Roche Holding Ltd · SIX:RO

Roche — YTD Sep 2022 Earnings Presentation

184 slides from Roche's earnings presentation, Oct 18, 2022

  1. Slide 1: Roche

  2. Slide 2: Forward-looking statements

    This presentation contains certain forward-looking statements. These forward-looking statements may be identified by words such as ‘believes’, ‘expects’, ‘anticipates’, ‘projects’, ‘intends’, ‘should’, ‘seeks’, ‘estimates’, ‘future’ or similar expressions or by discussion of, among other things, str

  3. Slide 3: Roche YTD September 2022 sales

    Roche YTD September 2022 sales Basel, 18 October 2022

  4. Slide 4: Group

    Group Severin Schwan Chief Executive Officer

  5. Slide 5: YTD Sep 2022 performance, Outlook

    YTD Sep 2022 performance Outlook

  6. Slide 6: YTD Sep 2022: Group sales +2% despite COVID-19 decline in Q3

    YTD Sep 2022: Group sales +2% despite COVID-19 decline in Q3 Group sales +2% driven by Diagnostics division • Pharma with stable performance, key products compensating for LOEs and declining COVID-19 sales • Diagnostics with good growth momentum (+6%) including good base business growth (+6%) Key pr

  7. Slide 7: Group sales growth driven by Diagnostics Division

    YTD Sep 2022: Group sales growth driven by Diagnostics Division 2022 2021 Change in % CHFbn CHFbn CHF CER Pharmaceuticals Division 33.2 33.4 -1 0 Diagnostics Division 13.8 13.3 4 6 Roche Group 47.0 46.7 1 2 CER=Constant Exchange Rates; totals may include differences due to rounding 7

  8. Slide 8: Quarterly sales performance: COVID-19 sales coming down

    Quarterly sales performance: COVID-19 sales coming down 15% 14%* 13% 12% 11% 10% 9% 9% 7% 7% 7% 6% 6% 6% 6% 6% 8% 8% 5% 4% 7% 6% 5% 5% 4% 4% 1% 3% 3% 3% 1% 0% 0% -5% -4% -6% -10% AHR1 impact -15% COVID-19 impact Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q

  9. Slide 9: Portfolio rejuvenation ongoing

    YTD Sep 2022: Portfolio rejuvenation ongoing CHFm +2% at CER Diversification of Roche business YTD Sep 2017 YTD Sep 2022 -383 CHF 39.4bn CHF 47.0bn + 2’397 -612 +217 -1,460 + 621 -427 AHR AHR 46’684 47’037 Diagnostics Oncology Other pharma AHR Ophthalmology Neuroscience Infectious diseases Hemophili

  10. Slide 10: Solid underlying sales growth in both divisions

    YTD Sep 2022: Solid underlying sales growth in both divisions Pharma Diagnostics Quarterly sales evolution 2021-2022 Quarterly sales evolution 2021-2022 % CER % CER +55% +55% +48% +45% +55% +45% +35% +35% +31% +24% +25% +25% +17% +18% +15% +14% +15% +9% +7% +4% +5% +6% +6% +3% +5% +2% +5% +11% +10%

  11. Slide 11: YTD Sep 2022 performance, Outlook

    YTD Sep 2022 performance Outlook

  12. Slide 12: Continuous increase in pipeline breadth and depth

    Continuous increase in pipeline breadth and depth All-time high for Ph III AIs and industry-leading number of NMEs in the clinic Projects in Ph III & registration Record number of NMEs and AIs (YTD Sep 2022) 18 Phase I Phase II 2 NMEs 8% 2% 3% 10% 14 3 13 13 11% 2 38% 2 1 3% 62 11 3 29 11% 31% 1 4 6

  13. Slide 13: 2022/23: Upcoming Pharma newsflow

    2022/23: Upcoming Pharma newsflow 2022 2023 Vabysmo in RVO Tiragolumab + Tecentriq in 1L PDL1+ NSCLC Susvimo in DME Tiragolumab + Tecentriq in 1L Esophageal Susvimo in DR Tecentriq in adjuvant HCC Venclexta in R/R MM (t11;14) Tecentriq in adjuvant SCCHN Gantenerumab in Alzheimer’s disease Tecentriq

  14. Slide 14: R&D focus area Alzheimer's disease

    R&D focus area Alzheimer’s disease Clinical results for gantenerumab and blood-based biomarkers to be presented at CTAD Pharmaceuticals gantenerumab • Nearly two decades of scientific investigation with Diagnostics nearly 7000 patient years on treatment • GRADUATE I/II: Patients with early AD (FDA B

  15. Slide 15: 2022 outlook confirmed

    2022 outlook confirmed Group sales growth1 • Stable to low-single digit Core EPS growth1 • Low- to mid-single digit Dividend outlook • Further increase dividend in Swiss francs 1 At Constant Exchange Rates (CER) 15

  16. Slide 16: Pharmaceuticals Division

    Pharmaceuticals Division Bill Anderson CEO Roche Pharmaceuticals

  17. Slide 17: Pharmaceuticals Division sales

    YTD Sep 2022: Pharmaceuticals Division sales New products compensate for loss-of-exclusivity and COVID-19 sales decline 2022 2021 Change in % CHFm CHFm CHF CER Pharmaceuticals Division 33,189 33,379 -1 0 United States 17,199 16,707 3 -1 Europe 6,100 6,610 -8 -1 Japan 3,029 3,186 -5 7 International 6

  18. Slide 18: Portfolio diversification accelerating

    YTD Sep 2022: Portfolio diversification accelerating Ocrevus 17% Hemlibra 28% Evrysdi 101% Phesgo 150% Vabysmo n/a Tecentriq 10% Alecensa 16% Kadcyla 11% Perjeta 5% Xolair 10% Polivy 79% Enspryng 108% Gazyva 8% Tamiflu 56% Gavreto 299% Esbriet -25% US Lucentis -25% Herceptin -18% Europe Ronapreve -3

  19. Slide 19: Oncology portfolio rejuvenation on-going

    YTD Sep 2022: Oncology portfolio rejuvenation on-going YoY CER growth Phesgo (+150%) HER2 franchise HER2 franchise Herceptin Perjeta (+5%) +4% • Kadcyla (+11%) with growth ex-US due to adjuvant BC Tecentriq +10% Kadcyla (+11%) • Perjeta (+5%) driven by International, especially APAC Hematology Poliv

  20. Slide 20: HER2+ franchise: Continued growth

    HER2+ franchise: Continued growth Multiple Ph III combination trials initiated Phesgo’s strong global launch continues Kadcyla growth driven by adjuvant setting Global Phesgo conversion rate* 50% Neoadjuvant Adjuvant cont. PCR (55%) 40% 50% Surgery 30% 30% 20% Residual Disease (45%) 10% HER2+ Adjuva

  21. Slide 21: Giredestrant: Early data support continued development in ER+ BC

    Giredestrant: Early data support continued development in ER+ BC Ph III (persevERA) interim results in 1L ER+ BC expected for 2024 Ph II (acelERA) results in 2/3L ER+/HER- BC Ph II (coopERA) results in neoadjuvant ER+/HER- BC PFS-INV: ESR1m subgroup • PFS benefit was more pronounced in patients with

  22. Slide 22: Tecentriq overview

    Tecentriq overview: Adjuvant key trials now to read out in 2023 First PD-(L)1 with pivotal SC results to be filed in 2022 CHFm YoY CER growth Tecentriq Q3 update 1,000 +9% • Positive Ph III (IMscin001) results for SC administration 900 +23% Lung franchise (NSCLC, SCLC) 800 +49% 700 • EU: Strong laun

  23. Slide 23: Hemophilia A franchise: Hemlibra

    Hemophilia A franchise: Hemlibra new global standard of care 36% US/EU-5 patient share reached CHFm YoY CER growth Hemophilia Q3 update 1,200 • >18,000 patients treated globally +23% 1,000 • Hemlibra continues to penetrate across all approved patient segments +37% 800 • 2nd generation FIXa x FX bi-s

  24. Slide 24: Immunology franchise

    Immunology franchise Actemra COVID-19 sales declining and Esbriet generic competition CHFm YoY CER growth Immunology Q3 updates 2,500 Actemra (-42%) +13% +5% • COVID-19 demand completely washed out in Q3 +1% 2,000 -25% • Submitted to EMA for approval in SSC-ILD 1,500 • Shift from IV to SC ongoing Xo

  25. Slide 25: MS franchise: Ocrevus

    MS franchise: Ocrevus #1 treatment in US and now also in EU-5 MS development programs well on track CHFm YoY CER growth Q3 update 1,750 • >250.000 patients treated globally +16% 1,500 • #1 treatment in US and EU-5, both in total share and new to +37% +7% brand share 1,250 • Higher persistence than o

  26. Slide 26: MS franchise: Subcutaneous dosing and higher dose Ocrevus

    MS franchise: Subcutaneous dosing and higher dose Ocrevus Q6M SC dosing readout expected in 2023 Ocrevus SC will retain Q6M dosing Ocrevus higher dose vs 600 mg in RMS and PPMS Administration and observation schedule Total time Double-blind treatment (min. of ≥120 weeks) Ocrevus higher dose 1,200/1,

