Earnings Call: Q4 2014

Jan 30, 2015

Good morning and thank you for standing by. Welcome to the AbbVie Fourth Quarter 20 14 Earnings Call. Touch Tone Phone. This call is being recorded by AbbVie. And I would now like to introduce Mr. Larry Pippo, Vice President of Investor Relations. Good morning and thanks for joining us today. Also on the call with me is Rick Gonzalez, Chairman of the Board and Chief Executive Officer and Bill Chase, Executive Vice President of Finance and Chief Financial Officer. Joining us for the Q and A portion of the call are Laura Schumacher, Executive Vice President, Business Development, External Affairs and General Counsel and Mike Severino, Executive Vice President of R and D and Chief Scientific Officer. Call. Before we get started, I remind you that some statements we make today may be considered forward looking statements for purposes of the Private Securities Litigation Reform Act of 1995. AbbVie cautions that these forward looking statements are subject to risks and uncertainties that may cause actual results Call to differ materially from those indicated in the forward looking statements. Additional information about the factors that may affect AbbVie's operations is included in our 2013 Annual Report on Form 10 ks and in our other SEC filings. AbbVie undertakes no and Company's obligation to release publicly any revisions to forward looking statements as a result of subsequent events or developments, except as required by law. Call. On today's conference call, as in the past, non GAAP financial measures will be used to help investors understand AbbVie's ongoing business performance. These non GAAP financial measures are reconciled with comparable GAAP financial measures in our earnings release and regulatory Callings from today, which can be found on our website. Following our prepared remarks, we'll take your questions. So with that, I'll now turn the call over to Rick. Thanks, Larry. Good morning, everyone, and thank you for joining us this morning. Since becoming an independent company, our strategy has centered around delivering strong results and returns for our shareholders, while ensuring we have a strong sustainable growth business over the long term. As we look back over the past year and assess our performance, We're pleased with the significant progress we've made, not only in delivering outstanding 2014 results, but also in establishing a solid platform for growth well into the future. As we announced this morning, we delivered exceptional results in 2014 with sales and earnings well above our original projections for the year. We delivered 7 percent global operational sales growth in 2014 and we increased our ongoing earnings per share by nearly 6%. When we launched AbbVie 2 years ago, one of our key priorities was to return to strong growth in 2015. I'm pleased that we were able to achieve that goal a year ahead of schedule. This performance demonstrates the strength and sustainability of our portfolio and underscores our continued focus and execution. Our performance in 2014 was driven by growth from Conference, while continuing to invest in R and D and SG and A to drive future growth. In addition to our strong financial results Conference Call. Over the past year, we've seen significant pipeline advancement and have achieved a number of important development and Regulatory Milestones. We secured U. S. And European approval for our interferon free HCV treatment, VICURA. Call. We successfully completed several late stage clinical trials, including the declusimab and HUMIRA HS and Registration Program. We initiated a number of promising Phase 3 programs, including and several Phase 3 studies of our PARP inhibitor, voliparib, in solid tumors such as breast and lung cancer and our BCL-two inhibitor ABT199 in hematological malignancies. We also made significant advancements with our next Generation HCV program, initiating a broad Phase 2b program, which is on track to transition to Phase 3 in 2015. We advanced a number of early stage assets into mid stage development, including our DVE platform and ABT-four fourteen, our antibody drug conjugate in development for glioblastoma multiforma. We augmented our pipeline through strategic licensing and partnering activities. We acquired the rights to developeZeb, Conference Call. Now in development for CLL and NHL. And we entered into a novel collaboration with Calico to accelerate the discovery, and commercialization of innovative therapies for age related diseases such as cancer and neurological diseases. Call. And over the 1st couple of weeks of 2015, we've seen additional pipeline developments with the recent U. S. Approval of DUOPA, our therapy for advanced Parkinson's disease and positive top line efficacy results from the first elagolix pivotal trial in endometriosis. So, we have established a strong foundation and have entered 2015 with good momentum, which we intend to build upon. As I outlined earlier this month, in 2015, we are forecasting full year adjusted earnings per share of $4.25 to $4.45 It's important to remember that this range reflects EPS growth of 28% to 34%, which is well above our peer group. And in the coming year, Call. We expect to see significant activity across our pipeline, including the potential for several regulatory submissions, data readouts and Phase Transitions that I'll discuss in more detail in a moment. HUMIRA was certainly an important driver Call of Growth Per Year Over the Past 8 Years. For 2015, we expect HUMIRA to once again be an important contributor to our robust performance with mid teens global operational growth expected. We also saw strong performance from several other products Conference Call. We expect We expect that each of these products, which hold leadership positions in their respective categories, will continue to represent an important part of our business mix in 2015. Clearly, another important driver of our performance in 2015 will be our interferon free HCV therapy by which has now been approved in the U. S, the EU and a number of other countries around the world. We're pleased with VICURA's product label and updated AASLD treatment guidelines and we believe both reflect The strength of the product's clinical profile across Genotype 1 patient populations. Physician reception of Vucara has been positive and in line with our expectations. While we moved quickly upon approval, I would say that the U. S. Launch began in earnest in early January Call and we're pleased with our progress to date. The first phase of the launch securing payer positions and access for Vucira is well underway. As we indicated, once a highly competitive alternative was available, Managed Care began their contracting for this class. Obviously, in this category, the contracting process has occurred very rapidly, unfolding over a period of weeks versus months. As we embarked on our