Michael Severino
Analyst · Jefferies. Sir your line is open
Thank you, Rick. It's an exciting time to be leading research and development at AbbVie. We've got a broad and robust pipeline that includes more than 40 active clinical development programs, including 10 programs in late-stage development or under regulatory review. Our core areas of focus include immunology where we're leveraging our deep expertise to develop next-generation biologics from small molecules that elevate the standard-of-care. Oncology, including assets to address both hematologic malignancies and solid tumors, neuroscience with a particular focus on developing disease modifying therapies for Alzheimer's and other neurotic, degenerative conditions, and virology with an emphasis on continuing to evolve the ACB treatment landscape. We are also placing focused investment in our late-stage programs in women's health with elagolix and renal disease with Atrasentan. Today I'll cover each of these areas and highlight some of our most promising programs. In immunology, we've established clear leadership positions across therapeutic categories including rheumatology, dermatology and gastroenterology and we're leveraging our expertise to build upon these strong positions. Our strategy is centered upon identifying treatments that offer differentiated profiles relative to currently available therapies with the goal of continuing to raise the standard-of-care. We have several promising assets in development including two oral selective JAK 1 inhibitors, several biologics and a bi-specific biologic currently in mid-stage trials. Most advanced are our two selective JAK 1 inhibitors on the cusp of completing mid-stage development in RA. As Rick mentioned, earlier this year our partner Galapagos announced positive topline interim data from two Phase 2b studies in RA. Over the next few months we will evaluate data from our internal program ABT-494 and make decisions about next steps. We also believe our DVD-Ig antibody platform holds tremendous promise in the treatment of immune mediated conditions. ABT-122 is our combination anti-TNF anti-IL-17 two validated mechanisms in Phase 2 trials for RA and psoriatic arthritis. Our early development work with the DVD platform has established as our DVDs have favorable drug-like properties similar to monoclonal antibodies and can be manufactured reliably. We will see data from our mid-stage trial in RA in early 2016. And we have other promising mechanisms in development including an IL-6 Nanobody as well as several early-stage programs. Finally, in immunology we continue to innovate with HUMIRA. We have new indications and formulations in late-stage development. We recently received a positive opinion from the EMA for hidradenitis suppurativa and we expect a U.S. regulatory decision in the second half of this year. We also received EMA approval for a new HUMIRA formulation specifically designed to reduce injection pain and reduce injection volume compared to the current formulation. This new formulation is currently under review by the FDA. And we're on track to submit our U.S. and European regulatory applications for Uveitis in the second half following the recent completion and positive results from our second pivotal trial. The acquisition of Pharmacyclics significantly accelerated AbbVie's clinical and commercial presence in oncology. With IMBRUVICA we've established a leadership position in the treatment of blood cancers and we're well-positioned to build upon that strength with other promising assets in development. Within the hematologic oncology space we have three novel mechanisms that are either on market or in registration enabling trials, DTK, PI 3-kinase and bcl-2 inhibition. We are well positioned to continue to evolve the treatment landscape with innovative combinations of these and other mechanisms. Our goal is to markedly improve efficacy by achieving deep, durable disease control and/or remission. As I mentioned, IMBRUVICA represents our first foray into this therapeutic category and we're pleased with the continued progress we are seeing with IMBRUVICA since the close of the acquisition. At the recent ASCO meeting, we and our co-development partner Janssen, presented data from the Phase 3 HELIOS trial which studied the combination of bendamustine and rituximab or BR with and without IMBRUVICA in relapsed/refractory CLL. The study demonstrated that IMBRUVICA improves outcomes when combined with BR illustrating that IMBRUVICA is not only effective as a single agent, but is also potent safe when used in combination. We also announced topline results from the Phase 3 RESONATE-2 trial comparing IMBRUVICA monotherapy to chlorambucil in patients aged 65 or older with previously untreated CLL. The results illustrate that treatment with IMBRUVICA improved progression free survival in multiple secondary endpoints including overall survival in the first-line setting. We plan to present and publish the full results and will submit the data to regulatory authorities in the second half, building upon our existing set of indications and expanding into the frontline CLL setting. We've also continued to make progress with our first-in-class BCL-2 inhibitor, venetoclax. At the recent EHA Meeting we presented updated study results showing patients with relapsed/refractory CLL taking venetoclax in combination with rituximab had an overall response rate of 84% with 41% of patients achieving a complete response. While early, these encouraging results speak to the valuable role venetoclax may play in novel combinations with the potential to restate standard-of-care in a variety of these cell malignancies. We recently received the FDA's breakthrough therapy designation for venetoclax in relapsed/refractory patients with a 17p deletion of genetic mutation. We plan to present the data that supported this designation at the upcoming ASH Meeting and we remain on track to submit our regulatory applications for the 17p deletion indication by the end of 2015. Our hematologic oncology pipeline also includes duvelisib a dual PI 3 kinase gamma/delta inhibitor being investigated for the treatment of a wide range of blood cancers. And we have partnered with Bristol-Myers Squibb on elotuzumab, a monoclonal antibody targeting CS1 a protein primarily expressed on the surface of myeloma cells in late-stage development for frontline and relapsed/refractory multiple myeloma. Data from the Phase 3 study in relapsed/refractory patients recently published in the New England Journal of Medicine showed that adding elotuzumab to standard treatment significantly reduced the risk of disease progression. We expect our partner to submit regulatory applications for this indication this year. We are also leveraging this mechanism within the context of our antibody drug conjugate platform with ABBV E3A and anti-CS1 ADC currently in early-stage clinical development. Our pipeline also includes late-stage assets in development for the treatment of solid tumors. Veliparib