Roche Holding Ltd · SIX:RO

Roche — Q1 2021 Earnings Presentation

175 slides from Roche's earnings presentation, Apr 21, 2021

  1. Slide 1: Slide 1

  2. Slide 2: Roche Q1 2021 Sales

    Roche Q1 2021 Sales Basel, 21 April 2021

  3. Slide 3: 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

  4. Slide 4: Group

    Group Severin Schwan Chief Executive Officer

  5. Slide 5: Q1 2021 performance; Outlook

    Q1 2021 performance Outlook 5

  6. Slide 6: Responding quickly and broadly to the pandemic

    Responding quickly and broadly to the pandemic SARS-CoV-2 Rapid Antigen Nasal Test Casirivimab + imdevimab (nAb cocktail) • Reliably identifies highly infectious individuals in 15 minutes • Emergency use ongoing in US/EU for mild/moderate COVID-19 (Sensitivity: 89.6% at Ct≤30; Specificity 99.1%) at

  7. Slide 7: Q1 2021: Strong Diagnostics Division driving Group sales growth

    Q1 2021: Strong Diagnostics Division driving Group sales growth 2021 2020 Change in % CHFbn CHFbn CHF CER Pharmaceuticals Division 10.6 12.3 -14 -9 Diagnostics Division 4.3 2.9 50 55 Roche Group 14.9 15.1 -1 3 CER=Constant Exchange Rates 7

  8. Slide 8: Q1 2021: Successfully managing the transition in a difficult environment

    Q1 2021: Successfully managing the transition in a difficult environment Group sales 6% 8% 7% growth (CER) 4% 3% Group 100% sales 10% 80% 35% 41% 60% 16% 40% 20% 28% 20% 29% 21% 0% Q1 17 Q1 18 Q1 19 Q1 20 Q1 21 1 Diagnostics Division Other pharma AHR New products CER=constant exchange rates; AHR=Ava

  9. Slide 9: Q1 2021: Sales growth despite severe biosimilar impact

    Q1 2021: Sales growth despite severe biosimilar impact New products accounting for 50% of Pharma sales Pharma sales mix +3% at CER Q1 2020 CHFm +880 33% 37% +1,538 -376 30% -641 Q1 2021 -1,614 15,143 22% 14,930 50% 28% Q1 2020 Pharma Pharma Pharma Diagnostics Fx Q1 2021 New products launched since 2

  10. Slide 10: Q1 2021: Pandemic continues to impact business dynamics

    Q1 2021: Pandemic continues to impact business dynamics % CER 1st wave 2nd wave 3rd wave +60% +50% Pharmaceuticals +50% +55% • Continued severe impact from biosimilars and +40% COVID-19, lack of new patients starts in particular +32% +28% +25% in cancer care +30% +20% +20% +18% +24% +10% +7% Diagnos

  11. Slide 11: Q1 2021 performance; Outlook

    Q1 2021 performance Outlook 11

  12. Slide 12: Continuing to invest in innovation

    Continuing to invest in innovation Diversifying the late stage pipeline & launching new systems Achievements in Q1 2021: Pharma Achievements in Q1 2021: Diagnostics New to Phase II Serum work area systems launches Brain shuttle gantenerumab in Alzheimer’s disease cobas® pure GABA Aa5 PAM in autism s

  13. Slide 13: 2021 outlook confirmed

    2021 outlook confirmed Further growing top and bottom line Group sales growth1 • Low- to mid-single digit Core EPS growth1 • Broadly in line with sales growth Dividend outlook • Further increase dividend in Swiss francs 1 At Constant Exchange Rates (CER); based on the current assessment of the COVID

  14. Slide 14: Pharmaceuticals Division

    Pharmaceuticals Division Bill Anderson CEO Roche Pharmaceuticals

  15. Slide 15: Q1 2021: Pharmaceuticals Division sales

    Q1 2021: Pharmaceuticals Division sales Sales still impacted by COVID-19 and biosimilars 2021 2020 Change in % CHFm CHFm CHF CER Pharmaceuticals Division 10,600 12,262 -14 -9 United States 5,292 6,616 -20 -14 Europe 2,175 2,264 -4 -6 Japan 852 948 -10 -7 International 2,281 2,434 -6 0 CER=Constant E

  16. Slide 16: Q1 2021: Continued portfolio rejuvenation

    Q1 2021: Continued portfolio rejuvenation Ocrevus 16% Hemlibra 33% Tecentriq 26% Casirivimab + Imdevimab n/a Actemra / RoActemra 22% Evrysdi n/a Kadcyla 17% Alecensa 14% Phesgo n/a Perjeta 2% Enspryng n/a Polivy 18% Gazyva -2% Esbriet -8% Lucentis -7% Xofluza -100% US Xolair -6% Tarceva -56% Europe

  17. Slide 17: Pharma growth dynamic excl. AHR slowed down by COVID-19

    Pharma growth dynamic excl. AHR* slowed down by COVID-19 Quarterly sales development Pharmaceuticals Division (excl. AHR) CHFm 9,000 8,000 Pharma other 7,000 Infectious diseases 6,000 Ophthalmology 5,000 Immunology Hemophilia A 4,000 Neuroscience 3,000 Oncology 2,000 1,000 0 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4

  18. Slide 18: Milestone achieved: 50% of Pharma sales are new products

    Milestone achieved: 50% of Pharma sales are new products* Rolling filings for casirivimab/imdevimab and PDS started CHFm % of Pharma Sales 6,000 5,500 50% 5,000 37% 4,500 4,000 3,500 27% 3,000 2,500 19% 2,000 1,500 1,000 500 0 Q1 18 Q1 19 Q1 20 Q1 21 Erivedge Perjeta Kadcyla Gazyva Esbriet Cotellic

  19. Slide 19: Q1 2021: Oncology -19% due to biosimilars & COVID-19

    Q1 2021: Oncology -19% due to biosimilars & COVID-19 YoY CER growth HER2 franchise Phesgo • Kadcyla (+17%) with growth in all regions due to adjuvant BC HER2 franchise Herceptin Perjeta (+2%) -11% • Perjeta (+2%) with growth driven by International Kadcyla (+17%) • Successful Phesgo launch in US and

  20. Slide 20: Tecentriq overview: Growth driven by first-in-class indications

    Tecentriq overview: Growth driven by first-in-class indications Landmark results in adjuvant NSCLC announced Tecentriq Q1 update CHFm YoY CER growth Lung franchise (NSCLC, SCLC) 900 • US/EU/Japan: Growth driven by 1L SCLC and 1L NSCLC +26% 800 +49% +35% • BTD for tiragolumab + Tecentriq in PDL1+ NSC

  21. Slide 21: Hemophilia A franchise: Hemlibra growing strongly

    Hemophilia A franchise: Hemlibra growing strongly 29% total US patient share and 26% total EU-5 patient share reached CHFm YoY CER growth Hemophilia Q1 update 800 • US/EU: Gaining market share in non-inhibitors 700 +33% +45% • >11,000 patients treated globally 600 +57% +146% +59% • #1 prescribed pro

  22. Slide 22: Immunology franchise impacted by COVID-19

    Immunology franchise impacted by COVID-19 Immunology Q1 update CHFm YoY CER growth Esbriet (-8%) • COVID-19 impact on new patient starts 2,500 +9% • BTD in unclassifiable interstitial lung disease (uILD) +6% -5% +4% 2,000 Actemra (+22%) • Sales driven by COVID-19; Additional positive study results 1

  23. Slide 23: MS franchise: Ocrevus with 26% total US market share

    MS franchise: Ocrevus with 26% total US market share Market leadership maintained CHFm YoY CER growth Q1 update • Ocrevus EU label update to include delay in time to wheelchair 1,500 for PPMS 1,250 +37% +16% +55% +38% +10% • Higher dose Ocrevus: Ph III (MUSETTE) in RMS and Ph III 1,000 +59% +48% +12

