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Roche Innovation: Reinventing Healthcare Exane BNP Paribas 14 th Healthcare Conference May 10, 2012 Dr. Stefan Frings, Global Head Medical Affairs Oncology 1

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Page 1: Dr. Stefan Frings, Global Head Medical Affairs Oncology · 2 This presentation contains certain forwardlooking statements. These forward- -looking statements may be identified by

Roche Innovation: Reinventing Healthcare Exane BNP Paribas 14th Healthcare Conference May 10, 2012 Dr. Stefan Frings, Global Head Medical Affairs Oncology 1

Page 2: Dr. Stefan Frings, Global Head Medical Affairs Oncology · 2 This presentation contains certain forwardlooking statements. These forward- -looking statements may be identified by

2

This presentation contains certain forward-looking statements. These forward-looking statements may be identified by words such as ‘believes’, ‘expects’, ‘anticipates’, ‘projects’, ‘intends’, ‘should’, ‘seeks’, ‘estimates’, ‘future’ or similar expressions or by discussion of, among other things, strategy, goals, plans or intentions. Various factors may cause actual results to differ materially in the future from those reflected in forward-looking statements contained in this presentation, among others: 1 pricing and product initiatives of competitors; 2 legislative and regulatory developments and economic conditions; 3 delay or inability in obtaining regulatory approvals or bringing products to market; 4 fluctuations in currency exchange rates and general financial market conditions; 5 uncertainties in the discovery, development or marketing of new products or new uses of existing

products, including without limitation negative results of clinical trials or research projects, unexpected side-effects of pipeline or marketed products;

6 increased government pricing pressures; 7 interruptions in production; 8 loss of or inability to obtain adequate protection for intellectual property rights; 9 litigation; 10 loss of key executives or other employees; and 11 adverse publicity and news coverage. Any statements regarding earnings per share growth is not a profit forecast and should not be interpreted to mean that Roche’s earnings or earnings per share for this year or any subsequent period will necessarily match or exceed the historical published earnings or earnings per share of Roche.

For marketed products discussed in this presentation, please see full prescribing information on our website www.roche.com

All mentioned trademarks are legally protected.

Page 3: Dr. Stefan Frings, Global Head Medical Affairs Oncology · 2 This presentation contains certain forwardlooking statements. These forward- -looking statements may be identified by

3

Performance update and strategy

Update on oncology portfolio

Summary and short term news flow

Page 4: Dr. Stefan Frings, Global Head Medical Affairs Oncology · 2 This presentation contains certain forwardlooking statements. These forward- -looking statements may be identified by

Q1 2012: Group sales On track to meet full-year guidance

4 1 CER=Constant Exchange Rates

2012 2011 change in % CHF m CHF m CHF CER

Pharmaceuticals Division 8,624 8,712 -1 2

Diagnostics Division 2,403 2,408 0 4

Roche Group 11,027 11,120 -1 2

Page 5: Dr. Stefan Frings, Global Head Medical Affairs Oncology · 2 This presentation contains certain forwardlooking statements. These forward- -looking statements may be identified by

Q1 2012: Highlights

5

5 positive late-stage trials and regulatory filings • Avastin in metastatic colorectal cancer: treatment through multiple lines (TML) • T-DM1 in HER2+ metastatic breast cancer (EMILIA) • Herceptin subcutaneous in HER2+ breast cancer (HANNAH)-filed in EU • Actemra in polyarticular-course juvenile idiopathic arthritis (CHERISH) • Actemra in rheumatoid arthritis (ADACTA)

Sales • Group and Pharma: +2%1 (+3%1 excluding Tamiflu) • Diagnostics: +4%1 • Negative currency impact (-3%p)

1 at Constant Exchange Rates

2 Approvals of New Molecular Entities • Erivedge in advanced basal cell carcinoma – approved in US • Zelboraf in metastatic melanoma – approved in EU

Page 6: Dr. Stefan Frings, Global Head Medical Affairs Oncology · 2 This presentation contains certain forwardlooking statements. These forward- -looking statements may be identified by

R&D productivity of Pharma industry Output relatively flat, while R&D costs have increased