discussions with payers, we applied a standard managed care contracting approach with each account. Basing our contracting terms upon 4 key tenants including the volume of managed care lives, Conference Call. The level of formulary control, the term of the contract and patient access within the system. A significant number of payer contracts have been completed in the U. S. With more than half the managed care lives in the U. S. Now under contract. Based on the outcome of this process to date, we estimate that more than 40% of the covered lives will have access to Vicara Pack, Call, including both the exclusive and parity positions we have secured. More than 20% of the lives will be in an exclusive position And we would expect the Cara Pack to capture some portion of the patients and plans that have elected to pursue exclusive contracts with other suppliers, given certain aspects of the Vucarapac profile and product label for certain patients. We need to see how the remainder of the contracts are finalized, but up to this point, we're pleased with our formulary position and we believe we have the potential to capture meaningful share of the U. S. HCV market. As we do with most new product launches, we monitor both prescriptions filled data as well as prescriptions written or claims to assess To that end, we have data from external sources that show 1100 VACARA prescriptions have been written through January 16, with the majority occurring in the 1st 2 weeks of January. These prescriptions are working their way through the administrative and prior authorization process in order to be filled. While some of these claims may not be filled as is the case with all prescription claims, The majority will make their way through the administrative process and should be dispensed in the coming weeks. This So based on the full body of data that we have in hand, we feel good about the early days of our U. S. Launch. Moving forward, our commercial efforts in the U. S. Will focus on driving strong penetration in the AbbVie exclusive and parity accounts, while ensuring access to Vucera in non AbbVie accounts, where our product offerings more appropriately based on the label or medical preference for certain patients. Our international launch is also progressing well and discussions with government payers in various countries are underway and they are advancing rapidly. We are currently selling VICURA in a number of countries around the world, including Germany, UK, Canada, Austria and Sweden, and and we're on the cusp of beginning promotion in several other countries. The HCV market is significant and rapidly growing. Conference. And based on patient prevalence, diagnosis and treatment rates, we expect it to remain large and an attractive opportunity for many years to come. We're excited about the opportunity Vucara offers us in this market and we're committed to this therapeutic category for the long term and we'll continue our efforts to evolve the treatment paradigm with next generation development programs well underway. Based on our current projections, we estimate by the end of 2015, we will achieve a global annualized sales running rate for VEGARA of more than $3,000,000,000 Given that we are early in our launch Call. And there are numerous factors at play. We will be providing more specific guidance regarding our 2015 sales expectations for the product as the year unfolds. Pipeline development is an important component of AbbVie's long term success and we continue to place a tremendous amount of organizational focus in this area. We have a rich and broad pipeline with more than 40 clinical development programs underway, spanning large and growing specialty categories. Our portfolio is comprised of assets that have the potential to deliver compelling clinical performance, and Economic Value. Many of these products have the opportunity to generate multibillion dollar peak year sales. For a company of our size, the sales projections from our late stage pipeline assets represent an impressive opportunity for meaningful revenue growth in the years to come. Over the past year, we've demonstrated a strong track record of successful positive clinical data and Regulatory outcomes from a number of clinical programs. And we look forward to numerous important pipeline milestones in the year ahead. This includes Phase 3 trial initiations, data readouts for multiple programs across our pipeline, The submission of regulatory applications for several major late stage assets and potential product approvals. While I won't cover our entire pipeline in detail today, I thought it would be helpful to review some of the and expected milestones in 2015. As I mentioned, in 2014, we successfully completed our registrational trials evaluating and Qumira as a treatment for HS. Our U. S. And EU regulatory applications for this indication are currently under review, and we expect decisions from regulatory authorities later this year. Given our strong data and the high unmet need of patients, We believe this will be a significant indication for HUMIRA with peak year sales potentially approaching $1,000,000,000 We're also exploring HUMIRA as a possible treatment for uveitis, a sight threatening inflammatory eye disease. We expect to complete the Phase 3 program and submit our regulatory applications for uveitis later this year. We expect to see data from several of our promising oncology programs in 2015. This data includes data from ABT199 study in patients with relapsed refractory CLL who have the 17p deletion mutation. We believe this study has the potential to be a registrational trial. Should we see the level of efficacy observed in the earlier studies and regulatory agencies agreed ABT199 addresses an unmet medical need. We plan to and submit our regulatory applications for this indication later in 2015. We also plan to start a Phase 3 study of ABT199 9 in combination with GAZYVA in frontline FIT CLL patients in 2015. This year, we expect to see results from the Phase 3 study of elituzumab in relapsed refractory multiple myeloma. Assuming positive results, we expect our partner to submit the regulatory applications for this indication later in 2015. We also expect to present mid stage data from our PARP inhibitor, filiparab, at medical meetings throughout this year. In addition to the 4 Phase 3 trials already underway, in 2015, we're planning to begin Phase 3 studies evaluating viliparib as a treatment for ovarian cancer. We're also excited about ABT-four fourteen, Our anti EGF monoclonal antibody drug conjugate, which is currently being evaluated in glioblastoma multiforme and has demonstrated encouraging responses in early stage clinical trials. We'll see additional data from the ongoing trial throughout the year and we're on the cusp of starting a Phase 2 study in this aggressive type of malignant primary brain tumor. With respect to