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RNS Number : 7427X  AstraZeneca PLC  25 July 2024

AstraZeneca

25 July 2024

H1 and Q2 2024 results

 

Strong underlying growth supports FY 2024 guidance upgrade, with both Total
Revenue and Core EPS now expected to increase by a mid teens percentage at
CER 1 

 

Revenue and EPS summary

 

                                         H1 2024          % Change                 Q2 2024        % Change
                                         $m          Actual         CER       $m             Actual         CER
 - Product Sales                  24,629        15             18        12,452         14             18
 - Alliance Revenue               939           50             50        482            42             42
 - Collaboration Revenue          49            (78)           (78)      4              (98)           (98)
 Total Revenue                    25,617        15             18        12,938         13             17
 Reported EPS                     $2.65         13             23        $1.24          6              15
 Core 2  EPS                      $4.03         (1)            5         $1.98          (8)            (3)

 

Financial performance for H1 2024 (Growth numbers at constant exchange rates)

 

‒    Total Revenue up 18% to $25,617m, driven by an 18% increase in
Product Sales and continued growth in Alliance Revenue from partnered
medicines

 

‒    Total Revenue growth from Oncology was 22%, CVRM 22%, R&I 22%,
and Rare Disease 15%

 

‒    Core Product Sales Gross Margin 3  of 82%

 

‒    Core Operating Margin of 33%

 

‒    Core Tax Rate of 20%

 

‒    Core EPS increased 5% to $4.03. The increase in Core EPS was lower
than Total Revenue growth principally due to gains recognised in the prior
year, specifically a $241m gain on the disposal of Pulmicort Flexhaler US
rights (Q1 2023), and a $712m gain relating to updates to contractual
arrangements for Beyfortus (Q2 2023)

 

‒    Interim dividend increased 7c to $1.00 (77.6 pence, 10.79 SEK) has
been declared

 

‒    Guidance for FY 2024 increased, with Total Revenue and Core EPS
anticipated to grow by a mid teens percentage at CER (previously a low
double-digit to low teens percentage). An increase in Collaboration Revenue is
not assumed in the upgraded guidance

 

Pascal Soriot, Chief Executive Officer, AstraZeneca, said:

 

"Building on our strong growth in the first half of the year and continued
underlying demand for our medicines we are upgrading our FY 2024 guidance for
both Total Revenue and Core EPS.

 

At our Investor Day in May we set out a new revenue ambition to deliver $80
billion of Total Revenue by 2030. This is a clear reflection of the
substantial growth potential we see from both our approved medicines and those
in our late-stage pipeline. Already this year we have announced five positive,
potentially practice-changing Phase III studies that are anticipated to
meaningfully contribute to our growth.

 

In the year to date we have continued to make encouraging progress with
several disruptive technologies, including antibody drug conjugates,
bispecifics, cell and gene therapies, radioconjugates, and weight management
medicines, all of which have the potential to drive our growth beyond 2030."

 

Key milestones achieved since the prior results announcement

 

‒    Positive read-outs for Imfinzi in combination with chemotherapy in
muscle-invasive bladder cancer (NIAGARA), Calquence in untreated mantle cell
lymphoma (ECHO), Enhertu in HR-positive, HER2-low metastatic breast cancer
(DESTINY-Breast06)

 

‒    US approvals for Imfinzi in combination with chemotherapy followed
by Imfinzi monotherapy for primary advanced or recurrent endometrial cancer
that is mismatch repair deficient (DUO-E). EU approvals for Truqap in
combination with Faslodex for biomarker-positive estrogen receptor-positive,
HER2‑negative advanced breast cancer (CAPItello-291), Tagrisso with the
addition of chemotherapy for 1st‑line EGFRm NSCLC (FLAURA2). Japan and China
approvals for Tagrisso with the addition of chemotherapy for the 1st--‑line
EGFRm NSCLC (FLAURA2)

 

Guidance

 

Due to strong underlying growth in Product Sales and Alliance Revenue, the
Company raises its Total Revenue and Core EPS guidance for FY 2024 at CER,
based on the average foreign exchange rates through 2023.

 

Total Revenue is expected to increase by a mid teens percentage

(previously a low double-digit to low teens percentage)

Core EPS is expected to increase by a mid teens percentage

(previously a low double-digit to low teens percentage)

 

‒    An increase in Collaboration Revenue is not assumed in the upgraded
guidance (previously assumed a substantial increase)

 

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

 

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

 

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

 

Currency impact

 

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

 

Table 1: Key elements of Total Revenue performance in Q2 2024

 

                                                      % Change
 Revenue type                       $m        Actual %        CER %
 Product Sales                      12,452    14              18
 Alliance Revenue                   482       42              42                *   $344m Enhertu (Q2 2023: $255m)

                                                                                *   $104m Tezspire (Q2 2023: $62m)
 Collaboration Revenue              4         (98)            (98)              *   Q2 2023 included $180m for COVID-19 mAbs
 Total Revenue                      12,938    13              17
 Therapy areas                      $m        Actual %        CER %
 Oncology                           5,331     15              19                *   Tagrisso up 8% (12% at CER) due to strong global demand, Calquence up
                                                                                21% (22% at CER) with sustained leadership in 1L CLL. Enhertu Total Revenue up
                                                                                46% (49% at CER)
 CVRM( )                            3,160     18              22                *   Farxiga up 29% (32% at CER), Lokelma up 36% (41% at CER)
 R&I                                1,905     23              26                *   Breztri up 44% (47% at CER). Saphnelo up 65%, Tezspire up 97% (>2x at
                                                                                CER), Symbicort up 20% (25% CER)
 V&I                                119       (57)            (53)              *   The drop in V&I revenue was primarily driven by lower Collaboration
                                                                                Revenue from COVID-19 mAbs

                                                                                *   Beyfortus revenue was $35m (Q2 2023: $2m), which more than offset a $6m
                                                                                decline in Synagis
 Rare Disease( )                    2,147     10              14                *   Ultomiris up 33% (36% at CER), partially offset by decline in Soliris of
                                                                                14% (8% at CER)

                                                                                *   Strensiq up 13% (14% at CER) and Koselugo up 43% (45% at CER)
 Other Medicines                    276       (11)            (5)
 Total Revenue                      12,938    13              17
 Regions                            $m        Actual %        CER %
 US                                 5,571     17              17
 Emerging Markets                   3,386     9               18
 - China                            1,630     13              18
 - Ex-China Emerging Markets        1,756     5               18
 Europe                             2,732     24              24
 Established RoW                    1,249     (5)             6
 Total Revenue                      12,938    13              17

 

Key partnered medicines

 

‒    Combined sales of Enhertu, recorded by Daiichi Sankyo Company
Limited (Daiichi Sankyo) and AstraZeneca, amounted $1,772m in H1 2024 (H1
2023: $1,169m).

 

‒    Combined sales of Tezspire, recorded by Amgen and AstraZeneca,
amounted to $507m in H1 2024 (H1 2023: $257m).

‒

Table 2: Key elements of financial performance in Q2 2024

 

 Metric                                 Reported  Reported change                   Core      Core                              Comments 4 

change
 Total Revenue                          $12,938m  13% Actual      17% CER           $12,938m  13% Actual      17% CER           *   See Table 1 and the Total Revenue section of this document for further
                                                                                                                                details
 Product Sales Gross Margin             82%       Stable Actual                     83%       Stable Actual                     *   Variations in Product Sales Gross Margin can be expected between periods

Stable CER
Stable CER                       due to product seasonality (e.g. FluMist and Beyfortus in H2), foreign
                                                                                                                                exchange fluctuations and other effects
 R&D                                    $3,008m   13% Actual      13% CER           $2,872m   12% Actual      13% CER           + Increased investment in the pipeline

  expense                                                                                                                       *   Core R&D-to-Total Revenue ratio of 22%

(Q2 2023: 22%)
 SG&A expense                           $4,929m   -1% Actual      1% CER            $3,735m   13% Actual      16% CER           + Market development for recent launches and pre-launch activities

                                                                                                                                *   Core SG&A-to-Total Revenue ratio of 29%

(Q2 2023: 29%)
 Other operating income and expense 5   $60m      -92% Actual      -92% CER         $60m      -92% Actual      -92% CER         ‒ The prior year quarter included a $712m gain relating to updates to
                                                                                                                                contractual arrangements for Beyfortus
 Operating Margin                       21%       Stable Actual      +1pp CER       32%       -6pp Actual      -5pp CER         *   See commentary above on Gross Margin, R&D, SG&A and Other
                                                                                                                                operating income and expense
 Net finance expense                    $343m     -7% Actual      -7% CER           $285m     10% Actual      10% CER           + Higher level of Net debt
 Tax rate                               20%       +7pp Actual      +7pp CER         19%       +2pp Actual      +2pp CER         *   Variations in the tax rate can be expected between periods
 EPS                                    $1.24     6% Actual      15% CER            $1.98     -8% Actual      -3% 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     Imfinzi             Primary advanced or recurrent endometrial cancer with mismatch repair        Regulatory approval (US), CHMP positive opinion (EU)
                                                                           deficiency (DUO-E)
                                                       Imfinzi + Lynparza  Primary advanced or recurrent endometrial cancer with mismatch repair        CHMP positive opinion (EU)
                                                                           proficiency (DUO-E)
                                                       Tagrisso            EGFRm NSCLC (1st-line)                                                       Regulatory approval (EU, JP, CN)

                                                                           (FLAURA2)
                                                       Truqap              Biomarker-positive ER-positive HER2-negative locally advanced or metastatic  Regulatory approval (EU)
                                                                           breast cancer (CAPItello-291)

 Regulatory submissions                                Tagrisso            EGFRm NSCLC (Stage III unresectable) (LAURA)                                 sNDA acceptance and Priority Review (US)

or acceptances*
                                                       Dato-DXd            Non-squamous NSCLC (2nd- and 3rd-line) (TROPION-Lung01)                      Regulatory submission (EU)

                                                       sipavibart          Prevention of COVID-19                                                       Regulatory submission (EU)

                                                                           (SUPERNOVA)

 Major Phase III data readouts and other developments  Calquence           Mantle cell lymphoma (1st‑line) (ECHO)                                       Primary endpoint met
                                                       Dato-DXd            Locally advanced or metastatic NSCLC (TROPION-Lung01)                        Dual primary endpoint OS not met in the intention to treat population
                                                       Enhertu             HER2-low breast cancer (2nd-line) (DESTINY-Breast-06)                        Primary endpoint met
                                                       Imfinzi             Muscle-invasive bladder cancer (NIAGARA)                                     Primary endpoint met
                                                       Imfinzi             Adjuvant use in early-stage PD-L1 ≥25%  NSCLC (Adjuvant BR.31)               Primary endpoint not met

                                                       Truqap              Locally advanced or metastatic TNBC (CAPItello-290)                          Primary endpoint not met

                                                       sipavibart          Prevention of COVID-19 (SUPERNOVA)                                           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 May 2024, AstraZeneca announced its intention to build a $1.5 billion
manufacturing facility in Singapore for antibody drug conjugates (ADCs),
enhancing global supply of its ADC portfolio. ADCs are next-generation
treatments that deliver highly potent cancer-killing agents directly to cancer
cells through a targeted antibody. The planned greenfield facility, supported
by the Singapore Economic Development Board, will be AstraZeneca's first
end-to-end ADC production site, fully incorporating all steps of the
manufacturing process at a commercial scale. Manufacturing of ADCs is a
multi-step process that comprises antibody production, synthesis of
chemotherapy drug and linker, conjugation of drug-linker to the antibody, and
filling of the completed ADC substance.

 

In May 2024, AstraZeneca completed an additional $140m equity investment in
Cellectis, a clinical-stage biotechnology company. The equity investment and a
research collaboration agreement, announced in November 2023, will leverage
the Cellectis proprietary gene editing technologies and manufacturing
capabilities, to design up to 10 novel cell and gene therapy products for
areas of high unmet need, including oncology, immunology and rare diseases. In
Q4 2023, Cellectis received an initial payment of $105m from AstraZeneca,
which comprised a $25m upfront cash payment under the terms of a research
collaboration agreement and an $80m equity investment. Now that the additional
$140m equity investment has closed, AstraZeneca holds a total equity stake of
c.44% in Cellectis and AstraZeneca continues to treat its investment in
Cellectis as an associate.

 

In June 2024, AstraZeneca completed the acquisition of Fusion Pharmaceuticals
Inc., a clinical-stage biopharmaceutical company developing next-generation
radioconjugates. The acquisition marks a major step forward in AstraZeneca
delivering on its ambition to transform cancer treatment and outcomes for
patients by replacing traditional regimens like chemotherapy and radiotherapy
with more targeted treatments. The acquisition complements AstraZeneca's
leading oncology portfolio with the addition of the Fusion pipeline of
radioconjugates, including FPI-2265, a potential new treatment for patients
with mCRPC, and brings new expertise and pioneering R&D, manufacturing and
supply chain capabilities in actinium-based radioconjugates to AstraZeneca.
See Note 5 for further information.

 

In July 2024, AstraZeneca completed the acquisition
(https://www.astrazeneca.com/media-centre/press-releases/2024/astrazeneca-to-acquire-amolyt.html)
 of Amolyt Pharma, a clinical-stage biotechnology company focused on
developing novel treatments for rare endocrine diseases. The acquisition
bolsters the Alexion, AstraZeneca Rare Disease late-stage pipeline and expands
on its bone metabolism franchise with the notable addition of eneboparatide
(AZP-3601), a Phase III investigational therapeutic peptide with a novel
mechanism of action designed to meet key therapeutic goals for
hypoparathyroidism. In patients with hypoparathyroidism, a deficiency in
parathyroid hormone production results in significant dysregulation of calcium
and phosphate, which can lead to life-altering symptoms and complications,
including chronic kidney disease. See Note 7 for further information.

 

Sustainability highlights

 

At the 77th World Health Assembly in Geneva, Switzerland in May, AstraZeneca
convened Ministers of Health, industry, civil society and patient groups.
Areas of focus for engagement, led by Ruud Dobber, EVP BioPharmaceuticals,
included the need to increase early action to prevent, diagnose and treat
disease and to accelerate collaboration to build resilient, equitable and net
zero health systems.

 

Conference call

 

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

 

Reporting calendar

 

The Company intends to publish its 9M and Q3 2024 results on 12 November 2024.

