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Columbia-Yale Project: Use of Software to Achieve Competitive Advantage PHARMACEUTICALS: TAKEDA Sustaining Long-term Advantage Through Information Technology Prepared by Hiroshi Amari Researcher William V. Rapp and Hugh T. Patrick Co-principal Project Investigators Center for International and Area Studies Yale University New Haven, CT 06520 203-432-9395 (Fax: 5963) e-mail: [email protected] Revised May 1998

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Page 1: PHARMACEUTICALS: TAKEDArappw/C-018.pdf · pharmaceuticals (Takeda and Merck), retail banking (Sanwa and Citibank), investment banking (Nomura and Credit Suisse First Boston), life

Columbia-Yale Project: Use of Software to Achieve Competitive Advantage

PHARMACEUTICALS: TAKEDA

Sustaining Long-term Advantage Through Information Technology

Prepared by

Hiroshi Amari Researcher

William V. Rapp and Hugh T. Patrick Co-principal Project Investigators

Center for International and Area Studies Yale University

New Haven, CT 06520

203-432-9395 (Fax: 5963)

e-mail: [email protected]

Revised May 1998

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Introduction: Objective of this Study

This case study of Takeda was completed under a three year research grant

from the Sloan Foundation. The project’s purpose is to examine in a series of case

studies how US and Japanese firms who are recognized leaders in using information

technology to achieve long-term sustainable advantage have organized and managed

this process. While each case is complete in itself, each is part of this larger study.1

The pharmaceutical industry cases together with other completed cases2 support

an initial research hypothesis that while Japan is competitively far behind in producing

most software, especially packaged software, some Japanese firms in key industries are

very sophisticated software users. These firms have integrated software into their

management strategies and use it to institutionalize organizational strengths and capture

tacit knowledge on an iterative basis. In the past, this strategy has involved heavy reliance

on customized and semi-customized software (Rapp 1995), but is changing towards a

more selective use of package software managed via customized systems. Interestingly,

their US counterparts, who generally have relied more on packaged software, are doing

more customization, especially of systems needed to integrate software packages into

something more closely linked with their business strategies, markets, and organizational

structure. Thus, though coming from different directions, there appears some convergence

in approach by these leading US and Japanese software users.

1 Industries and firms examined are food retailing (Ito-Yokado and H. Butts), semiconductors (NEC and AMD), pharmaceuticals (Takeda and Merck), retail banking (Sanwa and Citibank), investment banking (Nomura and Credit Suisse First Boston), life insurance (Meiji and USAA), autos (Toyota), steel (mini-mills and integrated mills), and apparel retailing. The case writer and the research team wish to express their appreciation to the Alfred P. Sloan Foundation for making this work possible and to the Sloan industry centers for their invaluable assistance. They especially appreciate the time and guidance given by the center for research on pharmaceuticals at MIT as well as Mr. Sato at Takeda. 2 This refers to cases completed in 1997, Ibid.

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The cases therefore confirm what some other analysts have hypothesized, that a

coherent business strategy is a necessary condition for a successful information

technology strategy (Wold and Shriver 1993). However, contrary to what such analysts

might have expected, these successful business and information strategies have not led to

or emerged from a change in corporate cultures. Rather, the software and information

technology strategies pursued by these firms have codified and institutionalized existing

cultures, core competencies and organizational structures. Further, these strategies and

cultures were positively oriented towards using technology to improve product or service

development and delivery. These results seem at odds with some major tenets of

reengineering which hypothesize the successful use of information technology requires

substantial corporate reorganization to achieve significant improvements in productivity.

In sum, these leading Japanese and US firms seem to be moving positively

towards a similar balance point with respect to using software to improve

competitiveness. In this approach, they both appear to reject reengineering or any major

corporate reorganization. Similarly, they have elected to retain control over software

purchasing and development and have avoided outsourcing except for certain low

technology, low priority tasks such as payroll due to the perceived benefits of controlling

the integration and use of information technology in their basic business and organization.

Further, the cases indicate that industry-specific vertical application software is increasing

in importance within the global software industry as firms develop and integrate

information systems specific to their industry and competitive situation. They thus

confirm another research hypothesis that some firms consciously and successfully use

software to pursue competitive advantage.

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Implementation and design of each company’s software and software strategy

seems to be unique to its competitive situation, industry and strategic objectives. These

factors influence how they choose between packaged and customized software options for

achieving specific goals and how they measure their success. Indeed, as part of their

strategic integration, Takeda and the other leading software users interviewed have linked

their software strategies with their overall management goals through clear mission

statements that explicitly note the importance of information technology to firm success.

They have coupled this with active CIO and information technology support group

participation in the firm’s business and decision making structure. Thus for these firms

the totally independent MIS department is a thing of the past. This may be another reason

why outsourcing for them is not an option. However, it is also clear these firms’

successful performance is not based solely on software. Though software is an integral

element of their overall management strategy and plays a key role in serving corporate

goals such as enhancing productivity, improving inventory management or strengthening

customer relations, these systems must be coupled with an appropriate approach to

manufacturing, R&D, and marketing. A key aspect of this approach is that all firms

interviewed, including Takeda, have had a clear understanding of their business, their

industry and their firm’s competitive strengths within this context. This clear business

vision has enabled them to select, develop and use the type of software they require for

each business function and to integrate these into a total support system for their

operations to achieve corporate objectives. Since this vision impacts other corporate

decisions, it is not surprising firms who are good at using software have good human

resource and financial characteristics (Appendix I & II).

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At the same time, while the mix and emphasis on certain software and

information technologies were unique to each firm, country and industry, the cases did

indicate some common themes. Some were similar across a range of industries in both

countries, others across a range in one country, and some within an industry in both

countries. One theme common to all cases examined in retail and investment banking,

food retailing, life insurance, pharmaceuticals and semiconductors is the creation of large

proprietary interactive databases that promote automatic feedback between various stages

and/or players in the production, delivery and consumption process. Reduced inventories

and improved control of the production process were also common to both countries and

all the firms interviewed.

We also found that organizationally and competitively successful software users

are able to build beneficial feedback cycles or loops that increase productivity in areas as

different as R&D, design and manufacturing while reducing cycle times and defects or

integrating production and delivery. Improved cycle times reduce costs but increase the

reliability of forecasts since they need to cover a shorter period. Customer satisfaction is

improved through on-time delivery. Therefore, software inputs can be critical factors in

overall business strategies, with strong positive implications for competitiveness of those

who do it successfully and potentially negative implications for their competitors.

An important consideration in this respect is the possible emergence of a new

strategic manufacturing paradigm. In the same way mass production dramatically

improved on craft production through the economies of large scale plants that used

standardized parts and lean production improved on mass production through making the

production line more continuous, reducing inventories and tying production more closely

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to actual demand, what might be called “controlled” production seems to significantly

improve productivity through monitoring, controlling and linking every aspect of

producing and delivering a product or service including after sales service and repair.

Such controlled production is only possible by actively using information technology and

software systems to continuously provide the monitoring and control function to what had

previously been a rather automatic system response to changes in expected or actual

consumer demand. However, whether these firms’ proactive use of information

technology signals a new paradigm or a continuation of lean production, it has provided

these firms with a clear competitive advantage.

This conclusion is indicated by the fact all these firms are successful competitors

relative to their peers in terms of standard industry measures such as market share, growth

and profitability per employee or relative to assets employed (Appendix II). Further, in

most cases, their skillful use of information technology is seen by themselves and

industry analysts as important to this success. Still, software seems most likely to

contribute to enhanced competitiveness when it is integrated with the business from both

an operation and organization standpoint reflecting the firm’s overall business strategy

and the clarity of its competitive vision. In these firms the software and systems

development people are part of the decision making structure while the system itself is an

integral part of delivering and supporting the product and/or service. This is one reason

for calling it “controlled” rather than lean production since information technology was

not integral to Toyota’s production system as it evolved in the 1960s. Information

technology has also facilitated development of large data bases that track after-sales

service and performance, improving product quality and demand forecasts. This can be

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particularly critical in pharmaceuticals where even after clinical trials there is a

continuous need to monitor potential side effects.

Therefore Seagate Technology may be correct when they state in their 1997

Annual Report “We are experiencing a new industrial revolution, one more powerful

than any before it. In this emerging digital world of the Third Millennium, the new

currency will be information. How we harness it will mean the difference between

success and failure, between having competitive advantage and being an also-ran.”

What these leaders have done is at some critical point in the information chain

they have developed customized software that differentiates them from their competitors.

This usually seems to be where they feel organizational value added is required to achieve

a competitive differential and where there is also no suitable leading edge software

product available to place the company on this competitive frontier. That is, to remain

leading edge, all firms interviewed have developed some customized software, generally

to link packaged software together and adapt it to their existing organizational structure.

They have usually not tried to adapt the organizational structure to the software. Given

this perspective, both functional and market gains are considered to justify the additional

expense incurred through customization, including the related costs of integrating the

customized and packaged software into a single information system.

At the same time, it is apparent that even Japanese firms are relying more on

packaged or semi-customized software to reduce costs compared to three years ago (Rapp

1995). Given this mixed software strategy by these leading software users, where the

appropriate software for each situation is selected on a case by case basis, these firms

questioned the benefits of the general and extensive outsourcing of software technologies.

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They believed firms who focus heavily on outsourcing are overemphasizing the cost side

of software rather than analyzing the possible business uses of software organizationally

and operationally within their firms and especially its role in enhancing core

competencies. While they will use systems used by competitors if there is no business

advantage to developing their own, they reject the view that information systems are

generic products best developed by outside vendors who can achieve low cost through

economies of scale and who can more easily afford to invest in the latest technologies.

Instead, these leading software users select packaged software themselves, do their own

systems integration, and add value at the critical strategic junctions for their specific

business through some customization and semi-customization. They therefore assign

positive value to improved integration and enhanced control gained from customization.