  27. Slide 27: SMA franchise: Evrysdi

    SMA franchise: Evrysdi with strong global momentum Well-positioned to become #1 worldwide Q3 update CHFm YoY CER growth • >7,000 patients treated worldwide (commercial, clinical 350 trials, compassionate use) +93% 300 • Retention rate in first 12 months of ~90% globally 250 • US: Growth driven by sw

  28. Slide 28: Ophthalmology franchise: Excellent Vabysmo launch

    Ophthalmology franchise: Excellent Vabysmo launch More than 165k vials shipped in the US in the first 7 months Q3 update CHFm Vabysmo 200 • US: Strong uptake with switches primarily from aflibercept and first naïve patient starts 150 • US: Permanent J-code granted on October 1st 100 • EU: Approval g

  29. Slide 29: Vabysmo: Improved overall disease control in DME

    Vabysmo: Improved overall disease control in DME Treat & extend study design well-aligned with clinical practice Ph III trial design in DME (YOSEMITE/RHINE) Ph III (YOSEMITE/RHINE) 2 year results 14 YOSEMITE/RHINE Pooled From Baseline, ETDRS Adjusted Mean BCVA 12 10 Change Letters 8 Average of weeks

  30. Slide 30: Vabysmo: 2 year nAMD data presented at ASRS

    Vabysmo: 2 year nAMD data presented at ASRS Strong BCVA and CST results sustained over 2 years Ph III trial design in nAMD (TENAYA/LUCERNE) Ph III (TENAYA/LUCERNE) 2 year results Primary Endpointa Change in BCVA from Disease Activity baseline averaged over the week 40, 44, and 48 visits Assessment F

  31. Slide 31: Vabysmo: Disease criteria chosen impact patient allocation

    Vabysmo: Disease criteria chosen impact patient allocation Vabysmo nAMD trials use disease criteria reflective of clinical practice1 Different ≥Q12W disease criteria as applied to TENAYA/LUCERNE patients Stringent criteria** Share of patients on ≥Q12W dosing Treatment change if ANY criteria are met

  32. Slide 32: 2022: Key late-stage news flow and upcoming IR events

    2022: Key late-stage news flow* and upcoming IR events Compound Indication Milestone Vabysmo nAMD/DME US/EU approval Susvimo nAMD EU approval Delayed Lunsumio (mosunetuzumab) 3L+ FL US/EU approval EU Regulatory Tecentriq Adjuvant NSCLC EU approval Hemlibra Mild to moderate hemophilia A EU approval P

  33. Slide 33: Diagnostics Division

    Diagnostics Division Thomas Schinecker CEO Roche Diagnostics

  34. Slide 34: Diagnostics Division sales

    YTD Sep 2022: Diagnostics Division sales Sales increase of +6% driven by base business and COVID-19 testing 2022 2021 Change in % CHFm CHFm CHF CER Diagnostics Division 13,848 13,305 4 6 Core Lab1 5,833 5,677 3 5 Point of Care1 3,086 2,415 28 30 Molecular Lab1 2,735 3,030 -10 -8 Diabetes Care 1,219

  35. Slide 35: Diagnostics Division highlights

    YTD Sep 2022: Diagnostics Division highlights Growing from a high base in 2021 CHFbn YoY CER growth • Immunodiagnostics (+6%) Core Lab1,3 +5% • Clinical Chemistry (+8%) • Custom biotech (-8%)3 • POC Immunodiagnostics (+39%) Point of Care3 +30% • POC Molecular3 (+33%) • qPCR&NAP (-28%) Molecular Lab3

  36. Slide 36: Diagnostics Division regional sales

    YTD Sep 2022: Diagnostics Division regional sales Strong base business growth across all regions North America +20% EMEA1 ~28% of divisional sales -13% ~33% of divisional sales Asia Pacific Latin America +28% -3% ~33% of divisional sales ~6% of divisional sales Growth rates at CER (Constant exchange

  37. Slide 37: Diagnostics Division sales growth by quarter

    Diagnostics Division sales growth by quarter Strong base business growth 55% Diagnostics Division sales growth 48% Base business sales growth 1 28% 31% 24% 18% 17% 18% 9% 10% 7% 5% 2% 11% 3% 1% -2% 8% -5% -4% 0% Q1 20 Q2 20 Q3 20 Q4 20 Q1 21 Q2 21 Q3 21 Q4 21 Q1 22 Q2 22 Q3 22 -17% 0.1bn 0.6bn 0.6bn

  38. Slide 38: Our contribution against COVID-19

    Our contribution against COVID-19 Roche has enabled access to >1.8 billion tests to fight the COVID-19 pandemic 20+ solutions >1.8 billion COVID-19 Responsible pricing to ~2’000 cobas® 6800/8800 tests enable access instruments placed1 Broad portfolio of COVID-19 Conducted with our products Costs sho

  39. Slide 39: Roche Digital LightCycler

    Roche Digital LightCycler® Filling the gap between standard PCR and sequencing • Digital PCR system with IVD label & superior performance • Key differentiators: – Powerful analytical software & simpler workflow - no more emulsions Analyzer Partition engine – Flexibility to tailor assays from high se

  40. Slide 40: PRAME immunohistochemistry assay

    PRAME immunohistochemistry assay Enabling optimal patient prognosis via early & accurate diagnosis and treatment of melanoma 5 year survival rates • >300k new cases and ~60k death per year caused by Melanoma cancer3 99% Localized • Key immunohistochemistry assay to: Melanoma survival  Help differen

  41. Slide 41: Elecsys Amyloid Plasma Panel clinical results

    Elecsys® Amyloid Plasma Panel clinical results Addressing the unmet need of early detection of Alzheimer’s disease pathology 1 2 3 Triage Confirmation Therapy Patients undergoing initial evaluation Patients referred for amyloid Patients identified for future for non-specific cognitive decline1 confi

  42. Slide 42: Key launches 2022

    Key launches 2022 Area Product Description Market Status Automated immunohistochemistry/in situ hybridization (ISH) advanced staining platform with Pathology Lab BenchMark ULTRA PLUS US & CE enhanced software capabilities, workflow and testing efficiency DP600 High capacity pathology slide scanner f

  43. Slide 43: Finance

    Finance Alan Hippe Chief Financial Officer

  44. Slide 44: YTD Sep 2022: Highlights

    YTD Sep 2022: Highlights Sales • Group sales growth of +2% • Solid Pharma and Diagnostics underlying growth Currency impact on sales • Negative currency impact especially in Q3, particularly weaker EUR and JPY, only partially offset by stronger USD Growth rates at CER (Constant exchange Rates) 44

  45. Slide 45: Portfolio rejuvenation ongoing

    YTD Sep 2022: Portfolio rejuvenation ongoing CHFm +2% at CER Diversification of Roche business YTD Sep 2017 YTD Sep 2022 -383 CHF 39.4bn CHF 47.0bn + 2’397 -612 +217 -1,460 + 621 -427 AHR AHR 46’684 47’037 Diagnostics Oncology Other pharma AHR Ophthalmology Neuroscience Infectious diseases Hemophili

  46. Slide 46: Regional sales development

    YTD Sep 2022: Regional sales development -1% -1% 0% +7% +6% +2% +1% Pharma Division +6% 0% -427 +838 780 353 -239 +236 +18 -73 1 United States Europe Intl. Chugai Dia Division Group Fx ¹ Group (Japan) CER CHF Absolute values in CHFm at Constant Exchange Rates (avg full year 2021); 1 avg. full year 2

  47. Slide 47: YTD exchange rate swings

    YTD exchange rate swings Negative impact driven by the EUR, JPY and other Europe, partially offset by USD -0.1p -1.0p CER CHF sales growth sales growth +1.9p +0.1p YTD Sep 2022 YTD Sep 2022 vs. vs. YTD Sep 2021 -1.2p -0.7p YTD Sep 2021 +1.7% +0.1p +0.8% CER EUR APAC USD LATAM JPY Other Other CHF Eur

  48. Slide 48: Expected currency impact 2022

    Expected currency impact 2022 CHF / USD Average YTD 2022 +2% +4% +4% +5% 0.94 0.95 0.96 Assuming the 30 September 2022 exchange rates 0.92 remain stable until end of 2022, 0.90 0.91 0.91 0.91 2022 impact1 is expected to be (%p): Average YTD 2021 0.92 0.92 0.93 0.94 0.98 0.97 0.97 0.96 0.97 0.98 0.98

  49. Slide 49: 2022 outlook

    2022 outlook Group sales growth1 • Stable to low-single digit Core EPS growth1 • Low- to mid-single digit Dividend outlook • Further increase dividend in Swiss francs 1 At Constant Exchange Rates (CER) 49

  50. Slide 50: Doing now what patients need next

    Doing now what patients need next

  51. Slide 51: Roche Group development pipeline

    Roche Group development pipeline Marketed products development programmes Roche Pharma global development programmes Roche Pharma research and early development (pRED) Genentech research and early development (gRED) Spark Pharma sales appendix Diagnostics sales appendix Foreign exchange rates inform

  52. Slide 52: Changes to the development pipeline

    Changes to the development pipeline Q3 2022 update New to phase I New to phase II New to phase III New to registration 2 NMEs: 1 NME: 4 AIs: 1 NME (First filed in China*): RG6536 vixarelimab – immunology RG7314 balovaptan – post-traumatic stress RG6168 Enspryng – MOG-AD RG6017 crovalimab - PNH RG653

