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Page 1: Sanofi, a global leader in healthcare - Q1 2016 RESULTS · 2016-04-29 · Q1 2016 – Progressing on our 2020 Roadmap 5 RA: Rheumatoid Arthritis / AD: ... Moderated by Growth in EU

Q1 2016 RESULTS April 29, 2016

Page 2: Sanofi, a global leader in healthcare - Q1 2016 RESULTS · 2016-04-29 · Q1 2016 – Progressing on our 2020 Roadmap 5 RA: Rheumatoid Arthritis / AD: ... Moderated by Growth in EU

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Forward Looking Statements

This presentation contains forward-looking statements as defined in the Private Securities Litigation Reform Act of

1995, as amended. Forward-looking statements are statements that are not historical facts. These statements include

projections and estimates and their underlying assumptions, statements regarding plans, objectives, intentions and

expectations with respect to future financial results, events, operations, services, product development and potential,

and statements regarding future performance. Forward-looking statements are generally identified by the words

"expects", "anticipates", "believes", "intends", "estimates", "plans" and similar expressions. Although Sanofi's

management believes that the expectations reflected in such forward-looking statements are reasonable, investors are

cautioned that forward-looking information and statements are subject to various risks and uncertainties, many of which

are difficult to predict and generally beyond the control of Sanofi, that could cause actual results and developments to

differ materially from those expressed in, or implied or projected by, the forward-looking information and statements.

These risks and uncertainties include among other things, the uncertainties inherent in research and development,

future clinical data and analysis, including post marketing, decisions by regulatory authorities, such as the FDA or the

EMA, regarding whether and when to approve any drug, device or biological application that may be filed for any such

product candidates as well as their decisions regarding labeling and other matters that could affect the availability or

commercial potential of such product candidates, the absence of guarantee that the product candidates if approved will

be commercially successful, the future approval and commercial success of therapeutic alternatives, the Group's ability

to benefit from external growth opportunities, trends in exchange rates and prevailing interest rates, the impact of cost

containment initiatives and subsequent changes thereto, the average number of shares outstanding as well as those

discussed or identified in the public filings with the SEC and the AMF made by Sanofi, including those listed under

"Risk Factors" and "Cautionary Statement Regarding Forward-Looking Statements" in Sanofi's annual report on Form

20-F for the year ended December 31, 2015. Other than as required by applicable law, Sanofi does not undertake any

obligation to update or revise any forward-looking information or statements.

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Agenda

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Q1 2016 Key Highlights

● Olivier Brandicourt - Chief Executive Officer

Q1 2016 Financial Results

● Jérôme Contamine - Executive Vice President, Chief Financial Officer

Q&A Session

● Olivier Charmeil - Executive Vice President, Sanofi Pasteur

● Peter Guenter - Executive Vice President, General Medicines & Emerging Markets

● Carsten Hellmann - Executive Vice President, Merial

● David P. Meeker - Executive Vice President, Sanofi Genzyme

● Pascale Witz - Executive Vice President, Diabetes & Cardiovascular

● Elias Zerhouni - President, Global R&D

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Q1 2016 KEY HIGHLIGHTS

4

Olivier Brandicourt

Chief Executive Officer

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● Toujeo® continues to capture TRx share in the U.S. reaching 5.0%(4)

● Progressive launch of Praluent® while awaiting outcomes data

● SAGE recommends Dengvaxia® use in endemic countries to WHO First public immunization program launched in the Philippines

Launches

Q1 2016 – Progressing on our 2020 Roadmap

5

RA: Rheumatoid Arthritis / AD: Atopic Dermatitis

(1) On a reported basis, Q1 2016 Aggregate Sales were down -1.9%

(2) On a reported basis, Q1 2016 Business EPS was up +1.5%

(3) Subject to regulatory clearances

(4) IMS data as of April 1st 2016

(5) LixiLan is a project name and is not the intended brand name for the combination of insulin glargine and lixisenatide

● Exclusive Boehringer Ingelheim asset swap expected to be signed mid-year and closed by year-end(3)

● Sanofi Pasteur targeting to manage European vaccine portfolio independently by year-end

Portfolio

● Aggregate Sales reached €8,543m (after VaxServe reclassification), up +0.7% or +3.0% excluding Venezuela at CER(1)

● Solid Business EPS growth of +5.3% at CER(2) to €1.34

Financial Results

● Sarilumab monotherapy showed superior efficacy vs. adalimumab in RA

● Dupilumab met primary endpoints in 2 Phase III studies in AD

● LixiLan(5) combination submitted to EMA

Innovation

3

1

2

4

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Q1 2016 Incremental

EPS at CER

+€0.07

Q1 2015 FX Impact

-€0.05

Aggregate Group Sales Business EPS

As Expected, Aggregate Sales Up Slightly in Q1 2016

Given High Base for Comparison in Venezuela & Japan

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(1) Including Merial

(2) Reflecting reclassification of VaxServe from Sales to Other revenues

(3) On a reported basis, Q1 2016 Aggregate Sales were down -1.9% and Business EPS was up +1.5%

+5.3% at CER(3)

Q1 2015 FX Impact

-€228m

+€61m

Incremental

Sales at CER Q1 2016

+0.7% at CER(3)

€8,710m

€8,543m €1.32

€1.34

(2)

