May 7, 2019

Grifols reports 13% revenue growth to EUR 1,157 million and confirms its solid operational performance

First Quarter 2019 Results

  • The Bioscience Division continues to drive Grifols' growth, with a 13.4% increase in sales to EUR 916 million due primarily to strong U.S. and European demand for immunoglobulins
  • Diagnostic Division revenues remain stable at EUR 166 million, the Hospital Division grows by 11.6% to EUR 31 million and Bio Supplies reports EUR 52 million in sales
  • Higher gross margin compared to the fourth quarter of 2018 enables increased investments in R+D+i and upcoming product launches
  • EBITDA rises by 2.7% to EUR 306 million and represents a 27.0% underlying1 margin
  • Net profit stands at EUR 114 million as a result of non-recurring expenses derived from corporate transactions and higher financial costs resulting from interest rate variations and a new accounting standard2
  • Additional results from the AMBAR clinical trial to treat Alzheimer's show improvement in patients in both mild and moderate stages of the disease following treatment
  • Grifols reaches a strategic alliance with Shanghai RAAS to promote the sale of hemoderivatives and transfusion diagnostic solutions in China

Barcelona, May 7, 2019.- Grifols (MCE: GRF, MCE: GRF.P, NASDAQ: GRFS) continued to deliver solid revenue growth in the first quarter of 2019. Revenues reached EUR 1,156.8 million, growing 13.1% (8.1% cc3) over the EUR 1,023.0 million reported in the same period in 2018.

According to Grifols' co-CEOs Raimon Grífols Roura and Víctor Grífols Deu, "Our first-quarter 2019 performance reflects the strong efforts of all four divisions, particularly the Bioscience Division. Strategic investments to expand our plasma supply, coupled with solid demand for plasma-derived products, have allowed us to increase our R+D+i investments and sales and marketing spend to reinforce Grifols' position as an industry leader. The latest findings from the AMBAR clinical trial to treat Alzheimer's, along with the collaboration and license agreement with Rigel Pharmaceuticals and strategic alliance with Shanghai RAAS in China, all highlight our sustainable growth strategy and long-term vision."

The Bioscience Division was the main engine of revenue growth. The division's upturn in sales and the favorable price evolution of certain plasma proteins both contributed to a higher gross margin.

This improvement in gross margin enabled Grifols to increase its efforts on R+D+i strategic initiatives; on operating costs linked to commercial operations; and on global expansion including the strategic alliance with Shanghai RAAS4 in China. In the first quarter of 2019, the non-recurring costs related to corporate transactions totaled EUR 6.4 million.

Total net R+D+i investment grew by 21.5% to EUR 89.3 million (EUR 73.5 million in the first quarter of 2018), representing 7.7% of revenues. Meanwhile, EUR 64.9 million was allocated to CAPEX. These investments reflect and reaffirm Grifols' long-term vision and commitment to sustainable growth.

EBITDA totaled EUR 306 million, a 2.7% increase with respect to the same period last year, while the EBITDA underlying margin stands at 27.0%.

Grifols' financial results reached EUR 82 million. This includes the impact of interest rate variations and a new accounting standard for leases2 (EUR 7.7 million), mainly affecting plasma donation centers. Net profit amounted to EUR 114 million.

Excluding the IFRS 16 impact5, net financial debt stands at EUR 5,906 million and net financial debt over EBITDA at 4.78x (4.64x excluding exchange rate variations). Effective debt management remains a key priority for the company, which expects this ratio to fall in upcoming quarters.

As of March 31, 2019, Grifols had more than EUR 577 million in cash positions and EUR 410 million in undrawn lines of credit, raising its liquidity position to roughly EUR 1,000 million.


Bioscience Division

The Bioscience Division maintained its upward trend and position as the main engine of corporate growth. Revenues grew by 13.4% (8.0% cc) to EUR 915.6 million.

Robust demand for immunoglobulin in the U.S. and some EU countries, price upticks in specific markets and stronger demand for hyperimmune immunoglobulins were behind the division's solid performance.

Immunoglobulin sales grew by double digits thanks to higher volume and positive price trends in specific markets. The company increased its marketing efforts in preparation for the launch of its 20% subcutaneous immunoglobulin, scheduled for the second half of the year.

