GENERIC DRUGS - C&EN Global Enterprise (ACS Publications)

Apr 1, 2002 - WHEN IT COMES TO GENERIC DRUGS, THE PUBlic and the major pharmaceutical companies wear their hearts on their sleeves: The public loves t...
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COVER STORY

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GENERIC DRUGS Some fine chemicals companies make generic bulk actives and some don't, but no company can afford to ignore them MICHAEL MCCOY, C&EN NORTHEAST NEWS BUREAU

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HEN IT COMES TO GENERIC DRUGS, THE PUB-

lic and the major pharmaceutical companies wear their hearts on their sleeves: The public loves them for their low prices, and drugmakers hate them for what they do to profits. For fine and pharmaceutical chemicals companies, however, the emotions are more complex. The manufacture of bulk generic actives is a large source of revenue, but it can cause conflicts for companies as they pursue a more lucrativefield—thecustom manuHTTP://PUBS.ACS.ORG/CEN

facturing of intermediates for patented drugs. As a result, philosophies toward generic active pharmaceutical ingredients, or APIs, vary widely among U.S. and Western European fine chemicals companies. Some embrace them wholeheartedly some avoid them completely, and some walk a fine line between making them for generic drug companies and conducting exclusive synthesis for the big drug makers against which the genericfirmscompete. Broadly speaking, exclusive—or custom—synthesis is a risky but potentially highly profitable business for fine chemicals companies, whereas making generic C & E N / A P R I L 1, 2 0 0 2

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COVER STORY APIs offers producers stability but only and you are more in control of your own Glucophage were $ 1.7 billion last year, and modest profits. destiny," he says. "The art is to select ones because it treats a chronic disease with a This is because exclusive synthesis is that will be winners versus ones where hefty dose—2 g per day—active ingredigenerally carried out for "innovator" drug there will be enormous competition. " ent consumption is high. Indeed, Foote companies that are launching new prodThat competition, not surprisingly, is in calculates that metformin is the largest volucts based on original research. If approved active ingredients for the $1 billion-plus ume prescription synthetic pharmaceutiand successful, these products enjoy years blockbuster drugs—like GlaxoSmith- cal on the market, with worldwide bulk acof patent protection and profits, for both Kline's Zantac and Eli Lilly's Prozac—that tive consumption of roughly 2,000 metric the drug company and the chemical com- come off patent to much fanfare. tons per year. pany that supplies it with intermediates But competition in bulk metformin is Howard Foote, formerly with the fine or active ingredients. But if products fail chemicals company Aerojet and nowpres- intense, and industry observers say the maduring clinical trials or are withdrawn from ident of the consulting firm Meadowbrook jor providers of the API are not the big, the market because of unforeseen com- Associates in Sturgeon Bay, Wis., cites the well-known fine chemicals companies, but plications, both parties must swallow the recent example of Bristol-Myers Squibb's rather low-profile firms such as Chemlosses. Glucophage, which lost patent protection source in Puerto Rico, Farmhispania in The generics business kicks in when, af- inJanuary and immediately met with heavy Spain, and USVin India. ter years on the market, successful products generic competition. finally lose patent protection. Then, mulGlucophage, chemically metformin FOOTE NOTES that more than 40 fine tiple generic drug companies launch copy- HC1, is a big generic opportunity Sales of chemicals companies around the world— cat versions of the original drug, many of them in India—claim based on an API they can buy BALANCED Hovione strives for a 50-50 split between to be able to make the comfrom multiple fine chemicals generics and custom manufacturing. pound. And, despite being a relfirms. Profits for these chemical atively complex molecule recompanies are much lower, but quiring several synthetic steps, because the drug is a proven metformin sells for less than $20 commodity, they are relatively per kg in the U.S. and below $ 10 ensured. elsewhere. "It's hard for a big U.S. or European company to make money at that price," he says. THE ATTRACTIVENESS of this certainty has become clear to the While many of the major fine and custom chemicals busiWestern fine chemicals companess over the past two years. nies resist the temptation of While generics chugged along, blockbuster generic APIs, only a custom synthesis providers had few of them—such as Avecia, to contend with industrywide Lonza, and Dow Chemical— overcapacity, unexpected drug don't make generics at all. And failures, and a consolidation even these firms must take geamong drug industry customers nerics seriously if only because that cut into outsourcing. generic competition at the end of the lives of their customers' The upshot of these develpatented products will unopments, according to EnricoT doubtedly mean lower sales for Polastro, a vice president at the them as well. consulting firm Arthur D. Little, is that the return on capital For Avecia, the focus is on in exclusive synthesis fell in making the onslaught of gener2000 to below 10%, from hisics as painless as possible. 'We're toric levels of almost 20%. In more interested in helping cuscontrast, returns in generic API tomers manage their products' manufacture stayed relatively life cycles than we are in capiconstant at about 15%. talizing on patent expiry," says Nicholas Hyde, vice president Polastro cautions, however, of Avecia's pharmaceuticals that generics are no walk in the business. park. Competition is stiff, and According to Hyde, Avecia is the field is increasingly being fortunate in that none of its mapursued by low-cost newcomers jor customers face patent expifrom countries such as India and rations for the next five years. China. "The advantage ofgenerStill, he says the company is alics is you have a lot of products

