Commercialize and partner successfully in Europe and the Middle East

Dr. Stefan Fraenkel, Executive Vice President, Inceptua Pharma.

Understand how to commercialize via partnering in Europe and other markets outside of the USA. Dr. Stefan Fraenkel, Executive Vice President, Commercial Products, Inceptua shares his insights on maintaining strategic options and maximizing value as a small or midsized US pharmaceutical or biotech company.

Are you a small or midsized US pharmaceutical or biotech company considering expanding into other regions such as Europe and the Middle East? There are several complex challenges inherent within regional expansion but for each day your product is not present in other regions, it isn’t creating optimal value – neither for patients nor shareholders.

To introduce your product successfully in Europe there are several approaches, each with its pros and cons. Before considering which approach suits your business best, you have to ask yourself what you really want to achieve. Do you want to establish yourself as a global or regional player? Or do you foresee a potential divestment of the product or exit of the company? If you are looking for a mid to long-term exit or plan to commercialize later, maximizing value creation usually means keeping the ownership, or keeping the option to regain ownership, of product rights in at least the US and Europe. For this you need strategic flexibility in your partnerships. It is essential to match the preferred commercialization set-up with the right partnership structure, as it will be critical in realizing your goals, and generating the most value from your product.

Choose the approach that suits your business goals

Entering Europe and the Middle East can be highly attractive if successfully executed. Generation of early product revenues will both provide cash flow, and demonstrate commercial ‘proof of concept’. The question, however, is what are the options for your company to successfully launch in these markets without putting your business at risk with significant upfront fixed costs or losing focus on the core business (i.e. your US launch and/or R&D focus), while still retaining strategic flexibility for the future?

The three main approaches for a product launch in e.g. Europe:

  1. Establish your own, full infrastructure in all countries
  2. Engage in a partnership in ‘Tier II’ markets, whilst creating full infrastructure in ‘Tier I’
  3. Engage in a partnership in all countries

The first option of establishing your own commercial operations may sound attractive as it offers the potential for full control over your product and the value creation. History shows, however, that very few firms succeed with this approach. This opportunity requires major upfront investments, typically two-to-four years ahead of any revenue being generated, and assumes that your product has a significant commercial volume that will one day cover the investments. Building your own commercial platform may be an attractive option if the company has a portfolio of products with enough revenue to fully support an infrastructure but is usually less viable while there is only one commercial product.  In addition, there is substantial operational risk associated with establishing a multi-country commercial infrastructure from scratch.

The right partnership offers flexibility

A key alternative is to launch your assets in partnership with other companies, such as a larger pharma company or a company specialized in commercialization and partnering. Both have their pros and cons but in order to retain strategic flexibility and avoid a lock-in, the latter is preferable in cases where you want to potentially exit or establish yourself in the future. Partnering with several firms will require an extensive pan-European coordination due to the challenges posed by reference pricing and parallel trade. Therefore, it is advisable to choose one partner with the experience and know-how in the entire European region.

Finally, matching the right partnering structure with your commercialization strategy is crucial. The selection of which of the four generic partnering structures is best for your business is very dependent on your company’s ultimate goal:

  1. Out-license or divest the product rights with a defined territory – including upfront, milestones, and royalty.
  2. Revenue sharing – potentially including an option for claiming product rights back for strategic flexibility.
  3. A combination of fee-for-service and revenue sharing – potentially including an option for claiming product rights back for strategic flexibility.
  4. Fee-for-service or consulting support with commercial launch planning and execution.

For a more detailed overview of potential partnership and commercialization structures, you can also read the white papers: The challenges of Launching a product in Europe and The art of matching your Commercialization Strategy with the right Partnering Set-up.

To request the white papers, for more information and/or advice, you are welcome to contact the author Dr. Stefan Fraenkel: stefan.fraenkel@inceptua.com

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BIO

CEO and Board Member

Stefan Fraenkel

Stefan Fraenkel is the CEO of the Inceptua Group and is also on the Inceptua Board. He has extensive experience in the pharmaceutical industry. Before joining Inceptua, he held senior management positions at Sobi (Swedish Orphan Biovitrum), Sweden’s largest publicly listed specialty pharmaceutical company, leading Marketing & Sales and serving as Head of Corporate Development and Strategy.

Previously, Stefan worked at Pfizer and Wyeth in international commercial leadership roles across Europe and the USA, gaining deep insights into global pharmaceutical markets and strategies. Stefan has also spent part of his career in management consulting. Stefan holds a PhD in International Economics, an MBA, and a BSc in Engineering.