  53. Slide 53: Roche Group development pipeline

    Roche Group development pipeline Phase I (51 NMEs + 11 AIs) Phase II (21 NMEs + 8 AIs) RG6007 HLA-A2-WT1 x CD3 AML RG7827 FAP-4-1BBL monotherapy + combos solid tumors RG6026 glofitamab + chemo 1L ctDNA high risk DLBCL RG6026 glofitamab monotherapy + combos heme tumors Lunsumio (mosunetuzumab) tirago

  54. Slide 54: Roche Group development pipeline

    Roche Group development pipeline Phase III (10 NMEs + 46 AIs) Registration US & EU (3 NMEs + 7AIs) Kadcyla + T 2L+ HER-2+ PD-L1+ mBC RG3648 Xolair food allergy RG6013 Hemlibra1 mild to moderate hemophilia A RG3502 Kadcyla + T HER-2+ eBC high-risk RG6354 zinpentraxin alfa (PRM-151 ) IPF RG6026 glofit

  55. Slide 55: NME submissions and their additional indications

    NME submissions and their additional indications Projects in phase II and III glofitamab + chemo autogene cevumeran bepranemab RG6026 1L ctDNA+ high risk RG6180 RG6416 1L melanoma Alzheimer's New Molecular Entity (NME) Metabolism DLBCL Additional Indication (AI) Neuroscience tiragolumab + T zinpentr

  56. Slide 56: AI submissions for existing products

    AI submissions for existing products Projects in phase II and III New Molecular Entity (NME) Metabolism Additional Indication (AI) Neuroscience Oncology / Hematology Ophthalmology Immunology Other Phesgo OBI RG6264 Infectious Diseases HER2+ BC Gavreto Kadcyla + Tecentriq RG6396 RG3502 Tumor agnostic

  57. Slide 57: Major pending approvals 2022

    Major pending approvals 2022 US EU China Japan-Chugai Lunsumio (mosunetuzumab) Susvimo (PDS) Polivy Gazyva RG7828 3L+ FL RG6321 wAMD RG7596 1L DLBCL RG7159 1L CLL Filed Dec 2021 Filed April 2021 Filed Nov 2021 Filed March 2022 Actemra Hemlibra Polivy Phesgo RG1569 COVID-19 pneumonia RG6013 mild to m

  58. Slide 58: Major granted approvals 2022

    Major granted approvals 2022 US EU China Japan-Chugai Vabysmo (faricimab) Polivy Tecentriq Actemra RG7716 DME RG7596 1L DLBCL RG7446 NSCLC adj RG1569 COVID-19 pneumonia Jan 2022 May 2022 March 2022 Jan 2022 Vabysmo (faricimab) Tecentriq Actemra Vabysmo (faricimab) RG7716 wAMD RG7446 NSCLC adj RG1569

  59. Slide 59: Roche Group development pipeline

    Roche Group development pipeline Marketed products development programmes Roche Pharma global development programmes Roche Pharma research and early development (pRED) Genentech research and early development (gRED) Spark Pharma sales appendix Diagnostics sales appendix Foreign exchange rates inform

  60. Slide 60: Hemophilia: Hemlibra

    Hemlibra (emicizumab, RG6013) Factor VIII mimetic for treatment of hemophilia A Hemophilia A patients Hemophilia A patients with and without inhibitors to Factor VIII, dosing Indication without inhibitors to factor VIII every 4 weeks Phase III Phase III Phase/study HAVEN 3 HAVEN 4 # of patients N=13

  61. Slide 61: Hemophilia: Hemlibra

    Hemlibra (emicizumab, RG6013) Factor VIII mimetic for treatment of hemophilia A Hemophilia A mild to moderate patients without inhibitors to Indication Hemophilia A patients with and without inhibitors to Factor VIII Factor VIII Phase III Phase III Phase/study HAVEN 5 HAVEN 6 # of patients N=85 N=70

  62. Slide 62: Oncology: Alecensa

    Alecensa (alectinib, RG7853) New CNS-active inhibitor of anaplastic lymphoma kinase Treatment-naïve Indication Adjuvant ALK+ NSCLC ALK+ advanced NSCLC Phase III Phase III Phase/study ALEX ALINA # of patients N=286 N=255  ARM A: Alecensa 600mg BID  ARM A: Alecensa 600mg BID Design  ARM B: Crizotin

  63. Slide 63: Oncology: Kadcyla

    Kadcyla (trastuzumab emtansine, RG3502) First ADC for HER2-positive breast cancer HER2-positive early breast cancer (BC) 2L+ HER-2 positive PD-L1 positive metastatic HER2-positive early breast cancer (BC) Indication high-risk patients breast cancer (mBC) high-risk patients Phase III Phase III Phase

  64. Slide 64: Oncology: Perjeta

    Perjeta (pertuzumab, RG1273) First-in-class HER2 dimerization inhibitor Indication Adjuvant HER2-positive breast cancer (BC) Phase III Phase/study APHINITY # of patients N=4,803  ARM A: Perjeta (840mg loading dose, 420mg q3w) plus Herceptin for 52 weeks plus chemotherapy (6-8 cycles)  ARM B: Place

  65. Slide 65: Oncology: Phesgo

    Phesgo (pertuzumab/trastuzumab, RG6264) FDC of Perjeta and Herceptin for subcutaneous administration Indication HER2-positive early breast cancer (BC) HER2-positive breast cancer (BC) Phase III Phase II Phase/study Phase I1 FeDeriCa PHranceSCa # of patients N=500 N=160 N=144 FDC of Perjeta and Herce

  66. Slide 66: Oncology: Tecentriq lung cancer

    Tecentriq (atezolizumab, RG7446) Anti-PD-L1 cancer immunotherapy – lung cancer Indication Adjuvant NSCLC Periadjuvant NSCLC Phase III Phase III Phase/study IMpower010 IMpower030 # of patients N=1,280 N=450 Following adjuvant cisplatin-based chemotherapy  ARM A: Tecentriq plus platinum-based chemoth

  67. Slide 67: Oncology: Tecentriq lung cancer

    Tecentriq (atezolizumab, RG7446) Anti-PD-L1 cancer immunotherapy – lung cancer Indication 1L maintenance extensive-stage SCLC 2L NSCLC previously treated with an immune checkpoint inhibitor Phase III Phase III Phase/study IMforte1 CONTACT-012 # of patients N=450 N=366  ARM A: Platinum-etoposide + T

  68. Slide 68: Oncology: Tecentriq lung cancer

    Tecentriq (atezolizumab, RG7446) Anti-PD-L1 cancer immunotherapy – lung cancer Indication 1L NSCLC Stage IV NSCLC Phase II/III Phase Ib/III Phase/study B-FAST IMscin0011 # of patients Modular design N=371  Cohort A: ALK+ (Alecensa) Phase Ib  Cohort B: RET+ (Alecensa)  Dose finding, Tecentriq SC f

  69. Slide 69: Oncology: Tecentriq SCCHN

    Tecentriq (atezolizumab, RG7446) Anti-PD-L1 cancer immunotherapy – SCCHN and melanoma Indication Adjuvant squamous cell carcinoma of the head and neck (SCCHN) Phase III Phase/study IMvoke010 # of patients N=406  ARM A: Tecentriq 1200mg q3w  ARM B: Placebo Oncology Design  Event-free survival and

  70. Slide 70: Oncology: Tecentriq urothelial carcinoma

    Tecentriq (atezolizumab, RG7446) Anti-PD-L1 cancer immunotherapy – urothelial carcinoma High-risk non-muscle-invasive ctDNA+, high-risk muscle-invasive Indication 1L metastatic urothelial carcinoma (UC) bladder cancer (MIBC) bladder cancer (MIBC) Phase III Phase III Phase III Phase/study IMvigor130

  71. Slide 71: Oncology: Tecentriq renal cell cancer

    Tecentriq (atezolizumab, RG7446) Anti-PD-L1 cancer immunotherapy – renal cell cancer Indication Advanced renal cell carcinoma (RCC) after immune checkpoint inhibitor treatment Phase III Phase/study Contact-031 # of patients N=500  ARM A: Tecentriq plus cabozantinib  ARM B: Cabozantinib Design Onco

  72. Slide 72: Oncology: Tecentriq hepatocellular carcinoma

    Tecentriq (atezolizumab, RG7446) Anti-PD-L1 cancer immunotherapy – hepatocellular carcinoma Indication Adjuvant hepatocellular carcinoma (HCC) Phase III Phase/study IMbrave050 # of patients N=668  ARM A: Tecentriq plus Avastin  ARM B: Active surveillance Oncology Design Primary endpoint  Recurren

  73. Slide 73: Oncology: Tecentriq breast cancer

    Tecentriq (atezolizumab, RG7446) Anti-PD-L1 cancer immunotherapy – breast cancer Previously untreated metastatic Indication triple negative breast cancer (TNBC) Phase III Phase III Phase/study IMpassion130 IMpassion132 # of patients N=902 N=572  ARM A: Tecentriq plus nab-paclitaxel  ARM A: Tecentr

