Investor presentation First quarter of 2016 London, 3 May 2016

Page created by Perry Maldonado
 
CONTINUE READING
Investor presentation First quarter of 2016 London, 3 May 2016
Slide 1

                                              Investor presentation
                                               First quarter of 2016

                                               London, 3 May 2016

Shanghai – part of Cities Changing Diabetes
Investor presentation First quarter of 2016 London, 3 May 2016
Investor presentation   First quarter of 2016   Slide 2

Agenda

Highlights and key events

Sales update

R&D update

Financials and outlook
Investor presentation First quarter of 2016 London, 3 May 2016
Investor presentation            First quarter of 2016                              Slide 3

Forward-looking statements
Novo Nordisk’s reports filed with or furnished to the US Securities and Exchange Commission (SEC), including the company’s Annual Report 2015 and Form 20-F, which are both filed with
the SEC in February 2016 in continuation of the publication of the Annual Report 2015, and presentations made, written information released, or oral statements made, to the public in the
future by or on behalf of Novo Nordisk, may contain forward-looking statements. Words such as ‘believe’, ‘expect’, ‘may’, ‘will’, ‘plan’, ‘strategy’, ‘prospect’, ‘foresee’, ‘estimate’, ‘project’,
‘anticipate’, ‘can’, ‘intend’, ‘target’ and other words and terms of similar meaning in connection with any discussion of future operating or financial performance identify forward-looking
statements. Examples of such forward-looking statements include, but are not limited to:
• Statements of targets, plans, objectives or goals for future operations, including those related to Novo Nordisk’s products, product research, product development, product introductions
    and product approvals as well as cooperation in relation thereto
• Statements containing projections of or targets for revenues, costs, income (or loss), earnings per share, capital expenditures, dividends, capital structure, net financials and other
    financial measures
• Statements regarding future economic performance, future actions and outcome of contingencies such as legal proceedings, and
• Statements regarding the assumptions underlying or relating to such statements.

These statements are based on current plans, estimates and projections. By their very nature, forward-looking statements involve inherent risks and uncertainties, both general and specific.
Novo Nordisk cautions that a number of important factors, including those described in this presentation, could cause actual results to differ materially from those contemplated in any
forward-looking statements.

Factors that may affect future results include, but are not limited to, global as well as local political and economic conditions, including interest rate and currency exchange rate fluctuations,
delay or failure of projects related to research and/or development, unplanned loss of patents, interruptions of supplies and production, product recall, unexpected contract breaches or
terminations, government-mandated or market-driven price decreases for Novo Nordisk’s products, introduction of competing products, reliance on information technology, Novo Nordisk’s
ability to successfully market current and new products, exposure to product liability and legal proceedings and investigations, changes in governmental laws and related interpretation
thereof, including on reimbursement, intellectual property protection and regulatory controls on testing, approval, manufacturing and marketing, perceived or actual failure to adhere to
ethical marketing practices, investments in and divestitures of domestic and foreign companies, unexpected growth in costs and expenses, failure to recruit and retain the right employees,
and failure to maintain a culture of compliance.

Please also refer to the overview of risk factors in ‘Managing risks’ on p 42-43 of the Annual Report 2015.

Unless required by law, Novo Nordisk is under no duty and undertakes no obligation to update or revise any forward-looking statement after the distribution of this presentation, whether as
a result of new information, future events or otherwise.
Important drug information
•   Victoza® (liraglutide 1.2 mg & 1.8 mg) is approved for the management of type 2 diabetes only
•   Saxenda® (liraglutide 3 mg) is approved in the US and EU for the treatment of obesity only
Investor presentation   First quarter of 2016   Slide 4

