Professional Documents
Culture Documents
Project report
ON
AWARENESS AND TREATMENT TRENDS AMONGST GENERAL
PHYSICIANS ABOUT BENIGN PROSTATE HYPERPLASIA (BPH) AND OVER
ACTIVE BLADDER (OAB)
For
HETERO HEALTHCARE LTD.
In partial fulfillment of the requirements of
Master of Management Studies
Conducted by
University of Mumbai
Rizvi Institute of Management Studies & Research
Submitted by
Zeeshan Kamruddin Shaikh
MMS
Batch: 2014 2016.
ACKNOWLEDGEMENT
I am highly indebted to Prof. Rajesh Vyas for his guidance and constant
supervision as well as for providing necessary information regarding the project & also
for their support in completing the project.
I would like to express my gratitude towards employee of Hetero Healthcare Ltd.
for their kind co-operation and encouragement which help me in completion of this
project.
I would like to express my special gratitude and thanks to Ms. Bella Barve of
Hetero Healthcare Ltd. for giving me such attention and time.
I am grateful to all faculty members of Rizvi Institute of Management and my friends
who have helped me in the successful completion of this project.
CERTIFICATE
This is to certify that Mr. Zeeshan Kamruddin Shaikh, a student of Rizvi Institute of
Management studies and Research, of MMS III bearing Roll No. 121 and specializing in
Marketing has successfully completed the project titled
Under the guidance of Prof. Rajesh Vyas in partial fulfillment of the requirement of
Master of Management Studies by the University of Mumbai for the academic year 2014
2016.
______________
Prof. Rajesh Vyas
Project Guide
______________
Prof. Umar Farooq
Academic Coordinator
______________
Dr. Kalim Khan
Director
TABLE OF CONTENT
Sr. No
Particulars
Pg. No
Executive Summary
37
39
41
42
Findings
51
Strategy
52
10
Conclusion
53
11
Bibliography
54
LIST OF TABLES
Particulars
Table 1: Products/Drugs by Hetero Healthcare Ltd
Table 2: Technical Packages by Hetero Healthcare Ltd
Page No.
17 -29
30-32
LIST OF FIGURES
Particulars
Figure 1: Count of Patients Suffering from BPH & OAB
Figure 2: Diagnostic Procedure for BPH
Figure 3: Diagnostic Procedure for OAB
Figure 4: Line of Treatment
Figure 5: Molecules used by GPs for BPH
Figure 6: Molecules used by GPs for OAB
Figure 7: Dosage and Period Molecule for BPH
Figure 8: Dosage and Period Molecule for OAB
Figure 9: Awareness among GPs regarding BPH & OAB
Page No.
42
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46
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Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
EXECUTIVE SUMMARY
Hetero drugs Limited (Hetero) is a research based pharmaceutical company. It undertakes
the research, development, manufacturing and marketing of active pharmaceutical
ingredients (APIs), intermediate chemicals and finished dosages. The company focuses
on the development and manufacturing of bio-generics and offers custom research and
manufacturing services (CRAMS) to global biotech and pharmaceutical companies.
Hetero owns and operates through its 18 manufacturing facilities that are approved by the
US FDA, Spanish Agency of Medicines & Health care products, WHO-Geneva,
ANVISA-Brazil, and IDA-Netherlands, among others. It markets its products in more
than 138 countries across the globe. Hetero is headquartered in Hyderabad, Telangana,
India.
Hetero Drugs Limited Pharmaceuticals & Healthcare Deals and Alliances Profile
provides you comprehensive data and trend analysis of the companys Mergers and
Acquisitions (M&As), partnerships and financings. The report provides detailed
information on Mergers and Acquisitions, Equity/Debt Offerings, Private Equity, Venture
Financing and Partnership transactions recorded by the company over a five year period.
The report offers detailed comparative data on the number of deals and their value
categorized into deal types, sub-sector and regions.
