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A

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

Under the guidance of


Prof. Rajesh Vyas

Submitted by
Zeeshan Kamruddin Shaikh
MMS
Batch: 2014 2016.

ACKNOWLEDGEMENT

The research on Awareness and Treatment trends amongst General Physicians


about Benign Prostate Hyperplasia (BPH) and Over Active Bladder (OAB)
IT has been given to me as part of the summer project from Hetero Healthcare Ltd. I have
tried my best to present this information as clearly as possible using basic terms that I
hope will be comprehended by the widest spectrum of researchers, analysts and students
for further studies.

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

Awareness and Treatment trends amongst General Physicians about Benign


Prostate Hyperplasia (BPH) and Over Active Bladder (OAB)

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

Background of Pharma Industry

Introduction to Hetero Healthcare Limited

SWOT Analysis of Hetero Healthcare

37

SWO T Analysis of Pfizer Limited

39

Data Analysis & Interpretation

41

Questionnaire & Analysis

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

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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):

Benign Prostate Hyperplasia:


Benign Prostatic Hyperplasia (BPH) also called benign enlargement of the prostate (BEP)
or (BPE), adenofibromyomatous hyperplasia and benign prostatic hypertrophy is a
benign increase in a size of prostate.
BPH involves hyperplasia of prostatic stromal and epithelial cells, resulting in the
formation of large, fairly discrete nodules in the transition zone of the prostate. When
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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)

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)

infections or neurological conditions to be excluded. The amount of urine passed during


each urination is relatively small. Pain while urinating suggests that there is a problem
other than overactive bladder.
Overactive bladder is estimated to occur in 7-27% of men and 9-43% of women. It
becomes more common with age. Some studies suggest that the condition is more
common in women, especially when associated with loss of bladder control
A survey was conducted wherein primary data was collected from General Physician
(MBBS) to understand how frequently Doctors deal with such patients, the survey was
conducted for 40 days in the areas of western and central Mumbai wherein Doctors
feedback was taken.
The observation from the survey was female Doctor dont treat the patients of Benign
Prostate Hyperplasia. Tamsolusin with the combination of Dutasteride is used largely for
both the disease whereas these molecules are in market since past 10 years.
The most commonly observed symptoms for Benign Prostate Hyperplasia (BPH) were
Micturition, Nocturia, Urge Incontinence, Haemeturia and inflamed urination.
The most commonly observed symptoms for Over Active Bladder (OAB) were urgency
in urination, micturition, frequent urination, Increased frequency of urination.

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Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
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BACKGROUND OF PHARMA INDUSTRY


Exports of pharmaceutical products from India increased from US$6.23 billion in 2006
07. The pharmaceutical industry in India is the world's third-largest in terms of volume.
According to the Department of Pharmaceuticals of the Indian Ministry of Chemicals and
Fertilizers, the total turnover of India's pharmaceuticals industry between 2008 and
September 2009 was US$21.04 billion. The domestic market was worth US$12.26
billion. The industry has a market share of $14 billion in the United States.
According to the India Brand Equity Foundation, the Indian pharmaceutical market is
likely to grow at a compound annual growth rate (CAGR) of 14-17 per cent in between
2012-16.India is now among the top five pharmaceutical emerging markets of the world.
The government began encouraging the growth of drug manufacturing by Indian
companies in the early 1960s, and with the Patents Act in 1970. This patent act removed
composition patents from foods and drugs, and though it kept process patents, these were
shortened to a period of five to seven years.
The lack of patent protection made the Indian market undesirable to the multinational
companies that had dominated the market and as they left, Indian companies carved a
niche in both the Indian and world markets by reverse-engineering new processes for
manufacturing low-cost drugs. Although some of the larger companies have taken baby
steps towards drug innovation, the industry as a whole has not changed its business
model.
In 2009-10, India's biopharmaceutical industry grew at 17 percent, with revenues of Rs.
137 billion ($3 billion). Bio-pharma was the biggest contributor, generating 60 percent of
the industry's growth at Rs. 88.29 billion, followed by bio-services at Rs. 26.39 billion
and bio-agriculture at Rs. 19.36 billion.
In 2013, there were 4,655 pharmaceutical manufacturing plants in India, employing over
345 thousand workers.

