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M&A Announcement

Nov 30, 2023

Operator

Good day, and thank you for standing by. Welcome to the AbbVie Investor and Analyst Conference Call. All participants will be able to listen only until the question-and-answer portion of this call. You may ask a question by pressing star one on your phone. Today's call is also being recorded. If you have any objections, you may disconnect at this time. I would now like to introduce Ms. Liz Shea, Senior Vice President of Investor Relations. Thank you. You may begin.

Liz Shea
SVP of Investor Relations, AbbVie

Good morning, and thank you for joining us for this special conference call to discuss AbbVie's acquisition of ImmunoGen, which we announced earlier today. Joining me on the call today are Rick Gonzalez, Chairman of the Board and Chief Executive Officer, Rob Michael, President and Chief Operating Officer, and Scott Reents, Executive Vice President and Chief Financial Officer. Joining us for the Q&A portion of the call are Jeff Stewart, Executive Vice President, Chief Commercial Officer, Nicholas Donoghoe, Executive Vice President, Chief Business and Strategy Officer, and Roopal Thakkar, Senior Vice President, Development and Regulatory Affairs, and Chief Medical Officer. Today's call will feature prepared remarks from Rick, Rob, and Scott to discuss the strategic rationale for the addition of this strong growth business to our portfolio, as well as the key financial aspects of the transaction.

We have also posted a set of slides with additional background for your reference, which can be found on our investor website. Before we get started, I'll note that some statements we make today may be considered forward-looking statements based on our current expectations. AbbVie cautions that these forward-looking statements are subject to risks and uncertainties that may cause actual results to differ materially from those indicated in our forward-looking statements. Additional information about these risks and uncertainties is included in our SEC filings. AbbVie undertakes no obligation to update these forward-looking statements except as required by law. Following our prepared remarks, we'll take your questions. With that, I'll turn the call over to Rick.

Richard A. Gonzalez
Chairman of the Board and CEO, AbbVie

Thank you, Liz. Good morning, everyone, and thank you for joining us. We have made significant progress advancing our strategic priorities since our inception as an independent company nearly 11 years ago. We've evolved from a company with one major product, Humira, to a much larger, more diverse company with a platform of innovative and differentiated therapies that span immunology, oncology, neuroscience, eye care, and aesthetics. This growth platform has enabled us to successfully manage through the largest loss of exclusivity event in the industry history. We are now in a strong position to return to robust growth in 2025 and deliver top-tier financial performance through the end of the decade. Since our inception, we have also made significant investment in R&D, both internal and external, to expand our capabilities and build a pipeline of potentially transformational assets in areas of high unmet need.

In the area of oncology, our investments have been focused on expanding our pipeline with novel mechanisms of action across both heme and solid tumors. It has been a strategic priority for AbbVie to establish a strong foundation in solid tumors, and we made significant progress on that front. We now have a robust solid tumor pipeline that spans potentially groundbreaking technologies and platforms, including next-generation immuno-oncology assets and ADCs, including our anti-GARP antibody in phase 2, our PTPN2 inhibitors in phase 1, our c-Met ADCs, both 400 and Teliso-V in mid- and late-stage development. Just yesterday, we announced some very promising data from a potentially registration-enabling trial for Teliso-V in lung cancer, which showed compelling clinical benefit across key efficacy measures, including overall response rate, duration of response, and overall survival.

Today, we announced the strategic acquisition of ImmunoGen and their portfolio of ADCs, accelerating our entry into the solid tumor space and strengthening our oncology pipeline. This transaction represents an extremely compelling opportunity for AbbVie, for ImmunoGen, our combined shareholders, and most importantly, for patients. This is an exciting day for both companies, and I'm pleased to welcome their entire team to AbbVie. With that, I'll turn the call over to Rob. Rob?

Robert A. Michael
President and COO, AbbVie

Thank you, Rick. This is an exciting day for both companies, and we are very pleased to have the talented team from ImmunoGen join our organization. The addition of ImmunoGen represents a strategically compelling opportunity for AbbVie, our shareholders, and the patients we serve. This transaction brings together two organizations with long histories, extensive expertise, and complementary strength in the development of antibody drug conjugates for the treatment of cancer. It also represents a unique opportunity to accelerate AbbVie's entry in the solid tumor space through the addition of Elahere, a high-value on-market therapy for ovarian cancer, while also strengthening our oncology pipeline with the addition of multiple novel clinical-stage ADCs. This transaction also provides an opportunity for significant value creation. We will leverage AbbVie's global commercial scale and clinical and regulatory capabilities to maximize the potential for Elahere and other pipeline assets.

ImmunoGen has been a pioneer in the area of ADCs for more than four decades and has developed a broad portfolio of intellectual property and best-in-class technologies. Over this timeframe, ImmunoGen's technology has been instrumental in the development of three marketed oncology products. This includes two products licensed to other companies and Elahere, their wholly owned and independently commercialized ADC for ovarian cancer. Elahere is a first-in-class ADC approved for the treatment of FR alpha-positive, platinum-resistant ovarian cancer patients in the second-line-plus setting. As the only ADC approved in ovarian cancer and the first targeted agent to show a survival benefit in platinum-resistant patients, Elahere is well-positioned to become the standard of care in this setting. Elahere also has a favorable safety profile compared to existing chemotherapy in terms of hematologic toxicity and hair loss, which is helping drive strong utilization.

