Reimagining Medicine Vas Narasimhan, CEO J.P. Morgan Healthcare Conference January 13, 2020 - Novartis
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Novartis AG Reimagining Medicine Vas Narasimhan, CEO J.P. Morgan Healthcare Conference January 13, 2020
Disclaimer This presentation contains forward-looking statements within the meaning of the United States Private Securities Litigation Reform Act of 1995 that can generally be identified by words such as “potential,” “expected,” “will,” “planned,” “pipeline,” “outlook,” or similar expressions, or by express or implied discussions regarding potential new products, potential new indications for existing products, potential product launches, or regarding potential future revenues from any such products; or regarding the development or adoption of potentially transformational technologies, treatment modalities and business models; or regarding the potential financial or other impact on Novartis of the acquisition of The Medicines Company and the investigational product inclisiran; or regarding potential future sales or earnings of the Group or any of its divisions, or potential shareholder returns; or by discussions of strategy, plans, expectations or intentions. Such forward-looking statements are based on the current beliefs and expectations of management regarding future events, and are subject to significant known and unknown risks and uncertainties. Should one or more of these risks or uncertainties materialize, or should underlying assumptions prove incorrect, actual results may vary materially from those set forth in the forward-looking statements. You should not place undue reliance on these statements. In particular, our expectations could be affected by, among other things: global trends toward healthcare cost containment, including ongoing government, payor and general public pricing and reimbursement pressures and requirements for increased pricing transparency; regulatory actions or delays or government regulation generally, including potential regulatory actions or delays with respect to the development of the products described in this presentation; the potential that the strategic benefits, synergies or opportunities expected from the acquisition of The Medicines Company and the investigational product inclisiran may not be realized or may be more difficult or take longer to realize than expected; the successful integration of The Medicines Company into the Novartis Group and the timing of such integration; potential adverse reactions to the transaction by customers, suppliers or strategic partners; dependence on key personnel of The Medicines Company; dependence on third parties to fulfill manufacturing and supply obligations; the inherent uncertainties involved in predicting shareholder returns; the inherent uncertainties involved in the research and development of new healthcare products, including clinical trial results and additional analysis of existing clinical data; our ability to obtain or maintain proprietary intellectual property protection, including the ultimate extent of the impact on Novartis of the loss of patent protection and exclusivity on key products that commenced in prior years and will continue this year; safety, quality, data integrity or manufacturing issues; uncertainties regarding actual or potential legal proceedings, including, among others, product liability litigation, disputes and litigation with business partners or business collaborators, government investigations generally, litigation and investigations regarding sales and marketing practices, and intellectual property disputes; uncertainties involved in the development or adoption of potentially transformational technologies, treatment modalities and business models; our performance on environmental, social and governance measures; political, economic and trade conditions; uncertainties regarding future global exchange rates; uncertainties regarding future demand for our products; uncertainties regarding potential significant breaches of data security or data privacy, or disruptions of our information technology systems; and other risks and factors referred to in Novartis AG’s current Form 20-F on file with the United States Securities and Exchange Commission (the “SEC”). Novartis is providing the information in this presentation as of this date and does not undertake any obligation to update any forward-looking statements as a result of new information, future events or otherwise. | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation 2
