FY2018
(Fiscal Year Ended March 31, 2019)
Financial Results Presentation
Eisai Co., Ltd.
May 13, 2019
Safe Harbor Statement
Forecast or target figures in this material are not official earnings guidance but represent midterm strategies, goals,
and visions. Official earnings guidance should be referred to in the disclosure of the annual financial report
(Consolidated Financial Statement) in accordance with the rules set by Tokyo Stock Exchange.
Materials and information provided during this presentation may contain so-called “forward-looking statements.”
These statements are based on current expectations, forecasts and assumptions that are subject to risks and
uncertainties that could cause actual outcomes and results to differ materially from these statements.
Risks and uncertainties include general industry and market conditions, and general domestic and international
economic conditions such as interest rate and currency exchange fluctuations. Risks and uncertainties particularly
apply with respect to product-related forward-looking statements. Product risks and uncertainties include, but are not
limited to, technological advances and patents attained by competitors; challenges inherent in new product
development, including completion of clinical trials; claims and concerns about product safety and efficacy;
regulatory agency examination periods and obtaining regulatory approvals; domestic and foreign healthcare
reforms; trends toward managed care and healthcare cost containment; and governmental laws and regulations
affecting domestic and foreign operations.
Furthermore, for products that are approved, there are manufacturing and marketing risks and uncertainties, which
include, but are not limited to, inability to build production capacity to meet demand, unavailability of raw materials,
and failure to gain market acceptance.
The Company cannot guarantee the actual outcomes and results for any forward-looking statements.
The Company disclaims any intention or obligation to update or revise any forward-looking statements whether as a
result of new information, future events or otherwise.
The English-language presentation was translated from the original Japanese-language version. In the event of any
inconsistency between the statements in the two versions, the statements in the Japanese-language version shall
prevail.
The Company discloses its consolidated financial statements according to the International Financial Reporting
Standards (IFRS).
1
FY2018 Consolidated Statement of Income (IFRS)
LENVIMA’s high potential blossomed globally and
contributed to the results
FY2017 FY2018
Results % Results % YoY
Revenue 600.1 100.0 642.8 100.0 107
Cost of sales 201.3 33.5 184.5 28.7 92
Gross profit 398.8 66.5 458.3 71.3 115
R&D expenses 139.6 23.3 144.8 22.5 104
Partners’ share of R&D expenses 158.5 26.4 191.3 29.8 121
SG&A expenses 183.9 30.6 228.2 35.5 124
Other income & expenses 1.8 0.3 0.9 0.1 47
Operating profit 77.2 12.9 86.2 13.4 112
Profit for the year 54.4 9.1 66.5 10.3 122 Profit for the year (Attributable to owners of the parent)
51.8 8.6 63.4 9.9 122
ROE (%) 8.8 10.4
Free cash flows*1 136.7 85.1
End of March 2018 End of March 2019
Net DER*2
- 0.27 - 0.32
Ratio of equity attributable to owners of
the parent (%) 56.6 58.6
(Billions of yen, %)
FY2018 average exchange rates: 1 USD: 110.90 yen (-0.0% YoY), 1 EUR: 128.40 yen (-1.0% YoY), 1 GBP: 145.67 yen (-0.9% YoY), 1 RMB: 16.53 yen (-1.3% YoY)
*1: Free cash flow = (Net cash from operating activities) – (Capital expenditures (cash basis))
(Note) Expenditures from purchases of financial assets and proceeds from sale and redemption of financial assets are included in the formula used to calculate capital expenditures.
*2: (Net DER)=("Interest-bearing debt" ("Bonds and borrowings") - "Cash and cash equivalents" - "Time deposits exceeding three months, etc.“ - “Investment securities held by the parent company") / "Equity
attributable to owners of the parent"
600.1
642.8
5,500
6,000
6,500
2017年度
売上収益
グローバル
ブランド
日本事業 中国・アジア レンビマ関連
受領金
Aloxiの減収 その他 2018年度
売上収益
(Billions of yen)
2
+28.9
+42.8 B yen
YoY
*1
+10.3 +4.9
+31.0 -37.8
+5.5
*2
<Factors for increase>
Divesture of Prialt
Divesture of Salagen
and Panretin
<Factors for increase> Milestone payments for the approvals of HCC*3
indication in US, EU and China 22.2 Milestone payment for the reimbursement
approval for HCC in EU 2.8 Lump sum payment for certain option rights 35.0 Sales-based milestone payment 5.5
<Factors for decrease> Upfront payment in FY2017 - 31.8 Milestone payment for the approval of HCC
indication in Japan in FY2017 - 2.7
Breakdown of Revenue Migration
Revenue increased through growth of global brands, business in Japan and
China/Asia, in addition to recognition of payments associated with LENVIMA
650
600
FY2017
Revenue FY2018
Revenue Global brands*1 Japan
business China and
Asia business*2
Decrease in
Aloxi
revenue
Others Recognition of
payments associated with
LENVIMA
650
550
* Figures shown in breakdown are approximate. *1: Revenue of LENVIMA, Halaven, Fycompa and BELVIQ, excluding revenue of Japan business
*2: Revenue of China and Asia and Latin America region, excluding revenue of global brands *3: Hepatocellular carcinoma
<Amount increased>
LENVIMA 23.4
Fycompa 3.4
Halaven 1.2
BELVIQ 0.9
<Factors for decrease>
Drug price revision
in Japan -18.2
<Factors for increase>
Growth of LENVIMA,
Humira, Lyrica and others
Return of marketing rights
for Lipacreon
3
77.2 86.2
0
500
1,000
2017年度営業利益 グローバルブランドの拡大 日本事業 中国・アジアの拡大 レンビマ受領金 研究開発費の増加 Aloxiの減益 その他の増減 2018年度営業利益
139.6 144.8
18.9
46.4 158.5
191.3
FY2017 FY2018
Partners' share of R&D cost
R&D cost+0.3 +8.1
+31.0 -5.3 -15.3
-32.4
+8.9B yen
YoY
Recognition of payments associated with LENVIMA
<Factors for increase>
Milestone payments for the approvals of
HCC*4
indication in US, EU and China 22.2
Milestone payment for the reimbursement
approval for HCC in EU 2.8
Lump sum payment for certain option
rights 35.0
Sales-based milestone payment 5.5
<Factors for increase>
Divesture of Prialt
Divesture of Salagen and Panretin
<Factors for decrease>
Profit sharing associated with strategic
partnership with Merck & Co., Inc.,
Kenilworth, N.J., U.S.A.
