Stuart Anthony Kingsley - Executive VP-Global Commercial Operations
Management
Thanks, Ying. It's Tony. So on the second PML case, let me talk about that and then talk about ocrelizumab. I guess it's still early days but it's certainly been several weeks that the information is out in the market. So we think the market has had some chance to absorb it. Look, the first PML case was a pretty significant change statement for the profile of TECFIDERA, given its very pristine safety profile at the time. Our sense is that the second one is a much less significant change statement. The cases within the expected profile, still exceptionally rare. So in discussions that we've had with physicians, with thought leaders, they seem to be – the appearance is that they are processing that much more straightforwardly. We've also monitored media pickup, social media pickup, other things like that, and to date have seen very significantly less reaction on that front. So this feels like a significantly different and more muted reaction to date than the first case. Ocrelizumab, look, I think consistent with what we've said before, we have seen increasing excitement in the market about ocrelizumab, particularly among specialists. We don't know the full data. It looks like a product that will play in the high-efficacy space. It's likely to appeal to the specialists, particularly the TYSABRI user, the RITUXAN user. That we think is more of an issue, frankly, for TYSABRI as it competes in the high-efficacy space and probably in a narrower customer, more specialized customer base over time. So we think of that as probably less relevant to TECFIDERA. Look, in terms of TECFIDERA's long-term profile, which is where you had asked that, I'll say this. To date, when we look at our market research, the indicators and the leading indicators of brand health we believe continue to be pretty favorable. Our market research says the benefit/risk profile has changed, but we believe it's still overall very positive. It's the most requested product by patients based on our research. Physicians state that they intend to use more, again, from market research, and they see it as appropriate for a broad set of patient types. So in the current environment, that's essentially why we're doubling down in what's been a slow market. The market has been more cautious and we think a lot of it is on the margin more cautious. But for a big brand like TECFIDERA, on the margin matters. So reach and frequency, patient outreach, and emphasizing the benefits of the product continue to be where we'll put our efforts.