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COVER STORY ready trying to answer a key question: "Ifwe have been a part of the supply chain under patent protection, what will we do postexpiry?" Some products enjoy a manufacturing or other technological barrier to entry that can keep Western companies competitive after patent expiration. For example, Avecia is one of just a few firms with expertise in handling cyanogen chloride. But for products without such barriers, Hyde says it may not be realistic for a company like Avecia that conducts most of its pharmaceutical chemistry in Britain to try to compete withfirmsfrom developing countries. ONE SOLUTION would be for Avecia to establish manufacturing in a low-cost country in order to continue supplying customers that want to stay active in the post-patent market. 'We're contemplating it seriously," Hyde says. Almost all fine chemicals companies— including those active in generic APIs— emphasize that their primary commitment is to innovator drug companies and that they won't pursue business that jeopardizes that relationship. For example, Bernard Fontana, vice president of the French fine chemicals maker SNPE, acknowledges that SNPE has a line of generic APIs, but he says thefirm'smajor focus is on innovator firms. SNPE is beholden to these companies and won't market generic versions of their products after patents expire. "We are loyal to the partner to the end," Fontana says, "even if it means we have to stop production." Drug companies take different approaches after patents on their products expire and prices fall in the wake ofgeneric competition. Some in fact do abandon the market or sell the business to a generics firm for a nominal sum. If that buyer turns to a new API source, then the run is over for the fine chemicals company that supplied the originator firm for many years. Other scenarios can develop, however, that allow the supplier to hold onto some business. Take the case of Laporte, now part of Degussa, which for many years supplied an advanced intermediate that a major pharmaceutical company used to

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taly is known as the historic cradle of the generic active pharmaceutical ingredients (API) business, but the past 10 years have been tough for the industry there. That's due toi993 patent legislation enacted in nine European countries that, among other things, bars chemical manufacturers from producing small quantities of pharmaceutical actives for generic drug companies conducting clinical trials. In contrast, simitar U.S. legislation, the 1984 Waxman-Hatch Act, allows for the production and testing of trial quantities. The result has been a partial shift in new generic API business from Italy to countries like Israel and Spain that aren't covered by the legislation. A 1998 study conducted for the European Union warned that 13,000 jobs in the European API sector

could be lost unless the legislation is revised to allow production of test quantities. One positive outcome, though, has been a refocus of Italian company resources toward custom synthesis for large innovator drug companies. For example, at the Italian firm Zambon, generics sales were flat from 1998 to 2000 at about $45 million per year. But custom synthesis sales jumped from around $5 million in 1998 to $18 million in 2000. Likewise, Cambrex Corp.'s Italian subsidiary Profarmaco in Paullo, Italy, has brought in innovator business to complement its roster of 60 generic APIs, according to Paolo Russolo, president of Cambrex's generic pharmaceuticals business unit. But Italian companies are also taking steps to shore up the generics business. Russolo notes