our HCV programs, we expect continued progress in 2015. We're on track to submit our regulatory application for HCV combination in Japan in the Q1 and anticipate approval in the second half. As a reminder, we expect to commercialize a 12 week, 2 pill, once a day combination for this market. We also expect to see SVR data from our next generation HCV program and transition to Phase 3 development later this year. We have significant R and D efforts in place to advance the standard Chair in each of our areas of immunology leadership and we'll see mid stage results from several programs this year. We have 2 selected JAK1 inhibitors in our portfolio GLPG-six thirty four and ABT-four ninety four. Both oral compounds are currently being evaluated as potential treatments for RA and we look forward to learning more about each asset's profile as the Phase 2b data studies complete later this year. We're working with our partner to complete our regulatory applications for declusimab or ZYNBRITA in the first half of twenty fifteen. Call. As a reminder, we presented strong pivotal trial results last year, which demonstrated MS patients treated with ZYMBRITA Given the product profile and its once monthly subcutaneous administration, we believe this agent has the potential to be an important therapy in this large and growing market. Earlier this month, we announced positive and top line results from the first of 2 ongoing Phase 3 clinical trials of elagolix in endometriosis. Initial results from the study show that after 6 months of treatment, both doses of Welagolix evaluated met the study's co primary endpoints of Reducing Scores of Non Menstrual Pelvic Pain and Menstrual Pain Associated With Endometriosis Relative TO Placebo Control. We'll see additional efficacy and safety data from this trial later this year. Results from the mid stage trial in uterine fibroids are expected later this year as well. So clearly 2015 promises to be another important year with numerous development and regulatory milestones. We believe AbbVie has a unique investment identity. We offer promising pipeline prospects as I've described Call, along with strong growth and compelling shareholder returns. Our business generates significant cash flow, Conference Call, which we expect will grow in 2015 and beyond with new product introductions. We're committed to returning cash to shareholders and our primary means to do so will continue to be our dividend. Last year, we announced that AbbVie's quarterly dividend will be increased Call to $0.49 an increase of nearly 17% beginning with the dividend payable next month. We intend to maintain our strong commitment to growing our dividend going forward. Additionally, last year we also disclosed of $5,000,000,000 share buyback program to be executed over the next several years, further reflecting our commitment to return cash to shareholders. We've also utilized our strong cash flow to enhance our pipeline through licensing and partnering activities. As I mentioned in 2014, we entered into several collaborations to add to our pipeline. We view these activities as an important component of our overall R and D strategy and we expect to continue to augment our pipeline in 2015 and in the years to come. In closing, since AbbVie became an independent company, We've been focused on executing our key strategic priorities and delivering market leading returns for our shareholders. One of our primary stated objectives upon our inception was to return to strong growth in 2015 and we're pleased that we've been able to do that a year ahead of schedule. We feel good about the high level of execution on our key strategic priorities. We've established a strong track record, consistently delivering our financial commitments, generating strong shareholder returns and driving leading performance of HUMIRA and other products in our portfolio. We've also built a promising late stage pipeline, which will fuel our future growth. So we set a very sound foundation for our company. We're entering 2015 with strong momentum. We intend to build upon to drive a high level of performance in our operations and strong growth. With that, I'll turn the call over to Bill for additional comments on the 4th quarter and our 2015 outlook. Bill? Thank you, Rick. This morning, I'll start with an overview of our 4th quarter performance and then I'll walk through our outlook for 2015. We had an outstanding 4th quarter, capping off a year of better than expected performance. This Conference allowed us to raise our full year EPS guidance range twice during the year and ultimately deliver results that exceeded our final guidance. Of note, in 2014, we delivered EPS growth despite headwinds from currency in the 4th quarter as well as the loss of exclusivity in our Lipid franchise. For the quarter, total adjusted sales were nearly 5 $400,000,000 up 8.9 percent on an operational basis. As I mentioned, exchange dynamics in the 4th quarter were significant, Reducing sales growth in the quarter by 3.8%. 4th quarter revenue growth was led by HUMIRA, which delivered global sales of of $3,400,000,000 up 14.4 percent operationally and up 10.6% on a reported basis. In the U. S, HUMIRA sales increased 15.8%, reflecting continued strong prescription trends and double digit market growth across all Sales grew 12.7% on an operational basis, excluding an 8.4% unfavorable impact from exchange. International HUMIRA Performance continues to be driven by double digit market growth in most countries. Global HUMIRA sales for the full year 2014 were more than $12,500,000,000 up 18.9 percent operationally versus the prior year. Sales of Synagis were $298,000,000 on the quarter, up 4.9% on an operational basis. For the full year, Synagis sales were $835,000,000 an increase of 9.3% operationally versus the prior year. Growth in 2014 was driven by continued product uptake and strong commercial execution. As a reminder, this is a seasonal product with the majority of sales in the 1st and 4th quarters of the year. Adrigel sales were $230,000,000 in the 4th quarter, Down about 20% versus the prior year reflecting the continuation of recent market trends. Full year sales were $934,000,000 Conference, down 9.7% year over year. Global Lupron sales were $207,000,000 in the 4th quarter, Call, up 0.6% on an operational basis. For the full year, global Lupron sales were $778,000,000 Conference, roughly flat from the prior year and in line with our expectations. Lupron continues to hold a leadership session and maintain significant share of the market. U. S. Sales of Synthroid were $186,000,000 in the quarter Conference Call with full year sales of $709,000,000 up nearly 14%. Synthroid maintained strong and loyalty and market leadership despite the entry of generics into the market many years ago. U. S. Creon sales were $151,000,000 with full year sales of $516,000,000 up Call of 25.3 