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22/2 15:53 af Jan Van de Winkel |
In a moment we will be ready. Are you ready for us?
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22/2 15:53 af Helge Larsen/PI-redaktør |
Yes. :-)
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22/2 15:55 af Jan Van de Winkel |
We are ready to start when you are. This is Jan van de Winkel, David Eatwell and Judith Klimovsky here.
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22/2 15:55 af Helge Larsen/PI-redaktør |
Good afternoon.
Welcome to Q&A here on ProInvestor.com.
We are very happy to have you back here and ready to answer questions from our
investors.
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22/2 15:56 af Jan Van de Winkel |
Looking forward to the first questions.
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22/2 15:56 af Helge Larsen/PI-redaktør |
First of all let me congratulate on the great results for 2017 . Can you give us a
short-term update on key figures and important events?
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22/2 15:57 af Jan Van de Winkel |
Key figures: 2017 revenue up 30% - expenses up 34% and Op income up 28%. A record revenue level for Genmab, highest ever Op Income and highest ever cash position for the company.
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22/2 15:58 af Jan Van de Winkel |
In terms of the events and progress. Darzalex sales continued rapidly and passed blockbuster status....
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22/2 15:58 af Jan Van de Winkel |
great results in key frontline ph 3 Alcyone study....
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22/2 15:58 af Jan Van de Winkel |
and encouraging ph I/II data in cervical cancer with Tisotumab vedotin and announcement of a potential pivotal trial....
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22/2 15:59 af Jan Van de Winkel |
two more INDs filed for Genmab proprietary programs, DuoBody-CD3xCD20 and HexaBody-DR5/DR5....
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22/2 15:59 af Jan Van de Winkel |
and finally approvals in EU; US and Japan for Darzalex and an IND filed in RA by Janssen.
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22/2 16:00 af Helge Larsen/PI-redaktør |
The stock market appreciates Genmab's guidance for 2018 today. What do you expect in key figures and important events this year?
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22/2 16:01 af Jan Van de Winkel |
Guidance for 2018 - midpoints: revenue 2.9 bn DKK, expenses 1.5 bn DKK and op income 1.4 bn DKK. Darzalex sales midpoint 2.15 bn USD, royalties DKK 1.75 bn.
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22/2 16:02 af Jan Van de Winkel |
Events: readout from two key Phase 3 studies in Frontline MM, Maia and Cassiopeia....
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22/2 16:03 af Jan Van de Winkel |
clinical data from Tisotumab vedotin in other solid cancers, (in 2H), and early clinical data HuMax-AXL-ADC (2H)...
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22/2 16:04 af Jan Van de Winkel |
expected approval in Frontline MM DVMP... US likely first, and in EU 2H, and filing in Japan for this combination...
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22/2 16:04 af Jan Van de Winkel |
and data in solid tumors should come in the 2H of this year....
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22/2 16:05 af Jan Van de Winkel |
and further visibility on Genmab's worldclass pipeline and clinical programs at 2018 CMD aimed for September.
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22/2 16:05 af jkj |
What dollar rate is the basis for your 2018 forecast.
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22/2 16:05 af Jan Van de Winkel |
1 USD - 6.00 DKK
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22/2 16:07 af GeorgeBest |
How much do you expect peak sales for ofatumumab in MS can reach - if approved? And in which time frame?
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22/2 16:08 af Jan Van de Winkel |
the size of the market currently is over 18 bn USD and is expected to grow rapidly over the coming years....
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22/2 16:08 af Jan Van de Winkel |
Novartis already positions Ofatumumab as a candidate blockbuster....
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22/2 16:09 af Jan Van de Winkel |
and Ocrevus from Roche (a CD20 antibody on the market in MS) shows impressive sales numbers from launch.
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22/2 16:09 af Bulder |
There are a couple of smaller ISS phase 2 studies of D+KRd frontline MM already. When will we see a large Janssen sponsored phase 3 study of D+KRd in the frontline ASCT-eligible setting?
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22/2 16:10 af Jan Van de Winkel |
We already have a Phase 3 study with Krypolis in second line which is actively recruiting....
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22/2 16:10 af Jan Van de Winkel |
and are currently working on new frontline combination studies with Janssen in the transplant eligible setting.
