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@EFPIA www.efpia.eu EFPIA Annual Report 2016 Unlocking tomorrow’s cures 1 < > EFPIA Annual Report 2017 Introduction Foreword About EFPIA The impact of medicines EFPIA Governance The economic impact of the industry Innovation in numbers EFPIA activity 2016

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Page 1: EFPIA Annual Report 2016 Unlocking tomorrow’s cures · An age of innovation, challenges and opportunities Innovation is at the heart of everything we do. Our industry employs over

@EFPIA www.efpia.eu

EFPIA Annual Report 2016

Unlocking tomorrow’s cures

1< >EFPIA Annual Report 2017 Introduction Foreword About EFPIAThe impact of

medicinesEFPIA

GovernanceThe economic impact

of the industryInnovation in

numbersEFPIA activity

2016

Page 2: EFPIA Annual Report 2016 Unlocking tomorrow’s cures · An age of innovation, challenges and opportunities Innovation is at the heart of everything we do. Our industry employs over

@EFPIA www.efpia.eu

EFPIA Annual Report 2017 2< >Introduction Foreword About EFPIA

Table of contents

Introduction 3

Foreword 4

About EFPIA 5

EFPIA Activity 2016 6

Innovation in numbers 7

The impact of medicines 10

The economic impact of the industry 13

EFPIA Governance 15

The impact of medicines

EFPIA Governance

The economic impact of the industry

Innovation in numbers

EFPIA activity 2016

Page 3: EFPIA Annual Report 2016 Unlocking tomorrow’s cures · An age of innovation, challenges and opportunities Innovation is at the heart of everything we do. Our industry employs over

Introduction

An age of innovation, challenges and opportunities

Innovation is at the heart of everything we do. Our industry employsover 100,000 scientists and researchers in Europe, working to find newtreatments and cures to alleviate suffering, extend life and improve thequality of life for patients across the globe.

It requires vision, commitment, dedication and often endlessexperimentation with no guarantees of success, but the results ofall this endeavour are exciting. We have witnessed transformationalchange in how we treat diseases like cancer, hepatitis C, HIV andcardiovascular disease. Over the next 5 years, we will see newtherapies emerge, such as combination therapies for cancer, diseasemodifying therapies for Alzheimer’s, antibacterial monoclonalantibodies to target antimicrobial resistance, gene therapies againsthaemophilia, cell therapies against diabetes type 1 and CAR-T therapies targeting blood cancers. These innovative treatments have the potential to bring great benefits to patients and their families in terms of survival and quality of life, saving resources in healthcare systems and offering benefits to the broader society in terms of a healthier workforce.

At the same time, we recognise that introducing high-impactinnovation can create challenges for healthcare systems underpressure from an ageing population and increased levels of chronicdisease. The key to managing these challenges is partnership inidentifying new breakthroughs and transformative technologies wellin advance, thus allowing time for industry and governments to worktogether to plan their introduction into healthcare systems.

As I look to the future with EFPIA, we are committed to workingwith EU institutions and member states to find solutions to makemedicines accessible and healthcare more sustainable, whilst securingfuture medical innovation and contributing to economic growth. Thatmeans realising the potential of healthcare data to support outcomes-focused approaches, developing more flexible solutions to financingnew technologies and ensuring that the incentives frameworkcontinues to support the level of medical innovation, research anddevelopment that will help patients, healthcare systems and societyaddress the challenges they face.

The annual report underlines in numbers, the impact of thetherapies we discover, develop and deliver to patients, as well as thecommitment of our industry to innovation and economic growth.EFPIA will continue to work with partners across the spectrum ofissues that relate to our industry, from science and regulation, tomanufacturing, healthcare, ethics and trade.

Nathalie Moll

As I look to the future with EFPIA, we are committed to working with EU institutions and member states to find solutions to make medicines accessible and healthcare more sustainable

@EFPIA www.efpia.eu

NATHALIE MOLL Director General EFPIA

3< >EFPIA Annual Report 2017 Introduction Foreword About EFPIAThe impact of

medicinesEFPIA

GovernanceThe economic impact

of the industryInnovation in

numbersEFPIA activity

2016

Page 4: EFPIA Annual Report 2016 Unlocking tomorrow’s cures · An age of innovation, challenges and opportunities Innovation is at the heart of everything we do. Our industry employs over

@EFPIA www.efpia.eu

Foreword by the President

2016 marked another year of impressive scientific progress for ourindustry. EMA approved 81 new medicines, including 16 medicines forrare diseases, which affect less than 5 in 10,000 Europeans.

JOE JIMENEZ EFPIA President CEO Novartis

Additionally, 59 existing products were approved in new indications. These recent successes are the result of continued investment and dedication of pharmaceutical companies in the fight against disease. And they are only the beginning of an exciting wave of medical innovation expected to come to market in the coming years. Cell and gene therapy, combination treatments or immunotherapy could provide much needed breakthroughs for patients in Europe and beyond. Many companies are also investing beyond the pill, providing digital offerings that further contribute to improved care and better outcomes for patients.

As there remains significant unmet medical need in Europe andacross the globe, our industry is determined to continue the searchfor effective solutions, whether for chronic diseases that affectmillions or for rare disease that affect only a few. But medicinesinnovation remains complex and is unavoidably rife with failure, andit can only continue in an innovation-friendly environment, with strongintellectual property protection. Its competitive incentive system hasso far allowed Europe to be at the forefront of medical research.However, this competitive position and the great potential of the

7,000 medicines that reside in industry pipelines have been put at great risk with the recent initiation of the European incentives review.

The incentive system we have today is by no means perfect. In fact it needs to be strengthened and become more tailored to the specific public health challenges we face. The orphan disease incentive that was introduced to drive development of medicines for small patient populations is a great example of such a tailored approach, and it works. Following its introduction in 2000, investment in rare disease R&D grew by 210% in just 8 years. 119 medicinal products for about 90 rare conditions were developed since, addressing the needs of many patients who previously had no treatment options.

