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Morningstar Healthcare Conference
                  Dr. Paul Chew
U.S. Chief Science Officer / Chief Medical Officer, SVP
              Chicago, November 7th, 2012
Forward Looking Statements


This presentation 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 labeling 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, the Group's ability to benefit
from external growth opportunities, trends in exchange rates and prevailing interest rates, the impact of cost
containment policies 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, 2011. Other than as required by applicable law,
Sanofi does not undertake any obligation to update or revise any forward-looking information or statements.


                                                                                                                        2
Results Reflect Generic Competition to Legacy Blockbusters                                                                            (1)



and Loss of Exclusivity of Plavix® and Avapro® in the U.S.                                                                      (2)




           YTD Sales (€m)                                                                                 YTD Business EPS (€)
                                     €26,421m
      €24,881m                                                                                              €5.09       €5.01




                                                   +1.2%                                                                    -8.4%
                                                  at CER(3)                                                                 at CER(4)




      YTD 2011                        YTD 2012                                                          YTD 2011       YTD 2012


           (1)   Eloxatin® and Aprovel® lost their exclusivity in the U.S. and EU, respectively, in August 2012
           (2)   Avapro® in March 2012 and Plavix ® in May 2012
           (3)   On a reported basis, YTD 2012 sales w ere up +6.2%
           (4)   On a reported basis, YTD 2012 Business EPS w as down -1.6%                                                                 3
In Q3 2012 Growth Platforms Represented Over 70% of Sales

                                                                  (1)
 Key Genericized Products Sales                                                               Growth Platforms Sales
           (€m and % of Total Sales)                                                                (€m and % of Total Sales)
                                                                                                                                            €6,412m
                                                                                                                            €5,753m
                                                                                                          €5,381m




                                                                                        €3,339m                                                      70.9%
                                                                                                                                                    of Total
   €2,207m                                        4.4%                                                                                               Sales
                                                 of Total
                                                  Sales

              €813m             €752m
                                                 €399m

     Q2           Q1                Q2                Q3                                      Q2                Q1               Q2                Q3
    2009                          2012                                                      2009                               2012

              (1) Key genericized products include Lovenox ® U.S., Plavix ® Western EU, Taxotere® Western EU & U.S., Eloxatin® U.S., Ambien® family U.S., Allegra® U.S.,
                  Aprovel® Western EU, Xyzal® U.S., Xatral® U.S., Nasacort® U.S. and BMS Alliance (active ingredients of Plavix ® and Avapro® sold to BMS)                 4
Growth Platforms Grew by +6.4% in Q3 2012

                                                                                                                        Growth at CER


      Emerging Markets                                                               €2,821m                              +6.8%

      Diabetes Solutions                                                             €1,486m                            +17.5%

      Vaccines                                                                       €1,481m                              +0.7%

      Consumer Health Care                                                                €733m                           +5.9%

      Animal Health                                                                       €519m                           +3.8%

      New Genzyme(1)                                                                      €470m                         +22.5%

      Innovative Products(2)                                                              €154m                           +7.6%


        (1) New Genzyme perimeter includes Rare Diseases and Multiple Sclerosis franchises
        (2) Includes new product launches which do not belong to the Grow th Platforms listed above: Multaq®, Jevtana®, Mozobil® and Zaltrap®   5
Executing Successful Strategy to Reposition Sanofi




   1     Increase innovation in R&D

                                              Deliver
                                        sustainable growth
         Pursue external growth
   2     opportunities
                                           and generate
                                             improved
                                        shareholder returns
         Adapt structure for future
   3     challenges and opportunities




                                                          6
                                                          6
Several Regulatory Milestones Expected in Next 6 Months

       Products                          Targeted Indications                                      Expected Milestones
                               ®
                                                 Metastatic
                                                                                                   CHMP Opinion: Q4 2012
                                              Colorectal Cancer
                           ®
                                                                                                   CHMP Opinion: Q4 2012
                                                Type 2 Diabetes
                                                                                                   FDA Submission: Dec 2012
                               TM
                                        hoFH/severe heFH in EU                                     CHMP Opinion: Q4 2012
                                          and hoFH in the U.S                                      PDUFA Date: Jan 29, 2013(1)