make the active ingredient in an ulcer drug. When patent expiration approached, the drug company turned to an Indian firm for supply at a price that Laporte couldn't match. But according to Clive Rankin, vice president and general manager for pharma intermediates and exclusive synthesis at Degussa Fine Chemicals, rather than leave Laporte in the cold, the drug company granted it a license to use the technology needed to make the intermediate. Rankin says Degussa has had "modest" success pursuing business based on the technology In other cases, Degussa has held onto

that after the law went into effect, Profarmaco started scouting for a U.S. plant where it could carry out trial-scale production. Instead, in 1994 it was acquired by Cambrex, which has since built the needed facilities at its U.S. sites. For its part, Zambon has added laboratoryscale API synthesis capability at a company site in Spain, according to Giorgio Oberrauch, general manager for U.S. operations. He says a pilot plant will open there by the end of this year and a fullscale plant by the fall of 2003. After a dry spell, Russolo says, Profarmaco is getting back into the new generics game. It is investing $2.5 million in R&D at the Paullo site and has been developing synthesis routes for APIs that go off patent in 2005 and beyond. "After 2005, we will be ready with a huge list of products," he says.

intermediates sales to innovator partners when their products have gone off patent. And in still others, manufacturers of aging patented products have approached Degussaforhelp in developing lower cost routes to an intermediate or API in order to stay competitive in the post-expiry market. In such cases, Degussa isn't the original supplier, so the chance to come up with improved chemistry is a business opportunity Fine chemicals makers can also win when companies that don't want to slug it out in the generic prescription drug market seek FDAapproval to sell the product as an overthe-counter medicine. Schering-Plough re-

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COVER STORY cently said it planned to pursue this strategy with the allergy medication Claritin, which goes off patent later this year. AstraZeneca, the maker of the soon-to-begeneric ulcer medication Prilosec, is working with Procter & Gamble to take that product over the counter. SUCH A SWITCH would be in the tradition of Zantac and Pepcid, two formerly prescription stomach remedies that are now sold on drugstore shelves. The profits aren't nearly as good as they were when the products were under patent, but they may be better than in the generic prescription market. And, of interest to fine chemicals makers, the API production volumes are likely to be higher than in either prescription scenario. "Large pharmaceutical companies are much more open to a variety of ways to manage their product franchises at the end ofpatent life," says George Biltz, vice president of Dow Chemical's custom and fine chemicals business. He anticipates a proliferation of novel approaches, particularly as politicians and the courts lose patience with the competition-delaying tactics that

drug companies traditionally put up in front of generics. DoVs strategy is to work with patent holders, and it has no intention of becoming a player in the classic generics market. But Biltz sees an opportunity to help drug companies manage patent expiration creatively by coming up with lower cost manufacturing routes—just as Dow scientists did recently when they developed an improved route to the cancer drug tezacitabine being developed by Matrix Pharmaceutical. "We want to help customers move to a competitive place with their products as they come offpatent," he says. Avecia and Dow are exceptions, and most major chemical companies find themselves—sometimes reluctantly—in the generics business to some extent, either for historical reasons or because generics came as part of acquisitions made to bolster their fine chemicals business.

DSM, for example, became a major competitor in generic bulk antibiotics when it acquired Gist-brocades in 1998. Its strategy in this competitive market is threefold: build plants for low-priced antibiotics like penicillin in low-cost countries, shift its product portfolio to higher margin products, and use its skills in biotechnology to devise cheaper routes to antibiotic intermediates. In fine chemicals, DSM found itselfin the generic bulk actives business when it acquired Catalytica in 2000 for $800 rnillion. This is because a year earlier Catalytica had bought WfckoffChemical, a small but respected API maker based in South Haven, Mich., for $60 million. Today, DSM representatives decline to discuss the generic API business. They say the South Haven plant continues to supply the market with products such as terconazole and lidocaine, but that the com-

