2020WHU-China - A collaborative manuscript for engineered probiotic start-ups - 2020 iGEM
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Contents 1.Background..................................................................................................................... 4 1.1 The application status of probiotics and engineering probiotics.......................... 4 1.2 The infection in the hospital is relatively serious....................................................7 1.3 Existing treatments have limitations.......................................................................7 1.4 Current situation and prospects of synthetic biology........................................... 8 1.5 The development status and prospects of China's pharmaceutical market........ 9 2.Product introduction..................................................................................................... 11 2.1 Introduction of our products and technologies.................................................... 11 2.1.1 Key technology..................................................................................................11 2.1.2 Mode of production......................................................................................... 12 2.2 Product advantages................................................................................................13 3.Development and market analysis...............................................................................14 3.1 PEST analysis........................................................................................................... 14 3.1.1 Politic.................................................................................................................14 3.1.2 Economy...........................................................................................................20 3.1.3 Society...............................................................................................................21 3.1.4 Technology.......................................................................................................22 3.2 3C's Strategic Triangle Model................................................................................23 3.2.1 Customer classification....................................................................................23 3.2.2 Benefits to customers..................................................................................... 23 3.2.4 Relationship between the service platform and the target customers...... 23 4.Business model and market strategy.......................................................................... 24 4.1 Business model.......................................................................................................24 4.2.1 Research and development mode................................................................. 25 4.2.2 production mode............................................................................................ 25 4.2.3 Channel sales model....................................................................................... 26 4.3 Marketing Strategy................................................................................................26 4.3.1 Target market..................................................................................................26 4.3.2 Product strategy............................................................................................. 27 2
4.3.3 Price................................................................................................................. 27 4.3.4 Channel............................................................................................................28 5. Competitive risks and countermeasures.....................................................................31 3
1.Background 1.1 The application status of probiotics and engineering probiotics According to 2001 The Food and Agriculture Organization (FAO) and the World Health Organization (WHO), probiotics are defined as living bacteria that have an effective effect on the health of the consumer by ingesting the appropriate amount. At present, probiotics can be broadly divided into the following four categories: ①Lactobacillus, including lactobacillus, bifidobacterium, streptococcus; ②Lactic acid-free bacteria, including bacillus and propionic acid bacteria;③Non-pathogenic yeast, including yeast;④no spore and flagella of a class of bacteria or bacilli. At present, probiotics are widely used in food and health care. Some studies have shown that probiotics can inhibit the occurrence of cancer and other diseases. However, due to the limited research on the mechanism of action of probiotics, probiotics are rarely used as drugs. In the food industry, the common probiotics are mainly used in fermented food, such as yogurt, lactobacillus drinks, kimchi, etc. In the field of health care products, it can be found in probiotics, that is, health care products made with probiotics as the main functional ingredients and other substances, including traditional dosage tablets, capsules, granules and new forms such as oral liquid, chewing gum, toothpaste and so on. In terms of market conditions, Japan is the most developed country in the world in the probiotic industry, followed by Europe and the United States. In China, the start of probiotics is much later, but with the improvement of people's health awareness and business, media publicity, foreign probiotic products continue to pour into China. In many large and medium-sized cities in China, there is a tendency to consume probiotics products. Now the international research on probiotics such as lactic acid bacteria is very active, the product consumption achievement is amazing, the growth index is increasing year by year, showing an upward trend of development. 4
Figure 1.1.1 Global Probiotic Market Structure Ratio. At present, the probiotics industry in the world has reached 40 billion US dollars, with an annual growth rate of 15%-20%. In the past five years, China's probiotics industry has been developing rapidly with an annual growth rate of more than 15%. It is estimated that the product scale of China's probiotics market will reach 85 billion yuan in 2020. Figure 1.1.2 Market size and forecast of Probiotics products in China from 2015 to 2020 At present, as for the use of drugs, the famous foreign brands include BIO THREE and Miya from Japan, Medilac-Vita from South Korea, Lacteol Fort and 5
