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21/11 14:27 af Helge Larsen/PI-redaktør |
This session starts at 15 o'clock.
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21/11 15:55 af Helge Larsen/PI-redaktør |
Jan and David. Are you online?
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21/11 15:56 af Jan Van de Winkel |
We are here and eagerly awaiting your questions.
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21/11 15:57 af Helge Larsen/PI-redaktør |
Great.
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21/11 16:00 af Helge Larsen/PI-redaktør |
Jan van de Winkel and David Eatwell. Welcome to Q & A here on ProInvestor.com
We are very happy to have you back here and ready to answer questions from our
Investors.
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21/11 16:00 af Jan Van de Winkel |
We are deligthed to be chatting with you all and look forward to an energizing session.
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21/11 16:01 af Helge Larsen/PI-redaktør |
Can you give us a short-term update on key figures and important events in
Q3?
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21/11 16:01 af Jan Van de Winkel |
Revenue DKK 1.789 bn up DKK 441 Mio. Expenses DKK 1.130 bn, up DKK 423 (or DKK 282 after reimbursement from partners). Operating result DKK 659 mio, up DKK 18 mio and net
result DKK 638 mio, up DKK 320 mio…
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21/11 16:01 af Jan Van de Winkel |
Darzalex approved in Europe in combination with bortezomib, melphalan and prednisone (VMP) in frontline multiple myeloma (MM)…
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21/11 16:02 af Jan Van de Winkel |
Positive topline results from Phase III CASSIOPEIA study combining daratumumab with bortezomib, thalidomide and dexamethasone (VTD) in frontline MM. Positive topline results from Phase III MAIA study combining daratumumab with lenalidomide and dexamethasone (DRd) in frontline MM…
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21/11 16:02 af Jan Van de Winkel |
Regulatory applications submitted in US and Europe for split dosing regimen and in China for relapsed/refractory MM. Positive CHMP opinion issued November 15, 2018…
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21/11 16:02 af Jan Van de Winkel |
Successful Capital Markets Day held –HexElect™ platform unveiled. First patients dosed in GEN3013 (DuoBody®-CD3xCD20) Phase I/II study in B-cell malignancies…
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21/11 16:03 af Jan Van de Winkel |
Finally, excellent progress in several antibody programs with Genmab-created antibodies by partners; i.e. Lundbeck in Parkinson’s disease, Janssen with DuoBody-cMetxEGFR in lung cancer, and Horizon with teprotumumab in Graves’ Eye Disease (Phase III)..
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21/11 16:04 af Helge Larsen/PI-redaktør |
Can you tell us about your guiding for the hole year?
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21/11 16:05 af Jan Van de Winkel |
No change to our guidance for the full year. We will remain committed to the target set at the beginning of the year..
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21/11 16:05 af Sukkeralf |
David mentioned in the Q3 CC that the Dara-Pom-Dex combination has the largest share of Darzalex sales in second and third line - a bit odd to me because the data package for that combination is rather small compared to Dara-Rev-Dex and Dara-Vel-Dex. Why ?..... and should we fear that Sanofi aims at the perfect combination with Isatuximab ?
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21/11 16:08 af Jan Van de Winkel |
It is clear that IMIDs are very good combination partners for Daratumumab for two reasons. The first is that IMIDs strengthen the immune system to combat cancer (like Daratumumab). The second is that IMIDs induce higher levels of expressions of CD38 (the target for Daratumumab). Pomalyst is a more effective IMID than Revlimid and is thus favored as a combination partner for Daratumumab...
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21/11 16:09 af Jan Van de Winkel |
In addition, Revlimid is many times used during initial treatment of MM in the US and if patients relapse,it is logical to chose another IMID like Pomalyst so that explains the robust usage of DARA+ Pomalyst in 2nd, 3rd, and 4th line plus..
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21/11 16:10 af E L |
Are you able to tell us a bit more about the pricing for Dara? Have you been able to raise list prices this year? What do you expect for next year?
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21/11 16:12 af Jan Van de Winkel |
The pricing is the responsibility of Janssen. The last US price increase was March 2018 and was 4.9%. We cannot comment on potential price increases for 2019 as it is the responsibility of our partner..
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21/11 16:12 af E L |
how many employees do you estimate to have end 2019 if your recruitment will go as planned?
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21/11 16:13 af Jan Van de Winkel |
At the end of Q3 2018, we had 349 employees. We are still working on our budget for 2019 and we will answer this question in due time..
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21/11 16:14 af Vester |
Do you see the infusion chair issue as a limiting factor for the Dara sales potential in 2019?
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21/11 16:15 af Jan Van de Winkel |
Yes, we understand that there is a shortage of infusion chairs. What would help is the split dosing and on the longer term, the availability of a subcutaneous formulation. We expect the COLUMBA trial to read out in the first half of next year, which is one of the next key milestones for the company and for MM patients..
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21/11 16:16 af Sukkeralf |
Jan could you give us your expectations for OS benefit in the Pollux and MAIA studies - it should mature and improve over time right ?
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21/11 16:17 af Jan Van de Winkel |
The next update on POLLUX is scheduled for ASH, so we very much look forward to the PFS and OS updates. For MAIA we should also expect relevant updates on both during the Late Breaker presentation on 4 December...
