Leading In Biopharmaceutical Innovation
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1 STRONGER BUSINESS OUR BUSINESSES Leading In Biopharmaceutical Innovation Our businesses include five prescription-only biopharmaceutical businesses and Pfizer Consumer Healthcare. Primary Care, Specialty Care and Oncology are responsible for life-cycle management of in-line products and promising new therapies that have achieved proof of concept in our labs, while also ensuring that patient and customer needs inform the development of new medicines and vaccines. Specialty Care Emerging Markets Primary Care Established Products Oncology Consumer Healthcare Pfizer Annual Review Stronger Businesses > Our Businesses 1
2 Primary Care Our solutions help patients and health care providers manage chronic, costly conditions, and are designed to improve outcomes and overall health. Through leadership in areas such as the management of pain and heart disease, our medicines treat conditions that account for a large and growing portion of the world s health care costs. Our pipeline includes molecules with potential in women s health, pain, cardiovascular and metabolic diseases, allergy and respiratory, and Alzheimer s disease. Eliquis (apixaban) gained approval to reduce the risk of stroke and systemic embolism in patients with nonvalvular atrial fibrillation in the U.S., the 27 countries in the European Union, Canada, and Japan, and is under r eview in other countries. Eliquis, an oral Factor Xa inhibitor anticoagulant, has demonstrated superior risk reductions versus warfarin in three key outcomes of stroke and systemic embolism, major bleeding and all-cause death in patients with nonvalvular atrial fibrillation. In 2007, Pfizer and Bristol-Myers Squibb entered into a worldwide collaboration to develop and commercialize this oral anticoagulant, which was discovered by Bristol-Myers Squibb. Lyrica received regulatory approval in Japan for the additional indication of pain associated with fibromyalgia. Integrated Health, Pfizer s new approach to identifying innovative ways to partner with payers, providers and employers to improve patient outcomes, launched its first two products focused on the employer health and wellness market: KEAS, an online platform designed to engage employees around healthy behaviors; and the American Health Strategies Project, a tool designed to help demonstrate the costs of chronic diseases and highlight potential interventions to reduce costs and improve employee health outcomes. Celebrex (celecoxib) Chantix/Champix (varenicline) Eliquis (apixaban) Lyrica (pregabalin) Oxecta (oxycodone HCl) Premarin (conjugated estrogens) Pristiq (desvenlafaxine) Spiriva (tiotropium) Toviaz (fesoterodine) Viagra (sildenafil citrate) Lyrica (pregabalin) capsules CV received a new indication in the U.S. for the management of neuropathic pain associated with spinal cord injury. This is the fifth indication approved for Lyrica. Core indications for Lyrica are fibromyalgia and diabetic peripheral neuropathy, and Lyrica is the first indication approved for the management of neuropathic pain associated with spinal cord injury in the U.S. Pfizer Annual Review Stronger Businesses > Our Businesses 2
3 Specialty Care Featuring a robust portfolio of medicines, we are a leader in vaccines and the treatment of inflammation, two important areas of innovation and growth in biomedical science. We understand the devastating impact of rare diseases on patients and are dedicated to addressing these serious unmet medical needs by seeking to discover, develop and deliver treatments for them. Our medicines help address potentially life-threatening and debilitating diseases at every stage of life. The U.S. Food and Drug Administration approved Xeljanz (tofacitinib) 5 mg twice daily for the treatment of adults with moderately to severely active rheumatoid arthritis who have had an inadequate response or intolerance to methotrexate. Prevenar 13 received regulatory approvals for the adult indication in more than 80 countries. Initiated the first Phase III study for our investigational vaccine, rlp2086, part of the largest vaccine clinical development program to date in invasive meningococcal B disease. Initiated Phase III studies for tofacitinib in ulcerative colitis. Launched Vyndaqel (tafamidis) in seven countries in the EU, including Portugal, Germany, Austria, Luxembourg and Sweden. Launched BeneFIX (coagulation factor IX (recombinant)) 3000 IU dosage and new Xyntha (antihemophilic factor (recombinant), plasma/albumin-free) dosage sizes. Celebrated anniversaries: 15 years for BeneFIX (coagulation factor IX (recombinant)); 10 years for Rebif (interferon beta-1a) and the MS Lifelines Support Center. Benefix (coagulation factor IX (recombinant)) Enbrel (etanercept) Genotropin (somatropin) Prevnar 13/ Prevenar 13 (pneumococcal polysaccharide conjugate vaccine) Revatio (sildenafil citrate) Tygacil (tigecycline) Vfend (voriconazole) Vyndaqel (tafamidis) Xeljanz (tofacitnib) Xiapex (adalimumab) Zyvox (linezolid) Pfizer Annual Review Stronger Businesses > Our Businesses 3
