Earnings Labs

AbbVie Inc. (ABBV)

Q2 2017 Earnings Call· Fri, Jul 28, 2017

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Transcript

Operator

Operator

Good morning and thank you for standing by. Welcome to the AbbVie Second Quarter 2017 Earnings Conference Call. All participants will be able to listen only until the question-and-answer portion of this call. [Operation Instructions] At the request of the company, today's conference is being recorded. [Operator Instructions] I would now like to introduce Ms. Liz Shea, Vice President of Investor Relations. You may begin.

Elizabeth Shea - AbbVie, Inc.

Analyst · Goldman Sachs

Good morning and thank you for joining us. Also on the call with me today are Rick Gonzalez, Chairman of the Board and Chief Executive Officer; Michael Severino, Executive Vice President of Research & Development and Chief Scientific Officer; and Bill Chase, Executive Vice President of Finance and Chief Financial Officer. Before we get started, I want to remind you that some statements made today are or may be considered forward-looking statements for purposes of the Private Securities Litigation Reform Act of 1995. AbbVie cautions that these forward-looking statements are subject to risks and uncertainties that may cause actual results to differ materially from those indicated in the forward-looking statements. Additional information about the factors that may affect AbbVie's operations is included in our 2016 Annual Report on Form 10-K and in our other SEC filings. AbbVie undertakes no obligation to release publicly any revisions to forward-looking statements as a result of subsequent events or developments, except as required by law. On today's conference call, as in the past, non-GAAP financial measures will be used to help investors understand AbbVie's ongoing business performance. These non-GAAP financial measures are reconciled with comparable GAAP financial measures in our earnings release and regulatory filings from today, which can be found on our website. Following our prepared remarks, we'll take your questions. So with that, I'll now turn the call over to Rick.

Richard A. Gonzalez - AbbVie, Inc.

Analyst · Goldman Sachs

Thank you, Liz. Good morning, everyone, and thank you for joining us today. AbbVie delivered another strong quarter, with adjusted earnings per share of $1.42, up 12.7% versus last year and exceeding our guidance range. Our results included strong top-line performance, with global operational sales growth of 8.9%. HUMIRA continues to drive outstanding performance, with nearly 15% operational growth in the quarter, despite the introduction of new mechanisms of action and competition from indirect biosimilars. In the U.S., HUMIRA grew 18%, reflecting robust underlying demand, including low double-digit prescription volume growth. Internationally, operational sales growth was over 9%, driven by strong market demand. We continue to be pleased with the robust growth and strong market trends we're seeing across therapeutic categories and geographies. Another major growth driver for our business is IMBRUVICA, which continues to drive strong momentum and strong growth. In the second quarter, global IMBRUVICA sales were $626 million, an increase of more than 42% over the prior year. We continue to make significant progress establishing IMBRUVICA as standard of care in several hematological cancers. In CLL, our largest single indication, IMBRUVICA is the market share leader in first-line patients, with new patient market share of 24% and total patient market share of 33%. In second-line CLL, IMBRUVICA is now used in more than 70% of patients under treatment. We're also making good progress in other areas. We expect to receive approval soon of our sixth indication, chronic graft-versus-host-disease, demonstrating IMBRUVICA's broad utility across a wide range of serious conditions. Based on the significant long-term potential of IMBRUVICA, we've recently launched a dedicated sales team focused specifically on NHL indications. We're also seeing good progress with the launch of VENCLEXTA in our initial indication, relapsed/refractory CLL patients with the 17p deletion. We're tracking against our objective to achieve…

Michael E. Severino, M.D. - AbbVie, Inc.

Analyst · Goldman Sachs

Thank you, Rick. As Rick just noted, 2017 marks a milestone-filled year for AbbVie's pipeline, with a dozen pivotal trial readouts and several planned regulatory submissions or approvals. We've continued to make significant pipeline progress over the past quarter. This morning, I'll highlight recent pipeline updates and discuss key milestones we anticipate for the remainder of the year. In the area of immunology, we continue to make good progress advancing our two very promising late-stage assets, upadacitinib and risankizumab. Both of these assets have the potential to significantly advance standard of care in a number of immune-mediated conditions. Upadacitinib, also known as ABT-494, has produced encouraging mid and late-stage data in rheumatology and gastroenterology. We believe our once-daily oral highly-selective JAK1 inhibitor has the potential to provide best-in-class efficacy with a favorable safety profile in RA and provide strong activity in a very competitive profile in psoriatic arthritis, Crohn's disease and ulcerative colitis. In the quarter, we reported top-line results from the first of our registrational trials for upadacitinib, the SELECT-NEXT study. In this study, which evaluated patients who did not respond adequately to conventional DMARDs, both doses of upadacitinib met all primary and key secondary endpoints. Furthermore, upadacitinib drove very high responses at the ACR20 level, but, more importantly, it drove strong levels of response on more stringent endpoints, such as ACR50, ACR70, low disease activity and DAS remission. We're also very encouraged by the DAS responses we saw, where nearly half of the patients studied achieved low disease activity in both dose groups, and approximately 30% achieved DAS remission with just 12 weeks of treatment. Upadacitinib's efficacy in this population compares favorably to other selective JAK inhibitors in Phase 3 development. And we think this drug has the potential to offer meaningful advantages over products on the market…

William J. Chase - AbbVie, Inc.

