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CompanyName:ActavisPLCCompanyTicker:ACTSector:HealthCare
Industry:DrugsEventDescription:Q4 2014 EarningsCall
©2014TheStreet,Inc.AllRightsReserved Page1of 48
Actavis(ACT)EarningsReport:Q42014ConferenceCallTranscriptThefollowingActavisconferencecalltookplaceonFebruary18,2015,08:30AMET.Thisisatranscriptofthatearningscall:
CompanyPart icipants
LisaDeFrancesco;Actavis;VP-IRBrentSaunders;Actavis;President&CEOTessaHilado;Actavis;CFOBobStewart;Actavis;COOHafrunFridriksdottir;Actavis;SVP-GenericsR&DBillMeury;Actavis;EVP-Commercial,NorthAmericanBrandsDavidNicholson;Actavis;EVP-BrandsR&DPaulBisaro;Actavis;ExecutiveChairman
OtherPart icipants
ChrisSchott;JPMorgan;AnalystMikeFaerm;WellsFargoSecurities;AnalystRonnyGal;SanfordC.Bernstein;AnalystLiavAbraham;Citigroup;AnalystJasonGerberry;LeerinkPartners;AnalystLouiseChen;GuggenheimSecurities;AnalystDaveRisinger;MorganStanley;AnalystUmerRaffat;EvercoreISI;AnalystRandallStanicky;RBCCapitalMarkets;AnalystJamiRubin;GoldmanSachs;AnalystSumantKulkarni;BankofAmericaMerrillLynch;AnalystHimaInguva;BankofAmericaMerrillLynch;AnalystCoreyDavis;CanaccordGenuity;AnalystDavidAmsellem;PiperJaffray;AnalystShibaniMalhotra;Sterne,Agee&Leach;AnalystElliotWilbur;Needham;AnalystSabaHekmat;NewYorkLifeInvestmentManagement;Analyst
MANAGEMENTDISCUSSIONSECTION
LisaDeFrancesco (VP-IR):
Goodmorning,everyone.MynameisLisaDeFrancesco,VicePresidentofInvestorRelationsforActavis,andIwouldliketowelcomeyoutoourfourth-quarter2014earningsandbusinessupdatemeetinginNewYorkCity.Iwouldalsoliketoextendawarmwelcometothoseofyoujoiningusremotelyviawebcast.
Duringtoday'spresentationandQ&Amanagementwillmakeprojectionsorotherforward-lookingstatementswhicharedependentuponfuturemattersorevents.Iwouldliketodirectyoutotheforward-lookingstatementregardingourprojectionsinourpresentation,aswellasinourearningsreleaseandbusinessupdatepressreleasesissuedearlierthismorningincludingourimportantinformationfor
CompanyName:ActavisPLCCompanyTicker:ACTSector:HealthCare
Industry:DrugsEventDescription:Q4 2014 EarningsCall
©2014TheStreet,Inc.AllRightsReserved Page2of 48
shareholders.
Turningnowtoslide3,theagenda,Iwouldliketotakeamomenttoreviewtoday'sagendaforyou.
First,BrentSaunders,ourCEOandPresident,andTessaHilado,ournewChiefFinancialOfficer,willreviewourfourth-quarterandfull-year2014businessperformance.BobStewart,ourChiefOperatingOfficerandfutureheadofourGlobalGenericsbusiness,andHafrunFridriksdottir,ourSeniorVicePresidentofGlobalR&DforActavisGenericsandInternational,willprovideanoverviewofNorthAmericangenericsandinternationalandglobaloperations,andourgenericspipeline.
BillMeury,ExecutiveVicePresidentofGlobalBrands,andDavidNicholson,SeniorVicePresidentofR&DforNorthAmericanbrands,willprovideanupdateoverviewofourNorthAmericanbrandscommercialbusinessandbrandspipeline.BrentwillconcludethemeetingwithadiscussionofgrowthpharmaandareviewofourcombinedcompanyfollowingthecloseoftheAllerganacquisition.AttheconclusionofthemeetingwewilltakeQ&Afromtheaudience.
AndIwouldnowliketoturnitovertoBrenttoopenupthemeeting.Brent?
Brent Saunders (President&CEO):
Goodmorning,everyone.Thankyouforjoiningustodayforourinvestorday,wherewewillspendagoodportionoftodayfocusedonourR&Dpipeline.
It'salittledifferentthanwefirsthadanticipateddoing.Obviously,whenwefirstsetthedateforthismeetingitwaspriortoouracquisitionofAllerganandsothatcausedustochangecourseabitandmakethemeetingslightlydifferentthanitwouldhavebeen,becauseobviouslywewillhaveafullportfolioreview.
Sotoday'smeeting,justtokeepitinperspective,willbeActavisstandalone.ThiswillbeanActavisstandalonefinancials,Actavisstandalonebusinessreview,andActavisstandaloneR&Dpipelinereview.
Iwouldalsoliketowelcomeallofourshareholders.Alloftheanalysts,sell-sideanalyststhatarehere,ourmembersofmanagementthathavejoinedusaswell,andinparticularIwouldliketowelcomeafewselectdignitariesthathavejoinedus.
FromourBoardourchairman,ExecutiveChairman,PaulBisaro,ishere.IthinkmanyofyouknowPaul.CathyKlema,ourLeadDirectoroverhere,andthenwehavethreeAllerganBoardmemberswhohavejoinedus:PeterMcDonnelloverhere,RussRay,andofcourse,verypleasedtoannouncethatalsojoiningusisthefounderofAllergan,GavinHerbert.Gavin,thankyouforjoiningus.
SoIamgoingtomovetothehighlightsforthemeetingandsoIthinkyouhavealreadyseenthenumbers.2014wasanexceptionalyearforActavis.Wesawextraordinarygrowthacrossourbasebusinessandtransformationalbusinessdevelopment,includingtheproposedacquisitionofAllergan,whichwillcreatealeadingcompanyingrowthpharma.Iwouldliketotouchbrieflyonthehighlightsofourperformance,andthenTessawillcomeupandprovidemoredetailsonthestrongfinancialresults.
InQ4wereporteda46%increaseinnetrevenuesto$4billion,adjustedEBITDAincreased80%to$1.5billion,andnon-GAAPearningspershareincreased23%to$3.91pershare.Ourcashfromoperationswas$812million.
Inthefourthquarter,ourglobalbusinessperformancewasexceptional.InNorthAmericaBrandsquarteroverquarter,salesforourtop10productswereupand6ofthetop10weregrowingindoubledigits.OurNamendaconversionisontrack.AsofFebruary6wehaveachievedaconversionrateofapproximately43%,andifourcurrenttrendscontinue,weshouldachieveourgoalofapproximately65%orsoconversionbyJuly.
CompanyName:ActavisPLCCompanyTicker:ACTSector:HealthCare
Industry:DrugsEventDescription:Q4 2014 EarningsCall
©2014TheStreet,Inc.AllRightsReserved Page3of 48
OurNorthAmericanGenericandInternationalbusinesscontinuestofireonallcylinders.USgenericresultsweredrivenbycontinuedstrongsalesofgenericversionofLidodermandConcerta,andduringthefourthquarterwelaunchedgenericversionsofIntunivandCelebrexintheUnitedStates.Ourinternationalbusiness,welaunchedmorethan500productsduringtheyearandkeymarketslikeRussiaandtheUKcontinuetoperformasstars.
Forthefullyearof2014wedelivered$13billioninrevenueand99%growthinadjustedEBITDAanda47%increaseinnon-GAAPEPS.Andcashfromoperationswas$2.2billion.
Weinvestednearly$1billioningenericandbrandR&Dduringtheyearandtheresultsspeakforthemselves.TheFDAapprovedNamzaric,ourfixeddosecombination.WehadapositiveAdCommforAvycazandwesubmittedfilingsforCariprazine,Saphris,andTeflaro.
OurgenericsR&Dorganizationcontinuedtoleadtheentireindustry.Wefiled44ANDAsfortheyear,18inthefourthquarteralone.Wehavemorethan220ANDAspendingattheFDAandanindustry-leading66firsttofiles.OutsidetheUnitedStatesmorethan1,200marketingauthorizationsarepending.
Ourbusinesscontinuestofireonallcylindersandsimultaneouslywecontinuetopursueourstrategicacquisitionstodrivelong-term,sustainablegrowthintheyearsahead.WeacquiredFuriexandDurata,addingimportantproductstoourkeytherapeuticcategories.
WeannouncedanoptiontoacquirerelamorelinfromRhythmHealth,apotentialnewtreatmentforpatientswithdiabeticgastroparesis.AndatjustthebeginningofthisyearweannouncedourintentiontoacquireAudenMckenzie,acrownjewelthatwillmakeusthenumberonegenericscompanyintheUK.And,ofcourse,wealsodivestedafewnon-coreassetsaswell.
SoofcoursethebignewswastheannouncementoftheproposedacquisitionofAllergan.Pre-integrationplanningisgoingextremelywell.Wearemovingrapidlytobereadytooperateasonecompanyondayone.
WehaveannouncedthecombinedleadershipteamfortheCompany.Wehavedefinedsynergiesandareplanningforacceleratedsynergycaptureandaremovingthroughthevariousregulatorystepstobringthistransactiontoclose.OurshareholdervoteisscheduledforMarch10andwewillplantolaunchourdebtandequityofferingsoon.
ClearlyIthink--whenIthinkaboutQ4andthefull-yearnumbers,theydemonstratethatwehavebeenabletomaintainourbusinessmomentumwhilepreparingtocombineourtwocompanieseitherlaterthisquarterorearlynext.
NowIwouldliketoaskTessatocomeupandprovidemoredetailonourfourth-quarterandfull-yearperformance.Tessa?
TessaHilado (CFO):
Goodmorning,everyone.IamTessaHilado,theChiefFinancialOfficer.Ijoinedtwomonthsago,somyonlyrequesttoallofyoumild-manneredinvestors,bankers,andshareholdersistorememberwhatyourmotherstoldyouwhenyouwerelittle,bekindandgentletothenewkidintheroom.
Myson,whoisateenager,likeanyothersmartaleckteenager,saidtomeonedaythatbasicallymy26careerinfinancehasspannedmanyindustries.Sincewewerehavingbreakfastonedayandhewaswonderinghistoastslowlywithabutterknifehebasicallysaidtome,Mom,youhavemovedfromcarstodrugstosodaandchipsandbacktodrugsagain.AndIlookedathimandIsaid,son,myonlycorrection:atActavisourCEOwouldsayit'snotdrugs,it'snotpharma,it'sgrowthpharma.
Somovingontomoreseriousmatters,Icouldn'thavejoinedtheActavisteamatabettertime.Iwouldliketo
CompanyName:ActavisPLCCompanyTicker:ACTSector:HealthCare
Industry:DrugsEventDescription:Q4 2014 EarningsCall
©2014TheStreet,Inc.AllRightsReserved Page4of 48
walkyouthroughmypresentation.Ipromiseitwillbebriefsinceyouhavealreadytheearningsrelease.
Oneisourexceptionalperformanceforthequarterandtheyear;two,drilldownthroughthebusinesssegmentsthatcontributedtothisexceptionalperformance;andlastly,walkusthroughourcashflowandsayalittlebitaboutourplannedfinancingfortheAllerganacquisition.
Iwouldliketofocusyourattentiontothenon-GAAPearningspershareof$3.91,up23%fromtheprior-yearperiod.Thisisreallylargelydrivenbystrongsalesofabout$4billion,up44%,drivenbyourbasebusiness.Andinadditiontothat,ifyouwillrecall,thisisthesecondquarterofwhichwehaveincludedsalesforForest.
BothBobStewartandBillMeurywilltellyouaboutourthreebusinesssegmentslateron.OnanadjustedEBITDAbasisouradjustedEBITDAgrewbyabout80%andnon-GAAPR&Dinvestmentincreasedby76%to$321million.Weinvested$117millioninourgenericsbusiness,$182millionintheNorthAmericanbrandsbusiness,and$22millioninbiosimilars.Asaresultofallthis,cashflowfromoperationswasup25%to$811million.
Tonote,youwillnoticethatournon-GAAPtaxrateactuallyimprovedby3.9percentagepointsto14.8%drivenbytwothings:theextensionoftheR&Dcreditthatnormallygetsbookedinthefourthquarterand,secondly,theinclusionofForestproductsthatareactuallyinlow-taxjurisdictions.
Onafull-yearbasisournon-GAAPEPS,againfocusingonthat,was$13.98pershare,up47%.Thisperformancewasdrivenbynetrevenues,whichincreasedby48%to$12.846billion,whichwereagainattributedtoForestproductsthatarereflectedinourQ3andQ4results.WehadR&Dinvestmentfortheyearofapproximately$987million,asBrenthadmentionedearlier,andwespent$465millioninourgenericsbusiness,$423millioninourNorthAmericanbrands,andtheremainingbalancewasspentonbiosimilars.
Asaresultofallthese,adjustedEBITDAfortheyearincreased99%to$4.4billioncomparedto$2.2billionintheprioryear.OurtaxratewasalsofavorableduetotheimpactofourtaxstructurerelatedtotheWarnerChilcottacquisitiononafull-yearbasisandtwoquartersofForest,whoseproductsareinlow-taxjurisdictions,asImentionedearlier.
Finally,cashflowfromoperationsfortheyearwasalsoatarecordofapproximately$2.2billion.
Turningtoourresultsacrossourdivisions,youcanseethatourNorthAmericangenericsandinternationalbusinesscontinuedtoachievestrongperformanceinthequarterwithrevenuesofapproximately$1.782billion,up1%fromtheprior-yearperiod.ThisreflectsthedivestitureofourWesternEuropeanassetstoAurobindoinAprilof2014.
Onaproformabasis,growthwouldhavebeen6%ratherthanthe1%iftheWesternEuropeanassetsareremovedfromQ42013.Weexperiencedstrongsalesofkeyproducts,likethegenericversionsofLidodermandConcerta.WealsolaunchedgenericversionsofIntunivandCelebrexinthatsamequarter.
Onanon-GAAPbasis,adjustedgrossmarginincreasedto57.2%inthefourthquarterof2015--2014from50.7%intheprior-yearperiod,primarilyasaresultofourstrongbasebusinessandnewproductlaunchescoupledwithincreasedrevenuesresultingfromtheForest-acquiredproductssoldinternationally.
Oursecondsegment,ActavisAndabusiness,completedarecordquarter,withrevenuesof$443millioninthefourthquarter2014,upfrom$383millionintheprior-yearperiod,representinga16%increase.Grossmargininthissegmentwas13%comparedto15.4%intheprior-yearperiodprimarilyduetoproductmixyear-over-year.Segmentcontributionwas$17.3millioncomparedto$24millionintheprior-yearperiodduetothestronglaunchofthegenericversionofCymbaltainthefourthquarterof2013aswellashigherfreightcosts.
HereyouwillseeasnapshotofourNorthAmericanbusinessrevenuesforthequarter.NorthAmericanbrandsincreased188%to$1.8billionforthequarter,primarilydrivenbytheacquisitionofForestandstrong
CompanyName:ActavisPLCCompanyTicker:ACTSector:HealthCare
Industry:DrugsEventDescription:Q4 2014 EarningsCall
©2014TheStreet,Inc.AllRightsReserved Page5of 48
salesofkeyproductsincludingNamenda,Linzess,LoLoestrin,andEstracecream.AdjustedgrossmarginasapercentageofadjustednetrevenuesfortheNorthAmericanbrandswas80.4%,downfromtheprior-yearperiodof86.5%duetotheacquisitionofForest,whichhasroyaltypaymentsoncertainlegacyproductslikeNamendaandco-promotionalpaymentsonLinzess.
BeforeIclose,letmetalkaboutourcashflow.Asaresultofourstrongsalesandprofitability,netcashflowfromoperationsgrew85%to$2.2billionfortheyear.Also,notethatcashflowgrewsequentiallyeachquarter,andfromaleverageperspectiveweendedtheyearinafavorablepositionwithdebttoEBITDAof2.77times.
Finally,onthetopicoffinancingfortheAllerganacquisition,weintendtocompleteourfinancingpriortoourexpectedclose.Asyouallknow,ActaviswillbeofferingdebtandequitysecuritiestofinancetheAllerganacquisition.Weexpecttobefilingmaterialstosupportthatofferingsoon.
Asaresult,weareactuallyrestrictedfromprovidinganydetailsregardingtheofferingtoday.Thosedetailswillbepresentedwiththeofferingmaterials.However,asyouthinkabouttheimpactoftheofferingontheCompanyasawhole,youshouldconsiderthefollowingdevelopmentssincetheannouncementoftheAllerganacquisitiononNovember17.
First,bothActavisandAllerganhavereportedstrongbusinessperformanceforthefourthquarterof2014resultinginbetter-than-expectedearningsandcashflow.Second,Actavishasseenapproximatelya17%riseinoursharepricesinceweannouncedtheAllerganacquisition.Weexpectthesefavorabledevelopmentstohaveamodest,positiveimpactontheofferingversuspriorassumptions.Detailswillbeprovidedinthesecuritiesofferingmaterials,whichwillbefiledinthenextcoupleofdays.
Earlynextweek,andsubjecttomarketconditions,wewillbeembarkingonanequitydebtroadshowtosecurethatfinancing.WeexpecttocompletethefinancinginearlyMarchand,ofcourse,expectallofyoutosupportthistransaction.
IwouldnowliketoturntoBrenttosummarizeour2014performance.
Brent Saunders (President&CEO):
Great,soonastandalonebasisletmetalkaboutoursituation.Asyousaw,clearly2014wasexceptionalandasastandalonecompanyweareconvincedthat2015willbeanotherverystrongyearforActavis.Sotodaywearepleasedtoincreaseourstandaloneforecastfor2015.
Weareincreasingour2015Actavisstandalonefull-yearforecastfornon-GAAPEPSto$16.30to$17.30.Ourpreviousforecastwas$15.60to$16.80onanon-GAAPEPSbasis.
Weexpecttotalnetrevenuetobeapproximately$15billionfollowingadjustmentsfortheDurataandAudenMckenzieacquisitionsandtherespiratoryDoryxandPharmatechdivestitures.Weexpectthatournon-GAAPR&Dinvestmentwillbeapproximately$1.1billionandSG&Aasapercentofrevenueswillbeapproximately19%byyear-end.
Soaswecontinuedtodeliveronourfinancialcommitments,wealsobelievewehavemanyleversforfuturegrowth.Weareahighlydiversifiedcompany.Wehaveastrongcommitment,asyouwillseeinjustafewmoments,toR&Danddrivingbothourgenericandbrandedpipelines.
Youwillseethatwehaveapipelineonourbrandbusinessthatcouldhavesalesover$6billioninthecomingyears.YouwillseethatourleadinggenericR&Dproductivityhascreatedmanyopportunitiesforfuturegrowth,reallyleadingtheindustry,notjustbyalittlebit,butbytrulyblowingourcompetitorsaway.Wetendtostayveryfocusedonourcoretherapeuticareasinthebrandsideandwecontinuetoinveststrategicallyinoursupplychain,makingsurethatwecandeliverhigh-qualitymedicinesaroundtheworld.
CompanyName:ActavisPLCCompanyTicker:ACTSector:HealthCare
Industry:DrugsEventDescription:Q4 2014 EarningsCall
©2014TheStreet,Inc.AllRightsReserved Page6of 48
Wealsoareveryopportunisticinbusinessdevelopmentandperhapsthisyeartherewasjustalotofopportunity,butwealsolookateverydealfromastrategicandfinancialdisciplinetomakesurethatitisaccretivetogrowthforthelong-term.
And,finally,wehaveamanagementteamandsoonacombinedmanagementteamwithkeyexecutivesfromAllerganthatarefocusedonexecution.AndIthinkourfourthquarterandtheexceptionalAllerganfourthquarter,whichwasreportedafewweeksago,areproofpointsthatthesemanagementteamscancontinuetodeliver,evenwhiledoingheavyliftinginapre-integrationperiod.
NowletmejustquicklytalkaboutR&Dbeforewemoveintotheheartoftoday'smeeting.IstronglybelievethatR&Disthelifebloodofourcompany,bothonthegenericandonthebrandside.Wehaveaverystrongcommitmenttoinvestinourorganicportfolioandtomakesurethatwecomplementourinvestmentswithexternallicensingandbusinessdevelopment.
Webelievehavingthatnot-invented-herementalityispartofourstrategicstrengthtomakingsurethatweinvestbehindtherightprogramsattherighttimetomakesurethatwecansolveforunmetmedicalneedandcontinuetodriveorganicgrowth.Wealsobelievethatweneedtomakesurethatweactuallybringdrugstomarket.Andthatrequiresacertainsenseoffocusanddisciplineandmakingsureyoutakethetoughdecisionstokillprogramsthataren'tgoingtoeithersatisfyunmetmedicalneed,accesstoreimbursementorprovideaccesstoreimbursementaroundtheworld,orformularycoverage.
And,lastly,Ihavesaidthismanytimes,particularlyforthesell-sideanalystsherethatliketorunmodels,Iknowwe'regoingtodriveyoucrazy.WewillnothaveaconstantspendofR&Dasapercentageofsales.Thatisjustnotwhoweare.
We'regoingtolookatourportfolioeveryyearandmakesurethatwearespendingagainsttheprojectsandprogramsthatmakesense.Insomeyearstheremaybemoretospendandinsomeyearstheremaybeless,butspendingitasapercentageofsalesmakesnosensetome.Itcausescompaniestospendonthingsthatdon'tmattertoreachthatlevelornotspentonprogramsthatneedtocomethroughbecausetheyareafraidtogooverthatnumber.
