HALF-YEAR REPORT 2019 - Vifor Pharma

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HALF-YEAR REPORT 2019 - Vifor Pharma
VIFOR
         PHARMA

                           HALF-YEAR
                           REPORT
                           2019

Half Year Report 2019_English_1 1      05.08.2019 13:10:48
HALF-YEAR REPORT 2019 - Vifor Pharma
PATIENTS AT OUR CORE

           About Andy
           Andy is a chef based in London with his wife
           Sarah and son Noah. He has lived with
           iron deficiency since being diagnosed at
           the age of 16.

           Despite living with iron deficiency and Crohn’s
           disease, he leads an active life and has
           a passion for food. He successfully competes at
           international cooking competitions.

           Andy recognises the signs and symptoms of iron
           deficiency and is able to proactively manage
           his iron levels with his physician, and the support
           of his wife. Today, Andy enjoys life without
           restrictions.

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HALF-YEAR REPORT 2019 - Vifor Pharma
TABLE OF CONTENTS

                                         04     Letter to shareholders                      27   2019 Outlook and financial guidance
                                         06     Highlights
                                         09     Vision, mission and strategy                28   Consolidated interim financial statements
                                         10     Performance overview                        30   Consolidated statement of income
                                                                                            31   Consolidated statement of
                                         12   Our products                                       comprehensive income
                                              Key growth drivers                            32   Consolidated statement of financial position
                                         14 Ferinject®/Injectafer®                          33   Consolidated statement of changes in equity
                                         18	Vifor Fresenius Medical Care Renal Pharma      34   Consolidated statement of cash flows
                                         18		  RENAL ANAEMIA MANAGEMENT                     35   Notes to the consolidated financial statements
                                         18		 –	Erythropoiesis-Stimulating Agents (ESAs)
                                         18			– Mircera®                                    42   Upcoming dates
                                         18			– Retacrit™                                   43   Contact information
                                         18		 – Venofer®
                                         19		 – Vadadustat
                                         19		 MINERAL AND BONE MANAGEMENT
                                         19 		 – Velphoro®
                                         19		 – Rayaldee®
                                         20		KIDNEY FUNCTION PRESERVATION
                                         20		 – Avacopan
                                         20		 – CCX140
                                         20		CONDITIONS ASSOCIATED WITH KIDNEY
                                                   IMPAIRMENT AND ITS TREATMENT
                                         20		 – CR845
                                         22 Veltassa®
                                         24 Other products
                                         24 – Maltofer®
                                         24 – VIT-2763
                                         25		O M PHARMA
                                         25		 – Broncho-Vaxom®
                                         25		 – Uro-Vaxom®
                                         25		 – Doxium®

                           Vifor Pharma Ltd. Half-year Report 2019                                                                              3

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HALF-YEAR REPORT 2019 - Vifor Pharma
LETTER TO SHAREHOLDERS

           Etienne Jornod                                           Stefan Schulze

                                    DEAR SHAREHOLDER,

                                    Vifor Pharma Group achieved a strong financial       25% and 30%. The progress achieved in the first
                                    and operating performance in the first half of       half of 2019 also makes us confident to achieve
                                    2019, building on the outstanding progress made      our Milestone 2020 targets of more than CHF 2
                                    in 2018. Through sustained focus on the execu-       billion net sales and EBITDA in the range of
                                    tion of our three strategic growth drivers, we are   CHF 700 million.
                                    on track to deliver our ambitious financial and
                                    business goals, and to realise our vision of         Each of our three growth drivers, Ferinject®/
                                    ­becoming global leader in iron deficiency,          Injectafer®, the joint company Vifor Fresenius
                                     nephrology and cardio-renal therapies.              Medical Care Renal Pharma, and Veltassa®
                                                                                         delivered a strong performance in H1 2019.
                                    It is now more than two years since we created
                                    Vifor Pharma as a stand-alone company. We are
                                    very happy to report that the positive momen-        FERINJECT®/INJECTAFER®
                                    tum continued into 2019 and we are well posi-
                                    tioned to achieve our objectives for both the full   Ferinject®/Injectafer® expanded its position as
                                    year 2019 and Milestone 2020. Furthermore            the global leader in intravenous (i.v.) iron in value,
                                    we are increasingly focused on the goals of          with strong growth particularly in the areas of
                                    Objective 2025.                                      gastroenterology in the US, and in chronic heart
                                                                                         failure and patient blood management in Europe.
                                    During the first half of 2019, Vifor Pharma Group    By June 2019, the product was approved in 81
                                    further expanded its global leadership position      countries, with more than 10 million years of
                                    in iron deficiency and continued to move             patient experience. We continue to expect full
                                    towards leadership in nephrology and cardio-­        year reported growth of approximately 20% and
                                    renal therapies. Total net sales increased by        in-market sales for Ferinject®/Injectafer® of
                                    22.2% to CHF 913.3 million, compared to prior        more than CHF 1 billion for the full year 2019.
                                    year, and reported EBITDA was up 32.6%
                                    at CHF 254.6 million compared to CHF 192.0
                                    million in H1 2018.                                  VIFOR FRESENIUS MEDICAL CARE RENAL
                                                                                         PHARMA (VFMCRP)
                                    We have raised our full year guidance for 2019
                                    with net sales expected to exceed 15% and            The partnership with Fresenius Medical Care
                                    reported EBITDA expected to grow between             through the joint company VFMCRP is the basis

           4                                                                                        Vifor Pharma Ltd. Half-year Report 2019

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HALF-YEAR REPORT 2019 - Vifor Pharma
of our ambition to become the global leader               imbursement negotiations and launches will
           in nephrology. The VFMCRP portfolio continued             continue in line with individual reimbursement
           to grow in the first six months of 2019, due in           timelines across Europe throughout 2019 and
           particular to the recent outstanding success of           2020. Veltassa® is on track to achieve growth in
           Velphoro® in the US.                                      2019 of approximately 50%.

           Mircera® also continued to perform strongly,              We are investing in studies that demonstrate
           exceeding all expectations, primarily due to              Veltassa®’s benefits to both patients and clini-
           the conversion of existing long-acting erythro-           cians. Positive results from the phase-II AMBER
           poiesis-stimulating agent (ESA) patients within           study were announced in May 2019, demonstrat-
           mid-sized and independent dialysis organisations          ing Veltassa®’s potential to help patients with
           in the US.                                                resistant hypertension and CKD to maintain
                                                                     optimal treatment. The DIAMOND study, evaluat-
           Venofer® maintained its position as the world’s           ing the potential of Veltassa® in combination with
           leading i.v. iron brand in volume terms, with more        renin-angiotensin-aldosterone system inhibitors
           than 25 million patient years of experience.              (RAASi) medications to improve patient out-
           The publication of the PIVOTAL study results in           comes, enrolled its first patient in May 2019.
           Q4 2018 helped to confirm the tolerability of
           Venofer® as a key differentiator, one of the main
           reasons the brand retains strong demand after             FERROPORTIN
           many decades on the market.
                                                                     Vifor Pharma also made important progress with
           In April, we further expanded our partnership             its own in-house developed product. In January,
           with Akebia in the US for vadadustat, creating            we reported positive phase-I results from VIT-2763,
           an opportunity for it to be provided to up to 60%         an oral ferroportin inhibitor, which aims to
           of US dialysis patients, subject to FDA approval.         treat diseases related to iron overload. This has
                                                                     provided a strong basis for a phase-II study
           Velphoro® grew significantly in the US in the first       planned to begin in the second half of 2019.
           half of 2019. This growth was driven by the update
           of the KDIGO (Kidney Disease Improving Global
           Outcomes) guidelines in 2017, to recommend the            ORGANISATION
           use of non-calcium-based phosphate binders.
                                                                     The Board of Directors was further strengthened
           In May, our partner Cara Therapeutics, Inc.               in May by the election of Dr Sue Mahony and
           announced positive results from the first US              Kim Stratton to the Board of Directors. We would
           phase-III trial of CR845 in haemodialysis patients        like to express our gratitude to Daniela Boss-
           with moderate-to-severe pruritus associated with          hardt-Hengartner, Dr Sylvie Grégoire and Fritz
           chronic kidney disease (CKD). The results showed          Hirsbrunner who stepped down after many
           statistically significant improvements in both the        years of distinguished service.
           primary and secondary endpoints, with top-line
           results from a second global phase-III trial              Our success in the first half of 2019 was made
           expected in H2 2019.                                      possible due to the support of our shareholders
                                                                     and dedicated, talented employees across
                                                                     Vifor Pharma Group, who continue to deliver our
           VELTASSA®                                                 company mission – helping patients around
                                                                     the world with severe and chronic diseases, lead
           Veltassa®, our third strategic growth driver,             better, healthier lives.
           continued to transform the treatment of patients
           with hyperkalaemia in the first half of the year. By      Yours sincerely,
           the end of June, Veltassa® had been prescribed
           to over 100,000 patients since launch in the US,
           and is among the fastest growing nephrology
           drugs in the last ten years.

