Pharma Marketing 2020: Maximising product launch success amid complex legislative change
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Pharma Marketing 2020: Maximising product launch success amid complex legislative change Successful product launches are crucial to pharma’s future. Social media and online channels in theory provide a cost-effective way to reach physicians, yet in practice, only very targeted approaches work. As new data-protection legislation makes it harder for pharma to identify and communicate with the most relevant prescribers, firms must carefully select appropriate platforms through which to optimally connect with their audience.
The Challenge: drug launch success is becoming harder to achieve Successful product launches are becoming to those most likely to prescribe it, and harder to achieve. Nearly half of product those with the greatest influence on usage launches over the last 8 years have under- and uptake. They must do so in a manner performed; a quarter don’t even get halfway that engages their target audience, using to their sales target (Bain & Company). channels that this audience trusts and is thus Continued pricing pressure, increased most likely to respond to. competition and more demanding consumers provide some reasons for these failures. Digital marketing has opened up many new Insufficient understanding of customers’ ways to engage physicians, beyond the needs and poor targeting have also played traditional sales rep visit. After a slow start a role. Yet as returns on R&D investment due in part to healthcare-specific challenges, dwindle, optimizing new product launches is pharma firms have embraced these becoming ever more crucial to pharma firms’ alternative channels, for two good reasons: sustainability. they provide a lower-cost alternative to boots on the ground, and physicians prefer them. The average cost of bringing an asset to market has increased from $1.2 billion in Yet just as the pharma industry has fully 2010 to close to $2 billion in 2017, according embraced digital technology, and as evidence to Deloitte (Evolving the Product Launch of its effectiveness builds, consumer privacy Paradigm, November 2018). Yet average peak concerns have begun to limit its reach. New sales are falling – from $820 million to just data protection regulations such as Europe’s $470 million over the same period. And those General Data Protection Regulation (GDPR) peaks are taking longer to reach, just as and the forthcoming California Consumer competition shortens the average exclusivity Privacy Act (CCPR) require pharma firms period any new drug might enjoy on the to have rigorous procedures and policies in market. According to Bain, that window of place to ensure the data they acquire, rent or opportunity has halved to four years, on use meets regulatory standards. The result: average, from eight years in the 2000-2004 effective physician targeting has become period. more difficult and risky, just as its importance to product launch success becomes clearer. Granted, these are averages. There are exceptions and outliers – notably the growing Pharma companies promoting late-stage cohort of personalized medicines that enjoy (Phase III) drugs to physicians face a variety higher development success rates, or the of challenges. Yet there is also good news: specialised treatments for rare diseases that the growth of digital marketing and its may benefit from longer exclusivity. But these effectiveness. products remain a minority. Multi-channel marketing is key to product For most pharma companies, the importance launch success of targeted, cost-efficient marketing and Multi-channel marketing is the mainstay outreach campaigns during the pre- and of successful campaigns and strong, peri-launch period has never been greater. sustained product uptake. An effective Pharma need to effectively and clearly multi-channel approach is based on a deep communicate the benefits of their product understanding of the target customer, the 2 / November 2019 INFO@SKIPTA.COM + @SKIPTATECH + SKIPTA.COM
creation of channel-specific content, and in 2016 felt that their digital ads had failed on using a platform that offers physician- to meet expectations, and almost all level engagement data – for instance, social acknowledged that their digital campaigns networks used exclusively by healthcare reached people outside their intended target professionals (PM360/Feiler). Successful audience (WARC AdWaste Troubles B2B multi-channel campaigns can help boost marketers, 2016). That is not just wasteful top-line sales growth by 10% and/or reduce (for the sponsor) and annoying (for the promotional costs by up to 25%, according to unintended recipients) but is also more likely BCG. to fall foul of tightening consumer privacy laws. (See next section). These figures are very meaningful in the context of greater R&D costs and afore- The pharmaceutical industry spends billions mentioned challenges to achieving expected each year marketing to physicians – some uptake. companies spend more on marketing than on R&D. Yet much of this messaging fails to Physicians are increasingly selective in the connect in a personalized, meaningful and sources and types of information they access thus effective way. The result is lost sales. and trust. Several surveys (DRG, Deloitte) show