Shaping the future of diabetes care

Document Sample
Shaping the future of diabetes care
r









Shaping the future of diabetes care









1

r









Heino von Prondzynski

Head of Roche Diagnostics









2

The idea r







Roche Diagnostics, the worldwide leader in Diabetes

monitoring, and



Disetronics, the worldwide number 2-player in insulin

pumps, want to combine ...



... their know-how, and shape the future of Diabetes

management









3

Roche Diagnostics – focusing on high r

value growth areas

5,367 CHF m

• Leading Diagnostics company +11 % growth*

(YTD Q3 ‘02 vs. Q3 ‘01)

• Broadest portfolio covering all

customer segments

% sales (% growth*)



• Strong growth in high margin 1,858

Diabetes Care 35 % (+15 %)



areas 732 Molecular Dx 14 % (+19 %)

429 Applied Science 8 % (+8 %)

• History of creating new 440

Near Patient Test’g 8 % (+7 %)

markets and shaping

margin

healthcare

1,908

Centralized Dx 35 % (+8 %)









4

* growth in local currencies

r

Strategic rationale

Shaping the future Diabetes Care market

• Expanding Roche Diagnostic’s role in the rapidly

growing, profitable market for Diabetes

management

• Creating a platform for additional growth through

entry into the attractive insulin pump market

• Leveraging the Accu-Chek brand and proven

business models to a related Diabetes business

• Leading the vision of creating an automated

pancreas by combining blood glucose monitoring

with insulin delivery technologies, and the know

how of two leading companies

5

Roche Diabetes Care r

Gaining market share - in blood glucose market

others 7 8 10 11

11 10 10

Abbott 9

16 17 16 14

Bayer



Lifescan 32 30 28 29









34 35 36 37

Roche



1999 2000 2001 2002 est.





Note: Other includes Generics, Private Label including Abbott’s activities, KDK, Therasense, other manufacturers6

Source: Roche analysis - Market Share Tracking 14 Key Countries

Diabetes: a problem of epidemic proportion r





WHO global estimates of people with diabetes





350

300

300 + 3 % CAGR

+ 3 % CAGR

millions of people









250

200

150 240

150

100 120

50 20 % are on

30 60 insulin therapy

0

2002 2025

Sources: WHO Report / Zimmet, P. Et al. Global and societal 7

implications of the diabetes epidemic, Nature 2001

Blood glucose monitoring is 30 % of r

the overall Diabetes market



8.0

CHF 21.5 billion

(2001)



5.0



1.5

7.0





30 %



glucose insulin insulin oral

monitoring delivery antidiabetic

therapy

8

Source: Roche analysis

Glucose monitoring and insulin delivery r

Combining to improve treatment outcome



blood glucose

insulin therapy

monitoring*

CHF 5 billion

CHF 4.5 billion

+5 % p.a.

+10 % p.a.







insulin

delivery

CHF 1.5 billion

+11 % p.a.





value superior stronger

driver: treatment outcome marketing position

9

* for people with diabetes on insulin treatment

Monitoring and therapy delivery are convergingr

Disetronic’s pump technology a key component



Syringe



Insulin Pens

Delivery Pump Pump/ blood Glucose Meter Communication

Open-loop

Automated Pancreas



Closed-loop

Automated Pancreas

Insulin Algorithm

Blood Continuous Monitoring

Glucose

Monitoring Integrated

Meters and Strips Strips Systems

Strips





today future 10

Roche adding marketing and sales r

muscle to penetrate US market



US market 2001

Animas non-US market 2001

1%

Disetronic

17 % Medtronic/

Minimed

Disetronic 30 %

Medtronic/

Minimed 70 %

82 %

total: CHF 160 m

total: CHF 550 m









total market* 2001: CHF 710 million

with approximately 11 % growth p.a. 11

* top 13 countries

Insulin delivery market far from saturation r







• Intensive insulin therapy gaining in acceptance

• World-wide > 200,000 pump users

– North America > 130,000

– Europe > 60,000

– Rest of world max. 10,000

• Pump therapy known and accepted in more and more countries

• Reimbursement environment improving

• Continuous glucose monitoring will increase market potential for

pumps significantly



12

Entry into insulin pump market r

Growth opportunities on many levels



• Increase market share in existing markets (e.g. US)

• Expand pump penetration in Europe

• Improved sales of Roche Diagnostics current glucose

monitoring systems with improved access to

endocrinologists and high frequency testers

• Efficiencies in R&D due to coordination and streamlining of

project portfolio

• Generating pump sales in countries other than North

America and Europe



13

r







Willy Michel

Founder and Chairman, Disetronic









14

Disetronic, the world’s No. 2 in insulin pumps r

Double digit sales and profitability growth



• Disetronic Business HY 2002/ 03 vs HY 2001/ 02

– consolidated total sales 157 million CHF

(+13.6 % in local currencies, +8.5 % in CHF)