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Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
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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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Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
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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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Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
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INTRODUCTION TO HETERO HEALTHCARE LIMITED

Hetero is a research based global pharmaceutical company focused on development,


manufacturing and marketing of Active Pharmaceutical Ingredients (APIs), Intermediate
Chemicals & Finished Dosages. Ever since its establishment in 1993, Hetero showed a
tradition of excellence and deep sense of commitment in developing cost effective
processes to offer wide range of affordable drugs.
Hetero is building on the strengths of vertical integration in discovery research, process
chemistry, API manufacturing, formulation development and commercialization. Hetero
is a leading international supplier with a rich portfolio of over 200 products from wide
range of therapeutic categories both in active pharmaceutical ingredients and finished
dosages.
Heteros manufacturing facilities are cGMP compliant meeting global standards in terms
of infrastructure and systems. Majority of them are approved by the various regulatory
authorities of USFDA, WHO-Geneva, Australian TGA, Spanish agency of medicines &
health care products, ANVISA-Brazil, IDA-Netherlands etc.,
With full-fledged marketing capabilities, the company has been able to market its
products in over 138 countries across the globe.

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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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Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
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AWARDS AND ACCOLADES


Hetero has been scaling new heights on a continual basis. These achievements have been
the result of concerted efforts on the part of different functions within the organisation to
achieve the organisational goal of being a leader.

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

Top Pharmexcil Gold Patent award.

Top Pharmexcil Outstanding Export Performance award in Drugs and


Pharmaceuticals.

2006

Chemexil Trishul export award for outstanding export performance 2001


Excellence & National Integration award in recognition of the efforts for
excellence with affairs connected with educational specialties and creating
teaching skills besides promoting harmony at all levels in the college.

1999

Highest exporter award against stiff competition from internationally recognized


domestic competitors.

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Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)

1998

Top Chemexil award for Exports.

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.

CORPORATE SOCIAL RESPONSIBILITY


Corporate Social Responsibility is our commitment
Hetero Group always believes in the concept of giving back to the society to uplift the
living standards in the surrounding society as one of the prime responsibilities and always
took the lead. The Group is committed for implementation of various CSR initiatives and
contributes substantially to the cause.
Hetero Group received appreciation from the Government of Andhra Pradesh, for its
outstanding contribution in the implementation of Corporate Social Responsibility. .
Environment Protection:

Completed One Million Plantation Programme.

Taking up Plantation in the surrounding Schools.

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)

Provided substantial amount to the industrial association for the development of


infrastructure and environment in Kazipally IDA.

Provision of Biomass Pellets for cooking purpose in place of LPG gas.

Social Welfare Programs:


Hetero recognizes its obligations towards the society and as a socially responsible
organization, we strive to take care of the less privileged sections of our society. We
extend our expertise to transform the lives of our people and make a difference to the
society. In this initiative, Hetero has adopted few villages for their overall development.

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:

Infrastructure: Construction and renovation of schools, classrooms, libraries,


provision of amenities like class room benches, tables and chairs, sanitation
facilities and constructing compound walls for the surrounding schools.

Distribution of booksand reading materials to the school libraries along with


books and uniforms to the school going children.

Awarding of Merit scholarships to students and provision of free technical


education in engineering on the eligibility basis.

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Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
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2) Sports: Sponsors athletes from various educational institutions to participate in


National and International level competitions, organises sports camps and events in many
villages.
3) Medical: Hetero conducts periodical medical camps at various locations in socially
backward areas to provide timely medical assistance to the needy. Hetero also contributes
for the construction of health centers and has liberally donated medicines to the
Government of India, Government of A.P. and to various Hospitals.

4) Rural Infrastructure: Hetero adopts villages, for all round development of


infrastructure, like roads, drainages, sanitation, electricity, sponsors religious activities &
constructions and provides safe drinking water facilities, with the installation of R.O.
water purification systems.

