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Roche Diagnostics Business Strategy Facts and Figures Competitive Advantages Business Areas Business Areas/Unit Roche Professional Diagnostics Roche Molecular Diagnostics Roche Tissue Diagnostics Roche Diabetes Care Roche Applied Science Divisional Structure
2 3 4 5
6 8 10 12 14 16
Business Strategy
Revalue Diagnostics Focus on unmet needs
Roche Diagnostics differentiates itself in the marketplace through innovation in testing efficiency and medical value.
Total lab solutions Modular offering Complete menus Lab IT and workow
ds
Ever more of our efforts are concentrated on exploiting advanced scientic knowledge and technological progress to increase the medical value of our offering. Medical value is delivered by tests for screening, diagnosis, prognosis, prediction or monitoring of disease, as well as by companion diagnostic tests used for treatment selection or response prediction to a specic drug. We prioritise those areas with the highest unmet medical need and devote substantial resources to acquiring the necessary intellectual property to develop new tests, and then to demonstrate their clinical utility and health economic benet. With the advent of molecular diagnostics, totally new realms of detection are emerging.
Molecular analysis of human DNA can conrm the presence of disease genes, detect which altered genes and proteins are disturbing normal cell function, and, with a genetic prole of the patient, also predict whether heor she should respond well to Deliver clinical specic drug therapy regimens. These evidence newest diagnostic methods are not only redening clinical testing, but they are also essential in the development of targeted Offer complete enus molecular drugs. Diagnostics are integral to the new paradigm of Personalised Healthcare and as the world market leader, Roche Diagnostics is leading the way forward and revaluing diagnostics.
Revalue Diagnostics
In vitro diagnostic (IVD) testing has long been a silent champion of healthcare, directing over 60% of clinical decision making, although it accounts for only 2% of global healthcare spending.
11%
Sales by region
10% 9% 8% 3% Professional Diagnostics 51% J&J Beckman bioMrieux
North America 26% EMEA (Europe, Middle East and Africa) 46% Latin America 8% Asia-Pacific 15% Japan 6%
Source: Industry analyst report, Roche analysis, company reports, excludes Life Sciences and Insulin Pumps
Roches Diagnostics Division is the worlds leading supplier of in vitro diagnostics (IVDs). Performed in a laboratory or at the Point of Care on blood, tissue or other patient samples, IVDs are a critical source of objective information helping doctors detect and diagnose diseases, select appropriate treatments and monitor patient respon se to care. In addition, scientists use the Divisions research products to gain a better understanding of the causes of disease and to discover new treatments. Roche Diagnostics serves customers spanning the entire healthcare spectrum from
hospitals and commercial medical labs to physicians and patients with conditions requiring them to self-test as well as the medical research institutions. The Division offers a wide range of technologies allowing the detection and analysis of a multitude of sample types on a large base of instruments installed worldwide. Roches IVD test menu is one of the broadest in the industry and is being expanded continually, drawing on the latest scientic advances. In 2012 Roche held approximately 20% of the global IVD market, which is valued at an estimated 48 billion US dollars in annual sales.
Main Diagnostics Sites R&D/Manufacturing Regional hubs 100500 employees * untill end of 2012 Tokyo
Ponce
Singapore
Competitive Advantages
Total solution offering
Breadth of technologies
DNA/RNA-based Protein-based Cell-based
Completeness of menu
Inflammation/Autoimmune
Virology/Microbiology
Cardiology
NAM
EMEA Japan
Oncology
Womens health
Metabolic diseases
Hematology
LATAM
APAC
945,000,000
ER/ICU Physicians office Research lab
Elecsys tests sold in 2012 2,589,041 tests per day, 30 per second
NAM
15,000,000
Accu-Chek Active meters sold worldwide
Pathology lab Hospital/ Commercial lab
LATAM
Business Areas
Innovation Excellence
Business Areas / Unit are set up according to the fields of activities of our customers and are responsible for research and development, product portfolio management, global strategic direction and marketing, along with business development in their area of expertise.
