text: Below is an context that describes a sql query, paired with an question that provides further information. Write an answer that appropriately completes the request.  # noqa: E501
  ### Context:
  CREATE TABLE table_29446183_2 (fourth_place VARCHAR, winner VARCHAR)
  ### Question:
  How many teams came in fourth when Otsuka Pharmaceuticals won?
  ### Answer:
  SELECT COUNT(fourth_place) FROM table_29446183_2 WHERE winner = "Otsuka Pharmaceuticals"