Managing out-licensing collaborations: a big pharma perspective

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Managing out-licensing collaborations: a big pharma perspective Arne Wörn, PhD, Head Alliance Management IID European PLG Conference, Copenhagen, Sept. 5-6

These materials contain certain forward-looking statements relating to the Group's business, which can be identified by the use of forward-looking terminology such as "outlook", "expected", "will", "potential", "pipeline", 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, or potential future sales or earnings of the Novartis Group or any of its divisions or business units; or by discussions of strategy, plans, expectations or intentions. Such forward-looking statements reflect the current views of the Company regarding future events, and involve known and unknown risks, uncertainties and other factors that may cause actual results to be materially different from any future results, performance or achievements expressed or implied by such 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 existing products in any market, or that such products will achieve any particular revenue levels. Nor can there be any guarantee that the Novartis Group, or any of its divisions or business units, will achieve any particular financial results. In particular, management's expectations could be affected by, among other things, uncertainties involved in the development of new pharmaceutical products; unexpected clinical trial results, including additional analysis of existing clinical data or unexpected new clinical data; unexpected regulatory actions or delays or government regulation generally; the Group's ability to obtain or maintain patent or other proprietary intellectual property protection, including the uncertainties involved in the US litigation process; competition in general; government, industry, and general public pricing and other political pressures; and other risks and factors referred to in Novartis AG s current Form 0-F on file with the US Securities and Exchange Commission. Should one or more of these risks or uncertainties materialize, or should underlying assumptions prove incorrect, actual results may vary materially from those described herein as anticipated, believed, estimated or expected. Novartis is providing the information in these materials 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.

Agenda Overview Novartis BD&L at Novartis Alliance Management of out-licensed assets Conclusions

Overview of Novartis group: a strong and diversified portfolio Pharmaceuticals Cardiovascular and Metabolism Oncology and Hematology Neuroscience and Ophthalmics Respiratory Immunology and Infectious Diseases 007 sales: 4.03 USD bln (+%) Vaccines and Diagnostics Novel vaccines Chiron 007 sales:.45 USD bln (+47%) Sandoz Generics 007 sales: 7.7 USD bln (+3%) Consumer Health OTC (Over-The-Counter) CIBA Vision Animal Health 007 sales: 5.43 USD bln (+6%)

Agenda Overview Novartis BD&L at Novartis Alliance Management of out-licensed assets Conclusions

Novartis is a leader in licensing activities Number of deals 005 007 5 0 Novartis 7 deals GSK 6 deals 5 0 5 0 6 3 7 4 IL M&A 6 5 7 IL 0 M&A J&J 3 deals 3 4 3 IL M&A Roche deals 5 5 IL 0 M&A Merck&Co 0 deals 8 3 IL M&A AZ 9 deals 8 3 3 IL M&A Pfizer 0 deals 6 IL 4 4 M&A Preclinical phase Phase I Phase II Phase III Registration phase M&A Source: PharmaDeals, Data download March 008

Over half of our recently launched brands have been developed with partners Developed alone Developed with partner Partner Genentech Idenix Speedel Genentech

Novartis highly rated by partners # of criteria on with top rating (#) BCG industry survey, 006 Novartis 7 Pfizer 5 Roche 3 Genentech J&J GSK # partner of choice for licensors # choice for top 30 VC firms Licensing trends survey, 006 MSD VC meeting 006

Pharma BD&L organization Pre-selection Initial Evaluation Full Evaluation Negotiation Implementation Search & Evaluation Negotiation Alliance Management

Agenda Overview Novartis BD&L at Novartis Alliance Management of out-licensed assets Conclusions

Out-licensing - partnering Novartis assets Novartis is open to many partnering / deal structures Out-licensing of development compounds Divestment of mature products Commercial arrangements for existing Brands Objective is to realize value from: Compounds which have been deprioritized during development Products which are not receiving sufficient commercial support Products for which Life Cycle Management has received too little attention internally New ideas on existing Novartis assets (new indications, new formulations, new combinations)

This presentation focuses on alliance management of out-licensed development-stage drugs Divestments of mature products Number of Novartis transactions 006/07: 7 Limited alliance management need after completion of hand-over Global out-license collaborations of development assets Number of Novartis transactions 006/07: 6 Alliance management required level differs by type of asset/degree of ongoing collaboration Local/regional commercial collaborations Number of Novartis transactions 006/07: >50 Alliance management on local/regional level required but not focus of this presentation

