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Novo Nordisk A/S: Novo Nordisk: Half-yearly report

^{Published on 2009-08-05 23:38:52, Last Modified on 2009-08-05 23:39:05 - Market Wire}
 

BAGSVAERD, DENMARK--(Marketwire - August 6, 2009) - Interim financial report for the period 1 January 2009 to 30 June 2009

Novo Nordisk increased operating profit by 39% in the first six months of 2009 Raises outlook for underlying operating profit growth for the full year

* Sales increased by 17% in Danish kroner and by 11% in local currencies.

o Sales of modern insulins increased by 31% (25% in local currencies).

o Sales of NovoSeven® increased by 19% (13% in local currencies).

o Sales of Norditropin® increased by 16% (8% in local currencies).

o Sales in North America increased by 34% (18% in local currencies).

o Sales in International Operations increased by 21% (17% in local currencies).

* Gross margin improved by 2.8 percentage points to 79.9% in the first six months of 2009, primarily reflecting continued productivity improvements and a positive currency impact of around 1.3 percentage points.

* Reported operating profit increased by 39% to DKK 7,900 million. Adjusted for the impact from currencies and non-recurring costs in 2008 related to the discontinuation of all pulmonary delivery projects, underlying operating profit increased by more than 15%.

* Net profit increased by 22% to DKK 5,690 million. Earnings per share (diluted) increased by 25% to DKK 9.32.

* In a recently completed phase 3 study with approximately 650 people with type 2 diabetes comparing liraglutide (Victoza®) and sitagliptin, a DPP-IV inhibitor, blood glucose reductions and weight loss were statistically significantly higher with liraglutide 1.8 and 1.2 mg compared to sitagliptin. The safety profile of liraglutide in this study was comparable to the profile established in the previous clinical studies.

* Novo Nordisk continues the constructive dialogue with the United States Food and Drug Administration (FDA) regarding the regulatory process for liraglutide, and formal feedback from the FDA is expected later this quarter.

* For 2009, operating profit measured in local currencies is now expected to grow by 12-14% and reported operating profit growth to be around 4 percentage points higher than the operating profit growth in local currencies.

Lars Rebien Sørensen, president and CEO, said: "The performance in the first half of 2009 is encouraging and we raise our guidance for underlying operating profit growth. We are very pleased that Victoza® is now launched in the United Kingdom, Germany and Denmark and we look forward to making Victoza® available to more people with type 2 diabetes."

Financial highlights for the first six months of 2009

The present interim financial report for the first six months of 2009 has been prepared in accordance with IAS 34 Interim Financial Reporting, as issued by IASB and adopted by the EU, and the additional Danish disclosure requirements applying to listed companies' interim reports. The interim financial report has not been audited. See 'Accounting policies' in appendix 7 for further information.

Amounts in DKK million, except average number of shares outstanding, earnings per share and full-time employees.

 % change H1 2008 Profit and loss H1 2009 H1 2008 to H1 2009 Sales 25,499 21,724 17% Gross profit 20,381 16,757 22% Gross margin 79.9% 77.1% Sales and distribution costs 7,681 6,153 25% Percent of sales 30.1% 28.3% Research and development costs 3,593 3,838 (6%) - hereof discontinuation costs for - 375 - pulmonary diabetes projects Percent of sales 14.1% 17.7% Percent of sales adjusted for 14.1% 15.9% pulmonary diabetes projects Administrative expenses 1,372 1,253 9% Percent of sales 5.4% 5.8% Licence fees and other operating 165 162 2% income (net) Operating profit 7,900 5,675 39% Operating margin 31.0% 26.1% Net financials (511) 444 - Profit before tax 7,389 6,119 21% Net profit 5,690 4,651 22% Net profit margin 22.3% 21.4% Other key numbers Depreciation, amortisation and 1,140 1,130 1% impairment losses Capital expenditure 970 542 79% Cash flow from operating activities 6,756 5,986 13% Free cash flow 5,688 5,384 6% Total assets 51,246 48,478 6% Equity 34,086 33,046 3% Equity ratio 66.5% 68.2% Average number of shares outstanding (million) - diluted 610.3 624.9 (2%) Diluted earnings per share (in DKK) 9.32 7.44 25% Full-time employees at the end of the 27,998 26,060 7% period 

Sales development by segments

Sales increased by 17% in Danish kroner and by 11% measured in local currencies. Growth was realised within both diabetes care and biopharmaceuticals, the primary growth contribution originated from the modern insulins and NovoSeven®.

 Sales Growth Growth Share of H1 2009 as in local growth DKK reported currencies in local million currencies The diabetes care segment Modern insulins 10,404 31% 25% 82% - NovoRapid® 4,739 32% 24% 36% - NovoMix® 3,203 23% 18% 20% - Levemir® 2,462 42% 36% 26% Human insulins 5,883 0% (6%) (14%) Protein-related products 976 8% 3% 1% Oral antidiabetic products 1,366 22% 14% 6% Diabetes care - total 18,629 18% 11% 75% The biopharmaceuticals segment NovoSeven® 3,679 19% 13% 17% Norditropin® 2,156 16% 8% 6% Other products 1,035 12% 5% 2% Biopharmaceuticals - total 6,870 17% 10% 25% Total sales 25,499 17% 11% 100% 

Sales development by regions

In the first six months of 2009, sales growth was realised in all regions. North America was the main contributor with 50% share of growth measured in local currencies. International Operations and Europe contributed 30% and 19%, respectively, of the total sales growth.

Diabetes care

Sales of diabetes care products increased by 18% measured in Danish kroner to DKK 18,629 million and by 11% in local currencies compared with the first six months of 2008.

Modern insulins, human insulins and protein-related products In the first six months of 2009, sales of modern insulins, human insulins and protein-related products increased by 17% in Danish kroner to DKK 17,263 million and by 11% measured in local currencies compared with the same period last year, driven by North America and International Operations. Novo Nordisk continues to be the global leader with 51% of the total insulin market and 45% of the modern insulin market, both measured by volume.

The portfolio of modern insulins is the main contributor to growth and increased by 31% in Danish kroner to DKK 10,404 million and by 25% in local currencies compared with the first six months of 2008. All regions realised solid growth rates, with North America accounting for more than half of the growth followed by Europe and International Operations. Sales of modern insulins now constitute 64% of Novo Nordisk's sales of insulin.