This differentiated safety profile is an important factor that should enable Elahere to be used in combination with other treatments. Elahere has experienced rapid uptake during its first year on the U.S. market, with sales already annualizing above $400 million. This extremely impressive ramp is on track to be one of the most successful new product launches in oncology. Elahere's initial performance underscores the strength of its differentiated profile and also highlights the high unmet need in ovarian cancer. Elahere's initial indication represents a sizable sales opportunity and is expected to make a meaningful near-term contribution to AbbVie's oncology portfolio. However, Elahere's greater value lies in expansion opportunities across larger segments of the ovarian cancer market.

A broad development program is planned to expand Elahere use across all segments of ovarian cancer, including platinum-sensitive patients, the frontline maintenance setting in both HRD-positive and HR-proficient patients, and patients with medium FR alpha expression. With commercialization in these additional indications anticipated near the end of this decade, we would expect a significant sales inflection beginning in the early part of the 2030s, with Elahere growing to a multibillion-dollar sales opportunity over the next decade. This transaction also brings an attractive next-generation FR alpha-targeted ADC called IMGN151. This ADC is engineered to include multiple design innovations that could enable treatment in broader patient populations. This includes lower levels of FR alpha expression in ovarian cancer and potentially other solid tumor types. With a different antibody, more stable linker, and more potent payload than Elahere, IMGN151 is designed for increased binding, internalization, and cell killing.

This represents very exciting innovation that has the potential to significantly expand the addressable market covered by Elahere. ImmunoGen also brings an exciting CD123-targeting ADC designed for blood cancers. This ADC, which is called pivekimab, has demonstrated encouraging activity in a rare and aggressive blood cancer, BPDCN, where it has received breakthrough therapy designation. pivekimab is currently being evaluated in a pivotal Phase II study in treatment-naive BPDCN patients, with top-line data expected next year. In summary, this transaction is clearly a strong strategic fit and significantly accelerates our commercial presence in solid tumors. It is highly complementary with our existing solid tumor pipeline, which includes novel targeted therapies and next-generation immuno-oncology assets. With the combined capabilities of AbbVie and ImmunoGen, we have the potential to engineer better ADCs, which can be used to develop transformative new therapies for cancer patients.

I want to once again welcome the ImmunoGen team to AbbVie. Together, we have an opportunity to continue developing innovative new therapies for patients and build a leadership position in ADCs. I'll now turn the call over to Scott.

Scott T. Reents
Executive Vice President and CFO, AbbVie

Thanks, Rob. Before discussing the financial profile of this transaction, let me begin by underscoring how pleased we are to announce this strategic acquisition. This transaction provides AbbVie with a high-value, on-market oncology asset, as well as multiple promising pipeline assets, which further strengthen our prospects for robust long-term growth. We have agreed to acquire all outstanding shares of ImmunoGen for a purchase price of $31.26 per share in an all-cash transaction. This reflects a purchase price of $10.1 billion, with an implied transaction value of approximately $9.8 billion, net of estimated cash acquired. We will fund the transaction with a combination of cash and debt. Given that Elahere is an on-market, de-risked asset, it represents the most substantial component of the deal value.

Sales for Elahere are expected to grow steadily in its initial indication, with a more significant ramp at the beginning of the next decade, following development in larger segments of the ovarian cancer market. More modest value has been ascribed to the pipeline assets, IMGN151 and pivekimab, given their earlier stages of development and the smaller addressable patient populations for pivekimab in rare blood cancers. This is a financially attractive transaction for AbbVie, which we anticipate will be accretive beginning in 2027 and significantly accretive over the long term. Given the increased R&D, operating and interest expenses associated with the acquisition, we expect the transaction to negatively impact earnings over the near term.

Assuming the deal close in the middle of 2024, we expect ImmunoGen transaction to be approximately $0.13 dilutive to our adjusted earnings per share in 2024, approximately $0.16 dilutive in 2025, and neutral to earnings in 2026. Regarding our outlook, we indicated on our third quarter earnings call that we would not expect 2024 full year adjusted earnings per share to be below $11. Despite the near-term dilution associated with the ImmunoGen transaction, we are maintaining this floor guidance for the next year, highlighting our continued confidence in the underlying outlook of our business. Additionally, we do not anticipate a change to AbbVie's capital allocation priorities as a result of this deal. We remain committed to a strong and growing dividend while maintaining flexibility for additional business development.

In summary, this is an exciting day for both AbbVie and ImmunoGen as we combine our two companies to create a stronger oncology portfolio that has the potential to deliver better outcomes for patients. The transaction meaningfully contributes to AbbVie's top-tier growth outlook through the remainder of the decade, while driving significant accretion over the long term. With that, I'll turn the call back over to Liz.

Liz Shea
SVP of Investor Relations, AbbVie

Thanks, Scott. We will now open the call for questions. In the interest of hearing from as many analysts as possible over the remainder of the call, we ask that you please limit your questions to one or two. Operator, we'll take the first question, please.

Operator

Thank you. Our first question comes from Andrew Baum with Citigroup Global. Your line is open.

Andrew Baum
Analyst, Citi

Thank you. Question on the duration of use and the tolerability of the drug. As you move into early lines, the survival outlook improves materially, and therefore, the rate limiting step of how many cycles the patients can tolerate. Could you comment on where you think that going from the current label to an earlier line of use?

