JEFFERIES 2016 HEALTHCARE CONFERENCE. June 2016

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Transcription:

JEFFERIES 2016 HEALTHCARE CONFERENCE June 2016

Company disclaimer This presentation contains forward-looking statements that provide our expectations or forecasts of future events such as new product introductions, product approvals and financial performance. Such forward-looking statements are subject to risks, uncertainties and inaccurate assumptions. This may cause actual results to differ materially from expectations and it may cause any or all of our forward-looking statements here or in other publications to be wrong. Factors that may affect future results include interest rate and currency exchange rate fluctuations, delay or failure of development projects, production problems, unexpected contract breaches or terminations, government-mandated or market-driven price decreases for Lundbeck's products, introduction of competing products, Lundbeck's ability to successfully market both new and existing products, exposure to product liability and other lawsuits, changes in reimbursement rules and governmental laws and related interpretation thereof, and unexpected growth in costs and expenses. Lundbeck undertakes no duty to update forward-looking statements. Certain assumptions made by Lundbeck are required by Danish Securities Law for full disclosure of material corporate information. Some assumptions, including assumptions relating to sales associated with products that are prescribed for unapproved uses, are made taking into account past performances of other similar drugs for similar disease states or past performance of the same drug in other regions where the products are currently marketed. It is important to note that although physicians may, as part of their freedom to practice medicine in the US, prescribe approved drugs for any use they deem appropriate, including unapproved uses, at Lundbeck, promotion of unapproved uses is strictly prohibited. 2

Focus - focus - focus Increased therapeutic focus within CNS Depression Psychotic disorders 1) Organic development and global brands Country specific optimization in Europe Expand in regions of growth Parkinson s disease Alzheimer s disease Profitability, cash generation and cash reallocation 1) While the Artist Louis Wain was developing a psychotic disorder, his perceptions of reality changed, at first subtly, and then more severely 3

Highlights Restructuring programme well on track FTEs reduced to 5,070 compared to 5,859 at the end of 2015 Total costs down 9% improving EBIT margin from (0.9%) to 12.8% All key products continue the solid momentum Key products grew 108% (103% in local currencies) to DKK 1,352m in Key products represented 36% of total revenue in 2016 guidance raised in connection with the release Lundbeck expects revenue of DKK 14.2-14.6 billion and EBIT of DKK 1.3-1.5 billion for 2016 4

The US - a main driver of sales performance Revenue split (DKKm) (local currency growth) (22%) Breakdown 20% In the US, the strong uptake of key products more than mitigates the Xenazine erosion Europe International markets +4% 30% International markets shows decent growth but is negatively impacted by Venezuela and Azilect handback US +32% 50% Europe negatively impacted by Azilect handback and timing of market access 2015 2016 5

Key products* continue solid growth momentum 1.500 1.200 DKKm Sales up 108% y/y in reaching DKK 1,352m Limited FX impact 900 36% of revenue vs 18% in 2015 600 300 0 2013 2014 2015 2016 *Abilify Maintena, Brintellix, Northera, Onfi, Rexulti included from August 2015 6

Rexulti reached DKK 116 million in 2016 7.000 6.000 5.000 4.000 3.000 2.000 1.000 Total R x count (retail) Weekly data Rolling 4-week ~6.5% branded TR x market share and ~8% branded NR x market share FDA accepts the snda filing for labeling update to include maintenance treatment The PDUFA date is 23 Sept. 2016 Submitted in Canada and Australia 0 Source: Bloomberg (week ending 13/5 2016) 7

Multiple course of MDD treatment over a prolonged period of time 300% MDD prescriptions by line of therapy ~50% of patients with MDD do not respond adequately to initial antidepressant treatment 200% Despite demonstrated efficacy, the side-effect profile of current antipsychotics limit their use in clinical practice 100% Inadequate response to antidepressant or tolerability issues with current antipsychotics paves the way for new adjunctive treatment options 0% 1st Line 2nd Line 3rd Line 4th Line 5th Line SSRI+SNRI Other ADT Antipsychotics 8

Strong Brintellix growth continues Brintellix total sales (DKKm) 250 200 150 100 DKKm Sales of DKK 238m up 142% reported or 152% in local currencies US represents close to 58% of sales Value market share ranges from 1-8% in countries outside the US 50 Recently launched in Brazil, Italy and Spain 0 2014 2015 2016 9

Abilify Maintena continues its solid traction 300 250 200 150 100 DKKm Abilify Maintena total sales (DKKm) Sales of DKK 255m up 113% or 110% in local currencies US constitutes close to 41% of sales 10-15% value market share in most markets Continued solid growth momentum 50 0 2014 2015 2016 10

Onfi still favored by increased TR x volume Onfi net sales (DKKm) 500 DKKm Sales of DKK 544m up 39% or 33% in local currencies 400 300 Continued increased demand driven by increase in mg/r x and higher TR x volume 200 Launched in January 2012 100 0 2014 2015 2016 11

Northera further strengthens growth platform Northera total sales (DKKm) 250 200 150 DKKm Sales of DKK 199m up 371% or 346% in local currencies Growth driven by favorable demand due to higher enrollees and conversion to standard R x 100 Launched in September 2014 50 0 2015 2016 12

Our path to category leadership Current products Pipeline Depression Research projects Schizophrenia Research projects Lu AF35700 Alzheimer s Lu AF20513 Rexulti Idalopirdine Research projects Parkinson s Research projects Early clinical projects 13

