8-K – Current report

On July 28, 2016 Champions Oncology, Inc. (Nasdaq: CSBR), engaged in the development of advanced technology solutions and services to personalize the development and use of oncology drugs, reported its financial results for the year ended April 30, 2016 (Filing, Q2, Champions Oncology, 2016, JUL 28, 2016, View Source [SID:1234514146]).

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Fourth Quarter and Recent Business Highlights:

•Year over year revenue growth of 26%
•Projected revenue for fiscal 2017 (ending April 2017) of $16 – 18 million of revenue
•Delivered second consecutive quarter of record TOS bookings
•Reduced cash burn to under $750K for the quarter
•Completed public offering netting $4.4M
•Projected cash flow positive by end of fiscal 2017
•Completed first study in acute myeloid leukemia
•Signed second co-clinical trial

Joel Ackerman, Champions Oncology CEO, stated, "this past year we’ve seen a significant shift from anticipated to actual results. We have delivered consecutive quarters of record TOS bookings, setting the stage for continued revenue growth heading into the coming year. This revenue growth, combined with strong expense control, has enabled us to continue lowering our quarterly cash burn rate and puts us on a path to cash flow breakeven. We are projecting an accelerating revenue growth for fiscal 2017 which we expect to result in revenue of $16 – 18 million for the year. By the end of the year, we expect to have a revenue run rate of close to $20 million and to be cash flow positive."

Financial Results

For the fourth quarter of 2016, revenue was $2.8 million, as compared to $3.2 million for the three months ended April 30, 2015, a decrease of 12.5%. For the twelve-month period ended April 30, 2016, revenue was $11.2 million, as compared to $8.9 million for the same period of the prior year, an increase of 26.2%. Total operating expense for the fourth quarter 2016 was $5.4 million as compared to $5.7 million for the fourth quarter 2015. For the twelve months ended April 30, 2016, total operating expense was $21.5 million, as compared to $22.1 million for the twelve months ended April 30, 2015.

For the fourth quarter of 2016 and 2015, Champions reported a loss from operations of $2.6 million and $2.4 million, respectively. Excluding stock-based compensation of $509,000 and $878,000 for the three months ended April 30, 2016 and 2015, Champions recognized a loss from operations of $2.1 million and $1.5 million, respectively. For the twelve months ended April 30, 2016, Champions reported a loss from operations of $10.4 million as compared to a loss from operations of $13.2 million for the twelve months ended April 30, 2015. Excluding stock-based compensation of $2.6 million and $3.2 million for the twelve months ended April 30, 2016 and 2015, Champions recognized a loss from operations of $7.8 million and $10 million, respectively.

Operating Results

Translational Oncology Solutions (TOS):

TOS revenue was $2.3 million and $2.8 million for the three months ended April 30, 2016 and 2015, respectively, a decrease of $500,000 or 20.3%. The decrease was due to a backlog of revenue recognized in the fourth quarter of 2015 resulting in a higher than normal revenue quarter. TOS revenue was $9.2 million and $7.2 million for the twelve months ended April 30, 2016 and 2015, respectively, an increase of $2 million, or 27.9%. The increase was due to increased bookings, both in the number and size of the studies, due to the expansion of the TOS sales team and growth of the platform.

TOS cost of sales was $1.9 million and $1.7 million for the three months ended April 30, 2016 and 2015, respectively, an increase of $200,000, or 13.5%. TOS cost of sales was $6.6 million and $4.9 million for the twelve months ended April 30, 2016 and 2015, respectively, an increase of $1.7 million, or 34.4%. For the three months ended April 30, 2016 and 2015, gross margin for TOS was 15.5% and 40.7%, respectively. For the twelve months ended April 30, 2016 and 2015, gross margin for TOS was 28.5% and 31.9%, respectively. The increase in TOS cost of sales was due to an increase in TOS studies. Gross margin varies based on timing differences between expense and revenue recognition. The decline in gross margin was due to expenses incurred in advance of future revenue.

Personalized Oncology Solutions (POS):

POS revenue was $585,000 and $418,000 for the three months ended April 30, 2016 and 2015, respectively, an increase of $167,000 or 39.9%. POS revenue was $2 million and $1.7 million for the twelve months ended April 30, 2016 and 2015, respectively, an increase of $300,000 or 18.6%. The increase is primarily the result of growth in sequencing and tumor board revenue offset by a decline in implant and drug panel revenue.

POS cost of sales was $441,000 and $543,000 for the three months ended April 30, 2016 and 2015, respectively, a decrease of $102,000, or 18.7%. POS cost of sales was $2.1 million and $2.7 million for the twelve months ended April 30, 2016 and 2015, respectively, a decrease of $600,000, or 23.1%. For the three months ended April 30, 2016 and 2015, gross margin for POS was 24.6% and negative (29.8%), respectively. For the twelve months ended April 30, 2016 and 2015, gross margin for POS was negative (6.6%) and negative (64.3%), respectively. The improvement is attributed to the increase in higher margin sequencing revenue and aggressively managing our lab costs.

Research and development expense was $1.2 million and $1.1 million for the three months ended April 30, 2016 and 2015, respectively. Research and development expense was $4.2 million and $4.8 million for the twelve months ended April 30, 2016 and 2015, respectively. The decrease is largely due to lower expenses in genomic characterization of our Champions TumorGraft Bank.

Sales and marketing expense for the three months ended April 30, 2016 and 2015 was $757,000 and $943,000, respectively. Sales and marketing expense for the twelve months ended April 30, 2016 and 2015 was $3.4 million and $4.3 million, respectively. The decrease is due to the consolidation of sales and marketing personnel resources of the POS and TOS division.
General and administrative expense was $1.1 million and $1.4 million for the three months ended April 30, 2016 and 2015, respectively. General and administrative expense for the twelve months ended April 30, 2016 and 2015 was $5.2 million and $5.3 million, respectively. The decrease is due to aggressive cost management to maintain cost controls even as the business grows.

Sanofi Announces Q2 2016 Results

On July 29, 2016 Sanofi reported financial results for the quarter ended June 30, 2016 (Press release, Sanofi, JUL 28, 2016, http://mediaroom.sanofi.com/solid-performance-in-the-first-quarter-of-2016-with-business-eps1-up-5-3-at-constant-exchange-rates_30156_30156/ [SID:1234514128]).

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Second quarter financial results and 2016 guidance confirmed

Aggregate Company sales(1) decreased 0.2%(3) (down 4.3% at 2016 exchange rates) to €8,868 million. Excluding Venezuela,
Aggregate Company sales grew 1.9%
IFRS EPS reported was down 10.0% to €0.90
Business EPS(2) was down 2.1% at CER to €1.31 and down 7.1% on a reported basis
Sanofi continues to expect 2016 Business EPS(2) to be broadly stable(4) at CER, barring unforeseen major adverse events

Performance of Global Business Units (GBU) led by Sanofi Genzyme

Strong double-digit growth of Sanofi Genzyme (+20.1%) across multiple sclerosis and rare disease franchises
Sanofi Pasteur sales increased +6.3%, despite anticipated supply constraints of Pentacel in the U.S.
General Medicines & Emerging Markets(5) sales declined 5.6%, or down 1.9% excluding Venezuela.
Diabetes and Cardiovascular sales were down 3.5%. Global diabetes franchise sales declined 3.2%
Animal Health sales were up 9.1% to €725 million, driven by the success of the NexGard family of products
Aggregate sales in Emerging Markets grew 6.7% excluding Venezuela

Major launches update

Toujeo generated worldwide sales of €141 million
Praluent launch advancing globally with approval in Japan and market share improvement in the U.S.
Dengvaxia uptake delayed by recent political changes and economic volatility in Latin America

Key R&D milestones achieved

Positive CHRONOS data for dupilumab in atopic dermatitis
Adlyxin (lixisenatide) approved in the U.S.
FDA Advisory Committee recommended approval of LixiLan

Sanofi Chief Executive Officer, Olivier Brandicourt, commented:

"Our second quarter financial performance was in-line with expectations and reflected anticipated headwinds. Sanofi Genzyme grew 20% and Sanofi Pasteur performed well despite a delay in Dengvaxia uptake. Recent highlights included the signing of the CHC asset swap, the approval of Praluent in several countries and positive Phase III CHRONOS data for dupilumab. Following our first half performance, we confirm our broadly stable 2016 Business EPS guidance at CER."

