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Clinical Trials Market – India
April 2012
Executive Summary

               Clinical trials market in India was valued at INR b bn in 2011 and is estimated to reach INR f bn by 
                2015, growing at a CAGR of x%
  Market       India is the ‘y’ largest clinical trials market in Region 1, following Country 2
               India’s share in the global clinical trials market was u% in 2011 and will grow to v% by 2015
              Drivers:                                                      Challenges:
                 – Cost competitiveness                                          – Shortage of research professionals
                 – Vast patient population with diverse                          – Delays in trial approval
 Drivers &         number of diseases                                            – Lack of data exclusivity
                 – Increasing R&D expenditure by                                 – Challenges of unethical trials
Challenges         pharmaceutical companies
                 – Friendly regulatory environment
                 – Sound medical infrastructure
                 – International quality standards
               Clinical trial can be initiated only after approval from Association 1 and are governed by 
Government      Scheduled ‘XX’ of Act 1
Regulations    Registration of trials involving humans has been made mandatory starting in June 2009 on the 
                Clinical Trials Registry‐India (CTRI) website 
                           Major Domestic Players                                       Major Foreign Players
                     Company 1                  Company 3                         Company 5                Company 7
Competition
                     Company 2                  Company 4                         Company 6                Company 8



                                      CLINICAL TRIALS MARKET IN INDIA 2012.PPT                                          2
•Introduction
•Market Overview
•Drivers & Challenges
•Government Regulations
•Competition
•Clinical Research Institutes
•Key Developments
•Strategic Recommendations
•Appendix

   CLINICAL TRIALS MARKET IN INDIA 2012.PPT   3
India is emerging as a preferred destination for clinical trials
and the market is expected to show steady growth
Market Overview                                                            Market Size and Growth (Value‐wise)
• Clinical trials market in India is growing at a very fast                 INR bn
  pace and is expected to be more than double in 2015 
                                                                           50                                                                    f
  from its size in 2011
                                                                           40                                      x%               e
• India is the ‘y’ largest clinical trials market in Region 1 
                                                                                                                         d
  following Country 1                                                      30                                c
• Major sponsors for clinical trials are international                                            b
                                                                                     a
  pharmaceuticals companies with huge R&D spending                         20

• Many Indian and foreign pharmaceutical companies                         10
  have tied up with other specialist research 
                                                                            0
  companies for development of new drugs
                                                                                  2010          2011       2012e        2013e    2014e         2015e
• Pharma companies are leaning towards outsourcing 
  and concentrating on marketing without spending 
  time for drug discovery and manufacturing                                                           Global Pharma Companies
• Internationally certified central laboratories  and 
  research institutes also take part in clinical trials in 
                                                                                                            Outsource 
  India
                                                                                         Drug Discovery                      Clinical Trials

        India’s share in the global clinical trials 
       market is expected to increase from u% in                                             Research                     Contract Research 
                  2011 to v% in 2015                                                        Institutions                    Organizations



                                                 CLINICAL TRIALS MARKET IN INDIA 2012.PPT                                                            4
Although the number of new trials registered in India in 
2011 declined, the market will continue to grow steadily
New Trials Registered                                                   Number of Trials Registered Each Year
•Total number of trials registered in India till                    400                                           D
 date is 1875                                                                                  B           C
•Number of new trials registered in India in                        300
                                                                                  A                                            E
 2011 had sharply declined from the number of 
                                                                    200
 trials registered in 2010
•However, the market is not expected to be                          100
 negatively impacted by the lower number of 
 new trials registered in 2011                                         0
                                                                               2007           2011        2009   2010        2011
   At present 513 clinical trial studies are being 
    conducted in India which is far greater than the 
    331 studies being conducted in 2010 and 181                         Trials According to Therapeutic Areas
    studies being conducted in 2009
                                                                                                                  Cancer
   Since trials for a single drug itself may take several                               A%
    years, the market will continue to exhibit steady                                                F%           CNS
    growth even if the number of new trials                                                                       Infectious Diseases
    registered declines in a particular year                                 B%                                   Diabetes
                                                                                                                  CVD
                                                                                                          E%      Others
     Cancer, CNS and infectious diseases are the 
     most popular therapeutic areas for clinical                               C%
        trials, followed by diabetes and CVD
                                                                                              D%



