Home / Transcripts / Hikma Pharmaceuticals PLC (HIK) · October 20, 2026

Hikma Pharmaceuticals PLC (HIK) Earnings Call Transcript

October 20, 2026

LSE GB Health Care Pharmaceuticals special 53 min

Earnings Call Speaker Segments

Operator operator
#1

Good day, ladies and gentlemen, and welcome to the Hikma Pharmaceuticals R&D Spotlight Series, Respiratory, Nasal, Semi-Solids and Liquid Session. [Operator Instructions] I would like to remind all participants that this call is being recorded. [Operator Instructions] I will now hand over to Susan Ringdal, to start the presentation.

Susan Ringdal executive
#2

Good morning and good afternoon, everyone, and welcome to the first of our series of spotlight events that have been designed to help the capital markets understand our R&D capabilities, our vision and how we will deliver it. We'll cover why now is the time for Hikma to increase our R&D spend and how this investment will deliver growth and value over the medium to long term. Today, we are joined by Hafrun Fridriksdottir, who is our Global Head of R&D, and she'll give a group-level overview of how our R&D organization is set up. And that will be followed by a deep dive into our respiratory nasal semi-solids and liquids platform with Chris Edlin who heads up that platform. There are some supplementary slides that we will have available on screen and also on our website. Before we start, I'd like to remind you that any forward-looking statements or projections made by Hikma during this call are made in good faith based on information currently available and are subject to risks and uncertainties that may cause actual results to differ materially from those projected. For further information, please see the Principal Risks and Uncertainties section in our latest annual report. And with that, let's dive into our first conversation with Hafrun. So Hafrun, welcome. Thank you so much for joining us today. It would be great if we could just kick off with you giving a brief introduction about your background and maybe going right up to why you decided to join Hikma.

Hafrun Fridriksdottir executive
#3

Yes. Thank you, Susan. As Susan mentioned, my name is Hafrun Fridriksdottir, and I have more than 30 years of experience in the pharma business. I am a pharmacist by training, and I have a PhD in Physical Pharmacy. Most of my career, I have spent in R&D. I worked across multiple pharma companies, both small and large one. probably my biggest R&D organization was around 5,000 to 6,000 people. And I have been leading teams, which have been developing all kinds of products, including included branded product as small molecule and also large molecule, meaning biologic, also late, which have been developing biosimilars. And of course, last but not least, generics and I'll probably spend most of my time in leading teams, which have been developing generic formulations and that includes all kinds of formulations, both covering what we are covering today, I mean, semi-solid, liquids, nasal inhalation injectables, both simple injectables and also long-acting injectables. And last but not least, also solid orals, both the immediate release and excellent release, delayed release. So I have quite a broad experience in R&D and very happy to take over the R&D organization for Hikma a year ago.

Susan Ringdal executive
#4

Fantastic. That's -- thanks for that, Hafrun. I think clearly, you can -- we can all understand why having joined us as President of Himax Rx, we reasonably quickly put you in charge of our global R&D function. Can you just talk about what changes you've made since you took over the R&D function?

Hafrun Fridriksdottir executive
#5

Yes, of course, happy to do that. So as I mentioned, I took over this organization around a year ago, slightly less than a year ago. And before I took this organization over, it was basically located within the different divisions. Rx their own R&D, [indiscernible] has their own R&D and the injectables at their own R&D. But with this idea when I took over this organization that we would like to establish a global R&D organization, which is more specialized, focused on more specialized tasks and that's why we set it up, as you can see on the screen here. And so we have 3 different main platforms and the platform, which we are going to talk about today is the respiratory semi-solid and liquid platform, which is led by Chris Edlin and you will hear from him as well later in the call. Majority of his team is located in Columbus, Ohio. Then we have the solid oral platform, which is led by Jaber Qasem. And majority of his team is in Jordan. Then we have the injectable platform, which is led by Strato -- and a big portion of her team is in Croacia, but she also has a team in Portugal, in Cherry Hill and in Jordan as well and then smaller teams and other MENA countries. So to support those 3 platforms, we have the cross-functional R&D operation team and also regulatory team. So it -- so far, it has been working quite well. And we have been focused on since we start up this organization, we have been focused on selecting more of a global project, and so it's in every market is involved in when we are selecting product, which has been quite important for us, of course, I mean, if there are interesting opportunities for individual markets, then we still, of course, develop product for those markets, but we are more focused on global product than we were in the past.

