Michael Severino
Analyst · Jefferies
Thank you, Rick. Today, I'll highlight recent pipeline updates and discuss some of the milestones we anticipate for the year ahead. 2017 was a very productive year with a dozen pivotal trial readouts, several regulatory submissions and approvals, and several important phase transitions across our key programs. And we expect 2018 to be another catalyst rich year. In immunology, we continue to make great progress with our late-stage assets, risankizumab and upadacitinib, as well as with our early immunology pipeline. We are nearing completion of the registrational program for risankizumab and for upadacitinib and their lead indications psoriasis and RA respectively. Last month, we reported the topline results from the fourth and final Phase III study in the pivotal program evaluating risankizumab in psoriasis. In this study, the enhanced trial 73% of risankizumab patients achieved PASI 90 and nearly half achieved PASI 100 compared to just 2% and 1% of patients on placebo at the PASI 90 and PASI 100 levels respectively. And consistent with the previous Phase III results, we saw very durable rates of skin clearance. We are pleased with the strong Phase III results we have reported across all four pivotal trials and we look forward to submitting our regulatory application in the first half of this year. Based on the data we've generated to date, we believe risankizumab has the potential to significantly improve upon current treatment options for both bio-naive and TNF and adequate responder patients with moderate to severe psoriasis by offering unmatched levels of efficacy and durable effect with the convenience of quarterly dosing. Beyond psoriasis, risankizumab is also in mid to late stage development for several other indications, including Crohn's disease, ulcerative colitis, and psoriatic arthritis. We recently initiated, Phase III studies in Crohn's disease and expect to begin registrational studies later this year in ulcerative colitis. We remain extremely excited about this assets potential and believe risankizumab could be an important new treatment option across a broad range of indications. Moving now to our other late stage immunology asset, upadacitinib and oral selective JAK1 inhibitor currently in clinical development for six indications across the rheum, derm, and GI segments. Last month, we reported topline results from the third Phase III study from a registrational program and RA. In the SELECT-MONOTHERAPY study, which evaluated upadacitinib as a monotherapy treatment for patients who did not adequately respond to methotrexate. Both doses of upadacitinib met all primary and key secondary endpoints versus continued methotrexate therapy. Consistent with the results from the SELECT-NEXT and SELECT-BEYOND Phase III studies, upadacitinib drove very strong levels of response on all clinical end points. And importantly, on the more stringent end points, such as ACR50, ACR70, low disease activity, and DAS remission. Additionally, the safety profile in the SELECT-MONOTHERAPY study was consistent with previously reported Phase III SELECT trials and the Phase II studies with no new safety signals detected. Given its strong profile, upadacitinib has the potential to be a best-in-class therapy in RA and could offer meaningful advantages of our products on the market today or in development. We expect to see data from two additional pivotal trials in the RA program in the first half of this year with our regulatory submission following in the second half of the year. In addition to RA, Phase III studies with upadacitinib are ongoing in psoriatic arthritis and Crohn's disease and upadacitinib is also being evaluated as a potential treatment for ankylosing spondylitis. We plan to begin registration enabling studies this year in atopic dermatitis, ulcerative colitis, and giant cell arteritis. Earlier this month, upadacitinib received a Breakthrough Therapy Designation in atopic dermatitis, based on the strong Phase II data we have previously reported. We plan to present detailed results from the Phase II study at the AAD Meeting next month. There is also continued movement with our early-stage immunology programs, where we are developing assets with the potential to significantly raise the efficacy bar in areas such as disease remission and durability of response, compared to products currently on the market and in late-stage development. We expect to begin proof-of-concept studies this year for several key early-stage assets, including our CD40 antagonist ABBV-323, which will begin Phase II studies in ulcerative colitis, and our JAK-BTK inhibitor combination, ABBV-599, which will start Phase II in RA patients. We also have clinical programs recently initiated or expected to begin very soon for other key early-stage assets, including our RORgamma t inverse agonist, and our anti-TNF steroid ADC. Moving now to oncology, where we continue to advance our programs for IMBRUVICA and VENCLEXTA. These two therapies alone and in combination with other medicines are demonstrating extremely strong activity in a broad range of cancers such as CLL, AML, multiple myeloma, and non-Hodgkin's lymphoma, which should enable us to expand our already strong position in hematologic malignancies. Through novel combinations of IMBRUVICA, VENCLEXTA and other therapies, our goal is to drive better long-term goal and outcomes for patients. With IMBRUVICA, we