Major developments 2014 Novartis announced that the Japanese Ministry of Health, Labour and Welfare (MHLW) approved Cosentyx (secukinumab, formerly known as AIN457), for the treatment of both psoriasis vulgaris and psoriatic arthritis (PsA) in adults who are not adequately responding to systemic therapies (except for biologics). This approval marks the first country approval for Cosentyx in the world and makes it the first interleukin-17A (IL-17A) inhibitor to receive regulatory approval in either of these indications in Japan. December Alcon, announced that its treatment for patients with glaucoma, Travatan Eye Drops Solution, was granted an additional indication by the European Commission to decrease elevated intraocular pressure in pediatric patients, aged two months to less than 18 years, with ocular hypertension or pediatric glaucoma. Travatan is currently indicated to decrease elevated intraocular pressure in adult patients with ocular hypertension or open-angle glaucoma. Elevated eye pressure, or IOP, is considered the main risk factor for glaucoma. Novartis announced that the FDA approved Signifor long-acting release (LAR) for injectable suspension, for intramuscular use, for the treatment of patients with acromegaly who have had an inadequate response to surgery and/or for whom surgery is not an option. The approval of Signifor LAR, a next-generation somatostatin analog (SSA), helps address a critical unmet need among the acromegaly patient population. Signifor LAR has been studied and found effective in both medically naïve patients with acromegaly who have had prior surgery or for whom surgery was not an option, as well as patients whose disease is not fully controlled on first generation SSAs. Novartis announced that the Phase IIIb CLEAR study for Cosentyx demonstrated superiority to Stelara® and met its primary endpoint of achieving PASI 90, which represents clear or almost clear skin at Week 16 for psoriasis patients. The study also met the secondary endpoint of achieving PASI 75 at Week 4. Safety results were consistent with previously reported Phase III clinical trials for Cosentyx. The CLEAR study is the second head-to-head study for Cosentyx versus established psoriasis biologic treatments. It follows on from the Phase III FIXTURE study, which showed that Cosentyx was superior to Enbrel®, a current standard-of-care, in clearing psoriasis skin with a comparable safety profile. January 2015 – Page 1 of 30 © Novartis AG 2015 www.novartis.com At the 56th Annual Meeting of the American Society of Hematology, Novartis announced data from the largest clinical trial of myelofibrosis patients treated with Jakavi, supporting the safety profile and efficacy benefit as measured in primary and secondary endpoints respectively. In an analysis of 1,144 patients treated with Jakavi to date in this ongoing expanded access study, 69% of patients achieved >50% reduction in spleen size from baseline and patients also experienced a clinically meaningful improvement in myelofibrosis symptom score, important treatment goals for patients with myelofibrosis. Six-year results from the randomized Phase III ENESTnd study continue to demonstrate the superiority of Tasigna compared to Glivec/Gleevec at achieving higher rates of early, deep and sustained molecular responses in newly-diagnosed Philadelphia chromosomepositive chronic myeloid leukemia (Ph+ CML) patients. Further, there were fewer progressions to accelerated phase/blast crisis (AP/BC) with Tasigna versus Glivec/Gleevec. The six-year update from the ENESTnd trial was presented at the 56th annual meeting of the American Society of Hematology. Sandoz announced Phase III data that demonstrated similarity of its investigational biosimilar filgrastim compared to the US-licensed reference product, Amgen's NEUPOGEN® (filgrastim) in the prevention of severe neutropenia in patients with breast cancer receiving neoadjuvant myelosuppressive chemotherapy. The study also showed that repeated switching at each cycle between the investigational biosimilar and the originator filgrastim showed no impact on efficacy, safety or immunogenicity. Findings from continued clinical studies of investigational chimeric antigen receptor (CAR) therapy CTLO19 presented at the Annual Meeting of the American Society of Hematology demonstrate its potential role in the treatment of certain types of lymphocytic leukemia. In one long-term study of pediatric patients with acute lymphoblastic leukemia (ALL), results showed that 36 of 39 pediatric patients with relapsed/refractory ALL, or 92%, experienced complete remissions with CTL019. Additionally, sustained remissions were achieved up to one year or more with 6-month event-free survival of 70% and overall survival of 75%, in most cases without further therapy. January 2015 – Page 2 of 30 © Novartis AG 2015 www.novartis.com Novartis announced that the Committee for Medicinal Products for Human Use granted accelerated assessment to LCZ696, an investigational medicine for patients with heart failure with reduced ejection fraction (HFrEF). The expedited review procedure is granted infrequently by the EMA and has never been awarded in the cardiovascular area until now. The designation allows the CHMP to grant an opinion at day 150 versus a normal 210 day procedure, meaning a decision on EU approval is expected within 2015. November Novartis announced that the FDA has extended their priority review period by up to three months for the new drug application (NDA) of LBH589 (panobinostat) in combination with bortezomib and dexamethasone for patients with previously treated multiple myeloma. The NDA for LBH589 was submitted to the FDA in March 2014. In May 2014, the FDA granted priority review status to LBH589, reducing the standard 12-month review period to eight months. The extension to the LBH589 NDA review period followed an FDA Oncologic Drugs Advisory Committee meeting earlier in the month. Novartis announced that the European Commission approved Signifor as a new long acting release formulation for once monthly intramuscular injection to treat adult patients with acromegaly for whom surgery is not an option or has not been curative and who are inadequately controlled on treatment with a first-generation somatostatin analogue (SSA). Next-generation SSA Signifor offers the first alternative treatment option directly targeting the pituitary tumor for patients whose acromegaly remains inadequately controlled on currently available SSAs. The Committee for Medicinal Products for Human Use adopted a positive opinion recommending approval of Cosentyx (secukinumab, formerly known as AIN457) as a first-line systemic treatment of moderate-to-severe plaque psoriasis in adults who are candidates for systemic therapy. This recommendation means doctors could use secukinumab first-line to treat their psoriasis patients, as an alternative to other first-line systemic treatments, which have significant side effects. Currently, all biologic treatments for psoriasis, including anti- tumor necrosis factor therapies (anti-TNFs) and ustekinumab are recommended for second-line systemic therapy in Europe. New data presented at the American Heart Association Scientific Sessions 2014 and simultaneously in Circulation on Novartis' January 2015 – Page 3 of 30 © Novartis AG 2015 www.novartis.com investigational medicine, LCZ696, for patients with heart failure with reduced ejection fraction (HFrEF) shows it has the potential to change the course of the disease for patients. These data show LCZ696 cut incidence of sudden deaths, emergency room visits, hospitalizations, worsening symptoms and need for more intense treatment in HFrEF patients versus enalapril. Patients' and doctors' assessments of disease severity were also significantly better with LCZ696 than enalapril. At the American College of Rheumatology Congress, Novartis announced first ever results from the pivotal Phase III FUTURE 1 and FUTURE 2 studies showing AIN457 (secukinumab) demonstrated rapid and significant clinical improvements versus placebo in improving the signs and symptoms of psoriatic arthritis (PsA). At the same congress, Novartis presented results from the MEASURE 1 and MEASURE 2 pivotal Phase III studies of AIN457 in ankylosing spondylitis (AS). Joint regulatory filings of secukinumab in AS and psoriatic arthritis are planned for 2015. Novartis announced that, through Power of One, enough funds have been raised to deliver three million antimalarial treatments for children in Zambia. Launched in September 2013, Malaria No More's Power of One campaign is supported by Novartis as the exclusive treatment sponsor. Although preventable and treatable, malaria still kills a child every minute. Every dollar donated to the campaign buys and delivers a treatment for a child with malaria in Africa. Using social, mobile, and e-commerce technologies, donors can see the impact of their donation on the ground, share the experience with their networks and recruit other donors. Novartis announced it entered into a definitive agreement to divest its influenza vaccines business to CSL Limited (CSL) for an agreed price of USD 275 million. This transaction requires regulatory approvals and is expected to close in the second half of 2015. CSL has more than 40 years of experience in the