Michael W. Aguiar
Analyst · Cowen and Company
Sure. Let me go ahead and take that, and thanks for the congrats on the quarter, Tyler. So the closed triple, we did have an acceleration to timeline, we had announced here a few weeks ago. There's really not a particular change in the long-term outlook of the business. I would say, there was just an acceleration on the triple itself. We always thought this was a possibility going in, but I think, as you know, we had historically been a little more conservative in terms of the timing around it, being a little more in alignment with having to finish some of the studies as opposed to having an accelerated approval here. So, again long-term, there is really no impact to where we have been before, but this is a quicker filing. With regard to what is this going to do, we think there is a home for every one of our products, and I'm going to simplify this quite a bit. When we talk here just for simplicity sake, there is a lot of bleed that happens in between these various categories. But generally speaking, when we thought about the GOLD guidelines, the existing guidelines, there is Box A, B, C and D. Generally speaking, we had always assumed that ANORO would have a very strong home in Box B, which is high symptoms, few exacerbations; that Box C would be the home for BREO, again this is going to be more exacerbations and less symptoms; and then Box D with patients with severe COPD was the home of the triple. We still generally think that's the right place to go, and the reason I'm saying generally is there is bleed-over from boxes as you kind of go up and down and around. So, at least as of today, nothing has really changed that view at all. We think there is a very good home for each of these products. With regard to what percentage of patients are going to be on each, we'll have to see how that all ends up shaking out. There are different numbers of patients from different studies, and you mentioned a couple, but I wouldn't quibble at those numbers. They have different numbers based upon different studies. So, overall, long-term, this is exactly in line with where we wanted to be. The intention was to create a suite of respiratory products, all centered around the ELLIPTA device so that as the patient progress with their disease, they would continue to have the same device all the way through which will facilitate the transition from one product to the other. So it's exactly in line with where we had expected in COPD. Last thing I'll say is, this really has no impact whatsoever on asthma. Asthma is going to be a LABA/ICS market for the foreseeable future. So hopefully that covered it, but again, I would say, right down the middle of where we thought things were going to be, just a little bit quicker filing potential for the triple in the U.S.