API and Peptides : A Chinese Monopoly ?

APIs and China Play- 

On an average, prices of APIs imported from China have gone up by 20-30% from January 2020 till date thus leading to 4-5% decline in profit margin of drug makers, said a drug industry representative. API Mkt –55bn$ in 2020

The prices of anti-infective APIs such as tinidazole, amoxicillin, ceftriaxone, clav avicel, diclofenac sodium, ofloxacin, clav syloid, clotrimazole, ciprofloxacin as well as anti-inflammatory API-dexamethasone sodium have hiked by 24% to 38% from January to April this year. The prices of erythromycin thiocyanate which is the raw material for preparing erythromycin derivative products, such as azithromycin, clarithromycin and roxithromycin have spiked by 20% from pre-COVID period till now.

Besides them, the prices of four APIs-- paracetamol, ornidazole, azithromycin and nimesulide have risen from 62% to 189% from January to April. The price of paracetamol has increased from Rs. 262 a kg in January to Rs. 425 per kg in April. Para amino phenol (PAP) used as a key starting material for manufacturing paracetamol has also witnessed 27% rise in prices.

If there are more than three producers then it is difficult to cartelize within China and whenever Indian producers start thinking to produce that product they want to make money for the next two years because Indian companies will start making, they will take two years to produce that product, so they typically I said those products like PAP, Para aminophenol or CBA the price has almost doubled than last year. So there are many other products and they want to make very fast money and then once the Indian companies are producing they want to dump, that is the strategy that is what we see now

It depends on the chemistry. Fermentation, India is not at all there in Fermentation technology and some of the products formulation depending on the chemistries, so China is ruling the world actually speaking. So those chemistry, formulations and all India will take 4 to 5 years more to come, the Indian company to start, government giving permission and all that. So gradually, for the next 10 years for the chemical industry and many multinational companies across the world want an alternative to China. So definitely the Indian companies eventually will come out with more and more visions.

The demand for pain reliever and fever reducer paracetamol has gone up across the globe since the outbreak of coronavirus. A supply shortage combined with rising demand has led to steep rise in prices of paracetamol and its key starting material- PAP. There is a huge shortage of paracetamol in Europe due to rise in demand amid COVID-19 pandemic.

Indian drug makers heavily rely on China for supply of PAP. There are a couple of PAP manufacturers in the country but they are hardly able to meet demand of drug manufacturers due to capacity constraints.

Besides APIs, isopropyl alcohol (IPA) used in hand sanitizer and as a solvent in pharmaceutical manufacturing has also witnessed cent per cent rise in prices. Despite 100 per cent increase in prices, IPA imported from China has seen 10-15% rise in its import prices. It is learnt that 20,000 to 30,000 tonnes of IPA are used by Indian drug manufacturers per month.

Air freight charges have gone up from US$ 2 a kg to US$ 5- 6 per kg amid COVID-19 pandemic. The average cost of shipping a container from China to India has also increased from US$ 750 to US$ 1,200-1,300.

The prices of certain Chinese APIs have gone up by 20-30% from January to till date as the production cost of Chinese manufacturers has increased due to implementation of safety and hygiene measures post lockdown.

On 23 January 2020, China imposed a lockdown in Wuhan and other cities in Hubei in an effort to prevent the spread of coronavirus. After nearly three months of grim battle against the coronavirus since January, economic activity in China is back to normal. The APIs and KSMs started arriving in India from China by early March.

Sudarshan Jain, secretary general, Indian Pharmaceutical Alliance, said “On an average 20% rise in prices of Chinese APIs is affecting the financial viability of many of the formulations.”

Jain said the rise in API prices is attributed to a host of factors such as spike in logistics cost coupled with hike in manufacturing cost of Chinese units because of implementation of employees’ safety measures amid coronavirus pandemic and short supply of APIs. API supply is relatively less as a number of manufacturing units are not operating at full capacity due to shortage of manpower and raw materials, he stated.

Let us understand this with Granules case study, 

How China dents margin of Granules?

Overview of the company - 

GRANULES-API-Formulation-Final Dosage (major chunk from PFI & FD)

Focus on volume based products such as Paracetamol, Metformin HCl, Ibuprofen, Guaifenesin, Methocarbamol and newly added Losartan, Cetrizine and Fexofenadine

P/S—2.5x     P/E—15 i.e. valued relatively cheap by market.

QoQ drop in income from operations and profits was mainly on account of reduction in Paracetamol due to KSM shortage. Situation likely to improve Q2FY22 onwards

Better realisations across our existing molecules contributed to the increase in gross margins (57%)and new launches.

EBITDA Margin improvement was mainly on account of higher sales and volumes over a lower base of previous year. The low base of the previous year was due to lockdowns and export ban of Paracetamol.

