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IPSEN pour nom de la société - 07/04/2011 / page 1
Marc de Garidel – Chairman and CEO
Claude Bertrand – CSO
Ipsen JP Morgan 32nd Annual Healthcare Conference
13-16 January 2014
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This presentation includes only summary information and does not purport to be comprehensive.
Forward-looking statements, targets and estimates contained herein are for illustrative purposes only and
are based on management’s current views and assumptions. Such statements involve known and
unknown risks and uncertainties that may cause actual results, performance or events to differ materially
from those anticipated in the summary information. Actual results may depart significantly from these
targets given the occurrence of certain risks and uncertainties, notably given that a new product can
appear to be promising at a preparatory stage of development or after clinical trials but never be launched
on the market or be launched on the market but fail to sell notably for regulatory or competitive reasons.
The Group must deal with or may have to deal with competition from generic that may result in market
share losses, which could affect its current level of growth in sales or profitability. The Company
expressly disclaims any obligation or undertaking to update or revise any forward-looking statements,
targets or estimates contained in this presentation to reflect any change in events, conditions,
assumptions or circumstances on which any such statements are based unless so required by applicable
law.
All product names listed in this document are either licensed to the Ipsen Group or are registered
trademarks of the Ipsen Group or its partners.
The implementation of the strategy has to be submitted to the relevant staff representation authorities in
each country concerned, in compliance with the specific procedures, terms and conditions set forth by
each national legislation.
Disclaimer
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The Group operates in certain geographical regions whose governmental finances, local currencies or
inflation rates could be affected by the current crisis, which could in turn erode the local competitiveness
of the Group’s products relative to competitors operating in local currency, and/or could be detrimental to
the Group’s margins in those regions where the Group’s drugs are billed in local currencies.
In a number of countries, the Group markets its drugs via distributors or agents: some of these partners’
financial strength could be impacted by the crisis, potentially subjecting the Group to difficulties in
recovering its receivables. Furthermore, in certain countries whose financial equilibrium is threatened by
the crisis and where the Group sells its drugs directly to hospitals, the Group could be forced to lengthen
its payment terms or could experience difficulties in recovering its receivables in full.
Finally, in those countries in which public or private health cover is provided, the impact of the financial
crisis could cause medical insurance agencies to place added pressure on drug prices, increase financial
contributions by patients or adopt a more selective approach to reimbursement criteria.
All of the above risks could affect the Group’s future ability to achieve its financial targets, which were set
assuming reasonable macroeconomic conditions based on the information available today.
Safe Harbor
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Drug sales by segment
Specialty
care
42%
Primary
Care(*)
58%
France
43% Rest of
the world
50%
EM(2)
7% France
20%
Rest of the world
60%
EM(2)
20%
2002 2012
2002 2012 CAGR(1) 2002-2012
Primary care(*) -1%
Specialty care +12%
Emerging markets(2) +18%
Rest of the world +8%
France -2%
Drug sales by geography
(*) Including Drug-related sales (1) Compound Annual Growth Rate
(2) Main emerging markets: China, Russia and Brazil
CAGR(1) 2002-2012
€1,220m €699m
€1,220m €699m
Over the last decade, Ipsen has succeeded in adapting to a fast changing environment
Specialty
care
71%
Primary
care
29%(*)
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Increase Focus Invest to Grow Leverage Footprint
Market-oriented franchise model
R&D focus on toxins and peptides
(1) At constant exchange rate vs. 2010 Sales - (2) Vs. 2010 EBIT prior to purchase accounting recordings and non recurring elements
More than double revenues(1)…
…and more than triple EBIT(2)
2020 ambition
Ipsen ambitions to become a global leader in targeted debilitating diseases
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1
2
3
4
2013, healthy performance in a challenging year
R&D delivering
Ipsen to launch Somatuline® in NET in the US
Concluding remarks and 2014 outlook
Executive summary
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6.0
29.4
48.7
92.2
10.7
12.5
42.3
186.3
186.6
222.9
Nisis /Nisisco
Forlax
Tanakan
Smecta
Hexvix
Increlex
Nutropin
Dysport
Somatuline
Decapeptyl
French primary care: (22.3%)
Sp
ec
ialt
y c
are
P
rim
ary
ca
re
®
