Q2 2019 Results - Novartis
Transcript of Q2 2019 Results - Novartis
Disclaimer
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 2
This presentation contains forward-looking statements within the meaning of the United States Private Securities Litigation Reform Act of 1995 that can generally be identified by
words such as “potential,” “expected,” “will,” “planned,” “pipeline,” “outlook,” or similar expressions, or by express or implied discussions regarding potential new products, potential
new indications for existing products, potential product launches, or regarding potential future revenues from any such products; or regarding the potential outcome, or financial or
other impact on Novartis, of the proposed divestiture of certain portions of our Sandoz Division business in the US; or regarding the potential impact of the share buyback plan; or
regarding potential future sales or earnings of the Group or any of its divisions or potential shareholder returns; or by discussions of strategy, plans, expectations or intentions. Such
forward-looking statements are based on the current beliefs and expectations of management regarding future events, and are subject to significant known and unknown risks and
uncertainties. Should one or more of these risks or uncertainties materialize, or should underlying assumptions prove incorrect, actual results may vary materially from those set forth
in the forward-looking statements. You should not place undue reliance on these statements. In particular, our expectations could be affected by, among other things: global trends
toward healthcare cost containment, including ongoing government, payor and general public pricing and reimbursement pressures and requirements for increased pricing
transparency; regulatory actions or delays or government regulation generally, including potential regulatory actions or delays with respect to the proposed transactions or the
development of the products described in this presentation; the potential that the strategic benefits, synergies or opportunities expected from the Alcon and Sandoz transactions may
not be realized or may be more difficult or take longer to realize than expected; the inherent uncertainties involved in predicting shareholder returns; the uncertainties inherent in the
research and development of new healthcare products, including clinical trial results and additional analysis of existing clinical data; our ability to obtain or maintain proprietary
intellectual property protection, including the ultimate extent of the impact on Novartis of the loss of patent protection and exclusivity on key products that commenced in prior years
and will continue this year; safety, quality or manufacturing issues; uncertainties regarding actual or potential legal proceedings, including, among others, product liability litigation,
disputes and litigation with business partners or business collaborators, government investigations generally, litigation and investigations regarding sales and marketing practices, and
intellectual property disputes; uncertainties involved in the development or adoption of potentially transformational technologies and business models; our performance on
environmental, social and governance measures; general political, economic and trade conditions, including uncertainties regarding the effects of ongoing instability in various parts
of the world; uncertainties regarding future global exchange rates; uncertainties regarding future demand for our products; uncertainties regarding potential significant breaches of
data security or data privacy, or disruptions of our information technology systems; and other risks and factors referred to in Novartis AG’s current Form 20-F on file with the US
Securities and Exchange Commission. Novartis is providing the information in this presentation as of this date and does not undertake any obligation to update any forward-looking
statements as a result of new information, future events or otherwise.
Launched
Launched
Launched
Acquired in July
SEG101 Filed with priority review
Achieved overall survival3
Novartis delivered strong Q2 with margin expansion and transformative innovation
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 44
Q2 operational performanceContinuing operations1 growth vs. PY in % cc 2
Transformative Innovation
Sales
+8%
Sales & Core OpInc guidance increased
Core OpInc
+20%
Core margin
+3.2%
pts
1. Continuing operations as defined on page 42 of the Condensed Interim Financial Report, excludes Alcon, includes the businesses of Innovative Medicines and Sandoz (including the US generic oral solids and dermatology portfolio), as well
as the continuing corporate functions. 2. Constant currencies (cc), core results and free cash flow are non-IFRS measures. An explanation of non-IFRS measures can be found on page 55 of the Condensed Interim Financial Report.
3. Pre- and perimenopausal women with HR+/HER2- advanced or metastatic breast cancer
Key growth drivers
Lutathera®
Sales performance driven by Innovative Medicines
1. Not meaningful
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
42
52
56
57
85
157
29
45
182
5
1
1
1
1
SalesUSD Million
Growth vs. PYUSD Million
Growth vs. PYcc
SalesUSD Million
Growth vs. PYcc
421 81% 778 83%
858 25% 1,649 32%
109 nm 215 nm
349 23% 656 24%
340 25% 637 21%
111 94% 202 103%
284 26% 542 23%
58 nm 103 nm
290 18% 571 19%
Q2 H1
Cosentyx® continued growth in competitive environment
US Dermatology1
NBRx %pts share gains/losses Q2 2019 vs. Q2 2018
US Rheumatology1
Weekly TRx YTD
Rheumatology market TRx2 +14% YoY
Cosentyx® TRx +38% YoY
Cosentyx® NBRx growth +11% YoY and gaining share
Dermatology market TRx +10% YoY driven by new launches
Cosentyx® TRx +28% YoY
Cosentyx® NBRx growth +17% YoY and gaining share
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 6
All trademarks are the property of their respective owners 1.Source: IQVIA National Prescription Audit for dermatologists/ rheumatologists, WE 28/06/2019 2. Rx for SpA indications: market includes Cimzia®, Enbrel®, Humira®, Simponi®,
Stelara®, Taltz®, Otezla® and Cosentyx®
09/1807/1803/18 03/1905/18 01/1901/18 07/19
1.000
3.000
2.000
05/1911/18
5.000
4.000
0
Stelara®Humira®Enbrel® Taltz®Cosentyx®
1.5
1.3
0.8
0.0
-1.7
-2.4
0.5
TNFs
Stelara®
Tremfya®
Other*
Taltz®
Cosentyx®
Skyrizi®
Cosentyx® now the only biologic with proven benefits across PsA domains including axial2 manifestations
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 7
The only product with evidence of benefit
in axial manifestations2
PsA – Psoriatic Arthritis 1. Baraliakos X. et al. OP0235 Secukinumab improves axial manifestations in patients with psoriatic arthritis and inadequate response to NSAIDS: primary analysis of the MAXIMISE trial. Presented at the annual
European League Against Rheumatism 2019 2. Cosentyx is the only biologic with a randomized clinical trial in axial PsA
51.657.8
66.3
42.9
56.463.1
26.232.8 31.3
0
20
40
60
80
100
0 4 8 12
Secukinumab
300mg s.c.
(N=164)
Secukinumab
150mg s.c.
(N=157)
Placebo
(N=164)
Weeks
% r
es
po
nd
ers
P<0.001 vs placebo (multiple
imputation at Week 12). N,
number of patients randomized
MAXIMISE: rapid and significant improvement in ASAS20 response rate through Wk13
(full analysis set)
Up to 70% of PsA patients
have axial manifestations1
70%
Entresto® delivered strong Q2 performance, solidifying position as first choice HFrEF treatment
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 8
ESC-HFA expert consensus supports Entresto®
first-line use in HFrEF1
Expert consensus meeting report of the Heart Failure Association of ESC
Sacubitril/valsartan is recommended as a replacement for ACE-I/ARBs to
reduce the risk of HF hospitalization and death in ambulatory patients with
HFrEF who remain symptomatic despite optimal medical treatment with an ACE-I,
a beta-blocker and a MRA.
Initiation of sacubitril/valsartan rather than an ACE-I or an ARB may be
considered for patients hospitalized with new-onset or decompensated CHF
to reduce the short-term risk of adverse events and to simplify management (by
avoiding the need to titrate ACE-I first and then switch to sacubitril/valsartan).
ESC-HFA – European Society of Cardiology - Heart Failure Association; HFrEF – Heart Failure with reduced ejection fraction; pEF – preserved ejection fraction; CHF – Chronic heart failure 1. Seferovic et al. Clinical practice update on heart
failure in in-patient setting 2019: pharmacotherapy, procedures, devices and patient management. An expert consensus meeting report of The Heart Failure Association of the European Society of Cardiology. EJHF, 2019.
129
110
Q2 2019
239
Q2 2018
421
US
Ex-US
221
200
+81%
Entresto® revenues: strong momentum
leveraging PIONEER-HF data USD m, % cc
PARAGON-HF HFpEF data expected to be presented at ESC in September
Zolgensma® rapid launch and access post-approval
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 9
MAY 24 MAY 27 JUN 3 JUN 7 JUN 21
FDA approval Promotion in
market
First commercial
policy
Product ready
to ship
First US patient
treated
First international
patient treated via
French ATU
Rapid launch
Payer AccessMedical
policies
>20 commercial plans representing 40% of commercial lives and 4 Medicaid plans have policies
on coverage (not all have been posted externally)
Majority of policies are in line or close to the label. Common limitations: 4 SMN2 copies,
combination use with nusinersen
Approval
rates
Very high approval rates for on-label patients via policy or medical exception1
Wide range of patients approved for treatment: age 1 to 23 months, weight 4 to 12 kg, 2 and 3
SMN2 copy numbers, treatment-naï ve and previously on nusinersen
Contracting 17 commercial plans representing more than 40% commercial lives have signed Letter of Intent
on contracting terms
1. Approval rates so far >95% for patients utilizing the OneGene Program
Expected Zolgensma® newsflow in H2
Regulatory
Data
US: initiating FDA discussions on path for intrathecal dosing for older populations
EU: approval in infants expected in Q4 2019
Japan: approval in infants expected in Q4 2019
Other country filings initiated in Q3 for broad global roll-out
SPR1NT (pre-symptomatic, IV): enrollment expected to be completed Q3;
updated data at World Muscle Society (October 2019)
STRONG (Type 2, IT): updated data at World Muscle Society (October 2019)
STR1VE Global (Type 1, IV, US + EU): update to data at European Paediatric
Neurology Society (September 2019)
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 10
Zolgensma® presymptomatic patients areachieving age-appropriate motor milestones
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 11
Patients with 2 copies of SMN2 within
WHO windows of normal achievement
4 patients
could sit without support for ≥30 secs
1 patient
could stand with assistance for ≥2 secs
WALKING ALONE
STANDING W/ ASSISTANCE
SITTING W/O SUPPORT
“AVXS-101 Gene-Replacement Therapy in Presymptomatic Spinal Muscular Atrophy: SPR1NT Study Update,” K. Strauss, et al. AAN, 2019.
Open label, data as of March 8, 2019
2 copies (n=8): median 5.4 months of follow-up
3 copies (n=8): median 2.2 months of follow-up
Presymptomatic
Piqray® is off to a solid start
US: received FDA approval on May 24
EU: CHMP opinion expected in H2 2019
Engaged with payers covering over 80% of the target population in the US
Strong Rx momentum driven by PIK3CA mutation testing
Latest NCCN guidelines1 recommend PIK3CA mutation testing and use of
fulvestrant + alpelisib for PICK3CA-mutated tumors
Entered in agreement with Foundation Medicine to develop plasma and tissue test
Expanding programs to explore Piqray® in other tumor types:
- H2 2019 trial starts for HER2+ aBC and TNBC
- H1 2020 trial starts for head & neck and ovarian cancer
aBC – Advanced breast cancer TNBC – Triple negative breast cancer 1. NCCN guidelines have been updated to Version 2 2019
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 12
Building foundation for long term success of Mayzent®
RMS – Relapsing multiple sclerosis SPMS – Secondary progressive multiple sclerosis FDO – First dose observation 1. Largest trial performed in SPMS; KapposL et al. Siponimod vs. placebo in SPMS: double-blinded randomized, Ph3.
The Lancet. 2018; DOI 10.1016/S0140-6736(18)30475-6 2. FDO is only recommended for patients with certain pre-existing cardiac conditions -sinus bradycardia, first or second-degree[Mobitz type I] AV block, or a history of myocardial
infarction or heart failure 3. Benedict et al. Effect of Siponimod on cognition in patients with SPMS: Ph3 EXPAND study subgroup analyses. AAN 2019. P2-051 4. Novartis QuickPulse HCP Tracker, reported by InCrowd Inc. fielded May 3-
15, 2019. 5. Spherix Global Insights RealTime Dynamix – MS Q219
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 13
CHMP opinion expected H2 2019
1st choice in active SPMS product for HCPs4
90% neurologists willing to prescribe Mayzent®5
>70m lives with preferred access to Mayzent®
MSProDiscuss™ launched to help target patient
identification
Unique clinical data and supportive label
Full range of RMS indication
Active SPMS1 (EDSS range: 3.0 to 6.0)
Efficacy, reduces disease progression
Safety and tolerability
No FDO (~70%)2
Cognitive processing speed3
Priorities are driving Mayzent® differentiation
and the urgency to treat in active SPMS
Beovu™ (brolucizumab, RTH258) differentiated clinical profile – on track for launch upon approval
nAMD – neovascular age-related macular degeneration Brand name BeovuTM provisionally approved by FDA for brolucizumab. the product has not received regulatory approval in any jurisdiction 1. Met primary efficacy endpoint of
noninferiority to aflibercept in mean change in BCVA with comparable safety to aflibercept; vision maintained up to Week 96 2. At Week 48, demonstrated superiority in three secondary endpoints considered key markers of nAMD in clinical
practice: central subfield retinal thickness, retinal fluid (intraretinal fluid and/or subretinal fluid) and disease activity; advantages maintained at Week 96 3. At Week 48, the majority of patients (56% and 51%) were maintained on q12w
injection interval in Hawk and Harrier respectively with remaining patients on q8w regimen (key secondary endpoints); greater than 75% of these patients continued on q12w dosing up to Week 96. 4. FirstWord Pharma Physician Views
snap-poll results, 26 April 2019 5. https://clinicaltrials.gov/ct2/show/NCT04005352
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 14
US approval expected Q4 2019; CHMP opinion
expected Q1 2020
Strong awareness of clinical data (HAWK &
HARRIER)4
US operations ready – commercial and medical
teams hired and trained; supply readiness
EU market readiness in line with local
reimbursement timelines
Preparing for launchStrong clinical program
HAWK and HARRIER demonstrated
uncompromised vision, less retinal fluid, fewer
injections1,2,3
Expanded clinical program including TALON
head-to-head study of brolucizumab vs.
