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    The London Stock Exchange is a marketplace for buying and selling shares. There are two groups:

    • Stockbrokers, who buy and sell for you. They arrange the deal and receive commission, which might be 1 % with a
    According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product
    minimum amount of perhaps ?15.

  • Market makers, who buy from and sell to you. They get the difference between the buying and selling price the spread (this is usually about 1%).


  • There is a new t
    ; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

    Examples of combination products may in
    rading system, called order driven trading (the old system is called quote driven trading), operating for high value companies SETS (Stock Exchange Electronic Trading System) whereby buyers and sellers are automati
    lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

    ally matched. However, deals are still set up by stockbrokers.

    Some large companies have set up means to trade in their shares at lower costs than are charged direct by stockbrokers.

    In addition to commission, stamp
    here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe
    duty of 0.5% is payable on purchases.

    Adding these together and you have to achieve a gain of about 2.5% to break even.

    The animals

    The Stock Exchange is full of nicknames. You have already met stags but ther
    d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

    Combination pro
    are two more important animals bulls and bears. Bulls are optimistic and believe share prices will rise; bears take the opposite view.

    To go with the meat there are chips! Blue chips are shares in big companies tho
    ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc
    ught to be relatively sound, such as BP Amoco and Tesco. Then there are white chips smaller, sound companies.

    Share prices

    Prices of popular shares are printed in most daily and evening papers and can be found
    easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi
    on Ceefax/Teletext and on the Internet.

    They are usually grouped into sectors, such as stores, electrical, engineering. Lists of share prices will include some or all of the following:

    • Yesterday's closing
    nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically
    rice: this being the middle market price, halfway between the buying and selling prices.

  • Yesterday's increase/decrease, shown as + or the previous day's price.


  • Highest and lowest prices in the last
  • and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ
    52 weeks.

  • Market capitalisation total number of shares times current price, a measure of company size.


  • Gross yield last full year's dividend before tax as a percentage of the current price.
  • ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi

  • P/E ratio price divided by earnings (profit before tax) per share, i.e. how many years' earnings to recover the share price (theoretically the higher the figure the better the potential growth).


  • Share p
    ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

    Following aspects would a
    rice indices

    Most people have heard of the 'footsie'. It is the FT/SE (Financial Times/Stock Exchange) 100 index the 100 being the largest 100 companies by market capitalisation.

    The other main index is the all
    dd to the challenges in developing combination products:

    Which markets to tap where the combination products can do fairly well?
    Which combination prod
    share index comprising all the shares quoted on the main exchange. There is also the mid 250, being the next 250 after the top 100, and the recently introduced Techmark index for new technology stocks. There are also
    cts are meaningful and rational?
    Which therapeutic categories to select?
    Which Combinations can address unmet needs of the patients?
    Do combin
    indices for the main categories of shares on the London market and for foreign shares Europe, the US, Japan, the Far East.

    Settlement

    Most transactions are now settled electronically through the Crest system
    tions increase the patient compliance?
    What would be the developing cost?
    How to tackle the risks encountered during combination product developmen
    , under which share ownership is registered in the name of a nominee.

    The old system using transfer forms and share certificates is still available but may cost more.

    Settlement of electronic deals is now made three
    t?

    As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel
    orking days after the transaction date. For certificated dealing it is still ten days.

    Alternative investment market

    In addition to the main market, there is also AIM, the alternative investment market which d
    ping new procedures for reviewing their safety, efficacy and quality.

    Professional from academic institutions, pharmaceutical industries, health care indust
    eals in shares of companies which are relatively new and small. It is an intermediate step before the main market.

    Stock exchange regulations are less onerous than for the main market, but this does not in itself mean
    y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products
    more risk for the investor.

    Shares quoted on AIM are more volatile, may be difficult to buy and sell due to restricted numbers and are certainly more risky due to the newness and small size of the companies. However,
    .

    As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de
    large profits can be made.

    OFEX market

    This is a market for trading in shares in unquoted companies, that is companies which are not quoted on the main or AIM markets and are therefore much more risky.

    St
    elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

    Companies that provide selfless information through particip
    ockbrokers

    Some operate on an execution-only basis whereby they just deal in accordance with instructions. If advice is also needed, it will cost more. Deals are usually arranged by telephone or using the Internet


    tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products

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