BIOFLOR from France, etc. Take Seres Therapeutics as an example, it is an American company that uses probiotics to treat clostridium difficile infections (CDI).On June 12, 2015, ser-109, a phase II clinical microbe blend developed by the company, received the "Breakthrough Treatment" designation from FDA. On August 21 of the same year, SER-109 was again rated by FDA as an "orphan drug" for the treatment of adult CDI. Based on the widespread application of probiotics, synthetic biologists put forward the concept and assumption of engineering probiotics. Engineered probiotics are probiotics endowed with special functions after reasonable genetic modification. They can achieve the purpose of treatment by changing metabolism of the host, regulating the immune system and resisting to pathogenic microorganisms. They are important applications of synthetic biology in the field of health care. With the development of synthetic biology, the technology of engineering transformation of probiotics has been constantly improved. At the present, a variety of probiotics base organisms like E. coli, Lactobacillus and bifidobacterium have been developed. In addition, there has been a relatively perfect process and method for the industrial transformation of probiotics, which has greatly expanded the application scope of engineering probiotics and promoted the commercialization process of related industries. Due to the high modularization of engineering probiotics, engineering probiotics has been involved in many commercial fields. The development of engineering probiotics is mainly dominated by the United States, where ZBiotics, a U.S. gene engineering company that focuses on consumers’ health, recently launched the first genetic engineering probiotic – Zbiotics. Zbiotics is a functional beverage whose central function is to break down acetaldehyde, an unwanted by-product of alcohol. The advent of Zbiotics is a milestone in the application of probiotics in biotechnology, with data showing that China has a 10 billion yuan liquor market that involves a 10 billion yuan ingesting market, of which 500 million drinkers, the proportion of people with ingesting demand is 60%, showing a huge market potential. Meanwhile, the industry benchmark for synthetic biologics, Synlogic, has started a phase of clinical trials and is gaining momentum. 6
China's engineering probiotic field is in its infancy, with large-scale probiotic enterprises represented by Koto Bio, abundant reserves of fine strains, complete technical system and a solid foundation for the development of engineering probiotics, a good development momentum of engineering probiotics can be foreseen. 1.2 The infection in the hospital is relatively serious With the development of modern medicine, there are more and more invasive operations in the medical process, such as tracheotomy, trachea intubation, inhalation device, monitoring instrument probe and so on. As well as diagnosing and treating diseases, these operations can import outside microorganism and damage the body's defense barrier. What’s more, with the use of antibiotics and other drugs, drug-resistant strains are continuously increasing, resulting in longer course of illness and stay in hospital. All of these factors may significantly increase the risk of infection in the hospital. According to we our interview, the secondary infection in first-line is indeed widespread, and has a significant negative impact on the lasting treatment. For example, during this COVID-19 outbreak, a large number of patients flocked to hospitals, making medical devices full used or overused, of which particularly short in ventilators – one ventilator may serve many different patients in a short time. Frequent use coupled with incomplete disinfection is likely to cause residual of Pseudomonas aeruginosa and other Glolan-negative bacteria in the ventilators, causing secondary infection in the hospital during the tracheal intination process. 1.3 Existing treatments have limitations For infectious diseases such as in-hospital infections, antibiotics are still used in mainstream treatment options. According to recent surveys, the rate of carbapenem resistance in Pseudomonas aeruginosa has reached 26.4%. Drugs target carbapenem- resistant Enterobacteriaceae (CRE), Baumann's Bacillus (CRAB) and pseudomonas 7
aeruginosa (CRPA) have been identified by the World Health Organization as key requirements for research and development. At the same time, patients in the ICU are now often treated with empirical broad-spectrum antibiotics to prevent Gram-negative bacteria infections. Although this means that to a certain extent to solve the current house of the Gram-negative bacteria infections, but also will inevitably cause the resistance of related bacteria to further improve and Gram-negative bacteria infection drug-free crisis is approaching. Due to the limitations of treatment, the market for new therapies for bacterial infection caused by the widely drug-resistant Gloran-negative pathogen has not been met, and effective new therapies need to be developed. 1.4 Current situation and prospects of synthetic biology There is no uniform definition of the concept of synthetic biology, but it can simply be described as the fine design of biological systems and the "engineering" of living organisms, a study that obtains new biological functions by assembling structural and functional biological components into more complex biological systems. Designing, constructing and manipulating new biological systems at the molecular level is the main research content. Synthetic biology represents a new trend in the development of biotechnology, using synthetic biology technology to overcome biological barriers, has made significant progress in the production of low-cost bio-petroleum hydrocarbons, efficient and low-cost preparation of hydrogen, integrated biological treatment of cellulose substances into ethanol, synthetic antimalarial drugs, synthetic enterobacterials and other aspects of researches. Many scholars believe that synthetic biology will develop rapidly in a few years, and will be widely used in the energy, environment, chemicals, materials, medicine and other fields, which will produce huge social and economic benefits. In a research released in May 2020 called The Bio Revolution: Innovations Transforming Economies, Societies and Our Lives by McKinsey Global Institute, 8
they describe a prospective future for biological applications. They estimate that over the next ten to 20 years, biological applications could have direct annual economic impact of between about $2 trillion and $4 trillion globally. Additionally, in the field of medicine, synthetic biology research has the advantages of rich and diverse technology, strong operability and large space for independent design, which can not only provide new ways for new drug research and development, but also provide new ideas for drug preparation, and have obvious advantages in realizing the autonomy and innovation of drug research and development. In the international community, synthetic biology research as an innovative technology has become a commercial hot spot, especially because of its broad prospects in drug research and development and huge profit returns, has attracted the world's top pharmaceutical companies and investment institutions of special attention and a large amount of money. It can be foreseen that in China's pharmaceutical industry, synthetic biology research will be expected to promote source innovation, promote overall development, achieve breakthrough in drug research and development, to solve the drug problem of more than one billion people in China to provide long-term support. 1.5 The development status and prospects of China's pharmaceutical market China's biopharmaceutical industry is developing rapidly. A foreign analyst said that over the past two or three decades, the traditional pharmaceutical industry has been dominated by the United States, Western Europe and Japan, but the current situation is changing very quickly because China has made significant progress. The analyst said that emerging markets represented by China would continue to grow at a high rate and would attract more foreign products to China as China's policy regulations become more transparent and global. Because China is a promising biopharmaceutical market and ongoing reforms are becoming more and more open. 9