aflibercept in a treat-to-control regimen5
Accelerating Xiidra® activities while laying foundation to maximize potential
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 15
0
5,000
10,000
15,000
20,000
25,000
30,000
35,000
40,000
45,000
50,000
55,000
10/1807/18 01/1904/18 04/19 07/1901/18
Dry eye disease weekly TRx2
MoA - Mechanism of action. SoV – Share of Voice. DTC – Direct To Consumer 1. Nichols KK et al. Inv Ophthalmol & Vis Sci. 2016;57:2975-2982 2. IQVIA National Prescription Audit 3. Paulsen AJ et al. Am J Ophthalmic
2014;157(4):799-806 4. US Census Bureau. Annual estimates of the resident population for selected age groups by sex for the United States, States, Counties, and Puerto Rico Commonwealth and Municipios: April 1, 2010 to July 1, 2014
5. Schaumberg et al, 2013, Prevalence of diagnosed dry eye in the US, Marketscope 2018 report – Diagnosed Dry Eye patients in the US 6. Novartis Dry Eye market forecasts in the US, Mar 2019, validated with IQVIA TRx and NBRx claims
data Restasis® is a registered trademark of Allergan
Dry eye disease underdiagnosed,
undertreated1, increasing in
incidence
US dry eye
patients3,4
Diagnosed
by ECP5
Prescribed
Rx6
~50% self-
diagnose
~10% treated
with Rx
34 m
17 m
1.6 m
Restasis®
Xiidra®
Opportunities to re-ignite Xiidra®
Only drug to address signs and symptoms of
dry eye through unique anti-inflammatory MoA
Re-engage sales force to increase SoV on
value proposition
Optimize medical education and promotion
including DTC – new campaign Q4 2019
Next steps to maximize Xiidra®
potential
Expand access for Part D patients beginning
in 2021
Crizanlizumab (SEG101) submitted in US and EU – ready for a successful launch in anticipation of potential approval
Ready for a successful launch in US
Commercial field organization in place
Value proposition and account level plan designed to
maximize payer coverage and reimbursement
Post-launch patient support program planned
Innovative disease awareness & patient engagement ongoing
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 16
Submitted in US Q2 2019
Priority review granted on 15 July 2019
Approval anticipated on or before Q1 2020
Submitted in EU Q2 2019 for conditional
approval, expected in Q3 2020
Rest of World submissions planned for
after US approval
NotAloneinSickleCell.com
Q3 Q4 Q1 Potential
First approved therapy in HFpEF
First subcutaneous B-cell therapy
in RMS
First IL-17 treatment for all axial
SpA manifestations
Triplet Tafinlar® and Mekinist® /
PD-1 filing
First oral DP2 inhibitor in asthma
Catalyst-rich H2 with 5 major program readouts
Entresto®
PARAGON-HF
Cosentyx®
PREVENT
Fevipiprant (QAW039)
LUSTER1&2
Ofatumumab (OMB157)
ASCLEPIOS 1&2
PDR001 Combo1
COMBI-i
1. Combination with Tafinlar® and Mekinist®
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 17
Fevipiprant (QAW039)
ZEAL1&2
PARAGON-HF potentially the first positive confirmatory trial in HFpEF – results to be presented at ESC in September
Intentionally designed to assess impact of Entresto® on overall burden of disease
Potentially first positive morbidity / mortality study in HFpEF
Reduction in total HF hospitalizations, with or without significant effect on CV mortality, would be a
significant breakthrough
Indication/population Primary endpoint (novel) Next expected milestones
LVEF >45%
N=4,822
vs. valsartan
CV death and total (first &
recurrent) HF hospitalization
Results and filing planned H2 2019
ESC late-breaking presentation
HFpEF- heart failure with preserved ejection fraction LVEF - left ventricular ejection fraction CV – Cardiovascular HF – heart failure FIR - First interpretable results ESC - European Society of Cardiology
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 18
Ofatumumab (OMB157): potential to provide access to high efficacy b-cell therapy for broad RMS patient population
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 19
Loading dose induces rapid and profound B-cell depletion
Monthly dosing mimics the natural recovery cycle of B cells
keeping them at very low levels consistently, avoiding
rebound at end of cycle
Subcutaneous, therefore:
– Flexibility for quick replenishment
– Self-administered, therefore not limited to centers of excellence
– Improved lymph node targeting (vs. IV)
ARR – Annualized relapse rates. 1. Bar-Or et al., April 2018, Neurology, 2018; 90:e1805-e1814. 2. Modelling data on file based on PK-PD model developed from Ph2b.
Me
an
nu
mb
er
of
ne
w T
1 G
d+
le
sio
ns
Dosing regimen2 expected to provide rapid & sustained
B-cell depletion
ASCLEPIOS submitted for presentation at ECTRIMS 2019: potentially high efficacy on T1 Gd+ lesion, ARR and disability
Ph2 ofatumumab in relapsing MS MIRROR data1
Moderate to Severe asthma patientsUS patient numbers
Fevipiprant (QAW039): Comprehensive Ph3 program to address a treatment gap in asthmaTrial readouts on track. Full dataset required to assess product potential
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 20
Trial Population / primary endpoint
LUSTER 1 & 22 GINA 4/5, high eosinophils
Exacerbations
1,692 patients1
ZEAL 1 & 23 GINA 3/4
Lung Function (FEV1)
1,300 patients1
SPIRIT4 GINA 3/4/5
Safety
1,570 patients1
GINA – Global Initiative for Asthma. 1. Number of patients per protocol (for LUSTER & ZEAL combined number). 2. Anticipate readout Q1 2020; LUSTER 1 & 2 together with SPIRIT interim analysis could represent the core submission
package. 3. Anticipate readout Q4 2019. 4. Interim analysis readout expected end 2019.
Marie-France Tschudin appointed President of Novartis Pharmaceuticals
Member of Executive Committee of Novartis
25+ years experience in pharma and biotech
industry, including 10 years at Celgene
Purpose-driven leader; consistently built a culture
of inclusiveness and integrity
Joined Novartis in 2017 as Head Pharma Region
Europe, later appointed AAA President
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 21
% USD % cc % USD % cc
Net Sales 11,764 4 8 22,870 3 8
Core Operating income 3,648 14 20 6,902 12 19
Operating income 2,663 10 17 4,905 2 11
Net Income 2,109 -73 -71 3,977 -59 -56
Core EPS (USD) 1.34 14 20 2.55 9 17
EPS (USD) 0.91 -73 -71 1.72 -59 -55
Free Cash Flow 3,612 11 5,481 6
Change vs. PYContinuing operations
1
USD million
Q2
2019
H1
2019
Change vs. PY
Summary of Q2 and H1 2019 continuing operations financial results
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 23
2
2
2
1. Continuing operations as defined on page 42 of the Condensed Interim Financial Report, excludes Alcon, includes the businesses of Innovative Medicines and Sandoz (including the US generic oral solids and dermatology portfolio), as well
as the continuing corporate functions. 2. Constant currencies (cc), core results and free cash flow are non-IFRS measures. An explanation of non-IFRS measures can be found on page 55 of the Condensed Interim Financial Report.
Net sales
change vs. PY
Core operating
income
change vs. PY Core margin
Core margin
change vs. PY Core margin
Core margin
change vs. PY
(in % cc) (in % cc) (%) (%pts cc) (%) (%pts cc)
Innovative Medicines 9 22 35.4 3.7 34.4 3.2
Sandoz 3 10 20.5 1.4 20.2 0.9
Continuing Operations 8 20 31.0 3.2 30.2 2.9
Q2 2019 H1 2019
Continuing operations in Q2 2019, delivering core margin expansion of 3.2%pts cc vs. PY
1
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 24
2
2
2
2
2
1. Continuing operations as defined on page 42 of the Condensed Interim Financial Report, excludes Alcon, includes the businesses of Innovative Medicines and Sandoz (including the US generic oral solids and dermatology portfolio), as well
as the continuing corporate functions. 2. Constant currencies (cc), core results and free cash flow are non-IFRS measures. An explanation of non-IFRS measures can be found on page 55 of the Condensed Interim Financial Report.
New focused medicines company 2019 FY guidance: sales and core operating income revised upwards
Barring unforeseen events (in cc)
Full year guidanceExcl. Alcon and Sandoz proposed US portfolio sale to Aurobindo1 from both 2018 and 2019; growth vs. PY in cc
Sales revised upwards expected to grow mid to high single digit
IM Division revised upwards to grow mid to high single digit
Sandoz revised upwards to be broadly in line to low single digit growth
Core operating income revised upwards expected to grow low double digit to mid-teens
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
Key Assumption: All guidance includes forecast assumption that no Gilenya® generics enter in 2019 in US
1. The announced sale of Sandoz US dermatology and oral solids portfolio to Aurobindo, expected to close during 2019, is subject to the completion of customary closing conditions. 2018 FY Sales and Core OpInc of the Sandoz US Oral solids
and Dermatology businesses were approximately USD 1.2bn and 0.3bn, respectively.
25
+ Innovative Medicines growth drivers
and launches uptake1
+ Productivity
− Potential increased Gx erosion2
− Potential resolution of valsartan
competitor supply shortage
H2 2019
Core OpInc growth with continued strong underlying momentum; potential generic headwinds in H2 2019
26
Key drivers of continuing operations core operating income vs. PY (cc)
H1 2019
+ Innovative Medicines growth drivers
including Cosentyx® and Entresto®
+ Productivity
+ Valsartan competitor supply
shortage
1. Including Zolgensma®, Mayzent®, Aimovig®, Piqray®. 2. Mainly Exjade®, Afinitor® and Ophtha brands.
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
Illustrative
Currency impact vs. PY%pts, assuming mid-July exchange rates prevail in 2019
Expected currency impact for full year 2019
SimulationActual
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
2018
FX impact on
Net sales
FX impact on
Core operating income
1
-5 -4-1
-3
-9-6
-1-4
FY Q2 Q4Q1 Q4 FY Q2Q3 FY Q1 Q3 FY
00 0
2018 2019 2019
27
Conclusion: very strong first half 2019
Transformative innovation including the launches of Mayzent®,
Zolgensma® and Piqray®
Strong sales and margin expansion driven by double digit core operating
income growth
Catalyst rich second half, including readouts for
Entresto® PARAGON-HF, ofatumumab in MS and fevipiprant in asthma
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 29
Net debt increased by USD 1.7bn mainly due to the annual dividend payment in Q1, partly offset by FCF
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 32
-16.2-17.9
-6.6 -0.4-2.4
-0.7
Alcon Net debt2Dec 2018 M&A transactions
from Continuing Ops1Jun 30, 2019Dividends Free Cash Flow from
Continuing Ops1
5.5
Treasury share
transactions, net
Others
2.9
-1.7
USD billion
1. Continuing operations as defined on page 42 of the Condensed Interim Financial Report, excludes Alcon, includes the businesses of Innovative Medicines and Sandoz (including the US generic oral solids and dermatology portfolio), as well
as the continuing corporate functions. 2. Includes the net de-recognition of USD 0.6bn cash and cash equivalents and USD 3.5bn of financial debts related to the Alcon spin-off.
Key drivers vs. PY:
+ Higher Operating Income
(adjusted for non-cash items)
− Higher working capital
Offsetting one-time effects:
+ Real estate divestment proceeds
− Prior year OTC JV dividend and GSK milestone income
H1 2019 free cash flow at USD 5.5bn
5.2
H1 2019
5.5
H1 2018
+6%
Continuing operations1 free cash flow2
USD billion
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 33
1. Continuing operations as defined on page 42 of the Condensed Interim Financial Report, excludes Alcon, includes the businesses of Innovative Medicines and Sandoz (including the US generic oral solids and dermatology portfolio), as
well as the continuing corporate functions. 2. Free cash flow is a non-IFRS measures. Further details regarding non-IFRS measures can be found starting on page 55 of the Condensed Financial Report.