  24. Slide 24: SMA franchise: Strong US launch; EU approval achieved

    SMA franchise: Strong US launch; EU approval achieved ~1,600 US patients treated (>15% total share) after less than 8 months Broad uptake across all patient types in the US US access enabled by compelling value proposition • ~75% of lives covered due to active payer engagement Patients treated with

  25. Slide 25: SMA franchise: 2-year efficacy update presented at AAN

    SMA franchise: 2-year efficacy update presented at AAN Primary and secondary outcomes keep improving Ph III (FIREFISH) 2-year efficacy results in type 1 SMA: Ability to sit without support over 24 months CHOP-INTEND scores over 24 months • Follow up results for Evrysdi in SMA type 1 patients keep im

  26. Slide 26: Ophthalmology franchise: Benefitting patients globally

    Ophthalmology franchise: Benefitting patients globally Faricimab: Positive results in DME & nAMD Ph III (YOSEMITE/RHINE) results in DME BCVA gains at Q8W or up to Q16W Improved anatomic outcomes: Improved durability: non-inferior to aflibercept Q8W Change in CST * >70% on Q12W (with 50% on Q16W) * •

  27. Slide 27: Ophthalmology franchise: PDS approval in the US on track for Q4

    Ophthalmology franchise: Benefitting patients globally PDS approval in the US on track for Q4 Phase III (ARCHWAY) 72 week results in nAMD: PDS maintained BCVA through Week 72 ~5x Times fewer treatments in Strong preference for PDS PDS patients amongst patients 3.9 • Ph III (ARCHWAY) data in nAMD sho

  28. Slide 28: Infectious diseases: SARS-CoV-2 development program

    Infectious diseases: SARS-CoV-2 development program Positive Ph IIIs for nAb cocktail; First EU shipments in Q1 • Casirivimab+imdevimab: Ph III studies in outpatient setting (Study 2067) and in prevention/prophylaxis setting (Study 2069) positive; Efficacy for high and low dose in the outpatient set

  29. Slide 29: 2021: Key late-stage news flow

    2021: Key late-stage news flow* Compound Indication Milestone Xofluza Healthy patients; High risk patients; Post exposure EU approval Evrysdi SMA type 1/2/3 EU approval faricimab DME/nAMD US/EU joint filing (DME+AMD) Regulatory Tecentriq 1L PDL1+ NSCLC EU approval Venclexta + azacitidine 1L unfit AM

  30. Slide 30: Diagnostics Division

    Diagnostics Division Thomas Schinecker CEO Roche Diagnostics

  31. Slide 31: Q1 2021: Diagnostics Division sales

    Q1 2021: Diagnostics Division sales Very strong growth driven by COVID-19 and routine testing 2021 2020 Change in % CHFm CHFm CHF CER Diagnostics Division 4,330 2,881 50 55 Core Lab 1,765 1,382 28 31 Molecular Lab 1,107 614 80 86 Point of Care 716 190 277 281 Diabetes Care 460 425 8 13 Pathology Lab

  32. Slide 32: Q1 2021: Diagnostics Division regional sales

    Q1 2021: Diagnostics Division regional sales Very strong growth in all regions North America +34% EMEA1 ~24% of divisional sales +62% ~46% of divisional sales Asia Pacific +62% ~24% of divisional sales Latin America +71% ~6% of divisional sales All growth rates at Constant Exchange Rates (CER); 1 Eu

  33. Slide 33: Q1 2021: Diagnostics Division highlights

    Q1 2021: Diagnostics Division highlights Very strong growth across all businesses YoY CER growth +31% • Immunodiagnostics (+40%) Core Lab1 • Clinical Chemistry (+13%) • Virology (+198%) Molecular +86% • LightMix Systems (+55%) Lab • POC Molecular (+130%) Point of +281% • POC Immunodiagnostics (+1,53

  34. Slide 34: SARS-CoV-2 diagnostics portfolio

    SARS-CoV-2 diagnostics portfolio1 Comprehensive and growing portfolio of tests and digital solutions Clinical Labs Near Patient • cobas® SARS-CoV-2 Launched • cobas® SARS-CoV-2 Variant Launched Molecular • cobas® SARS-CoV-2 & Influenza A/B Launched • cobas® SARS-CoV-2 & Influenza A/B Launched soluti

  35. Slide 35: COVID-19 integrated testing solution

    COVID-19 integrated testing solution SARS-CoV-2 Rapid Antigen Nasal Test NAVIFY® Pass Convenient and fast testing experience for patients COVID-19 test results provided directly to individuals • Reliably identifies highly infectious individuals in 15 minutes • Allows patient to receive test results

  36. Slide 36: Launch of cobas SARS-CoV-2 Variant Set test (RUO)

    Launch of cobas® SARS-CoV-2 Variant Set test (RUO)1 Support in understanding the prevalence of COVID-19 variants COVID-19 Variants South Africa ● Qualitative detection and differentiation of (501Y-V2)1 SARS-CoV-2 mutations for set of variants: − E484K − N501Y − Deletion HV-69/70 U.K (501Y-V1)1 ● Und

  37. Slide 37: Roche molecular solutions portfolio

    Roche molecular solutions portfolio GenMark1 Diagnostics fills the portfolio gap in molecular multiplexing Throughput cobas® Liat® GenMark cobas® 58002 cobas® 6800 cobas® 8800 Molecular Molecular Molecular Molecular high throughput point-of-care multiplexing medium throughput 1 GenMark Diagnostics o

  38. Slide 38: Serum work area systems launches

    Serum work area systems launches Enabling comparable results in different size laboratories cobas® pure cobas pro® (high throughput) Optimising efficiency for small size laboratories Increasing scalability and flexibility • Integrates three diagnostic technologies1 on a • Flexibility to add up to 4

  39. Slide 39: FDA BDD for Elecsys GDF-15

    FDA BDD for Elecsys GDF-151 Addressing unintentional weight loss in cancer patients • Breakthrough device designation as a companion diagnostic with Pfizer • Detects weight loss (cachexic) patients with solid tumors eligible for investigational drug PF-06946860 • Cachexia is a highly prevalent compl

  40. Slide 40: Improving care for transplant patients

    Improving care for transplant patients Launch of Elecsys® EBV tests panel for organ characterization and donor & recipient screening Pre-transplantation Post-transplantation EBV1 serology to determine the infection stage of donor Viral load tests (NAT) are used to monitor high risk and recipients tr

  41. Slide 41: Key launches 2021

    Key launches 2021 Area Product Description Market1 cobas® pure integrated solutions Low-to-medium volume SWA CE Core Lab cobas® pro integrated solutions New high throughput configurations of the cobas pro instrument US & CE Point of Care cobas® pulse Successor of Accu-Chek® Inform II CE Instruments

  42. Slide 42: Finance

    Finance Alan Hippe Chief Financial Officer

  43. Slide 43: Q1 2021: Highlights

    Q1 2021: Highlights Sales • Group sales growth (+3%) driven by Diagnostics (+55%) • Growth dynamic still impacted by COVID-19 M&A • Definitive merger agreement to acquire GenMark Diagnostics for USD 24.05 per share Currency impact on sales • Negative currency impact due to most currencies, particula

  44. Slide 44: Group sales Q1 2021

    Group sales Q1 2021 CER sales increase of +3% driven by Diagnostics -14% -6% 0% -7% +3% -1% Pharma Division Dia Division -9% +55% +55% +1,538 +428 -641 -213 -918 -126 -4 -62 PY: +62 11 United States Europe Intl. Chugai Dia Division Group Fx Group (Japan) CHF Absolute values in CHFm at Constant Excha

  45. Slide 45: Exchange rate impact on sales growth

    Exchange rate impact on sales growth Negative impact due to most currencies, driven by the USD +0.4p 0.0p CER CHF sales growth +2.9% -3.2p sales growth Q1 2021 Q1 2021 vs. vs. Q1 2020 Q1 2020 -1.4% -0.8p -0.3p -0.2p -0.2p CER EUR APAC USD LATAM JPY Other Other CHF Europe CER=Constant Exchange Rates

