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Novartis and the : Innovation is Key

Dr. Stephan Mumenthaler, Head Economic Affairs Copenhagen, February 26, 2008 Agenda

. at a Glance . R&D at Novartis . Aspects of Open Innovation . Policy Recommendations

2 | Novartis and the Pharmaceutical Industry: Innovation is Key | February 26, 2008 | Business Use Only Novartis at a Glance

. World’s third largest pharmaceutical company by sales

. One of 20 largest companies by market capitalization

. Ranked among most respected companies worldwide

. Unique portfolio to meet changing healthcare needs: • Leading innovative pharmaceuticals • High-quality, low-cost generics • Preventive • Consumer health products

3 | Novartis and the Pharmaceutical Industry: Innovation is Key | February 26, 2008 | Business Use Only Novartis‘ Key Facts

Sales by division 2007 (in %) Key facts 2007 bn USD Net sales: 39.8 14 Net income: - continuing operations: 6.5 - total 12.0 Consumer Health R&D: 6.4 Sandoz 19 2007 V & D 63 Pharmaceuticals Employees: 98 200 4 Countries: 140 Headquarters: , Ten leading countries: . USA . Spain . Germany . United Kingdom . Japan . Canada . France . Brazil . Italy . Turkey Source: Annual Report 2007

4 | Novartis and the Pharmaceutical Industry: Innovation is Key | February 26, 2008 | Business Use Only R&D in the Pharmaceutical Industry 2 - 4 years 4 - 7 years RESEARCH DEVELOPMENT MARKET Identification PRECLINICAL CLINICAL Phase of Introduction Selection PoC* Phase I II III IV

Probability 12% 75% 100%

10’000- Compounds 6-8 1.5 1 100’000

Costs ca. 1/3 ca. 2/3 > 1.2 billion $

* PoC = Proof of Concept

5 | Novartis and the Pharmaceutical Industry: Innovation is Key | February 26, 2008 | Business Use Only Novartis Pharma and Corporate Research: Worldwide Community 2007

Cambridge/Boston UK Respiratory Metabolism/Diabetes Disease Cardiovascular Disease Gastrointestinal Infectious Disease

New Jersey Singapore Oncology, NITD Genome & Tropical Diseases Proteome Basel Sciences Nervous system La Jolla Transplantation Basel Oncology GNF FMI Arthritis/Bone Functional Metabolism Genomics Functional Genomics >4000 scientists 2007: >1.2 bio USD 6 | Novartis and the Pharmaceutical Industry: Innovation is Key | February 26, 2008 | Business Use Only Innovation is complex and difficult to measure

Product innovation, not just product invention

 Discovery of new innovative molecular entities  Innovative collaboration models with Biotech  Fast development in parallel processes  Innovative drug delivery systems  Rapid global market introduction and penetration  Excellence in product commercialization  Maximization of product life cycles

7 | Novartis and the Pharmaceutical Industry: Innovation is Key | February 26, 2008 | Business Use Only Innovation Strategy of Novartis Pharma

Strong internal R&D Centers (CH, US, UK, F, IND)… Diseases Areas Technology NS OPH AI&TX CV MD MuS RD ONC ID GI CHEM

testing access access scientific rapid entry new enabling lead concepts, - new fields technologies therapies new targets and IT tools

…aligned with in-out licensing, targeted M&A and external R&D collaborations

8 | Novartis and the Pharmaceutical Industry: Innovation is Key | February 26, 2008 | Business Use Only Innovation Through Strong Internal R&D Centers…

France: UK: • Analytical laboratories • Respiratory Japan: Switzerland: United States: • Development • Cross-disease area capability • East Hanover NJ: cross headquarters disease area capability • Cross disease area • Cambridge MA: capability biomarkers, translational medicine Mumbai: • IT capabilities • Clinical trial execution Total > 8000 Associates • Safety biostatistics (NICCI)

+ 59 other countries worldwide

9 | Novartis and the Pharmaceutical Industry: Innovation is Key | February 26, 2008 | Business Use Only …In-Out Licensing…

. Traditionally, Novartis’ focus was on own developments • From 20 top selling products 5 have been licensed