that they do not want to be overtly Meanwhile, other wasteful processes such sold to; instead they are seeking a partner in as inefficient decision-making are also care. Physicians seek transparent, objective costing businesses hundreds of millions and accurate information about product of dollars annually. McKinsey in April 2019 efficacy, clinical outcomes and related clinical surveyed over 1200 managers across various guidelines. They increasingly seek out, and businesses to reveal a potential 530,000 value, their peers’ opinions and insights. They manager days wasted each year (worth are more likely than three years ago to trust about $250m in wages) due in large part pharma websites – but only because these to ineffective use of data and an inability contain more non-promotional content. to separate signal from noise – the smaller (DRG) volumes of quality data from the vast swathes of meaningless information. Avoiding Waste: quality over quantity Not all digital campaigns succeed. Studies Physicians are digital citizens show a steep decline in participation the Physicians rely increasingly upon the internet more communications a doctor receives; and other digital tools to access information information overload, or the wrong kind of and insight about products and conditions. information, can be counter-productive. That 80% use smartphones in their interactions can affect not just today’s campaign, but with patients, according to McKinsey the impact of any future messaging from (Transforming Pharma Commercial Models a given organisation. Quality matters more in the Age of the Digital Citizen, 2016); than quantity; consumers see an average of almost the same proportion type keywords over 5000 advertisements per day, take note into Google to obtain medical information. of just 3% of them, and engage with a mere Almost half of doctors share online videos 0.2% (12) (Forbes, 2018.) and insights with their peers – a proportion that is likely to grow further as a younger Almost three quarters of business-to- generation of physicians begin their careers. business marketing executives surveyed 3 / November 2019 INFO@SKIPTA.COM + @SKIPTATECH + SKIPTA.COM
Digital campaigns are cheaper than underpinning competitor therapies? Once traditional sales methods, and enable pharma such studies are published, they can use to efficiently and quickly reach a larger, digital channels to assess the impact they more geographically dispersed audience. have on doctors’ prescribing behavior. According to a 2019 survey by Decision Resources, only 54% of doctors surveyed had From then on, it becomes a virtuous circle. met a rep in person during 2019; 39% said Establishing trusted engagement platform they had had no interactions with reps at all with physicians in turn enables industry to over the prior six month period. address any challenges most directly and effectively. For example, if a product requires A virtuous circle: effective targeting, a complex diagnostic, comes with tricky relevant content, trusted channels reimbursement requirements, or presents Against this backdrop, pharmaceutical compliance hurdles, pharma can direct their firms need to ensure they are engaging resources to appropriate solutions. According with the most appropriate audiences, that to Bain & Co., 40% of physicians’ brand they understand those audiences’ needs preference is attributable to factors beyond and concerns, and that they use the best- the product itself, such as support services, suited channels to share thoughtful, adapted patient-identification tools and to services content. This will in turn generate quality that facilitate connecting physicians with metrics and feedback, informing future trusted peers. messaging and outreach, and future product development. Digital channels and related health tech solutions are also enabling pharma to engage Alongside careful physician targeting, with other stakeholders, including payers and pharma must also ensure they use the patients. This helps companies build a more most effective messaging to ensure launch complete picture of its various customers’ success (Bain, 2017). Doctors are most needs and priorities, and, ultimately, to likely to respond to information delivered develop more valuable solutions. via trusted channels, backed up by strong clinical evidence. By building their messages Legislative and governance challenges around reliable, clear clinical data supporting Careful customer segmentation and a deep the particular efficacy, safety and/or understanding of the target audience are convenience advantages of their product, now well-recognised requirements for a pharma companies can maximise the impact successful drug launch. Yet it is now much of their therapy on patients’ lives and build harder to obtain and use physician contact healthier, more trust-based relationships with information, thanks to increasingly stringent prescribers. consumer data privacy rules. If pharma firms can establish effective The California Consumer Privacy Act (CCPA), communication channels with prescribers, which comes into effect in January 2020, they can also gain insights into the most sets out how companies may gather and effective post-launch tactics. For example, use consumers’ data. Designed to protect all what kinds of studies are required to fill consumers from unwanted or inappropriate in remaining gaps in the data? How to messaging and marketing, these rules ensure that the flow of supporting data is will have a profound impact on digital more compelling and relevant than those advertising. 4 / November 2019 INFO@SKIPTA.COM + @SKIPTATECH + SKIPTA.COM