In 2019, we kept executing on our strategy... Focus Novartis as a leading medicines company powered by advanced therapy platforms and data science Our focus Our priorities Focus our company Strengthen our core Unleash the power of Deliver transformative Embrace operational and capital our people innovation excellence every day Accelerate Go big on data and Build trust with society key geographies digital | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation 3
...and delivered strong performance Continuing operations1, 9M 2019, TSR as of YE 2019 35.0 bn +9% 34.3% +2.2% pts NET SALES (USD) vs 2018(cc2) IM CORE MARGIN2 (%) vs 2018(cc2) 10.7 bn +18% 3.97 +17% CORE OPERATINGINCOME2 (USD) vs 2018 (cc2) CORE EPS2 (USD) vs 2018(cc2) 9.4 bn +13% 22.1% Top tier FREE CASH FLOW2 (USD) vs 2018 (USD) 1-YEAR TSR3 (%) RANKING3 1. Continuing operations as defined on page 44 of the Q3 2019 Condensed Interim Financial Report, excludes Alcon, includes the businesses of Innovative Medicines and Sandoz (including the US generic oral solids and dermatology portfolio), as well as the continuing corporate functions. 2. Constant currencies (cc), core results and free cash flow are non-IFRS measures. An explanation of non-IFRS measures can be found on page 56 of the Q3 2019 Condensed Interim Financial Report. 3. TSR in USD from Jan 1st 2019, using 1 day average price at start and 3 month average price at end; ranking when compared to the global HC peer group as defined on page 140 of the NVS 2018 Annual Report, excluding Celgene | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation 4
Our strategy and execution make us unique We are a focused medicines company with scale and diversification Our focus Our priorities Focus our company Strengthen our core Unleash the power of Deliver transformative Embrace operational and capital our people innovation excellence every day Accelerate Go big on data and Build trust with society key geographies digital | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation 5
We have focused Novartis as a medicines company Medicinal chemistry Diversified Portfolio Focused medicines company powered by and industrials healthcare group transformation advanced therapy platforms and data science 1920 - 1996 1996 - 2009 2009 - 2017 2018 - 2019 Acquired Divested OTC1 Acquired Acquired Spun off Acquired Acquired USD 3.9bn USD 13bn USD 8.7bn USD 2.1bn USD 28bn2 USD 3.4bn3 USD 9.7bn 1. OTC = Consumer Health. 2. Alcon market capitalization on close of 1st day of trading. 3. USD 3.4bn upfront + milestone payments of up to USD 1.9bn | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation 6
We are uniquely positioned with scale and focus... Rx OTC VC Mtech AH Other ≥ 200 Gx Bubble size = company revenue Size * Market cap USD bn < 200 Conglomerate % Innovative medicines Pure-play < 80% of revenues from Rx ≥ 80% of revenues from Rx (Rx) sales * Novartis 2018 sales excl. Alcon. Note: Each bubble represents a pharma company; Companies grouped by strategic archetype, not strictly to scale. VC = Vaccines, AH = Animal Health, Gx = Generics/Biosimilars, OTC = Consumer Health, Mtech = Medical Devices / Diagnostics, Other = revenues not attributable to a specific TA and other revenues linked to royalties, in-licensing, etc. Source: Evaluate Pharma 2019; Market caps per Bloomberg November 27, 2019; Annual Reports | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation 7
...and diversified across TAs while providing exposure to cutting-edge platforms Top-selling drug % Presence in advanced therapy platforms2 Company # of TAs1 of total sales Blockbusters, # Cell Gene RLT RNA 10 8% 15 X X X X Company 1 10 10% 4 X X Company 2 9 13% 11 X X Company 3 9 19% 5 Company 4 9 12% 8 X Company 5 8 16% 11 X X Company 6 6 62% 3 Company 7 6 22% 7 Company 8 6 12% 8 X Company 9 6 16% 6 Company 10 4 19% 4 X X Company 11 4 31% 6 X Company 12 3 22% 8 Company 13 2 39% 4 X X Company 14 2 21% 8 X 1. Only TAs (Therapeutic Areas) with annual 3rd party sales > USD 500m; TA definition as per Evaluate Pharma. 2. Defined as sales from one of the mentioned therapy platforms by 2024 according to Evaluate Pharma Source: Evaluate Pharma 2019 | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation 8
