Medivation 2016 Q1 Earnings Call Deck 5.5.16

download Medivation 2016 Q1 Earnings Call Deck 5.5.16

of 57

Transcript of Medivation 2016 Q1 Earnings Call Deck 5.5.16

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    1/57

    Q1 2016

    Financial and Corporate Update

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    2/57

    Speakers

    2

    David Hung, M.D. – Founder, President and CEO

    Marion McCourt – Chief Operating Officer 

    Jennifer Jarrett – Chief Financial Officer 

    Mohammad Hirmand, M.D. – Interim Chief Medical Officer 

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    3/57

    3

     Additional Information

    Forward-Looking Statements

    This presentation contains forward-looking statements. All statements relating to events or results that may occur in the future, including but not limited to statements

    regarding our future results of operations and financial position, our anticipated future non -GAAP revenue, estimated future sales of XTANDI®, market opportunity for ourproducts and product candidates, potential regulatory approvals or events, and clinical trial events or progress, are forward-looking statements. These statements involveknown and unknown risks, uncertainties and other important factors that may cause our actual results, performance or achievements to be materially different from anyfuture results, performance or achievements expressed or implied by the forward-looking statements. Words such as “believe,” “opportunity,” “potential,” “expected,”“potentially,” “may,” “goals,” and similar expressions are intended to identify these forward -looking statements. These statements involve known and unknown risks,uncertainties and other important factors, including risks inherent in obtaining regulatory approvals, that may cause our actual results, performance or achievements tobe materially different from those expressed or implied by the forward-looking statements. Because forward-looking statements are inherently subject to risks anduncertainties, you should not rely on these forward -looking statements as predictions of future events. For a further description of the risks and uncertainties that couldcause actual results to differ from those expressed in forward-looking statements, including risks relating to relating to our business in general, see our Annual Report onForm 10-K filed with the Securities and Exchange Commission, or SEC, on February 26, 2016, and Quarterly Report on Form 10-Q for the quarter ended March 31,2016, filed with the SEC on May 5, 2016. Except as required by applicable law, we do not plan to publicly update or revise any forward-looking statements containedherein, whether as a result of any new information, future events, changed circumstances or otherwise.

    Additional Information

    This presentation is neither an offer to buy nor a solicitation of an offer to sell any securities of Medivation. No tender offer for the shares of Medivation has commencedat this time. In connection with its proposed transaction, Sanofi may file tender offer documents, consent solicitation documents or other documents with the U.S.Securities and Exchange Commission (“SEC”). If a tender offer and/or consent solicitation is commenced, Medivation will file with the SEC aSolicitation/Recommendation Statement on Schedule 14D-9 with respect to such tender offer and may file a solicitation of revocation in connection with such consentsolicitation. Once filed, stockholders will be able to obtain, as applicable, the tender offer statement on Schedule TO, the offer to purchase, theSolicitation/Recommendation Statement of Medivation on Schedule 14D-9, any consent solicitation, any solicitation of revocation and related materials with respect toany tender offer or consent solicitation, free of charge, at the website of the SEC at www.sec.gov, and from any information agent and/or dealer manager named in thetender offer materials. Stockholders may also obtain, at no charge, any such documents filed with or furnished to the SEC by Medivation under the “SEC Filings” tab inthe “Investor Relations” section of Medivation’s website atwww.medivation.com. Stockholders are advised to read these documents, if and when they become available,

    including any amendments thereto, as well as any other documents relating to any tender offer and/or consent solicitation that are filed with the SEC, carefully and intheir entirety prior to making any decisions with respect to whether to tender shares or submit consents because the documents will contain important information.

    Certain Information Regarding Participants

    Medivation, its directors and certain of its executive officers may be deemed to be participants in the solicitation of revocations in connection with any Sanofisolicitation. Information regarding the names of Medivation’s directors and executive officers and their respective interests in Medivation by security holdings or otherwiseis set forth in Medivation’s proxy statement for the 2016 Annual Meeting of Shareholders, as amended, filed with the SEC on April 29, 2016. Additional information canalso be found in Medivation’s Annual Report on Form 10-K for the year ended December 31, 2015, filed with the SEC on February 26, 2016 and in Medivation’s latestQuarterly Report on Form 10-Q.

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    4/57

    KEY HIGHLIGHTS

    David Hung, M.D.Founder, President and CEO

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    5/57

    COMMERCIAL PERFORMANCE

    Marion McCourtChief Operating Officer 

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    6/57

    FINANCIAL UPDATE

    Jennifer JarrettChief Financial Officer

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    7/57

    • Year over year increase inU.S. XTANDI net sales of37% was driven by anincrease in underlyingdemand of 33%

    • Sequential quarter decreasein U.S. XTANDI net sales inQ1 2016 was due to highergross-to-net (due to reset ofMedicare Part D “donuthole”) and a decrease in

    inventory at channelpartners compared to Q42015

    U.S. XTANDI Net Sales

     As recorded by Astellas

    7

    $224

    $298$313 $316 $308

     $-

     $50

     $100

     $150

     $200

     $250

     $300

     $350

    Q1-15 Q2-15 Q3-15 Q4-15 Q1-16

    In USD mil l ions Key Metrics & Comments

    +37% incr ease Y-o-Y 

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    8/57

    $133

    $188 $205

    $231$240

     $-

     $50

     $100

     $150

     $200

     $250

     $300

    Q1-15 Q2-15 Q3-15 Q4-15 Q1-16

    In USD mil l ion s  +80% in crease y -o-y 

    Ex-U.S. XTANDI Net Sales

     As recorded by Astellas

    8

    • Ex-US XTANDI net saleswere approximately $240million in Q1 2016, anincrease of 80% comparedto Q1 2015

    • The increase was primarilydriven by growth inGermany, France andJapan

    Key Metrics & Comments

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    9/57

    Medivation Non-GAAP Revenue

    9

    $112

    $149 $157 $158 $154

    $16

    $26$34

    $45$29

    $128

    $175$190

    $203

    $182

    12%

    14%

    16%

    19%

    12%

    10%

    15%

    20%

    25%

    30%

     $-

     $50

     $100

     $150

     $200

     $250

    Q1-15 Q2-15 Q3-15 Q4-15 Q1-16

    In USD mil l ions 

    Revenue related to U.S. XTANDI net sales Revenue related to ex-U.S. XTANDI net sales

    Effective Ex-U.S. Royalty Rate

    • Non-GAAP revenuestypically lower in first quarterof calendar year due to:

    • Reset of royalty rate on ex-U.S. net sales of XTANDI

    effective January 1st of eachcalendar year

    • The seasonal effects that weredetailed on the previous slide,notable a higher gross to netaccrual rate and inventorychanges in Q1 2016

    Key Metrics & Comments+43% in crease y-o-y 

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    10/57

    Non-GAAP R&D Expenses

    10

    $38$41 $40

    $61

    $68

     $-

     $20

     $40

     $60

     $80

    Q1-15 Q2-15 Q3-15 Q4-15 Q1-16

    In USD mil l ion s 

    • Year over year increase inNon-GAAP R&D, primarilyrelated to our talazoparibprogram which we acquiredin October 2015

