1st Quarter Results

AstraZeneca PLC
25 April 2024
 

AstraZeneca

25 April 2024

Q1 2024 results

 

Very strong revenue and EPS growth in the first quarter coupled with exciting pipeline delivery

 

Revenue and EPS summary

 



Q1 2024

% Change

 

 

$m 

Actual 

CER[1]

 

- Product Sales


12,177 

15 

18 

 

- Alliance Revenue


457 

59 

59 

 

- Collaboration Revenue


45 

66 

66 

 

Total Revenue


12,679 

17 

19 

 

Reported EPS


$1.41 

21 

30 

 

Core[2] EPS


$2.06 

13 

 

 

Financial performance for Q1 2024 (Growth numbers at CER)

 

‒    Total Revenue up 19% to $12,679m, driven by an 18% increase in Product Sales and continued growth in Alliance Revenue from partnered medicines

 

‒    Double-digit growth in Total Revenue from Oncology at 26%, CVRM at 23%, R&I at 17%, and Rare Disease at 16%.

 

‒    Core Product Sales Gross Margin[3] of 82%

 

‒    Core Operating Margin of 34%

 

‒    Core Tax Rate of 21%

 

‒    Core EPS increased 13% to $2.06. The increase in Core EPS was lower than Total Revenue growth principally due to a $241m gain in the prior year period on the disposal of Pulmicort Flexhaler US rights

 

‒    As announced at the Annual General Meeting on 11 April 2024, the total dividend for FY 2024 will increase by $0.20 per share to $3.10 per share

 

‒    Total Revenue and Core EPS guidance at CER for FY 2024 reiterated

 

Pascal Soriot, Chief Executive Officer, AstraZeneca, said:

 

"AstraZeneca had a very strong start in 2024 with substantial Total Revenue growth of 19% in the first quarter.

 

Our strong pipeline momentum continued and already this year we announced positive trial results for Imfinzi and Tagrisso that were unprecedented in lung cancer, the data from both of these studies will be presented during the ASCO plenary in June.  We are also looking forward to seeing the results of several other important trials throughout the year.

 

At our Annual General Meeting we were pleased to announce a 7% increase in the annual dividend, and at our Investor Day on 21 May 2024 we will outline the evolution of our company, underscoring our confidence in sustaining industry-leading growth."

 

Key milestones achieved since the prior results announcement

 

‒    Positive read-outs for Tagrisso in unresectable, Stage III EGFRm NSCLC (LAURA), Imfinzi in LS-SCLC (ADRIATIC)

 

‒    US approvals for Tagrisso with the addition of chemotherapy for EGFRm NSCLC (FLAURA2), Enhertu in HER2-positive solid tumours (DESTINY-PanTumor02, DESTINY-Lung01, DESTINY-CRC02) and Ultomiris for NMOSD. US and EU approval for Voydeya as an add-on therapy to Ultomiris or Soliris for PNH with EVH (ALPHA). Japan approval for Truqap plus Faslodex in unresectable or recurrent PIK3CA-, AKT1-, or PTEN-altered HR-positive, HER2-negative breast cancer (CAPItello-291).

 

‒    Datopotamab deruxtecan BLAs accepted in the US for non-squamous NSCLC (TROPION-Lung01) and HR-positive, HER2-negative breast cancer (TROPION-Breast01).

 

Guidance

 

The Company reiterates its Total Revenue and Core EPS guidance for FY 2024 at CER, based on the average foreign exchange rates through 2023.

 

 

Total Revenue is expected to increase by a low double-digit to low teens percentage

Core EPS is expected to increase by a low double-digit to low teens percentage

 

 

‒    Collaboration Revenue is expected to increase substantially, driven by success-based milestones and certain anticipated transactions

 

‒    Other operating income is expected to decrease substantially (FY 2023 included a $241m gain on the disposal of Pulmicort Flexhaler US rights, and a $712m one-time gain relating to updates to contractual arrangements for Beyfortus)

 

‒    The Core Tax rate is expected to be between 18-22%

 

The Company is unable to provide guidance on a Reported basis because it cannot reliably forecast material elements of the Reported results, including any fair value adjustments arising on acquisition-related liabilities, intangible asset impairment charges and legal settlement provisions. Please refer to the cautionary statements section regarding forward-looking statements at the end of this announcement.

 

Currency impact

 

If foreign exchange rates for April 2024 to December 2024 were to remain at the average rates seen in March 2024, compared to the performance at CER it is anticipated that FY 2024 Total Revenue would incur a low single-digit adverse impact and Core EPS would incur a mid single-digit adverse impact (previously low single-digit). The Company's foreign exchange rate sensitivity analysis is provided in Table 16.

 

Investor Day

 

AstraZeneca will host an Investor Day on 21 May 2024. For more information, see www.astrazeneca.com/investor-relations.html.

 

Table 1: Key elements of Total Revenue performance in Q1 2024

 

 

% Change 

 

 

 

Revenue type 


$m 

Actual % 

CER % 

 

 

Product Sales 


12,177 

15 

18 



Alliance Revenue


457 

59 

59 


*   $339m Enhertu (Q1 2023: $220m)

*   $77m Tezspire (Q1 2023: $43m)

Collaboration Revenue 


45 

66 

66 


*   $45m Farxiga (Q1 2023: $24m)

Total Revenue 


12,679 

17 

19 



Therapy areas 


$m 

Actual %

CER %

 

 

Oncology 


5,108 

23 

26 


*   Strong performance across all key medicines and regions

CVRM 


3,060 

20 

23 

 

*   Farxiga up 43% (45% at CER) with continued demand growth and the launch of an authorised generic in the US, Lokelma up 16% (19% at CER), roxadustat up 24% (28% at CER), Brilinta decreased 3% (1% at CER)

R&I 


1,886 

15 

17 


*   Continued strong growth from Fasenra up 6% (6% CER), Breztri up 52% (54% CER). Saphnelo up 94% (95% CER) and Tezspire up >2x (>2x CER). Symbicort was up 12% (14% CER)

V&I


232 

(35)

(34)


*   Beyfortus revenue was $46m (Q1 2023: $nil), which more than offset a $27m decline in Synagis

*   The drop in V&I revenue was driven by lower sales of COVID-19 mAbs and Vaxzevria. Vaxzevria revenues are now included in the 'Other' V&I line

Rare Disease 


2,096 

12 

16 


*   Ultomiris up 32% (34% at CER), partially offset by decline in Soliris of 11% (8% at CER)

*   Strensiq up 20% (21% at CER) and Koselugo up 68% (82% at CER) reflecting strong patient demand, and also tender market order timing

Other Medicines 


297 

(7)



Total Revenue 


12,679 

17 

19 



Regions


$m 

Actual %

CER %

 

 

US 


5,124 

19 

19 



Emerging Markets 


3,732 

18 

26 



- China 

 

1,748 

13 

 

 

- Ex-China Emerging Markets 

 

1,984 

27 

40 

 

 

Europe 


2,634 

22 

19 



Established RoW 


1,189 

(5)


*   Decline in COVID-19 mAbs revenue

Total Revenue


12,679 

17 

19 



 

 

Combined sales of Enhertu, recorded by Daiichi Sankyo Company Limited (Daiichi Sankyo) and AstraZeneca, amounted to $879m in Q1 2024 (Q1 2023: $531m).

 

Combined sales of Tezspire, recorded by Amgen and AstraZeneca, amounted to $216m in Q1 2024 (Q1 2023: $105m).

 

Table 2: Key elements of financial performance in Q1 2024

 

Metric

Reported

Reported change

Core

Core
change


Comments[4]

Total Revenue

$12,679m

17% Actual      19% CER

$12,679m

17% Actual      19% CER


*   See Table 1 and the Total Revenue section of this document for further details

Product Sales Gross Margin

82%

Stable

82%

-1pp Actual      -1pp CER


*   Variations in Product Sales Gross Margin can be expected between periods due to product seasonality, foreign exchange fluctuations and other effects

R&D expense

$2,783m

7% Actual      7% CER

$2,698m

17% Actual      18% CER


+ Increased investment in the pipeline

*   Core R&D-to-Total Revenue ratio of 21%
(Q1 2023: 21%)

SG&A expense

$4,495m

11% Actual      12% CER

$3,413m

12% Actual      13% CER


+ Market development for recent launches and pre-launch activities

*   Core SG&A-to-Total Revenue ratio of 27%
(Q1 2023: 28%)

Other operating income and expense[5]

$67m

-83% Actual      -83% CER

$65m

-80% Actual      -80% CER


The prior year quarter included a $241m gain on the disposal of Pulmicort Flexhaler US rights

Operating Margin

25%

+1pp Actual      +2pp CER

34%

-2pp Actual      -1pp CER


*   See commentary above on Other operating income and expense

Net finance expense

$302m

5% Actual      1% CER

$245m

2% Actual      -3% CER


+ Higher rates on floating debt and bond issuances

Higher interest received on cash and short-term investments

Tax rate

22%

+2pp Actual      +2pp CER

21%

+2pp Actual      +2pp CER


*   Variations in the tax rate can be expected between periods

EPS

$1.41

21% Actual      30% CER

$2.06

7% Actual      13% CER


*   Further details of differences between Reported and Core are shown in Table 11

 

 

Table 3: Pipeline highlights since prior results announcement

 

Event

Medicine

Indication / Trial

 

Event

Regulatory approvals and other regulatory actions

Enhertu

HER2-expressing tumours (DESTINY-PanTumor02)

Regulatory approval (US)

Tagrisso

EGFRm NSCLC (1st-line) (FLAURA2)

Regulatory approval (US)

Truqap

HR+/HER2-neg breast cancer (2nd-line) (CAPItello-291)

Regulatory approval (JP)

Beyfortus

RSV (MELODY-MEDLEY)

Regulatory approval (JP)

Ultomiris

NMOSD (CHAMPION-NMOSD)

Regulatory approval (US)

Voydeya

PNH with EVH (ALPHA)

Regulatory approval (US, EU)




Regulatory submissions
or acceptances*

Dato-DXd

Non-squamous NSCLC (2nd- and 3rd-line) (TROPION-Lung01)

Regulatory submission (US)

Dato-DXd

HR+/HER2- breast cancer (inoperable and/or met.) (TROPION-Breast01)

Regulatory submission (US, EU, JP, CN)

acoramidis

ATTR-CM (ALXN2060-TAC-302)

Regulatory submission (JP)

 

 

 

Major Phase III data readouts and other developments

Tagrisso

EGFRm NSCLC (unresectable Stg. III) (LAURA)

Primary endpoint met

Imfinzi

SCLC (limited-stage) (ADRIATIC)

Primary endpoint met

 

*US, EU and China regulatory submission denotes filing acceptance

 

Upcoming pipeline catalysts

 

For recent trial starts and anticipated timings of key trial readouts, please refer to the Clinical Trials Appendix, available on www.astrazeneca.com/investor-relations.html.

 

Corporate and business development

 

In February 2024, AstraZeneca completed the acquisition of Gracell Biotechnologies, Inc. (Gracell), a global clinical-stage biopharmaceutical company developing innovative cell therapies for the treatment of cancer and autoimmune diseases. The acquisition enriches AstraZeneca's growing pipeline of cell therapies with AZD0120 (formerly GC012F), a novel, clinical-stage T-cell (CAR-T) therapy. AZD0120 is a potential new treatment for multiple myeloma, as well as other haematologic malignancies and autoimmune diseases, including SLE. The upfront cash portion of the consideration was approximately $1.0 billion. Combined, the upfront and potential contingent value payments represent, if achieved, a transaction value of approximately $1.2 billion. AstraZeneca acquired the cash and cash equivalents on Gracell's balance sheet, which totalled $209 million at the close of the transaction.

 

In February 2024, AstraZeneca completed the acquisition of Icosavax, Inc., a US-based clinical-stage biopharmaceutical company focused on developing differentiated, high-potential vaccines using an innovative, protein virus-like particle platform. The upfront cash portion of the consideration was approximately $0.8 billion. Combined, the upfront and maximum potential contingent value payments represent, if achieved, a transaction value of approximately $1.1 billion. AstraZeneca acquired the cash, cash equivalents and marketable securities on Icosavax's balance sheet, which totalled $192 million at the close of the transaction.

 

In March 2024, AstraZeneca announced that it has entered into a definitive agreement to acquire Amolyt Pharma, a clinical-stage biotechnology company focused on developing novel treatments for rare endocrine diseases. The proposed acquisition will bolster the Rare Disease late-stage pipeline and expand on its bone metabolism franchise with the notable addition of eneboparatide (AZP-3601), a Phase III investigational therapeutic peptide with a novel mechanism of action designed to meet key therapeutic goals for hypoparathyroidism. The upfront cash portion of the consideration is $0.8 billion at deal closing. Combined, the upfront and maximum potential contingent value payments represent, if achieved, a transaction value of $1.05 billion. AstraZeneca will acquire all of Amolyt Pharma's outstanding shares on a cash and debt free basis. Subject to the satisfaction of customary closing conditions in the acquisition agreement, including regulatory clearances, the transaction is expected to close by the end of the third quarter of 2024.

 

In March 2024, AstraZeneca entered into a definitive agreement to acquire Fusion Pharmaceuticals Inc., a clinical-stage biopharmaceutical company developing next-generation radioconjugates. This complements AstraZeneca's leading oncology portfolio with the addition of the Fusion pipeline of RCs, including their most advanced programme, FPI-2265, a potential new treatment for patients with mCRPC. The acquisition marks a major step forward in AstraZeneca delivering on its ambition to transform cancer treatment and outcomes for patients by replacing traditional regimens like chemotherapy and radiotherapy with more targeted treatments. The upfront cash portion of the consideration is approximately $2 billion. Combined, the upfront and maximum potential contingent value payments represent, if achieved, a transaction value of approximately $2.4 billion. AstraZeneca will acquire the cash, cash equivalents and short term investments on Fusion's balance sheet, which totalled $234 million as of 31 December 2023. The transaction is expected to close in the second quarter of 2024, subject to customary closing conditions, including the approval of Fusion shareholders and regulatory clearances.