Analyst · UBS. Your line's open

Thanks, Mike. We are very pleased with our second quarter performance. Total net revenues were $6.9 billion, up 8.9% operationally, excluding a 90 basis point unfavorable impact from foreign exchange. We reported adjusted earnings per share of $1.42, up 12.7% compared to the second quarter of 2016 and exceeding our guidance for the quarter. HUMIRA had another outstanding quarter, with global sales of $4.7 billion, up 14.9% operationally. This performance is reflective of continued strong demand, despite increasing competition from new classes of drugs as well as anti-TNF biosimilars. In the U.S., HUMIRA sales increased 18% compared to the prior year, driven by low double-digit prescription growth plus price. Wholesaler inventory levels were below half a month, as is our standard practice. HUMIRA's growth continues to be fueled by robust demand across all three segments, rheum, gastro and derm, and market share remains stable despite competitive dynamics. Internationally, HUMIRA had an exceptional quarter, with operational sales growth of 9.1%. This performance was driven by market growth as well as tender timing, which contributed nearly 2 percentage points to operational sales growth in the quarter. Global IMBRUVICA net revenues in the second quarter were $626 million, up more than 42% over the second quarter of last year. Robust sales in the U.S., which totaled $528 million in the quarter, were driven by our strong market positions in CLL as well as other indications, including mantle cell lymphoma, Waldenström's and relapsed/refractory marginal zone lymphoma, which was approved earlier this year. Global Viekira sales in the quarter were $225 million, down versus the prior year. In the coming weeks, we expect U.S. and European regulatory decisions for our next-generation HCV treatment, MAVIRET. Based on the timing of reimbursement decisions outside the U.S. and managed-care contracting cycles in the U.S., we expect to see…

Elizabeth Shea - AbbVie, Inc.

Analyst · Goldman Sachs

Thanks, Bill. We'll now open the call for questions. Operator, let's take the first question, please?

Operator

Operator

Thank you. Our first question comes from Jami Rubin of Goldman Sachs. Your line is open. Jami Rubin - Goldman Sachs & Co. LLC: Thank you. I just had a couple of pipeline-related questions. Michael, maybe for you, there seemed to be emerging questions about the safety of JAK inhibitors due to DVT and PE issues, which seem to have hobbled the baricitinib application at the FDA. In addition, we understand there is an upcoming panel meeting on XELJANZ on psoriatic arthritis, and maybe the issue relates to DVTs that were seen in post-marketing studies. So I'm just wondering what you can tell us in terms of the safety profile of ABT-494 related to DVT and PE issues. I know in sort of searching through the clinical database and there's not a lot of data yet, but we didn't see any information related to platelets. I'm wondering if that means anything. And then secondly, we did see a drop in hemoglobin seen in Phase 2 and just wondering if that could be related to anemia or any suggestions of off-target JAK2 inhibitor side effects, so if you could kind of put that into perspective. And then just lastly, on risankizumab and positioning of that relative to ABT-494, there are other IL-23 drugs, specifically guselkumab, that have just been launched. And I'm just wondering if you could talk about how you see the relative positioning of both risa (25:13) as well as ABT-494, particularly in GI, where both drugs seem to show very compelling profiles, and maybe if you could talk about those drugs, specifically risankizumab relative to other IL-23s that are also entering the market. Thanks very much.

Michael E. Severino, M.D. - AbbVie, Inc.

Analyst · Goldman Sachs

Okay, Jami. Well, thanks very much for that question. I'll try to take these one at a time. So with respect to the safety profile of our agent, upadacitinib, and DVTs and PEs, the short answer is we've looked. And we don't see anything that we'd consider a signal or rates that exceed expected background. But maybe to fully answer your question, it would be helpful to take a step back from for a moment and think about what we know and what we don't know. So based on Lilly's recent statements, we know that questions around DVT and PE appear to be the driver behind their CRL and that that concern seems to be driven by an imbalance during the placebo-controlled portion of their studies. We also know that RA patients are at increased risk of DVT and PE, and that these events are observed in virtually all Phase 3 programs in RA, regardless of the mechanism of action. And as you point out, we also know that there have been a number, I think, it's something like 18, post-marketing reports of PE with XELJANZ. Since RA patients are at an increased risk and XELJANZ has been on the market for several years, I don't think that that is necessary surprising. When you think about what we don't know, there are a number of things in that column. For starters, we don't know whether bari [baricitinib] does, in fact, increase risk. Here, the FDA has just asked for more data. We also don't know the detailed data that Lilly and the FDA are looking at. For example, what's the total number of cases, including not only the placebo-controlled portions but also the open-label periods? What are rates overall and are they increased? What's the nature of the cases? Is…

Richard A. Gonzalez - AbbVie, Inc.