           In May 2019, the Act on the Reform of the Market          Etienne Jornod		       Stefan Schulze
           for Medicinal Products (AMNOG) process                    Executive Chairman of  President of the
           for Veltassa® in Germany was completed, with              the Board of Directors Executive Committee
           Veltassa® now fully reimbursed. Further ­re-              			and COO

                           Vifor Pharma Ltd. Half-year Report 2019                                                                5

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HALF-YEAR REPORT 2019 - Vifor Pharma
HIGHLIGHTS

                                                    NET SALES

                                                913.3
                                                                                               MILLION
                                                                                               CHF
                                                   +22.2%

                                                    EBITDA

                                                 254.6
                                                                                                           MILLION
                                                                                                           CHF

                                                   +32.6%

           CORE EARNINGS¹                                       CASH FLOW FROM
           PER SHARE                                            OPERATING ACTIVITIES           EQUITY RATIO

         2.11                                                   197.9                          74.0%
                                                                                     MILLION
                                    CHF

                                                                                     CHF

           –20.7%                                               +159.6 million CHF             –0.8 p.p.

           1   Core earnings are defined as reported earnings
               after minorities adjusted for proportionate
               amortisation of intangible assets.

           6                                                                                   Vifor Pharma Ltd. Half-year Report 2019

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HALF-YEAR REPORT 2019 - Vifor Pharma
TOTAL FERINJECT®/
                                                        INJECTAFER® NET SALES

                                                      273.4
                                                                                  MILLION
                                                                                  CHF
                                                       +19.4%

                                                        MIRCERA® NET SALES

                                                      276.2
                                                                              MILLION
                                                                              CHF

                                                       +29.0%

                                                        VELTASSA® NET SALES

                                                      62.6
                                                                        MILLION
                                                                        CHF

                                                       +69.9%

                           Vifor Pharma Ltd. Half-year Report 2019                                 7

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8                        Vifor Pharma Ltd. Half-year Report 2019

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VISION, MISSION AND STRATEGY

                                         Our vision

                                         To be global leader in iron deficiency, nephrology and
                                         cardio-renal therapies. The partner of choice for specialty
                                         pharmaceuticals and innovative, patient-focused solutions.

                                         Our mission

                                         We strive to help patients around the world with severe
                                         and chronic diseases lead better, healthier lives.

                                         Our strategy

                                         Building on our history of global leadership in the treat-
                                         ment of iron deficiency, we have used our expertise in
                                         ­research and development, in-licensing, manufacturing,
                                          regulatory affairs and commercialisation to expand into
                                          the complementary fields of nephrology and cardio-renal
                                          therapies. By focusing on in-licensing new products,
                                          ­in-house development using our expertise in iron-based
                                           therapies and building strong partnerships, we bring
                                           ­innovative products and services to patients around the
                                            world.

                                         Our three strategic growth drivers

                                         Ferinject®/Injectafer®
                                         Vifor Fresenius Medical Care Renal Pharma (VFMCRP)
                                         Veltassa®

                           Vifor Pharma Ltd. Half-year Report 2019                                            9

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PERFORMANCE
          OVERVIEW

                                     KEY PROFIT AND LOSS FIGURES                           Investments in R&D amounted to CHF 109.4
                                                                                           million compared to CHF 91.9 million in the prior
                                     Vifor Pharma Group net sales grew to CHF 913.3        period. The increase was driven by the initiation
                                     million, a strong increase of 22.2% compared to       of the DIAMOND study for Veltassa®.
                                     the previous year or 21.0% on a constant currency
                                     basis. EBITDA increased to CHF 254.6 million          General and administration expenses amount-
                                     compared to CHF 192.0 million in the prior            ed to CHF 83.8 million compared to CHF 82.3
                                     period, an increase of 32.6%. This increase was       million in the prior period. The increase is mainly
                                     largely due to the strong growth in sales com-        attributable to higher personnel cost.
                                     bined with cost containment.
                                                                                           The average number of full-time employees
                                     The application of the new leasing standard           (FTE) amounted to 2,764 in H1 2019, compared to
                                     (IFRS 16) resulted in a higher EBITDA in H1 2019 of   2,658 in H1 2018. The increase of 106 FTEs is
                                     CHF 8.5 million. IFRS 16 was not retrospectively      driven by an expansion of Vifor Pharma’s com-
                                     applied and thus the comparative 2018 reporting       mercial and production workforce.
                                     period was not restated.
                                                                                           Depreciation and amortisation amounted to
                                     Other operating income declined to CHF 20.4           CHF 106.0 million compared to CHF 76.7 million
                                     million from CHF 41.0 million in the prior period.    in the prior period and are mainly included in cost
                                     This was primarily due to the expected decrease       of sales (84% and 89%, respectively) as intangible
                                     of royalty payments from CellCept® as well as         assets amortisation, principally for Veltassa® and
                                     lower income from partnering activities.              Mircera® rights.

                                     Cost of sales amounted to CHF 373.3 million           The net financial result amounted to an expense
                                     compared to CHF 288.1 million in the prior            of CHF 8.9 million in H1 2019 compared to
                                     period, resulting in a gross profit margin of         an income of CHF 41.8 million in H1 2018. The
                                     60.0% compared to 63.5% in H1 2018. The strong        decrease compared to H1 2018 is mainly due to
                                     growth of higher margin products such as              the material foreign exchange gain of CHF 42.9
                                     Ferinject®/Injectafer® was offset by decreasing       million in H1 2018 on USD denominated inter-
                                     CellCept® royalties, lower partnering income          company loans which were settled on 30 June
                                     as well as increasing asset amortisation related      2018.
                                     to Mircera® rights.
                                                                                           Tax expense amounted to CHF 13.8 million in
                                     Marketing and distribution expenses amounted          H1 2019 corresponding to an effective tax rate of
                                     to CHF 218.5 million, up 3.6% from the prior          9.9%. The approval of the Swiss tax reform in
                                     period. The main drivers were the investments         May 2019 did not have a material impact on the
                                     in pre-launch activities and the commercial           tax expense in 2019.
                                     organisations to further grow Ferinject®, as well
                                     as the continued rollout of Veltassa®.

           10                                                                                        Vifor Pharma Ltd. Half-year Report 2019

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Net profit after minorities for H1 2019 de-               FINANCIAL POSITION
           creased to CHF 65.2 million compared to
           CHF 118.0 million in the prior period. The de-            Goodwill and intangible assets amounted to
           crease is mainly due to the exceptional foreign           CHF 2,643.0 million at the end of H1 2019
           exchange gain on USD denominated inter­                   compared to CHF 2,676.0 million at the end of
           company loans of CHF 42.9 million in the prior            2018, representing 59.0% of total assets (end
           year as well as higher tax expenses.                      of 2018: 59.5%).