influenza vaccines business and operates in 27 countries with more than 13,000 employees worldwide. The Novartis influenza vaccines unit will be combined with CSL's subsidiary, bioCSL. October Novartis announced the Dermatologic and Ophthalmic Drugs Advisory Committee (DODAC) to the FDA voted unanimously to support the approval of AIN457 (secukinumab), a selective interleukin-17A (IL17A) inhibitor, for the treatment of moderate-to-severe plaque January 2015 – Page 4 of 30 © Novartis AG 2015 www.novartis.com psoriasis in adult patients who are candidates for systemic therapy (a drug that is absorbed into the bloodstream and distributed to all parts of the body) or phototherapy (light therapy). The DODAC based its recommendation on the safety and efficacy outcomes from 10 psoriasis Phase II/III clinical studies which included nearly 4,000 patients with moderate-to-severe plaque psoriasis. Preliminary results from two pilot clinical trials published in the New England Journal of Medicine (NEJM), authored by Novartis and the University of Pennsylvania’s Perelman School of Medicine evaluated the efficacy and safety of CTL019 in patients with relapsed/refractory acute lymphoblastic leukemia (r/r ALL). The studies, conducted by Penn, demonstrated that 27 of 30 pediatric and adult patients, or 90%, experienced complete remissions with the investigational chimeric antigen receptor (CAR) therapy CTL019. These data build on earlier research findings and are part of two pilot clinical studies that demonstrated sustained remissions of up to two years in pediatric and adult patients with r/r ALL. Novartis presented new analyses at the European Association of Dermatology and Venerology Congress of AIN457 (secukinumab). These Phase III studies showed that treatment with secukinumab 300 mg resulted in higher rates of clear to almost clear skin at Week 12 versus placebo, regardless of patients' psoriasis disease severity (p<0.0001). In the analyses, the majority of patients across two disease severity subgroups, including those with severe psoriasis, experienced complete clear to almost clear skin measured as 100 or 90% reduction of respective baseline PASI (Psoriasis Area and Severity Index) (p<0.0001). Skin clearance was sustained through one year of treatment (p<0.0001). Novartis confirmed today that following completion of the transactions with GlaxoSmithKline (GSK) and Eli Lilly and Company (Lilly) in the coming months, that the three business leaders of the Novartis divisions at the center of the transaction will leave the Executive Committee of Novartis (ECN). George Gunn, currently Division Head, Novartis Animal Health, will reach his contractual retirement age in July 2015 and will retire from Novartis. Brian McNamara, currently Division Head, Novartis OTC, will transition to GSK as Head of Americas and Europe for the consumer health businesses, reporting to the President of GSK Consumer Healthcare, effective at closing of the transaction. Andrin Oswald, currently January 2015 – Page 5 of 30 © Novartis AG 2015 www.novartis.com Division Head, Novartis Vaccines, will be leaving Novartis to pursue other opportunities following closing of the transaction with GSK. Novartis announced that it had entered into a clinical collaboration with Bristol-Myers Squibb Company to evaluate the safety, tolerability and preliminary efficacy of three molecularly targeted compounds in combination with Bristol-Myers Squibb's investigational PD-1 immune checkpoint inhibitor, Opdivo® (nivolumab), in Phase I/II trials of patients with non-small cell lung cancer (NSCLC). Combination studies will evaluate compounds that have demonstrated evidence of targeting mutations associated with tumor growth in patients with NSCLC. The collaboration highlights promising new treatment approach for patients and underscores Novartis' commitment to patients and the lung cancer community. At the European Society for Medical Oncology (ESMO) 2014 Congress, Novartis announced new data showing patients with anaplastic lymphoma kinase-positive (ALK+) non-small cell lung cancer (NSCLC) lived an average of more than 18 months without their cancer progressing when taking Zykadia (ceritinib) as their first ALK inhibitor. Overall, data from the pivotal study confirmed ceritinib continues to demonstrate efficacy in ALK+ NSCLC patients regardless of whether or not they received previous treatment with an ALK inhibitor. In addition, patients who entered the study with brain metastases experienced similar results following treatment with ceritinib. September The Committee for Medicinal Products for Human Use (CHMP) of the EMA adopted a positive opinion for Signifor (pasireotide) long acting release (LAR) formulation to treat adult patients with acromegaly for whom surgery is not an option or has not been curative and who are inadequately controlled on treatment with a first-generation somatostatin analogue (SSA). If approved in the EU, this nextgeneration SSA could fill a current unmet need, providing a new therapeutic option for the approximately 45% of acromegaly patients whose growth hormone (GH) or insulin-like growth factor-1 (IGF-1) levels remain inadequately controlled despite treatment with currently available SSAs. Data published in The Lancet Oncology demonstrated a statistically significant and clinically relevant 4-month improvement in median progression-free survival (PFS) for patients with relapsed or relapsed and refractory multiple myeloma when using the investigational compound LBH589 (panobinostat) in combination with bortezomib January 2015 – Page 6 of 30 © Novartis AG 2015 www.novartis.com and dexamethasone compared to placebo plus the same combination. In the Phase III PANORAMA-1 (PANobinostat ORAl in Multiple MyelomA) trial, the addition of LBH589 also led to clinically meaningful increases in complete and near complete response rates and duration of response. The effect of LBH589 was observed across all patient subgroups. Novartis announced new analyses at the Joint ACTRIMS-ECTRIMS Meeting, which confirmed the high efficacy of Gilenya (fingolimod) in achieving 'no evidence of disease activity' (NEDA) in people with relapsing-remitting multiple sclerosis (RRMS) across four key disease measures - relapses, MRI lesions, brain shrinkage (brain volume loss) and disability progression. Specifically, patients taking Gilenya had a more than four-times greater likelihood of achieving NEDA across these four key measures. These analyses from the phase III FREEDOMS and FREEDOMS II trials reinforce the value of including brain shrinkage to the definition of NEDA. The inclusion of brain shrinkage into the NEDA definition would allow physicians to obtain a more complete assessment of a patient's disease, including the underlying damage in MS. Alcon, announced the winners of the 2014 eXcellence in Ophthalmology Vision Award (XOVA) at the EURETINA Congress. The XOVA, an annual award scheme that funds projects aimed at delivering sustained improvements in eye care globally, including developing countries, has been rewarding projects since 2010. The projects can be educational (for example, training of local eye care professionals) or can involve an innovation in eye care (for example, a novel approach in monitoring visual acuity). Novartis presented new data that demonstrated once-daily Ultibro Breezhaler (indacaterol/glycopyrronium bromide) was superior in reducing exacerbations (flare ups) and improving lung function compared to twice-daily Seretide® Accuhaler® (salmeterol/fluticasone (SFC)), in patients with moderate-to-severe chronic obstructive pulmonary disease (COPD). These findings from the head-to-head LANTERN study were presented for the first time at the European Respiratory Society (ERS) International Congress. In studies published simultaneously at the European Society of Cardiology congress and in the New England Journal of Medicine, Novartis revealed that its investigational heart failure medicine, LCZ696, was superior to ACE-inhibitor enalapril on key endpoints in January 2015 – Page 7 of 30 © Novartis AG 2015 August www.novartis.com the largest heart failure study ever done. In PARADIGM-HF patients with heart failure with reduced ejection fraction (HF-REF) who were given LCZ696 were more likely to be alive and less likely to have been hospitalized for sudden deterioration of their heart failure than those given ACE-inhibitor enalapril. Patients received LCZ696 or enalapril on top of current best treatment. The magnitude of benefit with LCZ696 against enalapril in HF-REF patients was highly statistically significant and clinically important. In the study, the benefit of LCZ696 was seen early, was sustained and was consistent across subgroups. At the 11th annual International Biotechnology Leadership Camp (BioCamp), a three-day seminar at the Novartis campus, biotechnology and business experts came together with more than 60 selected students from leading international universities in 25 countries and territories to consider the challenges of a growing aging population. Novartis signed an exclusive worldwide licensing agreement with the Global Alliance for TB Drug Development (TB Alliance) for compounds to fight tuberculosis (TB) that have been discovered at the Novartis Institutes for Tropical Diseases (NITD). According