Roche: Committed to Innovation. William M. Burns, CEO Roche Pharmaceuticals

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1 Roche: Committed to Iovation William M. Burns, CEO Roche Pharmaceuticals

2 This presentation contains certain forward-looking statements. These forward-looking statements may be identified by words such as believes, expects, anticipates, projects, intends, should, seeks, estimates, future or similar expressions or by discussion of, among other things, strategy, goals, plans or intentions. Various factors may cause actual results to differ materially in the future from those reflected in forward-looking statements contained in this presentation, among others: 1 pricing and product initiatives of competitors; 2 legislative and regulatory developments and economic conditions; 3 delay or inability in obtaining regulatory approvals or bringing products to market; 4 fluctuations in currency exchange rates and general financial market conditions; 5 uncertainties in the discovery, development or marketing of new products or new uses of existing products, including without limitation negative results of clinical trials or research projects, unexpected side-effects of pipeline or marketed products; 6 increased government pricing pressures; 7 interruptions in production 8 loss of or inability to obtain adequate protection for intellectual property rights; 9 litigation; 1 loss of key executives or other employees; and 11 adverse publicity and news coverage. Any statements regarding earnings per share growth is not a profit forecast and should not be interpreted to mean that Roche s earnings or earnings per share for this year or any subsequent period will necessarily match or exceed the historical published earnings or earnings per share of Roche. For marketed products discussed in this presentation, please see full prescribing information on our website All mentioned trademarks are legally protected 3 Roche: Committed to iovation Growth opportunities Summary 4

3 Differentiated and rejuvenated product portfolio From 1 to 9 products with sales at or above CHF 1 billion Pharmaceuticals key products (CHF billion) By year of market introduction '97 '98 '99 ' '1 '2 '3 '4 '5 '6 '7 Boniva Tarceva Avastin Pegasys Herceptin Xeloda NeoRecormon/ Epogin MabThera/ Rituxan CellCept Rocephin Roaccutane 5 Focus on differentiated products paying off Outstanding long-term value creation Group sales 1 (CHF billion) CAGR 15 % Group operating profit 2 (CHF billion) 31.4% % 27.9% % 22.9% 21.3% % CAGR 25 % Continuing to focus on our core assets 1 Prescription and Diagnostics 2 Continuing businesses, before exceptional items 6

4 New pharma model: Disease Biology Areas (DBAs) Alignment and focus Disease Biology Areas Idea Market DBA Oncology DBLT Clear focus DBA Metabolic DBA CNS DBA Inflammatory DBLT DBLT DBLT More independent and flexible disease areas Faster and simpler decision processes DBA Viral DBLT 7 Roche: Committed to iovation Growth opportunities Summary 8

5 Key drivers for long term development in place Develop the short term drivers while shaping the others Inherent development risk Low High ILLUSTRATIVE Oncology Autoimmune Existing Earlier Phases Maturity of portfolio Virology CNS Metabolic 9 Roche Oncology: Strongest growing franchise Avastin: Best growing oncology brand ever CHF billion vs. 26 local growth +2 % 6 % +11 % 44 % +14 % Sales Avastin launch compared to other cancer therapies (US plus top-5 EU markets 1 ) Avastin 5 5 % +28 % Europe/RoW US Japan Quarters since launch 1 Source: IMS. Products included are Avastin, Alimta, Arimidex, Camptosar, Eloxatine, Erbitux, Femara, Gemzar, Herceptin, MabThera, Nexavar, Sutent, Tarceva, Taxol, Taxotere, Xeloda 1