In turn they wont yield control or responsibility for this business and strategic benefit to a

third party who may be driven by different objectives such as cost and more generalized

technical improvements. Extensive outsourcing would surrender these strategic options

since they feel systems service companies have an incentive to develop increasingly

standardized products to improve their operational efficiencies. Outsourcing also puts the

firm one step removed from the market which means they lose many of the beneficial

loops discussed above. In addition, they question the outside firm’s knowledge of their

industry or organization and thus their ability to design and integrate the software to their

basic business to enhance their competitive position.3

3 Takeda and the other cases have been developed using a common methodology that examines cross national pairs of firms in key industries. In principle, each pair of case studies focuses on a Japanese and American firm in an industry where software is a significant and successful input into competitive performance. The firms examined are ones recognized by the Sloan industry centers and by the industry as ones using software successfully3. To develop the

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Questions

In undertaking the case studies, the project team sought to answer certain key

questions while still recognizing firm, country and industry differences. Some of these

were discussed above. Further, during our research, other issues were raised which we

sought to clarify for each firm and its use of information technology. We have set forth

these questions in Appendix I where Takeda’s profile is presented based on our

interviews and other research. Readers who wish to assess for themselves the way

Takeda’s strategies and approaches to using information technology address these issues

may wish to review Appendix I prior to reading the case. For others it may be a useful

summary.

The questions are broken into the following categories: General Management and

Corporate Strategy, Industry Related Issues, Competition, Country Related Issues, IT

Strategy, IT Operations, Human Resources and Organization, Various Metrics such as

Inventory Control, Cycle Times and Cost Reduction, and finally some Conclusions and

Results. They cover a range of issues from direct use of software to achieve competitive

studies, we combined analysis of existing research results with questionnaires and direct interviews. Further, to relate these materials to previous work as well as the expertise located in each industry center, we held working meetings with each center and coupled new questionnaires with the materials used in the previous study to either update or obtain a questionnaire similar to the one used in the 1993-95 research (Rapp 1995). This method enabled us to relate each candidate and industry to earlier results. We also worked with the industry centers to develop a set of questions that specifically relate to a firm’s business strategy and software’s role within that. Some questions address issues that appear relatively general across industries such as inventory control. Others such as managing the drug pipeline are more specific to a particular industry. The focus has been to establish the firm’s perception of its industry and its competitive position as well as its advantage in developing and using a software strategy. The team also contacted customers, competitors, and industry analysts to determine whether competitive benefits or impacts perceived by the firm were recognized outside the organization. These sources provided additional data on measures of competitiveness as well as industry strategies and structure. The case studies are thus based on extensive interviews by the project team on software’s use and integration into management strategies to improve competitiveness in specific industries, augmenting existing data on industry dynamics, firm organizational structure and management strategy collected from the Sloan industry enters. In addition, we gathered data from outside sources and firms or organizations with which we worked in the earlier project. Finally, the US and Japanese companies in each industry that were selected on the basis of being perceived as successfully using software in a key role in their competitive strategies in fact saw their use of software in this exact manner while these competitive benefits were generally confirmed after further research.

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advantage, to corporate strategy, to criteria for selecting software, to industry economics,

to measures of success, to organizational integration, to beneficial loops, to training and

institutional dynamics, and finally to interindustry comparisons.

The Pharmaceutical Industry in a Global Context

In advanced countries that represent its primary market, the pharmaceutical

industry is an exceptionally research intensive industry where many firms are large

multinationals. It is also heavily regulated for both local producers and MNCs.

Regulations work as both constraints and performance boosters since drugs are used with

other medical and healthcare services. So healthcare expenditures are divided among

many industries and providers of which pharmaceuticals are only one. All involved

parties are interested in influencing the regulatory environment and in participating in the

growth in healthcare services. This means understanding the industry requires

appreciating its political economic context. In this regard, healthcare providers in rich

nations are currently under pressure to control costs due to aging populations. Regulators

who have the authority to change the demand structure through laws and regulations are

considering various measures to reduce costs such as generic drug substitution which may

mean lower returns for discovering and developing drugs. Still, if drugs are a more

effective reducing healthcare costs compared to other treatments, they can benefit. Since

R&D is at the heart of competition and in competing for healthcare expenditures, each

drug company must respond to these cost containment pressures cautiously and

strategically.

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Another important aspect of this industry is technological change arising from the

convergence of life and biological sciences. Many disciplines now work together to

uncover the mechanisms that lie behind our bodies and various diseases. Examples are

molecular biology, cell biology, biophysics, genetics, evolutionary biology, and

bioinformatics. As scientists see life from such new chemical and physical viewpoints,

the ability to represent, process and organize the massive data based on these theories

becomes critical. Because computers are very flexible scientific instruments (Rosenberg

1994), progress in information technology and computer science has broadened scientific

frontiers for the life and biological sciences. These advances have opened new doors to

attack more complex diseases, some chronic diseases of old age. Such therapeutic areas

are areas of opportunity for pharmaceutical companies since they address demographic

and technical changes in advanced countries. Still to take advantage of these opportunities

requires information technology capabilities.

Historically, the industry has been relatively stable where the big players have

remained unchanged for years. This has been due to various entry barriers such as R&D

costs, advertising expense, and strong expertise in managing clinical trials. It is difficult

and expensive for a new company to acquire this combination of skills quickly. However,

there are signs the industry and required mix of skills may be changing. There have been

several cross national mergers especially between US and European companies. In

addition, new biotechnology companies are very good at basic research, which may force

pharmaceutical R&D to transform itself. For example, no single company even among the

new mega-companies is large enough to cover all new areas of expertise and therapeutic

initiatives. Thus, many competitors have had to form strategic alliances to learn or access

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new technologies and to capture new markets. Conversely, a stand-alone company can

have a lot to lose. The challenge facing large pharmaceutical companies is how fast and

how effectively they can move to foster both technological innovation and cost

containment without exposing themselves to too much risk.

Japan’s pharmaceutical industry reflects these cost containment pressures, the

need to harmonize expensive and time consuming clinical trials, and the impact of

extensive regulations. Thus in responding to common pressures, Takeda is moving away

from typical Japanese management methods and is starting to emphasize globalization to

spread R&D costs, individual creativity to stimulate new drug development, and the use

of information technology to handle expanded data management and R&D requirements.

Information technology has had its impacts too. First tier firms have had to follow

a trend in R&D strategies that increasingly use information technologies. Exchange of

data and ideas across national borders has become relatively easy, and contracts may

specify access to another company’s database. Because many companies share similar

R&D instruments and methods, one company’s instruments may be compatible with

other companies’. Indeed, the trend towards greater use of Web-based technology in

R&D and other operations may change our notion of a firm and its boundaries. Firms may

eventually be characterized by knowledge creating capabilities (Nonaka and Takeuchi

1995). Having more ways to communicate with other companies makes frequent

communication with greater nuance possible. This supports the trend towards more

strategic alliances unless overtaken by the creation of larger firms through continued

mergers.

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However, since mergers in Japan are rare, the Japan’s industry remains

fragmented with excess competition. Further, though the industry has been profitable,

MHW (Ministry of Health and Welfare) has not given strong incentives to produce

innovative drugs. Rather its main task has been to provide and ensure good healthcare

services to everyone largely regardless of the ability to pay. Since drugs are just one way

to improve health, consumers should want to remain healthy and choose cost effective

means to do this. However, reality is insurance systems covering different services give

incentives and disincentives for particular care (Schweitzer 1997). Thus, coordinated

adjustment of prices for healthcare is necessary to get markets for healthcare products to

work better. In Japan, this has led to more centralized decision-making by MHW. It has

set the reward scheme available to healthcare providers such as pharmaceutical

companies to reduce transaction costs (Ikegami and Campbell 1996) and promote

innovation. This has led critics to argue MHW has approved too many new drugs, some

with weak therapeutic values or whose interactions with other medicines is not clear.

Because doctors have preferred to prescribe such new drugs due to higher cost and greater

profit under Japan’s reimbursement scheme, it is possible good existing drugs proven safe

and effective over a long period have been forced out by new drugs with greater

uncertainty about their long-run effects. Due to some recent regulatory lapses, the public

is now pushing for more stringent regulations and rigorous scientific analysis as well as

greater accountability by major drug manufacturers. In addition, Japanese drug

manufacturers are subject along with other industries to the 1995 Product Liability Law.

These developments are putting more pressure on Japanese pharmaceutical firms to put

more resources into R&D, to focus more critically on just ethical drug development for

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the global market and to be more careful in gathering information on clinical trials and

side effects.

Unlike the US, MHW promotes and regulates the industry. But institutional

support for the industry has been weak compared to NIH’s unified approach. Also,

biomedical research is covered by five ministries (Ministry of Education, Science and

Technology Agency, MHW, MITI, and Ministry of Agriculture, Forestry and Fisheries).

Coordinated biomedical research is thus institutionally difficult (Hiroi 1996). Some

pharmaceutical companies are not happy with this and an MHW survey showed eight

leading Japanese firms were now undertaking extensive research outside Japan (Roehl,

Mitchell, Slatter 1995).

Industry economics are driven by pharmaceutical R&D’s very lengthy process,

composed of discovering, developing and bringing to market new ethical drugs4 with the

latter heavily determined by the drug approval process in major markets such as the US,

Europe and Japan. These new therapeutic ethical products fall into four broad categories

(US Congress, OTA 1993): one, new chemical entities (NCEs)--new therapeutic entities

(NTEs)--new therapeutic molecular compounds never before used or tested in humans;

two, drug delivery mechanisms--new approaches to delivering therapeutic agents at the

desired dose to the desired part of the body; three, next stage products--new

combinations, formulations, dosing forms, or dosing strengths of existing compounds that

must be tested in humans before market introduction; four, generic products--copies of

drugs not protected by patents or other exclusive marketing rights.

4 Ethical drugs are biological and medicinal chemicals advertised and promoted primarily to the medical, pharmacy, and allied professions. Ethical drugs include products available only by prescription as well as some over-the-counter drugs (Pharmaceutical Manufacturers Association 1970-1991).

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From major pharmaceutical firms’ viewpoint, NCEs are the most important, and

R&D of innovative drugs drives industry success. So since it is a risky and very

expensive process, understanding their R&D and drug approval process is critical to

understanding firm strategy and competitiveness both domestically and globally. Only

about 1 in 60,000 compounds synthesized by laboratories can be regarded as “highly

successful” (US Congress, OTA 1993). Thus, it is important to stop the R&D process if

one recognizes success is not likely. Chemists and biologists used to decide which drugs

to pursue, but R&D is now more systematic and is a collective company decision since it

can involve expenditures of $250 to $350 million prior to market launch. Key factors in

the decision making process are expected costs and returns, the behavior of competitors,

liability concerns, and possible future government policy changes (Schweitzer 1997).

