ALK-Abelló A/S

ALK-Abelló A/S

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ALK-Abelló A/S (AKBLF) Q2 2024 Earnings Call Transcript

Published at 2024-08-23 10:29:07
Per Plotnikof
Hello, everyone, and welcome to this presentation on the ALK's Q2 Results. Thank you, all for joining us. And let's turn to Slide number 2, with an intro to the agenda and the speakers. My name is Per Plotnikof. I'm Head of Investor Relations. With me today are CEO, Peter Halling; and CFO, Claus Steensen Solje. We'll first share a couple of highlights from the quarter and then, we will take a closer look at the markets, product trends and financials. We'll also provide an update on the Allergy+ strategy implementation before we cover the full year outlook. As usual, we will end the presentation with a Q&A session. And to get started, I'll now hand you over to Peter and Slide number 3.
Peter Halling
Thank you, Per, and thank you all for joining this call. The current performance is strong and Q2 sales, particularly in Europe, exceeded the forecast that we gave back in May. This will have a positive carryover effect into the second half, which is why we have further upgraded the full year revenue and earnings outlook on 21st of June. Today, based on our current performance and the outlook for the remainder of the year, we have upgraded both our revenue and earnings outlook. We'll come back to this later. Looking at Q2. Q2 revenue was up 21% organically and double-digit growth in all AIT vaccine categories, tablets and injection based SCIT at sublingual drops. Tablets stood out with 32% sales growth globally and 35% growth in Europe, but in all fairness, also measured against a weak quarter last year. Priority number one in recent quarters has been to solidify the momentum in European sales tablet sales after the difficult first half of 2023, and these efforts are on track. We are pleased that we managed to further build on the momentum in Europe, in Q2, and as Claus will elaborate on in a short while, this has been a strong quarter. Based on prudent cost management and capital allocation, we've succeeded in raising the EBIT margin by 10 percentage points year-on-year from 9% to 19%. The EBIT result include DKK38 million in one-off cost to optimization and reprioritization initiatives in line with our new Allergy+ strategy. Looking at the strategy, the implementation continues well and is well underway Allergy+ is where it needs to be. Focus in Q2 has been on initiatives to extend the respiratory tablets reach to new patients and on initiatives to optimize ALK's business platform, enable scale and free up resources to support growth and future scale. Now we are looking into a busy second half where we expect business activity to be roughly on par with first half. Still we remain confident that we'll be able to deliver a robust full year growth across all sales regions and all product groups. We'll further detail this in the presentation shortly, but first I'll hand it over to you, Claus, and the Q2 market trends on Slide 4.
Claus Steensen Solje
Thank you, Peter. Before going through all our regions and product groups, let's dive into European sales. Our European sales were up 25% on double-digit growth in all product lines, particularly sales of tablets and SCIT drops exceeded expectations. Tablet sales grew by 35% against the soft quarter last year. Growth was driven by higher volumes linked to the robust inflow of new patients in the past year, both in the pollen segment and in the house dust mite segment. Growth was also positively influenced by pricing and rebate adjustments, including the reversal of the 2023 mandatory rebate increase in Germany, which added more than 2 percentage points to growth. In addition, Q2 sales continue to be less influenced by trading patterns at wholesalers than in 2023. In Germany, Europe's largest AIT market, both tablet sales and SCIT sales grew by high double-digits as we benefited from competitive dynamics and the accelerated market transitions towards evidence-based registered AIT products. Court rulings previously confirmed that private payers may reject reimbursement for non-registered AIT products, and this is now impacting the clinical practice to the benefit of tablets and our SCIT products. This trend is also supported by the recent recommendations from the German Allergist Associations, who published a wide list of registered products recommended to be used for new patients. France, Europe's second largest AIT market also did well. Both sales of tablets and SLIT-drops grew by double-digit after higher patient inflow to both existing and new doctors. In France, we have