Tissue Diagnostics
Business Area
Diabetes Care
Business Unit
Applied Science
Business Area
Histopathology labs
Nucleic acid DNA purification and gene expression S equencing solutions Custom Biotech and bioreagents
Outlook 2013
In April 2013 Roche announced changes to the management and set-up of its life science business and its plans to restructure the infrastructure by placing similar platform technologies and reagents for life science and clinical diagnostics customers under like governance bodies: P CR technology and Nucleic Acid related product lines will be managed out of the Roche Molecular Diagnostics business area. This includes the real-time PCR and Nucleic Acid Purification platforms and reagents, as well as nucleic acid related Biochemical Reagents The Custom Biotech portfolio, which includes platforms and reagents that are more closely aligned with our clinical chemistry portfolio, will move to the Professional Diagnostics business area. As a consequence, the Applied Science business area will be integrated into Roche Molecular Diagnostics and Roche Professional Diagnostics as of the end of 2013. This restructuring better enables technology flow-through from life sciences to clinical diagnostics and enhances our responsiveness to scientific and market needs. It also builds synergies and leverages the commercial expertise in our IVD business areas to better address our customers needs.
Roche Professional Diagnostics (RPD) is the largest Business Area. It is a leading supplier of solutions, instrument systems, tests, software and services that help laboratories deliver reliable results more efficiently and cost-effectively. It is also strengthening its position as a leader in the growing market for point-of-care testing products to support clinical decision- making close to the patient, in doctors offices, emergency rooms and other primary and specialty care settings. Furthermore, RPD develops laboratory information, workflow and data management solutions as well as connectivity components to maximise laboratory efficiency. In 2012 Roche had over 16% share of a growing global market worth 34.6 billion US dollars.
Sites Rotkreuz, Switzerland: Headquarters, Marketing, Medical Affairs, Business Development Mannheim and Penzberg, Germany, and Indianapolis, IN, USA: R&D, Production, Quality, Clinical Trials, Regulatory Affairs Disease areas Wide variety of indication elds, including oncology, virology, cardiovascular, inammatory and infectious diseases Customers Hospital and commercial labs Lab networks Point of Care including emergency rooms, intensive-care units, patients bedsides, physicians offices, pharmacies, homes, blood banks Best-sellers 2012 Immunoassays Clinical chemistry Coagulation monitoring
2,321 million CHF (+15%) 1,514 million CHF (+5%) 350 million CHF (+8%) RPD portfolio >100 immunoassays and applications >120 clinical chemistry tests >30 instruments with >100 modular combinations
Segments and products Serum work area (SWA): immunoassays and clinical chemistry
With a broad portfolio of modular instruments, software and assays, SWA offers immunology and clinical chemistry systems for use by commercial labs, hospital core labs, medical centres, blood screening centres (in most countries outside US) and laboratory networks. The platforms can be combined in a flexible manner to fit the size of the lab and its required throughput. Platforms*: cobas 4000 analyzer series (low-volume labs), cobas 6000 analyzer series (mid-volume labs), cobas 8000 modular analyzer series (large-volume labs)
Point-of-care testing
Point-of-care (POC) testing meets the requirements for short turnaround times in critical care situations. Rapid determination of time-critical parameters (e.g. blood glucose, cardiac markers and blood gases) can accelerate decision-making in the emergency room or intensive-care units. Platforms*: CoaguChek systems (coagulation monitoring), Accu-Chek Inform II (blood glucose), cobas b 101 system (HbA1c and lipid testing), cobas h 232 system (point of care cardiac reader)
CoaguChek XS system
Specialty testing
For the urinalysis testing discipline RPD offers analyzers and test strips which enable testing of urine samples reliably and efficiently. Multiplate analyzer is a solution for rapid determination of a patients platelet function enabling to predict patients thrombotic and bleeding risk and to tailor anti-platelet therapies. Platforms*: Multiplate system, cobas u 411 analyzer
Multiplate system
Key tests
Test on the market** HE4 (human epididymal protein 4) immunoassay PSA (prostate specific antigen) immunoassay HIV combi PT immunoassay Anti-HCV immunoassay TORCH panel of immunoassays Application ovarian cancer prostate cancer HIV Hepatitis C Toxoplasmosis, other (syphilis), rubella, cytomegalovirus, herpes simplex Acute coronary syndrome sFlt/PIGF immunoassay Vitamin D total test HbA1c (glycated hemoglobin 1A) test Test on the market** IL-6, PCT and Tina-quant CRP immunoassays NT-proBNP test TSH (thyrotropin) test FT4 (free thyroxine) test Application Sepsis management Heart failure Thyroid function testing Hyperthyroidism and hypothyroidism Pre-eclampsia Determination of vitamin D level Diabetes care
* Non-exhaustive
Roche Molecular Diagnostics (RMD) develops and com mercialises advanced diagnostics and blood screening platforms and tests based on Roches proprietary real-time Polyme rase Chain Reaction (PCR) technology. PCRs unique ability to exponentially amplify small amounts of target DNA has resulted in numerous diagnostic techniques which would otherwise be too time-consuming or impossible to perform. Roche is a leader in the highly competitive molecular diagnostics market, valued at 4 billion US dollars and growing 7% annually.
