Roche Group development pipeline Marketed products development programmes

Roche Group development pipeline
Marketed products development programmes
Roche Pharma global development programmes
Roche Pharma research and early development
Genentech research and early development
Roche Group YTD Sept 2012 results
Diagnostics
Foreign exchange rate information
1
Roche development pipeline
Projects in phase 1
Phase I
(36 NMEs+2 AIs)
Oncology
RG7112
RG7116
RG7155
RG7167
RG7204
RG7212
RG7304
RG7356
RG7420
RG7421
RG7388
RG7440
RG7446
RG7450
RG7458
RG7598
RG7599
RG7600
RG7601
RG7602
RG7604
RG7636
RG7666
RG7741
CHU
CHU
CHU
MDM2 ant
solid & hem tumors
HER3 MAb
solid tumors
CSF-1R MAb
solid tumors
CIF/MEK inh
solid tumors
Zelboraf + ipilimumab met. melanoma
Tweak MAb
oncology
Raf & MEK dual inh
solid tumors
CD44 MAb
solid tumors
MEK inh
solid tumors
MEK inh
solid tumors
MDM2 ant
solid & hem tumors
AKT inhibitor
solid tumors
PD-L1 MAb
solid tumors
Steap 1 ADC
prostate ca.
ADC
ovarian ca.
ADC
multiple myeloma
ADC
oncology
ADC
oncology
Bcl-2 inh
CLL and NHL
ChK1 inh
solid tum & lymphoma
PI3K inh
solid tumors
ADC
metastatic melanoma
PI3k inh
glioblastoma 2L
ChK1 inh(2)
solid tumors
ALK inhibitor
NSCLC
PI3K inh
solid tumors
WT-1 peptide
cancer vaccine
Other disease areas
RG7624
CHU
CHU
RG7795
RG7667
RG7697
RG1662
RG7314
RG7129
RG3645
CHU
IL-17 MAb
autoimmune diseases
IL-6R MAb
RA
CIM331
atopic dermatitis
TLR7 agonist
HBV
infectious diseases
GIP/GLP-1 dual ago type 2 diabetes
GABRA5 NAM
cogn. disorders
V1 receptor antag
autism
BACE1 inh
Alzheimer’s
Lucentis sust. deliv. AMD/RVO/DME
ACE910
hemophilia A
New Molecular Entity (NME)
Additional Indication (AI)
Oncology
Immunology
Virology
CardioMetabolism
Neuroscience
Ophthalmology
Others
RG-No Roche Genentech managed
CHU
Chugai managed
Status as of September 30, 2012
2
Roche development pipeline
Projects in phase 2, 3 and registration
Phase II
(24 NMEs + 14 Als)
RG1273
RG1273
RG3502
RG3502
RG3616
RG3638
RG3638
RG3638
RG3638
RG3638
RG3638
RG7160
RG7204
RG7321
RG7422
RG7414
RG7593
RG7596
RG7597
RG7686
RG1569
RG7413
RG7415
RG7416
RG7449
RG7128
RG7227
RG7790
RG1512
RG7652
RG7418
RG1450
RG1577
RG1578
RG7090
RG7412
SST
RG7417
Perjeta
HER2+ mBC 2nd line
Perjeta
HER2+ gastric cancer
T-DM1
HER2+ EBC
T-DM1
gastric cancer
Erivedge
operable BCC
onartuzumab triple-neg mBC, 1st/2nd line1L/2L
onartuzumab
mCRC 1st line 1L
onartuzumab NSCLC non squamous 1st l
onartuzumab NSCLC squamous 1st line
onartuzumab glioblastoma 1st/2nd line
onartuzumab
gastric cancer
EGFR MAb
solid tumors
Zelboraf
papillary thyroid cancer
PI3K inh
solid tumors
PI3K/mTOR inh
solid & hem tumors
EGFL7 MAb
solid tumors
CD22 ADC
heme tumors
CD79b ADC
heme tumors
HER3/EGFR
m. epithelial tumors
glypican-3 MAb
liver cancer
Actemra
systemic sclerosis
etrolizumab
ulcerative colitis
rontalizumab
systemic lupus erythem
pateclizumab (LT alpha MAb )
RA
quilizumab (M1 prime MAb)
asthma
mericitabine
HCV
danoprevir
HCV
setrobuvir
HCV
inclacumab (P selectin MAb) ACS/CVD
PCSK9 MAb
metabolic diseases
oxLDL MAb
sec prev CV events
gantenerumab
Alzheimer’s
MAO-B inh
Alzheimer’s
mGluR2 antag
depression
mGluR5 antag tx resistant depression
crenezumab
Alzheimer‘s
arbaclofen
autism (ASD)
anti-factor D Fab geographic atrophy
Phase III
(8 NMEs + 23 Als)
RG105
RG435
RG435
RG435
RG435
RG435
RG435*
RG435
RG1273
RG1415*
RG1415
RG3502
RG3502
RG3638
RG7159
RG7159
RG7159
RG7159
RG7204
RG1569
RG1569
RG3637
RG3648
CHU
RG1439
CHU
RG1594
RG1594
RG1678
RG1678
SST
MabThera
NHL sc formulation
Avastin
HER2+ BC adj
Avastin
HER2-neg. BC adj
Avastin
NSCLC adj
Avastin
high risk carcinoid
Avastin
glioblastoma 1st line
Avastin
ovarian cancer 1st line
Avastin ovarian cancer platinum resist.
Perjeta
HER2+ EBC
Tarceva
NSCLC EGFR mut 1st line
Tarceva
NSCLC adj
T-DM1
HER2+ mBC 3rd line
T-DM1
HER2+ mBC 1st line
onartuzumab
NSCLC 2nd/3rd line
obinutuzumab
CLL
obinutuzumab
iNHL relapsed
obinutuzumab
DLBCL
obinutuzumab
iNHL front-line
Zelboraf
m. melanoma adj
Actemra
RA sc formulation
Actemra
early RA
lebrikizumab
severe asthma
Xolair
chronic idiopathic urticaria
Suvenyl
enthesopathy
aleglitazar
CV risk reduction in T2D
tofogliflozin (SGLT2)
type 2 diabetes
ocrelizumab
RMS
ocrelizumab
PPMS
bitopertin
schiz neg symptoms
bitopertin
schiz subopt control
arbaclofen
fragile X syndrome
Registration
(3 NMEs + 8 Als)
RG105
Rituxan
RG4351 Avastin
RG435 Avastin
RG5971 Herceptin
RG12732 Perjeta
RG3502 T-DM1
RG36162 Erivedge
RG1052 MabThera
RG1569 Actemra
RG15691 Actemra
RG36453 Lucentis
1
2
3
NHL fast infusion
relapsed ovarian cancer
mCRC TML
HER2+ BC sc form
HER2+ mBC 1st line
HER2+ pretreated mBC
advanced BCC
ANCA assoc vascul
polyarticular JIA
RA DMARD IR H2H
AMD 0.5 mg PRN
submitted in EU
approved in US, submitted in EU
submitted in US
New Molecular Entity (NME)
Additional Indication (AI)
Oncology
Immunology
Virology
CardioMetabolism
Neuroscience
Ophthalmology
RG-No
CHU
SST
RG105
Roche Genentech managed
Chugai managed
Seaside Therapeutics
MabThera is branded as
Rituxan in US and Japan
RG1569 Actemra is branded as
RoActemra in EU
* approved in the EU
Status as of September 30, 2012
3
Changes to the development pipeline
Since HY 2012 update on July 26, 2012
New to Phase I
1 NME transitioned from Ph0
RG7697 GIP/GLP-1 dual agonist
type 2 diabetes
2 NMEs added by Chugai
CHU CIM331 atopic dermatitis
CHU ACE910 hemophilia A
Removed from Phase I
1 NME reverted to partner
RG7256 BRAF inh (2) BRAF mut
melanoma
2 NMEs discontinued
RG7594 anti-angiogenic solid
tumors
RG7685 GIP/GLP-1 dual agonist
type 2 diabetes
New to Phase II
2 NMEs transitioned from Ph1
RG7593 CD22 ADC hem. tumors
RG7596 CD79b ADC hem. tumors
2 AIs following FPI
RG3638 onartuzumab gastric
cancer
RG3502 T-DM1 gastric cancer
HER2-positive
Removed from Phase II
1 NME discontinued
RG4929 11 beta HSD inh
metabolic diseases
New to Phase III
1 AI following FPI
RG7204 Zelboraf metastatic
melanoma adj.
Removed from Phase III
1 AI removed following outcome
of HERA 2years
RG597 Herceptin Her2-positive adj.
BC (2years)
New to Registration
1 NME and 1 AI following US and
EU submissions
RG3502 T-DM1 HER2-positive
pretreated mBC (NME)
RG435 Avastin mCRC TML
1 AI following EU submission
RG1569 Actemra RA DMARD IR
H2H
Removed from Registration
1 AI following FDA approval
RG3645 Lucentis diabetic macular
edema
4
NME submissions and their additional
indications
Projects currently in phase 2 and 3
onartuzumab (MetMAb)
gastric cancer
obinutuzumab (GA101)
DLBCL
PI3 kin inh (RG7321)
solid tumors
EGFR MAb (RG7160,GA201)
solid tumors
T-DM1 (RG3502)
HER2-pos. mBC 1st line
T-DM1 (RG3502)
HER2-pos. gastric cancer
mericitabine
HCV
obinutuzumab (GA101)
iNHL relapsed
danoprevir
HCV
onartuzumab (MetMAb)
mNSCLC, 2nd/3rd line
aleglitazar
CV risk reduction in T2D
setrobuvir
HCV
bitopertin
schizophrenia#
ocrelizumab
PPMS and RMS
mGluR5 (RG7090)
depression
MEK inhibitor
( RG7421) combo Zelboraf
met melanoma
ü
T-DM1 (RG3502)
HER2-pos. pretreated mBC
2012
obinutuzumab (GA101)
CLL
2013
Unless stated otherwise, submissions are planned to occur in US and EU.
ü indicates a submission which has occurred with regulatory action pending
# negative symptoms and sub-optimal control
Status as of September 30, 2012
2014
2015
Oncology
Immunology
Virology
CardioMetabolism
2016
Neuroscience
Ophthalmology
NME
5
Submissions of additional indications for existing
products
Projects currently in phase 2 and 3
Avastin
mCRC TML
Herceptin
sc formulation (EU)
ü
ü
Avastin
ovarian cancer platin. resist.
Zelboraf
met melanoma adj.
MabThera
sc formulation (EU)
Avastin
relapsed ovarian cancer (US)
papillary thyroid cancer
Tarceva (US)
NSCLC EGFR mut. 1st line
Avastin
ovarian cancer 1st line (US)
Zelboraf
Perjeta
HER2-pos. EBC
Perjeta
ü
Avastin
HER2-pos. BC adj
HER2-pos. mBC 2ndline
Actemra
RA DMARD IR H2H (EU)
ü
Avastin
glioblastoma 1st line
HER2-pos. gastric cancer
Actemra
sc formulation
Tarceva
NSCLC adj (EU)
Avastin
HER2-neg BC adj
ü
Xolair (US)
chronic idiopathic urticaria
Avastin
NSCLC adj
ü
Actemra
early RA
Actemra
polyarticular JIA
MabThera
ANCA assoc vasculitis (EU)
Lucentis
AMD 0.5 mg PRN (US)
2012
2013
ü indicates submission to Health Authorities has occurred.
