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Q2 2017 Results
Investor Presentation | July 18, 2017
Disclaimer
This presentation contains forward-looking statements, including forward-looking statements within the meaning of the United States Private Securities Litigation Reform Act of 1995, that can
generally be identified by words such as potential, expected, will, planned, or similar expressions, or by express or implied discussions regarding potential new products, potential new
indications for existing products, or regarding potential future revenues from any such products; potential shareholder returns or credit ratings; or regarding the potential outcome of the announced
review of options being undertaken to maximize shareholder value of the Alcon Division; or regarding the potential financial or other impact on Novartis or any of our divisions of the significant
reorganizations of recent years, including the creation of the Pharmaceuticals and Oncology business units to form the Innovative Medicines Division, the creation of the Global Drug Development
organization and Novartis Operations (including Novartis Technical Operations and Novartis Business Services), the transfer of the Ophthalmic Pharmaceuticals products of our Alcon Division to
the Innovative Medicines Division, the transfer of selected mature, non-promoted pharmaceutical products from the Innovative Medicines Division to the Sandoz Division, and the transactions with
GSK, Lilly and CSL; or regarding the potential impact of the share buyback plan; or regarding potential future sales or earnings of the Novartis Group or any of its divisions; or by discussions of
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incorrect, actual results may vary materially from those set forth in the forward looking statements. There can be no guarantee that any new products will be approved for sale in any market, or that
any new indications will be approved for any existing products in any market, or that any approvals which are obtained will be obtained at any particular time, or that any such products will achieve
any particular revenue levels. Nor can there be any guarantee that the review of options being undertaken to maximize shareholder value of the Alcon Division will reach any particular results, or at
any particular time. Neither can there be any guarantee that Novartis will be able to realize any of the potential strategic benefits, synergies or opportunities as a result of the significant
reorganizations of recent years, including the creation of the Pharmaceuticals and Oncology business units to form the Innovative Medicines Division, the creation of the Global Drug Development
organization and Novartis Operations (including Novartis Technical Operations and Novartis Business Services), the transfer of the Ophthalmic Pharmaceuticals products of our Alcon Division to
the Innovative Medicines Division, the transfer of selected mature, non-promoted pharmaceutical products from the Innovative Medicines Division to the Sandoz Division, and the transactions with
GSK, Lilly and CSL. Neither can there be any guarantee that shareholders will achieve any particular level of shareholder returns. Nor can there be any guarantee that the Group, or any of its
divisions, will be commercially successful in the future, or achieve any particular credit rating or financial results. In particular, our expectations could be affected by, among other things: regulatory
actions or delays or government regulation generally; the potential that the strategic benefits, synergies or opportunities expected from the significant reorganizations of recent years, including the
creation of the Pharmaceuticals and Oncology business units to form the Innovative Medicines Division, the creation of the Global Drug Development organization and Novartis Operations
(including Novartis Technical Operations and Novartis Business Services), the transfer of the Ophthalmic Pharmaceuticals products of our Alcon Division to the Innovative Medicines Division, the
transfer of selected mature, non-promoted pharmaceutical products from the Innovative Medicines Division to the Sandoz Division, and the transactions with GSK, Lilly and CSL may not be
realized or may take longer to realize than expected; the inherent uncertainties involved in predicting shareholder returns or credit ratings; the uncertainties inherent in the research and
development of new healthcare products, including clinical trial results and additional analysis of existing clinical data; our ability to obtain or maintain proprietary intellectual property protection,
including the ultimate extent of the impact on Novartis of the loss of patent protection and exclusivity on key products which commenced in prior years and will continue this year; safety, quality or
manufacturing issues; global trends toward health care cost containment, including government, payor and general public pricing and reimbursement pressures; the particular prescribing
preferences of physicians and patients; uncertainties regarding actual or potential legal proceedings, including, among others, actual or potential product liability litigation, litigation and
investigations regarding sales and marketing practices, intellectual property disputes and government investigations generally; general economic and industry conditions, including uncertainties
regarding the effects of the persistently weak economic and financial environment in many countries; uncertainties regarding future global exchange rates; uncertainties regarding future demand for
our products; and uncertainties regarding potential significant breaches of data security or data privacy, or disruptions of our information technology systems; and other risks and factors referred to
in Novartis AGs current Form 20-F on file with the US Securities and Exchange Commission. Novartis is providing the information in this presentation as of this date and does not undertake any
obligation to update any forward-looking statements as a result of new information, future events or otherwise.
