Good day, everyone, and welcome to Pfizer's Analyst and Investor Call to discuss the proposed acquisition of Arena Pharmaceuticals, Inc. Today's call is being recorded. At this time, I would like to turn the call over to Mr. Chris Stevo, Senior Vice President and Chief Investor Relations Officer. Please go ahead, sir.
Thank you, Sylvia. Good morning, everyone, and thank you for joining us on short notice. We'll be making forward-looking commentary and statements during the call regarding, among other topics, our I&I pipeline and in-line products and product candidates, and the proposed acquisition of Arena Pharmaceuticals Incorporated by Pfizer, which are subject to risks and uncertainties. Additional information regarding forward-looking statements is available under Risk Factors and Forward-Looking Information and factors that may affect future results in our SEC filings on Form 10-K and 10-Q and in the press release we issued this morning. Forward-looking statements on the call speak only as of the call's original date, and we undertake no obligation to update or revise any of the statements.
Today, we will be hearing from Aamir Malik, EVP, Chief Business Innovation Officer, as well as our leaders in inflammation and immunology, Mike Gladstone, I&I Global President, Mike Corbo, our I&I Chief Development Officer, and Mike Vincent, our I&I Chief Scientific Officer. I'm now pleased to turn it over to Aamir.
Thanks, Chris, and thank you everyone for your time today. Before I turn the call over to our immuno-inflammatory team to drill down on the opportunity that we see with Arena, I wanted to set the stage by talking about Pfizer's overall capital allocation priorities and how Arena fits into them. Our first commitment is to maintain and grow our dividend over time, as we believe that is foundational to how we provide returns to our shareholders' capital. Buybacks also remain a way to return capital, which we cannot deploy in a shareholder value-creating manner. However, we are very excited right now about Pfizer having robust opportunities, both through internal R&D investments and externally through collaborations and acquisitions to create value, first and foremost for patients, and if we do that well, then for our shareholders.
Pfizer's been on a journey to become a science and innovation-driven biopharmaceutical company, and this will continue to be our focus. As an organization, we have to make thoughtful, well-informed capital allocation decisions when it comes to R&D and M&A and drive innovations and advancements in our business model. Our capital allocation priorities are the following. We will concentrate on advancing our internal pipeline to patients. Being thoughtful and disciplined about resource allocation has been a long-standing hallmark of how Pfizer operates. We will continue to maintain that discipline in deciding where to put our R&D investments to generate the most returns. We will also focus on agility in making those decisions so that we can adapt as the science changes and continually challenge ourselves to find creative options to increase our speed, manage risk, and make the most impact on patient health.
As the world of scientific possibilities continues to expand, both internally for us and for what we might access externally, we will also seek out compelling science from the outside to augment our internal efforts. Specifically, we are interested in compelling later-stage assets that can contribute positively to our top-line growth in the back half of the decade. We are also interested in accessing medical breakthroughs that are in earlier stages of development. We see focusing in these areas as creating more value than synergy-driven deals that require resource-intensive integrations, which can take a long time to complete. If we see a larger acquisition opportunity that is strategic and we deem as value-creating, we certainly have the very solid balance sheet we can utilize to pursue that. We will not speak in absolutes, and we never say never, because we know circumstances can change.
Right now, our focus will be as I described, compelling later-stage assets and earlier-stage medical breakthroughs. Finally, we will also continue to find ways where technology and data can play a role in accelerating the delivery of our medicines to patients and in bringing more value to patients. We're fortunate to have the balance sheet and financial flexibility to allow us to pursue all these opportunities to their fullest. Executing on these priorities will be our focus. Next slide, please. Now, having outlined Pfizer's capital allocation priorities, we see business development as a key enabler of our strategy, and we will use BD to bolster our pipeline with targeted investments that we believe will be fundamental breakthroughs to bring in more and better substrate to Pfizer.
We believe combining BD activity with our lightspeed methodology and capabilities will allow us to accelerate timelines, focus on more breakthroughs, and create more value for both patients and shareholders. With that, I would like to now turn over to my Inflammation and Immunology colleagues to share how today's transaction with Arena fits into that strategy. Next slide, please.
Thanks, Aamir. This is Mike Gladstone, by the way. There remains a huge unmet need for patients who suffer with immunoinflammatory diseases. These patient populations are heterogeneous, and in order to serve these patients, it requires a robust pipeline with complementary mechanisms to address their varying needs. The future is bright for these patients because we're focused on rheumatology, gastroenterology, and medical dermatology. We continue to innovate because patients continue to need options. Here, diversity of options is key. There's no silver bullet for these immunoinflammatory diseases, and there's always going to be a need for multiple options for patients seeking relief. Now let's speak to the journey of our patients that our patients are on for just a moment. We're talking about serious, debilitating conditions. These conditions can steal their independence, it can limit their mobility, and it often disfigures their bodies.