(1) Including Merial (see Appendix 10 for definition of Aggregate Company sales) which is reported on a single line in the consolidated income statements in accordance with IFRS 5 (Non-current assets held for sale and discontinued operations). Additionally, Sanofi comments include Merial for every income statement line using the term "Aggregate"; (2) In order to facilitate an understanding of operational performance, Sanofi comments on the business net income statement. Business net income is a non-GAAP financial measure (see Appendix 10 for definitions). The consolidated income statement for Q2 2016 and H1 2016 is provided in Appendix 4 and a reconciliation of business net income to IFRS net income reported is set forth in Appendix 3; (3) Percentage changes in net sales and Aggregate sales are expressed at constant exchange rates (CER) unless otherwise indicated (see Appendix 10); (4) 2015 Business EPS was €5.64;(5) See page 8

Investor Relations: (+) 33 1 53 77 45 45 – E-mail: [email protected] – Media Relations: (+) 33 1 53 77 46 46 – E-mail: [email protected]

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2016 second-quarter and first-half Aggregate Sanofi sales

Unless otherwise indicated, all percentage changes in sales in this press release are stated at CER(7).
In the second quarter of 2016, Aggregate Company sales were €8,868 million, down 4.3% at 2016 exchange rates. Exchange rate movements had a negative effect of 4.1 percentage points with the adverse evolution of the U.S. dollar as well as several emerging market currencies more than offsetting the positive effects from the Japanese Yen. At CER, Aggregate Company sales decreased 0.2%. First-half Aggregate Company sales reached €17,411 million, down 3.2% at 2016 exchange rates. Exchange rate movements had an unfavorable effect of 3.4 percentage points.

This performance included a negative currency impact related to the change of exchange rate applied for the translation of Venezuela operations, resulting from the evolution of the exchange system in February 2016 as well as from the persistent inability to exchange Venezuelan bolivars for U.S. dollars at the privileged official rate(8). In addition, in the second quarter of 2015, Sanofi benefited from a significant increase in product demand in Venezuela, due to buying patterns associated with local market conditions. As a consequence, sales in Venezuela were €6 million in the second quarter of 2016 compared to €199 million in the second quarter of 2015. Excluding Venezuela, Aggregate Company sales increased 1.9% and 2.5% in the second quarter and in the first half of 2016, respectively.

Global Business Units

The table below presents sales by Global Business Units (GBU) and reflects the organization of the Sanofi which became effective as of January 1, 2016. In this organizational structure, all Pharmaceutical sales in Emerging Markets are now included in the General Medicines and Emerging Markets GBU. This new reporting structure simplifies Sanofi, deepens specialization and allows clear focus on growth drivers.

Net Sales by GBU
(€ million)
Q2 2016
Change
(CER)
H1 2016
Change
(CER)

Sanofi Genzyme (Specialty Care)(a)
1,245
+20.1%
2,414
+20.3%

Diabetes & Cardiovascular(a)
1,603
-3.5%
3,102
-4.6%

General Medicines & Emerging Markets(b)
4,498
-5.6%(c)
8,988
-4.9%(d)

Sanofi Pasteur (Vaccines)
797
+6.3%(e)
1,422
+7.1%(f)

Merial (Animal Health)
725
+9.1%
1,485
+13.2%

Total Aggregate Company sales
8,868
-0.2%(g)
17,411
+0.2%(h)

(a) Does not include Emerging Markets sales- see definition page 8; (b) Includes Emerging Markets sales for Diabetes & Cardiovascular and Specialty Care; (c) Excluding Venezuela:-1.9%; (d) Excluding Venezuela: -1.1%; (e) Excluding Venezuela:+7.0%; (f) Excluding Venezuela: +7.8%; (g) Excluding Venezuela:+1.9%; (h) Excluding Venezuela: +2.5%.

Global Franchises

The table below presents sales by global franchises. The performance by franchise provides a bridge to our previous reporting methodology and allows straightforward peer comparisons. Appendix 1 provides a reconciliation of sales by GBU and by franchise.

Net sales by Franchise
(€ million)
Q2 2016
Change
(CER)
Developed
Markets
Change
(CER)
Emerging
Markets
Change
(CER)

Specialty Care
1,493
+19.5%(a)
1,245
+20.1%
248
+16.8%(b)

Diabetes & Cardiovascular
1,962
-2.0%(c)
1,603
-3.5%
359
+4.7%(d)

Established Products
2,617
-9.7%(e)
1,676
-10.9%
941
-7.7%(f)

Consumer Healthcare (CHC)
800
-4.3%(g)
511
+2.1%
289
-13.0%(h)

Generics
474
-1.9%(i)
271
-5.5%
203
+2.6%(j)

Vaccines
797
+6.3%(k)
463
+3.8%
334
+9.8%(l)

Animal Health
725
+9.1%
565
+7.3%
160
+15.6%

Total Aggregate net sales
8,868
-0.2%(m)
6,334
0.0%
2,534
-0.5%(n)

(a) Excluding Venezuela : +20.3%; (b) Excluding Venezuela : +21.1%; (c) Excluding Venezuela : -0.9%; (d) Excluding Venezuela : +11.4%; (e) Excluding Venezuela :
-6.6%; (f) Excluding Venezuela: +1.5%; (g) Excluding Venezuela: +0.6%; (h) Excluding Venezuela:-1.8%; (i) Excluding Venezuela: +0.4%; (j) Excluding Venezuela: +8.2%; (k) Excluding Venezuela: +7.0%; (l) Excluding Venezuela: +11.5%; (m) Excluding Venezuela: +1.9%; (n) Excluding Venezuela: +6.7%.

(7) See Appendix 10 for definitions of financial indicators. (8) In Q2 2016, the exchange rate used was the DICOM rate (628VEF per USD) versus the privileged official CENCOEX rate of 6.3VEF per USD in Q2 2015.

The table below presents sales for global franchise for the first half of 2016.

Net sales by Franchise
(€ million)
H1 2016
Change
(CER)
Developed
Markets
Change
(CER)
Emerging
Markets
Change
(CER)

Specialty Care
2,864
+19.0%(a)
2,414
+20.3%
450
+13.3%(b)

Diabetes & Cardiovascular
3,794
-2.8%(c)
3,102
-4.6%
692
+5.6%(d)

Established Products
5,208
-9.0%(e)
3,343
-11.2%
1,865
-5.1%(f)

Consumer Healthcare (CHC)
1,705
-3.6%(g)
1,105
+1.8%
600
-11.4%(h)

Generics
933
+0.6%(i)
553
0.0%
380
+1.4%(j)

Vaccines
1,422
+7.1%(k)
810
-1.7%
612
+20.7%(l)

Animal Health
1,485
+13.2%
1,177
+10.1%
308
+25.2%

Total Aggregate net sales
17,411
+0.2%(m)
12,504
-0.4%
4,907
+1.7%(n)

(a) Excluding Venezuela : +19.7%; (b) Excluding Venezuela : +17.3%; (c) Excluding Venezuela : -1.8%; (d) Excluding Venezuela : +11.8%; (e) Excluding Venezuela :
-5.7%; (f) Excluding Venezuela : +4.9%; (g) Excluding Venezuela: +1.5%; (h) Excluding Venezuela: +1.0%; (i) Excluding Venezuela: +3.3%; (j) Excluding Venezuela: +7.7%; (k) Excluding Venezuela: +7.8%; (l) Excluding Venezuela: +22.7%; (m) Excluding Venezuela: +2.5%; (n) Excluding Venezuela: +9.7%.

Pharmaceuticals
Second-quarter sales for Pharmaceuticals were down 1.7% to €7,346 million impacted by a decrease in Diabetes, CHC and Established Rx Products sales that was partially offset by the Multiple Sclerosis and Rare Disease franchises. Excluding Venezuela, second-quarter sales for Pharmaceuticals were up 0.8%. First-half sales for Pharmaceuticals decreased 1.5% to €14,504 million. Excluding Venezuela, first-half sales for Pharmaceuticals increased 1.0%.

Rare Diseases franchise

Net sales (€ million)
Q2 2016
Change
(CER)
H1 2016
Change
(CER)

Cerezyme
199
+8.0%(a)
381
+5.9%(b)

Myozyme / Lumizyme
182
+13.9%
348
+11.2%

Fabrazyme
167
+17.8%
316
+12.2%

Aldurazyme
50
+6.0%
98
+5.1%

Cerdelga
26
+62.5%
49
+88.5%

Total Rare Diseases
707
+14.2%(c)
1,353
+11.4%(d)

(a) Excluding Venezuela: +9.2%; (b) Excluding Venezuela: +7.9%; (c) Excluding Venezuela: +15.5%; (d) Excluding Venezuela: +12.7%;

In the second quarter, Gaucher (Cerezyme and Cerdelga) sales increased 12.1% to €225 million, sustained by Cerezyme in Emerging Markets (up 27.3% to €70 million) and the increasing contribution of Cerdelga (€26 million versus €16 million in the second quarter of 2015). In the U.S., second-quarter sales of the Gaucher franchise increased 4.7% to €65 million reflecting declining Cerezyme sales (€45 million, down 4.1%) which were more than offset by increasing Cerdelga sales (€20 million, up 33.3%). In Europe, where Cerdelga is now available in Germany, France, Denmark, and Nordic countries, sales of the Gaucher franchise were €76 million, up 5.5%. In the first-half, Gaucher sales were up 11.1% to €430 million. First half sales of Cerezyme and Cerdelga increased 5.9% (to €381 million) and 88.5% to €49 million, respectively.

