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REG - AstraZeneca PLC - 1st Quarter Results

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RNS Number : 5152G  AstraZeneca PLC  29 April 2025

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29 April 2025

AstraZeneca results: Q1 2025

Growth momentum and pipeline delivery set AstraZeneca on a strong trajectory
towards 2030 ambition

Revenue and EPS summary

                         Q1 2025          % Change
                         $m       Actual        CER(1)
   - Product Sales       12,875   6             9
   - Alliance Revenue    639      40            42
 Product Revenue(2)      13,514   7             10
 Collaboration Revenue   74       64            64
 Total Revenue           13,588   7             10
 Reported EPS ($)        1.88     34            32
 Core(3) EPS ($)         2.49     21            21

Key performance elements for Q1 2025

(Growth numbers at constant exchange rates)

*   Total Revenue up 10% to $13,588m, driven by double-digit growth in
Oncology and BioPharmaceuticals

*   Growth in Total Revenue across all major geographic regions

*   Core Operating profit increased 12%

*   Core Tax rate of 16% in the quarter due to timing of settlements.
Expectations for the full year Core tax rate are unchanged at 18-22%

*   Core EPS increased 21% to $2.49

*   Five positive Phase III readouts and 13 approvals in major regions since
the prior results

Pascal Soriot, Chief Executive Officer, AstraZeneca, said:

"Our strong growth momentum has continued into 2025 and we have now entered an
unprecedented catalyst-rich period for our company.

Already this year we have announced five positive Phase III study readouts,
including most recently the highly anticipated DESTINY-Breast09 for Enhertu,
as well as SERENA-6 for camizestrant and MATTERHORN for Imfinzi; the latter
two of these will feature in the ASCO 2025 plenary sessions, reflecting the
significance of these data to the oncology community.

Our company is firmly committed to investing and growing in the US and we
continue to benefit from our broad-based source of revenue and global
manufacturing footprint, including eleven production sites in the US covering
small molecules, biologics as well as cell therapy. Additionally, we have even
greater US investment in manufacturing and R&D planned, leveraging our two
large R&D sites in Gaithersburg MD and Cambridge MA.

Overall, we are making excellent progress toward our ambition of eighty
billion dollars in Total Revenue by 2030."

See Table 1 for details of clinical trial results since the prior earnings
announcement, including DESTINY-Breast09, MATTERHORN, and  SERENA-6.

See Note 4 for the locations of the eleven US manufacturing sites.

Guidance

AstraZeneca reiterates its Total Revenue and Core EPS guidance(5) for FY 2025
at CER, based on the average foreign exchange rates through 2024.

Total Revenue is expected to increase by a high single-digit percentage

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

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

-  If foreign exchange rates for April 2025 to December 2025 were to remain
at the average rates seen in March 2025, it is anticipated that compared to
the performance at CER, FY 2025 Total Revenue would incur a low single-digit
percentage adverse impact (unchanged from prior guidance), and Core EPS would
incur a low single-digit percentage adverse impact (previously mid
single-digit).

Results highlights

Table 1. Milestones achieved since the prior results announcement

Phase III and other registrational data readouts

 Medicine       Trial              Indication                                                                  Event
 Enhertu        DESTINY-Gastric04  HER2-positive gastric/GEJ cancer (2nd-line)                                 Primary endpoint met
 Enhertu        DESTINY-Breast09   HER2-positive metastatic breast cancer (1st line)                           Primary endpoint met for combination arm
 Imfinzi        MATTERHORN         Resectable gastric/GEJ cancer                                               Primary endpoint met
 camizestrant   SERENA-6           HR+ HER2- metastatic breast cancer (1st line switch on emergence of ESR1m)  Primary endpoint met
 eneboparatide  CALYPSO            Chronic hypoparathyroidism                                                  Primary endpoint met, trial continues to 52 weeks

Regulatory approvals

 Medicine                Trial             Indication                                            Region
 Calquence               ACE-LY-004        Relapsed/refractory MCL                               EU
 Calquence               ChangE            CLL/SLL                                               CN
 Datroway                TROPION-Breast01  HR+ HER2- breast cancer (2nd-line)                    EU
 Enhertu                 DESTINY-Breast06  HER2-low and -ultralow HR+ breast cancer (2nd-line+)  EU
 Imfinzi                 AEGEAN            Resectable early-stage (IIA-IIIB) NSCLC               EU, CN
 Imfinzi                 NIAGARA           MIBC                                                  US
 Imfinzi ± Imjudo        ADRIATIC          SCLC (limited-stage)                                  EU, JP
 Truqap                  CAPItello-291     Biomarker-altered HR+ HER2- metastatic breast cancer  CN
 Wainzua                 NEURO-TTRansform  ATTRv-PN                                              EU
 Beyonttra (acoramidis)  NCT04622046       ATTR-CM                                               JP
 Ultomiris               CHAMPION-MG       gMG                                                   CN

Regulatory submissions or acceptances* in major regions

 Medicine          Trial             Indication                                                             Region
 Enhertu           DESTINY-Breast06  HER2-low and -ultralow HR+ breast cancer (2nd-line+)                   CN
 Imfinzi           PACIFIC-5         Locally advanced NSCLC                                                 CN
 Imfinzi + Imjudo  HIMALAYA          Unresectable HCC                                                       CN
 Imfinzi           HIMALAYA          Unresectable HCC                                                       CN
 Imfinzi           DUO-E             Primary advanced or recurrent endometrial cancer with mismatch repair  CN
                                     deficiency
 Fasenra           MANDARA           EGPA                                                                   CN
 Tezspire          WAYPOINT          CRSwNP                                                                 US, EU, JP, CN
 Koselugo          KOMET             NF1-PN (adults)                                                        US, CN

* US, EU and China regulatory submissions denotes filing acceptance

Other pipeline updates

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
(https://www.astrazeneca.com/investor-relations.html) .

Table 2: Key elements of financial performance in Q1 2025

 Item                                   Reported        Change        Core           Change
                                        $m          Act      CER      $m        Act       CER
 Product Revenue                        13,514      7        10       13,514    7         10        *   See Tables 3 and 24 for medicine details of Product Revenue, Alliance
                                                                                                    Revenue and Product Sales
 Collaboration Revenue                  74          64       64       74        64        64        *   See Table 4 for details of Collaboration Revenue
 Total Revenue                          13,588      7        10       13,588    7         10        *   See Tables 5 and 6 for Total Revenue by Therapy Area and by region

 Gross Margin (%)                       84          +1pp     -        84        +1pp      -         + Fluctuations in foreign exchange rates

                                                                                                    − Pricing adjustments, for example to sales reimbursed by the Medicare Part
                                                                                                    D programme in the US

                                                                                                    *   See 'Reporting changes' below for the definition of Gross Margin(6)

                                                                                                    *   Variations in Gross Margin can be expected between periods, due to
                                                                                                    fluctuations in foreign exchange rates, product seasonality, Colllaboration
                                                                                                    Revenue, and other effects
 R&D expense                            3,159       13       15       3,088     14        16        *   Core R&D: 23% of Total Revenue

                                                                                                    + Positive data read-outs for high value pipeline opportunities that have
                                                                                                    ungated late-stage trials

                                                                                                    + Investment in platforms, new technology and capabilities to enhance R&D
                                                                                                    capabilities
 SG&A expense                           4,492       -        3        3,457     1         4         *   Core SG&A: 25% of Total Revenue
 Other operating income and expense(7)  113         71       71       115       79        78        + Upfront receipt on a divestment
 Operating Margin (%)                   27          +2pp     +2pp     35        +1pp      -
 Net finance expense                    265         (12)     (11)     215       (12)      (11)      + Debt issued in 2024 at higher interest rates

                                                                                                    − Adjustment relating to tax settlements (see below)
 Tax rate (%)                           14          -8pp     -8pp     16        -6pp      -6pp      − Updates to estimates of prior period tax liabilities following settlements
                                                                                                    with tax authorities
 EPS ($)                                1.88        34       32       2.49      21        21

For monetary values the unit of change is percent; for Gross Margin, Operating
Margin and Tax rate the unit of change is percentage points.

In the expense commentary above, the plus and minus bullets denote the
directional impact of the item being discussed, e.g. a '+' symbol beside an
R&D expense comment indicates that the item resulted in an increase in the
R&D spend relative to the prior year.

China

In April 2025, there are following developments in relation to the China
investigations:

First, in relation to the illegal drug importation allegations, AstraZeneca
received an Appraisal Opinion from the Shenzhen City Customs Office regarding
suspected unpaid importation taxes amounting to $1.6 million. To the best of
AstraZeneca's knowledge, the importation taxes referred to in the Appraisal
Opinion relate to Enhertu. A fine of between one and five times the amount of
unpaid importation taxes may also be levied if AstraZeneca is found liable.

Second, in relation to the personal information infringement allegation,
AstraZeneca received a Notice of Transfer to the Prosecutor from the Shenzhen
Bao'an District Public Security Bureau (the 'PSB') regarding suspected
unlawful collection of personal information. The Company has been informed
that there was no illegal gain to the Company resulting from personal
information infringement.

AstraZeneca continues to fully cooperate with the Chinese authorities.

Corporate and business development

Fibrogen

In February 2025, FibroGen announced the sale of FibroGen China to
AstraZeneca.

Under the terms of the agreement, FibroGen will receive an enterprise value of
$85m plus FibroGen net cash held in China at closing, estimated at the date of
signing to be approximately $75m, totalling approximately $160m. The
transaction is expected to close by mid-2025, pending customary closing
conditions, including regulatory review in China.

Upon closing, AstraZeneca will obtain all rights to roxadustat in China,
including manufacturing in China.

EsoBiotec

In March 2025, AstraZeneca entered into a definitive agreement to acquire
EsoBiotec, a biotechnology company pioneering in vivo cell therapies that has
demonstrated promising early clinical activity. The EsoBiotec Engineered
NanoBody Lentiviral (ENaBL) platform could offer many more patients access to
transformative cell therapy treatments delivered in minutes rather than the
current process which takes weeks.

AstraZeneca will acquire all outstanding equity of EsoBiotec for a total
consideration of up to $1bn, on a cash and debt-free basis. This will include
an initial payment of $425m on deal closing, and up to $575m in contingent
consideration based on development and regulatory milestones. The transaction
is expected to close in the second quarter of 2025, subject to customary
closing conditions and regulatory clearances.

Alteogen Inc

In March 2025, AstraZeneca and Alteogen Inc. entered into an exclusive
license agreement for ALT-B4, a novel hyaluronidase utilising Hybrozyme™
platform technology. Under the terms of the agreement, AstraZeneca has
acquired worldwide rights to use ALT-B4 to develop and commercialise
subcutaneous formulations of several oncology assets. Alteogen will be
responsible for clinical and commercial supply of ALT-B4 to AstraZeneca.
AstraZeneca has made an upfront payment to Alteogen and may make additional
payments, conditional on achievement of specific development, regulatory and
sales-related milestones. Additionally, Alteogen will receive royalties on the
sales of the commercialised products.

Beijing R&D centre

In March 2025, AstraZeneca announced it will establish its sixth global
strategic R&D centre, to be located in Beijing, China. It will be
AstraZeneca's second R&D centre in China, following the opening of the
Shanghai R&D centre, and will advance early-stage research and clinical
development, enabled by a state-of-the-art artificial intelligence and data
science laboratory. The new R&D centre will be located near leading
biotech companies, research hospitals, and the National Medical Products
Administration in the Beijing International Pharmaceutical Innovation Park
(BioPark).