Aggregate Group Sales +3.0% at CER excluding Venezuela

(1)

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Growth

at CER

New Organization by Global Business Unit

in Place as of January 1st 2016

(1) Does not include Emerging Markets sales

(2) Includes Emerging Markets sales for Diabetes & Cardiovascular and Sanofi Genzyme

(3) Emerging Markets: World excluding U.S., Canada, Western & Eastern Europe (except Eurasia), Japan,

South Korea, Australia, New Zealand and Puerto Rico

(4) Excluding Venezuela: -0.3% at CER

(5) Reflecting reclassification of VaxServe from Sales to Other revenues from Jan 1, 2016. Pictures by Freepik

Q1 2016 Aggregate Sales by Global Business Unit

Group Aggregate Sales €8,543m

+0.7%

€760m

Animal Health

+17.5%

€1,499m

Diabetes & Cardiovascular -5.8% (1)

€1,169m

Sanofi Genzyme +20.5% (1)

€4,490m

General Medicines & Emerging Markets -4.3% (4) (2,3)

€625m

Vaccines

+8.2% (5)

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Q1 2016 Sales Up 3% excluding Venezuela at CER

Driven by Specialty Care, Vaccines and Animal Health

(1) Excluding Venezuela sales were up +12.3% at CER

(2) Excluding Plavix® in Japan, sales were down -6.3% at CER

(3) Excluding Venezuela sales were up +8.8% at CER

(4) Excluding Venezuela sales were up +3.8% at CER

Q1 2016 Aggregate Sales by Franchise

Developed Markets Emerging Markets

Growth

at CER

Total

Sales Growth Sales

Animal Health

+17.5% €760m +37.5% +13.0% €612m €148m

Specialty Care +18.4% €1,371m

+9.3% +20.5% €1,169m

€202m

Diabetes & Cardiovascular -3.5% €1,832m

+6.7% -5.8% €1,499m

€333m

Sales Growth

Vaccines

+8.2% €625m

+37.0% -8.1% €347m

€278m

Established Rx Products -8.2% €2,591m

-2.1% -11.5% €1,667m

€924m

Generics +3.3% €459m 0.0% +6.0% €282m €177m

Consumer Healthcare -3.1% €905m

-9.9% +1.5% €594m

€311m

(1)

(3)

(4)

(6)

(5) Excluding Venezuela sales were up +7.1% at CER

(6) Reflecting reclassification of VaxServe from Sales to Other revenues from Jan 1, 2016

(7) Excluding Pentacel® in the U.S., sales were up +9.3% at CER

(5)

(2)

(7)

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Q1 2015 Q1 2016

Other

Rare Disease Franchise Shows High-Single Digit Growth

in Q1 2016

● Comparable franchise growth

in Developed and Emerging Markets

(+8.5% / +8.3% at CER, respectively)

● Sales split Developed / Emerging: 83% / 17%

● Growth driven by patient accruals

● Gaucher franchise grew +10.1% at CER

● Market share of 73% in value(1)

● Cerdelga® sales in the U.S. almost double(2)

● Fabrazyme® sales up +6.4% at CER

following strong Q4 2015(3)

● Myozyme® / Lumizyme® sales up +8.3% at

CER

€646m +8.5% at CER

€613m

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&

€182m

€23m

€166m

€149m

€126m

(1) Cerezyme® + Cerdelga® value share is 73% based on Q1 2016 reported sales by Sanofi and Shire

(2) Cerdelga® sales were €23m in Q1 2016 and €10m in Q1 2015

(3) Fabrazyme® Q4 2015 sales were up +20.3% at CER

Global Rare Diseases Sales

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Multiple Sclerosis Franchise Continues to Deliver

Strong Growth in Q1 2016

● Aubagio® continues to expand oral

segment with sales up +64.1% at CER

● Remains fastest growing oral MS drug

● Sales now annualizing at more than €1bn

● U.S. weekly TRx share increased

to 7.2%(1)

● Progressively overcoming barriers to

Lemtrada® use with sales more than

doubling in Q1 2016

● Lemtrada® demonstrated significant slow

down in brain volume loss at 3 years and

increase in retinal nerve fiber layer

thickness over 2 years(2)

€243m

Q1 2015 Q1 2016

€208m

€367m +76.9% at CER

€88m +134.2% at CER

€279m +64.1% at CER

(1) IMS data for the week ending April 1st 2016

(2) Presentation at American Academy of Neurology Annual Meeting 2016

Global Multiple Sclerosis Sales

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Vaccines Franchise Up 8.2% at CER in Q1 2016

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PPH: Polio, Pertussis, Hib vaccines

(1) After VaxServe reclassification from the Sales P&L line to the Other revenues P&L line from January 1, 2016.

VaxServe sales from third parties were €100m in Q1 2015

(2) Strategic Advisory Group of Experts on Immunization to the World Health Organization

● PPH vaccines up +6.0% at CER

● Strong sales in Emerging Markets driven

by Hexaxim®

● Low U.S. sales given expected

Pentacel® supply constraint

● Menactra® performance more than offsets

softness in Booster vaccine

● Menactra® sales up +29.9%

● Adult boosters decline -15.8% due to

Adacel® buying pattern in the U.S.

