Murdo Gordon - Bristol-Myers Squibb Co.
Analyst · JPMorgan. Your line is open.
Yeah, Chris, maybe just a little bit more detail. When we think about where we are currently in lung, we feel obviously very good about performance to date, with roughly 60% to 70% share overall in all-comers in second line lung. Now, clearly we're going to have competitive pressure with both the approval of pembro in first line and the reduction of that population of I-O-treated patients from the eligible second-line pool. That will be somewhat rate-limited by testing. We do anticipate that there will be an acceleration in the testing rate, but there's still a slope to that curve, and while Merck will rapidly penetrate that patient population, there will be a certain cadence to how that will occur because of the testing rates. Testing rates right now are about 50%, and we have seen a slight acceleration in that rate more recently. When we think about the second-line opportunity, we continue to feel very good about our profile on the basis of -017 and -057, but clearly second-line shares are going to be under pressure from the advent of Roche in the second-line setting. The one thing I'll just clarify is while Merck were able to secure a label update in second line at the greater than 1% cut-off, that information was included in NCCN Compendia for many, many months now. So that's not necessarily a new competitive event for us in second line. Overall, some of the things that we continue to feel good about in second line are just our competitiveness from a share of voice, as well as the breadth of indications across Opdivo. So while we expect some share pressure in second-line and lung, other sources of growth are other indications, namely the advancement of the regimen in melanoma and that upwards of 40% share first-line melanoma across both types of patients, BRAF positive and mutant. Renal cell carcinoma, our business continues to do well there. We're hopeful we'll have a head and neck indication soon. And then next year, hopefully also bladder in the U.S. As Giovanni mentioned, we're also very pleased with the expansion of our business outside the U.S., where the clear demand trends are very good post-reimbursement events. You can't see all that in our revenue. As Charlie mentioned, we're deferring sales in France and Germany in the quarter, but really our shares are upwards of 70% overall PD-1 dollar market outside of the U.S. So really we're feeling good about a very balanced growth portfolio in I-O. And last but not least – it was mentioned by Charlie – Yervoy has returned to growth in the U.S., and in both France and Germany, where we have the regimen reimbursed, we've seen very good evolution there, too.