2016 press conference
TRANSCRIPT
March 3, 2016
Eisai Co., Ltd.
Press Conference
Safe Harbor Statement
1
• Forecast or target figures in this material are not official earnings guidance but represent midterm strategies, goals, and visions. Official earnings guidance should be referred to in the disclosure of the annual financial report (Consolidated Financial Statement) in accordance with the rules set by Tokyo Stock Exchange.
• Materials and information provided during this presentation may contain so-called “forward-looking statements.” These statements are based on current expectations, forecasts and assumptions that are subject to risks and uncertainties which could cause actual outcomes and results to differ materially from these statements.
• Risks and uncertainties include general industry and market conditions, and general domestic and international economic conditions such as interest rate and currency exchange fluctuations. Risks and uncertainties particularly apply with respect to product-related forward-looking statements. Product risks and uncertainties include, but are not limited to, technological advances and patents attained by competitors; challenges inherent in new product development, including completion of clinical trials; claims and concerns about product safety and efficacy; regulatory agency’s examination period, obtaining regulatory approvals; domestic and foreign healthcare reforms; trends toward managed care and healthcare cost containment; and governmental laws and regulations affecting domestic and foreign operations.
• Also, for products that are approved, there are manufacturing and marketing risks and uncertainties, which include, but are not limited to, inability to build production capacity to meet demand, unavailability of raw materials, and failure to gain market acceptance.
• The Company disclaims any intention or obligation to update or revise any forward-looking statements whether as a result of new information, future events or otherwise.
• This English presentation was translated from the original Japanese version. In the event of any inconsistency between the statements in the two versions, the statements in the Japanese version shall prevail.
• The Company discloses its consolidated financial statements according to the International Financial Reporting Standards(IFRS)
Plan ‘E-WAY 2025’
Converting Knowledge into Business
We Make Medicines, We Make Solutions
through Eisai’s WAY
2
Overview of Plan ‘E-WAY 2025’
• Plan “HAYABUSA” Overall Summary
• Pharmaceutical Industry Environment
• Main Concept of Plan ‘E-WAY 2025’
• Three Strategic Intents and Strategies
– Strategic Intent 1
Aim to support patients’ thought “ I do not want to get sick. I want to know if I get sick, and I want to be cured.”
– Strategy 1 Therapeutic Area Focus
– Strategy 2 “Ricchi” and Innovation
– Strategy 3 ICT Driven Innovation
– Strategic Intent 2
Aim to support patients’ thought “I want to control my disease in my neighborhood
and spend the rest of my life safe.”
– Strategy 1 Dementia Solutions Business
– Strategy 2 Regional Medicine Focused Business Mix
– Strategy 3 Integrated Product Package
– Strategic Intent 3
Focus on a business domain where Eisai can find out
“Ricchi” based on needs and fulfill them with Eisai innovation
– Strategy 1 Transformation of Business Portfolio
– Strategy 2 Reform of Manufacturing Site
• Financials
• Towards 2025 3
Plan “HAYABUSA” Overall Summary
1. Qualitative aspect of 5 Aspirations (Rise of Asia
Region, New Market Entry, Establishment of Global
Business Organization, Foundation for Oncology
Business, Improvement of Product Creation
Capability) were attained to some extent.
2. While target in connection with Profit and Loss
Statement was not attained, on the contrary, we
managed to achieve sound Balance Sheet and
shareholder value creation.
3. The factors behind the underachievement of the
revenue target were lack of relevant measures
against business environmental changes due to loss
of exclusivities of main products, and delay in
product creation. 4
Pharmaceutical Industry Environment
Seven Keys
Patient-centricity
Regional Care / Home Care
Prevention, Cure and Care
Outcome
Payer
Access
Digital Technology
Expansion of middle-income class, progress of aging society and
rapid increase of non-communicable diseases
Healthcare focus on quality, efficiency and sustainability
5
Converting Knowledge into Business
We Make Medicines, We Make Solutions through Eisai’s WAY
Main Concept of Plan ‘E-WAY 2025’
Socialization
Spending time together and sharing experiences with patients
True Needs
Understanding real needs of the patients
Motivation for Innovation*1
Fulfilling hhc needs with our innovation
Finding Out “Ricchi”*2
In order to fulfill such needs, we will find “Ricchi”, a place where
no one has achieved success, an untapped space or an
opportunity where Eisai can be a frontrunner.
Establishment of Center Line at “Ricchi”
Major presence in “Ricchi” with our innovation (Center Line)
*1: Innovation refers to “attempts which potentially generate outputs such as science, technologies and business models”
*2: Source: “Strategy in Action 1: The High Road to Business Profitability” Kazuhiro Mishina, Toyo Keizai Inc. 2015 6
Strategic Intent 1
Aim to support patients’ thought
“I do not want to get sick.
I want to know if I get sick,
and I want to be cured.”
-Realize prevention and cure through
Preemptive Medicines, Curative Medicines-
• Toward realizing prevention through preemptive medicine
including early diagnosis and treatment
• Realize treatment for complete remission with curative
medicines and combination regimens
7
Strategy 1
Therapeutic Area Focus
Find out “Ricchi” and
focus on innovation
Strategic Intent 1
8
1. Dementia related diseases
and neurodegenerative diseases
2. Oncology
Therapeutic Area Focus
9
Establishment of
End to End Organization
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1. The key to pipeline productivity improvement is
making Early Decision in a competitive landscape. This is only possible at an organization where
Discovery, Clinical and Commercial functions are
integrated.
2. Important decisions for prioritizing pipeline, lifecycle
management, and changes in commercial mix should
be made promptly through collaboration between
Discovery, Clinical and Commercial.
3. Scientific Acumen, an important organizational culture,
is developed through integrated business structure
including Discovery.