Highlights – First quarter of 2016
    Sales development
    •   Sales increased by 9% in local currencies and 8% in Danish kroner
        • USA and International Operations grew by 12% and 15% in local currencies, respectively
        • Victoza® increased by 15% in local currencies and continues to drive the growth of the GLP-1 market
        • Biopharm increased by 15% in local currencies, driven by non-recurring rebate adjustments for Norditropin® in the US
    • New-generation insulin now accounts for 17% share of growth in local currencies
    Research and Development
    •  Victoza® significantly reduces the risk of major adverse cardiovascular events in the LEADER trial
    •  Tresiba® shows lower rate of hypoglycaemia than insulin glargine U100 in SWITCH trials in people with type 1 and 2 diabetes
    •  Semaglutide significantly reduces the risk of major adverse cardiovascular events in the SUSTAIN 6 trial
    Financials
    •   Adjusted operating profit1 increased by 10% in local currencies and 9% in Danish kroner
    •   Diluted earnings per share decreased by 2% to 3.71 DKK per share, adjusted for the partial divestment of NNIT it increased
        by 23%
    •   2016 financial outlook:
        • Sales growth is still expected to be 5-9% measured in local currencies (around 3% lower as reported)
        • Adjusted operating profit growth is still expected to be 5-9% measured in local currencies (around 4% lower as reported)

1   Adjusted operating profit accounts for partial divestment of NNIT and out-licensing of assets for inflammatory disorders, both in 2015
Investor presentation              First quarter of 2016                   Slide 5

USA is the main contributor to sales growth

  Sales as reported – First quarter of 2016           Growth analysis – First quarter of 2016
                     Pacific                  Local currencies                                       Growth      Share of growth
                      +7%                     USA                                                          12%              64%
     Region China
         +1%               8%
                                              Europe                                                       1%                3%
                     11%
                                              International Operations1                                    15%              23%
  International                        USA
   Operations     13%           50%   +14%
      +3%                                     Region China                                                 3%                4%

                                              Pacific2                                                     7%                6%
                     18%
            Europe                            Total sales                                                  9%             100%
             +1%

         Sales of DKK 27.2 billion (+8%)

                                              Note: New regional structure as of Q1 2016
                                              1 Excludes Oceania
                                              2 Comprises Japan, Korea, Canada and Oceania
Investor presentation                First quarter of 2016                    Slide 6

Sales growth is driven by Victoza® and new-generation
insulin

       Sales as reported – First quarter of 2016                                                                 Growth analysis – First quarter of 2016
                                              Other                                                        Local currencies                                        Growth       Share of growth
                       Norditropin®           +15%                                                     New-generation               insulin1                             136%              17%
                             +32%
                                             4%
                                              3%                                                       Modern insulin                                                     3%               15%
            Haemophilia                   9%
                                           7%
                                                                                                       Human insulin                                                     (3%)             (4%)
               +4%
                                   11%
                                  10%                                                                  Victoza®                                                          15%               27%
                                                                                                       Other diabetes and obesity care2                                  16%                9%
                                                                                                       Diabetes and obesity care                                          7%              64%
                                                            77%                                        Haemophilia3                                                       4%                4%
                                                         79%                  Diabetes and
                                                                                                       Norditropin®                                                      32%               27%
                                                                               obesity care
                                                                                  +6%                  Other      biopharmaceuticals4                                    15%                5%
                                                                                                       Biopharmaceuticals                                                15%              36%
                    Sales of DKK 27.2 billion (+8%)                                                    Total                                                              9%             100%
                                                                                                       1 Comprises   Tresiba®,   Ryzodeg®
                                                                                                                                        and    Xultophy®
                                                                                                       2 Primarily NovoNorm®, needles and Saxenda®
Note: Norditropin® Q1 sales growth is derived primarily from USA reflecting a positive non-recurring   3 Comprises NovoSeven®, NovoEight® and NovoThirteen®
adjustment to rebates in the Medicaid patient segment                                                  4 Primarily Vagifem® and Activelle®
Investor presentation           First quarter of 2016                      Slide 7

            Victoza® maintains leadership in the faster growing US
            GLP-1 market

                            US GLP-1 market development                                                  US GLP-1 market shares
            MAT GLP-1                  Growth rate   Total TRx   MAT volume    GLP-1 TRx                                                    Victoza®    exenatide
            TRx (000)                                            growth rate   market share                                              albiglutide   dulaglutide
            7,000                                                      35%     100%
Thousands

