Wound Care update Relations/CMD 2018/04_CMD... · Wound Care update Coloplast Capital Markets Day...

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Wound Care update Coloplast Capital Markets Day 2018 Nicolai Buhl Andersen, Senior Vice President Wound & Skin Care

Transcript of Wound Care update Relations/CMD 2018/04_CMD... · Wound Care update Coloplast Capital Markets Day...

Page 1: Wound Care update Relations/CMD 2018/04_CMD... · Wound Care update Coloplast Capital Markets Day 2018 Nicolai Buhl Andersen, Senior Vice President Wound & Skin Care • .

Wound Care updateColoplast Capital Markets Day 2018

Nicolai Buhl Andersen, Senior Vice President Wound & Skin Care

Page 2: Wound Care update Relations/CMD 2018/04_CMD... · Wound Care update Coloplast Capital Markets Day 2018 Nicolai Buhl Andersen, Senior Vice President Wound & Skin Care • .

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We continue to invest in and execute on our strategy for Wound Care

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PublicationsEndorsements

PIP

Ramp-up

New structure Newmanagement

NewInvestment plan

Revised targeting Leverage positionin top 100 cities

Ramping up in selected markets

Accelerate in EU

Build a strong product portfolio

Shape the standard

Strengthen position in the

US

Secure leading position in China

Selectively invest in EM

Page 3: Wound Care update Relations/CMD 2018/04_CMD... · Wound Care update Coloplast Capital Markets Day 2018 Nicolai Buhl Andersen, Senior Vice President Wound & Skin Care • .

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Wound Care global market Market size in DKKbn

The global Wound Care market remains a highly attractive value pool of DKK ~40bn…

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NPWTAdvanced Wound Care Biologics

18-201 10-12 8-10

Source: Coloplast estimates1) Coloplast’s addressable market

Page 4: Wound Care update Relations/CMD 2018/04_CMD... · Wound Care update Coloplast Capital Markets Day 2018 Nicolai Buhl Andersen, Senior Vice President Wound & Skin Care • .

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… and the Advanced Wound Care segment alone represents a DKK 18-20bn opportunity growing 2-4%

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Europe

Other Developed Markets

Emerging Markets

Sources: 1:United Nations, 20172: World Health Organization, 20173: Coloplast market estimation4: Journal of Hospital Infection Volume 96, Issue 1, May 2017, Pages 1-15

+ Ageing population(People above 60 expected to double by 2050, reaching ~2bn)1

+ Growing prevalence of diabetes (Number of diabetics globally has grown with a factor 4 in the past 25 years)2

+ Upgrade to better healthcare (In Germany, traditional Wound Care still represents ~25% of total WC market)3

+ Infected wounds remains a big clinical burden

(Due to prolonged hospitalization, readmission rates, reoperation, antibiotics and increased mortality rates)4

÷ Strong focus on cost and “value for money” continues globally

÷ Consolidation among payers and buyers

÷ Pricing pressure from reforms and competition

Advanced Wound Care (AWC) market value Market drivers / limiters

Source: Coloplast estimates

DKK 18-20bngrowing 2-4%

Page 5: Wound Care update Relations/CMD 2018/04_CMD... · Wound Care update Coloplast Capital Markets Day 2018 Nicolai Buhl Andersen, Senior Vice President Wound & Skin Care • .

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To be successful in the AWC segment, you need to play and win in Silicone foams and Antimicrobials

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Antimicrobials OtherSiliconeFoams

Alginates & Hydrofibers

Non-SiliconeFoams

ContactLayers

Hydrocolloids

DKK 5-7bn5-7% growth

DKK 3-5bn2-4% growth

Source: Coloplast estimates

Wound Care market category breakdown

Page 6: Wound Care update Relations/CMD 2018/04_CMD... · Wound Care update Coloplast Capital Markets Day 2018 Nicolai Buhl Andersen, Senior Vice President Wound & Skin Care • .

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To be clinically relevant in Silicone foams and Antimicrobials, you need a conforming dressing…

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References: Adderley UJ (2010) Managing wound exudate and promoting healing. Br J Community Nurs 15(3): S15–6, 18, 20. Doc. No. PM-02934Mouës CM, Heule F, Legerstee R, Hovius SE (2009) Five millennia of Wound Care products — what is new? A literature review. Ostomy Wound Manage 55(3):16–8, 20, 22 passim. Doc. No PM- 02932Sibbald G, Williamson D, Orsted H, Campbell K, Krasner D, Sibbald D (2000) Preparing the wound bed — debridement, bacterial balance, and moisture balance. Ostomy Wound Manage 46(11): 14–22, 24–8, 30–5; quiz 36–7. Doc. No PM-02935Bowler P. et al. Dressing conformability and silver-containing wound dressings. Wounds uk, 2010, Vol 6, No 2Waring M et al. An investigation into the conformability of wound dressings. Wounds uk, 2011, Vol 7, No 3Snyder RJ Managing dead space: an overview. Podiatry Management. October 2005.Cutting K et al. Topical silver-impregnated dressings and the importance of the dressing technology. 2009 The Authors. Journal Compilation © 2009 Blackwell Publishing Ltd and Medicalhelplines.com Inc • International Wound Journal • Vol 6 No 5

Page 7: Wound Care update Relations/CMD 2018/04_CMD... · Wound Care update Coloplast Capital Markets Day 2018 Nicolai Buhl Andersen, Senior Vice President Wound & Skin Care • .