However, China's innovative drug research and development capacity and investment still have a large gap comparing with foreign countries. China's innovative drug clinical applications concentrated in the field of anti-tumor, the new virus drug research and development investment is insufficient, which is directly related to the poor short-term investment returns of pharmaceutical research. With the spread of the COVID-19 epidemic, the biopharmaceutical industry has become a pioneer in the fight against the virus, pushing all parties to re-examine its strategic value, this outbreak is also expected to encourage the government to pay more attention to and support the research and development of new drugs. The prospects for biomedicine are promising, and Bill Gates even predicted that the next world's richest man to surpass him would have to come from the genetic field. According to the 2019-2025 Market Monitoring and Future Prospects Forecast Report of China's Biomedical Industry released by Zhiyan Consulting Network, the market size of China's biopharmaceutical industry will reach a growth rate of 10%-15% in 2020-2025, and the market size of China's biopharmaceutical industry is expected to exceed 500 billion yuan by 2025. The ten key fields mentioned in the strategy document -"Made in China 2025"- issued in May, 2015, which aims at deploying comprehensive promotion and implementation of a strong manufacture, includes biomedicine and high-performance medical devices. The document proposes the development of new products of chemical drugs, traditional Chinese medicines and biotechnology drugs for major diseases, with emphasis on new mechanisms and new targets of chemical drugs, antibody drugs, antibody conjugates, new structural proteins and polypeptides, new vaccines, innovative traditional Chinese medicines with prominent clinical advantages and personalized medicine. The government's attention will greatly accelerate the development of high-performance, high-tech biomedicine and medical devices in China. With the strong support of the national policy, Biolake in Wuhan started constructing in November, 2008. This bioindustry base focuses on biomedicine, 10
biomedical engineering, bio-agriculture, precision diagnosis and treatment, intelligent medical treatment, bio-services and other fields and creating a new bio-industry city integrating research and development, incubation, production, logistics and life. In the base, the biopharmaceutical park, which covers an area of 6 square kilometers, focuses on the development of genetic engineering drugs, chemical preparations, diagnostic reagents and other fields and collocates the largest professional logistics center in central China, gathered more than 200 enterprises such as Human Fu Pharmaceuticals, Fessenyus, National Drug Flow, Hikang Bio, etc.. It is an important new drug creation center, national innovative drug incubator, national new pharmaceutical creation integrated platform, national genetic engineering drug public service platform in China. In the field of chemical preparations, Biolake has become China’s largest production base of antiviral prescription drugs and has constructed the first cGMP standard soft capsule export production base in China. It can be said that in the field of biomedicine, with the support of national policies, Wuhan has a unique advantage in the conditions for the development of biomedicine great prospects. In addition, In a research called The Bio Revolution:Innovations Transforming Economies Societies and Our Lives by McKinsey Global Institute, , which have been mentioned above, they refer to the fact that the leader of China’s Basic Research Department said the country was seeking to position itself as a global leader in synthetic biology, motivated by a need to address the country’s public health, nutrition, and resource needs. 2.Product introduction 2.1 Introduction of our products and technologies 2.1.1 Key technology The project's engineering probiotic species contains two functional modules: the quenching module and the sensing module. Centering on molecular cloning technology, the project can realize rapid design-build-test-learn iteration with the support of physical model mathematical model and put the production of "safe, 11
effective, controllable, and accessible" product-grade engineering probiotics as ultimate goal. The target of the product is the Gradlan-negative bacterial quorum sensing system, in which the quenching module is responsible for degrading the quorum-sensing signal of Gram-negative pathogens, and the sensing module is responsible for sensing the characteristic quorum-sensing signal of the target strain as well as releasing the chemokines to recruit immune cells to remove the pathogens. The construction of the quenching module requires the heterogeneity expression of endoesterase or transamase in engineering probiotics, and it is proposed to carry out a reasonable combination of enzymes and designed engineering enzymes supported by mathematical models and software to achieve product iterative upgrades. The design of the sensing module, take Pseudomonas aeruginosa as example, is based on the quinoxone-like signal of pseudomonas and utilize the strong constitutive promoter in the engineering bacteria to over-expression of the corresponding transcription factor PqsR to capture the ligation, after which a phage derivative system will be used to activate the downstream chemokines expression. Considering the controversial about the use of genetically modified organisms in the human body, the safety form has been designed as following: a suitable toxin-antitoxin system (TA system) will prevent horizontal gene transfer of important modules. At the same time, controlled expression of TEV protease will resolve the possible leak of upstream pqs promotor as well as regulate the secretion of chemokines. Taking the network of interactions between cytokines themselves into account, the team plans to combine the product with anti-inflammatory factor drugs and apply them in an inhaler manner. 2.1.2 Mode of production In order to target each kind of Gram-negative pathogens’ specific quorum sensing system, our initial product has a strong specificity currently, but in subsequent research and development we plan to combine a variety of pathogenic bacteria quorum sensing model, together they translate into E. coli as a larger module, to achieve a broader spectrum of Gram-negative pathogens inhibition effect. The final strains can be used as a complementary treatment option to help medical workers cope with nosocomial infections mainly related to ventilator-related pneumonia. 12