Design of Therapeutic Area Focused
End to End Organization
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Neurology, Oncology Business Group Structure
Business Group Head
Discovery/
Development Clinical Commercial
Strategy/
Planning
End to End Organization
Business Group is responsible for all relevant pipelines and products
from discovery/development to commercial and its Group P/L.
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Aim to form our business
with Innovation as a pillar at “Ricchi”,
the place where landscape is clear
without crowd as if we would choose
the place to build our house (“Center Line”).
Strategic Intent 1
Strategy 2
“Ricchi” and Innovation
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Ricchi 2: Novel Neuro-Transmission Pathways AMPA platform, Orexin platform and PDE platform
Ricchi 3: Proteinopathy Dual-track platform (Combining production/aggregation inhibition and
toxic species clearance) Dementia know-how (Integrated know-how on target species selection, stratification/PD markers and sensitive clinical scale)
Human translation technologies through correlation between function (behavior. EEG, fMRI) and pathophysiology (amyloid/tau PET and CSF measurement of toxic species) in genome-editing cell/animal models
Ricchi 4: Neuro-Inflammation and Immuno-Genetics
Immuno-dementia platform, Functional genomics and genome
editing platform and Fractalkine platform Analysis of large genome sequence data (ADNI, Finland consortium,
Genomics plc etc) followed by functional genomics (LoF/GoF in genome editing cells or patient iPS derived neuron) focusing on neuroinflammation to
identify drug targets strongly supported by human biology
Ricchi 5: Synapse Micro-Environment Neurotrophic factor platform
Protein-protein-interaction modulation platform Platform to discover small molecules or functional biologics
(antibody, aptamer, siRNA) which can modulate protein-protein interaction
In synapse micro environment
Neurotrophic factor activators, EphA4 processing enhancers
and other new projects
Ricchi 6: Neuronal Regeneration Genetically engineered
glia implantation platform Technology to handle stem cell and iPS cell aiming at next-generation
therapy including glia cells (astrocyte) implantation
Engineered astrocyte projects
Potential applicability: AD, multiple dementia types, Parkinson‘s disease, amyotrophic lateral
sclerosis(ALS), multiple sclerosis(MS), progressive supranuclear palsy(PSP), corticobasal
degeneration (CBD) and multiple-system atrophy (MSA)
Potential applicability: epilepsy, sleep disorder, movement disorder (e.g. dystonia, tremor), psychiatric disorder (e.g. BPSD), pain (e.g. small fiber neuropathy) Fycompa, lemborexant*1, E2027*1 and other new projects
Potential applicability: AD, multiple dementia types, Parkinson‘s disease, amyotrophic lateral sclerosis (ALS), multiple sclerosis(MS), progressive supranuclear palsy (PSP), corticobasal degeneration (CBD) and multiple-system atrophy (MSA)
Potential applicability: AD, multiple dementia types, Parkinson's disease, amyotrophic lateral sclerosis (ALS), multiple sclerosis (MS) and Down syndrome
Potential applicability: AD, multiple dementia types, Parkinson's disease, amyotrophic lateral sclerosis (ALS), multiple sclerosis (MS), hyperactivity disorder(HD) and spinocerebellar degeneration (SCD)
Ricchi 1: Early and Minimally-Invasive Diagnostics Super Resolution Fluorescence Microscopy (partner’s technology) and Blood-based Biomarker
Partnership with Sysmex and other new projects
Neurology “Ricchi” and Innovation
*Platform refers to the drug-discovery technology infrastructure based on innovation, aiming for bearing sequential projects *1: Investigational
Comprehensive analysis method by integrating behavior, electrophysiology, neurochemistry and PET tracer imaging in various animal models Outstanding medicinal chemistry capability for small molecule medicine creation based on blended experienced knowledge, structural biology and informatics
Projects based on novel targets discovered from genetic study and E6011*1
E2609*1, BAN2401*1, tau targeting projects, alpha-synuclein targeting projects and TDP-43 targeting projects
14
KAN Research Institute, Inc. (Kobe, Japan) Platform Technology • Integrated cell biology: Synapse biology, developmental biology and inflammation biology • New perspective in pathophysiology by sharing knowledge/technology among neural,
immune and tumor cell biology • Identification of novel cells and molecules causing disease • Modulation of protein-protein interaction by functional biologics • Handling stem cell and iPS cell aiming at next-generation therapy including glia cells
(astrocyte) implantation
Tsukuba Research Laboratories (Ibaraki, Japan) Platform Technology • Integration of bio-pharmacology and medicinal chemistry with sound knowledge of CNS
drug discovery • Outstanding medicinal chemistry method for small molecule medicine creation platforms
established through in-house discovery projects • Super Resolution Fluorescence Microscopy (partner’s technology), Blood-based Biomarker • Human translation technologies (EEG, CSF measurement) in genome-editing cell/animal • Analysis method by integrating behavior, electrophysiology, neurochemistry and PET tracer
imaging in various animal models
Andover Product Creation Innovation Systems (Andover, U.S.) Platform Technology • Immunogenetic and immunoepigenetic driven target discovery
• Analysis of large genome sequence data followed by functional genomics focusing on
neuroinflammation to identify drug targets strongly supported by human biology
• Human translation technologies using imaging method (fMRI, PET)
• Creation of small compounds with brain penetration based on excellent synthesis
technology cultivated through natural product synthesis
Neuronal regeneration
Neuro-inflammation and
immuno-genetics
Synapse
micro-environment
Proteinopathy
Neuro-inflammation and
immuno-genetics
Neuro-inflammation and
immuno-genetics
Proteinopathy
Synapse
micro-environment
Novel neuro-transmission
pathways
Early and minimally-
invasive diagnostics
Neurology Discovery Engine 4 sites
European Knowledge Centre (Hatfield, UK) Platform Technology • Innovative Product Creation for neurodegenerative diseases through organic collaboration
with UCL (University College London) UCL: Target identification through latest genome association analysis including tauopathy and synucleinopathy, establishment and analysis of gene-modified animals, and biomarker research Eisai: Screening technology, medicinal chemistry, obtaining small molecules and biologics, pharmacology, and clinical development
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E2609*1
Co-development with Biogen
BACE inhibitor (Beta-secretase)
BAN2401*1
Co-development with Biogen
Anti-a-beta protofibrils
antibody
Aducanumab*1
(BIIB037)
Biogen
Anti-a-beta antibody
Lemborexant*1
Co-development with
Purdue Pharma L.P.