Wewillalwaystakeaverypractical,prudent,anddisciplinedapproachtoR&Dtomakesurethatwearedrivingstrongorganicgrowth,andIthinkyouwillseegoodevidenceofthattodayfrombothHafrunandDavidastheygothrougharegenericandbrandedpipeline.
SoatthistimeIwouldliketoturnthepodiumovertoBobStewart,whoisourChiefOperatingOfficer,butatcloseofourtransactionwillbecometheheadofourGlobalGenericsbusiness.
BobStewart (COO):
Goodmorning.It'sgreattobebackherewithallofyouanditisexcitingformetotalk,notonlyaboutoperations,butalsoaboutourgenericsbusiness.
OurgenericsbusinessisreallytheDNAofthecompanyandouroperationsgroupisreallythechassisofthiscompany.Itenablesustodoallthethingsthatwehavebeenabletodoandexecuteoverthelastseveralyears.
Somypresentationisgoingtofocusonour2014resultsinbothourgenericbusinessaswellasglobaloperations.ThenI'mgoingtoturnthemicovertoHafrun,whowillwalkthroughabitaboutourR&Dprograms.AndthenIwillcomebackupandfinishitupwith2015outlookandsomeofthestrategicdriversforusintheyearstocome.
Whenyouthinkaboutourbusinessacouplethingscometomind.ThefirstisthatwereallyoperateourbusinessinthreedifferentsegmentswhenIthinkaboutourgenericsbusiness.
CompanyName:ActavisPLCCompanyTicker:ACTSector:HealthCare
Industry:DrugsEventDescription:Q4 2014 EarningsCall
©2014TheStreet,Inc.AllRightsReserved Page7of 48
Thefirstiswe'vegotacommercialorganizationthatisverydiversified.WehavetheabilitytocommercializeproductsandOTCproducts,hospitalsegments,aswellasgenericsandbrandedgenerics.AndI' lltalkthroughthatalittlebitmoreasIgothroughmyslideslaterinthepresentation.
Butalsowe'vegotanintegratedmodelwithourMedisbusinessaswellasourAndaDistributionbusiness.OurMedisbusinessallowsustoparticipateinmarketsaroundtheworldwherewedon'thaveourowncommercialpresence,soitallowsustogetbetterreturnsonourinvestment,andIwilltalkthroughthatalittlebitinthepresentationaswell.
AndAndaisjustanincredibleassetthatwehavethatonlysupportsourgenericsbusinessbutalsoprovideshigh-touchopportunitiesforourbrandedbusinessaswell.Deliveringonallofthisiswehavegotadiversifiedportfolio,asBrentmentioned,abest-in-classR&Dorganization,world-classsupplychain.Andwhenyouputallofthattogetherwehaveanabsolutepowerhouseofthegenericsbusinessandanindustry-leadingcompany,andIcouldn'tbemoreproudtobepartofthat.
Movingontothewaythatwehavethisorganized.AndIthinkusingthebutterknifeexamplethatTessabroughtup,Ithinkourorganizationhasthatsamebutterknifebecausewecanslicethroughissueswiththewaythatweareorganized.WehaveacompleteintegratedbusinessmodelherefromR&Dstraightthroughtothesupplychain.
Ourcommercialorganizationhastheabilitytoexecuteinalloftheimportantmarketsaroundtheworldandit'sintegratedwithouroperationsgroup,whichallowsustocapitalizeonmarketopportunitieswhentheypresentthemselves.Sowhenthereisamarketshortageorwhenthereisanopportunityforustolaunchaproduct,wehavegotaboundarylessorganizationthathastheabilitytoexecutethat.
Theotherpartofthisisthattheteamthatisinplacetodayisthesameteamthathasbeendrivingsuccessofthisbusinessoverthelastseveralyears.We'vegotthebest-in-classcommercialorganization,we'vegotabest-in-classR&Dorganization,andwecontinuetoexecuteamazingresultswithinouroperationsgroup.Andtheleadershipteamthathasrunthesebusinessesandrunthesesegmentsforusoverthelastseveralyearscontinuetobeinplacetodrivethesuccessofthisbusinessinthefuture.
2014wasanincredibleyearacrossallofourbusinesseswithinthegenericssegment.WefurtherstrengthenedourUSgenericsbusiness.It'snowa$4billionbusiness,anincrediblereturnfromtheinvestmentsthatwehavemade.
WehavebeendisciplinedinmakingsurethatwecontinuetoinvestintheUSmarket.Youhaveseenuslaunchedjustrecentlyahospitalbusinesssegmentandtheperformanceofthisorganizationisfantastic.TheyareabletogetthemarketsharethattheyneedandweareoneofthemostprofitablebusinessesintheUS.
OurinternationalbusinesshasperformedincrediblywelldespitetheFXheadwind.WhenyoulookatthebusinessperformanceincountrieslikeRussiaandtheUK,despitetheheadwindswehavebeenabletogrowonaconstantcurrencybasisaswellaswhenFXisconsidered.Wehaveshiftedourfocusinternationallyawayfromtheunprofitablemarketsandmoretowardsgrowthmarkets,andIwilltalkthroughthatwhenIgetintoalittlebitoftheinternationalstrategy.
WehavehadoutstandingperformanceinR&Dnotonlylastyearbuttheyearbeforethat,theyearbeforethat.Andalreadyweareofftoastrongstartin2015.Hafrunandherteamjustdeliveramazingresults.
OurAndaDistributionbusinesshadstellarresultslastyear,bothontoplineaswellasonbottomline,anditisthefourth-largestdistributorofgenericproductsintheUS.Butalsoitgivesusalotoflaunchcapabilityandisanextensionofourbusinesses,bothinbrandandgenerics.
CompanyName:ActavisPLCCompanyTicker:ACTSector:HealthCare
Industry:DrugsEventDescription:Q4 2014 EarningsCall
©2014TheStreet,Inc.AllRightsReserved Page8 of 48
Ouroperationsgroupcontinuestodeliver.Wehavehighcustomerservice,highqualitystandards,andwecontinuetoexecuteincrediblywellacrosstheglobeinallofourmanufacturingassets.Andwealsohaverecordcomplianceperformanceaswell.Thatisahistorythatwehavehadnowforthelastfiveyearsandsomethingweareincrediblyproudof.
UtilizingM&Atocomplementourbusiness,wedidtwodealsjustrecentlywithSilomMedicalinThailandlastyearaswellastheAudenMckenziedeal,whichweannouncedashortwhileago.Thatisgoingtogiveustheabilitytocontinue,notonlygrowth,butitcomplementsourorganicgrowththatweareinvestinginontheR&Dside.
OurUSgenericsbusiness,asImentioned,isincrediblystrong.It'sthenumbertwoinmarketsharewithintheUS.Wearereallybenefitingfromthefactthatwehavegotanintegratedsupplychainwiththecommercialorganization.Weoffercustomervalueandexclusiveproductofferings.
Ourfirst-to-fileportfoliothatHafrunisgoingtowalkthroughnotonlyispayingdividendstoday,butitalsomakessurethatwearerelevanttoourcustomersinthefuture.Asourcustomersareglobalizing,itisimportantthatourUSbusinessremainsstrongbecausewecancreatewin-winopportunitieswithourcustomersastheylookatexpandingtheirbusinesseswithglobalalliancesaswellasexpandingtheirfootprint.
Thebreadthofourportfoliothatwehaveisthebestinclass.Hafrunwilltalkthroughthat,butit'sanamazing,amazingresultsthatthisgroupisdelivering.
Andnowwe'veenteredintothehospitalproductbusiness.WerepatriatedproductsbackfromSagent,ifyourecall,andwelaunchedthatbusinessthisyearandit'salreadyofftoagreatstart.Butthemostimportantthingisthatwehavetheabilitytosellhighcustomerserviceandhighqualityandthatmattersinthismarketplace.Youcannotsellabackorder;youcannotsellastockoutandwehavetheabilitytoalwaysreliablymeetourcustomerneeds.Thatisanimportantdistinctionthatwehavewithinthisgroup.
LookingattheUSgenerics,andIknowthattherehasalwaysbeenthisdiscussionabouttheFDAslowdown,butwhenyoulookatthelaunchesthatwehavehadbothin2013and2014,wearecreating$1.6billionworthofsalesfromtheproductsthatwelaunchedin2013and2014.Wehadsomesignificantlaunchesinthefourthquarterthatwillrolloverinto2015suchasIntunivaswellasCelebrex.
ItisimpressivetolookatthoseresultsgiventhattherehasbeenaslowdownwithintheFDA,butitshowsthatweareinvestingintherightproductsandwearemakingsurethatwecangetandexecutetheseproductsultimatelytothemarket.Anditdemonstratesthatwedohaveastrongreturnoninvestmentfromwhatweputintoourgenericsbusinessyearinandyearout.
International,justsomehighlightsfromsomeofthekeyregions.Again,ourfocushereisnotgoingtobetobeineverysinglemarketwithacommercialpresence.Wewanttomakesurethatweareinmarketswherewecanbetheleaderinthosemarkets.Andthatisourgoal,tobealeaderinthemarketsthatwearegoingtocompete.
IntheUKwehad12%salesgrowthwithstronggrowthacrossallofourcorebusinesssegments.We'veenteredintotheOTCbusinesswithSudocrem,aproductthatweacquiredthroughWarnerChilcott.Wehavecontinuedsuccessdrivingmarket-leadingpositionportfoliosandthefactthatwehavealocalmanufacturingfacilitythereallowsustobeabletohaveaquickresponsetomarketopportunitiesaswellasupsides.Andweareabletoexecutebecauseofthefactthatwehavethatintegrationacrossthebusiness.
InRussiawehad44%salesgrowthonaconstantcurrency,buta21%salesgrowthdespitetheFXheadwind.WearethefastestgrowingbusinessbyIMSfortheretailsegmentandsowearegoingtocontinuetoinvestinRussia.Itisanimportantbusinessandthatiswhatourfocusisgoingtobeisinvestingin
CompanyName:ActavisPLCCompanyTicker:ACTSector:HealthCare
Industry:DrugsEventDescription:Q4 2014 EarningsCall
©2014TheStreet,Inc.AllRightsReserved Page9of 48
marketsthataregrowing,investinginportfoliosthatcanbedifferentiated,andkeepdrivingthoseresults.
Polandisanotherexamplewherewehad14%salesgrowth,pluswealsohadmarginimprovement,whichcontributeduptoaverysignificantcontributionoutofPoland.Thosearethekindofstrategiesandmarketopportunitiesthatwearegoingtocapitalizeonandcontinuetoinvestin.
Wearetheninth-largestgenericcompany,upfrom14th.Ourgoalhereagainisnottojustgoaftermarketshareforthesakeofmarketshare.Wearegoingafterprice-disciplinedapproachesinthesemarkets,butwewanttobecompetitivewithgoodportfoliosandgoodsalesexecution.
Italkedaboutthetuck-intransactionsandyoucanexpectthatwearegoingtocontinuetolookfortheseopportunitiesonthegenericside,becausewearecommittedtoinvestinginit.AndyousawusdothatjustrecentlywiththeAudenMckenziedeal.
Well,theThailandexpansionwasmoreofageographicexpansionbecauseweseeopportunitiesinsomeofthesemarketsandwewillcontinuetolookatmarketexpansionopportunitiessuchasthat.Itexpandedourgeographicfootprint.ItalsoleveragedtheActavisportfoliowherewecantakesomeoftheseassetsthatwehadsittingontheshelfandnowhaveacommercialopportunitytopushthesethrough.Itdelivered20%growthin2014.
Conversely,ontheUKsidewelookedatthatasaverylocalopportunitytocomplementourexistingbusinesswithinourUKbusinesstoday.Itwasaportfolioofproductsthatwecallthecrownjewels.Itaddsmoredimension,moreportfolioopportunitiesforthatbusiness.
Wearenow--whenweclosethatdeal,whichwillbeintheearlypartofsecondquarter,wewillbethenumberonegenericcompanywithintheUK.Soitgivesusarobustpipelinethatwewillcontinuetotryandoffervaluetoexpandingcustomerbases.
Ourinternationalbusiness,andthismayactuallysurpriseyouintermsofwhenyouthinkaboutourbusinessinternationally,it'snotjustagenericsbusiness.ItisanOTCbusiness.Itisahospitalbusiness.Itisagenericbusinessandabrandedgenericbusiness.
Sowehavetheabilitytoofferportfoliosinallofthesedifferentsegmentsacrossourinternationalbusiness,aswellasthatwehavenichematureRXbrandsaswellthatwecancontinuetodrivevaluein.AndIwillshareaslideonthatonwhatwearedoinginRussia.
WehaveacommercialmodelthatallowsustotailorproductsthatwearebringingthroughourR&Dorganizationandtailorthemtocertainmarkets.Forexample,rosuvastatinisaproductthatwewoulddevelopforourgenericsbusinessandlaunchitasagenericintheUSaswellasintheUK,butthatsameproductwewouldpushintoabrandedgenericmarketinRussia.
Wehaveover2,000salesrepsthatwehaveincertainmarketsinEasternEuropeandothermarketsthatareoutdetailingproductsandactuallydevelopingthemarket,asopposedtojustgenericizingthemarket.AndIthinkthatisanimportantaspectthatpeopleshouldrealizeaboutourinternationalbusiness,becauseofthediversitythatithasandthebreadthanddepththatithas.Andthatwetailorourapproachtomarketsbasedonwhatweseeasthemarketopportunities.
ThencomplementingthisistheOTCbusiness,thehospitalbusiness,aswellasthenichebrandsandmaturebrands.
Westillseealotofgrowthinthisbusiness.ByIMSdata,50%ofthegrowthinPharmaisstillgoingtocomeoutofthegenericsbusiness,andsothisisanareathatwearegoingtocontinueinvesting.YoucanseeontheIMSchartaroundtheglobeonwherethemarketopportunitiesareandwhereweseethegrowthratesare.
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Wearecommittedtothisbusinessandwearecommittedtoinvestinginthisbusinessbecausewewanttoparticipateinthatgrowth.It'spartofourgrowthpharmastoryandgenericsactuallyfitsthatgrowthmarketstory.
OurOTCbusiness,andthisissomethingthatIdon'tthinkwegetenoughrecognitionabout,itisa$0.5billionbusiness.WearenotinOTCsacrosstheworldbecauseit'sdifferentindifferentmarkets,butourbusinessisaviablebusiness.
It'sagrowingbusinessandwearecontinuingtoinvestmoreinit.Wewillinvestmoreinitincertainmarketswhereagainwehaveabreadthofportfolio.AndoncewehaveestablishedbrandswithinthatOTCbusinessit'seasiertoaddadditionallineextensionsaswellascomplementaryproductstoit.
Andsowearehavinggreatsuccess.Youcanseethetrajectoryhereofthisbusinessinthelastthreeyears,butitisimportanttonotethatwehavea$0.5billionbusinessherethat'sgrowingandwe'regoingtocontinuetoinvestinittomakesurethatit'ssuccessfulgoingforward.Ourbrandedgenerics,andparticularlyinRussiawhereweareabsolutelyshapingthemarketplace,thisisaproduct,valsartan,whereweweredevelopingtheproductasageneric,launcheditasagenericintheUSaswellasintheUKandothermarkets,butinRussiawesellitasabrand.
We'vegotsalesrepsthatareoutpromotingincardiologyandcardiovascularsegments.Wearepromotingthisproductandweareseeinggreatgrowthrates.Andthatisgoingtocontinueonandwewillcontinuetoinvest.
Thisisalsoimportanttonotethattheseareproductsthatarealreadyoffpatentsothereisnotapatentcliffthatcomesbehindthis.TheseareproductsthatarealreadylaunchedinitwheretheIPhasalreadyexpired.Weareinvestingandgrowingthemarketandexpandingthemarketbecauseofthefactthatweareofferinglower-pricedproductsandgrowingthesegment.
Overtheyearswehavebeenmovingourselvesupthefoodchainintermsofthetechnologiesandintermsoftheareasthatweinvested,andIampleasedtosaythatyouareseeinggreatresultsinallsegmentsofourdevelopment.Wehave--ineveryoneoftheseclasseswehavenotonlytargets,butinmanycasesalreadyfiled.Andthisisgoingtocontinuetodrivevalueforusinthelong-term.
Sothisisnotabusinessthatisdeclining.Thisisabusinessisgrowingandwe'regoingtocontinuetoinvestinit.Andhowwearegoingtoinvestinitisalongthiscontinuum,wherewearemovingourselvesupintotransdermalsandwe'vealreadylaunchedanumberoftransdermals.
Weareinvestingininhalationproductsandwewilltalkmoreaboutthatinthefuture.BiosimilarswearealreadyinvestedwithourpartnerwithAmgenandDavidisgoingtotalkthroughourbiosimilarstrategy.
Butimportanttonotehereisthatwehavegotprogramsandtargetsineachoneoftheseareas,butwearedoingitinawaythatitdoesn'tcannibalizealloftheothereffortsthatwehavebecauseinthesmallmoleculeit'sstilldrivingvalueforus.Weseethatwithsomeoftheproductlaunchesthatwehavehadin2013to2014.Theseareareasthatwewillcontinuetoinvestin,butwearegoingtobeverycarefulintermsofwhereweplaceourinvestmentsandwhatmarketsthatwewanttoinvestin.
Ourthird-partybusinessisreallyastrategicweaponforusbecauseitagainallowsustogetcommercialvalueoutofR&Deffortsthat--formarketsthatwedon'tnecessarilyhaveaG&Astructure.Sothisallowsustoofferproductstocompetitorsandallowustogetreturn,notonlyonthatR&Dinvestmentthatwe'vemade,butalsocontinuedbenefitonmarginfromthesupplyagreementsthatweprovidetocustomers.
Wehaveover200activecustomerstoday.It's9%salesgrowthin2014.Wearein130marketsandwehavelocal--wehavesmallsalesforceinthesedifferentgeographiesaroundtheworldthatarebuildingthe
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relationshipswithcustomerssothatwecanofferexpansiveportfoliostopeoplewhenwedon'tnecessarilyhavethecommercialpresence.Sothere'sgrowthopportunitiesalsointheemergingmarkets.
It,again,maximizesourROIfromourR&Dinvestmentsanditgivesusalsobetterscaleinourmanufacturingorganizationthatallowsustodriveourcostsloweraswell.Sothisisaprofitable,growingbusinessandit'sanextensionofallowingustoparticipateinmarketsthatwedon'tnecessarilywanttomakethefullinvestmentin.
OurAndabusiness,again,isthefourth-largestdistributerofpharmaceuticalsintheUS.We'vegotstate-of-the-artdistributioncapabilityinanumberoflocations.Wehit85%ofourpharmacieswithnext-daydelivery.
ThewayIcoinedAndayearsagowaswewanttobetheprimarysecondary.Weconsciously,yearsago,shiftedourstrategytoincludethebrandedproductsaswelltocomplementthegenericportfoliosandthatisenablingusnowtobeaprimarysecondary.Sowhenthewholesalersarenotabletosupplyandweneedtobeabletoprovideproductthenextday,wehavetheabilitytodothat.
Italsogivesusnowtheabilitytoputsomehigh-touchservicesinconnectionwithourbrandbusinesssothisissomethingthatwewillcontinuetoexplore.BrentandIareactuallygoingtobetalkingwiththeteamlaterthisweektolookathowcanwecreatecomplementaryservicesforourbrandbusiness.It'sanexcitingopportunity.
ItalsohastherapidlaunchcapabilityandIwillusethePulmicortexample,andit'sprobablytheworstexampletouserightnowbecausewegotenjoinedagainlastnight,butwhenwetook--whenwewonthedecisionlastweek,thatsamedaywewereshippingproduct.AndthatisoneofthevaluesofAndaisthatwecanrapidlylaunchproducts.Wecangetproductstostoredoornextdayandthatmatterswhenyouareinacompetitivegenericmarketlikewearein.
Ourglobalmanufacturingnetworkhasjustincrediblediversityintermsofitstechnologyaswellasitsscale,aswellasitscapabilityandgeographicreach.Wehaveover12,000employees,40manufacturingfacilities.Ialwaysputthisgraphupeveryyearandeverybodyteasesmeaboutthenumberofdotsthatwehaveonthemap.
Andeverytimethatweannouncedanumberofrestructuringsandwecloseanumberoffacilities,wedoanacquisitionandweaddfivebackin.Sotheneteffectisthattheslidedoesn'treallychangeexceptforthelocationschangealittlebit.Butit'sjustanincredibleorganizationthathasthecapabilitytomanufacturevirtuallyeverydosageformthat'soutthere.
LookingathowtheAllerganpiececomplementsthis,twoareasthatwedidn'thaveactualmanufacturingcapabilityin-housewasontheinhalationside.WehadR&Dcapability,butwewererelyingonthirdpartiestobeabletoproducetheproductsforus.NowwehavethecapabilitywithAllerganonceweclosethetransactionlater.WehavetheabilitynowtoleveragethatmanufacturingscalethattheyhaveandnowbringthatR&Deffortin-housethroughourownlaunchcapabilityinternally.
Andtheotherareawouldbeophthalmology.Wehavetheabilitynowtotakethat--whatwasreliantonthirdpartiestodoforus,wenowhavethecapabilityinternallytolaunchandexecuteR&Dstrategiesthere.SoAllerganreally,trulydoescomplementourmanufacturingnetworkvery,veryeffectively.
Iwanttoendmyremarkshereonquality,becausethishasbeenanareathatwehaveinvestedinconsiderablyoverthelastseveralyearsandweareseeingthebenefitofthat.Wehavenothadtheissuesthatyouseealotofourcompetitorshaveintermsofwarningletters,intermsofconsentdecrees,andthingslikethat.WehavebeenabletoaddressourconcernsveryquicklyandwealsohaveverygoodinspectionperformancewithnotonlytheFDA,butEMAandotherregulatorybodiesaroundtheworld.