Unless stated otherwise, submissions are planned to occur in US and EU.
Status as of September 30, 2012
Perjeta
Tarceva
NSCLC adj (US)
2014
Actemra
systemic sclerosis
Post 2014
Oncology
Immunology
Virology
CardioMetabolism
Neuroscience
Ophthalmology
6
Major granted and pending approvals 2012
Approved
Pending approvals
Actemra
DMARD IR
US
EU
Erivedge
adv. basal cell ca
T-DM1 (RG3502)
HER2-pos pretreated mBC
Filed Aug 2012
Perjeta
HER2-pos. mBC 1st line
Avastin
mCRC TML
Filed Aug 2012
Actemra
polyarticular JIA
Filed June 2012
Lucentis
diabetic macular edema
Rituxan
NHL faster infusion
Filed Dec 2011
Lucentis
AMD 0.5 mg PRN
Filed Apr 2012
Zelboraf
met. melanoma
Erivedge
adv. basal cell ca
Filed Nov 2011
Actemra
RA DMARD IR H2H
Filed Aug 2012
Perjeta (RG1273)
HER2-pos. mBC 1st line
Filed Dec 2011
Actemra
polyarticularJIA
Filed June 2012
T-DM1 (RG3502)
HER2+ advanced mBC
Filed Aug 2012
MabThera
ANCA associated vasculitis
Filed Apr 2012
Avastin
relapsed ovarian cancer
Filed Aug 2011
Oncology
Immunology
Virology
CardioMetabolism
Status as of September 30, 2012
Neuroscience
Ophthalmology
NME
Avastin
mCRC TML
Filed Aug 2012
Herceptin
sc formulation
Filed Mar 2012
7
Major Chugai granted and pending approvals 2012
Approved
Pending approvals
Pulmozyme
Improvement pulmonary
function in cystic fibrosis
Actemra
sc formulation
Filed March 2012
Avastin
glioblastoma
Filed September 2012
Avastin
ovarian cancer
Filed October 2012
Perjeta
HER2-pos. mBC 1st line
Filed May 2012
Tarceva
NSCLC EGFR mut 1st line
Filed June 2012
Boniva/Bonviva
osteoporosis
Filed July 2012
Oncology
Immunology
Virology
CardioMetabolism
Status as of September 30, 2012
Neuroscience
Ophthalmology
NME
8
We Innovate Healthcare
9
Roche Group development pipeline
Marketed products development programmes
Roche Pharma global development programmes
Roche Pharma research and early development
Genentech research and early development
Roche Group YTD Sept 2012 sales
Diagnostics
Foreign exchange rate information
10
MabThera/Rituxan
Development programmes
Oncology
Patient
population
Front-line follicular non-Hodgkin’s lymphoma
Previously untreated chronic lymphocytic leukemia
Phase/study
Phase III
SABRINA
Subcutaneous study
Study being conducted ex-US
Phase Ib
SAWYER
Subcutaneous study
Study being conducted ex-US
# of patients
N=405
N=225
Design
• ARM A: MabThera IV plus chemotherapy (CHOP or CVP)
• ARM B: MabThera 1400mg sc plus chemotherapy (CHOP
or CVP)
Two-stage design:
o Stage 1 (dose confirmation, N=127): PK primary
endpoint
o Stage 2 (N=280): Efficacy primary endpoint (ORR)
Responders will continue on maintenance every 8 weeks over
24 months
• Two-stage design:
- Stage 1 (dose-finding, N=55)
Primary
endpoint
• Pharmacokinetics, safety and efficacy
• Part 1: PK (dose selection)
• Part 2: PK of MabThera IV vs. MabThera SC (Arm A vs Arm
B)
Status
• Stage 1 primary endpoint (PK noninferiority) met
• Expect full stage 1 data presentation Q4 2012
• FPI (stage 2) Q3 2012
- Stage 2 (N=170): CLL dose confirmation:
• ARM A: MabThera IV plus chemotherapy (Fludarabine and
Cyclophosphamide)
• ARM B: MabThera 1600mg sc plus chemotherapy
(Fludarabine and Cyclophosphamide)
Subcutaneous MabThera : applies Enhanze technology, partnered with Halozyme
CHOP = Cyclophosphamide, Doxorubicin, Vincristine and Prednisolone; CVP = Cyclophosphamide, Vincristine and Prednisolone.
11
MabThera/Rituxan
Development programmes
Oncology
Immunology
Front-line diffuse large B-cell or follicular
non-Hodgkin’s lymphoma
ANCA-associated vasculitis
Phase/study
Phase IIIb
RATE*
Faster infusion study
Phase II/III
RAVE*
# of patients
N=450
N=197
Patient
population
Design
• Prospective, open-label, single arm study
• Non-inferiority efficacy and safety study of
MabThera/Rituxan and glucocorticoids versus
conventional therapy (cyclophosphamide)
Primary
endpoint
• To determine the incidence of Grade 3 or 4
infusion-related toxicities resulting from faster
infusion of MabThera/Rituxan
• Induction of complete remission at 6 months,
defined as a BVAS/WG of 0 and off
glucocorticoid therapy
Status
• Enrolment completed Q4 2010
• Data presented at ASH 2011
• Filed with the FDA in Q4 2011
• Data presented at ACR 2009
• FDA approved use of Rituxan in WG and MPA
in Q2 2011
• Submitted to EMA Q2 2012
*In collaboration with Biogen Idec;
WG - Wegener's Granulomatosis, MPA - Microscopic Polyangiitis
12
Avastin
Ovarian cancer clinical development programme
Patient
population
Front-line metastatic
ovarian cancer
Phase/stud
y
# of
patients
Phase III
GOG-0218
Phase III
ICON7
N=1,873
N=1,528
Design
• ARM A: Paclitaxel and carboplatin for 6 cycles plus 5
cycles of concurrent placebo followed by placebo alone
for up to 22 cycles (15 months)
• ARM B: Paclitaxel and carboplatin for 6 cycles plus 5
cycles of concurrent Avastin followed by placebo alone
for up to 22 cycles (15 months)
• ARM C: Paclitaxel and carboplatin for 6 cycles plus 5
cycles of concurrent Avastin followed by Avastin alone
for up to 22 cycles (15 months)
• ARM A: Paclitaxel and carboplatin for 6 cycles
• ARM B: Paclitaxel and carboplatin plus concurrent
Avastin for 6 cycles followed by Avastin alone for up to
18 cycles (12 months)
Avastin
dose
• 15 mg/kg q3 weeks
• 7.5 mg/kg q3 weeks
Primary
endpoint
• Progression-free survival
• Progression-free survival
Status
• Study met its primary endpoint in Q1 2010
• Data presented at ASCO 2010 and 2011
• Results published in NEJM December 2011
• Study met its primary endpoint Q3 2010
• Data presented at ESMO 2010 and ASCO 2011
• Results published in NEJM December 2011
• EMA approval Q4 2011
• Re-evaluate FDA submission when final overall survival results from all phase III trials are available
(expected 2013)
ASCO = American Society of Clinical Oncology; ESMO = European Society for Medical Oncology.
13
Avastin
Ovarian cancer clinical development programme
Patient
population
Relapsed platinum-sensitive
ovarian cancer
Relapsed platinum-resistant
ovarian cancer
Phase/study
Phase III
OCEANS
Phase III
AURELIA
# of patients
N=484
N=361
Design
• ARM A: Carboplatin, gemcitabine, and
concurrent placebo for 6 cycles, followed by
placebo alone until disease progression
• ARM B: Carboplatin, gemcitabine, and
concurrent Avastin for 6 cycles, followed by
Avastin alone until disease progression.
• ARM A: Paclitaxel, topotecan or liposomal
doxorubicin
• ARM B: Paclitaxel, topotecan or liposomal
doxorubicin plus Avastin
Avastin dose
• 15 mg/kg q3 weeks
• 10 mg/kg q2 weeks or 15 mg/kg q3 weeks
Primary
endpoint
• Progression-free survival
• Progression-free survival
Status
•
•
•
•
•
• Study met its primary endpoint Q2 2012
• Data presented at ASCO 2012
• EMA submission expected Q1 2013
Study met its primary endpoint Q1 2011
Data presented at ASCO 2011
EMA submission Q3 2011
Positive CHMP opinion received Q3 2012
Re-evaluate FDA submission when final overall
survival results from all phase III trials are
available (expected 2013)
ASCO = American Society of Clinical Oncology; ESMO = European Society for Medical Oncology.