  74. Slide 74: Oncology: Tecentriq breast cancer

    Tecentriq (atezolizumab, RG7446) Anti-PD-L1 cancer immunotherapy – breast cancer Indication Neoadjuvant triple negative breast cancer (TNBC) Adjuvant triple negative breast cancer (TNBC) Phase III Phase III Phase/study IMpassion031 IMpassion030 # of patients N=333 N=2,300  ARM A: Tecentriq plus nab

  75. Slide 75: Oncology: Venclexta CLL

    Venclexta (venetoclax, RG7601) Novel small molecule Bcl-2 selective inhibitor – chronic lymphocytic leukemia Untreated chronic lymphocytic leukemia Relapsed or refractory chronic lymphocytic Untreated fit chronic lymphocytic leukemia Indication (CLL) patients with leukemia (CLL) (CLL) patients coexi

  76. Slide 76: Oncology: Venclexta multiple myeloma

    Venclexta (venetoclax, RG7601) Novel small molecule Bcl-2 selective inhibitor – multiple myeloma Indication Relapsed or refractory multiple myeloma (MM) Phase III Phase/study Phase I CANOVA # of patients N=117 N=244 Dose escalation cohort:  Venclexta plus dexamethazone vs pomalidomide plus  Vencle

  77. Slide 77: Oncology: Venclexta MDS

    Venclexta (venetoclax, RG7601) Novel small molecule Bcl-2 selective inhibitor – myelodysplastic syndromes Relapsed or refractory myelodysplastic Treatment-naive myelodysplastic syndromes Newly diagnosed higher-risk Indication syndromes (MDS) (MDS) myelodysplatic syndrome (MDS) Phase III Phase/study

  78. Slide 78: Oncology: Polivy

    Polivy (polatuzumab vedotin, RG7596) ADC targeting CD79b to treat B cell malignancies Indication 1L DLBCL Phase III Phase/study POLARIX # of patients N=879  ARM A: Polivy plus R-CHP  ARM B: R-CHOP Design Oncology Primary endpoint  Progression-free survival  FPI Q4 2017  Recruitment completed Q2

  79. Slide 79: Oncology: Gavreto

    Gavreto (pralsetinib, RG6396) Highly selective RET inhibitor RET+ NSCLC, thyroid cancer and Indication 1L RET fusion-positive, metastatic NSCLC other advanced solid tumors Phase I/II Phase III Phase/study ARROW AcceleRET Lung # of patients N=647 N=250  Part I: Gavreto 30-600mg dose escalation  ARM

  80. Slide 80: Oncology: Lunsumio

    Lunsumio (mosunetuzumab, CD20 x CD3, RG7828) Bispecific anti-CD20/CD3 antibody engaging T and B cells simultaneously 3L+ FL, 3L+ DLBCL & other relapsed or refractory Indication 1L DLBCL Relapsed or refractory DLBCL NHL Phase/study Phase I/II Phase Ib/II Phase Ib/II # of patients N=746 N=160 N=262 

  81. Slide 81: Oncology: Lunsumio

    Lunsumio (mosunetuzumab, CD20 x CD3, RG7828) Bispecific anti-CD20/CD3 antibody engaging T and B cells simultaneously Indication 1L DLBCL & 2L DLBCL following 1L induction Relapsed or refractory 2L+ FL Phase/study Phase I Phase Ib # of patients N=92 + 80 (cohort C) N=27  Cohort A: Lunsumio monothera

  82. Slide 82: Oncology: Lunsumio

    Lunsumio (mosunetuzumab, CD20 x CD3, RG7828) Bispecific anti-CD20/CD3 antibody engaging T and B cells simultaneously Indication 2L+ FL Relapsed or refractory FL Relapsed or refractory CLL Phase III Phase/study Phase Ib/II Phase Ib/II CELESTIMO # of patients N=400 N=118 N=56  ARM A: Lunsumio plus le

  83. Slide 83: Oncology: Lunsumio

    Lunsumio (mosunetuzumab, CD20 x CD3, RG7828) Bispecific anti-CD20/CD3 antibody engaging T and B cells simultaneously Indication 2L+ SCT ineligible DLBCL Phase III Phase/study SUNMO # of patients N=222  ARM A: Lunsumio plus Polivy  ARM B: R + GemOx Oncology Design  Progression-free survival Primar

  84. Slide 84: Neuroscience: Ocrevus

    Ocrevus (ocrelizumab, RG1594) Humanized monoclonal antibody selectively targeting CD20+ B cells Primary progressive Indication Relapsing multiple sclerosis (RMS) multiple sclerosis (PPMS) Phase III Phase III Phase III Phase/study OPERA I OPERA II ORATORIO # of patients N=821 N=835 N=732 96-week trea

  85. Slide 85: Neuroscience: Ocrevus

    Ocrevus (ocrelizumab, RG1594) Humanized monoclonal antibody selectively targeting CD20+ B cells Indication Relapsing and primary progressive multiple sclerosis (RMS & PPMS) Primary progressive multiple sclerosis (PPMS) Phase IIIb Phase IIIb Phase/study ENSEMBLE PLUS ORATORIO-HAND # of patients N=1,2

  86. Slide 86: Neuroscience: Ocrevus

    Ocrevus (ocrelizumab, RG1594) Humanized monoclonal antibody selectively targeting CD20+ B cells Primary progressive multiple sclerosis Indication Relapsing multiple sclerosis (RMS) PPMS & RMS (PPMS) Phase IIIb Phase IIIb Phase III Phase/study GAVOTTE MUSETTE Ocarina II1 # of patients N ~ 699 N ~ 786

  87. Slide 87: Neuroscience: Evrysdi

    Evrysdi (risdiplam, RG7916) Oral SMN2 splicing modifier Indication Spinal muscular atrophy (SMA) Phase II/III Phase II/III Phase II Phase/study FIREFISH SUNFISH JEWELFISH # of patients N=21 (Part 1), 41 (Part 2) N=51 (Part 1), 180 (Part 2) N=174 Open-label study in infants with type 1 SMA Randomized

  88. Slide 88: Neuroscience: Evrysdi

    Evrysdi (risdiplam, RG7916) Oral SMN2 splicing modifier Indication Spinal muscular atrophy (SMA) Phase II Phase II/III Phase/study RAINBOWFISH MANATEE # of patients N=25 N=180  Open-label, single-arm, multicenter study in infants aged from birth ARM A: to 6 weeks who have been genetically diagnosed

  89. Slide 89: Neuroscience: Enspryng

    Enspryng (satralizumab, RG6168, SA237) Anti-IL-6 receptor humanized monoclonal antibody Indication Neuromyelitis optica spectrum disorder (NMOSD) Phase III Phase III Phase/study SAkuraStar SAkuraSky # of patients N=95 N=83 Enspryng monotherapy: Add-on therapy of Enspryng:  ARM A: Enspryng 120mg SC

  90. Slide 90: Neuroscience: Enspryng

    Enspryng (satralizumab, RG6168, SA237) Anti-IL-6 receptor humanized monoclonal antibody Myelin oligodendrocyte glycoprotein antibody Indication Generalised myasthenia gravis (MG) Autoimmune encephalitis (AE) disease (MOG-AD) Phase III Phase III Phase III Phase/study Luminesce METEOROID CIELO # of pa

  91. Slide 91: Immunology: Gazyva

    Gazyva (obinutuzumab, RG7159) Immunology development program Indication Lupus nephritis Membranous nephropathy Phase II Phase III Phase III Phase/study NOBILITY REGENCY MAJESTY # of patients N=126 N=252 N=140  ARM A: Gazyva 1000mg IV plus mycophenolate  ARM A: Gazyva 1000mg IV (6 doses through  A

  92. Slide 92: Immunology: Gazyva

    Gazyva (obinutuzumab, RG7159) Immunology development program Indication Systemic lupus erythematosus (SLE) Phase III Phase/study ALLEGORY # of patients N=200  ARM A: Gazyva 1000mg IV on Day 1 and Weeks 2, 24 and 26.  ARM B: Placebo IV Immunology Design  Percentage of participants who achieve Syst

  93. Slide 93: Immunology: Actemra/RoActemra

    Actemra/RoActemra (tocilizumab, RG1569) Interleukin 6 receptor inhibitor Indication Adult hospitalised with severe COVID-19 pneumonia Phase III Phase III Phase/study COVACTA1 REMDACTA2 # of patients N=450 N=650  ARM A: Actemra plus standard of care  ARM A: Remdesivir plus Actemra  ARM B: Placebo

  94. Slide 94: Immunology: Actemra/RoActemra

    Actemra/RoActemra (tocilizumab, RG1569) Interleukin 6 receptor inhibitor Indication Adult hospitalised with severe COVID-19 pneumonia Phase II Phase III Phase/study MARIPOSA EMPACTA # of patients N=100 N=379  ARM A: 8 mg/kg Actemra plus standard of care Conducted in sites known to provide critical

  95. Slide 95: Immunology: Xolair

    Xolair (omalizumab, RG3648) Humanized monoclonal antibody that selectively binds to IgE Indication Food allergy Phase III Phase/study OUtMATCH1 # of patients N=225  Xolair by SC injection either q2w or q4w for 16 to 20 weeks Immunology Design Primary endpoint  Number of participants who successful