Susan Ringdal executive
#6

Clearly, there's been a big change in how we've been structuring the team, but we've also talked a lot about a material change in the amount that in R&D. Maybe you could just quickly talk about why now is the right time for Hikma to be making this material change in the amount that we're investing in R&D.

Hafrun Fridriksdottir executive
#7

Yes. As I mentioned earlier, I mean, there is a lot of opportunities out there. There's a lot of opportunities within those product or platforms, which I mentioned earlier, and we have been identifying opportunity -- exciting opportunities in all 3 platforms. And Chris will, of course, talk more about the semisolid liquid and inhalation and nasals. But for example, for the solid orals, we are more focused on first to file, first to market opportunities than maybe Hikma was in the past. And you will hear more about this later on also from also from Jaber when we present the sensolidoral. So there's a lot of opportunities, which we are going after now.

Susan Ringdal executive
#8

Yes. It's obviously very encouraging to hear that there are so many good opportunities to go after. Perhaps you can talk a bit about how you think about returns on the spend? And therefore, how do you select the products that we will actually put into the pipeline.

Hafrun Fridriksdottir executive
#9

Yes. I mean, of course, return on investment is, of course, very important for Hikma and for any other pharma company. And that's, of course, a big -- I mean I think when we are selecting our product, we have quite a sophisticated product selection process, dedicated portfolio and product selection team. And this team, they work very, very closely with the commercial team with legal, we finance, et cetera. And of course, with the R&D team as well. And we have NPV model, which we take it's on every product which we select new products, which is select for development through. And we decide, of course, to go after product based on their value based on the return on investment. And it's not only -- and then we take them through product selection meetings and the [indiscernible] team is part of those meetings. So it is quite a thorough process, which we go through when we are selecting products. In addition to that, as part of how the product is progressing after it has been selected. We have quite a sophisticated gate system meaning that when the product comes to, for example, the next phase of development, we take it back through this NPV and IRR calculation, just to make sure but the value is still there. And if the value is not there anymore because, for example, that there is a new competitor on the market, then we don't hesitate to, of course, to cancel the product because that's a very important part of this process is to make sure that we are focused on the most valuable product, and we take those forward, but we don't hesitate to cancel if that's that's what's needed.

Susan Ringdal executive
#10

Yes. That makes a lot of sense. I guess, obviously, there's a lot there's a lot of work that's going into the product selection and as we talked about, a lot of investment. But ultimately, we have to have some confidence that we can be successful with these projects. could you talk a little bit about what gives you confidence in our ability to succeed, especially since we're working across a number of different pillars.

Hafrun Fridriksdottir executive
#11

Yes. Maybe I can start with -- I mean, talking about the strength of the organization. I strongly believe that this sector makes sure that people are more focused on than maybe the team were in the past. So this is absolutely the right sector for the organization because the teams are more specialized. They are more focused on individual tasks and we have a very, very strong team and we have been strengthening that team over the last 2 years or so. We brought in people with a strong background and strong knowledge. Chris, for example, he joined from other respiratory organization around a year ago or so. And then -- and as I mentioned earlier, you will hear from him later on this. Then [indiscernible] leading that injectable teams he took over her role just recently. But we basically took over quite a strong team with acquisition around a year ago as well, but that team was specialized in developing ready-to-use injectable formulations but we have also been adding more talent to that team over the last few months. So that's going quite well. So I strongly believe that we have the right team. In addition to that, I don't really need to talk about the solid orals because that team has really been -- has a proven track record both for the MENA market for the U.S. market and they have been doing very well. We have also seen, I mean, of course, improvement in submissions, but that's not necessarily. It's not about submissions in the end of the day. It's about approvals and being able to launch products. So we have already seen a lot of progress, and I'm very happy with the team, and I have a full confidence in that they will be able to take this organization forward.

Susan Ringdal executive
#12

Fantastic. Maybe just to wrap up in your section. We obviously have 3 of these events planned today is the first one. What would you like the key takeaway to be from these sessions?

