Forecasting Capabilities

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Forecasting Capabilities Epicenter Consulting LLC Dr. P. Mueller Epicenter Consulting LLC 2011

Forecasting Capabilities Table of Contents Mission The 4 Basic Forecasting Approaches Key Criteria for the selection of the Forecasting Approach, Methodology and Model Data Availability, Triangulation Forecasting Approach, Methodology Analogue Product & Markets The 10 Basic Forecasting Models Examples of Epidemiological Models Example Source of Business Model Input and output screen shots of a Market / Product Simulation Tool Critical Success Factors The Process from Start to Finish Our Suite of Models

Epicenter Consulting LLC Our Mission is to provide World-class Marketing Forecasting and Management Expertise to our Clients in the Pharmaceutical and Biotechnology Industry Our Forecasting expertise is based on 23 Years of Global Experience in the Pharmaceutical Industry as well as 10 years of Consulting. Our Global Forecasting Expertise goes across all Therapeutic Areas and all phases of Product Development

The 4 Basic Forecasting Approaches Experiments, TEST Markets Advantages: The Product is put into a real market environment The competitive reaction can be tested Market acceptance can be estimated Disadvantages: Time consuming and expensive Difficult to find true representative market No guarantee to eliminate 100 % of risk at launch Competition might react different at full launch Statistical Approach Surprise - free Extrapolation Advantages: Statistical rigor, good if solid historical data set available Provides historical perspective of market dynamic Sales responsiveness can be estimated Disadvantages: Projections are only surprise free extrapolations New competition and changing market dynamics cannot be predicted by a statistical model New competition, generics etc. are not factored in Judgmental Approach Advantages: Fast and does not require solid data and statistical analysis Assumptions can include significant changes in the future including competitive reaction, generics, new products Disadvantages: Plain judgment without significant appreciation of market History, no statistical foundation Opens door for wild speculation Risk of wishful thinking becomes a substitute for facing undeniable market realities Completely subjective approach Integrated Approach Advantages: Statistical rigor & positive elements of judgmental approach combined (combination of two approaches) Allows adjustments to market history (out-layers) Allows for adjustments for market dynamics for new competition as well as generics or biosimilars Disadvantages: Relatively complex, time consuming and resource intensive Market simulations, but no real test in the market environment

Data & Information Sources (Partial List) Primary Data / Information Ad-hoc project primary marketing research studies Focus Group Results Syndicated primary Study Results Telephone Interviews E-Market Research (internal & external) Trade-off Studies Conjoint Analysis Perceptual Mapping Results Semi-structured brain storming sessions Secondary Data / Information IMS and / or other secondary data providers data sources (purchased) TRX, NRX, Sales, Units, CU, Price per Tab., Daily Treatment cost Sales Force Sizes, Sales Force Cost A&P, Congress, Medical Phase IV etc. Epicenter Consulting Strategic Disease Database (proprietary Database) Epi-data, Diag. and Treatment algorithms, R&D Pipelines, Strategic Disease Reviews, Healthcare Systems incl. Pricing & Reimbursement, Long Range CTY and Disease Forecasts (Epi, RX, Volume, Price, Cash) Internet CDC, WHO, Disease Portals, Med-Scape, Edgar, Annual Reports, Pub-Med, Merck- Medicus, Published medical Journals, Dailymed, NIH, FDA Google-scholar etc. Other secondary providers Decision Resources, Data-Monitor, others

Data Triangulation for Forecast Variables Selection Compare the robustness of various data sources and compare how consistent these data-sets are. Contradictions need to be resolved! Epi Data Other Data Sources Consumption Data (TRX) Based on the relative robustness of the Data-triangulation, choose appropriate variables for the Model!

Criteria for Analogue Product Selection Key criteria: Key criteria: Expected Degree of Product Differentiation (Relative USP) Efficacy, Safety, Dosing, Convenience, Pricing, Reimbursement Market Size and Dynamics Patient Population Patient Stratification (age, sex, ethnic etc.) Target Audience GP, Specialist, Hospital, Managed Care Market Entry First to Market Second to Market Me-too Generic Biosimilar General Market Evolution Growing, fast growing, stagnant, decline Historical trend, Future expectations Volume, Patients, Cash etc. Market Structure Global, non global Dominant Market Leader vs. dispersed Market Leadership Promotional Intensity Competitive Intensity Overall quantitative Spending Pattern Marketing Mix (SF, A&P, Phase IV etc.) Multiple Competitors, Market Leader Promotional Strategy Generics (now and at Launch) Life Cycle during Forecast Period Analogue Products and Markets do not have to be in the same Therapeutic Area as the New Product. The most important Criteria are the market Growth, competitive Growth, and Promotional Intensity PATTERNS expected during the life cycle of the New Product!