We expect to double our business in China by 2024 Number of NDA approvals1 13 NME approvals over the past 5 years, and 22 NDRL listings since 2017 50+ Average # of NDAs expected to double in the next 5 years x2 5 average NDA approvals per year 2015-2019 10 average NDA approvals expected per year 2020-2024 25 50+ NDA approvals planned over the next 5 years 2015-2019 2020-2024 Goal to deliver >90% of 2024+ China submissions Actual Expected simultaneously with Global submission Goal to double our sales over the next 5 years, capitalizing on faster and broader access 1. NDA approvals of new compound + new indication | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation 9
Our strategy and execution make us unique Transforming our culture, with the belief it will drive performance Our focus Our priorities Focus our company Strengthen our core Unleash the power of Deliver transformative Embrace operational and capital our people innovation excellence every day Accelerate Go big on data and Build trust with society key geographies digital | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation 10
We believe our new culture drives performance, and are rigorously measuring progress Culture drives performance Measuring progress Key factors predicting performance among • Team Perspectives provides upward knowledge workers1 feedback to ~15,000 people managers. Overall favorability 82/1002 Group goals Inspired • Our Voice provides quarterly feedback from all Perceived support for 109,000 associates. innovation Curious 65% response rate, 74/100 engagement score (above global benchmark)3 Perceived supervisory support Unbossed Effect size 0 0.2 0.4 0.6 0.8 1 • People Analytics uses machine learning across meta-data to assess collaboration and link between culture and performance 1. Source: “What is known about scientific literature about factors associated with knowledge worker performance,” Rapid Evidence Assessment meta-analysis, Center for Evidence-Based Management (CEBMa), June 2019, commissioned by Novartis. 2. Results from Team Perspectives conducted in March 2019. 3. Results from Q4 2019 Our Voice survey | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation 11
Broad set of initiatives to drive culture change Inspired Curious Unbossed Connect to our purpose Go big on learning Build leadership and provide an inspiring self-awareness and working environment capabilities Reimagine Performance Management • Spark live to 83,000 associates, • Coursera: ~3,500 courses completed • 18 countries visited by CEO in 2019 230,000 recognitions given in 2019 by 7,000+ users (~85,000 hours)1 • Unbossed Leadership Experience • Minimum 14 weeks paid leave for all • LinkedIn Learning: ~14,000 courses (ULE) to be completed in 2020 for the parents, regardless of gender available, 12,500+ users1 top 300 leaders in the company 1. As of YE 2019 | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation 12
Our strategy and execution make us unique Delivering breakthrough innovation to patients through traditional and advanced platforms Our focus Our priorities Focus our company Strengthen our core Unleash the power of Deliver transformative Embrace operational and capital our people innovation excellence every day Accelerate Go big on data and Build trust with society key geographies digital | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation 13
Leading pipeline by key measures Scale Value Innovation # of projects1 Estimated 2024 sales from products launched between 2019-242 Advanced platform 116 PHASE I / II #1 Replacement Power 16 therapies in clinical development Company A Pipeline potentially 37 PHASE III Company B Company C ~90% first-in-class / first-in-indication Company D Company E Company F 11 REGISTRATION Company G Company H ~80% Target areas of high unmet need Company I 1. Including Global Health, excluding Sandoz. 2. Innovative medicine product sales excl. Vaccines and LCM products (e.g. new formulations, combo’s with off patent molecules); compound-based analysis (Ph 2 and 3) with additional indications allocated to 1st launch. Inclisiran included. Source: Novartis peer group analysis based on data from Evaluate Pharma (download from November 27, 2019) | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation 14