           Core earnings per share amounted to CHF 2.11              Net debt was CHF –242.8 million resulting
           in H1 2019, a decrease of 20.7% compared to               in a net-debt-to-EBITDA ratio of 0.54 at the end
           CHF 2.66 in H1 2018. The decrease is due to the           of H1 2019. This is compared to net debt of
           exceptional foreign exchange gain of CHF 42.9             CHF –179.7 million at the end of 2018. The
           million as well as tax gains due to unrecognised          increase was driven by the dividend distributions
           tax losses of CHF 22.4 million in the previous year.      of CHF 174.7 million in H1 2019.
           Excluding these exceptional impacts in H1 2018
           core earnings increased by 27.8%. Core earnings           With CHF 3,311.7 million of shareholders’ equity,
           are defined as reported earnings after minorities         Vifor Pharma Group had a strong equity ratio of
           adjusted for proportionate amortisation of                74.0% at the end of H1 2019 compared to 74.8%
           intangible assets of CHF 71.9 million in H1 2019          at the end of 2018. The slight decrease is mainly
           (H1 2018: CHF 54.5 million).                              due to the recognition of lease liabilities with the
                                                                     adoption of IFRS 16. The return on equity after
           CASH FLOWS                                                minorities amounted to 2.2% in H1 2019, com-
                                                                     pared to 3.9% in H1 2018.
           Cash flow from operating activities amounted
           to CHF +197.9 million compared to CHF +38.4
           million in the prior period. The increase is due
           to the strong operating result of Vifor Pharma in
           H1 2019 as well as an optimised net working
           capital.

           Cash flow from investing activities amounted
           to CHF –71.1 million due to upfront and mile-
           stone payments for in-licensing agreements of
           CHF –52.4 million, mainly in respect of the
           extension of commercialisation rights of Mircera®
           of CHF –37.7 million.

           Cash flow from financing activities amounted
           to CHF –202.9 million and was mainly influenced
           by dividend distributions of CHF –174.7 million,
           whereof CHF –45.0 million was paid to Fresenius
           Medical Care and CHF –129.7 million was distrib-
           uted to shareholders of Vifor Pharma in May 2019.

                           Vifor Pharma Ltd. Half-year Report 2019                                                                11

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KEY GROWTH
           HALF-YEAR REPORT
                       DRIVERS
                            2019

          OUR PRODUCTS

           12                        Vifor Pharma Ltd. Half-year Report 2019

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TABLE OF CONTENTS

                                                                          Key growth drivers
                                                                     14 Ferinject®/Injectafer®
                                                                     18 Vifor Fresenius Medical Care Renal Pharma
                                                                     18		RENAL ANAEMIA MANAGEMENT
                                                                     18		 –	Erythropoiesis-Stimulating Agents (ESAs)
                                                                     18			– Mircera®
                                                                     18			– Retacrit™
                                                                     18		 – Venofer®
                                                                     19		 – Vadadustat
                                                                     19		 MINERAL AND BONE MANAGEMENT
                                                                     19 		 – Velphoro®
                                                                     19		 – Rayaldee®
                                                                     20		KIDNEY FUNCTION PRESERVATION
                                                                     20		 – Avacopan
                                                                     20		 – CCX140
                                                                     20		CONDITIONS ASSOCIATED WITH KIDNEY IMPAIRMENT
                                                                           AND ITS TREATMENT
                                                                     20		 – CR845
                                                                     22 Veltassa®
                                                                     24 Other products
                                                                     24 – Maltofer®
                                                                     24 – VIT-2763
                                                                     25		O M PHARMA
                                                                     25		 – Broncho-Vaxom®
                                                                     25		 – Uro-Vaxom®
                                                                     25		 – Doxium®

                           Vifor Pharma Ltd. Half-year Report 2019                                                             13

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KEY GROWTH DRIVERS

          FERINJECT®/INJECTAFER®

           Our first key growth driver Ferinject®/Injectafer® (ferric
           ­carboxymaltose) is the market-leading intravenous (i.v.) iron
            therapy. Ferinject® is commercialised in the US and Belgium
            under the brand name Injectafer®. By the end of June 2019,
            the product held the leadership position in i.v. iron therapy,
            with market approval in 81 countries and over 10 million
            patient years of experience.

              1
                                                                          With a favourable benefit-risk profile, Ferinject®/
                                     BILLION

                                                                          Injectafer® continues to unlock the broad unmet
                                               Ferinject® in-market       medical need for the treatment of iron deficiency
                                                                          and iron deficiency anaemia, in key therapy areas
                                               sales in CHF potentially   such as chronic heart failure, nephrology, patient
                                               already in 2019            blood management (PBM), women’s health and
                                                                          gastroenterology.

             81
                                                                          Clinical guidelines support the need for i.v. iron
                                                                          and in particular for Ferinject®/Injectafer® in
                                               countries where            a number of disease areas. These include cardiol-
                                                                          ogy guidelines (European Society of Cardiology
                                               Ferinject®/Injectafer®
                                                                          for the diagnosis and treatment of acute and
                                               has been approved          chronic heart failure) and gastroenterology
                                                                          guidelines (European Consensus on the Diagno-
                                                                          sis and Management of Iron Deficiency and

             10
                                                                          Anaemia in Inflammatory Bowel Diseases).
                                     MILLION

                                                                          Ferinject®/Injectafer® is on track to achieve
                                                                          in-market sales in excess of CHF 1 billion on
                                               years of                   a rolling annual basis in the second half of 2019,
                                                                          a year earlier than previously anticipated.
                                               patient experience

           14                                                                       Vifor Pharma Ltd. Half-year Report 2019

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REPORTED NET SALES IN H1 2019                        IMPORTANT AWARENESS ACTIVITIES
                                                                                              OUTSIDE THE US
                                         In H1 2019, overall reported net sales of
                                         Ferinject®/Injectafer® increased to CHF 273.4        In line with our commitment to further build
                                         million, up 19.4% from CHF 229.0 million versus      awareness, improve diagnosis and ensure
                                         the same prior-year period. This is in line with     treatment of the unmet medical need, we
                                         Vifor Pharma’s commitment to full year growth in     launched several key initiatives during the first
                                         excess of 20% at constant exchange rates.            half of 2019. Among them were global awareness
                                                                                              raising efforts on iron deficiency in chronic heart
                                                                                              failure, including a strong presence at the
                                         GLOBAL IN-MARKET SALES                               European Society of Cardiology (ESC) congress
                                                                                              on Heart Failure (HFA) in Athens in May 2019 and
                                         Vifor Pharma closely monitors in-market sales to     the European Renal Association-European
                                         determine actual growth rates for the product.       Dialysis and Transplant Association ERA-EDTA
                                         The latest available IQVIA data from March 2019      in Budapest in June 2019.
                                         indicates global moving annual total (MAT) sales
                                         of Ferinject®/Injectafer® of approximately           In addition, our awareness initiatives highlight
                                         CHF 946 million, an increase of 27% versus the       and promote the fact that ESC guidelines for the
                                         same prior-year period. This strong growth           diagnosis and treatment of acute and chronic
                                         was primarily driven by gastroenterology and         heart failure reference Ferinject® as the recom-
                                         women’s health in the US, and by chronic heart       mended treatment option for chronic heart failure
                                         failure and PBM in Europe.                           patients with iron deficiency. Vifor Pharma also
                                                                                              continues to support online education of health-
                                                                                              care professionals (HCPs) who treat iron deficiency
                                         INJECTAFER® (US)                                     with a particular focus in chronic heart failure.

                                         Injectafer® continues to drive the growth of the
                                         i.v. iron market in the US. Vifor Pharma’s US        GEOGRAPHIC EXPANSION
                                         partner American Regent, Inc., a member of the
                                         Daiichi-Sankyo Group, recorded net sales of          In March 2019, our partner in Japan, Zeria
                                         USD 215.9 million in H1 2019, an increase of 19.4%   Pharmaceutical Co., Ltd. received the certificate
                                         compared to H1 2018. This strong double-digit        of approval for manufacture and sale of Ferinject®,
                                         net sales growth occurred despite the one-time       which is a key step in building access to the
                                         sales gains in the same period for 2018 due to       Japanese market. Ferinject® will be launched in
                                         a general US market shortage of INFeD®. In the       Japan in H2 2019, pending reimbursement
                                         US, Vifor Pharma received a portion of American      pricing approval. Ferinject® will be the first high
                                         Regent’s reported Injectafer® net sales, resulting   dose i.v. iron available on the Japanese market,
                                         in reported net sales of CHF 73.6 million in         where there is a significant unmet need in
                                         H1 2019, a 23.7% increase compared to CHF 59.5       women’s health and gastroenterology.
                                         million in H1 2018.

