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Next, in immunology, combined sales of Remicade and Simponi were approximately $620 million, a decline of 5%. Simponi grew 25%, but growth was offset by a 13% decline in Remicade sales. As expected, we continue to see additional competitive impact from biosimilars across Europe. We expect declines in Remicade will continue to accelerate in the fourth quarter and throughout 2016.


With regard to biosimilar Remicade, we are seeing most discounts of 30% to 45%, maybe a little bit higher in some of the countries where there's been a biosimilars for a longer period of time than in core Europe. If you look at our market share, we have about a 90% market share as we go through the third quarter. That's down from about a 95% market share the prior quarter. And we believe that the pressure will continue because we've been able to hold onto a lot of the existing patients that are well controlled, and physicians don't want to switch.

But we are starting to lose more and more new patients, and new patients, as you know, become more of a percent of the total as you go longer over time. So it would be a bit gradual, but it's going to continue to have impact. About 10% to 20% of the business per year is in new patients, just to give you a sense.

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