Core Viewpoint - Eli Lilly is considered one of the top stocks in the healthcare sector to buy, despite facing some challenges this year, due to its strong market performance and innovative product pipeline [1]. Innovation - Eli Lilly has demonstrated significant innovation, particularly with the launch of tirzepatide, which is marketed as Mounjaro for diabetes and Zepbound for obesity, representing a breakthrough as the first dual GLP-1 and GIP agonist [2]. - Tirzepatide has shown to be more effective than traditional GLP-1 drugs, achieving unprecedented sales figures, projected to exceed $20 billion in its third full year on the market [3]. Future Prospects - The approval of Kisunla for Alzheimer's disease marks a significant expansion of Eli Lilly's innovative capabilities beyond its core markets, indicating a strong future potential [4]. - The company has expanded its pipeline through acquisitions and licensing deals, which is expected to drive clinical and regulatory success, leading to strong financial results into the next decade [5].

Financial Data and Key Metrics Changes - The company reported a 9.7% increase in net sales at constant exchange rates, reaching EUR 9.9 billion, primarily driven by Dupixent, new product launches, and favorable phasing in vaccines [19][20]. - Gross margin improved significantly to 78%, up 2.3 percentage points from the previous year, attributed to an improved product mix and efficiencies [20]. - Business EPS was EUR 1.79, reflecting a 15.7% increase, confirming expectations for a strong EPS rebound in 2025 [21]. Business Line Data and Key Metrics Changes - New product launches generated EUR 1.1 billion in sales, contributing 11% to total sales, driven by the phasing and expansion of Befortis [7]. - Dupixent sales grew by 20% in Q1, reaching EUR 3.5 billion, with U.S. sales at EUR 2.5 billion, up 18% [8][9]. - The vaccine business delivered double-digit growth in Q1, supported by favorable phasing and new country launches [14]. Market Data and Key Metrics Changes - Outside the U.S., Dupixent sales exceeded EUR 1 billion for the first time, with significant contributions from Japan, China, and Germany [9]. - The company is focused on improving immunization rates in the U.S. for infants, with a vaccination coverage rate of approximately 55% to 60% during the 2024-2025 season [78]. Company Strategy and Development Direction - The company aims to invest in R&D, sales and marketing, industrial assets, AI, and talent to drive organic growth [22]. - A progressive dividend policy is maintained, marking the 30th consecutive year of dividend increases [24]. - The company is executing a EUR 5 billion share buyback program in 2025, with 76% already completed [24]. Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in Dupixent's growth across markets and all approved indications, highlighting low bio penetration [10]. - The company anticipates stable sales for launches in 2025, despite a higher baseline due to competitor product unavailability [25]. - Management acknowledged foreign exchange impacts estimated at around -1.5% on sales and -2% on EPS for the full year 2025 [26]. Other Important Information - The company obtained FDA approval for QFIPIA in hemophilia, one of three potential launches this year [8]. - The company is exploring external growth opportunities through bolt-on acquisitions, including the acquisition of a promising molecule from Dren Bio [22][23]. - The company is committed to aligning health outcomes with environmental and social responsibility through its updated sustainability strategy [16][17]. Q&A Session Summary Question: Can you provide insights on the efficacy of amlitelimab compared to Dupixent? - Management emphasized their commitment to Dupixent and noted that while amlitelimab missed its primary endpoint, compelling data in multiple subgroups supports its development [53][54]. Question: What is the strategy regarding the combination of balantinofib with other therapies? - Management confirmed plans for combination therapies, highlighting the potential for synergistic effects with existing treatments [56][57]. Question: How is the company addressing the immunization rates for RSV in the U.S.? - Management noted that the vaccination coverage rate is around 55% to 60% and emphasized the need to increase this rate to protect infants [78][79]. Question: What are the expectations regarding the impact of U.S. tariffs on the company? - Management stated that there are no specifics to share regarding U.S. tariffs but confirmed readiness to address any developments [93]. Question: How does the company view the competitive positioning of its pipeline? - Management expressed confidence in the competitive positioning of their pipeline, particularly with the potential of new therapies like Bribekamig [111][112].