Earnings Labs

Biogen Inc. (BIIB)

Q3 2016 Earnings Call· Wed, Oct 26, 2016

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Transcript

Operator

Operator

Good morning. My name is Dan, and I will be your conference operator today. At this time, I would like to welcome everyone to the Biogen third quarter 2016 financial results and business update. All lines have been placed on mute to prevent any background noise. After the speakers' remarks, there will be a question-and-answer session. Thank you. I now would like to turn the conference over to Matthew Calistri, Senior Director of Investor Relations. You may begin your conference.

Matthew Calistri - Biogen, Inc.

Management

Thank you, Dan, and welcome, everyone, to Biogen's third quarter 2016 earnings conference call. Before we begin, I encourage everyone to go to the Investors section of biogen.com to find the press release and related financial tables, including a reconciliation of the GAAP to non-GAAP financial measures that we'll discuss today. Our GAAP financials are provided in Tables 1 and 2. Table 3 includes a reconciliation of our GAAP to non-GAAP financial results. We believe non-GAAP financial results better represent the ongoing economics of our business and reflect how we manage the business internally. We have also posted slides on our website that follow the discussions related to this call. I would like to point out that we will be making forward-looking statements which are based on our current expectations and beliefs. These statements are subject to certain risks and uncertainties, and our actual results may differ materially. I encourage you to consult the risk factors discussed in our SEC filings for additional detail. On today's call, I'm joined by our Chief Executive Officer, Dr. George Scangos; Dr. Michael Ehlers, EVP of Research and Development; our Chief Commercial Officer, Michel Vounatsos; and our CFO, Paul Clancy. We'll also be joined for the Q&A portion of the call by our Chief Medical Officer, Dr. Al Sandrock. Now I'll turn the call over to George.

George A. Scangos - Biogen, Inc.

Management

Okay. Thanks, Matt, and good morning, everyone. Thanks for joining us today. I'm happy to say Biogen delivered another solid quarter, complete with strong financial performance and significant advancements in the pipeline. For the third quarter of 2016, Biogen generated a record $3 billion in revenues, a 6% increase from the same period a year ago. Our GAAP earnings were $4.71 per share, a 13% increase versus Q3 last year. and non-GAAP earnings were $5.19 per share, a 16% increase. I'll come back to the financials in a minute, but first I'd like to highlight some of the important third quarter pipeline progress. One of the most exciting milestones this quarter was the positive interim analysis of nusinersen in the ENDEAR study. Recognizing the tremendous need in the SMA community, we moved quickly, established the Expanded Access program, and completed the NDA filing with the FDA in less than two months, the fastest filing time in Biogen's 38-year history. We continue to be grateful to the patients, families, investigators, and employees who worked tirelessly to bring this program to this point. We've also filed with the EMA, where nusinersen has received Accelerated Assessment status. If approved, nusinersen would be the first treatment for patients with spinal muscular atrophy, a leading genetic cause of death in infants. We were honored when one of our key pipeline programs was featured on the cover of Nature, specifically, the results of our preclinical research and Phase 1b study of aducanumab. This rare distinction was a first for Biogen research and one that I think further highlights the important work that we're doing in the area of Alzheimer's disease. We also announced that aducanumab was granted Fast Track designation by the FDA. Our commercial business continued to deliver solid results this quarter. We furthered our…

Michael D. Ehlers - Biogen, Inc.