    • Modest 11% quarter overquarter growth and thissequential growth rate isexpected to decline insubsequent quarters

    Key Metrics & Comments

    Acquired TalazoparibOctober 2015

    +11% q -o-q 

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    11/57

    Non-GAAP SG&A Expenses

    11

    $67

    $58 $59$66

    $84

     $-

     $20

     $40

     $60

     $80

     $100

    Q1-15 Q2-15 Q3-15 Q4-15 Q1-16

    In USD mil l ion s 

    • First quarter Non-GAAPSG&A expenses wereimpacted by annuallyrecurring collaborationexpenses incurred by

     Astellas that are expensedto us almost entirely in thefirst quarter of the year 

    • Consistent with last year, weexpect our Non-GAAPSG&A expense to decrease

    in subsequent quarters

    Key Metrics & Comments

    +24% incr ease y-o-y 

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    12/57

    Non-GAAP EPS

    12

    $0.08

    $0.29$0.35

    $0.29

    $0.11

    $0.00

    $0.10

    $0.20

    $0.30

    $0.40

    $0.50

    Q1-15 Q2-15 Q3-15 Q4-15 Q1-16

    Non-GAAP EPS

    Acquired TalazoparibOctober 2015

    • First quarter EPS generallylower due to:

    • Lower Non-GAAP revenuesdue to 1) reset of royalty rateon XTANDI ex-U.S. net salesand 2) higher gross to net andinventory changes related to

    US net sales of XTANDI

    • Higher Non-GAAP S&GAexpenses due to timing ofcertain collaboration expensesincurred by Astellas

    • We expect a significant

    increase in Non-GAAP EPSin coming quarters and arereaffirming 2016 full yearNon-GAAP EPS guidance of$1.30 -$1.40

    Key Metrics & Comments

    $0.08

    $0.11

    $0.00

    $0.05

    $0.10

    $0.15

    $0.20

    Q1-15 Q1-16

    EPS: Y-o-Y Growth

    +35% in crease y -o-y 

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    13/5713

    Reaffirming Full Year 2016 Non-GAAP Guidance

    All amounts in $ millions except for Tax Rate and EPS 2016 FY Guidance

    US XTANDI Sales (1) $1,425 - $1,525

    Non-GAAP Collaboration Revenue (2) $900 - $970

    Non-GAAP Operating Expenses (3) $555 - $600

    Non-GAAP R&D Expenses $280 - $300

    Non-GAAP SG&A Expenses $275 - $300

    Non-GAAP Tax Rate 35.5% - 36.0%

    Non-GAAP Diluted EPS $1.30 - $1.40

    (1) This represents Medivation's projection of U.S. net sales at the Astellas level

    (2) This measure includes (i) Medivation's collaboration revenue related to U.S. net sales of XTANDI and (ii) Medivation's collaboration

    revenue related to ex-U.S. net sales of XTANDI, in the form of a royalty payment earned from Astellas.

    (3) Non-GAAP operating expenses exclude non-cash, stock-based compensation expense, and any change in fair value of contingent

    purchase consideration or in-process research and development expenses.

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    14/5714

    Non-GAAP Financial Measures

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    15/5715

    Reconciliation of GAAP Reported to Non-GAAP (1 of 2)

    (in millions, except per share amounts) 2016

    (unaudited) Q1-15 Q2-15 Q3-15 Q4-15 Q1-16

    Collaboration revenue reconciliation:

    GAAP collaboration revenue 129$ 176$ 261$ 378$ 182$

    Upfront and milestone payments from Astellas (a) (1)  (1)  (71)  (175)  - 

    Non-GAAP collaboration revenue 128$ 175$ 190$ 203$ 182$

    Research and development expenses reconciliation:

    GAAP research and development expenses 45$ 47$ 46$ 94$ 78$

    Stock-based compensation expense (b) (6)  (6)  (6)  (7)  (6) Contingent consideration (c) (1)  0  (0)  4  (1) 

    Upfront license and milestone-related payments to third party (d) -  -  -  -  (2) 

    Impairment of intangible assets (e) -  -  -  (30)  - 

    Non-GAAP research and development expenses 38$ 41$ 40$ 61$ 68$

    Selling, general and administrative expenses reconciliation:

    GAAP selling, general, and administrative expenses 84$ 75$ 76$ 62$ 97$

    Stock-based compensation expense (b) (8)  (8)  (8)  (7)  (8) 

    Contingent consideration (c) (3)  (1)  (2)  14  (5) 

    Upfront license and milestone-related payments to third party (d) (6)  (8)  (8)  (3)  - 

    Non-GAAP selling, general and administrative expenses 67$ 58$ 59$ 66$ 84$

    2015

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    16/5716

    Reconciliation of GAAP Reported to Non-GAAP (2 of 2)

    (in millions, except per share amounts) 2016

    (unaudited) Q1-15 Q2-15 Q3-15 Q4-15 Q1-16

    Net (loss) income reconciliation:

    GAAP net (loss) income (3)$ 26$ 80$ 143$ 5$

    Upfront and milestone payments from Astellas (a) (1)  (1)  (71)  (175)  - 

    Stock-based compensation expense (b) 13  14  13  14  14 

    Contingent consideration (c) 4  1  2  (17)  6 

    Upfront licnese and milestone-related payments to third party (d) 6  8  8  3  2 

    Impairment of intangible assets (e) -  -  -  30  - 

    Non-cash interest expense (f) 4  5  1  0  0 

    Loss on extinguishment of convertible notes (g) 0  8  13  -  - 

    Income tax adjustments (h) (9)  (13)  12  53  (8) 

    Non-GAAP net income 13$ 49$ 58$ 49$ 19$

    Diluted net (loss) income per share reconciliation:

    GAAP net (loss) income (3)$ 26$ 80$ 143$ 5$

    Non-GAAP adjustments after-tax 17  23  (21)  (93)  14 

    Non-GAAP diluted net ncome 13$ 49$ 58$ 49$ 19$

    Non-GAAP diluted net (loss) income per share 0.08$ 0.29$ 0.35$ 0.29$ 0.11$

    Shares used in per share calculation (diluted):

    GAAP shares used in per share calculation (diluted) (i) 157  169  168  168  168 

    Dilutive effect of common stock equivalents (j) 5  -  -  -  - 

    Non-GAAP shares used in per share calculation (diluted) 162  169  168  168  168 

    2015

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    17/5717

    Explanation of Adjustments to Reconciliation Tables

    a)

    Upfront and milestone payments from Astellas: Upfront and milestone payments are excluded from non-GAAP financial measures because they occur at irregular intervals and are not related to

    Medivation’s long term core business going forward; such exclusion allows for better representation of the ongoing economics of the business, facilitates period over period comparison and is

    reflective of how Medivation manages its business.

