Company Presentation

DELIVERING ON
OUR STRATEGY
Copyright © 2014 Actelion Pharmaceuticals Ltd
The following information contains certain “forward-looking statements”, relating to the
company’s business, which can be identified by the use of forward-looking terminology such
as “estimates”, “believes”, “expects”, “may”, “are expected to”, “will”, “will continue”, “should”,
“would be”, “seeks”, “pending” or “anticipates” or similar expressions, or by discussions of
strategy, plans or intentions. Such statements include descriptions of the company’s
investment and research and development programs and anticipated expenditures in
connection therewith, descriptions of new products expected to be introduced by the company
and anticipated customer demand for such products and products in the company’s existing
portfolio. Such statements reflect the current views of the company with respect to future
events and are subject to certain risks, uncertainties and assumptions. Many factors could
cause the actual results, performance or achievements of the company to be materially
different from any future results, performances or achievements that may be expressed or
implied by such forward-looking statements. Should one or more of these risks or uncertainties
materialize, or should underlying assumptions prove incorrect, actual results may vary
materially from those described herein as anticipated, believed, estimated or expected.
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© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
DELIVERING ON OUR STRATEGY
OUR THREE KEY PRIORITIES
SUSTAIN AND
GROW THE PAH
FRANCHISE
BUILD
ADDITIONAL
SPECIALTY
FRANCHISE
OPTIMIZE PROFITABILITY
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© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
KEY FINANCIAL AND OPERATIONAL HIGHLIGHTS
9M 2014 –STRONG MOMENTUM MAINTAINED
 Strong financial performance
–
Sales of CHF 1,488 million, up 17% at CER(1) – 12% excluding US rebate
reversals
–
Core earnings CHF 630 million, increase of 34% at CER – 21% excluding
US rebate reversals
 Opsumit® launch momentum remains strong
–
Strong Opsumit launch momentum continues
–
Approvals and well-differentiated label around the world
 Selexipag data - as planned
–
1
4
Regulatory filing process on track
Constant Exchange Rates
© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
DELIVERING ON OUR STRATEGY
SUSTAIN AND
GROW THE PAH
FRANCHISE
BUILD
ADDITIONAL
SPECIALTY
FRANCHISE
OPTIMIZE PROFITABILITY
5
© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
THE FIRST DECADE OF SHAPING PAH TREATMENT
TRACLEER: FIRST ORAL PRODUCT IN PAH
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© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
GLOBAL LEADERSHIP IN PAH IN SECOND DECADE
EXPANDING THE TREATMENT OPTIONS
* Selexipag is an investigational drug and not approved for use.
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© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
DEFINING THE FUTURE OF PAH TREATMENT
COVERING CONTINUUM OF CARE AND GROWING PAH FRANCHISE
FCII
FCIII
(in Monotherapy and/or combination with PDE5)
* Selexipag is an investigational drug and not approved for use.
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© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
FC IV
OPSUMIT®
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© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
ENGINE OF TRANSFORMATION: OPSUMIT®
HIGHLIGHTS
 Standard setting SERAPHIN trial with ground-breaking outcome data
 Highly differentiated label in US and EU.
