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REG - AstraZeneca PLC - 9M and Q3 2024 Results

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RNS Number : 7959L  AstraZeneca PLC  12 November 2024

AstraZeneca

12 November 2024

9M and Q3 2024 results

 

Upgrade to full year 2024 guidance underpinned by strong underlying growth
momentum

 

Revenue and EPS summary

 

                              9M 2024   % Change            Q3 2024   % Change
                              $m        Actual    CER 1     $m        Actual    CER
 - Product Sales              37,576    16        19        12,947    18        20
 - Alliance Revenue           1,498     49        50        559       48        50
 - Collaboration Revenue      108       (66)      (66)      59        (39)      (40)
 Total Revenue                39,182    16        19        13,565    18        21
 Reported EPS                 $3.57     11        21        $0.92     4         17
 Core 2  EPS                  $6.12     5         11        $2.08     20        27

 

Financial performance for 9M 2024 (Growth numbers at constant exchange rates)

 

‒    Total Revenue up 19% to $39,182m, driven by a 19% increase in
Product Sales and continued growth in Alliance Revenue from partnered
medicines

 

‒    Total Revenue growth from Oncology was 22%, CVRM 21%, R&I 24%
and Rare Disease 14%

 

‒    Core Product Sales Gross Margin 3  of 82%

 

‒    Core Operating Margin of 32%

 

‒    Core Tax Rate of 20%

 

‒    Core EPS increased 11% to $6.12. In the prior year period, Core EPS
included gains totalling $953m from the disposal of Pulmicort Flexhaler US
rights and updated contractual arrangements for Beyfortus

 

‒    Guidance for FY 2024 Total Revenue and Core EPS growth at CER
upgraded to high teens percentage growth

 

Pascal Soriot, Chief Executive Officer, AstraZeneca, said:

 

"Our company has continued on its strong growth trajectory in the first nine
months of 2024. Total Revenue and Core EPS were up 21% and 27% respectively in
the third quarter, reflecting the increasing demand for our medicines across
Oncology, BioPharmaceuticals and Rare Disease and supporting an upgrade to our
full year 2024 guidance.

 

In the year to date we have announced the results for multiple positive
high-value trials and are working to bring these new options to patients as
quickly as possible. Additionally, the quality and impact of our scientific
research was well recognised this quarter with data for AstraZeneca medicines
featuring in an unprecedented five Presidential Plenary sessions at the two
major oncology conferences in September.

 

We are highly encouraged by the broad-based underlying momentum we are seeing
across our company in 2024, and growth looks set to continue through 2025,
providing a solid foundation to deliver on our 2030 ambition.

 

Finally, we take the matters in China very seriously. If requested we will
fully cooperate with the authorities. We remain committed to delivering
innovative life-changing medicines to patients in China."

 

Key milestones achieved since the prior results announcement

 

‒    Positive read-outs for Tagrisso plus Orpathys in EGFRm NSCLC with
high levels of MET overexpression and/or amplification (SAVANNAH), Calquence
in combination with venetoclax, with or without obinutuzumab in previously
untreated CLL (AMPLIFY), and the next generation propellant for Breztri.
Koselugo in adult patients with NF1-PN (KOMET), Tezspire in severe chronic
rhinosinusitis with nasal polyps (WAYPOINT)

 

‒    US approvals for Tagrisso in unresectable, Stage III EGFRm NSCLC
(LAURA) and Imfinzi plus chemotherapy in resectable early-stage NSCLC (AEGEAN)
and FluMist for self-administration. EU approvals for Imfinzi plus
chemotherapy followed by Imfinzi alone in mismatch repair deficient
endometrial cancer (DUO-E), Imfinzi plus chemotherapy followed by Lynparza and
Imfinzi in mismatch repair proficient endometrial cancer (DUO-E) and Fasenra
for EGPA (MANDARA). China approvals for Enhertu in unresectable, locally
advanced or metastatic HER2-mutated NSCLC (DESTINY-Lung02, DESTINY-Lung05),
Enhertu in locally advanced or metastatic HER2-positive gastric or
gastroesophageal junction adenocarcinoma (DESTINY-Gastric06), and Fasenra for
severe eosinophilic asthma (MIRACLE)

 

Guidance

 

Given the strength of underlying Product Sales and Alliance Revenue, as well
as increased confidence in achieving certain sales-based milestones, the
Company raises its Total Revenue and Core EPS guidance for FY 2024 at CER.

 

Total Revenue is expected to increase by a high teens percentage (previously a
mid teens percentage)

Core EPS is expected to increase by a high teens percentage (previously a mid
teens percentage)

 

‒    Other elements of the Income Statement are expected to be broadly
in-line with the indications issued in the Company's H1 2024 earnings
statement

 

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

 

Currency impact

 

If foreign exchange rates for October 2024 to December 2024 were to remain at
the average rates seen in September 2024, it is anticipated that FY 2024 Total
Revenue would incur a low single-digit percentage adverse impact compared to
the performance at CER (unchanged from previous guidance), and Core EPS would
incur a mid single-digit percentage adverse impact (unchanged from previous
guidance). The Company's foreign exchange rate sensitivity analysis is
provided in Table 17.

 

China

 

As previously disclosed, the Company is aware of a number of individual
investigations by the Chinese authorities into current and former AstraZeneca
employees. To the best of the Company's knowledge, the investigations include
allegations of medical insurance fraud, illegal drug importation and personal
information breaches. Recently Leon Wang, EVP International and AstraZeneca
China President was detained. The Company has not received any notification
that it is itself under investigation. If requested, AstraZeneca will fully
cooperate with the Chinese authorities.

 

Table 1: Key elements of Total Revenue performance in Q3 2024

 

                                                      % Change
 Revenue type                       $m        Actual %        CER %
 Product Sales                      12,947    18              20
 Alliance Revenue                   559       48              50                *   $49m Beyfortus (Q3 2023: $17m)

                                                                                *   $361m Enhertu (Q3 2023: $266m)

                                                                                *   $123m Tezspire (Q3 2023: $74m)
 Collaboration Revenue              59        (39)            (40)              *   $56m Beyfortus (Q3 2023: $71m)
 Total Revenue                      13,565    18              21
 Therapy areas                      $m        Actual %        CER %
 Oncology                           5,569     19              22                *   Tagrisso up 14% (17% at CER), Calquence up 24% (25% at CER), Enhertu
                                                                                Total Revenue up 50% (55% at CER)
 CVRM( )                            3,159     18              20                *   Farxiga up 25% (27% at CER), Lokelma up 40% (42% at CER)
 R&I                                1,959     26              29                *   Breztri up 56% (57% at CER). Saphnelo up 63% (64% at CER), Tezspire up
                                                                                >2x, Symbicort up 27% (31% CER)
 V&I                                460       48              49                *   Beyfortus Total Revenue up 73% (72% at CER), FluMist up 34% (31% at CER)
 Rare Disease( )                    2,148     9               11                ·  Ultomiris up 33% (35% at CER), partially offset by decline in Soliris of
                                                                                22% (18% at CER), Strensiq up 20% (21% at CER) and Koselugo up 37% (39% at
                                                                                CER)
 Other Medicines                    270       (12)            (8)
 Total Revenue                      13,565    18              21
 Regions                            $m        Actual %        CER %
 US                                 6,008     23              23
 Emerging Markets                   3,423     15              23
 - China                            1,671     15              15
 - Ex-China Emerging Markets        1,752     16              31
 Europe                             2,875     22              22
 Established RoW                    1,260     (1)             4
 Total Revenue                      13,565    18              21

 

Key alliance medicines

 

‒    Combined sales of Enhertu, recorded by Daiichi Sankyo Company
Limited (Daiichi Sankyo) and AstraZeneca, amounted to $2,729m in 9M 2024 (9M
2023: $1,844m).

 

‒    Combined sales of Tezspire, recorded by Amgen and AstraZeneca,
amounted to $843m in 9M 2024 (9M 2023: $438m).

 

Table 2: Key elements of financial performance in Q3 2024

 

 Metric                                          Reported  Reported change                   Core      Core                               Comments 4 

change
 Total Revenue                                   $13,565m  18% Actual      21% CER           $13,565m  18% Actual      21% CER            *   See Table 1 and the Total Revenue section of this document for further
                                                                                                                                          details
 Product Sales Gross Margin                      76%       -5pp Actual      -4pp CER         81%       Stable Actual      and CER         *   Variations in Product Sales Gross Margin can be expected between
                                                                                                                                          periods, due to product seasonality (e.g. FluMist and Beyfortus sales are
                                                                                                                                          weighted to the second half of the year), foreign exchange fluctuations and
                                                                                                                                          other effects

                                                                                                                                          ‒ Reported Product Sales Gross Margin impacted by PAAGR 5  inventory related
                                                                                                                                          restructuring charges taken in the quarter
 R&D                                             $3,115m   21% Actual      21% CER           $3,068m   23% Actual      24% CER            + Increased investment in the pipeline

 expense                                                                                                                                  *   Core R&D-to-Total Revenue ratio of 23%

(Q3 2023: 22%)
 SG&A expense                                    $5,143m   7% Actual      8% CER             $3,605m   8% Actual      9% CER              + Market development for recent launches and pre-launch activities

                                                                                                                                          *   Core SG&A-to-Total Revenue ratio of 27%

(Q3 2023: 29%)
 Other operating income and expense 6  (#_ftn6)  $25m      -65% Actual      -61% CER         $24m      -65% Actual      -61% CER
 Operating Margin                                16%       -1pp Actual      Stable CER       32%       +1pp Actual      +2pp CER          *   See commentary above on Gross Margin, R&D, SG&A and Other
                                                                                                                                          operating income and expense
 Net finance expense                             $274m     -6% Actual      -15% CER          $329m     46% Actual      35% CER            + New debt issued at higher interest rates

                                                                                                                                          + Higher level of Net debt
 Tax rate                                        22%       +5pp Actual      +5pp CER         19%       Stable Actual      and CER         *   Variations in the tax rate can be expected between periods
 EPS                                             $0.92     4% Actual      17% CER            $2.08     20% Actual      27% CER            *   Further details of differences between Reported and Core are shown in
                                                                                                                                          Table 12

 

Table 3: Pipeline highlights since prior results announcement

 

 Event                                                            Medicine                  Indication / Trial                                                           Event

 Regulatory approvals and other regulatory actions                Tagrisso                  Unresectable, Stage III EGFRm NSCLC (LAURA)                                  Regulatory approval (US)
                                                                  Imfinzi                   Primary advanced or recurrent endometrial cancer with mismatch repair        Regulatory approval (EU)
                                                                                            deficiency (DUO-E)
                                                                  Imfinzi + Lynparza        Primary advanced or recurrent endometrial cancer with mismatch repair        Regulatory approval (EU)
                                                                                            proficiency (DUO-E)
                                                                  Imfinzi                   Resectable early-stage (IIA-IIIB) NSCLC (AEGEAN)                             Regulatory approval (US)
                                                                  Enhertu                   Locally advanced or metastatic HER2-positive gastric or gastroesophageal     Regulatory approval (CN)
                                                                                            junction adenocarcinoma (DESTINY-Gastric06)
                                                                  Enhertu                   Unresectable locally advanced or metastatic HER2m NSCLC (DESTINY-Lung02,     Regulatory approval (CN)
                                                                                            DESTINY-Lung05)
                                                                  Fasenra                   EGPA (MANDARA)                                                               Regulatory approval (US, EU)
                                                                  Fasenra                   Fasenra (MIRACLE)                                                            Regulatory approval (CN)
                                                                  FluMist                   Self-administration                                                          Regulatory approval (US)
 Regulatory submissions                                           Tagrisso                  EGFRm NSCLC (Stage III                                                       Regulatory submission (EU, JP, CN)

or acceptances*

                                                                                            unresectable) (LAURA)
                                                                  Imfinzi                   Muscle-invasive bladder                                                      Regulatory submission (EU)

                                                                                            Cancer (NIAGARA)
                                                                  Imfinzi                   NSCLC (neoadjuvant) AEGEAN                                                   Regulatory submission (JP)
                                                                  Imfinzi                   SCLC (limited stage) (ADRIATIC)                                              Regulatory submission (US, EU, JP, CN)
                                                                  Calquence                 Mantle cell lymphoma (1st-line) (ECHO)                                       Regulatory submission (US, EU, JP)
                                                                  Calquence                 CLL (ELEVATE-TN)                                                             Regulatory submission (CN)
                                                                  Lynparza                  mCRPC (PROpel)                                                               Regulatory submission (CN)
                                                                  Enhertu                   HER2-low breast cancer                                                       Regulatory submission (US, EU, JP)

                                                                                            (2nd-line) (DESTINY-Breast06)
                                                                  Wainua                    Hereditary transthyretin-mediated amyloid polyneuropathy (NEURO-TTRansform)  Regulatory submission (CN)
                                                                  Breztri and HFO1234ze     Moderate to severe COPD                                                      Regulatory submission (EU)
                                                                  Sipavibart                Prevention of COVID-19                                                       Regulatory submission (JP)

                                                                                            (SUPERNOVA)
                                                                  Ultomiris                 NMOSD (CHAMPION-NMOSD)                                                       Regulatory submission (CN)
 Phase III / registrational data readouts and other developments  Tagrisso + Orpathys       EGFRm NSCLC with high levels of MET overexpression and/or amplification      Clinically meaningful ORR
                                                                                            (SAVANNAH)
                                                                  Calquence fixed duration  Chronic lymphocytic leukaemia (AMPLIFY)                                      Primary endpoint met
                                                                  Fasenra                   Eosinophilic chronic rhinosinusitis with nasal polyps (ORCHID)               Primary endpoint not met
                                                                  Tezspire                  Severe chronic rhinosinusitis with nasal polyps (WAYPOINT)                   Primary endpoint met
                                                                  Koselugo                  Adults with NF1-PN (KOMET)                                                   Primary endpoint met

 

*US, EU and China regulatory submission denotes filing acceptance

 

Upcoming pipeline catalysts

 

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

 

Corporate and business development

 

In October 2024, AstraZeneca entered into an exclusive license agreement with
CSPC Pharmaceutical Group Ltd (CSPC) to advance the development of an early
stage, novel small molecule Lipoprotein (a) (Lp(a)) disruptor that has the
potential to offer additional benefits for patients with dyslipidaemia. This
further strengthens the company's cardiovascular portfolio to help address the
major risk factors driving chronic cardiovascular disease. Under the terms of
the agreement, AstraZeneca will receive access to CSPC's pre-clinical
candidate small molecule, YS2302018, an oral Lp(a) disruptor, with the aim of
developing this as a novel lipid-lowering therapy with potential in a range of
cardiovascular disease indications alone or in combination, including with
AstraZeneca's oral small molecule PCSK9 inhibitor, AZD0780. CSPC will receive
an upfront payment of $100 million from AstraZeneca. CSPC is also eligible to
receive up to $1.92 billion for further development and commercialisation
milestones plus tiered royalties.

 

In October 2024, AstraZeneca entered into an agreement to out-license ALXN1840
(bis-choline tetrathiomolybdate), a drug candidate for Wilson disease to
Monopar Therapeutics Inc (Monopar). Monopar will be responsible for all future
global development and commercialisation activities. AstraZeneca will have a
9.9% beneficial ownership interest in Monopar upon issuance as well as an
upfront cash payment of $4.0 million. AstraZeneca is also eligible to receive
milestones and royalties.