    b)Stock-based compensation expense: Stock-based compensation expense is excluded from non-GAAP financial measures because of the nature of this charge, varying available valuation

    methodologies, subjective assumptions and the variety of award types; such exclusion facilitates comparison of Medivation’s operating results to peer companies.

    c)

    Contingent consideration: The effects of contingent consideration valuation are excluded from non-GAAP financial measures; because of the nature of this item, which is related to the change in fair

    value of the liability for contingent consideration related to the acquisition of worldwide rights to talazoparib from BioMarin Pharmaceutical, Inc., and Medivation's license agreement with CureTech,

    Inc. for pidiluzimab; such exclusion facilitates comparisons of Medivation's operating results to peer companies.

    d)

    Upfront license and milestone-related payments to third party and other adjustments: These payments and adjustments are excluded from non-GAAP financial measures because they occur at

    irregular intervals and are not related to Medivation’s long term core business going forward; such exclusion facilitates understanding of the ongoing economics of the business, facilitates period over

    period comparison and is reflective of how Medivation manages its business.

    e)Impairment of intangible assets: The effects of impairment of intangible assets are excluded from non-GAAP financial measures because of the nature of this item, which is related to impairment of

    our IPR&D asset related to pidiluzimab; such exclusion facilitates comparisons of Medivation's operating results to peer companies.

    f)

    Non-cash interest expense related to the Convertible Notes and Revolving Credit Facility: The effects of non-cash interest expense related to the Convertible Notes and the Revolving Credit Facility are

    excluded from non-GAAP financial measures because these expenses are non-cash expenses; such exclusion facilitates comparison of Medivation’s cash operating results to peer companies and is

    reflective of how Medivation manages its business.

    g)Loss on extinguishment of Convertible Notes: The effects of loss on extinguishment of the Convertible Notes are excluded from non-GAAP financial measures because this expense is a non-cash

    charge; such exclusion facilitates comparison of Medivation's cash operating results to peer companies a nd is reflective of h ow Medivation manages its business.

    h) Income tax adjustments: Adjustments to income tax expense for non-GAAP financial measures consist of the income tax effect of the non-GAAP adjustments.

    i)

    Interest and shares underlying Convertible Notes: In periods in which Medivation reports GAAP or non-GAAP net income, the effect of contingently issuable shares is considered in the calculation ofdiluted net income per share. Beginning in the second quarter of 2015, the "cash settlement" method is used to determine the dilutive effect of the Convertible Notes. Under this method, interest is

    not added back to the numerator, and only the contingently issuable shares related to the conversion spread are included in the denominator, if dilutive. The computation of diluted net income per

    common share for the second and third quarter of 2015 includes the effect of approximately 2.4 million and 0.8 million common shares, respectively, related to the conversion spread for both non-

    GAAP and GAAP purposes. The Convertible Notes had no effect on the diluted net income per share calculation for the three months ended December 31, 2015 for both GAAP and non-GAAP purposes

    because Medivation completed the settlement of all of its Convertible Notes during the third quarter of 2015.

     j)

    Diluted effect of common stock equivalents: In periods in which Medivation reports a GAAP net loss, all common stock equivalents are deemed anti-dilutive and basic and diluted common shares are

    equal. Because Medivation had non-GAAP net income for the three months ended March 31, 2015, the dilutive effect of common stock equivalents is included in the diluted net income per share

    calculation for that period. Because Medivation had a GAAP net loss for the three months ended March 31, 2015, the dilutive effect of common stock equivalents is excluded in the diluted net loss per

    common share calculation for that period because such shares have an anti-dilutive effect.

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    18/57

    KEY HIGHLIGHTS

    Delivering Value Now and Into The FutureDavid Hung, M.D.Founder, President and CEO

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    19/5719

     Additional Information

    Forward-Looking Statements

    This presentation contains forward-looking statements. All statements relating to events or results that may occur in the future, including but not limited to statementsregarding our future results of operations and financial position, our anticipated future non -GAAP revenue, estimated future sales of XTANDI®, market opportunity for ourproducts and product candidates, potential regulatory approvals or events, and clinical trial events or progress, are forward-looking statements. These statements involveknown and unknown risks, uncertainties and other important factors that may cause our actual results, performance or achievements to be materially different from anyfuture results, performance or achievements expressed or implied by the forward-looking statements. Words such as “believe,” “opportunity,” “potential,” “expected,”“potentially,” “may,” “goals,” and similar expressions are intended to identify these forward -looking statements. These statements involve known and unknown risks,uncertainties and other important factors, including risks inherent in obtaining regulatory approvals, that may cause our actual results, performance or achievements tobe materially different from those expressed or implied by the forward-looking statements. Because forward-looking statements are inherently subject to risks anduncertainties, you should not rely on these forward -looking statements as predictions of future events. For a further description of the risks and uncertainties that couldcause actual results to differ from those expressed in forward-looking statements, including risks relating to relating to our business in general, see our Annual Report onForm 10-K filed with the Securities and Exchange Commission, or SEC, on February 26, 2016, and Quarterly Report on Form 10-Q for the quarter ended March 31,2016, filed with the SEC on May 5, 2016. Except as required by applicable law, we do not plan to publicly update or revise any forward-looking statements containedherein, whether as a result of any new information, future events, changed circumstances or otherwise.

    Additional Information

    This presentation is neither an offer to buy nor a solicitation of an offer to sell any securities of Medivation. No tender offer for the shares of Medivation has commencedat this time. In connection with its proposed transaction, Sanofi may file tender offer documents, consent solicitation documents or other documents with the U.S.Securities and Exchange Commission (“SEC”). If a tender offer and/or consent solicitation is commenced, Medivation will file with the SEC aSolicitation/Recommendation Statement on Schedule 14D-9 with respect to such tender offer and may file a solicitation of revocation in connection with such consentsolicitation. Once filed, stockholders will be able to obtain, as applicable, the tender offer statement on Schedule TO, the offer to purchase, theSolicitation/Recommendation Statement of Medivation on Schedule 14D-9, any consent solicitation, any solicitation of revocation and related materials with respect toany tender offer or consent solicitation, free of charge, at the website of the SEC at www.sec.gov, and from any information agent and/or dealer manager named in thetender offer materials. Stockholders may also obtain, at no charge, any such documents filed with or furnished to the SEC by Medivation under the “SEC Filings” tab inthe “Investor Relations” section of Medivation’s website atwww.medivation.com. Stockholders are advised to read these documents, if and when they become available,including any amendments thereto, as well as any other documents relating to any tender offer and/or consent solicitation that are filed with the SEC, carefully and intheir entirety prior to making any decisions with respect to whether to tender shares or submit consents because the documents will contain important information.

    Certain Information Regarding Participants

    Medivation, its directors and certain of its executive officers may be deemed to be participants in the solicitation of revocations in connection with any Sanofisolicitation. Information regarding the names of Medivation’s directors and executive officers and their respective interests in Medivation by security holdings or otherwiseis set forth in Medivation’s proxy statement for the 2016 Annual Meeting of Shareholders, as amended, filed with the SEC on April 29, 2016. Additional information canalso be found in Medivation’s Annual Report on Form 10-K for the year ended December 31, 2015, filed with the SEC on February 26, 2016 and in Medivation’s latestQuarterly Report on Form 10-Q.

