novo nordisk 0 a focused healthcare company bank of america securities, health care conference, las...
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Novo Nordisk
1
A focused healthcare companyBank of America Securities, Health Care Conference, Las Vegas – May 2004
2
Forward-looking statements
This presentation contains forward-looking statements as the term is defined in the US Private Securities Litigation Reform Act of 1995. Forward-looking statements provide our expectations or forecasts of future events such as new product introductions, product approvals and financial performance. You can identify these statements by the fact that they do not relate strictly to historical or current facts. They use words such as ‘anticipate’, ‘estimate’, ‘expect’, ‘project’, ‘intend’, ‘plan’, “’believe’ and other words and terms of similar meaning in connection with a discussion of future operating or financial performance.
Such forward-looking statements are subject to risks, uncertainties and inaccurate assumptions. This may cause actual results to differ materially from expectations and it may cause any or all of our forward-looking statements here or in other publications to be wrong. Factors that may affect future results include interest rate and currency exchange rate fluctuations, delay or failure of development projects, production problems, unexpected contract breaches or terminations, government-mandated or market-driven price decreases for Novo Nordisk's products, introduction of competing products, Novo Nordisk's ability to successfully market both new and existing products, exposure to product liability and other lawsuits, changes in reimbursement rules and governmental laws and related interpretation thereof, and unexpected growth in costs and expenses.
Risks and uncertainties are further described in reports filed by Novo Nordisk with the US Securities and Exchange Commission (SEC) including the company's Form 20-F, which was filed on 27 March 2003. Please also refer to the section ‘Financial risk factors and financial risk management' in the Annual Financial Report 2003. Novo Nordisk is under no duty to update any of the forward-looking statements or to conform such statements to actual results, unless required by law.
Novo Nordisk has the copyright on the information contained in this presentation. © 2004 Novo Nordisk A/S.
3
Novo Nordisk snapshot
•C
onsi
sten
t, s
trong o
rganic
gro
wth
•Fo
cuse
d o
n f
ew
are
as
wit
h larg
e u
nm
et
needs
•Le
aders
hip
in d
iabete
s
•Est
ablis
hin
g p
latf
orm
in h
aem
ost
asi
s
•A
bili
ty t
o levera
ge o
n g
lobal opera
tions
•Str
ong p
rese
nce
in E
uro
pe a
nd Japan
•Str
ong g
row
th in t
he U
S a
nd In
tern
ati
onal O
pera
tions
•Pro
ven b
iote
ch a
nd d
rug d
eliv
ery
capabili
ties
•Lo
w e
xposu
re t
o p
ate
nt
expir
y –
goin
g o
n p
ate
nt
4
The primary growth drivers I - diabetes care
02468
101214161820
1999 2000 2001 2002 2003
5%
Volumedrivers
Valuedrivers
• Conversion from human insulin to insulin analogues
• Conversion from vials and syringes to devices
• Conversion from durable to disposable devices
• Epidemic growth in number of people with diabetes
• Only half are diagnosed• Trend towards earlier
and more intensive therapy
5%
+
Diabetes care sales
5Y CAGR 12%DKK billion
5
The primary growth drivers II - NovoSeven®
NovoSeven® sales
0
1
2
3
4
1999 2000 2001 2002 2003
5Y CAGR 31%DKK billion
Critical bleedings in elective surgery
Congenital clotting
disorders
Bleedings in emergencies
Intracerebral haemorrhage
Trauma
UGI
Prophylaxis
High single-dose
Liver transplantation
