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Flevy Management Insights Case Study
Global Market Penetration Strategy for Pharma in Rare Diseases


Fortune 500 companies typically bring on global consulting firms, like McKinsey, BCG, Bain, Deloitte, and Accenture, or boutique consulting firms specializing in Product Launch Strategy to thoroughly analyze their unique business challenges and competitive situations. These firms provide strategic recommendations based on consulting frameworks, subject matter expertise, benchmark data, KPIs, best practices, and other tools developed from past client work. We followed this management consulting approach for this case study.

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Consider this scenario: A leading pharmaceutical company focusing on rare diseases is at a critical juncture with its product launch strategy.

Facing a 20% delay in research and development timelines and a 15% increase in operational costs, the organization is under pressure both internally and externally. Market access barriers, stringent regulatory requirements, and fierce competition from established players with similar therapeutic offerings compound these challenges. The primary strategic objective is to successfully launch a new rare disease therapy globally, overcoming market barriers while optimizing R&D efficiency and cost management.



The pharmaceutical industry, particularly in the rare diseases segment, is on the brink of transformation, propelled by rapid advancements in biotechnology and a growing emphasis on personalized medicine. However, despite the promising outlook, companies face significant hurdles in research and development, regulatory compliance, and market access.

Industry Analysis

  • Internal Rivalry: High, as few companies compete in each rare disease space, but those that do offer highly specialized treatments and compete intensely for market share.
  • Supplier Power: Moderate, due to the specialized nature of materials and services required for rare disease drug development, limiting the number of potential suppliers.
  • Buyer Power: Low, given the limited treatment options available for rare diseases, patients and healthcare providers have limited bargaining power.
  • Threat of New Entrants: Moderate, as the high cost and complexity of developing treatments for rare diseases deter many potential new competitors, but breakthroughs in science or regulatory incentives can lower barriers to entry.
  • Threat of Substitutes: Low, due to the unique and specialized nature of treatments for rare diseases, there are few, if any, substitute treatments available.
Emergent trends in the industry include the acceleration of gene therapy and genetic engineering technologies, and a shift towards patient-centric healthcare models. These trends signal major changes in industry dynamics:
  • Increased investment in gene therapy: This opens opportunities for groundbreaking treatments but requires substantial R&D investment and navigates complex regulatory pathways.
  • Shift towards patient-centric models: Enhances patient engagement and treatment adherence but requires restructuring of existing business models to focus more on patient outcomes than product sales.
  • Global regulatory harmonization: Offers the opportunity to streamline drug approval processes but poses the risk of navigating diverse regulatory environments with varying degrees of harmonization.
A STEEPLE analysis reveals that technological, economic, and regulatory factors are the most critical external forces affecting the industry. Technological advancements are driving innovation but also increasing R&D costs. Economic fluctuations can impact funding and investment in rare diseases research. Regulatory environments remain a significant hurdle, with each region posing its own set of challenges and opportunities for rare disease drug approvals.

For a deeper analysis, take a look at these Industry Analysis best practices:

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Internal Assessment

The organization has demonstrated strengths in innovation and has a robust pipeline of rare disease therapies. However, it faces challenges in accelerating its R&D processes and managing rising operational costs.

A MOST Analysis reveals misalignments between the organization's strategy and its operational capabilities, particularly in managing the complexities of global regulatory approvals and market access strategies for rare disease treatments.

A Distinctive Capabilities Analysis indicates that the company's core competencies lie in its deep understanding of rare diseases and its patient-centric approach. However, it needs to enhance its capabilities in regulatory navigation and global market access to leverage these strengths effectively.

A Value Chain Analysis highlights inefficiencies in the R&D process, particularly in clinical trial management and regulatory submissions. Optimizing these areas could significantly reduce time to market and operational costs.

Strategic Initiatives

  • Accelerate Global Regulatory Approval Process: Streamline the process for obtaining regulatory approval across key markets, aiming to reduce time to market for new rare disease therapies. This initiative is expected to enhance the company's ability to quickly deliver innovative treatments to patients, driving revenue growth and competitive advantage. It will require investment in regulatory affairs expertise and technology for efficient document management and submission.
  • Implement a Patient-Centric Product Launch Strategy: Develop and execute a launch plan that centers on patient needs, incorporating patient advocacy and education programs. This approach aims to build strong patient communities and support networks, enhancing treatment adherence and outcomes. The value comes from creating a loyal patient base and improving brand perception, which can lead to increased market share. Resources needed include market research, patient advocacy partnerships, and educational material development.
  • Optimize R&D Efficiency through Digital Transformation: Adopt digital technologies, such as AI and machine learning, to streamline the R&D process, from drug discovery through clinical trials. This initiative aims to reduce development costs and accelerate time to market. The source of value creation lies in achieving operational efficiencies and enhancing innovation capacity. Significant investments in technology and talent development will be required.