Ultimately, it can keep them from enjoying life's best moments. Let's think about the UC patient here for a moment, the ulcerative colitis patient. Imagine the stress and anxiety you'd feel if you were at a key life event or a wedding. Imagine the worry and stress you might feel about having a flare-up of ulcerative colitis during that important time. What that would mean. If we look closer at the ulcerative colitis patient for a moment, not all patients respond to existing therapies in the same way. The vast majority of these patients do not reach remission, and if they do, they have trouble maintaining it because many of the medicines they're taking often stop working over time, and they need to start that cycle all over again.
We need to continue to innovate here to meet the needs of these patients and to give them more options. That's why the strategy we're executing on here is to diversify the mechanisms in our portfolio, and that brings us to Arena. If you could go to the next slide, please. Pfizer's entered into an agreement to acquire Arena, a clinical-stage company developing innovative potential therapies for the treatment of several immunoinflammatory diseases. This is a strategic acquisition. It's a great opportunity to bring promising potential new therapies to the patients that desperately need them. At the same time, it further diversifies our portfolio. At the heart of this deal is this etrasimod. It's a novel oral S1P with a near-term opportunity in GI. This proposed acquisition has a strong strategic fit.
It aligns with our industry-leading capabilities in global commercialization and gastroenterology, and etrasimod has the potential for best-in-class efficacy. Now, this aligns with Pfizer's breakthrough development metrics. It brings diverse MOA into our already strong portfolio, which includes industry-leading JAKs and biosimilars. This acquisition, important to note, has the potential for significant revenue contribution in the critical years of 2025 to 2030. We're acquiring the company and all of its assets and development. The driver is etrasimod's potential in IBD and its near-term launch in ulcerative colitis. We're really excited about what etrasimod can bring to patients with IBD and its potential for additional value by helping patients with AD and other indications. Diligence also affirms our perspective on ulcerative colitis and potential superiority to the standard of care.
All in all, we're excited for the value that etrasimod can bring to patients and also to our business when this transaction is complete, which is subject to regulatory approvals and customary closing conditions. Can you go to the next slide, please? Pfizer brings significant value to this potential medicine as well. We have the infrastructure established to bring potential therapies to patients sooner with an accelerated trajectory. We've got deep R&D experience in immunoinflammation science, and specifically GI, where it's gonna be needed first. Our extensive network of sites, investigators, and key opinion leaders will all help us accelerate development. Pfizer's engine includes a first-class global supply chain, and the world has seen that in action with the rapid scaling and incredible excellence in production and distribution of our COVID vaccine recently.
On the commercial slide, we can hit the ground running with our established sales and marketing expertise in GI and our existing connections with specialists. Add to that Pfizer's global strength in R&D, supply chain, and commercialization means that we can do more for this potential therapy, getting it into patients' hands faster, as well as potentially driving revenue in an accelerated fashion. Now I'd like to turn things over to our Chief Scientific Officer, Mike Vincent, to give you some specifics on the asset itself. Mike?
Thanks, Mike. I'm pleased to share in a nutshell what etrasimod is and why etrasimod is an exciting addition to our portfolio. Like most medicines, differentiation in the clinic begins with the molecule, and we think etrasimod has the potential to be the best-in-class oral sphingosine 1-phosphate receptor modulator for a variety of immunoinflammatory disorders. There are a few key ways that etrasimod differentiates within the class, starting with the mode of binding, which closely mimics the natural ligand. This leads to a balance between internalization and degradation of the S1P receptor and second messenger effects. The receptor internalization effectively reduces the migration of lymphocytes out of the lymph node and into the blood, while etrasimod is less potent in downstream signaling that has heart rate effects.
A second major difference is etrasimod's specificity profile for key receptor subtypes, namely S1P1, S1P4, and S1P5, which is unique for the class. Lastly, etrasimod is differentiated in its pharmacokinetic profile with a rapid onset and offset, with no long-acting metabolites that are common in this class. We believe all these characteristics of etrasimod contribute to a potentially more favorable risk-benefit profile. Can I have the next slide, please? Turning to the clinical efficacy reported thus far in ulcerative colitis, for key endpoints such as clinical remission and endoscopic response, you can see that for the phase IIb study, the placebo-adjusted responses at 2 mg compare very favorably with other in-class agents, with the important caveat that these are cross-trial comparisons. Now I'll turn it over to Mike Corbo, who will show us how it fits into our portfolio.
Thanks, Mike. This morning, I'm first going to focus on how etrasimod complements our portfolio's ability to deliver treatment options to patients in both the near term and midterm.