  46. Slide 46: Currency impact expected to reduce as 2021 progresses

    Currency impact expected to reduce as 2021 progresses CHF / USD -7% -4% -2% -1% 0.97 0.97 Average YTD 2020 0.95 0.94 Assuming the 31 March 2021 exchange rates remain stable until end of 2021, 0.90 0.93 0.93 0.92 Assumed average YTD 2021 2021 impact 1 is expected to be (%p): 0.89 0.90 0.93 0.94 0.94

  47. Slide 47: 2021 outlook confirmed

    2021 outlook confirmed Further growing top and bottom line Group sales growth1 • Low- to mid-single digit Core EPS growth1 • Broadly in line with sales growth Dividend outlook • Further increase dividend in Swiss francs 1 At Constant Exchange Rates (CER); based on the current assessment of the COVID

  48. Slide 48: Slide 48

  49. Slide 49: Changes to the development pipeline

    Changes to the development pipeline Q1 2021 update New to phase I New to phase II New to phase III New to registration 1 NME: 3 NMEs: 1 NME: RG6433 SHP2i – solid tumors RG6102 Brain shuttle gantenerumab - Alzheimer’s RG6354 rhPTX-2 (PRM-151) - IPF RG6346 HBV siRNA - HBV RG7816 GABA Aa5 PAM – autism

  50. Slide 50: Roche Group development pipeline

    Roche Group development pipeline Phase I (45 NMEs + 12 AIs) Phase II (23 NMEs + 13 AIs) RG6007 HLA-A2-WT1 x CD3 AML CHU FIXa x FX haemophilia giredestrant (SERD) neoadjuvant ER+ BC RG6171 RG6026 glofitamab monotherapy and combos heme tumors CHU glypican-3 x CD3 solid tumors giredestrant (SERD) 2/3L

  51. Slide 51: Roche Group development pipeline

    Roche Group development pipeline Phase III (15 NMEs + 37 AIs) Registration (3 NMEs + 5 AIs) RG3502 Kadcyla + T 2L+ HER-2+ PD-L1+ mBC RG6268 Rozlytrek ROS1+ 1L NSCLC Gavreto (pralsetinib) 1 RET+ NSCLC RG6396 RG6013 Hemlibra mild to moderate hemophilia A Venclexta r/r MM t(11:14) Gavreto (pralsetinib)

  52. Slide 52: NME submissions and their additional indications

    NME submissions and their additional indications Projects in phase II and III glofitamab + chemo RG6026 2L DLBCL rhPTX-2 tiragolumab + T semorinemab RG6058 RG6354 (PRM-151) RG6100 1L PD-L1+ cervical ca Alzheimer’s myelofibrosis tiragolumab + T ipatasertib + fulv + brain shuttle mosunetuzumab glofita

  53. Slide 53: AI submissions for existing products

    AI submissions for existing products Projects in phase II and III New Molecular Entity (NME) Immunology Neuroscience Additional Indication (AI) Infectious Diseases Ophthalmology Oncology / Hematology Metabolism Other Xofluza Xofluza RG6152 influenza, pediatric RG6152 direct transmission (1-12 yrs) A

  54. Slide 54: Major pending approvals 2021

    Major pending approvals 2021 US EU China Japan-Chugai Esbriet Enspryng (satralizumab) Evrysdi (risdiplam) Evrysdi (risdiplam) RG6062 UILD RG6168 NMOSD RG7916 SMA RG7916 SMA Filed Nov 2020 Filed Aug 2019 Filed March 2020 Filed Oct 2020 Tecentriq Enspryng (satralizumab) RG7446 1L non-sq + sq NSCLC Dx+

  55. Slide 55: Major granted approvals 2021

    Major granted approvals 2021 US EU China Japan-Chugai Alecensa (BFAST) Xofluza Polivy RG7853 1L NSCLC ALK+ RG6152 influenza RG7596 r/r DLBCL Jan 2021 Jan 2021 March 2021 Actemra Xofluza RG1569 SSc-ILD RG6152 influenza, high risk March 2021 Jan 2021 Xolair Xofluza RG3648 Self-injection RG6152 post ex

  56. Slide 56: Pipeline summary

    Pipeline summary Marketed products additional indications Global Development late-stage trials pRED (Roche Pharma Research & Early Development) gRED (Genentech Research & Early Development) Spark Roche Group Q1 2021 sales Diagnostics Foreign exchange rate information 56

  57. Slide 57: Hemophilia: Hemlibra

    Hemlibra Factor VIII mimetic for treatment of hemophilia A Hemophilia A patients Hemophilia A patients with and without inhibitors to Factor VIII, Indication without inhibitors to factor VIII dosing every 4 weeks Phase III Phase III Phase/study HAVEN 3 HAVEN 4 # of patients N=135 N=46 Patients on FV

  58. Slide 58: Hemophilia: Hemlibra

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

  59. Slide 59: Oncology: Alecensa

    Alecensa 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 600 mg BID Design Oncology  ARM B: Crizotinib 250mg B

  60. Slide 60: Oncology: Kadcyla

    Kadcyla First ADC for HER2-positive breast cancer HER2-positive early breast cancer Indication 2L+ HER-2 positive PD-L1 positive mBC high-risk patients Phase III Phase III Phase/study KATHERINE KATE 3 # of patients N=1,484 N=350  ARM A: Kadcyla 3.6mg/kg q3w  ARM A: Kadcyla plus Tecentriq  ARM B:

  61. Slide 61: Oncology: Perjeta

    Perjeta First-in-class HER2 dimerization inhibitor Indication Adjuvant HER2-positive breast cancer Neoadjuvant HER2-positive breast cancer Phase III Phase III Phase/study APHINITY IMpassion050 # of patients N=4,803 N=453  ARM A: Perjeta (840mg loading, 420 q3w) plus Herceptin for 52 weeks  ARM A:

  62. Slide 62: Oncology: Perjeta

    Perjeta First-in-class HER2 dimerization inhibitor Indication HER2-positive early breast cancer subcutaneous co-formulation Phase III Phase II Phase/study FeDeriCa PHranceSCa # of patients N=500 N=160 Fixed-dose combination (FDC) of Perjeta (P) and Herceptin (H) for  ARM A: PH IV followed by FDC SC

  63. Slide 63: Oncology: Tecentriq lung cancer

    Tecentriq Anti-PD-L1 cancer immunotherapy – lung cancer 1L non-squamous and squamous NSCLC Indication 1L non-squamous NSCLC 1L extensive-stage SCLC PD-L1-selected patients Phase III Phase III Phase/study Phase Ib IMpower132 IMpower110 # of patients N=568 N=570 N=62  ARM A: Tecentriq plus carboplati

  64. Slide 64: Oncology: Tecentriq lung cancer

    Tecentriq Anti-PD-L1 cancer immunotherapy – lung cancer 2L NSCLC previously treated with an Indication Adjuvant NSCLC Neoadjuvant NSCLC immune checkpoint inhibitor Phase III Phase III Phase III Phase/study IMpower010 IMpower030 CONTACT-01 # of patients N=1,280 N=450 N=350 Following adjuvant cisplati

  65. Slide 65: Oncology: Tecentriq lung cancer

    Tecentriq 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 N=660 N=375  Cohort A: ALK+ (Alecensa) Phase Ib  Cohort B: RET+ (Alecensa)  Dose finding, Tecentriq SC followed by Tecentriq IV  Cohort

  66. Slide 66: Oncology: Tecentriq SCCHN and melanoma

    Tecentriq Anti-PD-L1 cancer immunotherapy – SCCHN and melanoma First-line BRAFv600 mutation-positive metastatic or unresectable Indication Adjuvant squamous cell carcinoma of the head and neck locally advanced melanoma Phase III Phase III Phase/study IMvoke010 IMspire150 TRILOGY1 # of patients N=400