This project is conducted to study about popular molecules used in a treatment of Benign
Prostate Hyperplasia (BPH) and Over Active Bladder (OAB):
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
sufficiently large, the nodules impinge on the urethra and increase resistance to flow
of urine from the bladder. This is commonly referred to as "obstruction," although the
urethral lumen is no fewer patents, only compressed. Resistance to urine flow requires
the bladder to work harder during voiding, possibly leading to progressive hypertrophy,
instability, or weakness (atony) of the bladder muscle. Although prostate specific
antigen levels may be elevated in these patients because of increased organ volume
and inflammation due to urinary tract infections, BPH does not lead to cancer or increase
the risk of cancer.
BPH involves hyperplasia (an increase in the number of cells) rather than hypertrophy (a
growth in the size of individual cells), but the two terms are often used interchangeably,
even amongst urologists.
Adenomatous prostatic growth is believed to begin at approximately age 30 years. An
estimated 50% of men have histological evidence of BPH by age 50 years and 75% by
age 80 years; in 40-50% of these men, BPH becomes clinically significant. BPH was one
of the ten most prominent and costly diseases in men older than 50 years of age in a study
in the United States.
Over Active Bladder:
Overactive bladder (OAB), also known as overactive bladder syndrome, is a condition
where there is a frequent feeling of needing to urinate to a degree that it negatively affects
a person's life. The frequent need to pee may occur during the day, at night, or both. If
there is loss of bladder control than it is known as urge incontinence. More than 40% of
people with overactive bladder have incontinence. While about 40% to 70%
of incontinence is due to overactive bladder. It is not life-threatening. Most with the
condition have problems for years.
The cause of overactive bladder is unknown. Risk factors include obesity, caffeine,
and constipation. Poorly controlled diabetes, poor mobility, and chronic pelvic pain may
worsen the symptoms. People often have the symptoms for a long time before seeking
treatment and the condition is sometimes identified by caregivers. Diagnosis is based on a
person's signs and symptoms and requires other problems such as urinary tract
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
Challenges:
Even after the increased investment, market leaders such as Sun Pharma and Dr. Reddys
Laboratories spent only 510% of their revenues on R&D, lagging behind Western
pharmaceuticals like Pfizer, whose research budget last year was greater than the
combined revenues of the entire Indian pharmaceutical industry.
This disparity is too great to be explained by cost differentials, and it comes when
advances in genomics have made research equipment more expensive than ever.
The drug discovery process is further hindered by a dearth of qualified molecular
biologists. Due to the disconnect between curriculum and industry, pharma in India have
so far lacked the academic collaboration that is crucial to drug development in the West.
Pharmaceutical and Biotechnology:
Unlike in other countries, the difference between biotechnology and pharmaceuticals
remains well-defined in India. Bio-tech there still plays the role of pharmas little sister,
but many outsiders have high expectations for the future. India accounted for 2% of the
$41 billion global biotech market and in 2003 was ranked 3rd in the Asia-Pacific region
and 11th in the world in number of biotech. In 2004-5, the Indian biotech industry saw its
revenues grow 37% to $1.1 billion. 75% of 20045 revenues came from biopharmaceuticals, which saw 30% growth last year. Of the revenues from biopharmaceuticals, vaccines led the way, comprising 47% of sales. Biologics and largemolecule drugs tend to be more expensive than small-molecule drugs, and India hopes to
sweep the market in bio-generics and contract manufacturing as drugs go off patent and
Indian companies upgrade their manufacturing capabilities.
Most companies in the biotech sector are extremely small, with only two firms breaking
100 million dollars in revenues. At last count there were 265 firms registered in India,
over 75% of which were incorporated in the last five years. The newness of the
companies explains the industrys high consolidation in both physical and financial
terms. Almost 50% of all biotech are in or around Bangalore, and the top ten companies
captured 47% of the market. The top five companies were homegrown; Indian firms
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
account for 62% of the bio-pharma sector and 52% of the industry as a whole.[4,46] The
Association of Biotechnology-Led Enterprises (ABLE) is aiming to grow the industry to
$5 billion in revenues generated by 1 million employees by 2009, and data from the
Confederation of Indian Industry (CII) seem to suggest that it is possible.