                           Vifor Pharma Ltd. Half-year Report 2019                                                                               15

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KEY GROWTH DRIVERS

           16                        Vifor Pharma Ltd. Half-year Report 2019

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LIFE CYCLE MANAGEMENT                                   FAIR-HF21 is an investigator-initiated study, led
                                                                                                 by the University Medical Center Hamburg-­
                                         Ferinject®/Injectafer® has been studied and             Eppendorf, Germany, and supported by The
                                         proven in 28 published randomised intervention-         German Centre for Cardiovascular Research and
                                         al clinical trials. Vifor Pharma continues to invest    by an unrestricted educational grant from Vifor
                                         in additional clinical studies, including its own       Pharma. The objective of this study is to show that
                                         trials and investigator-initiated trials, to demon-     treatment of patients with systolic heart failure
                                         strate the safety and efficacy of Ferinject®/           and iron deficiency with intravenous (i.v.) iron
                                         Injectafer® treatment on various patient groups.        (Ferric Carboxymaltose, FCM) versus placebo
                                                                                                 (i.v. NaCl) can reduce the rate of the combined
                                         A key focus area for ongoing clinical trials is         endpoint of recurrent heart failure hospitalisa-
                                         chronic heart failure, as up to 50% of patients with    tions and cardiovascular death during at least
                                         this condition are iron deficient. Iron deficiency      12 months follow-up. Approximately 1,200 patients
                                         in chronic heart failure is associated with reduced     are expected to be enrolled in several countries.
                                         quality of life, lessened exercise capacity and         Results of this study are expected in 2020.
                                         increased risk of hospitalisation. Previous clinical
                                         studies (FAIR-HF, CONFIRM-HF, EFFECT-HF) have           Vifor Pharma’s US partner, American Regent, Inc.
                                         demonstrated significant beneficial effects of          is conducting one of the largest studies of i.v. iron
                                         Ferinject® on symptoms, quality of life and             in heart failure, the HEART-FID study. HEART-FID
                                         exercise capacity. As part of its ongoing commit-       is a randomised, double-blind, multi-centre,
                                         ment to improving the lives of heart failure            prospective, placebo-controlled study to enrol
                                         patients, Vifor Pharma supports two large               over 3,000 patients to assess the efficacy and
                                         mortality and morbidity outcomes studies in             safety of Injectafer® in heart failure with iron
                                         chronic heart failure – the AFFIRM-AHF study and        deficiency and reduced ejection fraction. Results
                                         the FAIR-HF2 study. Vifor Pharma’s US partner,          are expected in 2022.
                                         American Regent, is conducting the HEART-FID
                                         study.

                                         The AFFIRM-AHF study, conducted by Vifor
                                         Pharma, is a multi-centre, randomised, controlled
                                         trial with 1,100 patients. AFFIRM-AHF is designed
                                         as the first study to evaluate the benefit of
                                         Ferinject®, in patients hospitalised due to acutely
                                         decompensated heart failure receiving Ferinject®
                                         treatment after stabilising from the acute episode
                                         and prior to exiting the hospital. Results from this
                                         study are expected by the end of 2020, which will
                                         add to the wealth of evidence that the European
                                         Society of Cardiology uses to define and promote
                                         its guidelines – particularly around the role of iron
                                         in chronic heart failure.

                                                                                                 1   Clinicaltrials.gov

                           Vifor Pharma Ltd. Half-year Report 2019                                                                                    17

Half Year Report 2019_English_1 17                                                                                                              05.08.2019 13:11:00
KEY GROWTH DRIVERS

          VIFOR FRESENIUS MEDICAL CARE
          RENAL PHARMA (VFMCRP)

           The second strategic growth driver is                                          Mircera® is a long-acting ESA, licensed from
                                                                                          F. Hoffmann-La Roche to treat symptomatic
           Vifor Fresenius Medical Care Renal Pharma,                                     anaemia associated with chronic kidney disease
           our joint company with Fresenius Medical                                       (CKD). Vifor Pharma has exclusive rights to com-
                                                                                          mercialise Mircera® in the US and its territories.
           Care. VFMCRP is dedicated to addressing the
           needs of chronic kidney disease (CKD)
                                                                                          RETACRIT™
           patients, both in pre-dialysis and dialysis.
                                                                                          Reported net sales of Retacrit™ (epoetin alfa-­
                                                                                          epbx) in H1 2019 amounted to CHF 2.9 million,
                                                                                          following the initiation of commercial activities
                                                                                          in November 2018.

                                                                                          Retacrit™ injection is a short-acting ESA and the
                                                                                          first and only biosimilar ESA approved for
                                                                                          marketing in the US. Vifor Pharma licensed rights
                                     The expanding product portfolio of VFMCRP is         from Pfizer to commercialise Retacrit™ in the
                                     focused on distinct comorbidities and complica-      US dialysis and non-hospital nephrology market,
                                     tions in CKD patients. This includes renal anaemia   enabling Vifor Pharma to offer customers a
                                     management, mineral and bone disease manage-         full range of ESA treatment options addressing
                                     ment, kidney function preservation and improve-      patient needs.
                                     ment, CKD-associated complications and
                                     cardio-renal management including hyperkalae-
                                     mia and iron deficiency. VFMCRP is a unique          VENOFER®
                                     company that combines Vifor Pharma’s pharma-
                                     ceutical expertise with Fresenius Medical Care’s     In H1 2019, net sales of Venofer® increased by
                                     experience in dialysis patient care.                 9.6% versus prior year to CHF 65.4 million. The
                                                                                          majority of Venofer® sales continue to be in the
                                                                                          US where it is the market leading intravenous (i.v.)
                                     RENAL ANAEMIA MANAGEMENT                             iron in haemodialysis usage.

                                     ERYTHROPOIESIS-STIMULATING AGENTS (ESAs)             Venofer® (iron sucrose (iron (III)-hydroxide
                                     (MIRCERA®, RETACRIT™)                                sucrose complex) is the trusted gold standard in
                                                                                          iron therapy for anaemic dialysis patients and is
                                     MIRCERA®                                             the originator i.v. iron sucrose product. During
                                                                                          the first half of 2019, Venofer® continued to be the
                                     Net sales of Mircera® (methoxy polyethylene          leading i.v. iron brand in terms of volume world-
                                     glycol-epoetin beta) continued to increase in        wide with more than 25 million patient years’
                                     H1 2019 to CHF 276.2 million, an increase            experience by the end of H1 2019.
                                     of 29.0% compared to the prior year period.
                                                                                          Venofer® is a nanomedicine and recognised
                                     The increase in sales was primarily driven by        by the US FDA as a non-biological complex drug.
                                     gaining additional market share in both H2 2018      The positive experience of generations of
                                     and H1 2019, with mid-sized and independent          physicians and patients compared to other
                                     dialysis organisations in the US.                    nanoparticle-based iron products (iron sucrose
                                                                                          similars) has helped to secure the position of

           18                                                                                       Vifor Pharma Ltd. Half-year Report 2019

Half Year Report 2019_English_1 18                                                                                                            05.08.2019 13:11:00
Venofer® in the highly competitive environment         MINERAL AND BONE MANAGEMENT
                                         of low-dose i.v. iron products. The tolerability
                                         of Venofer® is a key differentiator and one of the     VELPHORO®
                                         main reasons the brand retains strong demand
                                         after many decades on the market.                      Net sales of the phosphate binder, Velphoro®
                                                                                                increased by 126.6% in H1 2019 to CHF 81.1
                                                                                                million, from CHF 35.8 million in 2018. The strong
                                         VADADUSTAT                                             growth is mainly driven by the US market, where
                                         IN DEVELOPMENT                                         in-market sales increased by 57.1% to CHF 197.4
                                                                                                million in Q1 2019.
                                         Vadadustat is an oral hypoxia-inducible factor
                                         (HIF) prolyl hydroxylase inhibitor, currently          In 2017, KDIGO (Kidney Disease Improving Global
                                         in global phase-III development by Akebia              Outcomes) who develop evidence-based clinical
                                         Therapeutics, Inc., a US NASDAQ quoted bio­            practice guidelines in kidney disease, updated
                                         pharmaceutical company, for the treatment              their CKD-Mineral and Bone Disorder guidelines
                                         of anaemia associated with chronic kidney              to recommend the use of non-calcium-based
                                         disease (CKD).                                         phosphate binders for the control of phosphate
                                                                                                levels. This has resulted in continued adoption
                                         In April 2019, Vifor Pharma and Akebia expanded        by physicians.
                                         a previously signed licence agreement to sell
                                         vadadustat to Fresenius Medical Care North             Velphoro® (Polynuclear Iron (III) – Oxyhydroxide,
                                         America, to also include a license to sell vadadus-    Sucroferric Oxyhydroxide) is a non-calcium,
                                         tat to certain third-party dialysis organisations in   iron-based, chewable phosphate binder approved
                                         the US. This amended licence extends the               for the control of phosphate levels in the blood
                                         potential opportunity for vadadustat to access         in adults with chronic kidney disease (CKD) on
                                         up to 60% of US dialysis patients.                     dialysis.