Sites Pleasanton, CA, USA: Headquarters, Marketing, R&D Rotkreuz, Switzerland: Development, Production Branchburg, NJ, USA: Production Disease areas Virology, Oncology, Blood screening, Womens health, Microbiology Customers Hospital and commercial labs Blood banks Technologies Polymerase Chain Reaction (PCR) Best-sellers 2012 Virology (HBV, HCV, HIV) Blood screening
RMD portfolio
> >
Blood screening
Each year, more than 80 million units of donated blood are stored and distributed worldwide. RMD provides blood banks with highly sensitive and automated real-time PCR tests to detect HIV, hepatitis, parvovirus and West Nile Virus, helping to ensure the highest safety for blood supplies. Tests: Multiplex HIV/HCV/HBV, Duplex B19V/HAV, West Nile Virus Platforms*: cobas s 201 system, cobas s 401 system
cobas z 480
Microbiology
Time is critical in the detection and identication of bloodstream infections typically caused by bacteria and fungi. Effective treatment depends on nding the source of infection and making appropriate decisions about antibiotics or antifungals quickly and efciently. Tests: MRSA, Tuberculosis, Sepsis, Herpes Platforms*: LightCycler analyzer, cobas TaqMan
LightCycler analyzer
Womens health
The Human papillomavirus (HPV) is the most prevalent cause of cervical cancer, one of the most common cancers in women worldwide with more than 25,000 dying each year. Demand for screening tests for both, HPV as well as C.trachomatis/ N . gonorrhoeae (CT/NG), which may cause pelvic inflammatory disease, is growing rapidly. Tests: HPV, CT/NG Platforms*: cobas 4800 system
Key tests
Test on the market** cobas 4800 BRAF V600 Mutation Test cobas KRAS Mutation Test cobas EGFR Mutation Test cobas PIK3CA Mutation Test (RUO)*** cobas AmpliPrep/cobas TaqMan Dual Target HIV-1 Test, v 2.0 LightCycler MRSA Advanced Test cobas TaqScreen DPX Test * Non-exhaustive Application Melanoma Colorectal cancer Non-small cell lung cancer Breast, colorectal and other solid tumors HIV Methicillin-resistant Staphylococcus aureus Parvovirus B19/Hepatitis A *** For research use only Test on the market** cobas TaqScreen MPX Test, v 2.0 cobas TaqScreen West Nile Virus Test cobas AmpliPrep/cobas TaqMan HCV Test, v 2.0 cobas AmpliPrep/cobas TaqMan HBV Test, v 2.0 LightCycler Septi Fast Test cobas 4800 CT/NG Test cobas HPV Test Application HIV-1 (Groups M&O), HIV-2, HCV, HBV West Nile Virus Hepatitis C Hepatitis B Sepsis C. trachomatis and N. gonorrhoeae infection Cervical cancer
Roche Tissue Diagnostics (RTD) (Ventana Medical Systems, Inc. in North America) is a world-leading supplier of tissue-based cancer diagnostics. It develops and manufactures medical diagnostic instruments, digital pathology solutions, image and workow software and reagent systems that provide innovative automation technology for use in slide-based tissue diagnostics to aid in diagnosis of cancer and infectious disease.
