Operator
Operator
Hi, I would like to welcome everyone to the Biogen Idec fourth quarter and full year 2006 earnings call. All lines have been placed on mute to prevent any background noise. After the speakers' remarks, there will be a question and answer session. If you would like to ask a question during this time, simply press star and the number 1 on your telephone keypad. If you would like to withdraw your question, press star and the number 2 on your telephone keypad. Thank you. I will now turn the conference over to Miss Elizabeth Woo, Vice president of Investor Relations. You may begin your conference. Elizabeth Woo: Good morning everyone, thanks for joining us today. Welcome to Biogen Idec earnings conference call for the fourth quarter and year end 2006. Before we begin, I would urge everyone to go to the investor relations section of our website at biogenidec.com and print out the press release and the accompanying table. It'll make it easier to follow along when our CFO, Peter Kellogg reviews the financial results and the reconciliation to non-GAAP financial measures discussed today. We're continuing the practice we introduced during our third quarter conference call of posting slides in our website that follow the topics on the call today. I'll begin with the Safe Harbor statement. Comments made in this conference call include forward looking statements about the company's expectations regarding future financial results, including our financial guidance for 2007 and future growth rate, the launching potential of Tysabri in MS and Rituxan in RA, pricing and reimbursing for Tysabri, and plans for external growth and pipeline growth. Such statements are subject to risks and uncertainties which could cause actual results to differ materially. In particular, careful consideration should be given to the uncertainties that are described in the earnings release and in the risk factor section of the company's quarterly report on form 10Q, for the fiscal quarter ended September 30th 2006 and other periodic and current report Biogen Idec has filed with the securities and exchanges commission. The company does not undertake any obligation to publicly update any forward looking statements. On today's call, we have Jim Mullen, CEO of Biogen Idec, Bob Hamm, Senior Vice President, Neurology Business Unit and Peter Kellogg, CFO and Executive Vice President, Finance. I will now turn the call over to Jim. James C. Mullen: Thank you Elizabeth, thank you everyone for joining us this morning. This is the Q4 and full year earnings call. I want to put some context around the financial results and summarize the year that past as well as the year ahead. We made some nice progress on the court road, we saw regular approvals for Rituxan and rheumatoid arthritis in both the US and Europe, and I think the launch has been very successful and it also demonstrates our ability to rapidly and effectively build sales and infrastructure in the new special therapeutic area. In addition to that, we saw three new indications for Rituxan. As everyone on this call is I'm sure aware, Tysabri was re-introduced to the US, approved for the first time in the EU, and I'm particularly proud of the dedicated team effort to bring Tysabri back. In the unwavering belief by the team that patients deserve a more application option. And then finally, Avonex was introduced in Japan this year which is a part of our strategy to continue to increase our global footprint. We also had a very strong momentum in the business development area. This was easily the most productive year in business development in our history. This follows the late 2005 restructuring which gave us the flexibility for greater investment in external opportunities on our pipeline you'll see in the press release, and press releases throughout the year, but I'll highlight just the larger of those deals. So the acquisition of Primapharm and the acquisition of Conforma gave us the HSP90 platform licensing agreement with Mondobiotech and Aviptadil, licensing agreements and collaboration agreements with UCD and CDP323, which is an oral team inhibitor, the agreement with Alnylam which should work on JC virus and of course the acquisition of Syntonix which takes us into the hemophilia area. And of course with that and with the agreement with Mondobiotech we will enter into two more specialty areas. We also made significant pipeline progress in the last 12 months. Just to emphasis three press releases we recently put out on BG-12 starting phase 312 in MS. Galiximab started the registration trial Lumiliximab starting registration trials in COL. So those have begun, all three of those. And perhaps most importantly, we've added talent really throughout the organization. I'll just highlight two who I think you're all familiar with. David Parkinson, who is leading out the oncology therapeutic area, has responsibility for all the R&D programs in oncology. Cecil Pickett, who came to us as president of R&D, and I think that's significantly strengthens some of the senior leadership in our R&D area. Cecil will join us on the Q1 call and he will also host a R&D day on May 17th where we will take you all for a pipeline product by product in greatly more detail. I think 2005-2006 really demonstrated our ability as a company to navigate the choppy waters and still deliver long term financial results. You saw the 11% revenue growth in 2006, 43% expansion of EPS on non-GAAP basis, and 34% on GAAP basis. Good performance on Avonex and of Rituxan of 14%, and a strong launch in rheumatoid-arthritis and Rituxan. We are on track to achieve our 20% non-GAAP EPS compounded growth goal for the period 2006-2007. Through the end of 2006 we are at 23% compound and EPS growth and 13% on the revenue. So, Peter will walk you through guidance for 2007 after he discusses the financial results for 2006. And after a couple of choppy years, I think, we feel like we're right back on course. We’re on the market in the US and launching for the first time in Europe and I think you'll see from Peter's guidance, we're in good shape to hit our financial goals. I want to make a couple of comments around Tysabri before I turn the call over to Bob Hamm, who'll take you into a bit more details. We are as we turn over in the New Year, shipping the commercial focus to really begin spending time on the