                                         The licence, which is subject both to vadadustat’s     Growing real-world evidence continues to
                                         approval by the US Food and Drug Administration        demonstrate the benefits of Velphoro® for
                                         (FDA) and inclusion in the Centers for Medicare        patients, with approximately twice as many
                                         and Medicaid (CMS) End Stage Renal Disease             achieving and maintaining target serum phos-
                                         Prospective Payment System (ESRD PPS), will now        phate levels with half the pill burden, when
                                         also be effective during the Transitional Drug         switched from other phosphate binders. A lower
                                         Add-on Payment Adjustment (TDAPA) two-year             pill burden can increase adherence and lead to
                                         period that is expected to precede the ESRD            lower phosphate levels. Real life data also
                                         bundle period.                                         suggests improved nutritional status which has
                                                                                                been associated with improved quality of life
                                         Akebia’s phase-III clinical development pro-           for dialysis patients.
                                         gramme includes INNO2VATE, with the enrolment
                                         of approximately 3,900 dialysis patients complete.
                                         Top-line readout of INNO2VATE is expected              RAYALDEE®
                                         in Q2 2020. Akebia’s overall clinical programme        PRE-COMMERCIAL
                                         includes evaluation of both daily and three-times-
                                         weekly dosing protocols in non-dialysis and            Rayaldee® is an orally administered, extended-­
                                         dialysis patients, respectively. Vadadustat is         release formulation of calcifediol, a prohormone of
                                         an investigational therapy and is not yet approved     the active form of vitamin D3, for the treatment of
                                         by the FDA or any regulatory authority.                secondary hyperparathyroidism (SHPT) in patients

                           Vifor Pharma Ltd. Half-year Report 2019                                                                                19

Half Year Report 2019_English_1 19                                                                                                           05.08.2019 13:11:00
KEY GROWTH DRIVERS

                                     with chronic kidney disease (CKD) with vitamin D      VFMCRP has a licensing agreement with Chemo-
                                     insufficiency. Vifor Fresenius Medical Care Renal     Centryx, Inc., a NASDAQ-quoted biotechnology
                                     Pharma (VFMCRP) obtained the rights from OPKO         company, to commercialise avacopan outside
                                     Health Inc., for this indication in key European      the US.
                                     markets and selected markets outside Europe.

                                     In April 2019, European authorities accepted the      CCX140
                                     marketing authorisation application for Rayaldee®     IN DEVELOPMENT
                                     for the treatment of secondary hyperparathy-
                                     roidism in adult non-dialysis CKD patients.           CCX140 is an orally administered small molecule
                                     VFMCRP is seeking marketing authorisation             that is a highly potent and selective inhibitor
                                     through the decentralised procedure in selected       of the chemokine receptor CCR2. VFMCRP and
                                     European countries. In June 2019, marketing           ChemoCentryx have launched a joint clinical
                                     authorisation application was also submitted in       development programme for CCX140 in patients
                                     Switzerland. Approvals are expected in 2020.          with focal segmental glomerulosclerosis (FSGS).
                                                                                           FSGS causes protein loss from the kidneys and
                                                                                           progressive kidney failure. Inhibiting the actions
                                     KIDNEY FUNCTION PRESERVATION                          of the CCR2 receptor may reduce proteinuria and
                                                                                           preserve renal function through podocyte
                                     AVACOPAN                                              protection, as well as the reduction in mono-
                                     IN DEVELOPMENT                                        cyte-driven inflammation.

                                     Avacopan is an orally administered, highly selec-     Two clinical trials LUMINA 1 and LUMINA 2 are
                                     tive inhibitor of the complement C5a receptor1        currently underway. The first trial in patients with
                                     (C5aR1), being developed for the treatment of         moderate-to-severe protein loss in FSGS, and the
                                     orphan and rare renal diseases such as anti-neu-      second in patients with severe protein loss and
                                     trophil cytoplasmic auto-antibody-associated          clinical nephrotic syndrome primary FSGS.
                                     vasculitis (ANCA-associated vasculitis) and C3        Clinical readout is expected in 2020 and will
                                     glomerulopathy (C3G). Prior studies have shown        determine the next steps in clinical development.
                                     the clinical and patient experience benefits
                                     of selectively blocking the C5aR1 which leads         VFMCRP has a licensing agreement with Chemo-
                                     to pathological pro-inflammatory responses.           Centryx, Inc. to commercialise CCX140 outside
                                                                                           the US.
                                     The pivotal phase-III ADVOCATE trial data
                                     readout is expected in Q4 2019. This is the largest
                                     controlled trial in active ANCA-associated            CONDITIONS ASSOCIATED WITH KIDNEY
                                     vasculitis, with more than 300 patients recruited     IMPAIRMENT AND ITS TREATMENT
                                     globally during 52 weeks of treatment.
                                                                                           CR845
                                     ChemoCentryx has also advanced enrolment in           IN DEVELOPMENT
                                     the randomised controlled clinical phase-IIb trial
                                     of avacopan in patients with the very rare kidney     In the US, VFMCRP and Cara Therapeutics,
                                     disease C3G. C3G is a rare disorder most often        Inc. will promote the investigational medicine to
                                     seen in younger patients which can progress to        FMCNA (Fresenius Medical Care North America)
                                     end stage renal failure with risk of recurrent        dialysis clinics under a profit-sharing arrange-
                                     disease after transplantation. There is currently     ment.
                                     no approved treatment for this rare disease.

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CR845 is a peripherally restricted kappa opioid     In May 2019, Cara Therapeutics, Inc. announced
                                         agonist that targets the peripheral neurons and     positive results from the KALM-1 US phase-III trial,
                                         immune cells. Chronic kidney disease-associated     with statistically significant improvements in the
                                         pruritus (CKD-aP) is a devastating systemic         primary and all secondary endpoints in subjects
                                         itching condition that occurs with high frequency   undergoing haemodialysis with CKD-aP. CR845
                                         and intensity in patients with chronic kidney       was generally well tolerated with a safety profile
                                         disease undergoing haemodialysis. It affects        consistent with that seen in earlier clinical trials.
                                         approximately 60–70% of all patients on dialysis.
                                         Moderate-to-severe CKD-aP is associated with        A second phase-III trial (KALM-2) continues to
                                         poor quality of life, depression, and reflects      enrol haemodialysis patients with CKD-aP
                                         an independent predictor of mortality among         globally, with top line data expected in H2 2019
                                         haemodialysis patients. There are currently         based on current enrolment expectations. If
                                         no approved therapies in Europe or the US for       approved, CR845 will be the first medicine for
                                         treatment of CKD-aP.                                this indication outside of Japan.

                                         CR845 has demonstrated significant reductions       Vifor Fresenius Medical Care Renal Pharma
                                         in itch intensity and improvement in quality of     (VFMCRP) has a licensing agreement with Cara
                                         life measures in haemodialysis patients with        Therapeutics, Inc., a NASDAQ-quoted bio­
                                         moderate-to-severe CKD-aP. It has been specifi-     technology company, to commercialise CR845
                                         cally designed to mitigate the drawbacks or side    (difelikefalin) for the treatment of CKD-aP in
                                         effects typically observed with opiates.            patients undergoing dialysis globally, excluding
                                                                                             the US, Japan and South Korea.

