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REG - GSK PLC - 1st Quarter Results

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RNS Number : 4488X  GSK PLC  26 April 2023

 GSK momentum continues with strong start to 2023

 

 Q1 2023 performance highlights:
 ·   Sales performance reflected lower COVID-19 solutions sales versus Q1 2022.
     Excluding COVID-19 solutions, sales grew +10% CER with strong performance
     across Vaccines, Specialty and General Medicines
 ·   Key growth drivers included Shingrix for shingles, meningitis vaccines, oral
     two-drug regimen and long-acting HIV medicines, Benlysta in immunology, Nucala
     and Trelegy in respiratory, which combined contributed more than 40% of sales
 ·   Total operating profit and total EPS performance reflected the comparison to
     Q1 2022 which included the one-off income benefit of the Gilead settlement and
     higher Xevudy sales
 ·   Adjusted operating profit was stable at CER, predominately reflecting a 5%
     adverse impact following expected lower COVID-19 solutions sales and 4% from
     legal provisions primarily relating to royalties
 ·   Adjusted EPS increased +7% CER due to lower non-controlling interests, a lower
     effective tax rate, and strong sales growth excluding lower COVID-19 solutions
     (which impacted performance by 7%)
 ·   Cash generated from operations £0.3 billion; free cash outflow (£0.7)
     billion lower than Q1 2022 primarily due to Gilead settlement income received
     in Q1 2022 and timing of profit share payments
 ·   Full-year 2023 guidance affirmed. Dividend of 14p declared for Q1 2023. 56.5p
     expected for the full-year 2023

 

                                        Q1 2023
                                        £m           % AER          % CER

 Vaccines                               2,041        22             15
 Specialty Medicines                    2,236        (29)           (33)
 General Medicines                      2,674        12             9

 Turnover                               6,951        (3)            (8)

 Turnover excluding COVID-19 solutions  6,819        16             10

 Total operating profit                 2,082        (9)            (15)

 Total continuing EPS                   36.8p        (1)            (8)

 Total EPS                              36.8p        (18)           (23)

 Adjusted operating profit              2,092        8              -

 Adjusted operating margin %            30.1%        3.1 ppts       2.5 ppts

 Adjusted EPS                           37.0p        15             7

 Cash generated from operations         287          (88)
 Free cash outflow                      (689)        >(100)

 

 (Financial Performance - Q1 2023 results unless otherwise stated, growth % and
 commentary at CER)

 

 R&D delivery and targeted business development support future growth
 ·   Innovative pipeline of 68 vaccines and specialty medicines based on the
     science of immune system with 17 in Phase III/registration; four anticipated
     2023 approvals (daprodustat in anaemia due to chronic kidney disease, RSV
     older adults vaccine, momelotinib in myelofibrosis and Jemperli in first-line
     endometrial cancer)
 ·   Four positive phase III/IV data readouts in Q1 2023, including pentavalent
     Meningitis ABCWY vaccine candidate; gepotidacin for uncomplicated urinary
     tract infections; Jemperli for first-line endometrial cancer and Cabenuva for
     HIV treatment
 ·   Proposed acquisition of Bellus Health - provides access to camlipixant,
     potential best-in-class and highly selective P2X3 antagonist currently in
     phase III development for treatment of refractory chronic cough; exclusive
     license agreement signed with Scynexis for Brexafemme, a US FDA approved,
     first-in-class antifungal for treatment of vulvovaginal candidiasis

 

 Emma Walmsley, Chief Executive Officer, GSK:

 "We have made a strong start to 2023, with excellent performance across
 Vaccines, Specialty and General Medicines. We are very focused on our upcoming
 launches, including our potential RSV older adult vaccine, and on continuing
 to strengthen our pipeline - both organically with several positive late-stage
 read-outs already this year, and through targeted business development. This
 continued momentum is also supporting our confidence in delivering our medium
 and long-term growth ambitions."

 

 The Total results are presented in summary above and on page 6 and Adjusted
 results reconciliations are presented on pages 18 and 19. Adjusted results are
 a non-IFRS measure excluding discontinued operations and other adjustments
 that may be considered in addition to, but not as a substitute for, or
 superior to, information presented in accordance with IFRS. Adjusted results
 are defined on page 16 and £% or AER% growth, CER% growth, free cash flow,
 turnover excluding COVID-19 solutions and other non-IFRS measures are defined
 on page 44, COVID-19 solutions are defined on page 44. GSK provides guidance
 on an Adjusted results basis only, for the reasons set out on page 16. All
 expectations, guidance and targets regarding future performance and dividend
 payments should be read together with 'Guidance, assumptions and cautionary
 statements' on pages 45 and 46.

 

 The Q1 2022 comparative results are restated from those previously published
 to reflect the demerger of Consumer Healthcare in July 2022 see page 33.

 

 

 2023 guidance
 The Company affirms its full-year 2023 guidance at constant exchange rates
 (CER). All expectations and full-year growth rates exclude any contributions
 from COVID-19 solutions:

 

 Turnover is expected to increase between 6 to 8 per cent

 Adjusted operating profit is expected to increase between 10 to 12 per cent

 Adjusted earnings per share is expected to increase between 12 to 15 per cent

 

 Taking Q1 2023 performance and the latest expectations for Q2 2023 into
 account, GSK now expects first half and second half turnover growth to be
 broadly similar and for General Medicines to be broadly flat to slightly down
 this year. GSK expects Adjusted operating profit growth to be lower in the
 first half of 2023 and higher in the second half, relative to full-year
 expectations.

 Despite the recovery of healthcare systems, uncertain economic conditions
 prevail across many markets in which GSK operates and we continue to expect to
 see variability in performance between quarters.

 This guidance is supported by the following turnover expectations for full
 year 2023 at CER:

 

 Vaccines - expected increase of mid-teens per cent in turnover

 Specialty Medicines - expected increase of mid to high single-digit per cent
 in turnover

 General Medicines - expected to be broadly flat to slightly down

 

 Adjusted Operating profit is expected to grow between 10 to 12 per cent at CER
 reflecting Cost of sales and R&D increasing at a rate slightly below
 turnover, while SG&A is anticipated to increase at a rate broadly aligned
 to turnover, reflecting targeted support for launches and potential launches
 including the RSV older adult candidate vaccine. Adjusted earnings per share
 is expected to increase between 12 to 15 per cent at CER reflecting favourable
 net finance costs and non-controlling interests plus an expected lower tax
 rate, at around 15%.

 

 Additional commentary
 Dividend policies and expected pay-out ratios remain unchanged for GSK. The
 future dividend policies and guidance regarding the expected dividend pay-out
 in 2023 for GSK are provided on page 30.

 

 COVID-19 solutions
 In Q1 2023, turnover decreased by 8% at CER reflecting the comparison to Q1
 2022, which included £1,307 million of COVID-19 solutions sales in the
 period. Excluding COVID-19 solutions, turnover increased by 10% at CER. In Q1
 2023, Adjusted Operating profit was stable at CER reflecting a 5% adverse
 impact from expected lower COVID-19 solutions sales. Based on known binding
 agreements with governments, GSK does not anticipate further significant
 COVID-19 pandemic-related sales or operating profit in 2023. Consequently, the
 Company now expects full-year 2023 turnover growth to be impacted by
 approximately 9%, with Adjusted Operating profit growth being reduced between
 5% to 6% versus the prior year.

 All expectations, guidance and targets regarding future performance and
 dividend payments should be read together with 'Guidance, assumptions and
 cautionary statements' on pages 45 and 46. If exchange rates were to hold at
 the closing rates on 31 March 2023 ($1.24/£1, €1.14/£1 and Yen 165/£1)
 for the rest of 2023, the estimated impact on 2023 Sterling turnover growth
 for GSK would be stable and if exchange gains or losses were recognised at the
 same level as in 2022, the estimated impact on 2023 Sterling Adjusted
 Operating Profit growth for GSK would be -1%.

 

 Results presentation
 A conference call and webcast for investors and analysts of the quarterly
 results will be hosted by Emma Walmsley, CEO, at 12pm GMT on 26 April 2023.
 Presentation materials will be published on www.gsk.com prior to the webcast
 and a transcript of the webcast will be published subsequently.

 Notwithstanding the inclusion of weblinks, information available on the
 Company's website, or from non GSK sources, is not incorporated by reference
 into this Results Announcement.

 

 

 Performance: turnover

 

 Turnover                                                              Q1 2023

                                                                       £m         Growth      Growth

                                                                                  £%          CER%

 Shingles                                                              833        19          11
 Meningitis                                                            280        32          25
 Influenza                                                             12         (33)        (28)
 Established Vaccines                                                  815        10          4

 Vaccines excluding COVID-19 solutions                                 1,940      16          9
 COVID-19 solutions: Pandemic vaccines                                 101        100         100

 Vaccines                                                              2,041      22          15

 HIV                                                                   1,468      24          15
 Immunology/Respiratory and Other                                      601        16          9
 Oncology                                                              136        7           2

 Specialty Medicines excluding COVID-19 solutions                      2,205      21          13

 COVID-19 solutions: Xevudy                                            31         (98)        (98)

 Specialty Medicines                                                   2,236      (29)        (33)

 Respiratory                                                           1,767      15          10
 Other General Medicines                                               907        7           7

 General Medicines                                                     2,674      12          9

 Total                                                                 6,951      (3)         (8)

 Total excluding COVID-19 solutions                                    6,819      16          10

 By Region:
 US                                                                    3,270      (9)         (17)
 Europe                                                                1,704      3           (2)
 International                                                         1,977      2           2

 Total                                                                 6,951      (3)         (8)

 

 Turnover excluding COVID-19 solutions is a non-IFRS measure defined on page 44
 with the reconciliation to the IFRS measure Turnover included in the table
 above.

 

                                                          £m     AER    CER
 Vaccines  Total                              Q1 23       2,041  22%    15%
                      Excluding COVID-19 solutions               Q1 23  1,940  1 9
                                                                               6 %
                                                                               %

 Vaccines grew in all regions. Key growth drivers were geographical expansion
 and market growth for Shingrix, and inclusion in National Immunisation
 Programmes for Bexsero. Pandemic vaccines sales reflected GSK's share of 2023
 contracted European volumes related to a COVID-19 booster vaccine co-developed
 with Sanofi.

 

 Shingles              Q1 23  833  19%  11%

 Shingrix, a vaccine against herpes zoster (shingles), grew in International
 and Europe reflecting new launch uptake, demand and favourable pricing mix. US
 sales were primarily impacted by unfavourable wholesaler and distributor
 inventory movements. Shingrix is now available in 31 countries.

 

 Meningitis              Q1 23  280  32%  25%

 Strong growth in Meningitis vaccines was primarily driven by Bexsero, our
 vaccine against meningitis B, which grew in Europe mainly from inclusion in
 National Immunisation Programmes and in International due to an increase in
 demand ahead of an anticipated price increase. Menveo, our vaccine against
 meningitis strains ACWY, grew in the US primarily due to initial public
 stocking of the new liquid formulation and Center for Disease Control (CDC)
 purchasing patterns.

 

 Established Vaccines              Q1 23  815  10%  4%

 Established Vaccines grew mainly in Hepatitis vaccines resulting from
 continued travel market recovery in Europe and International, and due to CDC
 purchasing patterns in the US. Rotarix, a vaccine to protect infants against
 rotavirus, grew in the US primarily driven by initial stocking of the new
 liquid formulation by the CDC. Synflorix, our 10-valent vaccine for
 pneumococcal disease, declined in the quarter reflecting phasing of public
 market supply and lower demand related to decreased birth cohorts in
 International.

 

                                                                     £m     AER    CER
 Specialty Medicines  Total                              Q1 23       2,236  (29%)  (33%)
                                 Excluding COVID-19 solutions               Q1 23  2,205  2 1
                                                                                          1 3
                                                                                          % %

 Specialty Medicines growth reflected consistent performance, with HIV,
 Oncology and Immunology/Respiratory and Other all growing. In the quarter,
 there were minimal sales of Xevudy contrasting with strong sales in Q1 2022,
 resulting in a drag of 46 (CER) percentage points.

 

 HIV              Q1 23  1,468  24%  15%

 The performance of HIV benefited from strong patient demand for Oral two-drug
 regimen (Oral 2DR) and Long Acting medicines which contributed approximately
 two-thirds of the growth. US pricing favourability contributed approximately
 one-third of growth, in part driven by favourable prior period Returns and
 Rebates (RAR) adjustments in Q1 2023. The inventory build in Q4 2022 has been
 slow to deplete, with less than one-third reducing in this quarter, the
 remainder is expected to reduce by the half year.

