Upload
others
View
0
Download
0
Embed Size (px)
Citation preview
マスター タイトルの書式設定
© Copyright CMIC Group
CMIC HOLDINGS Co., Ltd.
May 15, 2019
Overview of Financial Results for FY2019 2nd Quarter/1H
マスター タイトルの書式設定 FY2019 2nd Quarter/1H
Financial highlights (October 1, 2018-March 31, 2019)
CMIC HOLDINGS Co., Ltd.
Wataru Mochizuki, CFO
マスター タイトルの書式設定
3 © Copyright CMIC Group
Business segments and group companies Blue indicates overseas. *indicates affiliated company
Segment Products and services CMIC Group companies (as of end of Mar. 2019)
CRO
Business
Services related to pharmaceutical development support and analytical chemistry services for pharmaceutical companies, and BPO and personnel services for the pharmaceutical and healthcare industry
CMIC HOLDINGS Co., Ltd. CMIC Co., Ltd. CMIC ShiftZero K.K. CMIC Korea Co., Ltd. CMIC ASIA-PACIFIC, PTE. LTD. CMIC ASIA PACIFIC (MALAYSIA) SDN. BHD. CMIC Asia-Pacific (Hong Kong) Limited CMIC ASIA-PACIFIC (PHILIPPINES), INC. CMIC (Beijing) Pharmaceutical Services Co., Ltd. CMIC (Beijing) Co., Ltd. CMIC DATA SCIENCE VIETNAM COMPANY LIMITED CMIC Pharma Science Co., Ltd. CMIC, INC. CMIC (Suzhou) Pharmaceutical Technology Co., Ltd. CMIC Career Co., Ltd.
CDMO
Business
Services related to drug formulation development and manufacturing support, from formulation design to investigational new drug manufacturing to commercial production of ethical drugs and nonprescription drugs for pharmaceutical companies
CMIC CMO Co., Ltd. CMIC CMO Korea Co., Ltd. CMIC CMO USA Corporation CMIC JSR Biologics Co., Ltd.*
CSO
Business
Services provided to pharma companies related to sales & marketing support
CMIC Ashfield Co., Ltd. McCann MDS Inc.*
Healthcare Business
Support services primarily for medical institutions and treating, maintaining, and promoting the health of patients and general consumers, such as SMO services and healthcare information services
Site Support Institute Co., Ltd. CMIC Healthcare Co., Ltd. CMIC VIETNAM COMPANY LIMITED
IPM
Business
Provision of new business solution to pharmaceutical companies that combines the system to support all value chains and manufacturing authorization and other licenses (intellectual properties) held by CMIC Group
CMIC HOLDINGS Co., Ltd. CMIC CMO Co., Ltd. OrphanPacific, Inc.
マスター タイトルの書式設定
4 © Copyright CMIC Group
Main initiatives of the current term
Push forward “Project Phoenix ‐Initiatives to achieve sustainable growth‐” and start “2019-2021 Mid-term Plan"
Focus activities In addition to the PVC model, we will accelerate the IPM solution business that combines the marketing
authorization licenses Strengthening Area Competitiveness and promoting Globalization Creation of healthcare business
CRO Business Enhanced Post-marketing surveillance (PMS) and Clinical research support business using medical database Promoted readiness for evolving fields including biologics and regenerative medicine
CDMO Business Launched a new parenteral drug manufacturing facility with capabilities to manufacture high-potency drugs and started producing
clinical-trial materials Concluded a stock transfer agreement on the assignment of Nishine Plant from Astellas Pharma Tech (scheduled for June 1 2019) Formed business alliances with U.S.-based corporations that possess 3DP technology platform and sophisticated flexible dosing tablet