 Re. Liver enzyme monitoring: Label language at par with Ambrisentan
 Launched in 16 countries by Sept 2014 including US, several EU countries,
Switzerland, and Canada
 Blockbuster potential
 Included in the Nice guidelines published in Journal of the American College of
Cardiology* – Dec 2013
* Galiè N, Corris PA, Frost A, et al. Updated Treatment Algorithm of Pulmonary Arterial Hypertension. J Am Coll Cardiol 2013;62:D60–72
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© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
STRATEGIC PRIORITIES
Upgrade ERA
& 1st Line
Co
New treatment option for patients on an ERA today
priority
Early combination
with PDE5-i
Patients on PDE5 monotherapy today
- to be treated in combination with Opsumit
LAUNCH
1st
priority
1st choice
ERA
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© 2014 Actelion Pharmaceuticals Ltd
December 2014
ERA naive patients who would be treated with
Tracleer or Letairis today
Company presentation
OPSUMIT® LAUNCH MOMENTUM CONTINUES
CHF million
 Strong launch momentum maintained
– YTD 112 Mio SFR sales
 Global roll-out update:
–
Launched in: US, Germany, Austria,
Switzerland, Canada, UK, Ireland,
Denmark, Norway, Sweden and NL
–
QIII launches: Italy, Belgium,
Luxembourg and Australia
–
QIV launches: Mexico*(private market)
and Finland
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38
15
5
Q4 2013
Q1 2014
Q2 2014
Q3 2014
 Registration process proceeding well in
Japan; filed in other markets
* Trade name Zependo
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© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
MACITENTAN DEVELOPMENT
UPDATE
Macitentan
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© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
OBJECTIVES OF MACITENTAN CLINICAL EXPANSION
 Better characterize Macitentan benefits in patients with PAH
(e.g. Eisenmenger Syndrome)
 Extend use beyond PAH in other forms of Pulmonary Hypertension
 Develop for diseases beyond PH (e.g. Glioblastoma)
 Development program for pediatric use in PAH
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© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
EXTEND USE IN PULMONARY HYPERTENSION
CHRONIC THROMBOEMBOLIC PULMONARY HYPERTENSION
(MERIT STUDY)
 Chronic thromboembolic pulmonary hypertension (CTEPH) is a form of
pulmonary hypertension caused by old blood clots in the lungs (pulmonary
embolism)
 Phase II study “MERIT-1” initiated
 Goal is assessment of efficacy and safety of macitentan in CTEPH
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© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
EXTEND USE IN PULMONARY HYPERTENSION
COMBINED PRE- AND POST-CAPILLARY PULMONARY
HYPERTENSION DUE TO LEFT VENTRICULAR DYSFUNCTION
(CpcPH)
 CpcPH is pulmonary hypertension secondary to left ventricular dysfunction
based on the difference between the diastolic pulmonary artery pressure (dPAP)
and the pulmonary artery wedge pressure (PAWP), or diastolic pulmonary
vascular pressure gradient (DPG).
 Phase II “MELODY” study enrolling patients
 Goal is assessment of efficacy and safety of macitentan in CpcPH
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© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
MACITENTAN - POTENTIAL INDICATIONS BEYOND PH
GLIOBLASTOMA: AREA OF HIGH UNMET MEDICAL NEED
 Glioblastoma (GBM) most common and aggressive malignant brain
tumor, with approximately 5 cases per 100’000
 Macitentan in GBM (with TMZ) Phase I tolerability study ongoing
(dose of 150 mg reached), no safety issues raised to date
 Further steps to be discussed with health authorities
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© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
TRACLEER®
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© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
TRACLEER®
SOLID VOLUME GROWTH IN NON-OPSUMIT MARKETS
CHF million
 Positive impact of US rebate reversals
and 2013/2014 US price increases
+5% CER Growth
 Global units sales flat – despite erosion
in Opsumit markets and increasing Gx
competition (Poland, Czech, Mexico)
1,138
1,153
 Stayveer launched by Marklas in
Poland and Czech Republic
 Solid growth ex-US – driven by
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9M 2013
9M 2014
© 2014 Actelion Pharmaceuticals Ltd
December 2014
Digital Ulcer and PAH emerging
markets (China, Russia, Asian and
Latin America business)
Company presentation
VELETRI®
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© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
VELETRI®
BECOMING A TRULY GLOBAL ASSET
CHF million
+93% CER Growth
 Accelerated growth trajectory
 Ongoing global launches - most recently
available in Australia and NZ
 Continued strong uptake in Japan*
- adversely affected going forward by
price reduction March 01 2014
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25
9M 2013
9M 2014
* Trade name Epoprostenol “ACT”
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© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
VENTAVIS®
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© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
VENTAVIS®
SUSTAINING OUR BUSINESS
CHF million
8% CER Variance
 Increasing competitive pressure
 16% decline in units shipped
 Top line maintained through price
83
increase and positive effects of US
rebate accrual reversals
86
 Ready to defend our position in the
market
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9M 2013
9M 2014
© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
OPEN THE PROSTACYCLIN
PATHWAY TO MORE PATIENTS
Selexipag
Selexipag is an investigational drug and not approved for use
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© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
SELEXIPAG*: STRENGTHENING OUR PAH FRANCHISE
FIRST SELECTIVE ORAL IP PROSTACYCLIN RECEPTOR AGONIST
 Originally discovered and synthesized by Nippon Shinyaku
 Selexipag selectively targets the prostacyclin receptor (also called IP-receptor)
 The IP receptor is one of 5 types of prostanoid receptor
 Selexipag, unlike prostacyclin analogs, is selective for the IP receptor over other
prostanoid receptors
 Globally around 10,000-12,000 patients are receiving prostacyclin or
prostacyclin analog therapy
* Selexipag is an investigational drug not approved for use.