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    20/5720

    Table of Contents

    Medivation’s Compelling Value Proposition

    XTANDI Commercial Success and Runway for Growth in Prostate Cancer and Beyond

    Innovative Late-Stage Pipeline: Talazoparib and Pidilizumab

    Sanofi’s Substantially Inadequate and Opportunistically-Timed Proposal

    Conclusion

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    21/57

    Q1 2016

    Medivation’s Compelling ValueProposition

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    22/5722

    Why We Are Here

    Graeme Today(with 3rd grandchild)

    Graeme in 2010(given 3 weeks to live,

    enrolled in XTANDI AFFIRM trial)

    We seek to meaningful ly imp rove the qual i ty of l i fe of patients and

    fami l ies suf fer ing from ser ious disease by ident i fy ing and rapid ly and

    eff iciently developin g and del ivering medic al ly innovative therapies 

    W Will C ti T D li S b t ti l V l d

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    23/5723

    We Will Continue To Deliver Substantial Value andBuild Upon Our Leadership in Oncology

    Developed the World’s LeadingProstate Cancer Therapy

    $2.2 Billion Annualized Run Rate inWorldwide XTANDI Net Sales

    Wholly-Owned, Late-Stage Assetswith Blockbuster Potential

    XTANDI Development: One of the

    Fastest in Biopharma History

    Track Record of GeneratingSignificant Shareholder Returns 2015A 2020E

    $695

    $2,500+

    Non-GAAP Revenue ($mm)

    29%+CAGR

    Robust Future Growth Ahead

    M di ti H Hi t f R b t Fi i l P f

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    24/57

    4

    79

    16 1617

    >18

    24

    Medivation Has a History of Robust Financial Performanceand Significant Shareholder Returns

    $36

    $203

    $389

    $695

    $935

    2012A 2013A 2014A 2015A 2016E

    126% CAGR

    Source: FactSet and Company filings as of 05/04/16(1) 2016E Non-GAAP revenue represents midpoint of 2016 guidance of $900mm - $970mm(2) Profitability defined as four consecutive positive Non-GAAP net income quarters or

    positive Non-GAAP net income as of most recent quarter; “>” denotes Non -GAAPunprofitability as of latest financial reporting period

    124%

    957%

    4,487%

    15,141%

    3-Year 5-Year 10-Year Since FirstPublic

    Financing

    255%245%144%46%

    Non-GAAP Revenue (1)

    Time to Profitability (2)(Quarters Following First Product Launch)

    ($ in millions)

    Total Shareholder Returns

    (3) Onyx reported Non-GAAP profitability from 1Q’08 – 4Q’09, but did notreport four quarters of consecutive Non-GAAP profitability from 1Q’10until acquisition in 3Q’13

    (4) BioMarin reported Non-GAAP profitability from 4Q’07 – 4Q’10, but hasnot reported four consecutive quarters of Non-GAAP profitability since

    MDVN

    Nasdaq BiotechnologyIndex

    (3)

    (4)

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    25/57

    Talazoparib (MDV3800) 

    Other Indicat ions 

    Medivation Has Built a Leading Oncology Franchise

    25

    Products Phase 1 Phase 2 Phase 3 Marketed

    XTANDI

    Prostate Cancer 

    AFFIRM + PREVAIL (Led by Medivation) 

    TERRAIN + STRIVE (STRIVE was Led by Mediv ation)

    PROSPER (Led by Medivation)

    EMBARK (Led by Medivation)

    ARCHES

    Triple Negative Breast Cancer (TNBC) Dx+ (Led by Medivation)

    ER/PgR+ Breast Cancer (Led by Medivation) 

    Hepatocel lu lar Carcinoma 

    EMBRACA gBRCA Breast Cancer 

    Breast Cancer (Beyond BRCA)

    Prostate (Monotherapy) 

    Prostate (Combo wi th chemo)

    Other Indicat ions: GBM & NSCLC 

    Small Cell Lung Cancer (SCLC) (al l comers) 

    Ovarian Cancer 

    Pidi l izumab (MDV9300) 

    Diffuse Large B-Cell Lym phoma (DLBCL) 

    Multiple Myeloma

    Foll icu lar Lymphom a 

    Note: Lighter shading ind icates trials to be init iated ¹ Addressable market as estimated by management

    AddressableMarket¹

    >$15bn(U.S.)

    >$3.5bn(U.S.)

    >$30bn(U.S. and

    Europe)

    >$5bn(U.S.)

    HER2+ and AR+ Breast Cancer 

    Creating Long Term Value:

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    26/57

    26

    Creating Long-Term Value:Potential for Up to 7 Approvals Through 2020

    Potential Top-Line ResultsPotential Approval Potential Trial Initiation/Enrollment

       X   T   A   N   D   I

       T  a   l  a  z  o  p  a  r   i   b

       P   i   d   i   l   i  z  u  m  a   b

    2016 2017 2018 2019 2020

    mTNBC Dx+

    ARCHES

    PROSPER

    EMBARK

    DLBCLif accelerated 

    Ph 2 data in patientswith ER/PgR+ BC

    PDUFA date forTERRAIN/STRIVE

    (10/22/16)

    EMBRACAPh 3 data fromEMBRACA trial inBRCA breast

    Initiate trials in Breast,Prostate, Ovarian and SCLC

    Initiate Ph 3 in mTNBC

    Resume Ph 2 in relapsedand refractory DLBCLpatients

    PROSPER to completeenrollment

    ER/PgR+ BC

    PLATO data

    Initiate Ph 3 in DLBCL

    Initiate 2nd Ph 3 in DLBCL

    Initiate Ph 3 inMultiple Myeloma

    Breast cancer(Beyond BRCA)

    Ovarian cancer 

    Prostate cancer(monotherapy)

    Prostate cancer(combo)

    SCLC

    PRESIDE data

    ALLIANCE data

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    27/57

    CLINICAL AND BUSINESS HIGHLIGHTS

    XTANDI Commercial Success and

    Runway for Growth in Prostate Cancerand Beyond

    XTANDI Is Among The Top Selling Oncology

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    28/57

    XTANDI Is Among The Top Selling OncologyProducts and Still Growing

    28

    Top 10 Oncology Drugs by Worldwide Sales

    Source: WW Product Sales, EvaluatePharma accessed April 2016

    2015A WW Revenues ($mm) 2021E WW Revenues

    1,620

    1,632

    1,907

    2,231

    2,493

    4,658

    5,801

    6,794

    6,945

    $7,3211

    2

    3

    4

    5

    6

    7

    8

    9

    10

    1

    2

    3

    4

    5

    6

    7

    8

    9

    10

    XTANDI Is Expected to Become the Second Best Selling

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    29/57

    Europe Sales ( €mm)  Year of

    European LaunchProduct Company Therapy Area 2015 2022E

    Xarelto Bayer Anticoagulation 1,301 2,718 2008

    Oncology 586 2,500 2013

    Opdivo Bristol-Myers Squibb Oncology 160 2,358 2015

    Revlimid Celgene Oncology 1,115 2,216 2007

    Triumeq GlaxoSmithKline HIV 242 2,048 2014

    XTANDI Is Expected to Become the Second Best SellingDrug in Europe in 2022 Across All Therapeutic Areas

