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Cultura Documentos
BRENT
SAUNDERS
Chief Executive Officer and President
Therapeutic
Area
Leader
Private
Companies
Venture
Capital
Development
Powerhouse
Private
Equity
Commercial
Machine
CUSTOMER
IDEAS
Regional
Players
Business
Development
Start-Ups
Top Brands
Ranking
Eye Care
$3.0
global position
CNS
$2.7
in Alzheimers
#3 global position
Dermatology &
Aesthetics
$2.1
global position
GI
$1.2
global position
#2 in anti-inflammatories
Womens Health
$1.0
in US
Plan to double presence by 2020
Urology
$0.4
global position
Anti-infective
$0.2
US leadership position
2 new breakthrough product launches
SOURCE: Evaluate
1 Excludes generics; Botox sales allocated by TA/Indication into Dermatology & Aesthetics, CNS, and Urology
6.5
3,500
6.0
3,000
5.4
4.9
2,500
4.3
3.8
2,000
3.3
1,500
2.7
2.2
1,000
1.6
1.1
500
0.5
0
1995
2000
2005
2010
2014
Sustainability:
Continued
VC funding
Scientific
creativity
Professional
management
62
%
Global Pharma
REGIONAL
PHARMA
BIOTECH &
START-UPS
14
%
Biotech & Start-up
Companies
24%
GLOBAL
PHARMA
Regional Pharma
Non-profit Academia
Specialty
ACADEMIA
SPECIALTY
Revenues of all NME-grade compounds launched in a given year cumulated for 7-8 years. Includes all innovative compounds classified as NME or BLA, excluding
generics, biosimilars and NDA products (new derivatives, new formulations etc.)
SOURCE: Evaluate 2014
22%
Global Pharma
50
%
Biotech & Start-up
BIOTECH &
START-UPS
Companies
28
%
Regional Pharma
Non-profit Academia
Specialty
REGIONAL
PHARMA
SPECIALTY
GLOBAL
PHARMA
ACADEMIA
Evaluate Jul 20 Revenues of all NME-grade compounds launched in a given year cumulated for 7-8 years. Includes all innovative compounds classified as NME or
BLA, excluding generics, biosimilars and NDA products (new derivatives, new formulations etc.)
SOURCE: Evaluate 2014 14; McKinsey analysis
TODAY
BIOTECH &
START-UPS
REGIONAL
PHARMA
SPECIALTY
ACADEMIA
GLOBAL
PHARMA
Allergan
Model
DISCOVERY
DEVELOPMENT
CGRPs
KYTH-105
Bimatoprost SR
Dalvance
Kybella
Relamoralin
Combigan
Juvederm
COMMERCIALIZATION
Abicipar OD-01
Linzess
XEN45
Avycaz
Botox
Latisse
CUSTOMER
Vraylar
Nebivolol
Rapastinel
AGN-241660
Bystolic/Valsartan
Teflaro
Esmya Viberzi
Ozurdex
We discover, acquire, partner and collaborate on compounds at all stages of R&D with a strong preference for validated targets or compounds with proof of concept.