<Factors for decrease>
Upfront payment in FY2017 - 31.8
Milestone payment for the approval of
HCC indication in Japan in FY2017
- 2.7
FY2017
Operating profit
Global
brands*1
Japan
business
China and Asia
business*2
Decrease
in Aloxi
profit*3
Others FY2018
Operating profit
Recognition of payments
associated with LENVIMA
Increase in
R&D expenses
(Billions of yen)
100
50
(Reference)
R&D expenses inclusive of
partners’ share of cost (Billions of yen)
Breakdown of Operating Profit Migration
Operating profit increased through growth of global brands, business in Japan,
China and Asia, in addition to recognition of payments associated with LENVIMA,
and proactively invested in R&D through partnership model
* Figures shown in breakdown are approximate *1: Operating profit from LENVIMA, Halaven, Fycompa and BELVIQ, excluding profit of Japan business
*2: Operating profit from business in China, and Asia and Latin America, excluding profit of global brands *3: Operating profit of Aloxi *4: Hepatocellular carcinoma
4
Aim for Further Global Growth in FY2019
*1: Unresectable hepatocellular carcinoma *2: Transcatheter arterial chemoembolization
1.5 4.0 4.0 3.1
9.0 5.8
8.0
12.0
3.0
10.0
13.0
21.9
37.5
78.0
FY2017 results FY2018 results FY2019 forecast
Americas
Japan
EMEA
China
Asia and Latin America
Revenue of LENVIMA (Billions of yen)
116.0B yen (185% YoY)
62.6 B yen (194%YoY)
32.2 B yen
• Aim for expansion of share in countries where uHCC indication was approved, and high growth through expansion of newly approved countries and reimbursement
EMEA 12.0B yen (150% YoY)
• Aim to maximize contribution to patients in China, where the largest number of
patients diagnosed with uHCC are located
• Further maximize access after national reimbursement drug listing
• Leverage Patient Access Program in place to facilitate treatment initiation
China 9.0B yen (289% YoY)
• Seeking LENVIMA’s potential of conversion to curative treatment in
liver cancer, such as resection, radiofrequency ablation or TACE*2,
and aim to accelerate growth utilizing the reports from real world
setting in Japan
Japan 13.0B yen (131% YoY)
• Aim for expansion of share in multiple indications including 1st line
uHCC*1, and enormous growth through maximization of effect of
collaboration with Merck & Co., Inc., Kenilworth, N.J., U.S.A.
Americas 78.0B yen (208% YoY)
Aim for LENVIMA’s value maximization (revenue forecast of 116.0 B yen, 185% YoY) and
expansion of patient contribution, through further increase of collaboration in countries,
including countries where Merck & Co., Inc., Kenilworth, N.J., U.S.A. has more capabilities
5
Progress of Collaboration with
Merck & Co., Inc., Kenilworth, N.J., U.S.A.
Japan
Taiwan
South Korea
China Germany Austria UK US
Sales
force
January
2019
January
2019
January
2019
November
2018
November
2018
October
2018
November
2018
June 2018 (RCC*1)
August 2018 (HCC*2)
Medical October
2018
October
2018
October
2018
November
2018
October
2018
October
2018
November
2018
January
2019
YoY (Balance
from last
fiscal year)
333% (+7.0B yen)
735% (+0.4B yen)
211% (+0.2B yen)
- (+3.1B yen)
160% (+0.9B yen)
138% (+0.1B yen)
285% (+0.2B yen)
171% (+15.6B yen)
Collaboration has been initiated smoothly in major countries, earlier than original plan Achieved high growth in all countries where collaboration was initiated in FY2018
Both companies’ collaboration demonstrated at international conferences,
such as ASCO*3 and ESMO
*4
At ESMO 2018 MSD booth, clinical results of
LENVIMA was presented utilizing digital panels
At ASCO 2018 Eisai booth, collaboration for LENVIMA with Merck & Co., Inc., Kenilworth, N.J., U.S.A. was exhibited utilizing digital
panels and pipeline of combination therapy of LENVIMA and KEYTRUDA®*5 was also presented
Active collaboration on regional basis
China, Asia and Japan meeting
0
100
Q1 Q2 Q3 Q4 Q12 Q22 Q32 Q42
(Billions of yen)
Collaboration initiated in US
Collaboration initiated in Japan, EU, China
and Asia
Global revenue of LENVIMA
Execution of comprehensive
strategic collaboration
FY2017 FY2018
62.6 B yen of revenue in
FY2018
High growth of 194% YoY
achieved
*1: Renal cell carcinoma *2: Hepatocellular carcinoma *3: American Society of Clinical Oncology annual meeting 2018 *4: European Society for Medical Oncology annual meeting 2018 *5: Combination therapy of LENVIMA and KEYTRUDA® is investigational. Projects for LENVIMA are under joint development with Merck & Co., Inc., Kenilworth, N.J., U.S.A. KEYTRUDA® is a registered trademark of Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc., Kenilworth, N.J., U.S.A
10.0
Q1 Q2 Q3 Q4
Early establishment of strong collaboration on regional and global basis, effective and smooth initiation of
marketing and medical collaboration and excellent performance were achieved in FY2018
6
Inhibition of FGFR is important for activity as an immuno-modulator*4
LENVIMA’s immunomodulatory effect potentially enhances efficacy of IO treatment
FGFR
IFNγ
MHC*1
Cancer cell
1. Cytotoxic T cell activation by
decreasing rate of tumor
associated macrophage
2. Induction of PD-L1 expression by
re-activation of IFNγ signaling
pathway by inhibiting FGFR
Cytotoxic
T cells
Immune
suppressive
tumor associated
macrophage (TAM)
LENVIMA
LENVIMA Activation
Reinforce Immuno-Oncology (IO) (1)
Immune modulation through LENVIMA
All projects are investigational.