I'll show you how this fits in the overall portfolio in the treatment of immunoinflammatory diseases from Pfizer. As you can see, there are a couple of near-term treatment options that we'll be able to bring to patients. Looking first in dermatology, CIBINQO has been approved in multiple countries around the world, and we anticipate approval in the U.S. in the near future for atopic dermatitis, and this would be for the moderate to severe population. Also, we intend to file ritlecitinib in the treatment of moderate to severe alopecia areata in the first half of next year. Complementing those near-term events would be etrasimod, filing towards the middle of next year with ulcerative colitis. Also, in the near term, we have the potential option of treating patients with atopic dermatitis with etrasimod.
If you look towards the midterm, etrasimod offers the potential to bring treatment options in Crohn's disease and eosinophilic esophagitis. Those would be important unmet needs in gastroenterology. Also, if you look further out, there is the potential to bring specialty dermatology into play with etrasimod with alopecia areata, which is currently in phase II. You can see the overall timing of the potential etrasimod filings really complements the overall flow of our pipeline. Now if you look at the next slide, from a timing perspective, you can see we have extremely strong fit. Now if we think about the strategic fit within our efforts to treat patients with immunoinflammatory diseases. As you heard from Mike, it's very easy, we're all named Mike, our focus is on rheumatology, gastroenterology, and dermatology.
We have both large and small molecules, and our dosage forms span IV infusions, sub-Q injections to oral therapies. In rheumatology, you can see we have two of the core therapies, both with XELJANZ and ENBREL. In addition, we have a very broad biosimilars portfolio. I'm particularly excited about this since I joined Pfizer to initiate and build that program, and it's wonderful to see that actually come to fruition and benefit patients. Now as we look out into our rheumatology portfolio, we have the option to bring therapies to patients in specialty rheumatology with interferon beta in dermatomyositis and other forms of myositis. You'll hear more about that from Mike Vincent in a little bit. In RA, our focus is to bring therapies to patients that are significantly better than anything else. In that light, our focus is on combination approaches.
Currently, we're looking at two complementary mechanisms, in this case IRAK4 with ritlecitinib, and we hope to see some phase II data next year. In gastroenterology, again, we have XELJANZ and biosimilars available to patients. TL1A, which Mike will tell you about shortly, has the potential to offer patients a biomarker-driven treatment option in inflammatory bowel disease and could also have antifibrotic activity. In addition, ritlecitinib may offer highly experienced patients a new option in treatment of their inflammatory bowel disease. When you look at etrasimod, this fits ideally into reaching patients that have significant unmet need and is complementary to the types of patients our future pipeline would intend to treat. In medical dermatology, we have existing options with EUCRISA and ENBREL for patients. As I mentioned, CIBINQO is on approval. That's a highly selective JAK1 inhibitor.
It's approved in AD in some countries already, and our focus for development for that molecule is exclusively in dermatology. Also within the pipeline is ritlecitinib, which is a JAK3/TEC inhibitor devoid of JAK1 and JAK2 activity. It provides options for patients in specialty dermatology with alopecia areata and potentially in vitiligo. Also entering phase IIb is a very novel topical molecule that not only inhibits PDE4 strongly but also has strong inhibition of IL-13, and it has very interesting options looking forward in a variety of dermatological diseases. Etrasimod can potentially augment the overall dermatology pipeline in atopic dermatitis as well as in specialty dermatology in its diseases like alopecia areata. From a timing perspective, you can see that etrasimod is highly complementary to the flow of our portfolio.
From a strategic perspective, it provides important options for patients in gastroenterology across three diseases and dermatology across broad patient populations and specialty derm. Now I'll turn it over to Mike Vincent so you can hear a little bit more about two of those novel molecules in the portfolio.
As we've been discussing, new mechanisms for IBD treatments are sorely needed due to the small percentage of patients who reach remission with existing therapies. Our TL1A monoclonal antibody blocks a completely novel pathway that not only amplifies other inflammatory pathways, but also one that drives fibrosis, which is not addressed by any current therapies. Our data from our phase IIa clinical trial in ulcerative colitis patients offers some promising insights in terms of efficacy with robust objective endpoints such as endoscopic improvement and blood biomarker responses in these patients. In addition, in the same phase IIa clinical trial, we learned that exploratory biomarkers may help us identify which patients will have the most robust responses in the clinic.
We're working to validate these results by building a potentially confirmatory data package in a larger clinical trial in UC patients, and we're also exploring this exciting asset in Crohn's disease. A second exciting program approaching the end of phase II is our anti-interferon beta monoclonal antibody with first-in-class potential for dermatomyositis and other interferon beta-driven diseases. Human pathology data in dermatomyositis, a rare disease of skin as well as muscle, have informed our confidence in this target with academic work by our partners on this program at Mass General Brigham. The data we generated in a phase II clinical trial align with the science underpinning this program and inform efficacy. We have observed a significant reduction in clinical disease activity in the skin. We've also obtained orphan and prime designations by the respective regulatory agencies in the U.S., U.K., and EU.