North America

Sales in North America increased by 41% in Danish kroner and by 24% in local currencies in the first six months of 2009, reflecting a solid penetration of the modern insulins Levemir®, NovoLog® and NovoLog® Mix 70/30. Novo Nordisk maintains its leadership position in the US insulin market with 41% of the total insulin market and 33% of the modern insulin market, both measured by volume. Currently, around 39% of Novo Nordisk's modern insulin volume in the US is being sold in FlexPen®.

Europe

Sales in Europe decreased by 2% measured in Danish kroner and increased by 3% in local currencies, reflecting continued progress for the portfolio of modern insulins but also declining human insulin sales. Novo Nordisk holds 55% of the total insulin market and 51% of the modern insulin market, both measured by volume, and is capturing the main share of growth in the modern insulin market. The device penetration in Europe remains high with more than 95% of Novo Nordisk's insulin volume being administered in devices, primarily NovoPen® and FlexPen®.

International Operations

Sales within International Operations increased by 21% in Danish kroner and by 16% in local currencies. The main contributor to growth in the first six months of 2009 was sales of modern insulins, primarily in China and Turkey. Furthermore, sales of human insulin, driven by China, continue to add to overall growth in the region. The device penetration in China is high with more than 90% of Novo Nordisk's insulin volume administered in devices, primarily NovoPen®.

Japan & Oceania

Sales in Japan & Oceania increased by 19% measured in Danish kroner and decreased by 1% in local currencies. The sales development reflects sales growth for all three modern insulins, NovoRapid®, NovoRapid Mix® 30 and Levemir®, countered by pressure on the overall Novo Nordisk market share due to intense competition. Novo Nordisk holds 69% of the total insulin market in Japan and 61% of the modern insulin market, both measured by volume. The device penetration in Japan remains high with more than 95% of Novo Nordisk's insulin volume being administered in devices, primarily NovoPen® and FlexPen®.

Oral antidiabetic products (NovoNorm®/Prandin®)

In the first six months of 2009, sales of oral antidiabetic products increased by 22% in Danish kroner to DKK 1,366 million and by 14% in local currencies compared with the same period in 2008. Sales development is positively impacted by timing of sales in 2008 in China.

Biopharmaceuticals

In the first six months of 2009, sales of biopharmaceutical products increased by 17% measured in Danish kroner to DKK 6,870 million and by 10% measured in local currencies compared with the first six months of 2008.

NovoSeven®

Sales of NovoSeven® increased by 19% in Danish kroner to DKK 3,679 million and by 13% in local currencies compared with the first six months of 2008. Sales growth for NovoSeven® was primarily realised in Europe and International Operations. The sales growth for NovoSeven® primarily reflected increased sales within the congenital bleeding disorder segments. Treatment of spontaneous bleeds for congenital inhibitor patients remains the largest area of use.

Norditropin®

Sales of Norditropin® (ie growth hormone in a liquid, ready-to-use formulation) increased by 16% measured in Danish kroner to DKK 2,156 million and by 8% measured in local currencies compared with the first six months of 2008. North America and Europe were the main contributors to growth measured in local currencies. Novo Nordisk is still the second-largest company in the global growth hormone market with 25% market share measured by volume.

Other products

Sales of other products within biopharmaceuticals, which predominantly consist of hormone replacement therapy (HRT)-related products, increased by 12% in Danish kroner to DKK 1,035 million and by 5% in local currencies. This development primarily reflects continued sales progress for Vagifem®, a topical oestrogen product, countered by generic competition in the US for Activella® (Activelle® outside the US), Novo Nordisk's continuous-combined HRT product. The low-dose version of Activelle® was launched in Europe in April 2009 and has been available in the US since 2007.

Costs, licence fees and other operating income

The gross margin increased to 79.9% compared with 77.1% in the same period of 2008. This improvement reflects improved production efficiency, higher average selling prices in the US and a positive product mix effect. The gross margin was positively impacted by around 1.3 percentage points from a positive currency development, primarily the higher value of the US dollar and the Japanese yen versus the Danish krone compared with the first six months of 2008.

In the first six months of 2009, total non-production-related costs increased by 12% to DKK 12,646 million compared with the same period last year. Close to half of the increase in non-production-related costs, or around 6 percentage points, reflects the higher value of key currencies versus the Danish krone in the first six months of 2009 compared with the first six months of 2008. The underlying development in non-production-related costs relates to the expanded sales force in especially the US, UK, Germany and China countered by lower research and development costs, primarily reflecting the timing of phase 3 clinical trial programmes as well as the non-recurring costs of DKK 375 million in the first six months of 2008 related to the discontinuation of pulmonary diabetes projects.

Licence fees and other operating income were DKK 165 million in the first six months of 2009 compared with DKK 162 million in the same period of 2008.

Net financials

Net financials showed a net expense of DKK 511 million in the first six months of 2009 compared with a net income of DKK 444 million in the same period of 2008.

For the first six months of 2009, the foreign exchange result was an expense of DKK 501 million compared with an income of DKK 474 million in the first six months of 2008. This development reflects losses on foreign exchange hedging of especially US dollars and Japanese yen due to the significant appreciation of these currencies versus Danish kroner in the first six months of 2009 compared to the exchange rate level prevailing in 2008. The market value of foreign exchange hedging contracts for future income recognition is now positive with a loss of approximately DKK 300 million expected to be recognised as an expense in the second half of 2009, and an income of approximately DKK 500 million to be recognised in 2010.

Included in net financials is the result from associated companies with an expense of DKK 46 million, primarily related to Novo Nordisk's share of losses in ZymoGenetics, Inc. In the same period of 2008, the result from associated companies was an expense of DKK 70 million.