®
®
®
®
®
®
®
®
+7.1%
+10.5%
(3.5%)
(20.2%)
+12.0%
+6.8%
0.2% ®
®
International primary care: +12.2%
+19.2%
(64.2%)
(41.4%)
Specialty care
€661.3m
+3.0%
Primary care
€242.6m
(1.3%)
Drug sales
€903.9m
+1.8%
Specialty care sales growth impacted by Decapeptyl® performance and Increlex® shortage
Increlex® resupplied in Europe
c.€15 million top-line FX impact in the first 9 months, partly flowing down to EBIT
Drug sales - 9M 2013 in million euros - % excluding foreign exchange impacts
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Decapeptyl® sales in 9M 2013 impacted by headwinds in China and Europe
Europe
Top 4 negative
contributors
China Other
9M 2013 9M 2012
9M Decapeptyl sales
in million euros at constant currency Poland: price cuts and patient co-payment
France: consequences of French PC restructuring plan
Greece: price cuts & aggressive competitive landscape
Italy: price cuts & contracting market
231.1
222.9
(9.4)
(2.1) 3.3
Headwinds in Europe as anticipated
China below expectation, situation improving in Q4
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Stabilizing Primary care driven by strong growth in emerging countries and slowdown of French decline
-40%
-30%
-20%
-10%
0%
10%
Q3 2012 Q4 2012 Q1 2013 Q2 2013 Q3 2013
YoY growth rate at
current exchange rate
Evolution of quarterly Primary care sales
Global
France
Two 7.5% consecutive price cuts on Smecta® in France in 2014
Risk of Smecta® generic in France
New distribution model for Smecta® in Algeria
Dynamic international growth
Slowdown of French decline
Remaining challenges Recent trends
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Successful R&D
execution
2013 key achievements beyond sales
New
organization
/execution
Successful
Business
development
New governance and organization (Split of Primary and Specialty care
businesses) to accelerate execution of the strategy
Successful completion of Primary care France and US Dysport® restructuring
Good cost control
Successful closing of Inspiration sale
CLARINET® positive results
AUL positive initial results
ELECT ® initial results
Acquisition of Syntaxin
French primary care partnership with Mayoly Spindler
Acquisition of Sativex® distribution rights for LatAm
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Demonstration of antiproliferative effect of Somatuline® in the treatment of GEP-NETs
Lanreotide Autogel 120 mg
Placebo
0 3 6 9 12 18 24 27
0
10
20
30
40
50
60
70
80
90
100
Patients
aliv
e a
nd w
ith n
o p
rogre
ssio
n (
%)
Time (months)
62%
22%
CLARINET, the first global and differentiated study showing strong results in the treatment of GEP-NETs
62% of GEP-NET patients treated with
Somatuline® had not progressed or died
versus 22% with placebo
Disease progression or death was
reduced by 53%
Antiproliferative effect of Somatuline® is:
- statistically significant in midgut tumors
- clinically relevant in pancreatic NETs
- independent of the tumor grade and hepatic
tumor load
Key results
Note: P-value derived from stratified log-rank test; HR derived from Cox proportional hazard model. HR, hazard ratio; ITT, intention-to-treat –
Primary endpoint: PFS (ITT population, N=204)
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From natural BoNT expertise…
Scale-up
Pharmaco-
logical Manufacturing
Pre-clinical /
Clinical Development
Established
network of
BoNT experts
Recombinant
technology
Toxin
engineering
Intellectual
property
Targeted
Secretion
Inhibitors
Ipsen
Syntaxin
… to full recombinant potential
Highly complementary acquisition
Integration on track
Ipsen’s R&D toxin platform significantly reinforced by Syntaxin acquisition
Potential to
combine
toxins
and peptides
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Positive initial results for Dysport® in Adult Upper Limb spasticity
243 adult hemiparetic spastic patients
Multicentric, prospective, double blind,
randomised, and placebo-controlled
Treatment with Dysport® showed a
statistically significant and clinically
meaningful improvement in:
─ Muscle tone
─ Clinical benefit
Safety profile consistent with the known
safety profile of Dysport®
Aesthetic use (marketed by Valeant)
Cervical Dystonia (marketed by Ipsen)
Adult Upper Limb (Positive initial results)
Pediatric Upper Limb (Study site initiation started)
Adult Lower Limb (PhIII results expected end of 2014)
Pediatric Lower Limb (PhIII results expected end of 2014)
Potential expansion of Dysport® indications
in the US Initial results
Full results to be disclosed in the coming months at major international congresses
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Ipsen, potentially the first company to launch a ready-to-use toxin A with Dysport® Next Generation
First ready-to-use toxin A formulation
Full product range
Improved focus on patient care
Ability to reach more patients in need of treatment
Key characteristics
2 separate regulatory pathways
One single formulation accepted per API
Interchangeability of formulations to be addressed
Acceptance of several formulations per API
Equivalence to be demonstrated between both formulations of the same toxin
