conference call first six months of 2018 · conference call first six months of 2018 io sales as...

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Conference call

First six months of 2018

Manato Ohara, diagnosed with type 1 diabetes Kanagawa, Japan

Shirley Adelia Stewart has type 2 diabetes

New Orleans, Louisiana, US

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Agenda

Conference call First six months of 2018

Highlights and key events

R&D update

Financials and outlook

Sales update

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Forward-looking statements

Novo Nordisk’s reports filed with or furnished to the US Securities and Exchange Commission (SEC), including this presentation as well as the company’s statutory Annual Report 2017 and Form 20-F, which are both filed with the SEC in February 2018 in continuation of the publication of the Annual Report 2017, and written information released, or oral statements made, to the public in the future by or on behalf of Novo Nordisk, may contain forward-looking statements. Words such as ‘believe’, ‘expect’, ‘may’, ‘will’, ‘plan’, ‘strategy’, ‘prospect’, ‘foresee’, ‘estimate’, ‘project’, ‘anticipate’, ‘can’, ‘intend’, ‘target’ and other words and terms of similar meaning in connection with any discussion of future operating or financial performance identify forward-looking statements. Examples of such forward-looking statements include, but are not limited to:

• Statements of targets, plans, objectives or goals for future operations, including those related to Novo Nordisk’s products, product research, product development, product introductions and product approvals as well as cooperation in relation thereto,

• Statements containing projections of or targets for revenues, costs, income (or loss), earnings per share, capital expenditures, dividends, capital structure, net financials and other financial measures,

• Statements regarding future economic performance, future actions and outcome of contingencies such as legal proceedings, and

• Statements regarding the assumptions underlying or relating to such statements.

These statements are based on current plans, estimates and projections. By their very nature, forward-looking statements involve inherent risks and uncertainties, both general and specific. Novo Nordisk cautions that a number of important factors, including those described in this presentation, could cause actual results to differ materially from those contemplated in any forward-looking statements.

Factors that may affect future results include, but are not limited to, global as well as local political and economic conditions, including interest rate and currency exchange rate fluctuations, delay or failure of projects related to research and/or development, unplanned loss of patents, interruptions of supplies and production, product recalls, unexpected contract breaches or terminations, government-mandated or market-driven price decreases for Novo Nordisk’s products, introduction of competing products, reliance on information technology, Novo Nordisk’s ability to successfully market current and new products, exposure to product liability and legal proceedings and investigations, changes in governmental laws and related interpretation thereof, including on reimbursement, intellectual property protection and regulatory controls on testing, approval, manufacturing and marketing, perceived or actual failure to adhere to ethical marketing practices, investments in and divestitures of domestic and foreign companies, unexpected growth in costs and expenses, failure to recruit and retain the right employees, and failure to maintain a culture of compliance.

For an overview of some, but not all, of the risks that could adversely affect our results or the accuracy of forward-looking statements in this presentation, reference is made to the overview of risk factors in ‘The Risks of Doing Business’ on pp 40-43 of the Annual Report 2017.

Unless required by law, Novo Nordisk is under no duty and undertakes no obligation to update or revise any forward-looking statement after the distribution of this presentation, whether as a result of new information, future events or otherwise.

Important drug information

• Victoza® (liraglutide 1.2 mg & 1.8 mg) is approved for the management of type 2 diabetes only

• Saxenda® (liraglutide 3 mg) is approved in the US and EU for the treatment of obesity only


Highlights – First six months of 2018


Research and Development • Successful completion of additional four phase 3a trials, PIONEER 2, 3, 4 and 7, with oral semaglutide • Ozempic® label updated in the EU to reflect updated device offering • Updated CVOT plans for Ozempic® and oral semaglutide to use a bridging strategy between SUSTAIN 6 and PIONEER 6 trials • Four phase 3a STEP trials with injectable semaglutide 2.4 mg for people with obesity initiated • Positive results from phase 2 trial with somapacitan in children with growth hormone deficiency

Sales development • Sales decreased by 5% in Danish kroner and increased by 4% in local currencies to DKK 54.3 billion

• International Operations sales increased by 1% in Danish kroner and grew by 8% in local currencies • Region AAMEO sales increased by 1% in Danish kroner and grew by 15% in local currencies • Region Latin America sales increased by 19% in Danish kroner and grew by 46% in local currencies • Region China increased by 2% in Danish kroner and grew by 6% in local currencies