1. Does not include positive ODAC recommendation for CTL019 for pediatric and young adult r/r B-cell ALL
Growth rates in constant currencies (cc) vs. prior year (PY). Constant currencies, core results and free cash flow are non-IFRS measures. An explanation of these measures can be found on page 43 of the Condensed Interim Financial Report.
Selected news:
Infliximab CTL019
Adalimumab
1. Advair, Advair Diskus, and Diskus are registered trademarks of the GSK group of companies
RTH258
Two Phase 3 studies showed non-inferiority to aflibercept in neovascular
AMD1; majority of patients maintained on quarterly dosing
ACZ885
CANTOS study met primary endpoint, lowering CV risk post MI2
Approved and
launched in EU
etanercept rituximab
Oncology 463 7%
Neuroscience 837 5%
Oncology 8 nm3
1. Approved as Promacta in the US 2. Net sales and growth of Tafinlar + Mekinist 3. nm not meaningful as Kisqali was launched in US in March 2017
Sep-15
Nov-15
Sep-16
Nov-16
Nov-15
Nov-16
Jan-16
May-16
Jan-17
May-17
Mar-16
Mar-17
Sep-15
Sep-16
Jan-16
May-16
Jan-17
May-17
Jul-15
Jul-16
Jul-15
Mar-16
Jul-16
Mar-17
1. US data, NBRx and TRx across specialties from week ending 10-Jul 2015 to 30-Jun 2017 (Source: IMS)
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2
2015 2016 2017
Growth in key segments, including IOLs Contact lenses grew for 5th consecutive quarter
More transitions from NIBR to Development Novartis Business Services reducing costs while
improving quality
Earlier deal-making to strengthen pipeline New capabilities, e.g. advanced analytics
platform for Drug Development IT
Speed of progress on cell therapy platform
Novartis Technical Operations contributing to
Biosimilars pipeline delivery gross margin improvement
Group Q2 2017
(growth vs. PY in %)
Net sales Core operating income
Volume before Gx 6 21
Generics impact -3 -10
Price1 -3 -11
CC Growth 0 0
Currency -2 -3
USD Growth -2 -3
1. Includes the price impact of Generic entries
Q2 2017
Core operating
Net sales income Core margin
change vs. PY change vs. PY Core ROS change vs. PY
(in % cc) (in % cc) (%) (% pts cc)
Innovative Medicines 1 1 31.1 -0.2
1. Division weighted average decline of -0.4% was offset by lower net corporate expense (+0.4%)
+26%
4.9
Key drivers vs. PY:
3.9
+ Working Capital
+ OTC JV Dividend
Lower OpInc
H1 2016 H1 2017
-6.1
-16.0 4.9
-6.5
-2.9
-0.7
-0.9 -22.1
Dec 31, 2016 Free Cash Flow Dividends Treasury share M&A related Others Jun 30, 2017
transactions, net payments
FX impact on FX impact on
Net sales Core operating income
2 1
-2 -2 -1 -1 -2
-3 -4 -3 -3 -3
FY Q1 Q2 Q3 Q4 FY FY Q1 Q2 Q3 Q4 FY
9 5 2 5 9
major approvals positive CHMP FDA major positive major
in US and EU opinions Breakthrough submissions in trial and trial
+ positive ODAC
Therapy US and EU extension
recommendation for designations readouts
CTL019
HR+/HER2- advanced or metastatic breast Approved in US and positive
LEE011 (Kisqali) CDK4/6 inhibitor
cancer CHMP opinion
Onco Oncology CTL019 (CAR-T) r/r B-Cell ALL, DLBCL CAR-T 2 Filed in US
SEG101 (crizanlizumab) Sickle cell pain crises Anti-P-selectin 3 On track for submission in 2018
LCZ696 (Entresto) Heart failure with preserved EF ARNI 2019 On track
CM Cardio-metabolic
ACZ885 (canakinumab) CV risk reduction Anti-IL1 Positive pivotal trial read out
OMB157 (ofatumumab) Relapsing multiple sclerosis CD20 2019 On track
NS Neuroscience BAF312 (siponimod) Relapsing multiple sclerosis5 S1P receptor modulator Path forward agreed with FDA
AMG 334 (erenumab)4 Prophylaxis of migraine CGRP receptor antagonist Filed in US and EU
