As a product moves from development to loss of exclusivity, the Key Opinion Leaders worth investing time in change with it.
A Key Opinion Leader is an expert whose opinion carries weight with the prescribers, peers or payers a product is trying to reach. Which experts fit that description is not fixed.
Maaike Addicks, MD, built this one-page grid for the participants of her course Strategic KOL Planning & Engagement.
It maps four critical success factors against the stages of the lifecycle, and names the type of KOL each combination calls for.
The grid runs along two axes. The lifecycle across the top is the familiar one: who do we need before launch, and who do we need after? The four critical success factors down the side ask a second question: what is this KOL for?
Maaike separates four critical success factors:
Medical topics, meaning education and awareness
Insights gathering
Internal support, particularly around reimbursement
Data generation
At any given moment, each of these calls for a different kind of person. The national KOL who explains your Phase III data clearly to a room is not necessarily the one who understands how reimbursement models work in your market. If a single list of names is serving all four factors, it is worth asking which of the four it actually fits.
Maaike is explicit that the grid is a generalisation. The critical success factors shift depending on:
the therapeutic area, whether specialised, general or rare disease
whether your company already has a presence in that area
the type of medication, whether innovative or me-too, complex or simple, and how it is priced
the maturity of your own company
country, culture and compliance boundaries
Read it as a starting structure to argue with, not a template to fill in.

Maaike Addicks, MD is an independent Medical Affairs consultant with more than 15 years across biotech, mid-sized and large pharma, in a range of therapeutic areas. She is a medical doctor, and her work centres on strategic Medical Affairs development, change management and competency building.
She is President of the Medical Affairs Commission of the NVFG, the Dutch Association of Pharmaceutical Medicine. Participants know her for turning strategy into something a Medical Affairs team can actually execute.

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