Analyst Conference Summary |
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Gilead Sciences
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Revenues by product ($ millions): | ||||
Q3 2013 | Q2 2013 | Q3 2012 | y/y increase | |
Atripla | $899.7 |
$938.1 |
$865.4 |
4% |
Truvada | 813.7 |
807.8 |
804.2 |
1% |
Viread | 231.6 |
250.2 |
214.9 |
8% |
Stribild | 144.0 |
99.4 |
17.5 |
722% |
Hepsera | 20.3 |
21.5 |
27.3 |
-26% |
Complera | 210.7 |
188.7 |
99.3 |
112% |
AmBisome | 97.8 |
75.1 |
87.4 |
12% |
Emtriva | 6.8 |
6.6 |
7.2 |
6% |
Ranexa | 115.8
|
106.5 |
95.1 |
22% |
Letairis | 135.1 |
128.3 |
105.1 |
29% |
Cayston+other |
34.2 |
35.0 |
34.6 |
-1% |
Cash and equivalents ended at $2.76 billion. Operating cash flow was $4.0 billion. $5.8 billion was used to repurchase shares and settle warrants. Current liabilities were $6.05 billion, long-term liabilities $8.90 billion.
There was little effect from inventory changes or unusual federal purchases.
Stribild is now the number one prescription for new HIV patients; Complera is number two.
Ready for Sofosbuvir launch in U.S. and Europe, upon FDA approval. Separate sales team from HIV franchise. Expects December to be an inventory build month in the U.S. European approval not expected until Q1. France is particularly important because of its high HCV infection rate. The label recommended by the FDA advisory committee was quite broad.
In next 12 months 3 cardiovascular studies of Ranolazine should mature.
Idelalisib for the treatment of iNHL (indolent non-Hodgkin's lymphoma) was shown to be overwhelming effective as well as safe, so an NDA was filed with the FDA. Discussing a filing in CLL with FDA as well.
Numerous other studies are underway or planned; see Gilead pipeline.
Cost of goods sold was $1.63 billion. Research and development expense was $564.2 million (up from $465.8 million year-earlier). Selling, general and administrative expense was $406.9 million (up from $319.6 million year-earlier). Income from operations was $1.15 billion. Interest expense was $74.0 million. Other income was $5.8 million. Income tax provision was $294.5 million. Net loss attributable to noncontrolling interest was $3.4 million.
Q&A:
Hepatitis C gating factors for patients? Still testing patients under treated care bucket, because some are diagnosed and leave care when treatment fails. We believe there is a good number of patients under care that we can access. The largest bucket is patients who have already been treated.
All three ION studies will be used in the FDA submission for sofosbuvir plus ledipasvir.
1.7 million diagnosed U.S. hep C patients, where are they (prison, VA)? About 4% of VA population, about 225,000 have hepatitis C. That is a higher priority with us than prisoners, where the CDC believes up to 35% have hep C. In that setting we won't be using interferon, so would be sofosbuvir + ledipasvir.
What are you hearing from payers about hepatitis C triage? In U.S. we have had discussion with U.S. payers. Believe they will reimburse well for sofosbuvir; a broad label will help. But prior authorization will be required, but only for use being on label. In Europe reimbursement is nation by nation. We hope the pricing will go quicker for a drug as important as sofosbuvir, given the cost benefit ratio.
Genotype 2 and 3 in U.S.? We think they will be taken up quickly.
GS-5816 for HCV? We have some emerging data. The toughest test is for genotype 3; we should get data in March 2013 for treatment-experienced patients. We know it works for treatment-naive genotype 3 patients. We might do a Phase 3 with 8 weeks naive, 12 weeks experience, but we will be able to make an informed decision next year.
Only 6 weeks to the PDUFA date [December 8, 2013] for sofosbuvir; we will set our price at launch. Would not say the Advisory Committee had any influence on our pricing discussion. We feel we have a very strong value proposition.
Proportion of HCV patients with advanced liver disease? We are gaining confidence in the numbers, but the sampling is relatively poor compared to HIV sampling. There are about 80,000 to 100,000 treatment-experienced patients today.
The hope for 5816 + sofosbuvir is that it will become the fixed-dose treatment for all genotypes and both naive and pre-treated patients, with no need for interferon or ribavirin.
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Copyright 2013 William P. Meyers