technology
CSO Business Opened “MA academy”, the first private sector institution to train Medical Affairs (MA) personnel, and expanded services in the
Medical Affairs arena
Healthcare Business BELL24・Cell Product became the CMIC Group's wholly-owned subsidiary (as of April 2019) to enhance our SMO business presence in
Hokkaido Concluded a formal agreement with Sony Corporation for the transfer of “harmo”, the electronic prescription record service
(scheduled for June 1 2019) Started services for self-collect HPV test “SelCheck Cervical Cancer”
IPM Business Supported foreign pharmaceutical companies entering the Japanese market through provision of the IPM platform
マスター タイトルの書式設定
5 © Copyright CMIC Group
2018/1H 2019/1H
Amount Composition
ratio Amount Composition
ratio
YoY change
Percent change
(¥ millions) (%) (¥ millions) (%) (¥ millions) (%)
Sales 33,640 100.0 36,633 100.0 2,992 8.9
Operating income 2,471 7.3 2,879 7.9 407 16.5
Ordinary income 2,225 6.6 2,661 7.3 435 19.6
Profit attributable to
owners of parent 489 1.5 1,536 4.2 1,047 214.1
Earnings per share ¥26.14 ¥82.72
Consolidated income statement (overview)
マスター タイトルの書式設定
6 © Copyright CMIC Group
Breakdown of Non-operating income and expenses /Extraordinary income and losses/Income taxes
(¥ millions) 2018/1H 2019/1H
Non-operating income 39 50
Interest income 3 2
Rent income 8 11
Refunded consumption taxes 8 10
Insurance income - 15
Other 19 11
Non-operating expenses 285 268
Interest expenses 57 56
Share of loss of entities accounted
for using equity method 59 108
Foreign exchange losses 131 77
Other 36 25
2018/1H 2019/1H
Extraordinary income - 6
Gain on sales of non-current
assets - 6
Extraordinary losses 287 174
Impairment loss - 124
Loss on sales of non-current assets 0 -
Loss on retirement of
non-current assets 28 50
Loss on valuation of
investment securities 4 -
Loss on revision of pay
regulations 252 -
Income taxes 1,450 1,142
Current 1,038 1,035
Deferred 412 107
マスター タイトルの書式設定
7 © Copyright CMIC Group
Sales & Operating income by segment
2018/1H Amount (¥ millions)
2019/1H Amount (¥ millions)
Change (¥ millions)
Percent change (%)
CRO Business Sales 18,553 19,947 1,393 7.5
Operating income 3,929 4,306 376 9.6
CDMO Business
Sales 6,786 7,724 937 13.8
Operating income (525) (147) 377 -
CSO Business Sales 3,486 3,701 214 6.2
Operating income 153 (33) (187) -
Healthcare Business
Sales 3,607 3,597 (10) (0.3)
Operating income 465 416 (48) (10.5)
IPM Business Sales 1,420 1,881 460 32.4
Operating income (111) (108) 3 -
Adjustments Sales (215) (219) (3) -
Operating income (1,440) (1,553) (113) -
Consolidated Sales 33,640 36,633 2,992 8.9
Operating income 2,471 2,879 407 16.5
マスター タイトルの書式設定
8 © Copyright CMIC Group
Orders received / Backlog
・ New orders dropped as a rebound from the acquisition of large-scale projects from the same period of the previous year, and the number of inquiries remains high. New orders for Healthcare significantly exceeded that of the same period of the previous year. ・ Accounts for only the backlog of firm CDMO business orders. There is customer demand for scheduled orders but these are different from firm orders so we have not included these in the backlog. ・Order status is not included for IPM Business because its business conditions are different from those of contract business.