Analyst · Goldman Sachs

Sure. Hi, Jami. I think if you step back and you think about what we're trying to accomplish in this particular area, obviously, we have a leadership position in immunology. We've been working on this strategy for a number of years now. Our goal was to bring forward a set of agents that we thought could restate standard of care in all the areas that we had a leadership position in. From the very beginning, we didn't believe that there was one mechanism of action that was likely to be able to do that, so we pursued multiple mechanisms of action. And now we have two assets that we believe can give us coverage with a differentiated profile within those areas. So if you think about the three major areas, RA, psoriasis and IBD, certainly as we look at 494 [ABT-494] and the data that we've seen thus far, we believe it fundamentally will have a differentiated profile, in particular in the TNF-inadequate responder population. We're excited and interested in what that data will look like and encouraged that we think that, that will be a profile that will be differentiated in the marketplace. And so, we think 494 is clearly the asset that will be our RA asset. In psoriasis, certainly the IL-23 risankizumab is certainly demonstrated in the Phase 2 studies, a significant differentiation versus other agents that are out there. And I'll have Mike talk specifically about the data here in a moment. So that's certainly the asset that we're targeting there. In IBD, these patients tend to rotate through therapies, because they do lose effect over time. And both of these agents, I think in our early data, it would suggest to us, we'll have good activity in IBD. And I think our strategy, although we…

Michael E. Severino, M.D. - AbbVie, Inc.

Analyst · Goldman Sachs

Certainly. So, as Rick mentioned, it's really the data that's going to drive the positioning. And we're very fortunate to have demonstrated very strong data from both of these programs. If you look at upadacitinib, we've seen get very good responses in Phase 2 and also in the first Phase 3 study, SELECT-NEXT, that we've top-lined. What we're particularly encouraged is the ability to drive responses at higher levels. And so that's getting patients to DAS, low disease activity DAS remission, for example. And we've seen very good performance out of both of our dose levels at those more stringent measures. We've also designed a very broad and very robust, very comprehensive Phase 3 program for upadacitinib in RA that will provide a lot of data and give a lot of time on drug so that we can very well characterize both the benefit and the risk profile of those agents. So I think the program that we've designed is going to be a real strength. We've seen good response in upadacitinib in other indications, as Rick mentioned, like inflammatory bowel diseases, where there's a real unmet medical need and so the breadth of that program, I think, will be very beneficial. If we move our attention to IL-23 and risankizumab, there are other agents in this class and it is a competitive space, but we were particularly struck with the Phase 2b data that we saw for risankizumab. We're driving very, very high levels of response and very high levels of response at a PASI 100 level, for example, that really are the best that have been seen in this field. And we did a head to head in Phase 2 and drove PASI 100 levels that were roughly double that of currently available agents. So I think those data are very strong. And when you couple that with the fact that we're able to achieve quarterly dosing and very durable responses, which have been a problem with past agents in psoriasis, I think that all shapes up to be a very strong profile. And, of course, risankizumab also provides strong data. We presented data in IBD at the DDW meeting, which showed very good responses in Phase 2. And we're moving forward with a very broad program for risankizumab as well.

Elizabeth Shea - AbbVie, Inc.

Analyst · Goldman Sachs

Thanks, Jami. Operator, we'll take the next question, please.

Operator

Operator

Our next question comes from Jeff Holford of Jefferies. Your line's open.

Jeffrey Holford - Jefferies LLC

Analyst · Jefferies. Your line's open

Hi, thanks very much for taking my questions. Firstly, I wonder if you can give us an update on your thoughts as to the extent of excess cash generation over the next few years. I know we've been talking about that recently, and just how you're thinking about now prioritizing that between dividends, share repurchases, and M&A? I wonder if then also, you might like to comment on Hep-C and how you're going to try and approach that from a commercial standpoint in the U.S. You've talked about wanting to look at more open formularies, I think, going forward, but what's the chance of you actually achieving this and do you think that price will have to be part of the implicit offering there? Thank you.

Richard A. Gonzalez - AbbVie, Inc.