            6,000                                                       30%
                                                                                 80%
            5,000                                                       25%
                                                                                 60%                                                                       54%
            4,000                                                       20%
            3,000                                                       15%      40%
            2,000                                                       10%                                                                                21%
                                                                                 20%                                                                     16%
            1,000                                                       5%
                   0                                                    0%                                                                                   9%
                                                                                   0%
                        Mar                                       Mar                        Mar                                                             Mar
                       2013                                      2016                       2013                                                            2016

            Source: IMS NPA MAT, March 2016                                    Source: IMS NPA MAT, March 2016
Investor presentation              First quarter of 2016                            Slide 8

Roll-out of new-generation insulin portfolio is progressing

                                                                  Tresiba® value share of basal insulin segment
              Key launch observations                                     in selected countries, excl US
                                                                         Switzerland                Netherlands                    UK                 India
• Tresiba® launched in 43 countries with solid penetration in
                                                                         Japan                      Sweden                         Argentina          Greece
  markets with similar reimbursement as insulin glargine                 Mexico                     Denmark                        Brazil             Italy
                                                                         Spain
• Ryzodeg® commercially launched in Mexico, India,              35%                                                                                   34%
  Bangladesh, Japan and now Russia
                                                                30%                                                27%                                28%
                                                                                                         25%
                                                                25%
• Xultophy® launched in Switzerland, Germany, the United
  Kingdom, Sweden and now Hungary                               20%
                                                                                                                                   16%                 15%
                                                                15%                                                                                 13%
                                                                10%                                            7%                                   13%
                                                                                                                                    8%                  6%
                                                                   5%            3%
                                                                                                                                                          4%
                                                                   0%
                                                                           0         4        8        12          16         20     24        28    32   36
                                                                                                                                                           36
                                                                                                  Months from launch
                                                                Note: Limited IMS coverage in India
                                                                Source: IMS Monthly value figures, February 2016
Investor presentation              First quarter of 2016   Slide 9

Encouraging uptake of Tresiba® in the US

        Weekly US NBRx volume market shares                                                                             Tresiba® launched in the US
                            Tresiba®                Levemir®                      NN Total Basal   • Full commercial launch in January 2016 following specialist
Basal
                                             glargine U100                        glargine U300      engagement in Q4 2015
NBRx MS
50%
                                                                                          45%      • Total Novo Nordisk new-to-brand prescription volume
40%                                                                                                  market share has increased by 3.4% in 2016 in the basal
                                                                                                     segment
                                                                                          31%
30%
                                                                                          22%      • Tresiba® monthly volume market share has reached 1.4%
20%                                                                                       16%
                                                                                                   • Tresiba® U200 accounts for around two-thirds of Tresiba®
10%                                                                                         8%
                                                                                                     prescriptions

  0%
      Jan                                                                                 Apr      • Wide formulary access has been obtained in both Part D and
 01-01-2016                                                                                          commercial channels
     2016                                                                                2016

Note: The graph does not show NPH, which accounts for the residual market share
Source: IMS weekly data, 1 April 2016, excludes Medicaid
NBRx: New-to-brand prescription counts; MS: Market share                                           Source: IMS weekly data, 1 April 2016, excludes Medicaid
Investor presentation     First quarter of 2016      Slide 10

Victoza® significantly reduces the risk of major adverse
cardiovascular events in the LEADER trial

                            LEADER trial design                                                      Headline results
                                     Standard of care + liraglutide       • Non-inferiority as well as superiority demonstrated for
                                        (0.6-1.8 mg once daily)             primary end-point of major cardiovascular events (MACE),
                                                                            with a statistically significant reduction
9,340 patients
                                                                          • Superior reduction in cardiovascular risk was derived from
with T2DM
                                                                            all three components of the end-point (CV death, MI,
                                      Standard of care + placebo            stroke)
                                       (daily blinded injection)          • Safety and tolerability profile of liraglutide in LEADER was
                                                                            generally consistent with previous liraglutide studies