*1: Major histocompatibility complex *2: Interferon-gamma receptor *3: Suppressor of cytokine signaling
*4: American Association for Cancer Research (AACR) annual meeting 2019 Abstract no. 2242
Induction increase
SOCS*3
Activation
IFNγ pathway
Percentage decrease
Inhibit
binding
Anti PD-1 antibody (exert effect during induction of PD-L1)
Combination therapy with KEYTRUDA®
Interim analysis of Phase Ib/II Study*1 (Study 111) targeting 6 cancer types*2
■Renal cell carcinoma
■Melanoma
■Head and neck cancer
■Endometrial carcinoma
■Non-small cell lung cancer
■Urothelial cancer
Complete response in 8 patients
PD-L1 negative
7
All projects are investigational. Projects for LENVIMA are under joint development with Merck & Co., Inc., Kenilworth, N.J., U.S.A. KEYTRUDA® is a registered trademark of Merck Sharp & Dohme Corp., a subsidiary of Merck
& Co., Inc., Kenilworth, N.J., U.S.A. *1: Renal cell carcinoma (RCC), endometrial carcinoma, head and neck squamous cell carcinoma, urothelial carcinoma, non-small cell lung cancer (NSCLC) and melanoma *2: Presented at the 54th Annual Meeting of the American Society Of Clinical Oncology (ASCO), data cutoff were December 15, 2017 for endometrial carcinoma, and December 1, 2017 for RCC and head and neck squamous cell carcinoma. The most common TRAEs (any grade) for endometrial carcinoma were hypertension, fatigue, diarrhea, hypothyroidism, decreased appetite, nausea and stomatitis, and for head and neck squamous cell carcinoma, were fatigue, hypertension, diarrhea, decreased appetite, oropharyngeal pain and stomatitis. The most common AEs (any grade) for RCC were diarrhea, fatigue, hypothyroidism, stomatitis and nausea. Presented at The Society for Immunotherapy of Cancer's (SITC) 33rd Annual Meeting, data cutoff was March 1, 2018 for NSCLC, melanoma and urothelial carcinoma. The most common TRAEs (any grade) for NSCLC were decreased appetite, fatigue, hypothyroidism, diarrhea, proteinuria, arthralgia and hypertension, for melanoma were fatigue, decreased appetite, diarrhea, hypertension, dysphonia, nausea, arthralgia and proteinuria, and for urothelial cancer were proteinuria, diarrhea, hypertension, fatigue and hypothyroidism
Microsatellite stable
Tu
mo
r d
iam
ete
r ch
an
ge
rate
(%
)
Reinforce Immuno-Oncology (IO) (2)
Aim to realize the value for patients by attempting to expand potential of IO (Tumor response was observed regardless of PD-L1 and Microsatellite instability (MSI) status)
8
Hepatocellular carcinoma 1L Phase III initiated in December 2018
LEAP-002
Endometrial carcinoma 1L Phase III initiated in April 2019
LEAP-001
Melanoma 1L Phase III initiated in March 2019
LEAP-003
Melanoma 2L Phase II initiated in January 2019
LEAP-004
NSCLC*2 1L Non-squamous cell carcinoma
Combination with chemotherapy
Phase III initiated in March 2019
LEAP-006
NSCLC 1L PD-L1 positive
Phase III initiated in March 2019
LEAP-007
NSCLC 2L Submitted IND in December 2018
for Phase III
LEAP-008
Head and neck
cancer 1L
Basket trial in
multiple cancer types: Triple-negative breast cancer
Gastric cancer
Ovarian cancer
Colorectal cancer
Glioblastoma
Biliary tract cancers
Phase II initiated in February 2019
LEAP-005
Head and neck
cancer 2L
Urothelial carcinoma 1L Phase III initiated in May 2019
LEAP-011
Endometrial carcinoma 2L Phase III initiated in June 2018
Study 309
Renal cell carcinoma 1L Phase III initiated in October 2016
Study 307
Of the planned 13 studies for the combination therapy with KEYTRUDA®,
11 studies have been initiated/submitted IND*1, and the remaining 2 studies are
planned to be initiated within FY2019
All projects are investigational. KEYTRUDA® is a registered trademark of Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc., Kenilworth, N.J., U.S.A. Projects
for LENVIMA are under joint development with Merck & Co., Inc., Kenilworth, N.J., U.S.A. The LEAP studies are led and were submitted by Merck & Co., Inc., Kenilworth,
N.J., U.S.A. 1L: First line 2L: Second line. *1: Investigational New Drug *2: Non-small cell lung cancer *3: LEAP-005 is not included
Reinforce Immuno-Oncology (IO) (3)
Plan to conduct a total of 12 pivotal studies*3 concurrently in FY2019
9
Potential Conversion in Treatment From Japan*1
Potential conversion in treatment of unresectable hepatocellular carcinoma (uHCC)
with LENVIMA
Japan has world-class advanced treatment
technique for uHCC. Time from initial diagnosis
to death was longer in Japan compared with
other regions*2 (median, 79.6 months in Japan
vs 14.8–25.0 months in other regions)
As the pioneer in the world, Japan has
developed various standard of therapies for
uHCC such as TACE*3, ethanol injection,
HAIC*4 and MCT*5
Resectable Unresectable
Tumor shrinkage effect of LENVIMA in the real world setting
Tumor
Potential conversion to curative treatment Resection RFA*7
Selective TACE
Potential new treatment concept utilizing LENVIMA
is aiming for the conversion from non-curative to
curative treatment through tumor shrinkage, which
was observed in the real world setting in Japan*6
*1: Reports from real world setting in Japan *2: Kudo M et al: Liver international,36,1196-1205(2016) *3: Transcatheter arterial chemoembolization *4: Hepatic arterial infusion chemotherapy
*5: Microwave coagulation therapy *6: Dr. Masatoshi Kudo, Eisai Media/Investor Conference “Hepatocellular Carcinoma – Latest Trends in Diagnostics and Treatment” on September 18, 2018
*7: Radiofrequency ablation *8: Kudo M: EASL-International Liver Congress Symposium in Japan held on April 13, 2019 *9: Barcelona clinic liver cancer (BCLC) *10: Albumin-bilirubin score
Advanced treatment of uHCC in Japan Potential conversion in treatment of uHCC with
LENVIMA reported from Japan in the real world setting
Real world setting*8
Reference:
REFLECT Study BCLC
*9-B
ALBI*10
grade 1
BCLC-B or C
ALBI grade 1
Objective
response
rate (ORR)
80.9% Further increase
57.1% Increase
40.3%
Potential increase in chance of conversion
implicated through increase of ORR by
administration of LENVIMA at earlier timing of BCLC
Potential in conversion from uHCC to resectable HCC to further improvement of survival time.
Aim for potential innovative conversion of treatment by LENVIMA
10
Ten “Oncology Powerhouses” *1 including Eisai, possess a compound for
potential cancer treatment that has received more than
three Breakthrough Therapy designations*2
(first for Japanese company)
Aim to steadily achieve value maximization and patient contribution that were
aimed at the time of execution of collaboration agreement, through close and
active collaboration from operational to top management level.
A maximum of up to $5.76 billion USD of financial considerations can
potentially be received. $1.38 billion USD has been recognized at the end of
March 2019. In addition, recognition of a one-time $0.2 billion USD option
payment associated with certain option rights, regulatory milestone payment
and multiple sales-based milestone payments are expected in FY2019.