    29

    Top 5 Marketed Drugs by Europe Sales

    1

    2

    3

    4

    5

    Source: Europe sales in €mm. EvaluatePharma accessed April 2016

    XTANDI Is Now the Leading Novel Hormonal Therapy

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    30/57

    3.5

    5.0

    6.0

    0

    1

    2

    3

    4

    5

    6

    7

    8

    9

    10

    $0

    $50

    $100

    $150

    $200

    $250

    $300

    $350

    Q111

    Q211

    Q311

    Q411

    Q112

    Q212

    Q312

    Q412

    Q113

    Q213

    Q313

    Q413

    Q114

    Q214

    Q314

    Q414

    Q115

    Q215

    Q315

    Q415

    Q116

    Q216

    X T ANDI  A

    v er  a g eD ur  a t  i   on

     ( i nm

     on

     t 

    h  s  )    U .

       S .   Q  u  a  r   t  e  r   l  y   N  e   t   S  a   l  e  s  (  i n

      $ m

      i  l  l  i o n s

      )

    XTANDI Avg. Duration of Use

    XTANDI U.S. Net Sales

    Zytiga U.S. Net Sales

    XTANDI Is Now the Leading Novel Hormonal Therapyin the U.S.

    30

    Novel Hormonal Therapy (NHT) Market defined as XTANDI and Zytiga

    Source: IMS Weekly NPA Data, 13 full consecutive weeks per quarter TRx is the total number of prescriptions

    2011 2012 2013 2014 2015 2016

    Launched16 monthslater 

    45%

    47%

    49%

    51%

    53%

    55%

    Q2 15 Q3 15 Q4 15 Q1 16

    XTANDI TRx share

    Zytiga TRx share

    50.4%

    TRx Share of the U.S.Novel Hormonal Therapy Market

    Quarterly Net Sales ofNovel Hormonal Therapies

    8.0

    49.6%

    XTANDI Duration of Therapy has More Than Doubled to 8 Months

    XTANDI Clinical Data Support Longer Treatment Duration

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    31/57

    8.3

    11.2

    19.4

    0

    5

    10

    15

    20

    25

    30

       M  e   d   i  a  n   T   i  m  e   t  o   P   S   A   P  r  o  g  r  e  s  s   i  o  n   (   M  o  n   t   h

      s   )

    31

    XTANDI Clinical Data Support Longer Treatment Durationin Earlier Lines of Prostate Cancer

    ARCHES 5

    Note: PSA=prostate-specific antigen.

    1) N Engl J Med 2012; 367:1187-1197. 2) N Engl J Med 2014; 371:424-433; 3) Heidenreich A, et al. EAU Congress. March 20-24, 2015; Madrid,Spain; 4) Penson D, et al. AUA Congress. May 15-19, 2015; New Orleans, LA, USA. 5) Arrow shown for illustrative purposes.

     Approved2014

    Ongoing

     Approved2012

    sNDA Filed2016

    sNDA Filed2016

    24.9+

    1 2 3 4

    8.0

    XTANDICurrent

    $2.2bn

    annual ized

    WW sales 

       E

      s   t   i  m  a   t  e   d   T  r  e  a   t  m  e  n

       t   D  u  r  a   t   i  o  n   (   M  o  n   t   h  s   )

    Ongoing Phase 3 Trials Significantly Expand

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    32/57

    32

    Ongoing Phase 3 Trials Significantly ExpandXTANDI’s Addressable Market

    73,000

    18,000

    30,000

    12,000

    mCRPC¹ M0 CRPC M0 HormoneSensitive

    M1 HormoneSensitive

     Additional PatientOpportunity

    =60,000

    Patients

    ARCHES

     Addressable patient population defined as all patients who begin treatment in a new line of therapy in a given yearSource: Management estimate; Scher et al, Prevalence of Prostate Cancer Clinical States and Mortality in the United States:

    Estimates Using a Dynamic Progression Model, 2015¹ Includes pre-chemo, post-chemo, and chemo treated patients

     Approved2014

    Ph 3 ongoing

    2019

    Ph 3 ongoing

    2020

    Ph 3 ongoing

    2021

    133,000

    +

    +

     Approved2012

    sNDA Filed2016

    sNDA Filed2016

    Ongoing XTANDI Trials Targeting Earlier-Stage Prostate Cancer Patients(Addressable U.S. Patient Population)

    Phase /

    EstimatedLaunch

    Marketed

    2012

    AddressableU.S. Market

    Prostate Cancer Opportunity

    >$15bn

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    33/57

    XTANDI Will Be Challenging to Displace in Prostate Cancer 

    33

    Source: EvaluatePharma, accessed May 2016

    Worldwide sales ($mm)

    $2,089

    $2,231

    $285

    $356

    $267

    $246

    $5,551

    $1,831

    $1,031

    $428

    $206

    $177

    2015A 2020E 2015 –20E CAGR

    22%

    (4%)

    29%

    4%

    (5%)

    (6%)

    XTANDI in Breast Cancer Represents a Significant

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    34/57

    XTANDI in Breast Cancer Represents a SignificantCommercial Opportunity

    34

    Triple-Negative(TNBC)

    (15%)* 

    ER/PgR+ andHER2-normal

    (50%)* 

    HER2+ and AR+

    (15%)* 

    San Antonio Breast Cancer Symposium Dec 8-12, 2015 Poster P3-07-25.

    * Denotes the % this subtype represents of the total breast cancer population** Patient tested positive for our novel diagnostic signature

    Phase 2 results demonstrated a 13.8 month overall

    survival benefit in diagnostic+** patients

    Phase 3 trial in TNBC is expected to initiate in 2H 2016

    Current standard of care = chemotherapy

    ~50% of TNBC patients are diagnostic+**

    Ongoing Phase 2 trial in 247 patients with advancedbreast cancer 

    Phase 2 data expected in 2H 2016

    Phase 2 trial currently enrolling

    Additional Solid Tumor Indications Provide Significant

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    35/57

     Additional Solid Tumor Indications Provide SignificantUpside

    * Potential addressable patient population defined as all lines of treatable metastatic patients in 2016

    Sources: MDVN internal analysis; © 2016 DR/Decision Resources, LLC. All rights reserved. Reproduction, distribution, transmission or publication isprohibited. Reprinted with permission. www.biopharma.decisionresourcesgroup.com. Last accessed: 05/03/2016.