Management

Thank you, George, and good morning, everyone. Let me provide some highlights from this quarter, starting with multiple sclerosis. Last month at ECTRIMS, we presented clinical findings from our broad portfolio of MS therapies as well as top line results for opicinumab, or anti-LINGO, a potential neuroreparative therapy for people with relapsing forms of multiple sclerosis. We presented real-world data and clinical evidence showing that TECFIDERA consistently demonstrates strong efficacy by reducing MS disease activity in patients that have had up to 9 years of treatment. These data also affirm TECFIDERA's well characterized safety profile. Importantly, we believe these findings provide additional support for the early use of TECFIDERA to improve patient outcomes. Data were also presented for ZINBRYTA, our newly launched once-monthly, self-administered subcutaneous treatment option for relapsing forms of MS. A new post-hoc analysis from the pivotal DECIDE study showed that a significantly greater number of people treated with ZINBRYTA showed no evidence of disease activity compared to those taking intramuscular interferon. Additional new interim data from the long-term extension study, EXTEND, show that treatment with ZINBRYTA had long-term benefits in the proportion of patients who remained relapse-free as well as those who did not experience 24-week confirmed disability progression. For opicinumab, we presented top line results from the Phase 2 SYNERGY study in MS, in which opicinumab missed the primary endpoint. However, we believe the robust design of this study has allowed us to identify an appropriate patient population and dose to move forward with development. Within the 10 milligram per kilogram dosing arm of the study, we identified a treatment effect in patients whose MRI scans had specific features suggesting evidence of reduced myelination and intact axons at study entry. This subset represented approximately 1/4 of all patients in the SYNERGY study. Based on these data,…

Michel Vounatsos - Biogen, Inc.

Management

Thank you, Mike. This is a solid quarter for our MS business. Our portfolio of MS therapies delivered revenues of $2.3 billion, an increase of 3% versus Q3 last year and 2% versus Q2. Excluding the impact of foreign exchange, MS revenues increased 5% versus Q3 last year and 2.5% versus Q2. Biogen maintained its global leading market share of 38% and remains the leader for both newly diagnosed and switch patients, representing the dynamic portion of the MS market. As I communicated during our last call, the commercial organization is now focusing on four key opportunities: portfolio strategy; commercial excellence; medical leadership; trust and value. Since the beginning of Q3, we are now in execution mode, especially for MS in the U.S. With portfolio strategy, we have progressed and now identified our prioritized growth opportunities for now and 2017. It is all about making hard choices, driving consistency in resource allocation, and following through with tactical plans and execution. With commercial excellence, in the U.S. we have piloted and defined a specific engagement model with key MS centers. The rollout is expected to be completed by year end. Additionally, we are currently enhancing our sophistication in multichannel marketing, with a strong focus on digital execution capabilities. We need to meet our customers where they are, defined by the customer journey, to provide a seamless and differentiated Biogen engagement experience, whether through direct, digital, or other media. These are important steps, not only to improve performance in the short term, but also towards the creation of a new go-to-market model that is more effective and at a lower cost. In terms of medical leadership, during the third quarter, our R&D colleagues have identified several key opportunities as to how to improve MS care today. We believe we have the opportunity…

Paul J. Clancy - Biogen, Inc.

Management

Thanks, Michel. In the third quarter, our GAAP diluted earnings per share were $4.71, a 13% increase versus Q3 last year, while our non-GAAP diluted earnings per share were $5.19, an increase of 16%. Total revenue for Q3 grew 6% versus Q3 last year to approximately $3 billion. Global third quarter TECFIDERA revenues were $1.034 billion, an increase of 10% versus Q3 of last year. This included revenues of $845 million in the U.S., an increase of 12% versus Q3 last year, and $189 million outside the U.S., an increase of 3% versus Q3 last year. In the U.S., we believe TECFIDERA benefited by approximately $40 million to $50 million versus Q2 due to inventory build in the channel. Outside the U.S., Q3 TECFIDERA decreased by $17 million versus Q2, largely driven by parallel trade dynamics. Versus Q3 last year, foreign exchange and hedge impact weakened TECFIDERA revenues by approximately $17 million. Interferon revenues, including both AVONEX and PLEGRIDY, were $708 million during the third quarter, a decrease of 10% versus Q3 last year. This included $506 million in the U.S. and $203 million in sales outside the U.S. In the U.S., we believe there was a drawdown of AVONEX inventory in the wholesale channel, resulting in approximately $10 million versus Q2. Outside the U.S., foreign exchange and hedge impact weakened interferon revenue by approximately $20 million versus Q3 last year. TYSABRI worldwide revenues were $515 million this quarter, an increase of 7% versus Q3 last year. This included $301 million in the U.S. and $214 million outside the U.S. Outside the U.S., TYSABRI revenues benefited by $20 million due to a favorable adjustment to our discounts and allowances. Foreign exchange and the hedge impact weakened TYSABRI revenue by approximately $16 million versus Q3 last year. Our hemophilia products continued…