Analyst · Jefferies. Your line's open

Okay. Jeff, this is Rick. You know, I think on cash generation, obviously, we have a business that generates significant cash flow and that cash flow is only going to grow over time. I think the distribution of that and the priorities are consistent with how we've operated in the past. Certainly, our first priority is always reinvesting back in the business. And, obviously, we've done some significant acquisitions with Pharmacyclics, Stemcentrx and others. Risankizumab is a good example of other assets that we then license, so that's always a priority. Having said that, I would say that over the course of the last four years or so, we have filled out a lot of the major gaps that we had in our therapeutic strategies and we're looking more now for individual assets, rather than larger platform kinds of plays, but that's always the first priority. The second priority is we're committed to the dividend. We're committed to a growing dividend. I think we've demonstrated that with our actions going forward across the last four years. And then as far as repurchase, today, we obviously look at share repurchase, which we've done a significant amount even outside of that related to M&A, as a more opportunistic strategy. When we have excess U.S. cash, we tend to deploy it in that fashion. You commented on there's been a lot of discussion around it. I think if there were tax reform and we had greater access to our offshore cash in a cost effective way, then that would open up different opportunities for us to be able to deploy further cash, because I think our cash generation would certainly exceed what we would view as our need to be able to redeploy it back in the business. But we'll have to see…

Jeffrey Holford - Jefferies LLC

Analyst · Jefferies. Your line's open

And just last quick add-on, if I can, on the pricing of Rova-T, there's a lot of pushback from investors on the sort of prices you might be able to charge for the two doses, especially in third-line small cell lung. Can you just give us any updated thoughts there on what kind of ballpark we should be in for modeling purposes? Thank you.

Richard A. Gonzalez - AbbVie, Inc.

Analyst · Jefferies. Your line's open

Yeah. Well, I mean I think for our modeling purposes, during the acquisition we used pricing that was typical of a proprietary oncology agent. I don't believe there's anything in our data that has changed our mind around that. Certainly, what's going to be the most important thing is the data that we see come out of the trials and that will dictate I think the adoption of the agent to a much greater extent than the pricing. This is a pretty devastating disease, where there really aren't many options for these patients. And if Rova-T shows what we think it will show, I think this will be an excellent opportunity to be able to provide those patients with a therapy that isn't available today that gives them an opportunity to have a significant clinical improvement. And I think that will drive the adoption more than the price point.

Jeffrey Holford - Jefferies LLC

Analyst · Jefferies. Your line's open

Thank you.

Elizabeth Shea - AbbVie, Inc.

Analyst · Jefferies. Your line's open

Thanks, Jeff. Operator, we'll take the next question, please.

Operator

Operator

Our next question comes from Chris Schott of JPMorgan. Your line's open.

Christopher T. Schott - JPMorgan Securities LLC

Analyst · JPMorgan. Your line's open

Great, thanks very much for the questions; just two, both on HUMIRA. Maybe first EU biosimilar landscape, it seems like REMICADE is starting to get hit pretty hard. Can you maybe just compare and contrast how you see HUMIRA dynamics playing out as we look out to 2019 versus what we're seeing from Merck over the last few years and quarters here? My second question is just interested if you could share any high level comments on HUMIRA as we kind of think out to 2018 formulary and maybe pricing outlook. I believe if I go back to the 3Q 2016 call, you had mentioned you'd completed some negotiations for 2017 as well as 2018 season. It was basically business as usual with regards to HUMIRA. I just wonder is that view changed at all at this point? Are you still kind of seeing business as usual as we think about formulary positioning, et cetera, going forward? Thank you.

Richard A. Gonzalez - AbbVie, Inc.

Analyst · JPMorgan. Your line's open

Okay. So, Chris, this is Rick. On the formulary front, you are correct. We obviously negotiated a number of contracts that were both 2017 and 2018. We never disclose, nor would we disclose, what percentage of the contracting falls into that category. But we are now in active negotiations for the remaining contracts in 2018. And I would tell you nothing is fundamentally changed as it relates to the access that we have assumed or the pricing of the asset or any of the aspects from a standpoint of managed care contracting. So you shouldn't assume any significant difference in any of our activities as it relates to formulary access or the structure of that access as well. As far as EU biosimilars, we obviously track it carefully. I wouldn't say it's my view that there's been a dramatic change in either REMICADE or ENBREL. The pricing has continued in the range that we've talked about in the past. If you look at their overall market share position, it obviously varies by country. And there are some countries where they have heavy penetration. But overall, the REMICADE biosimilar, the last data I looked at, a few weeks ago, would suggest that they have about 6% market share, and the ENBREL biosimilar, something less than 4%, 3.5%, 3.6%, something like that, was the last data I saw. If you look at it versus the brand, they're still in an area that's relatively modest. And the price erosion is pretty consistent with what we've expected, where you see in these tender countries, obviously, very high discounting, and, obviously, in some cases, a significant conversion to the biosimilar. The Nordics are a good example of that. But when you look at many of the major European countries, they have relatively modest up-take, and they have pricing in that 35% kind of range from a discounting standpoint. So I think it's relatively consistent with what we've seen and what we've been modeling for quite some time. And so it gives us continued confidence that our strategy, when that occurs, is one that should be highly effective.

Elizabeth Shea - AbbVie, Inc.

Analyst · JPMorgan. Your line's open

Thanks, Chris. Operator, we'll take the next question.

Operator

Operator

Our next question comes from Marc Goodman of UBS. Your line's open.