 

 Oral 2DR and Long Acting      Q1 23  697  62%  51%

 Oral 2DR (Dovato, Juluca) and Long Acting medicines (Cabenuva, Apretude) sales
 represented 47% of the total HIV portfolio compared to 36% in Q1 2022. Growth
 was primarily driven by sales of Dovato and Cabenuva.

 

 Immunology/Respiratory and Other      Q1 23  601  16%  9%

 This therapy area includes sales of Benlysta and Nucala, and also sales of
 Duvroq (Daprodustat) in Japan. Daprodustat launch in US is expected in the
 second half of the year.

 

 Benlysta        Q1 23  253  18%  9%

 Benlysta, a monoclonal antibody treatment for Lupus, continues to show
 consistent growth representing strong underlying demand in US and Europe. This
 growth was partially offset in the quarter by the impact of wholesaler
 inventory movements in US and International regions.

 

 Nucala        Q1 23  347  18%  11%

 Nucala, is a IL-5 antagonist monoclonal antibody treatment for severe asthma,
 with additional indications including chronic rhinosinusitis with nasal
 polyps, eosinophilic granulomatosis with polyangiitis (EGPA) and
 hypereosinophilic syndrome (HES). Growth in the quarter reflected patient
 demand in severe eosinophilic asthma and for the new indications with ongoing
 launches. This growth was partially offset in the US by the impact of
 inventory depletion and an unfavourable prior period RAR adjustment.

 

 Oncology              Q1 23  136  7%  2%

 Oncology growth was driven by Zejula in Europe and Jemperli in US and Europe.
 Blenrep growth in Europe was offset by the impact of withdrawal from the US
 market in November 2022.

 

 Zejula        Q1 23  114  16%  10%

 Growth of Zejula, a PARP inhibitor treatment for ovarian cancer, was driven by
 Europe and International markets. In the US, first line indication growth was
 more than offset by reduction in use in second line following the update to US
 prescribing information agreed with the FDA in Q4 2022.

 

                                       £m     AER  CER
 General Medicines              Q1 23  2,674  12%  9%

 Growth driven by both Respiratory and Other General Medicines categories,
 driven by ongoing demand for Trelegy in all regions in addition to a strong
 allergy season in Japan and continued post pandemic recovery of the antibiotic
 market in Europe and International regions.

 

 Respiratory              Q1 23  1,767  15%  10%

 Performance reflects strong growth of Trelegy and the single inhaled triple
 therapy class across all regions. Growth also includes the benefits of a
 strong allergy season in Japan and the US launch of Flovent authorised generic
 in Q2 2022. Favourable US prior period RAR adjustments to Seretide/Advair were
 offset by adverse adjustments to Relvar/Breo in the quarter.

 

 Trelegy        Q1 23  465  37%  28%

 Trelegy, is the most prescribed single inhaler triple therapy (SITT) treatment
 for COPD and asthma. Trelegy grew in the period with strong performance across
 all regions, reflecting increased patient demand and growth of the SITT
 market.

 

 Seretide/Advair        Q1 23  339  12%  8%

 Seretide/Advair is an ICS/LABA treatment for asthma and COPD. Growth reflected
 targeted promotion in certain International markets and the benefit of a
 favourable US prior period RAR adjustment, partially offset by the impact of
 generic competition in Europe, US and certain International markets.

 

 Other General Medicines              Q1 23  907  7%  7%

 High single-digit growth reflected strong post pandemic demand for
 anti-infectives in Europe and International, with Augmentin growth of 37% AER,
 38% CER in the quarter. The impact of ongoing generic competition in this
 product group is also offset by Avodart and dermatological product growth,
 predominantly in the International region.

 

By Region

 

                                                    £m     AER    CER
 US  Total                                   Q1 23  3,270  (9%)   (17%)
     Excluding COVID-19 solutions            Q1 23  3,270  16%    6%

 In the quarter there was a 23 (CER) percentage point drag due to high sales of
 Xevudy in Q1 2022, with no COVID-19 solutions sales in Q1 2023. Excluding this
 effect there was growth in all product groups. Vaccines grew on Established
 Vaccine market recovery and CDC order phasing, offsetting impact of wholesaler
 destocking and a strong Q1 2022 comparator on Shingrix growth. Specialty
 Medicines growth was driven by strong HIV performance. General Medicines
 growth was driven by ongoing performance of Trelegy within the single inhaled
 triple therapy class.

 

                                                        £m     AER    CER
 Europe  Total                              Q1 23       1,704  3%     (2%)
                    Excluding COVID-19 solutions               Q1 23  1,603  1 1
                                                                             9 4
                                                                             % %

 In the quarter there was a 16 (CER) percentage point drag due to high sales of
 Xevudy in Q1 2022, with all product groups growing strongly excluding this
 effect. Vaccines double digit growth reflected Shingrix launches and uptake,
 Bexsero national immunisation campaigns in France and Spain and ongoing travel
 vaccine recovery. Specialty Medicines double digit growth was driven by HIV,
 Benlysta and Nucala including the impact of new indication launches. General
 Medicines was driven by Trelegy ongoing growth and Augmentin on strong post
 pandemic antibiotic demand.

 

                                                             £m        AER  CER
 International  Total                              Q1 23     1,977     2%   2%
                               Excluding COVID-19 solutions                 Q1 23  1 1 1
                                                                                   , 3 4
                                                                                   9 % %
                                                                                   4
                                                                                   6

 In the quarter there was a 12 (CER) percentage point drag due to high sales of
 Xevudy in Q1 2022, with all product groups growing strongly excluding this
 effect. Vaccines double digit growth was driven by Shingrix uptake in Japan
 and China and launches in certain other markets. Specialty Medicines grew in
 HIV, Oncology and Immunology/Respiratory and Other with Nucala delivering
 strong growth in severe eosinophilic asthma and new indications. General
 Medicines product group was driven by Respiratory, with Trelegy growth and a
 strong allergy season in Japan, Other General Medicines was driven by
 Augmentin on strong post pandemic antibiotic demand.

 

 

 Financial performance

 

 Total Results                                                      Q1 2023
                                                                    £m           % AER      % CER

 Turnover                                                           6,951        (3)        (8)
 Cost of sales                                                      (1,943)      (28)       (30)
 Selling, general and administration                                (2,143)      18         12
 Research and development                                           (1,260)      14         8
 Royalty income                                                     180          30         28
 Other operating income/(expense)                                   297

 Operating profit                                                   2,082        (9)        (15)

 Net Finance expense                                                (174)
 Share of after tax profit/(loss) of associates and joint ventures  (2)
 Profit/(loss) on disposal of interest in associates                1

 Profit before taxation                                             1,907        (9)        (15)

 Taxation                                                           (276)
 Tax rate %                                                         14.5%

 Profit after taxation                                              1,631        (8)        (14)

 Profit attributable to non-controlling interests                   141
 Profit attributable to shareholders                                1,490

                                                                    1,631        (8)        (14)

 Earnings per share                                                 36.8p        (1)        (8)

 

 The Total Results are on a continuing basis. The Q1 2022 comparative results
 have been restated on a consistent basis from those previously published to
 reflect the demerger of the Consumer Healthcare business (see page 33).
 Financial Performance - Q1 2023 results unless otherwise stated, growth % and
 commentary at CER.

 

 

 Adjusted results

 Reconciliations between Total results and Adjusted results for Q1 2023 and Q1
 2022 are set out on pages 18 and 19.

 

                                                            Q1 2023
                                                            £m           % AER      % CER

 Turnover                                                   6,951        (3)        (8)

 Cost of sales                                              (1,752)      (31)       (32)
 Selling, general and administration                        (2,065)      17         10
 Research and development                                   (1,222)      12         6
 Royalty income                                             180          30         28

 Adjusted operating profit                                  2,092        8          -

 Adjusted profit before taxation                            1,920        10         2
 Taxation                                                   (303)        6          (2)

 Adjusted profit after taxation                             1,617        11         3

 Adjusted profit attributable to non-controlling interests  121
 Adjusted profit attributable to shareholders               1,496

                                                            1,617        11         3

 Earnings per share                                         37.0p        15         7

 

 

                                            Q1 2023
                                            £m       AER     CER
 Cost of sales  Total                       1,943    (28%)   (30%)
                % of sales                  28.0%    (9.8%)  (8.9%)
                Adjusted                    1,752    (31%)   (32%)
                % of sales                  25.2%    (9.9%)  (9.1%)

 The decrease in Total and Adjusted cost of sales as a percentage of sales
 primarily reflected lower sales of lower margin Xevudy compared to Q1 2022.
 This was partly offset by an unfavourable comparator to a one-time benefit
 from inventory adjustments in Q1 2022 as well as higher freight costs.

 

                                                                    Q1 2023
                                                                    £m       AER   CER
 Selling, general & administration      Total                       2,143    18%   12%
                                        % of sales                  30.8%    5.6%  5.5%
                                        Adjusted                    2,065    17%   10%
                                        % of sales                  29.7%    5.1%  4.9%

 Growth in Total and Adjusted SG&A primarily reflected an increase in legal
 provisions primarily relating to the Zejula royalty dispute((1)) resulting in
 an increase of 4 ppts and an increased level of launch investment in Specialty
 Medicines particularly HIV and Vaccines including Shingrix to drive
 post-pandemic recovery demand and support market expansion. Growth was partly
 offset by favourable comparison due to impairment provisions relating to
 Russia and Ukraine in Q1 2022 and the continuing benefit of restructuring and
 tight control of ongoing costs.

 

                                                         Q1 2023
                                                         £m       AER   CER
 Research & development      Total                       1,260    14%   8%
                             % of sales                  18.1%    2.8%  2.7%
                             Adjusted                    1,222    12%   6%
                             % of sales                  17.6%    2.4%  2.4%

 Growth in Total and Adjusted R&D reflected increased investment across the
 Vaccines clinical development portfolio, particularly in pneumococcal
 programmes acquired as part of the Affinivax Inc (Affinivax) acquisition, mRNA
 technology platforms and the phase II MMR programme.

 In the Specialty Medicines portfolio, there was increased investment in the
 early stage research portfolio, particularly CCL17 for osteo arthritic pain
 and IL18 for atopic dermatitis and in Jemperli, with preparation for new phase
 II/III trials in rectal and colon cancer as well as the ongoing trials in
 endometrial cancer. In addition, there was increased investment in
 momelotinib, a potential new treatment of myelofibrosis patients with anaemia,
 the phase III respiratory programme for depemokimab, a potential new medicine
 to treat a range of eosinophil-driven diseases and for bepirovirsen, the study
 in chronic hepatitis B. These increases in investment were partly offset by
 decreases related to the completion of late-stage clinical development
 programmes for otilimab and Cell & Gene therapy and reduced R&D
 investment in Blenrep versus Q1 2022.

 

                                        Q1 2023
                                        £m     AER  CER
 Royalty income  Total                  180    30%  28%
                 Adjusted               180    30%  28%

 Growth in Total and Adjusted royalty income primarily reflected the settlement
 and licensing agreement with Gilead Sciences Inc. (Gilead) announced on 1
 February 2022 and included Gardasil royalty income of £71 million.

 

 (1)  See update on Legal matters on page 29.

 

                                                       Q1 2023
                                                       £m     AER    CER
 Other operating (expense)/income  Total               297    (50%)  (52%)

 The decrease primarily reflected an unfavourable comparison to the upfront
 income in Q1 2022 of £0.9 billion received from the settlement with Gilead.
 Net other operating income included an accounting credit of £271 million (Q1
 2022: £335 million charge) arising from the remeasurement of contingent
 consideration liabilities and the liabilities for the Pfizer, Inc. (Pfizer)
 put option and Pfizer and Shionogi & Co. Ltd (Shionogi) preferential
 dividends in ViiV Healthcare.

 

                                               Q1 2023
                                               £m       AER     CER
 Operating profit  Total                       2,082    (9%)    (15%)
                   % of sales                  30.0%    (1.9%)  (2.4%)
                   Adjusted                    2,092    8%      -
                   % of sales                  30.1%    3.1%    2.5%

 Total operating profit margin was down 1.9 ppts at AER and 2.4 ppts at CER
 primarily reflecting an unfavourable comparison due to the £0.9 billion
 upfront income received from the settlement with Gilead in Q1 2022, partly
 offset by remeasurement credits on contingent consideration liabilities.

 Adjusted profit was impacted by lower sales of COVID-19 solutions sales which
 led to a drag of 5% AER and CER but increased the Adjusted operating profit
 margin by approximately 3.9 ppts at AER and CER. Excluding COVID-19 Solutions,
 Adjusted operating profit benefited from strong sales across all three product
 areas but margin was impacted by increased legal charges in the quarter
 primarily relating to the Zejula royalty dispute and an unfavourable
 comparison to a one-time benefit from inventory adjustments in Q1 2022.

