4502 武田薬 2019-11-15 20:00:00
PDT説明会(2019年11月15日コビントン開催)プレゼンテーション資料(2/4) [pdf]

Our strategy and targeted investments extend across the entire
value chain


     PLASMA SOURCING      MANUFACTURING         COMMERCIALIZATION




                       RESEARCH & DEVELOPMENT




14
     PLASMA SOURCING      MANUFACTURING         COMMERCIALIZATION




                       RESEARCH & DEVELOPMENT




15
BioLife, part of Takeda’s Plasma-Derived Therapies Business Unit,
is an industry leader in the sourcing of high-quality plasma


                    Broad global footprint                                                                                                                                                                Recognized expertise

         140+ collection centers across                                                                                                                                                      Trained medical staff at each center
         four countries                                                                                                                                                                      Dedicated quality, regulatory and
         Plasma sourced externally from eight                                                                                                                                                medical employees
         countries                                                                                                                                                                           Recognized safety and quality
         Three dedicated screening labs                                                                                                                                                      expertise, industry-leading standards




                    Fully compliant with requirements from:


16 Source: Takeda internal data. / MRB. The plasma protein market in the United States by company, 2018. / Bain & Co. Plasma donor survey 2015. / Takeda. Plasma-Derived Therapeutics. Pathogen Safety Monograph.
Our BioLife centers offer an exceptional donor experience

     Efficiency & convenience central to our
     approach
     • Repeat donors spend just ~1 hour at the center
     • Appointment-based process with digital scheduling


     Staff committed to the well-being of our donors


     Modern, high quality facilities, with
     free Wi-Fi and supervised children's playroom
     in certain centers


     Facilities designed for donor comfort
     and regulatory compliance

17
We are accelerating the rate of plasma collection and incrementally
increasing overall volume through third parties and acquisition

We are building momentum….
       Increased plasma volumes by approximately 20% in 2018
       Expanded European presence from 7 to 30 collection centers within past 12 months
       Completed 5 acquisitions in the past 12 months in US, Austria, Hungary and Czechia        We are accelerating
       Plan on opening a total of 19 additional new collection centers in fiscal year 2019     growth with the goal of
                                                                                             increasing plasma supply by


                                                                                                >65%
       Leveraging third party supply through long-term contracts
       Participating in contract agreements with governments



We will continue to focus on operational excellence                                             over the next 5 years

       Open collection sites faster
       Increase speed to peak collection volumes
       Create efficiency via new models and approaches


18 Source: Takeda internal data.
         We are further enhancing and digitalizing facilities and services
         to meet growing needs for the future
                                                        Improving the donor experience and
            Attracting new donors in the community        improving cost-per-liter through
                                                             omnichannel engagement
                Reaching new donors
                Increasing community engagement




                                                     Mobile                                   Website
                                                      App

                                                                           Donor

                                                              Scheduling             Information


                                                                           Payment

          19
FOR INTERNAL USE ONLY
         19
     PLASMA SOURCING      MANUFACTURING         COMMERCIALIZATION




                       RESEARCH & DEVELOPMENT




20
We have a world-leading plasma-derived therapies manufacturing
network in which we continue to significantly invest
                                               Covington, GA       8 STRATEGIC LOCATIONS
       Sanquin, NL        Vienna, Austria
                                                                   plus four strategic partners, allowing
                                               Round Lake, IL
                           Narita, Japan                           independent yet inter-related
     Lessines, Belgium
                                                                   manufacturing operations
        Pisa, Italy
                                               Halozyme, CA

                                              Los Angeles, CA
                                                                   INNOVATION MINDSET
        Rieti, Italy
                                                                   digitalization and constant drive for
                                            Baxter BioPharma, IN   excellence to accelerate supply to patients
      Kamada, Israel



                                                                   CONTINUED CAPACITY EXPANSION
                                                                   to increase production of our portfolio to
                                                                   meet market growth while driving
                                                                   efficiencies


                                                                   CONTINUALLY INVESTING
                                                                   in state-of-the-art facilities that meet
                                                                   the highest quality standards

          Takeda Mfg.
21
          External Mfg.
The global network builds on the strengths of each location while
leveraging operational excellence across the sites
 Mass Capture, Fractionation