Roopal Thakkar
SVP and Chief Medical Officer, AbbVie

Hi, Andrew, it's Roopal. Yeah, I think you, you've captured it. So as you go into earlier lines, these patients tend to do better, especially in the platinum-sensitive ovarian cancer. They tend to have a longer outlook. And as we've outlined here in the discussion, that our intent is to continue to expand. So currently in platinum-resistant, expanding out to sensitive, and in the second line and in the front line, where we have an opportunity to combine with Bev and PARP inhibitors. So I think when you see that, we can probably expect even a longer duration of therapy in what we're seeing now.

When you look at the MIRASOL data, even in, you know, the sickest patients who have platinum resistance, we're seeing a survival advantage, which is totally unprecedented and clearly practice-changing. So we want to offer that to many more patient segments, as we continue development here.

Andrew Baum
Analyst, Citi

To what, to what extent does the tolerability precludes just continuing on until the patient progresses? Obviously, you don't know yet because you're subject to the last line, but do you have any sense just how many cycles patients can tolerate, i.e., it's limited by progression rather than tolerability?

Roopal Thakkar
SVP and Chief Medical Officer, AbbVie

You know, I won't have the exact numbers on that, but I can give you a qualitative answer. When we looked at the data, when you look at grade 3 adverse events, they're substantially higher in the chemo arm. We feel that the tolerability is quite good from a grade 3 standpoint. With some ocular toxicity is probably the main tolerability component here, but most patients do fine if we have to reduce the dose a little bit, or eye drops, lubricant eye drops and steroid eye drops, tend to do very well. But qualitatively, we see an expansion of several cycles as we go into the broader population.

Andrew Baum
Analyst, Citi

Thank you.

Liz Shea
SVP of Investor Relations, AbbVie

Thanks, Andrew. Operator, next question, please.

Operator

The next question comes from Chris Schott with J.P. Morgan. Your line is open.

Chris Schott
Analyst, J.P. Morgan

Great. Thanks so much. Just maybe broadening out a little bit on the Elahere opportunity. Can you just elaborate a bit more on how much of that multibillion-dollar peak sales potential you see coming from the current indication? And as you think about broadening out the label, I guess, which of the studies and indications you're pursuing are you most confident in, and which are you viewing it as a higher risk in, as you kind of thought about deal value here? Thank you.

Jeffrey R. Stewart
EVP and Chief Commercial Officer, AbbVie

Yeah. Hi, Chris. It's, it's Jeff Stewart here. And just to reiterate a little bit of what Rob highlighted, you know, in terms of our confidence level and how we see the mix. So first, you know, Elahere's ramping exceptionally well in this first indication, right? So it's annualizing at over $400 million. So it's very, very well received, and one of the most successful, if we sort of time align these big recent oncology launches, one of the most successful ones that we've seen. And that's because of the much better responses, the OS benefit, 33% less death, and that improved tolerability and less discontinuation, frankly, what Roopal's saying, and this is in the resistant population. So we see a very good dynamic there. And we also see that the testing rates are being rapidly adopted.

In some ways, look, oncology is complex, but we really see FR alpha rate testings moving to at diagnosis. So these physicians are gonna be looking for PARP sensitivity and the FR alpha ratios. I think that's a very important concept to what I'm gonna discuss in a minute. So first, when we move from the resistant population to the sensitive population, that more than doubles, basically, the available population, okay? And that's before you get into what Roopal talked about, which is in that sensitive population, you're gonna have very likely a longer duration of therapy and cycles, okay? So that's, that's, that's a big move as we move from resistant to sensitive. And I think that we've looked. When we looked at the diligence, the work that was done is very, very clever and well constructed, and Roopal can talk about that.

So you have kind of a triple play going at that sensitive population with PICCOLO, which is in the third line, plus GLORIOSA, which is really a combination with Bev, very attractive, and then FORWARD II, which is gonna allow you to go with the combination with the platinums. And that's very unique, this ADC, in terms of its potential for combinations. So after you think about that doubling effect into the sensitive population, you get another double again, which is this move into the medium expression, okay? So that basically, the way that we look at, about 35% of people have FR alpha high, another 30% or so have medium. We can already see from the FORWARD II data that it works in that population. This is in the resistance. You know, we believe that that will translate over to the sensitive.

And a good proof point is even today, right, in that sensitive, or in the resistance segment, I'm sorry, the NCCN compendia highlights that physicians can use this in high, medium, and even low. So it's a good proof point in terms of the first doubling and then the second doubling. And then lastly, and this is important, but this is not gonna sort of develop into until the 2030s, as we have envisioned the additional expansion into frontline maintenance, you know, with PARPs and with Bev in those segments as well. So the first population, very significant, annualizing at over $400 million, but it's really the expansion opportunities into sensitive, medium expressers and then ultimately front line that will balance out that multibillion-dollar opportunity. I don't know, Roopal, if you wanna highlight any of the clinical-

Roopal Thakkar
SVP and Chief Medical Officer, AbbVie

Maybe I'll just add, and this may overlap a little bit with Jeff, but maybe add a little bit more to it. So, I think you asked a little bit around risk. So, you know, during diligence, we did a very careful, thorough, very deep assessment, and the team and the rest of us became very confident in the opportunity to expand patient segments and indications, as Jeff has outlined. We saw meaningful efficacy in platinum sensitive, which Jeff mentions around 55% of ovarian cancer and the current platinum resistant population, that's about 45%. So really compelling information, data that we saw there. And then the other thing we observed is Elahere combines nicely with Bev and carboplatin at full dose.