 Contingent consideration cash payments made to Shionogi and other companies
 reduce the balance sheet liability. Total contingent consideration cash
 payments in Q1 2023 amounted to £291 million (Q1 2022: £211 million). These
 included cash payments made to Shionogi of £287 million (Q1 2022: £208
 million).

 

                                                                              Q1 2023
                                                                              £m       AER   CER
 Adjusted operating profit by business  Commercial Operations                 3,375    8%    1%
                                        % of sales                            48.6%    5.2%  4.3%
                                        R&D                                   (1,232)  13%   6%

 Commercial Operations Adjusted operating profit reflected lower COVID-19
 solutions sales, primarily Xevudy. Sales declined 8% with 19 ppts AER / 18
 ppts CER drag from COVID-19 solutions sales. Operating profit margin
 benefitted from product mix upside (with minimal Xevudy sales) and increased
 royalty income, partly offset by increased investment in growth and launch
 assets as well as an increase in legal provisions.

 The R&D segment operating expenses primarily reflected increased
 investment in the Vaccines clinical development portfolio, particularly in
 pneumococcal programmes, the mRNA technology platforms and the phase II MMR
 programme. This was partly offset by decreases related to the completion of
 late-stage clinical development programmes for otilimab and Cell & Gene
 therapy and reduced R&D investment in Blenrep versus Q1 2022.

 

                                           Q1 2023
                                           £m     AER    CER
 Net finance costs  Total                  174    (12%)  (16%)
                    Adjusted               170    (14%)  (18%)

 Total net finance costs decreased by £24 million compared to Q1 2022.
 Adjusted net finance costs decreased by £28 million compared to Q1 2022. The
 decrease is mainly driven by the net savings from maturing bonds including the
 Sterling Notes repurchase in Q4 2022 and higher interest income on cash.

 

                                       Q1 2023
                                       £m     AER    CER
 Taxation  Total                       276    (15%)  (21%)
           Tax rate %                  14.5%
           Adjusted                    303    6%     (2%)
           Tax rate %                  15.8%

 The effective tax rate impact is broadly in line with expectations for the
 quarter. Issues related to taxation are described in Note 14, 'Taxation' in
 the Annual Report 2022. The Group continues to believe it has made adequate
 provision for the liabilities likely to arise from periods that are open and
 not yet agreed by relevant tax authorities. The ultimate liability for such
 matters may vary from the amounts provided and is dependent upon the outcome
 of agreements with relevant tax authorities.

 

                                                   Q1 2023
                                                   £m     AER    CER
 Non-controlling interests  Total                  141    (49%)  (53%)
                            Adjusted               121    (25%)  (32%)

 The decrease in Total profit from continuing operations allocated to
 non-controlling interest was primarily due to lower allocation of ViiV
 Healthcare profits of £140 million (Q1 2022: £227 million), partly offset by
 decreased credits for remeasurement of contingent consideration liabilities,
 as well as lower net profits in some of the Group's other entities with
 non-controlling interests.

 The decrease in Adjusted profit from continuing operations allocated to
 non-controlling interest primarily reflected lower profits in some of the
 Group's entities with non-controlling interests partly offset by an increased
 allocation of ViiV Healthcare profits of £120 million (Q1 2022: £113
 million).

 

                                            Q1 2023
                                            £m     AER    CER
 Earnings per share  Total                  36.8p  (1%)   (8%)
                     Adjusted               37.0p  15%    7%

 The decrease in Total EPS primarily reflected an unfavourable comparison due
 to upfront income received from the settlement with Gilead in Q1 2022. This
 was partly offset by remeasurement credits for contingent consideration
 liabilities compared to charges in Q1 2022, lower non-controlling interests
 and lower effective tax rate.

 Adjusted EPS reflected strong growth in sales across all product areas
 excluding COVID-19 solutions, higher royalty income, lower non-controlling
 interests and a lower effective tax rate. This was partly offset by increased
 legal charges primarily relating to royalties and investment behind launches
 in Specialty Medicines including HIV and Vaccines plus higher supply chain
 costs, freight and distribution costs. Decline in lower margin COVID-19
 solutions sales was a drag on Adjusted EPS growth of 7 ppts at AER and CER.

 

 

 Currency impact on Q1 2023 results

 The results for Q1 2023 are based on average exchange rates, principally
 £1/$1.22, £1/€1.14 and £1/Yen 162. Comparative exchange rates are given
 on page 31. The period-end exchange rates were £1/$1.24, £1/€1.14 and
 £1/Yen 165.

 In Q1 2023, turnover was down 3% at AER and 8% at CER. Total EPS from
 continuing operations was 36.8p compared with 37.3p in Q1 2022. Adjusted EPS
 was 37.0p compared with 32.3p in Q1 2022, up 15% at AER and 7% at CER. The
 favourable currency impact primarily reflected the weakening of Sterling
 against the US Dollar and the Euro. Exchange gains or losses on the settlement
 of intercompany transactions had a one percent adverse impact on the eight
 percentage point favourable currency impact on Adjusted EPS.

 

 

 Cash generation

 

 Cash flow

 

                                                                       Q1 2023         Q1 2022

                                                                       £m              £m

 Cash generated from operations attributable to                        287             2,352

   continuing operations (£m)
 Cash generated from operations attributable to                        -               403

   discontinued operations (£m)

 Total cash generated from operations (£m)                             287             2,755

 Net cash inflow/(outflow) from operating activities from              53              2,206

   continuing operations (£m)
 Net cash inflow/(outflow) from operating activities from              -               336

   discontinued operations (£m)

 Total net cash generated from operating activities (£m)               53              2,542

 Free cash inflow/(outflow) from continuing operations* (£m)           (689)           1,477
 Free cash flow from continuing operations growth (%)                  >(100)%
 Free cash flow conversion from continuing operations* (%)             3%              96%
 Total net debt** (£m)                                                 (17,950)        (19,351)

 

 *   Free cash flow from continuing operations and free cash flow conversion are
     defined on page 44.
 **  Net debt is analysed on page 34.

 

 Q1 2023

 Cash generated from operating activities from continuing operations was £287
 million (Q1 2022: £2,352 million). The decrease primarily reflected an
 unfavourable comparison due to the upfront income from the settlement with
 Gilead received in Q1 2022, unfavourable timing of profit share payments for
 Xevudy, increase in seasonal inventory and lower payable balances reflecting
 increased investment in 2022.

 Total cash payments to Shionogi in relation to the ViiV Healthcare contingent
 consideration liability in the quarter were £287 million (Q1 2022: £208
 million), all of which was recognised in cash flows from operating activities.
 These payments are deductible for tax purposes.

 Free cash outflow was £689 million for the quarter (Q1 2022: £1,477 million
 inflow). The decrease primarily reflected an unfavourable comparison due to
 the upfront income from the settlement with Gilead received in Q1 2022,
 unfavourable timing of profit share payments for Xevudy, increase in seasonal
 inventory, lower payable balances reflecting increased investment in 2022 and
 higher tax payments.

 

 Total Net debt

 At 31 March 2023, net debt was £17,950 million, compared with £17,197
 million at 31 December 2022, comprising gross debt of £20,905 million and
 cash and liquid investments of £2,955 million.

 Net debt increased by £0.8 billion primarily due to £0.7 billion free cash
 outflow and dividends paid to shareholders of £0.6 billion. This was partly
 offset by net favourable exchange impacts of £0.4 billion from the
 translation of non-Sterling denominated debt and exchange on other financing
 items and £0.1 billion of income received from equity investments.

 At 31 March 2023, GSK had short-term borrowings (including overdrafts and
 lease liabilities) repayable within 12 months of £4,261 million with loans of
 £1,682 million repayable in the subsequent year.

 

 

 Q1 2023 pipeline highlights (since 1 February 2023)

 

                                                      Medicine/vaccine                   Trial (indication, presentation)                                        Event
 Regulatory approvals or other regulatory action      Jesduvroq                          ASCEND-D (anaemia of chronic kidney disease on dialysis)                Regulatory approval (US)
                                                      Jemperli                           GARNET (2L endometrial cancer)                                          Conversion to regular (full) approval (US)
 Regulatory submissions or acceptances                Nucala                             Severe asthma                                                           Regulatory acceptance (CN)
                                                      Jemperli                           RUBY (1L mismatch repair-deficient/microsatellite instability-high      Regulatory acceptance (EU)
                                                                                         (dMMR/MSI-H) endometrial cancer)
 Phase III data readouts or other significant events  Benlysta                           Paediatric systemic lupus erythematosus (sub-cutaneous administration)  Positive phase II data readout
                                                      Jemperli                           Rectal cancer                                                           US FDA Advisory Committee vote to support phase II trial design
                                                      Jemperli                           RUBY (1L endometrial cancer)                                            Phase III data presentation
                                                      gepotidacin                        EAGLE-2/3 (uncomplicated urinary tract infection)                       Phase III data presentation
                                                      RSV older adult vaccine candidate  RSV, older adults aged                                                  US FDA Advisory Committee vote

                                                                                         60+ years
                                                      MenABCWY (gen 1)                   Meningitis ABCWY                                                        Positive phase III data readout

                                                      vaccine candidate

 

 Anticipated news flow

 

 Timing   Medicine/vaccine                   Trial (indication, presentation)                               Event
 H1 2023  daprodustat                        ASCEND (anaemia of chronic kidney disease)                     Regulatory decision

                                                                                                            (EU)
          Jemperli                           RUBY (1L endometrial cancer)                                   Regulatory submission

                                                                                                            (US)
          momelotinib                        MOMENTUM (myelofibrosis with anaemia)                          Regulatory decision (US)
          RSV older adult vaccine candidate  RSV, older adults aged                                         Regulatory decision (US)

                                             60+ years
          Shingrix                           Shingles, at-risk adults aged 18+ years                        Regulatory decision (JP)
 H2 2023  bepirovirsen                       B-Together (hepatitis B virus)                                 Phase IIb data readout
          Nucala                             Nasal polyposis                                                Regulatory submission

                                                                                                            (CN, JP)
          Blenrep                            DREAMM-7 (2L+ multiple myeloma)                                Phase III data readout
          Blenrep                            DREAMM-8 (2L+ multiple myeloma)                                Phase III data readout
          Blenrep                            DREAMM-7 (2L+ multiple myeloma)                                Regulatory submission

                                                                                                            (US, EU)
          Blenrep                            DREAMM-8 (2L+ multiple myeloma)                                Regulatory submission

                                                                                                            (US, EU)
          Jemperli                           RUBY (1L endometrial cancer)                                   Regulatory decision

                                                                                                            (US)
          Zejula                             FIRST (1L maintenance ovarian cancer)                          Phase III data readout
          cabotegravir                       Pre-exposure prophylaxis, long-acting injectable               Regulatory decision (EU)
          Vocabria                           HIV                                                            Regulatory decision (CN)
          gepotidacin                        EAGLE-1 (urogenital gonorrhoea)                                Phase III data readout
          gepotidacin                        EAGLE-2/3 (uncomplicated urinary tract infection)              Regulatory submission (EU)
          MenABCWY (gen 2)                   Meningitis ABCWY                                               Phase II data readout

          vaccine candidate
          RSV older adult vaccine candidate  RSV, older adults aged                                         Regulatory decision

                                             60+ years                                                      (EU, JP)
          RSV older adult vaccine candidate  RSV, older adults aged                                         Phase III data readout

                                             50-59 years
          RSV older adult vaccine candidate  RSV, older adults aged                                         Regulatory submission

                                             50-59 years                                                    (US, EU, JP)
          SKYCovione COVID-19 vaccine        COVID-19                                                       Regulatory decision (EU)
 2024     linerixibat                        GLISTEN (cholestatic pruritus in primary biliary cholangitis)  Phase III data readout
          linerixibat                        GLISTEN (cholestatic pruritus in primary biliary cholangitis)  Regulatory submission

                                                                                                            (US, EU)
          Nucala                             Severe asthma                                                  Regulatory decision (CN)
          Nucala                             Nasal polyposis                                                Regulatory decision (JP)
          Nucala                             MATINEE (chronic obstructive pulmonary disease)                Phase III data readout
          Nucala                             MATINEE (chronic obstructive pulmonary disease)                Regulatory submission

                                                                                                            (US, EU, CN, JP)
          Blenrep                            DREAMM-7 (2L+ multiple myeloma)                                Regulatory decision

                                                                                                            (US, EU)
          Blenrep                            DREAMM-8 (2L+ multiple myeloma)                                Regulatory decision

                                                                                                            (US, EU)
          cobolimab                          COSTAR (non-small cell lung cancer)                            Phase III data readout
          Jemperli                           RUBY (1L dMMR/MSI-H endometrial cancer)                        Regulatory decision (EU)
          Jemperli                           RUBY part 2 (1L endometrial cancer)                            Phase III data readout
          Jemperli                           RUBY part 2 (1L endometrial cancer)                            Regulatory submission

                                                                                                            (US, EU)
          momelotinib                        MOMENTUM (myelofibrosis with anaemia)                          Regulatory decision (EU)
          Zejula                             ZEAL (1L maintenance NSCLC)                                    Phase III data readout
          gepotidacin                        EAGLE-2/3 (uncomplicated urinary tract infection)              Regulatory decision

                                                                                                            (US, EU)
          gepotidacin                        EAGLE-2/3 (uncomplicated urinary tract infection)              Regulatory submission

                                                                                                            (JP)
          gepotidacin                        EAGLE-1 (urogenital gonorrhoea)                                Regulatory submission

                                                                                                            (US)
          MenABCWY (gen 1)                   Meningitis ABCWY                                               Regulatory submission (US)

          vaccine candidate
          RSV older adult vaccine candidate  RSV, older adults aged                                         Regulatory decision

                                             50-59 years                                                    (US, EU, JP)

 

 Refer to pages 35 to 43 for further details on several key medicines and
 vaccines in development by therapy area.