  96. Slide 96: Immunology: Lunsumio

    Lunsumio (mosunetuzumab, CD20 x CD3, RG7828) Bispecific anti-CD20/CD3 antibody engaging T and B cells simultaneously Indication Systemic lupus erythematosus (SLE) Phase/study Phase I # of patients N=50  ARM A: Lunsumio SC on either Day 1 or on Days 1 and 8  ARM B: Fractionated (divided) dose of Lu

  97. Slide 97: Ophthalmology: Susvimo

    Susvimo (PDS, RG6321) First eye implant to achieve sustained delivery of a biologic medicine Indication Wet age-related macular degeneration (wAMD) Phase III Phase II+III extension Phase IIIb Phase/study Archway Portal Velodrome # of patients N=418 N=1,000 N=442  ARM A: Port delivery system with ra

  98. Slide 98: Ophthalmology: Susvimo

    Susvimo (PDS, RG6321) First eye implant to achieve sustained delivery of a biologic medicine Diabetic retinopathy (DR) without Indication Diabetic macular edema (DME) center-involved diabetic macular edema (DME) Phase III Phase III Phase/study Pagoda Pavilion # of patients N=545 N=160  ARM A: Port

  99. Slide 99: Ophthalmology: Vabysmo

    Vabysmo (faricimab, RG7716) Bispecific antibody to simultaneously bind Ang-2 and VEGF-A Indication Center-involving diabetic macular edema (CI-DME) Phase III Phase III Phase/study YOSEMITE RHINE # of patients N=940 N=951  ARM A: Faricimab q8w  ARM A: Faricimab q8w  ARM B: Faricimab PTI up to q16w

  100. Slide 100: Ophthalmology: Vabysmo

    Vabysmo (faricimab, RG7716) Bispecific antibody to simultaneously bind Ang-2 and VEGF-A Indication Wet age related macular degeneration (wAMD) Phase III Phase III Phase/study TENAYA LUCERNE # of patients N=671 N=658  ARM A: Faricimab 6.0mg q16w flexible after 4 IDs  ARM A: Faricimab 6.0mg q16w fle

  101. Slide 101: Ophthalmology: Vabysmo

    Vabysmo (faricimab, RG7716) Bispecific antibody to simultaneously bind Ang-2 and VEGF-A Indication Macular edema (ME) secondary to branch retinal vein occlusion (RVO) Macular edema (ME) secondary to central retinal vein occlusion (RVO) Phase III Phase III Phase/study BALATON COMINO # of patients N=5

  102. Slide 102: Infectious Diseases: Xofluza

    Xofluza (baloxavir marboxil, RG6152, S-033188 ) Small molecule, novel CAP-dependent endonuclease inhibitor Indication Influenza Phase III Phase III Phase IIIb Phase/study miniSTONE 1 (0-1 year old) miniSTONE 2 (1- <12 years old ) CENTERSTONE # of patients N=30 N=176 N=3,160 Xofluza on Day 1 (based o

  103. Slide 103: Roche Group development pipeline

    Roche Group development pipeline Marketed products development programmes Roche Pharma global development programmes Roche Pharma research and early development (pRED) Genentech research and early development (gRED) Spark Pharma sales appendix Diagnostics sales appendix Foreign exchange rates inform

  104. Slide 104: Oncology: Ipatasertib

    Ipatasertib (RG7440, GDC-0068) Highly selective small molecule inhibitor of Akt Indication 1L castration-resistant prostate cancer (CRPC) Phase III Phase/study IPATential150 # of patients N=1,100  ARM A: Ipatasertib plus abiraterone  ARM B: Placebo plus abiraterone Design Oncology  rPFS in patien

  105. Slide 105: Oncology: Tiragolumab

    Tiragolumab (anti-TIGIT, RG6058, MTIG7192A) Monoclonal antibody targeting the immune checkpoint inhibitor TIGIT Indication 1L NSCLC PD-L1 TPS>50% Stage III unresectable 1L NSCLC Phase III Phase III Phase/study SKYSCRAPER-01 SKYSCRAPER-03 # of patients N=500-560 N=800  ARM A: Tiragolumab plus Tecent

  106. Slide 106: Oncology: Tiragolumab

    Tiragolumab (anti-TIGIT, RG6058, MTIG7192A) Monoclonal antibody targeting the immune checkpoint inhibitor TIGIT Metastatic and/or recurrent PD-L1+ Indication Neoadjuvant and adjuvant NSCLC 1L non-squamous NSCLC cervical cancer (CC) Phase II Phase II Phase III Phase/study SKYSCRAPER-04 SKYSCRAPER-05

  107. Slide 107: Oncology: Tiragolumab

    Tiragolumab (anti-TIGIT, RG6058, MTIG7192A) Monoclonal antibody targeting the immune checkpoint inhibitor TIGIT 1L recurrent/metastatic PD-L1 positive Indication Locally advanced esophageal cancer (EC) 1L esophageal cancer (EC) squamous cell head and neck carcinoma (SCCHN) Phase III Phase III Phase

  108. Slide 108: Oncology: Tiragolumab

    Tiragolumab (anti-TIGIT, RG6058, MTIG7192A) Monoclonal antibody targeting the immune checkpoint inhibitor TIGIT Relapsed or refractory multiple myeloma (MM) Indication Solid tumors NSCLC or r/r B-cell NHL Phase II Phase/study Phase I Phase I CITYSCAPE # of patients N=540 N=135 N=52  Phase Ia: Dose

  109. Slide 109: Oncology: Glofitamab

    Glofitamab (CD20-TCB, RG6026) Bispecific anti-CD20/CD3 antibody engaging T and B cells simultaneously Indication Relapsed or refractory Non-Hodgkin’s lymphoma (NHL) Phase/study Phase I Phase Ib Phase I # of patients N=700 N=140 N=18-36 Cohort 1: Single-agent dose escalation study Dose escalation and

  110. Slide 110: Oncology: Glofitamab

    Glofitamab (CD20-TCB, RG6026) Bispecific anti-CD20/CD3 antibody engaging T and B cells simultaneously Indication Non-Hodgkin’s lymphoma (NHL) 2L+ SCT-ineligible DLBCL Phase III Phase/study Phase Ib STARGLO Part I: 15-60 # of patients N=270 Part II: ~66-104  Part I: Dose-finding for the combination

  111. Slide 111: Oncology: Glofitamab

    Glofitamab (CD20-TCB, RG6026) Bispecific anti-CD20/CD3 antibody engaging T and B cells simultaneously Indication 1L ctDNA high risk DLBCL Phase/study Phase II # of patients N=40  Glofitamab plus R-CHOP (glofitamab is introduced as a consolidation to R-CHOP at cycle 3-8 in patients ctDNA+ at cycle 2

  112. Slide 112: Oncology: Inavolisib

    Inavolisib (RG6114, GDC-0077) A potent, orally available, and selective PI3Kα inhibitor PIK3CA mutant solid tumors and metastatic Indication PIK3CA-mutant HR+ metastatic breast cancer (mBC) ER+ HER2-neg breast cancer Phase III Phase/study Phase I INAVO120 # of patients N=400 N=256  ARM A: Inavolisi

  113. Slide 113: Oncology: Giredestrant

    Giredestrant (SERD (3),RG6171, GDC-9545) A selective estrogen receptor degrader or downregulator ER+ HER2-neg Stage I-III operable breast Indication ER+ HER2-neg metastatic breast cancer (mBC) Neoadjuvant ER+ breast cancer (BC) cancer (BC) Phase II Phase/study Phase I Phase I coopERA Breast Cancer #

  114. Slide 114: Oncology: Giredestrant

    Giredestrant (SERD (3),RG6171, GDC-9545) A selective estrogen receptor degrader or downregulator Indication 1L ER+ metastatic breast cancer (mBC) Adjuvant ER+ breast cancer (BC) Phase III Phase III Phase/study persevERA Breast Cancer lidERA Breast Cancer # of patients N=978 N=4,100  ARM A: Giredest

  115. Slide 115: Oncology: Giredestrant

    Giredestrant (SERD (3),RG6171, GDC-9545) A selective estrogen receptor degrader or downregulator Indication 1L ER+/HER2-positive breast cancer (BC) Phase III Phase/study heredERA # of patients N=812 Induction Phesgo plus taxane followed by maintenance with either:  ARM A: Giredestrant plus Phesgo D

  116. Slide 116: Immunology: Zinpentraxin alfa

    Zinpentraxin alfa (PRM-151, RG6354) Recombinant human innate immunity protein pentraxin-2 Indication Idiopathic pulmonary fibrosis (IPF) Myelofibrosis Phase III Phase/study Phase II Phase II STARSCAPE # of patients N=117 N=658 N=125  Randomized, double-blind, placebo-  Randomized, double-blind, pl

  117. Slide 117: Immunology: Crovalimab

    Crovalimab (RG6107, SKY59) A humanized monoclonal antibody against complement C5 Paroxysmal nocturnal hemoglobinuria (PNH) patients switching from a Indication Paroxysmal nocturnal hemoglobinuria (PNH) C5 inhibitor Phase I/II Phase III Phase/study COMPOSER COMMODORE 1 # of patients N=59 N=250 Health