• North America Operations sales decreased by 10% in Danish kroner and was unchanged in local currencies • The GLP-1 diabetes franchise increased by 14% in local currencies and accounted for 77% share of growth

Financials • Operating profit decreased by 8% in Danish kroner and increased by 4% in local currencies to DKK 24.7 billion • Net profit increased by 5% to DKK 21.1 billion • Diluted earnings per share increased by 7% to 8.66 DKK per share • 2018 financial outlook:

• Sales growth is still expected to be 3-5% measured in local currencies (now around 5% lower reported) • Operating profit growth is still expected to be 2-5% measured in local currencies (now around 7% lower reported)

• An interim dividend of DKK 3.00 per share of DKK 0.20 will be paid in August 2018

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Growth break down – first six months of 2018

Sales growth driven by International Operations


Sales as reported – first six months of 2018

Sales of DKK 54.3 billion (5%)

Local currencies Growth Share of growth

North America Operations 0% 1%

Hereof USA 0% (6%)

International Operations 8% 99%

Region Europe 2% 8%

Region AAMEO 15% 42%

Region China 6% 16%

Region Japan & Korea (3%) (4%)

Region Latin America 46% 37%

Total sales 4% 100%

Region AAMEO

1%

Region China 2%

Region Japan & Korea

(10%)

Region Europe

1%

North America Operations

(10%)

Region Latin America 19%

AAMEO: Africa, Asia, Middle East & Oceania

20%

11%

11%

5% 4%

50%

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Local currencies Growth Share of growth

Long-acting insulin1 (3%) (17%)

Premix insulin2 1% 3%

Fast-acting insulin3 2% 9%

Human insulin 1% 4%

Total insulin 0% (1%)

GLP-14 14% 77%

Other diabetes care5 2% 2%

Total diabetes care 4% 78%

Obesity (Saxenda®) 50% 29%

Diabetes care and obesity total 5% 106%

Haemophilia6 (2%) (6%)

Growth disorders 5% 7%

Other biopharmaceuticals7 (18%) (7%)

Biopharmaceuticals (1%) (6%)

Total 4% 100%

Sales growth of 4% measured in local currencies mainly driven by Victoza®, Ozempic® and Saxenda®


Sales as reported – first six months of 2018 Growth break down – first six months of 2018

1 Comprises Tresiba®, Xultophy® and Levemir®;2 Comprises Ryzodeg® and NovoMix®

3 Comprises Fiasp® and NovoRapid®; 4 Comprises Victoza® and Ozempic®

5 Primarily NovoNorm® and needles; 6 Comprises NovoSeven®, NovoEight®,

NovoThirteen® and Refixia®; 7 Primarily Vagifem® and Activelle®

Other biopharmaceuticals

(22%)

7% Haemophilia (10%)

11% Diabetes care

(5%)

79%

3%

81%

3%

9% 6%

1%

Growth disorders

(4%)

Sales of DKK 54.3 billion (5%)

Obesity 35%

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14%

17%

17% 14%

11%

6%

2%

19%

IO added sales in local currency by product segment and region

International Operations grew by 8% in H1 2018 mainly driven by insulin


IO sales as reported by product segment

Reported sales of DKK 27.4 billion (1%)

Long-acting insulin1 7%

Fast-acting insulin1 3%

Premix insulin1 (1%)

Human insulin2 (9%)

GLP-1 diabetes 8%

Other Diabetes3 (4%)

Obesity 108%

Biopharm (1%)

Note: numbers in parentheses represent reported growth (H1 2018 vs. H1 2017), 1 Modern and New-generation insulin, 2 Human insulin covers all insulin segments, 3 Other Diabetes Care primarily covers NovoNorm®, needles and GlucaGen® HypoKit®

IO: International Operations LATAM: Latin America AAMEO: Africa, Asia, Middle East & Oceania J&K: Japan & Korea

Insulin GLP-1 diabetes Obesity Biopharm

Insulin GLP-1 diabetes

Obesity Biopharm

7% 13% 133% 5%

Region Europe Region LATAM Region AAMEO

Region China Region J&K Local currency growth

8

glargine U100

Weekly TRx volume market shares* in the USA

Novo Nordisk volume market share is now ~36% of the basal insulin market in the USA

Tresiba® launch in the USA

• Tresiba® volume market share is now around 13%. Tresiba® has gained around 3% market share since the beginning of 2018

• Tresiba® formulary access is above 80% for Commercial and Medicare Part D combined

• Main market share driver in first half of 2018 has been the formulary change at CVS part D

• In mid-April 2018, promotional activities were initiated to promote the updated Tresiba® label, including a 40% reduction of severe hypoglycaemic events compared to insulin glargine U100.