 

 

 Trust: progress on our six priority areas for responsible business

 Building Trust by operating responsibly is integral to GSK's strategy and
 culture. This will support growth and returns to shareholders, reduce risk,
 and help GSK's people thrive while delivering sustainable health impact at
 scale. The Company has identified six Environmental, Social, and Governance
 (ESG) focus areas that address what is most material to GSK's business and the
 issues that matter the most to its stakeholders. Highlights below include
 activity since Full-year and Q4 2022 results. For a full list of progress in
 2022, please see the 2022 ESG Performance Report at: https://gsk.to/3V1hwFk.

 Access

 Commitment: to make GSK's vaccines and medicines available at value-based
 prices that are sustainable for the business and implement access strategies
 that increase the use of GSK's vaccines and medicines to treat and protect
 underserved people.

 

 Progress to date:

 

 ·   GSK continues to collaborate to support access to its HIV portfolio. For
     example, following the signing of a voluntary licensing agreement for
     cabotegravir for HIV pre-exposure prophylaxis (PrEP) between ViiV Healthcare
     and the Medicines Patent Pool (MPP) in July 2022, the MPP signed subsequent
     sub-licence agreements in March 2023 with Aurobindo Pharma Limited, Cipla,
     Inc. and Viatris, Inc. - through its subsidiary Mylan - to manufacture generic
     versions of cabotegravir long-acting for PrEP. More information can be found
     at: https://gsk.to/3LsG72L. (https://gsk.to/3LsG72L)

 ·   Working with GSK's partners, more than 1.2 million children in Ghana, Kenya
     and Malawi have received at least one dose of the Company's malaria vaccine,
     Mosquirix (RTS,S/AS01 E). In March 2023, Kenya expanded vaccine use beyond the
     communities involved in the Malaria Vaccine Immunisation Programme (MVIP),
     almost doubling the number of areas where children can access it. All three
     countries that were part of the MVIP have now expanded the rollout.

 

 Global health and health security

 Commitment: develop novel products and technologies to treat and prevent
 priority diseases, including pandemic threats.

 

 Progress to date:

 

 ·   GSK remains committed to innovation across medicines and vaccines to help get
     ahead of antimicrobial resistance, with a number of R&D projects targeting
     pathogens deemed 'critical' or 'urgent' by the WHO and US Centers for Disease
     Control and Prevention. GSK reinforced its commitment to developing new
     antibiotics in high unmet medical need areas when it presented positive
     results from the pivotal EAGLE-2 and EAGLE-3 phase III trials for gepotidacin,
     an investigational, first-in-class oral antibiotic with a novel mechanism of
     action for uncomplicated urinary tract infections (uUTI) in female adults and
     adolescents. Escherichia coli (e. coli) bacteria are the main cause of uUTI
     but it is showing increasing resistance to antibiotics currently used((1)).
     The data were disclosed in an oral presentation at the European Congress of
     Clinical Microbiology and Infectious Diseases (ECCMID) in Copenhagen, Denmark.
     More information can be found at: https://gsk.to/40yA5lq.

 ·   GSK continued to expand its industry-leading infectious diseases portfolio. In
     March 2023, the Company entered an exclusive licence agreement for Brexafemme
     (ibrexafungerp tablets), a US FDA-approved, first-in-class antifungal for
     treating vulvovaginal candidiasis and for a reduction in the incidence of
     recurrent VVC. Brexafemme complements GSK's late-stage antibiotics
     gepotidacin, and tebipenem, a potential new treatment for complicated urinary
     tract infections. With rates of multi-drug resistant fungal infections rising,
     this agreement strengthens the Company's position as an innovation leader in
     antimicrobial resistance. More information can be found at:
     https://gsk.to/3oHAlkx.

 

 Environment

 Commitment: committed to a net zero, nature-positive, healthier planet with
 ambitious goals set for 2030 and 2045.

 

 Progress to date:

 

 ·   The Company has clear and measurable targets to achieve its climate and nature
     goals and shared its annual progress as part of GSK's ESG Performance Report.
     The Company also published more detail on its carbon reduction pathway and use
     of carbon credits, which can be found at: https://gsk.to/3LtovDT.

 ·   The Taskforce on Nature-related Financial Disclosures (TNFD) recently released
     its final beta framework for nature-related risk management and disclosure.
     GSK sits on the Taskforce, and to pilot the recommendations ahead of the final
     framework expected later this year, the Company made an initial disclosure,
     focusing on strategy, metrics and targets in its 2022 Annual Report (page 62).
     In addition, GSK was included in the TNFD (section 3.1) scenario guidance as
     an example of a multinational company taking an advanced approach.

 

 Diversity, equity and inclusion

 Commitment: create a diverse, equitable and inclusive workplace; enhance
 recruitment of diverse patient populations in GSK clinical trials; and support
 diverse communities.

 

 Progress to date:

 

 ·   Appropriate clinical research representation is critical for advancing the
     Company's understanding of new vaccines and medicines to ensure they
     positively impact patients' lives. GSK announced results from a 17-year
     retrospective study on US clinical trial diversity in February 2023. Results
     of the study demonstrate real-world disease epidemiology data, compared to the
     conventional standard of US Census data, is a better benchmark to ensure
     clinical trial enrolment reflects the populations affected by diseases. GSK
     has committed to applying insights from the study and collaborating with
     regulators, patients, academics, and other biopharmaceutical companies to make
     meaningful progress on clinical trial diversity. As a result, 100% of phase
     III trials now include a demographic plan. More information can be found at:
     https://gsk.to/40IAGkE.

 ·   GSK is committed to equality of representation so that its workforce reflects
     the communities in which it operates and hires, and that GSK leadership
     reflects the Company's workforce. In February 2023, GSK communicated its 2022
     progress which was also highlighted in the ESG Performance Report:

     -                                         Women held 42% of Vice President (VP) and above roles globally, compared with
                                               40% in 2021, bringing the Company closer to its 2025 aspirational target of
                                               45%; Women made up 47% of all employees in 2022 and 50% of all management
                                               roles.

     -                                         In the US, GSK has 31.3% of ethnically diverse leaders at the VP level and
                                               above and has met its 2025 aspirational target of at least 30%.

     -                                         In the UK, the Company has 14.3% of ethnically diverse leaders at VP and
                                               above, progressing towards its 2025 aspirational target of reaching at least
                                               18%.

 

 Ethical standards

 Commitment: promote ethical behaviour across GSK's business by supporting its
 employees to do the right thing and working with suppliers that share the
 Company's standards and operate responsibly.

 

 ·   Performance metrics related to ethical standards are updated annually with
     details from the most recent year on page 26 of GSK's ESG Performance Report
     2022.

 

 Product governance

 Commitment: maintain robust quality and safety processes and responsibly use
 data and new technologies.

 

 ·   Performance metrics related to product governance are updated annually with
     details from the most recent year on page 30 of GSK's ESG Performance Report
     2022.

 

 ESG rating performance

 Detailed below is how GSK performs in key ESG ratings.

 

 External benchmark                                         2020                               2021                               2022                               Comments
 S&P Global's Corporate Sustainability Assessment((2))      87                                 88                                 86

                                                            2nd in Pharma industry             1st in Pharma industry             2nd in Pharma industry((2))
 Access to Medicines Index                                  4.23                               n/a                                4.06                               Led the bi-annual index since its inception in 2008

                                                            Ranked 1st                                                            Ranked 1st
 Antimicrobial resistance benchmark                         86%                                84%                                n/a                                Led the bi-annual benchmark since inception

                                                            Ranked 1st                         Ranked 1st
 CDP Climate Change                                         A-                                 A-                                 A-
 CDP Water Security                                         A                                  B                                  B
 CDP Forests((3)) (palm oil)                                n/a                                B                                  A-
 CDP Forests((3)) (timber)                                  n/a                                B                                  B
 CDP supplier engagement rating                             Leader                             Leader                             Leader
 Sustainalytics                                             21.3                               18.9                               18.8                               Lower score represents lower risk

                                                            8th in Pharma                      5th in Pharma sub-industry group   3rd in Pharma sub-industry group

                                                            sub-industry group
 MSCI                                                       AA                                 AA                                 AA
 Moody's ESG solutions                                      62                                 61                                 n/a

                                                            2nd in Pharma and Biotech sector   2nd in Pharma and Biotech sector
 ISS Corporate Rating                                       B                                  B+                                 B+
 FTSE4Good                                                  Member                             Member                             Member                             Member since 2004
 ShareAction's Workforce Disclosure Initiative (WDI)        68%                                75%                                77%

                                                            Sector average: 65%                Sector average: 70%                Sector average: 66%

 

 (1)  WHO. Global priority list of antibiotic-resistant bacteria to guide research,
      discovery, and development of new antibiotics. 2017; CDC. Antibiotic
      resistance threats in the United States. 2019. Available from:
      https://www.cdc.gov/drugresistance/pdf/threats-report/2019-ar-threats-report-508.pdf
      (Accessed October 2022)
 (2)  As at 31 March 2023.
 (3)  CDP Forests assessments introduced in 2021.

 

 

 Contents                                                Page
 Q1 2023 pipeline highlights                             11
 ESG                                                     13
 Total and Adjusted results                              16
 Income statement                                        21
 Statement of comprehensive income                       22
 Balance sheet                                           23
 Statement of changes in equity                          24
 Cash flow statement - three months ended 31 March 2023  25
 Sales tables - three months ended 31 March 2023         26
 Segment information                                     28
 Legal matters                                           29
 Returns to shareholders                                 30
 Additional information                                  31
 Net assets                                              32
 Discontinued operations                                 33
 Reconciliation of cash flow to movements in net debt    34
 Net debt analysis                                       34
 Free cash flow reconciliation                           34
 R&D commentary                                          35
 Reporting definitions                                   44
 Guidance, assumptions and cautionary statements         45
 Independent Auditor's review report to GSK plc          47

 

 

 Contacts

 

 GSK plc (LSE/NYSE:GSK) is a global biopharma company with a purpose to unite
 science, technology, and talent to get ahead of disease together. Find out
 more at www.gsk.com.

 

 GSK enquiries:
 Media               Tim Foley          +44 (0) 20 8047 5502  (London)
                     Kathleen Quinn     +1 202 603 5003       (Washington)

 Investor Relations  Nick Stone         +44 (0) 7717 618834   (London)
                     James Dodwell      +44 (0) 7881 269066   (London)
                     Mick Readey        +44 (0) 7990 339653   (London)
                     Joshua Williams    +44 (0) 7385 415719   (London)
                     Jeff McLaughlin    +1 215 589 3774       (Philadelphia)
                     Frances De Franco  +1 215 751 4855       (Philadelphia)

 Registered in England & Wales:

 No. 3888792

 Registered Office:

 980 Great West Road

 Brentford, Middlesex

 TW8 9GS

 

 

 Total and Adjusted results

 

 Total reported results represent the Group's overall performance.

 GSK also uses a number of adjusted, non-IFRS, measures to report the
 performance of its business. Adjusted results and other non-IFRS measures may
 be considered in addition to, but not as a substitute for or superior to,
 information presented in accordance with IFRS. Adjusted results are defined
 below and other non-IFRS measures are defined on page 44.

 GSK believes that Adjusted results, when considered together with Total
 results, provide investors, analysts and other stakeholders with helpful
 complementary information to understand better the financial performance and
 position of the Group from period to period, and allow the Group's performance
 to be more easily compared against the majority of its peer companies. These
 measures are also used by management for planning and reporting purposes. They
 may not be directly comparable with similarly described measures used by other
 companies.