Alpha-1 antitrypsin continues to fuel the division's results. Efforts to develop a new diagnostic test for Alpha-1 antitrypsin deficiency test - that received FDA approval last year and it was carried out by the Diagnostic Division - led to an increase in the number of diagnosed patients. The company initiated other commercial actions to further promote this protein.

Albumin sales were impacted by renewal process delays in China in the fourth quarter of 2018, a decline partially offset by higher revenue growth in the United States.

Meanwhile, factor VIII sales fell in line with their waning use to treat patients with inhibitors. The company continues to position factor VIII as the best treatment for patients with hemophilia A, focusing its attention largely in the U.S. and emerging markets.

Grifols remains committed to promoting its specialty proteins to expand its differential product portfolio. Sales of hyperimmune immunoglobulins, particularly the anti-rabies immunoglobulin HyperRAB®, were particularly noteworthy in the first quarter of the year.

Diagnostic Division

The Diagnostic Division grew by 0.3% to EUR 165.5 million (-3.3% cc). The division's growth was largely fueled by stronger sales of its NAT donor-screening systems and blood-typing solutions. The division also worked to leverage future growth opportunities in key markets including China.

The division noted increased sales of NAT technology (Procleix® NAT Solutions), used to detect viruses in blood and plasma donations, and continued to advanced its efforts to enhance its product portfolio. During the first quarter of 2019, Grifols earned FDA approval for the Procleix® Babesia assay, a test to detect RNA from four Babesia species in whole blood specimens. The continued development of new assays emphasized Grifols commitment for the safety of the blood supply.

The division observed a sharp sales increase in all regions of its blood-typing solutions product line, which include both analyzers (Erytra®, Erytra-Efelxis® and Wadiana®) and reagents (DG-Gel® cards, red blood cells and antisera). Sales were exceptionally strong in China, a core market with great growth potential for the division, as well as in the U.S. that it is now our largest market, owing to a solid sales plan and strategic investments. Robust sales growth was also reported across Latin America and in selected countries of Asia (such as Thailand and Japan) and Europe (such as Italy, UK and Switzerland).

Hospital Division

Hospital Division revenues increased by 11.6% (11.3% cc) to EUR 30.5 million in the first quarter of the year.

The United States remains a core market for the division. The Pharmatech line - which comprises systems to optimize the efficiency and control of hospital-pharmacy services, including sales of MedKeeper solutions - grew by double digits and further consolidated its U.S. presence during the first quarter of the year.

Sales of Grifols' physiological saline solution, manufactured in the Murcia (Spain) plant, also contributed to the division's strong performance in the U.S. market.

For its part, sales of medical devices increased, especially in Spain.

Bio Supplies Division

The Bio Supplies Division doubled its sales revenue to EUR 51.5 million in the first quarter, representing a 97.0% increase (88.4% cc) over the same period last year.

This division primarily oversees the sale of biological products for non-therapeutic use; manufacturing agreements with Kedrion, which dropped significantly in the first quarter; and sales of third-party plasma through Haema and Biotest (EUR 36.5 million).


  • The latest results show improvement in patients in both the mild and moderate stages of AD following the AMBAR protocol

Grifols presented additional results of its AMBAR (Alzheimer Management by Albumin Replacement) clinical trial for the treatment of Alzheimer's at the 14th International Congress on Alzheimer's and Parkinson's (AD/PD), held last March in Lisbon (Portugal).

These latest findings complement and confirm those presented in October 2018, showing the benefits of AMBAR for both patients with moderate-phase Alzheimer's and those in the mild stage of the disease.

These results infer a relationship between the response of patients and the doses of albumin and immunoglobulin used in the plasmapheresis treatment. Of the three different treatment arms, and in view of the analyzed data, the treatment that appears to show the greatest efficacy is the one combining the highest doses of albumin and intravenous immunoglobulin.

A positive effect of the treatment is observed in all cognitive functions analyzed to date when considering the treatment cohort (patients in the mild and moderate stages of AD) as a whole. In addition, in some relevant areas like language and processing speed, not only is a slowdown in disease progression demonstrated, but statistically significant improvement is observed in comparison with patients in the placebo group, who exhibit impairment characteristic of the disease.

Also, when patients in the moderate phases of Alzheimer's are analyzed separately, the area that presents the most promising results is memory. Patients with mild AD show clear improvements in language and processing speed. These results translate into a significant improvement in the quality of everyday life of Alzheimer's patients.