Forecasting Approach Data Quality & Quantity Stable Demand Pull Census X-11 Box-Jenkins Winters Multiple Regression Simple Regression Incomplete Patient-Based Modeling Simple Moving Average Business Strategy Robust Regression Complete Committees Sales Force Composites Company Push Independent Judgment Unstable

The Top 10 Basic Forecast Models 1. The basic epidemiological approach (incidence and prevalence based models for "acute" diseases) 2. The dynamic patient flow approach (HIV, Cancer etc) 3. The therapy class approach 4. The therapy day approach 5. The composite market model 6. "Head to head" models 7. Mixed models (Diagnosis, Therapy Days, ATC3 Class) 8. Share stealing integrated model 9. Diffusion Models (Bass diffusion model) 10. Product life cycle indexing and projection approach

The Basic Epidemiological Approach Product K Product Class A Product L Alternative Treatment Drug Treated Population Product M Other Class A Product Class B Not Treated Population Treated Population Product G Other Class B Product Class C Product M Diagnosed Population Product M Total Patient Population Incidence / Prev. Total Other

The Dynamic Patient Flow Model Alternative Treatment Drug Treated Population Drug Treated Population Alternative Treatments Not Treated Population Treated Population Treated Population Not Treated Population Diagnosed Population Diagnosed Population Prevalent Population Incident Population / New Patients

Share Stealing Model Source of Business Model This Model is the most comprehensive approach, since we are forecasting every single leading Product as well as the new product to be introduced over the forecast horizon. We also project the share of voice for each critical component!

Input Screen for Simulation Model Lipid Opportunity Europe Forecast Simulation Tool Input Screen 10/7/2011 7:35 Prevalence estimates for familial Hypercholesterolemia in Europe by Country Germany UK France Italy Spain ROE Life Cycle Selection 1 in 500 1 in 500 1 in 500 1 in 500 1 in 500 1 in 500 Life Cycle 7 Obese Population relevant for Treatment (10-20) Germany UK France Italy Spain ROE 800000 700000 700000 800000 500000 350000 Daily Treatment Cost NUR per Day in USD (Euro USD 1:1.30) Germany UK France Italy Spain ROE 0.4 USD 0.4 USD 0.3 USD 0.3 USD 0.3 USD 0.4 USD Compliance, % Therapy days per calendar year Germany UK France Italy Spain ROE 70% 70% 70% 65% 65% 50% Peak Penetration in % of Patients with Familial Hypercholesterolemia Germany UK France Italy Spain ROE 20.0 20.0 20.0 20.0 20.0 15.0 % of Peak Penetration 100.00 Life Cycle 7 90.00 80.00 70.00 60.00 50.00 40.00 30.00 20.00 10.00 0.00 1 2 3 4 5 6 7 8 9 10 Year after launch Peak Penetration in % of overweight / obese Patients Germany UK France Italy Spain ROE 10.0 10.0 10.0 8.0 8.0 5.0

Output Screen 1 Simulation Model Results for Forecast Simulation: Page 1 10/7/2011 7:59 Prevalence familial Hypercholesterolemia and prevalent selected population Life Cycle Selection Prevalence Prevalent "obese" DTC Compliance Popul. Popul. in $ % Germany 1 in 500 12,713 800000 0.40 70% % of UK 1 in 500 11,959 700000 0.40 70% Peak Penetration 100.00 France 1 in 500 14,586 700000 0.30 70% 90.00 Italy 1 in 500 9,265 800000 0.30 65% Spain 1 in 500 7,403 500000 0.30 65% 80.00 ROE 1 in 500 12,420 350000 0.40 50% 70.00 Total Europe 68,346 3850000 60.00 Peak Market Penetration (%) in terms of prevalent selected popultion Familial Overweight Hyperchol. Obese Germany 20.0 10.0 UK 20.0 10.0 France 20.0 10.0 Italy 20.0 8.0 Spain 20.0 8.0 ROE 15.0 5.0 50.00 40.00 30.00 20.00 10.00 0.00 Life Cycle 7 1 2 3 4 5 6 7 8 9 10 Year after launch Summary of results 10/7/2011 7:59 Net Sales by Country in MM $ Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Year 9 Year 10 Germany 1.50 2.43 4.37 6.32 7.82 8.32 8.07 7.41 6.24 4.99 UK 1.31 2.13 3.83 5.55 6.86 7.30 7.08 6.49 5.47 4.38 France 0.99 1.61 2.89 4.19 5.18 5.51 5.35 4.91 4.13 3.31 Italy 0.83 1.35 2.43 3.51 4.35 4.62 4.48 4.11 3.47 2.77 Spain 0.52 0.85 1.53 2.21 2.74 2.91 2.82 2.59 2.18 1.75 ROE 0.25 0.41 0.73 1.06 1.31 1.39 1.35 1.24 1.05 0.84 Total Europe 5.41 8.78 15.78 22.84 28.26 30.06 29.16 26.75 22.54 18.04

