A World Leading Addiction Treatment Company …with enormous ...€¦ · 2.Indivior is Global...

26
A World Leading Addiction Treatment Company …with enormous future potential Jefferies Conference New York 2 nd June 2015

Transcript of A World Leading Addiction Treatment Company …with enormous ...€¦ · 2.Indivior is Global...

Page 1: A World Leading Addiction Treatment Company …with enormous ...€¦ · 2.Indivior is Global Leader in Addiction Treatment • Unrivalled experience and reputation • At least 12

A World Leading Addiction Treatment Company …with enormous future potential

Jefferies Conference New York

2nd June 2015

Page 2: A World Leading Addiction Treatment Company …with enormous ...€¦ · 2.Indivior is Global Leader in Addiction Treatment • Unrivalled experience and reputation • At least 12

Chief Executive Officer

Shaun Thaxter

Page 3: A World Leading Addiction Treatment Company …with enormous ...€¦ · 2.Indivior is Global Leader in Addiction Treatment • Unrivalled experience and reputation • At least 12

Forward-Looking Statements

This presentation contains forward-looking statements. We may, in some cases, use terms such as "predicts," "believes," "potential,"

"proposed," "continue," "estimates," "anticipates," "expects," "plans," "intends," "may," "could," "might," "will," "should" or other words

that convey uncertainty of future events or outcomes to identify these forward-looking statements. Forward-looking statements include,

among other things, statements regarding our financial guidance for 2015 and our medium- and long-term growth outlook, our operational

goals, our product development pipeline and statements regarding ongoing litigation.

Various factors may cause differences between Indivior's expectations and actual results, including: factors affecting sales of Suboxone

Tablet, Suboxone Film, Subutex Tablet and any future products; the outcome of research and development activities; decisions by

regulatory authorities regarding the Indivior Group’s drug applications; the speed with which regulatory authorizations, pricing approvals

and product launches may be achieved; the outcome of post-approval clinical trials; competitive developments; difficulties or delays in

manufacturing; the impact of existing and future legislation and regulatory provisions on product exclusivity; trends toward managed care

and healthcare cost containment; legislation or regulatory action affecting pharmaceutical product pricing, reimbursement or access; claims

and concerns that may arise regarding the safety or efficacy of the Indivior Group’s products and product candidates; risks related to legal

proceedings; the Indivior Group’s ability to protect its patents and other intellectual property; the outcome of the Suboxone Film patent

litigation relating to the three ongoing ANDA lawsuits; changes in governmental laws and regulations; issues related to the outsourcing of

certain operational and staff functions to third parties; uncertainties related to general economic, political, business, industry, regulatory

and market conditions; and the impact of acquisitions, divestitures, restructurings, internal reorganizations, product recalls and withdrawals

and other unusual items.

Any forward-looking statements that we make in this presentation speak only as of the date of this presentation.

We assume no obligation to update our forward-looking statements whether as a result of new information,

future events or otherwise, after the date of this presentation.

3

Page 4: A World Leading Addiction Treatment Company …with enormous ...€¦ · 2.Indivior is Global Leader in Addiction Treatment • Unrivalled experience and reputation • At least 12

OUR VISION

That all patients around the world will have unrestricted access to high quality treatment services for the chronic relapsing conditions and co-morbidities of addiction

Page 5: A World Leading Addiction Treatment Company …with enormous ...€¦ · 2.Indivior is Global Leader in Addiction Treatment • Unrivalled experience and reputation • At least 12

Suboxone Disclaimer

5

INDICATION

SUBOXONE® (buprenorphine and naloxone) Sublingual Film (CIII) is a prescription medicine indicated for treatment of opioid dependence and should be used as part of a complete treatment plan to include counseling and psychosocial support. Treatment should be initiated under the direction of physicians qualified under the Drug Addiction Treatment Act.

IMPORTANT SAFETY INFORMATION. PLEASE READ THE FULL SAFETY INFORMATION IN THE HARD COPY OR ON THE WEBSITE LISTED BELOW. For more information about SUBOXONE Sublingual Film or SUBOXONE® (buprenorphine and naloxone) Sublingual Tablet (CIII), please see full Prescribing Information and Medication Guide at www.SuboxoneFilmREMS.com.