2019 was a breakthrough year for Novartis 5 NME approvals of potential blockbusters ...with remarkable impact on patients in five separate therapeutic areas... Spinal Muscular Atrophy Secondary Progressive MS Breast Cancer Wet AMD Sickle cell disease | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation 15
2020 catalysts maintaining long-term momentum Potential catalysts Selected examples Major approvals 1 Ofatumumab (OMB157) Capmatinib (INC280) Cosentyx® Relapsing MS NSCLC nrAxSpA QVM / QMF 149 Entresto® Inclisiran (KJX839) Asthma HFpEF CVRR (US) Major submissions2 Inclisiran (KJX839) AVXS-101 IT 4 Alpelisib (BYL719) CVRR (EU) SMA type 2/3 PROS 177Lu-PSMA-617 Spartalizumab (PDR001) combo Entresto® mCRPC Metastatic melanoma HFpEF 177Lu-PSMA-617 Beovu® Entresto® Major readouts3 (Phase 3) mCRPC DME Post-acute MI Asciminib (ABL001) Kisqali® Jakavi® Chronic Myeloid Leukemia Breast cancer (MONALEESA-2 OS) Chronic GvHD Phase 3 starts TQJ230 LNP023 MBG453 CVRR PNH MDS Tropifexor (LJN452) Alpelisib (BYL719) Beovu® NASH Multiple indications5 PDR 1. First approval in any market. 2. First submission in any market. 3. Readouts enabling submission, label change or pivotal trial initiation. 4. Currently on clinical hold. 5. HER2+ aBC, TNBC, ovarian cancer, head and neck cancer, PROS | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation 16
Advancing a breadth of early programs that address significant unmet need Selected examples LNP023 - oral complement Factor B inhibitor TQJ230 - antisense oligonucleotide Potential first disease modifying treatment option for several rare renal diseases Potential first medicine approved to treat high Lp(a) Also in development for 1st line PNH Iscalimab - fully human IgG1 mAb against CD40 MBG453 - anti-TIM-3 monoclonal antibody Potential to provide “One Potential first-in-class anti-TIM- Transplant for Life” 3 monoclonal antibody Also in development for Sjögren's In development for MDS and and other indications AML | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation 17
Our strategy and execution make us unique Focusing on launch efficiency and margin expansion Our focus Our priorities Focus our company Strengthen our core Unleash the power of Deliver transformative Embrace operational and capital our people innovation excellence every day Accelerate Go big on data and Build trust with society key geographies digital | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation 18
Strong operational performance from growth drivers Key growth drivers sales 9M 2019 Sales Growth vs PY Growth vs PY % of Innovative Medicines sales USD Million USD Million cc 28% 2,586 555 30% 1,208 498 75% 21% Lutathera® 334 248 nm 1,036 192 26% 16% 175 175 nm 10% 325 150 92% 982 140 22% 182 134 nm 9M 2016 9M 2017 9M 2018 9M 2019 102 102 nm 870 99 20% Cosentyx® Tafinlar®+Mekinist® Kisqali® Xiidra® Entresto ® Xolair® Kymriah® Piqray® 49 49 nm Promacta® Lutathera® Zolgensma® nm = Not Meaningful | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation 19
Focused on launch excellence for 15 ongoing and upcoming major launches Inclisiran (KJX839) CVRR Zolgensma® Entresto® SMA Type 1 HFpEF Mayzent® Ofatumumab (OMB157) AVXS-101 IT SPMS Relapsing MS SMA Type 2/3 Piqray® Capmatinib (INC280) Alpelisib (BYL719) Breast Cancer NSCLC PROS Beovu® Cosentyx® 177Lu-PSMA-617 Wet AMD nrAxSpA mCRPC Adakveo® QVM / QMF 149 PDR001 combo Sickle cell disease Asthma Metastatic melanoma 2019 2020 2021 Ongoing Upcoming | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation 20
Committed to driving consistent margin expansion Innovative Medicines Core margin (%) Mid to high + Sales momentum of key growth drivers and Mid 30s operational excellence on upcoming launches 34 30s 31 32 + Productivity programs in Novartis Technical Operations and Novartis Business Services + Resource allocation in commercial units ‒ Generic erosion 2017 2018 9M 2019 near term medium ‒ Launch investments for potential future term blockbusters, including inclisiran Key assumption: All guidance includes forecast assumption that no Gilenya® generics enter in 2020 in the US | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation 21