Allergan is a Forerunner in
High
Open science
R&D / Sales1
Traditional
Low
Low-cost
Low
High
15
13
8
7
6
11
1
13
15
16
16
17
17
6
6
20
25
is Sustainable:
Approximately Half of All Phase 2 & Phase 3 Programs Are in Allergan TAs
TA pipeline assets in each clinical phase (%); total of ~2400 assets
827
1,026
571
Gastro-Intestinal
Urology/Derm/Eye
Systemic Anti-infectives
Central Nervous System
Other TAs
33%
45%
Respiratory
49%
Blood/CV/Endocrine
Oncology &
Immunomodulators
Phase 1
SOURCE: Evaluate
1 Aesthetics & Derm, Eye Care, Urology, GI, Anti-infectives, CNS
Phase 2
Phase 3
Open
Mindset
Commercial
Engine
Legal
Prior
Relationship
Research
Executive
Leadership
Expected
Execution
Shared
Vision
Development
Powerhouse
Manufacturing
Urology
Viberzi
IBS-D
SER-120
Adult Nocturia
LiRIS
Interstitial
Cystitis
Botox
Premature
Ejaculation
GI
Linzess
Low Dose CIC
Bimatoprost
Submental Fat Reduct
Setipiprant
Androgenic Alopecia
Aczone Combo
Acne Vulgaris
Skin Quattro Device
Delivery for
Facial Fillers
Linzess
OIC
Aczone Reform
Acne Vulgaris
Sarecycline
Acne
Juvederm
Global Nasal
Labial Folds
Vobella
Lips Fine Lines
21
Oxybutynin
Hyperhidrosis
Phoenix
Breast Augmentation
Botox
Forehead
Lines
Volift
Nasolabial Folds
Voluma Global
Malar Augmentation
VoLite
Filler
Voluma
Filler for Chin
Voluma Plus
Facial Volumes
Voluma
Filler for Temple
DARPin SR
AMD
Pilo/Oxy
Presbyopia
Estradiol
Vag Caps VVA
& Dyspareunia
Brimo DDS
Atrophic AMD
Androgen
Evaporative Dry Eye
Botox X
Spasticity
AGN-241689
Migraine
Prophylaxis
AGN-241660
MDD
Cortisol Analog
Dry Eye Disease
Ulipristal
Fibroids
Ganfort
MDPF
Restasis
MDPF
Omega 3 OTC
Dry Eye
OCU Tearbud 1
Dry Eye
Nebivilol/
Valsartan
Hypertension
Biosimilar X
Indication X
Botox
Multiple
Ubrogepant
Acute
Migraine
Semprana
Acute Migraine
Vraylar
Multiple
Bimatoprost SR
Glaucoma
(Biosimilars, Cardiovascular
and other)
Botox
MDD
CNS
Mimetogen
Dry Eye
Other
Estradiol
Vaginal Cream VVA
& Dyspareunia
Rapastinel
MDD
Vraylar
Bipolar Depression
17
DARPin
DME
Womens Health
Etonogestral Ring
Contraception
Eye
Care
Cyclosporine SR
Dry Eye
Aztreonam /
Avibactam
Gram Neg Infect
Avycaz
cUTI, cIAI
Aesthetics &
Dermatology
Bimatoprost
Androgenic
Alopecia
Dalbavancin
Osteomyelitis
Oxymetazoline
Rosacea
HA Threads
Forehead & Neck
MT10109L
Aesthetics
Facial Lines
Dalbavancin
Endocarditis
Relamorelin
Diabetic
Gastroparesis
Tripligan
(MMT) Ocular
HTN & Glaucoma
FPR2
Agonist Dry Eye Disease
Dalbavancin ABSSSI
Single Dose
Linzess
Colonic
Release CIC
Botox
Indication X
Anti-Infective
DARPin
AMD
Dual DARPin
AMD
Cetuximab
Multiple
Cancer
Rituximab
Non-Hodgkin
Lymphoma
Bevacizumab
Multiple
Cancer
Trastuzumab
Multiple
Cancer
TRV-027
Acute Heart Failure
Armour Thyroid
Hypothyroidism
DAVID
NICHOLSON
Urology
Viberzi
IBS-D
SER-120
Adult Nocturia
LiRIS
Interstitial
Cystitis
Botox
Premature
Ejaculation
GI
Linzess
Low Dose CIC
Bimatoprost
Submental Fat Reduct
Setipiprant
Androgenic Alopecia
Aczone Combo
Acne Vulgaris
Skin Quattro Device
Delivery for
Facial Fillers
Linzess
OIC
Aczone Reform
Acne Vulgaris
Sarecycline
Acne
Juvederm
Global Nasal
Labial Folds
Vobella