Thus stage reviews during drug R&D are common. Past experiences in development,

manufacturing, regulatory approvals, and marketing can provide ample guidance.

NCE’s are discovered either through screening existing compounds or designing

new molecules. Once synthesized, they go through a rigorous testing process. Their

pharmacological activity, therapeutic promise, and toxicity are tested using isolated cell

cultures and animals as well as computer models. It is then modified to a related

compound to optimize its pharmacological activity with fewer undesirable biological

properties (US Congress, OTA 1993). Once preclinical studies are completed and the

NCE has been proven safe on animals, the drug sponsor applies for Investigational New

Drug (IND) status. If it receives approval, it starts Phase I clinical trials to establish the

tolerance of healthy human subjects at different doses to study pharmacological effects on

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humans in anticipated dosage levels. It also studies its absorption, distribution,

metabolism, and excretion patterns. This stage requires careful supervision since one does

not know if the drug is safe on humans. During phase II a relatively small number of

patients participate in controlled trials of the compound’s potential usefulness and short

term risks. Phase III trials gather precise information on the drug’s effectiveness for

specific indications, determine whether it produces a broader range of adverse effects

than those exhibited in the smaller phase I and II trials. Phase III trials can involve several

hundred to several thousand subjects and are extremely expensive. Stage reviews occur

before and during each phase, and drug development may be terminated at any point in

the pipeline if the risk of failure and the added cost needed to prove effectiveness

outweigh the weighted probability of success.

If clinical trials are successful, the sponsor seeks marketing approval. If approved,

the drug can be marketed immediately, though often officials require some amendments

before marketing can proceed. However, successful drug development and sales not only

requires approval of therapeutic value and validity but also that the manufacturing process

meet stringent standards. To meet US regulations, also require Phase IV trials, where

manufacturers selling drugs must notify the FDA periodically about the performance of

their products. This surveillance is designed to detect uncommon, yet serious, adverse

reactions typically not revealed during premarket testing. This postapproval process is

especially important when phase III trials were completed under smaller fast track

reviews. These studies usually include use by children or by those using multiple drugs

where potential interactions can be important (Schweitzer 1997). Further, because drug

development costs are so high relative to production costs, patent protection is another

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key aspect of a company’s management strategy. One must apply for a patent within one

year of developing an NCE. Therefore, patenting is usually early in the development cycle

or prior to filing the NCE. But as this begins the life of the patent, shortening the approval

period extends the drug’s effective revenue life under patent. This makes management of

clinical trials and the approval process an important strategic variable.

Although creating a drug pipeline through various stages of development is

relatively standardized, it is changing as companies use different methods to reduce time

and related costs of new drug development. Companies constantly pressure the authorities

to reduce NDA review times. Accelerated approval speeds new drugs to market saving

companies tens of millions of dollars in negative cash flow. However, it does not generate

clinical values insurers and managed care organizations demand. Countering this is thus

the trend among drug firms to increase the complexity of their analyses during clinical

trials. Companies have begun to use cost-effective analysis in their evaluation of new

drugs in assessing competing product development investment alternatives and by

integrating cost effectiveness analysis into their clinical trials. They also try to capture

quality of life measures such as how patients perceive their lives while using the new

drug. Companies vary their analysis by country (Rettig 1997) since measures of

effectiveness shift according to clinical practice, accessibility to doctors, and what

different cultures value as important. There are no universal measures of the quality of

life. At present, the components measured depend largely on the objectives of each

researcher but some companies are trying to introduce more systematic measures.

Nevertheless, no matter what components are chosen for these studies, capturing, storing

and using the data requires sophisticated software and data base management techniques

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which must be correlated with various families of molecules. Also, to avoid the moral

hazard of focusing on the weaknesses in a competitor’s drug or molecule, some analysts

argue companies should examine all domains and their components (Spilker 1996) and

move towards agreed performance standards. Further, quality of life measures should

only be used when they are of practical use to doctors in treating patients (Levine 1996).

Such judgments should be sensitive and informed and should cover criteria related and

important to a broad spectrum of patients. These trends make clinical trials and data

gathering complex and expensive and put a premium on a firm’s ability to manage the

process efficiently, including creating and using large patient and treatment databases.

The research process differs from production. Yet, both are important, particularly

the firm’s knowledge of scale-up. This is difficult because production requires uniformity

at every stage. Making the average chemical make-up constant is not enough. Careful

scale-up is essential to avoid contamination (Takeda 1992). Variations in commercial

production must be very small. This requires constant control of variables such as the

preparation of raw materials, solvents, reaction conditions, and yields (Takeda 1992).

Often experience will help achieve purer output in the intermediate processes. This better

output alleviates problems in later processes. Thus, there is a learning curve in process

R&D which starts at the laboratory (Takeda 1992). An important distinction is between

continuous process and batch process. In the continuous process raw materials and sub-

raw materials go into a flow process that produces output continuously. This continuous

process is more difficult because many parameters and conditions have to be kept

constant. This requires a good understanding of both optimizing the chemical process and

maintaining safeguards against abnormal conditions. However, continuous processes are

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less dangerous and require fewer people to control at the site (Takeda 1992) than batch

processing where the chemicals are produced in batches, put in pill form and then stored

for future distribution and sale.

The following compares initial process R&D once a compound is discovered and

commercial manufacturing for a representative chemical entity (Pisano 1996).

Comparison research process and commercial production for representative chemical entity (Pisano 1996) Initial discovery process Final commercial

production process Number of chemical steps 25 7 Equipment Test Tubes

1-l flasks 2000-4000 gallon stainless steel vessels

Batch size (output) Approximately 1g 100-200 kg Operators Ph.D. chemists Technicians

Semi-skilled plant workers Purity 1-10% 99% Cost (kg-1) Approximately $20000-

$50000 Approximately $3500

Criteria for process design Biological activity of molecule patent issues

Cost Quality (purity) Conformance to drug and environment protection regulations Operability

Process R&D in chemical pharmaceuticals involves three stages: (1) process

research, where basic process chemistry (synthetic route) is explored and chosen; (2) pilot

development, where the process is run and refined in an intermediate-scale pilot plant;

and (3) technology transfer and startup, where process is run at a commercial

manufacturing site (Pisano 1997). He argues the scientific base of chemistry is more

mature than biotechnology and this difference accounts for more extensive use of

computer simulations in drugs made by chemical synthesis than biotechnology-based

drugs.

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Codifying the knowledge in chemistry and chemical engineering in software has a

higher explanatory power than in biotechnology. In chemistry, many scientific laws are

available for process variables such as pressure, volume, and temperature. Computer

models can simulate these in response to given parameters to predict cost, throughput and

yield (Pisano 1997). By contrast, biotechnology has aspects more art than science. This is

particularly true for large-scale biotechnology process (Pisano 1997). Simulation is thus

less reliably extrapolated to commercial production. An additional factor is the

importance of purification after large-scale production in bioreactors in biotechnology-

based drugs. It is not rare at this stage of extraction and purification, that commercial

application becomes impossible, even though the scale-up is successful. Since avoiding

contamination is the key in biotechnology-based drugs, extracting and purifying a small

amount of the desired materials from a large amount of broth is critical. This process is

done using filters, chromatography, and other methods specific to organisms (Koide

1994).

Technological Factors

All scientific frontiers affect pharmaceutical companies. Since no company can be

an expert on everything, what technology to develop in-house and what to license or

subcontract have become important issues. In general, pharmaceutical companies were

skeptical of new developments in small biotechnology firms. Yet the latter now provide

new techniques in basic research and fermentation to the MNCs. Other pharmaceutical

companies then tend to follow when competitors adopt ideas from less well known

biotech companies. This is why many such companies announce platform deals with drug

companies to get more financial resources and opportunities. Biotechnology based

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pharmaceuticals have entered a new development stage which requires the capital,

manufacturing and marketing expertise of the large companies.

New drug discovery methods and biotechnology each demand skills different

from earlier times. Emerging biotech companies offer new ideas and research tools. Other

new technologies such as stripping out side effects, specialized drug delivery systems,

and “antisense” which cancels out the disease causing messages of faulty RNA also come

from biotechnology (Fortune 1997). These are promising areas of drug research and

potential products. Further, these biotech companies develop new drugs more quickly

than large firms. Where they often have difficulty is in managing clinical trials and the

approval process, an area where large firms have considerable experience and expertise,

including sophisticated software for tracking the large data bases and handling the new

computerized application procedure. In addition, biotechnology demands skills in large

scale commercial production which smaller startups may not possess. Thus, close

association with large firms is logical and efficient and one should expect more future

alliances and joint ventures.

Another important factor which further encourages specialization in a network of

companies is the industry’s heavy use of information technology. Indeed, software

strategies have become an important part of the industry through their impact on R&D,

drug approval, including clinical trials, and control of manufacturing. If decisions in a

science based industry are generally driven by knowledge creation capability dependent

on human resources, having information sharing and access mechanisms so

complementary capabilities can be efficiently exchanged and used becomes key to

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successful corporate strategy, especially when that knowledge is growing and becoming

increasingly diverse.

Another information sharing issue related to biotech is pharmacology. Classical

pharmacology models are often irrelevant for biotech-based drugs. While some proteins

express their activities across other species, others can be more species specific. Neither

poor results nor good animal trial results need be predictive for humans. Particularly

difficult problems are those related to toxicology since some animals develop neutralizing

antibodies (Harris 1997). Technical support systems are important in biotechnology as

well. One is transgenic animals. They provide information on the contribution of

particular genes to a disease. This is done by inserting genes that have the function of

expressing the phenotype, or interbreeding heterozygotic animals to produce “knockout

animals” that suffer from inherited metabolic diseases. Transgenic animals are relevant to

early phase clinical trials since the data from these animals contribute useful data on

dose-selection and therapeutic rations in human studies. In addition, they offer hints to

which variables are secondary. This simplifies the clinical trial design. In general,

significant input in the design and running of phase I and II trials must come from the

bench scientists who built the molecule (Harris 1997). Since clinical trials for biotech

drugs lack clear guidelines, in-house communication among drug discovery, preclinical

and clinical trials is important, especially due to the increased use of transgenic animals

bred to examine inherited diseases. This process can be greatly facilitated by information

sharing technologies and acts as another driver towards a more integrated approach to

decision making using IT.