                       ®                     Relapsing Forms of                                    CHMP Opinion: Q1 2013
                                              Multiple Sclerosis

                                             Relapsing Forms of                                    FDA Re-Submission on track(2)
                                              Multiple Sclerosis                                   CHMP Opinion: Q2 2013

     New 6-in-1
                                            DTP-HepB-Polio-Hib                                     EU Licensure: Q2 2013
  Paediatric Vaccine

           (1) On October 18th 2012, an FDA AdCom recommended Kynamro™ for hoFH
           (2) Sanofi w ill make an announcement w hen the FDA makes a decision concerning the acceptance of the file
           Lyxumia® , Kynamro™ and Lemtrada™ are registered trade names submitted to health authorities for investigational agents
           Zaltrap® is developed in collaboration w ith Regeneron, Kynamro™ w ith Isis Pharmaceuticals and Lyxumia® is in-licensed from Zealand Pharma
           Genzyme is developing Lemtrada™ in MS in collaboration w ith Bayer HealthCare
           hoFH: Homozygous Familial Hypercholesterolemia           PDUFA: Prescription Drug User Fee Act
                                                                                                                                                         7
           heFH: Heterozygous Familial Hypercholesterolemia         CHMP: Committee for Medicinal Products for Human Use
Now Available in the U.S.



     Key Facts about MS
          Oncology

● A novel VEGF trap acting on
  multiple angiogenic targets
● Indicated in combination with
  FOLFIRI in mCRC patients
  resistant to or progressing on
  an oxaliplatin-containing regimen
● Significant improvement in
  Overall Survival demonstrated
  in the VELOUR study(1)
● Launch on-track with sales of
  €7m in Q3 2012



        (1) Van Cutsem, et al. Ann Oncol. 2011;22(suppl 5). Abstract O-0024 and presentation at: ESMO 13th WCGIC.
            June 22-25, 2011; Barcelona, Spain.                                                                     8
An Exciting New Oral Treatment
                                                   Now Approved by FDA for Relapsing MS
● Aubagio® 14mg is the only oral MS drug to significantly delay disability progression in two
  Phase III trials(5)
● Aubagio® 14mg provided statistically significant reduction in Annualized Relapse Rate
● Well-characterized safety profile across placebo-controlled trials (6)
● Convenient once-daily oral dosing
● Launched October 2012
       TEMSO STUDY                                              TOWER STUDY                                      TEMSO STUDY                                            TOWER STUDY
    Annualized Relapse Rate(1)                               Annualized Relapse Rate(1)                       Reduction in Progression of                         Reduction in Progression of
                                                                                                                       Disability(2)                                       Disability(2)

              - 31.5%                                                   - 36.3%                                        -29.8%(3)
              p=0.0005                                      0.501        p=0.0001                                       p=0.0279(4)
    0.539                                                                                                    0.273                                                            -31.5%(3)
                                                                                                                                                                               p=0.0442(4)



                                                                                 0.319                                                                              0.197
                          0.369                                                                                                   0.202
                                                                                                                                                                                             0.158




    n=363                 n=359                             n=388                n=370                       n=363                n=359                              n=388                   n=370

    Placebo              Aubagio®                           Placebo            Aubagio®                      Placebo             Aubagio®                           Placebo              Aubagio®
                          14mg                                                      14mg                                              14mg                                                   14mg



