Celgene Reports Fourth Quarter and Full-Year 2017 Operating and Financial Results

On January 25, 2018 Celgene Corporation (NASDAQ:CELG) reported operating results for the fourth quarter and full year of 2017 (Press release, Celgene, JAN 25, 2018, View Source [SID1234523574]).

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For the fourth quarter of 2017, net product sales were $3,479 million, an increase of 17 percent, year-over-year. Fourth quarter total revenue increased 17 percent to $3,483 million.

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Net product sales for the full year of 2017 were $12,973 million, an increase of 16 percent year-over-year. Total revenue for the full year of 2017 was $13,003 million, an increase of 16 percent year-over-year.

Based on U.S. GAAP (Generally Accepted Accounting Principles), Celgene reported a net loss of $81 million and diluted earnings per share (EPS) of ($0.10) for the fourth quarter of 2017. For the fourth quarter of 2016, GAAP net income was $429 million and diluted EPS was $0.53. The decrease was primarily due to the impact of the Tax Cuts and Jobs Act. Full-year GAAP net income for 2017 was $2,940 million and diluted EPS was $3.64. Full-year GAAP net income for 2016 was $1,999 million and diluted EPS was $2.49.

Adjusted net income for the fourth quarter of 2017 increased 23 percent to $1,592 million compared to $1,290 million in the fourth quarter of 2016. For the same period, adjusted diluted EPS increased 24 percent to $2.00 from $1.61.

Adjusted net income for the full year 2017 increased 26 percent to $6,016 million. Adjusted diluted EPS increased 25 percent to $7.44 from $5.94 for the full year of 2016.

"Our 2017 commercial, regulatory and clinical execution lay the foundation for success in 2018 and beyond," said Mark J. Alles, Chief Executive Officer of Celgene Corporation. "Our operating momentum enables us to continue expanding our portfolio, as demonstrated by the two strategic transactions announced this year."

Fourth Quarter and Full-Year 2017 Financial Highlights

Unless otherwise stated, all comparisons are for the fourth quarter and full year of 2017 compared to the fourth quarter and full year of 2016. The adjusted operating expense categories presented below exclude share-based employee compensation expense, collaboration-related upfront expense, research and development asset acquisition expense, IPR&D asset impairment charges, clinical trial and development activity wind-down costs and a litigation-related loss contingency accrual expense. Please see the attached Use of Non-GAAP Financial Measures and Reconciliation of GAAP to Adjusted Net Income for further information relevant to the interpretation of adjusted financial measures and reconciliations of these adjusted financial measures to the most comparable GAAP measures, respectively.

Net Product Sales Performance

REVLIMID sales for the fourth quarter increased 21 percent to $2,188 million. Fourth quarter U.S. sales of $1,473 million and international sales of $715 million increased 24 percent and 15 percent, respectively. Full-year REVLIMID sales were $8,187 million, an increase of 17 percent year-over-year. Sales growth was driven primarily by higher volume due to increases in duration and market share.
POMALYST/IMNOVID sales for the fourth quarter were $442 million, an increase of 17 percent year-over-year. Fourth quarter U.S. sales of $283 million increased 29 percent and international sales were unchanged at $159 million. Full-year POMALYST/IMNOVID sales were $1,614 million, an increase of 23% year-over-year. Sales growth was driven primarily by increased volume due to increases in market share and duration.
OTEZLA sales in the fourth quarter were $371 million, a 22 percent increase year-over-year. Fourth quarter U.S. sales of $303 million and international sales of $68 million increased 13 percent and 84 percent, respectively. Full-year OTEZLA sales were $1,279 million, an increase of 26 percent year-over-year. OTEZLA sales were primarily driven by volume gains in the U.S. and strong uptake in key international markets.
ABRAXANE sales for the fourth quarter were $251 million, a decrease of 6 percent year-over-year. U.S. sales were $155 million and international sales were $96 million, a decrease of 10 percent and an increase of 2 percent, respectively. Full-year ABRAXANE sales were $992 million, an increase of 2 percent year-over-year. ABRAXANE market shares in pancreatic cancer, first-line advanced non-squamous lung cancer and metastatic breast cancer in the U.S. have remained stable. Growth in Europe was from market share gains for ABRAXANE in pancreatic cancer.
In the fourth quarter, all other product sales, which include IDHIFA, THALOMID, ISTODAX, VIDAZA and an authorized generic version of VIDAZA drug product primarily sold in the U.S., were $227 million compared to $220 million in the fourth quarter of 2016. Full-year sales for these products were $901 million compared to $910 million in full-year 2016.
Total net product sales for the fourth quarter of 2017 increased 17 percent year-over-year, driven by operational growth. Net product sales growth also includes a 1.4 percent negative impact from currency exchange effects.
Research and Development (R&D)

On a GAAP basis, R&D expenses were $2,738 million for the fourth quarter of 2017 versus $1,135 million for the same period in 2016. Full-year 2017 R&D expenses were $5,915 million compared to $4,470 million for 2016. Both the fourth-quarter and full-year 2017 increases in R&D expenses on a GAAP basis were primarily due to the charges related to the discontinuation of the GED-0301 clinical trials in Crohn’s disease, including impairment of an IPR&D asset and other one-time charges related to wind-down costs associated with the GED-0301 clinical trials in Crohn’s disease and certain development activities.

Adjusted R&D expenses were $766 million for the fourth quarter of 2017 compared to $673 million for the fourth quarter of 2016. For the full year 2017, adjusted R&D expenses were $2,749 million compared to $2,508 million for the full year 2016. Both the fourth quarter and full-year 2017 increases in adjusted R&D expenses were primarily due to increased spending related to clinical trial and other R&D activity.

Selling, General, and Administrative (SG&A)

On a GAAP basis, SG&A expenses were $774 million for the fourth quarter of 2017 compared to $685 million for the same period in 2016. Full-year SG&A expenses were $2,941 million for 2017 compared to $2,658 million for 2016. The full-year 2017 increase in SG&A expenses was primarily due to an increase in litigation-related loss contingency accrual expense.

Adjusted SG&A expenses were $687 million for the fourth quarter of 2017 compared to $533 million for the fourth quarter of 2016. For full-year 2017, adjusted SG&A expenses were $2,279 million versus $2,139 million in 2016.

Cash, Cash Equivalents, and Marketable Securities

Operating cash flow was $5,246 million for 2017, an increase of 26 percent compared to 2016. For the full-year 2017, Celgene purchased approximately $3,911 million of its common shares. As of December 31, 2017, the Company had $822 million remaining under the existing share repurchase program. The Company ended the year with $12,042 million in cash and marketable securities.

Celgene Expects Volume-Driven Product Sales and Earnings Growth in 2018


Year-over-Year
Change

Total Revenue $14.4B to $14.8B 12%*
REVLIMID Net Product Sales Approximately $9.4B 15%
POMALYST/ IMNOVID Net Product Sales Approximately $1.9B 18%
OTEZLA Net Product Sales Approximately $1.5B 17%
ABRAXANE Net Product Sales Approximately $1.0B 1%
GAAP operating margin*** Approximately 46.5% N/M**
Adjusted operating margin*** Approximately 60.0% ~ +200 bps
Adjusted Tax Rate ~18% ~ +210 bps
GAAP diluted EPS*** $7.26 to $7.66 N/M**
Adjusted diluted EPS*** $8.70 to $8.90 18%*
Weighted average diluted shares 775M -34M

*Year-over-year percentage change based on the mid-point of the range.
**Not meaningful as the 2018 measures exclude the impact of any strategic transactions, impairments, loss contingencies, changes in the fair value of equity investments and non-operating tax adjustments that have not yet occurred.
*** 2018 guidance does not include the impact of our recently announced pending acquisition of Juno Therapeutics Inc., which is expected to be dilutive to adjusted diluted EPS in 2018 by approximately $0.50.