to the World Health Organization, there are more than 8.6 million cases of tuberculosis each year, with more than 1.3 million deaths reported annually. TB is a global disease, but has its deadliest impact in resource-poor countries. Current therapies for TB require 6-30 month dosing regimes and there are increasingly drug resistant strains of TB emerging. Clinical trial results published in the New England Journal of Medicine showed that Novartis antimalarial drug candidate, KAE609 (cipargamin), cleared the parasite rapidly in Plasmodium falciparum (P. falciparum) and Plasmodium vivax (P. vivax) uncomplicated malaria patients. Novartis currently has two drug candidates in development. Both KAE609 and KAF156 are new classes of anti-malarial compounds that treat malaria in different ways from current therapies, important to combat emerging drug resistance. Novartis has also identified PI4K as a new drug target with potential to prevent, block and treat malaria. July Novartis announced initial results of a large-scale vaccination campaign with Bexsero (Meningococcal Group B Vaccine [rDNA, component, adsorbed]) to help protect against meningitis B within the January 2015 – Page 8 of 30 © Novartis AG 2015 www.novartis.com Saguenay-Lac-Saint-Jean region of Québec, Canada. This regional program is the first of its kind globally and has reached 81% of the campaign's target population within the first three months. This encompasses more than 45,000 infants, young children and adolescents from two months to 20 years of age. The high rate of uptake in this public vaccination program with Bexsero demonstrates the value placed on preventing meningitis B within communities that are afforded access. Alcon announced that Simbrinza eye drops suspension (brinzolamide 10mg/mL and brimonidine tartrate 2mg/mL) was approved by the European Commission to decrease elevated intraocular pressure (IOP) in adult patients with open-angle glaucoma or ocular hypertension, for which monotherapy provides insufficient IOP reduction. Simbrinza, administered with one drop into the affected eye(s) twice daily, combines two well-established treatments for elevated IOP into one multi-dose bottle. It is also the only fixed-combination glaucoma treatment without a beta-blocker, which are commonly prescribed to lower IOP, but are contraindicated for many glaucoma patients suffering from certain respiratory or cardiac conditions. Sandoz announced that the FDA accepted its Biologics License Application for filgrastim, which was filed under the new biosimilar pathway created in the Biologics Price Competition and Innovation Act of 2009 (BPCIA). Sandoz is the first company to announce it has filed for approval of a biologic under the biosimilars pathway created in the Biologics Price Competition and Innovation Act of 2009 (BPCIA). The FDA's acceptance of Sandoz's filing is an important first step in increasing US patient access to affordable, high-quality biologics. Alcon announced that it entered into an agreement with a division of Google Inc. to in-license its "smart lens" technology for all ocular medical uses. Novartis' interest in this technology is currently focused in helping diabetic patients manage their disease by providing a continuous, minimally invasive measurement of the body's glucose levels via a "smart contact lens" which is designed to measure tear fluid in the eye and connects wirelessly with a mobile device; and for people living with presbyopia who can no longer read without glasses, the "smart lens" has the potential to provide accommodative vision correction to help restore the eye's natural autofocus on near objects January 2015 – Page 9 of 30 © Novartis AG 2015 www.novartis.com in the form of an accommodative contact lens or intraocular lens as part of the refractive cataract treatment. Novartis announced a collaboration with Banner Alzheimer's Institute (BAI) on a pioneering clinical study in Alzheimer's disease (AD) prevention. The study will determine whether two Novartis investigational anti-amyloid treatments can prevent or delay the emergence of symptoms of AD in people identified as being at genetic risk for developing the late-onset form of the disease. Using an innovative trial design, the two treatments will be given in cognitively healthy people at genetic risk of developing the build-up of amyloid protein in the brain that may eventually lead to AD. Detailed results from two pivotal phase III studies evaluating the Novartis interleukin-17A (IL-17A) inhibitor secukinumab (AIN457) were published in the New England Journal of Medicine (NEJM). Secukinumab met all primary and key secondary endpoints at week 12 in the ERASURE and FIXTURE studies, showing superiority to Enbrel® (etanercept) in improving moderate-to-severe plaque psoriasis symptoms in the FIXTURE study, and superiority over placebo in both studies. Over half of secukinumab 300 mg patients experienced clear or almost clear skin, described as Psoriasis Area and Severity Index 90 or 100 (PASI 90 or 100). In comparison, only 20.7% of Enbreltreated patients experienced PASI 90 or 100. Novartis published a Corporate Responsibility (CR) Performance Report for 2013. The report reflects the best-in-class reporting standard, the Global Reporting Initiative's (GRI) G4 guidelines, one year in advance of required implementation. The Performance Report enhances the company's transparency in several key areas, including in human resources, supply chain and ethics, and aims to meet the needs and expectations of CR professional audiences by offering easy access to key data. The report also details progress against Novartis priorities, defined following a CR materiality analysis completed in 2013. Novartis announced that the FDA granted Breakthrough Therapy status to CTL019, an investigational chimeric antigen receptor (CAR) therapy for the treatment of pediatric and adult patients with relapsed/refractory acute lymphoblastic leukemia (r/r ALL). The filing was submitted by the University of Pennsylvania's Perelman School of Medicine which has an exclusive agreement with Novartis to research, develop and commercialize personalized CART cell therapies for the January 2015 – Page 10 of 30 © Novartis AG 2015 www.novartis.com treatment of cancers. This is the fifth Breakthrough Therapy designation for Novartis, continuing the company's trajectory as a leader in developing innovative therapies to help treat diseases in which there remains significant unmet medical need. Sandoz announces a long-term commitment to help prevent the deaths of millions of children worldwide by supplying a key antibiotic formulation, as part of the United Nation's new Every Newborn Action Plan. The commitment involves providing long-term global supplies of amoxicillin 250 mg dispersible tablets to developing countries via the UN Commission for Lifesaving Commodities. More than five million children under five are estimated to die worldwide every year, mainly in Africa and Asia, and nearly a quarter of those deaths are due to pneumonia alone, making it the single largest killer in that age range. June Novartis submits application to the FDA for meningitis B vaccine candidate Bexsero (Multicomponent Meningococcal Group B Vaccine [recombinant, adsorbed]) to help protect US adolescents and young adults. Submission follows receipt of Breakthrough Therapy designation in April 2014, highlighting unmet need for a licensed vaccine for serogroup B in the US. Bexsero, approved in 34 countries, was recently provided to two US universities under an Investigational New Drug designation in response to outbreaks. Novartis Holly Springs facility becomes the first US pandemic-ready site licensed by the US Food and Drug Administration (FDA) to produce cell- culture influenza vaccines. Cell-culture technology is a modern alternative to manufacture influenza vaccines without chicken eggs, with potential to rapidly respond to a pandemic. Flucelvax (Influenza Virus Vaccine), an FDA-approved antibiotic- and preservative-free seasonal flu vaccine, will be manufactured at this site for the US market. The licensure marks a milestone in Novartis' public-private partnership to improve US capabilities to respond to seasonal epidemics and emerging public health threats. Novartis Foundation for Sustainable Development to work with Netherlands Leprosy Relief to help reduce leprosy transmission. Collaboration to provide evidence on the impact of preventatively treating high risk groups to reduce the transmission of leprosy in several countries across Asia, Africa and Latin America. Research shows that a single preventative dose of antibiotic rifampicin can January 2015 – Page 11 of 30 © Novartis AG 2015 www.novartis.com reduce the risk of developing leprosy by 50 to 60% among contacts of leprosy patients. Pivotal Phase III data show polycythemia vera (PV) patients on Jakavi® (ruxolitinib) achieved significant improvement in disease control. 