George A. Scangos - Biogen, Inc.

Management

Okay, thank you, Paul. I'm very pleased with what we've accomplished this quarter. We delivered solid commercial performance, strong financial results, and important advances in the pipeline. I'm particularly excited about the direction we're heading as we finish 2016 and look forward to 2017 and beyond. As I've said, I believe we're at the beginning of a transformative era in neurodegeneration, which could result in a new era for Biogen as well. We're already starting to see the types of discoveries that can be expected as science advances and innovative trial designs yield previously unseen results and insights. We believe the early data for aducanumab point to additional opportunities to invest in novel science to address Alzheimer's disease and other neurodegenerative diseases. The insights we've gained from the SYNERGY trial are teaching us more about remyelination, and we're enthusiastic about moving opicinumab forward. And the encouraging results we're seeing from nusinersen point to the possibility that there can be entirely new mechanisms and modalities for treating the many daunting diseases of the central nervous system. I'm proud to have led Biogen for more than 6 years now, and it's gratifying to me to be in a position to turn a high-performing organization over to a successor. Our board search for a new CEO is progressing. We don't have a formal update on timing yet. But as you'd expect, the opportunity to lead Biogen is generating plenty of interest. And in the meantime, I'm working closely with our management team as we strive to realize our goals for 2016 and kick off a busy and productive 2017. We're fortunate to have a great leadership team and a passionate group of employees who come to work every day to make a positive impact on patients' lives, and I thank all of them for their hard work and dedication. Thanks to all of you for joining us this morning, and we'll now open up the call for questions.

Operator

Operator

Your first question comes from the line of Eric Schmidt from Cowen & Company. Please go ahead. Eric Schmidt, Ph.D. - Cowen & Co. LLC: Thanks for the question and congrats on a solid quarter. I was hoping you could talk a little bit more about the parallel trade issue associated with TECFIDERA. Is that something new? Is there anything you can do about it? Is it going to get worse in the future? Thanks.

Paul J. Clancy - Biogen, Inc.

Management

Thanks, Eric. This is Paul. I'll try to take a crack at it. We didn't point it out last quarter. So in fairness, looking at the numbers this quarter, we noticed it in looking backwards. It effectively happens when a low-priced country gets extra purchasing patents and it ends up in a more higher-priced company. Across all of our products, we look hard at this, and we try to, to the extent we can, manage it. We haven't, across the whole time in multiple sclerosis, for 10 or 15 years, seen this to be a big issue, but we'll continue to try to manage it. I don't expect it to be a meaningful issue as we go forward over the next bunch of quarters. It could bounce around every now and then though. Thanks for the question.

Operator

Operator

Your next question comes from the line of Geoff Meacham from Barclays. Please go ahead.

Geoff Meacham - Barclays Capital, Inc.

Analyst · Geoff Meacham from Barclays. Please go ahead

Good morning, guys. Congrats on the quarter and thanks for the question. Just on the remyelination side for Mike or Al, so what are the puts and takes of finding a population for anti-LINGO versus expanding the program for BIIB061? I'm just curious if you can use the lessons from SYNERGY to optimize BIIB061 development or if you have to prioritize one over the other. Thank you.

Michael D. Ehlers - Biogen, Inc.