Immunology&
I&D AIN457 (Cosentyx) Non-radiographic axial SpA Anti-IL17A 2018 On track
Dermatology
QVM149 (indacaterol, Asthma LABA + LAMA + ICS 2018 On track
glycopyrronium, mometasone)
Resp Respiratory
QAW039 (fevipiprant) Asthma CRTh2 antagonist 2019 On track
Oph Ophthalmology RTH258 (brolucizumab) Neovascular AMD Anti-VEGF (scFv) Positive pivotal read out
Bios Biosimilars Multiple Multiple Multiple Ongoing Varying
1. Blockbuster potential refers to specified indication 2. Ped and young adult r/r B-cell ALL filed in US and priority review granted; Breakthrough Therapy designation granted for DLBCL 3. Refers to phase 2 readout 4. In collaboration
with Amgen; Novartis has AMG 334 rights outside of Japan and co-commercialization in the US 5. with advanced disease features, as agreed with FDA, based on EXPAND study
CM
NS
Bios
1. DLBCL Diffuse large B-cell lymphoma; 2. Incidence: Based on 2017 incidence rate in US, EU-14, Israel, Japan and Canada -Surveillance, Epidemiology, and End Results Program (SEER); Decision Resources; Novartis analysis
Relapsed/Refractory %: Internal Novartis discussions
Bios
CTL119 is being developed in collaboration with the University of Pennsylvania
1. CLL chronic lymphocytic leukemia 2. CRS cytokine release syndrome 3. MRD Minimal residual disease; CR complete remission
Oph
ALK+ advanced NSCLC2: US and EU approval for 1st line use
Bios
1. BC Breast Cancer 2. NSCLC Non-small Cell Lung Cancer 3. ATC anaplastic thyroid cancer 4. CML-TFR Treatment-free remission 5. SmPC Summary of product characteristics
CM
Resp
Primary Endpoint: Time to first major cardiovascular event (MACE: CV death, non-fatal MI, or non-fatal stroke)
Secondary Endpoints: Time to first event of MACE or hospitalization for unstable angina requiring unplanned
Oph revascularization; time to new onset diabetes among those with pre-diabetes at randomization; all cause mortality; time
to first occurrence of all cause mortality, non-fatal stroke, or non-fatal MI
Bios
Key Exploratory Endpoints: DVT/PE, stent thrombosis, hospitalizations for CHF, PCI/CABG and biomarkers
1. ESC European Society of Cardiology, Barcelona, August 26 30, 2017; presentation on August 27
Resp
Patients well treated with contemporary secondary prevention therapies
Oph (statins, beta blockers, anti-platelet agents, and RAAS blockers)
Bios
1. TIA transitory ischemic attack
CM
Efficacy and safety profile in >2,600 patients treated:
Rapid onset, sustained efficacy; 2 out of 3 patients had 50% response and 26%
NS
were completely migraine free at month 15 (ongoing extension trial)2
I&D High efficacy in difficult to treat patients (chronic migraine with previous
prophylactic treatment failure or recent medication overuse)
Resp
Placebo-like safety profile; longest established safety profile (5 years extension
Oph ongoing trial)
Bios
Regulatory files submitted to FDA, submitted and accepted by EMA
1. Development in collaboration with Amgen; Amgen has exclusive commercialization rights in Japan and Novartis in the rest of the world and Amgen will co-commercialize AMG 334 in the US
2. Ashina N. et al. Maintenance of Clinical Response to erenumab (AMG 334) in Episodic Migraine: Complete One-Year Results From an Ongoing Open-Label Extension Study. 70mg data. P003, EHMTIC 2016
NS
-1.0
-2.0
-2.1
-2.68 -2.0
I&D -3.0
- 3.3 and
-4.0 - 2.71 and - 2.8 days
-5.38 - 4.28 days -4.0
Resp -5.0
placebo * reduction* -4.9 *
reduction*
placebo
-6.0 70 mg
70 mg
-6.96
Oph -7.0
140 mg
* -6.0 140 mg -5.4 *