77% of patients on Jakavi vs 20% on best available therapy achieved hematocrit control or spleen reduction, key treatment goals in PV. Global regulatory filings are underway based on these data; if approved, ruxolitinib will be the first JAK 1/2 inhibitor available for PV patients. A study shows Zykadia™ (ceritinib) shrank tumors in the majority of patients with anaplastic lymphoma kinase-positive (ALK+) non-small cell lung cancer (NSCLC), regardless of prior ALK treatment. Ceritinib achieved overall response rate of 58.5%, with a median progressionfree survival of 8.2 months. Similar findings were observed in patients who started the study with brain metastases, addressing one of the biggest challenges in treating ALK+ NSCLC. Zykadia is the only FDA-approved therapy for patients with ALK+ metastatic NSCLC who have progressed on or are intolerant to crizotinib. Novartis presents results from a pivotal Phase III trial showing a 37% improvement in progression-free survival (PFS) when using the investigational compound LBH589 (panobinostat) in combination with bortezomib and dexamethasone in patients with relapsed or relapsed and refractory multiple myeloma the Annual Meeting of the American Society of Clinical Oncology (ASCO). If approved, LBH589 will be first in its class of anticancer agents available to this population. Results of a pivotal Phase II trial demonstrate that patients with locally advanced (laBCC) or metastatic basal cell carcinoma (mBCC) taking the investigational oral compound LDE225 (sonidegib) had marked and sustained tumor shrinkage after a median follow-up of 13.9 months. The study met the primary endpoint with objective response rates of 41.8% and 32.5% respectively in the 200 mg and 800 mg treatment arms. These data, presented for the first time at ASCO, will be used as the basis for worldwide regulatory submissions beginning in 2014. Novartis announces the appointment of Bruno Strigini as President of Novartis Oncology, effective June 1, 2014. With 25 years of experience in pharmaceuticals, animal health, OTC and vaccines in both international and local roles, he has a global perspective on the January 2015 – Page 12 of 30 © Novartis AG 2015 www.novartis.com healthcare industry, with expertise across diverse geographies, including both mature and emerging markets. The Committee for Medicinal Products for Human Use (CHMP) has adopted a negative opinion the use of RLX030 (serelaxin) in the treatment of acute heart failure (AHF) indicating that further evidence is required for a license to be granted in the EU. This follows the company's request for re-examination after a previous negative opinion was issued in January. Novartis aims to resubmit for approval as soon as additional data is available from the ongoing global trial program, including the 6,300 patient RELAX-AHF-2 study, one of the largest and most robust programs undertaken by a company for an AHF drug. May Alcon receives positive CHMP opinion for Simbrinza® eye drops suspension (brinzolamide 10 mg/mL and brimonidine tartrate 2 mg/mL), a new fixed-dose combination medicine to treat patients with glaucoma. It is the only beta blocker-free, fixed-dose combination treatment in Europe for patients contraindicated for beta blockers due to certain respiratory or cardiac conditions. If approved, Simbrinza will reduce patients' treatment burden, increase options to control high intraocular pressure, the only known modifiable risk factor for glaucoma. Novartis announces positive results at the American Thoracic Society (ATS) International Conference for once-daily Ultibro® Breezhaler® (indacaterol/glycopyrronium) 110/50 mcg versus combination therapy. The QUANTIFY study met the primary endpoint demonstrating non- inferiority of Ultibro Breezhaler vs tiotropium 18 mcg plus formoterol 12 mcg in improving health-related quality of life outcomes and the secondary endpoint demonstrating superiority by improving lung function. Ultibro Breezhaler provides the convenience of a once-daily fixed- dose combination in a single inhalation device for the treatment of chronic obstructive pulmonary disease (COPD). Novartis announces the signing of a licensing and commercialization agreement with Ophthotech Corporation for the exclusive rights to market Fovista® (anti-PDGF aptamer) outside the United States. Fovista is the most advanced anti-PDGF technology in development, and if approved, is expected to be first to market in this class of therapies for wet AMD. January 2015 – Page 13 of 30 © Novartis AG 2015 www.novartis.com The FDA has issued a Complete Response Letter for the Biologics License Application (BLA) for RLX030 (serelaxin) for acute heart failure. The agency stated further evidence of the efficacy of RLX030 is required for US approval. Novartis intends to resubmit with additional data when it is available. Novartis settles patent litigation on Gleevec® (imatinib mesylate) with a subsidiary of Sun Pharmaceutical Industries Ltd. The litigation settlement upholds the validity of US patents covering polymorphic forms of Gleevec and permits the Sun Pharma subsidiary to launch a generic version on February 1, 2016. Novartis drug Signifor® LAR (pasireotide LAR; SOM230) shows superior efficacy in acromegaly patients not controlled on first generation somatostatin analogues. The study findings showed that patients taking pasireotide long-acting release (LAR) achieved greater disease control when compared to continued treatment with the standard somatostatin analogue therapies, octreotide LAR or lanreotide Autogel. These data, supported by a previously published Phase III study, are the basis for worldwide regulatory filings for pasireotide LAR in the treatment of acromegaly. Novartis announces new data presented at American Academy of Neurology (AAN) Annual Meeting showing Gilenya® (fingolimod) slowed the rate of brain volume loss in multiple sclerosis (MS) patients. The data showed significantly more Gilenya-treated patients (vs. patients on placebo) had brain volume loss rates comparable to people without MS. Brain volume loss, one of the four key measures of MS disease activity, starts early in the disease and is a predictor of long-term disability. April Novartis announces positive first results from the Phase III head-tohead LANTERN study, which showed the superiority of once-daily Ultibro® Breezhaler® (indacaterol/glycopyrronium) 110/50 mcg in improving lung function compared to twice-daily Seretide® Accuhaler® (salmeterol/fluticasone (SFC)) 50/500 mcg in COPD patients with or without a history of moderate-to-severe exacerbations in the previous year. Ultibro Breezhaler met both the primary and key secondary objectives. These Positive results will be part of the regulatory submission for Ultibro Breezhaler in China later this year. January 2015 – Page 14 of 30 © Novartis AG 2015 www.novartis.com The FDA approves Zykadia™ (ceritinib, previously known as LDK378) for the treatment of patients with anaplastic lymphoma kinasepositive (ALK+) metastatic non-small cell lung cancer (NSCLC) who have progressed on or are intolerant to crizotinib. The approval of Zykadia addresses an unmet medical need for patients with this type of lung cancer who have progressed on prior therapy. The CHMP has issued a positive opinion to expand the EU label for Gilenya® (fingolimod) in relapsing remitting multiple sclerosis (RRMS). The recommendation is to expand the label to include adult patients who have not responded to at least one disease-modifying therapy (DMT), including newly-approved oral DMTs. Gilenya is currently licensed in the EU for adult patients with RRMS who have not responded to treatment with interferons, or have rapidly evolving severe MS. Novartis also announced new pooled analyses from the pivotal FREEDOMS and FREEDOMS II trials in multiple sclerosis (MS), confirming the consistent efficacy of Gilenya across four key measures of MS (relapse rates, MRI lesions, brain volume loss and disability progression). Addressing these four measures through effective treatment and disease management is important for improving the course of MS for patients. Novartis announces that it has reached a definitive agreement with GlaxoSmithKline plc (GSK) to exchange certain assets, building global leadership in key segments and focusing the company's portfolio. Under the agreement, Novartis would strengthen the company's innovative pharmaceuticals business by acquiring GSK oncology products, and would divest Vaccines (excluding flu) to them. The two companies would also create a joint venture, combining their consumer divisions to create a world-leading consumer healthcare business. Separately, the company announced a definitive agreement with Eli Lilly and Company to divest the Animal Health Division, further focusing its portfolio on the leading businesses of innovative pharmaceuticals, eye care and generics. All transactions are subject to closing conditions. The transaction with GSK is expected to close in the first half of 2015, and the transaction with Lilly is expected to close in the first quarter of 2015. Novartis also commenced a sale process to divest its flu vaccines business. Novartis announced the creation of a shared services organization, Novartis Business Services (NBS), to improve profitability and free up resources that can be reinvested in growth and innovation. NBS will consolidate a number of business support services currently spread January 2015 – Page 15 of 30 © Novartis AG 2015 www.novartis.com across divisions, including IT, Financial Reporting and Accounting, Real Estate & Facility Services, Procurement, Payroll and Personnel Administration and the Pharmaceuticals