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Transcript of 0 Novo Nordisk A focused healthcare company Fortis Bank Biotechnology Conference May 13, 2002.
1
Novo NordiskNovo Nordisk
A focused healthcare company A focused healthcare company
Fortis Bank Biotechnology ConferenceFortis Bank Biotechnology Conference
May 13, 2002May 13, 2002
2
Forward-looking statementsForward-looking statements
This presentation contains forward-looking statements as the term is defined in the US Private This presentation contains forward-looking statements as the term is defined in the US Private Securities Litigation Reform Act of 1995. Securities Litigation Reform Act of 1995.
Such forward-looking statements are subject to risks, uncertainties and inaccurate assumptions. Such forward-looking statements are subject to risks, uncertainties and inaccurate assumptions. This may cause actual results to differ materially from expectations. Factors that may affect future This may cause actual results to differ materially from expectations. Factors that may affect future results include interest rate and currency exchange rate fluctuations, delay or failure of results include interest rate and currency exchange rate fluctuations, delay or failure of development projects, production problems, unexpected contract breaches or terminations, development projects, production problems, unexpected contract breaches or terminations, government-mandated or market-driven price decreases for Novo Nordisk's products, introduction government-mandated or market-driven price decreases for Novo Nordisk's products, introduction of competing products, Novo Nordisk's ability to successfully market both new and existing of competing products, Novo Nordisk's ability to successfully market both new and existing products, exposure to product liability and other lawsuits, changes in reimbursement rules and products, exposure to product liability and other lawsuits, changes in reimbursement rules and governmental laws and related interpretation thereof, unexpected growth in costs and expenses. governmental laws and related interpretation thereof, unexpected growth in costs and expenses.
Risks and uncertainties are further described in reports filed by Novo Nordisk with the US Risks and uncertainties are further described in reports filed by Novo Nordisk with the US Securities and Exchange Commission (SEC) including the company's Form 20-F, which was filed Securities and Exchange Commission (SEC) including the company's Form 20-F, which was filed on 26 April 2002. Novo Nordisk is under no duty to update any of the forward-looking statements on 26 April 2002. Novo Nordisk is under no duty to update any of the forward-looking statements after the date of this report or to conform such statements to actual results, unless required by law. after the date of this report or to conform such statements to actual results, unless required by law.
Novo Nordisk has the copyright to the information contained in this presentation. Novo Nordisk has the copyright to the information contained in this presentation. © 2002 Novo Nordisk A/S.© 2002 Novo Nordisk A/S.
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Agenda Agenda
Diabetes careDiabetes care
Haemostasis managementHaemostasis management
Update on the first quarter of 2002Update on the first quarter of 2002
Q&AsQ&As
4
HRTHRTGrowth hormone Growth hormone therapytherapy
Intellectual Intellectual propertyproperty
Diabetes careDiabetes care Haemostasis Haemostasis managementmanagement
PrimaryPrimarygrowth growth driversdrivers
Novo Nordisk – future key driversNovo Nordisk – future key drivers
Diabetes careDiabetes care
Secondary Secondary value value
driversdrivers
5
Diabetes - an unfolding epidemicDiabetes - an unfolding epidemic
Million people Million people with diabeteswith diabetes
Source: World Health OrganisationSource: World Health OrganisationSeptember 1998September 1998
150150
300300
20002000 20252025
6
Insulin – the ultimate diabetes therapyInsulin – the ultimate diabetes therapy -
cell
fun
ctio
n-c
ell f
un
ctio
n
Diet and Diet and exercise aloneexercise alone
Oral therapyOral therapy(66%)(66%)
Insulin Insulin therapytherapy(27%)(27%)
Oral/insulinOral/insulin(approx 7%)(approx 7%)
Time from diagnosisTime from diagnosis
Type 2 - slope
Type 2 - slope
Type 1 - Immediate need for InsulinType 1 - Immediate need for Insulin
7
The miracle of insulin
Patient J.L., December 15, 1922Patient J.L., December 15, 1922 February 15, 1923February 15, 1923
8
Strong insulin market growth driversStrong insulin market growth drivers
ObesityObesity
PopulationPopulationageage
PrevalencePrevalence
DiagnosisDiagnosis
ImprovedImproved insulinsinsulins
ImprovedImproved devicesdevices
Worldwide 5Y CAGR:Worldwide 5Y CAGR:
Value +9% (USD)Value +9% (USD)
Volume +6%Volume +6%
Source: Historic growth rates based on IMS data.Source: Historic growth rates based on IMS data.
