Boehringer Ingelheim eyes expansion of diabetes medicines segment in Gulf



German pharma company Boehringer Ingelheim expects to expand its portfolio in the diabetes segment as increased prevalence of lifestyle diseases in the Arabian Gulf becomes a growth driver.

The company launched its second type II diabetes medicine in the UAE last month, and will launch four diabetes medicines in Egypt this year.

Despite the UAE government’s cost-control measures on medicine prices to check runaway medical costs, the prevalence of lifestyle diseases make it an attractive growth segment for international drug companies.

In the Arabian Gulf, the pharma market was estimated to be US$8.5 billion in 2012, and is expected to grow at a rate of 6 per cent to 8 per cent a year until 2020, according to a 2013 report by Dubai-based investment bank Alpen Capital.

The prevalence rate of diabetes in the region is nearly double that of the global average, the report said.

“Even with the price controls by the government, because of the prevalence of the lifestyle diseases, this market will continue to grow and provide a driver for the international [companies] to continue to invest here,” said Karim El Alaoui, the managing director and head of prescription medicine at Boehringer Ingelheim Middle East, Turkey and Africa.

Last year, it recorded a 34 per cent growth in sales over 2014 in the Gulf. The company declined to provide the total sales in the region. Worldwide, it generated €14.8bn in net sales, an increase of 4.1 per cent from a year earlier. The company’s operating income rose 6 per cent to €2.3bn last year.

As revenues from the oil sector take a plunge, governments across the region are cutting back on their spending, including the health sector. Saudi Arabia, for instance, has cut its healthcare budget this year, providing a way for a greater play for the private sector investment.

“The Gulf pharmaceutical market is still new, and we will be looking at [the Saudi market], and we will try to capitalise it,” Mr El Alaoui said. “There is an unmet medical need in the region.”

Saudi Arabia followed by the UAE are expected to remain the largest pharma markets in the region, according to the Alpen report.

In 2014, Boehringer Ingelheim tied up with Jeddah-based Cigalah group and Riyadh-based Tabuk Pharmaceuticals for local production in Saudi Arabia. Last year, the German company launched the first med madmedicine in the country for the local market.

In Egypt, the German company expects to launch four medicines in diabetes.

“Egypt is the country of the largest diabetes population in the region,” Mr El Alaoui said. “It is considered a focus [for our] expansion.”

It also expects to start local production in Algeria this quarter.

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Get financially independent: Mr Cronin advises UAE residents to pursue financial independence. Start with a Google search and improve your knowledge via expat investing websites or Facebook groups such as SimplyFI. 

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Mercer, the investment consulting arm of US services company Marsh & McLennan, expects its wealth division to at least double its assets under management (AUM) in the Middle East as wealth in the region continues to grow despite economic headwinds, a company official said.

Mercer Wealth, which globally has $160 billion in AUM, plans to boost its AUM in the region to $2-$3bn in the next 2-3 years from the present $1bn, said Yasir AbuShaban, a Dubai-based principal with Mercer Wealth.

Within the next two to three years, we are looking at reaching $2 to $3 billion as a conservative estimate and we do see an opportunity to do so,” said Mr AbuShaban.

Mercer does not directly make investments, but allocates clients’ money they have discretion to, to professional asset managers. They also provide advice to clients.

“We have buying power. We can negotiate on their (client’s) behalf with asset managers to provide them lower fees than they otherwise would have to get on their own,” he added.

Mercer Wealth’s clients include sovereign wealth funds, family offices, and insurance companies among others.

From its office in Dubai, Mercer also looks after Africa, India and Turkey, where they also see opportunity for growth.

Wealth creation in Middle East and Africa (MEA) grew 8.5 per cent to $8.1 trillion last year from $7.5tn in 2015, higher than last year’s global average of 6 per cent and the second-highest growth in a region after Asia-Pacific which grew 9.9 per cent, according to consultancy Boston Consulting Group (BCG). In the region, where wealth grew just 1.9 per cent in 2015 compared with 2014, a pickup in oil prices has helped in wealth generation.

BCG is forecasting MEA wealth will rise to $12tn by 2021, growing at an annual average of 8 per cent.

Drivers of wealth generation in the region will be split evenly between new wealth creation and growth of performance of existing assets, according to BCG.

Another general trend in the region is clients’ looking for a comprehensive approach to investing, according to Mr AbuShaban.

“Institutional investors or some of the families are seeing a slowdown in the available capital they have to invest and in that sense they are looking at optimizing the way they manage their portfolios and making sure they are not investing haphazardly and different parts of their investment are working together,” said Mr AbuShaban.

Some clients also have a higher appetite for risk, given the low interest-rate environment that does not provide enough yield for some institutional investors. These clients are keen to invest in illiquid assets, such as private equity and infrastructure.

“What we have seen is a desire for higher returns in what has been a low-return environment specifically in various fixed income or bonds,” he said.

“In this environment, we have seen a de facto increase in the risk that clients are taking in things like illiquid investments, private equity investments, infrastructure and private debt, those kind of investments were higher illiquidity results in incrementally higher returns.”

The Abu Dhabi Investment Authority, one of the largest sovereign wealth funds, said in its 2016 report that has gradually increased its exposure in direct private equity and private credit transactions, mainly in Asian markets and especially in China and India. The authority’s private equity department focused on structured equities owing to “their defensive characteristics.”