 

Sustainability highlights

 

In September, AstraZeneca had a significant presence at Climate Week NYC and
the 79th Session of the UN General Assembly in New York, with a delegation led
by Pam Cheng, Executive Vice President of Global Operations and IT and Chief
Sustainability Officer and the company's US leadership. A programme of more
than 50 engagements with governments, media, NGOs and the private sector
focused on the interconnected issues of the climate crisis, health equity and
health system resilience and the Company's commitment to contribute to more
sustainable, resilient and equitable health systems.

 

Conference call

 

A conference call and webcast for investors and analysts will begin today, 12
November 2024, at 14:00 UK time. Details can be accessed via astrazeneca.com
(https://www.astrazeneca.com/) .

 

Reporting calendar

 

The Company intends to publish its FY and Q4 2024 results on 6 February 2025.

 

Operating and financial review

 

All narrative on growth and results in this section is based on actual
exchange rates, and financial figures are in US$ millions ($m), unless stated
otherwise. The performance shown in this announcement covers the nine-month
period to 30 September 2024 ('the period' or '9M 2024') compared to the
nine-month period to 30 September 2023 ('9M 2023'), or the three-month period
to 30 September 2024 ('the quarter' or 'Q3 2024') compared to the three-month
period to 30 September 2023 ('Q3 2023'), unless stated otherwise.

 

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

 

Core financial measures are adjusted to exclude certain significant items:

 

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

 

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

 

Details on the nature of Core financial measures are provided on page 61 of
the Annual Report and Form 20-F Information 2023.
(https://www.astrazeneca.com/content/dam/az/Investor_Relations/annual-report-2023/pdf/AstraZeneca_AR_2023.pdf)

 

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

 

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

 

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

 

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

 

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

 

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

 

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

 

Total Revenue

 

Table 4: Total Revenue by therapy area and medicine 7 

 

                                    9M 2024                                  Q3 2024
                                                         % Change                                 % Change
                                    $m        % Total    Actual    CER       $m        % Total    Actual     CER
 Oncology                           16,009    41         19        22        5,569     41         19         22
 - Tagrisso                         4,877     12         11        15        1,674     12         14         17
 - Imfinzi                          3,463     9          18        22        1,203     9          13         16
 - Calquence                        2,321     6          26        27        813       6          24         25
 - Lynparza                         2,228     6          8         10        778       6          11         13
 - Enhertu                          1,442     4          57        60        510       4          50         55
 - Zoladex                          845       2          17        24        278       2          12         18
 - Imjudo                           208       1          30        32        72        1          20         22
 - Truqap                           267       1          n/m       n/m       125       1          n/m        n/m
 - Orpathys                         36        -          5         8         11        -          (11)       (11)
 - Other Oncology                   322       1          (18)      (12)      106       1          (10)       (5)
 BioPharmaceuticals: CVRM           9,379     24         18        21        3,159     23         18         20
 - Farxiga                          5,779     15         32        34        1,943     14         25         27
 - Brilinta                         992       3          -         1         327       2          (1)        (1)
 - Crestor                          894       2          4         9         304       2          10         14
 - Lokelma                          392       1          31        34        143       1          40         42
 - Seloken/Toprol-XL                466       1          (6)       (1)       151       1          (2)        1
 - roxadustat                       261       1          23        26        95        1          26         25
 - Andexxa                          159       -          24        26        54        -          36         38
 - Wainua                           44        -          n/m       n/m       23        -          n/m        n/m
 - Other CVRM                       392       1          (27)      (26)      120       1          (22)       (20)
 BioPharmaceuticals: R&I            5,750     15         22        24        1,959     14         26         29
 - Symbicort                        2,195     6          19        22        705       5          27         31
 - Fasenra                          1,218     3          7         8         436       3          12         13
 - Breztri                          721       2          51        53        266       2          56         57
 - Pulmicort                        517       1          5         9         138       1          (6)        (4)
 - Tezspire                         471       1          >2x       >2x       191       1          >2x        >2x
 - Saphnelo                         327       1          71        72        124       1          63         64
 - Airsupra                         41        -          n/m       n/m       21        -          n/m        n/m
 - Other R&I                        259       1          (28)      (27)      78        1          (32)       (32)
 BioPharmaceuticals: V&I            811       2          (14)      (12)      460       3          48         49
 - Beyfortus                        319       1          >2x       >2x       238       2          73         72
 - Synagis                          346       1          (10)      (4)       93        1          (6)        3
 - COVID-19 mAbs                    31        -          (90)      (90)      28        -          >10x       >10x
 - FluMist                          109       -          24        21        100       1          34         31
 - Other V&I                        6         -          (79)      (80)      0         -          (63)       n/m
 Rare Disease                       6,391     16         10        14        2,148     16         9          11
 - Ultomiris                        2,835     7          32        35        1,031     8          33         35
 - Soliris                          2,045     5          (16)      (11)      606       4          (22)       (18)
 - Strensiq                         996       3          18        19        343       3          20         21
 - Koselugo                         366       1          49        55        119       1          37         39
 - Kanuma                           149       -          15        16        49        -          10         9
 Other Medicines                    843       2          (10)      (4)       270       2          (12)       (8)
 - Nexium                           685       2          (8)       (2)       216       2          (13)       (8)
 - Others                           157       -          (17)      (15)      54        -          (7)        (7)
 Total                              39,182    100        16        19        13,565    100        18         21

 

Table 5: Alliance Revenue

 

                               9M 2024                      Q3 2024
                                        % Change                   % Change
                               $m       Actual    CER       $m     Actual    CER
 Enhertu                       1,045    41        42        361    36        38
 Tezspire                      303      69        69        123    65        65
 Beyfortus                     75       >4x       >4x       49     >2x       >2x
 Other Alliance Revenue        75       11        11        26     29        29
 Total                         1,498    49        50        559    48        50

 

Table 6: Collaboration Revenue

                                  9M 2024                 Q3 2024
                                         % Change               % Change
                                  $m     Actual    CER    $m    Actual    CER
 Farxiga: sales milestones        52     87        87     3     12        14
 Beyfortus: sales milestones      56     (21)      (23)   56    (21)      (23)
 Total                            108    (66)      (66)   59    (39)      (40)

 

Table 7: Total Revenue by therapy area

 

                         9M 2024                                 Q3 2024
                                              % Change                                % Change
                         $m        % Total     Actual     CER    $m        % Total     Actual     CER
 Oncology                16,009    41         19          22     5,569     41         19          22
 Biopharmaceuticals      15,940    41         17          20     5,578     41         23          25
 CVRM                    9,379     24         18          21     3,159     23         18          20
 R&I                     5,750     15         22          24     1,959     14         26          29
 V&I                     811       2          (14)        (12)   460       3          48          49
 Rare Disease            6,391     16         10          14     2,148     16         9           11
 Other Medicines         843       2          (10)        (4)    270       2          (12)        (8)
 Total                   39,182    100        16          19     13,565    100        18          21

 

Table 8: Total Revenue by region

 

                                 9M 2024                                  Q3 2024
                                                      % Change                                 % Change
                                 $m        % Total     Actual     CER     $m        % Total     Actual     CER
 US                              16,703    43         20          20      6,008     44         23          23
 Emerging Markets                10,541    27         14          23      3,423     25         15          23
 China                           5,049     13         12          15      1,671     12         15          15
 Emerging Markets ex. China      5,492     14         16          30      1,752     13         16          31
 Europe                          8,240     21         22          22      2,875     21         22          22
 Established ROW                 3,698     9          (4)         4       1,260     9          (1)         4
 Total                           39,182    100        16          19      13,565    100        18          21

 

Oncology

 

Oncology Total Revenue of $16,009m in 9M 2024 increased by 19% (22% at CER),
representing 41% of overall Total Revenue (9M 2023: 40%).

 

Tagrisso

 

 9M 2024, $m      Worldwide    US     Emerging Markets  Europe  Established RoW
 Total Revenue    4,877        1,996  1,365             956     560
 Actual change    11%          19%    8%                16%     (10%)
 CER change       15%          19%    16%               16%     (2%)

 

 Region               Drivers and commentary
 Worldwide           *   Strong global demand for Tagrisso in adjuvant (ADAURA) and 1st-line
                     settings (FLAURA, FLAURA-2)
 US                  *   Continued demand growth in both the adjuvant and metastatic settings,
                     with some additional benefit coming from improved affordability
 Emerging Markets    *   Encouraging demand growth, partly offset by NRDL price reduction in
                     prior year period
 Europe              *   Continued demand growth across adjuvant and metastatic settings
 Established RoW     *   Continued demand growth across adjuvant and metastatic settings with
                     year-over-year comparison reflecting price reduction in Japan in June 2023

 

Imfinzi

 

 9M 2024, $m      Worldwide    US     Emerging Markets  Europe  Established RoW
 Total Revenue    3,463        1,883  365               695     520
 Actual change    18%          18%    37%               30%     (3%)
 CER change       22%          18%    61%               29%     6%

 

 Region               Drivers and commentary
 Worldwide           *   Strong demand growth driven by BTC (TOPAZ-1), HCC (HIMALAYA), and
                     increased patient share in Stage IV NSCLC (POSEIDON) and extensive-stage SCLC
                     (CASPIAN)
 US                  *   Continued demand growth driven primarily by HCC and extensive-stage
                     SCLC, having achieved peak market share as established standard of care in BTC
 Emerging Markets    *   Strong demand growth driven across all approved indications, in
                     particular BTC
 Europe              *   Growth driven by share gains in extensive-stage SCLC as well as new
                     launches in HCC, BTC and NSCLC
 Established RoW     *   Increased demand in GI indications, with year-over-year comparison
                     reflecting the 25% and 11% mandatory price reductions in Japan effective from
                     1 February 2024 and 1 August 2024 respectively

 

Calquence

 

 9M 2024, $m      Worldwide    US     Emerging Markets  Europe  Established RoW
 Total Revenue    2,321        1,617  116               489     99
 Actual change    26%          21%    68%               38%     23%
 CER change       27%          21%    90%               38%     27%

 

 Region        Drivers and commentary
 Worldwide    *   Sustained BTKi leadership in front-line CLL (ELEVATE-TN)
 US           *   Growth driven by leading share of new patient starts in front-line CLL,
              with some additional favourability coming from improved affordability
 Europe       *   Strong growth momentum in front-line CLL, maintaining share of 1L new
              patient starts in competitive environment

 

Lynparza

 

 9M 2024, $m      Worldwide    US   Emerging Markets  Europe  Established RoW
 Total Revenue    2,228        954  475               612     187
 Actual change    8%           6%   16%               13%     (13%)
 CER change       10%          6%   25%               12%     (7%)

 

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

                     *   No Collaboration Revenue for Lynparza was recognised in either 9M 2024
                     or 9M 2023
 US                  *   Continued leadership within competitive PARP inhibitor class, with
                     demand growth across all indications
 Emerging Markets    *   Volume growth in China from increased share following inclusion of
                     HRD-positive ovarian cancer (PAOLA-1) on NRDL with no price reduction
 Europe              *   Growth driven by increased market share and additional launches in early
                     breast cancer (OlympiA) and metastatic prostate cancer (PROpel)
 Established RoW     *   PARP class leadership maintained with year-over-year comparison
                     reflecting 7.7% price reduction in Japan in November 2023

 

 

Enhertu

 

 9M 2024, $m      Worldwide    US   Emerging Markets  Europe  Established RoW
 Total Revenue    1,442        642  353               400     47
 Actual change    57%          24%  97%               95%     >2x
 CER change       60%          24%  >2x               95%     >2x

 

 Region               Drivers and commentary
 Worldwide           *   Established standard of care in HER2-positive (DESTINY-Breast03) and
                     HER2-low (DESTINY-Breast04) metastatic breast cancer

                     *   Encouraging early uptake, particularly in gynaecological indications
                     following tumour-agnostic approval in April 2024 (DESTINY-PanTumor02,
                     DESTINY-Lung01, DESTINY‑CRC02)

                     *   Combined sales of Enhertu, recorded by Daiichi Sankyo and AstraZeneca,
                     amounted to $2,729m in 9M 2024 (9M 2023: $1,844m)
 US                  *   US in-market sales, recorded by Daiichi Sankyo, amounted to $1,342m in
                     9M 2024 (9M 2023: $1,087m)
 Emerging Markets    *   Increased demand growth following commercial breast cancer launch in
                     China in Q1 2024
 Europe              *   Continued demand growth due to increasing adoption in HER2-positive and
                     HER2-low metastatic breast cancer
 Established RoW     *   AstraZeneca's Alliance Revenue includes a mid single-digit percentage
                     royalty on Daiichi Sankyo's sales in Japan

 

Other Oncology medicines

 

                 9M 2024         Change
 Total Revenue        $m   Actual      CER    Drivers and commentary
 Zoladex              845  17%         24%    *   Strong underlying growth in China and Emerging Markets and moderate
                                              growth in Europe with reduced uptake in Japan
 Imjudo               208  30%         32%    *   Continued growth across markets
 Truqap               267  n/m         n/m    *   Strong demand growth with strong uptake in biomarker altered subgroup of
                                              HR-positive HER2-negative metastatic breast cancer (CAPItello-291)
 Orpathys             36   5%          8%     *   Demand in China for the treatment of patients with NSCLC with MET exon
                                              14 skipping alterations
 Other Oncology       322  (18%)       (12%)  *   Decline in Faslodex Total Revenue due to VBP implementation in China in
                                              March 2024 and generic erosion in Europe

 

 

BioPharmaceuticals

 

BioPharmaceuticals Total Revenue increased by 17% (20% at CER) in 9M 2024 to
$15,940m, representing 41% of overall Total Revenue (9M 2023: 40%).

 

BioPharmaceuticals - CVRM

 

CVRM Total Revenue increased by 18% (21% at CER) to $9,379m in 9M 2024 and
represented 24% of overall Total Revenue (9M 2023: 23%).

 

Farxiga

 

 9M 2024, $m      Worldwide    US     Emerging Markets  Europe  Established RoW
 Total Revenue    5,779        1,280  2,225             1,903   371
 Actual change    32%          28%    34%               40%     (2%)
 CER change       34%          28%    41%               39%     5%

 

 Region               Drivers and commentary
 Worldwide           *   Farxiga volume continued to grow faster than the overall SGLT2 market in
                     all major regions, driven by continued demand in heart failure and CKD

                     *   SGLT2 class growth underpinned by updated cardiorenal guidelines
 US                  *   Growth driven by underlying demand in HFrEF and CKD

                     *   Launch of an authorised generic in the first quarter of 2024
 Emerging Markets    *   Increased reimbursement supporting solid growth despite entry of generic

                   competition in some markets

 Europe              *   Continued strong class growth and market share gains
 Established RoW     *   Continued demand growth partially offset by generic competition in
                     Canada

                     *   In Japan, AstraZeneca sells to collaborator Ono Pharmaceutical Co., Ltd,
                     which records in-market sales

 

Other CVRM medicines

 

                9M 2024         Change
 Total Revenue       $m   Actual      CER    Drivers and commentary
 Brilinta            992  -           1%     *   Continued sales growth in Emerging Markets, decline in Est. RoW driven
                                             by generic competition in Canada
 Crestor             894  4%          9%     *   Continued sales growth in Emerging Markets
 Seloken             466  (6%)        (1%)   *   Growth in ex-China EM markets offsetting declines in other regions
 Lokelma             392  31%         34%    *   Strong growth in all major regions, particularly in Europe and Emerging
                                             Markets. Continued launches in new markets
 Roxadustat          261  23%         26%    *   Continued patient and volume growth
 Andexxa             159  24%         26%    *   Demand growth
 Wainua              44   n/m         n/m    *   Encouraging launch uptake following ATTRv-PN approval in the US in
                                             December 2023
 Other CVRM          392  (27%)       (26%)  *   Generic competition

 

BioPharmaceuticals - R&I

 

Total Revenue of $5,750m from R&I medicines increased 22% (24% at CER) and
represented 15% of overall Total Revenue (9M 2023: 14%).