 

Conclusion of audit tender

 

Following a rigorous process, the audit tender for the Group's external audit
provider has now concluded. The Audit Committee has recommended, and the Board
has endorsed, the appointment of KPMG as the Group's external auditor for the
financial year ending 31 December 2026. A resolution will be put to
shareholders at the 2026 Annual General Meeting (AGM) to approve this
appointment. It is intended that PwC, who have been the Group's auditor since
the year ended 31 December 2017, will continue as the Group's auditors for the
years ended 31 December 2024 and 2025 and will cease to hold office at the
conclusion of the Company's 2026 AGM.

 

Operating and financial review

 

All narrative on growth and results in this section is based on actual
exchange rates, and financial figures are in US$ millions ($m), unless stated
otherwise. Unless stated otherwise, the performance shown in this announcement
covers the six month period to 30 June 2024 ('the half year' or 'H1 2024')
compared to the six month period to 30 June 2023 ('H1 2023').

 

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

 

Core financial measures are adjusted to exclude certain significant items:

 

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

 

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

 

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

 

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

 

Details on the nature of Core financial measures are provided on page 61 of
the Annual Report and Form 20-F Information 2023.
(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 6 

 

         H1 2024    Q2 2024

 

                 % Change            % Change

 

 Total Revenue                      $m        % Total    Actual     CER        $m        % Total    Actual     CER
 Oncology                           10,440    41         19         22         5,331     41         15         19
 - Tagrisso                         3,203     13         10         13         1,608     12         8          12
 - Imfinzi                          2,259     9          20         25         1,147     9          13         18
 - Calquence                        1,508     6          27         28         790       6          21         22
 - Lynparza                         1,450     6          6          9          744       6          4          7
 - Enhertu                          932       4          61         62         472       4          46         49
 - Zoladex                          567       2          19         26         282       2          17         25
 - Imjudo                           136       1          35         38         74        1          17         19
 - Truqap                           142       1          n/m        n/m        92        1          n/m        n/m
 - Orpathys                         25        -          14         18         13        -          (5)        (1)
 - Other Oncology                   216       1          (21)       (15)       109       1          (17)       (11)
 BioPharmaceuticals: CVRM           6,220     24         19         22         3,160     24         18         22
 - Farxiga                          3,836     15         35         38         1,945     15         29         32
 - Brilinta                         665       3          -          2          342       3          3          5
 - Crestor                          590       2          1          6          293       2          4          11
 - Lokelma                          249       1          26         30         136       1          36         41
 - Seloken/Toprol-XL                315       1          (8)        (1)        150       1          (8)        -
 - roxadustat                       167       1          22         27         90        1          20         25
 - Andexxa                          105       -          18         21         59        -          29         35
 - Wainua                           21        -          n/m        n/m        16        -          n/m        n/m
 - Other CVRM                       272       1          (30)       (28)       130       1          (26)       (24)
 BioPharmaceuticals: R&I            3,791     15         19         22         1,905     15         23         26
 - Symbicort                        1,491     6          16         19         722       6          20         25
 - Fasenra                          781       3          5          6          423       3          4          5
 - Breztri                          454       2          48         51         235       2          44         47
 - Pulmicort                        379       1          10         14         155       1          25         30
 - Tezspire                         280       1          >2x        >2x        160       1          97         >2x
 - Saphnelo                         203       1          77         77         112       1          65         65
 - Airsupra                         21        -          n/m        n/m        14        -          n/m        n/m
 - Other R&I                        181       1          (26)       (25)       83        1          (21)       (19)
 BioPharmaceuticals: V&I            350       1          (45)       (42)       119       1          (57)       (53)
 - Beyfortus                        80        -          >10x       >10x       35        -          >10x       >10x
 - Synagis                          253       1          (11)       (6)        81        1          (6)        8
 - COVID-19 mAbs                    3         -          (99)       (99)       1         -          (99)       (99)
 - FluMist                          8         -          (34)       (36)       2         -          (84)       (84)
 - Other V&I                        6         -          (79)       (80)       -         -          n/m        n/m
 Rare Disease                       4,243     17         11         15         2,147     17         10         14
 - Ultomiris                        1,804     7          32         35         946       7          33         36
 - Soliris                          1,439     6          (13)       (8)        700       5          (14)       (8)
 - Strensiq                         653       3          16         18         340       3          13         14
 - Koselugo                         247       1          55         64         114       1          43         45
 - Kanuma                           100       -          17         20         47        -          3          8
 Other Medicines                    573       2          (9)        (2)        276       2          (11)       (5)
 - Nexium                           469       2          (6)        2          227       2          (10)       (3)
 - Others                           104       -          (21)       (18)       49        -          (16)       (12)
 Total                              25,617    100        15         18         12,938    100        13         17

 

Table 5: Alliance Revenue
     H1 2024  Q2 2024

 

         % Change          % Change

 

                               $m     % Total    Actual    CER    $m     % Total    Actual    CER
 Enhertu                       683    73         44        44     344    71         35        36
 Tezspire                      180    19         72        72     104    22         67        67
 Beyfortus                     26     3          n/m       n/m    7      1          n/m       n/m
 Other Alliance Revenue        50     5          4         4      27     6          17        17
 Total                         939    100        50        50     482    100        42        42

 

 

Table 6: Collaboration Revenue
     H1 2024  Q2 2024

 

            % Change          % Change

 

                                    $m    % Total    Actual    CER    $m    % Total    Actual    CER
 Farxiga: sales milestones          49    100        96        96     4     100        >5x       >5x
 COVID-19 mAbs: licence fees        -     -          n/m       n/m    -     -          n/m       n/m
 Other Collaboration Revenue        -     -          (98)      (98)   -     -          n/m       n/m
 Total                              49    100        (78)      (78)   4     100        (98)      (98)

 

Table 7: Total Revenue by therapy area

 

     H1 2024  Q2 2024

 

         % Change      % Change

 

                         $m        % Total     Actual     CER    $m        % Total     Actual     CER
 Oncology                10,440    41         19          22     5,331     41         15          19
 Biopharmaceuticals      10,362    40         14          17     5,184     40         15          19
 CVRM                    6,220     24         19          22     3,160     24         18          22
 R&I                     3,791     15         19          22     1,905     15         23          26
 V&I                     350       1          (45)        (42)   119       1          (57)        (53)
 Rare Disease            4,243     17         11          15     2,147     17         10          14
 Other Medicines         573       2          (9)         (2)    276       2          (11)        (5)
 Total                   25,617    100        15          18     12,938    100        13          17

 

Table 8: Total Revenue by region

 

     H1 2024    Q2 2024

 

         % Change        % Change

 

                                 $m        % Total     Actual     CER    $m        % Total     Actual     CER
 US                              10,695    42         18          18     5,571     43         17          17
 Emerging Markets                7,119     28         13          22     3,386     26         9           18
 China                           3,378     13         11          15     1,630     13         13          18
 Emerging Markets ex. China      3,740     15         16          29     1,756     14         5           18
 Europe                          5,365     21         23          22     2,732     21         24          24
 Established ROW                 2,438     10         (5)         4      1,249     10         (5)         6
 Total                           25,617    100        15          18     12,938    100        13          17

 

Oncology

 

Oncology Total Revenue of $10,440m in H1 2024 increased by 19% (22% at CER),
representing 41% of overall Total Revenue (H1 2023: 39%).

 

Tagrisso

 

 H1 2024, $m      Worldwide    US     Emerging Markets  Europe  Established RoW
 Total Revenue    3,203        1,282  919               628     374
 Actual change    10%          16%    8%                16%     (11%)
 CER change       13%          16%    16%               15%     (2%)

 

 Region               Drivers and commentary
 Worldwide           *   Strong global demand for Tagrisso in adjuvant (ADAURA) and 1st-line
                     settings (FLAURA, FLAURA2)
 US                  *   Continued adjuvant and 1st-line demand growth
 Emerging Markets    *   Encouraging demand growth across markets despite local competition in
                     China
 Europe              *   Continued demand growth in 1st-line and adjuvant settings
 Established RoW     *   Continued growth across indications, impacted by 10.5% mandatory price
                     reduction in Japan effective from June 2023

 

Imfinzi

 

 H1 2024, $m      Worldwide    US     Emerging Markets  Europe  Established RoW
 Total Revenue    2,259        1,202  245               459     353
 Actual change    20%          17%    35%               38%     7%
 CER change       25%          17%    58%               36%     19%

 

 Region               Drivers and commentary
 Worldwide           *   Continued growth driven by BTC (TOPAZ-1), HCC (HIMALAYA), and increased
                     patient share in Stage IV NSCLC (POSEIDON) and extensive-stage SCLC (CASPIAN)
 US                  *   Continued demand growth driven primarily by HCC and extensive-stage
                     SCLC, having achieved peak market share and stabilisation in BTC
 Emerging Markets    *   New patient share growth across all indications

                     *   China growth driven largely by increasing demand in BTC
 Europe              *   Growth driven by share gains in extensive-stage SCLC and new launches in
                     HCC, BTC and NSCLC
 Established RoW     *   Increased demand in GI indications, offset by a 25% mandatory price
                     reduction in Japan effective from 1 February 2024

 

Calquence

 

 H1 2024, $m      Worldwide    US     Emerging Markets  Europe  Established RoW
 Total Revenue    1,508        1,048  75                320     65
 Actual change    27%          21%    82%               42%     30%
 CER change       28%          21%    >2x               41%     34%

 

 Region        Drivers and commentary
 Worldwide    *   Sustained leadership in front-line CLL (ELEVATE-TN) and increased global
              penetration
 US           *   Growth driven by leading share of new patient starts in front-line CLL,
              and improved affordability
 Europe       *   Continued strong growth in front-line

 

Lynparza

 

 H1 2024, $m      Worldwide    US   Emerging Markets  Europe  Established RoW
 Total Revenue    1,450        607  320               398     125
 Actual change    6%           5%   15%               9%      (14%)
 CER change       9%           5%   26%               8%      (6%)

 

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

                     *   No Collaboration Revenue for Lynparza was recognised in either H1 2024
                     or H1 2023, hence the Product Sales numbers are identical to the Total Revenue
                     numbers shown above
 US                  *   Continued leadership within PARP inhibitor class despite competition,
                     offset by negative class pressure and maturity
 Emerging Markets    *   Volume growth in China from increased share in newly diagnosed
                     BRCA-mutated ovarian cancer (SOLO-1) and inclusion of HRD-positive ovarian
                     cancer (PAOLA-1) on NRDL with no price reduction
 Europe              *   Demand growth driven by recent launches in mCRPC (PROpel) and early
                     breast cancer (OlympiA)
 Established RoW     *   Demand growth from 1st-line ovarian cancer, offset by price reduction in
                     Japan effective from November 2023

 

 

Enhertu

 

 H1 2024, $m      Worldwide    US   Emerging Markets  Europe  Established RoW
 Total Revenue    932          414  224               263     31
 Actual change    61%          22%  >2x               >2x     >3x
 CER change       62%          22%  >2x               >2x     >3x

 

 Region               Drivers and commentary
 Worldwide           *   Combined sales of Enhertu, recorded by Daiichi Sankyo and AstraZeneca,
                     amounted to $1,772m in H1 2024 (H1 2023: $1,169m)
 US                  *   US in-market sales, recorded by Daiichi Sankyo, amounted to $865m in H1
                     2024 (H1 2023: $712m)

                     *   Continued demand across all indications with encouraging early launch
                     following tumour-agnostic approval in April 2024 (DESTINY-PanTumor02,
                     DESTINY-Lung01, DESTINY‑CRC02)
 Emerging Markets    *   Sustained demand growth, with quarterly phasing impacted by
                     launch-related inventory build in China in Q1 2024 and subsequent destocking
 Europe              *   Continued demand growth due to increasing adoption in HER2-positive
                     (DESTINY-Breast03) and HER2-low (DESTINY-Breast04) 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

 

   H1 2024  Change

 

 Total Revenue     $m   Actual  CER    Drivers and commentary
 Zoladex           567  19%     26%    *   Strong underlying growth in China and Emerging Markets and moderate
                                       growth in Europe offset by drop in Japan
 Imjudo            136  35%     38%    *   Continued growth across markets slightly offset by US inventory
                                       destocking in H1 2024
 Truqap            142  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          25   14%     18%    *   Demand in China for the treatment of patients with NSCLC with MET exon
                                       14 skipping alterations
 Other Oncology    216  (21%)   (15%)  *   Decline in Faslodex Total Revenue due to VBP implementation in China in
                                       March 2024 in addition to ongoing generic erosion in Europe

 

 

BioPharmaceuticals

 

BioPharmaceuticals Total Revenue increased by 14% (17% at CER) in H1 2024 to
$10,362m, representing 40% of overall Total Revenue (H1 2023: 41%).

 

BioPharmaceuticals - CVRM

 

CVRM Total Revenue increased by 19% (22% at CER) to $6,220m in H1 2024 and
represented 24% of overall Total Revenue (H1 2023: 24%).

 

Farxiga

 

 H1 2024, $m      Worldwide    US   Emerging Markets  Europe  Established RoW
 Total Revenue    3,836        869  1,474             1,233   260
 Actual change    35%          37%  37%               45%     (5%)
 CER change       38%          37%  44%               44%     3%

 

 Region               Drivers and commentary
 Worldwide           *   Farxiga volume is growing 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

                     *   Strong momentum in Latin America
 Europe              *   Continued strong class growth and market share gains fuelled by HFpEF
                     approval in 2023 and guidelines updates
 Established RoW     *   Performance impacted by generic competition in Canada

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

 

Other CVRM medicines

 

   H1 2024  Change

 

 Total Revenue    $m   Actual  CER    Drivers and commentary
 Brilinta         665  -       2%     *   Continued sales growth in Emerging Markets, decline in Est. RoW driven
                                      by generic competition in Canada
 Crestor          590  1%      6%     *   Continued sales growth in Emerging Markets
 Seloken          315  (8%)    (1%)   *   Stable following VBP implementation in China in 2022
 Lokelma          249  26%     30%    *   Strong growth in all major regions. Continued launches in new markets
 roxadustat       167  22%     27%    *   Increased demand in both the dialysis and non-dialysis-dependent
                                      populations. NRDL listing renewed
 Andexxa          105  18%     21%    *   Growth in all major regions
 Wainua           21   n/m     n/m    *   Encouraging launch uptake following ATTRv-PN approval in the US in
                                      December 2023
 Other CVRM       272  (30%)   (28%)

 

BioPharmaceuticals - R&I

 

Total Revenue of $3,791m from R&I medicines increased 19% (22% at CER) and
represented 15% of overall Total Revenue (H1 2023: 14%). This reflected growth
in Fasenra, Tezspire, Breztri, Saphnelo and Airsupra, following its recent
launch.