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This is also true of structure-based drug (“rational drug”) design or molecular

modeling which is a range of computerized techniques based on theoretical chemistry

methods and experimental data used either to analyze molecules and molecular systems

or to predict molecular and biological properties (Cohen 1996). Traditional methods of

drug discovery consist of taking a lead structure and developing a chemical program for

finding analog molecules exhibiting the desired biological properties in a systematic way.

The initial compounds were found by chance or random screening. This process involved

several trial and error cycles developed by medicinal chemists using their intuition to

select a candidate analog for further development. This traditional method has been

supplemented by structure-based drug design (Cohen 1996) which tries to use the

molecular targets involved in disorder. The relationship between a drug and its receptor is

complex and not completely known. The structure-based ligand design attempts to create

a drug that has a good fit with the receptor. This fit is optimized by minimizing energies

of interaction. But, this determination of optimum interaction energy of a ligand in a

known receptor site remains difficult. Computer models permit manipulations such as

superposition and energy calculation that are difficult with mechanical models. They also

provide an exhaustive way to analyze molecules and to save and store this data for later

use or after a research chemist has left. However, models must still be tested and used and

eventually, chemical intuition is required to analyze the data (Gund 1996). Then the drug

must proceed through animal and clinical trials.

Still the idea behind this modeling is the principle a molecule’s biological

properties are related to its structure. This reflects a better understanding of biochemistry.

So rational drug design has also benefited from biotechnology. In the 1970s and 1980s,

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drug discovery was still grounded in organic chemistry. Now rational drug design

provides customized drug design synthesized specifically to activate or inactivate

particular physiological mechanisms. This technique is most useful in particular

therapeutic areas. For example, histamine receptor knowledge was an area where firms

first took advantage of rational design, since its underlying mechanism was understood

early (Bogner and Thomas 1996). The starting point is the molecular target in the body.

So one is working from demand rather than finding a use for a new molecule.

This has been facilitated by software and hardware becoming less costly. Thus

many scientists are paying attention to computational techniques that are easier to use

than mechanical models. This underscores the role of instrumentation in scientific

research stressed by Rosenberg (1994). Availability of new instruments, including

computers, has opened new opportunities in technological applications and furthered

research in new directions. Three dimensional graphics particularly suits the needs of a

multi-disciplinary team, since everyone has different chemical intuition but appreciates

the 3-D image. Rosenberg (1994) notes scientists who move across disciplines bring

those concepts and tools to another scientific discipline such as from physics to biology

and chemistry. This suggests the importance of sharing instruments, particularly computer

images and databases that help people work and think together.

The predominant systems of molecular modeling calculations are UNIX

workstations. But other hardware such as desktop Macintoshes and MS-DOS personal

computers on the low end and computer servers and supercomputers on the high end have

been used. Computational power is required for more complex calculations and this

guides the choice of hardware. A variety of commercial software packages are available

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from $50-$5,000 for PC-based systems to $100,000 or more for supercomputers.

Universities, research institutes, and commercial laboratories develop these packages.

Still, no one system meets all the molecular modeler’s needs. The industry therefore

desperately needs an open, high-level programming environment allowing various

applications to work together (Gund 1996). This means those who for strategic reasons

want to take advantage of this technology now must be able to do their own software

development. This is the competitive software compulsion facing many drug producers.

In turn, the better they can select systems, develop their capabilities, and manage their

use, the more successful they will be in drug development and in managing other aspects

of the drug pipeline.

The choice of hardware is based on the availability of software and the

performance criteria needed to run your software. Current major constraints are the power

of graphics programs and the way the chemist interacts with the data and its

representation (Hubbard 1996). Apple computers have frequently been used in R&D

because of superior graphics. This edge may be eroded by the new PC’s using Pentium

MMX as well as moves to more open systems. The real issue, though, is the presence of

software packages for the MAC that research scientists know and rely on but not yet

available for Windows NT.

In sum, rational design has opened new research based on a firm’s understanding

of biochemical mechanisms. This means tremendous opportunities to enter new

therapeutic areas. However, since rational design is very expensive, it has raised entry

costs and the minimum effective size for pharmaceutical firms. This has favored firms

with broader product lines able to spread the costs of equipment over many projects and

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to transfer knowledge across therapeutic areas, contributing to the increased cost of new

drugs through higher R&D and systems support spending (Bogner and Thomas 1996). A

similar analysis applies to major US and Japanese companies use of other new

technologies to discover and develop drugs systematically such as combinatorial

chemistry, robotic high-throughput screening, advances in medical genetics, and

bioinformatics. These technologies affect not only R&D but also the organization and the

way they deal with other organizations as many new technologies are complementary. For

example, high-throughput screening automates the screening process to identify

compounds for further testing or to optimize the lead compound. Thus, both regulatory

and technological change have raised the advantage of developing innovative drugs, even

though it is inherently risky and forces firms to develop better skills in using information

technology to support the process.

Japan

Trends in Japanese healthcare are heavily impacting the pharmaceutical industry

as well due to drastic changes in its economic and regulatory environment. The

population is aging quickly. So it is inevitable total medical expenditures will rise. Japan

is becoming a country with the world’s largest percentage of people over 65 (table

below). Since everyone is covered by either public or private medical insurance, MHW is

under pressure from MOF (Ministry of Finance) to control National Health Plan costs.

The MOF wants to reduce General Account expenditures. It thus supports MHW’s

reductions in healthcare costs. Its main political opponent is the Japanese Medical

Association (JMA).

Persons Aged over 65

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(as % of total) 1993 2025 (projection) Sweden 17.6 Japan 25.8 Norway 16.1 Germany 22.9 United Kingdom 15.8(a) Hong Kong 22.6 Denmark 15.5 Italy 22.3 Belgium 15.3 Greece 22.2 Austria 15.2(a) Finland 22.2 Switzerland 15.0(a) Denmark 21.7 Germany 15.0(a) Switzerland 21.7 Greece 14.8 Belgium 21.7 France 14.7 France 21.3 Japan 14.5(b) United Kingdom 19.0 United States 12.7 United States 18.1 (a) 1992 (b) 1995, *The Sex and Age Distribution of the World Population, 1994, Prime Minister’s Office; b) Labor Force Statistics, 1995, OECD

Health Expenditures (as % of GDP) Total Public Per Capita(a) 1993 1983 1993 1983 1993 1983 Australia 8.5 7.7 5.8 5.0 1,494 860 Belgium 8.3 7.6 7.3 6.2 1,601 814 Canada 10.2 8.6 7.4 6.5 1,971 1,040 Finland 8.8 6.9 7.0 5.5 1,363 714 France 9.8 8.2 7.3 6.4 1,835 954 Germany 8.6 8.5 6.0 6.2 1,814 1,012 Italy 8.5 7.0 6.2 5.5 1,523 729 Japan 7.3 6.9 5.2 5.0 1,495 719 Netherlands 8.7 8.3 6.8 6.2 1,532 869 Spain 7.3 6.0 5.7 5.1 972 433 Sweden 7.5 9.5 6.2 8.7 1,266 1,094 United Kingdom 7.1 6.0 5.9 5.2 1,213 605 United States 14.1 10.6 6.2 9.4 3,299 1,489

(a) unit: in $PPPs (Purchasing Power Parities); * OECD Health Data 1995, OECD Recently, to control healthcare expenditures, MHW has changed the way it

administers the Plan to prepare for the aging population. The reform has been developed

by the three leading political parties (LDP, Social Democrats, New Sakigake) and is on

the Diet’s agenda for 1998. It covers the healthcare delivery system, pharmaceutical

prices, and the reward scheme for diagnosis. Under the proposal, patients will get more

information and explanation from doctors with respect to their treatment. Informed

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consent with respect to medical care is encouraged. Second, the program will try to

establish a system of primary care doctors who will see patients locally. If necessary, they

will refer patients to more specialized organizations. Because the current system has been

criticized for excessive drug prescription and frequent medical exams using expensive

equipment, a principal objective is more efficient distribution of medical services.

The proposal also examines a possible six-year education program for

pharmacologists. Third, to correct the high share of drugs in healthcare expenditures,

MHW plans to eliminate official drug prices. Instead, they will introduce a reference price

system which will reflect the market price for all drugs in that therapeutic category. The

Health Insurance Plan would pay based on the reference price. If patients pay for a drug at

a higher price, they have to bear the difference. On the other hand, if patients pay for a

drug at a lower price, the health organization that sells the drug will get only the reference

price. This may cause problems, since once patients get sick, they may feel their

bargaining power over price is limited after a particular drug has been prescribed. Fourth,

MHW will reform the way clinical trials are run so greater safety is ensured. Fifth, they

will promote separating prescription and purchase of drugs through eliminating a doctor’s

or clinic’s ability to run pharmacies.

Although it is not clear how this proposal will be put into practice, one can see a

move towards a more Western system with doctors acting more like professionals paid a

high fee for their technical skills. This would contrast with the current Health Plan that

gives doctors low standard payments irrespective of skill. Some doctors do not like this

and want to be treated as professionals. Further, this relatively low Plan payment is

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sometimes not sufficient and induces doctors to over-prescribe drugs since they get the

difference between the official price and the price paid the wholesaler.

Another plan being discussed is the implementation of Diagnosis Related Groups

(DRG). Under this system, fees a plan pays to doctors are determined based on the

disease. The goal is to create relatively cost-homogeneous therapeutic groups. The DRG

concept was developed in the 1970’s in the US. It considers the existence of concomitant

diseases and complications, patient age, and the treatment (Zwifel, Breyer 1996). It is

used in Medicare where Medicare reimburses hospitals based on the average cost of

treating patients within the DRG. This induces hospitals to limit costs since they keep any

amount the DRG payment exceeds their costs but are responsible for those exceeding the

DRG payment. The US DRG system adjusts its payments for regional differentials as

well as for higher cost teaching hospitals. The problem may be, though, the profit

incentive is too strong. Critics charge the system encourages hospitals to discharge

patients “quicker and sicker”, leaving patients or their families bearing the burden of

paying for nursing care (Rodwin 1993). This suggests some change must be necessary

(Morgan et. al. 1997).