2019 expected pipeline milestones
H1 2019 H2 2019
Regulatory
decisions and
opinions
Mayzent®1 SPMS (US) ✓ BYL719 HR+ Breast Cancer (US) ✓3
Kymriah® Ped / Young Adult r/r ALL (JP) ✓ Brolucizumab (RTH258) nAMD (US)
Kymriah® r/r DLBCL (JP) ✓ Lucentis® RoP (EU / JP)
Promacta® Severe aplastic anaemia (EU) ✕ Lucentis® Diabetic Retinopathy (EU)
Zolgensma® SMA Type 12 (US / EU / JP) ✓ (✕2) Mayzent®1 SPMS (EU / JP)
Xolair® Pollinosis (JP)
Submissions Brolucizumab (RTH258) nAMD (US / EU / JP) ✓ Cosentyx® nr-axSpA (US / EU / JP)
Crizanlizumab (SEG101) Sickle Cell Disease (US / EU) ✓ Entresto® HFrEF (JP)
Mayzent®1 SPMS (JP) ✓ Entresto® HFpEF (US / EU)
INC280 NSCLC (US / JP)
Ofatumumab (OMB157) Relapsing MS (US / EU)
PDR001 (combination with
Tafinlar® + Mekinist®) Metastatic Melanoma (US / EU)
QVM149 Asthma (EU / JP) ✓4
Major trial
readouts
Zolgensma® SMA Type 2 IT Formulation ✓ Cosentyx® nr-axSpA
Zolgensma® SMA Type 1 / 2 /
presymptomatic✓ Entresto® HFpEF
Fevipiprant (QAW039) Asthma
Ofatumumab (OMB157) Relapsing MS
PDR001 (combination with
Tafinlar® + Mekinist®) Metastatic melanoma
✓ Achieved ✕ Missed
1. The name Mayzent® has now been fully approved by the FDA and so has the product. But the name has only been provisionally approved in Europe, and the product has not yet been approved there. 2. Zolgensma EU / JP approvals
expected in H2 2019. 3. Piqray® FDA approval achieved in H1 2019 4. QVM149 submitted in EU
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 34
17. Psoriatic arthritis head-to-head study versus
adalimumab
18. Non-alcoholic steatohepatitis
19. Ankylosing spondylitis head-to-head study versus
adalimumab
20. Acute myeloid leukemia
21. Chronic Obstructive Pulmonary Disease
22. Secondary Progressive Multiple Sclerosis
23. Myelodysplastic syndrome
24. 1st line colorectal cancer / 1st line renal cell
carcinoma
25. IT formulation Spinal Muscular Atrophy Type 2/3
26. Metastatic castration-resistant prostate cancer
Planned filings 2019 to 2023
ABL001CML4 3rd line
QGE031CSU16
Entresto®
Post-acute myocardial infarction
RTH258Diabetic macular edema
QAW039Asthma
Entresto®
Heart failure (PEF)13
INC280 NSCLC6
Cosentyx®
nr-axSpA12
OMB157Relapsing multiple sclerosis
2023202120202019 2022
Jakavi®Acute GVHD14
Combination abbreviations:
fulv fulvestrant
tmx tamoxifen
gsn goserelin
NSAI Non-steroidal aromatase inhibitor
Taf Tafinlar® (dabrafenib)
Mek Mekinist® (trametinib)
35 Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
Cosentyx®
PsA H2H17
Cosentyx®
AS H2H19
LAM320a
MDR8 tuberculosis
ZPL389Atopic dermatitis
Rydapt®AML20 (FLT3 wild type)
UNR844Presbyopia
Jakavi®Chronic GVHD14
PDR001 + Tafinlar®+Mekinist®
Metastatic BRAF V600+ melanomaECF843
Dry eye
XolairNasal polyps
ACZ885Adjuvant NSCLC6
ACZ8851st Line NSCLC6
ACZ8852nd Line NSCLC6
Kymriah®
r/r Follicular lymphoma
Kymriah®
r/r DLBCL10 in 1st relapse
New molecule
New indication
New formulation
Biosimilars
1. Secondary prevention of cardiovascular events in patients with
elevated levels of lipoprotein (a)
2. Triple negative breast cancer
3. Paroxysmal nocturnal hemoglobinuria
4. Chronic myeloid leukemia
5. Long-acting release
6. Non-small cell lung cancer
7. Neovascular age-related macular degeneration
8. Multi drug resistant
9. Breast cancer
10. Diffuse large B-cell lymphoma
11. Head and neck squamous cell carcinoma
12. Non-radiographic axial spondyloarthritis
13. Preserved ejection fraction
14. Graft-versus-host disease
15. Neuroendocrine tumors
16. Chronic spontaneous urticaria
AVXS-201Rett syndrome
Zolgensma®
Spinal muscular atrophy type 2/325
Cosentyx®
Hidradenitis suppurativa
177Lu-PSMA-617mCRPC26
KAE609Malaria
KAF156 Malaria
LJN452NASH18
CAD106Alzheimer’s disease
HDM201Acute myeloid leukemia
CFZ533Solid organ transplant
CSJ117Severe asthma
LJC242NASH18
LMI070Spinal muscular atrophy
LNP023IgA nephropathy
QBW251COPD21
VAY785NASH18
VAY736Autoimmune hepatitis
ABL001CML4 1st line
LOU064CSU16
VPM087CRC 1L/RCC 1L24
MOR106Atopic dermatitis
SAF312Chronic ocular surface pain
BYL719 (Piqray® US)HER2+ adv. breast cancer
TQJ230CVRR1
VAY736Primary Sjoegren’s syndrome
Kymriah+ pembrolizumab - r/r DLBCL10
CFZ533Sjoegren’s syndrome
LNP023Membranous nephropathy
BYL719 (Piqray® US)TNBC2
RTH258Retinal vein occlusion
Kisqali®HR+, HER2 (-) BC9 (adjuvant)
PDR001 comboMetastatic melanoma
LNP023C3 glomerulopathy
GP2411 (denosumab)Osteoporosis, skeletal-related in bone
met. pts (same as originator)
a) WHO pre-qualification submission achieved April 2019
BYL719 (Piqray® US)HNSCC11 2/3L
BYL719 (Piqray® US)Ovarian cancer
MBG453MDS23
LJN452Non-alcoholic steatohepatitis
QBW251COPD
LMI070Spinal muscular atrophy
UNR844Presbyopia
VAY736Autoimmune Hepatitis
LOU064CSU3
LNP023IgA nephropathy
MOR106Atopic Dermatitis
177Lu-PSMA-617mCRPC26
ABL001CML1 1st line
VAY736Primary Sjoegren’s syndrome
ZPL389Atopic dermatitis
VAY785Non-alcoholic steatohepatitis
PDR001 comboMetastatic melanoma
Kymriah®
+ pembrolizumab - r/r DLBCL12
VPM087CRC 1L/RCC 1L24
CFZ533Sjoegren’s syndrome
LNP023Membranous nephropathy
Pipeline of key projects in confirmatory development
Early Clinical Trials Registration Trials – Phase III / Pivotal In Registration
36 Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
Combination abbreviations:fulv fulvestrant
ltz letrozole
tmx tamoxifen
gsn goserelin
NSAI Non-steroidal aromatase inhibitor
Taf Tafinlar® (dabrafenib)
Mek Mekinist® (trametinib)
a) Approved in US, submitted in EU.
Lucentis®
ROP16
SEG101Sickle cell disease
QAW039Asthma
RTH258nAMD6
ACZ885Adjuvant NSCLC2
ACZ8851st Line NSCLC2
INC280 NSCLC2
ABL001CML1 3rd line
QGE031CSU3
PDR001 + Tafinlar®+Mekinist®
Metastatic BRAF V600+ melanoma
New molecule
New indication
New formulation
Biosimilars
Lucentis®
Diabetic retinopathy
BAF312a EU (Mayzent™US)SPMS20
LAM320MDR15 tuberculosis
QMF149Asthma
QVM149Asthma
OMB157 Relapsing multiple sclerosis
RTH258Diabetic macular edema
Rydapt®AML18 (FLT3 wild type)
LA-EP2006 (pegfilgrastim, US)Chemotherapy-induced neutropenia and
others (same as originator)
XolairNasal polyps
RTH258Retinal vein occlusion
Kymriah®
r/r DLBCL12 in 1st relapse
CAD106Alzheimer’s disease
KAE609Malaria
ECF843Dry eye
KAF156Malaria
HDM201Acute myeloid leukemia
CFZ533Solid organ transplant
Zolgensma®
Spinal muscular atrophy type 2/325
CSJ117Severe asthma
AVXS-201Rett syndrome
Zolgensma®a EUSpinal muscular atrophy type 123
1. Chronic myeloid leukemia
2. Non-small cell lung cancer
3. Chronic spontaneous urticaria
4. Triple negative breast cancer
5. Breast cancer
6. Neovascular age-related macular
degeneration
7. Secondary prevention of cardiovascular
events in patients with elevated levels of
lipoprotein (a)
8. Head and neck squamous cell carcinoma
9. Non-radiographic axial spondyloarthritis
10. Psoriatic arthritis head-to-head study versus
adalimumab
11. Ankylosing spondylitis head-to-head study
versus adalimumab
12. Diffuse large B-cell lymphoma
13. Preserved ejection fraction
14. Graft-versus-host disease
15. Multi-drug resistant
16. Retinopathy of prematurity
17. Severe aplastic anemia
18. Acute myeloid leukemia
19. Acute lymphoblastic leukemia
20. Secondary Progressive Multiple
Sclerosis
21. Myelodysplastic syndrome
22. Chronic Lymphocytic Leukemia
23. IV formulation Type 1 SMA
24. 1st line colorectal cancer / 1st line
renal cell carcinoma
25. IT formulation Spinal Muscular
Atrophy Type 2/3
26. Metastatic castration-resistant
prostate cancer
BYL719a EU (Piqray® US)PIK3CA mutant HR+, HER2 (-)
postmenopausal adv BC5 2nd line (+fulv)
Cosentyx®
nr-axSpA9
Entresto®
Heart failure (PEF)13
Entresto®
Post-acute myocardial infarction
Jakavi®Acute GVHD14
Cosentyx®
PsA H2H10
Cosentyx®
AS H2H11
Kisqali®
HR+, HER2(-) BC5 (adjuvant)
Jakavi®Chronic GVHD14
ACZ8852nd Line NSCLC2
Kymriah®
r/r Follicular lymphoma
Cosentyx®
Hidradenitis suppurativa
LJC242Non-alcoholic steatohepatitis
SAF312Chronic ocular surface pain
BYL719 (Piqray® US)HER2+ adv. BC5
BYL719 (Piqray® US)TNBC4
TQJ230CVRR7
LNP023C3 glomerulopathy
GP2411 (denosumab)2
Osteoporosis, skeletal-related in bone met. pts (same as originator)
BYL719 (Piqray® US)HNSCC8
BYL719 (Piqray® US)Ovarian cancer
MBG453MDS21
Promacta®/Revolade®
SAA17 1st line
Xiidra® EUDry eye
Clinical Trials Update Includes selected ongoing or recently concluded global trials of Novartis development programs/products which are
in confirmatory development or marketed (typically Phase 2 or later).
For further information on all Novartis clinical trials, please visit: www.novartisclinicaltrials.com
Key changes vs. Q1 2019 presentation (1/2)
New trials added
Study Program Indication Phase Patients
NCT03769168 (CAIN457F2304E1) Cosentyx® Psoriatic arthritis Phase 3 64
NCT03785405 (CLCZ696B2319E1) Entresto® Heart failure in pediatric patients Phase 3 240
NCT03909295 (CLCZ696D1301E1) Entresto® Post-acute myocardial infarction Phase 3 63
NCT03570892 BELINDA (CCTL019H2301) Kymriah® 2nd line Diffuse large B-cell lymphoma (DLBCL) Phase 3 318
NCT03876769 CASSIOPEIA (CCTL019G2201J) Kymriah® 1st line high risk acute lymphoblastic leukemia (ALL) Phase 2 160
NCT03926611 (CLOU064A2201) LOU064 Chronic spontaneous urticaria Phase 2 308
NCT03946670 (CMBG453B12201) MBG453 Myelodysplastic syndrome Phase 2 120
NCT03650400 (CQAW039B2201) QAW039 Asthma Phase 2 24
NCT03814746 STAND (CSEG101A2301) SEG101Prevention of Vaso-Occlusive Crises (VOC) in patients with Sickle
Cell Disease (SCD)Phase 3 240
NCT03809611 (CUNR844A2203) UNR844 Presbyopia Phase 2 120
NCT03948334 ZESTExt (CZPL389A2203E1) ZPL389 Atopic dermatitis Phase 2 360
38 Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
Key changes vs. Q1 2019 presentation (2/2)
Trials removed (operational decision-points achieved)
Study Program Indication Phase Patients
NCT03131453 GENERATION S2 (CCNP520A2202J) CNP520 Alzheimer’ s disease Phase 2B/3 2,000
NCT02435849 ELIANA (CCTL019B2202) Kymriah® Pediatric and young adult Relapsed/ refractory ALL Phase 2 95
NCT02180217 LINC-3 (CLCI699C2301) LCI699 Cushing's disease Phase 3 132
NCT02697734 LINC-4 (CLCI699C2302) LCI699 Cushing's disease Phase 3 69
NCT01682083 COMBI-AD (CDRB436F2301) Tafinlar®+Mekinist® BRAFV600 mutant adjuvant melanoma Phase 3A 874
NCT01698905 ENESTop (CAMN107A2408) Tasigna® Second line CML/CML-TFR Phase 2 163
NCT01844765 DIALOG (CAMN107A2203) Tasigna® Newly diag. CML and CML res/intol to imatinib/dasatinib Phase 2 59
NCT02712983 (CTBM100G2202) Tobramycin Bronchiectasis Phase 2 105
39 Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
Entresto® - Angiotensin receptor neprilysin inhibitor (ARNI)
41
Study NCT02678312 PANORAMA HF (CLCZ696B2319) NCT03785405 (CLCZ696B2319E1 – extension study)
Indication Heart failure in pediatric patients Heart failure in pediatric patients
Phase Phase 2/3 Phase 3
Patients 360 240
Primary Outcome
Measures
Part 1: Pharmacodynamics and pharmacokinetics of
sacubitril/valsartan LCZ696 analytes
Part 2: Efficacy and safety compared with enalapril
Number of participants with Adverse Events (AEs) and
Serious Adverse Events (SAEs)
Arms/Intervention
• Part 1: Sacubitril/valsartan 0.8 mg/kg or 3.1 mg/kg or
both; 0.4 mg/kg or 1.6 mg/kg or both (single doses).