2.2 Product advantages The principle of our products is to interfere with the quorum sensing system of pathogens, in order to reduce the exertion of their toxicity and reduce the life expectancy of pathogenic bacteria. It belongs to the quorum quenching therapy and can effectively cope with the gradual rise of pathogen resistance, to achieve better auxiliary treatment results. At the same time, because our products work by degrading the group signals of pathogens and recruiting autoimmune cells, we can also avoid the side effects that accompany with common antibiotics and protect the health of patients. 13
3.Development and market analysis 3.1 PEST analysis 3.1.1 Politic In recent years, the state has increased its investment in the field of biopharmaceuticals. The ten key fields mentioned in the strategy document -"Made in China 2025"- issued in May, 2015, which aims at deploying comprehensive promotion and implementation of a strong manufacture, includes biomedicine and high-performance medical devices. The document proposes the development of new products of chemical drugs, traditional Chinese medicines and biotechnology drugs for major diseases, with emphasis on new mechanisms and new targets of chemical drugs, antibody drugs, antibody conjugates, new structural proteins and polypeptides, new vaccines, innovative traditional Chinese medicines with prominent clinical advantages and personalized medicine, which clearly take biomedicine and high-performance medical devices as one of the ten key areas of development and gives strategic support and protection: 1) In accordance with the International standard Good Clinical Practice (GCP) and the Good Laboratory Practice (GLP) to establish a standardized international cutting-edge and clinical evaluation platform for new drugs. 2) Optimize the policy of priority review and rapid approval and strengthen the expansion and construction of the team of review inspectors. 3) To elaborate and implement the State Council's Opinions on Reforming the System of Review and Approval of Pharmaceutical Medical Devices(2015) No. 44 to safeguard the approval of new drugs. 4) Develop a drug consistency evaluation system. And put forward development goals: By 2020, encourage a large number of enterprises to achieve drug quality standards and systems in line with international standards, among which including at least 100 pharmaceutical preparation enterprises certified by United States, Europe, Japan and WHO and realize exports; In accordance with international drug standards, develop and promote the registration of 10-20 kinds of chemical drugs and their 14
high-end preparations, 3-5 kinds of new traditional Chinese medicines and 3-5 kinds of new biotechnology drugs in Europe and the United States and other developed countries and accelerate the internationalization of domestic drugs. More than 90% of heavy-weight drugs that expire internationally by 2020 are generic. Break through 10-15 major core key technologies and initially establish a national drug innovation system and innovation team. In 2025, we will basically achieve drug quality standards and systems in line with international standards, develop new products for chemical, traditional Chinese and biotechnology drugs for 10 major diseases, realize the industrialization of 20-30 innovative drugs, and 5 product -10 new drugs with independent property rights in China will enter the international market through FDA or EU certification. We will build a national drug innovation system that improves and supports external services, form a high-level innovation team with an international perspective, and promote the international development strategy of Chinese medicine. And, for the implementation of the The 13th Five-Year Plan for Economic and Social Development of the People’s Republic of China and A Guideline on Emerging Sectors of Strategic Importance During the 13th Five-Year Plan Period, further strengthen the biological industry innovation base, promote the modern biological technology more benefits to the people's livelihood, focus on creating new biological and economic momentum, the National Development and Reform Commission issued the Development Plan of biological industry in the 13th five-year Plan, the key fields of biological industry is divided into seven categories: The industry of biomedicine, biomedical engineering, bio-agriculture, bio-manufacturing industry, bio-energy industry, bio-environmental protection industry and bio-service industry were also put forward. The proposals for technological innovation in the next five years were also put forward, and the direction of investment development in the field of medicine and health was also pointed out. According to the Plan, the innovation platform's resource sharing and open services have basically established a national drug innovation system with the world's advanced level. The comprehensive capacity and overall level of new drug research and development have entered the international advanced ranks, accelerating China's transformation from a large pharmaceutical country to a major medical country. According to the plan, the compound growth rate of China's biological industry has reached more than 15 percent since the 12th Five-Year Plan 15
period, and the size of the industry exceeded 3.5 trillion yuan in 2015. By 2020, the scale of the biological industry will reach 8-10 trillion yuan, and the added value of the biological industry will account for more than 4% of GDP, becoming the leading industry of the national economy. According to the relevant analysis organizations, under the strategic background of independent innovation, the demand for testing safety and effectiveness in the early stage of drug development has greatly increased, directly driving the sustained growth of China's preclinical CRO industry in recent years. Of course, relevant national institutions have also issued a number of other policies to strongly support the development of the biopharmaceutical industry, including representative of the major policy support as follows: The Time. The name of the policy. The main content. publishing unit. Basic realization of hypertension, diabetes management intervention full coverage, and gradually qualified cancer, stroke and other major chronic diseases early State Outline of "Healthy 2016.1 diagnosis and treatment of appropriate council. China 2030" technology into the diagnosis and treatment routine. Strengthen the prevention and treatment of common diseases such as myopia and obesity among students. Improve the level of research and development and preparation of biotechnology drugs such as antibody drugs and tumor Guide to the immunotherapy drugs. Focus on diabetes, 2016.1 Ministry. Development Planning of the viral infections, tumors and other diseases, the Pharmaceutical Industry development of low immunogenicity, good stability, strong targeting, long-term, high bio-utilization of new products. According to 16
