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Improving Health and Quality of Life
 Do More, Feel Better, Live Longer




                        Zuhal Tompkins
                        Raman Goyal
                        Ramola Chendvankar
                        Ruchi Shah
                        Elias Sobrino
AGENDA:

            Introduction / Company Overview
              Zuhal Tompkins, CEO
            Research and Development
              Ramola Chendvankar, CSO
              Raman Goyal, CSO
            Marketing and Commercialization
               Ruchi Shah, CCO
            Financial Outlook
              Elias Sobrino, CFO



Improving Health and Quality of Life Do More, Feel Better, Live Longer
GSK Overview
•   The world's second largest pharmaceutical company
•   Headquartered in the UK and with operations based in the US
•   ZANTAC
•   40 plants throughout the world
•   Presence in almost 100 countries
•   Listed on London and New York stock exchanges.
•   Revenue of £22.7 billion
•   Net Income of £7.8 billion in 2007




Improving Health and Quality of Life Do More, Feel Better, Live Longer
History / Mile Stones of
                                                                              GSK
                                                                  1830 - John K Smith opens his first drugstore in
                                                                                  Philadelphia.

                                                                  1842 - Thomas Beecham launches the Beecham’
                                                                            Pills business in England.

                                                                  1873 - Joseph Nathan establishes Joseph Nathan
                                                                    and Company, the foundation for the Glaxo
                                                                            Company to be formed later.

                                                                     1881 - Burroughs Wellcome & Company is
                                                                               established in London

                                                                   1989 - SmithKline and Beecham merge to form
                                                                               SmithKline Beecham.

                                                                  1995 - Glaxo and Wellcome merge to form Glaxo
                                                                                    Wellcome.

                                                                 2001 - GlaxoSmithKline is formed by the merger of
                                                                     Glaxo Wellcome and SmithKline Beecham.




Improving Health and Quality of Life Do More, Feel Better, Live Longer
Our Mission
       Our global quest is to improve the quality of human life by enabling
       people to do more, feel better, and live longer.




  Our Strategy
       Our strategy is to strive for excellence in the following five key areas of our
       business:

  1. Optimising the performance of key products
      – achieving worldwide sales force excellence
      – achieving Pharmaceutical and Consumer Healthcare marketing
         excellence
      – maintaining the highest ethical standards (intellectual property )
      – improving the cost-effectiveness of operations

  2.   Delivering the product pipeline for patients
  3.   Being the best place for the best people to do their best work
  4.   Improving access to medicines
  5.   Maximising total shareholder return (TSR)



Improving Health and Quality of Life Do More, Feel Better, Live Longer
Andrew Philip Witty - CEO
                                              Chief Executive Officer on 21 May 2008
                                              Joined Glaxo in 1985
                                              Held a variety of roles in the UK business
                                              from sales representative to Director of
                                              Pharmacy and Distribution.
                                              43-year-old

                                              WITTY’s GOALS
                                              Plans to radically alter GSK’s R&D work
                                              Shifting more to a biotech approach
                                              Set up a venture arm to invest in promising
        Base Salary:                          new therapies
        $1.7 million
Improving Health and Quality of Life Do More, Feel Better, Live Longer
Extensive Pipeline




Improving Health and Quality of Life Do More, Feel Better, Live Longer
Improving Health and Quality of Life Do More, Feel Better, Live Longer
Improving Health and Quality of Life
 Do More, Feel Better, Live Longer




                      Research and Development
                         Raman Goyal
                         Ramola Chendvankar
Improving Health and Quality of Life Do More, Feel Better, Live Longer
What is Asthma???

  Chronic inflammatory disorder
of the airways.
  Can be controlled and treated.
  Not the same as allergies.
  Not contagious.
  Increased bronchial hyper
responsiveness to a variety of
stimuli.