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Gaps create space for exudate pooling

Pools of exudate promote bacterial growth leading to the risk of infection

If exudate leaks onto the wound edges and periwound skin, it will become macerated and may delay wound healing

References: Adderley UJ (2010) Managing wound exudate and promoting healing. Br J Community Nurs 15(3): S15–6, 18, 20. Doc. No. PM-02934Mouës CM, Heule F, Legerstee R, Hovius SE (2009) Five millennia of Wound Care products — what is new? A literature review. Ostomy Wound Manage 55(3):16–8, 20, 22 passim. Doc. No PM- 02932Sibbald G, Williamson D, Orsted H, Campbell K, Krasner D, Sibbald D (2000) Preparing the wound bed — debridement, bacterial balance, and moisture balance. Ostomy Wound Manage 46(11): 14–22, 24–8, 30–5; quiz 36–7. Doc. No PM-02935Bowler P. et al. Dressing conformability and silver-containing wound dressings. Wounds uk, 2010, Vol 6, No 2Waring M et al. An investigation into the conformability of wound dressings. Wounds uk, 2011, Vol 7, No 3Snyder RJ Managing dead space: an overview. Podiatry Management. October 2005.Cutting K et al. Topical silver-impregnated dressings and the importance of the dressing technology. 2009 The Authors. Journal Compilation © 2009 Blackwell Publishing Ltd and Medicalhelplines.com Inc • International Wound Journal • Vol 6 No 5

To be clinically relevant in Silicone foams and Antimicrobials, you need a conforming dressing…

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Page 8: Wound Care update Relations/CMD 2018/04_CMD... · Wound Care update Coloplast Capital Markets Day 2018 Nicolai Buhl Andersen, Senior Vice President Wound & Skin Care • .

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… not all foams are the same… Biatain® Silicone stands out with 3DFit® Technology

~ 70% of customers perceive Biatain® Silicone as superior to

others

Biatain® Silicone conforms to the wound bed…

… better than our main competitors… … therefore we have launched…

Conforms to wound bed

Retains exudate

Absorbs vertically

Biatain® Silicone

Competitor 2

Competitor 1

Competitor 3

Source: In Vitro lab test, data on file VV-0201548: 3DFit test of BiatainSilicone and competitors.

Source: Coloplast/IDR Medical survey 2016 data-on-file VV-0230693

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Page 9: Wound Care update Relations/CMD 2018/04_CMD... · Wound Care update Coloplast Capital Markets Day 2018 Nicolai Buhl Andersen, Senior Vice President Wound & Skin Care • .

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3DFit Technology proven clinically relevant for both non-infected and infected wounds

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Study with Biatain® Silicone shows1:

0% 0%Maceration Exudate pooling

&

Biatain® Silicone for non-infected wounds… … and Biatain® Silicone Ag for infected wounds

2) Source: Christiansen et al. In vitro evaluation of a silver foam dressing with and without silicone adhesive against biofilms and a broad range of microorganisms. Poster presented at EWMA Krakow 2018.

Kills mature biofilms2

Prevents biofilms formation2

1) Source: Hallern BV et al, Conformability of a Foam Dressing – clinical experience based on 104 cases, Poster Wounds UK Harrogate 2017

Page 10: Wound Care update Relations/CMD 2018/04_CMD... · Wound Care update Coloplast Capital Markets Day 2018 Nicolai Buhl Andersen, Senior Vice President Wound & Skin Care • .

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Launch of 3DFit Technology and Sizes & Shapes has improved our Biatain® Silicone momentum

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JanOct FebDecNov Mar Apr May Jun

Biatain Silicone growth trendRevenue growth (MAT vs. last year)

Source: Coloplast

3DFit Technology launch

Silicone Foams market growth, 5-7%

2017/18

Page 11: Wound Care update Relations/CMD 2018/04_CMD... · Wound Care update Coloplast Capital Markets Day 2018 Nicolai Buhl Andersen, Senior Vice President Wound & Skin Care • .

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We are well-positioned to tap into the key segments in the Wound Care market

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Page 12: Wound Care update Relations/CMD 2018/04_CMD... · Wound Care update Coloplast Capital Markets Day 2018 Nicolai Buhl Andersen, Senior Vice President Wound & Skin Care • .

