roche q2 2022 earnings call transcript

Core EPS development, in all transparency, you see an 11% increase. Market-beating stocks from our award-winning analyst team. Thanks, Bill. Japans way up. You see here the bridge. You see here 13 projects in Phase III and registration. Then you see, a little bit less global restructuring plans, CHF 200 million less compared to the first half of last year. If youre going to have a condition for your whole life, and you have options currently available like Hemlibra, and I would submit, the patients who have stuck with their factor and havent switched to Hemlibra, may not be the ones who are going to rush right out and go with a highly engineered factor products. Wimal? And let me start with something that will come out very soon, and thats the Elecsys interferon gamma release assay for SARS-CoV-2. So, these are the proteins of the virus. And so that we could expect to see some increase in breadth based on the permanent J code. But beyond that, there is also important readouts for Vabysmo in an additional indication, RVO. So, if you look here at the underlying business, you see a positive momentum with 4% sales growth in the second quarter. Please. As far as gantenerumab is concerned, no, my view has not changed. Now let's take a look at some of the recent launches. In EMEA, you see a decline. We had very strong COVID sales in Q3 last year, and you see here now the overall business coming down by 6% in the third quarter. It would just be helpful to understand that dynamic. How much of the decline in Q3 Lucentis was due to Vabysmo cannibalization versus the impact of biosimilar Lucentis? Your line is now open. So, first, let me start with Core Lab. So thats a big picture. Dr. Rodino-Klapac will provide further commentary on our gene therapy plans and those will include our plans for LGMD in 2023 as well. In the meantime, weve managed to get 80% of the commercial payers -- are on board as well. And we'll have answers very soon, I hope. And were looking forward to continued strong growth as well as some good readouts coming up. Going into in a market where we're not present today. So it's not just a matter of whether payers can force certain things to happen, but the biosimilar manufacturers, certainly in other fields, have given financial incentives to physicians to switch. So just curious what assumptions you now make for this first-line DLBCL setting. I mean, this -- I mean, as a patient, you dont care. If we started right now to develop an antibody for Omicron, theres no way by the time it was out that Omicron is still going to be the thing. Theyve had a really positive uptake, and theyre really excited about what that means for the future of Vabysmo. Keyur, please, 2 questions? So half -- a single digit in billion, make CHF 5 billion. Royalties and other operating income, up CHF 536 million. So, thats explaining the reduction here. And so we have to see what happens in November, December. The results for the third quarter including the pull-forward played out exactly as we had expected and guided. So, I would agree with that assessment. But given our mission and our science, and I'd like to believe some fair amount of persuasion from me, I was able to coax Bill out of retirement and give them three important goals. Yes. So that is what we're planning for. Another one is a fact. Also for Kadcyla, obviously, we have some competitor dynamics here, but your growth in the early stage setting. Yes. We now have 18,000 patients treated around the world. You see a core operating profit impact of minus 2 percentage points. On a GAAP basis, we recorded approximately $216.7 million and $139.1 million in R&D expenses for the third quarter of 2022 and 2021, respectively, a year-over-year increase of $77.6 million. But nevertheless, I think that helped us. If we have some tail business, if potentially COVID goes into next year, who knows. Before I dig really deeply into that, and thats another point I will address in the presentations as well, and you will see it on different slides, is I want to make a couple of comments about the H2 performance, because were sure, and lets grab the bull by the horns, that we will get questions on the guidance. They're accruing well. The second one is on tiragolumab. And as a result, on a group level, we have grown only -- I mean it was only a flat growth, very much as we would have expected. 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We think that, that as a proof of concept has already been demonstrated, and we're looking forward to bringing more advances to breast cancer patients with Kadcyla and Tecentriq. Calculated by Time-Weighted Return since 2002. Our proposed confirmatory trial EMBARK is in fully rolled and fully dosed, so children can get this treatment rapidly and the accelerated approval will be expeditiously confirmed through EMBARK. Jo, please? Just to remind everybody with respect to 9003. So obviously, we'll have all of this dialogue with the division during the review itself, but we're in great shape. We are on track to launch the rest in Q4. Thank you for that question. Weve just been approved in Europe. I dont think that in the pharmaceutical industry, it is about scale. The reimbursable co-development costs under the Roche agreement totaled $22 million for the third quarter of 2022, compared to $29.4 million for the same period of 2021. And using this very stringent criteria, basically 22% of