                           Vifor Pharma Ltd. Half-year Report 2019                                                                               21

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KEY GROWTH DRIVERS

          VELTASSA®

            Our third strategic growth driver is Veltassa® (patiromer),
            a treatment for hyperkalaemia (elevated serum potassium
            levels). Hyperkalaemia is often asymptomatic and can
            lead to arrhythmia, hospitalisation and sudden death.
           ­Hyperkalaemia is frequently associated with chronic kidney
            disease (CKD) and chronic heart failure and with the
            use of life-saving renin-angiotensin-aldosterone system
            inhibitors (RAASi) medications.

       69.9%
                                                          In H1 2019, net sales of Veltassa® increased
                                                          to CHF 62.6 million compared with CHF 36.8
                                                          million in H1 2018, an increase of 69.9% (or
                                                          65.3% on a constant currency basis), where
                                                          growth was mostly driven by the US. Net sales
                                                          in the US were CHF 59.4 million (USD 59.4
                                                          million), a significant increase compared to
           net sales increase                             CHF 36.3 million (USD 37.4 million) in H1 2018.

                                                          The H1 2019 net sales performance of Veltassa®
                                                          confirms our expectation that Veltassa® will
                                                          grow by approximately 50% on a full year basis
                                                          in 2019.

    100,000
          more than                                       Since FDA approval and launch in 2015, Veltassa®
                                                          has experienced steady and sustained growth,
                                                          while also driving the expansion of the US
                                                          potassium binder market from CHF 172.8 million
                                                          in 2016 to CHF 253.9 million in 2018. More than
                                                          15,000 physicians had prescribed Veltassa® to
                                                          more than 100,000 patients since launch in the
                                                          US at the end of H1 2019, making among the
          patients treated                                fastest growing drugs in nephrology in the last
                                                          ten years.

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REIMBURSEMENT AND REGULATORY                            Vifor Pharma is also now investing in the DIAMOND
                                         APPROVALS                                               phase-IIIb study which is designed to evaluate the
                                                                                                 potential of Veltassa® in combination with RAASi
                                         In May 2019, the AMNOG process for Veltassa®            medications. DIAMOND is an outcome-based
                                         in Germany completed, with Veltassa® now                study addressing cardiovascular mortality and
                                         successfully reimbursed. Reimbursement was              hospitalisation rates. The first patient was
                                         also gained in Belgium and, most recently, in           ­enrolled in the DIAMOND study in May 2019. The
                                         Spain. As of 30 June 2019, Veltassa® has been            study is a global, multicentre, double-blind,
                                         launched in Sweden, Norway, Denmark,                     placebo-controlled trial aiming to study approxi-
                                         Belgium and Germany. Further reimbursement              mately 2,400 patients in over 400 sites. DIAMOND
                                         negotiations and launches will continue in line         will include patients with heart failure (with or
                                         with individual reimbursement process timelines         without CKD) and either current hyperkalaemia at
                                         across Europe throughout 2019 and 2020.                 screening, or a history of hyperkalaemia in the
                                                                                                 past year, which led to a reduction or discontinua-
                                                                                                 tion of RAASi therapy. The primary endpoint of
                                         TRANSFORMING THE TREATMENT                              the study is the time-to-first occurrence of
                                         OF HYPERK ALAEMIA                                       cardiovascular death or cardiovascular hospitali-
                                                                                                 sation. Top-line results are expected in 2022.
                                         Veltassa® is the first drug to offer an effective and
                                         well tolerated innovation for cardiologists and         In June 2019, the European Medicines Agency
                                         nephrologists in the long-term management of            (EMA) approved a supplemental new drug
                                         hyperkalaemia in CKD and chronic heart failure          application to enable the use of Veltassa® with
                                         patients.                                               or without food, potentially providing patients
                                                                                                 with greater flexibility in incorporating Veltassa®
                                         Vifor Pharma is committed to investing in data          in their daily treatment regimen. The label
                                         generation programmes to drive evidence-based           update was based on results from the phase-IV
                                         best practice using Veltassa® in this patient           TOURMALINE study, which showed no statisti-
                                         population. The AMBER study, a phase-II trial, was      cally significant difference between the groups
                                         presented in May 2019 at the National Kidney            taking Veltassa® with or without food in achieving
                                         Foundation Congress in Boston, USA. The study           serum potassium levels within the target range
                                         demonstrated that a significantly higher propor-        (3.8 to 5.0 mEq/L). The Federal Drug Administra-
                                         tion of patients with CKD and resistant hyper­          tion (FDA) had previously approved the label
                                         tension taking Veltassa®, remained on guideline         update based on the TOURMALINE results in
                                         recommended spironolactone therapy, com-                May 2018.
                                         pared to patients taking placebo at week 12.

                           Vifor Pharma Ltd. Half-year Report 2019                                                                                 23

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OUR PRODUCTS

          OTHER PRODUCTS

           In addition to the leading intravenous (i.v.) iron therapies,
           Ferinject®/Injectafer® and Venofer®, Vifor Pharma develops
           and ­commercialises other products for iron deficiency and
           more recently for iron overload.

                                     MALTOFER®                                           VIT-2763
                                                                                         IN DEVELOPMENT
                                     Net sales of Maltofer® decreased by 13.2%
                                     compared to the prior year to CHF 29.6 million.     Vifor Pharma is using its expertise in understanding
                                     This decrease reflects a change in the order        the chemistry and biology of iron to develop
                                     schedule of our partners compared to the prior      VIT-2763, the first oral ferroportin inhibitor with the
                                     year, mainly in Saudi Arabia, Kuwait, the           potential for treating diseases with ineffective
                                     United Arab Emirates, Qatar, Bahrain, Oman          erythropoiesis and iron overload conditions, such
                                     and Latin America.                                  as beta-thalassemia.

                                     Maltofer® (Iron polymaltose complex) plays a        Following the positive phase-I study results
                                     key role in the management of patients with iron    reported at the beginning of 2019, Vifor Pharma
                                     deficiency. It is the originator oral iron poly­    will start a phase-II trial in beta-thalassemia in the
                                     maltose complex (IPC) and is a widely accepted      second half of 2019. This randomised, controlled,
                                     and well-tolerated oral iron therapy for infants,   multinational trial will be conducted in patients
                                     children, adolescents and pregnant women.           with non-transfusion-dependent beta-thalassemia
                                                                                         and documented iron overload.

                                                                                         In June 2019, both the FDA and the EMA granted
                                                                                         an orphan drug designation for VIT-2763.

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OM PHARMA PRODUCTS                                   Uro-Vaxom® (lyophilized bacterial extract) is
                                                                                              an extract of the bacterium Escherichia coli for
                                         We continue to optimise our infectious diseases      the treatment and prevention of recurrent urinary
                                         and over-the-counter and prescription product        tract infections. It stimulates the immune system
                                         (ID/OTx) portfolio to deliver value to a focused     and the body’s natural defences against urinary
                                         group of patients with high unmet medical need.      pathogens. There is a high medical need to
                                                                                              prevent recurrent urinary tract infections, with
                                         The three leading products in the ID/OTx port­       Uro-Vaxom® listed in various international and
                                         folio are Broncho-Vaxom®, Uro-Vaxom® and             local guidelines.
                                         Doxium®.

                                                                                              DOXIUM®
                                         BRONCHO-VA XOM®
                                                                                              Net sales of Doxium® in H1 2019 were CHF 9.8
                                         Net sales of Broncho-Vaxom® decreased 17.2% to       million, a decrease of 9.4% compared to prior
                                         CHF 21.6 million in H1 2019 compared to the          year. This decrease was due to the phasing of
                                         previous year. This decrease was primarily due to    shipments in China. The overall in-market perfor-
                                         phasing in Russia which is a key market. However,    mance in key emerging pharma markets such
                                         in-market sales of Broncho-Vaxom® were strong        as Brazil, Turkey, Egypt and China was strong, with
                                         with an increase of 15% in volume during the past    growth of 20% in volume (Q1 2018 vs Q1 2019
                                         winter season (October 2018 to March 2019).          moving annual total).

