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POWER
MOVES CONTRACT SERVICES
SUCCESS STRATEGIES
By Steven E. Kuehn,
Pharmaceutical Manufacturing
DPx Holdings and other leaders like Lonza and Catalent LONZA
will experience the greatest increase in revenue between A key to the development of highly targeted therapeu-
2014 and 2024. Bottom-lining it, Visiongain notes CMOs tic approaches for a range of diseases, Antibody drug
with specialist expertise, proprietary technology and conjugates (ADCs) are an increasingly popular tool and
flexible production facilities will experience market- the bio/pharmaceutical industry sees it as an important
beating growth rates over the forecast period. capability. Lonza, the preeminent Swiss biopharmaceuti-
Whos the hottest? Visiongain singled out Vetter and cal CMO, recognized the potential and positioned itself
Lonza as two of the best-placed companies for high accordingly. In an item covering the emerging value of
revenue growth during the forecast period. Visiongain ADCS, PharmSource consultants explained in one of its
analysts also called out Catalent and Lonza in particular newsletters that because of their complexity, ADCs offer
as two companies that have placed considerable unique opportunities and challenges for CMOs and bio/
investment into high potency API and antibody-drug pharmaceutical companies seeking CMO partners for
conjugate facilities, a couple of high value competencies their ADC candidates. PharmSources Tom Ransohoff,
that, at least according to just about anyone observing the explains: There are some real technical challenges in
industry, will help fuel revenue and growth. producing ADCs. It is not an easy thing to attach a drug
These areas are predicted to experience long-term to a monoclonal antibody (MAb). There are four main
growth in demand over of the next 10 years, says Weymer, elements to manufacturing ADCs: bulk production of
and will drive growth for firms with experience and the monoclonal antibody; bulk production of the small
production capacity. Similarly, say Visongain and others, molecule drug; coupling of the monoclonal antibody and
competency with complex processing such as lyophilisation the small molecule drug via the use of a chemical linker;
and pre-filled syringes will win increasing business from plus a fill/finish operation to put the product in the final
biopharmaceutical companies seeking partners that can dosage form for the patient.
demonstrate their ability to deliver such capabilities. Its recognized that one of the major technical hurdles
Patheon announced recently the appointment has to do with the fact that the antibody and the drug
of Gilles Cottier as president of the companys retain their viability after the components are chemically
pharmaceutical development services (PDS) division attached. Tom Rohrer, senior director, Lonza (Basel,
effective immediately. According to Patheon, Cottiers Switzerland) offered this to PharmSource subscribers:
appointment is part of a larger realignment effort by the The union of the antibody, a biological compound,
company to create three distinct business segments and the drug coupled to the linker, a small molecule
drug product services (DPS), drug substance services compound, must be made chemically, with the ADC
(DSS) and PDS. Patheon says the structure will help retaining the binding activity of the antibody as well as
forge deeper relationships with clients and employ new the biological activity of the drug.
business models to help clients simplify their supply
chain management activities and support the expanding SMALL/LARGE MOLECULE COMPETENCE REQUIRED
number of new business opportunities and increasing The production of ADCs requires small molecule and bio-
complexity of client relationships. logic manufacturing acumen within an HPAPI processing
Deeper relationships with customers are at the core high-containment environment. PharmSource says this
of Patheons go-to-market strategy called OneSource. limits the number of CMOs that can participate in the
Its under one roof that Patheon customers can combine process. Rohrer illuminates the task at hand: Perhaps
drug substance and drug product development and one of the greatest technology challenges associated with
manufacturing into a single customized solution to ADC manufacturing is the design and construction of an
simplify your supply chain and accelerate your discovery aseptic biological manufacturing environment that allows
to proof of concept. Patheon claims customers will be safe manipulation of highly toxic drugs. ADC manufac-
able to develop small molecules 8-12 weeks faster than the turing requires manipulation of cytotoxic drugs with very
industry-standard 15 months and large molecules 14-20 low occupational exposure levels, in the 10-9 gram/M3
weeks faster. range. The linkers are chemically synthesized and require
Lifecycle management is also a niche that Patheon traditional small molecule technology for production.
