Stainless-steel vs Single-use: The Vaccines Perspective

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Stainless-steel vs Single-use: The Vaccines Perspective CMO-Biomanufacturer Panel Tue 21 April, Noon-1:30pm, Exhibit Hall Daniel C.Vellom, PhD Sr. Director Global Technology Innovation 2015 INTERPHEX 1

This presentation contains forward-looking statements as defined in the Private Securities Litigation Reform Act of 1995, as amended. Forward-looking statements are statements that are not historical facts. These statements include projections and estimates and their underlying assumptions, statements regarding plans, objectives, intentions and expectations with respect to future financial results, events, operations, services, product development and potential, and statements regarding future performance. Forward-looking statements are generally identified by the words expects, anticipates, believes, intends, estimates, plans and similar expressions. Although Sanofi management believes that the expectations reflected in such forward-looking statements are reasonable, investors are cautioned that forward-looking information and statements are subject to various risks and uncertainties, many of which are difficult to predict and generally beyond the control of Sanofi, that could cause actual results and developments to differ materially from those expressed in, or implied or projected by, the forward-looking information and statements. These risks and uncertainties include among other things, the uncertainties inherent in research and development, future clinical data and analysis, including post marketing, decisions by regulatory authorities, such as the FDA or the EMA, regarding whether and when to approve any drug, device or biological application that may be filed for any such product candidates as well as their decisions regarding labelling and other matters that could affect the availability or commercial potential of such products candidates, the absence of guarantee that the products candidates if approved will be commercially successful, the future approval and commercial success of therapeutic alternatives, the Group s ability to benefit from external growth opportunities as well as those discussed or identified in the public filings with the SEC and the AMF made by Sanofi, including those listed under Risk Factors and Cautionary Statement Regarding Forward-Looking Statements in Sanofi s annual report on Form 20-F for the year ended December 31, 2010. Other than as required by applicable law, Sanofi does not undertake any obligation to update or revise any forward-looking information or statements. 2015 INTERPHEX 2

Arm-to-arm vaccination 2015 INTERPHEX 3

Evolution of Vaccine Technologies (Susan & Stanley Plotkin) Live Attenuated Killed Whole Organism Protein or Polysaccharide Genetically Engineered 18th + 19thCentury Smallpox (1798) Rabies (1885) Typhoid (1896) Cholera (1896) Plague (1897) First Half 20th Century Tuberculosis (BCG 1927) Pertusis (1926) Diphtheria toxoid (1923) Influenza (1936) Yellow Fever (1935) Thyphus (1938) Tetanus toxoid (1926) Second Half 20th Century Polio (oral) Polio (injected) Pneumococcus polysaccharide HepB surface antigen recombinant Measles Rabies (cell culture) Meningococcus polysaccharide Lyme OspA Mumps Japanese encephalitis HiB polysaccharide Cholera (recombinant toxin B) Rubella Tick-borne encephalitis Meningococcal conjugate Adenovirus Hepatitis A H. influenzae conjugate Typhoid (salmonella Ty21a) Varicella Rotavirus reassortants Cholera Hepatitis B (plasma derived) Typhoid (Vi) polysaccharide Acellular pertusis Anthrax secreted proteins 21th Century Cold-Adapted Influenza Pneumococcal conjugates Human papillomavirus recombinant Rotavirus attenuated and new reassortants Zoster Meningococcal quadrivalent conjugates 2015 INTERPHEX 4

The Different Types of Vaccine Antigens Polysaccharide Lipopolysaccharide Conjugates VLPs Live Attenuated protein Carrier Proteins Antigen type Viruses Inactivated Bacteria Peptides DNA Seasonal Vaccines 2015 INTERPHEX 5

Building the Business Case for Single-Use Facilities: CAPEX reduction Facilities Operations New Challenges Shift of Quality Responsibility to Suppliers Some Vaccine Products are more amenable than others Viral Vaccines produced in cultured cells Anaerobic Bacterial Toxins Seasonal Influenza Aerobic Bacterial antigens Bioreactor s Facilities Bags Sensors Connectors MANUBIO 2014, Boston 6

Modular and mobile units? Gcon concept POD Technology concept Flexible-by-design architecture and platforms Multi-product capability Completely reconfigurable clean rooms required for campaigns, without interruption of ongoing operations. NCTM (National Center for Therapeutics Manufacturing) Operating Platform NAME OF PRESENTATION 7

SU facility operations New challenges Handling of very complex assemblies with GMP practices a lot of tubing to manage set up of bags & assemblies Packaging of SUBs to insure integrity Training & re-introducing manual operations Storage space should not be under-estimated NAME OF PRESENTATION 8

SU facility operations: example Quality constraints shifted to suppliers Less risks & quality requirements on cleaning and in place sterilization activities But new risks on suppliers side (L&E, integrity, ) Supplier dependency Change control management Numbers of bags 200L and 1000L Nucleo 200L - 1000L Nucleo 5 4 3 2 1 Time Q1 Q2 Q3 Q4 Q1 2011 2012 No issue Deviation without impact on the product Deviation with impact on the product NAME OF PRESENTATION 9

Take home messages Benefits of Single Use Technologies is spread out within Sanofi-Pasteur, implemented at development, transferred at industrial level Demonstrated process performance Spectacular reduction in project cycle time (ie 17 months vs 37) Significant CAPEX Decrease (e VRVg, over 3M ) Improved process productivity definition Resources saving (as result of cycle time reduction) Flexibility in plant design. Global cross company network: technology sharing across platforms/sites To consider Many operations become manual, emphasize on training Careful trade off between OPEX/CAPEX Supplier, sourcing dependency, responsibilities shifted to supply chain, requires cooperative relationship May open new competitors entry (biosimilars) Change control mastering of flexible technology, standardization re L&E, particulates reductio, system integrity NAME OF PRESENTATION 10

Thank you Thank You (only the dress-code has changed ) 11