Michael E. Severino, M.D. - AbbVie, Inc.
Analyst · Goldman Sachs
Thank you, Rick. As Rick just noted, 2017 marks a milestone-filled year for AbbVie's pipeline, with a dozen pivotal trial readouts and several planned regulatory submissions or approvals. We've continued to make significant pipeline progress over the past quarter. This morning, I'll highlight recent pipeline updates and discuss key milestones we anticipate for the remainder of the year. In the area of immunology, we continue to make good progress advancing our two very promising late-stage assets, upadacitinib and risankizumab. Both of these assets have the potential to significantly advance standard of care in a number of immune-mediated conditions. Upadacitinib, also known as ABT-494, has produced encouraging mid and late-stage data in rheumatology and gastroenterology. We believe our once-daily oral highly-selective JAK1 inhibitor has the potential to provide best-in-class efficacy with a favorable safety profile in RA and provide strong activity in a very competitive profile in psoriatic arthritis, Crohn's disease and ulcerative colitis. In the quarter, we reported top-line results from the first of our registrational trials for upadacitinib, the SELECT-NEXT study. In this study, which evaluated patients who did not respond adequately to conventional DMARDs, both doses of upadacitinib met all primary and key secondary endpoints. Furthermore, upadacitinib drove very high responses at the ACR20 level, but, more importantly, it drove strong levels of response on more stringent endpoints, such as ACR50, ACR70, low disease activity and DAS remission. We're also very encouraged by the DAS responses we saw, where nearly half of the patients studied achieved low disease activity in both dose groups, and approximately 30% achieved DAS remission with just 12 weeks of treatment. Upadacitinib's efficacy in this population compares favorably to other selective JAK inhibitors in Phase 3 development. And we think this drug has the potential to offer meaningful advantages over products on the market today or in development. Additionally, the safety profile in the SELECT-NEXT study was consistent with what was observed in the Phase 2 trials, and no new safety signals were detected. We plan to present detailed data from the SELECT-NEXT trial at the American College of Rheumatology meeting in November. We expect to see results from two additional studies later this year, SELECT-BEYOND in biologic-inadequate responders and SELECT-MONOTHERAPY, with data from two more trials and our regulatory submissions expected in 2018 and commercialization in 2019. Beyond its lead indication in RA, we're making good progress with upadacitinib in mid-stage studies for several other immune-mediated conditions, including Crohn's disease, ulcerative colitis and atopic dermatitis. And we also recently began a Phase 3 study in psoriatic arthritis. At the recent DDW meeting, we presented promising Phase 2 upadacitinib data in Crohn's disease. The results from the Phase 2 CELEST study demonstrated that significantly more patients treated with upadacitinib achieved clinical remission and endoscopic remission following induction therapy as compared to placebo. There was also a mandatory steroid taper during the induction phase of this study. And upadacitinib performed very well, with significantly more patients at the higher doses being steroid-free and in clinical remission after 16 weeks of treatment. The patient population in this study was considered to be particularly difficult to treat, given that 96% of patients in the trial had failed or were intolerant to anti-TNFs, with more than two-thirds having been previously treated with more than two anti-TNFs. The Phase 3 program for Crohn's disease will begin later this year. We also plan to begin Phase 3 studies in ankylosing spondylitis in the second half of 2017 and in ulcerative colitis in 2018. Finally, we'll see data from a mid-stage trial evaluating upadacitinib in atopic dermatitis, a prevalent chronic inflammatory skin disease, later this year. Moving now to our anti-IL-23 monoclonal antibody, risankizumab, where we are nearing completion of three registrational studies in psoriasis, risankizumab has the potential to provide best-in-class efficacy and increased dosing convenience, with quarterly administration. And we look forward to seeing results from the three pivotal trials in the fourth quarter. Additional data from the pivotal program will be available next year, leading to our regulatory submission in 2018, with commercialization anticipated in 2019. At the DDW meeting, we also presented Phase 2 risankizumab data in Crohn's disease. The results from the 52-week maintenance portion of a Phase 2 study were very promising, demonstrating that the drug was effective in maintaining clinical and endoscopic remission and response in patients who were in clinical remission at week 26. Risankizumab was well-tolerated, with no new safety signals detected during maintenance treatment. Phase 3 studies in Crohn's disease will be starting later this year. Later this year, we're also expecting to begin a Phase 3 study for risankizumab in ulcerative colitis. Additionally, we'll also see Phase 2 data in psoriatic arthritis, with Phase 3 studies expected to begin in the first half of 2018. Moving now to oncology, where we continue to make good progress with our hem/onc and solid tumor programs. Between now and the end of the year, we expect several important milestones. Earlier this week, VENCLEXTA received a Breakthrough Therapy Designation from the FDA for combination treatment with low-dose ara-C in treatment-naïve AML patients who are ineligible for intensive induction chemotherapy. This is the second Breakthrough Therapy Designation in AML and the fourth overall for VENCLEXTA. The Phase 3 study for this indication is already ongoing. In the coming months, we'll see data from the VENCLEXTA Phase 3 MURANO trial, which will support our regulatory application for broader use in the relapsed/refractory CLL population. We are also expecting additional IMBRUVICA data readouts later this year based on interim or final analyses from multiple studies. And we are anticipating regulatory approval soon for the use of IMBRUVICA in chronic graft-versus-host-disease after failure of one or more lines of systemic therapy. If approved, this would be the first treatment specifically approved for chronic GVHD, a serious and potentially life-threatening condition with high unmet medical need. In the area of solid tumors, we'll see results from the TRINITY study, where Rova-T is being evaluated in third-line or greater small cell lung cancer, with regulatory submissions following shortly thereafter. At the recent ASCO meeting, we presented full data from the Phase 1 study of Depatux-M, also known as ABT-414, in glioblastoma multiforme, including encouraging overall survival and progression-free survival data. Later this quarter, we'll see data from a Phase 2 study of Depatux-M in second-line GBM that, if positive, would support regulatory submission. And finally, in the area of women's health, we recently completed our Phase 3 program of elagolix in endometriosis. We plan to present additional data from the extension study at the ASRM Congress at the end of October, and we remain on track to submit our regulatory application later in the third quarter. Our Phase 3 program in uterine fibroids is also well underway. We'll begin to see initial top-line results from the first pivotal study around the end of the year. So in summary, we've continued to see significant evolution of our mid and late-stage programs. The first half of the year has been very productive. And we look forward to the second half of 2017 and the large number of clinical and regulatory milestones. With that, I'll turn the call over to Bill for additional comments on our second quarter performance. Bill?