                   (1)    Adjusted f or Expanded Disability Status Scale score strata and region at baseline and takes duration of treatment into account
                   (2)    At Week 108
                   (3)    Deriv ed using Cox proportional hazard model with treatment, EDSS strata at baseline and region as cov ariates
                   (4)    Deriv ed f rom log-rank test with stratif ication of EDSS strata at baseline and region
                   (5)    TEMSO and TOWER. Analy sis of the f ull TOWER data is ongoing and results will be presented at a f orthcoming scientif ic meeting; Aubagio® 7mg tablets are also av ailable in the U.S.
                   (6)    The most f requent adv erse reactions f or AUBAGIO® in the placebo-controlled studies were ALT increased, alopecia, diarrhea, inf luenza, nausea, and paresthesia.                      9
                          The AUBAGIO® label includes a boxed warning citing the risk of hepatotoxicity and teratogenicity (based on animal data).
10
11
Significantly More Effective at Reducing ARR
in Pivotal Trials with Unique Dosing Regimen




                                               12
Broadening our Diabetes Platform
with New Patient Focused Solutions


                          ®          ● Once-daily and pronounced PPG lowering effect
                                     ● Use on top of basal insulin

                                     ● ELIXA: CV outcome study ongoing


        NEW                          ● Unique flat PK/PD profile and lower injection volume
  INSULIN GLARGINE
    FORMULATION                      ● EDITION program: six Phase III trials currently ongoing
                                       in T1D and T2D(2)


                                     ● First state-of-the art re-usable insulin pen, manufactured
                                       by a global company in India

                                     ● For use with Sanofi’s insulin portfolio in India and possibly
                                       other Emerging Markets

         Lyxumia® is the proprietary name submitted to the EMA for the company’s investigational GLP-1 RA lixisenatide. The proprietary name for lixisenatide in
         the U.S. is under consideration. Lixisenatide is not currently approved or licensed anyw here in the w orld.
         Lixisenatide w as in-licensed from Zealand Pharma A/S.
         PPG: postprandial glucose                     PK/PD – Pharmacokinetic/Pharmacodynamic                   TD1 and TD2: Type 1 and Type 2 diabetes
         (1) Except for the device intended for Japan (2 steps to maintenance dose w ith one pen)
         (2) EDITION I, II, III, IV, JPI, JPII - ClinicalTrials.gov Identifier: NCT 1499082, 01499095, 01676220 & 01683266, 01689129 & 01689142                    13
®     Clinical Development Designed to Support
                            Use in Combination with Basal Insulin

                                                                                              T2D Patients Treated
                     Phase III Program                                                    with Basal Insulin(1) (worldwide)

                             Mono
   Monotherapy
                             Mono Japan                                               On basal insulin                         On basal insulin
                                                                                                                            with controlled fasting
                             F1 (metformin)
                                                                                                                               glucose control
                             S (sulfonylurea)
Placebo-controlled                                                                                                               but A1c >7%
                             M (metformin)
  in OAD failure
                             P (pioglitazone)
                             M Asia (metformin)
                                                                                            4 million
                                                                                          on Lantus®
 Active-controlled           X vs. exenatide
                                                                                                                                           4 million
                                                                                            4 million
Placebo-controlled           L                                                            on other
     on top of               L Asia                                                     basal insulins(2)
   basal insulin             Duo 1




           Lyxumia® is the proprietary name submitted to the EMA for the company’s investigational GLP-1 RA lixisenatide. The proprietary name for lixisenatide
           in the U.S. is under consideration. Lixisenatide is not currently approved or licensed anyw here in the w orld.

           T2D – Type 2 Diabetes         A1C – HbA1c or Glycated hemoglobin
           (1) Adapted from IMS data     (2) Includes all types of basal insulins                                                                                 14
Fix-Flex Device Has Been Developed for Joint
Administration of Lantus® and Lixisenatide


  ● Single injection per day coupled
    with possibility to adjust Lantus®
    dose

  ● Entering phases for
    industrialization, validation,
    usability and manufacturing                                                                                  +
  ● Device expected to be available
                                                                                         Lixisenatide
    mid-2013 for Phase III initiation




            Lyxumia® is the proprietary name submitted to the EMA for the company’s investigational GLP-1 RA lixisenatide. The proprietary name for lixisenatide
            in the U.S. is under consideration. Lixisenatide is not currently approved or licensed anyw here in the w orld.                                        15
New Glargine Formulation