Roche 45%
Abbott 14%
Leica 13%
Sources: Industry analyst report, Roche analysis, company reports
Dako 18%
In addition, the company offers premier workow management solutions designed to improve laboratory workow efciency, providing automated safeguards to enhance the quality of patient healthcare. Its instruments and reagent systems are used in histology, cytology and drug discovery laboratories worldwide. In 2012, Roche gained over 1% of market share to own 23% share of the tissue diagnostics market, which is valued at over 2.5 billion US dollars and grew approximately 78%.
Sites Tucson, AZ, USA: Headquarters, R&D, Production Mountain View, CA, USA: R&D, Marketing Disease areas Oncology Customers Hospital-based pathology laboratories Academic pathology laboratories Community pathology laboratories Reference pathology laboratories Drug discovery laboratories (pharma) Medical research centres Technologies Immunohistochemistry (IHC) In situ hybridisation (ISH) Digital pathology and workow Special staining Best-sellers 2012 Advanced tissue staining Primary tissue staining
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Special Stains
Special stains are a fundamental aid in diagnosing a variety of illnesses, from infection to cancer. The BenchMark Special Stains system delivers complete baking-through-staining automation for special stains, to enhance stain quality and turnaround time. Eliminating manual processes and temperature batching with automated deparaffinisation and independent slide heating, the BenchMark Special Stains system improves workflow efficiency. This innovative platform also reduces patient and laboratory technician risk with individual slide staining and reduced exposure to harmful chemicals. Platforms: BenchMark Special Stains system BenchMark Special Stains
Advanced staining
About 20% of all slides entering a histology lab must undergo further advanced testing. Immunohistochemistry and in situ hybridisation allow visualisation of molecular targets on tissues, thus revealing the presence and properties of abnormal cells, DNA and RNA sequences. Platforms: BenchMark GX,BenchMark ULTRA and BenchMark XT IHC automated staining instruments, Discovery ULTRA and Discovery XT systems BenchMark ULTRA
Workow management
The VANTAGE workow management system is the rst of its kind in the industry. VANTAGE software and hardware tools and services automate, streamline and integrate lab work and information flow to help provide increased productivity and patient safety gains. Platforms: VANTAGE workflow management system VANTAGE
Digital pathology
RTD provides comprehensive digital pathology solutions including slide scanning image acquisition, image management, advanced algorithms for image analysis, and comprehensive patient reporting. Full integration of digital pathology tools extends the benefits of automation and personalised healthcare solutions by providing even greater efficiencies, productivity, and diagnostic intelligence. Platforms/Software: iScan Coreo scanner, VENTANA iScan HT scanner (RUO), Virtuoso image and workflow management software, and Companion Algorithm image analysis software VENTANA iScan HT scanner
Key tests
Test on the market* HER2neu (4B5) Image Analysis Software PR (1E2) Image Analysis Software Ki-67 (30-9) Image Analysis Software p53 (DO-7) Image Analysis Software Application Breast cancer Breast cancer Breast cancer Breast cancer Test on the market* SISH HER2 Probe** ERG (EPR 3864) Rabbit Monoclonal Primary Antibody for IHC testing Application Breast/gastric cancer Prostate cancer
** Ex-US only
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Roche Diabetes Care (RDC) develops and commercia lises blood glucose (bG) monitoring and insulin delivery systems that enable people with diabetes to manage their condition more effectively. The goal of diabetes therapy is to maintain the bG levels in a (near-)normal range and thus avoid diabetes-related complications. RDC not only offers individual product innovations but integrated diabetes management solutions meeting the everyday needs of our customers for an optimised therapy management. Roche is the industry leader with a 29% market share of a global bG monitoring market worth over 8 billion US dollars.