 GSK encourages investors and analysts not to rely on any single financial
 measure but to review GSK's quarterly results announcements, including the
 financial statements and notes, in their entirety.

 GSK is committed to continuously improving its financial reporting, in line
 with evolving regulatory requirements and best practice. In line with this
 practice, GSK expects to continue to review and refine its reporting
 framework.

 Adjusted results exclude the profits from discontinued operations from the
 Consumer Healthcare business (see details on page 33) and the following items
 in relation to our continuing operations from Total results, together with the
 tax effects of all of these items:

 

 ·   amortisation of intangible assets (excluding computer software and capitalised
     development costs)
 ·   impairment of intangible assets (excluding computer software) and goodwill
 ·   major restructuring costs, which include impairments of tangible assets and
     computer software, (under specific Board approved programmes that are
     structural, of a significant scale and where the costs of individual or
     related projects exceed £25 million), including integration costs following
     material acquisitions
 ·   transaction-related accounting or other adjustments related to significant
     acquisitions
 ·   proceeds and costs of disposal of associates, products and businesses;
     significant settlement income; significant legal charges (net of insurance
     recoveries) and expenses on the settlement of litigation and government
     investigations; other operating income other than royalty income, and other
     items

 

 Costs for all other ordinary course smaller scale restructuring and legal
 charges and expenses from continuing operations are retained within both Total
 and Adjusted results.

 As Adjusted results include the benefits of Major restructuring programmes but
 exclude significant costs (such as significant legal, major restructuring and
 transaction items) they should not be regarded as a complete picture of the
 Group's financial performance, which is presented in Total results. The
 exclusion of other Adjusting items may result in Adjusted earnings being
 materially higher or lower than Total earnings. In particular, when
 significant impairments, restructuring charges and legal costs are excluded,
 Adjusted earnings will be higher than Total earnings.

 GSK has undertaken a number of Major restructuring programmes in response to
 significant changes in the Group's trading environment or overall strategy or
 following material acquisitions. Within the Pharmaceuticals sector, the highly
 regulated manufacturing operations and supply chains and long lifecycle of the
 business mean that restructuring programmes, particularly those that involve
 the rationalisation or closure of manufacturing or R&D sites are likely to
 take several years to complete. Costs, both cash and non-cash, of these
 programmes are provided for as individual elements are approved and meet the
 accounting recognition criteria. As a result, charges may be incurred over a
 number of years following the initiation of a Major restructuring programme.

 Significant legal charges and expenses are those arising from the settlement
 of litigation or government investigations that are not in the normal course
 and materially larger than more regularly occurring individual matters. They
 also include certain major legacy matters.

 Reconciliations between Total and Adjusted results, providing further
 information on the key Adjusting items, are set out on pages 18 and 19.

 GSK provides earnings guidance to the investor community on the basis of
 Adjusted results. This is in line with peer companies and expectations of the
 investor community, supporting easier comparison of the Group's performance
 with its peers. GSK is not able to give guidance for Total results as it
 cannot reliably forecast certain material elements of the Total results,
 particularly the future fair value movements on contingent consideration and
 put options that can and have given rise to significant adjustments driven by
 external factors such as currency and other movements in capital markets.

 

 ViiV Healthcare

 ViiV Healthcare is a subsidiary of the Group and 100% of its operating results
 (turnover, operating profit, profit after tax) are included within the Group
 income statement.

 Earnings are allocated to the three shareholders of ViiV Healthcare on the
 basis of their respective equity shareholdings (GSK 78.3%, Pfizer 11.7% and
 Shionogi 10%) and their entitlement to preferential dividends, which are
 determined by the performance of certain products that each shareholder
 contributed. As the relative performance of these products changes over time,
 the proportion of the overall earnings allocated to each shareholder also
 changes. In particular, the increasing proportion of sales of dolutegravir and
 cabotegravir-containing products has a favourable impact on the proportion of
 the preferential dividends that is allocated to GSK. Adjusting items are
 allocated to shareholders based on their equity interests. GSK was entitled to
 approximately 83% of the Total earnings and 82% of the Adjusted earnings of
 ViiV Healthcare for 2022.

 As consideration for the acquisition of Shionogi's interest in the former
 Shionogi-ViiV Healthcare joint venture in 2012, Shionogi received the 10%
 equity stake in ViiV Healthcare and ViiV Healthcare also agreed to pay
 additional future cash consideration to Shionogi, contingent on the future
 sales performance of the products being developed by that joint venture,
 dolutegravir and cabotegravir. Under IFRS 3 'Business combinations', GSK was
 required to provide for the estimated fair value of this contingent
 consideration at the time of acquisition and is required to update the
 liability to the latest estimate of fair value at each subsequent period end.
 The liability for the contingent consideration recognised in the balance sheet
 at the date of acquisition was £659 million. Subsequent remeasurements are
 reflected within other operating income/(expense) and within Adjusting items
 in the income statement in each period.

 Cash payments to settle the contingent consideration are made to Shionogi by
 ViiV Healthcare each quarter, based on the actual sales performance and other
 income of the relevant products in the previous quarter. These payments reduce
 the balance sheet liability and hence are not recorded in the income
 statement. The cash payments made to Shionogi by ViiV Healthcare in Q1 2023
 were £287 million.

 As the liability is required to be recorded at the fair value of estimated
 future payments, there is a significant timing difference between the charges
 that are recorded in the Total income statement to reflect movements in the
 fair value of the liability and the actual cash payments made to settle the
 liability.

 Further explanation of the acquisition-related arrangements with ViiV
 Healthcare are set out on pages 71 and 72 of the Annual Report 2022.

 

 

 Adjusting items

 The reconciliations between Total results and Adjusted results for Q1 2023 and
 Q1 2022 are set out below.

 

 Three months ended 31 March 2023

 

                                                      Total         Intangible      Intangible      Major           Trans-        Divest-           Adjusted

                                                      results       amort-          impair-         restruct-       action-       ments,            results

                                                      £m            isation         ment            uring           related       significant       £m

                                                                    £m              £m              £m              £m            legal and

                                                                                                                                  other

                                                                                                                                  items

                                                                                                                                  £m

 Turnover                                             6,951                                                                                         6,951
 Cost of sales                                        (1,943)       151                             35                            5                 (1,752)

 Gross profit                                         5,008         151                             35                            5                 5,199

 Selling, general and administration                  (2,143)                                       69                            9                 (2,065)
 Research and development                             (1,260)       18              16              4                                               (1,222)
 Royalty income                                       180                                                                                           180
 Other operating income/(expense)                     297                                                           (271)         (26)              -

 Operating profit                                     2,082         169             16              108             (271)         (12)              2,092

 Net finance cost                                     (174)                                                                       4                 (170)
 Share of after tax profit/(loss) of associates       (2)                                                                                           (2)

   and joint venture
 Profit/(loss) on disposal of interest in associates  1                                                                           (1)               -

 Profit before taxation                               1,907         169             16              108             (271)         (9)               1,920

 Taxation                                             (276)         (36)            (4)             (22)            15            20                (303)
 Tax rate %                                           14.5%                                                                                         15.8%

 Profit after taxation from continuing                1,631         133             12              86              (256)         11                1,617

   operations

 Profit attributable to non-controlling               141           -               -               -               (20)          -                 121

   interests from continuing operations

 Profit attributable to shareholders from             1,490         133             12              86              (236)         11                1,496

   continuing operations

                                                      1,631         133             12              86              (256)         11                1,617

 Earnings per share from continuing operations        36.8p         3.3p            0.3p            2.1p            (5.8)p        0.3p              37.0p

 Weighted average number of shares (millions)         4,044                                                                                         4,044

 

 

 Three months ended 31 March 2022((a))

 

                                                                   Total         Profit from      Intangible      Intangible      Major           Trans-        Divest-           Adjusted

                                                                   results       discon-          amort-          impair-         restruct-       action-       ments,            results

                                                                   £m            tinued           isation         ment            uring           related       significant       £m

                                                                                 operations       £m              £m              £m              £m            legal and

                                                                                 £m                                                                             other

                                                                                                                                                                items

                                                                                                                                                                £m

 Turnover                                                          7,190                                                                                                          7,190
 Cost of sales                                                     (2,717)                        163                             15              12                              (2,527)

 Gross profit                                                      4,473                          163                             15              12                              4,663

 Selling, general and administration                               (1,812)                                                        28                            14                (1,770)
 Research and development                                          (1,103)                        23              (16)            8                                               (1,088)
 Royalty income                                                    138                                                                                                            138
 Other operating income/(expense)                                  597                                                                            335           (932)             -

 Operating profit                                                  2,293                          186             (16)            51              347           (918)             1,943

 Net finance cost                                                  (198)                                                                                                          (198)
 Share of after tax profit/(loss) of associates and joint venture  (1)                                                                                                            (1)

 Profit before taxation                                            2,094                          186             (16)            51              347           (918)             1,744

 Taxation                                                          (323)                          (39)            3               (12)            (53)          137               (287)
 Tax rate %                                                        15.4%                                                                                                          16.5%

 Profit after taxation from                                        1,771                          147             (13)            39              294           (781)             1,457

   continuing operations

 Profit after taxation from                                        396           (396)                                                                                            -

   discontinued operations and other

   gains/(losses) from the demerger

 Profit after taxation from                                        396           (396)                                                                                            -

   discontinued operations

 Total profit after taxation                                       2,167         (396)            147             (13)            39              294           (781)             1,457

   for the period

 Profit attributable to non-controlling                            275                                                                            (114)                           161

   interest from continuing operations

 Profit attributable to shareholders                               1,496                          147             (13)            39              408           (781)             1,296

   from continuing operations

 Profit attributable to non-controlling                            90            (90)                                                                                             -

   interest from discontinued

   operations

 Profit attributable to shareholders                               306           (306)                                                                                            -

   from discontinued operations

                                                                   2,167         (396)            147             (13)            39              294           (781)             1,457

 Total profit attributable to                                      365           (90)                                                             (114)                           161

   non-controlling interests

 Total profit attributable to                                      1,802         (306)            147             (13)            39              408           (781)             1,296

   shareholders

                                                                   2,167         (396)            147             (13)            39              294           (781)             1,457

 Earnings per share from continuing                                37.3p                          3.7p            (0.3)p          1.0p            10.2p         (19.6)p           32.3p

   operations

 Earnings per share from                                           7.6p          (7.6)p                                                                                           -

   discontinued operations

 Total earnings per share                                          44.9p         (7.6)p           3.7p            (0.3)p          1.0p            10.2p         (19.6)p           32.3p

 Weighted average number                                           4,016                                                                                                          4,016

   of shares (millions)

 

 (a)  The Q1 2022 comparative results have been restated on a consistent basis from
      those previously published to reflect the demerger of the Consumer Healthcare
      business

      (see page 33) and the impact of Share Consolidation implemented on 18 July
      2022 (see page 33).

 

 

 Major restructuring and integration

 

 Total Major restructuring charges from continuing operations incurred in Q1
 2023 were £108 million (Q1 2022: £51 million), analysed as follows:

 

                                       Q1 2023                       Q1 2022

                                       Cash      Non-       Total    Cash      Non-       Total

                                       £m        cash       £m       £m        cash       £m

                                                 £m                            £m

 Separation Preparation restructuring  37        47         84       11        37         48

   programme
 Significant acquisitions              21        1          22       -         -          -
 Legacy programmes                     -         2          2        2         1          3

                                       58        50         108      13        38         51

 

 The Separation Preparation programme incurred cash charges of £37 million
 primarily from the restructuring of some administrative functions as well as
 Global Supply Chain and R&D. The non-cash charges of £47 million
 primarily reflected the write-down of assets in administrative as well as
 manufacturing locations.

 

 The benefit in Q1 2023 from restructuring programmes was £0.1 billion,
 primarily relating to the Separation Preparation restructuring programme. The
 programme has delivered £0.9 billion of annual savings to date and targets to
 deliver £1.0 billion by 2023, with total costs estimated at £2.4 billion, of
 which £1.6 billion is expected to be cash costs.

 Costs of significant acquisitions relate to integration costs of Sierra
 Oncology Inc. (Sierra) and Affinivax which were acquired in Q3 2022.

 

 Transaction-related adjustments

 Transaction-related adjustments from continuing operations resulted in a net
 credit of £271 million (Q1 2022: £347 million charge) all of which related
 to accounting (credits)/charge for the remeasurement of contingent
 consideration liabilities and the liabilities for the Pfizer put option and
 Pfizer and Shionogi preferential dividends in ViiV Healthcare.