Global Business Services. Novartis appoints Jeff George as Division Head, Alcon and names Richard Francis as new Division Head, Sandoz. These new leaders will continue to build global scale and innovation power in two of the leading Novartis businesses. Novartis announced today that two million treatments of its pediatric antimalarial are arriving in Zambia thanks to the ongoing efforts of the company in collaboration with Malaria No More's Power of One campaign. Zambia is the first beneficiary country of this campaign sponsored by Novartis. One million treatments of Coartem® Dispersible have been funded through public donations and Novartis matched these with a further one million treatments. These antimalarials will reduce the disease burden in Zambia, which accounts for up to 40% of infant mortality in that country. Novartis meningitis B vaccine Bexsero® (Meningococcal Group B Vaccine [rDNA, component, adsorbed]) receives FDA Breakthrough Therapy designation in the US. The designation highlights the potential of Bexsero to meet the urgent need for a licensed vaccine in the US against unpredictable and devastating meningitis. Bexsero, already approved in Europe, Canada and Australia, is the only broad coverage meningitis B vaccine that can be used from two months of age. Novartis announces that the Data Monitoring Committee (DMC) unanimously recommended early closure of the PARADIGM-HF study, indicating patients with chronic heart failure with reduced ejection fraction (HF-REF) who received LCZ696 lived longer without being hospitalized for heart failure than those who received standard care with ACE-inhibitor enalapril. Based on the compelling efficacy and primary endpoint having been met, the trial will now close early. This follows two previous interim analyses that showed the safety profile of LCZ696 was acceptable. PARADIGM-HF is the largest ever trial of a heart failure treatment, robustly designed to assess LCZ696 in patients with chronic heart failure with reduced ejection fraction. March Novartis announces that the FDA Cardiovascular and Renal Drugs Advisory Committee (CRDAC) voted against approval for RLX030 January 2015 – Page 16 of 30 © Novartis AG 2015 www.novartis.com (serelaxin) for the treatment of acute heart failure (AHF). Novartis will work with the FDA on a path forward for RLX030 for AHF. A Novartis study published in the New England Journal of Medicine shows LDK378 (ceritinib) demonstrated an overall response rate of 58% in patients with ALK+ NSCLC. Data showed investigational treatment LDK378 also achieved a median progression-free survival of seven months. Patients with this type of lung cancer, especially those for whom prior therapies have failed, are in need of new treatment options. Novartis announces results from the pivotal phase III FEATURE and JUNCTURE studies showing secukinumab (AIN457), an interleukin17A (IL-17A) inhibitor, demonstrated consistent high efficacy when administered with a convenient pre-filled syringe (PFS) or autoinjector/pen (AI). These results, along with patient-reported outcomes showing high patient satisfaction with PFS and AI, were presented for the first time at the Annual Meeting of the American Academy of Dermatology (AAD). Secukinumab is the first IL-17A inhibitor with phase III data presented and regulatory submissions filed with global health authorities. Novartis announces FDA approval of Xolair® (omalizumab) for chronic idiopathic urticaria (CIU). Xolair is the first and only licensed therapy in the US for the nearly 50% of patients with CIU who do not respond to approved doses of H1-antihistamines. Novartis announces that the Joint Committee on Vaccination and Immunisation (JCVI) in the UK has recommended the inclusion of Bexsero® (Meningococcal Group B Vaccine [rDNA, component, adsorbed]) in the National Immunisation Programme. According to the recommendation, Bexsero should be routinely used in infants from two months of age to help protect against meningococcal serogroup B (meningitis B). The implementation will be carried out by the Department of Health through the National Health Service (NHS), following the public procurement process. CLEAR, a new phase IIIb head-to-head study of IL-17A inhibitor secukinumab (AIN457) versus Stelara® (ustekinumab) in moderateto- severe plaque psoriasis has started patient enrollment. Nearly 3% of the world's population, or more than 125 million people, are affected by plaque psoriasis, with more than one third of these suffering from its moderate-to-severe form. Between 40-50% of January 2015 – Page 17 of 30 © Novartis AG 2015 www.novartis.com patients are dissatisfied with their current psoriasis therapies, indicating an unmet need for convenient therapies that act faster and longer to relieve the debilitating symptoms. Results from the secondary endpoint of the Phase III BOLERO-2 (Breast cancer trials of OraL EveROlimus-2) study of Afinitor® (everolimus) trial were presented at the 9th European Breast Cancer Conference (EBCC-9). A median overall survival duration of 31 months was seen in the combination arm versus 26.6 months for those on exemestane monotherapy, a difference of 4.4 months. This secondary endpoint did not reach the threshold of statistical significance. The median overall survival is the longest reported to date in a Phase III hormone receptor- positive, human epidermal growth factor receptor-2 negative (HR+/HER2-) advanced breast cancer trial following prior treatment with a non-steroidal aromatase inhibitor (NSAI). Novartis Bexsero® (Meningococcal Group B Vaccine [rDNA, component, adsorbed]) meningitis B vaccine receives clinical recommendation for use in infants and adolescents in Australia. The Australian recommendation adds to clinical recommendations in the Czech Republic, Poland and funding decisions in regions of Germany and Italy. The recommendations highlight support for inclusion of Bexsero on routine childhood immunization schedules to help protect against this devastating disease. Novartis announces that a pivotal Phase III trial of Jakavi® (ruxolitinib) compared to best available therapy has met its primary endpoint of maintaining hematocrit control (red blood cell volume) without the need for phlebotomy (a procedure to remove blood from the body to reduce the concentration of red blood cells) and reducing spleen size in patients with polycythemia vera resistant to or intolerant of hydroxyurea. The safety profile of ruxolitinib was generally consistent with previous studies based on initial review of the data. Ruxolitinib is the first selective JAK 1/2 inhibitor to demonstrate efficacy in a Phase III trial for treating polycythemia vera. The European Commission (EC) approves the use of Xolair® (omalizumab) as an add-on therapy for the treatment of chronic spontaneous urticaria (CSU) in adult and adolescent patients (12 years and above) with inadequate response to H1-antihistamine treatment. Xolair is the first and only approved therapy in the January 2015 – Page 18 of 30 © Novartis AG 2015 www.novartis.com European Union (EU) for the up to 50% of CSU patients with inadequate response to licensed doses of H1-antihistamines. Novartis announces additional steps to extend its leadership in clinical trial data transparency. Since 2005, and before requirements were in place, Novartis has been voluntarily disclosing summaries of Clinical Study Reports of its innovative medicines on its own website. In addition, the company is committed to enhancing Clinical Study Report summaries for all new pivotal studies to include easy to understand consumer language summaries and additional interpretation of data as of the end of 2014. Novartis has long supported data transparency and was the first company to publish positive and negative study results of its innovative medicines within one year of the study completion further enabling clinical research while protecting patient privacy. February Novartis provides Bexsero® (Meningococcal Group B Vaccine [rDNA, component, adsorbed]) to be used as part of a vaccination program at the University of California Santa Barbara (UCSB) to help protect students and staff against potentially deadly meningitis B disease. The FDA granted special use of Bexsero for nearly 20,000 UCSB students and staff in response to an outbreak. The vaccine is licensed in Europe, Australia and Canada. Novartis shows continued commitment in Japan with approval of the fourth Japanese indication for Lucentis® (ranibizumab) for the treatment of patients with diabetic macular edema. Lucentis is the first anti-VEGF therapy approved for diabetic macular edema (DME) in Japan. Pivotal clinical data in Asian patients show a significant increase in mean visual acuity following treatment with Lucentis compared with laser therapy. Diabetic macular edema is a leading cause of blindness in most developed countries in the working-age population. Novartis investigational compound LDE225 (sonidegib) met the primary endpoint in a pivotal trial for patients with advanced basal cell carcinoma. Results show LDE225 achieved clinically significant tumor response including disappearance of the tumor in some patients within six months of treatment. Novartis announces it is broadening its cancer immunotherapy research program with the acquisition of CoStim