Patients with 2 prior treatment failures: Placebo (N=142); Patients with recent medication overuse: Placebo (N=113);
erenumab 70 mg (N=93); erenumab 140 mg (N=92) erenumab 70 mg (N=78); erenumab 140 mg (N=77)
* p<0.001
Bios AMG 334 (erenumab) subgroup analyses shows efficacy in difficult-to-treat chronic migraine patients 1. Ashina et al, Pre-specified subgroup analysis of the phase 2. randomized, double-blind, placebo-controlled study. PR1046 presented at
EAN. The erenumab Chronic Migraine pivotal study was published in Lancet Neurology Volume 16, Issue 6, June 2017, Pages 425434. 2. Diener H et al, Efficacy of erenumab for the Treatment of Patients with Chronic Migraine in Presence of
Medication Overuse. PR1048 presented at EAN
NS
80
label in psoriasis (PsO)6
60
I&D
5 year data reinforces sustained efficacy and safety
40 profile in PsO
Resp 20 SEC IV-150 mg ASAS 20
Multiple ongoing trials:
SEC IV-150 mg ASAS 40 Non-radiographic axial spondyloarthritis7
0 H2H3 superiority studies vs. adalimumab in AS8 and PsA9
Oph 0
0 1
52 2
104 3
156
Years New-onset PsO10
1. Baraliakos X, et al. Clin Exp Rheumatol 2017;[epub ahead of print] 2. McInnes IB, et al. Ann Rheum Dis 2017;76(suppl 2):675; 3. H2H head-to-head 4. Stelara is a registered trademark of Janssen Biotech, Inc 5. Blauvelt A, et al. J
Bios Am Acad Dermatol 2017;76:6069 6. Cosentyx Summary of Product Characteristics. Available at: http://www.ema.europa.eu/docs/en_GB/document_library/EPAR_-_Product_Information/human/003729/WC500183129.pdf [accessed 10 July
2017] 7. https://clinicaltrials.gov/ct2/show/NCT02696031 [accessed 10 July 2017] 8. Novartis data on file 9. https://clinicaltrials.gov/ct2/show/NCT02745080 [accessed 10 July 2017] 10. https://clinicaltrials.gov/ct2/show/NCT03020199
[accessed 10 July 2017]
CM
NS
I&D
Resp
Oph
Onco
Primary Efficacy Endpoint
Change in BCVA2 from Baseline to week 48
CM Secondary endpoints
Change in BCVA2 from baseline averaged over the period Week 36 to Week 48
NS
Proportion of q12w subjects up to week 48 in the brolucizumab treatment arms 52%, 57%
I&D Proportion of patients on q12w regimen at week 12 remaining on q12w regimen at
week 48
To be
Resp Anatomical parameters of disease activity (retinal fluid, retinal thickness)
presented at
Disease activity assessment AAO1
Oph
Visual function-related subject-reported outcomes
To assess the safety and tolerability of brolucizumab relative to aflibercept
Bios
1. AAO American Academy of Ophtalmology meeting in November 2017 2. BCVA best-corrected visual acuity
CM
Resp
Oph
EMA401 PIM447 INC280 SEG101 LAM320 Tafinlar + Mekinist GP1111 (infliximab, EU)
Autoimmune diseases (same as
Peripheral neuropathic pain Hematologic cancers NSCLC2 (EGFRm) Sickle cell disease MDR15 tuberculosis BRAF V600+ melanoma (adjuvant)
originator)
INC280 QBW251 PDR001 ACZ885 Kisqali + fulv Zykadia GP2017 (adalimumab, EU)
Arthritides, plaque psoriasis and others
NSCLC2 Cystic fibrosis NET4 HR+, HER2(-) postmenopausal ALK+ adv. NSCLC2
Sec. prev. CV events7 (same as originator)
adv. BC5 1st/2nd line (Brain metastases)
Patients with chronic heart failure with preserved ejection Japanese heart failure patients (NYHA Class II-IV) with
Target Patients
fraction reduced ejection fraction
Cumulative number of primary composite events of Time to the first occurrence of a confirmed composite
Primary Outcome Measures cardiovascular (CV) death and total (first and recurrent) HF endpoint (cardiovascular (CV) death, heart failure (HF)
hospitalizations hospitalization, or outpatient heart failure)
Phase Phase 3
Patients 10,064