– net profit 29 m CHF (+35.5 %)

– earnings per share 14.97 CHF (+34.6 %)

– around 1,270 employees in EU and USA





Injection

Systems Infusions Systems

24.1 %

75.9 % - sales 115 m CHF

- up by +9.2 % (local)

- global market share ~30 %

15

2001/2002 sales mix

Infusion Systems Division: Insulin pumps r







• Continuous insulin administration

in accordance with individually

programmed requirement profile

• Additional dosage possible at any

time (e.g. mealtimes)

• Administration of insulin to the

body via an infusion set

• 3 models:

- H-TRONplus: The proven one

- D-TRONplus: The innovative one

- Dahedi: The discreet one

16

Business model with two elements r

bringing profitability



• Insulin pumps

• Consumables

- glass and plastic cartridges

- batteries

- carrying systems

- various infusion sets

(catheters changed 3-4 days)







17

r





Dr Erich Hunziker

Chief Financial Officer, Roche









18

Proposed transaction structure r

Effected through two consecutive but concurrent steps

Infusion Systems

Infusion Systems

Sales: 228 m CHF

Sales: 228 m CHF

Disetronic

Disetronic

Sales: 300 m CHF

Sales: 300 m CHF

Injection Systems

Injection Systems

Sales: 72 m CHF

Sales: 72 m CHF





Disetronic = 34 % or 0.66 million shares committed by major shareholder

= 61 % or 1.18 million shares are publicly traded



Step 1: Public tender offer on 100 % of outstanding Disetronic shares

CHF 670 for each Disetronic share = 1.84 million x 670 CHF 1 230 mm

2 GS* per Disetronic Share = 3.7 million GS 350 mm

Total Offer 1 580 mm



Step 2: Sale of Injection business from Disetronic to Mr. Michel 420 mm



Net Cost to Roche after consuming the tender offer 1 160 mm



19

* Assumes Roche Genussscheine (GS) at 95 CHF per share

Valuation r

Share development of Disetronic

Average:

10 days CHF 536, 1 month CHF 557, 3 months CHF 563, 1 year CHF 670

1600

CHF / Share









1400





1200





1000

Offer

800

543 CHF

600 7.02.03





400





200





0

02 January 2002 02 April 2002 02 July 2002 02 October 2002 02 January 2003

20

Transaction multiples based upon the r

tender offer









01/02 2004E

EV/ Sales 4.9 3.3

EV/ EBIT 35 17

EV/ EBITDA 25 14



21

Outlook financials r





• EBIT impact:

– slightly dilutive for the Roche group in 2003 and slightly accretive in

2004

– dilutive for Roche Diagnostics in 2003 and slightly accretive in 2004









Overall, guidance for the Roche Group and

Diagnostics unchanged





22

Public tender offer on Disetronic shares r

Timing / next steps





• Pre-announcement (Voranmeldung) February 10

• Corporate due diligence February - March

• Disetronic Extraordinary shareholder meeting March

• Publication of tender offer March 24

• End of first offer period (20 bank days) April 22

• Announce interim results of tender offer End April

• Closing May - June



23

Appendix

About Roche Diabetes Care r





• Pioneer in the development of blood

glucose monitoring systems

• Sales and growth Q3 ’02 (vs. Q3 ’01)

• 1.86 m CHF, +15 % (local) Accu-Chek Advantage



• Market Share* 2002E: 37 %

• Main products:

• Accu-Chek Advantage

Accu-Chek Active

• Accu-Chek Active

• Accu-Chek Compact





25

Accu-Chek Compact

* Estimate based on Q1-Q3 2002

Disetronic – who they are r







• A leading global supplier of medical

devices and systems for the

administration of liquid medication for

ambulatory therapies

• The world’s No. 2 in insulin pumps for

the treatment of diabetes…

• … and the largest independent

manufacturer of injection pens for

various therapies





26

Diabetes is not curable, but it is manageabler







• Detect diabetes at an early stage and treat it correctly

– Type I (10 %) – insulin therapy

– Type II (90 %) – insulin, oral, exercise, diet etc...

• Blood glucose levels for people with diabetes are generally

too high and subject to extreme fluctuations

• Insulin is lacking or completely unavailable – or it is

available but not sufficiently effective

• Insulin therapy:

– measure blood glucose levels regularly

– determine insulin requirement

– administer insulin

27

Blood glucose monitoring market r

Sustained double digit growth

local CAGR 1995-2000 = 14% CAGR 00-05 CAGR 05-10

= 11 % = 10 %

16'000 15,000

14'000

12'000

9,500

CHF million









10'000

8'000

4,845 5,765 6,465

6'000

4,250

4'000

2'000

0

1998 1999 2000 2001 2005 2010

local growth 14 % 14 % 12 %



Note: includes, lancets, diabetes urine testing, other 28

Source: Roche analysis


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