 ● Investigational glargine
   formulation:
      ●   Flat PK/PD profile                                                      New Insulin Glargine Formulation
      ●   Lower injection volume                                                 Depot formation after subcutaneous injection

 ● Phase III trials ongoing in T2D
   high-dose insulin users(1)                                                          Lantus®                  New Glargine
      ●   Targeting ~1,600 patients                                                                              Formulation




      EDITION I                   EDITION II
     T2D Patients                T2D Patients
      Basal Bolus                Basal + OAD

 ●   Second set of Phase III studies
     recently started(2)
      EDITION III                EDITION IV                                                                          Schematic illustration
     T2D Patients                T1D Patients
     Insulin Naïve                  Basal


               PK/PD – Pharmacokinetic/Pharmacodynamic           OAD – Oral anti-diabetic drugs
               (1) ClinicalTrials.gov Identifier: NCT1499082 & NCT01499095
               (2) ClinicalTrials.gov Identifier: NCT01676220 & NCT01683266                                                                   16
Targeting Rare Familial Hypercholesterolemias


                                                                                        Understanding Rarity
● Four Phase III trials conducted
  in severe FH forms                                                                 ~40,000 patients(1)
   ● Significant reduction in LDL-C                                               HoFH            Severe FH
     when added to a regimen of
     maximally tolerated statin dose
     and other lipid lowering therapies

● Sustained reduction in apo B
  production decreased LDL
  and Lp(a)
                                                                     On statins:
● FDA Ad Com voted on October                                        60 million
  18th recommending approval                                          patients
                                                                                                            HeFH:
                                                                                                           1 million
                                                                                                           patients



           (1) Patients for hoFH and Severe FH in US and EU markets
           hoFH – Homozygous Familial Hypercholesterolemia
           Severe FH – Severe Familial Hypercholesterolemia = treated LDL-C CHD – Coronary Heart Disease
           heFH – Heterozygous familial hypercholesterolemia                                                           17
18
19
20
Otamixaban: Providing Superior Outcomes while
Simplifying Treatment during Interventional Procedures


                                                                                                       TAO Study
 ● Despite current therapies, death, MI,
   and readmission rates remain high                                                   Moderate-to-high risk NSTE-ACS with
                                                                                     planned early invasive strategy (n=13,220)
 ● Otamixaban is the first IV direct and
   selective factor Xa inhibitor with                                                                              R
   quick onset/offset
    ● 27 to 42% risk reduction in ACS
      complications including death and MI                                            Otamixaban           Otamixaban            UFH +
                                                                                      Regimen 1            Regimen 2          Eptifibatide
      in Phase Il(1)                                                                   (n=1,969)            (n=1,969)          (n=1,969)

 ● Phase III TAO study ongoing with
                                                                                                Sponsor-blinded
   results expected in Q2 2013                                                                  interim analysis



                                                                                                  Primary endpoint:
                                                                                          Death/Myocardial Infarction @ day 7




              (1) The Lancet, Volume 374, Issue 9692, Pages 762 - 764, 5 September 2009
              NSTE-ACS – Non-ST-Elevation Acute Coronary Syndrome, MI – Myocardial Infarction, UFH – Unfractionated Heparin                  21
Eliglustat(1) - A Novel Oral Therapy in Gaucher Disease



 ● Potent, novel substrate inhibitor                                                       Change in Spleen Volume
                                                                                                     (% change at 9 months)
 ● Oral therapy
     ● Eliminating challenges of infusions                                                        +2%
                                                                                                                                 Eliglustat
 ● Positive results from ENGAGE,                                                              Placebo
   first Phase III study (vs. placebo)
     ● Primary endpoint and all secondary

                                                                                                        30%
       endpoints met
     ● Well tolerated with no serious
       adverse events reported                                                                         Absolute
 ● ENCORE Phase III results (vs.                                                                      Difference
   Cerezyme®) expected in early 2013


                                                                                                                                   -28%



             (1) Eliglustat tartrate is an investigational drug
             (2) Secondary endpoints included improvements in hemoglobin levels and platelet levels, as w ell as liver volumes                22
Dengue Vaccine: Addressing a Growing Global Threat