6

90 94 92 10 08 06 04 02 00 98 96

10

0

30

25

20

15

10

5

0

Industry R&D spend (US$ bn) 60

50

40

30

20

55

50

45

40

35

# NMEs approved

88 86 84 82 80 78 76 74 72 70

R&D spend

# New Molecular Entities (NMEs) (lagging 5 year average)

Notes: R&D spend figures may not include overhead components as reported in company annual reports Source:. NME data for 1966-1971 from Peltzman, S. (1973) J. of Political Economy 81, no. 5: 1049–91. NME data for 1972-1979 as reported in Hutt, P.B. (1982) Health Affairs 1(2) 6-24. NME Data for 1980-2007 from Parexel’s Pharma R&D Statistical Sourcebook 2009/2010, FDA, and PhRMA. Industry R&D spend data from PhRMA Annual Membership Survey, 2008 and Parexel 2009/2010

Page 7: Dr. Stefan Frings, Global Head Medical Affairs Oncology · 2 This presentation contains certain forwardlooking statements. These forward- -looking statements may be identified by

Source: Industry success rates - Linda Martin, KMR, Bernstein R&D conference 2011 Roche – publically available data, BCG analysis

• Understanding of disease biology

• Leveraging Personalized Healthcare - stratify patient population early on

• Rigorous decision making – transition only most promising projects

R&D productivity Excellence in science key lever to reduce attrition

7

Phase 1 Phase 2 Phase 3 Registration Phase 0 Research

4% 64% 48% 25% 83% 67% Probability of success -

Launch

ð

Major decision points

Industry success rate 2005-2009

Industry: 4% Roche: 9%

Page 8: Dr. Stefan Frings, Global Head Medical Affairs Oncology · 2 This presentation contains certain forwardlooking statements. These forward- -looking statements may be identified by

Medical breakthroughs have always driven our business

8

Roche Sales

Vitamin synthesis e.g. Vitamin C

Benzodiazepines e.g. Valium

Monoclonal antibodies e.g. MabThera, Herceptin, Avastin

Anti-bacterials e.g. Rocephin

1990 1896 1930 1960 2011 1980 2000

PCR

Page 9: Dr. Stefan Frings, Global Head Medical Affairs Oncology · 2 This presentation contains certain forwardlooking statements. These forward- -looking statements may be identified by

Unique diversity of approaches

9

Autonomous centers

Genentech R&ED*

Diversity Scale, Reach, Speed

“Federation” of >150 partners

* R&ED = Research & Early Development

Roche R&ED* Research

Early Dev.

Worldwide execution

Roche Dx

Chugai

Global Product Development

Manufacturing

Commercialisation

Page 10: Dr. Stefan Frings, Global Head Medical Affairs Oncology · 2 This presentation contains certain forwardlooking statements. These forward- -looking statements may be identified by

2007 2008 2009 2010

A leading late stage pipeline

10

Number of New Molecular Entities

2

4

10 Metabolic

Oncology Inflammation

CNS Virology

1 LIP or phase III decision pending; 2Approved in US, filed in EU; 3Filed in US and EU

dalcetrapib

aleglitazar

bitopertin

ocrelizumab

lebrikizumab1

2011

dalcetrapib

aleglitazar

bitopertin

ocrelizumab

lebrikizumab

mericitabine1

pertuzumab3

Zelboraf2

T-DM1

Erivedge3

GA101

MetMAb

danoprevir 1

pertuzumab

Zelboraf

T-DM1

Erivedge

GA101

MetMAb

mericitabine1

pertuzumab

Zelboraf

T-DM1

Erivedge

GA101

dalcetrapib

aleglitazar

bitopertin

ocrelizumab

taspoglutide

dalcetrapib

ocrelizumab

taspoglutide

pertuzumab

ocrelizumab

Actemra

12

13

Page 11: Dr. Stefan Frings, Global Head Medical Affairs Oncology · 2 This presentation contains certain forwardlooking statements. These forward- -looking statements may be identified by

11

Performance update and strategy

Update on oncology portfolio

Summary and short term news flow

Page 12: Dr. Stefan Frings, Global Head Medical Affairs Oncology · 2 This presentation contains certain forwardlooking statements. These forward- -looking statements may be identified by