Sales of Fabrazyme were up 17.8% to €167 million in the second quarter driven by the U.S. (up 14.5% to €85 million), Europe (up 14.3% to €40 million), Japan and Emerging Markets (up 23.5% to €16 million). First-half sales of Fabrazyme increased 12.2% to €316 million.

Second-quarter sales of Myozyme/Lumizyme increased 13.9% to €182 million, driven by the U.S. (up 15.7% to €58 million) and Europe (up 11.7% to €84 million). In Emerging Markets, sales were up 7.1% to €26 million. First-half sales of Myozyme/Lumizyme increased 11.2% to €348 million.

Multiple Sclerosis franchise
Net sales (€ million)
Q2 2016
Change
(CER)
H1 2016
Change
(CER)

Aubagio
315
+58.3%
594
+61.0%

Lemtrada
108
+100.0%
196
+113.8%

Total Multiple Sclerosis
423
+67.3%
790
+71.6%

In the second quarter, sales of Aubagio increased 58.3% to €315 million driven by the U.S. (up 55.6% to €216 million) and Europe (up 68.8% to €80 million). First-half sales of Aubagio increased 61.0% to €594 million.

Second-quarter sales of Lemtrada were €108 million (versus €56 million in the second quarter of 2015), including €56 million in the U.S. (up 96.6%), and €40 million in Europe (versus €21 million in the second quarter of 2015), mainly in the UK and Germany. First-half sales of Lemtrada were €196 million (versus €94 million in the first half of 2015).

Oncology franchise
Net sales (€ million)
Q2 2016
Change
(CER)
H1 2016
Change
(CER)

Jevtana
88
+8.5%
178
+12.6%

Thymoglobulin
69
+4.3%
134
+10.5%

Taxotere
46
-21.0%
92
-16.5%

Eloxatin
44
-15.8%
86
-17.1%

Mozobil
37
+11.4%
72
+7.2%

Zaltrap
17
-15.0%
34
-15.0%

Total Oncology
363
-3.6%
721
-1.2%

Second-quarter Oncology sales were €363 million, down 3.6% due to lower sales of Taxotere and Eloxatin. First-half sales of Oncology were €721 million, down 1.2%.

Sales of Jevtana (cabazitaxel) increased 8.5% to €88 million in the second quarter led by the U.S. (up 12.1% to €37 million) and Japan. First-half sales of Jevtana were up 12.6% to €178 million.

Second-quarter Thymoglobulin sales increased 4.3% to €69 million supported by the U.S. performance (up 7.9% to €39 million). First-half sales of Thymoglobulin increased 10.5% to €134 million.

Second-quarter sales of Eloxatin were down 15.8% to €44 million reflecting generic competition in Canada more than offsetting the performance in China. Over the same period, sales of Taxotere (docetaxel) decreased 21.0% (to €46 million), impacted by generic competition especially in Japan more than offsetting the performance in China. First-half sales of Taxotere and Eloxatin were down 16.5% (€92 million) and down 17.1% (€86 million), respectively.

Diabetes franchise

Net sales (€ million)
Q2 2016
Change
(CER)
H1 2016
Change
(CER)

Lantus
1,465
-11.2%
2,860
-11.1%

Toujeo
141
ns
244
ns

Total glargine
1,606
-3.5%
3,104
-4.3%

Amaryl
93
-9.2%
181
-7.3%

Apidra
93
+3.2%
178
0.0%

Insuman
34
+8.8%
66
+4.5%

BGM (Blood Glucose Monitoring)
17
+6.3%
34
+6.3%

Lyxumia
8
-10.0%
17
0.0%

Total Diabetes
1,857
-3.2%(a)
3,591
-3.8%(b)

(a) Excluding Venezuela: -2.0%; (b) Excluding Venezuela:-2.8%
In the second quarter, Diabetes franchise sales were down 3.2% to €1,857 million, reflecting lower sales of Lantus in the U.S. Second-quarter U.S. Diabetes sales were down 7.1% to €1,033 million. Outside the U.S., sales were €824 million, an increase of 2.0% driven by Emerging Markets (up 5.0% to €358 million; excluding Venezuela up 11.7%). Sales in Europe were €338 million, an increase of 0.9% reflecting the performance of Toujeo which offset lower sales of Lantus. First-half sales for the Diabetes franchise were €3,591 million down 3.8%.

Second-quarter sales of Sanofi’s glargine (Lantus and Toujeo) were €1,606 million, down 3.5%. In the U.S., Sanofi’s glargine sales of €1,002 million were down 6.7%. In Europe, sales of Sanofi’s glargine increased 1.2% to €255 million despite the launch of a biosimilar glargine in several European markets. First-half sales of Sanofi’s glargine were €3,104 million down 4.3%.
Over the quarter, sales of Lantus were €1,465 million down 11.2%. In the U.S., as anticipated, sales of Lantus decreased 15.7% to €896 million mainly reflecting lower average net price and patients switching to Toujeo. In Europe, second-quarter Lantus sales were €228 million, down 9.1% while in Emerging Markets, sales were €250 million, up 5.3% (up 9.8% excluding Venezuela), driven by China. First-half sales of Lantus were €2,860 million, down 11.1%.

Second-quarter sales of Toujeo were €141 million of which €106 million were recorded in the U.S. and €27 million were from Europe. The global roll-out of this product continues and Sanofi expects Toujeo to be available in over 40 countries by the end of 2016. First-half sales of Toujeo were €244 million.

Sales of Amaryl were €93 million (down 9.2%, up 2.1% excluding Venezuela) in the second-quarter of which €74 million were generated in Emerging Markets (down 6.9%). Excluding Venezuela, sales of Amaryl in Emerging Markets increased 8.0%. First-half sales of Amaryl were €181 million, down 7.3%.

Second-quarter sales of Apidra were up 3.2% to €93 million, reflecting lower sales in the U.S. (down 11.8% to €30 million), which were more than offset by the performance in Emerging Markets (up 27.8% to €20 million). First-half sales of Apidra were stable at €178 million.

Cardiovascular franchise

Praluent (alirocumab, collaboration with Regeneron) was launched in the U.S. in 2015 and in a number of European markets in 2015 and 2016. Second-quarter sales of Praluent were €21 million of which €18 million were in the U.S. and €3 million in Europe, where the product has recently become commercially available in a few countries (including the UK, Germany, Spain, Netherlands, and Nordic countries). First-half sales of Praluent were €33 million reflecting current payer restrictions limiting uptake.
Second-quarter sales and first-half sales of Multaq were €84 million (down 1.1%) and €170 million (up 0.6%), respectively.

Established Rx Products
Net sales (€ million)
Q2 2016
Change
(CER)
H1 2016
Change
(CER)

Plavix
392
-25.7%
780
-22.2%

Lovenox
414
+0.5%
818
-1.7%

Renvela/Renagel
208
-7.4%
442
-2.4%

Aprovel/Avapro
175
-16.1%(a)
344
-14.6%(b)

Synvisc /Synvisc-One
109
-3.4%
197
0.0%

Myslee/Ambien/Stilnox
78
+5.4%
148
0.0%

Allegra
39
-2.7%
114
-7.7%

Other
1,202
-7.4%(c)
2,365
-7.7%(d)

Total Established Rx Products
2,617
-9.7%(e)
5,208
-9.0%(f)

(a) Excluding Venezuela: -1.1%; (b) Excluding Venezuela: -1.9%; (c) Excluding Venezuela: -4.5%; (d) Excluding Venezuela: -4.1%; (e) Excluding Venezuela: -6.6%; (f) Excluding Venezuela: -5.7%;

Second-quarter sales of Established Rx Products were €2,617 million, down 9.7%, reflecting lower sales in Venezuela and generic competition to Plavix in Japan. Excluding Venezuela, sales of Established Rx Products were down 6.6%. In Emerging Markets, sales of Established Rx Products were €941 million, down 7.7% and up 1.5% excluding Venezuela. In Europe and the U.S., sales of Established Rx Products were down 3.0% (to €942 million) and 8.3% (to €374 million), respectively. First-half sales of Established Rx Products decreased 9.0% to €5,208 million and down 5.7% excluding Venezuela.

Second-quarter sales of Lovenox increased 0.5% to €414 million and 1.6% excluding Venezuela. In Emerging Markets, sales of Lovenox were up 2.4% to €113 million, and up 6.6% excluding Venezuela. In Europe, sales of the product were down 0.8% to €262 million. In July, two biosimilars containing enoxaparin sodium received positive opinion from the CHMP (European Medicines Agency’s Committee for Medicinal Products for Human Use). First-half sales of Lovenox were €818 million down 1.7% and down 0.7% excluding Venezuela.