Outlook 2009

The current expectations for 2009 are summarised and compared to the previous expectations in the table below (changes highlighted in bold and italic):

 +-------------------------------------------------------------------+ | Expectations are as | Current | Previous | | reported, if not | expectations | expectations | | otherwise stated | 6 August 2009 | 30 April 2009 | |-----------------------+---------------------+---------------------| | Sales growth | | | | - in local | At the level of 10% | At the level of 10% | | currencies | Around 2 percentage | Around 4.5 | | - as reported | points | percentage points | | | higher | higher | |-----------------------+---------------------+---------------------| | Operating profit | | | | growth | 12-14% | At least 10% | | - in local | Around 4 percentage | Around 8 percentage | | currencies | points | points | | - as reported | higher | higher | | | | | |-----------------------+---------------------+---------------------| | Net financial expense | Around DKK 900 | Around DKK 1.5 | | | million | billion | |-----------------------+---------------------+---------------------| | Effective tax rate | Approximately 23% | Approximately 23% | |-----------------------+---------------------+---------------------| | Capital expenditure | Around DKK 3 | Around DKK 3 | | | billion | billion | |-----------------------+---------------------+---------------------| | Depreciation, | Around DKK 2.6 | Around DKK 2.6 | | amortisation and | billion | billion | | impairment losses | | | |-----------------------+---------------------+---------------------| | Free cash flow | More than DKK 10 | Around DKK 10 | | | billion | billion | +-------------------------------------------------------------------+ 

Novo Nordisk still expects sales growth in 2009 at the level of 10% measured in local currencies. This is based on expectations of continued market penetration for Novo Nordisk's key strategic products within diabetes care and biopharmaceuticals as well as expectations of continued intense competition during 2009. Given the current level of exchange rates versus Danish kroner, the reported sales growth is now expected to be around 2 percentage points higher than the growth rate measured in local currencies.

For 2009, growth in operating profit is now expected to be 12-14% measured in local currencies. The increase reflects a reduction in the expected level of research and development costs for 2009 due to timing of phase 3 clinical trial programmes. Furthermore, the forecast is based on assumptions of a continuous improvement of the gross margin and increased spending for sales and distribution relative to sales due to the increase in Novo Nordisk's global sales force. Given the current level of exchange rates versus Danish kroner, the reported operating profit growth is now expected to be around 4 percentage points higher than the growth rate measured in local currencies.

For 2009, Novo Nordisk now expects a net financial expense of around DKK 900 million. The current expectation reflects significant foreign exchange hedging losses, primarily related to the US dollar and the Japanese yen.

The effective tax rate for 2009 is still expected to be around 23%.

Capital expenditure is still expected to be around DKK 3 billion in 2009. Expectations for depreciations, amortisation and impairment losses of around DKK 2.6 billion are unchanged, whereas free cash flow is now expected to be more than DKK 10 billion, reflecting slightly higher expectations for net profit.

All of the above expectations are based on the assumption that the global economic downturn will not significantly change the business environment for Novo Nordisk during the remaining part of 2009. In addition, the above expectations are provided that currency exchange rates, especially the US dollar, remain at the current level versus the Danish krone for the rest of 2009 (see appendix 6). Novo Nordisk has hedged expected net cash flows in a number of invoicing currencies and, all other things being equal, movements in key invoicing currencies will impact Novo Nordisk's operating profit as outlined in the below table.

 Key invoicing Annual impact on Novo Nordisk's Hedging period currencies operating profit of a 5% (months) movement in currency USD DKK 530 million 15 JPY DKK 150 million 15 GBP DKK 80 million 13 CNY DKK 80 million 15* CAD DKK 40 million 7 *USD used as proxy when hedging Novo Nordisk's CNY currency exposure 

The financial impact from foreign exchange hedging is included in 'Net financials'.

Research and development update

Diabetes care

As announced on 3 July, the European Commission has granted marketing authorisation for Victoza® for the treatment of type 2 diabetes in adults. The authorisation covers all 27 European Union member states. Victoza® is the brand name approved in Europe for liraglutide, the first once-daily human Glucagon-Like Peptide-1 (GLP-1) analogue developed for the treatment of type 2 diabetes. The marketing authorisation covers treatment in combination with metformin or a sulphonylurea in patients with insufficient glycaemic control despite maximal tolerated dose of monotherapy with these agents. Furthermore, the authorisation covers combination treatment with metformin and a sulphonylurea or metformin and a thiazolidinedione in patients with insufficient glycaemic control despite these dual therapies. In the beginning of July, Novo Nordisk launched Victoza® in the UK, Germany and Denmark and expects to launch Victoza® in more European markets during the second half of 2009 and throughout 2010.

In the US, Novo Nordisk continues the constructive dialogue with the United States Food and Drug Administration regarding the regulatory process for liraglutide. Novo Nordisk expects to receive formal feedback from the FDA for liraglutide later this quarter.

In a recently completed study, the effect of liraglutide was compared to sitagliptin, both administered as add-on to metformin in people with type 2 diabetes. The study was a 26-week, randomised, open-label, multinational trial in which daily doses of 1.2 and 1.8 mg of liraglutide were compared to 100 mg sitagliptin. The trial enrolled approximately 650 people with type 2 diabetes failing to reach an HbA1c level of below 7.5% after daily treatment with at least 1500 mg of metformin. From a baseline of around 8.5%, HbA1c decreased by approximately 1.5 percentage points in the 1.8 mg liraglutide treatment arm and 1.2 percentage points in the 1.2 mg liraglutide treatment arm, compared to 0.9 percentage points in the sitagliptin treatment arm. The ADA HbA1c target of below 7% was reached in approximately 55%, 40% and 20% of the patients in the 1.8 mg liraglutide, 1.2 mg liraglutide and sitagliptin treatment arms, respectively. In the same groups, a weight loss of approximately 3.5 kg, 3 kg and 1 kg was found, respectively. All the above differences were statistically significant, in favour of both doses of liraglutide compared to sitagliptin. The safety profile of liraglutide in this study was comparable to the profile established in the previous clinical studies.

At the annual meeting of the American Diabetes Association (ADA) held in New Orleans in June this year, Novo Nordisk presented the detailed two-year data with liraglutide in monotherapy (LEAD™ 3). The study investigated the efficacy and safety of two doses of liraglutide (1.2 mg and 1.8 mg) compared with glimepiride treatment in type 2 diabetes patients. The trial consisted of a 52-week randomised, double-blinded period followed by a one-year controlled open-label extension. Once-daily liraglutide, used as monotherapy, led to statistically significant and sustained reductions in blood glucose and body weight after two years of treatment. 58% of patients treated with liraglutide 1.8 mg once daily reached and maintained the ADA's target of HbA1C less than 7%, versus 37% of patients treated with glimepiride 8 mg once daily. After two years of treatment with 1.8 mg of liraglutide, mean body weight decreased by 2.7 kg compared to an overall weight increase in the glimepiride group of 0.95 kg, a difference that was statistically significant. Importantly, minor hypoglycaemia was six times less frequent in the liraglutide treatment groups compared with the glimepiride group.