Improving Health and Quality of Life Do More, Feel Better, Live Longer
Symptoms and Severity of Asthma

   Symptoms of asthma                                       Severity of asthma
    Coughing                                                     Mild intermittent
    Shortness of breath                                          Mild persistent
    Wheezing                                                     Moderate persistent
    Tight chest/chest pain                                       Severe persistent
    In severe cases asthma can be
    deadly




Improving Health and Quality of Life Do More, Feel Better, Live Longer
Causes of Asthma
Causes of Asthma:
UNKNOWN
Asthma triggers:
  Inhaled allergens(specific).
  Irritants(non specific).
  Contaminants.
  Genetic factors.




  Improving Health and Quality of Life Do More, Feel Better, Live Longer
Improving Health and Quality of Life Do More, Feel Better, Live Longer
Diagnosis of Asthma

                                                          Pulmonary Function Tests.
                                                        (VC,PEFR,FEV1)
                                                             Allergy Test.
                                                             Other Tests(Blood count, chest
                                                             and sinus xrays, CT scans etc).




Improving Health and Quality of Life Do More, Feel Better, Live Longer
Asthma Medications
RELIEVERS:                                              CONTROLLERS:
(Relaxes airways)                                       (Decreases swelling and mucus)
examples:                                               examples:
   Ventolin                                                Pulmicort
   Bricanyl                                                Prednisone
   Airomir                                                 SEREVENT
   Salbutamol                                              Accolate
COMBINATION
   MEDICATION:
   ADVAIR
   Symbicort


Improving Health and Quality of Life Do More, Feel Better, Live Longer
Advair Diskus
•   ADVAIR DISKUS first dual acting
    asthma medication Approved for use in
    the US.
•   ADVAIR DISKUS is a combination
    product containing a corticosteroid and
    a long-acting beta2-adrenergic agonist
•   ADVAIR DISKUS acts on the 2 main
    components of asthma
•   Inflammation
•   Constriction of the artery.
•   Advair reduces exacerbation in COPD
    by 30%


Improving Health and Quality of Life Do More, Feel Better, Live Longer
Chronic Obstructive Pulmonary
                 Disease (COPD)




Improving Health and Quality of Life Do More, Feel Better, Live Longer
Components of ADVAIR DISKUS

Fluctisone propionate                                   Salmetrol

•   Corticosteroid                                      • B2 adrenogonist
•   Anti inflammatory activity.                         • Activates adenyl cyclase
•   Inhibits the release of mucus                       • ATP to cyclic AMP
•   Reduce swelling                                     • Relaxation of bronchial
•   Breathing Easier                                      muscles
                                                        • Breathing easier



Improving Health and Quality of Life Do More, Feel Better, Live Longer
Advair Diskus Vs Its individual
                   components




Improving Health and Quality of Life Do More, Feel Better, Live Longer
Composition of Advair diskus
• Disposible purple device 60 blisters
  Composition
• Advair Diskus 100/50
• Advair Diskus 250/50
• Advair Diskus 500/50



Improving Health and Quality of Life Do More, Feel Better, Live Longer
How to use Advair Diskus




Improving Health and Quality of Life Do More, Feel Better, Live Longer
Improving Health and Quality of Life
 Do More, Feel Better, Live Longer




                    Marketing and Commercialization
                         Ruchi Shah, CCO
Strategy
• Well-positioned to peers.

• Broad-based, geographically-diverse and well-balanced business.

• Improved pipeline productivity.

• Reduce expenditure, work closely with customers.

• Use opportunities in the growing healthcare economies.




Improving Health and Quality of Life Do More, Feel Better, Live Longer
Our Products

• Prescription medicines: Treatments for
  asthma, HIV/AIDS, malaria, depression, migraine, diabetes, hea
  rt failure, digestive conditions and cancer.
• Vaccines: Over 25 vaccines to protect against illnesses such as
  hepatitis A and B, diphtheria, tetanus, whooping cough, typhoid
  and influenza.
• Consumer healthcare: Dental health products, over-the-counter
  medicines and nutritional drinks. Ex. Panadol, Aquafresh, and
  Lucozade.