But more needs to be done. Take the example of anti-microbialresistance (AMR), possibly one of the largest public health threatsof our time. The key to addressing AMR is the use of antibioticsonly in patients who need them and strict limits on volumes sold.However, this by definition creates a disincentive to develop thesenew medicines, as they are held in reserve and not used. Targetedincentives are needed to drive investment into this area and to

reward innovators. We also still don’t have effective treatments fordebilitating diseases such as Alzheimer’s, an increasing challenge,given our ageing populations. And while we have made greatprogress in the area of rare diseases, the search for solutions hasto continue, an enormous task given that about 6,000 such rarediseases exist.

We know that innovation is our best means of tackling those challenges and incentives are the most effective tool we have to unlock new solutions by attracting investment and the brightest minds to fight disease. At EFPIA we are proud of the successes of our industry, and we remain fully committed to work hard to deliver the healthcare solutions that our citizens and healthcare systems need. We look forward to continued collaboration with all stakeholders to ensure Europe remains at the forefront of medicines innovation.

Joe Jimenez

As there remains significant unmet medical need in Europe and across the globe, our industry is determined to continue the search for effective solutions

4< >EFPIA Annual Report 2017 Introduction Foreword About EFPIAThe impact of

medicinesEFPIA

GovernanceThe economic impact

of the industryInnovation in

numbersEFPIA activity

2016

Page 5: EFPIA Annual Report 2016 Unlocking tomorrow’s cures · An age of innovation, challenges and opportunities Innovation is at the heart of everything we do. Our industry employs over

About EFPIA

@EFPIA www.efpia.eu

membercompanies

40staff

members

47member

associations

33

partners inresearch

23

specialisedgroups

2

61New blogs

1000Tweets

5730LinkedIn followers

14100Twitter followers

550people attendedour two mainevents in 2016

subscribersto the EFPIAnewsletter

3000

5< >

5,661mentions in the media

The European Federation of Pharmaceutical Industries and Associations (EFPIA) represents the pharmaceutical industry operating in Europe. Through its direct membership of 33 national associations and 40 leading pharmaceutical companies, EFPIA is the voice on the EU scene of 1,900 companies committed to researching, developing and bringing to patients new medicines that will improve health and the quality of life around the world.

EFPIA specialised groups

European Biopharmaceutical Enterprises (EBE) represents the voice of biopharmaceutical companies of all sizes in Europe. Established in 2000, EBE is recognised as the leading biopharmaceutical association in Europe.

Vaccines Europe (VE) represents major innovative research-based global vaccine companies as well as small and medium-sized enterprises operating in Europe.

EFPIA Annual Report 2017 Introduction Foreword About EFPIAThe impact of

medicinesEFPIA

GovernanceThe economic impact

of the industryInnovation in

numbersEFPIA activity

2016

Page 6: EFPIA Annual Report 2016 Unlocking tomorrow’s cures · An age of innovation, challenges and opportunities Innovation is at the heart of everything we do. Our industry employs over

@EFPIA www.efpia.eu

JAN 16

FEB 16

MAR 16

APR 16 JUN 16 DEC 16AUG 16 OCT 16

MAY 16 NOV 16JUL 16 SEP 16 JAN 17DEC 15

HEALTHCARE SYSTEMSEFPIA supported the BIAC Forum on Innovation, Healthand Well-Being held at OECD in Paris, with participationfrom Richard Bergström.

TRADEEFPIA launched its TTIP Economic Study, conducted byCopenhagen Economics, with the participation of TTIPnegotiators, MEPs and other key stakeholders in theEuropean Parliament.

EFPIA Joint Industry Strategy Session, together withglobal sister associations in Beijing, which included highlevel meetings with Chinese authorities from 5 differentministries, and EU and US officials.

HEALTHCARE DATAThe Data Protection Regulation was adopted and contains positive provisions to support the use of data in research.

TRADE SECRETS DIRECTIVEAdoption of the Trade Secrets Directive by the Europeaninstitutions, establishing standard rules against theunlawful acquisition, disclosure and use of trade secrets.

REGULATORY AFFAIRSRegulatory Team compiled the response on behalf of Innovation Board Sponsored Committee of EFPIA, Vaccines Europe and EBE on Commission survey DDG2/RS/(2016) Impact of Regulation on Innovation.

REGULATORY AFFAIRSICH Assembly approves Brazilian drug regulatoryauthority ANVISA and Korean drug regulatoryauthority MFDS as new members of ICH, which is thefirst step towards ICH globalisation.

PATIENT ACCESS PARTNERSHIP (PACT)EFPIA, as a member of the PACT Steering Committee,helped organise the MEP interest group on accessto healthcare.

HEALTHCARE SYSTEMSEFPIA organised a roundtable event on the future of cancer care with key stakeholders. In parallel a series of national roundtable discussions have occurred in 10 Member States over the course of 2016/17.

TRADEFor the first time, andfollowing dedicated EFPIAadvocacy, an industryworkshop was organised along the margins of the EU-India High Level RegulatoryDialogue (HLRD). EFPIAcoordinated a joint industrypresentation with AESGPand Medicines for Europe,which highlighted keyregulatory issues in India.

REGULATORY AFFAIRSEFPIA Clinical Trials and Transparency priority working group coordinated the launch of a comprehensive survey jointly with PhRMA on the membership implementation of Principles of Responsible Clinical Data Sharing.

HEALTHCARE SYSTEMSEFPIA organised a roundtable on outcomes measurements in HealthSystems Performance Assessment, hosted by the Belgian National Institutefor Health and Disability Insurance, with participation from the Commission,the OECD and WHO Europe.