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
FOUNDER
Dr. Bandi Parthasaradhi Reddy, Chairman & Managing Director of Hetero group is
academically endowed with a Post Graduate and Doctoral degrees with distinction in the
field of synthetic chemistry. Prior to founding of Hetero Drugs Limited, Dr. B.P.S Reddy
had a stint in leading pharmaceutical companies as the head of the Research &
Development division. His sharp analysis and ability to synthesize various chemical
compounds lead to the discovery of new processes, cost effective schemes for
manufacturing of various pharmaceutical products. During the said period Dr.B.P.S
Reddy has the credit of introducing many new molecules for the first time in Indian
pharmaceutical market.
A visionary the world knows as Dr. B.P.S.Reddy, is the driving force behind this growing
pharmaceutical phenomenon called HETERO. Dr.B.P.S.Reddys dream child, Hetero
was born in the year 1993 as a small API unit. Today, 17 years later, the name is
synonymous with leadership in pharmaceuticals with more than 18 manufacturing units
and 8000 employees. An entity that is grown in stature by virtue of its combined strength
in research, manufacturing and marketing.
Dr. B.P.S.Reddy steered Hetero towards the forefront of global pharmaceutical industry
with his vision to be recognised as an aggressive company that combines its strength of
R&D and manufacturing with definite advantages in terms of cost and chemistry with a
strong emphasis on quality of the products.
Dr. B.P.S.Reddy is now focusing on giving new dimensions to Hetero in terms of
research and innovation programs in discovery research to take the company to greater
heights.
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
In its path to success, Hetero has seen many a milestone being crossed and achieved
many awards on various fronts. Awards for exemplary work in R&D and marketing are
just a few to name.
A track of few events that saw Hetero reaching its Zenith of glory is:
2009
2006
1999
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
1998
1996
National award for "Best Efforts in Research and Development" from the
Department of Scientific and Industrial Research, Ministry of Science and
Technology, Government of India, in the year 1996.
GLOBAL PRESENCE
Hetero exports its products across different regions USA, Canada, Europe, Japan, Latin
America, Africa, Middle East, Far East, Australia, Russia & CIS, in the world and is
catering to the requirements of around 138 countries in the world.
Completed Plantation in newly acquired 15 acres land and a total of 25000 Nos.
of saplings made.
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Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
Education
Sports
Medical
Rural Development
1) Education: Hetero assists in setting up of schools for children in the vicinity of the
plants, where there is no access to education facilities, providing financial
assistance to the poor students who have promising academic record and adopts
schools for the following support:
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
BUSINESS FOCUS
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
Hetero is a trusted supplier of several APIs in wide range of therapeutic categories and
the largest supplier of complete range in Antiretroviral products.
Hetero also has dedicated facility for manufacturing of Oncology products.
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
MANUFACTURING INFRASTRUCTURE
Hetero group as a whole has 18 Manufacturing facilities at various locations
encompassing manufacturing of Active Pharmaceutical Ingredients and Finished Dosage
Products.
Committed to quality, safety and environment, most of our manufacturing facilities have
been inspected and approved by the US FDA, WHO-Geneva, Spanish Agency of
Medicines & Health care products, ANVISA-Brazil, IDA-Netherlands etc.,
API Facilities
1. Hetero Drugs Ltd.
Unit I (Bonthapally):
API Manufacturing Facility for Regulatory Markets USFDA Approved
Unit IV (Bonthapally)
API Manufacturing Facility for Non-Regulatory & Domestic Markets
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
Unit I (Kazipally):