Hafrun Fridriksdottir executive
#13

I mean when I came up with this idea, I was very, very happy to see that because I think it is very important that investors, they know more about what R&D team in Hikma is doing. And so that's very important for every pharma company to show that R&D organization is working very well because that, of course, at the end of the day, the bet and the better for the organization, and that's, of course, to support the future growth of the company. So we are not trying to tell -- I mean, investors what numbers they should be putting into their financial models. But of course, with those sections, I hope that investors will see that we have a strong team, and we are making good progress, and we are really focused on developing the right products for the markets, which we are operating in.

Susan Ringdal executive
#14

Fantastic. That's very clear. Thank you very much. So now let's move over to Guy, and I will let Guy introduce Chris. Thank you, Hafrun.

Unknown Executive executive
#15

Thank you, Susan, and thanks, Hafrun. Before we introduce Chris, we're just going to run a very short video, which was shot at our Columbus site, where Chris and his team are based. So if the operator can you please run that now. [Presentation]

Unknown Executive executive
#16

Okay. So Chris, thank you so much for joining us today. It would be great as Hafrun did. If you could start off just by introducing yourself, giving us a bit of detail on your background? And then also what drew you to join Hikma?

Chris Edlin executive
#17

Sure. Thanks, Guy. So like Hafrun, I've got roughly 25 years' experience in the industry. I started life as a chemist. I have a degree and a PhD in Synthetic Organic Chemistry from the University of Durham. I picked up an NBA along the way to I worked for several large multinational pharma companies in discovery with a big chunk of that in respiratory discovery. They also run a startup company in South Africa for about 5 years. I was elected as a fellow of the Royal Society of Chemistry, plus I've got more than 40 peer-reviewed publications and patterns to my name, too. Prior to joining Hikma about 2 years ago to the day, actually, I ran a respiratory CMC discovery side for another large generic organization in Ireland. What drew me to Hikma, a couple of things, primarily, firstly, their commitment to fund complex combination products. They take a long time. So having that commitment to take those through selection R&D through to commercial, it takes our commitment, and I was really impressed by that during the recruitment phase. And secondly and most importantly, I think colocation of the R&D teams would be a site of manufacture. It's really important. Combination products are called out for a good reason. We need to develop them in combination, not only with the R&D team, but the operations team that are going to deliver them to patients ultimately.

Unknown Executive executive
#18

Brilliant. Thanks, Chris. And we'll talk more about some of those large complex combination products in a bit. But before that, maybe for those less familiar, with it. Can you just explain what sits within the RN SSL platform? There are 4 categories in it? So how does that work? And how is your team set up?

Chris Edlin executive
#19

Yes, sure. So respiratory covers orally inhaled products like dry powder inhalers, pressurized metered dose inhalers, soft mist inhalers, nebulized products. In general, they're the largest markets with the highest barriers to entry. They're the ones that we're committed to developing products for nasal products cover both multi and single dose sprays. And we're moving those forward using a number of regulatory pathways and I'll talk about those a little bit later, too. So the ANDA and the branded 505(b)(2) route 2. Semi-solid screams anointment, those programs are mainly prosecuted in sites in our MENA region, and then finally, liquids. This covers both oral solutions and suspensions. And that includes controlled substances that we execute in Columbus. Overall, the team is organized around 3 functional areas. So we have a strong analytical group formulation and process development group and a clinical group, and they're supported locally by device engineers, human factors, scientists and regulatory affairs that are all co-located in Columbus.

Unknown Executive executive
#20

Great. And then -- and then coming to Hikma more generally in terms of what makes Hikma stand out in this field and what capabilities do we have to justify this as a platform in its own right and make it a defensible one.

Chris Edlin executive
#21

I think we've got a demonstrable track record in developing and commercializing a number of complex combination products. So you can look to our generic Advair success story and fluticasone propionate multidose nasal spray that are sustained in the market. Developing these combination products is -- it requires a unique combination of skills across all of the functional areas in R&D. So analytical formulation and clinical development. We need to make sure that we understand not only the drug product, but how about drug product interacts with the device too. And I think we've built a team that's capable of delivering that.