Page 6: A World Leading Addiction Treatment Company …with enormous ...€¦ · 2.Indivior is Global Leader in Addiction Treatment • Unrivalled experience and reputation • At least 12

Indivior PLC – Five Value Drivers

6

1. Addiction is a growing epidemic worldwide • Over 145m people worldwide are addicted to opioids, alcohol, cocaine, methamphetamine, cannabis • Structurally growing market • Increasing recognition that every $1 spent on treatment saves $12 in healthcare and societal costs

Page 7: A World Leading Addiction Treatment Company …with enormous ...€¦ · 2.Indivior is Global Leader in Addiction Treatment • Unrivalled experience and reputation • At least 12

Addiction – A Growing Global Epidemic

• 230m people worldwide use illicit drugs 1

• 122m people worldwide dependent on alcohol (and under-reported) 2

• More than 25m people worldwide dependent on illicit drugs (and under-reported) 3

• 23m people worldwide dependent on opioids (and under-reported)3

• 39 Deaths per 100,000 population due to alcohol and drug use – implies >2.5m global deaths a year 4

7 1.WHO World Drug Report 2012; 2. Global Dependency Trends, July 2014: Abuwala & Company LLC; 3. opioids, cocaine, cannabis, methamphetamine; NSDUH 2013, SAMSHA and RBP Trends data 2011-12; 4. WHO Atlas on Substance Use 2010.

Page 8: A World Leading Addiction Treatment Company …with enormous ...€¦ · 2.Indivior is Global Leader in Addiction Treatment • Unrivalled experience and reputation • At least 12

Government & Payors have a clear economic opportunity

*World Health Organization, http://whqlibdoc.who.int/unaids/2004/9241591153_eng.pdf. Accessed June 20, 2013

For every

spent on a patient in treatment

$1

Society saves up to

in funding the costs of healthcare and other societal costs*

$12

8

Page 9: A World Leading Addiction Treatment Company …with enormous ...€¦ · 2.Indivior is Global Leader in Addiction Treatment • Unrivalled experience and reputation • At least 12

But market development is at different stages around the world

Drug Policy & Regulatory Environment

01 Illegal

02 Harm

Reduction

03 Recognised

Disease

04 Legitimised

Disease

USA & Australia

EU

RoW

Source: RBP investor & analyst presentation – July 2011

9

Page 10: A World Leading Addiction Treatment Company …with enormous ...€¦ · 2.Indivior is Global Leader in Addiction Treatment • Unrivalled experience and reputation • At least 12

But when authorities get it right, the market develops rapidly

5mm+ patients have received treatment through Suboxone therapy (tablets & film)…

…Supported by a consistent growth in certified physicians

0mm

1mm

2mm

3mm

4mm

5mm

No

…M

a…N

o…

Ma…

No

…M

a…N

o…

Ma…

No

…M

a…N

o…

Ma…

No

…M

a…N

o…

Ma…

No

…M

a…

Cu

mu

lati

ve p

atie

nts

tre

ate

d

3,682

6,154

9,359

12,585

16,105

18,454

20,695

23,018

25,581

27,536

0

5,000

10,000

15,000

20,000

25,000

30,000

20

04

20

05

20

06

20

07

20

08

20

09

20

10

20

11

20

12

20

13

Ce

rtif

ied

ph

ysic

ian

s b

y ye

ar

The market in the USA has grown beyond expectations US market size by mg

Source: Healthcare Analytics Retail Sales Data; internal modelling; NTIS DEA Certification List Source: Source Healthcare Analytics Retail and Non-Retail Sales data; Internal modeling October 2014

0

500

1,000

1,500

2,000

2,500

20

03

20

04

20

05

20

06

20

07

20

08

20

09

20

10

20

11

20

12

20

13

20

14

Mill

ion

s

10

Page 11: A World Leading Addiction Treatment Company …with enormous ...€¦ · 2.Indivior is Global Leader in Addiction Treatment • Unrivalled experience and reputation • At least 12

Indivior PLC – Five Value Drivers

2.Indivior is Global Leader in Addiction Treatment • Unrivalled experience and reputation • At least 12 years ahead of competition

11

1. Addiction is a growing epidemic worldwide • Over 145m people worldwide are addicted to opioids, alcohol, cocaine, methamphetamine, cannabis • Structurally growing market • Increasing recognition that every $1 spent on treatment saves $12 in healthcare and societal costs

Page 12: A World Leading Addiction Treatment Company …with enormous ...€¦ · 2.Indivior is Global Leader in Addiction Treatment • Unrivalled experience and reputation • At least 12

Indivior: Global Leader in Addiction

Year to Dec 31st

2014 $m

2015

Guidance

Net Revenue

1,115

850-880

Operating Profit1

586

Net Income1

403

135-155

EPS (cents per share)1

58

• Operate in over 40 countries globally.