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COVER STORY parly's overall strategyforgenerics is still being developed. People outside DSM speculate that the firm is concerned about offending innovator drug companies that may not want to see it making generics. Other big companies are frank about their dual participation in generics and exclusive synthesis. At Degussa, Rankin acknowledges that the company does keep its eye out for generics that will fit with its manufacturing strengths. "If we see a molecule that we have a good route to, we would not be doing our job ifwe didn't look at it," he says. Degussa's Radebeul plant in the former East Germany makes a number of "legacy" generics that were developed in the facility's preunification past. Since acquiring the plant, Degussa has modernized it, and company executives are now looking for new opportunities, which, Rankin says, include generics. "But we have to look at customer relationships first," he asserts. "They are more important. Essentially, we go to existing customers and ask, 'Do you mind?'" Like Degussa and DSM, Clariant is another bigfinechemicals player that found

itself in generics as a result of an acquisition—in its case the 2000 purchase of BTP for close to $1 billion. Today, Clariant's life sciences molecules business is divided roughly 70-30 between exclusive synthesis and generics, a ratio that business head David Maddox says he is comfortable with. "We have a reasonably strong presence and interest in multicustomer APIs and intermediates," Maddox says. "But our main thrust is building strong relationships with major discovery companies." CLARIANT IS notable among the larger fine chemicals companies in that it continues to launch and publicize new generic products. Another active developer is Cambrex Corp., which operates a separate generic pharmaceutical business and has a stated goal of launching six to eight new generic APIs each year. However, Clariant doesn't approach generics like the "true generic firms that trawl products coming offpatent and choose one as a target," Maddox says. Rather, the company discusses the generics landscape with its major innovator customers to ensure

that it doesn't get into an unwanted competitive situation. In fact, Clariant sometimes enters a generic market in cooperation with an innovatorfirmthat is preparing for patent expiry "Often our first partner on a generic is the originator," Maddox says. "They know the product will become more competitive, and they may want a more competitive supply situation. If we have the technology to make it, then the arrangement works for both parties." In addition, Maddox notes that Clariant only pursues generics to which it brings some special manufacturing or technological capability An example is the tetracycline antibiotic minocycline, which Clariant recently began making in Origgio, Italy Clariant's strength is twofold: Minocycline requires a unique raw material that the company already makes, and one step in its synthesis involves a highpressure hydrogénation that the Origgio plant is equipped to handle. Clariant is also a major manufacturer of the angina treatment isosorbide mononitrate, supplying both innovator and generic drug firms. "It's a difficult technology

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COVER STORY involving a potentially explosive nitration step," Maddox says. "That transcends all discussion of competition." Maddox says Clariant is so far relative­ ly unscathed by generic API manufactur­ ers from low-cost countries, partly because ofits strategy of leveraging manufacturing strengths. The company hasn't been so for­ tunate in generic agrochemicals: It had to close its Elgin, S.C., pyrethroid insecticide intermediates plant a few years ago and move production to India. It's clear that no U.S. fine chemicals plant is going to thrive in today's com­ petitive generic API market by doing metoo chemistry. Yet unique, specialized chemistry isn't a sure route to success in generics either. As Cliff R. King, director of new business development at contract manufacturer Pisgah Laboratories, puts it, "%u can go broke doing chemistry you enjoy." Pisgah, based in Pisgah Forest, N.C., logs about 15% of its sales in generic APIs, ac­ cording to King. Rather than launch prod­ ucts on the market to all takers, however, thefirmtends to undertake specialty prod­ ucts brought by third parties. King says the

typical Pisgah generics customer is a small firm that doesn't have the resources to go overseas or is a company that demands the security of a local supply source. Jeffrey Bauer, vice president of business development at Eon Labs, a large generic drug maker in Laurelton, Ν. Υ, says his firm sources many bulk actives for commodity generics from developing countries. "Eon looks to U.S. and Western European firms to supply the niche and special technolo­ gy products," he says. For products on the market and in its pipeline, Bauer figures that Eon sources 10% of its raw materials from US. firms, 80% from Western European companies, and the balance from companies in the rest of the world—primarily India but also Eastern Europe and China. Eon and other generic drug companies work with U.S. firms for controlled sub­ stances because Drug Enforcement Agency (DEA) regulations prohibit im­ porting certain classes of active ingredi­ ents. One company pursuing this market is Chattem Chemicals, a private API man­ ufacturer in Chattanooga, Tenn. Chattem had been making basic phar­

