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BW20021108002093 20021108T123009Z UTC ( BW)(ELI-LILLY-&-CO)(BC43) Lilly Outlines to Wall Street Its Strategy To Realize Its Growth Opportunities and Deliver Superior Earnings Growth Over the Long Term Business Editors UK REGULATORY NEWS INDIANAPOLIS--(BUSINESS WIRE)--Nov. 8, 2002-- Lilly Also Announces Two Recent Submissions -- OFC for Bipolar Depression and Duloxetine for Stress Urinary Incontinence Eli Lilly and Company (NYSE: LLY) today will review with members of the investment community its implementation plans for capitalizing on its many growth opportunities, including its outstanding pipeline, and delivering superior long-term growth. Implementation of Lilly's Growth Strategy "After four consecutive quarters of declining earnings due to the U.S. Prozac(R) patent expiration, our earnings per share grew 3 percent in the third quarter of 2002, excluding unusual items. We had expected to emerge in a stronger growth mode, but we have been confronted with some manufacturing and regulatory challenges that have delayed the launch of some of our new products," said Sidney Taurel, Lilly chairman, president and chief executive officer. "We are working very hard to address these challenges and expect to start capitalizing on our many growth opportunities next year. We could possibly launch as many as eight new products by the end of 2004, which will lay the foundation for sustained long-term growth. I believe Lilly's innovation-driven approach that combines critical mass, speed and excellence in our core business areas with flexibility through partnering offers Lilly shareholders superior long-term value." Regarding the outstanding manufacturing issues with the U.S. Food and Drug Administration (FDA), Taurel commented, "We have been meeting with senior FDA officials to discuss their priority issues and expectations as well as Lilly's comprehensive action plan. We have confirmed that our primary challenges involve two facilities in Indianapolis, particularly the injectable plant. While we cannot speak for the FDA, I believe that we are making progress and are on the right path with the right leadership, expertise and resources to implement our plan. We expect to hear from the FDA in the near future regarding next steps." Taurel continued, "However, manufacturing issues will not affect the approval of Strattera(TM), and we expect that Cialis(TM) will not be affected as its manufacturing is also planned for outside Indianapolis. In addition, the FDA recently conducted a preapproval inspection of Forteo(TM) at its bulk site in Indianapolis. I am pleased to say that there were no observations from the inspection and there are no longer any manufacturing-related barriers for approval of this product. For the other two products for which we hold approvable letters, final approval is contingent upon resolving the outstanding manufacturing issues. We will be ready in the first half of next year for a preapproval inspection for Cymbalta(TM) at our dry-products facility in Indianapolis and a reinspection for Zyprexa(R) IntraMuscular formulation at our injectable facility in Indianapolis. However, these inspections have not yet been scheduled." The company is taking a number of proactive steps to ensure it maximizes the many new upcoming product launches. Taurel commented, "To capitalize on our expanding product line, we are setting priorities among our growth opportunities. We are also identifying selling synergies among our new and current products, and we'll use trigger points based on passing regulatory hurdles to ensure we get the right resources behind our launches at the right time. To appropriately fund those launches, we are cutting costs in noncore areas. At the same time, we will create shareholder value through the very selective use of partnerships that provide us with additional resources and capacity and help us manage risks." Major Product Growth Opportunities "The product delays have provided us with additional time to further strengthen our global launch plans. We are taking full advantage of this time," said Gerhard N. Mayr, Lilly executive vice president, pharmaceutical operations. "We are continuing to strengthen our sales force through internal expansions and strategic partnerships. By the end of 2004, we expect our global sales organization to top 17,500, which is an increase of about 30 percent over a three-year period. At the same time, we are continuing to strengthen our marketing leadership, skills and processes. In addition, we are taking an approach of prioritization, partnership, focus and flexibility that will help ensure we optimize each of our new product launches and deliver superior results to investors." Mayr continued, "Overall, our marketing and sales investments to date are paying off. In each of our top affiliates, the company's growth has exceeded that of the overall pharmaceutical market. Fueling this growth is our portfolio of best-in-class and first-in-class products, effective marketing strategies and solid implementation. In the year-to-date period