6 Avastin still early in its journey Realizing full potential across tumor types Tumour Colon/ rectal Lung (NSCLC) Breast (HER2-) Breast (HER2+) Kidney (RCC) Early/adjuvant (Potential for cure) Phase III (AVANT, NSABP C-8, E522, E524) Phase III (E155) Phase III (BEATRICE, E513) Phase III (BETH w/herceptin) Avastin also trialed in gastric, ovarian, prostate, anhl, and brain (GBM) (Trial names) [Approval status]. More trials are ongoing than listed above. Advanced/metastatic (Extending life) 1 st -line of treatment 2 nd -line of treatment Launched [EU, US, JP; broad label in 1st and subsequent lines] Launched [EU majority of chemos, US carboplatin/paclitaxel] Launched [EU paclitaxel] Phase III (AVADO, RIBBON-1) Phase III (AVEREL w/herceptin) Launched [EU; with interferon] Phase III (BETA Lung w/tarceva) Phase III (RIBBON-2, incl. w/xeloda) 11 Avastin recommended first line in major treatment guidelines NCCN guidelines Avastin + FOLFOX/XELOX Previously untreated metastatic CRC EORTC guidelines Patients can tolerate intense therapy Patients caot tolerate intense therapy First disease progression Avastin + FOLFIRI Avastin + infusional 5-FU/LV Capecitabine ± Avastin Infusional 5-FU/LV ± Avastin Second disease progression Avastin + FOLFOX/XELOX FOLFIRI Irinotecan + cetuximab Previously untreated metastatic CRC Avastin + FOLFIRI FOLFOX/XELOX Irinotecan + cetuximab Capecitabine (5-FU/LV) ± Avastin FOLFOX/XELOX FOLFIRI 12

7 Trastuzumab-DM1 Phase I Study in HER2+ MBC: Anti-tumor Activity New market opportunities: Trastuzumab-DM1 Very promising early data (24 pts evaluated, Phase 1) 6 objective responses, 4 responses on-going at the last data cut-off; the longest has persisted over 8 months In addition to trastuzumab, all responders previously received taxane &/or vinca alkaloid No unexpected cardiotoxicity has been observed so far CT Liver Scan Image at Baseline CT Liver Scan Image at End of Cycle 2 Krop et al, ECCO New market opportunities: IGF1-R Inhibitor Impressive results in Phase I- Eligibility as multitumor compound? Unique Features Selective to IGF pathway which is a key factor in tumor growth Baseline June 19, 26 Baseline Dec 8, 26 Pt. 812 Restaging Week 25 Dec 29, 26 Restaging Week 6 Jan 25, 27 Drivers for Value IGF pathway linked to many tumor types Speed: Sarcoma collaborative groups to allow exclusive focused trial and rapid market access 14

8 Oncology in 28 Preparing for new market opportunities Breast cancer (BC) Phase III data (AVADO, RIBBON-1) to broaden Avastin label for combination with all major chemos HER2+ mbc phase III for pertuzumab started in Q1 28 opted-in to trastuzumab-dm1 (in phase II) Avastin adjuvant trials started: Large potential new market opportunity Metastatic colorectal cancer (mcrc) Launch of Avastin and Xeloda in 1st and later lines not restricted by chemo choice (incl. oxaliplatin) (EU) Chronic lymphocytic leukemia (CLL) Positive data in 1st line - MabThera to enter a new market in Europe 15 Key drivers for long term development in place Develop the short term drivers while shaping the others Inherent development risk Low High ILLUSTRATIVE Oncology Autoimmune existing Earlier Phases Maturity of portfolio Virology CNS Metabolic 16

9 Overview of autoimmune disorders INDICATION PRIMARY PATHOLOGY HIGH NEED? PREVALENCE PATIENTS DISEASE PROGRESSION Rheumatoid Arthritis Joint/bone degeneration Yes 1% global +6 mln WW Mild, moderate, severe Multiple Sclerosis Destruction of CNS myelin Yes <<1% global mln WW RRMS; SPMS; PPMS; PRMS * Systemic Lupus Erythematpsus Tissue damage from autoantibodies Yes <.5% global.5 mln US Mild, intermittent, persistent, fulminant Lupus Nephritis Renal involvement in SLE Yes 4 85% SLE patients.2.4 mln US Class I - VI Psoriasis Autoimmune infiltration into skin Yes 1 2% global 125 mln WW Plaque-type: Mild, moderate, severe * RRMS: Relapsing-Remitting Multiple Sclerosis; SPMS: Secondary-Progressive MS; PPMS: Primary Progressive MS; PRMS: Progressive Relapsing MS 17 Rheumatoid Arthritis: Continued Market Growth Driven by increased Biologic use, novel oral DMARDs & PHC Short to mid-term growth driver Biologic treated population projected to grow 6.7% CAGR (28-22) Number of Biologic Treated patients in s EU USA Mid to Long-Term Opportunities Low biologic penetration Mod/Sev RA Future growth drivers: Novel orals: Potent & convenient PHC defined differentiation = premium pricing New brand Rx combination regimens 27 US Patient Treatment 1'6 1'4 1'2 1' '522 Treated for Mod/Sev 429 Treated with Bio 332 Adherence 18