The Time. The name of the policy. The main content. publishing unit. the needs of diabetes treatment in China, the industrialization level of long-acting insulin and premixed insulin is raised. Implementation of the hierarchical diagnosis and treatment system. Priority will be given to the chronically ill patients into the Notice of the General scope of family doctor contract services, and Office of the State Council on actively promote high blood pressure, the Issue of China's Medium- diabetes, cardiovascular diseases, tumors, State 2017.1 and Long-Term Plan for the chronic respiratory diseases and other patients council. Prevention and Control of graded diagnosis and treatment, the formation Chronic Diseases of primary care, two-way referral, up-down (2017-2025) linkage, rapid and slow division of reasonable medical order, improve the treatment-rehabilitation-long-term care service chain. Making clinical trials easier, reducing the time lag between overseas heavyweight products entering the domestic market, Opinions on Deepening shortening the time to approve new drug the Reform of the Review and applications, extending the patent period for State Approval System and 2017.1 innovative drugs and increasing the council. Encouraging the Innovation affordability and availability of innovative of Pharmaceutical Medical drugs, and supporting innovative SMEs and Devices start-ups can benefit from a wider range of research and development and manufacturing options. 17
The Time. The name of the policy. The main content. publishing unit. Promote the industrialization and application of high-end drugs. Promote the development and industrialization of innovative drugs with targeted, highly selective and new mechanisms of action in the Implementation Plan for field of treatment of major diseases such as industrialization of high-end tumor, cardiovascular, diabetes, immune 2017.11 Ndrc. medical devices and key system, virus and drug-resistant bacterial technologies for infection. Support the development and pharmaceuticals industrialization of the first chemical generics and biosimilars with high market potential and high clinical value patent expiration, and support the upgrading of the product industry through consistent evaluation of generic quality and efficacy. If the time limit for drug registration changes, the applications for drug registration that are now accepted by the provincial food and drug regulatory departments and approved Announcement on the Drug by the State Food and Drug Administration 2017.11 Adjustment of drug Administration. shall be adjusted to the central management of Registration and Reception the State Food and Drug Administration in order to speed up the application for clinical trials of new drugs and applications for the production of new drugs. Drug Opinions on It is possible to speed up the development 2017.12 Administration. Encouraging Priority Review and market of new drugs with clinical value 18
The Time. The name of the policy. The main content. publishing unit. and Approval of Drug and clinically in urgent need of generic drugs, Innovation and to solve the contradiction of the backlog of drug registration applications. Make adjustments to the relevant matters for the review and approval of drug clinical Announcement on trials, and formally implement the method of Drug adjusting the review and 2018.7 communication and communication of drug Administration. approval procedures for research and development and the application clinical trials of drugs for implied licensing of new drug clinical trials. It is stipulated that the communication Measures for the and exchange meeting will become the main Communication and interactive form of communication between Drug 2018.1 Exchange of Drug Research the applicant and the reviewer on technical Administration. and Development and issues, and the resulting consensus can be used Technical Review as an important basis for research and development and post-evaluation. We will improve the dynamic adjustment mechanism of the medical insurance drug Notice of the General catalogue and give priority to the scope of the Office of the State Council on medical insurance catalogue for qualified State the Issue of Key Tasks for 2019.6 therapeutic drugs in the list of essential drugs council. Deepening the Reform of the in accordance with the procedures. High blood Medical and Health System in pressure, diabetes and other outpatient 2019 medication into the medical insurance reimbursement. 19
The Time. The name of the policy. The main content. publishing unit. The residents are prompted to pay attention to blood sugar levels, guide the prediabetes population to reduce the risk of disease scientifically, guide diabetics to strengthen health management, delay or Opinions of the State prevent the occurrence and development of State Council on the diabetes. Strengthen the health management of 2019.7 council. Implementation of Healthy diabetics and high-risk groups, and promote China Action the standardization of screening and diagnosis and treatment of diabetes and complications at the grass-roots level. By 2022 and 2030, the standardized management rate of diabetics will reach 60% and above and 70% and above, respectively. The government's attention will greatly accelerate the development of high-performance, high-tech biomedicine and medical devices in China. This project has a good prospect and huge development space under the environment of rapid development of biomedicine industry. 3.1.2 Economy 1. Market demand In recent years, with the emergence of drug-resistant bacteria, the types and dosing of antibiotics needed to treat bacterial infections have been increasing. And the real situation is: (1) Since the 1970s, it has been difficult to obtain antibiotics with development value from microbial metabolites through the method of pure culture of microorganisms under laboratory conditions. At present, the research and development of antibacterial drugs mainly focuses on the modification or optimization of known compounds. 20