Management

Geoff, this is Mike. That's a good question. So my comment on the SYNERGY results is we've been using that data to really look at the potential for an identified population. We think we've found that. We think this is really going to inform our development of BIIB061. We're thinking about that very closely. There's reason to believe that the same population may be something we can investigate similarly with BIIB061. We think it will inform the development. That's going to be part of the plans for how we would develop opicinumab as well.

Alfred W. Sandrock - Biogen, Inc.

Analyst · Geoff Meacham from Barclays. Please go ahead

Maybe I could add to that. This is Al. The subpopulation that we identified has really good biological plausibility. In other words, these are patients who have evidence of intact axons. They have evidence of demyelination. This makes sense to us that both of these drugs would work better in this population, and that's why we're encouraged by these results.

Operator

Operator

Your next question comes from the line of Geoffrey Porges with Leerink Partners. Please go ahead.

Geoffrey C. Porges - Leerink Partners LLC

Analyst · Geoffrey Porges with Leerink Partners. Please go ahead

Thanks very much for the question. I just want to throw a few questions in on nusinersen. First, what would be the earliest that you would be in a position to actually launch the product if the FDA acted with the speed that they've acted on some other recent applications for high unmet need medications? Secondly, could you give us a sense of the number of patients continuing from the trials on an open-label basis and also the number of patients in the Expanded Access program, and when you would expect those to be converted to commercial patients? And then lastly, you mentioned the 20,000 patients with SMA in North America, Europe, and Japan. But what proportion of those do you consider to be really addressable with the label that you're filing for? Is that the population under 10 or infant onset, or is that just all now the different forms of SMA? Thanks, sorry for the multi-part question.

Michael D. Ehlers - Biogen, Inc.

Management

Okay, Geoffrey, this is Mike. I'm going to start and then we're going to tag-team the multi-part question here. Hopefully we'll remember each of the parts.

Paul J. Clancy - Biogen, Inc.

Management

We need all members of the management team to address it, so chime in.

Michael D. Ehlers - Biogen, Inc.

Management

So first of all, on the filing, I do want to emphasize that we've submitted the file. We've applied for Priority Review. We haven't heard back on the determination of that. That will obviously dictate when we will get approval for that in the U.S. Similarly, the Accelerated Assessment application we have in Europe, again, that would potentially reduce the review time. But we're expecting that finally to be validated in the coming weeks. So there's some timing dependence on regulator acceptance of these Priority Review and Accelerated Assessment. With that, I'm going to let Michel talk about the launch based on that, but let me address a couple of the other things you mentioned. Our Expanded Access program is active. We've got patients who are receiving drug. This is obviously country-by-country specific in how they're administering it. And it's an ongoing work in progress. That program will really be relevant during this period while we're filed but before we've got approval. We anticipate that that's going to be a small number of patients that we can get in the relevant countries based on the criterion established in our Expanded Access program. On the incidence and prevalence and the label, what we would say is this is 20,000 patients prevalence today in the U.S., Europe, and Japan. SMA as a whole has an incidence of about 13,000 patients a year across those roughly. The data that we've submitted were from the interim analysis of ENDEAR. These were Type 1 patients. We've included data across all of our studies as well as preclinical data. We are going to seek a broad label for the treatment of SMA. This obviously will be something under review. And based on that, that will determine the overall size of the patient population, which I'll also let Michel comment on when I turn it over to him. My final comment on that would be we expect that if successful and launched that these prevalence numbers will increase over time to the extent that we have an impact on survival in these populations. So the label, there's a lot of open questions. We'll have to wait and see, and that is going to determine what the ultimate upside is. So, Michel, maybe I'll turn it over to you on the label.

Michel Vounatsos - Biogen, Inc.

Management

Thank you, Mike. So basically, the label is a question mark. The timeline is also a question mark. I had the opportunity to review lately the U.S. operation in terms of launch readiness. And I can tell you that I'm very pleased with the team that is getting together, a high qualified, highly committed team in order to best serve the unmet medical needs together with hopefully a good product with a good label and approved on time. So the launch readiness is there. And basically the label will determine which proportion of the current prevalence we can address at launch. So for that, we have to wait a little bit. 20,000 patients in terms of prevalence in the year so actually that we have qualified, but there are many more beyond, and we are also looking into that.