ending September 30, 2002, the collective sales of Zyprexa, Gemzar(R), Evista(R), Actos(R), Humalog(R) and Xigris(R) grew 23 percent. Indeed, we are winning head-to-head competitive battles as we grow best-in-class products like Zyprexa and Actos. However, we continue to have greater aspirations for Xigris and are taking numerous actions to accelerate its sales growth and realize the full commercial potential of this lifesaving product." Mayr also noted the additional growth opportunities that the company's major products will provide through several new indications, formulations and expansions into additional markets, some of which are highlighted below: Line Extension - Approvable Letter -- Zyprexa IntraMuscular formulation's final U.S. approval from the FDA is contingent upon resolution of manufacturing issues at the Indianapolis injectable facility. Line Extensions and Major Market Expansion - Under Regulatory Review by End of 2002 -- Zyprexa's bipolar maintenance indication submissions in the U.S. and Europe are ahead of schedule and will be filed by the end of 2002. -- Gemzar's breast cancer indication will be submitted in Europe by the end of 2002. -- Evista is under review in Japan for the treatment of osteoporosis and is expected to receive approval next year. Line Extensions - Select 2003-2006 Submissions -- Gemzar's ovarian cancer European submission is planned for 2003. -- Zyprexa's depot formulation submission is planned for 2005. -- Evista's U.S. submission for prevention of breast cancer is planned for 2005. Late-Stage Pipeline Opportunities "With no fall-out in the near-term product pipeline over the last two years, Lilly is poised to launch numerous new products over the next couple of years," said John C. Lechleiter, Lilly executive vice president of pharmaceutical products and corporate development. "Forteo, Strattera, Cialis and Cymbalta all hold approvable letters from the FDA. In addition, we are announcing today that we recently made U.S. submissions for olanzapine/fluoxetine combination (OFC) for bipolar depression and duloxetine for stress urinary incontinence. We have also recently commenced the rolling submission process for Alimta(R) for mesothelioma, which should be completed next year. Thus, our late-stage pipeline remains intact and, in fact, has only strengthened as we gather additional clinical data. This is a pivotal and exciting time for Lilly as we work to translate the promise of our science into meaningful new therapies for patients." Lechleiter will review several products in the company's late-stage pipeline, some of which are highlighted below. New Products - Approvable Letters -- Forteo - Forteo is a novel biotech product under FDA review for the treatment of patients with osteoporosis and high fracture risk, an often painful disease that can affect a person's longevity and quality of life. Unlike antiresorptive agents that work to reduce bone loss, Forteo is an anabolic agent that increases skeletal mass and significantly lowers vertebral and nonvertebral fracture risks. In fact, new biomarker data show that Forteo works by enhancing the natural bone remodeling process. The company holds an approvable letter from the FDA for the use of Forteo in postmenopausal women and men with osteoporosis who are at a high risk for fracture. As noted above, approval is no longer contingent on manufacturing issues. The company is currently working with the FDA to finalize the label for Forteo. Final U.S. approval is expected early next year. -- Strattera - Strattera, a highly specific norepinephrine reuptake inhibitor, is under FDA review for the treatment of attention-deficit hyperactivity disorder (ADHD) in children, adolescents and adults. ADHD affects an estimated 3 to 7 percent of school-aged children in the U.S., of which up to 60 percent will carry their ADHD symptoms into adulthood. If approved, Strattera would be the only nonstimulant agent indicated for the treatment of ADHD. In addition, with once-a-day dosing in children, in clinical trials it has shown effectiveness throughout the day without causing insomnia. The company received an approvable letter from the FDA in August 2002. Final U.S. approval is contingent upon labeling discussions and review of additional analyses. As noted above, approval is not contingent on manufacturing issues. Lilly plans for final approval by the spring of 2003. -- Cymbalta - This potent, balanced dual reuptake inhibitor of both serotonin and norepinephrine is under review by the FDA for the treatment of depression. There are significant unmet medical needs in the antidepressant market as more than two-thirds of patients using current therapies will not fully recover and at least one in three patients does not complete an appropriate course of therapy. Clinical trials have shown Cymbalta demonstrates impressive remission rates and is effective in addressing both the emotional and painful physical symptoms of depression. In addition, the safety profile is favorable. The company received an approvable letter from the FDA in September 2002. Final U.S. approval