    Significant Disease                                                     Ambitious Phase III
                                      First Efficacy Results
           Burden                                                               Program

 ● Estimated 220m dengue             ● Phase IIb results in ~4,000       ● Global Phase III program
   infections worldwide per year       patients recently published         ongoing
                                       in the Lancet
   ● 2m cases of Hemorrhagic                                               ● Large scale studies in LatAm
     Fever                             ● Effective against DENV 1, 3         and Asia
                                         and 4 (in the range of 60% to
   ● >500,000 hospitalizations and       90%), with only DENV 2            ● 31,000 children and
     >20,000 deaths / year               appearing to be resistant           adolescents

 ● Dengue: a public health             ● Safe and well-tolerated         ● Results expected in 2014
   priority in Asia and Latin
   America




                                                                                                            23
                                                                                                            23
Ensuring R&D Contributes to Sanofi’s Success



              An efficient global R&D organization
                Maximize synergies and convergence around Hub model
                Exploit economies of scale
                Improve R&D cost structure

              Focus on high-value projects
     Global
                Execute on late-stage projects
      R&D       Medical value and translational feasibility to guide early-stage
     Goals    portfolio prioritization

              Establish new models of external innovation
                Enhance the value of external opportunities and partnerships
                Create open and creative models with partners across the
              healthcare ecosystem




                                                                                   24

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Morningstar Healthcare Conference 2012