Harbour BioMed

In March 2025, AstraZeneca executed a global strategic collaboration with
Harbour BioMed to discover and develop next-generation multi-specific
antibodies for immunology, oncology and beyond. The strategic collaboration
includes an option to license multiple programs utilizing Harbour BioMed's
proprietary fully human antibody technology platform in multiple therapeutic
areas, together with an equity investment in Harbour BioMed, which closed in
April 2025. Upfront payments for the collaboration and equity investment total
$175m.  AstraZeneca may incur additional fees and contingent milestones for
each program it elects to license, along with tiered royalties on future net
sales.

BioKangtai

In March 2025, BioKangtai and AstraZeneca entered into a strategic partnership
to establish a joint venture that focus on researching, developing, and
producing innovative vaccines.

The joint venture will serve as AstraZeneca's first and only vaccine
production hub in China, with a registered capital of RMB 345m (approx. $50m)
and a total investment of approx. $400m (RMB 2.76bn). BioKangtai and
AstraZeneca will each hold 50% equity in the venture.

Syneron Bio

In March 2025, AstraZeneca executed a strategic collaboration with Syneron Bio
to develop potential first-in-class macrocyclic peptides for the treatment of
chronic diseases. Under this collaboration, AstraZeneca will gain access to
Syneron Bio's innovative macrocyclic peptide drug research and development
platform to support research programmes exploring possible future treatments
of chronic diseases, including rare, autoimmune, and metabolic disease.
AstraZeneca will pay an upfront payment of $55m, with option exercise fees and
contingent milestones of over $3bn if all programs are optioned, along with
tiered royalties on future net sales. AstraZeneca will also make an equity
investment in Syneron Bio.

Tempus AI and Pathos AI

In April 2025, AstraZeneca, Tempus AI, Inc. (Tempus) and Pathos AI, Inc.
(Pathos) entered into a series of agreements regarding the development of a
foundational large multimodal model in the field of oncology. The model will
be used to gather biological and clinical insights, discover novel drug
targets, and develop therapeutics. AstraZeneca will pay Tempus a fee, and a
syndicate of investors, including AstraZeneca, will contemporaneously execute
a stock purchase agreement with Pathos.

Sustainability highlights

In preparation for new reporting regulations, AstraZeneca combined its 2024
sustainability and annual reporting into one integrated publication. Details
of performance against targets can be found in the 2024 Sustainability Data
Annex.

AstraZeneca published its first Taskforce on Nature-related Financial
Disclosures
(https://www.astrazeneca.com/content/dam/az/Sustainability/2025/pdf/AstraZeneca_TNFD_Report_2024.pdf)
report, and its Sustainable use and sourcing of raw materials
(https://www.astrazeneca.com/content/dam/az/Sustainability/Sustainable-Use-and-Sourcing-of-Raw-Materials.pdf)
report.

Reporting calendar

The Company intends to publish its H1 and Q2 2025 results on 29 July 2025.

Conference call

A conference call and webcast for investors and analysts will begin today,
29 April 2025, at 11:45 UK time. Details can be accessed via
astrazeneca.com.

Reporting changes

Product Revenue

Effective 1 January 2025, the Group has updated the presentation of Total
Revenue on the face of the Statement of Comprehensive Income to include a new
subtotal 'Product Revenue' representing the summation of Product Sales and
Alliance Revenue.

Product Revenue and Collaboration Revenue form Total Revenue.

Product Sales and Alliance Revenue will continue to be presented separately,
with the new subtotal providing additional aggregation of revenue types with
similar characteristics, reflecting the growing importance of Alliance
Revenue.

Full descriptions of Product Sales, Alliance Revenue and Collaboration Revenue
are included from page 152 of the Group's Annual Report and Form 20-F
Information 2024.
(https://www.astrazeneca.com/content/dam/az/Investor_Relations/annual-report-2023/pdf/AstraZeneca_AR_2023.pdf)

Gross Margin

Effective 1 January 2025, the Group has replaced the measure of 'Product Sales
Gross Margin' with the measure of  'Gross Margin'. Previously, the measure
excluded margin related to Alliance Revenue and Collaboration Revenue. The new
measure is calculated using Gross profit as a percentage of Total Revenue,
thereby encompassing all revenue categories, and is intended to provide a more
comprehensive measure of total performance.

Notes

1.  Constant exchange rates. The differences between Actual Change and CER
Change are due to foreign exchange movements between periods in 2025 vs. 2024.
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.  Effective Jan 1 2025, the Group has updated its presentation of Total
Revenue, adding a new subtotal of Product Revenue, the sum of Product Sales
and Alliance revenue. For further details, see Note 1: 'Basis of preparation
and accounting policy' in the Notes to the Interim Financial Statements.

3.  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 9 in the Financial Performance section of this
document.

4.  The eleven manufacturing sites in the US (or territories of the US) are:

  - Bogart, GA

  - Coppell, TX

  - Frederick, MD

  - Mt Vernon, IN

  - Newark, DE

  - Philadelphia, PA

  - Puerto Rico

  - Redwood City, CA

  - Rockville, MD *

  - Santa Monica, CA

  - Tarzana, CA

* Opens in May 2025

5.  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.

6.  Effective Jan 1 2025, the Group has updated its presentation of Gross
Margin. For further details, see Note 1: 'Basis of preparation and accounting
policy' in the Notes to the Interim Financial Statements

7.  Income from disposals of assets and businesses, where the Group does not
retain a significant ongoing economic interest, is recorded in Other operating
income and expense in the Group's financial statements.

Revenue drivers

Table 3: Product Revenue by medicine

                                   Q1 2025                      % Change
                                   $m         % Total    Actual       CER
 - Tagrisso                        1,679      12         5            8
 - Imfinzi                         1,261      9          13           16
 - Calquence                       762        6          6            8
 - Lynparza                        726        5          3            5
 - Enhertu                         596        4          29           34
 - Zoladex                         293        2          3            8
 - Truqap                          132        1          >2x          >2x
 - Imjudo                          80         1          30           33
 - Datroway                        4          -          n/m          n/m
 - Other Oncology                  110        1          (8)          (4)
 Oncology                          5,643      42         10           13
 - Farxiga                         2,058      15         11           16
 - Crestor                         317        2          7            10
 - Brilinta                        305        2          (6)          (4)
 - Seloken                         161        1          (2)          3
 - Lokelma                         153        1          35           38
 - roxadustat                      79         1          2            4
 - Wainua                          39         -          >8x          >8x
 - Other CVRM                      136        1          (28)         (25)
 CVRM                              3,248      24         8            12
 - Symbicort                       723        5          (6)          (3)
 - Fasenra                         418        3          17           19
 - Breztri                         300        2          37           39
 - Tezspire                        217        2          81           85
 - Pulmicort                       158        1          (30)         (26)
 - Saphnelo                        136        1          49           51
 - Airsupra                        28         -          >4x          >4x
 - Other R&I                       104        1          6            8
 R&I                               2,084      15         11           13
 - Beyfortus                       112        1          >2x          >2x
 - Synagis                         112        1          (34)         (32)
 - FluMist                         -          -          (96)         (96)
 - Other V&I                       1          -          (93)         (93)
 V&I                               225        2          (3)          (1)
 - Ultomiris                       1,050      8          22           25
 - Soliris                         444        3          (40)         (38)
 - Strensiq                        352        3          12           14
 - Koselugo                        138        1          4            8
 - Other Rare Disease              58         -          9            15
 Rare Disease                      2,042      15         (3)          -
 - Nexium                          233        2          (4)          -
 - Others                          39         -          (28)         (26)
 Other Medicines                   272        2          (8)          (5)
 Total Medicines                   13,514     100        7            10

 Alliance Revenue included above:
 - Enhertu                         398        3          17           21
 - Tezspire                        130        1          70           70
 - Beyfortus                       82         1          >4x          >4x
 - Datroway                        4          -          n/m          n/m
 - Other Alliance Revenue          25         -          18           18
                                   639        5          40           42

Table 4: Collaboration Revenue

                            Q1 2025                   % Change
                            $m             Actual           CER
 Farxiga: sales milestones  74             64               64
 Total                      74             64               64

Table 5: Total Revenue by Therapy Area

                     Q1 2025                        % Change
                     $m         % Total  Actual           CER
 Oncology            5,643      42       10               13
   - CVRM            3,322      24       9                13
   - R&I         2,084      15       11               13
   - V&I         225        2        (3)              (1)
 Biopharmaceuticals  5,631      41       9                12
 Rare Disease        2,042      15       (3)              -
 Other Medicines     272        2        (8)              (5)
 Total               13,588     100      7                10

Table 6: Total Revenue by region

                                   Q1 2025                        % Change
                                   $m         % Total  Actual           CER
 US                                5,646      42       10               10
   - Emerging Markets ex. China    2,138      16       8                17
   - China                         1,805      13       3                5
 Emerging Markets                  3,943      29       6                12
 Europe                            2,759      20       5                9
 Established ROW                   1,239      9        4                9
 Total                             13,588     100      7                10

Total Revenue by Medicine

Oncology

Oncology Total revenue grew 10% (13% at CER) in the quarter, supported by
strong demand and new indication expansion. US sales for oral oncology
medicines were affected by the implementation of new manufacturer discounts
under Medicare Part D redesign which came into effect January 2025. This was
partly offset by patient transitions from free goods programmes to paid supply
due to improved patient affordability. This has led to an increase in the
proportion of US sales in Q1 2025 coming from Medicare Part D versus the prior
period.

Tagrisso

 Q1 2025    Total               % Change                              *   Strong demand growth across all indications and key regions with

$m

                                     encouraging uptake in Stage III unresectable (LAURA) in EGFRm NSCLC
            Revenue             Actual        CER
 US                    678      9                9                    *   Underlying demand growth offset by Medicare Part D redesign
 Emerging Markets      519      7                12                   *   Continued demand growth across key markets
 Europe                307      2                6                    *   Demand growth impacted by government clawbacks
 Established RoW       175      (4)              1                    *   Seasonal variablility in Japan ahead of fiscal year-end
 Total                 1,679    5                8

Imfinzi

 Q1 2025    Total               % Change                              *   Strong demand driven by HCC (HIMALAYA), BTC (TOPAZ-1), increased share

                                     and new launch growth in lung cancer (POSEIDON, CASPIAN, AEGEAN, ADRIATIC)
 $m         Revenue             Actual        CER
 US                    728      25               25                   *   Further uptake of early NSCLC (AEGEAN) and limited-stage SCLC (ADRIATIC)
 Emerging Markets      142      10               20                   *   Increased demand in GI, despite local competition in China
 Europe                252      8                13                   *   Growth from GI indications and early momentum from lung cancer launches
 Established RoW       139      (18)             (14)                 *   Mandatory price reductions in Japan in Feb 2024 (25%), and Aug 2024
                                                                      (11%)
 Total                 1,261    13               16

Calquence

 Q1 2025    Total              % Change                              *   Sustained BTKi leadership in front-line CLL (ELEVATE-TN)

$m

            Revenue            Actual        CER
 US                    507     3                3                    *   Market leader despite competition, accelerating 1L MCL (ECHO) launch
                                                                     momentum offset by Part D redesign
 Emerging Markets      54      37               54
 Europe                170     11               15                   *   Strong growth in front-line CLL, despite competitive environment
 Established RoW       31      (3)              2
 Total                 762     6                8

Lynparza

 Q1 2025    Total              % Change                              *   Sustained global PARP inhibitor market leadership across four tumour

$m

                                     types (ovarian, breast, prostate, pancreatic)
            Revenue            Actual        CER
 US                    312     8                8                    *   Continued leadership within competitive PARPi class impacted by Part D
                                                                     redesign
 Emerging Markets      161     (4)              -
 Europe                196     3                6                    *   Launches in breast and prostate cancers (OlympiA and PROpel)
 Established RoW       57      (3)              2
 Total                 726     3                5

Enhertu

Combined sales of Enhertu, recorded by Daiichi Sankyo and AstraZeneca,
amounted to $1,086m in Q1 2025 (Q1 2024: $879m). US in-market sales, recorded
by Daiichi Sankyo, amounted to $540m in Q1 2025 (Q1 2024: $423m).
AstraZeneca's European revenue includes a mid single-digit percentage royalty
on Daiichi Sankyo's sales in Japan, recorded as Alliance Revenue.