Output Screen 2 Simulation Tool Results for Forecast Simulation: Page 2 10/7/2011 8:02 Market Share for familial hypercholseterinemia Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Year 9 Year 10 Germany 3.60 5.84 10.50 15.20 18.80 20.00 19.40 17.80 15.00 12.00 UK 3.60 5.84 10.50 15.20 18.80 20.00 19.40 17.80 15.00 12.00 France 3.60 5.84 10.50 15.20 18.80 20.00 19.40 17.80 15.00 12.00 Italy 3.60 5.84 10.50 15.20 18.80 20.00 19.40 17.80 15.00 12.00 Spain 3.60 5.84 10.50 15.20 18.80 20.00 19.40 17.80 15.00 12.00 ROE 2.70 4.38 7.88 11.40 14.10 15.00 14.55 13.35 11.25 9.00 Market Share for obese / overweight population Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Year 9 Year 10 Germany 1.80 2.92 5.25 7.60 9.40 10.00 9.70 8.90 7.50 6.00 UK 1.80 2.92 5.25 7.60 9.40 10.00 9.70 8.90 7.50 6.00 France 1.80 2.92 5.25 7.60 9.40 10.00 9.70 8.90 7.50 6.00 Italy 1.44 2.34 4.20 6.08 7.52 8.00 7.76 7.12 6.00 4.80 Spain 1.44 2.34 4.20 6.08 7.52 8.00 7.76 7.12 6.00 4.80 ROE 0.90 1.46 2.63 3.80 4.70 5.00 4.85 4.45 3.75 3.00 Treated selected Patients genetic and obese / overweight combined Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Year 9 Year 10 Germany 14858 24102 43335 62732 77590 82543 80066 73463 61907 49526 UK 13031 21138 38006 55018 68048 72392 70220 64429 54294 43435 France 13125 21292 38282 55417 68542 72917 70730 64896 54688 43750 Italy 11854 19229 34573 50048 61902 65853 63877 58609 49390 39512 Spain 7466 12112 21777 31525 38992 41481 40236 36918 31110 24888 ROE 3485 5654 10166 14716 18201 19363 18782 17233 14522 11618 Total Europe 63819 103528 186138 269457 333275 354548 343912 315548 265911 212729 Net Sales total Europe by Market Segment Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Year 9 Year 10 000 $ 000 $ 000 $ 000 $ 000 $ 000 $ 000 $ 000 $ 000 $ 000 $ Genetic Segment 195 317 570 825 1021 1086 1054 967 815 652 Obesity Segment 5215 8460 15211 22019 27234 28973 28104 25786 21730 17384 Grand Total 5411 8777 15781 22845 28255 30059 29157 26752 22544 18035

The Net Present Value Today Y-3 Y-1 Q I Development Cost PH III Pre Marketing Cost Q3 Capital Investments etc. Launch Y 1 Y 5 Y 10 Q2 NPV Sales COGs The Driver of Selling Expense Product Contribution Q4 Working Capital Taxes Financial Calculations NPV

Phases of the Product Life Cycle Cumulative Contribution Return $ Launch Sales Selling Expense Annual Contribution Development Introduction Growth Maturity Saturation Decline Time

Product P & L Product P & L Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Illustration MM $ MM $ MM $ MM $ MM $ MM $ MM $ Sales 44.0 90.0 129.0 157.0 178.0 180.0 175.0 COGs 8.8 18.0 25.8 31.4 35.6 36.0 35.0 % of Sales 20% 20% 20% 20% 20% 20% 20% Gross Margin 35.2 72.0 103.2 125.6 142.4 144.0 140.0 % of Sales 80% 80% 80% 80% 80% 80% 80% Sales Force Cost 65.0 56.7 45.2 33.0 31.2 25.2 24.5 Advertising & Promotion 25.0 20.3 16.1 11.8 11.1 9.0 8.8 Medical Expense 5.0 4.1 3.2 2.4 2.2 1.8 1.8 Total Selling Expense 95.0 81.0 64.5 47.1 44.5 36.0 35.0 % of Sales 216% 90% 50% 30% 25% 20% 20% Product Contribution Margin -59.8-9.0 38.7 78.5 97.9 108.0 105.0 % of Sales -136% -10% 30% 50% 55% 60% 60% Cumulative Contribution -59.8-68.8-30.1 48.4 146.3 254.3 359.3