seen a more positive market development emerging recently. Part of this is likely linked to higher burden of disease and patient activation last year, as well as increased clinical capacity at certain doctor offices, meaning that they are able to treat more patients. We have also seen good effects from our commercial activities such as medical events, prescriber expansion and so on. Performance was also good in the Nordic and Benelux countries where we benefited from the focused sales and marketing initiatives which we developed last year. We have been able to activate more payers and more patients, and we have also broadened the prescriber base and managed to increase the depth with current AIT prescribers. Finally, we continue to work with doctors to extend the initiation season to mitigate conflicts with common respiratory infections and other external factors during winter initiation season. We saw small improvements outside the main initiation season last year and the upcoming initiation season will show if we are tracking towards further improvements in this area. Let's now turn to Slide 5 please, and the regional performance overview for the second quarter. Europe accounted for 65% of total revenue in Q2, while the remainder was even split between North America and international market. Total sales in North America grew by 3% while tablet sales were up 29%, driven in part by volume growth in part by higher realized selling prices in the U.S. Sales of SCIT bulk extracts increased by 4%. It has been impacted by previous loss of a customer, but growth is improving compared to first quarter. Sales of other products, so our business of diagnostics, PRE-PEN, and life science fell short of expectations with a 9% decrease, primarily due to PRE-PEN. Revenue from international market was up 32% and positively influenced by timing of product shipments to both China and Japan, two largest markets in this region. In market sales, in both countries continue to grow by double-digits, underpinning the commercial potential in these markets. Now, let's turn to the product categories on Slide 6. Global tablet sales increased by 32% on strong double-digit growth in all sales regions. Tablets accounted for 52% of total revenue in the quarter. Global sales of SCIT and SLIT drops grew by 16% after robust growth for both SCIT and SLIT drops in Europe combined with increasing SCIT shipments to China. Finally, sales of other products and services, including Jext, increased modestly by 1%. Global Jext sales grew by 17% as market supply continued to normalize after last year's shortfall in supply. But this progress was offset by a weak performance in other products in North America, especially the PRE-PEN. The integration of the PRE-PEN operation progresses as planned. However, sales continue to be impacted by stocking at wholesalers prior to ALK's acquisition in January. Let's now move on to Slide 7, and the six months' financials. Half year revenue were up 15% in local currencies to DKK2.7 billion. Growth was mainly driven by tablet sales, particularly in Europe. A gross profit of close to DKK1.8 billion yield a gross margin of 64.4%, an improvement of close to 1 percentage point. This improvement was due to changes in the sales mix, volume growth, improved pricing, product -- production efficiencies, and the reversal of last year's rebate increase in Germany. In line with our expectations, these factors were partly offset by inflationary pressures on input costs. When including one-off restructuring cost in Q2, total capacity costs were unchanged at DKK1.2 billion. R&D expenses were down 20% after the completion of last year clinical trials of the respiratory tablets. Sales and marketing expenses were up 7% while admin cost increased 8%, and this increase was mainly due to cost related to the Allergy+ strategy process. Optimizations and savings contributed to the overall cost development, and it remains a priority to lower the capacity cost to revenue ratio. The operating profit EBIT was DKK580 million, an improvement of 84% in local currencies and 78% in Danish krone. The EBIT margin increased from 14% to 21%, and when excluding the DKK38 million one-off restructuring cost, the underlying margin was 23%, a clear indication that we are moving in the right direction towards the 25% margin target in 2025. Finally, free cash flow improved to plus DKK272 million, as higher earnings offset changes in working capital and investments, including the PRE-PEN acquisition. So all-in-all, a good set of results. The best half year performance so far. I now hand it back to Peter for an update on the Allergy+ strategy on Slide 8.