Orexin receptor antagonist
E2027*1
PDE9 inhibitor
Preliminary Phase II study’s safety and PK/PD data anticipated, and request for
End of Phase II meeting with FDA planned in March 2016
Planning development scenarios for Phase III studies to shorten timeline
including possibility of combination therapy
9th interim analysis (600 patients) occurred in January 2016
Interim analysis at 650 patients is anticipated in March 2016
Possibility of Early Success*2
Planning development scenarios for Phase III studies
Two Phase III studies (18-month primary endpoint) in patients with early AD ongoing
Eisai has an option to jointly develop and commercialize
Plan to initiate Phase III study in insomnia in Q1 FY2016 in which
approximately 40% subjects will be elderly patients (over 65)
Sleep disorders are prevalent in over half of dementia patients and bidirectional
relationship between sleep and dementia is being implicated*3
Preliminary proof-of-mechanism observed in Phase I study
Planning designs for additional clinical development studies targeting
improvement in cognitive function and BPSD*4 in dementia patients
Launch target:
shortly after
FY2020
Launch target:
before
FY2020
Launch target:
beyond
FY2020
Launch Target of AD/Dementia Pipeline
New Molecular Entities
*1: Investigational *2: Eligible for early stoppage if the active drug arm is determined to be likely to be more effective than the placebo arm
*3: Liguori C et al. JAMA Neurol. 2014 Dec;71(12):1498-505. *4: Behavioral psychological symptoms of dementia 16
Global Brand Fycompa and BELVIQ®
Value maximization projects*1
(Lifecycle management)
Partial onset seizure/ Primary generalized tonic-clonic seizures
Submitted in July 2015 in Japan Launch target
FY2016
Oral suspension
formulation Submitted in June 2015 in U.S. and EU
Launch target
FY2016
Pediatric for
partial-onset seizure Phase II study ongoing in U.S. and EU
Launch target
FY2018
(U.S., EU, Japan)
Monotherapy Under discussion with agencies
in U.S. and EU
Launch target
FY2016 (U.S.)
FY2017 (EU)
Partial onset seizure Accelerate development for launch in China
Launch target
FY2019
Lennox-Gastaut
syndrome Currently planning strategy for expanding
indication in U.S. , EU and Japan
Launch target
FY2020
Once-daily
formulation Submitted in September 2015 in U.S.
Launch target
FY2016
Cardiovascular
outcomes trial
(CVOT)
• Evaluation on MACE*2, conversion to type 2 diabetes
and MACE+*3
• Completed patient enrollment (approx. 12,000) in
November, 2015
Topline result
anticipated in FY2018
Obesity Phase I study ongoing in Japan Launch target:
FY2020 (EU)
Beyond FY2020 (Japan)
*1: All projects are investigational *2: MACE: Major Adverse Cardiovascular Event including myocardial infarction, stroke and cardiovascular (CV) death
*3: MACE+: including myocardial infarction, stroke, CV death, and hospitalization due to unstable angina, heart failure, or any coronary revascularization 17
Oncology “Ricchi” and Innovation
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Platform technology • lenvatinib/Kinase inhibitor platform
(including combination with PD-1 inhibitors):
Tsukuba original diverse small molecule libraries targeting kinases.
Biomarker/profiling data sets from lenvatinib clinical samples to
identify new targets on abnormal tumor vessels and tumor
microenvironment associated with drug resistant mechanisms.
Projects
• Halaven+anti-PD-1 antibody pembrolizumab*1,
Halaven+PEGPH20*1*2, Halichondrin derivatives
and other new projects
Projects
• E7046*1 (Cancer immunotherapy agent based on inhibitory effect of
EP4*3) and other new projects
Ricchi 1: Cancer Microenvironment
Ricchi 1-1: Mesenchymal Cells and Tumor Stroma
(Cell Differentiation and Cancer Stemness)
Ricchi 1-2: Myeloid Cells
(Immunosuppressive Myeloid Lineage)
Ricchi 1-3: Endothelial Cells
(Abnormal Tumor Vessels)
Ricchi 2: Driver Gene Mutation
and Aberrant Splicing
Platform technology • Cancer genomics platform:
State-of-the-art bioinformatics and genetic tools to identify and
validate new cancer driver gene and splicing targets
• Splicing platform:
Compound libraries of splicing modulators, and a unique set of
screening systems to identify novel, splice variant-specific modulators,
including high throughput in vitro Splicing Assay (IVS), high throughput
RT-qPCR Screening and Minigene Assay.