chooses to pursue publicly, and its literature online Analysts say Lonza comes closest to offering a single
identifies areas of formulation, dose form and associated source CMO option. It offers ADC conjugation services at
attributes that the companys operations can deliver for its Visp, Switzerland, facility, where it fields manufacturing
customers looking to extend the commercial lives of their operations for highly potent APIs. Lonza manufactures the
products and part of Pharmas kit of tactics to wring more monoclonal antibody at production sites in Slough, UK;
revenue out of existing product lines. Portsmouth, NH, USA; and Tuas, Singapore.
fast, by todays standards, three-hour cycle and fully auto- for drug product development and manufacturing, it is
mated decontamination of the cleanroom using hydrogen our intent to always get each customers job done right.
peroxide (H2O2), resulting from an extremely high level In order to reach this level on a continuous basis, these
of process innovation. Following a successful pilot, the investments are the right step, at the right time.
company says it intends to roll the concept out to all of its Its nearly universal that operational competence
cleanrooms within the next few years. and technical acumen are essential and fundamental
Naturally Vetter has its customers in mind and echoes to CMO success. Granted, the Top 30 CMOs have the
the sentiments of the industry of late. Managing director weight and momentum to preserve their share, but
Peter Soelkner put it like this: We are continuously there are hundreds of companies out there preparing
monitoring and reacting to a changing marketplace and to compete in similar ways, carving out niches, playing
are pleased that we are in the position to be able to make to their strengths, and investing in their operations to
these strategic investments to further develop our sites answer customer and market demands. Big, small or
and meet these challenges. Individually and collectively, in-between, contract service companies are readying
they will help us keep pace with the market... Managing themselves to make the power moves they need to be
director Thomas Otto notes that, As trusted partners successful.
(3), and more than 18 acquisitions in the CMO space dedicated project managers, demonstrate a clear
(including only CMO-CMO deals) have taken place in the willingness to make long-term commitments, and the
last three years alone (3). Acquisitions of facilities from ability to customize protocols for different projects (2).
sponsor pharmaceutical and biopharmaceutical companies It remains to be seen, however, whether the newly
also continues, but at a slower pace than in the past (4). formed CDMOs resulting from the frenetic M&A
There are several reasons CMOs are acquiring one activity can actually provide fully integrated services
another: to gain a more global footprint to meet client that meet the expectations of pharmaceutical and
needs for global partners and large-scale capabilities biopharmaceutical sponsor firms.
for greater cost efficiencies; to expand into service areas
(development, final formulation); and to gain access to COST NO LONGER THE MAIN
advanced technologies. Overall, CMOs are looking to SELECTION CRITERIA
become CDMOs in order to develop extensive networks The focus on cost reduction initially associated with the
of capabilities similar to what sponsor companies have growth of outsourcing no longer seems to exist today.
access to in-house, but with cost, productivity and Quality has supplanted cost savings as the key criterion
technological advantages. when sponsor companies are seeking contract service
The internal investments being made by CMOs and partners. For three years in a row, respondents to Nice
CDMOs add up to quite significant sums and are too Insights survey have indicated that quality and reliability
numerous to mention. Leading the pack is Catalent, are the top two priorities, while affordability has dropped
which also recently acquired several companies in priority as one of the drivers for selecting an outsourc-
(Pharmapak Technologies, Redwood Bioscience and ing partner (2). See Figure 2. Poor quality also remains
Micron Technologies). Both Catalent and Patheon the top source of dissatisfaction for survey respondents,
announced initial public offerings to raise capital for followed by a lack of timeliness in resolving problems and
further expansions. unexpected charges.