EFPIA organised a workshop, chaired by Richard Bergström, on“personalised prevention” during European Health Forum Gastein, todiscuss the future of prevention in the light of developments in big data,digital health and personalised medicine.

OUTCOMES-FOCUSED HEALTHCARELaunch of “Healthier future – The case for outcomes-focused, sustainable healthcare”

TRANSPARENCYEFPIA engagement in the debate with policy makers in the context of theEuropean Commission proposal for an Interinstitutional Agreement on amandatory Transparency Register.

TRADEDirector-General Richard Bergström led the EFPIA team participating in thePharma Vision 2016 Joint Strategy Session in Ankara, organised togetherwith AIFD and PhRMA, which included a high-level meeting with theDeputy Prime Minister of Turkey, Mehmet Simsek.

AMRFollowing the Davos Declaration in January and ahead of the UNGeneral Assembly High-Level Meeting on Antimicrobial Resistance, 13leading companies, including EFPIA members presented a new roadmapthat lays out four key commitments they will deliver by 2020, to reduceantimicrobial resistance.

ACCESS TO MEDICINESEFPIA engagement in the debate with policy makers and stakeholders in the context of the European Parliament INI report on EU options for improving access to medicines.

PATIENT ACCESS PARTNERSHIP (PACT)EFPIA as a member of the PACT Steering Committee, helped organise thePACT Regional Conference in Sofia.

BIOSIMILARSEFPIA, along with EBE and IFPMA, launched a position paper on “Considerations for physicians on switching decisions regarding biosimilars”.

OUTCOMES-FOCUSED HEALTHCARELaunch of the consensus document “EnhancingValue in European Health Systems – the roleof outcomes measurement”, in the EuropeanParliament, developed by a broad coalition ofstakeholders, including patient organisations,academics, healthcare institutions and industry,together with EFPIA and a number of EFPIA members.

TRADEDirector-General Richard Bergström participated in the high-level Gaidar Forum in Moscow with the Deputy Prime Minister Shuvalov, Health Minister Skvortsova and Trade Minister Manturov.

AMREFPIA and over 85 pharmaceutical, biotech and diagnostic companies published the so-called Davos Declaration on combating antimicrobial resistance.

ANIMAL WELFARE Users workshop on implementation of Directive 2010/63 (lab animals protection)

HEALTHCARE SYSTEMSEFPIA organised a session during the European Business Summit on clusters for biomedical research and their success factors, featuring research from the SWITCH project (Sustainable Welfare Innovation and Competition in Health) by Prof. Fabio Pammolli.

TRADEEFPIA responded to the EC Public Consultation on the EU-Turkey Customs Union upgrade. The key industry priorities in this context were outlined in a joint EFPIA-AIFD position paper submitted to the Commission.

HTAEFPIA and EUnetHTA members gathered in a joint meeting hosted by the French Haute Autorité de Santé on 7 June 2016, to discuss the right conditions for use of European reports of relative efficacy assessments of new pharmaceuticals at time of launch.

ETHICSFirst public disclosure of transfers of value to healthcare professionals and organisations around Europe by EFPIA members as part of the industry commitment to transparency.

REGULATORY AFFAIRSEFPIA response to the consultation on a Guideline on good pharmacovigilance practices (GVP) - Module V - Risk management systems (Rev 2) - EMA/838713/2011 Rev 2.

PATIENT ACCESS PARTNERSHIP (PACT)EFPIA as member of the PACT Steering Committee helped organise the MEP interest group on access to healthcare.

Regulatory AffairsThe multi-stakeholder awareness raisingcampaign #Medsdisposal.eu reached somemilestones such as YouTube video beingtranslated into most European languages andTwitter impressions reaching over 2.5 Million.

Animal Welfare EFPIA provided input and participated in theEuropean Commission conference on “Non-animal research, the way forward”.

TRADEEFPIA welcomed the European Council’ssignature of the EU-Canada FTA (CETA).

An EFPIA Delegation, led by Vice-PresidentPresident Stefan Oschmann and Director-GeneralRichard Bergström, in partnership with EFPIAJapan, participated in the Japan Days, wherethey held exchanges with senior Japaneseofficials.

REGULATORY AFFAIRSEFPIA’s published a White Paperthe Circular Economy.

EFPIA Activity 2016

6< >EFPIA Annual Report 2017 Introduction Foreword About EFPIAThe impact of

medicinesEFPIA

GovernanceThe economic impact

of the industryInnovation in

numbersEFPIA activity

2016

Page 7: EFPIA Annual Report 2016 Unlocking tomorrow’s cures · An age of innovation, challenges and opportunities Innovation is at the heart of everything we do. Our industry employs over

@EFPIA www.efpia.eu

Innovation is in our industry’s DNA. It’s thevehicle by which we improve patients’ lives,evolve the way we manage healthcare andbenefit wider society. But our innovationgene is just the start. Expressing it requirestime, great people, significant resources,collaboration across sectors and borders andoften-endless experimentation to search outnew breakthroughs.

The prize: discovering and developing treatments thatmean alleviating suffering, extending life and improvingits quality is something EFPIA, EBE and Vaccines Europemembers are dedicated to realising.