Peter Halling
Perfect. Thank you, Claus. As you recall, we presented the Allergy+ strategy at a very well attended Capital Markets Say back in June, and I'd just like to state on behalf of the entire ALK team, we really thank you for your participation and truly appreciate meeting so many of you out here. Now to briefly recap, the strategy aims to further strengthen ALK's global leadership in respiratory AIT, establish leading positions in food allergy and anaphylaxis, and on top, pursue new innovations to address unmet adjacent allergic conditions. As a company, we want to provide life changing solutions for millions of people living with allergy, and by doing so grow revenue by at least 10% on average until 2028 and beyond. In other words, throughout the strategy period. We continue to aim for an EBIT margin of around 25% next year in 2025, after which earnings improvement beyond the 25% margin will be reinvested in initiatives to bolster growth and profitability after 2028. The new strategy has four main pillars, as illustrated here on the slide. We will prioritize and focus our commercial activities and footprint to further strengthen ALK's leadership. Tablets remain key to growth as we extend their reach to new patient groups and increase prescription depth and breadth amongst healthcare professionals. Now to help even more people with allergy, we will continue to innovate and expand the R&D pipeline in a meaningful and balanced way. We'll maximize the value of existing core products and diversify the portfolio into allergic diseases with the potential to become new growth levers in the longer run for ALK. To reduce complexity and maintain our competitiveness, we will continue to optimize operations, adjust the cost base, and reduce structural complexities across the value chain. Further, we will invest in infrastructure and continue to improve processes to be able to scale and grow the business. Moreover, we will also explore commercial corporations and innovation partnerships to maximize reach and speed up market adoption of our products. All of this is underpinned by a commitment to cultivate and invest in our people and organization, as well to conducting business in a sustainable way. Slide 9, please. Now, as I said in the beginning, the implementation of the strategy is well underway, and we prioritize initiatives with the largest potential to generate strong returns and the greatest impact for patients and prescribers. Just a few highlights and examples. Our key initiative is to extend the tablet offering to new patient groups and particularly help children early on with allergies and prevent the disease from impairing their lives. Our regulatory filings for children's use of tablets have now been accepted for review by all authorities in Europe, the U.S. and Canada. Subject to approvals, the house dust mite tablet could become available for children in Europe from late 2024, and in North America in '25. Likewise, and subject to approval, the tree tablet could become available for children and adolescents in Europe and Canada in 2025. The children approval or the children approvals are important catalysts for ALK's long-term growth. Launch preparations continue as planned with a particular focus on building disease awareness and mobilizing the allergy community. In Q2, we started reallocating resources to high impact markets, particularly in Northern and Central Europe. We're stepping up our presence in markets with sustainable demand for AIT and strong endorsement of evidence based AIT from regulators, payers and prescribers. Now, unfortunately, not everything has moved in our way. In China, we withdrew our application for the house dust mite tablet in June. Recent dialogue with the authorities in China has confirmed that additional clinical data in Chinese patients will be required to obtain approval. We're now evaluating the best approach to this market, and we will be adapting our plans and activities to a new launch timeline for the house dust mite tablet. We still work under the assumption that it will be possible to secure a Chinese approval within the strategy period. Moreover, we continue to see progress on the important Japanese market. Our partner Torii is working to increase capacity in the production of active ingredients for the cedar pollen tablet. One of more initiatives to overcome temporary capacity limitations given the high demand in Japan. This capacity is by the way, expected to come online towards the end of 2025. Now moving to new product opportunities. The development programs in anaphylaxis and food allergy continue as planned. We have incentivized our business development activities and we're screening new administration forms in anaphylaxis with the aim of establishing a future proof portfolio of solutions. And finally, we have reorganized parts of our operations. Other initiatives are under making to enable scale, further reduce complexity, and optimize our cost base. For example, this includes investments in infrastructure, and as previously stated, we expect optimization and prioritization initiatives to free up around DKK250 million in 2025. Now, roughly half of these savings will be reinvested in growth initiatives and roughly half will support our '25 and '25 earnings ambition. We continue to see good progress and are very happy and satisfied with the execution. Finally, we have a comprehensive plan lined up for the second half year, and we have some very important decisions ahead of us. We look forward to keeping you posted on future progress. And with this, let's move on to the full-year outlook and over to you Claus on Slide 10.