• Part 2: enalapril/placebo 0.2 mg/kg bid (ped. formulation
1mg/ml) and adult formulation (2.5, 5, 10 mg bid);
Sacubitril/valsartan (LCZ696)/placebo: Ped. formulation
granules (12.5, 31.25 mg in capsules); liquid formulation
(1mg/ml and 4mg/ml concentration) and adult
formulation (50, 100, 200 mg bid)
• Single arm, open label sacubitril/valsartan (pediatric
formulation granules (12.5, 31.25 mg in capsules); liquid
formulation (1mg/ml and 4mg/ml concentration) and
adult formulation (50, 100, 200 mg bid))
Target Patients
Pediatric patients from 1 month to < 18 years of age with
heart failure due to systemic left ventricle systolic
dysfunction
Pediatric patients with heart failure due to systemic left
ventricle systolic dysfunction who have completed study
CLCZ696B2319
Expected Completion 2021 2022
Publication TBD TBD
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
Entresto® - Angiotensin receptor neprilysin inhibitor (ARNI)
42
Study NCT02554890 PIONEER-HF (CLCZ696BUS01) NCT02661217 TRANSITION (CLCZ696B2401)
Indication Heart failure, reduced ejection fraction Heart failure, reduced ejection fraction
Phase Phase 3B/4 Phase 4
Patients 881 1,002
Primary Outcome
Measures
Percentage change from baseline in N-terminal pro-brain
natriuretic peptide (NT-proBNP)
Assessing the percentage of patients who achieve the target
dose of 200 mg bid LCZ696 at 10 weeks after
randomization
Arms/Intervention
• Sacubitril/valsartan (LCZ696) 24/26 mg, 49/51 mg or
97/103 mg bid or matching placebo
• Enalapril (2.5 mg, 5 mg, and 10 mg) bid or matching
placebo
• Pre-discharge treatment initiation - LCZ696 (50, 100,
200 mg bid)
• Post-discharge treatment initiation - LCZ696 (50, 100,
200 mg bid)
Target PatientsPatients with HFrEF (LVEF<40%) hospitalized for ADHF
and stable for more than 24 hours
Heart failure patients with reduced ejection-fraction
hospitalized for an acute decompensation event
Expected Completion Q3-2018 (actual) Q4-2018 (actual)
Publication
• Nov-2018 AHA: Primary data presentation /
simultaneous publication (Velazquez E, et al. NEJM
2019)
• Mar-2019 ACC: 4wk OLE data, and core study data on
biomarkers, de novo HF, hospitalizations, & prior
exposure
• Apr-2019 Circulation: Research letter on composite
endpoint (Circulation. 2019;139:00– 00)
• 3Q-2019 ESC: Secondary abstracts submitted
• ESC 2018: Primary presentation of 10wk txt period data;
Primary manuscript submitted EJHF; if accepted,
planned publication 2Q-2019
• Secondary data presentations: 2Q-2019 ESC-HF: 26wk
extended treatment data, and “ de novo HF” and
ACEI/ARB naive subgroups; 3Q-2019 ESC: target doses
achieved, 30-day re-hospitalization, NTproBNP
biomarker, and signs and symptoms / NYHA class at
10wk and 26wk time points
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
43
Study NCT02884206 PERSPECTIVE (CLCZ696B2320) NCT02468232 PARALLEL-HF (CLCZ696B1301)
Indication Heart failure Heart failure, reduced ejection fraction
Phase Phase 3 Phase 3
Patients 592 225
Primary Outcome
Measures
Change from baseline in the CogState Global Cognitive
Composite Score (GCCS)
Time to the first occurrence of the composite endpoint -
either cardiovascular (CV) death or heart failure (HF)
hospitalization
Arms/Intervention
• Sacubitril/valsartan 50, 100, and 200 mg bid with
placebo of valsartan
• Valsartan 40, 80, and 160 mg bid tablets with placebo
for sacubitril/valsartan
• Sacubitril/valsartan 50 mg, 100 mg, 200 mg bid/placebo
of enalapril
• Enalapril 2.5 mg, 5 mg, 10 mg bid / placebo of
sacubitril/valsartan
Target PatientsPatients with chronic heart failure with preserved ejection
fraction
Japanese heart failure patients (NYHA Class II-IV) with
reduced ejection fraction
Expected Completion 2022 Q1-2019 (actual); H2-2020 (open-label extension)
Publication TBD TBD
Entresto® - Angiotensin receptor neprilysin inhibitor (ARNI)
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
44
Study NCT01920711 PARAGON-HF (CLCZ696D2301) NCT03066804 PARALLAX (CLCZ696D2302)
Indication Heart failure, preserved ejection fraction Heart failure, preserved ejection fraction
Phase Phase 3 Phase 3
Patients 4,822 2,577
Primary Outcome
Measures
Cumulative number of primary composite events of
cardiovascular (CV) death and total (first and recurrent) HF
hospitalizations
Change in NT-proBNP from baseline to week 12
and change in 6 minute walk distance (6MWD) from
baseline to Week 24
Arms/Intervention
• Sacubitril/valsartan or placebo 50 mg, 100 mg, and 200
mg bid
• Valsartan or placebo 40 mg, 80 mg, and 160 mg bid
• Sacubitril/valsartan 50 mg, 100 mg and 200 mg bid and
matching placebo
• Enalapril 2.5 mg, 5 mg and 10 mg bid and matching
placebo
• Valsartan 40 mg, 80 mg, 160 mg bid and matching
placebo
Target PatientsHeart failure patients (NYHA Class II-IV) with preserved
ejection fraction
Heart failure patients (NYHA Class II-IV) with preserved
ejection fraction
Expected Completion Q3-2019 Q4-2019
Publication Planned in Q3-2019 TBD
Entresto® - Angiotensin receptor neprilysin inhibitor (ARNI)
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
45
Study NCT03909295 (CLCZ696D1301E1 – extension study) NCT02924727 PARADISE-MI (CLCZ696G2301)
Indication Heart failure chronic Post-acute myocardial infarction
Phase Phase 3 Phase 3
Patients 63 5,650
Primary Outcome
Measures
Number of participants with Adverse Events (AEs) and
Serious Adverse Events (SAEs)
Time to the first occurrence of a confirmed composite
endpoint (cardiovascular (CV) death, heart failure (HF)
hospitalization, or outpatient heart failure)
Arms/Intervention• Sacubitril/valsartan 50 mg,100 mg,200 mg film coated
tablets
• Sacubitril/valsartan 50 mg, 100 mg, 200 mg bid / placebo
of ramipril/valsartan
• Ramipril 1.25 mg, 2.5 mg, and 5 mg bid / placebo of
sacubitril/valsartan / placebo for valsartan
Target Patients
Japanese heart failure patients (NYHA Class II-IV) with
preserved ejection fraction after CLCZ696D2301
(PARAGON-HF)
Post-AMI patients with evidence of LV systolic dysfunction
and/or pulmonary congestion, with no known prior history of
chronic HF
Expected Completion 2021 H2-2020
Publication TBD TBD
Entresto® - Angiotensin receptor neprilysin inhibitor (ARNI)
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
CFZ533 – Blocking, non-depleting, Fc-silent, anti-CD40 monoclonal antibody
Study NCT03663335 (CCFZ533A2201)
Indication Kidney transplantation
Phase Phase 2B
Patients 325
Primary Outcome
Measures
Composite event (BPAR, Graft Loss or Death) over 12
months post-transplantation and post conversion (for
maintenance cohort)
Arms/Intervention• CFZ doses + MMF + corticosteroids
• Control/Standard of Care: TAC + MMF + corticosteroids
Target Patients Kidney transplant recipients
Expected Completion 2021
Publication TBD
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 47
Cosentyx® - Anti IL-17
48
Study NCT01544595 (CAIN457A2302E1 – extension study) NCT03589885 MATURE (CAIN457A2325)
Indication Psoriasis Psoriasis
Phase Phase 3 Phase 3
Patients 1,146 120
Primary Outcome
Measures
Cumulative rate of subjects with loss of psoriasis area and
Cumulative rate of subjects with loss of Psoriasis Area and
Severity Index (PASI) 75 response up to week 68 (time = 0
being defined as week 52)
PASI 75 response and IGA mod 2011 0 or 1 response after
12 weeks of treatment
Arms/Intervention
• Secukinumab 150 mg
• Secukinumab 300 mg
• Placebo
• Secukinumab 2 mL (300 mg) auto-injector
• Secukinumab 2 x 1 mL (150 mg each) prefilled syringe
• Placebo 2 mL auto-injector
• Placebo 2 x 1 mL prefilled syringe
Target Patients
Patients with moderate to severe chronic plaque-type
psoriasis completing preceding psoriasis phase III studies
with secukinumab
Subjects with moderate to severe plaque Psoriasis
Expected Completion 2017 (actual) H2-2020
Publication
• 2-years results: Br J Dermatol. 2017 May 12. doi:
10.1111/bjd.15656
• 5-year results presented at AAD Mar-2019 (Late-
breaking Research) - Secukinumab Maintains
Improvements in Psoriasis through Five Years of
Treatment: A Randomized Extension of the Phase III
ERASURE and FIXTURE Trials
TBD
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
Cosentyx® - Anti IL-17
49
Study NCT02471144 (CAIN457A2310) NCT03066609 (CAIN457A2318)
Indication Psoriasis Psoriasis
Phase Phase 3 Phase 3
Patients 169 543
Primary Outcome
Measures
The percentage of Participants achieving a 75%
Improvement from Baseline in PASI Score at week 12
Psoriasis Area and Severity Index (PASI) 75 response and
Investigators' Global Assessment (IGA) 0 or 1 response at
week 12
Arms/Intervention
• Secukinumab low dose
• Secukinumab high dose
• Placebo
• Etanercept (comparator)
• Secukinumab 300 mg
• Secukinumab 150 mg
• Placebo
Target PatientsPatients from 6 to less than 18 years of age with severe
chronic plaque psoriasis
Patients with moderate to severe chronic plaque-type
psoriasis with or without psoriatic arthritis comorbidity
Expected Completion 2023 Q1-2019 (actual)
Publication TBD
Week 16 results: Poster presented at: 2019 American
Academy of Dermatology (AAD) Annual Meeting,
March 1– 5, 2019, Washington, D.C.
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
Cosentyx® - Anti IL-17
50
Study NCT02826603 CLARITY (CAIN457A2326) NCT03668613 (CAIN457A2311)
Indication Psoriasis Psoriasis
Phase Phase 3B Phase 3
Patients 1,102 80
Primary Outcome
Measures
Psoriasis Area and Severity Index (PASI) 90 response and
Investigators' Global Assessment (IGA) 0 or 1 response at
week 12
Psoriasis Area and Severity Index (PASI) 75 response and
Investigators' Global Assessment (IGA) 0 or 1 response at
week 12
Arms/Intervention• Secukinumab 300 mg
• Ustekinumab 45 mg/ 90 mg
• Secukinumab low dose
• Secukinumab high dose
Target Patients Patients with moderate to severe plaque psoriasisPediatric patients of age 6 to <18 years, with moderate to
severe plaque psoriasis
Expected Completion Q3-2018 (actual) 2023
Publication
• Abstract Winter Clin Derm (US) Jan-2018
• Abstract to EADV in 2018
• Submission Journal (16wk 1ry EP IA) Q3-2018
(ongoing)
• Encore Abstract AAD 2019
TBD
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
Cosentyx® - Anti IL-17
51
Study NCT02748863 ALLURE (CAIN457A2323)
Indication Psoriasis
Phase Phase 3
Patients 214
Primary Outcome
Measures
Psoriasis Area and Severity Index (PASI) 75 response and
Investigators' Global Assessment (IGA) 0 or 1 response
Arms/Intervention
• Secukinumab 300 mg (2 mL PFS device)
• Secukinumab 300 mg (2 x 1 mL PFS device)
• Placebo
Target Patients Adult subjects with moderate to severe plaque psoriasis
Expected Completion Q3-2018 (actual)
Publication• Submission Journal TBC Q2-2019
• Abstract at AAD in 2019
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
Cosentyx® - Anti IL-17
52
Study NCT03031782 (CAIN457F2304) NCT03769168 (CAIN457F2304E1 – extension study)
Indication Psoriatic arthritis Psoriatic arthritis
Phase Phase 3 Phase 3
Patients 80 64
Primary Outcome
MeasuresTime to 33 flares Number of participants with JIA ACR30 response
Arms/Intervention• Secukinumab (pre-filled syringe) 75 mg
• Placebo
• Secukinumab 75 mg/0.5 ml
• Secukinumab 150 mg/1.0 ml
Target PatientsJuvenile idiopathic arthritis subtypes of psoriatic and
enthesitis-related arthritis
Patients with juvenile idiopathic arthritis subtypes of juvenile
psoriatic arthritis and enthesitis related arthritis
Expected Completion 2021 2025
Publication TBD TBD
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
Cosentyx® - Anti IL-17
53
Study NCT01892436 FUTURE 1 extension (CAIN457F2306E1) NCT01649375 MEASURE 2 (CAIN457F2310)
Indication Psoriatic arthritis Ankylosing spondylitis
Phase Phase 3 Phase 3
Patients 460 219
Primary Outcome
Measures
Proportion of subjects that have a positive clinical response
to treatment (individual improvement) in disease activity
according to ACR20 (or ACR50 or ACR 70)
Assessment of SpondyloArthritis International Society /
ASAS 20 response
Arms/Intervention• Secukinumab 75 mg
• Secukinumab 150 mg
• Secukinumab 75 mg
• Secukinumab 150 mg
• Placebo
Target Patients Patients with active psoriatic arthritis Patients with active ankylosing spondylitis
Expected Completion Q1-2018 (actual) Q4-2018 (actual)
Publication
• 3 year results: ACR 2016; Mease PJ et al. Arthritis
Rheumatol. 2016; 68 (suppl 10)
• 3 years results: Manuscript submitted in Q4-2017
• Primary 52 week results: Baeten D & Sieper J, et al. N
Engl J Med 2015;373:2534– 48
• 2 year results: Marzo-Ortega, et al. Arthritis Care Res
2017 Feb 24. doi: - 10.1002/acr.23233
• 3 year results: Marzo-Ortega, et al. RMD 2017
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
Cosentyx® - Anti IL-17
54
Study NCT01752634 FUTURE 2 (CAIN457F2312) NCT02008916 MEASURE 3 (CAIN457F2314)
Indication Psoriatic arthritis Ankylosing spondylitis
Phase Phase 3 Phase 3
Patients 399 222
Primary Outcome
Measures
Proportion of subjects achieving American College of
Rheumatology 20 (ACR20) response criteria
Assessment of Spondyloarthritis International Society
criteria / ASAS 20 response
Arms/Intervention
• Secukinumab (AIN457) 150 mg s.c.
• Secukinumab (AIN457) 75 mg s.c.
• Secukinumab (AIN457) 300 mg s.c.
• Placebo s.c.
• Secukinumab 10 mg/kg / 300 mg
• Secukinumab 10 mg/kg / 150 mg
• Placebo
Target Patients Patients with active psoriatic arthritis Patients with active ankylosing spondylitis
Expected Completion Q1-2019 (actual) Q1-2018 (actual)
Publication
• Primary results: McInnes IB, et al. Lancet.
2015;386:1137– 46
• 2 years results: McInnes et al, Rheumatology
2017;56:1993-2003
• 5 year (EOS) results: Abstract to be submitted to ACR
2019
• 5 year (EOS) manuscript to start in Jun-2019
• 16 weeks results: PANLAR congress in Apr-2016
• 52 weeks results: Pavelka et al. Arthritis Research &
Therapy 2017
• 2 year results: Presented at ACR in Nov-2017
• 3 year (EOS) results: To be presented (ORAL) at
PANLAR April 2019
• 3 year (EOS) manuscript targeted for submission end
April 2019
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
Cosentyx® - Anti IL-17
55
Study NCT01989468 FUTURE 3 (CAIN457F2318) NCT02159053 MEASURE 4 (CAIN457F2320)
Indication Psoriatic arthritis Ankylosing spondylitis
Phase Phase 3 Phase 3
Patients 416 350
Primary Outcome
Measures
American College of Rheumatology 20 (ACR20) response in
subjects treated with secukinumab vs. placebo
Assessment of Spondyloarthritis International Society
criteria / ASAS 20 at week 16
Arms/Intervention
• Secukinumab (AIN457) 150 mg s.c.
• Secukinumab (AIN457) 300 mg s.c.