 

Fasenra

 

 H1 2024, $m      Worldwide    US   Emerging Markets  Europe  Established RoW
 Total Revenue    781          478  41                192     70
 Actual change    5%           2%   45%               9%      (2%)
 CER change       6%           2%   53%               8%      6%

 

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

 

Breztri

 

 H1 2024, $m      Worldwide    US   Emerging Markets  Europe  Established RoW
 Total Revenue    454          225  131               65      33
 Actual change    48%          37%  61%               80%     33%
 CER change       51%          37%  69%               79%     44%

 

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

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

 

Tezspire

 

 H1 2024, $m      Worldwide      US   Emerging Markets  Europe  Established RoW
 Total Revenue    280            180  5                 61      34
 Actual change    >2x            72%  >10x              >3x     >2x
 CER change       >2x            72%  >10x              >3x     >2x

 

 Region              Drivers and commentary
 Worldwide          *   Combined sales of Tezspire, recorded by Amgen and AstraZeneca, amounted
                    to $507m in H1 2024 (H1 2023: $257m)
 US                 *   Continued growth in total prescriptions, and maintained new-to-brand
                    market share with majority of patients new-to-biologics
 Europe             *   Achieved new-to-brand leadership across multiple markets, new launches
                    continue to progress
 Established RoW    *   Japan maintained new-to-brand leadership

 

Symbicort

 

 H1 2024, $m      Worldwide    US   Emerging Markets  Europe  Established RoW
 Total Revenue    1,491        598  450               286     157
 Actual change    16%          38%  11%               -       (4%)
 CER change       19%          38%  21%               (1%)    (2%)

 

 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 and favourable
                     channel mix
 Emerging Markets    *   Strong demand growth
 Europe              *   Continued price and volume erosion from generics and a slowing overall
                     market partially offset by growth in some markets within mild asthma
 Established RoW     *   Continued generic erosion in Japan

 

Other R&I medicines

 

   H1 2024     Change

 

 Total Revenue      $m   Actual  CER    Drivers and commentary
 Pulmicort          379  10%     14%    *   >80% of revenues from Emerging Markets
 Saphnelo           203  77%     77%    *   Demand acceleration in the US, and additional growth driven by ongoing
                                        launches in Europe and Established RoW
 Airsupra           21   n/m     n/m    *   Strong US launch momentum and volume uptake. Revenue in the period
                                        reflects introductory discounts as early access continues to build
 Other R&I          181  (26%)   (25%)  *   Generic competition

 

BioPharmaceuticals - V&I

 

Total Revenue from V&I medicines reduced by 45% (42% at CER) to $350m (H1
2023: $632m) and represented 1% of overall Total Revenue (H1 2023: 3%).
Collaboration Revenue was $nil in the period (H1 2023: $190m).

 

V&I medicines

 

   H1 2024  Change

 

 Total Revenue      $m   Actual   CER      Drivers and commentary
 Beyfortus          80   >10x     >10x     *   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            253  (11%)    (6%)     *   Decline has been more than offset by Beyfortus growth
 COVID-19 mAbs      3    (99%)    (99%)    *   Decline in Evusheld sales and Collaboration Revenue (Total Revenue H1
                                           2023: $306m)
 FluMist            8    (34%)    (36%)
 Other V&I          6    (79%)    (80%)    *   Decline in Vaxzevria sales (H1 2023: $28m)

 

Rare Disease

 

Total Revenue from Rare Disease medicines increased by 11% (15% at CER) in H1
2024 to $4,243m, representing 17% of overall Total Revenue (H1 2023: 17%).

 

Ultomiris

 

 H1 2024, $m      Worldwide    US     Emerging Markets  Europe  Established RoW
 Total Revenue    1,804        1,032  66                411     295
 Actual change    32%          27%    >2x               32%     42%
 CER change       35%          27%    >2x               31%     58%

 

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

                     *   The reported revenues for Ultomiris include 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.

                     *   Voydeya is a strategic launch in this small subset of PNH patients.
                     Voydeya ensures these patients can remain on the standard of care, Ultomiris
 US                  *   Patient growth in gMG and newly launched NMOSD, continued conversion
                     from Soliris
 Emerging Markets    *   Continued growth following launches in new markets
 Europe              *   Strong demand growth following recent launches, particularly from
                     neurology indications, accelerated conversion from Soliris in key markets,
                     partially offset by price reductions to secure reimbursement for new
                     indications
 Established RoW     *   Continued conversion from Soliris and strong demand following new
                     launches

 

 

Soliris

 

 H1 2024, $m      Worldwide    US    Emerging Markets  Europe  Established RoW
 Total Revenue    1,439        808   255               260     116
 Actual change    (13%)        (9%)  19%               (29%)   (33%)
 CER change       (8%)         (9%)  54%               (30%)   (30%)

 

 Region               Drivers and commentary
 US                  *   Decline driven by successful conversion of Soliris patients to Ultomiris
 Emerging Markets    *   Growth driven by patient demand following launches in new markets
 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

 

 H1 2024, $m      Worldwide    US   Emerging Markets  Europe  Established RoW
 Total Revenue    653          529  31                48      45
 Actual change    16%          17%  30%               14%     4%
 CER change       18%          17%  47%               12%     15%

 

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

 

Other Rare Disease medicines

 

   H1 2024  Change

 

 Total Revenue    $m   Actual  CER  Drivers and commentary
 Koselugo         247  55%     64%  *   Driven by patient demand and expansion in new markets
 Kanuma           100  17%     20%  *   Continued global demand

 

Other medicines (outside the main therapy areas)

 

   H1 2024  Change

 

 Total Revenue      $m   Actual  CER    Drivers and commentary
 Nexium             469  (6%)    2%     *   Growth in Emerging Markets offset declines elsewhere
 Others             104  (21%)   (18%)  *   Continued impact of generic competition

 

 

Financial performance

 

Table 9: Reported Profit and Loss

 

     H1 2024  H1 2023  % Change    Q2 2024  Q2 2023  % Change

 

                                           $m        $m        Actual    CER    $m        $m        Actual    CER
 Total Revenue                             25,617    22,295    15        18     12,938    11,416    13        17
 - Product Sales                           24,629    21,448    15        18     12,452    10,882    14        18
 - Alliance Revenue                        939       627       50        50     482       341       42        42
 - Collaboration Revenue                   49        220       (78)      (78)   4         193       (98)      (98)
 Cost of sales                             (4,401)   (3,865)   14        17     (2,183)   (1,960)   11        17
 Gross profit                              21,216    18,430    15        18     10,755    9,456     14        17
 Distribution expense                      (267)     (265)     1         3      (132)     (131)     1         4
 R&D expense                               (5,791)   (5,278)   10        10     (3,008)   (2,667)   13        13
 SG&A expense                              (9,424)   (9,045)   4         6      (4,929)   (4,986)   (1)       1
 Other operating income & expense          127       1,163     (89)      (89)   60        784       (92)      (92)
 Operating profit                          5,861     5,005     17        25     2,746     2,456     12        20
 Net finance expense                       (645)     (654)     (1)       (4)    (343)     (367)     (7)       (7)
 Joint ventures and associates             (19)      (1)       n/m       n/m    (6)       (1)       n/m       n/m
 Profit before tax                         5,197     4,350     19        29     2,397     2,088     15        24
 Taxation                                  (1,089)   (726)     50        62     (469)     (268)     75        90
 Tax rate                                  21%       17%                        20%       13%
 Profit after tax                          4,108     3,624     13        23     1,928     1,820     6         15
 Earnings per share                        $2.65     $2.34     13        23     $1.24     $1.17     6         15

 

Table 10: Reconciliation of Reported Profit before tax to EBITDA

 

     H1 2024  H1 2023  % Change  Q2 2024  Q2 2023  % Change

 

                                                $m       $m       Actual    CER    $m       $m       Actual    CER
 Reported Profit before tax                     5,197    4,350    19        29     2,397    2,088    15        24
 Net finance expense                            645      654      (1)       (4)    343      367      (7)       (7)
 Joint ventures and associates                  19       1        n/m       n/m    6        1        n/m       n/m
 Depreciation, amortisation and impairment      2,534    2,778    (9)       (9)    1,279    1,276    -         1
 EBITDA                                         8,395    7,783    8         13     4,025    3,732    8         14

 

Table 11: Reconciliation of Reported to Core financial measures: H1 2024 7 

 

 H1 2024    Reported  Restructuring  Intangible Asset Amortisation & Impairments      Other  Core  Core

                                                                                                   % Change

 

                                           $m        $m       $m       $m       $m        Actual    CER
 Gross profit                              21,216    36       19       -        21,271    14        17
 Product Sales Gross Margin                82%                                  82%       -1pp      -1pp
 Distribution expense                      (267)     -        -        -        (267)     1         3
 R&D expense                               (5,791)   177      39       5        (5,570)   14        15
 % of Total Revenue                        23%                                  22%       -         +1pp
 SG&A expense                              (9,424)   138      1,884    254      (7,148)   13        15
 % of Total Revenue                        37%                                  28%       +1pp      +1pp
 Total operating expense                   (15,482)  315      1,923    259      (12,985)  13        15
 Other operating income & expense          127       (2)      -        -        125       (89)      (89)
 Operating profit                          5,861     349      1,942    259      8,411     2         7
 Operating Margin                          23%                                  33%       -4pp      -3pp
 Net finance expense                       (645)     -        -        115      (530)     6         3
 Taxation                                  (1,089)   (80)     (368)    (71)     (1,608)   13        19
 EPS                                       $2.65     $0.17    $1.01    $0.20    $4.03     (1)       5

 

Table 12: Reconciliation of Reported to Core financial measures: Q2 20247

 Q2 2024                                   Reported  Restructuring          Intangible Asset Amortisation & Impairments         Other  Core      Core

                                                                                                                                                 % Change
                                           $m               $m       $m                               $m                               $m        Actual    CER
 Gross profit                              10,755           16       9                                -                                10,780    13        17
 Product Sales Gross Margin                82%                                                                                         83%       -         -
 Distribution expense                      (132)            -        -                                -                                (132)     1         4
 R&D expense                               (3,008)          97       35                               4                                (2,872)   12        13
 % of Total Revenue                        23%                                                                                         22%       -         +1pp
 SG&A expense                              (4,929)          41       943                              210                              (3,735)   13        16
 % of Total Revenue                        38%                                                                                         29%       -         -
 Total operating expense                   (8,069)          138      978                              214                              (6,739)   12        14
 Other operating income & expense          60               -        -                                -                                60        (92)      (92)
 Operating profit                          2,746            154      987                              214                              4,101     (4)       1
 Operating Margin                          21%                                                                                         32%       -6pp      -5pp
 Net finance expense                       (343)            -        -                                58                               (285)     10        10
 Taxation                                  (469)            (35)     (185)                            (52)                             (741)     7         13
 EPS                                       $1.24            $0.08    $0.51                            $0.15                            $1.98     (8)       (3)

 

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 H1
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

 

‒    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 and Fusion

 

‒    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

 

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 updates to contractual arrangements for Beyfortus

 

Net finance expense

 

‒    Core Net finance expense increased 6% (3% increase at CER)
principally due to the higher level of gross debt partially offset by the
higher level of cash and short-term investments.

 

Taxation

 

‒    The effective Reported Tax rate for the six months to 30 June 2024
was 21% (H1 2023: 17%) and the effective Core Tax rate was 20% (H1 2023: 18%)

 

‒    The cash tax paid for the six months to 30 June 2024 was $1,337m (H1
2023: $1,061m), representing 26% of Reported Profit before tax (H1 2023: 24%)

 

Dividend

‒    An Interim dividend of $1 per share (77.6 pence, 10.79 SEK) has been
declared.

 

Table 13: Cash Flow summary

 

                                                                  H1 2024    H1 2023    Change
                                                                  $m         $m         $m
 Reported Operating profit                                        5,861      5,005      856
 Depreciation, amortisation and impairment                        2,534      2,778      (244)
 Movement in working capital and short-term provisions            (584)      (747)      163
 Gains on disposal of intangible assets                           (21)       (249)      228
 Fair value movements on contingent consideration arising from    251        202        49

 business combinations
 Non-cash and other movements                                     (550)      (594)      44
 Interest paid                                                    (583)      (483)      (100)
 Taxation paid                                                    (1,337)    (1,061)    (276)
 Net cash inflow from operating activities                        5,571      4,851      720
 Net cash inflow before financing activities                      286        3,085      (2,799)
 Net cash inflow/(outflow) from financing activities              806        (3,550)    4,356

 

The change in Net cash inflow before financing activities in the half year to
30 June 2024 is primarily driven by the movement in Acquisitions of
subsidiaries, net of cash acquired and initial investment, 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 H1 2023.

 

The increase in Net cash inflow/(outflow) from financing activities of $4,356m
is primarily driven by the increase in Issue of loans and borrowings of
$1,160m, by the decrease in Repayment of loans and borrowings of $765m and the
increase in Movement in short-term borrowings of $2,431m mainly due to the
Commercial paper issued during the half year for $2,453m.

 

Capital expenditure

 

Capital expenditure amounted to $799m in H1 2024 (H1 2023: $517m). Capital
expenditure is expected to increase substantially in 2024, 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

                                                      Jun 2024       Dec 2023      Jun 2023
                                                     $m             $m             $m
 Cash and cash equivalents                           6,916          5,840          5,664
 Other investments                                   160            122            148
 Cash and investments                                7,076          5,962          5,812
 Overdrafts and short-term borrowings                (596)          (515)          (421)
 Commercial paper                                    (2,453)        -              -
 Lease liabilities                                   (1,241)        (1,128)        (953)
 Current instalments of loans                        (2,018)        (4,614)        (4,135)
 Non-current instalments of loans                    (27,225)       (22,365)       (24,329)
 Interest-bearing loans and borrowings (Gross debt)  (33,533)       (28,622)       (29,838)
 Net derivatives                                     133            150            56
 Net debt                                            (26,324)       (22,510)       (23,970)

 

 

Net debt increased by $3,814m in the six months to 30 June 2024 to $26,324m.
Details of the committed undrawn bank facilities are disclosed within the
going concern section of Note 1. Details of the Company's solicited credit
ratings and further details on Net debt are disclosed in Note 3.