                                 0                        3.5-5.0 years                              Key milestones
                                                                          • 13 June 2016: Presentation of LEADER results at the
Key inclusion criteria
                                                                            American Diabetes Association 2016 conference
• Adults above 50 years with T2DM and established
  cardiovascular disease, or above 60 years with multiple
                                                                          • H2 2016: Submission of LEADER data to regulatory
  cardiovascular risk factors
                                                                            authorities as part of post-approval commitments
• HbA1c 7.0%

T2DM: Type 2 diabetes mellitus                                            MI: Myocardial infarct
Investor presentation                First quarter of 2016                              Slide 11

Tresiba® shows lower rate of hypoglycaemia than insulin
glargine U100 in SWITCH trials – filing expected Q3 2016

                SWITCH 1 – type 1 diabetes                                                                                         SWITCH 2 – type 2 diabetes
Hypoglycaemic                                                                                               Hypoglycaemic                                            Tresiba®                   glargine U100
events per 100 PYE                                                                                          events per 100 PYE
                                                                                                                       -30%*
3,000            -11%*                                                                                      300

2,500                                                                                                       250              265
2,000      2,463                                                                                            200
                       2,201
1,500                                                                                                       150                          186                     -42%*
                                                -36%*                                                                                                                                            -46%
1,000                                                                           -35%*                       100
                                                                                                                                                               94
 500                                                                                                           50
                                                                             92          69                                                                                  55                 9       5
                                            429         277
    0                                                                                                            0
          Severe or BG                  Severe or BG   Severe events                                                       Severe or BG                  Severe or BG                     Severe events
           confirmed                     confirmed                                                                          confirmed                     confirmed
          symptomatic                   symptomatic                                                                        symptomatic                   symptomatic
             events                   nocturnal events                                                                        events                   nocturnal events

        Note: The prevalence of hypoglycaemia is measured during the maintenance period; Blood glucose confirmed hypoglycaemia is defined as
Investor presentation     First quarter of 2016        Slide 12

Semaglutide significantly reduces the risk of major
adverse cardiovascular events in the SUSTAIN 6 trial

                            SUSTAIN 6 trial design                                                                                 Headline results
                                                                                                          • Non-inferiority demonstrated for the primary endpoint of
                                                                                                            major cardiovascular events (MACE) with semaglutide
                                                                                                            compared with placebo, with a statistically significant
                                                  Semaglutide 0.5 mg QW
                                                                                                            reduction of MACE

                                                  Semaglutide 1.0 mg QW                                   • The trial accrued around 250 MACE
    ~3,300 patients
    with type 2
                                                                                                          • The primary endpoint of the study was defined as the
    diabetes1
                                                  Placebo 0.5 mg QW                                         composite outcome of the first occurrence of cardiovascular
                                                                                                            death, non-fatal myocardial infarction or non-fatal stroke

                                                  Placebo 1.0 mg QW
                                                                                                          • Safety profile of semaglutide in SUSTAIN 6 was as
                                                                                                            expected and consistent with previous semaglutide clinical
                                Week          0           Treatment duration                        104     studies

1Inclusion criteria: Age ≥ 50 years with clinical evidence of CV disease or ≥ 60 years with subclinical
evidence of CV disease, HbA1c ≥ 7.0 %, standard-of-care treatment 0-2 OAD, basal or pre-mix insulin
with/without 0-2 OAD
OAD: Oral anti-diabetic
Investor presentation   First quarter of 2016     Slide 13

Key development milestones

SUSTAIN 5 comparing semaglutide with insulin glargine U100 successfully completed

Phase 3a trial, PIONEER 3, initiated comparing oral semaglutide (NN9924) with sitagliptin

Advisory Committee meeting scheduled on 24 May 2016 with the FDA to discuss IDegLira (NN9068)

Positive results from phase 3a trial with long-acting growth hormone, somapacitan (NN8640), for treatment of
Adult Growth Hormone Deficiency (AGHD)
Investor presentation          First quarter of 2016                    Slide 14

Strong R&D newsflow expected to continue in 2016
                                                                                                                                                          Results available         Regulatory milestone

