{"id":31841,"date":"2013-01-08T18:59:31","date_gmt":"2013-01-08T23:59:31","guid":{"rendered":"http:\/\/1boringoldman.com\/?p=31841"},"modified":"2013-01-08T19:52:04","modified_gmt":"2013-01-09T00:52:04","slug":"people-who-influence-the-script","status":"publish","type":"post","link":"https:\/\/1boringoldman.com\/index.php\/2013\/01\/08\/people-who-influence-the-script\/","title":{"rendered":"people who influence the script&#8230;"},"content":{"rendered":"<br \/>\n<blockquote>\n<div align=\"center\"><a href=\"http:\/\/www.pharmalot.com\/2013\/01\/the-op-ed-a-paradigm-shift-in-launching-drugs\/\" target=\"_blank\">The Op-Ed: A Paradigm Shift In Launching Drugs<\/a><br \/>               <strong><font color=\"#004400\">Pharmalot <\/font><\/strong><br \/>                By Ed Silverman<br \/>               January 8th, 2013 <\/div>\n<\/blockquote>\n<div align=\"justify\"><a target=\"_blank\" href=\"http:\/\/1boringoldman.com\/index.php\/2013\/01\/08\/postcards-from-the-grave\/#comment-234742\">Jamzo<\/a> points us to this OPED on <strong><font color=\"#004400\">Pharmalot <\/font><\/strong> by:<\/div>\n<blockquote>\n<div align=\"justify\"><sup><strong><font color=\"#200020\">Peter Hansen<\/font>, who is the senior  manager and global product launch lead for the Accenture Life Sciences  industry practice, to explain what drugmakers need to know and do if  they want to bring a medicine not just from the lab to FDA offices, but  also into patient hands&hellip;<\/strong><\/sup><img decoding=\"async\" width=\"100\" vspace=\"4\" hspace=\"4\" border=\"1\" align=\"right\" src=\"http:\/\/1boringoldman.com\/images\/paradigm.jpg\" \/><\/div>\n<\/blockquote>\n<div align=\"justify\">No offense to Ed Silverman or Peter Hansen intended, but they might think about adding an alternative section called <strong><font color=\"#660033\"><u><em>A Paradigm Shift In Launching Drugs<\/em><\/u> for Dummies<\/font><\/strong> to accommodate those of us who arrived in adulthood in an earlier century, and have trouble believing that people can actually think these thoughts. Another possibility would be to stamp it <strong><font color=\"#660033\">No Country for Old Men<\/font><\/strong>. I at least get the opening paragraph:<\/div>\n<blockquote>\n<div align=\"justify\"><sup><strong>Many drugmakers have had a difficult few years, saddled with a lack of  blockbuster drugs, fewer promising compounds in the product development  pipeline, and challenges from generics as blockbusters lose their patent  and exclusivity protection. These issues have been evolving over a  number of years, and as a result many drugmakers have not been able to  change their models of doing business during this time. Instead, many  have maintained traditional approaches of selling therapeutics, rather  than moving toward more selective, targeted and personalized approaches  that more intimately engage everyone from the patient, to the physician,  to payers, providers and other key stakeholders&#8230;<\/strong><\/sup><\/div>\n<\/blockquote>\n<div align=\"justify\"><strike>Before trying to  summarize what this OP-ED says<\/strike>. I&#8217;m not going to try to summarize what this OP-ED says [it&#8217;s there for the reading]. But I&#8217;d like to admit how behind the 8 Ball I am. Here I sit in my little cabin decrying that there&#8217;s such a thing as a KOL, a big-wig doctor who is willing to endorse some drug or another in order to pad the r\u00e9sum\u00e9 or the bank account. But I&#8217;m so <em>twentieth century<\/em> with my complaints:<\/div>\n<blockquote>\n<div align=\"justify\"><sup><strong>For instance, drugmakers should be establishing deeper relationships  with a broader key opinion leader population. Rather than trying to  develop close relationships with the top global KOLs, they must  establish reach out to KOLs at the global, regional, national and local  levels. There also is a need to rely more heavily on scientific  exchange, for instance.<\/strong><\/sup><\/div>\n<\/blockquote>\n<div align=\"justify\">There&#8217;s a developing and very real <strong><font color=\"#200020\"><em>complaint gap<\/em><\/font><\/strong>. I haven&#8217;t even factored in the personalized medicine trend:<\/div>\n<blockquote>\n<div align=\"justify\"><sup><strong>In addition, marketing teams have to be much more sophisticated in  how they utilize their resources. For drugs in the personalized medicine  arena, the market involves smaller patient populations, and the result  is smaller peak sales, and therefore, smaller budgets. Brands must  factor in such issues as KOL influence, institutional influence and  payer status, and understand the impact of these forces at the local  geographic