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€1,962 million of the <strong>Bayer</strong> Group’s total research and development (r&D) spending<br />

went to <strong>Bayer</strong> <strong>HealthCare</strong> in 2012, corresponding to 65.1 percent of the group’s entire<br />

research expenditure, or 10.5 percent of <strong>Bayer</strong> <strong>HealthCare</strong>’s sales. Some 7,500 employees<br />

research and develop innovative active ingredients for the treatment of diseases<br />

where there is a high level of medical need.<br />

Drug discovery in <strong>Bayer</strong> <strong>HealthCare</strong>’s Pharmaceuticals Division is concentrated on the areas of<br />

Cardiology, Oncology, Hematology and Women’s Healthcare, while the corresponding<br />

mechanisms of inflammation and the development of new therapeutic options in oph-<br />

thalmology are also of interest. The division aims to identify low-molecular-weight sub-<br />

stances as well as to develop new biologics. It also evolves products that have already<br />

been granted regulatory approval, for example by developing novel formulations. In<br />

many of these projects, <strong>Bayer</strong>’s scientists work together in close collaboration with<br />

external cooperation partners.<br />

rESEArCH AnD DEvEloPMEnT<br />

One example of an innovative active ingredient is the anticoagulant Xarelto (rivaroxaban)<br />

which was invented in <strong>Bayer</strong>’s laboratories in Wuppertal and co-developed with<br />

Janssen Pharmaceuticals. The extensive clinical trial program conducted for rivaroxaban<br />

which will have involved more than 100,000 patients once all studies are completed<br />

makes it the most studied oral, direct Factor Xa inhibitor in the world today. The<br />

clinical development program investigated the inhibitor’s potential in the prevention and<br />

treatment of a broad spectrum of acute and chronic thromboembolic disorders,<br />

including stroke prevention in patients with atrial fibrillation, treatment of deep vein<br />

thrombosis and pulmonary embolism, prevention of recurrent deep vein thrombosis or<br />

pulmonary embolism, and finally secondary prevention of acute coronary syndrome.<br />

Another innovative substance from <strong>Bayer</strong>’s research laboratories is riociguat, the first<br />

drug from a new class of vasodilatative substances. This oral product is being developed<br />

for the treatment of various forms of pulmonary hypertension, a rare but lifethreatening<br />

disease. Further priorities in cardiology research are heart failure and kidney<br />

disorders. The functions of the heart and kidneys are mutually interdependent and<br />

heart and kidney diseases often share common underlying disease mechanisms.<br />

Despite major progress in the fight against cancer, there is still a high medical need for<br />

therapies to prolong life and improve the quality of life. The development pipeline in<br />

Oncology comprises various targeted antibodies, antibody-drug conjugates as well as<br />

low-molecular-weight substances. These include, in addition to Nexavar (sorafenib), a<br />

co-development with Onyx Pharmaceuticals, the substance regorafenib, which inhibits<br />

various enzymes involved in tumor growth and the formation of new blood vessels<br />

(neoangiogenesis), and radium-223 dichloride, a novel alpha-pharmaceutical drug<br />

which is being co-developed with the norwegian company Algeta ASA for the treatment<br />

of tumor types which have already formed metastases in the bones. Radium-223<br />

dichloride emits targeted alpha radiation to eliminate cancer cells in the bones. It was<br />

filed for regulatory approval for the treatment of castration-resistant prostate<br />

17

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