 Q1 2025    Total              % Change                              *   Standard of care in HER2-positive (DESTINY-Breast03) and HER2-low

$m

                                     (DESTINY-Breast04) metastatic breast cancer, early uptake in other cancers
            Revenue            Actual        CER

                                                                     *
 US                    258     28               28                   *   Encouraging launch uptake in chemotherapy naïve HER2-low and -ultralow
                                                                     breast cancer (DESTINY-Breast06)
 Emerging Markets      172     54               66                   *   Rapid adoption post-NRDL enlistment of HER2-positive and HER2-low breast
                                                                     cancer from January 1
 Europe                146     9                13
 Established RoW       19      51               61
 Total                 596     29               34

Other Oncology medicines

 Q1 2025   Total             % Change

$m

           Revenue           Actual        CER
 Zoladex             293     3                8                  *   Strong growth in China
 Truqap              132     >2x              >2x                *   Demand growth in second-line biomarker-altered, impact from Part D
                                                                 redesign and destocking in the US following inventory build of new blister
                                                                 pack in Q4 2024
 Imjudo              80      30               33                 *   Continued growth across markets
 Datroway            4       n/m              n/m                *   Encouraging early launch signals in US
 Other Oncology      110     (8)              (4)                *   Faslodex VBP implementation in March 2024 and generic erosion in Europe

BioPharmaceuticals - CVRM

Farxiga

 Q1 2025    Total               % Change                              *   Growth driven by HF and CKD indications, SGLT2 class growth supported by

$m

                                     cardiorenal guidelines
            Revenue             Actual        CER
 US                    383      (19)             (19)                 *   Authorised generic stocking in Q1 2024
 Emerging Markets      871      22               31                   *   Continued strong growth despite entry of generic competitors in some
                                                                      markets
 Europe                683      24               28                   *   Continued strong class growth and market share gains
 Established RoW       195      28               31                   *   Sales milestone of $74m from partner in Japan
 Total                 2,132    13               17

6ii

Other CVRM medicines

 Q1 2025  Total           % Change

$m

          Revenue         Actual        CER
 Crestor          317     7                10                 *   Continued sales growth driven by Emerging Markets
 Brilinta         305     (6)              (4)                *   Decline driven by generic competition in some Emerging Markets
 Seloken          161     (2)              3                  *   Growth driven by Emerging Markets
 Lokelma          153     35               38                 *   Strong growth in all major regions
 roxadustat       79      2                4                  *   Slower growth due to increased generic competition
 Wainua           39      >8x              >8x                *   Continued strong launch momentum partly offset by Part D redesign
 Other CVRM       136     (28)             (25)

BioPharmaceuticals - R&I

Symbicort

 Q1 2025    Total              % Change                              *   Global market leader in a stable ICS/LABA class, treating COPD and

$m

                                     asthma
            Revenue            Actual        CER
 US                    279     (7)              (7)                  *   Strong demand for authorised generic offset by channel mix
 Emerging Markets      232     (8)              (4)                  *   Growth in EM Ex-China; China growth affected by ICS/LABA class erosion
                                                                     in COPD in favour of triple therapy
 Europe                135     (5)              (2)                  *   Continued generic erosion
 Established RoW       77      3                10
 Total                 723     (6)              (3)

Fasenra

 Q1 2025    Total              % Change                              *   Expanded severe eosinophilic asthma market share leadership in IL-5

$m

                                     class, further fuelled by first wave market launches for EGPA indication
            Revenue            Actual        CER
 US                    249     19               19                   *   Sustained double-digit volume growth with expanded class leadership
 Emerging Markets      27      20               29                   *   Launch momentum across key markets 
 Europe                103     11               16                   *   Sustained leadership in severe eosinophilic asthma
 Established RoW       39      17               23                   *   Strong growth supported by recent EGPA launch in Japan
 Total                 418     17               19

Breztri

 Q1 2025    Total              % Change                              *   Fastest growing medicine within the expanding FDC triple class

$m

                                     (ICS/LABA/LAMA), treating COPD
            Revenue            Actual        CER
 US                    148     41               41                   *   Consistent share growth within expanding FDC triple class
 Emerging Markets      90      29               32                   *   Market share leadership in China with strong FDC triple class
                                                                     penetration
 Europe                42      38               43                   *   Sustained growth from market share gain and new launches
 Established RoW       20      39               47                   *   Increasing market share in Japan
 Total                 300     37               39

Tezspire

Combined sales of Tezspire, recorded by Amgen and AstraZeneca, amounted to
$371m in Q1 2025 (Q1 2024: $216m).

 Q1 2025    Total              % Change                              *   Sustained demand growth in severe asthma with launch momentum across

$m

                                     multiple markets
            Revenue            Actual        CER
 US                    130     70               70                   *   Continued strong demand growth with majority of patients new to
                                                                     biologics
 Emerging Markets      7       >3x              >3x                  *   Strong continued launch uptake
 Europe                57      >2x              >2x                  *   Maintained new-to-brand leadership across multiple markets and new
                                                                     launches
 Established RoW       23      62               73                   *   Strong growth driven by Japan
 Total                 217     81               85

Other R&I medicines

 Q1 2025  Total            % Change

$m

          Revenue          Actual        CER
 Pulmicort         158     (30)             (26)               *   EM >80% of revenue. Continued weak China flu season and generic
                                                               restock
 Saphnelo          136     49               51                 *   Strong US demand growth, ongoing launches in Europe and Established RoW
 Airsupra          28      >4x              >4x                *   Strong US launch momentum and volume uptake
 Other R&I         104     6                8                  *   Favourable phasing of third party supply in the quarter

Biopharmaceuticals - V&I

Beyfortus Total Revenue reflects the sum of Product Sales from AstraZeneca's
sales of manufactured Beyfortus product to Sanofi and Alliance Revenue from
AstraZeneca's share of gross profits on sales of Beyfortus in major markets
outside the US.

 Q1 2025  Total            % Change

$m

          Revenue          Actual        CER
 Beyfortus         112     >2x              >2x                *   Increased capacity and strong demand
 Synagis           112     (34)             (32)               *   Competition from Beyfortus
 FluMist           -       n/m              n/m                *   Normal seasonality
 Other V&I         1       n/m              n/m

Rare Disease

Ultomiris

Ultomiris Total Revenue includes sales of Voydeya, which is approved as an add
on treatment to Ultomiris and Soliris for the ~20-30% of PNH patients who
experience clinically significant EVH.

 Q1 2025    Total               % Change                              *   Growth due to patient demand and conversion from Soliris in all

$m

                                     indications
            Revenue             Actual        CER
(gMG , NMOSD, aHUS and PNH)
 US                    604      25               25                   *   Demand growth, offset by gMG and PNH competition and a smaller impact
                                                                      from Medicare Part D reform in neurology indications
 Emerging Markets      52       65               77                   *   Expansion into new markets and growth in patient demand
 Europe                228      13               17                   *   Strong demand growth following recent launches; competition in gMG
 Established RoW       166      16               22                   *   Continued conversion and strong demand following new launches
 Total                 1,050    22               25

Soliris

 Q1 2025    Total              % Change                              *   Decline driven by conversion of patients to Ultomiris in all indications

$m

                                     (gMG, NMOSD, aHUS, PNH) and regions, competition, and biosimilar pressure in
            Revenue            Actual        CER                     Europe
 US                    288     (30)             (30)                 *   Competition in gMG and PNH
 Emerging Markets      65      (48)             (42)                 *   Unfavourable order timing in tender markets
 Europe                56      (60)             (59)                 *   Biosimilar competition in PNH and aHUS
 Established RoW       35      (43)             (39)
 Total                 444     (40)             (38)

Strensiq

 Q1 2025    Total              % Change                              *   Growth driven by continued HPP patient demand and geographic expansion

$m

            Revenue            Actual        CER
 US                    266     8                8                    *   Demand growth partially offset by Medicare Part D redesign
 Emerging Markets      34      59               71
 Europe                26      9                13
 Established RoW       26      21               26
 Total                 352     12               14

Other Rare Disease medicines

 Q1 2025     Total               % Change                            *   Growth driven by continued patient demand and geographic expansion

$m

             Revenue             Actual        CER
 Koselugo                138     4                8                  *   Demand growth, unfavourable order timing in Emerging Markets
 Other Rare Disease      58      9                15

Other Medicines

 Q1 2025  Total           % Change

$m

          Revenue         Actual        CER
 Nexium           233     (4)              -                  *   Growth in Emerging Markets, generic erosion elsewhere
 Others           39      (28)             (26)               *   Generic erosion

R&D progress

This section covers R&D events and milestones that have occurred since the
prior results announcement on 6 February 2025, up to and including events on
28 April 2025. 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 two major medical congresses since the prior results
announcement: the European Lung Cancer Congress 2025 and the American
Association for Cancer Research Annual Meeting 2025. Across the two meetings,
more than 100 abstracts were presented featuring 10 approved and potential new
medicines including 14 oral presentations.

Calquence

 CHMP opinion  ACE-LY-004       *   As monotherapy for relapsed or refractory mantle cell lymphoma.

 Europe        February 2025

               New disclosure
 Approval      ChangE           *   As monotherapy for the treatment of chronic lymphocytic leukaemia/small

                lymphocytic lymphoma.
 China         March 2025

               New disclosure
 CHMP opinion  AMPLIFY          *   In combination with venetoclax with or without obinutuzumab is indicated

                for the treatment of adult patients with previously untreated chronic
 Europe        April 2025       lymphocytic leukaemia.

               New disclosure

Enhertu

 Phase III readout  DESTINY-Gastric04  *   Positive high-level results demonstrated that Enhertu resulted in a

                  statistically significant and clinically meaningful improvement in the primary
                    March 2025         endpoint of OS compared to ramucirumab and paclitaxel in patients with

                  2nd-line HER2 positive (IHC 3+ or IHC 2+/ISH+) unresectable and/or metastatic
                    New disclosure     gastric or gastroesophageal junction adenocarcinoma.
 Approval           DESTINY-Breast06   *   As monotherapy for unresectable or metastatic HR-positive, HER2-low or

                  HER2-ultralow breast cancer in patients who have received at least one
 Europe             April 2025         endocrine therapy in the metastatic setting and who are not considered
                                       suitable for endocrine therapy as the next line of treatment.
 Phase III readout  DESTINY-Breast09   *   Positive high-level results from a planned interim analysis of the

                  DESTINY-Breast09 Phase III trial showed Enhertu in combination with pertuzumab
                    April 2025         demonstrated a highly statistically significant and clinically meaningful
                                       improvement in PFS compared to taxane, trastuzumab and pertuzumab as a
                                       1st-line treatment for patients with HER2-positive metastatic breast cancer.
                                       The second arm, which compares Enhertu monotherapy versus THP, remains blinded
                                       to patients and investigators and will continue to the final PFS analysis.