  118. Slide 118: Immunology: Crovalimab

    Crovalimab (RG6107, SKY59) A humanized monoclonal antibody against complement C5 Paroxysmal nocturnal hemoglobinuria (PNH) Paroxysmal nocturnal hemoglobinuria (PNH) Indication C5 inhibitor naive patients C5 inhibitor naive patients (China only) Phase III Phase III Phase/study COMMODORE 2 COMMODORE 3

  119. Slide 119: Immunology: Crovalimab

    Crovalimab (RG6107, SKY59) A humanized monoclonal antibody against complement C5 Atypical hemolytic uremic syndrome (aHUS) Atypical hemolytic uremic syndrome (aHUS) Indication study 1 - adults study 2 - paediatrics Phase III Phase III Phase/study COMMUTE-a COMMUTE-p # of patients N=90 N=35 Single-ar

  120. Slide 120: Immunology: Crovalimab

    Crovalimab (RG6107, SKY59) A humanized monoclonal antibody against complement C5 Sickle cell disease (SCD) Sickle cell disease (SCD) Indication acute treatment chronic VOC prevention Phase Ib Phase IIa Phase/study CROSSWALK-a CROSSWALK-c # of patients N=30 N=90  ARM A: Crovalimab  ARM A: Crovalima

  121. Slide 121: Neuroscience: Crenezumab

    Crenezumab (RG7412) Humanized monoclonal antibody targeting all forms of Ab Indication Alzheimer’s prevention initiative (API) Colombia Phase II Phase/study Cognition study # of patients N=252  ARM A: PSEN1 E280A mutation carriers receive crenezumab SC or IV  ARM B: PSEN1 E280A mutation carriers r

  122. Slide 122: Neuroscience: Gantenerumab

    Gantenerumab (RG1450) Fully human monoclonal antibody binding aggregated forms of Aß Indication Prodromal to mild Alzheimer’s disease Phase III Phase III Phase II Phase/study GRADUATE 1 GRADUATE 2 GRADUATION # of patients N=1,016 N=1,016 N=192 104-week SC treatment period: 104-week SC treatment peri

  123. Slide 123: Neuroscience: Gantenerumab

    Gantenerumab (RG1450) Fully human monoclonal antibody binding aggregated forms of Aß Cognitively unimpaired participants at risk for or Indication Prodromal Alzheimer’s disease Mild Alzheimer’s disease at the earliest stages of Alzheimer’s disease Phase II/III Phase III Phase III Phase/study SCarlet

  124. Slide 124: Neuroscience: Tominersen

    Tominersen (RG6042, HTT ASO ) Antisense oligonucleotide (ASO) targeting human HTT mRNA Indication Huntington’s disease Phase II Phase/study Phase I/IIa OLE # of patients N=46 N=46  Multiple ascending doses of tominersen administered intrathecally to  Patients from phase I are enrolled into OLE adu

  125. Slide 125: Neuroscience: Tominersen

    Tominersen (RG6042, HTT ASO ) Antisense oligonucleotide (ASO) targeting human HTT mRNA Indication Huntington’s disease Phase III Phase III Phase/study Generation HD1 GEN-EXTEND # of patients N=791 N=1,050  ARM A: Tominersen 120mg q2w OLE study in patients participating in prior Roche and Genentech

  126. Slide 126: Neuroscience: Fenebrutinib

    Fenebrutinib (RG7845, GCD-0853) Highly selective and reversible (noncovalent) bruton tyrosine kinase Primary progressive multiple sclerosis Indication Relapsing multiple sclerosis (RMS) (PPMS) Phase III Phase III Phase III Phase/study FENtrepid FENhance 1 FENhance 2 # of patients N=946 N=736 N=736 

  127. Slide 127: Neuroscience: Balovaptan

    Balovaptan (RG7314) Small molecule antagonist of the V1A vasopressin receptor Indication Post-traumatic stress disorder (PTSD) Phase/study Phase II # of patients N=252  ARM A: Balovaptan (IV) once a day for 12 weeks  ARM B: Placebo matched control Design Neuroscience Primary endpoint  Change from

  128. Slide 128: Neuroscience: TNKase

    TNKase® (RG3625, tenecteplase) Small molecule tissue plasminogen activator Indication Stroke patients between 4.5 and 24 hours Phase III Phase/study TIMELESS # of patients N=456  ARM A: Tenecteplase (0.25 mg/kg, maximum 25 mg) single bolus injection  ARM B: Placebo Design Neuroscience Primary endp

  129. Slide 129: Roche Group development pipeline

    Roche Group development pipeline Marketed products development programmes Roche Pharma global development programmes Roche Pharma research and early development (pRED) Genentech research and early development (gRED) Spark Pharma sales appendix Diagnostics sales appendix Foreign exchange rates inform

  130. Slide 130: pRED oncology development programs -1

    pRED oncology development programs -1 Molecule Indication Phase # of patients Status CT Identifier Oncology FPI Q2 2018 Solid tumors I ~150 Data presented at ESMO 2020 FAP-4-1BBL (RG7827) Recruitment completed Q2 2021 FPI Q3 2021 3L+ MSS mCRC Ib 80 NCT04826003 Combination study with cibisatamab Part

  131. Slide 131: pRED oncology development programs -2

    pRED oncology development programs -2 Molecule Indication Phase # of patients Status CT Identifier Oncology Solid tumors I 110 FPI Q4 2019 NCT04158583 CD25 (RG6292) Advanced and metastatic solid Part I: FPI Q1 2021 I 160 NCT04642365 tumors Part II: FPI Q4 2021 FPI Q4 2020 Anti-GPRC5D (RG6234) Multip

  132. Slide 132: pRED neuroscience development programs -1

    pRED neuroscience development programs -1 Molecule Indication Phase # of patients Status CT Identifier Neuroscience Brain Shuttle-gantenerumab (BS- Alzheimer's disease IIa ~120 FPI Q1 2021 NCT04639050 gantenerumab, RG6102) Brain Shuttle-CD20 (BS-CD20, ISRCTN16295 Multiple sclerosis I 30 FPI Q3 2021

  133. Slide 133: pRED neuroscience development programs -2

    pRED neuroscience development programs -2 Molecule Indication Phase # of patients Status CT Identifier Neuroscience NME (RG6289) Alzheimer's disease I 138 FPI Q4 2021 NME (RG6163) Psychiatric disorders I 84 FPI Q1 2022 selnoflast Parkinson’s disease Ib 48 FPI Q3 2022 (NLRP3i, RG6418) Partner: 1Proth

  134. Slide 134: pRED immunology and ophthalmology development programs

    pRED immunology and ophthalmology development programs Molecule Indication Phase # of patients Status CT Identifier Immunology selnoflast Chronic obstructive pulmonary Ib 102 FPI Q2 2022 (NLRP3i, RG6418) disease Ophthalmology DME, UME I 90 FPI Q3 2019 DOVETAIL NCT05151744 II ~210 FPI Q4 2021 Anti-IL

  135. Slide 135: pRED infectious diseases development programs

    pRED infectious diseases development programs Molecule Indication Phase # of patients Status CT Identifier Infectious Diseases FPI Q4 2016 TLR7 agonist (3) (RG7854) Chronic hepatitis B I 150 NCT02956850 Data presented at APASL 2019 TLR7 agonist (3)/ siRNA/ PDL1 LNA NCT04225715 Chronic hepatitis B II

  136. Slide 136: Roche Group development pipeline

    Roche Group development pipeline Marketed products development programmes Roche Pharma global development programmes Roche Pharma research and early development (pRED) Genentech research and early development (gRED) Spark Pharma sales appendix Diagnostics sales appendix Foreign exchange rates inform

  137. Slide 137: gRED oncology development programs -1

    gRED oncology development programs -1 Molecule Indication Phase # of patients Status CT Identifier Oncology Metastatic solid tumors with KRAS FPI Q3 2020 KRAS G12C (RG6330) I 270 NCT04449874 G12C mutation Data presented at WCLC 2022, ESMO 2022 FPI Q3 2017 cevostamab R/R multiple myeloma I 300 NCT032

  138. Slide 138: gRED oncology development programs -2

    gRED oncology development programs -2 Molecule Indication Phase # of patients Status CT Identifier Oncology FPI Q2 2021 belvarafenib (RG6185)4 nRASmt CPI-experienced melanoma Ib 83 NCT04835805 Data presented at ESMO 2021 ISRCTN92655 NME (RG6392) Oncology I 60 FPI Q4 2021 801 Partner: 1Xencor, 2BioNT

  139. Slide 139: gRED immunology and ophthalmology development programs

    gRED immunology and ophthalmology development programs Molecule Indication Phase # of patients Status CT Identifier Immunology efmarodocokin alfa aGVHD lb 18 FPI Q4 2020 NCT04539470 (IL-22Fc, RG7880) FPI Q1 2020 Inflammatory bowel disease I 68 EUDRACT201 NME (RG6287, GDC-8264) Recruitment completed

  140. Slide 140: gRED neuroscience and infectious diseases development programs

    gRED neuroscience and infectious diseases development programs Molecule Indication Phase # of patients Status CT Identifier Neuroscience FPI Q4 2017 Prodromal to mild NCT03289143 II 457 Primary endpoint not met Q3 2020 Alzheimer’s disease (TAURIEL) Data presented at CTAD 2020 semorinemab (RG6100)1 F