• Suboxone is the leading buprenorphine-based treatment globally

• Indivior was primary developer of market for buprenorphine-based treatment in US since 2003 launch of Suboxone

• Helped to initiate training of >3,000 physicians

• Helped to bring >5m patients into treatment

• Only company with significant direct clinical liaison team working on addiction treatment in US or Europe.

12 1 excluding $24m exceptional items related to the demerger

Page 13: A World Leading Addiction Treatment Company …with enormous ...€¦ · 2.Indivior is Global Leader in Addiction Treatment • Unrivalled experience and reputation • At least 12

Indivior PLC – Five Value Drivers

2.Indivior is Global Leader in Addiction Treatment • Unrivalled experience and reputation • At least 12 years ahead of competition

3. Sustainable franchise with existing products • Suboxone Film resilient in face of growing

competition from generic tablet and other brands • Multi-layered IP protection to 2030

13

1. Addiction is a growing epidemic worldwide • Over 145m people worldwide are addicted to opioids, alcohol, cocaine, methamphetamine, cannabis • Structurally growing market • Increasing recognition that every $1 spent on treatment saves $12 in healthcare and societal costs

Page 14: A World Leading Addiction Treatment Company …with enormous ...€¦ · 2.Indivior is Global Leader in Addiction Treatment • Unrivalled experience and reputation • At least 12

Confidential

Competition is intensifying, but Suboxone Film share has been resilient

Source: Source Healthcare Analytics Retail PHAST Weekly Data

Bra

nd

ed

tab

let

lau

nch

ed

CV

S fo

rmu

lary

loss

Un

ite

d f

orm

ula

ry lo

ss a

nd

3

rd

gen

eri

c ta

ble

t ap

pro

ved

TRx MG share by week

Gen

eric

bu

p/n

al

tab

lets

lau

nch

ed

Bu

nav

ail L

aun

ch

Orexo BDSI

Page 15: A World Leading Addiction Treatment Company …with enormous ...€¦ · 2.Indivior is Global Leader in Addiction Treatment • Unrivalled experience and reputation • At least 12

Now 4 Generic Tablet competitors on the market Branded competitors not making much impact

Update on Competition

15

15.1%

53.7%

26.8%

4.3% 0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

1/24/2014 2/24/2014 3/24/2014 4/24/2014 5/24/2014 6/24/2014 7/24/2014 8/24/2014 9/24/2014 10/24/2014 11/24/2014 12/24/2014 1/24/2015 2/24/2015 3/24/2015 4/24/2015

BUP/NAL SHARE BY MFR

ACTAVIS PHARMA AMNEAL PHARMA

ROXANE TEVA

52.0%

4.7%

15.7%

0.4% 0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

Launch MG Share

Film Share Zubsolv Gen Bup/Nal Bunavail

Page 16: A World Leading Addiction Treatment Company …with enormous ...€¦ · 2.Indivior is Global Leader in Addiction Treatment • Unrivalled experience and reputation • At least 12

Indivior PLC – Five Value Drivers

2.Indivior is Global Leader in Addiction Treatment • Unrivalled experience and reputation • At least 12 years ahead of competition

4. Several Levers for Future Growth • Pipeline of innovative products to improve patient

and physician outcomes • Business development and M&A • Global expansion 3. Sustainable franchise with existing products

• Suboxone Film resilient in face of growing competition from generic tablet and other brands

• Multi-layered IP protection to 2030

16

1. Addiction is a growing epidemic worldwide • Over 145m people worldwide are addicted to opioids, alcohol, cocaine, methamphetamine, cannabis • Structurally growing market • Increasing recognition that every $1 spent on treatment saves $12 in healthcare and societal costs

Page 17: A World Leading Addiction Treatment Company …with enormous ...€¦ · 2.Indivior is Global Leader in Addiction Treatment • Unrivalled experience and reputation • At least 12

An innovative pipeline to improve patient/physician outcomes Stages of development and earliest approval dates*

* Dates are best estimates only and could be subject to change

Stage of Development Estimated Approval Dates

Phase I Phase II Phase III NDA 2015 2016 2017 2018 2019 2020

Buprenorphine Lifecycle

Suboxone film

Buprenorphine Monthly Depot

Oral swallowable tablet

Overdose Rescue Products

Nasal Naloxone

Cocaine Overdose

Alcohol Use Disorders

Arbaclofen Placarbil

Adjacency - Schizophrenia

Risperidone

EU

Can EU China

USA LAUNCHED

17

Page 18: A World Leading Addiction Treatment Company …with enormous ...€¦ · 2.Indivior is Global Leader in Addiction Treatment • Unrivalled experience and reputation • At least 12