It's tolerated, and what we saw is we saw strong efficacy in the patients that had already received PARP inhibitors. In fact, I think about 45% in the MIRASOL trial were prior PARP inhibitors. And that's important because platinum and other chemotherapies, they don't seem to work as well post-PARP inhibitor. So this would be very important for Elahere's opportunity. And then, that does create the opportunity to develop Elahere in first-line maintenance, whether it's combined with Bev or a PARP inhibitor, along with combos with carbo, as Jeff was outlining in platinum-sensitive patients. And we also saw compelling efficacy in the medium expressors. And just to reiterate, that's about 30% of the patients, and the high, where we're currently approved now, is about 35%.

So we can expand into this segment across platinum resistant, platinum sensitive, and first-line maintenance, so especially in combination. And this will allow it to drive and also become the combination partner of choice. So, very comprehensive assessment, and we see a great opportunity.

Liz Shea
SVP of Investor Relations, AbbVie

Okay. Thanks, Chris. Operator, next question, please.

Operator

Next question comes from Carter Gould with Barclays. Your line is open.

Carter L. Gould
Senior Equity Research Analyst, Barclays

Thanks for taking the question. Congrats on the deal. You know, across the ovarian landscape, there's been a lot of excitement around some other targets, whether that's B7-H3 or MUC16. Can you talk about your diligence there and how you think about the competitive environment here and to the extent that you can stay ahead of that? Thank you.

Roopal Thakkar
SVP and Chief Medical Officer, AbbVie

... Yeah, thanks for the question. It's Roopal again. Yeah, I mean, we did an in-depth analysis and looked at some of the assets that you've mentioned and many others. A couple of things that are pretty important to point out. So one, as of right now, we have overall survival data that's been highlighted, and it will take, you know, 5+ years, for other assets, to come into the space. We're not just waiting. All the things that Jeff and I just discussed and what you heard earlier, these are multiple phase three and phase two programs that will be launched here very shortly.

So that also allow us to cover, many patient segments, very quickly because we have a very active, de-risked asset that's able to combine. That's not clear for, others. You won't know the safety profile for several years, and you won't know how they, combine for several years either, and you won't know if they can actually achieve overall, survival success. You know the cancer, you know oncology very well. We've seen, lung as an example, lots of excitement and enthusiasm, but maybe not moving the needle on overall survival. So that gives us a, a good amount of confidence. Then we're also gonna be driving, this 151 asset that we, that you heard about. It's a bivalent, binding to two different epitopes.

It's a highly potent, permeable, warhead and more stable linker, longer half-life asset. So that gives us even more opportunities, potentially even in low expressers, currently in phase one, in ovarian cancer and endometrial, and potentially other tumor types. And also, with our own internal platforms, we have an opportunity ourselves, to use our own topo warhead, with these other assets.

Liz Shea
SVP of Investor Relations, AbbVie

Thank you, Carter. Operator, next question, please.

Operator

The next question comes from Mohit Bansal with Wells Fargo. Your line is open.

Mohit Bansal
Equity Research Analyst, Wells Fargo

Great. Thank you very much for taking my question, and congrats on the deal. So I have one question regarding the CD123 asset. I think they have some interesting data at ASH, I mean, with Venclexta. So can you just help us understand how you are thinking about that asset, and where does it add value? And also, like, do we know how much of the sales for Venclexta is coming from AML right now? Thank you.

Roopal Thakkar
SVP and Chief Medical Officer, AbbVie

Okay, maybe, Mohit, Roopal, maybe I'll start, and then, Jeff can talk a little bit more about AML. So just the opportunity for CD123. So, consistent with the other assets here, it's a DNA alkylating agent, and it's unique to what Rob had mentioned, this BPDCN. It's blastic plasmacytoid dendritic cell neoplasia, a mouthful, but that's what BPDCN is. And it is rare. It's about 1,200 patients a year between Europe and U.S. These are mostly men. They see these terrible skin lesions, and it also involves lymph, blood, bone marrow.

However, as rare it is, and with no real treatment options, there is one approval, but the data we're seeing with this one is very compelling, 70% CR rates, duration of response, more than a year, and a fairly tolerable adverse event profile. We don't have the 50% or so capillary leak syndrome, which has been observed with other agents. So, well tolerated and good data there. So that's the one big piece of this and more data next year and a potential for an approval. Now, with respect to AML, you know, standard of care in unfit now is Ven plus Aza. You know, 60%-70% of our patients are likely getting Ven Aza.

And what they've done with this agent, because the CD123 is also expressed on AML, is to look at that combo. And as I talked about tolerability, they started analyzing with the 14-day course and now have got up to full dose at 28 days. So, you know, there is a potential there for a combination, and we'll wait to see some more data at ASH and then more follow-up data after to see how that looks. But that is a certainly a potential opportunity. And then maybe Jeff can comment on where we're at with AML.