Product and Pipeline Updates

Hematology & Oncology

At the 59th American Society of Hematology (ASH) (Free ASH Whitepaper) Annual Meeting in December, data were presented on Celgene’s marketed and pipeline hematology assets. Select data presentations included:
Celgene and partner bluebird bio presented updated data from the phase I trial evaluating bb2121 in patients with relapsed and/or refractory multiple myeloma (RRMM). In November, bb2121 was granted Breakthrough Therapy Designation (BTD) by the U.S. Food and Drug Administration (FDA) and PRIority MEdicines (PRIME) eligibility by the European Medicines Agency (EMA). In December, the pivotal KarMMa trial evaluating bb2121 in RRMM was initiated.
Celgene and partner Juno Therapeutics presented updated data from the phase I TRANSCEND trial evaluating JCAR017 in patients with relapsed or refractory aggressive non-Hodgkin lymphoma (NHL). The pivotal TRANSCEND program in the U.S. with JCAR017 in diffuse large B-cell lymphoma (DLBCL) is under way and the TRANSCEND WORLD cohort is on-track to initiate in the first half of 2018.
Celgene and partner Acceleron Pharma presented updated data from the ongoing phase II trials with luspatercept in patients with lower-risk myelodysplastic syndromes (MDS). Data from the phase III MEDALIST and BELIEVE trials are expected in mid-2018. Additionally, Celgene plans to initiate the phase III COMMANDS trial with luspatercept in front-line MDS during the first half of 2018.
Updated data were presented from the phase Ib trial evaluating CC-122 in combination with obinutuzumab in patients with DLBCL, follicular lymphoma (FL) or marginal zone lymphoma (MZL). A pivotal program with CC-122 in NHL is expected to initiate in 2018.
Updated data were presented from the phase I trial evaluating CC-486 in combination with rituximab plus chemotherapy (R-CHOP) in patients with DLBCL, FL or transformed lymphoma. Data from the phase III QUAZAR AML-001 trial evaluating CC-486 as maintenance therapy in post-induction acute myeloid leukemia (AML) is expected in the second half of 2018.
Celgene and partner Agios Pharmaceuticals presented data from the phase I trial evaluating ivosidenib or IDHIFA combined with standard induction chemotherapy (7+3 regimen) in patients with newly diagnosed AML with an isocitrate dehydrogenase-1 (IDH1) or isocitrate dehydrogenase-2 (IDH2) mutation.
In December, Celgene disclosed top-line results from the phase III RELEVANCE trial evaluating REVLIMID in combination with rituximab (R2) in first-line FL. This investigational study evaluated REVLIMID plus R2 followed by R2 maintenance compared to the standard of care with rituximab plus chemotherapy (R-CHOP, R-bendamustine or R-CVP) followed by rituximab maintenance in patients with previously untreated FL. The R2 treatment arm did not achieve superiority in the co-primary endpoints of complete response or unconfirmed complete response (CR/CRu) at 120 weeks and progression-free survival (PFS) during the pre-planned analysis (final analysis of CR/CRu and interim analysis of PFS). Neither arm was superior for either of the co-primary endpoints. The safety findings were consistent with the known profiles of the regimens investigated. The full data set will be presented at a future medical congress.
Inflammation & Immunology

In December, a New Drug Application (NDA) was submitted with the FDA for ozanimod in relapsing multiple sclerosis (RMS) based on data from the phase III RADIANCE Part B and SUNBEAM trials evaluating ozanimod in patients with RMS. The data were presented at the MSParis2017-7th Joint European Committee for Treatment and Research in Multiple Sclerosis (ECTRIMS)-American Committee for Treatment and Research in Multiple Sclerosis (ACTRIMS) Meeting in October. Celgene plans to submit a Marketing Authorization Application (MAA) with the EMA in the first quarter of 2018.
A robust life-cycle plan for ozanimod is advancing and a phase III pivotal trial evaluating ozanimod in Crohn’s disease was initiated. In addition, the phase III TRUE NORTH trial with ozanimod in ulcerative colitis (UC) is ongoing and on-track to complete enrollment in the second half of 2018.
In 2018, Celgene plans to initiate a phase III trial with OTEZLA in UC based on the efficacy and safety results demonstrated in a phase II randomized, double-blind, placebo-controlled proof of concept study evaluating OTEZLA in UC (n=170). The full phase II data set will be presented at the 13th Congress of the European Crohn’s and Colitis Organization (ECCO) in February.
Business Update Summary

In January 2018, Celgene entered into an agreement to acquire Impact Biomedicines, Inc., a privately-held biotechnology company developing fedratinib, a highly selective JAK2 kinase inhibitor, for myelofibrosis and polycythemia vera.

Under the terms of the agreement, Celgene will pay approximately $1.1 billion upfront and up to $1.25 billion in contingent payments based on regulatory approval milestones for myelofibrosis. Additional future payments for regulatory approvals in additional indications and sales-based milestones are also possible. This acquisition will strengthen Celgene’s commitment to myelofibrosis, a disease with high unmet medical need, and will expand strategic development options within Celgene’s myeloid portfolio of assets. The transaction is expected to close in the first quarter of 2018.
In January 2018, Celgene entered into an agreement to acquire Juno Therapeutics, Inc., an integrated biopharmaceutical company focused on developing innovative cellular immunotherapies for the treatment of cancer.

Under the terms of the merger agreement, Celgene will pay $87 per share in cash, or a total of approximately $9 billion, net of cash and marketable securities acquired and Juno shares already owned by Celgene (approximately 9.7% of outstanding shares). Adding to Celgene’s lymphoma program, JCAR017 represents a potentially best-in-class CD19-directed CAR T currently in a pivotal program for relapsed and/or refractory DLBCL. This acquisition will complement Celgene’s leadership in hematology and oncology as well as advance Celgene’s global leadership in cellular immunotherapy.

The transaction is subject to customary closing conditions, including the tender of a number of shares of Juno common stock that represent at least a majority of outstanding shares, and expiration of the applicable waiting period under the Hart-Scott-Rodino Antitrust Improvements Act of 1976. Celgene expects to fund the transaction through a combination of existing cash and new debt. The transaction is expected to close in the first quarter of 2018.
Q4 and Full-year 2017 Conference Call and Webcast Information

Celgene will host a conference call to discuss the fourth quarter and full-year of 2017 operational and financial performance on Thursday, January 25, 2018, at 9 a.m. ET. The conference call will be available by webcast at www.celgene.com. An audio replay of the call will be available from noon January 25, 2018, until midnight ET February 1, 2018. To access the replay in the U.S., dial 1-855-859-2056; outside the U.S. dial 404-537-3406. The participant passcode is 2175246.

About Celgene

Celgene Corporation, headquartered in Summit, New Jersey, is an integrated global biopharmaceutical company engaged primarily in the discovery, development and commercialization of innovative therapies for the treatment of cancer and inflammatory diseases through next-generation solutions in protein homeostasis, immuno-oncology, epigenetics, immunology and neuro-inflammation. For more information, please visit www.celgene.com. Follow Celgene on Social Media: @Celgene, Pinterest, LinkedIn, Facebook and YouTube.

Forward-Looking Statement

This press release contains forward-looking statements, which are generally statements that are not historical facts. Forward-looking statements can be identified by the words "expects," "anticipates," "believes," "intends," "estimates," "plans," "will," "outlook" and similar expressions. Forward-looking statements are based on management’s current plans, estimates, assumptions and projections, and speak only as of the date they are made. We undertake no obligation to update any forward-looking statement in light of new information or future events, except as otherwise required by law. Forward-looking statements involve inherent risks and uncertainties, most of which are difficult to predict and are generally beyond our control. Actual results or outcomes may differ materially from those implied by the forward-looking statements as a result of the impact of a number of factors, many of which are discussed in more detail in our Annual Report on Form 10-K and our other reports filed with the Securities and Exchange Commission.

The tender offer described herein has not yet commenced. The description contained herein is for informational purposes only and is not an offer to buy or the solicitation of an offer to sell any shares of Juno. At the time the tender offer is commenced, Celgene and Blue Magpie Corporation ("Purchaser") intend to file with the U.S. Securities and Exchange Commission (the "SEC") a Tender Offer Statement on Schedule TO containing an offer to purchase, a form of letter of transmittal and other documents relating to the tender offer, and Juno intends to file a Solicitation/Recommendation Statement on Schedule 14D-9 with respect to the tender offer. Celgene, Purchaser and Juno intend to mail these documents to the stockholders of Juno. THESE DOCUMENTS, AS EACH MAY BE AMENDED OR SUPPLEMENTED FROM TIME TO TIME, WILL CONTAIN IMPORTANT INFORMATION ABOUT THE TENDER OFFER AND JUNO STOCKHOLDERS ARE URGED TO READ THEM CAREFULLY WHEN THEY BECOME AVAILABLE. STOCKHOLDERS OF JUNO WILL BE ABLE TO OBTAIN A FREE COPY OF THESE DOCUMENTS (WHEN THEY BECOME AVAILABLE) AND OTHER DOCUMENTS FILED BY JUNO, CELGENE OR PURCHASER WITH THE SEC AT THE WEBSITE MAINTAINED BY THE SEC AT WWW.SEC.GOV.

