BMY
U.S. FDA Approval of Cobenfy
September 26, 2024
Investor Overview
Not for Product Promotional Use
Now approved in the U.S.
for the treatment of schizophrenia in adults
First-in-class muscarinic agonist1 for the treatment of schizophrenia
First new mechanism in decades for 1.6M treated schizophrenia patients in the U.S.
Compelling efficacy and proven safety
Expected to be available in the U.S. in late-October
1Cobenfy combines xanomeline, a dual M1- and M4-preferring muscarinic receptor agonist, with trospium chloride, a muscarinic receptor antagonist
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3
Cobenfy delivered powerful efficacy at five weeks consistently across two phase 3 pivotal studies
Change from baseline in PANSS total score at week 5
0
(97.7, 98.2)
EMERGENT-21,a,b
Baseline
Week 2 Week 3 Week 4 Week 5
0
EMERGENT-32,3,a,b
(96.7, 97.3)
Baseline
Week 2
Week 3
Week 4
Week 5
Interpreting Total PANSS Score4,5
210
-5
-10
Markedly Ill
Moderately
Ill
*
Placebo (-11.6)
-5
-10
Markedly Ill
Moderately
Ill
Placebo (-12.2)
*
≥95
markedly ill
According to one studyc, a PANSS score of ≥95 may carry an increased risk of hospitalization6
Score Change from Baseline
(LSM±SEM)
PANSS Total
-15
-20
-25
**
****
****
Cobenfy (-21.2)
Mildly Ill
LSM difference vs placebo:
-9.6 points
-15
-20
-25
**
****
****
Cobenfy (-20.6)
Mildly Ill
LSM difference vs placebo:
-8.4 points
75 to <95
moderately ill
58 to <75
mildly ill
30
According to one studyd, ≤59 and below may be more likely to experience remission7
P<0.0001
P<0.0001
PANSS is a 30-item scale, with each item rated on a scale of 1 (absent)-7(extreme).
Week 2-4 data were not prespecified clinical endpoints, P-values are nominal.3
a. P-values are defined as: *P<0.05, **P<0.01, ***P<0.001, ****P<0.0001.1,3 b. All efficacy analyses performed using the mITT analysis set, defined as all randomized individuals who received ≥1 dose of trial medication and ≥1 postbaseline PANSS
assessment (EMERGENT-2: Cobenfy n=117, PBO n=119; EMERGENT-3: Cobenfy n=114, PBO n=120).3 c. Study assessed data from 1,077 patients across three 52-weekopen-label extension studies.6 d. Study longitudinally assessed 684 patients from one randomized clinical trial.6
1. Kaul I, et al. Lancet. 2024;403(10422):160-170.2. Kaul I, et al. JAMA Psychiatry. 2024:e240785. Online ahead of print. 3. Data on File. Bristol-Myers Squibb. 4. Leucht S, et al. Schizophr Res. 2005;79(2-3):231-238.5. Mortimer AM. Brit J Psychiatry. 2007;191(S50):s7-s14.6. Kozma CM, et al. Ann Gen Psychiatry. 2010;9:24. 7. Opler MG, et al. BMC Psychiatry. 2007;7:35.
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4
We are employing a comprehensive go-to-market strategy
Patients and their
Adults with
care teams
schizophrenia
Key prescribers
Psychiatrists,
psychiatric APNs
Care centers for
Community mental
health centers and
schizophrenia
private psychiatry
practices
Integrated
Patients and their
approach
care partners
Payors
Medicaid, Medicare,
commercial
Patients & care
partners
Administrative
Psychiatrists,
staff
psychiatric APNs
Community mental
Government and
health centers
commercial payors
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5
Building a strong proposition with payor engagement1
Key dynamics
1See "Forward-Looking Statements"
Medicaid
~45%
Medicare
40%
Commercial / Other
~15%
4Q24
1H25
2H25
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6
Cobenfy sales ramp based on monthly paid script volumes enabled by access expansion
Sampling strategy among prescribers during patient initial titration
~60K monthly NBRx1 in schizophrenia available from patients going through a new treatment decision
Analogs suggest ~50% of patients are still on drug at 6 months of therapy
Broad access expected by 2H25 as coverage is progressively secured through 1H*
Ex-U.S. launch timelines for schizophrenia expected to be behind U.S. launch by ~3 years
Expected to be available in the U.S. in late October 2024
* See "Forward Looking-Statements",1IQVIA APLD
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Cobenfy: First-in-class muscarinic agonist1 with potential to treat
numerous complex psychiatric conditions impacting 100M+ people globally2
ONGOING PROGRAMS
PLANNED PROGRAMS
Schizophrenia
Adjunctive
Alzheimer's
Alzheimer's
Alzheimer's
Bipolar I
ASD
Schizophrenia
Psychosis
Agitation
Cognition
Disorder
Irritability
FDA Approved:
Phase 3 data
Phase 3 data
Sept. 26, 2024
2025
2026
Ongoing
Planned
1Cobenfy combines xanomeline, a dual M1- and M4-preferring muscarinic receptor agonist, with trospium chloride, a muscarinic receptor antagonist, 2Estimated prevalence reflects World Health Organization (WHO) global estimates for schizophrenia, Alzheimer's disease, bipolar I and pediatric autism, 3Subject to positive registrational trials and regulatory approval
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Disclaimer
Bristol-Myers Squibb Company published this content on September 27, 2024 and is solely responsible for the information contained herein. Distributed by Public, unedited and unaltered, on September 27, 2024 at 02:07:07 UTC.