is contingent upon labeling discussions and successful completion of a preapproval manufacturing inspection at the Indianapolis dry-products facility. -- Cialis - Cialis, a molecule codeveloped by Lilly and ICOS Corporation through the Lilly ICOS LLC joint venture, is under review by the FDA and European regulatory authorities for the treatment of erectile dysfunction. Cialis is expected to fill a significant need in the market. In clinical trials, Cialis has shown a consistent response in men, rapid onset and a long period of responsiveness. Trials have also shown that the absorption of Cialis is not affected by food. The company received an approvable letter from the FDA in April 2002 with final approval contingent upon successful completion of additional clinical pharmacology studies and labeling discussions. As noted above, the company expects that manufacturing is not a barrier to approval since Cialis will be manufactured outside Indianapolis. Lilly and ICOS anticipate final U.S. approval in the second half of 2003. European approval is anticipated by the end of this year with launch planned for the first half of 2003. New Products - Under Regulatory Review by End of 2002 -- OFC (olanzapine/fluoxetine combination) - Lilly is studying its combination of Zyprexa (olanzapine) and Prozac (fluoxetine) for treatment of bipolar depression and other difficult-to-treat depressive disorders. Bipolar depression is associated with significant suffering, disability and mortality with up to 25 percent of patients attempting suicide at least once in their lifetime. There are no medications currently approved for the treatment of bipolar depression. OFC has shown in trials a rapid onset of action, a 65 percent response rate and a sustained effect throughout the eight weeks of treatment. As announced today, the company recently filed its U.S. OFC submission for the treatment of bipolar depression. -- Alimta - Alimta is a multitargeted antifolate and is the first potential approved treatment of malignant pleural mesothelioma, a rare lung cancer usually associated with exposure to asbestos. It is also being studied as a treatment for a variety of other tumors, including non-small-cell lung, pancreatic, metastatic breast, colorectal, gastric and bladder cancers. Alimta is viewed as an important step in helping Lilly achieve its goal of becoming the number-one oncology company by 2010. In clinical trials for mesothelioma, Alimta appears to provide a positive balance of efficacy and tolerability when administered with folic acid and vitamin B12. The company is making a rolling U.S. submission for mesothelioma in four separate stages, beginning with the recent submission announced today and ending in early fall of 2003. In Europe, submissions for mesothelioma and non-small-cell lung cancer are planned for 2003. -- Duloxetine for Stress Urinary Incontinence - Duloxetine is being studied for the treatment of stress urinary incontinence (SUI). Urinary incontinence is a disease that affects as many as 30 to 40 percent of women, which in the U.S. alone represents nearly 40 million women. SUI is the most prevalent form of urinary incontinence among women and there are no approved treatments. In clinical trials, duloxetine demonstrated robust efficacy and a favorable side-effect profile. As announced today, the company recently filed its duloxetine U.S. submission for the treatment of SUI. Other Select Pipeline Opportunities "We believe our research productivity is the best in the industry as evidenced by our pipeline," said August M. Watanabe, M.D., Lilly executive vice president, science and technology. "This success is a result of many important changes we've made in our R&D organization, including hiring and developing top scientific talent and leveraging our expertise in biotechnology. In addition, Lilly has invested aggressively in R&D. Over the past five years, R&D expenses as a percent of sales have been the highest in the industry, and we plan to maintain that leadership. At the same time, we have not been distracted by merger activity and that has enabled us to maintain stability and focus our attention on drug discovery and development. We have also collaborated with partners to further strengthen our pipeline. As a result, from 2002 through 2006, we anticipate filing an average of more than two new chemical entities per year in addition to line extensions." Watanabe also commented on several of the pipeline products in which the company anticipates submitting a regulatory dossier in the 2003-to-2006 time frame. These products cross various therapeutic areas, including diabetes, oncology, infectious diseases, cardiovascular and neuroscience. New Products - Select Anticipated 2003-2006 Submissions -- PKC Beta Inhibitor - The company's PKC beta inhibitor is being studied for the treatment of diabetic microvascular complications, including those related to diseases of the eyes and nerves that affect three of every four people with diabetes and may ultimately lead to blindness or amputation. Currently, there are no effective pharmacological