Hyperlinks are provided as a convenience and for informational purposes only. Celgene bears no responsibility for the security or content of external websites.

Use of Non-GAAP Financial Measures

In addition to financial information prepared in accordance with U.S. GAAP, this document also contains certain non-GAAP financial measures based on management’s view of performance including:

Adjusted research and development expense
Adjusted selling, general and administrative expense
Adjusted operating margin
Adjusted net income
Adjusted earnings per share
Management uses such measures internally for planning and forecasting purposes and to measure the performance of the Company. We believe these adjusted financial measures provide useful and meaningful information to us and investors because they enhance investors’ understanding of the continuing operating performance of our business and facilitate the comparison of performance between past and future periods. These adjusted financial measures are non-GAAP measures and should be considered in addition to, but not as a substitute for, the information prepared in accordance with U.S. GAAP. When preparing these supplemental non-GAAP financial measures we typically exclude certain GAAP items that management does not consider to be normal, recurring, cash operating expenses but that may not meet the definition of unusual or non-recurring items. Other companies may define these measures in different ways. The following categories of items are excluded from adjusted financial results:

Acquisition and Divestiture-Related Costs: We exclude the impact of certain amounts recorded in connection with business combinations and divestitures from our adjusted financial results that are either non-cash or not normal, recurring operating expenses due to their nature, variability of amounts, and lack of predictability as to occurrence and/or timing. These amounts may include non-cash items such as the amortization of acquired intangible assets, amortization of purchase accounting adjustments to inventories, intangible asset impairment charges and expense or income related to changes in the estimated fair value measurement of contingent consideration. We also exclude transaction and certain other cash costs associated with business acquisitions and divestitures that are not normal recurring operating expenses, including severance costs which are not part of a formal restructuring program.

Share-based Compensation Expense: We exclude share-based compensation from our adjusted financial results because share-based compensation expense, which is non-cash, fluctuates from period to period based on factors that are not within our control, such as our stock price on the dates share-based grants are issued.

Collaboration-related Upfront Expenses: We exclude collaboration-related upfront expenses from our adjusted financial results because we do not consider them to be normal, recurring operating expenses due to their nature, variability of amounts, and lack of predictability as to occurrence and/or timing. Upfront payments to collaboration partners are made at the commencement of a relationship anticipated to continue for a multi-year period and provide us with intellectual property rights, option rights and other rights with respect to particular programs. The variability of amounts and lack of predictability of collaboration-related upfront expenses makes the identification of trends in our ongoing research and development activities more difficult. We believe the presentation of adjusted research and development, which does not include collaboration-related upfront expenses, provides useful and meaningful information about our ongoing research and development activities by enhancing investors’ understanding of our normal, recurring operating research and development expenses and facilitates comparisons between periods and with respect to projected performance. All expenses incurred subsequent to the initiation of the collaboration arrangement, such as research and development cost-sharing expenses/reimbursements and milestone payments up to the point of regulatory approval are considered to be normal, recurring operating expenses and are included in our adjusted financial results.

Research and Development Asset Acquisition Expense: We exclude costs associated with acquiring rights to pre-commercial compounds because we do not consider such costs to be normal, recurring operating expenses due to their nature, variability of amounts, and lack of predictability as to occurrence and/or timing. Research and development asset acquisition expenses includes expenses to acquire rights to pre-commercial compounds from a collaboration partner when there will be no further participation from the collaboration partner or other parties. The variability of amounts and lack of predictability of research and development asset acquisition expenses makes the identification of trends in our ongoing research and development activities more difficult. We believe the presentation of adjusted research and development, which does not include research and development asset acquisition expenses, provides useful and meaningful information about our ongoing research and development activities by enhancing investors’ understanding of our normal, recurring operating research and development expenses and facilitates comparisons between periods and with respect to projected performance.

Restructuring Costs: We exclude costs associated with restructuring initiatives from our adjusted financial results. These costs include amounts associated with facilities to be closed, employee separation costs and costs to move operations from one location to another. We do not frequently undertake restructuring initiatives and therefore do not consider such costs to be normal, recurring operating expenses.

Certain Other Items: We exclude certain other significant items that may occur occasionally and are not normal, recurring, cash operating expenses from our adjusted financial results. Such items are evaluated on an individual basis based on both the quantitative and the qualitative aspect of their nature and generally represent items that, either as a result of their nature or magnitude, we would not anticipate occurring as part of our normal business on a regular basis. While not all-inclusive, examples of certain other significant items excluded from adjusted financial results would be: impairment charges for significant fair value adjustments to equity investments, significant litigation-related loss contingency accruals and expenses to settle other disputed matters, and changes in the carrying value of our equity investments beginning in 2018.

Estimated Tax Impact From Above Adjustments: We exclude the net income tax impact of the non-tax adjustments described above from our adjusted financial results. The net income tax impact of the non-tax adjustments includes the impact on both current and deferred income taxes and is based on the taxability of the adjustment under local tax law and the statutory tax rate in the tax jurisdiction where the adjustment was incurred.

Non-Operating Tax Adjustments: We exclude the net income tax impact of certain other significant income tax items, which are not associated with our normal, recurring operations ("Non-Operating Tax Items"), from our adjusted financial results. Non-Operating Tax Items include items which may occur occasionally and are not normal, recurring operating expenses (or benefits), including adjustments related to acquisitions, divestitures, collaborations, certain adjustments to the amount of unrecognized tax benefits related to prior year tax positions, the impact of tax reform legislation commonly referred to as the Tax Cuts and Jobs Act, the impact resulting from intra-entity transfers of assets other than inventory beginning in 2018, and other similar items. We also exclude excess tax benefits and tax deficiencies that arise upon vesting or exercise of share-based payments recognized as income tax benefits or expenses due to their nature, variability of amounts, and lack of predictability as to occurrence and/or timing.

Long-Term Targets

A reconciliation of long-term adjusted financial targets to the most comparable GAAP measures cannot be provided because we are unable to forecast with reasonable certainty many of the items necessary to calculate such comparable GAAP measures, including share-based compensation expense, collaboration-related upfront expense, research and development asset acquisition expense, acquisition-related expenses, fair value adjustments to contingent consideration, the ultimate outcome of legal proceedings and unusual gains and losses, as well as unforeseen events, risks and developments. These items are uncertain, depend on various factors, and could be material to our results computed in accordance with GAAP. We believe the inherent uncertainties in reconciling our long-term non-GAAP measures to the most comparable GAAP measures would make the forecasted comparable GAAP measures nearly impossible to predict with reasonable certainty and therefore inherently unreliable.

See the attached Reconciliations of GAAP to Adjusted Net Income for explanations of the amounts excluded and included to arrive at the adjusted measures for the three- and twelve-month periods ended December 31, 2017 and 2016, and for the projected amounts for the twelve-month period ending December 31, 2018.