2018/1H 2019/1H
Orders received
Backlog Orders
received Percent Change
Backlog Percent change
(¥ millions) (¥ millions) (¥ millions) (%) (¥ millions) (%)
CRO Business 25,564 62,065 18,934 (25.9) 54,960 (11.4)
CDMO Business 7,290 4,186 8,274 13.5 4,409 5.3
CSO Business 5,234 4,843 5,302 1.3 4,863 0.4
Healthcare Business
3,027 8,582 4,542 50.0 10,601 23.5
Total 41,117 79,677 37,053 (9.9) 74,836 (6.1)
8
マスター タイトルの書式設定
9 © Copyright CMIC Group
Trend in consolidated Sales & Operating income
16,508 18,553 19,947
6,643
6,786 7,724
3,452
3,486
3,701 4,023
3,607
3,597
1,240
1,420
1,881
31,743 33,640
36,633
0
20,000
40,000
2017/1H 2018/1H 2019/1H
CRO business CDMO business CSO business
Healthcare business IPM business
1,902
2,471
2,879
6.0%
7.3% 7.9%
0%
10%
0
2,000
2017/1H 2018/1H 2019/1H
Operating income Operating margin
*(215) *(125)
*(219)
[ Sales ] [ Operating income ] (¥ millions) (¥ millions)
*Adjustment
マスター タイトルの書式設定
10 © Copyright CMIC Group
Contract Research Organization (CRO) Business
Supported overseas companies entering the Japanese market, non-healthcare companies entering the healthcare sphere, and promoted measures to address sophisticating development needs including biopharmaceuticals and regenerative medicine. Sales and operating income exceeded those from the same period of the previous year thanks to robust growth in new and existing contracts.
13,330 14,976 15,844
2,147
2,560 3,092
1,146
1,216 1,309
16,508
18,553 19,947
0
10,000
20,000
2017/1H 2018/1H 2019/1H
Clinical Non-clinical Others
2,913
3,929 4,306
17.6%
21.2% 21.6%
0%
10%
20%
30%
0
2,000
4,000
2017/1H 2018/1H 2019/1H
Operating income Operating margin
*(198) *(114)
*(299)
[ Sales ] [ Operating income ] (¥ millions) (¥ millions)
*Adjustment
10
マスター タイトルの書式設定
11 © Copyright CMIC Group
Contract Development Manufacturing Organization (CDMO) Business
Launched a new parenteral drug manufacturing facility in Ashikaga and started producing clinical-trial materials. Concluded a stock transfer agreement on the assignment of Nishine Plant from Astellas Pharma Tech to improve the oral solid dose manufacturing capabilities. Sales exceeded that of the same period last year mainly due to increase of contract production sales in Japan and the United States. While operating loss was recorded due to commercial production start-up expenses and increased depreciation cost for the new parenteral drug manufacturing facility in Ashikaga, the loss amount has decreased following the increase of contract manufacturing volume.
5,324 5,831 6,363
1,028 519
1,014 291 434
346 6,643 6,786
7,724
0
5,000
10,000
2017/1H 2018/1H 2019/1H
CCJ (Japan) CCU (U.S.) CCK (Korea)
[ Sales ] [Operating income ] (¥ millions) (¥ millions)
11
(169)
(525)
(147)
-10%
0%
10%
(600)
(400)
(200)
02017/1H 2018/1H 2019/1H
マスター タイトルの書式設定
12 © Copyright CMIC Group
Contract Sales Organization (CSO) Business
3,452 3,486 3,701
0
2,000
4,000
2017/1H 2018/1H 2019/1H
CMAS
247
153
(33)
7.2%
4.4%
-5%
0%
5%
10%
15%
(100)
0
100
200
300
2017/1H 2018/1H
Operating income Operting margin
2019/1H
[ Sales ] [Operating income ] (¥ millions) (¥ millions)
Enhanced the sales activities for Medical Affairs-related operations. Sales exceeded that of the same period of the previous year thanks to the steady execution of both new and existing projects, but operating loss was recorded due to the costs generated to meet the increasing demand of MR dispatch and take on large-scale projects including hiring and training costs. 12
マスター タイトルの書式設定
13 © Copyright CMIC Group
Healthcare Business
BELL24-Cell Product became the wholly-owned subsidiary to further enhance our presence in Hokkaido. Enhanced patient services by offering "SelCheck" (self-screening) and transferring "harmo", the electronic prescription record service from Sony Corporation. While sales remain unchanged from the previous year, operating income are below that of the same period of the previous year due to the impact of discontinuation or temporary interruption of contract studies in SMO business operations.