Project                            Past 6 months                           Past 3 months                            Within 3 months                   In ~3-6 months                In ~6-9 months
                                                                                                                                                      Variation application
       Tresiba®                         SWITCH 2               √                SWITCH 1                  √                                                 in the US
                                                                                                                                                                                         DEVOTE

    Once-weekly                         SUSTAIN 2              √                SUSTAIN 5                 √
                                                                                                                                                                                  US and EU submission
    semaglutide                         SUSTAIN 4              √                SUSTAIN 6                 √
       Victoza®                                                                   LEADER                  √                                               Variation application in the US and EU

       OI338GT                                                                                                              Phase 2a
      Xultophy®                                                                                                          FDA AdComm                  FDA regulatory decision
    Faster-acting                                                                                                                                                                 FDA regulatory decision

 Amylin analogue                                                                                                             Phase 1

  Glucagon 530L                                                                                                                                                                          Phase 1

         N9-GP                                                                                                          US submission

    Somapacitan                                                                 Phase         3a1         √
      Diabetes               Obesity              Haemophilia                Growth disorders

Note: Indicated timeline as of financial release of first quarter of 2016 on 29 April 2016;   1   Study conducted in adult growth hormone disorder
Investor presentation                 First quarter of 2016        Slide 15

Financial results – First quarter of 2016
    DKK million                                                                                           Q1 2016                                             Q1 2015                 Change
    Sales                                                                                                   27,212                                             25,200                    8%
    Gross profit                                                                                            22,978                                             21,326                    8%
    Gross margin                                                                                                   84.4%                                           84.6%
            Sales and distribution costs                                                                         6,741                                           6,147                  10%
            Percentage of sales                                                                                    24.8%                                           24.4%
            Research and development costs                                                                       3,304                                           3,250                   2%
            Percentage of sales                                                                                    12.1%                                           12.9%
            Administration costs                                                                                    908                                             854                  6%
            Percentage of sales                                                                                     3.3%                                             3.4%
            Other operating income, net                                                                             284                                          2,782                  N/A
            Non-recurring income from the IPO of NNIT                                                                    -                                          2,376
    Operating profit                                                                                           12,309                                          13,857                 (11%)1
    Financial items (net)                                                                                        (356)                                         (1,372)                  N/A
    Profit before income tax                                                                                   11,953                                          12,485                  (4%)
    Tax                                                                                                         2,498                                           2,609                  (4%)
    Effective tax rate                                                                                             20.9%                                           20.9%
    Net profit                                                                                                   9,455                                           9,876                 (4%)
    Diluted earnings per share (DKK)                                                                              3.71                                            3.79                 (2%)
    Diluted earnings per share (DKK) adjusted for partial divestment of NNIT                                         3.71                                             3.02               23%
1   Adjusted operating profit, accounting for the partial divestment of NNIT and out-licensing of inflammation assets, increased by 10% in local currencies
Investor presentation                First quarter of 2016                                 Slide 16

 Depreciation of key currencies against the Danish krone
 drives negative currency impact in 2016
                                 USD/DKK       CNY/DKK       JPY/DKK       GBP/DKK       CAD/DKK
                           125                                                                      Hedged                   2015          2016                 Spot     Impact of a Hedging
Index (1 Jan 2015= 100)

                           120                                                                      Currencies             average      average2                rate2     5% move3 (months)
   Hedged currencies

                           115                                                                      USD1                      673               673              659            2,000              12
                           110
                           105                                                                      CNY1                     107.0           103.0              101.5             300              114
                           100                                                                      JPY1                      5.56             5.90              5.93             160              11
                            95
                            90                                                                      GBP1                     1,028              962              960                85             12
                            85                                                                      CAD1                      526               496              521                70             11
                            80

                           140   RUB/DKK       INR/DKK       ARS/DKK       BRL/DKK       TRY/DKK
                                                                                                    Non-hedged                2015           2016                Spot
Index (1 Jan 2015 = 100)

                                                                                                    Currencies              average       average2               rate2
  Non-hedged currencies

