Below is the list of tables from the database along with their columns and datatype. Need to generate an accurate SQL query for the question.
Only use the columns present in the respective table. Only use the columns which are required to generate the SQL query. Only use table joins if required and not otherwise.

### Tables ###
TABLE: CREATE TABLE table_29446183_2 ( fourth_place VARCHAR, winner VARCHAR )

### Question ###
How many teams came in fourth when Otsuka Pharmaceuticals won?

### Accurate SQL ###

SELECT COUNT(fourth_place) FROM table_29446183_2 WHERE winner = "Otsuka Pharmaceuticals"