Advancing deep transformations in NTO and NBS NTO1 NBS2 • Reduced ~1,800 FTEs across global functions • On track to reduce ~600 FTEs by 2022 Organization and site operations (net of site exits) • Associates in NGSCs3 from 50% Strategic Levers • 10 sites exited • Footprint reduction through sale, lease-back, • 9 additional exits announced and Activity-Based Working (20+ offices) Footprint • 102 out of 210 warehouses consolidated • Moved to single service provider for REFS • -28% suppliers for FP and API • New Chief Procurement Officer Procurement • -45% suppliers for indirect materials • Optimizing terms with top 100 suppliers • Delivering advanced analytics solutions on • Continued investments in tech enablers Data & Digital asset, material and inventory management • Re-design of key enterprise processes Contributing to goal of ~USD 2bn savings by the end of 2020 1. NTO = Novartis Technical Operations; Baseline YE 2016. 2. NBS = Novartis Business Services; Baseline YE 2018. 3. NGSCs = Novartis Global Service Centers | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation 22
Our strategy and execution make us unique Scaling a bold digital transformation to become a leader across sectors Our focus Our priorities Focus our company Strengthen our core Unleash the power of Deliver transformative Embrace operational and capital our people innovation excellence every day Accelerate Go big on data and Build trust with society key geographies digital | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation 23
Four core elements to our digital transformation Become Scale Make Pursue the #1 partner 12 digital lighthouses Novartis digital bolder moves in tech ecosystem Spanning the entire value >1,500 associates mobilized Scale novel partnership Getting ready for disruptive chain, from development to Rapidly build Data Science accelerator: the Novartis healthcare scenarios through commercial operations and AI capabilities Biome large-scale alliances, e.g.: In full flight with 2-3 year Complement internal skills • Microsoft: AI Innovation Lab Move to One Digital global implementation horizon and capabilities collaboration platform • AWS1: TechOps optimization Investing in technology Closely linked to business • Tencent: Heart Failure Dedicated leadership platforms, including CRM, priorities patient solution in China capability program MDM, API 1. AWS: Amazon Web Services | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation 24
Taking concrete steps along the value chain | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation 25
Our strategy and execution make us unique Advancing longstanding efforts to expand access, tackle global challenges, and build trust Our focus Our priorities Focus our company Strengthen our core Unleash the power of Deliver transformative Embrace operational and capital our people innovation excellence every day Accelerate Go big on data and Build trust with society key geographies digital | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation 26
In 2019 we made important progress on our efforts to build lasting trust with society Ethical Standards Pricing & Access Global Health Corporate Citizenship Rolled out globally the new Third Brought LIC & LMIC prices in Signed partnership for SCD Joined the UN Equal Pay Party Risk Management system line with EU5 average with the Government of Ghana International Coalition Drafting the new Code of Ethics, Outlined new access strategy Joined Global Chagas Disease Achieved 44% female co-created with our associates for sub-Saharan Africa Coalition representation in management | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation 27
