Regulatory Approvals - The company received FDA approval in January 2024 for a treatment related to Stage III-IVA cervical cancer based on the KEYNOTE-A18 trial[31]. - In February 2024, the company obtained China's NMPA approval for a first-line treatment of locally advanced or metastatic biliary tract carcinoma based on the KEYNOTE-966 trial[31]. - The company achieved FDA full approval in January 2024 for a treatment of HCC secondary to hepatitis B, transitioning from accelerated to full approval based on the KEYNOTE-394 trial[31]. - The FDA issued a Complete Response Letter (CRL) for the BLA of MK-1022 due to findings from a third-party manufacturing facility inspection, with no issues identified regarding efficacy or safety data[104]. - The FDA accepted a supplemental NDA for MK-6482 for priority review, with a target action date set for May 26, 2025[105]. - V116, a 21-valent pneumococcal conjugate vaccine, is under review in the EU and Japan, with a recommendation for approval expected by the second quarter of 2025[106]. - Keytruda (MK-3475) is under review in the EU and Japan for first-line treatment of unresectable advanced malignant pleural mesothelioma, with a positive opinion from EMA's CHMP[110]. - The FDA accepted the BLA for MK-1654 (clesrovimab) with a PDUFA date set for June 10, 2025, aimed at protecting infants from RSV[108]. Market and Pricing Pressures - The company reported that global health care cost containment pressures negatively impacted sales performance in 2024, affecting pricing and market access[37]. - The company anticipates ongoing pricing pressures from managed care organizations and government programs, which could adversely affect sales and profit margins[40]. - The Company faces increasing pricing pressure due to consolidation among health care entities, which enhances purchasing strength and may adversely affect revenue[42]. - Legislative changes from the IRA will impose financial penalties for drugs with price increases exceeding inflation rates, affecting the Company's pricing strategy starting in 2026[43]. - The Company anticipates a decline in U.S. sales of Keytruda after government price setting takes effect on January 1, 2028[43]. - The American Rescue Plan Act eliminates the cap on Medicaid rebates starting January 2024, potentially increasing rebate payments for the Company[46]. - In China, the recent NRDL update resulted in an average price reduction of 63% for new entries, indicating significant pricing pressure[60]. - The volume-based procurement (VBP) program in China has led to average price reductions of over 50% for mature products in recent rounds[60]. - The EU's Health Technology Assessment Regulation will begin in 2025, influencing pricing and reimbursement decisions for new products[54]. - The Company is subject to government-mandated annual price reductions in Japan, with the next reduction scheduled for April 2025[59]. - The Company expects ongoing pricing pressures and market access challenges in emerging markets due to government price controls[61]. Competition and Market Strategy - The company is facing increasing competition from generic and biosimilar products, which may impact sales of existing products[34]. - The company is refining its sales and marketing efforts to adapt to changing industry conditions and competition[35]. - The company is well-positioned to respond to evolving health care environments and market forces through continuous evaluation and adaptation of its business practices[39]. - The company has received multiple product approvals in 2024 and 2025, indicating a strong pipeline of new treatments[30]. - Merck is diversifying its oncology portfolio with numerous Phase 3 programs focused on immuno-oncology, precision molecular targeting, and tissue targeting[111]. - The company focuses on breakthrough science for unmet medical needs, prioritizing research and development resources on candidates with clear advantages for patients and payers[89]. - The company maintains a strategy of supplementing internal research through acquisitions and external alliances across the entire spectrum of collaborations[89]. - The company is actively pursuing acquisitions and external alliances to complement its internal research capabilities[481]. - Merck's recent transactions reflect a strategic focus on expanding its product pipeline and market presence through significant investments[481]. Research and Development - As of December 31, 2024, approximately 23,500 employees were engaged in the company's research and development activities[88]. - The company is pursuing multiple candidates in its clinical pipeline across various disease areas, including cancer, cardiovascular diseases, and infectious diseases[90]. - Research and development expenses decreased significantly to 30,531 million in 2023[432]. - The company’s research and development model aims to increase productivity and improve the probability of success in drug development[89]. - The company is committed to ensuring that externally sourced programs remain an