Celgene Corporation and Subsidiaries
Condensed Consolidated Statements of Operations
(Unaudited)
(In millions, except per share data)

Three-Month Periods Ended Twelve-Month Periods Ended
December 31, December 31,
2017 2016 2017 2016

Net product sales $ 3,479 $ 2,977 $ 12,973 $ 11,185
Other revenue 4 3 30 44
Total revenue 3,483 2,980 13,003 11,229

Cost of goods sold (excluding amortization of acquired intangible assets) 119 113 461 438
Research and development 2,738 1,135 5,915 4,470
Selling, general and administrative 774 685 2,941 2,658
Amortization of acquired intangible assets 79 105 329 459
Acquisition related (gains) charges and restructuring, net (1,425 ) 13 (1,350 ) 38
Total costs and expenses 2,285 2,051 8,296 8,063

Operating income 1,198 929 4,707 3,166

Interest and investment income, net 33 9 105 30
Interest (expense) (142 ) (127 ) (522 ) (500 )
Other income (expense), net 42 (312 ) 24 (324 )

Income before income taxes 1,131 499 4,314 2,372

Income tax provision 1,212 70 1,374 373

Net (loss) income $ (81 ) $ 429 $ 2,940 $ 1,999

Net (loss) income per common share:
Basic $ (0.10 ) $ 0.55 $ 3.77 $ 2.57
Diluted $ (0.10 ) $ 0.53 $ 3.64 $ 2.49

Weighted average shares:
Basic 773.5 776.8 779.2 777.2
Diluted 773.5 802.2 808.7 803.3

December 31, December 31,
2017 2016
Balance sheet items:
Cash, cash equivalents & marketable securities $ 12,042 $ 7,970
Total assets 30,141 28,086
Long-term debt, including current portion 15,838 14,290
Total stockholders’ equity 6,921 6,600

Celgene Corporation and Subsidiaries
Reconciliation of GAAP to Adjusted Net Income
(In millions, except per share data)

Three-Month Periods Ended Twelve-Month Periods Ended
December 31, December 31,
2017 2016 2017 2016

Net (loss) income – GAAP $ (81 ) $ 429 $ 2,940 $ 1,999

Before tax adjustments:
Cost of goods sold (excluding amortization of acquired intangible assets):
Share-based compensation expense (1) 7 8 29 33

Research and development:
Share-based compensation expense (1) 68 64 268 253
Collaboration-related upfront expense (2) 96 128 765 816
Research and development asset acquisition expense (3) - 270 325 893
IPR&D asset impairment charge (4) 1,620 - 1,620 -
Clinical trial & development activity wind-down charge (4) 188 - 188 -

Selling, general and administrative:
Share-based compensation expense (1) 87 83 347 320
Litigation-related loss contingency accrual expense (5) - 69 315 199

Amortization of acquired intangible assets (6) 79 105 329 459

Acquisition related (gains) charges and restructuring, net:
Change in fair value of contingent consideration (7) (1,425 ) 9 (1,350 ) 22
Restructuring charges (8) - 3 - 16

Other income (expense), net:
Impairment of equity investment (9) - 272 - 272

Income tax provision:
Estimated tax impact from above adjustments (10) (299 ) (74 ) (686 ) (432 )
Non-operating tax adjustments (11) 1,252 (76 ) 926 (80 )
Net income – Adjusted $ 1,592 $ 1,290 $ 6,016 $ 4,770

Net income per common share – Adjusted
Basic $ 2.06 $ 1.66 $ 7.72 $ 6.14
Diluted (12) $ 2.00 $ 1.61 $ 7.44 $ 5.94

Explanation of adjustments:
(1) Exclude share-based compensation expense totaling $162 for the three-month period ended December 31, 2017 and $155 for the three-month period ended December 31, 2016.
Exclude share-based compensation expense totaling $644 for the twelve-month period ended December 31, 2017 and $606 for the twelve-month period ended December 31, 2016.
(2) Exclude upfront payment expense for research and development collaboration arrangements.
(3) Exclude research and development asset acquisition expenses.
(4) Exclude charges associated with the discontinuance of GED-0301 clinical trials in Crohn’s disease (Trials), including impairment of an IPR&D asset and other one-time charges
related to wind-down costs associated with discontinuing the Trials and certain development activities.
(5) Exclude loss contingency accrual expenses related to a civil litigation matter in 2017 and contractual dispute in 2016.
(6) Exclude amortization of intangible assets acquired in the acquisitions of Pharmion Corp., Gloucester Pharmaceuticals, Inc. (Gloucester), Abraxis BioScience, Inc. (Abraxis), Celgene
Avilomics Research, Inc. (Avila) and Quanticel Pharmaceuticals, Inc. (Quanticel).
(7) Exclude changes in the fair value of contingent consideration related to the acquisitions of Gloucester, Abraxis, Avila, Nogra Pharma Limited (Nogra) and Quanticel, including the
impact to the Nogra contingent consideration liabilities related to the discontinuance of the Trials.
(8) Exclude restructuring charges related to our relocation of certain operations into our two Summit, NJ locations as well as costs associated with certain headcount reductions.
(9) Fair value adjustment to our equity investment in Juno Therapeutics, Inc. (Juno) per ASC 320 "Investments – Debt and Equity Securities."
(10) Exclude the estimated tax impact of the above adjustments.
(11) Exclude other non-operating tax expense items. The adjustments for the three-month period ended December 31, 2017 are to exclude expense of $1,269 as a result of the
implementation of tax reform legislation (2017 Tax Act) and excess tax benefits related to the adoption of ASU 2016-09 (Compensation-Stock Compensation) of $17. The
adjustments for the twelve-month period ended December 31, 2017 are to exclude expense of $1,269 as a result of the implementation of the 2017 Tax Act, excess tax benefits related
to the adoption of ASU 2016-09 (Compensation-Stock Compensation) of $290, prior year tax benefits arising from a U.S. research and development and orphan drug tax credits study
of $55 and to exclude other adjustments totaling tax expense of $2. The adjustments for the three- and twelve-month periods ended December 31, 2016 are to exclude the tax benefit
of a tax loss incurred on our investment in Avila of $80 in both periods, with the three-month period also including other adjustments totaling tax expense of $4.
(12) Diluted net income per share for the three-month period ended December 31, 2017 was determined using diluted weighted-average shares of 797.4 million.

Celgene Corporation and Subsidiaries
Reconciliation of Full-Year 2018 Projected GAAP to Adjusted Net Income
(In millions, except per share data)

Range
Low High

Projected net income – GAAP (1) $ 5,629 $ 5,934

Before tax adjustments:
Cost of goods sold (excluding amortization of acquired intangible assets):
Share-based compensation expense 30 27

Research and development:
Share-based compensation expense 268 247
Research and development asset acquisition expense 1,115 1,115

Selling, general and administrative:
Share-based compensation expense

348 321

Amortization of acquired intangible assets 260 235

Acquisition related (gains) charges and restructuring, net:

Change in fair value of contingent consideration 3 3

Other income (expense), net:
Changes in fair value of equity investments (780 ) (780 )

Income tax provision:
Estimated tax impact from above adjustments (130 ) (204 )
Non-operating tax adjustments - -

Projected net income – Adjusted $ 6,743 $ 6,898

Projected net income per diluted common share – GAAP $ 7.26 $ 7.66

Projected net income per diluted common share – Adjusted $ 8.70 $ 8.90

Projected weighted average diluted shares 775.0 775.0

(1) Our projected 2018 earnings do not include the effect of any business combinations (including the effect of our recently announced pending acquisition of Juno), collaboration agreements, asset acquisitions, asset impairments, additional litigation-related loss contingency accruals, changes in the fair value of our CVRs issued as part of the acquisition of Abraxis, changes in the fair value of equity investments due to the adoption of ASU 2016-01 (Financial Instruments-Overall: Recognition and Measurement of Financial Assets and Financial Liabilities) or non-operating tax adjustments that may occur after the day prior to the date of this press release.

Celgene Corporation and Subsidiaries
Net Product Sales
(In millions)

Three-Month Periods
Ended December 31, % Change
2017 2016 Reported Operational(1) Currency(2)

REVLIMID
U.S. $ 1,473 $ 1,187 24.1 % 24.1 % 0.0 %
International 715 621 15.1 % 18.7 % (3.6 )%
Worldwide 2,188 1,808 21.0 % 22.2 % (1.2 )%

POMALYST/IMNOVID
U.S. 283 219 29.2 % 29.2 % 0.0 %
International 159 159 0.0 % 3.9 % (3.9 )%
Worldwide 442 378 16.9 % 18.5 % (1.6 )%

OTEZLA
U.S. 303 268 13.1 % 13.1 % 0.0 %
International 68 37 83.8 % 85.4 % (1.6 )%
Worldwide 371 305 21.6 % 21.8 % (0.2 )%

ABRAXANE
U.S. 155 172 (9.9 )% (9.9 )% 0.0 %
International 96 94 2.1 % 7.2 % (5.1 )%
Worldwide 251 266 (5.6 )% (3.8 )% (1.8 )%

IDHIFA (3)
U.S. 13 - N/A N/A N/A
International - - N/A N/A N/A
Worldwide 13 - N/A N/A N/A