9
The insulin business caseThe insulin business case
VolumeVolume
Number of people with diabetes Number of people with diabetes expected to double by 2025expected to double by 2025
Less than half of those affected Less than half of those affected are diagnosed are diagnosed
Ageing population and a move Ageing population and a move towards affluent lifestyle leading towards affluent lifestyle leading to increased prevalenceto increased prevalence
A drive towards intensified A drive towards intensified therapytherapy
5% annual growth5% annual growth 5% annual growth5% annual growth++
Product upgradesProduct upgrades
Conversion from human insulin Conversion from human insulin to insulin analoguesto insulin analogues
Conversion from vials and Conversion from vials and syringes to delivery systems syringes to delivery systems
10
Novo Nordisk positioned for value upgradeNovo Nordisk positioned for value upgrade
No
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No
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25
>2
5
Number of countries Number of countries launching in 2002/2001launching in 2002/2001
#1 in Europe and Japan and #1 in Europe and Japan and #2 in the US#2 in the US
Completely new line of Completely new line of disposable devices and the disposable devices and the world’s only combined insulin world’s only combined insulin doser and glucose meterdoser and glucose meter
Rapid-acting and premixed Rapid-acting and premixed insulin analogues under roll-outinsulin analogues under roll-out
Long-acting analogue to be filed Long-acting analogue to be filed at the turn of the yearat the turn of the year
11
Expansion opportunities for Novo NordiskExpansion opportunities for Novo Nordisk
Oral Oral antidiabeticsantidiabetics
Oral drug Oral drug failuresfailures
NN622NN622(dual-acting (dual-acting sensitiser)sensitiser)
NN2211 (GLP-1)NN2211 (GLP-1)
NN1998 NN1998
(AERx(AERx®® iDMS) iDMS)
Strong market Strong market position and position and demand growthdemand growth
Significant potential Significant potential in value upgradesin value upgrades
Penetrate highly Penetrate highly competitive marketcompetitive market
Expand Expand presencepresence
Product Product upgradesupgrades
Injectable Injectable insulininsulin
Value of OAD market: Value of OAD market: >>USD 6 bnUSD 6 bn
Value of insulin market: Value of insulin market: >>USD 3 bnUSD 3 bn
12
NovoNormNovoNormTMTM/Prandin/Prandin®®
NovoNormNovoNormTMTM/Prandin/Prandin®®
NN304NN304
NN1998NN1998
NN2344NN2344
Glucose-induced Glucose-induced insulin secretioninsulin secretion
Tissue response Tissue response to insulinto insulin
Hepatic Hepatic glucose glucose productionproduction
Glucose Glucose uptakeuptake
ImpairedImpairedbeta cellbeta cellfunctionfunction
Basal hyper- Basal hyper- insulinemiainsulinemia
Post Post receptor receptor defectdefect
GlucoseGlucosetransporttransport
Insulin Insulin bindingbinding
NN414NN414Genetic
Acquired
Obesity
Age
Genetic
Acquired
Obesity
Age
Insulin deficiencyInsulin deficiency
Insulin resistanceInsulin resistance
NovoRapidNovoRapid
Type 2 Diabetes – the MetabolicType 2 Diabetes – the Metabolic SyndromeSyndrome
Insulin deficiencyInsulin deficiency
Insulin resistanceInsulin resistance
HyperglycemiaHyperglycemia
NN2211NN2211
NN2211NN2211
NN622NN622
NN622NN622Genetic
Acquired Glucotoxicity Lipotoxicity
Genetic
Acquired Glucotoxicity Lipotoxicity
NN344NN344
NovoMixNovoMix
13
Diabetes – Source of InnovationDiabetes – Source of Innovation
R&D ProjectsR&D Projects
Clinical researchClinical research
Steno Diabetes CentreSteno Diabetes Centre
Oxford Diabetes CentreOxford Diabetes Centre
Clinical research centres worldwideClinical research centres worldwideEvidence-based medicineEvidence-based medicine
NN disease mgt programmesNN disease mgt programmes
Outcomes data from > 100.000 Outcomes data from > 100.000 individuals with diabetesindividuals with diabetes
Molecular diversity & designMolecular diversity & design
Protein chemistry since ’23Protein chemistry since ’23
Medicinal chemistry since ’68Medicinal chemistry since ’68