  141. Slide 141: Roche Group development pipeline

    Roche Group development pipeline Marketed products development programmes Roche Pharma global development programmes Roche Pharma research and early development (pRED) Genentech research and early development (gRED) Spark Pharma sales appendix Diagnostics sales appendix Foreign exchange rates inform

  142. Slide 142: Hemophilia: Spark gene therapy

    Hemophilia A Unique gene therapy platform SPK-8011 SPK-8016 Molecule (RG6357) (RG6358) Indication Hemophilia A Hemophilia A with inhibitors to Factor VIII Phase/study Phase I Phase I/II Phase I/II # of patients N=100 N=30 N=30  Long term follow up study of patients who  Gene transfer, dose-finding

  143. Slide 143: Metabolic Diseases: Pompe disease

    Pompe disease Unique gene therapy platform SPK-3006 Molecule (RG6359) Indication Pompe disease Phase I/II Phase/study RESOLUTE # of patients N=20  Gene transfer study for late-onset Pompe disease Metabolic Diseases Design  Safety Primary endpoint  FPI Q4 2020 Status  Recruitment completed Q2 202

  144. Slide 144: Roche Group development pipeline

    Roche Group development pipeline Marketed products development programmes Roche Pharma global development programmes Roche Pharma research and early development (pRED) Genentech research and early development (gRED) Spark Pharma sales appendix Diagnostics sales appendix Foreign exchange rates inform

  145. Slide 145: Geographical sales split by Divisions and Group

    Geographical sales split by Divisions and Group* CHFm YTD Sep 2021 YTD Sep 2022 % change CER Pharmaceuticals Division 33,379 33,189 0 United States 16,707 17,199 -1 Europe 6,610 6,100 -1 Japan 3,186 3,029 +7 International 6,876 6,861 0 Diagnostics Division 13,305 13,848 +6 United States 2,845 3,471

  146. Slide 146: Pharma Division sales YTD Sep 2022: Top products

    Pharma Division sales YTD Sep 2022 Top 20 products Global US Europe Japan International CHFm % CER CHFm % CER CHFm % CER CHFm % CER CHFm % CER Ocrevus 4,427 17 3,283 13 808 25 - - 336 37 Perjeta 3,090 5 1,135 1 661 -16 175 -1 1,119 33 Hemlibra 2,778 28 1,684 22 542 32 277 20 275 76 Tecentriq 2,692 1

  147. Slide 147: Pharma Division sales YTD Sep 2022

    Pharma Division sales YTD Sep 2022 Product sales Pharmaceuticals Division Global US Europe Japan International CHFm % CER CHFm % CER CHFm % CER CHFm % CER CHFm % CER Ocrevus 4,427 17 3,283 13 808 25 - - 336 37 Perjeta 3,090 5 1,135 1 661 -16 175 -1 1,119 33 Hemlibra 2,778 28 1,684 22 542 32 277 20 2

  148. Slide 148: Pharma Division CER sales growth: Global top products

    Pharma Division CER sales growth1 in % Global top 20 products Q1/21 Q2/21 Q3/21 Q4/21 Q1/22 Q2/22 Q3/22 Ocrevus 16 31 7 25 18 17 16 Perjeta 2 7 2 3 1 9 5 Hemlibra 33 58 37 38 30 31 23 Tecentriq 26 31 23 17 8 13 9 Actemra / RoActemra 22 12 57 21 3 -23 -42 Herceptin -35 -35 -26 -6 -19 -11 -23 Avastin

  149. Slide 149: Pharma Division CER sales growth: Top products by region

    Pharma Division CER sales growth1 in % Top 20 products by region US Europe Japan International Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Ocrevus 23 12 10 17 26 34 34 11 - - - - 51 29 62 26 Perjeta -2 -1 4 0 -8 -21 -12 -15 -3 -1 -1 -1 24 32 37 30 Hemlibra 33 28 24 16 53 31 29 36 30 15 24 22 55

  150. Slide 150: CER sales growth (%)

    CER sales growth (%) Quarterly development 2021 vs. 2020 2022 vs. 2021 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Pharmaceuticals Division -9 4 5 14 6 0 -6 United States -14 0 0 8 2 1 -6 Europe -6 15 1 19 -1 -6 4 Japan -7 7 60 46 69 3 -27 International 0 4 2 9 0 4 -3 Diagnostics Division 55 48 18 8 24 0 -4 Roche Group 3

  151. Slide 151: Ocrevus

    Ocrevus Global sales CER growth Regional sales CER growth CHFbn 4.9 +17% US +13% 4.2 3.5 2.8 2.1 Europe +25% 1.4 International +37% 0.7 0.0 YTD Sep 19 YTD Sep 20 YTD Sep 21 YTD Sep 22 YTD Sep 2022 sales of CHF 4,427m • US: Moving into earlier lines displacing orals; #1 in US for both total share and

  152. Slide 152: Perjeta

    Perjeta Global sales CER growth Regional sales CER growth CHFbn 3.5 +5% US +1% 3.0 Europe -16% 2.5 2.0 Japan -1% 1.5 1.0 International +33% 0.5 0.0 YTD Sep 19 YTD Sep 20 YTD Sep 21 YTD Sep 22 YTD Sep 2022 sales of CHF 3,090m • US: Cannibalization from Phesgo • EU: Cannibalization from Phesgo • Inter

  153. Slide 153: Hemlibra

    Hemlibra Global sales CER growth Regional sales CER growth CHFbn 3.2 +28% US +22% 2.8 Europe +32% 2.4 2.0 Japan +20% 1.6 1.2 International +76% 0.8 0.4 0.0 YTD Sep 19 YTD Sep 20 YTD Sep 21 YTD Sep 22 YTD Sep 2022 sales of CHF 2,778m • US: Continued share gains in non-inhibitor patients • EU: Continu

  154. Slide 154: Tecentriq

    Tecentriq Global sales CER growth Regional sales CER growth CHFbn 3.2 +10% US +9% 2.8 Europe +19% 2.4 2.0 1.6 Japan -5% 1.2 0.8 International +16% 0.4 0.0 YTD Sep 19 YTD Sep 20 YTD Sep 21 YTD Sep 22 YTD Sep 2022 sales of CHF 2,692m • US: Growth driven by first-in-class launches in adjuvant PDL1+ NSC

  155. Slide 155: Actemra / RoActemra

    Actemra / RoActemra Global sales CER growth Regional sales CER growth CHFbn 3.0 -23% US -33% 2.5 Europe -3% 2.0 1.5 1.0 Japan +1% 0.5 International -39% 0.0 YTD Sep 19 YTD Sep 20 YTD Sep 21 YTD Sep 22 YTD Sep 2022 sales of CHF 2,039m • US: Actemra SC share in RA keeps increasing; COVID-19 sales wash

  156. Slide 156: Herceptin

    Herceptin CHFbn Global sales CER growth Regional sales CER growth 5.4 -18% US -28% Europe -13% 4.5 Japan -28% 3.6 2.7 1.8 International -15% 0.9 0.0 YTD Sep 19 YTD Sep 20 YTD Sep 21 YTD Sep 22 YTD Sep 2022 sales of CHF 1,672m • US: Biosimilar erosion slowing; Switching of patients with residual dise

  157. Slide 157: Avastin

    Avastin Global sales CER growth Regional sales CER growth CHFbn 6.0 -29% US -36% Europe -51% 5.0 4.0 Japan -15% 3.0 2.0 International -21% 1.0 0.0 YTD Sep 19 YTD Sep 20 YTD Sep 21 YTD Sep 22 YTD Sep 2022 sales of CHF 1,652m • US: Biosimilar erosion slowing • EU: Biosimilar erosion slowing • Japan: L

  158. Slide 158: Xolair

    Xolair Global sales CER growth Regional sales CER growth CHFbn 1.8 +10% 1.6 1.4 1.2 US +10% 1.0 0.8 0.6 0.4 0.2 0.0 YTD Sep 19 YTD Sep 20 YTD Sep 21 YTD Sep 22 YTD Sep 2022 sales of CHF 1,625m • US: Xolair remains market leader in growing biologics asthma market; Growth driven by chronic spontaneous

  159. Slide 159: Rituxan / Mabthera

    Rituxan / Mabthera CHFbn Global sales CER growth Regional sales CER growth 5.4 -20% US -20% 4.5 Europe -18% 3.6 Japan -10% 2.7 1.8 International -23% 0.9 0.0 YTD Sep 19 YTD Sep 20 YTD Sep 21 YTD Sep 22 YTD Sep 2022 sales of CHF 1,596m • US: Biosimilar erosion slowing • EU: Biosimilar erosion slowing

  160. Slide 160: Kadcyla

    Kadcyla Global sales CER growth Regional sales CER growth CHFbn +11% 1.8 US -3% 1.6 1.4 1.2 Europe +8% 1.0 0.8 0.6 Japan +21% 0.4 0.2 International +50% 0.0 YTD Sep 19 YTD Sep 20 YTD Sep 21 YTD Sep 22 YTD Sep 2022 sales of CHF 1,590m • US: Growth in adjuvant eBC; share decline in metastatic BC due t