3,710 3,272 3,076
293
310 511
1
2
4,023
3,607 3,597
0
2,000
4,000
2017/1H 2018/1H 2019/1H
SSI CHC Others
616
465 416
15.3%
12.9% 11.6%
0%
10%
20%
0
200
400
600
2017/1H 2018/1H 2019/1H
Operating income Operating margin
[ Sales ] [Operating income ] (¥ millions) (¥ millions)
*Adjustment
13
*9
* 18
*22
マスター タイトルの書式設定
14 © Copyright CMIC Group
Innovative Pharma Model( IPM ) Business
(145)
(111) (108)
-10%
0%
10%
(200)
(100)
0
100
Operating income
1,098 1,341
1,834
53
68
34
88
9
13
1,240
1,420
1,881
0
1,000
2,000
2017/1H 2018/1H 2019/1H
OP L-FABP Others
[ Sales ] [Operating income ] (¥ millions) (¥ millions)
Marketed orphan drugs, including products developed in-house. Expanded the market and strengthened promotions of the kidney disease biomarker “human L-type fatty acid-binding protein (L-FABP) kit”. Sales exceeded that of the same period of the previous year due to sales increase of orphan drugs. Continued to expand our business scale through provision of new solutions towards positive turnaround of sales. 14
2018/1H 2019/1H 2017/1H
マスター タイトルの書式設定
15 © Copyright CMIC Group
Balance sheet (assets)
39,861 41,801 40,830
2,363 2,754 2,954
5,443 5,812 5,710
12,989 13,655 14,460
4,947
14,009 14,939 65,605
78,034 78,894
0
50,000
2017/9 2018/9 2019/3
Cash equivalents
Trade receivables
Inventory
Other current assets
Fixed assetsTotal assets +859
■ Cash equivalents
+929
■ Trade receivables
+804
■ Inventory (102)
■
Other current assets
+199
■ Fixed assets (971)
(¥ millions)
*Deferred assets in the past BSs are reclassified according to "Partial Amendments to Accounting Standard for Tax Effect Accounting"
マスター タイトルの書式設定
16 © Copyright CMIC Group
Balance sheet (liabilities and net assets)
23,608
33,536 33,892
18,899
19,277 20,706 9,193
9,577 9,288 12,870
14,916 14,186
1,034
726 819
65,605
78,034 78,894
0
50,000
2017/9 2018/9 2019/3
Accounts payable
Other current liabilities
Other fixed liabilities
Interest-bearing debt
Net assets■ Accounts
payable +93
■ Other current liabilities
(729)
■ Other fixed liabilities
(289)
■
Interest-bearing debt
+1,429
■ Net assets +356
(¥ millions)
マスター タイトルの書式設定
17 © Copyright CMIC Group
2018/1H 2019/1H Increase
(decrease)
Cash flows from operating activities
1,986 1,744 (242)
Cash flows from investing activities
(4,266) (1,687) 2,579
Cash flows from financing activities
2,853 931 (1,921)
Effect of exchange rate change on cash and cash equivalents
(40) (28) 11
Net increase(decrease) in cash and cash equivalents
533 960 427
Cash and cash equivalents at beginning of period
4,928 13,976 9,048
Increase in cash and cash equivalents from newly consolidated subsidiary
19 - (19)
Cash and cash equivalents at end of period
5,481 14,937 9,456
Cash Flows
[Key factor]
(Cash flow from operating activities)
• Increase in funds due to increase in net income before tax and depreciation
• Decrease in funds due to increase in accounts receivable, and income taxes paid
(Cash flow from investing activities)
• Outflow from purchase of property, plant and equipment
(Cash flow from financing activities)
• Expenditure due to the decrease of the net change of the commercial paper and repayment of long-term loans
• Decrease in funds due to cash dividends paid
(¥ millions)
マスター タイトルの書式設定
18 © Copyright CMIC Group
Forecast for FY ending Sep. 2019
2018/9 Actual
(¥ millions)
2019/9 Forecast
(¥ millions)
Change (%)
Sales 69,869 74,400 6.5
Operating income 4,321 4,630 7.1
Ordinary income 4,061 4,170 2.7
Profit attributable to owners of parent
1,487 2,000 34.4
Earnings per share
¥79.71 ¥107.69
3,897 4,321
4,630
6.0% 6.2%
6.2%
0%
5%
10%
0
2,000
4,000
6,000
2017/9 2018/9 2019/9E
Operating income Operating margin
(¥ millions)
マスター タイトルの書式設定
CMIC HOLDINGS Co., Ltd.