14
Avastin
High risk carcinoid and brain cancer development
programmes
Patient
population
High risk carcinoid
Newly diagnosed glioblastoma
Phase/study
Phase III
SWOG SO518
Phase III
AVAglio
# of patients
N=424
N=920
Design
• ARM A: Depot octreotide plus interferon
alpha
• ARM B: Depot octreotide plus Avastin
• ARM A: Concurrent radiation and
temozolomide plus placebo; followed by
maintenance TMZ plus placebo for 6 cycles;
then placebo until disease progression
• ARM B: Concurrent radiation and TMZ plus
Avastin; followed by maintenance TMZ plus
Avastin for 6 cycles; then Avastin (15mg/kg
q3 weeks) monotherapy until disease
progression
Avastin dose
• 15 mg/kg q3 weeks
• 10 mg/kg q2 weeks or 15 mg/kg q3 weeks
Primary
endpoint
• Progression-free survival
• Progression-free survival
• Overall survival
• Recruitment completed
• Expect data 2013
• Enrolment completed Q1 2011
• Co-primary endpoint of PFS met Q3 2012
Status
15
Avastin
Colorectal and breast cancer development programmes
Patient
population
Metastatic colorectal cancer
First-line HER2-negative metastatic breast
cancer
Phase/study
Phase III
ML18147
TML
Phase III
MERiDiAN
# of patients
N=810
N=480
Design
• 1st-line treatment with chemotherapy* plus
Avastin
• Once patients progress, they are randomised
to:
• ARM A: Chemotherapy* alone
• ARM B: Chemotherapy* + Avastin
• ARM A: Paclitaxel + Avastin
• ARM B: Paclitaxel + Placebo
* Physician’s choice
Avastin dose
• 5 mg/kg q2 weeks or 7.5 mg/kg q3 weeks
• 10 mg/kg q2 weeks
Primary
endpoint
• Overall survival
• PFS in ITT
• PFS in patients with high plasma VEGF-A
Status
•
•
•
•
Primary end point met Q1 2012
Data presented at ASCO 2012
Filed globally Q3 2012
Priority review granted by the FDA October
2012
• FPI Q3 2012
16
Avastin
Adjuvant clinical development programme
Patient
population
Adjuvant
lung cancer
Phase/stud
y
Phase III
ECOG 1505
Phase III
ECOG 5103
HER2-negative
Phase III
BETH
HER2-positive
N=1,500
N=4,950
N=3,600
• ARM A: Cisplatin plus vinorelbine,
docetaxel, gemcitabine or
pemetrexed
• ARM B: Cisplatin plus vinorelbine,
docetaxel, gemcitabine or
pemetrexed plus Avastin up to 12
months
• ARM A: Anthracycline plus
cyclophosphamide (AC) followed by
paclitaxel
• ARM B: AC plus Avastin followed
by paclitaxel plus Avastin
• ARM C: AC plus Avastin followed
by paclitaxel plus Avastin, followed
by Avastin up to 12 months
• COHORT 1: Docetaxel/ carboplatin
plus Herceptin ± Avastin
• COHORT 2: Docetaxel plus
Herceptin ± Avastin, followed by 5Fluorouracil, Epirubicin,
Cyclophosphamide
• 15 mg/kg q3 weeks
• 15 mg/kg q3 weeks
• 15 mg/kg q3 weeks
• Overall survival
• Disease-free survival
• Disease-free survival
• FPI Q3 2007
• Recruitment ongoing
• Expect data 2016
• FPI Q4 2007
• Enrolment completed Q2’11
• Expect data 2014
• FPI Q2 2008
• Enrolment completed Q4 2010
• Expect data 2013
# of
patients
Design
Avastin
dose
Primary
endpoint
Status
Adjuvant
breast cancer
For both cohorts, patients receive
Herceptin ± Avastin to complete
one year of targeted therapy
17
Herceptin
Standard of care for HER2-positive early breast cancer
Patient
population
Adjuvant HER2-positive
breast cancer
Early-stage HER2-positive
breast cancer
Phase/study
Phase III
HERA
Phase III
HANNAH
Subcutaneous study
# of patients
N=5,102
N=595
Design
• ARM A: Herceptin for 12 months
• ARM B: Herceptin for 24 months
• ARM C: Observation
• ARM A: Chemotherapy* concurrent with
Herceptin 600mg sc q3w for the first 8
cycles
• ARM B: Chemotherapy* concurrent with
Herceptin IV for the first 8 cycles
*Chemotherapy = docetaxel then 5-FU,
epirubicin, and cyclophosphamide
Primary
endpoint
• Disease-free survival
• Serum concentration
• Pathologic complete response
Status
• Final analysis presented at ESMO 2012
• No additional benefit seen in 2 year arm
vs. 1 year
• 1 year treatment duration confirmed as
standard of care
• Positive top-line data reported in October
2011
• Data presented at EBCC 2012
• Filed in EU Q1 2012
Subcutaneous Herceptin : applies Enhanze technology, partnered with Halozyme
18
Perjeta
First in a new class of HER dimerization inhibitors
Patient
population
Phase/
study
# of patients
Adjuvant HER2-positive
breast cancer
First-line HER2-positive
metastatic breast cancer
Second-line HER2-positive
metastatic breast cancer
Advanced HER2-positive
gastric cancer
Phase III
APHINITY
Phase III
CLEOPATRA
Phase II
PHEREXA
Phase IIa
JOSHUA
N=3,806
N=808
N=450
N=30
Design
• ARM A: Pertuzumab
(840mg loading, 420 q3w)
plus Herceptin for 52 weeks
plus chemotherapy (6-8
cycles)
• ARM B: Placebo plus
Herceptin (52 weeks) plus
chemotherapy (6-8 cycles)
• ARM A: Pertuzumab
(840mg loading, 420mg
q3w) plus Herceptin and
docetaxel
• ARM B: Placebo plus
Herceptin and docetaxel
• ARM A: Herceptin plus
Xeloda
• ARM B: Pertuzumab plus
Herceptin and Xeloda
• ARM A: Pertuzumab
(840mg loading, 420mg
q3w) plus Herceptin and
chemotherapy
• ARM B: Placebo plus
Herceptin and
chemotherapy
Primary
endpoint
• 3-year disease-free survival
• Progression-free survival
• Progression-free survival
• Safety, efficacy
Status
• FPI Q4 2011
• Met primary endpoint July
2011
• Data presented at SABCS
2011
• Submitted for FDA and EMA
approval Q4 2011
• FDA granted approval Q2
2012
• FPI Q1 2010
• FPI Q4 2011
SABCS = San Antonio Breast Cancer Symposium.
19
Tarceva
New approaches to treating lung cancer
Adjuvant non-small
cell lung cancer
First-line metastatic
non-small cell lung cancer
EGFR mutation-positive
Phase/study
Phase III
RADIANT
Phase III
EURTAC
# of patients
N=974
(2:1 randomisation)
N=174
Patient
population
Design
• Following surgical resection ± adjuvant
chemotherapy:
• ARM A: Tarceva up to 2 years
• ARM B: Placebo up to 2 years
• ARM A: Tarceva
• ARM B: Chemotherapy (platinum-based
doublet)
Primary
endpoint
• Disease-free survival
• EGFR IHC and/or FISH-positive
• Progression-free survival
Status
• Enrolment completed Q3 2010
• Expect final results H1 2013
•
•
•
•
Study met its primary endpoint Q1 2011
Data presented at ASCO 2011
EU granted approval in Q3 2011
Expect FDA sNDA submission in 2012
Tarceva is a registered trademark of OSI Pharmaceuticals, LLC, an affiliate of Astellas Pharma US, Inc.
20
Zelboraf
A selective novel small molecule that inhibits
mutant BRAF
Adjuvant therapy in patients
with resected cutaneous BRAF
mutation positive melanoma
Previously treated papillary
thyroid cancer
BRAF mutation positive
Metastatic melanoma
BRAF mutation positive
Phase/study
Phase III
BRIM8
Phase II
Phase Ib
# of patients
N=725
N=50
N=20
Patient
population
Design
• 52-week treatment
• ARM A:Zelboraf 960mg bid
• ARM B: placebo
• Single ARM: Zelboraf
• Single ARM: Zelboraf plus
ipilimumab•
Primary
endpoint
• Disease-free survival
• Best overall response rate
• Safety
Status
• FPI Q3 2012
• FPI Q2 2011
• FPI Q4 2011
In collaboration with Plexxikon, a member of Daiichi Sankyo Group
•Combination study with ipilimumab is in collaboration with Bristol-Myers Squibb.
See also combinations with: MEK inhibitor (RG7421) and anti-PD-L1 (RG7446)
21
Zelboraf
A selective novel small molecule that inhibits
mutant BRAF
Patient
population
Melanoma patients with brain metastases
BRAF mutation positive
Phase/study
Phase II
Phase I
# of patients
N=132
N=20
Design
• Single ARM: Zelboraf
• Single ARM: Zelboraf
Primary
endpoint
• Overall Response Rate in the brain
• Safety
Status
• FPI Q3 2011
• FPI Q4 2010
• Recruitment completed
• Data presented at ESMO 2012
In collaboration with Plexxikon, a member of Daiichi Sankyo Group
22
Erivedge (Vismodegib)
A novel small molecule inhibitor of the hedgehog signaling
pathway
Patient
population
Advanced basal
cell carcinoma
Operable basal
cell carcinoma
Phase/study
Pivotal Phase II
ERIVANCE
Phase II
# of patients
N=104
N=74
Design
• Single ARM: 150 mg GDC-0449 orally once daily
until disease progression
• Single ARM: 150 mg GDC-0449 orally once daily
Primary
endpoint
• Overall response rate
• COHORT 1: Complete clearance (12 weeks Erivedge)
• COHORT 2: Durable complete clearance (12 weeks
Erivedge)
• COHORT 3: Complete clearance (16 weeks Erivedge)
Status
• Positive results announced Q1 2011
• Data presented at EADO June 2011, ECCO/ESMO
Sep 2011, EADV Oct 2011
• EMA submission accepted Q4 2011
• FDA granted approval Q1 2012
• Data published NEJM June 2012
• FPI Q4 2010
• Cohort 1 data presented at Society for Investigative
Dermatology (May 2012)
In collaboration with Curis
23
Actemra/RoActemra
Interleukin 6 receptor inhibitor
Early moderate-to-severe
rheumatoid arthritis
Rheumatoid arthritis
DMARD inadequate
responders
Moderate-to-severe
rheumatoid arthritis
Moderate-to-severe
rheumatoid arthritis
Phase/study
Phase III
FUNCTION
Phase III
ADACTA
Head-to-head study
Phase III
SUMMACTA
Subcutaneous study
Phase III
BREVACTA
Subcutaneous study
# of patients
N=1,162
N=326
N=1,200
N=600
Patient
population
Design
104 week treatment
24 week treatment
• ARM A: Actemra IV 8 mg/kg • ARM A: Actemra IV 8mg/kg
q4w plus pbo MTX
q4w plus pbo Adalimumab
• ARM B: Actemra IV 8 mg/kg • ARM B: Adalimumab 40mg
q4w plus MTX
sc q2w plus pbo Actemra
• ARM C: Actemra IV 4 mg/kg
q4w plus MTX
• ARM D: MTX alone
• Add-on to DMARD therapy
• Weekly dosing for 104
weeks
• ARM A: Actemra sc 162mg
weekly plus placebo IV q4w
• ARM B: Actemra IV 8mg/kg
q4w plus placebo sc weekly
• Add-on to DMARD therapy
• Dosing every two weeks for
104 weeks
• ARM A: Actemra sc 162mg
q2w
• ARM B: Placebo sc q2w
Primary
endpoint
• DAS28 remission at 24
weeks, 1 year and 2 years
• DAS28 at 24 weeks
• ACR 20 at week 24
• ACR 20 at week 24
Status
• FPI Q4 2009
• Primary endpoint met Q3
2012
• Filing expected 2013
• Trial met primary endpoint
• Q1 2012
• Data presented at EULAR
2012
• Submitted for EMA approval
Q3 2012
• Primary endpoint met Q3
• Trial met primary endpoint
2012
Q2 2012
• Filing expected in 2012
• Filing expected in 2012
• Data to be presented at ACR • Data to be presented at ACR
2012
2012
In collaboration with Chugai
MTX = Methotrexate; DMARD = Disease-Modifying Anti-Rheumatic Drugs.
