Peer Schatz
Analyst · Barclays. Please go ahead
Yes, and thank you, Roland. I'm now on slide nine to give you an overview of key developments in our Sample to Insight portfolio and would like to now review the following areas: QuantiFERON-TB; QIAstat-Dx, our fully integrated syndromic testing platform; NeuMoDx, our newest automation solution for fully integrated PCR-based clinical testing; next-generation sequencing with our GeneReader NGS System and our Universal NGS solutions; Precision Medicine, formally what we used to refer to as Personalized Healthcare; and our plans to enter the fast-growing market for digital PCR in the launch of QIAcube Connect. First, I'd like to provide you with an update on key developments for QuantiFERON-TB, QIAGEN's industry leading molecular tests for the detection of latent tuberculosis directly from blood samples. We achieved our full-year 2018 goal with 21% CER sales growth based on strong conversions from the 120-year-old tuberculin skin test to our modern blood-based tests. We continue to expect over $300 million of QuantiFERON sales in 2020. The clear highlight in 2018 was the launch of the new automation options for QuantiFERON-TB Plus to run on DiaSorin's LIAISON platforms in Europe late in the year, and we continue to expect availability in the U.S. in 2019 and in China in 2020. DiaSorin has more than 7,000 LIAISON instruments worldwide, so this positions our latent TB test very well in a deep and differentiated content menu on a very established platform. We recently announced plans for QuantiFERON-TB Access, which is a new solution tailor-made for latent TB testing and low resource, high burden regions. Now low resource regions lacked the clinical app infrastructure often required for molecular diagnostic tests, and although, these regions in terms of dollar sales represent only about 20% of the global latent TB market. Providing a solution dedicated to these regions is particularly important since this is the location for the vast majority of active TB cases, and many regions and countries have a blend of low resource and high resource settings, therefore, comprehensive coverage requires both solutions. First, discussions with Global Health and other institutions have confirmed a very positive reception for this noble platform. QuantiFERON-TB Access applies the market-leading QuantiFERON-TB technology in a robust single-use reaction cartridge that can be readout within 24 hours on a simple battery-powered digital format. This enables the test to be processed even in very constrained settings. We are in the final stages of development for QuantiFERON-TB Access, and are planning to conduct clinical trials in 2019 in anticipation of the launch in 2020. We believe QuantiFERON-TB Access is highly synergistic and enables us to create the most comprehensive offering available for latent TB detection. I'd like to now update you on QIAstat-Dx, our fully integrated, real-time PCR-based platform for syndromic testing applications that we launched in Europe in April 2018. We see an $800 million market opportunity in syndromic testing that is growing rapidly on the basis of new applications and the ability to address unmet needs for rapid, accurate diagnosis of complex syndromes. QIAstat-Dx enables our customers to experience a significantly improve workflow for syndromic testing based on a number of key differentiators, including exceptional ease-of-use, real-time PCR quantification and highest cost efficiency. We were particularly pleased with more than 300 placements in 2018, which shows the demand for this type of testing platform, and it is notable that within only a few months of ramp up, we are already placing instruments at a comparable rate to the previous generation technology incumbent leader. The consumables ramp up in Europe was however behind schedule, in part, due to the late 2018 launch of a new gastrointestinal panel and the late start to the European influenza season. At the same time, we feel comfortable about our target for $30 million of sales in 2019, and we are preparing for entry into the U.S. market. We submitted QIAstat-Dx to FDA in December 2018 with the respiratory panel, which is the first of many assays we are planning for this market. We expect to launch this system in the U.S. during 2019 once we receive regulatory clearance with the respiratory panel and then adding the gastrointestinal panel shortly afterwards. I would now like to update you on our strategic partnership and distribution agreement with NeuMoDx, which we announced in the fall of 2018. The two new and fully integrated PCR-based NeuMoDx automating systems complement our existing modular QIAsymphony platform. NeuMoDx uses a disruptive the microfluidic technology that enables integrated PCR testing. The system avoids using standard liquid handling technologies, and instead, fits all of the processes required for real-time PCR applications into a miniaturized micro fluidic format, making the system faster and more cost efficient than current systems on the market. The first NeuMoDx systems have been placed in Europe, and we have received very positive feedback. The positive factors include offering a new dimension of utility, significantly simplified workflows and rapid turnaround times. For example, our NeuMoDx platforms can process assays, such as chlamydia or hepatitis in about 40 minutes, compared to 3.5 hours for current systems. Speed is a very high priority for customers in this space. As with QIAstat, we have an exciting pipeline of new assays in development for launch during 2019 and 2020, and we were, in fact, today notified that we received CE approval for hepatitis B and C. In addition, we also received approval for our claim extension to use swabs for the CT/NG test that is already been launched. Moving to slide 13. In next-generation sequencing, QIAGEN exceeded the 2018 target for NGS sales of $140 million and set a 2019 goal for about $190 million. Our GeneReader NGS System is successfully created a position and following in the market for bench top oncology sequencing as evidenced by new placements in growing consumable sales in 2018. Customers