BIO

Member of the Board

Chris Hasslinger

Chris Hasslinger is a Partner of Vesey Street Capital Partners and serves as a member of the Firm’s Investment Committee. He joined VSCP in 2023 and is responsible for sourcing and evaluating new investment opportunities and general portfolio company management. Mr. Hasslinger has nearly three decades of experience in healthcare and technology strategy and deal-making within the industry as well as in investment banking and private equity. He has extensive M&A experience, having closed over $20 billion in transaction value, and has established and structured a number of large commercial partnerships.

BIO

Executive Vice Chairman

Alan Raffensperger

Alan Raffensperger has a robust leadership background in the pharmaceutical industry, having served as CEO of Inceptua and COO of Sobi (Swedish Orphan Biovitrum), along with significant international executive roles at Amgen, Roche, and Pharmacia.

He has also been CEO for venture capital-owned medical device companies, showcasing his versatility in healthcare leadership. Alan’s early career as an advanced life support paramedic provided a strong foundation in emergency healthcare.

He holds an MBA and a BA in Emergency Health Care Management.

BIO

Member of the Board

Blake Goodner

Blake Goodner is a founder member of the investment firm Bridger Capital. He previously worked as a healthcare analyst at Tiger Management and a healthcare investment banker at Morgan Stanley. He currently serves as an advisor and board member for a range of healthcare companies. Mr. Goodner has been a member of the Trinity College Board of Visitors and the Duke Annual Fund Executive Committee. He is a current advisory board member with The Duke Margolis-Center for Health Policy.

BIO

Member of the Board

Adam Feinstein

Adam Feinstein is the Managing Partner of Vesey Street Capital Partners. Mr. Feinstein has 30 years of investment experience exclusively in the healthcare services sector. Prior to founding Vesey Street Capital Partners in 2014, he was a Managing Director on Wall Street and a healthcare industry executive. He held the position of Senior Vice President of Corporate Development, Strategic Investments, and Office of the Chief Executive Officer at LabCorp. Before his tenure at LabCorp, he spent 14 years as the Managing Director in Equity Research at Lehman Brothers/Barclays Capital. Mr. Feinstein is the Chairman of VSCP’s investment committee. He is also actively involved in working with portfolio company executives and sourcing new investment opportunities. At the same time, he oversees all of the firm’s investment activities and employees.

BIO

Member of the Board

Larry Marsh

Larry is a General Partner of Vesey Street Capital Partners and serves as a member of the Firm’s Investment Committee. He joined VSCP in 2016, and currently sits on the Board of QualityMetric, Safecor Health, and HRGi. He is responsible for portfolio company management and for evaluating new investment opportunities. Prior to VSCP, Larry was EVP, New Market Development & Chief Strategy Officer at Fortune 10 AmerisourceBergen. Prior to that, Larry was the #1 ranked Healthcare Technology & Distribution analyst on Wall Street for over a decade, at Barclays, Lehman Brothers, Salomon Smith Barney, and Wheat First Butcher & Singer. Larry worked with Adam, Bryan, Dan, and Joe at Barclays and Lehman. Larry received a B.S. in Economics & Management as well as an M.B.A. from the University of Richmond, and an M.P.H. from Columbia University.

BIO

Member of the Board

Heyward Donigan

Heyward Donigan is a seasoned healthcare CEO, Board Member, and Private Equity Advisor with broad industry experience and a track record of profitable growth. From 2019 to 2023, Ms. Donigan served as Rite Aid’s president and chief executive officer, making her one of the few women CEOs of a Fortune 500 company. While at Rite Aid, Ms. Donigan led the company to through a major brand, merchandise and technology transformation, debt reduction/refinancing, while also leading the company through a pandemic. Ms.Donigan is currently a strategic advisor to Vesey Street Capital Partners, Arima Health, and a board member of OnMed.

BIO

Executive Chairman

Doug Cook

Doug Cook is the Executive Chairman at Inceptua. Mr. Cook began his career driving the early success of Livingston Healthcare, leading to the purchase by UPS to become what is today UPS’s Global Healthcare business. After Livingston Healthcare, Mr. Cook moved to AmerisourceBergen (now called Cencora/COR) in 1998 and had an impressive career overseeing most of Cencora’s high growth, manufacturer-facing business. Mr. Cook ultimately served as the Executive Vice President, President Commercialization and Animal Health for COR.

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