Improving Health and Quality of Life Do More, Feel Better, Live Longer
Our top selling products in 2007
             Product                                                     Turnover
             Seretide/Advair                                                3.5 £b
             Vaccines                                                      2.0 £b
             Valtrex                                                       934 £m
             Lucozade                                                      347 £m
             Requip                                                        346 £m
             Aquafresh                                                     308 £m
             Sensodyne                                                     293 £m
             Panadol                                                       262 £m
             Horlicks                                                      174 £m


Improving Health and Quality of Life Do More, Feel Better, Live Longer
Products of Companies in Phases of
               Development




Improving Health and Quality of Life Do More, Feel Better, Live Longer
Intellectual Property




Improving Health and Quality of Life Do More, Feel Better, Live Longer
Trademark & In-licensing




Improving Health and Quality of Life Do More, Feel Better, Live Longer
Competitors
     Diagnose      GSK’s Product Competitor and Its
                                 Product
     CNS Disorders Paxil         Prozac (Eli Lilly)
                                 Zoloft (Pfizer)
                                 Celexa(Forest              GSK                AZN                MRK
                                 Laboratories)
                   Imigran       Maxalt (Merck)
                                                            Advair             Symbicort          Singulair
     Respiratory      Advair      Singular (Merck)
                      Serevent    Symbicort (AstraZeneca)   $ 6.9 billion      $1.6 Billion (2007 $4.3 billion
                      Flixotide   Spriva(Pfizer)                               launched)

     Anti-bacterials Augmentin    Zithromax (Pfizer)        long-acting beta   long-acting beta   leukotriene
                     Amoxil       Cipro (Bayer)             antagonist         antagonist         receptor
                                  Levaquin (J&J)                                                  antagonist
     Anti-malarials   Malarone                              4 years old and up 4 years old and up use in children
     Anti-viral       Retrovir    Famvir (Novartis)         Relatively slow    slightly faster    cannot be used to
                      Epivir      Aciclovir                                    action then Advair treat acute asthma
                      Combivir
                      Ziagen                                                                      attacks
                      Agenerase                             Effective          Effective          less effective than
                      Trizivir                                                                    ICSs
                      Valtrex
                      Zovirax

     Vaccines         Angerix-B   Comvax(Merck)
                      Havrix      Recombivax HB



Improving Health and Quality of Life Do More, Feel Better, Live Longer
SWOT Analysis
Strengths                                                   Weaknesses

Strong sales growth forecast from launch portfolio in the   An aging portfolio of products heavily exposed to
2006-2012 period                                            generic competition
Extensive early to mid stage R&D pipeline driven by         High dependence on respiratory and CNS therapy
CEDD                                                        markets (low growth)
Vast sales and marketing force through mergers              Failure to diversify and strengthen product portfolio and
Strong capability, leadership and experience in             lack of novel product launches since 2002
pharmaceutical management strategies                        Impact of safety issues relating to Avandia
Positive Cash Reserves                                      Recently expired patents




Opportunities
                                                            Threats

CEDD’s potential to deliver strong sales growth in the
                                                            Anticipated high exposure to generic competition over
future as demonstrated by launch portfolio forecast
                                                            the 2006-2012 period
Product launches such as Tykerb and Cervarix (high
                                                            Forecast negative sales growth performance over the
growth oncology market)
                                                            2006-2012 could drive leadership to change business
Recent Cost cutting initiatives                             model
Strong forecast sales growth from vaccine products in       Strong competition over the next four years
the 2006-2012 period could support performance of non-
                                                            Large scale M&A activity
vaccine pharma products


  Improving Health and Quality of Life Do More, Feel Better, Live Longer
Improving Health and Quality of Life
 Do More, Feel Better, Live Longer