Oncology: Roche’s largest therapeutic area

12

Oncology 45%

Other Pharma

32%

Diagnostics 23%

Roche 2011 sales Major Oncology products

CHF m 2011 Sales Avastin 5’292

Herceptin 5’253

MabThera/Rituxan1 5’027

Xeloda 1’354

Tarceva 1’251

Other oncology 1’033

1 Sales in Oncology only; total MabThera/Rituxan sales CHF 6’005 m

Page 13: Dr. Stefan Frings, Global Head Medical Affairs Oncology · 2 This presentation contains certain forwardlooking statements. These forward- -looking statements may be identified by

phase I ( 29 NMEs+1 AIs)

New Molecular Entity (NME) Additional Indication (AI)

RG-No Roche Genentech managed CHU Chugai managed

Status as of March 31, 2012

Roche Oncology Development Pipeline 40 New Molecular Entities

13

CIF/MEK inh solid tumors RG7167

Raf & MEK dual inh solid tumors RG7304 BRAF inh (2) BRAF mut melanoma RG7256

PlGF MAb solid tumors RG7334

PD-L1 MAb solid tumors RG7446

MEK inh solid tumors RG7420

AKT inhibitor solid tumors RG7440

MEK inh solid tumors RG7421

CD22 ADC hem malignancies RG7593 anti-angiogenic solid tumors RG7594

PI3K inh solid tumors RG7604

ADC prostate ca. RG7450

ADC heme tumors RG7596

ADC ovarian ca. RG7458

CD44 MAb solid tumors RG7356

ALK inhibitor NSCLC CHU PI3K inh solid tumors CHU

Bcl-2 inh CLL and NHL RG7601

ADC oncology RG7599

ChK-1 inh solid tum & lymphoma RG7602

Tweak MAb oncology RG7212

ADC multiple myeloma RG7598

WT-1 peptide cancer vaccine CHU

MDM2 ant solid & hem tumors RG7112 HER3 MAb solid tumors RG7116 CSF-1R MAb solid tumors RG7155

MDM2 ant solid & hem tumors RG7388

Zelboraf + ipilimumab met. melanoma RG7204

ADC oncology RG7600

ADC metastatic melanoma RG7636

Erivedge operable BCC RG3616

pertuzumab HER2+ mBC 2nd line RG1273

T-DM1 HER2+ EBC RG3502

Zelboraf papillary thyroid cancer RG7204

onartuzumab mBC RG3638 onartuzumab mCRC 1L RG3638

EGFL7 MAb solid tumors RG7414

EGFR MAb solid tumors RG7160

PI3K/mTOR inh solid & hem tumors RG7422

pertuzumab HER2+ gastric cancer RG1273

PI3K inh solid tumors RG7321

glypican-3 MAb liver cancer RG7686 HER3/EGFR m. epithelial tumors RG7597*

onartuzumab NSCLC non squamous RG3638*

phase II (6 NMEs + 8 Als)

onartuzumab mNSCLC RG3638

pertuzumab HER2+ EBC RG1273

Avastin ovarian cancer 1st line RG435*

Tarceva NSCLC EGFR mut 1st line RG1415*

Avastin HER2+ BC adj RG435

Avastin NSCLC adj RG435

Avastin HER2-neg. BC adj RG435

Avastin high risk carcinoid RG435 Avastin glioblastoma 1st line RG435

Avastin triple-neg. BC adj RG435

Herceptin HER2+ adj BC (2yrs) RG597

GA101 iNHL relapsed RG7159

Tarceva NSCLC adj RG1415

T-DM1 HER2+ mBC 1st l RG3502

GA101 CLL RG7159

Avastin mCRC TML RG435

T-DM1 HER2+ pretreated mBC RG3502

MabThera NHL sc formulation RG105

Avastin mBC 2nd line RG435

GA101 DLBCL RG7159 GA101 iNHL front-line RG7159

T-DM1 HER2+ mBC 3rd l RG3502

Registration (2 NMEs + 3 Als) Rituxan NHL fast infusion RG105 Avastin relapsed ovarian cancer RG4351

pertuzumab HER2+ mBC 1st line RG1273

Herceptin HER2+ BC sc form RG597 1

Erivedge advanced BCC RG36162

phase III (3 NMEs + 19 Als)