maceutical-grade chemicals such as glycine and antacid actives for years when it was acquired in 1995 by Elcat, a holding com­ pany in Warren, N.J. According to Elcat President John Scansaroli, Elcat saw "an underutilized facility and an ability to in­ vest in the API field." In 1998, Elcat got its investment op­ portunity when it purchased a diverse, mostly generic API product line from Arenol, a smallfinechemicals company in Somerville, Ν J., that had suffered a plant mishap and the loss of a major customer. Since then, Scansaroli says, Elcat has trans­ ferred these products to theTennessee site and is building up DEA-required R&D and quality control organizations. CHATTEM'S NICHE, Scansaroli says, is controlled substances—products such as methamphetamines that have a common base in active amine chemistry. At pres­ ent, thefirmmakes six core APIs inherit­ ed from Arenol, three of which are con­ trolled substances. Six more APIs are under development, five of which are al­ so controlled. And Chattem is looking to add to its

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product line, perhaps through agreements with European firms that possess technology but can't supply the U.S. market. Scansaroli's ideal product is the opposite of a blockbuster: a $500,000- to $2 millionper-year controlled substance API that is "off the radar screen" of bigger firms. The government's controlled substance regulations make a nice barrier to entry, but not all U.S. API makers depend on it. Take PolyCarbon Industries, a fine chemicals company in Leominster, Mass., started by former employees of ChemDesign, another Massachusetts firm. PolyCarbon is bucking the move offshore and making generic APIs after only six years in business. President Edward S. Price attributes PolyCarbon's success so far to pursuit of intermediates and APIs—generic and new—that meet a strict profile: end market sales of less than $100 million a year, at least five steps of chemistry, and use of some capability unique to the company "China and India are low cost," Price concedes, "but a product that requires complex chemistry and has avolume of only 200 kg per year doesn't fit there." PolyCarbon was inspected by FDAlast month and will soon start production of flecainide acetate, a 3M Pharmaceuticals antiarrhythmia drug. The drug, known as Tambocor, went off patent in the U.S. several years ago but wasn't picked up by generics firms. Price says PolyCarbon got involved when it was approached by a generics company to make a flecainide intermediate that required a specialized reduction technology "We decided to do the whole thing," he says. PolyCarbon is scaling up a second niche generic for a Newlfork City-areafirmthat chose it because of two criteria: It wanted aU.S.-based supplier, and PolyCarbon was already making a key raw material. And in HTTP://PUBS.ACS.ORG/CEN

a third case, PolyCarbon signed a contract to make a mere 25 kg of an older, long-offpatent API. "Some people call them the cats and dogs of the drug industry," Price says of such products. It's telling that PolyCarbon entered the generics business after supplying large pharmaceutical firms with custom synthesis for several years. "Half our sales are from thesefirms,"Price says. "But we discovered that we had to branch out. There are too many players serving big pharma today" Regis Technologies in Morton Grove, 111., is another U.S. company that found stability in generics. Dave McCleary, Regis' director of business development, says that when he joined the company from Abbott Laboratories in 1999, its business was almost all small-scale exclusive synthesis for the clinical and early-phase trials of innovator companies. "ITWASYERYunpredictable,"McCleary says, "with lots ofwaiting between phases and during patient enrollment. It was a roller coaster." He and other managers determined that Regis needed more consis-

tent cash flow, and that the quickest source was generics. Regis partnered with ageneric drug company that, because of an unexpected loss of supply, was in urgent need of a new supplier for a family of five prescription cough and cold products. Regis started making the products on an exclusive basis during 2000, and the customer has since tapped it to make two more products: One was scaled up in December 2000, and the other is being commercialized now With two more APIs that were added last year, close to 20% of Regis' business is now in generics, from nothing just three years ago. The cough and cold actives are made with conventional chemistry, McCleary adds, while the others rely on chromatographic separation techniques, a Regis specialty. What Regis learned about generic APIs—that, properly chosen, they can smooth out the ups and downs of the exclusive synthesis business—is not news to the midsized European firms that are the veterans of the fine chemicals industry "Custom synthesis is very, very risky," says Giorgio Oberrauch, US. general man-