24
Actemra/RoActemra
Interleukin 6 receptor inhibitor
Patient
population
Systemic sclerosis
Polyarticular-course juvenile idiopathic
arthritis
Phase/study
Phase II
faSScinate
Proof-of-concept study
Phase III
CHERISH
# of patients
N=86
N=188
Design
Blinded 48-week treatment with weekly dosing:
•ARM A: Actemra sc 162mg
•ARM B: Placebo sc
Open-label weekly dosing at weeks 49 to 96:
•Actemra sc 162mg
• Part I: All patients receive Actemra 8mg/kg or
10mg/kg (IV) q4w for 16 weeks
• Part II: Patients with adequate response from
Part I will be randomized to receive:
ŸARM A: Actemra 8mg/kg or 10mg/kg (IV)
q4w for up to 24 weeks + SOC*
ŸARM B: Placebo + SOC*
• Part III: All patients receive Actemra 8mg/kg or
10mg/kg (IV) q4w for up to another 64 weeks
Primary
endpoint
• Change in modified Rodnan skin score (mRSS)
at week 24
• Safety
• Proportion of patients with a JIA ACR30 flare by
week 40 relative to week 16
Status
• FPI Q1 2012
• Expect data 2013
• Study met primary endpoint in Q1 2012
• Submitted to FDA and EMA Q2 2012
In collaboration with Chugai
*Standard of care: non-steroidal anti-inflammatory drugs, corticosteroids, MTX
25
Xolair
Evaluating potential in Chronic Idiopathic
Urticaria, an IgE related disease
Patient
population
Phase/study
# of patients
Chronic Idiopathic Urticaria
Patients who remain symptomatic despite treatment*
Phase III
ASTERIA I
Phase III
ASTERIA II
Phase III
GLACIAL
N=300
N=300
N=320
Design
Add-on therapy to H1 antihistamines
24 week treatment period (q4week)
• ARM A: Xolair 300 mg
• ARM B: Xolair 150 mg
• ARM C: Xolair 75 mg
• ARM D: Placebo
Add-on therapy to H1 antihistamines
12 week treatment period (q4week)
•ARM A: Xolair 300 mg
•ARM B: Xolair 150 mg
•ARM C: Xolair 75 mg
•ARM D: Placebo
Add-on therapy to H1 antihistamines, H2 blockers, and/or
LTRA
24 week treatment period (q4week)
•ARM A: Xolair 300 mg
•ARM B: Placebo
Primary
endpoint
• Change from baseline in UAS7
weekly itch score at Week 12
• Change from baseline in UAS7
weekly itch score at Week 12
• Safety
Status
• Enrollment completed Q1 2012
• Data expected Q4 2012
• Enrollment completed Q4 2011
• Data in-house, under review
• Expect data presentation H1
2013
• Enrollment completed Q1 2012
• Data expected Q1 2013
In collaboration with Novartis
*Refractory to H1 anti-histamines, H2 blockers, and/or leukotriene receptor antagonists (LTRAs) at the time of randomisation.
26
Lucentis
Development programme for wAMD
Patient
population
Neovascular (wet) age-related
macular degeneration
Phase/study
Phase III
HARBOR
High dose study
# of patients
N=1,110
Design
• Randomised double-masked study comparing efficacy and safety of intravitreal injections of
0.5 mg and 2.0 mg Lucentis administered monthly or PRN in patients with wet AMD
Primary
endpoint
• Mean change in best corrected visual acuity (BCVA) compared to baseline at 12 months
Status
• 12 month data was presented at AAO meeting October 2011
• 0.5mg PRN sBLA filed with FDA in April 2012
• 24 months data will be presented at AAO meeting Nov. 2012
Genentech retains commercial rights in the United States and Novartis has exclusive commercial rights for the rest of the world.
ADA – American Diabetes Association, AAO = American Academy of Opthalmology
27
Roche Group development pipeline
Marketed products development programmes
Roche Pharma global development programmes
Roche Pharma research and early development
Genentech research and early development
Roche Group YTD Sept 2012 sales
Diagnostics
Foreign exchange rate information
28
Trastuzumab emtansine (T-DM1, RG3502)
Evaluating new treatment options in HER2-positive
breast cancer
Patients who have
progressed on HER2 targeted
treatment
Pretreated
HER2 pos. metastatic breast
cancer1
Previously untreated
HER2 pos. metastatic breast
cancer
Phase/ study
Phase III
TH3RESA
Phase III
EMILIA
Phase III
MARIANNE
# of patients
N=795
N=991
N=1,092
Patient
population
Design
• ARM A: T-DM1 3.6mg/kg
q3w
• ARM B: physician’s choice
• ARM A: T-DM1 3.6mg/kg
• ARM A: Herceptin plus
q3w
taxane
• ARM B: Xeloda plus lapatinib • ARM B: T-DM1 3.6mg/kg
q3w plus pertuzumab
• ARM C: T-DM1 3.6 mg/kg
q3w plus placebo
Primary
endpoint
• ORR and Overall survival
Co-primary endpoints:
• Progression-free survival
(PFS)
• Overall survival
Status
• FPI Q3 2011
• PFS data presented at ASCO
• FPI Q3 2010
2012
• Recruitment completed Q2
• OS endpoint met Q3 2012
2012
• Data presented at ESMO 2012
• Submitted for FDA and EMA
approval Q3 2012
• Progression-free survival
assessed by IRF
In collaboration with ImmunoGen, Inc.
ASCO = American Society of Clinical Oncology
1 Patients must have received prior treatment which included both: a taxane, alone or in combination with another agent, and trastuzumab in the adjuvant, locally
advanced, or metastatic setting.
29
Trastuzumab emtansine (T-DM1, RG3502)
Evaluating new treatment options in HER2+
breast and gastric cancers
Patient
population
Neoadjuvant/ Adjuvant breast
cancer
HER2-positive advanced gastric
cancer
Phase/ study
Phase II
Cardiac safety study
Phase II/III
# of patients
N=135
N=412
Design
• Single ARM: T-DM1 3.6mg/kg
q3w administered immediately
following completion of
anthracycline chemotherapy
• ARM A: T-DM1 3.6mg/kg q3w
• ARM B: T-DM1 2.4mg/kg q3w
• ARM C: docetaxel or paclitaxel
Primary
endpoint
• Cardiac event rate
• Safety
• Phase II: Dose-finding
• Phase III: Overall survival
Status
• Completed enrollment Q2 2011
• Interim data presented at ASCO
2012
• FPI Q3 2012
In collaboration with ImmunoGen, Inc.
ASCO = American Society of Clinical Oncology
30
Onartuzumab (MetMAb, RG3638)
Anti-Met monovalent antibody that inhibits
HGF-mediated activation
Patient
population
2nd- and 3rd-line
Met-positive metastatic NSCLC
1st line non-squamous NSCLC
1st line squamous NSCLC
Phase III
MetLung
Phase II
Phase II
N=480
N=260
N=110
Cohort 1
•Arm A: Onartuzumab + Avastin +
paclitaxel + platinum-based chemo
(cisplatin or carboplatin)
•Arm B: Placebo + Avastin +
paclitaxel + platinum-based chemo
(cisplatin or carboplatin) Cohort 2
•Arm A: Onartuzumab + pemetrexed
+ platinum-based chemo (cisplatin or
carboplatin) Arm B: Placebo +
pemetrexed + platinum-based chemo
(cisplatin or carboplatin)
• Arm A: Onartuzumab + paclitaxel +
platinum-based chemo (cisplatin or
carboplatin)
Phase
# of
patients
Design
• ARM A: Tarceva plus onartuzumab
• ARM B: Tarceva plus placebo
• Arm B: Placebo + paclitaxel +
platinum-based chemo (cisplatin or
carboplatin)
Primary
endpoint
• Overall survival
• Progression-Free Survival in the ITT
population
• Progression-Free Survival in Metpositive population
• Progression-Free Survival in the ITT
population
• Progression-Free Survival in Metpositive population
Status
• FPI Q1 2012
• FPI Q2 2012
• FPI Q2 2012
31
Onartuzumab (MetMAb, RG3638)
Anti-Met monovalent antibody that inhibits
HGF-mediated activation
Patient
population
Phase
# of patients
Metastatic HER2-negative
Gastro esophageal Cancer
1st and 2nd-line
triple negative metastatic
breast cancer
1st-line metastatic
colorectal cancer
Avastin-naïve recurrent
glioblastoma
Phase II
Phase II
Phase II
Phase II
N=120
N=180
N=188
N=120
Design
• ARM A: Onartuzumab plus • ARM A: Avastin and
mFOLFOX
paclitaxel plus
• ARM B: Placebo plus
onartuzumab
mFOLFOX
• 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
• Progression–free survival in • Progression–free survival
ITT
• Progression-free survival in
pre-specified Met-positive
patients
• Progression–free survival in • Progression-Free Survival
ITT
in the ITT population
• Progression-free survival in • Progression-Free Survival
pre-specified Met-positive
in Met-positive population
patients
Status
• FPI Q3 2012
• FPI Q3 2011
• FPI Q1 2011
• Enrollment completed July
2012
• Expect data H2 2013
• Arm A: Onartuzumab +
Avastin
• Arm B: Placebo + Avastin
• Arm C: Onartuzumab
+Placebo
• FPI Q3 2012
32
MEK inhibitor (RG7421, GDC-0973)
Selective small molecule inhibitor of mitogenactivated protein kinase
Patient
population
Phase
# of patients
Previously untreated
metastatic
melanoma BRAF
mutation positive
Metastatic
melanoma
BRAF mutation
positive
Solid tumors
Solid tumors
Solid tumors
Phase III
Phase Ib
BRIM7
Phase I
Phase Ib
Phase Ib
N=500
N=~50
N=90
N=212
N=108
Design
• ARME A: Zelboraf*
plus RG7421
• ARM B: Zelboraf*
plus placebo
• Dose escalation
study evaluating
Zelboraf* plus
RG7421
• Dose escalation
study
• Dose escalation
• Dose escalation
study evaluating
study of GDC-0973 in
GDC-0973 plus GDCcombination with
0941 (PI3 Kinase
GDC-0068
Inhibitor)
Primary
endpoint
• Progression-free
survival
• Safety/PK
• Safety/PK
• Safety/PK
• Safety/PK
Status
• Expect FPI Q4 2012
• FPI Q1 2011
• Data presented at
ESMO 2012
• FPI Q2 2007
• Data presented at
AACR 2011
• Recruitment
completed Q3 2011
• FPI Q4 2009
• Updated data
presented at AACR
and ASCO 2012
• FPI Q2 2012
In collaboration with Exelixis
*Zelboraf In collaboration with Plexxikon, a member of Daiichi Sankyo Group
33
Obinutuzumab (GA101, RG7159)
Type II, glycoengineered anti-CD20 monoclonal antibody
• Phase III clinical trials
Front-line
chronic lymphocytic
leukaemia
Patients with
comorbidities
Indolent
non-Hodgkin’s
lymphoma
MabThera/Rituxan
refractory
Front-line indolent
non-Hodgkin’s
lymphoma
Diffuse large B-cell
lymphoma (DLBCL)
Phase/study
Phase III
CLL11
Phase III
GADOLIN
Phase III
GALLIUM
Phase III
GOYA
# of patients
N=780
N=360
N=1,400
N=1,400
Design
• ARM A: GA101 1000mg
IV plus chlorambucil
• ARM B:
MabThera/Rituxan plus
chlorambucil
• ARM C: Chlorambucil
alone
• ARM A: GA101 1000mg
IV plus Bendamustine
• ARM B: Bendamustine
• ARM A: GA101 1000mg • ARM A: GA101 1000mg
IV plus chemotherapy
IV plus CHOP
followed by GA101
• ARM B:
maintenance
MabThera/Rituxan plus
• ARM B:
CHOP
MabThera/Rituxan plus
chemotherpy followed by
MabThera/Rituxan
maintenance
Primary
endpoint
• Progression-free survival
• Progression-free survival
• Progression-free survival
• Progression-free survival
Status
• FPI Q4 2009
• Recruitment completed
Q2 2012
• Expect data 2013
• FPI Q2 2010
• Expect data 2015
• FPI Q3 2011
• Expect data 2017
• FPI Q3 2011
• Expect data 2015
Patient
population
In collaboration with Biogen Idec
CHOP = Cyclophosphamide, Doxorubicin, Vincristine and Prednisone
34
Obinutuzumab (GA101, RG7159)
Type II, glycoengineered anti-CD20 monoclonal antibody
• Phase I/II clinical trials
Front-line or relapsed
indolent non-Hodgkin’s
lymphoma (NHL)
Relapsed
indolent non-Hodgkin’s lymphoma
Relapsed or refractory
non-Hodgkin’s lymphoma or chronic
lymphocytic leukaemia (CLL)
Phase/study
Phase Ib
GAUDI
Phase I/II
GAUSS
Phase I/II
GAUGUIN
# of patients
N=136
N=202
N=133
Patient
population
Design
• Cohort A: GA101 plus fludarabine
+ cyclophosphamide
• Cohort B: GA101 plus CHOP
• Cohort C: GA101 plus
bendamustine
Phase I portion
(extended treatment for 2 years):
• Single agent: GA101
Primary
endpoint
• Safety
• Overall response rate
• Phase I: Incidence of dose-limiting toxicity
• Phase II: Overall best response rate
Status
• FPI Q1 2009
• Data presented at ASH 2011
Phase I portion:
• Initiated Q1 2008
• Data presented at ASH 2009
Phase II portion:
• FPI Q3 2009
• Enrolment completed Q3 2010
• Data presented at ASH 2011
Phase I portion:
• Initiated Q3 2007
• Updated Phase I NHL and CLL data
presented at ASH 2009
Phase II portion:
• All cohorts completed enrolment by Q4
2009
• Data presented at ICML/EHA 2011
Phase II portion
(extended treatment for 2 years):
• ARM A: MabThera/Rituxan
• ARM B: GA101
In collaboration with Biogen Idec
CHOP = Cyclophosphamide, Doxorubicin, Vincristine and Prednisone;
ASH = American Society of Hematology; EHA = European Hematology Association.