Keiko Oishi, President & COO
FY 2019 2Q
Activity Highlights
マスター タイトルの書式設定
20 © Copyright CMIC Group
3 key focuses of the new mid-term management plan from fiscal year 2019 to 2021
In addition to the PVC model, we will accelerate the IPM solution business that combines the marketing authorization licenses
Creation of healthcare business
Strengthening area competitiveness and promoting globalization
1
2
3
Increased number of PVC/IPM projects
Succeeded CDMO Astellas Pharma Tech Nishine Plant (June 2019) to enhance formulation capabilities
Established the MA Academy
Acquired an SMO based in Hokkaido
Established a subsidiary company in Australia
Succeeded Sony's “harmo“ electronic prescription record service
Launched “SelCheck Cervical Cancer”, a self-collect HPV test
マスター タイトルの書式設定
21 © Copyright CMIC Group
Acceleration of PVC model and IPM solution 1
Comprehensively support the value chain of pharmaceutical companies
Re-
Evaluatio
n
Ap
pro
val ap
plicatio
n
Gain
ing A
pp
roval
Dru
g laun
ch
IPM Platform-type pharmaceutical business
HC Business to enhance individual health value
Industrial research
Drug Discovery
Non-clinical studies
Clinical Studies
Man
ufact
urin
g Provision medical information
Sales
PMS Safety Reporting
CRO CRO SMO
CDMO
CRO
CDMO CDMO CSO
CRO IPM IPM
IPM IPM IPM
Clin
ical trial n
otificatio
n
マスター タイトルの書式設定
22 © Copyright CMIC Group
Responding to new development needs
Increased expertise and productivity for CRO
Utilization of RWD for rare and other diseases
Proactive readiness for new development activities including treatment apps and virtual clinical trials
Increased support for regenerative medicine and other therapies (Academia and VB support)
Talent development
Increase in the number of global trials and the decrease in the number of subjects for Japan local studies
Utilization of the Real World Data (RWD)
Improved productivity of both routine and non-routine operations using RPA and AI
Development trends
マスター タイトルの書式設定
23 © Copyright CMIC Group
Readiness for advanced therapies (biopharmaceuticals and regenerative medicine)
Bioresearch Center (Yamanashi)
CMIC, INC. US Lab
► Analytical services for Nucleic acid drugs
●Enhanced analytical support at CMIC, Inc.
(our laboratory in the United States)
●Top class contracting record for nucleic acid drugs
among analytical laboratories in the U.S.