therapies that directly target the mechanism of chronic microvascular complications of diabetes. The company's oral inhibitor of PKC beta is in Phase III trials for three separate indications. The company is encouraged by early clinical data and anticipates making European submissions for diabetic retinopathy and diabetic macular edema in 2003 and a U.S. submission for symptoms of diabetic peripheral neuropathy in 2004. -- Resiquimod - Resiquimod represents a potential breakthrough treatment that is currently in Phase III clinical trials for genital herpes, the most prevalent sexually transmitted disease in the world. Resiquimod is one of a new family of immune response modifiers developed by 3M Pharmaceuticals that act in a novel way by stimulating the human body's immune system to fight viral infections. Early clinical trials suggest that resiquimod significantly increases the interval between outbreaks without the need for continuous treatment. Some investigators believe that the drug's effect may grow over several courses of therapy and that for many patients a long-lasting immune suppressive effect may be achieved. 3M and Lilly are targeting submissions in the U.S. and Europe in 2004. -- Affinitac(TM)- This antisense agent, licensed from Isis Pharmaceuticals, Inc., is in Phase III trials and represents a potential new approach to the treatment of non-small-cell lung cancer. Studies of Affinitac in other cancers, including non-Hodgkin's lymphoma, ovarian, breast and prostate cancers, are also planned. In a Phase II trial for non-small-cell lung cancer, Affinitac in combination with chemotherapy has shown a median patient survival of nearly 16 months, about twice as long as the approximately 8- to 9-month survival achieved with standard chemotherapy alone. Additionally, Affinitac was well tolerated with minimal side effects attributable to the drug. The companies plan to submit a regulatory application for non-small-cell lung cancer in 2004 or 2005 if two Phase III trials are required for submission or as early as 2003 if one Phase III trial is sufficient. -- AC2993 (synthetic exendin-4) - This molecule from Amylin Pharmaceuticals, Inc., is being codeveloped by Lilly and Amylin and is in Phase III trials. AC2993 could represent the first of a new class of compounds that have similar action to GLP-1 (glucagon-like peptide-1). AC2993 could represent a significant advance in the treatment of type 2 diabetes as this potent compound may effectively control blood-glucose levels while reducing or eliminating the risk of hypoglycemia and weight gain. It is expected to be administered as a fixed-dose injection. The companies anticipate a U.S. submission to the FDA as early as 2004. A long-acting release formulation is in Phase II development utilizing Alkermes, Inc.'s, sustained-release drug-delivery technology. -- MGluR2/3 - For the past 15 years, Lilly has been conducting pioneering research in the area of glutamate receptors. Glutamate is the major excitatory neurotransmitter in the central nervous system. Lilly's clinical candidates are agonists for mGLu2/3 receptors and include potential treatments for migraine, Parkinson's disease, cognition, schizophrenia, and generalized anxiety disorder. The mGluR2/3 agonist for generalized anxiety disorder is the most advanced in development. Early clinical data suggest solid efficacy and a strong safety profile in generalized anxiety disorder. U.S. submission to the FDA for this indication is estimated for as early as 2006. -- Fasidotril - This oral, once-daily vasopeptidase (or ACE/NEP) inhibitor, licensed from Bioprojet, is one of a potential new class of compounds for the treatment of hypertension and congestive heart failure. The companies are continuing to study fasidotril to determine if fasidotril's balanced effect on ACE and NEP offers advantages over other drugs that have been studied in this class. Phase II studies will continue into 2003 with potential U.S. submission as early as 2006 for a hypertension indication and about two years later for congestive heart failure. -- CS-747 - This antiplatelet inhibitor was licensed from Sankyo Company Ltd. and is being studied for the secondary prevention of stroke and acute coronary syndromes (heart attack and unstable angina). Early clinical data suggest this potent agent has the potential to offer greater inhibition of platelet aggregation than other agents in this class. The companies plan to begin Phase Ib and II studies over the next three to six months with the potential to file a New Drug Application with the FDA as early as 2006. -- PPAR (peroxisome proliferator-activated receptor) modulators - PPAR modulators, which currently include insulin sensitivity enhancers such as Actos, have potential applications in diabetes and cardiovascular diseases. Lilly is working with Ligand Pharmaceuticals, Inc., to develop the next generation of PPAR modulators. The PPAR platform has been especially productive with more than a dozen PPAR modulators in Lilly's pipeline. Two of these are now in Phase I testing, and a third is expected to enter Phase