Aim for Higher Leap of LENVIMA
Projects for LENVIMA are under joint development with Merck & Co., Inc., Kenilworth, N.J., U.S.A. KEYTRUDA® is a registered trademark of Merck Sharp &
Dohme Corp., a subsidiary of Merck & Co., Inc., Kenilworth, N.J., U.S.A. *1: Based on internal research: Pfizer, AbbVie/Pharmacyclics, Novartis, Merck, Bristol-Myers Squibb, Loxo Oncology, Janssen, Roche/Genentech, Seattle Genetics *2: LENVIMA has received Breakthrough Therapy designations for following indications: second line renal cell carcinoma (RCC) in combination with everolimus (July 2015), first line RCC in combination with KEYTRUDA® (January 2018) and second line endometrial carcinoma in combination with KEYTRUDA® (July 2018)
11
Oncology Pipeline Focusing on Cancer Genomics
and Next-generation Immuno-Oncology (IO) Therapy
Eribulin liposomal formulation
E7389-LF
Next-generation drug improving tumor microenvironment
E7130*8
FGFR4 inhibitor
H3B-6527
SF3B1 modulator
H3B-8800
STING agonist
E7766
Phase I Phase II Phase III
Farletuzumab-eribulin
antibody-drug conjugate (ADC)
MORAb-202
ER alpha inhibitor
H3B-6545
LENVIMA
Eribulin platform
FGFR1,2,3 inhibitor
E7090
Immuno-modulator
All projects are investigational. KEYTRUDA® is a registered trademark of Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc., Kenilworth, N.J., U.S.A. Projects for LENVIMA are
under joint development with Merck & Co., Inc., Kenilworth, N.J., U.S.A. The LEAP studies are led and were submitted by Merck & Co., Inc., Kenilworth, N.J., U.S.A. 1L: First line, 2L: Second line
*1: Renal cell carcinoma, endometrial carcinoma, hepatocellular carcinoma, non-small cell lung cancer, melanoma and urothelial carcinoma
*2: Triple-negative breast cancer, gastric cancer, ovarian cancer, colorectal cancer, glioblastoma, biliary tract cancer *3: Under preparation for Phase I study
*4: Designation for the treatment of unresectable biliary tract cancer with FGFR2 gene fusion *5: Ministry of Health, Labour and Welfare *6: Phase I / II study ongoing
*7: Under development in collaboration with PRISM BioLab *8: Compound co-created with Harvard University
Cancer driver gene
Splicing platform
Breakthrough therapy designation from FDA
SAKIGAKE designation*4
from JAPAN MHLW*5
Renal cell carcinoma 2L combination with everolimus
Renal cell carcinoma 1L combination with KEYTRUDA®
Endometrial carcinoma 2L combination with KEYTRUDA®
Solid tumors
Solid tumors
Hepatocellular carcinoma
and others
Hematological malignancies
Solid tumors*3
Breast cancer*6
Basket trial*2
Biliary tract cancer and others
Combination therapy with KEYTRUDA® *1
CBP/Beta-catenin inhibitor
E7386*7 Solid tumors
Solid tumors
12
Selectivity of
BAN2401
Monomer Dimer Oligomer Protofibrils Amyloid plaque Fibril
A-beta
A-beta
aggregation
*1: Investigational. Antibody for Alzheimer’s disease produced as the result of a strategic research alliance between Eisai and BioArctic. Co-development with Biogen.
*2: Internal data: IC50 1.8nM *3 van Dyck. Biol Psychiatry. 2018;83:311
*4: mAb158 (the murine analog of BAN2401) data produced as the result of a strategic research alliance between Eisai and BioArctic. *5: PLoS ONE, 2012, 7, e32014
*6: Acta Neuropathol Commun 2013, 1, 60 *7: bioRxiv preprint first posted online Apr. 6, 2019; doi: http://dx.doi.org/10.1101/601492
Aim to Develop Potential World’s First
Disease-Modifying Treatment (DMT) for AD (1)
BAN2401*1
is an antibody, which has strong affinity and selectivity to protofibrils
BAN2401 is an antibody with selectivity to A-beta protofibrils,
developed by amyloid with the Arctic mutation
which produces a high amount of A-beta protofibrils
Characteristics of BAN2401
• Selectivity to aggregated A-beta species and low affinity for A-beta monomers
• Relative affinity to A-beta protofibrils*2,3
• 10 to 15 times more selectivity to A-beta protofibrils over A-beta fibril was observed*4
• A-beta protofibrils are among the most toxic A-beta aggregates*5
and are potentially
associated with neurodegeneration*6,7
Primary endpoint
• Change from baseline in CDR-SB at 18 months
Key secondary endpoints
• Changes from baseline at 18 months in: - Amyloid plaques levels, as measured by
PET - ADCOMS - ADAS-cog14
Biomarker endpoints
• Cerebrospinal fluid (CSF) biomarkers, such as A-beta 1-42, neurogranin, neurofilament light chain, t-tau, p-tau, and other biomarkers
• 1,566 subjects with early Alzheimer’s disease
- Mild cognitive impairment (MCI) due to
Alzheimer's disease or mild Alzheimer's
dementia
- Amyloid pathology confirmed
• Administration method:
10 mg/kg bi-weekly of BAN2401 (No titration)
and placebo in 1:1 ratio
13
Aim to Develop Potential World’s First
Disease-Modifying Treatment (DMT) for AD (2)
Clarity AD: Phase III study (Study 301) of BAN2401*1
*1: Investigational. Antibody for Alzheimer’s disease produced as the result of a strategic research alliance between Eisai and BioArctic. Co-development with Biogen.
*2: The sites which have expertise in AD field, accumulated experience for clinical studies for AD, and capability to enroll right patients
Population Endpoints
Initiated screening for patients who are qualified for the study protocol
after the completion of Quality Sites*2 selection
A single Phase III study is being initiated to support filing for BAN2401
Final readout of Primary endpoint targeted in Q1 FY2022
14
• 26% less decline in progression of disease over placebo was observed with CDR-SB
in Phase II study (Study 201) with 856 subjects and it suggested clinically meaningful
efficacy
• Phase III study (Clarity AD) is designed to show treatment efficacy with statistical
significance to set the number of enrollment to achieve sufficient study power in
CDR-SB as a Primary endpoint
• CDR-SB is widely used as a primary endpoint for Phase III studies in early AD
for its high sensitivity in early stage of AD and is believed to be a clinical
evaluation index to measure both cognitive functions and execution functions
• BAN2401* showed clinically meaningful results of less decline in clinical symptoms in
CDR-SB in Phase II study (Study 201)
• Clarity AD (Phase III study) is designed with the aim to verify clinical efficacy with statistical
significance in CDR-SB
• CDR-SB is widely used in Phase III study as a clinical evaluation index to measure disease
progression
Aim to Develop Potential World’s First
Disease-Modifying Treatment (DMT) for AD (3)
Clarity AD: CDR-SB as a primary endpoint
* Investigational. Antibody for Alzheimer’s disease produced as the result of a strategic research alliance between Eisai and BioArctic. Co-development with Biogen.
15
Aim to Develop Potential World’s First
Disease-Modifying Treatment (DMT) for AD (4)
Elenbecestat*
: Combine MISSION AD1, 2 into a single database
* Investigational. Co-development with Biogen.
Seek possibility of earlier submission with integrated analysis
and aim to increase probability of success with increased study power
Final readout of primary endpoint targeted in Q1 FY2021
• May potentially increase probability of success (sufficient study power) by leveraging
highly powered combined larger trial database
• Potentially enable to shorten the time for preparation of materials for submission by
combining into a single database
Protocol enhancement by combining MISSION AD1 and AD2
into a single database with approx. 2,100 subjects
16
Prevention Restorative
MCI Mild AD Moderate AD Severe AD Preclinical AD High risk
Bio
mark
er
Max.
Min.