Its also worth noting that FDA in 2015 opened its
THE VALUE OF INTEGRATED SERVICES Office of Pharmaceutical Quality, which is anticipated
These activities seem to indicate that the CDMO concept to aid the agency in more effectively addressing quality
has been well established. They also underscore the re- management issues in the pharmaceutical industry.
cent trend toward the formation of strategic partnerships Respondents of the Nice Insight survey that work
with a few preferred suppliers that have the expertise to for sponsor companies are also keenly interested in
support fully integrated capabilities and culture, systems contract service providers that have track records of
and processes necessary for the development of collab- success, financial stability and an industry reputation
orative relationships. for doing quality work (2). Partners with operational,
This approach allows drug manufacturers to meet methodological, and therapeutic experience to meet a
aggressive development times while realizing greater wide range of project needs and the ability to be adaptable
efficiencies in their own supply chains. According to the and flexible are also preferred. Clearly demonstrated
Nice Insight survey results, sponsor companies look for communication skills, a willingness to be transparent
strategic partners that have the capability and willingness and a deep understanding of customer needs are also
to collaboratively develop operating procedures, use important to survey respondents, as are a reputation
for being responsive, willingness to go the extra mile to
Figure 2. Rank Of Industry Drivers ensure success and implement sponsor methodologies,
and an eagerness to foster good rapport among project
20122013 20132014 20142015 team members.
Quality 1 1 1 GREATER ROLE FOR ADVANCED TECHNOLOGIES
Reliability 2 2 2 Candidate drugs today are more complex and challenging
to formulate, often requiring unique solutions to ensure
Productivity 5 4 3 high bioavailability, efficacy and safety. Many of these
complex drugs are also granted orphan drugs, break-
Affordability 4 5 4 through therapy, and/or fast track designations from the
FDA and must be commercialized in half the normal time.
Regulatory 3 3 5
At the same time, payers, governments, physicians and
Innovation 6 6 5 patients are requiring demonstration of value, and the
shift to evidence-based medicine is placing additional cost
By Knut Alicke, Denis Fedoryaev and Patrick Oster, McKinsey & Company
SUPPLY CHAIN collaboration is underleveraged in the High tech: integrated planning, electronics
pharma industry. Although other sectors, such as con- manufacturers have successfully implemented
sumer and retail, have put more focus on managing their integrated planning spanning the entire supply chain.
supply chain, most of Pharmas collaboration efforts still
center on the commercial side. However, as the results Many large pharma companies embarked on creating
of a recent joint ECR/McKinsey collaboration survey supplier network platforms in the area of supply chain
indicate, in the near future industry executives anticipate information sharing, but both the depth of data exchange
an increasing focus on supply chain collaboration in such and the level of integration remain low. Better examples
areas as demand planning and fulfillment or supply chain of supplier collaboration have been seen with contract
flows and processes. Given the dynamics of client discus- manufacturing organizations (CMOs) established as
sions in health care, we expect this shift to take place in pharmaceutical plant spin-offs. Demand-and-supply
pharma as well. transparency is also weak within the sector. While
Today, less than half of the value chain in pharma is principles underlying supply chain collaboration in
externalized, which is considerably lower than in the other industries are applicable to pharma, additional
automotive or aerospace industries where it reaches constraints are imposed on the industry by the
70 to 80 percent. An increasing focus on contract uniqueness of the pharma supply chain. These constraints
manufacturing, however, can be expected to drive the need are numerous and start with pharmas stringent
for more advanced cooperation models. This trend will regulatory requirements that impose strict product
be further accentuated by regulatory actions, such as the availability requirements, long lead times associated
May 2013 U.S. FDA guidance for the pharma industry on with switching suppliers, and high complexity in change
quality practices in contract manufacturing arrangements. management because master data are extensive; they
The consumer and retail, automotive, and high-tech must be absolutely accurate at all times.
industries have already seen examples of successful
collaboration efforts, albeit each of them in its own CONSTRAINTS AND COMPLEXITY
distinct focus area: Most understand pharma supply chain networks are
Consumer and retail: large-scale supply chain increasingly complex. Pharmas specialized supplier
information sharing. base focusing on concrete therapeutic areas as well
Automotive: multi-tier demand and as particular production steps, combined with a frag-
supply transparency. mented network of manufacturing plants for different
FIGURE 1.
Performance
SC cost breakdown, range from top to
median pharmaco1 bottom quartile
Share of COGS
15.0%
4.0%
3.8%
3.1%
2.1% 2.0%
1 SC cost COGS share and component breakdown vary depending on individual pharmaco SC performance;
provided is indication of median industry performance
SOURCE: McKinsey POBOS Supply Chain, Evaluate, BMI, McKinsey analysis and expert estimates
FIGURE 2.
