Q2 2018 Performance Positions Sanofi for New Growth Phase

Paris, July 31, 2018 / PRNewswire / — Sanofi (NYSE: SNY; EURONEXT: SAN)

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	Q2 2018	Change	Change at CER	H1 2018	Change	Change at CER
IFRS net sales reported	€8,176m	-5.7%	+0.1%	€16,074m	-7.2%	-0.1%
IFRS net income reported	€762m	-26.2%	-	€7,778m	-73.6%(2)	-
IFRS EPS reported	€0.61	-25.6%	-	€1.42	-73.4%(2)	-
Business net income(1)	€1,558m	-7.9%	+0.4%	€3,156m	-9.4%	+0.4%
Business EPS(1)	€1.25	-6.7%	+1.5%	€2.53	-8.3%	+1.4%

Second-quarter 2018 sales stable⁽³⁾ with strong contributions from Specialty Care and Emerging Markets

• Net sales were €8,176 million, down 5.7% on a reported basis, up 0.1%⁽³⁾ at CER and down 2.5% at CER/CS ⁽⁴⁾.
• Sanofi Genzyme sales up 14.1% at CER/CS ⁽⁴⁾ (33.1% at CER) driven by Dupixent^® and consolidation of Bioverativ.
• Vaccines sales down 15.7% reflecting high basis for comparison and expected Pentaxim^® supply constraint in China.
• CHC sales increased 4.1% supported by growth in Europe and Emerging Markets⁽⁵⁾.
• DCV⁽⁶⁾ GBU sales down 15.6%; global Diabetes franchise sales declined 11.9%, confirming expected trend for year.
• Emerging Markets sales⁽⁵⁾ increased 5.2% with double-digit growth in China.

2018 business EPS guidance range slightly narrowed

• Second-quarter 2018 business EPS⁽¹⁾ up 1.5% at CER to €1.25.
• Second-quarter 2018 IFRS EPS was €0.61 (-25.6%).
• Business EPS⁽¹⁾ in 2018 now expected to grow 3% to 5% at CER(7) barring unforeseen major adverse events.
• Currency impact on 2018 business EPS is estimated to be around -6% applying the average July exchange rates.

Key achievements in sustaining innovation in R&D

• Sanofi completed the acquisition of Ablynx in May, internalizing the innovative Nanobody^® platform.
• Positive CHMP recommendation for Cablivi^TM for aTTP⁽⁸⁾.
• Phase 1/2a data on BIVV001, an extended factor VIII therapy, demonstrated half-life of 37 hours.
• A phase 2/3 study is being initiated on venglustat, an oral glucosylceramide synthase (GCS) inhibitor, in ADPKD⁽⁹⁾.
• Positive phase 3 trial evaluating Dupixent^® to treat moderate-to-severe atopic dermatitis in adolescents.
• Priority review granted in the U.S. to cemiplimab for the treatment of CSCC⁽¹⁰⁾.
• Zynquista^TM (sotagliflozin) accepted for review by the FDA in type 1 diabetes.
• Praluent^® ODYSSEY OUTCOMES results submitted to the FDA and EMA in Q2.

(1) In order to facilitate an understanding of operational performance, Sanofi comments on the business net income statement. Business net income is a non-GAAP financial measure (see Appendix 8 for definitions). The consolidated income statement for Q2 2018 is provided in Appendix 3 and a reconciliation of reported IFRS net income to business net income is set forth in Appendix 4; (2) Excluding Animal Health gain on disposal, first-half IFRS net income was down 22.6% and first-half IFRS EPS was down 22.4%;(3) Changes in net sales are expressed at constant exchange rates (CER) unless otherwise indicated (see Appendix 10); (4) Constant Structure: Adjusted for Bioverativ acquisition; (5) See definition page 8; (6) DCV: Diabetes and Cardiovascular; (7) 2017 business EPS was €5.52; (8) Acquired thrombotic thrombocytopenic purpura; (9) Autosomal Dominant Polycystic Kidney Disease; (10) Cutaneous Squamous Cell Carcinoma

R&D update

Regulatory update

Regulatory updates since April 27, 2018 include the following:

• In June, the European Medicines Agency’s (EMA) Committee for Medicinal Products for Human Use (CHMP) recommended approval of Cablivi™ (caplacizumab) in the European Union for the treatment of adults experiencing an episode of acquired thrombotic thrombocytopenic purpura (aTTP), a rare blood-clotting disorder. Cablivi™ was developed by Ablynx, a Sanofi Company.
• In May, Zynquista™ (sotagliflozin) was accepted for review by the U.S. Food and Drug Administration (FDA) in type 1 diabetes.
• In April, the FDA accepted for priority review the Biologics License Application (BLA) for cemiplimab (collaboration with Regeneron) for the treatment of patients with metastatic cutaneous squamous cell carcinoma (CSCC) or patients with locally advanced CSCC who are not candidates for surgery.
• The results of the ODYSSEY OUTCOMES study, which showed Praluent^® (collaboration with Regeneron) significantly reduced the risk of major adverse cardiovascular events in patients who had suffered a recent acute coronary syndrome, were submitted to the FDA and EMA in the second quarter.