 

Sustainability highlights

 

Our newly announced collaboration with China Resources Gas and Everbright Environment will supply biomethane and biomethane-based steam to our Wuxi site. Using domestic waste, including food and plant waste, this new partnership will enable us to reduce our greenhouse gas emissions footprint by 80% in China.

 

AstraZeneca announced at WEF that it will be one of the inaugural Early Adopter organisations that intend to start making disclosures aligned with the Taskforce on Nature-related Financial Disclosures Recommendations in corporate reporting.

 

AstraZeneca also hosted an annual Sustainability call for shareholders, reiterating its continued commitment to deliver across our pillars; Access to Healthcare, Environmental Protection and Ethics and Transparency. A recording of the call and accompanying materials are available on the AstraZeneca IR website.

 

Conference call

 

A conference call and webcast for investors and analysts will begin today, 25 April 2024, at 11:45 UK time. Details can be accessed via astrazeneca.com.

 

Reporting calendar

 

The Company intends to publish its H1 and Q2 2024 results on 25 July 2024.

 

Operating and financial review

 

All narrative on growth and results in this section is based on actual exchange rates, and financial figures are in US$ millions ($m), unless stated otherwise. Unless stated otherwise, the performance shown in this announcement covers the three month period to 31 March 2024 ('the quarter' or 'Q1 2024') compared to the three month period to 31 March 2023 ('Q1 2023'). References to 'first quarter', 'second quarter', 'third quarter' and fourth quarter' refer to the respective quarters in FY 2024.

 

Core financial measures, EBITDA, Net debt, Product Sales Gross Margin, Operating Margin and CER are non-GAAP financial measures because they cannot be derived directly from the Group's Condensed consolidated financial statements. Management believes that these non-GAAP financial measures, when provided in combination with Reported results, provide investors and analysts with helpful supplementary information to understand better the financial performance and position of the Group on a comparable basis from period to period. These non-GAAP financial measures are not a substitute for, or superior to, financial measures prepared in accordance with GAAP.

 

Core financial measures are adjusted to exclude certain significant items:

 

‒    Charges and provisions related to restructuring programmes, which includes charges that relate to the impact of restructuring programmes on capitalised IT assets

 

‒    Amortisation and impairment of intangible assets, including impairment reversals but excluding any charges relating to IT assets

 

‒    Other specified items, principally the imputed finance charges and fair value movements relating to contingent consideration on business combinations, imputed finance charges and remeasurement adjustments on certain Other payables arising from intangible asset acquisitions, legal settlements and remeasurement adjustments relating to Other payables assumed from the Alexion acquisition

 

‒    The tax effects of the adjustments above are excluded from the Core Tax charge

 

Details on the nature of Core financial measures are provided on page 61 of the Annual Report and Form 20-F Information 2023.

 

Reference should be made to the Reconciliation of Reported to Core financial measures table included in the financial performance section in this announcement.

 

Product Sales Gross Margin is calculated by dividing the difference between Product Sales and Cost of Sales by the Product Sales. The calculation of Reported and Core Product Sales Gross Margin excludes the impact of Alliance Revenue and Collaboration Revenue and any associated costs, thereby reflecting the underlying performance of Product Sales.

 

EBITDA is defined as Reported Profit before tax after adding back Net finance expense, results from Joint ventures and associates and charges for Depreciation, amortisation and impairment. Reference should be made to the Reconciliation of Reported Profit before tax to EBITDA included in the financial performance section in this announcement.

 

Operating margin is defined as Operating profit as a percentage of Total Revenue.

 

Net debt is defined as Interest-bearing loans and borrowings and Lease liabilities, net of Cash and cash equivalents, Other investments, and Net derivative financial instruments. Reference should be made to Note 3 'Net debt' included in the Notes to the Interim financial statements in this announcement.

 

The Company strongly encourages investors and analysts not to rely on any single financial measure, but to review AstraZeneca's financial statements, including the Notes thereto, and other available Company reports, carefully and in their entirety.

 

Due to rounding, the sum of a number of dollar values and percentages in this announcement may not agree to totals.

 

Total Revenue

 

Table 4: Total Revenue by therapy area and medicine[6]

 

 

 

Q1 2024 

 

 

 

 

% Change 

 

Total Revenue

 

$m 

% Total 

Actual 

CER 

  Oncology 


5,108 

40 

23 

26 

- Tagrisso 


1,595 

13 

12 

15 

- Imfinzi


1,113 

29 

33 

- Calquence 


718 

35 

35 

- Lynparza 


705 

11 

- Enhertu 


461 

79 

79 

- Zoladex


285 

21 

28 

- Imjudo


62 

66 

70 

- Truqap


50 

n/m 

n/m 

- Orpathys 


12 

43 

49 

- Other Oncology


107 

(24)

(19)

  BioPharmaceuticals: CVRM 


3,060 

24 

20 

23 

- Farxiga 


1,892 

15 

43 

45 

- Brilinta 


323 

(3)

(1)

- Crestor


297 

(3)

- Seloken/Toprol-XL 


165 

(8)

(2)

- Lokelma


114 

16 

19 

- roxadustat


77 

24 

28 

- Andexxa


47 

- Wainua


n/m 

n/m 

- Other CVRM


141 

(33)

(31)

  BioPharmaceuticals: R&I 


1,886 

15 

15 

17 

- Symbicort 


769 

12 

14 

- Fasenra


358 

- Pulmicort 


224 

- Breztri


219 

52 

54 

- Tezspire


120 

>2x 

>2x 

- Saphnelo 


91 

94 

95 

- Airsupra


n/m 

n/m 

- Other R&I 


98 

(30)

(29)

  BioPharmaceuticals: V&I 


232 

(35)

(34)

- Synagis

 

171 

(13)

(13)

- Beyfortus

 

46 

n/m 

n/m 

- FluMist


>2x 

>2x 

- COVID-19 mAbs


(99)

(99)

- Other V&I


(79)

(80)

Rare Disease


2,096 

17 

12 

16 

- Ultomiris 


859 

32 

34 

- Soliris


739 

(11)

(8)

- Strensiq 


313 

20 

21 

- Koselugo 


132 

68 

82 

- Kanuma 


53 

32 

35 

  Other Medicines 


297 

(7)

- Nexium 

 

243 

(2)

- Others 


54 

(25)

(23)

Total Medicines


12,679 

100 

17 

19 

 

Table 5: Alliance Revenue



Q1 2024





% Change

 


$m 

% Total 

Actual 

CER 

Enhertu


339 

74 

54 

54 

Tezspire


77 

17 

80 

80 

Beyfortus


20 

n/m

n/m

Other Alliance Revenue 


21 

(10)

(9)

Total 

 

457 

100 

59 

59 

 

Table 6: Collaboration Revenue



Q1 2024

 

 




% Change

 


$m 

% Total 

Actual 

CER 

Farxiga: sales milestones 


45 

100 

86 

86 

Other Collaboration Revenue 


n/m

n/m

Total 

 

45 

100 

66 

66 

 

Table 7: Total Revenue by therapy area

 



Q1 2024





% Change

 



$m 

% Total 

 Actual 

CER 

Oncology


5,108 

40 

23 

26 

Biopharmaceuticals


5,178 

41 

14 

16 

CVRM

 

3,060 

24 

20 

23 

R&I

 

1,886 

15 

15 

17 

V&I

 

232 

(35)

(34)

Rare Disease


2,096 

17 

12 

16 

Other Medicines


297 

(7)

Total

 

12,679 

100 

17 

19 

 

Table 8: Total Revenue by region

 



Q1 2024 





% Change 

 



$m 

% Total 

 Actual 

CER 

US


5,124 

40 

19 

19 

Emerging Markets


3,732 

29 

18 

26 

China

 

1,748 

14 

13 

Emerging Markets ex. China

 

1,984 

16 

27 

40 

Europe


2,634 

21 

22 

19 

Established ROW


1,189 

(5)

Total

 

12,679 

100 

17 

19 

 

Oncology

 

Oncology Total Revenue of $5,108m in Q1 2024 increased by 23% (26% at CER), representing 40% of overall Total Revenue (Q1 2023: 38%). Product Sales increased by 21% (24% at CER) in Q1 2024 to $4,760m, reflecting new launches and expanded reimbursement across key brands.

 

Tagrisso

 

Total Revenue


Worldwide


US

Emerging Markets

Europe

Established RoW

Q1 2024  $m


1,595


623

488

302

182

Actual change


12%


20%

10%

18%

(10%)

CER change


15%


20%

17%

15%

(2%)

 

Region


 Drivers and commentary

Worldwide


*   Strong global demand for Tagrisso in adjuvant (ADAURA) and 1st -line setting (FLAURA)

US


*   Continued strong adjuvant and 1st-line demand growth

Emerging Markets


*   Encouraging demand growth across markets with some positive impact of hospital ordering dynamics in China

*   Strong performance across Latin America and Asia Pacific markets

Europe


*   Continued growth in 1st-line setting and increasing adjuvant demand

Established RoW


*   Increased demand in adjuvant and 1st-line offset by a 10.5% mandatory price reduction in Japan effective June 2023

 

Imfinzi

 

Total Revenue


Worldwide


US

Emerging Markets

Europe

Established RoW

Q1 2024  $m


1,113


582

129

232

170

Actual change


29%


19%

59%

43%

31%

CER change


33%


19%

83%

40%

45%

 

Region


 Drivers and commentary

Worldwide


*   Continued growth driven by BTC (TOPAZ-1), HCC (HIMALAYA), and increased patient share in Stage IV NSCLC (POSEIDON) and extensive-stage SCLC (CASPIAN)

US


*   Continued demand growth driven by BTC, HCC, and extensive-stage SCLC

*   Growth in BTC slowing with Imfinzi now the clear standard-of-care 

Emerging Markets


*   Continued China growth driven by demand in HCC

Europe


*   Growth driven by share gains in extensive-stage SCLC and new indications

Established RoW


*   Increased demand from new launches, offset by a 25% mandatory price reduction in Japan effective 1 February 2024

 

Lynparza

 

Total Revenue


Worldwide


US

Emerging Markets

Europe

Established RoW

Q1 2024  $m


705


288

167

191

59

Actual change


8%


7%

23%

7%

(13%)

CER change


11%


7%

33%

5%

(6%)

 

Region


 Drivers and commentary

Worldwide


*   Lynparza remains the leading medicine in the PARP inhibitor class globally across four tumour types (ovarian, breast, prostate, pancreatic), as measured by total prescription volume

*   No Collaboration Revenue for Lynparza was recognised in either Q1 2024 or Q1 2023, hence the Product Sales numbers are identical to the Total Revenue numbers shown above

US


*   Continued leadership within PARPi class despite increasing competition, negative class pressure and maturity of the market

Emerging Markets


*   Demand growth in China coming from newly diagnosed BRCA-mutated ovarian cancer (SOLO-1) and inclusion of HRD-positive ovarian cancer (PAOLA-1) on NRDL with no price reduction

Europe


*   Demand growth driven by mCRPC (PROpel) and early breast cancer (OlympiA)

Established RoW


*   Demand growth coming from HRD-positive ovarian cancer, partially offset by price reduction in Japan effective from November 2023  

 

 

Enhertu

 

Total Revenue


Worldwide


US

Emerging Markets

Europe

Established RoW

Q1 2024  $m


461


202

112

134

13

Actual change


79%


26%

>2x

>2x

>3x

CER change


79%


26%

>2x

>2x

>3x

 

Region


 Drivers and commentary

Worldwide


*   Combined sales of Enhertu, recorded by Daiichi Sankyo and AstraZeneca, amounted to $879m in Q1 2024 (Q1 2023: $531m)

US


*   US in-market sales, recorded by Daiichi Sankyo, amounted to $423m in Q1 2024 (Q1 2023: $336m)

*   Strong demand across launched indications

Emerging Markets


*   Strong uptake in China following HER2-positive (DESTINY-Breast03) and HER2-low (DESTINY-Breast04) launches

*   Some launch-related inventory build was observed in China in Q1 2024  

Europe


*   Continued growth driven by increasing adoption in HER2-positive and HER2-low metastatic breast cancer

Established RoW


*   AstraZeneca's Alliance Revenue includes a mid single-digit percentage royalty on Daiichi Sankyo's sales in Japan

 

Calquence

 

Total Revenue


Worldwide


US

Emerging Markets

Europe

Established RoW

Q1 2024  $m


718


494

39

153

32

Actual change


35%


29%

>2x

42%

44%

CER change


35%


29%

>2x

39%

47%

 

Region


 Drivers and commentary

Worldwide


*   Sustained leadership in front-line CLL with increased global penetration

US


*   Continued market growth and maintaining leading share of new CLL patient starts in the front line

Europe


*   Continued growth supported by launches in further European markets

 

Other Oncology medicines

 


Q1 2024

Change


 

Total Revenue


$m

Actual

CER

Drivers and commentary

Zoladex


285

21%

28%

*   Strong underlying growth in China and Emerging Markets and moderate growth in Europe offset by drop in Japan

Imjudo


62

66%

70%

*   Continued growth across markets slightly offset by US inventory destocking in Q1 2024

Truqap


50

n/m

n/m

*   Rapid adoption following US approval in November 2023 for HR-positive HER2-negative metastatic breast cancer with one or more biomarker alterations (CAPItello-291)

*   Some benefit from later-line use

Orpathys


12

43%

49%

*   Demand in in China for the treatment of patients with NSCLC with MET exon 14 skipping alterations

Other Oncology


107

(24%)

(19%)

*   Decline in use of Iressa in China

 

 

BioPharmaceuticals

 

BioPharmaceuticals Total Revenue increased by 14% (16% at CER) in Q1 2024 to $5,178m, representing 41% of overall Total Revenue (Q1 2023: 42%).