benefits. To take you back, the first phase of this launch, the first six months, were preparing the foundation, educating on the touch program in the US and discussing the new label and the risk issues both in the US and Europe. We have now initiated full force what we call phase two of the launch which is to emphasize and reinforce the efficacy message and continue to broaden up the use. And just to remind everybody, we continue to believe that Tysabri will equip all of the other MS therapies over time as there's still significant room for growth in this marketplace. The patients need more efficacy, they want fewer side effects and they desire less frequent dosing and Tysabri competing for all these needs. And as I'm sure you saw in the press release we're now approaching 10 000 patients on therapy. Furthermore we are looking into indications for Tysabri, and we'll continue to talk about that as the year goes on. Bob will fill you in on Tysabri and more of the details and metrics, and I know you're anxious to get to those metrics, but I want to read you excerpts from one letter I received which highlights the daily struggles of a MS patient and the quality of life benefits of Tysabri. And this letter was written by Doctor Macalusso, Dr. Macalusso is a treating neurologist and also an MS patient taking Tysabri. And I quote, and I'm excerpting in the interest of time, but I'm going to read three excerpts. "Tysabri has given me my life, many parts of my life back. It took away my daily headaches so now I can wholeheartedly look forward to tomorrow. It has reduced the swelling in my brain so now I can concentrate on what I want to do and not be bothered by the piece of paper that fell on the floor or the garbage truck that just passed while trying to read or write. I concentrate on the movie or TV show that I've been looking forward too and then be able to relate what I saw to someone with whom I want to share the happiness." It goes on the letter and a little bit further along he says: "While the battle has not ended, the foe has been greatly disabled. And here's were your drug goes beyond the patient, I can play with my kids when they want, not when the disease wants to let them, and now maybe I can count for a more complete father, husband and doctor alternative”. Bob Hamm: Thank you, Jim. I think it's important that before we get into the details on the metrics, to talk about what brought us to this point in time. And through the collaboration with the FDA, we established a touch program, embodying a risk map which was a complex and important tool to appropriately and systematically measure and understand Tysabri for the long term. To that end it was very important that we systematically and consistently deliver all the information regarding such a program. And so we assembled a small team from Elon and Biogen Idec that would systematically go out to all the major centers and roll out the touch program to ensure that consistency. So as we sit here today the initial roll out touch program has been completed for all the major centers and neurology practices representing more than 50% of the treated patients in the US which we believe to be a number of about 220,000 or so. It's important to note that despite the fact that it's merely two years, or will be two years and two weeks since we voluntarily suspended Tysabri, the fundamental market conditions have not changed. As Jim related, patients are still seeking alternative existing products in the market place. The returning act of quitting therapy created momentum for Tysabri which should continue throughout 2007. Patients are switching from all approved therapies. Recent US trends show Copaxone being cannibalized to the greatest extent. As a press release states, and Jim related, patients describe Tysabri as approaching 10,000 patients total. Almost 1,600 international patients are on therapy, nearly 5,000 patients on therapy in the US, and another 3,000 patients in the EU. Also, I want to add that a global run rate of a little over 300 patients being added per week has been going on. And this is a number we hope of course will increase with the number of countries with reimbursement and a number of physicians prescribing our products throughout 2007. So now I'll go into the metrics in a little more detail. Let's start with international. Nearly 1,600 patients are being treated internationally, Germany representing the majority with 75% or so of patients being treated. In Germany net new patients have risen more than 30% per week since January 1st. The Tysabri international launch began in July, 2006 in Germany and in Ireland. Launches initiated in nine international countries as of year-end 2006. Full reimbursement countries will likely roll out throughout the 2007 and into the 2008 time frame. Italy and Canada officially launched in January, Luxembourg and France are next countries to launch. In all, 15 EU countries will be launched by the end of the year. This should provide significant breadth and use of Tysabri that should grow throughout 2007 and into 2008. Another way to look at the international picture is to state that as of today we are currently able to access about half of the relapsed remaining population in the EU, Canada, and Australia. So of course we'll grow as the other countries come up. Turning to the US, as I've mentioned we have transitioned from the first days of the launch which was the systematic roll out of the touch program to ensure the physicians and patients were well informed about Tysabri. And by and large it has been very well received and very well executed. And so now we're in the second phase of the launch providing fair balance in discussing the advocacy of the product represented by two of the largest trials ever conducted in mass and contained in our label. Specific clinical results: two third relative reductions in relapse rate and 42% reduction in the risk of increased disability over two years. Our results for Tysabri have helped explain why so many people with MS and physicians who treat MS wanted Tysabri as an option for treatment. The relapse figure translates to an annual relapse rate of 0.23% which implies only one relapse for every four or five years. Another team metric is the MRI review and there we show 97% of patients had no relapsing at all for two years. With regard to safety