  • 1. Morningstar Healthcare Conference Dr. Paul Chew U.S. Chief Science Officer / Chief Medical Officer, SVP Chicago, November 7th, 2012
  • 2. Forward Looking Statements This presentation 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 labeling 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, the Group's ability to benefit from external growth opportunities, trends in exchange rates and prevailing interest rates, the impact of cost containment policies 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, 2011. Other than as required by applicable law, Sanofi does not undertake any obligation to update or revise any forward-looking information or statements. 2
  • 3. Results Reflect Generic Competition to Legacy Blockbusters (1) and Loss of Exclusivity of Plavix® and Avapro® in the U.S. (2) YTD Sales (€m) YTD Business EPS (€) €26,421m €24,881m €5.09 €5.01 +1.2% -8.4% at CER(3) at CER(4) YTD 2011 YTD 2012 YTD 2011 YTD 2012 (1) Eloxatin® and Aprovel® lost their exclusivity in the U.S. and EU, respectively, in August 2012 (2) Avapro® in March 2012 and Plavix ® in May 2012 (3) On a reported basis, YTD 2012 sales w ere up +6.2% (4) On a reported basis, YTD 2012 Business EPS w as down -1.6% 3
  • 4. In Q3 2012 Growth Platforms Represented Over 70% of Sales (1) Key Genericized Products Sales Growth Platforms Sales (€m and % of Total Sales) (€m and % of Total Sales) €6,412m €5,753m €5,381m €3,339m 70.9% of Total €2,207m 4.4% Sales of Total Sales €813m €752m €399m Q2 Q1 Q2 Q3 Q2 Q1 Q2 Q3 2009 2012 2009 2012 (1) Key genericized products include Lovenox ® U.S., Plavix ® Western EU, Taxotere® Western EU & U.S., Eloxatin® U.S., Ambien® family U.S., Allegra® U.S., Aprovel® Western EU, Xyzal® U.S., Xatral® U.S., Nasacort® U.S. and BMS Alliance (active ingredients of Plavix ® and Avapro® sold to BMS) 4
  • 5. Growth Platforms Grew by +6.4% in Q3 2012 Growth at CER Emerging Markets €2,821m +6.8% Diabetes Solutions €1,486m +17.5% Vaccines €1,481m +0.7% Consumer Health Care €733m +5.9% Animal Health €519m +3.8% New Genzyme(1) €470m +22.5% Innovative Products(2) €154m +7.6% (1) New Genzyme perimeter includes Rare Diseases and Multiple Sclerosis franchises (2) Includes new product launches which do not belong to the Grow th Platforms listed above: Multaq®, Jevtana®, Mozobil® and Zaltrap® 5
  • 6. Executing Successful Strategy to Reposition Sanofi 1 Increase innovation in R&D Deliver sustainable growth Pursue external growth 2 opportunities and generate improved shareholder returns Adapt structure for future 3 challenges and opportunities 6 6
  • 7. Several Regulatory Milestones Expected in Next 6 Months Products Targeted Indications Expected Milestones ® Metastatic CHMP Opinion: Q4 2012 Colorectal Cancer ® CHMP Opinion: Q4 2012 Type 2 Diabetes FDA Submission: Dec 2012 TM hoFH/severe heFH in EU CHMP Opinion: Q4 2012 and hoFH in the U.S PDUFA Date: Jan 29, 2013(1) ® Relapsing Forms of CHMP Opinion: Q1 2013 Multiple Sclerosis Relapsing Forms of FDA Re-Submission on track(2) Multiple Sclerosis CHMP Opinion: Q2 2013 New 6-in-1 DTP-HepB-Polio-Hib EU Licensure: Q2 2013 Paediatric Vaccine (1) On October 18th 2012, an FDA AdCom recommended Kynamro™ for hoFH (2) Sanofi w ill make an announcement w hen the FDA makes a decision concerning the acceptance of the file Lyxumia® , Kynamro™ and Lemtrada™ are registered trade names submitted to health authorities for investigational agents Zaltrap® is developed in collaboration w ith Regeneron, Kynamro™ w ith Isis Pharmaceuticals and Lyxumia® is in-licensed from Zealand Pharma Genzyme is developing Lemtrada™ in MS in collaboration w ith Bayer HealthCare hoFH: Homozygous Familial Hypercholesterolemia PDUFA: Prescription Drug User Fee Act 7 heFH: Heterozygous Familial Hypercholesterolemia CHMP: Committee for Medicinal Products for Human Use
  • 8. Now Available in the U.S. Key Facts about MS Oncology ● A novel VEGF trap acting on multiple angiogenic targets ● Indicated in combination with FOLFIRI in mCRC patients resistant to or progressing on an oxaliplatin-containing regimen ● Significant improvement in Overall Survival demonstrated in the VELOUR study(1) ● Launch on-track with sales of €7m in Q3 2012 (1) Van Cutsem, et al. Ann Oncol. 2011;22(suppl 5). Abstract O-0024 and presentation at: ESMO 13th WCGIC. June 22-25, 2011; Barcelona, Spain. 8
