Committed to innovation and growth Roland Diggelmann, COO Roche Diagnostics Bad Ragaz, 16 Jan 2015
Committed to innovation and growth Roland Diggelmann, COO Roche Diagnostics Bad Ragaz, 16 Jan 2015
Business model & strategy
Q3 2014 overview
Major products, launches and newsflow
Building a leading sequencing solution
Outlook
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In-Vitro Diagnostics market overview Large and growing market; Roche is market leader
3 Source: Roche Analysis, Company reports for 2013 validated by an independent IVD consultancy
Market share
20%
11%
10%
8% 7% 3%
40%
Roche
Abbott
Siemens
J&J Danaher Biomerieux
Others
Market size
USD 52 bn
Molecular Diagnostics
Professional Diagnostics
Tissue Diagnostics
Diabetes Monitoring
Our business model Place instruments to generate recurring revenues through reagent usage
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Closed Systems
best instrument technology broadest menu
Our strategy Differentiation through innovation in testing efficiency and medical value
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2012 2020
Medical Value
Drivers of competitive differentiation
Testing Efficiency
Business model & strategy
Q3 2014 overview
Major products, launches and newsflow
Building a leading sequencing solution
Outlook
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2014
2013
CHFm CHFm CHF CER
Diagnostics Division 7,792 7,677 1 6
Professional Diagnostics 4,397 4,251 3 8
Diabetes Care 1,721 1,781 -3 1
Molecular Diagnostics 1,165 1,164 0 5
Tissue Diagnostics 509 481 6 10
Change in %
YTD Sept 2014: Diagnostics sales Growth driven by Professional Diagnostics
1 Underlying growth of Molecular Diagnostics excluding Sequencing Solutions: +7% CER=Constant Exchange Rates
North America +6%
25% of divisional sales
Latin America +12%
7% of divisional sales
Japan +3%
4% of divisional sales EMEA1
+3%
46% of divisional sales
YTD Sept 2014: Diagnostics regional sales Growth across all geographies
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Asia Pacific +15%
18% of divisional sales
15% growth in E7 countries1
1 Europe, Middle East and Africa; 2 Brazil, China, India, Mexico, Russia, South Korea, Turkey All growth rates at constant exchange rates
Business model & strategy
Q3 2014 overview
Major products, launches and newsflow
Building a leading sequencing solution
Outlook
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Roche Diagnostics Test Portfolio Industry Leading Menu
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First fully-automated Anti-Müllerian hormone test for fertility
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• Expands leading immunoassay portfolio • Target market (IVF): ~ 25 mCHF ; +10% • AMH test superior to FSH, estradiol and ultrasound
measurements • Competitive advantages vs manual AMH testing:
- High sensitivity - Improved accuracy - At any day of the menstrual cycle - Short time to result
• Test is currently also in development as CDx assay
Elecsys AMH cobas e411
FSH = follicle-stimulating hormone; rFSH = recombinant follicle-stimulating hormone; IVF = in vitro fertilization; AMH = Anti-Müllerian hormone
Invest for growth Reagent manufacturing in China
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Medium Hospitals
Large Hospitals
Reference Labs
High Throughput
Low Throughput
cobas® 6800
cobas® 4800
cobas® 8800
Molecular Diagnostics: Meet the new family – launches of cobas 6800/8800
• Advanced PCR automation • Highest throughput (3x above closest
competitor) • CE launch of blood screening and
virology assays
• Low to middle volume throughput • Broadest menu incl HPV testing
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HPV testing Approval for primary screening in US and Canada
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• HPV market ~CHF 300m (+13%)
• FDA recommends cobas HPV test as primary screening for cervical cancer and expand screening age to 25 - 29
• ATHENA study: Pap smear misses cervical disease in 1 in 7 HPV 16 positive women
• Ongoing pilot studies: Sweden, Netherlands, UK and Italy
Three results in one test • HPV genotype 16 • HPV genotype 18 • 12 high risk HPV pool
cobas HPV test (+59%) HPV primary screening
Global access program Landmark partnership in HIV with United Nations
The program
cobas AmpliPrep/cobas TaqMan HIV-1 Test
The goals
• Special access pricing partnership • 40% savings on viral load tests
• UNAIDS target by 2020: - 90% diagnosed - 90% treated - 90% virally suppressed
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Entering Molecular Point of Care Diagnostics Acquisition of Iquum and launch of cobas Liat™ analyzer Target market:
• ~CHF 350m, growing ~20%
Liat (laboratory in a tube) technology: • Fastest and easy to use with automated
process performed in a test tube • Brings laboratory PCR to the Point of Care • Offers real-time PCR in 20 min or less • CLIA waiver expected in 2015 Portfolio: • Influenza A/B and Strep A test are both CE
Marked and FDA cleared • Respiratory Syncytial Virus tests in clinical
studies • Planned expansion into MRSA and C-difficile
Liat™ Analyzer Liat™ tube
Point of Care: e.g. physician’s office, emergency rooms, ambulance, pharmacies; MRSA: methicillin resistant Staphilococcus aureus 16
Diabetes Care: Personalized management New product launches in 2014
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Blood glucose monitoring
• Wireless transfer of blood glucose results • Connect: App with proven bolus advisor • Data synchronization with healthcare
professional portal via cloud
Diabetes therapy system
• Two-way bluetooth communication between pump and remote control
• Remote control with proven bolus advisor • Discrete and easy handling; intuitive display
Accu-Chek Aviva / Performa Connect Accu-Chek Insight
Business model & strategy
Q3 2014 overview
Major products, launches and newsflow
Building a leading sequencing solution
Outlook
18
DNA testing market*: 10-year estimates Next-generation sequencing (NGS) will be the fastest-growing segment
DNA testing uses different technologies which are complementary in applications: • Molecular (PCR):
– virology – blood screening – Oncology – Infectious disease
• In situ hybridization (ISH) – oncology
• Sequencing: – Whole genome sequencing and
targeted sequencing – Mutation detection – Oncology – Pre-natal, newborn – Infectious disease
Roche is market leader in DNA testing Complement offering with leading sequencing solution
* Includes Lab developed tests; PCR: polymerase chain reaction; Sanger: oldest sequencing technology; ISH: in situ hybridization
Sample preparation DNA isolation
Sequencing Menu Development
Library preparation Target enrichment
P ?