• Placebo
• Secukinumab 150 mg s.c. with loading
• Secukinumab 150 mg s.c. without loading
• Placebo
Target Patients Patients with active psoriatic arthritis Patients with active ankylosing spondylitis
Expected Completion Q2-2018 (actual) Q2-2018 (actual)
Publication52 week results: Nash et al, Arthritis Research & Therapy
2018, 20:47
• Week 104 (EOS) manuscript: Kivitz et al, Rheumatol
Ther https://doi.org/10.1007/s40744-018-0123-5
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
Cosentyx® - Anti IL-17
56
Study NCT02294227 FUTURE 4 (CAIN457F2336) NCT02404350 FUTURE 5 (CAIN457F2342)
Indication Psoriatic arthritis Psoriatic arthritis
Phase Phase 3 Phase 3
Patients 342 990
Primary Outcome
Measures
Assessment of American College of Rheumatology 20
(ACR20)
American College of Rheumatology 20 (ACR20) response at
Week 16
Arms/Intervention
• Secukinumab 150 mg with loading
• Secukinumab 150 mg without loading
• Placebo
• Secukinumab 150 mg load
• Secukinumab 150 mg no load
• Secukinumab 300 mg load
• Placebo
Target Patients Patients with active psoriatic arthritis Patients with active psoriatic arthritis
Expected Completion Q1-2018 (actual) Q1-2019 (actual)
Publication
• 52 week results: abstract presented at PANLAR
congress (Apr-2018)
• 2 year (EOS) results: manuscript targeted for submission
end of Apr-2019
• 52 week result abstracts presented at EULAR and ACR
2018
• 52 week manuscript targeted for submission end of April
2019
• 2 year (EOS) results to be submitted as late-breaker for
EULAR 2019
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
Cosentyx® - Anti IL-17
57
Study NCT01863732 (CAIN457F2305E1 – extension study) NCT02745080 EXCEED (CAIN457F2366)
Indication Ankylosing spondylitis Psoriatic arthritis
Phase Phase 3 Phase 3
Patients 300 850
Primary Outcome
Measures
Assessment of spondyloarthritis international society criteria
/ ASAS 20 responseAmerican College of Rheumatology 20 (ACR20) response
Arms/Intervention• Secukinumab 75 mg in PFS
• Secukinumab 150 mg in PFS
• Secukinumab 300 mg s.c.
• Adalimumab 40 mg s.c.
Target Patients Patients with active ankylosing spondylitis Patients with active psoriatic arthritis
Expected Completion Q2-2018 (actual) H1-2020
Publication
• 3-year results: Manuscript published in Clinical and
Experimental Rheumatology in May-2017
• 4-year results: Presented at ACR in Nov-2017
TBD
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
Cosentyx® - Anti IL-17
58
Study NCT02696031 PREVENT (CAIN457H2315) NCT03259074 SURPASS (CAIN457K2340)
Indication Non-radiographic axial spondyloarthritis Ankylosing spondylitis
Phase Phase 3 Phase 3
Patients 555 837
Primary Outcome
Measures
The proportion of participants who achieved an ASAS 40
response (Assessment of SpondyloArthritis International
Society criteria);
No radiographic structural progression as measured by
modified Stoke Ankylosing Spondylitis Spine Score
(mSASSS)
Arms/Intervention
• Secukinumab 150 mg load
• Secukinumab 150 mg no load
• Placebo
• Secukinumab 150/300 mg
• Adalimumab biosimilar 40 mg
Target Patients Patients with non-radiographic axial spondyloarthritis Patients with active ankylosing spondylitis
Expected Completion Week 52: H1-2020, Final: 2021 2022
Publication TBD TBD
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
Cosentyx® - Anti IL-17
59
Study NCT03713619 SUNSHINE (CAIN457M2301) NCT03713632 SUNRISE (CAIN457M2302)
Indication Hidradenitis Suppurativa (HS) Hidradenitis Suppurativa (HS)
Phase Phase 3 Phase 3
Patients 471 471
Primary Outcome
Measures
Proportion of participants with Hidradenitis Suppurativa
clinical response (HiSCR)
Proportion of patients with Hidradenitis Suppurativa Clinical
Response (HiSCR)
Arms/Intervention
• Secukinumab 300 mg every 2 weeks
• Secukinumab 300 mg every 4 weeks
• Placebo (every 2 weeks)
• Placebo (every 4 weeks)
• Secukinumab 300 mg every 2 weeks
• Secukinumab 300 mg every 4 weeks
• Placebo (every 2 weeks)
• Placebo (every 4 weeks)
Target Patients Subjects with moderate to severe Hidradenitis Suppurativa Subjects with moderate to severe Hidradenitis Suppurativa
Expected Completion 2022 2022
Publication Preliminary results in EADV (most likely) in 2021 Preliminary results in EADV (most likely) in 2021
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
Ilaris® - Anti IL-1β
60
Study NCT02059291 CLUSTER (CACZ885N2301) NCT02296424 (CACZ885G2306)
Indication Hereditary periodic fevers SJIA - Systemic Juvenile Idiopathic Arthritis
Phase Phase 3 Phase 3B/4
Patients 203 182
Primary Outcome
Measures
To demonstrate significant reduction of disease activity
with canakinumab vs. placebo
Proportion of patients in clinical remission on canakinumab
who are able to remain in remission following canakinumab
dose tapering (reduced canakinumab dose or prolonged
canakinumab dosing interval)
Arms/Intervention• Canakinumab
• Placebo
• Canakinumab dose reduction
• Canakinumab dose interval prolongation
Target PatientsPatients with, 3 separate disease cohorts TRAPS, HIDS,
and colchicine resistant FMF (Hereditary periodic fevers )
Patients with Systemic Juvenile Idiopathic Arthritis (SJIA)
(Pediatric)
Expected Completion 2017 (actual) 2018 (actual)
Publication
• QoL overall presented at EULAR in Q2-2019
• Manuscripts in 2019: submit both QoL overall and AIDAI in Q3-2019; crFMF efficacy & safety in Q4-2019
• Remission & flexible dosing – presented at ISSAID & EULAR in Q2-2019
• Manuscript in 2019: Remission & flexible dosing to be submitted in Q3-2019
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
LJN452 - FXR Agonist
61
Study NCT02855164 (CLJN452A2202)
Indication Non-alcoholic steatohepatitis
Phase Phase 2
Patients 345
Primary Outcome
Measures
Adverse event profile of different doses; determine the dose
relationship of LJN452 on markers of hepatic inflammation
in NASH (ALT and AST); determine dose-response
relationship of LJN452 on liver fat content by changes in
quantitative MRI; determine effect of LJN452 on liver fibrosis
by biopsy
Arms/Intervention Multiple LJN452 doses and placebo
Target Patients Patients with non-alcoholic steatohepatitis (NASH)
Expected Completion H1-2020
Publication Manuscript to be submitted in H2-2020
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
LOU064 – Bruton's tyrosine kinase (BTK) inhibitor
62
Study NCT03926611 (CLOU064A2201)
Indication Chronic spontaneous urticaria (CSU)
Phase Phase 2
Patients 308
Primary Outcome
MeasuresChange from baseline in weekly Urticaria Activity Score (UAS7) at Week 4
Arms/Intervention
• LOU064 Arm 1 Low dose of LOU064 orally in the morning (once daily) and matching placebo in the evening from
Day 1 to 85
• LOU064 Arm 2 Medium dose of LOU064 orally in the morning (once daily) and matching placebo in the evening
from Day 1 to 85
• LOU064 Arm 3 High dose of LOU064 orally in the morning (once daily) and matching placebo in the evening from
Day 1 to 85
• LOU064 Arm 4 Low dose of LOU064 orally, twice daily from Day 1 to 85
• LOU064 Arm 5 Medium dose of LOU064 orally, twice daily from Day 1 to 85
• LOU064 Arm 6 High dose of LOU064 orally, twice daily from Day 1 to 85
• Placebo arm Matching placebo, orally, twice daily from Day 1 to 85
Target Patients Adults with CSU inadequately controlled by H1-antihistamines
Expected Completion 2020
Publication TBD
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
LJC242 - FXR agonist + CCR2/CCR5 inhibitor
63
Study NCT03517540 TANDEM (CLJC242A2201J)
Indication Non-alcoholic steatohepatitis
Phase Phase 2
Patients 200
Primary Outcome
Measures
• Evaluation of safety and tolerability of combination
therapy (tropifexor + cenicriviroc) by monitoring adverse
event profile, vital signs and laboratory parameters
Arms/Intervention
• Tropifexor
• Cenicriviroc
• Tropifexor + cenicriviroc
Target PatientsAdult patients with non-alcoholic steatohepatitis (NASH) and
liver fibrosis
Expected Completion H2-2020
Publication Manuscript to be submitted in H1-2021
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
QGE031 - Anti-IgE
Study NCT02477332 (CQGE031C2201) NCT02649218 (CQGE031C2201E1)
Indication Chronic spontaneous urticaria Chronic spontaneous urticaria
Phase Phase 2B Phase 2B
Patients 382 226
Primary Outcome
Measures
Establish dose-response relationship of QGE031 with
respect to achievement of complete hives response at week
12
Long-term safety; number of participants with treatment-
emergent adverse events
Arms/Intervention
• Ligelizumab 24mg q4wks
• Ligelizumab 72mg q4wks
• Ligelizumab 240mg q4wks
• Ligelizumab 120mg single dose
• Omalizumab 300mg q4wks
• Placebo q 4wks
Ligelizumab 240 mg q4wks open label
Target Patients Patients with chronic spontaneous urticaria Patients with chronic spontaneous urticaria
Expected Completion 2017 (actual) Q2-2019 (actual)
Publication
Primary results: Presented at EAACI 2018, EADV 2018, and
GUF 2018; manuscript submitted (publication expected Q3-
2019)
Primary results: Late breaker abstract (showing 1 year
treatment results) presented at AAD in Q1-2019; re-
treatment data and safety overview presented at EAACI
2019; manuscript submission expected in Q1-2020
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 64
QGE031 - Anti-IgE
Study NCT03437278 (CQGE031C2202)
Indication Chronic spontaneous urticaria
Phase Phase 2
Patients 48
Primary Outcome
MeasuresChange in the 7 day Urticaria Activity Score (UAS7)
Arms/Intervention
• Ligelizumab high dose q4wks
• Ligelizumab low dose q4wks
• Placebo / ligelizumab high dose q4wks
Target PatientsAdolescents from 12 to <18 years of age, with chronic
spontaneous urticaria
Expected Completion H2-2021
Publication Manuscript to be submitted in 2021
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 65
QGE031 - Anti-IgE
Study NCT03580369 Pearl 1 (CQGE031C2302) NCT03580356 Pearl 2 (CQGE031C2303)
Indication Chronic spontaneous urticaria Chronic spontaneous urticaria
Phase Phase 3 Phase 3
Patients 1,050 1,050
Primary Outcome
Measures
Absolute change from baseline in UAS7 (Urticaria Activity
Score) at week 12
Absolute change from baseline in UAS7 (Urticaria Activity
Score) at week 12
Arms/Intervention
• Ligelizumab dose A q4w
• Ligelizumab dose B q4w
• Omalizumab 300 mg q4w
• Placebo q4w from randomization to wk20, then
ligelizumab dose B from wk24 to wk48
• Ligelizumab dose A q4w
• Ligelizumab dose B q4w
• Omalizumab 300 mg q4w
• Placebo q4w from randomization to wk20, then
ligelizumab dose B from wk24 to wk48
Target PatientsAdolescents and adults with chronic spontaneous urticaria
and inadequately controlled with H1-antihistamines
Adolescents and adults with chronic spontaneous urticaria
and inadequately controlled with H1-antihistamines
Expected Completion 2021 2021
Publication TBD TBD
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 66
VAY736 – Fully human IgG1/κ anti-BAFF-R mAb
Study NCT02962895 (CVAY736A2201) NCT03217422 AMBER (CVAY736B2201)
Indication Primary sjogren's syndrome Autoimmune hepatitis
Phase Phase 2B Phase 2
Patients 180 80
Primary Outcome
Measures
Safety and efficacy of VAY736 in primary sjogren's
syndrome (pSS)Alanine aminotransferase (ALT) normalization
Arms/Intervention• VAY736
• Placebo
• VAY736
• Placebo control with conversion to active VAY736
Target PatientsPatients With Moderate to Severe Primary sjogren's
Syndrome (pSS)
Autoimmune hepatitis patients with incomplete response or
intolerant to standard treatment of care
Expected Completion H2-2020 2023
Publication TBD TBD
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 67
ZPL389 - H4 receptor antagonist
Study NCT03517566 ZEST (CZPL389A2203)NCT03948334 ZESTExt (CZPL389A2203E1 – extension
study)
Indication Atopic dermatitis Atopic dermatitis
Phase Phase 2 Phase 2
Patients 360 360
Primary Outcome
MeasuresIGA (Investigator's global assessment) response at week 16
Frequency of Adverse Events (AEs) and Serious Adverse
Events (SAEs)
Arms/Intervention
• ZPL389 dose 1
• ZPL389 dose 2
• ZPL389 dose 3
• ZPL389 dose 4
• Placebo
• ZPL389 Dose 1 + Topical Corticosteroids (TCS) and /or
Topical Calcineurin Inhibitors (TCI)
• ZPL389 Dose 2 + Topical Corticosteroids (TCS) and /or
Topical Calcineurin Inhibitors (TCI)
Target Patients Patients with moderate to severe atopic dermatitis Adult patients with atopic dermatitis
Expected Completion H1-2020 2022
Publication TBD TBD
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 68
Zolgensma® - SMN1 gene replacement therapy
70
Study NCT03461289 STRIVE-EU (CL-302) NCT03306277 STRIVE (CL-303)
Indication Type 1 spinal muscular atrophy Type 1 spinal muscular atrophy
Phase Phase 3 Phase 3
Patients 30 20
Primary Outcome
MeasuresProportion of participants sitting without support
• Achievement of independent sitting for at least 30
seconds
• Event-free survival
Arms/Intervention Open-label, single-arm, single-dose, intravenous Open-label, single-arm, single-dose, intravenous
Target Patients Patients with spinal muscular atrophy Type 1 Patients with Spinal Muscular Atrophy Type 1
Expected Completion H1-2020 Q4-2019
Publication TBD TBD
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
Zolgensma® - SMN1 gene replacement therapy
71
Study NCT03505099 SPR1NT (CL-304) NCT03837184 STRIVE Asia Pacific (CL-306)
Indication Spinal muscular atrophy Type 1 spinal muscular atrophy
Phase Phase 3 Phase 3
Patients 27 6
Primary Outcome
Measures
• Percentage of participants achieving functional
independent sitting for at least 30 seconds at any visit
• Percentage of participants achieving the ability to stand
without support for at least 3 seconds at any visit
Proportion of participants sitting without support
Arms/Intervention Open-label, single-arm, single-dose, intravenous Open-label, single-arm, single-dose, intravenous
Target PatientsPre-symptomatic patients with spinal muscular atrophy and
multiple copies SMN2Patients with spinal muscular atrophy Type 1
Expected Completion 2021 2021
Publication TBD TBD
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
Zolgensma® - SMN1 gene replacement therapy
72
Study NCT03381729 STRONG (CL-102)
Indication Type 2 spinal muscular atrophy
Phase Phase 1
Patients 27
Primary Outcome
Measures
• Safety and tolerability, incidence of adverse events
• Proportion of patients achieving Standing Milestone
• Change in Hammersmith Functional Motor Scale
Arms/Intervention Open-label, single-arm, single-dose, intrathecal
Target Patients Patients with spinal muscular atrophy with 3 copies of SMN2
Expected Completion H1-2020
Publication TBD
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
Aimovig® – CGRP receptor antagonist
73
Study NCT03096834 LIBERTY (CAMG334A2301) NCT03333109 EMPOWER (CAMG334A2302)
Indication Migraine Migraine
Phase Phase 3 Phase 3
Patients 246 880
Primary Outcome
Measures
Percentage of patients with a 50% response in the reduction
of Monthly Migraine Days (MMD)
Change from baseline in monthly migraine days at the last
month (Month 3) of the double-blind treatment period
Arms/Intervention• Subcutaneous injection of AMG334 (erenumab)
• Subcutaneous injection of placebo
• AMG334 (erenumab) Dose 1
• AMG334 (erenumab) Dose 2
• Placebo
Target PatientsAdult episodic migraine patients who have failed prophylactic
migraine treatmentsAdult episodic migraine patients
Expected Completion 2017 DBT phase (actual); 2021 OLE phase H1-2020
Publication Planned in 2019 TBD
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
CNP520 - BACE inhibitorCAD106 - active beta-amyloid immunotherapy
74
Study NCT02565511 GENERATION S1 (CAPI015A2201J)
Indication Alzheimer’ s disease
Phase Phase 2B/3
Patients 1,340
Primary Outcome
Measures
Time to diagnosis of MCI due to Alzheimer's disease or
dementia due to Alzheimer's disease
Change in the Alzheimer's Prevention Initiative Composite
Cognitive (APCC) Test Score
Arms/Intervention
• CAD106 450 µ g + Alum 450 µ g i.m.