    35

    Potential addressable patient populations (U.S.)*

    Addressable

    U.S. Market

    90,000

    60,000

    15,000

    AdditionalSolid Tumor

    Opportunities

    >$3.5bn

    75,000patients

    AdditionalPatient Opportunity

    15,000

    PotentialLaunch

    Phase Ph 2 ongoing

    2022

    Ph 3 initiating

    2019

    mHCCmTNBC

    Ph 2 ongoing

    2020

    mER/PgR+Breast

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    36/57

    1H 2016 2H 2016

    XTANDI Has Multiple Near Term Value Creating Events…

    36

    CHMP¹ Positive Opinion

    Phase 4 PLATO trial

    Phase 3 TNBC trial Initiate

    ER/PgR+ breast cancer trial Top-line data

    TERRAIN and STRIVE publications

    Expansion / bifurcation of sales force

    PDUFA for TERRAIN / STRIVE Potential approval

    Phase 3 PROSPER trial (M0)

    Top-line data

    +1,200 PatientsEnrolled

    Prostate cancer Breast cancer ¹ Committee for Medicinal Products for Human Use of the European Medicines Agency (EMA)

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    37/57

    … And Significant Longer-Term Growth Potential

    37

    Timeline based on current management estimates.

    2019

    2020

    2021

    Non-metastatic CRPC – Progressed on ADT

    mTNBC Dx+

    2022

    Non-metastatic HSPC – XTANDI plus ADT

    ER/PgR+ Breast Cancer 

    ARCHES Metastatic HSPC – XTANDI plus ADT

    Hepatocellular Carcinoma

    Potential FDA Approvals

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    38/57

    FINANCIAL PERFORMANCE

    Innovative Late-Stage Pipeline:Talazoparib and Pidilizumab

    Talazoparib – Potential Best-in-Class PARP Inhibitor

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    39/57

    Talazoparib  Potential Best in Class PARP Inhibitorfor Breast Cancer and Beyond

    39

    Significantly greater potency in vitro relative to other PARPi’s

    Unique PARP-trapping ability

    DifferentiatedMechanism of Action

    Compelling ClinicalData

    High / differentiated response rate observed in ovarian andbreast

    Combination data with low-dose chemotherapy demonstratespotential beyond BRCA-mutated cancers

    Phase 3 Data in

    1H 2017

    Phase 3 EMBRACA trial in BRCA-mutated breast cancer expected

    to complete enrollment in 2016, read out in 1H 2017

    Multi-Billion DollarPotential

    DNA repair / PARP trapping has potential in multiple tumor types

    Recent FDA meeting to discuss / align on accelerated approvalpathway in prostate cancer 

    High Probability ofSuccess

    PARPi class validated through FDA approval (despite historicalfailure of another product incorrectly believed to be a PARPi)

    Large body of data demonstrating that the PARP class is safe andeffective in BRCA-mutated cancers

    PARP Inhibitors Have Demonstrated Striking Effects in

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    40/57

    PARP Inhibitors Have Demonstrated Striking Effects inHeavily Pre-treated, Advanced mCRPC

    Data from Olaparib Study in Advanced Prostate Cancer 

    Patients dosed 50

    Evaluable for response 49

    Prior lines of treatment n (%)Docetaxel 50 (100%)

    Cabazitaxel 29 (58%)

     Abiraterone 48 (96%)

    Enzalutamide 14 (28%)

    40

    Mateo et al. oral presentation AACR 2015. Final publication N Engl J Med. 2015 Oct 29;373(18):1697-708. (Investigator Sponsored Trial)

    Response rate: 33%(16/49 patients)

    13/16 responders droppedcirculating tumor cells(CTCs) to zero

    Remarkable response in aheavily pre-treated patientpopulation

    Talazoparib’s PARP-trapping Potency Results in Unique

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    41/57

    41

    Source: Shen et al. Clin Cancer Res 2013; 19:5003 –15.Note: PARP inhibition represents relative concentration for 50% inhibition in PARP1 enzyme assay; antitumor activity represents relative concentrationfor 50% Capan-1 cell survival reduction in single-agent cytotoxicity assay; and temozolomide potentiation represents the relative concentration that,when combined with 200 mmol/L of temozolomide, resulted in 50% growth inhibition of LoVo cells in a temozolomide potentiation assay

    All PARP inhibitors inhibitPARP…

    …but potency of PARPinhibition does not correlate

    with antitumor activity…

    …while PARP-trapping abilityis better correlated to

    antitumor activity

    Most Potent

    PARP Inhibition(~3x –8x)

    Most Potent

    Antitumor Activity(~50x –2,000x+)

    Most Effective

    PARP Trapping(~50x –2,000x)

    Relative Potency forPARP Enzyme Inhibition

    Relative Potency forCytotoxicity

    Relative Potentiation ofChemotherapy (Temozolomide)

    Talazoparib s PARP trapping Potency Results in Unique Ability to Enhance Chemotherapy Efficacy and Tumor Kill

    Superior PARP Trapping May Lead to Improved Clinical

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    42/57

    Phase 1 Response Data

    (talazoparib with low-dose chemotherapy)

    Superior PARP Trapping May Lead to Improved ClinicalOutcomes in Broad Patient Populations

    42

    Phase 1 data from a 40 patient study of

    talazoparib in combination with low-dose

    chemotherapy in heavily pre-treated

    advanced malignancies

    4/7 objective responses in non-

    BRCA mutated ovarian cancer patients

    1 responder did not even have HRD

    suggesting possibilities of treatingpatients without genetic selection

     Additional responses in Ewing’s

    sarcoma, cervical adenocarcinoma,

    SCLC and TNBC

    Olaparib was approved based on 34%

    objective response rate (ORR) in BRCA-mutated ovarian cancer 

    Talazoparib is active in tumors with defects in DNA repair genes beyond BRCAmutations (larger market than BRCA) and possibly even without HRD (largest market)

    All(CBR)

    Ovarian Cancer, non-BRCA-mutated(ORR) (CBR) (>50% CA-125)

    Source: Wainberg et.al. Oral presentation, AACR 2016. Abstract CT011. FDA product label for olaparib.Note: Chemotherapy regimens included temozolomide and irinotecan. HRD = homologous recombination deficiency. CBR = clinical benefit rate

    Third-Party Comparison of PARP Data Supports

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    43/57

    43

    Third Party Comparison of PARP Data SupportsTalazoparib’s Best-In-Class Potential

    Olaparib Niraparib Talazoparib

    Phase 2 Breast POC Phase 2 Phase 1/2 Phase 1

    Dosing 100mg BID 400mg BID 400mg BID Various 0.9 –1.1mg QD 1mg QD

    Size, n 27 27 62 4 18 14

    Prior Regimens,median

    3 3 4.6 5 3

    Platinum 22% 30% 33%

    ORR, % 22% 41% 13% 50% 44% 50%

    CR  – 4%  – 6% 7%

    PR 22% 37% 13% 50% 39% 43%

    CBR, % 67% 85% 60% 72% 86%

    SD 44% 44% 47% 28% 36%

    (≥23w) (≥23w) (>8w) (>24w) (>24w)