Preemptive
A45 A3
Aim to Develop Potential World’s First Disease-Modifying
Treatment (DMT) for AD (5)
Initiative for Wider Scope Strategy
Two AD prevention studies (A3 study and A45 study*1
) planned by
Alzheimer’s Clinical Trials Consortium(ACTC)*2
A3 study A45 study
Ante-Amyloid Prevention in Alzheimer’s Disease Trial, a
primary prevention study aimed at preventing the initial
amyloid build-up in the brain with BACE inhibitor
administration
Individuals who have high risk of AD and are currently
amyloid negative and no cognitive impairment
Elenbecestat*4 (2 dosages)
Brain amyloid (Amyloid PET)
Brain tau pathology (Tau PET)
Clinical evaluation on cognitive function (PACC*6)
Preclinical AD study to mainly evaluate intervention with both anti-A-beta antibodies and BACE inhibitors to prevent cognitive decline
Clinically normal subjects (no/minor cognitive impairment) who have elevated levels of A-beta in brain and are at increased risk for progression to mild cognitive impairment and AD dementia
BAN2401*5,7 and elenbecestat
(Individuals will be treated first with BAN2401 to clear amyloid deposits and A-beta
protofibrils from the brain, after which they will be maintained on elenbecestat with
the aim of decreasing the production of A-beta and preventing the re-accumulation
of amyloid plaques and protofibrils)
Clinical evaluation on cognitive function (PACC) Brain amyloid (Amyloid PET) Brain tau pathology (Tau PET)
Amyloid PET CSF*3 tau Hypometabolism MRI Atrophy Cognitive impairment
Elenbecestat and BAN2401 were selected for prevention studies by ACTC, one of the world’s expert on AD
All projects are investigational. *1: A45 study is a modified A4 study, which evaluates the efficacy of anti-a-beta antibody (Anti-Amyloid Treatment in Asymptomatic Alzheimer’s
Disease Trial) by adding the treatment with BACE inhibitor *2: The ACTC, funded by the National Institute on Aging at the US National Institutes of Health (NIH), provides the
infrastructure for academic clinical trials in Alzheimer’s Disease and related dementias. The ACTC was established in December 2017 and includes 35 primary clinical sites
across the United States *3: Cerebrospinal fluid *4: Co-development with Biogen *5: The details for the study design are under planning *6: Preclinical Alzheimer Cognitive
Composite. *7: Antibody for Alzheimer’s disease produced as the result of a strategic research alliance between Eisai and BioArctic
Target
Agent
Endpoints*5
Target
Agent
Endpoints*5
Regenerative
Clarity AD
MISSION AD
Strengthen Capability to Develop Potential World’s First
Disease-Modifying Treatment (DMT) for AD and
Robust Pipeline Aiming at Wider Scope of Dementia
Discovery Phase I Phase II Phase III
PDE9 inhibitor
E2027 Dementia with Lewy bodies*7
Anti-tau antibody
E2814 Early AD*3
Synapse regenerant
E2511 AD
Synapse modulator
EphA4 Project*9 AD
Submission
Insomnia disorder, including older patients Dual orexin receptor antagonist
Lemborexant
Transformation of symptoms
Synaptic functional modulator with novel MOA
E2730 Epilepsy and other neurological disorders
*8
Next-generation AMPA receptor antagonist
E2082 Epilepsy and other neurological disorders*8
All projects are investigational *1: Irregular sleep-wake rhythm disorder associated with AD/dementia *2: Co-development with Biogen *3: Under preparation for clinical study
*4: The study targets individuals who are not turned brain A-beta positive level yet, but have higher risk to develop AD with further accumulation of brain A-beta and have
clinically normal cognitive function *5: The study targets individuals who are in brain A-beta positive level with high risk to advance disease progression to MCI or AD and
have clinically normal cognitive function, including no cognitive dysfunction at all or slight cognitive dysfunction
*6: Antibody for Alzheimer’s disease produced as the result of a strategic research alliance between Eisai and BioArctic
*7: Phase II/III ongoing *8: including dementia *9: Research at KAN Research Institute
Early AD BACE inhibitor
Elenbecestat*2
Early AD Anti-A-beta protofibrils antibody
BAN2401*2,6
Brain homeostasis
Proteinopathy
ISWRD*1
Preclinical AD*3,4,5
Preclinical AD*3,5
17
Business Model Transformation
Platform IoT
Regional collaboration Apps
Implementation
Data Science
Data Lake
Data Management
Algorithm
Japan, US, China ・・・
Data Driven Drug
Discovery and Development (5D)
Establish Dementia
Ecosystem globally
New Partnership for Data Platform
Collaboration with Allm Inc. and new establishment of a corporate venture investment business
within the framework of 15B yen
・・・
Establish data-driven business model under the 4th Industrial Revolution (4IR)
18
19
FY2018 FY2019
Results % Forecast % YoY
Revenue 642.8 100.0 680.0 100.0 106
Cost of sales 184.5 28.7 180.0 26.5 98
Gross profit 458.3 71.3 500.0 73.5 109
R&D expenses 144.8 22.5 154.5 22.7 107
SG&A expenses 228.2 35.5 245.0 36.0 107
Other income & expenses 0.9 0.1 2.5 0.4 289
Operating profit 86.2 13.4 103.0 15.1 120
Profit for the year 66.5 10.3 72.5 10.7 109 Profit for the year (attributable to owners of the parent) 63.4 9.9 72.0 10.6 114
EPS (yen) 221.3 251.3 114
ROE (%) 10.4 11.2
DOE (%) 7.0 6.7
Dividends per share (yen) 150 150
(Billions of yen, %)
Forecast for FY2019 (IFRS)
Development of potential disease modifying treatment (DMT) for AD,
Immuno-oncology (IO) and Data Driven Business Model
FY2018 average exchange rates: 1 USD: 110.90 yen, 1 EUR: 128.40 yen, 1 GBP: 145.67 yen, 1 RMB: 16.53 yen
FY2019 average exchange rates (forecast rate): 1 USD: 110 yen, 1 EUR: 125 yen, 1 GBP: 139 yen, 1 RMB: 16 yen
Reference Data
20
FY2017 FY2018
Results % Results % YoY
Japan*1 296.2 49.4 301.1 46.8 102
Americas*2 113.9 19.0 97.9 15.2 86
China 56.2 9.4 66.3 10.3 118
EMEA*3 44.3 7.4 49.8 7.7 112
Asia and Latin America*4 42.6 7.1 48.7 7.6 114
Pharmaceutical business
total 553.2 92.2 563.7 87.7 102
Other business*5 46.8 7.8 79.1 12.3 169
Consolidated revenue 600.1 100.0 642.8 100.0 107
Revenue by Reporting Segment
(Billions of yen, %)
21
*1: Primarily Prescription Medicines, Generics, OTC and others *2: North America *3: Europe, Middle East, Africa, Russia and Oceania
*4: Primarily South Korea, Taiwan, Hong Kong, India, ASEAN, Central and South America *5: “Other business” mainly includes license revenue and the pharmaceutical
ingredient business of the parent company. Recognition of payments from Merck & Co., Inc., Kenilworth, N.J., U.S.A. under the strategic collaboration for anticancer agent
Lenvima were included (34.5 billion yen in FY2017, 65.5 billion yen in FY2018).