  • 9. An Exciting New Oral Treatment Now Approved by FDA for Relapsing MS ● Aubagio® 14mg is the only oral MS drug to significantly delay disability progression in two Phase III trials(5) ● Aubagio® 14mg provided statistically significant reduction in Annualized Relapse Rate ● Well-characterized safety profile across placebo-controlled trials (6) ● Convenient once-daily oral dosing ● Launched October 2012 TEMSO STUDY TOWER STUDY TEMSO STUDY TOWER STUDY Annualized Relapse Rate(1) Annualized Relapse Rate(1) Reduction in Progression of Reduction in Progression of Disability(2) Disability(2) - 31.5% - 36.3% -29.8%(3) p=0.0005 0.501 p=0.0001 p=0.0279(4) 0.539 0.273 -31.5%(3) p=0.0442(4) 0.319 0.197 0.369 0.202 0.158 n=363 n=359 n=388 n=370 n=363 n=359 n=388 n=370 Placebo Aubagio® Placebo Aubagio® Placebo Aubagio® Placebo Aubagio® 14mg 14mg 14mg 14mg (1) Adjusted f or Expanded Disability Status Scale score strata and region at baseline and takes duration of treatment into account (2) At Week 108 (3) Deriv ed using Cox proportional hazard model with treatment, EDSS strata at baseline and region as cov ariates (4) Deriv ed f rom log-rank test with stratif ication of EDSS strata at baseline and region (5) TEMSO and TOWER. Analy sis of the f ull TOWER data is ongoing and results will be presented at a f orthcoming scientif ic meeting; Aubagio® 7mg tablets are also av ailable in the U.S. (6) The most f requent adv erse reactions f or AUBAGIO® in the placebo-controlled studies were ALT increased, alopecia, diarrhea, inf luenza, nausea, and paresthesia. 9 The AUBAGIO® label includes a boxed warning citing the risk of hepatotoxicity and teratogenicity (based on animal data).
  • 10. 10
  • 11. 11
  • 12. Significantly More Effective at Reducing ARR in Pivotal Trials with Unique Dosing Regimen 12
  • 13. Broadening our Diabetes Platform with New Patient Focused Solutions ® ● Once-daily and pronounced PPG lowering effect ● Use on top of basal insulin ● ELIXA: CV outcome study ongoing NEW ● Unique flat PK/PD profile and lower injection volume INSULIN GLARGINE FORMULATION ● EDITION program: six Phase III trials currently ongoing in T1D and T2D(2) ● First state-of-the art re-usable insulin pen, manufactured by a global company in India ● For use with Sanofi’s insulin portfolio in India and possibly other Emerging Markets Lyxumia® is the proprietary name submitted to the EMA for the company’s investigational GLP-1 RA lixisenatide. The proprietary name for lixisenatide in the U.S. is under consideration. Lixisenatide is not currently approved or licensed anyw here in the w orld. Lixisenatide w as in-licensed from Zealand Pharma A/S. PPG: postprandial glucose PK/PD – Pharmacokinetic/Pharmacodynamic TD1 and TD2: Type 1 and Type 2 diabetes (1) Except for the device intended for Japan (2 steps to maintenance dose w ith one pen) (2) EDITION I, II, III, IV, JPI, JPII - ClinicalTrials.gov Identifier: NCT 1499082, 01499095, 01676220 & 01683266, 01689129 & 01689142 13
  • 14. ® Clinical Development Designed to Support Use in Combination with Basal Insulin T2D Patients Treated Phase III Program with Basal Insulin(1) (worldwide) Mono Monotherapy Mono Japan On basal insulin On basal insulin with controlled fasting F1 (metformin) glucose control S (sulfonylurea) Placebo-controlled but A1c >7% M (metformin) in OAD failure P (pioglitazone) M Asia (metformin) 4 million on Lantus® Active-controlled X vs. exenatide 4 million 4 million Placebo-controlled L on other on top of L Asia basal insulins(2) basal insulin Duo 1 Lyxumia® is the proprietary name submitted to the EMA for the company’s investigational GLP-1 RA lixisenatide. The proprietary name for lixisenatide in the U.S. is under consideration. Lixisenatide is not currently approved or licensed anyw here in the w orld. T2D – Type 2 Diabetes A1C – HbA1c or Glycated hemoglobin (1) Adapted from IMS data (2) Includes all types of basal insulins 14
  • 15. Fix-Flex Device Has Been Developed for Joint Administration of Lantus® and Lixisenatide ● Single injection per day coupled with possibility to adjust Lantus® dose ● Entering phases for industrialization, validation, usability and manufacturing + ● Device expected to be available Lixisenatide mid-2013 for Phase III initiation Lyxumia® is the proprietary name submitted to the EMA for the company’s investigational GLP-1 RA lixisenatide. The proprietary name for lixisenatide in the U.S. is under consideration. Lixisenatide is not currently approved or licensed anyw here in the w orld. 15