Computational chemistry since ’75Computational chemistry since ’75
Rational drug design since ’83Rational drug design since ’83
Combinatorial chemistry since ’93Combinatorial chemistry since ’93 TrinomicsTrinomics
Genomics: Incyte since ’95Genomics: Incyte since ’95
Proteomics: CPA since ’97Proteomics: CPA since ’97
Metabonomics since ’99Metabonomics since ’99
Drug target & screeningDrug target & screening
Molecular biology since ’80Molecular biology since ’80
HT screening: Amersham since ’92HT screening: Amersham since ’92
Chemoinformatics since ’95Chemoinformatics since ’95
Dundee MRC consortium since ’98Dundee MRC consortium since ’98
Ultra HT Screening since ’00Ultra HT Screening since ’00
Basic researchBasic research
Hagedorn Research InstituteHagedorn Research Institute
Oxford and Steno Diabetes CentreOxford and Steno Diabetes Centre
Academic collaborationsAcademic collaborations
ConsortiaConsortia
14
Identify & Identify & clone targetclone target
Establish Establish biological biological functionfunction
High High throughput throughput screeningscreening
In vitro In vitro biological biological
profileprofile
ChemistryChemistry
In vivo In vivo diabetes diabetes modelsmodels
PLPcPLPc
Stable cell Stable cell lineslines
DiabetesDiabetesexpertiseexpertise
DiabetesDiabetesmodelsmodels
Evolution of a Diabetes Project Evolution of a Diabetes Project
15
Diabetes pipelineDiabetes pipeline
NN2211NN2211 (GLP-1 analogue)(GLP-1 analogue)
NN344NN344 (Basal analogue)(Basal analogue)
NN1998NN1998(AERx(AERx®iDMS®iDMS))
NN304NN304 (Insulin detemir) (Insulin detemir)
NN414NN414 (Insulin secretion)(Insulin secretion)
NN622NN622 (Dual-acting sensitiser)(Dual-acting sensitiser)
Phase 1Phase 1 Phase 2Phase 2 Phase 3Phase 3
NN2344NN2344 (Insulin sensitiser)(Insulin sensitiser)
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NN622: The dual acting PPARNN622: The dual acting PPAR// agonist concept agonist concept
insulininsulin
GlucoseGlucoseclearanceclearanceraterate
GlucoseGlucoseproductionproduction
++ --Inhibition of lipolysis,Inhibition of lipolysis,fat re-distributionfat re-distribution
FattyFattyacidsacids PPARPPAR
PPARPPAR
Triglycerides,Triglycerides,LDL/HDLLDL/HDL
AGGTCA N AGGTCA AGGTCA N AGGTCA Target geneTarget gene
Transcription Transcription
PPREPPRE
NucleusNucleus
RXRRXRPPARPPAR
AGGTCA N AGGTCA AGGTCA N AGGTCA Target geneTarget gene
Transcription Transcription
PPREPPRE
NucleusNucleus
RXRRXRPPARPPAR
17
Diabetic dyslipidaemia Diabetic dyslipidaemia
Type 1Type 1 Type 2 Type 2
Elevated blood glucoseElevated blood glucose xxxxxx xxxxxx
KetosisKetosis xxxx 00
Insulin resistanceInsulin resistance xx xxxxxx
HypertensionHypertension xx xxxx
ObesityObesity x x xxxxxx
Increased LDLIncreased LDL x/0x/0 x/0x/0
Increased triglycerides/FFAIncreased triglycerides/FFA 00 xxxxxx
Decreased HDLDecreased HDL 00 xxxxxx
18
NN622 – Adding lipid control to glucose regulationNN622 – Adding lipid control to glucose regulation
Key observations:Key observations:
Improves glucose toleranceImproves glucose toleranceHbA1C reduced by 1-1.5%HbA1C reduced by 1-1.5%
Improves insulin sensitivityImproves insulin sensitivityPlasma insulin reduced by 50%Plasma insulin reduced by 50%
Corrects dyslipidaemiaCorrects dyslipidaemia
Dose-dependent side effects as Dose-dependent side effects as observed with other PPAR observed with other PPAR compoundscompounds
Phase 3 ongoingPhase 3 ongoing
Eleven presentations at the Eleven presentations at the upcoming ADAupcoming ADA
Lipid controlLipid control
HDLHDL
00
1010
2020
3030
4040
% d
iffe
ren
ce f
rom
%
dif
fere
nce
fro
m
bas
elin
eb
asel
ine
NN622 - 1 mgNN622 - 1 mg
NN622 - 2 mgNN622 - 2 mg
Actos - 45 mgActos - 45 mg
Avandia - 8 mgAvandia - 8 mg
TriglyceridesTriglycerides
-80-80
-60-60
-40-40
-20-20
00
2020
% d
iffe
ren
ce f
rom
%
dif
fere
nce
fro
m
bas
elin
eb
asel
ine
Source:Source: Two NN622 phase studies including a total of 400 patients. Two NN622 phase studies including a total of 400 patients. US Patient Package Inserts for Actos and Avandia. US Patient Package Inserts for Actos and Avandia.