Furthermore, detailed results from the LEAD™ 6 study were presented at the ADA meeting and published in The Lancet in June 2009. The LEAD™ 6 study was a randomised, open-label study comparing the efficacy and safety of once-daily liraglutide 1.8 mg to exenatide 10 µg, given twice daily, for 26 weeks. The study showed that liraglutide treatment led to statistically significantly greater lowering of blood glucose than exenatide treatment and that liraglutide was associated with less persistent nausea than exenatide. In two subsequent trial extensions, of 14 and 38 weeks' duration respectively, the efficacy and safety of longer-term treatment with liraglutide has been investigated as well as the impact of switching from exenatide to liraglutide treatment. New data from the recently completed 38-week extension showed that patients are largely able to maintain the achieved reduction in the blood glucose levels as well as body weight. Moreover, the extensions of the LEAD™ 6 study confirmed the established safety and tolerability profile of liraglutide during longer-term treatment.

With regard to the liraglutide phase 3 programme for the treatment of obesity, the first of three phase 3 trials is progressing according to plans. The remaining two phase 3 trials are not expected to be initiated before Novo Nordisk has more clarity on the US regulatory process for liraglutide for the treatment of type 2 diabetes.

In July 2009, Novo Nordisk received marketing authorisation for Levemir® in China from the Chinese regulatory authorities (SFDA). Novo Nordisk expects to launch Levemir® in China in the beginning of 2010 and will thereby become the only company with a complete portfolio of modern insulins for people with diabetes in China.

The new generation of modern insulins, SIBA (soluble insulin basal analogue, NN1250) and SIAC (soluble insulin analogue combination, NN5401), are both expected to start phase 3 clinical trials in the third quarter this year. SIBA is a neutral, soluble, long-acting basal insulin developed to provide a duration of more than 24 hours and a flat and predictable profile. SIAC is a neutral, soluble, fixed-combination of a long-acting basal insulin and a fast-acting insulin, without a need for resuspension. The trial programmes for the two insulins are named BEGIN™ and BOOST™, respectively. The large trial programme will be executed in waves and the primary endpoint will be changes in HbA1C with frequency of hypoglycaemia and other general safety measures as the most important secondary endpoints. In total, the BEGIN™ programme is expected to include around 7,000 patients whereas the BOOST™ programme is expected to include approximately 3,000 patients. The first wave of the BEGIN™ programme will include direct comparison with insulin glargine in insulin naïve type 2 diabetics as well as trials investigating the use of the new insulin in a basal-bolus treatment regimen for people with both type 1 and type 2 diabetes. For the BOOST™ programme, wave 1 will be a trial investigating the use of the new insulin compared to Levemir® in a basal-bolus treatment regimen in people with type 1 diabetes. As mentioned, the first wave of the two programmes is expected to be initiated in the third quarter of 2009, and the subsequent waves are expected to be initiated in the fourth quarter of 2009 and first half of 2010.

Biopharmaceuticals

In June 2009, at the Endocrine Society's Annual Meeting in Washington DC, USA, results from the phase 2 study with the once-weekly growth hormone compound NNC126-0083 in adults with growth hormone deficiency (AGHD) were presented. The study included 32 patients that were randomised to one of three different doses of active treatment or placebo. The patients received weekly doses of growth hormone compound subcutaneously for three weeks. The study demonstrated a solid efficacy profile that allows for once-weekly administration of growth hormone. While the study did not involve a direct comparison to once-daily injected growth hormone, the results of the trial indicate an efficacy profile comparable to the efficacy of once-daily administered growth hormone seen in other trials, as measured by the IGF-1 blood levels achieved. IGF-1 release is a well-established biomarker of growth hormone effects. In addition, the compound was generally well tolerated. Novo Nordisk has now initiated a phase 2a single dose study in children with growth hormone deficiency (GHD) expected to enrol 32 individuals and results of this trial are expected in the beginning of 2010.

Within the area of haemostasis, Novo Nordisk has initiated a randomised, double-blinded, placebo-controlled, phase 2 trial with rFXIII in cardiac surgery. The aim of the trial is to investigate the safety and efficacy of rFXIII on transfusion needs in patients undergoing heart surgery. The trial is expected to enrol around 400 patients and results are expected early 2011.

The phase 1 trial with subcutaneous injection of rFVIIa has now been completed. While the study showed that subcutaneous dosing is possible, the bioavailability was lower than expected. Hence, Novo Nordisk has decided not to continue into phase 2 clinical development with this mode of administration for this compound and will instead focus on subcutaneous administration of a long-acting rFVIIa expected to enter clinical development this year.

In addition, Novo Nordisk expects to start phase 2 clinical development in the third quarter this year with the long-acting recombinant FVIIa derivative, NN7128, intended for prophylactic treatment of haemophilia patients with inhibitors. The phase 2 trial will involve around 24 patients and results are expected in 2011.

Furthermore, Novo Nordisk expects to start a phase 1 trial with a recombinant long-acting factor IX compound in the third quarter of 2009. The trial is expected to enrol around 20 patients in a dose-finding trial and the study is expected to be completed in mid-2010.

Finally, within the area of inflammation Novo Nordisk has initiated a phase 1 trial to evaluate the safety of single and multiple dosing of a novel monoclonal antibody in patients with rheumatoid arthritis. With this, Novo Nordisk now has a total of three projects in clinical development within inflammation.

Equity

Total equity was DKK 34,086 million at the end of the first six months of 2009, equal to 66.5% of total assets, compared with 65.2% at the end of 2008. Please refer to appendix 5 for further elaboration of changes in equity during the first six months of 2009.

Treasury shares and share repurchase programme

As per 5 August 2009, Novo Nordisk A/S and its wholly-owned affiliates owned 21,462,241 of its own B shares, corresponding to 3.5% of the total share capital. The reduced ownership of own shares reflects the cancellation of 14,000,000 B shares, which took place on 22 June 2009 following a decision at the Annual General Meeting earlier this year. After the legal implementation of the share capital reduction, Novo Nordisk's share capital amounts to DKK 620,000,000 divided into an A share capital of DKK 107,487,200 and a B share capital of DKK 512,512,800.