Imfinzi

 Phase III readout  MATTERHORN       *   Perioperative Imfinzi in combination with standard-of-care FLOT

                chemotherapy demonstrated a statistically significant and clinically
                    March 2025       meaningful improvement in the primary endpoint of event-free survival EFS. A
                                     strong trend was observed in favour of the Imfinzi-based regimen at this
                                     interim analysis. The trial will continue to follow OS, which will be formally
                                     assessed at the final analysis.
 Approval           AEGEAN           *   Imfinzi in combination with platinum-containing chemotherapy as

                neoadjuvant treatment, followed by Imfinzi continued as a single agent as
 China              March 2025       adjuvant treatment after surgery for the treatment of resectable (tumours ≥4

                cm and/or node positive) NSCLC and no known EGFR mutations or ALK
                    New disclosure   rearrangements.
 Approval           ADRIATIC         *   As monotherapy for the treatment of adults with limited-stage SCLC whose

                disease has not progressed following platinum-based chemoradiation therapy.
 Europe             March 2025
 Approval           NIAGARA          *   Imfinzi in combination with gemcitabine and cisplatin as neoadjuvant

                treatment, followed by Imfinzi as adjuvant monotherapy after
 US                 March 2025       radical cystectomy for muscle-invasive bladder cancer.
 Approval           AEGEAN           *   Imfinzi in combination with chemotherapy for the treatment of

                resectable NSCLC at high risk of recurrence and no EGFR mutations or ALK
 Europe             April 2025       rearrangements. In this regimen, patients are treated with Imfinzi in
                                     combination with neoadjuvant chemotherapy before surgery and as adjuvant
                                     monotherapy after surgery.

Truqap

 Approval                CAPItello-291    *   In combination with fulvestrant for the treatment of HR-positive,

                HER2-negative, locally advanced or metastatic breast cancer with one or more
 China                   April 2025       PIK3CA/AKT1/PTEN-alteration following progression on at least one

                endocrine-based regimen in the metastatic setting or recurrence on or within
                         New disclosure   12 months of completing adjuvant therapy.
 Phase III trial update  CAPItello-280    *   AstraZeneca is discontinuing the CAPItello-280 Phase III trial

                evaluating the efficacy and safety of Truqap in combination with docetaxel and
                         April 2025       androgen-deprivation therapy compared to docetaxel and ADT with placebo in

                patients with metastatic castration-resistant prostate cancer. This decision
                         New disclosure   is based on the recommendation of the Independent Data Monitoring Committee
                                          following their review of data from a pre-specified interim analysis, which
                                          concluded that the Truqap combination was unlikely to meet the dual primary
                                          endpoints of radiographic PFS and OS versus the comparator arm upon trial
                                          completion. The safety profile for Truqap was consistent with previous trials.
                                          The Company will work with investigators to ensure the necessary follow up
                                          with patients. Data from the trial will inform ongoing research.

camizestrant

 Phase III readout  SERENA-6        *   Positive high-level results from a planned interim analysis of the

               SERENA-6 Phase III trial showed that camizestrant in combination with a CDK4/6
                    February 2025   inhibitor demonstrated a highly statistically significant and clinically
                                    meaningful improvement in the primary endpoint of PFS. The trial evaluated
                                    switching to the camizestrant combination versus continuing standard-of-care
                                    treatment with akin aromatase inhibitor in combination with a CDK4/6 inhibitor
                                    in the 1st-line treatment of patients with HR-positive, HER2-negative advanced
                                    breast cancer whose tumours have an emergent ESR1 mutation.

BioPharmaceuticals - CVRM

AZD0780

 Phase II presentation  PURSUIT      *   At 12 weeks, AZD0780 30mg taken once-daily (when added to the

            standard-of-care statin therapy and administered without any fasting or food
 ACC                    March 2025   restrictions) led to a 50.7% reduction in LDL-C. Similar efficacy was observed
                                     regardless of whether trial participants received moderate- or high-intensity
                                     statin doses at baseline.

Wainzua

 Approval  NEURO-TTRansform  *   For the treatment of hereditary transthyretin-mediated amyloidosis in

                 adult patients with stage 1 or stage 2 polyneuropathy, commonly referred to as
 EU        March 2025        hATTR-PN or ATTRv-PN.

BioPharmaceuticals - R&I

Tezspire

 Phase III presentation  WAYPOINT     *   Treatment with Tezspire significantly reduced nasal polyp severity

            measured by the co-primary endpoints; Nasal Polyp Score by -2.065 (95% CI:
 AAAAI                   March 2025   -2.389, -1.742; p<0.0001) and nasal congestion (measured by
                                      participant-reported Nasal Congestion Score)

by -1.028 (95% CI: -1.201, -0.855; p<0.0001) at week 52 compared to
                                      placebo. Tezspire significantly reduced the need for subsequent nasal polyp
                                      surgery by 98% (p<0.0001) and the need for systemic corticosteroid
                                      treatment by 88% (p<0.0001) compared to placebo.

Rare Disease

Ultomiris

 Phase III readout  ALXN1210-TMA-314  *   High-level results from the ALXN1210-TM-314 Phase III, single-arm, open

                 label trial evaluating Ultomiris in paediatric patients with severe HSCT-TMA
                    April 2025        demonstrated clinically meaningful improvements in the individual components

                 of TMA response (platelets, LDH and urinary protein/creatinine ratio) at 26
                    New disclosure    weeks. Additionally, results showed a clinically meaningful improvement in the
                                      secondary endpoint of overall survival at six months. Further analyses
                                      anticipated in H2 2025 to assess the statistical significance of the
                                      single-arm trial, and separately, the high-level results from the randomised,
                                      double-blind, placebo-controlled, Phase III trial in adults and adolescents.
                                      Safety profile was consistent with that observed in other approved
                                      indications.
 Approval           CHAMPION-MG       *   For adult patients with anti-acetylcholine receptor antibody-positive

                 gMG
 CN                 April 2025

                    New disclosure

Koselugo

 Priority Review  SPRINKLE         *   For paediatric patients aged between one and seven years with NF1 who

                have symptomatic, inoperable PN.
 US               February 2025

                  New disclosure

Soliris

 Approval  NCT03759366      *   For paediatric patients six years of age and older with

                anti-acetylcholine receptor antibody-positive gMG.
 US        March 2025

           New disclosure

Beyonttra (acoramidis)

 Approval  NCT04622046      *   For adults with ATTR-CM.

 JP        March 2025

           New disclosure

eneboparatide

 Phase III readout  CALYPSO      *   eneboparatide (AZP-3601), an investigational parathyroid hormone

            receptor 1 agonist, met its primary composite endpoint in adults with chronic
                    March 2025   hypoparathyroidism at 24 weeks. eneboparatide demonstrated a statistically

            significant benefit by normalising albumin-adjuskted serum calcium levels and
                                 achieving independence from active vitamin D and oral calcium therapy compared
                                 to placebo. The trial will continue to 52 weeks to fully characterise the
                                 risk-benefit profile.

Sustainability

In preparation for new new reporting regulations, AstraZeneca combined its
2024 sustainability and annual reporting into one integrated publication. The
2024 Annual Report detailed progress across the Company's sustainability
priorities and key topics, including those identified in its double
materiality assessment. Details of performance against targets can be found in
the 2024 Sustainability Data Annex.

In 2024, the Company achieved a 77.5% reduction in its Scope 1 and 2
greenhouse gas emissions (sites and fleet), a 23% reduction in its water use
and a 13% reduction in waste vs. the 2015 baseline. 63% of its fleet now
comprises battery electric vehicles. As at year end, we had also reached more
than 90 million people through our flagship access programmes and trained a
cumulative total of over 156,000 people since 2015.

Access to Healthcare

On health equity:

-  AstraZeneca engaged on health equity at the World Economic Forum (WEF)
Annual Meeting, including at a roundtable chaired by AstraZeneca Chair Michel
Demaré which convened leaders from governments, NGOs and the private sector
to discuss embedding health equity in healthcare design and delivery.

-  AstraZeneca held an in-person Global Health Equity Advisory Board meeting,
convening 14 experts from 11 countries across all income groups to provide
insights and input on the Company's health equity strategy.

-  The Company collaborated with 10 markets (Brazil, Canada, China, Japan,
Italy, Kenya, UAE, Egypt, US and Vietnam) to localise its health equity
priorities on science, healthcare delivery and community engagement.

-  AstraZeneca marked the 10-year anniversary of its flagship health equity
programme Healthy Heart Africa (HHA) at the 4th Global NCD Alliance Forum
(https://forum.ncdalliance.org/) in Kigali, Rwanda.

-  The Young Health Programme (YHP), the Company's partnership which empowers
young people to call for the prevention of climate-related health challenges,
was recognised in a UNICEF publication
(https://www.unicef.org/media/167076/file/Building-blocks-for-lifelong-health-prioritize-children-2025.pdf)
and was featured in The Times.

On health systems resilience:

-  The Partnership for Health System Sustainability & Resilience (PHSSR)
was featured during the 'Health beyond Healthcare'
(https://www.phssr.org/davos-2025) panel discussion at the WEF Annual Meeting,
with Michel Demaré speaking on the need for policy action to improve
prevention and early detection of non-communicable diseases (NCDs).

-  PHSSR has launched a new collaboration with IQVIA to conduct research with
academic centers across eight countries. This initiative aims to identify
policies needed to enhance healthcare systems for more effective prevention,
early detection, and treatment of chronic diseases.

Environmental protection

-  In the UK, AstraZeneca and Future Biogas announced the launch of UK's
first unsubsidised biomethane plant dedicated to fuelling the life sciences
sector. Located in Lincolnshire, the plant will provide clean heat for
AstraZeneca UK sites.

-  AstraZeneca published its first Taskforce on Nature-related Financial
Disclosures
(https://www.astrazeneca.com/content/dam/az/Sustainability/2025/pdf/AstraZeneca_TNFD_Report_2024.pdf)
report (TNFD) following its 2024 commitment to become an early adopter of the
TNFD, its Sustainable use and sourcing of raw materials
(https://www.astrazeneca.com/content/dam/az/Sustainability/Sustainable-Use-and-Sourcing-of-Raw-Materials.pdf)
report.

-  The Company contributed to the World Business Council for Sustainable
Development (WBCSD)'s recently published Roadmap to Nature Positive:
Foundations for the pharmaceutical sector, which aims to support the
industry's efforts to understand nature-related impacts and dependencies and
identify key actions for nature-positive outcomes.

-  The Sustainable Markets Initiative (SMI) Health Systems Task Force
announced an expansion of the China renewable power purchase agreement (PPA)
launched in 2024 to collectively procure renewable power. AstraZeneca, Takeda
and GSK expanded the initiative to enable suppliers in China to unlock access
to renewables and decarbonise the value chain.

-  Through the SMI, CEO Pascal Soriot signed an open letter calling on the
clinical research community to help tackle the climate crisis by measuring
carbon emissions for all Phase II and III clinical trials.

-  CEO Pascal Soriot engaged with HM King Charles III, other private
sector CEOs and global leaders at Hampton Court Palace on the economic case
for the transition to a sustainable future and gave a keynote address on
transitioning to sustainable health systems.

-  The Company achieved top 50 ranking in the FT Europe's Climate Leader
listing of 600 companies and is the top pharma company ranking for the fourth
consecutive year, with an overall score of 77.7/100.

Ethics and transparency

-  For the ninth year, AstraZeneca was included on the CDP Corporate A List
for Climate, a gold standard in corporate environmental transparency, and
achieved an A- for Water, in recognition of the Company's ongoing work to
tackle the climate crisis and protect the environment.

-  The Company achieved fifth place overall, and second in the Health Care
sector, in the FTSE Women Leaders Review 2024, as one of the top performers in
both the FTSE 100 and FTSE 350 for representation of women across the
organisation.

Operating and financial review

Reporting currency

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.

Reporting period

The performance shown in this announcement covers the three-month period to 31
March 2025 ('the quarter' or 'Q1 2025') compared to the three-month period to
31 March 2024 ('Q1 2024'), unless stated otherwise.

Core financial measures

Core financial measures, EBITDA, Net debt, 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 (cont.)

Core financial measures are adjusted to exclude certain significant items:

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

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

-  Other specified items, principally comprising acquisition-related costs
and credits, which include 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, remeasurement adjustments
relating to certain Other payables and debt items assumed from the Alexion
acquisition and legal settlements

-  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 70 of
the Annual Report and Form 20-F Information 2024
(https://www.astrazeneca.com/investor-relations/annual-reports/annual-report-2024.html)
.