Our aim is to bring treatments to even more patients in need. We see the potential for interferon beta anti-interferon beta therapy in the broader scope of idiopathic inflammatory myopathies, or IIMs. These are a group of diseases, including dermatomyositis, juvenile dermatomyositis, and polymyositis, among others. Now I'll turn it over to Mike Gladstone to conclude.
Thanks, Mike. We see a bright future in I&I. This deal is a great fit. First and foremost, it brings value to patients, but it also brings value to healthcare providers, to Pfizer, and ultimately the shareholders of both Arena and Pfizer. Why? Number one, it serves patients. We continue to innovate in immune inflammatory science because patients need options to find relief that works for them and relief that works in the long term. Etrasimod provides a potentially best-in-class option for patients. Number two, it's a strong strategic fit with Pfizer's existing capabilities. We can progress development, commercialize it globally, and use our great relationships with GI specialists to get it in the hands of the patients that need it the most. Etrasimod's initial indication in GI will potentially hit at the right time for our business.
It bridges to other exciting launches we have planned in our pipeline. Etrasimod is not only an exciting potential best-in-class agent, it's a different mechanism of action and serving a new group of patients. Finally, this deal brings value to shareholders of both companies. The acquisition aligns with our goals to bring earlier-stage assets to Pfizer, and it leverages the strength of Pfizer to commercialize globally. Thank you all for your time today. I'll pass it over to Chris to get the Q&A started.
Thanks so much, Mike. I appreciate that. Before I start the Q&A session, I would just like to remind everyone to limit yourself to one question only. If you have another question or follow-ups, you're welcome to get back into the queue, but we want to maximize the time to answer as many questions as possible, and the Q&A session will last about 40 minutes. With that, I'll turn it over to Sylvia to start the Q&A session. Go ahead, Sylvia.
Ladies and gentlemen, to ask a question, please press star one on your telephone keypads. Your first question comes from the line of Evan Seigerman from BMO Capital Markets.
Hi, guys. Thank you so much for taking my question, and congrats on the deal. I would love it if you could expand on any potential FTC concerns around acquiring additional inflammatory assets, especially in IBD and AD. I know on the third quarter, Albert indicated that Pfizer has granted an exclusive license for some of your other JAK and TYK2 assets, both in phase II development to a new company. Is that enough to allay any potential FTC concerns, or do you have to do more to divest to acquire this asset? Thank you.
Thanks for the question, Evan. Regarding antitrust, we believe this transaction is good for patients, and we believe Pfizer will be able to contribute significant expertise and resources to enhance and expedite the development of these programs. As you mentioned, we understand the FTC is closely examining virtually all transactions across all industries, and normal review timelines have been longer than the past. However, we plan to engage collaboratively with regulators to share the pro-competitive rationale for this transaction and how competitive this I&I space is. The indications here are highly competitive with multiple mechanisms of actions being studied. Etrasimod is complementary to our current portfolio. The transaction is going to result in the availability of very different MOAs for a broad array of patients across a number of autoimmune disorders.
In addition, none of the other programs in Arena's pipeline are similar to any programs we have in Pfizer's pipeline. You put all that together, we're confident that the regulators will understand this following the complete review of the transaction. Now, your second question with regard to TYK2 and brepocitinib. That divestment was part of a larger strategy and a plan in our plan of freeing up internal resources in order for us to diversify and enable us to really bring different mechanisms to the portfolio that could complement our portfolio. Thank you for the question, Evan, I appreciate it, and I think now we can move on to the next question.
Your next question comes from Louise Chen from Cantor.
Hi. Congratulations on the deal, and thanks for taking my question. Could you please characterize your level of interest in building a broad market-leading IBD franchise across multiple novel targets? Can you articulate how your anti-TL1A monoclonal is differentiated versus others who are pursuing IBD with the same target? Thank you.
Yeah, in a moment, I'll pass the TL1A comment over to Mike Vincent. As far as creating a broad portfolio, I think Antioch here is an important strategic part of that. It complements our existing mechanisms of action. What we can do with this is reach patients throughout their patient journey, which is really important. I think the key thing here when we think about how a portfolio plays out is that immunoinflammatory diseases are heterogeneous. Patients often cycle from one therapy on to the next. In fact, some of the efficacy ranges in existing products we have here are even lower than 10%. This really gives us an opportunity to serve the patient through their entire life cycle, now through their patient journey, rather. I think. You might be muted.
Oh, I'm sorry.
Mike Vincent.
I, I-
That's okay.
Yeah. Can you hear me?
Yes. Yeah.
Thanks.