Spinal surgery
Hepatectomy
Glanzmann’s
FVII deficiency
Orthopedic surgery
Acquired haemophilia
Variceal bleedings
6
Secondary growth drivers - adding to growth
HRT
Human growth
hormone
Intellectual property
Diabetes care NovoSeven®
Novo Nordisk – Key value drivers
7
R&D strategy- based on core competences
Diabetes expertise
Protein expertise
NovoSeven® expansion
Liraglutide
balaglitazone
NN2501
AERx® iDMS
insulin analogues
hGH expansion
Drug delivery expertise
Protein Delivery
System unit (PDS)
Early stage projects
8
Solid financials and strong cash flow
In % 1999 2000 2001 2002 2003 Targets
Operating profit growth 20.3 36.5 16.6 6.5 6.8 15
Operating margin 21.5 23.1 23.6 23.7 24.1 25
Cash to earnings* 76.6 87.9 4.8 12.1 79.2 60
ROIC 15.3 22.0 23.1 20.1 19.1 25
Long-term financial targets
Returning cash to shareholders
* Long-term target defined as three-year average
Note: All numbers according to Danish GAAP
Average
17%
23%
52%
20%
0.0
1.0
2.0
3.0
4.0
1999 2000 2001 2002 2003
DK
K b
illion Dividends Share repurchase
9
Key growth drivers
Novo Nordisk sales*
• Leadership in diabetes care
• NovoSeven® expanding into general haemostasis
• Strong IP portfolio with low exposure to patent expirations
0
5
10
15
20
25
19
89
19
91
19
93
19
95
19
97
19
99
20
01
20
03
Billion
DK
K
14Y CAGR 1
3+%
* Since the merger between Novo and Nordisk in 1989
10
Investor information
Investor Relations contactsNovo Nordisk A/S Investor Relations Novo Allé, DK 2880 BagsværdFax (+45) 4443 6633
Peter HaahrTel (direct): (+45) 4442 1207 E-mail: [email protected]
Palle Holm Olesen Tel (direct): (+45) 4442 6175 E-mail: [email protected]
In North America:
Christian KanstrupTel (direct): (+1) 609 919 7937 E-mail: [email protected]
Share information
Novo Nordisk’s B shares are listed on the stock exchanges in Copenhagen and London. Its ADRs are listed on the New York Stock Exchange under the symbol ‘NVO’. For further company information, visit Novo Nordisk on the internet at
http://www.novonordisk.com
11
Appendix
12
Highlights - first quarter 2004
• Sales +14% measured in local currencies
• Sales of insulin analogues increased by 94% in local currencies
• NovoSeven® sales increased by 20% in local currencies
• Operating profit increased by
• 9% as reported
• More than 20% in local currencies
• Earnings per share growth of 2%
• New share repurchase programme
13
Sales first quarter 2004 - by segment and
region Diabetes care
Total DKK 4,544 billion +7% reported and +12% in local currencies
Europe +4% (+5%)
North America +11% (+28%)
Japan & Oceania +9% (+11%)
International Operations
+5% (+11%)
Biopharmaceuticals*
Total DKK 2,023 billion +13% reported and +21% in local currencies
International Operations +21% (+28%)
Europe +12% (+13%)
North America +15% (+33%)
Japan & Oceania +5% (+9%)
Note: * Biopharmaceuticals sales include sales from hormone replacement therapy of DKK 342 million.Figures in () indicate growth in local currencies
14
Diabetes care
DKK billion
Key o
bserv
ati
on
s
•Sale
s +
12%
in
loca
l cu
rren
cies
•A
nalo
gues
+94%
in loca
l cu
rrenci
es,
now
acc
ounti
ng
for
20%
of
insu
lin s
ale
s
•A
nalo
gues
now
acc
ount
for
close
to 5
0%
of
insu
lin s
ale
s in
Nort
h A
meri
ca
•Le
vem
ir®
launch
ed in
Sw
itze
rland
Human insulin and insulin-related sales
OADsAnalogues
+7%
0
1
2
3
4
5
Q1 02 Q3 02 Q1 03 Q3 03 Q1 04
15
Number of people diagnosed with diabetes in the US
Epidemic growth - at an increasing diagnostic rate
Projected developmentNumber of people with diabetes
Million
s
Source: WHO and Harris MI et al. Diabetes Care. 1998;21:518-524.