                            Financials
                        Elilas Sobrino, CFO
Income Statement




Improving Health and Quality of Life Do More, Feel Better, Live Longer
Balance Sheet
Cash Flow




Improving Health and Quality of Life Do More, Feel Better, Live Longer
Key facts
  • Every second...
    we distribute more than 35 doses of vaccine
  • Every minute...
    more than 1,100 prescriptions are written for GSK products
  • Every hour...
    we spend more than £300,000 (US$562,000) to find new
    medicines
  • Every day...
    more than 200 million people around the world use a GSK brand
    toothbrush or toothpaste
  • Every year...
    our factories produce 9 billion Tums tablets, 6 billion Panadol
    tablets and 600 million tubes of toothpaste



Improving Health and Quality of Life Do More, Feel Better, Live Longer

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GlaxoSmithkline

  • 1. Improving Health and Quality of Life Do More, Feel Better, Live Longer Zuhal Tompkins Raman Goyal Ramola Chendvankar Ruchi Shah Elias Sobrino
  • 2. AGENDA: Introduction / Company Overview Zuhal Tompkins, CEO Research and Development Ramola Chendvankar, CSO Raman Goyal, CSO Marketing and Commercialization Ruchi Shah, CCO Financial Outlook Elias Sobrino, CFO Improving Health and Quality of Life Do More, Feel Better, Live Longer
  • 3. GSK Overview • The world's second largest pharmaceutical company • Headquartered in the UK and with operations based in the US • ZANTAC • 40 plants throughout the world • Presence in almost 100 countries • Listed on London and New York stock exchanges. • Revenue of £22.7 billion • Net Income of £7.8 billion in 2007 Improving Health and Quality of Life Do More, Feel Better, Live Longer
  • 4. History / Mile Stones of GSK 1830 - John K Smith opens his first drugstore in Philadelphia. 1842 - Thomas Beecham launches the Beecham’ Pills business in England. 1873 - Joseph Nathan establishes Joseph Nathan and Company, the foundation for the Glaxo Company to be formed later. 1881 - Burroughs Wellcome & Company is established in London 1989 - SmithKline and Beecham merge to form SmithKline Beecham. 1995 - Glaxo and Wellcome merge to form Glaxo Wellcome. 2001 - GlaxoSmithKline is formed by the merger of Glaxo Wellcome and SmithKline Beecham. Improving Health and Quality of Life Do More, Feel Better, Live Longer
  • 5. Our Mission Our global quest is to improve the quality of human life by enabling people to do more, feel better, and live longer. Our Strategy Our strategy is to strive for excellence in the following five key areas of our business: 1. Optimising the performance of key products – achieving worldwide sales force excellence – achieving Pharmaceutical and Consumer Healthcare marketing excellence – maintaining the highest ethical standards (intellectual property ) – improving the cost-effectiveness of operations 2. Delivering the product pipeline for patients 3. Being the best place for the best people to do their best work 4. Improving access to medicines 5. Maximising total shareholder return (TSR) Improving Health and Quality of Life Do More, Feel Better, Live Longer
  • 6. Andrew Philip Witty - CEO Chief Executive Officer on 21 May 2008 Joined Glaxo in 1985 Held a variety of roles in the UK business from sales representative to Director of Pharmacy and Distribution. 43-year-old WITTY’s GOALS Plans to radically alter GSK’s R&D work Shifting more to a biotech approach Set up a venture arm to invest in promising Base Salary: new therapies $1.7 million Improving Health and Quality of Life Do More, Feel Better, Live Longer
  • 7. Extensive Pipeline Improving Health and Quality of Life Do More, Feel Better, Live Longer
  • 8. Improving Health and Quality of Life Do More, Feel Better, Live Longer