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

Definitions

Gross Margin is defined as Gross Profit as a percentage of Total Revenue.

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 2 '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.

Financial performance

Table 7: Reported Profit and Loss

                                       Q1 2025    Q1 2024              % Change
                                       $m         $m        Actual           CER
   - Product Sales                     12,875     12,177    6                9
   - Alliance Revenue                  639        457       40               42
 - Product Revenue                     13,514     12,634    7                10
 - Collaboration Revenue               74         45        64               64
 Total Revenue                         13,588     12,679    7                10
 Cost of sales                         (2,241)    (2,218)   1                12
 Gross profit                          11,347     10,461    8                10
 Distribution expense                  (135)      (135)     -                4
 R&D expense                           (3,159)    (2,783)   13               15
 SG&A expense                          (4,492)    (4,495)   -                3
 Other operating income & expense      113        67        71               71
 Operating profit                      3,674      3,115     18               17
 Net finance expense                   (265)      (302)     (12)             (11)
 Joint ventures and associates         (7)        (13)      (50)             (48)
 Profit before tax                     3,402      2,800     21               20
 Taxation                              (481)      (620)     (23)             (23)
 Tax rate                              14%        22%
 Profit after tax                      2,921      2,180     34               33
 Earnings per share                    $1.88      $1.41     34               32

Table 8: Reconciliation of Reported Profit before tax to EBITDA

                                            Q1 2025    Q1 2024             % Change
                                            $m         $m       Actual           CER
 Reported Profit before tax                 3,402      2,800    21               20
 Net finance expense                        265        302      (12)             (11)
 Joint ventures and associates              7          13       (50)             (48)
 Depreciation, amortisation and impairment  1,284      1,255    2                3
 EBITDA                                     4,958      4,370    13               13

Table 9: Reconciliation of Reported to Core financial measures: Q1 2025

                                       Reported  Restructuring  Intangible Asset Amortisation & Impairments      Other    Core      % Change
                                       $m        $m             $m                                               $m       $m        Actual    CER
 Gross profit                          11,347    8              8                                                2        11,365    8         10
  - Gross Margin                       84%                                                                                84%       +1pp      -
 Distribution expense                  (135)     3              -                                                -        (132)     (2)       2
 R&D expense                           (3,159)   60             10                                               1        (3,088)   14        16
 - R&D % of Total Revenue              23%                                                                                23%       -1pp      -1pp
 SG&A expense                          (4,492)   50             957                                              28       (3,457)   1         4
 - SG&A % of Total Revenue             33%                                                                                25%       +1pp      +2pp
 Total operating expense               (7,786)   113            967                                              29       (6,677)   7         9
 Other operating income & expense      113       1              -                                                1        115       79        78
 Operating profit                      3,674     122            975                                              32       4,803     11        12
 - Operating Margin                    27%                                                                                35%       +1pp      -
 Net finance expense                   (265)     -              -                                                50       (215)     (12)      (11)
 Taxation                              (481)     (28)           (187)                                            (18)     (714)     (18)      (18)
 EPS                                   $1.88     $0.06          $0.51                                            $0.04    $2.49     21        21

Profit and Loss drivers

Gross profit

The change in Gross Margin (Reported and Core) in Q1 2025 was impacted by:

-  Positive effects from fluctuations in foreign exchange rates. Currency
impacts may have a positive or negative impact in future quarters

-  Positive effects from changing product mix. The rising contribution of
Product Sales with profit sharing arrangements (Lynparza, Enhertu, Tezspire,
Koselugo) has a negative impact on Gross Margin because AstraZeneca records
Product Sales in certain markets and pays away a share of the gross profits to
its collaboration partners. The profit share paid to partners is recorded in
AstraZeneca's Cost of sales line

-  Pricing adjustments, for example to sales reimbursed by the Medicare Part
D programme in the US, diluted the gross margin in the first quarter. Some of
these adjustments resulted in higher volumes, partially offsetting the overall
impact on profits

Variations in 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:

-  Positive data read-outs for high value pipeline opportunities that have
ungated late-stage trials

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

-  Addition of R&D projects following completion of previously announced
business development activity

SG&A expense

-  The change in SG&A expense (Reported and Core) in the period was
driven primarily by market development activities for launches and to support
continued growth in existing brands

Other operating income and expense

Other operating income in Q1 2025 consisted primarily of royalties and an
upfront fee on a divestment.

Net finance expense

Core Net finance expense decreased 12% (11% at CER) mainly driven by an
adjustment of interest on tax, due to a reduction of tax liabilities relating
to prior periods (see below).

Taxation

The effective Reported tax rate for the three months to 31 March 2025 was 14%
(Q1 2024: 22%) and the effective Core Tax rate was 16% (Q1 2024: 21%).

The Q1 2025 tax rate benefited from a reduction of tax liabilities arising
from updates to estimates of prior period tax liabilities following
settlements with tax authorities.

The cash tax paid for the quarter ended 31 March 2025 was $363m (Q1 2024:
$430m), representing 11% of Reported Profit before tax (Q1 2024: 15%).

Cash Flow

Table 10: Cash Flow summary

                                                                         Q1 2025    Q1 2024    Change

$m
                                                                         $m         $m
 Reported Operating profit                                               3,674      3,115      559
 Depreciation, amortisation and impairment                               1,284      1,255      29
 Movement in working capital and short-term provisions                   (426)      (455)      29
 Gains on disposal of intangible assets                                  (66)       -          (66)
 Fair value movements on contingent consideration arising from business  1          16         (15)
 combinations
 Non-cash and other movements                                            31         (674)      705
 Interest paid                                                           (422)      (341)      (81)
 Taxation paid                                                           (363)      (430)      67
 Net cash inflow from operating activities                               3,713      2,486      1,227
 Net cash inflow before financing activities                             2,460      73         2,387
 Net cash (outflow)/inflow from financing activities                     (2,707)    2,028      (4,735)

Net cash flow

The change in Net cash inflow before financing activities of $2,387m is
primarily driven by the reduction in cash outflow relating to the Acquisitions
of subsidiaries, net of cash acquired of $726m, which in 2024 related to the
acquisition of Gracell Biotechnologies Inc., and the reduction in cash outflow
relating to Purchase of intangible assets which included an outflow of $639m
relating to the acquisition of Icosavax in 2024.

The change in Net cash (outflow)/inflow from financing activities of $4,735m
is primarily driven by the issue of new long-term loans of $4,976m in 2024,
with no issuance in 2025.

Capital expenditure

Capital expenditure on tangible assets and Software-related intangible assets
amounted to $493m in Q1 2025 (Q1 2024: $474m). The increase of capital
expenditure in 2025 was driven by investment in several major manufacturing
projects and continued investment in technology upgrades.

Net debt

Net debt increased by $1,497m in the three months to 31 March 2025 to
$26,067m. 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 2.

Net debt

Table 11: Net debt summary

                                                     At 31 Mar    At 31 Dec    At 31 Mar

2025
2024
2024

                                                     $m           $m           $m
 Cash and cash equivalents                           5,230        5,488        7,841
 Other investments                                   165          166          180
 Cash and investments                                5,395        5,654        8,021
 Overdrafts and short-term borrowings                (445)        (330)        (477)
 Commercial paper                                    (948)        -            (980)
 Lease liabilities                                   (1,551)      (1,452)      (1,242)
 Current instalments of loans                        (2,010)      (2,007)      (4,593)
 Non-current instalments of loans                    (26,692)     (26,506)     (27,259)
 Interest-bearing loans and borrowings (Gross debt)  (31,646)     (30,295)     (34,551)
 Net derivatives                                     184          71           81
 Net Debt                                            (26,067)     (24,570)     (26,449)

Summarised financial information for guarantee of securities of subsidiaries

AstraZeneca Finance LLC ("AstraZeneca Finance") is the issuer of 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 USD Notes"). Each series of AstraZeneca Finance USD 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 USD 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 USD 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 USD Notes are structurally
subordinated to indebtedness and other liabilities of the subsidiaries of
AstraZeneca PLC, none of which guarantee the AstraZeneca Finance USD 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 as filed with the SEC and information contained
herein for further financial information regarding AstraZeneca PLC and its
consolidated subsidiaries. For further details, terms and conditions of the
AstraZeneca Finance USD 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.

Obligor group summarised statements

Table 12: Obligor group summarised Statement of comprehensive income

                                                                                      Q1 2025    Q1 2024

                                                                                      $m         $m
 Total Revenue                                                                        -          -
 Gross                                                                                -          -
 profit
 Operating loss                                                                       -          -
 Loss for the period                                                                  (302)      (234)
 Transactions with subsidiaries that are not issuers or guarantors                    5,807      588

Table 13: Obligor group summarised Statement of financial position

                                                                   At 31 Mar 2025    At 31 Mar 2024

                                                                   $m                $m
 Current assets                                                    68                12
 Non-current assets                                                -                 -
 Current liabilities                                               (3,201)           (5,778)
 Non-current liabilities                                           (26,748)          (27,161)
 Amounts due from subsidiaries that are not issuers or guarantors  20,922            21,242
 Amounts due to subsidiaries that are not issuers or guarantors    -                 -

Capital allocation

The Group'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.

In FY 2025, the Company intends to increase the annual dividend per share
declared to $3.20 per share. 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.

In FY 2024, capital expenditure on tangible assets and Software-related
intangible assets amounted to $2,218m. In FY 2025 the Group expects to
increase expenditure on tangible assets and Software-related intangible assets
by approximately 50%, driven by manufacturing expansion projects and
investments in systems and technology.

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.

In addition, the Company's external dividend payments, paid principally in
pound sterling and Swedish krona, are fully hedged from the time of their
announcement to the payment date.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.

Table 14: Currency sensitivities

 Currency  Primary Relevance  Exchange rate vs USD (average rate in period)               Annual impact of 5% weakening vs USD(1) ($m)
                              FY          YTD         Change      Mar         Change      Total                    Core Operating Profit

20242
20253
            20254

Revenue
                                                       (%)                     (%)
 EUR       Total Revenue      0.92        0.95        (3)         0.93        (0)         (461)                    (232)
 CNY       Total Revenue      7.21        7.29        (1)         7.26        (1)         (313)                    (171)
 JPY       Total Revenue      151.46      152.59      (1)         149.11      2           (179)                    (121)
 GBP       Operating expense  0.78        0.79        (2)         0.78        1           (68)                     124
 SEK       Operating expense  10.57       10.69       (1)         10.16       4           (9)                      69
 Other                                                                                    (557)                    (289)

1.   Assumes the average exchange rate vs USD in FY 2025 is 5% lower than
the average rate in FY 2024. The impact data are estimates, based on best
prevailing assumptions around currency profiles.