Marc Goodman - UBS Securities LLC

Analyst · UBS. Your line's open

Yes, morning. Two questions first. Can you talk about the gross margin? It seemed to be pretty strong in the quarter. I know you mentioned for the full year, but just talk about the quarter specifically? And then second, can you give us an update on Stemcentrx non-Rova-T activity? What's going on there? Thanks.

William J. Chase - AbbVie, Inc.

Analyst · UBS. Your line's open

So, Marc, yeah, it was a nice quarter for gross margin. We've gone back and looked. Historically, Q2 does run a little stronger than the rest of the year. That's a function of product mix, to a certain extent. But that said, we continue to make pretty nice progress on this line, even in the face of the partnership accounting. If you back out partnership accounting, we are probably up about 120 basis points. Yeah, I think the main drivers, about a third of that was a favorable impact of exchange. But that still left 80 basis points to the good, and that was really a mix of product mix as well as just cost efficiencies.

Michael E. Severino, M.D. - AbbVie, Inc.

Analyst · UBS. Your line's open

And this is Mike. With respect to the Stemcentrx pipeline beyond Rova-T, we continue to make very, very good progress. And one of the things that was really attractive about Stemcentrx was that it not only brought a lead asset, but it had a discovery platform that we thought we could capitalize and accelerate our presence in solid tumors. And we're seeing that play out. The scientific team there has been very productive. They've worked well with the broader scientific team at AbbVie. Our strengths really complement each other. We're driving that platform forward rapidly. We have a number of programs in the clinic, and we have a number of programs in late preclinical development, poised to enter early clinical development. And we could introduce as many as three to four programs a year into the clinic over the next couple of years from that platform, as we said in other settings. We're still tracking very well against that goal, and we feel good about the progress we're making.

Elizabeth Shea - AbbVie, Inc.

Analyst · UBS. Your line's open

Thanks, Marc. Operator, we'll take the next question, please.

Operator

Operator

Our next question comes from Umer Raffat of Evercore. Your line's open.

Umer Raffat - Evercore Group LLC

Analyst · Evercore. Your line's open

Hi, guys. Thanks for taking my question. I had a couple, if I may. First, just to follow up on the ABT-494 question, can you just remind us exactly the number of cases of thromboembolic events you've seen either completed or in ongoing trials on a blinded basis, number one? And then secondly, just wanted to focus on HUMIRA, the recent news on the judge for the District Court trial, could that have an impact on the actual trial date versus Amgen? And then, also, Rick, you mentioned there's no significant difference in Managed Care contracting for 2018 for HUMIRA, but would you continue to expect the same pricing tailwind? And the reason I ask is I just find the dynamic around your key competitors on fake TNFs (50:31) not getting much price tailwinds lately. Thank you very much.

Michael E. Severino, M.D. - AbbVie, Inc.

Analyst · Evercore. Your line's open

Okay. This is Mike. With respect to 494, what we've reported so far is from Phase 2. And in Phase 2, there were two cases of PE that were in patients with a number of risk factors. One of those was a recurring case. Given the background rates that I talked about, it really isn't surprising to see a small number of cases like this, particularly in Phase 2, where the large majority of patients are on active drug. With respect to our ongoing trials, what we've said is that we're monitoring our data closely. We have a good understanding of the background rate, which is between about 0.3 and 0.8 events per 100 patient years, and we're not seeing anything that's elevated above that rate.

Richard A. Gonzalez - AbbVie, Inc.

Analyst · Evercore. Your line's open

Okay. This is Rick. Obviously, we haven't in the last year or so, talked much about the litigation strategy, for obvious reasons. We're in active litigation right now. I would tell you nothing has changed in the way of our assumptions around timing, but I probably won't comment much further than that, but I would tell you there's not any concern around a change in significant timing around the litigation timelines. As far as contracting is concerned, it's consistent with what I said to you a few moments ago. We don't see any significant change in the contacting strategy. And that would include what is common in this industry around price protection, which has some impact around your pricing. Having said that, I would say, as we did this year, we're going to be careful and conservative as we think about price going forward. And certainly, as we've looked at our longer range plan, historically, that's how we operated, but I'd say even in this last cycle, we have been even a little more conservative than we have been in the past because this has become such a heated topic in the U.S. But it's not a function of any things related to the contracting strategy. It's more a function of how we're trying to operate the business overall.

Umer Raffat - Evercore Group LLC

Analyst · Evercore. Your line's open

Thank you very much.

Elizabeth Shea - AbbVie, Inc.

Analyst · Evercore. Your line's open

Thanks, Omar. Operator, we'll take the next question, please.

Operator

Operator

Our next question comes from Geoff Porges of Leerink Partners. Your line's open.

Geoffrey C. Porges - Leerink Partners LLC

Analyst · Leerink Partners. Your line's open

Thank you very much for taking the question. Two quick questions, one, you have the rights to the Galapagos cystic fibrosis program and you haven't talked about that much on this call, certainly, and recently. I'm wondering how you view the recent announcements from the Vertex program and whether that's changed your appetite for investing in the Galapagos program and your expectations and when you expect to start Phase 3 for that program. And then a sort of left field question for you, Rick, you're the only CEO that AbbVie has had. Could you talk a little bit about your succession planning and timing and what the transition is likely to look like and when that might happen, because there's not a lot of history there, how AbbVie's handled that? Thanks.