BUSINESS FOCUS

Active Pharmaceutical Ingredients


Hetero is one of the largest manufacturer and supplier of Active Pharmaceutical
Ingredients (APIs) catering to the ever increasing requirements of the global
pharmaceutical market.
The infrastructure available with Hetero for manufacturing of Active Pharmaceutical
Ingredients and the intermediate chemicals is one of the best, with State-of-the- Art
facilities designed to meet the global standards and cGMPs.
With 11 API manufacturing facilities in operation, Hetero has been able to manufacture
more than 200 APIs, and supply to different markets. 6 of the API facilities are approved
by USFDA, TGA, EU, PMDA, KFDA and WHO.
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Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
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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.

RESEARCH & DEVELOPMENT


Research & Development is the foundation of Heteros philosophy of developing costeffective, high quality and safe medicines to society. Hetero Research Foundation is one
of the most innovative, productive, and respected a scientific research organization which
is recognized by the Department of Science & Technology, Government of India.
Hetero Research Foundation (HRF) has a team of over 400 dedicated scientists working
in the areas of Process, Analytical and Discovery Research. R & D centre conforms to
international Standards and has advanced equipment for both basic and applied research.
Process R&D
HRF has developed process for 150 plus molecules for various markets. The R&D team
actively involved in process development, scaling-up technology transfer and associates
with manufacturing team throughout life cycle of product.HRF has always been
emphasizing to ensure that the processes being adopted for the products are cost
effective, safe to handle and with optimum advantage in terms of yield and quality.
Analytical R&D
Analytical research at HRF is equipped to conduct complete physical and chemical
characterisation of APIs/ NCEs. Further, the team is well versed with regulatory filings
and has vast experience in documentation. The infrastructure includes advanced
instruments like LC-MS-MS, GC-MS, NMR, Powder XRD apart from several HPLC
systems.

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Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
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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

Unit VI (Vizag Non SEZ):


API Manufacturing Facility for Domestic Market & Semi-Regulatory Market

Unit VIII (Bonthapally - EOU):


API Manufacturing Facility - EOU

Unit IX (Vizag SEZ):


API Manufacturing Facility for Semi- Regulatory & Regulatory Markets

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Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
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2. Hetero Labs Ltd.

Unit I (Kazipally):
API Manufacturing Facility for Regulatory Markets USFDA Approved

Unit III (Vizag Non SEZ):


API Manufacturing Facility for Domestic Markets

Unit IX (Vizag SEZ):


API Manufacturing Facility for Regulatory MarketsUSFDA Approval under
consideration

Formulation Facilities
1. HETERO LABS LTD.

Unit III (Jeedimetla):


Finished dosage manufacturing facility for regulatory markets USFDA, WHO,
ANVISA, GCC, ISO, MCC, Pharmacy Medicine and Poisons Board-MALAWI,
AEMPS & UAE Approved

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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Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
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PRODUCTS

API's - Regulated Market

Drugs Master Files

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

Atorvastatin Calcium Amorphous & Crystalline

USDMF/EDMF

Atovaquone

USDMF/EDMF

Azilsartan Medoxomil

USDMF/EDMF

Azithromycin Monohydrate

USDMF/EDMF

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Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
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API Name

Status

Bupropion Hydrochloride

USDMF/EDMF

Candesartan Cilexetil

USDMF/EDMF

Celecoxib Form III

USDMF/EDMF

Cilazapril

EDMF/JPDMF

Citalopram HBr

USDMF/EDMF

Clopidogrel Bisulphate Form I & Form II

USDMF/EDMF

Colesevelam HCl

USDMF/EDMF

Cyclobenzaprine HCl

USDMF/EDMF

Dabigatran Etexilate Mesylate

USDMF/EDMF

Desloratadine

USDMF/EDMF

Dexlansoprazole

USDMF/EDMF

Donepezil HCl Form I & III

USDMF/EDMF

Dorzolamide HCl

USDMF/EDMF

Doxazosin Mesylate

EDMF

Doxercalciferol

USDMF/EDMF

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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