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21/11 16:18 af Jan Van de Winkel |
And you are correct, responses get deeper and deeper in time and deep MRD negativity appears to correlate well with better survival..
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21/11 16:19 af peter12 |
Will dara in first line be an competitive alternative for transplant eligible patients ?
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21/11 16:20 af Jan Van de Winkel |
We expect data from the CASSIOPEIA study to be published in the coming time. We continue to be impressed by the strength of the data, which will have an impact on the treatment of MM patients eligible for stem cell transplantation..
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21/11 16:21 af Bulder |
About sc dara: Will home administration by a nurse be possible? And will self administration be possible - like insulin injections?
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21/11 16:22 af Jan Van de Winkel |
We believe that a nurse or other healthcare professional will be essential to inject the SubCu Daratumumab formulation, because of the high amount of protein..
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21/11 16:23 af Darvin |
DARA. Viewed over a two-year period, Darzalex is clearly cheaper than, for example, Pomalyst. Except for infusion time, what risk does Genmab see as No. 1 not to be chosen as primary 1 line treatment. if approved.
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21/11 16:25 af Jan Van de Winkel |
The data so far for Daratumumab is highly compelling for any combination of medicines. In addition, what is important is that by 2022, both Velcade and Revlimid will be generic in the US, which will likely make these medicines more appealing to be combined with Daratumumab in frontline therapy...
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21/11 16:26 af Jan Van de Winkel |
We very much look forward to an update on the ph2 GRIFFIN study at ASH and for the full data of GRIFFIN in the first half of 2019, which could further impact the treatment landscape in frontline MM, exciting times..
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21/11 16:28 af Davor |
If you are pursing approval under RTOR: Would it be possible to shed some light on what kind of timelines you could be looking at for MAIA approval?
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21/11 16:28 af Jan Van de Winkel |
We cannot comment on the details of a potential filing, but we expect Janssen to submit the MAIA data to the regulatory authorities, and we very much hope that this will lead to a speedy regulatory approval so that patients that are newly diagnosed will soon get the option to be treated with Daratumumab and Revlimid..
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21/11 16:29 af Raffles |
The JnJ-study of DARA in Solid Tumors was shot down earlier this year however it seems that the BMS-study (Nivolumab combined with DARA) is continuing with study status in October being “Active, not recruiting”. So BMS have not encountered the same problems as JnJ? When do you expect data readout from the BMS study?
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21/11 16:31 af Jan Van de Winkel |
What we know from the Janssen lung cancer study is that there are no safety issues combining Daratumumab with Tecentriq, but that the study lacked signals of better responses in the combination...
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21/11 16:32 af Jan Van de Winkel |
BMS is continuing to run studies that also include combinations of Daratumumab and Opdivo and we understand that this arm is not currently recruiting patients (whereas other arms are recruiting). It is up to BMS to provide further information on results from their combination studies..
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21/11 16:32 af Raffles |
It has been mentioned that DARA has very good effect in AL Amyloidosis (even better effect than in MM!). When do you expect to be able to share some data from the ongoing phase III-study and when could this reach the market?
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21/11 16:34 af Jan Van de Winkel |
There will be an update on Amyloidosis with Daratumumab at ASH. The Ph 3 study is still recruiting patients, so a bit too early to predict the exact timelines for data and commercialisation..
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21/11 16:34 af Darvin |
A question about Tisotumab. Recently, Genmab has talked about high expectations for Pancreatic (Pancreatic Cancer) - perhaps greater than Cervical. Can you tell us something new here, including Whether the topic of possible bleeding has been clarified.
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21/11 16:35 af Jan Van de Winkel |
We are currently Tisotumab Vedotin in pancreatic cancer (as one of the 4 solid tumors) in a Ph2 study run by Seattle Genetics. This study is progressing well...
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21/11 16:37 af Jan Van de Winkel |
We remain highly enthusiastic on the potential of Tisotumab Vedotin to treat pancreatic cancer based on very strong preclinical data in a number of solid tumor models performed at Genmab. In addition, we have not run into bleeding as a significant safety issue in well over 150 patients treated with TV..
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21/11 16:37 af Bulder |
The new phase 3 study Perseus runs until 2029. Can we expect a filing for approval of D-VRd asct after read out of data from the phase 2 Griffin?
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21/11 16:39 af Jan Van de Winkel |
The GRIFFIN study is a Ph 2 study for which the data will become available in the first half of 2019. These data can then be published in a peer reviewed scientific journal and may well be included in the compendium guidelines. This could make the combination of DARA with VRD reimbursible in the US market...
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21/11 16:40 af Jan Van de Winkel |
Both Dara VRD Ph 3 studies that are soon initiated have interim analysis which could make an earlier read out possible..
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21/11 16:40 af Solsen |
Dear Mr Winkel. MDS and RA are two potential large markets for Dara. But we havent seen clinical trials which could lead to registration. Can you give us an update on the targets and the plans with dara ?
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21/11 16:41 af Jan Van de Winkel |
Dara is actively studied in MDS and several other hematological tumors...
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21/11 16:42 af Jan Van de Winkel |
Janssen is also evaluating Daratumumab in healthy volunteers in order for them to make decisions to study the usage of the antibody in autoimmune diseases like RA, SLE etc..
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