Innovation in numbers

• First anti-angiogenic medicine for cancer

• New Rx for most common form of lung cancer

• First vaccine for the prevention of cervical cancer

• First Rx for chronic chest pain in 20 years

• First once-a-day HIV medicine

• A new type of treatment for Crohn’s disease

• The first Rx for symptoms of Huntington’s disease

• 2 new multiple sclerosis drugs

• First therapeutic cancer vaccine

• First drug to target root cause of cystic fibrosis

• First drug to treat Cushing’s disease

• Oral treatment for HepC provides cure rates upwards of 90%

• 17 new drugs to treat patients with rare diseases

• 7000 medicines in development around the world

• First new kidney cancer Rx in over a deade

• 3 new therapies for diabetes

• New class of medicines to treat high blood pressure

• First trestment for fibromyalgia

• First treatment for peripheral T-cell lymphoma

• First new Rx for gout in 40 years

• First lupus drug in 50 years

• 2 new personalised medicines

• First Immuno-oncology for metastatic melanoma

• 2 new personalised medicines to treat the most dangerous forms of skin cancer

• A new oral treatment for multiple sclerosis

• 2 new drugs for difficult-to-treat forms of high cholesterol

• New cystic fibrosis drug for patients with a genetic mutation that is the most common cause of the disease

Biopharmaceutical companies around the world have driven a decade of advances in medicines

Note: Dates of innovation provided by the US Food and Drug Administration (FDA).Source: Health Advance analysis; PhRMA 2015 Biopharmaceuticals in Perspective.

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015

7< >EFPIA Annual Report 2017 Introduction Foreword About EFPIAThe impact of

medicinesEFPIA

GovernanceThe economic impact

of the industryInnovation in

numbersEFPIA activity

2016

Page 8: EFPIA Annual Report 2016 Unlocking tomorrow’s cures · An age of innovation, challenges and opportunities Innovation is at the heart of everything we do. Our industry employs over

@EFPIA www.efpia.eu

With over 7000 medicines in development, the exciting new wave of medical innovation will play a key role in addressing the challenges faced by patients and healthcare systems

US EU JAPAN

Share of countries in biotechnology patents for the time period 2010-2013 (published by OECD in 2016):

1http://www.ema.europa.eu/docs/en_GB/document_library/Leaflet/2017/01/WC500219736.pdf2 A STRATEGIC EUROPEAN ROADMAP FOR THE VACCINES OF TOMORROW: A JOINT STAKEHOLDER REFLECTION http://iprove-roadmap.eu/ wp-content/uploads/2016/06/IPROVE-ROADMAP_JUNE2016_WEB.pdf

3http://www.oecd.org/sti/biotech/keybiotechnologyindicators.htm

27New activesubstances

81

16 of the 27 medicines are biologic medicines, including one vaccine and 2 advanced therapies. 1 of the remaining 11 new substances is a personalised (precision) medicine

Medicines recommended for approval by EMA in 2016

1

1,270vaccines clinical trials

were conducted in Europe

(from 2010 to 2015)

2

3

8< >

Innovation in numbers

CANCERS

1,813

IMMUNOLOGICALDISORDERS

1,120

INFECTIOUSDISEASES

1,256

NEUROLOGICALDISORDERS

1,329

CARDIOVASCULARDISORDERS

599

MENTAL HEALTH DISORDERS

511

DIABETES

475

HIV/AIDS

159

Approximately 4,000 clinical trials are authorised each year in the EEA

EFPIA Annual Report 2017 Introduction Foreword About EFPIAThe impact of

medicinesEFPIA

GovernanceThe economic impact

of the industryInnovation in

numbersEFPIA activity

2016

4,000

Page 9: EFPIA Annual Report 2016 Unlocking tomorrow’s cures · An age of innovation, challenges and opportunities Innovation is at the heart of everything we do. Our industry employs over

@EFPIA www.efpia.eu

The biopharmaceutical industry invests more of its revenue in generating new knowledge through research and development than other sectors

Source: The 2016 EU industrial R&D investment scoreboard, European Commission, JRC, DG RTD.

Pharmaceuticals and biotechnology

Software and computer services

Technology hardware and equipment

R&D SPENDING AS A PERCENTAGE OF NET SALES, 2015 15.0%

10. 6%

8.4%

Aerospace & defence2.8%

Automobiles & parts5.9%

Chemicals2.9%

11% rise

2015 R&D investment at European biotechnology companies rose 11% compared to 20144

4http://www.ey.com/Publication/vwLUAssets/EY-beyond-borders-2016/$FILE/EY-beyond-borders-2016.pdf

€ 900billion

The pharmaceutical industry is expected to invest close to €900 billion in research

and development from 2015-2020.

1 out of 6 people employed by the pharmaceutical industry has a highly skilled R&D position

1 out of 6

Fostering Innovation

9< >

Innovation in numbers

IMILunch debate in the European

Parliament on How IMI is accelerating access

to affordable innovative medicines? - presentation of

the first results of study on the socio-economic impacts

of IMI’s projects.

CALL 10Launch of 8 topics addressingoutcomes in CVD and prostatecancer, paediatric clinical trials

infrastructure, treatment of chronicand acute pain, bio-manufacturing

and patient engagement in R&D, andnew treatment pathways in autism.

IMI STAKEHOLDERS FORUMForum with consultations on

emerging infections, advancedtherapies, oncology,and digital health.

PROJECTS14 projects have started

in 2016, including BD4BOprojects, vaccines, safetyand patient engagementin benefit risk evaluation.

IMI ETRIKS Project session at the

European Parliament to showcase reuse

of data.

IMI CALL 9 Launch of 6 topics

addressing antimicrobialresistance, flu vaccinesefficiency, data quality,

big data exploitation, liverdiseases and rheumatic

diseases.

FEB

SEP

OCT

APR

DEC

The global IMI portfolio of projects (signed grant agreements) as of end 2016 now includes 84 projects.

€ 442.3 million

2 calls were launched, including 16 topics, with a total budget € 442.3 million, for which 19 proposals were selected for funding.

companies joined EFPIA as Partners in Research9

While 11 IMI1 projectssuccessfully came

to term, grantagreements weresigned for 14 newIMI2 projects for a

total budget of €269 million.

14IMI Key facts and figures 2016IMI Timeline 2016

To find out more about the role of intellectual property in fostering

innovation, watch our video.