Introducing ambitious targets in 2020 to drive our ESG efforts, fully reflected in our governance Holistic set of ESG targets for 2020... ...deeply embedded in our operating model Pillar Target • Systematically reviewed Transparency on clinical trials Ethical Tracked bi-monthly at the Trust & Reputation Strengthen Third Party Risk Management Committee, a sub-committee of the Executive Standards Fully integrate Human Rights into TPRM Committee of Novartis (ECN) chaired by the CEO Increase patient reach Pricing & Access Enhance access • Linked to compensation Implement pricing principles Cascaded into ECN personal objectives, and Malaria: Advance development of new drugs directly impacting compensation Global Sickle cell disease: Expand coverage Health • Transparently disclosed Chagas: Progress on clinical trial Reduce energy & carbon To be included in 2020 Annual Report, providing Corporate full disclosure on our goals and progress Reduce waste Citizenship Reduce water | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation 28
Bold long-term aspirations across the ESG spectrum Selected examples Reduce launch time lag Achieve carbon neutrality to 3 months in LMICs in own operations by 2025 Implement access strategy for Deliver on UN EPIC advanced therapies in LMICs and LGBTI equity pledges Transform treatment of malaria with Holistically address USD 100m committed in R&D1 sickle cell disease in Ghana 1. Commonwealth Heads of Government Meeting April 2018, commitment over the next 5 years | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation 29
We're beginning to realize our vision Holistically address sickle cell disease in Ghana Drone delivery of hydroxyurea to rural areas Public-private partnership with the government | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation 30
Thank you
Abbreviations AI Artificial Intelligence MS Multiple Sclerosis AMD Age-related macular degeneration NASH Non-alcoholic steatohepatitis AML Acute myeloid leukemia NBS Novartis Business Services API (slide 22) Active Pharmaceutical Ingredient NDA New Drug Application API (slide 24) Application Programming Interface NDRL National Drug Reimbursement List cc Constant Currencies NGSC Novartis Global Service Center CRM Customer Relationship Management NME New Molecular Entity CVRR Cardiovascular Risk Reduction nrAxSpA Non-radiographic axial spondyloarthritis DME Diabetic macular edema NSCLC Non-small cell lung cancer FP Finished Product NTO Novartis Technical Operations FTE Full Time Equivalent PDR Proliferative diabetic retinopathy GvHD Graft-versus-host disease PNH Paroxysmal nocturnal haemoglobinuria HC Healthcare Post-acute MI Post-Acute Myocardial Infarction HER2+ aBC Human epidermal growth factor receptor-2 positive advanced breast cancer PROS PIK3CA related overgrowth spectrum HFpEF Chronic heart failure with preserved ejection fraction PY Previous Year IgG1 Immunoglobulin G REFS Real Estate & Facility Services IM Innovative Medicines RLT Radio Ligand Therapy LBGTI Lesbian, gay, bisexual, transgender, intersex SCD Sickle Cell Disease LCM Lifecycle Management SMA Spinal muscular atrophy LIC Low Income Countries TA Therapeutic Area LMIC Low Middle Income Countries TNBC Triple negative breast cancer Lp(a) Lipoprotein(a) TPRM Third Party Risk Management mAb Monoclonal antibody TSR Total Shareholder Return mCRPC Metastatic castration-resistant prostate cancer UN EPIC United Nations Equal Pay International Coalition MDM Master Data Management YE Year End MDS Myelodysplastic syndrome YTD Year-To-Date | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation 32
Our pipeline projects at a glance Phase 1/2 Phase 3 Registration Total O NCO LO G Y 57 20 2 79 PHARMACEUT ICALS 59 17 9 85 Cardiovascular, Renal, Metabolism 9 3 1 13 Immunology, Hepatology, Dermatology 21 6 2 29 Neuroscience 8 1 1 10 Ophthalmology 5 3 1 9 Respiratory 11 4 3 18 Global Health 5 0 1 6 BIO SIMILARS 0 1 0 1 Total 116 38 11 165 CRM: Cardiovascular, Renal & Metabolism. IHD: Immunology, Hepatology & Dermatology. NS: NeuroScience. Data as of Dec 5, 2019 | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation 33