● First sales of Dengvaxia® of €19m

● SAGE(2) recommends use

in endemic countries to WHO

● Dossier submitted to EMA

Sanofi Pasteur Sales

Q1 2016

€625m

Q1 2015

€597m

Other

Dengvaxia®

Travel/Endemic

Adult Boosters

Meningitis/Pneumo

Polio/Pertussis/Hib

Influenza Vaccines

(1)

+8.2% at CER

(1)

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Diabetes Franchise Reflected Lower U.S. Glargine(1)

Average Net Price, Moderated by Growth in EU and China

● Sales of €1,734m, down -4.5%(2) at CER

● U.S. sales down by -11.1% reflecting

expected lower Glargine average net price

● Europe up +4.0% despite biosimilar

competition

● Emerging Markets up +12.0%(3) excluding

Venezuela

● Glargine TRx U.S. market share relatively

stable year over year at 68.4%(4)

● Toujeo® expected to be launched in over

40 countries by end 2016

● LixiLan(5) and lixisenatide FDA Advisory

Committee scheduled for May 25th 2016 Q1 2015 Q1 2016

Other

€1,734m -4.5% at CER

(1) Lantus® and Toujeo®

(2) Diabetes sales declined by -3.6% when excluding Venezuela

(3) Diabetes sales in Emerging Markets increased by +6.4% when including Venezuela

(4) IMS Rapid weekly as of April 1st 2016, -0.4% vs same period in 2015

(5) LixiLan is a project name and is not the intended brand name for the combination of insulin glargine and lixisenatide

(6) Includes Apidra®, Amaryl®, Insuman®, Lyxumia® and Blood Glucose Monitoring

€1,837m

(6)

Global Diabetes Sales

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13 Praluent® is developed and commercialized in collaboration with Regeneron

Progressive Launch Underway

Awaiting Outcomes Study Results

● Q1 2016 sales of €12m reflecting current

payer restrictions limiting uptake

● ODYSSEY OUTCOMES first interim data

analysis for futility conducted and study

continues

● Second interim analysis for futility and

overwhelming efficacy potentially in H2 2016

when 75% of the targeted number of primary

events have occurred

● 300mg monthly dosing expected to be filed

with FDA in Q2 2016

● Sanofi and Regeneron strongly disagree

with U.S. jury verdict in ongoing patent

litigation and will appeal

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CHC Franchise Grows by +4.1%

Excluding Venezuela Impact and at Constant Structure(1)

● Strong U.S. performance up +7.7% at CER driven by Allegra®, Nasacort® and Gold Bond®

● Europe declines -7.3% at CER due to Doliprane® price cuts and mild winter

● Emerging Markets were up +3.8% at CER excluding Venezuela(2)

(1) Excluding minor divestments

(2) Including Venezuela sales were down -9.9% at CER

(3) Subject to regulatory clearances

CHC Franchise Global Sales

Fx Impact Q1 2016 Organic

Growth

Q1 2015

Adjusted Base

Venezuela &

Minor

Divestments

-€67m

Q1 2015

€979m

€912m

+€37m -€44m

€905m

+4.1% at CER

CHC asset swap on track for signing in mid 2016 and closing by end 2016(3)

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+15.6%

CER: Constant Exchange Rates

(1) World excluding U.S., Canada, Europe, Japan, South Korea, Australia, New Zealand and Puerto Rico

(2) RoW: Japan, South Korea, Canada, Australia, New Zealand and Puerto Rico

(3) Eurasia: Russia, Ukraine, Georgia, Belarus, Armenia and Turkey

Sanofi Continues to Show a Balanced Geographic Profile

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Q1 2016 Aggregate Group Sales by Geography (€m)

27.8%

34.7%

27.8%

9.7% (1)

€833m

€571m

€259m

€668m

Asia AfricaMiddle East

and South Asia

Latin America Eurasia

Growth at CER

Emerging Markets Sales by Region

Emerging

Markets

€2,373m +4.2% at CER

or

+13.1% at CER

excluding

Venezuela U.S.

€2,966m +1.5% at CER

Europe

€2,372m +1.7% at CER

RoW

€832m -13.3% at CER

(2)

Growth at CER

excluding Venezuela

+9.9% -14.9%

+11.0%

+11.8%

(3)

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Expected Regulatory Decisions Q1 Q2 Q3 Q4

● Dengvaxia® in endemic countries

● Lixisenatide in Diabetes (U.S.)

● LixiLan in Diabetes (U.S.)

● Sarilumab in Rheumatoid Arthritis (U.S.)

Expected Regulatory Submissions Q1 Q2 Q3 Q4

● LixiLan in Diabetes (E.U.)

● Dupilumab in Atopic Dermatitis (U.S.)

