H. Lundbeck A/S Ottiliavej 9 Tel +45 36 30 13 11 E-mail investor@lundbeck.com DK-2500 Valby, Copenhagen Fax +45 36 43 82 62 www.lundbeck.com CVR number: 56759913 Corporate Release No 413 12 October 2010 Lundbeck and Merck sign exclusive commercialisation agreement for SYCREST (asenapine) sublingual tablets in all markets outside of the United States, China and Japan SYCREST received European Union (EU) approval from European Medicines Agency (EMA) on 1 September, 2010 for the treatment of moderate to severe manic episodes associated with bipolar I disorder in adults. The adult bipolar mania market in the European Union is still quite undertreated - asenapine represents another treatment option for appropriate patients within this undertreated population Lundbeck expects to launch SYCREST in the EU at the beginning of 2011. H. Lundbeck A/S (Lundbeck) and Merck & Co. (Merck), also known outside the United States and Canada as MSD, today announced a commercialisation agreement for SYCREST (asenapine) sublingual tablets (5 mg, 10 mg). Under the terms of the agreement, Lundbeck will pay an undisclosed fee as well as product supply payments in exchange for exclusive commercial rights to SYCREST in all markets outside the United States, China and Japan. Lundbeck expects to launch SYCREST in the European Union (EU), where it is already approved at the beginning of 2011. Merck will retain exclusive commercial rights to asenapine in the United States, China and Japan. Merck has launched asenapine in the United States under the brand name SAPHRIS (asenapine) sublingual tablets (5 mg, 10 mg). "We are very pleased to be collaborating with Lundbeck on this important commercial milestone. Lundbeck has extensive experience in psychiatry and is the ideal partner to provide physicians and their patients with access to this important medicine in the markets where they will commercialise SYCREST," said Beverly Lybrand, senior vice president and general manager, neuroscience and ophthalmology, Merck. "Merck will continue to focus our efforts on marketing SAPHRIS in the United States, as part of our ongoing commitment to researching, developing and delivering medicines in the neurosciences disease areas." "This agreement highlights our strategic focus on late-stage specialty central nervous system (CNS) products and our ambition to provide long-term growth opportunities for Lundbeck," said Ulf Wiinberg, president & chief executive officer at Lundbeck. We are very pleased to include SYCREST in our existing portfolio of specialty CNS products and see great opportunities to leverage our highly dedicated sales infrastructure. 12 October 2010 Corporate Release No 413 page 1 of 5
About SYCREST /SAPHRIS SYCREST, an atypical antipsychotic medication, received marketing approval in the EU on 1 September 2010 for the treatment of moderate to severe manic episodes associated with bipolar I disorder in adults. The marketing approval applied to all 27 EU member states. In the United States, SYCREST is marketed as SAPHRIS. It was approved by the U.S. Food and Drug Administration (FDA) on 13 August 2009 for the acute treatment of schizophrenia in adults and for the acute treatment of manic or mixed episodes associated with bipolar I disorder with or without psychotic features in adults. On 7 September 2010, two supplemental new drug applications (snda's) for SAPHRIS were approved in the United States to expand the product's indications to the treatment of schizophrenia in adults, as monotherapy for the acute treatment of manic or mixed episodes associated with bipolar I disorder in adults, and as adjunctive therapy with either lithium or valproate for the acute treatment of manic or mixed episodes associated with bipolar I disorder in adults. Additional regulatory applications for asenapine are pending in other markets. Important Safety Information Elderly patients with dementia-related psychosis - Elderly patients with dementia-related psychosis treated with antipsychotic substances are at an increased risk of death. Sycrest is not approved for the treatment of patients with dementia-related psychosis and is not recommended for use in this particular group of patients. Neuroleptic Malignant Syndrome - Neuroleptic Malignant Syndrome (NMS), characterised by hyperthermia, muscle rigidity, autonomic instability, altered consciousness and elevated serum creatine phosphokinase levels, has been reported to occur with antipsychotics, including asenapine. Additional clinical signs may include myoglobinuria (rhabdomyolysis) and acute renal failure. If a patient develops signs and symptoms indicative of NMS Sycrest must be discontinued. Seizures - In clinical trials, cases of seizure were occasionally reported during treatment with asenapine. Therefore, Sycrest should be used with caution in patients who have a history of seizure disorder or have conditions associated with seizures. Suicide - The possibility of a suicide attempt is inherent in psychotic illnesses and bipolar disorder and close supervision of high-risk patients should accompany treatment. Orthostatic hypotension - Asenapine may induce orthostatic hypotension and syncope, especially early in treatment, probably reflecting its α1 adrenergic antagonist properties. Elderly patients are particularly at risk for experiencing orthostatic hypotension. In clinical trials, cases of syncope were occasionally reported during treatment with Sycrest. Sycrest should be used with caution in elderly patients and in patients with known cardiovascular disease (e.g., heart failure, myocardial infarction or ischemia, conduction abnormalities), 12 October 2010 Corporate Release No 413 page 2 of 5