0
50
100
150
200
250
300
US Japan Europe Rest ofWorld
20002030
0
2
4
6
8
10
12
14
1958 1966 1974 1982 1990 1998
16
Type 2 - slope
Diagnosed - but not adequately treated
Note: Study on type 2 patients. Number of patients according to HbA1c level
% o
f su
bje
cts
0
20
40
60
80
100
OAD treated
Insulin treated
>9% 8%–9% 7%–8% <7%
38 27
20
15
27
22
19
32
HbA1c
Only 1/3 are at goalInsulin is the ultimate treatment
Source: HDS Omnibus Study, fall 2003
-C
ell
funct
ion
Diet and exercise alone
Oral therapy
Oral/insulin
Time from diagnosis
Type 1 - Immediate need for insulin
Insulin
17
Novo Nordisk - devoted to improving control
1920 1940 1960 1980 2000
Start insulin production
First long-acting insulin (zinc protamine)
NPH insulin formulated (Neutral Protamine Hagedorn)
Recombinant human insulinNovoRapid®
NovoMix® 30
Levemir®
First human premixed insulin
World’s first purified insulin
NovoPen®, first insulin delivery system
InDuo®/Innovo®
FlexPen®InnoLet®
18
Insulin market overview - volume
Note: Wal*Mart figures not included. Market size and share as MAT Q4 2003 and growth as MAT Q4 2003 versus MAT Q4 2002. The arrows next to the market shares illustrate the direction of change compared to MAT Q4 2002. Source: IMS/BW
Novo Nordiskmarket share
31% ▲
58% ▲
76% -
49% ▲World
Japan
Europe
USA
Market
40%
49%
5%
Market size
100% 11.2%
11.4%
9.9%
15.4%
7.4%
12.0%
9.1%
5.3%
Novo Nordisk
Growth rates
19
Q1 2000 Q4 2003
Source: IMS/BW
Note: Quarterly data, volume figures
Novo Nordisk’s short-acting market share development
Share of short-acting analogue segment
Share of total short-acting segment
Key observations:
• In Europe NovoRapid® has 19% of the total short-acting segment
• NovoLog® has 15% of the total short-acting segment in the US
• Analogue conversion:
• 45% in Europe
• 61% in the US
Analogues driving the market share in short-acting insulins
0 %
10 %
20 %
30 %
40 %
50 %
20
Q1 2000
Share of premix analogue segment
Q4 2003
Share of total premix segment
Source: IMS/BW
Note: Quarterly data, volume figures
Novo Nordisk’s premix market share development Key observations:
• In Europe NovoMix® 30 has 6% of the total premixed segment
• NovoLog® Mix has 5% of the total premixed segment in the US
• Analogue conversion:
• 16% in Europe
• 24% in the US
Analogues driving the premix insulin market share
0 %
10 %
20 %
30 %
40 %
50 %
60 %
21
Device penetration continues - adding to growth
Device penetration
Q1 2000 Q4 2003 Q1 2000
InnoLet® 8%
Share of disposable segment
Q4 2003
FlexPen® 19%
Source: IMS/BW
Note: Quarterly data, volume figures
Vials
Durable devices
Disposable devices
42%
35%
23%
Overall disposable market share 66%
0 %
10 %
20 %
30 %
40 %
50 %
60 %
70 %
80 %
58%
14%
28%
22
The insulin business case
Volume growth drivers:
• Epidemic growth
• Increased life expectancy
• Increasing awareness leading to increasing diagnosis rate
• Earlier switches from tablets to insulin
• Insulin is the ultimate treatment
Vials
Du
rab
les
Dis
posa
ble
s
Improving convenience, compliance and control
Animal insulin
Human insulin
Insulin analogues
23
Pipeline update - diabetes care
• Positive opinion received for Levemir® from CPMP in Europe
• Expected launch in key European markets during H2 2004
• Phase 3 safety study AERx® iDMS interim analysis
• No adverse effect on any measure of pulmonary safety
• Meal-related blood glucose regulation in type 1 patients was not satisfactory compared to NovoRapid®
• Further analysis of all clinical data before initiation of additional clinical studies
• Phase 3 trials on liraglutide still expected to begin H2 2004
• Construction of new factory aimed at producing liraglutide initiated
24
Superior treatment with Levemir® and NovoRapid® versus human insulin regimen
-0.8 ±2.4 kg
0.1 ±2.0 kg
-1
1 0
Better effect with fewer side
effects
0.9
2.1
1
3
28.6
11.1
5
15 10
Change in Hb1Ac
-0.5
-0.28 -0.5
0.5
0
p < 0.001p < 0.001 p < 0.001
p < 0.001
Hypoglycaemia allNocturnal hypoglycaemiaChange in body weight
Levemir®/NovoRapid®
Human insulin
Source: Diabetologia (2004) 47:622-629. Study design: 18-week study, 1:1 randomised, open-labelled, parallel trial, 595 patients with type 1 diabetes mellitus received insulin detemir or NPH insulin in the morning and at bedtime in combination with mealtime insulin aspart or regular human insulin respectively.