percent versus 2013. Creon maintains its leadership position in the pancreatic enzyme market with roughly 70% share and we continue to capture the vast majority of new prescription starts. Conference. International sales of duodopa, our therapy for advanced Parkinson's disease were $56,000,000 in the 4th quarter, up 25.4% on an operational basis. For the full year, duodopa sales were $220,000,000 a 24.7% increase versus 2013 on an operational basis. And as you know, we launched our HCV regimen VEQUERA in the U. S. In mid in December following FDA approval. Sales of Vykera were $48,000,000 in the quarter, reflecting the shipment of stocking quantities into the market over the holiday to support our full commercial launch in January. I'll turn now to the P and L profile for the 4th quarter. The adjusted gross margin ratio was 81.2%, excluding amortization and other specified items. This represents a significant increase over the prior year due to favorable mix impacts across the portfolio, margin enhancing initiatives and the impact of Exchange Dynamics. Adjusted SG and A was 29.1% of sales in the 4th quarter, reflecting investment in support of the recent Vakira launch and in our other growth brands. And adjusted R and D was 16.3 percent of sales in the quarter, reflecting funding actions in support of our pipeline assets. Net interest expense was $63,000,000 and the adjusted tax rate was 22.5% in the 4th quarter. 4th quarter adjusted EPS was $0.89 excluding non cash amortization expense and specified items. On a GAAP basis, We posted a loss per share of $0.51 Specified items were primarily comprised of various costs associated with the termination of the Shire transaction, and discuss our outlook for 2015. We are confirming the full year guidance we issued earlier this month, including adjusted EPS of 4.25 to $4.45 This guidance excludes $0.34 per share of amortization expense and other specified items. On the top line, we expect high teens revenue growth on an operational basis. Clearly, we have seen significant currency movements in the recent weeks. If the recent rates were to remain in effect for the remainder of the year, our sales growth would be roughly 5% lower. Given our global business structure and programs we have in place to mitigate exchange impacts, the fall through from currency to the bottom line is much more modest for us. We are comfortable with our 2015 EPS guidance range despite potential currency swings. Included in our top line guidance are assumptions for our key products. For HUMIRA, we expect global sales growth in the mid teens. For Synagis, we expect similar performance to 2014 growth rates. Regarding Androgel, we're forecasting continued market The declines as well as a negative impact from the recent entry of generic competition for the 1% formulation. Call. As a result, we expect 2015 Androgel sales of less than $500,000,000 We expect 20 and 15 Lupron sales to be roughly in line with 2014 levels. For Synthroid, we expect sales to be roughly flat from 20 levels in line with market trends. For Creon, we expect low double digit sales growth in 2015. We expect continued double digit growth for duodopa with a modest level of U. S. Sales in 2015. Given the underserved patient population and the product's profile and efficacy, we are excited about DUOPIS potential in the U. S. And expect it to be a meaningful contributor over time. That said, we anticipate a gradual ramp for the product sales in the U. S. As physicians grow familiar with the product. And we expect declines in several other products with continued lipid erosion and negative market trends in HIV and other mature products. Turning back to the P and L, we are forecasting an improvement in the adjusted gross margin ratio of around 100 basis points for the year, reflecting product mix and actions we've taken to further improve our margin profile. This level of improvement would be considerably higher if current exchange Rates were to hold throughout the year given how exchange flows through our P and L profile in 2015. In 2015, we will continue to invest in our pipeline, supporting our exciting opportunities in oncology, HCV, immunology and other areas. We are forecasting R and D expense of approximately 15.5 percent of sales. And we expect to As a result, we are forecasting a significant increase in our operating margin profile, which we expect to reach 40% of sales in 2015, up roughly 400 basis points, reflecting the positive impact of leverage across the income statement. Given our ability to moderate bottom line FX impacts in 2015, Operating margin would be greater than 40% if current exchange rates were to hold throughout the year. We are forecasting net interest expense of about $275,000,000 for the full year and we continue to expect an adjusted tax rate in the 22% range in 2015. Regarding our first quarter outlook, We expect adjusted earnings per share in the Q1 of $0.82 to $0.84 This excludes roughly $0.18 of specified items and non cash amortization resulting in a 1st quarter EPS in the range of $0.64 to $0.66 on a GAAP basis. So as we look back, we are very pleased with AbbVie's performance in our 1st 2 years as an independent company. In 20 and we expect to build on that momentum in 2015 with industry leading growth. And with that, I'll turn it back over to Larry. Thanks, Bill. And we'll now open the call for questions. Ilan, we'll take our first question, please. Time. And our first question today is from Jamie Rubin from Goldman Act. Thank you and good morning everyone. I have a few questions related to Vykera. But first Rick, I hear congratulations are in order. So first, if you can clarify your $3,000,000,000 Vicara forecast, is that a runway you expect to achieve by the end Call of the year or is that a forecast for the full year? I just I'm a little bit unclear. I think The Street is too. And secondly, if you can Provide a little bit more color on the percent of covered and managed lives where you have an exclusive deal with Fycurea. I think you said 20%. The only exclusive deal with the PBM that we've seen come across the tape is Express Scripts and I think they cover around 8%. So where Is the other 12% coming from? Is that on the state side? Is that other managed care companies that just haven't issued press releases? There's confusion around there. And then just lastly, I'm just curious what your assumptions are for pricing in the market once Merck enters either late this year or early next? Thanks. Good morning, Jamie, and thank you for the congratulations. Let me address your questions. So let me start with the run rate question. Yes, what we're describing to you is that our exit rate at the end of 2015 should be above $3,000,000,000 So and the reason why we're characterizing it that way is because we're still assessing the Speed at which the ramp will occur because there's many different factors