● Sarilumab in Rheumatoid Arthritis (EU)

Expected Phase III / IIIb Topline Data Q1 Q2 Q3 Q4

● Dupilumab in Atopic Dermatitis (SOLO 1 & 2 / CHRONOS)

● Sarilumab in Rheumatoid Arthritis (MONARCH)

● Insulin lispro in Diabetes (SORELLA)

● Praluent® ODYSSEY OUTCOMES 2nd interim analysis(1)

Expected Phase III Starts Q1 Q2 Q3 Q4

● Olipudase alfa in Niemann Pick type B(2)

● NeoGAA in Pompe

● PD-1 Inhibitor in CSCC(3) pivotal Phase II

● Fitusiran in Hemophilia

● Efpeglenatide in Diabetes

● Sotagliflozin in Diabetes

● Isatuximab in Multiple Myeloma

Seven Registrational Studies Expected to Start in 2016

(1) Second interim analysis for futility and overwhelming efficacy when ~75% of events have occurred in H2 2016

(2) Pivotal phase II/III trial

(3) Cutaneous Squamous Cell Carcinoma

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First Fully-Human, Subcutaneously

Delivered IL-6R Antibody Studied in RA

17

● Sarilumab efficacy/safety results in moderate to

severe RA patients

● Sarilumab 200mg Q2W + MTX(1) in MTX-

inadequate responders showed 91% inhibition of

structural damage

● Sarilumab + MTX in anti-TNFα-inadequate

responders showed consistent impact on

symptoms and physical functioning

● Most frequently reported TEAE(2) include serious

infections, injection site erythema and neutropenia

● Sarilumab monotherapy shows superior efficacy

vs. adalimumab(3)

● Two subcutaneous doses evaluated: 150mg and

200mg Q2W

U.S. regulatory decision expected in early Q4 2016

Sarilumab is developed in collaboration with Regeneron

RA: Rheumatoid Arthritis

Sarilumab is an investigational agent under clinical development and its safety

and efficacy has not been fully evaluated by any Regulatory Authority

(1) Methotrexate

(2) Treatment Emergent Adverse Events

(3) Not included in the initial BLA filed with FDA

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First IL-4/IL-13 Receptor Antibody to

Show Positive Phase III Results in AD

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● Dupilumab Phase IIb data in Atopic Dermatitis

published in The Lancet

● Dupilumab 300mg QW / Q2W demonstrated the

following in SOLO 1 and 2 Phase III trials(3)

● 37-36% / 38-36% of patients achieved clearing or

near-clearing (IGA 0 or 1) of skin lesions at week 16

● 72-69% / 72- 67% improvement in EASI(2)

● CHRONOS Phase III results expected in Q2 2016

● European pivotal study initiated in Q1 2016

(CAFE)

● Phase III study in Asthma ongoing

Dupilumab is developed in collaboration with Regeneron

AD: Atopic Dermatitis

Dupilumab is an investigational agent under clinical development and its safety

and efficacy has not been fully evaluated by any Regulatory AuthorityThe

SOLO 1 , SOLO 2, CHRONOS and CAFE trials are part of the LIBERTY AD

clinical trial program

U.S. submission in AD planned for Q3 2016

IGA score 4

(1) For illustration only. While these pictures are from the Phase IIb

clinical trial, individual results may vary

(2) Eczema Area and Severity Index

(3) Most frequently Treatment Emergent Adverse Events include

serious and severe infections, injection site reactions and

conjunctivitis

AFTER BEFORE (1) (1)

Images of a patient before and after

dupilumab therapy in Phase IIb trial (Individual results did vary)

IGA score 0

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FINANCIAL RESULTS

Jérôme Contamine

Executive Vice President, Chief Financial Officer

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FX Headwind on Top and Bottom Line in Q1 2016

(1) Main currency impact on sales in Q1 2016: Brazilian Real (-€70.3m), Argentine Peso (-€39.6m),

South African Rand (-€20.4m), Turkish New Lira (-€19.7m), Russian Ruble (-€18.9m) and

Mexican Peso (-€18.9m); U.S. Dollar (+€50.6m) , Japanese Yen (+€22.2m)

(2) Excluding Vaxserve in Aggregate Sales

(3) Adverse impact of Venezuela on Q1 2016 Business EPS was €0.09, which includes €197m lower sales vs Q1 2015

and €102m Fx loss recorded in Other operating income P&L line

+9.8%

+€764m

+11.1%

+€888m

+5.6%

+€487m

-2.6%

-€228m

Q1 2016

Q1 2015 Q2 2015 Q3 2015 Q4 2015

+3.7%

+€332m

Q1 2016

Q1 2015 Q2 2015 Q3 2015 Q4 2015

+10.2%

+€0.12

+15.4%

+€0.18

+€0.05

+3.4%

+7.1%

+€0.10

-3.8%

-€0.05

Currency Impact

Aggregate Group Sales(1,2) Business EPS

Currency impact excluding Venezuela(3)

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CER: Constant Exchange Rates

(1) Reflecting reclassification of VaxServe from Sales to Other revenues. VaxServe sales of non-Group products were €100m in Q1 2015

and €83m in Q1 2016

(2) Includes an indemnity amount of €192m pursuant to a final arbitration as consequence of a contractual dispute

and an Fx loss of €102m in Venezuela 21

Aggregate BOI Increased +3.0% at CER in Q1 2016

€m Q1 2016 Q1 2015 % Change

(reported €)

% Change (CER)

Aggregate Group sales 8,543 8,710 -1.9% +0.7%

Aggregate Other revenues 155 180 -13.9% -15.0%

Aggregate Cost of sales (2,693) (2,786) -3.3% -0.1%

Aggregate Gross profit 6,005 6,104 -1.6% +0.6%

Aggregate R&D (1,278) (1,199) +6.6% +6.5%

Aggregate SG&A (2,418) (2,438) -0.8% +1.3%

Aggregate Other current operating income & expenses 79 (67) - -

Aggregate Share of profit/loss of associates 23 31 - -

Aggregate Minority interests (27) (33) - -

Aggregate Business operating income 2,384 2,398 -0.6% +3.0%

Aggregate Business operating margin 27.9% 27.5% - -

(1)