10 Next generation anti-cd2s (MabThera follow-ons) Opportunities for improvement 2nd gen. anti-cd2 (ocrelizumab) Fully humanized Potential clinical benefits Less immunogenicity Better tolerability Shorter infusion time 3rd gen. anti-cd2 (R7159) Fc engineered (glycosylations) Increased CD2 binding and apoptosis Increased ADCC (antibody dependent cellmediated toxicity) Reduced CDC (complement dependent cell toxicity) Potential clinical benefits Improved efficacy Less infusion reactions In phase III in RA, and SLE LN to start soon Phase II in RRMS to start 28 In phase I for oncology / hematology 19 Inflammation Portfolio A rich pipeline in multiple AI indications LI LO P P1 P2 P3 Mkt Rheumatology Actemra sjia Actemra RA MabThera RA Ocrelizumab SLE Ocrelizumab RA MabThera DMARD inad resp MabThera RA MTX naive Respiratory RARγ hmab OX4L Transplant CellCept Pain Other S1P1 Psoriasis ocrelizumab ANCA vasculitis CellCept lupus nephritis CellCept pemphigus vulgaris Project origin: TPI Group Origin External Origin Line Extensions 2

11 Inflammation/Autoimmune in 28 Major market opportunities in focus Rheumatoid Arthritis MabThera for DMARD-IRs (1st line biologic): expect data and filing Actemra: regulatory approval expected (first in US) Multiple Sclerosis Phase II/III data for MabThera in PPMS in H1 28 Lupus Phase II / III data for MabThera in SLE in H Key drivers for long term development in place Develop the short term drivers while shaping the others Inherent development risk Low High ILLUSTRATIVE Oncology Autoimmune existing Earlier Phases Maturity of portfolio Virology CNS Metabolic 22

12 Dyslipidemia: Future growth driven by HDL treatment Million Prevalence Dyslipidemia Dyslipidemia Prevalence prevalence Population will Continue continue Development to grow Grow US EU Japan Revenue Revenue Development Revenue Development Assumptions Development Assumptions in (US) in Dyslipidemia (US) (US) 4' 35' 3' Sales (CHF.) 25' 2' 15' 1' 5' CETPi Niacins Fibrates/PPAR alpha Statins FDC total CAIs Other CETP inhibitors and other HDL raising drugs will be responsible for the majority of market value Sources: Wood MacKenzie, IMS therapy forecaster, in-house assumptions Decision Resources, Cardium Study#4, 27; Datamonitor Pipeline Insight dyslipidemia Dyslipidemia: Low HDL-C is an Independent Factor of CHD Risk even when LDL-C is Low 3. Risk of CHD HDL-C (mg/dl) LDL-C (mg/dl) Gordon T et al. Am J Med 1977;62:

13 Roche diabetes portfolio Targeting All three Underlying Pathologies Pancreas Adipose tissue Muscle Glucose uptake PPAR coagonist 11 β HSD Glucose uptake X X Impaired insulin secretion X Hyperglycemia GLP-1 inj DPPIV GK activator GK activator PPAR coagonist X Glucose influx X GLP-1 inj DPPIV Hepatic glucose output Intestine Liver 25 Our metabolic pipeline: maturing quickly Committed to become a major player NMP/TA LI LO P P1 P2 P3 Reg PPAR-CO CETP GLP-1 Roche DPP-IV (3) SGLT2 SGLT2 Chugai Shanghai February 4, 28 26