that will impact that. Obviously, a number of different processes about How the administrative and prior authorization process ramps up in the United States, how we get pricing and reimbursement in many Countries around the world, the speed at which we do that and a number of other factors. So what we're basically saying to you is that based on our current forecast that we have built in for 2015. As we look at that exit rate, it should be above $3,000,000,000 2nd question was around PBM Access. So if you look at our preferred position, Indeed, it is above 20%. That includes, obviously, a significant portion of Express Scripts. It also includes a number of different more regional based PBMs. It includes a number of Blue Cross Blue Shield or Blue Shield Plans. And I think as an example, Blue Shield of California announced yesterday that position, but there are a number of those that are also in the mix. And so it's a variety of plans in those areas that make up The 20%. And then assumptions on price post Merck's entry, I think there's a lot of factors that will play out over time. Obviously, in most markets, as you get more competition, there is some additional price pressure. But I wouldn't anticipate that we'll see significant price pressure as we see more players come into the market, but it's just very early to Tell what that looks like going forward. It will depend a lot on the performance of those products and other aspects of the market and How it plays out. So I think it's just very hard to predict Jamie. Thanks Jamie. Thank you. Our next question is from Goodman from UBS. Hey, Bill. I was wondering if you could just talk a little bit about how much of the spending is now in there And how for the HCV. And then on the gross margin, you had mentioned mix, FX, margin enhancing initiatives. Can you go into that a little bit more? And then about your commentary about the 2015 guidance, you talked about the margins if FX stays the same, the margins would be even better. Can Can you just give us an update on what you mean there? And then, you had mentioned the INFINITI product that you all had licensed in. Can you just tell us where that is? When will the studies be getting going? And when will we see some data? Sure. So, it's a lot of different items here. But starting first with the spend for HCV. As you would imagine, in the Q4 of 2014, we had fully built out our U. S. Sales force. We had everything basically provided for a strong launch. So those expenses were reflected in the Q4. In 20 'fifteen, there will be some annualization of those expenses in the U. S. Because obviously we didn't have the full organization on board early 2014. The ex U. S, we are currently building out and that timing is gated based on expected reimbursement timelines and launch timelines, but the bulk of that has been encompassed in our 2015 guidance. I think what's important on SG and A We've gotten a lot of questions in the past about operating leverage on this P and L and we are beginning to show it. Our SG and A profile is coming down considerably versus where we've been the last couple of years. So we're pleased on the progress there. Gross margin is another area that frankly Mark we've been focused on since our inception. We are benefiting from some product mix, but we also have programs underway to drive efficiencies on that line and we're very focused on it. And that's what you're seeing playing through to a great extent. We were impacted in the 4th quarter by Exchange and it was a favorable impact. And let me explain that because it's a little counterintuitive, but we have within our P and L natural hedges that exist on developed market currencies. And we do from time to time when we think prudent set up other programs to offset exchange fluctuations and primarily around the euro and we are to a great extent in 2014 2015 protected from swings in the euro. The manifestation on profile of course is you have weakness on the top line and an offset on the gross margin line, which actually has the impact of increasing gross margin profile. And we saw that play out in the 4th quarter. That was about 200 basis points. The rest was operating efficiencies and product mix. In 2015, We see the same dynamic playing through in the event that currencies were to remain at where they're at. That said, what we have forecasted is 100 basis points of gross margin improvement and that's purely related to the operating efficiency programs we have in place as well as product mix. Is that clear? Yes. So you're saying that there would be more upside to the gross margin On the FX impact, you just haven't baked that in. No. What I'm saying is on a profile basis, it would manifest itself as a higher profile Because we'd have the weakness on the top line, but the bottom line would be protected based on our internal hedge positions. Right. Okay. Okay. So with respect to Infinity, this is Mike Severino. The Infinity collaboration around developelyb is one that we're very excited about. There are a number of studies that are up and running. I think the key studies are DYNAMO, which is Phase 3 study in patients with relapsed refractory CLL. Those studies are up and running. We don't have specific timing for readouts there, but they're progressing nicely. Over the course of last year and we would expect this to continue over the course of 2015, earlier studies are continuing to mature on that molecule and there will be updated data readouts over the course of the year. Thanks Mark. Thank you. Our next question is from Chris Schott from JPMorgan. Great. Thanks very much for the questions. Just two here. First, coming back to the greater than $3,000,000,000 run rate by year end 2015. Is that a number that you Expect you can continue to grow over time. So when we think about the year end run rate in 2015, could that continue to grow in 2016 or do we really think about sales plateauing at that type of level over time. Second question was just on Vykera and just with all the headlines we're seeing regarding contracting. I guess just high level, is pricing and the amount of access you're securing, is that progressing as expected? Or are you at all disappointed in terms of the Formulary wins you're getting at this point. Thanks very much. Okay, Chris. This is Rick. On the $3,000,000,000 run rate, we would expect growth between 2015 2016. I mean, if you think about the gating of countries coming online Over the course of 2015 as an example, you'd certainly expect that you'd see some annualized improvement year over year. So, Call. But again, we have to see how that plays out and the timing of that. We're pleased with the progress that we're making so far. On the managed care contracting, I'd say we're overall pleased with how it has proceeded. I think it's come within the expectations that we had. Having overall 40% coverage for Vykera between our parity positions and our preferred positions, I think, is well within the expectations. But again, as I mentioned in my formal comments, we have to see how the rest of it plays out. And we're continuing to work on a number of contracts. And I think those will conclude over the course of the next 30 days. But so far, it's within our expectations. Thanks. Thanks, Chris. And our next question is from Jeff Holford from Jefferies. Hi. Thanks for taking my questions. Can you hear me okay? Sure. Yes. Go ahead. So just a couple of extra questions around Vykera. Can you give us any kind of sense Call for the U. S. Versus the ex U. S. Mix on that run rate by the end of 2015? Just any color on that would be useful. 