Michael E. Severino, M.D. - AbbVie, Inc.

Analyst · Leerink Partners. Your line's open

Okay. This is Mike. I'll take CF first. You know, our CF program is a program that we feel very good about. It's still in early phase studies. And so for a company of our size, we don't always spend a lot of time talking about our very early phase work, but that doesn't mean that we're not excited about it. I think there's a real opportunity there. I think the target has a lot of the characteristics of things we're really good at doing, engineering very, very specific and high-quality small molecules together with our partner on this, Galapagos. I think there clearly is an unmet medical need. Obviously, there have been advancements in the field, and that's good for patients, but there's more room to go. And so we think that we can contribute there. With respect to the Vertex data, and the Vertex data are strong, but we expected those data to come out and we expected them to be strong. We still believe that there is headroom above that that can benefit patients, and we can help meet that need. It's our mid-phase trials that are going to provide that answer. And we and Galapagos are working diligently to move into that phase of development. With respect to Phase 3, I think it's a bit early to predict timing on Phase 3 right now.

Geoffrey C. Porges - Leerink Partners LLC

Analyst · Leerink Partners. Your line's open

Thank you.

Richard A. Gonzalez - AbbVie, Inc.

Analyst · Leerink Partners. Your line's open

Okay. This is Rick. I'll answer your second question. Yes, I've been the only CEO of AbbVie, but AbbVie is only 4.5 years old. So, I guess, that's not too unusual. In fact, I'd say, if there were more than one, that probably would be a sign of something different, right? But on a more serious note, I think as you look at succession planning, it's obviously a critical issue for a company of this size. We have a very good, high-quality board of seasoned executives at the board level. We take succession planning very seriously. I'd say we view it as an active process that we continue to work on. But certainly once a year at a particular board meeting, we dedicate a significant amount of time to succession planning. We have a succession plan in place for the company, as most companies of our size would have, that's a planned structure of both internal candidates that we have and the development of those internal candidates. Obviously, there are always opportunities to go outside if the board were to choose that. We obviously also have an emergency succession plan, if something were to happen that would require that. And we have identified individuals that we fundamentally believe would be appropriate for that. So I can tell you, the board takes it seriously. It is an active process that we use. And I think I won't speak for the board. But as Chairman of the Board, I would tell you it's a process that I feel very comfortable with. And I believe it's very appropriate for a company of our size.

Geoffrey C. Porges - Leerink Partners LLC

Analyst · Leerink Partners. Your line's open

Terrific. Thanks.

Elizabeth Shea - AbbVie, Inc.

Analyst · Leerink Partners. Your line's open

Thanks, Geoffrey. Operator, we'll take the next question, please.

Operator

Operator

Our next question comes from Geoff Meacham of Barclays. Your line's open.

Geoffrey Meacham - Barclays Capital, Inc.

Analyst · Barclays. Your line's open

Hey, guys. Thanks for the question. One for Mike, so elagolix, how meaningful is extension study data to the overall profile? Clearly, duration of therapy could be a big lever. Want to get your sense as to persistent compliance trends, pretty much throughout the program, and what you think that could mean to the real-world use. And then, bigger picture question for Rick, you guys have made a lot of pipeline progress and have a number of launches for next year. So I want to get your sense as to how that has changed your strategy, if at all, in biz-dev. I think the hiring of Henry [Gosebruch] a few years ago signaled an emphasis on deals, but we haven't seen much activity of late. Thank you.

Michael E. Severino, M.D. - AbbVie, Inc.

Analyst · Barclays. Your line's open

Okay. This is Mike. I'll start with the elagolix question and hand it over to Rick. We've designed a program for elagolix that is going to provide a very large and very comprehensive database to guide real-world use. We have the initial efficacy periods, and those results were very strong. We've reported them in other settings. We have extension periods, which, as you point out, could be very important for informing duration of use. And then we have off-treatment periods, so that we can look at a number of factors that we'd want to examine as patients roll off of this therapy. And the results we've seen in each phase are very, very strong. What I would say is there's a real unmet medical need here. There hasn't been any innovation in this space in decades. And women's treatment options are very, very limited, so oral contraceptives are used upfront. They provide some women relief. And that's good, but we know that many, many women don't achieve necessary relief. Beyond that, there's no disease-specific intervention until you get all the way to the other end of the spectrum, either putting a woman in menopause with LUPRON or surgical interventions. And in-between, the only thing that doctors can do is give pain medicines and basically treat this as a chronic pain condition. And we know that the pain is severe enough that a large number of women go on opioid pain medicines for this condition. And so we think that elagolix is really going to offer a compelling profile to these women. And what it offers is the ability to titrate suppression of the hormonal lapses. (59:21) Instead of just an on and off switch, we can achieve different levels of suppression. And we've seen that that translates into improvement in pain, improvement in symptoms on a number of measures and a very favorable safety profile. So we're looking forward to moving forward with the regulatory submission, which will be later on this quarter. And we think it's going to be a real advance in this field. With that, I'll hand it over to Rick.