Abbott 14.6%
Sites Mannheim, Germany: Headquarters, R&D, Production Indianapolis, IN, USA; Yogneam Illit, Israel: R&D, Production Disease areas Metabolic diseases/Diabetes Customers People with diabetes Hospitals Healthcare professionals Diabetes nurse educators Best-sellers 2012 Blood glucose monitoring Insulin delivery systems
RDC portfolio 11 bG monitoring systems 5 lancing devices 3 insulin pump systems 4 infusion sets for insulin pumps 5 information management systems
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Accu-Chek Mobile
Accu-Chek Active
Insulin delivery
Connected to the body via an infusion set, insulin pumps deliver the exact amount of insulin required to cover a bodys physiological needs 24 hours a day. This offers enhanced flexibility and safety to people with diabetes. The newest portfolio additions combine the insulin pump with bG testing, a pump remote control and extensive data management features. Platforms*: Insulin pump systems: Accu-Chek Combo, Accu-Chek Spirit Infusion sets: Accu-Chek FlexLink, Accu-Chek TenderLink, Accu-Chek Rapid-D Link
Accu-Chek Combo
Accu-Chek FlexLink
* Non-exhaustive
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Others 38.2%
Source: Industry analyst report, Roche analysis, company reports
Roche Applied Science (RAS) is a worldclass supplier of speciality biochemicals and producer of research reagents and systems for Life Science research. RAS is an established partner for research institutions, universities and pharmaceutical industry worldwide. Its products facilitate medical research in todays most important avenues of exploration and provide tools for researching the cause of and predisposition for a disease. RAS products often represent the rst entry into innovative bioanalytical tools and methods and have potential to one day be de veloped for use as an IVD. The global Life Science research served market, valued at 9.3 billion US dollars, grew approximately 4.5% in 2012. Roche has roughly a 8.5% share of this market.
Sites Penzberg, Germany: Headquarters, R&D, Production, Marketing Branford, CT, USA: 454 Life Sciences Madison, WI, USA: Roche NimbleGen Rotkreuz, Switzerland: Instrument development and production Customers Life Science research in academia, biotech and pharma Technologies Polymerase Chain Reaction (PCR) DNA sequencing Nucleic acid purification Best-sellers 2012 Nucleic acid DNA purication and gene expression Genomics Custom Biotech
233 million CHF (+5%) 126 million CHF (-19%) 217 million CHF (+8%)
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Segments and products Nucleic acid DNA purication and gene expression
Gene expression research evaluates how a gene is used in the synthesis of a functional gene product which is in most cases a protein. Nucleic acid purication technology is used to isolate nucleic acids from manifold sample materials. Platforms*: MagNA Pure Compact, MagNA Pure LC, MagNA Pure 96, LightCycler 2.0, LightCycler 480, LightCycler 1536, LightCycler Nano
LightCycler 480
MagNA Pure 96
LightCycler Nano
Sequencing solutions
DNA sequencing detects the exact order of the nucleotides and is the rst step to understan d ing how genes work together to direct growth, development and maintenance of an entire organism. Platforms*: Genome Sequencer FLX, GS Junior (powered by 454 sequencing technology)
GS Junior
* Non-exhaustive
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Divisional Structure
The Diagnostics Division is managed via a matrix organisation of Business Areas/ Unit, Regions and Global Functions.
Diagnostics Regions
Regional Organisation
The regional organisations are responsible for all aspects of sales and marketing within the region and in the affiliated countries, for implementation of global processes at the regional level and for the company management in line with local regulations and practice.
Regions
Asia-Pacific EMEA (Europe, Middle East, Africa) Japan LATAM (Latin America) North America
Global Functions
To maximise efficiencies, a number of functions have been centralised globally. The four global functions support the Business Areas and Regional Organisations to drive business success within the division.
Global Operations
Global Operations consists of three areas, Manufacturing, Supply Chain and Direct Procurement, and is responsible for the production and supply of Roche Diagnostics reagents, consumables, and many instruments. The global function manages a continuum of processes for all BAs to ensure customers receive the products they purchased on time and in full and is a key driver of excellence in operations in Diagnostics, maintaining a strong focus on process efficiency and profitability.
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We are Roche.
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Published by F. Hoffmann-La Roche Ltd Group Communications 4070 Basel, Switzerland communications.diagnostics@roche.com 2013 All trademarks mentioned enjoy legal protection. www.roche.com 7 000 914