      Los Angeles, USA      Rieti, Italy     Vienna, Austria    Sanquin, NL    Covington, USA



 Downstream Processing




     Lessines, Belgium   Covington, USA    Round Lake, USA     Pisa, Italy    Vienna, Austria



22
We're increasing production capacity by accelerating investment, while
further enhancing our quality standards

                   Investing in manufacturing capacity
     Continually investing in technologies and processes to maximize yield
       Higher yield, lower cost fractionation techniques
                                                                               We plan to increase our
       Analytics, automation and digitization to optimize network
                                                                             manufacturing capacity within
     Optimizing plasma efficiency through the value chain                      our existing network by


                                                                                  >65%
     Downstream optimization within broader Takeda manufacturing
     network


                   Capacity Expansion: 2018 – 2023 (projected)                   over the next 5 years

                                       >65%



                           2018                    2023



23
Takeda has world-class safety capabilities and an unsurpassed
reputation in both plasma donation and pathogen safety
                                 Donation safety standards
     Strict donation             Donation               Strong            Plasma screening,
       criteria and              frequency            inspection       inventory hold and look
      screening at              management              record             back procedure
        each visit                 system

             Every plasma donation screened for HIV, hepatitis A, B & C, parvo B19


                                Pathogen safety standards
     BioSafety Level 3+ Lab        Process sciences            Virology          Publication /
     Purpose-built, state-of-    Qualified models of all      Classical &        presentation
     the-art biocontainment       bioprocessing steps      molecular virology    Strong track
           laboratory                                       expertise and           record
                                                               capability
                       Dedicated virology expertise and capabilities



           40+ highly                   >50% with specialized             >200 years post-
          trained staff                      education                  graduate experience

24
     PLASMA SOURCING      MANUFACTURING         COMMERCIALIZATION




                       RESEARCH & DEVELOPMENT




25
Our broad and differentiated portfolio of plasma-derived therapies
treats rare and complex diseases worldwide




                                                                         ATIII




26   For illustrative purposes only, geographies and products do not correspond
Our two SCIG brands complement each other and address
different patient needs


                                                                                                                                          • Similar efficacy to IVIG and IV-like
                                                       • Well tolerated
                                                                                                                                            administration features
                                                       • Limited volumes (up to 60ml per
                                                                                                                                          • High volumes (up to 600ml per site) and
                                                         site) through frequent infusions
                                                                                                                                            monthly infusions (every 3-4 weeks)
                                                       • Ease of use/preparation
                                                                                                                                          • Improved Bioavailability vs cSCIG
        Key Features                                   • 2 or 4 infusion sites/needles
                                                                                                                                          • 1 or 2 infusion sites/needles


                                                                                                                                          •      PID, SID*
                                                       •      PID and SID*                                                                •      CIDP (regulatory approval decision
                                                                                                                                                 expected in 2023)
          Indications


                                                       •      Fast, regular infusions                                                     •      Less frequency, high volume
                                                       •      Daily to biweekly                                                           •      Monthly to biweekly
        For patients                                   •      Home setting                                                                •      Home or hospital setting
         who prefer

    Source: Borte, et al., Clin Exp Immunol. 2017 Jan;187(1):146-159. (doi: 10.1111/cei.12866) / Suez, et al., J Clin Immunol. 2016 Oct;36(7):700-12. (doi: 10.1007/s10875-016-0327-9) /
    CUVITRU SmPC. / Wasserman RL, et.al, J Allergy Clin Immunol. 2012 Oct;130(4):951-7. (doi: 10.1016/j.jaci.2012.06.021) / HyQvia SmPC. / Wasserman RL, et al., J Clin Immunol. 2016
    Aug;36(6):571-582. (doi: 10.1007/s10875-016-0298-x) / Clinical trials.gov with published study completion Dec 31 2021