Basal volume TRx MS*

Levemir® NN Total Basal

Tresiba® glargine U300

biosimilar glargine U100

Note: The graph does not show NPH, which accounts for the residual market share Source: IQVIA weekly Xponent Plantrak (*excludes Medicaid), 6 Jul 2018 TRx volume: Insulin volume in mega units (MU) associated with total number of prescriptions; VANTAGE FingerTip Formulary bridge, Jul 2018 MS: Market share Medicaid represents ~12% of retail basal market volume

Jul 2018

Apr 2016


8.2%

12.8%

39.4%

22.7%

35.8%

10.4%

0%

10%

20%

30%

40%

50%

60%

70%

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13.9%

41.8% 43.2%

41.5%

1.7% 0%

20%

40%

60%

80%

100%

0%

5%

10%

15%

20%

25%

30%

35%

0

2

4

6

8

10

Mill

ions

Weekly NBRx share

Monthly TRx share

MAT GLP-1 TRx volume (million)


USA GLP-1 market development

Source: IQVIA NPA monthly, May 2018, NBRx-IQVIA LRx Weekly, week ending 20/07/2018

USA GLP-1 NBRx market share Total TRx Growth rate

MAT volume growth rate

May 2018

May 2015

USA GLP-1 volume market share

Novo Nordisk’s GLP-1 franchise on positive trajectory in the US with Ozempic® launched and 24% market volume growth

albiglutide

exenatide Victoza®

dulaglutide

Ozempic®

NN GLP-1

albiglutide

exenatide Victoza®

dulaglutide

Ozempic®

NN GLP-1

May 2015

May 2018

39.2%

14.7%

44.4%

29.7%

16.0%

0%

10%

20%

30%

40%

50%

May 2017

Jul 2018

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Current level of unrestricted market access for key Novo Nordisk diabetes products in the USA


Unrestricted market access

Market access for the diabetes portfolio expected to be broadly unchanged in 2019

Source: FingerTip Formulary, May 2018 Note: Unrestricted access excludes prior authorisation, step edits and other restrictions

US formulary negotiations and 2019 pricing

• Formulary negotiations with pharmacy benefit managers and managed care organisations in the USA are progressing

• Subject to final outcome of the negotiations, average prices after rebates are expected to be lower compared to 2018, predominantly due to basal insulin pricing and the changes to Medicare Part D coverage gap legislation

• Market access is anticipated to remain broadly unchanged across the diabetes portfolio at a level similar to 2018

• Current market access for Ozempic® is above 60% for commercial and Part D combined

Commercial Medicare part D

0%

20%

40%

60%

80%

100%

Victoza® Levemir Tresiba Novolog Victoza® Levemir® Tresiba® NovoLog®

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-0.3

-0.7

-1.1

-0.4

-2.0

-1.6

-1.2

-0.8

-0.4

0.0

1 Results illustrated by using the secondary statistical method called hypothetical estimand after 78 weeks of treatment: Treatment effect, if all participants followed the treatment without rescue medication (analysed by using Mixed Models for Repeated Measurements (MMRM)). The statistical method is consistent with e.g. the statistical method used for the SUSTAIN programme for subcutaneous semaglutide. * Statistically significant versus sitagliptin Sema: semaglutide

Reduction in HbA1c

with oral semaglutide vs sitagliptin

Reduction in body weight with oral semaglutide vs sitagliptin

In PIONEER 3 oral semaglutide showed superior reductions in HbA1c and weight vs sitagliptin after 78 weeks

HbA1c reduction (%)1

-1.9

-2.7

-3.5

-1.1

-4.0

-3.0

-2.0

-1.0

0.0

Weight loss (kg)1

Oral sema 3 mg

Oral sema 7 mg

Oral sema 14 mg

Sitagliptin 100 mg

Oral sema 3 mg

Oral sema 7 mg

Oral sema 14 mg

Sitagliptin 100 mg

%

%*

%

%

kg*

kg*

kg*

kg

%*


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-1.5%

-1.3%

-1.1% -1.2%

-1.4%

-2.0%

-1.5%

-1.0%

-0.5%

0.0%

PIONEER 1 PIONEER 2 PIONEER 3 PIONEER 4 PIONEER 7

-4.1

-4.7

-3.5

-5.0

-2.9

-6.0

-5.0

-4.0

-3.0

-2.0

-1.0

0.0

PIONEER 1 PIONEER 2 PIONEER 3 PIONEER 4 PIONEER 7

In completed PIONEER trials, oral semaglutide lowered body weight by ~3–5 kg by end of trial1