(2)

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€m Q1 2016 Q1 2015 % Change

(reported €)

% Change (CER)

Aggregate Business operating income 2,384 2,398 -0.6% +3.0%

Aggregate Net financial expenses (118) (97) - -

Income tax expense (544) (575) - -

Effective tax rate 24.0% 25.0% - -

Business net income 1,722 1,726 -0.2% +3.5%

Net margin 20.2% 19.8% - -

Business EPS €1.34 €1.32 +1.5% +5.3%

Average number of shares outstanding (m) 1,288.4 1,308.4 - -

A Good Start to 2016 with Mid-Single Digit Growth

of Business EPS at CER

22 CER: Constant Exchange Rates

(1) Number of shares outstanding on March 31st, 2016: 1,286.7m

(1)

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Stable Gross Margin Ratio in Q1 2016

● Stable Cost of Sales (CoS) of

€2,693m in Q1 2016

● Gross margin of 70.3% in Q1 2016

reflects:

● Positive impact from Specialty Care

franchise and Vaccines more than

offsetting the impact from lower Glargine

average net price in the U.S. and Plavix®

LoE(2) in Japan

● Slight positive currency impact

23

Q1 Q2 Q3 Q4 Q1

2015 2016

70.3% 70.1%

Aggregate Gross Margin(1)

Gross Margin is calculated as the ratio of Aggregate Gross profit over Aggregate Group sales (excluding Aggregate Other revenues)

(1) Historical values adjusted for VaxServe reclassification

(2) Loss of Exclusivity

70.4% 70.7% 69.0%

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Limited OpEx Growth Mostly Driven by R&D in Q1 2016

24

● Q1 2016 OpEx of €3,696m, up

+3.0% at CER

● R&D expenses of €1,278m up 6.5%

at CER mainly due to:

● Immuno-Oncology activities

● Dupilumab Phase III program

● SG&A expenses of €2,418m,

slightly up (+1.3% at CER) showing:

● Reallocation of resources behind key

products launches

● Lower G&A expenses

24

Q1 Q2 Q3 Q4 Q1

€3,696m €3,637m

2015 2016

€1,278m €1,199m

€2,418m €2,438m

R&D

SG&A

Operating Expenses

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Share Repurchase

-€1,403m

CapEx

-€325m

Net Cash from

Operating

Activities

Net Debt

Dec 31, 2015

Net Debt

Mar 31, 2016

Other

-€569m

Acquisitions,

Licensing, Net

of Disposals

-€25m

€1.4bn of Share Repurchase Completed in Q1 2016

25

(1)

(2)

€7,254m

€8,373m

€1,203m

(4) (1)

FCF

€878m

(3)

FCF: Free Cash Flow

(1) Including derivatives related to the financial debt +€152m at December 31st 2015 and +€196m at March 31st 2016

(2) Excluding Restructuring costs

(3) Including Hanmi Pharmaceuticals of €400m, Verily JV of €165m and Regeneron anti-dilutive share purchase of €94m

(4) Other including Restructuring costs and Fx impact

Net Debt

25

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26

(1) Barring major unforeseen adverse events

(2) FY 2015 Business EPS of €5.64

(3) Difference between variation on a reported basis and variation at CER when applying March 2016 average exchange rates

to the remaining quarters of the year

Confirmed 2016 Business EPS Growth at CER

Business EPS Growth

Around -3%(3)

based on March 2016 average exchange rates

Broadly stable at CER(1,2)

FY 2016

FX impact on Business EPS

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CLOSING REMARKS

27

Olivier Brandicourt

Chief Executive Officer

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28

Delivering on our Strategic Priorities

● Solid financial results in Q1 2016

● Reshaping the portfolio

● CHC/Animal Health asset swap

● End joint Vaccines operations in Europe

● Focus on execution of launches

● New wave of innovation with seven pivotal trials

expected to start in 2016

1

2

3

4

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29

Q&A SESSION

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30

APPENDICES

R&D Pipeline

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Immunology

Infectious Diseases

Neurodegenerative Diseases

Ophthalmology

Multiple Sclerosis

R&D Pipeline – Pharma & Vaccines

GZ402668 GLD52 (anti-CD52 mAb)