19
Insulin detemir versus NPH insulinInsulin detemir versus NPH insulinNight-time glucose profileInsulin detemir versus NPH insulinInsulin detemir versus NPH insulinNight-time glucose profile
Treatment:Treatment: Insulin detemirInsulin detemir NPH insulinNPH insulin
BG (mM)BG (mM)
N = 21N = 21
N = 52N = 52
55
66
77
88
99
1010
1111
1212
11pm11pm 3am3am 7am7am
J. L. Selam et al. :Oral presentation EASD 2001J. L. Selam et al. :Oral presentation EASD 2001
Findings:Findings: PPredictable glucose profiles over night with detemirredictable glucose profiles over night with detemir
Insulin detemir showed reduced Insulin detemir showed reduced variability compared to NPHvariability compared to NPH
20
Insulin detemir versus NPH insulinInsulin detemir versus NPH insulin
Hypoglycaemic events:Hypoglycaemic events: reduced for insulin detemir at all timesreduced for insulin detemir at all times
Hermansen et al. Diabetes Care 2001;24:296-301Hermansen et al. Diabetes Care 2001;24:296-301
36%36%
39%39%
26%26%
62%62%
5050
4040
3030
2020
1010
00
NPH insulinNPH insulin
Insulin detemirInsulin detemir
Time Time unknownunknown22:30-8:0022:30-8:00 8:00-12:008:00-12:00 12:00-22:0012:00-22:00
Nu
mb
er o
f ep
iso
des
Nu
mb
er o
f ep
iso
des
Findings:Findings: Statistatically fewer hypoglycaemic eventsStatistatically fewer hypoglycaemic events
21
Strong presence at ADAStrong presence at ADAProjectProject StageStage Number of Number of
presentations*presentations*
Basic researchBasic research Pre-clinicalPre-clinical 55
NN414 (Insulin secretion)NN414 (Insulin secretion) Phase 1Phase 1 88
NN2211 (GLP-1 analogue)NN2211 (GLP-1 analogue) Phase 2Phase 2 77
NN1998 (Pulmonary insulin)NN1998 (Pulmonary insulin) Phase 2Phase 2 55
NN622 (Dual-acting sensitiser)NN622 (Dual-acting sensitiser) Phase 3Phase 3 1111
NN304 (Basal insulin analogue)NN304 (Basal insulin analogue) Phase 3Phase 3 55
NovoMixNovoMix®® (Premixed insulin analogue) (Premixed insulin analogue) Phase 3/ Phase 3/ approvedapproved
55
NovoRapidNovoRapid®®/NovoLog/NovoLog®® (Meal-related (Meal-related insulin analogue)insulin analogue)
MarketedMarketed 88
Insulin delivery systemsInsulin delivery systems Approved/ Approved/ MarketedMarketed
88
NovoNormNovoNorm®®/Prandin/Prandin®® MarketedMarketed 66
* will become available in the ADA abstract book* will become available in the ADA abstract book
22
Novo Nordisk – future key driversNovo Nordisk – future key drivers
Diabetes careDiabetes careHaemostasisHaemostasismanagementmanagement
PrimaryPrimarygrowth growth driversdrivers
Secondary Secondary valuevalue
driversdrivers HRTHRT Intellectual Intellectual
propertypropertyGrowth hormone Growth hormone
therapytherapy
23
The key advantages of NovoSevenThe key advantages of NovoSeven®® are: are:
Injury site selective activation of platelets Injury site selective activation of platelets creates high local thrombin generation creates high local thrombin generation which secures a tight fibrin clotwhich secures a tight fibrin clot
Efficacy independent of inhibitor titerEfficacy independent of inhibitor titer
Effective during & after surgeryEffective during & after surgery
Low thrombogenicityLow thrombogenicity
Good safety profileGood safety profile
Home treatmentHome treatment
Attractive cost/benefit ratioAttractive cost/benefit ratio
Advantages of NovoSevenAdvantages of NovoSeven®®
A bleeding episode
FVIIa/NovoSeven®®
Tissue factor
24
Beyond haemophilia treatmentBeyond haemophilia treatment
HaemostasisHaemostasisManagementManagement
NovoSevenNovoSeven®® in bleeding conditions in bleeding conditions Coagulation factor deficienciesCoagulation factor deficiencies
Platelet defectsPlatelet defects
General haemostasisGeneral haemostasis
Reduction of blood and plasma transfusionsReduction of blood and plasma transfusions
No product offers this safety and efficacy profileNo product offers this safety and efficacy profile
Increasing supportive data from investigational useIncreasing supportive data from investigational use