 

Capital allocation

 

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

 

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

 

Summarised financial information for guarantee of securities of subsidiaries

 

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

 

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

 

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

 

Please refer to the Consolidated financial statements of AstraZeneca PLC in
our Annual Report on Form 20‑F 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 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

 

                                                                        H1 2024  H1 2023
                                                                        $m       $m
 Total Revenue                                                          -        -
 Gross profit                                                           -        -
 Operating loss                                                         -        (2)
 Loss for the period                                                    (545)    (480)
 Transactions with subsidiaries that are not issuers or guarantors      964      9,487

 

Table 16: Obligor group summarised Statement of financial position

 

                                                                       At 30 Jun 2024     At 30 Jun 2023
                                                                       $m                 $m
 Current assets                                                        13                 7
 Non-current assets                                                    -                  -
 Current liabilities                                                   (4,795)            (4,091)
 Non-current liabilities                                               (27,133)           (24,165)
 Amounts due from subsidiaries that are not issuers or guarantors      20,730             15,761
 Amounts due to subsidiaries that are not issuers or guarantors        -                  (290)

 

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) (( 8 ))
                                             rates vs. USD
 Currency          Primary Relevance              FY          YTD        Change  June         Change           Total Revenue                                   Core Operating Profit

2023 9 
2024 10 
        2024 11 

                                                                          (%)                  (%)
 EUR               Total Revenue                  0.92        0.93       (0)     0.93         (0)              397                                             179
 CNY               Total Revenue                  7.09        7.23       (2)     7.27         (3)              322                                             182
 JPY               Total Revenue                  140.60      152.26     (8)     158.03       (11)             177                                             119
 Other(( 12 ))                                                                                                 453                                             227
 GBP               Operating expense              0.80        0.79       2       0.79         2                60                                              (126)
 SEK               Operating expense              10.61       10.54      1       10.49        1                9                                               (63)

 

Related-party transactions

 

There have been no significant related-party transactions in the period.

 

Principal risks and uncertainties

 

The Principal Risks and uncertainties facing the Group are set out on pages 54
to 57 of the Annual Report and Form 20-F Information 2023, and summarised
below. They are not expected to change in respect of the second six months of
the financial year and remain appropriate for the Group. In summary, the
principal risks and uncertainties listed in the Annual Report and 20-F
Information 2023 are:

 

1.  Product pipeline: failure or delay in the delivery of AstraZeneca's
pipeline or launch of new medicines; failure to meet regulatory or ethical
requirements for medicine development or approval

 

2.  Commercialisation risks: pricing, affordability, access and competitive
pressures; failures or delays in the quality or execution of the Group's
commercial strategies

 

3.  Supply-chain and business-execution risks: failure to maintain supply of
compliant, quality medicines; failure in information technology or
cybersecurity; failure to attract, develop, engage and retain a diverse,
talented and capable workforce

 

4.  Legal, regulatory and compliance risks: safety and efficacy of marketed
medicines is questioned; adverse outcome of litigation and / or governmental
investigations; IP risks related to our products

 

5.  Economic and financial risks: failure to achieve strategic plans or meet
targets or expectations; geopolitical and / or macroeconomic volatility
disrupts the operation of our global business

 

Sustainability

 

AstraZeneca released its first Sustainability Impact Publication
(https://www.astrazeneca.com/content/dam/az/Sustainability/2024/pdf/AZ-Impact-Publication-2024.pdf)
as a complement to its ninth annual Sustainability Report
(https://www.astrazeneca.com/content/dam/az/Sustainability/2024/pdf/Sustainability-Report-2023.pdf)
. This publication spotlights the diverse ways in which the Company is
contributing to the health of people, society and the planet.

 

Access to healthcare

 

‒    At the 77(th) World Health Assembly (WHA) in Geneva, Switzerland in
May, AstraZeneca convened Ministers of Health, industry, civil society and
patient groups. Areas of focus for engagement, led by Ruud Dobber, EVP
BioPharmaceuticals, included the need to increase early action to prevent,
diagnose and treat disease and to accelerate collaboration to build resilient,
equitable and net zero health systems

 

‒    At the WHA, AstraZeneca launched the expansion of its flagship
Healthy Heart Africa programme to include chronic kidney disease as well as
cardiovascular disease, recognising the growing burden of non-communicable
diseases (NCDs) in Africa. As of May 2024, HHA has conducted more than 57
million screenings for high blood pressure and identified more than 11.3
million elevated readings, with 4.5 million patients diagnosed with
hypertension since launch

 

‒    Also at the WHA, the Lung Ambition Alliance, of which the Company is
a founding member, launched the Saving Lives from Lung Cancer platform
and a calculator tool developed by AstraZeneca to support policymakers and the
lung cancer community in identifying high-risk populations for early
intervention

‒    The Partnership for Health System Sustainability and
Resilience (PHSSR) held its third Summit during the Abu Dhabi Global
Healthcare Week in May, bringing together more than 200 healthcare leaders
from the Middle East, Africa and beyond including three Ministers of Health
and 29 speakers, to drive forward the dialogue on investing in strengthening
health systems. PHSSR also hosted local events in Taiwan, Portugal and the
Netherlands during the quarter. In addition, insights from the PHSSR
Asia-Pacific report were shared with a delegation from Korea at WHA

 

‒    A survey of more than 600 employees in 16 countries where the Young
Health Programme (YHP) is active showed that more than 95% of employees feel
proud to be associated with the YHP. With its expansion into the Philippines,
the programme is now active in 41 countries globally. In recognition of the
impact of the YHP, AstraZeneca was the only corporate partner invited to speak
at UNICEF's Annual Meeting attended by UNICEF's 33 CEOs and their Board Chairs
in high-income countries

 

‒    In June, the Company expanded its partnership with Direct Relief,
approving the humanitarian organisation as a global medicine donation partner,
enabling medicine donation to support global humanitarian relief efforts

 

Environmental protection

 

‒    AstraZeneca received multiple recognitions for its sustainability
leadership this quarter, including retaining its EcoVadis Gold Medal ranking
for the second consecutive year. This reflects its place in the top three
percent of companies evaluated on environment, labour and human rights, ethics
and sustainable procurement. The Company was also recognised in the 2024 FT
Europe Climate Leaders list, where it was the top pharmaceutical company for
the second year in a row

 

‒    AstraZeneca is collaborating with the World Business Council for
Sustainable Development and its peers to develop a Roadmap to Nature Positive
for the pharmaceutical sector, announced in May. The Roadmap will offer
sector-specific guidance to accelerate toward nature positive, in alignment
with the Taskforce for Nature-related Financial Disclosures, Science-based
Targets Network and the EU's Corporate Sustainability Reporting Directive

 

‒    Pam Cheng, Executive Vice President of Global Operations and IT and
Chief Sustainability Officer, joined a Global Health Leaders panel at the
inaugural Climate and Health Day of the US Climate Action Summit. Leaders from
government, industry, philanthropy and finance discussed the critical need to
drive coordinated action on the climate and health nexus

 

Ethics and transparency

 

‒    AstraZeneca shared a new Diversity in Clinical Trials Standard
internally for use across all therapy areas in R&D. This outlines the
Company's mandatory principles on diversity for all AstraZeneca-sponsored
clinical trials, in line with regulatory requirements, and reflects the
Company's unwavering commitment to ensuring its clinical trials
are representative of diverse populations

 

‒    Approximately 6,500 colleagues across 10 regions and 16 business
units took the time to respond to AstraZeneca's second employee Ethics Survey.
An analysis of 2023 results showed employee feedback continues to be positive,
with 97% of respondents confirming they know how to raise an ethical concern
and 87% confirming that it is easy to do the right thing in their day-to-day
work

 

‒    The Company released new guidance on the selection, design,
installation and maintenance of solar Photovoltaic (PV) power systems, which
highlights the importance of conducting due diligence on human rights risks
associated with new solar PV projects

 

Research and development

 

This section covers R&D events and milestones that have occurred since the
prior results announcement on 25 April 2024, up to and including events on 24
July 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 American Society of Clinical Oncology (ASCO) in May and June
2024 and European Hematology Association (EHA) in June 2024. At ASCO,
AstraZeneca presented more than 100 abstracts featuring 25 approved and
potential new medicines across the Company's diverse oncology portfolio and
pipeline, including two late-breaking plenary presentations, a special
late-breaking abstract session presentation and 15 oral presentations. At EHA,
AstraZeneca presented 17 abstracts including one oral presentation and 10
posters across one approved and four investigational products.

 

Tagrisso

 

 Event                                                Commentary
 Presentation: ASCO                   LAURA           Primary analysis of the Phase III LAURA trial, presented at ASCO, showed
                                                      Tagrisso reduced the risk of disease progression or death by 84% compared to
                                                      placebo (HR 0.16, 95% CI 0.10-0.24, p<0.001) as assessed by BICR. Median
                                                      PFS was 39.1 months in patients treated with Tagrisso versus 5.6 months for
                                                      placebo.
 sNDA acceptance and Priority Review  US              For the treatment of adult patients with unresectable, Stage III EGFRm NSCLC
                                                      after chemoradiotherapy. (LAURA, June 2024)
 Approvals                            Japan, China    Tagrisso with the addition of pemetrexed and platinum-based chemotherapy for
                                                      the 1st-line treatment of adult patients with locally advanced or metastatic
                                                      EGFRm NSCLC whose tumours have exon 19 deletions or exon 21 (L858R) mutations.
                                                      (FLAURA2, June 2024)
 Approval                             Europe          Tagrisso with the addition of pemetrexed and platinum-based chemotherapy for

               the 1st-line treatment of adult patients with advanced EGFRm NSCLC whose
                                                      tumours have exon 19 deletions or exon 21 (L858R) mutations. (FLAURA2, July
                                                      2024)

 

Imfinzi and Imjudo

 

 Event                                 Commentary
 Presentation: ASCO      ADRIATIC      Planned interim analysis of the Phase III ADRIATIC trial, presented at ASCO,

             demonstrated Imfinzi reduced the risk of death by 27% versus placebo (OS HR
                                       0.73, 95% CI 0.57-0.93, p=0.0104) with an estimated 57% of patients treated
                                       with Imfinzi alive at three years compared to 48% on placebo. (June 2024)
 Approval                US            Imfinzi in combination with carboplatin and paclitaxel followed by Imfinzi
                                       monotherapy for treatment for adult patients with primary advanced or
                                       recurrent endometrial cancer that is mismatch repair deficient. (DUO-E, June
                                       2024)
 Phase III data readout  NIAGARA       Met primary endpoint, with Imfinzi in combination with chemotherapy
                                       demonstrating a statistically significant and clinically meaningful
                                       improvement in the primary endpoint of event-free survival and the key
                                       secondary endpoint of OS versus neoadjuvant chemotherapy for patients with
                                       muscle-invasive bladder cancer. (June 2024)
 Trial update            BR.31         BR.31 Phase III trial for Imfinzi in early-stage (IB-IIIA) NSCLC after
                                       complete tumour resection in patients whose tumours express PD-L1 on 25% or
                                       more tumour cells did not achieve statistical significance for the primary
                                       endpoint of disease-free survival versus placebo. (June 2024)
 CHMP positive opinion   Europe        Imfinzi plus chemotherapy as 1st-line treatment followed by Lynparza and
                                       Imfinzi for patients with mismatch repair proficient disease. Imfinzi plus
                                       chemotherapy followed by Imfinzi alone for patients with mismatch repair
                                       deficient disease. (DUO‑E, July 2024)

 

Lynparza

 

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

 

Enhertu

 

 Event                                                           Commentary
 Phase III readout and presentation: ASCO  DESTINY-Breast06      Met primary endpoint, demonstrating Enhertu resulted in a statistically
                                                                 significant and clinically meaningful improvement in PFS in HR-positive,
                                                                 HER2-low metastatic breast cancer following one or more lines of endocrine
                                                                 therapy. (April 2024)

                                                                 Primary analysis of the Phase III DESTINY-Breast06 trial, presented at ASCO,
                                                                 demonstrated Enhertu resulted in a statistically significant and clinically
                                                                 meaningful improvement in PFS compared to standard-of-care chemotherapy in
                                                                 patients with HR-positive, HER2-low metastatic breast cancer (HR 0.62, 95% CI
                                                                 0.51-0.74, p<0.0001). Enhertu also demonstrated a statistically significant
                                                                 and clinically meaningful improvement in the overall trial population
                                                                 (patients with HR-positive, HER2-low and HER2-ultralow disease) (HR 0.63, 95%
                                                                 CI 0.53-0.75, p<0.0001). (June 2024)

 

Calquence

 

 Event                                              Commentary
 Phase III readout and presentation: EHA  ECHO      Met primary endpoint with Calquence combination regimen demonstrating a

         statistically significant and clinically meaningful improvement in PFS in
                                                    1st-line mantle cell lymphoma. (May 2024)

                                                    Interim analysis of the Phase III ECHO trial, presented at EHA, demonstrated
                                                    Calquence in combination with standard-of-care chemoimmunotherapy,
                                                    bendamustine and rituximab, resulted in a statistically significant and
                                                    clinically meaningful 27% reduction in risk of progression or death versus
                                                    standard of care in previously untreated adult patients with mantle cell
                                                    lymphoma (HR 0.73, 95% CI 0.57-0.94, p=0.016). The secondary endpoint of OS
                                                    showed a favourable trend for the Calquence combination compared to
                                                    chemoimmunotherapy (HR 0.86; 95% CI 0.65-1.13; p=0.2743, not statistically
                                                    significant, follow-up continues). (June 2024)

 

Truqap

 

 Event                                      Commentary
 Phase III trial update  CAPItello-290      CAPItello-290 Phase III trial for Truqap in combination with paclitaxel in
                                            patients with locally advanced or metastatic TNBC did not meet the dual
                                            primary endpoints of improvement in OS vs paclitaxel in combination with
                                            placebo in either the overall trial population or in a subgroup of patients
                                            with tumours harbouring specific biomarker alterations (PIK3CA, AKT1 or PTEN).
                                            (June 2024)
 Approval                Europe             In combination with Faslodex for the treatment of adult patients with estrogen
                                            receptor-positive, HER2‑negative locally advanced or metastatic breast
                                            cancer with one or more PIK3CA, AKT1, or PTEN-alterations following recurrence
                                            or progression on or after an endocrine-based regimen. (CAPItello-291, June
                                            2024)

 

Datopotamab deruxtecan (Dato-DXd)

 

 Event                                        Commentary
 Phase IIII trial update  TROPION-Lung01      Dual primary endpoint of improvement in overall survival for Dato-DXd versus

                   docetaxel not met. Numerical improvement in overall survival compared to
                                              docetaxel in the overall trial population of patients with locally advanced or
                                              metastatic NSCLC. In the prespecified subgroup of patients with non-squamous
                                              NSCLC, Dato-DXd showed a clinically meaningful improvement in OS compared to
                                              docetaxel. (May 2024)