Japan has been relatively successful compared to many countries in containing

medical costs. This may be partially due to avoiding adverse selection plus more direct

control of commercial health organizations. MHW’s flexible approach in making

necessary changes annually so far has avoided this problem. For example, the standard

reimbursement price for medicines on average went down 8.1% in 1992. In 1994, an “R

zone (Reasonable Zone)” was set at 13%. This means the list price is only allowed to be

13% higher than the weighted average of its wholesale prices. The result was a 6.6% drop

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in list prices. These measures have continued to reduce the margin for hospitals, doctors

and wholesalers, though except for 1997 profit rates for major pharmaceutical firms

remained constant. A major reason is higher prices for new medicines. This is true even

though these medicines have often lacked innovation. They still have commanded higher

official prices than previous ones. So though prices for older drugs are under control,

drug companies have introduced new products to offset cost containment effects. This has

led to many “me-too” drugs lack innovation. Since old drugs may be as good as new

ones, there has been a need to look carefully at what new drugs contribute to health.

MHW’s price correction in 1996 tried to address this problem by suppressing

prices of new drugs which were not innovative. At the same time, truly innovative new

drugs were allowed to enjoy higher prices. Still list prices went down by 6.8%. In

addition, prices of drugs sold more than expected were subject to reexamination. This

followed a German cost containment system. In 1997, following the increase in the

consumption tax from 3% to 5%, list drug prices were again examined. The result was a

3% decrease in the average list price, including the consumption tax. The “R (reasonable)

zone” this time was 10%, but the zone for drugs listed for a long time was 8%

(Nakazawa). From this perspective, Japanese drug companies are now subject to similar

price and therapeutic efficacy pressures as their Western counterparts and a similar need

to gather data on their drugs’ therapeutic effects.

Since MHW is concerned with social security and the general welfare in addition

to health matters, pharmaceutical industry interests are usually not well-represented in its

policy making process. Further, a primary objective is reducing the growing fiscal

pressures arising from the aging population. According to MHW’s projections (Nakazawa

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1997), it should be successful in achieving this goal if the projected Health Insurance

deficit is reduced as in the graph below. It does directly control the Health Plan and can

closely monitor its cost and development. Its actions may thus signal broader cost

containment strategies given Japan’s aging population and the impact of its proposed

reforms on all healthcare reimbursement. -97 -98 -99 -2000 -2001

-4050-140

-341-5770

-7900

-8000-6000-4000-2000

0

-97 -98 -99 -2000 -2001

Estimated trends in future annual deGovernment-run Health Plan after the

hundred million yen)

90 91 92 93 94 95 -96 -97 -98 -99 -2000 -2001

3432 3747746 -935 -2809 -2783

-5574-8310 -10370

-12790 -15260-17790

-20000

-15000

-10000

-5000

0

5000

90 91 92 93 94 95 -96 -97 -98 -99 -2000 -2001

Estimated trends in future annual deficit of the Government-Run Health Plan

before the reform (one hundred million yen)

So the expected deficit will fall due to changes in National Health Plan coverage starting

September, 1997. In addition, Japan made GPMSP (good post-marketing surveillance

practice) a legal obligation for pharmaceuticals in 1993. The need for this is rising

because MHW is becoming more aggressive about enforcing regulations which require

information on the side-effects experienced by all patients due to the unpredictable nature

of new drugs based on rapidly emerging new science and technology. Further, the elderly

who take multiple medicines are more likely to experience complications, and

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information on complicated interactions is not always available during clinical trials

because they do not cover their long term effects or always test groups taking all potential

drug combinations. Therefore feedback from doctors who administer drugs to seniors

after their commercial introduction has become more important. Since clinical trials have

put constraints on their subjects based on age and other complications, rarer side effects

are thus not accurately assessed during clinical trials because of data limitations

(Kusunoki 1996).

In 1990 the ICH (International Conference on Harmonization of Technical

Requirements for Registration of Pharmaceuticals for Human Use) was first held. There

have been three sessions since, the last in July 1997. Its aim has been to harmonize

clinical trials to exchange data internationally and introduce drugs to various markets

more quickly. Many large international drugs firms would benefit from this as it reduces

the cost of introducing drugs to new markets while helping to expand markets and speed

cash flow receipts. However, for Japanese and foreign companies to meet the

harmonization requirements and benefit from this development by spreading their R&D

costs over a global market, there is a need for foreign and Japanese companies to reassess

how they manage clinical trials in Japan to evaluate the effects of drug treatments. This is

because historically Japan’s approach to treating certain diseases has been different than

the West’s and because diseases affecting the population have a somewhat different

profile. Further, clinical practices vary and are often structured or adapted to suit the

dominant drug available to treat a given condition. Therefore, the data companies gather

in abroad may not be helpful in assessing a drug’s effectiveness in Japan. In these cases,

companies have to reassess data when feedback from doctors suggests further

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investigation is required. At the same time, when results are similar, Japanese drug

companies who have good R&D can benefit from this development while those who do

not will suffer from increased foreign competition. The “Ethnic Factors Guidelines” is

scheduled to be signed in February 1998.

The Japanese Pharmaceutical Industry and Takeda

Japan’s pharmaceutical market is highly fragmented. In addition to traditional

drug companies, we have many new entrants including chemical firms, petrochemical

companies and food companies. There are firms producing traditional Chinese and

Japanese remedies as well as OTC medicines. It is estimated 1,000 companies

manufacture drugs. But only a little over two hundred have a large proportion of their

revenues from ethical drugs. Further even among these 200, several purchase in bulk

from which they manufacture drugs. These second-tier companies are only packagers who

do not discover, develop, or market drugs. They often produce a single product or are

subcontractors for larger firms (Ohara 1996).

Given this fragmentation, it is not surprising Japan has a large number of drug

manufacturing plants due to the many different diseases, for which doctors and hospitals

want to ensure quick drug delivery for each treatment. Secondly, the production following

bulk manufacturing involves less complex, less expensive technologies where capital

requirements are small but the rate of return is high since the industry is still growing.

Thirdly, entry barriers at this stage are low and scale economies appear weak (Ohara

1996). However, due to entry by new large well capitalized Japanese and foreign

producers, the situation for smaller companies is becoming less bright since the new

entrants are larger and can purchase or develop the information technology increasingly

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necessary to build R&D, marketing and clinical trial capabilities. Even big Japanese

companies such as Takeda are much smaller than leading foreign drug companies or large

Japanese chemical and food producers. Takeda’s 1994 pharmaceutical sales were $4,856

million. However, Takeda appears to be responding to these challenges as well as the

changing economic environment created by MHW’s new policies. Given its long history,

though, perhaps this is not surprising. It was founded in 1781 as a wholesale company of

traditional Chinese and Japanese medicines. Then it started handling Western medicines

in the second half of the 19th century and gradually focused on these products beginning

drug production in 1915. Since then, it has always been Japan’s leading pharmaceutical

company.

However, while ranking first in pharmaceuticals in Japan and 12th or 13th in the

world, it has traditionally been a diversified company for many years.

1994 1993 (*1)

Company Pharmaceutical Sales (*2) (Million Dollars) (*6)

Increase from the previous year (*3) (%)

Share of Pharmaceutical Sales in Total Sales (%)

1 2 GlaxoWellcome (UK)

12,223.9 (*4) - 100.0

2 1 Merck (US) 9,416.3 7.3 62.9 3 4 Hoechst-Marion

Merrell Dow (Germany)

9,351.7 (*4) - -

4 7 American Home Products (US)

7,425.0 (*4) - 55.0

5 3 Bristol-Myers Squibb (US)

6,970.0 6.8 58.2

6 9 Roche-Syntex (Switzerland)

6,421.3 (*4) - 42.3

7 6 Pfizer (US) 5,811.2 13.3 70.2 8 5 SmithKline

Beecham (UK) 5,532.2 5.8 59.5

9 - Pharmacia Upjohn (US)

5,304.0 (*4) - 78.0

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10 8 Eli Lilly (US) 5,248.0 10.3 91.9 11 11 Johnson &

Johnson (US) 5,158.0 14.9 32.8

12 13 Takeda (Japan) 4,856.7 (*5) 15.5 64.3 13 10 Sandoz

(Switzerland) 4,840.5 5.8 41.7

*1: Rankings of GlaxoWellcome and Hoechst-Marion Merrell Dow in 1993 depend on Glaxo and Hoechst, respectively. *2: Conversion to US dollars is based on the average exchange rate in 1994. *3: Comparison is based on US dollars *4: Calculation based on the sales of companies before mergers *5: Including OTC (over the counter drugs) *6: Excludes sales through strategic alliances This has been due to excess competition in pharmaceuticals, the need to support many

employees, and the possibility of transferring technologies from medicine to related areas.

To manage these various areas, it organized on a multi-divisional basis in 1960:

pharmaceuticals, pharmaceutical sales, food, chemical products, and an overseas division.

However, the divisions were neither profit nor cost centers. Rather, to maintain

harmonious relationships, profits and deficits were shared. They also avoided lower

wages in new functions outside ethical pharmaceuticals. In this same year Takeda created

the managerial administrative and technology control offices to collect and analyze

information to assist executive decisions. Over the past 35 years, these two offices have

helped Takeda analyze its economic environment and make forecasts using computer

simulation. They have also established a long tradition in the use of information

technology to improve Takeda’s competitiveness and strategic position.

A former President, Mr. Umemoto, stressed the role of basic research as licensing

foreign drugs was getting more difficult. Foreign firms could now develop their own

Japanese subsidiaries. Therefore in 1988, Takeda established a research laboratory at

Tsukuba which does basic research. Mr. Umemoto also initiated other reforms,

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introducing word processors, computers, and optical fiber systems to process invoices

centrally. This was because PMS (post marketing surveillance) of their commercial drugs

while not required was encouraged by MHW. Takeda thus organized DIONET (Takeda’s

pharmaceutical information system) to collect data about side effects and give feedback to

users. Takeda also increased its international presence in the late 1970’s through joint

ventures in France and West Germany in addition to foreign subsidiaries supporting

export sales. Takeda formed an R&D partnership with Abbott in the 1980’s, and

subsequently, TAP Pharmaceuticals, a joint venture with Abbott in 1985.

Although not known for innovative drugs, Japanese firms are becoming bigger

players in world markets. Takeda’s Leuplin (Lupron Depot) which they started marketing

in 1992, is a luteinizing hormone-releasing hormone (LH-RH) analog. It is an injectable

prostate cancer drug with a once-a-month dosage drug delivery system (DDS). Without

this drug delivery system, patients have to get an injection every day for many years.

Since such an arrangement is unrealistic, DDS makes sure the drug is absorbed inside the

body slowly and uniformly over a long interval. This drug was developed in cooperation

with Abbott, and later with Wako Pharmaceuticals too. It is marketed in some 60

countries under various names.