In 2009, under the Safe Harbour rules Novo Nordisk has repurchased 10,670,182 B shares equal to a cash value of DKK 3.0 billion. The ongoing share repurchase programme of DKK 18.5 billion has today been increased by DKK 0.5 billion to DKK 19 billion, reflecting the improved outlook for free cash flow generation in 2009. Novo Nordisk still expects to finalise the share repurchase programme before the end of 2009. As a consequence Novo Nordisk now expects to repurchase B shares equal to a cash value of around DKK 6.5 billion in 2009 in total. In the period from 2006 to 2008 Novo Nordisk repurchased B shares equal to a cash value of DKK 12.5 billion in total.

Sustainability issues update

Sharing treatment best practices

Novo Nordisk has launched a Changing Diabetes® Barometer website, changingdiabetesbarometer.com, which shows the current state of diabetes and diabetes care in more than 70 countries and highlights areas where improvement is possible. The tool enables policy-makers and healthcare providers to measure progress and set priorities for action plans. Offering a set of indicators defined by international guidelines, the Changing Diabetes® Barometer increases transparency on the status of diabetes prevention and care with an aim to improve health outcomes and bring down total costs.

The Changing Diabetes® Barometer is a key element in Novo Nordisk's contribution to implement the United Nations Declaration on Diabetes. It is a direct response to the need for robust measurements on the scale of diabetes and availability of metrics to track performance.

Green electricity for Novo Nordisk in Denmark

Supplies of green electricity to Novo Nordisk began in May 2009, as part of the company's partnership agreement with its energy supplier in Denmark, DONG Energy, in which energy savings in the company's operations are earmarked to purchase green energy. The electricity is produced at the newly inaugurated offshore wind farm, Horns Rev II. Projections are that Novo Nordisk will receive 80 - 100 million kWh during 2009, corresponding to a reduction of CO2 emissions of 40,000-50,000 tons in 2009.

Legal issues update

US hormone therapy litigation

As of 5 August 2009, Novo Nordisk Inc., as well as the majority of hormone therapy product manufacturers in the US, is a defendant in product liability lawsuits related to hormone therapy products. These lawsuits currently involve a total of 53 individuals who allege use of a Novo Nordisk hormone therapy product. These products (Activella® and Vagifem®) have been sold and marketed in the US since 2000. Until July 2003, the products were sold and marketed exclusively in the US by Pharmacia & Upjohn Company (now Pfizer Inc.). A further 60 individuals currently allege, in relation to similar lawsuits against Pfizer Inc., that they have also used a Novo Nordisk hormone therapy product. Novo Nordisk does not have any court trials scheduled for 2009; currently the first court trial is expected in the first quarter of 2010. Novo Nordisk does not expect the pending claims to impact Novo Nordisk's financial outlook.

Conference call details

At 13.00 CET today, corresponding to 7.00 am EDT, a conference call will be held. Investors will be able to listen in via a link on novonordisk.com, which can be found under 'Investors - Download centre'. Presentation material for the conference call will be made available approximately one hour before on the same page.

Forward-looking statements

Novo Nordisk's reports filed with or furnished to the US Securities and Exchange Commission (SEC), including this document as well as the company's Annual Report 2008 and Form 20-F, both filed with the SEC in February 2009, and written information released, or oral statements made, to the public in the future by or on behalf of Novo Nordisk, may contain forward-looking statements. Words such as 'believe', 'expect', 'may', 'will', 'plan', 'strategy', 'prospect', 'foresee', 'estimate', 'project', 'anticipate', 'can', 'intend', 'target' and other words and terms of similar meaning in connection with any discussion of future operating or financial performance identify forward-looking statements. Examples of such forward-looking statements include, but are not limited to:

- statements of plans, objectives or goals for future operations, including those related to Novo Nordisk's products, product research, product development, product introductions and product approvals as well as cooperations in relation thereto,

- statements containing projections of or targets for revenues, income (or loss), earnings per share, capital expenditures, dividends, capital structure or other net financials,

- statements of future economic performance, future actions and outcome of contingencies such as legal proceedings, and

- statements of the assumptions underlying or relating to such statements.

In this document, examples of forward-looking statements can be found under the headings 'Outlook 2009', 'Research and development update', 'Equity' and 'Legal issues update'.

These statements are based on current plans, estimates and projections. By their very nature, forward-looking statements involve inherent risks and uncertainties, both general and specific. Novo Nordisk cautions that a number of important factors, including those described in this document, could cause actual results to differ materially from those contemplated in any forward-looking statements.

Factors that may affect future results include, but are not limited to, global as well as local political and economic conditions, including interest rate and currency exchange rate fluctuations, delay or failure of projects related to research and/or development, unplanned loss of patents, interruptions of supplies and production, product recall, unexpected contract breaches or terminations, government-mandated or market-driven price decreases for Novo Nordisk's products, introduction of competing products, reliance on information technology, Novo Nordisk's ability to successfully market current and new products, exposure to product liability and legal proceedings and investigations, changes in governmental laws and related interpretation thereof, including on reimbursement, intellectual property protection and regulatory controls on testing, approval, manufacturing and marketing, perceived or actual failure to adhere to ethical marketing practices, investments in and divestitures of domestic and foreign companies, unexpected growth in costs and expenses, failure to recruit and retain the right employees and failure to maintain a culture of compliance.

Please also refer to the overview of risk factors in 'Managing Risks' on pp 24-25 of the Annual Report 2008 available on the company's website (novonordisk.com).

Unless required by law Novo Nordisk is under no duty and undertakes no obligation to update or revise any forward-looking statement after the distribution of this document, whether as a result of new information, future events or otherwise.

Management statement

Today, the Board of Directors and Executive Management reviewed and approved the interim financial report and accounts of Novo Nordisk A/S for the first six months of 2009.

The interim financial report and accounts have been prepared in accordance with International Financial Reporting Standards and the additional Danish disclosure requirements applying to listed companies' interim reports and accounts.

In our opinion the accounting policies used are appropriate and the overall presentation of the interim financial report and accounts is adequate. Furthermore, in our opinion the interim financial report and accounts include a fair view of the development and performance of the business and the financial position of the Group, as well as an overview of the material risks and uncertainties the Group faces.