Richard A. Gonzalez - AbbVie, Inc.

Analyst · Barclays. Your line's open

Well, as you pointed out, we have a number of launches, not just next year, but over the next several years. And it's really the evolution of our pipeline playing out. When we launched the company, we put major emphasis around building a pipeline that could sustain long-term top-tier growth and we've been working diligently to get that done. And I think you're starting to see now the evolution of that reach a point where we'll be launching a number of these products over time. I'd say as I look at our commercial organization, I think we have an outstanding commercial organization. And they've been preparing for many of these launches now for several years. We obviously do it in phases. You'll start to see us increase investment in certain areas to prepare for those launches. And I feel good about how we'll enter the marketplace with a number of these new drugs and the impact that we can have. As far as deals are concerned, what drives our deal decision-making is really built around the strategy for the business. Within each one of the verticals, we have a strategic set of objectives that we're trying to accomplish. And we basically apply our deal focus and our BD activity against that strategy. And so as I said earlier, we've obviously added a number of large platform plays to the business to build-out our oncology franchise, which was an important part of our strategy going forward for the business was to build another major growth platform in oncology. And I think as I look at IMBRUVICA and I look at the Pharmacyclics acquisition and I reflect on what we thought at the time we did it and I look at where we are now, I can tell you I'm very happy…

Geoffrey Meacham - Barclays Capital, Inc.

Analyst · Barclays. Your line's open

Got you. Okay. Thanks a lot.

Elizabeth Shea - AbbVie, Inc.

Analyst · Barclays. Your line's open

Thanks, Geoff. Operator, we'll take the next question, please.

Operator

Operator

Our next question comes from Gregg Gilbert of Deutsche Bank. Your line is now open.

Gregg Gilbert - Deutsche Bank Securities, Inc.

Analyst · Deutsche Bank. Your line is now open

Thanks. Rick, just to follow-up on those last thoughts there, you've been very clear about the types of things you're looking to do. But how open-minded are you, if at all, about the potential for the big M&A that could address concentration and also create meaningful cost efficiency, not something you've sort of led with in your discussions around BD, but gauging your open-mindedness. This industry seems to be ripe for some larger combinations. Secondly, can you remind us what your commercial infrastructure is for women's health and how you might need to tweak that ahead of elagolix? And lastly, with the recent sizable judgment on the Low-T case, can you comment on your thoughts on liability in that area for the company? Thanks.

Richard A. Gonzalez - AbbVie, Inc.

Analyst · Deutsche Bank. Your line is now open

Sure. Obviously, we look at all different kinds of things, but what I would tell you is if you look at our growth – certainly, if you look at our growth over the last several years, and if you look at our going forward projections for growth across our long-range plan, this is a company that has performed extremely well, and we expect it to continue to perform well. Concentration was something that we had looked at as part of our overall pipeline strategy. We will fundamentally deconcentrate the business as we add more products, more pipeline assets and grow those assets to a sizable level. And you can start to see some of that with IMBRUVICA. IMBRUVICA is obviously contributing significant growth and will continue to contribute significant growth. As some of the additional oncology and other assets move into the phase where they're launched and starting to have a significant impact, you'll see further deconcentration. Now, one of the challenges has obviously been – it's a good challenge to have. We continue to grow HUMIRA at a very robust rate. And we're certainly not going to do anything to slow the growth down to deconcentrate. But that's not a bad problem. That's a good problem. And I think as we look at our strategy going forward of how we'll defend HUMIRA in a biosimilar world, we feel very comfortable with what that looks like and our ability to be able to do that. So I would tell you big M&A is not something that we are considering. And that's not to say it would never ever happen, because you never know in this world, but the reality is that is not fundamental to our strategy. Our strategy was always built around building out a strong pipeline around the…

Gregg Gilbert - Deutsche Bank Securities, Inc.

Analyst · Deutsche Bank. Your line is now open

Thanks.

Elizabeth Shea - AbbVie, Inc.

Analyst · Deutsche Bank. Your line is now open

Thanks, Gregg. Operator, we'll take the next question, please.

Operator

Operator

Our next question comes from David Risinger of Morgan Stanley. Your line's open. David R. Risinger - Morgan Stanley & Co. LLC: Yes, hi. Thanks very much. I have two questions, one for Mike and one for Bill. So obviously, there have been a lot of questions about your JAK inhibitors PE and DVT rate, but when do you expect to publish percentages the way that we've seen for baricitinib? That was 0.47% and Galapagos was 0.16%. And then second, with respect to the timing for HUMIRA's gross margin to step up due to royalty reductions, Bill, I was just hoping that you could provide a little bit more color on that time. Thank you.