. Recently, Novartis put significant development efforts also in licensed products

 First innovative treatment for in over a decade (Breakthrough: First direct renin inhibitor)  Only in the US, approximately 72 million patients with hypertension

Source: Haase et al. 2007 / Analysis Group / Novartis International

10 | Novartis and the Pharmaceutical Industry: Innovation is Key | February 26, 2008 | Business Use Only …Targeted Mergers & Acquisitions and…

. Focus on growth areas in healthcare . Chiron Acquisition • Novartis enters strategically important vaccines business gaining access to novel blood-screening tools and strong market position

Source: Annual Report 2006 and 2007

11 | Novartis and the Pharmaceutical Industry: Innovation is Key | February 26, 2008 | Business Use Only …External Collaborations

Big Pharma & Big Biotech Big Biotech World

Clinical services Preclinical Biopolymers Development & Delivery

Informatics

Platforms & Diagnostics Services

Cells / Animal Models Antibodies / Vaccines

Phyto- DNA/RNA Pharma Screening & Libraries

Partners in innovation

12 | Novartis and the Pharmaceutical Industry: Innovation is Key | February 26, 2008 | Business Use Only Significant External Collaborations

. Novartis spends 30% of its R&D budget on external collaborations with 120 biotech companies and 280 academic centers

. Every external project is linked to a dedicated internal team

Source: Novartis International

13 | Novartis and the Pharmaceutical Industry: Innovation is Key | February 26, 2008 | Business Use Only - Best Practice Example for Open Innovation

Strasbourg  Local Life Science Cluster in Basel, Alsace and Freiburg

BioValley Association Deutschland e.V.  4 life science global players are in a Alsace BioValley Colmar network with . academics (4 major universities, Freiburg i.B. 30 life science institutes) and 1 . about 400 SMEs (~ /3 founded since 1990)

Mulhouse  Key success factors are . the geographic uniqueness, . highly developed infrastructure and Basel BioValley Basel . the Novartis Venture Fund

14 | Novartis and the Pharmaceutical Industry: Innovation is Key | February 26, 2008 | Business Use Only Novartis Venture Fund – An important source of innovation

. The Novartis Venture Fund is committed to investing in companies that develop innovative life science concepts for the benefit of patients

. Since its foundation in 1996, worldwide more than 150 entrepreneurial ventures have been helped to finance

. In 2007, a total investment of CHF 68 million was made

Success Story

2007 IPO NASDAQ Source: Activity Report Venture Fund 2007

15 | Novartis and the Pharmaceutical Industry: Innovation is Key | February 26, 2008 | Business Use Only Innovation Calls for Corresponding Framework . Reorganization of a former production site to an appealing and functional campus of knowledge . Modern, multifunctional open-plan offices offer an optimal setting for communication, knowledge transfer and cooperation

. Concentration of fragmented Swiss locations due to 1996 merger of Ciba-Geigy and Sandoz . A long term project, which makes place for 10 000 employees in 2030

16 | Novartis and the Pharmaceutical Industry: Innovation is Key | February 26, 2008 | Business Use Only Open Innovation is Standard Practice at Novartis

. Open innovation is standard practice at Novartis . The innovation strategy of strong internal R&D centers complemented by in-out licensing, targeted M&A and external collaborations increases the potential for innovation by sharing the risk of failure (sunk R&D costs)

Strong internal R&D centers In-out licensing External collaborations Targeted M&A

. However, innovation calls for an appropriate framework

17 | Novartis and the Pharmaceutical Industry: Innovation is Key | February 26, 2008 | Business Use Only Policy Recommendations

. Attractive framework conditions for leading class scientific companies which aspire to invest (e.g. IP, tax system)

. Provide investment incentives comparable to other countries (e.g. Singapore)

. Protect and foster innovation (e.g. differentiated pricing, reimbursement, market access)

. Increase attractiveness of location for leading researchers (e.g. international schools, infrastructure)

. Build education portfolio with focus on competence fields (foster natural sciences)

18 | Novartis and the Pharmaceutical Industry: Innovation is Key | February 26, 2008 | Business Use Only