HaeHaemmophiliaophiliaTreatmentTreatment
25
Upper Upper gastrointestinal gastrointestinal
bleedings *)bleedings *)
Orthotopic liver Orthotopic liver transplantations *)transplantations *)
Liver resection *)Liver resection *)
SpontaneousSpontaneousbleedingbleeding
Single Single FactorFactor
MultipleMultipleFactorsFactors
SurgicalSurgicalbleedingbleeding
Lack ofLack ofplateletsplatelets
DefectiveDefectiveplateletsplatelets
Coagulation FactorCoagulation FactorDeficiencyDeficiency
PlateletPlateletDisorderDisorder
GeneralGeneralHaemostasisHaemostasis
Haemophilia Haemophilia with inhibitorswith inhibitors
Intra-cerebral Intra-cerebral bleedingsbleedings
TraumaTrauma
Vitamin K-Vitamin K-antagonistsantagonists
Stem cell Stem cell transplantationtransplantation
Liver resection Liver resection
*) =*) =Patients with chronic liver diseasePatients with chronic liver disease
NovoSevenNovoSeven®® indication expansions indication expansions
Current Current indicationindication
26
Haemophilia Haemophilia & congenital & congenital
bleeding disordersbleeding disorders
NovoSeven® updateNovoSeven® update
Haemophilia with Haemophilia with inhibitorsinhibitors
Acquired haemophiliaAcquired haemophilia
FVII and FXI deficiencyFVII and FXI deficiency
GlanzmannGlanzmann
Bernard-SoulierBernard-Soulier
Other coagulation Other coagulation factor defectsfactor defects
Surgery & Intensive careSurgery & Intensive care
Trauma study now initiatedTrauma study now initiated
*) = Patients with chronic liver disease*) = Patients with chronic liver disease
Upper gastro-Upper gastro-intestinal bleeding *)intestinal bleeding *)
Orthotopic liver Orthotopic liver transplantation *)transplantation *)
Liver resection *)Liver resection *)
Reversal of anti-Reversal of anti-coagulation therapycoagulation therapy
Stem cell Stem cell transplantationtransplantation
Intra-cerebral Intra-cerebral bleedingsbleedings
Liver resectionLiver resection
TraumaTrauma
Liver resection study now completedLiver resection study now completed
Unchanged estimated market potential : USD 450 millionUnchanged estimated market potential : USD 450 million
27
NovoSevenNovoSeven®® liver resection study completed liver resection study completed
• Exploratory Phase 2 study confirmed the good Exploratory Phase 2 study confirmed the good safety profile in safety profile in patients without coagulopathypatients without coagulopathy
• More than 30% reduction in number of patients More than 30% reduction in number of patients needing blood transfusion and in the observed blood needing blood transfusion and in the observed blood loss (0.05 < p < 0.1)loss (0.05 < p < 0.1)
• Options for maximising the value of this positive Options for maximising the value of this positive outcome include a larger pivotal study with optimised outcome include a larger pivotal study with optimised dosing regimendosing regimen
• First step into a potential array of surgical indicationsFirst step into a potential array of surgical indications
28
First quarter 2002 in briefFirst quarter 2002 in brief
Sales up 2%Sales up 2%
Operating profit down 8%Operating profit down 8%
Full-year outlook of 5-10% operating profit Full-year outlook of 5-10% operating profit
maintainedmaintained
Analysis of first quarter’s sales shortfall carried Analysis of first quarter’s sales shortfall carried
out, corrective measures implementedout, corrective measures implemented
Key uncertainty regarding development in Key uncertainty regarding development in
European insulin market removedEuropean insulin market removed
29
Sales by therapy first quarter 2002Sales by therapy first quarter 2002
Insulin growth hit by de-stocking in Europe and timing of orders in International Operations
North America, Japan & Oceania and International Operations continue to grow
Growth in Europe and the US, but Japan hit by depreciation of JPY, increased competition and low market growth
Activelle®® growing in the US and France.