Page 14: Dr. Stefan Frings, Global Head Medical Affairs Oncology · 2 This presentation contains certain forwardlooking statements. These forward- -looking statements may be identified by

Personalised Healthcare is a reality today Significant progress in 2011

14

Pertuzumab Metastatic Breast Cancer

HER2 expression level

APPROVED

Lebrikizumab Severe uncontrolled asthma

Periostin level

Zelboraf Metastatic Melanoma BRAF V600E Mutation

T-DM1 Metastatic Breast Cancer HER2 expression level

Mericitabine and danoprevir Hepatitis C

HCV viral load, genotype

MetMAb NSCLC

Met Status

FILED TO FILE IN 2012

Ph III Ph III Ph III decision in 2012

Page 15: Dr. Stefan Frings, Global Head Medical Affairs Oncology · 2 This presentation contains certain forwardlooking statements. These forward- -looking statements may be identified by

HER2 franchise Building on the strength of Herceptin

15

T-DM1

• Retains Herceptin’s biologic activity

• Targeted intracellular delivery of a potent cell-killing agent, DM1

• No need for conventional chemotherapy

Pertuzumab

• Disrupts HER2:HER3 receptor dimers and downstream signaling

• In combination with Herceptin: potential to create new standard of care for women with HER2-positive metastatic BC

Page 16: Dr. Stefan Frings, Global Head Medical Affairs Oncology · 2 This presentation contains certain forwardlooking statements. These forward- -looking statements may be identified by

Securing growth for HER2 franchise Pertuzumab and T-DM1 advancing the standard of care

16

Adjuvant BC Herceptin + chemo Herceptin subcutaneous + chemo (HannaH) Herceptin & pertuzumab + chemo

1st line mBC Herceptin + chemo

T-DM1 & pertuzumab

Herceptin & pertuzumab + chemo (CLEOPATRA)

2nd line mBC Xeloda + lapatinib T-DM1 (EMILIA)

2010 2016 2012 2013 2014 2015 2011

Timelines refer to the expected dates of first filing

Established standard of care Potential new standard of care Future standard of care

Page 17: Dr. Stefan Frings, Global Head Medical Affairs Oncology · 2 This presentation contains certain forwardlooking statements. These forward- -looking statements may be identified by

Pertuzumab in HER2+ 1st line mBC CLEOPATRA study

17 D, docetaxel; PFS, progression-free survival; T, trastuzumab

0 5 10 15 20 25 30 35 40 0

10

20

30

40

50

60

70

80

90

100

Time (months)

Pertuzumab+T+D: median 18.5 months

Placebo+T+D: median 12.4 months

HR = 0.62 95% CI 0.51‒0.75

p<0.0001

∆ = 6.1 months

Prog

ress

ion-

free

surv

ival

(%)

Filed in US and EU Dec 2011, PDUFA date June 8th 2012

Page 18: Dr. Stefan Frings, Global Head Medical Affairs Oncology · 2 This presentation contains certain forwardlooking statements. These forward- -looking statements may be identified by

Herceptin & pertuzumab in adjuvant setting Potentially increasing the cure rate: APHINITY study

18

Herceptin & pertuzumab + chemotherapy

Herceptin + chemotherapy

HER2-positive early breast cancer

N=~4000

Primary end-point: • 3 year Disease Free Survival

Chemotherapy: FEC x 3 →TH x 3 or AC x 4 → TH x 4 or TCH x 6; Total duration of Herceptin treatment=1 year FEC = 5-fluorouracil, Epirubicin, Cyclophosphamide; TH=Taxotere, Herceptin; AC=cyclophosphamide, doxorubicin; TCH=Taxotere, Carboplatin, Herceptin

• FPI: H2 2011 • Follow-up: 3 years (median) • Expect data 2016

Page 19: Dr. Stefan Frings, Global Head Medical Affairs Oncology · 2 This presentation contains certain forwardlooking statements. These forward- -looking statements may be identified by