Return (NPV) NPV Sensitivity Analysis -30-20 -10 B C +10 +20 +30 R & D cost 70 60 50 40 30 20 10 Selling 55 50 45 40 35 30 25 COGs 100 80 60 40 20 0-20 Volume 10 20 30 40 50 60 70 Price -20 0 20 40 60 80 100 STAR Sensitivty Analysis 120 100 80 60 40 20 0-20 -40-30 -20-10 B C +10 +20 +30 Investment R & D cost Selling COGs Volume Price

Critical Success Factors for our unique Forecasting Process 1. Quality and reliability of historical data We validate individual data sources and cross validate different data sources for maximum data integrity. 2. Tools to perform data analysis We use state of the art statistical tools and Forecasting Software to perform historical analysis and for surprise free extrapolations. Tools for time series analysis, cross sectional analysis, simulation software. 3. Market / Product History: Statistical Analysis Our historical data analysis includes time series as well as cross-sectional analysis, simulations, sales response estimates, promotional sensitivity analysis We use consumption data (number of tablets, daily doses etc.), RX-data, promotional as well as epidemiological data from various sources to generate a comprehensive review of the market history and provide insight into market dynamics (Historical growth rates, seasonal patterns, cyclical patterns, new product adoption curves, sales responsiveness, competitive intensity). 4. Experience in Judgment Our experience in new product forecasting is based on hundreds of forecasts across all therapeutic areas, diseases and geographies. We have up-to-date information on healthcare systems, pricing and reimbursement information. We have a database comparing forecasts (including revisions over time) with real world experience / data after launch. 5. Process to integrate statistical and judgmental approaches Our time tested process for integration of historical data analysis, projections and integration of judgmental input is an iterative process, by which we are in a continuous feed-back loop with the client to ensure total integrity in the model. 6. Continuous communication with our clients during the entire process During the entire process we regularly communicate with our client to ensure that all findings are appropriately integrated into the model and that there are no late surprises. This process guarantees also that everybody is informed and conditioned for the final meeting and results. 7. Clear and unbiased communication of recommendations Our client receives a presentation with the results of various simulations and our recommendations. We provide a SIMULATION TOOL which enables the client to perform it s own simulations and scenario analysis.

The Process from Start to Finish 1. Get clarity and agreement on forecasting objective During our initial briefing meeting (TCON or face-to-face meeting) with our clients we get a full understanding of the situation at hand. We agree with our client on the objective of the forecast, expected deliverables, the process, timing and cost. 2. Get agreement on process, methodologies, tools, deliverables, timing and cost Before starting the forecasting process, we propose to the client a detailed T&E schedule and contract 3. Data collection, analysis, synthesis, market system drivers and dynamics At this stage we go through the complete statistical routine of data collection, analysis, sales response estimation, promotional sensitivity analysis, analysis of market / system dynamics and surprise free market projection 4. Creating market / product simulation model The market simulation tool is driven by the key variables identified during the statistical analysis. Volume, price, market growth rates in volume terms, peak penetration and indexed life cycle curves are always an integral part of each model. Depending on the disease, geography, stage of development additional variables are integrated into the simulation tool. Each simulation tool is customized to the product, technology, market, competitive environment, geography and other relevant market drivers. 5. Forecast simulation session (testing and fine tuning of the simulation tool) At this stage we test the simulation tool and the sensitivity of the system for each variable and combinations of variables to understand the systems dynamic. Realistic ranges for each variable are tested to understand all dimensions of the model. 6. Agreement on selected scenarios and outcomes Based on the understanding gained in step 5 we then simulate a set of realistic scenarios where each scenario simulates a set of assumption / variables. (i.e. Peak penetration, life cycle curve, price, market growth rates, launch date, level of investment Sales Force cost, A&P etc.) 7. Communication of forecasting results to Client Key deliverables of each project is a Power-point presentation explaining the simulation tool, key variables and system dynamics as well a set of selected scenarios and recommendations. Based on client need this meeting can be face-to-face, via T-CON, Skype or other electronic communication.

Return Our Suite of Model Options Sales Forecast (Basic Simulation Tool) Volume, price & sales forecast assuming competitive share of voice Profit Forecast Model (Advanced Simulation Tool) Complete Profit & Loss Statement of the new product including basic Sensitivity Analysis (Quadrant II of NPV Model) Dynamic Market Simulation Model (Complete Simulation Tool including Commercial NPV Sensitivity Analysis) STAR Analysis, Maximizing Commercial NPV 90 65 40 15-10 Effort (investment, time)