Fill in with the-
I'll say a few words about the TL1A program. Our monoclonal antibody, the TL1A, was the first in the clinic, and we're the first to have phase II data, which we reported out a couple of years ago, and we're on the verge of reporting out a larger phase IIb study. We think our program is differentiated. We have a high-quality molecule. It's got excellent PK properties thus far. We've seen very good biomarker responses.
In addition, we have actual preliminary data from our first study that indicates a biomarker selection approach may be feasible going forward to select the most responsive patients, and we should be able to gather more data from the study that's gonna read out soon to tell us whether that hypothesis is correct and we can move forward with a biomarker selected patient approach.
Great. Thank you, Mike. Oh, please go ahead.
If I could just expand a little into your question about kind of our commitment into GI. If you look across our efforts in IBD, you can see that there's XELJANZ, we've got the potential for rituximab, which is a distinct, very different mechanism of action. S1P, TL1A, and then there's stuff that's even deeper in the pipeline, like Vincent's work. Long-term commitment in looking at patients with you know, GI, you know, inflammatory disease, and we're committed to keep that going into the future.
Great. Thank you, Mike Vincent, and also, Mike Corbo as well. Louise, thanks for the question. I think we can move on to the next question now.
Your next question comes from Vamil Divan from Mizuho.
Hi. Great. Thanks for taking my questions. Maybe one just sort of broader question around I&I and just, you know, there's so many competitors now in the space, so many different mechanisms. But I guess I'm wondering about how you view the pricing outlook in this market. I think it's been a concern for a number of years. We have biosimilars coming as well. Do you sort of continue to see sort of pricing power in this market or obviously these new mechanisms and volume growth is great, but just would love to get your perspective on how you see the pricing dynamics playing out.
Yeah. Thank you. Thanks for the question. With regard to etrasimod, since it's their product and the deal hasn't closed yet, I really can't comment on that. We believe that this market and this category, there's such a need for different mechanisms of action. I know that you've got biosimilars coming from existing products and new therapies, and I think there's a place for all of them in the marketplace. We have the biosimilars coming very shortly, and we think that patients will cycle through many biosimilars and then wind up on some of the other advanced medications.
We feel good about the outlook of, you know, the category as a whole to be maintained strong, continue to be competitive, and also deliver value for patients across the board, but also deliver value to Pfizer and some of the other companies involved. Thank you for that question, Vamil. I think we can probably go to the next one.
Your next question comes from Matthew Harrison from Morgan Stanley.
Hi. This is Charlie Young on for Matthew.
Pardon me. Would you mind to repeat the question? There was a slight break in the audio.
Oh, sorry. Yeah. My question here is, you know, I noticed that abrocitinib, you know, is missing on the slide. I'm just curious to see if there's any feedback, you know, from the FDA regarding the abrocitinib approval and I guess longer term, where does Pfizer see the rest of the JAK comp portfolio in terms of the outlook and development? Thank you.
Thank you for the question. We can't comment on where the FDA is with reviewing any application in process, but we were encouraged to see that their review of A3921133 was complete and the class JAK labeling has been completed. We are looking forward to the opportunity to talk more in detail about abrocitinib. The way we're thinking about it is, again, as I mentioned earlier, these indications also atopic dermatitis is also a heterogeneous disease and has the need for multiple medications. You'll find that we're excited about the continued development of our ongoing portfolio of JAK. They play a significant role. They will play a significant role, we believe, for patients as they go through their course of therapy, both with ulcerative colitis but also in atopic dermatitis.
We'll be excited to talk a bit more about that. By the way, I do believe abrocitinib wasn't missing in the slide. It's called CIBINQO. I will often fall into the bad habit of calling it abrocitinib, but the brand name is CIBINQO, and that may be perhaps why it wasn't recognized as well in the slide. Matthew, thank you for the question. We can go to the next question now.
Your next question comes from Andrew Baum from Citi.
Could I pick up on the answer you gave to the first question in relation to antitrust? I completely understand the merits of the transaction, but in one of your arguments you gave why you think the FTC will let this through is you spoke about the diversity of the assets within the portfolio. I think you said in the opening remarks how etrasimod is the key asset. Here comes the question, which is how far are you willing to go in order to secure this transaction? You obviously have XELJANZ, abrocitinib, as well as ritlecitinib. Are you willing to divest some, all of those assets in order to let this deal happen, should the FTC request that? Many thanks.
Thank you for the question, Andrew. We are excited about bringing this asset into the organization. We believe that the transaction, as I indicated earlier, is good for patients. We're gonna work collaboratively with regulators on making sure they understand the competitive rationale. I think at the heart is this transition that patients will go through. We see etrasimod as being used potentially earlier in the treatment paradigm than the JAKs would be. That should also help with some clarity about one of the reasons that gives us confidence that the regulators will indeed, you know, once they complete their review, we believe that they'll understand that. Hopefully that helps. With regard to other assets in the compound, there are other assets in the organization.