Eletriptan Hydrobromide alfa Form

USDMF/EDMF

Eltrombopag Olamine

USDMF/EDMF

Entacapone Form A

USDMF/EDMF

Eprosartan Mesylate

USDMF/EDMF

Escitalopram Oxalate

USDMF/EDMF

Esomeprazole Mg Dihydrate / Trihydrate

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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Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
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API Name

Status

Fesoterodine Fumarate

USDMF

Fexofenadine Hydrochloride Form I & II

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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Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
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API Name

Status

Levofloxacin

USDMF/EDMF

Lisinopril

USDMF/EDMF

Loratadine

EDMF

Losartan Potassium Form I

USDMF/EDMF

Lurasidone Hydrochloride

USDMF/EDMF

Metaxalone

USDMF/EDMF

Milnacipran Hydrochloride

USDMF/EDMF

Montelukast Sodium

USDMF/EDMF

Moxifloxacin HCl Monohydrate / Anhydrous

USDMF/EDMF

Memantine Hydrochloride Form I

USDMF/EDMF

Nabumetone

USDMF/EDMF

Nebivolol HCl

EDMF

Olanzapine Form I & II

USDMF/EDMF

Olmesartan Medoxomil

USDMF/EDMF

Omeprazole Form A & Form B

USDMF/EDMF

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API Name

Status

Omeprazole Magnesium

USDMF/EDMF

Oseltamivir Phosphate

USDMF/EDMF

Pantoprazole Sodium

USDMF/EDMF

Perindopril Erbumine Alfa form

USDMF/EDMF

Pioglitazone HCl

USDMF/EDMF

Pitavastatin Calcium Form H1

USDMF/EDMF

Pramipexole Di HCl

USDMF/EDMF

Prasugrel Hydrochloride Form B / Base

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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Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
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API Name

Status

Riluzole

USDMF/EDMF

Risedronate Sodium

USDMF/EDMF

Rivastigmine Tartrate / Base

USDMF/EDMF

Rizatriptan Benzoate

USDMF/EDMF

Roflumilast

USDMF/EDMF

Rosuvastatin Calcium

USDMF/EDMF

Rufinamide

USDMF/EDMF

Saxagliptin Hydrochloride

USDMF/EDMF

Sertraline HCl Form I & II

USDMF/EDMF

Sevelamer Hydrochloride & Carbonate

USDMF/EDMF

Sildenafil Citrate

USDMF/EDMF

Simvastatin

USDMF/EDMF

Solifenacin Succinate

USDMF/EDMF

Silodosin Alfa Form

USDMF/EDMF

Telmisartan

USDMF/EDMF

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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

Vilazodone Hydrochloride Amorphous & Premix

USDMF/EDMF

Voriconazole

USDMF/EDMF

Zolmitriptan

USDMF

Zonisamide

USDMF

Ziprasidone HCl

USDMF/EDMF

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API Name

Status

ANTIRETROVIRAL
Abacavir Sulphate

USDMF/EDMF

Atazanavir Sulphate Type I & Form H1

USDMF/EDMF

Cobicistat

USDMF/EDMF

Darunavir Amorphous & Ethanolate

USDMF/EDMF

Didanosine

USDMF/EDMF

Dolutegravir Sodium

USDMF/EDMF

Efavirenz Form I & Form H1

USDMF/EDMF

Elvitegravir

USDMF/EDMF

Emtricitabine

USDMF/EDMF

Entecavir

USDMF/EDMF

Etravirine Form I

USDMF/EDMF

Fosamprenavir Calcium Form H1 & Amorphous

USDMF/EDMF

Lamivudine Form I & Form II

USDMF/EDMF

Lopinavir Form I & Amorphous

USDMF/EDMF

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Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
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API Name

Status

Maraviroc Form B & Amorphous

USDMF/EDMF

Nevirapine

USDMF/EDMF

Raltegravir Potassium Form I & Amorphous

USDMF/EDMF

Ritonavir Form I & Amorphous Premix

USDMF/EDMF

Saquinavir Mesylate

USDMF/EDMF

Stavudine

USDMF/EDMF

Tenofovir Disoproxil Fumarate

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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Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
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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