 

BioPharmaceuticals - CVRM

 

CVRM Total Revenue increased by 20% (23% at CER) to $3,060m in Q1 2024 and represented 24% of overall Total Revenue (Q1 2023: 24%).

 

Farxiga

 

Total Revenue


Worldwide


US

Emerging Markets

Europe

Established RoW

Q1 2024  $m


1,892


475

711

553

152

Actual change


43%


61%

43%

41%

10%

CER change


45%


61%

50%

37%

18%

 

Region


 Drivers and commentary

Worldwide


*   Farxiga volume is growing faster than the overall SGLT2 market in most major regions, fuelled by launches in heart failure and CKD, and also the launch of an authorised generic in the US. SGLT2 class growth underpinned by updated cardiorenal guidelines

US


*   Growth driven by heart failure and CKD

*   Sales in the quarter benefitted from the introduction of an authorised generic

Emerging Markets

 


*   Solid growth despite entry of generic competition in some markets

*   Strong momentum in Latin America

*   Sales in the quarter benefited from the timing of government tenders

Europe


*   Continued strong class growth and market share gains fuelled by HFpEF approval in 2023 and guidelines updates

Established RoW


*   In Japan, a milestone payment of $45m was received in the quarter from AstraZeneca's partner Ono Pharmaceutical Co., Ltd, which records in-market sales

 

Brilinta

 

Total Revenue


Worldwide


US

Emerging Markets

Europe

Established RoW

Q1 2024  $m


323


163

88

67

5

Actual change


(3%)


(9%)

8%

(1%)

(12%)

CER change


(1%)


(9%)

21%

(3%)

(14%)

 

Region


 Drivers and commentary

US


*   Stable volume but unfavourable gross-to-net adjustments in the quarter

Emerging Markets


*   Growth despite generics pressure in some markets

Europe


*   Declining volume

Established RoW


*   Sales decline driven by generic entry in Canada

 

Other CVRM medicines

 


Q1 2024

Change


 

Total Revenue


$m

Actual

CER

Drivers and commentary

Crestor


297

(3%)

2%

*   Continued sales growth in Emerging Markets

Seloken


165

(8%)

(2%)

*   Ongoing impact of China VBP implementation

Lokelma


114

16%

19%

*   Continued launches in new markets

roxadustat

 

Andexxa


77

 

47

24%

 

6%

28%

 

6%

*   Increased demand in both the dialysis and non-dialysis-dependent populations. NRDL listing renewed

*   Growth driven by Europe

Wainua


5

n/m

n/m

*   Approved for ATTRv-PN in the US in December 2023

Other CVRM


141

(33%)

(31%)


 

BioPharmaceuticals - R&I

 

Total Revenue of $1,886m from R&I medicines increased 15% (17% at CER) and represented 15% of overall Total Revenue (Q1 2023: 15%). This reflected growth in Fasenra, Tezspire, Breztri, Saphnelo and Airsupra following its recent launch.

 

Fasenra

 

Total Revenue


Worldwide


US

Emerging Markets

Europe

Established RoW

Q1 2024  $m


358


210

22

93

33

Actual change


6%


5%

56%

6%

(6%)

CER change


6%


4%

61%

4%

-

                                                          

Region


 Drivers and commentary

Worldwide


*   Continued asthma market share leadership in IL-5 class across major markets 

US


*   Maintained share of a growing market  

Emerging Markets


*   Continued strong demand growth driven by launch acceleration across key markets 

Europe


*   Expanded leadership in severe eosinophilic asthma

Established RoW


*   In Japan, maintained class leadership in a broadly stable market

 

Breztri

 

Total Revenue


Worldwide


US

Emerging Markets

Europe

Established RoW

Q1 2024  $m


219


105

70

30

14

Actual change


52%


30%

83%

97%

43%

CER change


54%


30%

91%

93%

53%

 

Region


 Drivers and commentary

Worldwide


*   Fastest growing medicine within the expanding FDC triple class, across major markets

US


*   Consistent share growth within the FDC triple class in new-to-brand and the total market

Emerging Markets


*   Maintained market share leadership in China with strong triple FDC class penetration

*   Further expansion with launches in additional geographies

Europe


*   Sustained growth across markets as new launches continue to progress 

Established RoW


*   Increased market share within the COPD indication in Japan and strong launch in Canada 

 

Tezspire

 

Total Revenue


Worldwide


US

Emerging Markets

Europe

Established RoW

Q1 2024  $m


120

 

77

2

27

14

Actual change


>2x

 

80%

n/m

>4x

>3x

CER change


>2x

 

80%

n/m

>3x

>3x

 

Region


 Drivers and commentary

Worldwide


*   Combined sales of Tezspire, recorded by Amgen and AstraZeneca, amounted to $216m in Q1 2024 (Q1 2023: $105m)

US


*   Continued growth in total prescriptions, and maintained new-to-brand market share with majority of patients new to biologics

Europe


*   Achieved new-to-brand leadership across multiple markets, new launches continue to progress

Established RoW


*   Japan maintained new-to-brand leadership

 

Symbicort

 

Total Revenue


Worldwide


US

Emerging Markets

Europe

Established RoW

Q1 2024  $m


769


299

253

142

75

Actual change


12%


28%

11%

(3%)

(5%)

CER change


14%


28%

18%

(6%)

(3%)

 

Region


 Drivers and commentary

Worldwide


*   Symbicort remained the global market leader within a stable ICS/LABA class

US


*   Encouraging demand following list price reduction

Emerging Markets


*   Strong underlying demand for Symbicort in both China and Ex-China Emerging Markets, strengthened position as market leader in the region

Europe


*   Continued price and volume erosion from generics and a slowing overall market 

Established RoW


*   Continued generic erosion in Japan

 

Other R&I medicines

 


Q1 2024

   Change


 

Total Revenue


$m

Actual

CER

Drivers and commentary

Pulmicort

 

224

1%

5%

*   >80% of revenues from Emerging Markets

Saphnelo

 

91

94%

95%

*   Demand acceleration in the US, and additional growth driven by ongoing launches in Europe and Established RoW

Airsupra

 

7

n/m

n/m

*   Strong launch momentum with increase class penetration and volume uptake. Revenue in the quarter reflects introductory discounts as early access continues to build

Other R&I


98

(30%)

(29%)

*   Generic competition

 

BioPharmaceuticals - V&I

 

Total Revenue from V&I medicines reduced by 35% (34% at CER) to $232m (Q1 2023: $355m) and represented 2% of overall Total Revenue (Q1 2023: 3%), principally due to a decline in sales of COVID-19 mAbs.

 

V&I medicines

 


Q1 2024

Change


 

Total Revenue


$m

Actual

CER

Drivers and commentary

Beyfortus

 

46

n/m

n/m

*   Product Sales recognises AstraZeneca's sales of manufactured Beyfortus product to Sanofi

*   Alliance Revenue recognises AstraZeneca's 50% share of gross profits on sales of Beyfortus in major markets outside the US, and 25% of brand revenues in rest of world markets

*   AstraZeneca has no participation in US profits or losses

Synagis

 

171

(13%)

(13%)

*   Decline in Synagis more than offset by growth in Beyfortus

COVID-19 mAbs


2

(99%)

(99%)

*   Decline in Evusheld sales (Q1 2023: $127m)

FluMist


7

>2x

>2x

*   Normal seasonality

Other V&I


6

(79%)

(80%)

*   Decline in Vaxzevria sales (Q1 2023: $28m)

 

Rare Disease

 

Total Revenue from Rare Disease medicines increased by 12% (16% at CER) in Q1 2024 to $2,096m, representing 17% of overall Total Revenue (Q1 2023: 17%).

 

Ultomiris

 

Total Revenue


Worldwide


US

Emerging Markets

Europe

Established RoW

Q1 2024  $m


859


482

32

202

143

Actual change


32%


27%

>2x

27%

46%

CER change


34%


27%

>2x

24%

61%

 

Region


 Drivers and commentary

Worldwide


*   Growth across neurology, geographic expansion, patient demand and Soliris conversion

*   Quarter-on-quarter variability in revenue growth can be expected due to Ultomiris every eight-week dosing schedule and lower average annual treatment cost compared to Soliris

US


*   Growth in naïve patients in gMG and conversion from Soliris across shared indications

Emerging Markets


*   Continued growth following launches in new markets

Europe


*   Strong demand generation following launches in new markets, particularly in neurology indications, as well as accelerated conversion from Soliris in key markets, partially offset by  price reductions to secure reimbursement for new indications

Established RoW


*   Continued conversion from Soliris and strong demand following new launches

 

 

 

Soliris

 

Total Revenue


Worldwide


US

Emerging Markets

Europe

Established RoW

Q1 2024  $m


739


411

125

142

61

Actual change


(11%)


(8%)

9%

(23%)

(30%)

CER change


(8%)


(8%)

37%

(24%)

(28%)

 

Region


 Drivers and commentary

US


*   Decline driven by successful conversion of Soliris patients to Ultomiris in PNH, aHUS and gMG, partially offset by Soliris growth in NMOSD

Emerging Markets


*   Growth driven by patient demand following launches in new markets

Europe


*   Decline driven by successful conversion from Soliris to Ultomiris as well as biosimilar erosion in PNH and aHUS

Established RoW


*   Decline driven by successful conversion from Soliris to Ultomiris

 

Strensiq

 

Total Revenue


Worldwide


US

Emerging Markets

Europe

Established RoW

Q1 2024  $m


313


246

21

24

22

Actual change


20%


20%

44%

15%

4%

CER change


21%


20%

67%

12%

14%

 

Region


 Drivers and commentary

Worldwide


*   Growth driven by strong patient demand

 

Other Rare Disease medicines

 


Q1 2024

Change


 

Total Revenue


$m

Actual

CER

Drivers and commentary

Koselugo


132

68%

82%

*   Driven by patient demand and expansion in new markets. The quarter benefitted from tender market order timing in Emerging Markets

Kanuma


53

32%

35%

*   Continued global demand

 

Other medicines (outside the main therapy areas)

 


Q1 2024

Change


 

Total Revenue


$m

Actual

CER

Drivers and commentary

Nexium

 

243

(2%)

7%

*   Growth in Emerging Markets offset declines elsewhere

Others


54

(25%)

(23%)

*   Continued impact of generic competition

 

 

 

Financial performance

 

Table 9: Reported Profit and Loss

 



Q1 2024

Q1 2023

% Change 

 

 

 

$m 

$m 

Actual 

CER 

Total Revenue

 

12,679 

10,879 

17 

19 

- Product Sales


12,177 

10,566 

15 

18 

- Alliance Revenue


457 

286 

59 

59 

- Collaboration Revenue


45 

27 

66 

66 

Cost of sales


(2,218)

(1,905)

16 

18 

Gross profit

 

10,461 

8,974 

17 

20 

Distribution expense


(135)

(134)

R&D expense


(2,783)

(2,611)

SG&A expense


(4,495)

(4,059)

11 

12 

Other operating income & expense


67 

379 

(83)

(83)

Operating profit


3,115 

2,549 

22 

31 

Net finance expense


(302)

(287)

Joint ventures and associates


(13)

n/m

n/m

Profit before tax

 

2,800 

2,262 

24 

34 

Taxation


(620)

(458)

35 

46 

Tax rate

 

22% 

20% 

 


Profit after tax

 

2,180 

1,804 

21 

30 

Earnings per share

 

$1.41 

$1.16 

21 

30 

 

Table 10: Reconciliation of Reported Profit before tax to EBITDA

 



Q1 2024

Q1 2023

% Change

 



$m

$m 

Actual 

CER 

Reported Profit before tax 


2,800 

2,262 

24 

34 

Net finance expense 


302 

287 

Joint ventures and associates 


13 

n/m

n/m

Depreciation, amortisation and impairment 


1,255 

1,502 

(16)

(17)

EBITDA 


4,370 

4,051 

13 

 

Table 11: Reconciliation of Reported to Core financial measures: Q1 2024[7]

 

Q1 2024


Reported

Restructuring

Intangible Asset Amortisation & Impairments

Other

Core

% Change

 



$m 

$m 

$m 

$m 

$m 

Actual 

CER 

Gross profit

 

10,461 

20 

10 

10,491 

15 

18 

Product Sales Gross Margin

 

82% 

 

 

 

82% 

-1pp 

-1pp 

Distribution expense


(135)

(135)

R&D expense


(2,783)

80 

(2,698)

17 

18 

% of Total Revenue


22% 




21% 

SG&A expense


(4,495)

97 

941 

44 

(3,413)

12 

13 

% of Total Revenue


35% 




27% 

+1pp 

+1pp 

Total operating expense


(7,413)

177 

945 

45 

(6,246)

14 

15 

Other operating income & expense


67 

(2)

65 

(80)

(80)

Operating profit

 

3,115 

195 

955 

45 

4,310 

15 

Operating Margin

 

25% 

 

 

 

34% 

-2pp 

-1pp 

Net finance expense


(302)

57 

(245)

(3)

Taxation


(620)

(45)

(183)

(19)

(867)

19 

25 

EPS

 

$1.41 

$0.10 

$0.50 

$0.05 

$2.06 

13 

 

Profit and Loss drivers

 

Gross profit

 

‒    The calculation of Reported and Core Product Sales Gross Margin excludes the impact of Alliance Revenue and Collaboration Revenue

 

‒    The change in Product Sales Gross Margin (Reported and Core) in Q1 2024 was impacted by:

 

‒    Positive effects from product mix. The increased contribution from Rare Disease and Oncology medicines had a positive impact on the Product Sales Gross Margin

 