Lips Fine Lines
21
Oxybutynin
Hyperhidrosis
Phoenix
Breast Augmentation
Botox
Forehead
Lines
Volift
Nasolabial Folds
Voluma Global
Malar Augmentation
VoLite
Filler
Voluma
Filler for Chin
Voluma Plus
Facial Volumes
Voluma
Filler for Temple
DARPin SR
AMD
Pilo/Oxy
Presbyopia
Estradiol
Vag Caps VVA
& Dyspareunia
Brimo DDS
Atrophic AMD
Androgen
Evaporative Dry Eye
Botox X
Spasticity
AGN-241689
Migraine
Prophylaxis
AGN-241660
MDD
Cortisol Analog
Dry Eye Disease
Ulipristal
Fibroids
Ganfort
MDPF
Restasis
MDPF
Omega 3 OTC
Dry Eye
OCU Tearbud 1
Dry Eye
Nebivilol/
Valsartan
Hypertension
Biosimilar X
Indication X
Botox
Multiple
Ubrogepant
Acute
Migraine
Semprana
Acute Migraine
Vraylar
Multiple
Bimatoprost SR
Glaucoma
(Biosimilars, Cardiovascular
and other)
Botox
MDD
CNS
Mimetogen
Dry Eye
Other
Estradiol
Vaginal Cream VVA
& Dyspareunia
Rapastinel
MDD
Vraylar
Bipolar Depression
17
DARPin
DME
Womens Health
Etonogestral Ring
Contraception
Eye
Care
Cyclosporine SR
Dry Eye
Aztreonam /
Avibactam
Gram Neg Infect
Avycaz
cUTI, cIAI
Aesthetics &
Dermatology
Bimatoprost
Androgenic
Alopecia
Dalbavancin
Osteomyelitis
Oxymetazoline
Rosacea
HA Threads
Forehead & Neck
MT10109L
Aesthetics
Facial Lines
Dalbavancin
Endocarditis
Relamorelin
Diabetic
Gastroparesis
Tripligan
(MMT) Ocular
HTN & Glaucoma
FPR2
Agonist Dry Eye Disease
Dalbavancin ABSSSI
Single Dose
Linzess
Colonic
Release CIC
Botox
Indication X
Anti-Infective
DARPin
AMD
Dual DARPin
AMD
Cetuximab
Multiple
Cancer
Rituximab
Non-Hodgkin
Lymphoma
Bevacizumab
Multiple
Cancer
Trastuzumab
Multiple
Cancer
TRV-027
Acute Heart Failure
Armour Thyroid
Hypothyroidism
Urology
Viberzi
IBS-D
SER-120
Adult Nocturia
LiRIS
Interstitial
Cystitis
Botox
Premature
Ejaculation
GI
Linzess
Low Dose CIC
Bimatoprost
Submental Fat Reduct
Setipiprant
Androgenic Alopecia
Aczone Combo
Acne Vulgaris
Skin Quattro Device
Delivery for
Facial
Linzess
OIC
Aczone Reform
Acne Vulgaris
Sarecycline
Acne
Juvederm
Global Nasal
Labial F
Vobella
Lips Fine L
21
Oxybutynin
Hyperhidrosis
Botox
Forehead
Lines
Volift
Nasolabial Folds
Voluma Global
Malar Augmentation
Phoenix
Breast Augmentation
VoLite
Filler
Voluma
Filler for Chin
Voluma Plus
Facial Volumes
Voluma
Filler for Temple
DARPin
AMD
Pilo/Oxy
Presbyopia
Estradiol
Vag Caps VVA
& Dyspareunia
Brimo DDS
Atrophic AMD
Androgen
Evaporative Dry Eye
Ulipristal
Fibroids
Estradiol
Vaginal Cream VVA
& Dyspareunia
Rapastinel
MDD
Vraylar
Bipolar Depression
Botox X
Spasticity
AGN-241689
Migraine
Prophylaxis
AGN-241660
MDD
Cortisol Analog
Dry Eye Disease
Semprana
Acute Migrai
Vraylar
Multiple
Bimatoprost SR
Glaucoma
Ganfort
MDPF
Restasis
MDPF
Other
(Biosimilars, Cardiovascular
and other)
Botox
Multiple
Ubrogepant
Acute
Migraine
Mimetogen
Dry Eye
Omega 3 OTC
Dry Eye
OCU Tearbud 1
Dry Eye
Nebivilol/
Valsartan
Hypertension
Biosimilar X
Indication X
Botox
MDD
CNS
17
DARPin
DME
Womens Health
Etonogestral Ring
Contraception
Eye
Care
Cyclosporine SR
Dry Eye
Aztreonam /
Avibactam
Gram Neg I
Avycaz
cUTI, cIAI
Aesthetics &
Dermatology
Bimatoprost
Androgenic
Alopecia
Dalbavancin
Osteomyelitis
Oxymetazoline
Rosacea
HA Threads