Relapsing multiple sclerosis

GZ402666 neoGAA

Pompe Disease

GZ389988 TRKA antagonist

Osteoarthritis

SAR339375 Anti-miR21 RNA

Alport syndrome

SAR425899 GLP-1R/GCGR dual agonist

Type 2 diabetes

fitusiran (ALN-AT3)

siRNA targeting Anti-Thrombin

Hemophilia

SAR438335 GLP-1R/GIPR dual agonist

Type 2 diabetes

UshStat® Myosin 7A gene therapy

Usher syndrome 1B

SAR438544 Stable glucagon analog

Diabetes

SAR228810 Anti-protofibrillar AB mAb

Alzheimer’s disease

SAR440067 (LAPS Insulin 115)nn

Long acting insulin analog

Type 2 diabetes

SAR439152 Myosin inhibitor

Hypertrophic cardiomyopathy

SAR566658

Maytansin-loaded anti-CA6 mAb

Solid tumors

SAR407899 rho kinase

Microvascular angina

SAR408701 Anti-CEACAM5 ADC

Solid tumors

SAR366234 EP2 receptor agonist

Elevated intraocular pressure

SAR439684 PD-1 inhibitor

Cancer

Streptococcus pneumonia Meningitis & pneumonia vaccine

SAR428926 LAMP-1 inhibitor

Cancer

Herpes Simplex Virus Type 2 HSV-2 vaccine

Phase I

N

N

N

N

N

N

N

N

N

N

N

N

N

N

N

dupilumab Anti-IL4Rα mAb Nasal polyposis;

Eosinophilic oesophagitis

olipudase alfa rhASM

Niemann-Pick type B

SAR156597 IL4/IL13 Bi-specific mAb

Idiopathic pulmonary fibrosis

GZ402671 Oral GCS inhibitor

Fabry Disease

SAR100842 LPA1 receptor antagonist

Scleroderma

SAR422459 ABCA4 gene therapy

Stargardt disease

SAR439954 (sotagliflozin)

Oral SGLT-1&2 inhibitor

Type 2 diabetes

Combination

ferroquine / OZ439

Antimalarial

SAR439977 (efpeglenatide)n Long-acting GLP-1 receptor agonist

Type 2 diabetes

Rabies VRVg Purified vero rabies vaccine

sarilumab Anti-IL6R mAb

Uveitis

Tuberculosis Recombinant subunit vaccine

isatuximab Anti-CD38 naked mAb

Multiple myeloma

Fluzone® QIV HD Quadrivalent inactivated

influenza vaccine - High dose

Phase II N

N

N N

N

SAR342434 insulin lispro

Type 1+2 diabetes

SAR439954 (sotagliflozin) n

Oral SGLT-1&2 inhibitor

Type 1 diabetes

sarilumab Anti-IL6R mAb

Rheumatoid arthritis, EU

dupilumab Anti-IL4Rα mAb

Atopic dermatitis, Asthma

patisiran (ALN-TTR02)

siRNA inhibitor targeting TTR Familial amyloidotic polyneuropathy

revusiran (ALN-TTRsc)

siRNA inhibitor targeting TTR Familial amyloidotic cardiomyopathy

Jevtana® cabazitaxel

Metastatic prostate cancer (1L)

Clostridium difficile Toxoid vaccine

VaxiGrip® QIV IM Quadrivalent inactivated

influenza vaccine (6-35 months)

Pediatric pentavalent vaccine DTP-Polio-Hib

Japan

Men Quad TT 2nd generation meningococcal

ACYW conjugate vaccine

Phase III

N

N

N

N

Registration

lixisenatide

GLP-1 agonist

Type 2 diabetes, U.S.

LixiLan Fixed-Ratio insulin glargine+lixisenatide

Type 2 diabetes, U.S., EU

sarilumab Anti-IL6R mAb

Rheumatoid arthritis, U.S.

Dengvaxia®(1) Mild-to-severe

dengue fever vaccine

PR5i DTP-HepB-Polio-Hib

Pediatric hexav. vaccine, U.S.

VaxiGrip® QIV IM Quadrivalent inactivated

influenza vaccine (3 years+)

N

N

N

N

(1) Approved in Brazil, Mexico, the Philippines and El Salvador 31

N

N

N

N New Molecular Entity

Rare Diseases

Oncology

Diabetes

Vaccines

Cardiovascular Diseases N

N

N

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32

Phase I Phase II Phase III Registration TOTAL

Oncology 4 1 0 0 5

Diabetes 4 1 2 2 9

Cardiovascular Diseases 2 0 0 0 2

Immune Mediated

Diseases 1 2 1 1 5

Infectious Diseases 0 1 0 0 1

Ophthalmology 1 0 0 0 1

Rare Diseases 4 3 2 0 9

Multiple Sclerosis 1 0 0 0 1

Neurodegenerative

Diseases 1 0 0 0 1

Vaccines 2 3 4 3 12

TOTAL 20

11 9 6

R&D Pipeline Summary Table(1)

31 15 NMEs & Vaccines

46

32

34

(1) Excluding life cycle management programs

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33

Expected R&D Milestones (1/2)

33

Product Event Timing

Dengvaxia® Expected regulatory decision in endemic countries Throughout 2016

Lixisenatide and LixiLan FDA Advisory Committee May 25, 2016

Men Quad TT Expected start of Phase III trial Q2 2016

insulin lispro Expected SORELLA Phase III top line results in Diabetes Q2 2016

dupilumab Expected CHRONOS Phase III interim results in Atopic Dermatitis Q2 2016

NeoGAA (GZ402666) Expected start of Phase III trial in Pompe Disease Q2 2016

olipudase alfa Expected start of pivotal Phase II/III trial in Niemann Pick type B Q2 2016