Jeffrey R. Stewart
EVP and Chief Commercial Officer, AbbVie

Yeah. Hi, Mohit, it's Jeff. So AML accounts for just under 20% of our overall Venclexta sales. And to Roopal's point, if you look across the globe, all of the major territories, Ven, in the ineligible population, which is about 50% of the frontline patients, has a 70%-80% share. So it's quite striking as a standard of care. Now, the big problem that we continue to have, which is quite interesting with the study that Roopal talked about, is despite the fact that Ven has basically transformed that space, you still have very, very aggressive disease. So your treatment durations are sometimes, you know, five months, six months.

So the ability to think about that, you know, a triplet that can basically work with the standard of care to extend life with overall survival would be very attractive and would accrue to both of the assets in all likelihood. So that's kind of how the market is currently structured.

Mohit Bansal
Equity Research Analyst, Wells Fargo

... Super helpful. Thank you.

Liz Shea
SVP of Investor Relations, AbbVie

Thanks, Mohit. Operator, next question, please.

Operator

The next question comes from Terence Flynn with Morgan Stanley. Your line is open.

Terence Flynn
Analyst, Morgan Stanley

Great. Thanks for taking the questions. Maybe two for me. Was just wondering if you can provide some more information on the patent position for Elahere and how you're thinking about the duration of the tail of this asset, given it's an ADC. And then on 2024 EPS guidance, again, appreciate the reiteration of the floor. You know, if we just add back the $0.13 dilution, we're at $11.13. Is that a starting point, or is that not official guidance at this point? Just wanna understand how you're thinking about framing that, as we think about 2024. Thank you.

Robert A. Michael
President and COO, AbbVie

Terence, this is Rob. On your first question regarding the patent for Elahere, 2036 would be the date I would use for your modeling purposes.

Roopal Thakkar
SVP and Chief Medical Officer, AbbVie

Terence, it's Scott. Regarding your second question, no, that's not our guidance. We're talking about just reiterating that the $11 floor that we talked about on the third quarter earnings call, we are, we are reaffirming that that continues to be our floor, and we'll provide guidance, you know, in our Q4 call.

Robert A. Michael
President and COO, AbbVie

This is Rob. I'll just add on. It was not our intent by providing the floor for that to be interpreted as guidance. I have seen in some commentary where that, you know, there was comparisons of our floor to analyst consensus, and that's clearly not an appropriate comparison. So we provide that floor to give investors a sense of what is the in a downside scenario, if you want to value the company with a growth multiple off of that floor EPS, it would be an appropriate way to do it. But it was never meant to be interpreted as guidance. We'll obviously provide that guidance on the Q4 call, and it'll be inclusive of the dilution from this transaction.

Liz Shea
SVP of Investor Relations, AbbVie

Thanks, Terence. Operator, next question, please.

Operator

Yes, our next question comes from Gary Nachman with Raymond James. Your line is open.

Gary Nachman
Analyst, Raymond James

Hey, great. Congrats on the deal. So first, is there any overlap in terms of your ADC pipeline and technologies in what ImmunoGen has, or is it all complementary? So do you anticipate any FTC scrutiny on the deal with any of the pipeline programs, that you both have? And then secondly, just in terms of the funding of the deal, what's the anticipated split of cash and debt, and where do you expect your leverage will go post-close? And then maybe what's the capacity to do more deals, I guess, of this magnitude, sort of in this range, going forward? Thanks.

Roopal Thakkar
SVP and Chief Medical Officer, AbbVie

Gary, it's Roopal. I'll kick off real quick on the natures of the two pipelines. I think one of the big benefits here is looking at ImmunoGen's legacy here, 40-plus years of experience, really impressive technology. It is quite complementary to what we have from a platform standpoint, standpoint. We have the immuno-oncology portfolio, which is a little distinct from their ADCs and the type of ADCs they have. We're focused on for Teliso-V and MMAE and ABBV-400 in next gen. It's all topo warheads. So they'll bring different targets, different types of linkers. We'll have some and different warheads, and we'll have also something similar that's complementary. Different targets, different warheads, different technologies.

So it's a very nice complement to each organization. And when you look at the tumor types that both would be targeting, whether it's solid or some heme that I outlined before, minimal to no overlap.

Richard A. Gonzalez
Chairman of the Board and CEO, AbbVie

This is Rick. I would say from an FTC perspective, you know, we believe that this would have no overlap from an FTC standpoint, based on our portfolio and our market presence.

Roopal Thakkar
SVP and Chief Medical Officer, AbbVie

Hi, it's Scott. I'll take your question regarding the funding of the transaction. So we've not indicated, you know, what we expect it to be. It'll be a combination of cash and debt. I think when you think about it, you know, we certainly have a strong cash balance and the flexibility. We'll look at the market conditions at the time. You know, if you want to model something, I think it would be fair to say that we would use at least $2 billion of cash as we contemplate today. In terms of what our net debt to EBITDA leverage would do, so we have said many times before that, you know, we're very comfortable operating at a 2x net debt to EBITDA. I think based upon our modeling, we're probably right at that 2x.

We'll go up a little bit in 2024, but then we'll be back down below 2x in 2025. So this is where we're seeing that and consistent with what our prior thinking is around a transaction of this size. And I'll turn it to Rob.