Claus Steensen Solje
Thanks, Peter. As we mentioned early initially, we have upgraded the full year outlook. We now see 14% to 16% top line growth this year versus 12% to 15% previously. At the same time, we raised the EBIT margin guidance to 19% to 21% from 18% to 20% previously. Let me take you through the key assumptions. We expect Europe to lead the way with robust double-digit sales growth, while we project mid to high-single digit growth for North America and international market. Tablets will be key to growth across regions. Combined, SCIT and SLIT drop sales are projected to grow by high-single digits, while other products are expected to deliver mid to high-single digit growth. When looking at the second half of 2024, we expect the strong underlying momentum to continue. Growth is expected to be roughly on par with first half. There are a few swing factors yet which may influence the second half of this year, the upcoming high season for new patients initiations. We assume that the initiation season in Europe will be a rather normal one based on our leading indicators. That is significantly better than the poor 2022-'23 season, but not as good as the exceptional good 2023-'24 season. However, I also need to emphasize that this is still too early for us to be very firm on this assumption. In first half of this year, in Europe, we had a tailwind from certain competitive dynamics and we need to see if this persists in second half. And then finally, we have the usual items, namely facing our product shipments through Japan and China, which will be impacted by an upcoming renewal of our import license in China, which means we will not be able to ship products during that period. And then finally, besides that, we have tougher comparables for EU tablets. We expect lower tablet growth in U.S., and we are being cautious regarding the parallel trade patents in Europe. Moving to earnings, the EBIT outlook is also raised by 1 percentage point to 19% to 21% from previous 18% to 20% as a consequence of the revised top line guidance. In addition to increased sales growth, we continue to see scale benefits, optimization and lower R&D costs. Guidance includes one-off restructuring cost of around DKK60 million. Gross margin is expected to improve by around 1 percentage point despite inflationary pressure in product supply. A capacity cost-to-revenue ratio is expected to improve as we capitalize on existing platforms to enhance efficiencies, benefit from optimization efforts, and reduced R&D spend. R&D expenses are still expected to decline to around 10% of the expected revenue, while single-digit increases are assumed for both sales, marketing expenses, and administrative costs. So to sum up, we expect 2024 to mark the sixth consecutive year of revenue growth and improved earnings fully in line with our long-term financial ambitions. With this, I would like to hand it back to Per, and Slide 11.
Per Plotnikof
Thank you, Peter, and thank you, Claus. And this concludes the main part of our presentation, and we will now move to the Q&A session. And I'll kindly ask the operator to go ahead. Thank you.
Operator
Thank you. We will now begin the question-and-answer session. [Operator Instructions] The first question today comes from Michael Novod with Nordea. Please go ahead.
Michael Novod
Thank you very much. A couple of questions. So firstly, on the peanut allergy tablet, and more around the sort of investments into a larger scale program. So I know there's a lot of tailwinds in '24 that may not repeat in '25, but if you sort of see a new traction in your business and grow sort of beyond the expectations. Is there a way that you can accelerate the peanut program with additional funds, if you still do 25% EBIT margin, but on a higher sales base, make a broader program, potentially also advance plans within Tree Nut or adjacent food allergies? Just to get a feeling for how you're willing to invest further, should your financial numbers also look better going forward? And then secondly, on China. Could you try to detail a bit more around the scope and size of a potential clinical program in China for the house dust mite tablet, and how this will also be sort of impacting potential costs in the coming years?
Peter Halling
Okay. Great. Thanks, Michael. So let me see, if I can answer both. Let me start with the peanut. Obviously, as you know, we are waiting new data, and that is expected second half this year. And depending on that, we'll make choices around do we try to accelerate further, do we do anything different around the study. As you may recall, we have already said that we would accelerate on the third phase of the study, so that was important to us. So that's already, we made a choice to invest further. Future investments depends actually less on how we perform overall, as long as we deliver on what we set from the get-go and our long-term ambition. But obviously, if something comes up that looks very, very interesting and relevant, we'll make a choice around whether we try to accelerate further. But again, we need to see data first, that's kind of the starting point. So that's the best answer I can give you on that one. And unfortunately, it's a little bit the same on China. We are currently in dialogue with the Chinese authorities. We are in a positive dialogue with the Chinese authorities. And as we also stated, our ambition is to set up a study that meets the expectations of the Chinese authorities and ours. It will not be a full scale clinical study, that much I can say, but the scope and the size of it depends on the dialogue ideally. And this is also the expectation we operate under is that that study will be finalized and we will be able to launch within the strategy period, meaning before end of '28. That said, in terms of the investments, etc., into it, it is embedded in our guidance. So this will not impact at this stage, and that's not the expectation that it will impact our guidance going forward. So I think those are the best answers I can give you. And jump in, Per and Claus, if anything to add.
Michael Novod
That's fine. Thanks.
Operator
The next question comes from Martin Parkhoi from SEB. Please go ahead.