25
Levemir® launch in Europe - completing the analogue portfolio
Levemir® observations:• Positive CPMP opinion obtained in
the EU• Levemir® launched in Switzer-
land in Q1 2004• To be launched in key European
markets in H2 2004Q1 2000 Q4 2003
Long-acting
Premix
Short-acting
Segmentation - Europe
29%
40%
31%
31%
42%
27%
Source: IMS/BW
Note: Quarterly data, volume figures
26
Biopharmaceuticals
Key observations:
• Sales +21% in local currencies
• Solid performance of NovoSeven® and growth hormone therapy
• Share of growth:
•NovoSeven®: 51%
•Growth hormone: 20%
•Hormone replacement therapy: 23%
DKK billion
Growth hormone
Hormone replacement therapy and other
NovoSeven®
+13%
0
0.5
1
1.5
2
2.5
Q1 02 Q3 02 Q1 03 Q3 03 Q1 04
27
NovoSeven®
DKK Million
Key o
bserv
ati
on
s
•Solid
overa
ll sa
les
gro
wth
•+
20%
in loca
l cu
rrenci
es
•G
row
th d
riven b
y f
urt
her
penetr
ati
on into
the a
cquir
ed
haem
ophili
a s
egm
en
t as
well
a
perc
eiv
ed incr
ease
in
invest
igati
onal use
•Sale
s in
Euro
pe t
o s
om
e e
xte
nt
aff
ect
ed
by s
evere
ble
edin
g
ep
isodes
dem
and
ing a
hig
her
than
usu
al usa
ge o
f N
ovoSeven®
+11%
0
200
400
600
800
1,000
1,200
Q1 02 Q3 02 Q1 03 Q3 03 Q1 04
28
Pipeline update - biopharmaceuticals
• NovoSeven®:
• The phase 2 study in intracerebral haemorrhage to report mid-2004
• A phase 2 study on the use of NovoSeven® in connection with variceal bleeding in patients with advanced cirrhosis initiated
• Phase 3 on the use of NovoSeven® in trauma still expected to start towards the end of the year
• Stem cell transplantation study discontinued
• Additional NovoSeven® studies to be initiated later this year
• Active Site Inhibited Seven (ASIS) for treatment of Acute Respiratory Distress Syndrome discontinued. Other areas of use for ASIS are being evaluated
• Phase 2 study on the use of growth hormone in complicated fractures showed a significant acceleration of fracture healing and Novo Nordisk is currently evaluating further development within this area
29
Efforts in expansion of NovoSeven® are extensive
Critical bleedings in elective surgery
Congenital clotting
disorders
Bleedings in emergencies
Intracerebral haemorrhage
Trauma
UGI
Prophylaxis
High single-dose
Liver transplantation
Spinal surgery
Hepatectomy
Glanzmann’s
FVII deficiency
Orthopedic surgery
Acquired haemophilia
Variceal bleeding
s
30
NovoSeven® in trauma - less transfusions and fewer complications
rFVIIa reduces the need for transfusion in trauma
Note: Data on blunt trauma victims. MOF: Multiple Organ Failure, ARDS: Acute Respiratory Distress Syndrome Source: Data presented at World Congress on Trauma, Shock, Inflammation and Sepsis, March 2004.
