Below is an instruction that describes a task. Write a response that appropriately completes the request.

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

### Inputs:
table_name: table, columns: ['Season', 'Winner', 'Runner-up', 'Third place', 'Fourth place']

### Response:
SELECT COUNT Fourth place FROM table WHERE Winner = Otsuka Pharmaceuticals