‒    Dilutive effects from product mix. The rising contribution of Product Sales with profit sharing arrangements (Lynparza, Enhertu, Tezspire, Koselugo) has a negative impact on Product Sales Gross Margin because AstraZeneca records Product Sales in certain markets and pays away a share of the gross profits to its collaboration partners. The growth in Beyfortus also has a dilutive impact on Product Sales Gross Margin, as AstraZeneca is responsible for manufacturing, and Sanofi is responsible for distribution. AstraZeneca records its sales to Sanofi as Product Sales, which generate a lower Product Sales Gross Margin than the Company average

 

‒    Dilutive effects from geographic mix. In Emerging Markets, the Product Sales Gross Margin tends to be below the Company average

 

‒    Variations in Product Sales Gross Margin performance between periods can continue to be expected due to product seasonality, foreign exchange fluctuations, and other effects

 

R&D expense

 

‒    The change in R&D expense (Reported and Core) in the period was impacted by:

 

‒    Recent positive data read-outs for several high priority medicines that have ungated late-stage trials

 

‒    Investment in platforms, new technology and capabilities to enhance R&D productivity

 

‒    The change in Reported R&D expense was also impacted by intangible asset impairments in the prior period

 

SG&A expense

 

‒    The change in SG&A expense (Reported and Core) in the period was driven primarily by market development activities for launches

 

Other operating income and expense

 

‒    In the prior year period, Other operating income and expense included a $241m gain on the disposal of the US rights to Pulmicort Flexhaler

 

Net finance expense

 

‒    Core Net finance expense increased 2% (3% decrease at CER) with higher rates on floating debt and bond issuances broadly offset by higher interest received on cash and short-term investments

 

Taxation

 

‒    The effective Reported Tax rate for the three months to 31 March 2024 was 22% (Q1 2023: 20%) and the effective Core Tax rate was 21% (Q1 2023: 20%)

 

‒    The cash tax paid for the three months to 31 March 2024 was $430m (Q1 2023: $225m), representing 15% of Reported Profit before tax (Q1 2023: 10%)

 

Table 12: Cash Flow summary

 



Q1 2024 

Q1 2023 

Change 



$m 

$m 

$m 

Reported Operating profit


3,115 

2,549 

566 

Depreciation, amortisation and impairment


1,255 

1,502 

(247)

Movement in working capital and short-term provisions


(455)

242 

(697)

Gains on disposal of intangible assets


(249)

249 

Fair value movements on contingent consideration arising from

business combinations


16 

16 

Non-cash and other movements


(674)

(429)

(245)

Interest paid


(341)

(257)

(84)

Taxation paid


(430)

(225)

(205)

Net cash inflow from operating activities


2,486 

3,133 

(647)

Net cash inflow before financing activities


73 

1,887 

(1,814)

Net cash inflow/(outflow) from financing activities


2,028 

(2,031)

4,059 

 

The change in Net cash inflow before financing activities in the quarter to 31 March 2024 is primarily driven by the movement in Acquisitions of subsidiaries, net of cash acquired, of $537m, and relates to the acquisition of Gracell Biotechnologies, Inc. for $726m compared to the acquisition of Neogene Therapeutics, Inc. for $189m in Q1 2023.

 

The change in Net cash inflow/(outflow) from financing activities of $4,059m is primarily driven by the increase in Issue of loans and borrowings of $1,150m, and by the decrease in Repayment of loans and borrowings of $1,997m.

 

Capital expenditure

 

Capital expenditure amounted to $417m in the three months to 31 March 2024 (Q1 2023: $247m). Capital expenditure is expected to increase substantially in 2024, driven by investment in several major manufacturing projects and continued investment in technology upgrades.

 

Table 13: Net debt summary

 


At 31 

 Mar 2024 

At 31 

 Dec 2023 

At 31 

Mar 2023 


$m 

$m 

$m 

Cash and cash equivalents

7,841 

5,840 

6,232 

Other investments

180 

122 

230 

Cash and investments

8,021 

5,962 

6,462 

Overdrafts and short-term borrowings

(477)

(515)

(593)

Commercial paper

(980)

(74)

Lease liabilities

(1,242)

(1,128)

(962)

Current instalments of loans

(4,593)

(4,614)

(2,958)

Non-current instalments of loans

(27,259)

(22,365)

(26,916)

Interest-bearing loans and borrowings (Gross debt)

(34,551)

(28,622)

(31,503)

Net derivatives

81 

150 

(21)

Net debt

(26,449)

(22,510)

(25,062)

 

 

Net debt increased by $3,939m in the three months to 31 March 2024 to $26,449m. Details of the committed undrawn bank facilities are disclosed within the going concern section of Note 1. Details of the Company's solicited credit ratings and further details on Net debt are disclosed in Note 3.

 

Capital allocation

 

The Board's aim is to continue to strike a balance between the interests of the business, financial creditors and the Company's shareholders. The Company's capital allocation priorities include: investing in the business and pipeline; maintaining a strong, investment-grade credit rating; potential value-enhancing business development opportunities; and supporting the progressive dividend policy.

 

In approving the declaration of dividends, the Board considers both the liquidity of the company and the level of reserves legally available for distribution. Dividends are paid to shareholders from AstraZeneca PLC, a Group holding company with no direct operations. The ability of AstraZeneca PLC to make shareholder distributions is dependent on the creation of profits for distribution and the receipt of funds from subsidiary companies. The consolidated Group reserves set out in the Condensed consolidated statement of financial position do not reflect the profit available for distribution to the shareholders of AstraZeneca PLC.

 

Summarised financial information for guarantee of securities of subsidiaries

 

AstraZeneca Finance LLC ("AstraZeneca Finance") is the issuer of 0.7% Notes due 2024, 1.2% Notes due 2026, 4.8% Notes due 2027, 4.875% Notes due 2028, 1.75% Notes due 2028, 4.85% Notes due 2029, 4.9% Notes due 2030, 4.9% Notes due 2031, 2.25% Notes due 2031, 4.875% Notes due 2033 and 5% Notes due 2034 (the "AstraZeneca Finance Notes"). Each series of AstraZeneca Finance Notes has been fully and unconditionally guaranteed by AstraZeneca PLC. AstraZeneca Finance is 100% owned by AstraZeneca PLC and each of the guarantees issued by AstraZeneca PLC is full and unconditional and joint and several.

 

The AstraZeneca Finance Notes are senior unsecured obligations of AstraZeneca Finance and rank equally with all of AstraZeneca Finance's existing and future senior unsecured and unsubordinated indebtedness. The guarantee by AstraZeneca PLC of the AstraZeneca Finance Notes is the senior unsecured obligation of AstraZeneca PLC and ranks equally with all of AstraZeneca PLC's existing and future senior unsecured and unsubordinated indebtedness. Each guarantee by AstraZeneca PLC is effectively subordinated to any secured indebtedness of AstraZeneca PLC to the extent of the value of the assets securing such indebtedness. The AstraZeneca Finance Notes are structurally subordinated to indebtedness and other liabilities of the subsidiaries of AstraZeneca PLC, none of which guarantee the AstraZeneca Finance Notes.

 

AstraZeneca PLC manages substantially all of its operations through divisions, branches and/or investments in subsidiaries and affiliates. Accordingly, the ability of AstraZeneca PLC to service its debt and guarantee obligations is also dependent upon the earnings of its subsidiaries, affiliates, branches and divisions, whether by dividends, distributions, loans or otherwise.

 

Please refer to the Consolidated financial statements of AstraZeneca PLC in our Annual Report on Form 20‑F and reports on Form 6-K with our quarterly financial results as filed or furnished with the SEC for further financial information regarding AstraZeneca PLC and its consolidated subsidiaries. For further details, terms and conditions of the AstraZeneca Finance Notes please refer to AstraZeneca PLC's reports on Form 6-K furnished to the SEC on 22 February 2024, 3 March 2023 and 28 May 2021.

 

Pursuant to Rule 13-01 and Rule 3-10 of Regulation S-X under the Securities Act of 1933, as amended (the "Securities Act"), we present below the summary financial information for AstraZeneca PLC, as Guarantor, excluding its consolidated subsidiaries, and AstraZeneca Finance, as the issuer, excluding its consolidated subsidiaries. The following summary financial information of AstraZeneca PLC and AstraZeneca Finance is presented on a combined basis and transactions between the combining entities have been eliminated. Financial information for non-guarantor entities has been excluded. Intercompany balances and transactions between the obligor group and the non-obligor subsidiaries are presented on separate lines.

 

Table 14: Obligor group summarised Statement of comprehensive income

 


 

Q1 2024

Q1 2023


 

$m 

$m 

Total Revenue


Gross profit


Operating loss


Loss for the period


(234)

(237)

Transactions with subsidiaries that are not issuers or guarantors


588 

7,502 

 

Table 15: Obligor group summarised Statement of financial position

 


 

At 31 Mar 2024 

At 31 Mar 2023 


 

$m 

$m 

Current assets


12 

10 

Non-current assets


Current liabilities


(5,778)

(2,952)

Non-current liabilities


(27,161)

(26,747)

Amounts due from subsidiaries that are not issuers or guarantors


21,242 

14,067 

Amounts due to subsidiaries that are not issuers or guarantors


(296)

 

Foreign exchange

 

The Company's transactional currency exposures on working capital balances, which typically extend for up to three months, are hedged where practicable using forward foreign exchange contracts against the individual companies' reporting currency. Foreign exchange gains and losses on forward contracts transacted for transactional hedging are taken to profit or to Other comprehensive income if the contract is in a designated cashflow hedge. In addition, the Company's external dividend payments, paid principally in pound sterling and Swedish krona, are fully hedged from announcement to payment date.

 

Table 16: Currency sensitivities

 

The Company provides the following information on currency-sensitivity:

 


 

 


Average

rates vs. USD


Annual impact ($m) of 5% strengthening (FY 2024 average rate vs. FY 2023 average) [8]

Currency

Primary Relevance

 

FY    
2023
[9]

YTD   
2024
[10]

Change

 (%)

Mar 2024[11]

Change

 (%)

 

Total Revenue

Core Operating Profit

EUR

Total Revenue


0.92

0.92

0 

0.92

0 


397

179 

CNY

Total Revenue


7.09

7.20

(2)

7.22

(2)


322

182 

JPY

Total Revenue


140.60

148.49

(5)

149.87

(6)


177

119 

Other[12]









453

227 

GBP

Operating expense


0.80

0.79

2 

0.79

2 


60

(126)

SEK

Operating expense


10.61

10.39

2 

10.41

2 


9

(63)

 

Sustainability

 

AstraZeneca published its tenth annual Sustainability Report, including a data annex for performance measures and targets, along with the 2023 Taskforce on Climate-related Financial Disclosures Statement.

 

Access to healthcare

 

‒    Chair Michel Demaré participated in a panel discussion with global health leaders at the 54th Annual Meeting of the World Economic Forum (WEF) in Davos on utilising learnings from the COVID-19 pandemic to prepare for future health challenges and the importance of investing in strong, resilient health systems.

 

‒    Engagements linked to the Partnership for Health System Sustainability and Resilience (PHSSR), continued in Germany, Belgium, Switzerland and Japan, highlighting the need for measurable policy targets for non-communicable disease management. In India, a PHSSR report was published assessing the sustainability and resilience of the Indian health system, while in the Netherlands, an academic publication was launched with policy recommendations to improve health system resilience.

 

‒    Healthy Heart Africa (HHA), AstraZeneca's flagship health equity programme, reached its goal of identifying more than 10 million people with elevated blood pressure by 2025 nearly two years ahead of target. At the end of February 2024, more than 11,480 healthcare workers have been trained and more than 52 million blood pressure screenings conducted cumulatively since the programme launched in 2014, maintaining an average of more than one million screenings per month since 2023. HHA also launched a pilot programme in Ghana in March 2024 as a first step to broadening its scope to include chronic kidney disease screening.

 

‒    Since 2021, the Young Health Programme (YHP) has directly reached more than 10 million youth, influenced 16 policies and has employee volunteer programmes in 36 countries, exceeding its core targets for 2021-2025 nearly two years early. YHP received the Driving Health Equity Award in the 2024 Reuters Pharma Awards Europe for the programme's work empowering young people to catalyse a healthier future.

 

Environmental protection

 

‒    The Company signed a clean heat agreement in March 2024 to decarbonise our medicines manufacturing in China. Through the agreement, biomethane and biomethane-based steam will be supplied to our Wuxi manufacturing site and we will reduce our Scope 1 and 2 greenhouse gas (GHG) emissions by up to 80% in China, supporting the broader decarbonisation of the healthcare system.

 

‒    The Company announced at WEF that it will be one of the inaugural Early Adopter organisations that intend to start making disclosures aligned with the Taskforce on Nature-related Financial Disclosures (TNFD) Recommendations in corporate reporting by the fiscal year 2024.

 

‒    AstraZeneca was one of the five healthcare companies, convened through the Sustainable Markets Initiative Health Systems Task Force, that launched an industry-first multi-party agreement to access renewable power in China in January 2024. This is the first time companies from across the global healthcare sector have come together to decarbonise their operations in China, and the agreement will result in potential annual emissions savings of approximately 120,000 tonnes of carbon dioxide equivalent (CO2e).

 

‒    AstraZeneca received the Sustainability Award in the 2024 Reuters Pharma Awards Europe for accelerating the electronic product information industry transition in Europe.

 

Ethics and transparency

 

‒    The Company achieved seventh place overall, and third in the Health Care sector, in the FTSE Women Leaders Review 2023, as one of the top performers in both the FTSE 100 and FTSE 350 for representation of women across the organisation.

 

‒    The Company's latest Modern Slavery Act Statement was published detailing activities undertaken to mitigate the risks of modern slavery both within the Company's operations and supply chain, in line with the Code of Ethics and our commitment to operating with integrity and in compliance with relevant legislation.

