Biosimilars are not the only strategy

So, biosimilar Lantus (insulin glargine [rDNA origin] injection) was not high on the agenda, whereas the change from ‘brand management to brand-based solutions’ for Lantus, the company’s most important drug, was. The insulin market is increasingly about pens and peripherals: the SoloSTAR pen which accounts for 40% of new Lantus prescriptions in the US, the BGStar glucose monitoring devices, and a forthcoming integrated device for Lantus dosing with a patient-driven titration algorithm. Nevertheless, Lilly has two basal biosimilar insulins, including a copy of Lantus, starting phase III trials this year.

Consistent and sustainable growth

Genzyme was in fact one of 23 acquisitions, as the company cut back its own R & D activities. Diabetes Solutions is one of six ‘growth platforms’, which include emerging markets and animal health. In 2011, sales of key generic products are expected to decline to about Euros 3 billion vs Euros 7.6 billion in 2008. In parallel, consolidated sales generated by growth platforms and Genzyme should exceed Euros 22 billion in 2011 compared to Euros 11.8 billion in 2008. The last significant headwind remains the impact on profit contribution from Plavix (clopidogrel) and Avapro (irbesartan) in the US following the end of exclusivity in May 2012 and March 2012, respectively. Sanofi estimates that this will reduce net business income by around Euros 1.4 billion in 2012. By 2013 sanofi expects a similar income to 2008.

By 2015 the growth platforms and Genzyme will together contribute a predicted 80% of the group’s income. Sanofi has indeed undergone an impressive transformation over the last two and a half years.