API Manufacturing Facility for Regulatory Markets USFDA Approved
Formulation Facilities
1. HETERO LABS LTD.
Unit V (Baddi):
Finished dosage manufacturing facility for Indian market
Unit II (Baddi):
Finished dosage manufacturing facility for semi-regulatory & Indian markets
Unit V (Jedcherla):
Solid & Liquid finished dosage manufacturing facility for semi-regulatory &
regulatory markets - US FDA, WHO, PICS/GMP Approved
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Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
Unit VI (Jedcherla):
Dedicated Oncology finished dosage manufacturing facility for semi- regulatory
& regulatory markets - USFDA, PPB-Kenya, NDA-Uganda, NoMA Europe
(Norway), Zimbabwe, Namibia, Botswana, Malawi, ANVISA (Brazil) Tanzania,
TFDA (Taiwan), Ethiopia, Mexico & Belarus (MOH) Approved
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
PRODUCTS
API Name
Status
Acyclovir
USDMF/EDMF
Adefovir Dipivoxil
USDMF/EDMF
Alfuzosin Hydrochloride
USDMF/EDMF
Alvimopan
USDMF
Amlodipine Besylate
USDMF/EDMF
Aripiprazole
USDMF/EDMF
Atomoxetine HCl
USDMF/EDMF
USDMF/EDMF
Atovaquone
USDMF/EDMF
Azilsartan Medoxomil
USDMF/EDMF
Azithromycin Monohydrate
USDMF/EDMF
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
API Name
Status
Bupropion Hydrochloride
USDMF/EDMF
Candesartan Cilexetil
USDMF/EDMF
USDMF/EDMF
Cilazapril
EDMF/JPDMF
Citalopram HBr
USDMF/EDMF
USDMF/EDMF
Colesevelam HCl
USDMF/EDMF
Cyclobenzaprine HCl
USDMF/EDMF
USDMF/EDMF
Desloratadine
USDMF/EDMF
Dexlansoprazole
USDMF/EDMF
USDMF/EDMF
Dorzolamide HCl
USDMF/EDMF
Doxazosin Mesylate
EDMF
Doxercalciferol
USDMF/EDMF
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
API Name
Status
Duloxetine HCl
USDMF/EDMF
Dutasteride
USDMF/EDMF
USDMF/EDMF
Eltrombopag Olamine
USDMF/EDMF
Entacapone Form A
USDMF/EDMF
Eprosartan Mesylate
USDMF/EDMF
Escitalopram Oxalate
USDMF/EDMF
USDMF/EDMF
Esomeprazole Sodium
USDMF/EDMF
Etoricoxib Form I
USDMF/EDMF
Ezetimibe
USDMF/EDMF
Famciclovir
USDMF/EDMF
Febuxostat
USDMF/EDMF
Felbamate
USDMF/EDMF
Fenofibrate
USDMF
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
API Name
Status
Fesoterodine Fumarate
USDMF
USDMF/EDMF
Finasteride Form I
USDMF/EDMF
Fingolimod Hydrochloride
USDMF/EDMF
Fosinopril Sodium
USDMF/EDMF
Gabapentin
USDMF/EDMF
Ganciclovir
USDMF/EDMF
Glimepiride
USDMF/EDMF
Hydralazine HCl
USDMF/EDMF
Irbesartan
USDMF/EDMF
Itraconazole
USDMF/EDMF
Lacosamide Form I
USDMF/EDMF
Lansoprazole
USDMF/EDMF
Lercanidipine HCl
EDMF
Levetiracetam
USDMF/EDMF
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
API Name
Status
Levofloxacin
USDMF/EDMF
Lisinopril
USDMF/EDMF
Loratadine
EDMF
USDMF/EDMF
Lurasidone Hydrochloride
USDMF/EDMF
Metaxalone
USDMF/EDMF
Milnacipran Hydrochloride
USDMF/EDMF
Montelukast Sodium
USDMF/EDMF
USDMF/EDMF
USDMF/EDMF
Nabumetone
USDMF/EDMF
Nebivolol HCl
EDMF
USDMF/EDMF
Olmesartan Medoxomil
USDMF/EDMF
USDMF/EDMF
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
API Name
Status
Omeprazole Magnesium
USDMF/EDMF
Oseltamivir Phosphate
USDMF/EDMF
Pantoprazole Sodium
USDMF/EDMF
USDMF/EDMF
Pioglitazone HCl
USDMF/EDMF
USDMF/EDMF
Pramipexole Di HCl
USDMF/EDMF
USDMF/EDMF
Pregabalin
USDMF/EDMF
Proguanil HCl
USDMF/EDMF
Prulifloxacin
USDMF/EDMF
Quetiapine Fumarate
USDMF/EDMF
Rabeprazole Sodium
USDMF/EDMF
Ramipril
USDMF/EDMF