                                              CLINICAL TRIALS MARKET IN INDIA 2012.PPT                                              5
Majority of the trials conducted in India are Phase III trials 
and are sponsored by large pharmaceutical companies
Distribution of trials on basis of Phase                                     Major Pharma Companies Sponsoring trials

       D%    C%                                                              Company                      No. of Trials
                                              Phase I
                                              Phase II                       A                                 86
                   B%
                                              Phase III                      B                                 74
                                              Phase IV
                                                                             C                                 73
                          Distribution has been done on the basis of         D                                 71
      A%               ongoing trials. However, some trials have not 
                             been taken into account as information          E                                 64
                               regarding their phase is not available
                                                                             F                                 61
                                                                             G                                 56
Segmentation of trials on basis of Sponsors
                                                                             H                                 49
                                                                             I                                 42
     A%                                       A                              J                                 32
                                              B
                                                                             K                                 31
                                                                             L                                 27

                  B%                                                         M                                 26
                                                                             N                                 23



                                                   CLINICAL TRIALS MARKET IN INDIA 2012.PPT                           6
Drivers & Challenges – Summary 



  Drivers                                                                Challenges

  Cost competitiveness                                                   Shortage of research professionals

  Vast patient population with diverse                                   Delays in trial approval
  number of diseases
  Increasing R&D expenditure by                                          Lack of data exclusivity
  pharmaceutical companies

  Friendly regulatory environment                                        Challenges of unethical trials

  Sound medical infrastructure

  International quality standards




                                          CLINICAL TRIALS MARKET IN INDIA 2012.PPT                            7
Major Private Companies – Summary

 Net Profit                                                                  Size of the Bubble represents Total Assets in INR mn
 140
 130
 120
                                                                                                                               g
 110
 100
  90
                                                                                                                                            h
  80
                                                                                                      f
  70
  60
  50
  40
                                      d
  30
                                                                      e
  20                         c
  10                  b
            a
   0
  ‐10                                                                                                                                                 Revenue
        0       50    100    150     200     250   300     350      400      450      500      550        600    650     700   750    800       850



                 Company 1       Company 2     Company 3         Company 4         Company 5         Company 6         Company 7     Company 8




                                                     CLINICAL TRIALS MARKET IN INDIA 2012.PPT                                                               8
Private: Domestic Company – Company 1
(1/3)
Company Information                                                              Offices and Centres – India 


Corporate Address



Tel No.

Fax No.
Website
Year of Incorporation


Products and Services
                                                                                                                   Head Office
Products/Services                                                                                                  Regional Offices

Offers services such as Service 1, Service 2, Service 3, Service 4,              Key People
Service 5, Service 6
                                                                                 Name                       Designation
                                                                                 Person 1                   Director
                                                                                 Person 2                   Director
                                                                                 Person 3                   Director
                                                                                 Person 4                   Director



                                                       CLINICAL TRIALS MARKET IN INDIA 2012.PPT                                       9
Private: Domestic Company – Company 1
(2/3)
Financial Snapshot                                                             Key Ratios
                                                                                                              y‐o‐y change 
                  Total Income    Net Profit / Loss                                     Particulars                         2011    2010   2009      2008
                                                                                                                (2011‐10)
  INR mn                                                     INR mn           Profitability Ratios
                                                                               Operating Margin
 300                                 x                 y          50
                          v                                                    Net Margin
 250                                                              0            Profit Before Tax Margin
 200                                                              ‐50          Return on Equity
            u
 150                                                              ‐100         Return on Capital Employed
                          b
 100                                                              ‐150         Return on Working Capital
            a                                                                  Return on Assets
  50                                                              ‐200
                                                                               Return on Fixed Assets
   0                                 c                 d          ‐250
                                                                              Cost Ratios
           2008         2009       2010               2011                     Operating costs (% of Sales)
                                                                               Administration costs (% of 
Financial Summary                                                                Sales)
                                                                               Interest costs (% of Sales)
• Company incurred a net profit of INR X mn in FY 2011, as                    Liquidity Ratios
  compared to net profit of INR Y mn in FY 2010                                Current Ratio
                                                                               Cash Ratio
• It reported total Income of  INR XX mn in FY 2011,                          Leverage Ratios
  registering a decrease of X per cent over FY 2010                            Debt to Equity Ratio
                                                                               Debt to Capital Ratio
• Earned an operating margin of X.X per cent in FY 2011, an                    Interest Coverage Ratio
  increase of X.X percentage points over FY 2010                              Efficiency Ratios
• The company reported debt to equity ratio of X.XX in FY                      Fixed Asset Turnover
  2011, a decrease of X.X per cent over FY 2010                                Asset Turnover
                                                                               Current Asset Turnover
                                                                               Working Capital Turnover
                                                                               Capital Employed Turnover
                                                                                                                              Improved     Decline