4 Oncology Our Oncology Business Unit remains dedicated to more targeted, rational and efficient drug development to help improve the outlook for cancer patients worldwide. In addition to introducing three new compounds in the U.S. in just over a year, and recently announcing EU marketing authorization for Inlyta and EU conditional marketing authorization for Xalkori, the Oncology unit has a promising late-stage pipeline, including dacomitinib and inotuzumab ozogamicin, being studied in non-small cell lung cancer and non- Hodgkin s lymphoma, respectively. Additionally, Pfizer continues to prioritize our early portfolio and rigorously assess the number of molecules in development to focus on those that we believe hold the greatest potential for patients. Bosulif (bosutinib) Inlyta (axitinib) Sutent (sunitinib malate) Torisel (temsirolimus) Xalkori (crizotinib) In January 2012, Inlyta (axitinab) was approved by the U.S. Food and Drug Administration (FDA) for the treatment of patients with advanced renal cell carcinoma after failure of one prior systemic therapy. Inlyta also was approved this year in the European Union and a number of countries including Japan, Switzerland, Canada, Australia and Korea. In September 2012, Bosulif (bosutinib) became the third new medicine from our Oncology pipeline to be approved by the U.S. FDA in 13 months, and the first therapy in Pfizer s growing hematology portfolio to receive FDA approval. Xalkori (crizotinib) was selected as a finalist in the 2012 Most Innovative Product of the year award competition, chosen by a group of industry experts. The pivotal Phase III PROFILE 1007 data, presented at the European Society for Medical Oncology, demonstrated that Xalkori is superior to standard chemotherapy in prolonging progression free survival in patients with previouslytreated ALK-positive advanced non-small cell lung cancer (NSCLC). These data established Xalkori as a standard of care for this patient population. Xalkori also has received conditional marketing authorization in the EU for the treatment of adults with previously-treated ALK-positive advanced NSCLC. Pfizer Annual Review Stronger Businesses > Our Businesses 4
5 Emerging Markets Emerging markets offer opportunities for Pfizer to reach more patients around the world. A leader in these markets, we bring our innovative and high quality medicines to over 75 emerging countries. To meet patients diverse needs, our Emerging Markets unit offers our Primary Care, Specialty, Oncology, Vaccines and Established Products portfolios. While core brands have helped Pfizer reach more patients in the past and are a cornerstone of continued expansion, Established Products provide greater choice and affordability for patients in emerging markets. In 2012, we successfully started the launches of Xalkori (crizotinib), Inlyta (axitinib) and Prevenar 13 Adult in emerging markets. We also achieved the delivery of 500 million doses of Prevenar 13. As a leading multinational pharmaceutical company and the leader in cardiovascular disease management and treatment in China, Pfizer has been working with the Ministry of Health, the Cardiovascular Physician Branch of the Chinese Medical Doctor Association and the Stroke Prevention and Control Society of the Chinese Preventive Medicine Association on a China Vascular Health Project. The project was initiated and led by the SPCS and launched in the beginning of It has adopted a multi-pronged approach to address the huge unmet need and key challenges, such as disease awareness among patients, diagnosis accuracy, treatment efficiency and effectiveness, long-term disease management and prevention. To date, the project has achieved significant outcomes, including screening more than 502,000 patients in almost 500 hospitals in 95 cities throughout China. Forty-six percent of the screened population were found to have dyslipidemia and this project helped more than 77 percent of these patients find treatment options. Cardiovascular disease has become an increasingly serious public health and socio-economic problem in China, with more than 270 million dyslipidimia patients and a diagnosis rate that is lower than 10 percent. Pfizer has established more than 45 partnerships to support health care priorities around the world. Partnerships include 20 national immunization programs and participation in the GAVI Alliance, which provides life-saving vaccines to people in developing countries. Our broader strategy in the world s largest emerging markets, such as Brazil, Russia, India, China, Mexico and Turkey, includes offering affordable, high quality medicines in order to reach more patients. For example, our partnership with Teuto in Brazil has yielded branded and generic versions of Viagra and Lipitor as well as anti-inflammatory and anti-depression medications. The joint venture between Hisun and Pfizer aims to strengthen the ability of both companies to address health care needs in China and reach more patients with high quality and low cost medicines in the branded generics arena. Celebrex (celecoxib) Enbrel (etanercept) Lipitor (atorvastatin) Lyrica (pregabalin) Medrol (methylprednisolone) Norvasc (amlodipine besylate) Prevenar (pneumococcal polysacharide conjugate vaccine) Sutent (sunitinib malate) Vfend (Voriconazole) Viagra (sildenafil citrate) Pfizer Annual Review Stronger Businesses > Our Businesses 5