2nd, you talked about getting potential access in contracts. We, in theory, don't have access. How much leakage would you expect off your exclusive contracts to Gilead? And then just lastly, we were talking with Roche just the other day at their results about ABG-one hundred and ninety nine. They seem to indicate that the data were almost in house or were in house. Can you give any further commentary around near term timing on that readout? Thank you. Yes. So I'll take 199 first. This is Mike Severina. 199 is a program that we continue to be very excited about. We're accruing data in the study that Rick referred to earlier that's in patients with refractory or relapsed CLL with the 17PDL deletion. That's a data set that's accumulating. It's a single arm study. So obviously, that data builds over Okay, Jeff. This is Rick. If you're asking the question of what will the U. S. Ex U. S. Mix be in 2015, I mean, obviously, the U. S. Will be a much heavier mix based on how the gating will occur across those countries and that mix will continue, I think going forward. As far as leakage or assumptions around what we will be able to achieve within accounts that are Gilead I think both of these products, if you look at their labels, if you look at their performance, there are clearly a certain number of patients and patient types that will benefit from one therapy versus the other. So, as we look at our own, we think that number is around 10%. Call. For example, PI failures and decompensated cirrhotics are two examples of patient populations that would be more appropriate for the alternative. As we look at Gilead, there are certainly As you look at our label and our performance, we think there is probably in the neighborhood of about 15% that would be available Efficiency. And we also think that there will be some experienced cirrhotic patients that could benefit from 12 weeks of therapy with Vicara versus 24 weeks of therapy with Harvoni. And And so those are some examples of how we see that sorting out. That's great color. Thank you. Thanks, Jeff. Thank you. Our next question is from Vamil Divan from Credit Suisse. Yes. Thanks so much for taking the questions. Sure. Just a couple if I could on the pipeline with diclizumab. You mentioned some excitement around there. I guess questions we're getting a lot from investors in terms of your If you're looking at MS having this one product, this partner obviously with a player that's much bigger than you in MS and has other products that they're going to be promoting as well. Do you think MS is a place that you need to invest more, obtain more assets in order to have a broader impact? Or is this one where you think what you have iniquisimab alone And then second just on DUOFA, if you can just give a little more color there. We're seeing a lot more activity in terms of new approaches of treating Parkinson's. How much of an impact do you think that can really have if you think about it's more of a formulation play I think that you guys have as these other agents maybe come to the market in the coming years. Okay. Let me start with declizumab. I mean certainly As we look at the declizumab profile, we're very pleased with how it's sorted out. This is a high efficacy agent. We think the subcutaneous dosing based on the market research we've done is something that is appealing to physicians and will be appealing to patients. And so we think it has a clear fit. As far as the space, I would say the MS space is an area that is attractive. I mean, it fits the profile of the kinds of markets that we're interested in and we constantly look for opportunities within all these spaces. I can tell you, we look at Different opportunities that exist there and evaluate those. And if we saw the right opportunity come along that could build us Some more critical mass in the MS space, I can tell you we would be interested in that. On DUOPA, we've obviously had a fair amount of experience with that product Markets, in particular, in Western Europe. And this is a product that is unique. I mean, when you actually look at the clinical benefit that this provides for these patients, Call. I mean, it's nothing less than astonishing what the benefit that these patients get from this product. Having said that, it is also a product Call. It has a slow ramp up because it requires a lot of training to get patients on board, to get them titrated to the right level, To get the impact, it requires a fair amount of clinical support for those patients that have to be provided. So it's not a product that has a massive ramp. What we've seen in Europe in particular is that it has good Strong steady growth, but we do believe that this is a product that over the long term could become a very significant product $500,000,000 to $750,000,000 range. I mean, certainly, we've seen some estimates that were even higher than that. But it's going to have a gentle ramp. And obviously, the U. S. Market is an attractive market for us. So we're pleased that we've gotten it approved in the United States and And we can bring that product to patients. Thanks, Vamil. Thank you. Thank you. Our next question is from Mark Schoenbaum from Evercore ISI. Hey, guys. Thanks a lot for the question. Thanks for all the detailed color. That's super helpful. Out here on Wall Street where we all sit in chairs and watch flashing lights, there's a lot of speculation that the discounts you guys offered in the hep C market were outsized And you've ignited a pricing war that will only end badly for everybody in the industry. So I just love to hear your comments Generally on that, I recognize you're not going to give us the extent of the discounts, but just qualitatively, I'd like to know if those perceptions out on Wall Call. And then perhaps for Mike on elagolix, elagolix is a compound I've become quite interested in lately. Street estimates are around $500,000,000 in the AbbVie consensus model. Why couldn't this be significantly larger than that? Maybe you can talk about the unmet need, How you guys see this fitting in? And specifically, can this be a chronic therapy for women? Thanks. Hi, Mark. So, I'll cover your first This is Rick. I think the contracting