Unknown Executive executive
#22

Amazing. And so before we dive into a few of those assets, maybe at a high level, and I know Hafrun and Susan touched on this as well, but maybe you can talk from your platform perspective as to how you go about product selection and shaping the broader pipeline?

Chris Edlin executive
#23

Yes. So I think Hafrun outlined how we look at that holistically as an organization, and that trickles down into my organization, too. So we routinely use NPV return on investment and IRR as a way to prioritize how we allocate resource to projects. And that's a routine part of how we operate, so we do that through frequent and regular stage gates but not only look at the business case, but also at the probability of technical and regulatory success, too. It's a dynamic process. It's kind of embedded in the way that we think and talk about programs at the leadership level in the site here.

Unknown Executive executive
#24

Great. So on to some products. So -- and maybe some of the larger opportunities, one that we've spoken about recent and had some recent news on around filing is our intranasal epinephrine. So could you just talk a bit about that product itself where it's an interesting opportunity. And then after that, we can get a bit into the 505(b)(2) pathway that we used on that product.

Chris Edlin executive
#25

Yes, sure. So we communicated externally that intranasal epinephrine has been filed and accepted for review in the U.S. the same story in the EU, where we filed by the decentralized procedure. At the end of last year, we filed in the U.K. to the MHRA. We've also filed in Canada, Jordan and Saudi Arabia. We're really excited about this product. We believe it has clear advantages. Unfortunately, I'm sure you'll understand this. We can't share the actual data right now whilst it's under regulatory review. We expect feedback from the FDA in the first half of 2027, but unfortunately, we can't guide on exact launch dates at this time.

Unknown Executive executive
#26

Thanks, Chris. Yes. So I mean, we -- obviously, look forward to communicating more on that product down the line. But maybe I've mentioned the 505(b)(2) pathway there as did you. We have a generalist audience as well as pharma [indiscernible] on the line, but maybe for the more gamers could you help explain what that partly is it's a U.S. specific one, but how we've how we've gone about developing the nasal and [indiscernible] spray and yes, and mainly focused on the importance of that 505(b)(2) route?

Chris Edlin executive
#27

Yes, sure. I'll do my best. So I think the traditional way of branded companies developing new chemical entities, NCEs, is to follow the NDA pathway where companies would generate all of the safety and efficacy data through the discovery, preclinical and then Phase 1 through 3 stages. And then the other extreme of the process is the ANDA, the abbreviated NDA process, where we -- as a generics organization demonstrate equivalent to a brand, and then we rely on the safety and efficacy data that save the FDA hold on file, and we were using the product specific guidance that the FDA publishes 505(b)(2) sits between those 2. It's companies often repurpose routes of administration and they leverage the established safety and efficacy of the molecule. Epinephrine is a great example of that. It's been around for more than 100 years. The safety efficacy has been proven and well used, and we've found a way to reformat that into a dosage form that's going to be more convenient for patients.

Unknown Executive executive
#28

And can we leverage that 505(b)(2) pathway for other potential products in the pipeline in the future?

Chris Edlin executive
#29

Absolutely. So we have a number of activities going on in-house, where we are looking to synergize with franchises that we're going to build around the epinephrine asset and also looking for adjacencies to that. But also looking to leverage the internal manufacturing capability, too. So we have a strong track record in commercial contract manufacturing for nasal products, and we're looking to utilize our expertise to develop new programs where, for example, the nasal route offers unique advantages in terms of onset of action.

Unknown Executive executive
#30

Brilliant. Makes a lot of sense. Maybe we can now move to respiratory. So we've messaged that we're looking at Ellipta, which is the sort of next generation of inhalers, generic Advair has been a great success for Hikma. People will be familiar with that from us for a long time now. It took a long time to develop, but it's been a good product for us. To that end, can you talk a little bit about Ellipta and our other respiratory projects and what's going on in that field.