The CCPA requires companies that collect concerned about the security of their consumers’ (including physicians’) personal personal data, experts predict similar information to easily and clearly allow those moves among other US states. At least 20 consumers to request the specifics of that are already considering legislation of their information, understand how it will be used, own (2019 – eMarketer) In a bid to avoid a and to opt-out of the further sale of that complicated patchwork of state-level data information. Importantly, those rules apply protection legislation, the Association of not only to personal information collected National Insurers and related groups are directly via a website, for instance, but also to attempting to create a nationwide data names or lists purchased or rented from third protection initiative setting clear rules parties for marketing purposes. around personal data protection (Privacy for America initiative). The CCPA is already impacting pharma’s communications with physicians and other Privacy laws’ impact on pharma stakeholders, since companies will be Most pharmaceutical companies already required to have tracked personal data usage work with personal health information under since January 1, 2019. the HIPAA Act of 1996. This governs clinical trial data, and would, in some instances, The CCPA is broadly similar to the General supercede CCPA. Data Protection Regulation (GDPR) introduced in Europe in 2018. Small But the broader-reaching CCPA laws differences exist, though: CCPA contains mean pharma must ensure they employ no Europe-style ‘right to be forgotten’, and only high-quality, carefully sourced data requires consumers to ‘opt-out’ of data and personal information across all their collection if they wish, rather than a GDPR- activities, including marketing and outreach. style ‘opt-in’. They must have transparent, clearly-worded data privacy and governance policies, and Some of the Act remains vaguely-worded must build the resources necessary to and confusing, experts say (Fast Company). audit personal data collection, storage, use But the direction of travel is clear. Consumers and sharing, both internally among digital have more control over their data and how marketing teams, and among partners. it is used; at the extreme, the CCPA allows individual citizens to sue a company for mis- Companies must think twice about who they use of personal data. That means any of the partner with. They should become choosier 43,000 physicians in the California Medical in their collaborations, and have a further Association could sue a pharmaceutical incentive to work with smaller volumes company following an email campaign. of high-quality, targeted data rather than broader data-sets that may be more likely to Nor is the CCPA likely to remain limited to fall foul of the new rules. California. As the public grows increasingly 5 / November 2019 INFO@SKIPTA.COM + @SKIPTATECH + SKIPTA.COM
The Solution: targeting healthcare professionals within a trusted, peer-to-peer social network Faced with the dual challenge of achieving of domain specialists. The Skipta Diabetes more efficient, targeted marketing amid Network, for instance, reaches 300,000 tighter privacy laws, pharmaceutical firms healthcare providers involved in the care and preparing for a drug launch need partners treatment of diabetes, including primary care that already reach highly relevant audiences, physicians, endocrinologists, cardiologists, and are trusted by them. They need partners neurologists and pharmacists. that understand and can help overcome the challenges to effective communication in the The Skipta platform provides a secure, digital era. private space within which verified physicians and other verified healthcare professionals Skipta is the leading social network may collaborate and learn from each other. for verified healthcare professionals, Physicians use Skipta to keep up to date organized into 25 specialized communities with industry relevant information, to covering over 700,000 verified healthcare educate themselves and to advise on or professionals in the US. This represents share experiences with their peers. Skipta a 78% of all US physicians. These fosters clinically-driven conversations and communities are focused around specialists, collaborations amongst physicians. These such as cardiologists, paediatricians or peer-to-peer discussions may be among dermatologists. Discussions may also specialists within a particular community, extend to particular disease states, such as or focused on physicians treating a specific diabetes, or migraine, bringing in a range disease. WHY PHYSICIANS USE SKIPTA • To stay informed of current issues and developments in their field • To consult with colleagues on challenging case studies – in real time • To engage with medically-relevant content from leading organisations and biopharma companies engaged, through tailor-made multi-channel Skipta was designed for healthcare tactics created to suit their campaign professionals seeking education and objectives. engagement with their peers. It also helps pharmaceutical marketers to promote their Skipta is easily accessible across a range of products, and their brand, to the physicians connected devices – smartphones, tablets or healthcare communities that matter most. or desktops. This enables pharmaceutical It reaches physicians where they are most firms and healthcare marketing agencies 6 / November 2019 INFO@SKIPTA.COM + @SKIPTATECH + SKIPTA.COM