Operator

Operator

Your next question comes from the line of Ronny Gal with Bernstein. Please go ahead. Aaron Gal - Sanford C. Bernstein & Co. LLC: Good morning and thank you for the questions, so first a quick clarification. On the anti-LINGO, is this another Phase 2, or are you actually starting a pivotal program with that? And then my question is really on market access for multiple sclerosis in 2017. Now that those contracts have been written, can you give us a directional view as to your formulary access versus 2016 and the pricing environment for your products during that year?

Michael D. Ehlers - Biogen, Inc.

Management

Okay, Ron, thanks for the question. This is Mike, and then I will probably let Al comment as well on opicinumab anti-LINGO. We're very much in the design phase of this, looking at the potential of a trial. We're looking at timing. We're looking at cost. We're looking at feasibility. We don't have an answer today, but we think in the coming weeks we'll have a determination about whether we conduct a Phase 2b trial or whether we look to go straight into Phase 3.

Alfred W. Sandrock - Biogen, Inc.

Analyst · Ronny Gal with Bernstein

I don't have any further comment.

Michel Vounatsos - Biogen, Inc.

Management

So concerning the formulary access in the U.S., we do not comment on the way 2017 will look like nor on the gross-to-net. What I can tell you is that the organization is committed to continue to generate profitable growth. And for that, we go after the cost picture forcefully, how we supply and how we procure our business. And as I explained earlier, we are working on our go-to-market model. We don't believe the reach and frequency model that prevailed in the past is sustainable, and we are basically, step by step, building a new go-to-market model. So we are working on that.

Operator

Operator

Your next question comes from the line of Brian Abrahams with Jefferies. Please go ahead.

Brian Abrahams - Jefferies LLC

Analyst · Brian Abrahams with Jefferies. Please go ahead

Hi, thanks very much for taking my question. I guess a question for Mike. I was hoping you could clarify what you guys have meant on the aducanumab titration data, what you meant by efficacy results that are consistent with results previously reported. Are you referring to imaging or cognition? And then on the safety side, when you talk about safety looking consistent with what's previously been reported and supporting the design of the Phase 3s, does that suggest that the ARIA is consistent with what you're seeing, or does it support the idea of titration potentially reducing the risk of ARIA in certain populations? Thanks.

Michael D. Ehlers - Biogen, Inc.

Management

Brian, thank you. Thank you for that. And by the way, these are all things which we will have a lot more to talk about at CTAD in San Diego in December. So let me comment on that. So when we say consistent with, we're referring to both imaging and functional endpoints in cognition. As you know, what we've looked at before is the CDR [Clinical Dementia Rating] sum of boxes and the MMSE [Mini-Mental State Examination] as well as amyloid PET. On the titration side and safety side, again, we'll have a lot more details on this. But what I'd say is what we're seeing is consistent with what we had hypothesized around for the safety basis of aducanumab. In other words, it's within the range of what we've seen and reported before with the Phase 1b study.

Operator

Operator

Your next question comes from the line of Michael Yee with RBC Capital Markets. Please go ahead.

Michael Yee - RBC Capital Markets LLC

Analyst · Michael Yee with RBC Capital Markets. Please go ahead

Thanks for the question, a follow-up on the Alzheimer's prior question. I just wanted to understand the context of the efficacy comments, in particular given that I think there are still some questions around the placebo arm, and I think that you're still using partly the pool of placebo from before. So I just want to understand the caveats and I guess how confident you are versus that arm. And then just a quick follow-up is you did mention the line about MT-1303. So I just wanted to understand what happened there. Is that a commercial competition thing, or what happened in that decision? Thanks so much.