SAR439684 (PD-1 Inhibitor) Expected start of pivotal Phase II trial in Cutaneous Squamous Cell Carcinoma Q2 2016

sarilumab Expected EU regulatory submission in Rheumatoid Arthritis Q3 2016

Lixisenatide Expected U.S. regulatory decision in Type 2 Diabetes Q3 2016

LixiLan Expected U.S. regulatory decision in Type 2 Diabetes Q3 2016

dupilumab Expected U.S. regulatory submission in Atopic Dermatitis Q3 2016

fitusiran Expected start of Phase III trial in Hemophilia Q3 2016

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34

Expected R&D Milestones (2/2)

34

Product Event Timing

Praluent® Expected results of ODYSSEY OUTCOMES 2nd interim analysis(1) H2 2016

sarilumab Expected U.S. regulatory decision in Rheumatoid Arthritis Q4 2016

VaxiGrip® QIV IM (3 years+) Expected EU regulatory decision Q4 2016

sotagliflozin Expected start of Phase III trial in Type 2 Diabetes Q4 2016

efpeglenatide Expected start of Phase III trial in Type 2 Diabetes Q4 2016

isatuximab (anti-CD38) Expected start of Phase III trial in Multiple Myeloma Q4 2016

(1) Interim analysis for futility when ~50% of events have occurred; second interim analysis for futility and overwhelming efficacy when ~75% of

events have occurred in H2 2016

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APPENDICES

FINANCE

35

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Business EPS Currency Sensitivity

Currency Exposure on Q1 2016 Sales Currency Average Rates

2016 - Currency Sensitivity

36

Q1 2015 Q1 2016 % change

EUR/USD 1.13 1.10 -2.2%

EUR/JPY 134.19 127.02 -5.3%

EUR/CNY 7.03 7.21 +2.6%

EUR/BRL 3.22 4.31 +33.7%

EUR/RUB 71.09 82.47 +16.0%

Currency Variation Business EPS Sensitivity

U.S. Dollar -0.05 USD/EUR +EUR 0.13

Japanese Yen +5 JPY/EUR -EUR 0.02

Chinese Yuan +0.2 CNY/EUR -EUR 0.02

Brazilian Real +0.4 BRL/EUR -EUR 0.01

Russian Ruble +10 RUB/EUR -EUR 0.04

€ 24.9%

US $ 35.9%

Chinese Yuan 5.9%

Japanese Yen 5.0%

Brazilian Real 2.5%

British £ 1.9%

Australian $ 1.5%

Canadian $ 1.4%

Russian Ruble 1.3%

Mexican Peso 1.2%

Others 18.5%

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2016 - Headwinds and Tailwinds

● Residual impact of Plavix® generic erosion in Japan

● Biosimilar insulin glargine launched in Japan & EU in H2 2015

● Potential generic competition for Renagel®/Renvela® in the U.S. and Lovenox® in the EU

● Launch expenses for Toujeo®, Praluent®, Dengvaxia®, LixiLan(1) and sarilumab

● Immuno-Oncology related expenses

● Low tax rate in H2 2015 creating unfavorable base for comparison

37 37

Headwinds

● Easier base for comparison for Diabetes and Venezuela(2) in H2 2016

● Stronger Vaccines outlook in H2 2016

● Q4 2015 negatively impacted by Auvi-Q® and Afrezza®

Tailwinds

(1) LixiLan is a project name and is not the intended brand name for the combination of insulin glargine and lixisenatide

(2) €200m sales in Q2 2015 and €56m in H2 2015

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38

Q1 2016 - Business Net Income Statement

First quarter 2016 Pharmaceuticals Vaccines Others Total Group Animal Health(1) Total: aggregate basis(4)

€ million Q1 2016 Q1 2015 Change Q1 2016 Q1 2015(3) Change Q1 2016 Q1 2015 Q1 2016 Q1 2015 Q1 2016 Q1 2015 Change Q1 2016 Q1 2015 Change

Net sales 7,158 7,455 (4.0%) 625 597 4.7% 7,783 8,052 760 658 15.5% 8,543 8,710 (1.9%)

Other revenues 54 62 (12.9%) 91 106 (14.2%) 145 168 10 12 (16.7%) 155 180 (13.9%)

Cost of sales (2,097) (2,190) (4.2%) (350) (376) (6.9%) (2,447) (2,566) (246) (220) 11.8% (2,693) (2,786) (3.3%)

As % of net sales (29.3%) (29.4%) (56.0%) (63.0%) (31.4%) (31.9%) (32.4%) (33.4%) (31.5%) (32.0%)

Gross profit 5,115 5,327 (4.0%) 366 327 11.9% 5,481 5,654 524 450 16.4% 6,005 6,104 (1.6%)

As % of net sales 71.5% 71.5% 58.6% 54.8% 70.4% 70.2% 68.9% 68.4% 70.3% 70.1%

Research and development

expenses (1,108) (1,039) 6.6% (127) (120) 5.8% (1,235) (1,159) (43) (40) 7.5% (1,278) (1,199) 6.6%

As % of net sales (15.5%) (13.9%)

(20.3%) (20.1%) (15.9%) (14.4%) (5.7%) (6.1%) (15.0%) (13.8%)

Selling and general expenses (2,046) (2,094) (2.3%) (166) (156) 6.4% (2,212) (2,250) (206) (188) 9.6% (2,418) (2,438) (0.8%)

As % of net sales (28.6%) (28.1%) (26.6%) (26.1%) (28.4%) (27.9%) (27.1%) (28.6%) (28.3%) (28.0%)