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Iampleasedtosaythatallofourmanufacturingfacilitieshavebeenauditedwithinthelasttwoyearsandmostofthemajormanufacturingfacilitieshavebeenauditedwithinthelastyear.AndallofthemareonsatisfactoryGMPratingswithintheAgencyandthatisenablingustotakeadvantageofthecommercialopportunitiesthatexistinthemarketplace,inparticulararounddrugshortagesandsupplychallenges.
ButthisreallystartsinR&D.Youheardlastweek,thosethatwereattheGPhAmeeting,JanetWoodcocktalkaboutthefactthatsheislookingforqualitybydesign,criticalqualityattributesintheactualregulatoryfilings.AndIampleasedtosaythatHafrunisalreadywellaheadofthis.Wehavebeendesigningourproductsalreadywiththatmindset,whichiswhyweareabletosuccessfullybringthesetothemarket.
SowiththatI'mgoingtoturnitovertoHafruntowalkthroughtheR&Dpiece.
HafrunFridriksdot t ir(SVP-GenericsR&D):
Goodmorning.HappytobehereandgiveyouanupdateonthegenericR&D.
Soit'snotonlyaboutdevelopment,it'saboutthepeoplewhicharedoingthework.It'saboutthepeopleinallfunctions.Weneedtohavetherightpeopleinportfoliotoselecttherightproductontherighttime.
Weneedtobeabletodesigntherightlegalstrategyaroundourproducts.WeneedtohavetherightAPIandthen,ofcourse,weneedtodeveloptherightformulation,analyticalmethods,andthen,ofcourse,weneedtohavetherightclinicalstrategy.AsBobmentioned,qualityisextremelyimportant.
Thenmanufacturingandregulatory.Allthosefunctionsareequallyimportantwhenwearedevelopingagenericproduct.
Sowherearewelocated?Wearelocatedallaroundtheworld.All-in-allwehavearound1,800peopleingenericR&D,600hereinUS,600inIndia,andthen600inEurope.MostofourR&Dsites,theyareco-locatedwithamanufacturingsiteandsomeofthemarealsoinlow-costcountrieslikeIndiaandother--RomaniaandItaly.WithdoingthatwegetthemostoutofourR&Ddollars.
Sowhatcanwedo?Wecanbasicallydowhateverisoutthere.ItsometimesscaresmybrandcolleagueswhenIsaythat,butwecanbasicallydevelopwhateverformulationisoutthere.Wehaveanextremelystrongcapabilityinsolidoraldosageforms.Probablysomeofyoudon'tevenknowwhatsolidoraldosageformmeans,butthat'sallkindsoftabletsandcapsules.
Wehaveanextremecapabilityinsemisolidandliquids,cream,ointment,foams,andbasicallyinallarea;ininjectables,inhalations.Andifwecannotdoitourselves,thenwecomplementthatwithsettingupcontractwithsomepartners.Basically,wearedevelopingallkindsofformulations,notonlyforthegenericpartofthebusiness,butwearealsosupportingDavidandhisteaminthebrandpartofthebusiness.
Soifheneedssomeonetodeveloptemplatesorcapsulesforhim,thenwearethefirstteamwhichhecomesto.Sowithdoingthat,ofcoursewetrytogetthemostoutofallofthefunctionswhichwehave.
Andthenlastbutnotleast,ourclinicalcapability,thathasbeenaverybigpartofoursuccess.Allinall,wehavesixclinics.FiveofthemareinIndiaandoneisinFlorida,600beds.Andwearedosingaround25to30studiespermonth.
Solastyear,wedidrun340studies,orwecompleted340PKstudies.AndIthinkthereisnocompanyintheworldindependentfromifyouarelookingatabrandedcompany,genericcompanyorthecombinationofboth,whichcanbragaboutanynumbersimilartothat.Butthishasbeenaverybigkeytooursuccess.
Ifyoulookatthegenericdevelopmenttimelines,ittakesfrom9to36monthstodevelopagenericformulation.Ofcourse,it'sdependentonifyouneedaclinicalendpointstudy,ifthat'spartofthedevelopmentornot.And
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ofcourse,it'salsodependentonhowcomplextheformulationis.
Buthereyoucansee--youseethebenefitofthosedevelopmentprogramsquitequickly.Soifwesayyouarefilingsomething,forexample,inEuropeinendof2015,inmanycasesyoucanlaunchthatproductinearly2017.Well,theregulatorytimelinesarequitewell-defined.
Ofcourse,it'salittlebitdifferentinUS,eventhoughthingsarechangingbyFDAaswell,asBobmentioned.Butifwefileanyhow,wecanfileaParaIVfilinginUS,thenyoualwayshavetowaitforthe30-months[legal]date.Sotheearliestwecanlaunchproductwhichwearefilingin2015inUSissometimein2018.
Butthisisjusttohighlightthatweseethebenefitofourdevelopmentprogramquitequickly,soit'snotlikethatwehavetowaitformany,manyyears.
Soourportfolio;howisourportfolio?Areweonlydevelopingimmediate-releasesolidoraldosageforms,orarewedevelopingwhateverisoutthere?AsImentionedearlier,wecanofcoursedowhateveryoucanthinkabout.Butifyoulookatourportfolioanyhow,itisquitewelldiversified.
Whatwehaveinthemarkettodayisaround65%solidoraldosageform,meaningtablets,capsules,modifiedrelease,extendedrelease,delayedrelease,whateveryouhaveoutthere.Butifyoulookatwhatwearedevelopingtodayit'sstillprobablycloseto35%solidoraldosageform,buthalfofthataremodifiedreleaseandhalfofitisimmediaterelease.
Andthentheotherformsaremuch,muchbiggerpartofthepieifyoulookatwhatwehaveindevelopmentcomparedtowhatwehaveinthemarkettoday.AndyoucanseethechangefromendmarkettowhatwehavefiledwithFDAandthennowindevelopment.
Ofcourse,webelievethatandwearewellaheadofthecurve.Sowestartedtodevelopthosecomplexformulationsquiteafewyearsago,andthat'swhywearesowelladvancednow.
Soifyoulookattheperformancelastyear,allinallwecompleted114newdevelopmentprogramsand44ANDAfilesinUS,whichisquiteanicenumber,andIamveryproudofthatnumber.Thenwecompleted29dossiersfortheEuropeanmarket.ButifyoulookatdossiersfortheEuropeanmarketandifyoucountthecountrieswhichareintheEuropeanUnion,Ithinkit's28now.
It'salwayschanging,ofcourse,asyouknow.Butifyoucountedpermoleculepercountry,thenthose29dossierswillenterwitharound1000filingsonlyintheEuropeanUnion.ButmanyofthoseEuropeandossiers,wecanleveragethosedossiersinothercountriesaswell,sometimeswithsomeadditionalworklikeadditionalbiostudy,additional[batches],whateverhaveyououtthere.Butstillthisisthebasisformanyofourfilingsinothercountriesaswell.
Thenwefiled--becauseBobmentionedRussia--wefiledthe9dossiersinRussia,andIthinkthisisrecordbecausetheyearbefore,weprobablyfiled5dossiersinRussia.Russiaisoneofourimportantinternationalmarkets.
Ifyoulookatourfirst-to-fileperformance,bothBrentandBobhavementionedofcoursehowwellwedidlastyearonourconfirmedfirsttofiles.Butin2012,wehad12confirmedfirsttofiles.Thereafter,therewere9exclusivefirsttofilesand3sharedfirsttofiles.
Andwewerequitedamnhappywiththat,andwefiledthat.Imean,ofcourseweweretheindustryleaderthatyear,sowewereveryhappywiththatnumber.Lastyearin2013,wehad18confirmedfirsttofiles.Andthemajorityofthose18wereexclusivefirsttofilesaswell.Andagain,wewerealsoquitehappywiththatnumber.
Butlastyear,whichwasarecordyearforus,wehad25confirmedfirsttofiles.AndIwillgointothatalittlebitlaterinmoredetails.Butifyoulookatthelistoftheproductlistedbelow,thosearesomeoftheproductswe
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arefirston.Andthesplitbetweenexclusiveandsharedis--themajorityisbasicallyexclusivefirsttofile.
Butifyoulookatthebrandvalueforthoseproductsin2012,those12products,thebrandvaluewas$2.3billion.Butthose25whichweareexclusiveon--orwhichweareconfirmedfirston,sorry--lastyearthebrandvalueofthoseproductsis$6.1billion.Sowehad33%ofthenumberofproductsthatwerelistedonthatFDAParaIVWebsite,but46%ofthevalue.
Sohowdidwedocomparedtoourcompetitors?Wedidquitewell,orwedidverywell,actually.So17exclusivefirsttofilesand8sharedfirsttofiles.
Andifyoutakethethreenextcompanies,Mylan,Teva,andAmneal,andifweputallofthemtogethertheywillbeclosetous.Butstillmajorityoftheirconfirmedfirsttofilesaresharedfirsttofiles,notexclusivefirsttofiles.SothisisaslidewhichweareveryproudofandAndyandhisteamareusingthisslidealotwhentheygototheircustomers,sothisissomethingwhichweareveryproudof.
Thisisalistofproductswhichweareconfirmedfirstonandwith30-monthstayin2015and2016.The30-monthstaymeansthatthisisthefirstpossiblelaunchdateforthoseproducts.
Thosewhicharehighlightedingreen,theproductswhichwewereconfirmedfirstonlastyear.Ofcourse,thisisnotthefulllist.Thisisjustsomeexamplesjusttoshowyouafewexamplesoftheproductswhichhavealreadybeenpublicorarealreadypublic.
Sowhatareourprioritiesmovingforward?Itisallaboutpeople.Ifyoudon'thavegoodR&Dpeople,thenofcoursethereisnowaytowinthegame.Soweneedtocontinuetoretainthetoptalentfromallthelegacyorganizationswhichwehave.Wehavehadalotofmergersandalotofacquisitions,aseveryoneknowshereinthisroom,forthelastfewyearsandweneedtomakesurethatwekeepthoseimportantpeople.
Andweneedtocontinuetodeliveronnewproductfilings.Wecannotslowdown;wehavetomakesurethatwecontinuetobefirstinclassandfile,evenadayortwoafterthebrandcomesout,evenwithtwoorthreebuyerslikethis.Iknowthatthatissomethingthatisalsodifficultforpeopletounderstand,butthatissomethingwhichwehavebeendoing.
Myteamandourteamhasbeendoingextremelywellandweneedtomakesurethatwecontinuetokeepthem--keepingthemmotivatedandthereisnodisruptionwhichweshouldallowthere.ThenweneedtofocusonmaximizingthereturnontheR&Dinvestment.Soweneedtocontinuetofocusonchallenginghigh-barrierproducts,high-barrierformulationsasIshowedyouearlier.
Andthereisnoshortageofproductopportunities,eventhoughthestoryoutthereevenin2010,2012wasthatthenumberofopportunitiesweregoingdownandthereislessandlessoffirsttofileopportunitiesoutthere.Butthat'snotsomethingwhichwehaveseen.Wehaven'tseenanyshortness.
AndIdidseeyoualittlebitearlier,having25confirmedfirsttofile,itmeansthatthere'salotofopportunitiesoutthere.Sobeingmorecreativewithproductideas,patentchallenges,speedtothemarket,andanexampleofthisour505(b)(2)filings.
Weareworkingnowonquiteafew505(b)(2)filings.Someofthemwillbefiledthisyear;someofthemwerefiledlastyearandmanyofthemwillalsobefiledin2016.Thosearemainlyinjectableproducts,butthisisquiteimportantforourbusinesstodaytobecreativewithallkindsofideas.
Then,ofcourse,lastbutnotleast,weneedtomakethemostoutofnewActavis.WeneedtoworkverycloselywiththebrandedR&Dandweneedtoleveragetheirexpertisewheneverwecan.Andifthereissomethingwhichtheycandobetterthanwecan,thenofcourseweseekguidanceandseekhelpfromthem.
Andofcoursetheydothesame.Soiftheyhave--ifthereissomethingwhichwecandoforthem,thenthey
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leverageourexpertise.Sowetrytoworktogetherasoneteam,asmuchaspossible.
Andwiththis,Bob,I'mgoingtogiveitbacktoyou.Thankyou.
BobStewart (COO):
SoIthinkyoucanseeinthoseresultsit'sjustaphenomenalteam.Itstartswithportfolio,makingsurethatyoupicktherightproducts,andthenyouexecuteflawlessly.AndthisteamhasjustdoneityearafteryearandIamincrediblyproudoftheirresults.
Thisiswhat'sgoingtodriveusvalueintheoutlyingyearsaswemonetizethesefirst-to-fileopportunities.Wehaveproventhatwehavetheabilitytodothis.Wehavedoneitforyearspreviouslyandwewillcontinuetodoitgoingforward.
Soprioritizingouropportunitiesisreallythemessageherein2015andbeyond.It'sfocusingwherewearestrongandmakingsurethatwecontinuetomoveourselvesupthescaleandbeingaleaderinthemarketsandinthetherapeuticareasthatwe'regoingtocompetein.
Marketswithsignificantgrowthpotential;thatiswherewearegoingtofocusourefforts.Andwhatwearegoingtolookatisgettingoutofmarketsthat,frankly,don'tlookliketheyaregoingtobemarketsthataregoingtofitourprofilegoingforward.
Businessesthatoffer--ourbusinessofferspotentialrevenuesynergies.Noneofthosearedialedintoourassumptionshere,butaswethinkaboutcross-sellingopportunitiesincertainmarkets,becauseofthebreadthofourportfolioandthebreadthoftheAllerganportfolio,wearegoingtofindopportunitiestocreaterevenuesynergies.
Wearefocusingontherightsegments;INNgenerics,whereit'sprofitable.WearenotgoingtofocusonbeinganINNgenericcompanyforcommoditytypeproducts.Wewanttomakesurethatweareinvestingintherightproductswiththerighttechnologiestobuilddurableassetsthataregoingtooffervalueforthelong-term.
WearebuildinganOTCbusinessquitenicely,asyousawintheresults.Wearegoingtocontinuetomakesurethatweinvestinthatsegment,aswellasourbrandedgenericfranchisebusinessaswellinkeymarketsaroundtheworld.AndthenselectRXbrandswheretheyfitthetypeofportfoliothatwecanoffer.Again,leveragingthatsalesinfrastructurethatwehaveinmanymarketsacrosstheglobe.
Thenwearegoingtooptimizeflatordecliningbusinesses.YouhaveseenusdothatwithWesternEurope.Wearecontinuingtolookatothermarkets.Wherethereisextremepricesensitivityandwherewedon'tseegrowthopportunities,we'regoingtodevelopplanstoeitherexitorjustholdthem,butbeverycostconsciousintermsofhowweinvestandmakesurethatwemaximizethemarginoutofthoseresources.Andthenshiftresourcesagainfromtheseunderperformingmarketsintohigherperformingmarkets,andthatiswhatwewillcontinuetodo.
Ourkeybusinessdriversinourplan,wehaveassumedcompetitionforbothlidocaineaswellasConcerta.Totheextentthatthosedonothappen,wouldbeupsidestowhatwehaveinourmodel.
Productlaunches.Itwasinterestingwhenweputthisslidetogether,alloftheproductlaunchesthatwehadinourplanwebasicallyhadapprovalsforandalreadylaunched.Pulmicortwedid,butwewillbeback.Butwealsohaverisk-adjustedopportunitiesinthere;very,veryhighrisk-adjustedopportunitiesinthere.Andthenwealsohaveotherundisclosedlaunchesthatcouldbeupsidestoourplan.
Ourbusinessinitiatives.WearegoingtoclosetheAudenMckenzietransactioninearlysecondquarter.WealsohavelaunchedourhospitalproductsbusinessunitandweareaddingmoreportfoliosintothatbusinesswithallthependingapplicationsthatwehavewithintheAgencyaswellasnewdevelopmentopportunities
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thatwehaveaswell.AndthencontinuetoexpandourinternationalOTCbrandedstrategy.
Again,upsideopportunitiesherewouldberevenuesynergieswiththeAllerganbusinessthatwehavenotquantifiedordialedintotheplan.Lowergenericpriceerosion.WearehearingaboutthefactthatthereisimprovementwithinthebacklogwithintheAgencythathascreatedobviouslyastablepricingenvironment.Wewillseehowthatplaysout.
WearecautiouslyoptimisticthatwearegoingtoseeproductivityimprovementoutoftheAgencyandwe'veseenthateveninjustrecentweeks,butthatisawinforus.Becauseoftheportfolioofproductsthatwehaveandtheexclusivesthatwehave,wewanttoseethatefficiencytakeplace.Thenagain,wehaveotherParagraphIVchallengesandotherundisclosedlaunchesthatareupsideopportunitiesthatwehavenotdialedintoourplan.
Soinsummary,Ijustwanttomakesurethateverybodyunderstandsthatwehavegotaproventeamherethatwillcontinuetodeliver.Wehavegotgreatportfoliosofproductsandacommercialteamthathasproventhattheyhavetheabilitytoexecute.
Andourpipelineisgoingtoofferlong-durationanddurableassets.ThathasbeenourpriorityinourR&Dinvestmentsovertheyears.Itisgoingtocontinuetopaydividendsforusinthefutureandwehavegotateamofpeoplethatcanabsolutelyexecuteonit.
WearegoingtocontinuetoinvestinR&Dorganically.Youseetheresultsandtheopportunitiesthathavecomeinoutofourpipelineandwewanttomakesurethatwecontinuetofeedthat.Brentiscommittedtothat;Iamabsolutelycommittedtothatandwewillcontinuetofindopportunitiestoinvest.
Businessdevelopmentopportunitiesstilldoexistinthisconsolidatingindustryandwearegoingtolookforthose.Andwheretheymakesense,wheretheyarestrategic,wheretheyarefinanciallycompelling,wewillgoandlookatthemaggressivelyandexecutethem.
Wearealwaysadaptingtoachanginglandscape.Youwillseeusdothatwithourportfolio.Youseeusdothatwithourcommercialexecutionandyouseeusdothatinourbusinessdevelopmentstrategiesandallofourdifferentmarkets.
Sowiththat,I'mgoingtopassitovertomycounterpart,Mr.Meury,togothroughthebrandpiece,butthanksforyourattention.
BillMeury(EVP-Commercial,NorthAmericanBrands):
Goodmorning,everyone.IalwayswatchBob'spresentationverycloselytomakesurethatnoneofmyproductsareonhislist.
Sowhatisthebestwaytothinkaboutourbrandedbusiness?Whatarethethingsthatwilldrivegrowthin2015andbeyond?Andwhatisthepipelineworth?Iwillcoversomeofthosequestionsnowandotherslaterinthesession.
WhatwehaveatActavisisafully-integratedprimarycarespecialtyoperationthat'sperhapshasthebestnewproductlaunchcapabilitiesintheindustry.Veryfewcompanieshavethedepthanddiversityofproductsandcapabilitiesthatwehave.Andrightherearethecorecomponentsofouroperation.
Wehaveproductlinedepthinseventherapeuticareaswhichwethinkgivesusastrategicadvantage,whichIwillcovershortly.Ourbusiness,fromaproviderperspective,isbalancedbetweenprimarycareandspecialty.Andfromapayorperspective,itisbalancedbetweencommercialandPartD.
Inotherwords,wearenotoverlydependentononemarketsegmentorcustomer.Inotherwords,weare
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diversebutwearenottoodiverse.
Thefundamentalsofourbusinessarestrong.Marketshare,growthrates,physicians'attitudestowardsourproducts,usagepatterns,formularycoverage,pricingareall,generallyspeaking,wherewewantthemtobeorheadedintherightdirection.
Nextwehaveoneofthetopperformingsalesandmarketingteamsintheindustryandagreatdealoforganizationalmomentumrightnow.WhatdoImeanbyorganizationalmomentum?Imeanwehavebuy-in.Theemployeesandcommercialoperationsbelievethattheyarepartofsomethingimportantandthattheyarepartofbuildingsomethingthatwilllast.
Rightnowthereisagreatdealofenergybeingdirectedtowardscustomersandnewproductlaunchesandinnovation,whichisexactlywhatwewant.We'vespentagreatdealoftimethinkingabouthowandwhywedocertainthingsandifwethinkwecandothemdifferently,wewilldothat.Weknowthatgrowthandessentiallymaintainingthestatusquo,generallyspeaking,can'tcoexist.
Then,finally,wehaveaverypromisinglate-stagepipelinethatwewillgetintodetailaboutshortly.WhatIwillsayisit'saperfectfitwithourmarketedproducts.Inotherwords,weareenteringcategoriesoverthenextthreeyearswithnovelcompoundswherethecustomersknowusandweknowthem.Andthathelpsusmanageexecutionalriskanditcanactuallyspeedtheuptakeofcertainnewcompounds.
Hereisasnapshotofourproductline,movingfromlefttoright.CNS,GI,women'shealthareourlargestproductlinesintermsofsalesandnumberofproducts.Theotherfouraresmaller,butgrowingandveryprofitable.
Ouraimhereistobeinthetopthreeineachoneoftheseareasaswellastobuildouteachproductline,becausetherearestrategicandpromotionalandeconomicadvantagesassociatedwithproductlinedepth.Strategically,forexample,wecangivephysiciansamorecompleteviewofpharmacotherapythanothercompaniescanandthat'sespeciallytrueinCNS,GI,andwomen'shealth.
Promotionally,wegetgreateraccess.Thereisn'tapsychiatristoragastroenterologistoranOB/GYNinthecountrythatdoesn'tuseatleastoneortwo,ormorelikelythreeofourproducts.