important component of its pipeline strategy[89]. - Merck's MK-7962 (Winrevair) shows positive topline results in Phase 3 ZENITH study for PAH, leading to early termination due to overwhelming efficacy[107]. - The clinical development program for favezelimab was terminated after evaluation of data from the clinical program[120]. - The Phase 2b trial for MK-8189 did not meet its primary efficacy endpoint, halting further development in schizophrenia and related indications[120]. - Merck announced the discontinuation of the Phase 3 KeyVibe trials for MK-7684A due to meeting pre-specified futility criteria for overall survival[120]. - The company has several drug candidates under review with anticipated patent expirations extending into the 2040s, indicating a robust pipeline for future products[83]. Financial Performance - The Company achieved sales of 60,115 million in 2023[432]. - Net income attributable to Merck & Co., Inc. rose to 365 million in 2023[432]. - Cash dividends declared on common stock increased to 2.96 per share in 2023 and 7,943 million in 2024[436]. - Net cash provided by operating activities rose to 13,006 million in 2023 and 835 million in 2024, following a decrease of 216 million, contrasting with a loss of 13,318 million, up from 13.3 billion in 2024, up from 12.3 billion in 2022[454]. Environmental Sustainability - The company is committed to reducing energy usage, water use, and greenhouse gas emissions as part of its environmental sustainability strategy[134]. - The Company aims to reduce Scope 1 and 2 operational GHG emissions by 46% by 2030, and Scope 3 GHG emissions by 30% by 2030, both from a 2019 baseline[135]. - The Company has set a net-zero target for GHG emissions across its global operations by 2045[135]. - Expenditures for environmental remediation were 26 million for 2025-2029[140]. - The company is committed to achieving its 2025 waste diversion goal of no more than 20% of global operational waste sent to landfills[142]. - The Environmental, Health and Safety Council oversees the company's environmental sustainability strategy and monitors performance against its goals[133]. Workforce and Employee Engagement - As of December 31, 2024, the company had approximately 75,000 employees worldwide, with 31,000 in the U.S. and 15,000 third-party contractors[124]. - The company's voluntary turnover rate was approximately 4.6% in 2024, down from 5.6% in 2023[124]. - In 2024, the company hired approximately 7,300 employees globally through various recruitment channels[127]. - Women comprise 52% of the company's workforce, and 39% of the senior management team are women[124]. - The company's benefits rank in the top quartile of Fortune 100 companies under the Aon 2024 Benefits Index[129]. - The company has been included in the Seramount 100 Best Companies ranking for 38 consecutive years[129]. - The company offers a minimum standard of 12 weeks of paid parental leave globally[129]. - The company received accolades such as the Business Group on Health's Best Employers Excellence in Health & Well-being in 2024[130]. Data Protection and Compliance - The company is subject to the EU General Data Protection Regulation (GDPR), which can impose penalties of up to 4% of global revenue for non-compliance[70]. - The GDPR requires strict obligations for processing personal health data, including consent and notification to data protection authorities, adding complexity to data management[71]. - Merck has entered into EU-approved Standard Contractual Clauses to facilitate lawful data transfers from the EU to the U.S. following the Schrems II decision[71]. - The Personal Information Protection Law (PIPL) in China requires compliance for processing personal information, similar to GDPR but with unique requirements[75]. - The company has adopted a comprehensive global privacy program to manage evolving data protection requirements across multiple jurisdictions[76]. Acquisitions and Collaborations - Merck will acquire WuXi Vaccines' facility in Dundalk, Ireland for approximately 588 million for the upfront payment related to the exclusive global license of MK-2010, with potential future payments totaling up to 1.3 billion, enhancing its Animal Health portfolio with innovative products[487]. - Merck acquired EyeBio for 1.7 billion[487]. - Merck's acquisition of Harpoon Therapeutics for 656 million to R&D expenses, with no future contingent payments[492]. - In 2023, Merck acquired Prometheus Biosciences for 10.2 billion to R&D expenses[494]. - Merck's collaboration with Daiichi Sankyo includes three ADC candidates, enhancing its development and commercialization capabilities[493]. - Merck entered a collaboration with Kelun-Biotech, making an upfront payment of 38 million to Kelun-Biotech for exercising a license option for one candidate, with potential future payments of up to 1.5 billion in regulatory milestones[496]. - Merck's collaboration with Orna Therapeutics included an upfront payment of 3.1 billion in sales-based milestones[500].
Merck(MRK) - 2024 Q4 - Annual Report