 

BioPharmaceuticals - CVRM

 

Farxiga

 

 Event              Commentary
 Approval  US       Improvement of glycaemic control in paediatric patients with type-2 diabetes

        aged 10 years and older (T2NOW, June 2024)

 

AZD0780 (oral PCSK9)

 

 Event                                                    Commentary
 Presentation: European Atherosclerosis Society           Positive Phase I data demonstrating a statistically significant reduction of

        52% in LDL-C levels on top of rosuvastatin treatment, with 78% total reduction
                                                          from baseline, in treatment-naive participants with hypercholesterolaemia.
                                                          (May 2024)

 

BioPharmaceuticals - R&I

 

Tezspire

 

 Event                                                 Commentary
 Presentation: American Thoracic Society  COURSE       Results from the COURSE Phase II trial demonstrated that treatment with
                                                       Tezspire led to a 17% numerical reduction in the annual rate of moderate or
                                                       severe COPD exacerbations compared to placebo at week 52. In patients with
                                                       blood eosinophil counts of 150 cell/µl or more, treatment with Tezspire led
                                                       to a nominally significant reduction of 37% in the rate of moderate or severe
                                                       exacerbations compared to placebo. (May 2024)
 Phase III readout                        DIRECTION    Met the primary endpoint, demonstrating a statistically significant reduction
                                                       in annual asthma exacerbation rate (AAER) over 52 weeks compared to placebo in
                                                       patients in China with a history of uncontrolled asthma. (July 2024)

 

BioPharmaceuticals - V&I

 

sipavibart (COVID-19 mAb)

 

 Event                           Commentary
 Phase III readout  SUPERNOVA    Positive high-level results from the SUPERNOVA Phase III trial showed
                                 sipavibart demonstrated a statistically significant reduction in the incidence
                                 of symptomatic COVID‑19 in an immunocompromised patient population. The
                                 trial was conducted during an evolving variant landscape in which COVID-19
                                 cases captured over the course of the trial were caused by several different
                                 SARS-CoV-2 variants. (May 2024)

 

Rare Disease

 

AstraZeneca presented new clinical data from the industry's largest and
broadest amyloidosis pipeline at the International Symposium on Amyloidosis
(ISA) in May 2024. Clinical data was presented on ALXN2220 and anselamimab,
which are being evaluated in Phase III clinical trials for ATTR and light
chain (AL) amyloidosis, respectively.

 

Interim financial statements

 

Table 18: Condensed consolidated statement of comprehensive income: H1 2024

 

 For the half year ended 30 June                                                    2024      2023
                                                                                    $m        $m
 Total Revenue                                                                      25,617    22,295
 Product Sales                                                                      24,629    21,448
 Alliance Revenue                                                                   939       627
 Collaboration Revenue                                                              49        220
 Cost of sales                                                                      (4,401)   (3,865)
 Gross profit                                                                       21,216    18,430
 Distribution expense                                                               (267)     (265)
 Research and development expense                                                   (5,791)   (5,278)
 Selling, general and administrative expense                                        (9,424)   (9,045)
 Other operating income and expense                                                 127       1,163
 Operating profit                                                                   5,861     5,005
 Finance income                                                                     211       141
 Finance expense                                                                    (856)     (795)
 Share of after tax losses in associates and joint ventures                         (19)      (1)
 Profit before tax                                                                  5,197     4,350
 Taxation                                                                           (1,089)   (726)
 Profit for the period                                                              4,108     3,624
 Other comprehensive income:
 Items that will not be reclassified to profit or loss:
 Remeasurement of the defined benefit pension liability                             101       7
 Net gains/(losses) on equity investments measured at fair value through other      89        (48)
 comprehensive income
 Fair value movements related to own credit risk on bonds designated as fair        12        4
 value through profit or loss
 Tax on items that will not be reclassified to profit or loss                       (27)      (5)
                                                                                    175       (42)
 Items that may be reclassified subsequently to profit or loss:
 Foreign exchange arising on consolidation                                          (554)     105
 Foreign exchange arising on designated liabilities in net investment hedges        (96)      (101)
 Fair value movements on cash flow hedges                                           (138)     89
 Fair value movements on cash flow hedges transferred to profit and loss            102       (71)
 Fair value movements on derivatives designated in net investment hedges            45        40
 Gains/(costs) of hedging                                                           14        (1)
 Tax on items that may be reclassified subsequently to profit or loss               38        12
                                                                                    (589)     73
 Other comprehensive (expense)/income, net of tax                                   (414)     31
 Total comprehensive income for the period                                          3,694     3,655
 Profit attributable to:
 Owners of the Parent                                                               4,106     3,621
 Non-controlling interests                                                          2         3
                                                                                    4,108     3,624
 Total comprehensive income attributable to:
 Owners of the Parent                                                               3,692     3,652
 Non-controlling interests                                                          2         3
                                                                                    3,694     3,655
 Basic earnings per $0.25 Ordinary Share                                            $2.65     $2.34
 Diluted earnings per $0.25 Ordinary Share                                          $2.63     $2.32
 Weighted average number of Ordinary Shares in issue (millions)                     1,549     1,549
 Diluted weighted average number of Ordinary Shares in issue (millions)             1,560     1,560

 

Table 19: Condensed consolidated statement of comprehensive income: Q2 2024

 

 For the quarter ended 30 June                                                      Unreviewed 13     Unreviewed
                                                                                    2024              2023
                                                                                    $m                $m
 Total Revenue                                                                      12,938            11,416
 Product Sales                                                                      12,452            10,882
 Alliance Revenue                                                                   482               341
 Collaboration Revenue                                                              4                 193
 Cost of sales                                                                      (2,183)           (1,960)
 Gross profit                                                                       10,755            9,456
 Distribution expense                                                               (132)             (131)
 Research and development expense                                                   (3,008)           (2,667)
 Selling, general and administrative expense                                        (4,929)           (4,986)
 Other operating income and expense                                                 60                784
 Operating profit                                                                   2,746             2,456
 Finance income                                                                     100               64
 Finance expense                                                                    (443)             (431)
 Share of after tax losses in associates and joint ventures                         (6)               (1)
 Profit before tax                                                                  2,397             2,088
 Taxation                                                                           (469)             (268)
 Profit for the period                                                              1,928             1,820
 Other comprehensive income:
 Items that will not be reclassified to profit or loss:
 Remeasurement of the defined benefit pension liability                             (43)              17
 Net gains/(losses) on equity investments measured at fair value through other      54                (94)
 comprehensive income
 Fair value movements related to own credit risk on bonds designated as fair        12                2
 value through profit or loss
 Tax on items that will not be reclassified to profit or loss                       12                (29)
                                                                                    35                (104)
 Items that may be reclassified subsequently to profit or loss:
 Foreign exchange arising on consolidation                                          (39)              (209)
 Foreign exchange arising on designated liabilities in net investment hedges        2                 (94)
 Fair value movements on cash flow hedges                                           (52)              33
 Fair value movements on cash flow hedges transferred to profit and loss            32                4
 Fair value movements on derivatives designated in net investment hedges            23                24
 Costs of hedging                                                                   (1)               (1)
 Tax on items that may be reclassified subsequently to profit or loss               3                 -
                                                                                    (32)              (243)
 Other comprehensive income/(expense), net of tax                                   3                 (347)
 Total comprehensive income for the period                                          1,931             1,473
 Profit attributable to:
 Owners of the Parent                                                               1,927             1,818
 Non-controlling interests                                                          1                 2
                                                                                    1,928             1,820
 Total comprehensive income attributable to:
 Owners of the Parent                                                               1,930             1,471
 Non-controlling interests                                                          1                 2
                                                                                    1,931             1,473
 Basic earnings per $0.25 Ordinary Share                                            $1.24             $1.17
 Diluted earnings per $0.25 Ordinary Share                                          $1.24             $1.17
 Weighted average number of Ordinary Shares in issue (millions)                     1,550             1,550
 Diluted weighted average number of Ordinary Shares in issue (millions)             1,560             1,560

 

 

Table 20: Condensed consolidated statement of financial position

 

                                                                        Reviewed 14   Audited     Reviewed

                                                                        At 30 Jun     At 31 Dec   At 30 Jun

                                                                        2024          2023        2023
                                                                        $m            $m          $m
 Assets
 Non-current assets
 Property, plant and equipment                                          9,630         9,402       8,675
 Right-of-use assets                                                    1,203         1,100       949
 Goodwill                                                               21,060        20,048      19,960
 Intangible assets                                                      39,426        38,089      38,326
 Investments in associates and joint ventures                           264           147         72
 Other investments                                                      1,607         1,530       1,071
 Derivative financial instruments                                       217           228         163
 Other receivables                                                      806           803         752
 Deferred tax assets                                                    4,734         4,718       3,736
                                                                        78,947        76,065      73,704
 Current assets
 Inventories                                                            5,667         5,424       5,051
 Trade and other receivables                                            11,047        12,126      11,092
 Other investments                                                      160           122         148
 Derivative financial instruments                                       28            116         44
 Income tax receivable                                                  1,575         1,426       840
 Cash and cash equivalents                                              6,916         5,840       5,664
                                                                        25,393        25,054      22,839
 Total assets                                                           104,340       101,119     96,543
 Liabilities
 Current liabilities
 Interest-bearing loans and borrowings                                  (5,067)       (5,129)     (4,556)
 Lease liabilities                                                      (292)         (271)       (231)
 Trade and other payables                                               (20,463)      (22,374)    (19,738)
 Derivative financial instruments                                       (51)          (156)       (83)
 Provisions                                                             (1,168)       (1,028)     (567)
 Income tax payable                                                     (1,525)       (1,584)     (1,200)
                                                                        (28,566)      (30,542)    (26,375)
 Non-current liabilities
 Interest-bearing loans and borrowings                                  (27,225)      (22,365)    (24,329)
 Lease liabilities                                                      (949)         (857)       (722)
 Derivative financial instruments                                       (61)          (38)        (68)
 Deferred tax liabilities                                               (3,333)       (2,844)     (2,800)
 Retirement benefit obligations                                         (1,326)       (1,520)     (1,078)
 Provisions                                                             (1,074)       (1,127)     (1,357)
 Other payables                                                         (2,208)       (2,660)     (2,398)
                                                                        (36,176)      (31,411)    (32,752)
 Total liabilities                                                      (64,742)      (61,953)    (59,127)
 Net assets                                                             39,598        39,166      37,416
 Equity
 Capital and reserves attributable to equity holders of the Parent
 Share capital                                                          388           388         387
 Share premium account                                                  35,199        35,188      35,163
 Other reserves                                                         2,078         2,065       2,076
 Retained earnings                                                      1,847         1,502       (234)
                                                                        39,512        39,143      37,392
 Non-controlling interests                                              86            23          24
 Total equity                                                           39,598        39,166      37,416

 

 

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                           -              -                      -               3,621              3,621                                       3                          3,624
 Other comprehensive income                      -              -                      -               31                 31                                          -                          31
 Transfer to other reserves                      -              -                      7               (7)                -                                           -                          -
 Transactions with owners
 Dividends                                       -              -                      -               (3,047)            (3,047)                                     -                          (3,047)
 Issue of Ordinary Shares                        -              8                      -               -                  8                                           -                          8
 Share-based payments charge for the period      -              -                      -               274                274                                         -                          274
 Settlement of share plan awards                 -              -                      -               (532)              (532)                                       -                          (532)
 Net movement                                    -              8                      7               340                355                                         3                          358
 At 30 Jun 2023                                  387            35,163                 2,076           (234)              37,392                                      24                         37,416

 At 1 Jan 2024                                   388            35,188                 2,065           1,502              39,143                                      23                         39,166
 Profit for the period                           -              -                      -               4,106              4,106                                       2                          4,108
 Other comprehensive expense                     -              -                      -               (414)              (414)                                       -                          (414)
 Transfer to other reserves                      -              -                      13              (13)               -                                           -                          -
 Transactions with owners
 Dividends                                       -              -                      -               (3,052)            (3,052)                                     -                          (3,052)
 Issue of Ordinary Shares                        -              11                     -               -                  11                                          -                          11
 Changes in non-controlling interests            -              -                      -               -                  -                                           61                         61
 Share-based payments charge for the period      -              -                      -               307                307                                         -                          307
 Settlement of share plan awards                 -              -                      -               (589)              (589)                                       -                          (589)
 Net movement                                    -              11                     13              345                369                                         63                         432
 At 30 Jun 2024                                  388            35,199                 2,078           1,847              39,512                                      86                         39,598

 

Table 22: Condensed consolidated statement of cash flows: H1 2024

 

 For the half year ended 30 June    2024    2023
                                    $m      $m

 

 Cash flows from operating activities
 Profit before tax                                                            5,197    4,350
 Finance income and expense                                                   645      654
 Share of after tax losses of associates and joint ventures                   19       1
 Depreciation, amortisation and impairment                                    2,534    2,778
 Movement in working capital and short-term provisions                        (584)    (747)
 Gains on disposal of intangible assets                                       (21)     (249)
 Fair value movements on contingent consideration arising from business       251      202
 combinations
 Non-cash and other movements                                                 (550)    (594)
 Cash generated from operations                                               7,491    6,395
 Interest paid                                                                (583)    (483)
 Tax paid                                                                     (1,337)  (1,061)
 Net cash inflow from operating activities                                    5,571    4,851

 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      -        (23)
 combinations
 Payment of contingent consideration from business combinations               (474)    (398)
 Purchase of property, plant and equipment                                    (799)    (517)
 Disposal of property, plant and equipment                                    53       126
 Purchase of intangible assets                                                (1,474)  (1,436)
 Disposal of intangible assets                                                75       288
 Movement in profit-participation liability                                   -        175
 Purchase of non-current asset investments                                    (67)     (26)
 Disposal of non-current asset investments                                    51       10
 Movement in short-term investments, fixed deposits and other investing       42       90
 instruments
 Payments to associates and joint ventures                                    (140)    -
 Disposal of investments in associates and joint ventures                     13       -
 Interest received                                                            206      134
 Net cash outflow from investing activities                                   (5,285)  (1,766)
 Net cash inflow before financing activities                                  286      3,085

 Cash flows from financing activities
 Proceeds from issue of share capital                                         11       8
 Issue of loans and borrowings                                                4,976    3,816
 Repayment of loans and borrowings                                            (2,643)  (3,408)
 Dividends paid                                                               (3,050)  (3,069)
 Hedge contracts relating to dividend payments                                (8)      27
 Repayment of obligations under leases                                        (150)    (129)
 Movement in short-term borrowings                                            2,503    72
 Payment of Acerta Pharma share purchase liability                            (833)    (867)
 Net cash inflow/(outflow) from financing activities                          806      (3,550)
 Net increase/(decrease) in Cash and cash equivalents in the period           1,092    (465)
 Cash and cash equivalents at the beginning of the period                     5,637    5,983
 Exchange rate effects                                                        (52)     (47)
 Cash and cash equivalents at the end of the period                           6,677    5,471
 Cash and cash equivalents consist of:
 Cash and cash equivalents                                                    6,916    5,664
 Overdrafts                                                                   (239)    (193)
                                                                              6,677    5,471

 

Responsibility statement of the directors in respect of the half-yearly financial report

 

We confirm that to the best of our knowledge:

 

‒    the condensed consolidated Interim Financial Statements have been
prepared in accordance with IAS 34

'Interim Financial Reporting' as issued by the International Accounting
Standards Board (IASB), IAS 34 as adopted by the European Union and UK-adopted
IAS 34;

 

‒    the half-yearly management report gives a true and fair view of the
assets, liabilities, financial position and profit or loss of the company;

 

‒    the half-yearly management report includes a fair review of the
information required by:

 

a)  DTR 4.2.7R of the Disclosure and Transparency Rules, being an indication
of important events that have occurred during the first six months of the
financial year and their impact on the condensed consolidated Interim
Financial Statements; and a description of the principal risks and
uncertainties for the remaining six months of the year; and

 

b)  DTR 4.2.8R of the Disclosure and Transparency Rules, being related party
transactions that have taken place in the first six months of the current
financial year and that have materially affected the financial position or
performance of the enterprise during that period; and any changes in the
related party transactions described in the last annual report that could do
so.