Martin Parkhoi
Yes. Good afternoon. Martin from SEB. And firstly, about the capital growth in Europe, you did 21% organic growth, all for the Group, and according to my calculations, you did around 11 percentage points of that was coming from -- which means more than half was coming for EU tablet growth. But can you may be split Europe down a little bit, say, okay, how dependent are you on a single market, for example, like Germany? How much is that actually of the growth in EU? And then, I had to talk about the margin again and maybe that's for Claus, you could say, because now you have lifted your margin guidance by 2 percentage point in basically two months, and I guess it is driven by the higher top line. So it's difficult to understand that. It's not like that you have got cost savings earlier to reach the 25%. I guess it's because of leverage and top line. So in reality, you must have even more money to invest next year if we assume a normal pollen season and a normal growth in '25.
Peter Halling
Thanks, Martin for the two questions. Let me start by the tablet growth in Europe and try to break a little bit down, and then I will come back to the margin improvements. We, of course, as you know, not commenting on each of the individual market, but there's no doubt that the usual suspects is, of course, as you know, Germany and the Northern market. But what we have seen lately over the last quarters is that we start to see a very good broad-based growth across many markets in Europe, and it's actually across those that we see it. So this time, we are not dependent on one or two markets that are actually growing. It's actually across many of them. And if I have to point to one market, you have followed us for a long time and know that France has been a little bit of a pain point for us over the years with quite low growth, actually some years zero growth, and we haven't really been able to drive that up. What we have seen the last couple of quarters, and that's also helping us, and that's also part of why we are increasing the guidance is actually, that France has started to show very nice momentum, both within the tablet business, but also within the drops business. There are a few arguments, but as I said, related to doctors and capacity and so on. And we, of course, also believe some of the initiatives that we have been driving in France and invested into that, this is now starting to pay off. So if both tablets and SCIT drops across many different markets, but also France now adding in together with your other ones. Yeah. And then, of course, this time with Europe, it's important just to notice this about the parallel trade. Maybe we'll come and discuss it later, but that's, of course, also helping us across the different markets here. And we are a little bit cautious about how that will impact us in the second half, but maybe we can come back to that. Then you talk about the margin and the improvements that you're seeing there. You are right that, of course, a big part of that is coming from the top line going down into our bottom line. It is coming a lot from the tablet business. Our margins is highest on our tablet business, and we have the infrastructure and the production set up already today related to the tablet business. So every time we can increase and invest into more tablets growth on the top line, we have kind of the infrastructure set up to have a large part of that dropping down into the bottom line and thereby impacting positively the EBIT. So it is coming from there. We are also seeing some improvements in our cost base. As you know, we have the program around the DKK250 million that will free up next year. But we have, as you know, started some of the layoffs and rounds for people leaving us. And that is, of course, starting also to provide some few savings. But most of the impact on the EBIT is coming from the increased top line and especially the tablets.
Martin Parkhoi
Thank you.
Operator
The next question comes from Ben Jackson with Jefferies. Please go ahead.
Ben Jackson
Hi. Yes. Thank you for the question. It's Ben Jackson from Jefferies. Just to follow up on the China opportunity, is this something now that is more likely to be considered with a partner, and that's the best way forward with that? And then secondly, just on the guidance. I appreciate you've already touched on this, but perhaps if we can just get a little bit more clarity around it on both. What are your assumptions for this upcoming initiation season? Is the assumption here that this is a more normal season? And if the numbers are continuing, being strong and continuing to improve that, actually that's a positive upside on what you're expecting? And then secondly, also just a bit more clarity about the parallel trade and how that could impact numbers into the second half. Thank you.