  67. Slide 67: Oncology: Tecentriq UC

    Tecentriq Anti-PD-L1 cancer immunotherapy – UC High-risk non-muscle-invasive Indication 1L metastatic urothelial carcinoma bladder cancer Phase III Phase III Phase/study IMvigor130 ALBAN # of patients N=1,200 N=516  ARM A: Tecentriq plus gemcitabine and carboplatin or cisplatin  ARM A: BCG inducti

  68. Slide 68: Oncology: Tecentriq renal cell cancer

    Tecentriq Anti-PD-L1 cancer immunotherapy – renal cell cancer Advanced renal cell carcinoma after immune checkpoint inhibitor Indication Adjuvant renal cell carcinoma treatment Phase III Phase III Phase/study IMmotion010 Contact-031 # of patients N=778 N=500  ARM A: Tecentriq monotherapy  ARM A: T

  69. Slide 69: Oncology: Tecentriq CRC and HCC

    Tecentriq Anti-PD-L1 cancer immunotherapy – CRC and HCC Indication 1L hepatocellular carcinoma Adjuvant hepatocellular carcinoma Phase III Phase III Phase/study IMbrave150 IMbrave050 # of patients N=501 N=662  ARM A: Tecentriq plus Avastin  ARM A: Tecentriq plus Avastin  ARM B: Sorafenib  ARM B:

  70. Slide 70: Oncology: Tecentriq breast cancer

    Tecentriq Anti-PD-L1 cancer immunotherapy – breast cancer Previously untreated metastatic Indication triple negative breast cancer Phase III Phase III Phase/study IMpassion130 IMpassion132 # of patients N=900 N=572  ARM A: Tecentriq plus nab-paclitaxel  ARM A: Tecentriq plus capecitabine or carbo/

  71. Slide 71: Oncology: Tecentriq breast cancer

    Tecentriq Anti-PD-L1 cancer immunotherapy – breast cancer Indication Neoadjuvant triple negative breast cancer Adjuvant triple negative breast cancer Phase III Phase III Phase/study IMpassion031 IMpassion030 # of patients N=324 N=2,300  ARM A: Tecentriq plus nab-paclitaxel  ARM A: Tecentriq + pacl

  72. Slide 72: Oncology: Venclexta CLL

    Venclexta Novel small molecule Bcl-2 selective inhibitor – CLL Untreated CLL patients with Indication Relapsed or refractory CLL Untreated fit CLL patients coexisting medical conditions Phase III Phase III Phase III Phase/study CLL14 MURANO CristaLLo # of patients N=432 N=391 N=165  ARM A: Venclext

  73. Slide 73: Oncology: Venclexta MM

    Venclexta Novel small molecule Bcl-2 selective inhibitor – MM Indication Relapsed or refractory multiple myeloma Phase III Phase/study Phase I Phase Ib/II CANOVA # of patients N=166 N=120 N=244  Dose escalation cohort:  Venclexta plus carfilzomib plus dexamethasone  Venclexta plus dexamethazone v

  74. Slide 74: Oncology: Venclexta AML

    Venclexta Novel small molecule Bcl-2 selective inhibitor – AML Treatment-naïve AML not eligible for Relapsed or refractory hematological Indication Relapsed or refractory AML standard induction therapy malignancies Phase III Phase/study Phase I Phase I Viale-A # of patients N=52 N=86 N=443  Venclex

  75. Slide 75: Oncology: Venclexta MDS

    Venclexta Novel small molecule Bcl-2 selective inhibitor – MDS Relapsed or refractory myelodysplastic Newly diagnosed higher-risk Indication Treatment-naive myelodysplastic syndromes syndromes myelodysplatic syndrome Phase III Phase/study Phase Ib Phase Ib VERONA # of patients N=70 N=137 N=500 Cohor

  76. Slide 76: Oncology: Venclexta breast cancer

    Venclexta Novel small molecule Bcl-2 selective inhibitor – breast cancer Indication ≥2L HR+ breast cancer Phase II Phase/study VERONICA # of patients N=103  ARM A: Venclexta plus fulvestrant  ARM B: Fulvestrant Design Oncology  Clinical benefit lasting equal or more than 24 weeks Primary endpoint

  77. Slide 77: Oncology: Polivy

    Polivy (polatuzumab vedotin) ADC targeting CD79b to treat B cell malignancies Relapsed or refractory Indication 1L DLBCL FL and DLBCL Phase III Phase/study Phase Ib/II POLARIX # of patients N=329 N=875  PIb: Dose escalation  ARM A: Polatuzumab vedotin plus R-CHP  PhII: Polatuzumab vedotin plus BR

  78. Slide 78: Oncology: Polivy

    Polivy (polatuzumab vedotin) ADC targeting CD79b to treat B cell malignancies Indication Relapsed or refractory FL or DLBCL Phase/study Phase I/II Phase I/II # of patients N=134 N=128 • Dose escalation cohort:  Dose escalation cohort: Polatuzumab vedotin plus Gazyva plus Venclexta1 Polatuzumab vedo

  79. Slide 79: Oncology: Rozlytrek

    Rozlytrek (entrectinib) CNS-active and selective inhibitor of NTRK/ROS1 Locally Advanced or Metastatic tumors with Locally Advanced or Metastatic tumors with Pediatric tumors with NTRK 1/2/3, ROS-1 Indication ROS1 gene rearrangement NTRK1/2/3 gene rearrangement or ALK rearrangement Phase II Phase II

  80. Slide 80: 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 1: Gavreto 30-600mg dose-escalation  Arm

  81. Slide 81: Neuroscience: Ocrevus

    Ocrevus (ocrelizumab, RG1594) Humanized mAb 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 treatment period: 96

  82. Slide 82: Neuroscience: Ocrevus

    Ocrevus (ocrelizumab, RG1594) Humanized mAb selectively targeting CD20+ B cells Relapsing and primary progressive multiple sclerosis (RMS & Indication Primary progressive multiple sclerosis (PPMS) PPMS) Phase IIIb Phase IIIb Phase/study ENSEMBLE PLUS ORATORIO-HAND # of patients N=1225 N ~ 1000 • Sub

  83. Slide 83: Neuroscience: Ocrevus

    Ocrevus (ocrelizumab, RG1594) Humanized mAb selectively targeting CD20+ B cells Indication Primary progressive multiple sclerosis (PPMS) Relapsing multiple sclerosis (RMS) Phase IIIb Phase IIIb Phase/study GAVOTTE MUSETTE # of patients N ~ 699 N ~ 786 120-week treatment period: 120-week treatment pe

  84. Slide 84: Neuroscience: Evrysdi

    Evrysdi (risdiplam, RG7916) Oral SMN2 splicing modifier Indication Spinal muscular atrophy 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 spinal muscular Rand

  85. Slide 85: Neuroscience: Evrysdi

    Evrysdi (risdiplam, RG7916) Oral SMN2 splicing modifier Indication Spinal muscular atrophy Phase II Phase/study RAINBOWFISH # of patients N=25 Open-label, single-arm, multicenter study in infants aged from birth to 6 weeks who have been genetically diagnosed with SMA but are not yet presenting with

  86. Slide 86: 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 Sakura Star Sakura Sky # of patients N=95 N=70 (adults); N=6 (adolescents) Satralizumab as monotherapy: Add-on therapy of

  87. Slide 87: Immunology: Gazyva

    Gazyva (obinutuzumab) Immunology development program Indication Lupus nephritis Phase II Phase III Phase/study NOBILITY REGENCY # of patients N=126 N=252  ARM A: Obinutuzumab 1000mg IV plus mycophenolate mofetil /  ARM A: Obinutuzumab 1000 mg IV (six doses through Week 52) plus mycophenolic acid m

  88. Slide 88: Immunology: Actemra/RoActemra

    Actemra/RoActemra (RG-1569) 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: tocilizumab plus standard of care  Arm A: remdesivir plus tocilizumab  Arm B: placebo plus

  89. Slide 89: Immunology: Actemra/RoActemra

    Actemra/RoActemra (RG-1569) 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 tocilizumab plus standard of care Conducted in sites known to provide critical care to