 

Fasenra

 

 9M 2024, $m      Worldwide    US   Emerging Markets  Europe  Established RoW
 Total Revenue    1,218        750  68                294     106
 Actual change    7%           4%   43%               12%     (1%)
 CER change       8%           4%   52%               11%     6%

 

 Region               Drivers and commentary
 Worldwide           *   Continued severe asthma market share leadership in IL-5 class across
                     major markets
 US                  *   Sustained double-digit volume growth
 Emerging Markets    *   Continued strong demand growth driven by launch acceleration across key
                     markets 
 Europe              *   Sustained leadership in severe eosinophilic asthma
 Established RoW     *   In Japan, maintained class leadership in a broadly stable market

 

Breztri

 

 9M 2024, $m      Worldwide    US   Emerging Markets  Europe  Established RoW
 Total Revenue    721          367  199               102     53
 Actual change    51%          40%  62%               86%     42%
 CER change       53%          40%  68%               85%     51%

 

 Region               Drivers and commentary
 Worldwide           *   Fastest growing single-inhaler triple medicine within the expanding FDC
                     triple class
 US                  *   Consistent share growth within the expanding FDC triple class
 Emerging Markets    *   Maintained market share leadership in China with strong FDC triple class
                     penetration

                     *   Further expansion with launches in additional geographies
 Europe              *   Sustained growth across markets driven by new launches
 Established RoW     *   Increased market share in Japan

 

Tezspire

 

 9M 2024, $m      Worldwide      US   Emerging Markets  Europe  Established RoW
 Total Revenue    471            303  8                 105     55
 Actual change    >2x            70%  n/m               >3x     >2x
 CER change       >2x            70%  n/m               >3x     >2x

 

 Region              Drivers and commentary
 Worldwide          *   Combined sales of Tezspire, recorded by Amgen and AstraZeneca, amounted
                    to $843m in 9M 2024 (9M 2023: $438m)
 US                 *   Continued growth in total prescriptions, with majority of patients
                    new-to-biologics
 Europe             *   Achieved and maintained new-to-brand leadership across multiple markets,
                    new launches continue to progress
 Established RoW    *   Sustained market share growth in Japan and other major geographies, with
                    continued launches

 

Symbicort

 

 9M 2024, $m      Worldwide    US   Emerging Markets  Europe  Established RoW
 Total Revenue    2,195        887  653               415     240
 Actual change    19%          51%  9%                2%      (2%)
 CER change       22%          51%  19%               1%      -

 

 Region               Drivers and commentary
 Worldwide           *   Symbicort remained the global market leader within a stable ICS/LABA
                     class
 US                  *   Continued strong demand for the authorised generic, limitation of
                     patient out-of-pocket expenses and favourable channel mix
 Emerging Markets    *   Sustained demand growth across markets
 Europe              *   Continued growth in some markets within mild asthma partially offset
                     generic erosion and a slowing overall market
 Established RoW     *   Continued generic erosion in Japan

 

Other R&I medicines

 

                    9M 2024            Change
 Total Revenue           $m   Actual        CER     Drivers and commentary
 Saphnelo                327  71%           72%     *   Demand acceleration in the US, and additional growth driven by ongoing
                                                    launches in Europe and Established RoW
 Airsupra                41   n/m           n/m     *   Strong US launch momentum and volume uptake. Revenue in the period
                                                    reflects introductory discounts as early access continues to build
 Pulmicort               517  5%            9%      *   >80% of revenues from Emerging Markets
 Other R&I               259  (28%)         (27%)   *   Continued generic competition

 

BioPharmaceuticals - V&I

 

Total Revenue from V&I medicines reduced by 14% (12% at CER) to $811m (9M
2023: $944m) and represented 2% of overall Total Revenue (9M 2023: 3%).

 

V&I medicines

 

          9M 2024                 Change
 Total Revenue         $m   Actual      CER     Drivers and commentary
 Beyfortus             319  >2x         >2x     *   Growth driven increasing demand and expanded production capacity

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

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

                                                *   AstraZeneca has no participation in US profits or losses
 Synagis               346  (10%)       (4%)    *   As anticipated, Synagis demand decreased following rapid adoption of
                                                Beyfortus
 COVID-19 mAbs         31   (90%)       (90%)   *   Decline in Evusheld sales and Collaboration Revenue (Total Revenue 9M
                                                2023: $306m)
 FluMist               109  24%         21%     *   Demand growth across key markets in particular Europe and benefit from
                                                earlier start in flu season in Q3 2024 compared to prior year
 Other V&I             6    (79%)       (80%)   *   Decline in Vaxzevria sales (9M 2023: $28m)

 

Rare Disease

 

Total Revenue from Rare Disease medicines increased by 10% (14% at CER) in 9M
2024 to $6,391m, representing 16% of overall Total Revenue (9M 2023: 17%).

 

Ultomiris

 

 9M 2024, $m      Worldwide    US     Emerging Markets  Europe  Established RoW
 Total Revenue    2,835        1,629  92                649     465
 Actual change    32%          29%    97%               31%     37%
 CER change       35%          29%    >2x               30%     50%

 

 Region               Drivers and commentary
 Worldwide           *   Growth due to increased use in neurology, geographic expansion, further
                     patient demand and conversion from Soliris

                     *   Ultomiris Total Revenue includes sales of Voydeya, which is approved as
                     an add‑on treatment to Ultomiris and Soliris for the 10-20% of PNH patients
                     who experience clinically significant EVH
 US                  *   Strong growth in patient demand in gMG (CHAMPION-MG) and NMOSD
                     (CHAMPION-NMOSD), both new to branded medicines, as well as continued
                     conversion from Soliris
 Emerging Markets    *   Expansion into new markets and growth in patient demand
 Europe              *   Strong demand growth following recent launches, particularly from
                     neurology indications, accelerated conversion from Soliris, partially offset
                     by price reductions to secure reimbursement for new indications
 Established RoW     *   Continued conversion from Soliris and strong demand following new
                     launches

 

 

Soliris

 

 9M 2024, $m      Worldwide    US     Emerging Markets  Europe  Established RoW
 Total Revenue    2,045        1,170  365               346     164
 Actual change    (16%)        (11%)  8%                (35%)   (34%)
 CER change       (11%)        (11%)  39%               (35%)   (31%)

 

 Region               Drivers and commentary
 US                  *   Decline driven by successful conversion of Soliris patients to Ultomiris
 Emerging Markets    *   Growth driven by patient demand
 Europe              *   Decline driven by biosimilar erosion in PNH and aHUS and successful
                     conversion from Soliris to Ultomiris
 Established RoW     *   Decline driven by successful conversion from Soliris to Ultomiris

 

Strensiq

 

 9M 2024, $m      Worldwide    US   Emerging Markets  Europe  Established RoW
 Total Revenue    996          815  39                73      69
 Actual change    18%          18%  34%               15%     8%
 CER change       19%          18%  48%               14%     18%

 

 Region        Drivers and commentary
 Worldwide    *   Growth driven by strong patient demand

 

Other Rare Disease medicines

 

          9M 2024                 Change
 Total Revenue         $m   Actual      CER   Drivers and commentary
 Koselugo              366  49%         55%   *   Driven by patient demand and expansion in new markets
 Kanuma                149  15%         16%   *   Continued global demand

 

Other medicines (outside the main therapy areas)

 

          9M 2024                 Change
 Total Revenue         $m   Actual      CER    Drivers and commentary
 Nexium                685  (8%)        (2%)   *   Stable in Emerging Markets, which now accounts for two-thirds of Nexium
                                               revenue, offset by generic erosion in other markets
 Others                157  (17%)       (15%)  *   Continued impact of generic competition

 

Financial performance

 

Table 9: Reported Profit and Loss

 

                                           9M 2024   9M 2023   % Change          Q3 2024   Q3 2023   % Change
                                           $m        $m        Actual    CER     $m        $m        Actual    CER
 Total Revenue                             39,182    33,787    16        19      13,565    11,492    18        21
 - Product Sales                           37,576    32,466    16        19      12,947    11,018    18        20
 - Alliance Revenue                        1,498     1,004     49        50      559       377       48        50
 - Collaboration Revenue                   108       317       (66)      (66)    59        97        (39)      (40)
 Cost of sales                             (7,482)   (5,960)   26        28      (3,081)   (2,095)   47        48
 Gross profit                              31,700    27,827    14        17      10,484    9,397     12        15
 Distribution expense                      (412)     (394)     4         7       (145)     (129)     12        15
 R&D expense                               (8,906)   (7,862)   13        14      (3,115)   (2,584)   21        21
 SG&A expense                              (14,567)  (13,845)  5         7       (5,143)   (4,800)   7         8
 Other operating income & expense          152       1,233     (88)      (88)    25        70        (65)      (61)
 Operating profit                          7,967     6,959     14        23      2,106     1,954     8         18
 Net finance expense                       (919)     (945)     (3)       (7)     (274)     (291)     (6)       (15)
 Joint ventures and associates             (23)      (12)      n/m       97      (4)       (11)      (53)      (54)
 Profit before tax                         7,025     6,002     17        28      1,828     1,652     11        24
 Taxation                                  (1,484)   (1,000)   48        62      (395)     (274)     44        62
 Tax rate                                  21%       17%                         22%       17%
 Profit after tax                          5,541     5,002     11        21      1,433     1,378     4         17
 Earnings per share                        $3.57     $3.22     11        21      $0.92     $0.89     4         17

 

Table 10: Reconciliation of Reported Profit before tax to EBITDA

 

                                                9M 2024   9M 2023   % Change         Q3 2024  Q3 2023  % Change
                                                $m        $m        Actual    CER    $m       $m       Actual    CER
 Reported Profit before tax                     7,025     6,002     17        28     1,828    1,652    11        24
 Net finance expense                            919       945       (3)       (7)    274      291      (6)       (15)
 Joint ventures and associates                  23        12        n/m       97     4        11       (53)      (54)
 Depreciation, amortisation and impairment      4,351     4,060     7         7      1,817    1,282    41        41
 EBITDA                                         12,318    11,019    12        17     3,923    3,236    21        27

 

Table 11: Reconciliation of Reported to Core financial measures: 9M 2024 8 
(#_ftn8)

 

 9M 2024                                   Reported  Restructuring          Intangible Asset Amortisation & Impairments         Other  Core      Core

                                                                                                                                                 % Change
                                           $m               $m       $m                               $m                               $m        Actual    CER
 Gross profit                              31,700           655      24                               4                                32,383    15        19
 Product Sales Gross Margin                80%                                                                                         82%       -         -
 Distribution expense                      (412)            -        -                                -                                (412)     4         7
 R&D expense                               (8,906)          221      38                               9                                (8,638)   17        18
 % of Total Revenue                        23%                                                                                         22%       -         -
 SG&A expense                              (14,567)         180      3,343                            291                              (10,753)  11        13
 % of Total Revenue                        37%                                                                                         27%       +1pp      +1pp
 Total operating expense                   (23,885)         401      3,381                            300                              (19,803)  13        15
 Other operating income & expense          152              (2)      -                                (1)                              149       (87)      (87)
 Operating profit                          7,967            1,054    3,405                            303                              12,729    8         13
 Operating Margin                          20%                                                                                         32%       -2pp      -2pp
 Net finance expense                       (919)            -        -                                60                               (859)     18        13
 Taxation                                  (1,484)          (189)    (621)                            (67)                             (2,361)   15        22
 EPS                                       $3.57            $0.56    $1.80                            $0.19                            $6.12     5         11

 

Table 12: Reconciliation of Reported to Core financial measures: Q3 20247

 Q3 2024                                   Reported  Restructuring          Intangible Asset Amortisation & Impairments         Other  Core      Core

                                                                                                                                                 % Change
                                           $m               $m       $m                               $m                               $m        Actual    CER
 Gross profit                              10,484           619      8                                1                                11,112    18        21
 Product Sales Gross Margin                76%                                                                                         81%       -         -
 Distribution expense                      (145)            -        -                                -                                (145)     12        15
 R&D expense                               (3,115)          44       1                                2                                (3,068)   23        24
 % of Total Revenue                        23%                                                                                         23%       -1pp      -1pp
 SG&A expense                              (5,143)          42       1,460                            36                               (3,605)   8         9
 % of Total Revenue                        38%                                                                                         27%       +3pp      +3pp
 Total operating expense                   (8,403)          86       1,461                            38                               (6,818)   14        16
 Other operating income & expense          25               -        -                                (1)                              24        (65)      (61)
 Operating profit                          2,106            705      1,469                            38                               4,318     22        27
 Operating Margin                          16%                                                                                         32%       +1pp      +2pp
 Net finance expense                       (274)            -        -                                (55)                             (329)     46        35
 Taxation                                  (395)            (109)    (254)                            5                                (753)     21        28
 EPS                                       $0.92            $0.38    $0.78                            -                                $2.08     20        27

 

Profit and Loss drivers

 

Gross profit

 

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

 

‒    The change in Product Sales Gross Margin (Reported and Core) in 9M
2024 was impacted by:

 

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

 

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

 

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

 

‒    The reported Product Sales Gross Margin included inventory and
related contract provisions of $638m recorded in the third quarter related to
Andexxa, which was part of the PAAGR restructuring program (see Note 2 in the
Notes to the interim financial statements section)

 

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

 

R&D expense

 

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

 

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

 

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

 

‒    Addition of R&D projects following completion of previously
announced business development activity including Icosavax, Gracell, Fusion
and Amolyt

 

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

 

SG&A expense

 

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

 

‒    The Reported SG&A expense included impairment charges in the
third quarter of $504m recorded against the Andexxa intangible asset

 

Other operating income and expense

 

‒    In the prior year period, Other operating income and expense
included a $241m gain on the disposal of the US rights to Pulmicort Flexhaler
and a $712m gain relating to contractual arrangements for Beyfortus

 

Net finance expense

 

‒    Core Net finance expense increased 18% (13% increase at CER) due to
the increased level of debt and new debt issued at higher interest rates

 

Taxation

 

‒    The effective Reported Tax rate for the nine months to 30 September
2024 was 21% (9M 2023: 17%) and the effective Core Tax rate was 20% (9M 2023:
19%)

 

‒    The cash tax paid for the nine months to 30 September 2024 was
$1,978m (9M 2023: $1,710m), representing 28% of Reported Profit before tax (9M
2023: 26%)

 

Table 13: Cash Flow summary

 

                                                                  9M 2024    9M 2023    Change
                                                                  $m         $m         $m
 Reported Operating profit                                        7,967      6,959      1,008
 Depreciation, amortisation and impairment                        4,351      4,060      291
 Movement in working capital and short-term provisions            (543)      150        (693)
 Gains on disposal of intangible assets                           (34)       (247)      213
 Fair value movements on contingent consideration arising from    251        202        49

 business combinations
 Non-cash and other movements                                     15         (623)      638
 Interest paid                                                    (1,075)    (826)      (249)
 Taxation paid                                                    (1,978)    (1,710)    (268)
 Net cash inflow from operating activities                        8,954      7,965      989
 Net cash inflow before financing activities                      2,155      4,978      (2,823)
 Net cash inflow/(outflow) from financing activities              (3,325)    (6,276)    2,951

 

The change in Net cash inflow before financing activities of $2,823m is
primarily driven by Acquisitions of subsidiaries, net of cash acquired of
$2,771m, and relates to the acquisition of Gracell Biotechnologies, Inc. for
$774m and acquisition of Fusion Pharmaceuticals Inc., for $1,997m as compared
to the acquisition of Neogene Therapeutics, Inc. for $189m in 9M 2023.