appreciate the fully integrated workload, the integrated bioinformatics, the salability, the price per insight and continuous loading features. To further expand the application range of the instrument in 2018, we launched new panels for breast cancer, a range of common solid tumors, myeloid malignancies and custom NGS panels. We are building a very differentiated menu of cancer gene panels. We plan to add panels for immuno-oncology and lung cancer monitoring, and then to expand into noninvasive prenatal testing through our collaboration with Natera. All panels are combined with powerful and comprehensive bioinformatics for the analysis and interpretation of the variance detected. In addition to the GeneReader NGS System, QIAGEN offers a full portfolio of universal NGS solutions that is delivering robust double-digit CER growth. One of the 2018 highlights in our universal NGS portfolio was the launch of the QIAseq FastSelect kit, a real breakthrough for improving RNA sequencing workflows that is targeting a market opportunity of several hundred million dollars of annual sales. I'm now on slide 14. Assay development and menu expansion is now a key priority for us, and we already significantly expanded our assay development capacities and capabilities in 2018. The majority of the assay development resources are based in Manchester in the United Kingdom, where we significantly scaled our infrastructure with currently about 400 employees and plans to add access to many more resources to our recently announced joint venture with the Manchester Health System and the local government. In short, we have built a very sizable and very powerful assay development engine at our center of excellence in Manchester that is now scaling up to deliver this ambitious pipeline. Here you see a detailed overview of key assay development plans from 2018 to 2021 across our unique clinical automation offering, including QIAstat-Dx, NeuMoDx, QuantiFERON and the GeneReader NGS System. Moving to the next topic. We had a very successful year in precision medicine, where we continue to be the clear leader in companion diagnostic collaboration agreements with more than 25 master collaboration agreements in place with Pharma companies. In December 2018, we announced the collaboration with Novartis to commercialize a companion diagnostic for PIK3 mutated breast cancers. The assay uses genetic markers designed to guide for the use of Novartis compound, which is currently in late stage development. We also began building a unique network in 2018 to make QIAGEN's companion diagnostics available to patients on day one of the drug approval in the U.S. and other regulatory agencies. We have also expanded our growing footprint in one of the most exciting areas in cancer treatment in immuno-oncology with the launch of our open platform NGS panel for tumor mutation burden. We, yesterday, also announced a very exciting news that the NHS in genomics England the selected QIAGEN's HDM the most comprehensive genomic knowledge base on inherited diseases and part of our gold standard QIAGEN clinical insights, our QCI platform, to support the U.K. program to sequence and analyze and interpret 5 million genomes over the next years. Bioinformatics are an essential tool in precision medicine to analyze and interpret the vast data generated by next-generation sequencing. Being chosen for this large NHS project reinforces the value of QCI and our industry-leading bioinformatics solutions for precision medicine. Our QCI offering was further strengthened in January when we announced the acquisition of the U.S. company N-of-One, which is a widely recognized pioneer and service provider in molecular oncology services in knowledge basis. The N-of-One solutions are highly complementary to our current solutions. The addition significantly increases our value proposition and competitive advantage in oncology decision support by adding real-world evidence insights to our literature-based databases and interpretation solutions. Now this is a significant expansion of our capabilities since we are not able to offer access to more than 125,000 anonymized patient records and the service layer as well on top of our QCI Knowledge Base offerings. That we have not featured up to now. We will also expand the N-of-One services to other customers sectors, including providers, Pharma and payer segments. As a last point, I would like to discuss two highlights in our Life Sciences area, the launch of QIAcube Connect as a new generation of the QIAcube instrument for automated sample processing, and the acquisition of the digital PCR technology portfolio, Formulatrix, and our plans to enter the digital PCR market in 2020. This is one of the most attractive growth areas in Life Sciences. We are currently rolling out QIAcube Connect as a next-generation automation system that processes samples for molecular testing. The first generation QIAcube is probably one of the most successful molecular sample processing platforms ever, with, eight panels in placements. QIAcube Connect automates QIAGEN's gold standard spin column sample technologies for DNA, RNA and protein with over 3,000 protocols. In January, we announced the acquisition of Formulatrix Technology portfolio, which brings us into digital PCR. With our footprint in real-time PCR and our large assay portfolio, we see increasing opportunities to translate our real-time PCR portfolio into digital PCR applications. And the technology we acquired incorporates a novel approach to digital PCR using a microtiter plate format that dramatically improves the speed of detection with higher multiplexing and greater throughput flexibility in currently available platforms. The technology also allows much better integration into Sample to Insight workflows of the type that QIAGEN has demonstrated already in other areas. It's a highly strategic acquisition for us that protects our current strong real-time PCR base, but also creates new growth opportunities. A series of new and fully integrated instruments are in late stage development by QIAGEN and are targeting commercialization in 2020. And with this, I'd like to hand back to Roland.