 

‒    In Poland, AstraZeneca was named an 'Ethics Leader' by Bonnier Press for the third year. This award recognises five companies for their commitment to upholding high ethical standards, treating business partners with respect, applying the principles of fair competition, and building trust and good relationships between employees and stakeholder groups.

 

Research and development

 

This section covers R&D events and milestones that have occurred since the prior results announcement on 8 February 2024, up to and including events on 24 April 2024.

 

A comprehensive view of AstraZeneca's pipeline of medicines in human trials can be found in the latest Clinical Trials Appendix, available on www.astrazeneca.com/investor-relations. The Clinical Trials Appendix includes tables with details of the ongoing clinical trials for AstraZeneca medicines and new molecular entities in the pipeline.

 

Oncology

 

AstraZeneca presented new data across its diverse portfolio of cancer medicines at four major medical congresses since the prior results announcement: the Society of Gynecologic Oncology Annual Meeting on Women's Cancer (SGO) in March 2024, the European Lung Cancer Congress (ELCC) in March 2024, American Association for Cancer Research Annual Meeting (AACR) in April 2024 and the 2024 Cholangiocarcinoma Foundation Conference (CFC) in April 2024.

 

Tagrisso

 

Event



Commentary

Phase III trial read out

LAURA


Met primary endpoint, demonstrating that Tagrisso resulted in a statistically significant and highly clinically meaningful improvement in PFS for patients with unresectable, Stage III EGFRm NSCLC after chemoradiotherapy compared to placebo after chemoradiotherapy. (February 2024)

Approval

US


Tagrisso with the addition of chemotherapy for the treatment of adult patients with locally advanced or metastatic EGFRm NSCLC. (FLAURA2, February 2024)

Presentation: ELCC

FLAURA2


OS interim analysis of the Phase III FLAURA2 trial, presented at ELCC, showed at 41% data maturity, a favourable trend with the Tagrisso plus chemotherapy arm (HR 0.75) vs Tagrisso monotherapy. The OS data were not statistically significant at this interim analysis and will continue to be assessed as a key secondary endpoint at final analysis. (March 2024)

 

Imfinzi and Imjudo

 

Event



Commentary

Phase III trial read out

ADRIATIC

 

 

Met primary endpoint, demonstrating that Imfinzi resulted in a statistically significant and clinically meaningful improvement in the dual primary endpoints of OS and PFS in patients with LS-SCLC who had not progressed following cCRT compared to placebo after cCRT. (April 2024).

Presentation: CFC

TOPAZ-1

 

Updated exploratory results of the Phase III TOPAZ-1 trial, presented at CFC, showed Imfinzi in combination with standard-of-care chemotherapy demonstrated a clinically meaningful long-term OS benefit at three years for patients with advanced BTC. (April 2024)

 

Lynparza

 

Event



Commentary

Presentation: SGO

DUO-E (Lynparza and Imfinzi)


Post-hoc exploratory subgroup analysis of the Phase III DUO-E trial, presented at SGO, assessed patients by mismatch repair status and demonstrated that median duration of response in proficient mismatch repair patients in the Lynparza and Imfinzi arm was more than double versus the control arm (18.7 versus 7.6 months) in patients with advanced or recurrent endometrial cancer. (March 2024)

 

 

Enhertu

 

Event



Commentary

Approval

US

 

 

For the treatment of adult patients with unresectable or metastatic HER2-positive (IHC 3+) solid tumours who have received prior systemic treatment and have no satisfactory alternative treatment options (DESTINY-PanTumor02, DESTINY-Lung01, DESTINY-CRC02, April 2024)

Truqap

 

Event



Commentary

Approval

Japan

 

 

In combination with Faslodex for the treatment of adult patients with unresectable or recurrent PIK3CA, AKT1, or PTEN-altered HR-positive, HER2-negative breast cancer following progression after treatment with endocrine therapy. (CAPItello-291, March 2024)

 

BioPharmaceuticals - R&I

 

Fasenra 

 

Event



Commentary

Label expansion

 

US


Fasenra's approval in severe eosinophilic asthma has been expanded to include patients 6 years and older, from the previous 12 years and older (TATE, April 2024)

Publication (Respiratory Medicine)

MIRACLE


Results from the MIRACLE Phase III trial showed treatment with Fasenra resulted in a reduction of 74% in annual exacerbation rate in patients in Asia with severe eosinophilic asthma (April 2024)

 

Rare Disease

 

AstraZeneca presented new clinical and real-world data from its leading rare neurology portfolio at the American Academy of Neurology (AAN) Annual Meeting in Denver, CO, 13 to 18 April 2024. The Company presented 14 abstracts, including five oral presentations, across both gMG and NMOSD.

 

Ultomiris

 

Event



Commentary

Approval

US

 

For the treatment of adult patients with anti-aquaporin-4 antibody-positive (Ab+) NMOSD. (CHAMPION-NMOSD, March 2024)

 

Voydeya

 

Event



Commentary

Approval

US

 

For the treatment of extravascular haemolysis in adults with paroxysmal nocturnal haemoglobinuria, as add-on therapy to Ultomiris or Soliris. (ALPHA, April 2024)

Approval

EU

 

For the treatment of adult patients with paroxysmal nocturnal haemoglobinuria who have residual haemolytic anaemia, as an add-on therapy to Ultomiris or Soliris. (ALPHA, February 2024).

 

 

Interim financial statements

 

Table 17: Condensed consolidated statement of comprehensive income: Q1 2024

 

For the quarter ended 31 March

 

2024 

2023 

 

 

$m 

$m 

Total Revenue

 

12,679 

10,879 

Product Sales

 

12,177 

10,566 

Alliance Revenue

 

457 

286 

Collaboration Revenue

 

45 

27 

Cost of sales


(2,218)

(1,905)

Gross profit

 

10,461 

8,974 

Distribution expense


(135)

(134)

Research and development expense


(2,783)

(2,611)

Selling, general and administrative expense


(4,495)

(4,059)

Other operating income and expense


67 

379 

Operating profit

 

3,115 

2,549 

Finance income


111 

78 

Finance expense


(413)

(365)

Share of after tax losses in associates and joint ventures


(13)

Profit before tax

 

2,800 

2,262 

Taxation


(620)

(458)

Profit for the period

 

2,180 

1,804 

Other comprehensive income:

 

 

 

Items that will not be reclassified to profit or loss:

 

 

 

Remeasurement of the defined benefit pension liability


144 

(10)

Net gains on equity investments measured at fair value through other comprehensive income


35 

46 

Fair value movements related to own credit risk on bonds designated as fair value through profit or loss


Tax on items that will not be reclassified to profit or loss


(39)

24 

 

 

140 

62 

Items that may be reclassified subsequently to profit or loss:




Foreign exchange arising on consolidation


(515)

314 

Foreign exchange arising on designated liabilities in net investment hedges


(98)

(7)

Fair value movements on cash flow hedges


(86)

56 

Fair value movements on cash flow hedges transferred to profit and loss


70 

(75)

Fair value movements on derivatives designated in net investment hedges


22 

16 

Costs of hedging


15 

Tax on items that may be reclassified subsequently to profit or loss


35 

12 



(557)

316 

Other comprehensive (expense)/income, net of tax

 

(417)

378 

Total comprehensive income for the period

 

1,763 

2,182 

Profit attributable to:




Owners of the Parent


2,179 

1,803 

Non-controlling interests




2,180 

1,804 

Total comprehensive income attributable to:




Owners of the Parent


1,762 

2,181 

Non-controlling interests




1,763 

2,182 

Basic earnings per $0.25 Ordinary Share


$1.41 

$1.16 

Diluted earnings per $0.25 Ordinary Share


$1.40 

$1.16 

Weighted average number of Ordinary Shares in issue (millions)


1,549 

1,549 

Diluted weighted average number of Ordinary Shares in issue (millions)


1,560 

1,560 

 

Table 18: Condensed consolidated statement of financial position

 


 

At 31 Mar

2024

At 31 Dec

2023

At 31 Mar

2023


 

$m 

$m 

$m 

Assets





Non-current assets





Property, plant and equipment


9,411 

9,402 

8,644

Right-of-use assets


1,205 

1,100 

955

Goodwill


19,978 

20,048 

20,001

Intangible assets


38,834 

38,089 

39,291

Investments in associates and joint ventures


130 

147 

77

Other investments


1,565 

1,530 

1,157

Derivative financial instruments


213 

228 

116

Other receivables


745 

803 

682

Deferred tax assets


4,618 

4,718 

3,498


 

76,699 

76,065 

74,421

Current assets





Inventories


5,337 

5,424 

4,967

Trade and other receivables


11,072 

12,126 

10,289

Other investments


180 

122 

230

Derivative financial instruments


11 

116 

40

Income tax receivable


1,153 

1,426 

508

Cash and cash equivalents


7,841 

5,840 

6,232


 

25,594 

25,054 

22,266

Total assets

 

102,293 

101,119 

96,687

Liabilities

 

 

 

 

Current liabilities





Interest-bearing loans and borrowings


(6,050)

(5,129)

(3,625)

Lease liabilities


(281)

(271)

(232)

Trade and other payables


(19,699)

(22,374)

(19,210)

Derivative financial instruments


(92)

(156)

(44)

Provisions


(1,148)

(1,028)

(546)

Income tax payable


(1,631)

(1,584)

(1,203)


 

(28,901)

(30,542)

(24,860)

Non-current liabilities





Interest-bearing loans and borrowings


(27,259)

(22,365)

(26,916)

Lease liabilities


(961)

(857)

(730)

Derivative financial instruments


(51)

(38)

(133)

Deferred tax liabilities


(2,621)

(2,844)

(2,795)

Retirement benefit obligations


(1,280)

(1,520)

(1,128)

Provisions


(1,123)

(1,127)

(914)

Other payables


(2,596)

(2,660)

(3,400)



(35,891)

(31,411)

(36,016)

Total liabilities

 

(64,792)

(61,953)

(60,876)

Net assets

 

37,501 

39,166 

35,811 

Equity





Capital and reserves attributable to equity holders of the Parent





Share capital


388 

388 

387

Share premium account


35,194 

35,188 

35,159

Other reserves


2,075 

2,065 

2,068

Retained earnings


(212)

1,502 

(1,825)


 

37,445 

39,143 

35,789 

Non-controlling interests


56 

23 

22 

Total equity

 

37,501 

39,166 

35,811 

 

Table 19: Condensed consolidated statement of changes in equity

 



Share capital

Share premium account

Other reserves

Retained earnings

Total attributable to owners of the parent

Non-controlling interests

Total equity


 

$m 

$m 

$m 

$m 

$m 

$m 

$m 

At 1 Jan 2023


387 

35,155 

2,069 

(574)

37,037 

21 

37,058 

Profit for the period


1,803 

1,803 

1,804 

Other comprehensive income


378 

378 

378 

Transfer to other reserves


(1)

Transactions with owners









Dividends


(3,047)

(3,047)

(3,047)

Issue of Ordinary Shares


Share-based payments charge for the period


132 

132 

132 

Settlement of share plan awards


(518)

(518)

(518)

Net movement

 

(1)

(1,251)

(1,248)

(1,247)

At 31 Mar 2023

 

387 

35,159 

2,068 

(1,825)

35,789 

22 

35,811 

 

 

 

 

 

 

 

 

 

At 1 Jan 2024

 

388 

35,188 

2,065 

1,502 

39,143 

23 

39,166 

Profit for the period


2,179 

2,179 

2,180 

Other comprehensive expense


(417)

(417)

(417)

Transfer to other reserves


10 

(10)

Transactions with owners









Dividends


(3,052)

(3,052)

(3,052)

Issue of Ordinary Shares


Changes in non-controlling interests


32 

32 

Share-based payments charge for the period


159 

159 

159 

Settlement of share plan awards


(573)

(573)

(573)

Net movement


10 

(1,714)

(1,698)

33 

(1,665)

At 31 Mar 2024

 

388 

35,194 

2,075 

(212)

37,445 

56 

37,501 

 

Table 20: Condensed consolidated statement of cash flows

 

For the quarter ended 31 March


2024 

2023 


$m 

$m 

 

Cash flows from operating activities




Profit before tax


2,800 

2,262 

Finance income and expense


302 

287 

Share of after tax losses of associates and joint ventures


13 

Depreciation, amortisation and impairment


1,255 

1,502 

Movement in working capital and short-term provisions


(455)

242 

Gains on disposal of intangible assets


(249)

Fair value movements on contingent consideration arising from business combinations


16 

Non-cash and other movements


(674)

(429)

Cash generated from operations

 

3,257 

3,615 

Interest paid


(341)

(257)

Tax paid


(430)

(225)

Net cash inflow from operating activities

 

2,486 

3,133 

 

Cash flows from investing activities



 

Acquisition of subsidiaries, net of cash acquired


(726)

(189)

Payments upon vesting of employee share awards attributable to business combinations


(23)

Payment of contingent consideration from business combinations


(222)

(214)

Purchase of property, plant and equipment


(417)

(247)

Disposal of property, plant and equipment


53 

125 

Purchase of intangible assets


(1,188)

(1,223)

Disposal of intangible assets


75 

264 

Movement in profit-participation liability


175 

Purchase of non-current asset investments


(41)

Disposal of non-current asset investments


10 

Movement in short-term investments, fixed deposits and other investing instruments


(57)

Disposal of investments in associates and joint ventures


Interest received


93 

67 

Net cash outflow from investing activities


(2,413)

(1,246)

Net cash inflow before financing activities

 

73 

1,887 

 

Cash flows from financing activities




Proceeds from issue of share capital


Issue of loans and borrowings


4,976 

3,826 

Repayment of loans and borrowings


(7)

(2,004)

Dividends paid


(3,033)

(3,047)

Hedge contracts relating to dividend payments


(8)

27 

Repayment of obligations under leases


(74)

(67)

Movement in short-term borrowings


1,001 

97 

Payment of Acerta Pharma share purchase liability


(833)

(867)

Net cash inflow/(outflow) from financing activities

 

2,028 

(2,031)

Net increase/(decrease) in Cash and cash equivalents in the period


2,101 

(144)

Cash and cash equivalents at the beginning of the period


5,637 

5,983 

Exchange rate effects


(46)

(11)

Cash and cash equivalents at the end of the period

 

7,692 

5,828 

Cash and cash equivalents consist of:




Cash and cash equivalents


7,841 

6,232 

Overdrafts


(149)

(404)

 

 

7,692 

5,828 

 

Notes to the Interim financial statements

 

Note 1: Basis of preparation and accounting policies

 

These unaudited condensed consolidated Interim financial statements for the three months ended 31 March 2024 have been prepared in accordance with International Accounting Standard 34, 'Interim Financial Reporting' (IAS 34), as issued by the International Accounting Standards Board (IASB), IAS 34 as adopted by the European Union, UK-adopted IAS 34 and the Disclosure Guidance and Transparency Rules sourcebook of the United Kingdom's Financial Conduct Authority and with the requirements of the Companies Act 2006 as applicable to companies reporting under those standards.