Andeconomicallythisisaveryefficientmodel.Theincrementalcostassociatedwithintroducingasecondorthirdorfourthproductissignificantlylessthantheincrementalcostofthefirstone.Theseproductlinescangetveryprofitableveryquickly.
Hereisourperformanceinthefourthquarter.Brenttouchedonthis.Whatyouseehereisthatsalesforeachoneofourtop10productswereupinthefourthquarteroverthethirdquarter.Salesforsixofthe10increasedatadouble-digitrateandthegrowthinthefourthquarterwasfueledbyahealthymixofvolumeandprice.
Thebiggestgainersonthislist:Namenda,Bystolic,Linzess,ourtwolargestproducts,followedbyEstrace,Carafate,andTeflaro.Itwasavery,verygoodquarterandIwillpointoutthatthiswasroughlysixmonthsafterweintegratedActavisandForest.Ifweweregoingtoseedisruptionduetotheintegration,whichIthoughtwasmanagedverywellbyallgroups,wewouldhaveseenitinthefourthquarter.
Iwilldigintoeachoneofthekeyproductsrightnow.NamendaXRandNamzaric,whichisacombinationofNamendaandAricept;ourfocuscanbeboileddowntotwowordsrightnow,conversionandcoverage.OnJanuary6welaunchedanationwideDTCcampaignforNamendaXR.ItwasthefirstDTCinitiativeforNamendaandyoucanseeontheslideintheupperrightthattheresultsarevery,veryencouraging.
OurconversionrateatthestartoftheDTCcampaignwasroughly37%.Roughlyfourweekslateritwasover43%,sowehavepickedupsixmarkets--6conversionpointsinaboutfourorfiveweeks.Atthecurrentrate,theconversionshouldreachsomewherebetween60%and70%.
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TheentirecommercialoperationatActavisrightnowisincentivizedandcompletelyfocusedonthisinitiative.
Intermsofcoverage,it'sgoingtocomedowntocoverageforXRandNamzaricin2016.Itisgoingtocomedowntoonething,whichiscriticalmass.Ifourconversionrateaswefinish2015isbetween60%and70%,webelievethatwecanobtaingoodcoveragewithseveral--notall,butseveralofthetopPartDplansintheUnitedStates.
Wehaveopenedadialoguewithallofthem.Weknowwhereweneedtobeandweknowhowtogetthere.Ultimately,ouraimwiththisproductlineisoverthenextseveralyearstomaximizevolumeatapricethatisattractivetohealthplansandthatisacceptabletous.
(videoplaying)
Thecommercialwasdesignedtodotwothings.OneistosimplyraiseawarenessforXRanddrivetheconversionrate.Theotherone,theotherobjectiveistoincreasedemandforNamendaXRinmoderatestagesofAlzheimer'sdisease.
Historically,Namendahasbeenusedextensivelyinmoreseverepatients,buttoalesserextentinmoremoderatepatients.Andsoweget--weachievetwoobjectiveshere:oneisdriveconversionandtheotherisdriveactuallygrowthfortheproductline.
Linzess,wehadaverygood2014.Prescriptionsandsalesincreasedatadouble-digitrate.WepassedtheZelnormintermsofprescriptionvolume,whichforthoseofyouwhodon'tknow,wasaproductthatwasintroducedbyNovartisseveralyearsagoandwasvery,verysuccessful.
Wereachedamilestoneinusers.Therearenowover100,000physiciansacrosstheUnitedStatesthatareusingLinzess.SatisfactionwiththeproductisveryhighrelativeAmitizaaswellasafewover-the-counterproducts.Thatwas2014.
In2015,wearefocusedontwothings,theOTCmarketandproductdevelopment.Wehaveconvertedsincelaunchroughlyjustunder5%oftheOTCcategory.Webelievethatnumbercouldclimbto10%andthereareseveralanalogsthatsupportthatkindofprojection.
TakealookatwhatthePPIsdidtotheH2antagonistsorwhattheCOX-2sdidtotheNSAIDsorwhatthenon-sedatingantihistaminesdidtothesedatingantihistamines.Ineachoneofthosecases,theprescriptionclassconvertedroughly10%to20%oftheOTCmarket.
NowwelaunchedaDTCcampaigninAprilof2014andtheresultswerevery,verygood.NewprescriptionvolumeforLinzessclimbedover40%.
Toputthatintosomecontext,weanalyzed58differentDTCcampaignsacrossninedifferenttherapeuticareas.Theindustryaveragefornewprescriptionliftwasjustunder30%.Wearegoingtocontinuetoinvestheavilyindirect-to-consumeradvertisingaslongaswecontinuetoseeagoodfinancialreturn,whichwemonitorregularly.
Intermsofproductdevelopment,Linzesshasgotanexclusivityperiodthatextendswellintothe2020s,whichallowsustomakecertaindevelopmentdecisionsthatweotherwisecouldn'tmakeonaproductthat,forexample,mighthavealimitedexclusivityperiod.Wearelookingatnewformulations,newdosingstrengths,andnewindicationsthatwillnotonlystrengthenthepositionofthedrugforitscoreindications,IBS-CandCIC,butalsoexpanditsutilityintoothermarkets.
WeareworkingcloselywithIronwoodonthatfront.Wehaveaverygoodpartnershipwiththem.TheguysovertherearerealprofessionalsandIwouldexpectthatoverthenextseveralyearstherewillbeasteadystreamofinnovationsonLinzess.
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Bystolichasbeenavery,veryconsistentperformerandthatisbecauseitisanovelcompoundwithanicheinaverylarge,commodity-likehypertensionmarket.Eightoutofthe10healthplans,PartDorcommercial,intheUnitedStateshaveBystoliconformularyforonereason.That'sbecausetheyhavemembersintheirplanwhoneedabetablockerbutcan'ttolerateatenololandmetoprolol.
Ifyoulookatthebottomrightofthisslide,youcanseethatphysiciansrate--excuseme,thebottomleft--physicianratetheperformanceofBystolicontolerabilityandefficacyashighastheyrateDiovanandBenicar.Forthoseofyouwhoknowsomethingabouthypertension,thoseareperhapsthetwomosteffectiveandwell-toleratedantihypertensivesintheworld.
OurplanrightnowwithBystolicistocultivateouruserbase.Weareoneofthefewcompaniesstillactivelypromotinginhypertension.Wehaveagreatfollowingincardiologyandprimarycareandouraimistomaximizevolumeattheverybestpricepossible.
Teflaro,onewordsumsupthisslideandthatismomentum.Ittakestimetobuildahospitalantibioticandweknowthat.Teflarowasnodifferent,but2014wasaverygoodyearandIthinktheprospectsforgrowthforthisproductareverygood.
Volumewasup15%.Ifyoulooktotheleft-handsideofthisslide,youcanseethatinfectiousdiseasespecialistsrateTeflaroonkeyattributesofefficacyandtolerabilityandmicrobiologyspectrum.VeryhighrelativetoVanco,Cubicin,Tygacil,andZyvox,whicharetheothermorewidelyusedMRSAagents.And60%ofinfectiousdiseasespecialistsexpecttoincreasetheiruseofTeflaro.
Wehavealotofmomentum.Thisisahigh-marginbusinessandin2015weexpecttolaunchtwonewclaims,afive-minuteinfusionandaclaimforbacteremia,whichwewilltalkaboutshortlyafterDavid'spresentation.Goodbusinessrighthere.
LoLoestrinandEstrace,thesearetheanchorsofourwomen'shealthbusiness.LoLoestrinisthelowestdoseoralcontraceptiveonthemarket,whichisconsistentwithFDAguidelinesthatrecommendminimizingtheexposuretoEstrin.Estraceisacreamforthesymptomsofmenopause.
Thesearehighlypromotionally-responsiveproducts.ShortlyaftertheintegrationofForestandActavis,wepracticallydoubledthedetailingeffortonbothproducts.Thesalesforbothincreasedatadouble-digitratein2014.WeregainedleadershipintheestrogenreplacementmarketwithEstrace.
Ourformularycoverageissolid.Wedon'texpectanysurprisesasitrelatestothatin2015andIwouldexpectourperformanceinthenext12monthswilllookasgoodasourperformanceinthepastseveralmonths.
BeforeIturnitovertoDavid,Iwanttomakeafewpointsaboutourcommercialmodel.TherearetwotrendsthatareimpactingthewaywedobusinessandtheyarenotimpactingActavisanymorethantheyare--moreorlessthantheyareimpactingothercompanies.Thefirstoneisconsolidationandthenextisstandardization.
Intermsofconsolidation,individualphysicianpracticesareturningintogrouppracticesandgrouppracticesareturningintointegratedhealthsystems.Sothefaceofthecustomerischanging.Iamsuremostofyouareawareofthestatthat60%to70%ofallphysiciansintheUnitedStatesarenowemployed.Trendone.
Trendtwoisstandardization.Guidelines,protocols,andformulariesarebeingusedmoreandmoretocontrolchoiceandmanagecosts.Nowthesearen'tnewtrends,buttheyaremorewidespreadandtheyareacceleratingincertainpartsofthecountry.Andsowearetakingthefollowingstepstorespondandtostaycompetitive.
First,wehaveacompletely--unlikeayearago,wehaveacompletelycustomizedsalesforce.Ratherthanaone-size-fits-allapproachwhereeachterritoryorstateorevenregionhasanequalnumberofActavis
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representatives,eachoneisnowstaffedbasedonaccessandestimatedreturnonourinvestment.Notallcompanieshavegottentoacustomizeddeploymentplan,butwehave.
Soforexample,inthestateofMassachusettswemayhavetworepresentatives,butinthestatesofTexasandMississippiwemayhave20.IhavenothingagainstthestateofMassachusetts--althoughIhatetheRedSox,Mike--butit'sjustamoreintelligentwaytodeploythefieldforce.Itgivesusflexibilityanditmakesitamuchmoreefficientinvestment,andit'soneofthebiggeronesthatwehave.
Othercompaniesarereducingthesizeoftheirfieldforcesandevenexitingprimarycare.Wearenotdoingthat,butbystayingwehavetothinkverydeeplyabouthowtomakethatgroupasproductiveasitpossiblycanbe.
Ouraccountmanagementteamtodayisbiggerthanitwaslastyear,muchbiggerthanitwasayearbeforethat.Andthispartofourbusinesswillprobablyevolvemoredramaticallyandrapidlythananyothertodealwithdifferenttypesofcustomers--healthsystems,clinics,amongothers.
WearerelyingmoreonDTC,Internet,andsocialmedia.Wehaveacompletelyintegratedmultichannelcross-channelapproachtomarketingtheseproducts.TheInternetcanbeusedtonotjustaugmenttheactivitiesofthefieldforce,buttoalsoextendreach.
Andthere'sgreateremphasisonreal-worldeffectivenessdatathatbridgesthegapbetweentheresearchsettingandthecriticalpracticesetting.Infact,righthereinNewYorkCitywehaveacollaborativeresearchprogram,twoactually,withColumbiaUniversityinAlzheimer'sdiseaseandintheanti-infectivestolookattheoutcomesassociatedandthecostbenefitsassociatedwithtreatment,NamendaandAvycaz,whichisournovelantibioticwhichwewilltalkaboutshortly.
Intermsofourfieldforce,thisgrouphasagreatdealofhorsepoweranditisanextremelywell-runteamintermsofsellingskills,deployment,training,andcompensation.Weviewthisasacompetitiveadvantage.
Simplyput,wehaveaprimarycaredivisionoffourteamsthatcancoverroughly100,000physiciansormoreacrosstheUnitedStates.Wehaveaspecialtydivisionwithseventeamsandwehaveaninstitutionalteamthatcovershospitals,long-termcarefacilities,andclinics.There'salmostnocustomerwiththisorganizationwecan'tcoverorreach.
Howdoesoursalesforcestackuptothetop10?Whatyouseehereisthreedifferentmeasuresofsalesforceactivityorproductivity:callsperday,salesforcesize,totalsalescalls.Inmyopinion,themostimportantmeasureontheslideiscallsperday.
Onaverage,anActavisrepresentativedelivers10callsperday.Theindustryaverageinthetop10isroughlyseven.Soourteamisproducing35%morecallseachdaythantherest.Thatistheequivalentofhaving500morepeople.
Nowwhycanwegetto10?There'sthreereasons.First,weaskforit.Itisanexpectation.Next,wehaveaverybroadanddeepproductlineandsophysiciansoftenareusing,asIsaidearlier,atleastacoupleormoreofourproducts.Andthen,finally,theyareextremelywelltrainedandextremelywellpaid.
Withthat,Iwanttothankyouforyourattention.IwillaskDavidNicholsontocomeupandreviewtheR&Dportfolio.Thanks.
DavidNicholson(EVP-BrandsR&D):
Goodmorning,everyone.It'sagreatpleasuretobeheretodayandtohavetheopportunitytodiscusswithyouthebrandsR&Dpipeline.
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WhatisourR&Dstrategy?Asastandalonecompany,Actavisfocusesenergyonfourkeytherapeuticareas:gastrointestinaldisorders,CNS,infectiousdisease,andwomen'shealth.Andweareopportunisticinurology,dermatology,andcardiology.
Ofcourse,thisisActavisasastandalonecompany.WearealllookingforwardtoboltingontothistheAllerganareasofexpertiseinophthalmology,dermatology,andaesthetics,aswellastheircoreresearchgroupinareasofophthalmologyandselectagents.
Actavisasastandalonecompanyhasbuiltandwecontinuetobuildourpipelinethroughcollaborationsandin-licensing.
BeforeIleavethisslide,IdojustwanttocomebacktosomethingthatHafrunpointedoutandthatistheabilityofActavis,theratheruniqueabilitywithinActavistoworkcollaborativelyacrossthegenericsR&Dorganizationandthebrand'sR&Dorganization.Somethingthatinmyexperienceintheindustryisindeedunique.
WhenIlookinparticularattheexpertisethattheypossessinperformingPhase1trialsinprocesschemistryandinpharmaceuticaltechnologythatisarealstrengththatweareutilizingwithinbrandsR&D.It'snotjustatheoreticalexample.Icanthinkofatleastoneexampleinthesecondhalfoflastyearwherewehadamajorissuewiththeformulationofoneofourbrandsdevelopmentprojectswhichwassolvedbythecolleaguesinourgenericsorganization.
TouseTessa'sanalogy,thebrandsR&DorganizationandthegenericsR&Dorganizationareverycapableofusingthesamebutterknife.
Letmecomeback--letmenowtalkaboutourpipeline.Don'tworry,I'mnotgoingtogothroughalltheboxesonthisslide,muchasIwouldliketo,butIdojustwanttofocusyourattentiononafewkeyissueshere.
MidlastyearwewentthroughtheForest/Actavismergerandwecombinedthepipelinesofthosetwocompanies.Aswecombinedthepipelines,weterminatedatleastsix--terminatedorreturnedtoourpartnersatleastsixofourprojects.Wedidthattomakecertainthatwehadapipelinewith--whichgivesusthemaximumreturnonourinvestmentdollar.
AndIgobacktoBrent'spointthathemadeearliertodaythatwespendtherightamountofmoneyonR&D.Wedon't,bydefinition,justspendacertainproportionofourturnover.
OtherpointsthatIwouldliketomakeisthatweaddedtoourpipelinein2014;forinstance,throughthecollaborationwithRhythmHealthcare.AndIwilltalkmoreaboutthatlater.Wealsomovedfiveprojectsthroughintotheregulatoryphaseandyoucanseethatwiththegoldenarrowsonthisslide.AndwereceivedapprovalfromtheFDAfortwonewmolecularentities.
SoaswewentthroughtheForestActavismerger,wecontinuedtomaintainmomentuminourpipeline.
Ibelieveourpipelineissufficientlystrongtoallowustomaintaintheindustry-leadingR&DproductivityofthelegacyActaviscompanies.Thisslidemightcomeasabitofasurprisetoyou,butifyoudolookatthenumberofNMEandBLAapprovalsfromthelegacyActaviscompanies,itbeatsGSK,Pfizer,Novartis,Roche,etc.,intermsofnumbersofnewproductapprovals.Andweaimtomaintainthisproductivityintheyearstocome.
Howarewegoingtodothat?Well,ofcourse,bycompletingthedevelopmentofourpipelineproducts.
Duringthesubsequentslides,I'mgoingtowalkyouthroughtheprojectssummarizedonthisPowerPoint.Toeachoftheseprojects,I'mgoingtodescribetheproject.I'mgoingtotellyouabouttheunmetneedandtherelevanttherapeuticarea.
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I'mgoingtoshowyousomedata--thisisR&Dafterall--somedataslidesshowinghowwemeetthatunmetneed.AndthenIwilltalktoyoualittlebitabouthowwearegoingtocontinuetobuildabrand.
Firstofall,GIdisorderswithafocusonlinaclotide,Linzess,andeluxadoline.
Linzess,whatisLinzess?Linzessisaguanylatecyclase-Cagonist.Togetherwithourpartner,Ironwood,weownthismechanismofaction.Guanylatecyclase-CstimulationintheGItractmodulatescellularhomeostasisincreasingfluidsecretionintothelumenoftheintestine.Obviously,ifyouincreasefluidsecretion,thisgivesyoutheopportunitytoalleviateconstipation.
Inaddition,cyclicGMPdirectlyorindirectlyattenuatesnociceptorreceptoractivationintheGItract,reducingthepainassociatedwithirritablebowelsyndrome.
Approximately13millionpeopleintheUSsufferfromIBSandtherearerelativelyfewagentsthatareapprovedforthisdisorder.Thebigneedsareuniformandsustainedreliefofsymptomsandthesymptomshavetoincludereliefbothinbowelmovementsaswellastheassociatedpain.
IfwelookatthedatathatwegeneratedduringthePhase3developmentoflinaclotide,youseeinthetophalfoftheslidewherewe'relookingatchangeinabdominalpain,sustainedandconsistentreliefofabdominalpain,andinthebottomhalfoftheslideincreaseinspontaneousbowelmovements.Soit'sthissustainedefficacyandalleviationofpain,aswellasincreasingbowelmovements,thatisahallmarkoflinaclotidetherapy.
Howarewegoingtobuildabrand?Well,wehearfromsomephysiciansthatthereisaneedforalowerdoseformulationoflinaclotide.Andtogetherwithourpartner,Ironwood,wearepresentlyperformingthestudiestodefinethelowdosethatsomepatientsappeartoneed.
We'relookingatadditionalindications,opioid-inducedconstipation,andwearealsolookingatadelayed-releaseformulation.Wefeelthatthedelayed-releaseformulation,whichreleaseslinaclotideinthecolon,couldmaximizethebenefitofpainreliefaswellasstillgivingassufficientefficacyintermsofreductioninconstipation.
Eluxadoline,forIBS-D,IBSassociatedwithdiarrhea.Eluxadolineisafirst-in-classagentbecauseitcombinesnewopioidreceptoragonismsometogetherwithdeltareceptorantagonism.Thedeltareceptorantagonismoffsetssomeoftheunwantedeffectsofunopposednewagonism.EluxadolineactslocallyintheGItract.Ithasnegligiblesystemicbioavailability.
Ifapproved,wewillgetapprovalforeluxadolineinadultsandImentionthatbecauseit'sratherimportantinthistherapeuticareatomakecertainthatyouhaveefficacyacrossbothgenders.Iwillcomebacktothatinamoment.ThePDUFAdateforeluxadolineisexpectedtobeinthe--orisinthesecondquarterofthisyear.
ImentionedearliertheincidenceofIBSintheUnitedStatesandthereisnoapprovedagentatthemomentforIBS-Dinmales,andIwillshowyousomedatashowingtheefficacyofeluxadolineacrossbothgenders.AndasinIBS-C,thereisabigneedforagentswhichhavesustainedefficacyalsointhisindication.
Twodataslideswitheluxadoline.ThedatashownonthisslidecomefromthePhase3studiesthatweperformedtoget--tomakethesubmissionforapprovalintheUnitedStates.IntheUnitedStatesyouneedtoshowefficacyovera12-weekcourseoftherapy.
Weperformedtwostudies:3001,3002.Theendpointthatwewerelookingatwasacompositeofpainandbowelmovement.Andyouseeherethatboth75and100milligramsontheseFDA-mandatedendpointsgaveusconsistentefficacyinbothofthePhase3studies.
InEurope,incontrasttotheStates,theEMArequirestudiesof26weeksduration.Soonthisslideonthetop
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halfyourlookattheFDAendpointsandonthebottomhalf,weeks1to26,youarelookingattheEMAendpoint.Andyouarelookingatefficacyinmalesontheleftandfemalesontheright-handsideoftheslide.Again,we'relookingatthecompositeendpointofbowelmovementsandpain.
Whatthisslideshowsyouisthatregardlessofwhetherwe'relookingatFDA-mandatedendpointsorEuropean-mandatedendpoints,wegetconsistentefficacyonthisendpointatboth75and100milligrams.Therehasbeensomediscussionwitheluxadolinewhetherornotwedogetefficacyonthepainsymptomsindependentofthecompositeendpoint,andIassureyouthatinthreeoutofthefourmeasuresthatweutilizedtolookatabdominalpaineluxadolineiseffective.
Oneofthequestionswedogetaskedratheroftenabouteluxadolineiswhataboutpancreatitisandwhataboutscheduling?SoIthoughtI'dbetterincludeaslidetopreemptsomequestionsthere.
Theeluxadolineclinicaltrialprogramwaslarge,almost2,500patients,andweonlyhadninecasesofpancreatitis.Allofthoseninecasesresolvedwithoutanyclinicalconsequences.Eightoftheninecasesinvolvedpatientswithknownalcoholabusewhodrankexcessivelyorwhohadacholecystectomyorhad[bowel]problems.Theninthcaseoccurredafterthepatientstoppedreceivingeluxadoline.
