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Investor Presentaiton

Novo Nordisk Annual Report 2023 CARDIOVASCULAR & EMERGING THERAPY AREAS Expanding our footprint in cardiovascular disease Introducing Novo Nordisk Strategic Aspirations Risks Management Consolidated statements Additional information 26 RARE DISEASE Next-generation treatments. for rare blood disorders. Cardiovascular disease (CVD) represents one of the greatest health challenges of our time. Affecting an estimated 620 million people across the globe, it takes a major toll on quality of life and is currently the leading cause of death worldwide. At Novo Nordisk, we are determined to reduce the risk and burden of living with CVD, and over the past year we have taken significant steps to increase our footprint in this area of huge unmet need. In October 2023, we strengthened our CVD pipeline with the acquisition of ocedurenone in a deal worth up to USD 1.3 billion. This mature clinical candidate targets uncontrolled hypertension - a leading risk factor for cardiovascular events, heart failure, chronic kidney disease (CKD) and premature death. To date, ocedurenone has been investigated in nine clinical trials, and is currently in phase 3 development for the treatment of uncontrolled hypertension in people with CKD. We expect to initiate further phase 3 trials in the coming years as we seek to maximise its full potential. Meanwhile, our first standalone CVD compound, ziltivekimab, is currently in phase 3 development for the treatment of atherosclerotic cardiovascular disease in people living with CKD. The ZEUS trial will include more than 6,000 patients in 38 countries, with completion expected in late-2025. Our Rare Disease unit - comprising treatments for rare blood and endocrine disorders - has a growing pipeline of exciting products, including two potential medicines for rare blood disorders with large unmet medical needs. Mim8, our next-generation bispecific antibody for haemophilia A, is now in phase 3 development. Administered subcutaneously, it works by mimicking the function of the missing clotting factor VIII and is being tested as a treatment to prevent bleeds. The experimental once-daily oral medicine etavopivat, also in phase 3 evaluation, offers potential benefits for people with sickle cell disease (SCD), a crippling and life-threatening condition caused by misshapen red blood cells. Acquired as part of the business development deal that brought US-based Forma Therapeutics in-house in 2022, the investigational therapy is designed to modulate red blood cell health to reduce anaemia, pain, transfusions and strokes in people living with SCD. Masahiro Umehara (left) lives with haemophilia A in Tokyo, Japan. Pictured here with his son Masatsugu and his dog.
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