cerebrovascular disease, or conditions that predispose the patient to hypotension (e.g., dehydration and hypovolemia). Tardive dyskinesia - Medicinal products with dopamine receptor antagonistic properties have been associated with the induction of tardive dyskinesia characterised by rhythmical, involuntary movements, predominantly of the tongue and/or face. In clinical trials, cases of tardive dyskinesia were occasionally reported during treatment with asenapine. The onset of extrapyramidal symptoms is a risk factor for tardive dyskinesia. If signs and symptoms of tardive dyskinesia appear in a patient on Sycrest, discontinuation of treatment should be considered. Hyperprolactinaemia - Increases in prolactin levels were observed in some patients with Sycrest. In clinical trials, there were few adverse reactions related to abnormal prolactin levels reported. QT interval - Clinically relevant QT prolongation does not appear to be associated with asenapine. Caution should be exercised when Sycrest is prescribed in patients with known cardiovascular disease or family history of QT prolongation, and in concomitant use with other medicinal products thought to prolong the QT interval. Hyperglycaemia and diabetes mellitus - Hyperglycaemia or exacerbation of pre-existing diabetes has occasionally been reported during treatment with asenapine. Assessment of the relationship between atypical antipsychotic use and glucose abnormalities is complicated by the possibility of an increased background risk of diabetes mellitus in patients with schizophrenia or bipolar disorder and the increasing incidence of diabetes mellitus in the general population. Appropriate clinical monitoring is advisable in diabetic patients and in patients with risk factors for the development of diabetes mellitus. Dysphagia - Esophageal dysmotility and aspiration have been associated with antipsychotic treatment. Cases of dysphagia were occasionally reported in patients treated with Sycrest. Body temperature regulation - Disruption of the body s ability to reduce core body temperature has been attributed to antipsychotic medicines. From the clinical trials, it is concluded that clinically relevant body temperature dysregulation does not appear to be associated with asenapine. Appropriate care is advised when prescribing Sycrest for patients who will be experiencing conditions that may contribute to an elevation in core body temperature, e.g. exercising strenuously, exposure to extreme heat, receiving concomitant medicinal products with anticholinergic activity or being subject to dehydration. Patients with severe hepatic impairment - Asenapine exposure is increased 7 fold in patients with severe hepatic impairment (Child-Pugh C). Therefore, Sycrest is not recommended in such patients. Parkinson s disease and dementia with Lewy bodies - Physicians should weigh the risks versus the benefits when prescribing antipsychotic medicinal products, including Sycrest, to 12 October 2010 Corporate Release No 413 page 3 of 5
patients with Parkinson s disease or dementia with Lewy Bodies (DLB) since both groups may be at increased risk of Neuroleptic Malignant Syndrome as well as having an increased sensitivity to antipsychotics. Manifestation of this increased sensitivity can include confusion, obtundation, postural instability with frequent falls, in addition to extrapyramidal symptoms. Drug Interactions - Caution should be used when asenapine is taken in combination with other centrally acting medicinal products. Patients should be advised to avoid alcohol while taking Sycrest. Additionally, Sycrest should be co-administered cautiously with fluvoxamine (a CYP1A2 inhibitor) and with medicinal products that are both substrates and inhibitors of CYP2D6 (e.g., paroxetine). For full prescribing information, please refer to the Summary of Product Characteristics. SAPHRIS and SYCREST are registered trademarks of N.V. Organon, a subsidiary of Merck & Co., Inc., Whitehouse Station, N.J., U.S.A. 12 October 2010 Corporate Release No 413 page 4 of 5
Merck contacts Investors: Media: Joe Romanelli Ian McConnell +1 908 423 5088 +1 908 423 3046 Lundbeck contacts Investors: Media: Jacob Tolstrup Mads Kronborg Vice President, Corporate Relations Media Relations Manager +45 36 43 30 79 +45 36 43 28 51 Palle Holm Olesen Stine Hove Marsling Chief Specialist, Investor Relations External Communication Specialist +45 36 43 24 26 +45 36 43 28 33 Magnus Thorstholm Jensen Investor Relations Officer +45 36 43 38 16 About MSD (Merck & Co.) Today's MSD is a global healthcare leader working to help the world be well. MSD is a trade name of Merck & Co., Inc. with headquarters in Whitehouse Station, N.J., U.S.A. Through our prescription medicines, vaccines, biologic therapies, and consumer care and animal health products, we work with customers and operate in more than 140 countries to deliver innovative health solutions. We also demonstrate our commitment to increasing access to healthcare through far-reaching policies, programs and partnerships. For more information visit www.msd.com About Lundbeck H. Lundbeck A/S (LUN.CO, LUN DC, HLUKY) is an international pharmaceutical company highly committed to improve the quality of life for people suffering from central nervous system (CNS) disorders. For this purpose Lundbeck is engaged in the research and development, production, marketing and sale of pharmaceuticals across the world, targeted at disorders like depression and anxiety, schizophrenia, insomnia, Huntington s, epilepsies, Alzheimer s and Parkinson s diseases. Lundbeck was founded in 1915 by Hans Lundbeck in Copenhagen, Denmark, and employs today approximately 5,900 people worldwide. Lundbeck is one of the world s leading pharmaceutical companies working with CNS disorders. In 2009, the company's revenue was DKK 13.7 billion (approximately EUR 1.8 billion or USD 2.6 billion). For more information, please visit www.lundbeck.com. 12 October 2010 Corporate Release No 413 page 5 of 5