Robert A. Michael
President and COO, AbbVie

Yeah, Gary, this is Rob, so I'll take your third question. So if you think about it, this deal is very consistent with our M&A messaging throughout the year. You know, we previously said that we do not need external business development to achieve our high single-digit CAGR from 2024 to 2029, but we are interested in external assets that can drive growth into the next decade. And this opportunity is one that really aligns very well with our strategy. If you think about it, it adds incremental short-term revenue, it accelerates our presence in the solid tumor market, you know, ahead of the launch of Teliso-V and ABBV-400, and it provides us a follow-on pipeline and additional ADC technology. So it meets all the criteria we're looking for.

I've said previously that think about in terms like small to mid-size transactions we'll be looking at. This is clearly a mid-size transaction. We've also said that as long as we can get back to a net leverage of 2x within 2-3 years, that's the way we define our capacity. So if we see another as a similar opportunity in one of our strategic growth areas that fits that profile, we have the financial wherewithal to pursue it.

Liz Shea
SVP of Investor Relations, AbbVie

Okay. Thanks, Gary.

Gary Nachman
Analyst, Raymond James

Great. Thank you.

Liz Shea
SVP of Investor Relations, AbbVie

Operator, next question, please.

Operator

Yes, our next question comes from Steve Scala with Cowen. Your line is open.

Steve Scala
Analyst, TD Cowen

... Thanks. I just had a follow-up on the floor EPS direction for 2024. So I'm just wondering how we should interpret the reiteration of that. Is it because the company had built in a cushion originally, so you're kind of back to where you started, or that things now look stronger than they originally did when that direction was provided? And then secondly, can you walk us through the P&L dynamics post-close? So the dilution in year two is, of course, much less than year one on an annualized basis. How much of that is synergies versus how much is growing into a greater top line? Thank you.

Robert A. Michael
President and COO, AbbVie

Steve, this is Rob. I'll take your first question. So, again, the floor EPS was not meant to be guidance. It would have incorporated a certain, I'd say, downside scenarios, to give investors confidence that the EPS will not drop below that level. You know, clearly, as we look at this deal and the dilution from it, it doesn't change our view on the floor. So I wouldn't try to make a connection between guidance and the floor. But we thought it was important, given the dilution, given the questions around the floor, that we should at least reaffirm that there's no impact on the floor, even with this transaction.

Scott T. Reents
Executive Vice President and CFO, AbbVie

Hi, it's Scott. I'll take your second question. So this is not a transaction that we're, you know, looking to heavily synergize by any means. This is a transaction that we know we will have to continue to invest in both an R&D and an SG&A perspective as we develop these assets, and then certainly bring them to market. So we're not gonna be, you know, going after the synergies, as we might have in other transactions historically. I would say that your year two question, that is... You know, when you think about, again, we're gonna be increasing R&D, and investment into this. And so that is some of the, the lessening of the dilutive impact in 2025 would be from top line growth of Elahere.

Robert A. Michael
President and COO, AbbVie

If you think about the dilution, I mean, the dilution is really driven by net interest expense, right? And so, we could, you know, ImmunoGen has an on-market product. It, you know, it's profitable. I'd say in year one, the dilution you're seeing is almost, you know, almost entirely net interest expense. In year two, you actually see the annualization of that interest expense, so that would be, you know, higher dilution, but that's offset by favorable operating margin coming from that business. And so, it's important to distinguish that, you know, the dilution is really driven on net interest expense line. It's not being driven in Op margin .

Richard A. Gonzalez
Chairman of the Board and CEO, AbbVie

And this is Rick. The only thing I would add is, as you think about R&D in this transaction, one of the important opportunities that we have is to be able to fund as rapidly as possible and as in parallel, as many of these indications or combinations as we can, as quickly as possible, because that's what creates the tremendous value here. So it will be one that it is our intent to fully fund it from an R&D standpoint, to be able to have speed to market for those indications. It's also our intent to rapidly explore our own TOPO warhead to be a next generation version of this target. So all of those things will require R&D investment. We've built that R&D investment into this transaction with that intent and that desire. So it's quite the opposite of a synergy.

It's ultimately gonna drive more expense, but it will give a very significant return, particularly in the latter part of this decade and into the next decade, which is clearly our intent.

Steve Scala
Analyst, TD Cowen

Thank you.

Liz Shea
SVP of Investor Relations, AbbVie

Thanks, Steve. Operator, next question, please.

Operator

Yes, the next question comes from Evan Seigerman with BMO Capital Markets. Your line is open.

Evan Seigerman
Analyst, BMO Capital Markets

Hi, guys. Thank you so much for the question. So kind of following up to the prior question, you've traditionally not had a major presence in solid tumor oncology. So I guess we should expect a new commercial build-out. And I guess, why not leverage what you already have, say, in neuroscience, as you think you're doing, you know, think about deals going forward? Thank you for the color there.

Richard A. Gonzalez
Chairman of the Board and CEO, AbbVie

You know, I think as you look at opportunities that are available, certainly solid tumors have always been a strong, strategic intent for us. We've invested in solid tumor R&D for the last 7 or 8 years. We've built out an entire, Topo platform, ADC platform, as well as a number of other ADCs. As you saw a few days ago, Teliso-V has now demonstrated, at least to us, that this is going to be a meaningful medicine for the treatment of, c-Met-positive patients in lung cancer and in other areas. As we look at the data emerging from ABBV-400 in CRC, I'd say it's not as mature as the data that we obviously have on Teliso-V, but the signals are very similar and very attractive.