Profit by Reporting Segment
FY2017 FY2018
Results % YoY Results % % of
revenue YoY
Japan 104.4 45.5 35.3 104.7 37.2 34.8 100
Americas 43.6 19.0 38.3 46.3 16.5 47.4 106
China 15.5 6.7 27.5 24.4 8.7 36.8 158
EMEA 15.4 6.7 34.9 19.7 7.0 39.7 128
Asia and Latin America 12.4 5.4 29.2 15.3 5.4 31.4 123
Pharmaceutical business
total 191.4 83.4 34.6 210.5 74.8 37.3 110
Other business 38.0 16.6 81.2 70.8 25.2 89.5 186
Reporting segment total 229.4 100.0 38.2 281.4 100.0 43.8 123
R&D expenses and
group headquarters’
management costs and
other expenses*
(152.2) (195.2)
Consolidated operating
profit 77.2 12.9 86.2 13.4 112
22
(Billions of yen, %)
* Includes the amount of profits and expenses shared with partners under strategic collaborations and the amount of shared profit for anticancer agent Lenvima paid by
Eisai to Merck & Co., Inc., Kenilworth, N.J., U.S.A. (23.9 billion yen in FY2018).
Revenue of Major Products
FY2017 FY2018
Results % Results % YoY
Lenvima 32.2 100.0 62.6 100.0 194 [195]
Japan 3.0 9.3 10.0 15.9 333 [333]
Americas 21.9 68.0 37.5 60.0 171 [171]
China 3.1 5.0
EMEA 5.8 18.1 8.0 12.8 137 [140]
Asia and Latin America 1.5 4.6 4.0 6.4 268 [273]
23
Halaven 39.9 100.0 41.3 100.0 104 [105]
Japan 9.3 23.2 9.4 22.8 102 [102]
Americas 15.7 39.4 16.4 39.8 105 [105]
EMEA 12.1 30.4 12.7 30.7 105 [107]
Asia and Latin Americas 2.8 7.0 2.7 6.6 99 [102]
Fycompa 14.7 100.0 19.3 100.0 132 [132]
Japan 1.7 11.7 3.0 15.3 172 [172]
America 6.9 47.1 9.3 48.2 135 [135]
EMEA 5.4 36.8 6.1 31.8 114 [116]
Asia and Latin America 0.6 4.4 0.9 4.6 139 [141]
(Billions of yen, %)
[ ] based on local currency
FY2017 FY2018
Results % Results % YoY
Revenue 296.2 100.0 301.1 100.0 102
Prescription medicines 246.7 83.3 251.6 83.6 102
Humira 43.4 14.6 46.9 15.6 108
Lyrica*1 26.5 9.0 28.3 9.4 107
Aricept 24.4 8.2 17.9 6.0 74
Methycobal 17.2 5.8 15.0 5.0 87
Pariet*2,3 17.2 5.8 12.9 4.3 75
Lunesta 10.2 3.4 11.2 3.7 110
Lenvima 3.0 1.0 10.0 3.3 333
Halaven 9.3 3.1 9.4 3.1 102
Treakisym 6.9 2.3 7.2 2.4 105
Elental*2 6.6 2.2 6.4 2.1 97
Warfarin 6.0 2.0 5.4 1.8 90
Livact*2 5.9 2.0 4.8 1.6 81
Fycompa 1.7 0.6 3.0 1.0 172
Generics 27.8 9.4 25.2 8.4 90
Consumer healthcare business 21.7 7.3 24.3 8.1 112
Segment profit 104.4 35.3 104.7 34.8 100
24
Performance of
Japan Pharmaceutical Business
(Billions of yen, %)
*1: Alliance revenue *2: EA Pharma product
*3: Includes sales of triple formulation Helicobacter pylori eradication packs, Rabecure Pack 400/800 and Rabefine Pack
FY2017 FY2018
Results % Results % YoY
Revenue 113.9 100.0 97.9 100.0 86 [86]
Lenvima 21.9 19.2 37.5 38.3 171 [171]
Banzel 16.6 14.5 17.5 17.9 106 [106]
Halaven 15.7 13.8 16.4 16.8 105 [105]
Fycompa 6.9 6.1 9.3 9.5 135 [135]
AcipHex 6.0 5.3 4.8 4.9 80 [80]
BELVIQ 3.6 3.1 3.9 4.0 110 [110]
Aloxi 39.6 34.7 1.7 1.8 4 [4]
Segment profit 43.6 38.3 46.3 47.4 106 [106]
25
[ ] based on local currency
(Billions of yen, %)
Performance of
Americas Pharmaceutical Business
FY2017 FY2018
Results % Results % YoY
Revenue 56.2 100.0 66.3 100.0 118 [119]
Methycobal 18.8 33.4 20.0 30.1 106 [108]
Stronger Neo-Minophagen C and
Glycyron Tablets 10.2 18.1 10.7 16.2 105 [107]
Aricept 7.5 13.4 9.3 14.1 124 [126]
Pariet 4.5 8.0 5.7 8.7 128 [130]
Lenvima 3.1 4.7
Segment profit 15.5 27.5 24.4 36.8 158 [160]
26
Performance of
China Pharmaceutical Business
(Billions of yen, %)
[ ] based on local currency
FY2017 FY2018
Results % Results % YoY
Revenue 44.3 100.0 49.8 100.0 112 [114]
Halaven 12.1 27.3 12.7 25.5 105 [107]
Lenvima / Kisplyx 5.8 13.1 8.0 16.0 137 [140]
Fycompa 5.4 12.2 6.1 12.3 114 [116]
Zebinix 4.9 11.0 5.8 11.6 118 [119]
Zonegran 4.4 9.9 4.1 8.2 93 [95]
Inovelon 2.3 5.1 2.4 4.7 104 [106]
Segment profit 15.4 34.9 19.7 39.7 128 [130]
27
(Billions of yen, %)
[ ] based on local currency
Performance of
EMEA Pharmaceutical Business
FY2017 FY2018
Results % Results % YoY
Revenue 42.6 100.0 48.7 100.0 114 [116]
Humira 11.6 27.1 13.0 26.7 112 [113]
Aricept 11.2 26.4 11.8 24.2 105 [106]
Lenvima 1.5 3.5 4.0 8.2 268 [273]
Pariet 3.9 9.1 3.9 8.0 101 [102]
Methycobal 3.1 7.2 3.2 6.5 103 [105]
Halaven 2.8 6.5 2.7 5.6 99 [102]
Fycompa 0.6 1.5 0.9 1.8 139 [141]
Segment profit 12.4 29.2 15.3 31.4 123 [122]
28
(Billions of yen, %)
[ ] based on local currency
Performance of Asia and Latin America
Pharmaceutical Business
85.1
43.0
FY2018 Free cash flow FY2018 dividend payment
FY2018
Net cash from
operating activities 103.7
Capital expenditures -18.7
Free cash flow 85.1
29
Enable investment
for future growth and
stable dividend
Net cash position
sustained as a principle Generated free cash flow to exceed
dividend payment*3
End of FY2018 Change from
end of FY2017
Interest-bearing debt 138.9 -34.2
Cash and securities 339.1 +8.6
Net cash*1
200.2 +42.9
Net DER*2 -0.32 -0.05
Equity attributable to
owners of the parent 628.1 +34.5
Ratio of equity attributable
to owners of the parent 58.6% +2.0%
Balance Sheet Cash Flow
*3
Strong Balance Sheet & Ample Cash Flow
to Support Investment in Future Growth and
Stable Dividend
(Billions of yen) (Billions of yen)
(Billions of yen)
*1: Net cash = Cash and securities (cash and cash equivalents + time deposits exceeding 3 months + parent company holding investment securities) – interest-bearing
debt (corporate bonds and loans) *2: Net Debt Equity Ratio (Net DER) = (Interest bearing debt (corporate bonds and loans) – cash and cash equivalents – time deposits
exceeding 3 months – parent company holding investment securities) / equity attributable to owners of the parent company
*3: Dividend per share subject to resolution of Board of Directors
Overview of BACE Inhibitor
Clinical Trial Designs