Pharmaceutical Product Sales in Japan for 1995 (Nakazawa 1997) Rank Company Sales

(100 million yen)

% Share in the total sales

% Increase from the previous year

1 Takeda 3,610 60 8.2 2 Sankyo 3,376 82 3.2 3 Yamanouchi 2,812 95 7.7 4 Eizai 2,051 81 5.2 5 Fujisawa 1,880 86 -10.2 6 Shionogi 1,833 81 -5.6

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7 Daiichi 1,811 83 2.3 8 Chugai 1,412 84 5.1 9 Ono 1,319 100 8.9 10 Banyu 1,308 100 5.1

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R&D Expenditure in Pharmaceutical Companies for 1995 (Nakazawa 1997) Rank Company R&D Expenditure (100 million yen) R&D/Sales Ratio (%) 1 Takeda 629 10.4 2 Sankyo 495 12.1 3 Eizai 361 14.3 4 Yamanouchi 355 12.0 5 Otsuka 311 8.4 6 Fujisawa 308 14.0 7 Daiichi 286 13.2 8 Chugai 266 15.7 9 Shionogi 253 11.2 10 Tanabe 200 11.4

Strategically, Takeda emphasizes growth and R&D. In FY1996, consolidated net

sales increased 3.8% from the prior fiscal year to US $7,559 million with sales outside

Japan of US$951 million, which is 18.4% higher than the previous year. They now

constitute 12.6% of net sales. Their strategy has been to transfer production of mature

products to related companies while keeping the parent slim. Takeda had 69 subsidiaries

in 1993, though not all are pharmaceutical. This is very large compared to other drug

companies and is roughly the same number as Toyota. At the same time, Takeda plays a

wholesaler’s role for related companies which account for 40% of their pharmaceutical

sales (Giga, Ueda, and Kuramoto 1996). This approach is changing though as they shift

production facilities to foreign countries to cut costs.

Their business is now in transition due to the large competitive changes in global

drug markets as well as in Japan’s regulatory framework. Both trends will transform

Japan’s pharmaceutical market into one more open to foreign competition. Changes

include the emerging new life sciences and drug development techniques discussed above

as well. Takeda’s information technology has to accommodate these new technical and

regulatory trends plus the need for increased partnering. All Japanese pharmaceutical

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firms are aware of the industry’s recent global consolidations such as Medco-Merck,

Glaxo-Wellcome, Pharmacia-Upjohn, SmithKline-Beecham, and Roche-Genentech. As

these stronger players have expanded into Japan, Takeda has had to reorient its strategies.

Thus recent renewals in corporate culture have been very conspicuous among Japanese

companies, indicating the strategic pressures.

In the past, even among pharmaceutical companies whose management has

usually accepted the characteristics of Japanese management, Takeda was known for its

group-oriented management, its seniority-based organizational structure, and its lifetime

employment. However, President Takeda and his management team are now introducing

new initiatives in corporate governance and human resource management very different

from the past. It is reducing its 11,000 employees to 7,500 by the year 2005, mainly

through natural attrition. It is introducing performance-based pay, especially in ethical

related R&D where there has been intense competition for innovative researchers on

whom corporate success depends. Under this system, raises depend heavily on individual

performance (Shukan Toyo Keizai 1997). For middle managers and above, annual goals

will be set, and each will be evaluated in absolute terms based on their achieving them. If

managers cannot achieve their objectives within four years, they have to leave the

position (Shukan Toyo Keizai 1995). This “American” approach reflects the US Hay

Group that consults with Takeda on their human resource policies.

Takeda has also instituted a special rewards for discovering innovative drugs

generating significant sales. This can reach fifty million yen over five years. This applies

to R&D employees only and is to reward individual creativity. This is exceptional in

Japanese industry and may well be more “American” than the US. At the same time,

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R&D is now becoming a diverse team effort requiring many skills with computers

helping to facilitate cooperation among researchers from different scientific backgrounds.

Thus, some researchers argue management should reward the effort of the whole team on

a successful project (Gund, Maggiora, and Snyder 1996). Since employees outside R&D

cannot benefit from the new reward structure, Takeda will consider similar rewards in

other divisions if there are suitable proposals, though the competitive pressures to retain

creative R&D personnel are not as readily apparent.

Further, to strategically concentrate on the growth and development of their

ethical drug business, they recently reorganized into “companies” each of which has its

own president in charge of that company’s operations subject to explicit objectives. These

“companies” are: consumer health care, bulk vitamin & food, chemical products, agro-

business, and life-environment. So while they remain organizational functions inside

Takeda, they operate as separately. However, the president, Kunio Takeda, directly

manages the ethical drug business, indicating its strategic importance, while other

businesses have become semi-autonomous profit centers. Since Takeda does not deal in

generic drugs because of their ability to continue sales even after the patent expires and

there is no effective competition from generic drug manufacturers in Japan, overall

Takeda concentrates their organizational resources on the ethical drug market.

Takeda’s total expenditures on EDP including IT are about Yen 6.8 billion or a

little less than 1% of sales (Appendix II). In developing and selecting software to

implement their business and organizational strategies, like most Japanese companies

Takeda has relied little on outside vendors (Rapp 1995). However, they have not followed

the trend towards increased use of subsidiaries specializing in software development.

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Rather, they have relied on their internal resources and IT group. This group has begun to

move away from using only customized software and to increase the purchase and

adaptation of packages. They state writing software used to be part of organizational

learning, but the benefits from restructuring their information systems now outweigh the

organizational learning and accumulation of tacit knowledge that occurs through creating

most software in-house. This decision is understandable since MHW’s new regulatory

and drug approval processes combined with international harmonization of clinical trials

under ICH requires types of information systems skills and knowledge much different

from that used in previous software development. Still, since current systems exist and

must be interfaced with the new systems whether packaged or customized, there remains

substantial maintenance and interface development requiring their traditional skill sets in

addition to acquiring new software development and semi-customization capabilities.

Their general criteria to choose software appears to reflect this transitional period.

That is, they try to select software that is a de facto standard and is used globally. Still, it

must work on their existing hardware in Japan, meaning it must be capable of becoming

part of an open system that promotes compatibility and communication between

subsystems. Also, Takeda has no experience adopting a different hardware or software

system to use a particular software package. When they need a supercomputer, they

borrow it. Their system selection is influenced though by MHW and FDA regulations that

apply to manufacturing, clinical trials, and payment. That is, their software and

information systems have to provide sufficient information to meet regulatory standards.

In this sense, their software system and its evolution has strategic and industry specific

issues which it must support within a legacy framework that it must maintain to insure

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compatibility. Yet, there is some flexibility since they do not require the operation

systems used in the “companies” to be the same, though there is need to standardize

accounting software. This accounting software is customized since their cost measures

are sometimes not available in a package. To handle this IT work, Takeda has 116 people

in information systems and 76 in user systems, many of whom have spent their career in

information systems. In procuring software, they explain to several suppliers their

requirements and compare proposals submitted by those suppliers.

Their software selection is heavily influenced by R&D requirements and

partnering agreements. For example, Takeda has a technological transfer agreement with

SmithKline Beecham (SKB). SKB is transferring their expertise in combinatorial

chemistry to Takeda which involves using computers and SKB’s database. Researchers of

both companies visit one another to transfer know-how associated with the technology.

Takeda uses the UNIX (Hewlett-Packard) system and Windows 95 as their standard, but

they also use Macintoshes in addition to PC’s in their R&D. However, Takeda does not

allow MACs to be connected with the network because they have found it difficult to

make them compatible with their standard system. But, they do permit drug researchers to

use MACs because information systems people at R&D choose the software used in R&D

and MACs are necessary for certain types of medical research. This is the exception to

their statement they do not buy certain software or hardware to perform particular

functions.

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The packaged software Takeda uses is SAP’s R/35. This German software consists

of modules that handle asset management, controller functions, financial accounting,

human resource management, industry specific solutions, plant maintenance, production

planning, project systems, quality management, sales and distribution, materials

management and business workflow. SAP R/3 was designed for open systems (UNIX).

Mr. Sato at Takeda thinks R/3, which allows for open systems, is a major improvement

over R/2. Since R/3 allows for semi-customization, the databases allow Takeda to see

relationships among data to make coordinated decisions. Some Japanese pharmaceutical

manufacturers, including Takeda, are now collaborating with SAP in making packages

which will be used specifically in Japan’s pharmaceutical business. Still, because

Takeda’s corporate strategy is based on systematic information gathering coupled with

highly technical analysis, in addition to gathering quantitative information, managerial

decision making requires highly qualitative decision making too. Therefore, Japanese

face-to-face communication in making critical decisions remains essential. In these cases,

information technology is coupled with R&D phase reviews. Their decision criteria are

safety, efficacy, marketability, and pharmacoeconomics.

Software contributes to information sharing within the company. For example,

they use Intranet among their employees and e-mail is common as well, even though e-

mail has not been extensively used by most Japanese corporations. When certain data or

information is relevant to a section, people within the section share that information. Such

5 SAP R/3 runs on most types of UNIX, Windows NT and OS/400. Some versions on mainframes (open MVS) also exist. SAP has a 33% world market share in enterprise applications, which is the largest. Its success secret is its holistic approach. Rather than combining many specialized software, SAP offers a bundle of software packages that faciliates information exchange among them to make better business decisions. SAP is especially suited for multinational companies, since SAP makes sure they can hundle multiple languages, currencies, regulations (Business Week, November 3).

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sharing is traditional in Japan but has always been done face-to-face or through

circulating memos via well established but time consuming routes (“ringi” system). The

willingness to use e-mail substantially increases the speed with which this process can

occur, leading to big increases in office productivity. Various interfaces with their

databases are generally in Japanese characters or Kanji. Most commonly they use word

processor software when asking questions about drugs on a real time basis. But when

manipulating data, employees generally use spreadsheet software such as Excel. They are

also planning to use more Web-based technologies not only in R&D but also in other

functions. By using servers for common projects or applications used by more than one

group or individual, they avoid excessive workloads that can occur when they change

personnel or the shape of a project when particular projects or applications are carried on

individual PCs. They are also connected with their wholesalers through EDI (Electronic

Data Interchange), a protocol standardized among Japanese pharmaceutical manufacturers

and their wholesalers. Under this system, order entry and acknowledgment are processed

on line, substantially reducing paperwork and facilitating prompt delivery. In general,

Takeda’s approach to software’s development and use stresses incremental improvements

in their database to improve decision making that is closely aligned with their basic

business and current procedures.