In the second quarter, Plavix sales declined 25.7% to €392 million due to generic competition in Japan that started in June 2015 (sales in Japan were down 59.1% to €93 million), which was partially offset by the growth in China (up 10.4% to €177 million). First-half sales of Plavix decreased 22.2% to €780 million.

Second-quarter sales of Renvela/Renagel decreased 7.4% to €208 million. In the U.S., sales of the product were €170 million (down 0.6%). Generics of the product are currently marketed in a number of European countries, which resulted in Europe sales of Renvela/Renagel down 32.3% to €21 million. Sanofi expects generic competition in the U.S. in 2016. First-half sales of Renvela/Renagel were down 2.4% to €442 million.

Sales of Aprovel/Avapro were down 16.1% to €175 million in the second quarter. Excluding Venezuela, sales of Aprovel/Avapro were down 1.1%. First-half sales of Aprovel/Avapro decreased 14.6% to €344 million and 1.9% excluding Venezuela.
In the second quarter and the first half of 2015, sales of Auvi-Q and Allerject were €35 million and €52 million, respectively. Sanofi no longer commercializes this product in the U.S. where no sales were recorded in 2016.

Consumer Healthcare
Net sales (€ million)
Q2 2016
Change
(CER)
H1 2016
Change
(CER)

Allegra
97
-11.2%
237
-5.0%

Doliprane
77
+11.4%
154
0.0%

Enterogermina
43
+27.8%
85
-3.2%

Essentiale
32
-22.2%
71
-17.9%

Nasacort
23
-25.0%
68
-6.8%

Lactacyd
22
-42.9%
41
-32.4%

Maalox
21
-15.4%
45
-11.1%

No Spa
19
0.0%
40
+2.3%

Magne B6
16
-19.0%
36
-4.9%

Dorflex
15
-15.0%
34
-2.3%

Other CHC Products
435
+0.9%
894
0.0%

Total Consumer Healthcare
800
-4.3%(a)
1,705
-3.6%(b)

(a) Excluding Venezuela: +0.6%; (b) Excluding Venezuela: +1.5%;
Second-quarter Consumer Healthcare (CHC) sales were €800 million, down 4.3%. Excluding Venezuela and the divestiture of smaller products, CHC sales were up 2.7% driven by the strong performance in Australia, Mexico and Argentina, which was partially offset by Russia. Second-quarter sales of CHC in the U.S. were down 0.8% to €229 million reflecting a mild allergy season impacting sales of Allegra (down 18.3% to €56 million). In Emerging Markets, sales were down 13.0% to €289 million (down 1.8% excluding Venezuela) impacted by lower sales in Russia. In the Rest of the World, second-quarter sales grew 18.0% to €69 million sustained by the allergy franchise and the vitamins business in Australia. Over the quarter, in Europe, sales increased 0.9% to €213 million (impacted by divestitures of small products), buoyed by a strong Doliprane performance due to a successful DTC campaign. First-half sales of CHC reached €1,705 million, down 3.6% and up 3.4% excluding Venezuela and the divestiture of several small products.

On June 27, 2016, Sanofi and Boehringer Ingelheim announced the signing of contracts to secure the strategic transaction initiated in December 2015 which consists of an exchange of Sanofi’s animal health business and Boehringer Ingelheim’s consumer healthcare business. This step marks a major milestone before closing of the transaction which is expected by year-end 2016 and remains subject to approval by all regulatory authorities in different territories.

Generics
Second-quarter sales of Generics were down 1.9% to €474 million. Excluding Venezuela, sales were up 0.4% driven by Emerging Markets (up 8.2%) offsetting lower sales of the Plavix authorized generic in Japan. First-half sales of Generics increased 0.6% to €933 million (up 3.3% excluding Venezuela).

Vaccines
Net sales (€ million)
Q2 2016
Change
(CER)
H1 2016
Change
(CER)

Polio/Pertussis/Hib Vaccines
(incl. Pentacel, Pentaxim and Imovax)
339
+28.6%
627
+17.1%

Meningitis/Pneumonia Vaccines
(incl. Menactra)
139
-1.4%
261
+10.3%

Adult Booster Vaccines (incl. Adacel )
104
-9.3%
184
-12.2%

Influenza Vaccines
(incl. Vaxigrip and Fluzone)
96
-10.5%
116
-8.1%

Travel and Other Endemic Vaccines
101
+7.2%
184
+6.1%

Dengvaxia
1

20

Other Vaccines
17
-36.7%
30
-34.7%

Total Vaccines (consolidated sales)
797
+6.3%*(a)
1,422
+7.1%*(b)
*Comparability based on the new presentation of VaxServe sales (see below)

(a) Excluding Venezuela: +7.0%; (b) Excluding Venezuela: +7.8%;
VaxServe sales
VaxServe is a U.S. entity of the Vaccines segment. VaxServe activities include products distribution in the U.S. in channels that are not the primary focus of Sanofi Pasteur. VaxServe complements its Sanofi Pasteur products offering by distributing vaccines and other products from third party manufacturers. All VaxServe sales were reported on the line Net sales in the past.

In order to provide more relevant published information, VaxServe sales of non-Sanofi products are reported on the line Other revenues in the income statement from January 1, 2016. Accordingly, prior period comparative net sales have been reclassified to the line Other revenues.

The 2015 quarterly and full-year 2015 business P&L as well as sales of GBUs and franchises by geographic region reflecting this reclassification are available on the Investors section of Sanofi’s website.

In the second quarter of 2015 and in full-year 2015, sales of VaxServe(9) of non-Sanofi products were €110 million and €482 million, respectively.

Vaccines
In the second quarter, consolidated vaccines sales were up 6.3% to €797 million driven by the Polio/Pertussis/Hib Vaccines franchise in Emerging Markets and Travel and other endemics vaccines. In the U.S., sales of vaccines decreased 2.3% to €331 million due to increased competitive pressure on Adacel and lower sales of Menactra reflecting favorable CDC order phasing in the U.S during the first quarter of 2016. In Emerging Markets sales of vaccines increased 9.8% driven by Pentaxim and Hexaxim growth. First-half sales of Sanofi Pasteur were up 7.1% to €1,422 million.

Second quarter sales of Polio/Pertussis/Hib Vaccines were up 28.6% to €339 million. In Emerging Markets, sales of the franchise increased 43.6% to €178 million driven by the growth of Pentaxim and Hexaxim in the Middle-East, Africa, Turkey and Mexico. This performance more than offset lower sales of Pentaxim and Polio vaccines in China due to local market disruption. In the U.S., sales of Polio/Pertussis/Hib Vaccines were down 1.1% to €88 million reflecting a slight decrease in sales of IPV vaccines. Pentacel sales in the U.S. were €56 million, up 1.8%. As previously communicated, Sanofi Pasteur is experiencing Pentacel manufacturing delays and is not meeting all current demand. Supply improvements are expected in the second half of 2016. First-half sales of Polio/Pertussis/Hib vaccines increased 17.1% to €627 million.

Dengvaxia, the world’s first dengue vaccine is now approved in five countries (Mexico, the Philippines, Brazil, El Salvador and Costa Rica). Dengvaxia was launched in the Philippines in the first quarter and in El Salvador in July. Additionally, a public vaccination program in Paraná State in Brazil was announced in late July and is expected to cover half a million people. Despite these developments, the overall uptake of Dengvaxia is delayed by recent political changes and economic volatility in Latin America. With only a limited number of public immunization programs confirmed to date in endemic countries and the majority of regulatory approvals still pending in Asia, Dengvaxia is unlikely to meet Sanofi’s prior sales expectations for 2016. Dengvaxia sales in the second quarter were limited to private market sales in the Philippines. First-half sales of Dengvaxia were €20 million corresponding to the sales of the first dose of the first public dengue immunization program in the Philippines in the first quarter of 2016.

Sales of Influenza Vaccines were €96 million, a decrease of 10.5% reflecting lower sales in Brazil due to increased supply of the Butantan Institute.

(9) Sales of VaxServe in Q2 2016 and first-half 2016 are provided in the Financial Results
Menactra sales were €126 million, a decrease of 3.0% due to favorable CDC order phasing in the U.S in the first quarter of 2016. First-half sales of Menactra increased 10.0% to €237 million.

Second-quarter Adult Booster Vaccines sales were down 9.3% to €104 million reflecting increased Adacel competitive pressure in the U.S. First-half sales of Adult Booster vaccines decreased 12.2% to €184 million.

Second-quarter sales of Travel and Other Endemic Vaccines increased 7.2% to €101 million driven by increased sales of rabies and typhoid vaccines. First-half sales of Travel and Other Endemic Vaccines were up 6.1% to €184 million.

Sales of Sanofi Pasteur MSD (not consolidated), the joint venture with Merck & Co. in Europe, increased 9.0% (on a reported basis) to €175 million and 13.4% (on a reported basis) to €340 million in the second quarter and first half of 2016, respectively. In March, Sanofi Pasteur and Merck announced their intent to end their joint vaccines operations in Europe, Sanofi Pasteur MSD, to pursue their own distinct growth strategies in Europe. Sanofi Pasteur and Merck expect the project to be completed by the end of 2016, subject to local labor laws and regulations and regulatory approvals.