Alfred W. Sandrock - Biogen, Inc.

Analyst · Michael Yee with RBC Capital Markets. Please go ahead

Hi, Michael. This is Al Sandrock.

Michael Yee - RBC Capital Markets LLC

Analyst · Michael Yee with RBC Capital Markets. Please go ahead

Yes.

Alfred W. Sandrock - Biogen, Inc.

Analyst · Michael Yee with RBC Capital Markets. Please go ahead

The additional cohorts included some additional placebo patients. So we will show the data from the additional placebo patients as well as the placebo patients from prior cohorts, and that will be shown at CTAD. And the efficacy is on PET imaging as well as on the clinical cognitive assessments that we looked at previously, MMSE and CDR sum of boxes. That will all be shown at CTAD.

Michael D. Ehlers - Biogen, Inc.

Management

So, Michael, this is Mike. I'll comment on amiselimod. As we looked at how the landscape was evolving, both in terms of the regulatory competitive landscape, changing features there, and the corresponding fit with our strategic priorities about where we could best allocate resources based on our own expertise and competency. We just determined that it wasn't as good of a fit as other things which we could allocate our resources towards.

Operator

Operator

Your next question comes from the line of Ying Huang with Bank of America Merrill Lynch. Please go ahead.

Ying Huang - Bank of America Merrill Lynch

Analyst · Ying Huang with Bank of America Merrill Lynch. Please go ahead

Hi, good morning. Thanks for my question as well. Just quickly, we're all anxiously waiting for the top line from solanezumab Phase 3 in December. Can you frame us on what could the reason be for the Phase 3 program for aducanumab? And then secondly, what's your view on the recent data from AveXis gene therapy in SMA, and what that could mean for nusinersen in the commercial opportunity? Thank you.

Michael D. Ehlers - Biogen, Inc.

Management

Okay, thanks for the question. Maybe I'll take a stab at this and see if anyone wants to open up. First of all, I don't think we'll speculate on the potential results of the solanezumab trial based on that. There are scenarios that one can envision that we are certainly taking into consideration. We very much look forward to seeing their data. A couple things I would point out on this is, although both are a-beta [amyloid beta] antibodies, these are actually fundamentally quite different mechanisms of action. So whereas we think if there were positive results out of the solanezumab trial, this would give great credence to the amyloid hypothesis of Alzheimer's disease, and I think bode well for the potential results of aducanumab. However, because these are fundamentally different mechanisms they're going at is that it is far more difficult to interpret a negative result if solanezumab were to find it, as we would be able to see it. We believe it will be much more difficult to make a conclusion about a negative result on solanezumab vis-à-vis the potential results of aducanumab. On AveXis, I think what we would comment is look, we welcome innovative therapies for SMA. We think this is a very serious, very important disease area. We're highly committed to this disease area and to the patients and families. We think that gene therapy has an overall approach is a viable one in spinal muscular atrophy. And in fact, we're quite excited about our own internal program that we have and our collaboration with UPenn in that regard as well. So we look forward to seeing how the combination of nusinersen potentially being launched and the next-generation therapeutics that we are certainly working on will play out over time. We see great prospect for the treatment of spinal muscular atrophy.

Alfred W. Sandrock - Biogen, Inc.

Analyst · Ying Huang with Bank of America Merrill Lynch. Please go ahead

And the only thing I would add on the Alzheimer's is the population is a little different than solanezumab. They're studying the mild patients, which makes sense because that's where they saw some evidence of efficacy in EXPEDITION-2, whereas in the case of aducanumab, we're studying prodromal in the early mild patients. And I agree with everything Mike said about the differences in the antibody.

Operator

Operator

Your next question comes from the line of Matthew Harrison with Morgan Stanley. Please go ahead. Matthew K. Harrison - Morgan Stanley & Co. LLC: Great, thanks for taking the question. I appreciate it. I just wanted to go back to SMA for a second again and just try and better understand your comments around a broad label. I guess what data supports a label outside of SMA-1 patients? And what's the rationale that you might be able to achieve a label outside of SMA-1 patients ahead of the randomized study data? Thanks.

