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Jefferies 2017 Global Healthcare Conference June 7, 2017

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Page 1: Jefferies 2017 Global Healthcare Conference Cor… · •Innovator: Custom Development (clinical phase) and Custom Manufacturing (commercial), Generic APIs, ... class quality systems

Jefferies 2017 Global

Healthcare Conference

June 7, 2017

Page 2: Jefferies 2017 Global Healthcare Conference Cor… · •Innovator: Custom Development (clinical phase) and Custom Manufacturing (commercial), Generic APIs, ... class quality systems

© 2017 Cambrex Corporation. All rights reserved. 2

Forward-Looking Statements

This document may contain “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act

of 1995 and Rule 3b-6 under The Securities Exchange Act of 1934, as amended, including, without limitation, statements

regarding expected performance, especially expectations with respect to consolidated or product category sales, EBITDA,

depreciation, amortization, capital expenditures, and the type of acquisitions, divestitures, collaborations, or other expansion

opportunities the Company may consider. These statements may be identified by the fact that they use words such as “expects,”

“anticipates,” “intends,” “estimates,” “believes” or similar expression in connection with any comments regarding strategy or future

financial and operating performance. Any forward-looking statements are qualified in their entirety by reference to the risk factors

discussed in the Company’s periodic reports filed with the U.S. Securities and Exchange Commission. Any forward-looking

statements contained herein are based on current plans and expectations and involve risks and uncertainties that could cause

actual outcomes and results to differ materially from current expectations including, but not limited to, global economic trends,

pharmaceutical outsourcing trends, competitive pricing or product developments, government legislation and regulations

(particularly environmental issues), tax rate, interest rate, technology, manufacturing and legal issues, including the outcome of

outstanding litigation disclosed in the Company’s public filings, the Company’s ability to satisfy the continued listing standards of

the New York Stock Exchange, changes in foreign exchange rates, uncollectible receivables, loss on disposition of assets,

cancellation or delays in renewal of contracts, lack of suitable raw materials or packaging materials, the Company’s ability to

receive regulatory approvals for its products, environmental remediation, pension funding and other factors. Any forward-looking

statement speaks only as of the date on which it is made, and the Company undertakes no obligation to publicly update any

forward-looking statement, whether as a result of new information, future events or otherwise. New factors emerge from time to

time and it is not possible for the Company to predict which will arise. In addition, the Company cannot assess the impact of each

factor on its business or the extent to which any factor, or combination of factors, may cause actual results to differ materially from

those contained in any forward-looking statements.

For further details and a discussion of these and other risks and uncertainties, investors are cautioned to review the

Cambrex 2016 Annual Report on Form 10-K, including the Risk Factors and Forward-Looking Statement sections therein, and

other filings with the U.S. Securities and Exchange Commission. The Company undertakes no obligation to publicly update any

forward-looking statement, whether as a result of new information, future events or otherwise.

Page 3: Jefferies 2017 Global Healthcare Conference Cor… · •Innovator: Custom Development (clinical phase) and Custom Manufacturing (commercial), Generic APIs, ... class quality systems

© 2017 Cambrex Corporation. All rights reserved. 3

Investor Highlights

Extensive portfolio of products in 3 categories

• Innovator: Custom Development (clinical phase) and

Custom Manufacturing (commercial), Generic APIs,

Controlled Substances

• Over 100 APIs and intermediates sold annually to

leading pharmaceutical companies

Strong year-over-year growth

• 2016 Net revenue grew 13% to $491 million and

Adjusted EBITDA grew 20% to $154 million

• Currency-adjusted sales growth of 7-11% and EBITDA

of $168-$174 million expected for 2017

6 operating sites within US and EU

• Flexible, large-scale manufacturing capacity, with world-

class quality systems and excellent regulatory record

(FDA, EMA, DEA)

• Wide range of capabilities including: polymeric drug

delivery, biocatalysis, high potency/high containment

and DEA schedule 2 controlled substances

Focused on the

development and

manufacture of small

molecule active

pharmaceutical

ingredients (API) for the

innovator and generic

pharmaceutical markets

Charles City, Iowa;