Projects
• SF3B1 modulator*1, FGFR4 inhibitor*1 and other new projects
Endothelial
cells Myeloid
cells Platform technology
• Prostaglandin/Toll-like receptor platform
(cancer immunity platform targeting myeloid cells):
• Chemistry strength on development of unique compound libraries
of EP2, EP4*3 and Toll-like receptor antagonists
• Cell-based assay systems
• Assay system to evaluate cancer immunity through myeloid cells
Platform technology • Eribulin platform:
Natural product synthesis chemistry to synthesize highly complex
compounds and the halichondrin-based compound library. Cancer biology &
translational research tools, including bio-imaging and PDX models
• Morphotek’s antibody platform:
Morphotek’s antibody (anti-TEM1 antibody and others)
Original site-specific conjugation technology
• Cancer stemness platform:
Functional cell based phenotypic assay systems and animal models to
evaluate cell differentiation, epigenetic control and tumor metabolism
Cancer cells
Mesenchymal
stromal cells Lymphoid
cells
*Platform refers to the drug-discovery technology infrastructure based on innovation, aiming for bearing sequential projects *1: Investigational *2: Investigational PEGylated recombinant human hyaluronidase under development by Halozyme Therapeutics, Inc. *3: Prostaglandin E2 receptors abbreviated as EP. There are 4 subtypes; EP1,EP2,EP3 and EP4
Projects
• Lenvima + anti-PD-1 antibody pembrolizumab*1
and other new projects
Tsukuba Research Laboratory (Tsukuba, Japan) Lenvatinib/Kinase Inhibitor Platform • Diverse small molecule library targeting kinases • Biomarker/profiling data sets for Lenvatinib clinical samples allowing us to further identify new
targets on abnormal tumor vessels and tumor microenvironment associated with drug resistant mechanisms.
Cancer Stemness Platform • Complex functional cell based phenotypic screening systems and animal models to evaluate
cancer plasticity phenotypes, i.e., cell differentiation, epigenetic control and tumor metabolism.
• Single cell-based analysis technology to address tumor heterogeneity.
Eribulin Platform • Natural product chemistry to synthesize highly complex compounds and the Halichondrin-based
compound library.
• Immunosuppressive
myeloid lineage
• Cell differentiation
• Cancer stemness
• Abnormal tumor
vessels
Oncology Discovery Engine 4 sites
• Immunosuppressive
myeloid lineage
Andover Product Creation Innovation Systems (Andover, U.S.)
Prostaglandin/Toll-like receptor Platform
(Cancer immunity Platform targeting Myeloid cells) • Unique compound libraries of EP2, EP4 and Toll-like receptor antagonists combined with cell-
free and cell-based assay systems to dissect compound profiles as well as potential biomarkers.
• Assay system to evaluate cancer immunity through myeloid cells.
Morphotek (Exton, U.S.) Morphotek’s antibody Platform • Antibody collecting technology for various antigens including anti-folate receptor alpha antibody,
anti-mesothelin antibody, anti-TEM1 antibody.
• Morphotek original site specific conjugation technologies (ReSpect technology and others).
• Cell differentiation
• Cancer stemness
• Driver gene
mutation
• Aberrant splicing
H3 Biomedicine (Cambridge, U.S.) Cancer Genomics Platform • State-of-the-art bioinformatics to identify new cancer drivers, as well as potential biomarkers. • Genetic tools to validate new targets in genetically defined experimental systems.
Splicing Platform • Screening systems for splicing modulators including High Throughput in vitro Splicing Assay
(IVS), High Throughput RT-qPCR Screening and Minigene Assay. • Compound library of splicing modulators.
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Identification and validation of driver gene mutations based on cancer patients’ genomic data
Discovery of drugs targeting modulation of aberrant splicing
in cancer cells
Discovery of next-generation compounds targeting drug
resistant mutations which inhibits cure of cancer
Strategy for Drug Discovery based on Human
Cancer Genome for Personalized Medicine
Aim to launch H3 Biomedicine products within 10 years of establishment
Drug discovery and
diagnosis for drug resistant
mutation in cancer cells
Diverse scientific talents in Boston, innovative collaboration with outside
partners, and swift and robust decisions based on human biology data Developed 2 compounds for clinical trials
within 5 years of establishment
Advancing innovative drug discovery based on
human cancer genome since its inception in 2010
Capabilities of cancer genome
analysis and validation which
have been established at H3B
Deep understanding of
splicing biology at H3B
Initiation of first clinical trials: targeted in 1H FY2016
Inhibitor of FGFR4* Driver to occurrence and
progression of Hepatocellular carcinoma
and others.
Modulator of
splicing factor SF3B1*
Myelodysplastic syndrome and others.