Erlotinib Hydrochloride Form A

USDMF/EDMF

Fosaprepitant Dimeglumine

USDMF/EDMF

Gefitinib

USDMF/EDMF

Gemcitabine HCl

USDMF/EDMF

Imatinib Mesylate Amorphous / Alfa Form / Beta Form

USDMF/EDMF

Irinotrcan HCl

USDMF/EDMF

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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

Pemetrexed Disodium 2.5 Hydrate / 7.0 Hydrate

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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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

Table 1: Products by Hetero Healthcare Limited.

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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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Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
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API Name

Status

Gabapentin Enacarbil

Technical Package

Ibandronate Sodium

Technical Package

Ivabradine Hydrochloride Premix

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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API Name

Status

Trospium Chloride

Technical Package

Vardenafil HCl

Technical Package

Vigabatrin

Technical Package

Table 2: Technical Packages by Hetero Heathcare Limited.

KEY PARTNERS

Global health group is engaged in research, development, manufacture and marketing of


healthcare products. The main activities according their importance and their turnover
are:
Pharmaceuticals (prescription drugs, consumer health, general medicine): aging diabetes,
rare diseases, oncology and other important products in the prevention of thrombosis,
cardiovascular disease, nephrology and biosurgery.
R&D to prevent, treat and cure disease. Constant innovation is very important in order to
attain his goal: answer to the real needs of patients and provide them appropriate
therapeutic solutions
Clinical Development Marketing & Distribution Creating value through partnerships
availability and performance of drugs.

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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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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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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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Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
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analogue reverse transcriptase inhibitors (nRTIs), which block reverse transcriptase, an


enzyme crucial to viral production in HIV-infected people. Tenofovir is indicated in
combination with other antiretroviral agents for the treatment of HIV-1 infection in
adults.
Nov'2009
Hetero receives tentative approval of Lamivudine and Tenofovir fixed dose
combination tablets, 300mg/300mg tablets from USFDA
On November 5, 2009, using expedited review procedures developed to support the
President's Emergency Program For AIDS Relief (PEPFAR1), the US Food and Drug
Administration (FDA), granted tentative approval for lamivudine and tenofovir disoproxil
fumarate fixed dose combination tablets, 300mg/300mg.
The fixed dose combination product, indicated for use in combination with other
antiretrovirals for the treatment of HIV-1 infection.

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SWOT ANALYSIS OF HETERO HEALTHCARE LIMITED


SWOT Analysis

1. Hetero Healthcare Ltd is worlds largest global producer of

anti-retroviral drugs for the treatment of HIV/AIDS.


2. Hetero Healthcare Ltd is recognized as a world leader in
process chemistry, API manufacturing, formulation
development, manufacturing and commercialization.
3. Hetero Healthcare Ltd is research-driven pharmaceutical
company.

Strength

4 is recognized as one of the top 10 companies in the Indian


pharmaceutical industry with an annual turnover of US$ 1.2
billion.
5. Hetero Healthcare Ltd has 15,000 employees.
6. Hetero healthcare manufactures high-quality drugs.
7. 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.

Weakness

1. Controversies regarding issue of compulsion of licensing


in India

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Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
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2. Patent expiry for a number of API products


1. Strategic agreements with other pharmaceutical companies
and organizations to boost its research.
Opportunity

2. Increasing awareness about healthcare needs


3. Increasing demand for quality healthcare solutions
1.Risk of unsuccessful new Products

Threats

2.Regulatory environment is becoming more & more


stringent
3.Economic slowdown in European markets
Competition
1. Abbott Laboratories
2. Amgen

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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SWOT ANALYSIS OF PFIZER

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

3. Mergers and acquisitions with big pharma brands


increasing brand reputation
4. Has over 100,000 employees as a part of the organization
5. Strong brand name and recall globally
Tough competition from other major pharma brands means
limited scope for market share growth

Weakness

Negative brand image due to involvement in largest


healthcare fraud of marketing its drug illegally
1.Strategic agreements with other pharmaceutical companies
and organizations to boost its research.