                                                       CLINICAL TRIALS MARKET IN INDIA 2012.PPT                                                       10
Private: Domestic Company – Company 1
(3/3)
Business Highlights

      Description                                                         News

                        • It provides clinical research services to Type 1, Type 2 and Type 3 companies
                        • It also provides Type  1, Type 2, Type 3, Type 4, Type 5, Type 6, Type 7, Type 8 and Type 9 
                          services
                        • It offers clinical trial services in Therapeutic Area 1, Therapeutic Area 2, Therapeutic Area 
Overview                  3, Therapeutic Area 4, Therapeutic Area 5, Therapeutic Area 6, Therapeutic Area 7, 
                          Therapeutic Area 8, Therapeutic Area 9, Therapeutic Area 10, Therapeutic Area 11, 
                          Therapeutic Area 12, Therapeutic Area 13 and Therapeutic Area 14
                        • Its Category 1 laboratory is accredited by the Institution 1 and its Category 2 laboratory is 
                          accredited by the Institution 1 and Institution 2

Share Holding Pattern   • Company 1 is a division of Company 2




                                        CLINICAL TRIALS MARKET IN INDIA 2012.PPT                                      11
Clinical Research Institutes (x/y)

     Institute      Location                                          Areas of Research
                                    • At present comprises of the basic and clinical research wings and a 50‐
    Institution 1    City 1           bed hospital
                                    • Conducts research and development on cancer
                                    • Design and development of drugs, diagnostics/vaccines right from the 
                                      synthesis of compounds upto regulatory studies and clinical trials 
                                    • Undertakes contractual research work
                                    • Research activities are broadly divided into three subgroups:
    Institution 2    City 2              Drug discovery & development 
                                         Regulatory studies
                                         Infrastructural support groups 
                                    • Developed a new drug to control and cure depression, the new drug 
                                      has been found to be safer that the existing anti‐depression drugs
                                    • Promotes research in the field of cancers 
    Institution 3    City 3         • Institute undertakes multidisciplinary studies in order to understand 
                                      the natural history, biological behavior and mechanisms of 
                                      carcinogenesis 




                               CLINICAL TRIALS MARKET IN INDIA 2012.PPT                                    12
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                                                      CLINICAL TRIALS MARKET IN INDIA 2012.PPT                                                13

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Market Research Report : Indian clinical trials market in India 2012