6 Established Products We offer growth opportunities for Pfizer to reach more patients in the developed world with Pfizer-originated medicines that have lost or are close to losing patent protection and with non-pfizer-originated medicines secured through licensing or acquisitions. The off-patent pharmaceutical field is one of the fastest-growing segments in the global pharmaceutical market. Currently, we offer over 600 off-patent Pfizer legacy brands and other generic products, backed by the highest quality standards and consistency of supply. Pfizer has acquired NextWave Pharmaceuticals, a privately held, specialty pharmaceutical company focused on the development and commercialization of products for the treatment of attention deficit/hyperactivity disorder (ADHD) and related central nervous system disorders. NextWave is the developer of Quillivant XR (methylphenidate HCl) for extendedrelease oral suspension, CII, the first once-daily liquid medication approved in the U.S. for the treatment of ADHD, and holds exclusive North American commercialization rights to Quillivant XR. This recently approved medicine was launched in the U.S. in early We launched Elelyso (taliglucerase alfa) for injection, an enzyme replacement therapy (ERT) for the long-term treatment of adults with a confirmed diagnosis of Type 1 Gaucher disease. Elelyso is the first FDA-approved plant cell-based ERT for Gaucher disease. Pfizer has established an exclusive long-term strategic collaboration with Mylan to develop, manufacture, distribute and market generic drugs in Japan, the second largest pharmaceutical market in the world, where there is an ever-growing demand for high quality generics. Pfizer has created a Loss Of Exclusivity (LOE) Center of Excellence within the Established Products Business Unit to offer brand teams that are facing similar LOEs the expertise to successfully navigate brand patent expirations. The Center offers an LOE Roadmap, a detailed handbook for teams that are developing strategies to maximize the value of their products both before and after patent loss, and an LOE Library, which contains examples of strategic planning documents, market research and promotional materials. Effexor (venlafaxine hydrocloride) Fragmin (dalteparin sodium) Lipitor (atorvastatin) Norvasc (amlodipine besylate) Relpax (eletriptan HBr) Zosyn/Tazocin (piperacillin/tazobactam) 80 % of prescriptions in the U.S. are filled with generics and other off-patent medicines. 50 % of global pharmaceutical sales by 2020 will be off-patent medicines and their generic equivalents. Pfizer Annual Review Stronger Businesses > Our Businesses 6
7 Consumer Healthcare We meet consumers health and wellness needs around the world through our science-based, differentiated self-care solutions. We are ranked fifth globally among multinational, branded consumer healthcare companies, and second in our largest markets the U.S., Canada and China. We compete in three of the top five categories in the global over-the-counter (OTC) industry. We are the only company with two of the top 10 global OTC brands Advil and Centrum. Key PRODUCTS Advil Caltrate Centrum ChapStick Emergen-C We continued to outpace global OTC growth in Through our acquisition of Ferrosan, we expanded our product offerings in the fast-growing probiotics and Omega-3 categories, and extended our geographic footprint into the Nordic markets, Russia and other Eastern European markets. Another major business development in 2012 was the acquisition from AstraZeneca of exclusive, global overthe-counter marketing rights for Nexium. Nexium is the fifth-best selling prescription medicine and a leading prescription remedy to treat the symptoms of gastroesophageal reflux disease (GERD). The gastrointestinal health market is the fourth-largest OTC category. Robitussin ThermaCare Through the acquisition of Alacer, we added a leading vitamin C supplement, Emergen-C, to our dietary supplements portfolio. Advil maintained its market-leading position in a number of key geographies, including the U.S. and Canada, with sustained revenue growth for the year. We expanded the Centrum franchise through the accelerated launches of Centrum Gender and Centrum Cardio/ Centrum Control into many markets across Europe and Latin America. Pfizer Annual Review Stronger Businesses > Our Businesses 7
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