Psoriasis Area and Severity Index (PASI) 75 score and American College of Rheumatology 20 (ACR20)
Primary Outcome Measures
Investigators' Global Assessment (IGA) with 0 or 1 response response at Week 16
Target Patients Patients with chronic plaque-type psoriasis Patients with active psoriatic arthritis
Expected Completion Q1-2017 2019
Assessment of spondyloarthritis international society criteria The proportion of participants who achieve an ASAS 20
Primary Outcome Measures
/ ASAS 20 response response
Target Patients Patients with active ankylosing spondylitis Patients with active ankylosing spondylitis
Target Patients Patients with active ankylosing spondylitis Patients with active ankylosing spondylitis
Expected Completion 2019 Q1-2018
Primary 52 week results: Baeten D & Sieper J, et al. N
Engl J Med 2015;373:253448 16 weeks results: PANLAS congress in Apr-2016
2 year results: Marzo-Ortega, et al. Arthritis Care Res 52 weeks results: Manucript in Arthritis Research &
Publication
2017 Feb 24. doi: - 10.1002/acr.23233 Therapy in Q2-2017
3 year results: presented at EULAR in June-2017. 2 year results: Planned for ACR in Nov-2017
Manuscript to be submitted in Q3-2017
Target Patients Patients with active ankylosing spondylitis Patients with active psoriatic arthritis
Target Patients Patients with active psoriatic arthritis Patients with active psoriatic arthritis
Expected Completion 2019 Q1-2018
Primary results: McInnes IB, et al. Lancet. 3 year results: ACR 2016; Mease PJ et al. Arthritis
Publication 2015;386:113746 Rheumatol. 2016; 68 (suppl 10)
2 years results: Submitted to Rheumatology in Q1-2017 3 years results: Manuscript to be submitted in Q4-2017
Patients 80 850
Primary Outcome Measures Time to flare in treatment period 2 American College of Rheumatology 20 (ACR20) response
Assessment of American College of The percentage of Participants achieving a 75% Improvement from
Primary Outcome Measures
Rheumatology 20 (ACR20) Baseline in PASI Score at week 12
Target Patients Patients with active psoriatic arthritis Patients from 6 to less than 18 years of age with severe chronic plaque
Expected Completion Q2-2018 2023
Percentage of patients who achieve 75% reduction in Cumulative rate of subjects with loss of psoriasis area and
Primary Outcome Measures PASI and achieve IGA mod 2011 0 or 1 and improved by at severity index (PASI) 75 response; demonstrate long-term
least 2 points on the IGA scale compared to baseline efficacy, safety, and tolerability
Secukinumab 2 mL form
Secukinumab 150 mg or 300 mg
Arms/Intervention Secukinumab 1 mL form
Placebo
Placebo
Secukinumab 150 mg
Secukinumab 300 mg
Arms/Intervention Secukinumab 150 mg no load
Ustekinumab 45 mg/ 90 mg
Placebo
Target Patients Patients with non-radiographic axial spondyloarthritis Patients with moderate to severe plaque psoriasis
Patients 182
Phase Phase 2
Patients 250
Adverse event profile of different doses; determine the dose
relationship of LJN42 on markers of hepatic inflammation in
Primary Outcome Measures NASH (ALT and AST); determine dose-response
relationship of LJN42 on liver fat content by changes in
quantitative MRI
Arms/Intervention Multiple LJN452 doses and placebo
Publication TBD
Phase Phase 2B
Patients 360
Publication TBD
Phase Phase 3
Patients 220
Publication TBD
Patients 1,340
Time to diagnosis of MCI due to Alzheimer's disease or
dementia due to Alzheimer's disease
Primary Outcome Measures
Change in the Alzheimer's Prevention Initiative Composite
Cognitive (APCC) Test Score
CAD106 450 g + Alum 450 g i.m.
Placebo to CAD106 + Alum 450 g i.m.