 Insights on Paracetamol 

“PAP(Paraamino Phenol) is a chemical which is made from PNCB (ParanitrochloroBenzene). Aarti industries and Valiant Org are working on the API to make low cost production in India. So there are a lot of people who are integrated into PNCB. So they start with chlorobenzene and then they make PNCB. And when you make PNCB, you get on ONCB. It is a downstream product in ONCB. So just a individual company making PAP from bought-out PNCB cannot be competitive as they go by." 

"If we want to be integrated in PAP, we need to have a different technology, which we have where we start from nitrobenzene, we don't get any byproducts. But however, the cost of the plant -- the scale has to be very high and also the cost of that plant is going to be very high. So we were encouraging other partners to start production for us, and we were in the process of discussing buybacks with them. And a few people have -- it's in advanced stages. So we will be partnering with people rather than integrating backwards. It's a chemical, and we want to be competitive and use our cash judiciously rather than going into backward integration just for the sake of that. We know we are going to be secure in the future--Going to get some from Indian capacities .”

Not priced at around 400/kg---Come down to normal prices 200-250/kg by Q4 and hence boost up margins of Formulations business and deflate the PAP and PNCB players margin

By 2022, it is likely to reach US$1.04 bn. Meanwhile, the global para-aminophenol (PAP) market is expected to rise from US$0.45 bn in 2014 to US$0.70 bn by the end of 2022

From this case study we can infer the dependence India and the whole world has on Chinese API manufacturers. With PLI scheme and China+1 trend, India can take advantage and build resilient supply chain to cater the world.

Overview of Peptides Market

There are currently more than 60 peptide based products in the market. These drugs, in particular, are one of the earliest groups of biologics and have shown a great promise in the treatment of a wide range of metabolic and oncological disorders. Peptide drugs are in high demand due to their demonstrated pharmacological value and high therapeutic profiles. Such efforts in this field, combined with the increasing clinical and preclinical pipeline of therapeutic peptides, are expected to further boost overall demand for peptide APIs.

Examples of popular, marketed therapeutic peptides include Victoza, Lupron Depot, Zoladex, Sandostatin and Somatuline.

Further, according to experts, more than 600 pharmacological leads based on peptides are currently being investigated across various phases of development. Owing to their proven pharmacological  value and favorable safety profiles, the demand for peptide drugs is on the rise. As a result, there is an increasing interest in manufacturing solutions for large quantities of such molecules, often requiring complex manipulations of long macromolecular structures, chemical modifications and thorough purification, for both clinical and basic research applications.

 The peptide API market is expected to be consolidated in order to meet increasing industry demand and growing number of clinical  peptides in production. Key players in this segment include Bachem, Corden, Ambiopharma and Polypeptide, all of whom have made significant investments.

Large CMO players are investing in infrastructure, R&D, strategically positioning their facility (near a raw material supply market), and novel manufacturing methods to boost their capabilities.The demand for  conjugated peptides (lipidations,  PEG,  and  glycosylation) is increasing, resulting in increased drug bioavailability. As a result, pharmaceutical firms are looking for CMOs that have expertise in this field. Targeted synthesis of specifically glycosylated proteins and peptides is also becoming more common, and CMOs who can handle it are in high demand.

 Despite the fact that the current market is oligopolistic, new suppliers are emerging in Asia, such as Aurobindo Pharma especially in the United States, Europe, and Japan. It is also notable that Asia is expected to be the fastest growing region in the peptide API space in another five years.

 In terms of technology, new technologies have been on the rise by peptide CMOs to increase yield, lower production costs, and improve drug delivery. Currently, peptides are manufactured primarily using SPSS, LPSS, and mixed phase synthesis by CMOs.

Recombinant  DNA  technology is now competing with such chemical synthesis. In  addition, Sosei has developed a new technology called Molecular Hiving, which lowers API manufacturing costs to a tenth of what they are now (SPSS and LPSS).

Fermentation and recombinant are also new methods but still have few drawbacks.

Global peptides API market scenario

The global peptides API market was estimated to be worth US$17.6 billion in 2020 and is expected to grow at a CAGR of 10% from 2021 to 2026 to reach US$34.5 billion by 2026. During the historic period, the peptides API market showed a CAGR of 27% and it is expected to further grow in future due to its proven effectiveness in treatment of a wide range of metabolic and oncological disorders.

More manufacturers will add peptide products as CMO capabilities improve and more dosage types become available on the market. Currently, the three most popular clinical fields where peptide APIs is used are oncology, diabetes, and obesity. They are also in high demand for antibiotics, vaccines and for treating respiratory, renal, and other diseases.

Currently, injection is used to administer more than 80% of approved peptide drugs. Oral and other forms of distribution are becoming more common. Approximately 9% of  the peptide can now be taken orally, and manufacturers are working with pharmaceutical companies to improve this percentage. Nasal delivery of peptide drugs is another choice. Other methods, such as sublingual and transdermal dosage types, are still in the research and development stage.

 Glenmark -DRHP



Threats :

1)Inflation pressure

2)Overdependence on China

3)Supply chain disruptions

 

Opportunities :

1)China + 1

2)Outsourcing by American and European countries

 

 

 

 

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