is our PARP inhibitor being investigated as a treatment for several solid tumor types. In contrast other PARP inhibitors in development which are being evaluated as monotherapy specifically in cancers with inherited genetic deficiencies in DNA repair any later lines of therapy we've taken a different approach with Veliparib. We have numerous ongoing Phase 3 trials evaluating Veliparib in combination with common DNA damaging chemotherapies in a wide range of clinical settings. Veliparib has demonstrated promising signals of efficacy and is currently in late-stage development for breast cancer and non-small cell lung cancer. Additionally, we plan to evaluate Veliparib in combination with checkpoint inhibitors with clinical trials planned for 2016. We are leveraging our strong capabilities in protein engineering with ABT-414 our antibody drug conjugate for glioblastoma multiforme or GBM. GBM is the most common and most aggressive type of malignant primary brain tumor. The early data for ABT-414 are promising and we recently initiated additional single arm studies and a randomized controlled trial in second line GBM which could provide a pathway to registration if the data are consistent with earlier phase studies. Certainly the area of the immuno-oncology has recently garnered significant attention. We have an active discovery program with an objective to drive the next wave of immuno-oncology development beyond checkpoint inhibitors. We are particularly focused on the use of our bi-specific platform to support conditional activation of the immune system in the vicinity of tumor cells. And we are leveraging the emerging science of soluble T-cell receptor technology as well. We anticipate multiple immuno-oncology assets moving into the clinic in the 2016 timeframe. Our virology franchise will be a significant growth driver for us in 2015 and in the years to come. With the launch of VIEKIRA we have established a meaningful position in the HCV market and our current position will serve as a base from which we will launch further innovation. We are on track with our next-generation HCV program to bring to market a ribavirin-free, once-daily, pan-genotypic combination with high rates of efficacy and a competitive duration of therapy. Earlier this year, we disclosed preliminary results from a Phase 2b study of our next-generation protease inhibitor ABT-493 and our next-generation NS5A inhibitor ABT-530. The interim data showed that treatment with our next-generation combination in non-cirrhotic genotype 1a and 1b treatment-naïve and experienced patients receiving the ribavirin-free therapy for 12 weeks resulted in an SVR4 rate of 99%. Today I am pleased to report that the SVR 12 results are really impressive. In fact, the dose we intend to pursue in Phase 3 drove an SVR 12 rate of 100%. Evaluation in other genotypes continues to progress with encouraging results and we are also evaluating shorter duration of therapy with this combination. We expect to present data from the Phase 2 studies at the AASLD Meeting later this year and we remain on track to advancing into Phase 3 development this year with commercialization expected in 2017. In neuroscience we're focused on pursuing transformational therapies for the treatment of conditions like Alzheimer's disease, Parkinson's, MS and other neurodegenerative conditions. Zinbryta, our investigational biologic for relapsing/remitting multiple sclerosis is currently under regulatory review in the U.S. and Europe with regulatory decisions expected in the first half of 2016. The filings are based upon strong pivotal trial results which demonstrated patients treated with Zinbryta had a statistically significant 45% reduction in annualized relapse rate versus Avonex an established standard-of-care. Given the product profile, novel mechanism of action and its once monthly subcutaneous administration, we believe Zinbryta has the potential to be an important therapeutic option. We're also in the early stages of our U.S. launch of Duodopa for advanced Parkinson's disease which was approved earlier this year. We are continuing to innovate with Duodopa working on drug delivery improvements and moving toward less invasive approaches and continued improvements in the Duodopa pump. We also have numerous early-stage neuroscience programs underway that have the potential to come to fruition in the later years or our long-term plan. For example, earlier this year we entered into a collaboration with C2N Diagnostics to develop and commercialize a portfolio of anti-tau antibodies for the treatment of serious brain disorders. Tau is a key protein associated with the pathologic progression of Alzheimer's diseases and like amyloid tau also has the ability to be imaged and tracked in the central nervous system. We recently received an orphan drug designation and initiated a Phase 1 program in patients with progressive supranuclear palsy, a rare and debilitating neurologic disease. We're on track to start clinical development with C2N in Alzheimer's disease in 2016. Finally, as I mentioned, we continue to make focused investment in our late-stage programs in renal disease and woman's health. Atrasentan is our internally discovered selective endothelin antagonist in late stage development for the prevention of progression of diabetic kidney disease. A large global Phase 3 program is currently underway evaluating the impact of Atrasentan on renal outcomes such as the onset of end-stage renal disease, transplantation or death due to renal failure. Elagolix is our compound in Phase 3 development for endometriosis and Phase 2b for uterine fibroids. Given the high prevalence of these conditions and the current lack of treatment options we view elagolix as a significant opportunity. Our goal with elagolix in endometriosis is to bring to market an oral therapy that provides a high level of efficacy with minimal menopausal side effects such as hot flash while preserving bone health. Earlier this year we announced positive top-line results from the first of two ongoing Phase 3 clinical trials. Initial results from the study showed that after six months of treatment both doses of elagolix met the study's co-primary endpoints with the safety profile consistent with prior studies. We have also now seen data from the six-month extension of the first elagolix endometriosis pivotal study and the results were consistent with previously reported efficacy and safety findings. We will see top line results from the second pivotal study in endometriosis in the first quarter of 2016, and we plan to disclose top-line data from our Phase 2b trial in uterine fibroids in the fall. So in summary, since the start of the year we've made significant progress and are on track to advance several programs in the coming months. We've built a promising late-stage pipeline comprised of potentially transformational medicines which will fuel our future growth. With that, I'll turn the call over to Bill for additional comments on the quarter and 2015. Bill?