Iwouldalsopointoutthatopioidsareclasslabelingforthiseffectandwecanexpectthatclasslabelingforeluxadoline.
Intermsofscheduling,ofcourseduringthedevelopmentofeluxadolineweperformedthenecessaryclinicaltrials.Weperformedwithdrawalstudiesinanimalsandsawnosymptomsofwithdrawal,andweperformedabusestudiesinpatientsfollowinganoraladministrationofeluxadolineandsawnothingofanyconcern.
FromanFDAperspective,schedulingfollowsapproval.PDUFAdateisquartertwothisyear.AndofcoursetheFDAandtheDEAhaveanumberofoptionsforscheduling,butIwouldliketopointoutthedatathatweincludedinoursubmissionistheonesthatIjustdescribedintermsoflackofeffectinwithdrawalinanimalsandlackofoxycodone-likeactivityatallinpatients.
Howarewegoingtobuildabrand?WehavethePDUFAdate;I'vealreadymentionedit.WewillbesubmittinginEuropelaterthisyearandwearepresentlyevaluatingotherpotentialindicationsforeluxadoline.
Movingontotalkabitaboutouranti-infectivefranchise,twoagents,Avycazanddalbavancin.Avycazforcomplicatedurinarytractinfectionsandintra-abdominalinfectionsanddalbavancinforskinandskinstructureinfections.
Avycaz,whatisit?It'sacombinationofratherwell-known,third-generationcephalosporins,ceftazidime,withanovelbeta-lactamaseinhibitor.AndIwilldescribethenoveltyofthebeta-lactamaseinhibitorinalaterslide.
Intra-abdominalinfectionsandurinarytractinfectionsafflictalargeproportionoftheUSpopulation,between1millionand3millionpatientsayearsuffer.Andofcourse,thereisanurgentneedfornewantibioticsingeneral.There'salotofnewsaboutthatinthepress.There'sbeenapresidentialcommissionlookingatthisand,ofcourse,theFDAthemselvesaretryingveryhardtomakeitsomewhateasiertodevelopandregisterantibioticsinthiscountry.
ThisisaslideIpromisedyou,whichdescribesthenoveltyofavibactamasabeta-lactamaseinhibitor.Ifyoucompareitwiththeoriginalagent,clavulanicacid,ormorerecentagent,tazobactam,youseethatavibactumhasadifferentprofile.Itsimplyinhibitsmoreofthebeta-lactamaseisoenzymesthaneitherofthesetwoagents.Sowhenyoucombineitwithanantibioticyoucanexpectittobeeffectiveagainstabroaderpopulationofthepathogensdevelopingresistancetothatantibiotic.
Onedataslide.ThisistakenfromthestudiesthatwepresentedtotheFDAlastyear.Whatyouseehere,andIjustwanttohighlighttheyellowbarhere,itshowsthatintheceftazidime-resistantpathogens,thatthe
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additionofavibactumtoceftazidimeallows90%--resultsin90%pathogenkill.Soaverycompellingresultshowingthatavibactumrestoressusceptibilitytopathogenswhenyoucombineitwithceftazidime.
Attheendoflastyear,therewasanFDAadvisorycommitteewhichdiscussedthedata,thePhase2datawepresentedonAvycaz.RatheruniquetogotoanadvisorycommitteewithjustPhase2data.TheadvisorycommitteevotedinfavorofapprovalofAvycazforthetreatmentofurinarytractinfectionsandintra-abdominalinfectionswhennoothertreatmentoptionexists.AndsowehopeandexpectNDAapprovalinthenot-too-distantfuture.
WewillbebuildingthebrandbecausewewillbesubmittingasupplementalNDAbasedonPhaseIIIdatatogiveusabroaderlabelinglaterthisyear.AndwearelookingatAvycazinothercarbapenem-sparingregimensandagainstceftazidimeandmoresusceptibleorganisms.AndBillinsubsequentpresentationgoesintosomewhatmoredetailonthatpoint.
Dalvance,dalbavancin;weacquiredthisantibioticlatelastyearwhenweacquiredDurata.Whatisdalbavancinandwhatdoesitofferintheantibioticarmamentarium?Themost--perhapsthemostimportantthingisthehighlightedbulletonthisslide,thefactthatdalbavancingivestheopportunitytoprovideoneweek'sworthoftreatmentwithoneintravenousinfusion.
Themostimportantthingtotakehomeaboutdalbavancinisitslongdurationofaction.Whyisthatimportant?Well,doctorsarelookingforantibioticswhichsimplifypatientcare,whichmakeiteasiertotreatthesickestpatients,butalsotheantibioticswhichprovideanoptiontogetpatientshomeandtoreduceexposureofpatientswithinthehospitalsetting.
Soclearly,ifyoucangiveasimpleinfusion,evenintheoutpatientsettingorin-hospitalbutallowpatientstogohomeimmediately,theantibioticisgoingtomeetmanyoftherequirementsthatdoctorsarecryingoutfor.
Atthemomentdalbavancin,thetreatment--thedosingregimenistwoinfusions,two30-minuteinfusionsofdalbavancingivenoneweekapart.Wearepresentlyperformingaclinicaltrialtodemonstratethatyouonlyneedtogiveonesingleinfusion,onesingle30-minuteinfusionofdalbavancintofurthersimplifythedosingregimen.Wehavealmostcompletedthattrialandthelastpatient,lastvisitlaterthismonth.
Inaddition,we'rebuildingthedalbavancinbrandbylookingattheefficacyofthisantibioticinpediatricandadultosteomyelitis.WewillinitiatethosePhase3studieslaterthisyear.
Sothisslidesummarizeshowwearebuildingthisbrand.WeexpectEuropeanapprovalfordalbavancininMarchthisyear.Weexpecttosubmitthesingledosing,theonce-and-donestudythatIhavejustdescribed,asasupplementalNDAlaterthisyearaswell.Andwearelookingattheadditionalindicationsinosteomyelitis.WeareconsideringPhase4programstolookatearlydischarge,reductionofpatientadmission,andtoensurethatweareindeedachievinghigherratesofpatientsatisfaction.
Biosimilars.BobmentionedbiosimilarsinhispresentationandpromisedthatIwouldcomebackandtalkaboutit.BiosimilarsisinmypresentationratherthanHafrun'sbecauseitiskindofabridgebetweenthegenericsorganizationandthebrandsorganizations.Biosimilarsarebiologicalgenerics.
SlowlybutsurelyIseemomentumgaining,buildingupintheUnitedStatesaroundbiosimilars.WefinallyhaveguidelinesfromtheFDAhowtodevelopbiosimilars.Whenisabiosimilarasimilarandwhenit'snotasimilarandwealsohavetheEuropeanguidelines.Soforthefirsttimewehaveguidelinesfromregulatoryauthoritiesaroundtheworldwhichallowsustodeveloptheseagents.
AndActaviswithitsbrandedandgenericsorganizationsisratheruniquelypositionedtodevelopbiosimilars.Weestimatethatby2020some$70billionworthofsalesofbiologicswilllosepatentexclusivity.It'sahugeopportunityforanybodywhocanstepinanddevelopbiosimilars.
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OneofthefoundationstonesofourbiosimilarsstrategyisourcollaborationwithAmgen.Amgen,ofcourse,verystronginbiologicaldrugdevelopments.Wehaveourspecialty,ourbranded,andourgenericsbusiness,andwefindthiscombinationtobeaverycompellingcollaborationbetweentwoverystrongcompanies.
Ourbiosimilarpipelineconsistsoffiveproducts.Thefirstfour--Herceptin,Avastin,Rituxan,andErbituxbiosimilars--arepartneredwithAmgen.WehavetwoofthoseprojectsinPhase3development,sowecanexpectAmgen-Actavisbiosimilarstobegoingtotheregulatoryauthoritiesinthenot-too-distantfuture.
Wehaveafifthproduct.We'renottalkingatthemomentaboutthetargetforthatproduct,whichisourownbiosimilardevelopmentbeingrunoutofourlaboratoriesinLiverpool.Youcanexpectmorebiosimilarsandbiobetterstobeaddedtoourpipelineintheimmediatefuture.
Women'shealth.Twobigproductsinwomen'shealth,Liletta,anintrauterinesystem,contraceptiveagent,andEsmya,aselectiveprogesteronereceptormodulator.
Liletta,itislevonorgestrel-containing,intrauterinesystem.Itusedtobecalledintrauterinedevices.Wehavetogetusedtothenewnomenclature.Itreleasesprogestin.
Atthemomentwehaveshowncontraceptiveefficacyoverthreeyears.Thatwillbeextendingouttofiveyearsaswecontinuethelong-termdevelopmentofthisagent.
Itdoesn'tcontainanyestrogen.It'sprogestinonly.Itworksprimarilybythickeningthecervicalmucusandinhibitingspermpenetration.Veryusefulagenttocomewithcontraceptiveswhichareestrogenfree.
Levosert,brandnameforLilettainEurope,hasbeenapprovedinEuropefortreatingmenorrhagiasince2012andpresentlyhasreceivedapprovalinsomecountriesforcontraceptionandwillberolledoutinEuropelaterthisyear.WesubmittedtheNDAforLilettalastyearandweexpect--well,thePDUFAdateisinthefirstquarterofthisyearandweexpectapprovalandsubsequentlaunchofthisIUD.
Esmyainuterinefibroids.OneoftheholygrailsofR&Dinwomen'shealthhasbeentofindawell-toleratedselectiveprogesteronereceptormodulator.Iassureyoumanycompanieshaveworkedlongandhardtocomeupwiththesetypeofcompounds.
WehaveulipristalindevelopmentinUnitedStatesforthetreatmentofuterinefibroids.Itisaselectiveprogesteronereceptormodulator.Whatdotheydo?Well,theyacttoreducebleeding,theexcessivebleedingcausedbytheuterinefibroidsandtheyalsocauseshrinkageofthetumorsize.
Uterinefibroidsareverycommon.Asymptomaticallytheyaffectsome40%ofthefemalepopulation.Whentheyaresymptomatic,theycauseveryheavyuterinebleeding,abdominalpressure,pain,andincreasedurination.
Whenwomensufferfromsymptomaticuterinefibroids,themaintherapyissurgeryandsurgeryisnotwithoutdifficulty.Somemajorcompanieswhohaddevicesthatwereusedinthesurgicalprocedurerecentlyhadtowithdrawthosedevicesfromthemarketplace.ThereisaneedforsaferandmoreeffectivepharmacologicalagentsoverandabovetheGnRHagonist,Lupron.
Ulipristal,Esmya,hasbeenevaluatedinEuropeanstudies.TheFDAisaskingustorepeatthosestudiesintheUnitedStates,butIcansharewithyouthedatacomingoutofthoseEuropeanstudies.
PBACisthebleedingparameterthat'susedinthesetrialsandyoucanseeonthisPowerPointaverydramaticreductioninbleedingasopposedtoplacebo.ProgesteronereceptormodulationworksincontrollingheavybleedingassociatedwithuterinefibroidsandwearepresentlyrunningthePhase3studiesthattheFDAhavemandated.
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Sowearerunningthetrials.WeexpectNDAsubmissiontobein2017andwearecurrentlyconsideringotherindicationsforthesetype--forthisagent.
CNS,oneagentIwanttofocusoniscariprazine.Cariprazineisanatypicalantipsychoticwhichcanbelookedatinschizophrenia,bipolarmania,bipolardepression,andMDD.
WhatdoImeanbyanatypicalantipsychotic?Intheparticularcaseofcariprazine,itisadopamineD2,D3receptorpartialagonist.Thatistheprimarymechanismactionofcariprazine.Itdoeshavesomeaffinityforothermonoaminereceptorsanditdistinguishesitselffromotheratypicalantipsychoticsbytheprecisereceptorbindingprofile.
Sofarwithcariprazinewe'veseenrobustefficacyacrossmultipleindications.WeresubmittedtheNDAfortreatmentofschizophreniaandbipolarmaniaattheendoflastyearandthePDUFAdateismidthisyear.WeareinthemiddleofPhase3forrelapsepreventionandforadjuncttherapytomajordepressivedisorder,andweareinPhase2forbipolardepression.
Iwilltalkinafewminutestimeaboutatrialthatourpartner,GedeonRichter,recentlyreportedinthenegative--controllingthenegativesymptomsofschizophrenia.
Whatisthebigunmetneedinschizophrenia?People--sometimespeoplesay,hey,there'salotofatypicalantipsychoticsoutthere.Iassureyouthere'sstillabigunmetneed.Weneedimprovedefficacyonnegativesymptoms.
Whatarenegativesymptoms?Thosearethesymptomsassociatedwithsocialwithdrawalinschizophrenia,aninabilitytointeractinsociety.Itisthenegativesymptomsthatarethebiggestproblemforschizophrenia--forpeoplesufferingfromschizophreniaiftheywanttoleadindependentlifestyles.Andthepresentlyavailableantipsychoticsdonotcontrolthenegativesymptomsofschizophrenia.
Weneedantipsychoticsthathavelesssideeffects--effectonprolactinlevels,metabolism,andEPS--andweneedantipsychoticsthatcontrolothersystemsofschizophrenialikeanxietyanddepression.Theseneedsarenotmetwiththepresentlyavailableatypicals.
Adataslide;thisshowstheeffectsofcariprazine1.5to9milligramsadayonthepositiveandnegativesymptomscaleofschizophrenia.Itsimplyshowsthatcariprazineworks.Asyoucansee,incomparisontoplacebo,wegetaverysignificantreductioninthePANscore,thepositiveandnegativesymptomsscaleforschizophrenia.Cariprazineisaneffectiveantipsychotic.
Morerecentdatathatwehavejustgeneratedthesedatalooksattheabilityofcariprazinetoreducerelapse.Doesitworklong-term?Doesitstoprelapsing/recurrentepisodesofschizophreniaonceyou'vegot--whenyou'vegotpatientsonmaintenancetherapy?
Ifyoulookatthe--theseareKaplan-Meiercurves.Ifyoulookatthegreencurveasopposedtothebluecurve,youseethatthereisasignificantlower--asignificantlylowerrateofrelapsesonpatientswithcariprazinethanonpatientswithreceivingplacebotreatment.
IalsosaidIwouldtalktoyouaboutnegativesymptoms.This--forsomebodylikemethisisanexcitingpieceofdata.I'veworkedinCNSR&Dformany,manyyearsandI'veneverseenanythinglikethistrial.
GedeonRichterperformedastudywheretheylookedattheeffectofcariprazineintreatingthenegativesymptomsofschizophreniaincomparisontorisperidone.Thesewerepatientswhopredominantlyhadnegativesymptoms,sothesewerepatientswithverylittleofthefloridhallucinogenicsymptomsassociatedwithschizophrenia.Andindeedrisperidoneandcariprazinehadlittleeffectonpositivesymptomsinthistrial.
Bothresultedinsomereductioninnegativesymptoms,butcariprazineproducedamuchbiggerreductionin
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negativesymptomsthanrisperidone.Andthisisthefirsttimethatoneatypicalantipsychotic--theveryfirsttimethatoneatypicalantipsychotichasdistinguisheditselffromanotheratypicalantipsychoticonnegativesymptomsinatrialperformedundertheseconditions.Wewillbelookingatthesedataingreaterdetail,talkingtotheFDAaboutthem,andseeingwherethistakesusforward;cariprazineisaratheruniqueantipsychotic.
Sohowarewebuildingthebrand?ThePDUFAdatelaterthisyearforschizophreniaandbipolarmania.We'regoingtoinitiatePhase3developmentinbipolardepressionlaterthisyearandwewillbemakingasupplementalNDAsubmission.
Dermatology,sarecycline;itisatetracyclinederivativeindevelopmentforthetreatmentofacne.Itisanovelagentinsolidoraldoseformulationandpotentanti-inflammatoryactivity.
Whyisit--?Whereistheunmetneed?Well,wesimplyneedagreaterrangeofagentsforthetreatmentofacne.Thepresentlyavailableagents,betheyanti-inflammatoryorantibacterial,offerlimitedefficacyinthisdisorder.Weneedagreaterrangeoftherapeuticoptions.
Sarecycline,inouropinion,willaddtothetherapeuticoptionsavailableforthetreatmentofacnefortwobigreasons.Oneis,ifwelookatthemicrobiologicalprofileofsarecycline,ithaslimitedantimicrobialactivityagainstthebacteriainthegutsoweshouldhavelessGIsideeffectsthanothertetracyclines.Andalsothephysicochemicalattributesofsarecyclinewithenhancedlipophilicityincomparisontoothertetracyclineswillallowforgreaterpenetrationintothesebaceousglands,whichiswherethebacteriaresidethatfeedonthesebumcausingtheprobleminacne.
SofarwehaveperformedaPhase2bdosestudyofsarecyclineandweseethat1.5milligramsgivendailyproducesastatisticallysignificantreductioninacneasassessedusingtheinvestigator'sglobalassessment.Basedonthesedata,wearegoingintoPhase3at1.5milligramsofsarecyclineadayincomparisontoplacebousingtheFDA-mandatedendpointsoftheIGA,theinvestigativeglobalassessment,andlesioncount.
WestartedthesePhase3trialsattheendoflastyear.Weexpecttop-lineresultsfromthatstudyin2016withsubsequentNDAsubmissionwe'relookingforwardtoultimateNDAapproval.
Ourearlyormid-stagepipeline;Ididwanttotalkalittlebitaboutrelamorelin,acompoundthatwearedevelopingtogetherwithourpartner,RhythmHealthcare,indiabeticgastroparesis.
Whatisrelamorelin?Well,itisapeptide.Itisaghrelinreceptoragonist.Itisaprokinetic,improvinggastricemptying.Incomparisontothefirst-generationagents,relamorelinmaintainspotencyandselectivityoftheghrelinreceptor.Theproblemwithmanyofthefirst-generationagentswasthattheylostpotency.
Diabeticgastroparesisaffects2millionto3millionindividualsintheUnitedStates.Therearelimitedtherapeuticoptions.Metoclopramideisused,butwithalltheproblemsandsideeffectsassociatedwithmetoclopramide.Diabeticgastroparesisassociatedwithdelayedgastricemptyingresultinginnauseaandvomiting.
Phase2astudieswereperformedbyourpartner,RhythmHealthcare,andtwodataslidesshowingtheresultsoftheirPhase2astudies.Incomparisontoplacebo,relamorelincausedasignificantreductioninweeklyvomitingepisodesandinvomitingseverity.
ThisisadataslidethatIpersonallyfindparticularlyimpressive.InthisdataslidewearelookingataprospectivelydefinedsubgroupinthePhase2astudy.Thisisthesubgroupofpatientswithseverevomiting.
Andwhatyouseeinthissubgroup--andwearelookingatplacebo-treatedpatientsinblueandrelamorelin-treatedpatientsingreen--isyouseeaverymarkedreductioninabdominalpain,nausea,bloating,and
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satietyinthissubgroup.ItwastheserathercompellingdatathatencouragedustoenterintocollaborationwithRhythmHealthcareandweveryrecentlyinitiatedthePhase2bstudieswiththiscompound.
Finaltwoslides,almosthome;thanksforstayingwithme.Thisisanillustrationofhowweseethenewlaunchesandpipelineopportunitiesaregoingtoallowustoachievea9%CAGRbetweennowand2020.
ThisisaprojectionasActavisasastandalonecompany,butofcourseActavisisunlikelytoremainstandalonefortoolong.WeareverymuchlookingforwardtothemergerwithAllerganandforsomebodylikemeitis,ofcourse,tremendouslyexcitingtothinkofmergingourtwopipelines.
WhatyouseehereistheActavispipeline.I'vewalkedyouthroughmanyofthesecompoundsoverthelastfewminutes.Ilookforwardtocomingbackonthatsubsequentoccasionandwalkingyouthroughthemanycompoundscomingfromourfuturepartner,Allergan.
ThankyouverymuchforyourattentionandI' llhandbacktoBill.
BillMeury(EVP-Commercial,NorthAmericanBrands):
Allright.Morningagain.Fromacommercialpointofview,hereisawaytothinkaboutourpipeline.Davidjustreviewedninemid-tolate-stageassetsinseventherapeuticareas.
AsIsaidearlier,we'reenteringcategorieswiththesecompoundsthatweknowvery,verywell.Customersknowus;weknowthem.
Next,weestimatethatthisproductlinepipelinecouldthrowoff$6billioninsales,withfourproductshavingthepotentialtoreachablockbusterstatus.Thecompoundsinthepipelinearenovel,butnottoonovel;sothattheprobabilityofscientificandregulatorysuccessismediumtohigh.
Wehaveamixofproductsinprimarycareandspecialtymarketswherethereisanunmetneed,whichinourviewmeansthepricingandreimbursementdynamicsaroundthispipelineinthefuturearepositive.AndthenfinallywehavegoodIP,whichmeanseverystrategicdecisionthatwemakearounddevelopmentandpromotionandpricingwillbemadeinthecontextofanextendedexclusivityperiod.
I' lltouchonsomeofthekeycompoundsrightnow.EluxadolineistheflipsideofLinzess:it'stheperfectcomplementfromacommercialstandpoint.
IBSisacontinuum.YouhaveIBS-Cononeend,constipation;IBS-Dontheotherend,diarrhea.Thefactis,thereisnotabrightwhitelinebetweenthesetwoconditions,andwithtwoproductswe'llbetheonlycompanythatcantalkaboutbothendsofthecontinuum.Webelievethat'sacompetitiveadvantage.
Whatyouseeonthisslidearemarketingattributes,andthereareseveral.Davidtalkedaboutthem.Painreliefonmultiplemeasuresatmultiplethresholds,unlikeanyover-the-countermedication;sustainedefficacyoversixmonths,againunlikeanyover-the-countermedication.
