Shaping the future of diabetes care - Roche
Shaping the future of diabetes care - Roche
Shaping the future of diabetes care - Roche
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<strong>Shaping</strong> <strong>the</strong> <strong>future</strong> <strong>of</strong> <strong>diabetes</strong> <strong>care</strong><br />
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1
Heino von Prondzynski<br />
Head <strong>of</strong> <strong>Roche</strong> Diagnostics<br />
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2
The idea<br />
<strong>Roche</strong> Diagnostics, <strong>the</strong> worldwide leader in Diabetes<br />
monitoring, and<br />
Disetronics, <strong>the</strong> worldwide number 2-player in insulin<br />
pumps, want to combine ...<br />
... <strong>the</strong>ir know-how, and shape <strong>the</strong> <strong>future</strong> <strong>of</strong> Diabetes<br />
management<br />
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3
<strong>Roche</strong> Diagnostics – focusing on high<br />
value growth areas<br />
• Leading Diagnostics company<br />
• Broadest portfolio covering all<br />
customer segments<br />
• Strong growth in high margin<br />
areas<br />
• History <strong>of</strong> creating new<br />
markets and shaping<br />
health<strong>care</strong><br />
* growth in local currencies<br />
margin<br />
5,367 CHF m<br />
+11 % growth*<br />
(YTD Q3 ‘02 vs. Q3 ‘01)<br />
1,858<br />
732<br />
429<br />
440<br />
1,908<br />
r<br />
% sales (% growth*)<br />
Diabetes Care 35 % (+15 %)<br />
Molecular Dx 14 % (+19 %)<br />
Applied Science 8 % (+8 %)<br />
Near Patient Test’g 8 % (+7 %)<br />
Centralized Dx 35 % (+8 %)<br />
4
Strategic rationale<br />
<strong>Shaping</strong> <strong>the</strong> <strong>future</strong> Diabetes Care market<br />
• Expanding <strong>Roche</strong> Diagnostic’s role in <strong>the</strong> rapidly<br />
growing, pr<strong>of</strong>itable market for Diabetes<br />
management<br />
• Creating a platform for additional growth through<br />
entry into <strong>the</strong> attractive insulin pump market<br />
• Leveraging <strong>the</strong> Accu-Chek brand and proven<br />
business models to a related Diabetes business<br />
• Leading <strong>the</strong> vision <strong>of</strong> creating an automated<br />
pancreas by combining blood glucose monitoring<br />
with insulin delivery technologies, and <strong>the</strong> know<br />
how <strong>of</strong> two leading companies<br />
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5
<strong>Roche</strong> Diabetes Care<br />
Gaining market share - in blood glucose market<br />
o<strong>the</strong>rs<br />
Abbott<br />
Bayer<br />
Lifescan<br />
<strong>Roche</strong><br />
7<br />
8 10 11<br />
11 10 10 9<br />
16 17 16 14<br />
32 30 28 29<br />
34 35 36 37<br />
1999 2000 2001 2002 est.<br />
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6<br />
Note: O<strong>the</strong>r includes Generics, Private Label including Abbott’s activities, KDK, Therasense, o<strong>the</strong>r manufacturers<br />
Source: <strong>Roche</strong> analysis - Market Share Tracking 14 Key Countries
Diabetes: a problem <strong>of</strong> epidemic proportion<br />
millions <strong>of</strong> people<br />
350<br />
300<br />
250<br />
200<br />
150<br />
100<br />
50<br />
0<br />
WHO global estimates <strong>of</strong> people with <strong>diabetes</strong><br />
150<br />
120<br />
30<br />
+ 3 % CAGR<br />
240<br />
60<br />
2002 2025<br />
Sources: WHO Report / Zimmet, P. Et al. Global and societal<br />
implications <strong>of</strong> <strong>the</strong> <strong>diabetes</strong> epidemic, Nature 2001<br />
300<br />
r<br />
20 % are on<br />
insulin <strong>the</strong>rapy<br />
7
Blood glucose monitoring is 30 % <strong>of</strong><br />
<strong>the</strong> overall Diabetes market<br />
7.0<br />
glucose<br />
monitoring<br />
Source: <strong>Roche</strong> analysis<br />
1.5<br />
insulin<br />
delivery<br />
5.0<br />
8.0<br />
insulin oral<br />
antidiabetic<br />
<strong>the</strong>rapy<br />
r<br />
CHF 21.5 billion<br />
(2001)<br />
30 %<br />
8
Glucose monitoring and insulin delivery<br />
Combining to improve treatment outcome<br />
value<br />
driver:<br />
blood glucose<br />
monitoring*<br />
CHF 4.5 billion<br />
+10 % p.a.<br />
superior<br />
treatment outcome<br />
* for people with <strong>diabetes</strong> on insulin treatment<br />
insulin<br />
delivery<br />
CHF 1.5 billion<br />
+11 % p.a.<br />
insulin <strong>the</strong>rapy<br />
CHF 5 billion<br />
+5 % p.a.<br />
stronger<br />
marketing position<br />