Product Launch Strategy Implementation KPIs

KPIS are crucial throughout the implementation process. They provide quantifiable checkpoints to validate the alignment of operational activities with our strategic goals, ensuring that execution is not just activity-driven, but results-oriented. Further, these KPIs act as early indicators of progress or deviation, enabling agile decision-making and course correction if needed.


You can't control what you can't measure.
     – Tom DeMarco

  • Time to Market for New Therapies: Measures the effectiveness of strategies to streamline R&D and regulatory processes.
  • Patient Engagement Level: Assesses the success of patient-centric initiatives in building strong patient communities and support networks.
  • R&D Cost Efficiency: Tracks improvements in the cost-effectiveness of the research and development process.

Monitoring these KPIs will provide insights into the effectiveness of the strategic initiatives, allowing for timely adjustments to ensure alignment with the overall strategic objectives. It will also highlight areas of success and areas needing further attention.

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Product Launch Strategy Best Practices

To improve the effectiveness of implementation, we can leverage best practice documents in Product Launch Strategy. These resources below were developed by management consulting firms and Product Launch Strategy subject matter experts.

Product Launch Strategy Deliverables

These are a selection of deliverables across all the strategic initiatives.

  • Global Regulatory Approval Roadmap (PPT)
  • Patient-Centric Launch Plan (PPT)
  • Digital Transformation Framework for R&D (PPT)
  • R&D Efficiency Improvement Plan (Excel)

Explore more Product Launch Strategy deliverables

Accelerate Global Regulatory Approval Process

The strategic team applied the PEST Analysis to understand the political, economic, social, and technological factors that could impact the regulatory approval process across different geographies. PEST Analysis was chosen for its ability to provide a high-level overview of the external environment that could influence regulatory decisions, making it indispensable for navigating the complex global regulatory landscape. Following the insights gained from PEST Analysis, the team implemented the following steps:

  • Conducted a comprehensive review of the political stability and regulatory trends in each target market to anticipate potential challenges in the approval process.
  • Assessed the economic conditions, including funding for healthcare and drug reimbursement policies, which could influence market entry strategies.
  • Analyzed social factors such as patient advocacy groups' influence and public opinion on rare disease treatments to tailor communication strategies.
  • Evaluated technological advancements in regulatory submission processes, such as electronic submissions and digital data management, to streamline documentation.

The Scenario Planning framework was also utilized to prepare for various future states of the regulatory environment. Scenario Planning allowed the team to develop flexible strategies that could quickly adapt to changes in regulatory policies or unexpected delays. The implementation process included:

  • Identifying key uncertainties in the regulatory landscape that could impact the approval process, such as changes in legislation or shifts in health authority priorities.
  • Developing a range of plausible scenarios based on these uncertainties, from the most optimistic to the most pessimistic outcomes.
  • Creating strategic responses for each scenario, ensuring that the company could maintain momentum regardless of the regulatory environment's evolution.

The combination of PEST Analysis and Scenario Planning provided a comprehensive understanding of the external factors affecting the global regulatory approval process and prepared the organization to navigate these complexities effectively. As a result, the company was able to reduce the time to market for new therapies by 18%, demonstrating the value of a strategic, informed approach to managing global regulatory challenges.

Implement a Patient-Centric Product Launch Strategy

For this strategic initiative, the organization employed the Kano Model to categorize patient needs into basic, performance, and delighter categories. The Kano Model proved to be an effective tool in understanding and prioritizing patient expectations for the new rare disease therapy, ensuring that the product launch strategy resonated with the target audience on an emotional and practical level. The steps taken included:

  • Gathering detailed patient feedback through surveys and focus groups to identify features of the therapy and associated services that patients valued the most.
  • Classifying these features according to the Kano Model to prioritize development and marketing efforts on aspects that would significantly enhance patient satisfaction and loyalty.
  • Adjusting the product launch plan to emphasize 'delighter' features in marketing communications and patient engagement activities, setting the therapy apart from competitors.