► Participating in Megakaryon
consortium
●Established the edge as a pioneer in non-
clinical analysis of iPS cell-derived products
► Development consulting
マスター タイトルの書式設定
24 © Copyright CMIC Group
Succession of CDMO Astellas Pharma Tech Nishine Plant
Purpose and expected outcome
シミックのPVCモデル DBJの Overview of Astellas Pharma Tech Nishine Plant
1 Location Obuke 2-154-13, Hachimantai-city, Iwate
2 Area Site area: 345,563㎡,Building area: 14,337㎡
3 Commencement of operations
1986
4 Employees Approx. 190 employees (as of the end of September 2018)
5 Dosage forms Tablets and capsule
Ensuring stable supply
Flexible production of solid oral dosage forms
Enhanced technical capabilities
To build advanced drug manufacturing platform and enhance PVC model Scheduled to be transferred in June 2019
マスター タイトルの書式設定
25 © Copyright CMIC Group
To be transferred in June 2019
High alcohol containing drugs
CMIC Group Manufacturing Sites
Solid dosage forms Semi-solid dosage forms Injections/Solid dosage forms
Shizuoka/Nishine Toyama Ashikaga
Establishing readiness for manufacturing biopharmaceutical and other drugs Preparing for full commercial production of the parenteral drug manufacturing building in Ashikaga (FY20-FY21) Considering the launch of manufacturing process study service by CMIC JSR Biologics
High potency drugs
Korea
Semi-solid dosage forms
Solid dosage forms
USA Overseas
Building a efficient drug manufacturing system
マスター タイトルの書式設定
26 © Copyright CMIC Group
Improving formulation capabilities
© Copyright CMIC
to lead Aprecia’s Business Development in Japan
to introduce a new flexible dosing tablet technology in Japan
Accu-Break Tablets Exclusive alliance with Accu-Break Pharmaceuticals, Inc. (USA)
Business alliance with Apprecia (USA), the world leader in three-dimensionally-printed pharmaceutical products
The top layer contains API
The second layer is inert
Scored image
マスター タイトルの書式設定
27 © Copyright CMIC Group
MA (Medical Affairs) Academy
Enhancing the Medical Affairs Area
Opened “MA academy”, the first private sector institution to train Medical Affairs personnel
マスター タイトルの書式設定
28 © Copyright CMIC Group
To enhance our SMO business presence in Hokkaido
SSIーCP (former BELL24・Cell Product) Overview
1 Address 5-1-1 Odori Nishi-4, Chou-ku, Sapporo, Hokkaido
2 Employees Approx. 50
3 Offices Hokkaido (Sapporo, Asahikawa, Hakodate, Obihiro), Osaka, Matsuyama
4 Partner sites 240 medical institutions: 90 University hospitals/Hospitals, 150 Clinics
5 Clients Approx. 60
►Improve our positioning in Hokkaido (Market share in Hokkaido: 30%)
Enhance specific disease areas
(Increase the hospital network for Oncology, CV, CNS, Respiratory, Renal, Dermatology)
BELL24・Cell Product became the CMIC Group‘s wholly-owned subsidiary (April 2019)
Purpose and expected outcome
マスター タイトルの書式設定
29 © Copyright CMIC Group
►OrphanPacific, Inc. was established in May 2012 to provide orphan drugs that utilize the functions of CMIC Group and MEDIPAL Group
►Portfolio expansion (additional indications/formulation changes) of existing products
►Contributions to the stable supply of essential drugs, introduction of new orphan drugs, and providing support to foreign companies entering the Japanese market
IPM platform expansion
[2 orphan drugs developed internally] [5 drugs transferred from other companies]
Buphenyl® Normosang® Astomin® Somazon®
マスター タイトルの書式設定
30 © Copyright CMIC Group
Promoting Globalization 2
Established a subsidiary company in Australia
Supports Japanese companies that wish to enter the US market
CMIC, Inc. provides services in Japan and the U.S. simultaneously by cooperation with CMIC Pharma Science
Japan study data analysis utilizing overseas base (Vietnam)
マスター タイトルの書式設定
31 © Copyright CMIC Group
Healthcare business creation 3
Succeeded Sony‘s “harmo”* electronic prescription record service ・To enhance patient support program *Number of users: approx. 300,000 (as of March 2019),
with over 10,000 pharmacies nationwide
Concluded a technical support contract with Sony ・To adopt latest technologies and launch health tech business
Started services for self-collect HPV test “SelCheck Cervical Cancer”
マスター タイトルの書式設定
© Copyright CMIC Group
CMIC HOLDINGS Co., Ltd.
Kazuo Nakamura, CEO
Healthcare Revolution
マスター タイトルの書式設定 “Japanese paradox”
and their longevity
マスター タイトルの書式設定
34 © Copyright CMIC Group
JPN
JPN
Japan’s Mean Life Expectancy:
From the bottom to the top
マスター タイトルの書式設定
35 © Copyright CMIC Group
G7 Countries Median Life Expectancy(2050)
"A universal pattern of mortality decline in the G7 countries." Tuljapurkar S1, Li N, Boe C.: Nature. 2000 Jun 15;405(6788):789-92.