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© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
GRIPHON IN PAH
A PIVOTAL PHASE III OUTCOME STUDY
 A multicenter, double-blind, placebo-controlled Phase III study assessing the
safety and efficacy of selexipag on morbidity and mortality in patients with
pulmonary arterial hypertension
* Selexipag is an investigational drug and not approved for use.
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© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
GRIPHON - STUDY OBJECTIVES
►
PRIMARY
To demonstrate the effect of selexipag on time to first
morbidity and mortality event in patients with pulmonary
arterial hypertension (PAH)
►
To evaluate the effect of selexipag on exercise capacity and
other secondary and exploratory efficacy endpoints in
patients with PAH
►
To evaluate the safety and tolerability of selexipag in patients
with PAH
SECONDARY
* Selexipag is an investigational drug and not approved for use.
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© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
GRIPHON – STUDY OVERVIEW
POPULATION
►
1156 adult WHO Group I PAH patients
STUDY PERIOD
►
December 2009 – April 2014
►
Patients randomized 1:1
►
Patients were treated for up to 4.3 years
►
February 2014, the study reached the total number of
DETAILS
primary endpoint events required to close the study
* Selexipag is an investigational drug and not approved for use.
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© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
DOSING IN GRIPHON
 Uptitration of selexipag allows each patient's maintenance dose to be
individualized based on tolerability.
Selexipag or placebo
twice daily
Individual Maintenance Dose
1600 mcg
1400 mcg
1200 mcg
1000 mcg
800 mcg
600 mcg
400 mcg
200 mcg
Visit 1
(randomization)
* Selexipag is an investigational drug and not approved for use.
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© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
PERMITTED BACKGROUND THERAPY
ORAL MEDICATIONS SPECIFIC FOR PAH
 When on a stable dose for at least 3 months prior to enrollment patients could
receive:
–
endothelin receptor antagonist (ERA)
–
phosphodiesterase-5 (PDE-5) inhibitor
–
or a combination of the two
* Selexipag is an investigational drug and not approved for use.
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© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
GRIPHON: PRIMARY ENDPOINT
TIME TO FIRST MORBIDITY/MORTALITY EVENT
Death (all-cause
mortality)
Patients in FC II or III at
baseline:
OR
↓ in 6MWD from Baseline (≥15%,
confirmed by 2 tests on different
days within 2 weeks)
Hospitalization for
worsening of PAH
OR
Time to 1st morbidity or
mortality event
Worsening of FC
Worsening of PAH
resulting in need for
lung transplantation
or balloon atrial
septostomy
OR
Initiation of IV or SC
prostanoids or
chronic O2 therapy for
worsening PAH
OR
* Selexipag is an investigational drug
and not approved for use.
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© 2014 Actelion Pharmaceuticals Ltd
Disease Progression
December 2014
AND
Company presentation
Patients in FC III or IV at
baseline:
↓ in 6MWD from Baseline (≥15%,
confirmed by 2 tests on different
days within 2 weeks)
AND
Need forAND
additional PAH
treatment(s)
All events
adjudicated
by a
blinded
critical
events
committee
(CEC)
PRIMARY EFFICACY ENDPOINT MET
PATIENTS WERE TREATED FOR UP TO 4.3 YEARS.