 

The unaudited Interim financial statements for the three months ended 31 March 2024 were approved by the Board of Directors for publication on 25 April 2024.

 

This results announcement does not constitute statutory accounts of the Group within the meaning of sections 434(3) and 435(3) of the Companies Act 2006. The annual financial statements of the Group for the year ended 31 December 2023 were prepared in accordance with UK-adopted international accounting standards and with the requirements of the Companies Act 2006. The annual financial statements also comply fully with IFRS Accounting Standards as issued by the IASB and International Accounting Standards as adopted by the European Union. Except for the estimation of the interim income tax charge, the Interim financial statements have been prepared applying the accounting policies that were applied in the preparation of the Group's published consolidated financial statements for the year ended 31 December 2023.

 

The comparative figures for the financial year ended 31 December 2023 are not the Group's statutory accounts for that financial year. Those accounts have been reported on by the Group's auditors and will be delivered to the Registrar of Companies; their report was (i) unqualified, (ii) did not include a reference to any matters to which the auditors drew attention by way of emphasis without qualifying their report, and (iii) did not contain a statement under section 498(2) or (3) of the Companies Act 2006.

 

Going concern

The Group has considerable financial resources available. As at 31 March 2024, the Group has $14.7bn in financial resources (cash and cash equivalent balances of $7.8bn and undrawn committed bank facilities of $6.9bn, with $6.3bn of borrowings due within one year). These facilities contain no financial covenants and were undrawn at 31 March 2024. $2bn of the facilities are available until February 2025 and the other $4.9bn are available until April 2029.

 

The Group's revenues are largely derived from sales of medicines covered by patents, which provide a relatively high level of resilience and predictability to cash inflows, although government price interventions in response to budgetary constraints are expected to continue to adversely affect revenues in some of our significant markets. The Group, however, anticipates new revenue streams from both recently launched medicines and those in development, and the Group has a wide diversity of customers and suppliers across different geographic areas.

 

Consequently, the Directors believe that, overall, the Group is well placed to manage its business risks successfully. Accordingly, they continue to adopt the going concern basis in preparing the Interim financial statements.

 

Legal proceedings

The information contained in Note 6 updates the disclosures concerning legal proceedings and contingent liabilities in the Group's Annual Report and Form 20-F Information 2023.

 

Note 2: Intangible assets

 

In accordance with IAS 36 'Impairment of Assets', reviews for triggers of impairment or impairment reversals at an individual asset or cash generating unit level were conducted, and impairment tests carried out where triggers were identified. This review resulted in $nil impairment charge during the three months ended 31 March 2024 (31 March 2023: $271m net charge). In Q1 2023, net impairment charges included the $244m impairment of the ALXN1840 intangible asset, following the decision to discontinue this development programme in Wilson's disease.

 

The acquisition of Icosavax, Inc. completed on 19 February 2024. The transaction is recorded as an asset acquisition based on the concentration test permitted under IFRS 3 'Business Combinations', with consideration of $841m principally relating to $639m of intangible assets, $141m of cash and cash equivalents and $51m of marketable securities. Contingent consideration of up to $300m could be paid on achievement of regulatory and sales milestones; these potential liabilities would be recorded when relevant milestones are triggered or performance conditions satisfied.

 

Note 3: Net debt

 

The table below provides an analysis of Net debt and a reconciliation of Net Cash flow to the movement in Net debt. The Group monitors Net debt as part of its capital management policy as described in Note 28 of the Annual Report and Form 20-F Information 2023. Net debt is a non-GAAP financial measure.

 

Table 21: Net debt

 


 

At 1 Jan 2024

Cash flow

Acquisitions

Non-cash
& other

Exchange movements

At 31 Mar 2024


 

$m

$m

$m

$m

$m

$m

Non-current instalments of loans


(22,365)

(4,976)

(3)

(2)

87 

(27,259)

Non-current instalments of leases


(857)

(2)

(114)

12 

(961)

Total long-term debt

 

(23,222)

(4,976)

(5)

(116)

99 

(28,220)

Current instalments of loans


(4,614)

(9)

(1)

24 

(4,593)

Current instalments of leases


(271)

86 

(2)

(100)

(281)

Commercial paper


(980)

(980)

Bank collateral received


(215)

60 

(155)

Other short-term borrowings excluding overdrafts


(97)

(81)

(173)

Overdrafts


(203)

54 

(149)

Total current debt

 

(5,400)

(854)

(11)

(101)

35 

(6,331)

Gross borrowings

 

(28,622)

(5,830)

(16)

(217)

134 

(34,551)

Net derivative financial instruments


150 

(77)

81 

Net borrowings

 

(28,472)

(5,822)

(16)

(294)

134 

(34,470)

Cash and cash equivalents


5,840 

1,837 

209 

(46)

7,841 

Other investments - current


122 

57 

(2)

180 

Cash and investments

 

5,962 

1,894 

212 

(48)

8,021 

Net debt

 

(22,510)

(3,928)

196 

(293)

86 

(26,449)

 

Net debt increased by $3,939m in the three months to 31 March 2024 to $26,449m. Details of the committed undrawn bank facilities are disclosed within the going concern section of Note 1. Non-cash movements in the period include fair value adjustments under IFRS 9 'Financial Instruments'.

 

In February 2024, AstraZeneca issued the following:

 

-     $1,250m of fixed-rate notes with a coupon of 4.8% maturing in February 2027

-     $1,250m of fixed-rate notes with a coupon of 4.85% maturing in February 2029

-     $1,000m of fixed-rate notes with a coupon of 4.9% maturing in February 2031

-     $1,500m of fixed-rate notes with a coupon of 5% maturing in February 2034

-    

The Group has agreements with some bank counterparties whereby the parties agree to post cash collateral on financial derivatives, for the benefit of the other, equivalent to the market valuation of the derivative positions above a predetermined threshold. The carrying value of such cash collateral held by the Group at 31 March 2024 was $155m (31 December 2023: $215m) and the carrying value of such cash collateral posted by the Group at 31 March 2024 was $136m (31 December 2023: $102m).

 

The equivalent GAAP measure to Net debt is 'liabilities arising from financing activities', which excludes the amounts for cash and overdrafts, other investments and non-financing derivatives shown above and includes the Acerta Pharma share purchase liability of $nil (31 December 2023: $833m).

 

During the quarter ended 31 March 2024, there have been no changes to the Company's solicited long term credit ratings. Moody's credit ratings were long term: A2; short term: P-1. Standard and Poor's credit ratings were long term: A; short term: A-1.

 

Note 4: Financial Instruments

 

As detailed in the Group's most recent annual financial statements, the principal financial instruments consist of derivative financial instruments, other investments, trade and other receivables, cash and cash equivalents, trade and other payables, lease liabilities and interest-bearing loans and borrowings.

 

The Group has certain equity investments that are categorised as Level 3 in the fair value hierarchy that are held at $309m at (31 December 2023: $313m) and for which a fair value loss of $1m has been recognised in the three months ended 31 March 2024 (31 March 2023: fair value gain of $1m). In the absence of specific market data, these unlisted investments are held at fair value based on the cost of investment and adjusted as necessary for impairments and revaluations on new funding rounds, which are seen to approximate the fair value. All other fair value gains and/or losses that are presented in Net gains on equity investments measured at fair value through other comprehensive income in the Condensed consolidated statement of comprehensive income for the three months ended 31 March 2024 are Level 1 fair value measurements, valued based on quoted prices in active markets.

 

Financial instruments measured at fair value include $1,605m of other investments, $5,504m held in money-market funds and $81m of derivatives as at 31 March 2024. With the exception of derivatives being Level 2 fair valued, and certain equity investments of $320m categorised as Level 3, the aforementioned balances are Level 1 fair valued. Financial instruments measured at amortised cost include $136m of cash collateral pledged to counterparties. The total fair value of interest-bearing loans and borrowings at 31 March 2024, which have a carrying value of $34,551m in the Condensed consolidated statement of financial position, was $33,364m.

 

Table 22: Financial instruments - contingent consideration

 


 

2024

 

2023

 

 

 

Diabetes alliance

Other

Total

Total

 

 

$m

$m

$m

$m

At 1 January


1,945

192

2,137

2,222

Additions through business combinations


54 

54 

60 

Settlements


(221)

(1)

(222)

 (214)

Revaluations


16 

16 

Discount unwind


26 

28 

33 

At 31 March

 

1,750 

263 

2,013 

2,101

 

Contingent consideration arising from business combinations is fair valued using decision-tree analysis, with key inputs including the probability of success, consideration of potential delays and the expected levels of future revenues.

 

The contingent consideration balance relating to BMS's share of the global diabetes alliance of $1,750m (31 December 2023: $1,945m) would increase/decrease by $175m with an increase/decrease in sales of 10%, as compared with the current estimates.

 

Note 5: Business combinations

 

The acquisition of Gracell Biotechnologies, Inc. completed on 22 February 2024 and was recorded as a business combination using the acquisition method of accounting in accordance with IFRS 3 'Business Combinations'. Consequently the assets acquired, and liabilities assumed are recorded at fair value. Given the proximity of the completion of the transaction to the reporting date, the identification and determination of the fair values related to the acquired balance sheet is on-going. This exercise is expected to complete in Q2 2024 with the majority of the fair value expected to be allocated to the intangible assets, as currently reported. The upfront cash portion of the consideration represents a transaction value of approximately $1.0bn. Combined, the upfront and potential contingent value payments if achieved, represent, a transaction value of approximately $1.2bn. The cash and cash equivalents acquired on Gracell's balance sheet, totalled to $209m at the close of the transaction.

 

Note 6: Legal proceedings and contingent liabilities

 

AstraZeneca is involved in various legal proceedings considered typical to its business, including litigation and investigations, including Government investigations, relating to product liability, commercial disputes, infringement of intellectual property (IP) rights, the validity of certain patents, anti-trust law and sales and marketing practices. The matters discussed below constitute the more significant developments since publication of the disclosures concerning legal proceedings in the Company's Annual Report and Form 20-F Information 2023 (the Disclosures). Information about the nature and facts of the cases is disclosed in accordance with IAS 37.

 

As discussed in the Disclosures, the majority of claims involve highly complex issues. Often these issues are subject to substantial uncertainties and, therefore, the probability of a loss, if any, being sustained and/or an estimate of the amount of any loss is difficult to ascertain.

 

In cases that have been settled or adjudicated, or where quantifiable fines and penalties have been assessed and which are not subject to appeal, or where a loss is probable and we are able to make a reasonable estimate of the loss, AstraZeneca records the loss absorbed or makes a provision for its best estimate of the expected loss. The position could change over time and the estimates that the Company made, and upon which the Company have relied in calculating these provisions are inherently imprecise. There can, therefore, be no assurance that any losses that result from the outcome of any legal proceedings will not exceed the amount of the provisions that have been booked in the accounts. The major factors causing this uncertainty are described more fully in the Disclosures and herein.

 

AstraZeneca has full confidence in, and will vigorously defend and enforce, its IP.

 

Matters disclosed in respect of the first quarter of 2024 and to 25 April 2024

 

Patent litigation

 

Legal proceedings brought against AstraZeneca considered to be contingent liabilities

 

Forxiga

UK patent proceedings

In the UK, one of AstraZeneca's patents relating to Forxiga is being challenged by Generics (UK) Limited, Teva Pharmaceutical Industries Limited, and Glenmark Pharmaceuticals Europe Limited. Trial is scheduled for March 2025.

 

Tagrisso

US patent proceedings

In September 2021, Puma Biotechnology, Inc. (Puma) and Wyeth LLC (Wyeth) filed a patent infringement lawsuit in the US District Court for the District of Delaware (District Court) against AstraZeneca relating to Tagrisso. In March 2024, the District Court dismissed Puma. A trial, with Wyeth as the plaintiff, has been scheduled for May 2024.

 

Legal proceedings brought by AstraZeneca considered to be contingent assets

 

Calquence

US patent proceedings

In February 2022, in response to Paragraph IV notices from multiple ANDA filers, AstraZeneca filed patent infringement lawsuits in the US District Court for the District of Delaware (District Court). In its complaint, AstraZeneca alleged that a generic version of Calquence capsules, if approved and marketed, would infringe patents that are owned or licensed by AstraZeneca. Trial is scheduled for March 2025.

 

In March and April 2024, AstraZeneca entered into settlement agreements with generic manufacturers, Sandoz Inc., and Natco Pharma Limited with Natco Pharma Inc., resulting in dismissal of the corresponding Calquence capsule ANDA litigation proceedings. Additional Calquence capsule ANDA litigation proceedings with the remaining three generic manufacturers are ongoing in the District Court.