 

The Board

 

The Board of Directors that served during all or part of the six month period
to 30 June 2024 and their respective responsibilities can be found on the
Leadership team section of astrazeneca.com
(https://www.astrazeneca.com/our-company/leadership.html) .

 

Approved by the Board and signed on its behalf by

 

Pascal Soriot

Chief Executive Officer

 

25 July 2024

 

Independent review report to AstraZeneca PLC

 

Report on the Interim financial statements

 

Our conclusion

 

We have reviewed AstraZeneca PLC's Interim financial statements (the "Interim
financial statements") in the half-yearly financial report of AstraZeneca PLC
for the six month period ended 30 June 2024 (the "period").

 

Based on our review, nothing has come to our attention that causes us to
believe that the Interim financial statements are not prepared, in all
material respects, 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.

 

The Interim financial statements comprise:

 

‒    the Condensed consolidated statement of financial position as at 30
June 2024;

‒    the Condensed consolidated statement of comprehensive income: H1
2024 for the period then ended;

‒    the Condensed consolidated statement of changes in equity for the
period then ended;

‒    the Condensed consolidated statement of cash flows: H1 2024 for the
period then ended; and

‒    the explanatory notes to the Interim financial statements.

 

The Interim financial statements included in the half-yearly financial report
of AstraZeneca PLC 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.

 

Basis for conclusion

 

We conducted our review in accordance with International Standard on Review
Engagements (UK) 2410, 'Review of Interim Financial Information Performed by
the Independent Auditor of the Entity' issued by the Financial Reporting
Council for use in the United Kingdom ("ISRE (UK) 2410"). A review of interim
financial information consists of making enquiries, primarily of persons
responsible for financial and accounting matters, and applying analytical and
other review procedures.

 

A review is substantially less in scope than an audit conducted in accordance
with International Standards on Auditing (UK) and, consequently, does not
enable us to obtain assurance that we would become aware of all significant
matters that might be identified in an audit. Accordingly, we do not express
an audit opinion.

 

We have read the other information contained in the half-yearly financial
report and considered whether it contains any apparent misstatements or
material inconsistencies with the information in the Interim financial
statements.

 

Conclusions relating to going concern

 

Based on our review procedures, which are less extensive than those performed
in an audit as described in the Basis for conclusion section of this report,
nothing has come to our attention to suggest that the directors have
inappropriately adopted the going concern basis of accounting or that the
directors have identified material uncertainties relating to going concern
that are not appropriately disclosed. This conclusion is based on the review
procedures performed in accordance with ISRE (UK) 2410. However, future events
or conditions may cause the group to cease to continue as a going concern.

 

Independent review report to AstraZeneca PLC (continued)

 

Responsibilities for the Interim financial statements and the review

 

Our responsibilities and those of the directors

 

The half-yearly financial report, including the Interim financial statements,
is the responsibility of, and has been approved by the directors. The
directors are responsible for preparing the half-yearly financial report in
accordance with the Disclosure Guidance and Transparency Rules sourcebook of
the United Kingdom's Financial Conduct Authority. In preparing the half-yearly
financial report, including the Interim financial statements, the directors
are responsible for assessing the group's ability to continue as a going
concern, disclosing, as applicable, matters related to going concern and using
the going concern basis of accounting unless the directors either intend to
liquidate the group or to cease operations, or have no realistic alternative
but to do so.

 

Our responsibility is to express a conclusion on the Interim financial
statements in the half-yearly financial report based on our review. Our
conclusion, including our Conclusions relating to going concern, is based on
procedures that are less extensive than audit procedures, as described in the
Basis for conclusion paragraph of this report. This report, including the
conclusion, has been prepared for and only for the company for the purpose of
complying with the Disclosure Guidance and Transparency Rules sourcebook of
the United Kingdom's Financial Conduct Authority and for no other purpose. We
do not, in giving this conclusion, accept or assume responsibility for any
other purpose or to any other person to whom this report is shown or into
whose hands it may come save where expressly agreed by our prior consent in
writing.

 

PricewaterhouseCoopers LLP

Chartered Accountants

London

 

25 July 2024

 

Notes to the Interim financial statements

 

Note 1: Basis of preparation and accounting policies

 

These unaudited condensed consolidated Interim financial statements for the
six months ended 30 June 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 six months ended 30 June
2024 were approved by the Board of Directors for publication on 25 July 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 June 2024,
the Group has $11.8bn in financial resources (cash and cash equivalent
balances of $6.9bn and undrawn committed bank facilities of $4.9bn, with
$5.4bn of borrowings due within one year). These facilities contain no
financial covenants and were undrawn at 30 June 2024. The $4.9bn 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 10th June
2024, AstraZeneca obtained control and commenced consolidation of the EBT.
Going forward, cash paid on purchases of AstraZeneca Ordinary shares or
American Depository Receipts will be 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. As a result, total impairment charge of $26m has been
recorded against intangible assets during the six months ended 30 June 2024
(H1 2023: $320m net charge). In H1 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.

 

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 Jun 2024
                                                                                                 & other
                                                         $m             $m         $m            $m            $m                  $m
 Non-current instalments of loans                        (22,365)       (4,973)    (3)           (2)           118                 (27,225)
 Non-current instalments of leases                       (857)          -          (12)          (97)          17                  (949)
 Total long-term debt                                    (23,222)       (4,973)    (15)          (99)          135                 (28,174)
 Current instalments of loans                            (4,614)        2,583      (9)           (5)           27                  (2,018)
 Current instalments of leases                           (271)          174        (6)           (197)         8                   (292)
 Commercial paper                                        -              (2,453)    -             -             -                   (2,453)
 Collateral received from derivative counterparties      (215)          13         -             -             -                   (202)
 Other short-term borrowings excluding overdrafts        (97)           (63)       -             -             5                   (155)
 Overdrafts                                              (203)          (35)       -             -             (1)                 (239)
 Total current debt                                      (5,400)        219        (15)          (202)         39                  (5,359)
 Gross borrowings                                        (28,622)       (4,754)    (30)          (301)         174                 (33,533)
 Net derivative financial instruments                    150            65         -             (82)          -                   133
 Net borrowings                                          (28,472)       (4,689)    (30)          (383)         174                 (33,400)
 Cash and cash equivalents                               5,840          885        242           -             (51)                6,916
 Other investments - current                             122            (42)       87            -             (7)                 160
 Cash and investments                                    5,962          843        329           -             (58)                7,076
 Net debt                                                (22,510)       (3,846)    299           (383)         116                 (26,324)

 

Net debt increased by $3,814m in the half year to $26,324m. 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

AstraZeneca repaid two bonds of carrying value $2,569m in Q2 2024 included in
the cash outflow from Repayment of loans and borrowings of $2,643m.
AstraZeneca also issued Commercial paper during the half year and the balance
as at 30 June 2024 is $2,453m (H1 2023: $nil).

 

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 June 2024 was $202m (31 December 2023: $215m) and the carrying
value of such cash collateral posted by the Group at 30 June 2024 was $97m (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 six months ended 30 June 2024, there have been no changes to the
Company's solicited long term credit ratings. Moody's credit ratings were long
term: A2; short term: P-1. Standard and Poor's credit ratings were long term:
A; short term: A-1.

 

Note 4: Financial Instruments

 

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

 

The Group has certain equity investments that are categorised as Level 3 in
the fair value hierarchy that are held at $337m (31 December 2023: $313m) and
for which a fair value gain of $1m has been recognised in the six months ended
30 June 2024 (H1 2023: $1m). In the absence of specific market data, these
unlisted investments are held at fair value based on the cost of investment
and adjusted as necessary for impairments and revaluations on new funding
rounds, which are seen to approximate the fair value. All other fair value
gains and/or losses that are presented in Net gains/(losses) on equity
investments measured at fair value through other comprehensive income, in the
Condensed consolidated statement of comprehensive income for the six months
ended 30 June 2024, are Level 1 fair value measurements, valued based on
quoted prices in active markets.

 

Financial instruments measured at fair value include $1,670m of other
investments, $5,463m held in money-market funds and $133m of derivatives as at
30 June 2024. With the exception of derivatives being Level 2 fair valued, and
certain equity instruments of $350m categorised as Level 3, the aforementioned
balances are Level 1 fair valued. Financial instruments measured at amortised
cost include $97m of cash collateral pledged to counterparties. The total fair
value of interest-bearing loans and borrowings at 30 June 2024, which have a
carrying value of $33,533m in the Condensed consolidated statement of
financial position, was $32,231m.

 

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                                  (473)              (1)    (474)    (398)
 Revaluations                                 220                31     251      202
 Discount unwind                              50                 7      57       66
 At 30 June                                   1,742              427    2,169    2,152

 

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 $1,742m (31 December 2023: $1,945m) would
increase/decrease by $174m 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. Gracell will operate as a wholly owned subsidiary of
AstraZeneca, with operations in China and the US.

 

The acquisition enriches AstraZeneca's growing pipeline of cell therapies with
AZD0120 (formerly GC012F), a novel, clinical-stage T-cell (CAR-T: therapeutic
chimeric antigen receptor) therapy. AZD0120 is a potential new treatment for
multiple myeloma, as well as other haematologic malignancies and autoimmune
diseases, including Systemic Lupus Erythematosus (SLE).

 

The transaction is recorded as a business combination using the acquisition
method of accounting in accordance with IFRS 3 'Business Combinations'.
Consequently, the assets acquired, and liabilities assumed are recorded at
fair value. Due to the proximity of the acquisition to the reporting date, the
purchase price allocation exercise under IFRS 3 is in process, with the
following items disclosed on a provisional basis.

 

                                 Fair values
                                 $m
 Intangible assets               1,038
 Cash and cash equivalents       212
 Net deferred tax liability      (260)
 Other immaterial balances       (89)
 Total net assets acquired       901
 Goodwill                        136
 Consideration                   1,037

 

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, and
were fair valued using the multi-period excess earnings method, which uses
several estimates regarding the amount and timing of future cash flows. The
key assumptions in the cash flows are PTRS, peak year sales and revenue
erosion profiles.

 

The net deferred tax liability of $260m principally arises from the deferred
tax impact of the uplift in fair value of intangible assets.

 

Goodwill of $136m has been recognised, which principally comprises the premium
attributable to the core technological capabilities and knowledge base of the
company. Goodwill is not expected to be deductible for tax purposes.

 

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 acquisition marks a major step
forward in AstraZeneca delivering on its ambition to transform cancer
treatment and outcomes for patients by replacing traditional regimens like
chemotherapy and radiotherapy with more targeted treatments. As a result of
the acquisition, Fusion became a wholly owned subsidiary of AstraZeneca, with
operations in Canada and the US.

 

This acquisition complements AstraZeneca's leading oncology portfolio with the
addition of the Fusion pipeline of radioconjugates, including their most
advanced programme, FPI-2265, a potential new treatment for patients with
metastatic castration-resistant prostate cancer (mCRPC), and brings new
expertise and pioneering R&D, manufacturing and supply chain capabilities
in actinium-based radioconjugates to AstraZeneca.

 

The transaction is recorded as a business combination using the acquisition
method of accounting in accordance with IFRS 3 'Business Combinations'.
Consequently, the assets acquired, and liabilities assumed are recorded at
fair value. Due to the proximity of the acquisition to the reporting date, the
purchase price allocation exercise under IFRS 3 is in process, with the
following items disclosed on a provisional basis.

 

                                 Fair values
                                 $m
 Intangible assets               1,326
 Cash and cash equivalents       30
 Current investments             87
 Net deferred tax liability      (246)
 Other immaterial balances       51
 Total net assets acquired       1,248
 Goodwill                        947
 Consideration                   2,195

 

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. These were fair
valued using the multi-period excess earnings method, which uses several
estimates regarding the amount and timing of future cash flows. The key
assumptions in the cash flows are PTRS, peak year sales and revenue erosion
profiles.

 

The net deferred tax liability of $246m principally arises from the deferred
tax impact of the uplift in fair value of intangible assets.

 

Goodwill recognised comprises a number of not individually quantifiable
elements. These include the premium attributable to a pre-existing well
positioned business in the innovation intensive biopharmaceuticals market with
a highly skilled workforce, unidentified potential products that future
research and development may yield, and the core capabilities and knowledge
base of the company including radioisotope supply and manufacturing expertise.
Goodwill is not expected to be deductible for tax purposes.

 

Immediately prior to the acquisition, AstraZeneca held an approximately 1%
shareholding in Fusion considered to have a fair value of $24m.