EFPIA Annual Report 2017 Introduction Foreword About EFPIAThe impact of

medicinesEFPIA

GovernanceThe economic impact

of the industryInnovation in

numbersEFPIA activity

2016

Page 10: EFPIA Annual Report 2016 Unlocking tomorrow’s cures · An age of innovation, challenges and opportunities Innovation is at the heart of everything we do. Our industry employs over

The impact of medicines

@EFPIA www.efpia.eu

-94%FRANCE

-92%SPAIN

of the 15 million patients in Europe livingwith HEPATITIS C can be cured through an 8-12 week course of treatment95%

94%Since 1991 there has been a 94% reduction in age-standardised death rates for patients living with HIV in France

37%Between 2000 and 2012, the death rate from CARDIOVASCULAR DISEASE fell 37% in the EU5

31%Between 2000 and 2012, new therapies contributed to a 48% and 31% decline in the DIABETES death rate in Korea and Canada respectively

21%Since 1991 there has been a 21% reductionin mortality rates from all CANCERS

15 millionpeople are living with Hepatitis C

in Europe1

+133%cure rate increase for

patients between 1999 and 20155

Over 90%Hepatitis C is now

curable in over 90% of treated patients withonly 8-12 weeks of

treatment

+66,000For European patients diagnosed in 2012, over 66,000 more will live for at least five years after diagnosis, compared with if they had been diagnosed a decade earlier6

In Europe, biopharmaceutical companies are currently developing 172 medicines7 to treat heart disease, stroke and other cardiovascular diseases.

172

37%

HIV/AIDS - Age Standardised Death Rate (ASDR)

CANCERCardiovascular Disease

Hepatitis C (HCV)

Source: Health Advances Analysis

Medicines are some of the most powerful tools in treating and curing diseases

Medicines have transformed HIV/AIDS from a death sentence to a manageable diseases

10< >

6Calculations based on incidence figures quoted in Bengt Jönsson et al., Comparator Report on Patient Access to Cancer Medicines in Europe Revisited, 2016 - page 16: 2000-2002 5-year survival rate in all cancers in Europe: 51.55% 2000-2007 5-year survival rate in all cancers across Europe: 54%; Incidence in 2012 in Europe: 2,707,000 7Medicines in Phase I through III of development. Source: 1) Health Advances analysis; PharmaProjects (accessed February 2016)82) WHO Mortality Database (accessed February 2016)5Health Advances analysis; WHO Mortality Database (accessed February 2016)

New PCSK9 inhibitorshave revolutionisedtherapy for high cholesterol.Between 2000 and 2012, thedeath rate from cardiovasculardisease fell 37% in the EU5.8

EFPIA Annual Report 2017 Introduction Foreword About EFPIAThe impact of

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GovernanceThe economic impact

of the industryInnovation in

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2016

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@EFPIA www.efpia.eu

Vaccines keep people healthier for longer and across all ages preventing death and illness from vaccine-preventable diseases

Vaccination helps fight against antimicrobial resistance (AMR)

29%48%

The use of pneumococcal vaccine in France has reduced the use of antibiotics11

-24% -50% -28%

The risk of strokes after respiratory disease

Heart attack occurance Death in diabetic patient

Vaccination protects patients with chronic diseases. Influenza vaccination reduces by10 Vaccination is one of the most cost-effective public health interventions

Saved by avoiding715,000 lost days of work and productivity thanks to Influenza vaccination.12

million€96

25,000lives spared per year

11< >

The impact of vaccines

9WHO (2017) Immunization coverage Fact sheet http://www.who.int/mediacentre/factsheets/fs378/en/10 Udell et al (2013); Association Between Influenza Vaccination and Cardiovasuclar Outcomes in High-Risk Patients, JAMA. 2013;310(16):1711-1720. doi:10.1001/

jama.2013.279206

11 Wilby et al. (2012), A review of the effect of immunization programs on antimicrobial utilization, Vaccine. Oct 12;30(46):6509-14. doi: 10.1016/j.vaccine.2012.08.03

12 Préaud et al. (2014), Annual public health and economic benefits of seasonal influenza vaccination: a European estimate, BMC Public Health 2014, 14:813 http://www.biomedcentral.com/1471-2458/14/813 

Vaccination programmes have had a significant impact on reducing mortality and morbidity throughout life from numerous infectious diseases

2,000,000 - 3,000,000 lives saved every year worldwide9

EFPIA Annual Report 2017 Introduction Foreword About EFPIAThe impact of

medicinesEFPIA

GovernanceThe economic impact

of the industryInnovation in

numbersEFPIA activity

2016

Page 12: EFPIA Annual Report 2016 Unlocking tomorrow’s cures · An age of innovation, challenges and opportunities Innovation is at the heart of everything we do. Our industry employs over

@EFPIA www.efpia.eu

With over 7000 medicines in developments over the next 5-10 years, we see major innovations that will address this unmet need and bring benefits to patients and society

CANCERS

DIABETES

CARDIOVASCULARDISORDERS

INFECTIOUSDISEASES

NEUROLOGICALDISORDERS

HIV/AIDS

IMMUNOLOGICALDISORDERS

MENTAL HEALTH DISORDERS

1,813 1,120 1,256 1,329599 511475 159

Antibacterial treatments –neutralise highly pathogenic bacterial surface proteins or secreted toxins and

activate the immune system to kill the bacteria directly

25,000patients die from aserious, resistant

bacterial infection everyyear, most of them in

hospital

€1.5 billionare lost each year in

extra healthcare costsand productivity lossesfrom infections due tothese selected MDRbacteria in the EU