Raloxifene Hydrochloride
USDMF/EDMF
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
API Name
Status
Riluzole
USDMF/EDMF
Risedronate Sodium
USDMF/EDMF
USDMF/EDMF
Rizatriptan Benzoate
USDMF/EDMF
Roflumilast
USDMF/EDMF
Rosuvastatin Calcium
USDMF/EDMF
Rufinamide
USDMF/EDMF
Saxagliptin Hydrochloride
USDMF/EDMF
USDMF/EDMF
USDMF/EDMF
Sildenafil Citrate
USDMF/EDMF
Simvastatin
USDMF/EDMF
Solifenacin Succinate
USDMF/EDMF
USDMF/EDMF
Telmisartan
USDMF/EDMF
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
API Name
Status
Terbinafine HCl
USDMF/EDMF
Tetrabenazine
USDMF/EDMF
Tolvaptan
USDMF/EDMF
Tolterodine Tartrate
USDMF/EDMF
Topiramate
USDMF/EDMF
Torsemide
USDMF/EDMF
Trandolapril
USDMF/EDMF
Valacyclovir HCl
USDMF/EDMF
Valganciclovir
USDMF/EDMF
Valsartan
USDMF/EDMF
USDMF/EDMF
Voriconazole
USDMF/EDMF
Zolmitriptan
USDMF
Zonisamide
USDMF
Ziprasidone HCl
USDMF/EDMF
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
API Name
Status
ANTIRETROVIRAL
Abacavir Sulphate
USDMF/EDMF
USDMF/EDMF
Cobicistat
USDMF/EDMF
USDMF/EDMF
Didanosine
USDMF/EDMF
Dolutegravir Sodium
USDMF/EDMF
USDMF/EDMF
Elvitegravir
USDMF/EDMF
Emtricitabine
USDMF/EDMF
Entecavir
USDMF/EDMF
Etravirine Form I
USDMF/EDMF
USDMF/EDMF
USDMF/EDMF
USDMF/EDMF
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
API Name
Status
USDMF/EDMF
Nevirapine
USDMF/EDMF
USDMF/EDMF
USDMF/EDMF
Saquinavir Mesylate
USDMF/EDMF
Stavudine
USDMF/EDMF
USDMF/EDMF
Zidovudine
USDMF/EDMF
Boceprevir
Technical Package
Indinavir Sulphate
Technical Package
Nelfinavir Mesylate
Technical Package
Rilpivirine Hydrochloride
Technical Package
Telaprevir
Technical Package
ANTINEOPLASTICS
Abiraterone Acetate
USDMF/EDMF
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
API Name
Status
Anastrozole
USDMF/EDMF
Aprepitant
USDMF/EDMF
Bendamustine Hydrochloride
USDMF/EDMF
Bexarotene
USDMF/EDMF
Bicalutamide
USDMF/EDMF
Bortezomib
USDMF/EDMF
Capecitabine
USDMF/EDMF
Cyclophosphamide
USDMF/EDMF
Docetaxel
USDMF/EDMF
USDMF/EDMF
Fosaprepitant Dimeglumine
USDMF/EDMF
Gefitinib
USDMF/EDMF
Gemcitabine HCl
USDMF/EDMF
USDMF/EDMF
Irinotrcan HCl
USDMF/EDMF
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
API Name
Status
Lapatinib Ditosylate
USDMF/EDMF
Lenalidomide
USDMF/EDMF
Letrozole
USDMF/EDMF
Melphalan Hydrochloride
USDMF/EDMF
Nilotinib Hydrochloride
USDMF/EDMF
Paclitaxel
USDMF/EDMF
Pazopanib Hydrochloride
USDMF/EDMF
USDMF/EDMF
Plerixafor
USDMF/EDMF
Pralatrexate
USDMF/EDMF
Sorafenib Tosylate
USDMF/EDMF
Sunitinib Malate
USDMF/EDMF
Temozolomide
USDMF/EDMF
Thalidomide
USDMF/EDMF
Zoledronic Acid
USDMF/EDMF
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
API Name
Status
Azacitidine
Technical Package
Carfilzomib
Technical Package
Carboplatin
Technical Package
Cisplatin
Technical Package
Oxaliplatin
Technical Package
Tamoxifene Citrate
Technical Package
Vandetanib
Technical Package
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
Technical Packages
API Name
Status
Ambrisentan
Technical Package
Avanafil
Technical Package
Bosentan
Technical Package
Brinzolamide
Technical Package
Carglumic Acid
Technical Package
Cevimeline Hydrochloride
Technical Package
Cinacalcet Hydrochloride
Technical Package
Cilnidipine
Technical Package
Dalfampridine
Technical Package
Dapagliflogin
Technical Package
Deferasirox
Technical Package
