Paul Hudson - CEO, Novartis Pharmaceuticals, Novartis AG
Analyst · Matt Weston from Credit Suisse
Okay. Thank you. Thank you for the questions. So let me start with Entresto in primary care. So I think, so let's be clear. When I said that the barriers are softening, it's a journey and it's a positive one. We come better-equipped to dealing with it, so do cardiologists. A great part of the opportunity is still in cardiology. Let me then say about the primary care piece. Often, primary care does have better or more well-developed skills with physicians' offices that have been on this journey themselves before in helping overcome these barriers. And they see a large number of patients to equip them to be able to do that and get into a normal operating rhythm. Now, we supply all the tools and materials within the rules of the game to enable them to do that. So looking at adding on the primary care physician prescribers, looking at what that means in terms of the number of patients present. We think that the timing is right to be able to overcome those things, resulting in the field as appropriate given how the guidelines and everything are evolving. As with Cosentyx, thank you for complimenting us on the great quarter. It was a really outstanding performance. It came across the board, frankly, psoriasis plus ankylosing spondylitis plus psoriatic arthritis. It's a great performance by the team, great work across the board in fact. The opportunity comes for us with having two anti-IL17s in the market. You realize how important this class of drugs is. We know that, we think, they'll be the leading class available for patients across the spondyloarthropathies and dermatology in general. But we also note that with a new competitor and some difficult to treat patients, they do get some early uptake. For us, it's a long-term game and for us we have to clearly look at the fact that we are indeed fully human, that we have low immunogenicity, and that leads, of course, to a strong and durable response. And, in fact, we look forward to the full-year data, I think, next year, that'll confirm that. Beyond that, of course, the low to no immunogenicity presents an opportunity with no or low injection type reaction. So you've got to remember that the winners in this marketplace will be able to have great clinical utility in the dermatology market, and we feel more than adequately placed. I had the opportunity, having only been on board for two weeks, but to sit down and go through the plans with the U.S. team, the plans are strong and we know what we need to do to deliver. So a good performance and, of course, we're optimistic about what's to follow. FLAME, and I'll ask Vas to comment on guidelines. And then, I'll come back and return to your point on Ultibro or Utibron in the U.S.