VIDAZA
U.S. 3 2 50.0 % 50.0 % 0.0 %
International 160 151 6.0 % 10.3 % (4.3 )%
Worldwide 163 153 6.5 % 10.7 % (4.2 )%

azacitidine for injection
U.S. 4 10 (60.0 )% (60.0 )% 0.0 %
International - - N/A N/A N/A
Worldwide 4 10 (60.0 )% (60.0 )% 0.0 %

THALOMID
U.S. 16 22 (27.3 )% (27.3 )% 0.0 %
International 12 13 (7.7 )% (4.4 )% (3.3 )%
Worldwide 28 35 (20.0 )% (18.7 )% (1.3 )%

ISTODAX
U.S. 16 19 (15.8 )% (15.8 )% 0.0 %
International 2 2 0.0 % (1.9 )% 1.9 %
Worldwide 18 21 (14.3 )% (14.5 )% 0.2 %

All Other
U.S. - - N/A N/A N/A
International 1 1 N/A N/A N/A
Worldwide 1 1 N/A N/A N/A

Total Net Product Sales
U.S. 2,266 1,899 19.3 % 19.3 % 0.0 %
International 1,213 1,078 12.5 % 16.3 % (3.8 )%
Worldwide $ 3,479 $ 2,977 16.9 % 18.3 % (1.4 )%

(1) Operational includes impact from both volume and price
(2) Currency includes the impact from both foreign exchange rates and hedging activities
(3)
IDHIFA was approved in August 2017 in the U.S. for the treatment of adult patients with R/R AML with an isocitrate dehydrogenase-2 (IDH2) mutation as detected by an FDA approved test.


Celgene Corporation and Subsidiaries
Net Product Sales
(In millions)

Twelve-Month Periods
Ended December 31, % Change
2017 2016 Reported Operational(1) Currency(2)

REVLIMID
U.S. $ 5,426 $ 4,417 22.8 % 22.8 % 0.0 %
International 2,761 2,557 8.0 % 10.2 % (2.2 )%
Worldwide 8,187 6,974 17.4 % 18.2 % (0.8 )%

POMALYST/IMNOVID
U.S. 1,008 778 29.6 % 29.6 % 0.0 %
International 606 533 13.7 % 16.9 % (3.2 )%
Worldwide 1,614 1,311 23.1 % 24.4 % (1.3 )%

OTEZLA
U.S. 1,058 904 17.0 % 17.0 % 0.0 %
International 221 113 95.6 % 94.3 % 1.3 %
Worldwide 1,279 1,017 25.8 % 25.7 % 0.1 %

ABRAXANE
U.S. 607 634 (4.3 )% (4.3 )% 0.0 %
International 385 339 13.6 % 17.5 % (3.9 )%
Worldwide 992 973 2.0 % 3.4 % (1.4 )%

IDHIFA (3)
U.S. 20 - N/A N/A N/A
International - - N/A N/A N/A
Worldwide 20 - N/A N/A N/A

VIDAZA
U.S. 8 12 (33.3 )% (33.3 )% 0.0 %
International 620 596 4.0 % 6.6 % (2.6 )%
Worldwide 628 608 3.3 % 5.9 % (2.6 )%

azacitidine for injection
U.S. 35 66 (47.0 )% (47.0 )% 0.0 %
International 1 - N/A N/A N/A
Worldwide 36 66 (45.5 )% (45.5 )% 0.0 %

THALOMID
U.S. 80 97 (17.5 )% (17.5 )% 0.0 %
International 52 55 (5.5 )% (2.7 )% (2.8 )%
Worldwide 132 152 (13.2 )% (12.2 )% (1.0 )%

ISTODAX
U.S. 67 72 (6.9 )% (6.9 )% 0.0 %
International 9 8 12.5 % 10.3 % 2.2 %
Worldwide 76 80 (5.0 )% (5.2 )% 0.2 %

All Other
U.S. 1 1 N/A N/A N/A
International 8 3 N/A N/A N/A
Worldwide 9 4 N/A N/A N/A

Total Net Product Sales
U.S. 8,310 6,981 19.0 % 19.0 % 0.0 %
International 4,663 4,204 10.9 % 13.2 % (2.3 )%
Worldwide $ 12,973 $ 11,185 16.0 % 16.9 % (0.9 )%

(1) Operational includes impact from both volume and price
(2) Currency includes the impact from both foreign exchange rates and hedging activities
(3)
IDHIFA was approved in August 2017 in the U.S. for the treatment of adult patients with R/R AML with an isocitrate dehydrogenase-2 (IDH2) mutation as detected by an FDA approved test.

Dr. Reddy’s Q3 and 9M FY18 Financial Results

On January 25, 2018 Dr. Reddy’s Laboratories Ltd. (BSE: 500124 | NSE: DRREDDY | NYSE: RDY) reported its consolidated financial results for the third quarter and nine months ended December 31, 2017 under International Financial Reporting Standards (IFRS) (Press release, Dr Reddy’s, JAN 25, 2018, View Source [SID1234523576]).

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Q3 Performance Summary 9M Performance Summary

Rs. 3,806 Cr Rs. 10,668 Cr
Revenue Revenue
[Up: 7% QoQ, Up: 3% YoY] [Up: 1% YoY]

56.3% 53.8%
Gross Margin Gross Margin
[Q2 FY18: 53.3%; Q3 FY17: 59.1%]
[9M FY17: 57.2%]


Rs. 1,205 Cr Rs. 3,484 Cr
SGNA expenses SGNA expenses
[Up: 6% YoY] [Down: 2% YoY]

Rs. 467 Cr Rs. 1,392 Cr
R&D expenses R&D expenses
[12.3% of Revenues] [13.0% of Revenues]

Rs. 806 Cr Rs. 1,830 Cr
EBITDA EBITDA
[21.2% of Revenues] [17.2% of Revenues]

Rs. 334 Cr* Rs. 678 Cr*
Profit after Tax Profit after Tax
[8.8% of Revenues] [6.4% of Revenues]

* During Q3 FY18, the ‘Tax Cuts and Jobs Act of 2017’ was approved and enacted in the United States. Consequent to this enactment the deferred tax assets and liabilities of the US entity have been re-measured resulting in a one-time charge of Rs. 93 Crores. [Adjusted PAT for Q3 FY 18: Rs. 427 Crores and 9M FY 18: Rs. 771 Crores]

Commenting on the results, CEO and Co-chairman, G.V. Prasad said "We had a satisfactory third quarter performance, with all our key markets performing well. We recorded sequential revenue growth of 7%, despite continuing challenges such as price erosion in the U.S. Our first-cycle NDA approval of Impoyz is a significant milestone in the commercialization of our proprietary products pipeline. We will continue our focus on operational excellence and controlling of SG&A costs across the organisation".

All amounts in millions, except EPS All US dollar amounts based on convenience translation rate of I USD = Rs. 63.83

Dr. Reddy’s Laboratories Limited and Subsidiaries

Consolidated Income Statement

Q3 FY 18 Q3 FY 17 Growth
Particulars ($) (Rs.) % ($) (Rs.) % %
Revenues 596 38,060 100.0 581 37,065 100.0 3
Cost of revenues 261 16,649 43.7 238 15,166 40.9 10
Gross profit 335 21,411 56.3 343 21,899 59.1 (2 )
Operating Expenses
Selling, general & administrative expenses 189 12,048 31.7 178 11,341 30.6 6
Research and development expenses 73 4,667 12.3 78 4,956 13.4 (6 )
Other operating expense / (income) (5 ) (313 ) (0.8 ) (3 ) (187 ) (0.5 ) 67
Results from operating activities 78 5,009 13.2 91 5,789 15.6 (13 )
Finance expense / (income), net (13 ) (851 ) (2.2 ) (1 ) (44 ) (0.1 ) 1850
Share of (profit) of equity accounted investees, net of income tax (1 ) (85 ) (0.2 ) (1 ) (89 ) (0.2 ) (5 )
Profit before income tax 93 5,945 15.6 93 5,922 16.0 0
Income tax expense 41 2,601 * 6.8 19 1,221 3.3 113
Profit for the period 52 3,344 8.8 74 4,701 12.7 (29 )

Diluted EPS 0.32 20.13 0.44 28.32 (29 )