Opportunity

2. Increasing awareness about healthcare needs


3. Global penetration through mergers and acquisitions
4. Increasing demand for quality healthcare solutions

Threats

1.Risk of unsuccessful new Products


2.Regulatory environment is becoming more & more

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Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
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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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DATA ANALYSIS AND INTERPRETATION


I.
II.
III.

Source of data: Primary


*Data collection Instrument: Direct interview through questionnaire
Sampling plan:
Time taken: 40 days
Area covered: Western and central Mumbai

IV.

Observation: Female doctors dont treat the patients of Benign Prostate


Hyperplasia, they treat mostly patients with Over Active Bladder.
Over Active Bladder is mostly misunderstood for the Urinary Tract Infection but
this case is only seen in females than in males. The differential diagnose of the
Over Active Bladder is Urinary Tract Infection.

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QUESTIONNAIRE AND ANALYSIS


UROLOGY QUESTIONNAIRE

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

Figure 1: Count of Patients suffering from 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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Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
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2. How do you diagnose patients for BPH and OAB?


BPH: USG 243, PSA 78, Clinical test 47, KUB 7, urine culture- 9
OAB: Cystometry 79, USG 187, Clinical test 46, Urine culture 16,

250
200
150
100

BPH

50
0
USG

PSA

Clinical
test

KUB

BPH

Figure 2: Diagnostic Procedure for BPH

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Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
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200
150
100
OAB

50
0
USG

Clinical Test

Cystometry

OAB
Urine
culture

Figure 3: Diagnostic Procedure for OAB

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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Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
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3. Do you treat patients by yourself or recommend to Urologist/Gen Surgeons?


Treat Self 1
Recommend to Urologist - 19
Both 252

Treatment
300
200
100

Treatment

0
Treat Self

Recommend
to Urologist

Treatment
Both

Figure 4: Line of Treatment

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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Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
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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

Figure 5: Molecules used by GP's for BPH

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Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
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OAB
80
60
40
20
0
OAB

OAB

Figure 6: Molecules used by GP's for 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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Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
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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

Figure 7: Dosage and Period Molecule for BPH

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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

Figure 8: Dosage and Period Molecule for OAB

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

Life Long -10

Lifelong 88

Depends upon the cases 19

Depends upon the cases 33

Surgical Intervention -6

Refer To the Urologist 2

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Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
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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

Figure 9: Awareness among GPs regarding BPH & OAB

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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Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
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FINDINGS

There are already many products containing Tamsulosin and Dutasteride in


market since past 10 years

The product which is yet to be launched is already the leading brand of


competitors.

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 competitors are very renowned Pharmaceutical Companies as compared to


Hetero Healthcare Ltd.

The patients suffering from BPH and OAB are treated within the time period of 3
to 12 months.

The most commonly observed are Nocturia, Haemeturia, Urge incontinence in


BPH patients, whereas, Urgency, Frequency, Micturition, Incontinence,
Incomplete emptying of Bladder are symptoms of Patient suffering from OAB.

Physicians Update themselves about these disease through CMES, Medical


Journals, Urology Seminars and sometimes Internet.

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.

Some Physicians referred their patients to nephrologist only if surgical


intervention was necessary.

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.

Urinary Tract Infection was the differential diagnosis observed so maximum


times an antibiotic along with diuretic was prescribed.

The most prescribed molecule by Physicians was Tamsulosin for both BPH and
OAB.
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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.

Before launching the product, awareness should be created by distribution of free


samples among the Physicians and the retailers.

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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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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Awareness and Treatment trends amongst General Physicians about Benign Prostate Hyperplasia
(BPH) and Over Active Bladder (OAB)

BIBLIOGRAPHY

www.heterodrugs.com

Essentials of Pharmacotherapeutics by F.S.K. Barar S. Chand Publishing.

Rang and Dales Pharmacology.

Text book of Medical Physiology by Guyton and Hall.

www.wikipedia.com

www.webmd.com

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