(2) In 2016, 193 member states attending the United Nations General Assembly signed a declaration pledging to strengthen the control of antibiotics, and China made it clear in the Declaration of Hangzhou issued at the G20 summit that year that "We will promote the prudent use of antibiotics and consider the enormous challenges in terms of their affordability and availability and their impact on public health". (3) Meanwhile, the market for new therapies for bacterial infections caused by extensively resistant Gram-negative pathogens has not been met, with carbapene-resistant enterobacteriaceae (CRE), Acinetobacter baumannii (CRAB) and Pseudomonas aeruginosa (CRPA) identified by the World Health Organization as key needs for research and development. It can be seen that the increase in demand for antibiotics and the restriction of antibiotic use and research and development bottlenecks have formed a huge conflict, the market demand for new drugs is very urgent. This also provides a huge market space for antibiotic substitutes. The antibiotic pipeline tracking program launched by the Pew Charitable Trusts is aggregated semi-annually, and an online interactive tool (Antibiotics in Development 2014) is created to demonstrate trends in antibiotic pipeline development. This longitudinal analysis highlights long-standing concerns that there are too few antibiotics under development to meet current and expected patient needs. 2. Industrial supply. There are about ten alternatives to antibiotics (e.g. antimicrobial peptides, thymus peptides, phages, etc.), but there may be only four or five commonly used on the market. Although there are many alternatives, each product is defective in some way and can only be used as an adjuvant therapy, not a complete substitute for antibiotics. As a result, the available supply of industry is very limited. From the above, the huge market and limited supply conditions, effective antibiotic substitutes such as engineering probiotics have broad economic prospects. 3.1.3 Society In recent years, the problem of drug-resistant bacterial infection has become more and more serious. It is predicted that by 2050, the number of human deaths due to multiple drug resistance will increase to 10 million, surpassing cancer deaths as one of the world's major causes of human death. The production of drug-resistant bacteria 21
is closely related to the use of antibiotics. Antibiotics kill most of the pathogens and screen out bacteria that are not previously dominant in the bacterium but have resistant genes. With the increasing use of antibiotics, bacterial resistance is also increasing in the round of screening. Gram-negative bacteria are harder to kill than gram-positive bacteria, and are more likely to develop resistance, leading to more severe infections. And new drugs are not being developed fast enough to keep pace with the rise in bacterial resistance. The misuse of antibiotics adds to the problem. As a result, there are growing calls to limit the use of antibiotics. In this context, there is an urgent need for a treatment of bacterial infections that does not require antibiotics. 3.1.4 Technology Group induction effect (QS) refers to the change of physiological and bio-chemical characteristics of microbial groups in their growth process, which show the characteristics not possessed by a small number of bacteria or individual bacteria. The reason for this change is that when the density of microbial population in the environment reaches a threshold and the concentration of signaling molecules reaches a certain level, the signal transmission of related proteins, including the subject protein, induces or inhibits the signal to be eventually transmitted to the cell, affects the expression of specific genes, and regulates the physiological characteristics of the microbiome, such as bioluminescent, antibiotics synthesis, biofilm formation, etc. Using the QS mechanism for "cell-to-cell communication", microorganisms are able to coordinate in complex environments to "team combat capability" to better survive the entire population. This mechanism allows bacteria to form high-density biofilms when Gram-negative bacteria invade the human body, causing great harm to human health. Group quenching (QQ) means to inhibits the QR system, the discovery of this therapy can greatly inhibit the occurrence of biofilms, thereby slowing the bacterial infection process in the human body. Because it interferes with the internal communication path of bacteria itself, it can effectively cope with the current situation of increasing bacterial resistance, so as to achieve a better auxiliary treatment effect. Group quenching is one of the key research and development directions in the fields of medical microbiology, food microbiology and environmental microbiology. 22
3.2 3C's Strategic Triangle Model 3.2.1 Customer classification Through the analysis of our product technology and positioning ,we can conclude that our target customers should mainly be medical or immunology research institutions, or major hospitals and their relevant cooperative institutions or enterprises, which are summarized as follows: 1. In the treatment of infections, hospitals will become our most important customer base at present. 2. In the area of research or teaching, research institutions in related fields such as immunology, microbiology and medicine, as well as laboratories in universities, will form an additional group of clients. 3.2.2 Benefits to customers Product Sales: For hospitals, new treatment ideas can be provided, as well as cheaper and more efficient treatment methods, and for research institutes, new research materials can be provided to reduce research and development costs and improve research efficiency. Technical services: We will provide technical services for some biopharmaceutical companies, assist in more efficient and professional R & D of products, and improve research efficiency and product quality. Patent licensing: We will cooperate with biomedical companies to promote the industrialization of products and create a win-win industrial chain. 3.2.4 Relationship between the service platform and the target customers The relationship between customers and us is an interactive relationship. The service platform provides a communication platform for target customers: for researchers, the platform can provide product related statistical data and research results of other researchers, which helps to better understand the product and lead further research. For drug sales companies, product feedback and communication can be carried out on the platform, and personalized customized scheme can be designed, 23
that is, engineering probiotics products for specific Gram-negative bacteria. For consumers, the raw materials provided by the platform are traceable, which helps to increase the trust of customers and establish a good reputation for the products. After our platform provides customers with high-quality services, customers will become our free advertising, which helps to improve the company's visibility, increase our influence in target customers, increase market share, attract more funds, further promote the development and improvement of products and platforms, so as to better serve customers Households. As a result, a virtuous development cycle has been formed, so that our projects and products can be more sustainable development. Moreover, since the target customers include many research institutions, the feedback from customers can promote the progress of our technology, and even discuss and build a probiotics research platform. 4.Business model and market strategy 4.1 Business model Our business model is divided into three parts: product sales, patent licensing and technical services: . ① Product sales: we hope to promote the products we have developed (which can be carried out through the intermediary of pharmaceutical representatives) and sell them to patients infected with gram-negative bacteria, and make profits by selling the products. ② Patent authorization: in the early stage of R & D, in order to support us, we can also sell a certain technology or patent in the whole technology system to relevant R & D units, help them develop related similar products more quickly and effectively, and promote the development of the whole market environment. ③ Technical services: our team has a relatively complete technical system for the construction of Engineering probiotics, which can provide R & D services for relevant pharmaceutical companies and help them build engineering probiotics. 24