 

The decrease in Net cash outflow from financing activities of $2,951m is
primarily driven by increased issuance of long-term loans of $6,492m in the
period compared to $3,816m issued in the comparative period.

 

Capital expenditure

 

Capital expenditure amounted to $1,216m in 9M 2024 (9M 2023: $836m). The
increase of capital expenditure in 2024 is driven by investment in several
major manufacturing projects and continued investment in technology upgrades.

 

Table 14: Net debt summary

 

                                                     At 30        At 31        At 30

                                                      Sep 2024     Dec 2023    Sep 2023
                                                     $m           $m           $m
 Cash and cash equivalents                           4,797        5,840        4,871
 Other investments                                   133          122          244
 Cash and investments                                4,930        5,962        5,115
 Overdrafts and short-term borrowings                (769)        (515)        (515)
 Commercial paper                                    (472)        -            -
 Lease liabilities                                   (1,422)      (1,128)      (979)
 Current instalments of loans                        (12)         (4,614)      (4,857)
 Non-current instalments of loans                    (28,887)     (22,365)     (22,225)
 Interest-bearing loans and borrowings (Gross debt)  (31,562)     (28,622)     (28,576)
 Net derivatives                                     284          150          90
 Net debt                                            (26,348)     (22,510)     (23,371)

 

 

Net debt increased by $3,838m in the nine months to 30 September 2024 to
$26,348m. Details of the committed undrawn bank facilities are disclosed
within the going concern section of Note 1. Details of the Company's solicited
credit ratings and further details on Net debt are disclosed in Note 3.

 

Capital allocation

 

The Company's capital allocation priorities include: investing in the business
and pipeline; maintaining a strong, investment-grade credit rating; potential
value-enhancing business development opportunities; and supporting the
progressive dividend policy. As announced at the Annual General Meeting on 11
April 2024, the total dividend for FY 2024 will increase by $0.20 per share to
$3.10 per share.

 

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

 

Summarised financial information for guarantee of securities of subsidiaries

 

AstraZeneca Finance LLC ("AstraZeneca Finance") is the issuer of 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, 5% Notes due 2034, 3.121% EUR Notes due 2030
and 3.278% EUR Notes due 2033 (the "AstraZeneca Finance Notes"). Each series
of AstraZeneca Finance Notes has been fully and unconditionally guaranteed by
AstraZeneca PLC. AstraZeneca Finance is 100% owned by AstraZeneca PLC and each
of the guarantees issued by AstraZeneca PLC is full and unconditional and
joint and several.

 

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

 

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

 

Please refer to the Consolidated financial statements of AstraZeneca PLC in
our Annual Report on Form 20‑F 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 Notes please refer to AstraZeneca PLC's reports on
Form 6-K furnished to the SEC on 30 July 2024, 22 February 2024, 3 March 2023
and 28 May 2021.

 

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

 

Table 15: Obligor group summarised Statement of comprehensive income

 

                                                                        9M 2024  9M 2023
                                                                        $m       $m
 Total Revenue                                                          -        -
 Gross profit                                                           -        -
 Operating loss                                                         -        (2)
 Loss for the period                                                    (894)    (695)
 Transactions with subsidiaries that are not issuers or guarantors      1,342    9,758

 

Table 16: Obligor group summarised Statement of financial position

 

                                                                       At 30 Sep 2024     At 30 Sep 2023
                                                                       $m                 $m
 Current assets                                                        10                 6
 Non-current assets                                                    84                 -
 Current liabilities                                                   (801)              (4,760)
 Non-current liabilities                                               (28,906)           (22,077)
 Amounts due from subsidiaries that are not issuers or guarantors      16,705             12,921
 Amounts due to subsidiaries that are not issuers or guarantors        -                  (295)

 

Foreign exchange

 

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

 

Table 17: Currency sensitivities

 

The Company provides the following information on currency-sensitivity:

 

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

                                                                                                       average) (( 9  (#_ftn9) ))
                                                         rates vs. USD
 Currency                      Primary Relevance              FY                   YTD                  Change  Sep                    Change           Total Revenue                                   Core Operating Profit

2023 10  (#_ftn10)
2024 11  (#_ftn11)
        2024 12  (#_ftn12)

                                                                                                         (%)                            (%)
 EUR                           Total Revenue                  0.92                 0.92                 0       0.90                   3                397                                             179
 CNY                           Total Revenue                  7.09                 7.21                 (2)     7.08                   0                322                                             182
 JPY                           Total Revenue                  140.60               151.23               (7)     143.04                 (2)              177                                             119
 Other(( 13  (#_ftn13) ))                                                                                                                               453                                             227
 GBP                           Operating expense              0.80                 0.78                 3       0.76                   6                60                                              (126)
 SEK                           Operating expense              10.61                10.50                1       10.23                  4                9                                               (63)

 

Sustainability

 

In September, AstraZeneca had a significant presence at Climate Week NYC and
the 79th Session of the UN General Assembly in New York, with a delegation led
by Pam Cheng, Executive Vice President of Global Operations and IT and Chief
Sustainability Officer and the company's US leadership. A programme of more
than 50 engagements with governments, media, NGOs and the private sector
focused on the interconnected issues of the climate crisis, health equity and
health system resilience and the Company's commitment to contribute to more
sustainable, resilient and equitable health systems.

 

Related communications included an opinion piece published by the World
Economic Forum (WEF) on how pharmaceutical companies are investing in nature
to improve human and planetary health and an article in Foreign Policy on
building sustainable health systems to manage the burden of non-communicable
diseases.

 

Access to healthcare

 

‒    By end of August 2024, the Company's flagship Healthy Heart Africa
programme had conducted more than 61 million blood pressure screenings,
identifying over 12.1 million people with elevated blood pressure and
diagnosing over 4.87 million with high blood pressure

 

‒    In October, the Company convened the inaugural meeting of its
Global Health Equity Advisory Board (HEAB), a group of 15 external
stakeholders with representation from 11 countries and across disease areas,
to advise on the Company's approach to help improve equitable health outcomes
globally

 

‒    AstraZeneca Chair Michel Demaré and Executive Vice President,
Vaccines and Immune Therapies, Iskra Reic shared perspectives on health
systems resilience in Health: A Political Choice - Building Resilience and
Trust, a publication launched during the World Health Summit in collaboration
with the World Health Organization

 

‒    During the quarter, the Partnership for Health System Sustainability
and Resilience (PHSSR) initiative convened an Expert Advisory Group on the
role of EU institutions in supporting sustainable healthcare financing of
Member States. The PHSSR was also active in a session at the European Health
Forum Gastein in collaboration with AstraZeneca, on the importance of
decarbonising care pathways for the health of people and the planet. The
session emphasised the need for early, targeted and patient-centred
interventions within integrated EU and national public policy strategies

 

‒    In September, through the Young Health Programme (YHP), 24 young
health leaders from around the world received a Fellowship to attend the One
Young World Summit in Montréal, Canada to support their focus on building a
healthier and more equitable future. Additionally, in August, the YHP awarded
scholarships to seven young global leaders who are tackling the health impacts
of the climate crisis to join a Climate Entrepreneurship Academy in New
York.  During the quarter, YHP won Corporate Social Responsibility Programme
of the Year at the Pharma Industry UK Awards

 

Environmental protection

 

‒    The Company reached a key sustainability milestone in its Ambition
Zero Carbon decarbonisation strategy, with over 50% of its global vehicle
fleet now fully electric, including in Europe, Japan and the US. AstraZeneca
currently has over 10,000 battery electric vehicles (BEVs), with fully
electric fleets in the Netherlands, Greece and Georgia

 

‒    AstraZeneca's manufacturing site in Södertälje, Sweden - the
Company's largest manufacturing site globally - has reduced its Scope 1 and 2
greenhouse (GHG) gas emissions by 98% since 2015, making it the Company's
sixth site to have achieved this goal ahead of schedule. With this milestone,
all locations in Sweden, including the strategic R&D Centre in Gothenburg,
have now achieved their Scope 1 and 2 Ambition Zero Carbon Targets

 

‒    Through the Sustainable Markets Initiative Health Systems Task
Force, chaired by CEO Pascal Soriot, the Company contributed to the launch of
the European Network on Climate and Health Education which took place at the
World Health Summit in Berlin. The network brings together 25 leading
universities from across Europe which are committed to training 10,000 medical
students with skills to address the health impacts of climate change and
deliver sustainable healthcare

 

‒    The Company received the Net Zero: Operations Transformation award
at the 2024 Reuters Sustainability Awards in October, recognising its
commitment to drive deep decarbonisation across its operations and fleet
through the Ambition Zero Carbon strategy. The WEF also recognised two of the
Company's advanced manufacturing sites in Wuxi (China) and Södertälje
(Sweden) as Fourth Industrial Revolution (4IR) Lighthouses, part of its Global
Lighthouse Network which spotlights organisations harnessing advanced
technologies such as digital and AI to drive next-generation operational
excellence, environmental sustainability and workforce development

 

‒    In August, the Company was recognised with awards by My Green Lab
and the International Institute for Sustainable Laboratories - the 2024
Freezer Challenge Winning Streak Award for Biotech & Pharmaceuticals, for
being at the top of the sector and surpassing 2023 energy savings, and the Top
Small Lab Award - Pharmaceutical and Biotech Sector - awarded to AZ Gothenburg
Regional HBS Centre

 

‒    The Company completed studies to support the first regulatory
filings for the transition of Breztri/Trixeo Aerosphere to an innovative,
next-generation propellant with 99.9% lower Global Warming Potential than
propellants used in currently available inhaled medicines. Reducing the carbon
impact of pressurised-metered dose inhalers is a key product-related element
of AstraZeneca's Ambition Zero Carbon strategy, alongside the Company's
commitment to improving patient outcomes

 

Ethics and transparency

 

‒    In September, AstraZeneca was included in the TIME World's Best
Companies 2024, ranking first among pharmaceutical companies for
sustainability transparency and in the top 70 out of 1,000 overall

 

‒    In Mexico, AstraZeneca was third in the Great Place to Work (GPTW)
ranking and the Company's Guadalajara Global Innovation & Technology
Centre was number one in the GPTW Western Region for companies with
>500-5,000 employees for the fourth year in a row

 

‒    AstraZeneca and 33 other partner organisations announced the launch
of the VICT3R project, a public-private partnership that aims to reduce the
number of animals used in experimental studies through Virtual Control Groups
(VCGs) created using cutting edge statistical and artificial intelligence (AI)
techniques. The project aims to transform drug and chemical safety evaluation
while promoting ethical research practices and environmental sustainability

 

Research and development

 

This section covers R&D events and milestones that have occurred since the
prior results announcement on 25 July 2024, up to and including events on 11
November 2024.

 

A comprehensive view of AstraZeneca's pipeline of medicines in human trials
can be found in the latest Clinical Trials Appendix, available on
www.astrazeneca.com/investor-relations
(https://www.astrazeneca.com/investor-relations.html) . 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 IASLC 2024 World Conference on Lung Cancer (WCLC) hosted by
the International Association for the Study of Lung Cancer and the 2024
European Society for Medical Oncology (ESMO) Congress. Across the two
meetings, more than 130 abstracts were presented featuring 17 approved and
potential new medicines including five Presidential Symposia and 41 oral
presentations.

 

Tagrisso

 

 Event                                              Commentary
 Approval                               US          For the treatment of adult patients with unresectable, Stage III EGFRm NSCLC
                                                    whose disease has not progressed during or following concurrent or sequential
                                                    platinum-based chemoradiation therapy. (LAURA, September 2024)
 Phase II registrational trial readout  SAVANNAH    Tagrisso plus Orpathys demonstrated a high, clinically meaningful and durable
                                                    objective response rate for patients with EGFRm NSCLC with high levels of
                                                    mesenchymal epithelial transition factor (MET) overexpression and/or
                                                    amplification, defined as IHC90+ and/or FISH10+, whose disease progressed on
                                                    treatment with Tagrisso. (October 2024)

 

Imfinzi and Imjudo

 

 Event                                       Commentary
 Approval                      Europe        Imfinzi plus chemotherapy followed by Imfinzi alone has been approved for
                                             patients with mismatch repair deficient disease. (DUO-E, August 2024)
 Approval                      Europe        Imfinzi plus chemotherapy as 1st-line treatment followed by Lynparza and
                                             Imfinzi for patients with mismatch repair proficient disease. (DUO-E, August
                                             2024)
 Priority Review               US            Imfinzi for limited-stage small cell lung cancer whose disease has not
                                             progressed following platinum-based concurrent chemoradiotherapy. (ADRIATIC,
                                             August 2024)
 Approval                      US            Imfinzi in combination with chemotherapy for the treatment of adult patients
                                             with resectable early-stage (IIA-IIIB) NSCLC and no known EGFR mutations or
                                             ALK rearrangements. (AEGEAN, August 2024)
 Phase III presentation: ESMO  NIAGARA       In a planned interim analysis, patients treated with the Imfinzi perioperative
                                             regimen showed a 32% reduction in the risk of disease progression, recurrence,
                                             not undergoing surgery, or death versus the comparator arm (EFS HR 0.68; 95%
                                             CI 0.56-0.82, p<0.0001). Estimated median EFS was not yet reached for the
                                             Imfinzi arm versus 46.1 months for the comparator arm. In addition, Imfinzi
                                             perioperative regimen reduced the risk of death by 25% versus neoadjuvant
                                             chemotherapy with radical cystectomy (OS HR 0.75; 95% CI 0.59-0.93, p=0.0106).
                                             (September 2024)
 Phase III presentation: ESMO  HIMALAYA      At five years of follow-up, latest exploratory analysis of HIMALAYA showed
                                             that a single priming dose of Imjudo added to Imfinzi, called the STRIDE
                                             regimen (Single Tremelimumab Regular Interval Durvalumab), reduced the risk of
                                             death by 24% compared to sorafenib (HR 0.76, 95% CI 0.65-0.89). An estimated
                                             19.6% of patients treated with the STRIDE regimen were alive at five years
                                             versus 9.4% of those treated with sorafenib. (September 2024)

 

Lynparza

 