  90. Slide 90: Immunology: Xolair

    Xolair Humanized mAb that selectively binds to IgE Indication Food allergy Phase III Phase/study OUtMATCH1 # of patients N=225 • Xolair by subcutaneous injection either every 2 weeks or every 4 weeks for 16 to 20 weeks Immunology Design Primary endpoint • Number of participants who successfully cons

  91. Slide 91: Infectious Diseases: Xofluza

    Xofluza (baloxavir marboxil, RG6152, S-033188 ) Small molecule, novel CAP-dependent endonuclease inhibitor Indication Influenza Phase III Phase III Phase/study CAPSTONE-1 CAPSTONE-2 # of patients N=1,436 N=2,184  Randomized, double-blind study of a single dose of Xofluza  Randomized, double-blind

  92. Slide 92: Infectious Diseases: Xofluza

    Xofluza (baloxavir marboxil, RG6152, S-033188 ) Small molecule, novel CAP-dependent endonuclease inhibitor Indication Influenza Phase III Phase III Phase/study miniSTONE 1 (0-1 year old) miniSTONE 2 (1-12 years old ) # of patients N=30 N=176 • Xofluza on Day 1 (based on body weight and age) in healt

  93. Slide 93: Infectious Diseases: Xofluza

    Xofluza (baloxavir marboxil, RG6152, S-033188) Small molecule, novel CAP-dependent endonuclease inhibitor Indication Influenza Phase III Phase IIIb Phase/study BLOCKSTONE CENTERSTONE N=752 N=3,160 # of patients  Post exposure prophylaxis to prevent disease onset in household  Reduction of direct t

  94. Slide 94: Pipeline summary

    Pipeline summary Marketed products additional indications Global Development late-stage trials pRED (Roche Pharma Research & Early Development) gRED (Genentech Research & Early Development) Spark Roche Group Q1 2021 sales Diagnostics Foreign exchange rate information 94

  95. Slide 95: Oncology: Ipatasertib

    Ipatasertib (RG7440, GDC-0068) Highly selective small molecule inhibitor of Akt Prostate cancer previously treated with Indication 1L castration-resistant prostate cancer Advanced prostate cancer and solid tumors androgen receptor-targeted therapy Phase III Phase/study Phase Ib Phase Ib IPATential15

  96. Slide 96: Oncology: Ipatasertib

    Ipatasertib (RG7440, GDC-0068) Highly selective small molecule inhibitor of Akt Indication 1L HR+ mBC Phase Ib/III Phase/study IPATunity150 # of patients N=370  ARM A: Ipatasertib plus fulvestrant and palbociclib  ARM B: Placebo plus fulvestrant and palbociclib Design Oncology Primary endpoint  P

  97. Slide 97: Oncology: Tiragolumab

    Tiragolumab (anti-TIGIT, RG6058, MTIG7192A) Monoclonal antibody targeting the immune checkpoint inhibitor TIGIT Indication 1L NSCLC PD-L1 TPS>50% 1L ES-SCLC Stage III unresectable 1L NSCLC Phase III Phase III Phase III Phase/study SKYSCRAPER-01 SKYSCRAPER-02 SKYSCRAPER-03 # of patients N=500-560 N=4

  98. Slide 98: 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 Phase II Phase II Phase II Phase/study SKYSCRAPER-04 SKYSCRAPER-05 SKYSCR

  99. Slide 99: 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 1L esophageal cancer squamous cell head and neck carcinoma Phase III Phase III Phase II Phase/study SKY

  100. Slide 100: Oncology: Tiragolumab

    Tiragolumab (anti-TIGIT, RG6058, MTIG7192A) Monoclonal antibody targeting the immune checkpoint inhibitor TIGIT R/R Multiple Myeloma (MM) or R/R B-cell Indication Solid tumors NSCLC NHL Phase II Phase/study Phase I Phase l CITYSCAPE # of patients N=540 N=135 N=52  Phase Ia: Dose escalation and expa

  101. Slide 101: Oncology: Glofitamab

    Glofitamab (CD20-TCB, RG6026) Bispecific anti-CD20/CD3 antibody engaging T and B cells simultanously Indication Relapsed or refractory Non-Hodgkin’s lymphoma Non-Hodgkin’s lymphoma Phase/study Phase I Phase Ib Phase Ib Part I: 15-60 # of patients N=700 N=140 Part II: ~66-104 Cohort 1: Single-agent d

  102. Slide 102: Oncology: Glofitamab

    Glofitamab (CD20-TCB, RG6026) Bispecific anti-CD20/CD3 antibody engaging T and B cells simultanously Relapsed/refractory DLBCL and High-Grade Large B-Cell Indication 2L+ SCT-ineligible DLBCL Lymphoma Phase III Phase/study Phase Ib STARGLO # of patients N=20 N=270  Glofitamab plus gemcitabine and ox

  103. Slide 103: Oncology: Mosunetuzumab

    Mosunetuzumab (CD20/CD3, RG7828) Bispecific anti-CD20/CD3 antibody engaging T and B cells simultanously Indication 3L+ FL, 3L+ DLBCL & other R/R NHL 1L DLBCL R/R DLBCL Phase/study Phase I Phase Ib/II Phase Ib # of patients N=746 N=160 N=262  Dose escalation study of mosunetuzumab as  Mosunetuzumab

  104. Slide 104: Oncology: Mosunetuzumab

    Mosunetuzumab (CD20/CD3, RG7828) Bispecific anti-CD20/CD3 antibody engaging T and B cells simultanously Indication 1L DLBCL & 2L DLBCL following 1L induction R/R 2L+ FL Phase/study Phase I Phase Ib # of patients N=92 + 80 (cohort C) N=27  Cohort A: Mosunetuzumab monotherapy (after a response to pri

  105. Slide 105: Oncology: Inavolisib

    Inavolisib (RG6114, GDC-0077) A potent, orally available, and selective PI3Kα inhibitor PIK3CA mutant solid tumors and metastatic Indication PIK3CA-mutant HR+ mBC ER+ HER2-neg breast cancer Phase III Phase/study Phase I INAVO120 # of patients N=400 N=156  Arm A: GDC-0077 plus palbociclib plus fulve

  106. Slide 106: Oncology: Giredestrant

    Giredestrant (SERD (3),RG6171, GDC-9545) A selective estrogen receptor degrader or downregulator Indication ER+ HER2-neg metastatic breast cancer ER+ HER2-neg Stage I-III operable breast cancer Phase/study Phase I Phase I # of patients N=220 N=75  Dose escalation and expansion at recommended phase

  107. Slide 107: Oncology: Giredestrant

    Giredestrant (SERD (3), RG6171, GDC-9545) A selective estrogen receptor degrader or downregulator 2L/3L ER+/HER2-negative Indication Neoadjuvant ER+ breast cancer 1L ER+ metastatic breast cancer metastatic breast cancer Phase II Phase III Phase II Phase/study coopERA Breast Cancer persevERA Breast C

  108. Slide 108: Oncology: rhPTX-2

    rhPTX-2 (RG6354) Recombinant human innate immunity protein pentraxin-2 Indication Myelofibrosis Phase/study Phase II # of patients N=125 • Multiple dose study of rhPTX-2 Oncology Design • Bone marrow response rate Primary endpoint  Study completed Q1 2021 Status CT Identifier NCT01981850 108

  109. Slide 109: Immunology: rhPTX-2

    rhPTX-2 (RG6354) Recombinant human innate immunity protein pentraxin-2 Indication Idiopathic pulmonary fibrosis (IPF) Phase/study Phase II Phase III # of patients N=117 N=658  Randomized, double-blind, placebo-controlled trial: 4-week screening  Randomized, double-blind, placebo-controlled trial:

  110. Slide 110: Immunology: Fenebrutinib

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

  111. Slide 111: Immunology: Etrolizumab

    Etrolizumab (RG7413) Humanized mAb against beta 7 integrin Indication Moderately to severely active Crohn’s disease Moderately to severely active Crohn’s disease Phase III Phase III Phase/study BERGAMOT JUNIPER Induction and maintenance study Open label extension study for BERGAMOT # of patients N=1