 Selexipag
–
decreased the risk of a morbidity/mortality event versus placebo by 39%
–
p<0.0001
 Efficacy observed was consistent across key subgroups:
–
age,
–
gender,
–
WHO Functional Class,
–
PAH etiology and
–
background PAH therapy
* Selexipag is an investigational drug and not approved for use.
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© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
SAFETY AND TOLERABILITY
 The overall tolerability profile of selexipag in GRIPHON was consistent with
prostacyclin therapies.
 The most common adverse events in GRIPHON that occurred with higher
frequency on selexipag than placebo were in-line with those known in
prostacyclin therapies;
–
headache, diarrhea, nausea, jaw pain, vomiting, pain in extremity, myalgia,
nasopharyngitis and flushing.
 The proportion of patients discontinuing treatment due to adverse events was
14% on selexipag and 7% on placebo.
* Selexipag is an investigational drug and not approved for use.
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© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
GRIPHON RESULTS
 Positive study – primary endpoint met
 The most common adverse events in GRIPHON that occurred with higher
frequency on selexipag than placebo were in-line with those known in
prostacyclin therapies
 First regulatory filings with US FDA & EMA initiated in December 2014
 Data to be presented at upcoming congress
* Selexipag is an investigational drug and not approved for use.
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© 2014 Actelion Pharmaceuticals Ltd
DELIVERING ON OUR STRATEGY
SUSTAIN AND
GROW THE PAH
FRANCHISE
BUILD
ADDITIONAL
SPECIALTY
FRANCHISE
OPTIMIZE PROFITABILITY
35
© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
VALCHLOR®
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© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
VALCHLOR®
EXPANDING OUR SPECIALTY BUSINESS
 9M 2014 sales: CHF 6.6 million
USD million
 For topical treatment of mycosis
fungoides–type cutaneous t-cell
lymphoma (a rare form of non-Hodgkin’s
lymphoma) in patients who have received
prior skin-directed therapy
3.8
 Approx. 18,000 patients in US of which
30-40% considered candidates for
Valchlor treatment
2.3
1.2
Q1 2014
 Sales force expansion complete
Q2 2014
Q3 2014
 The registration process for other
countries is under evaluation
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© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
ZAVESCA®
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© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
ZAVESCA®
NIEMANN-PICK TYPE C INDICATION DRIVING GROWTH EX-US
CHF million
+15% CER Growth
 Underlying volume growth +18%
 Driven by continued growth in the
Niemann-Pick Type C (NP-C)
indication outside US and new
markets (i.e. Japan*)
73
81
 US growth driven by positive price
effect
 Gx miglustat approved in Spain and
9M 2013
Denmark for the GD1 indication only
– more EU markets expected to
follow
9M 2014
* Trade name Brazaves
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© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
BUILD ADDITIONAL SPECIALTY
FRANCHISE
CADAZOLID:
Clostridium difficile-associated diarrhea
Cadazolid is investigational, in development and not approved or marketed in any country.
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© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
CADAZOLID: OUR NOVEL ANTIBIOTIC
 For treatment of Clostridium difficile-associated diarrhea (CDAD)
 Clostridium difficile is a spore-forming bacteria that is best known for
causing antibiotic-associated diarrhea
 Cadazolid:
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–
Strong inhibitor of Clostridium difficile protein synthesis leading to strong
suppression of both toxin and spore formation
–
Narrow spectrum – very limited effect on normal gut microflora – potential for
selective treatment for Clostridium difficile in the gut = less recurrence
–
In vitro tests demonstrate low propensity for resistance development
–
Negligible absorption, safe and well tolerated
–
US FDA designated cadazolid as both a Qualified Infectious Disease
Product (QIDP) and a Fast Track development program
© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
CADAZOLID: PROGRESSING AS PLANNED
 Large Phase III program
 Two identical multi-center, randomized, double-blind studies designed to
demonstrate:
–
Non-inferior clinical response with cadazolid compared to vancomycin
–
Superior sustained clinical response with cadazolid compared to vancomycin
–
Efficacy on hypervirulent strains
 Enrollment of >1,250 patients worldwide commenced in Q4 2013
 Results expected in 2016
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© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
BUILD ADDITIONAL SPECIALTY
FRANCHISE
S1P RECEPTOR MODULATION
Ponesimod is investigational, in development and not approved or marketed in any country.