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COVER STORY HANDFUL Clariant's Tonneins, France, site is one of several where the company produces generic APIs. ager for Zambon, an Italian firm active in generics and exclusive synthesis. 'We have seen other companies devote too many resources to custom synthesis, and then one project or two projects disappear and they are in big trouble." This view is shared by other European fine chemicals producers such as the German company Chemie Uetikon, which sold about $30 million worth of intermediates and APIs last year. Commercial Director Ingo Graefe says he likes Uetikon's 60-40 sales split between exclusive synthesis and its own product line of intermediates and generics. His view: "Doing only custom synthesis, in my opinion, is very dangerous, libu lose one product—okay % u lose three, and you have a very difficult situation.,, At Hovione, a Portugese API manufacturer with annual sales of about $60 million, the split is almost dead even between generics and exclusive synthesis, a balance that Bill Heggie, vice president for process chemistry, says the company wants to

maintain for optimum resource allocation. "Wë control the generic—how much we make, how much is in inventory," Heggie

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says. ' W h e n we work for clients in custom synthesis, they tell us when they want the product. They are waiting on results from clinical studies and don't want to invest until they have concrete results." Hovione has an active generics pipeline: The corticosteroids fluticasone propionate and halobetasol propionate and the cholesterol-lowering agent simvastatin, for example, are being prepared for launch later this year. Heggie says Hovione avoids blockbusters, choosing instead products that play to its in-house strengths. Steroids are a Hovione specialty, and simvastatin couples synthetic chemistry with fermentation—another company strength. European firms say they generally avoid the kind of deals Pisgah, Regis, and PolyCarbon have entered—those in which generics are made exclusively for one customer. Although there are exceptions, Heggie says Hovione tries not to be tied to one company, "so as to give ourselves the best opportunity to make a success out of the business." Oberrauch is more blunt. "We offer products to the market," he says of Zambon's generics business. "Exclusive deals are just as risky as custom synthesis." THE RELUCTANCE of some firms notwithstanding, Bauer says Eon Labs has a few exclusive supply contracts or strategic alliances, particularly for specialtyAPIs. "It's a matter of trust," he says. "We explain to suppliers that, in certain cases, there are advantages to marketing their actives through one U.S. generic partner." Graefe notes that there is a comproHTTP://PUBS.ACS.ORG/CEN

mise on the issue of exclusive generics. He points to the case of terazosin HC1, the active ingredient in Abbott Laboratories' hypertension drug Hytrin, which came off patent about a year and a half ago. Uetikon was approached by a U.S. generic firm that knew it had experience making a structurally similar veterinary product. Uetikon developed it exclusively, but after the U.S. company launched its generic, Uetikon began offering it to the general market. U.S- AND ^Western Europeanfinechemicals companies that make generics know that drug companies like Eon Labs are increasingly sourcing their off-patent APIs from Asia. % t almost all are bullish about the business, and many are even expanding. Regis, for example, recently acquired land to triple capacity at its Morton Grove facility, partly in response to the success of its new generic products. Cambrex recently announced plans to spend $2.5 million on a new generics R&D lab in Paullo, Italy Chemie Uetikon is in the process of starting up a $20 million facility at its site in Lahr, Germany Graefe says the facility will focus on products that must be made under current Good Manufacturing Practices standards—both generics and exclusives—freeing up the old plant for intermediates and non-cGMP fine chemicals. Hovione, too, is expanding, through the construction of a new kilo lab and drug development facility in New Jersey. At the same time, Heggie acknowledges the growing Asian competition. "It is a fact that Chinese and Indian producers are entering into this arena, driving the price of generic products down," he says. But Heggie maintains that this "can only be for the good of the pharmaceutical industry Our focus is on providing service and value to our clients." He points to one of Hovione's oldest generics, the antibiotic doxycycline. "It is still an important product for us, and we continue to sell appreciable quantities because of the added value that Hovione gives to our clients," he says. Graefe is also sanguine about the future. He expects more competition—in APIs from Indian firms and intermediates and fine organic chemicals from Chinese companies—but he's confident that these companies won't push into the niche products that Uetikon pursues. And if they do, Graefe says his company will be ready "What they do with manpower," he says, "we do with equipment, technology, and customer service." • HTTP://PUBS.ACS.ORG/CEN

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