High Point, North

Carolina; Karlskoga,

Sweden; Paullo, Italy;

Tallinn, Estonia and

Wiesbaden, Germany

Page 4: Jefferies 2017 Global Healthcare Conference Cor… · •Innovator: Custom Development (clinical phase) and Custom Manufacturing (commercial), Generic APIs, ... class quality systems

© 2017 Cambrex Corporation. All rights reserved. 4

Key Growth Drivers

Market Drivers

• Continued worldwide growth in API volumes and

increased outsourcing by large innovators expected

• Limited API manufacturing capacity, especially in the

US

• Preference for reliable, high quality US and European

suppliers like Cambrex

• Strong growth in clinical pipeline with healthy transition

rate between clinical phases

• Increasing global use of generics with additional

opportunities for increased penetration in developing

markets

Cambrex Drivers

• Strong pipeline of late-stage clinical projects

• Growing pipeline of new generic APIs in development

• Strong position within growing US controlled

substances API market

Page 5: Jefferies 2017 Global Healthcare Conference Cor… · •Innovator: Custom Development (clinical phase) and Custom Manufacturing (commercial), Generic APIs, ... class quality systems

© 2017 Cambrex Corporation. All rights reserved. 5

Big growth in the small molecule pipeline

Small molecules are big again

• ~5,300 small molecules were in the

pipeline at the end of 2016 – an 13.9%

increase versus 2015

• Small molecules constitute approximately

2/3 of all drugs under development in

pharmaceutical pipelines

• In clinical development (Phase I-III), there

were ~2,100 small molecules – an

increase of 11.5% over 2015

• Cambrex focus on late-stage molecules

of which there are ~350 and increased

>20% over 2015

• In 2016 there was also a significant

number of products moving from one

clinical stage to the next. This is key

indicator to the health of the market

• The trends in this market are very

positive and we believe will continue in

the future

Phase 2011 2012 2013 2014 2015 2016 CAGR

Preclinical 2,188 2,462 2,472 2,358 2,799 3,233 8.1%

Phase I 647 661 655 677 747 858 5.8%

Phase II 752 761 742 770 828 867 2.9%

Phase III 201 203 202 211 229 286 7.3%

Pre-Reg 34 31 39 41 40 48 7.1%

Reg 10 8 14 19 15 14 7.0%

Launched 1,404 1,439 1,466 1,496 1,539 1,574 2.3%

Pipeline Total 3,832 4,126 4,124 4,076 4,658 5,306 6.7%

NCE Small Molecules Under Development (2011-2016)

NCE Small Molecules Moving Phase Per Year (2011-2016)

Source: Citeline, Cambrex

Entering Phase I Entering Phase II Entering Phase III

Page 6: Jefferies 2017 Global Healthcare Conference Cor… · •Innovator: Custom Development (clinical phase) and Custom Manufacturing (commercial), Generic APIs, ... class quality systems

© 2017 Cambrex Corporation. All rights reserved. 6

Strong Revenue and Profit Growth

• Revenue grew at 15% CAGR and Adjusted EBITDA grew at 28% CAGR between 2012 and 2016

• 2017 Guidance for currency adjusted sales growth of 7-11% and EBITDA of $168-$174 million –

reflected at mid-point in chart above

Page 7: Jefferies 2017 Global Healthcare Conference Cor… · •Innovator: Custom Development (clinical phase) and Custom Manufacturing (commercial), Generic APIs, ... class quality systems

© 2017 Cambrex Corporation. All rights reserved. 7

Where Does Cambrex Participate?