Animal Health(10)
Net sales (€ million)
Q2 2016
Change
(CER)
H1 2016
Change
(CER)

Companion Animal
493
+8.6%
1,022
+14.2%

Production Animal
232
+10.1%
463
+11.1%

Total Animal Health
725
+9.1%
1,485
+13.2%

of which Vaccines
205
+4.9%
417
+11.3%

of which fipronil products
169
-10.3%
350
-7.5%

of which avermectin products
142
+12.2%
312
+10.4%

In the second quarter, Animal Health sales were up 9.1% to €725 million driven by the success of NexGard family of products, Merial’s next generation flea and tick products for dogs, in the U.S., Europe and Japan.
Second-quarter sales of the Companion Animals segment increased 8.6% to €493 million boosted by the success of NexGard and NexGard Spectra which more than offset the decline in the Frontline family of products. HeartGard also contributed to growth in the Companion Animals segment.

Sales of the Production Animals segment increased 10.1% to €232 million in the second quarter reflecting strong performance of the Avian business in Emerging Markets as well as Ruminant business in the U.S. and Europe.
Aggregate Company sales by geographic region

Aggregate Sanofi sales (€ million)
Q2 2016
Change
(CER)
H1 2016
Change
(CER)
United States
3,118
+1.3%
6,084
+1.4%
Emerging Markets(a)
2,534
-0.5%
4,907
+1.7%
of which Latin America
698
-15.1%
1,269
-15.0%
of which Asia
804
+5.3%
1,637
+10.2%
of which Africa, Middle East and South Asia(b)
736
+10.3%
1,404
+11.0%
of which Eurasia(c)
270
+4.3%
529
+6.9%
Europe(d)
2,360
+3.3%
4,732
+2.5%
Rest of the world(e)
856
-12.3%
1,688
-12.8%
of which Japan
446
-24.4%
893
-24.9%
Total Aggregate Sanofi sales
8,868
-0.2%
17,411
+0.2%
World excluding U.S., Canada, Western & Eastern Europe (except Eurasia), Japan, South Korea, Australia, New Zealand and Puerto Rico
India, Pakistan, Bangladesh, Sri Lanka
Russia, Ukraine, Georgia, Belarus, Armenia and Turkey
Western Europe + Eastern Europe except Eurasia
Japan, South Korea, Canada, Australia, New Zealand, Puerto Rico
In the second quarter, sales in the U.S. increased 1.3% to €3,118 million. The strong performance of the multiple sclerosis franchise (up 62.6%), rare disease franchise (up 12.3%) and Animal Health (up 4.6%) more than offset lower sales of the diabetes franchise (down 7.1%), Vaccines (down 2.3%) and the Auvi-Q impact.
(10) Merial is reported on a single line in the consolidated income statements in accordance with IFRS 5 (Non-current assets held for sale and discontinued operations). Sanofi will continue to manage and report the performance of Merial, which will remain an operating segment consistent with IFRS 8.
First-half sales in the U.S. increased 1.4% to €6,084 million.
Aggregate sales in Emerging Markets were down 0.5% to €2,534 million in the second quarter. Excluding Venezuela, Aggregate sales in Emerging Markets grew 6.7% driven by Diabetes (up 11.7%), Rare Diseases (up 28.2%), Vaccines (up 11.5%) and Animal Health (up 15.6%). In the Asia region, Aggregate sales were up 5.3% to €804 million in the second quarter. Over the quarter, sales in China increased 2.6% to €512 million; the strong performance of Pharmaceuticals (up 11.7%) was partially offset by lower vaccines sales (-84.9%). In Latin America, second-quarter Aggregate sales were down 15.1% to €698 million and up 5.7% excluding Venezuela driven by sales in Argentina, Colombia and Mexico. Aggregate sales in Brazil were down 3.3% to €280 million impacted by lower sales of Flu vaccines and Renagel. Aggregate sales in the Eurasia region increased 4.3% to €270 million driven by Turkey. Sales in Russia were down 12.6% to €110 million associated with the CHC business. In Africa, the Middle-East and South Asia, Aggregate sales were up 10.3% to €736 million sustained by the strong performance in Africa (up 16.6%). In the Emerging Markets, first-half sales increased 1.7% to €4,907 million. Excluding Venezuela, Aggregate first-half sales in Emerging Markets grew 9.7%.
Aggregate sales in Europe were up 3.3% to €2,360 million in the second quarter. The performance of Multiple Sclerosis (up 78.3%), Rare Diseases (up 10.7%) and Vaccines (up 34.9%) franchises was partially offset by lower sales of Established Rx products (down 3.0%) mainly impacted by generic competition to Renagel. In Europe, first-half sales increased 2.5% to €4,732 million.
Aggregate second-quarter sales in Japan decreased 24.4% to €446 million, impacted by generic competition to Plavix (down 59.1%). In Japan, first-half sales decreased 24.9% to €893 million.
R&D update
Consult Appendix 8 for full overview of Sanofi’s R&D pipeline
Regulatory update
Regulatory updates since the publication of the first quarter results on April 29, 2016 include the following:
In July, the Ministry of Health, Labor and Welfare in Japan granted marketing authorization for Praluent (alirocumab) for the treatment of uncontrolled low-density lipoprotein cholesterol in certain adult patients with hypercholesterolemia at high cardiovascular risk. The 300mg once-monthly dosing of Praluent was also filed in U.S. and EU.
In July, the file for the Marketing Authorization Application for sarilumab in Rheumatoid Arthritis was accepted for review by the European Medicines Agency (EMA).
In May, the Endocrinologic and Metabolic Drugs Advisory Committee (EMDAC) of the FDA recommended the approval(11) of the New Drug Application (NDA) for Adlyxin (lixisenatide) and for the fixed-ratio combination of basal insulin glargine 100 Units/mL and GLP-1 receptor agonist lixisenatide for the treatment of adults with type 2 diabetes. The fixed-ratio combination of basal insulin glargine and GLP-1 receptor agonist lixisenatide is undergoing FDA review, with decisions anticipated in August 2016. Adlyxin (lixisenatide) was approved in the U.S. at the end of July.
At the end of July 2016, the R&D pipeline contained 44 pharmaceutical new molecular entities (excluding Life Cycle Management) and vaccine candidates in clinical development of which 14 are in Phase III or have been submitted to the regulatory authorities for approval.
Portfolio update
Phase III:
In June, the results of the pivotal Phase III LixiLan-O and LixiLan-L clinical trials with the investigational titratable fixed-ratio combination of basal insulin glargine 100 Units/mL and lixisenatide in adults with type 2 diabetes were presented at the American Diabetes Association scientific Sessions. Both studies met their primary endpoints, demonstrating statistically superior reduction of HbA1c with the titratable fixed-ratio combination versus comparators (lixisenatide and insulin glargine 100 Units/mL, respectively).
(11) The members of the Advisory Committee voted 12-2 for an approval of LixiLan
In June, Sanofi and Regeneron announced that a one-year Phase III study, known as LIBERTY AD CHRONOS, evaluating investigational dupilumab met its primary and key secondary endpoints. In the study, dupilumab with topical corticosteroids (TCS) was compared to TCS alone in moderate-to-severe atopic dermatitis adult patients. Patients enrolled in the study were inadequately controlled by TCS with or without topical calcineurin inhibitor. Dupilumab with TCS significantly improved measures of overall disease severity at 16 and 52 weeks, when compared to placebo with TCS.

Based on the results of the FIRSTANA Phase III study comparing Jevtana (cabazitaxel) versus Taxotere (docetaxel) in chemotherapy-naïve metastatic castration resistant prostate cancer, the decision was made not to submit a first line indication for Jevtana as the results did not provide the level of benefit that is needed for claiming new indication. Jevtana currently has a second line indication and FIRSTANA was conducted as part of the post marketing commitment with the FDA.

Phase II:
SAR439684, a PD-1 inhibitor (alliance with Regeneron), entered Phase II in advanced cutaneous squamous cell carcinoma.

Phase I:
It has been decided not to pursue the development of SAR438544, a stable glucagon analog, in diabetes.
2016 second-quarter and first-half Aggregate financial results(12)
Business Net Income(12)

In the second quarter of 2016, Sanofi generated Aggregate sales of €8,868 million, a decrease of 4.3% (down 0.2% at CER).

First-half Aggregate sales were €17,411 million, down 3.2% on a reported basis (up 0.2% at CER).