Desvenlafaxine Succinate
Technical Package
Eplerenone
Technical Package
Eslicarbazepine
Technical Package
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
API Name
Status
Gabapentin Enacarbil
Technical Package
Ibandronate Sodium
Technical Package
Technical Package
Linagliptin
Technical Package
Naftopidil
Technical Package
Olopatadine HCl
Technical Package
Oxcarbazepine
Technical Package
Pirfenidone
Technical Package
Posaconazole
Technical Package
Ramelteon
Technical Package
Ranolazine
Technical Package
Rupatadine Fumarate
Technical Package
Sitagliptin Phospate
Technical Package
Tadalafil
Technical Package
Tofacitinib Citrate
Technical Package
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
API Name
Status
Trospium Chloride
Technical Package
Vardenafil HCl
Technical Package
Vigabatrin
Technical Package
KEY PARTNERS
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
CUSTOMER CHANNELS
Communication through Medical Institutions : hospitals, pharmacies, health personnel
(doctors) Communication through a website heterohealthcare.com and social media as
Facebook, Twitter, Android, iPhone and iPad app, YouTube Channels.
Hetero Healthcare has also developed a wide network of industrial sites. Commercial
presence in the world and multiple acquisitions and partnerships.
CUSTOMER SEGMENT
Physical Patients Health professionals: doctors, hospitals, pharmaceutical customer. Offer
training and services: Hetero assists health professionals throughout their careers and in
the evolution of their profession General public: self medication (one of the growth
platforms for Hetero) Veterinarians, farmers and pet owners Universities and students
(through training) Worldwide connected network of selected partners
Geographical Patients around the world Present in 100 countries and its products are
distributed in more than 170 countries Hetero is recognized in Emerging Markets, with
excellent positions in major countries.
CUSTOMER RELATIONSHIP
Innovation with the Doctors: Conference calls and Interactive learning sessions. Website
Destinated to all their clients worldwide, it helps Hetero Healthcare to defend a
healthcare and public utility image.
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
COST STRUCTURE
R&D is NOT the main cost item: They try to optimise their resources allocation in order
to maximize the R&D return on investment, Partnerships and Acquisitions: Investment
for 26 new transactions (8 acquisitions and 18 partnerships in R&D) Sales Force is the
1st cost item: Re-allocation by region and by products (less expenses on traditional
products but more on innovative ones)
Administrative and General Charges: Methodological following of these costs,
Communication and Publicity: By definition publicity is free and better for the
companys image Ex: Press articles on the last Heteros innovation which will be able to
cure a rare diseases.
In emerging market the main cost are: Purchase of raw material Energy consumption of
the laboratories Work force
REVENUE STREAMS
Asset Sales type of revenue- Hetero provides innovative products and communication
related to those new medicines. The company contributes to the medicines promotion by
the States. Worldwide Net Turnover Shares: Domestic Market- 76%, International
Market-24%.