    *SID not approved in the US. Only select SIDs are approved for the above-mentioned products: chronic lymphocytic leukemia, multiple myeloma and hematopoietic stem cell
27 transplantation.
Currently, global supply is not keeping up with demand for
IG therapies
                                                                                                                                                      STRONG & CONTINUED IG DEMAND
   The Global Polyvalent IG Market (IVIG/SCIG)                                                                                                        IG is increasingly recognized for its diverse
   from 2000 to 2016, with Projected Global Demand Through 2024
                                                                                                                                                      therapeutic value, and is expected to grow in
   Millions of grams
                                                                                                                                                      approved indications for a range of diseases
    300
                       Actual
    250                Estimate
                                                                                                                                                      MARKED BY SCIG GROWTH RATE
    200                                                                                                                                               SCIG market continues to drive IG growth
                                                                                                                                                      at CAGR of 20%
    150


    100
                                                                                                                                                              15%
                                                                                                                                                                                                                 30%
     50

                                                                                                                                                                            $12B                                                $20B
       0                                                                                                                                                                                                                        (2025)
                                                                                                                                                                            (2019)
             2000 2003 2005 2008 2010 2012 2014 2016 2018 2020 2022 2024

             Source: The Marketing Research Bureau, Inc. (Orange, CT)                                                                                                                          85%                                                70%


                                                                                                                                                                     IVIG           SCIG



    Source: 2016 WW MRB Report, 2017 US MRB Report / Berman. Plasma Fractionation: The Challenge of Keeping Pace with Global IG Demand / Chapel H, et al. Front Immunol 2014 Dec 15;5:627. / Jones G, et al. Front Immunol. 2018 Jul 2;9:1308. / PPTA. The PPTA vision on the
28 plasma protein therapies sector for the next decade in Europe. 10 April 2014
Takeda’s commitment during times of supply-demand imbalance is
to focus on sustainable patient care




     Consider the global    Support for those      Focus on existing     Partner to explore
        community          with highest need to    patients first and      and implement
                              gain treatment      responsibly pursue    policies and practices
                                                  new opportunities          that enable
                                                                         sustainable supply




29
Our goal is to continue to bring personalized, innovative, lifelong
care to as many people as possible throughout the patient journey

Diagnosis                                                                           Access
     Partnership with large hospital                                                  Sustainable pricing
     systems in the US to leverage                                                    Dedicated access support
     electronic medical records
                                                                                      Patient assistance programs
     Co-chairing the Global Commission
     to End the Diagnostic Odyssey for                                                Broad portfolio of products
     Children with Rare Disease
     Awareness campaigns
     Diagnostic test kits


                                         Personalized Care & Support
                                           Enhanced patient services
                                           Nurse training to support new patients
                                           Devices and delivery systems
30
We anticipate significant growth opportunities across our portfolio
                                                                                                                                                                                                                       Global plasma
                                                                                                                                                                                                      Takeda revenue    market size
                                                                    Example Takeda products                                                                                                              (OY, 2018)      (OY, 2018)


                      Immunoglobulin                                                                                                                                                                      ~2,870          ~12,500

      Last
      Liter

                      Albumin                                                                                                                                                                              ~580           ~5,000




                      Hemophilia                                                                                                                                                                           ~890           ~2,800
                      products
      First
      Liter


                      Other products                                                                                                                                                                       ~660           ~3,700
                                                                                                                                                                    Antithrombin III


     *2018 revenue is a pro-forma which adds Legacy Shire’s 9 month (April – December 2018) revenue previously reported under US GAAP and conformed to IFRS without material
     differences and converted to JPY using FY2018 actual rate for the period. 2018 revenue also includes product sales of Nihon Pharmaceutical products, Takeda’s consolidated subsidiary.
                                                                                                                                                                                              Total      ~5,000*         ~24,000
31
     Source: MRB; EvaluatePharma; Takeda internal data
And we are embarking on a trajectory to improve overall Plasma-
Derived Therapies business performance

    Key Growth & Margin Drivers for PDT                                                                                                   Key Financial Aspiration for PDT*


•         Focused sustainable, value-based commercial                                                                                                                           Annual revenues
          strategies, including tenders                                                                                                                                             (CAGR)

                                                                                                                                                                                     Mid to high
                                                                                                                                                                                     single digit
•         Process efficiencies across the network


•         Capacity increase across collections and
          manufacturing
                                                                                                                                                                                      CAPEX
                                                                                                                                                                                  (% of Revenue)
•         R&D investments across portfolio
                                                                                                                                                                                 Mid single digit