Peter Halling
So, thanks, Ben. Let me start out, and then, Claus, you can jump in along the way. So if we take China specifically, we've made no decisions yet in terms of how we will move forward, but we have been successful in China. We have a sales organization and a commercial team out there that has done well with a growing business. And obviously, we've been further looking into how we could use that organization to launch ACARIZAX currently, and depending on the timing of the study -- the timing of when we can launch, we will make choices around how do we best take this to market. So you still have to be a little bit patient with us as we consider it, but we are looking obviously at our options base in that sense. And do remember that we already have a partnership in China with Grandpharma on the adrenaline. So that's not necessarily a negative. So all in all, we are not set on anything, but we do have a great team in China who's been doing well. Then on the guidance, and Claus, you can also jump in here, but just a few highlights from my side. So basically, as Claus also said early on, a couple of factors that has helped us and provided more clarity going forward. We've had some additional tailwind that wasn't expected and that became clear in terms of the potential clouds on pricing. So Germany, France, some of those places where we always have the risk of changes, it's been clear that it will not impact us this year to the extent that one could fear. So that's apportionment. Secondly, on the pollen initiation season. As you recall a couple of years ago, the season '22-'23 was a tough season and extremely tough on the company that hit us in the beginning of '23. Now, '23-'24 season last year was an extremely strong and solid season that has -- and is obviously, enabling and helping us this year. Now, what we're looking into, and it's still too early to say due to the delay of data and due to the fact that we are in the midst of the high season in August-September. But the early indications we've had and the leading indicators, and it's still data that we're working on, indicates that it will be what we would call a normal season, primarily helping us a bit on both house dust mites and also on the grass side, but maybe a little weaker than what we otherwise see on the tree side. So all in all, it looks like a better season. But just before you take this as that's the way it's going to end, please bear in mind that we are in the midst of it. So maybe, Claus, I'll just add one last comment on my side on this. That's the competitive situation in Europe. Again, we've seen that we've gotten some tailwind because other competitors have had a more difficult time supplying, and that has helped us and also helped us to a larger extent than what we previously forecasted. So that is a reason. This is not necessarily something that's going to help us into '25. A lot of things can change around that. So that's obviously, always something that we keep an eye on. So maybe, Claus, a few words on the guidance in addition to what is in the parallel trade.
Claus Steensen Solje
Yeah. I can do that. Thanks, Peter, and thanks Ben for the question. I think Peter covered very well the season part and also the competitive situation that we have. Besides that you could mention for the second half of the year, the parallel trade. It is a thing that we especially during '23 learned a lot about and how it was impacting our growth at that point in time. Here in '24, we have seen a less impact of that. Actually, quite low impact of parallel trade, meaning that we don't see a big effect on the top line from that. We would expect that that impact -- a positive impact you can say would be less in the second half of the year and that's why we are a little bit cautious related to that one. Then we also have a few other things that could be mentioned. Please remember last year when you compare to the second half of the year, this is where we started to see a significant growth in the tablets in Europe. So the comparable-- for last year in '23 was very tough compared to this half year. So that's also going to help. And then we have the phasing of the China and Japan. That's always a little bit of a for us, which quarters are impacting. But remember we have a license renewal in China in the second half of the year, which means we can't really ship as much product to China in that period until that import license has been renewed. It's not something that is going to impact the underlying business, but our top line expects we will. And that will also have an impact and take a bit down on the sales in second half. So these dynamics is why we believe that the guidance we have now set with the realized 15% is quite fair and accurate for the last remainder part of the year.
Peter Halling
So maybe one last thing to just boil it down. Another way of looking at the 15% is we have a solid underlying volume growth of around 10%, and then the other 5 percentage points came from pricing, competitive dynamics, etc. So we believe that the volume growth supports our long-term ambition, and then obviously, we have factors playing into the mix along the way, ups and downs, positives and negatives. I hope that answers, Ben.
Ben Jackson
Yeah. Very useful. Thank you.
Operator
The next question comes from Sushila Hernandez with Van Lanschot Kempen. Please go ahead.
Sushila Hernandez
Yes. Thank you for taking my questions. On the new initiations, I appreciate you already commenting on this, but could you elaborate on the high number of new patients starting treatment over the past year in particular, in Q2, what were the main drivers? And the second question on the PRE-PEN. When do you expect the stocking effects for the PRE-PEN to subside? Thank you.
Peter Halling
All right. Let me see. So the first question on the high number of patients, then Per, you had a comment specifically on ACARIZAX so jump in.
Per Plotnikof
Yeah. If we looked into Q2, I mean, we still got a little bit of help on new patient initiations from ACARIZAX. And again very much linked to France, linked to Central Europe, Germany also. Those were the main drivers in Q2, which normally it's more of a low season for new treatment starts. But of course, ACARIZAX treating house dust mite, which is perenniality. So a little bit of a different pattern there.