                                         Broncho-Vaxom® (lyophilized bacterial lysates) is    Doxium® (calcium dobesilate) is used for the oral
                                         an extract of different bacterial species used for   treatment of diabetic retinopathy, signs of chronic
                                         the treatment and prevention of recurrent respira-   venous insufficiency in the lower limbs (pain,
                                         tory infections. It stimulates the immune system     cramps, paraesthesia, oedema, stasis dermatosis)
                                         and the body’s natural defences against a wide       and haemorrhoidal syndrome.
                                         spectrum of respiratory pathogens.

                                         URO-VA XOM®

                                         Net sales of Uro-Vaxom® in H1 2019 were CHF 8.4
                                         million, an increase of 9.2% compared to the
                                         previous year. Overall market profitability and
                                         market share have been increasing consistently
                                         in recent years.

                           Vifor Pharma Ltd. Half-year Report 2019                                                                              25

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26                        Vifor Pharma Ltd. Half-year Report 2019

Half Year Report 2019_English_1 26                                             05.08.2019 13:11:02
2019 OUTLOOK
           AND FINANCIAL GUIDANCE

           2019 OUTLOOK                                                                          2019 NET SALES EXPECTED GROWTH

           MARKET ACCESS

           Ferinject® is expected to be launched in Japan in H2 2019, subject to obtaining
           reimbursement.
                                                                                                 >15%
           The go-to-market strategy in China for Ferinject® will be announced before
           the end of 2019.

           We expect to partner for the Japanese rights of CCX140 in H2 2019.
                                                                                                 2019 EBITDA EXPECTED TO INCREASE

           CLINICAL TRIALS

           The phase-II trial of VIT-2763 (ferroportin inhibitor) in beta-thalassemia patients
           is planned to start in H2 2019.
                                                                                                 25–30%
           The results of the global phase-III ADVOCATE study of avacopan for anti-­
           neutrophil cytoplasmic auto-antibody-associated vasculitis (ANCA-associated
           vasculitis) are expected in Q4 2019.

           The second global pivotal phase-III trial (KALM-2) of CR845 that is being conducted   2020 EXPECTED NET SALES
           by Cara Therapeutics, Inc. is expected to read-out by the end of 2019.

           BUSINESS DEVELOPMENT                                                                  >2 BILLION
           One additional in-licensing, product acquisition or corporate transaction is          CHF
           expected before the end of 2019.

             FINANCIAL GUIDANCE                                                                  2020 EBITDA EXPECTED
                                                                                                 IN THE RANGE OF
             In 2019 at constant exchange rates, Vifor Pharma net sales are expected to
             exceed 15%, reported EBITDA is expected to grow between 25% and 30%.

             In 2020 net sales are expected to exceed CHF 2 billion and EBITDA to be
             in the range of CHF 700 million. Going forward the dividend is expected to
             remain at the current level of CHF 2 per share.
                                                                                                 700 MILLION
                                                                                                 CHF

                           Vifor Pharma Ltd. Half-year Report 2019                                                              27

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HALF-YEAR REPORT 2019

          CONSOLIDATED INTERIM
          FINANCIAL STATEMENTS

           28                        Vifor Pharma Ltd. Half-year Report 2019

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TABLE OF CONTENTS

                                         30     Consolidated statement of income
                                         31     Consolidated statement of
                                                comprehensive income
                                         32     Consolidated statement of financial position
                                         33     Consolidated statement of changes in equity
                                         34     Consolidated statement of cash flows
                                         35     Notes to the consolidated financial statements

                           Vifor Pharma Ltd. Half-year Report 2019                                    29

Half Year Report 2019_English_1 29                                                               05.08.2019 13:11:02
CONSOLIDATED INTERIM FINANCIAL STATEMENTS

          CONSOLIDATED STATEMENT
          OF INCOME

                                                                                         2019                      2018
                           in million CHF — unaudited figures                       1.1.—30.6.                1.1.—30.6.

                           Net sales                                                 913.3                     747.4
                           Other income                                                20.4                      41.0
                           Cost of sales                                            (373.3)                   (288.1)
                           Gross profit                                              560.3                     500.2

                           Marketing and distribution                               (218.5)                   (210.9)
                           Research and development                                 (109.4)                    (91.9)
                           General and administration                                (83.8)                    (82.3)
                           Operating profit (EBIT)                                   148.7                     115.2

                           Financial income                                              5.9                     47.5
                           Financial expenses                                        (14.8)                      (5.7)
                           Profit before income taxes (EBT)                          139.8                     157.0

                           Income taxes                                              (13.8)                        1.0

                           Net profit                                                126.0                     158.0

                           Attributable to:
                              ››Shareholders of Vifor Pharma Ltd.                      65.2                    118.0
                              ››Non-controlling interests                              60.9                      40.0

                           Earnings per share in CHF
                           Basic earnings per share                                    1.00                      1.82
                           Diluted earnings per share                                  1.00                      1.82

           30                                                       Vifor Pharma Ltd. Half-year Report 2019

Half Year Report 2019_English_1 30                                                                             05.08.2019 13:11:03
CONSOLIDATED INTERIM FINANCIAL STATEMENTS

           CONSOLIDATED STATEMENT
           OF COMPREHENSIVE INCOME

                                                                                                 2019         2018
                           in million CHF — unaudited figures                               1.1.—30.6.   1.1.—30.6.

                           Net profit                                                        126.0        158.0

                           Hedging transactions
                              ››Change in fair value                                           (4.5)        (0.6)
                              ››Realised in profit or loss                                       3.6        (0.7)

                           Translation differences                                               4.1      (10.9)

                           Items that will be reclassified
                           subsequently to profit or loss                                        3.2      (12.2)

                           Remeasurements of the net
                           defined benefit liability/asset                                     (0.2)        (0.7)

                           Change in fair value of equity securities measured through OCI      (9.5)        15.7

                           Income taxes                                                          0.7        (2.6)

                           Items that will not be reclassified
                           to profit or loss                                                   (9.0)        12.4

                           Other comprehensive income                                          (5.8)          0.2

                           Total comprehensive income                                        120.2        158.2

                           Attributable to:
                              ››Shareholders of Vifor Pharma Ltd.                              61.2       108.7
                              ››Non-controlling interests                                      59.1         49.5

                           Vifor Pharma Ltd. Half-year Report 2019                                              31

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CONSOLIDATED INTERIM FINANCIAL STATEMENTS

          CONSOLIDATED STATEMENT
          OF FINANCIAL POSITION

                                                                                                                                             2019                        2018
                           in million CHF — unaudited figures                                                                                30.6.                      31.12.

                           Cash and cash equivalents                                                                                      321.5                       400.3
                           Financial assets                                                                                                  0.8                          2.4
                           Trade and other receivables                                                                                    522.3                       509.0
                           Income tax receivables                                                                                            6.5                        14.3
                           Inventories                                                                                                    319.4                       281.7
                           Prepaid expenses and accrued income                                                                              40.3                        41.2
                           Current assets                                                                                               1,210.9                      1,248.8

                           Property, plant and equipment                                                                                  271.6                       274.0
                           Right-of-use assets        1
                                                                                                                                            70.1                             -
                           Intangible assets                                                                                            2,643.0                      2,676.0
                           Financial assets                                                                                               199.3                       208.2
                           Deferred tax assets                                                                                              82.9                        88.4
                           Non-current assets                                                                                           3,266.9                      3,246.7

                           Assets                                                                                                       4,477.8                      4,495.5

                           Financial liabilities                                                                                          100.4                       116.2
                           Lease liabilities 1                                                                                              14.7                             -
                           Trade and other payables                                                                                       110.1                       156.4
                           Income tax payables                                                                                              83.0                        80.6
                           Accrued expenses and deferred income                                                                           267.5                       240.0
                           Provisions                                                                                                        5.5                          1.3
                           Current liabilities                                                                                            581.3                       594.4

                           Financial liabilities                                                                                          490.9                       492.4
                           Lease liabilities    1
                                                                                                                                            63.1                             -
                           Deferred tax liabilities                                                                                         19.2                        34.4
                           Employee benefit liabilities                                                                                      9.7                          9.0
                           Provisions                                                                                                        1.9                          0.8
                           Non-current liabilities                                                                                        584.8                       536.5

                           Share capital                                                                                                     0.7                          0.7
                           Reserves                                                                                                     2,984.5                      3,051.5
                           Equity attributable to shareholders of
                           Vifor Pharma Ltd.                                                                                            2,985.1                      3,052.1
                           Non-controlling interests                                                                                      326.6                       312.5
                           Shareholders' equity                                                                                         3,311.7                      3,364.6

                           Liabilities and shareholders' equity                                                                         4,477.8                      4,495.5

                           1	As a result of the IFRS 16 adoption, new line items were included for the right-of-use assets and both current and non-current lease
                              liabilities. The prior year was not restated, refer to note 5.3 for further details.