Aggregate other revenues decreased 10.4% to €173 million and include VaxServe sales of non-Sanofi products (down 19.1% to €89 million) following the change in presentation as of January 1, 2016(13). At CER, Aggregate other revenues were down 8.3%. First-half Aggregate other revenues decreased 12.1% to €328 million of which €172 million were generated by VaxServe (down 18.1%)

Aggregate gross profit was €6,276 million, down 3.8% and up 0.2% at CER in the second quarter. The Aggregate gross margin ratio improved by 0.4 percentage points to 70.8% versus the second quarter of 2015. The positive impact from the multiple sclerosis franchise, pharmaceuticals in China and industrial productivity largely offset the negative impact of U.S. Diabetes, and Plavix generic competition in Japan. Sanofi expects its 2016 Aggregate gross margin ratio to be above 69% and below 70% at CER. In the first half of 2016, the Aggregate gross margin ratio improved by 0.3 percentage points to 70.5% versus the first half of 2015.
Second-quarter Aggregate Research and Development expenses were €1,325 million, an increase of 2.7%. At CER, Aggregate R&D expenses were up 4.6% reflecting in particular the new immuno-oncology alliance with Regeneron. In the first half of 2016, the ratio of Aggregate R&D to Aggregate sales was 1.2 percentage points higher at 15.0% compared to the same period of 2015.
Aggregate selling general and administrative expenses (SG&A) increased 0.1% to €2,650 million in the second quarter. At CER, Aggregate SG&A was up 3.9% mainly reflecting the U.S. launch expenses of Praluent, and pre-launch costs for sarilumab and dupilumab. The ratio of Aggregate SG&A to Aggregate sales increased 1.3 percentage points to 29.9% compared with the second quarter of 2015. In the first half of 2016, the ratio of Aggregate selling and general expenses to Aggregate sales was 0.8 percentage points higher to 29.1% compared with the first half of 2015.

Second-quarter Aggregate other current operating income net of expenses was -€23 million versus -€20 million for the same period of 2015. In the second quarter of 2015, this line included a foreign exchange loss of €34 million booked in connection with Sanofi‘s Venezuelan operations. First-half Aggregate other current operating income net of expenses was €56 million versus -€87 million in the first half of 2015.

The Aggregate share of profits from associates was stable at €30 million in the second quarter. The Aggregate share of profits from associates included Sanofi’s share in Regeneron profit as well as Sanofi’s share of profit in Sanofi Pasteur MSD (the Vaccines joint venture with Merck & Co. in Europe). In the first half, the share of profits from associates was €53 million versus €61 million for the same period of 2015.

Aggregate non-controlling interests were -€23 million in the second quarter versus -€29 million in the second quarter of 2015. First-half non-controlling interests were -€50 million versus -€62 million for the same period of 2015.

Aggregate business operating income was €2,285 million, down 11.0%. At CER, Aggregate business operating income decreased 5.8%. The ratio of Aggregate business operating income to Aggregate net sales decreased 1.9 percentage points to 25.8% versus the same period of 2015. First-half Aggregate business operating income was €4,669 million, down 5.9% (or down 1.6% at CER). In the first half of 2016, the ratio of Aggregate business operating income to Aggregate sales decreased 0.8 percentage points to 26.8%.

Net Aggregate financial expenses were €76 million in the second quarter versus €112 million in the second quarter of 2015. In the second quarter of 2016, this line included a limited capital gain on a minor asset sale. First-half net financial expenses were €194 million versus €209 million in the first half of 2015.

Second-quarter and first-half 2016 effective tax rate (including Animal Health) were 24.0% compared with 25.0% in the same periods of 2015.

Second-quarter business net income(12) decreased 8.7% to €1,680 million (down 3.3% at CER). The ratio of business net income to Aggregate sales was 18.9%, a decrease of 1.0 percentage points compared with the second quarter of 2015. First-half business net income decreased 4.6% to €3,402 million, (stable at CER). The ratio of business net income to net sales decreased 0.3 percentage points to 19.5% compared to the first half of 2015.

(12) See Appendix 4 for 2016 second-quarter and 2016 first-half Consolidated income statement; see Appendix 10 for definitions of financial indicators, and Appendix 3 for reconciliation of business net income to IFRS net income reported
(13) See page 7, chapter on Vaccines

In the second quarter of 2016, business earnings per share(12) (EPS) was €1.31, a decrease of 7.1% on a reported basis and 2.1% at CER. The average number of shares outstanding was 1,286.8 million in the second quarter of 2016 versus 1,305.9 million in the second quarter of 2015. In the first half of 2016, business earnings per share(12) was €2.64, down 3.3% on a reported basis and up 1.5% at CER. The average number of shares outstanding was 1,287.6 million in the first half versus 1,307.2 million in the first half of 2015.

2016 guidance
Sanofi continues to expect 2016 Business EPS to be broadly stable at CER, barring unforeseen major adverse events. In addition, the currency impact on 2016 full-year business EPS is estimated to be around -4%, applying June 2016 average rates to the two remaining quarters of 2016.

From business net income to IFRS net income reported (see Appendix 3)
In the first half of 2016, the main reconciling items between business net income and IFRS net income reported were:
A €877 million amortization charge related to fair value remeasurement on intangible assets of acquired companies (primarily Aventis: €276 million and Genzyme: €431 million) and to acquired intangible assets (licenses/products: €68 million). A €433 million amortization charge on intangible assets related to fair value remeasurement of acquired companies (primarily Aventis: €136 million and, Genzyme: €213 million), and to acquired intangible assets (licenses/products: €34 million) was booked in the second quarter.

These items have no cash impact on the Company.
An impairment of intangible assets of €52 million recorded in the second quarter linked to small products. This item has no cash impact on the Company.

A charge of €67 million (of which €38 million in the second quarter) reflecting an increase of Bayer contingent considerations linked to Lemtrada (charge of €41 million, of which €12 million on the second quarter) and CVR fair value adjustment.
Restructuring costs of €627 million (including €127 million in the second quarter mainly related to transformation in Europe and North America).

A €548 million tax effect arising from the items listed above, comprising €307 million of deferred taxes generated by amortization charged against intangible assets, €210 million associated with restructuring costs, €16 million associated with impairment of intangible assets and €15 million associated with fair value remeasurement of contingent consideration liabilities The second quarter tax effect was €210 million, including €151 million of deferred taxes generated by amortization charged against intangible assets, €39 million associated with restructuring costs and a charge of €16 million associated with impairment of intangible asset (see Appendix 3).

In "Share of profits/losses from associates and joint-ventures", an income of €54 million net of tax (which included a charge of €16 million related to second quarter of 2016), mainly relating to the share of fair-value re-measurement on asset and liabilities of associates and the share of amortization of intangible assets of acquired associates and joint-ventures. This item has no cash impact on the Company.

A tax of €113 million on dividends paid to shareholders of Sanofi.
In Animal Health items, a net expense of €13 million (which included an income of €58 million related to the second quarter of 2016), mainly relating to a change in deferred tax charge resulting from taxable temporary differences relating to investments in subsidiaries since it is likely that these differences will reverse.

(12) See Appendix 4 for 2016 second-quarter and 2016 first-half Consolidated income statement; see Appendix 10 for definitions of financial indicators, and Appendix 3 for reconciliation of business net income to IFRS net income reported

Capital Allocation
In the first half of 2016, net cash generated by operating activities decreased by 17.6% to €2,541 million after capital expenditures of €700 million and an increase in working capital of €753 million. This net Cash Flow has contributed to finance a share repurchase (€1,403 million), dividend paid by Sanofi (€3,759 million), acquisitions and partnerships net of disposals (€663 million) and restructuring costs and similar items (€347 million). As a consequence, net debt increased from €7,254 million at December 31, 2015 to €11,001 million at the end of June 2016 (amount net of €6,076 million cash and cash equivalents).

Agilent Technologies Array CGH Platform Assures Quality of Cancer Cell Lines Used in Biomedical Research

On July 28, 2016 Agilent Technologies Inc. (NYSE: A) reported that scientists using the company’s comparative genomic hybridization (CGH) technology have shown that cancer cell lines, which are broadly used in all aspects of biomedical research, may have vast differences in their genetic makeup, even when grown in the same batch (Press release, Agilent Technologies, JUL 28, 2016, http://www.agilent.com/about/newsroom/presrel/2016/28jul-ca16024.html [SID:1234514116]).

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As a result, the scientists have recommended that cell culture banks use advanced genomic technologies, such as array CGH, to ensure the consistency of the cells they provide to the research community.

Researchers have long been aware that some popular cell lines are not stable. That is, their biological properties and genetic makeup change as cultures are propagated in laboratories. While standard precautions and quality assurance methods are being used to control such changes and validate authenticity of the cell lines, they may not be sufficient, according to a paper published July 26 in Scientific Reports, an online journal from the publishers of Nature.

A consortium of scientists from Agilent, Brown University, Georgetown University, Hamner Institutes and Johns Hopkins Bloomberg School of Public Health has been engaged in a multi-year study that aims to develop a new generation of assays for testing environmental toxicity. The study, known as the Human Toxome Project, combines multiple "-omic" technologies and bioinformatics.

