Peer Schatz
Analyst · Goldman Sachs
Thank you, Roland. On Slide 9, you have an overview of key developments in our Sample to Insight portfolio. In today's call, I would like to go into more details on the progress our teams have made in the areas of Precision Medicine, QuantiFERON-TB, our leading portfolio of molecular testing platforms, next-generation sequencing and new solutions we are developing in our offering of Differentiated Technologies. Our Precision Medicine franchise had an exciting start to the year with the U.S. regulatory approval of a new companion diagnostic, therascreen FGFR, and this is the first FDA approval for this biomarker. The therascreen FGFR test was improved as a companion diagnostic to help guide the use of Janssen's new therapy, BALVERSA, which is approved -- which was approved at the same time and is a novel therapy for use in patients with metastatic urothelial cancer. The therascreen FGFR test leverages a worldwide exclusive license from Columbia University. There's a high unmet need among patients who are looking for new treatment options with advanced metastatic bladder cancer. As part of our efforts to accelerate the adoption of our companion diagnostics and provide physicians and patients with faster access to novel drugs, the therascreen FGFR test was quickly released to our day one lab readiness program, which is a network of major labs partnering with QIAGEN and ready to ensure fast testing readiness for our companion diagnostics following their approvals. As you might have seen, we are pleased to welcome LabCorp for the day one network. Traditionally, due to the need for validation and commercial preparations at labs, testing using newly approved companion diagnostics was available often only months after their approval. With our new day one program, we can offer almost immediate availability, a true benefit for patients and our partners. I would now like to provide you an overview on the complete lineup of QIAGEN's automation systems for the Molecular Diagnostics market. This chart shows how we offer a full suite of automation platforms, covering a wide range of common diagnostic needs. We are uniquely positioned in our industry with the most comprehensive scope across key segments of molecular testing. Our focus has been on building up this portfolio of automation systems to address important customer needs. We are now turning our attention to enriching their utility with a wide range of tests for these platforms and delivering on their promise with a sharp focus on execution in terms of new placement. I would like to now give you an update on our progress with QIAstat-Dx, which is our fully integrated real-time PCR base platform for syndromic testing applications and it was launched in Europe in 2018. As you know, we had over 300 placements at the end of 2018 and obviously expect a steep increase in placements in 2019. We are planning for greater expansion and focusing our teams even more on this growth opportunity, especially as the FDA clearance of QIAstat-Dx could be achieved in the middle of 2019. This will be in time for the 2019-2020 respiratory season, and we are also planning to launch the gastrointestinal panel later this year in the United States. We are creating a solid foundation of initial tests to gain share and provide expansion of the current market for syndromic testing, which we estimate at about $800 million of annual sales. At the recent ECCMID conference in Amsterdam, we highlighted data on the new meningitis/encephalitis panel and development for CE-IVD launch in the second half of 2019. The data showed the test can detect central nervous system pathogens with high-analytical sensitivity and specificity, including clinically relevant strains and subtypes. As a key differentiator, the panel analyzes more than 20 pathogens that can cause meningitis and encephalitis syndrome, including bacteria, viruses and yeast, with all the benefits of the QIAstat-Dx system in terms of workflow, ease of use and connectivity. With the capability to provide actual insights in about one hour, this test meets an urgent need for rapid and reliable diagnosis of meningitis and encephalitis infections. We also plan to develop this test for U.S. regulatory approval and have a deep pipeline of additional test in development that take advantage of our differentiation to offer both quantitative and qualitative molecular results. Completion of this panel is just one step in our strategy to become a deep -- to provide a deep menu of additional tests for QIAstat-Dx in the next couple of years covering infectious diseases and other therapeutic areas. I'd like to now give you an update on NeuMoDx, our latest addition to the automation systems line up. We have just announced expansion of the content menu for the NeuMoDx 96 and 288 automation platforms in Europe to include HBV and HCV assays for hepatitis B and C. Laboratories in Europe can now simultaneously run Molecular Diagnostics test for four different viral and bacterial pathogens as well as laboratory developed tests on the random-access NeuMoDx platforms. As part of our menu expansion plan, we plan to be able to offer 11 CE-IVD assays by the end of 2019, including blood-borne viruses, women's health and transplantation assays, up from the four tests currently