Oral semaglutide demonstrated a consistent reduction in HbA1c and body weight in the completed PIONEER trials

In completed PIONEER trials, oral semaglutide lowered HbA1c by 1.1–1.5%-points by end of trial1

Mean change in HbA1c (%-points)

0.0

Mean change in weight (kg)

*

* *

* *

* *

* *

*

1 Hypothetical estimand, Mixed Model for Repeated Measurement (MMRM) * Statistically significant vs comparator (PIONEER 1 vs placebo; PIONEER 2 vs empagliflozin 25 mg; PIONEER 3 vs sitagliptin 100 mg; PIONEER 4 vs Victoza® 1.8 mg; PIONEER 7 vs sitagliptin 100 mg) Note: results shown are: PIONEER 1 for 26 weeks with 14 mg oral semaglutide, PIONEER 2 and 4 for 52 weeks with 14 mg oral semaglutide; PIONEER 3 for 78 weeks with 14 mg oral semaglutide; PIONEER 7 for 52 weeks with a mixed dose

Conference call First six months of 2018 Slide 12

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Key development milestones

• Ozempic® label updated in the EU to reflect updated device offering

• Xultophy® label updated in the EU based on LEADER and DEVOTE data

• Successful completion of additional four phase 3a trials, PIONEER 2, 3, 4 and 7, with oral semaglutide

• Updated CVOT plans for Ozempic® and oral semaglutide to potentially use a bridging strategy between SUSTAIN 6 and PIONEER 6 trials to obtain CV label for Ozempic®

• Phase 3b trial with Victoza® as add-on to any SGLT2 inhibitor successfully completed

• Phase 3b trial Ellipse with Victoza® in children and adolescents (10-17 years) successfully completed

Diabetes


• Refixia® approved in Japan, with a broad label for people with blood coagulation factor IX deficiency

• Positive results from phase 2 trial with somapacitan for treatment of children with growth hormone deficiency

• The four phase 3a, STEP trials, with injectable semaglutide 2.4 mg for people with obesity have been initiated

• Following the obesity portfolio review, FGF-21 and G530L have been discontinued Obesity

Biopharma

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R&D milestones in 2018

Project Q1 2018 Q2 2018 Q3 2018 Q4 2018

Tresiba®

Xultophy®

Ozempic®

Results available1 Regulatory milestone

√

DUAL I Japan Phase 3a

Oral semaglutide PIONEER 1 data

LAI287 Phase 1 data

DEVOTE and SWITCH2 US regulatory decision

EU and Japan regulatory decision

PIONEER 5 and 10 data PIONEER 2, 3, 4 and 7 PIONEER 6, 8 and 9

data


Japan submission

Fiasp® Japan submission

Diabetes Haemophilia Growth disorders Obesity

1 Expected to be published in the given quarter or in the subsequent quarterly company announcement 2 Supplemental applications to include the two SWITCH trials have been withdrawn based on interactions with FDA GHD: Growth hormone deficiency; AGHD: Adult growth hormone deficiency

DUAL II Japan Phase 3a

N9-GP

Somapacitan REAL 3

Phase 2, GHD data

Japan regulatory decision

AM833 Phase 1 data

N8-GP US/EU submission Japan submission

Concizumab explorer 5 data explorer 4 data

REAL 1 (extension) Phase 3, AGHD data

EU variation application SUSTAIN 7

EU variation application pens

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Financial results – First six months of 2018


DKK million H1 2018 H1 2017 Change

(reported DKK) Change

(local currency)

Sales 54,337 57,090 (5%) 4%

Gross profit 45,788 48,430 (5%) Gross margin 84.3% 84.8%

Sales and distribution costs 13,541 13,548 0% 8% Percentage of sales 24.9% 23.7%

Research and development costs 6,617 6,703 (1%) 2% Percentage of sales 12.2% 11.7%

Administration costs 1,715 1,770 (3%) 2% Percentage of sales 3.2% 3.1%

Other operating income, net 737 467 58%

Operating profit 24,652 26,876 (8%) 4% Operating margin 45.4% 47.1%

Financial items (net) 1,455 (1,229)