Ithinkthemostmarketableattributehererelatestourgency-freedays.Inourstudies,20%to40%ofpatientswereurgency-free50%to75%ofthetime.Ifyouaskanygastroenterologist,theywilltellyouthat,ifyouwanttotreattheconditionsuccessfullyandeffectively,youhavetodealwiththisaspectofit.
ThemarketissimilartotheIBS-Cmarketintwoways,andit'sdifferentintwoways.Similarities:it'sbig.Thenumber-onereasonpeoplearereferredtoagastroenterologistisbecauseofIBS.
ThereisalsoalargeOTCcomponenttothismarket,justliketheIBS-Cmarket.Weknowhowtonavigatethattypeofadynamic.
Differences?Thisconditionismuchmoredisruptive.PatientswithIBS-Dfeellikeprisonersbecauseofthe
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unpredictabilityofthedisease.TheunmetneedhereishigherthanitiseveninIBS-CorCIC.
Andtherearefeweralternatives,fewerOTCalternatives,andvirtuallynoRxalternativeswhenyouthinkaboutthefactthatLotronexisonlyavailableonalimitedbasisduetosafetyrisks.
IntermsofXifaxan,it'sofcoursedifferentthaneluxadoline.Eluxadolineworksontransit;Xifaxanworksonbacterialovergrowth.
Therearenohead-to-headstudies.Thedrugsmaybeusedincombination.Ourfocusrightnowisoneluxadoline;andthereismorethanenoughroomfortwoproductsinthemarket.
Relamorelin.Ifyousurveyed1,000gastroenterologistsandyouaskedthem,whatkindofmedicationdon'tyouhavetodaythatyouwant?There'sareallygoodchanceoneoftheiranswerswouldbeapro-motilitydrug.
Thelastpro-motilitydrug,Propulsid,waspulledoffthemarket;wasabillion-dollarproduct.Reglan,atitspeak,wasabillion-dollarproduct.ThedataonthiscompoundinPhase2,whichDavidjustreviewed,areimpressive.
Thereductionshereinvomitingandvomitingseverityareimpressive.It'sworthnotingthatpatientsinthestudyweresufferingfromvomiting3to4timeseachweek.
Thisisaverydifficultconditionforpatientswithdiabetestodealwith,andthisproducthasthepotentialtohavearealimpactonthedisease.Thecategoryindollartermscouldapproach$6billion.
Whatyouseeherearealotofmarketingangles.Andwe'regoingtoneedthembecauseasyouknow,Davidalludedtoit,thereareover10atypicalantipsychoticsonthemarketandmostofthemaregeneric.Cariprazineispharmacologicallyandclinicallydifferentthanotherantipsychotics.Youcanseeintheupperright-handcolumnofthisslide,itisaD3/D2partialagonist;differentthantheolderatypicals,Risperdal,Zyprexa,Seroquel,andevenAbilify,althoughitismoresimilartoAbilifythanitistheotheratypicals.That'smarketingpointnumberone.
Second,cariprazineisbeingdevelopedforfourindications.Onlyoneotherantipsychotichasfourindications;andthat'sSeroquel,ofcourse,nolongerbeingpromotedbyAZ.We'llstartwithschizophreniamania,whichwillbethejumping-offpointfortheproduct,andthenexpecttoaddbipolardepressionandMDD.
Then,takealookatthebenefit/riskratioofcariprazinebasedonourPhase3datarelativetootherantipsychotics.Theotherdrugshavehadabigimpactonmanypatients'lives;there'snoquestionaboutit.Buttheyarenotwithoutlimitations.
Sideeffectsisabiglimitation;namely,weightgain.Insomestudieswiththeolderatypicals,20%ormoreofpatientscanexperienceagreaterthan7%increaseinweight.That'sabigincreaseinweight.
EPS;impactsonmetabolicsandglucose,lipidsorsugar;andthensomnolence.Ifyoutakealookatcariprazine,thedatalookmoresimilartoaripiprazoleorLatuda,whicharearguablythebest-toleratedatypicalantipsychoticsonthemarketascomparedtosomeoftheolderones.
Asitrelatestonegativesymptoms,I' llsecondwhyDavidsaid.70%ofpatientswithschizophreniahavesignificantnegativesymptoms,andit'sapuzzlethatthepsychiatrycommunityhasbeentryingtosolve.Ifwecanmapoutaregulatorydevelopmentpath,itwouldbearealsalesmultiplier.
Intermsofthemarket,itcanbedefinedtwoways.Large--thereisoveraprescriptionwritteneverysecondintheUnitedStatesforanantipsychotic;anditcanbedefinedbyhighfailureandswitchrates.
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Over50%ofpeopleonsecond-linetherapywilldiscontinueduetolackofefficacyorasideeffect.Andagaintheunmetneedhereintermsoftolerability,andtheprofileforcariprazinemakesagreatdealofsense.
Schizophreniaandbipolardepressionarethelargestsegmentsofthisfour-segmentmarket.BipolardepressionandMDDarethefastestgrowing.
ThisisalogicalextensionoftheclaimsetforTeflaroanditturnsatwo-indicationantibioticintoathree-indicationantibiotic.Bacteremiaisabloodstreaminfection,usuallysecondarytoaprimaryinfection,oftenskin.Today,Teflaroisusedtoacertainextentinpatientswhoarebacteremic.
It'sa$4billionsegment.ThiswillbeagreatdriverofgrowthforTeflarointhefuture.Andyoucanseeifyoulookatthebottomrightoftheslide,40%ofphysiciansexpecttosignificantlyincreasetheiruseofTeflaro,assumingwegetapprovalforbacteremia.
Avycazworksagainstafamilyofbacteriathathavebecomeresistanttosomeofthemostwidelyusedantibioticsintheworld.ThefamilyofbacteriaareidentifiedbytheacronymCRE,whichstandsforcarbapenem-resistantEnterobacteriaceae.Itcausesseriousrespiratoryandbloodstreaminfections,extendshospitalstays,increasescosts,and,leftuntreated,canresultinamortalityratebetween35%and50%.
Sothisisaprettyspecialproduct.It'sgoingtobeareservedcompoundforaspecificinfectionandpatienttype,ahigh-riskpatientandinfectiontype.ThecategoryforinfectionscausedbyCRE,knownorsuspected,isapproximately$2billionto$3billion.
Anexcellentadditiontoourcurrentantibioticproductline,itwillbepromotedrightalongsideTeflaroandDalvance.Theproductscompletelycomplementeachother:Dalvanceisanoutpatientdrug;TeflaroisaGram-positiveIVforthehospital;andAvycazisaGram-negativeantibioticforawholedifferentarrayofinfections.
Ourwomen'shealthproductlinewillconsistoftwonewproductsoverthenextcoupleyears.WehaveanIUD,Liletta,andaprogesteronereceptormodulatorcalledEsmya.
Lilettaisaboutturningwhat'seffectivelyaone-productIUDmarketintoatwo-productIUDmarket.Bayer'scompoundMirenaisthemostwidelyused.Lilettahasallthefeatures,thebenefitsofMirenaintermsofprogestinlevelsandreleaserate.
Ithastwootheradvantages.Itcanbeadministeredinrealtimeatanypointduringamonthlycycle.Andit'sbeenusedintwopopulationsofpatients:womenwhohavehadchildrenandwomenwhohavenothadchildren.Additionally,we'llbeintroducingwhatIwouldcallawhite-glovecustomerserviceprogram,whichwillmaketheproducteasytoorder,stock,andbuy.
AsitrelatestoEsmya,Davidtalkedagreatdealaboutthisproduct.Thiscouldbeagame-changer.
Uterinefibroidsaffectaverylargepopulationofwomen.Nooneknowsforsurewhatcausesthem.
Theyaregenerallybenign;mayberelatedtogeneticsorhormonelevels.TheimpactthatEsmyahasonbleeding,pain,andtumorsizeisvery,veryreal.Thiswillbeanexcellentadditiontoourwomen'shealthproductline,andit'saveryrealalternativetosurgery.
Tosumitup,nineproductsbetweennowand2019inareasthat,again,weknowextremelywell.You'llseethatthereisarangeforeachcompoundbasedondifferentassumptions.
Pricingandreimbursementdynamicshereare,inmyopinion,veryencouraging.Andtheprobabilityofregulatory,technical,andcommercialsuccessisveryhigh.SowiththatIwanttothankyouforyourattentionandreintroduceBrent.
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Brent Saunders (President&CEO):
Thanks,Bill.SoreallyI'dliketocongratulatemycolleaguesforprovidingalotofdetailedinformationinafairlycompactperiodoftime.WhatIthoughtIwoulddoisbringthemmeetingtoconclusionjustbygoingthroughacouplethoughtsaswethinkaboutourcombinationwithAllerganthat'scoming,andthenopenituptoQ&Aquickly.
WhenyoulookatActavis'sperformanceoverthelastfewquarters,youcanseethemomentuminthebusiness.Wecontinuetomaintainstrongmomentuminourbrandbusiness,strongmomentuminourgenericbusiness,strongmomentumineachofourR&Dorganizations,andmaintainabest-in-classsupplychain.
WhenyoulookatAllerganandtheirreportedresultsforthefourthquarter,youcanseethatthatbusiness,underDavidPyott'sleadership,hasalsoexperiencedgreatmomentum.Ibelievetheirfourthquarterwastheirbestquarterintheircompany'shistory.
Sowe'retakingtwobusinessesthatarefiringonallcylinders,andwe'reputtingthemtogether.Aswedothat,IthinkwehavecreatedagreatstrengthincreatingwhatwehopetocallGrowthPharma.
You'veseenthisslidebefore;weuseditwhenweannouncedthecombinationofActavisandAllergan.WedobelievethatwehaveauniqueopportunityinthecombinationofActavisandAllergantocreateaspecialcompanythat'sfocusedonhighgrowth;that'sfocusedoninnovation;that'sfocusedonprovidinghigh-quality,reliably-supplied,low-costmedicinestopatientsaroundtheworld.Wethinkwecandothisdifferentlyandbetterthananybodyinourindustry.
Asyouknowwehaveanaspirationortargettogrowourtopline10%inourbrandedbusinessand--afteryoubackoutgenericsandourAndaDistributionbusiness,whererevenueisnotagoodincentive--an8%growthrates.Wethinkthatthat'sabsolutelyattainableandsomethingthatwillallowustomanageourCompanyverydifferentlythanourpeergroup.
SowhenwethinkaboutGrowthPharma,wespendalotoftimethinkingabout:whatarethecharacteristicsofGrowthPharma?Wespendalotoftimethinkingaboutourowncharacteristics:WhatmadeActavisgrowsoquickly?WhatweresomeofthecharacteristicsatAllerganthatmadeAllergansuchagrowthcompany?
Andwhataresomeofthedataintheacademicliterature,whetheritcamefromMcKinsey,HarvardBusinessReview,orBCGandthelike?Andlookforcommonthemesaroundwhatcausedcompaniestodrivetop-linegrowth.
Thesewerethefiveattributesthatweidentified.I' llgothroughthemveryquickly.
Intermsofadiverserevenuefranchise,whenyoulookatthecombinationofActavisandAllergan,youcanseetrueleadershipintherapeuticcategories:aroughly$3billiondermatologyandaestheticmedicineportfolio;aroughly$3billionCNSportfolio;aroughly$3billioneyecareoreyehealthportfolio;andthenbillion-dollarfranchisesinwomen'shealth,urology,andGI,cysticfibrosis,andcloseincardiology;andthenofcourse,emergingpresenceinaveryimportantarealikeanti-infectives.
WealsohavegoodIPprotection.Asyouheardfromourpresentationtoday,weplaybothsidesofthehouse.Weunderstandthegenericworld;weunderstandthebrandedworld.
Weusethattomakesurethatweareontopofourintellectualpropertyforourbrands,thatwehaveourteam,likeHafrun'sorganization,continuouslychallengeustomakesurethatwearethinkingofalltherightthingsthatweneedtodotomaintainourexclusivityandintellectualproperty.WhenyoujusttaketheaverageOrangeBook--thisisacrudewayoflookingatit,admittedly,butitgivesyouasenseforwhatwe'reupagainst.
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WehavetremendousIPprotectionforourkeyfranchises,wellintothemid-2020sandofcoursesomeevenlongerthanthat.Someoftheoneswhere--forexample,thelowestone,women'shealth,whilewehavesomeOCsthatwillbegoingoffpatent,ourmostimportantproduct,LoLoestrin,hadaCourtofAppealsapprovalsupportingourintellectualpropertyuntil2029.Sowehaveverylongrunwayononeofourmostimportantproductsinthatcategory.
Wealsohaveinnovation.YouheardabouttheActavispipelinetoday;yousawthepublishedlistoftheAllerganpipeline.Butwhatyoucanseeasyoulinetheseup--andwe'lltalkmoreaboutthisafterweclosethetransaction--butineachverticalinwhichwecompetewehaveastrongpipelineofprograms.Someblockbuster,somelifecyclemanagement;butoverall,quiteabitofinnovationtosustainthatgrowthandtocontinuetodrivethat10%brandedtop-linegrowthCAGR.
WealsoaregoingtostayfocusedonourgenericD&AinthisnewcombinedCompany.ThatmeansflatSG&Aspending.
YouheardBobStewarttalkaboutourgenericDNAbeingthechassisfromwhichwebuiltthisCompany.Whatthatmeansiswedon'thavealotofbureaucracy;wedon'thavealotofcommittees;wedon'thavealotofstaffpositions.
Westayveryfocusedinputtingourmoneybehindourproducts,behindoursalesorganization,andbehindourR&Dorganization.That'swherewewanttoinvest.That'swherewewanttospend,notinG&A.WearecommittedtomaintainingaleadingquartileSG&Aspendversusourpeergroup.
ThismorningwealsoannouncedthatwewouldbekeepingtheAllerganequity.It'sanhonortoannouncethatthismorning,giventhatGavinHerbert,thefounderofAllergan,iswithustoday.Butafter65yearsofthebrandstandingforinnovation,customerservice,andexcellence,wethinkthatAllerganisanexcellentnametorepresentthenewcombinedCompany.
Thatdoesn'tmeanwedon'tvaluetheActavisname.TheActavisnameisveryvaluabletousincertainpartsoftheworldandforcertainproductlines;andwewillmaintainthat,becausethat'swhatourcustomerswantinthoseareas.ButoverallourcorporatenamewillbeAllerganandourbrandedportfoliowillgounderthenameAllergan.
OnepointIwanttomake:whilewewillmaintaintheActavisandAllergannames,wewilloperatetheCompanyasoneCompany,oneculture,andoneteam.Youheardfrommycolleaguestodayhowwellweworktogether--brand,generics,manufacturing,finance.WealloperateasoneCompany.
OurincentivestructureforourcompensationisaroundoperatingasoneCompanyforourtopteam.SoweareabsolutelycommittedtomakingsurethatweleverageourstrengthsandshoreupourweaknessesbyworkingtogethertomakeActavisthemostsuccessful,fastest-growingcompanyinourcategory.
Finally,beforewestartQ&A,I'dliketocloseontheslidewhichweusedfromthedealshow.Wearegoingtobeanexceptionalgrowthpharmaceuticalcompany.ThiscombinationwithAllerganandallthewonderfulworkthatwasdonetocombineActavisandForest,andthedealsthatcamebeforethatunderPaul'sleadership,haveputusinthecatbirdseattoreallydosomethingtrulyspecial.
$23billioninrevenue.AsIsaid,atargetof10%top-linegrowthinourbrandedbusiness.30,000employeesaroundtheworldfocusedonourcustomersandprovidinghigh-quality,reliably-suppliedmedicines.
Thedealitselfisdouble-digitaccretioninthefirstyear.R&Dspendfor2015isestimatedtobeabout$1.7billiontosupportthispipelinethatyousawtodayfromthebrandsandgenericsteamaswellastheAllerganportfolio.
Weshouldgenerateabout$8billionoffreecashflowin2016,allowingustobothdeleverandalsocontinueto
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doopportunistictuck-inBDand(technicaldifficulty)$5.00EPS.(technicaldifficulty)
Iwouldliketoinvitemycolleaguestojoinmeuphereandwe'llstartaQ&A.Ithinktherewillbesomemicrophonesthatwillberoamingaround.Weareonwebcast,soit'simportantthatweusethemicrophones;andIthinkminejustwentoffandcamebackon.
Butwhydon'tyouguysjoinmeuphere,andwe'llgetthequestionsgoing?Chris,youwanttoleadoff?
QUESTIONS&ANSWERS
ChrisSchot t (Analyst-JPMorgan):
Great,thanks.It'sChrisSchottatJPMorgan.Ihadtwoquestions.Thefirst,justelaboratingonthoselastcommentsonbusinessdevelopment,canyoujustputalittlebitmorecoloraroundtheprioritiesaswethinkaboutthat$8billionoffreecashflow?
Whenwethinkaboutthepipelineyoujustlaidout,thelaunchesoverthenextfewyears,therateofchangetheorganizationexperiencedin2014:reallywhatarethepriorities?Whatverticalsdoyouseethemostwhitespace?Wouldyouaddverticals?Ithinkwearetryingtounderstandthatelementofthestory.
Thesecondquestionwasonthebiosimilaropportunity.Obviouslyalotmorefocusonthat.Canyouelaboratealittlebitmoreonthecommercialopportunityyouseehere?
Howareyouthinkingaboutprice?Howquicklycantheseproductsgaintraction?AndwhendoweseebiosimilarsasbeingarelevantcontributortotheActavisorAllerganP&Laswethinkaboutthelonger-termprofile?
Brent Saunders (President&CEO):
Yes,sure.Onbusinessdevelopmentandtheuseofcash,clearlyintheshorttermourtoppriorityistodelever.Weareabsolutelycommittedtoourinvestment-graderating.Wewanttomakesurethatweactveryresponsibly.
Thatdoesn'ttakeusoutofthegameintermsofdoingtuck-indealsliketheAudenMckenziedealthatwedidjustrecently.Weareevaluatingdozensofthosetypesofdealsallthetime.Butintermsoftransformationaldeals,wearegoingtotakeapauseandcertainlydeleverandallowourorganizationtofocusonthiscombinationforsometime.
Ithinkintermsofareasoffocus,they'rereallytheareasthatwearein.Soit'sthosesevenoreighttherapeuticareasIjusthadononeofthepreviousslides.
Theideathereistoeitherlookforcomplementarymarketedproductthatcanbesoldthroughthesamechannelthatalreadyexists.Itwillbelookingforpipelineopportunities,higher--climbingtheinnovationcurve,lookingforcomplementarypipelineopportunitiestosupportthetherapeuticareasthatwe'realreadyin.Oritwillbegeographicexpansionorstrengtheningtypeoftuck-insliketheAudenMckenziedeal.
ChrisSchot t (Analyst-JPMorgan):
CanIjustaskonefollow-uponthat?Justwhenyousaytransformational,isthereathresholdatwhichyou'redefiningthat?GivenhowlargetheCompanynowis,isa$10billion--isthatatransformationaldealforyouguysatthispoint?
Brent Saunders (President&CEO):
Yes,Ithinktransformationalformeislessaboutdollarsize;it'smoreaboutdoingsomethingthatwedon't
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currentlydotoday.Somovingintoanothertherapeuticarea,forinstance;oradifferent--perhaps--I'mnotsuggestingwe'regoingtodothis,butintodevicesorsomethinglikethatwouldbetransformational.
Certainlytherearesomedealspurelyonscalethatyoucouldarguewouldbetransformational,eveniftheywerecomplementary.ButIthinkonallfrontswe'renotgoingtobedoingthoseintheshorttermuntilwehavedelevered.
Ithinkonbiosimilars,Idon'tknowifBillorDavidwanttochimeinhereaswell,butIhaveaviewthatinvestinginbiosimilarstodayiscriticaltothefuture.It'salonger-termbet.
Ithinkyou'renotreallygoingtoseethebiosimilarmarketdevelopprobablyintotheearly2020s.Ithinkit' lltakesometime.
Ultimately,thesewillbebigmarkets.Thepayerpressureandthecostpressuresinhealthcarewillforcethesetobeveryrobustmarkets.
SoIalwaysanalogizethistobackintheInternetboombackin1999orbefore2000.Peoplehadsomereallygreatideas,buttheyjusttimedthemwrong.
Andthesame--youhavetobethoughtfulaboutthiswithbiosimilarsaswell.Youhavetomaketheseinvestments;theytakeawhiletodevelop;butyouwanttohavethesethingslaunchingtowardstheendofthisdecade,2018,2019,2020,sothatyoukeepthatmomentumandcancapitalizeonthemarketwhenitreallyIthinkmaturesordevelopsintheearly2020s.
Idon'tknow,BillorDavid,doyouhaveanotherview?
DavidNicholson(EVP-BrandsR&D):
Icertainlydon'thaveanotherview.Completelyagreewithwhatyou'resaying,Brent.Perhapsjustacoupleofadditionalremarks.
BiosimilarshavebeenoutinEuropeforawhile,andtheyarejuststartingtogetintotheUSmarket.FirstapprovalforabiosimilarintheUSveryrecently.Thefactthatwenowhaveguidelinesisgoingtohelp.
Butit'salsoapparentthatit'sturnedouttobehardertodevelopbiosimilarsthanmanypeoplethoughtafewyearsago.Ithinkweareseeingasmallernumberofcompaniesnowworkingonbiosimilars,whichisgoingtoincreasethesizeoftheopportunityforcompaniesthatdohavethestaminaandthetechnicalexpertisetostayintheareatoreallydothings.ButbiosimilarsaregoingtobeasignificantpresenceonthemarketalsohereintheUSeventually.