4.2.1 Research and development mode We are now using laboratories provided by the college of life sciences of Wuhan University for independent research, but we are looking for cooperation with companies or institutions engaged in anti biofilm research or engineering probiotics. In terms of research, we are trying to apply the latest research results in related fields to expand the application of our product technology, hoping to enable the product to have a wider spectrum of therapeutic effect, that is, it can be applied to the treatment of all gram-negative bacterial infections. In this regard, we will improve our product technology and strengthen cooperation with research teams in related fields, so as to further improve the quality of our products. 4.2.2 production mode In the early stage of development, our products will be produced by OEM companies with production qualification around Wuhan. As an emerging business team, we lack production management experience and capital, so it is necessary to find a suitable contract manufacturer for mass production to reduce production costs and improve production efficiency, so as to enhance our market competitiveness and enable our business team to focus more on product research and development. Later in the development of the "negotiator" project, we plan to invest in our own factory to produce products. The preliminary production plan arrangement is as follows: the company's production department formulates the production plan according to the monthly sales plan and the order status, and arranges the production according to the plan. And each production link is standardized and recorded to realize the traceability of product quality. The quality department monitors the production process, checks the strains, finished products and important operation links to ensure the biological safety and product quality in the production process. At the same time, the company strictly implements the inventory management system to ensure that the product inventory can meet the reasonable market demand and improve the inventory turnover rate. 25
4.2.3 Channel sales model 1. Offline: Product sales take a combination of direct sales and sales, sales plans in foreign markets are realized through distributors, domestic sales by the team set up a sales team responsible for product promotion, directly to hospitals, biological products enterprises, universities and biological products research institutes. 2. Online: . Online sales we will adopt the B2B business model and establish official sales centers on multiple e-commerce platforms. It can reduce the cost of purchasing and inventory, save turnover time, expand market opportunities and promote the development of the project. Moreover, the company plans to establish an official website and build a vertical professional B2B (vertical) B2B) platform, focus all efforts to build a professional information platform, with the help of the research results of group sensing of Gram-negative bacteria, effectively connect with hospitals, biological products enterprises, universities and biological products research institutes, and develop more in-depth and unique service content and profit model in continuous exploration. 4.3 Marketing Strategy 4.3.1 Target market At this stage, our main target market is patients with pulmonary infection caused by Pseudomonas aeruginosa. Pseudomonas aeruginosa is a common pathogen of nosocomial infection, but also a "super bacteria" in Gram-negative bacteria. Its treatment is difficult, and the market demand for new treatment is large. In addition, we use engineering probiotics for treatment, which theoretically can effectively treat infections caused by a variety of Gram-negative bacteria, and has great development potential. 26
4.3.2 Product strategy Our products have core competitiveness in principle. In order to show our product strategy to the market, we have made the following analysis on our products. product hierarchy description core product The core product of our project is the biological preparation for the treatment of gram-negative bacterial infection. The advantage is that the use of Gram-negative bacteria group induction effect, immunotherapy, avoid the use of antibiotics, can better solve the problem of bacterial drug resistance. formal product Our expected product is to produce inhaled spray containing engineered bacteria to treat gram negative bacteria in the lungs. future product We hope that we can use our principle to make biological agents that can be used to treat Gram-negative bacteria infection in all parts of the body, and improve the applicability of the products to various infections. potential product Promote new technologies and patents in the process of product development, promote the development of the industry, accelerate drug research and development, and improve the treatment level for Gram-negative bacteria. 4.3.3 Price In the early stage of the company's development, we will mainly focus on the core business of early capital accumulation, actively cooperate with drug companies and research institutions dedicated to the treatment of Gram-negative bacteria infection, and sell our products. For this part of the business, considering the 27
traditional antibacterial market and the positioning of our innovative products, we decided to adopt a satisfactory pricing strategy. Through cost and market analysis, we selected the optimal price which is relatively favorable to consumers, producers and middlemen. The initial price was 4000 yuan / L. With the expansion of business scale and the increase of sales volume, the company will achieve the purpose of profit maximization by properly adjusting the price and influencing the change of sales at any time. 4.3.4 Channel Channels are crucial to the chemical, agricultural, food and pharmaceutical industries. According to the market characteristics of bacteriostatic therapy, we developed a channel strategy combining point-to-point sales in the early stage and agent distribution in the later stage to meet the needs of improving market coverage, channel flexibility and channel control. At the same time, we will also strictly control products and services, prices, promotion activities, distribution processes, etc., to ensure the normal operation of the channel network. 1.Channel Selection As an auxiliary solution for medical treatment, our marketing will make use of the cooperation between Wuhan University and other relevant hospitals or biological research institutes to provide point-to-point supply. At the same time, in order to facilitate sales, we will use two modes of online sales and marketing to promote synchronous. We hope to ensure our sales volume and long-term cooperation with related agencies through the advanced technology of our products and the effectiveness in practical applications. On the basis of this long-term cooperative relationship, we can expand the sales of our products to a national scope. In order to further consolidate our market share, while expanding the sales scope, we will adjust our business model and try to establish a nationwide sales network through the network or offline organizations, so as to give more timely feedback to customers' opinions, so as to provide better service or further improve product 28