2.   Based on average daily spot rates 1 Jan 2024 to 31 Dec 2024.

3.   Based on average daily spot rates 1 Jan 2025 to 31 Mar 2025.

4.   Based on average daily spot rates 1 Mar 2025 to 31 Mar 2025.

 Interim financial statements

Table 15: Condensed consolidated statement of comprehensive income

                                                                                Q1 2025    Q1 2024

                                                                                $m         $m
 - Product Sales                                                                12,875     12,177
 - Alliance Revenue                                                             639        457
 Product Revenue                                                                13,514     12,634
 Collaboration Revenue                                                          74         45
 Total Revenue                                                                  13,588     12,679
 Cost of sales                                                                  (2,241)    (2,218)
 Gross profit                                                                   11,347     10,461
 Distribution expense                                                           (135)      (135)
 Research and development expense                                               (3,159)    (2,783)
 Selling, general and administrative expense                                    (4,492)    (4,495)
 Other operating income and expense                                             113        67
 Operating profit                                                               3,674      3,115
 Finance income                                                                 84         111
 Finance expense                                                                (349)      (413)
 Share of after tax losses in associates and joint ventures                     (7)        (13)
 Profit before tax                                                              3,402      2,800
 Taxation                                                                       (481)      (620)
 Profit for the period                                                          2,921      2,180

 Other comprehensive income
 Items that will not be reclassified to profit or loss:
 Remeasurement of the defined benefit pension liability                         51         144
 Net (losses)/gains on equity investments measured at fair value through other  (58)       35
 comprehensive income
 Tax on items that will not be reclassified to profit or loss                   (17)       (39)
                                                                                (24)       140
 Items that may be reclassified subsequently to profit or loss:
 Foreign exchange arising on consolidation                                      1,152      (515)
 Foreign exchange arising on designated liabilities in net investment hedges    53         (98)
 Fair value movements on cash flow hedges                                       72         (86)
 Fair value movements on cash flow hedges transferred to profit and loss        (102)      70
 Fair value movements on derivatives designated in net investment hedges        (10)       22
 Costs of hedging                                                               (8)        15
 Tax on items that may be reclassified subsequently to profit or loss           (30)       35
                                                                                1,127      (557)
 Other comprehensive income/(expense), net of tax                               1,103      (417)

 Total comprehensive income for the period                                      4,024      1,763

 Profit attributable to:
 Owners of the Parent                                                           2,916      2,179
 Non-controlling interests                                                      5          1
                                                                                2,921      2,180

 Total comprehensive income attributable to:
 Owners of the Parent                                                           4,017      1,762
 Non-controlling interests                                                      7          1
                                                                                4,024      1,763

 Earnings per share
 Basic earnings per $0.25 Ordinary Share                                        $1.88      $1.41
 Diluted earnings per $0.25 Ordinary Share                                      $1.87      $1.40
 Weighted average number of Ordinary Shares in issue (millions)                 1,550      1,549
 Diluted weighted average number of Ordinary Shares in issue (millions)         1,561      1,560

Table 16: Condensed consolidated statement of financial position

                                                                    At 31 Mar    At 31 Dec    At 31 Mar

2025
2024
2024

                                                                    $m           $m           $m
 Assets
 Non-current assets
 Property, plant and equipment                                      10,819       10,252       9,411
 Right-of-use assets                                                1,484        1,395        1,205
 Goodwill                                                           21,130       21,025       19,978
 Intangible assets                                                  37,550       37,177       38,834
 Investments in associates and joint ventures                       270          268          130
 Other investments                                                  1,630        1,632        1,565
 Derivative financial instruments                                   210          182          213
 Other receivables                                                  926          930          745
 Deferred tax assets                                                6,095        5,347        4,618
                                                                    80,114       78,208       76,699
 Current assets
 Inventories                                                        5,884        5,288        5,337
 Trade and other receivables                                        13,250       12,972       11,072
 Other investments                                                  165          166          180
 Derivative financial instruments                                   45           54           11
 Income tax receivable                                              1,565        1,859        1,153
 Cash and cash equivalents                                          5,230        5,488        7,841
                                                                    26,139       25,827       25,594

 Total assets                                                       106,253      104,035      102,293

 Liabilities
 Current liabilities
 Interest-bearing loans and borrowings                              (3,403)      (2,337)      (6,050)
 Lease liabilities                                                  (355)        (339)        (281)
 Trade and other payables                                           (22,544)     (22,465)     (19,699)
 Derivative financial instruments                                   (22)         (50)         (92)
 Provisions                                                         (1,149)      (1,269)      (1,148)
 Income tax payable                                                 (1,656)      (1,406)      (1,631)
                                                                    (29,129)     (27,866)     (28,901)
 Non-current liabilities
 Interest-bearing loans and borrowings                              (26,692)     (26,506)     (27,259)
 Lease liabilities                                                  (1,196)      (1,113)      (961)
 Derivative financial instruments                                   (49)         (115)        (51)
 Deferred tax liabilities                                           (3,553)      (3,305)      (2,621)
 Retirement benefit obligations                                     (1,279)      (1,330)      (1,280)
 Provisions                                                         (922)        (921)        (1,123)
 Income tax payable                                                 (264)        (238)        -
 Other payables                                                     (2,038)      (1,770)      (2,596)
                                                                    (35,993)     (35,298)     (35,891)

 Total liabilities                                                  (65,122)     (63,164)     (64,792)

 Net assets                                                         41,131       40,871       37,501

 Equity
 Share capital                                                      388          388          388
 Share premium account                                              35,233       35,226       35,194
 Other reserves                                                     2,054        2,012        2,075
 Retained earnings                                                  3,364        3,160        (212)
 Capital and reserves attributable to equity holders of the Parent  41,039       40,786       37,445
 Non-controlling interests                                          92           85           56
 Total equity                                                       41,131       40,871       37,501

Table 17: 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 2024                                       388            35,188                 2,065           1,502              39,143                                      23                         39,166
 Profit for the period                               -              -                      -               2,179              2,179                                       1                          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                            -              6                      -               -                  6                                           -                          6
 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                                        -              6                      10              (1,714)            (1,698)                                     33                         (1,665)
 At 31 Mar 2024                                      388            35,194                 2,075           (212)              37,445                                      56                         37,501

 At 1 Jan 2025                                       388            35,226                 2,012           3,160              40,786                                      85                         40,871
 Profit for the period                               -              -                      -               2,916              2,916                                       5                          2,921
 Other comprehensive income                          -              -                      (42)            1,143              1,101                                       2                          1,103
 Transfer to other reserves                          -              -                      58              (58)               -                                           -                          -
 Transactions with owners
 Dividends                                           -              -                      -               (3,249)            (3,249)                                     -                          (3,249)
 Issue of Ordinary Shares                            -              7                      -               -                  7                                           -                          7
 Movement in shares held by Employee Benefit Trusts  -              -                      26              -                  26                                          -                          26
 Share-based payments charge for the period          -              -                      -               174                174                                         -                          174
 Settlement of share plan awards                     -              -                      -               (722)              (722)                                       -                          (722)
 Net movement                                        -              7                      42              204                253                                         7                          260
 At 31 Mar 2025                                      388            35,233                 2,054           3,364              41,039                                      92                         41,131

Transfer to other reserves includes $70m in respect of the opening balance on
the Cash flow hedge reserve. The cash flow hedge reserve was previously
disclosed within Retained earnings but from 2025 is disclosed within Other
reserves.

 

Table 18: Condensed consolidated statement of cash flows

                                                                         Q1 2025    Q1 2024

                                                                         $m         $m
 Cash flows from operating activities
 Profit before tax                                                       3,402      2,800
 Finance income and expense                                              265        302
 Share of after tax losses of associates and joint ventures              7          13
 Depreciation, amortisation and impairment                               1,284      1,255
 Movement in working capital and short-term provisions                   (426)      (455)
 Gains on disposal of intangible assets                                  (66)       -
 Fair value movements on contingent consideration arising from business  1          16
 combinations
 Non-cash and other movements                                            31         (674)
 Cash generated from operations                                          4,498      3,257
 Interest paid                                                           (422)      (341)
 Tax paid                                                                (363)      (430)
 Net cash inflow from operating activities                               3,713      2,486

 Cash flows from investing activities
 Acquisition of subsidiaries, net of cash acquired                       -          (726)
 Payment of contingent consideration from business combinations          (362)      (222)
 Purchase of property, plant and equipment                               (429)      (417)
 Disposal of property, plant and equipment                               1          53
 Purchase of intangible assets                                           (540)      (1,188)
 Disposal of intangible assets                                           9          75
 Purchase of non-current asset investments                               -          (41)
 Disposal of non-current asset investments                               -          9
 Movement in short-term investments, fixed deposits and other investing  1          (57)
 instruments
 Disposal of investments in associates and joint ventures                -          8
 Interest received                                                       67         93
 Net cash outflow from investing activities                              (1,253)    (2,413)
 Net cash inflow before financing activities                             2,460      73

 Cash flows from financing activities
 Proceeds from issue of share capital                                    8          6
 Own shares purchased by Employee Benefit Trust                          (486)      -
 Issue of loans and borrowings                                           -          4,976
 Repayment of loans and borrowings                                       (4)        (7)
 Dividends paid                                                          (3,347)    (3,033)
 Hedge contracts relating to dividend payments                           104        (8)
 Repayment of obligations under leases                                   (81)       (74)
 Movement in short-term borrowings                                       1,099      1,001
 Payment of Acerta Pharma share purchase liability                       -          (833)
 Net cash (outflow)/inflow from financing activities                     (2,707)    2,028

 Net (decrease)/increase in Cash and cash equivalents in the period      (247)      2,101
 Cash and cash equivalents at the beginning of the period                5,429      5,637
 Exchange rate effects                                                   25         (46)
 Cash and cash equivalents at the end of the period                      5,207      7,692

 Cash and cash equivalents consist of:
 Cash and cash equivalents                                               5,230      7,841
 Overdrafts                                                              (23)       (149)
                                                                         5,207      7,692

Notes to the Interim financial statements

Note 1: Basis of preparation and accounting policies

These unaudited Interim financial statements for the three months ended 31
March 2025 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 2025 were approved by the Board of Directors for publication on
29 April 2025.

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
2024 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 2024.

The comparative figures for the financial year ended 31 December 2024 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.

Product Revenue

 Effective 1 January 2025, the Group has updated the presentation of Total
Revenue on the face of the Statement of Comprehensive Income to include a new
subtotal 'Product Revenue' representing the summation of Product Sales and
Alliance Revenue .

Product Revenue and Collaboration Revenue form Total Revenue.

Product Sales and Alliance Revenue will continue to be presented separately,
with the new subtotal providing additional aggregation of revenue types with
similar characteristics, reflecting the growing importance of Alliance
Revenue.

Full descriptions of Product Sales, Alliance Revenue and Collaboration Revenue
are included from page 152 of the Group's Annual Report and Form 20-F
Information 2024.
(https://www.astrazeneca.com/content/dam/az/Investor_Relations/annual-report-2023/pdf/AstraZeneca_AR_2023.pdf)

There are no changes to the Revenue accounting policy regarding the types of
transactions recorded in each revenue category. The comparative period has
been retrospectively adjusted to reflect the additional subtotal, resulting in
total Product Revenue being reported for the quarter ending 31 March 2024 of
$12,634m.

Going concern

The Group has considerable financial resources available. As at 31 March 2025,
the Group has $10.1bn in financial resources (cash and cash equivalent
balances of $5.2bn and undrawn committed bank facilities of $4.9bn that are
available until April 2030), with $3.8bn of borrowings due within one year.
These facilities contain no financial covenants.