Set of SC collaboration levers revolves around four key areas: planning, inventory
management, inbound and outbound processes, and logistics
(NOT EXHAUSTIVE)
4 Collaborative logistics 19. End-to-end modeling of distribution network, including transportation routes, warehousing
configuration,
20. Sharing of logistics facilities and transport (e.g., truckload split, backhauling)
21. Leveraging partner network and transport for
direct deliveries
22. Joint optimization of logistics operations (e.g., speed-docking, green trucks, energy efficiency) and
delivery modes (FTL/LTL freight optimization direct delivery, local and remote milk run, cross-docking)
23. Joint peer LSP management and setup
24. City logistics: better consolidation of deliveries to end customers and convergence of manufacturers and
wholesalers order quantities and frequencies
The primary example of peer collaboration is metrics, including service level (supplier and customer),
PharmLog in Germany, a joint venture set up by six major stockouts, order changes, forecast accuracy, production
Pharma companies. Joint venture activities include a wide planning accuracy, lead time, flexibility and agility.
range of shared distribution and warehousing functions While improvement of service level or product
including order and stock control, receiving and storage, availability generates significant value on its own,
picking and packaging, batch control, repackaging, etc. the financial benefit of collaboration can be expected
from reducing the five main supply chain cost buckets:
CASE FOR SUPPLY CHAIN inventory holding, transportation, warehousing, supply
COLLABORATION chain staff and write-offs (See Figure 1).
The value of supply chain collaboration already demon-
strated in other industries ranges from working capital COSTS
improvement and cost reduction to decreased spending Pharma supply chain costs vary depending on individual
and higher sales. It also fosters revenue growth through supply chain performance. McKinsey estimates that the
better on-shelf availability and flexibility to address de- full reduction potential from supply chain collaboration
mand changes. Collaboration can generally have a posi- across all main cost buckets could achieve around 1.5 to
tive impact on a wide range of supply chain performance 3.5 percent COGS improvement. This is especially rel-
evant for generics players that have a significantly higher particularly true for situations when value cannot be
cost share. Results of this magnitude require that prereq- directly attributed to the collaboration initiative or
uisites are in place, the right approach is chosen, and the when a performance metric improvement is difficult to
most critical levers are engaged. Given todays industry translate into the financial equivalent.
size of about $900 billion in the combined originator (Rx)
and Gx segments, as well as the current cost structure, 4. Performance tracking: Performance of the collaboration
the industry-wide potential impact of supply chain col- initiative should be tracked via jointly determined
laboration amounts to $5 billion to $10 billion in earnings metrics with clear measurement processes that are
before interest and taxes (EBIT) improvement. well understood and transparent to partners. The
Following a successful procurement transformation, performance-tracking system should feed the value-
a global pharma company launched a supplier sharing scheme.
collaboration program to deliver value-driven savings
beyond pure price reduction. Several supplier pilots 5. Program architecture: While the launch of a
were launched, with the following outcomes: 50 percent collaboration program can represent several pilots
reduction of inventory, 15 percent European transport with suppliers, customers and peers, in the end
cost decrease, 17 percent packaging-material cost there must be a structured project approach to each
reduction, and 20 percent capacity increase for filling collaboration initiative.
operations. Success was attributed to the careful design
of program architecture and approach, thoughtful Another important factor for success is selecting
selection of the right suppliers for the pilots, dedication the right partners. Unlike companies in many other
of company resources to supplier capability building, sectors, even the top players in pharma cannot claim a
and the drive for cross-functional collaboration. good understanding of their upstream and downstream
As mentioned earlier, full-scale customer collaboration strategic partners. Before launching any collaboration, a
programs have not taken off in the pharma industry. company should first run a comprehensive optimization
One recent noteworthy initiative is the launch of a global of both supplier and customer footprints and define its
forecasting excellence program by a major Gx player, which strategic partners in both pools.