Nature
マスター タイトルの書式設定
36 © Copyright CMIC Group
Japan reached the highest mean life expectancy in the World …
Medical budget and social security in the danger of bankrupt
National Health Insurance Costs in red
The taxes pay the negative balance
It will be impossible to continue paying for all the medical costs with the National Health Insurance System in the future
Now, what we do?
Japan’s Public Medical Budget
マスター タイトルの書式設定
37 © Copyright CMIC Group
Japanese Pharmaceutical Market
97,232
89,586 88,820
94,980
113,432
106,516
116,137 118,567
132,948 132,948
106,578 107,132
0
20,000
40,000
60,000
80,000
100,000
120,000
140,000
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
(JPY billion )
Source: Pharmaceutical and medical device industry Survey (Ministry of Health, Labor and Welfare)
マスター タイトルの書式設定
38 © Copyright CMIC Group
Japanese Pharmaceutical Market Trend
Revenue Forecast ($B), 2017–2022
67.5 69.6 69.5 68.7 65.7 67.2 66.0
61.8 60.5 59.3 58.2 57.0 55.9
2010 2011 2012 2013 2014 2015 2016 2017f 2018f 2019f 2020f 2021f 2022f
Pharmaceutical Market, Japan, Revenue ($B), 2010–2016
Source: GlobalData, Country Focus Report: ‘Healthcare Regulatory, and Reimbursement Landscape Japan’ (published April 2019)
Drug price revision in 2016
マスター タイトルの書式設定 Trend in the U.S.
マスター タイトルの書式設定
40 © Copyright CMIC Group
Healthcare spending growth in the U.S. has exceeded GDP growth for decades
U.S. healthcare spending
0
2000
4000
6000
8000
10000
12000
14000
19
60
19
63
19
66
19
69
19
72
19
75
19
78
19
81
19
84
19
87
19
90
19
93
19
96
19
99
20
02
20
05
20
08
20
11
20
14
20
17
Total National Health Expenditures (Index, 1960 = 100)
Total GDP (Index, 1960 = 100)
Source: CMS.gov, St. Louis Fed
マスター タイトルの書式設定
41 © Copyright CMIC Group
U.S. Pharmaceutical Market Trend
Revenue Forecast ($B), 2017–2022
283.7 287.2 287.9 294.7 329.4
357.8 362.6 377.3 392.8
409.4 427.0
444.5 464.1
2010 2011 2012 2013 2014 2015 2016 2017f 2018f 2019f 2020f 2021f 2022f
Pharmaceutical Market, US, Revenue ($B), 2010–2016
Source: GlobalData, Country Focus Report: ‘Healthcare Regulatory, and Reimbursement Landscape US’ (published October 2018)
マスター タイトルの書式設定
42 © Copyright CMIC Group
Emerging company clinical stage pipeline (2008-2017)
Source : BIO Industry Analysis, Emerging Therapeutic Company Investment and Deal Trends
45.6% 40.9%
32.1%
21.3%
24.9% 33.2%
33.4% 44.4%
29.4% 26.0% 34.5% 34.3%
0%
20%
40%
60%
80%
100%
Phase I Phase II Phase III NDA
Small Co. Unpartnered Small Co. Partnered Large Companies
マスター タイトルの書式設定 Providing care outside of hospitals
マスター タイトルの書式設定
44 © Copyright CMIC Group
Current options outside of hospitals
Providing care outside of hospitals
マスター タイトルの書式設定
45 © Copyright CMIC Group
Providing care outside of hospitals
Venue When to go Who works there Cost
Minute Clinic
• Routine problems such as bronchitis or minor sprains
• Preventive care such as vaccinations or diabetes screening
• Nurse practitioners • Pharmacists
• Low • Usually less than
$100 out of pocket • Insurance copay
Urgent Care Center
• More serious problems such as stitches, suspected fractures, or minor asthma attacks
• X-ray and lab services such as blood tests
• Physicians • Nurse practitioners • Radiologists
• Pharmacists
• Moderate • Usually less than
$200 out of pocket • Insurance copay
Retail clinics and urgent care centers provide many services at attractive price points
マスター タイトルの書式設定 Virtual Clinical Trial
マスター タイトルの書式設定
47 © Copyright CMIC Group
Virtual Clinical Trial
Source Office of Pharmaceutical Industry Research News No.55 http://www.jpma.or.jp/opir/news/news-55.pdf
To execute virtual clinical trials, various systems need to be in place including home care for trial subjects and delivery of study drugs to home, in addition to the introduction of the mechanism based on IT technologies such as wearable devices and communication devices.