Phase I portion:
• Single agent: GA101
Phase II portion:
• Single agent: GA101
35
Lebrikizumab (RG3637)
A humanized monoclonal antibody designed to bind
specifically to IL-13
• Phase III clinical trials
Severe uncontrolled adult asthma
Patient
population
Adult patients whose
asthma is uncontrolled with inhaled
corticosteroids and a second controller
medication
Adult patients whose
asthma is uncontrolled with inhaled
corticosteroids and a second controller
medication
Phase/stud
y
Phase III
LUTE *
Phase III
VERSE*
# of
patients
N=1,400
N=1,400
Design
Subcutaneous lebrikizumab q4w on top of SOC for 52
weeks followed by 52 week extension on lebrikizumab
for a total of 104 weeks, with a 24 week safety followup
•ARM A: Lebrikizumab highest dose
•ARM B: Lebrikizumab middle dose
•ARM C: Lebrikizumab lowest dose
•ARM D: Placebo
Patients will be tested for periostin level
Subcutaneous lebrikizumab q4w on top of SOC for 52
weeks followed by 52 week extension on lebrikizumab
for a total of 104 weeks, with a 24 week safety followup
•ARM A: Lebrikizumab highest dose
•ARM B: Lebrikizumab middle dose
•ARM C: Lebrikizumab lowest dose
•ARM D: Placebo
Patients will be tested for periostin level
Primary
endpoint
• Rate of asthma exacerbations during the 52-week
placebo-controlled period
• Rate of asthma exacerbations during the 52-week
placebo-controlled period
Status
• FPI Q1 2012
• FPI Q1 2012
*Programs currently under internal review - modifications pending
36
Rontalizumab (RG7415)
A humanized monoclonal antibody to
interferon alpha
Patient
population
Systemic lupus erythematosus
Phase/study
Phase II
ROSE
# of patients
N=238
Design
• ARM A: Placebo
• Part 1 – IV
• Part 2 - Subcutaneous
• ARM B: Rontalizumab
• Part 1 – IV
• Part 2 – Subcutaneous
Primary
endpoint
• Proportion of responders at Week 24
Status
• Enrolment completed Q3 2010
• Data to be presented at ACR 2012
37
Aleglitazar (RG1439)
A balanced PPAR co-agonist - potential to reduce
cardiovascular events in type 2 diabetes patients
Type 2 diabetes
Patients with moderate and mild
renal impairment
ACS patients with
Type 2 diabetes
Phase/study
Phase II
AleNEPHRO
Renal function study
Phase III
AleCARDIO
Cardiovascular outcomes study
# of patients
N=300
N=7,229
Patient
population
Design
• 52 week treatment duration:
• ARM A: Aleglitazar (150 µg)
• ARM B: Pioglitazone (45 mg)
• At least 2.5 years treatment period and until
950 events have occurred
• ARM A: Aleglitazar (150 µg) on top of SOC
• ARM B: Placebo on top of SOC
Primary
endpoint
• Relative change from baseline in glomerular
filtration rate at 60 weeks
• Reduction in cardiovascular mortality, nonfatal myocardial infarction and stroke (MACE)
Status
• Enrollment completed Q2 2011
• Primary endpoint met Q3 2012
• Data to be presented at ASN 2012
• FPI Q1 2010
• Enrollment completed Q2 2012
ACS = Acute Coronary Syndrome; SOC = standard of care.
ASN = American Society of Nephrology
38
Aleglitazar (RG1439)
A balanced PPAR co-agonist - potential to reduce
cardiovascular events in type 2 diabetes patients
Patient
population
Type 2 diabetes (US,China)
Stable CVD and type 2 diabetes or prediabetes
Phase/study
Phase III
AleGlucose
Glycemic control study
Phase III
AlePrevent
Cardiovascular outcomes study
# of patients
N=1,400
N=19,000
Design
26 weeks treatment duration
•ARM A: Aleglitazar (150 µg) monotherapy,
add on to Metformin and Add on to
Sulfonylurea with or without Metformin
•ARM B: Placebo
At least 3 year treatment period and until 1260
events have occurred
•ARM A: Aleglitazar 150 µg daily on top of SOC
•ARM B: Placebo daily on top of SOC
Primary
endpoint
• Reduction from baseline in HbA1c
• Reduction in cardiovascular mortality, nonfatal myocardial infarction and stroke (MACE)
Status
• Expect FPI Q4 2012
• Expect FPI Q4 2012
ACS = Acute Coronary Syndrome; SOC = standard of care.
39
Bitopertin (GlyT-1, RG1678)
A small molecule first-in-class glycin reuptake
inhibitor (GRI)
Patient
population
Acute
exacerbation of
schizophrenia
Phase/stud
y
Phase II
CandleLyte
Phase III
NIGHTLYTE
Phase III
MOONLYTE
Phase III
TWILYTE
N=300
N=600
N=600
N=600
Design
• 4-week treatment period
•ARM A: RG1678 daily (10
mg)
•ARM B: RG1678 daily (30
mg)
•ARM C: Olanzapine
•ARM D: Placebo
• Add-on therapy to antipsychotics
• 52-week treatment
period
•ARM A: RG1678 daily
(10 mg)
•ARM B: RG1678 daily
(20 mg)
•ARM C: Placebo
• Add-on therapy to antipsychotics
• 52-week treatment
period
•ARM A: RG1678 daily
(10 mg)
•ARM B: RG1678 daily
(20 mg)
•ARM C: Placebo
• Add-on therapy to antipsychotics
• 52-week treatment
period
•ARM A: RG1678 daily
(5 mg)
•ARM B: RG1678 daily
(10 mg)
•ARM C: Placebo
Primary
endpoint
• PANSS total symptom factor
at week 4
• PANSS positive
symptom factor at week
12
• PANSS positive
symptom factor at week
12
• PANSS positive
symptom factor at week
12
Status
• FPI Q1 2011
• FPI Q4 2010
• FPI Q4 2010
• FPI Q4 2010
# of
patients
PANSS = Positive and Negative Syndrome Scale
Sub-optimally controlled symptoms of schizophrenia
40
Bitopertin (GlyT-1, RG1678)
A small molecule first-in-class glycin reuptake
inhibitor (GRI)
Patient
population
Persistent, predominant
negative symptoms of schizophrenia
Phase/study
Phase III
SUNLYTE
Phase III
DAYLYTE
Phase III
FLASHLYTE
# of patients
N=630
N=630
N=630
Design
• Add-on therapy to antipsychotics
• 52-week treatment period
•ARM A: RG1678 (10 mg)
•ARM B: RG1678 (20 mg)
•ARM C: Placebo
• Add-on therapy to antipsychotics
• 52-week treatment period
•ARM A: RG1678 (5 mg)
•ARM B: RG1678 (10 mg)
•ARM C: Placebo
• Add-on therapy to antipsychotics
• 52-week treatment period
•ARM A: RG1678 (10 mg)
•ARM B: RG1678 (20 mg)
•ARM C: Placebo
Primary
endpoint
• PANSS negative symptom
factor at week 24
• PANSS negative symptom
factor at week 24
• PANSS negative symptom
factor at week 24
Status
• FPI Q4 2010
• FPI Q4 2010
• FPI Q4 2010
PANSS = Positive and Negative Syndrome Scale
41
Ocrelizumab (RG1594)
2nd generation anti-CD20 monoclonal antibody
Patient
population
Relapsing multiple sclerosis (RMS)
Primary progressive
multiple sclerosis (PPMS)
Phase/study
Phase III
OPERA I
Phase III
OPERA II
Phase III
ORATORIO
# of patients
N=800
N=800
N=630
Design
• 96-week treatment period:
• ARM A: Ocrelizumab 2x
300 mg IV followed by 600
mg IV every 24 weeks
• ARM B: Interferon b-1a
• 96-week treatment period:
• ARM A: Ocrelizumab 2x 300
mg IV followed by 600 mg IV
every 24 weeks
• ARM B: Interferon b-1a
• 120-week treatment period:
• ARM A: Ocrelizumab 2x 300
mg IV every 24 weeks
• ARM B: Placebo
Primary
endpoint
• Annualized relapse rate at 96
weeks versus Rebif
• Annualized relapse rate at 96
weeks versus Rebif
• Sustained disability progression
versus placebo by Expanded
Disability Status Scale (EDSS)
Status
• FPI Q3 2011
• FPI Q3 2011
• FPI Q1 2011
42
Mericitabine (RG7128)
Nucleoside NS5B polymerase inhibitor
Patient
population
Phase/study
Treatment-naive and failure
chronic hepatitis C
Genotype 1 and 4
Phase IIb
DYNAMO 1*
Phase IIb
DYNAMO 2
Longer duration study
N=100
# of patients
Design
Treatment-naive and failure
chronic hepatitis C
Genotype 1 and 4
•
•
•
ARM A: Boceprevir + mericitabine (1000 mg BID) +
Pegasys and Copegus for 24 weeks
