Management answerMurdo GordonExecutive Vice President, Global Commercial Operations
Murdo, why don't you... Yeah, let me take that one. Obviously, the two labels really just don't compare. You have Repatha, as Jay mentioned, over 50,000 patients on clinical trial experience reflected in a broad label that includes primary and secondary prevention. Repatha can be used as monotherapy or in combination with statins. Ten years of real-world experience reflected in data that we've presented at recent scientific meetings. So, you know, as we say, the data behind Repatha are unrivaled. It is the category leader, and indeed, the data are unrivaled. I think, though, what's important to remember is that this is a huge market with a lot of patients that are still not at their LDL cholesterol goal, and additional therapies, much like when Inclisiran entered the market, are treating other patients that are not necessarily competing for share with Repatha. And so we think there's a lot of education that still needs to be done. We think that the guidelines are important in this market. And we think that we are able to drive utilization in this market more effectively given the compelling data that we generated on Basilius. The other thing that we've experienced with Repatha as we look at persistency data in the market and the real-world analysis is an every two-week injection is a really easy regimen for patients to adhere to. And we've seen limitations with orals, including with statins, where daily oral therapy does have some compliance and some adherence challenges to it. We're also seeing in the label with the new PCSK9 approval, that there are indeed food restrictions that you have to be careful with what you eat in the first 30 minutes after you take that medicine. So, you know, I think this oral versus injectable is too simplistic a compare and you really have to look at why do you take an LDL cholesterol medicine in the first place and is to prevent a first or second heart attack and we've demonstrated that with very clear evidence for Repatha.