Study designs for Phase II and beyond in the chart above was created by Eisai based on the information on ClinicalTrials.gov as of January 7, 2019. All projects are investigational. *1: Merck announced discontinuation of APECS study on February 13, 2018 on their news release *2: Merck announced discontinuation of EPOCH study on February 14, 2017 on their news release *3: 60mg dose is only in Part I of study *4: Eli Lily and AstraZeneca announced discontinuation of AMARANTH and DAYBREAK-ALZ study on June 12, 2018 on their news releases *5: Janssen announced discontinuation of EARLY study on May 17, 2018 on their news release *6: Target population for this study is participants who are asymptomatic at risk for developing AD *7: Janssen announced their decision to stop dosing of patients in the atabecestat arm of the DIAN-TU study on July 18, 2018 on their news release *8: Target population for this trial is individuals at risk for or with a type of early onset Alzheimer's disease caused by a genetic mutation *9: CAD106 is active a-beta immunotherapy *10: Target population for this trial is people at the risk to develop clinical symptoms based on their age and genotype *11: Target population for this trial is people at risk for the onset of clinical symptoms of AD based on their age, ApoE genotype and elevated amyloid
Drug (Sponsor) Study name
(Stage)
Target population
(Estimated
Enrollment) Dosage Inclusion criteria (partial)
Efficacy measures
(Primary endpoints)
Elenbecestat
(Eisai, Biogen)
MISSION AD1 Early AD
50mg
Placebo
MMSE: ≧24, CDR: 0.5
CDR memory box ≧0.5,
Amyloid positive
CDR-SB
(24 months)
(Phase III) (1330)
MISSION AD2 Early AD
(Phase III) (1330)
Verubecestat (Merck Sharp & Dohme
Corp.)
APECS*1
(Phase III)
Prodromal AD
(1454)
12mg Diagnosis of prodromal AD (history of subjective memory
decline, does not meet criteria for dementia, Amyloid-beta
positive)
CDR-SB
(104 weeks) 40mg
Placebo
EPOCH*2
(Phase II/III)
Mild to moderate
AD (2211)
12mg Diagnosis of probable AD based on both NINCDS-ADRDA
criteria and DSM-IV-TR criteria for AD,
AD is of mild to moderate severity
ADAS-cog
(78 weeks)
ADCS-ADL
(78 weeks)
40mg
60mg*3
Placebo
Lanabecestat
(Eli Lilly)
AMARANTH*4
(Phase II/III) Early AD (7255)
20mg MMSE≧20, MCI due to AD,
Probable AD (NIA-AA)
ADAS-cog13
(104 week) 50mg
Placebo
DAYBREAK-ALZ*4
(Phase III)
Mild AD
(5697)
Lanabecestat
Placebo
MMSE: 20- 26, CDR: 0.5 or 1 and CDR memory box ≧0.5,
Probable AD dementia (NIA-AA)
ADAS-cog13
(78 weeks)
Atabecestat (Janssen Research &
Development, LLC)
EARLY*5
(Phase II/III)
Preclinical AD*6
(1650)
5mg
25mg
Placebo
CDR: 0, Amyloid-beta positive
(Participants 60-64 years age must also have 1 of PACC
(54 months) the following conditions; positive family history of dementia,
APOE ɛ4 genotype, or elevated amyloid accumulation)
Atabecestat (Washington University
School of Medicine)
DIAN-TU*7 (Phase II/III)
Preclinical AD*8
(438) 25mg
Placebo
Have an Alzheimer's disease-causing mutation or are unaware of their genetic status and have a 50% chance of
having ADAD mutation, cognitively normal or with mild cognitive impairment or mild dementia, CDR: 0-1
DIAN-TU cognitive composite score
(52, 104, 156, 208 weeks)
CNP520, CAD106*9 Generation S1 Preclinical AD*10 50mg MMSE≧24 Time to MCI due to
AD or dementia due
to AD, APCC
(60 months)
(Phase II/III) (1340) Placebo Homozygous APOE4 genotype
CNP-520
(Novartis)
Generation S2
(Phase II/III)
Preclinical AD*11
(2000)
15mg
50mg Placebo
Carrier of at least one APOE4 gene if Heterozygotes,
elevated brain amyloid (as measured by CSF A-beta or
amyloid PET imaging)
30
Overview of Anti-A-beta Antibody
Clinical Trial Designs
Drug
(Sponsor)
Study name
(Stage)
Target population
(Estimated enrollment) Dose
Inclusion criteria
(partial)
Efficacy measurement
(Primary endpoints)
BAN2401*1
(Eisai, Biogen) Clarity AD (Phase III)
Early AD
(1566) 10mg/kg biweekly
Placebo
MCI due to AD, mild AD (NIA-AA),
CDR: 0.5, CDR memory box ≧0.5,
Amyloid positive, MMSE≧22,
WMS-IV LMII: 1 SD below age-adjusted mean
CDR-SB
(18 months)
Aducanumab
(Biogen, Eisai)
ENGAGE (Phase III)*2 Early AD (1605) Low dose
High dose
Placebo
MCI due to AD or mild AD
CDR-Global Score: 0.5
MMSE≧24, Amyloid positive
CDR-SB
(78 weeks) EMERGE (Phase III)*2 Early AD (1605)
Gantenerumab
(Roche)
SCarlet RoAD*3,4
(Phase III)
Prodromal AD
(799)
105mg,
225mg,
Up to 1200mg
Placebo
MMSE≧24, Prodromal AD who are not receiving
memantine or cholinesterase inhibitors
CDR-SB
(104 weeks)
Marguerite RoAD*4
(Phase III) Mild AD (389)
Gantenerumab
Placebo
Clinical diagnosis of probable mild AD
(NINCDS/ADRDA), Amyloid-beta positive in CSF
ADAS-Cog13 (104 weeks),
ADCS-ADL (104 weeks)
Graduate I (Phase III) Early AD (760) Probable AD dementia or prodromal AD (NIA-AA),
Amyloid positive, MMSE≧22,
CDR-GS: 0.5 or 1.0
CDR-SB
(104 weeks) Graduate II (Phase III) Early AD (760)
Crenezumab
(Roche)
CREAD 1*5 (Phase III) Prodromal to mild AD
(813) Crenezumab
Placebo
MCI due to AD,
Probable AD dementia (NIA-AA), MMSE≧22,
CDR-GS 0.5 or 1.0, A-beta positive
CDR-SB
(105 weeks) CREAD 2*5 (Phase III) Prodromal to mild AD
(750)
Solanezumab
(Eli Lilly)
EXPEDITION3*6
(Phase III) Mild AD (2129) 400mg
Placebo
Probable AD (NINCDS/ADRDA)
Modified Hachinski Ischemia Scale≦4, MMSE: 20-26,
Geriatric Depression Scale≦6, Amyloid-beta positive
ADAS-Cog14
(80 weeks)
EXPEDITION PRO*7
(Phase III) Prodromal AD (26) Solanezumab
Placebo
Probable AD (IWG), MCI due to AD (NIA-AA), MoCA:
17-28, FCSRT (Picture version)<27,
Modified Hachinski Ischemia Scale: ≤4, FAQ>0,
Amyloid-beta positive
ADAS-Cog14
(24 months)
A4 (Phase III) Preclinical AD*8 (1150) Solanezumab