includes a joint forecasting pilot with a select customer. The The set of potential supply chain collaboration levers
impact is yet to be shown. is broad and dependent on specific circumstances and
roles. There are, however, four main areas where supply
HOW TO MAKE COLLABORATION chain collaboration can deliver high impact: planning
INITIATIVES WORK and forecasting, inventory management, inbound and
To increase the odds of achieving significant benefit, it outbound delivery and handling processes, and logistics
is crucial to ensure, prior to launching an initiative, that setup (See Figure 2). Most of the levers described in each
the prerequisites for collaboration are in place and that area are applicable across all supply chain collaboration
the right approach is being applied. There are five critical models:
prerequisites that management should consider before Despite cultural and trust hurdles with external
launching collaboration efforts. parties and relatively long time-to-impact, supply chain
collaboration can clearly offer substantial benefits. This
1. Commitment and resources: Collaboration should be is particularly the case in the cost areas of inventory
positioned as a strategic priority with explicit senior- holding, transportation and warehousing, supply chain
level commitment and accountability from partners. staff, and write-offs. To achieve benefits, however, it is
There must be available resources to form a joint, important to ensure that the fundamental prerequisites
dedicated supply chain team, with involvement of such as commitment and resources, data exchange
other functions. mechanism and value-sharing scheme are in place and
that the most critical collaboration levers are engaged.
2. Data exchange mechanism: The sharing mechanism
should be realized by setting up an independent
clean team to ensure confidentiality. In later stages, it ABOUT THE AUTHORS
should be transformed into the IT interface with clear Knut Alicke (Knut_Alicke@mckinsey.com) is a master expert
governance rules. in the Stuttgart office. Denis Fedoryaev (Denis_Fedoryaev@
mckinsey.com) is an associate principal in the Copenhagen office.
3. Value-sharing scheme: The sharing of benefits, costs Patrick Oster (Patrick_Oster@mckinsey.com) is an analyst in the
and risks should be clearly defined up front. This is Wroclaw office.
made better
Read the E-book
2O16 Contract Pharma Trends www.pharmamanufacturing.com
BioPharmaceuticals LLC, another contract manufacturing ing at outsourcing more work, but with companies with
company leader specializing in biologics. According to the broader capabilities.
Gallus presser, Patheons biologic drug substance business Mullen says the strategy is to shrink the network of
now spans four global facilities in Europe, Australia and suppliers and in the process make the supply chain more
North America and includes more than 550 employees. manageable. Mullen points to emerging drug product
At the time, DPxs Mullen declared confidently that with complexity as another strategy imperative served by a CMO
the Gallus acquisition his company was now more capable with robust technical capabilities. He notes a growing
than ever, able to provide customers with an even higher slice of products requires special, sophisticated processing
level of service with our expanded service offerings and capabilities and that includes both biological drugs and
dedicated biologics presence in the U.S. Mullen explained the drugs in development on the small molecule side. The
acquisition allows DPx to better serve the biologics segment estimate, says Mullen, is maybe a third of the pipelines
and that it aligns with the companys strategy to bring our out there that have solubility absorption issues. So what
customers an industry-leading, end-to-end service offering. does that mean, asks Mullen? They need more specialty
Patheon pharma services business provides commercial formulation technologies to solve these problems. And what
manufacturing, pharma product development services for a does that mean for DPx? We keep building our technology
full array of solid and sterile dosage forms, and biologic and base, citing the recent Agere Pharmaceuticals acquisition as
chemical drug substance development and manufacturing. a transaction exactly aimed at that problem.
With the Gallus acquisition, said the company, Patheon is Ageres Bend, Oregon, facility is expected to serve as
now a leading provider of process development as well as a solubility center of excellence and part of Patheons
clinical and commercial scale manufacturing of mammalian pharmaceutical development services (PDS) operations.
cell culture derived products. We see a growing need to offer customers an integrated,
The deal sought to integrate two existing Gallus sites agnostic approach to address their development and drug
(St. Louis and Princeton, New Jersey) and complement delivery needs, said Patheons Michael Lehmann, president,
the two existing Patheon sites in Groningen, the global pharmaceutical development services and executive
Netherlands and Brisbane, Australia. Three of these four vice president global sales and marketing With this
global sites, said Gallus, have nearly three decades of acquisition, we strengthen our number-one pharmaceutical
mammalian cell culture experience, while the Brisbane development services position with a solution that
site, opened within the last year, is considered a facility integrates scientific acumen and design automation.