                           120
                                                                                                    RUB1                       11.06              9.23            9.94
                           100
                                                                                                    INR1                       10.49              9.99            9.90
                            80                                                                      ARS1                         0.73             0.47            0.46

                            60                                                                      BRL1                          205              176             186
                                                                                                    TRY1                          248              230             233
                            40
                                 1         2             3             4             1              1 DKK per 100; 2 As of 26 April 2016; 3 Operating profit in DKK million per annum; 4 USD and
                                                                                                    Chinese Yuan traded offshore (CNH) used as proxy
                                                                                                    Note: Operating profit impact of one of the non-hedged currencies fluctuating 5% is in the range
                                                 2015                                2016           of DKK -15 to +30 million
Investor presentation               First quarter of 2016                           Slide 17

Financial outlook for 2016

                                                                                                  Expectations                                                      Previous expectations
                                                                                                  29 Apr 2016                                                            3 Feb 2016
 Sales growth - local currencies                                                                         5-9%                                                                        5-9%

 Sales growth - reported                                                      Around 3 percentage points lower                                                 Around 1 percentage point lower
 Operating profit growth - local
 currencies                                                                                              5-9%                                                                        5-9%

 Operating profit growth - reported                                           Around 4 percentage points lower                                                  Around 1 percentage point lower

 Financial items (net)                                                           Loss of around DKK 200 million                                                   Loss of around DKK 1.3 billion

 Effective tax rate                                                                                    20-22%                                                                      20-22%

 Capital expenditure                                                                       Around DKK 7.0 billion                                                      Around DKK 7.0 billion
 Depreciation, amortisation and                                                            Around DKK 3.0 billion
 impairment losses                                                                                                                                                     Around DKK 3.0 billion

 Free cash flow                                                                       Around DKK 35-38 billion                                                       Around DKK 36-39 billion
The financial outlook is based on an assumption of a continuation of the current business environment and given the current scope of business activities and has been prepared assuming that currency
exchange rates remain at the level as of 26 April 2016
Investor presentation      First quarter of 2016    Slide 18

Closing remarks

                      Solid market performance                                         Promising pipeline

  >≥10% annual diabetes care market growth driven
 •>                                                            • The only company with a full portfolio of novel
        by diabetes prevalence                                   insulin products

 • 27%           market share in diabetes care and solid       • Semaglutide portfolio offers expansion opportunity
                 leadership position                             with both injectable and oral administration

 • 46%           insulin volume market share with leadership   • Xultophy® supports promising outlook for insulin and
                 position across all regions                     GLP-1 combination therapy

 • 45%           modern and new-generation insulin volume      • Saxenda® and multiple early stage development
                 market share                                    projects hold potential within obesity

 • 64%           GLP-1 value market share with strong global   • Broad pipeline within haemophilia and growth
                 leadership position                             hormone disorders

Source: IMS MAT February 2016 volume and value (DKK) figures
Investor presentation    First quarter of 2016                  Slide 19

Investor contact information

                     Share information                                                   Investor Relations contacts
Novo Nordisk’s B shares are listed on the stock exchange in           Novo Nordisk A/S
Copenhagen under the symbol ‘NOVO B’. Its ADRs are listed on          Investor Relations
the New York Stock Exchange under the symbol ‘NVO’. For               Novo Allé, DK-2880 Bagsværd
further company information, visit Novo Nordisk on the
internet at: novonordisk.com
                                                                      Peter Hugreffe Ankersen   +45 3075 9085           phak@novonordisk.com

                      Upcoming events                                 Daniel Bohsen             +45 3079 6376           dabo@novonordisk.com
18 May 2016 Thematic call on Sustainability
                                                                      Melanie Raouzeos          +45 3075 3479           mrz@novonordisk.com
13 Jun 2016   Investor and analyst event in connection with ADA
                                                                      In North America:
05 Aug 2016 Financial statement for the first six months of 2016

28 Oct 2016   Financial statement for the first nine months of 2016   Kasper Veje               +1 609 235 8567         kpvj@novonordisk.com

02 Feb 2017   Financial statement for 2016
You can also read