We fully plan to develop those and don't anticipate any issues, but we'll obviously talk and deal with those in the unlikely event that they were to occur. Thanks for the question, Andrew. I think we can go to the next one.
Your next question comes from Kennen MacKay from RBC Capital Markets. Kennen, your line is open.
I'm sorry we can't hear you.
Yes. Hey, this is,
Apologies. I was on mute. Thanks for taking the question. I had a question on the phase III trial. I was wondering, one, how you are handling the risk associated with the readouts of the phase III study. This trial should very much be successful. The question is more how they'll differentiate versus ozanimod and the JAK inhibitor class. Secondly, I'd just love to understand how you're thinking about the potential for a class-based label for cardiovascular sections. That's something that etrasimod can potentially avoid given some of the differentiation you mentioned towards cardiovascular side effects. Lastly, ozanimod has arguably been maybe a little bit disappointing in terms of its early commercial sales into UC. Wondering what your perspective is on how etrasimod can turn this class around. Thanks so much for taking the question, and congrats on a terrific acquisition.
Great, Kennen. Thanks so much for the question. You were really a bit breaking up. I'm gonna try to do my best here. I heard three questions. Number one, I'll pass over to Mike Corbo to talk about what the thoughts are on the phase III. I think the second question was on class labeling for S1Ps. Also potentially ask Mike Corbo to talk about that just very briefly. Then I'll come back and handle your question regarding ozanimod. So Mike Corbo.
Sure. Okay. Thank you. so Kennen, I guess first talking about the phase III. you know, we have assumed success, obviously, in moving forward. Now, we've only looked obviously in detail at the phase II data, but we've looked at blinded data from phase III. I think the team at Arena is extremely capable of running studies like this, high quality. They know what they're doing. They have good interactions with regulators. we feel the foundation is strong. also, you know, we've been in a long time. we know what to look for, we know how to do modeling of our data and other people's data, and we feel confident based upon that assessment and the overall diligence that, you know, we're planning for success here.
If we go towards the CV risk in the class, there will be certain class labeling, I'm sure, across everything. You know, one of the unique features of etrasimod is the program has been done without titration. Doesn't mean it absolutely will come without it, but you know, we're certainly hopeful that that is one factor that we may be able to address. Overall, the final benefit risk will be assessed when we get the full data package, and we have the full safety and you know, then we can know more once we talk with regulators. Mike, back to you.
Thanks, Mike. While I don't want to comment on another company's asset, I can say that why we're excited about etrasimod is we believe it'll be differentiated from the class. We think it'll have best-in-class efficacy. We think it'll be easy to use for healthcare providers and patients, and we believe we're going to get access so that patients can actually get the medicine and take it. Thank you very much for the question. I think we can go to the next one.
Your next question comes from Carter Gould from Barclays.
Great. Thank you. Good morning. Congratulations on the deal. I wanted to ask you about the Crohn's study and how you think about that indication, any assumptions you've made on that front, and specifically your comfort with some of the recent amendments, namely looking at the 3 mg dose and any potential safety concerns you might have there. Thank you.
I'll pass this over to Mike Corbo to give us his thoughts on Crohn's disease and particularly the 3 mg. Mike?
Sure. I'm sorry, my phone was breaking up slightly, so I'm gonna do my best. Carter, but for Crohn's disease, you know, we feel confident that there's been proof of mechanism shown with etrasimod in Crohn's disease. You know, Crohn's has been hard to treat, so I think Arena has done a really good job in exploring both the 2 mg and 3 mg dose. There should be a readout next year where we're going to get a better understanding of where we need to go with that. Depending on the dose, we will manage the overall dosing and safety accordingly based upon the data that we see from there. Hopefully that addresses your question. I apologize 'cause my phone broke up a little bit. Hopefully that addresses it effectively.
Thanks, Mike. You're sounding good now, by the way. Which is good.
Okay.
Thank you for the question and great. I think we can go to the next one.
Your next question.
Question please, yeah.
Your next question comes from Chris Schott from J.P. Morgan.
Great. Thanks so much for the questions. Just a bigger picture one. When we think about capital deployment at Pfizer, should we think about an acceleration given the step-up in cash flow that you're seeing over the next few years versus the recent past? I know the company has not been particularly capital constrained historically. Deals obviously have to have value fit, et cetera, but, you know, it's hard to ignore how much cash you're gonna generate over these next few years. I'm just interested in like, does that impact your thinking or risk-taking appetite et cetera, as we think around BD? If I could just do a quick follow-up to the last question. I think in the charts you have Crohn's in 2028.