Pharmaceuticals Inc., a Cambridge, MA-based, privately held biotechnology company January 2015 – Page 19 of 30 © Novartis AG 2015 www.novartis.com focused on harnessing the immune system to eliminate immuneblocking signals from cancer. Increasing evidence points to the role of the immune system in controlling cancer and to opportunities for creating effective oncology therapies for cancer patients by stimulating a targeted immune response. Already leading in cancer immunotherapy, with investigative chimeric antigen receptor (CAR) technology being developed in collaboration with the University of Pennsylvania, with this acquisition Novartis is adding late discovery stage immunotherapy programs directed to several targets, including PD-1. These medicines could benefit patients by circumventing cancer's ability to develop resistance against current single drugs. Novartis reports that the CHMP has adopted a positive opinion for the use of for Xolair® (omalizumab) as an add-on therapy for chronic spontaneous urticaria (CSU) in adult and adolescent patients 12 years and above with inadequate response to H1 antihistamines. Xolair showed consistent high efficacy across three Phase III CSU studies and in many cases completely cleared symptoms with safety comparable to placebo. CSU is also known as chronic idiopathic urticaria (CIU) in the US, and is a severe and distressing skin condition characterized by red, swollen, itchy and sometimes painful hives or wheals on the skin that spontaneously present and re-occur for more than six weeks. Up to 40% of CSU patients also experience angioedema, a swelling in the deep layers of the skin. January Novartis will shortly submit a revised filing package, including new data analyses, for re-examination for conditional approval of RLX030 (serelaxin) for acute heart failure (AHF) by the CHMP following a negative opinion. RLX030 is currently the only drug for which a reduction in mortality has been observed in patients with AHF in a major study. Data shows RLX030 is generally well tolerated. The second phase III study, RELAX-AHF-2, started enrolment in September 2013 with the goal to replicate the key findings of RELAXAHF. 2013 Analyses of the Phase III COMFORT-I and COMFORT-II studies show patients with myelofibrosis initially randomized to treatment with January 2015 – Page 20 of 30 © Novartis AG 2015 December www.novartis.com Jakavi (ruxolitinib) lived longer than those randomized to treatment with placebo or conventional therapy. Findings from three large, randomized Phase III studies demonstrate the superiority of Tasigna (nilotinib) compared to Glivec (imatinib) at achieving deeper molecular responses across various Philadelphia chromosome-positive chronic myeloid leukemia (Ph+ CML) patient populations, including newly diagnosed patients, patients with residual disease who switched to Tasigna after long-term treatment with Glivec, and patients who failed to respond to frontline Glivec (as defined by 2013 European LeukemiaNet [ELN] guidelines). Results of a Phase III trial show the investigational compound LBH589 (panobinostat) in combination with bortezomib and dexamethasone met the primary endpoint of significantly extending progression-free survival (PFS) in patients with relapsed or relapsed and refractory multiple myeloma when compared to bortezomib plus dexamethasone alone. Novartis scientists report the discovery of a new drug target for treating malaria. The discovery, which is published online in the journal Nature, identifies phosphatidylinositol-4 kinase (PfPI4K) as the target of the imidazopyrazines, a novel experimental antimalarial compound class that inhibits the development of multiple malariacausing Plasmodium species at each stage of infection in the human host. November The World Forum for Ethics in Business (WFEB) awards Novartis the Ethics in Business Award in the Outstanding Corporation category. The WFEB is the public interest foundation focused on promoting and defending ethical approaches to business and corporate governance. Novartis announces that it will co-locate certain scientific resources in order to improve the efficiency and effectiveness of our global research organization. Changes include establishing a respiratory research group in Cambridge, Massachusetts, a proposal to close the Horsham, UK, research site, a plan to exit from the Vienna, Austria research site, consolidation of the US-based component of oncology research from Emeryville, California to Cambridge, Massachusetts, closure of the biotherapeutics development unit in La Jolla, California, and a plan to exit research in topical applications for dermatology. January 2015 – Page 21 of 30 © Novartis AG 2015 www.novartis.com In recognition of Novartis' significant on-going contributions to malaria control and elimination, the company is honored with the Global Corporate Citizenship Award at the Malaria No More International Honors annual benefit. Novartis announces a USD 5.0 billion share buyback. The buyback begins on the date of the announcement and will be executed over two years on the second trading line. Novartis announces a definitive agreement to divest its blood transfusion diagnostics unit to Grifols S.A. of Spain for USD 1.7 billion. This transaction was completed in January 2014. The National Institute for Health and Care Excellence (NICE) recommends Alcon’s Jetrea (ocriplasmin) as a clinically and costeffective treatment option for eligible patients suffering from vitreomacular traction including when associated with macular hole. With this final NICE guidance, Jetrea is now recommended for use within the National Health Service (NHS) in England and Wales as the first and only pharmacological treatment for this sight-threatening eye condition. October New results from the Phase III ASTERIA I study show omalizumab is effective and safe in the treatment of chronic spontaneous urticaria (CSU), a chronic and debilitating form of hives. ASTERIA I is the final pivotal registration study for omalizumab in CSU to be announced. New data indicating that continued treatment with Gilenya (fingolimod) led to a reduction in brain volume loss in patients with relapsing forms of multiple sclerosis (MS), and was associated with a higher proportion of patients remaining free of disability progression. Results from the head-to-head Phase III FIXTURE study show secukinumab (AIN457), an interleukin-17A (IL-17A) inhibitor, is significantly superior to Enbrel® (etanercept) in moderate-to-severe plaque psoriasis. Enbrel® is a current standard-of-care anti-TNF medication approved to treat moderate-to-severe plaque psoriasis. New clinical and real world data for Lucentis (ranibizumab) presented at the EURETINA congress confirm its transformational and wellestablished safety profile in four retinal diseases. Designed for intraocular use, Lucentis is an antibody fragment with a short January 2015 – Page 22 of 30 © Novartis AG 2015 September www.novartis.com systemic half-life and was first launched in Europe in 2007. Lucentis is now indicated in many countries for the treatment of wet agerelated macular degeneration (wet AMD), for visual impairment due to diabetic macular edema (DME), macular edema secondary to branchand central-retinal vein occlusion (BRVO and CRVO), and choroidal neovascularization secondary to pathologic myopia (myopic CNV). Novartis and Malaria No More announce the debut of the Power of One (www.Po1.org) campaign, encouraging people around the world to help end child deaths from malaria. Novartis will support the campaign financially and donate up to three million Coartem Dispersible treatments to match antimalarials funded by the public. The company's commitment to Power of One aligns with its long history in the fight against malaria; the Novartis Malaria Initiative is one of the largest access-to-medicine programs in the healthcare industry. The European Commission approves once-daily Ultibro Breezhaler (indacaterol 85 mcg/glycopyrronium 43 mcg) as a maintenance bronchodilator treatment to relieve symptoms in adult patients with chronic obstructive pulmonary disease (COPD), making it the first in its class to gain approval. In addition, the Japanese Ministry of Health, Labour and Welfare (MHLW) approves once-daily Ultibro Inhalation Capsules (glycopyrronium 50 mcg/indacaterol 110 mcg), delivered through the Breezhaler device, for relief of various symptoms due to airway obstruction in COPD. Novartis announces that it has entered into an exclusive global licensing and research collaboration agreement with Regenerex LLC, a biopharmaceutical company based in Louisville, Kentucky, for use of the company's novel Facilitating Cell Therapy (FCRx) platform. The European Commission approves the use of Ilaris (canakinumab) in the treatment of active systemic juvenile idiopathic arthritis (SJIA) in patients aged two years and older who have responded inadequately to previous therapy with non-steroidal anti-inflammatory drugs (NSAIDs) and systemic corticosteroids. Results from a new analysis of the Phase III RELAX-AHF study published in the European Heart Journal indicate that the investigational medicine serelaxin (RLX030) consistently improves symptoms and mortality across multiple subgroups of patients with acute heart failure (AHF) assessed in the trial. If