Chris Edlin executive
#31

So yes, absolutely. So we've made great progress with the [indiscernible] program. We've selected a device partner, and that relationship is working extremely well. We have formed a great team around moving that forward. We generated not only in vitro but human in vivo data that gives us huge confidence that it was the right choice. And we're moving forward with establishing commercial manufacturing capability in Columbus. There's a lot of synergy with the generic Advair program, too. So for example, the first step in the process is we'll use the same equipment that we use commercially for the Advair program. For later steps, we use slightly different equipment, but the same vendors. So we have established relationships with those 2. So we'll leverage that. In terms of the other dosage forms that we're looking at, we've selected external partners to work with where we don't have that capability in-house to manufacture or where it's a niche or specialized device engineering requirements.

Unknown Executive executive
#32

Great. And so you touched on a little bit there, but it's obviously clear that partnership is an important element of some of these projects. How do you decide between developing in-house, licensing a device or partnering?

Chris Edlin executive
#33

Yes. I think we've taken a very common sense approach to that. Where we've got capability in-house, we've leveraged and amplified that where we don't have that capability, we've sought established partners in the areas and build co-development programs with those people. So it's a bit of a spectrum of activities really. So with a generic Advair. It's predominantly in-house with some device expertise externally, whereas the pressurized metered dose inhalers is predominantly external through codevelopment activities.

Unknown Executive executive
#34

Okay. Great. And going back to again, a topic that was raised a little bit on returns. I mean if you take a project like [indiscernible] this is a long-term product project. How do you think about return on investment when you're making decisions today for something that will come a long way down the line? And how can we be confident in future success there?

Chris Edlin executive
#35

So it's a very similar answer to before. We monitor the market. We have a robust governance procedure where we routinely check the business case. We routinely check that the NPB the program is aligned with our expectations, and we stage-gate investments so that we derisk that for the company going forward.

Unknown Executive executive
#36

Yes. Great. And I guess that's stage gating is a key part of everything.

Chris Edlin executive
#37

Yes.

Unknown Executive executive
#38

Artificial intelligence, maybe just quickly touch on that is obviously a big topic and it would be great to understand how you and your teams are using AI in your day to day.

Chris Edlin executive
#39

Yes. So we've deployed it widely through R&D in Hikma we see it primarily as a productivity tool. It's really freed up scientists' time to do science rather than more administrative tasks. So we found ways to automate report generation, data aggregation and analysis. It doesn't take away the QC step of scientists domains and looking at the data, but it really has freed up our time. So over time, I think we'll be able to move more projects forward with the same amount of resource, process more data, that kind of thing.

Unknown Executive executive
#40

Brilliant. And I know that's the case across much of the Hikma Group in terms of how we're deploying AI. So finally, we're going to -- we'll go to some Q&A from the audience in a moment. But before that, Chris would be great to hear what you feel investors and [indiscernible] should take away about your pillar from these events.

Chris Edlin executive
#41

So mainly focused on projects and people. I think we've built a balanced portfolio of high-value, complex products that will take a longer time to deliver and offset with some near-term wins around, I guess, the less complicated dosage forms. So that's one thing. The second thing is the people. I think it's essential that we build a team and a culture that is unable to deliver, and we've spent a long time in the last couple of years really building that team and I truly believe that we've got the technical expertise to deliver these programs to patients.

Unknown Executive executive
#42

Fantastic. Okay. Thanks very much, Chris. And with that, I'm going to hand back over to the operator who will initiate the open Q&A session.

Operator operator
#43

[Operator Instructions] Our first question comes from Zain Ebrahim from JPMorgan.

Zain Ebrahim analyst
#44

Zain Ebrahim, JPMorgan. Last one, which is just on the Ellipta portfolio development. I think you mentioned filing in 2029 in terms of expected time lines. But could you just talk through maybe some of the experience with generic Advair that you had I think that was a little bit of time to file post some of the FDA feedback. So how you've incorporated some of the experience from the development from Advair in your thinking for Ellipta question.

Chris Edlin executive
#45

That's a good question. So I mean a couple of things there. So one, starting at the AI level. So for example, we've looked at all of the deficiency responses that we received from the through the Advair review process. And we've used AI to do a lessons learned exercise there so that we can incorporate a number of those learnings into our development program. So that's the first thing am I have to repeat some of the clinical trials for the Advair development program. The product-specific guidance has changed now for these kinds of programs. So there isn't a requirement to do a clinical endpoint study. So the burden has changed slightly in terms of the methods to demonstrate equivalents to the brand. So -- it just requires a different set of technical expertise, and we're well placed to deliver on those at the moment, I think.