I guess, is there any opportunity to accelerate those development timelines just given how large that opportunity is, or is that about the fastest we can think about that indication coming to market? Thanks so much.
Chris, thank you for the question. I think I'll pass before I pass over to Aamir to answer the capital allocation question. I'll pass to Aamir first, and then I'll send it over to Mike Corbo to talk about what efforts we may have to you know accelerate pipeline assets. Aamir, would you mind to take the capital allocation question from Chris?
Sure. Mike and Chris, thanks for your question. I think in short, we plan to be very active in deal-making, and we certainly have the ability to do that. We have significant firepower that we expect both through our ongoing operating cash flows, our current cash holdings and investments, and if warranted, the ability to raise substantial amounts through debt financing. As I mentioned in my opening remarks, we see an exciting set of opportunities to deploy that capital, both in our internal pipeline, but also externally on compelling science that is either later stage or medical breakthroughs that are earlier stage. We like the risk of earlier stage deals where we know not all of them may work out, but the scope for what we can do to add value is significant.
We also recognize that in the back half of the decade, we have an opportunity where we can deploy capital in BD that can accelerate our top line growth, and we plan to be very active in both those spheres.
Thank you, Aamir. Now to Mike to talk about.
Sure
what we're doing to accelerate trials. Mike? Mike Corbo.
Yes, thanks for your question. You know, the current timeline is based upon the current path that is going through Arena. Right now, it's theirs to move forward. So, though, our intent, and we're already doing some thinking on this, is to find innovative ways to drive recruitment as quickly as we can. That's usually the critical path, as you know, especially in IBD studies. There are a couple of innovative trial design and approaches that we intend to take, both with how we look at centralized hubs, but in addition to bring in some innovation with doing a partially decentralized study, finding ways to make things much more appealing to patients, easier for them, easier for the investigators as well. We do have a plan.
Once we reach close, our intent is to put our efforts in any way we can to accelerate. We do agree it's an incredibly important indication, and patients with Crohn's disease really have huge needs. Our intent is to put all of our power towards it.
Thank you, Mike Corbo, and thank you, Aamir, and thanks for the question, Chris. I think we can go to the next one.
Our next question comes from Ronny Gal from Bernstein.
Hi. Congratulations on the deal, and thank you for taking the time. Kind of wondering if you could talk a little bit about order of therapy as you see it in IBD going forward. You kind of been on the oral class both with internal and with this acquisition. Can you talk a little bit how you see it versus the injectable? I guess the IL-23 data has been pretty good. Also the JAK inhibitors versus S1P. You obviously have a ton of experience there. Do you expect the S1P to be used earlier or some of the data we've seen from JAK will justify them being used earlier for by most patients?
Since you're already approaching the end of the year here, I was wondering if you can comment a little bit about the adalimumab biosimilar effort. You have the interchangeable trial coming up. Can you talk to us about when we'll see it and whether that product is a high concentration or the original low concentration product? Thank you.
Great. Thanks, Ronnie. Thanks for the question. I think I'll start off and talk about the order of entry. I'll ask Mike Vincent, if he could, just to talk about IL-23s for a moment, then we'll get on with the rest of the questions as much as I can remember them. So first, regarding the order of therapy, we think that when physicians are ready to move to an advanced therapy, we're going to be placed before JAKs. I think that was one of the key questions here. We believe that physicians will look at the benefit-risk profile, the efficacy with etrasimod, and we believe that we will be placed before JAK utilization. Over time, could be at the same time as TNFs. Keep in mind.
The one thing to keep in mind when you look at the different therapies in this class, some of the therapies, some of the advanced therapies will have efficacy as low as 8%-10% for remission. We think that this is a really good opportunity for us to fit in that space. I think, regarding the mechanism of action, I'll forward that over to Mike Vincent to talk about.
Yeah. Thanks for the question. You know, you specifically brought up one mechanism. I think the key point we're trying to bring home today is that this is such a heterogeneous condition as is Crohn's disease, that no single mechanism is gonna be adequate to treat a particular patient. I guess one nice thing about etrasimod is it's an oral option that's easy to take. Unlike other members of the class, we don't anticipate box warnings. I think it will be an attractive oral option.
Certainly, I think the key point we're trying to leave you with here is for a heterogeneous condition like this, patients need multiple treatment options and we think S1P will be among those and will be very attractive for patients and prescribers. I should hand it to Mike to talk about the adalimumab question. Mike Corbo.
Thank you. With regard to the biosimilar, we'd be looking for, you know, 2023, in the middle of 2023, in that range as a potential very potential date for us to get in the marketplace. I don't think we can comment on where we are in the development process as of yet. We're exploring and looking for every opportunity we possibly can. Thank you for the question, Ronny. We appreciate it, and I think now we can move on to the next one.