14 Metabolism/Diabetes in 28 Committed to become a major player CETP Inhibitor to move into phase III Safety data to be presented at major medical meetings GLP-1 phase II data available Decision for phase III to be taken in H1 28 Publication plaed for 28 Phase II data for DPP-IV (3) and PPARαγ expected Looking for a differentiated profile (e.g. weight reduction for DPP-IV) Go/no-go decisions for phase III trials to be taken this year 27 Key drivers for long term development in place Develop the short term drivers while shaping the others Inherent development risk Low High ILLUSTRATIVE Oncology Autoimmune existing Earlier Phases Maturity of portfolio Virology CNS Metabolic 28

15 CNS; One of the top 3 in the market Growth driven by elderly and adolescent patient populations CNS segments MAT 2Q 7 growth vs size 218 US: Alzheimer expect to rank number 3 after cancer/diabetes High unmet medical needs Limited efficacy in various indications Long term patient benefit Need to improve patient functioning Diagnosis of limited benefit Based on behavior and not etiology Biological criteria will play major role for future diagnostic criteria Number of medicines Current Market Value (LC CHF bn) CNS medicines in development 27 Depression/Anxiety Antipsychotics Anticonvulsants Multiple Sclerosis Insomnia AD Migraine Depression/Anxiety Parkinson Antipsychotics ADHD Anticonvulsants Neuropathic Pain Multiple Sclerosis Insomnia AD Migraine Parkinson ADHD Neuropathic Pain 3% 25% 2% 15% 1% 5% % 29 % CAGR (MAT 2Q1 - MAT 2Q7) CNS Portfolio 28- A clear commitment Development Phase TA LI LO P P1 P2 P3 Neurology Nic-a7 mem3454 Rituximab Ocrelizumab S1P1 Psychiatry GLYT1 GLYT1(2) 3

16 Roche: Committed to iovation Growth opportunities Summary 31 Major phase III commitments large investments Additional large phase III trials started or starting soon Avastin mbc Avastin adjuvant CC Avastin adjuvant lung Avastin gastric, NHL Avastin adjuvant BC Pertuzumab mbc Actemra RA Ocrelizumab RA, lupus Ocrelizumab MS CETPi GLP-1 Other T2D compounds HCV pipeline

17 Key drivers in place for sustainable growth Current and projected sources of value creation (phase IIb and III) Avastin mcrc, NSCLC MabThera NHL Herceptin adjuvant BC Avastin mbc extensions Actemra RA MabThera RA Avastin adjuvant Tarceva Colon cancer 1st line maint. Xeloda adj. BC MabThera CLL Tarceva+ Avastin combo 2nd line GLP-1 T2 diabetes HPV16 therapeutic vaccine Avastin adjuvant Avastin Breast cancer adjuvant Lung cancer Pertuzumab mbc CETP inhibitor HCV Polymerase Inhibitor Ocrelizumab Ocrelizumab MS RA, lupus ILLUSTRATIVE

18 Our objectives for 28 Sales High single-digit local currency sales increase for Roche Group (excl. Tamiflu pandemic 1 ) Above-market sales growth 1 in both divisions Core EPS Core earnings per share target 2 at least at record 27 level despite significant increase in R&D investment and considerably lower Tamiflu pandemic sales Shareholder return Continuous increase in dividend pay-out ratio over the next 3 years 1 Excluding government and corporate stockpiling orders of Tamiflu for pandemic use 2 At constant exchange rates Barring unforeseen events 35 Major growth opportunities outside the US Herceptin leading the way 1 Herceptin Xeloda Tarceva MabThera/ Rituxan Avastin 8 % of Total 27 Sales % 62 % 53 % 48 % 2 33 % EU / ROW (incl. Japan) US 36

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