ARM B: Boceprevir + mericitabine (1000 mg BID) +
Pegasys and Copegus for 24 weeks followed by
boceprevir+Pegasys and Copegus for 24 weeks
ARM C : Boceprevir+Pegasys and Copegus for 48 weeks
N= 168
•
•
•
•
Primary
endpoint
Status
ARM A: Telaprevir + mericitabine (1000 mg BID) + Pegasys
and Copegus for 12 weeks, followed by + mericitabine (1000
mg BID) + Pegasys and Copegus for 12 weeks
ARM B: Telaprevir + mericitabine (1000 mg BID) + Pegasys
and Copegus for 12 weeks, followed by + mericitabine (1000
mg BID) + Pegasys and Copegus for 12 weeks, followed by
Pegasys and Copegus for 24 weeks
ARM C : Telaprevir + mericitabine (1000 mg BID) + Pegasys
and Copegus for 12 weeks, followed by Pegasys and Copegus
for 36 weeks
ARM D: Telaprevir + Pegasys and Copegus for 12 weeks,
followed by Pegasys and Copegus for 36 weeks
• Sustained virological response (SVR)
• Sustained virological response (SVR)
• FPI Q4 2011
• Recruitment completed Q3 2012
• FPI Q4 2011
• Recruitment completed Q3 2012
RG7128 licensed from Pharmasset, now part of Gilead
* In collaboration with Merck
43
Mericitabine (RG7128)
Nucleoside NS5B polymerase inhibitor
Hepatitis C patients
Treatment-naïve or null-responders to interferon-based treatment
Patient population
Phase/study
Phase II
ANNAPURNA
# of patients
N=180
Design
•
•
•
•
•
ARM A: GT1a including setrobuvir, danoprevir, ritonavir, ribavirin and mericitabine
ARM B: GT1a including setrobuvir, danoprevir, ritonavir, ribavirin and mericitabine
ARM C: GT1a including setrobuvir, danoprevir, ritonavir and ribavirin
ARM D: GT1b including setrobuvir, danoprevir, ritonavir, ribavirin and mericitabine
ARM E: GT1b including setrobuvir, danoprevir, ritonavir and ribavirin
Primary endpoint
• Sustained virological response at week 12 after the end of the study treatment
Status
• FPI Q2 2012
Recruitment expected to complete in Q4 2012
RG7128 licensed from Pharmasset, now part of Gilead, Setrobuvir – Anadys Pharmaceuticals Inc. acquisiton
44
Danoprevir (RG7227)
HCV protease inhibitor
Patient
population
Phase
Treatment-experienced
chronic hepatitis C patients*
Phase IIb
Matterhorn
Boosted Danoprevir in Triple, Quad and Interferon-free combinations
# of patients
N=381
Design
Danoprevir boosted by low dose ritonavir in IFN-free, triple and QUAD
Cohort A: partial responders:
•ARM A1: Danoprevir 100 mg bid+ Ritonavir 100mg bid+ mericitabine 1000 mg bid +
Copegus for 24 weeks
•ARM A2: Danoprevir 100 mg bid + Ritonavir 100mg bid+ Pegasys + Copegus for 24 weeks
•ARM A3: Danoprevir 100 mg bid + Ritonavir 100mg bid + mericitabine 1000 mg bid +
Pegasys + Copegus for 24 weeks
Cohort B: null responders:
•ARM B1: Danoprevir 100 mg bid + Ritonavir 100mg bid + mericitabine 1000 mg bid +
Copegus for 24 weeks
•ARM B2: Danoprevir 100 mg bid + Ritonavir 100mg bid+ mericitabine 1000 mg bid +
Pegasys + Copegus for 24 weeks
•ARM B3: Danoprevir 100 mg bid+ Ritonavir 100mg bid + mericitabine 1000 mg bid +
Pegasys + Copegus for 24 weeks, followed by 24 weeks Pegasys + Copegus
Primary
endpoint
• Sustained virological response 24 weeks after the end of study treatment
Status
• Recruitment completed Q3 2011
• Preliminary data submitted to AASLD 2012
RG7128 licensed from Pharmasset, now part of Gilead
45
Roche Group development pipeline
Marketed products development programmes
Roche Pharma global development programmes
Roche Pharma research and early development
Genentech research and early development
Roche Group YTD Sept 2012 sales
Diagnostics
Foreign exchange rate information
46
Oncology development programmes
Small molecules
Apoptosis
MAPK signaling
MDM2 antagonist
(RG7112)
Molecule
MDM2 (4)
antagonist
(RG7388)
MEK inhibitor
(CIF, RG7167)
Raf/MEK inhibitor
(CKI27, RG7304)
Advanced solid
tumors
Hematologic
neoplasms
(Leukaemia)
Solid and
hematological
tumors
Solid tumors
Solid tumors
Phase
Phase I
Phase I
Phase I
Phase I
Phase I
# of patients
N=105
N=90
N=100
N=144
N=52
Patient
population
Design
•
Status
• Study completed
Q2 2011
• Phase Ib initiated
Q2 2012
Collaborator
Multiple
ascending doseescalation study
•
Multiple
ascending doseescalation study
• Study completed
Q3 2012
• Phase Ib initiated
Q3 2012
•
Multiple
ascending doseescalation study
• FPI Q4 2011
•
Dose-escalation,
followed by
expansion into 4
cohorts in
specific
indications
• Initiated Q2 2008
• Phase I study
completed
recruitment into
expansion cohorts
end of 2011
•
Dose-escalation
to MTD
• Initiated October
Q4 2008
• Phase I study
Stopped enrolment
in Q4 2010
Chugai
47
Oncology development programmes
Monoclonal antibodies
Anti-glypican-3 MAb
(GC33, RG7686)
Molecule
Patient
population
Anti-CD44 MAb
(RG7356)
Metastatic liver cancer
(hepatocellular carcinoma)
2L metastatic liver cancer
(hepatocellular carcinoma)
Solid tumors
Acute myelogenous
leukemia
Phase
Phase Ib
Phase II
Phase I
Phase I
# of patients
N= 40-50
N=171
N=50-70
N=86
Design
• Study US Monotherapy
• Study Japan Monotherapy
• Combo with SOC dose
escalation study
Adaptive design study
Double blind randomized 2:1
RG7686:placebo
Primary
endpoint
• Safety and tolerability
Status
• FPI Q4 2008
• Dose Escalation completed
for US and Japan
monotherapy studies. CSRs
drafting is ongoing
Collaborator
SOC – standard of care
• Multiple ascending dose
study with extension and
imaging arm
• Multiple ascending dose
study +/- cytarabine
• Progression-free survival
• Safety (MTD), PK, PD,
preliminary clinical activity
• Safety (MTD), PK, PD,
preliminary clinical activity
• FPI Q1 2012
• FPI Q2 2011
• FPI Q3 2012
Patients are stratified
according to the level of GPC3 expression in tumor
Chugai
48
Oncology development programmes
Monoclonal antibodies (continued)
Anti-TWEAK MAb
(RG7212)
GE-huMAb HER3
(RG7116)
CSF-1R huMAb
(RG7155)
Solid tumors
Solid tumors
Solid tumors
Phase I
Phase I
Phase I
N=50
N=105
N-95
Design
• Multiple ascending dose study
• Multiple ascending dose study
with extension cohorts and
imaging sub-study
• Combination arms with HER1targeted therapies (erlotinib,
cetuximab)
• •Multiple ascending dose
study +/- paclitaxel with
extension cohorts
Primary
endpoint
• Safety, PK, PD
• Safety, PK
• Safety, PK, PD & preliminary
clinical activity
Status
• FPI Q3 2011
• FPI Q4 2011
• FPI Q4 2011
Molecule
Patient
population
Phase
# of patients
49
GA201 (RG7160)
Glycoengineered enhanced ADCC/anti-EGFR
monoclonal antibody
Patient
population
Phase
# of
patients
Design
Head and neck squamous cell
carcinoma
1st-line metastatic
non-small cell lung cancer
2nd-line metastatic
colorectal cancer
Phase I
Mechanism of action study
Phase Ib/II
Phase II
N=45
N=160
N=160
• ARM A: GA201
• ARM B: Cetuximab
Treated until disease progression:
Squamous
§ARM A: GA201 plus cisplatin and
gemcitabine
§ARM B: Cisplatin and gemcitabine
Non-Squamous
§ARM A: GA201 plus cisplatin and
pemetrexed
§ARM B: Cisplatin and pemetrexed
Treated until disease progression:
KRAS Wild Type
§ARM A: GA201 plus FOLFIRI
§ARM B: Cetuximab plus FOLFIRI
KRAS Mutant
§ARM A: GA201 plus FOLFIRI
§ARM B: FOLFIRI alone
Primary
endpoint
• Pharmacodynamics
• Part 1 – Safety
• Part 2 – PFS
• PFS
Status
• Recruitment completed Q1 2012
• Data presented at ASCO 2012
• Non-Squamous Part 2 accrual
•
complete 1Q 2012.