Forehead & Neck
MT10109L
Aesthetics
Facial Lines
Dalbavancin
Endocarditis
Relamorelin
Diabetic
Gastroparesis
Tripligan
(MMT) Ocular
HTN & Glaucoma
FPR2
Agonist Dry Eye Disease
Dalbavancin ABSSSI
Single D
Linzess
Colonic
Release CIC
Botox
Indication X
Anti-Infective
DARPin
AMD
Dual DARPin
AMD
Cetuximab
Multiple
Cancer
Rituximab
Non-Hodgkin
Lymphoma
Bevacizumab
Multiple
Cancer
Trastuzumab
Multiple
Cancer
TRV-027
Acute Heart Failure
Armour Thyroid
Hypothyroidism
Other
Botox
PC
Cetuximab
PC
Multiple
Multiple Cancer
Rituximab
Non-Hodgkin Lymphoma
PC
9
PC
P2
Armour Thyroid
Hypothyroidism
P2
Nebivilol/Valsartan
Hypertension
P3
Bevacizumab
P3
Trastuzumab
Multiple Cancer
Multiple Cancer
TRV-027
BILL
MEURY
GI
in Action
Underlying Logic behind
GI Strategy
Relamorelin
Viberzi
IBS-D
Linzess
Low Dose CIC
P3
Linzess
Colonic Release CIC
GI
P2
P2
Linzess
OIC
P2
Relamorelin
Diabetic Gastroparesis
Rates of diarrhea and discontinuation for the 72mcg dose lower than 145mcg
for CIC
Treats IBS-D
Targets the core components of IBS-D, diarrhea and abdominal pain helping
provide lasting relief
VIBERZI Targets Opioid Receptors in the GI Tract
with low systemic bioavailability
= VIBERZI
Slows GI
motility
Reduces
visceral pain
Reduces
diarrhea
First and only mu- and kappa-opioid receptor
agonist, and delta-opioid receptor antagonist
8.0*
Responders (%)
6.8*
PBO
75 mg ELX
100 mg ELX
17.1
N=427
23.9 *
25.1 *
16.2
N=427
IBS-3001
N=426
N=382
*p=0.05; p<0.001
ELX, eluxadoline; IBS, irritable bowel syndrome; PBO, placebo
28.9
29.6
N=381
IBS-3002
N=382
Placebo
Eluxadoline 75 mg
50
Eluxadoline 100 mg
40
30
20
10
0
7
14
21
28
35
42
49
56
63
70
77
84
91
98
105
112
119
126
133
140
147
154
161
168
175
182
Self-report Adequate
Control with Loperamide
41.8
37.5
26.3
27
25
12.7
Placebo
Placebo
n = 41
Performance
OTC Medications
n = 40
76%
10%
76%
44%
71%
22%
59%
15%
Importance
Rxs
8MM
IWD
162
Allergan GI
238
Allergan PCP
1,004
~450 Reps
454
Allergan
Competitor
PATIENT
EXPERIENCE
Summary
Sprinkle formulations
DTC
LTC Launch
Colonic Delivery
Low Dose
Sprinkles Form
Source: IMS NPA as of 1/30/15 , IMS Xponent of 1/2/15 and IMS Source of Business Report, Nov 2014
2015-2024
$1B+
RELAMORELIN
Vomiting Severity3
0.0
-1
-0.4
-3
-0.8
p=0.005
-4
-1.1
p=0.033
p=0.041
-5
-1.5
mITT1
Subgroup2
Placebo
p=0.006
mITT
Subgroup
Study Endpoints:
Primary Endpoint:
Secondary Endpoints:
Change-from-baseline:
Recruitment is on schedule
Severe
0.6
Moderate
0.3
Mild
80%
60%
Prior prokinetics
72%
60%
52%
40%
TRx (MM)
20%
0%
Mild
Moderate
2.3M
Patients
Severe
>$1B
>$1B
6
4
2
0
Propulsid (1998)
Reglan (2008)
$5.1B
GERD
$1.5B
$8.9B
Crohns
Disease
Gall Bladder
Disease
$2.9B
Chronic
Constipation
& IBS-C
$5.9B
Ulcerative
Colitis
$2.1B
Obesity*
$2B
Undeveloped
Mkt (NASH)*
Allergan presence
No / Limited Allergan presence
$2.2B
$1.3B
Digestives
IBS-D
$1.4B
$9.4B
Ulcers
Emesis
$0.6B
Diarrhea
CNS
in Action
Underlying Logic behind
CNS Strategy
Migraine
Alzheimers
Disease
Psychosis
CGRP
Rapastinel
MDD
Vraylar
Bipolar Depression
Botox X
Spasticity
P1
AGN-241689
P1
Migraine Prophylaxis
AGN-241660
MDD
P2
P2
P2
CNS
P1