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
EVENTS
April'2010
Hetero launches one of the Indias largest finished dosage manufacturing facility in
Special Economic Zone (SEZ) at Jadcherla.
Hetero launches its new formulation facility (SEZ) at Jadchelra, Andhra Pradesh, India.
Strategically located just 60 kilometers from Hyderabad International airport off NH 7,
the project situated in the states first green industrial park.
The total unit area is 75 acres and with two manufacturing facilities. This facility offers a
huge production capacity of 18 billion tablets and capsules per annum. It has a dedicated
Oncology facility with a production capacity of 200 million tablets & capsules, 15
million liquid injectable vials & 15 million lyophilised Injectables.
This World-class facility is meeting the cGMP and regulatory requirements, with
integrated quality management system in place. All quality control Instruments are 21CFR compliant. Walk in type stability chambers with global requirements for stability
study and Integrated building management system from Honey well -USA , Lyophilizer
VIRTIS -USA, Liquid Filling machine from BOSCH Germany, makes this
manufacturing facility at par with the best in the world.
April'2010
Hetero receives tentative approval for Tenofovir disoproxil fumarate tablets from
USFDA
Hetero is pleased to announce that it has received the tentatively approval for Tenofovir
disoproxil fumarate from the US Food & Drug Administration (USFDA).
Tenofovir tablets 300 mg is generic equivalent to Viread tablets 300 mg of Gilead
Sciences. Tenofovir belongs to a class of antiretroviral drugs known as nucleotide
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
Strength
Weakness
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
Threats
Competitors
3. AstraZeneca
4. Bristol-Myers Squibb
5. Johnson & Johnson
6. Merck
7. Novartis
8. Pzer
9. Roche Holdings
10. Sun Pharma
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
SWOT Analysis
1. One of the largest pharmaceutical company in the world
and spread over more than 50 countries.
2. Excellent research and development (R&D) creating
innovative and breakthrough products
Strength
Weakness
Opportunity
Threats
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
stringent
3.Economic slowdown in European markets
Competition
1. Abbott Laboratories
2. Amgen
3. AstraZeneca
4. Bristol-Myers Squibb
5. Johnson & Johnson
Competitors
6. Merck
7. Novartis
8. Roche Holdings
9. Sun Pharma
10. Hetero Healthcare
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
IV.
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
1. Do you see patients for Benign Prostatic Hyperplasia (BPH) and Over Active
Bladder (OAB)
BPH: Yes - 239 No 33
OAB: Yes 270 No 2
300
250
200
Yes
150
No
100
50
0
BPH
OAB
Analysis:
Out of 272 respondent doctors, 239 treats patients for BPH and 33 dont treat patients
for BPH & 270 treats patients for OAB and 2 do not treat patients for OAB.
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
250
200
150
100
BPH
50
0
USG
PSA
Clinical
test
KUB
BPH
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
200
150
100
OAB
50
0
USG
Clinical Test
Cystometry
OAB
Urine
culture
Analysis:
For BPH: 243 patients are diagnosed by USG, 78 by PSA, 47 by clinical test, 7 are
diagnosed by KUB.
For OAB: 187 patients are diagnosed by USG, 79 by Cystometry, 46 for Clinical test and
16 by Urine culture
.
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
Treatment
300
200
100
Treatment
0
Treat Self
Recommend
to Urologist
Treatment
Both
Analysis:
252 Doctors said that they treat Self and then recommend the patients to urologist (Both),
19 Doctors recommends the patients directly to the Urologist, 1 treated by self, some said
it depends on cases-to- cases.