• Placebo to CAD106 + Alum 450 µ g i.m.
• CNP520 50 mg oral
• Placebo to CNP520 oral
Target PatientsCognitively unimpaired participants aged 60 to 75 years,
with two APOE4 allele (Homozygotes )
Expected Completion 2025
Publication TBD
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
Gilenya® - S1P-R modulator
75
Study NCT01633112 ASSESS (CFTY720D2312) NCT01201356 LONGTERMS (CFTY720D2399)
Indication Relapsing remitting multiple sclerosis (RRMS) Relapsing multiple sclerosis (RMS)
Phase Phase 3B Phase 3
Patients 1,064 4,125
Primary Outcome
Measures
Comparison of 2 doses (0.25 mg and 0.5 mg) of fingolimod
to glatiramer acetate (20 mg) in reducing the annualized
relapse rate up to 12 months
Long-term safety and tolerability
Arms/Intervention
• Fingolimod 0.5 mg orally
• Fingolimod 0.25mg orally
• Copaxone® 20 mg s.c.
Single-arm study of fingolimod 0.5 mg/day
Target Patients Patients with relapsing-remitting multiple sclerosis Patients with relapsing multiple sclerosis
Expected Completion 2018 (actual) 2018 (actual)
Publication• Primary data presentation at AAN in 2019
• Primary manuscript – planned in 2019
• Primary data presentation: Cohen J, et al presented at
ECTRIMS 2017
• Primary manuscript submitted in May 2019 (estimated
publication August 2019)
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
LMI070 - SMN2 RNA splice modulator
76
Study NCT02268552 (CLMI070X2201)
Indication Type 1 spinal muscular atrophy
Phase Phase 1/2
Patients 39
Primary Outcome
Measures
Number of participants with adverse events (AEs), serious
adverse events (SAEs) and deaths
Arms/Intervention
Branaplam oral, once weekly:
• Part 1: 5 ascending doses
• Part 2: 2 different dose levels
• Part 3: patients continue on initial dose assigned in Part
1 or Part 2
Target PatientsPatients with type 1 spinal muscular atrophy
Expected Completion H2-2020
Publication TBD
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
OMB157 - Anti-CD20
77
Study NCT02792218 Asclepios I (COMB157G2301) NCT02792231 Asclepios II (COMB157G2302)
Indication Multiple sclerosis Multiple sclerosis
Phase Phase 3 Phase 3
Patients 900 900
Primary Outcome
Measures
Annualized Relapse Rate (ARR) - number of confirmed
relapses in a year calculated based on cumulative number
of relapses by patient adjusted for time-in-study by patient
Annualized Relapse Rate (ARR) - number of confirmed
relapses in a year calculated based on cumulative number
of relapses by patient adjusted for time-in-study by patient
Arms/Intervention• Ofatumumab subcutaneous
• Teriflunomide oral
• Ofatumumab subcutaneous
• Teriflunomide oral
Target Patients Patients with relapsing forms of multiple sclerosis Patients with relapsing forms of multiple sclerosis
Expected Completion Q3-2019 Q3-2019
Publication TBD TBD
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
OMB157 - Anti-CD20
78
Study NCT03249714 APOLITOS (COMB157G1301) NCT03650114 ALITHIOS (COMB157G2399)
Indication Multiple sclerosis Multiple Sclerosis
Phase Phase 2 Phase 3
Patients 60 2010
Primary Outcome
Measures
Reduced cumulative number of Gd-enhanced T1 lesions
across 4 MRI scans at week 12, 16, 20 and 24 (ofatumumab
vs placebo)
Evaluate the long-term safety and tolerability of ofatumumab
20 mg subcutaneous (sc) once every 4 (q4) weeks in
subjects with RMS from the first dose of ofatumumab
Arms/Intervention• Ofatumumab 20 mg subcutaneous injections
• Placebo• Ofatumumab 20 mg every 4 weeks
Target Patients Patients with relapsing forms of multiple sclerosis Patients with relapsing MS
Expected Completion H2-2020 2025
Publication TBD TBD
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
ABL001 – Specific, allosteric Bcr-Abl kinase inhibitor
80
Study NCT03106779 (CABL001A2301) NCT03578367 (CABL001E2201)
Indication Chronic myeloid leukaemia (CML) Chronic myeloid leukaemia (CML)
Phase Phase 3 Phase 2
Patients 222 120
Primary Outcome
MeasuresMajor Molecular Response (MMR) rate at 24 weeks Deep molecular response (MR 4.5) at 48 weeks
Arms/Intervention• ABL001 40 mg bid
• Bosutinib 500 mg
• ABL001 40 mg QD + 400 mg imatinib
• ABL001 60 mg QD + 400 mg imatinib
• Imatinib 400mg QD (continuation treatment)
• Nilotinib 300mg bid (switch to nilotinib treatment)
Target Patients
Patients with chronic myelogenous leukemia in chronic
phase, previously treated with 2 or more tyrosine kinase
inhibitors
CML-CP patients not reaching DMR (MR 4.5) while on 1L
imatinib treatment
Expected Completion H2-2020 H1-2021
Publication TBD TBD
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
ACZ885 – IL1β inhibitor
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 81
Study NCT03447769 (CACZ885T2301) NCT03631199 CANOPY-1 (CACZ885U2301)
Indication Adjuvant NSCLC 1st Line Non-small cell lung cancer (NSCLC)
Phase Phase 3 Phase 3
Patients 1,500 627
Primary Outcome
Measures
Disease free survival (primary), overall survival (key
secondary)
• Safety run-in part: Incidence of dose limiting toxicities
• Double-blind, randomized, placebo-controlled part:
Progression free survival (PFS)
• Overall survival (OS)
Arms/Intervention• Canakinumab 200mg q3w sc for 18 cycles
• Placebo q3w sc for 18 cycles
• Canakinumab or matching placebo in combination with
pembrolizumab and platinum-based doublet
chemotherapy
Target Patients
Patients with:
• High– risk NSCLC (AJCC/UICC v.8 stage II-IIIA and IIIB
(T>5cm N2)) after complete resection and standard of
care adjuvant cisplatin-based chemotherapy
• All histologies
Patients with
• Histologically confirmed Stage IIIB, IV NSCLC with no
prior systemic anticancer therapy
• Squamous and non-squamous NSCLC
• No EGFR mutation and ALK rearrangement
Expected Completion 2022 2021
Publication TBD Abstract submitted Q2-2019 (Safety run-in)
ACZ885 – IL1β inhibitor
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 82
Study NCT03626545 CANOPY-2 (CACZ885V2301)
Indication 2nd / 3rd Line Non-small cell lung cancer (NSCLC)
Phase Phase 3
Patients 240
Primary Outcome
Measures
• Safety run-in part: Incidence of dose limiting toxicities.
• Double-blind, randomized, placebo-controlled part:
Overall Survival
Arms/Intervention
• canakinumab in combination with docetaxel
• canakinumab matching-placebo in combination with
docetaxel
Target Patients
Patients with:
• Stage IIIB or IV NSCLCwithout EGFR, ALK, ROS-1 or B-
RAF mutation
• Previously treated with platinum therapy and PD(L)1-
inhibitor
Expected Completion 2021
Publication Abstract submission to congress in H2-2019
BYL719 - Alpha-specific PI3K inhibitor
83
Study NCT02437318 SOLAR-1 (CBYL719C2301)
Indication HR+ advanced breast cancer
Phase Phase 3
Patients 572
Primary Outcome
Measures
Progression-free survival (PFS) for patients with PIK3CA
mutant status
Arms/Intervention• Fulvestrant 500 mg + alpelisib 300 mg
• Fulvestrant 500 mg + placebo
Target Patients
Men and postmenopausal women with hormone receptor
positive, HER2-negative advanced breast cancer which
progressed on or after aromatase inhibitor treatment
Expected Completion Q3-2018 (actual)
Publication
• Andre F, et al. Presentation at ESMO 2018
• Andre et al. Manuscript N Engl J Med (accepted Q1-
2019, not yet published)
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
Exjade® - Iron chelation of bis-hydroxy-phenyl triazole type
84
Study NCT00940602 TELESTO (CICL670A2302)
Indication Iron overload
Phase Phase 2
Patients 224
Primary Outcome
Measures
To compare deferasirox to placebo with regard to event-free
survival in low and int-1 risk MDS patient with transfusional
iron overload
Arms/Intervention• Deferasirox, iron chelator
• Placebo
Target PatientsPatients with myelodysplastic syndromes (low/int-1 risk) and
transfusional iron overload
Expected Completion Q3-2018 (actual)
Publication
• Angelucci E, et al. Presentation at ASH 2018
• Angelucci E, et al. Manuscript submitted submitted Q1-
2019
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
INC280 - MET Inhibitor
85
Study NCT02414139 (CINC280A2201) NCT03647488 (CINC280D2201)
IndicationEGFR Wild-type, ALK negative advanced Non-small Cell
Lung Cancer (NSCLC)Non-small cell lung cancer
Phase Phase 2 Phase 2
Patients 364 105
Primary Outcome
MeasuresOverall Response Rate (ORR)
Run in part: Assess safety and tolerability of capmatinib and
spartalizumab combination.
Randomized part: Overall Survival (OS)
Arms/Intervention
• Pre-treated pts. with MET GCN: ≥ 6; ≥ 4 and < 6; <
4
• Pre-treated pts. with MET mutations regardless of
cMET GCN as second or third line
• Treatment-naï ve pts. with MET dysregulation
• Pre-treated pts with MET dysregulation – second
line
• Treatment-naï ve pts with cMET mutations
regardless of cMET GCN
• Capmatinib plus spartalizumab
• Docetaxel
Target Patients
Adult patients with EGFR wild-type (wt), ALK-negative
advanced/ metastatic NSCLC with either MET
amplification or MET mutations
Pre-treated adult patients with EGFR wild-type ALK
rearrangement negative advanced/metastatic non-small cell
lung cancer, that has demonstrated progression following one
prior platinum doublet and one prior PD-(L)1 checkpoint
inhibitor
Expected Completion Q2-2019 (actual) 2021
Publication• Wolf J, et al. Presented at ASCO 2019
• Manuscript submission in H2-2019 (journal TBD)TBD
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
Jakavi® - JAK1/2 inhibitor
86
Study NCT02913261 REACH2 (CINC424C2301) NCT03112603 REACH3 (CINC424D2301)
Indication Steroid-refractory acute graft vs. Host disease (SR aGVHD) Steroid-refractory chronic graft vs. Host disease (SR cGVHD)
Phase Phase 3 Phase 3
Patients 308 324
Primary Outcome
MeasuresOverall Response Rate (ORR) at 28 Days Overall Response Rate (ORR) at 183 Days
Arms/Intervention• Ruxolitinib 10mg bid
• Best available therapy (BAT)
• Ruxolitinib 10mg bid
• Best available therapy (BAT)
Target Patients Patients with steroid-refractory acute GVHD (SR aGVHD) Patients with steroid-refractory chronic GVHD (SR cGVHD)
Expected Completion Q3-2019 Q3-2019
Publication • Manuscript submission in H1-2020 (journal TBD) • Manuscript submission in H1-2020
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
Jakavi® - JAK1/2 inhibitor
87
Study NCT03491215 REACH4 (CINC424F12201)
Indication Graft versus host disease
Phase Phase 2
Patients 39
Primary Outcome
Measures
• Measurement of PK parameters
• Overall Response Rate (ORR)
Arms/Intervention • Ruxolitinib
Target PatientsPediatric patients with grade II-IV acute graft vs. host disease
after allogeneic hematopoietic stem cell transplantation
Expected Completion 2022
Publication TBD
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
Kisqali® - CDK 4/6 inhibitor
88
Study NCT03701334 NATALEE (CLEE011O12301C)
IndicationAdjuvant treatment of hormone receptor (HR)-positive,
HER2-negative, early breast cancer (EBC).