Bagsvaerd 6 August 2009

 Executive Management: Lars Rebien Sørensen Jesper Brandgaard President and CEO CFO Lise Kingo Kåre Schultz Mads Krogsgaard Thomsen Board of Directors: Sten Scheibye Göran A Ando Chairman Vice chairman Henrik Gürtler Johnny Henriksen Pamela J Kirby Anne Marie Kverneland Kurt Anker Nielsen Søren Thuesen Pedersen Hannu Ryöppönen Stig Strøbaek Jørgen Wedel Contacts for further information Media: Investors: Mike Rulis Mads Veggerby Lausten Tel: (+45) 4442 3573 Tel: (+45) 4443 7919 E-mail: [ mike@novonordisk.com ] E-mail: [ mlau@novonordisk.com ] Kasper Roseeuw Poulsen Tel: (+45) 4442 4471 E-mail: [ krop@novonordisk.com ] In North America: Sean Clements Hans Rommer Tel: (+1) 609 514 8316 Tel: (+1) 609 919 7937 E-mail: [ secl@novonordisk.com ] E-mail: [ hrmm@novonordisk.com ]

Further information on Novo Nordisk is available on the company's internet homepage at the address: novonordisk.com

 Appendix 1 - Quarterly numbers in DKK (Amounts in DKK million, except number of employees, earnings per share and number of shares outstanding.) % change Q2 2009 2009 2008 vs Q2 Q2 Q1 Q4 Q3 Q2 Q1 2008 Sales 13,001 12,498 12,583 11,246 11,110 10,614 17% Gross profit 10,391 9,990 10,047 8,640 8,556 8,201 21% Gross margin 79.9% 79.9% 79.8% 76.8% 77.0% 77.3% Sales and distribution costs 3,837 3,844 3,558 3,155 3,178 2,975 21% Percent of 29.5% 30.8% 28.3% 28.1% 28.6% 28.0% sales Research and development costs 1,849 1,744 2,439 1,579 1,980 1,858 (7%) - Hereof cost related to AERx®* - - - 50 (155) (220) Percent of 14.2% 14.0% 19.4% 14.0% 17.8% 17.5% sales Percent of sales (excl. AERx®*) 14.2% 14.0% 19.4% 14.5% 16.4% 15.4% Administrative expenses 693 679 749 633 626 627 11% Percent of 5.3% 5.4% 6.0% 5.6% 5.6% 5.9% sales Licence fees and other operating income (net) 78 87 73 51 74 88 5% Operating profit 4,090 3,810 3,374 3,324 2,846 2,829 44% Operating 31.5% 30.5% 26.8% 29.6% 25.6% 26.7% margin Operating profit (excl.AERx®*) 4,090 3,810 3,374 3,274 3,001 3,049 36% Operating margin (excl. AERx®*) 31.5% 30.5% 26.8% 29.1% 27.0% 28.7% Share of profit/ (loss) in associated companies (11) (35) 4 (58) (3) (67) 267% Financial income 166 142 (82) 306 429 474 (61%) Financial expenses 361 412 226 66 21 368 1619% Profit before income taxes 3,884 3,505 3,070 3,506 3,251 2,868 19% Net profit 2,991 2,699 2,330 2,664 2,471 2,180 21% Depreciation, amortisation and impairment losses 533 607 752 560 567 563 (6%) Capital expenditure 557 413 764 448 328 214 70% Cash flow from operating activities 2,608 4,148 3,204 3,673 2,916 3,070 (11%) Free cash flow 2,062 3,626 2,421 3,210 2,589 2,795 (20%) Equity 34,086 31,345 32,979 32,173 33,046 31,251 3% Total assets 51,246 50,205 50,603 48,990 48,478 47,534 6% Equity ratio 66.5% 62.4% 65.2% 65.7% 68.2% 65.7% Full-time employees at the end of the period 27,998 27,429 26,575 26,360 26,060 25,765 7% Basic earnings per share (in DKK) 4.96 4.44 3.82 4.34 3.99 3.51 24% Diluted earnings per share (in DKK) 4.91 4.41 3.80 4.30 3.96 3.48 24% Average number of shares outstanding (million) 603.1 607.4 609.3 614.2 618.6 620.9 (3%) Average number of shares outstanding incl dilutive effect of options 'in the money' (million) 607.9 612.7 614.4 618.6 623.5 626.3 (3%) Sales by business segments: Modern insulins (insulin analogues) 5,414 4,990 5,028 4,365 4,103 3,821 32% Human insulins 2,879 3,004 3,093 2,806 2,966 2,939 (3%) Protein- related sales 492 484 477 464 460 443 7% Oral antidiabetic products (OAD) 675 691 602 671 478 640 41% Diabetes care total 9,460 9,169 9,200 8,306 8,007 7,843 18% NovoSeven® 1,874 1,805 1,774 1,534 1,648 1,440 14% Norditropin® 1,122 1,034 1,060 941 986 878 14% Hormone replacement therapy 435 409 442 394 391 385 11% Other products 110 81 107 71 78 68 41% Biopharma- ceuticals total 3,541 3,329 3,383 2,940 3,103 2,771 14% Sales by geographic segments: Europe 4,375 4,195 4,453 4,305 4,400 4,061 (1%) North America 4,710 4,532 4,478 3,759 3,467 3,450 36% International Operations 2,532 2,513 2,186 2,074 2,069 2,096 22% Japan & Oceania 1,384 1,258 1,466 1,108 1,174 1,007 18% Segment operating profit: Diabetes care 2,333 2,171 2,424 1,963 1,510 1,672 55% Diabetes care (excl. AERx®*) 2,333 2,171 2,424 1,913 1,665 1,892 40% Biopharma- 32% ceuticals 1,757 1,639 950 1,361 1,336 1,157 *) Costs related to the discontinuation of all pulmonary diabetes projects. Appendix 2 - Income Statement H1 H1 Q2 Q2 DKK million 2009 2008 2009 2008 Sales 25,499 21,724 13,001 11,110 Cost of goods sold 5,118 4,967 2,610 2,554 Gross profit 20,381 16,757 10,391 8,556 Sales and distribution costs 7,681 6,153 3,837 3,178 Research and development costs 3,593 3,838 1,849 1,980 - hereof costs related to AERx® *) - (375) - (155) Administrative expenses 1,372 1,253 693 626 Licence fees and other operating income (net) 165 162 78 74 Operating profit 7,900 5,675 4,090 2,846 Operating profit (excl AERx® *) 7,900 6,050 4,090 3,001 Share of profit/ (loss) in associated companies (46) (70) (11) (3) Financial income 308 903 166 429 Financial expenses 773 389 361 21 Profit before income taxes 7,389 6,119 3,884 3,251 Income taxes 1,699 1,468 893 780 NET PROFIT 5,690 4,651 2,991 2,471 Basic earnings per share (DKK) 9.40 7.50 4.96 3.99 Diluted earnings per share (DKK) 9.32 7.44 4.91 3.96 Segment Information Segment sales: Diabetes care 18,629 15,850 9,460 8,007 Biopharmaceuticals 6,870 5,874 3,541 3,103 Segment operating profit**): Diabetes care 4,504 3,182 2,333 1,510 Operating margin 24.2% 20.1% 24.7% 18.9% Biopharmaceuticals 3,396 2,493 1,757 1,336 Operating margin 49.4% 42.4% 49.6% 43.1% Total segment operating profit 7,900 5,675 4,090 2,846 Statement of comprehensive income Net profit for the period 5,690 4,651 2,991 2,471 Other comprehensive income: Exchange rate adjustment of investments in subsidiaries 328 124 165 233 Novo Nordisk share of equity recognised by associated companies 9 14 1 5 Deferred (gain)/ loss on cash flow hedges at the beginning