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    The German Code for Germany is perhaps best illustrated in a story.

    Lego, the Danish toy company, found instant success with their interlocking b
    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
    locks in the German market, while sales foundered in the U.S. Why?

    The company’s management believed that one of the primary reasons for their su
    ; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

    Examples of combination products may in
    ccess was the quality of the instructions they provided inside each box that helped children build the specific item (a car, a spaceship) that a p
    lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

    articular box of blocks was meant to build. The instructions were quite a breakthrough in the field: precise, colorful, and refreshingly self-expl
    here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe
    anatory. They made construction with Lego blocks not only simple, but in some ways magical. If one followed the path through the instructions, tin
    d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

    Combination pro
    y plastic pieces methodically turned into something grander.

    American children could not have cared less. They would tear into the boxes, glance
    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
    fleetingly at the instructions (if they glanced at them at all), and immediately set to a construction project on their own. They seemed to be hav
    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
    ing a wonderful time, but they were as likely to build, say, a fort, as they were to build the automobile for which the blocks were intended. And
    nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically
    when they were done, they would tear their fort apart and start over from scratch. Once purchased, to Lego’s dismay, a single box of Lego could la
    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
    st for years.

    In Germany, however, Lego’s strategy worked exactly as intended. German children opened a box of Legos, sought out the instructions
    ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi
    read them carefully, and then sorted the pieces by color. They set to building, comparing their assembly progress to the crisp, helpful illustrat
    ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

    Following aspects would a
    ions in the instruction booklet. When they were finished, they had an exact duplicate of the product shown on the cover of the box. They showed it
    dd to the challenges in developing combination products:

    Which markets to tap where the combination products can do fairly well?
    Which combination prod
    to Mother who clapped approvingly and put the model on a shelf. Now the children needed another box.

    Without even knowing it, Lego had tapped in
    cts are meaningful and rational?
    Which therapeutic categories to select?
    Which Combinations can address unmet needs of the patients?
    Do combin
    to the Culture Code for Germany itself: ORDER. Over many generations, Germans perfected bureaucracy in an effort to stave off the chaos that came
    tions increase the patient compliance?
    What would be the developing cost?
    How to tackle the risks encountered during combination product developmen
    to them in wave after wave, and Germans are imprinted early on with this most powerful of codes. It is that imprint which makes children reach dut
    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
    ifully for the instructions, and it is that code which prevents them from immediately destroying their neat construction in order to build it anew
    ping new procedures for reviewing their safety, efficacy and quality.

    Professional from academic institutions, pharmaceutical industries, health care indust
    . Lego’s elegant, full-color instructions had tapped into the German code in a way that assured repeat sales.

    Excerpted from The Culture Code by
    y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products
    Clotaire Rapaille Copyright © 2006 by Clotaire Rapaille. Excerpted by permission of Broadway, a division of Random House, Inc. All rights reserved
    .

    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
    . No part of this excerpt may be reproduced or reprinted without permission in writing from the publisher.

    an excerpt from the book The Culture C
    elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

    Companies that provide selfless information through particip
    ode
    by Clotaire Rapaille
    Published by Broadway Books; June 2006;$24.95US/$32.95CAN; 0-7679-2056-2
    Copyright © 2006 Clotaire Rapaill


    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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