Peter Halling
Good. And then just your question around PRE-PEN. So we've been working with PRE-PEN for years obviously, and then acquired it late last year. What happened and that has caught us a bit by surprise was that there was a lot of stocking and also more stocking at the doctors than what we had initially expected. And that is basically, now inventory that is being worked down outside of the company. We expect that to start normalizing in the second part of the year, but the exact timing is always difficult to estimate. It's a small product, but nevertheless, it's an interesting product for the company, and that's also why we chose to acquire it. So I think that's the best answer I can provide you on PRE-PEN.
Sushila Hernandez
Thank you.
Operator
[Operator Instructions] The next question comes from Peter Sehested with ABG. Please go ahead.
Peter Sehested
Yes. Thank you for taking my questions. I have two -- maybe two and a half. Number one. Now that neffy (ph) is on the U.S. market, I guess their products in market performance were at some point in time shape what you're doing with anaphylaxis. Could you just elaborate a bit on what particularly are you looking for and what observations are the most important in judging -- affecting -- impacting your decision on the anaphylaxis portfolio? Secondly, on children, any learnings? I mean, you were working on market -- preparing the market, but anything new that you have learned since the Capital Market Day? And following or adding to this, I know we shouldn't be too optimistic on the U.S. and keep estimates down, I think we all have that. But nevertheless, I can still remember a conversation I had with the U.S. physician some years back where that person said, as the situation is right now, you guys have no chance. But you come in with something for children that works, that's a total game changer because, a U.S. parent, irrespective of what, allergists say, will never, sort of block their children from being cured. So just your thought on that particular dynamic initiate come through. And then I have a question of the season, but it might already been asked, but nevertheless. Splitting the season into sort of the -- the weather impacts and the things that you are doing, a normal season coupled with your activities in the market, which seem to have been better over the past years, which suggests that a normal season coupled with that would give you a better season compared to we've seen historically. So just your comment on that sort of way of thinking.
Peter Halling
Thanks, Peter. Let me start out. And I like the fact that you kind of bring us around all over the company here, but good questions. So let's start out by neffy. This is the nasal product from ARS Pharma that got the label approval in the U.S., and obviously, are intending to go global on the anaphylaxis or in the anaphylaxis market. So first and foremost, I think that what we've seen is they've done well. They got a good label. Be reminded that we are not present in the U.S. with our anaphylaxis portfolio. But what I think is important to say is what we are looking for is obviously, we're looking for adoption potential, is this products, and not necessarily neffy, but more broadly coming into the market that can help accelerate the growth of the market, also that can help expand the market, not only in the U.S., but across and then on our side, obviously, would this be products that are enabling us to complement or build synergies with our portfolio. So those are some of the key things. We believe that given our position in the value chain or with the prescribers that we have something to offer on the sales and marketing side, and also in terms of our setup. And then final comment on that one, whether we see nasal film or auto-injectors, we actually, believe that the combination of products and new innovation being brought into the market will expand the market. And hence we actually, believe that a lot of these products can coexist together. So all in all, we think it's actually great that ARS has gotten the nice label for neffy, and we believe it's going to be a market expansion. So for us, we continue to observe and make our choices, and then in the coming period, we'll be clear in terms of where we're heading. So that's that one. Then I think the question on the U.S., and correct me if I'm wrong, Peter here. But basically what you were asking, you said, okay, so what are you seeing in the U.S. that makes you believe that something could change versus the past? And you kind of gave a little bit your answer yourself. Tablets and tablets for children could be something that allergists and pediatricians obviously, would find interesting. We agree. I think it's important. I don't think it's simple that all allergists will adapt and go with tablets because we have them for children. But we do hope that obviously, there's going to be an uptake. And that said, you also have to remember we have nice growth in the U.S. on the tablet side, but you still have the dilemma for the prescribers around, where they make money on the products. More, I think it's important to say not only tablets for children educations on the existing types of allergies we have today, but bear in mind that by the end of the 20th year, we'll have also the peanut tablet if everything goes well. And that should also be an enabler for the U.S. market, including allergists because they don't have solutions or solid solutions today. So I think that's what I can say. And otherwise, correct me if I didn't get your answer right. And then the last one was on weather and the weather patterns and the spread. I think the best answer is obviously, we are working, as you know, to -- work with doctors, prescribers and KOLs to expand and enable more people to get in earlier and get treatment year-round rather than in certain portions of the season, for instance, around August-September. So if we can continue to enable that capacity and build it, then obviously, the seasons will be of less importance. But there is a caveat. The caveat is obviously, if you don't have an extreme -- when you don't have the extreme seasons, then people are also less observant of their allergies. And there's also -- obviously, if you have a weak season, where people don't get the normal signs of allergy, then obviously, there would be less interest in getting treated because it takes time and resources to do so. So that's always the challenge around that, Pete. So I think the answer is we are hoping that we'll be less dependent on the weather, but we also realize that's still part of the game for the common and that's also going to be part of it for foreseeable future. So I don't know, if I got around to all the questions here.