3 initiatives at H3 Biomedicine (H3B)
Focus on cancer genome and aberrant splicing enables
developments with fewer patients and in shorter time
H3 Biomedicine
Aim to launch the new product in FY2020 Eisai’s first personalized
medicine
* Investigational 20
World-class Small Molecular Science
Aiming for Cure of Cancers
World-Class excellence in natural product
synthetic organic chemistry nurtured through
the creation of Halaven to pursue further
pharmaceutical potential of Halichondrins
LENVIMA Halaven
Investigational E7046
Halichondrins
Morphotek technologies
Unique MOAs beyond simple anti-angiogenesis (actions on immuno-suppressive cancer associated macrophage, etc.), synergistic when combined with immune checkpoint inhibitors
Sequential creation of innovative pipeline
projects from the unique kinase library
established on LENVIMA discovery at Tsukuba
Research Lab
Unique compounds targeting Myeloid cell
lineage (Toll-like receptor antagonists and
prostaglandin receptor antagonists),
asset inherited in Andover Research Institute
Addition of novel mechanism of action (tumor
vascular remodeling and decreased tumor
migration and invasiveness) on the US
package insert of Halaven
Novel cancer immunotherapy agent
differentiated from existing immune
checkpoint inhibitors targeting lymphoid cell
lineage
Linker chemistry enabling effective linkage
between various antibodies and molecules
(small molecules, toxins, or radio-labeled
compounds and others)
Antibody producing technologies for versatile
antigens (anti-folate receptor alpha antibody,
anti-mesothelin antibody, or anti-TEM1
antibody and others)
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MORAb-003 Anti-folate receptor
alpha-antibody
E7046 EP4 receptor inhibitor
E7090 FGFR inhibitor
E7777 IL-2 diphtheria toxin
fusion protein
MORAb-009 Anti-mesothelin antibody
SF3B1 modulator
FGFR4 inhibitor
HBI-8000*2
Histone deacetylase inhibitor
(HDAC inhibitor)
E7438*3
EZH2 inhibitor
Launch target EU: FY2019
Japan, U.S.: Beyond FY2020
Launch target
Global: Beyond FY2020
Launch target
Global: FY2020
Launch target
Global: FY2020
Launch target Japan, U.S.:FY2020 (CTCL)
Japan: FY2020 (PTCL)
Launch target
Global: Beyond FY2020
Launch target
Global: FY2020
Launch target
Japan, Asia: Beyond FY2020
Launch target
Japan: Beyond FY2020
Platinum-sensitive ovarian cancer
Phase II study ongoing
Solid tumor
Phase I study ongoing
Solid tumor
Phase I study ongoing
Cutaneous T-cell lymphoma (CTCL)
Peripheral T-cell lymphoma (PTCL)
Phase II study ongoing
Mesothelioma
Phase II study ongoing
Myelodysplastic syndrome
Hepatocellular carcinoma
Peripheral T-cell lymphoma (PTCL)
T-cell leukemia-lymphoma
Phase I study ongoing
Phase II registration-supporting study ongoing in adult patients with non-Hodgkin lymphoma
Phase II registration-supporting study ongoing in adult patients with certain genetically defined solid tumors
Phase I dose escalation study ongoing in pediatric patients with certain genetically defined solid tumors
Novel Morphotek’s antibody Launch target
Global: Beyond FY2020
Solid tumor
Preclinical study ongoing
*1: All projects are investigational *2: Under development in collaboration with HUYA Bioscience International, LLC. Eisai retains development and market rights in Japan, South Korea, Thailand, Malaysia, Indonesia, Philippines, Vietnam and Singapore *3: Identified as tazemetostat, which is under development in collaboration between Epizyme Inc. and Eisai. Eisai retains responsibility for development and commercialization within Japan, as well as having the right of
first negotiation for licensing rights in Asia
Launch Target of Oncology Pipeline
New Molecular Entities*1
22
*1: Investigational *2: Prescription Drug User Fee Act *3: Anti-PD-1 antibody, pembrolizumab *4: Approved for advanced liposarcoma
*5: Investigational PEGylated recombinant human hyaluronidase under development by Halozyme Therapeutics, Inc.
Global brand LENVIMA and Halaven
Value maximization projects (Lifecycle management)
Renal cell carcinoma
2nd line*1
Submitted in November 2015 in U.S.
PDUFA*2 action date: May 16th, 2016
Submitted in January 2016 in EU
Phase I study ongoing in Japan
Launch target
U.S., EU: FY2016
Japan: FY2019
Hepatocellular
carcinoma 1st line*1
Biliary tract cancer
2nd line*1
Endometrial cancer*1
Combination therapy with
immune checkpoint inhibitor*1,3
Completed enrollment of Phase III study in July 2015
Submission planned in FY2016
Initiated Phase II study in August 2015 in Japan
Phase IIb study under preparation
Lung cancer, melanoma, head and neck cancer, bladder cancer, renal cancer, and endometrial cancer
Phase Ib/II study ongoing
Launch target
Global: FY2017
Launch target
Global: Beyond FY2020
Launch target
U.S., EU: Beyond FY2020
Soft tissue sarcoma Submitted based on the result of Phase III study (309 study) in
Japan, U.S. and EU*1
Launched in January 2016*4 in U.S. and in February 2016 in Japan
Launch target
EU: 1H FY2016
Combination therapy
with PEGPH20*1,5
Combination therapy
with immune checkpoint
inhibitor*1,3
Investigating the potential to HER2-negative breast cancer through
combination therapy with PEGPH20
Phase Ib/II study under preparation
Launch target
Global: Beyond FY2020
Investigating the potential to triple-negative breast cancer through combination therapy with
anti-PD-1 antibody, pembrolizumab
Initiated Phase II study in December 2015
23
Strategy 3
ICT Driven Innovation
Strategic Intent 1
24
ICT Driven Innovation
Launch of the Data Creation Center
as the Global Hub
1. Build state-of-the-art ICT Infrastructure
Build state-of-the-art cloud-based ICT infrastructure which enables one-stop
access and smart search functions through integrated internal data and
company-wide uniform management of access to Big Data such as genome
data, compound data, electric medical record, care data and medical bill data.
2. Innovation based on analysis of Big Data
Analyze Big Data including real world data utilizing advanced analytical
technology with artificial intelligence. Such analysis enables us to identify
potential new drug targets, biomarkers. Furthermore, possibly provide
customized solution to patients’ individual needs and create evidence for
outcome evaluation and others.
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Solution
hhc knowledge
Medical Life style
Biomarker Customer behavior
Research Paper
One-stop access and Smart search
New Drugs New Compound New Business New Target New Solution
Novel Patient Value Creation through
Integration and Smartification of Big Data
New Idea
Integrated product package strategy
• Integration of access point
to establish accessible and
usable database
• Unlinked-database groups
• Individual analysis results
• Scattered data
• Product Creation with high potential of success with lower expenses
• Provide solutions to fulfill patients’ individual needs
• Create new evidence and strategy for integrated product package strategy through Outcome analysis
• Data science
• Artificial intelligence
• Big Data integration
• Original database
accessible with smart
search functions
• Dataset analyzed based on
patients’ point of view
Data Creation Center
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Strategic Intent 2
• Establish patient-friendly community network
through partnership with local government in home
care oriented environment
• Provide integrated product package aiming for
maximum Outcome through collaboration with
home care market group and integrated community
care group
Aim to support patients’ thought
“I want to control my disease in my
neighborhood and spend
the rest of my life safe.”