Michael D. Ehlers - Biogen, Inc.

Management

Okay, Matthew, thanks for the question. I guess I would first start by saying we really are not going to comment on the data prospects for our label. What I will say is that we have ongoing studies in Type 2 patients where we're looking at the potential efficacy of nusinersen. As you know also, we have an ongoing trial, as I had mentioned, in pre-symptomatic genetically diagnosed infants. And so all of that data is data that we look to include in our filing application. And from that, the extent of the label that we achieve, that will be based on the agency's review of the totality of the data and the evidence. We will present evidence based on those populations in our effort to seek a broad label. What that data is we will be able to present at the appropriate time. Many of these studies have not completed.

Operator

Operator

Your next question comes from the line of John Scotti with Evercore ISI. Please go ahead.

John Scotti - Evercore Group LLC

Analyst · John Scotti with Evercore ISI. Please go ahead

Great, thanks for taking my questions. On the CEO search, could you just elaborate a bit more? I'm not sure what exactly, but I know this is a big topic for investors right now. On timing, is it unreasonable to hear something by year end? And then exactly what is the profile of the person you're looking for? Is it someone from industry, out of industry, et cetera? And on the MS market, Michel, I had a quick question. You said that in the U.S. that volumes are declining year over year. Do you see this trend continuing? And if so, is it fair to say that any growth from TEC [TECFIDERA] with stable patient share and then I guess also perhaps the entire MS market as a whole would come from price going forward, or do you see volumes inflecting at some point? And if so, what would be the catalyst? Thank you.

George A. Scangos - Biogen, Inc.

Management

Okay, this is George. Maybe I'll comment on the CEO search first. Look, I'm not going to comment on the specific timing. I can tell you that I think we all believe that the sooner we can get through this and have a new CEO come, the better it is for all of us. So it's a very active search. The board is interviewing a number of candidates. There are, as you would expect, very high-quality candidates coming in and being interviewed from a variety of backgrounds actually. And we'll give you an update on that as soon as we can. But I don't want to comment any more on the specific timing today.

Michel Vounatsos - Biogen, Inc.

Management

So concerning the U.S. market, thanks for the question. What we had seen during the past quarters was basically a slowdown towards low single-digit market growth in the U.S. What we have seen during the past months or weeks was a shift in the mix between commercial and free that is impacting basically the commercial unit's performance. So I don't know if it's an overall market trend, but this is what we have seen internally. What I can tell you is that TECFIDERA remains the number one priority for the organization. We have a plan. As alluded to last time, we are working based on the portfolio work that we are doing on TEC GI discontinuation. That remains at an average of approximately 22%. We have a good opportunity to make some inroad there because basically the scope goes from 5% to 35%. So there are some MS centers where they are able to manage with the right engagement, and here there are different type of engagements that are being practiced in the different centers. There is no evidence yet. One can speculate that we can see a temporal association between the increase of eosinophil and the GI symptomatology, but this was not confirmed by clinical trials because of many different controlling factors. So we work on TEC GI. We see early signs that it's heading towards the right direction also in Europe, but it's too early to claim any big success here. We are working on the capture risks, and one balanced the other. That's why we have a stable patient base. And the base of the market is certainly lower than what we have estimated in our assumptions, but it's not an excuse for not increasing share. So we do not give up. We invest. We are committed. I can tell you the team in the U.S. is all up and running. They have piloted a new engagement model with the critical MS centers. I'm very pleased to see the perception improvement, and now we have to continue to execute. And the full rollout of this new plan will be towards the end of the year, or by latest early January. So we are committed. We don't give up on the large mature markets where the share of TEC is relatively stable versus the latest launch markets where we continue to make fast inroads, like in Italy, Spain, or the UK. And the good news is that we returned to positive France. And we continue for Germany and we continue for the U.S. We are committed. Thank you.