Novartis pipeline in Phase 1 (1 of 2) 34 lead indications Lead indication Oncology Code Name Mechanism Indication(s) 177Lu-NeoB 177Lu-NeoB Radioligand therapy target GRPR Multiple solid tumors 177Lu-PSMA-R2 177Lu-PSMA-R2 Radioligand therapy target PSMA Prostate cancer ADPT01 NIR178, LAG525, spartalizumab, canakinumab, capmatinib LAG3 Inhibitor,PD1 Inhibitor TNBC BLZ945 BLZ945 + spartalizumab CSF-1 Inhibitor + PD1 Inhibitor Solid tumors CSJ137 CSJ137 Growth Factor Inhibitor Anaemia CTL019 Kymriah® CD19 CART Lymphoma DKY709 DKY709 + spartalizumab - Cancers EGF816 nazartinib + LXH254, ribociclib, capmatinib, Opdivo, Mekinist EGFR Inhibitor NSCLC HDM201 HDM201 + MBG453, venetoclax MDM2 Inhibitor Haematological malignancy JEZ567 JEZ567 CD123 CART AML JJO686 JJO686 CD22 CART ALL LHC165 LHC165 + spartalizumab TLR7 Agonist Solid tumors LSZ102 LSZ102, ribociclib, alpelisib SERD BC LXF821 LXF821 EGFR CART, PD1 Inhibitor Glioblastoma multiforme LXH254 LXH254 (combos) cRAF Inhibitor Solid tumors Solid tumors MAK683 MAK683 EED Inhibitor Cancers MAS825 MAS825 - Inflammatory diseases MBG453 MBG453 (combos) TIM3 Antagonist Cancers MCM998 MCM998, LXG250 BCMA CART, CD19 CART Multiple myeloma MIK665 MIK665 MCL1 Inhibitor AML Haematological malignancy AML (combo) MIW815 MIW815 STING Agonist Solid tumors Solid tumors (combo) NIS793 NIS793, spartalizumab TGFB1 Inhibitor, PD1 Inhibitor Solid tumors NIZ985 NIZ985, spartalizumab IL-15 Agonist Solid tumors NJH395 NJH395 - Solid tumors NZV930 NZV930, spartalizumab, NIR178 CD73 Antagonist Solid tumors PDR001 spartalizumab, CJM112, LCL161 PD1 Inhibitor, TIM3 Antagonist AML Solid tumors (combo) Solid tumors (combo) Solid tumors (combo) SQZ622 SQZ622 CD123xCD3 Modulator AML TNO155 TNO155 SHP2 Inhibitor Solid tumors (combo) Solid tumors (combo) VAY736 ianalumab + ibrutinib BAFF-R Inhibitor,BTK Inhibitor Haematological malignancy VOB560 VOB560 - Cancers VPM087 VPM087 IL1B Antagonist 1st line CRC / 1st line RCC WNT974 WNT974 + spartalizumab Porcupine Inhibitor Solid tumors YTB323 YTB323 + ibrutinib CD19 CART Haematological malignancy Data as of Dec 5, 2019 | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation 34
Novartis pipeline in Phase 1 (2 of 2) 34 lead indications Lead indication Immunology, Hepatology, Dermatology Code Name Mechanism Indication(s) DFV890 DFV890 - Multiple Indications LRX712 LRX712 - Osteoarthritis MHS552 MHS552 - Autoimmune Indications MHV370 MHV370 - SLE Neuroscience Code Name Mechanism Indication(s) OAV101 AVXS-101 Survival motor neuron protein SMA type 2/3 (IT formulation)1 gene therapy OAV201 AVXS-201 MECP2 gene therapy Rett syndrome Respiratory Disease Code Name Mechanism Indication(s) CMK389 CMK389 IL-18 Inhibitor Sarcoidosis Cardiovascular, Renal, Metabolism Code Name Mechanism Indication(s) HSY244 HSY244 - Atrial fibrillation LTW980 LTW980 - Hypertriglyceridemia MBL949 MBL949 - Diabetes Global Health Code Name Mechanism Indication(s) KAF156 ganaplacide - Malaria prophylaxis 1. FDA placed a partial hold on AVXS-101 intrathecal clinical trials for SMA patients based on findings in a small pre-clinical animal study Data as of Dec 5, 2019 | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation 35
Novartis pipeline in Phase 2 27 lead indications Lead indication Oncology Neuroscience Code Name Mechanism Indication(s) Code Name Mechanism Indication(s) ABL001 asciminib BCR-ABL Inhibitor CML 1L AFQ056 AFQ056 mGluR5 Antagonist Addiction ACZ885 canakinumab IL-1b Inhibitor Sickle cell anaemia BAF312 Mayzent® S1P1 Modulator Ped MS Stroke BYL719 Piqray® PI3K Pathway,AKT1 Inhibitor PROS LMI070 branaplam Survival motor neuron protein SMA CTL019 Kymriah CD19 CART r/r DLBCL (+ pembro) MIJ821 MIJ821 NR2B Inhibitor Depression EGF816 nazartinib+capmatinib Opdivo EGFR Inhibitor NSCLC OMB157 ofatumumab CD20 Antagonist Ped MS INC280 capmatinib c-Met Inhibitor NSCLC c-Met Inhibitor + spartalizumab HCC NSCLC Respiratory Disease INC424 Jakavi® JAK1 Inhibitor Myelofibrosis (combination) Code Name Mechanism Indication(s) LAG525 LAG525 LAG3 Inhibitor Solid Tumors ACZ885 canakinumab IL-1b Inhibitor Sarcoidosis MBG453 MBG453 TIM3 Antagonist HR-MDS Unfit AML CJM112 CJM112 IL-17A Inhibitor Asthma NIR178 NIR178, spartalizumab Ad2AR Inhibitor, PD1 Inhibitor Cancers CSJ117 CSJ117 TSLP Inhibitor Severe asthma PDR001 spartalizumab PD1 Inhibitor Nasopharyngeal cancer Metastatic melanoma (combo) LOU064 LOU064 BTK Inhibitor Asthma SEG101 crizanlizumab P-selectin Inhibitor Sickle cell anaemia with crisis QAW039 fevipiprant DP2 (CRTh2) Antagonist Rhinitis allergic Nasal polyps COPD ped Asthma QBW251 QBW251 CFTR Potentiator COPD Immunology, Hepatology, Dermatology VAY736 ianalumab BAFF-R Inhibitor IPF Code Name Mechanism Indication(s) AIN457 Cosentyx® IL17A Inhibitor SpA IVIV GCA Lichen Planus Cardiovascular, Renal, Metabolism CFZ533 