The most important tool in the information exchange between sales and

manufacturing is the “sales-manufacturing balance table.” This shows past monthly sales,

monthly production, planned monthly sales, planned monthly production, inventory, and

intermediate goods inventory for each product. Based on this data, they meet monthly

with manufacturing to plan subsequent production. This provides a basis for daily

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production schedules they create using artificial intelligence software. This software helps

them adjust production to accommodate the volatility in schedules within a month given

changes in customer demand. They analyze volatility using ten days as a planning period

rather than a month. The process reduces inventories and storage costs while improving

cycle and response times as well as customer satisfaction..

Information Technology and Organization

Takeda faces an environment where it must justify the use of its drugs to an

increasingly cost conscious customer in terms of improved efficacy and benefits while

developing new drugs is now more complex and expensive. Yet, they recognize only by

developing and marketing new and more effective drugs can it grow and prosper. Further,

these must be sold on a global basis to amortize high development costs. To do this

efficiently requires sophisticated techniques to acquire and manipulate large amounts of

data in a standardized manner at several levels, including R&D, clinical trials,

manufacturing, marketing and after sales results. Therefore successfully using systematic

research data and sophisticated analytical methods in their decision making is critical to

their business and future growth. However, even though the need to use information

technology is clear, Takeda believes the purpose of these systems is to improve the firm’s

existing decision-making skills which have been responsible for its success. Using

systems should not result in automatic managerial decisions but rather should improve the

quality of decisions by enhancing the manager’s experience and judgment. Thus, even

though one important use of software is to facilitate better communication, Takeda

believes in face-to-face communication among managers in formulating strategies.

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At the same time, it does not believe the more information everyone has the

better, i.e. that all information should be freely shared among everyone in the firm. They

consciously try to create some barriers among non-R&D employees to limit information

flow to those with some need to know. However, they are reluctant to create such

information barriers among R&D employees since they usually request information when

there is a reason, an impulse important to the creative process. Indeed, using software

provides researchers with a common language in which they think and talk. It is essential

for multi-disciplinary medical researchers to have a common ground and share parts of

their chemical intuition. Using software enlarges and extends researchers’ knowledge

domains. Rather, Mr. Sato at Takeda noted that the difference in information sharing

perspective comes from the fact that R&D people know the value and appropriate need

for information, while non-R&D people may not. Further, they keep some information

from some Medical Representatives to avoid possible mistakes. This is especially true of

sensitive information, such as clinical results. However highly qualified representatives

have full access to this. From Takeda’s perspective, information is most valuable when

those with good judgment understand and use it.

Their basic approach of using information technology to enhance and improve

existing core competencies avoids many organizational dilemmas since people can see

their effectiveness and the company’s competitiveness is improved without the need for

substantial reorganization and accompanying disruption. This strategy contrasts with

companies such as Bayer that use a minmax approach to software use and development

which focuses on achieving maximum user functionality for the least cost. Under this

system, a firm uses a package if it achieves 80% of the functionality users request but

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does not evaluate whether the additional 20% represents a critical added value or is

important to maintaining core competency. Also, it stresses centralized IT control more to

facilitate upgrades than to develop strategies and allocate resources. They do not support

certain R&D functions even when the user may require it to efficiently utilize an

historical data base or certain programs which may only be available for a MAC or VAX

system. The minmax strategy is supported by a review process with a check list of 20 to

25 benefits that are evaluated for each IT project, making it difficult to isolate one or two

key business factors in terms of IT integration or the enhancement of core competencies

critical to the drug pipeline (Track 1997).

The press and reengineering specialists have stressed an outcome of improved

information systems is a flattened organization because it is easier for top management to

communicate with lower levels, and middle management is no longer required to process

information or manage and set objectives for smaller units. Being able to eliminate

middle managers saves money and is thus cost efficient. But Takeda felt any such effect

from the increased use of information technology has been indirect, since they flattened

their organization first to prepare for future competition and make each person’s

responsibilities clearer. They had to become slimmer because their competitors did. The

role of information technology has been assisting each person to be more productive in

their defined responsibilities. Easier monitoring of subordinates via improved information

systems was not a reason for moving to a flatter organization. This result is similar to

other responses indicating the role of information technology has been to enhance and

extend existing strategies and core competencies rather than to restructure or change the

organization. At the same time, through a creative mix of customized, semi-customized

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and packaged software, Takeda has created an information system and organizational

support for that system which have significantly improved their competitiveness in

several areas. An important aspect of this has been the interactive linking of various

functions that previously were relatively separate: R&D, the drug approval process,

manufacturing, marketing, sales and after-sales service. Takeda’s close association with

large hospitals and clinics through DIONET and its successors provides such a function.

Another information systems benefit linking previously rather separate functions

is the increased complexity of manufacturing the new right-handed and left-handed drugs

created through molecular modeling. Some of these processes are new and can be

patented since they often require several steps in different manufacturing facilities. This

manufacturing complexity extends the traditional life of a drug and justifies concentrating

greater research resources to their development.

In the introduction to this case, it was noted a potential new production paradigm

might be emerging, one pioneered by leading companies in industries as diverse as

finance, semiconductors and pharmaceuticals. It seems to differ from mass production

which is essentially supply push and where significantly lower costs create their own

demand. It also appears to differ from lean production which is more demand pull but

with even lower costs than mass production, especially in terms of defects and

inventories. We have called it “controlled” production because firms using it seem to

have organized to access the information necessary to monitor and control all aspects of

their business and then act upon it competitively as a firm. This appears to be what

Takeda does in their approach to R&D, clinical trials, manufacturing, marketing, sales

and after-sales support. Data gathering and control have established several beneficial

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loops which seem to be self-reinforcing and which directly improve costs, quality and

competitive position. This and other cases should be closely examined in this light.

Further, to the extent this does represent an important new development, the study team

hopes other researchers will examine other leading firms in using information technology

in their areas of interest to gather further evidence since the competitive implications for

those using the techniques as well as those who are falling behind could have an impact

that goes beyond a single industry and will affect large portions of the economy.

APPENDIX I Summary Answers to Questions for Takeda - Strategy & Operations

General Management and Corporate Strategy Yes No Has the firm integrated software into their management strategy, including using it to institutionalize organizational strengths and capture tacit knowledge on an iterative basis?

x

Has the firm succeeded solely on the basis of its software strategy? x

Does the firm believe some customized software and its close organizational integration enables company to capture and perpetuate more consistently certain tacit knowledge and unique corporate features, i.e. core competencies, that account for its success with reliability and repetition important elements in their thinking?

x

Is the firm’s software strategy successful because it is well managed, introducing software when it serves corporate goals for enhancing productivity, inventory management or customer relations?

x

Does firm meet established criteria as quality organization such as: effective organizational self assessment, use of project and cross functional teams, improving quality outcomes through reducing uncertainty, rapidly diffusing learning including use of software and information technology, effective implementation organizational and technical change, facilitating change via evolution not revolution or reengineering6, emphasizing participatory management, having process excellence, using value added analysis, active benchmarking, constant organizational improvement, commitment to concrete realistic goals, effectively managing a dynamic iterative experimental

x

6 MIT Systems Dynamics Group September 1997 presentation estimated 70% of reengineering efforts fail.

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process through goal setting, training and constant consultation? Does firm plan in detail for world class operational excellence including contribution of software and IT to allocation of resources? x

Do planning systems enable management to make better business, operating and resource allocation decisions, including those related to software and IT, with link to resource valuation techniques?

x

Is focus on a small number priorities, usually 3 or fewer, with well defined, cascaded system reaching from senior management commitment to department level with associated metrics?

x

Is there heavy emphasis on improving process through IT? x

Industry Related Are industry economics and competitive dynamics an important strategic driver for the firm and for its use of software and information technology in that IT has been adapted to the firm’s particular industry and competitive situation? Do industry paradoxes exist such as: declining stock prices, manufacturing improvements that create product improvement difficulties, or employees’ active product use that retards improvements?

Competition Is software a significant and successful input into the firm’s competitive performance? Does the firm explicitly and consciously perceive the implications of their software strategies and use on their competitiveness and business success?

Are there direct links between their software strategies and overall management goals?

Do customers, affiliates, competitors, industry analysts, government officials, industry associations and suppliers perceive the competitive benefits or impact of the firm’s use of information technology?

Has the firm gained first mover advantages through successfully introducing software-related innovations?

Country Related

x

x

x

x

x move to

x history

x

7 Easton, George S and Sherry L. Jarrell, “Using Strategic Quality Planning More Effectively: Lessons Learned from NSF Project Research,” Columbia Business School conference presentation, September 1997

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In pharmaceuticals does nationality seem to be a causal factor in determining the impact of software on the firm’s competitiveness?

IT Strategy

Is firm a sophisticated software user that consciously designs and implements a software strategy to achieve competitive advantage? Does the firms utilize several types of software input alone or in combination to achieve competitive advantage?

Does the firm’s system work to rapidly uncover barriers to implementation, including using new or improved software, while generating cross-functional and hierarchical consensus so measured goals can be achieved?

Is leadership at different levels actively involved in driving software planning, assessment and deployment with regular progress reviews that link plans, goals, benchmarks, metrics, milestones, resources and responsibilities?

Does the system allow for flexibility and innovation as well as change and individual efforts provided they meet goal, planning and metric criteria?

Is there a clear vision making project and new product software selection straightforward and closely related to strategic goals and processes?

Does this software strategy involve a conscious and clearly defined reliance on customized and semi-customized software in addition to packaged software with specific criteria and goals for selecting each type? Do they have ways to measure this so that the firm knows customized software achieves functional or market gains that justify the additional expense, including the related costs of integrating customized and non-customized software into a single information system?

Does the firm use option valuation methods to manage uncertain and random outcomes since this appears to be at the software implementation frontiers even among very well managed companies?7

Does their strategy include increased use, development and

x history x x x not clear x x initial & phase reviews x

x Comb x may be other ways

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integration of industry and company specific vertical application software and embedded software in its production and delivery processes to improve competitiveness?

If the firm has an embedded software strategy, is this integrated or interactive with their other software and overall business strategy in ways affecting production, product design or service that improve quality and costs long term?