Phase Phase 3
Patients ~4,000
Primary Outcome
Measures
Invasive Disease-Free Survival for using STEEP criteria
(Standardized Definitions for Efficacy End Points in adjuvant
breast cancer trials)
Arms/Intervention• Ribociclib + endocrine therapy
• Endocrine therapy
Target Patients
Pre and postmenopausal women and men with HR-positive,
HER2-negative EBC, after adequate surgical resection, who
are eligible for adjuvant endocrine therapy
Expected Completion 2025
Publication TBD
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
Kymriah® – CAR-T therapy
89
Study NCT02445248 JULIET (CCTL019C2201) NCT03568461 ELARA (CCTL019E2202)
Indication Relapsed / refractory DLBCL Relapsed / refractory follicular lymphoma (FL)
Phase Phase 2 Phase 2
Patients 128 113
Primary Outcome
MeasuresOverall response rate; efficacy and safety of CTL019 Complete Response Rate (CRR)
Arms/Intervention Single-arm study of single dose of CTL019 Single-arm study of tisagenlecleucel
Target PatientsAdult patients with relapsed or refractory diffuse large B-cell
lymphoma (DLBCL)Adult patients with relapsed or refractory FL
Expected Completion 2017 (actual) H2-2020
Publication
• Schuster et al. Presentations at ICML 2017; at EHA
2017; at ASH 2017; at ASH 2018; Borchmann et al.
Presentation at EHA 2018; Bachanova et al.
Presentation at ICML 2019
• Schuster et al. N Engl J Med. 2019;380(1):45-56. doi:
10.1056/NEJMoa1804980. Epub 2018 Dec 1.
TBD
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
Kymriah® – CAR-T therapy
90
Study NCT03876769 CASSIOPEIA (CCTL019G2201J) NCT03570892 BELINDA (CCTL019H2301)
Indication 1st line high risk acute lymphoblastic leukemia (ALL) 2nd line Diffuse large B-cell lymphoma (DLBCL)
Phase Phase 2 Phase 3
Patients 160 318
Primary Outcome
Measures5 year Disease Free Survival (DFS) Event-free Survival (EFS)
Arms/Intervention Single-arm study of tisagenlecleucel; retreatment allowed Tisagenlecleucel versus standard of care
Target Patients Pediatric and young adult patients with 1st line high risk ALL
Adult patients with aggressive B-cell Non-Hodgkin
Lymphoma after failure of rituximab and anthracycline-
containing frontline immunochemotherapy
Expected Completion 2025 2021
Publication TBD TBD
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
MBG453 – Tim-3 antagonist
91
Study NCT03946670 (CMBG453B12201)
Indication Myelodysplastic syndrome
Phase Phase 2
Patients 120
Primary Outcome
Measures
Complete Remission (CR) rate and Progression Free
Survival (PFS)
Arms/Intervention• Experimental: MBG453 + hypomethylating agents
• Placebo Comparator: Placebo + hypomethylating agents
Target PatientsAdult subjects with intermediate, high or very high risk
Myelodysplastic Syndrome (MDS) as per IPSS-R criteria
Expected Completion 2021
Publication TBD
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
PDR001 – PD-1 checkpoint inhibitor
92
Study NCT02967692 COMBI-i (CPDR001F2301)
Indication BRAFV600 mutant metastatic melanoma
Phase Phase 3
Patients
538
Part 1 (safety-run in): 9; Part 2 (biomarker cohort): 27; Part 3
(Phase III, randomized, placebo controlled): 532
Primary Outcome
MeasuresProgression-Free Survival (PFS)
Arms/Intervention
• Spartalizumab 400mg i.v. Q4W + Tafinlar 150mg bid +
Mekinist 2 mg
• Placebo + Tafinlar 150 mg bid + Mekinist 2 mg
Target Patients
Previously untreated patients with unresectable or
metastatic BRAF V600 mutant melanoma
Expected Completion H2-2019 (IA); H2-2020 (Final analysis)
Publication TBD
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
Rydapt®- Multi-targeted kinase inhibitor
93
Study NCT03280030 (CPKC412A2220) NCT03591510 (CPKC412A2218)
Indication Acute myeloid leukemia Acute myeloid leukemia
Phase Phase 2 Phase 2
Patients 66 50
Primary Outcome
MeasuresIncidence of safety events and event free survival
Occurrence of dose limiting toxicities
Event Free Survival ( EFS)
Arms/Intervention• Midostaurin 50 mg
• Placebo• Chemotherapy followed by Midostaurin
Target PatientsNewly diagnosed patients with FLT3-mutated acute myeloid
leukemia (AML)
Newly diagnosed pediatric patients with FLT3 mutated acute
myeloid leukemia (AML)
Expected Completion H1-2020 H2-2022
Publication TBD TBD
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
Rydapt®- Multi-targeted kinase inhibitor
94
Study NCT03512197 UNIFY (CPKC412E2301)
Indication Acute myeloid leukemia
Phase Phase 3
Patients 502
Primary Outcome
MeasuresEvent Free Survival ( EFS)
Arms/Intervention• Midostaurin 50 mg
• Placebo
Target PatientsNewly diagnosed patients with FLT3 mutation negative
acute myeloid leukemia (AML)
Expected Completion 2021
Publication TBD
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
Promacta®/Revolade® – Thrombopoetin receptor agonist
Study NCT03025698 (CETB115E2201)
IndicationPreviously untreated or relapsed/refractory severe aplastic anemia or
recurrent aplastic anemia
Phase Phase 2
Patients 60
Primary Outcome
MeasuresPK of eltrombopag at steady state in pediatric patients with SAA
Arms/Intervention
• Eltrombopag 12.5, 25, 50, 75 mg FCT & 25 mg pFOS
• Arm B: previously untreated SAA-hATG/cyclosporine +
eltrombopag
• Arm A: relapsed/refractory SAA or AA: hATG/cyclosporine +
eltrombopag or cyclosporine + eltrombopag
Target PatientsPediatric patients from age 1 <18 years with relapsed/refractory SAA
or recurrent AA after IST or previously untreated SAA
Expected Completion 2025
Publication TBD
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 95
SEG101 – p-Selectin inhibitor
Study NCT03264989 SOLACE-Adults (CSEG101A2202) NCT03474965 SOLACE-Kids (CSEG101B2201)
IndicationPrevention of Vaso-Occlusive Crises (VOC) in patients with
Sickle Cell Disease (SCD) Prevention of VOC in pediatric patients with SCD
Phase Phase 2 Phase 2
Patients 55 100
Primary Outcome
MeasuresPK/PD and safety of SEG101 (crizanlizumab) at 5 mg/kg PK/PD and safety of SEG101 at 5 mg/kg
Arms/Intervention
SEG101 (crizanlizumab) at a dose of 5.0 mg/kg (or 7.5
mg/kg for exploratory group) by IV infusion, ±
Hydroxyurea/Hydroxycarbamide
SEG101 (crizanlizumab) at a dose of 5 mg/kg by IV infusion
± Hydroxyurea/Hydroxycarbamide
Target Patients Adult SCD patients with VOC Pediatric SCD patients with VOC
Expected Completion Q4-2018 (actual)H2-2021 (pediatric patients≥ 6 year old)
2022 (pediatric patients 6 months – 6 year old)
Publication Abstract submission to congress in H1-2020 TBD
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 96
SEG101 – p-Selectin inhibitor
Study NCT03814746 STAND (CSEG101A2301)
IndicationPrevention of Vaso-Occlusive Crises (VOC) in patients with
Sickle Cell Disease (SCD)
Phase Phase 3
Patients 240
Primary Outcome
MeasuresRate of VOC events leading to healthcare visit
Arms/Intervention
• Crizanlizumab 5.0 mg/kg
• Crizanlizumab 7.5 mg/kg
• Placebo
Target Patients Adolescent and adult SCD patients (12 years and older)
Expected Completion H1-2022
Publication TBD
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 97
Tafinlar®+Mekinist® - BRAFV600 inhibitor and MEK inhibitor
Study NCT02124772 (CTMT212X2101)
Indication BRAFV600 mutant solid tumors
Phase Phase 1
Patients 142
Primary Outcome
MeasuresSafety, tolerability and pharmacokinetics and clinical activity
Arms/InterventionTrametinib (dose based on age and weight)
Dabrafenib + trametinib (dose based on age and weight)
Target PatientsPediatric Subjects Aged 1 Month to <18 Years with
Advanced V600-Mutation Positive Solid Tumors
Expected Completion 2021
Publication TBD
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 98
Study NCT01677741 (CDRB436A2102)
Indication BRAFV600 mutant cancers
Phase Phase 1/2
Patients 85
Primary Outcome
MeasuresSafety, tolerability and pharmacokinetics
Arms/InterventionSingle-arm study of oral dabrafenib (dose based on age
and weight)
Target PatientsPediatric subjects aged 1 year to <18 years with advanced
BRAF V600-mutation positive solid tumors
Expected Completion Q1-2020
Publication TBD
Tafinlar® - BRAF inhibitor
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 99
Tafinlar®+Mekinist® - BRAF inhibitor and MEK inhibitor
Study NCT02684058 (CDRB436G2201)
Indication BRAFV600 mutant gliomas
Phase Phase 2
Patients 142
Primary Outcome
MeasuresObjective response rate
Arms/Intervention Dabrafenib + trametinib (dose based on age and weight)
Target Patients
Children and adolescent patients with BRAF V600 mutation
positive relapsed or refractory high grade glioma (HGG) or
BRAF V600 mutation positive low grade glioma (LGG)
Expected Completion 2021
Publication TBD
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 100
PDR001 - PD-1 checkpoint inhibitor
Study NCT03484923 (CPDR001J2201)
Indication Previously treated unresectable or metastatic melanoma
Phase Phase 2
Patients 230
Primary Outcome
MeasuresObjective Response Rate (ORR)
Arms/Intervention
• PDR001 400mg i.v. Q4W + LAG525 600 mg i.v. Q4W
• PDR001 400mg i.v. Q4W + capmatinib 400 mg bid orally
• PDR001 400mg i.v. Q4W + canakinumab 300 mg (s.c)
Q4W
• PDR001 400mg i.v. Q4W + ribociclib 600 mg p.o QD on
Days 1 to 21 of a 28-day cycle
Target PatientsAdult patients with previously treated unresectable or
metastatic melanoma
Expected Completion H2-2020
Publication TBD
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 101
Zykadia® - ALK inhibitor
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 102
Study NCT02299505 ASCEND-8 (CLDK378A2112)
Indication ALK activated NSCLC
Phase Phase 2
Patients 306
Primary Outcome
Measures
Part 1: Pharmacokinetics when taken with food
Part 2: Overall Response Rate (ORR) when taken with food
Arms/Intervention
• Oral LDK378 450 mg once daily taken with food
• Oral LDK378 600 mg once daily taken with food
• Oral LDK378 750 mg once daily fasted
Target PatientsAdult patients with ALK-rearranged (ALK-positive) advanced non-small cell
lung cancer
Expected Completion
Part 1 (PK): 2016 (actual)
Part 2 (ORR): Q2-2018 (actual)
Final (ORR): 2019
Publication• Part 1 (PK): Cho BC, et al. J Thorac Oncol. 2017 Sep; 12(9) 1357-1367
• Part 2 (ORR): Cho B et al. J Thorac Oncol. 2019 Jul; 14(7) 1255-1265
177Lu-PSMA-617 – Lu-labelled prostate specific membrane antigen (PSMA)
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 103
Study NCT03511664 VISION (PSMA-617-01)
IndicationPSMA-positive Metastatic Castration-resistant Prostate
Cancer (mCRPC)
Phase Phase 3
Patients 750
Primary Outcome
Measures
• Radiographic Progression Free Survival
• Overall Survival
Arms/Intervention• 177Lu-PSMA-617 plus BS/BSC
• BS/BSC alone
Target Patients
Adult patients with PSMA-positive Metastatic Castration-
resistant Prostate Cancer (mCRPC)
Expected Completion H1 2020
Publication TBD
Lucentis® - Anti-VEGF
105
Study NCT02375971 RAINBOW (CRFB002H2301) NCT02640664 RAINBOW Extension (CRFB002H2301E1)
Indication Retinopathy of Prematurity (ROP) Retinopathy of Prematurity (ROP)
Phase Phase 3 Phase 3
Patients 224 180
Primary Outcome
Measures
Absence of active Retinopathy of Prematurity (ROP) and
unfavorable structural outcome at Week 24, defined as, 1)
survival, 2) no intervention with a second modality for ROP,
3) absence of active ROP and 4) absence of unfavorable
structural outcome
To evaluate the visual function of patients by assessing the
visual acuity in the better-seeing eye at the patient’ s fifth
birthday.
Arms/Intervention
• Ranibizumab 0.2 mg (up to 3 injections max)
• Ranibizumab 0.1 mg (up to 3 injections max)
• Laser therapy
• Ranibizumab 0.2 mg (up to Week 40, if warranted)
• Ranibizumab 0.1 mg (up to Week 40, if warranted)
Target PatientsMale and female preterm infants with bilateral retinopathy of
prematurity (ROP) who require treatment.
Male and female preterm infants with bilateral retinopathy of
prematurity (ROP) who completed RAINBOW.
Expected Completion Q1-2018 (actual) 2023
Publication
• EURETINA: Sep-2018
• AAO: Oct-2018
• Primary manuscript: submitted in Dec-2018 to NEJM,
resubmitted and accepted by Nature in May-2019
TBD
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
RTH258 - Anti-VEGF
Study NCT02434328 HARRIER (CRTH258A2302) NCT02307682 HAWK (CRTH258A2301)
Indication Neovascular age-related macular degeneration (nAMD) Neovascular age-related macular degeneration (nAMD)
Phase Phase 3 Phase 3
Patients 743 1,082
Primary Outcome
Measures
Change in Best Corrected Visual Acuity (BCVA) from
baseline at week 48
Change in Best Corrected Visual Acuity (BCVA) from
baseline at week 48
Arms/Intervention• RTH258 6 mg/50 µ L
• Aflibercept 2 mg/50 µ L
• RTH258 3 mg/50 µ L
• RTH258 6 mg/50 µ L
• Aflibercept 2 mg/50 µ L
Target Patients Subjects with exudative age-related macular degeneration Subjects with exudative age-related macular degeneration
Expected Completion Q1-2018 (actual) Q2-2018 (actual)
Publication
• Oral presentations including both primary endpoint and key 2nd superior anatomic outcomes at AAO meetings in Nov-
2017 (1st year results) and Nov-2018 (2nd year results)
• Year 1 Manuscript: Dugel P, et al. Ophthalmology 2019 Apr 12; HAWK and HARRIER: Phase 3, Multicenter,
Randomized, Double-Masked Trials of Brolucizumab for Neovascular Age-Related Macular Degeneration.