27
Strategy 1
Dementia Solutions Business
Strategic Intent 2
28
Early diagnosis
Community networking Treatment/Care options
Provide social resource map in
connection with dementia including
specialized medical institutions and
regional support facilities on e-65.net
Respond to customers’ inquiries on
dementia through hhc Hotline
(since Aricept launched in 1999,
approx. 130,000 inquiries have been
received)
Eisai original diagnostic scale/treatment
effect measure such as ADCOMS*2
VSRAD*3, diagnosis support software for
early AD
Collaboration with key opinion leaders in the
field of dementia through academic meeting,
education for physicians how to diagnose
dementia and others
Long term activities to support patients
with dementia and community networking
with 527 communities in Japan
Collaboration with local government
(Agreement with 53 communities as of
February 2016)
Development of multidisciplinary model
cloud system
Provide information on dementia through
e-65.net*1
Enhance awareness through TV ads
Operate forums for citizens in
collaboration with local government
Collaboration with dementia support
organizations
Provide information on dementia through
e-65.net
Aricept’s various formulations to fulfill
patients’ needs; OD tablet, jelly, dry
syrup, film coated tablet, granule and film
Obtained world’s first indication for
dementia with Lewy bodies in Japan
Development of adherence support
device
Clinical data of dementia
21 reports on Aricept double blind
trials (6804 cases)
Aricept post marketing clinical data of
approx. 30,000 cases
Abundant experience in development
of disease modifier
Eisai’s dominant advantages
Eisai’s Accumulated Dementia Assets
Disease awareness
Provide information
and consultation
Pioneer in Dementia Field
*1 e-65.net: Website for disease awareness and provision of information for patients with dementia and their families run by Eisai (only available in Japanese)
*2 Alzheimer’s Disease Composite Score *3 Voxel-Based Specific Regional Analysis System for Alzheimer's Disease
29
Strategy for “Eisai Dementia Solutions”
Awareness
e-65.net
保険薬局 介護事業者
合同会社協議会
Accumulated
dementia asset since
Aricept launch
Community
networking
Options for treatment
and nursing care
Consultation
for dementia (hhc hotline)
Early diagnosis
(ADCOMS and
VSRAD)
Collaboration partners
for dementia care
Local healthcare project with local government and organizations
Promote local healthcare project in collaboration with partners of dementia.
In cooperation with medical institutions, healthcare supporting pharmacies, home nursing care
facilities, we will contribute to local government and local residents by providing Solutions.
Dementia solutions
Eisai will provide
Multidisciplinary
cooperation
system Adherence
support device
Care
support
tool
Algorism of dementia projection
through Big Data analysis
Early
diagnosis
tool
Healthcare supporting
pharmacies
Medical institutions
Care operators and others
Academia
Local government
Residents
30
Strategy 2
Regional Medicine Focused Business Mix
We aim to demonstrate Outcomes more than
treatment efficacy, toward Prevention, Cure and Care.
Evidence derived by Medical will be the foundation
for the Outcome information. Access will advance
when prominent evidence is demonstrated.
Strategic Intent 2
31
<Corporation of Regional Medical Collaboration>
Acute care hospital
Convalescent care
hospital
Acute care hospital
Clinic
Chronic care hospital
<Home care market>
Local comprehensive care support center
Primary care
doctor
Nursing home
Home-visit
doctors
Home-visit nursing station
Healthcare supporting pharmacy
Home-visit
doctors
Multidisciplinary coordination team Primary care doctor
Primary care pharmacist Home-visit nurses
Care manager
Various medical institutions in the same community will be under the uniform management
Optimization and cooperation of community medicine will be accelerated
Joint-purchase of drugs, devices and others by HQ of Corporation will take place; the formation of new “Ricchi”
Healthcare supporting pharmacy will recommend doctor consultations such as dementia screening in addition to adherence support if necessary, and act as major player in home care market
Multidisciplinary coordination team
will provide home care including medical support
Adherence support Healthcare support Doctor consultation
recommendation Nursing home
Joint-purchase of drugs devices, and others
New Regional Healthcare Support Establishment in Japan
Home care market and Corporation of Regional Medical Collaboration*
Regional
doctors’
association
Local
government
Corporation of Regional Medical Collaboration
(corporate headquarters function)
* Establishment planned by Ministry of Health, Labour and Welfare in FY2017 32
Establish Project Mix with
Medical, Outcome and Access as the Core
Outcome Access
• Evaluate and analyze
the value of Eisai
products and integrated
product package,
including economical
efficiency based on the
information of Outcome
• Proposition of value to
customers based on the
Outcome from Eisai
products
Medical
• Information on treatment
outcome of
pharmacotherapy and
integrated product
package more than
treatment efficacy; Prevention of tumble
Prevention of fracture
Shortening of length of
stay at nursing home
Improvement of labor
productivity
Prolongation of healthy
life expectancy
Prolongation of working
years
Improvement in the level
of care requirement
assessment
Improvement of QoL
at home care and others
• Explain the data with
certain qualification
(e.g. academic papers)
including preclinical and
clinical to specialists
• Outcome creation followed
by data generation
through real world data
from access of Big Data
and contract based clinical
studies
33
Renewal of Japan Business
Japan Business
EA
Pharma
Elmed
Eisai
(generics)
Oncology
hhc Unit Integrated
8 HQ Access &
Outcome
HQ
Dementia
Solution
HQ
Medical
HQ Consumer
hhc
Business
34
Strategy 3
Integrated Product Package
Provide integrated product package
aiming for maximization of Outcomes
Strategic Intent 2
35
Overview of Integrated Product Package
1. “Ricchi” will be formed with the emergence of
unconventional stakeholders in growing home care
market and Corporation of Regional Medical
Collaboration (establishment planned in FY2017 by
MHLW) , a major player for regional healthcare in
the future.