Profit before income tax 26,107 25,647 2%

Income taxes 5,013 5,540 (10%) Effective tax rate 19.2% 21.6%

Net profit 21,094 20,107 5% Diluted earnings per share (DKK) 8.66 8,07 7%

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40

50

60

70

80

90

100

110

120

75

80

85

90

95

100

105

110

Unfavourable currency impact in H1 2018 driven by development in both hedged and unhedged currencies


Hedged c

urr

encie

s

Index (

1 J

an 2

017=

100)

CNY/DKK JPY/DKK USD/DKK CAD/DKK GBP/DKK

3 1 2 4

2017 2018

Non-h

edged c

urr

encie

s

Index (

1 J

an 2

017 =

100)

1 DKK per 100; 2 As of 2 August 2018; 3 Impact on operating profit in the next 12 months of a 5% immediate currency move. DKK million per annum; 4 Chinese Yuan traded offshore (CNH) Note: Operating profit impact of one of the non-hedged currencies appreciating 5% is in the range of DKK -15 to +50 million

INR/DKK ARS/DKK RUB/DKK TRY/DKK BRL/DKK Non-hedged Currencies

2017 average

2018 average2

Spot rate2

ARS1 0.4 0.3 0.2

TRY1 181 148 127

INR1 10.1 9.4 9.3

RUB1 11.3 10.3 10.1

BRL1 207 178 170

Hedged Currencies

2017 average

2018 average2

Spot rate2

Impact of a 5% move3

Hedging (months)

USD1 660 619 642 2,000 11

CNY1 98 96 94 330 64

JPY1 5.9 5.7 5.8 180 12

GBP1 849 845 837 95 11

CAD1 508 483 492 80 10

2 1

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Financial outlook for 2018

The financial outlook is based on an assumption of a continuation of the current business environment and given the current scope of business activities and has been prepared assuming that currency exchange rates remain at the level as of 2 August 2018


Sales growth - local currencies

Sales growth - reported

Operating profit growth - local currencies

Operating profit growth - reported

Financial items (net)

Effective tax rate

Capital expenditure

Free cash flow

Depreciation, amortisation and impairment losses

Previous expectations 2 May 2018

3% to 5%

2% to 5%

Gain of around DKK 1.9 billion

20% to 22%

Around DKK 9.5 billion

Around DKK 3 billion

Around DKK 27 to 32 billion

Around 6 percentage point lower

Around 9 percentage point lower

Expectations 8 Aug 2018

3% to 5%

Around 5 percentage points lower

2% to 5%

Around 7 percentage points lower

Gain of around DKK 0.9 billion

19% to 20%

Around DKK 9.5 billion

Around DKK 3 billion

Around DKK 27 to 32 billion

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Source: IQVIA MAT May 2018 volume and value (DKK) figures

Solid leadership positions and continued market opportunities Pipeline and product portfolio

Closing remarks


> > • Leading insulin portfolio across long-acting, short-acting and premix segments

• Best in class GLP-1 offering with Victoza® and Ozempic® and innovative oral GLP-1 in phase 3

• Market leader in weight management with Saxenda® and multiple clinical obesity development projects including injectable once weekly semaglutide

• Solid pipeline in Biopharm with somapacitan in growth hormone deficiency and multiple clinical development projects in haemophilia

27% Novo Nordisk value market share in diabetes care and solid leadership position

~3% insulin market volume growth

46% Novo Nordisk insulin volume market share with leadership position across all regions

24% GLP-1 volume market growth

47% Novo Nordisk GLP-1 value market share with global leadership position

40% Saxenda® value market share with a global leadership in the anti obesity market

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Share information Investor Relations contacts

Investor contact information


Novo Nordisk’s B shares are listed on the stock exchange in Copenhagen under the symbol ‘NOVO B’. Its ADRs are listed on the New York Stock Exchange under the symbol ‘NVO’. For further company information, visit Novo Nordisk on the internet at: novonordisk.com

Peter Hugreffe Ankersen +45 3075 9085 [email protected]

Anders Mikkelsen +45 3079 4461 [email protected]

Valdemar Borum Svarrer

+45 3079 0301

[email protected]

Novo Nordisk A/S Investor Relations Novo Allé, DK-2880 Bagsværd

Upcoming events

01 Nov 2018 Financial statement for the first nine months of 2018

01 Feb 2019 Financial statement for 2018

mailto:[email protected]



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