Insulin growth hit by de-stocking in Europe and timing of orders in International Operations
North America, Japan & Oceania and International Operations continue to grow
Growth in Europe and the US, but Japan hit by depreciation of JPY, increased competition and low market growth
Activelle®® growing in the US and France.
Diabetes careDiabetes care
+2%+2%
Haemostasis Haemostasis managementmanagement
+10%+10%
(2%)(2%)
hGHhGH
HRTHRT+2%
Key observations:Key observations:
Total turnover of DKK 5,481 mn: +2%Total turnover of DKK 5,481 mn: +2%
30
FFinancial results first quarterinancial results first quarter
Net turnoverNet turnover 5,4815,481 5,350 5,350 2 2
Operating profit Operating profit 1,2501,250 1,358 1,358 (8) (8)
Net financialsNet financials 1717 237237 (93)(93)
Profit before taxProfit before tax 1,2671,267 1,5951,595 (21)(21)
Net profitNet profit 824824 1,021 1,021 (19)(19)
Earnings per share (DKK) - dilutedEarnings per share (DKK) - diluted 2.36 2.36 2.93 2.93 (19) (19)
DKK millionDKK million 20022002 20012001 % change % change
31
Outlook for 2002Outlook for 2002
Expected sales growth between 7-10%Expected sales growth between 7-10%
Growth in operating profit of 5-10% expected Growth in operating profit of 5-10% expected
Net financial income is expected to be approximately DKK 150 millionNet financial income is expected to be approximately DKK 150 million
Tax rate expected at the level of 35%Tax rate expected at the level of 35%
Investments expected at DKK 4.5Investments expected at DKK 4.5 billionbillion
Slightly negative free cash flowSlightly negative free cash flow
Above outlook is based on the assumption that Above outlook is based on the assumption that exchange and interest rates remain at the current level exchange and interest rates remain at the current level (30 April 2002).(30 April 2002).
32
Entered 7 new clinical areas Entered 7 new clinical areas with 8 new studies with 8 new studies
Three Phase 2 studies to be Three Phase 2 studies to be reported on in 2002reported on in 2002
Estimated market potential Estimated market potential for NovoSevenfor NovoSeven®® within within haemophilia and congenital haemophilia and congenital bleeding disorders of USD bleeding disorders of USD 450 million 450 million
Patent protection in Europe Patent protection in Europe and the US until 2011, in and the US until 2011, in Japan until 2008Japan until 2008
PrimaryPrimarygrowthgrowthdriversdrivers
Secondary Secondary valuevalue
driversdrivers
Novo Nordisk – key driversNovo Nordisk – key drivers
Insulin market growing >10% paInsulin market growing >10% pa
In process of launching the most In process of launching the most comprehensive portfolio of comprehensive portfolio of insulin and insulin devicesinsulin and insulin devices
Expansion opportunity in faster Expansion opportunity in faster growing Oral Anti-Diabetes growing Oral Anti-Diabetes market with dual-acting sensitiser market with dual-acting sensitiser NN622, currently in Phase 3NN622, currently in Phase 3
Strong diabetes pipeline Strong diabetes pipeline including GLP-1 analogue including GLP-1 analogue (NN2211) and pumonary insulin(NN2211) and pumonary insulin
Diabetes careDiabetes care Haemostasis managementHaemostasis management
HRTHRTGrowth hormone Growth hormone
therapytherapyIntellectual Intellectual
propertyproperty
33
Investor InformationInvestor Information
Investor Relations contacts:Investor Relations contacts:
Novo Nordisk A/S Novo Nordisk A/S Investor Relations Investor Relations Novo Allé Novo Allé DK 2880 BagsværdDK 2880 BagsværdDenmark Denmark Fax (+45) 4444 2314 Fax (+45) 4444 2314