Placebo
MMSE≧25, CDR: 0, Logical Memory II score 6-18,
Amyloid positive
PACC
(240 weeks, 366 weeks)
Gantenerumab,
Solanezumab (Washington University
School of Medicine)
DIAN-TU (Phase II/III) Preclinical AD*9 (490) Gatenerumab
Solanezumab
Placebo
Have an Alzheimer's disease-causing mutation or are
unaware of their genetic status and have a 50%
chance of having ADAD mutation, Cognitively normal
or with mild cognitive impairment or mild dementia,
CDR: 0-1
DIAN-TU cognitive
composite score (52, 104,
156, and 208 weeks)
Study designs for Phase II and beyond in the chart above was created by Eisai based on the information on ClinicalTrials.gov as January 7, 2019. All projects are investigational. *1: Eisai licensed in from BioArctic. Eisai announced the initiation of open-label extension (OLE) study at FY2018 Q2 Earnings Presentation on November 1, 2018. *2: Biogen and Eisai announced discontinuation of ENGAGE and EMERGE study on March 21, 2019 on the news release *3: Roche announced discontinuation of SCarlet RoAD study on December 19, 2014 on their press release *4: FPI in OLE study was announced at Roche Nine Months 2016 Sales Conference Call on October 20, 2016 *5: Roche announced discontinuation of CREAD 1 and CREAD 2 study on January 30, 2019 on their press release *6:Eli Lilly announced that solanezumab did not meet the primary endpoint in EXPEDITION3 study on November 23, 2016 on their press release *7: Eli Lilly announced discontinuation of EXPEDITION-PRO study on January 31, 2017 at 2016 Q4 Earnings call *8: Target population for this trial is older individuals who may be at risk for memory loss *9: Target population for this trial is individuals at risk for or with a type of early onset Alzheimer's disease caused by a genetic mutation 31
Major A-beta Related AD Projects
Targeting the Progression of the Disease Stages
Solanezumab (LY2062430) Phase III (EXPEDITION3)*12
Crenezumab Phase III (CREAD 1)*11
Verubecestat Phase III (APECS)*3
Verubecestat Phase II/III (EPOCH)*4
Lanabecestat Phase II/III (AMARANTH*5)
Gantenerumab Phase III (SCarlet RoAD)*9,10
Elenbecestat*1
Phase III (MISSION AD1, AD2)
Gantenerumab Phase III (Marguerite RoAD)*10
Lanabecestat Phase III (DAYBREAK-ALZ*5)
Aducanumab*1, 7 Phase III (ENGAGE, EMERGE)
BAN2401*1, 6
Phase III (Clarity AD)
Atabecestat Phase II/III (EARLY)*2
BACE inhibitor
Anti-A-beta antibody
Solanezumab Phase III (A4)
Crenezumab Phase III (CREAD 2)*11
Preclinical AD Prodromal AD Mild AD
Moderate AD Severe AD
Gantenerumab, Solanezumab Phase II/III (DIAN-TU)
Early AD
CNP520, CAD106
Phase II/III (GENERATION S1)
CNP520 Phase II/III (GENERATION S2)
Gantenerumab Phase III (Graduate I&II)
Atabecestat Phase II/III (DIAN-TU)*8
Solanezumab (LY2062430) Phase III (EXPEDITION-PRO)*13
Study design for Phase II and beyond in the chart above is created by Eisai based on the information on ClinicalTrials.gov as of January 7, 2019. All projects are investigational. *1: Co-development with Biogen *2: Janssen announced discontinuation of EARLY study on May 17, 2018 on their news release *3: Merck announced discontinuation of APECS study on February 13, 2018 on their news release *4: Merck announced discontinuation of EPOCH study on February 14, 2017 on their news release *5: Eli Lily and AstraZeneca announced discontinuation of AMARANTH and DAYBREAK-ALZ study on of June 12, 2018 on their news releases *6: Licensed in from BioArctic. Eisai announced the initiation of open label extension (OLE) study at FY2018 Q2 Earnings Presentation on November 1 2018. *7: Biogen and Eisai announced discontinuation of ENGAGE and EMERGE study on March 21, 2019 on the news release *8: Janssen announced their decision to stop dosing of patients in the atabecestat arm of the DIAN-TU trial on July 18, 2018 on their news release *9: Roche announced discontinuation of SCarlet RoAD study on December 19, 2014 on their press release *10: Roche announced FPI in OLE study at Roche Nine Months 2016 Sales Conference Call on October 20, 2016 *11: Roche announced discontinuation of CREAD 1 and CREAD 2 study on January 30, 2019 on their press release *12: Eli Lilly announced that solanezumab did not meet the primary endpoint in the EXPEDITION3 study on November 23, 2016 on their press release. *13: Eli Lilly announced discontinuation of EXPEDITION-PRO study at 2016 Q4 earnings call on January 31, 2017
A-beta vaccine
Combination Study
32
Total 600 million USD (65.5 billion yen) in FY2018
200 million USD (22.0 billion yen*) +
recognition of milestone payments and others
Recognition of multiple
sales-based milestone
payments and
regulatory milestone
payment are expected
33
Milestone payment associated with
the reimbursement approval in EU
25 million USD
(2.8 billion yen)
Q2-3 FY2018 results FY2019 forecast
One-time option payment associated with certain
option rights 325 million USD (35.0 billion yen)
Sales-based milestone payment
anticipated when annual revenue
of 500 million USD is achieved
50 million USD
(5.5 billion yen)
Milestone payment associated with
the approvals of hepatocellular
carcinoma indication in the U.S.
125 million USD
(13.9 billion yen)
Milestone payment associated with
the approvals of hepatocellular
carcinoma indication in EU
50 million USD
(5.5 billion yen)
Milestone payment associated with
the approvals of hepatocellular
carcinoma indication in China
25 million USD
(2.8 billion yen)
Q4 FY2018 results
One-time option payment associated with certain
option rights 200 million USD (22.0 billion yen*)
*Calculation based on 1 USD=110 yen
Recognition of Payments from
Merck & Co., Inc., Kenilworth, N.J., U.S.A.