Arms/Intervention
CNP520 50 mg oral
Placebo to CNP520 oral
Publication TBD
Patients 2,000
Time to diagnosis of MCI due to Alzheimer's disease or
dementia due to Alzheimer's disease
Primary Outcome Measures
Change in the Alzheimer's Prevention Initiative Composite
Cognitive (APCC) Test Score
CNP520 15 mg oral
Arms/Intervention CNP520 50 mg oral
Placebo to CNP520 oral
Publication TBD
BAF312 10 mg
BAF312 2 mg BAF312 0.25 to 2 mg
Arms/Intervention
BAF312 0.5 mg Placebo
BAF312 dose between 0.1- 8 mg blinded
Target Patients Older adults with sarcopenia Patients after surgical treatment of hip fracture
Phase Phase 2
Patients 360
Publication TBD
Phase Phase 3B
Patients 1,960
Publication TBD
Annualized Relapse Rate (ARR) - number of confirmed Annualized Relapse Rate (ARR) - number of confirmed
Primary Outcome Measures relapses in a year calculated based on cumulative number relapses in a year calculated based on cumulative number
of relapses by patient adjusted for time-in-study by patient of relapses by patient adjusted for time-in-study by patient
Target Patients Patients with relapsing forms of multiple sclerosis Patients with relapsing forms of multiple sclerosis
Patients 300
Publication Q2-2018
Phase Phase 3A
Patients 346
Adult patients with relapsed or refractory diffuse large B-cell Pediatric and young adult patients with relapsed and
Target Patients
lymphoma (DLBCL) refractory B-cell acute lymphoblastic leukemia
Schuster et al. at ICML 2017; Bishop et al update at ASH Grupp et al. Presented at ASH 2016; Buchner et al
Publication 2017; Interim Analysis update at EHA 2017;
Journal TBD in Q4-2017 Publication submission in Q3 2017
Phase Phase 2
Patients 224
Phase Phase 2
Patients 240
Publication TBD
Phase Phase 3
Patients 308
Publication TBD
Patients 69 132
Osilodrostat
Arms/Intervention Single-arm LCI699
Placebo
Target Patients Patients with Cushing's disease Patients with Cushing's disease
MEK inhibitor
Arms/Intervention Chemotherapy
Crossover
Patients with advanced or metastatic non-functional Previously untreated patients with unresectable or metastatic BRAF
Target Patients neuroendocrine tumors of pancreatic, gastrointestinal V600 mutant melanoma
(GI), or thoracic origin
Patients 64 112
Proportion of patients who attain mUFC 1.0 ULN at week Proportion of patients who achieve biochemical control
Primary Outcome Measures
35 with pasireotide alone or in combination with cabergoline defined as GH <1g/L and IGF-1 <ULN at week 36.
Patients 30 430
Safety, pharmacokinetics, pharmacodynamics and clinical activity of the
Concentrations and tissue distribution of
Primary Outcome Measures BRAF inhibitor dabrafenibin combination with the MEK inhibitor
dabrafenib and its metabolites
trametinib
Dabrafenib 75 mg
Dabrafenib 150 mg Trametinib 2 mg
Arms/Intervention
Trametinib 2 mg Dabrafenib 75 mg + trametinib 2mg
+ dose escalation
Dabrafenib150 mg
Dabrafenib 150 mg
Arms/Intervention Intravenous dacarbazine (DTIC) 1000 mg/m2
Dabrafenib 150 mg + trametinib 2 mg
Crossover dabrafenib150 mg
Previously untreated subjects with BRAF mutation positive Subjects with BRAF V600E mutation positive metastatic
Target Patients
advanced (Stage III) or metastatic (Stage IV) melanoma (stage IV) non-small cell lung cancer
Phase Phase 3A
Patients 852
Indication Melanoma
Phase Phase 1
Patients 60
Publication TBD
Indication Melanoma
Phase Phase 2B
Patients 120
100 | Novartis Q2 2017 Results | July 18, 2017 | Novartis Investor Presentation
Tykerb - HER2 inhibitor
Phase Phase 3A
Patients 369
101 | Novartis Q2 2017 Results | July 18, 2017 | Novartis Investor Presentation
Votrient - Inhibition of VEGFR, PDGFR
Patients with locally advanced and/or metastatic renal cell Subjects with localized or locally advanced RCC following
Target Patients
carcinoma nephrectomy
Motzer RJ, et al. Pazopanib vs. sunitinib in metastatic renal- Motzer R, et al, J Clin Oncol. 2017;35:suppl; Abstract 4507.;
Publication
cell carcinoma. N Engl J Med. 2013;369:722731 Journal TBD in Q3-2017
102 | Novartis Q2 2017 Results | July 18, 2017 | Novartis Investor Presentation
Votrient - Inhibition of VEGFR, PDGFR