continue to build the body of evidence in CLL, as well as in other blood cancers. IMBRUVICA has already changed the treatment paradigm in second-line or greater CLL and following the strong RESONATE-2 data is gaining momentum in the front-line setting. At the recent ASH Meeting, we reported new three-year follow-up from the RESONATE-2 study demonstrating that in treatment-naïve CLL patients, long-term treatment with IMBRUVICA is leading to sustained improvements in patient reported outcomes and quality of life, as well as significant decreases in disease related symptoms. We also had several studies ongoing to evaluate IMBRUVICA alone or in combination in different patient segments, including young and fit patients and the watch-and-wait population. These studies will add to the breadth of data supporting IMBRUVICA, providing physicians more evidence of the compelling clinical benefits in the front-line setting. We expect to begin seeing data from these Phase III trials towards the end of 2019. More near-term, we expect to see data from several IMBRUVICA combination studies this year, including Phase III data in front-line CLL in combination with GAZYVA and front-line diffuse large B-cell lymphoma in combination with our CHOP. Moving now to VENCLEXTA, at the recent ASH Meeting, we reported detailed results from the Phase III MURANO study in relapsed/refractory CLL, which showed a profound improvement in progression free survival and strong rates of MRD negativity with combination treatment of VENCLEXTA and RITUXAN compared to BR. Based on these results, we believe that VENCLEXTA in combination with RITUXAN has the potential to be a new standard chemotherapy free treatment option for patients with relapsed/refractory CLL. We recently submitted our regulatory applications for VENCLEXTA plus RITUXAN in relapsed/refractory CLL based on the MURANO data. We expect an approval for this indication later this year and look forward to bringing this new treatment to market in the broader relapsed/refractory CLL population. Beyond our core strategy in CLL, we are making great progress with our development programs to expand VENCLEXTA across multiple hematological malignancies. We have Phase III studies ongoing in multiple myeloma as well as AML, where we have received two Breakthrough Therapy Designations. These studies are progressing well with key data becoming available in the 2019 time frame. Given the significant and durable activity we've already seen in AML and following recent regulatory feedback, we now plan to submit our U.S. regulatory application for VENCLEXTA in AML later this year. This represents a significant acceleration of our program as approval in AML later this year or in early 2019 would be approximately two years ahead of our initial expectations. We look forward to bringing this new treatment option to the substantial group of AML patients who can't receive high-dose induction chemotherapy. I will now turn to our solid tumor programs where we continue to make good progress with our late-stage program for Rova-T as well as with our early-stage oncology pipeline. Starting with Rova-T, our registrational trial in third-line or greater small-cell lung cancer, the TRINITY study continues to progress and we expect data in the second quarter with our regulatory submission following soon thereafter. Our ongoing Phase III studies in small-cell lung cancer also continue to advance, with the TAHOE study in the second-line setting and the MERU trial in front-line patients both now well underway. We are also evaluating Rova-T with Opdivo and with Opdivo and Yervoy in mid-stage combination study with potential to start seeing data from this trial later in the year. Beyond small-cell lung cancer, the neuroendocrine tumor BASKET study continues to progress. And we will be sharing more results from this study as the data mature possibly later this year. In our early-stage oncology pipeline, we continue to build capabilities and explore new technologies that will extend our reach in the solid tumor market. We've prioritized areas of biology that we believe play an integral role in the tumor immune environment or in tumor growth, areas where we believe we can target with new therapies to have broader applicability than existing immuno-oncology agents or chemotherapy. These include the tumor microenvironment, innate immune cell activation, tumor cell intrinsic resistance, cancer stem cells, epigenetic regulation, and therapies based on engineered T-cell receptors. We have more than 20 solid tumor assets currently in the clinic and expect to move several more into Phase I studies over the course of the year. We look forward to sharing the data from these programs as they mature. And finally, in the area of women's health, our regulatory application for elagolix in endometriosis is currently under priority review and we anticipate an approval decision in the second quarter. In addition to the endometriosis program, we have Phase III studies ongoing in uterine fibroids and we will see data from this program later this quarter. So in summary, we've continued to make significant progress advancing and accelerating our pipeline and we look forward to many more important data readouts based transitions, regulatory submissions, and approvals in 2018. With that, I'll turn the call over to Bill for additional comments on our fourth quarter and full-year performance. Bill?