Operator operator
#46

Our next question comes from Giang Nguyen from Citi.

Giang Nguyen analyst
#47

Giang Nguyen from Citi. I have 2, please. I think the first one is for Hafrun. Thanks for providing the color around the product selection framework. I was wondering how does Hikma thinking around returns on R&D and capital discipline, such as these -- the value metrics that you mentioned, how does it differ today from a year or 2 ago? So that was my first question. And then my second question is for Chris. Thanks for providing us the details around Ellipta program. I was wondering if you could provide a couple of comments around the other 2 programs, so that will be Rescue and the MDIs program.

Hafrun Fridriksdottir executive
#48

Yes. So if I start with regards to return on investment and around the product selection. We have, of course, some specific limits. For example, if we are selecting a global product, what does NPV needs to be? What does the IR needs to be I'm not necessarily going to exactly what those numbers are. But we will follow that of course strictly. But for example, if we are developing products for smaller markets, then we have different NPV in different IRR for the -- we are only focused on 2 markets. So we follow that product how it was done in Hikma in the past? I don't have a detailed I mean, review on that, but I think -- and I know that we -- at least we have a very strict process to which we follow quite also. Chris?

Chris Edlin executive
#49

Yes. So just to recap them. So the questions were on the [indiscernible] Mat soft mist and the PMDI programs, correct? So [indiscernible], I think we are slightly delayed compared to the last time that we communicated that from a submission point of view, but we don't believe that it will materially affect the launch timings which are still focused around patent expiry. Just to note, it is a highly complex device, and there's been some technical challenges. But again, I think we've resolved most of those, but has resulted in some delays to the submission timing. The pMDIs, we've selected 2 areas that are high volume from a PMDI perspective. We are still in the final stages of finalizing that contract with the third-party partner.

Operator operator
#50

Our next question comes from Sebastien Jantet from Panmure Liberum.

Sebastien Jantet analyst
#51

So just I guess a couple of quick questions. First of all, is just if you're going for more global programs, does that mean we should start thinking about the R&D pipeline focusing on slightly larger products. And I guess within that, how do you manage, therefore, the specific risk of having a lot of kind of ex in 1 basket, so to.

Hafrun Fridriksdottir executive
#52

Yes. I mean, if I can start. So I think Hikma has, of course, been developing global programs in the past as well. But the reason for why I talked about selection of global programs, how that -- why that is critical, both for the -- for the R&D organization, but also for the commercial organization is that we take all the requirements from all different countries into consideration when we start the program. The attendance was maybe a little bit to start with one market and then having maybe to repeat some of the work which was done to adjust to other markets, but our focus is really to make -- take into consideration the requirement from all markets when we start those programs. So that's the main difference, which I would say that what we have implemented over the last year or so.

Sebastien Jantet analyst
#53

And I guess the other part of the question was just to understand then how would the concentration look? Are we -- should we be thinking about you launching a small number of large peak sell products or a much larger number of small projects within the kind of the portfolio?

Hafrun Fridriksdottir executive
#54

Yes. Sorry, I missed that part. No, I think it was a mixture of both. I mean, for example, if I talk about, for example, the solid orals, which many of them are not necessarily huge products. But if we approve them for development for all markets at the same time, then clearly, of course, the cost of developing those programs is less. But then we have, of course, larger program as function for epinaprin is as an example where we have in most of the market which we are operating in. So it will be -- I would say it will be mixture both. And I don't want to lose no smaller opportunities, which may be cost less, but still give us a significant return on investment.

Operator operator
#55

Our next question comes from Kane Slutzkin with Deutsche Bank.

Kane Slutzkin analyst
#56

So we're seeing sort of more generic companies shift, I guess, towards more complex products. And as that's happening, I mean, are you seeing sort of petite intensity rise in those areas in respiratory or nasal. And given the long lead times, how do you actually assess what the sort of the competitive landscape and returns might look like by the time the product actually reaches the market -- and just following on from that, is submissions the right metric that we should focus on? Or should we be increasingly sort of looking at the value or complexity of the products that are coming through the pipeline?