Target Patients Advanced RCC patients from Asian Patients with advanced renal cell carcinoma
103 | Novartis Q2 2017 Results | July 18, 2017 | Novartis Investor Presentation
Zykadia - ALK inhibitor
Indication ALK activated NSCLC after crizotinib failure ALK activated NSCLC metastatic to the brain
Arms/Intervention Single-arm study of LDK378 750 mg Five-arm study of LDK378 (ceritinib) 750 mg
104 | Novartis Q2 2017 Results | July 18, 2017 | Novartis Investor Presentation
Zykadia - ALK inhibitor
Indication ALK activated 1st line NSCLC ALK activated rare tumors
LDK378 750 mg
Arms/Intervention Multi-arm study of ceritinib (LDK378)
Pemetrexed + cisplatin or pemetrexed + carboplatin
105 | Novartis Q2 2017 Results | July 18, 2017 | Novartis Investor Presentation
Zykadia - ALK inhibitor
Indication ALK activated NSCLC crizotinib naive + post chemotherapy ALK activated NSCLC after crizotinib failure
Felip E, et al. Presented at ESMO 2016; abstract 1208O Shaw AT, et al. Lancet Oncology. 2017 Jun (epub ahead
Publication
Journal TBD in Q2-2018 of print)
106 | Novartis Q2 2017 Results | July 18, 2017 | Novartis Investor Presentation
Ophthalmology
Lucentis - Anti-VEGF
Ranibizumab 0.2 mg
Arms/Intervention Ranibizumab 0.1 mg
Laser therapy
Publication 2019
108| Novartis Q2 2017 Results | July 18, 2017 | Novartis Investor Presentation
RTH258 - Anti-VEGF
Change in Best Corrected Visual Acuity (BCVA) from Change in Best Corrected Visual Acuity (BCVA) from
Primary Outcome Measures
baseline at week 48 baseline at week 48
RTH258 (3 mg/50 L)
RTH258 (6 mg/50 L)
Arms/Intervention RTH258 (6 mg/50 L)
Aflibercept (2 mg/50 L)
Aflibercept
Target Patients Subjects with exudative age-related macular degeneration Subjects with exudative age-related macular degeneration
Publication Abstract/presentation at AAO meeting in November 2017 Abstract/presentation at AAO meeting in November 2017
109 | Novartis Q2 2017 Results | July 18, 2017 | Novartis Investor Presentation
Respiratory
QAW039 - CRTh2 antagonist
Reduction in the rate of moderate-to-severe asthma Reduction in the rate of moderate-to-severe asthma
Primary Outcome Measures
exacerbations exacerbations
Target Patients Patients with uncontrolled severe asthma Patients with uncontrolled severe asthma
111 | Novartis Q2 2017 Results | July 18, 2017 | Novartis Investor Presentation
QAW039 - CRTh2 antagonist
Phase Phase 3
Patients ~2300
QAW039 Dose 1
Arms/Intervention QAW039 Dose 2
Placebo
Publication TBD
112 | Novartis Q2 2017 Results | July 18, 2017 | Novartis Investor Presentation
QVM149 - LA beta2 agonist, LA muscarinic antagonist, ICS
Adult and adolescent patients with uncontrolled asthma despite Adult patients with uncontrolled asthma despite med/high-
Target Patients
med-/high-dose ICS or low-dose ICS/LABA(GINA step 3) dose ICS/LABA (GINA 4)
113 | Novartis Q2 2017 Results | July 18, 2017 | Novartis Investor Presentation
QMF149G - Long-acting beta2 agonist and inhaled corticosteroid
Phase Phase 2
Patients 80
Publication TBD
114 | Novartis Q2 2017 Results | July 18, 2017 | Novartis Investor Presentation
QVM149 - LA beta2 agonist, LA muscarinic antagonist, ICS
Patients 66 144
Number of patients who reported treatment emergent Evaluate the bronchodilator effects of NVA237 (25 ug and
Primary Outcome Measures
adverse events during the 52 weeks of the study 50 ug) compared to placebo in terms of trough FEV1
115 | Novartis Q2 2017 Results | July 18, 2017 | Novartis Investor Presentation
QVM149 - LA beta2 agonist, LA muscarinic antagonist, ICS
Phase Phase 3
Patients 100
Publication TBD
116 | Novartis Q2 2017 Results | July 18, 2017 | Novartis Investor Presentation
Seebri - LA muscarinic receptor antagonist
Indication COPD
Patients 752
Trough Forced Expiratory Volume in 1 Second (FEV1) at
Primary Outcome Measures
week 12
Publication TBD
117 | Novartis Q2 2017 Results | July 18, 2017 | Novartis Investor Presentation
Sandoz
Biopharmaceuticals
Erelzi - Biosimilar etanercept
Phase Phase 3
Patients 366
GP2015 50 mg
Arms/Intervention
EU-authorized Enbrel 50mg
119 | Novartis Q2 2017 Results | July 18, 2017 | Novartis Investor Presentation
Rixathon - Biosimilar rituximab