300 million peopleworldwide are expected

to die prematurely because of drug

resistance over the next 35 years3

Combination therapies –increasing quality and quantity of life by combining

targeted cancer treatments to increase their effectiveness

30,000 deaths could be avoided

in NSCLC** through combination

treatment

685 million EUR could be

generated in GDP each year

for those NSCLC** patients diagnosed

in 2020

CAR-T therapies –CAR-T cells that have been genetically modified to

allow the T cell to recognise and destroy tumour cells

55-100%CAR-Ts can reduce

expenditure on targeted therapy by

55-100%

Increased life expectancy

The curative impact ofCAR-Ts is greatest inALL* where median

age at diagnosis is 14and could increase

average lifeexpectancy by

68 years

Cell therapy –insertion of living cells into patients to replace or repair damaged tissue,

in order to facilitate improved organ or tissue functionality

~ 650,000 sick days

due to hospitalisation could be avoided per year, which could lead to

an increase in nominal GDP of ~

€16 billion

~ 12,000 new cases

of blindness across the EU every year

are estimated to be caused by diabetic

retinopathy

-30% in the number

of cardiovascular events in patients that do not receive intensive treatment

Alzheimer’s treatments –

seek to breakdown or inhibit theformation of protein plaques, helpingto delay the onset and progression of

Alzheimer’s disease

€17 billionis the current social care costs for Alzheimer’s in Europe; new

treatments may result in substantial savings

* ALL - Acute Lymphoid Leukaemia**NSCLC - Non small cell lung cancer

12< >

The impact of medicines

EFPIA Annual Report 2017 Introduction Foreword About EFPIAThe impact of

medicinesEFPIA

GovernanceThe economic impact

of the industryInnovation in

numbersEFPIA activity

2016

Page 13: EFPIA Annual Report 2016 Unlocking tomorrow’s cures · An age of innovation, challenges and opportunities Innovation is at the heart of everything we do. Our industry employs over

@EFPIA www.efpia.eu

The economic impact of the industry

The research based pharmaceutical industry is one of Europe’s major high-tehnology industrial employers.

SITC 54Pharmaceutical products

68,662

SITC 71Power-generating

machinery and equipment

26,504

SITC 75Office machinesand computers

-47,631

SITC 76Telecommunications,

sound, tv, video

-63,963

SITC 77Electrical machinery

-2,567

SITC 87Professional, scientific

controlling material

18,854

EU-28 Trade balance - High Technology Sectors

Source; EFPIA member associations (official figures) - (e): EFPIA estimate.13http://www.ey.com/Publication/vwLUAssets/EY-beyond-borders-2016/$FILE/EY-beyond-borders-2016.pdf

The biopharmceutical industry makes a significant contribution to the European economy.

13< >

Europe is a global leader in highly-skilled, science-based workforce

Total worldwide employees of Vaccines Europe members in 2014

45%Europe

35%North

America

12%Rest of the

World

8%Asia

745,000The pharmaceutical industry employs some

people directly in Europe

Biotech companies employed 72,160 people in Europe in 201513, +18% compared to 2014

72,160

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The pharmaceutical industry is a key driver of growth in the European economy

KEY DRIVER

Every job in the pharmaceutical industry supports 5 other jobs5

86%

Driving employment in Europe

€1 €1 €1

For every Euro of direct gross value added by

the pharmacuetical industry

1.3 Addional Euros are generated for the European economy

Europe is a long-standing leader in vaccines

80%

4%

5%

11%

Europe

Rest of the Word

Asia

North America

Doses of vaccines producedby Vaccines Europe membersby region in 2014, across 23production sites

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The economic impact of the industry

of the vaccines produced in the EU by Vaccines Europe members are exported worldwide

To find out more about the economicimpact of the industry, view our animatedinfographics online.

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GovernanceThe economic impact

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EFPIA Members

@EFPIA www.efpia.eu

15< >

FULL MEMBERS

ABBVIEALMIRALL

AMGENASTELLAS

ASTRAZENECABAYER

BIOGENBOEHRINGER INGELHEIMBRISTOL MYERS SQUIBB

CELGENECHIESI FARMACEUTICI

ELI LILLYGLAXOSMITHKLINE

GRÜNENTHALIPSEN

JOHNSON & JOHNSONLEO PHARMA

MENARINIMERCK

MSDNOVARTIS

NOVO NORDISK

PFIZERPIERRE FABRE

ROCHESANOFISERVIER

SHIRETAKEDA

TEVAUCB

PARTNERS IN RESEARCH (PIR)

ALCEDIAGBRUKER

CLARIVATE ANALYTICSCOVANCEDETECOMDEXCOM

ELLEGARD MINIPIGSFUJIFILM

GE HEALTHILLUMINA

INSTITUT MERIEUXINTERSYSTEMS

MEDTRONICNOKIA

PIRAMALPMB ALCEN

PSYCHOGENICSQUINTILES

SASSOMALOGIC

VARIANZEISS

ZOETIS

AFFILIATE MEMBERS

BIALDAIICHI-SANKYO

EISAIESTEVE

H. LUNDBECKORION PHARMA

OTSUKATHE MEDICINES COMPANY

VIFOR PHARMA

EFPIA Member Associations

AFFILIATE MEMBERS

BULGARIAAssociation of the Research-based Pharmaceutical Manufacturers in

Bulgaria (ARPharM)

CROATIAInnovative Pharmaceutical Initiative

(IF!)