patients failed 1 or more of those and we're not eligible. So, a lot of investors we speak to perceive risks around the growth profile if TIGIT and gante both fail given the pressures we know, COVID decline, [ph] Lucentis, Esbriet generics. We -- using that protocol, we were able to show 78% of patients in year 2, getting dosing at Q12 or Q16, which is a big advance. This is becoming an important contributor to net product revenue growth while at the same time, introduces some quarter-to-quarter fluctuations as the ordering patterns are different than what we see in the U.S. As it relates to the third quarter revenue, while EXONDYS 51 U.S. revenue grew modestly, the overall revenue for the quarter was impacted by the lumpiness in ex U.S. orbiting patterns. In some countries, they dont have to quarantine at all. We're the market leader in all the major markets. Another really excellent quarter for Evrysdi. Hi, everyone, and thanks for taking our question. Okay. BYND earnings call for the period ending September 30, 2022. To be poised to launch the first Duchenne gene therapy with the data that our R&D colleagues have generated is absolutely incredible. So, that will be absolutely vital. Yes, actually, we were gearing up for gantenerumab production capacity as well as other important medicines in our portfolio. Thank you, Alan. And Alan will later lead you through all the specific items which influence that picture. And then just tied to that, I think, Bill, you suggested at least CHF 1 billion. They're not -- the intention was not to have them done sort of serially but they can be done concurrently. But I will go back to the statement I made at the beginning. Yes. Now let's take a deeper look. You are invited to send in questions for this throughout the entire session using the Q&A functionality of Zoom. Sachin? As Severin mentioned, we did receive FDA breakthrough device designation for amyloid plasma panel. I'll just repeat less artfully what I think Louise was saying, which was -- look, first I will repeat what Louise said, firmly, we love rh74. Could we say that Q4 for Diagnostics is more a kind of endemic level? And this is through the antibody test on the one hand, but also, this T cell test on the other hand. That's when we expect the data to read out, and then we will communicate accordingly. And I would say the focus of governments have been more on energy than at the moment on COVID. From a product standpoint, I like the shape of this. I think it's pretty straightforward. And then there's also a pooled analysis planned. Cumulative Growth of a $10,000 Investment in Stock Advisor, Copyright, Trademark and Patent Information. And then just tied to that, is this not a major problem, given the caution on the device and the surgical procedure to begin with? Hi, everybody. Subcu, I think, is likely to be an sBLA, but I think that one is -- it's something where it's possible that it could be something different. And in fact, about 80% of patients are served by about 50 sites. Its very evident. So, the guidance was directionally completely okay. Thanks for the questions, Jo. So planning for the success of our BLA, we are ramping up manufacturing. What happens in subsequent time? But we have so many important programs currently in our pipeline that are really exciting, like mass spectrometry, just to name one of them, and there will be not in the too distant future. And then Kadcyla. Let's see -- I'm just taking notes here. To remind everyone that to start a study that could form the basis of an approval, the current standard of the agency is to have those assays essentially done and ready for commercial use, clinical use isn't sufficient. So I think that will be a limit on how many people can be handled by the health care system at one point in time. In the hematology franchise, we have several things to point out. So, thats an extra great feature. Yes. Net product revenue totaled $207.8 million in the third quarter, with . OLO earnings call for the period ending September 30, 2022. We are not at all concerned, patients are desperate to get a therapy like this from our perspective. But were definitely gearing up for it. Roche Holding AG (RHHBY) CEO Severin Schwan on Q2 2022 Results - Earnings Call Transcript Jul. Omicron came from an earlier variant. Its more important if you have both endpoints, then is the tumor growing and at what time is it growing again. One, the China lockdowns. So regarding your question on PCR and antigen. But when it isn't inevitable, when there is a pathway that provides an opportunity to bring a therapy founded on really good science for patients, we should be doing that. You can see it's virtually linear. We are also working to finalize the protocol for ENVISION, a placebo-controlled study evaluating SRP-9001 in nonambulatory patients. Actual results could materially differ from these forward-looking statements, and any such risks can materially and adversely affect the business, the results of operations and trading prices for Sarepta's common stock. Obviously, you are a dominant player in COVID-related diagnostics. The good thing is there is actually a treatment -- a curative treatment available. This is the result and this is why we think this will rapidly become standard of care in third line and later follicular lymphoma. They need therapy and they need it now. Our next question comes from the line of Colin Bristow of UBS. Tecentriq, with good performance, well