 

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 (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 second quarter of 2024 and to 25 July 2024

 

Patent litigation

 

Legal proceedings brought against AstraZeneca considered to be contingent liabilities

 

Enhertu

US patent proceedings

In October 2020, Seagen Inc. (Seagen) filed a complaint against Daiichi Sankyo
Company, Limited (Daiichi Sankyo) in the US District Court for the Eastern
District of Texas (District Court) alleging that Enhertu infringes a Seagen
patent. AstraZeneca co-commercialises Enhertu with Daiichi Sankyo, Inc. in the
US. After trial in April 2022, the jury found that the patent was infringed
and awarded Seagen $41.82m in past damages. In July 2022, the District Court
entered final judgment and declined to enhance damages on the basis of
wilfulness. In October 2023, the District Court entered an amended final
judgment that requires Daiichi Sankyo to pay Seagen a royalty of 8% on US
sales of Enhertu from 1 April 2022 through to 4 November 2024, in addition to
the past damages previously awarded by the District Court. AstraZeneca and
Daiichi Sankyo have appealed the District Court's decision.

 

In December 2020 and January 2021, AstraZeneca and Daiichi Sankyo, Inc. filed
post-grant review (PGR) petitions with the US Patent and Trademark Office
(USPTO) alleging, among other things, that the Seagen patent is invalid for
lack of written description and enablement. The USPTO initially declined to
institute the PGRs, but, in April 2022, the USPTO granted the rehearing
requests and instituted both PGR petitions. Seagen subsequently disclaimed all
patent claims at issue in one of the PGR proceedings. In July 2022, the USPTO
reversed its institution decision and declined to institute the other PGR
petition. AstraZeneca and Daiichi Sankyo, Inc. requested reconsideration of
the decision not to institute review of the patent. In February 2023, the
USPTO reinstituted the PGR proceeding. In February 2024, the USPTO issued a
decision that the claims were unpatentable. Seagen has appealed this decision.

 

Tagrisso

US patent proceedings

In September 2021, Puma Biotechnology, Inc. (Puma) and Wyeth LLC (Wyeth) filed
a patent infringement lawsuit in the US District Court for the District of
Delaware (District Court) against AstraZeneca relating to Tagrisso. In March
2024, the District Court dismissed Puma. The 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. A bench trial on AstraZeneca's indefiniteness and
equitable defenses took place in June 2024. The parties await the court's
decision on the bench trial issues and consideration of post-trial motions.

 

Legal proceedings brought by AstraZeneca considered to be contingent assets

 

Calquence

US patent proceedings

In February 2022, in response to Paragraph IV notices from multiple ANDA
filers, AstraZeneca filed patent infringement lawsuits in the US District
Court for the District of Delaware (District Court). In its complaint,
AstraZeneca alleged that a generic version of Calquence capsules, if approved
and marketed, would infringe patents that are owned or licensed by
AstraZeneca. In 2024, AstraZeneca entered into settlement agreements with all
five generic manufacturers, resolving the Calquence capsule ANDA litigation
proceedings.

 

In April 2024, AstraZeneca received a Paragraph IV notice from an ANDA filer
relating to patents listed in the FDA Orange Book with reference to Calquence
tablets. In May 2024, in response to the Paragraph IV notice, AstraZeneca
filed a patent infringement lawsuit against Cipla Limited and Cipla USA, Inc.
in the District Court, alleging that a generic version of Calquence tablets,
if approved and marketed, would infringe patents that are owned or licensed by
AstraZeneca.

 

Lokelma

US patent proceedings

In August 2022, in response to Paragraph IV notices, AstraZeneca initiated
ANDA litigation against multiple generic filers in the US District Court for
the District of Delaware (District Court). AstraZeneca alleged that a generic
version of Lokelma, if approved and marketed, would infringe patents that are
owned or licensed by AstraZeneca.

 

AstraZeneca entered into separate settlement agreements with two generic
manufacturers which resulted in dismissal of the corresponding litigations.
Additional proceedings with the remaining generic manufacturers are ongoing in
the District Court. Trial is scheduled for March 2025.

 

Lynparza

US patent proceedings

In December 2022, AstraZeneca received a Paragraph IV notice from Natco Pharma
Limited (Natco) relating to Lynparza patents. In February 2023, in response to
the Paragraph IV notice, AstraZeneca, MSD International Business GmbH, and the
University of Sheffield initiated ANDA litigation against Natco in the US
District Court for the District of New Jersey (District Court). In the
complaint, AstraZeneca alleged that Natco's generic version of Lynparza, if
approved and marketed, would infringe AstraZeneca's patents. No trial date has
been scheduled.

 

In December 2023, AstraZeneca received a Paragraph IV notice from Sandoz Inc.
(Sandoz) relating to Lynparza patents. In February 2024, in response to the
Paragraph IV notice, AstraZeneca, MSD International Business GmbH, and the
University of Sheffield initiated ANDA litigation against Sandoz in the
District Court. In the complaint, AstraZeneca alleged that Sandoz's generic
version of Lynparza, if approved and marketed, would infringe AstraZeneca's
patents. No trial date has been scheduled.

 

In May 2024, AstraZeneca filed additional ANDA actions against Natco and
Sandoz asserting recently issued patents covering Lynparza. These actions have
been consolidated with the earlier filed ANDA actions and no trial date has
been scheduled.

 

 

In May 2024, AstraZeneca received a Paragraph IV notice from Cipla USA, Inc.
and Cipla Limited (collectively, Cipla) relating to Lynparza patents. In June
2024, in response to the Paragraph IV notice, AstraZeneca, MSD International
Business GmbH, and the University of Sheffield initiated ANDA litigation
against Cipla in the District Court. In the complaint, AstraZeneca alleged
that Cipla's generic version of Lynparza, if approved and marketed, would
infringe AstraZeneca's patents. No trial date has been scheduled.

 

Soliris

US patent proceedings

In January 2024, Alexion initiated patent infringement litigation against
Samsung Bioepis Co. Ltd. (Samsung) in the US District Court for the District
of Delaware alleging that Samsung's biosimilar eculizumab product will
infringe six Soliris-related patents. No trial date has been scheduled. Five
of the six asserted patents are also the subject of inter partes review (IPR)
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 court denied Alexion's
motion and Alexion has appealed that decision. On 22 July 2024, Samsung
announced FDA approval of Samsung's biosimilar.

 

European patent proceedings

In March 2024, Alexion filed motions for provisional measures against Amgen
Pharmaceuticals Inc (Amgen) and Samsung Bioepis Co. Ltd. (Samsung) and their
respective affiliates at the Hamburg Local Division of the Unified Patent
Court on the basis that Amgen's and Samsung's biosimilar eculizumab products
infringe an Alexion patent. In June 2024 the UPC denied the requested
provisional measures. Alexion has appealed this decision. In parallel, Samsung
has filed opposition to the patent at the European Patent Office.

 

UK patent proceedings

In May 2024, Alexion initiated patent infringement proceedings against Amgen
Ltd and Samsung Bioepis UK Ltd (Samsung UK) in the UK High Court of Justice
alleging that their respective biosimilar eculizumab products infringe an
Alexion patent; on the same day, Samsung UK initiated a revocation action for
the same patent. Trial has been scheduled for March 2025.

 

Tagrisso

Russia patent proceedings

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

 

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

 

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

 

Commercial litigation

 

Legal proceedings brought against AstraZeneca considered to be contingent liabilities

 

Anti-Terrorism Act Civil Lawsuit

US proceedings

In the US, in October 2017, AstraZeneca and certain other pharmaceutical
and/or medical device companies were named as defendants in a complaint filed
in the US District Court for the District of Columbia (District Court) by US
nationals (or their estates, survivors, or heirs) who were killed or wounded
in Iraq between 2005 and 2013. The plaintiffs allege that the defendants
violated the US Anti-Terrorism Act and various state laws by selling
pharmaceuticals and medical supplies to the Iraqi Ministry of Health. In July
2020, the District Court granted AstraZeneca's and the other defendants'
motion to dismiss the lawsuit, which the DC Circuit Court of Appeals (the
Appellate Court) reversed in January 2022. In June 2024, the United States
Supreme Court issued an order vacating the 2022 decision and granted
AstraZeneca's and the other defendants' request for a remand to the Appellate
Court for reconsideration under new case law.

 

Employment Litigation

US proceedings

In December 2022, AstraZeneca was served with a lawsuit filed by seven former
employees in the US District Court for the District of Delaware (District
Court) asserting claims of discrimination on grounds of age and religion,
related to AstraZeneca's vaccination requirement. In March 2023, AstraZeneca
filed a partial motion to dismiss certain religious discrimination claims and
a motion to strike the class and collective claims. In September 2023,
Plaintiffs moved for conditional certification of the collective action. In
June 2024, the District Court granted AstraZeneca's partial motion to dismiss,
granted AstraZeneca's motion to strike, and denied without prejudice
Plaintiff's motion for conditional certification.

 

Pay Equity Litigation

US proceedings

AstraZeneca is defending a putative class and collective action in the US
District Court for the Northern District of Illinois (District Court) brought
by three named plaintiffs, who are former AstraZeneca employees. The case
involves claims under the federal and Illinois Equal Pay Acts, with the
plaintiffs alleging they were paid less than male employees who performed
substantially similar and/or equal work. In May 2024, the District Court
conditionally certified a collective under the federal Equal Pay Act and
authorised the sending of notice to potential collective action members. The
notice was distributed in June 2024.

 

University of Sheffield Contract Dispute

UK proceedings

In June 2024, AstraZeneca was served with a lawsuit filed by the University of
Sheffield (Sheffield). In its complaint, Sheffield alleges that AstraZeneca
made misrepresentations to induce Sheffield to amend a patent license relating
to Lynparza. AstraZeneca is considering its response.

Viela Bio, Inc. Shareholder Litigation

US proceedings

In February 2023, AstraZeneca was served with a lawsuit filed in 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
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.

 

Legal proceedings brought by AstraZeneca considered to be contingent assets

 

PARP Inhibitor Royalty Dispute

UK proceedings

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

 

Government investigations/proceedings

 

Legal proceedings brought against AstraZeneca considered to be contingent liabilities

 

Boston US Attorney Investigation

US Proceedings

In June 2024, AstraZeneca was served with a subpoena issued by the US
Attorney's Office in Boston, seeking documents and information relating to
payments by AstraZeneca to healthcare providers. AstraZeneca is cooperating
with this enquiry.

 

Turkish Ministry of Health Matter

Turkey proceedings

In Turkey, in July 2020, the Turkish Ministry of Health (Ministry of Health)
initiated an investigation regarding payments to healthcare providers by
Alexion and former employees and consultants. The investigation arose from
Alexion's disclosure of a $21.5m civil settlement with the US Securities &
Exchange Commission (SEC) in July 2020 fully resolving the SEC's investigation
into possible violations of the US Foreign Corrupt Practices Act. In September
2021, the Ministry of Health completed its draft investigation report, and
referred the matter to the Ankara Public Prosecutor's Office with a
recommendation for further proceedings against certain former employees. In
June 2024, the Ankara Public Prosecutor's Office closed its investigation
without further action.

 

Legal proceedings brought by AstraZeneca considered to be contingent assets

 

Inflation Reduction Act Litigation

US proceedings

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

 

340B State Litigation

US proceedings

AstraZeneca has filed lawsuits against Arkansas, Kansas, Louisiana, Maryland,
Minnesota, Mississippi, and West Virginia challenging the constitutionality of
each state's 340B statute. In the Arkansas matter, trial is scheduled for
April 2025. In the Louisiana matter, AstraZeneca and the state have filed
motions for summary judgment and a hearing was held in June 2024. 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.

 

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

 

Patent litigation

 

Legal proceedings brought against AstraZeneca considered to be contingent liabilities

 

Forxiga

UK patent proceedings

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

 

Tagrisso

US patent proceedings

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

 

Legal proceedings brought by AstraZeneca considered to be contingent assets

 

Calquence

US patent proceedings

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

 

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

 

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

 

Lokelma

US patent proceedings

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

 

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

 

Soliris

US patent proceedings

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

 

European patent proceedings

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

 

Tagrisso

Russia patent proceedings

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

 

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

 

Product liability litigation

 

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

 

Nexium and Losec/Prilosec

US proceedings

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

 

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

 

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

 

Canada proceedings

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

 

Legal proceedings brought against AstraZeneca considered to be contingent liabilities

 

Onglyza and Kombiglyze

US proceedings

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

 

Vaxzevria

UK proceedings

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

 

Commercial litigation

 

Legal proceedings brought against AstraZeneca considered to be contingent liabilities

 

340B Antitrust Litigation

US proceedings

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

 

Definiens

Germany proceedings

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

 

Legal proceedings brought by AstraZeneca considered to be contingent assets

 

PARP Inhibitor Royalty Dispute

UK proceedings

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

 

Government investigations/proceedings

 

Legal proceedings brought against AstraZeneca considered to be contingent liabilities

 

340B Qui Tam

US proceedings

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

 

Legal proceedings brought by AstraZeneca considered to be contingent assets

 

Inflation Reduction Act Litigation

US proceedings

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

 

Arkansas 340B Litigation

US proceedings

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

 

Other

 

Additional government inquiries

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

 

Note 7: Subsequent events

 

On 15 July 2024, AstraZeneca completed the acquisition of Amolyt Pharma, a
clinical-stage biotechnology company focused on developing novel treatments
for rare endocrine diseases. AstraZeneca acquired all outstanding equity of
Amolyt for a total consideration of up to $1.05 billion, on a cash and debt
free basis. This includes an initial payment of $800m on deal closing, subject
to customary closing adjustments, and a further up to $250m in contingent
milestones-based consideration. Due to the timing of the transaction post
period end, the accounting and other disclosures will be finalised in the
second half of 2024.

 

Note 8
Table 25: H1 2024 - Product Sales year-on-year analysis 15 

The CER information in respect of H1 2024 included in the Interim financial
statements has not been reviewed by PricewaterhouseCoopers LLP.