of the future for biologics, one which was covered This past March Patheon also announced it has reached
extensively in Pharmaceutical Manufacturings January a definitive agreement to acquire IRIX, a company that
2014 issue. specializes in difficult-to-manufacture API for drugs
At the end of the day, the enhanced capabilities from early and late development, through commercial
provided by the Gallus acquisition further supports launch. Patheon secures additional API development and
Patheons end-to-end integrated offering strategy by manufacturing services in the U.S., including high-potency
providing small-scale API and biologic drug substance (SafeBridge Class IV certified) and controlled substances
through to commercial manufacturing capabilities and (Schedule 1-4). IRIX, said the announcement, has a well-
the capacity to win more of this business going forward. established reputation for the optimization of chemical
processes and scale up for commercial API manufacturing
RESPONSE TO SUPPLY CHAIN COMPLEXITY at sites in Greenville and Florence, South Carolina.
According to Mullen (whom Pharmaceutical Manufactur- Through its IRIX acquisition, DPx says it is now able
ing encountered at DCAT Week 2015), whether its the to offer an array of cutting-edge process technologies,
big pharma guys or some of the smaller customers, those including biocatalysis, homogeneous catalysis and
companies want to outsource more, for one, because microreactors, and are better positioned to address an
supply chains are getting more complex. So theyre look- extensive range of supply chain issues for its customers.
Capital
FACILITY AND OPERATIONS INVESTMENT
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investment recovery, it is important that asset owners develop a strategy for managing their recovery efforts.
The choice of strategy depends on several factors, including the size of the company, the quantity of used equipment
that must be managed, and the resources that are available to support an investment recovery program.
For an in-house program to be successful, the pharmaceutical manufacturer must not only have appropriate
storage space (that often must be compliant with Good Manufacturing Practices), personnel, handling inventory and
sales management systems, and an advertising budget are required. Outsourcing shifts most of these burdens to the
service provider, but someone must take responsibility for overseeing the selection of the provider and for ongoing
management of the program at each of the companys locations.
It is also crucial for the investment recovery team whether in-house or external to understand the level of return
expected by the owner and weigh the other relevant factors important to each individual project, such as the location,
project timeframe, and removal costs. If done properly, a customized plan can be developed that maximizes the
firms goals. In addition, experienced teams will not only look for external sales opportunities, but consider internal
redeployment as a mechanism for avoiding unnecessary capital expenditures elsewhere in the company.
The purchase of pharmaceutical equipment is in fact a major investment, and access to used assets can benefit both the
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QUALITY
Favorable clinical trials are those
having a positive effect on the tested
substance. Certainly, patient safety is
a key focus. Formulation of the inves-
tigational product, its stability and all
associated packaging aspects are es-
sential in this regard. Sometimes good
manufacturing practice (GMP) efforts
to finish a product are underestimated
by clinical R&D personnel. The only
appropriate response for CMOs is to
consistently educate sponsors and
CRO stakeholders. Implementation of
robust quality/technical agreements
should be a given.
Recognizing the highest impact
dor involved in pre-production activities last-minute Biopharmaceutical R&D experts and CROs are wise
orders or misuse of available stock hinders trial continu- to integrate CMOs into planning stages. They can get
ity and produces considerable inventory swings. This can ahead even more if they implement a sales and operations
not only have dramatic cost implications, but may also planning (S&OP) model the gold standard in the
impact safety. Patients already enrolled into a clinical supply chain industry that fully loops CMOs and CROs
trial can be put at risk if not supplied with sufficient trial into that process. This type of collaborative business
medication on time. process may help drastically reduce planning cycle
To make clinical logistics more efficient, one must time and improve forecast accuracy. It can also help
understand the dependencies and evaluate and mitigate mitigate the risk of stock-outs along the full supply chain.
associated risks in advance. A single weak link in the Additionally, processes also become more standardized
chain can cause the entire ensemble to break. and lean across all parties.