Use of rFVIIa indicates fewer complications after trauma
rFVIIa (n=52)
Perc
en
t of
pati
en
ts
0
10
20
30
40
50
60
70
80
90
100
RBC units within 48 hours in
0 5 10 15 20 25 30 35 40 45 50
Perc
en
t of
pati
en
ts
0
10
20
30
40
50
60
70
80
90
100
patients alive
0 5 10 15 20 25 30 35 40 45 50
Placebo (n=59)
P= 0.019
0
5
10
15
20
25
30
MOF ARDS 30-daymortality
Placebo rFVIIa
Perc
en
t of
pati
en
ts
n=7
n=3
n=12
n=3
n=22
n=17
31
Getting ready to start phase 3 in trauma
Conference Month/year
WCTSIS √ 03/2004
ISICEM √ 03/2004
WCA √ 04/2004
ASS 06/2004
AAST 09/2004
ACS 10/2004
Blood transfusion in traumaNumber of trauma victims receiving blood transfusions
Note: WCTSIS: World Congress on Trauma, Shock, Inflammation and Sepsis. ISICEM: International Symposium on Intensive Care and Emergency Medicine. WCA: World Congress of Anaesthesiologists. ASSAM: American Shock Society Annual Meeting. AAST: American Association for the Surgery of Trauma. ACS: The 90th Annual Clinical Congress of the American College of Surgeons
Presenting the data
0
50,000
100,000
150,000
200,000
250,000
300,000
ReceivingRBC
Receivingmore than 2 RBC bags
Receivingmore than 8 RBC bags
Nu
mb
er
of
vic
tim
s
32
Intracerebral haemorrhage - next to
report
Placebo n = 100
rFVIIa 40 µg/kgn = 100
rFVIIa 80 µg/kgn = 100
rFVIIa 160 µg/kgn = 100
EfficacyChange in ICH volume
SafetyIncidence of
thrombo-embolic events
Major endpoints at 24
hours
Note: Timing of CT scans: Screening CT Scan (Within 3 hours of symptom onset), 24 hrs post dose, 72 hrs post dose. Follow-up at 2, 3, 15, and 90 days
Intracerebral haemorrhage:
10-15% of all cases of strokes are intracerebral bleedings (ICH)
Estimated more than 100,000 cases per year in the Western world
No real treatment options
Study design
Baseline CT scan &
randomisation
33
Still increasing awareness of NovoSeven®
Source: Literature search in Medline, Embase and Biosis for articles and abstracts mentioning NovoSeven®, Niastase; Factor VIIa; FVIIa; recombinant Factor VIIa and rFVIIa
Articles and abstracts*Patients enrolled in clinical programmes
0
500
1,000
1,500
2,000
2,500
2000 2001 2002 20030
1,000
2,000
3,000
4,000
5,000
6,000
7,000
1988 1993 1998 2003
34
Financial results
35
Financial results
DKK million Q1 2004 Q1 2003 % change
Sales 6,567 6,056 8
Operating profit 1,516 1,397 9
Net financials 87 234 (63)
Profit before tax 1,603 1,631 (2)
Net profit 1,074 1,073 0
EPS (DKK)* 3.16 3.11 2
* EPS on a fully-diluted basis.
36
5.0
6.0
7.0
8.0
9.0
Currency exposureEffect of 5%
depreciation on full-year operating profit*
(DKK million)USD -210JPY -130GBP -75USD rel. -50
* currency hedging income is recorded as financial income
avg = 6.59
avg = 6.30
2002 2003 2004
avg = 5.68
avg = 7.88
USD
JPY
YTD 2004 avg = 5.61
YTD 2004 avg = 6.01
37
New share repurchase programme initiated
In % 1999 2000 2001 2002 2003 Targets
Operating profit growth 20.3 36.5 16.6 6.5 6.8 15
Operating margin 21.5 23.1 23.6 23.7 24.1 25
Cash to earnings* 76.6 87.9 4.8 12.1 79.2 60
ROIC 15.3 22.0 23.1 20.1 19.1 25
Long-term financial targets
Returning cash to shareholders
*Long-term target defined as three-year average
Note! All numbers according to Danish GAAP
Average
17%
23%
52%
20%
0.0
1.0
2.0
3.0
4.0
1999 2000 2001 2002 2003
DK
K b
illion Dividends Share repurchase
38
Outlook for 2004
Note: Above outlook is based on the assumption that exchange and interest rates remain at the current level (27 April 2004)
• Sales growth expectations:
• Double digit in local currencies
• Close to 10% as reported
• Operating profit growth expectations:
• 15% underlying
• Around 5% as reported
• Net financial expenses expected at DKK 100 million