of the year recognised in the Income statement for the period 333 (481) 220 (273) Fair value adjustments on financial instruments 554 708 735 136 Tax on fair value adjustments on financial instruments 1 0 (3) 0 Other adjustments (15) 12 (1) 50 Tax on other adjustments (31) 0 (48) 0 Other comprehensive income for the period, net of tax 1,179 377 1,069 151 TOTAL COMPREHENSIVE INCOME FOR THE PERIOD 6,869 5,028 4,060 2,622 *) Excluding costs related to the discontinuation of AERx® and all other pulmonary diabetes projects. **) Group financing (including financial expense and financial income) and income taxes are managed on a group basis and are not allocated to operating segments. Appendix 3 - Statement of financial position DKK million 30 Jun 2009 31 Dec 2008 ASSETS Intangible assets 911 788 Property, plant and equipment 18,760 18,639 Investments in associated companies 170 222 Deferred income tax assets 1,489 1,696 Other financial assets 189 194 TOTAL LONG-TERM ASSETS 21,519 21,539 Inventories 9,900 9,611 Trade receivables 7,254 6,581 Tax receivables 717 1,010 Other receivables 1,902 1,704 Marketable securities and financial derivatives 1,091 1,377 Cash at bank and in hand 8,863 8,781 TOTAL CURRENT ASSETS 29,727 29,064 TOTAL ASSETS 51,246 50,603 EQUITY AND LIABILITIES Share capital 620 634 Treasury shares (20) (26) Retained earnings 33,369 33,433 Other comprehensive income 117 (1,062) TOTAL EQUITY 34,086 32,979 Long-term debt 979 980 Deferred income tax liabilities 2,359 2,404 Provision for pensions 437 419 Other provisions 910 863 Total long-term liabilities 4,685 4,666 Short-term debt and financial derivatives 453 1,334 Trade payables 1,660 2,281 Tax payables 755 567 Other liabilities 6,723 5,853 Other provisions 2,884 2,923 Total current liabilities 12,475 12,958 TOTAL LIABILITIES 17,160 17,624 TOTAL EQUITY AND LIABILITIES 51,246 50,603 Appendix 4 - Statement of Cash flows DKK million H1 2009 H1 2008 Net profit 5,690 4,651 Adjustment for non-cash items 2,785 3,121 Income taxes paid and net interest received (872) (930) Cash flow before change in working capital 7,603 6,842 Net change in working capital (847) (856) Cash flow from operating activities 6,756 5,986 Net investments in intangible assets and long-term financial assets (116) (230) Capital expenditure for property, plant and equipment (970) (542) Net change in marketable securities (maturity exceeding three months) - 3 Dividend received 18 170 Net cash used in investing activities (1,068) (599) Cash flow from financing activities (5,866) (4,233) NET CASH FLOW (178) 1,154 Unrealised gain/(loss) on exchange rates and marketable securities included in cash and cash equivalents 23 14 Net change in cash and cash equivalents (155) 1,168 Cash and cash equivalents at the beginning of the year 8,726 4,617 Cash and cash equivalents at the end of the period 8,571 5,785 Bonds with original term to maturity exceeding three months 1,016 1,471 Undrawn committed credit facilities 7,447 7,458 FINANCIAL RESOURCES AT THE END OF THE PERIOD 17,034 14,714 Cash flow from operating activities 6,756 5,986 + Net cash used in investing activities (1,068) (599) - Net change in marketable securities (maturity exceeding three months) - 3 FREE CASH FLOW 5,688 5,384 Appendix 5 - Statement of changes in equity Other reserves Share Trea- Re- Ex- De- Other Total capital sury tained change ferred adjust- shares earn- rate gain/ ments ings adjust- loss ments on cash flow hedges DKK million H1 2009 Balance at the beginning period 634 (26) 33,433 (256) (859) 53 32,979 Total comprehen- sive income for the period 5,690 328 888 (37) 6,869 Dividends (3,650) (3,650) Share- based payment 104 104 Reduction of the B share capital (14) 14 - Purchase of treasury shares (9) (2,280) (2,289) Sale of treasury shares 1 72 73 Balance at the end of the period 620 (20) 33,369 72 29 16 34,086 At the end of the year proposed dividends (declared in 2008) of DKK 3,650 million (6.00 DKK per share) are included in Retained earnings. No dividend is declared on treasury shares Other reserves Share Trea- Re- Ex- De- Other Total capital sury tained change ferred adjust- shares earn- rate gain/ ments ings adjust- loss ments on cash flow hedges DKK million H1 2008 Balance at the beginning period 647 (26) 30,661 209 678 13 32,182 Total comprehen- sive income for the period - - 4,651 124 227 26 5,028 Dividends (2,795) (2,795) Share- based payment 69 69 Reduction of the B share capital (13) 13 - Purchase of treasury shares (5) (1,517) (1,522) Sale of treasury shares 1 83 84 Balance at the end of the period 634 (17) 31,152 333 905 39 33,046 At the end of the year proposed dividends (declared in 2008) of DKK 3,650 million (6.00 DKK per share) are included in Retained earnings. No dividend is declared on treasury shares 

Appendix 6 - Assumptions for key currencies

 +-------------------------------------------------------------------+ | DKK per | 2008 average | YTD 2009 average | Current exchange | | 100 | exchange rates | exchange rates as | rate | | | | of | as of 3 August | | | | 3 August 2009 | 2009 | |---------+----------------+-------------------+--------------------| | USD | 509 | 555 | 521 | |---------+----------------+-------------------+--------------------| | JPY | 4.96 | 5.82 | 5.48 | |---------+----------------+-------------------+--------------------| | GBP | 938 | 838 | 877 | |---------+----------------+-------------------+--------------------| | CNY | 73 | 81 | 76 | |---------+----------------+-------------------+--------------------| | CAD | 479 | 465 | 487 | +-------------------------------------------------------------------+ 

Appendix 7 - Accounting policies

The interim financial report for the first six months of 2009 has been prepared in accordance with IAS 34 Interim Financial Reporting, as issued by IASB and adopted by the EU, and the additional Danish disclosure requirements applying to listed companies' interim reports.