The Group has assessed the prospects of the Group over a period longer than
the required 12 months from the date of Board approval of these consolidated
financial statements, with no deterioration noted requiring a further
extension of this review. 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 4 updates the disclosures concerning legal
proceedings and contingent liabilities in the Group's Annual Report and Form
20-F Information 2024
(https://www.astrazeneca.com/content/dam/az/Investor_Relations/annual-report-2023/pdf/AstraZeneca_AR_2023.pdf)
.
(https://www.astrazeneca.com/content/dam/az/Investor_Relations/annual-report-2023/pdf/AstraZeneca_AR_2023.pdf)

Note 2: Net debt

Table 19: Net debt

                                                     At 1 Jan    Cash flow    Non-cash        Exchange        At 31 Mar

2025

2025
                                                                               and other       movements
                                                     $m          $m           $m              $m              $m
 Non-current instalments of loans                    (26,506)    -            19              (205)           (26,692)
 Non-current instalments of leases                   (1,113)     -            (64)            (19)            (1,196)
 Total long-term debt                                (27,619)    -            (45)            (224)           (27,888)
 Current instalments of loans                        (2,007)     4            (7)             -               (2,010)
 Current instalments of leases                       (339)       97           (104)           (9)             (355)
 Commercial paper                                    -           (948)        -               -               (948)
 Collateral received from derivative counterparties  (181)       (171)        -               -               (352)
 Other short-term borrowings excluding overdrafts    (90)        20           -               -               (70)
 Overdrafts                                          (59)        36           -               -               (23)
 Total current debt                                  (2,676)     (962)        (111)           (9)             (3,758)
 Gross borrowings                                    (30,295)    (962)        (156)           (233)           (31,646)
 Net derivative financial instruments                71          (104)        217             -               184
 Net borrowings                                      (30,224)    (1,066)      61              (233)           (31,462)
 Cash and cash equivalents                           5,488       (283)        -               25              5,230
 Other investments - current                         166         (1)          -               -               165
 Cash and investments                                5,654       (284)        -               25              5,395
 Net debt                                            (24,570)    (1,350)      61              (208)           (26,067)

The table above 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 2024
(https://www.astrazeneca.com/investor-relations/annual-reports/annual-report-2024.html)
. Net debt is a non-GAAP financial measure.

Net debt increased by $1,497m in the three months to 31 March 2025 to
$26,067m.

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'.

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 2025 was $352m (31 December 2024: $181m) and the
carrying value of such cash collateral posted by the Group at 31 March 2025
was $102m (31 December 2024: $129m).

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.

During the quarter ended 31 March 2025, Moody's upgraded the Group's solicited
long term credit rating to A1 from A2. The short term rating remained at P-1.
There were no changes to Standard and Poor's credit ratings (long term: A+;
short term: A-1).

Note 3: 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 $361m (31 December 2024: $353m) and
for which a fair value gain/loss of $nil has been recognised in the three
months ended 31 March 2025 (Q1 2024: fair value loss 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 2025, are Level 1 fair value measurements,
valued based on quoted prices in active markets.

Financial instruments measured at fair value include $1,693m of other
investments, $3,969m held in money-market funds and $184m of derivatives as at
31 March 2025. With the exception of derivatives being Level 2 fair valued,
and certain equity instruments of $361m categorised as Level 3, the
aforementioned balances are Level 1 fair valued. Financial instruments
measured at amortised cost include $102m of cash collateral pledged to
counterparties. The total fair value of Interest-bearing loans and borrowings
as at 31 March 2025, which have a carrying value of $31,646m in the Condensed
consolidated statement of financial position, was $30,853m.

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 $1,058m (31 December 2024: $1,309m) would
increase/decrease by $106m with an increase/decrease in sales of 10%, as
compared with the current estimates.

Table 20: Contingent consideration

                                          2025                                   2024
                                          Diabetes alliance    Other    Total    Total

                                          $m                   $m       $m       $m
 At 1 January                             1,309                442      1,751    2,137
 Additions through business combinations  -                    -        -        54
 Settlements                              (261)                (101)    (362)    (222)
 Revaluations                             -                    1        1        16
 Discount unwind                          10                   9        19       28
 At 31 March                              1,058                351      1,409    2,013

Note 4: 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 AstraZeneca's Annual Report
and Form 20-F Information 2024 (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 Group made, and upon which the Group 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 2025 and to 29 April 2025

Table 21: Patent litigation

Legal proceedings brought against AstraZeneca

 Forxiga Patent Proceedings, UK            *   In the UK, one of AstraZeneca's patents relating to Forxiga is being

                                         challenged by Generics (UK) Limited, Teva Pharmaceutical Industries Limited,
 Considered to be a contingent liability   and Glenmark Pharmaceuticals Europe Limited.

                                           *   In March 2025, AstraZeneca applied for an interim injunction against
                                           Glenmark's proposed at-risk sale of its dapaglifozin product in the UK.
                                           AstraZeneca's request for injunction was denied at first instance. AstraZeneca
                                           prevailed in its appeal, and the interim injunction was granted.

                                           *   In April 2025, after trial in March 2025, the first instance court held
                                           AstraZeneca's patent invalid for lack of plausibility. AstraZeneca intends to
                                           seek permission to appeal to the UK Court of Appeal.

Legal proceedings brought by AstraZeneca

 Lokelma Patent Proceedings, US        *   In August 2022, in response to Paragraph IV notices, AstraZeneca

                                     initiated ANDA litigation against five generic filers in the US District Court
 Considered to be a contingent asset   for the District of Delaware (District Court). AstraZeneca alleged that a
                                       generic version of Lokelma would infringe patents that are owned or licensed
                                       by AstraZeneca.

                                       *   As previously disclosed, AstraZeneca has entered into separate
                                       settlement agreements with four generic manufacturers which resulted in
                                       dismissal of the corresponding litigations.

                                       *   AstraZeneca has reached a settlement in principle with the last generic
                                       manufacturer.
 Soliris Patent Proceedings, Canada    *   In May 2023, AstraZeneca initiated patent litigation in Canada alleging

                                     that Amgen Pharmaceuticals, Inc.'s (Amgen) biosimilar eculizumab product will
 Considered to be a contingent asset   infringe AstraZeneca's patents.

                                       *   In September 2023, AstraZeneca initiated patent litigations in Canada
                                       alleging that Samsung Bioepis Co. Ltd.'s (Samsung) biosimilar eculizumab
                                       product will infringe AstraZeneca's patents. The filing of the litigation
                                       triggered an automatic 24-month stay of the approval of each defendant's
                                       biosimilar eculizumab product.

                                       *   Trial against Amgen occurred in January 2025. No decision has been
                                       issued.

                                       *   Trial against Samsung is scheduled to begin in June 2025.

                                       *   In July and August 2023, in Canada, both Amgen and Samsung brought
                                       actions challenging the validity of AstraZeneca's patent relating to the use
                                       of eculizumab in treating aHUS. Trial is scheduled for November 2025.
 Soliris Patent Proceedings, UK        *   In May 2024, Alexion initiated patent infringement proceedings against

                                     Amgen Ltd and Samsung Bioepis UK Ltd (Samsung UK) in the UK High Court of
 Considered to be a contingent asset   Justice alleging that their respective biosimilar eculizumab products infringe
                                       an Alexion patent; on the same day, Samsung UK initiated a revocation action
                                       for the same patent.

                                       *   Trial was held in March 2025. The parties are awaiting a decision.

Table 22: Commercial litigation

Legal proceedings brought against AstraZeneca

 Definiens, Germany                          *   In Germany, in July 2020, AstraZeneca received a notice of arbitration

                                           filed with the German Institution of Arbitration from the sellers of Definiens
 Considered to be a contingent liability     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.

                                             *   In April 2025, the Bavarian Supreme Court ruled in favour of AstraZeneca
                                             and annulled the arbitration award.

                                             *   The Bavarian Supreme Court referred the dispute back to the same
                                             arbitration panel for a second determination.
 Seroquel XR Antitrust Litigation, US        *   In 2019, AstraZeneca was named in several related complaints now

                                           proceeding in US District Court in Delaware (District Court), including
 Considered to be a contingent liability     several putative class action lawsuits that were purportedly brought on behalf
                                             of classes of direct purchasers or end payors of Seroquel XR, that allege
                                             AstraZeneca and generic drug manufacturers violated US antitrust laws when
                                             settling patent litigation related to Seroquel XR.

                                             *   In July 2022, the District Court dismissed claims relating to one of the
                                             generic manufacturers while allowing claims relating to the second generic
                                             manufacturer to proceed.

                                             *   In September 2024, AstraZeneca reached a settlement agreement with one
                                             of the plaintiff classes which the court has approved.

                                             *   The Court denied summary judgment and set trial with the remaining
                                             plaintiffs to begin in May 2025.
 Soliris Antitrust Class Action, US          *   In April 2025, AstraZeneca was named in a lawsuit filed in the US

                                           District Court for the District of Massachusetts alleging antitrust claims on
 Considered to be a contingent liability     behalf of a potential class of end payors for Soliris from March 2022.

                                             *   The plaintiff alleges that AstraZeneca violated federal and state
                                             antitrust and business practices laws by obtaining improper patents for
                                             Soliris, delaying biosimilar entry and improperly extending Soliris' market
                                             exclusivity.
 Viela Bio, Inc. Shareholder Litigation, US  *   In February 2023, AstraZeneca was served with a lawsuit filed in the

                                           Delaware state court against AstraZeneca and certain officers (collectively,
 Matter concluded                            Defendants), on behalf of a putative class of Viela Bio, Inc. (Viela)
                                             shareholders. The complaint alleged that the Defendants breached their
                                             fiduciary duty to Viela shareholders in the course of Viela's 2021 merger with
                                             Horizon Therapeutics, plc.

                                             *   In July 2024, the Court granted with prejudice AstraZeneca's motion to
                                             dismiss.

                                             *   In August 2024, plaintiffs appealed the dismissal.

                                             *   In March 2025, the Delaware Supreme Court affirmed the dismissal.

                                             *   This matter is now concluded.

Table 23: Government investigations and proceedings

Legal proceedings brought against AstraZeneca

 Beyfortus Civil Investigative Demand, US  *   In March 2025, AstraZeneca received a subpoena from the US Attorney's

                                         Office seeking certain records relating to Beyfortus. The subpoena requests
 Considered to be a contingent liability   that the Company produce various documents from January 2020 to present,
                                           including communications related to specific batches of Beyfortus, customer
                                           complaints, and FDA inspection reports.
 Shenzhen City Customs Office              *   In relation to the illegal drug importation allegations, in April 2025,

                                         AstraZeneca received a second Appraisal Opinion from the Shenzhen City Customs
 Considered to be a contingent liability   Office regarding suspected unpaid importation taxes amounting to $1.6m.

                                           *   To the best of AstraZeneca's knowledge, the importation taxes referred
                                           to in the Appraisal Opinion relate to Enhertu.

                                           *   A fine of between one and five times the amount of unpaid importation
                                           taxes may also be levied if AstraZeneca is found liable.
 China Personal Information Infringement   *   In relation to the personal information infringement allegation, in

                                         April 2025, AstraZeneca received a Notice of Transfer to the Prosecutor from
 Considered to be a contingent liability   the Shenzhen Bao'an District Public Security Bureau (the PSB) regarding
                                           suspected unlawful collection of personal information.

                                           *   The Company has been informed that there was no illegal gain to the
                                           Company resulting from personal information infringement.

Legal proceedings brought by AstraZeneca

 340B State Litigation, US             *   AstraZeneca has filed lawsuits against Arkansas, Kansas, Louisiana,

                                     Maryland, Minnesota, Mississippi, Missouri, and West Virginia challenging the
 Considered to be a contingent asset   constitutionality of each state's 340B statute.

                                       *   In the Arkansas matter, trial is scheduled for September 2025 and the
                                       state has moved to dismiss AstraZeneca's complaint. In the Arkansas
                                       administrative proceeding, the commissioner issued a cease-and-desist order in
                                       April 2025 requiring AstraZeneca to pause its 340B policy in Arkansas.

                                       *   In Kansas, after obtaining a stipulation from the state that
                                       AstraZeneca's policy does not violate the Kansas 340B statute, AstraZeneca
                                       agreed to dismiss its complaint.

                                       *   In Louisiana, the court granted the state's motion for summary
                                       judgment. AstraZeneca has filed an appeal.

                                       *   In Maryland, the state has moved to dismiss AstraZeneca's complaint and
                                       the court has denied AstraZeneca's preliminary injunction motion.

                                       *   In Minnesota, the court found that the defendant government officials do
                                       not have authority to enforce the law and accordingly dismissed AstraZeneca's
                                       complaint for lack of standing.

                                       *   In Missouri, the court granted in part and denied in part the state's
                                       motion to dismiss.