Your next question comes from Geoffrey Porges from SVB Leerink.
Hello, can you hear me?
Yes, we can.
Hi, this is Na for Geoffrey Porges. Congratulations on the deal. We know that the JAK portfolio has been under some pressure, either from the FDA warning or, you know, from competition. Should we think about etrasimod as a sort of replacement or hedge for revenue on XELJANZ and CIBINQO? Another question is, of the $6.7 billion purchase price, what is the proportion of value directly attributable to etrasimod in your valuation? What proportion do you attribute to other products and programs in the pipeline? Thank you.
Great. Thank you for the question. First of all, no. We don't believe this is a replacement in any way, shape, and form. Arena represents a strategic fit for us, and it complements our existing areas of focus. We would anticipate a drug like etrasimod being used before JAKs, so that leaves plenty of room for, you know, abrocitinib or CIBINQO to be successful. We think that it, again, fits nicely with our patient population. For both UC and AD, if you think about it, this really helps us serve the needs of patients throughout their entire journey. Thank you for that. It's a good fit.
With regard to the $6.7 billion purchase price, the majority of the valuation was on the nearer term, as you would normally do, on the nearer term assets in IBD. That's the majority of the driver, but we do appreciate all the other potential indications, both within I&I, as well as outside of I&I and the other areas that the pipeline serves. The main driver here is our near-term launches in IBD with first launch in UC. Thank you for that question. First potential launch in UC. I think we can take another question.
Your next question comes from Steve Scala from Cowen.
Thank you. This is a bit of a bigger picture question for Aamir. In the past five or so years, Pfizer has acquired a number of companies that have not, I must say, done better than expected. I'm specifically thinking of Hospira, Anacor, Array. It's too early to say on Trillium. Since you are a newcomer to Pfizer, how would you size up those acquisitions in retrospect? What would you have done differently, and how do you plan on doing things differently going forward? Related to that, it seems that management has been putting an emphasis on earlier stage as opposed to both earlier and later stage deals, which you seem to favor. Has there been a change in focus, or are you of a different view than other members of management? Thank you.
Thank you for the question. Obviously, that one will go to Aamir to talk about how we look at investments and acquisitions and also, you know, how we look at what is the focus for BD moving forward? Aamir?
Great. Thank you for the question. I won't get into all the specific details of the prior acquisitions that were done. But what I can say is that we take our responsibility around capital deployment incredibly seriously. We looked at this and other opportunities where we can deploy capital against the criteria that I described, and we are very excited about what we are doing with Arena and the potential that it holds for patients and ultimately therefore for shareholders as well. In terms of our mix of BD focus going forward, I think we've always said that our guiding principle for this will be things that are breakthroughs that can impact patients and that can contribute positively to our growth and therefore create value for our shareholders.
We think that we can achieve that through a combination of both earlier stage acquisitions as well as targeted later stage acquisitions, and we are aligned as a management team on our focus there.
Thank you, Aamir. I think we can go to the next question now, please.
Your final question comes from Robyn Karnauskas from Truist Securities.
Hi.
Hello-
This is Nicole on for Robyn. Hi, this is Nicole on for Robyn. She's on a flight right now. She apologizes she couldn't be on the call. Given that etrasimod is going after atopic derm and EOE, can you talk about how does Dupixent overlap with the pathway that S1P hits?
Okay. Thank you, Nicole, for the question. I'm gonna turn it over to Mike Vincent to talk about the pathway.
Sure. Thanks for the question. The mechanism that etrasimod works through primarily involves trafficking, whereas the other molecule you mentioned is a cytokine inhibitor. Ultimately, lymphocytes are the generals of the immune system, and they drive activity like recruiting eosinophils, for example. I would say the mechanism of etrasimod is more about controlling the lymphocytes that are directing inflammation, as opposed to blocking a downstream consequence of lymphocyte activation. We think that the mechanism is very suitable for TH2 diseases, given the local activities of lymphocytes in either the skin or the esophagus and driving those diseases.
We hope to demonstrate how active this mechanism is in those diseases through our ongoing clinical programs that are taking place at Arena right now.
Great. Thank you, Mike. Thank you for the question, Nicole, as well. Yeah, thank you for today. First of all, thank you all for coming here. Thanks for your enthusiasm and all the questions. I can see that you share our enthusiasm for this, and we look forward to what we can do with etrasimod. We're looking forward to the potential close and what this new medication could potentially mean for patients, and that it would have a best-in-class efficacy and really provide Pfizer I&I with a nice complementary mechanism to our entire portfolio so that we can provide value to patients and ultimately to Pfizer as well. Thank you all. I think that'll be the end of the call today.
Ladies and gentlemen, this does conclude today's conference. Thank you for your participation. You may now all disconnect. Speakers, please hold.