5% 16% 26% 60% 89%Approval

Rate

Cambrex breadth of activity covers early to late-phase clinical stages through

to commercial-scale supply and market launch

Cambrex focuses primarily on GMP intermediates and APIs – requires high level of

quality and regulatory compliance, reducing the number of viable competitors

Supply

Chain

Product

Life

Cycle

Raw

Material

Non-GMP

Intermediates

GMP

IntermediatesAPl

FDF / Drug

Product

Preclinical Phase I Phase IIIPhase II Registration CommercialMaturity /

Generic

Cambrex

Cambrex

5.7 Years

Page 8: Jefferies 2017 Global Healthcare Conference Cor… · •Innovator: Custom Development (clinical phase) and Custom Manufacturing (commercial), Generic APIs, ... class quality systems

© 2017 Cambrex Corporation. All rights reserved. 8

Cambrex Product Mix Snapshot

* Compared to 2016, excluding the impact of foreign currency

Innovator67% of 2016 Sales

Serving ~$10B+ market

2017 Guidance*: High

single to low double digit

%

Generics20% of 2016 Sales

Serving ~$6B market

2017 Guidance*: Low

to mid single digit %

Controlled

Substances13% of 2016 Sales

Serving ~$350M+

market

2017 Guidance*: Mid to

high single digit %

Page 9: Jefferies 2017 Global Healthcare Conference Cor… · •Innovator: Custom Development (clinical phase) and Custom Manufacturing (commercial), Generic APIs, ... class quality systems

© 2017 Cambrex Corporation. All rights reserved. 9

Innovator Market: Custom

Development and Manufacturing

Page 10: Jefferies 2017 Global Healthcare Conference Cor… · •Innovator: Custom Development (clinical phase) and Custom Manufacturing (commercial), Generic APIs, ... class quality systems

© 2017 Cambrex Corporation. All rights reserved. 10

Innovator Market – Overview and Key Trends

Large, fragmented, growing,

outsourcing market

Clinical Phase (Custom Development)

• Most new innovator drugs originate in US and

Europe

• Innovator pharma experimented with “low-cost”

suppliers over the last decade and are migrating

back to western providers for clinical product

• Regulatory approvals are trending higher

• Phase II and III projects require cGMP facilities

Commercial Products (Custom Manufacturing)

• Ongoing rationalization of big pharma

manufacturing due to mergers and cost reductions

• Increasing outsourcing of intermediates and APIs

to western-based CMOs

• Periodic shortages of US CMO capacity, recent

investments by Cambrex to meet rising demand

• Small number of global players with world-class

quality systems and ability to scale through

commercial quantities

Served

Market

$7-10B

Innovator Outsourced

API Market

$13-15B

Page 11: Jefferies 2017 Global Healthcare Conference Cor… · •Innovator: Custom Development (clinical phase) and Custom Manufacturing (commercial), Generic APIs, ... class quality systems

© 2017 Cambrex Corporation. All rights reserved. 11

Custom Development for Clinical Phase Projects

Goal is to generate a broad pipeline of

commercial products for custom manufacturing

Leader in providing range of services for

clinical phase projects• Process and analytical chemistry

• Develop, optimize and scale-up manufacturing

processes

• Supply cGMP materials for clinical trials

• cGMP process validations required to support NDA

approval

• Develop and supply chemical, manufacturing and

control data for NDA filing

• Ensure successful pre-approval inspection (PAI) to

support NDA approval

Highly selective targeting of late-stage clinical

projects that match our assets and capabilities• Provide pipeline for custom manufacturing

• 16 active late-stage projects

• Focus on larger clinical projects

Page 12: Jefferies 2017 Global Healthcare Conference Cor… · •Innovator: Custom Development (clinical phase) and Custom Manufacturing (commercial), Generic APIs, ... class quality systems

© 2017 Cambrex Corporation. All rights reserved. 12

Recent Acquisition of PharmaCore

Now named Cambrex High Point

• Chemical and analytical development

and small scale manufacturing expertise

focusing on earlier clinical phase projects

• Complete 40 – 50 development projects

per year, from investigational new drug

(IND) support and pre-clinical to early

stage clinical trials

• Provides additional value offering to our

customers

• Provides Cambrex with a pool of

technical resources and steady pipeline

of new clinical phase development

projects

• Serves as feeder for potential late stage

clinical projects for seamless transfer to

our large scale facilities

Page 13: Jefferies 2017 Global Healthcare Conference Cor… · •Innovator: Custom Development (clinical phase) and Custom Manufacturing (commercial), Generic APIs, ... class quality systems

© 2017 Cambrex Corporation. All rights reserved. 13

Custom Manufacturing – Growth Initiatives

Currently produce 30-35 products annually under medium-to-long-term supply contracts (typically three to five years)