  112. Slide 112: Immunology: Crovalimab

    Crovalimab (RG6107; SKY59) A humanized monoclonal antibody against complement C5 Indication Paroxysmal nocturnal hemoglobinuria (PNH) Phase I/II Phase/study COMPOSER # of patients N=59 Healthy volunteers and treatment naïve and pretreated patients with PNH:  Part 1: single ascending dose study in h

  113. Slide 113: Immunology: Crovalimab

    Crovalimab (RG6107; SKY59) A humanized monoclonal antibody against complement C5 Paroxysmal Nocturnal Hemoglobinuria Paroxysmal Nocturnal Hemoglobinuria Paroxysmal Nocturnal Hemoglobinuria Indication (PNH) patients switching from a C5 (PNH) (PNH) inhibitor C5 inhibitor naive patients C5 inhibitor na

  114. Slide 114: Neuroscience: Crenezumab

    Crenezumab (RG7412) Humanized mAb targeting all forms of A 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  ARM B: PSEN1 E280A mutation carriers receive placebo Design

  115. Slide 115: Neuroscience: Gantenerumab

    Gantenerumab (RG1450) Fully human mAb binding aggregated forms of A Indication Prodromal to mild Alzheimer’s disease Phase III Phase III Phase/study GRADUATE 1 GRADUATE 2 # of patients N=1,016 N=1,016 104-week subcutaneous treatment period: 104-week subcutaneous treatment period:  ARM A: Ganteneru

  116. Slide 116: Neuroscience: Gantenerumab

    Gantenerumab (RG1450) Fully human mAb binding aggregated forms of A Indication Prodromal Alzheimer’s disease Mild Alzheimer’s disease Phase II/III Phase III Phase/study SCarlet RoAD Marguerite RoAD # of patients N=799 N=389 104-week subcutaneous treatment period: 104-week subcutaneous treatment per

  117. Slide 117: 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 RG6042 administered intrathecally to adult  Patients from phase I are enrolled into OLE p

  118. Slide 118: 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=1050  ARM A: RG6042 120mg bimonthly Open-Label Extension study in patients participating in prior Ro

  119. Slide 119: Ophthalmology: Faricimab

    Faricimab (RG7716) Bispecific antibody to simultaneously bind Ang-2 and VEGF-A Center-involving diabetic macular edema Indication Neovascular age related macular degeneration (nAMD) (CI-DME) Phase II Phase II Phase II Phase/study AVENUE STAIRWAY BOULEVARD # of patients N=271 N=75 N=210  ARM A: SoC

  120. Slide 120: Ophthalmology: Faricimab

    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 (RG7716) q8w/PTI  ARM

  121. Slide 121: Ophthalmology: Faricimab

    Faricimab (RG7716) Bispecific antibody to simultaneously bind Ang-2 and VEGF-A Indication Neovascular age related macular degeneration (nAMD) Phase III Phase III Phase/study TENAYA LUCERNE # of patients N=671 N=658  ARM A: Faricimab 6.0mg Q16 flex after 4 initiating doses (IDs)  ARM A: Faricimab 6

  122. Slide 122: Ophthalmology: Faricimab

    Faricimab (RG7716) Bispecific antibody to simultaneously bind Ang-2 and VEGF-A Indication Macular edema secondary to branch retinal vein occlusion Macular edema secondary to central retinal vein occlusion Phase III Phase III Phase/study BALATON COMINO # of patients N=570 N=750  ARM A: Faricimab, q4

  123. Slide 123: Ophthalmology: Port Delivery System with ranibizumab

    Port Delivery System with ranibizumab First eye implant to achieve sustained delivery of a biologic medicine Indication wAMD Phase III Phase II+III extension Phase IIIb Phase/study Archway Portal Velodrome # of patients N=418 N=500 N=442  ARM A: PDS with ranibizumab every 24 weeks  Patients from L

  124. Slide 124: Ophthalmology: Port Delivery System with ranibizumab

    Port Delivery System with ranibizumab First eye implant to achieve sustained delivery of a biologic medicine Diabetic retinopathy without Indication DME center-involved diabetic macular edema Phase III Phase III Phase/study Pagoda Pavilion # of patients N=545 N=160  ARM A: PDS with ranibizumab ever

  125. Slide 125: Infectious Diseases: AT-527

    AT-527 (RG6422) Viral RNA polymerase inhibitor Indication Non-hospitalised adult patients with mild or moderate COVID-19 Phase II Phase/study MOONSONG # of patients N=220  ARM A: AT-527  ARM B: Placebo Infectious Diseases Design Primary endpoint  Change from baseline in the amount of severe acute

  126. Slide 126: Pipeline summary

    Pipeline summary Marketed products additional indications Global Development late-stage trials pRED (Roche Pharma Research & Early Development) gRED (Genentech Research & Early Development) Spark Roche Group Q1 2021 sales Diagnostics Foreign exchange rate information 126

  127. Slide 127: pRED oncology development programs

    pRED oncology development programs Molecule Indication Phase # of patients Status CT Identifier Oncology TYRP1 x CD3 (RG6232) Melanoma I 210 FPI Q4 2020 NCT04551352 FPI Q2 2018 FAP-4-1BBL (RG7827) Solid tumors I 200 Data presented at ESMO 2020 CD19-4-1BBL (RG6076) R/R B cell non-Hodgkin’s lymphoma I

  128. Slide 128: pRED neuroscience and immunology development programs

    pRED neuroscience and immunology development programs Molecule Indication Phase # of patients Status CT Identifier Neuroscience Brain Shuttle gantenerumab Alzheimer's disease II ~120 NCT04639050 NCT04023994 (RG6102) II 36 FPI Q4 2018; Recruitment completed Q3 2019 NCT03669640 ralmitaront II 247 FPI

  129. Slide 129: pRED immunology and ophthalmology development programs

    pRED immunology and ophthalmology development programs Molecule Indication Phase # of patients Status CT Identifier Immunology IgG-IL2 FP (RG7835) Ulcerative Colitis Ib 65 FPI Q2 2019 NCT03943550 Ophthalmology NME (RG6179)1 DME I 50 FPI July 2019 VEGF-Ang2 DutaFab (RG6120) nAMD I 50 FPI Q4 2020 NCT0

  130. Slide 130: 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 FPI Q4 2016 Data presented at EASL 2018, 2019 & 2020 I/II 192 Part 1

  131. Slide 131: Pipeline summary

    Pipeline summary Marketed products additional indications Global Development late-stage trials pRED (Roche Pharma Research & Early Development) gRED (Genentech Research & Early Development) Spark Roche Group Q1 2021 sales Diagnostics Foreign exchange rate information 131

  132. Slide 132: gRED oncology development programs

    gRED oncology development programs Molecule Indication Phase # of patients Status CT Identifier Oncology Metastatic solid tumors with KRAS KRAS G12C (RG6330) I 108 FPI Q3 2020 NCT04449874 G12C mutation cevostamab R/R multiple myeloma I 300 FPI Q3 2017 NCT03275103 (anti-FcRH5 x CD3; RG6160) Metastati

  133. Slide 133: gRED immunology development programs

    gRED immunology development programs Molecule Indication Phase # of patients Status CT Identifier Immunology Inflammatory diseases Ib 90 FPI Q2 2016 NCT02749630 efmarodocokin alfa Inflammatory bowel disease II 270 FPI Q4 2018 NCT03558152 (IL-22Fc, RG7880) aGVHD lb FPI Q4 2020 NCT04539470 NME (RG6287

  134. Slide 134: gRED neuroscience, ophthalmology and metabolic diseases programs

    gRED neuroscience, ophthalmology and metabolic 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) Semorinemab (RG6100)1 Data at CTAD 20