* ~Rs. 930 million impact on account of reforms in US tax laws

EBITDA Computation

Q3 FY 18 Q3 FY 17
Particulars ($) (Rs.) ($) (Rs.)
Profit before income tax 93 5,945 93 5,922
Interest (income) / expense net* (14 ) (881 ) (1 ) (53 )
Depreciation 33 2,089 30 1,936
Amortization 14 882 15 956
Impairment 0.3 20 0.5 32
EBITDA 126 8,055 138 8,793
EBITDA (% to revenues) 21.2 23.7

* – Includes income from Investments

Key Balance Sheet Items

As on 31st Dec 17 As on 30th Sep 17
Particulars ($) (Rs.) ($) (Rs.)
Cash and cash equivalents and Other current Investments 344 21,958 263 16,793
Trade receivables (current) 665 42,432 661 42,203
Inventories 420 26,825 423 26,998
Property, plant and equipment 912 58,189 907 57,905
Goodwill and Other Intangible assets 755 48,182 778 49,634
Loans and borrowings (current & non-current) 860 54,911 841 53,668
Trade payables 228 14,575 222 14,193
Equity 1,938 1,23,685 1,909 1,21,840

All amounts in millions, except EPS All US dollar amounts based on convenience translation rate of I USD = Rs. 63.83

Revenue Mix by Segment [Year on year]

Q3 FY 18 Q3 FY 17 Growth
Particulars ($) (Rs.) % ($) (Rs.) % %
Global Generics 472 30,105 79 480 30,638 83 -2
North America 16,073 16,595 -3
Europe* 2,006 2,148 -7
India 6,126 5,947 3
Emerging Markets# 5,900 5,948 -1
PSAI 85 5,436 14 85 5,400 14 1
North America 863 1,259 -31
Europe 1,572 1,828 -14
India 627 409 53
Rest of World 2,374 1,904 25
Proprietary Products & Others 39 2,519 7 16 1,027 3 145
Total 596 38,060 100 581 37,065 100 3

Revenue Mix by Segment [Sequential]

Q3 FY 18 Q2 FY 18 Growth
Particulars ($) (Rs.) % ($) (Rs.) % %
Global Generics 472 30,105 79 448 28,618 81 5
North America 16,073 14,318 12
Europe* 2,006 2,424 -17
India 6,126 6,370 -4
Emerging Markets# 5,900 5,506 7
PSAI 85 5,436 14 89 5,654 16 -4
North America 863 962 -10
Europe 1,572 1,938 -19
India 627 436 44
Rest of World 2,374 2,318 2
Proprietary Products & Others 39 2,519 7 19 1,188 3 112
Total 596 38,060 100 556 35,460 100 7

* Europe primarily includes Germany, UK and out licensing sales business

# Emerging Markets refers to Russia, other CIS countries, Romania and Rest of the World markets including Venezuela

Segmental Analysis

Global Generics (GG)

Revenues from GG segment at Rs. 30.1 billion.

Sequential growth of 5%, primarily driven by the US and Emerging Markets

Year-on-year decline of 2%, primarily on account of adverse foreign exchange as the US dollar depreciated by ~4% and lower contribution from Europe generics market.

· Revenues from North America at Rs. 16.1 billion.

- Sequential growth of 12%, primarily on account of contribution from new products major being sevelamer carbonate

- Year-on-year decline of 3%, primarily on account of higher price erosions due to channel consolidation and increased competition in some of our key molecules, and impact of adverse foreign exchange. The above is partly offset by new products contribution.

As of 31st December 2017, cumulatively 102 generic filings are pending for approval with the USFDA (99 ANDAs and 3 NDAs under 505(b)(2) route). Of these 99 ANDAs, 59 are Para IVs out of which we believe 29 have ‘First to File’ status.

· Revenues from Emerging Markets at Rs. 5.9 billion

- Revenues from Russia at Rs. 3.4 billion. Year-on-year growth of 9%. In constant currency i.e. in Rouble terms year-on-year growth is 5%.

- Revenues from other CIS countries and Romania market at Rs. 1.0 billion. Year-on-year decline of 2%.

- Revenues from Rest of World (RoW) territories at Rs. 1.5 billion. Year-on-year decline of 17%.

· Revenues from India at Rs. 6.1 billion. Year-on-year growth of 3%. Normalizing for the GST transition related adjustments, the comparable growth is ~11%.

· Revenues from Europe at Rs. 2.0 billion. Year-on-year decline of 7%, primarily on account of higher price erosion in some of the key molecules coupled with temporary supply disruptions.

Pharmaceutical Services and Active Ingredients (PSAI)

· Revenues from PSAI at Rs. 5.4 billion. Year-on-year growth of 1%.

· During the quarter, 13 DMFs were filed globally of which 1 was in the US. The cumulative number of DMF filings as of 31st December, 2017 was 791.

Proprietary Products (PP)

· Revenues from PP at Rs. 2.1 billion

During Q3 FY18 USFDA approved IMPOYZ (clobetasol propionate) Cream 0.025%. In line with the existing outlicensing agreement with Encore Dermatology Inc. this approval triggered milestone recognition of Rs. 1.3 billion during Q3 FY18.

Income Statement Highlights:

· Gross profit margin at 56.3%.

- Improved by ~300 bps sequentially, aided by better product mix and milestone receipt of Rs. 1.3 billion in Proprietary Products

- Declined by ~280 bps over that of previous year primarily on account of higher price erosions, increased competitive intensity in some of our key molecules in the US and adverse foreign exchange impact.

- Gross profit margin for GG and PSAI business segments are at 59.5% and 23.8% respectively.

· SG&A expenses at Rs. 12.0 billion, an increase of 6%. During the quarter, a settlement agreement was entered into with the US Department of Justice on the litigation involving packaging against a payout of Rs. 319 million. The balance increase is on account of sales & marketing and other spends towards events specific to the quarter.

· Research & development expenses at Rs. 4.7 billion, a decrease of 6%. As % to Revenues- Q3 FY18: 12.3% | Q2 FY 18: 11.8% | Q3 FY17: 13.4%. Focus continues on building complex generics, biosimilars and differentiated products pipeline.

· Net Finance income at Rs. 851 million compared to Rs. 44 million in Q3FY17. The incremental income of Rs. 807 million is on account of:

- Increase in profit on sales of investments by Rs. 698 million.

- Increase in net interest income by Rs. 129 million.

- Net foreign exchange loss of Rs. 30 million in the current quarter vs net foreign exchange loss of Rs. 10 million in the previous year.

· Profit after Tax at Rs. 3.3 billion. During the quarter, the ‘Tax Cuts and Jobs Act of 2017’ was approved and enacted in the United States. Consequent to this enactment the deferred tax assets and liabilities in the US entity have been re-measured resulting in a one-time charge of Rs. 930 million being recorded under tax expense.

· Diluted earnings per share is at Rs. 20.13

· Capital expenditure is at Rs. 2.2 billion.

Earnings Call Details (06:30 pm IST, 08:00 am EST, January 25, 2018)

The Company will host an earnings call to discuss the performance and answer any questions from participants. This call will be accessible through an audio dial-in and a web-cast.

Audio conference Participants can dial-in on the numbers below

Primary number: 91 22 3960 0616
Secondary number: 91 22 6746 5826
International Toll Free Number USA 18667462133
UK 08081011573
Singapore 8001012045
Hong Kong 800964448

Playback of call: 91 22 3065 2322, 91 22 6181 3322
Conference ID: 375#
Web-cast More details will be provided through our website, www.drreddys.com

Transcript of the event will be available at www.drreddys.com. Playback will be available for a few days.

Janssen to Present 14 Abstracts in Prostate and Urothelial Cancers at ASCO GU 2018, Including New Data on Apalutamide (ARN-509), ZYTIGA® (abiraterone acetate) and Erdafitinib

On January 25, 2018 – New data from the Janseen Pharmaceutical Companies of Johnson & Johnson will be presented at the American Society of Clinical Oncology (ASCO) (Free ASCO Whitepaper) Genitourinary (ASCO GU) 2018 Cancers Symposium taking place February 8-10 in San Francisco (Press release, Johnson & Johnson, JAN 25, 2018, View Source [SID1234523578]). In total, 14 company-sponsored abstracts with data for both investigational and approved compounds have been accepted for presentation, including for apalutamide and ZYTIGA (abiraterone acetate) in prostate cancer, and for erdafitinib in urothelial cancer. Most notably, Phase 3 data results from the SPARTAN clinical trial, assessing apalutamide in non-metastatic castration-resistant prostate cancer, will be featured as part of the Prostate Cancer Oral Abstract Session on Thursday, February 8.