So it was always our intent to ultimately develop a platform around solid tumors, and we've invested to be able to do that. The advantage of this opportunity is you have an on-market product that's relatively early in its life, that has demonstrated survival, has significant opportunities to be able to expand in other lines of therapy and combine effectively with other agents, to even give incremental improvement and in survival, hopefully. It allows us to be able to enter the market a little bit earlier. It will be followed by Teliso-V and as the next opportunity. They have infrastructure in place to commercialize this asset. We'll obviously be adding commercial assets in order to be able to take advantage of the Teliso-V opportunity.

And then as these other assets that are in our pipeline continue to emerge, I would expect that we'll continue to build out capabilities until we have created a full platform, commercial platform, to be able to actively promote our assets within this marketplace. So I think it's a perfect fit from that standpoint. I don't know, Jeff, would you add anything?

Jeffrey R. Stewart
EVP and Chief Commercial Officer, AbbVie

No, really nothing to add. I mean, the build-out for a solid tumor commercial organization, it's-

... it's not insignificant, but it's also a nice sort of start that we have with the team here, with this deal, with this issue. So they have about, you know, in the in-field, you know, to get at these oncologists, you know, 50 commercial people that are in the market now, and they're driving this excellent performance. You know, there's a medical in-field team. You know, they're in the process of building in Europe, because Europe is a very good opportunity here. I didn't get a chance to address that before, but with the OS data, the European opportunity is very significant. So it's a great initial wedge in terms of our commercial footprint, as then we use the base, Rick, to your point, to build into our solid tumor asset.

We've had the stated strategy. We want a very, very balanced approach over time for our strategy, very strong heme presence, and an increasing powerful solid tumor presence, so it fits perfectly with what we're trying to do.

Richard A. Gonzalez
Chairman of the Board and CEO, AbbVie

And then to your second question, you know, why didn't we go do something in neuroscience or something in immunology or another area that we have a, a significant presence in? You know, I can just tell you, we obviously have the financial wherewithal to do that. If we found another asset that looked like this in neuroscience or anywhere else, we would act on it. We've always said we have the ability to be able to go out and do these kinds of transactions, but it has to be the right kind of opportunity, strategically fits for us, and has the opportunity to be value-enhancing for the company, and this one hit that mark. If we see another one, I can tell you we will act quickly on that opportunity.

Liz Shea
SVP of Investor Relations, AbbVie

Thanks, Evan. Operator, next question, please.

Operator

Yes, our next question comes from Geoff Meacham with Bank of America. Your line is open.

Geoff Meacham
Equity Research Analyst, Bank of America

Hey, guys. Thanks so much for the question. Just looking at the deal value, I mean, clearly, Elahere is, in ovarian, is the majority of it, but just I wasn't sure how much consideration AbbVie gave, you know, for other solid tumors or IMGN936 , or really, the ADC platform itself. And then the confidence level that you guys have outside of ovarian, for example, in lung or pancreatic, would be helpful. And then the second question is, I'm looking at your guidance at the end of the decade, is there sort of one opportunity that you would say is the most impactful in ovarian? Is it mostly maintenance?

Is it, you know, longer duration of therapy from that, or, or is it penetration into the, you know, the unmet needs in the first-line market? Thank you.

Jeffrey R. Stewart
EVP and Chief Commercial Officer, AbbVie

So Jeff, in terms of your first question, I'd say, and Scott tried to cover this in his remarks, and you think about the deal value, is that the majority of the valuation is really on Elahere. We've talked about the expansion opportunities being fairly significant. We've talked about it being, you know, you know, multibillion-dollar sales opportunity in the next decade. We have also ascribed value to IMGN151 as well as pivekimab. So those are really the key components of the valuation, but I'd say Elahere is the majority of it.

Roopal Thakkar
SVP and Chief Medical Officer, AbbVie

Yeah, and on the other question, in terms of the outer years, I would say it's fairly well balanced in terms of how we look at the split. So obviously, we spoke to the core of the resistance segment, but I would say it's well balanced towards the end of the decade between really moving with those big three programs and even more in the sensitive population and then the front-line maintenance population. So both of those are equally important to the later value creation.

Liz Shea
SVP of Investor Relations, AbbVie

Thanks, Jeff. Operator... I'm sorry. Next question, please.

Operator

Our next question comes from James Shin with Deutsche Bank. Your line is open.

James Shin
Director of Biopharma Equity Research, Deutsche Bank

Hi, thanks for the question. For Elahere's expansion into platinum-sensitive ovarian cancer, can the AbbVie team lay out expectations for PICCOLO's DOR, PFS, and OS readouts? I ask because late-line platinum-sensitive patients are progressively becoming less responsive, and these metrics seem to be a moving target, according to GYNs. And secondly, can the deal be accretive in fiscal year 2027 solely from Elahere's current platinum-resistant population? Thank you.

Roopal Thakkar
SVP and Chief Medical Officer, AbbVie

Hi, it's Roopal. I'll take the first one. I can say that the data that we've seen is encouraging. It'll continue to read out, and we'll get a better idea of where exactly the parameters you asked for will land. But remember, in the platinum-sensitive, we also have other options. You mentioned PICCOLO in third-line. These are high, and it's monotherapy. The other opportunity to potentially extend efficacy and duration is in that combination, where Elahere combined with Bev or even as an induction maintenance in sensitive, where you combine it with carbo and then maintain on Elahere, and, you know, one could compare that against a platinum doublet.