 

In April 2024, AstraZeneca received a Paragraph IV notice from an ANDA filer relating to patents listed in the FDA Orange Book with reference to Calquence tablets. AstraZeneca is considering its response.

 

Lokelma

US patent proceedings

In August 2022, in response to Paragraph IV notices, AstraZeneca initiated ANDA litigation against multiple generic filers in the US District Court for the District of Delaware (District Court). Trial is scheduled for March 2025.  

 

AstraZeneca entered into a settlement agreement with a generic manufacturer, Alkem Laboratories, which resulted in dismissal of the corresponding litigation. Additional proceedings with the remaining generic manufacturers are ongoing in the District Court.

 

Soliris

US patent proceedings

In January 2024, Alexion initiated patent infringement litigation against Samsung Bioepis Co. Ltd. (Samsung) in the US District Court for the District of Delaware alleging that Samsung's biosimilar eculizumab product, for which Samsung is currently seeking FDA approval, will infringe six Soliris-related patents. No trial date has been scheduled. Five of the six asserted patents are also the subject of inter partes review proceedings before the US Patent and Trademark Office. In February 2024, Alexion filed a motion for a preliminary injunction seeking to enjoin Samsung from launching its biosimilar eculizumab product upon FDA approval. A hearing on Alexion's preliminary injunction motion is scheduled for May 2024.

 

European patent proceedings

In March 2024, Alexion filed motions for preliminary injunctions against Amgen and Samsung at the Hamburg Local Division of the Unified Patent Court on the basis that Amgen's and Samsung's biosimilar eculizumab products infringe Alexion's eculizumab molecule patent that is expected to grant in Q2 2024. No hearing date for the preliminary injunction motions has been set.  

 

Tagrisso

Russia patent proceedings

In Russia, in August 2023, AstraZeneca filed lawsuits in the Arbitration Court of the Moscow Region (Court) against the Ministry of Health of the Russian Federation and Axelpharm LLC (Axelpharm) related to Axelpharm's improper use of AstraZeneca's information to obtain authorisation to market a generic version of Tagrisso. In December 2023, the Court dismissed the lawsuit against the Ministry of Health of the Russian Federation. In January 2024, AstraZeneca filed an appeal, and the appellate court affirmed the dismissal in March 2024. The lawsuit against Axelpharm remains pending.

 

In Russia, in November 2023, Axelpharm filed a compulsory licensing action against AstraZeneca in the Court related to a patent that covers Tagrisso. The compulsory licensing action remains pending.

 

Product liability litigation

 

Legal proceedings brought against AstraZeneca for which a provision has been taken

 

Nexium and Losec/Prilosec

US proceedings

AstraZeneca has been defending lawsuits brought in federal and state courts involving claims that plaintiffs have been diagnosed with various injuries following treatment with proton pump inhibitors (PPIs), including Nexium and Prilosec. Most of the lawsuits alleged kidney injury. In August 2017, the pending federal court cases were consolidated into a multidistrict litigation (MDL) proceeding in the US District Court for the District of New Jersey for pre-trial purposes. Cases alleging kidney injury were also filed in Delaware and New Jersey state courts.

 

In addition, AstraZeneca has been defending lawsuits involving allegations of gastric cancer following treatment with PPIs, including one such claim in the US District Court for the Middle District of Louisiana (Louisiana District Court).

 

In October 2023, AstraZeneca resolved all pending claims in the MDL, as well as all pending claims in Delaware and New Jersey state courts, for $425M, for which a provision has been taken. The only remaining case is the one pending in the Louisiana District Court, which is scheduled for trial in January 2025.

 

Canada proceedings

In Canada, in July and August 2017, AstraZeneca was served with three putative class action lawsuits. Two of the lawsuits have been dismissed, one in 2019 and one in 2021. The third lawsuit seeks authorisation to represent individual residents in Canada who allegedly suffered kidney injuries from the use of proton pump inhibitors, including Nexium and Losec.

 

Legal proceedings brought against AstraZeneca considered to be contingent liabilities

 

Onglyza and Kombiglyze

US proceedings

In the US, AstraZeneca has been defending various lawsuits in both California state court and in a consolidated federal proceeding alleging heart failure, cardiac injuries, and/or death from treatment with Onglyza or Kombiglyze. In the California state court proceeding, the trial court granted summary judgment for AstraZeneca, which the California appellate court affirmed. The California Supreme Court has declined further review, and the California matter has concluded. The consolidated federal cases were dismissed in August 2022 by the US District Court for the Eastern District of Kentucky. That dismissal was affirmed by the US Court of Appeals for the Sixth Circuit in February 2024.

 

Vaxzevria

UK proceedings

AstraZeneca is defending lawsuits in the UK involving multiple claimants alleging injuries following vaccination with AstraZeneca's COVID-19 vaccine. Most of the lawsuits involve claims of thrombosis with thrombocytopenia syndrome. No trial dates have been scheduled.

 

Commercial litigation

 

Legal proceedings brought against AstraZeneca considered to be contingent liabilities

 

340B Antitrust Litigation

US proceedings

In September 2021, AstraZeneca was served with a class-action antitrust complaint filed in the US District Court for the Western District of New York (District Court) by Mosaic Health alleging a conspiracy to restrict access to 340B discounts in the diabetes market through contract pharmacies. In September 2022, the District Court granted AstraZeneca's motion to dismiss the Complaint. In February 2024, the District Court denied Plaintiffs' request to file an amended complaint and entered an order closing the matter. In March 2024, Plaintiffs filed an appeal.

 

Definiens

Germany proceedings

In Germany, in July 2020, AstraZeneca received a notice of arbitration filed with the German Institution of Arbitration from the sellers of Definiens AG (the Sellers) regarding the 2014 Share Purchase Agreement (SPA) between AstraZeneca and the Sellers. The Sellers claim that they are owed approximately $140m in earn-outs under the SPA. In December 2023, after an arbitration hearing, the arbitration panel made a final award of $46.43m in favour of the Sellers. In March 2024, AstraZeneca filed an application with the Bavarian Supreme Court to set aside the arbitration award.

 

Legal proceedings brought by AstraZeneca considered to be contingent assets

 

PARP Inhibitor Royalty Dispute

UK proceedings

In October 2012, Tesaro, Inc. (now wholly owned by GlaxoSmithKline plc, (GSK)) entered into two worldwide, royalty-bearing patent license agreements with AstraZeneca related to GSK's product niraparib. In May 2021, AstraZeneca filed a lawsuit against GSK in the Commercial Court of England and Wales alleging that GSK had failed to pay all of the royalties due on niraparib sales under the license agreements. In April 2023, after trial, the trial court issued a decision in AstraZeneca's favour. In February 2024, Court of Appeal reversed. In March 2024, AstraZeneca filed a request for permission to appeal with the Supreme Court of the United Kingdom.

 

Government investigations/proceedings

 

Legal proceedings brought against AstraZeneca considered to be contingent liabilities

 

340B Qui Tam

US proceedings

In July 2023, AstraZeneca was served with an unsealed civil lawsuit brought by a qui tam relator on behalf of the United States, several states, and the District of Columbia in the US District Court for the Central District of California (District Court). The complaint alleges that AstraZeneca violated the US False Claims Act and state law analogues. In March 2024, the District Court granted AstraZeneca's motion to dismiss the First Amended Complaint without leave to amend. In April 2024, the relator filed an appeal.

 

Legal proceedings brought by AstraZeneca considered to be contingent assets

 

Inflation Reduction Act Litigation

US proceedings

In August 2023, AstraZeneca filed a lawsuit in the US District Court for the District of Delaware (District Court) against the US Department of Health and Human Services (HHS) challenging aspects of the drug price negotiation provisions of the Inflation Reduction Act and the implementing guidance and regulations. In March 2024, the District Court granted HHS' motions and dismissed AstraZeneca's lawsuit.

 

Arkansas 340B Litigation

US proceedings

In March 2024, AstraZeneca filed a lawsuit against the State of Arkansas alleging that the Arkansas's 340B statute is pre-empted by federal law and unconstitutional.

 

Other

 

Additional government inquiries

As is true for most, if not all, major prescription pharmaceutical companies, AstraZeneca is currently involved in multiple inquiries into drug marketing and pricing practices. In addition to the investigations described above, various law enforcement offices have, from time to time, requested information from the Group. There have been no material developments in those matters.

 

Note 7

Table 23: Q1 2024 - Product Sales year-on-year analysis[13]

 

 

World

US

Emerging Markets

Europe

Established RoW

 


$m

Act % chg

CER % chg

$m

% chg

$m

Act % chg

CER % chg

$m

Act % chg

CER % chg

$m

Act % chg

CER % chg

Oncology

4,760 

21 

24 

2,084 

22 

1,202 

24 

33 

953 

26 

23 

521 

16 

Tagrisso

1,595 

12 

15 

623 

20 

488 

10 

17 

302 

18 

15 

182 

(10)

(2)

Imfinzi

1,113 

29 

33 

582 

19 

129 

59 

83 

232 

43 

40 

170 

31 

45 

Calquence

718 

35 

35 

494 

29 

39 

n/m

n/m

153 

42 

39 

32 

44 

47 

Lynparza

705 

11 

288 

167 

23 

33 

191 

59 

(13)

(6)

Enhertu

122 

n/m

n/m

83 

n/m

n/m

26 

n/m

n/m

13 

n/m

n/m

Zoladex

276 

22 

28 

214 

28 

35 

35 

24 

(1)

Imjudo

62 

67 

70 

39 

22 

n/m

n/m

n/m

n/m

11 

n/m

n/m

Truqap

50 

n/m

n/m

50 

n/m

Orpathys

12 

48 

53 

12 

48 

53 

Others

107 

(24)

(19)

(10)

66 

(24)

(20)

(52)

(53)

30 

(16)

(7)

BioPharmaceuticals: CVRM

3,012 

19 

22 

748 

20 

1,365 

17 

24 

716 

29 

26 

183 

(2)

Farxiga

1,845 

42 

45 

473 

60 

711 

43 

50 

553 

41 

37 

108 

(4)

Brilinta

323 

(3)

(1)

163 

(9)

88 

21 

67 

(1)

(3)

(17)

(14)

Crestor

297 

(3)

10 

(32)

241 

12 

(26)

(27)

34 

11 

Seloken/Toprol-XL

165 

(8)

(2)

(96)

161 

(7)

(2)

(23)

(23)

(39)

(36)

Lokelma

114 

16 

19 

52 

(7)

21 

83 

90 

18 

60 

56 

23 

16 

29 

roxadustat

75 

24 

28 

75 

24 

28 

Andexxa

47 

20 

(3)

n/m

n/m

18 

24 

21 

(14)

(4)

Wainua

n/m

n/m

n/m

Others

141 

(33)

(31)

25 

(55)

67 

(32)

(27)

45 

(11)

(12)

BioPharmaceuticals: R&I

1,804 

14 

16 

737 

19 

588 

10 

16 

330 

13 

11 

149 

11 

Symbicort

769 

12 

14 

299 

28 

253 

11 

18 

142 

(3)

(6)

75 

(5)

(3)

Fasenra

358 

210 

22 

53 

61 

93 

33 

(6)

Pulmicort

224 

(52)

191 

20 

(3)

(7)

(4)

Breztri

219 

52 

54 

105 

30 

70 

83 

91 

30 

97 

93 

14 

43 

53 

Tezspire

43 

n/m

n/m

n/m

n/m

27 

n/m

n/m

14 

n/m

n/m

Saphnelo

91 

94 

95 

83 

89 

n/m

n/m

n/m

n/m

80 

99 

Airsupra

n/m

n/m

n/m

Others

93 

(30)

(29)

28 

(41)

49 

(30)

(27)

14 

(17)

(15)

BioPharmaceuticals: V&I

212 

(40)

(40)

27 

n/m

90 

(13)

(12)

74 

(27)

(26)

21 

(87)

(86)

Synagis

171 

(13)

(13)

(1)

76 

90 

16 

18 

61 

(25)

(27)

21 

(46)

(43)

Beyfortus

26 

n/m

n/m

26 

n/m

FluMist

n/m

n/m

n/m

59 

59 

n/m

n/m

n/m

n/m

COVID-19 mAbs

(99)

(99)

n/m

n/m

(53)

(56)

n/m

n/m

Others

(79)

(80)

n/m

n/m

(42)

(43)

Rare Disease

2,096 

12 

16 

1,207 

10 

251 

45 

73 

401 

237 

12 

21 

Ultomiris

859 

32 

34 

482 

27 

32 

n/m

n/m

202 

27 

24 

143 

46 

61 

Soliris

739 

(11)

(8)

411 

(8)

125 

37 

142 

(22)

(24)

61 

(30)

(28)

Strensiq

313 

20 

21 

246 

20 

21 

44 

67 

24 

15 

12 

22 

14 

Koselugo

132 

68 

82 

46 

13 

59 

n/m

n/m

18 

72 

69 

n/m

n/m

Kanuma

53 

30 

35 

22 

13 

14 

n/m

n/m

15 

19 

18 

(3)

Other medicines

293 

(6)

24 

(33)

206 

11 

29 

31 

30 

34 

(31)

(25)

Nexium

240 

(2)

22 

(27)

172 

10 

23 

13 

13 

11 

33 

(30)

(24)

Others

53 

(23)

(21)

(63)

34 

(31)

(29)

16 

52 

52 

(53)

(49)

Total Product Sales

12,177 

15 

18 

4,827 

19 

3,702 

18 

26 

2,503 

18 

16 

1,145 

(7)

 

 

Table 24: Alliance Revenue

 



Q1 2024

Q1 2023



$m

$m

Enhertu


339 

220 

Tezspire


77 

43 

Beyfortus


20 

Other Alliance Revenue


21 

23 

Total


457 

286 

 

Table 25: Collaboration Revenue

 



Q1 2024

Q1 2023



$m

$m

Farxiga: sales milestones


45 

24 

Other Collaboration Revenue


Total


45 

27 

 

Table 26: Other operating income and expense

 



Q1 2024

Q1 2023



$m

$m

brazikumab licence termination funding


38 

Divestment of US rights to Pulmicort Flexhaler


241 

Other


67 

100 

Total


67 

379 

 

Other shareholder information

 

Financial calendar

 

Announcement of H1 and Q2 2024 results:                                25 July 2024

Announcement of 9M and Q3 2024 results:                               12 November 2024

 

Dividends are normally paid as follows:

First interim:      announced with the half year results and paid in September

Second interim: announced with full year results and paid in March

 

Contacts

 

For details on how to contact the Investor Relations Team, please click here. For Media contacts, click here.