US Europe
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Ipsen’s R&D reinforced through partnerships
ENDO-CRINOLOGY
ONCOLOGY
NEUROLOGY
2003 - 2005 2006 - 2013
Tasquinimod, an illustration of Ipsen’s R&D open model
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Tasquinimod, a new first-in-class oral anti-cancer therapy
Tasquinimod, potentially a new therapeutic option for chemo naïve patients
with metastatic CRPC
A unique MoA targeting the tumor’s microenvironment,
mainly by binding the S100A9 protein
(1) Adapted from Raymond et al, Cancer Chemother Pharmacol, 2013
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Somatuline® well positioned in the US to seize significant NET opportunity
Differentiated NET data package with CLARINET®
Differentiated product/presentation with ~ 50% market in acromegaly(1)
Long acting formulation setting barrier for potential new entrants
2013 potential addressable market
c.$600m* c.$100m*
Ipsen
addressable market
x6
Acromegaly + NET
Acromegaly
(1) Somatuline® market share in acromegaly SSA market *Ipsen 2013 estimates (SSAs only)
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Ipsen to launch Somatuline® in NET indication in the US to capture full value
Maintain full control over decisions
Build long term presence in US oncology
Secure Ipsen US strategic presence
Secure long term value
Impact
Expected maximum incremental
annual cost of €[30-40]m
US breakeven(1) postponed to
2017
Further cost containment initiatives to minimize impact on overall Group profitability
Rationale
Leverage global product expertise
(1) Commercial contribution, excluding revenues from Valeant Pharmaceuticals Intl Inc. and Increlex® sales
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Share price (€)
Note: CAC 40 and STOXX Europe TMI Pharma. have been rebased at Ipsen share price of 02/01/2013
15
20
25
30
35
Jan-13 Feb-13 Mar-13 Apr-13 May-13 Jun-13 Jul-13 Aug-13 Sep-13 Oct-13 Nov-13 Dec-13
Ipsen STOXX Europe TMI Pharmaceuticals CAC 40
Ipsen share price up 50% in 2013, reflecting good momentum
+50%
+20%
+18%
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Recurring adjusted(*)
operating margin Unchanged at around 16.0% of sales
– The Group continues to implement productivity measures while maintaining investment in R&D
– Benefits from the new organization of French primary care and US commercial operations expected to
materialize in 2014
2013 financial objectives confirmed
Primary care
Drug sales Decline of approximately -1.0% year-on-year
Specialty care
Drug sales Growth of approximately +3.0% year-on-year
– Realignment of the Decapeptyl® inventory situation in the distribution chain
– Launch of new Decapeptyl® local competitors
– Recent disruption in the Chinese market
Excluding further major deterioration of the Chinese and Middle Eastern markets
China
Middle East – Continued exceptional political situation in certain Middle Eastern countries
Note: the above sales growth objectives are set at constant currency. All the above objectives are set excluding major negative unforeseeable events, notably significant currency fluctuations in the context of
currency depreciation in certain emerging countries – (*) Prior to non-recurring expenses
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Peptides Toxins
Dysport® NG GL
PhII results
Dysport® NG CD
PhIII results
H1 2014
A rich R&D news flow expected in 2014
Tasquinimod PhIII results
(PFS and OS data)
Uro-Oncology Endocrinology Neurology
Dysport® AUL full
PhIII data
Note: PFS = progression-free survival – OS = overall survival – CD = cervical dystonia – AUL = adult upper limb – PLL = pediatric lower limb – ALL = Adult lower limb
Dysport® NG
Preliminary stability data
Dysport® ALL and PLL
PhIII topline data
Somatuline® ELECT
PhIII full data Tasquinimod PhII results
Exploratory study in HCC,
RCC, Gastric cancer &
Ovarian cancer
H2 2014
Expected WW filing of
Somatuline® in GEP NETs
Expected filing of Dysport® in
AUL indication in the US
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Differentiated presentation to gain market share
Spasticity
Ph III in adult upper limb
Dysport® Next Generation
Ph III in cervical dystonia (Europe)
tasquinimod
Ph III in mCRPC
(WW excl. US and Japan)
CLARINET Ph III
GEP-NET antitumoral effect (WW) Somatuline®
tasquinimod
Dysport®
Product Growth drivers Corresponding addressable
market
[€1.3bn - €1.5bn](3)
> €200m(2)
[€400m - €600m](1)
Pipeline molecules to significantly increase Ipsen’s market opportunity
Increased market opportunity in the context of fast growing markets
(1) IMS 2012 and SmartAnalyst 2010 – (2) Ipsen analysis (3) Decision Resources: in Ipsen territories and excl. GnRh analogs market
* NET associated with carinoide syndrome
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R&D engine delivering
Strategic decision to invest in the US with Somatuline® launch in NET
2013, healthy performance in a challenging year
Key takeaways
Specialty care impacted by non-recurring elements in 2013, looking forward to a
smoother 2014…