Examples of Novartis out-licensing transactions Speedel / Rasilez - Tekturna (aliskiren) 999 Guidant / everolimus (for drug eluting stents) 00 TopoTarget / Zemab 003 Chiron / aerolized cyclosporine 003 Avera / NKP-608 003 Vanda / iloperidone 004 Eisai / Inovelon (rufinamide) 004 Cerimon / Simulect (basiliximab for IBD) 006 Kythera / LAV694 006 Synosia / rufinamide (for anxiety, BD) 006 APT / Pulminiq 007 Santhera / TCH346 (for muscular dystrophies) 007

Alliance Management of out-licensed drugs is generally less complex than of in-licensed drugs % of collaborations under active Novartis Pharma alliance management type of collaboration complexity of alliance management 74 6 46 54 9 7 high complexity medium/low complexity in-license out-license in-license out-license

..however: level of Alliance Management for outlicensed drugs differs by type of asset level of alliance management required Deprioritized assets Second indication of Novartis inmarket asset Once/twice yearly update in writing No dedicated governance structure Quarterly JSC meetings Dedicated alliance manager

What does Alliance Management for out-licensed assets encompass? Facilitate transfer of data/information/know-how/product or compound Especially difficult for deprioritized assets with no existing project team Usually work-load peaks prior to deal execution (due diligence stage) Prepare business case and align internal organization to decide on call back right Provide strategic input through governance structure In particular for development of second indications of in-market asset Renegotiate if appropriate E.g., extending option/exclusivity period, adding territories, Act as a go to person for any type of deal-related questions/concerns Novartis takes alliance management of out-licensed assets seriously to ensure both companies can capture full value from collaboration

Potential issues Availability of data in case of terminated projects Development/business owners may have moved on Prioritization of workload to support partner Spending resources on supporting/providing input for out-licensed assets sometimes perceived as lower priority needs education of organization Coordination of supply and strategy with partner if partner develops second indication of Novartis in-market drug/if Novartis supplies Not too many case examples within Novartis not everybody may be familiar dealing with such questions Your alliance manager will support you in overcoming such problems, trying to create value for your company and Novartis

Case example: Collaboration with Cerimon on Simulect in Ulcerative Colitis Deal execution: Feb 006 Collaboration partner: Cerimon Pharmaceuticals, Inc. Compound: basiliximab (Simulect ) - monoclonal antibody, selectively blocking IL- receptor (inhibits T cell activation) - Currently marketed by Novartis for the prevention of organ rejection in renal transplant recipients Deal terms: Novartis grants Cerimon the exclusive worldwide right to develop and commercialize Simulect (basiliximab) for the treatment of Inflammatory Bowel Disease (IBD), including Ulcerative Colitis (UC) indication partnering of an in-market Novartis drug Novartis continues to market Simulect in transplant indications Upon approval for its use in IBD, Cerimon will market Simulect and Novartis will share revenue from net sales in this field with Cerimon Cerimon will receive performance-based milestone payments

Promising development and well running alliance Achievements to date: IND successfully filed PhIIb Study (ARREST UC-) of basilixmab in patients with steroid-refractory ulcerative colitis initiated Apr 007 results expected later in 008 An example for a successful alliance Quarterly Joint Steering Committee meetings, involving several functional experts in both companies, and a dedicated alliance manager Open, trustworthy relationship, as ranked by both companies (alliance healthcheck) New work flows between the companies established (e.g. drug supply ordering process) Desire to create additional value: in Mar 008, Cerimon obtained additional right to conduct a proof of concept study of basiliximab in noninfectious uveitis; this study has been initiated in July 008 Cerimon management: I have had a very positive experience working in this alliance. Our interactions have been thoughtful and productive Novartis management: The Cerimon collaboration is a good one. The teams work well together, there is a lot of trust and open discussions and we see the benefit for both parties

Agenda Overview Novartis BD&L at Novartis Alliance Management of out-licensed assets Conclusions

Conclusion Out-licensing transactions are on Novartis radar screen! We take our responsibility seriously to actively manage an alliance also of out-licensed drugs! The level of alliance management will differ by deal type Implementing out-licensing deals has its specific challenges but we work with you to solve them Novartis seeks to maximize value for our partners and ourselves