Custom manufacturing growth initiatives• Increase late-stage custom development

projects to serve as pipeline to grow custom manufacturing supply agreements

• Focus on larger and more profitable late stage clinical projects with higher likelihood of approval

• Develop new cost-effective routes for approved innovator therapeutics to create value for the customer and win additional supply agreements

o Continuously working on several commercial molecules

o Utilizing our differentiated technologies

Page 14: Jefferies 2017 Global Healthcare Conference Cor… · •Innovator: Custom Development (clinical phase) and Custom Manufacturing (commercial), Generic APIs, ... class quality systems

© 2017 Cambrex Corporation. All rights reserved. 14

Generics Market

Page 15: Jefferies 2017 Global Healthcare Conference Cor… · •Innovator: Custom Development (clinical phase) and Custom Manufacturing (commercial), Generic APIs, ... class quality systems

© 2017 Cambrex Corporation. All rights reserved. 15

Generic APIs – Overview and Key Trends

Large, fragmented, growing, outsourcing market

• Worldwide trend of increasing generic penetration rates – generic usage still relatively low in many sizable markets

• Generic drug marketers outsource most of their API volume

• API volumes will continue to increase, partially offset by price erosion — net global growth projected at mid-single digits

• High level of FDA violations related to quality or regulatory issues with plants in low cost locations

• Recent GDUFA legislation will augmentfunding to:

o Increase FDA inspections of foreign pharma facilities, especially in emerging markets

o Accelerate FDA approval of ANDAs

Served

Market

$5-6B

Overall Generic

API Market

$11B

Page 16: Jefferies 2017 Global Healthcare Conference Cor… · •Innovator: Custom Development (clinical phase) and Custom Manufacturing (commercial), Generic APIs, ... class quality systems

© 2017 Cambrex Corporation. All rights reserved. 16

Generic APIs – Focus on Niche Markets

• One of world’s largest

producers of generic

APIs

• Flexible manufacturing

facilities allow efficient

production of >65

different APIs annually

• Niche markets neglected

by potential competitors

Percentage of revenues from

products with 2016 sales

>$5MM

39%

61%Percentage of revenues from

products with 2016 sales

<$5MM

5 products

60 products

Page 17: Jefferies 2017 Global Healthcare Conference Cor… · •Innovator: Custom Development (clinical phase) and Custom Manufacturing (commercial), Generic APIs, ... class quality systems

© 2017 Cambrex Corporation. All rights reserved. 17

Generic APIs – Growth Initiatives

In addition to increasing our share of business with our existing product portfolio, we will…

Aggressively develop new products• 13 APIs in development and several more under

technical and economic evaluation

• Target products utilizing biocatalysis technology platform where we can create a cost advantage

• Apply differentiated technologies and capabilities, including DEA controlled substances, highly potent and high-energy compounds

Grow supplements business, where we qualify as a secondary supplier of API

Expand geographically• Grow sales in high-growth markets where we already

have a presence (Brazil, Japan, Eastern Europe, etc.)

• Continue to develop partners in other new markets (Russia, Mexico, Asia)

Page 18: Jefferies 2017 Global Healthcare Conference Cor… · •Innovator: Custom Development (clinical phase) and Custom Manufacturing (commercial), Generic APIs, ... class quality systems

© 2017 Cambrex Corporation. All rights reserved. 18

Controlled Substances

Page 19: Jefferies 2017 Global Healthcare Conference Cor… · •Innovator: Custom Development (clinical phase) and Custom Manufacturing (commercial), Generic APIs, ... class quality systems

© 2017 Cambrex Corporation. All rights reserved. 19

Controlled Substances – Limited Competition, Strong Growth

Heavily regulated market with restricted

competition• Market entry controlled by DEA through

licenses

• FDA and DEA oversight, including quota system

• Schedule I & II APIs require US manufacture —

no low-cost competition

Business Overview• Cambrex currently participates in large and

growing pain and ADHD markets

• Significant revenue growth in recent years

driven by increasing market share with existing

customers, new customers and new products

• One new Schedule II controlled substance in

development

Overall Market Size

DEA Schedule II APIs

$550-650M

Served Market

Non-Opiates

$300-350M

Page 20: Jefferies 2017 Global Healthcare Conference Cor… · •Innovator: Custom Development (clinical phase) and Custom Manufacturing (commercial), Generic APIs, ... class quality systems