come back to that. Second, Duchenne is a well-characterized monogenic disease and the shortened functional dystrophin robustly produced by SRP-9001 is an upstream surrogate endpoint for accelerated approval, one addressing the proximate cause of disease, one founded on a wealth of scientific evidence supported by preclinical related biomarker and clinical functional benefits and one based on a well-established precedent as the FDA has approved four therapies to date using shortened functional dystrophin as a surrogate endpoint. And then Japan has come online in May with reimbursement. I think quite impressive. We have now commenced the Phase 3 study for Ocrevus in -- or subcutaneous Ocrevus, and well have results in 2023. What really attracted you to MyoAAV? And we're seeing both switches from patients who've been on another anti-VEGF. Instead, finding a way to shift the paradigm and create a platform that shortens the development time while producing multiple targeted therapies. So the impact of the dividend in the first half was much less compared to previous years. Our communication on Progress (COP) shows our commitment to making the UNGC and its ten principles part of our strategy, culture and day-to-day operations, and to advancing the broader development goals of the United Nations, in particular the Sustainable Development Goals. I do believe that going forward, at the end of the day, what counts is that we maintain our power to innovate. And then, the final thing I will say on why it's so compelling from our perspective at least, to be seeking accelerated approval now is that we can confirm these results relatively rapidly. I'd like to take a moment to acknowledge the tremendous effort undertaken by our team. On the second question, just to clarify again. Now, your question, do we see fewer or more companies? And so, I think were looking forward to being in the sort of post AH&R biosimilar era and getting there pretty quickly. And also, we have strong growth, continues, in urticaria. Yes. The extensive experience we've gained has prepared us well, and I feel that no one is in a better place than we are to take on the launch of SRP-9001. So from our perspective, it is very compelling that we seek accelerated approval now, certainly given the wealth of data that we have to support it. I mean, Id say, we plan for a situation where it doesnt come through. Sure. And that certainly means we have lower volumes then on the Diagnostics side, which should also be a benefit for the cost of sales. Your line is now open. Does any of the recent competitive data, either from Sanofi or Novo concern you? We have a very high level of persistence, which means that with a given level of -- so for example, with 35% new market share in the U.S., we can actually get higher than that and total market share because the other therapies lose patients faster and we had a longer persistence. Thanks. No, I think we're all very aligned. And with that, we can measure how strong the immune response is that is triggered by the T cells. And do you think there's a peak number here, really, where we reach a steady state for number of people on every 16 week dosing for Vabysmo? We're guessing this year, it's maybe CHF 300 million or CHF 400 million worth of COVID sales, and then the rest being sort of the baseline. Sure. And so, well have to wait and see what we learn in 2023. We had a high base last year, but nevertheless, we have grown by 24%, so which I find remarkable as well. Yeah. The word was getting out in kind of April that, yes, this drug is getting reimbursed. So gante, the commercial outlook, I mean, it's all going to be about the data, but reminding that also the mode of administration definitely matters. So we do think they will coexist for some time. These are -- they're usually diagnosed by a neurologist, but they're often under the care of a primary care physician, doctor of internal medicine, people who are not giving IV infusions. So the impact on the life of the child is different over a different time frame. And I remember personally that I declared this is over now, and then it started 2 weeks later again. Whereby in Chugai, really, the growth here is very much driven by Ronapreve itself. Itd be more that there would be competition within the factor space. Now an alternate way to do that would be to say, "Oh. We are enormously grateful to the patients who are -- who participate in our clinical trials and their families who support them, along with the clinical investigators and experts who have guided us to where we stand today. As far as EPS is concerned, we expect low to mid-single-digit growth. So, a big part of our sales in China are actually immunodiagnostic and clinical chemistry sales. This is Amrita for Ritu from Cowen. And here are two elements, one, certainly, the accretion effect, in the first half of the year, 6%. And over what time frame should we really be looking at? And then you see the volume increase of CHF 800 million. We have a number of them to go. So you've been clear on filing strategy, but I just wanted to get your commercial perspectives. And honestly, I can't give you a precise breakdown. And patients on therapy for four-plus years had the greatest benefit with a hazard ratio of 0.11 and a p-value of less than 0.001. Looking at the AMD study -- or studies, you see a similar thing, which is that we did. And then Kadcyla, which remains a leader in certain early