QUARTERLY INVESTOR UPDATE – MAY 2016 BREAKING NEW GROUND IN THE US VICTOZA® SIGNIFICANTLY REDUCES THE RISK OF MAJOR CARDIOVASCULAR EVENTS IN LEADER TRIAL FIRST QUARTER OF 2016: OPERATING PROFIT, ADJUSTED, INCREASED BY 10% IN LOCAL CURRENCIES 011_Share magazine_Q1 2016_v1.indd 1 1 04-05-2016 12:59:35 2016 OFF TO A GOOD START We are pleased with the results during the first quarter of 2016. Sales increased by 9% in local currencies and by 8% in Danish kroner to DKK 27.2 billion. All regions contributed to sales growth; however, USA was the main contributor with 64% share of growth measured in local currencies, followed by International Operations contributing 23%. Sales growth was realised within both diabetes care and biopharmaceuticals, with the majority of growth originating from Victoza®, Norditropin®, Levemir® and Tresiba®. Operating profit decreased by 10% in local currencies and by 11% in Danish kroner to DKK 12.3 billion. Adjusted for the non-recurring income related to the partial divestment of NNIT and the income related to out-licensing of assets for inflammatory disorders, both in 2015, operating profit in local currencies increased by 10%. Within R&D, we announced during the first quarter the positive results from the SWITCH trials which documented that Tresiba® significantly reduces the risk of hypoglycaemia compared to insulin glargine U100 for people with both type 1 and type 2 diabetes. In March, we also announced that Victoza® in the LEADER trial, comprising more than 9,300 people with an average treatment of approximately four years, significantly reduced the risk of major adverse cardiovascular events. Finally, in April we also announced that semaglutide, the once-weekly subcutaneously administered GLP-1 analogue, reduced the risk of major cardiovascular events in the SUSTAIN 6 trial, and with this we have successfully completed the development programme for semaglutide. Generally seen, we are very encouraged by the successful outcome of both the SWITCH, LEADER and SUSTAIN trials, which further strengthens the clinical profile of Tresiba®, Victoza® and semaglutide. Lars Rebien Sørensen President and CEO, Novo Nordisk 2 011_Share magazine_Q1 2016_v1.indd 2 04-05-2016 12:59:36 VICTOZA® SIGNIFICANTLY REDUCES THE RISK OF MAJOR ADVERSE CARDIOVASCULAR EVENTS IN LEADER TRIAL In early March, Novo Nordisk announced the top-line results from the LEADER trial, which investigated the cardiovascular safety of Victoza® (liraglutide) over a period of up to five years in more than 9,000 adults with type 2 diabetes at high risk of major adverse cardiovascular events. The trial compared the addition of either Victoza® or placebo to standard of care and met the primary endpoint of showing non-inferiority as well as demonstrating superiority, with a statistically significant reduction in cardiovascular risk. The primary endpoint of the study was defined as the composite outcome of the first occurrence of cardiovascular death, non-fatal myocardial infarction or non-fatal stroke. The superior reduction in major adverse cardiovascular events demonstrated by Victoza® was derived from all the three components of the endpoint. The safety profile of Victoza® in LEADER was generally consistent with previous liraglutide clinical studies. ”People with type 2 diabetes generally have a higher risk of experiencing major adverse cardiovascular events. That’s why we’re very excited about the results from LEADER, which showed that Victoza®, in addition to helping people with type 2 diabetes control their blood sugar levels, also reduces their risk of major adverse cardiovascular events,” says Mads Krogsgaard Thomsen, executive vice president and chief science officer of Novo Nordisk. ”LEADER is the largest and longest Novo Nordisk clinical trial to report to date, and we look forward to sharing the detailed results with the medical community and to submit the findings to the regulatory authorities.” The detailed results will be presented at the 76th Scientific Sessions of the American Diabetes Association in June 2016. Read more in the company announcement from 4 March at novonordisk.com/newsarchive FACTS ABOUT LEADER 9,340 patients Treated for 3.5–5 years 32 countries 410 trial sites 3 011_Share magazine_Q1 2016_v1.indd 3 04-05-2016 12:59:36 HIGHLIGHTS FOR THE FIRST QUARTER OF 2016 TOTAL DIABETES AND OBESITY CARE SALES INCREASED BY 6% (Danish kroner) SALES OF BIOPHARMACEUTICALS INCREASED BY 15% (Danish kroner) OPERATING PROFIT, ADJUSTED, INCREASED BY 10% (local currencies) NET PROFIT, ADJUSTED, INCREASED BY 20% (Danish kroner) Novo Nordisk increased operating profit by 10%, adjusted, in local currencies in the first quarter of 2016. Sales increased by 9% in local currencies. Sales increased by 9% in local currencies and by 8% in Danish kroner to DKK 27.2 billion. - Sales of Victoza® increased by 15% (16% in Danish kroner). - Sales of Levemir® increased by 9% (8% in Danish kroner). - Sales of Tresiba® increased by 117% (113% in Danish kroner). - Sales in USA increased by 12% (14% in Danish kroner). - Sales in International Operations increased by 15% (3% in Danish kroner). Operating profit decreased by 10% reported in local currencies and by 11% in Danish kroner to DKK 12.3 billion. Adjusted for the non-recurring income related to the partial divestment of NNIT and the income related to outlicensing of assets for inflammatory disorders, both in 2015, operating profit in local currencies increased by 10%. Net profit decreased by 4% to DKK 9.5 billion. Diluted earnings per share decreased by 2% to DKK 3.71. Adjusted for the partial divestment of NNIT, net profit and diluted earnings per share increased by 20% and 23% respectively. In February, Novo Nordisk announced the successful completion of the SWITCH 1 trial demonstrating the ability of Tresiba® to lower the rate of hypoglycaemia compared to insulin glargine U100 in people with type 1 diabetes. On 28 April, Novo Nordisk announced that semaglutide, a once-weekly GLP-1 analogue, significantly reduced the risk of major adverse cardiovascular events in the SUSTAIN 6 trial. Following the successful completion of the SUSTAIN programme, Novo Nordisk intends to file for regulatory review in the US and EU in the fourth quarter of 2016. In March, Novo Nordisk announced that Victoza® in the LEADER trial, comprising more than 9,300 people with an average treatment of approximately four years, significantly reduced the risk of major adverse cardiovascular events. For 2016, sales growth is still expected to be 5–9% measured in local currencies. Growth in adjusted operating profit is also still expected to be 5–9% measured in local currencies. Read more in the company announcement from 29 April at novonordisk.com/newsarchive 4 011_Share magazine_Q1 2016_v1.indd 4 04-05-2016 12:59:36 Total sales Diabetes and obesity care sales Modern insulin sales DKK billion DKK billion DKK billion 30 30 8% 25 30 25 25 6% 20 20 20 15 15 15 10 10 10 5 5 5 0 Q1 2014 Q1 2015 Q1 2016 0 Q1 2014 Q1 2015 Q1 2016 0 2% Q1 2014 Q1 2015 Q1 2016 New-generation insulin sales Victoza® sales Biopharmcaceutical sales DKK billion DKK billion DKK billion 1.0 5 131% 16% 10 4 8 3 6 2 4 1 2 15% 0.5 0.0 Q1 2014 Q1 2015 Q1 2016 0 Q1 2014 Q1 2015 Q1 2016 0 Q1 2014 Q1 2015 Q1 2016 5 011_Share magazine_Q1 2016_v1.indd 5 04-05-2016 12:59:37 KEY FIGURES FOR THE FIRST FIRST QUARTER OF 2016 Amounts in DKK million, except number of shares, earnings per share and full-time equivalent employees. Q1 2016 Q1 2015 % change Q1 2015 to Q1 2016 Net sales 27,212 25,200 8% Gross profit Gross margin 22,978 84.4% 21,326 84.6% 8% Sales and distribution costs Percent of sales 6,741 24.8% 6,147 24.4% 10% Research and development costs Percent of sales 3,304 12.1% 3,250 12.9% 2% 908 3.3% 854 3.4% 6% 284 - 2,782 2,376 N/A N/A 12,309 45.2% 13,857 55% PROFIT AND LOSS Administrative costs Percent of sales Other operating income, net Non-recurring income from the initial public offering of NNIT A/S Operating