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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 />

r<br />

1


Heino von Prondzynski<br />

Head <strong>of</strong> <strong>Roche</strong> Diagnostics<br />

r<br />

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 />

r<br />

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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9


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 />

10


<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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11


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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12


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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13


Willy Michel<br />

Founder and Chairman, Disetronic<br />

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14


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 />

r<br />

Infusions Systems<br />

- sales 115 m CHF<br />

- up by +9.2 % (local)<br />

- global market share ~30 %<br />

15


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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16


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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17


Dr Erich Hunziker<br />

Chief Financial Officer, <strong>Roche</strong><br />

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18


Proposed transaction structure<br />

r<br />

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 />

19


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 />

r<br />

21


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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22


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 />

23


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 />

r<br />

• 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

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