•
• Data from Part 1 Non-Sq. presented at •
ASCO 2012
•
• Squamous Part 1 halted and to be
investigated with new study
FPI Q2 2011
Recruitment completed Q3 2012
Design presented at ASCO 2012
Expect data in 2013
50
Metabolic development programmes
Inclacumab
(P-selectin huMAb, RG1512)
Molecule
GLP-1/GIP dual agonist
(MAR709, RG7697)
Prevention of saphenous vein
graft disease
Patients undergoing coronary artery
bypass graft (CABG) surgery
Acute Coronary Syndrome
(ACS)
Patients undergoing Percutaneous
Coronary Intervention (PCI)
Type 2 diabetes
Phase/study
Phase II
Phase II
Phase I
# of patients
N=384
N=516
N=48
Patient population
Design
32-week treatment period
•ARM A: RG1512 (20 mg/kg)
•ARM B: Placebo
Single infusion
•ARM A: RG1512 (5 mg/kg)
•ARM B: RG1512 (20 mg/kg)
•ARM C: Placebo
• single ascending dose (SAD)
study
• ARM A: RG7697 sc
• AMR B: placebo
Primary Endpoint
•Sapheneous vein graft reocclusion
•Procedural damage (troponin)
• Safety, PK
Status
• FPI Q4 2010
• FPI Q2 2011
• FPI Q3 2012
Collaborator
Genmab
Marcadia Biotech, Inc. acquisition
51
Neuroscience development programmes
Gantenerumab
(Anti-Αβ, RG1450)
BACE1 inhibitor
(RG7129)
Prodromal Alzheimer’s Disease
Alzheimer’s Disease
Phase/study
Phase II/III
SCarlet RoAD
Phase I
# of patients
N=770
N=175
Molecule
Patient
population
Design
104-week subcutaneous treatment period
•ARM A: RG1450 (225 mg)
•ARM B: RG1450 (105 mg)
•ARM C: Placebo
• Single ascending dose-escalation study
• Multiple ascending dose-escalation study
• CSF biomarker study
Primary
endpoint
• Change in CDR-SOB at 2 years
• Substudy: change in brain amyloid by PET at 2
years
• Safety
• Pharmacokinetics
• Pharmacodynamics
Status
• FPI Q4 2010
• Ph I PET data published in Arch. Neur. Q4 2011
• SAD: completed
• MAD: FPI Q3 2012
• CSF: FPI Q3 2012
Collaborator
Morphosys
CDR-SOB = Clinical Dementia Rating scale Sum of Boxes
Siena Biotech
52
Neuroscience development programmes
Monoamine oxidase type B (MAO-B) inhibitor
(RG1577, EVT-302)
Molecule
Patient
population
Alzheimer’s Disease
Phase
# of patients
Phase IIb
MAyflOwer RoAD
Phase I/II
Phase I
N=450
N=24
N=6
Design
•
•
•
•
Primary
endpoint
• Changes in ADAS-Cog at 52
weeks
• Brain enzyme occupancy
• Metabolic profile
• Route of elimination
Status
• Expect FPI Q4 2012
• FSI Q3 2012
• Clinical phase completed
In collaboration with Evotec
52-week oral treatment
ARM A: RG1577 (dose 1)
ARM B: RG1577 (dose 2)
ARM C: placebo
•
PET study in AD patients and •
healthy volunteers
Mass balance study
53
Neuroscience development programmes
Metabotropic glutamate receptor pathway
mGluR2 antagonist
(RG1578)
Molecule
Patient
population
mGluR5 antagonist
(RG7090)
Adjunctive Treatment of Major
Depressive Disorder
Adjunctive Treatment of Major
Depressive Disorder
Fragile X Syndrome
Phase/study
Phase II
Phase II
Phase II
# of patients
N=480
N=300
N=180
Design
•
•
•
•
Primary
endpoint
Status
ARM A: RG1578 5 mg
ARM B: RG1578 15 mg
ARM C: RG1578 30 mg
ARM D: Matching Placebo
§ ARM A: RG7090 0.5 mg
§ ARM B: RG7090 1.5 mg
§ ARM C: Matching Placebo
§ ARM A: RG7090 0.5 mg
§ ARM B: RG7090 1.5 mg
§ ARM C : Matching Placebo
• Efficacy - Montgomery Asberg
Depression Rating Scale
• Efficacy - Montgomery Asberg
Depression Rating Scale
• Efficacy, Safety and Tolerability
• Recruitment ongoing
• Expect data H2 2013
• Recruitment ongoing
• Expect data H2 2013
• Recruitment ongoing
• Expect data H2 2013
54
Neuroscience development programmes
GABRA5 negative allosteric modulator (NAM)
(RG1662)
Molecule
Patient
population
Phase
# of patients
Down Syndrome
Phase I
Phase I
Phase Ib
N=6
N=17
N=33
Design
• 28 day multiple dose study
in healthy volunteers
• Molecular and functional
imaging study in individuals
with DS and HV
• Multi-center, Randomized,
Double-blind, Placebocontrolled, Multiple Dose
Study in Individuals With
Down Syndrome
Primary
endpoint
• PK over 28 days, excretion
and metabolism
• GABAAalpha5 receptor
expression, occupancy and
functional connectivity
• Safety, tolerability
Status
• FPI Q3 2012
• FPI Q3 2012
• FPI Q4 2011
55
Neuroscience development programmes
V1 receptor antagonist
(RG7314)
Molecule
Patient
population
Autism
Phase
# of patients
Phase I
Phase I
N=45
N=up to 24
Design
•
SAD/MAD umbrella protocol
including food effect
Primary
endpoint
• Safety, Tolerability
• Safety, tolerability, PK and PD effects
of multiple doses of RG7314 with a
single dose of risperidone in healthy
subjects
Status
• FPI Q3 2011
• Enrollment completed Q2 2012
• Expect FPI Q4 2012
•
DDI study
56
Virology development programme
Setrobuvir
(RG7790)
Molecule
Patient
population
Chronic Hepatitis C
Phase
Phase II
# of patients
N= 283
Design
• ARM A: Setrobuvir/placebo (200 mg bid) + Pegasys + Copegus for 28-48 weeks* in
naïve patients
• ARM B: Setrobuvir/placebo (200 mg bid) + Pegasys + Copegus for 48 weeks in
treatment experienced patients (paritial responders & relapsers)
• ARM C: Setrobuvir (200 mg bid) + Pegasys + Copegus for 48 weeks in treatment
experienced patients (null responders)
* Response guided treatment
Primary
endpoint
• Sustained virological response 24 weeks after the end of study treatment
Status
• FPI Q1 2011
• Recruitment completed Q3 2011
Collaborator
Anadys Pharmaceuticals Inc. acquisition
Being investigated in Phase II in combination with Danoprevir and Mericitabine (see Mericitabine).
57
Roche Group development pipeline
Marketed products development programmes
Roche Pharma global development programmes
Roche Pharma research and early development
Genentech research and early development
Roche Group YTD Sept 2012 sales
Diagnostics
Foreign exchange rate information
58
Oncology development programmes
Angiogenic signaling
Anti-EGFL7 MAb
(RG7414)
Molecule
Patient
population
Advanced solid tumors
First-line metastatic
non-small cell lung cancer
First-line metastatic
colorectal cancer
Phase Ib
Phase II
NILE
Phase II
CONGO
N=~64
N=104
N=128
Phase
# of patients
Design
• ARM A: Anti-EGFL7 plus
• Anti-EGFL7 plus Avastin plus
Avastin
carbo/tax vs Avastin plus
• ARM B: Anti-EGFL7 plus
carbo/tax
Avastin and paclitaxel
• RCC expansion/Biopsy
Cohort: Anti-EGFL7 plus
Avastin
• Flat dose Cohort: Anti-EGFL7
plus Avastin
• ARM A: Anti-EGFL7 plus
Avastin plus FOLFOX
• ARM B: Avastin plus FOLFOX
Primary
endpoint
• Safety/PK
• PFS
• PFS
Status
• FPI Q1 2010
• Data presented at ASCO 2011
• FPI Q2 2011
• Enrollment completed Q3 2012
• FPI Q4 2011
• Enrollment completed Q3 2012
59
Oncology development programmes
Growth factor signaling
Anti-HER3 EGFR DAF MAb
(RG7597)
Molecule
Patient
population
Phase
Metastatic epithelial
tumors
Metastatic/recurrent
SCCHN
KRAS wild-type metastatic
colorectal cancer
Phase I
Phase II
MEHGAN
Phase II
DARECK
N=66
N=110
N=120
# of patients
Design
• Dose escalation study
• ARM A: RG7597
• ARM B: Cetuximab
• ARM A: RG7597+FOLFIRI
• ARM B:
Cetuximab+FOLFIRI
Primary
endpoint
• Safety/PK
• Progression-free survival
• Progression-free survival
Status
• FPI Q4 2010
• FPI Q3 2012
• Expect FPI Q4 2012
SCCHN=Squamous Cell Carcinoma of the Head and Neck
60
Oncology development programmes
Tumor Immunotherapy
Anti-PD-L1 MAb
(RG7446)
Molecule
Patient
population
Solid tumors
Solid tumors
Previously untreated
metastatic melanoma BRAF
mutation positive
Phase I
Phase I
Phase I
N=91
N=68
N=44
Phase
# of patients
Design
• Dose escalation study
• ARM A: RG7446+Avastin
• ARM B: RG7446+Avastin+
chemotherapy
• Dose escalation of RG7446Zelboraf* combination
Primary
endpoint
• Safety/PK
• Safety/PK
• Safety
Status
• FPI Q2 2011
• FPI Q2 2012
• Expect FPI Q4 2012
*Zelboraf In collaboration with Plexxikon, a member of Daiichi Sankyo Group
61
Oncology development programmes
Antibody drug conjugates (ADCs)
Molecule
Patient
population
Phase
Anti-STEAP1 ADC
(RG7450)
NME ADC
(RG7458 )
Anti-CD22 ADC
(RG7593)
Anti-CD22 ADC
(RG7593) vs. AntiCD79b ADC
(RG7596)
Anti-CD79b
(RG7596)
Prostate cancer
Ovarian cancer
Hematologic
malignancies
Non-Hodgkin's
Lymphoma
Hematologic
malignancies
Phase I
Phase I
Phase I
Phase II
Phase I
N=49
N=57
N=76
N=120
N=99
# of patients
Design
• Dose escalation
study
• Dose escalation
study
• Dose escalation
study
• RG7593 plus
rituximab
• RG7596 plus
rituximab
• Dose escalation
study
Primary
endpoint
• Safety
• Safety/PK
• Safety
• Safety and antitumor activity
• Safety
Status
• FPI Q1 2011
• FPI Q2 2011
• FPI Q4 2010
• FPI Q3 2012
• FPI Q1 2011
Collaborator
Seattle Genetics
and Agensys
Seattle Genetics
62
Oncology development programmes
Antibody drug conjugates (ADCs)
NME ADC
(RG7598)
NME ADC
(RG7599)
NME ADC
(RG7600)
NME ADC
(RG7636)
Multiple myeloma
NSCLC and ovarian
cancer
Pancreatic and ovarian
cancer
Metastatic or
unresectable
melanoma
Phase
Phase I
Phase I
Phase I
Phase I
# of patients
N=30-45
N=70
N=66-96
N=44-64
Molecule
Patient
population
Design
• Dose escalation study
• Dose escalation study
• Dose escalation study
• Dose escalation study
Primary
endpoint
• Safety
• Safety
• Safety
• Safety
Status
• FPI Q3 2011
• FPI Q2 2011
• FPI Q4 2011
• FPI Q1 2012
Collaborator
Seattle Genetics
63
Oncology development programmes
Small molecules
• Phase II studies
PI3K signaling
PI3 Kinase inhibitor
(GDC-0941, RG7321)
Molecule
Patient
population
2L ER+ metastatic breast cancer
Previously untreated advanced or recurrent
NSCLC
Phase II
FERGI
Phase II
FIGARO
N=340
N=302
Phase
# of patients
Design
• ARM A: GDC-0941 plus hormonal therapy
• ARM B: GDC-0980 plus hormonal therapy
• ARM C: Hormonal therapy + placebo
• ARM A: GDC-0941 + carboplatin + paclitaxel
• ARM B: Placebo + carboplatin + paclitaxel
• ARM C: GDC-0941 + carboplatin + paclitaxel
+ bevacizumab
• ARM D: GDC-0941 + carboplatin + paclitaxel
+ bevacizumab
Primary
endpoint
• PFS
• PFS
Status
• FPI Q3 2011
• FPI Q1 2012
64
Oncology development programmes