CYPRUSCyprus Association of Pharmaceutical

Companies (KEFEA)

CZECH REPUBLICAssociation of Innovative

Pharmaceutical Industry (AIFP)

ESTONIAAssociation of Pharmaceutical

Manufacturers in Estonia (APME)

HUNGARYAssociation of Innovative

Pharmaceutical Manufacturers (AIPM)

LATVIAAssociation of International Research-based Pharmaceutical Manufacturers

(SIFFA)

LITHUANIAThe Innovative Pharmaceutical Industry

Association (IFPA)

MALTAMalta Maltese Pharmaceutical

Association (PRIMA)

ROMANIAAssociation of International Medicines

Manufacturers (ARPIM)

SERBIAInnovative Drug Manufacturers’

Association (INOVIA)

SLOVAKIASlovak Association of Innovative Pharmaceutical Industry (AIFP)

SLOVENIAForum of International Research

and Development Pharmaceutical Industries (EIG)

UKRAINEAssociation of Pharmaceutical

Research and Development (APRaD)

FULL MEMBERS

AUSTRIAFachverband der Chemischen Industrie Österreichs (FCIO)

BELGIUMAssociation Générale de l’Industrie du

Médicament (pharma.be)

DENMARKLaegemiddelindustriforeningen The Danish Association of the Pharmaceutical Industry (LIF)

FINLANDLääketeollisuus ry / Pharma Industry

Finland (PIF)

FRANCELes Entreprises du Médicament

(LEEM)

GERMANYVerband Forschender

Arzneimittelhersteller (VfA)

GREECEHellenic Association of

Pharmaceutical Companies (SfEE)

IRELANDIrish Pharmaceutical Healthcare

Association (IPHA)

ITALYAssociazione delle imprese del farmaco

(Farmindustria)

NETHERLANDSVereniging Innovatieve

Geneesmiddelen / Association Innovative Medicines

NORWAY Legemiddelindustriforeningen

/ Norwegian Association of Pharmaceutical Manufacturers (LMI)

POLANDEmployers Union of Innovative

Pharmaceutical Companies (Infarma)

PORTUGALAssociação Portuguesa da Indústria

Farmacêutica (Apifarma)

RUSSIAAssociation of International

Pharmaceutical Manufacturers (AIPM)

SPAINAsociación Nacional Empresarial

de la Industria Farmacéutica (Farmaindustria)

SWEDEN Läkemedelsindustriföreningen / The Swedish Association of the

Pharmaceutical Industry (LIF/Sweden)

SWITZERLANDVerband der forschenden

pharmazeutischen Firmen der Schweiz (Interpharma

TURKEYTurkey Arastirmaci Ilac Firmalari

Dernegi (AIFD)

UNITED KINGDOMThe Association of the British

Pharmaceutical Industry (ABPI)

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GovernanceThe economic impact

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EFPIA Specialised Groups

ABBVIE BIOPHARMACEUTICALS SARLAC IMMUNE SAACHAOGENACTELION PHARMACEUTICALS LTD.AICURIS GMBH & CO. KGALK-ABELLÓ A/SAMGEN LIMITEDBASILEA PHARMACEUTICA INTERNATIONAL LTD.BAYER ROXALL MEDICINA ESPANA S.A. FARMACEUTICA SABIO DEUTSCHLAND E.V.BIOGEN INTERNATIONALBIOPHYTIS SABOEHRINGER INGELHEIM GMBHCHIESI FARMACEUTICI S.P.A.CLOVIS ONCOLOGY UK LTD**CUREVAC AGDA VOLTERRADOMPÉ SPA

ELI LILLY SA ENTASIS THERAPEUTICSENYO PHARMAF. HOFFMANN-LA ROCHE LTDGENESIS PHARMAGENFIT SAGENOMIC HEALTHGENZYME EUROPE BV* GLAXO SMITH KLINEHRA PHARMAINTREXON ANTIBIOTICSIPSEN PHARMA SASIXALTISJANSSEN PHARMACEUTICA NVLABORATORIOS LETI S.L.U.LFB SALYSOGENEMEDIMMUNE (EQUALS ASTRAZENECA)

MERCK MERCK SHARP & DOHME INC.MYRIAD GENETICS GMBH**

NETSCIENTIFICNOVARTISNOVIMMUNE SANOVO NORDISK A/SORPHAN EUROPEPHARMA MAR SAPREGLEMSANOFI-AVENTIS GROUPESHIRE (EX BAXALTA)* SPERO THERAPEUTICSSTALLERGENES-GREERSYMPHOGENSYNTHONTIGENIX NVTRANSGENEUCB BIOPHARMA SPRLUNIQURE BIOPHARMA B.V.VAXEAL HOLDING SAVISCOFAN SAZYMENEX A/S

ABBOTT PRODUCT OPERATIONS AGASTRAZENECACUREVACJANSSENGLAXOSMITHKLINE VACCINES

IMMUNOBIOLOGY LTDMSDNOVAVAXPFIZER VACCINESSANOFI PASTEUR

SEQIRUSTAKEDAVAXEAL

EBE MEMBERS

* WILL LEAVE EBE ON 31 JUNE 2017** WILL LEAVE EBE ON 31 DECEMBER 2017

VACCINES EUROPE MEMBERS

European Biopharmaceutical Enterprises (EBE) represents the voice of biopharmaceutical companies of all sizes in Europe and is a specialised group within EFPIA. Established in 2000, EBE is recognised as the leading biopharmaceutical association in Europe.

Vaccines Europe (VE) is the specialised vaccine industry group within EFPIA. It represents major innovative research-based global vaccine companies as well as small and medium sized enterprises operating in Europe.