    PFS (mos) 3.8 5.7 8.0

    Source: Barclays Research, Kaye et al. J Clin Oncol. 2012 Feb 1; 30 (4) : 372, Company reports

     Adverse Event Profile of Talazoparib vs. Other

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    44/57

    44

    d e se e o e o a a opa b s O ePARP Inhibitors

    12%4%

    5%

    33%

    30%

    23%

    25%16%

    10%

    2%

     AnemiaThrombocytopenia

    NeutropeniaLymphopenia

    NauseaVomiting

    Constipation AnorexiaDiarrhea

    DyspepsiaDysgeusia

    FatigueInsomnia Alopecia

     ALT/AST Increased

    0% 20% 40% 60%

    Talazoparib Gr 1 –2 Talazoparib Gr 3 –4

    Talazoparib: >10% pts

    Niraparib: >10% pts

    47%

    25%

    24%

    15%

    56%

    25%

    36%

    27%

    49%

    13%

    11%

    15%

    5%

    2%

    2%

    2%

    5%

     AnemiaThrombocytopenia

    NeutropeniaLymphopenia

    NauseaVomiting

    Constipation AnorexiaDiarrheaDyspepsia

    DysgeusiaFatigue

    Insomnia Alopecia

     ALT/AST Increased

    0% 10% 20% 30% 40% 50% 60% 70%

    Niraparib Gr 1 –2 Niraparib Gr 3 –4

    16%

    59%

    35%

    21%

    26%

    17%

    16%

    53%

    17%

    2%

    1%

    6%

     AnemiaThrombocytopenia

    NeutropeniaLymphopenia

    NauseaVomiting

    Constipation AnorexiaDiarrhea

    DyspepsiaDysgeusia

    FatigueInsomnia Alopecia

     ALT/AST Increased

    0% 20% 40% 60%

    Olaparib Gr 1 –2 Olaparib Gr 3 –4

    Olaparib: >15% pts

    Rucaparib: >15% pts

    10%

    59%

    20%

    28%

    26%

    16%

    36%

    43%

    30%

    19%

    4%

    2%

    1%

    2%

    1%

    6%

    7%

     AnemiaThrombocytopenia

    NeutropeniaLymphopenia

    NauseaVomiting

    Constipation AnorexiaDiarrheaDyspepsia

    DysgeusiaFatigue

    Insomnia Alopecia

     ALT/AST Increased

    0% 10% 20% 30% 40% 50% 60% 70%

    Rucaparib Gr 1 –2 Rucaparib Gr 3 –4

    Source: BioMarin. Wainburg et.al. ASCO 2014 (1mg patients). Kaufman et.al. ASCO 2013 (400mg patients). Sandu et.al. Lancet Oncology 2013(290-300mg patients). Swisher et.al. SGO 2015 (600mg patients).

    Phase 3 EMBRACA Is Similar to Competitor Trials, but

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    45/57

    p ,More Conservatively Designed

    45

    Source: Management, company filings and ClinicalTrials.gov.

    Talazoparib Olaparib Niraparib

    IndicationBRCA-mutated

    Breast Cancer

    BRCA-mutated

    Breast Cancer

    BRCA-mutated

    Breast Cancer

    Target Enrollment 429 310 306

    Dosing1mg

    Once Daily

    300mg

    Twice Daily

    300mg

    Once Daily

    Target Hazard Ratio 0.67 NA 0.50

    Accrual Complete enrollmentin 2016

    Completedin 4Q15

    Enrolling through2016

    Our Strategic and Disciplined Development Approach to

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    46/57

    g p p ppMaximizing the Talazoparib Opportunity

    46

    Tumor Type Development Plan Opportunity for Talazoparib

    BreastCancer 

    Complete EMBRACA enrollment by YE

    Initiate Beyond BRCA registrational trialin 2H 2016

    No ongoing registrational trials forother PARPi’s in the Beyond BRCApopulation

    ProstateCancer 

    Met with the FDA and aligned on designof registrational trial to supportaccelerated approval as monotherapy

    Plan to initiate this study in “geneticallydefined” population in 2H 2016

    Plan to initiate Phase 2 trial incombination with low dose chemo in “allcomers” 2H 2016 with data in 2017

    No ongoing registrational trials forother PARPi’s in prostate cancer

    Offers a potential acceleratedapproval pathway / rapid path tomarket

    Medivation has substantial experiencein this indication

    SCLC

    Upcoming FDA meeting to align onregistrational trial in combination withtemozolomide in all comers

    Phase 3 trial to initiate in 2H 2016

    Robust in vitro data demonstratingsynergy with temozolomide

    No ongoing registrational trials forother PARPi’s in SCLC

    OvarianCancer 

    Initiate Phase 2 trial with low dose chemoin 2H 2016

    Potential to address a broader patientpopulation than olaparib

    SCLC Represents One of Our First Registrational Trial

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    47/57

    Talazoparib Potentiates Temozolomide Tumor Kill in Small Cell Lung CancerXenografts at Submaximal Doses

    p gOpportunities for Talazoparib

    Vehicle

    Temozolomide 3mg/kg PO QD x 4

    Talazoparib 0.25 mg/kg PO QD x 4

    Talazoparib + Temozolomide

    47

    Medivation; data on file

    Talazoparib’s Mechanism of Action May Address Multiple

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    48/57

    10k

    140k

    80k

    100k

    140k

    60k

    230k

    EMBRACA(gBRCA mBC)

    mCRPC mSCLC Adv Ovarian mBC(BeyondBRCA)

    Glioblastoma mNSCLC Current PatientOpportunity

    p y pTumor Types

    48

    * Potential addressable patient population defined as all lines of treatable metastatic patients in 2016. Dollar figures reflect current PARP inhibitor pricingSources: MDVN internal analysis; Peshkin et al, Breast Dis. 2010; TCGA, Nature. 2012; Mateo et al, NEJM . 2015; TCGA Nature. 2011; © 2016DR/Decision Resources, LLC. All rights reserved. Reproduction, distribution, transmission or publication is prohibited. Reprinted with permission.