• Tax rate of 33%
• Investments at around DKK 3 billion
• Free cash flow around DKK 3 billion
Key currency ratesDKK
per 1002003
average
USD 659
JPY 5.68
GBP 1075
Current rate*
626
5.70
1121
* As of 27 April 2004
2004
ytd avg
601
5.61
1101
Note: Transition to IFRS financial reporting from 2004
39
Novo Nordisk snapshot
•C
onsi
sten
t, s
trong o
rganic
gro
wth
•Fo
cuse
d o
n f
ew
are
as
wit
h larg
e u
nm
et
needs
•Le
aders
hip
in d
iabete
s ca
re
•Est
ablis
hin
g p
latf
orm
in h
aem
ost
asi
s
•A
bili
ty t
o levera
ge o
n g
lobal opera
tions
•Str
ong p
rese
nce
in E
uro
pe a
nd Japan
•Str
ong g
row
th in t
he U
S a
nd In
tern
ati
onal O
pera
tions
•Pro
ven b
iote
ch a
nd d
rug d
eliv
ery
capabili
ties
•Lo
w e
xposu
re t
o p
ate
nt
expir
y –
goin
g o
n p
ate
nt
40
Investor information
Investor Relations contactsNovo Nordisk A/S Investor Relations Novo Allé, DK 2880 BagsværdFax (+45) 4443 6633
Peter HaahrTel (direct): (+45) 4442 1207 E-mail: [email protected]
Palle Holm Olesen Tel (direct): (+45) 4442 6175 E-mail: [email protected]
In North America:
Christian KanstrupTel (direct): (+1) 609 919 7937 E-mail: [email protected]
Share information
Novo Nordisk’s B shares are listed on the stock exchanges in Copenhagen and London. Its ADRs are listed on the New York Stock Exchange under the symbol ‘NVO’. For further company information, visit Novo Nordisk on the internet at
novonordisk.com
41
Sales by region - first quarter 2004
Europe +6%
North America +13%
Japan & Oceania
+8%
International Operations
+8%
Sales of DKK 6.6 billion (+8% reported and +14% in local currencies)
Key o
bserv
ati
on
s
•Euro
pe
•+
7%
in loca
l cu
rrenci
es
•N
ort
h A
meri
ca
•+
30%
in loca
l cu
rrenci
es
•In
tern
ati
onal O
pera
tions
•+
14%
in loca
l cu
rrenci
es
•Ja
pan
& O
ceania
•+
11%
in loca
l cu
rrenci
es
42
International Operations
Sales by region - currency impact
Europe
North America
Japan & Oceania
Total
Growth in local currencies Growth in Danish kroner
8
8
8
13
6
14
11
14
30
7
0 5 10 15 20 25 30
43
European analogue conversion - NovoRapid®
Short-acting segment in Europe
Q1 2000 Q4 2003
Short-acting human insulin
Short-actinginsulin analogues
Q1 2000
NovoRapid® market share 19%
Share of short-acting segment
Q4 2003
45%
Humalog market share 25%
Source: IMS/BW
Note: Quarterly data, volume figures
22%
0 %
5 %
10 %
15 %
20 %
25 %
30 %
44
US analogue conversion - NovoLog®
Short-acting segment in the US
Q1 2000 Q4 2003
Short-acting human insulin
Short-actinginsulin analogues
61%
Q1 2000
NovoLog® market share 15%
Share of short-acting segment
Q4 2003
Humalog market share 46%
33%
Source: IMS/BW
Note: Quarterly data, volume figures
0 %
10 %
20 %
30 %
40 %
50 %
45
Device penetration continues - Adding to growth
Device penetration
Q1 2000 Q4 2003 Q1 2000
Durable devices
Share of segment
Q4 2003
Disposable devices
Source: IMS/BW
Note: Quarterly data, volume figures
Vials
Durable devices
Disposable devices
42%
35%
23%
50 %
55 %
60 %
65 %
70 %
75 %
80 %
46
Insulin segmentation - Europe and the US
Europe US
Q1 1998 Q4 2003Q1 1998 Q4 2003
Source: IMS/BW
Note: Quarterly data, volume figures
0%
10%
20%
30%
40%
50%
Long-acting
Premix
Short-acting
0%
10%
20%
30%
40%
50%
Long-actingPremixShort-acting
47
Novo Nordisk’s market share since Lantus launch
Total insulin(MU)
Month of Lantus launch
February 2004
US 26% 34%
Europe 57% 58%
Germany 44% 46%
UK 67% 64%
Europe(Novo Nordisk’s share of segment)
Mar 2002 Feb 2004
Source: IMS/BW
Note: Quarterly data, volume figures
40%
45%
50%
55%
60%
65%
70%
Long-acting
Premix
Short-acting
48
Novo Nordisk gaining market share
Source: IMS/BW, quarterly data