The scientists, led by Dr. Thomas Hartung of Johns Hopkins, selected the well-established breast cancer cell line MCF-7, known to be prone to spontaneous rearrangements, as their model system. In an effort to establish reproducibility, they conducted cell culture work in two independent sites using identical laboratory protocols. They obtained the MCF-7 cells from the same cell bank and lot numbers, meaning they were grown in the same batch. Cells were validated using standard methods at the cell bank and at the project sites. However, despite extensive efforts to synchronize their protocols, the scientists were unable to obtain comparable results at the two sites.

They accumulated cytological, transcript profiling and phenotypic evidence that the cells were actually different. Of particular importance, they found that the cells demonstrated vastly different responses to induction by the natural human hormone estrogen: one of the two cell lines was hypersensitive to estrogen, the other was not.

Using CGH technology from Agilent, the scientists confirmed that the two cell lines had vast differences in their genetic makeup, in some cases as large as entire human chromosomes.

The authors of the research paper concluded that existing methods for assuring the quality of cell cultures are insufficient. They recommended that advanced genomic technologies, such as array CGH, be broadly deployed by cell culture banks to ensure consistency of the cells they provide to the research community. For this project alone, the team estimated the additional costs of the unplanned experiments and delays to the project totaled around $1 million.

"Agilent’s array CGH platform is a leading technology used in hundreds of genomic and cytogenetic laboratories worldwide," said Herman Verrelst, Agilent vice president and general manager of the company’s Genomics Solutions Division and Clinical Applications Division. "We are pleased to see this example of using our technology to increase reproducibility of cell culture research. It is striking that a simple array CGH experiment, which would have cost less than $1,000 at a commercial service provider, could have prevented $1 million in lost research funding and several years of delay."

The paper, "Genetic Variability in a Frozen Batch of MCF-7 Cells Invisible in Routine Authentication Affecting Cell Function," was written by Andre Kleensang, Marguerite M. Vantangoli, Shelly Odwin-DaCosta, Melvin E. Andersen, Kim Boekelheide, Mounir Bouhifd, Albert J. Fornace Jr, Carolina B. Livi, Samantha Madnick, Alexandra Maertens, Michael Rosenberg, James D. Yager and Thomas Hartung.

The research was supported by a grant from the National Institutes of Health.

Castle Biosciences Announces Clinical Results of Melanoma Gene Expression Test in Stage I and II Cohort Study at 2016 AAD Summer Meeting

On July 28, 2016 Castle Biosciences, Inc., a provider of molecular diagnostics to improve cancer treatment decisions, reported the results from a study evaluating the performance of its gene expression profile (GEP) test DecisionDx-Melanoma in a cohort of 356 Stage I and II melanoma patients (Press release, Castle Biosciences, JUL 28, 2016, View Source [SID:1234514115]). The data confirm findings from two previously published multicenter clinical validation studies and further support the test’s a bility to identify patients’ risk of melanoma recurrence in the five years following diagnosis. Results from the study, led by Dr. Laura Ferris, M.D., Ph.D., Associate Professor of Dermatology at the University of Pittsburgh, are being presented in a poster at the 2016 American Academy of Dermatology (AAD) Summer Meeting, and will be reviewed in a poster presentation on Saturday, July 30th at 10:20a.m. EDT.

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"The majority of cutaneous melanoma patients who die from their disease each year are initially diagnosed as ‘low risk’ Stage I or II, highlighting the limitations of current staging methods," said University of Pittsburgh’s Dr. Ferris, lead study author. "Improved methods for identifying cases of early stage, high risk melanoma, such as DecisionDx-Melanoma, could have a marked impact on patient care. For instance, the ability to more accurately identify risk in this population could lead to more appropriate surveillance plans that detect metastatic disease sooner, when the tumor burden is lower and the chance of responding to treatment is greatest."

Multicenter Performance Study
In a study titled "Performance of a Prognostic 31-Gene Expression Profile test to Identify High Risk Stage I and II Melanoma Patients" (Abstract # 4067), 356 Stage I and II cutaneous melanoma tumors from 12 centers in the U.S. were analyzed in a CAP/CLIA-accredited laboratory using the DecisionDx-Melanoma test and classified as either low risk Class 1 or high risk Class 2. Study endpoints included recurrence-free survival (RFS), defined as time to either a regional or distant metastatic event, distant metastasis-free survival (DMFS), defined as time to any metastatic event beyond the regional node, and metastasis-free survival (MSS), defined as time from diagnosis to death documented as specifically resulting from melanoma. Topline results are below:

GEP test identified 71% of early stage melanoma tumors that recurred, 70% of those that metastasized distantly, and 80% of those that died from melanoma;
Using Cox multivariate analysis, GEP test was shown to be a significant predictor of both recurrence (p<0.002) and distant metastasis (p<0.04);
Low risk Class 1 patients in the cohort had negative predictive values for RFS, DMFS, and MSS of 90%, 93% and 99%, respectively;
Class 2 Stage I and II patients experienced rapid time to recurrence and distant metastasis (1.6 years median for both)
"This study, along with previously published data, demonstrates that the DecisionDx-Melanoma test can be used to identify high risk patients that may have been staged as low risk by the current staging system," commented Derek Maetzold, President and CEO of Castle Biosciences. "These results, and the high negative predictive value rates for melanoma-specific survival observed in earlier DecisionDx-Melanoma studies, provide physicians an added level of confidence when developing patients’ disease management plans using results from our GEP test."

About Melanoma
Cutaneous melanoma is diagnosed in approximately 76,000 people in the U.S. each year, according to the American Cancer Society. Seventy-five percent are diagnosed as Stage I or II, meaning there is no evidence of the melanoma spreading beyond the primary tumor. It is not the most prevalent form of skin cancer, but it is the most aggressive. Unlike other more common skin malignancies such as basal cell and squamous cell carcinomas, melanoma often spreads to other parts of the body, either via the lymphatic or blood system, resulting in cancers of distant organs including the brain or lungs. So, while it represents just 4% of skin cancers, melanoma accounts for about 80% of skin cancer-related deaths.

Novocure Reports Second Quarter 2016 Financial Results and Provides Company Update

On July 28, 2016 Novocure (NASDAQ:NVCR), a commercial stage oncology company pioneering a novel therapy for solid tumors, reported financial results for the quarter ended June 30, 2016, highlighting year-over-year growth in prescriptions, active patients and reported revenues (Press release, NovoCure, JUL 28, 2016, View Source [SID:1234514114]). Second quarter 2016 highlights include:

Three months ended June 30,
2016 2015 % change
Non-financial
Prescriptions received in period(1) 657 428 54 %
Active patients at period end(2) 891 425 110 %

Financial, in millions (unaudited)
Revenues(3) $ 17.9 $ 6.5 174 %
Net loss $ (40.6 ) $ (29.4 )

Cash and cash equivalents at the end of period $ 80.9 $ 106.5
Short-term investments at the end of period $ 120.0 $ 57.0

(1) A "prescription received" is a commercial order for Optune that is received from a physician certified to treat patients with Tumor Treating Fields (TTFields) therapy for a patient not previously on TTFields therapy. Orders to renew or extend treatment are not included in this total. In the future, we may have regulatory approvals and commercial programs for multiple clinical indications, at which time we will recognize a commercial order as a prescription for the same patient for each clinical indication treated. For example, in the future, a patient may have a prescription for the treatment of lung cancer and a prescription for the treatment of brain metastases from the lung cancer. (2) An "active patient" is a patient who is on TTFields therapy under a commercial prescription order as of the measurement date, including patients who may be on a temporary break from treatment and who plan to resume treatment in less than 60 days. (3) For the reported periods, all revenues were recognized when cash was collected and all other revenue recognition criteria had been met. "Year-over-year prescription, active patient and revenue growth continues and I am proud of the progress we have made since the FDA approval of Optune for newly diagnosed GBM in October 2015. We finished the quarter with 547 prescriptions in the United States and 110 in our ex-U.S. markets," said Asaf Danziger, Chief Executive Officer. "While barriers to full adoption remain, I am optimistic we will overcome the challenges inherent in bringing a completely new therapy into widespread clinical use." "Earlier this week, the National Comprehensive Cancer Network, or NCCN, updated its clinical practice guidelines to add Optune plus temozolomide as a Category 2A treatment option for newly diagnosed GBM. Optune is transforming the standard of care for glioblastoma," continued Mr. Danziger. "Also this month, we received FDA approval for the smaller, lighter second generation Optune System which aims to make Optune therapy even easier for patients. And, later this year, we will publish additional clinical trial data further demonstrating the benefits of Optune therapy for GBM patients." "Optune is the first therapy to demonstrate an improvement in overall survival for newly diagnosed GBM patients in more than a decade and we are committed to bringing this therapy to patients who have such a vital need for improved treatment options," concluded Mr. Danziger. "Scientific evidence suggests TTFields therapy is broadly applicable to solid tumors; and our R&D team continues to make progress toward developing TTFields for additional tumor types," said William Doyle, Executive Chairman. "In the past three months, we enrolled the last patients in our PANOVA and INNOVATE phase 2 pilot trials in advanced pancreatic cancer and recurrent ovarian cancer, respectively, and received FDA approval of our IDE application to initiate our METIS phase 3 pivotal trial in brain metastases." "Recent findings strengthen our belief that treatment with TTFields is compatible with both current standards of care and emerging novel therapies for a variety of solid tumors and we are excited to share data from multiple indications at our R&D day in December," continued Mr. Doyle. "We believe that TTFields, with the potential of superior outcomes and no systemic toxicity, will play a valuable role in the solid tumor treatment paradigm." 2016 Second Quarter Operating Statistics and Financial Update Prescriptions in the quarter ended June 30, 2016, increased by 229 prescriptions, or 54 percent, compared to the same period in 2015. The increase in prescriptions was driven primarily by commercial activities in the United States after the October 2015 U.S. Food and Drug Administration (FDA) approval of Optune for the treatment of newly diagnosed glioblastoma (GBM), increased commercial activities in Germany, and enhanced awareness of Optune following the December 2015 publication of EF-14 phase 3 pivotal trial results in the Journal of the American Medical Association.
In the United States, 547 prescriptions were received in the quarter ended June 30, 2016, an increase of 157 prescriptions, or 40 percent, compared to the same period in 2015.

