In Europe (-4%), sales were affected by the competition from biosimilars for Herceptin (-45%) and MabThera/Rituxan (-36%). This decline was increasingly offset by the strong growth of Ocrevus, Perjeta, Tecentriq, Alecensa and Hemlibra.
In Japan, sales increased 9%, driven by recently launched products, including Hemlibra, Tecentriq and Perjeta. The growth in Japan was partially offset by biosimilar competition for MabThera/Rituxan (-46%).