Patients with active Rheumatoid Arthritis, previously treated Patients with previously untreated, advanced stage follicular
Target Patients
with Rituxan or MabThera (ASSIST-RT) lymphoma (ASSIST-FL)
120 | Novartis Q2 2017 Results | July 18, 2017 | Novartis Investor Presentation
Rixathon - Biosimilar rituximab
Indication Immunology
Phase Phase 2
Patients 312
GP2013 1000 mg
Arms/Intervention
Rituxan and MabThera 1000 mg
121 | Novartis Q2 2017 Results | July 18, 2017 | Novartis Investor Presentation
GP2017 - Biosimilar adalimumab
GP2017 GP2017
Arms/Intervention
Humira Adalimumab US licensed Humira Adalimumab
Patients with moderate to severe chronic plaque-type
Target Patients Patients with moderate to severe active rheumatoid arthritis
psoriasis
Expected Completion 2016 Q4-2017
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Established Medicines
and Anti-infectives
Tobramycin An aminoglycoside antibiotic derived from
Streptomyces tenebrarius
Phase Phase 2
Patients 180
Publication TBD
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Key definitions and trademarks
This presentation contains several important words or phrases that we define as below:
ADHF: Acute decompensated heart failure HR+/HER2- mBC: Hormone Receptor positive / Human Epidermal growth factor receptor 2 negative
AE: Adverse Event metastatic breast cancer
ALK: Anaplastic lymphoma kinase LoE: Loss of exclusivity
ALL: Acute lymphatic leukemia MI: Myocardial infarction
AMD: Age-Related Macular Degeneration MS: Multiple sclerosis
AMI: Acute myocardial infection NASH: Non-Alcoholic Steatohepatitis
AML: Acute myeloid leukemia NET: Neuroendocrine tumor
Approval: In Pharmaceuticals and Alcon in US and EU; each indication and regulator combination counts New assets: Assets acquired in the GSK transaction which closed on March 2, 2015
as approval; excludes label updates, CHMP opinions alone and minor approvals NSAI: Nonsteroidal aromatase inhibitor
aRCC: advanced renal cell cancer NSCLC: Non-small cell lung cancer
ARNI: Antiogensin receptor neprilysin inhibitor NTD: New Therapeutic Drug
AS: Ankylosing Spondylitis ORR: Overall response rate
ASM: Aggressive systemic mastocytosis OS: Overall survival
ATC: Anaplastic thyroid cancer PA: Prior authorization
BCVA: best corrected visual acuity PASI 90: 90% reduction in Psoriasis Area Severity Index from baseline
BTD: Breakthrough therapy designation PFS: Progression free survival
CGRP: Calcitonin gene-related peptide PsA: Psoriatic arthritis
CLL: Chronic lymphoccytic leukemia PsO: Psoriasis
cITP: Chronic immune thrombocytopenia PV: Polycythemia vera
CM: Chronic migraine PY: Prior year
CML: Chronic myeloid leukemia QoL: Quality of Life
COPD: Chronic Obstructive Pulmonary Disease RCC: Renal cell cancer
CR: complete remission ROP: Retinopathy of prematurity
CRC: Colorectal Cancer r/r ALL: relapsed/refractory acute lymphoblastic leukemia
CRi: Complete remission with incomplete blood count recovery RRMS: relapsing-remitting multiple sclerosis
CSU / CIU: Chronic spontaneous urticaria / Chronic idiopathic urticaria SAA: Severe aplastic anemia
CVRR: Cardiovascular risk reduction scFv: Single chain variable fragment
DLBCL: Diffuse large B-cell lymphoma SCPC: Sickle cell pain crisis
DMC: Data monitoring committee SpA: Spondyloarthropathy
EDSS: Expanded Disability Status Scale SPMS: Secondary progressive multiple sclerosis
EF: ejection fraction TFR: Treatment-free Remission
EM: Episodic migraine
FPFV: First patient first visit Trademarks
GvHD: graft vs. host disease Eylea is a registered trademark of Regeneron Pharmaceuticals, Inc.
HbA1C: Glycated hemoglobin Enbrel, Epogen and Neulasta are a registered trademark of Amgen Inc.
HCC: Hepatocellular carcinoma
Humira is a registered trademark of AbbVie Ltd.
HF: Heart failure
HF-pEF: Heart failure with preserved ejection fraction MabThera is a registered trademark of Roche, Ltd.
HFrEF: Heart failure with reduced ejection fraction Procrit is a registered trademark of Janssen Products, LP.
MF: Myelofibrosis Remicade and Stelara are registered trademarks of Janssen Biotech, Inc.
Rituxan is a registered trademark of Biogen Inc
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