  • 2. Executive Summary  Clinical trials market in India was valued at INR b bn in 2011 and is estimated to reach INR f bn by  2015, growing at a CAGR of x% Market  India is the ‘y’ largest clinical trials market in Region 1, following Country 2  India’s share in the global clinical trials market was u% in 2011 and will grow to v% by 2015 Drivers: Challenges: – Cost competitiveness – Shortage of research professionals – Vast patient population with diverse  – Delays in trial approval Drivers &  number of diseases – Lack of data exclusivity – Increasing R&D expenditure by  – Challenges of unethical trials Challenges pharmaceutical companies – Friendly regulatory environment – Sound medical infrastructure – International quality standards  Clinical trial can be initiated only after approval from Association 1 and are governed by  Government  Scheduled ‘XX’ of Act 1 Regulations  Registration of trials involving humans has been made mandatory starting in June 2009 on the  Clinical Trials Registry‐India (CTRI) website  Major Domestic Players Major Foreign Players Company 1 Company 3 Company 5 Company 7 Competition Company 2 Company 4 Company 6 Company 8 CLINICAL TRIALS MARKET IN INDIA 2012.PPT 2
  • 4. India is emerging as a preferred destination for clinical trials and the market is expected to show steady growth Market Overview Market Size and Growth (Value‐wise) • Clinical trials market in India is growing at a very fast  INR bn pace and is expected to be more than double in 2015  50 f from its size in 2011 40 x% e • India is the ‘y’ largest clinical trials market in Region 1  d following Country 1 30 c • Major sponsors for clinical trials are international  b a pharmaceuticals companies with huge R&D spending 20 • Many Indian and foreign pharmaceutical companies  10 have tied up with other specialist research  0 companies for development of new drugs 2010 2011 2012e 2013e 2014e 2015e • Pharma companies are leaning towards outsourcing  and concentrating on marketing without spending  time for drug discovery and manufacturing Global Pharma Companies • Internationally certified central laboratories  and  research institutes also take part in clinical trials in  Outsource  India Drug Discovery Clinical Trials India’s share in the global clinical trials  market is expected to increase from u% in  Research  Contract Research  2011 to v% in 2015 Institutions Organizations CLINICAL TRIALS MARKET IN INDIA 2012.PPT 4
  • 5. Although the number of new trials registered in India in  2011 declined, the market will continue to grow steadily New Trials Registered Number of Trials Registered Each Year •Total number of trials registered in India till  400 D date is 1875 B C •Number of new trials registered in India in  300 A E 2011 had sharply declined from the number of  200 trials registered in 2010 •However, the market is not expected to be  100 negatively impacted by the lower number of  new trials registered in 2011 0 2007 2011 2009 2010 2011  At present 513 clinical trial studies are being  conducted in India which is far greater than the  331 studies being conducted in 2010 and 181  Trials According to Therapeutic Areas studies being conducted in 2009 Cancer  Since trials for a single drug itself may take several  A% years, the market will continue to exhibit steady  F% CNS growth even if the number of new trials  Infectious Diseases registered declines in a particular year B% Diabetes CVD E% Others Cancer, CNS and infectious diseases are the  most popular therapeutic areas for clinical  C% trials, followed by diabetes and CVD D% CLINICAL TRIALS MARKET IN INDIA 2012.PPT 5
  • 6. Majority of the trials conducted in India are Phase III trials  and are sponsored by large pharmaceutical companies Distribution of trials on basis of Phase Major Pharma Companies Sponsoring trials D% C% Company No. of Trials Phase I Phase II A 86 B% Phase III B 74 Phase IV C 73 Distribution has been done on the basis of  D 71 A% ongoing trials. However, some trials have not  been taken into account as information  E 64 regarding their phase is not available F 61 G 56 Segmentation of trials on basis of Sponsors H 49 I 42 A% A J 32 B K 31 L 27 B% M 26 N 23 CLINICAL TRIALS MARKET IN INDIA 2012.PPT 6
  • 7. Drivers & Challenges – Summary  Drivers Challenges Cost competitiveness Shortage of research professionals Vast patient population with diverse  Delays in trial approval number of diseases Increasing R&D expenditure by  Lack of data exclusivity pharmaceutical companies Friendly regulatory environment Challenges of unethical trials Sound medical infrastructure International quality standards CLINICAL TRIALS MARKET IN INDIA 2012.PPT 7
  • 8. Major Private Companies – Summary Net Profit Size of the Bubble represents Total Assets in INR mn 140 130 120 g 110 100 90 h 80 f 70 60 50 40 d 30 e 20 c 10 b a 0 ‐10 Revenue 0 50 100 150 200 250 300 350 400 450 500 550 600 650 700 750 800 850 Company 1 Company 2 Company 3 Company 4 Company 5 Company 6 Company 7 Company 8 CLINICAL TRIALS MARKET IN INDIA 2012.PPT 8