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© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
S1P RECEPTOR MODULATORS: PONESIMOD
 Continued belief in the therapeutic value of ponesimod
 Long-term treatment in the multiple sclerosis Phase II extension study under
evaluation
 Opportunity to proceed with an innovative treatment paradigm under
assessment
 Any further development will carefully balance:
– Clinical risk and investment
– Medical need and commercial opportunity
– Incorporating health authority input
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© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
S1P1 FOLLOW UP: IMMUNOLOGICAL DISORDERS
 Currently evaluated in Phase I
 Tolerability data in human volunteers suggest differentiation from products on
the market or compounds in development
 After Phase I program is completed, decision on future direction will be made
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© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
LOOKING TO THE FUTURE: OUR PIPELINE
PROMISING PROJECTS TO DELIVER FUTURE SUCCESS
Phase I
Phase II
Selexipag
PAH
Cadazolid
Clostridium difficile assoc. diarrhea
Macitentan
Eisenmenger syndrome
Ponesimod
Multiple Sclerosis
Macitentan
CTEPH
Macitentan
CpcPH
Lucerastat
Lipid storage disorders
Macitentan
Glioblastoma
S1P1 follow-up
Immunological Disorders
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© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
Phase III
Regulatory Filing
OUR RICH DISCOVERY PIPELINE
 >15 promising projects advancing in Drug Discovery
 Focus towards specialty markets and rare diseases with high unmet medical
need
 Current clinical pipeline to build solid portfolio for future revenue growth
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© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
DELIVERING ON OUR STRATEGY
OUR THREE KEY PRIORITIES
SUSTAIN AND
GROW THE PAH
FRANCHISE
BUILD
ADDITIONAL
SPECIALTY
FRANCHISE
OPTIMIZE PROFITABILITY
48
© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
FIRST NINE MONTHS 2014 – FINANCIAL OVERVIEW
Variance
Product sales
CHF million
9M 2013
9M 2014
CHF
CER
1,322
1,488
13%
17%
496
630
27%
34%
397
519
31%
39%
3.54
4.77
35%
42%
Core earnings
CHF million
Operating income
CHF million
Core EPS
CHF
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© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
NINE MONTHS 2014 – CORE EARNINGS
CORE EARNINGS UP 21% AT CER - EX REBATE REVERSALS
CHF million
34
105
63
664
630
630
FX
9M'14 CE as
reported
496
9M '13 CE
50
Net impact of
rebate reversals
© 2014 Actelion Pharmaceuticals Ltd
9M '14 intrinsic CE 9M '14 CE at CER
growth
December 2014
Company presentation
NINE MONTHS 2014 – EARNINGS PER SHARE
Variance
9M 2013
9M 2014
CHF
CER
304
566
86%
97%
Basic EPS
2.73
5.09
Number of shares in calculation (m)
111.6
111.2
87%
98%
Fully diluted EPS
2.65
4.87
Number of shares in calculation (m)
114.9
116.2
84%
95%
Net income
CHF million
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© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
FINANCIAL GUIDANCE
AT CONSTANT EXCHANGE RATES
2014 Core earnings
Growth low twenties percentage range
2014 Core earnings
ex US rebate reversals
Growth mid-teen percentage range
2015 Core earnings
Due to higher 2014 base, 2015 guidance will
be reviewed early next year
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© 2014 Actelion Pharmaceuticals Ltd
December 2014
Company presentation
DELIVERING ON
OUR STRATEGY
Copyright © 2014 Actelion Pharmaceuticals Ltd