  161. Slide 161: Alecensa

    Alecensa CHFbn Global sales CER growth Regional sales CER growth 1.2 +16% US +20% 1.0 Europe +6% 0.8 0.6 Japan +5% 0.4 0.2 International +26% 0.0 YTD Sep 19 YTD Sep 20 YTD Sep 21 YTD Sep 22 YTD Sep 2022 sales of CHF 1,127m • US: New patient share in 1L at around 70% • EU: EU-5 new patient share in 1

  162. Slide 162: TNKase / Activase

    TNKase / Activase Global sales CER growth Regional sales CER growth CHFbn 1.2 -8% US -9% 1.0 0.8 0.6 0.4 International +5% 0.2 0.0 YTD Sep 19 YTD Sep 20 YTD Sep 21 YTD Sep 22 YTD Sep 2022 sales of CHF 881m • US: Sales impacted by COVID-19 and purchasing patterns CER=Constant Exchange Rates 162

  163. Slide 163: Lucentis

    Lucentis Global sales CER growth Regional sales CER growth CHFbn 1.5 -25% 1.2 0.9 US -25% 0.6 0.3 0.0 YTD Sep 19 YTD Sep 20 YTD Sep 21 YTD Sep 22 YTD Sep 2022 sales of CHF 800m • Impacted by switching to Vabysmo, entrance of biosimilars and order patterns CER=Constant Exchange Rates 163

  164. Slide 164: Evrysdi

    Evrysdi Global sales CER growth Regional sales CER growth CHFbn 0.9 +101% US +24% 0.8 0.7 Europe +335% 0.6 0.5 0.4 Japan >500% 0.3 International +100% 0.2 0.1 0.0 YTD Sep 19 YTD Sep 20 YTD Sep 21 YTD Sep 22 YTD Sep 2022 sales of CHF 793m • US: Strong growth driven by switch and treatment-naïve patie

  165. Slide 165: Ronapreve

    Ronapreve CHFbn Global sales CER growth Regional sales CER growth -36% 1.2 International -49% 1.0 Europe -81% 0.8 0.6 Japan 42% 0.4 0.2 0.0 YTD Sep 19 YTD Sep 20 YTD Sep 21 YTD Sep 22 YTD Sep 2022 sales of CHF 631m • EU: Limited sales potential left as Ronapreve has low activity against Omicron vari

  166. Slide 166: Esbriet

    Esbriet Global sales CER growth Regional sales CER growth CHFbn 0.9 -25% US -34% 0.8 0.7 Europe -1% 0.6 0.5 International -22% 0.4 0.3 0.2 0.1 0.0 YTD Sep 19 YTD Sep 20 YTD Sep 21 YTD Sep 22 YTD Sep 2022 sales of CHF 590m • US: Generics have entered the market in Q2, rapid erosion expected • EU: Gen

  167. Slide 167: Roche Group development pipeline

    Roche Group development pipeline Marketed products development programmes Roche Pharma global development programmes Roche Pharma research and early development (pRED) Genentech research and early development (gRED) Spark Pharma sales appendix Diagnostics sales appendix Foreign exchange rates inform

  168. Slide 168: Diagnostics Division CER growth by region and customer area

    YTD Sep 2022: Diagnostics Division CER growth By Region and Customer Area (vs. 2021) Reported Restatement3 Global EMEA¹ NOA APAC LATAM Global EMEA¹ NOA APAC LATAM CHFm %CER CHFm %CER CHFm %CER CHFm %CER CHFm %CER CHFm %CER CHFm %CER CHFm %CER CHFm %CER CHFm %CER 2,3 Core Lab 5,772 5 1,913 6 1,072 2

  169. Slide 169: Diagnostics Division quarterly sales and CER growth

    Diagnostics Division quarterly sales and CER growth1 Reported Restatement3 Q3 21 Q4 21 Q1 22 Q2 22 Q3 22 Q3 21 Q4 21 Q1 22 Q2 22 Q3 22 CHFm %CER CHFm %CER CHFm %CER CHFm %CER CHFm %CER CHFm %CER CHFm %CER CHFm %CER CHFm %CER CHFm % CER Core Lab2,3 1,884 12 1,863 10 1,873 8 1,961 1 1,938 7 1,907 12 1

  170. Slide 170: Diagnostics Division regional sales

    YTD Sep 2022: Diagnostics Division regional sales Growth driven by Asia Pacific and North America Sales YTD CHFm & % of total sales Sales growth at CER Total YTD Sales = 13,848 Diagnostics Division 6% GLOBAL 808 / -13% EMEA* 6% 20% NAM 4,595 / 28% APAC 33% -3% LATAM 4,522 / 33% 3,923 / 28% EMEA* NAM

  171. Slide 171: Core Lab

    Core Lab 2022 vs. 2021 CHFbn CER growth +5% 7.0 6.0 -4% 5.0 +8% 4.0 +6% 3.0 2.0 1.0 0.0 YTD Sep 2020 YTD Sep 2021 YTD Sep 2022 Immunodiagnostics Clinical Chemistry Other CER=Constant Exchange Rates; underlying growth of Core Lab excluding Roche Information Solutions: +5% 171

  172. Slide 172: Point of Care

    Point of Care 2022 vs. 2021 CHFbn CER growth +30% 3.5 3.0 +33% 2.5 -8% -7% 2.0 +39% 1.5 1.0 0.5 0.0 YTD Sep 2020 YTD Sep 2021 YTD Sep 2022 Clinical Chem. & Immunodiagn. Hospital Glucose Coagulation & Urinalysis POC MDx CER=Constant Exchange Rates 172

  173. Slide 173: Molecular Lab

    Molecular Lab 2022 vs. 2021 CHFbn CER growth -8% 3.5 3.0 +12% 2.5 -28% 2.0 0% +19% 1.5 -20% 1.0 +5% 0.5 -7% 0.0 YTD Sep 2020 YTD Sep 2021 YTD Sep 2022 Virology Blood Screening MD Systems Microbiology Cervical Cancer qPCR&NAP Other CER=Constant Exchange Rates 173

  174. Slide 174: Diabetes Care

    Diabetes Care 2022 vs. 2021 CHFbn CER growth -3% 1.5 1.2 +12% -4% 0.9 0.6 0.3 0.0 YTD Sep 2020 YTD Sep 2021 YTD Sep 2022 Blood Glucose Monitoring Other CER=Constant Exchange Rates 174

  175. Slide 175: Pathology Lab

    Pathology Lab 2022 vs. 2021 CHFbn CER growth +10% 1.2 1.0 +28% 0.8 +4% 0.6 +8% 0.4 0.2 0.0 YTD Sep 2020 YTD Sep 2021 YTD Sep 2022 Advanced Staining Primary Staining Companion Diagnostics CER=Constant Exchange Rates 175

  176. Slide 176: Roche Group development pipeline

    Roche Group development pipeline Marketed products development programmes Roche Pharma global development programmes Roche Pharma research and early development (pRED) Genentech research and early development (gRED) Spark Pharma sales appendix Diagnostics sales appendix Foreign exchange rates inform

  177. Slide 177: CHF/USD

    CHF/USD Monthly averages 1.00 7% 6% 0.90 0% 0.80 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2021 2022 Year-To-Date averages 1.00 4% 4% 0.90 2% 0.80 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2021 2022 177

  178. Slide 178: CHF/USD

    CHF/USD 1.00 Sep YTD 2022 4% 0.98 0.96 0.94 0.92 0.90 0.88 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec avg full year 2021 avg full year 2022 monthly avg 2021 monthly avg 2022 178

  179. Slide 179: CHF/EUR

    CHF/EUR Monthly averages 1.10 -7% -6% 1.05 1.00 -11% 0.95 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2021 2022 Year-To-Date averages 1.10 -5% -6% 1.05 -7% 1.00 0.95 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2021 2022 179

  180. Slide 180: CHF/EUR

    CHF/EUR 1.13 Sep YTD 2022 -6% 1.11 1.09 1.07 1.05 1.03 1.01 0.99 0.97 0.95 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec avg full year 2021 avg full year 2022 monthly avg 2021 monthly avg 2022 180

  181. Slide 181: Average CHF Exchange Rates

    Average CHF Exchange Rates Sep YTD Sep YTD Sep YTD 2022 vs. Sep YTD 2021 2022 2021 USD 0.95 0.91 4% EUR 1.01 1.09 -7% JPY 0.74 0.84 -12% -15% -10% -5% 0% 5% 10% 181

  182. Slide 182: Exchange rate impact on sales growth

    Exchange rate impact on sales growth Q3 2022: negative impact of JPY and EUR, positive impact of USD Development of average exchange rates versus prior year period CHF / USD 2.2% 5.9% 5.2% CHF / EUR -4.9% -6.4% -10.0% CHF / JPY -6.9% -10.6% -16.2% Difference in CHF / CER -1.0% 0.4% -2.1% 0.0% growth

  183. Slide 183: Exchange rate impact on sales growth

    Exchange rate impact on sales growth YTD Sep 2022: negative impact of JPY and EUR, positive impact of USD Development of average exchange rates versus prior year period CHF / USD 2.2% 4.0% 4.4% CHF / EUR -4.9% -5.7% -7.2% CHF / JPY -6.9% -8.9% -11.5% Difference in CHF / CER -1.0% -0.2% -0.9% 0.0% gr

  184. Slide 184: Doing now what patients need next

    Doing now what patients need next

Roche Holding — YTD Sep 2022 Earnings Presentation on 6ix