  • 9. Private: Domestic Company – Company 1 (1/3) Company Information Offices and Centres – India  Corporate Address Tel No. Fax No. Website Year of Incorporation Products and Services Head Office Products/Services Regional Offices Offers services such as Service 1, Service 2, Service 3, Service 4,  Key People Service 5, Service 6 Name Designation Person 1 Director Person 2 Director Person 3 Director Person 4 Director CLINICAL TRIALS MARKET IN INDIA 2012.PPT 9
  • 10. Private: Domestic Company – Company 1 (2/3) Financial Snapshot Key Ratios y‐o‐y change  Total Income Net Profit / Loss Particulars  2011 2010 2009 2008 (2011‐10) INR mn INR mn  Profitability Ratios Operating Margin 300 x y 50 v Net Margin 250 0 Profit Before Tax Margin 200 ‐50 Return on Equity u 150 ‐100 Return on Capital Employed b 100 ‐150 Return on Working Capital a Return on Assets 50 ‐200 Return on Fixed Assets 0 c d ‐250 Cost Ratios 2008 2009 2010 2011 Operating costs (% of Sales) Administration costs (% of  Financial Summary  Sales) Interest costs (% of Sales) • Company incurred a net profit of INR X mn in FY 2011, as  Liquidity Ratios compared to net profit of INR Y mn in FY 2010 Current Ratio Cash Ratio • It reported total Income of  INR XX mn in FY 2011,  Leverage Ratios registering a decrease of X per cent over FY 2010 Debt to Equity Ratio Debt to Capital Ratio • Earned an operating margin of X.X per cent in FY 2011, an  Interest Coverage Ratio increase of X.X percentage points over FY 2010 Efficiency Ratios • The company reported debt to equity ratio of X.XX in FY  Fixed Asset Turnover 2011, a decrease of X.X per cent over FY 2010 Asset Turnover Current Asset Turnover Working Capital Turnover Capital Employed Turnover Improved Decline CLINICAL TRIALS MARKET IN INDIA 2012.PPT 10
  • 11. Private: Domestic Company – Company 1 (3/3) Business Highlights Description  News • It provides clinical research services to Type 1, Type 2 and Type 3 companies • It also provides Type  1, Type 2, Type 3, Type 4, Type 5, Type 6, Type 7, Type 8 and Type 9  services • It offers clinical trial services in Therapeutic Area 1, Therapeutic Area 2, Therapeutic Area  Overview 3, Therapeutic Area 4, Therapeutic Area 5, Therapeutic Area 6, Therapeutic Area 7,  Therapeutic Area 8, Therapeutic Area 9, Therapeutic Area 10, Therapeutic Area 11,  Therapeutic Area 12, Therapeutic Area 13 and Therapeutic Area 14 • Its Category 1 laboratory is accredited by the Institution 1 and its Category 2 laboratory is  accredited by the Institution 1 and Institution 2 Share Holding Pattern • Company 1 is a division of Company 2 CLINICAL TRIALS MARKET IN INDIA 2012.PPT 11
  • 12. Clinical Research Institutes (x/y) Institute Location Areas of Research • At present comprises of the basic and clinical research wings and a 50‐ Institution 1 City 1 bed hospital • Conducts research and development on cancer • Design and development of drugs, diagnostics/vaccines right from the  synthesis of compounds upto regulatory studies and clinical trials  • Undertakes contractual research work • Research activities are broadly divided into three subgroups: Institution 2 City 2  Drug discovery & development   Regulatory studies  Infrastructural support groups  • Developed a new drug to control and cure depression, the new drug  has been found to be safer that the existing anti‐depression drugs • Promotes research in the field of cancers  Institution 3 City 3 • Institute undertakes multidisciplinary studies in order to understand  the natural history, biological behavior and mechanisms of  carcinogenesis  CLINICAL TRIALS MARKET IN INDIA 2012.PPT 12
  • 13. Thank you for the attention The Clinical Trials Market – India report is part of Research on India’s Healthcare Industry  Series. For more detailed information or customized research requirements please contact: Phone: +91 33 4064 6215 E‐Mail: sales@netscribes.com Netscribes (India) Pvt. Ltd. is dedicated to disseminating information and providing quick insights on “hot” industries in India and other  emerging markets. Track our new releases and major updates in these industries on About Netscribes Netscribes is a knowledge‐consulting and solutions firm with clientele across the globe. The company’s expertise spans areas of investment &  business research, business & corporate intelligence, content‐management services, and knowledge‐software services. At its core lies a true  value proposition that draws upon a vast knowledge base. Netscribes is a one‐stop shop designed to fulfil clients’ profitability and growth  objectives. Disclaimer: This report is published for general information only. Although high standards have been used the preparation, Research on India,  Netscribes (India) Pvt. Ltd. or “Netscribes” is not responsible for any loss or damage arising from use of this document. This document is the  sole property of Netscribes (India) Pvt. Ltd. and prior permission is required for guidelines on reproduction. CLINICAL TRIALS MARKET IN INDIA 2012.PPT 13