We discussed the evolving multiple myeloma treatment landscape, with a
focus on integration of Darzalex into various lines of treatment. Our discussion
reassured us that consensus expectations for Darzalex sales to reach $7bn-
$8bn are realistic. However, upcoming results of the ALCYONE trial at ASH
are not expected to have an impact on US treatment practice and the exact
role of Darzalex in 1L treatment there still remains uncertain. Although there
is upside to consensus peak sales assumptions in theory, our expert feedback
suggests that it is unrealistic to simply expect all patients to receive Darzalex plus
maintenance therapy in the 1L setting given the exceptional efficacy of current
VRD based regimens and the availability of oral regimens that are preferred by
some patients. Although we expect visibility on both Genmab's pipeline and
Darzalex's ultimate potential to improve in 2018, seemingly high consensus
expectations limit potential for share price upside.