P3
Botox
MDD
P2
Ubrogepant
P3
Semprana
Acute Migraine
Acute Migraine
Vraylar
Multiple
1Initiating
MIGRAINE
ALLERGAN
CGRPs
Frequent Episodic
Chronic
Triptans
AGN-241689
AGN-241689
Semprana
CGRPsmAbs
Ubrogepant
Botox
CGRPsmAbs
1%
10%
~10MM Rxs
10%
44%
18%
Anticonvulsants
Antidepressants
Beta blockers
CCB
Botox
Other
17%
4MM
2MM
Frequent Episodic
Chronic
Type of
Treatments
Episodic
Severe headache that comes
on suddenly. Less than 15
headache days per month
Acute (abortive)
Reverse, or stop, the
progression of a headache
AGN For
Migraine
Chronic
More than 15 headache days
per month over a three month
period
Preventive (prophylaxis)
Reduce the frequency
and severity of the migraine
attack
Indication
Development status
Ubrogepant
AGN-241689
Phase 2 completed
Phase 1 completed
30
(p=<0.001)
(p=0.001)
30
(p=<0.001)
(p=0.002)
20
(p=0.179)
10
(p=0.318)
7.1
7.1
4.4
12.7
20.6
22.6
22.5
Placebo
1mg
10mg
25mg
50mg
100mg
PF 2
(p=0.002)
20
(p=0.140)
10
0
(p=0.003)
Ubrogepant
(p=0.444)
6.4
6.4
4.4
11.2
19.1
21.8
20.2
Placebo
1mg
10mg
25mg
50mg
100mg
TMF 2
Ubrogepant
For our phase 3 program, 2 hour pain freedom will be a co-primary endpoint
along with absence of the most bothersome associated migraine symptom
(either photophobia, phonophobia, or nausea) at 2 hours post dose.
Placebo
25mg
50mg
100mg
N=113
N=104
N=106
N=102
Triptan High
Responders
11.4%
25.8%
20.7%
21.4%
Triptan Low
Responders
11.8%
23.8%
25.9%
21.7%
Triptan Naive
5%
17.9%
23.7%
28.9%
Ubrogepant
(%)
Placebo
25mg
50mg
100mg
Dry Mouth
3.5%
2.9%
3.8%
4.9%
Nausea
3.5%
4.8%
6.6%
6.9%
Fatigue
2.7%
1.9%
0.9%
2.9%
Dizziness
0.9%
1.9%
1.9%
5.9%
Somnolence
5.3%
4.8%
2.8%
3.9%
Triptan-associated
AEs
2.7%
1.0%
1.9%
0%
MK-0974
(telcagepant)
Ubrogepant
MK-3207
AGN-241689
Development of Ubrogepant and AGN-241689 will include robust safety monitoring to assess hepatic safety
Additional modeling planned to better understand telcagepants mechanism of hepatotoxicity and provide
opportunity to distinguish Ubrogepant & AGN-241689 from the predecessor molecules
*The precise mechanisms responsible for the liver toxicity produced by telcagepant and MK-3207 remain unknown
Patient of Preference
Source: Company press releases, Allergan and Merck market research, IMS data
100%
80%
% of patients preferring RoA
Oral QD
SC 1x3 mo
SC 1x2 wks
73%
65%
60%
48%
40%
45%
39%
31%
20%
0%
Mode of Administration
Oral BID
SC 1xmo
IV 1x3 mo
50%
50%
38%
38%
25%
25%
Otezla
13%
Tecfidera
13%
Gilenya
0%
Mar-18
Humira
Simponi
Enbrel
Stelara
Jun-19 Sept-19
Cimzia
Remicade
Source: Company press releases, Allergan and Merck market research, IMS data
Otezla
Cosentyx
0%
AVONEX Total
GILENYA
BETASERON
REBIF Total
DEPRESSION
Maintenance
Maintenance
SSRIs
SNRIs
Atypicals
Relapse
Relapse
Placebo (n=191)
ESC 10mg (n=580)
ESC 20mg (n=506)
-4.5
-9
-13.5
-18
14
28
Day
42
56
0
Mean change in HAM-D21
Placebo (n=191)
ESC 10mg (n=580)
ESC 20mg (n=506)
-4.5
-9
-13.5
-18
14
28
Day
42
56
Rapastinel
Adapted from: Danysz W., Parsons C. G. (1998) Glycine and N-methyl- D-aspartate receptors: Physiological significance and possible therapeutic applications.