2. We will provide integrated product package consist
of Eisai, EA Pharma and Elmed Eisai products to
“Ricchi”. And will aim to increase access by creating
information of Outcomes.
36
Strategy for Creating Integrated Product Package of
Eisai, EA Pharma and Elmed Eisai products
Eisai Elmed Eisai EA Pharma
Branded drugs and long-listed drugs Branded drugs and long-listed drugs Generics
Evaluate the Outcomes including treatment efficacy and
economical efficiency from integrated product package
* The products designated by MHLW as Premium to promote the development of new drugs and eliminate off-label use
Seek to develop integrated product package aiming for the cure
of high incidence diseases in Home care market,
including dementia, insomnia, osteoporosis, constipation and others.
Packaging 3 companies’ (Eisai, EA Pharma and Elmed Eisai) products
in 3 categories (branded drugs*, long-listed drugs and generics) to meet customer’s needs
37
Focus on a business domain
where Eisai can find out
“Ricchi” based on
needs and fulfill them
with Eisai innovation
Strategic Intent 3
38
Strategy 1
Transformation of Business Portfolio
We will find “Ricchi” and focus on business
that Eisai continuously develops innovation
and depart from the business that Eisai could
not develop further innovation
Strategic Intent 3
39
Milestone of
Business Portfolio Transformation
2012 Pharmaceutical machinery business
Eisai Machinery Co., Ltd.
2013 Soil amelioration business
Eisai Seikaken Co., Ltd.
2015 Diagnostic business
EIDIA Co., Ltd.
2016 Food and chemical business
Eisai Food & Chemical Co., Ltd.
(Transferred to Bosch Group)
(Transferred to Lawson, Inc.)
(Transferred to Sekisui Chemical Co., Ltd.)
(Transferred to Mitsubishi-Kagaku Foods Corporation)
40
EA Pharma Co., Ltd.
As the gastrointestinal disease area gains a more important
position in home care market and community medicine,
we will continuously operate pharmaceutical full-value chain of Discovery to Commercial
Lower digestive tract area, liver/bile/pancreas areas, constipation and nutrition area
• Product creation based on proprietary AminoScience
technologies
• New product pipeline
• Established opinion leader networks
• Eisai group’s integrated product package
“Ricchi”:
Innovation:
Objectives:
41
Neurology Oncology
Bone metabolism,
Heart disease,
Otorhinology, etc.
GI
Immunology
Metabolic
Liver
Generic Business OTC Business
Shared service
Plan “HAYABUSA”
Plan ‘E-WAY 2025’
Innovative Solution Business
Logistics
Neurology Business Group
Oncology Business Group
Integrated Generic Business
Consumer hhc Business
hhc Solutions Group
EA Pharma Co., Ltd.
Transformation of Business Portfolio
42
Strategy 2
Reform of Manufacturing Site
Strategic Intent 3
43
Transformation of Manufacturing Sites
2013 Tainan Factory in Taiwan
(Transferred to Bora Corporation)
2014 Misato Plant in Japan
(Transferred to Bushu Pharmaceuticals Ltd.)
2015 North Carolina Plant in U.S.
(Transferred to Biogen Inc.)
2016 Sannova in Japan
(Plan to transfer to Alfresa Holdings Corporation)
44
* “Demand Innovation Plus” is the symbol of aspiration aiming for maximizing value on products and solutions for patients.
Reform of Manufacturing Sites
45
Hatfield (U.K.)
Bogor (Indonesia)
Kawashima (Japan)
Baltimore (U.S.)
Exton Laboratory(U.S.)
(Pilot plant) Utilize manufacturing technology for antibody fostered by production of clinical trial material of Morphotek’s antibody in order to prepare for commercial in-house production of antibody in the future
Supply "unique wafer product"
for intracranial use globally by
utilizing proprietary technology
• Establish dementia café and others to discover hhc true needs at Kawashima, a base for production of treatments for dementia. Annually tens of thousands of people visit “Museum of Pharmaceutical Science”, which is located in the same site of Kawashima.
• Aim to establish a seamless manufacture system regardless of volume that does not requires scale-up from discovery to commercialization, by utilizing innovative continuous manufacturing different from existing batch method.
• Aim to obtain Halal certificate and supply for countries with Halal needs by utilizing locational advantage since approx. 90% of population in Indonesia has Halal products need
• Seek to export Halal certified products to Malaysia and other countries with high needs
Kashima (Japan)
• Leverage world class synthesis technology for commercial production, applied to Eribulin, to commercial production of APIs for small molecule drugs
• Launch original site-specific conjugation technology to aiming for in-house production of antibodies
Volume Base
Pursued optimization of site operational rate and logistics based on volume( ~ 2012)
Innovation Base
Establish “Ricchi” by utilizing strength of each site and conduct demand innovation activities worldwide
Suzhou/Benxi (China)
Vizag (India) Supply fine Eisai products for various income class to fulfill growing needs on quality through collaboration between Suzhou’s factory’s high quality manufacturing technology and newly acquired Benxi factory’s lineup of generics
Leverage powerful and extensive infrastructure for pharmaceutical production established mainly for generics; • Develop and supply APIs and products
for generics • Produce and supply free of charge, 2.2
billion DEC tablets for treatment of Lymphatic Filariasis (- 2020)
• Develop and supply combination tablets
• Stable worldwide supply of established drugs
Transformation
• Leverage experience on
multi-lingual and small volume packaging in EU market for global expansion.