EFPIA Board Members*

Gitte AABO (LEO Pharma)Carlos ALBAN (AbbVie)Lucia ALEOTTI (Menarini)Gabriel BAERTSCHI (Grunenthal)Alberto CHIESI (Chiesi)Joaquin DUATO (J&J)Antoni ESTEVE (Esteve)Jacqualyn FOUSE (Celgene)

Jorge GALLARDO (Almirall)Murdo GORDON (BMS)Peter GUENTER (Sanofi)Allan HILLGROVE (Boehringer Ingelheim)Tony HOOPER (Amgen)Abbas HUSSAIN (GSK)Olivier LAUREAU (Servier)

Daniel O’DAY (Roche)Adam SCHECHTER (MSD)Käre SCHULTZ (Lundbeck)Jean-Christophe TELLIER (UCB)Michel VOUNATSOS (Biogen)Dieter WEINAND (Bayer)John YOUNG (Pfizer)Gianni ZAMPIERI (Vifor Pharma)

PRESIDENT

Joseph JIMENEZ (Novartis)

VICE-PRESIDENTS

Stefan OSCHMANN (Merck) Marc DE GARIDEL (Ipsen)

EX-OFFICIO

Enrica GIORGETTI (Farmindustria)

* UNTIL 13 JUNE 2017

EFPIA Board Members (13 June 2017 - June 2019)

Gitte AABO (LEO Pharma)Carlos ALBAN (AbbVie)Lucia ALEOTTI (Menarini)Mark ALLES (Celgene)Gabriel BAERTSCHI (Grunenthal)Alberto CHIESI (Chiesi)Mike DOUSTDAR (Novo Nordisk)Frédéric DUCHESNE (Pierre Fabre)Antoni ESTEVE (Esteve)Jorge GALLARDO (Almirall)

Murdo GORDON (BMS)Yoshihiko HATANAKA (Astellas)Allan HILLGROVE (Boehringer Ingelheim)Tony HOOPER (Amgen)Paul HUDSON (Novartis)Rob KOREMANS (Teva Pharmaceutical Europe)Jean-Paul KRESS (Biogen)Olivier LAUREAU (Servier)David MEEK (Ipsen)

Luke MIELS (GSK)Daniel O’DAY (Roche)Giles PLATFORD (Takeda)Antonio PORTELA (Bial)Iskra REIC (AstraZeneca)Adam SCHECHTER (MSD)Kim STRATTON (Shire)Dieter WEINAND (Bayer)John YOUNG (Pfizer)Alfonso ZULUETA (Eli Lilly)

PRESIDENT

Stefan OSCHMANN (Merck)

VICE-PRESIDENTS

Jean-Christophe TELLIER (UCB) Olivier BRANDICOURT (Sanofi)

EX-OFFICIO

Birgit FISCHER (vfa) Enrica GIORGETTI (Farmindustria)

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medicinesEFPIA

GovernanceThe economic impact

of the industryInnovation in

numbersEFPIA activity

2016

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MARKET ACCESS

Director Market Access François BouvyDirector Market Access/HTA Edith Frénoy

Senior Manager, Country Support François Lamérant

OFFICE MANAGEMENT

IT Manager Stéphane De MollingAccounts Assistant Nathalie Bernardo

Receptionist Pina Avola

REGULATORY AFFAIRS

Director Regulatory Affairs Pär TellnerDirector Regulatory Affairs Sini Eskola

Manager Regulatory Affairs Tiia MetiäinenAssistant Manager Sandra Rodrigues

SCIENCE POLICY

Director Science Policy Magda ChlebusSenior Manager Research partnerships

Nicolas Creff

Manager Science Policy Anna SzczepanskaAssistant Manager Tatiana Kirpitchenok

GENERAL MANAGEMENT TEAM

Director General Nathalie MollDeputy Director General Marie-Claire Pickaert

Chief of Staff Christine BerwaertsPA to the Director General Maria Curatolo

GOVERNMENT AFFAIRS

Director Government Affairs Gabriella AlmbergDirector European Affairs Elizabeth Kuiper

Manager Government Affairs Ioana EnacheManager Angela Piedra-Hernandez

COMMUNICATION AND PARTNERSHIPS TEAM

Director of Communications Andy Powrie-SmithCommunications Manager Zsófia Bakonyi

Communications Manager - External Affairs Faraz KermaniDigital Communications Manager Giulia Biasi

STRATEGY AND HEALTHCARE SYSTEMS

Director Strategy and Healthcare Systems

Thomas AllvinSenior Manager, Strategic Research Claire Machin

Manager Economic Analysis and Policy

Ludivine BlancAdministrative Assistant Amelia Kossi

EUROPEAN BIOPHARMACEUTICAL ENTERPRISES (EBE)

Executive Director Barbara FreischemPublic Affairs Manager Audrey Wolf

Office Manager Livia Le MetayerRegulatory Affairs Manager Véronique Debaut

LEGAL AFFAIRS AND COMPLIANCE

Deputy Director General Marie-Claire PickaertDeputy Director Legal Affairs & Compliance

Julie Bonhomme

e4ethic Project Manager Versina Bregu

EFPIA Staff

TRADE AND IP

Director Trade Policy Maria TralleroDirector, Data Protection, IP and Global Health

Brendan BarnesDirector Intellectual Property Policy Elise MelonDeputy Director, Trade Policy Jana Nackberg

Manager, Trade Policy Réka SzántóAssistant Manager, IP and Data Protection

Valentine KandelAdministrative Assistant Fabienne Muylle

VACCINES EUROPE (VE)

Executive Director Magdalena Rodriguez de AzeroSenior Manager Anna Czwarno

Assistant Manager Andrija VisicAdministrative Assistant Anne Meynaerts

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GovernanceThe economic impact

of the industryInnovation in

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< 18

EFPIA Brussels OfficeLeopold Plaza Building, Rue du Trône 108, B-1050 Brussels, BelgiumTel: + 32 (0)2 626 25 66www.efpia.eu * [email protected]

EFPIA represents the pharmaceutical industry in Europe. Through its direct membership of 33 national associations and 40 leading pharmaceutical companies, EFPIA provides the voice of 1,900 companies committed to researching, developing and bringing new medicines to improve health and quality of life around the world.

EFPIA Annual Report 2017 Introduction Foreword About EFPIAThe impact of

medicinesEFPIA

GovernanceThe economic impact

of the industryInnovation in

numbersEFPIA activity

2016