    * The “Key Financial Aspirations” listed above represent Takeda’s goals in the long-term for the PDT business as of the date hereof and are based on certain assumptions. Actual Amounts/results may differ materially and are subject to a number of risks and
32 uncertainties. See “Note Regarding Forward Looking Statements” on Page 1 of this presentation.
Key takeaways




     1                        2                       3
     At Takeda, plasma is a   Our goal is to           Our broad and
     long-term strategic      accelerate growth in    differentiated portfolio
     focus, led by a          capacity by >65% over   brings personalized,
     dedicated business       the next 5 years to     innovative, lifelong
     unit investing to grow   bring additional and    care and underlines our
     across the value chain   improved therapies to   credentials for
     and leveraging Takeda    more people around      reimagining the
     capabilities             the world               industry
33
A New Dedicated Focus on Innovative, Sustainable
Solutions for Plasma-Derived Therapies
Christopher Morabito, M.D.
Head of R&D, Plasma-Derived Therapies
  PDT R&D’s credentials and infrastructure are well-established

                                 Partobulin
       Albumin                (Austria, Health
                             Ministry Approval)




1941    1952      1968            1968            1986   1994      1998          1999    2001        2002   2005   2006      2008         2010   2013   2016


                 Tetabulin                                                Antithrombin III
               (Canada, Health
                   Ministry                                     Endobulin S/D
                  Approval)
                                                                Partobulin S/D




                                        Pathogen                                 Pharmaceutical
                                                                                                                      Pilot Labs
                                         Safety                                     Science
                                      Global Center of                              Strong team                     Within Vienna, Los
                                       Excellence for                             connected across                 Angeles, Georgia and
                                      Pathogen Safety                              the value chain                    Lessines sites

  35
Our independence brings focus on plasma and is bolstered by
access to broader R&D capabilities and resources


                                                                      Focused entirely on plasma-derived therapies
                                                                      Lean and agile team
                                               PDT                    Based in Cambridge, MA and Vienna, Austria
                                               R&D                    Separate R&D prioritization
                                                                      Dedicated budget
                           Global
                            R&D
                                                                      Common Takeda values, patient-focused vision
                                                                      Common governance
                                                                      Shared resources (e.g. Medical Affairs, Safety, Quality)




These links strengthen Takeda R&D’s modality mix, now the broadest among the Top 10 global biopharmaceutical companies

36
 The PDT R&D Leadership Team is well-integrated and brings
 deep and diverse functional expertise
                                                                                              Christopher Morabito MD
                                                                                              R&D Head
                                                                                              Boston, MA




Catherine Parham MD           Rory Bukofzer          Leman Yel MD          Chris Tremblay            Bagirath Gangadharan PhD Andreas Liebminger PhD       Sascha Haverfield DPhil
Program Leadership            Program Leadership     Clinical Medicine     R&D Operations            Translational Research   Pharmaceutical Sciences      Regulatory Affairs &
Boston, MA                    Boston, MA             Boston, MA            Boston, MA                Vienna, Austria          & Devices                    Development Operations
                                                                                                                              Vienna, Austria/Boston, MA   Boston, MA




Geoffrey Pot PhD              Gabriele Ricci         William Standaert     Cara Laurello             Ambreen Landa             Pritesh Patel               Julia Ellwanger
Global Manufacturing          Digital Technologies   Legal                 Ethics and Compliance     Human Resources           Finance                     Communications
External Supply & Plasma      Boston, MA             Zurich, Switzerland   Boston, MA                Boston, MA                Boston, MA                  Bannockburn, IL
Innovation
Lessines, Belgium
37 Flag = country of origin
We are driving a culture of innovation through two R&D engines
                                Research/Early Development     Late Development


                Translational
                                                                                                       Integrated
               Pharmaceutical
                                                                                                     Care Solutions
                  Sciences




                    Translational Research



                    Pharm Sci and Devices

         Early Development Innovation Engine                            Late Development Innovation Engine

     Generate new and improved therapeutics by:              Improve health outcomes by:
       Investigational new drug candidates                     Diagnostic efficiencies
       Mechanisms of action                                    Expanded data and devices to support effectiveness
       Responder populations                                   Point of Care services and drug delivery services
       New process development                                 Data-driven guidelines for acute and chronic management
38
PDT R&D Strategy
Maximize the therapeutic
                              Realize full potential of in-line First and Last Liter products
value of plasma-derived
                                 Expanded indications and benefit-risk datasets
therapies for patients with
                                 Device-driven solutions for diagnosis, management,
rare and complex diseases        and long-term follow-up
through innovation across        Global expansion
the product life cycle           New formulations