 

Addresses for correspondence

 


 

 

 

Registered office

Registrar and transfer office

Swedish Central Securities Depository

US depositary

Deutsche Bank Trust Company Americas

1 Francis Crick Avenue

Cambridge Biomedical Campus

Cambridge

CB2 0AA

Equiniti Limited

Aspect House

Spencer Road

Lancing

West Sussex

BN99 6DA

Euroclear Sweden AB PO Box 191

SE-101 23 Stockholm

American Stock Transfer

6201 15th Avenue

Brooklyn

NY 11219

 

United Kingdom

United Kingdom

Sweden

United States





+44 (0) 20 3749 5000

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+1 (888) 697 8018


+44 (0) 121 415 7033


+1 (718) 921 8137




db@astfinancial.com

 

 

Trademarks

 

Trademarks of the AstraZeneca group of companies appear throughout this document in italics. Medical publications also appear throughout the document in italics. AstraZeneca, the AstraZeneca logotype and the AstraZeneca symbol are all trademarks of the AstraZeneca group of companies. Trademarks of companies other than AstraZeneca that appear in this document include: FasT CAR owned by Gracell Biotechnology, Co., Ltd.; Plendil owned by AstraZeneca or Glenwood GmbH (depending on geography); Beyfortus, a trademark of Sanofi Pasteur Inc.; Enhertu, a trademark of Daiichi Sankyo; Seloken, owned by AstraZeneca or Taiyo Pharma Co., Ltd (depending on geography); Synagis, owned by AstraZeneca or Sobi aka Swedish Orphan Biovitrum AB (publ). (depending on geography); and Tezspire, a trademark of Amgen, Inc.

 

Information on or accessible through AstraZeneca's websites, including astrazeneca.com, does not form part of and is not incorporated into this announcement.

 

AstraZeneca

 

AstraZeneca (LSE/STO/Nasdaq: AZN) is a global, science-led biopharmaceutical company that focuses on the discovery, development, and commercialisation of prescription medicines in Oncology, Rare Disease, and BioPharmaceuticals, including Cardiovascular, Renal & Metabolism, and Respiratory & Immunology. Based in Cambridge, UK, AstraZeneca operates in over 100 countries and its innovative medicines are used by millions of patients worldwide. Please visit astrazeneca.com and follow the Company on Social Media @AstraZeneca.

 

Cautionary statements regarding forward-looking statements

 

In order, among other things, to utilise the 'safe harbour' provisions of the US Private Securities Litigation Reform Act of 1995, AstraZeneca (hereafter 'the Group') provides the following cautionary statement:

 

This document contains certain forward-looking statements with respect to the operations, performance and financial condition of the Group, including, among other things, statements about expected revenues, margins, earnings per share or other financial or other measures. Although the Group believes its expectations are based on reasonable assumptions, any forward-looking statements, by their very nature, involve risks and uncertainties and may be influenced by factors that could cause actual outcomes and results to be materially different from those predicted. The forward-looking statements reflect knowledge and information available at the date of preparation of this document and the Group undertakes no obligation to update these forward-looking statements. The Group identifies the forward-looking statements by using the words 'anticipates', 'believes', 'expects', 'intends' and similar expressions in such statements. Important factors that could cause actual results to differ materially from those contained in forward-looking statements, certain of which are beyond the Group's control, include, among other things:

 

‒    the risk of failure or delay in delivery of pipeline or launch of new medicines

‒    the risk of failure to meet regulatory or ethical requirements for medicine development or approval

‒    the risk of failures or delays in the quality or execution of the Group's commercial strategies

‒    the risk of pricing, affordability, access and competitive pressures

‒    the risk of failure to maintain supply of compliant, quality medicines

‒    the risk of illegal trade in the Group's medicines

‒    the impact of reliance on third-party goods and services

‒    the risk of failure in information technology or cybersecurity

‒    the risk of failure of critical processes

‒    the risk of failure to collect and manage data in line with legal and regulatory requirements and strategic objectives

‒    the risk of failure to attract, develop, engage and retain a diverse, talented and capable workforce

‒    the risk of failure to meet regulatory or ethical expectations on environmental impact, including climate change

‒    the risk of the safety and efficacy of marketed medicines being questioned

‒    the risk of adverse outcome of litigation and/or governmental investigations

‒    intellectual property-related risks to the Group's products

‒    the risk of failure to achieve strategic plans or meet targets or expectations

‒    the risk of failure in financial control or the occurrence of fraud

‒    the risk of unexpected deterioration in the Group's financial position

‒    the impact that global and/or geopolitical events may have or continue to have on these risks, on the Group's ability to continue to mitigate these risks, and on the Group's operations, financial results or financial condition

 

There can be no guarantees that the conditions to the closing of the proposed transaction with Fusion will be satisfied on the expected timetable or at all or that "FPI-2265" (Ac225-PSMA I&T) or any combination product will receive the necessary regulatory approvals or prove to be commercially successful if approved. There can be no guarantees that the conditions to the closing of the proposed transaction with Amolyt Pharma will be satisfied on the expected timetable or at all or that eneboparatide ("AZP-3601") will receive the necessary regulatory approvals or prove to be commercially successful if approved.

 

Glossary

 

1L, 2L, etc                   First line, second line, etc

ADC                             Antibody drug conjugate

aHUS                           Atypical haemolytic uraemic syndrome

AKT                              Protein kinase B

AL amyloidosis          Light chain amyloidosis

ANDA                          Abbreviated New Drug Application (US)

ASO                             Antisense oligonucleotide

ATTR-CM                    Transthyretin-mediated amyloid cardiomyopathy

ATTRv / -PN / -CM     Hereditary transthyretin-mediated amyloid / polyneuropathy / cardiomyopathy

BCMA                          B-cell maturation antigen

BRCA / m                    Breast cancer gene / mutation

BTC                              Biliary tract cancer

BTK                              Bruton tyrosine kinase

C5                                Complement component 5

CAR-T                          Chimeric antigen receptor T-cell

cCRT                            Concurrent chemoradiotherapy

CD19                           A gene expressed in B-cells

CER                             Constant exchange rates

CHMP                          Committee for Medicinal Products for Human Use (EU)

CI                                  Confidence interval

CKD                             Chronic kidney disease

CLL                              Chronic lymphocytic leukaemia

COPD                          Chronic obstructive pulmonary disease

COP28                        28th annual United Nations (UN) climate meeting

CRC                             Colorectal cancer

CRL                              Compete Response Letter

CRPC                          Castration-resistant prostate cancer

CSPC                          Castration-sensitive prostate cancer

CTLA-4                        Cytotoxic T-lymphocyte-associated antigen 4

CVRM                          Cardiovascular, Renal and Metabolism

DDR                             DNA damage response

DNA                             Deoxyribonucleic acid

EBITDA                       Earnings before interest, tax, depreciation and amortisation

EGFR / m                    Epidermal growth factor receptor / mutation

EGPA                           Eosinophilic granulomatosis with polyangiitis

EPS                              Earnings per share       

ERBB2                         v-erb-b2 avian erythroblastic leukaemia viral oncogene homologue 2

EVH                             Extravascular haemolysis

FDA                              Food and Drug Agency (US)

FDC                             Fixed dose combination

g                                   Germline, e.g. gBRCAm

GAAP                           Generally Accepted Accounting Principles

GEJ                              Gastro oesophageal junction

GI                                  Gastrointestinal

GLP1 / -RA                  Glucagon-like peptide-1 / receptor agonist

gMG                             Generalised myasthenia gravis

HCC                             Hepatocellular carcinoma

HER2 / +/- / low / m   Human epidermal growth factor receptor 2 / positive / negative / low level expression / mutant

HF/ pEF / rEF              Heart failure / with preserved ejection fraction / with reduced ejection fraction

hMPV                           Human metapneumovirus

HR / + / -                      Hormone receptor / positive / negative

HRD                             Homologous recombination deficiency

HRRm                          Homologous recombination repair gene mutation

i.m.                               Intramuscular injection

i.v.                                 Intravenous injection

IAS / B                          International Accounting Standards / Board

ICS                               Inhaled corticosteroid

IFRS                             International Financial Reporting Standards

IgAN                             Immunoglobulin A neuropathy

IHC                               Immunohistochemistry

IL-5, IL-33, etc            Interleukin-5, Interleukin-33, etc

IP                                  Intellectual Property

IVIg                               Intravenous immune globulin

LABA                           Long-acting beta-agonist

LAMA                           Long-acting muscarinic-agonist

LS-SCLC                    Limited stage small cell lung cancer

LRTD                           Lower respiratory tract disease

m                                  Metastatic, e.g. mBTC , mCRPC, mCSPC

mAb                             Monoclonal antibody

MDL                             Multidistrict litigation

MET                             Mesenchymal epithelial transition

NF1-PN                       Neurofibromatosis type 1 with plexiform neurofibromas

n/m                               Not meaningful

NMOSD                       Neuromyelitis optica spectrum disorder

NRDL                           National reimbursement drug list

NSCLC                        Non-small cell lung cancer

OECD                          Organisation for Economic Co-operation and Development

OOI                               Other operating income

ORR                             Overall response rate

OS                                Overall survival

PARP / i / -1sel           Poly ADP ribose polymerase / inhibitor /-1 selective

pCR                              Pathologic complete response

PCSK9                        Proprotein convertase subtilisin/kexin type 9

PD                                Progressive disease

PD-1                            Programmed cell death protein 1

PD-L1                          Programmed cell death ligand 1

PDUFA                        Prescription Drug User Fee Act

PHSSR                        Partnership for Health System Sustainability and Resilience

PFS                              Progression free survival

PIK3CA                       Phosphatidylinositol-4,5-bisphosphate 3-kinase, catalytic subunit alpha

PMDI                            Pressure metered dose inhaler

PNH / -EVH                Paroxysmal nocturnal haemoglobinuria / with extravascular haemolysis

PPI                               Proton pump inhibitors

PSR                              Platinum sensitive relapse

PTEN                           Phosphatase and tensin homologue

Q3W, Q4W, etc          Every three weeks, every four weeks, etc

R&D                             Research and development

R&I                               Respiratory & Immunology

RSV                              Respiratory syncytial virus

sBLA                            Supplemental biologics license application (US)

SCLC                           Small cell lung cancer

s.c.                                Subcutaneous injection

SEA                              Severe eosinophilic asthma

SEC                             Securities Exchange Commission (US)

SG&A                           Sales, general and administration

SGLT2                         Sodium-glucose cotransporter 2

SLL                              Small lymphocytic lymphoma

SMI                               Sustainable Markets Initiative

SPA                              Share Purchase Agreement

T2D                              Type-2 diabetes

TACE                           Transarterial chemoembolization

THP                              A treatment regimen: docetaxel, trastuzumab and pertuzumab

TNBC                           Triple negative breast cancer

TNF                              Tumour necrosis factor

TOP1                           Topoisomerase I

TROP2                         Trophoblast cell surface antigen 2

USPTO                        US Patent and Trademark Office

V&I                               Vaccines & Immune Therapies

VBP                              Volume-based procurement

VLP                              Virus like particle

 

- End of document -



[1] Constant exchange rates. The differences between Actual Change and CER Change are due to foreign exchange movements between periods in 2024 vs. 2023. CER financial measures are not accounted for according to generally accepted accounting principles (GAAP) because they remove the effects of currency movements from Reported results.

[2] Core financial measures are adjusted to exclude certain items. The differences between Reported and Core measures are primarily due to costs relating to the amortisation of intangibles, impairments, legal settlements and restructuring charges. A full reconciliation between Reported EPS and Core EPS is provided in Table 11 in the Financial performance section of this document.

[3] The calculation of Reported and Core Product Sales Gross Margin excludes the impact of Alliance Revenue and Collaboration Revenue.

[4] In Table 2, the plus and minus symbols denote the directional impact of the item being discussed, e.g. a '+' symbol next to a comment related to the R&D expense indicates that the item resulted in an increase in the R&D spend relative to the prior year.

[5] Income from disposals of assets and businesses, where the Group does not retain a significant ongoing economic interest, continue to be recorded in Other operating income and expense in the Company's financial statements.

[6] The presentation of Table 4 has been updated to show Total Revenue by medicine, by including Alliance Revenue and Collaboration Revenue within each revenue figure. Previously, this table showed Product Sales for each medicine and therapy area, and the Company's total Alliance Revenue and Collaboration Revenue were shown as separate lines at the bottom of the table.

[7] The presentation of this table has been updated by removing the "Acquisition of Alexion" column due to immateriality of items in this category

[8] Based on best prevailing assumptions around currency profiles.

[9] Based on average daily spot rates 1 Jan 2023 to 31 Dec 2023.

[10] Based on average daily spot rates 1 Jan 2024 to 31 Mar 2024.

[11] Based on average daily spot rates 1 Mar 2024 to 31 Mar 2024.

[12] Other currencies include AUD, BRL, CAD, KRW and RUB.

[13] The table provides an analysis of year-on-year Product Sales, with Actual and CER growth rates reflecting year-on-year growth. Due to rounding, the sum of a number of dollar values and percentages may not agree to totals.

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