Rexulti for agitation/aggression in Alzheimer s The condition Agitation/aggression is a core feature of Alzheimer`s >20% of individuals in a community setting and >50% of nursing home residents with dementia have agitation >1.5 million dementia patients in the US with agitation/aggression No drugs approved for this indication and it remains a high unmet need Clinical programme Target population: Institutionalized or non-institutionalized setting Primary outcome: Change in the Cohen- Mansfield Agitation Inventory (CMAI) total score Study #1 (12 weeks) (NCT01922258) Study #2 (12 weeks) (NCT01862640) ~230 patients ~420 patients 0.5-2mg (flexible dose) 1mg and 2 mg Study start: June 2013 Study start : July 2013 Phase III data: H1 2018 14

Idalopirdine addresses medical need for additional improvements in cognitive function in Alzheimer s Differentiated profile Additive/synergistic effect with donepezil Blockade of the 5-HT 6 receptor improves cognition through several pathways: stimulation of acetylcholine and glutamate activity, while reducing GABA activity Effect and benign tolerability profile established in phase II 2) Clinical phase III programme >2,500 mild-to-moderate Alzheimer s patients 3/4 of the patients in the programme recruited Clinical study endpoints agreed with FDA and EMA Receptor occupancy data supports oncedaily dosing and dose-range 1) Potentially first NCE to be approved for Alzheimer s since 2003 Phase III data: 2017 15 1) Schmidt et al, A clinical positron emission tomography (PET) study investigating occupancy at the 5-HT 6 receptor after multiple oral doses of Lu AE58054 in healthy men. Poster at AAIC July 2014. 2) Wilkinson et al, Safety and efficacy of idalopirdine, a 5-HT6 receptor antagonist, in patients with moderate Alzheimer s disease (LADDER): a randomised, double-blind, placebo-controlled phase 2 trial. Lancet Neurology 10/2014

Lu AF35700 in Treatment Resistant Schizophrenia (TRS) Unique mode of action. In contrast to current treatment, antipsychotic effect at low D 2 blockade 5-HT 6 blockade may improve cognitive function Combined D 1 /D 2 and 5-HT 6 profile gives good antipsychotic activity combined with a benign tolerability profile Very long half-life leads to significantly reduced risk of relapse on per oral therapy Four clinical studies have been conducted, three studies in healthy people and one in patients with schizophrenia*). Psychiatrists readily recognize the term Treatment Resistant Schizophrenia They define TRS as an inability to control symptoms of schizophrenia after a full round of two to three antipsychotics Majority of psychiatrists consider a third of their schizophrenia patients as treatment resistant *) Clinicaltrials.gov identifier: NCT02202226 16

2016 financial performance DKKm 2016 2015 Revenue 3,770 3,563 EBITDA 824 308 EBIT 483 (32) Net financials (123) - Tax 174 49 Net profit 186 (81) EPS 0.94 (0.41) Impact from LoE mitigated by growth in key products Limited currency impact EBIT margin increased from (0.9%) to 12.8% Continued margin improvements: Effects from restructuring programme Growth in key products with higher margins Erosion of low-margin products such as Azilect and Xenazine 17

All cost ratios are down driving the solid margin improvement 1.200 1.100 1.000 Cost of sales (DKKm) Sales and distribution (DKKm) 1.500 1.450-10% 1.400-10% 1.350 1.300 33% 28% 1.250 41% 35% 1.200 2015 2016 2015 2016 Administration (DKKm) R&D (DKKm) 200-16% 750 0% 100 6% 5% 21% 25% 19% 0 2015 2016 500 2015 2016 18

2016 financial guidance raised Financial guidance 2016 Revised 2016 guidance* Previous 2016 guidance Revenue DKK 14.2-14.6bn DKK 13.8-14.2bn Reported EBIT DKK 1.3-1.5bn DKK 1.0-1.2bn * Based on exchange rates as per ultimo April 2016 Revenue and profit drivers Accelerated growth in key products Cost savings from restructuring initiatives No new acquisitions, milestones or up-front payments included in our 2016 targets 19

Transformation of Lundbeck under way EBIT margin vs target Strong improvement in EBIT margin 30% 20% Margin benefits are coming faster than expected 10% 0% -10% -20% -30% -40% -50% 2010 2011 2012 2013 2014 2015 2016e Strong margin improvement sustainable Continued margin improvements: Effects from restructuring programme Growth in key products with higher margins Erosion of low-margin products such as Azilect and Xenazine 20

Healthy operating cash flow Cash flow drivers: DKKm 2016 2015 Strong improvement in profitability Operating cash flow 357 (382) Free cash flow 320 (418) Improved working capital Net cash flow (28) (515) Cash 1,383 3,160 Net interest-bearing debt (2,052) (86) Net debt/ebitda 2.5x 0.3x Provisions reduced by spend on restructuring Net interest-bearing debt expected at DKK 1.2-1.4 billion at year-end 21

Long-term financial targets EBIT margin ROIC Cash-to-earnings Dividend pay-out Net debt/ebitda 25% 25% >90% 30-40% <2x Targets within a 3-5 year period Financial policies ROIC: EBIT after tax as a percentage of average invested capital. Cash-to-earnings: Free cash flow as a percentage of net profits 22

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Thank you! 24