Novo Nordisk’s insulin market share
IMS world
Q1 2000 Q4 2003
Volume
Value
20%
30%
40%
50%
60%
49
US headquarters
US manufacturingClayton
Novo Nordisk in the US
US sales, marketing, etc Princeton
Number of employees 365 employees, filling and packaging of insulin
636
993 1,0141,143
1,457
2000 2001 2002 2003 2004
50
Contracted hormone
therapy sales force
A focused sales organisation
Diabetes care: Diabetes Care Specialists
Institutional Diabetes Care SpecialistsStrategic Account Executives
Field Trainers
Biopharmaceuticals: Sales Managers
Diabetes care sales force
0100200300400500600700800900
2000 2001 2002 2003 2004
Biopharmaceuticals sales force
0
5
10
15
20
25
30
35
40
2000 2001 2002 2003 2004
51
Diabetes care - expansion strategy paying off
Q1 2000 Q4 2003Overall market shareAnalogue market share
Premix market shareShort-acting market share
Long-acting market share
Novo Nordisk’s US insulin market shares
Q1 2000 Q4 2003
Source: IMS/BW
Note: Quarterly data, volume figures
0%
5%
10%
15%
20%
25%
30%
35%
20%
25%
30%
35%
40%
45%
52
US pen penetration
Q4 2001 Q4 2002 Q4 2003
Diabetes care - expansion strategy paying off
Novo Nordisk’s pen market shares
Source: IMS/BW
Note: Quarterly data, volume figures
0% 5% 10% 15% 20%
Premix
Short-acting
Long-acting
Total
0% 20% 40% 60%
Premix
Short-acting
Long-acting
Total
53
0600
People without diabetes
Type 2 diabetes
1000 1400 1800 2200 0200 0600
800
700
600
500
400
300
200
100
Insu
lin
Sec
reti
on
(p
mo
l/m
in)
Source: O'MEARA et al. Am. J. Medicine, 1990; 89.
Insulin secretion in people without diabetes and people with type 2 diabetes
54
NovoSeven® - a unique mechanism of action
NovoSeven® directly
activates factor X on the surface
of the locally activated platelets
55
HRT
DKK Million
Key o
bserv
ati
on
s
•+
31%
in loca
l cu
rrenci
es
•Posi
tive u
nderl
yin
g m
ark
et
share
develo
pm
ent
•Sale
s gro
wth
posi
tively
im
pact
ed
by t
he c
hange in d
istr
ibuti
on
setu
p in t
he U
S.
Adju
sted h
ere
fo
re s
ale
s decl
ined b
y 1
4%
in
loca
l cu
rrenci
es
•In
th
e r
egio
ns
outs
ide N
ort
h
Am
eri
ca s
ale
s decl
ined b
y 2
2%
in
line w
ith t
he o
vera
ll co
ntr
act
ion
of
the m
ark
et
+23%
0
100
200
300
400
500
Q1 02 Q3 02 Q1 03 Q3 03 Q1 04
56
Partnering for growth
Partner Product/Project Type Year estab
Medarex Human antibodies Research and licence 2000
BioVision Peptide targets Research and licence 2001
TransTech Pharma Diabetes targets Research and licence 2001
RE&D VUFB Chemistry & project collaboration Research and licence 2001
Atugen Antisense technology Research and licence 2001
ZymoGenetics IL20 and IL-21 Licence 2001
Incyte Genomics Human genome database Research and licence 2002
Tripos Inc Computerised compound modelling Research 2002
Neose Pharmaceuticals Proteins Research/technology 2002+2003
Morphotek High yield expression of proteins Research technology 2003
Transition Therapeutics Islet neogenesis therapy 2003
MannKind Biopharmaceuticals
Pulmonary formulation of therapeutic protein
2003
Innate immuno-modulatory antibodies targeting natural killer (NK) cells
Research and license 2003
Entelos Predictive biosimulation Research technology 2003
Genaissance Pharmaceuticals
HAPTM Technology Research technology 2003
57
Going on patent
Patent expirations*
Source: Nordea Securities and Novo Nordisk A/S.
Novo
Nord
isk
Novo Nordisk is going on patent
Note: * % of MAT Q1, 2003 sales with patents expiring in 2002-2006
36%34%
32%
29%26%
18% 17%15%
13%
3%
0%
5%
10%
15%
20%
25%
30%
35%
40%
BM
S
Taked
a
Bayer
Merc
k
Pfi
zer
GS
K
Novartis
Eli L
illy
Aven
tis
0%
25%
50%
75%
100%
2003
2004
2005
2006
2007
2008
2009
2010
On patent Off patent