Do they favor increased outsourcing of software design and development?

Does the firm believe large-scale outsourcing by many US companies assumes those firms’ information systems development need not be integrated with their business organization and that they view their information systems as generic products best developed by outside vendors who can achieve low cost through economies of scale?

Do they feel these firms’ approach focuses on the cost side of software and that these firms do not see differences among the systems used by their competitors?

Do they in turn believe this is a mistake by their competitors that gives them a long-term and sustainable competitive advantage over such companies because they believe outsourcing surrenders a firm’s strategic software options since systems service companies have an incentive to develop increasingly standardized products and are one step removed from the company’s customers and business?

Has the firm established a software strategy that is open and interactive with its customers and/or suppliers?

Has this enabled it to capture information or cost competitive externalities?

IT Operations

Do participants own goals and are then committed to implementation strategies?

Does the firm embed software into its production and delivery processes with competitive market implications?

Is software technology tied to high speed telecommunications technology, allowing the firm to track, receive and deliver shipments

x x not clear x x x DIONET

no since J firms customize

no since J firms customize

x limited x

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or services directly or on-line without further handling or processing?

Does it manage the potential risks of extensive use of software or open systems?

Do they work to ensure consistency and reduce programming errors?

Is informal interaction a key aspect of planning and implementation?

Is the firm’s system institutionalized and self-reinforcing with good communication and consensus building while software and IT play a role, including preventing retrospective justification or target reduction?

Human Resource and Organizational Issues

Does the firm pay close attention to systems training and organizational integration for all employees, reducing errors through improved consistency and staffing efficiencies across the firm since software can confound even routine operations?

Does certain software require special HR competencies or education? Does the firm try to change human behavior to use software?

Parameter Metrics such as Inventory, Cycle Times and Cost Reduction

Are goals or targets tightly linked to regularly reviewed metrics with inputs coming from all levels that are often cross-functional affecting large parts of the organization, e.g. cycle times, on-time delivery, and customer satisfaction?

Does the firm have standard agreed ways to explicitly organize or manage this software selection process?

Does the firm have agreed ways to measure and evaluate success in using software to promote business objectives such as unit cost, inventories, lower receivables, market share, model development times, or product pipeline?

Are IT costs balanced against overall long-term productivity gains?

Does the firm have methods to ensure increased customization costs l i l d h d l i d i

x x x x x x x x R&D x Interact x x

x

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result in lower costs downstream so that developing and using customized software makes sense?

Has the firm created large interactive databases to allow automatic feedback between stages or players in the production and delivery process? And are these databases constantly being refined and updated on an interactive basis with actual performance results in a real time global environment? What are the competitive and metric impacts of this? such as reducing inventory costs and wastage while improving the quality of customer service?

Has the firm used software to create beneficial feedback cycles that increase productivity, reduce cycle times and defects, and integrate production and delivery processes?

Do other firms or analysts have alternative measures competitiveness or views on appropriate industry strategy? (See Appendix II - Nakazawa)

Has the firm achieved better than industry growth, superior on-time delivery, improved inventory control, reduced down-time or changeover cycles, reduced product or process defects, fewer recalls, lower warranty claims, an improved product development process, and/or any other definite and measurable progress relative to competitors?

Do the firm’s metrics go beyond financial to areas like customer satisfaction, operational performance, and human resources?

Does their evaluation system apply to new product development and significant projects as well as to continuous operations?

not clear x x Productivity x Inventory x x

Summary Answers for Case - Conclusions

Conclusions and Results

Is mission statement consistent with the strategies identified as successful or appropriate in the existing competitiveness research from Sloan’s industry study center?

Are there important business or IT situations that require further research?

Are intellectual property issues important in explaining the successful and sustainable use of software to achieve competitive advantage?

Yes

Yes

Yes

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Are beneficial cost impacts generally one important consequence of a successful software strategy?

Based on this study is the market for vertical application and embedded software growing?

Does this leading Japanese firm assign positive value to improved integration and enhanced control through selective customization?

Do general measures such as increased productivity, as evidenced by reduced cycle times and lower defect rates, reflect the benefits of a successful software strategy?

Are the benefits of a successful software strategy also reflected in specific industry standards such as an expanded customer base, an increased number of drugs in the pipeline, or improved yields?

Does this leading IT users have explicit criteria for selecting package versus customized software and for semi-customizing software packages? Does this firm closely integrate or couple their software and business strategies beyond mere alignment?

Do they closely integrate their organizational and HR policies with their software systems?

Have they reorganized to successfully use software and information technology?

Does this firm’s software codify or build on existing organizational strengths or core competencies including HR alignment with business and IT strategies?

Does this firm embrace and integrate information technology as part of its business strategies and core competencies?

Is MIS department integrated with the rest of the firm in terms of organization and decision making?

Yes

Yes

Yes

Yes Some Yes Yes Yes Yes Yes Yes

Not Clear

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APPENDIX II

KEY PRODUCTS UNDER DEVELOPMENT

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FINANCIAL HIGHLIGHTS 1994-96

R&D EXPENDITURES 1992-96 (Takeda 1996)

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PRODUCTIVITY MAJOR DRUG COMPANIES 1992-97 (Nakazawa 1997)

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OUTLOOK EARNINGS TOP 10 DRUG FIRMS 1997-99 (Nakazawa 1997)

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BIBLIOGRAPHY AND REFERENCES

1. Bogner, W. C. and Thomas, H., Drugs to Market, Pergamon Press, Exeter, NH, 1996

2. Business Week, “Mr. nice guy with a mission: how Ray Gilmartin is changing Merck’s turf-conscious culture,” November 25, 1996, pp 132-137.

3. Cohen, N.C., “The Molecular Modeling Perspective in Drug Design,” Guidebook on Molecular Modeling in Drug Design, N. C. Cohen (ed.), Academic Press, San Diego, 1996, pp 1-18

4. Fortune, “Merck vs. the Biotech Industry; Which One Is More Potent?”, March 31, 1997: pp 161-162.

5. Giga, S., Ueda, H. and Kuramoto, Y., “Takeda Yakuhin, Banyu Seiyaku (Big Business in Japan),” Ohtsuki Shoten, Tokyo, 1996.

6. Gund, P., Maggiora, G. and Snyder, J. P., “Computer-Assisted Drug Discovery, Guidebook on Molecular Modeling in Drug Design, op. cit., pp 219-233

7. Gund, T., “Molecular Modeling of Small Molecules,” Guidebook on Molecular Modeling in Drug Design, N. C. Cohen (ed.), Academic Press, San Diego, 1996, pp 55-88.

8. Harris, P., “Biotechnology,” Handbook of phase I/II clinical trials, J. O. Grady and P. H. Joubert (eds), CRC Press, Boca Raton, Florida, 1997, pp 93-102.

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10.Hubbard, R. E., “Molecular Graphics and Modeling: Tools of the Trade,” Guidebook on Molecular Modeling in Drug Design, op. cit., pp 19-54

11.Ikegami, N. and Campbell, J. C., Nihon no Iryo (Health Care in Japan), Chuo Koron, Tokyo, 1996

11.Koide, T., “Gan ya C gata kanen no kusuri” (Drugs for cancer and hepatitis C), Ima Wadai no Kusuri (Drugs that attract talk now), H. Iwamura, H. Ogino and K. Matsumoto (eds), Gakkai Shuppan Center, Tokyo, 1994, pp 23-46

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14.Morgan, R. O., Virning, B. A., DeVito, C. A. and Persily, N. A., “The Medicare-HMO Revolving Door--The Healthy Go In And The Sick Go Out,” New England Journal of Medicine, 337, 1997, pp 169-175.

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16.Ohara, H., Gendai Nihon no Iyakuhin Sangyo (The Pharmaceutical Industry in Contemporary Japan), Kobundo, Tokyo, 1996

17.Office of Technology Assessment (OTA), Congress of the United States, Pharmaceutical R&D: Costs, Risks, and Rewards, Office of Technical Assessment, Washington, DC 1993

18.Pisano, G., The Development Factory: Unlocking the Potential of Process Innovation, Harvard Business School, Boston, Massachusetts, 1997.

19.Pisano, G. P., “Learning-before-doing in the development of new process technology,” Research Policy, 25, 1996, pp 1097-1119.

20.Rapp, William, The Future Evolution of Japanese-US Competition in Software: Policy Challenges and Strategic Prospects, Final Report Japan-US Friendship Commission, Columbia University, 1995

21.Rettig, R., Health Care in Transition: Technology Assessment in the Private Sector, Rand, Santa Monica, CA, 1997.

22.Rodwin, M. A., Medicine, Money & Morals: Physicians’ Conflict of Interest, Oxford University Press, 1993

23.Roehl, T., Mitchell, W. and Slattery, R., “The Growth of R&D Investment and Organizational Change by Japanese Pharmaceutical Firms, 1975-1993,” Engineered in Japan, J. K. Liker, J. E. Ettlie and J. C. Campbell (eds), Oxford University Press, New York, 1995, pp 40-69

24.Rosenberg, N., Exploring the Black Box, Cambridge, New York, 1994).

25.Schweitzer, S. O., Pharmaceutical Economics and Policy, Oxford University Press, New York, 1997

26.Shukan Toyo Keizai, “Takeda Yakuhin Kogyo 3500 nin sakugen no jinji kakumei,” (Takeda will cut 3500 employees in its human resource revolution), August 26, 1995: pp 74-77.

27.Spilker, B., “Adopting Higher Standards for Quality of Life Trials,” Quality of Life and Pharmacoeconomics in Clinical Trials, B. Spilker (ed.), 2 ed., Lippincott-Raven, Philadelphia, 1996, pp 57-58.

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28.Shukan Toyo Keizai, “Saikoeki ka bea haishi no shogeki-Takeda Yakuhin,” (The abolition of the “base-up” portion of the pay under the highest profit: Takeda), February 15, 1997: pp 16-19.

29.Takeda, 1996 Annual Report, 1996

30.Takeda, K., Kusuri no Tsukuru (Making Medicine), Kagaku Dojin, Kyoto, 1992

31.Track, Rowena, “Critical Success Factors for Bayer IT Management,” presentation, Yale School of Management, New Haven, October 1997

32.Wold and Shriver, Strategic Systems Planning for Financial Institutions, Probus, Chicago 1993

33.Zweifel, P. and Beyer, F., Health Economics, Oxford University Press, New York 1997