Chris Edlin executive
#57

Do you want me to have the Hafrun do you want me. So I mean, I guess the simple answer is in terms of managing expectations. We talked about the way that we govern projects and we stage things. So we review business cases frequently and we make sure that we're still on the correct trajectory. In terms of whether submission is the right metric, it's probably a little easier to forecast submission rather than launch because there's always ambiguity when you file with the regulatory authorities. But to try and offset that ambiguity, we are investing in improving our right first time metrics, using things like AI, making sure we learn from lessons in the past to increase the robustness of our filings so that we can more accurately forecast when we're going to get approval. Does that answer your question?

Kane Slutzkin analyst
#58

Yes. Sort of.

Susan Ringdal executive
#59

Chris, maybe just going back to the first question around the competitive intensity. Maybe you could -- I don't know, I think maybe Advert would be a good example. But -- maybe you could talk a little bit about how competition has evolved on Advair and maybe what you would take from that thinking about what we're using that to think how do we -- what do we anticipate in terms of the potential competition for the Ellipta products.

Chris Edlin executive
#60

Yes. I mean I think it's very difficult to say exactly how much competition that we expect, but compared to solid orals, for example, the number of companies are prepared to commit to the spend and time lines of these programs is significantly lower. So I think that in terms of market share, ultimately, it's going to be higher than some of the -- this is not the right word to use necessarily the simpler dosage forms like solid oral dosage.

Hafrun Fridriksdottir executive
#61

If I may add a little bit about Advair because Hikma launched that were probably around 5 years ago or so. And it has -- so far, it has been 3 or 4 competitors on the market, and it took a long time for many of our competitors to take it through the final approval -- but surprisingly, actually, it was 2 approvals this year. And I think for both those approvals, it took those companies up to 10 years to get to approval. So I mean, that's of course demonstrating how complex those programs are. And -- but -- and also, you really need to have the right experience. You need to have the right team, you need to have the right capability in the organization to be able to develop them and, of course, being in the first wave of launching them. And that's something which we absolutely believe that we have in our organization -- on a Hikma organization today.

Susan Ringdal executive
#62

So -- sorry, go ahead, Chris.

Chris Edlin executive
#63

I was just -- it's not only the skills and developing, but it's also the skills in manufacturing consistently to high quality, too, which isn't easy. So we shouldn't underestimate that aspect of it too. And again, something that I think Hikma has really demonstrated over the last 5 years with Advair.

Susan Ringdal executive
#64

No problem. I wanted you to make that manufacturing point. I think it's a good one.

Operator operator
#65

Our next question comes from Miles Dixon with Peel Hunt.

Miles Dixon analyst
#66

Yes. So -- we've heard lots on the benefits of isolating R&D. I was wondering if I just ask you, Haran. I mean, given the last -- or certainly last year, have there been any -- what was the biggest challenge really in implementing this new structure and approach around R&D and also relatedly to Susan's point about competitive intensity. You talked about identifying products and opportunities around patent expiry, et cetera. they then cancel or can cancel, I should say. What's the frequency in which that happens and how has that changed over the last few years?

Hafrun Fridriksdottir executive
#67

Yes. What was the biggest challenge in establishing the new organization? It was, of course, I mean, first of all, to decide, I mean, did we have the right team in place and where did we need to add additional capability. And that's something which we have been working on and has been going, I would say, quite well. So I strongly believe -- and it's -- it's -- I mean, developing programs as we are developing is so dependent on having the right capability and right experience in place. And I strongly believe that we do have that now. So was it extremely challenging? No, I wouldn't see say so, and it has been going quite well. Now I'm trying to remember the second part of your question, yes, how frequently does it happen that you need to cancel product because [indiscernible] has changed. It happens quite frequently to be honest, especially for maybe the more easier programs, and we really try to be -- try to be well aware of trying to kill program early if they need to be killed, if we see that there is an extreme competition coming in, then we try to do that as quickly as we can. It happens mainly for the programs which we are developing for the for the U.S. market because that's, of course, where the competition is probably the highest. It does not happen very frequently for programs we are developing for the MENA market. But it happens. I mean, I can't really give you any statistic, but it happens. So -- and I think that's very healthy. I mean that's how things should be treated at [indiscernible] should be done. So...