 Event               Commentary
 Approval  Europe    Imfinzi plus chemotherapy as 1st-line treatment followed by Lynparza and
                     Imfinzi for patients with mismatch repair proficient disease. (DUO-E, August
                     2024)

 

Enhertu

 

 Event                                                   Commentary
 Approval                          China                 Conditional approval as monotherapy for the treatment of adult patients with
                                                         locally advanced or metastatic HER2-positive gastric or gastroesophageal
                                                         junction adenocarcinoma who have received two or more prior treatment
                                                         regimens. (DESTINY-Gastric06, August 2024)
 Phase IIIb/IV presentation: ESMO  DESTINY-Breast12      Enhertu demonstrated substantial overall and intracranial clinical activity in
                                                         a large cohort of patients with HER2-positive metastatic breast cancer who
                                                         have brain metastases and received no more than two prior lines of therapy in
                                                         the metastatic setting with a 12-month PFS rate of 61.6%. (September 2024)
 Priority Review                   US                    For the treatment of adult patients with unresectable or metastatic HER2-low
                                                         (IHC 1+ or IHC 2+/ISH-) or HER2-ultralow (IHC 0 with membrane staining) breast
                                                         cancer who have received at least one endocrine therapy in the metastatic
                                                         setting. (DESTINY-Breast06, October 2024)
 Approval                          China                 Conditional approval as monotherapy for the treatment of adult patients with
                                                         unresectable, locally advanced or metastatic NSCLC whose tumours have
                                                         activating HER2 mutations and who have received a prior systemic therapy.
                                                         (DESTINY-Lung02, DESTINY-Lung05, October 2024)

 

Calquence

 

 Event                                 Commentary
 Phase III trial readout  AMPLIFY      Interim analysis of AMPLIFY Phase III trial showed a fixed duration of

            Calquence in combination with venetoclax, with or without obinutuzumab,
                                       demonstrated a statistically significant and clinically meaningful improvement
                                       in PFS compared to standard-of-care chemoimmunotherapy in previously untreated
                                       adult patients with chronic lymphocytic leukaemia. (July 2024)
 Priority Review          US           For the treatment of adult patients with previously untreated mantle cell
                                       lymphoma. (ECHO, October 2024)

 

Datopotamab deruxtecan (Dato-DXd)

 

 Event                                               Commentary
 Phase III presentation: WCLC  TROPION-Lung01        Exploratory analysis of the TROPION-Lung01 Phase III trial showed TROP2 as

                     measured by AstraZeneca's proprietary computational pathology platform,
                                                     quantitative continuous scoring, was predictive of clinical outcomes in
                                                     patients with advanced or metastatic NSCLC who were treated with Dato-DXd.
                                                     (September 2024)
 Phase III presentation: WCLC  TROPION-Lung01        Demonstrated a clinically meaningful, but not statistically significant, trend

                     toward improving OS with Dato-DXd compared to docetaxel in patients with
                                                     locally advanced or metastatic non-squamous NSCLC treated with at least one
                                                     prior line of therapy (14.6 versus 12.3 months; HR 0.84; 95% CI 0.68-1.05). In
                                                     the overall trial population, OS results numerically favoured Dato-DXd
                                                     compared to docetaxel (12.9 versus 11.8 months) but did not reach statistical
                                                     significance (HR 0.94, 95% CI 0.78-1.14, p=0.530). (September 2024)
 Phase III trial readout       TROPION-Breast01      TROPION-Breast01 Phase III trial of Dato-DXd compared to investigator's choice
                                                     of chemotherapy, which previously met the dual primary endpoint of PFS, did
                                                     not achieve statistical significance in the final OS analysis in patients with
                                                     inoperable or metastatic hormone receptor-positive, HER2-low or negative (IHC
                                                     0, IHC 1+ or IHC 2+/ISH-) breast cancer previously treated with
                                                     endocrine-based therapy and at least one systemic therapy. (September 2024)
 Regulatory update             US                    Submission of a new Biologics License Application for accelerated approval for
                                                     Dato-DXd for the treatment of adult patients with locally advanced or
                                                     metastatic EGFRm NSCLC who have received prior systemic therapies, including
                                                     an EGFR-directed therapy. Voluntarily withdrawal of the Biologics License
                                                     Application for Dato-DXd for patients with advanced or metastatic non-squamous
                                                     NSCLC based on the TROPION-Lung01 Phase III trial. An additional trial in
                                                     biomarker-positive patients in the 2nd line non-squamous NSCLC setting is also
                                                     planned. (TROPION-Lung05, TROPION-PanTumor01, TROPION-Lung01, November 2024)

 

Zoladex

 

 Event                Commentary
 Approval  China      Zoladex 10.8mg for breast cancer in pre- and perimenopausal women suitable for

          hormonal manipulation. (Study 11, October 2024)

 

BioPharmaceuticals - CVRM

 

Wainua

 

 Event                         Commentary
 CHMP positive opinion  EU     For the treatment of hereditary transthyretin-mediated amyloidosis in adult

      patients with stage 1 or stage 2 polyneuropathy, commonly referred to as
                               hATTR-PN or ATTRv-PN. (NEURO-TTRansform, October 2024)

 

BioPharmaceuticals - R&I

 

Airsupra

 

 Event                              Commentary
 Phase III trial readout  BATURA    Interim analysis of the Phase IIIb BATURA trial showed Airsupra met the

         primary endpoint, demonstrating a statistically significant and clinically
                                    meaningful reduction in the risk of a severe exacerbation when used as an
                                    as-needed rescue medication in response to symptoms compared to as-needed
                                    albuterol. (October 2024)

 

Breztri

 

 Event                               Commentary
 Clinical program completion  NGP    Completion of the clinical programme to support the transition of Breztri to

      next-generation propellant with near-zero Global Warming Potential. (September
                                     2024) A Marketing Authorisation Application for Breztri with the
                                     next-generation propellant has been accepted by the European Medicines Agency
                                     (November 2024). Additional submissions in the UK and China expected before
                                     the end of 2024. (November 2024)

 

Fasenra

 

 Event                             Commentary
 Approval                US        For the treatment of adult patients with eosinophilic granulomatosis with
                                   polyangiitis. (MANDARA, September 2024)
 CHMP positive opinion   EU        As an add-on treatment for adult patients with relapsing or refractory
                                   eosinophilic granulomatosis with polyangiitis. (MANDARA, September 2024)
 Approval                China     For maintenance treatment of patients 12 years of age and older with severe
                                   eosinophilic asthma. (MIRACLE, August 2024)
 Phase III trial update  ORCHID    The Phase III ORCHID trial assessing Fasenra in chronic rhinosinusitis with

         nasal polyps and asthma did not meet the primary endpoints of improvement in
                                   the size of nasal polyps and in nasal blockage. The safety and tolerability
                                   profile for Fasenra in the trial was consistent with the known profile of the
                                   treatment. Results from ORCHID will be shared with the scientific community in
                                   the future. (November 2024)

 

Tezspire

 

 Event                                Commentary
 Phase III trial readout  WAYPOINT    Tezspire met both co-primary endpoints, demonstrating a statistically

           significant and clinically meaningful reduction in nasal polyp size and
                                      improved nasal congestion compared to placebo. (November 2024)

 

BioPharmaceuticals - V&I

 

FluMist

 

 Event           Commentary
 Approval  US    For self-administration by adults up to 49 years of age or as administered by
                 a parent/caregiver to individuals 2-17 years of age. FluMist is the only
                 influenza vaccine approved for self-administration in the US. (September 2024)

 

Rare Disease

 

Alexion, AstraZeneca Rare Disease, presented data from its leading gMG
portfolio at the American Association of Neuromuscular & Electrodiagnostic
Medicine Annual Meeting and the Myasthenia Gravis Foundation of America
Scientific Session in October 2024.

 

The company presented 11 abstracts, spanning clinical and real-world data,
which add to the extensive body of evidence supporting the safety and efficacy
of Ultomiris and Soliris in treating anti-acetylcholine receptor
antibody-positive gMG, and offer new insights to inform clinical practice.

 

Koselugo

 

 Event                             Commentary
 Phase III trial readout  KOMET    Positive high-level results of the Phase III KOMET trial in adults with NF1-PN
                                   showed that Koselugo met its primary endpoint demonstrating a statistically
                                   significant and clinically meaningful ORR versus placebo in these adult
                                   patients. (November 2024)

 

Interim financial statements

 

Table 18: Condensed consolidated statement of comprehensive income: 9M 2024

 

 For the nine months ended 30 September                                           2024      2023
                                                                                  $m        $m
 Total Revenue                                                                    39,182    33,787
 Product Sales                                                                    37,576    32,466
 Alliance Revenue                                                                 1,498     1,004
 Collaboration Revenue                                                            108       317
 Cost of sales                                                                    (7,482)   (5,960)
 Gross profit                                                                     31,700    27,827
 Distribution expense                                                             (412)     (394)
 Research and development expense                                                 (8,906)   (7,862)
 Selling, general and administrative expense                                      (14,567)  (13,845)
 Other operating income and expense                                               152       1,233
 Operating profit                                                                 7,967     6,959
 Finance income                                                                   394       236
 Finance expense                                                                  (1,313)   (1,181)
 Share of after tax losses in associates and joint ventures                       (23)      (12)
 Profit before tax                                                                7,025     6,002
 Taxation                                                                         (1,484)   (1,000)
 Profit for the period                                                            5,541     5,002
 Other comprehensive income:
 Items that will not be reclassified to profit or loss:
 Remeasurement of the defined benefit pension liability                           136       (1)
 Net gains on equity investments measured at fair value through other             264       45
 comprehensive income
 Fair value movements related to own credit risk on bonds designated as fair      12        5
 value through profit or loss
 Tax on items that will not be reclassified to profit or loss                     (50)      -
                                                                                  362       49
 Items that may be reclassified subsequently to profit or loss:
 Foreign exchange arising on consolidation                                        543       (201)
 Foreign exchange arising on designated liabilities in net investment hedges      (84)      (63)
 Fair value movements on cash flow hedges                                         (42)      62
 Fair value movements on cash flow hedges transferred to profit and loss          1         28
 Fair value movements on derivatives designated in net investment hedges          13        47
 Gains/(costs) of hedging                                                         2         (3)
 Tax on items that may be reclassified subsequently to profit or loss             16        (7)
                                                                                  449       (137)
 Other comprehensive income/(expense), net of tax                                 811       (88)
 Total comprehensive income for the period                                        6,352     4,914
 Profit attributable to:
 Owners of the Parent                                                             5,535     4,995
 Non-controlling interests                                                        6         7
                                                                                  5,541     5,002
 Total comprehensive income attributable to:
 Owners of the Parent                                                             6,346     4,907
 Non-controlling interests                                                        6         7
                                                                                  6,352     4,914
 Basic earnings per $0.25 Ordinary Share                                          $3.57     $3.22
 Diluted earnings per $0.25 Ordinary Share                                        $3.54     $3.20
 Weighted average number of Ordinary Shares in issue (millions)                   1,550     1,549
 Diluted weighted average number of Ordinary Shares in issue (millions)           1,562     1,560

 

Table 19: Condensed consolidated statement of comprehensive income: Q3 2024

 

 For the quarter ended 30 September
                                                                                  2024       2023
                                                                                  $m         $m
 Total Revenue                                                                    13,565     11,492
 Product Sales                                                                    12,947     11,018
 Alliance Revenue                                                                 559        377
 Collaboration Revenue                                                            59         97
 Cost of sales                                                                    (3,081)    (2,095)
 Gross profit                                                                     10,484     9,397
 Distribution expense                                                             (145)      (129)
 Research and development expense                                                 (3,115)    (2,584)
 Selling, general and administrative expense                                      (5,143)    (4,800)
 Other operating income and expense                                               25         70
 Operating profit                                                                 2,106      1,954
 Finance income                                                                   183        101
 Finance expense                                                                  (457)      (392)
 Share of after tax losses in associates and joint ventures                       (4)        (11)
 Profit before tax                                                                1,828      1,652
 Taxation                                                                         (395)      (274)
 Profit for the period                                                            1,433      1,378
 Other comprehensive income:
 Items that will not be reclassified to profit or loss:
 Remeasurement of the defined benefit pension liability                           35         (8)
 Net gains on equity investments measured at fair value through other             175        93
 comprehensive income
 Fair value movements related to own credit risk on bonds designated as fair      -          1
 value through profit or loss
 Tax on items that will not be reclassified to profit or loss                     (23)       5
                                                                                  187        91
 Items that may be reclassified subsequently to profit or loss:
 Foreign exchange arising on consolidation                                        1,097      (306)
 Foreign exchange arising on designated liabilities in net investment hedges      12         38
 Fair value movements on cash flow hedges                                         96         (27)
 Fair value movements on cash flow hedges transferred to profit and loss          (101)      99
 Fair value movements on derivatives designated in net investment hedges          (32)       7
 Costs of hedging                                                                 (12)       (2)
 Tax on items that may be reclassified subsequently to profit or loss             (22)       (19)
                                                                                  1,038      (210)
 Other comprehensive income/(expense), net of tax                                 1,225      (119)
 Total comprehensive income for the period                                        2,658      1,259
 Profit attributable to:
 Owners of the Parent                                                             1,429      1,374
 Non-controlling interests                                                        4          4
                                                                                  1,433      1,378
 Total comprehensive income attributable to:
 Owners of the Parent                                                             2,654      1,255
 Non-controlling interests                                                        4          4
                                                                                  2,658      1,259
 Basic earnings per $0.25 Ordinary Share                                          $0.92      $0.89
 Diluted earnings per $0.25 Ordinary Share                                        $0.91      $0.88
 Weighted average number of Ordinary Shares in issue (millions)                   1,550      1,549
 Diluted weighted average number of Ordinary Shares in issue (millions)           1,562      1,560

 

Table 20: Condensed consolidated statement of financial position

 

                                                                        At 30 Sep                At 31 Dec  At 30 Sep

                                                                        2024                     2023       2023
                                                                        $m                       $m         $m
 Assets

 Non-current assets
 Property, plant and equipment                                          10,135                   9,402      8,723
 Right-of-use assets                                                    1,378                    1,100      977
 Goodwill                                                               21,139                   20,048     19,939
 Intangible assets                                                      39,394                   38,089     37,687
 Investments in associates and joint ventures                           290                      147        62
 Other investments                                                      1,855                    1,530      1,228
 Derivative financial instruments                                       319                      228        151
 Other receivables                                                      915                      803        761
 Deferred tax assets                                                    5,342                    4,718      4,057
                                                                        80,767                   76,065     73,585
 Current assets
 Inventories                                                            5,662                    5,424      5,292
 Trade and other receivables                                            11,879                   12,126     11,300
 Other investments                                                      133                      122        244
 Derivative financial instruments                                       16                       116        97
 Income tax receivable                                                  1,668                    1,426      697
 Cash and cash equivalents                                              4,797                    5,840      4,871
                                                                        24,155                   25,054     22,501
 Total assets                                                           104,922                  101,119    96,086
 Liabilities