 

     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                     9,737     17         21         4,387     20     2,300    18         28         1,967    25         23         1,083    (2)        8
 Tagrisso                     3,203     10         13         1,282     16     919      8          16         628      16         15         374      (11)       (2)
 Imfinzi                      2,259     20         25         1,202     17     245      35         58         459      38         36         353      7          19
 Calquence                    1,508     27         28         1,048     21     75       82         n/m        320      42         41         65       30         34
 Lynparza                     1,450     6          9          607       5      320      15         26         398      9          8          125      (14)       (6)
 Enhertu                      249       n/m        n/m        -         -      161      n/m        n/m        57       n/m        n/m        31       n/m        n/m
 Zoladex                      549       19         27         8         20     415      22         31         77       16         14         49       2          12
 Imjudo                       136       35         38         88        30     7        n/m        n/m        16       n/m        n/m        25       (5)        6
 Truqap                       142       n/m        n/m        141       n/m    -        -          -          -        -          -          1        n/m        n/m
 Orpathys                     25        14         19         -         -      25       14         19         -        -          -          -        -          -
 Others                       216       (21)       (15)       11        6      133      (21)       (15)       12       (36)       (36)       60       (21)       (12)
 BioPharmaceuticals: CVRM     6,164     18         22         1,483     16     2,749    17         24         1,559    33         32         373      (8)        2
 Farxiga                      3,785     35         38         867       37     1,474    37         44         1,233    45         44         211      (15)       (5)
 Brilinta                     665       -          2          354       (1)    166      4          14         136      -          (1)        9        (26)       (19)
 Crestor                      589       1          6          22        (18)   475      4          9          22       (30)       (29)       70       3          13
 Seloken/Toprol-XL            315       (8)        (1)        -         n/m    307      (8)        (1)        6        4          7          2        (39)       (37)
 Lokelma                      249       26         30         115       10     42       75         83         41       62         61         51       16         31
 roxadustat                   163       22         27         -         -      163      22         27         -        -          -          -        n/m        n/m
 Andexxa                      105       18         21         42        14     2        n/m        n/m        40       38         36         21       (9)        4
 Wainua                       21        n/m        n/m        21        n/m    -        -          -          -        -          -          -        -          -
 Others                       272       (30)       (28)       62        (50)   120      (27)       (22)       81       (10)       (10)       9        (7)        (5)
 BioPharmaceuticals: R&I      3,601     17         20         1,567     21     1,032    16         23         680      17         16         322      7          12
 Symbicort                    1,491     16         19         598       38     450      11         21         286      -          (1)        157      (4)        (2)
 Fasenra                      781       5          6          478       2      41       45         53         192      9          8          70       (2)        6
 Pulmicort                    379       10         14         8         (53)   317      16         22         37       1          (1)        17       (13)       (9)
 Breztri                      454       48         51         225       37     131      61         69         65       80         79         33       33         44
 Tezspire                     100       n/m        n/m        -         -      5        n/m        n/m        61       n/m        n/m        34       n/m        n/m
 Saphnelo                     203       77         77         184       71     2        n/m        n/m        10       n/m        n/m        7        86         91
 Airsupra                     21        n/m        n/m        21        n/m    -        -          -          -        -          -          -        -          -
 Others                       172       (27)       (26)       53        (47)   86       (18)       (14)       29       3          2          4        (12)       (10)
 BioPharmaceuticals: V&I      324       (27)       (24)       55        n/m    131      (12)       (7)        81       (28)       (30)       57       (68)       (65)
 Synagis                      253       (11)       (6)        (1)       n/m    131      4          10         67       (27)       (29)       56       (15)       (6)
 Beyfortus                    54        n/m        n/m        53        n/m    -        -          -          -        (81)       (61)       1        n/m        n/m
 FluMist                      8         n/m        n/m        3         n/m    -        -          -          5        n/m        97         -        n/m        n/m
 COVID-19 mAbs                3         (98)       (98)       -         -      -        n/m        n/m        3        (58)       (59)       -        n/m        n/m
 Others                       6         (79)       (80)       -         -      -        n/m        n/m        6        (41)       (43)       -        n/m        n/m
 Rare Disease                 4,243     11         15         2,517     10     454      40         70         794      3          2          478      9          20
 Ultomiris                    1,804     32         35         1,032     27     66       n/m        n/m        411      32         31         295      42         58
 Soliris                      1,439     (13)       (8)        808       (9)    255      19         54         260      (29)       (30)       116      (33)       (30)
 Strensiq                     653       16         18         529       17     31       30         47         48       14         12         45       4          15
 Koselugo                     247       55         64         101       13     83       n/m        n/m        45       95         92         18       n/m        n/m
 Kanuma                       100       17         20         47        18     19       7          20         30       24         25         4        11         20
 Other medicines              560       (9)        (2)        52        (24)   385      (1)        8          53       10         10         70       (35)       (29)
 Nexium                       459       (7)        1          47        (22)   318      4          15         26       3          2          68       (34)       (28)
 Others                       101       (17)       (14)       5         (40)   67       (22)       (18)       27       18         19         2        (53)       (49)
 Total Product Sales          24,629    15         18         10,061    17     7,051    16         26         5,134    21         19         2,383    (6)        3

 

 
Table 26: Q2 2024 - Product Sales year-on-year analysis (Unreviewed) 16 

 

The Q2 2024 information in respect of the three months ended 30 June 2024
included in the Interim financial statements has not been reviewed by
PricewaterhouseCoopers LLP.

 

     World  US  Emerging Markets  Europe  Established RoW

 

                              $m        Act % chg  CER % chg  $m       % chg  $m       Act % chg  CER % chg  $m       Act % chg  CER % chg  $m       Act % chg  CER % chg
 Oncology                     4,976     14         18         2,302    17     1,098    11         22         1,015    24         24         561      (9)        2
 Tagrisso                     1,608     8          12         658      13     432      6          15         327      15         15         191      (12)       (1)
 Imfinzi                      1,147     13         18         620      15     117      16         39         227      33         33         183      (9)        3
 Calquence                    790       21         22         554      14     36       51         72         167      42         43         33       20         23
 Lynparza                     744       4          7          319      3      153      8          18         206      10         11         66       (15)       (6)
 Enhertu                      127       89         99         -        -      77       60         72         31       n/m        n/m        19       n/m        n/m
 Zoladex                      273       17         25         5        29     201      17         28         42       23         21         25       6          17
 Imjudo                       74        17         19         49       37     4        n/m        n/m        8        64         55         13       (38)       (30)
 Truqap                       92        n/m        n/m        91       n/m    -        -          -          -        -          -          1        n/m        n/m
 Orpathys                     12        (7)        (3)        -        -      12       (7)        (3)        -        -          -          -        -          -
 Others                       109       (17)       (11)       6        24     66       (16)       (10)       7        (11)       (10)       30       (26)       (16)
 BioPharmaceuticals: CVRM     3,153     18         22         735      11     1,384    17         24         843      38         38         191      (14)       (3)
 Farxiga                      1,940     29         32         394      16     763      32         39         680      49         49         103      (23)       (14)
 Brilinta                     342       3          5          191      7      78       (1)        6          69       1          1          4        (38)       (23)
 Crestor                      292       4          11         12       (2)    234      8          14         10       (34)       (32)       36       3          15
 Seloken/Toprol-XL            150       (8)        -          -        n/m    146      (8)        -          3        46         53         1        (40)       (38)
 Lokelma                      136       36         41         64       29     21       68         78         23       63         64         28       16         33
 roxadustat                   88        20         26         -        -      88       20         26         -        -          -          -        -          -
 Andexxa                      59        29         35         22       34     1        n/m        n/m        22       51         51         14       (6)        8
 Wainua                       16        n/m        n/m        16       n/m    -        -          -          -        -          -          -        -          -
 Others                       130       (26)       (24)       36       (45)   53       (19)       (14)       36       (9)        (8)        5        (14)       (12)
 BioPharmaceuticals: R&I      1,797     21         24         830      23     444      23         34         350      21         21         173      8          14
 Symbicort                    722       20         25         299      49     197      12         25         143      4          5          83       (4)        (1)
 Fasenra                      423       4          5          268      -      19       33         46         99       11         11         37       3          11
 Pulmicort                    155       25         30         3        (53)   126      40         47         17       6          2          9        (18)       (13)
 Breztri                      235       44         47         120      43     61       42         49         35       68         69         19       26         37
 Tezspire                     57        n/m        n/m        -        -      3        n/m        n/m        35       n/m        n/m        19       n/m        n/m
 Saphnelo                     112       65         65         101      59     1        28         n/m        6        n/m        n/m        4        90         86
 Airsupra                     14        n/m        n/m        14       n/m    -        -          -          -        -          -          -        -          -
 Others                       79        (24)       (22)       25       (52)   37       7          12         15       2          3          2        (6)        (4)
 BioPharmaceuticals: V&I      112       28         42         28       n/m    41       (10)       4          7        (55)       (53)       36       36         55
 Synagis                      81        (6)        8          (1)      n/m    41       (16)       (2)        6        (42)       (42)       35       27         46
 Beyfortus                    28        n/m        n/m        27       n/m    -        -          -          -        n/m        (91)       1        n/m        n/m
 FluMist                      2         n/m        n/m        2        n/m    -        -          -          -        (26)       (21)       -        -          -
 COVID-19 mAbs                1         n/m        n/m        -        -      -        n/m        n/m        1        (65)       (64)       -        (99)       (99)
 Others                       -         n/m        n/m        -        -      -        -          -          -        n/m        n/m        -        -          -
 Rare Disease                 2,147     10         14         1,311    10     203      35         67         392      3          3          241      7          18
 Ultomiris                    946       33         36         550      27     35       n/m        n/m        209      38         38         152      38         56
 Soliris                      700       (14)       (8)        398      (11)   129      30         74         118      (36)       (36)       55       (36)       (33)
 Strensiq                     340       13         14         283      14     10       7          15         24       13         13         23       4          17
 Koselugo                     114       43         45         55       13     24       73         80         26       n/m        n/m        9        63         85
 Kanuma                       47        3          8          25       21     5        (54)       (49)       15       28         33         2        11         41
 Other medicines              267       (11)       (5)        28       (13)   179      (3)        5          24       (7)        (7)        36       (38)       (32)
 Nexium                       219       (12)       (5)        25       (17)   146      (2)        7          13       (5)        (5)        35       (37)       (32)
 Others                       48        (9)        (6)        3        39     33       (8)        (4)        11       (9)        (9)        1        (54)       (49)
 Total Product Sales          12,452    14         18         5,234    16     3,349    15         25         2,631    23         23         1,238    (5)        5

 

 

Table 27: Alliance Revenue

 

                           H1 2024    H1 2023
                           $m         $m
 Enhertu                   683        475
 Tezspire                  180        105
 Beyfortus                 26         -
 Other Alliance Revenue    50         47
 Total                     939        627

 

Table 28: Collaboration Revenue

 

                                H1 2024    H1 2023
                                $m         $m
 Farxiga: sales milestones      49         25
 COVID-19 mAbs licence fees     -          180
 Other Collaboration Revenue    -          15
 Total                          49         220

 

Table 29: Other operating income and expense

 

                                                                       H1 2024    H1 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                                                                 127        135
 Total                                                                 127        1,163

 

Other shareholder information

 

Financial calendar

 

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

Announcement of FY and Q4 2024 results: 6 February 2025

 

Dividends are normally paid as follows:

 

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

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

 

The record date for the first interim dividend for 2024, payable on 9
September 2024, will be 9 August 2024. The ex-dividend date will be 8 August
2024.

 

Conclusion of audit tender

 

Following a rigorous process, the audit tender for the Group's external audit
provider has now concluded. The Audit Committee has recommended, and the Board
has endorsed, the appointment of KPMG as the Group's external auditor for the
financial year ending 31 December 2026. A resolution will be put to
shareholders at the 2026 Annual General Meeting (AGM) to approve this
appointment. It is intended that PwC, who have been the Group's auditor since
the year ended 31 December 2017, will continue as the Group's auditors for the
years ended 31 December 2024 and 2025 and will cease to hold office at the
conclusion of the Company's 2026 AGM.

 

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

EVH                             Extravascular
haemolysis

FDA                              Food and Drug
Agency (US)

FDC                             Fixed dose
combination

g
Germline, e.g. gBRCAm

GAAP                           Generally Accepted
Accounting Principles

GEJ                              Gastro
oesophageal junction

GI
Gastrointestinal

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

gMG                             Generalised
myasthenia gravis

HCC                             Hepatocellular
carcinoma

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

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

hMPV                           Human metapneumovirus

HR                                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

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

IP
Intellectual Property

IVIg                               Intravenous
immune globulin

LABA                           Long-acting
beta-agonist

LAMA                           Long-acting
muscarinic-agonist

LS-SCLC                    Limited stage small cell lung
cancer

LRTD                           Lower respiratory
tract disease

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

mAb                             Monoclonal
antibody

MDL                             Multidistrict
litigation

MET                             Mesenchymal
epithelial transition

NF1-PN                       Neurofibromatosis type 1
with plexiform neurofibromas

n/m                               Not meaningful

NMOSD                       Neuromyelitis optica
spectrum disorder

NRDL                           National
reimbursement drug list

NSCLC                        Non-small cell lung cancer

OECD                          Organisation for
Economic

Co-operation and Development

OOI                               Other
operating income

ORR                             Overall response
rate

OS                                Overall
survival

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

pCR                              Pathologic
complete response

PCSK9                        Proprotein convertase
subtilisin/kexin type 9

PD                                Progressive
disease

PD-1                            Programmed cell
death protein 1

PD-L1                          Programmed cell death
ligand 1

PDUFA                        Prescription Drug User Fee
Act

PHSSR                        Partnership for Health
System Sustainability and Resilience

PFS                              Progression free
survival

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

PMDI                            Pressure metered
dose inhaler

PNH / -EVH                Paroxysmal nocturnal haemoglobinuria
/ with extravascular haemolysis

PPI                               Proton pump
inhibitors

PSR                              Platinum
sensitive relapse

PTEN                           Phosphatase and
tensin homologue

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

R&D                             Research and
development

R&I
Respiratory & Immunology

RSV                              Respiratory
syncytial virus

sBLA                            Supplemental
biologics license application (US)

SCLC                           Small cell lung
cancer

s.c.
Subcutaneous injection

SEA                              Severe
eosinophilic asthma

SEC                             Securities
Exchange Commission (US)

SG&A                           Sales, general
and administration

SGLT2                         Sodium-glucose
cotransporter 2

SLL                              Small
lymphocytic lymphoma

SMI                               Sustainable
Markets Initiative

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

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

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

 8  Based on best prevailing assumptions around currency profiles.

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

 10  Based on average daily spot rates 1 Jan 2024 to 30 Jun 2024.

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

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

 13  The Q2 2024 and Q2 2023 information in respect of the three months ended
30 June 2024 and 30 June 2023 respectively included in the Interim financial
statements have not been reviewed by PricewaterhouseCoopers LLP

 14  The Condensed consolidated statement of financial position as at 30 June
2024 and 30 June 2023 have been reviewed by PricewaterhouseCoopers LLP. The
Condensed consolidated statement of financial position as at 31 December 2023
has been audited by PricewaterhouseCoopers LLP.

 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.

 16  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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