strategy that we put in place was very consistent with the contracting strategy, As I said in my remarks that we put in place for all specialty products. What I would say is this, it became very clear to us Track this category. And there were many payers that said they were going to contract this category with one preferred agent. And so we had to dial that into our launch strategy. And essentially, we built the launch strategy. It was built around those sets of assumptions. We priced and rebated consistent with the value of our product and what we thought was appropriate for the market and we did it around a disciplined approach around those parameters that I described. And so, I don't believe that this is unusual. In fact, I believe this is a very typical kind of an approach that we've taken across many specialty categories and the rest of the industry has taken it across many different categories. Okay. So this is Mike. I'll take the ilagolix question. Just a few weeks ago, we announced with Our partner top line results from the first of 2 Phase 3 studies. Now that's an ongoing study. So we're limited in terms of the amount of detail that we can go into. And we will obviously update you as more data come and Present full results in a scientific setting at some later date. But we're very pleased with what we've seen to date. We hit our endpoints And these are very difficult endpoints to hit on pelvic pain and menstrual pain in women who had very difficult Control disease and we did that at both dose levels that we've studied with a high level of statistical significance. We're obviously going to watch as those data Sure. And as we get additional data on long term safety that might inform chronic use, but we feel good about what we've seen today. And we clearly feel There's a very large unmet medical need. A large number of women live with endometriosis. Current treatment options are not sufficient and many women debilitating chronic pain and other symptoms. So it's a molecule that we feel good about long term. Call. Maybe I'll add a couple of comments. This is obviously an area where we have some experience because we have Lupron that's available for this indication as well. And fundamentally, what we liked about this molecule is that we thought we could get to a chronic use claim for this therapy. And we also like the fact that this is fast on and fast So, one of the challenges with a drug like Lupron is once you inject the patient, the impact lasts for 6 to 12 months and you basically If you put the woman into menopause and so you have all the normal side effects associated with that, hot flashes and bone loss. So, an ideal profile here would be one that would provide sufficient efficacy, but Have a safety and side effect profile that was consistent with longer term use. So, minimal bone loss and minimal hot flashes. A product like that, an oral product that was fast on and fast off, we think has a Substantial opportunity in the market. And as Mike said, this is a high prevalence disease where there aren't Great options available for these women. So, as we release more of the data and we see more of the data, that's certainly the profile we're shooting for. It doesn't mean that a slightly different profile wouldn't be a very competitive product, but the ideal profile is what you're describing. Thanks a lot. Thanks, Mark. Thank you. Our next question is from Robin Karnauskas from Deutsche Bank. Hi, guys. Thanks for taking my question. Call. Just one on hep C and one on the pipeline. So, we're hearing a lot about volume and there's been some volume Incorporating any sort of volume restrictions by fibrosis score? And then the second question is on TNF IL-seventeen, A lot of excitement in the field, trying to get a sense of when we'll get the next data update and we've seen very good data on IL-seventeen. Do you expect to have better response rates? Or would this just work for a dual population who had dual symptoms for psoriasis and RA? Thanks. Hi, Robin. This is Rick. So, let me address your first question. As I mentioned in my comments about the 3 the 4 tenants that we Operator with on our contracting strategy. Obviously, one of those was access. And we believe strongly that opening up Access for all patients regardless of fibrosis score is something that's positive for patients. And so certainly, as we approached Our contracting strategy, we offered the greatest benefit to those plans that were willing to do that. Not every plan is willing to do that. I would give as an example Express Scripts a lot of credit for their willingness to open up access. And so they vary by plan. Some are completely open F0 to F4. Some are F2 to F4. Some are just F3 and F4. So there's Quite a bit of variability across the plans as to how they're proceeding with that. But certainly that was Something that we pursued with each and every one of the payers that we tried to contract with. Okay. So this is Mike. With respect to TNF and IL-seventeen, I think you're referring to our program ABT-one hundred and twenty two which uses our dual variable domain technology. So a single biologic that blocks the action of both of those 2 important cytokines. When you look at the spectrum of activity of agents targeted against those cytokines, One can see very real potential in rheumatoid arthritis, psoriasis, and in particular psoriatic Arthritis. The IL-17s, as we have seen, have very pronounced efficacy in skin disease and psoriasis. But the TNF mechanism remains the most highly active in our opinion in psoriatic arthritis. So we have The agent that I described in substantial Phase 2 studies in rheumatoid arthritis and in psoriatic arthritis. And those will be progressing over the course of this year and the next and we'll provide data updates as appropriate. Great. Thanks. Thanks, Robin. Thank you. Our next question is from David Risinger from Morgan Stanley. Yes. Thanks very much. And thank you for all of the detailed comments on HCB. That is very helpful. Just a couple of questions. First, could you just provide some more color on the 25 State Medicaid Group and how investors should think about the news and specifically What your contract states and what the implications are across those 25 State Medicaid Organizations. 