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"New data featuring approved and investigational compounds continue to demonstrate our commitment to developing novel agents in areas of significant unmet medical need," said Kiran Patel, M.D., Vice President, Clinical Development, Solid Tumors at Janssen Research & Development, LLC. "We are especially excited to present results from the pivotal SPARTAN clinical trial with apalutamide in patients with non-metastatic castration-resistant prostate cancer during this important oncology meeting."

Key company-sponsored data presentations include:

Apalutamide:

SPARTAN, a phase 3 double-blind, randomized study of apalutamide (APA) vs placebo (PBO) in patients (pts) with nonmetastatic castration-resistant prostate cancer (nmCRPC) (Abstract #161)
These data will be presented in Oral Abstract Presentation during Session A of the Prostate Cancer Program from 1:00 pm – 2:30 pm PST on Thursday, February 8th
ZYTIGA:

Abiraterone acetate (AA) plus prednisone (P) 5 mg QD in metastatic castration-naïve prostate cancer (mCNPC): Detailed safety analyses from the LATITUDE phase 3 trial (Abstract #182)
These data will be presented in Poster Presentation Session A from 11:30 am – 1:00 pm and 5:15 pm – 6:15 pm PST on Thursday, February 8th
Medical resource utilization (MRU) of abiraterone acetate plus prednisone (AAP) added to androgen deprivation therapy (ADT) in metastatic castration-naive prostate cancer: Results from LATITUDE (Abstract #201)
These data will be presented in Poster Presentation Session A from 11:30 am – 1:00 pm and 5:15 pm – 6:15 pm PST on Thursday, February 8th
Efficacy and safety of abiraterone acetate (AA) and low-dose prednisone (P) in Japanese patients with newly diagnosed, metastatic, hormone-naïve prostate cancer (mHNPC); Subgroup analysis of LATITUDE trial (Abstract #286)
These data will be presented in Poster Session B from 12:15 pm – 1:45 pm and 6:00 pm – 7:00 pm PST on Friday, February 9th
Erdafitinib:

Erdafitinib (ERDA; JNJ-42756493), a pan-fibroblast growth factor receptor (FGFR) inhibitor, in patients (pts) with metastatic or unresectable urothelial carcinoma (mUC) and FGFR alterations (FGFRa): phase 2 continuous versus intermittent dosing (Abstract #411)
These data will be presented in Rapid Fire Abstract Session during the Urothelial Carcinoma Program from 6:00 pm – 7:00 pm PST on Friday, February 9th
A full list of company-sponsored abstracts to be presented at the meeting follows below:

Abstract No.

Title

Date/Time

Apalutamide

Abstract #161

SPARTAN, a phase 3 double-blind, randomized study of apalutamide (APA) vs placebo (PBO) in patients (pts) with nonmetastatic castration-resistant prostate cancer (nmCRPC)

Oral Abstract Session A

Thursday, February 8th

1:00 pm – 2:30 pm PST

Abstract #27

Association of prostate-specific antigen (PSA) trajectories with risk for metastasis and mortality in non-metastatic castration-resistant prostate cancer (nmCRPC)

Poster Session A

Thursday, February 8th

11:30 am – 1:00 pm
and 5:15 pm – 6:15 pm PST

ZYTIGA

Abstract #182

Abiraterone acetate (AA) plus prednisone (P) 5 mg QD in metastatic castration-naïve prostate cancer (mCNPC): Detailed safety analyses from the LATITUDE phase 3 trial

Poster Session A

Thursday, February 8th

11:30 am – 1:00 pm
and 5:15 pm – 6:15 pm PST

Abstract #201

Medical resource utilization (MRU) of abiraterone acetate plus prednisone (AAP) added to androgen deprivation therapy (ADT) in metastatic castration-naive prostate cancer: Results from LATITUDE

Poster Session A

Thursday, February 8th

11:30 am – 1:00 pm
and 5:15 pm – 6:15 pm PST

Abstract #196

Real-world evidence in patient-related outcomes (PROs) of metastatic castrate-resistant prostate cancer (mCRPC) patients treated with abiraterone acetate plus prednisone (AA+P)

Poster Session A

Thursday, February 8th

11:30 am – 1:00 pm
and 5:15 pm – 6:15 pm PST

Abstract #200

Indirect treatment comparison (ITC) of abiraterone acetate (AA) plus prednisone (P) and docetaxel (DOC) on patient-reported outcomes (PROs) in metastatic castration-naïve prostate cancer (mCNPC)

Poster Session A

Thursday, February 8th

11:30 am – 1:00 pm
and 5:15 pm – 6:15 pm PST

Abstract #217

Neuropsychiatric adverse events of abiraterone acetate and enzalutamide: meta-analysis of randomized clinical trials with real world reporting patterns from EudraVigilance

Poster Session A

Thursday, February 8th

11:30 am – 1:00 pm
and 5:15 pm – 6:15 pm PST

Abstract #286

Efficacy and safety of abiraterone acetate (AA) and low-dose prednisone (p) in Japanese patients with newly diagnosed, metastatic, hormone-naïve prostate cancer (mHNPC); Subgroup analysis of LATITUDE Trial

Poster Session B
Friday, February 9th
12:15 pm – 1:45 pm and 6:00 pm – 7:15 pm PST

Abstract #296

Real-world study of enzalutamide and abiraterone acetate (with prednisone) tolerability (REAAcT) – results

Poster Session B

Friday, February 9th

12:15 pm – 1:45 pm
and 6:00 pm – 7:15 pm PST

Abstract #320

Real world patterns of treatment sequencing in Canada for metastatic castrate-resistant prostate cancer

Poster Session B

Friday, February 9th

12:15 pm – 1:45 pm
and 6:00 pm – 7:15 pm PST

Abstract #321

Patterns of prostate cancer management across Canadian prostate cancer treatment specialists

Poster Session B

Friday, February 9th

12:15 pm – 1:45 pm
and 6:00 pm – 7:15 pm PST

Abstract #343

Evolution of neuropsychiatric adverse events of abiraterone acetate and enzalutamide treatments reported in EudraVigilance, in metastatic castration resistant prostate cancer patients

Poster Session B

Friday, February 9th

12:15 pm – 1:45 pm
and 6:00 pm – 7:15 pm PST

Erdafitinib

Abstract #411

Erdafitinib (ERDA; JNJ-42756493), a pan-fibroblast growth factor receptor (FGFR) inhibitor, in patients (pts) with metastatic or unresectable urothelial carcinoma (mUC) and FGFR alterations (FGFRa): Phase 2 continuous versus intermittent dosing

Rapid Fire Abstract Session
(Oral Abstract Presentation)

Friday, February 9th

6:00 pm – 7:00 pm PST

Abstract #450

Efficacy of programmed death 1 (PD-1) and programmed death 1 ligand (PD-L1) inhibitors in patients with FGFR mutations and gene fusions: Results from a data analysis of an ongoing phase 2 study of erdafitinib (JNJ-42756493) in patients (pts) with advanced urothelial cancer (UC)

Poster Session B

Friday, February 9th

12:15 pm – 1:45 pm
and 6:00 pm – 7:15 pm PST

About ZYTIGA
ZYTIGA (abiraterone acetate) is indicated in combination with prednisone for the treatment of patients with metastatic castration-resistant prostate cancer (mCRPC). ZYTIGA blocks CYP17-mediated androgen production, which fuels prostate cancer growth, at three sources: in the testes, adrenals and the prostate tumor tissue.

Since its first approval in the U.S. in 2011, ZYTIGA has been approved in combination with prednisone/prednisolone in 105 countries. More than 330,000 men worldwide, including 113,000 in the U.S., have received treatment with it, and it was the number one prescribed oral medication in the U.S. for men with mCRPC in 2016.

For more information about ZYTIGA, visit www.ZYTIGA.com.

Important Safety Information – ZYTIGA

CONTRAINDICATIONS – ZYTIGA (abiraterone acetate) is not indicated for use in women. ZYTIGA can cause fetal harm (Pregnancy Category X) when administered to a pregnant woman and is contraindicated in women who are or may become pregnant.