 

 Charge/(credit)                                                            Q1 2023    Q1 2022

                                                                            £m         £m

 Contingent consideration on former Shionogi-ViiV Healthcare joint Venture  (64)       256

   (including Shionogi preferential dividends)
 ViiV Healthcare put options and Pfizer preferential dividends              (105)      32
 Contingent consideration on former Novartis Vaccines business              (69)       44
 Contingent consideration on acquisition of Affinivax                       (33)       -
 Other adjustments                                                          -          15

 Total transaction-related charges                                          (271)      347

 

 The £64 million credit relating to the contingent consideration for the
 former Shionogi-ViiV Healthcare joint venture represented a reduction in the
 valuation of the contingent consideration due to Shionogi, as a result of a
 credit of £172 million primarily from exchange rates as well as sales
 forecasts, partly offset by the unwind of the discount for £108 million. The
 £105 million credit relating to the ViiV Healthcare put option and Pfizer
 preferential dividends represented a reduction in the valuation of the put
 option primarily as a result of updated exchange rates as well as updated
 sales forecasts and lower cash balances.

 The ViiV Healthcare contingent consideration liability is fair valued under
 IFRS. An explanation of the accounting for the non-controlling interests in
 ViiV Healthcare is set out on page 17.

 The £69 million credit relating to the contingent consideration on the former
 Novartis Vaccines business primarily relates to changes to future sales
 forecasts.

 Divestments, significant legal charges, and other items

 Divestments, significant legal charges and other items primarily included
 dividend and distribution income received from investments partly offset by
 fair value loss of £65 million on the retained stake in Haleon.

 

 

 Financial information

 

 Income statements

 

                                                                                     Q1 2023      Q1 2022((a))

                                                                                     £m           £m

 TURNOVER                                                                            6,951        7,190

 Cost of sales                                                                       (1,943)      (2,717)

 Gross profit                                                                        5,008        4,473

 Selling, general and administration                                                 (2,143)      (1,812)
 Research and development                                                            (1,260)      (1,103)
 Royalty income                                                                      180          138
 Other operating income/(expense)                                                    297          597

 OPERATING PROFIT                                                                    2,082        2,293

 Finance income                                                                      29           7
 Finance expense                                                                     (203)        (205)
 Share of after tax profit/(loss) of associates and joint ventures                   (2)          (1)
 Profit/(loss) on disposal of interests in associates                                1            -

 PROFIT BEFORE TAXATION                                                              1,907        2,094

 Taxation                                                                            (276)        (323)
 Tax rate %                                                                          14.5%        15.4%

 PROFIT AFTER TAXATION FROM CONTINUING OPERATIONS                                    1,631        1,771

 Profit after taxation from discontinued operations and other gains                  -            396

   from the demerger
 PROFIT AFTER TAXATION FROM DISCONTINUED OPERATIONS                                  -            396

 PROFIT AFTER TAXATION FOR THE PERIOD                                                1,631        2,167

 Profit attributable to non-controlling interests from continuing                    141          275

   operations

 Profit attributable to shareholders from continuing operations                      1,490        1,496

 Profit attributable to non-controlling interests from discontinued                  -            90

   operations

 Profit attributable to shareholders from discontinued operations                    -            306

                                                                                     1,631        2,167

 Profit attributable to non-controlling interests                                    141          365
 Profit attributable to shareholders                                                 1,490        1,802

                                                                                     1,631        2,167

 EARNINGS PER SHARE FROM CONTINUING OPERATIONS                                       36.8p        37.3p

 EARNINGS PER SHARE FROM DISCONTINUED OPERATIONS                                     -            7.6p

 TOTAL EARNINGS PER SHARE                                                            36.8p        44.9p

 Diluted earnings per share from continuing operations                               36.5p        36.9p

 Diluted earnings per share from discontinued operations                             -            7.5p

 Total diluted earnings per share                                                    36.5p        44.4p

 

 (a)  The Q1 2022 comparative results have been restated on a consistent basis from
      those previously published to reflect the demerger of the Consumer Healthcare
      business

      (see page 33) and the impact of Share Consolidation implemented on 18 July
      2022 (see page 33).

 

 

 Statement of comprehensive income

 

                                                                                       Q1 2023    Q1 2022((a))

                                                                                       £m         £m

 Total profit for the period                                                           1,631      2,167

 Items that may be reclassified subsequently to continuing operations income
 statement:
 Exchange movements on overseas net assets and net investment                          87         (19)

   hedges
 Reclassification of exchange movements on liquidation or disposal                     (3)        -

   of overseas subsidiaries and associates
 Fair value movements on cash flow hedges                                              -          2
 Reclassification of cash flow hedges to income statement                              1          (1)

                                                                                       85         (18)

 Items that will not be reclassified to continuing operations income statement:
 Exchange movements on overseas net assets of non-controlling                          (14)       3

   interests
 Fair value movements on equity investments                                            (168)      (543)
 Tax on fair value movements on equity investments                                     22         47
 Remeasurement gains/(losses) on defined benefit plans                                 350        313
 Tax on remeasurement losses/(gains) on defined benefit plans                          (87)       (73)

                                                                                       103        (253)

 Other comprehensive expense for the period from continuing                            188        (271)

   operations

 Other comprehensive income for the period from discontinued                           -          435

   operations

 Total comprehensive income for the period                                             1,819      2,331

 Total comprehensive income for the period attributable to:
   Shareholders                                                                        1,692      1,962
   Non-controlling interests                                                           127        369

                                                                                       1,819      2,331

 

 (a)  The Q1 2022 comparative results have been restated on a consistent basis from
      those previously published to reflect the demerger of the Consumer Healthcare
      business

      (see page 33).

 

 

 Balance sheet

 

                                               31 March 2023      31 December 2022

                                               £m                 £m
 ASSETS
 Non-current assets
 Property, plant and equipment                 8,758              8,933
 Right of use assets                           656                687
 Goodwill                                      6,857              7,046
 Other intangible assets                       14,160             14,318
 Investments in associates and joint ventures  70                 74
 Other investments                             1,270              1,467
 Deferred tax assets                           5,610              5,658
 Other non-current assets                      1,496              1,194

 Total non-current assets                      38,877             39,377

 Current assets
 Inventories                                   5,355              5,146
 Current tax recoverable                       296                405
 Trade and other receivables                   6,833              7,053
 Derivative financial instruments              125                190
 Current equity investments                    4,020              4,087
 Liquid investments                            65                 67
 Cash and cash equivalents                     2,890              3,723
 Assets held for sale                          135                98

 Total current assets                          19,719             20,769

 TOTAL ASSETS                                  58,596             60,146

 LIABILITIES
 Current liabilities
 Short-term borrowings                         (4,261)            (3,952)
 Contingent consideration liabilities          (962)              (1,289)
 Trade and other payables                      (14,268)           (16,263)
 Derivative financial instruments              (98)               (183)
 Current tax payable                           (424)              (471)
 Short-term provisions                         (683)              (652)

 Total current liabilities                     (20,696)           (22,810)

 Non-current liabilities
 Long-term borrowings                          (16,644)           (17,035)
 Corporation tax payable                       (123)              (127)
 Deferred tax liabilities                      (290)              (289)
 Pensions and other post-employment benefits   (2,480)            (2,579)
 Other provisions                              (537)              (532)
 Contingent consideration liabilities          (5,622)            (5,779)
 Other non-current liabilities                 (892)              (899)

 Total non-current liabilities                 (26,588)           (27,240)

 TOTAL LIABILITIES                             (47,284)           (50,050)

 NET ASSETS                                    11,312             10,096

 EQUITY
 Share capital                                 1,348              1,347
 Share premium account                         3,449              3,440
 Retained earnings                             5,655              4,363
 Other reserves                                1,368              1,448

 Shareholders' equity                          11,820             10,598

 Non-controlling interests                     (508)              (502)

 TOTAL EQUITY                                  11,312             10,096

 

 

 Statement of changes in equity

 

                                                               Share         Share         Retained       Other          Share-         Non-              Total

                                                               capital       premium       earnings       reserves       holder's       controlling       equity

                                                               £m            £m            £m             £m             equity         interests         £m

                                                                                                                         £m             £m

 At 1 January 2023                                             1,347         3,440         4,363          1,448          10,598         (502)             10,096

   Profit for the period                                                                   1,490                         1,490          141               1,631
   Other comprehensive                                                                     336            (134)          202            (14)              188

     income/(expense) for the period

 Total comprehensive income/(expense)                                                      1,826          (134)          1,692          127               1,819

   for the period

 Distributions to non-controlling interests                                                                                             (140)             (140)
 Contributions from non-controlling                                                                                                     7                 7

   interests
 Dividends to shareholders                                                                 (555)                         (555)                            (555)
 Realised after tax losses on disposal                                                     (13)           13                                              -

   or liquidation of equity investments
 Share of associates and joint ventures                                                    2              (2)                                             -

   realised profit/(loss) on disposal of equity investments
 Shares issued                                                 1             7                                           8                                8
 Write-down on shares held by ESOP                                                         (48)           48                                              -

   Trusts
 Shares acquired by ESOP Trusts                                              2             1              (3)                                             -
 Share-based incentive plans                                                               79                            79                               79
 Hedging gain/loss after taxation                                                                         (2)            (2)                              (2)

   transferred to non-financial assets

 At 31 March 2023                                              1,348         3,449         5,655          1,368          11,820         (508)             11,312

 

 

 At 1 January 2022                           1,347    3,301      7,944      2,463      15,055      6,287      21,342

   Profit for the period                                         1,802                 1,802       365        2,167
   Other comprehensive                                           507        (347)      160         4          164

     income/(expense) for the period

 Total comprehensive income/(expense)                            2,309      (347)      1,962       369        2,331

   for the period

 Distributions to non-controlling interests                                                        (213)      (213)
 Contributions from non-controlling                                                                8          8

   interests
 Dividends to shareholders                                       (952)                 (952)                  (952)
 Realised after tax losses on disposal                           (10)       10                                -

   of equity investments
 Shares issued                                        17                               17                     17
 Write-down on shares held by ESOP                               (457)      457                               -

   Trusts
 Shares acquired by ESOP Trusts                       118        704        (822)                             -
 Share-based incentive plans                                     99                    99                     99

 At 31 March 2022                            1,347    3,436      9,637      1,761      16,181      6,451      22,632

 

 

 Cash flow statement - three months ended 31 March 2023

 

                                                                         Q1 2023      Q1 2022((a))

                                                                         £m           £m
 Profit after tax from continuing operations                             1,631        1,771
 Tax on profits                                                          276          323
 Share of after tax loss/(profit) of associates and joint ventures       2            1
 (Profit)/loss on disposal of interest in associates and joint ventures  (1)          -
 Net finance expense                                                     174          198
 Depreciation, amortisation and other adjusting items                    640          418
 Decrease/(Increase) in working capital                                  (840)        (479)
 Contingent consideration paid                                           (290)        (185)
 Increase/(decrease) in other net liabilities (excluding contingent      (1,305)      305
 consideration paid)

 Cash generated from operations attributable to continuing operations    287          2,352
 Taxation paid                                                           (234)        (146)

 Net cash inflow/(outflow) from continuing operating activities          53           2,206
 Cash generated from operations attributable to discontinued operations  -            403
 Taxation paid from discontinued operations                              -            (67)
 Net operating cash flows attributable to discontinued operations        -            336

 Total net cash inflows/(outflows) from operating activities             53           2,542

 Cash flow from investing activities
 Purchase of property, plant and equipment                               (233)        (193)
 Proceeds from sale of property, plant and equipment                     7            6
 Purchase of intangible assets                                           (296)        (377)
 Proceeds from sale of intangible assets                                 4            5
 Purchase of equity investments                                          (56)         (45)
 Proceeds from sale of equity investments                                10           -
 Contingent consideration paid                                           (1)          (26)
 Disposal of businesses                                                  (6)          1
 Interest received                                                       29           8
 Proceeds from disposal of associates and joint ventures                 1            -
 Dividend and distributions from investments                             132          -
 Dividends from associates and joint ventures                            1            -

 Net cash inflow/(outflow) from continuing investing activities          (408)        (621)
 Net investing cash flows attributable to discontinued operations        -            (2,972)

 Total net cash inflow/(outflow) from investing activities               (408)        (3,593)

 Cash flow from financing activities
 Issue of share capital                                                  8            17
 Decrease in long-term loans                                             (144)        -
 Net increase/(repayment) of short-term loans                            552          (249)
 Repayment of lease liabilities                                          (47)         (51)
 Interest paid                                                           (120)        (82)
 Dividends paid to shareholders                                          (555)        (952)
 Shares acquired by ESOP Trusts                                          (2)          (7)
 Distribution to non-controlling interests                               (140)        (78)
 Contributions from non-controlling interests                            7            8
 Other financing items                                                   123          91

 Net cash inflow/(outflow) from continuing financing activities          (318)        (1,303)
 Net financing cash flows attributable to discontinued operations        -            9,276

 Total net cash inflow/(outflow) from financing activities               (318)        7,973

 Increase/(decrease) in cash and bank overdrafts in the period           (673)        6,922

 Cash and bank overdrafts at beginning of the period                     3,425        3,817
 Exchange adjustments                                                    (31)         12
 Increase/(decrease) in cash and bank overdrafts                         (673)        6,922

 Cash and bank overdrafts at end of the period                           2,721        10,751

 Cash and bank overdrafts at end of the period comprise:
 Cash and cash equivalents                                               2,890        10,967
 Overdrafts                                                              (169)        (216)

                                                                         2,721        10,751

 

 (a)  The Q1 2022 comparative results have been restated on a consistent basis from
      those previously published to reflect the demerger of the Consumer Healthcare
      business

      (see page 33).