© 2017 Cambrex Corporation. All rights reserved. 20

M&A – Drive Growth

M&A Strategy

• Add synergistic products, technologies or capabilities

• Provide R&D and manufacturing capabilities to facilitate the acceleration of new

product development initiatives

• Provide opportunity to serve high-growth markets

• Enable us to capture more of the value chain with our customers and within the

markets we serve

Page 21: Jefferies 2017 Global Healthcare Conference Cor… · •Innovator: Custom Development (clinical phase) and Custom Manufacturing (commercial), Generic APIs, ... class quality systems

© 2017 Cambrex Corporation. All rights reserved. 21

Operating Financials*

2012 2013 2014 2015 2016 2017P

Net Revenue $276.5 $318.2 $374.6 $433.3 $490.6 +7% to +11%

Adjusted

EBITDA$57.5 $67.4 $82.1 $128.6 $154.2 $168 to $174

Deprec. &

Amort.$21.8 $22.5 $23.8 $22.1 $24.7 $32 to $34

Capital

Expenditures$29.4 $41.6 $31.2 $60.2 $53.9 $70 to $75

$US Millions

•Results and 2017 guidance are from continuing operations before M&A and restructuring expenses. 2017 revenue growth guidance

excludes the impact of foreign currency

•Capital expenditures includes investments in new ERP system

Page 22: Jefferies 2017 Global Healthcare Conference Cor… · •Innovator: Custom Development (clinical phase) and Custom Manufacturing (commercial), Generic APIs, ... class quality systems

© 2017 Cambrex Corporation. All rights reserved. 22

Market Trends and Growth Opportunities

Market Trends Cambrex Advantage

Higher demand for outsourced

development and manufacturing

Preference for dependable US and

European suppliers

Flexible, large-scale manufacturing capacity

in the US and Europe

World-class quality and regulatory

compliance systems with excellent

regulatory track record (FDA, EMA, DEA)

Worldwide generic prescription growth

expected to continue as governments

and other payors reduce costs

Growing pipeline of new generic APIs in

development

Increasing generic API penetration in key

developing markets through local partners

and direct customer relationships

Strong growth rates for certain DEA

Schedule II products

Established relationships and supply

positions with key marketers of US

controlled substances

Page 23: Jefferies 2017 Global Healthcare Conference Cor… · •Innovator: Custom Development (clinical phase) and Custom Manufacturing (commercial), Generic APIs, ... class quality systems

© 2017 Cambrex Corporation. All rights reserved. 23

Cambrex Highlights

Extensive portfolio of products in 3 categories

• Over 100 APIs and intermediates sold annually

• World-class quality systems and outstanding regulatory track record

including FDA, EMA, DEA

Strong recent growth

• 2016 Net revenue grew 13% to $491 million and Adjusted EBITDA

grew 20% to $154 million

• Currency-adjusted sales growth of 7-11% and EBITDA of $168-$174

million expected for 2017

Strategic initiatives and investment decisions match key positive market

trends

• 350-400 NCEs in late-stage clinical trials create over 2,000 API and

advanced intermediate outsourcing opportunities for Cambrex

• Growing clinical pipeline with strong late stage growth

• Generic penetration continues to grow globally

Strong balance sheet to allow financial capacity to execute acquisitions

and invest internally

Experienced management team with track record of success and

creating shareholder value

Leading global Active Pharmaceutical Ingredient (API) manufacturer serving

the innovator and generic pharmaceutical markets

Page 24: Jefferies 2017 Global Healthcare Conference Cor… · •Innovator: Custom Development (clinical phase) and Custom Manufacturing (commercial), Generic APIs, ... class quality systems

© 2017 Cambrex Corporation. All rights reserved. 24

Jefferies 2017 Global

Healthcare Conference

June 7, 2017