Grifols plans to offer updates throughout 2019 at other conferences, specifically the AAIC (Alzheimer's Association International Conference) in Los Angeles (United States) in July and the CTAD (Clinical Trials on Alzheimer's Disease) in San Diego (United States) in December. At that time, all of the analyses mentioned in the study will be available.

  • Treatment with high doses of albumin improve cardiac function and reduce inflammation in patients with decompensated cirrhosis, according to the EF-Clif Study published in Gastroenterology

Research spearheaded by the European Foundation for the Study of Chronic Liver Failure (EF-Clif) demonstrated for the first time ever that administering high doses of albumin generates an immunomodulatory effect, both in the short and long term, in patients suffering from decompensated cirrhosis. High doses of albumin were also found to improve circulatory function in patients with this disease.

The research was based on two investigations, the Pilot-PRECIOSA study, sponsored by Grifols, and INFECIR-2, a study sponsored by the Fundació Clinic that included the participation of 22 institutions in seven European countries.

These findings on the anti-inflammatory benefits of albumin open the door to new areas of research on treatments for patients with cirrhosis and severe sepsis, and the action mechanisms of albumin.

The study recently featured in Gastroenterology6, the official publication of the American Gastroenterological Association.

  • Grifols enters a strategic alliance with Shanghai RAAS to boost growth in China

Grifols and Shanghai RAAS reached a strategic alliance agreement to manufacture, market and develop plasma products and transfusion diagnostic solutions in the Chinese market.

China is one of the fastest-growing markets for hemoderivatives. Its demand for NAT technology is forecast to grow significantly as it increasingly adopts leading-edge diagnostic solutions to enhance the safety of blood and plasma donations.

Upon completion of the transaction, Grifols will become Shanghai RAAS's second-largest shareholder, controlling a 26.2% stake (economic and voting rights) in exchange for a non-majority share (45% economic and 40% voting rights) in Grifols Diagnostic Solutions (GDS), a wholly owned subsidiary.

Grifols will appoint three members to serve on the Shanghai RAAS Board of Directors, which includes a total of nine members. It will also have the right of veto in matters including share issuance, divestment of material assets, mergers, and bylaw amendments, as well as subscription rights in the case of capital increases. Shanghai RAAS will have a member on the GDS board.

The alliance represents an important step forward in its global expansion and in Grifols' sustainable growth and long-term strategy, generating value for all of its divisions, especially the Bioscience and Diagnostic Divisions.

The transaction requires no external funding and is subject to approval by the Chinese and U.S. regulatory authorities. Grifols expects to close the transaction in the second half of 2019.

  • Collaboration and license agreement with Rigel Pharmaceuticals

Grifols reached an agreement with Rigel Pharmaceuticals, a U.S.-based biotechnology firm, to exclusively market fostamatinib disodium hexahydrate in Europe and Turkey, including all future indications.

Currently available in the U.S. under the brand name TAVALISSE®, fostamatinib is the first and only SYK (spleen tyrosine kinasa) inhibitor indicated to treat chronic idiopathic thrombocytopenic purpura (ITP) in adult patients who have not responded to previous treatments. EMA approval as an ITP treatment is expected in the fourth quarter of 2019.
Following the terms of the agreement, Grifols paid an initial cash outlay of USD 30 million, with the possibility of paying up to USD 297.5 million contingent upon regulatory and commercial milestones. This includes a USD 20 million payment upon EMA approval of fostamatinib for the treatment of chronic ITP in adult patients.

This agreement represents an important opportunity for the Bioscience Division to enhance its portfolio of products to treat other chronic and rare diseases since fostamatinib potentially has multiple indications in addition to ITP.

1Underlying EBITDA excludes the impact derived from Haema and Biotest plasma third-party sales.
2New accounting standard affecting leases – IFRS 16 – in effect as of January 1, 2019.
3Operative or constant currency (cc) excludes exchange rate variations reported in the period.
4Transaction pending approval by the competent competition authorities in China and the United States.
5As of March 31, 2019, the IFRS 16 impact in the debt figure amounted EUR 711 million.
6Effects of Albumin Treatment on Systemic and Portal Hemodynamics and Systemic Inflammation in Patients With Decompensated Cirrhosis, Gastroenterology (2019), doi: