Company Presentation

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ACTELION LTD
DELIVERING ON OUR STRATEGY
Company Presentation
February 2016
Copyright © 2016 Actelion Pharmaceuticals Ltd
The following information contains certain “forward-looking statements”, relating to the
company’s business, which can be identified by the use of forward-looking terminology such
as “estimates”, “believes”, “expects”, “may”, “are expected to”, “will”, “will continue”, “should”,
“would be”, “seeks”, “pending” or “anticipates” or similar expressions, or by discussions of
strategy, plans or intentions. Such statements include descriptions of the company’s
investment and research and development programs and anticipated expenditures in
connection therewith, descriptions of new products expected to be introduced by the company
and anticipated customer demand for such products and products in the company’s existing
portfolio. Such statements reflect the current views of the company with respect to future
events and are subject to certain risks, uncertainties and assumptions. Many factors could
cause the actual results, performance or achievements of the company to be materially
different from any future results, performances or achievements that may be expressed or
implied by such forward-looking statements. Should one or more of these risks or uncertainties
materialize, or should underlying assumptions prove incorrect, actual results may vary
materially from those described herein as anticipated, believed, estimated or expected.
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
TABLE OF CONTENTS
 Actelion at a Glance
 Actelion Today
 Strategy for Value Creation

Sustain & Grow the PAH Franchise

Build Additional Specialty Franchises

Optimize Profitability
 Management & Board
3
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
ACTELION
AT A GLANCE
4
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
ACTELION PHARMACEUTICALS LTD
ACTELION IS A FULLY INTEGRATED BIOPHARMACEUTICAL
COMPANY WITH INNOVATION AT ITS CORE
Leader in the
science and medicine of
pulmonary arterial hypertension
(PAH)
Actelion Center, Allschwil
FOUNDED IN 1997 IN ALLSCHWIL, SWITZERLAND
Total employees (December ‘15)
• Drug Discovery
• Clinical Development
• Marketing & Sales
• Support Functions
2,547
371
422
1,425
329
Global reach with more than 30 affiliates worldwide
7 Products on the Market:
Opsumit®, Tracleer®, Uptravi®, Veletri®, Ventavis®, Valchlor®,
Zavesca®
2015 Sales: CHF 2.042 Billion
Core earnings: CHF 814 million
Over 65‘000 Patients currently treated with an Actelion
medication
Extensive Research & Development portfolio
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
STAGES OF COMPANY DEVELOPMENT
2020
2014
2007
2001
1997
Build pipeline
and commercial
Company formed,
infrastructure
development
& approval of
Tracleer
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Commercial
leverage
and prepare for
Tracleer LOE
Company presentation
Opsumit, Uptravi
and development of
new franchises
PAH, Life Cycle
Management
and New
Franchises
ACTELION TODAY
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
ACTELION TODAY
A UNIQUE COMPANY
1 Based on innovation
2 Fully integrated and global
3 Highly profitable
4 Comprehensive infrastructure
5 Unencumbered assets
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
ACTELION TODAY
A UNIQUE COMPANY
1 Based on innovation
2 Fully integrated and global
►
Searching only for innovative products
►
In-house research infrastructure from
discovery to clinical development
►
With a broad pipeline of interesting
projects on novel targets
3 Highly profitable
4 Comprehensive infrastructure
5 Unencumbered assets
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
ACTELION TODAY
FULLY INTEGRATED AND GLOBAL
A UNIQUE COMPANY
From Research to Commercialization
More than 30 operative affiliates worldwide
Product availability in >60 markets
1 Based on innovation
2 Fully integrated and global
3 Highly profitable
4 Comprehensive infrastructure
5 Unencumbered assets
Commercial Operations
R&D Centers
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
ACTELION TODAY
A UNIQUE COMPANY
CORE EARNINGS
1 Based on innovation
2 Fully integrated and global
3 Highly profitable
4 Comprehensive infrastructure
5 Unencumbered assets
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
900
800
700
600
500
400
300
200
100
0
Company presentation
2009
2010
2011
2012
2013
2014
2015
ACTELION TODAY
A UNIQUE COMPANY
1 Based on innovation
►
Swiss company
2 Fully integrated and global
►
One discovery center in Switzerland
3 Highly profitable
►
Full global development capabilities
►
Fully established infrastructure from
process to buildings
►
Focus on quality
4 Comprehensive infrastructure
5 Unencumbered assets
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
ACTELION TODAY
A UNIQUE COMPANY
1 Based on innovation
2 Fully integrated and global
►
Full rights to all products*
►
Strong balance sheet and financing capacity
►
No major alliances for own products
3 Highly profitable
4 Comprehensive infrastructure
5 Unencumbered assets
*Cooperation with Nippon Shinyaku in
Japan for macitentan and selexipag
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
STRATEGY FOR VALUE
CREATION
SUSTAIN AND
GROW THE PAH
FRANCHISE
BUILD ADDITIONAL
SPECIALTY
FRANCHISES
OPTIMIZE PROFITABILITY
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
STRATEGIC PRINCIPLES
FOUR GOALS FOR ACTELION
Drive innovation forward
Maximize the value of innovation
Pursue top quality science, internally
and externally, balanced with medical
need and commercial potential
Leverage our global presence
Insist on the highest quality in all we do
Expand innovative commercial
capabilities to new customers and
regions. Manage alliances putting the
product first
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Develop projects ourselves and seek
partners or out-license when necessary to
maximize value
Quality is crucial and needs to be
ingrained across all functions
Company presentation
2015
STRONG PERFORMANCE CONTINUES
 Operational Highlights
– Strong, sustained Opsumit® launch trajectory across
markets
– Uptravi – Approved and launched in the US, EU filing
resulted in positive CHMP opinion
– Pipeline – Advancing late-stage assets
– Pipeline – Significant progress in discovery and earlystage development
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
2015
KEY FINANCIAL HIGHLIGHTS
Core EPS
PRODUCT SALES
CHF 6.16
>CHF 2
BILLION
CASH RETURNED
TO SHAREHOLDERS
CORE EARNINGS
>CHF 800
MILLION
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
ALMOST
CHF 1
BILLION
STRATEGY FOR VALUE
CREATION
SUSTAIN AND
GROW THE PAH
FRANCHISE
BUILD ADDITIONAL
SPECIALTY
FRANCHISES
OPTIMIZE PROFITABILITY
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
PULMONARY ARTERIAL HYPERTENSION
A LIFE-THREATENING AND OFTEN MISUNDERSTOOD CONDITION
 Disease of the blood vessels carrying blood from the heart to the lungs
- the pulmonary arteries
 When PAH develops, blood circulating through these vessels becomes
restricted, and the right side of the heart is put under increasing strain to pump
blood through the lungs
Normal artery
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© 2016 Actelion Pharmaceuticals Ltd
Artery showing
vasoconstriction
February 2016
Company presentation
Diseased artery showing tissue
thickening and fibrosis
CLINICAL SEVERITY OF PAH
CLASSIFIED BY WORLD HEALTH ORGANIZATION (WHO)
This system grades PAH severity according to the functional status of the patient
FUNCTIONAL
CLASS
SYMPTOMATIC PROFILE
I
Patients with pulmonary hypertension but without resulting limitation of physical activity.
Ordinary physical activity does not cause dyspnoea or fatigue, chest pain, or near
syncope.
II
Patients with pulmonary hypertension resulting in slight limitation of physical activity.
They are comfortable at rest. Ordinary physical activity causes undue dyspnoea or
fatigue, chest pain, or near syncope.
III
Patients with pulmonary hypertension resulting in marked limitation of physical activity.
They are comfortable at rest. Less than ordinary activity causes undue dyspnoea or
fatigue, chest pain, or near syncope.
IV
Patients with pulmonary hypertension with inability to carry out any physical activity
without symptoms. These patients manifest signs of right heart failure. Dyspnoea and/or
fatigue may even be present at rest. Discomfort is increased by any physical activity.
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
TREATMENT PATHWAYS IN PAH
ENDOTHELIN RECEPTOR
ANTAGONISTS (ERA)
PHOSPHODIESTERASE-5INHIBITORS (PDE-5i)
PROSTACYCLIN
RECEPTOR AGONISTS
IP
RECEPTOR
AGONIST
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
PGI2
ANALOGUES
SIGNIFICANT PROGRESS IN THE FIELD OF PAH
PAH targeted therapies
Multiple approved
1st
1st
PGI2
1990
INCREASING DISEASE
AWARENESS
PRECLINICAL/
CLINICAL RESEARCH
22
Oral PDE-5i
2000
IMPROVEMENT IN SYMPTOMS,
MEASURED BY 6MWD
ERA:
PDE-5i:
PGI2:
Oral ERA
1st
NATIONAL
NETWORKS
endothelin receptor antagonist
phosphodiesterase-5 inhibitor
prostacyclin
© 2016 Actelion Pharmaceuticals Ltd
February 2016
2010
DISEASE WORSENING, MEASURED BY
TIME TO CLINICAL WORSENING
REFERENCE
CENTERS
PATIENT
ASSOCIATIONS
DISEASE
REGISTRIES
therapies in 2010
CONTROLLED
CLINICAL TRIALS
EVIDENCE-BASED
GUIDELINES
PROCEEDINGS FROM
3RD WORLD
CONGRESS 2003
ESC 2004
GUIDELINES
Company presentation
DISEASE PROGRESSION OVER YEARS,
MEASURED BY MORBIDITY/MORTALITY
SCREENING
HIGH-RISK GROUPS
PROCEEDINGS FROM
4TH WORLD
CONGRESS 2008
ESC/ERS 2009
GUIDELINES
ORAL THERAPIES IN PAH
RANDOMIZED CONTROLLED TRIALS
Drug
Study
Duration
Primary endpoint
No. of
patients
Study-3511,2
12 weeks
6-MWD
32
BREATHE-13
16 weeks
6-MWD
213
EARLY4
24 weeks
PVR, 6-MWD
185
Sildenafil
SUPER-15
12 weeks
6-MWD
277
Tadalafil
PHIRST6
16 weeks
6-MWD
405
ARIES-17,8
12 weeks
6-MWD
202
ARIES-27,9
12 weeks
6-MWD
192
AMBITION10
78.6 weeks
Clinical failure
610
Macitentan
SERAPHIN11
103.9 weeks
Morbidity/Mortality
742
Selexipag
GRIPHON12
76.4 weeks
Morbidity/Mortality
1,156
Bosentan
Ambrisentan
Short-term
fixed
treatment
period trial
design
1. Channick RN, et al. Lancet 2001. 2. Badesch D, et al. Curr Ther Res 2002.
3. Rubin LJ, et al. N Engl J Med 2002. 4. Galiè N, et al. Lancet 2008.
5. Galiè N, et al. N Engl J Med 2005. 6. Galiè N, et al. Circulation 2009.
7. Galiè N, et al. Circulation 2008. 8. Oudiz R, et al. Chest 2006.
9. Oudiz RJ, et al. J Am Coll Cardiol 2009. 10. Galiè N, et al. Eur Respir J 2014.
11. Pulido, et al. N Engl J Med 2013. 12. Sitbon O et al. N Engl J Med 2015.
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
EVOLUTION OF THE TREATMENT GUIDELINES
FROM RANDOMISED CONTROLLED TRIALS TO EVIDENCE-BASED
GUIDELINES
 A wealth of data concerning PAH management has emerged in recent years
–
Not only from RCTs, but also clinical practice, including disease registries
–
This has led to published management guidelines1, updated
recommendations2, and approval of multiple therapies
1. Galiè N, et al. Eur Heart J 2009. 2. Galiè N, et al. J Am Coll Cardiol 2013.
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
TRACLEER: OUR FIRST
SUCCESS
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
TRACLEER®: FIRST ORAL PRODUCT IN PAH
THE FIRST DECADE OF SHAPING PAH TREATMENT
Tracleer (bosentan) is an orally available
endothelin receptor antagonist (ERA) approved
for the treatment of PAH in over 60 countries, including
the United States in November 2001, the European Union
in May 2002 and Japan in April 2005
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
TRANSITION TO OPSUMIT –
RESILIENCE vs. GENERICS
CHF million
- 6% in Units
-11% at CER(1)
~ 7,000
DU patients
(+9%)
1,418
1,212
~ 39,000
PAH patients
(-9%)
FY 2014
(1) Excluding
27
FY 2015
impact of prior-year US rebate reversals
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
ACTELION’S PAH PORTFOLIO
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
ACTELION’S PAH FRANCHISE
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
TRANSFORMING OUR PAH PORTFOLIO
MOVING TO OUTCOME-BASED THERAPY
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
UNIQUELY POSITIONED TO BUILD & SERVE PAH
COVERING CONTINUUM OF CARE WITH OUTCOME-BASED MEDICINES
FC II
FC III
+/- PDE-5 inhibitor
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
FC IV
ENGINE OF
TRANSFORMATION
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
OPSUMIT®
ENGINE OF TRANSFORMATION
Opsumit (macitentan) is an orally available
endothelin receptor antagonist (ERA) approved
for the treatment of PAH in over 35 countries,
including the United States in October 2013, the European
Union in December 2013 and Japan in March 2015
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
OPSUMIT: A LANDMARK IN PAH
 The effect of macitentan to reduce combined morbidity/mortality events
34
–
a multi-center, event driven long-term, placebo controlled study
–
average duration of exposure approximately 2 years,
–
in 742 patients
–
with symptomatic PAH
–
WHO functional class (FC) II-III
–
who were randomized to placebo (n=250), 3mg macitentan (n=250),
or 10mg macitentan (n=242) once daily
–
Patients were treated with Opsumit® monotherapy or in combination with
phosphodiesterase-5 inhibitors or inhaled prostanoids
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
STRONG LAUNCH DYNAMICS
SUSTAINED
 Strong launch trajectory sustained
CHF million
across markets
 2015: CHF 516 million
147
95
59
162
113
68
38
Q2
2014
35
Q3
2014
Q4
2014
Q1
2015
© 2016 Actelion Pharmaceuticals Ltd
Q2
2015
Q3
2015
February 2016
Q4
2015
Company presentation
 Commercially available in over
35 countries
OPENING THE PROSTACYCLIN
PATHWAY TO MANY
MORE PATIENTS
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
OPENING THE PROSTACYCLIN
PATHWAY TO MANY MORE PATIENTS
US: FDA APPROVAL 21 DEC 2015
US: LAUNCH 04 JAN 2016
EU: CHMP POSITIVE OPINION 29 JAN 2016
Uptravi® (selexipag) is an orally available,
selective IP prostacyclin receptor agonist,
targeting and activating the prostacyclin
pathway.
37
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
GRIPHON STUDY PUBLISHED
24 DECEMBER 2015
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
KEY US PRESCRIBING INFORMATION
UPTRAVI is indicated for
the treatment of pulmonary
arterial hypertension (PAH,
WHO Group I) to delay
disease progression and
reduce the risk of
hospitalization for PAH
Source: US Prescribing Information, December 2015
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
Adverse reactions
occurring more frequently
(>5%) on UPTRAVI
compared to placebo are
headache, diarrhea, jaw
pain, nausea, myalgia,
vomiting, pain in
extremity, and flushing
LAUNCH PRIORITIES
Prostacyclin
Market
Development
LAUNCH
3
Expand
prescriber
base
3
Establish as
prostacyclin of
1st choice
2
2
Expand
prostacyclin
therapy
patients base
2
2
Expand
prostacyclin
prescriber
base
11st
Establish as
prostacyclin
therapy of 1st
choice
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
11st
Expand
prostacyclin
therapy
patient base
I.V. THERAPY MADE A
LITTLE EASIER
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
VELETRI®
I.V. THERAPY MADE A LITTLE EASIER
Veletri (Epoprostenol for Injection)
is intravenous prostacyclin.
Unlike other epoprostenol formulations
approved for PAH, Veletri is stable at room
temperature (77 F, 25 C) for up to 48 hours when
administered immediately upon reconstitution and dilution,
making the use of frozen gel packs unnecessary.
Approved in 15 countries including the United States since
2010 and some European markets since 2013
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
CONTINUED SIGNIFICANT GROWTH
+37% CER Growth(1)
 Available in 15 markets
CHF million
 > 1,900 patients on drug Dec 2015
(> 50% from US)
 Growth momentum due to:
83
– Launch in France
– > 80% new i.v. Epo patient share in US and
EU
62
– Japan performance
FY 2014
(1) Excluding
43
FY 2015
impact of prior-year US rebate reversals
© 2016 Actelion Pharmaceuticals Ltd
February 2016
*Trade
name Epoprostenol “ACT”
Company presentation
SUSTAINING OUR
BUSINESS
MARKETED BY ACTELION IN THE US ONLY
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
VENTAVIS®
Ventavis (inhaled iloprost) is an
inhaled formulation of iloprost, a synthetic
compound that is structurally similar to prostacyclin
(PGI2), a naturally occurring molecule that causes blood
vessels to dilate, limits cellular hypertrophy, and inhibits
platelet aggregation.
MARKETED BY ACTELION IN THE US ONLY
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
WELL MANAGED PERFORMANCE
-7% CER Variance(1)
CHF million
 20% decline in units shipped
due to competitive pressure
 Volume decline expected to
accelerate due to competitive
situation
(1) Excluding
46
106
105
FY 2014
FY 2015
impact of prior-year US rebate reversals
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
EXPANDING THE CLINICAL
UTILITY OF MACITENTAN
MACITENTAN
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
OBJECTIVES OF MACITENTAN CLINICAL PROGRAM
 Better characterize macitentan in specific PAH patient population
 Extend use beyond PAH in other forms of Pulmonary Hypertension
 Develop for diseases beyond PH
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
CLINICAL CLASSIFICATION OF
PULMONARY HYPERTENSION (PH) – 2015
1. PAH
1.1 Idiopathic PAH (iPAH)
1.2 Heritable PAH
1.3 Drugs and toxin induced
1.4 Associated with (APAH):
1.4.1 Connective tissue disease
1.4.2 HIV infection
1.4.3 Portal hypertension
1.4.4 CHD
1.4.5 Schistosomiasis
1.4.6 Chronic hemolytic anemia
1.5 Persistent pulmonary hypertension of
the newborn
1’. Pulmonary veno-occlusive disease and/or
pulmonary capillary hemangiomatosis
1”. Persistent PH of the newborn (PPHN)
Galiè et al. Eur Heart J 2015
© 2016 Actelion Pharmaceuticals Ltd
February 2016
2. PH due to
left heart disease
3. PH due to lung disease
and/or hypoxemia
4. Chronic thromboembolic
pulmonary hypertension
and other pulmonary
artery obstructions
5. PH with unclear and/or
multifactorial mechanisms
5.1 Hematological disorders
5.2 Systemic disorders
5.3 Metabolic disorders
5.4 Other
EXPANDING THE CLINICAL UTILITY OF OPSUMIT
MANAGING THE LIFE CYCLE
 OPUS (US observational, drug registry of Opsumit new users in clinical practice)
 SYMPHONY (psychometric validation of QoL questionnaire – USA)
 ORCHESTRA (psychometric validation of QoL questionnaire – FR, IT, ES)
 MAESTRO (Eisenmenger Syndrome)
 MERIT (CTEPH - Chronic Thromboembolic Pulmonary Hypertension)
 MELODY (CpcPH-LVD - Combined Pre- and Post-capillary Pulmonary
Hypertension due to Left Ventricular Dysfunction)
 SOPRANO (PH after left ventricular assist device implantation)
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
EXTEND USE IN PULMONARY HYPERTENSION
CHRONIC THROMBOEMBOLIC PULMONARY HYPERTENSION
(MERIT STUDY)
 Chronic thromboembolic pulmonary hypertension (CTEPH) is a form of
pulmonary hypertension caused by old blood clots in the lungs (pulmonary
embolism)
 Goal is assessment of efficacy and safety of macitentan in CTEPH
 Results should be available later this year.
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
EXTEND USE IN PULMONARY HYPERTENSION
COMBINED PRE- AND POST-CAPILLARY PULMONARY HYPERTENSION
DUE TO LEFT VENTRICULAR DYSFUNCTION (CpcPH)
 CpcPH is pulmonary hypertension secondary to left ventricular dysfunction
based on the difference between the diastolic pulmonary artery pressure (dPAP)
and the pulmonary artery wedge pressure (PAWP), or diastolic pulmonary
vascular pressure gradient (DPG).
 Phase II “MELODY” study complete
 Goal is assessment of efficacy and safety of macitentan in CpcPH
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
STRATEGY FOR VALUE
CREATION
SUSTAIN AND
GROW THE PAH
FRANCHISE
BUILD ADDITIONAL
SPECIALTY
FRANCHISES
OPTIMIZE PROFITABILITY
53
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
BUILD ADDITIONAL SPECIALTY
FRANCHISE
MARKETED BY ACTELION IN THE US ONLY
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
VALCHLOR®
Valchlor (mechlorethamine) gel 0.016%
is applied topically once-a-day and dries
on the skin. Valchlor is the only US FDA
approved topical formulation of mechlorethamine,
a chemotherapeutic agent for the treatment of early stage
mycosis fungoides, a type of Cutaneous T-Cell Lymphoma.
Launched in the US in November 2013
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
MYCOSIS FUNGOIDES
EXPANDING OUR SPECIALTY BUSINESS
 Mycosis fungoides is the most common type of
Cutaneous T-Cell Lymphoma (CTCL), a rare form of
non-Hodgkin's lymphoma
 The cause of mycosis fungoides remains unknown and
there is no known cure
 Unlike most non-Hodgkin's lymphomas, mycosis
fungoides is caused by a mutation of T-cells. The
malignant T-cells in the body initially migrate to the skin,
causing various lesions to appear
 These lesions typically begin as what appears to be a
rash and may progress to form plaques and disfiguring
tumors
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
CONSISTENT PROGRESS
CHF million
 Sales of CHF 27 million
 Focused strategy to shape the
space for Valchlor in patients
with lower disease burden
7.4
3.5
4.1
7.1
8.0
underway* - approval anticipated
by Q1 2017
4.6
Q3 2014 Q4 2014 Q1 2015 Q2 2015 Q3 2015 Q4 2015
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
 Registration process with the EMA
Company presentation
*Trade name Ledaga®
BUILD ADDITIONAL SPECIALTY
FRANCHISE
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© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
ZAVESCA®
Miglustat, the active ingredient of
Zavesca, is an orally available molecule
with a large volume of distribution
Zavesca is approved for the treatment of
Niemann-Pick type C disease in 45 countries, including the
European Union since 2009 and Japan since 2012.
Zavesca is approved for the treatment of mild to moderate
type 1 Gaucher disease in 47 countries, including the US
and the European Union since 2003
59
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
NIEMANN-PICK TYPE C DISEASE (NP-C)
A RARE AND DIFFICULT TO DIAGNOSE GENETIC LYSOSOMAL
STORAGE DISORDER
 Devastating neurological genetic disorder which is ultimately fatal
 Onset from early childhood until adult age
 Pathophysiology
–
Abnormal intracellular lipid transport
–
Cytotoxic accumulation of glycosphingolipids in neurons
 Symptoms become progressively more severe and include:
60
–
Severe disabilities in swallowing, ambulation, eye movements, language,
cognition, muscle control
–
Lipid accumulation can also lead to an enlarged liver and/or spleen.
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
TYPE 1 GAUCHER DISEASE (GD1)
A RARE GLYCOSPHINGOLIPID DISORDER
 An inherited metabolic lysosomal storage disorder
 Characterized by an accumulation of lycosphingolipids
 The accumulation leads to multiple clinical manifestations:
–
an enlarged spleen and liver
–
anemia and a low platelet count
–
bone pain and bone deterioration
 Symptoms can appear at any age
61
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
CONTINUED GROWTH IN NP-C
 Increasing generic competition for
type 1 Gaucher disease
CHF million
-3% CER Variance(1)
 Underlying volume remained flat
due to strong growth in NP-C
patients outside of US
 Positive price in US but generic
102
driven erosion in some EU markets
(i.e. ES)
92
 Potential miglustat generic entry in
US during H2 2016
FY 2014
(1) Excluding
62
FY 2015
impact of prior-year US rebate reversals
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
BUILD ADDITIONAL SPECIALTY
FRANCHISE
CADAZOLID
CLOSTRIDIUM DIFFICILE-ASSOCIATED
DIARRHEA
63
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
International, Multi-center Program Assessing
Cadazolid Treatment in patients suffering from
Clostridium difficile-associated diarrhea (CDAD)
mpact
64
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
CADAZOLID: OUR NOVEL ANTIBIOTIC
 Investigated for the treatment of Clostridium difficile-associated diarrhea (CDAD)
 Clostridium difficile is a spore-forming bacteria that is best known for
causing antibiotic-associated diarrhea
 Cadazolid:
–
Strong inhibitor of Clostridium difficile protein synthesis leading to strong
suppression of both toxin and spore formation
–
Narrow spectrum – very limited effect on normal gut microflora – potential for
selective treatment for Clostridium difficile in the gut = less recurrence
–
In vitro tests demonstrate low propensity for resistance development
–
Early results indicate it may be safe and well tolerated with negligible
absorption
–
US FDA designated cadazolid as both a Qualified Infectious Disease
Product (QIDP) and a Fast Track development program
Cadazolid is investigational, in development and not approved or marketed in any country.
65
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
CADAZOLID SHOWS MINIMAL EFFECTS ON THE GUT MICROFLORA
QRT-PCR QUANTIFICATION OF BACTERIAL NUMBERS IN STOOL SAMPLES FROM PHASE II (T. LOUIE)
C. leptum
C. difficile
10.0
Bifidobacterium
10.0
*
*
8.0
*
8.0
8.0
6.0
*
6.0
6.0
Prevotella
Bacteroidetes
4.0
4.0
4.0
10.0
10.0
2.0
2.0
8.0
0.0
6.0
CFU/g stool
10.0
*
2.0
8.0
8.0
0.0
0.0
6.0
6.0
4.0
4.0
4.0
2.0
2.0
2.0
0.0
0.0
0.0
Cadazolid is an investigational drug in development and not approved or marketed in any country
66
Lactobacillus
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
PHASE II EFFICACY ENDPOINTS
MODIFIED CURE RATE, RECURRENCE RATE, SUSTAINED CURE (MITT)
100.0
Cadazolid 250mg bid
94
86
Vancomycin 125mg qid
80.0
77
60.0
55
37
40.0
19
20.0
N=
17
22
16
19
17
22
0.0
Clinical Cure
Recurrence
Louie T. et al., Antimicrob Agents Chemother. 2015;59(10):6266-73
Cadazolid is an investigational drug in development and not approved or marketed in any country
67
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
Sustained Cure
CADAZOLID: PROGRESSING AS PLANNED
PHASE III PROGRAM
 Two identical multi-center, randomized, double-blind studies designed to
demonstrate:
–
Non-inferior clinical response with cadazolid compared to vancomycin
–
Superior sustained clinical response with cadazolid compared to vancomycin
–
Efficacy on hypervirulent strains
 Completion of enrollment is expected by the end of 2016
Cadazolid is investigational, in development and not approved or marketed in any country.
68
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
BUILD ADDITIONAL SPECIALTY
FRANCHISE
S1P1
RECEPTOR
IMMUNOMODULATION
69
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
PONESIMOD
KEY PROPERTIES
 Profile suitable for once-daily oral dosing
 Selective S1P1 receptor modulator
 Prevents lymphocytes from leaving lymph nodes
 Lymphocyte reduction is rapid and dose-
dependent
 Lymphocyte reduction is rapidly reversible upon
discontinuation
 Potential in multiple immunological diseases
70
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
STRONG PHASE II DATA
IN MULTIPLE SCLEROSIS
PONESIMOD
Ponesimod is investigational, in development and not approved or marketed in any country.
71
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
PHASE II DOSE FINDING STUDY IN MS
STUDY DESIGN
Randomization
Placebo
(n=121)
10 mg o.d. ponesimod (n=108)
20 mg o.d. ponesimod (n=116)
Baseline
40 mg o.d. ponesimod (n=119)
Treatment
Screening
Follow-up
Follow-up
24 weeks
Core
Ponesimod is investigational, in development and not approved or marketed in any country.
72
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
Extension
PRIMARY ENDPOINT: CUMULATIVE NUMBER OF
NEW T1 GD+ LESIONS FROM WEEK 12 TO WEEK 24
Cumulative new T1 Gd+ lesions
from week 12 to week 24 (Mean ± SE)
Per-protocol population
43% reduction
*
77% reduction
83% reduction
***
*p<0.05, ***p<0.0001 vs placebo
Ponesimod is investigational, in development and not approved or marketed in any country.
73
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
***
SECONDARY ENDPOINT: ANNUALIZED RELAPSE
RATE UP TO WEEK 24
All-treated population
0.9
Annualized relapse rate (+ 95% CI)
0.8
52%
0.7
0.6
p<0.05
0.5
0.4
0.3
0.2
0.1
0
•
0.525
0.332
0.417
0.251
Placebo
Ponesimod 10 mg
Ponesimod 20 mg
Ponesimod 40 mg
Annualized confirmed relapse rate estimated from negative binomial
regression model
Ponesimod is investigational, in development and not approved or marketed in any country.
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Investor Webcast
ADVERSE EVENTS OBSERVED IN ≥5% OF PATIENTS
All-treated population
n (%)
Placebo
(n=121)
Ponesimod 10 mg
(n=108)
Ponesimod 20 mg
(n=114)
Ponesimod 40 mg
(n=119)
Patients with ≥1 AE
90 (74.4)
83 (76.9)
88 (77.2)
88 (73.9)
310
275
304
325
Headache
18 (14.9)
15 (13.9)
15 (13.2)
15 (12.6)
Nasopharyngitis
17 (14.0)
16 (14.8)
11 (9.6)
13 (10.9)
Upper RTI
11 (9.1)
4 (3.7)
9 (7.9)
11 (9.2)
Diarrhoea
8 (6.6)
3 (2.8)
3 (2.6)
2 (1.7)
Fatigue
7 (5.8)
7 (6.5)
9 (7.9)
6 (5.0)
Arthralgia
7 (5.8)
2 (1.9)
1 (0.9)
1 (0.8)
Back pain
6 (5.0)
2 (1.9)
5 (4.4)
6 (5.0)
Nausea
6 (5.0)
2 (1.9)
3 (2.6)
4 (3.4)
UTI
6 (5.0)
2 (1.9)
1 (0.9)
3 (2.5)
Oral herpes
6 (5.0)
1 (0.9)
–
2 (1.7)
Sinusitis
5 (4.1)
4 (3.7)
5 (4.4)
6 (5.0)
Dyspnoea
4 (3.3)
5 (4.6)
7 (6.1)
17 (14.3)
Dizziness
3 (2.5)
8 (7.4)
7 (6.1)
11 (9.2)
Peripheral oedema
2 (1.7)
2 (1.9)
3 (2.6)
13 (10.9)
Cough
2 (1.7)
1 (0.9)
3 (2.6)
8 (6.7)
Increased ALT
1 (0.8)
5 (4.6)
7 (6.1)
7 (5.9)
Total number of AEs
Ponesimod is investigational, in development and not approved or marketed in any country.
AE, adverse event; ALT, alanine aminotransferase; RTI, respiratory tract infection; UTI, urinary tract infection
75
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
OVERALL SAFETY SUMMARY
 No increase in the proportion of patients with infection-associated AEs (placebo
45.5%; ponesimod 10 mg, 37.0%; 20 mg, 32.5%; 40 mg, 36.1%)
 Two malignancies were reported: one case of breast cancer in the ponesimod
10 mg group and one case of cervix carcinoma in the placebo group
 The proportion of patients with respiratory AE was higher in the ponesimod than
in the placebo group (placebo, 6.6%; ponesimod 10 mg, 9.3%; ponesimod 20
mg, 16.7%; ponesimod 40 mg, 31.9%)
 No cases of total bilirubin elevation ≥2× ULN and no cases of Hy’s law
 One case of macular edema confirmed by optical coherence tomography
resolved after treatment discontinuation
Ponesimod is investigational, in development and not approved or marketed in any country.
76
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
MAXIMUM EFFECT ON LYMPHOCYTES AT 20 MG
Ponesimod is investigational, in development and not approved or marketed in any country.
77
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
Week 24
Week 20
Week 16
Week 12
Week 8
Week 4
Day 13
Day 8
Mean change from baseline in
lymphocyte count (%)
All-treated set
EFFECT ON LYMPHOCYTES IS RAPIDLY REVERSIBLE
Ponesimod is investigational, in development and not approved or marketed in any country.
78
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
FU2
FU 1
Week 24 /
Week 20
Week 16
Week 12
Week 8
Week 4
Day 13
Day 8
Mean change from baseline in
lymphocyte count (%)
All-treated set – subset of patient with follow-up visit
DOUBLE-BLIND EXTENSION OF
THE PHASE II STUDY
PONESIMOD
Ponesimod is investigational, in development and not approved or marketed in any country.
79
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
DOUBLE-BLIND PHASE II EXTENSION STUDY DESIGN
Randomization
10 mg ponesimod
Placebo
20 mg ponesimod
40 mg ponesimod
10 mg ponesimod
20 mg ponesimod
40 mg ponesimod
Treatment
Treatment Period 1
24 weeks
Up to 96 weeks
Core
Extension
Ponesimod is investigational, in development and not approved or marketed in any country.
80
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
DOUBLE-BLIND PHASE II EXTENSION STUDY DESIGN
End of
Treatment
Randomization
Randomization
10 mg ponesimod
Placebo
20 mg ponesimod
10 mg ponesimod
40 mg ponesimod
20 mg ponesimod
10 mg ponesimod
20 mg ponesimod
10 mg ponesimod
40 mg ponesimod
20 mg ponesimod
Treatment
Treatment Period 1
Treatment Period 2
24 weeks
Up to 96 weeks
Up to 432 weeks
Core
Extension
Ponesimod is investigational, in development and not approved or marketed in any country.
81
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
Followup
EXTENSION STUDY: ARR REDUCTION OVER ~2 YEARS
Annualized Relapse Rates (ARR) (Confirmed Relapses)
Negative Binominal Regressions – All-Randomized Set
,0.60
Annualized Relapse Rate
,0.50
RR = 42.3%
p=0.045
RR = 22.5%
p=0.322
,0.40
V 10mg
V 10mg
40 mg
(n=119)
20 mg
(n=116)
,0.30
,0.20
,0.10
,0.00
10 mg
(n=108)
Ponesimod is investigational, in development and not approved or marketed in any country.
82
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
Pla/40 mg
(n=32)
Pla/20 mg
(n=31)
Pla/10 mg
(n=31)
EXTENSION STUDY: CURRENT STATUS
 Safety profile consistent with the safety profile from the core study
 Continuing in a blinded fashion with two dose groups – 10 and 20 mg
 More than 4 years of exposure – drop-out rate minimal
 Long-term data with 10 and 20mg will be very useful for registration and launch
 High value of the study due to length, blinded fashion, size, and safety and
efficacy endpoints collected at regular intervals
Ponesimod is investigational, in development and not approved or marketed in any country.
83
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
NEW TITRATION SCHEME
PONESIMOD
Ponesimod is investigational, in development and not approved or marketed in any country.
84
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
PHARMACODYNAMIC STUDY
 New titration schemes to mitigate first dose effect
 Simulation work based on PK and PD data used to determine optimal titration
scheme
 Confirmed in a specific trial comparing new vs. previous titration scheme
 Results presented at the European Association for Clinical Pharmacology and
Therapeutics (EACPT) Congress in June 2015
Ponesimod is investigational, in development and not approved or marketed in any country.
85
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
PHASE III OPTIMUM STUDY
IN MULTIPLE SCLEROSIS
PONESIMOD
Ponesimod is investigational, in development and not approved or marketed in any country.
86
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
STUDY OVERVIEW
 OPTIMUM: A Multicenter, randomized, double-blind, parallel-group,
active-controlled, superiority study to compare the efficacy and safety of
ponesimod to teriflunomide in subjects with relapsing multiple sclerosis
 Pivotal Phase III study
–
∼ 200 centers in North America, Latin America, Eastern and Western
Europe, Pacific (planned)
–
∼ 1100 patients randomized in 2 groups in a 1:1 ratio to receive either
ponesimod 20 mg or teriflunomide 14 mg
–
New titration scheme implemented
–
Recruitment should finish in 2016
Ponesimod is investigational, in development and not approved or marketed in any country.
87
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
STUDY OBJECTIVES
 Primary objective
–
To determine whether ponesimod is more efficacious than teriflunomide in
terms of reducing relapses in subjects with relapsing multiple sclerosis
 Secondary objectives
–
To assess the effect of ponesimod on disability progression and on other
aspects of multiple sclerosis disease control;
–
To assess the safety and tolerability of ponesimod in subjects with relapsing
multiple sclerosis
Ponesimod is investigational, in development and not approved or marketed in any country.
88
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
CHOICE OF ACTIVE CONTROL
 Ponesimod compared to Teriflunomide 14 mg
–
Oral comparator facilitates recruitment and blinding
–
Recently approved first-line therapy for relapsing multiple sclerosis
–
Superiority study possible given incomplete effect of teriflunomide on ARR
–
14 mg but not 7 mg approved in EU and Australia
Ponesimod is investigational, in development and not approved or marketed in any country.
89
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
PONESIMOD DIFFERENTIATION
MAXIMIZE OPPORTUNITY WITH PONESIMOD
 OPTIMUM study is enriched with additional endpoints aiming at further
differentiation:
–
PRO, MRI endpoints, disease activity, prospectively included in protocol
–
Compliance enhancement and monitoring tool using electronic device
 Additional study in multiple sclerosis to further characterize:
–
Clinical utility
–
Differentiation
–
Discussed with Health Authorities
Ponesimod is investigational, in development and not approved or marketed in any country.
90
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
PHASE II STUDY
IN GRAFT VS. HOST DISEASE
PONESIMOD
Ponesimod is investigational, in development and not approved or marketed in any country.
91
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
WHY PONESIMOD IN GRAFT VS. HOST DISEASE?
UNMET MEDICAL NEED & SCIENTIFIC RATIONALE
 Unmet need
–
Patients with chronic GvHD have a 30-50% mortality during first 5 years of
diagnosis
–
Currently no approved therapies for chronic GvHD in US
–
Glucocorticoids (with calcineurin inhibitors) are considered standard treatment
–
Half of patients receiving initial therapy do not have a sustained response
 Scientific rationale
–
T and B cells play a key role in pathogenesis
–
S1P1 receptor modulators have shown efficacy in models of GvHD
Ponesimod is investigational, in development and not approved or marketed in any country.
92
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
PONESIMOD IN GRAFT VS. HOST DISEASE
PHASE II DOSE-ESCALATION STUDY DESIGN
 Open-label, single-arm, intra-subject dose-escalation study to investigate the
biological activity, safety, tolerability, & pharmacokinetics of ponesimod in
subjects with symptomatic moderate or severe chronic graft vs. host disease
inadequately responding to first or second line therapy
 The study will also investigate the clinical response to ponesimod treatment in
these patients
 ∼ 30 subjects enrolled to receive escalating doses of 5, 10 and 20 mg over the
course of 24 weeks
 ∼ 10 sites in US expected to last approximately 18 months
 Enrollment imminent
Ponesimod is investigational, in development and not approved or marketed in any country.
93
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
PHASE II STUDY
IN SYSTEMIC LUPUS
ERYTHEMATOSUS
CENERIMOD
An investigational compound, in development and not approved or marketed in any country.
94
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
ACTELION’S SECOND S1P1 MODULATOR: CENERIMOD
KEY PROPERTIES
 Very potent S1P1 receptor modulator with highly
selective profile
O
 Prevents lymphocytes from leaving lymph nodes
N
 Lymphocyte reduction is rapid, dose-dependent
and reversible
N
 Pharmacokinetic profile suitable for once-daily
oral dosing with no need for up-titration regimen
O
 Potential in multiple autoimmune diseases
HO
Cenerimod is investigational, in development and not approved or marketed in any country.
95
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
OH
O
N
WHY S1P1 MODULATOR FOR SYSTEMIC LUPUS
ERYTHEMATOSUS?
UNMET MEDICAL NEED & SCIENTIFIC RATIONALE
 Unmet need:
–
Severe organ damage and significant mortality in subset of patients
–
Impaired physical and mental QoL
–
Therapy is largely empirical with use of corticosteroids and other
immunosuppressants
–
Only one biologic with limited efficacy gained approval
 Scientific rationale for S1P1 receptor modulation in SLE:
–
T and B cells play a key role in pathogenesis
–
S1P1 receptor modulators have shown efficacy in different preclinical models
of SLE: MRL/lpr and BXSB mice
Cenerimod is investigational, in development and not approved or marketed in any country.
96
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
CENERIMOD IN SYSTEMIC LUPUS ERYTHEMATOSUS
PHASE II DOSE-ESCALATION STUDY DESIGN
 Prospective, multicenter, multinational, randomized, double-blind, placebo-
controlled, dose-response study to investigate the biologic activity,
pharmacokinetics, safety, & tolerability of cenerimod in adult subjects with
systemic lupus erythematosus
 ∼ 64 subjects enrolled to receive either 0.5, 1, 2 or 4 mg over the course of 12
weeks
 ∼ 20 sites and expected to last approximately 20 months
Cenerimod is investigational, in development and not approved or marketed in any country.
97
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
BUILD ADDITIONAL SPECIALTY
FRANCHISE
CLAZOSENTAN
CEREBRAL VASOSPASM POSTANEURISMAL SUBARACHNOID
HEMORRHAGE (aSAH)
Clazosentan is investigational, in development and not approved or marketed in any country.
98
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
CLAZOSENTAN FOR CEREBRAL VASOSPASM POSTANEURISMAL SUBARACHNOID HEMORRHAGE (aSAH)
 Highly soluble ETA selective ERA ideal for intravenous administration
 >1’500 patients treated with clazosentan providing significant experience in
vasospasm post aSAH and a well documented safety profile
 CONSCIOUS-2
aneurysm secured by clipping
Lancet Neurology 2011;10(7):618-625
 CONSCIOUS-3
aneurysm secured by coiling
Stroke. 2012 Jun;43(6):1463-9
Clazosentan is an investigational drug in development and not approved or marketed in any country
99
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
CONSCIOUS-3 STUDY - EVENT RATE FOR THE
COMPONENTS OF THE 1o COMPOSITE ENDPOINT
RRR
(95% CI)
25
Clazosentan 5 mg/h
Clazosentan 15 mg/h
-21%
(-97 to 26%)
15%
(-28 to 44%)
29%
(-9 to 54%)
-34%
(-211 to 42%)
44%
(-5 to 70%)
54%
(22 to 72%)
65%
(38 to 80%)
21
20
Event rate (%)
Placebo
35%
(-79 to 76%)
21
18
16
15
15
13
10
10
5
5
6
7
7
3
0
Death (within
6 weeks)
DIND = Delayed ischemic neurological deficits;
Macdonald R et al. Stroke 2012.
New cerebral
infarct
Vasospasm-related
Clazosentan is an investigational drug in development and not approved or marketed in any country
100
© 2016 Actelion Pharmaceuticals Ltd
February 2016
DIND
Company presentation
Rescue
therapy
ADAPTED STRATEGY: REVERSAL VS.
PREVENTION
Vasospasm reversal with clazosentan in humans
Baseline
Vasospasm
2 days of Tx
 Phase III study under discussion with HA’s
 Primary objective to determine whether
clazosentan is an efficacious treatment of
cerebral vasospasm
 Open question: How early is the effect of clazosentan on reversing vasospasm?
