John G. McHutchison - Gilead Sciences, Inc.
Management
Thank you, Geoff, for the kind words and for the question. So regarding the first part of your question, the thromboembolic event rates with baracitinib, the most recent data that we have shown was a presentation at ACR late last year by Mark Genovese, which is an oral presentation. Now this is just from the DARWIN 1, 2, and 3 extension studies, where we have about 1,700 patient years of exposure, but that rate was very low, only one patient in that presentation who had both a DVT and a PE. So the rate actually in that presentation was 0.06 per 100 patient years. But, Geoff, so far we've got thousands of patients in Phase 3. We've got a relatively small data set in terms of exposure, but that's what we have said so far. We continue to collect all of that information. The other point to raise about this was the discussion recently at the Advisory Committee and whether this is slightly or partly related to JAK-2. As you know, filgotinib is very selective for JAK-1. And in terms of JAK-2 specificity, we don't have that at all. So we don't see any changes in hemoglobin. When we see positive changes in hemoglobin, we don't see any increase in platelets. In fact, we see a small decrease in platelets. Whether or not that's related to thromboembolic phenomena, we don't know. In terms of what we're excited about in R&D, you know me, Geoff. I'm always excited about everything. But the opportunity to make huge progress in cell therapy, not just with Yescarta, which has enormous potential, but the future of cell therapy going forward. Investing in research as we have, to come forward with next-generation products is really exciting for the organization to lead that entire field. And we will continue to lead that, and I will ensure that, as will Andrew and others in the organization as well. Additionally, I think we have a lot of opportunities in NASH. The ability to have a drug approved for an antifibrotic endpoint in liver disease has never been done before, and we clearly want to do that, and there's a lot of patients out there with NASH. And then I believe our fledgling programs that are now developing in full force in inflammation, with filgotinib in multiple diseases are becoming differentiated, exciting, and heading in the right direction, particularly with things such as the Verily collaboration. So that's a long answer. I'm sorry, Geoff.