  • 9. Improving Health and Quality of Life Do More, Feel Better, Live Longer Research and Development Raman Goyal Ramola Chendvankar
  • 10. Improving Health and Quality of Life Do More, Feel Better, Live Longer
  • 11. What is Asthma??? Chronic inflammatory disorder of the airways. Can be controlled and treated. Not the same as allergies. Not contagious. Increased bronchial hyper responsiveness to a variety of stimuli. Improving Health and Quality of Life Do More, Feel Better, Live Longer
  • 12. Symptoms and Severity of Asthma  Symptoms of asthma Severity of asthma Coughing Mild intermittent Shortness of breath Mild persistent Wheezing Moderate persistent Tight chest/chest pain Severe persistent In severe cases asthma can be deadly Improving Health and Quality of Life Do More, Feel Better, Live Longer
  • 13. Causes of Asthma Causes of Asthma: UNKNOWN Asthma triggers: Inhaled allergens(specific). Irritants(non specific). Contaminants. Genetic factors. Improving Health and Quality of Life Do More, Feel Better, Live Longer
  • 14. Improving Health and Quality of Life Do More, Feel Better, Live Longer
  • 15. Diagnosis of Asthma Pulmonary Function Tests. (VC,PEFR,FEV1) Allergy Test. Other Tests(Blood count, chest and sinus xrays, CT scans etc). Improving Health and Quality of Life Do More, Feel Better, Live Longer
  • 16. Asthma Medications RELIEVERS: CONTROLLERS: (Relaxes airways) (Decreases swelling and mucus) examples: examples: Ventolin Pulmicort Bricanyl Prednisone Airomir SEREVENT Salbutamol Accolate COMBINATION MEDICATION: ADVAIR Symbicort Improving Health and Quality of Life Do More, Feel Better, Live Longer
  • 17. Advair Diskus • ADVAIR DISKUS first dual acting asthma medication Approved for use in the US. • ADVAIR DISKUS is a combination product containing a corticosteroid and a long-acting beta2-adrenergic agonist • ADVAIR DISKUS acts on the 2 main components of asthma • Inflammation • Constriction of the artery. • Advair reduces exacerbation in COPD by 30% Improving Health and Quality of Life Do More, Feel Better, Live Longer
  • 18. Chronic Obstructive Pulmonary Disease (COPD) Improving Health and Quality of Life Do More, Feel Better, Live Longer
  • 19. Components of ADVAIR DISKUS Fluctisone propionate Salmetrol • Corticosteroid • B2 adrenogonist • Anti inflammatory activity. • Activates adenyl cyclase • Inhibits the release of mucus • ATP to cyclic AMP • Reduce swelling • Relaxation of bronchial • Breathing Easier muscles • Breathing easier Improving Health and Quality of Life Do More, Feel Better, Live Longer
  • 20. Advair Diskus Vs Its individual components Improving Health and Quality of Life Do More, Feel Better, Live Longer
  • 21. Composition of Advair diskus • Disposible purple device 60 blisters Composition • Advair Diskus 100/50 • Advair Diskus 250/50 • Advair Diskus 500/50 Improving Health and Quality of Life Do More, Feel Better, Live Longer
  • 22. How to use Advair Diskus Improving Health and Quality of Life Do More, Feel Better, Live Longer
  • 23. Improving Health and Quality of Life Do More, Feel Better, Live Longer Marketing and Commercialization Ruchi Shah, CCO
  • 24. Strategy • Well-positioned to peers. • Broad-based, geographically-diverse and well-balanced business. • Improved pipeline productivity. • Reduce expenditure, work closely with customers. • Use opportunities in the growing healthcare economies. Improving Health and Quality of Life Do More, Feel Better, Live Longer
  • 25. Our Products • Prescription medicines: Treatments for asthma, HIV/AIDS, malaria, depression, migraine, diabetes, hea rt failure, digestive conditions and cancer. • Vaccines: Over 25 vaccines to protect against illnesses such as hepatitis A and B, diphtheria, tetanus, whooping cough, typhoid and influenza. • Consumer healthcare: Dental health products, over-the-counter medicines and nutritional drinks. Ex. Panadol, Aquafresh, and Lucozade. Improving Health and Quality of Life Do More, Feel Better, Live Longer