Data / Result Storage
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2° and 3° Analysis Reporting
New Diagnostic Technology: Sequencing Our vision: Complete end to end solution
Menu Development:
Oncology, Genetic Testing
AvanSci: technology acquisition; Abvitro: technology acquisition; Kapa Biosystems: distribution agreement; Garvan Institute: research collaboration; Nimblegen: acquisition; Ariosa: acquisition; Genia: acquisition; Pacific Biosciences: partnership; Stratos: research collaboration; Bina: acquisition
Genia Sequencing Technology Next generation sequencing
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Target market: CHF 1.1bn (+20% pa until 2018)
Genia technology: • Single DNA molecule sequencing • Biological nanopore electrical detection • Shorter turnaround time, better sensitivity &
accuracy than existing NGS1 platforms • Opportunity to reduce sequencing costs
Genia technology
1NGS = Next Generation Sequencing
Sequencing menu: Non-invasive prenatal testing Acquisition of Ariosa
Target market • $400m sales worldwide in 2013, +32% pa
Technology • Analyzes circulating fetal DNA with microarray
technology • Highly cost effective and accurate • Screens for the risk of Down syndrome (trisomy 21),
Edwards syndrome (trisomy 18) and Patau syndrome (trisomy 13) in a pregnancy
Strategy • Expand market access through kit distribution model • Add test to Roche sequencing platform when available
HarmonyTM Prenatal Test
Digital analysis of selected regions (DANSRTM) technology results in a 10x more efficient approach
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Business model & strategy
Q3 2014 overview
Major products, launches and newsflow
Building a leading sequencing solution
Outlook
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Key launches 2014
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Area Product Market BA1
Instruments/
Devices
Labs
cobas 6800/8800 – Next generation molecular (PCR) system cobas m 511 – Fully integrated and automated hematology system cobas 6500 – Automated urinalysis work area platform Connect-V – Middleware providing connectivity to LIS2
WW* EU EU WW
RMD RPD RPD RTD
Diabetes Care
Accu-Chek Insight- Next generation insulin pump & bGm3 system Accu-Chek Connect – bG meter with connectivity to smart phones, mobile App and cloud
EU
EU
RDC
RDC
Tests /
Assays
Infectious Diseases / Blood Screening
MPX 2.0 – Next generation blood screening multiplex test MPX (HIV, HCV, HBV), HEV, DPX4, WNV5 – Full NAT blood screening menu for cobas 6800/8800 HIV, HCV, HBV – Virology tests for cobas 6800/8800 HSV- Detection of Herpes Simplex Virus on cobas 4800 Syphilis– Immunoassay for the detection of Treponema pallidum
US WW*
WW* EU EU
RMDRMD
RMD RMD RPD
Microbiology MRSA/SA – Next generation assay on cobas 4800 C-difficile – Diagnosis of infections and associated diarrhea
EU EU
RMD RMD
Women’s Health
PE Prognosis- Claim extension for short-term prediction of Preeclampsia in pregnancy AMH- Assessment of ovarion reserve for fertility
EU EU
RPD RPD
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*Excluding US; 1 Business Areas: RPD: Roche Professional Diagnostics; RDC: Roche Diabetes Care; RMD: Roche Molecular Diagnostics, RTD: Roche Tissue Diagnostics; 2 hospital information systems; 3 blood glucose monitoring; 4 parvovirus B19 and hepatitis A virus; 5 west nile virus
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Outlook Sustain sales growth and profitability
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Drivers
• Further expand installed base and test menu • Launch next generation platforms and drive lab efficiency • Continue to strengthen leading presence in emerging markets • Ongoing adjustments in Diabetes Care to adapt to market environment • Grow PHC* and companion diagnostics collaborations
* Personalised healthcare
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Doing now what patients need next