  135. Slide 135: Pipeline summary

    Pipeline summary Marketed products additional indications Global Development late-stage trials pRED (Roche Pharma Research & Early Development) gRED (Genentech Research & Early Development) Spark Roche Group Q1 2021 sales Diagnostics Foreign exchange rate information 135

  136. Slide 136: Hemophilia A 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

  137. Slide 137: Choroideremia gene therapy

    Choroideremia Unique gene therapy platform SPK-7001 Molecule (RG6367) Indication Choroideremia Phase/study Phase I/II # of patients N=15  Safety study in subjects with CHM (choroideremia) gene mutations Ophthalmology Design  Safety and tolerability Primary endpoint  FPI Q1 2015 Status  Recruitme

  138. Slide 138: Pompe disease gene therapy

    Pompe disease Unique gene therapy platform SPK-3006 Molecule (RG6359) Indication Pompe disease Phase I/II Phase/study RESOLUTE # of patients N=20 Metabolic diseases  Gene transfer study for late-onset Pompe disease Design  Safety Primary endpoint Status  FPI Q4 2020 CT Identifier NCT04093349 138

  139. Slide 139: Pipeline summary

    Pipeline summary Marketed products additional indications Global Development late-stage trials pRED (Roche Pharma Research & Early Development) gRED (Genentech Research & Early Development) Spark Roche Group Q1 2021 sales Diagnostics Foreign exchange rate information 139

  140. Slide 140: Geographical sales split by divisions and Group

    Geographical sales split by divisions and Group* CHFm Q1 2020 Q1 2021 % change CER Pharmaceuticals Division 12’262 10’600 -9 United States 6’616 5’292 -14 Europe 2’264 2’175 -6 Japan 948 852 -7 International 2’434 2’281 0 Diagnostics Division 2’881 4’330 +55 United States 760 947 +33 Europe 1’010 1’

  141. Slide 141: Pharma Division sales Q1 2021: Top products

    Pharma Division sales Q1 2021 Top 20 products Global US Europe Japan International CHFm % CER CHFm % CER CHFm % CER CHFm % CER CHFm % CER Ocrevus 1,226 16 914 9 217 37 - - 95 77 Perjeta 988 2 360 -2 301 -3 64 -11 263 23 Avastin 863 -40 287 -48 138 -68 161 -8 277 -4 Actemra / RoActemra 779 22 305 10

  142. Slide 142: Pharma Division sales Q1 2021: New products

    Pharma Division sales Q1 2021 New products Global US Europe Japan International CHFm % CER CHFm % CER CHFm % CER CHFm % CER CHFm % CER Erivedge 60 -13 38 -15 15 -15 - - 7 3 Perjeta 988 2 360 -2 301 -3 64 -11 263 23 Kadcyla 478 17 200 5 167 24 27 54 84 28 Gazyva 155 -2 74 0 51 -11 14 1 16 21 Esbriet

  143. Slide 143: Pharma Division CER sales growth: Global top products

    Pharma Division CER sales growth1 in % Global top 20 products Q1/20 Q2/20 Q3/20 Q4/20 Q1/21 Ocrevus 38 12 37 10 16 Perjeta 22 12 17 20 2 Avastin -13 -24 -30 -35 -40 Actemra / RoActemra 30 40 27 29 22 Tecentriq 99 54 49 35 26 Herceptin -24 -33 -38 -43 -35 MabThera -15 -32 -33 -43 -46 Hemlibra 146 59

  144. Slide 144: Pharma Division CER sales growth: Top products by region

    Pharma Division CER sales growth1 in % Top 20 products by region 2020 2021 2020 2021 2020 2021 2020 2021 US Europe Japan International Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Ocrevus 9 32 5 9 26 56 20 37 - - - - 43 74 55 77 Perjeta 4 7 0 -2 1 13 4 -3 11 -9 0 -11 50 52 135 23 Avastin -39 -37

  145. Slide 145: CER sales growth: Quarterly development

    CER sales growth (%) Quarterly development 2020 vs. 2019 2021 vs. 2020 Q1 Q2 Q3 Q4 Q1 Pharmaceuticals Division 7 -6 -4 -7 -9 United States 3 -10 -5 -13 -14 Europe 14 -3 2 -8 -6 Japan 3 -7 -13 -5 -7 International 16 5 -2 11 0 Diagnostics Division 5 2 18 28 55 Roche Group 7 -4 1 1 3 CER=Constant Excha

  146. Slide 146: Ocrevus

    Ocrevus CHFbn Global sales CER growth Regional sales CER growth 1.4 +16% US +9% 1.2 1.0 0.8 Europe +37% 0.6 0.4 International +77% 0.2 0.0 Q1 18 Q1 19 Q1 20 Q1 21 Q1 2021 sales of CHF 1,226m • US: Moving into earlier lines displacing orals; COVID-19 impact as vaccination programs are on-going • EU:

  147. Slide 147: Perjeta

    Perjeta Global sales CER growth Regional sales CER growth CHFbn +2% US -2% 1.2 1.0 Europe -3% 0.8 0.6 Japan -11% 0.4 International +23% 0.2 0.0 Q1 18 Q1 19 Q1 20 Q1 21 Q1 2021 sales of CHF 988m • US: Patients with residual disease being switched to Kadcyla; Cannibalization from Phesgo • EU: COVID-19

  148. Slide 148: Avastin

    Avastin Global sales CER growth Regional sales CER growth CHFbn 2.0 -40% US -48% 1.8 Europe -68% 1.6 1.4 1.2 Japan -8% 1.0 0.8 0.6 International -4% 0.4 0.2 0.0 Q1 18 Q1 19 Q1 20 Q1 21 Q1 2021 sales of CHF 863m • US: Decline due to biosimilars • EU: Decline due to biosimilars • Japan: Limited declin

  149. Slide 149: Herceptin

    Herceptin Global sales CER growth Regional sales CER growth CHFbn 2.0 -35% US -57% 1.8 Europe -25% 1.6 1.4 Japan -43% 1.2 1.0 0.8 0.6 International -16% 0.4 0.2 0.0 Q1 18 Q1 19 Q1 20 Q1 21 Q1 2021 sales of CHF 755m • US: Biosimilar erosion; Switching of patients with residual disease to Kadcyla; Can

  150. Slide 150: Actemra / RoActemra

    Actemra / RoActemra Global sales CER growth Regional sales CER growth CHFbn +22% US +10% 0.9 0.8 0.7 Europe +12% 0.6 0.5 0.4 Japan -2% 0.3 0.2 0.1 International +134% 0.0 Q1 18 Q1 19 Q1 20 Q1 21 Q1 2021 sales of CHF 779m • US: Increased demand for SC formulation (home administration) and due to COVI

  151. Slide 151: Tecentriq

    Tecentriq Global sales CER growth Regional sales CER growth CHFbn 0.9 +26% US +13% 0.8 Europe +14% 0.7 0.6 0.5 Japan +82% 0.4 0.3 International +84% 0.2 0.1 0.0 Q1 18 Q1 19 Q1 20 Q1 21 Q1 2021 sales of CHF 775m • US: Growth driven by first-in-class launches in 1L HCC, 1L SCLC and 1L TNBC • EU: Growt

  152. Slide 152: MabThera / Rituxan

    MabThera / Rituxan CHFbn Global sales CER growth Regional sales CER growth 1.8 -46% US -53% 1.6 1.4 Europe -45% 1.2 Japan -37% 1.0 0.8 0.6 International -23% 0.4 0.2 0.0 Q1 18 Q1 19 Q1 20 Q1 21 Q1 2021 sales of CHF 705m • US: Decline due to biosimlars and some COVID-19 impact • EU: Decline due to bi

  153. Slide 153: Hemlibra

    Hemlibra Global sales CER growth Regional sales CER growth CHFbn 0.7 +33% US +21% 0.6 Europe +71% 0.5 0.4 Japan +11% 0.3 International +214% 0.2 0.1 0.0 Q1 18 Q1 19 Q1 20 Q1 21 Q1 2021 sales of CHF 661m • US: Continued share gains in non-inhibitors; Some COVID-19 impact • EU: Growth driven by strong