to optimize their multi-channel marketing or a feature within “Showcase”, dedicated to approaches, creating product packages that content around a particular brand. Physicians are tailor-made to meet clients’ campaign are engaged with interactive content ‘in objectives. stream’ - within their community’s social feed. Pharmaceutical firms may choose to sponsor An integrated, tailor-made campaign a quiz or competition, or a topical discussion, may include banner ads, branded emails, leveraging a particular community’s brand messages within e-newsletters or broadcasts, equity (e.g. ‘Cardiology Connect’). SKIPTA ADVANTAGES AS PHARMA’S DRUG-LAUNCH PARTNER • Highly relevant, captive audience of healthcare professionals – covers 78% of US physicians and 60% of US healthcare providers • 25 clearly organised healthcare communities enable precise targeting. ICD 10 Data allows further narrowing to target physicians that are treating the same condition • Foster and analyze conversations about relevant disease states and treatment options within various healthcare professional groups • Analyze perceptions of, and barriers to, particular treatment options and how these compare across discussion groups • Explore which topics garner the most attention among physicians in peer-to-peer discussions • Understand which healthcare professionals are engaged in particular campaigns Further, Skipta already meets the stringent communities. This can help refine the data protection standards introduced messaging or channels in order to achieve by CCPA. In choosing to become part maximum impact. of the Skipta community, physicians opt into clear rules around data privacy and The platform allows drug manufacturers security. Pharmaceutical firms choosing to to narrow down their target audiences, to communicate within that community thereby the level of individual or small groups of minimize or eliminate the risk of contravening influential HCPs. This helps deepen pharma’s data protection laws, and reduce the need understanding of customer needs. to conduct detailed personal data audits of their own. Messaging early to maximise launch success Understanding how physicians want to be Skipta can also help pharma companies engaged, and the particular pain points they measure the impact of their multi-channel and their patients are experiencing, provide campaigns on prescribing behavior within pharma firms with a huge advantage in particular specialist or disease-focused preparing their drug launch. 7 / November 2019 INFO@SKIPTA.COM + @SKIPTATECH + SKIPTA.COM
Skipta offers an unique opportunity to target https://econsultancy.com/with-pharma- precisely, with minimum waste, the most sales-rep-contact-on-the-decline-physicians- relevant audiences. By engaging with these turn-to-the-internet/?MessageRunDetai professionals when a drug enters Phase lID=853875631&PostID=8627647&utm_ III trials, pharma companies can optimally medium=email&utm_source=rasa_io position their product to best meet physician https://www.pm360online.com/multichannel- needs, thereby supporting strong sales marketing-with-physician-level-data/ and sales growth. During and after launch, https://www.bcg.com/publications/2014/ the messaging and channel mix may be biopharmaceuticals-marketing-sales- continuously adapted and personalized breaking-through-the-noise.aspx according to evolving market dynamics, needs and clinical evidence. https://decisionresourcesgroup.com/ news/124633-decision-resources-group- The result: the best possible chance of 2019-epharma-physician-report-finds-u-s- a drug launch that meets, or exceeds, physicians-increasingly-too-busy-to-see- expectations. pharma-sales-reps/ https://www.forbes.com/sites/ References: williamcraig/2018/05/08/the-importance-of- https://www.bain.com/insights/how-to- quality-over-quantity-in-digital-content- make-your-drug-launch-a-success/ marketing/#4b299c073edf https://www2.deloitte.com/content/dam/ WARC Ad Waste troubles – 2016 – only as Deloitte/ch/Documents/life-sciences-health- care/ch-lshc-Pharma-Launch-paradigm.pdf PDF….see also reference below https://econsultancy.com/seven-big- https://www.warc.com/newsandopinion/ challenges-facing-healthcare-marketers/ news/marketers_expect_to_waste_quarter_ https://www.warc.com/content/paywall/ of_their_budgets/40178 article/event-reports/how_the_california_ https://www.mckinsey.com/business- consumer_privacy_act_impacts_ functions/organization/our-insights/decision- pharma/124462 making-in-the-age-of-urgency https://www.mckinsey.com/industries/ https://www.emarketer.com/content/will- pharmaceuticals-and-medical-products/our- ccpa-have-gdpr-like-effects insights/transforming-pharma-commercial- models-in-the-age-of-the-digital-citizen 8 / November 2019 INFO@SKIPTA.COM + @SKIPTATECH + SKIPTA.COM
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