Peter HaahrPeter HaahrPhone (+45) 4442 1207Phone (+45) 4442 1207 E-mail: [email protected]: [email protected]
Palle Holm Olesen Palle Holm Olesen Phone (+45) 4442 6175Phone (+45) 4442 6175 E-mail: [email protected]: [email protected]
Rasmus JorgensenRasmus JorgensenPhonePhone (+1) 212 867 0123 (+1) 212 867 0123 E-mail: [email protected]: [email protected]
Share informationShare information
Novo Nordisk’sNovo Nordisk’s B shares are listed B shares are listed on the stock exchanges in on the stock exchanges in Copenhagen and London. Its Copenhagen and London. Its ADRs are listed on the New York ADRs are listed on the New York Stock Exchange under the symbol Stock Exchange under the symbol "NVO". For further company "NVO". For further company information, visit Novo Nordisk on information, visit Novo Nordisk on the Internet at the Internet at
http://www.novonordisk.comhttp://www.novonordisk.com
34
Appendix slidesAppendix slides
35
SalesSales by therapy in first quarter by therapy in first quarter
DKK millionDKK million 20022002 20012001 % of total% of total % change% change ((20022002))
Insulin etcInsulin etc 3,4863,486 3,3993,399 6464 3 3
NovoNormNovoNorm®®/Prandin/Prandin®® 350350 355355 66 (1)(1)
Diabetes care, totalDiabetes care, total 3,8343,834 3,7543,754 70 70 2 2
Haemostasis management*Haemostasis management* 800800 730730 15 15 10 10
Growth hormone therapyGrowth hormone therapy 450450 457 457 8 8 (2) (2)
HRTHRT 335335 327327 6 6 2 2
OtherOther 6262 8282 11 (24)(24)
TotalTotal 5,4815,481 5,3505,350 100100 22
* NovoSeven* NovoSeven®®
36
Sales by region in first quarterSales by region in first quarter
DKK millionDKK million 20022002 20012001 % of total% of total % change% change ((20022002))
Europe Europe 2,406 2,406 2,4102,410 44 44 (0) (0)
North AmericaNorth America 1,3541,354 1,2161,216 2525 1111
Japan & OceaniaJapan & Oceania 879879 916916 16 16 (4) (4)
International OperationsInternational Operations 842842 808808 1515 44
Total Total 5,4815,481 5,3505,350 100100 22
37
Diabetes care Diabetes care
SSales by quarterales by quarterDKK millionDKK million
00
500500
1,0001,000
1,5001,500
2,0002,000
2,5002,500
3,0003,000
3,5003,500
4,0004,000
4,5004,500
5,0005,000
Q1Q1 Q2Q2 Q3Q3 Q4Q4 Q1Q1 Q2Q2 Q3Q3 Q4Q4 Q1Q1 Q2Q2 Q3Q3 Q4Q4 Q1Q1
1999 2000 2001 20021999 2000 2001 2002
38
00
5050
100100
150150
200200
250250
300300
350350
400400
450450
Hormone replacement therapyHormone replacement therapy
DKK millionDKK millionSSales by quarterales by quarter
Q1Q1 Q2Q2 Q3Q3 Q4Q4 Q1Q1 Q2Q2 Q3Q3 Q4Q4 Q1Q1 Q2Q2 Q3Q3 Q4Q4 Q1Q1
1999 2000 2001 20021999 2000 2001 2002
39
’’In-market’ salesIn-market’ sales
GrowthGrowthcompared to previous yearcompared to previous year
Q1 Q1 20012001
Q2 Q2 20012001
Q3 Q3 20012001
Q4 Q4 20012001
Jan/Feb Jan/Feb 20022002
Total market growth:Total market growth:
VolumeVolume
ValueValue
6%6%
12%12%
9%9%
14%14%
9%9%
11%11%
9%9%
13%13%
8%8%
12%12%
Novo Nordisk growth:Novo Nordisk growth:
VolumeVolume
ValueValue
5%5%
8%8%
8%8%
10%10%
7%7%
8%8%
8%8%
11%11%
7%7%
12%12%
Insulin sales in Europe – ‘in-market’ sales’Insulin sales in Europe – ‘in-market’ sales’
Source: IMS ‘company market data’. Preliminary information for Jan/Feb 2002Source: IMS ‘company market data’. Preliminary information for Jan/Feb 2002
Note: ‘In market data’ reflects sale of insulin products from the wholesalers to the pharmacists. Note: ‘In market data’ reflects sale of insulin products from the wholesalers to the pharmacists.