MikeFaerm(Analyst-WellsFargoSecurities):
MikeFaermwithWellsFargo.Myquestionisaboutpotentialdivestituresandportfoliorationalization.We'veseenyoudivest,forexample,fromrespiratory.Nottoosurprisinggiventhescaleofthatbusinessrelativetosomeofyourothers.
Soaswelookatthesevenoreighttherapeuticareasthatyoulaidout,shouldwebesurprisedtoseepotentialfurtherrationalizationinsomeofthoseareasthatmaybeareabitsmallerinsalesornumberofproductsnow?Suchascardiovascularorurology,forexample.
Brent Saunders (President&CEO):
Yes,Ithinkit'sunlikely.We'llneversaynever.OneofthethingsthatIthinkwewanttobeevaluatedasisgoodcapitalallocators.Andthatdoesn'tjustincludebuyinggoodthings;italsomeansdivestingthingswhenappropriate.
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IthinktheflipsideofthatistomaintainingtheGrowthPharmaconcept.Youalsomanagethingsdifferently.Youdon'tnecessarilyjustkeepthingstomilkthem;ifyou'renotgoingtoinvestbehindthem,thenyouhavetoevaluate:shouldyoubetheownerofthem?
That'sacontinuousprocessthatwe'llgothrough.Ithinkaswesittodayandwelookattheportfolioofourproducts,weareverysatisfiedthatwehavetherightmix.
Onthemargin,couldsomethingchangeandwouldwelooktodivestit?That'scertainlypossible,butnothingelseisintheworks.
MikeFaerm(Analyst-WellsFargoSecurities):
Justonefollow-upontheNamenda/Ariceptcombination.AlotoftheconversationtherehasbeenabouttheopportunityfromNamenda.CouldyoutalkalittlebitabouttotheextenttowhichyouseetherebeinganopportunityfromthegenericAriceptpoolandtheabilitytotapintothat?
Brent Saunders (President&CEO):
Yes.Bill,youwantto--youdon'tneedthatmicrophone;you'remic'd.
BillMeury(EVP-Commercial,NorthAmericanBrands):
Yes,Mike,couldyourepeatthequestion?
MikeFaerm(Analyst-WellsFargoSecurities):
Sure.AlotofthetalkontheopportunityforNamenda/AricepthasbeenpotentialfromconvertingNamenda.CouldyoutalkabouttheextentthatyouseeanopportunityfromthegenericAriceptRxpopulation?
BillMeury(EVP-Commercial,NorthAmericanBrands):
Yes,IthinkIunderstandyourquestion.OurmarketsharerightnowwithNamendaorNamendaXRtradessomewherejustnorthof30%.For10years,thecombinationtherapymarkethasbeenprettystable.
Mysenseiswithafixed-dosecombination,thenumberofpatientswithmoderatetosevereAlzheimer'swhoaretakingtwoproductsasopposedtoonecouldincrease.Wetreatthatasupsiderightnow.OurfocusisonsimplymovingIRtoXR.Butitwouldn'ttakemuchofamovementinthefrequencyofcombinationtherapytoadd10%or15%tosalesin2015and2016.
RonnyGal(Analyst-SanfordC.Bernstein):
Goodmorning.RonnyGal,SanfordBernstein.Ihadtwoquestions.
Itlookslikein2016you'llbegenerating$0.35offreecashflowforevery$1.00ofrevenueyoucreate.Thatisafabulousfreecashflowyieldfromrevenue.
Thequestionis,Allerganisalreadypaying,Iguess,asmalldividend.Asyoucompetewithotherbigpharmacompanies,someofthemaregrowingquickly;wouldyoubethinkingaboutincreasingthedividendtocompeteforthesame--withdividendnewsaswell?Thereseemstobejustenoughmoneythere.
Second,you'vediscussed,Bill,theissueoftheMassachusettsModelandthelessaccessyounowhaveforthedoctorandmoreformularyrestriction.Canyoudiscussthisalittlebitfurther?
Whatwillhappen?Hasthisbecomeamorepopularmodelaroundthecountry?Iguessoneoftheargumentsisthatabroad-basedUScompanyisinherentlymoreexposedtothosepressuresthanacompanywithalotofemergingmarketexposureororphandrugs.
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SoIguessit'satwo-partquestion.Firstofall,areyouasprofitableinmarketslikeMassachusettsasyouareinTexas?Andsecond,isActavisconsideringexpandingfromaUSbroad-basedprimarycaremarketfocustoorphandrugs,toemergingmarkets,andsoforth?
Brent Saunders (President&CEO):
Youwanttotakethatonepartofthequestionfirst?
BillMeury(EVP-Commercial,NorthAmericanBrands):
Sure.Weareasprofitable,forexample,inNewEnglandasweareintheSouth.Wemaygettheredifferently,butpartofmanagingthesebusinessesissimplymanagingthelevelofinvestmentrelativetothesalesreturn.
Mysenseaboutconsolidationisthatit'sgoingtohappenatavery,veryslowpace.Integratedhealthsystemsarestilltryingtofigureouthowtheywanttoruntheirbusiness,muchlesshowtheyaregoingtointeractwithpharmaceuticalcompanies.
Ouraccessrates--andwe'velaunchedperhapsmorenewproductsoverthepastyearandwilllaunchasmanyinthenextyearasanyCompany--arestillinthe80%,85%range.It'struethatsomeregionsofthecountrywehavemoreaccessthaninothers.
Butattheendoftheday,theonlywaythehealthcarecommunity--providersandpayers--findoutaboutnewproductsisthroughsalesandmarketing.It'sgoingtolookalittlebitdifferent,butfundamentallyitwillbethesame.
Ibelieveacompanythatwantstobeaseriousplayerisgoingtoneedaprimarycareandaspecialtycomponent,whichwe'llhave.Wemayadjustthesizeofitovertime,orredistributeit;butIwouldsayfortheforeseeablefuture,noradicalchangeinhowwedoourbusiness.
Brent Saunders (President&CEO):
Justtoansweryourothertwoquestions,intermsoffocus,clearlyoneofthethingstheAllergandealdoesorthecombinationdoesisgiveusaverystrongglobalfootprint.SoIthinkyou'llseeuscontinuetousethatasasourceofpotentialrevenuesynergies.
TakeamarketlikeLatinAmerica,whereAllerganenjoysinmanycountriesanumber-onepositionineyecare.WehavelotsofdossiersandproductsthatwecouldbringintoLatinAmerica,butwedidn'thaveaninfrastructure.
Yes,wemayhavetobuildadifferentsalesforce,butthat'sverydifferentthangettingalegalentity,rentinganofficespace,puttinganITperson,anHRperson,ageneralmanagerandsoon.SoIseethatasoneofourbiggestrevenuesynergyopportunities,istoreallycompletetheglobalizationofthenewcombinedCompany.
Thenfinallywithrespecttoadividend,Ithinkintermsofourpolicyofcapitalallocation,rightnowwehavebeenfocusedoninvestingourmoneyingrowthassets,long-durationgrowthassets,andIthinkwe'vedonethatfairlyeffectively.Thatwillremainourpriorityafterwedelever.
Sototheextentthatwecan'tdothatorwedon'tseemanyopportunities,ourBoardisverythoughtfulandwillcontinuetoevaluateotherwaystoreturnmoneytoshareholders,whetherthatbeadividendorasharerepurchase,dependingonthesituation.Butthoseareclearlyprioritiesnumbertwoandthree.
LiavAbraham(Analyst-Citigroup):
Goodmorning.LiavAbrahamfromCiti.FirstquestiononNamzaric.Canyoutalkalittlebitaboutpricingandmarketaccessdynamicsofthiscompoundasyouheadintoarollout?Andanycommentsyoucanmakeon
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netpricingversusNamendaXRwouldbehelpful.
Thensecondquestionisonbiosimilars.Howdoyouthinkaboutpotentiallylaunchingatriskinthisspace,giventhattheregulatoryenvironmentisevolvingprobablyquickerthantheIPenvironment?Orthisisuptoyourpartner,Amgen,forthoseproductsthatarebeingthere?
Brent Saunders (President&CEO):
Yes,maybeI' llanswerthatquestionandthenaskBilltotalkaboutNamzaric.Ithinklaunchingatriskisprobablyunlikelyorunnecessary,particularlyforthebiologicsthatwearegoingafter.AsIsaid,Ithinkmostofthesehavepatentissuesthatgouptoabout2018.Thesemarketsreallywilldeveloptill2019,2020,2021,orbeyond.
SoIthinktheideaoflaunchingatriskgiventheslowadoptionofbiosimilarsprobablyjustdoesn'tmakealotofsense.Buteachonewillhavetobeevaluatedonacase-by-case,situation-by-situationanalysis.
BillMeury(EVP-Commercial,NorthAmericanBrands):
IntermsofNamzaric,webelievethatthereisaprice/volumepointthatwecanobtainoverthenextsixto12monthsthatisgoingtomakesenseforhealthplansandisgoingtobeacceptabletous.Theseareverypopularproducts.
Oneofourprioritiesistomakesurethatpatientsandphysicianshaveaccesstothem.Ourviewismid-tolong-termasitrelatestobothXRandNamzaric.
OurplanistoessentiallygiveAriceptaway,andthecombinationwilllikelybeatadiscounttoXR;butagain,notanunacceptablediscount.AsIsaidearlier,we'reinopendialogrightnow,andweknowwhereweneedtobeandhowtogetthere.IthinkI'mencouragedbywhatwesee.
JasonGerberry(Analyst-LeerinkPartners):
Hi.JasonGerberry,LeerinkPartners.First,thanks,Brentandteamforthedetailedpresentation.Justacouplequestions.
Firstonpricingtrendsforspecialtybrands,that10%CAGR.Maybe,Bill,ifyoucanjusttalkaboutyouroperatingassumptionsregardinganydownwardpressureongross-to-netbothforbasebusinessproductsandforthepipeline.
Thenmysecondquestion,justoneluxadoline:aprettywidegapjustintermsofpeaksalesguidance.Justcuriouswhatyouthinkarethekeyvariables.IsitDTCincreatingawarenessinthatmarket?Orisitreallysomeofthelabelingvariablesthatareoutthere,eitherbeittheDEA'scontrolorthepancreatitis?Thanks.
BillMeury(EVP-Commercial,NorthAmericanBrands):
Intermsofpricingdynamics,they'relargelybuiltintoourplancertainlyfor2015andbeyond.Whateverycompanyisexperiencingrightnowarelowerpricepoints,andlessfrequentandsmallerpriceincreases.Mostofourcontracts,likemostcompanies,havepriceprotection.
Wehaveamixofprimarycareandspecialtyproducts.IwilltellyouourcustomersIthinkingeneralconsiderusapredictablepricingcompanyintermsofwherewesetourpriceandthenthewayweincreaseourpriceovertime.Generally,we'reatthemidpoint,andourpriceincreasesareinthemidtohighsingledigits.
That'sbecausemostofourproductshavestrongpatentsandlongexclusivityperiods.Soit'saplayforthelongterm.
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Asitrelatestosomeofthespecialtyproductsinourpipeline,Iwouldthinkaboutthemdifferentlythanourmarketedproducts.Theseareproductsforpopulationswherethereisahighunmetmedicalneed.
Gastroparesisisanexcellentexample;uterinefibroidsisanexcellentexample.Avycazisanexamplewheretherearenootheralternatives;Therearecertainlynogenericalternatives.
Soourpricepointforachronictherapyisusuallyseveraldollarsaday.Thoseproductsare,ofcourse,goingtobeatahigherlevelthanthat.
Andweareprettyconservativewhenitcomestobuildingmajorpriceassumptionsintoour,let'scallit,five-yearplan,simplybecausethemarketisshiftingandthereisagreatdealofpressureonpayerstocontrolcosts.Andweunderstandthat,andourpricingapproachhastoreflectthat.
LouiseChen(Analyst-GuggenheimSecurities):
LouiseChenfromGuggenheim.Thanksfortakingmyquestions.FirstquestionIhadwasthat--doyouthinkthatsalesandearningsgrowththatwesawfromAllerganin2014issustainable?Andifso,whatgivesyouconfidencethatitis?
ThesecondquestionIhadwas:whatkeepsyouinterestedinthegenericsbusiness?Youtalkedabout50%growthrate.Couldyouprovidemorecolorbehindthat?Thanks.
Brent Saunders (President&CEO):
Yes.MyviewofAllergan'sperformanceisthatitissustainable.IthinkwhereyousawalotofthegrowthwasintheexpansionofBotoxtherapeutic,particularlymigraine.YousawinoneoftheareasIknowquitewell,theeyehealthcategory,particularlyRestasis,Lumigan,otherproductsgrowverynicely.Andthosearelargeandgrowingmarketsstill.
Thefillerlaunch,theVoluma,JuvedermVolumaexperiencedthebestlaunchinaesthetichistorybecauseit'sagreatproductandthereisgreatdemand.SoIthinkaslongaswecancontinuetofocusondrivingthosebrands,tocontinuetodriveinnovationtosupporttheproductflow,thosebusinessesshouldmaintainorevenexperiencemorerobustgrowth.
TakeadruglikeDARPinthattheyhaveinearlyPhase2.IfwecangettheprofilewewantforDARPin,thatmaybethebiggestdruginthepipelineofthecombinedcompaniesintermsofsalespotential.SotherearelotsofaspectstothisverydynamicAllerganbusiness.
IthinkDavidPyottandDougIngram
andthemanagementteamthereisjustfirst-class.Theseguyshavereallybuiltsomethingveryspecialthere.Andwe,Ithink,havedemonstratedawillingnesstobringtheirveryspecialandtalentedpeopleintothecombinedleadershipofthenewCompanyataveryhighsuccessrate;andthatcontinuestoflowdownaswearebuildingouttheproposedorganizationinlayertwoandthreeandfourandbeyond.
Soweareveryexcitedaboutit.Andobviously,we'llknowmorewhenweclose;butIhavenoreasontobelieveanythingbutstrongperformance.
DaveRisinger(Analyst-MorganStanley):
Thanksverymuch.DaveRisingerfromMorganStanley.Thankyouforthedetailsonthepipelinetoday.Ihaveafewquestions.
First,oneisregardinganopportunityonthegenericsside.Withrespecttomethylphenidate,thereisamid-MaydeadlineforMallinckrodtandKudcotodemonstratebioequivalence.Iftheyfailtodoso--andsincethe
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FDAhasdonethetestsandseemstobelievethattheyhaveorwillbefailing--butiftheyfailtodemonstratethebioequivalence,howwillActavisrespondfromacommercialstandpoint?
Andalso,howcanActavisgettheDEAtochangeovertheallocationofscheduleddrugsfromcompetitorstoActavis?Thatseemslikeaconstraint,sincetheallocationsaremadeannually,Bob.
ThenmysecondquestionisonNamenda.Whenonethinksofthefranchise,whatevertherunrateisinXdollars,let'ssay,inJuly,obviouslyifweputasidethetwice-dailyNamenda--whichwillgooffacliffwhenthegenericshit--howshouldwethinkaboutthebrandedportionthatremainsintheformoftheXRplusthecombination?
Meaningshouldwethinkaboutthatdeclininginthefuture,becauseyouhavetogivemuchgreaterrebatesontheNamendaXR;andalsosomeprovidersthatarealreadygivingpatientsmultipledrugstwiceadaywillpushvolumetothetwice-daily?Orshouldwethinkofthatbrandedlinethatremainsgrowingbecauseofthecombo?Justtryingtounderstandhowtothinkaboutwherethatremainingbrandedlinewillgoovertime.Thankyou.
Brent Saunders (President&CEO):
Yes,maybewewilltaketheNamendaquestionandthenI' llpassthe(technicaldifficulty)theIRgenericsenterthemarket,thefranchisewillgointodecline.SoIthinkyouhaveto--andwemodelandIthinkyouhavetothinkaboutNamendagoingintodecline;andit'sjustaquestionoftherateofdeclinethatitgoesat.
Thehighertheconversionrate,thebetterthatpictureis.Themorewedrivepeopletofixed-dosecombination,thebetterthatis.AndasweexpandthemarketwiththeDTC,thebetterthatis.
Sotherearesomeleverstobepulledintermsofslowingorretardingsomeofthatdecline,butitwillneverbeenoughtostopthedecline.SoIthinkyoudohavetothinkaboutitasadecliningfranchise.Isthatfair,Bill?
BillMeury(EVP-Commercial,NorthAmericanBrands):
That'sexactlyright.Justthinkabouttherateatwhichithappens.IfwearesuccessfulwithXRandthefixed-dosecombination,andwecanmanagepriceandvolume,theratewillbe(technicaldifficulty)
Brent Saunders (President&CEO):
Ourmodelassumesthatwewillgothroughtheconversionvoluntarily,thatwewillreachsomewherebetween60%and70%onourown.
Obviously,wehaveacourtpotentialdecisioninMarchthatcouldchangethat.That'snowbecomePlanBversustheoriginalPlanA;sothatcouldchangethingsquiteabit.Butthat'snothowwe'remodelingitatthispoint.
Intermsofthegeneric,beforeIpassittoBobtoansweronConcerta--Ididn'tanswerthepreviousquestion.Weloveourgenericsbusiness.
Thereasonwelikeourgenericsbusinessisbecausewearethebestintheworldatit.Itisasourceofgrowth,sustainable,long-termgrowth.
Anditalso,Ithink,hastheaddedadvantageofbeingverystrategic.Ithelpsusthinkofourownportfolioinasharperway.Ithelpsusdobusinessdevelopmentinasharperway.
AndtheexpertiseintheR&DgroupisincrediblycomplementaryandbeneficiarytotheR&Dgroup.Sothere's--welikeallbusinessesthatwearethebestat,andwe'rethebestatglobalgenerics.
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BobStewart (COO):
Onmethylphenidate,there'sanumberofthingsthatwearedoing.RightnowtodaywearenotifyingphysiciansthatthereisanAB-ratedgenericoutthere,anditisours;andmakingitclearthattheothertwocompetitorsouttherehavebeenflippedtoaBXrating.
Ipersonallythinkit'sirresponsibletocontinuetomarketthatproductgiventhatitwasdrivenbyadverseeventsanditwasdrivenforlackofefficacy.Sowe'remakingphysiciansawareofthataswellaspractitioners.
Theotherthingwe'redoingiswe'reworkingwithJ&JaswellaswithDEAtobuildupenoughinventoryinanticipationoftheMay11date.Andwearemakingtheassumptionthattheyarenotgoingtobeabletocontinuetostayinthemarket.
Sowewillhavetheinventory.Weactuallyhavetheinventorynow,wherewecanstartconvertingtheentirepatientpopulationover.
DEAandFDAhavereallydone,Ithink,andincrediblygoodjobatworkingcollaborativelytotryanddealwithdrugshortageissues,inparticulararoundADHDmedications.IfyourecalltherewasacoupleyearsagowheretherewasshortagesofAdderallinthemarket,shortagesofConcertainthemarketbecauseofthefactthattheywerenotresponsiveintermsofquotaallocation.
Whatthey'venowdoneisthey'vebuiltenoughaggregatequotathatgivesthemnowmoreflexibilitytoawardquotaasneeded.Andwe'retakingadvantageofthatwithJ&Jtobeabletorampupourinventorylevelstosupportthemarket.
UmerRaf fat (Analyst-EvercoreISI):
Thanksfortakingmyquestion.UmerRaffatfromEvercoreISI.Maybeacoupleofquickones.
Numberone,onthe2017$25aspirationalearningstarget,isthereanymanagementcompensationtiedtothat?
Thenseparatelyonproductsidemaybe,oneluxadoline,arewehavinganydiscussionswithFDAyetonlabeling?
Andalsoonrelamorelin,theongoingPhase2b:ifitdoesconfirmthevomitingeffectthatwasseeninthelasttrial,wouldthatpotentiallyqualifyforanFDABreakthroughdesignation?Thankyou.
Brent Saunders (President&CEO):
Yes.Onthefirstquestion,onthe$25aspirationcompensation,it'ssomethingourCompCommitteeofourBoardisevaluatingandispossible.Managementwouldlikethat,though.Wewillsee.
OurBoardleaddirector'soverthere,soI'mlookingather.ButIthinkthatwe'dputinaplantotieourcompensationtoit.Butobviously,theCompCommitteehasthefinalsay.
Youwanttotaketheothertwoquestions?
DavidNicholson(EVP-BrandsR&D):
Yes.Eluxadoline,yes,we'retalkingtotheagencyaboutoursubmission,soweareindialogwiththem,absolutely.
Andregardingrelamorelin,yes,wehaveFastTrackdesignationfromtheFDA.Bill,youwantedtoadd?
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BillMeury(EVP-Commercial,NorthAmericanBrands):
TherewasaquestionaskedearlierwhichIforgottoansweraboutthesalesrangeoneluxadoline.It'sbasicallyafunctionofourabilitytoconverttheover-the-countermarket.Andofcourselabelingalwayscomesintoplay.
RandallStanicky(Analyst-RBCCapitalMarkets):
It'sRandallStanicky,RBCCapitalMarkets.Bob,oneforyou,biggerpicture.
YouandIwerebothatGPhAlastweek.WetalkedorsawtheFDATargetActionDateInitiativeof1,000forthisyearontopofGDUFAtimeline.Sohowdoyouthinkabout--giventhesizeofyourguys'ANDAportfolio,whichisthebiggest,howdoyouthinkaboutthevolumeopportunityforthisyearagainstwhatcouldbeperhapsforthefirsttimeinacoupleyearssomenewvariableinthepricingdynamic?
BobStewart (COO):
Well,Ithinkit'sgoingtobeinterestinghowthatplaysoutcompanyTocompany.Becausewhenyoulookatthebreadthofourportfolio,thenumberofexclusivefirst-to-files,thevolumedynamicofmorecompetitorscominginversustheexclusivefirst-to-filesthatwearegoingtostartdrivingthrough,theneteffectofthatisstillpositiveforus.SoIlookatitinthecontextthatourportfolio,beingasdiverseasitisandhowmuchofitisdrivenbyfirst-to-files,theneteffectIthinkisfavoringus.