The following standards relevant to Novo Nordisk have been adopted by the EU and were implemented with effective date 1 January 2009 as described in the 2008 Annual Report:

 * IAS 1 (Revised) 'Presentation of financial statements'. * IAS 23 (Amendment) 'Borrowing costs'. * IFRS 2 (Amendment) 'Share-based payment'. * IAS 28 (Amendment) 'Investment in associates' (and consequential amendments to IAS 32, 'Financial Instruments: Disclosure and Presentation'. * IAS 36 (Amendment) 'Impairment of assets'. * IAS 38 (Amendment) 'Intangible assets'. * IAS 19 (Amendment) 'Employee benefits'. * Minor amendments to IFRS 7, IAS 1, IAS 8, IAS 10, IAS 18, IAS 34 and IAS 39. * IFRIC 16 'Hedges of net investment in a foreign operation'. 

The adoption of these standards has not affected recognition and measurement in Novo Nordisk's interim financial report for the first six months of 2009. Except for the above-mentioned implemented standards, the interim financial report has been prepared using the same accounting policies as in the Annual Report for 2008.

Appendix 8 - Quarterly numbers in EUR (Supplementary information)

 (Amounts in EUR million, except number of employees, earnings per share and number of shares outstanding.) Key figures are translated into EUR as supplementary information - the translation is based on average exchange rate for income statement and exchange rate at the balance sheet date for balance sheet items. The specified percent changes are based on the changes in the 'Quarterly numbers in DKK', see appendix 1. % change Q2 2009 2009 2008 vs Q2 Q2 Q1 Q4 Q3 Q2 Q1 2008 Sales 1,746 1,677 1,688 1,508 1,489 1,424 17% Gross profit 1,395 1,341 1,348 1,159 1,147 1,100 21% Gross margin 79.9% 79.9% 79.8% 76.8% 77.0% 77.3% Sales and distribution costs 515 516 478 423 426 399 21% Percent of sales 29.5% 30.8% 28.3% 28.1% 28.6% 28.0% Research and development costs 248 234 327 211 266 249 (7%) - Hereof costs related to AERx* - - - 7 (20) (30) Percent of sales 14.2% 14.0% 19.4% 14.0% 17.8% 17.5% Percent of sales (excl. AERx®*) 14.2% 14.0% 19.4% 14.4% 16.4% 15.4% Administrative expenses 93 91 100 85 84 84 11% Percent of sales 5.3% 5.4% 6.0% 5.6% 5.6% 5.9% Licence fees and other operating income (net) 10 12 10 7 10 12 5% Operating profit 549 512 453 446 381 380 44% Operating margin 31.5% 30.5% 26.8% 29.6% 25.6% 26.7% Operating profit (excl. AERx®*) 549 512 453 439 401 410 36% Operating margin (excl. AERx®*) 31.5% 30.5% 26.8% 29.1% 27.0% 28.7% Share of profit/ (loss) in associated companies (1) (5) 2 (8) 0 (9) 267% Financial income 22 19 8 41 57 64 (61%) Financial expenses 49 55 50 9 3 49 1619% Profit before income taxes 521 471 413 470 436 385 19% Net profit 402 362 313 357 332 292 21% Depreciation, amortisation and impairment losses 72 81 101 75 76 76 (6%) Capital expenditure 75 55 102 60 44 29 70% Cash flow from operating activities 350 557 429 492 391 412 (11%) Free cash flow 277 487 325 430 347 375 (20%) Equity 4,577 4,208 4,426 4,312 4,431 4,191 3% Total assets 6,881 6,741 6,792 6,566 6,500 6,375 6% Equity ratio 66.5% 62.4% 65.2% 65.7% 68.2% 65.7% Full-time employees at the end of the period 27,998 27,429 26,575 26,360 26,060 25,765 7% Basic earnings per share (in EUR) 0.66 0.60 0.51 0.58 0.54 0.47 24% Diluted earnings per share (in EUR) 0.66 0.59 0.51 0.57 0.53 0.47 24% Average number of shares outstanding (million) 603.1 607.4 609.3 614.2 618.6 620.9 (3%) Average number of shares outstanding incl dilutive effect of options 'in the money' (million) 607.9 612.7 614.4 618.6 623.5 626.3 (3%) Sales by business segments: Modern insulins (insulin analogues) 727 670 675 585 550 513 32% Human insulins 387 403 415 376 398 394 (3%) Insulin-related sales 66 65 64 62 62 59 7% Oral antidiabetic products (OAD) 90 93 81 90 64 86 41% Diabetes care total 1,270 1,231 1,235 1,113 1,074 1,052 18% NovoSeven® 252 242 238 206 221 193 14% Norditropin® 150 139 142 126 132 118 14% Hormone replacement therapy 58 55 59 53 52 52 11% Other products 16 10 14 9 11 9 41% Biopharma- ceuticals total 476 446 453 394 416 372 14% Sales by geographic segments: Europe 587 563 597 577 590 545 (1%) North America 633 608 601 504 465 463 36% International Operations 340 337 293 278 278 281 22% Japan & Oceania 186 169 197 149 157 135 18% Segment operating profit: Diabetes care 314 291 325 263 203 224 55% Diabetes care (excl. AERx®*) 314 291 325 256 223 254 40% Biopharma- ceuticals 235 221 127 183 179 155 32% *) Costs related to the discontinuation of all pulmonary diabetes projects. 

Company Announcement no 46 / 2009: [ http://hugin.info/2013/R/1332763/315785.pdf ]

This announcement was originally distributed by Hugin. The issuer is solely responsible for the content of this announcement.

Copyright © Hugin AS 2009. All rights reserved.