I by the end of this year. In addition, one of the three PPAR modulators is preparing to enter Phase II trials early next year. Modulating PPAR receptors, including PPAR gamma, alpha and delta, may ultimately offer a variety of potential solutions to normalizing blood sugar, lowing triglycerides and LDL cholesterol, and raising HDL cholesterol. Financial Expectations The company continues to expect sales to slightly decline for the full-year 2002 but grow in the mid-single digits in the fourth quarter of 2002. The company also reaffirmed its earnings-per-share guidance for full-year 2002 of $2.55 to $2.57 and for the fourth quarter of 2002 of $.68 to $.70, excluding unusual items. For full-year 2003, the company continues to be cautious about its financial assumptions. Assuming no significant financial penalties imposed by the FDA related to the company's manufacturing issues or other unusual items, the company's goal is to deliver some earnings growth in 2003. The company's ability to deliver that growth depends in part on the timing of the new product launches. The company will invest appropriately in its new products, which is a top priority. As the outlook for the company's new product launch timelines and resolution of manufacturing issues becomes more certain, the company will provide more specific financial guidance as appropriate. Webcast of Investment Community Meeting A live webcast of the Lilly Investment Community meeting, along with presentation slides, is available through a link on Lilly's website at www.lilly.com. The meeting begins today at 8:45 a.m. Eastern Time and lasts approximately four hours and will be available for replay through November 22, 2002. Lilly, a leading innovation-driven corporation, is developing a growing portfolio of best-in-class pharmaceutical products by applying the latest research from its own worldwide laboratories and from collaborations with eminent scientific organizations. Headquartered in Indianapolis, Ind., Lilly provides answers - through medicines and information - for some of the world's most urgent medical needs. Additional information about Lilly is available at www.lilly.com. This press release contains forward-looking statements that are based on management's current expectations but actual results may differ materially due to various factors. There are significant risks and uncertainties in pharmaceutical research and development. There can be no guarantees with respect to pipeline products that the preliminary clinical results reported in this release will be confirmed in later trials. Also, there is no guarantee that the products will receive the necessary clinical and manufacturing regulatory approvals or that they will prove to be commercially successful. In particular, there is substantial uncertainty surrounding the ultimate impact of the company's manufacturing compliance issues on the timing of new product launches and on the company's results. The failure to resolve these issues to the FDA's satisfaction could result in delayed product approvals, recalls, fines and penalties, and other sanctions. The company's results may also be affected by such factors as the continuing impact of generic fluoxetine on Prozac sales in the United States, competitive developments affecting current growth products, rate of growth of Xigris sales, the timing of anticipated regulatory approvals and launches of new products, other regulatory developments involving current and future products and manufacturing facilities, the impact of governmental actions regarding coverage and reimbursement for pharmaceuticals, and the impact of exchange rates. For additional information about the factors that affect the company's business, please see Exhibit 99 to the company's latest Form 10-Q filed August 14, 2002. The company undertakes no duty to update forward-looking statements. -0- *T Actos(R) (pioglitazone hydrochloride, Takeda), Takeda Affinitac(TM) (LY900003 and formerly ISIS 3521, Isis Pharmaceuticals), Lilly Alimta(R)(pemetrexed disodium, Lilly) Cialis(TM)(tadalafil, ICOS), Lilly ICOS LLC Cymbalta(TM)(duloxetine hydrochloride, Lilly) Evista(R)(raloxifene hydrochloride, Lilly) Forteo(TM)(teriparatide [injection of rDNA origin], Lilly) Gemzar(R)(gemcitabine hydrochloride, Lilly) Humalog(R)(insulin lispro, Lilly) Prozac(R)(fluoxetine hydrochloride, Dista) Strattera(TM)(atomoxetine hydrochloride, Lilly) Xigris(R)(drotrecogin alfa (activated), Lilly) Zyprexa(R)(olanzapine, Lilly) Zyprexa(R)IntraMuscular (olanzapine, Lilly) *T Short Name: Lilly (Eli) & Co Category Code: RES Sequence Number: 00001175 Time of Receipt (offset from UTC): 20021108T110951+0000 --30--djl/cl* mh/uk CONTACT: Eli Lilly and Company Terra L. Fox, 317/276-5795 Robert L. Smith, 317/277-1302 KEYWORD: INDIANA UNITED KINGDOM INTERNATIONAL EUROPE INDUSTRY KEYWORD: MEDICAL BIOTECHNOLOGY PHARMACEUTICAL PRODUCT SOURCE: Eli Lilly and Company Today's News On The Net - Business Wire's full file on the Internet with Hyperlinks to your home page. URL: http://www.businesswire.com
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