as we've indicated previously, we intend to provide periodic updates at medical meetings and then a poster presentation in safety has been accepted for the American Academy Neurology Meeting which is occurring at the end of April and early May. Moving on to more US metrics now. Over 1,300 physicians have already submitted enrollment forms for their patients, representing nearly 8,000 patients. As mentioned, approximately 5,000 patients are currently being treated with Tysabri and over 700 infusion sites have infused patients. Approximately 30% of the patients are returning quitting patients. The remaining 70% are from existing therapies. Recent trends have indicated that show more patients moving from Glytimerastate than other products. The measured roll out over 2003 and 2004 in the US has produced a launch dynamic for uptake in momentum that had to build over several months while the entire roll out of activities was accomplished. And I'd like to add that despite the complexity and burden of the touch program, it has been largely well received and followed by physicians, people with MS, and other health care professionals who support MS treatment across the US. This means, of course, as we increase the number of prescribers and the breadth of the prescribing population, momentum in numbers will again grow in a corresponding fashion. And it can't be emphasized enough that the underlying market conditions have not fundamentally changed in the past two years. With more than 400,000 patients being treated today for MS and many thousands who have abandoned treatment for various reasons, it remains a broad interest by physicians and patients who are impressed by Tysabri's efficacy and convenient dosing regimen. And to emphasize again, reduction relapse by two thirds sustained over two years as demonstrated in clinical trials, 13 infusions per year versus more than 300 injections per year for some products makes it a very convenient choice for some patients. On the reimbursement front, 95% of private paid patients have good access to Tysabri. 40% of private payer patients require no prior usage. 55% of private payer patients require prior use of one agent a physician can access in those accounts. They typically need to write a letter of medical necessity, a little more work of course. But most payers would not push back if a doctor felt it was important enough to start a patient on Tysabri. Tysabri also has broad access within public payers. 100% Medicare patients have access to Tysabri per label. 88% of Medicaid patients have access with no prior usage or one prior agent. Given the importance of Tysabri in the MS world, it's clear the number of physicians in different therapeutic areas have interest in Tysabri's motive action beyond MS and trying to understand further Tysabri benefits. Specifically, the crone's regulatory process continues in Europe and the US. These discussions help guide us with agencies for future indications. You may recall that we filed for crone's in the US at the end of last year. The agency has recently advised us that the filing has been accepted. In MS, we also plan head to head trials and protocols that are being developed. And in Japan, we can expect to be dosing in clinical trial early in 2008. Furthermore, we are working with the launch to explore other indications such as Oncology. We're a team working with investigators who have expressed interest in pursuing Tysabri investigator sponsored trials as going on to Oncological indications for review. Turning to Avonex, Avonex recent report milestone in 2006, more than $1 billion in sales in the US, market leadership continues after more than ten years in the US. With over $1.7 billion in revenue, Avonex remains the global leader in revenue and patients on therapy. Avonex was approved for use in Japan. So the message remains clear: start with Avonex due to its launcher. And it's more than ten years as the number one product over wide. Turning to the MS future, as has already been said by Jim, there is a number of unanswered questions and needs in the market place that are not currently being met. One is the underlying biology and the need to look at more targeted efficacy for patients. Second are the less frequent dosing and more convenient dosing which Tysabri offers and other injectibles. Finally, the need for oral compounds, and then ultimately products and other approaches that would lead to repair of damage already incurred or restore function in patients. And from diagnoses of these resolutions, we are amassing the highest quality portfolio compounds to address each of these unmet needs. And so we start with the two approved products. Avonex beta-1a interferon which modulates the immune system and moving on is Tysabri which blocks immune cells moving from the bloodstream into tissues including across the blood-brain barrier. In development, we have a half a dozen compounds in various stages of development which I'd like to touch on briefly. AG12 oral compound is more convenient to modulate the immune system. That's just begun phase three trials. Rituxan antibody CD20, a marker on B cells, flags mature B cells for destruction. Proof of concept data was positive. Data is being presented at the AAN. Tykliziman antibody IO2 receptor thought to block activation T cells and may have other effects and evasive combination trial with interferons that's present. We will be looking at the data in the coming months. CDP323, another oral small molecule that targets cells for integrating validated pathway similar to Tysabri. It blocks migration of immune cells from bloodstream to tissues. We'll be starting phase two trials later this year. And finally, Lingo, an antibody to Lingo pathway, blocking the anitipatory lingo pathway, may allow remobilization of axons and also NoGo which is exploring protein therapeutics in the NoGo receptor pathway. The aim there is to block inhibitory activity of regeneration of neurons. So to summarize, we have today Avonex, which reduces relapses by a third. We have the number-one product for efficacy Tysabri, which reduces relapses by two-thirds. Both products also solve a progressive disability. And finally, we believe we have the best and broadest pipeline in MS compounds for the future. I will now turn it over to the Biogen Idec CEO, Peter Kellogg, to discuss the financials.