  154. Slide 154: Kadcyla

    Kadcyla Global sales CER growth Regional sales CER growth CHFbn +17% US +5% 0.6 0.5 0.4 Europe +24% 0.3 0.2 Japan +54% 0.1 International +28% 0.0 Q1 18 Q1 19 Q1 20 Q1 21 Q1 2021 sales of CHF 478m • US: Uptake in adjuvant eBC in patients with residual disease after neoadjuvant treatment • EU: Strong

  155. Slide 155: Xolair

    Xolair Global sales CER growth Regional sales CER growth CHFbn 0.5 -6% 0.4 0.3 US -6% 0.2 0.1 0.0 Q1 18 Q1 19 Q1 20 Q1 21 Q1 2021 sales of CHF 409m • Xolair remains market leader in a growing biologics asthma market; • Growth in chronic idiopathic urticaria (CIU) CER=Constant Exchange Rates 155

  156. Slide 156: Lucentis

    Lucentis Global sales CER growth Regional sales CER growth CHFbn 0.5 -7% 0.4 0.3 US -7% 0.2 0.1 0.0 Q1 18 Q1 19 Q1 20 Q1 21 Q1 2021 sales of CHF 337m • Decline due to COVID-19 impact; First biosimilar expected in H2 • Overall market shares stable CER=Constant Exchange Rates 156

  157. Slide 157: TNKase / Activase

    TNKase / Activase Global sales CER growth Regional sales CER growth CHFbn 0.5 -17% US -17% 0.4 0.3 0.2 International -10% 0.1 0.0 Q1 18 Q1 19 Q1 20 Q1 21 Q1 2021 sales of CHF 304m • Decline due to COVID-19 impact CER=Constant Exchange Rates 157

  158. Slide 158: Alecensa

    Alecensa Global sales CER growth Regional sales CER growth CHFbn Global sales +14% Regional sales CER growth US CER growth-2% CHFbn0.4 0.3 -2% US -10% 0.3 Europe +11% 0.3 Europe -2% 0.2 0.2 Japan +8% 0.2 Japan -32% 0.1 0.1 International +44% 0.1 International +34% 0.0 0.0 Q1 18 Q1 19 Q1 20 Q1 21 Q1

  159. Slide 159: Pipeline summary

    Pipeline summary Marketed products additional indications Global Development late-stage trials pRED (Roche Pharma Research & Early Development) gRED (Genentech Research & Early Development) Spark Roche Group Q1 2021 sales Diagnostics Foreign exchange rate information 159

  160. Slide 160: Q1 2021: Diagnostics Division CER growth by region and customer areas

    Q1 2021: Diagnostics Division CER growth By Region and Customer Areas (vs. 2020) Global EMEA¹ North America Asia-Pacific Latin America % CER % CER % CER % CER % CER CHFm growth CHFm growth CHFm growth CHFm growth CHFm growth Core Lab2 1,765 31 648 17 330 18 670 65 117 18 Molecular Lab 1,107 86 431 8

  161. Slide 161: Diagnostics Division quarterly sales and CER growth

    Diagnostics Division quarterly sales and CER growth1 Q1 20 Q2 20 Q3 20 Q4 20 Q1 21 CHFm % CER CHFm % CER CHFm % CER CHFm % CER CHFm % CER Core Lab2 1,382 -2 1,439 -17 1,666 -3 1,707 -2 1,765 31 Molecular Lab 614 29 944 91 1,020 109 1,182 125 1,107 86 Point of Care 190 8 170 -10 181 12 538 212 716 28

  162. Slide 162: Q1 2021: Diagnostics Division regional sales

    Q1 2021: Diagnostics Division regional sales Growth driven by EMEA and Asia Pacific Sales YTD CHFm & % of total sales Sales growth at CER Total YTD Sales = 4,330 Diagnostics Division 55% GLOBAL 267 / 62% EMEA* 6% 34% NA 62% ASIA-PAC 1,045 / 24% 1,967 / 71% LAM 46% 1,051 / 24% EMEA* NA ASIA-PAC LAM C

  163. Slide 163: Core Lab

    Core Lab 2021 vs. 2020 CHF bn CER growth +31% 2.0 1.8 1.6 +32% 1.4 +13% 1.2 1.0 0.8 0.6 +40% 0.4 0.2 0.0 Q1 2019 Q1 2020 Q1 2021 Immunodiagnostics Clinical Chemistry Other CER=Constant Exchange Rates 163

  164. Slide 164: Molecular Lab

    Molecular Lab 2021 vs. 2020 CHF bn CER growth +86% 1.2 1.0 +53% -5% 0.8 +2% 0.6 +114% -5% 0.4 0.2 +198% 0.0 Q1 2019 Q1 2020 Q1 2021 Virology Blood Screening MD Systems Microbiology Cervical Cancer Other CER=Constant Exchange Rates 164

  165. Slide 165: Point of Care

    Point of Care 2021 vs. 2020 CHF bn CER growth +281% 0.8 0.7 -4% 0.6 0.5 0.4 0.3 >500% 0.2 0.1 0.0 Q1 2019 Q1 2020 Q1 2021 Clinical Chemistry & Immunodiagnostics Other CER=Constant Exchange Rates 165

  166. Slide 166: Diabetes Care

    Diabetes Care 2021 vs. 2020 CHF bn CER growth +13% 0.5 -18% 0.4 0.3 +17% 0.2 0.1 0.0 Q1 2019 Q1 2020 Q1 2021 Blood Glucose Monitoring Other CER=Constant Exchange Rates 166

  167. Slide 167: Pathology Lab

    Pathology Lab 2021 vs. 2020 CHF bn CER growth +9% 0.3 +30% +11% 0.2 0.1 +5% 0.0 Q1 2019 Q1 2020 Q1 2021 Advanced Staining Primary Staining Companion Diagnostics CER=Constant Exchange Rates 167

  168. Slide 168: Pipeline summary

    Pipeline summary Marketed products additional indications Global Development late-stage trials pRED (Roche Pharma Research & Early Development) gRED (Genentech Research & Early Development) Spark Roche Group Q1 2021 sales Diagnostics Foreign exchange rate information 168

  169. Slide 169: CHF/USD

    CHF/USD Monthly averages 1.00 0.90 -3% 0.80 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2020 2021 Q H Q Year-To-Date averages F 1.00 0.90 -7% 0.80 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2020 2021 169

  170. Slide 170: CHF/USD

    CHF/USD 1.00 Mar YTD 2021 -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 2020 avg full year 2021 monthly avg 2020 monthly avg 2021 170

  171. Slide 171: CHF/EUR

    CHF/EUR Monthly averages 1.13 1.08 4% 1.03 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Y 2020 2021 Q H Year-To-Date averages Q 1.13 F 2% 1.08 1.03 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2020 2021 171

  172. Slide 172: CHF/EUR

    CHF/EUR 1.13 Mar YTD 2021 2% 1.11 1.09 1.07 1.05 1.03 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec avg full year 2020 avg full year 2021 monthly avg 2020 monthly avg 2021 172

  173. Slide 173: Average CHF Exchange Rates

    Average CHF Exchange Rates Q1 2021 Q1 2020 Q1 2021 vs. Q1 2020 USD 0.90 0.97 -7% EUR 1.09 1.07 2% JPY 0.85 0.89 -4% -10% -5% 0% 5% 10% 173

  174. Slide 174: Exchange rate impact on sales growth

    Exchange rate impact on sales growth In Q1 2021 negative impact of USD and JPY, positive impact of EUR Development of average exchange rates versus prior year period CHF / USD -6.6% CHF / EUR +2.1% CHF / JPY -3.8% Difference in CHF / CER -4.3%p growth 2.9% Sales growth -1.4% 2021 CER CHF vs. 2020 gr

  175. Slide 175: Doing now what patients need next

    Doing now what patients need next

Roche Holding — Q1 2021 Earnings Presentation on 6ix