level. The ability to rank geographies according to influence  and payer status is a much more sophisticated approach to targeting  that pharmaceutical companies are beginning to utilize and should see  wider adoption&#8230;<\/strong><\/sup><\/div>\n<\/blockquote>\n<div align=\"justify\">or who is doing the prescribing:<\/div>\n<blockquote>\n<div align=\"justify\"><sup><strong>In the past, the physician handed down a decision to the payer and the  patient. But now decisions are being made by different stakeholders in  the health care environment, including the patients themselves. In some  geographies, decision making is shifting into the hands of the payers; in  other geographies, the decision-making is moving into the hands of  health care networks, payers and regulators.<\/strong><\/sup><\/div>\n<\/blockquote>\n<div align=\"justify\">or who is doing the selling AKA <em>21st century rep technology<\/em>:<\/div>\n<blockquote>\n<div align=\"justify\"><sup><strong>There is also a need to use a targeted approach that entails a  portfolio of different types of sales reps, ranging from high science to  high-service personnel. The high science rep may be the best to engage  the new type of decision makers. This person may be a medical doctor, or  have a scientific or nursing background. They will be scientifically  well versed, and will be able to have in-depth clinical discussions  about the merits of a therapeutic, offering various research and  clinical trial data to support any claims and not just sales messages.  The focus would be on education and information and not just on a &ldquo;hard  sell.&rdquo; The tactic would be to address fellow experts in an engaging  scientific-based conversation rather than to only promote a product.<\/strong><\/sup><\/div>\n<p align=\"justify\"><sup><strong>In comparison, the high-service rep would have the task of blanketing  physicians&rsquo; offices with samples, educational materials and other  supplies. Their job is not to market the product, but to ensure that  doctor offices have the required number of samples and reading  materials. These reps could conceivably make more than two dozen office  calls daily.<\/strong><\/sup><\/p>\n<div align=\"justify\"><sup><strong>Sales forces would also make use of traditional reps in offices<font color=\"#990000\"> where  the physicians still have the freedom to make their own prescription  decisions<\/font>. These reps would have the more common role of engaging the  physician, delivering the marketing message and answering basic  questions about the product.<\/strong><\/sup><\/div>\n<\/blockquote>\n<div align=\"justify\">And that&#8217;s about all I can take in my summarizing. There&#8217;s plenty more&#8230; Oh, Okay. One more for the road:<\/div>\n<blockquote>\n<div align=\"justify\"><sup><strong>Effective launch strategies focus not just on tracking, understanding  and targeting the physicians who write the script. They must also focus  on a much broader group of <font color=\"#990000\">people who influence the script<\/font>&mdash;including  patient advocates and social media KOLs, such as conference speakers and  specialists. The key to success is to build a robust KOL network that  extends beyond the top 20 most well known national KOLs into the top 100  regional and local KOLs as well.<\/strong><\/sup><\/div>\n<\/blockquote>\n<div align=\"justify\">Like I said, this is definitely <strong><font color=\"#660033\">No Country for Old Men<\/font><\/strong>&#8230;   <\/div>\n","protected":false},"excerpt":{"rendered":"<p>The Op-Ed: A Paradigm Shift In Launching Drugs Pharmalot By Ed Silverman January 8th, 2013 Jamzo points us to this OPED on Pharmalot by: Peter Hansen, who is the senior manager and global product launch lead for the Accenture Life Sciences industry practice, to explain what drugmakers need to know and do if they want [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-31841","post","type-post","status-publish","format-standard","hentry","category-politics"],"_links":{"self":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/31841","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/comments?post=31841"}],"version-history":[{"count":29,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/31841\/revisions"}],"predecessor-version":[{"id":31871,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/31841\/revisions\/31871"}],"wp:attachment":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/media?parent=31841"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/categories?post=31841"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/tags?post=31841"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}