Hypertension, Hypokalemia and Fluid Retention Due to Mineralocorticoid Excess – Use with caution in patients with a history of cardiovascular disease or with medical conditions that might be compromised by increases in blood pressure, hypokalemia, or fluid retention. ZYTIGA may cause hypertension, hypokalemia, and fluid retention as a consequence of increased mineralocorticoid levels resulting from CYP17 inhibition. Safety has not been established in patients with LVEF <50% or New York Heart Association (NYHA) Class III or IV heart failure (in Study 1) or NYHA Class II to IV heart failure (in Study 2) because these patients were excluded from these randomized clinical trials. Control hypertension and correct hypokalemia before and during treatment. Monitor blood pressure, serum potassium, and symptoms of fluid retention at least monthly.

Adrenocortical Insufficiency (AI) – AI was reported in patients receiving ZYTIGA in combination with prednisone, after an interruption of daily steroids and/or with concurrent infection or stress. Use caution and monitor for symptoms and signs of AI if prednisone is stopped or withdrawn, if prednisone dose is reduced, or if the patient experiences unusual stress. Symptoms and signs of AI may be masked by adverse reactions associated with mineralocorticoid excess seen in patients treated with ZYTIGA. Perform appropriate tests, if indicated, to confirm AI. Increased dosages of corticosteroids may be used before, during, and after stressful situations.

Hepatotoxicity – In post-marketing experience, there have been ZYTIGA-associated severe hepatic toxicities, including fulminant hepatitis, acute liver failure and deaths. Monitor liver function and modify, withhold, or discontinue ZYTIGA dosing as recommended (see Prescribing Information for more information). Measure serum transaminases [alanine aminotransferase (ALT) and aspartate aminotransferase (AST)] and bilirubin levels prior to starting treatment with ZYTIGA, every two weeks for the first three months of treatment, and monthly thereafter. Promptly measure serum total bilirubin, AST, and ALT if clinical symptoms or signs suggestive of hepatotoxicity develop. Elevations of AST, ALT, or bilirubin from the patient’s baseline should prompt more frequent monitoring. If at any time AST or ALT rise above five times the upper limit of normal (ULN) or the bilirubin rises above three times the ULN, interrupt ZYTIGA treatment and closely monitor liver function. Re-treatment with ZYTIGA at a reduced dose level may take place only after return of liver function tests to the patient’s baseline or to AST and ALT less than or equal to 2.5X ULN and total bilirubin less than or equal to 1.5X ULN.

Permanently discontinue ZYTIGA for patients who develop a concurrent elevation of ALT greater than 3X ULN and total bilirubin greater than 2X ULN in the absence of biliary obstruction or other causes responsible for the concurrent elevation.

Adverse Reactions – The most common adverse reactions (≥10%) are fatigue, joint swelling or discomfort, edema, hot flush, diarrhea, vomiting, cough, hypertension, dyspnea, urinary tract infection and contusion.

The most common laboratory abnormalities (>20%) are anemia, elevated alkaline phosphatase, hypertriglyceridemia, lymphopenia, hypercholesterolemia, hyperglycemia, elevated AST, hypophosphatemia, elevated ALT and hypokalemia.

Drug Interactions – Based on in vitro data, ZYTIGA is a substrate of CYP3A4. In a drug interaction trial, co-administration of rifampin, a strong CYP3A4 inducer, decreased exposure of abiraterone by 55%. Avoid concomitant strong CYP3A4 inducers during ZYTIGA treatment. If a strong CYP3A4 inducer must be co-administered, increase the ZYTIGA dosing frequency only during the co-administration period [see Dosage and Administration (2.3)]. In a dedicated drug interaction trial, co-administration of ketoconazole, a strong inhibitor of CYP3A4, had no clinically meaningful effect on the pharmacokinetics of abiraterone.

ZYTIGA is an inhibitor of the hepatic drug-metabolizing enzymes CYP2D6 and CYP2C8. Avoid co-administration with CYP2D6 substrates with a narrow therapeutic index. If alternative treatments cannot be used, exercise caution and consider a dose reduction of the CYP2D6 substrate drug. In a CYP2C8 drug interaction trial in healthy subjects, the AUC of pioglitazone, a CYP2C8 substrate, was increased by 46% when administered with a single dose of ZYTIGA. Patients should be monitored closely for signs of toxicity related to a CYP2C8 substrate with a narrow therapeutic index if used concomitantly with ZYTIGA.

Use in Specific Populations – Do not use ZYTIGA in patients with baseline severe hepatic impairment (Child-Pugh Class C).

About Apalutamide (ARN-509)
Apalutamide is an investigational, next-generation oral androgen receptor inhibitor that blocks the androgen signaling pathway in prostate cancer cells, and prevents binding of androgen to the androgen receptor and translocation of the androgen receptor to the nucleus of the cancer cell.

About Erdafitinib
Erdafitinib is a pan-fibroblast Growth Factor Receptor (FGFR) tyrosine kinase inhibitor currently being evaluated by Janssen in Phase 2 and 3 clinical trials in patients with advanced urothelial cancer. Additional research is also being conducted to explore the use of erdafitinib in other cancer indications.

Effect of intratumoral (IT) injection of the toll-like receptor 4 (TLR4) agonist G100 on a clinical response and CD4 T-cell response locally and systemically. 2018 ASCO-SITC Clinical Immuno-Oncology Symposium. Abstract #71. View Poster.

Effect of intratumoral (IT) injection of the toll-like receptor 4 (TLR4) agonist G100 on a clinical response and CD4 T-cell response locally and systemically (Poster, Immune Design, JAN 25, 2018, View Source [SID1234524042]). 2018 ASCO (Free ASCO Whitepaper)-SITC Clinical Immuno-Oncology Symposium. Abstract #71.

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Cotinga Pharmaceuticals Announces Publication of Positive Data from Preclinical Study of COTI-2 in PLOS ONE

On January 25, 2018 Cotinga Pharmaceuticals Inc. (formerly Critical Outcome Technologies Inc.) (TSX VENTURE:COT)(OTCQB:COTQF) ("Cotinga" or the "Company"), a clinical-stage pharmaceutical company advancing a pipeline of targeted therapies for the treatment of cancer, reported the publication of positive data from a preclinical study demonstrating that combining COTI-2 with commonly used chemotherapeutic agents improves efficacy and exhibits a favorable drug resistance and toxicity profile in human cancer cell lines (Press release, Cotinga, JAN 25, 2018, View Source [SID1234533159]). These results were published in PLOS ONE under the title, Novel anti-cancer drug COTI-2 synergizes with therapeutic agents and does not induce resistance or exhibit cross-resistance in human cancer cell lines. The article may be found at the following link: View Source

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"These data support our rationale to evaluate COTI-2 as a combination therapy, and we are encouraged that these results specifically suggest that COTI-2 may be safe and efficacious in a variety of oncology indications when administered alongside the standard of care" said Richard Ho, Chief Scientific Officer. "In addition to data indicating synergistic activity against multiple cancer cell lines, the favorable drug resistance and toxicity profiles elucidated in this study are key findings that support the continued development of COTI-2 as part of a combination cancer therapy regimen. We look forward to building on these positive preclinical results as we advance combination treatment with COTI-2 into the clinic later this year."

The preclinical study, performed by Cotinga researchers and academic collaborators, evaluated COTI-2 in combination with commonly used chemotherapeutic agents through in vivo and in vitro experiments using human cancer cell lines. The study found that combining COTI-2 with commonly used chemotherapeutic agents, particularly taxanes and platins, demonstrated enhanced cytotoxic activity and tumor growth inhibition in a variety of human cancer cell lines. Combination treatment with COTI-2 did not induce drug resistance, and drug-resistant cancer cell lines showed little or no cross-resistance to COTI-2. The various combination treatment regimens evaluated did not result in any overt signs of toxicity.

Subject to sufficient financing, Cotinga plans to initiate basket, combination, and expansion studies in multiple oncology indications in 2018.

The Company is also continuing to analyze results from the gynecological arm of its Phase 1 trial of COTI-2 and expects to provide an update when further data are available in the first quarter of 2018. In addition, Cotinga is currently enrolling patients in the head and neck squamous cell carcinoma (HNSCC) dose-escalation arm of its Phase 1 trial of COTI-2, and expects to report initial safety data in the second quarter of 2018.