Analyst Conference Summary |
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biotechnology
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Bristol-Myers Squibb
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Therapy sales in $ millions |
Q2 2019 sales |
Q2 2018 sales |
y/y change |
Opdivo | $1,823 | $1,627 | 12% |
Eliquis | 2,042 | 1,650 | 24% |
Orencia | 778 | 711 | 9% |
Sprycel | 544 | 535 | 2% |
Yervoy | 367 | 315 | 17% |
Empliciti | 91 | 64 | 42% |
Baraclude | 147 | 179 | -18% |
Other | 481 | 623 | -23% |
Total | 6,273 | 5,704 | 10% |
The company announced on April 25, 2019, topline results from the Phase 2 CheckMate-714 trial evaluating Opdivo versus Opdivo plus Yervoy (ipilimumab) in patients with recurrent or metastatic squamous cell carcinoma of the head and neck. The study did not meet its primary endpoints.
In July, 2019, Bristol announced Part 1a of the Phase 3 Checkmate-227 study evaluating Opdivo plus low dose Yervoy vs. chemotherapy met the co-primary endpoint of overall survival in first-line non-small cell lung cancer (NSCLC) patients whose tumors express PD-L1=1%. But Part 2 of the Phase 3 Checkmate-227 study evaluating Opdivo plus chemotherapy versus chemotherapy did not meet its primary endpoint of overall survival in first-line non-squamous NSCLC patients regardless of PD-L1 status. Full results will be shared at an upcoming medical meeting.
In June, at EHA, Bristol announced positive results from the Phase 2 study evaluating Empliciti (elotuzumab) plus pomalidomide and dexamethasone v. pomalidomide and dexamethasone alone in patients with relapsed or refractory multiple myeloma.
Cost of products sold was $1.99 billion. SG&A $1.08 billion. R&D $1.33 billion. Other income $101 million. Total expenses $4.50 billion. Operating profit $1.78 billion. Taxes $337 million.
Q&A summary:
227 results impact on checkpoint 9LA? We are confident in 9LA, Yervoy and Opdivo in first line lung cancer with two rounds of chemo. For Part 1a Optivo + Yervoy we continue to see the same pattern for NSCLC as we saw in other cancers.
Senate bill exposure? It is early days in Washington to guess at specific outcomes. We support a discussion of affordability for patients, which are largely driven by how insurance plans are designed. We are concerned with many of the proposals we are seeing. We believe it is important to have a broader, more diversified business, given the uncertainty. We have relatively little Medicaid exposure.
Several questions about the details of 772 Part 1a that can't be meaningfully addressed until the details are released. First line NSCLC still means most patients fail two therapies within one year, so better therapies are still desirable. We are seeing the same type of meaningful benefits we saw with melanoma and renal cell cancer.
Adjuvant patient setting? We believe our early adjuvant program is very strong.
Opdivo trends prior to lung cancer opportunity in 2021? Today we see strength in the core business: melanoma, renal cell, liver. Good uptake in Germany and Japan. In 2020 the competition will increase, then in 2021 it depends on 227 for first line lung cancer. Also first line GBM data when available. Later the adjuvant programs become important.
We will get feedback on potential bidders when we give our draft sales agreement to the FTC. We believe there will be a robust bidding process.
LAG3 Phase 3 melanoma? It is a Phase 2/3 study, adding LAG3 to Opdivo. First readout from Phase 2 next month.
Tick 2 program? 2 studies, Phase 3, enrollment progressing rapidly. One year treatment period. Data towards the end of next year. Excited about it profile in psoriasis and commercial opportunity.
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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