Other current operating

income/expenses 107 (28) 1 (14) (40) 93 (67) (14) 79 (67)

Share of profit/loss of

associates* and joint ventures 16 32 7 (1) 23 31 - 23 31

Net income attributable to

non-controlling interests (27) (33) - (27) (33) - (27) (33)

Business operating income 2,057 2,165 (5.0%) 80 51 56.9% (14) (40) 2,123 2,176 261 222 17.6% 2,384 2,398 (0.6%)

As % of net sales 28.7% 29.0% 12.8% 8.5% 27.3% 27.0% 34.3% 33.7% 27.9% 27.5%

Financial income and

expenses(2) (118) (97)

Income tax expense(2) (544) (575)

Tax rate** 24.0% 25.0%

Business net income 1,722 1,726 (0.2%)

As % of net sales 20.2% 19.8%

Business earnings per

share*** (in euros) 1.34 1.32 1.5%

* Net of tax

** Determined on the basis of Business income before tax, associates and non-controlling interests.

*** Based on an average number of shares outstanding of 1,288.4 million in the first quarter of 2016 and 1,308.4 million in the first quarter of 2015.

(1) Pursuant to IFRS5 presentation requirement as "discontinued operations”, Animal Health business net result is reported on the single income statement line Net income from the held-for-exchange

Animal Health business for 2015 and prior years. Until the closing of the transaction, Animal Health remains an operating segment of the Group

(2) Including Animal Health business which is reported on a single line in the consolidated income statements in accordance with IFRS5 (Non-Current Held for Sale and Discontinued Operations)

(3) As per a change in accounting presentation, Vaxserve sales of non Group products are reported in Other revenues from 2016 onwards. Prior period Net sales and Other revenues have been restated

accordingly. .

(4) Aggregate amount including Animal Health business

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Q1 2016 - Reconciliation of Business Net Income to

Consolidated Net Income Attributable to Equity Holders of Sanofi

39

(1) Animal Health reported separately in accordance with IFRS 5 (Non-Current Assets Held for Sale and Discontinued Operations)

(2) Of which related to amortization expense generated by the remeasurement of intangible assets as part of business combinations: €410 million in the first quarter of 2016 and

€471 million in the first quarter of 2015

(3) Includes the following items: Impact of the discontinuation of depreciation and impairment of Property, Plant & Equipment starting at IFRS 5 application (Non-current held for

sale and discontinued operations), impact of the amortization and impairment of intangible assets until IFRS 5 application, costs incurred as a result of the divestment as well

as tax effect of these items, and outside basis deferred tax impact

(4) Based on an average number of shares outstanding of 1,288.4 million in the first quarter of 2016 and 1,308.4 million in the first quarter of 2015

€ million Q1 2016(1) Q1 2015 (1) Change

Business net income 1,722 1,726 (0.2%)

Amortization of intangible assets(2) (444) (499)

Impairment of intangible assets - (27)

Fair value remeasurement of contingent consideration liabilities (29) 1

Restructuring costs (500) (353)

Tax effect of items listed above: 338 312

Amortization of intangible assets 156 174

Impairment of intangible assets - 10

Fair value remeasurement of contingent consideration liabilities 11 7

Other gains and losses, and litigation - -

Restructuring costs 171 121

Share of items listed above attributable to non-controlling interests 1 1

Restructuring costs of associates and joint ventures, and expenses arising from the

impact of acquisitions on associates and joint ventures 70 (62)

Animal Health items(3) (71) (76)

Net income attributable to equity holders of Sanofi 1,087 1,023 6.3%

Consolidated earnings per share(4) (in euros) 0.84 0.78

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40

Q1 2016 - Consolidated Income Statements

(1) Including Animal Health business which is reported on a single line in the consolidated income statements in accordance with IFRS5

(Non-Current Held for Sale and Discontinued Operations).

(2) As per a change in accounting presentation, Vaxserve sales of non-Group products are reported in Other revenues from 2016 onwards. Prior period Net sales and Other

revenues have been restated accordingly. .

€ million Q1 2016(1) Q1 2015(1)(2)

Net sales 7,783 8,052

Other revenues 145 168

Cost of sales (2,447) (2,566)

Gross profit 5,481 5,654

Research and development expenses (1,235) (1,159)

Selling and general expenses (2,212) (2,250)

Other operating income 217 34

Other operating expenses (124) (101)

Amortization of intangible assets (444) (499)

Impairment of intangible assets - (27)

Fair value remeasurement of contingent consideration liabilities (29) 1

Restructuring costs (500) (353)

Operating income 1,154 1,300

Financial expenses (129) (131)

Financial income 12 36

Income before tax and associates and joint ventures 1,037 1,205

Income tax expense (117) (184)

Share of profit/loss of associates and joint ventures 93 (31)

Net income excluding the held for exchange Animal Health business 1,013 990

Net income from the held for exchange Animal Health business 100 65

Net income 1,113 1,055

Net income attributable to non-controlling interests 26 32

Net income attributable to equity holders of Sanofi 1,087 1,023

Average number of shares outstanding (million) 1,288.4 1,308.4

Earnings per share (in euros) excluding the held for exchange Animal Health business 0.77 0.73

Earnings per share (in euros) 0.84 0.78