Michael E. Severino, M.D. - AbbVie, Inc.

Analyst · Morgan Stanley

Okay. So, this is Mike. I'll take the first question on upadacitinib and the rates of DVT and PE. So I think, as we've said, it's the overall rates that are really important. We continue to monitor those. We're well within that expected rate for the population. And, of course, one wouldn't expect to see something lower than the background rate for the population in any large clinical trials program. So when we have the aggregate data, we'll present the whole picture. And we'll show what those rates are. And we'll also show, at an appropriate time, the distribution in the control period. But really right now, we're very early on in un-blinding and reporting out our Phase 3 RA studies. With respect to those other rates, the rate that you quoted for Gilead, I think we'd have to really understand where that exposure comes from. Gilead is really just getting started in RA. Most of their data comes from Crohn's disease and other inflammatory bowel disease conditions, like UC, where the patient population's very different. They tend to be younger. The risk profile is different. So I think, at this stage, it's hard to use those benchmarks that you quoted as ranges. I think you have to look at the literature. You have to look at other sources of information. And we see a very, very consistent background rate of 0.3 to 0.8. You see that in the literature. We've done our own work in payer databases and we see that same rate. And we've seen that same rate across historical RA programs, regardless of mechanism of action. Some are ours. Some are other programs. So we think we have a really good handle on that rate. And what we're seeing right now is very, very consistent with nothing other than that background rate. When we have the data from our Phase 3 program, we'll present that whole picture.

William J. Chase - AbbVie, Inc.

Analyst · Morgan Stanley

Hi, David. The royalty burden really lifts in two different phases. The first third of it lifts at the very end of 2017, so you see a P&L impact in 2018. The other two-thirds lifts at the very end of 2018, so you see the P&L benefit in 2019. And then in terms of quantity to model, we have said that that burden is about 5% to 6% of global HUMIRA sales.

Elizabeth Shea - AbbVie, Inc.

Analyst · Morgan Stanley

Thanks, David. David R. Risinger - Morgan Stanley & Co. LLC: Thank you.

Elizabeth Shea - AbbVie, Inc.

Analyst · Morgan Stanley

Operator, we have time for one more question.

Operator

Operator

The next question comes from Vamil Divan of Credit Suisse. Your line is open. Vamil K. Divan - Credit Suisse Securities (USA) LLC: Great. Thanks so much for taking my questions, so just two, one, going back to the 494 and the anemia comment you talked about earlier. It tells me you're not too concerned based on the dosage you're using, but do you think the anemia could be an issue as you look at more the GI indications, where I think patients can have a little bit more underlying anemia? And then second on HUMIRA in the U.S. side with biosimilars, my question is regarding the U.S. REMICADE biosimilar, which is the second entrant there. I don't expect it to have any impact on HUMIRA, but we were a little bit surprised by the degree of the discount that Merck took, presumably to get good traction with payers. So my question is just were you surprised by that, a 35% discount off the WAC price, a pertinent number two biosimilar into the market. And do you think that's what we should expect sort of going forward, as I think about direct competition to HUMIRA? Thanks.

Michael E. Severino, M.D. - AbbVie, Inc.

Analyst · Credit Suisse

Okay. So this is Mike. I'll take that first one with respect to 494 and anemia. You know, as I mentioned, in Phase 2, we explored a very broad dose range, including doses above what we would expect, to study in either RA or other indications like inflammatory bowel diseases. At the doses we're studying, we're not seeing a problem with hemoglobin or anemia. And we, of course, have data, not only in RA, but we have mid-stage data in inflammatory bowel diseases, so we don't see anemia as being a problem across-the-board for that program.

Richard A. Gonzalez - AbbVie, Inc.

Analyst · Credit Suisse

Okay, and this is Rick. On the second question, the biosimilar question. Obviously, we are monitoring both the international activity here and the U.S. activity, not just in our particular categories, but in other categories as we look at biosimilars and how it plays out over time. I would tell you, frankly, I was a bit surprised, the market reaction about the 35%. If you look at all of the metrics in Europe, this is well within the range of what you would expect. I think it would be odd to think that a biosimilar could get much uptake in the marketplace with discounts that were significantly below this, because, remember, obviously, there are discounts applied to these products as part of either rebate structures or other discounts associated with them. So it's going to require a discount in this range to have any way to be able to compete. So I wouldn't say that discount is a surprise to me at all. Vamil K. Divan - Credit Suisse Securities (USA) LLC: Okay. All right. Thanks so much.

Elizabeth Shea - AbbVie, Inc.

Analyst · Credit Suisse

Thanks, Vamil.

Elizabeth Shea - AbbVie, Inc.

Analyst · Credit Suisse

Well, that concludes today's conference call. If you'd like to listen to a replay of the call, please visit our website at investors.AbbVie.com. Thanks again for joining us.

Operator

Operator

That concludes today's conference. Thank you for your participation and have a nice day.