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Introducing Wound and Skin Care

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Skin Care

Wound Care

Contract manufacturing

Europe

Other Developed Markets

Emerging Markets

Wound Care is the core part of our business…Revenue split, FY 16/17

… and Europe is the main marketRevenue split, FY 16/17

Source: Coloplast

2.1billion of DKKannual revenue

2.1billion of DKKannual revenue

Page 13: Wound Care update Relations/CMD 2018/04_CMD... · Wound Care update Coloplast Capital Markets Day 2018 Nicolai Buhl Andersen, Senior Vice President Wound & Skin Care • .

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Performance picture impacted by external headwinds mainly in China, France and Greece

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Q3Q2 Q2Q115/16

Q2 Q4Q3 Q4 Q116/17

Q117/18

Q3

Source: Coloplast

Organic revenue growth 15/16-YTD 17/18

Global Wound Care

Page 14: Wound Care update Relations/CMD 2018/04_CMD... · Wound Care update Coloplast Capital Markets Day 2018 Nicolai Buhl Andersen, Senior Vice President Wound & Skin Care • .

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In Europe, we are pleased with the overall performance picture, and significantly outgrow the market

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Oct15/16

Oct16/17

Oct17/18

Coloplast Europe WC growth vs. market growth We outgrow the market in all countries

Source: Coloplast

Revenue growth (MAT vs. LY)

Market growth 1-2%

Page 15: Wound Care update Relations/CMD 2018/04_CMD... · Wound Care update Coloplast Capital Markets Day 2018 Nicolai Buhl Andersen, Senior Vice President Wound & Skin Care • .

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In the US, we have launched a new setup, new portfolio and new evidence to make a difference

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New management with industry experience

New team, structure, plan…

… new offering to win in both treatment and prevention…

New structure and plan to win with IDNs

Value Volume

Treatment

Prevention

… and supporting evidence2

Winning in US is both

Treatment + Prevention1

1) Source: Coloplast estimates

Low values = GOOD

High values = GOODNot too high not too low = GOOD

High values = GOOD

0

20

40

60

Redistributes pressure

Dressing

Manages microclimate

kPa

n/N

Reduces friction and shear

0

500

1.000

1.500

2.000

2.500

Dressing

g/c

m2/2

4h

rs

0,0

0,2

0,4

0,6

0,8

0

5

10Dynamic Friction Coefficient Maximum Shear Stress Difference

Fri

ctio

n C

oe

ffic

ien

t (-

)

kPa

Dressing Dressing

Moisture Vapor Transmission RatePeak Pressure

2) Source: Comparison of in-vitro performance characteristics of a new silicone dressing with four other silicone wound dressings used for both pressure injury prevention and/or wound managementM. Thuy Doung Le, MSc. Chem. Eng., Coloplast A/S. P. Haber, MA, BSN, RN, CWOCN, Coloplast US. C. Toxvaerd, MSc. Hum. Biol. Coloplast A/S.

~60%

~40%

~80%

20%

Page 16: Wound Care update Relations/CMD 2018/04_CMD... · Wound Care update Coloplast Capital Markets Day 2018 Nicolai Buhl Andersen, Senior Vice President Wound & Skin Care • .

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In Emerging markets, China remains a key market and we are expanding our position in other markets

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• A growing and attractive market

• We have a strong market position with high share-of-voice

• We have invested to secure, we can outgrow the market

• … however recent market challenges (product listing, cost pressure etc.) have influenced market dynamics and our performance

… and we remain optimistic about the opportunities…

• Win in wound treatment & prevention with Foam 3DFit Technology

• Sustain strong demand for our hydrocolloid portfolio

• Invest further in our position as an educational partner for clinicians

China remains a critical market… In Emerging markets we are selectively investing in

next wave markets

And building a pipeline of investment opportunities

based on key evaluation criteria

Australia1 South Africa

Macroeconomic environment

Wound care market development

Coloplast current position

Political stability

1) Australia is regionally part of Other Developed markets but organizationally part of the Emerging Markets organization

Page 17: Wound Care update Relations/CMD 2018/04_CMD... · Wound Care update Coloplast Capital Markets Day 2018 Nicolai Buhl Andersen, Senior Vice President Wound & Skin Care • .

Conclusion and summary

Victor

1.We still see attractive value creation opportunities within the Wound Care market

We are investing in our Wound Care business, and we are fully executing on our strategic priorities

Although we have faced some external headwinds, we are taking share in key product segments in key geographies like Europe

3.

2.

Our ambition remains the same – get more scale into the Wound Care business

4.

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Page 18: Wound Care update Relations/CMD 2018/04_CMD... · Wound Care update Coloplast Capital Markets Day 2018 Nicolai Buhl Andersen, Senior Vice President Wound & Skin Care • .

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