ButtheFDAhasmadesomeprettyloftypromisesatGPhA,andwe'veheardsomeofthesepromisesbefore.Weareseeingsomedefiniteimprovementwiththeagencyintermsofitsacceptancerates.
WefiledtheproductonFebruary9andwegotanacceptanceforfiletoday,thismorning.ItjustshowsthatFDAisclearlygettingmoreefficientinhowtheyareprocessingthese.
Whatthey'redoingintermsofthebacklog,ifthey'regoingtoget1,000applicationsthrough,I'mcautiouslyoptimisticonthat.Butoneofthebenefitsthatwehavethisyearisall--themajorityofthelaunchesthatwehadplannedforthisyearhavealreadybeenapprovedandalreadyareoutinthemarket.SoforusI'mlookingatitasapositivefor2015.
RandallStanicky(Analyst-RBCCapitalMarkets):
Thefollow-uptothat,Brent,ontheonehandyouhavethebrandbusiness;ontheotheryouhavethegenericbusiness.Howdoyouthinkaboutthemiddle,the505(b)(2)opportunity,giventhatyou'vegotthese--thecapabilitiesfromadeliveryperspective;you'vegotthecompoundknow-how.
Isthatsomethingthat,asyouthinkaboutthenextthreetofiveyears,itcouldbeabigopportunityasyouthinkaboutthehospitalspace,injectables,andothers?
Brent Saunders (President&CEO):
Itis.Ithinkit'ssomethingthatcertainlyexcitesme,notjustinthehospitalinjectableswhereit'sprettyintuitivethat505(b)(2)strategywouldmakealotofsense.ButIthinkasyouthinkabouttheothertherapeuticcategorieswherewe'rein,wherewehavestrongcommercialcapabilities,supportingthosebusinessesalsowithselect505(b)(2)programscouldmakealotofsense.
Wehaveafewthatweareworkingon.HafrunknowstheonethatI'mmostinterestedinthat,ifitworks,wouldbeterrific.
Butabsolutely.It'sacorecapabilityofputtingagenerics--orstrategicrationaleforputtingagenericandbrandedbusinesstogetherandoperatingitasonecompany,whichnooneelsedoes.
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JamiRubin(Analyst-GoldmanSachs):
Rightoverhere.JamiRubinwithGoldmanSachs.Tessa,aquestionforyou;IpromiseI' llbenice.
TessaHilado (CFO):
Iknowyou'renice,Jami.
Brent Saunders (President&CEO):
Ifnot,I' llhitherwithherbutterknife.
JamiRubin(Analyst-GoldmanSachs):
Lastyeartherewasobviouslyfuroroverpotentialtaxinversionplays;andthatcametoahaltwiththechangesintheTreasuryrules.Areyouconfidentthatanypotentialdiscussionsaboutearningsstrippingisnowover?
Andifnot,canyouquantifywhattheexposurewouldbetoyourtaxrateshouldthatcomeintoplayagain?NotsayingI'mhearinganything,butjustwhatyou'rehearing.
Also,justasthecombinedCompanywithAllergan,howshouldwethinkaboutthetaxrategoingforward?Isthereanopportunitytobringitevenlowerthan15%assomeofthatIPismovedtoIreland?
TessaHilado (CFO):
Letmetrytofigureoutallthequestions.Thefirstonewaswithregardstoincomestripping.IthinktheObamaannouncementfairlyrecentlyhasmadeitcertainthatanyrulingoninversionswouldhavetobedealtwithatCongress;sowedon'tthinkthat'sgoingtohappenintheforeseeablefutureatthispointintime.
Withregardstotheinversionandourtaxstructure,Ithinkwe'reincompliance.We'reinprettygoodstead.Thatinversionhasnowbeenthroughlikeabouttwoyears.
Brent Saunders (President&CEO):
Octoberwillbetwoyears.
TessaHilado (CFO):
Octoberwillbetwoyears.Sowedon'tfeelthereisanyrisk.Soatthispointit'sgoingtobeverydifficultforustoquantifywhatthatactuallymeans.
WithregardstoAllergan,atthispointintime,theyalsohaveproductsthataresoldinlow-taxjurisdictions.Soourbestestimatesatthemomentisreallythetaxrateweprovidedtoyou,whichis15%post-close.
DidIanswereverything,Jami?Great.
Brent Saunders (President&CEO):
Havetogetyouwiththeknife.(laughter)
HimaInguva (Analyst-BankofAmericaMerrillLynch):
HimaInguvafromBankofAmerica.Thanksforallthecolorandtakingmyquestion.ForBrent,thinkingaboutfuture,lookingatfive,sevenyearsoutyearsfromnow,doyouseeActavisasastandaloneCompany,especiallygiventhehighgrowthrates,lowtaxstructurefrominversions?Ifthereweretobeabigpharmacompanythatwasinterestedinjoiningforces,willyoubereceptivetotheidea?
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Brent Saunders (President&CEO):
Yes,soIthinkasyouthinkfive,sevenyearsout,we'reinsuchadynamicindustryit'shardtopredictwhatwillhappen.Idobelieve--I'vesaidthisbefore--thisindustrystillhasalotofconsolidationtogothrough.
There'sjusttoomuchinefficiencyinthecommercialcapabilitiesofthisindustry,intheR&Dcapabilitiesandtargetingandfocusofthisindustry.SoIthinkyou'llseeacontinuedconsolidationoverthenextseveralyears.
Thatbeingsaid,whenyoulookatthechartthat'sonthisslideIthinkwe'vebecome,inmyopinion--andobviouslyIhaveabias--themostdynamicCompanyintheindustry.Sowillwecontinuetobeanacquirer,orwillwe--willpeoplelookatbuyingus?Ican'tpredictwhatotherswilldo.
ButIthinkitwouldtakeanawfullargepremiumtoacquireaCompanythisspecial.I'djustleaveitatthat.
Sumant Kulkarni(Analyst-BankofAmericaMerrillLynch):
SumantKulkarnifromBankofAmericaMerrillLynch.Ihavethreequickquestions.
Thefirstoneisonbiosimilars.DoesyouragreementwithAmgenatleastconceptuallyallowforauthorizedbiosimilarsorABs,asIthinkweshouldcallthematsomepoint?
Secondly,oninjectableswe'veseenalotofmovesinthemarketsincludingM&Aactivity.HowspecificallydoesActavisplantotargetthatorgetbigger?
Andfinally,onRestasis,howistheCompanythinkingaboutthetimingofpotentialgenericcompetition,giventhatstandaloneActavismayhavebeenafilerthere?Thanks.
Brent Saunders (President&CEO):
Yes,maybeI' lltakeRestasisfirst.Obviouslythatwassomethingthatweweretargeting,totrytocreateagenericRestasisbeforewedidthedeal.Obviously,we'renotdoingthatanymore.
And,look,Imean,theFDAchangedtheguidance.Ourbeliefisthatthatprobablyknockedmostofthepeopleoutthataregoingafterittoday.
That'sourintelligence;it'snotperfectvision,butIthinkwebelievethattobethecase.Butwealsothinkthereisapathwayforwardforacompanytodoit.
SoourviewisthatRestasishassomethingontheorderofmagnitudeofafour-tosix-yearlifeaheadofit.Veryhardtopredictexactlywhen.
Wehavegoodintelligence,sowewillkeepoureartotheground.ButenoughtimeforustoimplementalotoftheplanstheAllerganteamhadforproductimprovementandproductextension,whetherthatbeRestasisXorotherdryeyemolecules.
SouponclosewewillbeabsolutelyfocusedonmakingsurethatthedurationofthedryeyeleadershipatAllerganremainsintact.Andtherearemultipleleverstopullonthat.
ToyourotherquestionsontheAmgenagreementwithrespecttoauthorizedbiosimilars,Iactuallydon'tknow.Idon'tknow,Paul,ifyou--
PaulBisaro (ExecutiveChairman):
Weactuallydohave.
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Brent Saunders (President&CEO):
Wedo.Yes,wedohavethatintheagreement.I'mnotsurethatmeansawholelot,inmyhumbleopinion;Ithinkwe'llseehowthesethingsultimatelygetcommercializedandsold.Wehavesomeflexibilityinouragreementdependingonhowthatactuallyplaysout.
Butmysenseiswhatyou'llseeasbiosimilarsenterthemarketisthebrandsjustdropthepricetocompetewiththebiosimilars.Theywillprobablystayatasmallpremiumforthosepatientsanddoctorswhowanttheoriginaldrug.Butthedistributionchannelmaynotlookentirelydifferent.
CoreyDavis (Analyst-CanaccordGenuity):
Thanks.It'sCoreyDavisatCanaccord.Ihavetwoquestions.
Thefirstone:nowwithnineproductsinmid-tolate-stagedevelopmentandstillalotofproductsthatarestillinlaunchphase,probablyaluxuryofriches.ButcanyoureallykeepthatSG&Amarginat24%,notaddsalesreps?Ordoyouneedtoaddsalesreps,nothavetheproblemthatForesthadawhileago,andlaunchtheseproductseffectivelyoverthenextcoupleyears,andkeepthatSG&Amarginintactandlaunchthemproperly?
QuestionnumbertwoforDavid,backtorelamorelin.IfyouonlygetanindicationinDBforpatientswithseverevomiting,canthisreallybeabillion-dollardrug?Yes,itwouldbegreattohaveapro-motilityagent;butifyouonlyget--ifitonlyreallyworksinthosepatients,becausethat'swhatthePhase2adatashowed,wouldyouneedanindicationin,like,dyspepsiatogetittobeabillion-dollarproduct?
Brent Saunders (President&CEO):
Bill,youwanttotakethefirst--?
BillMeury(EVP-Commercial,NorthAmericanBrands):
Yes,Imean,Corey,theissueraisedaboutthefieldforceisonethatwemanageeveryday.Itrequiresconstantcalibration.
Iwillsaythatifthenineproductswereviewedtodaywereincompletelydifferentcategories,thenwewouldhaveSG&Aproblemtosolve.Asproductsmovethroughtheirlifecyclefromyearonetoyeartwotoyearthree,wehavetohavetheabilitytomoderateourinvestmentsothatwecanincreaseitonnewproducts.Giventheoverlapbetweenthenineandourmarketedproducts,Ithinkwe'regoingtobeabletomanageourSG&Ainawaythatwouldbeverydifferentifwewereenteringninecompletelynewcategories.
Westilloperatebytheprinciplethatweshouldbe,inshareofvoice,numberonewhenwelaunchaproduct.Ithinkwestillhavethecapacitytodothat.Butifwedon't,Ithinkit'sjustlikeR&D:ifweneedtomakeaninvestmenttosupportcreatinglong-termvalueforanasset,thenwedothat.
TessaHilado (CFO):
IguessfromanSG&Aperspective,ifyourecallin2014,wealreadyendedtheyearatroughly21%.Sowehaveroomintheforecastintermsofspendingthemoneyeventogetupto24%.Sowethinkthat'smanageable,asBillpointedout.
DavidNicholson(EVP-BrandsR&D):
Regardingrelamorelin,whatItriedtododuringthecourseofmypresentationwastodescribehowforallofourproductsweaimtobuildabrandbyultimatelygoingformultipleindications.Ireallydoliketoseeduringthecourseofdevelopmentefficacyinawell-definedsubgroup,becausethat'ssomethingthat--itobviously
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makesthewholedevelopmentprogrammucheasierifyouarelookingatawell-definedsubgroupwhereyougetaclearindicationofefficacyandsafetyearlyon.
Thatwasthepointaboutmypresentationforrelamorelin.That'swhatreallydroveit;butwedoseepotentialforrelamorelininabroaderrangeofthelargerpatientpopulation.
DavidAmsellem(Analyst-PiperJaffray):
DavidAmsellemfromPiperJaffray.Justacoupleofquestions.
Firstonlinaclotide,youtalkedaboutexpansionopportunities,particularlythelow-doseversion.IsthissomethingthatcouldeventuallybecomeanOTCavailableproduct,similartohowthelow-doseprotonpumpinhibitorseventuallywenttoOTC?That'snumberone.
Thensecondly,ontheOTCbusiness,what'syourappetiteforgrowingthissegmentviafurtheracquisitions?AndwouldthatcontemplateacquisitionactivityintheUS?Thanks.
Brent Saunders (President&CEO):
Yes,IthinkontheOTCbusiness,wedolikethebusiness.Itdoeshaveareallygood,sustainableprofile.
Ithinktheonethingyoushouldrecognize,too,inthecombinationofAllerganwedopickupaveryniceUSOTCbusinessintheRefreshtearbusiness,whichisthemarketleaderoramongthemarketleadersintheOTCmarket.SoIthinkwe'regoingtocontinuetoevaluatehowdowegainstrengthbothgloballyanddomesticallyinOTC.
Ithinkyou'llseeusmaneuververystrategicallyandopportunisticallyaroundOTCassetsinthemarketplace.WanttotalkaboutLinzessOTC?
BillMeury(EVP-Commercial,NorthAmericanBrands):
Yes.Imeantheaimwithalowdose,one,istoprovidephysicianswithsomedosingflexibility;butit'sreallydesignedtoaccessamoremild,moderate,intermittentOTCcategory,whichisreallywherethevolumeis.IntermsofintroducinganOTCversionofLinzess,thatisanoptionthatwewouldconsiderifitmadegoodeconomicsense,andespeciallyifwearesuccessfulwithdevelopinganext-generationLinzess,whichisthe[colonic]deliveryconceptthatDavidtalkedabout.
DavidNicholson(EVP-BrandsR&D):
Justtohelpyouout,Bill,yousaidmildtomoderateOTC.Youmeantmildtomoderatechronicidiopathicconstipation,CIC,right?Yes.Justtohelpyouout.Alltheseabbreviations.
Brent Saunders (President&CEO):
Ijustsaybutterknife.
ShibaniMalhotra (Analyst-Sterne,Agee&Leach):
Hi,ShibaniMalhotrafromSterneAgee.QuickquestionforDavidandBilloneluxadoline.One,areyouexpectingapanel,giventhisisanewproduct?
Andthen,commerciallyhowdoyouexpectthisproducttobeused,giventhatIBS-Dismultifactorial?Wouldyouexpectthistobethefirstline?Howdoyouthinkdoctorsaregoingtodifferentiatebetweenpatientsthathavebacterialovergrowthversusnot?
Thensecond,aquestionforBob.You'vementionedAdvairmany,manytimesnowandyouhaven'tgivenus
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mucharoundtimelines,etc.,forwhenyouthinkyoucouldbeonthemarketifyouthinkyouarefirstinthemarket.Soifyoucouldgiveusanupdateonthat,thatwouldbegreat.
AndifBrentcouldtelluswhichproductsheisexcitedabout,thatwouldbegreataswell.
BillMeury(EVP-Commercial,NorthAmericanBrands):
Letme--
Brent Saunders (President&CEO):
Yes,youwanttostart?
BillMeury(EVP-Commercial,NorthAmericanBrands):
Yes,Icanstartonthecommercialquestionabouteluxadoline,andIthinkDavewilltaketheotherone.Wedon'treallyknowhowXifaxanisgoingtobeusedrelativetoeluxadoline.Whatwedoknowisthereisarealabsenceoftreatmentoptions.
Weknowthattheconsensus,frankly,onbacterialovergrowthandthelinktoIBSisnotcompletelyclear,noristhereconsensusontheprevalence.Xifaxan,don'tgetmewrong,isaveryeffectiveproduct.Oursenseiswe'llpositioneluxadoline,givenitseffectontransit,asafirst-linetherapy--orIwouldsayafirst-linetherapyafterpatientshavetriedOTCmedications,whichvirtuallyallofthemhave.
Butagainthereisplentyofroomforbothoftheseproducts.Wemayfindoutatsomepointinthefuturethattheycanbeusedincombinationalongsideeachother.Butofcourse,thosedatadon'texistrightnow.
DavidNicholson(EVP-BrandsR&D):
Andwhatwasthefirstpartofyoureluxadolinequestion?Sorry.
ShibaniMalhotra (Analyst-Sterne,Agee&Leach):
Areyouexpectingapanel?
Brent Saunders (President&CEO):
Panel?
DavidNicholson(EVP-BrandsR&D):
Oh,apanel?Actually,wedon'tbelieveso,buttheFDAcanofcoursechangetheirminds.
Brent Saunders (President&CEO):
So,Bob,yougettoansweryourAdvairquestion.
BobStewart (COO):
SoonAdvair,whatI' llsayisthatwearebecomingincreasinglymoreconfidentinourapplicationprocess.We'renotgoingtobethecompanythat'sgoingtogooutanddoapressreleasewhenweenrollinclinicalstudies.Ifwedidthat,Charliewouldhavetotriplethesizeofhisorganization,becauseyoucanseehowproductiveHefrun'sorganizationis.
ButasIsaidbefore,that--withAdvairthere'sthreethingsthathavetocometogether.It'sthedevice;it'spassingaPKstudy;andultimatelyperformingaclinicalendpointstudy.Theclinicalendpointistheeasiestofthethree,andyouneedtohaveallthreeofthosethingscometogetherbeforeyouultimatelycanhavean
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AB-ratedsubstitutableproductinthemarketplace.
Andthatiswhatourgoalis.It'snottogodownthe505(b)(2)route;it'stogodowntheABsubstitutabilityroute.SoallI' llsayisthatwe'rebecomingincreasinglymoreconfident.
Brent Saunders (President&CEO):
Timeline?That'swhathe'sconfidentabout.
BobStewart (COO):
That'swhyI'mconfident.
Ellio t Wilbur(Analyst-Needham):
Goodmorning.ElliotWilburfromNeedham&Company.Ihavetwoquestions;thefirstisforBob.
Asyouthinkaboutroundingoutyourgenericbookofbusiness,movingbackintoinjectables,andthenrearmingintopicals,andIguessenteringophthalmics,areyouconfidentthatyouhavetheinternalcapabilitiesorthepartnerrelationshipstobecomeameaningfulsuppliertothetradewithoutmakingastrategicmoveinthoseareas?
ThensecondquestionisforTessa.Wouldbepossibleatthispointtogetsomesenseofthelevelofinterestexpenseexpectedin2015andembeddedinyourearningspershareguidance?
BobStewart (COO):
Yes,I' llabsolutelyanswerthefirstpartofyourquestion.Intermsofconfidence,noquestionaboutit.I'mabsolutelyconfidentthatwe'vegottheteaminplacethat'sultimatelygoingtobeabletodelivervaluetothedifferentsegments,bothinhospitalaswellasinother--intopicalsandthelike.
So,noquestionaboutit.We'vebuiltupaninfrastructure.We'veinvestedinit.We'vegotgoodsalesteamsthatarereadyandhavealreadylaunchedthesebusinesses.
TheotherthingI'dsayisthatwearereallyfocusingonbeingdisciplinedonthetypeofportfolioswe'regoingtobringtothisbusinessaswell.Sowe'regoingtodifferentiateourselvesontheportfoliosideofthingsandberelevanttoourcustomersbasedonwhatthatoffering'sgoingtobe,versustryingtoconvinceourselvesthatweneedtohavethefullbreadthofproducts.
Soit'sgoingtobereallymoreopportunisticintermsofhowweapproachthebusinessandreallycompetingonmoreofaportfolioapproach,asopposedtotryingtohavethefullbreadthofportfolio,ifyouwill.
TessaHilado (CFO):
Onyourquestion,giventhatwewillbefilingourS-3inthenextcoupleofdays,we'rereallyrestrictedfromtalkingabouttheofferingatthispointintime.Sojuststaytunedinthenextcoupleofdays.
Obviously,giventhefactthatrateshavemovedlowersinceNovember17,spreadshavewidenedalittlebit;sothere'sputsandtakesthere.Italkedaboutthetwodevelopmentsaswellrelativetotheequityoffer,whichisbetterthanexpectedearningsandcashflow.BothAllerganandActavisreportedforQ4,andthenobviouslythestockpricehasrunupalittlebitsincetheannouncementitself.Butstaytunedinthenextcoupleofdays.
SabaHekmat (Analyst-NewYorkLifeInvestmentManagement):
Thankyou.SabaHekmatfromNewYorkLife.AquestionforTessa.Tessa,asyoulookat--asyoujointhis
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Company,it'smuchlargerinsizenowandcomparabletosomeofthebigpharmacompaniesoutthere.What'stheappropriatecapitalstructurethatweshouldthinkaboutleverageandcreditratingsfortheintermediateandlongterm?
TessaHilado (CFO):
We'rebasicallycommittedtotheinvestment-graderatingaswelookatvariousacquisitions.Obviouslywealwayshaveaplantodeleverrapidlyinordertoobtainthat.
Caseinpoint,wewereverydisciplinedwhenweannouncedtheAllerganacquisition.Fromaleverageperspective,we'veindicatedthatwebelievepost-closewewouldbedownto3.5timesandwewouldcontinuetomaintainourinvestment-graderating.
LisaDeFrancesco (VP-IR):
Okay.That'sallwehavetimefortoday.I'dliketoturnitbackovertoBrentformaybesomeclosingremarks.
Brent Saunders (President&CEO):
Yes,IwouldjustliketofirstthankeveryonewhoattendedlivehereinpersoninNewYork.Andthoselisteninginonthewebcast,thankyouforyourtimeandattention.
IhopeyouseeourenthusiasmforourCompanyandourfutureandourcombinationwithAllergan,andwelookforwardtokeepingyouupdatedasweprogressbothontheofferingaswellasthecloseofthecombinationinthecomingweeksandmonths.Thankyou.
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