40
Insulin de-stocking in Europe – the supply chain Insulin de-stocking in Europe – the supply chain
Novo NordiskNovo NordiskPatientPatient
WholesalersWholesalers- Approx 1,200- Approx 1,200
in Europein Europe
Local Local wholesalers’wholesalers’
inventory and inventory and parallel importers parallel importers
PharmacistsPharmacists- Estimated - Estimated
150,000 in Europe150,000 in Europe
’’ex-ex-factory’ factory’
salessales
’’In-market’In-market’ sales sales
PatientPatientpaymentpayment
Sales bookedSales bookedat Novo Nordiskat Novo Nordisk
41
Insulin sales in emerging markets Insulin sales in emerging markets
Strong underlying demand for insulinStrong underlying demand for insulin
Less than expected sales of insulin due to Less than expected sales of insulin due to timingtiming
Timing issues with no loss of market shareTiming issues with no loss of market share
Sales shortfall especially in India, Russia Sales shortfall especially in India, Russia and Braziland Brazil
Part of sales shortfall expected to be Part of sales shortfall expected to be regained in the second half of this yearregained in the second half of this year
42
European analogue conversion - NovoRapidEuropean analogue conversion - NovoRapid®®
Q1
20
00
Q1
20
00
March 2000March 2000
NovoRapidNovoRapid®® market market share 11.0%*share 11.0%*
Humalog market Humalog market share 26.7%*share 26.7%*
* IMS ‘brand’ volume market share of short-acting insulin. * IMS ‘brand’ volume market share of short-acting insulin. Preliminary information for Jan/Feb 2002Preliminary information for Jan/Feb 2002
Share of short-acting segmentShare of short-acting segment Novo Nordisk share of short-acting Novo Nordisk share of short-acting analogue segmentanalogue segment
February 2002February 2002 Q3
20
00
Q3
20
00
Q4
20
00
Q4
20
00
Q1
20
01
Q1
20
01
Q2
20
00
Q2
20
00
Q2
20
01
Q2
20
01
Q3
20
01
Q3
20
01
Q4
20
01
Q4
20
01
Fe
b
Fe
b
20
2002
02
Ja
n 2
00
2J
an
20
02
28%28%
7%7%
* IMS ‘brand’ volume market share of * IMS ‘brand’ volume market share of short-acting analogue insulin. short-acting analogue insulin. Preliminary information for Jan/Feb 2002Preliminary information for Jan/Feb 2002
43
Luxembourg Luxembourg FinlandFinland
Analogues in Europe – the conversion continuesAnalogues in Europe – the conversion continues
2001200120002000
NovoRapidNovoRapid®® market share 11.0%* market share 11.0%*
Launch of NovoRapidLaunch of NovoRapid®®
Switzerland Switzerland Holland Holland Austria Austria IrelandIreland
Italy Italy NorwayNorway
France France BelgiumBelgium
* IMS ‘brand’ volume market share of short-acting insulin* IMS ‘brand’ volume market share of short-acting insulin
UK UK GermanyGermanyDenmarkDenmark
Roll-out of NovoMixRoll-out of NovoMix® ® during 2002during 2002
FranceFrance
UKUKNetherlandsNetherlands
IrelandIrelandGermanyGermanyDenmarkDenmarkAustriaAustria
SwitzerlandSwitzerlandItalyItaly
PolandPolandSwedenSweden
SpainSpainFinlandFinlandBelgiumBelgiumNorwayNorway
44
Selected volume market share developmentSelected volume market share development
Month of Lantus Month of Lantus launchlaunch
February 2002February 2002
USAUSA 26%26% 26%26%
EuropeEurope 57%57% 57%57%
GermanyGermany 44%44% 42%42%Basal segmentBasal segment 51%51% 37%37%
Short-actingShort-acting 42%42% 43%43%
Mix-segmentMix-segment 43%43% 44%44%
Source: Based on IMS data.Source: Based on IMS data.
45
Investor InformationInvestor Information
Investor Relations contacts:Investor Relations contacts:
Novo Nordisk A/S Novo Nordisk A/S Investor Relations Investor Relations Novo Allé Novo Allé DK 2880 BagsværdDK 2880 BagsværdDenmark Denmark Fax (+45) 4444 2314 Fax (+45) 4444 2314
Peter HaahrPeter HaahrPhone (+45) 4442 1207Phone (+45) 4442 1207 E-mail: [email protected]: [email protected]
Palle Holm Olesen Palle Holm Olesen Phone (+45) 4442 6175Phone (+45) 4442 6175 E-mail: [email protected]: [email protected]
Rasmus JorgensenRasmus JorgensenPhonePhone (+1) 212 867 0123 (+1) 212 867 0123 E-mail: [email protected]: [email protected]
Share informationShare information
Novo Nordisk’sNovo Nordisk’s B shares are listed B shares are listed on the stock exchanges in on the stock exchanges in Copenhagen and London. Its Copenhagen and London. Its ADRs are listed on the New York ADRs are listed on the New York Stock Exchange under the symbol Stock Exchange under the symbol "NVO". For further company "NVO". For further company information, visit Novo Nordisk on information, visit Novo Nordisk on the Internet at the Internet at
http://www.novonordisk.comhttp://www.novonordisk.com