approved, RLX030 January 2015 – Page 23 of 30 © Novartis AG 2015 www.novartis.com has the potential to be the first treatment breakthrough for AHF patients in 20 years. Novartis receives FDA Breakthrough Therapy designation for BYM338 (bimagrumab) for sporadic inclusion body myositis (sIBM). If approved, BYM338 has the potential to become the first treatment for sIBM patients. August The Australian Therapeutic Goods Administration (TGA) adds Bexsero, a multi-component Meningococcal B (MenB) vaccine (recombinant, adsorbed) suspension for injection 0.5 ml pre-filled syringe, to the Australian Register of Therapeutic Goods (ARTG) for use in individuals from two months of age and older. Novartis becomes the first company to earn the global CEO Cancer Gold Standard accreditation from the non-profit organization CEO Roundtable on Cancer, a group of cancer fighting CEOs from a variety of industries, including healthcare. The designation recognizes the company's efforts to provide support to Novartis associates in the prevention, diagnosis and treatment of cancer. Joerg Reinhardt, Ph.D., assumes role of Chairman of the Board of Directors of Novartis AG on August 1. The FDA approves Menveo (Meningococcal Group A, C, W-135 and Y conjugate vaccine) for the prevention of meningococcal disease caused by four strains of the bacterium Neisseria meningitidis (N. meningitidis) in infants and toddlers from two months of age. With this expanded indication, pediatricians in the US can now offer a single vaccine for the protection of infants, children and adolescents against four of the five most common serogroups that cause meningococcal disease. Novartis announces that the CHMP of the European Medicines Agency (EMA) has adopted a positive opinion for the use of Ilaris (canakinumab) in the treatment of active systemic juvenile idiopathic arthritis (SJIA) in patients aged two years and older. July Novartis announces that the CHMP has adopted a positive opinion for approval of once-daily Ultibro Breezhaler as a maintenance January 2015 – Page 24 of 30 © Novartis AG 2015 www.novartis.com bronchodilator treatment to relieve symptoms in adult patients with chronic obstructive pulmonary disease (COPD). Novartis announces that it has entered into a development and licensing agreement with Biological E Limited (BioE), a biopharmaceutical company based in India, for two vaccines to protect against typhoid and paratyphoid fevers. The agreement advances the Novartis goal to deliver accessible and affordable vaccines that address unmet medical need in endemic regions. Novartis announces top-line results from the head-to-head Phase III psoriasis study which showed the superiority of secukinumab (AIN457) in clearing skin to Enbrel® (etanercept), an anti-tumor necrosis factor (anti-TNF) therapy. In addition, secukinumab (AIN457) met all primary and secondary endpoints. The European Commission expands approval for Lucentis (ranibizumab) to treat patients with visual impairment due to choroidal neovascularization (CNV) secondary to pathologic myopia (myopic CNV). This makes Lucentis, specifically designed for the eye and proven to save sight, the first anti-VEGF therapy licensed for four indications in the European Union. The Novartis Board of Directors announces a final agreement with its former Chairman, Dr. Daniel Vasella. From the date of the Annual General Meeting held on February 22, 2013, until October 31, 2013, Dr. Vasella provides certain transitional services, including select Board mandates with subsidiaries of Novartis and support of the adinterim Chairman and the new Chairman. For his transitional services during such period, Dr. Vasella will receive cash of CHF 2.7 million, and 31,724 unrestricted shares as of October 31, 2013 (the market value of the shares as of the date of the announcement was approximately CHF 2.2 million). In addition, from November 1, 2013, to December 31, 2016, Dr. Vasella will receive a minimum of USD 250,000 per annum in exchange for making himself available to Novartis, at Novartis’ request and discretion, to provide specific consulting services, such as the coaching of high-potential associates of Novartis and speeches at key Novartis events at a daily fee rate of USD 25,000, which will be offset against the USD 250,000 minimum annual payment. The FDA expands the approved indication for Exelon Patch (rivastigmine transdermal system) to include the treatment of people January 2015 – Page 25 of 30 © Novartis AG 2015 June www.novartis.com with severe Alzheimer’s disease (AD) with Exelon Patch 13.3mg/24h. Exelon Patch is now the first and only transdermal therapy approved to treat patients with mild, moderate and severe AD. Sandoz, the global leader in biosimilars, announces that it has initiated a major Phase III clinical trial with its biosimilar version of etanercept (Amgen’s Enbrel®). The global clinical trial will seek to confirm biosimilarity with regard to safety, efficacy and immunogenicity of the Sandoz product versus Enbrel® in patients with moderate to severe chronic plaque-type psoriasis. The global clinical program was developed in consultation with regulatory authorities in the US and EU, and the results from this clinical trial are expected to support regulatory submissions in both the US and EU. Novartis announces that the FDA has granted Breakthrough Therapy designation status to RLX030 (serelaxin), an investigational treatment for patients with acute heart failure (AHF). The FDA has concluded that RLX030 qualifies for a Breakthrough Therapy designation after considering the available clinical evidence which supports a substantial improvement over currently available therapies for AHF, a life-threatening illness. Results from a Phase III three-year follow up study presented at the Congress of European Hematology Association show Jakavi (ruxolitinib) improved overall survival of myleofibrosis patients and sustained reductions in spleen size compared to conventional therapy. In a separate long-term exploratory analysis, Jakavi slowed or stabilized the advancement of bone marrow fibrosis, one of the underlying disease mechanisms and consequences of myleofibrosis, an effect that has not been observed with conventional therapy in advanced myleofibrosis patients. Two new analyses from the Phase III TRANSFORMS study demonstrated how Gilenya (fingolimod) was effective against all four key measures of disease activity in multiple sclerosis: brain volume loss, lesion activity, relapse rates and disability progression. Improvements were seen in patients who switched from standard interferon (interferon beta-1a) to Gilenya within 12 months of the switch and up to the end of the 4.5 year extension study. January 2015 – Page 26 of 30 © Novartis AG 2015 www.novartis.com Results of a pivotal Phase III trial in women with HER2 positive (HER2+) advanced breast cancer show Afinitor (everolimus) significantly extended progression-free survival (PFS) after prior therapy when compared to treatment with placebo plus trastuzumab and vinorelbine, The findings are the first to show potential benefit of everolimus in HER2 positive advanced breast cancer, an aggressive form of the disease. Lucentis receives a positive opinion from the Committee for Medical Products for Human Use (CHMP) for patients with myopic choroidal neovascularization (CNV) showing vision gains with only two injections. CNV is the most common vision-threatening complication of high myopia. In patients with untreated myopic CNV the long-term prognosis is poor with approximately 90% of affected patients developing severe vision loss after five years. May New data reinforces strength of Novartis once-daily COPD portfolio in improving lung function, shortness of breath and reducing rate of exacerbations. Novartis presented 34 respiratory abstracts featuring the latest findings from the IGNITE clinical trial program at the American Thoracic Society International Conference. COPD is projected to be the third leading cause of death worldwide by 2020. GBCHealth, a coalition of more than 230 private sector companies working to improve global health, awards Novartis with the Business Action on Health Award for the company’s “Arogya Parivar” program. The program makes affordable, high-quality medicines accessible to underserved millions in India and expands access to health education and consultations in remote villages. Since launching “Arogya Parivar” in 2007, Novartis has trained more than 500 health educators and supervisors and improved access to healthcare for 42 million patients across 33,000 villages in India. Ilaris (canakinumab) is approved by the FDA to treat active systemic juvenile idiopathic arthritis (SJIA), a rare and disabling form of childhood arthritis that can affect children as young as two and continue into adulthood. SJIA affects five to 15 children per 100,000 in the United States and is the most severe subtype of juvenile idiopathic arthritis. Ilaris is the first interleukin-1 beta (Il-1 beta) inhibitor approved for SJIA. January 2015 – Page 27 of 30 © Novartis AG 2015 www.novartis.com Novartis and Malaria No More, a leading global charity determined to end malaria deaths, announce that they are joining forces on the Power of One campaign to help close the treatment gap and accelerate progress in