  • 26. Our top selling products in 2007 Product Turnover Seretide/Advair 3.5 £b Vaccines 2.0 £b Valtrex 934 £m Lucozade 347 £m Requip 346 £m Aquafresh 308 £m Sensodyne 293 £m Panadol 262 £m Horlicks 174 £m Improving Health and Quality of Life Do More, Feel Better, Live Longer
  • 27.
  • 28. Products of Companies in Phases of Development Improving Health and Quality of Life Do More, Feel Better, Live Longer
  • 29. Intellectual Property Improving Health and Quality of Life Do More, Feel Better, Live Longer
  • 30. Trademark & In-licensing Improving Health and Quality of Life Do More, Feel Better, Live Longer
  • 31. Competitors Diagnose GSK’s Product Competitor and Its Product CNS Disorders Paxil Prozac (Eli Lilly) Zoloft (Pfizer) Celexa(Forest GSK AZN MRK Laboratories) Imigran Maxalt (Merck) Advair Symbicort Singulair Respiratory Advair Singular (Merck) Serevent Symbicort (AstraZeneca) $ 6.9 billion $1.6 Billion (2007 $4.3 billion Flixotide Spriva(Pfizer) launched) Anti-bacterials Augmentin Zithromax (Pfizer) long-acting beta long-acting beta leukotriene Amoxil Cipro (Bayer) antagonist antagonist receptor Levaquin (J&J) antagonist Anti-malarials Malarone 4 years old and up 4 years old and up use in children Anti-viral Retrovir Famvir (Novartis) Relatively slow slightly faster cannot be used to Epivir Aciclovir action then Advair treat acute asthma Combivir Ziagen attacks Agenerase Effective Effective less effective than Trizivir ICSs Valtrex Zovirax Vaccines Angerix-B Comvax(Merck) Havrix Recombivax HB Improving Health and Quality of Life Do More, Feel Better, Live Longer
  • 32. SWOT Analysis Strengths Weaknesses Strong sales growth forecast from launch portfolio in the An aging portfolio of products heavily exposed to 2006-2012 period generic competition Extensive early to mid stage R&D pipeline driven by High dependence on respiratory and CNS therapy CEDD markets (low growth) Vast sales and marketing force through mergers Failure to diversify and strengthen product portfolio and Strong capability, leadership and experience in lack of novel product launches since 2002 pharmaceutical management strategies Impact of safety issues relating to Avandia Positive Cash Reserves Recently expired patents Opportunities Threats CEDD’s potential to deliver strong sales growth in the Anticipated high exposure to generic competition over future as demonstrated by launch portfolio forecast the 2006-2012 period Product launches such as Tykerb and Cervarix (high Forecast negative sales growth performance over the growth oncology market) 2006-2012 could drive leadership to change business Recent Cost cutting initiatives model Strong forecast sales growth from vaccine products in Strong competition over the next four years the 2006-2012 period could support performance of non- Large scale M&A activity vaccine pharma products Improving Health and Quality of Life Do More, Feel Better, Live Longer
  • 33. Improving Health and Quality of Life Do More, Feel Better, Live Longer Financials Elilas Sobrino, CFO
  • 34. Income Statement Improving Health and Quality of Life Do More, Feel Better, Live Longer
  • 36. Cash Flow Improving Health and Quality of Life Do More, Feel Better, Live Longer
  • 37. Key facts • Every second... we distribute more than 35 doses of vaccine • Every minute... more than 1,100 prescriptions are written for GSK products • Every hour... we spend more than £300,000 (US$562,000) to find new medicines • Every day... more than 200 million people around the world use a GSK brand toothbrush or toothpaste • Every year... our factories produce 9 billion Tums tablets, 6 billion Panadol tablets and 600 million tubes of toothpaste Improving Health and Quality of Life Do More, Feel Better, Live Longer