• Employ serial number system, the world’s best
level measurement to comply with
anti-counterfeit regulations.
Establishment of
* Unit
Seek to develop/manufacture with cutting-edge technologies including IC chip products and wearable devices through collaboration between each site aiming for fulfilling hhc True Needs
The group to add “+(plus)”
passion and value into
Demand Innovation
45
Financials
46
Target toward FY2020
in Plan ‘E-WAY 2025’
Revenue
Operating profit
Profit for the year
FY2015
Forecast
FY2020
Target FY2015
Forecast
FY2020
Target
51.0B yen 37.0B yen
More than
double
More than
double
556.5B yen
800B yen or more
FY2015
Forecast
FY2020
Target
47
0
2,000
4,000
6,000
8,000
2015年度見通し 2020年度目標
Aim for Double-digit Growth of CAGR*1
in Americas, China, Asia and EMEA
Revenue growth simulation*2 by region
(Billion yen)
800
600
400
200
0 FY2015
Forecast
FY2020
Target
Consolidated
EMEA
Asia
China
Americas
Japan*3
Approx.
14%
Approx.
10%
Approx.
12%
Approx.
15%
Approx.
3%
Approx.
8%
CAGR
*1: Compound annual growth rate *2: Figures are approximate *3: Including revenue of Consumer Healthcare Business 48
0
1,000
2,000
3,000
4,000
2015年度見通し 2020年度目標
Growth Simulation of Global Brands
including Planned Value Expansion Projects
Revenue growth simulation* of global brands
(Billion yen)
400
200
100
0
300
FY2015
Forecast FY2020
Target
CAGR
Approx.
57%
Approx.
65%
Approx.
55%
Approx.
14%
* Figures are approximate 49
Progress of Therapeutic Area Focus
0
2,000
4,000
6,000
8,000
2015年度見通し 2020年度目標
46%
60%
Revenue growth simulation*1 by therapeutic area
(Billion yen)
800
600
400
200
0
Oncology
Area
Neurology
Area
Others*2
CAGR
Approx.
16%
Approx.
12%
FY2015
Forecast
FY2020
Target
*1: Figures are approximate *2: Including products unrelated to Oncology/Neurology areas 50
Towards 2025
51
Aducanumab*1,2
Anti-A-beta antibody
Early AD
Lemborexant*1
Orexin receptor antagonist
Insomnia and others
Before FY2020
Next-generation AMPA
receptor antagonist*1
Epilepsy and others
Beyond FY2020
Overview of Flagship Pipeline for Robust Growth
-Towards FY2025-
Endothelial cells Myeloid
cells
Cancer cells
Mesenchymal
stromal cells
E7046*1
EP4 receptor inhibitor Solid tumor FY2020
Novel antibody drug*1
Development with
Morphotek technology
SF3B1 Modulator*1
Myelodysplastic syndrome Beyond FY2020
LENVIMA
VEGF/FGFR/RET kinase inhibitor Renal cell carcinoma*1, hepatocellular carcinoma*1 and others Globally launched in 2015 for thyroid cancer*3
Oncology
E2609*1
BACE inhibitor
Early AD
Shortly after FY2020
E6011*1
Anti-fractalkine antibody Rheumatoid arthritis and others Beyond FY2020
*1: Investigational *2: Currently under development by Biogen. Eisai has an option to jointly develop and commercialize. *3: Indicated in the U.S. for the treatment of locally recurrent or metastatic, progressive, radioactive iodine-refractory differentiated thyroid cancer; indicated in Japan for the treatment of unresectable thyroid cancer; indicated in Europe for the treatment of adult patients with progressive, locally advanced or metastatic differentiated (papillary, follicular, Hürthle cell) thyroid carcinoma (DTC) refractory to radioactive iodine (RAI)
E2027*1
PDE9 inhibitor Dementia Beyond FY2020
Mechanism of action Target indication Launch target
BAN2401*1
Anti-A-beta protofibrils antibody
Early AD
Shortly after FY2020
Proteinopathy Neuro-inflammation and immuno-genetics
Synapse micro-
environment
Early and minimally-invasive diagnostics
Neuronal
regeneration
Novel neuro-transmission
pathways
Neurology
FGFR4 Inhibitor*1
Hepatocellular carcinoma FY2020
Lymphoid cells
52
KPIs Target for FY2020
ROE 10% or more
Equity Spread*1 2% or more
DOE*2 8% level (Maintain 150 yen dividend/ share)
Equity to total asset ratio*3 50% or more
Net DER*4 0.3 or less
Debt Capacity 230B yen level
Aim for Sustainable Corporate Value Creation
* Dividend per share subject to resolution of Board of Directors
Aim for 15% level ROE in FY2025
*1: Equity spread = ROE - Cost of equity (CoE), assume cost of shareholders’ equity of 8%
*2: Dividend on Equity *3: “Equity to total asset” displayed is “Ratio of equity attributable to owners of the parent”
*4: Net DER: Net Debt Equity Ratio = [Interest bearing debt – (cash and deposits + marketable securities)] / shareholders’ equity
Financial Integrity to ensure strategic investments and stable dividend
53
Towards 2025
“MEDICO SOCIETAL INNOVATOR, Eisai”
Prevention Care Cure
Medical, Outcome, Access
“MEDICO SOCIETAL INNOVATOR”
Preemptive
Medicines
Curative
Medicines Solutions
Fulfill Needs
Regional medicine that provides peace of mind and safety
Fulfill Needs
54