 

 

 Vaccines turnover - three months ended 31 March 2023

 

                          Total                             US                            Europe                                  International
                                     Growth                          Growth                        Growth                                   Growth
                          £m         £%          CER%       £m       £%         CER%      £m       £%              CER%           £m        £%              CER%

 Shingles                 833        19          11         508      4          (5)       214      34              27             111       >100            >100

 Shingrix                 833        19          11         508      4          (5)       214      34              27             111       >100            >100

 Meningitis               280        32          25         119      20         10        115      39              33             46        53              50

 Bexsero                  218        34          26         74       12         3         110      39              34             34        89              78
 Menveo                   59         40          31         45       36         24        4        33              -              10        67              83
 Other                    3          (57)        (57)       -        -          -         1        -               -              2         (67)            (67)

 Influenza                12         (33)        (28)       1        -          -         -        -               -              11        (35)            (29)

 Fluarix, FluLaval        12         (33)        (28)       1        -          -         -        -               -              11        (35)            (29)

 Established Vaccines     815        10          4          353      17         7         193      16              12             269       (1)             (4)

 Infanrix, Pediarix       177        1           (5)        108      (4)        (12)      33       14              14             36        6               -
 Boostrix                 139        10          3          92       31         20        31       (6)             (9)            16        (30)            (30)
 Hepatitis                170        39          31         98       26         15        46       59              52             26        73              73
 Rotarix                  138        18          14         47       34         23        33       3               -              58        16              16
 Synflorix                62         (23)        (26)       -        -          -         8        33              33             54        (28)            (31)
 Priorix, Priorix Tetra,  53         13          9          2        -          -         33       18              7              18        (5)             -

   Varilrix
 Cervarix                 27         (7)         (7)        -        -          -         9        >100            >100           18        (28)            (24)
 Other                    49         11          -          6        (14)       (43)      -        (100)           (80)           43        34              22

 Vaccines excluding       1,940      16          9          981      10         1         522      28              22             437       19              17

   COVID-19 solutions

 Pandemic vaccines        101        100         100        -        -          -         101      100             100            -         -               -
 Pandemic adjuvant        101        100         100        -        -          -         101      100             100            -         -               -

 Vaccines                 2,041      22          15         981      10         1         623      52              45             437       19              17

 

 

 Specialty Medicines turnover - three months ended 31 March 2023
                            Total                                       US                                          Europe                                      International
                                        Growth                                      Growth                                      Growth                                      Growth
                            £m          £%              CER%            £m          £%              CER%            £m          £%              CER%            £m          £%              CER%

 HIV                        1,468       24              15              917         32              20              346         16              11              205         11              5

 Dolutegravir products      1,277       16              8               760         19              8               319         11              7               198         14              7
   Tivicay                  357         12              3               185         16              6               66          2               (2)             106         12              -
   Triumeq                  374         (5)             (11)            249         2               (7)             75          (20)            (23)            50          (6)             (8)
   Juluca                   150         13              5               111         12              3               35          17              10              4           -               -
   Dovato                   396         54              44              215         57              43              143         46              40              38          73              73

 Rukobia                    25          56              44              23          53              40              2           100             100             -           -               -
 Cabenuva                   127         >100            >100            103         >100            >100            20          >100            >100            4           >100            >100
 Apretude                   24          >100            >100            24          >100            >100            -           -               -               -           -               -
 Other                      15          (35)            (35)            7           -               (14)            5           -               (20)            3           (73)            (55)

 Immunology/                601         16              9               393         13              4               108         29              23              100         12              15

   Respiratory and Other

 Benlysta                   253         18              9               204         20              10              23          21              16              26          -               -
 Nucala                     347         18              11              189         7               (2)             89          37              31              69          30              32
 Other                      1           (90)            (80)            -           -               -               (4)         -               -               5           (50)            (40)

 Oncology                   136         7               2               55          (20)            (28)            72          33              28              9           >100            >100

 Zejula                     114         16              10              50          (2)             (10)            55          28              21              9           >100            >100
 Blenrep                    11          (56)            (56)            -           (100)           (100)           11          22              22              -           -               -
 Jemperli                   11          >100            >100            5           >100            >100            5           >100            >100            1           >100            >100
 Other                      -           -               -               -           -               -               1           -               -               (1)         -               -

 Specialty Medicines        2,205       21              13              1,365       23              12              526         20              15              314         13              10

   excluding COVID-19

   solutions

 Pandemic                   31          (98)            (98)            -           (100)           (100)           -           (100)           (100)           31          (86)            (87)

 Xevudy                     31          (98)            (98)            -           (100)           (100)           -           (100)           (100)           31          (86)            (87)

 Specialty Medicines        2,236       (29)            (33)            1,365       (28)            (34)            526         (30)            (33)            345         (32)            (34)

 

 

 General Medicines turnover - three months ended 31 March 2023

 

                          Total                           US                            Europe                        International
                                     Growth                        Growth                        Growth                           Growth
                          £m         £%         CER%      £m       £%         CER%      £m       £%         CER%      £m          £%         CER%

 Respiratory              1,767      15         10        832      15         5         372      12         8         563         17         18

   Arnuity Ellipta        8          (38)       (38)      6        (45)       (45)      -        -          -         2           -          -
   Anoro Ellipta          120        22         16        51       24         15        46       21         18        23          21         16
   Avamys/Veramyst        124        32         31        -        -          -         18       12         6         106         36         36
   Flixotide/Flovent      157        24         16        106      25         14        21       17         11        30          25         25
   Incruse Ellipta        35         (30)       (34)      13       (50)       (54)      16       -          (6)       6           (25)       (25)
   Relvar/Breo Ellipta    274        -          (5)       100      (17)       (23)      98       18         13        76          6          6
   Seretide/Advair        339        12         8         120      43         30        71       (3)        (7)       148         2          2
   Trelegy Ellipta        465        37         28        327      37         26        67       26         23        71          45         47
   Ventolin               205        2          (3)       108      (8)        (15)      28       (7)        (10)      69          28         28
   Other Respiratory      40         14         17        1        -          -         7        17         17        32          10         17

 Other General Medicines  907        7          7         92       3          (6)       183      8          4         632         7          10

 Dermatology              97         5          8         -        -          -         28       4          -         69          6          11
 Augmentin                177        37         38        -        -          -         56       56         50        121         30         33
 Avodart                  92         14         9         -        -          -         29       7          4         63          17         11
 Lamictal                 129        8          2         66       12         2         28       8          8         35          -          (3)
 Other                    412        (4)        -         26       (13)       (20)      42       (22)       (28)      344         -          6

 General Medicines        2,674      12         9         924      14         4         555      10         6         1,195       11         14

 

 

 Commercial Operations turnover - three months ended 31 March 2023

 

                     Total                          US                             Europe                         International
                                Growth                         Growth                         Growth                          Growth
                     £m         £%        CER%      £m         £%        CER%      £m         £%        CER%      £m          £%        CER%

 Three months ended  6,951      (3)       (8)       3,270      (9)       (17)      1,704      3         (2)       1,977       2         2

 31 March 2023

 

 

 Commercial Operations turnover excluding COVID-19 solutions

 

                     Total                           US                              Europe                          International
                                Growth                          Growth                          Growth                           Growth
                     £m         £%         CER%      £m         £%         CER%      £m         £%         CER%      £m          £%         CER%

 Three months ended  6,819      16         10        3,270      16         6         1,603      19         14        1,946       13         14

 31 March 2023

 

 

 Segment information

 

 Operating segments are reported based on the financial information provided to
 the Chief Executive Officer and the responsibilities of the GSK Leadership
 Team (GLT). GSK reports results under two segments: Commercial Operations and
 Total R&D. Members of the GLT are responsible for each segment. The
 Consumer Healthcare segment is presented as discontinued operations in Q1 2022
 for comparative purposes and therefore no segment information is presented.

 R&D investment is essential for the sustainability of the business.
 However, for segment reporting the Commercial operating profits exclude
 allocations of globally funded R&D.

 The Total R&D segment is the responsibility of the Chief Scientific
 Officer and is reported as a separate segment. The operating costs of this
 segment includes R&D activities across Specialty Medicines, including HIV
 and Vaccines. It includes R&D and some SG&A costs relating to
 regulatory and other functions.

 The Group's management reporting process allocates intra-Group profit on a
 product sale to the market in which that sale is recorded, and the profit
 analyses below have been presented on that basis.

 

 

 Turnover by segment
                                         Q1 2023    Q1 2022((a))      Growth    Growth

                                         £m         £m                £%        CER%

 Commercial Operations (total turnover)  6,951      7,190             (3)       (8)

 

 

 Operating profit by segment
                                                      Q1 2023      Q1 2022      Growth    Growth

                                                      £m           £m           £%        CER%

 Commercial Operations                                3,375        3,117        8         1
 Research and Development                             (1,232)      (1,095)      13        6

 Segment profit                                       2,143        2,022        6         (2)
 Corporate and other unallocated costs                (51)         (79)

 Adjusted operating profit                            2,092        1,943        8         -
 Adjusting items                                      (10)         350

 Total operating profit                               2,082        2,293        (9)       (15)

 Finance income                                       29           7
 Finance costs                                        (203)        (205)
 Share of after tax profit/(loss) of associates       (2)          (1)

   and joint ventures
 Profit on disposal of associates and joint ventures  1            -

 Profit before taxation from continuing operations    1,907        2,094        (9)       (15)

 

 (a)  The Q1 2022 comparative results have been restated on a consistent basis from
      those previously published to reflect the demerger of the Consumer Healthcare
      business

      (see page 33).

 

 

 Legal matters

 

 The Group is involved in significant legal and administrative proceedings,
 principally product liability, intellectual property, tax, anti-trust,
 consumer fraud and governmental investigations, which are more fully described
 in the 'Legal Proceedings' note in the Annual Report 2022. At 31 March 2023,
 the Group's aggregate provision for legal and other disputes (not including
 tax matters described on page 9) was £0.3 billion (31 December 2022: £0.2
 billion).

 The Group may become involved in significant legal proceedings in respect of
 which it is not possible to meaningfully assess whether the outcome will
 result in a probable outflow, or to quantify or reliably estimate the
 liability, if any, that could result from ultimate resolution of the
 proceedings. In these cases, the Group would provide appropriate disclosures
 about such cases, but no provision would be made.

 The ultimate liability for legal claims may vary from the amounts provided and
 is dependent upon the outcome of litigation proceedings, investigations and
 possible settlement negotiations. The Group's position could change over time,
 and, therefore, there can be no assurance that any losses that result from the
 outcome of any legal proceedings will not exceed by a material amount the
 amount of the provisions reported in the Group's financial accounts.

 Significant legal developments since the date of the Annual Report 2022:

 Intellectual Property

 Coreg

 On 29 March 2023, the US Solicitor General filed a brief with the US Supreme
 Court expressing the view that Teva's petition for certiorari should be
 granted. GSK filed a reply to the US Solicitor General's brief on 11 April
 2023, again arguing that Teva's petition for certiorari be denied.

 Tivicay

 In September 2021, ViiV Healthcare received a paragraph IV letter from Lupin
 Ltd. (Lupin) relating to the Tivicay 5mg dosage for oral suspension,
 challenging only the crystal form patent. On 2 November 2021, ViiV Healthcare
 filed suit against Lupin in the US District Court for the District of
 Delaware. In March 2023, the parties reached a settlement, thereby concluding
 the matter.

 Juluca

 On 12 June 2020, ViiV Healthcare received a paragraph IV letter from Cipla
 Ltd. (Cipla) relating to Juluca. On 22 July 2020, ViiV Healthcare filed suit
 against Cipla in the US District Court for the District of Delaware. In March
 2023, the parties reached a settlement, thereby concluding the matter.