    Multiple Oncology Opportunities With Potential for Monotherapy or Combination Therapy

    Potential addressable patient populations (U.S. and Europe)*

    Phase

    PotentialLaunch

    Ph2ready

    2022-232022-23

    Ph 2ready

    Ph 3ready

    2020-21

    Ph2ready

    2019-22

    Ph 3ongoing

    2018

    ~760kpatients

    Ph 2ready

    2021-22

    Ph 2ready

    2022-23

    Addressable U.S. andEurope Market

    Talazoparib Addressable Market

    >$30bn

    Pidilizumab (MDV9300) – Antibody With Immune-Mediated

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    49/57

    ( ) y Antitumor Effects

    49

    Progress has been made in elucidating pidilizumab’s immune-activating mechanism of action

    Potentially NovelMechanism of

    Action

    Supported by StrongClinical Evidence

    to Date

     Administered to several hundred patients and activity demonstratedin multiple Phase 2 trials (i.e. 52% complete response rate inFollicular Lymphoma)

    Pidilizumab effects on DLBCL published in Journal of ClinicalOncology was one of the most frequently cited publications of2013*

    Registrational StudyInitiated in 4Q15

    180 patient study involving two parallel cohorts in DLBCL – postautologous stem cell transplant and transplant-ineligible patients

    Primary endpoint is best overall response rate

    Multiple LiquidTumor Indications

    Other hematological malignancies being considered, includingmultiple myeloma

    * (Vol. 31, 4199-4206, 2013)

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    50/57

    KEY HIGHLIGHTS

    Sanofi’s Substantially Inadequate andOpportunistically-Timed Proposal

    Sanofi’s Opportunistic Proposal Substantially Undervalues

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    51/57

    yMedivation

    51

    Sanofi’s proposed price of $52.50 per share substantially undervalues Medivation:

    Medivation is a unique opportunity as one of the few profitable and sizeable oncology

    companies

    Medivation has built XTANDI into a rapidly-growing, multi-billion dollar oncology product

    Medivation is leveraging its expertise to develop and bring to market additional products

    from its wholly-owned, differentiated late-stage pipeline

    Talazoparib represents another blockbuster opportunity as a potentially best-in-class

    PARP inhibitor targeting a wide range of oncology indicationsSanofi's timing is designed to benefit Sanofi – not Medivation’s shareholders:

    Sanofi approached Medivation following a period of significant market dislocation,

    particularly in biotech

    The proposed price is 21% below Medivation's 52-week trading high

    Sanofi did not wait for a response from Medivation’s Board with respect to its non-binding proposal before rushing to make the same substantially inadequate proposal public

    The Board believes that the continued successful execution of our well-definedstrategic plan will deliver greater value to Medivation's shareholders than Sanofi's

    substantially inadequate proposal

    Sanofi’s “Unaffected Price” Coincided with NASDAQ

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    52/57

    52

    Biotechnology Index Bottom

    Source: FactSet, Company filings

    MedivationShare Price

    NBI IndexedPrice (as of 01/01/15)

    140

    130

    120

    110

    100

    90

    80

    70

    60

    NASDAQ Biotech Index Bottom: February 11, 2016

    Sanofi’s implied “unaffected price” of $35.00

    “Unaffected price” coincides withNBI trough (i.e., down ~20%)

    +18.6%

    NASDAQBiotechIndex

    (15.0%)

    Sanofi’s 2-month VWAP

    Few Companies Have What Medivation Has:

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    53/57

    Blockbuster Product plus Late-Stage Pipeline

    53

    Overview of Precedent Transactions

    Source: Company press releases and Company filings¹ Transaction values as quoted by the acquirors’ press release on date of transaction announcement² Includes upfront payment of $5.8bn in cash and stock and $4bn in cash for additional, success-based milestone payments for the achievement of

    certain regulatory and clinical developments³ AstraZeneca acquired 55% of Acerta for an upfront payment of $2.5bn and unconditional payment of $1.5bn; AstraZeneca retains an option to

    purchase the remaining 45% of Acerta for ~$3bn, net of certain costs and adjusting items

    Target Transaction Value¹Annc. Date

    4/28/16 $5.8bn + $4bn²

    BlockbusterProduct

    CommercialProduct

    Late-StagePipeline

    3/4/15 

    $21.0bn 

    8/24/14 $8.3bn 

    5/6/15 $8.4bn 

    7/14/15 $7.2bn 

    12/17/15 $4.0bn + ~$3bn³ 

    Recent Third-Party Transactions Validate the Value

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    54/57

    “There are several lines of evidence that PARP

    inhibition may be effective in prostate cancer

    and up to 50% of men with prostate cancer

    may be eligible for niraparib… We view the

    Janssen deal as highly validating of nirapariband providing a pathway to a substantial

    commercial opportunity”

      ̶ Wells Fargo 04/06/16

    of Medivation’s Key Assets

    54

    • Royalty Pharma recently announced a

    $1.14bn+(1) acquisition of a portion ofUCLA’s right to the 4% royalty on sales ofXTANDI payable to the University

    The deal represents strong third-partyvalidation of the long-term growth prospectsahead of XTANDI

    • Johnson & Johnson (JNJ) recently

    announced a prostate cancer collaborationwith Tesaro for its PARP inhibitor, niraparib

    • For only a single indication, in ex-Japanterritories, Tesaro may receive up to $500million and double-digit royalties

    • This transaction demonstrates the clear

    potential value that PARP inhibitors mayhave in prostate cancer “We believe that the $1.14B price tag impliesat least somewhere in the $5-$7B range in peakWW sales, depending on ramp, etc.”

      ̶ RBC 03/04/16

    “We think the purchase price paid validates themore bullish commercial scenarios… [and

    implies] global peak XTANDI sales of no lessthan $6bn (using low discount rates) and ashigh as $8bn. Keep in mind that in order tomake money on the stream, actual sales wouldneed to be above these numbers.”

      ̶ UBS 03/04/16

    Source: Company filings, company websites, press releases, Wall Street research(1) The transaction includes a cash payment of $1.14 billion and potential additional payments based on future XTANDI sales

    Medivation Has Full Confidence in Achieving its Goals

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    55/57

    Medivation Has Full Confidence in Achieving its Goals

    55

    Key Variables Creating Gap Between Our2020 Revenue Targets and Consensus

    Management Revenue Targetsvs. Consensus Estimates (1)

    (2)

    ~28%CAGR

    Capitalizing on a substantial, near-termcommercial opportunity in urology

    Successfully moving even earlier in theprostate cancer treatment paradigm

    Extending treatment duration for prostatecancer patients

    Bringing XTANDI to market inlarge breast cancer settings

    Capturing the growing ex-U.S. marketopportunity for XTANDI

    Prosecuting talazoparib’s broad potentialto become a blockbuster product

    Source: Company filings and Wall Street research derived from FactSet consensus(1) Figure represents Medivation Non-GAAP net revenue(2) Represents midpoint of 2016 Non-GAAP net revenue guidance

    +

    E

    $935   $936

    $2,500

    $1,821

    Manag emen t Con sensu s Manag emen t Con sensu s

    2016   2020E

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    56/57

    Conclusion

    We are Executing on Our Strategic Plan and Delivering

  • 8/17/2019 Medivation 2016 Q1 Earnings Call Deck 5.5.16

    57/57

    Meaningful Value to Patients and Shareholders

    Developed the World’s LeadingProstate Cancer Therapy

    $2.2 Billion Annualized Run Rate inWorldwide XTANDI Net Sales

    Wholly-Owned, Late-Stage Assetswith Blockbuster Potential

    XTANDI Development: One of the

    Fastest in Biopharma History

    Track Record of GeneratingSignificant Shareholder Returns

    Robust Future Growth Ahead

    Total Shareholder Returns

    124%

    957%

    4,487%

    15,141%

    3-Year 5-Year 10-Year Since FirstPublic

    Financing

    255%245%

    144%

    46%

    MDVN

    Nasdaq BiotechnologyIndex