• Abstracts submissions on superior anatomic outcomes/Fluid/PostHoc results are planned for key retinal congresses
(Angiogenesis/Mac Soc in Feb-2019; WRC in Mar-2019; ARVO in April-2019; ASRC July-2019; EURETINA Sept-2019;
AAO Oct-2019 and APVRS Dec-2019
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 106
RTH258 - Anti-VEGF
Study NCT03386474 (CRTH258A2301E1)
Indication Neovascular age-related macular degeneration (nAMD)
Phase Phase 3
Patients 150
Primary Outcome
MeasuresNumber of treatment-emergent adverse events
Arms/Intervention• RTH258 6 mg/50 µ L
• Aflibercept 2 mg/50 µ L
Target PatientsPatients with neovascular age-related macular degeneration
who have completed the CRTH258A2301 study
Expected Completion Q3-2018 (actual)
Publication TBD
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 107
RTH258 - Anti-VEGF
Study NCT03481634 KESTREL (CRTH258B2301) NCT03481660 KITE (CRTH258B2302)
Indication Diabetic eye disease Diabetic eye disease
Phase Phase 3 Phase 3
Patients 534 356
Primary Outcome
Measures
Change from baseline in best-corrected visual acuity
(BCVA)
Change from baseline in best-corrected visual acuity
(BCVA)
Arms/Intervention
• RTH258 3 mg/50 µ L
• RTH258 6 mg/50 µ L
• Aflibercept 2mg/50 uL
• RTH258 6 mg/50 µ L
• Aflibercept 2 mg/50 µ L
Target PatientsPatients with visual impairment due to diabetic macular
edema (DME)
Patients with visual impairment due to diabetic macular
edema (DME)
Expected Completion 2021 2021
Publication TBD TBD
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 108
UNR844 - Disulfide bonds modulator
Study NCT03809611 (CUNR844A2203)
Indication Presbyopia
Phase Phase 2
Patients 120
Primary Outcome
Measures
Change in binocular distance-corrected near visual acuity
(DNCVA) from baseline
Arms/Intervention• 1.5% solution UNR844-Cl
• Placebo
Target Patients Patients with presbyopia
Expected Completion Q4-2019
Publication Planned in ASRCS in 2020
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 109
QAW039 – DP2 receptor antagonist
111
Study NCT02555683 LUSTER-1 (CQAW039A2307) NCT02563067 LUSTER-2 (CQAW039A2314)
Indication Asthma Asthma
Phase Phase 3 Phase 3
Patients 846 846
Primary Outcome
Measures
Reduction in the rate of moderate-to-severe asthma
exacerbations
Reduction in the rate of moderate-to-severe asthma
exacerbations
Arms/Intervention
• QAW039 Dose 1
• QAW039 Dose 2
• Placebo
• QAW039 Dose 1
• QAW039 Dose 2
• Placebo
Target Patients Patients with uncontrolled severe asthma Patients with uncontrolled severe asthma
Expected Completion Q4-2019 Q3-2019
Publication Planned in 2020 Planned in 2020
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
QAW039 – DP2 receptor antagonist
Study NCT03215758 ZEAL-1 (CQAW039A2316) NCT03226392 ZEAL-2 (CQAW039A2317)
Indication Asthma Asthma
Phase Phase 3 Phase 3
Patients 650 650
Primary Outcome
MeasuresPre-dose forced expiratory volume in 1 second (FEV1) Pre-dose forced expiratory volume in 1 second (FEV1)
Arms/Intervention• QAW039
• Placebo
• QAW039
• Placebo
Target Patients Patients with uncontrolled asthma Patients with uncontrolled asthma
Expected Completion Q3-2019 Q3-2019
Publication Planned in 2020 Planned in 2020
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 112
QAW039 – DP2 receptor antagonist
Study NCT03052517 SPIRIT (CQAW039A2315) NCT03650400 (CQAW039B2201)
Indication Asthma Asthma
Phase Phase 3 Phase 2
Patients 1,900 – 2,300 24
Primary Outcome
Measures
Long term safety: treatment emergent adverse event (AE),
SAE and AE leading to discontinuation from study (52 wks
and 160 wks)
Pharmacokinetics, safety and tolerability
Arms/Intervention
• QAW039 Dose 1
• QAW039 Dose 2
• Placebo
• Fevipiprant Cohort A; Fevipiprant Cohort B; Chewable
tablet
Target Patients Patients with moderate to severe asthma Children aged 6 to < 12 years with asthma
Expected Completion Q4-2019 (for submission); 2022 (final) H2-2020
Publication TBD TBD
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 113
QMF149 - Long-acting beta2 agonist and inhaled corticosteroid
114
Study NCT02892019 (CQMF149G2202)
Indication Asthma
Phase Phase 2
Patients 80
Primary Outcome
MeasuresTrough FEV1
Arms/Intervention• Indacaterol acetate 75 μg od (via Concept1 inhaler)
• Indacaterol acetate 150 μg od (via Concept1 inhaler)
Target Patients Children ≥ 6 to < 12 years of age with asthma
Expected Completion Q3-2019
Publication TBD
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
QVM149 - Long-acting beta2 agonist, Long-acting muscarinic antagonist and inhaled corticosteroid
Study NCT02554786 PALLADIUM (CQVM149B2301) NCT02571777 IRIDIUM (CQVM149B2302)
Indication Asthma Asthma
Phase Phase 3 Phase 3
Patients 2,216 3,092
Primary Outcome
MeasuresTrough FEV1 Trough FEV1
Arms/Intervention
• QMF149 150/160 µ g od
• QMF149 150/320 µ g od
• MF 400 µ g od
• MF 400 µ g bid
• Salmeterol 50 µ g /fluticasone 500 µ g bid
• QVM149 150/50/160 µ g od
• QVM149 150/50/80 µ g od
• QMF149 150/160 µ g od
• QMF149 150/320 µ g od
• Salmeterol 50 µ g /fluticasone 500 µ g bid
Target Patients
Adult and adolescent (≥ 12 years) patients with asthma
inadequately controlled on medium/high-dose ICS or low-
dose LABA/ICS (GINA step ≥ 3)
Adult (≥ 18 years) patients with asthma inadequately
controlled on medium/high-dose of LABA/ICS (GINA step ≥ 4)
Expected Completion Q3-2019 Q3-2019
Publication Planned in H1-2020 Planned in H1-2020
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 115
QVM149 - Long-acting beta2 agonist, Long-acting muscarinic antagonist and inhaled corticosteroid
116
Study NCT03100500 (CQVM149B1305) NCT03100825 (CQVM149B1304)
Indication Asthma Asthma
Phase Phase 3 Phase 3
Patients 51 94
Primary Outcome
Measures
Long-term safety/tolerability: Incidence and severity of
treatment emergent adverse events during the 52 weeks
study
Long-term safety/tolerability: Incidence and severity of
treatment emergent adverse events during the 52 weeks
study
Arms/Intervention • Single arm: QMF149 150/320 μg od • Single Arm: QVM149 150/50/160 μg od
Target Patients Japanese patients with asthma inadequately controlled Japanese patients with asthma inadequately controlled
Expected Completion Q1-2019 (actual) Q2-2019 (actual)
Publication Planned in H1-2020 Planned in H1-2020
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
QVM149 - Long-acting beta2 agonist, Long-acting muscarinic antagonist and inhaled corticosteroid
Study NCT02892344 QUARTZ (CQVM149B2303) NCT03158311 ARGON (CQVM149B2306)
Indication Asthma Asthma
Phase Phase 3 Phase 3
Patients 802 1,251
Primary Outcome
MeasuresTrough FEV1
Non-inferiority of Asthma Quality of Life Questionnaire
(AQLQ)
Arms/Intervention• QMF149 150/80 µ g od
• MF 200 µ g od
• QVM149 150/50/80 μg od
• QVM149 150/50/160 μg od
• Salmeterol/fluticasone 50/500 μg bid + tiotropium 5 μg od
Target Patients
Adult and adolescent (≥ 12 years) patients with mild asthma
inadequately controlled on low-dose ICS or low-dose
LABA/ICS (Gina step 2-3)
Patients with uncontrolled asthma
Expected Completion Q1-2019 (actual) Q3-2019
Publication Planned in Q1-2020 Planned in H1-2020
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 117
Xolair® – anti-IgE antibody
118
Study NCT03369704 (CIGE025F1301)
Indication Seasonal allergic rhinitis: Severe Japanese Cedar Pollinosis
Phase Phase 3
Patients 337
Primary Outcome
MeasuresMean nasal symptom score, consists of severity of sneezing, rhinorrhea and nasal congestion.
Arms/Intervention
In addition to standard of care:
• Omalizumab per approved allergic asthma dosing table for IgE/body weight combinations
• Placebo
Target PatientsPatients with severe Japanese cedar pollinosis, whose symptoms were inadequately controlled with current
recommended therapies
Expected Completion Q1-2019 (actual)
Publication
• Late breaking abstract was published at AAAAI (American Association of Allergy, Asthma and
Immunology) annual meeting, Feb-2019.
• Oral/poster will be submitted for EAACI (the European Academy of Allergy and Clinical Immunology), Jun-
2019
• Oral/Poster will be submitted for JRS (Japanese Rhinologic Society), Oct-2019
• Manuscript will be submitted to JACI (The Journal of Allergy and Clinical Immunology), Q2-2019
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
Hyrimoz® - Biosimilar adalimumab
120
Study NCT02744755 ADMYRA (GP17-302)
Indication Immunology
Phase Phase 3
Patients 353
Primary Outcome
Measures
Change in DAS28-CRP score from baseline to week 12 in
patients treated with GP2017 and patients treated with
Humira®
Arms/Intervention• GP2017
• US licensed Humira® adalimumab
Target Patients Patients with moderate to severe active rheumatoid arthritis
Expected Completion Q3-2018 (actual)
Publication• Wiland, P. et al., presented at EULAR 2019
• Manuscript with study results journal TBD, Q3 2019
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
KAF156 – Plasmodium Falciparum Inhibitor – PfCARL mediated
122
Study NCT03167242 (CKAF156A2202)
Indication Malaria
Phase Phase 2
Patients 512
Primary Outcome
Measures
PCR-corrected adequate clinical and parasitological
response (ACPR)
Arms/Intervention• KAF156 and LUM-SDF (different combinations)
• Coartem
Target PatientsAdults and children with uncomplicated Plasmodium
Falciparum Malaria
Expected Completion H1-2020
Publication TBD
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
KAE609 – Plasmodium Falciparum Inhibitor – spiroindolone against PfATP4
123
Study NCT03334747 (CKAE609A2202)
Indication Malaria
Phase Phase 2
Patients 150
Primary Outcome
Measures
CTCAE grades increase from baseline in alanine
aminotransferase (ALT) or aspartate aminotransferase
(AST)
Arms/Intervention• KAE609
• Coartem
Target Patients Adults with uncomplicated Plasmodium Falciparum malaria
Expected Completion H1-2020
Publication TBD
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation
Key definitions and trademarks
Novartis Q2 2019 Results | July 18, 2019 | Novartis Investor Presentation 124
This presentation contains several important words or phrases that we define as below:
AE: Adverse Event
ALL: Acute lymphatic leukemia
AMD: Age-Related Macular Degeneration
AML: Acute myeloid leukemia
Approval: In Pharmaceuticals and Alcon in US and EU; each indication and regulator combination counts as
approval; excludes label updates, CHMP opinions alone and minor approvals
aRCC: advanced renal cell cancer
AS: Ankylosing Spondylitis
bid: twice a day
BC: Breast cancer
BCMA: B-cell maturation antigen
BCVA: best corrected visual acuity
BS: Biosimilars
BTD: Breakthrough therapy designation
CGRP: Calcitonin gene-related peptide
CLL: Chronic lymphocytic leukemia
CM: Chronic migraine
CML: Chronic myeloid leukemia
COPD: Chronic Obstructive Pulmonary Disease
CR: complete remission
CRC: Colorectal Cancer
CSU / CIU: Chronic spontaneous urticaria / Chronic idiopathic urticaria
CVRR: Cardiovascular risk reduction
DLBCL: Diffuse large B-cell lymphoma
DMC: Data monitoring committee
EF: ejection fraction
EM: Episodic migraine
FL: Follicular lymphoma
FPFV: First patient first visit
GBM: Glioblastoma multiforme
HF: Heart failure
HF-pEF: Heart failure with preserved ejection fraction
HFrEF: Heart failure with reduced ejection fraction
HR+/HER2- mBC:Hormone Receptor positive / Human Epidermal growth factor receptor 2 negative metastatic
breast cancer
LoE: Loss of exclusivity
M/M: Multiple myeloma
MF: Myelofibrosis
MI: Myocardial infarction
MS: Multiple sclerosis
NASH: Non-Alcoholic Steatohepatitis
NET: Neuroendocrine tumor
NSCLC: Non-small cell lung cancer
NTD: New Therapeutic Drug
od: once a day
ORR: Overall response rate
OS: Overall survival
PA: Prior authorization
PASI 90: 90% reduction in Psoriasis Area Severity Index from baseline
PFS: Progression free survival
PSA: Prostate specific antigen
PsA: Psoriatic arthritis
PsO: Psoriasis
PV: Polycythemia vera
PY: Prior year
QoL: Quality of Life
RCC: Renal cell cancer
r/r ALL: relapsed/refractory acute lymphoblastic leukemia
RRMS: relapsing-remitting multiple sclerosis
SCPC: Sickle cell pain crisis
SpA: Spondyloarthropathy
SPMS: Secondary progressive multiple sclerosis
TFR: Treatment-free Remission
TNBC: Triple negative breast cancer