Operator

Operator

Your next question comes from the line of Robyn Karnauskas with Citigroup. Please go ahead.

Robyn Karnauskas - Citigroup Global Markets, Inc.

Analyst · Robyn Karnauskas with Citigroup. Please go ahead

Hi, guys, thank you. So just to follow up on market trends in MS, so help us understand. Why do you think – is there anything going on with the MS market? Why is it shrinking in the U.S.? Are you seeing any people who are trying the orals and then hopping off and not getting back into the MS treatment bucket? And then on PLEGRIDY, the market, having a certain small percentage of the market is interesting, but do you think you can grow that? And what are you specifically doing to grow the PLEGRIDY market share? Thank you.

Michel Vounatsos - Biogen, Inc.

Management

So thanks for the question. It's very difficult to speculate on the future trend of the market. So we have seen a couple of points negative for the quarter versus the prior year. This was not a situation during the prior quarters, so time will speak. We'll see over time, but I don't believe that this will be sustained. And again, I spoke about some trends in the marketplace between commercial units being commercialized and other channels. So we are committed to gain market share in a slower base of the market in all our mature markets, including the U.S.

Operator

Operator

Your next question comes from the line of Chris Raymond with Raymond James. Please go ahead. Christopher Raymond - Raymond James & Associates, Inc.: Hey, thanks for letting me ask a question. Just back on to SMA and nusinersen, you guys have talked about your Expanded Access program and moving that forward. And it sounds like there's a desire here to get more patients on. We ran across some social media chatter from parents that seem to be complaining about at least some PIs that were looking to restrict access to this program. I wonder if you could – it seems to be a little bit at odds with what you guys have talked about. Can you maybe comment on that and maybe help explain what exactly is going on? Thanks.

Michael D. Ehlers - Biogen, Inc.

Management

Chris, maybe I'll start. The essence is we're not going to comment on specific investigators or specific sites around this. I would say that our Expanded Access program was really designed to, in cases and at sites and countries where we were able to with this severe disease, before we're able to successfully launch hopefully if we get a favorable review, to maximize the access that we could based on criteria that were medically established at relevant sites. A lot of that is determined at the site and the country level. They determine that. And we are doing our best to ensure access in a way that makes sense but that does not jeopardize our filing and the potential approval of this for broad access. Our hope, by the way, is that this period will be short and that we'll be able to utilize the Priority Review and the Accelerated Assessment of the EMA to bring this to patients as quickly as possible so that this EAP program can be as short as possible.

Operator

Operator

Your next question comes from the line of Cory Kasimov with JPMorgan. Please go ahead.

Cory W. Kasimov - JPMorgan Securities LLC

Analyst · Cory Kasimov with JPMorgan. Please go ahead

Hey, good morning and thank you for taking my question. I wanted to ask you about your broader biz-dev intentions. Obviously, you had the setback with MT-1303. But as we look forward, can you talk about your strategy here and how much you're able to act on it, if at all, while you have a CEO search ongoing? I guess is this part of the business that we should assume is on hold for the time being until you get someone in who can take stock of the overall organization, or are you still proceeding with diligence of other companies as usual? Thanks.

George A. Scangos - Biogen, Inc.

Management

No, you should not assume this is on hold. We all believe this is an important part of what we have to accomplish. We are continuing with diligence on several companies as we speak, and that will continue. And we will continue to work aggressively to finalize some of these issues. I think the areas in which we are interested are clear. We have a very good R&D team now who can make the technical assessments. We have a great ability now to make the accurate commercial assessments. And so we are full speed ahead.

Matthew Calistri - Biogen, Inc.

Management

All right, Dan, that should conclude the call for today. Thank you very much.

Operator

Operator

Thank you to everyone for attending. This concludes today's conference call. You may now disconnect.