cancer settings as well as first-line MBC. You see the reduction in the U.S. and in Europe, which is predominantly Actemra-and Ronapreve-driven. We think we'll see more of that with the permanent J code in the U.S. And I think with Lucentis, it's been a combination of factors, including some contracting effects, some order pattern effects, some switching to Vabysmo and then the entry of the biosimilars which has happened more recently. Thanks, Severin. And also a warm welcome from my side. So what I mean by that is you basically take June sales and multiply by 12, we were slightly over CHF 500 million. [Operator instructions] At this time, I'll turn the call over to Mary Jenkins, senior manager, investor relations. I mean, we definitely take this very seriously. Just trying to think about the curve of the launch. And are you seeing any sort of dynamic differences between AMD and DME? And certainly, we are prepared to invest more in R&D., and you would -- should expect quite an increase in the second half. I also was curious if you maybe consider doing a study in DMD patients younger than four to support use there, kind of similar to what Pfizer is doing with their two- to three-year-old study? We have the label expansion to include mild to moderate patients soon in Europe. With that, you reduce very much the people that are suspected of Alzheimer's but don't have Alzheimer's. And then just secondly, I wondered if on Vabysmo, could you just give us an update on the U.S. rollout there? We're mostly through the price cut dynamic, and we should see a return to growth for Tecentriq in Japan as well. And I hand over to Alan to take you through the financials. If you have data where the physicians and the payers are not confident in it, then they're not going to use it. I think it really -- it tends to matter whether it's being combined with chemo or not, right? So, we actually have all of our systems -- or lets say, 90% of our systems are connected to our T systems. And so, we're making sure that we're capturing the whole population with these [inaudible]. So let me start with the first one. Human Translational Biology, which is like the organoid center. COOK earnings call for the period ending September 30, 2022. So, were really positive to see the strong business in the first couple of weeks this month. Whereas if you have 1 study that just sort of limps over the line with statistical significance, and the other 1 is failing, and -- I think that's another story. So I guess, I'd say, a couple of things. Its very hard to forecast these tax case resolutions because youre in the hand of authorities and jurisdiction, and very, very hard to forecast this. Just to confirm. Does it have to do with that, once you get disease control, that you're able to extend further? Now for the outlook. Invest better with The Motley Fool. Our next question comes from the line of B. Skorney at Baird. But I think the fact that were still talking about it would -- should suggest to you that -- like, for example, if we say, yes, were still reasonably optimistic, we could have a medicine here, that means were reasonably optimistic that its going to be a medicine. There were no optimistic words chosen at all to describe it. In terms of Tecentriq and which studies we have the most hope in. The company reported GAAP net income . And then, the question is, why are you doing two studies? And so this is certainly an important indicator, for physicians, of disease control. We'll be taking all the data to regulators. And then G&A, I think, with a nice saving, leads us to core operating profit growth of CHF 1.1 billion. We've maintained our market share, for example, in the U.S. at 35% new-to-brand share, and that's consistent. First off, I think it's really noteworthy we have 2-year results from Vabysmo in both these disease settings. As with all our articles, The Motley Fool does not assume any responsibility for your use of this content, and we strongly encourage you to do your own research, including listening to the call yourself and reading the company's SEC filings. Thanks for that question. Actually, the base business is growing at 6%. You see really we get to, on the right-hand side, CHF 32.3 billion in sales. Okay. And some other group of them will lose additional milestones that they wouldn't have. So how are you thinking about the European regulatory framework for Alzheimer's? You see North America growing 34%. Noncore and IFRS income had an increase in the core operating profit as shown of roughly CHF 1 billion. The question about gantenerumab success and our capacity. Now Bill has made an enormous impact at Sarepta, and he's been a great thought partner for me and for all of my colleagues on the executive committee. I think thats the first time thats ever happened for us. EXONDYS was approved on an accelerated basis using internally shortened functional dystrophin. Just on the subcutaneous and high dose studies. Now, if you look beyond that, as soon as we have washed out this COVID effect, then I clearly get very optimistic because not only get we over the COVID washout, but also the impact of biosimilars will come down. It could really be a transformative next-generation approach to gene therapy. And I think what's especially important. It's the largest SMA study in patients who've been previously treated with something else. 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roche q2 2022 earnings call transcript