Redefining HER2 blockade Increasing the efficacy and tolerability

19

Herceptin + chemotherapy

Efficacy

Tole

rabi

lity

T-DM1

Herceptin & pertuzumab

+ chemotherapy

T-DM1 & pertuzumab

Page 20: Dr. Stefan Frings, Global Head Medical Affairs Oncology · 2 This presentation contains certain forwardlooking statements. These forward- -looking statements may be identified by

MEK inhibitor (GDC-0973) in combination with Zelboraf

20 MEK inh. (GDC-0973) in combination with Zelboraf

Before initiation of Zelboraf

15 weeks on Zelboraf

after relapse

Nature 468,902–903; 16 December 2010

Page 21: Dr. Stefan Frings, Global Head Medical Affairs Oncology · 2 This presentation contains certain forwardlooking statements. These forward- -looking statements may be identified by

Week 16 no BCC

on biopsy

Erivedge in metastatic and locally advanced Basal Cell Carcinoma

21 Week 20

Baseline

Week 8

21

In collaboration with Curis; A. Sekulic et al., EADO 2011

Approved in US Jan 2012 Filed in EU Q4 2011

BCC Prevalence AdvancedBCC Prevalence

Europe andAustralia

US

1,900K

14K

1,850K

8K

Epidemiology*

*Basal cell carcinoma is not tracked in most cancer registries, including SEER. Prevalence is difficult to estimate and there is high uncertainty in our projections. Shown are estimates from incidence rates reported in literature and primary market research.

Page 22: Dr. Stefan Frings, Global Head Medical Affairs Oncology · 2 This presentation contains certain forwardlooking statements. These forward- -looking statements may be identified by

MetMAb: a new compound that inhibits HGF-mediated activation

22

MetMAb • Monovalent format designed to prevent HGF-

mediated stimulation of pathway • Preclinical activity across multiple tumor models

HGF=Hepatocyte Growth Factor

MetMAb

Met

a a

HGF HGF

Met

No Activity Cell growth, migration, survival

Indication Non-small cell lung carcinoma (NSCLC)

Triple negative metastatic breast cancer

Renal cell carcinoma (RCC) Gastric cancer

Colorectal cancer (CRC) Met Autocrine tumors

Glioblastoma multiforme (brain cancer)

Head and neck squamous cell cancer

Hepatocellular carcinoma (HCC)

Ovarian cancer

Rationale for targeting Met • Met is amplified, mutated, overexpressed or

uniquely activated in various cancers • Met overexpression associated with worse

prognosis in many cancers

Cancers in which Met potentially plays role

Page 23: Dr. Stefan Frings, Global Head Medical Affairs Oncology · 2 This presentation contains certain forwardlooking statements. These forward- -looking statements may be identified by

Diagnostic companion test Understanding the biology of Met signalling

23

NSCLC: Intensity of Met staining on tumor cells scored on 0–3 scale 1+ 2+ 3+

Spigel et al, ESMO 2010

• Phase III in NSCLC with prospective testing of Met receptor over-expression

• Estimated that about one-half of NSCLC patients have Met high tumours

• Met IHC assay will be a companion test for the approval for MetMAb in NSCLC

‘Met high’ definition: ≥50% tumor cells with a staining intensity of 2+ or 3+

Page 24: Dr. Stefan Frings, Global Head Medical Affairs Oncology · 2 This presentation contains certain forwardlooking statements. These forward- -looking statements may be identified by

MetMAb + Tarceva in lung cancer Efficacy analysis in overall population

24

23 patients from the erlotinib+placebo arm crossed over to MetMAb.

PFS HR=1.09 OS HR=1.09

Median PFS and OS are consistent with previously reported findings in similar disease setting.

Early analysis of all patients 2nd/3rd line mNSCLC

Spigel et al, ESMO 2010

Page 25: Dr. Stefan Frings, Global Head Medical Affairs Oncology · 2 This presentation contains certain forwardlooking statements. These forward- -looking statements may be identified by

MetMAb + Tarceva in lung cancer New example of Personalised Healthcare approach

25

PFS HR=0.56 OS HR=0.55

• 54% patients had ‘Met High’ NSCLC • 12/23 patients from the Tarceva+placebo arm who crossed over to MetMAb were

Met High

Early analysis of Met High Patients 2nd/3rd line mNSCLC

Spigel et al, ESMO 2010

Page 26: Dr. Stefan Frings, Global Head Medical Affairs Oncology · 2 This presentation contains certain forwardlooking statements. These forward- -looking statements may be identified by