Pharmacological Reviews, 50, 597-664.
AGN - 241660
Oral formulation
HDRS-17, difference
from placebo
-1.25
-2.5
-3.75
-5
* p<0.05
Rapastinel 5 mg/kg
Rapastinel 10 mg/kg
Rapastinel 30 mg/kg
*
*
*
*
14
No psychotomimetic effects
at any timepoint with Rapastinel:
10
Placebo
Rapastinel
GLYX-13
1 mg/kg
5 mg/kg
10 mg/kg
30 mg/kg
BPRS+
8
6
4
2
0
Berman et al. 2000
10
12
Brief Psychiatric Rating Scale (BPRS): scale used to measure psychiatric symptoms such as depression and anxiety, symptoms rated on scales from 1-7
Adverse Event
Rapastinel
4 dose groups (n=83)
Placebo (n=33)
Any Event
71%
63%
Headache
17%
18%
Somnolence
12%
6%
Dizziness
10%
0%
Dysgeusia
7%
9%
Treatment
Settings
30-40%
Treatment
Resistant MDD
Office Setting
Generic MDD
Outpatient Clinic
Hospital
VRAYLAR
(CARIPRAZINE)
VRAYLAR is Unique from Other Antipsychotic
Novel MOA
Robust Efficacy Across Multiple Indications
1
Schizophrenia
Bipolar Mania
Type I Disorder
FDA approval 9/15
MDD Adjunct
Phase 3 Ongoing
Bipolar
Depression
Phase 2 Completed
Negative
Symptoms
Gedeon Richter
Phase 2 Completed
VRAYLAR
Safe, Effective Treatment for Schizophrenia
1 Schizophrenia
Negative Symptoms
No approved drug
for Negative Symptoms
PANSS-NFS: Positive and Negative Symptom Score of Schizophrenia- Negative Factor Score
PSP: Personal and Social Performance
~25% Schizophrenia
~40% Negative
Symptoms
Negative Symptom
Market Segment Value
53MM
13MM
5MM
$3B
VRAYLAR
Safe, Effective Treatment for Bipolar Mania
3 Adjunct MDD
4 Bipolar Depression
1. Other (Autism, ADHD, OCD, Anxiety, other personality disorders total $6 billion and not included in estimate above
GfK Schizophrenia Physician Study 2013
$15$20B in Sales
Schizophrenia
Mania
$2.1B
$7B
BP Dep
MDD
$5.1B
$3.3B
Weight Gain
EPS
Somnolence
32%
Switch due
to side
effects
Over 50%
of patients
fail 2nd line
therapy
Zyprexa 19%
18%
16%
Seroquel 17%
Akathisia1,2
Somnolence1
20%
20%
18%
18%
16%
16%
14%
14%
14%
12%
12%
12%
10%
Seroquel 10%
Latuda 10%
8%
Risperdal 8%
6%
Saphris 6%
Abilify 5%
Latuda 10%
Risperdal 7%
10%
10%
8%
8%
6%
4%
Zyprexa 4%
Saphris 3%
2%
Seroquel XR 1%
Rexulti 1%
Seroquel 0%
Rexulti 6-7%
Risperdal 6%
Seroquel XR 5%
Abilify 5%
Saphris 3%
Latuda 2%
6%
4%
2%
0%
Vraylar
3%
Vraylar 7%
Abilify 6%
0%
Zyprexa 16%
Seroquel XR 15%
4%
2%
Vraylar
0%
2%
Rexulti 1%
+
B
1
Bipolar
Depression
Negative Symptom
in schizophrenia
MDD
Schizophrenia
Bipolar Mania
2015
2018
2019
2020
$25B
Multiple
Sclerosis
$8B
$9B
Epilepsy
Schizophrenia
$5B
Allergan presence
No / Limited Allergan presence
ADHD
$3B
$7B
Migraine
Alzheimers
$7B
Depression
Parkinsons
$4B
Parkinsons
Sleep
Disorders
$4B
$0.3B
Huntingtons
HERBERT Y.