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Monitoring and <strong>the</strong>rapy delivery are converging<br />
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Disetronic’s pump technology a key component<br />
Insulin<br />
Delivery<br />
Blood<br />
Glucose<br />
Monitoring<br />
Syringe<br />
Strips<br />
Pens<br />
Pump<br />
Meters and Strips<br />
Integrated<br />
Strips Systems<br />
today <strong>future</strong><br />
Pump/ blood Glucose Meter Communication<br />
Open-loop<br />
Automated Pancreas<br />
Closed-loop<br />
Automated Pancreas<br />
Insulin Algorithm<br />
Continuous Monitoring<br />
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<strong>Roche</strong> adding marketing and sales<br />
muscle to penetrate US market<br />
Animas<br />
1 %<br />
* top 13 countries<br />
US market 2001<br />
Disetronic<br />
17 %<br />
Medtronic/<br />
Minimed<br />
82 %<br />
total: CHF 550 m<br />
non-US market 2001<br />
Disetronic<br />
70 %<br />
total: CHF 160 m<br />
Medtronic/<br />
Minimed<br />
30 %<br />
total market* 2001: CHF 710 million<br />
with approximately 11 % growth p.a.<br />
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Insulin delivery market far from saturation<br />
• Intensive insulin <strong>the</strong>rapy gaining in acceptance<br />
• World-wide > 200,000 pump users<br />
– North America > 130,000<br />
– Europe > 60,000<br />
– Rest <strong>of</strong> world max. 10,000<br />
• Pump <strong>the</strong>rapy known and accepted in more and more countries<br />
• Reimbursement environment improving<br />
• Continuous glucose monitoring will increase market potential for<br />
pumps significantly<br />
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Entry into insulin pump market<br />
Growth opportunities on many levels<br />
• Increase market share in existing markets (e.g. US)<br />
• Expand pump penetration in Europe<br />
• Improved sales <strong>of</strong> <strong>Roche</strong> Diagnostics current glucose<br />
monitoring systems with improved access to<br />
endocrinologists and high frequency testers<br />
• Efficiencies in R&D due to coordination and streamlining <strong>of</strong><br />
project portfolio<br />
• Generating pump sales in countries o<strong>the</strong>r than North<br />
America and Europe<br />
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Willy Michel<br />
Founder and Chairman, Disetronic<br />
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Disetronic, <strong>the</strong> world’s No. 2 in insulin pumps<br />
Double digit sales and pr<strong>of</strong>itability growth<br />
• Disetronic Business HY 2002/ 03 vs HY 2001/ 02<br />
– consolidated total sales 157 million CHF<br />
(+13.6 % in local currencies, +8.5 % in CHF)<br />
– net pr<strong>of</strong>it 29 m CHF (+35.5 %)<br />
– earnings per share 14.97 CHF (+34.6 %)<br />
– around 1,270 employees in EU and USA<br />
Injection<br />
Systems<br />
24.1 %<br />
75.9 %<br />
2001/2002 sales mix<br />
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Infusions Systems<br />
- sales 115 m CHF<br />
- up by +9.2 % (local)<br />
- global market share ~30 %<br />
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Infusion Systems Division: Insulin pumps<br />
• Continuous insulin administration<br />
in accordance with individually<br />
programmed requirement pr<strong>of</strong>ile<br />
• Additional dosage possible at any<br />
time (e.g. mealtimes)<br />
• Administration <strong>of</strong> insulin to <strong>the</strong><br />
body via an infusion set<br />
• 3 models:<br />
- H-TRONplus: The proven one<br />
- D-TRONplus: The innovative one<br />
- Dahedi: The discreet one<br />
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Business model with two elements<br />
bringing pr<strong>of</strong>itability<br />
• Insulin pumps<br />
• Consumables<br />
- glass and plastic cartridges<br />
- batteries<br />
- carrying systems<br />
- various infusion sets<br />
(ca<strong>the</strong>ters changed 3-4 days)<br />
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Dr Erich Hunziker<br />
Chief Financial Officer, <strong>Roche</strong><br />
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Proposed transaction structure<br />
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Effected through two consecutive but concurrent steps<br />
Disetronic<br />
Sales: 300 m CHF<br />
Infusion Systems<br />
Sales: 228 m CHF<br />
Injection Systems<br />
Sales: 72 m CHF<br />
Disetronic = 34 % or 0.66 million shares committed by major shareholder<br />
= 61 % or 1.18 million shares are publicly traded<br />
Step 1: Public tender <strong>of</strong>fer on 100 % <strong>of</strong> outstanding Disetronic shares<br />