MetMAb development plan NSCLC, triple-negative mBC and mCRC

26

Patient population

2nd- and 3rd-line Met-positive metastatic

NSCLC

1st and 2nd-line triple negative metastatic

breast cancer

1st-line metastatic colorectal cancer

Phase Phase III Phase II Phase II

# of patients N=480 N=180 N=188

Design • ARM A: Tarceva plus onartuzumab

• ARM B: Tarceva plus placebo

• ARM A: Avastin and paclitaxel plus onartuzumab

• ARM B: Avastin and paclitaxel plus placebo

• ARM C: Paclitaxel plus onartuzumab

• ARM A: FOLFOX plus Avastin plus onartuzumab

• ARM B: FOLFOX plus Avastin plus placebo

Primary endpoint

• Overall survival • Progression–free survival • Progression–free survival in ITT

• Progression-free survival in pre-specified Met+ patients

Status • FPI Q1 2012 • FPI Q1 2011 • FPI Q3 2011

Page 27: Dr. Stefan Frings, Global Head Medical Affairs Oncology · 2 This presentation contains certain forwardlooking statements. These forward- -looking statements may be identified by

27

Performance update and strategy

Update on oncology portfolio

Summary and short term news flow

Page 28: Dr. Stefan Frings, Global Head Medical Affairs Oncology · 2 This presentation contains certain forwardlooking statements. These forward- -looking statements may be identified by

Key clinical data to be presented at upcoming meetings

28

EULAR Berlin, June 6-9

ASCO Chicago, June 1-5

• EMILIA pretreated HER2+ mBC

• PhII safety study in HER2+ eBC

• TML treatment through multiple lines in mCRC

• AURELIA platinum resistant ovarian cancer

• ADACTA (submitted) Head-to-Head vs. Humira

T-DM1

Avastin

Actemra

Oncology Inflammation

Page 29: Dr. Stefan Frings, Global Head Medical Affairs Oncology · 2 This presentation contains certain forwardlooking statements. These forward- -looking statements may be identified by

Major clinical and regulatory news flow

29

Timeline Compound Indication Milestone

Avastin mCRC Ph III TML

2012

pertuzumab 1st line HER2+ mBC US, EU approval

Erivedge advanced BCC US approval EU approval (2012/13)

Zelboraf metastatic melanoma EU approval

Lucentis DME US approval

T-DM1 2nd line HER2+ mBC Ph III EMILIA

Herceptin subcutaneous early HER2+ BC Ph III HANNAH (data presentation)

Herceptin adjuvant HER2+ BC Ph III HERA 2 years vs. 1 year

MabThera subcutaneous front-line follicular NHL Ph III

Actemra RA DMARD IR Ph III ADACTA H2H vs. Humira

Actemra subcutaneous RA, moderate to severe Ph III SUMMACTA BREVACTA

Avastin newly diagnosed glioblastoma Ph III AVAglio

2013

dalcetrapib Atherosclerosis CV risk red. Ph III dal-OUTCOMES final analysis; 2nd interim analysis in H1 2012

GA101 Front line CLL Ph III vs. chemotherapy

bitopertin (GlyT-1) Schizophrenia Ph III (several studies)

Oncology and CV outcome studies are event driven, timelines may change

ü

ü

ü ü

ü

ü

ü

û

Page 30: Dr. Stefan Frings, Global Head Medical Affairs Oncology · 2 This presentation contains certain forwardlooking statements. These forward- -looking statements may be identified by

Outlook for 2012 confirmed

30 Barring unforeseen events; CER=Constant Exchange Rates; * vs. 2011: CHF 1.8 bn

Sales growth (CER) Group & Pharma: low to mid-single digit Diagnostics: above market

Core EPS growth target (CER)

High single-digit

Dividend outlook Continue attractive dividend policy

Operational Excellence savings 2012+ : CHF 2.4 bn*

Page 31: Dr. Stefan Frings, Global Head Medical Affairs Oncology · 2 This presentation contains certain forwardlooking statements. These forward- -looking statements may be identified by

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We Innovate Healthcare