STEVEN G.
MELTZER M.D. POTKIN M.D.
Professor of Psychiatry and Behavioral Sciences,
Pharmacology, and Physiology
Northwestern University
WOMENS HEALTH
& UROLOGY
in Action
Underlying Logic behind
Our WH & URO Strategy
Gynecology
Urology
Womens Health
Etonogestral Ring
Contraception
Estradiol
Vag Caps VVA & Dyspareunia
P1
P1
P3
P3
Ulipristal
Fibroids
Estradiol
Vaginal Cream VVA & Dyspareunia
UL-1309
Co-primary endpoints
Secondary endpoints
Long term treatment - STET treatment courses of 12 weeks each approved in EU (May 2015 )
for treatment of moderate to severe symptoms of uterine fibroids
Pearl IV data demonstrated efficacy was maintained and safety profile was unchanged
with the repeated courses of therapy support intermittent and long term use
Percent of Patients in Amenorrheaa,b,c,d
% Patients
82.2%
69.6%
5 mg
10 mg
N= 205
N= 197
PEARL IV
74.5%
74.1%
N= 227
N= 220
PEARL IV
Women 25-49 in US
52MM
Fibristal Prescriptions
Diagnosed with
Uterine Fibroids
11MM
10,000
7,500
5,000
2,500
0
Canada
performance in US
terms points to
$1B opportunity
Q3 13 Q1 14 Q3 14 Q1 15 Q3 15
SER-120
Adult Nocturia
LiRIS
Interstitial Cystitis
Botox
Premature Ejaculation
P2
P2
Botox
Indication X
P3
4
PC
Urology
SER-120
(desmopressin nasal spray)
Next Steps
$0.5B
Female Sexual
Dysfunction*
$1.5B
Endometriosis
$5.8B
Hormonal
Contraception
$2.8B
IBS-C
Allergan presence
No / Limited Allergan presence
$5.8B
Non-Hormonal
IUDs
Hormone Therapy /
Menopause
Management
Fertility
$1.3B
$0.3B
$0.3B
GU AntiInfectives
$1B
Uterine
Fibroids
ANTI-INFECTIVE
in Action
Underlying Logic behind
Our Anti-lnfective Strategy
GRAM-NEGATIVE
cUTI
cIAI
Anti-Infective
Dalbavancin ABSSSI
Single Dose
Dalbavancin
Endocarditis
P3
Dalbavancin
Osteomyelitis
P3
Avycaz
cUTI, cIAI
P3
P2
Aztreonam/Avibactam
Gram Neg Infect
CAZ-AVI + MTZ
(n=413)
MER
(n=410)
Comparison
Between Groups
Pathogen
Clinical Cure
n (%)
Clinical Cure
n (%)
Difference, %
(95% CI)
All ceftazidimeresistant
47
39
(83.0)
64
55
(85.9)
3.0
(17.89, 10.60)
All ceftazidimesusceptible
289
237
(82.0)
292
256
(87.7)
5.7
(11.57, 0.17)
sNDA to be filed 2016 with aim of removing limitation statement for cUTI
Avycaz
1800"
$800,000#
Allergan##
$600,000#
1600"
Allergan
1400"
1200"
$400,000#
$200,000#
Dalvance
Merck##
1000"
800"
W
EE
K
W #1#
EE
K
W #3#
EE
K
W #5#
EE
K
W #7#
EE
W K#9
EE #
K
W #11
EE #
K
W #13
EE #
K
W #15
EE #
K
W #17
EE #
K
W #19
EE #
K
W #21
EE #
K
W #23
EE #
K#
25
#
$0#
600"
Medicines Co.
400"
200"
ZERBAXA#Dollars#
AVYCAZ#Dollars#
17)Sep)15"
Dalvance"DOTs"
17)Aug)15"
17)Jul)15"
17)Jun)15"
17)May)15"
OrbacAv"DOTs"
17)Apr)15"
17)Mar)15"
17)Feb)15"
17)Jan)15"
17)Nov)14"
17)Oct)14"
17)Dec)14"
0"