available. The positive feedback about the disruptive performance of this system is truly exciting. Customers are emphasizing their appreciation for the ease of use of NeuMoDx, the best-in-class fully integrated automated test set up, throughput capability and flexibility and rapid turnaround times, which can be up to 4x faster than other systems. During customer demos at the ECCMID conference in April, many customers commented that a highlight was the true random-access loading, a technology unique to this platform which allows up to 30 different assays to be stored and run in any combination. NeuMoDx is a key element in our automation system portfolio, and we look forward to working with our partner, NeuMoDx, on expanding the footprint. I would now like to give you an update on our QuantiFERON-TB test, the modern gold standard test for latent tuberculosis detection. We reached a new milestone in early 2019, breaking through 60 million tests administered since the launch of QuantiFERON-TB. We are now on a pace to deliver about 12 million tests annually. At the same time, this shows there is still significant market conversion opportunity among the 70 million latent TB tests done annually, which we believe can be converted to modern blood-based testing from the tuberculin skin test. QuantiFERON-TB continues to strengthen its position as the leading modern latent TB test, especially given the scalability to support large screening programs that require a rapid ramp-up and the ability to quickly process thousands of tests. To satisfy this demand, we have focused on highly efficient automation solutions. We have built partnerships with Hamilton and Tecan for the pre-analytical handling of blood tubes and with DiaSorin for the readout of test results on their LIAISON platform. So we have significantly raised the bar in terms of automation of this latent TB test and franchise. We are actively promoting use of QuantiFERON on DiaSorin's LIAISON platforms and feedback has been very positive, especially given that there are about more than 7,000 LIAISON systems placed worldwide. The partnership provides great automation while also embedding our QuantiFERON-TB test into the text menu of the LIAISON, which includes more than 130 other assays. We launched the CE-IVD version of the QuantiFERON-TB readout test for LIAISON systems in Europe in late 2018, and the rollout is progressing well. The launch in the United States is planned for this year subject to a PMA approval from the FDA and in China for 2020. The partnerships with Hamilton and Tecan are synergistic to the DiaSorin relationship and offer significant benefits as well, in particular the ability to reduce hands-on time by more than 50%, providing greater ease-of-use and ensuring consistency and pre-analytic methods to reduce processing errors and variability. Given that we had very strong sales in the second quarter of 2018 with over 30% CER growth in the United States, which included the stockpiling the labs in anticipation of the transition from the third generation to the fourth generation of QuantiFERON, we currently expect these sales to grow in the mid-single-digit CER range in the second quarter of 2019. This was factored into our guidance for the second quarter and the full year. We expect to deliver full year 2019 sales in our growth corridor of 15-plus CER percentage points from 2018 sales of $223 million and to reach our 2020 goal for $300 million. In the liquid biopsy market, QIAGEN is the clear market leader and delivers gold standard sample processing technologies for isolating cell-free targets from blood or other biofluids. To build on this market leadership, we have launched two new products to assist researchers in sample preparation for cell-free RNA workflow. First, the new exoRNeasy kits enable efficient isolation of highly pure RNA from exosomes and other extracellular vesicles, circulating not only in blood, but in most common biofluids, including urine and other body fluids. Exosomes, which are tiny enclosures, able to transport molecules such as RNA between cells, are of increasing importance in liquid biopsy research. Second, we launched the miRNeasy 96 kit for automated, high-throughput purification of cell-free total RNA from small volumes to serum and plasma. Unlike the products from other suppliers, this kit combines ease of use in a phenol-free protocol, without any compromise in RNA quality or yield. This kit is automated on that QIAGEN QIAcube HT aversion of our QIAcube instrument designed for automated nucleic acid purification in a higher throughput format. In next-generation sequencing, we launched new solutions for customers to streamline NGS analysis and interpretation by integrating our cutting-edge bioinformatics solutions, with preconfigured QIAseq DNA panels or custom panels for use on any sequencing platform as well as QIAact panels on the QIAGEN GeneRead NGS system. The new assay and software packages include QIAGEN CLC Genomics Workbench and Clinical Insights interpret by Informatics Solutions. This gives customers the ability to generate reports that make sense of raw genomic data, often beyond human comprehension and delivered in reports that can provide actionable insights to support sound research decisions. With that, I would like to hand back to Roland.