Peter Sehested
Yeah. I think you did. Sort of the season was, since you're performing better in the market with your initiatives, I guess, you are potentially more robust to what you would call a normal season, meteorologically speaking, I would say. So all-in-all, should we expect you to perform better now under a normal, let's say, meteorological season? That's sort of my point I was getting to.
Peter Halling
But I think it's -- it might be premature. I mean, when we talked about last time, we said we're putting in initiatives and we had some last year when the organization worked and we had early signs. I think it's premature to say that we've successfully expanded capacity. But you're right in the sense that if we are successful, and hopefully, we will become more successful, we'll be less dependent on the seasons like in the past. So when you get hit by a virus in the fall or in the early fall, then hopefully, we'll be able to still get more patients through then when it's only August-September. So from that standpoint, you're right.
Peter Sehested
Yeah. That was a good point. Thank you very much.
Per Plotnikof
So one more question and then, we'll need to round off for the day. Please go ahead.
Operator
The last question today comes from Jesper Ilsoe with Carnegie. Please go ahead.
Jesper Ilsoe
Thanks for taking my question. I have one on pricing. So just -- thanks for the comments on 10% volume growth, and 5% price and other things here in H1 '24. Just to understand sort of the pricing dynamics going forward, also, considering the price wins you've had here in '24. So can you just remind us if there are any visible upcoming price decisions expected in the next, say, 12 months, 24 months? And also how we should, in general, look and expect the price development to look in the coming years? Is it fair to assume sort of a stable price development in the coming years? And in that perspective, just remind us of your latest thoughts about this German rebate staying at the current '24 levels, or whether it will return again. I know it's difficult to predict, but any feedback there will be welcome. Thank you.
Peter Halling
Yeah. Absolutely. Claus?
Claus Steensen Solje
Yeah. Thanks, Jesper for the question. I think you almost answered yourself with the word stable. I also think you can say that's how we see it. And when we are making our plans for this year, next year, then we are planning with a stable pricing environment. Then of course, what is that? Well, that is that in some markets, we will see some -- hopefully, some price increases on some of our products linked to inflation and so on, and maybe there will be some price decreases in other markets so going a little bit up and down. But overall, I would say stable. When you then ask to kind of the biggest swing factors, for example, the German rebates and so on, it could also be a French price decrease or situation. We don't see anything right now coming up, but, of course, I'm saying that, with the expectation that it's difficult to forecast what's going to happen. We don't see anything, but of course, we are following it very closely. We know that in Germany they're talking about it. The politicians and authorities are talking about it. They miss some money in their budget. So maybe they will come up with the idea that why do not pharma add more to it and they know they can implement it quite easy. But right now, we don't expect it. And if it's coming this year, it will be with a little impact and more impact in '25. So right now, no major pricing impact out there. But of course, we are monitoring and when we know something or see something, we will let. So I think the word stable pricing is probably the best we have for now.
Jesper Ilsoe
Very clear. Thanks a lot.
Operator
This concludes our question-and-answer session. I would like to turn the conference back over for any closing remarks.
Per Plotnikof
Thank you very much, operator, and thank you all for the good question. And before we end the call, please take a look at the slides, Slide number 12 with upcoming news and events, and we hope to see you at one of these events. And as always you are most welcome to contact us, if you have additional questions. With this, we will end today's session and we wish you all a good day. Good-bye.