                              Optimize efficiencies of plasma-derived therapy production
                                 Pharmaceutical science support for manufacturing



                              Identify and develop new plasma-derived therapies
                                 New targeted therapies for diverse therapeutic areas


 39
We are prioritizing near-term late development…
                  RESEARCH / NON-CLINICAL DEVELOPMENT                          LATE DEVELOPMENT

                     CUVITRU                                        HYQVIA                              HYQVIA
                                                                   Halozyme                            Halozyme
                  Wearable Device                               US - Pediatric PID                  EU - Pediatric PID

                                                                    HYQVIA                          HYQVIA - HyHub
                                                                     Halozyme
     IMMUNOLOGY




                                                                                                      Flextronics
                                                        Chronic inflammatory demyelinating
                                                                                                     Delivery Device
                                                              polyneuropathy (CIDP)

                                                                    HYQVIA                              CINRYZE

                                                              Geographic expansion                Geographic expansion

                                                                    CUVITRU                             GLASSIA
                                                                                                       Kamada
                                                                                             Immunogenicity/ bronchioalveolar
                                                              Geographic expansion
                                                                                                         lavage
     HEMATOLOGY




                                                                                                          FEIBA

                                                                                                    Volume reduction




40
… while enabling discovery of next generation therapeutics
                                 RESEARCH / NON-CLINICAL DEVELOPMENT                                                                             LATE DEVELOPMENT
                                                                                      TAK 881
                                        CUVITRU                                                                                       HYQVIA                               HYQVIA
                                                                              Facilitated 20% SC IgG                                 Halozyme                             Halozyme
                                    Wearable Device                                  Halozyme                                     US - Pediatric PID                   EU - Pediatric PID
                                                                           Primary Immunodeficiency (PID)
                                      TAK 880                                  Alpha-1 Antitrypsin                                    HYQVIA                          HYQVIA - HyHub
                                   Low IgA-IgG (IV)                                  (A1AT)
                                                                                                                                       Halozyme
     IMMUNOLOGY




                                                                                                                                                                         Flextronics
                                                                                                                          Chronic inflammatory demyelinating
                                                                            Next generation formulations                                                                Delivery Device
                             Primary Immunodeficiency                                                                           polyneuropathy (CIDP)

                                  Hyper-Immune IG                                                                                     HYQVIA                               CINRYZE

                                   Infectious disease                                                                           Geographic expansion                Geographic expansion

                                        CINRYZE                                                                                       CUVITRU                              GLASSIA
                                                                                                                                                                         Kamada
                                                                                                                                                               Immunogenicity/ bronchioalveolar
                               Ex-HAE indications TBD                                                                           Geographic expansion
                                                                                                                                                                           lavage

                                                                                                                                      GLASSIA                             CUVITRU
                                                                                                                                      Kamada
                                                                                                                                 A1ATD-emphysema*                  Japan - PID (FPI Q4 2019)
     HEMATOLOGY




                             PROTHROMPLEX TOTAL                               Butyryl Cholinesterase                          PROTHROMPLEX TOTAL                            FEIBA

                               Device and formulation                        Organophosphate poisoning                       US - Drug-induced bleeding**             Volume reduction

                                                                                                                                     CEPROTIN

                                                                                                                                Geographic expansion

41    *Subject to regulatory approval
      **Pending FDA Pre-IND consultation and future acceptance of an IND        Programs and projects added since Day 1
Over the next 3 years, we plan to allocate resources to
research and early development
                                                   Estimated % of
                                                 PDT R&D spend for
                                                       FY2023

                           Distribution of PDT
                          R&D spend for FY2019


                                                       60%           ~70% of resources will
                                                                     be allocated to improving
                                                                     in-line products and
                                                                     production efficiencies
                                 95%
                                                       10%

                                                                                   Optimizing value of in-line products

                                                       30%
                                                                                   Plasma production efficiencies
                                  5%      0%
                                                                                   New plasma-derived therapies


42