Analyst Conference Summary |
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biotechnology
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Bristol-Myers Squibb
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Therapy sales in $ millions |
Q4 2018 sales |
Q4 2017 sales |
y/y change |
Opdivo | $1,804 | $1,361 | 33% |
Eliquis | 1,705 | 1,363 | 25% |
Orencia | 731 | 662 | 10% |
Sprycel | 536 | 527 | 2% |
Yervoy | 384 | 269 | 43% |
Empliciti | 69 | 63 | 10% |
Baraclude | 165 | 233 | -29% |
Reyataz Franchise | 99 | 143 | -31% |
Sustiva Franchise | 54 | 174 | -69% |
Hepatitis C Franchise | 4 | 59 | -93% |
Other | 422 | 595 | -29% |
Total | 5,973 | 5,449 | 10% |
With Boston Medical Center announced a study to identify and analyze sensitivity and resistance markers in patients treated with checkpoint inhibitors.
With Vedanta Biosciences announced a clinical trial collaboration to evaluate Opdivo in combination with Vedanta Biosciences’ VE800 for advanced or metastatic cancers.
With Infinity Pharmaceuticals, Inc. announced a clinical trial collaboration to evaluate Opdivo in combination with Infinity’s IPI-549 for advanced urothelial cancer.
The FDA this month expanded the indication for Sprycel (dasatinib) to include the treatment of pediatric patients one year of age or older with newly diagnosed Philadelphia chromosome-positive (Ph+) acute lymphoblastic leukemia (ALL) in combination with chemotherapy. In December, the Committee for Medicinal Products for Human Use of the European Medicines Agency recommended the expanded approval of Sprycel, in combination with chemotherapy, to include the treatment of pediatric patients with newly diagnosed Ph+ ALL.
In January the European Commission approved the combination of Opdivo plus Yervoy for the first-line treatment of intermediate- and poor-risk advanced renal cell carcinoma.
Q&A summary:
Significant cash flows from combined company, use? We have planned dividend increases. No comment on payout ratio, though we did model increases.
Opdivo lifecycle development? We want to create products usable in a wide variety of settings, including IO products beyond Yervoy. Cannot comment on IP implications at this time.
Opdivo plus chemo interim look? No comment on interim analysis.
Hospital lack of profitability with CAR-T due to hospitalization need? There has been a struggle with logistics and access. Existing products must be administered in hospital. With liso-cel's lower toxicity this could change. Access and reimbursement is improving. We would like to expand the eligible patient pool.
Decision to buy Celgene, was it defensive? There is a strong strategic rational for the merger.
Confidence in new potential Opdivo indications? We need to see the lung cancer readouts. We have a lot of opportunities in different indications over the next few years. Short run growth depends on readouts in the next few months.
Slide 11, non-Revlimid growth to 2025? Look at the separate companies as baselines.
Projections relative to analyst models? We have rapid growth through 2025, with potentially six product launches. By then the pipeline will be advanced enough to project growth rate for the second half of the decade.
Generic challenges to Revlimid? We are consulting with Celgene on that.
Lung cancer, lack of FDA confidence in TMB? The issue is the interaction between biomarkers. It is a complex filing. We are in discussions with the FDA. More broadly, nothing has really changed. The trials are event-driven, so hard to predict exact timing of results. Believe we have a real opportunity to play a role in lung cancer. We think TMB (total mutation burden) will continue to be important.
Flat q/q Opdivo cells? Grew outside the US, but near flat in US due to inventory; demand growth was 3%. Ended 2018 in line with expectations. First line renal cell is a growth opportunity.
In 2019 we note two dilutive items, the pension derisking at 5 cents, sale of UPSA business to close in April will be 4 cents. The Sanofi alliance income ended in 2018.
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Disclaimer: My analyst call summaries may include both condensations of statements made by company representatives and my own analysis. They are not covered by any warranty. I cannot guarantee anything said by company representatives is true. I try not to make errors, but it is possible. These are my personal notes which I share with other investors and which I use as the basis of my blog and Seeking Alpha articles.
Copyright 2019 William P. Meyers