective

Current biopharmaceutical supply chain landscape

New ways to think about data visibility and collaboration

Available technologies and an example

What are we going to talk about today

(4)

“The sexy job in the

next 10 years will be

statisticians”

(5)

Clinical Development is recognizing the strategic

role of the clinical trial supply chain

In an Accenture survey of Development Directors and Study Managers:

 100% agreed clinical supply would be on their development critical path  100% highlighted supply as an important pre-marketing differentiator

 90% cited drug supply as a key enabler of their development goals over the next 3 years

In many instances, the Clinical Trial Supply Chain is facing up to these pressures from a position of weakness:

5

Industry wide opportunities

Cottage Industry Not exploiting the

power of collaboration Expected to be

available on-demand High level

of wastage Disparate systems

Fragmented marketplace

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Acceleration in Clinical Development

transformation is driving a change in clinical

trial supply chains

 Invest in system infrastructure  Understand the customer and

the patient

 Provide increased supply

flexibility with reduced process lead-times, as the norm

 Deliver into ever expanding markets

 Achieve higher performance expectations

 Outsource, consolidate and integrate with the wider supply-side operation

 Focus on efficiency and standardization

 Adhere to stringent & evolving regulatory requirements

The Industry’s Strategic Focus...

Analytics Collaboration Recruitment Patient focus Personalized medicines Globalization Quality & Compliance Technology

Data & information capabilities

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Complexity and Data Variability

Supply Chain Systems Current State

API/MFG SAP Oracle JD Edwards Others Self-Developed Inventory SAP Oracle JD Edwards Others Self-Developed Clinicopia Clin-Apps Packaging SAP Oracle JD Edwards Others Self-Developed Clinicopia Clin-Apps Distribution IVRS (Multiple Providers) Site

IVRS & E-Pro Systems

PROCESS

 Number of systems becomes more complex as innovators use both in-house and external capacity across supply chain

 Supply Chain professionals spend more time gathering data rather than analyzing it

 Broader trends on site performance, patient recruitment across therapeutic areas, and protocols are harder to detect

SYSTEM

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Current Solution

Challenges:

 Not easy to bring on new systems

 All require a level of software development to connect to a data warehouse

 Some data is not transferred or system architecture does not allow for integration – rules for data structure are not standard

Inventory Packaging Distribution Dispensing Returns Consumption Customer System

Visibility to some parts of the Supply Chain to

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Traditional view of my network

Brand owner

Logistics Services Providers

Suppliers Customers

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Extending beyond the 4 Walls

Brand owner

Logistics Services Providers

Suppliers Customers

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Randomization

External Supplier

Taiwan China Hub

PO #4553245 External Supplier Comparator BL# HJC 554545 Item LIMS Pooled Supplies Russia Argentina Market Vendor Plant Import hold FDA Batch Record Quality data Amsterdam US Customs Dose Instructions Grant Supplies Kit number Quality Release Complaint Manual intervention Stability date Invoice 425775 Manufacturing Plant

Data management might get a little more

complicated

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Future Information Solution

How would data visibility with a single version of

the truth impact your day-to-day life?

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Example of technology solutions available today

CMO Collaboration

Analytics

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Pfizer Moves

Supply Chain

to the Cloud

Financial Times, Sept 11, 2012

Over the past 18 months…

a single version of the truth against

which all

stakeholders operate

..allows supply chain network participants to be added or removed

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Access to data creates opportunities

for analytics…

When the data size and

performance requirements

“become significant design

and decision factors for

implementing a data

management and analysis

system.”

Roger Magoulas & Ben Lorica of O’Reilly Media

Data sets that are big enough to obscure

underlying meaning

or for which

traditional methods of storing, accessing,

and analyzing are breaking down (or

simply getting too expensive).

Practically speaking

big data is also about

adding unstructured or semi-structured

data to the mix

Or creating hybrid environments that

perform while controlling cost.

Setting the Stage: What is

Big Data?

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Analytics capabilities drive improved

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…which provides opportunities for improved

business outcomes

Big Data is top of mind for virtually every industry, impacting core business processes

Upstream Oil & Gas companies monitor 40K sensors per asset (combined with 4d seismic imagery) to drive real-time production operations and

maintenance & reliability programs.

USPS applies unique barcodes so it can seamlessly induct and account for postage. This results in ~1B pieces per day, scanned multiple times throughout the supply chain.

Electronic health records, home health monitoring, telehealth, and new medical imaging devices drive data deluge in a connected health world.

Pioneers in Big Data, Capital Markets firms continue to innovate around low latency systems to unlock trading arbitrage opportunities.

Mobile usage data for Service Providers unlock new business models and revenue streams from Outdoor Ad placement to medical adherence. Emerging location based data, group purchasing and online leads allow Retailers to continuously listen, engage and act on customer intent across the purchasing cycle.

Resources Health

Public Sector Retail

Financial Services Communications

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Summary

To deliver enhanced patient outcomes, key components of business transformation emerge

Outcomes Visualization Mobility Analytics Data Integration Clinical Data (via Collaborations) Key Components

Data visibility:Increasing amounts of data will be available (e.g. via EMR, patient communities, digital aids, etc.), making data sourcing and preparation an essential foundation for the model.

Data Integration: Raw data from many different sources will need to be consolidated and connected (e.g. via Master Data Management).

Analytics: Predictive analytics must be developed to leverage data for proactive insights

Mobility: Data and insights must be accessible to consumers, when and where they need it.

Visualization: Data and insights are meaningless if they cannot be understood; Effective visualization is

required to support insight development.

Outcomes:All supporting components and capabilities must enable relevant, actionable insights in order to deliver improved patient outcomes.

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19

Questions

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