CHF 670 for each Disetronic share = 1.84 million x 670 CHF 1 230 mm<br />
2 GS* per Disetronic Share = 3.7 million GS 350 mm<br />
Total Offer 1 580 mm<br />
Step 2: Sale <strong>of</strong> Injection business from Disetronic to Mr. Michel 420 mm<br />
Net Cost to <strong>Roche</strong> after consuming <strong>the</strong> tender <strong>of</strong>fer 1 160 mm<br />
* Assumes <strong>Roche</strong> Genussscheine (GS) at 95 CHF per share<br />
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Valuation<br />
Share development <strong>of</strong> Disetronic<br />
CHF / Share<br />
Average:<br />
10 days CHF 536, 1 month CHF 557, 3 months CHF 563, 1 year CHF 670<br />
1600<br />
1400<br />
1200<br />
1000<br />
800<br />
600<br />
400<br />
200<br />
0<br />
02 January 2002 02 April 2002 02 July 2002 02 October 2002 02 January 2003<br />
Offer<br />
r<br />
543 CHF<br />
7.02.03<br />
20
Transaction multiples based upon <strong>the</strong><br />
tender <strong>of</strong>fer<br />
01/02 2004E<br />
EV/ Sales 4.9 3.3<br />
EV/ EBIT 35 17<br />
EV/ EBITDA 25 14<br />
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Outlook financials<br />
• EBIT impact:<br />
– slightly dilutive for <strong>the</strong> <strong>Roche</strong> group in 2003 and slightly accretive in<br />
2004<br />
– dilutive for <strong>Roche</strong> Diagnostics in 2003 and slightly accretive in 2004<br />
Overall, guidance for <strong>the</strong> <strong>Roche</strong> Group and<br />
Diagnostics unchanged<br />
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Public tender <strong>of</strong>fer on Disetronic shares<br />
Timing / next steps<br />
• Pre-announcement (Voranmeldung) February 10<br />
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• Corporate due diligence February - March<br />
• Disetronic Extraordinary shareholder meeting March<br />
• Publication <strong>of</strong> tender <strong>of</strong>fer March 24<br />
• End <strong>of</strong> first <strong>of</strong>fer period (20 bank days) April 22<br />
• Announce interim results <strong>of</strong> tender <strong>of</strong>fer End April<br />
• Closing May - June<br />
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Appendix
About <strong>Roche</strong> Diabetes Care<br />
• Pioneer in <strong>the</strong> development <strong>of</strong> blood<br />
glucose monitoring systems<br />
• Sales and growth Q3 ’02 (vs. Q3 ’01)<br />
• 1.86 m CHF, +15 % (local)<br />
• Market Share* 2002E: 37 %<br />
• Main products:<br />
• Accu-Chek Advantage<br />
• Accu-Chek Active<br />
• Accu-Chek Compact<br />
* Estimate based on Q1-Q3 2002<br />
Accu-Chek Active<br />
r<br />
Accu-Chek Advantage<br />
25<br />
Accu-Chek Compact
Disetronic – who <strong>the</strong>y are<br />
• A leading global supplier <strong>of</strong> medical<br />
devices and systems for <strong>the</strong><br />
administration <strong>of</strong> liquid medication for<br />
ambulatory <strong>the</strong>rapies<br />
• The world’s No. 2 in insulin pumps for<br />
<strong>the</strong> treatment <strong>of</strong> <strong>diabetes</strong>…<br />
• … and <strong>the</strong> largest independent<br />
manufacturer <strong>of</strong> injection pens for<br />
various <strong>the</strong>rapies<br />
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26
Diabetes is not curable, but it is manageable<br />
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• Detect <strong>diabetes</strong> at an early stage and treat it correctly<br />
– Type I (10 %) – insulin <strong>the</strong>rapy<br />
– Type II (90 %) – insulin, oral, exercise, diet etc...<br />
• Blood glucose levels for people with <strong>diabetes</strong> are generally<br />
too high and subject to extreme fluctuations<br />
• Insulin is lacking or completely unavailable – or it is<br />
available but not sufficiently effective<br />
• Insulin <strong>the</strong>rapy:<br />
– measure blood glucose levels regularly<br />
– determine insulin requirement<br />
– administer insulin<br />
27
Blood glucose monitoring market<br />
Sustained double digit growth<br />
CHF million<br />
16'000<br />
14'000<br />
12'000<br />
10'000<br />
8'000<br />
6'000<br />
4'000<br />
2'000<br />
0<br />
4,250<br />
local CAGR 1995-2000 = 14%<br />
4,845<br />
5,765<br />
6,465<br />
9,500<br />
15,000<br />
1998 1999 2000 2001 2005 2010<br />
local growth 14 % 14 % 12 %<br />
Note: includes, lancets, <strong>diabetes</strong> urine testing, o<strong>the</strong>r<br />
Source: <strong>Roche</strong> analysis<br />
CAGR 00-05<br />
= 11 %<br />
CAGR 05-10<br />
= 10 %<br />
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28