profit Operating margin Net financials (11%) 1 (356) (1,372) (74%) Profit before income taxes 11,953 12,485 (4%) Income taxes Effective tax rate 2,498 20.9% 2,609 20.9% (4%) Net profit Net profit margin 9,455 34.7% 9,876 39.2% (4%) Depreciation, amortisation and impairment losses Capital expenditure (tangible assets) 624 1,091 663 764 (6%) 43% Net cash generated from operating activities Free cash flow 7,475 6,359 4,106 5,643 82% 13% Total assets Equity Equity ratio 82,368 37,284 45.3% 77,457 32,108 41.5% 6% 16% Average number of diluted shares outstanding (million) Diluted earnings per share/ADR (in DKK) Diluted earnings per share/ADR adjusted for non-recurring income from NNIT IPO (in DKK) 2,550.1 3.71 2,604.2 3.79 (2%) (2%) 3.71 3.02 23% Full-time equivalent employees end of period 41,571 39,062 6% OTHER KEY NUMBERS ) Adjusted for the non-recurring income related to the partial divestment of NNIT and the income related to outlicensing of assets for inflammatory disorders, both in 2015, operating profit in local currencies increased by 10%. 1 6 011_Share magazine_Q1 2016_v1.indd 6 04-05-2016 12:59:37 FORWARD-LOOKING STATEMENTS This document contains a summary of information made by Novo Nordisk in connection with the issuing of our company announcement number 34/2016 dated 29 April 2016. The company announcement contains forward-looking statements with respect to the business, objectives and plans of Novo Nordisk and its current goals, and expectations relating to its future economic performance. 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 document, 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 recalls, 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 pages 42–43 of Annual Report 2015, available at novonordisk.com, and Novo Nordisk’s Form 20-F filed with the US Securities and Exchange Commission for examples of forward-looking statements and a discussion of certain factors which could cause actual results to differ materially from those contemplated in any forward-looking statements. The forward-looking statements contained in this document are made as of the date of the abovementioned company announcement and, 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 the company announcement, whether as a result of new information, future events or otherwise. 26.8 MILLION PEOPLE USE OUR DIABETES CARE PRODUCTS NOVO NORDISK’S SHARE OF THE GLOBAL DIABETES MARKET MEASURED IN VALUE: 27% WE ARE 41,571 EMPLOYEES WORLDWIDE 7 011_Share magazine_Q1 2016_v1.indd 7 04-05-2016 12:59:37 NEW BOARD MEMBER ELECTED AT THE ANNUAL GENERAL MEETING On 18 March 2016, more than 600 shareholders attended Novo Nordisk’s Annual General Meeting at Bella Center in Copenhagen, and later that same afternoon nearly 2,500 shareholders attended the annual Shareholders’ Meeting, at which Executive Management provided an informal account of performance in 2015 and took questions from the large crowd of participants. Daniels as a new member of the Board for a one-year term and re-elected all the other current members of the Board up for re-election. Brian Daniels is a senior advisor with the Boston Consulting Group and has held various management positions at Bristol-Myers Squibb Pharmaceutical Group, US, most recently as senior vice president for global development and medical affairs. At the Annual General Meeting, the Board proposed an increase in dividend from DKK 5.00 per share for 2014 to DKK 6.40 per share for 2015. The proposal was approved by the shareholders. Two board members, Eivind Kolding and Thomas Paul Koestler, did not seek re-election. Moreover, the shareholders approved the Board’s proposal to elect Brian The complete overview of resolutions from the Annual General Meeting can be found at novonordisk.com/newsarchive Chairman of the Board Göran Ando and the rest of Executive Management on stage at the Shareholders’ Meeting in March. 