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Regulardoc

07/26/11 9:41 AM

#123939 RE: ciotera #123935

If I can add on...any idea what these numbers would be if one "backed -out" price increases? TEVA has not been shy about raising prices significantly for the last several years. I am guessing that a lot of the "growth" is not organic or increase in usage, but primarily related to higher pricing.

Thanks
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DewDiligence

07/26/11 1:43 PM

#123950 RE: ciotera #123935

what was the original reasoning for comparing/contrasting Tysabri vs. Copaxone? Why not think of Copaxone within the usual ABCR competitive basket?

Tysabri was considered a bigger threat to Copaxone than the interferon drugs were. The interferons, as a group, have been steadily losing share in the US market.

Do you expect Copaxone to post as impressive of a growth rate?

Adjusted for inventory stocking (which causes moderate swings from quarter to quarter) Copaxone sales in the US market will probably continue to grow at a nice clip due to price increases. The price increases will likely continue until NVS/MNTA launch their generic.

I suspect it's losing more patients to Gilenya.

Please see the chart in my next post. Regards, Dew
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DewDiligence

07/26/11 1:58 PM

#123951 RE: ciotera #123935

How does Gilenya affect Copaxone?

According to NVS’ 2Q11 CC, 55% of US Gilenya patients were previously
taking no drug for MS, and 45% of Gilenya patients switched from another
drug. Of the 45% who switched, ~38% (i.e. 17% of US Gilenya patients)
switched from Copaxone, as can be seen from the chart below. Thus, each
US patient start on Gilenya is subtracting 0.17 from the number of
patients taking Copaxone
. This number increased from NVS’ estimate
of 0.125-0.15 patients six months ago (#msg-59293907).



Source: http://www.novartis.com/downloads/investors/event-calendar/2011/2011-07-novartis-q2-presentation.pdf (slide #39)