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In Germany and other EMEA markets, 110 prescriptions were received in the quarter ended June 30, 2016, an increase of 72 prescriptions, or 189 percent, compared to the same period in 2015.

There were 891 active patients on Optune therapy at June 30, 2016, an increase of 466 active patients, or 110 percent, compared to June 30, 2015. The increase in active patients was driven both by prescription growth and by an increase in the percentage of newly diagnosed GBM patients who started Optune in prior periods. The portion of Optune prescriptions for newly diagnosed GBM was more than 50 percent in the second quarter of 2016.

In the United States, there were 736 active patients on Optune therapy at June 30, 2016, an increase of 345 active patients, or 88 percent, compared to June 30, 2015.

In Germany and other EMEA markets, there were 155 active patients on Optune therapy at June 30, 2016, an increase of 121 active patients, or 356 percent, compared to June 30, 2015.

We continued to expand coverage of Optune for the treatment of newly diagnosed and/or recurrent GBM in the second quarter of 2016 to include more than 10 million additional lives through new policies with Blue Cross Blue Shield of Michigan, Emblem Health, Blue Cross Blue Shield of Minnesota, and Group Health Cooperative Washington and Idaho. This brought the total number of covered lives to approximately 116 million in the United States as of June 30, 2016. For the three months ended June 30, 2016, revenues increased to $17.9 million compared to $6.5 million for the same period in 2015, representing 174 percent growth.

This growth was primarily driven by increased Optune adoption. For the three months ended June 30, 2016, cost of revenues, excluding impairment of field equipment, increased to $9.8 million compared to $4.8 million for the same period in 2015, representing 106 percent growth. This was primarily driven by an increase in active Optune patients, resulting in increased transducer array shipment costs and increased field equipment depreciation expenses, as well as increased personnel costs to establish infrastructure necessary to support an increasing volume of shipments to patients. We received FDA approval to market our second generation Optune System in the United States on July 13, 2016 and are in the process of converting all patients from the first generation to the second generation Optune System. We are no longer manufacturing the first generation Optune System. For the three months ended June 30, 2016, we recorded a non-cash impairment loss of $6.4 million for the write-off of first generation Optune System field equipment. We plan to convert all patients in the United States from the first generation to the second generation Optune System over the next three months and do not expect an additional material impairment charge in the future. Research, development and clinical trials expenses for the three months ended June 30, 2016, were $11.3 million compared to $12.8 million for the same period in 2015, representing a decrease of 11 percent. This decrease was primarily due to the conclusion of our EF-14 phase 3 pivotal trial in newly diagnosed GBM and reduced expenses related to clinical education and investigator-sponsored trials, partially offset by an increase in personnel costs. Sales and marketing expenses for the three months ended June 30, 2016, were $14.6 million compared to $8.9 million for the same period in 2015, representing growth of 65 percent. This growth was primarily due to increased personnel costs as well as increased marketing expenses to expand commercial operations in the United States and Germany and to establish commercial operations in Switzerland and Japan. General and administrative expenses for the three months ended June 30, 2016, were $13.0 million compared to $7.4 million for the same period in 2015, representing growth of 77 percent. This growth was primarily due to increased personnel costs as well as increased expenses related to professional services and activities associated with being a public company. Personnel costs for the three months ended June 30, 2016, included $5.6 million in non-cash share-based compensation expenses, comprised of $0.2 million in cost of revenues; $0.8 million in research, development and clinical trials; $1.3 million in sales and marketing; and $3.3 million in general and administrative expenses. Total non-cash share-based compensation expenses for second quarter 2015 were $2.6 million. Net losses for the three months ended June 30, 2016, were $40.6 million compared to net losses of $29.4 million for the same period in 2015. As of June 30, 2016, we had $80.9 million in cash and cash equivalents and $120.0 million in short-term investments, for a total balance of $200.9 million in cash, cash equivalents and short-term investments. On June 30, 2016 we provided a drawdown notice for the remaining $75.0 million available under our existing term loan agreement with an investment fund managed by Pharmakon Advisors LP and we received funds from the draw in July 2016. Other recent corporate achievements
NCCN guidelines update: In July 2016, Optune was added to the National Comprehensive Cancer Network (NCCN) Clinical Practice Guidelines in Oncology for Central Nervous Systems Cancers for newly diagnosed GBM. Optune plus temozolomide is now a Category 2A recommendation following standard brain radiation therapy with concurrent temozolomide, and is now a standard treatment option for newly diagnosed patients with GBM.

FDA approval for the second generation Optune system: In July 2016, the U.S. FDA approved our premarket approval (PMA) supplement application for the second generation Optune System. The second generation Optune system is less than half the weight and size of the first generation Optune System and aims to make treatment with Optune even easier for GBM patients.
METIS phase 3 pivotal trial IDE approval: In May 2016, we received FDA approval of our investigational device exemption (IDE) application to initiate our METIS trial. The multi-center, open-label randomized study will test the effectiveness of TTFields following stereotactic radiosurgery (SRS) compared with watchful waiting alone in 270 patients with brain metastases stemming from non-small cell lung cancer.

PANOVA phase 2 pilot data first cohort subgroup analysis: Data from the first cohort of PANOVA, a phase 2 pilot trial in advanced pancreatic cancer, demonstrate that progression free survival and overall survival of patients treated with TTFields combined with gemcitabine were more than double those of gemcitabine-treated historical controls. Subgroup analysis of the first cohort of the PANOVA trial were presented at ASCO (Free ASCO Whitepaper) in June 2016 demonstrating an overall survival benefit of TTFields plus gemcitabine in advanced pancreatic patients. Median overall survival exceeded 15 months in patients with locally advanced pancreatic cancer treated with TTFields therapy combined with gemcitabine.

PANOVA phase 2 pilot trial last patient in: Following the approval of nab-paclitaxel, a taxane-based chemotherapy, for the treatment of advanced pancreatic cancer, we expanded the PANOVA study to include 20 additional patients treated with TTFields in combination with nab-paclitaxel and gemcitabine. We finished enrollment of the second patient cohort in May 2016 and, with six months follow-up, phase 2 pilot data for all 40 patients enrolled in the PANOVA trial is expected to be available for presentation in late 2016.

INNOVATE phase 2 pilot trial last patient in: In October 2014, the INNOVATE trial opened to study TTFields in combination with weekly paclitaxel for patients with recurrent ovarian cancer. We finished enrollment in May 2016 and, with six months follow-up, phase 2 pilot data for all 30 patients is expected to be available for presentation in late 2016.

Preclinical data show additive efficacy of TTFields and PD-1 inhibitors: Results presented at the American Association of Immunologists’ Annual Meeting 2016 demonstrate that TTFields enhance immunogenic cell death in non-small cell lung cancer cells in vivo. Preclinical mouse data suggest combining TTFields with anti-PD-1 may achieve tumor control by further enhancing antitumor immunity.

Research and development day scheduled for December 12, 2016 We will hold a research and development day for analysts and investors on Monday, December 12, 2016, from 1:00 to 4:00 p.m. Eastern Time in New York City. The event will provide analyses from completed clinical trials, including the full 695 patient dataset from the EF-14 trial in newly diagnosed GBM, data from the PANOVA phase 2 pilot trial in advanced pancreatic cancer, and data from the INNOVATE phase 2 pilot trial in recurrent ovarian cancer. In addition, we will provide an update of recent preclinical findings related to TTFields and a review of our ongoing clinical pipeline.