  • 16. New Glargine Formulation ● Investigational glargine formulation: ● Flat PK/PD profile New Insulin Glargine Formulation ● Lower injection volume Depot formation after subcutaneous injection ● Phase III trials ongoing in T2D high-dose insulin users(1) Lantus® New Glargine ● Targeting ~1,600 patients Formulation EDITION I EDITION II T2D Patients T2D Patients Basal Bolus Basal + OAD ● Second set of Phase III studies recently started(2) EDITION III EDITION IV Schematic illustration T2D Patients T1D Patients Insulin Naïve Basal PK/PD – Pharmacokinetic/Pharmacodynamic OAD – Oral anti-diabetic drugs (1) ClinicalTrials.gov Identifier: NCT1499082 & NCT01499095 (2) ClinicalTrials.gov Identifier: NCT01676220 & NCT01683266 16
  • 17. Targeting Rare Familial Hypercholesterolemias Understanding Rarity ● Four Phase III trials conducted in severe FH forms ~40,000 patients(1) ● Significant reduction in LDL-C HoFH Severe FH when added to a regimen of maximally tolerated statin dose and other lipid lowering therapies ● Sustained reduction in apo B production decreased LDL and Lp(a) On statins: ● FDA Ad Com voted on October 60 million 18th recommending approval patients HeFH: 1 million patients (1) Patients for hoFH and Severe FH in US and EU markets hoFH – Homozygous Familial Hypercholesterolemia Severe FH – Severe Familial Hypercholesterolemia = treated LDL-C CHD – Coronary Heart Disease heFH – Heterozygous familial hypercholesterolemia 17
  • 18. 18
  • 19. 19
  • 20. 20
  • 21. Otamixaban: Providing Superior Outcomes while Simplifying Treatment during Interventional Procedures TAO Study ● Despite current therapies, death, MI, and readmission rates remain high Moderate-to-high risk NSTE-ACS with planned early invasive strategy (n=13,220) ● Otamixaban is the first IV direct and selective factor Xa inhibitor with R quick onset/offset ● 27 to 42% risk reduction in ACS complications including death and MI Otamixaban Otamixaban UFH + Regimen 1 Regimen 2 Eptifibatide in Phase Il(1) (n=1,969) (n=1,969) (n=1,969) ● Phase III TAO study ongoing with Sponsor-blinded results expected in Q2 2013 interim analysis Primary endpoint: Death/Myocardial Infarction @ day 7 (1) The Lancet, Volume 374, Issue 9692, Pages 762 - 764, 5 September 2009 NSTE-ACS – Non-ST-Elevation Acute Coronary Syndrome, MI – Myocardial Infarction, UFH – Unfractionated Heparin 21
  • 22. Eliglustat(1) - A Novel Oral Therapy in Gaucher Disease ● Potent, novel substrate inhibitor Change in Spleen Volume (% change at 9 months) ● Oral therapy ● Eliminating challenges of infusions +2% Eliglustat ● Positive results from ENGAGE, Placebo first Phase III study (vs. placebo) ● Primary endpoint and all secondary 30% endpoints met ● Well tolerated with no serious adverse events reported Absolute ● ENCORE Phase III results (vs. Difference Cerezyme®) expected in early 2013 -28% (1) Eliglustat tartrate is an investigational drug (2) Secondary endpoints included improvements in hemoglobin levels and platelet levels, as w ell as liver volumes 22
  • 23. Dengue Vaccine: Addressing a Growing Global Threat Significant Disease Ambitious Phase III First Efficacy Results Burden Program ● Estimated 220m dengue ● Phase IIb results in ~4,000 ● Global Phase III program infections worldwide per year patients recently published ongoing in the Lancet ● 2m cases of Hemorrhagic ● Large scale studies in LatAm Fever ● Effective against DENV 1, 3 and Asia and 4 (in the range of 60% to ● >500,000 hospitalizations and 90%), with only DENV 2 ● 31,000 children and >20,000 deaths / year appearing to be resistant adolescents ● Dengue: a public health ● Safe and well-tolerated ● Results expected in 2014 priority in Asia and Latin America 23 23
  • 24. Ensuring R&D Contributes to Sanofi’s Success An efficient global R&D organization Maximize synergies and convergence around Hub model Exploit economies of scale Improve R&D cost structure Focus on high-value projects Global Execute on late-stage projects R&D Medical value and translational feasibility to guide early-stage Goals portfolio prioritization Establish new models of external innovation Enhance the value of external opportunities and partnerships Create open and creative models with partners across the healthcare ecosystem 24