 Current liabilities
 Interest-bearing loans and borrowings                                  (1,253)                  (5,129)    (5,372)
 Lease liabilities                                                      (317)                    (271)      (235)
 Trade and other payables                                               (21,684)                 (22,374)   (20,542)
 Derivative financial instruments                                       (17)                     (156)      (83)
 Provisions                                                             (1,187)                  (1,028)    (1,193)
 Income tax payable                                                     (1,468)                  (1,584)    (1,163)
                                                                        (25,926)                 (30,542)   (28,588)
 Non-current liabilities
 Interest-bearing loans and borrowings                                  (28,887)                 (22,365)   (22,225)
 Lease liabilities                                                      (1,105)                  (857)      (744)
 Derivative financial instruments                                       (34)                     (38)       (75)
 Deferred tax liabilities                                               (3,568)                  (2,844)    (2,752)
 Retirement benefit obligations                                         (1,361)                  (1,520)    (1,048)
 Provisions                                                             (1,063)                  (1,127)    (1,189)
 Income tax payable                                                     (174)                    -          -
 Other payables                                                         (1,999)                  (2,660)    (2,244)
                                                                        (38,191)                 (31,411)   (30,277)
 Total liabilities                                                      (64,117)                 (61,953)   (58,865)
 Net assets                                                             40,805                   39,166     37,221
 Equity

 Capital and reserves attributable to equity holders of the Parent

 Share capital                                                          388                      388        387
 Share premium account                                                  35,203                   35,188     35,166
 Other reserves                                                         1,990                    2,065      2,078
 Retained earnings                                                      3,138                    1,502      (434)
                                                                        40,719                   39,143     37,197
 Non-controlling interests                                              86                       23         24
 Total equity                                                           40,805                   39,166     37,221

 

Table 21: Condensed consolidated statement of changes in equity

 

                                                        Share capital  Share premium account  Other reserves  Retained earnings  Total attributable to owners of the parent  Non-controlling interests  Total equity
                                                        $m             $m                     $m              $m                 $m                                          $m                         $m
 At 1 Jan 2023                                          387            35,155                 2,069           (574)              37,037                                      21                         37,058
 Profit for the period                                  -              -                      -               4,995              4,995                                       7                          5,002
 Other comprehensive expense                            -              -                      -               (88)               (88)                                        -                          (88)
 Transfer to other reserves                             -              -                      9               (9)                -                                           -                          -
 Transactions with owners
 Dividends                                              -              -                      -               (4,487)            (4,487)                                     -                          (4,487)
 Dividends paid to non-controlling interests            -              -                      -               -                  -                                           (4)                        (4)
 Issue of Ordinary Shares                               -              11                     -               -                  11                                          -                          11
 Share-based payments charge for the period             -              -                      -               429                429                                         -                          429
 Settlement of share plan awards                        -              -                      -               (700)              (700)                                       -                          (700)
 Net movement                                           -              11                     9               140                160                                         3                          163
 At 30 Sep 2023                                         387            35,166                 2,078           (434)              37,197                                      24                         37,221

 At 1 Jan 2024                                          388            35,188                 2,065           1,502              39,143                                      23                         39,166
 Profit for the period                                  -              -                      -               5,535              5,535                                       6                          5,541
 Other comprehensive income                             -              -                      -               811                811                                         -                          811
 Transfer to other reserves                             -              -                      1               (1)                -                                           -                          -
 Transactions with owners
 Dividends                                              -              -                      -               (4,602)            (4,602)                                     -                          (4,602)
 Dividends paid to non-controlling interests            -              -                      -               -                  -                                           (4)                        (4)
 Issue of Ordinary Shares                               -              15                     -               -                  15                                          -                          15
 Changes in non-controlling interests                   -              -                      -               -                  -                                           61                         61
 Movement in shares held by Employee Benefit Trust      -              -                      (76)            -                  (76)                                        -                          (76)
 Share-based payments charge for the period             -              -                      -               487                487                                         -                          487
 Settlement of share plan awards                        -              -                      -               (594)              (594)                                       -                          (594)
 Net movement                                           -              15                     (75)            1,636              1,576                                       63                         1,639
 At 30 Sep 2024                                         388            35,203                 1,990           3,138              40,719                                      86                         40,805

 

Table 22: Condensed consolidated statement of cash flows: 9M 2024

 

 For the nine months ended 30 September    2024    2023
                                           $m      $m

 

 Cash flows from operating activities
 Profit before tax                                                            7,025     6,002
 Finance income and expense                                                   919       945
 Share of after tax losses of associates and joint ventures                   23        12
 Depreciation, amortisation and impairment                                    4,351     4,060
 Movement in working capital and short-term provisions                        (543)     150
 Gains on disposal of intangible assets                                       (34)      (247)
 Fair value movements on contingent consideration arising from business       251       202
 combinations
 Non-cash and other movements                                                 15        (623)
 Cash generated from operations                                               12,007    10,501
 Interest paid                                                                (1,075)   (826)
 Tax paid                                                                     (1,978)   (1,710)
 Net cash inflow from operating activities                                    8,954     7,965

 Cash flows from investing activities
 Acquisition of subsidiaries, net of cash acquired                            (2,771)   (189)
 Payments upon vesting of employee share awards attributable to business      -         (84)
 combinations
 Payment of contingent consideration from business combinations               (737)     (610)
 Purchase of property, plant and equipment                                    (1,216)   (836)
 Disposal of property, plant and equipment                                    53        131
 Purchase of intangible assets                                                (2,415)   (1,996)
 Disposal of intangible assets                                                107       288
 Movement in profit-participation liability                                   -         190
 Purchase of non-current asset investments                                    (96)      (109)
 Disposal of non-current asset investments                                    73        32
 Movement in short-term investments, fixed deposits and other investing       67        (12)
 instruments
 Payments to associates and joint ventures                                    (158)     -
 Disposal of investments in associates and joint ventures                     13        -
 Interest received                                                            281       208
 Net cash (outflow) from investing activities                                 (6,799)   (2,987)
 Net cash inflow before financing activities                                  2,155     4,978

 Cash flows from financing activities
 Proceeds from issue of share capital                                         15        12
 Own shares purchased by Employee Benefit Trust                               (81)      -
 Issue of loans and borrowings                                                6,492     3,816
 Repayment of loans and borrowings                                            (4,647)   (4,655)
 Dividends paid                                                               (4,626)   (4,479)
 Hedge contracts relating to dividend payments                                16        (19)
 Repayment of obligations under leases                                        (233)     (194)
 Movement in short-term borrowings                                            572       110
 Payment of Acerta Pharma share purchase liability                            (833)     (867)
 Net cash (outflow) from financing activities                                 (3,325)   (6,276)
 Net (decrease) in Cash and cash equivalents in the period                    (1,170)   (1,298)
 Cash and cash equivalents at the beginning of the period                     5,637     5,983
 Exchange rate effects                                                        (32)      (66)
 Cash and cash equivalents at the end of the period                           4,435     4,619
 Cash and cash equivalents consist of:
 Cash and cash equivalents                                                    4,797     4,871
 Overdrafts                                                                   (362)     (252)
                                                                              4,435     4,619

 

Notes to the Interim financial statements

 

Note 1: Basis of preparation and accounting policies

 

These unaudited condensed consolidated Interim financial statements for the
nine months ended 30 September 2024 have been prepared in accordance with
International Accounting Standard 34, 'Interim Financial Reporting' (IAS 34),
as issued by the International Accounting Standards Board (IASB), IAS 34 as
adopted by the European Union, UK-adopted IAS 34 and the Disclosure Guidance
and Transparency Rules sourcebook of the United Kingdom's Financial Conduct
Authority and with the requirements of the Companies Act 2006 as applicable to
companies reporting under those standards.

 

The unaudited Interim financial statements for the nine months ended 30
September 2024 were approved by the Board of Directors for publication on 12
November 2024.

 

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

 

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

 

Going concern

The Group has considerable financial resources available. As at 30 September
2024, the Group has $11.7bn in financial resources (cash and cash equivalent
balances of $4.8bn and undrawn committed bank facilities of $6.9bn, with
$1.6bn of borrowings due within one year). These facilities contain no
financial covenants and were undrawn at 30 September 2024. There are $4.9bn of
undrawn committed bank facilities are available until April 2029.
Additionally, there are a further $2.0bn undrawn committed bank facilities
available until February 2025.

 

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

 

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

 

Legal proceedings

The information contained in Note 6 updates the disclosures concerning legal
proceedings and contingent liabilities in the Group's Annual Report and Form
20-F Information 2023.
(https://www.astrazeneca.com/content/dam/az/Investor_Relations/annual-report-2023/pdf/AstraZeneca_AR_2023.pdf)

 

Employee Benefit Trust

Following an amendment to the Employee Benefit Trust (EBT) Deed on 10 June
2024, AstraZeneca obtained control and commenced consolidation of the EBT.
Accordingly, cash paid on purchases of AstraZeneca Ordinary shares or American
Depositary Receipts is presented within Financing activities in the Cash flow
statement.

 

Note 2: Intangible assets

 

In accordance with IAS 36 'Impairment of Assets', reviews for triggers of
impairment or impairment reversals at an individual asset or cash generating
unit level were conducted, and impairment tests carried out where triggers
were identified. Following a strategic review of our portfolio priorities, the
business decision was made to cease promotional activity for Andexxa
resulting in impairment charges of $504m recorded against the Andexxa
intangible asset under value in use model applying a discount rate of 7.5%
(revised carrying amount: $nil), total net impairment charges of $525m have
been recorded against intangible assets during the nine months ended 30
September 2024 (9M 2023: $376m net charge). In 9M 2023, net impairment charges
included the $244m impairment of the ALXN1840 intangible asset, following the
decision to discontinue this development programme in Wilson's disease.

 

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

 

The acquisition of Amolyt Pharma completed on 15 July 2024. The transaction is
recorded as an asset acquisition based on the concentration test permitted
under IFRS 3 'Business Combinations', with consideration of $857m principally
relating to $800m of intangible assets and $98m of cash and cash equivalents.
Contingent consideration of up to $250m could be paid on achievement of a
regulatory milestone; this potential liability would be recorded when the
relevant recognition event for a regulatory milestone is achieved.

 

Note 3: Net debt

 

The table below provides an analysis of Net debt and a reconciliation of Net
Cash flow to the movement in Net debt. The Group monitors Net debt as part of
its capital management policy as described in Note 28 of the Annual Report and
Form 20-F Information 2023
(https://www.astrazeneca.com/content/dam/az/Investor_Relations/annual-report-2023/pdf/AstraZeneca_AR_2023.pdf)
. Net debt is a non-GAAP financial measure.

 

Table 23: Net debt

 

                                                         At 1 Jan 2024  Cash flow  Acquisitions  Non-cash      Exchange movements  At 30 Sep 2024
                                                                                                 & other
                                                         $m             $m         $m            $m            $m                  $m
 Non-current instalments of loans                        (22,365)       (6,499)    (3)           69            (89)                (28,887)
 Non-current instalments of leases                       (857)          1          (12)          (233)         (4)                 (1,105)
 Total long-term debt                                    (23,222)       (6,498)    (15)          (164)         (93)                (29,992)
 Current instalments of loans                            (4,614)        4,586      (9)           (3)           28                  (12)
 Current instalments of leases                           (271)          271        (6)           (311)         -                   (317)
 Commercial paper                                        -              (472)      -             -             -                   (472)
 Collateral received from derivative counterparties                     (72)       -             -             -                   (287)

                                                         (215)
 Other short-term borrowings excluding overdrafts                       (28)       -             (1)           6                   (120)

                                                         (97)
 Overdrafts                                              (203)          (158)      -             1             (2)                 (362)
 Total current debt                                      (5,400)        4,127      (15)          (314)         32                  (1,570)
 Gross borrowings                                        (28,622)       (2,371)    (30)          (478)         (61)                (31,562)
 Net derivative financial instruments                    150            41         -             93            -                   284
 Net borrowings                                          (28,472)       (2,330)    (30)          (385)         (61)                (31,278)
 Cash and cash equivalents                               5,840          (1,254)    242           (1)           (30)                4,797
 Other investments - current                             122            (67)       87            -             (9)                 133
 Cash and investments                                    5,962          (1,321)    329           (1)           (39)                4,930
 Net debt                                                (22,510)       (3,651)    299           (386)         (100)               (26,348)

 

Net debt increased by $3,838m in the nine months to $26,348m. Details of the
committed undrawn bank facilities are disclosed within the going concern
section of Note 1. Non-cash movements in the period include fair value
adjustments under IFRS 9 'Financial Instruments'.

 

In February 2024, AstraZeneca issued the following:

 

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

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

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

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

 

In August 2024, AstraZeneca issued the following:

 

-     €650m of fixed-rate notes with a coupon of 3.121% maturing in
August 2030

-     €750m of fixed-rate notes with a coupon of 3.278% maturing in
August 2033

 

AstraZeneca repaid two bonds of carrying value $2,569m and floating rate bank
loans of $2,000m during the nine months which are included in the cash outflow
from Repayment of loans and borrowings of $4,647m.

 

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 30 September 2024 was $287m (31 December 2023: $215m) and the
carrying value of such cash collateral posted by the Group at 30 September
2024 was $68m (31 December 2023: $102m).

 

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

 

During the quarter ended 30 September 2024, Standard and Poor's upgraded the
Company's solicited long term credit rating to A+ from A. The short term
rating remained at A-1. There were no changes to Moody's credit ratings (long
term: A2; short term: P-1).

 

Note 4: Financial Instruments

 

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

 

The Group has certain equity investments that are categorised as Level 3 in
the fair value hierarchy that are held at $370m (31 December 2023: $313m) and
for which a fair value gain of $nil has been recognised in the nine months
ended 30 September 2024 (9M 2023: $17m). 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 nine months
ended 30 September 2024, are Level 1 fair value measurements, valued based on
quoted prices in active markets.

 

Financial instruments measured at fair value include $1,920m of other
investments, $3,408m held in money-market funds and $284m of derivatives as at
30 September 2024. With the exception of derivatives being Level 2 fair
valued, and certain equity instruments of $379m categorised as Level 3, the
aforementioned balances are Level 1 fair valued. Financial instruments
measured at amortised cost include $68m of cash collateral pledged to
counterparties. The total fair value of interest-bearing loans and borrowings
at 30 September 2024, which have a carrying value of $31,562m in the Condensed
consolidated statement of financial position, was $31,396m.

 

Table 24: Financial instruments - contingent consideration

 

       2024      2023

 

                                              Diabetes alliance  Other  Total    Total
                                              $m                 $m     $m       $m
 At 1 January                                 1,945              192    2,137    2,222
 Additions through business combinations      -                  198    198      60
 Settlements                                  (736)              (1)    (737)    (610)
 Revaluations                                 220                32     252      202
 Discount unwind                              77                 8      85       99
 At 30 September                              1,506              429    1,935    1,973

 

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 $1,506m (31 December 2023: $1,945m) would
increase/decrease by $151m with an increase/decrease in sales of 10%, as
compared with the current estimates.

 

Note 5: Business combinations

 

Gracell

 

On 22 February 2024, AstraZeneca completed the acquisition of Gracell
Biotechnologies Inc. (Gracell), a global clinical-stage biopharmaceutical
company developing innovative cell therapies for the treatment of cancer and
autoimmune diseases.

 

The purchase price allocation review has been completed, currently there are
no changes to the amounts reported in the H1 and Q2 2024 results announcement.
The transaction is recorded as a business combination using the acquisition
method of accounting in accordance with IFRS 3 'Business Combinations'.