At the end of April 2018, the R&D pipeline contained 87 projects including 40 new molecular entities in clinical development. 36 projects are in phase 3 or have been submitted to the regulatory authorities for approval.

Portfolio update

Phase 3:

• In June, positive non-inferiority results of the BRIGHT study comparing Toujeo^® to insulin degludec were presented at the American Diabetes Association (ADA).
• In May, Sanofi and Regeneron announced that a pivotal phase 3 trial evaluating Dupixent^® to treat moderate-to-severe atopic dermatitis in adolescents (aged 12-17 years) met its primary and key secondary endpoints. The U.S. regulatory submission for patients aged 12-17 years is planned for third quarter 2018.
• Mavacamten (SAR439152/MYK461; partnership with MyoKardia), a myosin inhibitor, moved into phase 3 in obstructive hypertrophic cardiomyopathy (HCM). A phase 2 study in non-obstructive HCM also started.
• A trial evaluating Cerdelga^® in pediatric type 1 Gaucher patients switching from ERT was initiated.
• A study evaluating Praluent^® (collaboration with Regeneron) in children with heterozygous familial hypercholesterolemia (HeFH) was initiated.
• Sotagliflozin (partnership with Lexicon) moved into phase 3 in patients with worsening heart failure in diabetes.
• A phase 2/3 study evaluating venglustat, an oral glucosylceramide synthase (GCS) inhibitor, in patients at risk of rapidly progressive Autosomal Dominant Polycystic Kidney Disease (ADPKD) is in the process of being initiated.
• A cardiovascular outcome study, AMPLITUDE-O, evaluating efpeglenatide was initiated.

Phase 2:

• ALX-0171, an anti RSV Nanobody^®, entered into Sanofi’s portfolio through the acquisition of Ablynx.
• SAR440340, an anti-IL33 monoclonal antibody (partnership with Regeneron), is in the process of being initiated in a phase 2 study in chronic obstructive pulmonary disease (COPD).
• Phase 1/2a data on BIVV001, an extended factor VIII therapy, was presented at the World Federation of Hemophilia (WFH) and demonstrated a half-life of 37 hours.
• Decisions were taken to stop the development of SAR566658, a maytansin-loaded anti CA6 monoclonal antibody, in triple negative breast cancer and a recombinant subunit vaccine against tuberculosis.
• ST-400, a gene editing technology (collaboration between Sangamo and Ablynx), entered phase 2 in beta thalassemia.
• A phase 2 study evaluating dupilumab in grass immunotherapy was initiated.

To access the full press release of the 2018 Q2 results, please click here.

Forward-Looking Statements

This press release contains forward-looking statements as defined in the Private Securities Litigation Reform Act of 1995, as amended. Forward-looking statements are statements that are not historical facts. These statements include projections and estimates and their underlying assumptions, statements regarding plans, objectives, intentions and expectations with respect to future financial results, events, operations, services, product development and potential, and statements regarding future performance. Forward-looking statements are generally identified by the words "expects", "anticipates", "believes", "intends", "estimates", "plans" and similar expressions. Although Sanofi's management believes that the expectations reflected in such forward-looking statements are reasonable, investors are cautioned that forward-looking information and statements are subject to various risks and uncertainties, many of which are difficult to predict and generally beyond the control of Sanofi, that could cause actual results and developments to differ materially from those expressed in, or implied or projected by, the forward-looking information and statements. These risks and uncertainties include among other things, the uncertainties inherent in research and development, future clinical data and analysis, including post marketing, decisions by regulatory authorities, such as the FDA or the EMA, regarding whether and when to approve any drug, device or biological application that may be filed for any such product candidates as well as their decisions regarding labelling and other matters that could affect the availability or commercial potential of such product candidates, the absence of guarantee that the product candidates if approved will be commercially successful, the future approval and commercial success of therapeutic alternatives, Sanofi's ability to benefit from external growth opportunities, to complete related transactions, and/or obtain regulatory clearances, risks associated with intellectual property and any related pending or future litigation and the ultimate outcome of such litigation, trends in exchange rates and prevailing interest rates, volatile economic conditions, the impact of cost containment initiatives and subsequent changes thereto, the average number of shares outstanding as well as those discussed or identified in the public filings with the SEC and the AMF made by Sanofi, including those listed under "Risk Factors" and "Cautionary Statement Regarding Forward-Looking Statements" in Sanofi's annual report on Form 20-F for the year ended December 31, 2017. Other than as required by applicable law, Sanofi does not undertake any obligation to update or revise any forward-looking information or statements.