Small molecules (continued)
• Phase I studies
PI3K signaling
PI3 Kinase inhibitor
(GDC-0941, RG7321)
Molecule
Patient
population
2L HER2-positive metastatic
breast cancer
1L and 2L advanced non-small
cell lung cancer
2L metastatic non-small cell
lung cancer
Phase Ib
Phase Ib
Phase Ib
N=70
N=30
N=30
Phase
# of patients
Design
• Patients who have progressed
• ARM A: GDC-0941 plus
on Herceptin-based treatment
carboplatin/ paclitaxel (Avastin• ARM A: GDC-0941 plus T-DM1
ineligible patients)
• ARM B: GDC-0941 plus
• ARM B: GDC-0941 plus
Herceptin
carboplatin/ paclitaxel plus
Avastin (Avastin-eligible
patients)
• Single ARM: Evaluating GDC0941 plus Tarceva
Primary
endpoint
• Safety
• Safety
• Safety
Status
• FPI Q3 2009
• Data presented at SABCS 2010
• FPI Q4 2009
• Data presented at ASCO 2011
• FPI Q3 2009
65
Oncology development programmes
Small molecules (continued)
• Phase I studies
PI3K signaling
PI3 Kinase inhibitor
(GDC-0941, RG7321)
Molecule
Patient
population
Advanced solid tumors
Advanced solid tumors or NonHodgkin’s Lymphoma
1L HER2-negative metastatic
breast cancer
Phase Ia
Being conducted
in the US
Phase Ia
Being conducted
in the UK
Phase Ib
N=100
N=55
N=45
Phase
# of patients
Design
• Dose-escalating study
• Dose-escalating study
• Study includes multiple myeloma
extension cohort
• Single ARM: Evaluating GDC0941 plus paclitaxel and Avastin
Primary
endpoint
• Safety
• Safety
• Safety
Status
• FPI Q4 2007
• Additional data presented at
ASCO 2010 and ESMO 2010
• FPI Q1 2008
• Additional data presented at
ASCO 2010, ESMO 2010, and
ASCO 2011
• FPI Q3 2009
• Data presented at SABCS 2011
66
Oncology development programmes
Small molecules (continued)
• Phase II studies
PI3K signaling
PI3 Kinase/mTOR dual inhibitor
(GDC-0980, RG7422)
Molecule
Patient
population
Renal cell carcinoma
2L ER+ metastatic breast
cancer
Persistent or recurrent
endometrial carcinoma
2L Castration-resistant
prostate cancer
Phase II
ROVER
Phase II
FERGI
Phase II
Phase Ib/II
N=80
N=340
N=50
N=262
Phase
# of patients
Design
• ARM A: GDC-0980
• ARM B: Everolimus
• ARM A: GDC-0941 plus
hormonal therapy
• ARM B: GDC-0980 plus
hormonal therapy
• ARM C: Hormonal therapy
+ placebo
• Single-arm GDC-0980
• ARM A: GDC-0068 +
abiraterone
• ARM B: GDC-0980 +
abiraterone
• ARM C: Placebo +
abiraterone
Primary
endpoint
• PFS
• PFS
• PFS
• Safety (Ph IB)
• PFS (Ph II)
Status
• FPI Q4 2011
• Enrollment completed Q3
2012
• FPI Q3 2011
• FPI Q4 2011
• FPI Q1 2012
67
Oncology development programmes
Small molecules (continued)
• Phase I studies
PI3K signaling
PI3 Kinase/mTOR dual inhibitor
(GDC-0980, RG7422)
Molecule
Patient
population
Metastatic breast cancer
Solid tumors
Solid tumors
Phase Ib
Phase Ib
Phase Ib
N=65
N=80
N=95
Phase
# of patients
Design
Dose escalation study
• ARM A: GDC-0980 plus
paclitaxel
• ARM B: GDC-0980 plus
Avastin and paclitaxel
• ARM C: GDC-0980 plus
Herceptin and paclitaxel
Dose escalation study
• ARM A: GDC-0980 plus
carboplatin and paclitaxel
• ARM B: GDC-0980 plus
Avastin, carboplatin and
paclitaxel
• ARM A: GDC-0980 +
Xeloda
• ARM B: GDC-0980 plus
FOLFOX and Avastin
Primary
endpoint
• Safety
• Safety
• Safety
Status
• FPI Q4 2010
• FPI Q2 2011
• FPI Q3 2011
68
Oncology development programmes
Small molecules (continued)
• Phase I studies
PI3K signaling
PI3 Kinase/mTOR dual inhibitor
(GDC-0980, RG7422)
Molecule
Patient
population
Refractory solid tumors or NHL
Refractory solid tumors or NHL
Phase Ia
Phase Ia
N=75
N=65
Design
• Dose escalation study
• Dose escalation study
Primary
endpoint
• Safety
• Safety
Status
• FPI Q2 2009
• Data presented at ASCO 2010, ESMO
2010, and ASCO 2011
• FPI Q2 2009
• Data presented at ASCO 2010 and
ESMO 2010
Phase
# of patients
ASCO = American Society of Clinical Oncology; ESMO = European Society for Medical Oncology.
69
Oncology development programmes
Small molecules (continued)
AKT inhibitor
(GDC-0068, RG7440)
Molecule
Patient
population
Phase
# of patients
Solid tumors
Solid tumors
2L Castration-resistant
prostate cancer
Solid tumors
Phase Ia
Phase Ib
Phase Ib/II
Phase I
N=57
N=90
N=262
N=62
Design
• Dose escalation study
Dose escalation with:
•ARM A: docetaxel
or
•ARM B: fluoropyrimidine
plus oxaliplatin
or
•ARM C: paclitaxel
• ARM A: GDC-0068 +
abiraterone
• ARM B: GDC-0980 +
abiraterone
• ARM C: Placebo +
abiraterone
• Dose escalations study of
GDC-0973* in
combination with GDC0068
Primary
endpoint
• Safety/PK
• Safety
• Safety (Ph IB)
• PFS (Ph II)
• Safety/PK
Status
• FPI Q1 2010
• Data presented at ASCO
2011
• Recruitment completed
Q2 2012
• FPI Q3 2011
• Data presented at ASCO
and ESMO 2012
• FPI Q1 2012
• FPI Q2 2012
Collaborator
*GDC-0973 in collaboration with Exelixis
Array BioPharma
70
Oncology development programmes
Small molecules (continued)
Molecule
Patient
population
PI3 Kinase inhibitor
(GDC-0032, RG7604)
PI3 Kinase inhibitor
(GDC-0084, RG7666)
MEK inhibitor
(GDC-0623, RG7420)
Solid tumors
Progressive or recurrent
high-grade glioma
Solid tumors
Phase I
Phase I
Phase I
N=45
N=68
N=62
Phase
# of patients
Design
• Dose escalation study
• Dose escalation study
• Dose escalation study
Primary
endpoint
• Safety/PK
• Safety/PK
• Safety/PK
Status
• FPI Q1 2011
• FPI Q2 2012
• FPI Q2 2010
WEHI = The Walter and Eliza Hall Institute
71
Oncology development programmes
Small molecules (continued)
ChK1 inhibitor
(GDC-0425, RG7602)
ChK1 inhibitor
(GDC-0575, RG7741)
Bcl-2 selective inhibitor
(GDC-0199, RG7601)
Solid tumors or lymphoma
Solid tumors or lymphoma
Relapsed or refractory CLL
and NHL
Phase I
Phase I
Phase I
N=75
N=45
N=52
Molecule
Patient
population
Phase
# of patients
Design
• Dose escalation study
• Dose escalation study
• Dose-escalation study
Primary
endpoint
• Safety/PK
• Safety/PK
• Safety/PK/Response rate
Status
• FPI Q3 2011
• FPI Q2 2012
• FPI Q2 2011
• Data submitted for
presentation at ASH 2012
Collaborator
WEHI = The Walter and Eliza Hall Institute
Array BioPharma
Abbott and WEHI
72
Immunology development programmes
Molecule
Patient
population
Pateclizumab
(Anti-LT α, RG7416)
Quilizumab
(Anti-M1 prime, RG7449)
Rheumatoid
arthritis
Asthma
Allergic asthma patientsinadequately controlled
Phase/study
Phase IIa
ALTARA
Phase IIa
SOLARIO
Phase IIb
COSTA
# of patients
N=210
N=28
N=560
Design
Primary
endpoint
Status
• ARM A: Anti-LT alpha plus
DMARD (leflunomide or
methotrexate)
• ARM B: Adalimumab plus
DMARD (leflunomide or
methotrexate)
• ARM C: Placebo plus DMARD
(leflunomide or methotrexate)
• ARM A: Anti-M1 prime
• ARM B: Placebo
SC administration on top of SoC
•ARM A: RG7449 300mg
•ARM B: RG7449 150mg
•ARM C: RG7449 450mg
•ARM D: Placebo
• Disease Activity Score (DAS28) at
Day 85
• Late airway response (LAR) at Day
86
• Rate of protocol-defined
exacerbations from baseline to
week 36
• FPI Q4 2010
• Recruitment completed Q2 2012
• FPI Q4 2010
• Enrollment completed Q2 2011
• Data presented at ATS 2012 and
ERS 2012
• FPI Q2 2012
DMARD = Disease-Modifying Anti-Rheumatic Drugs
73
Immunology development programmes
Molecule
Patient
population
Etrolizumab
(rhuMAb-β7, (RG7413)
anti-IL17
(RG7624)
Ulcerative
colitis
Autoimmune diseases
Phase/study
Phase I
Phase II
EUCALYPTUS
Phase Ib
# of patients
N=48
N=120
N=21
Design
• Dose escalation study
• ARM A: RhuMAb-β7 (100 mg)
plus immunosuppressant
• ARM B: RhuMAb-β7 (300 mg)
plus immunosuppressant
• ARM C: Placebo plus
immunosuppressant
Primary
endpoint
• Safety and tolerability
• Clinical Remission (Mayo Clinic
Score) at Week 10
• Safety and tolerability
Status
• Enrolment completed Q3 2010
• FPI Q3 2011
• Enrollment completed Q3 2012
• FPI Q1 2012
• Enrollment completed Q2 2012
Collaborator
• Randomized, double-blind,
placebo-controlled, multiple
ascending dose escalation study
NovImmune
74
Neuroscience and ophthalmology development
programmes
Molecule
Crenezumab
(Anti-Αβ, RG7412)
Anti-Factor D
(RG7417)
Alzheimer’s
Disease
Geographic atrophy (GA) secondary
to age-related macular
degeneration
Patient
population
Phase/study
Phase II
ABBY
Cognition study
Phase II
BLAZE
Biomarker study
Phase Ib/II
MAHALO
# of patients
N=360
N=72
N=143
Design
• ARM A: Anti-Abeta subcutaneous
• ARM B: Anti-Abeta IV
• ARM C: Placebo
• ARM A: Anti-Abeta subcutaneous
• ARM B: Anti-Abeta IV
• ARM C: Placebo
• Part 1: Open-label
• Multiple dosing
• Part 2: Randomised
• ARM A: Anti-Factor D injection
• ARM B: Sham Injection
Primary
endpoint
• Change in cognition (ADAS-cog) and
Clinical Dementia Rating, Sum of
Boxes (CDR-SOB) score from
baseline to week 73
• Change in brain amyloid load from
baseline to week 69
• Part 1: Safety
• Part 2: Growth rate of GA lesions at
months 12
Status
• FPI Q2 2011
• Enrollment completed Q3 2012
• FPI Q3 2011
• Enrollment completed Q3 2012
• Part 1 FPI Q4 2012
• Part 2 FPI Q2 2011
• Enrollment completed Q4 2011
Collaborator
AC Immune
75
Metabolism and virology development
programmes
Anti-oxLDL
(RG7418, BI-204)
Anti-PCSK9
(RG7652)
NME
(RG7667)
Secondary prevention of
cardiovascular events in patients
with ACS
Metabolic diseases
Infectious diseases
Phase/study
Phase II
Proof of activity study
Phase II
EQUATOR
Phase I
# of patients
N=144
N=224
N=181
Molecule
Patient
population
Design
• ARM A: Anti-oxLDL (single dose)
and statin
• ARM B: Anti-oxLDL (repeating
dose) and statin
• ARM C: Placebo and statin
SC dosing every 4 weeks
• Experimental: five different doses of
RG7652
• Placebo
• RG7667
• Placebo
Primary
endpoint
• Change in TBR as measured by
FDG-PET/CT at week 12
• Absolute change from baseline in
LDL-c concentration
• Safety, PK
Status
• Study did not meet primary endpoint
• Project will not proceed into
phase IIb development
• FPI Q2 2012
• FPI Q1 2012
• Recruitment completed Q3 2012
BioInvent
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