iscalimab CD40 Inhibitor Renal/Liver Tx SjS HS LJC242 tropifexor&cenicriviroc CCR2 Inhibitor, FXR agonist NASH Code Name Mechanism Indication(s) LJN452 tropifexor FXR agonist NASH Nash (combos) CFZ533 iscalimab CD40 Inhibitor Lupus Nephritis LNA043 LNA043 ANGPTL3 Agonist Osteoarthritis LMB763 nidufexor FXR Agonist Diabetic Nephropathy LOU064 LOU064 BTK Inhibitor Chronic spontaneous urticaria SjS LNP023 LNP023 CFB Inhibitor PNH iMN C3G IgAN LYS006 LYS006 Anti-inflammatory Acne VAY736 ianalumab BAFF-R Inhibitor pSjS AIH SLE Global Health ZPL389 adriforant HRH4 Antagonist Atopic dermatitis Code Name Mechanism Indication(s) KAE609 cipargamin PfATP4 inhibitor Malaria Malaria severe Ophthalmology KAF156 ganaplacide - Malaria Code Name Mechanism Indication(s) LXE408 LXE408 Protozoan Inhibitor Visceral leishmaniasis CPK850 CPK850 RLBP1 AAV RP ECF843 ECF843 rh-Lubricin Dry eye LKA651 LKA651 EPO Inhibitor Diabetic retinopathy SAF312 SAF312 TRPV1 Antagonist COSP UNR844 UNR844 disulfide bonds Modulator Presbyopia Data as of Dec 5, 2019 | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation 36
Novartis pipeline in Phase 3 6 lead indications Lead indication Oncology Respiratory Disease Code Name Mechanism Indication(s) Code Name Mechanism Indication(s) 177Lu-PSMA-617 177Lu-PSMA-617 Targeted Radioligand Therapy mCRPC IGE025 Xolair® IgE Inhibitor CSU (for CN) Auto-injector Food allergy ABL001 asciminib BCR-ABL Inhibitor CML 3L QAW039 fevipiprant DP2 (CRTh2) Antagonist Asthma Adjuvant ACZ885 canakinumab IL-1b Inhibitor NSCLC 1L NSCLC 2L NSCLC BYL719 Piqray PI3K Pathway,AKT1 Inhibitor HER2+ adv BC TNBC HNSCC 2/3L Ovarian cancer CTL019 Kymriah CD19 CART r/r Follicular 1L high risk r/r DLBCL 1st Adult r/r ALL Cardiovascular, Renal, Metabolism lymphoma ALL, pediatrics relapse Code Name Mechanism Indication(s) and young adults LCZ696 Entresto® AT-II / NEP,NEP,AGTR1,AGTR2 Inhibitor Post-AMI HFpEF ETB115 Promacta® Thrombopoietin receptor (TPO-R) Radiation sickness syndrome Food effect free formulation TQJ230 TQJ230 Anti-Apo(a) ASO targeting Lp(a) CVRR Agonist INC424 Jakavi JAK1 Inhibitor Acute GVHD Chronic GVHD LEE011 Kisqali® CDK4 Inhibitor HR+/HER2- BC (adj) PDR001 spartalizumab PD1 Inhibitor m BRAF V600+ melanoma (+Taf/Mek) Biosimilars SEG101 crizanlizumab P-selectin Inhibitor Sickle cell anemia new formulations Code Name Mechanism Indication(s) GP2411 denosumab anti RANKL mAb Denosumab BioS Immunology, Hepatology, Dermatology Code Name Mechanism Indication(s) AIN457 Cosentyx IL17A Inhibitor Lupus Psoriasis Hidradenitis AS H2H PsA H2H Nephritis 300mg AI suppurativa QGE031 ligelizumab IgE Inhibitor Chronic spontaneous urticaria Ophthalmology Code Name Mechanism Indication(s) RTH258 Beovu® VEGF Inhibitor Diabetic retinopathy RVO DME Neuroscience Code Name Mechanism Indication(s) OMB157 ofatumumab CD20 Antagonist r MS Data as of Dec 5, 2019 | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation 37
Novartis pipeline in registration 4 lead indications Lead indication Oncology Cardiovascular, Renal, Metabolism Code Name Mechanism Indication(s) Code Name Mechanism Indication(s) BYL719 Piqray PI3K Pathway,AKT1 Inhibitor HR+/ HER2-- adv BC (postm) 2L (+ fulv) LCZ696 Entresto AT-II / NEP,NEP,AGTR1,AGTR2 Pediatric CCF SEG101 Adakveo® P-selectin Inhibitor Sickle cell disease Inhibitor Immunology, Hepatology, Dermatology Global Health Code Name Mechanism Indication(s) Code Name Mechanism Indication(s) AIN457 Cosentyx IL17A Inhibitor Ped Psoriasis nr-axSpA LAM320 Lamprene® SMPD1 Inhibitor Tuberculosis Ophthalmology Code Name Mechanism Indication(s) RTH258 Beovu VEGF Inhibitor nAMD Neuroscience Code Name Mechanism Indication(s) OAV101 Zolgensma® Gene therapy SMA type 1 (IV formulation) Respiratory Disease Code Name Mechanism Indication(s) IGE025 Xolair IgE Inhibitor Nasal polyps QMF149 Indacaterol acetate Long acting β2-adrenergic Asthma +mometasone furoate agonist + inhaled corticosteroid QVM149 Indacaterol acetate Long acting β2-adrenergic Asthma +mometasone fuorate agonist + long-acting muscarinic +glycopyrrnium bromide antagonist + inhaled corticosteroid Data as of Dec 5, 2019 | J.P. Morgan Healthcare Conference | January 13, 2020 | Novartis Investor Presentation 38
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