To: scaram(o)uche who wrote (2666 ) 7/28/2011 1:14:54 PM From: software salesperson 2 Recommendations Read Replies (1) | Respond to of 3202 7/28/11 cc notes 1. Opening remarks Rux NDA submitted 6/3; has verbally confirmed that it has been granted priority review and PDUFA date is 12/3 NVS submitted rux MAA in june Finalizing distribution network and patient assistance program Response advanced PV trial behind schedule - - in dialogue with FDA; study protocol to be amended to accelerate enrollment; proposed keeping dual endpoints of phlebotomy independence and spleen size reduction; reduce study size; relax entry criteria Other rux trials, especially P2 pancreatic study that was initiated this month 050 P2b is on track and 3 month placebo controlled phase of trial expected to complete in early ‘12 Sheddase 7839 - - still analyzing IDO and cMet inhibitors continue in P1; haven’t reached MTD for either compound; future IDO trial 1st ½ ’12 in metastatic melanoma or advanced ovarian Cash 6/30/11 - - 364 M 2. q & a ( i) revised PV study because of lower market opportunity or overly stringent enrollment criteria? - - latter; if amended, will go back to recruit same patients; high screen failure rate; relatively easy fix (ii) how long to gain agreement to amend study? - - have to revise SPA; doesn’t see it dragging on; if agreed to quickly, will not change guidance for when study will be completed (iii) why are people failing screening process? - - one example - - patients are phlebotomy dependent and have big spleens; criteria say that have to have either or both elevated white blood cell counts or elevated platelet counts; but many patients don’t meet all these criteria (iv) how did this criteria screwup happen? - - no direct answer (v) have to go thru new SPA process? - - it’s an amendment to a protocol - - perhaps 45 days (vi) label indication would be the same? - - new potential label will increase patient population (vii) re: rux NDA, will there be an advisory panel? - - haven’t been notified, but preparing for one (viii) how soon after approval would you launch rux? - - 10 days (ix) any guidance from NVS re: rux advisory panel? - - none to date (x) any guidance from NVS re: rux launch? - - we handle US and we talk to them re: common interests (xi) 050 3 month data? - - it will be up to LLY as to when to release, PR or medical meeting (xii) re: PV, still optimistic that can be done under SPA? - - yes (xiii) re: sheddase, commercial analysis now part of decision? - - 2 new treatments have emerged; wants to see if market still there (xiv) ASCO transfusion independence criteria, any progress on standard guidelines? - - new guidelines would make sense (xv) post approval requirements for rux? - - durability, probably not survival-related (xvi) rux payor mix? - - medicare 40%; self-pay 12%; Medicaid 5%; commercial pay 43% (xvii) what will rux price be? - - no direct answer; probably ~ 60 k; could be higher (xviii) are all PV sites recruiting now? - - they are waiting on revised criteria; the sites are OK (xix) comparable products to rux? - - gleevec, tasigna, sprycel, sutent, etc. (xx) anticipated uptake of rux? - - slow and steady (xxi) what % of potential rux US patients are severe, moderate, mild ? - - 1/3 each (xxii) PV screen failures, thinking of getting rid of intolerant of HU? - - that would help some, but the white blood cell/platelet count is bigger issue (xxiii) P2 PV data, 2/3 of patients titrated dose lower than 10 mg BID. Same expectation for P3? What’s the impact on pricing vis-à-vis MF pricing? - - 10 mg BID will be starting dose; titration will still occur; flat pricing regardless of strength (xxiv) communicated with CMS yet? - - more important for infused products, not oral ones (xxv) rux P2 pancreatic pre-clinical activity? - - in mice (xxvi) P1 / 2 rux data for other hematological cancers? - - ASH ‘12 (xxvii) share count? - - 190 M 3. impressions sounded like the rux NDA and launch are in good shape; we’ll see how easily it will be to recover from PV screwup; surprised that, after ASCO, no one called him re: his bombastic statement : “I will guarantee you that there is no difference( in transfusion independence between us and Cytopia)” sales