Lexapro
FY’04
December 3, 2002
1Case 1:09-md-02067-NMG Document 687-36 Filed 02/28/17 Page 2 of 27
Lexapro FY04 December 3, 2002 1 Case 1:09-md-02067-NMG Document - - PowerPoint PPT Presentation
Case 1:09-md-02067-NMG Document 687-36 Filed 02/28/17 Page 2 of 27 Lexapro FY04 December 3, 2002 1 Case 1:09-md-02067-NMG Document 687-36 Filed 02/28/17 Page 3 of 27 Lexapro - FY04 Depression Launch Continues Message
December 3, 2002
1Case 1:09-md-02067-NMG Document 687-36 Filed 02/28/17 Page 2 of 27
Lexapro - FY04
Depression Launch Continues
– Message strong / Needs continued reinforcement – Maintain effort in face of SF expansion – FY04: LXP = $1.3 Billion
Pre-launch GAD/SAD/Panic
– Awareness goal: >90% in Psych
Launch GAD
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Lexapro - Launch Goal Lexapro = #1 SRI
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Lexapro - New Goal Lexapro = #1 SRI w/ >30% Share
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Lexapro Main Messages
52% 50% 52% 15% 12% 9% 6% 1% 1% 2%
0% 10% 20% 30% 40% 50% 60% General Statements Efficacy Side Effects Dosing Cost Drug I nteractions Uses Patient Types Compliance Other
Of Total Mentions New - 32% Isomer - 19% Of Total Mentions Rapid Onset - 23% Superior Efficacy -19% Of Total Mentions Less side effects - % of physician mentions
* Sept. 2002 Verbatims (N=257)
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Efficacy vs. Side Effects
PCPs & Psychs
55% 49% 51% 64%
0% 20% 40% 60% 80%
PCPs Psychs
Efficacy Side Effects
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Lexapro Goal & Strategy
Overarching Strategy = Market Penetration
Goal = >>30% Share
(Over)index in all Market Segments Promotional SOV Leadership
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Lexapro Goal & Strategy
(Over)index in all Market Segments
Maintain SOV Leadership
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AD Mkt: $12+ Billion
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8% 29% 41% 11% 7% 4%
Under 20 20-39 40-59 60-74 75 & older age unspec.
Source: IMS National Disease & Therapeutic Index
SRI Usage by Age
12 months ending July 2002 Under 20 and over 60 represent 26% of the market or $3.12B
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% Share under 20
0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00% 35.00% 1Q 01 2Q 01 3Q 01 4Q 01 1Q 02 2Q 02 3Q 02 ZOLOFT PFZ 92/02 PAXIL+CR CELEXA FOR 98/07 PROZAC+WEEKLY EFFEXOR+XR
Celexa began to Increase - (Wagner data)
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4.96 5.02 5.07 5.23 5.56 5.75 4 5 6 7 CLX ZL PR EFF BuSpar PX
Overall, among all product mean ratings, a difference of approximately .19 is significant at the 90% level of confidence.†
Physician Perceptions: Suitable for Elderly Patients
Celexa holds leadership in elderly:
Challenge for LXP:
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Lexapro Strategies
Close the data gap for both Geriatrics and Pediatrics
– Recommend 3 geriatric trials - discussions underway with clinical & Lundbeck – Backup pediatric trial
Improve labeling
– File geriatric sNDA (safety) – Pediatric development program
Launch oral liquid (Jan. 03) Evaluate 5 mg tablet timing (possibly late FY04)
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Lexapro Goal & Strategy
Overarching Strategy = Market Penetration
Goal = >>30% Share
(Over)index in all Market Segments Promotional SOV Leadership
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Lexapro Goal & Strategy
Overarching Strategy = Market Penetration
Goal = >>30% Share
(Over)index in all Market Segments Maintain Promotional SOV Leadership
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Promotional leadership
To become the dominant leader, continue to
lead promotion:
– Detailing
Substantial new data during FY04 GAD launch
– Samples
Encourage trial
– Meeting & Events
Best venue for substantial review of data Significant new data
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SRI Detailing Dollars
$0 $2,000 $4,000 $6,000 $8,000 $10,000 $12,000 $14,000
Jan-01 Mar-01 May-01 Jul-01 Sep-01 Nov-01 Jan-02 Mar-02 May-02 Jul-02 Sep-02 LEXAPRO CELEXA EFFEXOR+XR PAXIL+CR PROZAC+WEEKLY ZOLOFT WELLBUTRIN LINE Source: IMS Integrated Promotional Services
($ Thousands)
Lexapro in September
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Maintaining SOV during expansion
Strategies:
– Maintain Current Level of Dtls – Augment with non-personal promotion
Med Ed (CME) Pre-Launch GAD Public Relations Data dissemination
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Promotional leadership
To become the dominant leader, continue to
lead promotion:
– Detailing
Substantial new data during FY04 GAD launch
– Samples
Encourage trial
– Meeting & Events
Best venue for substantial review of data
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SRI Sampling
Extended Units - (Tab/Caps)
2,000 4,000 6,000 8,000 10,000 12,000 14,000
Jan-01 Feb-01 Mar-01 Apr-01 May-01 Jun-01 Jul-01 Aug-01 Sep-01 Oct-01 Nov-01 Dec-01 Jan-02 Feb-02 Mar-02 Apr-02 May-02 Jun-02 Jul-02 Aug-02 Sep-02 LEXAPRO CELEXA EFFEXOR+XR PAXIL+CR PROZAC+WEEKLY ZOLOFT WELLBUTRIN LINE
Source: IMS Integrated Promotional Services
(Thousands)
Lexapro in September Increase from 265 tabs (at launch) to 300 tabs in FY04
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Promotional leadership
To become the dominant leader, continue to
lead promotion:
– Detailing
Substantial new data during FY04 GAD launch
– Samples
Encourage trial
– Meeting & Events
Best venue for substantial review of data Significant new data
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Number of Physician Events
200 400 600 800 1,000 1,200 1,400 1,600
Jul-99 Sep-99 Nov-99 Jan-00 Mar-00 May-00 Jul-00 Sep-00 Nov-00 Jan-01 Mar-01 May-01 Jul-01 Sep-01 Nov-01 Jan-02 Mar-02 May-02 Jul-02 Sep-02
LEXAPRO CELEXA EFFEXOR+XR PAXIL+CR PROZAC+WEEKLY ZOLOFT Wellbutrin Line
Source: Scott Levin PMEA
Lexapro in September
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Meeting and Events Strategies
Given PhRMa Guidelines:
– More CME – More teleconferences & Peer-Peer – Leverage pre-launch of coming indications
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5Yr NRX Share
0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00% 35.00%
Sep-02 Jan-03 May-03 Sep-03 Jan-04 May-04 Sep-04 Jan-05 May-05 Sep-05 Jan-06 May-06 Sep-06 Jan-07 May-07 Sep-07 Jan-08
Franchise Lexapro Celexa
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$19.5MM (+$4.5)
FY04 Expenses/Investments
Samples Targeted Prgrm. CME
Lunch & Learn $15MM (+$4)
$5MM (+$5) $12MM (+$2.5) Tokens $12MM (+$1) Teleconferences/Peer Preceptorships $8MM (+$3) $4MM (+$2.7)
$7.6MM (+$4)
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Journals Managed Care
$16.5MM (-$2.5)
$4.5MM (-$1)
42MM (-$7)
FY04 Expenses/Reductions
Note: Spkr Programs lower b/c less speaker training required in FY04 than FY03 Does not represent a decrease in promotional lecture funds from FY03
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