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22/2 16:11 af Bulder |
From the R&D-presentation in december we can see that you plan a TV combo in frontline cervical. Which other drug(s)?
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22/2 16:11 af Jan Van de Winkel |
We are in the process of finalising the protocols and will communicate once ready.
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22/2 16:12 af Bulder |
Can dara combine with BCMA car-t or other BCMA-targeted therapies (ADC or bispecifics) in MM in the future?
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22/2 16:12 af Jan Van de Winkel |
In principle these could be combinable, with BCMA ADC as a more logical combination partner for dara.
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22/2 16:13 af Bulder |
Do you think that D+Vmp in frontline MM vil be used in the US, as many us-doctors think that melphalan is a bit obsolete? Or could the combination be used in frontline without melphalan? Or maybe with the US-equivalent CyBorD?
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22/2 16:14 af Jan Van de Winkel |
This is mainly an EU regimen, albeit that VMP is also used in Japan as a popular regimen.
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22/2 16:14 af Bulder |
GSK terminated a couple of studies with IV ofa in RA, but did complete one safety study with sc ofa. Are there any plans of resuming trials with sc ofa in RA, now that Novartis has taken over?
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22/2 16:15 af Jan Van de Winkel |
currently Novartis is focusing MS, but is aware of good data with the sub Q formulation with ofatumumab in RA.
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22/2 16:15 af Solsen |
Mr Winkel: Have Genmab been dosing the first patients in DR5xDR5 or CD3xCD20. And how quick is the escalation planned ?
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22/2 16:16 af Jan Van de Winkel |
We are about to start the two studies, and will update the market on progress over the coming months.
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22/2 16:17 af Solsen |
Mr. Winkel. According to KOL from MD Anderson Isatuximab probably has stronger inhibition of the ecto enzymatic activation versus other CD38 antibodies. This might lead to better efficacy in solid cancers. What are your expectation to the competition from Isatuximab in solid cancers. Sanofi has announced a massive investment in solid cancers. We havent seen much to JNJ/Janssens intentions in solid cancers ?
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22/2 16:19 af Jan Van de Winkel |
Daratumumab has the broadest mechanism of action of all CD38 antibodies. It is unclear which mechanisms play a key role in the immuno modulatory action of CD38 antibodies. Dara has been shown unusually potent in activating the immune system in MM patients. So seems to be highly active which bodes well for its potential in solid tumors.
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22/2 16:19 af E L |
Do you have an estimate on the number of patients treated with Dara AND the number of patients in clinical trials? Do patients get Dara for free or at cost in clinical trials?
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22/2 16:20 af Jan Van de Winkel |
There are around 11,000 patients involved in daratumumab studies and the number is rapidly rising as new studies come online.
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22/2 16:20 af E L |
Do you expect any uptake of Dara-VMP for US patients if approved by the FDA, or in other words, could it change US practice away from Revlimid?
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22/2 16:21 af Jan Van de Winkel |
Right now Rev dex is the key combination in the US, and VMP in Europe.
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22/2 16:21 af E L |
In january you started a “Study to evaluate Subcutaneous Daratumumab in combination with Standard Multiple Myeloma Treatment Regimens”, which is a Phase 2. You already have the Phase 3 SC vs IV study; could these 2 clinical trials be the basis for an overall approval of SC in all lines and settings?
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22/2 16:22 af Jan Van de Winkel |
This is a good thought.
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22/2 16:22 af Mcjean |
Yesterday D. Eatwell was mention DVMp-approval in august. Isnt it correct that CMHP will discuss it in marts and approve it 2 month after in may? If yes, will that not influence the sale in a positive way, because you get 3 month more sale and maybe influence the guiding for the year? Second will DVMp could be used in US in some way off record?
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22/2 16:23 af Jan Van de Winkel |
The CHMP recommends for approval, and approval tends to come 60 days after the CHMP recommendation.
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22/2 16:23 af MrEbbe |
You mentioned that the explanation on stagnation on the US sales is issues with capacity, what are J&J and Genmab doing to solve this for the future?
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22/2 16:24 af Jan Van de Winkel |
The issue discussed was availability of infusion capacity in healthcare centers, it is likely that a 90 min infusion as per data from Ohio State at ASH, is already improving the availability of infusion capacity....
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