 

The total consideration fair value of $1,037m includes cash consideration of
$983m and future regulatory milestone-based consideration of $54m. Intangible
assets recognised relate to products in development, principally AZD0120.
Goodwill of $136m has been recognised.  Gracell's results have been
consolidated into the Group's results from 22 February 2024.

 

Fusion

 

On 4 June 2024, AstraZeneca completed the acquisition of Fusion
Pharmaceuticals Inc., (Fusion) a clinical-stage biopharmaceutical company
developing next-generation radioconjugates.

 

The purchase price allocation review has been completed, currently there are
no changes to the amounts reported in the H1 and Q2 2024 results announcement.
The transaction is recorded as a business combination using the acquisition
method of accounting in accordance with IFRS 3 'Business Combinations'.

 

The total consideration fair value of $2,195m includes cash consideration of
$2,051m and future regulatory milestone-based consideration of $144m.
Intangible assets relating to products in development comprise the FPI-2265
($848m), FPI-2059 ($165m) and AZD2068 ($313m) programmes. Goodwill of $947m
has been recognised. Fusion's results have been consolidated into the Group's
results from 4 June 2024.

 
Note 6: Legal proceedings and contingent liabilities

 

AstraZeneca is involved in various legal proceedings considered typical to its
business, including litigation and investigations, including Government
investigations, relating to product liability, commercial disputes,
infringement of intellectual property (IP) rights, the validity of certain
patents, anti-trust law and sales and marketing practices. The matters
discussed below constitute the more significant developments since publication
of the disclosures concerning legal proceedings in the Company's Annual Report
and Form 20-F Information 2023 and the Interim Financial Statements for the
six months ended 30 June 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 Company made, and upon which the Company have relied in
calculating these provisions are inherently imprecise. There can, therefore,
be no assurance that any losses that result from the outcome of any legal
proceedings will not exceed the amount of the provisions that have been booked
in the accounts. The major factors causing this uncertainty are described more
fully in the Disclosures and herein.

 

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

 

Matters disclosed in respect of the third quarter of 2024 and to 12 November
2024

 

Table 25: Patent litigation

 

 Legal proceedings brought against AstraZeneca
 Faslodex patent proceedings, Japan          *   In 2021 in Japan, AstraZeneca received notice from the Japan Patent

                                           Office (JPO) that Sandoz K.K. (Sandoz) and Sun Pharma Japan Ltd. (Sun) were
                                             seeking to invalidate the Faslodex formulation patent.

 Considered to be a contingent asset         *   AstraZeneca defended the challenged patent and Sun withdrew from the JPO
                                             patent challenge.

                                             *   In July 2023, the JPO issued a final decision upholding various claims
                                             of the challenged patent and determining that other patent claims were
                                             invalid.

                                             *   In August 2023, Sandoz appealed the JPO decision to the Japan IP High
                                             Court (High Court).

                                             *   In October 2024, the High Court affirmed the decision by the JPO.
 Tagrisso patent proceedings, US             *   In September 2021, Puma Biotechnology, Inc. (Puma) and Wyeth LLC (Wyeth)

                                           filed a patent infringement lawsuit in the US District Court for the District
                                             of Delaware (District Court) against AstraZeneca relating to Tagrisso.

 Considered to be a contingent liability     *   In March 2024, the District Court dismissed Puma.

                                             *   The jury trial, with Wyeth as the plaintiff, took place in May 2024. The
                                             jury found Wyeth's patents infringed and awarded Wyeth $107.5m in past
                                             damages. The jury also found that the infringement was not wilful.

                                             *   In proceedings following the jury award, the District Court rejected
                                             AstraZeneca's indefiniteness and equitable defences but granted judgment as a
                                             matter of law in favour of AstraZeneca on the grounds that the patents were
                                             invalid for lack of written description and enablement. Wyeth has filed an
                                             appeal.
 Legal proceedings brought by AstraZeneca
 Lokelma patent proceedings, US              *   In August 2022, in response to Paragraph IV notices, AstraZeneca

                                           initiated ANDA litigation against multiple generic filers in the US District
                                             Court for the District of Delaware (District Court). AstraZeneca alleged that

                                           a generic version of Lokelma would infringe patents that are owned or licensed
 Considered to be a contingent asset         by AstraZeneca.

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

                                             *   Additional proceedings with the remaining generic manufacturer are
                                             ongoing in the District Court. Trial is scheduled for March 2025.
 Soliris patent proceedings, Canada          *   In May 2023, Alexion initiated patent litigation in Canada alleging that

                                           Amgen Pharmaceuticals, Inc.'s (Amgen) biosimilar eculizumab product will
                                             infringe Alexion patents.

 Considered to be a contingent asset         *   In September 2023, Alexion initiated patent litigations in Canada
                                             alleging that Samsung Bioepis Co. Ltd.'s (Samsung) biosimilar eculizumab
                                             product will infringe Alexion 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 is scheduled to begin in January 2025 while 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 Alexion's patent relating to the use of
                                             eculizumab in treating aHUS. Trial is scheduled to begin in November 2025.
 Soliris patent proceedings, US              *   In January 2024, Alexion initiated patent infringement litigation

                                           against Samsung Bioepis Co. Ltd. (Samsung) in the US District Court for the
                                             District of Delaware (District Court) alleging that Samsung's biosimilar

                                           eculizumab product, for which Samsung is currently seeking FDA approval, will
 Matter concluded                            infringe six Soliris-related patents.

                                             *   Five of the six asserted patents were also the subject of inter partes
                                             review proceedings before the US Patent and Trademark Office.

                                             *   Alexion filed a motion for a preliminary injunction seeking to enjoin
                                             Samsung from launching its biosimilar eculizumab product upon FDA approval.
                                             The District Court denied Alexion's motion and Alexion appealed that decision.

                                             *   In August 2024, the parties reached resolution of the matter. All legal
                                             proceedings in the US courts have terminated, as have the inter partes review
                                             proceedings.
 Tagrisso patent proceedings, Russia         *   In Russia, in August 2023, AstraZeneca filed lawsuits in the Arbitration

                                           Court of the Moscow Region (Court) against the Ministry of Health of the
                                             Russian Federation and Axelpharm LLC (Axelpharm) related to Axelpharm's

                                           improper use of AstraZeneca's information to obtain authorisation to market a
 Considered to be a contingent asset         generic version of Tagrisso. In December 2023, the Court dismissed the lawsuit
                                             against the Ministry of Health of the Russian Federation. The appellate court
                                             affirmed the dismissal in March 2024. AstraZeneca filed a further appeal,
                                             which was dismissed in July 2024. The lawsuit against Axelpharm was dismissed
                                             in September 2024, and AstraZeneca appealed.

                                             *   In November 2023, Axelpharm filed a compulsory licensing action against
                                             AstraZeneca in the Court related to a patent that covers Tagrisso. The
                                             compulsory licensing action remains pending. AstraZeneca has also challenged
                                             before the Russian Patent and Trademark Office (PTO) the validity of the
                                             Axelpharm patent on which the compulsory licensing action is predicated; in
                                             August 2024, the PTO determined that Axelpharm's patent is invalid.

                                             *   In July 2024, AstraZeneca filed a patent infringement lawsuit, which
                                             remains pending, and an unfair competition claim with the Federal
                                             Anti-Monopoly Service of Russia (FAS) against AxelPharm and others related to
                                             the securing of state contracts in Russia for its generic version of
                                             Osimertinib.

                                             *   In August 2024, FAS initiated an unfair competition case against
                                             Axelpharm and OncoTarget based on AstraZeneca's unfair competition claim.

                                             *   In November 2024, FAS determined that Axelpharm had committed unfair
                                             competition and that OncoTarget had not; FAS ordered Axelpharm to cease sales
                                             of its generic osimertinib and pay the Russian government the income it
                                             received from its sales of its generic osimertinib.

 

Table 26: Commercial litigation

 

 Legal proceedings brought against AstraZeneca
 Amyndas Trade Secrets Litigation, US          *   AstraZeneca has been defending a matter filed

                                             by Amyndas Pharmaceuticals Member P.C. and Amyndas Pharmaceuticals, LLC,
                                               in the US District Court for the District of Massachusetts alleging trade

                                             secret misappropriation and breach of contract claims against Alexion and
 Considered to be a contingent liability       Zealand Pharma U.S. Inc. related to Amyndas' C3 inhibitor candidate.

                                               *   No trial date has been set.
 Caelum Trade Secrets Litigation, US           *   AstraZeneca has been defending a matter filed by the University of

                                             Tennessee Research Foundation in the US District Court for the Eastern
                                               District of Tennessee related to CAEL-101.

 Matter concluded                              *   In September 2024, the parties resolved the matter by settlement.
 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
                                               several putative class action lawsuits that were purportedly brought on behalf

                                             of classes of direct purchasers or end payors of Seroquel XR, that allege
 Considered to be a contingent liability       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 and the parties are now seeking judicial review and
                                               approval of the settlement.

                                               *   Trial with the remaining class of plaintiffs is currently scheduled for
                                               May 2025.
 Syntimmune Milestone Litigation, US           *   In connection with Alexion's acquisition of Syntimmune, Inc.

                                             (Syntimmune) in December 2020, Alexion was served with a lawsuit filed by the
                                               stockholders' representative for Syntimmune in Delaware state court that

                                             alleged, among other things, breaches of the 2018 merger agreement.
 Considered to be a contingent liability

                                               *   The stockholders' representative alleges that Alexion failed to meet its
                                               obligations under the merger agreement to use commercially reasonable efforts
                                               to achieve the milestones. Alexion also filed a claim for breach of the
                                               representations in the 2018 merger agreement.

                                               *   A trial was held in July 2023.

                                               *   The court issued a partial decision in September 2024, concluding that
                                               the first milestone was achieved, and that Alexion had breached its
                                               contractual obligation to use commercially reasonable efforts to achieve the
                                               milestones. The court has requested additional briefing regarding damages and
                                               further proceedings regarding Alexion's claim for breach.
 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,
                                               Defendants), on behalf of a putative class of Viela Bio, Inc. (Viela)

                                             shareholders. The complaint alleged that the Defendants breached their
 Considered to be a contingent liability       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.

 

Table 27: Government investigations and proceedings

 

 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
                                         constitutionality of each state's 340B statute.

 Considered to be a contingent asset     *   In the Arkansas matter, trial is scheduled for April 2025. An intervenor
                                         has moved to dismiss AstraZeneca's complaint.

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

                                         *   In the Maryland matter, the Court has rejected AstraZeneca's preliminary
                                         injunction motion. The state's motion to dismiss remains pending.

                                         *   In the Minnesota matter, the state has moved to dismiss AstraZeneca's
                                         complaint.

                                         *   In the Mississippi matter, AstraZeneca has moved for a preliminary
                                         injunction.

                                         *   The remaining matters are in their preliminary stages.

 

Other

 

Additional government inquiries

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

 

Note 7
Table 28: 9M 2024 - Product Sales year-on-year analysis 14 

 

     World  US  Emerging Markets  Europe  Established RoW

 

                              $m        Act % chg  CER % chg  $m        % chg  $m        Act % chg  CER % chg  $m       Act % chg  CER % chg  $m       Act % chg  CER % chg
 Oncology                     14,934    18         21         6,870     22     3,445     18         28         3,000    24         23         1,619    (4)        4
 Tagrisso                     4,877     11         15         1,996     19     1,365     8          16         956      16         16         560      (10)       (2)
 Imfinzi                      3,463     18         22         1,883     18     365       37         61         695      30         29         520      (3)        6
 Calquence                    2,321     26         27         1,617     21     116       68         90         489      38         38         99       23         27
 Lynparza                     2,228     8          10         954       6      475       16         25         612      13         12         187      (13)       (7)
 Enhertu                      397       n/m        n/m        -         -      258       n/m        n/m        92       n/m        n/m        47       n/m        n/m
 Zoladex                      817       17         24         11        (4)    622       19         28         111      14         13         73       7          15
 Imjudo                       208       30         32         134       25     11        n/m        n/m        26       n/m        n/m        37       (8)        1
 Truqap                       267       n/m        n/m        260       n/m    2         n/m        n/m        2        n/m        n/m        3        n/m        n/m
 Orpathys                     34        4          7          -         -      34        4          7          -        -          -          -        -          -
 Others                       322       (18)       (12)       15        5      197       (18)       (13)       17       (34)       (34)       93       (15)       (7)
 BioPharmaceuticals: CVRM     9,316     18         21         2,221     13     4,146     18         24         2,385    31         30         564      (3)        5
 Farxiga                      5,723     31         34         1,278     28     2,225     35         41         1,903    40         39         317      (9)        (1)
 Brilinta                     992       -          1          543       (1)    232       4          11         203      -          (1)        14       (21)       (18)
 Crestor                      892       4          9          33        (18)   726       7          12         32       (22)       (22)       101      -          9
 Seloken/Toprol-XL            465       (6)        (1)        -         84     452       (6)        (1)        10       27         27         3        (47)       (45)
 Lokelma                      392       31         34         181       16     68        84         90         66       61         61         77       17         30
 roxadustat                   257       23         26         -         -      257       23         26         -        -          -          -        -          -
 Andexxa                      159       24         26         61        7      3         n/m        n/m        60       38         37         35       25         39
 Wainua                       44        n/m        n/m        44        n/m    -         -          -          -        -          -          -        -          -
 Others                       392       (27)       (26)       81        (52)   183       (19)       (14)       111      (16)       (15)       17       11         9
 BioPharmaceuticals: R&I      5,431     20         23         2,419     27     1,489     13         20         1,026    21         20         497      9          14
 Symbicort                    2,195     19         22         887       51     653       9          19         415      2          1          240      (2)        -
 Fasenra                      1,218     7          8          750       4      68        43         52         294      12         11         106      (1)        6
 Pulmicort                    517       5          9          13        (39)   427       9          14         51       4          2          26       (13)       (9)
 Breztri                      721       51         53         367       40     199       62         68         102      86         85         53       42         51
 Tezspire                     168       n/m        n/m        -         -      8         n/m        n/m        105      n/m        n/m        55       n/m        n/m
 Saphnelo                     327       71         72         294       65     5         n/m        n/m        17       n/m        n/m        11       66         82
 Airsupra                     41        n/m        n/m        41        n/m    -         -          -          -        -          -          -        -          -
 Others                       244       (26)       (25)       67        (48)   129       (15)       (12)       42       4          3          6        (13)       (11)
 BioPharmaceuticals: V&I      680       2          5          201       n/m    168       (7)        1          189      (6)        (8)        122      (48)       (44)
 Synagis                      346       (10)       (4)        (1)       n/m    168       6          15         80       (26)       (27)       99       (15)       (7)
 Beyfortus                    188       n/m        n/m        148       n/m    -         n/m        n/m        39       n/m        n/m        1        n/m        n/m
 FluMist                      109       40         37         26        61     -         n/m        n/m        61       5          1          22       n/m        n/m
 COVID-19 mAbs                31        (75)       (75)       28        n/m    -         n/m        n/m        3        (59)       (60)       -        n/m        n/m
 Others                       6         (79)       (80)       -         -      -         (99)       n/m        6        (43)       (45)       -        n/m        n/m
 Rare Disease                 6,391     10         14         3,842     11     628       29         56         1,189    2          1          732      9          18
 Ultomiris                    2,835     32         35         1,629     29     92        97         n/m        649      31         30         465      37         50
 Soliris                      2,045     (16)       (11)       1,170     (11)   365       8          39         346      (35)       (35)       164      (34)       (31)
 Strensiq                     996       18         19         815       18     39        34         48         73       15         14         69       8          18
 Koselugo                     366       49         55         156       9      108       n/m        n/m        74       93         93         28       81         99
 Kanuma                       149       15         16         72        15     24        (1)        7          47       25         25         6        8          16
 Other medicines              824       (9)        (4)        87        (17)   564       (3)        5          75       12         12         98       (38)       (33)
 Nexium                       670       (9)        (2)        77        (13)   458       -          9          40       12         10         95       (37)       (33)
 Others                       154       (12)       (10)       10        (35)   106       (13)       (10)       35       13         13         3        (53)       (49)
 Total Product Sales          37,576    16         19         15,640    19     10,440    16         25         7,864    20         20         3,632    (4)        3