So I think consistent with what the data we've seen thus far, we anticipate something along those lines, maybe potentially upside, as we look at combinations.

Richard A. Gonzalez
Chairman of the Board and CEO, AbbVie

This is Rick, on your second question. I tell you that we're highly confident that the transaction will be accretive in 2027, based on the way we have built out the model. I think one of the ways to think about it, and, and those of you that are very familiar with solid tumors, I think, probably can relate to what I'm going to describe. As you develop more and more data and demonstrate, even prior to label approval, that you have strong efficacy in certain populations, the guidelines tend to-

... the label itself. So it's a little difficult to answer your question exactly the way you have asked the question, because as guidelines continue to develop, as Jeff said, we already see the guidelines ahead of the current label, allowing for physicians to be able to treat in low and medium. And as you generate data in platinum sensitive, I would expect that that data is strong. And based on what we've seen, I would expect that data to be strong. I would expect the guidelines to act upon that data because these are cancers, you know, that are deadly, and they want the patient to have the best possible opportunity to be able to be treated. So I think that's the best way to think about it.

James Shin
Director of Biopharma Equity Research, Deutsche Bank

Thank you.

Liz Shea
SVP of Investor Relations, AbbVie

Thanks, James. Operator, next question, please.

Operator

The next question comes from Harry Sephton with Berenberg. Your line is open.

Harry Sherris
Equity Research Analyst, Berenberg

Hi, thank you very much for taking the question. So could you please just discuss how the next-generation 151 asset improves on Elahere? I know you touched on that briefly before. And then just for... I see on your slide, you have lung and triple-negative breast cancer as potential indications. Just wondering what you're looking to see here preclinically before making the decision and when that might be. Thank you.

Roopal Thakkar
SVP and Chief Medical Officer, AbbVie

Hi, Harry, it's Roopal. Yeah, I'll take that. So, the differentiation with 151 is, I would say, a next-gen warhead , more potent, potentially more permeable, so you can see more bystander effect and the ability to bind to two different epitopes. What that would result in, being bivalent and different, is greater internalization and greater killing, and with the more potent warhead that's permeable, then more killing next to the area there. That's the so-called bystander effect. The other thing that could differentiate is a more stable linker that could play out a better tolerability, potentially. And, because of the potency I mentioned, you talked about other tumor types. But we listed those because they have reasonable high expression of FR alpha .

So if we can get more depth of response, then maybe we can go into those, places as well, where the expression may not be like ovarian, which is, you know, 90-90%, or so. These may be lower, and when you have a slightly lower expression, the greater potency is gonna help you there. And then, if I hadn't mentioned yet, potentially a longer half-life, that could be a better dosing regimen. So I think those are the key, thoughts there. I think... Did you have... Oh, what data? I see preclinical.

Yeah, so the other thing that we would do, especially when we look at other tumor types, we have a lot of in-house data, in models, and then that allows us to look at different linkers, different targets, and different warheads. So with a target like this, we could, as has been mentioned, look at the current payload, but also our topo warhead as well, which may play in a variety of other solid tumor types that have expression of FR alpha .

Liz Shea
SVP of Investor Relations, AbbVie

Thanks, Harry. Operator, I think we have one final question in the queue, so we'll wrap up after this last question.

Operator

Yes, our last question comes from Robin Karnauskas with Truist Securities. Your line is open.

Robin Karnauskas
Analyst, Truist Securities

Hi, guys. Thank you. So I just wanted to drill down more specifically in the Daiichi and Merck partnership and R-DXd that had some good data at ESMO. So you mentioned, you know, you did some competitive analysis, but could you help us understand, I think they may go into phase 3. Can you speed up the timelines? What are the timelines for GLORIOSA? And second, what is the overlapping expression of FR alpha with CDH6? Do you think these two drugs would be used in sequence, or would they, are they really competitors? Thanks.

Roopal Thakkar
SVP and Chief Medical Officer, AbbVie

Hi, it's Roopal. I can take that. I don't have an answer for the overlap. That's something that we would have to look at, and the opportunity potentially in all-comers . That's difficult to know because it may be due to expression, and that was clearly learned here with Elahere, where the higher expression you had, the better the efficacy. So it's important around patient segmentation. But you know, going forward, we're several years ahead. And as I expressed previously, we already have survival data, very strong tolerability data, and multiple studies that will be going forward.

Now, with respect to GLORIOSA, that has already initiated, that would be a second-line maintenance study in sensitive, in high. Over 400 patients or so, the treatment arm would be Elahere plus Bev versus Bev. And like I said, it's an ongoing study. We would do our best with our resources to continue to accelerate that. As the data become more familiar to folks, that will certainly help enrollment. But I think we've laid this out in the slides. Some of these readouts are about 3-4 years down the road. 2027-ish is what I would say right now, probably end of 2027, and looking to expand some of these indications at 2028 and beyond.

Robin Karnauskas
Analyst, Truist Securities

Okay, great. Thank you.

Liz Shea
SVP of Investor Relations, AbbVie

Thank you, Robin. That concludes today's conference call. If you would like to listen to a replay of the call, please visit our website at investors.abbvie.com. Thanks again for joining us.

Operator

Thank you. That concludes today's conference. You may all disconnect at this time.

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