technology. 2. channel expanding Basic steps to develop sales channels: 1) Looking for target market and delineation of target customers: collect all target markets in the city, such as scientific research institutes, hospitals, pharmaceutical companies, etc., and gradually visit them, make a record of the visits, and delineate the target customers according to the attitude of each customer to our project products. 2) Secret interview: visit the market secretly to understand the background of the target customers: after selecting your target customers, you can visit the market twice to understand the business philosophy, management ability, financial ability, business location, brand identity of these potential customers. 3) Screening: sort out materials, select effective information, visit target customers again, select customers more in line with the company's culture and direction, and determine the final sales and cooperation partners. 4) Negotiate: publicize the company's favorable policies in recent years, the rapid development of the team in recent years and brand expansion, etc., and focus on the new policies for new customers. 5) Signing: make a contract, explain the terms in the contract carefully, and sign the receipt of explanation of the contract at the same time. 6) Encouragement: keep abreast of the changes of customers' mentality and business dynamics at any time. In case of cooperation with patent authorization, it is necessary to timely track the situation of cooperative enterprises and make timely adjustments to relevant work. 7) At the same time, the team plans to expand brand awareness through exhibitions, lectures, academic conferences and other activities, conduct word-of-mouth marketing, and carry out long-term and effective cooperation with hospitals, scientific research institutes and other institutions. 3. channel control 29
1) vision control: timely communication with relevant hospitals, research institutes and biomedical companies, sharing research ideas, corporate culture, development ideas and vision; establishing official account or publication of enterprises, regularly issuing research progress, development status and other information. 2) Brand control: brand is an important resource of an enterprise, and the team insists on brand construction and brand marketing. Establish a good brand image at the level of relevant hospitals, scientific research institutes and biomedical companies, and exert influence on the channels. Through this brand, we can reduce the cost of sales and improve the sales efficiency, so as to control the channel. 3) Service control: (1) Control the production and manufacturing process of products to ensure the implementation of product quality; (2) Adjust sales channels in different stages of product life cycle; (3) Through the supervision and management of dealers, ensure the quantity and quality of products and services; (4) Establish a special supervision and evaluation department to supervise and evaluate the technical services and patent authorization, and timely return visit to customers. 4) Interest control (1) Control the price of products and services (2) Improve the quality of products and services (3) Expand publicity channels (4) Make the right promotions and discounts If distribution is adopted, the appropriate rebate and distribution standard shall be determined through timely communication with distributors. 30
5. Competitive risks and countermeasures Competitive risks and countermeasures. Description of the risk Countermeasures 1. Competitors Although the market for antimicrobials The main competitors of our product is more important, but in recent years, the are antibiotics, including antibiotics and problem of drug-resistant bacteria is synthetic drugs. However, China is a big becoming more serious, and the abuse of country in the production and use of antibiotics is exacerbating the problem, and antibacterial drugs. The annual production this product can be a good target for specific of antibacterial raw materials is about bacteria, the killing of drug-resistant bacteria 210000 tons, and the export is about 30000 can play a very good effect, from the quality tons. According to the "survey report on and effect of strong competitiveness. the current situation of public safe drug use" issued by the State Food and Drug Administration on September 1, 2012, about 25% of China's households have antibacterial drugs on hand, and 23.9% of people use antibacterial drugs after catching a cold. Among the top 100 drugs sold in China's medical institutions, 29 belong to antibacterial drugs, and the annual sales of the third generation cephalosporins alone exceed 1 billion yuan. It can be seen that antibacterial drugs occupy a large market share, so the first problem to be solved is to occupy a certain market. 31
2. Public acceptance. The safety of the product needs to be Public confidence in GM technology is fully controlled, and within the permitted low, and the GM technology used in the scope in the product description to explain the production of this product may be production process for the control of GM questioned, while oral microorganisms safety technology, the use of probiotic may also create a psychological burden on chassis, a brief introduction to the biological customers. characteristics of the probiotic chassis used to reduce the psychological burden of the public on oral microorganisms. And apply for relevant permits to improve public acceptance. 2. Promotion and application. In view of the current bacterial The role of this product at this resistance problem is becoming more and stage is more in favor of auxiliary more serious, and this product can solve this treatment, the scope of application is problem well, so at this stage with some narrower. companies producing antimicrobial drugs to cooperate, mutual benefit and win-win situation. In the long run, we will continue to make technological innovations to enhance the therapeutic effect of our products, moving from complementary therapy to therapeutic direction. 32
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