 

 

Table 29: Q3 2024 - Product Sales year-on-year analysis 15 

 

     World  US  Emerging Markets  Europe  Established RoW

 

                              $m        Act % chg  CER % chg  $m       % chg  $m       Act % chg  CER % chg  $m       Act % chg  CER % chg  $m       Act % chg  CER % chg
 Oncology                     5,197     18         21         2,484    25     1,145    18         28         1,032    22         22         536      (8)        (3)
 Tagrisso                     1,674     14         17         714      24     446      9          16         328      17         17         186      (6)        (1)
 Imfinzi                      1,203     13         16         680      19     120      40         66         236      16         16         167      (19)       (15)
 Calquence                    813       24         25         570      22     41       47         70         169      32         32         33       11         14
 Lynparza                     778       11         13         347      8      155      18         24         214      21         21         62       (12)       (8)
 Enhertu                      148       n/m        n/m        -        -      97       n/m        n/m        35       n/m        n/m        16       83         86
 Zoladex                      268       12         18         4        (34)   207      14         21         33       8          10         24       16         21
 Imjudo                       72        20         22         46       15     4        n/m        n/m        10       99         n/m        12       (15)       (10)
 Truqap                       125       n/m        n/m        119      n/m    1        -          -          2        -          -          3        -          -
 Orpathys                     10        (16)       (16)       -        -      10       (16)       (16)       -        -          -          -        -          -
 Others                       106       (10)       (5)        4        2      64       (14)       (8)        5        (27)       (26)       33       (1)        5
 BioPharmaceuticals: CVRM     3,152     17         20         739      7      1,396    20         25         826      26         26         191      9          14
 Farxiga                      1,938     25         27         411      12     750      30         35         670      32         32         107      4          8
 Brilinta                     327       (1)        (1)        189      (2)    66       3          6          67       (1)        (1)        5        (11)       (16)
 Crestor                      304       10         14         11       (18)   252      15         18         10       4          2          31       (6)        -
 Seloken/Toprol-XL            150       (2)        1          -        n/m    145      (3)        1          4        n/m        98         1        (58)       (58)
 Lokelma                      143       40         42         66       28     26       99         n/m        25       61         61         26       18         27
 roxadustat                   93        26         25         -        -      93       26         26         -        -          -          -        -          -
 Andexxa                      54        36         38         19       (4)    1        n/m        n/m        20       39         39         14       n/m        n/m
 Wainua                       23        n/m        n/m        23       n/m    -        -          -          -        -          -          -        -          -
 Others                       120       (22)       (20)       20       (57)   63       3          6          30       (28)       (26)       7        50         40
 BioPharmaceuticals: R&I      1,830     26         28         852      40     457      8          14         346      30         30         175      13         18
 Symbicort                    705       27         31         289      86     203      4          13         130      5          6          83       2          5
 Fasenra                      436       12         13         271      9      27       41         50         102      19         19         36       1          5
 Pulmicort                    138       (6)        (4)        5        7      110      (8)        (5)        14       10         9          9        (11)       (8)
 Breztri                      266       56         57         142      45     68       62         65         37       98         98         19       61         68
 Tezspire                     68        n/m        n/m        -        -      3        n/m        n/m        43       n/m        n/m        22       n/m        n/m
 Saphnelo                     124       63         64         110      55     3        n/m        n/m        7        n/m        n/m        4        37         67
 Airsupra                     21        n/m        n/m        21       n/m    -        -          -          -        -          -          -        -          -
 Others                       72        (21)       (21)       14       (54)   43       (8)        (8)        13       7          7          2        (16)       (14)
 BioPharmaceuticals: V&I      355       59         61         145      n/m    37       18         37         108      23         20         65       18         23
 Synagis                      93        (6)        3          -        n/m    37       16         36         13       (19)       (20)       43       (15)       (9)
 Beyfortus                    134       n/m        n/m        95       n/m    -        -          -          39       n/m        n/m        -        -          -
 FluMist                      100       34         31         22       43     -        -          -          56       -          (3)        22       n/m        n/m
 COVID-19 mAbs                28        n/m        n/m        28       n/m    -        n/m        n/m        -        -          -          -        -          -
 Others                       -         n/m        n/m        -        -      -        -          -          -        -          -          -        -          -
 Rare Disease                 2,148     9          11         1,325    12     174      7          29         395      -          -          254      8          14
 Ultomiris                    1,031     33         35         597      34     26       53         84         238      30         30         170      30         37
 Soliris                      606       (22)       (18)       362      (14)   110      (11)       14         86       (47)       (47)       48       (36)       (33)
 Strensiq                     343       20         21         286      21     8        52         55         25       17         17         24       15         23
 Koselugo                     119       37         39         55       2      25       n/m        n/m        29       90         94         10       52         62
 Kanuma                       49        10         9          25       11     5        (27)       (29)       17       27         23         2        1          7
 Other medicines              265       (11)       (7)        35       (3)    179      (6)        -          22       18         16         29       (45)       (41)
 Nexium                       212       (13)       (9)        30       3      140      (9)        (2)        14       31         29         28       (45)       (41)
 Others                       53        -          (1)        5        (28)   39       7          8          8        (1)        (1)        1        (52)       (51)
 Total Product Sales          12,947    18         20         5,580    23     3,388    15         23         2,729    20         20         1,250    -          5

 

 

Table 30: Alliance Revenue

 

                           9M 2024    9M 2023
                           $m         $m
 Enhertu                   1,045      741
 Tezspire                  303        179
 Beyfortus                 75         16
 Other Alliance Revenue    75         68
 Total                     1,498      1,004

 

Table 31: Collaboration Revenue

 

                                9M 2024    9M 2023
                                $m         $m
 Farxiga: sales milestones      52         28
 Beyfortus: sales milestones    56         71
 COVID-19 mAbs licence fees     -          180
 Other Collaboration Revenue    -          38
 Total                          108        317

 

Table 32: Other operating income and expense

 

                                                                       9M 2024    9M 2023
                                                                       $m         $m
 brazikumab licence termination funding                                -          75
 Divestment of US rights to Pulmicort Flexhaler                        -          241
 Update to the contractual relationships for Beyfortus (nirsevimab)    -          712
 Other                                                                 152        205
 Total                                                                 152        1,233

 

Other shareholder information

 

Financial calendar

 

Announcement of FY and Q4 2024 results:        6 February 2025

Announcement of Q1 2025 results:                    29 April
2025

 

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

 

Contacts

 

For details on how to contact the Investor Relations Team, please 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 transfer office  Swedish Central Securities Depository  US depositary

                                                                                                     Deutsche Bank Trust Company Americas
 1 Francis Crick Avenue        Equiniti Limited               Euroclear Sweden AB PO Box 191         American Stock Transfer

 Cambridge Biomedical Campus   Aspect House                   SE-101 23 Stockholm                    6201 15th Avenue

 Cambridge                     Spencer Road                                                          Brooklyn

 CB2 0AA                       Lancing                                                               NY 11219

                               West Sussex

                               BN99 6DA
 United Kingdom                United Kingdom                 Sweden                                 United States
 +44 (0) 20 3749 5000          0800 389 1580                  +46 (0) 8 402 9000                     +1 (888) 697 8018
                               +44 (0) 121 415 7033                                                  +1 (718) 921 8137
                                                                                                     db@astfinancial.com (mailto:db@astfinancial.com)

 

Trademarks

 

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

 

Information on or accessible through AstraZeneca's websites, including
astrazeneca.com (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 (http://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 in line with legal
and regulatory requirements and strategic objectives

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

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

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

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

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

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

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

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

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

 

Glossary

 

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

ADC                             Antibody drug
conjugate

aHUS                           Atypical haemolytic
uraemic syndrome

AKT                              Protein kinase B

AL amyloidosis          Light chain amyloidosis

ANDA                          Abbreviated New Drug
Application (US)

ASO                             Antisense
oligonucleotide

ATTR-CM                    Transthyretin-mediated amyloid
cardiomyopathy

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

BCMA                          B-cell maturation
antigen

BRCA / m                    Breast cancer gene / mutation

BTC                              Biliary tract
cancer

BTK                              Bruton tyrosine
kinase

C5                                Complement
component 5

CAR-T                          Chimeric antigen
receptor T-cell

cCRT                            Concurrent
chemoradiotherapy

CD19                           A gene expressed in
B-cells

CER                             Constant exchange
rates

CHMP                          Committee for Medicinal
Products for Human Use (EU)

CI
Confidence interval

CKD                             Chronic kidney
disease

CLL                              Chronic
lymphocytic leukaemia

COPD                          Chronic obstructive
pulmonary disease

COP28                        28th annual United Nations
(UN) climate meeting

CRC                             Colorectal cancer

CRL                              Compete Response
Letter

CRPC                          Castration-resistant
prostate cancer

CSPC                          Castration-sensitive
prostate cancer

CTLA-4                        Cytotoxic
T-lymphocyte-associated antigen 4

CVRM                          Cardiovascular, Renal
and Metabolism

DDR                             DNA damage
response

DNA                             Deoxyribonucleic
acid

EBITDA                       Earnings before interest,
tax, depreciation and amortisation

EGFR / m                    Epidermal growth factor
receptor gene / mutation

EGPA                           Eosinophilic
granulomatosis with polyangiitis

EPS                              Earnings per
share

ER                                Estrogen
receptor

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

EVH                             Extravascular
haemolysis

FDA                              Food and Drug
Agency (US)

FDC                             Fixed dose
combination

FISH                             Fluorescence in
situ hybridization, as in FISH10+

g
Germline, e.g. gBRCAm

GAAP                           Generally Accepted
Accounting Principles

GEJ                              Gastro
oesophageal junction

GI
Gastrointestinal

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

gMG                             Generalised
myasthenia gravis

HCC                             Hepatocellular
carcinoma

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

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

hMPV                           Human metapneumovirus

HR                                Hazard ratio

HR / + / -                      Hormone receptor /
positive / negative

HRD                             Homologous
recombination deficiency

HRR / m                       Homologous recombination
repair gene / mutation

i.m.                               Intramuscular
injection

i.v.
Intravenous injection

IAS / B                          International
Accounting

Standards / Board

ICS                               Inhaled
corticosteroid

IFRS                             International
Financial Reporting Standards

IgAN                             Immunoglobulin A
neuropathy

IHC
Immunohistochemistry, as in IHC90+, etc

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

IP
Intellectual Property

IVIg                               Intravenous
immune globulin

LABA                           Long-acting
beta-agonist

LAMA                           Long-acting
muscarinic-agonist

LS-SCLC                    Limited stage small cell lung
cancer

LRTD                           Lower respiratory
tract disease

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

mAb                             Monoclonal
antibody

MDL                             Multidistrict
litigation

MET                             Mesenchymal
epithelial transition

NF1-PN                       Neurofibromatosis type 1
with plexiform neurofibromas

n/m                               Not meaningful

NMOSD                       Neuromyelitis optica
spectrum disorder

NRDL                           National
reimbursement drug list

NSCLC                        Non-small cell lung cancer

OECD                          Organisation for
Economic

Co-operation and Development

OOI                               Other
operating income

ORR                             Overall response
rate

OS                                Overall
survival

PAAGR                        Post Alexion Acquisition
Group Review

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

pCR                              Pathologic
complete response

PCSK9                        Proprotein convertase
subtilisin/kexin type 9

PD                                Progressive
disease

PD-1                            Programmed cell
death protein 1

PD-L1                          Programmed cell death
ligand 1

PDUFA                        Prescription Drug User Fee
Act

PHSSR                        Partnership for Health
System Sustainability and Resilience

PFS                              Progression free
survival

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

PMDI                            Pressure metered
dose inhaler

PNH / -EVH                Paroxysmal nocturnal haemoglobinuria
/ with extravascular haemolysis

PPI                               Proton pump
inhibitors

PSR                              Platinum
sensitive relapse

PTEN                           Phosphatase and
tensin homologue gene

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

R&D                             Research and
development

R&I
Respiratory & Immunology

RSV                              Respiratory
syncytial virus

sBLA                            Supplemental
biologics license application (US)

SCLC                           Small cell lung
cancer

s.c.
Subcutaneous injection

SEA                              Severe
eosinophilic asthma

SEC                             Securities
Exchange Commission (US)

SG&A                           Sales, general
and administration

SGLT2                         Sodium-glucose
cotransporter 2

SLL                              Small
lymphocytic lymphoma

SMI                               Sustainable
Markets Initiative

sNDA                           Supplemental new drug
application

SPA                              Share Purchase
Agreement

T2D                              Type-2 diabetes

TACE                           Transarterial
chemoembolization

THP                              A treatment
regimen: docetaxel, trastuzumab and pertuzumab

TNBC                           Triple negative
breast cancer

TNF                              Tumour necrosis
factor

TOP1                           Topoisomerase I

TROP2                         Trophoblast cell surface
antigen 2

USPTO                        US Patent and Trademark
Office

V&I                               Vaccines
& Immune Therapies

VBP                              Volume-based
procurement

VLP                              Virus like
particle

 

- End of document -

 

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

 2  Core financial measures are adjusted to exclude certain items. The
differences between Reported and Core measures are primarily due to costs
relating to the amortisation of intangibles, impairments, legal settlements
and restructuring charges. A full reconciliation between Reported EPS and Core
EPS is provided in Table 11 and Table 12 in the Financial performance section
of this document.

 3  The calculations for Reported and Core Product Sales Gross Margin exclude
the impact of Alliance Revenue and Collaboration Revenue.

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

 5  Post Alexion Acquisition Group Review. In conjunction with the acquisition
of Alexion, the Post Alexion Acquisition Group Review Group initiated a
comprehensive review, aimed at integrating systems, structure and processes,
optimising the global footprint and prioritising resource allocations and
investments. These activities are expected to be substantially complete by the
end of 2026.

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

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

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

 9  Based on best prevailing assumptions around currency profiles.

 10  Based on average daily spot rates 1 Jan 2023 to 31 Dec 2023.

 11  Based on average daily spot rates 1 Jan 2024 to 30 Sep 2024.

 12  Based on average daily spot rates 1 Sep 2024 to 30 Sep 2024.

 13  Other currencies include AUD, BRL, CAD, KRW and RUB.

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

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

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