Additionally, the organization applied the Customer Journey Mapping framework to visualize the entire patient journey, from diagnosis to treatment. This framework helped in identifying key touchpoints where the company could engage with patients and healthcare providers more effectively. The implementation involved:

  • Mapping out the patient journey for rare disease treatment, highlighting moments of high anxiety or decision-making.
  • Identifying opportunities within this journey to provide support, information, or services that could ease the patient's path to treatment.
  • Integrating these touchpoints into the product launch strategy, ensuring a seamless and supportive experience for patients and healthcare providers.

The use of the Kano Model and Customer Journey Mapping significantly enhanced the patient-centric focus of the product launch strategy. By understanding and addressing patient needs and expectations effectively, the company was able to achieve a 25% higher patient engagement rate in the first six months post-launch compared to previous launches, underscoring the effectiveness of these strategic frameworks in crafting a successful product launch.

Optimize R&D Efficiency through Digital Transformation

To address the strategic initiative of optimizing R&D efficiency, the organization turned to the Lean Startup methodology. This approach was instrumental in applying principles of agility and rapid iteration to the R&D process, particularly in the early stages of drug development. By adopting Lean Startup principles, the company was able to:

  • Implement a build-measure-learn feedback loop for early-stage research, quickly testing hypotheses and pivoting based on results to reduce time and resources spent on non-viable paths.
  • Focus on minimum viable products (MVPs) for initial clinical trials to gather meaningful data sooner and inform subsequent development stages with real-world findings.
  • Encourage cross-functional collaboration between research, clinical, and regulatory teams to streamline the development process and reduce silos that could delay project timelines.

Concurrently, the organization applied the Resource-Based View (RBV) to assess and leverage its internal capabilities and resources more effectively in support of R&D projects. This involved:

  • Conducting a thorough analysis of the company's unique resources, including proprietary technologies, expertise in rare diseases, and partnerships with research institutions.
  • Aligning these resources with R&D projects that had the highest potential for success and market impact, ensuring that the company's strengths were fully utilized.
  • Investing in areas where internal capabilities could be enhanced to support future R&D efficiency, such as advanced data analytics for drug discovery and development.

The implementation of Lean Startup methodology and the Resource-Based View enabled the organization to significantly improve R&D efficiency, reducing the average development time for new therapies by 22%. This strategic approach not only accelerated the delivery of innovative treatments to patients but also enhanced the company's competitive position in the rare diseases market.

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Key Findings and Results

Here is a summary of the key results of this case study:

  • Reduced time to market for new therapies by 18% through strategic global regulatory approval processes.
  • Achieved a 25% higher patient engagement rate in the first six months post-launch by implementing a patient-centric product launch strategy.
  • Reduced the average development time for new therapies by 22% by optimizing R&D efficiency through digital transformation.
  • Streamlined documentation and regulatory submission processes by evaluating technological advancements in regulatory submissions.
  • Enhanced patient satisfaction and loyalty by prioritizing 'delighter' features in the product launch plan.
  • Implemented a build-measure-learn feedback loop for early-stage research, significantly reducing time and resources spent on non-viable paths.

The strategic initiatives undertaken by the organization have yielded significant results, demonstrating the value of a comprehensive and informed approach to overcoming industry challenges. The 18% reduction in time to market for new therapies and a 25% increase in patient engagement rate are particularly noteworthy, underscoring the success of the global regulatory approval process and the patient-centric product launch strategy. However, while the reduction in average development time for new therapies by 22% marks a significant achievement in optimizing R&D efficiency, it also highlights the ongoing challenge of managing rising operational costs. The successful implementation of digital transformation initiatives suggests that further investment in technology could enhance outcomes. Nonetheless, the reliance on technological advancements also introduces risks related to cybersecurity and data privacy, areas that were not explicitly addressed in the initial strategy.

Given the results and the analysis, the next steps should focus on consolidating the gains while addressing the remaining challenges. It is recommended to continue investing in digital transformation, with a specific emphasis on cybersecurity and data privacy to safeguard against potential risks. Additionally, exploring partnerships with technology firms could accelerate the adoption of innovative solutions and further reduce operational costs. To build on the success of the patient-centric launch strategy, expanding patient advocacy and education programs could enhance patient engagement and loyalty even further. Finally, conducting a comprehensive review of the operational cost structure could identify additional efficiencies, ensuring the sustainability of the R&D process.

Source: Global Market Penetration Strategy for Pharma in Rare Diseases, Flevy Management Insights, 2024

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