Pipeline Update – all key targets achieved since November

RBP-6000 - monthly depot buprenorphine Phase 3: RB-US-13-0001: first patient randomized in Q1 2015

Intranasal naloxone for the treatment of opioid overdose • Fast Track Designation granted Q3 2014 • Pre-NDA meeting with FDA Q4 2014 • NDA submission May 2015

RBP-8000, a cocaine esterase for the treatment of cocaine intoxication • Breakthrough Therapy Designation granted by the FDA in Q4 2014 • Type B meeting with the FDA May 2015

Arbaclofen placarbil - a novel transported prodrug of R-baclofen Pre-IND meeting with FDA occurred Q1 2015: IND submitted by end June 2015

Risperidone Monthly Depot – compelling Phase III results announced 5/5/2015: long term safety study currently ongoing

18

Page 19: A World Leading Addiction Treatment Company …with enormous ...€¦ · 2.Indivior is Global Leader in Addiction Treatment • Unrivalled experience and reputation • At least 12

>70 compounds in addiction identified and tracked

Will bring assets in-house at most opportune time

Strong track record delivering such deals at low initial capital cost

• Atrigel Technology 2008

• Cocaine Esterase 2008

• Anti-Op (Nasal Naloxone) 2014

• Arbaclofen Placarbil 2014

Focus on disease spaces where we can add value • Intensive market development

model • Behavioural modification

focus • Sticking to our knitting

Not on our radar for the foreseeable future

• Build a track record

• Secure more favourable funding platform

Business Development / M&A

Business Development in Addiction

Adjacencies where Our model works

Transformative M&A

19

Page 20: A World Leading Addiction Treatment Company …with enormous ...€¦ · 2.Indivior is Global Leader in Addiction Treatment • Unrivalled experience and reputation • At least 12

Global Expansion

20

• Expand treatment in USA = Grow the Market

• More physicians trained and waivered

• Increased awareness of treatment

• Reduced barriers to treatment access

• Opioid painkiller dependence in Europe

• 500K plus patient population today unrecognised

• Greater awareness of condition

• Clinical trials for Suboxone tablet in China

• Work on widening access to treatment in more markets

Expand Global Access to Treatment

Page 21: A World Leading Addiction Treatment Company …with enormous ...€¦ · 2.Indivior is Global Leader in Addiction Treatment • Unrivalled experience and reputation • At least 12

Indivior PLC – Five Value Drivers

2.Indivior is Global Leader in Addiction Treatment • Unrivalled experience and reputation • At least 12 years ahead of competition

4. Several Levers for Future Growth • Pipeline of innovative products to improve patient

and physician outcomes • Business development and M&A • Global expansion 3. Sustainable franchise with existing products

• Suboxone Film resilient in face of growing competition from generic tablet and other brands

• Multi-layered IP protection to 2030

5. Strong, experienced, stable management team • Excellent track record • 60 Years of Cumulative Experience

21

1. Addiction is a growing epidemic worldwide • Over 145m people worldwide are addicted to opioids, alcohol, cocaine, methamphetamine, cannabis • Structurally growing market • Increasing recognition that every $1 spent on treatment saves $12 in healthcare and societal costs

Page 22: A World Leading Addiction Treatment Company …with enormous ...€¦ · 2.Indivior is Global Leader in Addiction Treatment • Unrivalled experience and reputation • At least 12

Strong, Experienced Management Team

22

Cumulatively 60 years experience at Indivior The core of the team that built up Indivior’s US business 2003-12

Also a powerful Board with more than 200 years of collective experience in Pharma

Page 23: A World Leading Addiction Treatment Company …with enormous ...€¦ · 2.Indivior is Global Leader in Addiction Treatment • Unrivalled experience and reputation • At least 12

Summary

The leading global company in the growing epidemic of addiction • 230m people worldwide abusing drugs, 122m dependent on alcohol

• Indivior has the leading portfolio of existing and future treatments

• Indivior is the only company working to expand access to treatment

A sustainable franchise with existing products in face of growing competition

• Suboxone Film is demonstrating resilience in US market

• Confident that it will fund the business model – pipeline, business development and M&A

Consistent progress in developing the levers of future growth

• Pipeline of innovative products to improve patient and physician outcomes

• Business Development and M&A to widen business coverage

A management with the experience and capabilities necessary to deliver the future

23

Page 24: A World Leading Addiction Treatment Company …with enormous ...€¦ · 2.Indivior is Global Leader in Addiction Treatment • Unrivalled experience and reputation • At least 12

A World Leading Addiction Treatment Company …with enormous future potential

Page 25: A World Leading Addiction Treatment Company …with enormous ...€¦ · 2.Indivior is Global Leader in Addiction Treatment • Unrivalled experience and reputation • At least 12

INDICATION

SUBOXONE® (buprenorphine and naloxone) Sublingual Film (CIII) is a prescription medicine indicated for treatment of opioid dependence and should be used as part of a complete treatment plan to include counseling and psychosocial support.