                                       *   In Mississippi, the court denied AstraZeneca's preliminary injunction
                                       motion.

                                       *   In West Virginia, the matter is stayed pending an appeal of a related
                                       West Virginia litigation.

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 5: Analysis of Revenue and Other operating income and expense

Table 24: Q1 2025: Product Sales year-on-year analysis

                       World                       US                Emerging Markets           Europe                     Established RoW
                                 Change                     Change            Change                     Change                     Change
                       $m        Act %    CER %    $m       Act %    $m       Act %    CER %    $m       Act %    CER %    $m       Act %    CER %
 - Tagrisso            1,679     5        8        678      9        519      7        12       307      2        6        175      (4)      1
 - Imfinzi             1,261     13       16       728      25       142      10       20       252      8        13       139      (18)     (14)
 - Calquence           762       6        8        507      3        54       37       54       170      11       15       31       (3)      2
 - Lynparza            726       3        5        312      8        161      (4)      -        196      3        6        57       (3)      2
 - Enhertu             198       63       71       -        n/m      136      64       72       43       67       72       19       51       61
 - Zoladex             283       3        7        5        53       223      5        10       34       (5)      (2)      21       (12)     (7)
 - Truqap              132       n/m      n/m      111      n/m      2        n/m      n/m      14       n/m      n/m      5        n/m      n/m
 - Imjudo              80        30       33       53       37       5        24       52       11       46       53       11       (3)      1
 - Other Oncology      110       (8)      (4)      3        (48)     76       (4)      -        5        (4)      -        26       (12)     (8)
 Oncology              5,231     10       13       2,397    15       1,318    10       16       1,032    8        12       484      (7)      (2)
 - Farxiga             2,057     11       16       383      (19)     871      22       31       683      24       28       120      11       15
 - Crestor             316       7        10       12       20       272      13       17       -        n/m      n/m      32       (7)      (3)
 - Brilinta            305       (6)      (4)      173      6        74       (16)     (13)     55       (17)     (14)     3        (34)     (30)
 - Seloken             161       (2)      3        -        n/m      155      (4)      2        5        70       70       1        (12)     (7)
 - Lokelma             153       35       38       69       33       30       47       54       26       40       44       28       22       28
 - roxadustat          78        3        4        -        -        78       3        4        -        -        -        -        -        -
 - Wainua              39        n/m      n/m      39       n/m      -        -        -        -        -        -        -        -        -
 Other CVRM            136       (28)     (25)     11       (76)     72       6        9        38       (39)     (37)     15       31       37
 CVRM                  3,245     8        12       687      (8)      1,552    14       20       807      13       17       199      9        13
 - Symbicort           723       (6)      (3)      279      (7)      232      (8)      (4)      135      (5)      (2)      77       3        10
 - Fasenra             418       17       19       249      19       27       20       29       103      11       16       39       17       23
 - Breztri             300       37       39       148      41       90       29       32       42       38       43       20       39       47
 - Tezspire            87        n/m      n/m      -        -        7        n/m      n/m      57       n/m      n/m      23       62       73
 - Pulmicort           158       (30)     (26)     2        (56)     127      (34)     (30)     19       (2)      2        10       14       21
 - Saphnelo            136       49       51       120      45       3        n/m      n/m      9        n/m      n/m      4        51       67
 - Airsupra            28        n/m      n/m      28       n/m      -        -        -        -        -        -        -        -        -
 - Other R&I           97        4        6        39       37       43       (12)     (10)     13       (7)      (3)      2        1        8
 R&I                   1,947     8        11       865      17       529      (10)     (6)      378      14       19       175      17       24
 - Beyfortus           30        15       16       28       9        -        -        -        -        n/m      n/m      2        n/m      n/m
 - Synagis             112       (34)     (32)     (1)      3        83       (8)      (3)      25       (59)     (58)     5        (74)     (74)
 - FluMist             -         n/m      n/m      -        n/m      -        -        -        -        n/m      n/m      -        -        -
 - Other V&I           1         (93)     (93)     -        -        -        -        -        1        (93)     (93)     -        -        -
 V&I                   143       (32)     (30)     27       2        83       (8)      (3)      26       (65)     (64)     7        (67)     (67)
 - Ultomiris           1,050     22       25       604      25       52       65       77       228      13       17       166      16       22
 - Soliris             444       (40)     (38)     288      (30)     65       (48)     (42)     56       (60)     (59)     35       (43)     (39)
 - Strensiq            352       12       14       266      8        34       59       71       26       9        13       26       21       26
 - Koselugo            138       4        8        53       16       40       (32)     (27)     34       82       90       11       23       29
 - Other Rare Disease  58        9        15       26       19       14       3        21       16       4        8        2        (15)     (10)
 Rare Disease          2,042     (3)      -        1,237    3        205      (18)     (10)     360      (10)     (7)      240      1        6
 - Nexium              228       (5)      (1)      19       (10)     176      3        7        11       (22)     (15)     22       (34)     (30)
 - Other               39        (26)     (24)     -        n/m      30       (12)     (11)     8        (46)     (43)     1        12       20
 Other Medicines       267       (9)      (5)      19       (20)     206      -        4        19       (35)     (30)     23       (32)     (29)
 Total Medicines       12,875    6        9        5,232    8        3,893    5        11       2,622    5        9        1,128    (1)      3

The table provides an analysis of year-on-year Product Sales, with Actual and
CER growth rates reflecting year-on-year growth.

Table 25: Alliance Revenue

                         Q1 2025    Q1 2024

                         $m         $m
 Enhertu                 398        339
 Tezspire                130        77
 Beyfortus               82         20
 Datroway                4          -
 Other Alliance Revenue  25         21
 Total                   639        457

Table 26: Collaboration Revenue

                            Q1 2025    Q1 2024

                            $m         $m
 Farxiga: sales milestones  74         45
 Total                      74         45

Table 27: Other operating income and expense

        Q1 2025    Q1 2024

        $m         $m
 Total  113        67

Other shareholder information

Financial calendar

Announcement of H1 and Q2 2025
results:                          29 July 2025

Announcement of 9M and Q3 2025 results:               6 November
2025

Dividend payment dates

Dividends are normally paid as follows:

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

-  Second interim:        Announced with the full year results and
paid in March

The ex-dividend dates shown below are for ordinary shares listed on the London
Stock Exchange (LSE).

Proposed dividend dates

                         Announced    Ex-dividend date  Record date  Payment date

(LSE)

 FY 2025 First interim*  29 Jul 2025  7 Aug 2025        8 Aug 2025   8 Sep 2025

*Provisional dates, subject to Board approval.

For the ex-dividend dates of ordinary shares listed on the Stockholm Stock
Exchange, and for American Depositary Receipts listed on NASDAQ, please check
with the relevant exchange.

Contact details

For Investor Relations contacts, click here
(https://www.astrazeneca.com/investor-relations.html#Contacts) . For Media
contacts, click here (https://www.astrazeneca.com/media-centre/contacts.html)
.

Addresses for correspondence

 Registered office             Registrar and         Swedish Central Securities Depository  US depositary

transfer office

 1 Francis Crick Avenue        Equiniti Limited      Euroclear Sweden AB                    J.P. Morgan Chase Bank N.A.

EQ Shareowner Services
 Cambridge Biomedical Campus   Aspect House          PO Box 191

                                      P.O. Box 64504
 Cambridge                     Spencer Road          SE-101 23 Stockholm

                                                            St. Paul
 CB2 0AA                       Lancing

                                                            MN 55164-0504
                               West Sussex

                               BN99 6DA
 UK                            UK                    Sweden                                 US
 +44 (0) 20 3749 5000          0800 389 1580         +46 (0) 8 402 9000                     +1 (888) 697 8018 (US only)
                               +44 (0) 121 415 7033                                         +1 (651) 453 2128

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:
Beyfortus, a trademark of Sanofi Pasteur Inc.; Enhertu and Datroway,
trademarks 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 (https://www.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 (https://www.astrazeneca.com/) and follow the
Company on Social Media @AstraZeneca
(https://www.linkedin.com/company/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 and artificial intelligence
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 our sustainability targets, regulatory
requirements and stakeholder expectations with respect to the environment;

-  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 risks related to the Group's products;

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

-  the risk of geopolitical and/or macroeconomic volatility disrupting the
operation of our global business;

-  the risk of failure in internal control, financial reporting or the
occurrence of fraud;

-  the risk of unexpected deterioration in the Group's financial position;

-  the risk of foreign exchange rate movements impacting our financial
condition or results of operations; and

-  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.

Glossary

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

AAAAI                              American
Academy of Allergy, Asthma, and Immunology

ACC                                  American
College of Cardiology

aHUS                               Atypical
haemolytic uraemic syndrome

AKT
Serine/threonine protein kinase

ALK
Anaplastic lymphoma kinase gene

ASCO                               American
Society of Clinical Oncology

ATTR / -CM / -PN            Transthyretin-mediated amyloid /
cardiomyopathy / polyneuropathy

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

BTC                                  Biliary
tract cancer

BTKi                                 Bruton
tyrosine kinase inhibitor

CDK4
Cyclin-dependent kinase 4

CER                                  Constant
exchange rates

CHMP                              Committee for
Medicinal Products for Human Use (EU)

CI
Confidence interval

CLL
Chronic lymphocytic leukaemia

CN                                    China

CRSwNP                          Chronic
rhinosinusitis with nasal polyps

CVRM                              Cardiovascular,
Renal and Metabolism

EBITDA                            Earnings before
interest, tax, depreciation and amortisation

EFS                                  Event
free survival

EGFR / m                        Epidermal growth factor
receptor gene / mutation

EGPA                               Eosinophilic
granulomatosis with polyangiitis

EM
Emerging Markets

EPS                                  Earnings
per share

ESR1 / m                         Oestrogen Receptor 1
gene / mutation

EVH
Extravascular haemolysis

FDC                                  Fixed
dose combination

FLOT                                A treatment
regimen: fluorouracil, oxaliplatin and docetaxel

GAAP                               Generally
Accepted Accounting Principles

GEJ                                  Gastro
oesophageal junction

GI
Gastrointestinal

gMG                                Generalised
myasthenia gravis

GU
Genito-urinary

HCC
Hepatocellular carcinoma

HER2 / +/- /low /m        Human epidermal growth factor receptor 2 /
positive / negative / low expression / gene mutation

HR / + / -                         Hormone receptor /
positive / negative

HSCT-TMA                       Hematopoietic stem cell
transplantation-associated thrombotic microangiopathy

ICS
Inhaled corticosteroid

IHC
Immunohistochemistry

IL-5
Interleukin-5

ISH                                   In
situ hybridisation

JP
Japan

LABA                                Long-acting
beta-agonist

LDH                                  Lactic
dehydrogenase

LDL-C                               Low-density
lipoprotein cholesterol

MCL                                 Mantle
cell lymphoma

MIBC
Muscle-invasive bladder cancer

n/m                                 Growth
rate not meaningful

NF1-PN                            Neurofibromatosis
type 1 with plexiform neurofibromas

NRDL                               National
reimbursement drug list

NSCLC                              Non-small cell
lung cancer

OS
Overall survival

PARP                                Poly ADP
ribose polymerase

pCR
Pathologic complete response

PFS
Progression free survival

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

PNH                                 Paroxysmal
nocturnal haemoglobinuria

PTEN                                Phosphatase
and tensin homologue gene

R&D
Research and development

ROW                                Rest of
world

SCLC                                 Small
cell lung cancer

SG&A                               Sales,
general and administration

SGLT2                              Sodium-glucose
cotransporter 2

SLL                                   Small
lymphocytic lymphoma

THP                                  A
treatment regimen: docetaxel, trastuzumab and pertuzumab

VBP                                  Value
based procurement

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