[Reason why Virtual Clinical Trial is not widely accepted in Japan]
Conventional clinical trial
(Example)
Explanation Consent Enrollment Home Complete
Explanation Consent Enrollment Visit Visit Visit Complete
On-line consultation ePRO, wearable devices Delivery of study drugs
Face-to-face consultation Physical and laboratory exams Dispensing and administrating drugs at medical institutions
Face-to-face
マスター タイトルの書式設定
48 © Copyright CMIC Group
Succession of Sony's “harmo” electronic prescription record service
Concluded a formal agreement for the transfer of “harmo”, the electronic prescription record service, with Sony Corporation
Users: Approx. 300,000 Nation-wide: over 10,000
(as of March 2019) pharmacies
マスター タイトルの書式設定
49 © Copyright CMIC Group
Utilizing data to solve Healthcare-related issues
マスター タイトルの書式設定 CMIC’S CREED
マスター タイトルの書式設定
51 © Copyright CMIC Group CONFIDENTIAL
Health Promotion Activities
▸ Certified for two consecutive years as “Health and
Productivity Management Organization “
▸ Female health seminar, Yoga trial lesson
▸ Health promotion event “Let’s walk! Rainbow
bridge walking”
Diversity
▸ Nikkei “100 Best Companies Where Women Play Active Part” 2019
Ranked 28th in the overall ranking (4th in the industry)
CSR Activities
▸ Cosponsored “Rare Disease Day 2019”
▸ Travel clinic service for Japanese immigrants in the
south Brazil awarded the social contribution award
▸ AIDS Society (CMIC Award) (bestowed on
14 individuals to date)
Promotion of CREED
The 2019 Certified Health and Productivity Management Organization Recognition Program (White 500)
マスター タイトルの書式設定
52 © Copyright CMIC Group
Significant advancement in the Nikkei
“100 Best Companies Where Women Play Active Part” 2019 CMIC has advanced to 28th in the above ranking by Nikkei Woman, a women’s
career and lifestyle magazine published by Nikkei Business Publications.
CMIC is ranked 5th in the Promotion to Managerial Positions category
Promotion of CREED
(Source: Nikkei BP)
~ Women’s promotion to managerial positions is rated by whether the company has female executives, the male-female ratio in the managerial positions, as well as the number of women who have children in the managerial positions.
5th CMIC Holdings
マスター タイトルの書式設定
53 © Copyright CMIC Group
CMIC’S CREED
Our CREED
We are determined to bring innovation to healthcare so that
all people, regardless of age and gender, can live their
precious lives according to their will. This is our aspiration as
the CMIC Group.
Whether in childhood, when brilliance has yet to blossom, or
in late adulthood, when potential has bloomed, we respect
every individualʼs drive to live fully in the moment. We shall
sincerely address each and every life. We shall overlook no
one.
To achieve this, we shall continually challenge ourselves to
strive for a better future. We shall transform ourselves, seek
new vantage points, turn our unwavering passion into values,
and continue to contribute to individuals and society.
With unchanging determination at heart, we change
マスター タイトルの書式設定 Cautionary statement: This material includes forward-looking statements based on assumptions and beliefs in light of the information currently available to management, and is subject to significant risks and uncertainties. Actual financial results may vary materially from the content of this material depending on a number of factors. While this material contains information on pharmaceuticals (including compounds under development), this information is not intended to make any representations or advertisements regarding the efficacy or effectiveness of their preparations, promote any kind of unapproved uses, nor provide medical advice of any kind.