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
4. If the Doctors treat patients by himself then How do you treat your patients
for BPH and OAB? (Name of the Molecule/single or combination)
BPH
160
140
120
100
80
60
40
20
0
BPH
BPH
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
OAB
80
60
40
20
0
OAB
OAB
Analysis:
For BPH:
For OAB:
Tamsulosin 156
Flavoxate 57
Tamsulosin + Dutasteride 26
Drotaverine 27
Finasteride 10
Dutasteride 12
Doxazosin 6
Tolterodine 66
Finasteride + Tamsulosin 7
Tamsulosin 61
Prazosin 1
Fesoterodine 6
Oxybutinin 10
Trospium 5
Tamsulosin + Dutasteride 6
Solfinacen- 2
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
5. How long do you recommend the treatment for BPH and OAB patients?
(Few months or Lifelong)
BPH
100
80
60
40
20
0
BPH
BPH
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
OAB
90
80
70
60
50
40
30
20
10
0
OAB
Few 1 month
months
2
months
3
months
6
Life Long
Depends
months
upon the
cases
OAB
Refer to
urologist
Analysis:
For BPH:
For OAB
Few months 63
Few Months 47
1 month 93
1 month 40
2 months 11
2 month 4
3 months 18
3 months 4
6 months 20
6 months 11
Lifelong 88
Surgical Intervention -6
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
6. How do you update yourself for BPH/OAB for latest information on its
management?
CMES and Medical journal- 253
Internet 95
Seminars 9
Mobile app 2
300
250
200
150
100
50
0
Cmes and
Medical Journal's
Internet
Mobile App
Seminars
Analysis:
Out of 273 Doctors 253 update their self through CMES and Medical Journals, 95
through internet, 9 through seminars and 2 Doctors through mobile app.
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
FINDINGS
Physicians already prescribing this product so there are rare chances they will
write this product.
Female Physicians dont treat the patients of Benign Prostate Hyperplasia (BPH)
which will further reduce the sales of this product.
The patients suffering from BPH and OAB are treated within the time period of 3
to 12 months.
Some Physicians treat this disease themselves or refer to Urologist directly while
many Physicians first treat the patients themselves and if not cured than referred
to urologist.
The most commonly opted diagnostic methods were USG i.e. Ultra Sono Graphy,
PSA i.e. Prostate - Specific Antigen test, KUB test i.e. Kidney Ureter and Bladder
test before and after emptying the Bladder and Cystometry.
The most prescribed molecule by Physicians was Tamsulosin for both BPH and
OAB.
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Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
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STRATEGY
The product should be launched as per the Physicians and Retailers convenience
The product should contain both the molecules, Tamsulosin and Dutasteride such
that one product will be used to treat both the disease.
In order to beat the competitors the vital aspects like pricing, distribution channel,
retailers margin and Physicians convenience should be kept in mind.
The product should be launched with a clear mindset of volume sales or Value
sales as later decision might prove to be fatal.
As this similar molecule is in market since past 10 years so the product power,
product efficacy, shelf life should be elevated than the competitor products which
will give the reason to the retailers to stock the product without the fear of
expiration.
Physicians should be provided with vital reasons and percussions to write the
product, as without their prescriptions product will not move efficiently in the
market.
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
CONCLUSIONS
Creating awareness at this stage when the other Pharmaceuticals Companies already have
this molecule in market is nothing but the risky decision.
To elevate the sales the product should be established as a brand first, as per the survey
the product is too old to launch in the market.
The product has certain hazardous side effects which is one factor of slow moving of this
molecule since past 10 years.
The survey was conducted at General Physicians level however; this product is actually
meant for the Nephrologist and Urologist platform.
General Physicians cover only 5 to 6 patients per month so launching this Product at
General Physicians level might prove to fatal.
This molecule is used only for the long term treatment and from survey it is evident that
General Physicians are prescribing this molecule for 3 to 12 months.
Many patients do not visit the General Physician again if they are not cured and satisfied
with the treatment given hence the Physician doesnt knows whether the patient is cured
or he is consulting the specialist.
From this entire survey I conclude that the product is not fit to be launched under such
circumstances as the product doesnt have any uniqueness as compared to the
competitors product, it doesnt have any such innovative combination or molecule which
will enhance the sales.
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Rizvi Institute of Management Studies & Research
Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)
BIBLIOGRAPHY
www.heterodrugs.com
www.wikipedia.com
www.webmd.com
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