the fight against malaria. Over the next three years, Novartis will support the campaign financially and donate up to three million full courses of its pediatric antimalarial drug to match the treatments donated by the public, doubling the impact of these donations. April Alcon announces the FDA approval of Simbrinza suspension, a new beta blocker-free, fixed-combination therapy of brinzolamide 1.0% and brimonidine tartrate 0.2% for glaucoma patients. Glaucoma affects more than 2.2 million Americans and is the second-leading cause of preventable blindness worldwide. Alcon announces the EU approval of Jetrea (ocriplasmin), the first and only eye drug to treat vitreomacular traction (VMT) including when associated with macular hole of diameter less than or equal to 400 microns. VMT is often responsible for progressive sight-threatening symptoms and irreversible vision loss and is estimated to affect between 250,000 to 300,000 people in Europe alone. March Novartis compound LDK378 receives FDA Breakthrough Therapy designation for the treatment of patients with anaplastic lymphoma kinase positive (ALK+) metastatic non-small cell lung cancer (NSCLC). There are limited treatment options for patients with ALK+ NSCLC. Breakthrough Therapy designation is intended to expedite the development and review of drugs that treat serious or life-threatening conditions. Initial results from a Phase I study showed marked responses in a majority of patients with ALK+ NSCLC. The European Commission has approved Ilaris (canakinumab, ACZ885) in the treatment of patients with acute gouty arthritis, commonly referred to as gout, who suffer frequent attacks and whose symptoms cannot or should not be managed with current treatment options. Ilaris is the first biologic approved in the EU for symptomatic pain relief in a gouty arthritis indication. Novartis reports Phase III data showing omalizumab improved itch in patients with moderate to severe refractory chronic idiopathic uraticaria (CIU), a chronic form of hives, failed standard therapy. While antihistamines are commonly used to treat CIU, there is still a January 2015 – Page 28 of 30 © Novartis AG 2015 February www.novartis.com critical unmet need among patients, with more than 50% not achieving relief with approved doses. Zortress (everolimus) becomes the first drug in over a decade to be approved by the FDA to prevent organ rejection in adult liver transplant patients in the US. The approval was based on the largest liver transplant study to date, which showed that Zortress plus reduced tacrolimus led to comparable efficacy and higher renal function as compared to standard tacrolimus at 12 months. Novartis announces that the Novartis AG Board of Directors and Dr. Vasella agreed to cancel his non-competition agreement and all related conditional compensation. The agreement was to take effect after Dr. Vasella stepped down as Chairman of the Board at the Novartis Annual General Meeting on February 22, 2013. Novartis receives EU approval for Bexsero, (Meningococcal Group B Vaccine [rDNA, component, adsorbed]) the first vaccine to prevent the leading cause of life-threatening meningitis across Europe. The approval of Bexsero, for use in individuals two months of age or older, underscores the unique leadership position of Novartis in the global fight against devastating meningococcal disease. January Novartis announces that, at his own wish, Novartis AG Chairman of the Board of Directors Dr. Daniel Vasella will not stand for re-election as a member of the Board of Directors at the Annual General Meeting to be held on February 22, 2013. The Board of Directors proposed the election of, among others, Joerg Reinhardt, Ph.D., as a member of the Board for a term of office beginning on August 1, 2013, and ending on the day of the Annual General Meeting in 2016. The Board announced its intention to elect Joerg Reinhardt as Chairman of the Board of Directors as from August 1, 2013. The Board of Directors further announced its intention to elect its current Vice-Chairman, Ulrich Lehner, Ph.D., as Chairman of the Board of Directors for the period from February 22, 2013, until the new Chairman took office. Disclaimer These materials contain forward-looking statements that can be identified by words such as “potential,” “expected,” “will,” “planned,” or similar terms, or by express or implied discussions regarding potential new products, potential new indications for existing products, or regarding potential future revenues from any such products; potential shareholder returns or credit ratings; or regarding the potential completion of the announced transactions with GSK and CSL, or regarding potential future sales or earnings of any of the businesses involved in the announced January 2015 – Page 29 of 30 © Novartis AG 2015 www.novartis.com transactions with GSK, Lilly or CSL, and regarding any potential strategic benefits, synergies or opportunities as a result of the announced transactions; or regarding potential future sales or earnings of the Novartis Group or any of its divisions; or by discussions of strategy, plans, expectations or intentions. You should not place undue reliance on these statements. Such forward-looking statements are based on the current beliefs and expectations of management regarding future events, and are subject to significant known and unknown risks and uncertainties. Should one or more of these risks or uncertainties materialize, or should underlying assumptions prove incorrect, actual results may vary materially from those set forth in the forward-looking statements. There can be no guarantee that any new products will be approved for sale in any market, or that any new indications will be approved for any existing products in any market, or that any approvals which are obtained will be obtained at any particular time, or that any such products will achieve any particular revenue levels. Nor can there be any guarantee that the announced transactions with GSK and CSL will be completed in the expected form or within the expected time frame or at all. Neither can there be any guarantee that Novartis will be able to realize any of the potential strategic benefits, synergies or opportunities as a result of the transactions with GSK, Lilly or CSL. Neither can there be any guarantee that Novartis or any of the businesses involved in the transactions will achieve any particular financial results in the future. Nor can there be any guarantee that shareholders will achieve any particular level of shareholder returns. Neither can there be any guarantee that the Novartis Group, or any of its divisions, will be commercially successful in the future, or achieve any particular credit rating. In particular, management's expectations could be affected by, among other things, unexpected regulatory actions or delays or government regulation generally, including an unexpected failure to obtain necessary government approvals for the transactions, or unexpected delays in obtaining such approvals; the potential that the strategic benefits, synergies or opportunities expected from the announced transactions, including the divestment of our former Animal Health Division to Lilly, may not be realized or may take longer to realize than expected; the inherent uncertainties involved in predicting shareholder returns or credit ratings; the uncertainties inherent in research and development, including unexpected clinical trial results and additional analysis of existing clinical data; the Company’s ability to obtain or maintain proprietary intellectual property protection, including the ultimate extent of the impact on the Company of the loss of patent protection and exclusivity on key products which commenced in prior years and will continue this year; unexpected manufacturing or quality issues; global trends toward health care cost containment, including ongoing pricing pressures; uncertainties regarding actual or potential legal proceedings, including, among others, actual or potential product liability litigation, litigation and investigations regarding sales and marketing practices, government investigations and intellectual property disputes; general economic and industry conditions, including uncertainties regarding the effects of the persistently weak economic and financial environment in many countries; uncertainties regarding future global exchange rates, including as a result of recent changes in monetary policy by the Swiss National Bank; uncertainties regarding future demand for our products; uncertainties involved in the development of new healthcare products; uncertainties regarding potential significant breaches of data security or disruptions of the Company’s information technology systems; and other risks and factors referred to in Novartis AG's current Form 20-F on file with the US Securities and Exchange Commission. Novartis is providing the information in these materials as of this date and does not undertake any obligation to update any forward-looking statements as a result of new information, future events or otherwise. All product names appearing in italics are trademarks owned by or licensed to Novartis Group Companies. January 2015 – Page 30 of 30 © Novartis AG 2015 www.novartis.com
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