8 011_Share magazine_Q1 2016_v1.indd 8 04-05-2016 12:59:39 TRESIBA® SHOWS SIGNIFICANTLY LOWER RATE OF HYPOGLYCAEMIA THAN INSULIN GLARGINE U100 IN SWITCH TRIALS During the first quarter of 2016, Novo Nordisk announced the headline results from both SWITCH 1 and SWITCH 2, 64-weeks randomised, double-blind, cross-over, treat-to-target trials comparing the safety and efficacy of Tresiba® (insulin degludec) and Lantus® (insulin glargine U100) in type 1 and type 2 diabetes respectively. The overall purpose of the two trials was to compare the hypoglycaemia occurrence in people with type 1 or type 2 diabetes treated with Tresiba® or insulin glargine. Both trials showed non-inferiority in HbA1c reduction for Tresiba® compared to insulin glargine, thus fulfilling the requirements for objectively comparing hypoglycaemia rates between the two treatments. U100,” says Mads Krogsgaard Thomsen, executive vice president and chief science officer of Novo Nordisk. ”We expect to initiate filing of the data from the SWITCH trials with regulatory authorities in Q3 2016, with the aim of updating the label for Tresiba®.” Read more about the SWITCH trials at novonordisk.com/newsarchive SEMAGLUTIDE SIGNIFICANTLY REDUCES THE RISK OF MAJOR ADVERSE CARDIOVASCULAR EVENTS IN THE SUSTAIN 6 TRIAL In late April Novo Nordisk announced the top-line results from the sixth and last global phase 3a trial, SUSTAIN 6, for semaglutide. Both SWITCH 1 and SWITCH 2 demonstrated a statistically significantly lower rate of severe or blood glucose-confirmed symptomatic hypoglycaemia in the maintenance period of Tresiba® compared to insulin glargine of 11% and 30% respectively. Similarly, the trials demonstrated a statistically significant reduction in the rate of severe or blood glucose-confirmed symptomatic nocturnal hypoglycaemia during the maintenance period of 36% and 42% respectively. Finally, SWITCH 1 demonstrated a statistically significant reduction in the proportion of subjects with type 1 diabetes experiencing severe hypoglycaemia, while SWITCH 2 demonstrated a numerical reduction among patients with type 2 diabetes for this endpoint. ”We’re very excited about these trial results, which document that Tresiba® significantly reduces the risk of hypoglycaemia compared to insulin glargine The trial achieved its primary endpoint of showing non-inferiority of major cardiovascular events (MACE) with semaglutide compared with placebo, and further documented a statistically significant reduction in cardiovascular risk. In the trial, around 250 MACE were accrued. The primary endpoint of the study was, as the LEADER trial for Victoza®, defined as the composite outcome of the first occurrence of cardiovascular death, non-fatal myocardial infarction or non-fatal stroke. The safety profile of semaglutide in SUSTAIN 6 was as expected and consistent with previous semaglutide clinical studies. Based on the now concluded SUSTAIN trials, Novo Nordisk expects to file semaglutide for regulatory review in the US and EU in the fourth quarter of 2016. 9 011_Share magazine_Q1 2016_v1.indd 9 04-05-2016 12:59:39 BREAKING GROUND ON 2 BILLION US DOLLAR PRODUCTION FACILITY On 29 March, Novo Nordisk broke ground on its new production facility in Clayton, North Carolina. The facility represents an expected investment of around 2 billion US dollars. The facility will produce active pharmaceutical ingredients for a range of Novo Nordisk’s current and future GLP-1 and insulin products. Once fully operational in 2020, Clayton will provide production capacity for diabetes care products in the US for the following decade. ”As the prevalence of diabetes has grown in the US, so too has the demand for effective treatments,” said Lars Rebien Sørensen, president and chief executive officer of Novo Nordisk. ”It gives me great pride to break ground on our new facility site in Clayton, where we have an existing, strong organisation. This site will play a vital role in enabling us to meet the needs of people living with diabetes in the US for years to come.” The new site is situated adjacent to Novo Nordisk’s existing 42,000 m2 facility, which assembles and packages FlexPen® and FlexTouch® pre-filled devices for the US market. The expansion is expected to create close to 700 new jobs, and Novo Nordisk expects to create a significant employment effect during the construction period, with up to 2,500 people working on the project at its peak. 10 President and CEO Lars Rebien Sørensen (third from left) took part in the ground-breaking event. 