           32                                                                                                            Vifor Pharma Ltd. Half-year Report 2019

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CONSOLIDATED INTERIM FINANCIAL STATEMENTS

          CONSOLIDATED STATEMENT
          OF CHANGES IN EQUITY

                                                                                                                Foreign
                                                                                                              currency                                  Non-
                                                                          Share     Treasury     Retained   translation   Fair value              controlling       Total
                           in million CHF — unaudited figures            capital      shares     earnings      reserves    reserves       Total     interests      equity

                           1 January 2018                                  0.7       (17.7)    3,244.7       (155.7)           1.1     3,073.1       259.4      3,332.5
                           Net profit                                          -           -      118.0               -           -     118.0         40.0       158.0
                           Other comprehensive income                         -            -         2.9      (10.9)         (1.3)       (9.3)          9.5          0.2
                           Total comprehensive income                         -            -      120.9       (10.9)         (1.3)      108.7         49.5       158.2
                           Dividends                                          -            -    (129.6)              -            -    (129.6)       (45.0)     (174.6)
                           Transactions on treasury shares                    -         0.7       (11.5)             -            -     (10.8)              -    (10.8)
                           Share-based payments                               -            -         7.5             -            -        7.5             -         7.5
                           30 June 2018                                    0.7       (17.0)    3,232.0       (166.6)         (0.2)     3,048.9       264.0      3,312.9

                           31 December 2018                                0.7       (18.4)    3,250.5       (182.1)           1.4     3,052.1       312.5      3,364.6
                           Adoption of IFRS 16 1                               -           -       (0.9)              -           -      (0.9)              -      (0.9)
                           1 January 2019                                  0.7       (18.4)    3,249.6       (182.1)           1.4     3,051.2       312.5      3,363.7
                           Net profit                                          -           -       65.2              -            -      65.2         60.9       126.0
                           Other comprehensive income                         -            -       (7.1)          4.0        (0.9)       (4.0)        (1.8)        (5.8)
                           Total comprehensive income                         -            -       58.0           4.0        (0.9)       61.2         59.1       120.2
                           Dividends                                          -            -    (129.7)              -            -    (129.7)       (45.0)     (174.7)
                           Transactions on treasury shares                    -         1.8        (2.2)             -            -      (0.4)             -       (0.4)
                           Share-based payments                               -            -         2.8             -            -        2.8             -         2.8
                           30 June 2019                                    0.7       (16.6)    3,178.7       (178.0)           0.5     2,985.1       326.6      3,311.7

                           1	The adjustments arising from the IFRS 16 adoption, effective 1 January 2019, also include an opening retained earnings impact
                              as the prior year was not restated. Refer to note 5.3 for further details.

                           At the Annual Shareholder Meeting held on 8 May 2019, a resolution was passed to pay a dividend
                           of CHF 2.00 per share (previous year: CHF 2.00 per share), which corresponds to a payment of
                           CHF 129.7 million for the financial year 2018. This was paid to the shareholders on 14 May 2019.

                           Vifor Pharma Ltd. Half-year Report 2019                                                                                                    33

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CONSOLIDATED INTERIM FINANCIAL STATEMENTS

          CONSOLIDATED STATEMENT
          OF CASH FLOWS

                                                                                                                     2019                      2018
                           in million CHF — unaudited figures                                                   1.1.—30.6.                1.1.—30.6.

                           Net profit                                                                            126.0                     158.0
                           Income taxes                                                                            13.8                      (1.0)
                           Depreciation and amortisation                                                         106.0                       76.7
                           Increase in provisions and employee benefit assets and liabilities                        2.6                       6.1
                           Net financial result                                                                      8.9                   (41.8)
                           Other non-cash items                                                                    10.4                      12.3
                           Change in trade and other receivables                                                 (14.3)                   (103.7)
                           Change in inventories                                                                 (38.3)                    (42.9)
                           Change in trade and other payables                                                    (32.8)                    (16.8)
                           Change in other net current assets                                                      27.9                      35.3
                           Interest received                                                                         2.3                       1.3
                           Interest paid                                                                           (2.8)                     (5.5)
                           Income tax paid                                                                       (11.9)                    (39.7)
                           Cash flow from operating activities                                                   197.9                       38.4

                           Investments in property, plant and equipment                                          (19.6)                    (26.3)
                           Investments in intangible assets                                                      (58.3)                   (143.6)
                           Investments in financial assets and securities                                          (1.0)                   (18.0)
                           Proceeds from property, plant and equipment                                               4.0                       0.6
                           Proceeds from financial assets and securities                                             3.9                       1.5
                           Cash flow from investing activities                                                   (71.1)                   (185.8)

                           Dividends paid                                                                       (174.7)                   (174.6)
                           Purchase of treasury shares                                                             (4.7)                     (9.6)
                           Proceeds from financial liabilities                                                       0.5                   134.9
                           Repayment of financial liabilities                                                    (15.5)                   (114.3)
                           Repayment of lease liabilities                                                          (8.6)                           -
                           Cash flow from financing activities                                                  (202.9)                   (163.6)

                           Effects of exchange rate changes on cash and cash equivalents                           (2.7)                       0.5
                           Decrease in cash and cash equivalents                                                 (78.8)                   (310.6)

                           Cash and cash equivalents as at 1 January                                             400.3                     425.1
                           Cash and cash equivalents as at 30 June                                               321.5                     114.5

           34                                                                                   Vifor Pharma Ltd. Half-year Report 2019

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NOTES TO THE CONSOLIDATED INTERIM FINANCIAL STATEMENTS

          NOTES TO THE CONSOLIDATED
          FINANCIAL STATEMENTS

                           These are the consolidated interim financial statements of Vifor Pharma Ltd. and its subsidiaries
                           (together referred to as “Vifor Pharma” or “the Group”). Vifor Pharma is a pharmaceutical company
                           focused on the development, manufacture and distribution of pharmaceutical products.

                           KEY EVENTS AND TRANSACTIONS
                           The financial position and performance of the Group was particularly affected by the following
                           transactions during the reporting period:

                           (i) Mircera® commercialisation rights
                           On 30 March 2019, the Group signed an agreement with Fresenius Medical Care for the extension
                           of the Mircera® commercialisation rights for the first four months of 2020 for consideration of
                           USD 19.5 million. The Group subsequently exercised its option for an additional USD 19.0 million
                           to further extend the rights until the end of August 2020. The total payments were capitalised
                           and will be amortised over the 8-month licence term.

                           The agreement includes options for Vifor Pharma to further extend the rights until the end of 2021.

                           (ii) Akebia Therapeutics expansion of licence agreement
                           On 9 April 2019, the Group announced that the terms of the licence agreement with Akebia Therapeutics
                           (“Akebia”) had been amended, allowing Vifor Pharma to sell vadadustat to certain third-party dialysis
                           organisations, for use in the US. Under the terms of the amended agreement, Akebia is eligible to
                           receive an additional USD 5.0 million payment, for a total of USD 25.0 million, upon approval of
                           vadadustat by the FDA and the earlier of the Centres for Medicare & Medicaid’s (CMS) determination
                           that vadadustat will be reimbursed under the Transitional Drug Add-on Payment Adjustment (TDAPA)
                           or included in the End Stage Renal Disease (ESRD) bundle. These future commitments will be added
                           to the cost of the intangible asset should they become payable.

                           ABOUT THESE NOTES AND FINANCIAL STATEMENTS
                           The notes to these consolidated interim financial statements have been organised to help users find
                           and understand the most relevant information. Certain information (e.g. basis of preparation and
                           scope of consolidation, amendments to IFRS, etc.) has been placed at the end of the document and
                           cross-referenced where necessary.

                           Vifor Pharma Ltd. Half-year Report 2019                                                                      35

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