Giovanni Caforio - Chief Operating Officer and CEO-designate
Management
Sure. Thank you, Gregg. Good morning. This is Giovanni. Let me just answer the Opdivo question first, and then I'll go to Eliquis. With respect to Opdivo, as we mentioned earlier, we were approved in lung cancer, squamous second-line lung cancer, at the beginning of March. We had obviously ensured that despite the very rapid regulatory review, that our teams were fully resourced and ready to launch. We were ready to launch right away. We actually started treating patients within 48 hours. I think what has happened since launch is very encouraging and reinforces our belief in the potential of Opdivo in lung cancer. We've seen, at this point, virtually 100% access with no barriers within approved indications by any payers. We've seen a lot of interest in our data, and we are seeing a rapid increase in penetration in both the academic institutions and the community. One of the things that we look at is, as a leading indicator of performance, is really how our trialists grow. And we are seeing week over week a really good trend in terms of trialists. With respect to our performance, I would also say we are really looking at what we call the dynamic segment in terms of new patients coming on therapy. And we're very pleased that we are actually at this point at approximately a 50% share in value of the PD-1 market right now. To your question regarding usage beyond the label, all I can say obviously is we are promoting within our two labeled and approved indications, and we are seeing that approximately 75% of claims are really in label with respect to the totality of our business at this point. So what we are seeing really reinforces our belief that the data is very strong. There is a lot of interest in it. Obviously we think survival data and the ability to promote a Phase III randomized trial with survival data, which is clearly a hard endpoint, resonates extremely well with providers and payers. And to Eliquis, let me just echo your comments: The performance is very strong. We had a really good quarter. We had a good quarter in the U.S., where we continue to see growth in both our TRx share and our new-to-brand prescription share. We were able to grow both TRx and NBRx by approximately 20% in the quarter compared to other brands, which declined during the same period. And we also saw really good performance internationally with Japan, Germany, and all key markets in Europe. Eliquis is a very important asset for us. It is growing to be a really important product. And obviously, as you know, cardiovascular is one of our priority areas. We have a number of early programs in cardiovascular disease. We actually, as Charlie mentioned, signed an agreement with uniQure, which has a potential target in heart failure. So Eliquis is one product, but we are committed to the area.