Clinical supply planners are challenged with
evaluating several aspects during the start-up phase, MANUFACTURING
however, they often find themselves disconnected from Product formulation and stability, as well as IMP kit
the clinical team. Since CMOs are involved early in design be it a study-specific labeled blister, bottle
the supply chain stage of production, it is essential to or vial can significantly impact storage, distribu-
embed manufacturing experts into the clinical trial core tion and administration. We have seen projects with
planning structure. CMOs must know the expected relatively large blister packages shipped under cold
delivery time to sites and patients, as well as the required chain requirements of 28C. While this was obviously
quantity and availability of the initial IMP batch. a lower cost for production, especially for relatively
Likewise, they must have information about drug product small batches of over-encapsulated drugs, they heav-
shelf life and stability, which are essential for expiry ily affected transportation costs because air had to be
management and drug handling at sites/patients. transported in validated high-volume shippers. The
A forward-looking distribution strategy includes the same concept applies for the number of batches to be
entire manufacturing element as part of the overall plan, produced. At first glance it may seem less expensive to
forming a coherent, logical process long before packaging perform one larger production run than many smaller
is complete. Expiry date management and distribution ones. However, by taking into account expiry dates,
schemes should also be factored into the strategy. uncertain enrollment numbers and a high volatility in
Packaging and label design, plus the impact of product regional distribution demands, one large production
characteristics dosage form, temperature conditions can quickly become unusable while fresh batches are
must also be considered. desperately needed.
CMOs can be more innovative by steadily optimizing experts along the clinical supply chain. An enterprise
manufacturing and implementing better processes, resource planning (ERP) solution is considered the
including: small-batch IMP labeling, forecast ultimate S&OP tool for the clinical trial logistics business.
automation, production planning and resource This fosters straighter technology integration, supports
allocation. Additionally, investments in future logistics lean process management and creates reasonable
areas, such as e-Labeling, RFID and On-demand/Just calculation and more precise forecasts.
in Time labeling, can add value to clinical trials by Manufacturing is an ambiguous process, which is
supporting chain of custody. why associated technologies and supply logistics must be
Certain manufacturing process aspects can influence flexible and provident. Frequent adjustments to initial
distribution, handling and re-supply processes. Although assumptions must be included from the beginning
initial forecasts of product quantity are completed during and verified along the chain. If one link moves in an
the planning phase, the supply chain must be monitored unexpected direction, it weakens the chain and requires
closely to reduce potential disruption risks. The relentless modification. Minimal movements can adjust the flow so
review of planning parameters during the execution that the direction is realigned once again.
phase enables clinical logistics experts to adjust according Efficient planning and proper technologies along
to external factors that influence the flow. An elaborated the manufacturing chain can minimize overage,
plan at the outset helps simplify the drug development avoid product shortages and optimize production and
journey along the clinical supply chain, but in many ways packaging campaigns to support informed decision
the planning phase is a continuous activity. making. With the help of enterprise solutions, processes
can be further streamlined and automated, improving
TECHNOLOGY INTEGRATION operations and costs.
Combined with the elements outlined above, technol- An effective and non-disruptive end-to-end clinical
ogy plays an important role in the journey. Over the supply chain is possible if CROs, CMOs, logistics
years, clinical supply chain experts have instituted many providers and the broader biopharmaceutical industry
technical instruments, including interactive response act together as trusted partners. One only needs to
technology (IRT) solutions that streamline and simplify examine other business sectors such as the automotive
complex processes. These, in turn, enable more intelligent or semiconductor industries to find benefits of
and cost-effective in-time supply distribution within the collaboration. Having the CMO as a partner enables
highly global and volatile clinical trial environment. real communication and deeper cooperation that can
A key to success is tightly integrating enterprise lead to new and successful approaches to clinical trial
technology which combines manufacturing, storage, logistics. Holistic project management, combined with an
distribution, investigational site management and clinical intelligent supply chain strategy, can generate successful
trial management systems with CMO distribution outcomes at the end of the drug development journey.
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