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"