2nd, with respect to ABT199 Data in 17P and filing, could you provide some updates on the timing of both of those? And then finally, in the past you provided HUMIRA sales by indication. If you could provide a breakdown of 20 14 sales. Again, by indication that would be great. Thank you. Mark, this is Rick. We're in the process of continuing to work with that group. So I don't think it is Appropriate that we talk in detail. There was some public announcement on one of them, But the rest of them are still in process and we're just not in a position to be able to give you a lot more information on that. As they're finalized, My guess is that they will provide some color to their members and through that process you'll get some visibility to it. But We're just not in a position where it would be prudent for us to give you that information right now. With respect to 199, we're expecting to see data from our study in refractory relapsed CLL in patients with the 17 PLL mutation in the first half of this year. And when we have those data in hand, we'll discuss them with regulatory agencies. We're going to move to a filing in that indication later on this year. And in terms of the mix, David, Right now, globally, we'd estimate that RA is approaching 40% of the sales mix. Derm is about 15%. Gastro is about 25 and then other would be the remainder that would be ankylosing spondylitis and the other Call. Sorry, attic arthritis, etcetera indications. Thanks, David. Thank you. Our next question is from Colin Bristow from Bank of America Merrill Lynch. Hey, guys. Thanks for squeezing me in. The commentary in hep C over the last 12 months has clearly highlighted the payer sensitivity to high cost drugs and therapeutic areas. I'm just curious what gives you confidence that Humira won't face this aggressive headwinds posed by a similar entry given the size of this asset? And then just a quick one additional one on Humira and the additional indications such as HF. How much off label use It's already occurring in the indication. Thanks. Well, let me this is Rick. Let me cover The payer comment. Obviously, we have had lots of experience in interacting with payers with HUMIRA. In this class, there's a lot of competition that already exists in this class and obviously we've been Tremendously successful in securing strong positions with payers in the United States with HUMIRA. With the entry of a potential biosimilar at some point in the future, as I've said many times I don't see the competitive dynamics changing dramatically from where they are now. I also I don't necessarily agree that the precedent that occurred in hepatitis C changes the competitive dynamics in any way from the way it was prior to that despite a fair amount of rhetoric chronic use drug that's different is you have large groups of patients that are on drug, well controlled. This is a class where when you move patients from one drug to another, not necessarily all patients do well and they have to be switched again. And so, there are different dynamics, different competitive dynamics in each class. I mean, oncology, I would tell you, has very different dynamics. Hepatitis C here you have 2 products that have tremendous performance And you have basically a product that cures patients and is used for a relatively short period of time. Those are different dynamics than you see in many other areas. So, I don't think you can draw a strong correlation from one to the other. Having said that, I'm sure when and if biosimilar competition comes along, it will be another opportunity to be able to work with and negotiate with Managed Care Organizations, and we'd anticipated that in our planning assumptions as we look at our long range plan. Off label use on HS, Call. I would tell you, I just came back from a European meeting where we brought in a number of HS patients. And the first thing I'd tell you is, this is obviously a disease that most people including myself didn't know a lot about. What Struck me is how debilitating this disease really is for these patients and how little therapy there is or knowledge of alternatives that are available out there. And so, I would tell you that I think there's probably very, very little Use of HUMIRA in HS today. And I think when we launch, when we get approval, one of the things that we're focusing a lot of attention on And so, I would think it was tiny, if anything at all at this point. Thanks, Collin. All right. Operator, we have time for one more question, please. Thank you. Our final question today is from Alex Herffey from BMO Capital Markets. Good morning and thank you for taking the questions. Sure. On hep C, what is your estimate for the number of Genocep I patients treated in 2014? And your Expectation for how many are likely to be treated in 2015. Clearly, the size of the pool has a meaningful impact for you. Could you also comment on the early the impact of REMICADE biosimilar in Europe and whether you expect this to be a major factor this year as it enters more markets. And then Finally, I just wanted to clarify and make sure I heard this right. The FX positive impact on gross margin was 2% this quarter and maybe 1% next year. Could Please remind us of that again. Thank you. Yes. Alex, let me start with the FX. In the quarter, it was 200 basis points. Our guidance in 2015 is an improvement of 100 basis points and that has no FX So we think we can drive that 100 basis points purely through operational efficiencies that we've been committed to over the last couple of years as well as product mix. What I did say was if current exchange rates continued, simple math given that our bottom line is Greatly protected from those swings. If the current rates continued, it would have the effect of actually increasing the profile above that 100 basis Points. But that's basically just math flowing through as you have a headwind on the top line that we are protecting the bottom line from. On HCV Genotype 1 patients, obviously, that is one of the parameters that we're Maybe 175,000 patients to as much as maybe low 200s, 210, 215 something in that range. Obviously, based on our planning assumptions, we have bracketed between those numbers and that's one of the reasons why we don't want to Come out with a 2015 number because we need to see how that plays out. We built obviously a certain base level number into our guidance that we're comfortable with. It may end up being more than that going forward, but that's at least our view of what it looks like. On REMSIA, I mean, thus far, we haven't seen a lot of impact. I mean, the one difference is in the European markets, Self injectables are treated differently than infusion products, so it doesn't necessarily impact HUMIRA directly in very many markets. I'd say it's Tracking for the most part very consistent with what our modeling assumptions were for its level of success. And we've watched that carefully over a period of time and It's proceeding as we would have guessed. So, we are not assuming that it will have any material impact on us in 2015. Thanks, Alex. And that concludes today's conference call. If you'd like to listen to a replay of the call, visit our website or call 866 479-2459 passcode 1305. The audio replay will be available until midnight on Friday, February 13. Thanks again for all of you joining us. Thanks for the questions today. If you have any further questions, please give us a call. Thanks. Thank you. And this does conclude today's conference. You may disconnect at this time.