Operator operator
#68

Our next question comes from Beatrice Fairbairn with Berenberg.

Beatrice Fairbairn analyst
#69

So you've highlighted enhanced cross-functional synergies and knowledge sharing across platforms, but I suppose. Could you give us more color on what is different now versus before the kind of centralization of R&D.? And then I'm conscious you can't share specific data, but more generally, what are your expectations for competition in the epinephrine market when considering the nasal platform approach that you've taken?

Hafrun Fridriksdottir executive
#70

Yes. If I can start, Chris, and I will give it over to you. But I think what's different now, I think I mentioned when we started this meeting is that -- we have much more specialized team which are specialized in developing, for example, inhalation product in nasal products. They are all -- they are all sitting together and working on similar formulations. Same for injectables. They are all sitting together and working on similar formulations. So people are learning from each other. They are not trying to be experts in it's in every area, but they are much more focused. And I think that's very, very beneficial in that, something which I've done in my previous organizations as well. Synergies between the 3 platforms. I mean, we have, for example, on one harmonized extractable leasable lab, which is supporting all the 3 platforms. We have harmonized Nitro [indiscernible] labs, which are supporting each and every platform. regulatory team is supporting all the platforms. R&D ops is supporting all the platforms. So we have seen a lot of synergies in this sector as well. So Chris, I'm going to give it over to you with regards to epinephrine.

Chris Edlin executive
#71

Yes, sure. So just to know that we're not going to give commercial guidance on this call. But I guess what I'm going to say is caveated to some extent. So -- it's a highly competitive space, the epinephrine market. There's established gold standards in terms of the intramuscular dosage form to deal with it, but we believe that our product is differentiated from that and others that are being developed and are close to approval. However, we can't make any claims because the product is under regulatory review at the moment. And unfortunately, you're going to have to just wait and see for when the label is published. But the commercial team have got great plans to move this program forward. Sorry.

Operator operator
#72

[Operator Instructions] There are no further questions on the webinar. I will now hand over to Guy Severson to address the written questions.

Unknown Executive executive
#73

Thank you very much. Actually, we do -- there are 2 questions which have been submitted Bridgetonasal pinata Chris, I think you actually just covered the point. I mean, just first on parent locker BNP Paribas asking about commercial ambitions on Nazolapiand competitive differentiators and Christian at Stifel, again, asking about observations on the competition, the ARS products and how that's performing. I can maybe -- unless there's anything else to add, Chris. I think you covered it off just then -- sorry, I'll hand it to you.

Chris Edlin executive
#74

maybe just one thing. I mean just to give people some insight into how the process went with the U.S. regulators, the FDA. So every stage through the development of the program prior to submission and acceptance for review, the FDA saw the data that we generated. They approved protocols before we executed the next round of clinical studies and saw the data from those. So the FDA has been along this journey with Hikma too. So I think that's highly encouraging.

Hafrun Fridriksdottir executive
#75

[indiscernible] You want to talk about the Nepean the competition. I mean I don't think if it is really appropriate to address that here, but...

Unknown Executive executive
#76

No, Now -- as I add Chris, yes, we'll talk more about this product as we go through the process with the regulators and when we have more news next year.

Chris Edlin executive
#77

Yes.

Unknown Executive executive
#78

There are no more written questions.

Hafrun Fridriksdottir executive
#79

If I just may add on epinephrine. We are not the first filer on nasal spray for epinephrine because Navi was, of course, launched probably a year ago in U.S. and in Europe as well. But we believe that being a fast follower is actually very beneficial because hopefully, they would be very successful in and building the market for the nasal spray for epinephrine, which we believe is -- or should be a preferred dosage form for the product moving forward.

Susan Ringdal executive
#80

So thank you, Hafrun. I think that's a great note to end on. So on behalf of the whole Hikma team, I would like to thank everyone for joining the call today. Just a reminder that our next event will be covering the solid orals R&D at Hikma, and that's scheduled for Tuesday, the 24th of November at 2:00 p.m. GMT. So thank you again. We hope you found this valuable, and we look forward to seeing you all then.

Operator operator
#81

Thank you for joining today's call. We are no longer live. Have a nice day.

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