011_Share magazine_Q1 2016_v1.indd 10 04-05-2016 12:59:41 Diabetes is ranked sixth among the top 10 leading causes of death in Johannesburg. The city is now part of the Cities Changing Diabetes programme. JOHANNESBURG JOINS CITIES CHANGING DIABETES On 8 April, the city of Johannesburg joined the Cities Changing Diabetes programme and became the first African city to join the global initiative. The addition of the largest city in South Africa as a partner city means Cities Changing Diabetes now unites six cities across four continents in the fight against urban diabetes. Johannesburg City Member of the Mayoral Council on Health and Social Development Ms Nonceba Molwele says: “Diabetes is ranked sixth among the top 10 leading causes of death in Johannesburg and represents a significant public health challenge here. Joining Cities Changing Diabetes is an exciting opportunity for us to learn more about what we can do to combat this growing condition. We look forward to learning from the experiences of other cities around the world, so that we can create a more liveable and healthy Johannesburg with fewer people at risk of developing diabetes.” Cities Changing Diabetes was established in 2014 by founding partners Novo Nordisk, University College London and Steno Diabetes Center. The programme aims to tackle the rise of diabetes in cities through three distinct but interconnecting phases: mapping the challenges, sharing the learnings among the cities and stakeholders, and taking action on these learnings. Read more in the press release from 8 April at novonordisk.com/newsarchive or at citieschangingdiabetes.com FOCUS ON URBAN DIABETES Read more about why Novo Nordisk focuses on urban diabetes in the latest sustainability magazine TBL Quarterly at novonordisk.com/tblquarterly 11 011_Share magazine_Q1 2016_v1.indd 11 04-05-2016 12:59:41 SHAREHOLDER INFORMATION Follow Novo Nordisk on novonordisk.com and on social media: facebook.com/novonordisk FINANCIAL CALENDAR 3 August 2016 twitter.com/novonordisk 28 October 2016 linkedin.com/company/novo-nordisk 2 February 2017 pinterest.com/novonordisk FIRST THREE QUARTERS OF 2016 HALF YEAR 2016 Share price performance Price development and monthly turnover N are res off Novo Nordisk B shares vo Nordisk share sh hare price pri and indexed peers Novo No o Nordisk sk Novo OM M A OMXC20 CAP youtube.com/novonordisk FULL YEAR 2016 Pha a Pharmaceutical industry peers* Turn Tu Turnover of B shares (left) Nov Nordisk’s B share Novo clo los closing prices (right) DKK 430 DKK Billion 30 400 390 25 320 350 20 160 10 270 0 240 15 310 80 5 May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr 2015 2016 * Pharma peers comprise AstraZeneca, Bistrol-Myers Squibb, Eli Lilly, GlaxoSmithKline, Lundbeck, Merck, Novartis, Pfizer, Roche and Sanofi. 0 May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr 2015 2016 0 Novo Nordisk A/S Corporate Communications, Novo Allé, 2880 Bagsværd, Tel +45 4444 8888 Share Magazine is distributed three times a year to shareholders Editorial staff Christina Weber-Villumsen Tel +45 3079 6321, cwev@novonordisk.com Editor-in-chief Mike Rulis Translation, copy-editing and layout Corporate Communications Printing and distribution Bording A/S, Copenhagen Circulation 12,000 Danish 2,000 English Investor contact Hanna Ögren Tel +45 3079 8519, haeo@novonordisk.com Product names Not all products mentioned in Share have been introduced worldwide. Trade names may vary from country to country. Photos Novo Nordisk 011_Share magazine_Q1 2016_v1.indd 12 04-05-2016 12:59:42