 REVERSE: Phase II study to evaluate whether clazosentan has an early effect in
reversing angiographically-confirmed cerebral vasospasm in approximately 25
subjects
Clazosentan is an investigational drug in development and not approved or marketed in any country
101
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
EXTENSIVE RESEARCH
& DEVELOPMENT
102
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
A CHAIN OF EXPERTISE
371 PROFESSIONALS (DECEMBER 2015)
Pharmacologists
Toxicologists
Cell Biologists
Molecular Biologists
DRUG
DISCOVERY
ORGANIZATION
Biochemists
Process Research Chemists
© 2016 Actelion Pharmaceuticals Ltd
Formulation Specialists
Clinical Scientists
Medicinal Chemists
103
Pharmacokineticists
February 2016
Company presentation
Structural Biologists
ACTELION’S DRUG DISCOVERY STRATEGY
All important research functionalities in-house
(e.g. MedChem, AssayTech, DMPK, Pharmacology)
Highly regulated service activities outsourced
(e.g. Toxicology, Production, Formulation)
104
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
THE BASE FOR HIGH DISCOVERY EFFICIENCY
CULTURE OF INNOVATION
•
•
•
•
•
•
105
Single-center approach
Fully integrated research informatics
Focus on small molecules
Few platforms of expertise
Multiple therapeutic areas
High medical input
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
CLINICAL DEVELOPMENT ORGANIZATION
422 PROFESSIONALS (DECEMBER 2015)
Clinical Science
Life Cycle Management
Clinical Pharmacology
CLINICAL
DEVELOPMENT
Global Drug Safety
Global Drug Regulatory Affairs
106
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Biometry
Global Clinical Operations
Strategic Clinical Development
Company presentation
EXTENDING THE CORE PAH FRANCHISE
Phase I
Phase II
Macitentan
OPUS
Macitentan
ORCHESTRA
Macitentan
SOPRANO
Macitentan
SYMPHONY
Macitentan
PORTICO
Macitentan & Selexipag
TRITON
Selexipag
GRIPHON
Macitentan
MAESTRO
Macitentan
MELODY
Macitentan
MERIT
107
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
Phase III
Phase IV
DIVERSIFICATION
Phase I
Cadazolid
Clostridium difficile assoc. diarrhea
Ponesimod
Multiple Sclerosis
Clazosentan
Reversal of vasospasm post-aSAH
Ponesimod
Graft vs. host disease
Cenerimod
Systemic lupus erythematosus
Endothelin Receptor Antagonist
Specialty cardiovascular disorders
Lucerastat
Fabry’s disease
New Chemical Entity
Neurological disorders
New Chemical Entity
Neurological disorders
New Chemical Entity
Cardiovascular disorders
108
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
Phase II
Phase III
OUR RICH DISCOVERY PIPELINE
 >15 promising projects advancing in Drug Discovery
 Focus towards specialty markets and rare diseases with high unmet medical
need
 Current clinical pipeline to build solid portfolio for future revenue growth
109
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
STRATEGY FOR VALUE
CREATION
SUSTAIN AND
GROW THE PAH
FRANCHISE
BUILD ADDITIONAL
SPECIALTY
FRANCHISES
OPTIMIZE PROFITABILITY
110
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
FINANCIAL OVERVIEW
BY REPORTING PERIOD
111
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
FY
2015
STRONG PERFORMANCE
Variance
FY 2015
CHF
CER
1,956
2,042
4%
7%
11%
743
814
9%
14%
25%
5.58
6.16
10%
15%
26%
570
656
15%
21%
-
5.11
4.91
-4%
1%
-
Product sales
CHF million
Core earnings
CHF million
Core diluted EPS
CHF
Operating income
CHF million
US GAAP diluted EPS
CHF
112
© 2016 Actelion Pharmaceuticals Ltd
CER
FY 2014
February 2016
Company presentation
Ex US rebate
reversals
CORE EARNINGS
BY REPORTING PERIOD
113
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
FY
2015
CORE EARNINGS –
INTRINSIC GROWTH + 25%
CHF million
32
168
66
814
743
FY '14 Core
earnings as
reported
114
US rebate reversals
© 2016 Actelion Pharmaceuticals Ltd
February 2016
677
677
FY'14 Core
earnings
excluding US
rebate reversals
FY '15 intrinsic
growth
Company presentation
FX
FY'15 Core
earnings
EARNINGS PER SHARE
(EPS) BY REPORTING
PERIOD
115
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
FY
2015
EARNINGS PER SHARE
Variance
FY 2014
FY 2015
CHF
CER
648
693
7
11
Core Diluted EPS
5.58
6.16
Number of shares in calculation (m)
116.2
112.5
10
15
594
552
-7
-3
US GAAP Diluted EPS
5.11
4.91
Number of shares in calculation (m)
116.2
112.5
-4
1
Core Net income
CHF million
US GAAP Net income
CHF million
116
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
SHAREHOLDER
RETURNS
117
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
OUTSTANDING YEAR FOR SHAREHOLDERS
SHARE PRICE PERFORMANCE
CASH RETURNED TO SHAREHOLDERS
927
588
358
133
2012
2013
2016 – FURTHER RETURNS TO COME
Second-line share repurchase continues
Dividend: Board proposes increase to CHF 1.50 per share
118
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
2014
2015
FINANCIAL GUIDANCE
February
2016
119
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
2016
FINANCIAL GUIDANCE
Low single-digit percentage core operating
income growth, at constant exchange rates
and barring unforeseen events
120
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
MANAGEMENT &
BOARD
121
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
THE RIGHT PEOPLE FOR THE NEXT GROWTH PHASE
ACTELION MANAGEMENT TEAM
Jean-Paul Clozel
Founder, CEO
Joined in 1997
Otto Schwarz
COO
Joined in 2008
Nicholas Franco
Chief BD Officer
Joined in 2011
Guy Braunstein
Head of Global CD
Joined in 2009
Martine Clozel
Founder, CSO
Joined in 1997
Christian Albrich
Head of Global HR
Joined in 2005
Rudi Frank
Head of Global Quality Management
Joined in 2000
Marian Borovsky
General Counsel
Joined in 2003
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© 2016 Actelion Pharmaceuticals Ltd
André Muller
CFO
Joined in 2013
February 2016
Company presentation
Andrew Weiss
Head of IR & CC
Joined in 2014
THE RIGHT PEOPLE FOR THE NEXT GROWTH PHASE
ACTELION BOARD OF DIRECTORS
Jean-Pierre Garnier
Chairman
Joined in 2011
Juhani Anttila
Joined in 2005
John J. Greisch
Joined in 2013
Robert J. Bertolini
Joined in 2011
Peter Gruss
Joined in 2012
Jean Malo
Joined in 2004
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© 2016 Actelion Pharmaceuticals Ltd
David Stout
Joined in 2015
February 2016
Company presentation
Jean-Paul Clozel
Joined in 2000
Michael Jacobi
Joined in 2009
Herna Verhagen
Joined in 2015
THANK YOU FOR YOUR
INTEREST IN ACTELION
124
© 2016 Actelion Pharmaceuticals Ltd
February 2016
Company presentation
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