Treatment should be initiated under the direction of physicians qualified under the Drug Addiction Treatment Act.

IMPORTANT SAFETY INFORMATION

Do not take SUBOXONE® (buprenorphine and naloxone) Sublingual Film (CIII) if you are allergic to buprenorphine or naloxone as serious negative effects, including anaphylactic shock, have been reported.

SUBOXONE Sublingual Film can be abused in a manner similar to other opioids, legal or illicit.

SUBOXONE Sublingual Film contains buprenorphine, an opioid that can cause physical dependence with chronic use. Physical dependence is not the same as addiction. Your doctor can tell you more about the difference between physical dependence and drug addiction. Do not stop taking SUBOXONE Sublingual Film suddenly without talking to your doctor. You could become sick with uncomfortable withdrawal symptoms because your body has become used to this medicine.

SUBOXONE Sublingual Film can cause serious life-threatening breathing problems, overdose and death, particularly when taken by the intravenous (IV) route in combination with benzodiazepines or other medications that act on the nervous system (ie, sedatives, tranquilizers, or alcohol). It is extremely dangerous to take nonprescribed benzodiazepines or other medications that act on the nervous system while taking SUBOXONE Sublingual Film.

You should not drink alcohol while taking SUBOXONE Sublingual Film, as this can lead to loss of consciousness or even death.

Death has been reported in those who are not opioid dependent.

Your doctor may monitor liver function before and during treatment.

SUBOXONE Sublingual Film is not recommended in patients with severe hepatic impairment and may not be appropriate for patients with moderate hepatic impairment. However, SUBOXONE Sublingual Film may be used with caution for maintenance treatment in patients with moderate hepatic impairment who have initiated treatment on a buprenorphine product without naloxone.

25

Page 26: A World Leading Addiction Treatment Company …with enormous ...€¦ · 2.Indivior is Global Leader in Addiction Treatment • Unrivalled experience and reputation • At least 12

Keep SUBOXONE Sublingual Film out of the sight and reach of children. Accidental or deliberate ingestion of SUBOXONE Sublingual Film by a child can cause severe breathing problems and death.

Do not take SUBOXONE Sublingual Film before the effects of other opioids (eg, heroin, hydrocodone, methadone, morphine, oxycodone) have subsided as you may experience withdrawal symptoms.

Injecting SUBOXONE may cause serious withdrawal symptoms such as pain, cramps, vomiting, diarrhea, anxiety, sleep problems, and cravings.

Before taking SUBOXONE Sublingual Film, tell your doctor if you are pregnant or plan to become pregnant. If you are pregnant or become pregnant while taking SUBOXONE Sublingual Film, alert your doctor immediately and you should report it using the contact information provided below.*

Neonatal withdrawal has been reported following the use of buprenorphine by the mother during pregnancy.

Before taking SUBOXONE Sublingual Film, talk to your doctor if you are breastfeeding or plan to breastfeed your baby. SUBOXONE can pass into your breast milk. You and your doctor should consider the development and health benefits of breastfeeding along with your clinical need for SUBOXONE Sublingual Film and should also consider any potential adverse effects on the breastfed child from the drug or from the underlying maternal condition.

Do not drive, operate heavy machinery, or perform any other dangerous activities until you know how SUBOXONE Sublingual Film affects you. Buprenorphine in SUBOXONE Sublingual Film can cause drowsiness and slow reaction times during dose-adjustment periods.

Common side effects of SUBOXONE Sublingual Film include nausea, vomiting, drug withdrawal syndrome, headache, sweating, numb mouth, constipation, painful tongue, redness of the mouth, intoxication (feeling lightheaded or drunk), disturbance in attention, irregular heartbeat, decrease in sleep, blurred vision, back pain, fainting, dizziness, and sleepiness.

This is not a complete list of potential adverse events associated with SUBOXONE Sublingual Film. Please see full Prescribing Information for a complete list.

*To report negative side effects associated with taking SUBOXONE Sublingual Film, please call 1-877-782-6966. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

For more information about SUBOXONE Sublingual Film or SUBOXONE® (buprenorphine and naloxone) Sublingual Tablet (CIII), please see full Prescribing

Information and Medication Guide at www.SuboxoneFilmREMS.com.

26