 Product Liability

 Zantac

 On 23 March 2023, the court presiding over the California Zantac litigation
 cases issued a Sargon ruling in the first case scheduled for trial (Goetz).
 The court found that the plaintiff's experts' causation opinions are
 admissible and can be presented to a jury. This ruling does not mean that the
 Court agrees with plaintiff's experts' scientific conclusions as plaintiff
 must still prove his case at trial. The ruling applies only to the Goetz case
 and does not affect any other state cases or the December 2022 MDL Daubert
 ruling. The Goetz trial is scheduled to begin on 24 July 2023.

 Two cases have been set for trial in 2024 in the Cook County, Illinois
 proceedings.

 GSK will continue to defend itself vigorously against all claims.

 Sales and marketing and regulation

 US electronic health records subpoena

 On 19 March 2023, the Group received a subpoena from the United States
 Attorney's Office for the Western District of Virginia, which is working with
 the United States Department of Justice Civil Division, seeking documents
 relating to the Group's electronic health record programmes. The Group is
 cooperating with this enquiry.

 Commercial and corporate

 Zejula Royalty Dispute

 Trial was held the week of 6 March 2023 and judgment was entered against the
 Group on 5 April 2023. The Court upheld AstraZeneca's interpretation that all
 current uses of Zejula generate royalty-bearing sales under the wording of the
 two license agreements. Accordingly, GSK will owe back royalties to
 AstraZeneca in an amount to be determined in a separate phase of the
 proceedings. The Group will also be responsible for paying on this same basis
 going forward. The Group is considering an appeal.

 

 

 Returns to shareholders

 

 Quarterly dividends

 The Board has declared a first interim dividend for Q1 2023 of 14p per share
 (Q1 2022: 17.50p((1)) per share retrospectively adjusted for the Share
 Consolidation).

 Dividends remain an essential component of total shareholder return and GSK
 recognises the importance of dividends to shareholders. On 23 June 2021, at
 the GSK Investor Update, GSK set out that from 2022 a progressive dividend
 policy will be implemented guided by a 40 to 60 percent pay-out ratio through
 the investment cycle. The dividend policy, the total expected cash
 distribution, and the respective dividend pay-out ratios for GSK remain
 unchanged. GSK expects to declare a dividend of 56.5p per share for 2023.

 Payment of dividends

 The equivalent interim dividend receivable by ADR holders will be calculated
 based on the exchange rate on 11 July 2023. An annual fee of $0.03 per ADS (or
 $0.0075 per ADS per quarter) is charged by the Depositary. The ex-dividend
 date will be 18 May 2023, with a record date of 19 May 2023 and a payment date
 of 13 July 2023.

 

                 Paid/              Pence per         Pence per         £m

                 Payable            share/            share/

                                    pre share         post share

                                    consolidation     consolidation

 2023
 First interim   13 July 2023       -                 14                567

 2022
 First interim   1 July 2022        14                17.50             704
 Second interim  6 October 2022     13                16.25             654
 Third interim   12 January 2023    11                13.75             555
 Fourth interim  13 April 2023      11                13.75             557

                                    49                61.25             2,470

 

 (1)  Adjusted for the Share Consolidation on 18 July 2022. For details of the Share
      Consolidation see page 33.

 

 Weighted average number of shares
                                                        Q1 2023      Q1 2022

                                                        millions     millions((a))

 Weighted average number of shares - basic              4,044        4,016
 Dilutive effect of share options and share awards      41           50

 Weighted average number of shares - diluted            4,085        4,066

 

 (a)  See page 33 for details of the Share Consolidation.

 

 At 31 March 2023, 4,052 million shares (Q1 2022: 4,024 million) were in free
 issue (excluding Treasury shares and shares held by the ESOP Trusts). No
 Treasury shares have been repurchased since 2014. The Company issued 0.7
 million shares under employee share schemes in the period for proceeds of £8
 million (Q1 2022: £17 million).

 

 At 31 March 2023, the ESOP Trusts held 42.7 million GSK shares against the
 future exercise of share options and share awards. The carrying value of £293
 million has been deducted from other reserves. The market value of these
 shares was £615 million.

 At 31 March 2023, the Company held 217 million Treasury shares at a cost of
 £3,796 million which has been deducted from retained earnings.

 

 

 Additional information

 

 Disposal group and discontinued operations accounting policy

 Disposal groups are classified as held for distribution if their carrying
 amount will be recovered principally through a distribution to shareholders
 rather than through continuing use, they are available for distribution in
 their present condition and the distribution is considered highly probable.
 They are measured at the lower of their carrying amount and fair value less
 costs to distribute.

 Non-current assets included as part of a disposal group are not depreciated or
 amortised while they are classified as held for distribution. The assets and
 liabilities of a disposal group classified as held for distribution are
 presented separately from the other assets and liabilities in the balance
 sheet.

 A discontinued operation is a component of the entity that has been disposed
 of or distributed or is classified as held for distribution and that
 represents a separate major line of business. The results of discontinued
 operations are presented separately in the statement of profit or loss and
 comparatives are restated on a consistent basis.

 The Q1 2022 comparative figures have been restated on a consistent basis in
 the first quarter 2023 from those previously published to reflect the demerger
 of the Consumer Healthcare business in July 2022.

 Accounting policies and basis of preparation

 This unaudited Results Announcement contains condensed financial information
 for the three months ended 31 March 2023 and should be read in conjunction
 with the Annual Report 2022, which was prepared in accordance with United
 Kingdom adopted International Financial Reporting Standards. This Results
 Announcement has been prepared applying consistent accounting policies to
 those applied by the Group in the Annual Report 2022.

 The Group has not identified any changes to its key sources of accounting
 judgements or estimations of uncertainty compared with those disclosed in the
 Annual Report 2022.

 

 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 full Group accounts for 2022 were published in the Annual Report 2022,
 which has been delivered to the Registrar of Companies and on which the report
 of the independent auditor was unqualified and did not contain a statement
 under section 498 of the Companies Act 2006.

 

 Exchange rates
 GSK operates in many countries and earns revenues and incurs costs in many
 currencies. The results of the Group, as reported in Sterling, are affected by
 movements in exchange rates between Sterling and other currencies. Average
 exchange rates, as modified by specific transaction rates for large
 transactions, prevailing during the period, are used to translate the results
 and cash flows of overseas subsidiaries, associates and joint ventures into
 Sterling. Period-end rates are used to translate the net assets of those
 entities. The currencies which most influenced these translations and the
 relevant exchange rates were:

 

                                Q1 2023    Q1 2022    2022

 Average rates:
                 US$/£          1.22       1.34       1.24
                 Euro/£         1.14       1.19       1.17
                 Yen/£          162        156        161

 Period-end rates:
                 US$/£          1.24       1.31       1.20
                 Euro/£         1.14       1.18       1.13
                 Yen/£          165        160        159

 

 

 Net assets
 The book value of net assets increased by £1,216 million from £10,096
 million at 31 December 2022 to £11,312 million at 31 March 2023. This
 primarily reflected contribution from Total comprehensive income for the
 period partly offset by dividend paid to shareholders.

 At 31 March 2023, the net deficit on the Group's pension plans was £966
 million compared with £1,355 million at 31 December 2022. This decrease in
 the net deficit is primarily driven by higher asset values in the UK.

 The estimated present value of the potential redemption amount of the Pfizer
 put option related to ViiV Healthcare, recorded in Other payables in Current
 liabilities, was £988 million (31 December 2022: £1,093 million).

 Contingent consideration amounted to £6,584 million at 31 March 2023 (31
 December 2022: £7,068 million), of which £5,539 million (31 December 2022:
 £5,890 million) represented the estimated present value of amounts payable to
 Shionogi relating to ViiV Healthcare, £587 million (31 December 2022: £673
 million) represented the estimated present value of contingent consideration
 payable to Novartis related to the Vaccines acquisition and £455 million (31
 December 2022: £501 million) represented the estimated present value of
 contingent consideration payable to Affinivax.

 Of the contingent consideration payable (on a post-tax basis) to Shionogi at
 31 March 2023, £925 million (31 December 2022: £940 million) is expected to
 be paid within one year.

 

 Movements in contingent consideration are as follows:
 Q1 2023                                                     ViiV             Group

                                                             Healthcare       £m

                                                             £m

 Contingent consideration at beginning of the period         5,890            7,068
 Remeasurement through income statement and other movements  (64)             (193)
 Cash payments: operating cash flows                         (287)            (290)
 Cash payments: investing activities                         -                (1)

 Contingent consideration at end of the period               5,539            6,584

 

 Q1 2022                                                     ViiV             Group

                                                             Healthcare       £m

                                                             £m

 Contingent consideration at beginning of the period         5,559            6,076
 Remeasurement through income statement and other movements  256              304
 Cash payments: operating cash flows                         (183)            (185)
 Cash payments: investing activities                         (25)             (26)

 Contingent consideration at end of the period               5,607            6,169

 

 Contingent liabilities
 There were contingent liabilities at 31 March 2023 in respect of guarantees
 and indemnities entered into as part of the ordinary course of the Group's
 business. No material losses are expected to arise from such contingent
 liabilities. Provision is made for the outcome of legal and tax disputes where
 it is both probable that the Group will suffer an outflow of funds and it is
 possible to make a reliable estimate of that outflow. Descriptions of the
 significant legal disputes to which the Group is a party are set out on page
 29 and on pages 265 to 267 of the 2022 Annual Report.

 

 Business acquisitions
 On 18 April 2023, GSK announced it had reached agreement to acquire late-stage
 biopharmaceutical company Bellus Health for US$14.75 per share of common stock
 in cash representing an approximate total equity value of US $2.0 billion
 (£1.6 billion). The acquisition provides GSK access to camlipixant, a
 potential best-in-class and highly selective P2X3 antagonist currently in
 phase III development for the first-line treatment of adult patients with
 refractory chronic cough (RCC). Under the terms of the agreement, the
 acquisition will be effected through a Plan of Arrangement pursuant to the
 Canada Business Corporations Act in which the shares of Bellus outstanding
 will be acquired by GSK in consideration of US$14.75 per share in cash.
 Subject to customary conditions, including court approval, the approval of the
 acquisition by at least 66.67% of the votes cast at a meeting of Bellus'
 shareholders and a majority of the votes cast by non-interested shareholders
 at such meeting, and approval by the appropriate regulatory agencies, the
 transaction is expected to close in the third quarter of 2023 or earlier.

 

 Discontinued operations
 Consumer Healthcare was presented as a discontinued operation from Q2 2022.
 The demerger of Consumer Healthcare was completed on 18 July 2022. Financial
 information relating to the operations of Consumer Healthcare for the period
 ended 31 March 2022 is set out below. In Q1 2023, the Q1 2022 comparative
 figures are restated on a consistent basis from the previously published
 figures. The Group Income Statement and Group Cash Flow Statement distinguish
 discontinued operations from continuing operations.

 

 Total Results                                                                           Q1 2022

                                                                                         £m

 Turnover                                                                                2,590
 Other income/(expense)                                                                  (2,086)

 Profit before tax                                                                       504
 Taxation                                                                                (108)
 Tax rate%                                                                               21.4%

 Profit/(loss) after taxation from discontinued operations: Consumer Healthcare          396

 Other gains/(losses) from the demerger                                                  -
 Remeasurement of discontinued operations distributed to shareholders on                 -
 demerger

 Profit after taxation from discontinued operations                                      396

 Non-controlling interest in discontinued operations                                     90
 Earnings attributable to shareholders from discontinued operations                      306

 Earnings per share from discontinued operations                                         7.6p

 

 Share Consolidation

 Following completion of the Consumer Healthcare business demerger on 18 July
 2022, GSK plc Ordinary shares were consolidated to maintain share price
 comparability before and after demerger. The consolidation was approved by GSK
 shareholders at a General Meeting held on 6 July 2022. Shareholders received 4
 new Ordinary shares with a nominal value of 31¼ pence each for every 5
 existing Ordinary shares which had a nominal value of 25 pence each. Earnings
 per share, diluted earnings per share, adjusted earnings per share and
 dividends per share were retrospectively adjusted to reflect the Share
 Consolidation in all the periods presented.

 

 Related party transactions

 Details of GSK's related party transactions are disclosed on page 236 of our
 2022 Annual Report.

 

 

 Reconciliation of cash flow to movements in net debt

 

                                                               Q1 2023     Q1 2022

                                                               £m          £m

 Total Net debt at beginning of the period                     (17,197)    (19,838)

 Increase/(decrease) in cash and bank overdrafts               (673)       282
 Net decrease/(increase) in short-term loans                   (552)       249
 Net decrease/(increase) in long-term loans                    144         -
 Repayment of lease liabilities                                47          51
 Exchange adjustments                                          322         (356)
 Other non-cash movements                                      (41)        (52)

 Decrease/(increase) in net debt from continuing operations    (753)       174
 Decrease/(increase) in net debt from discontinued operations  -           313

 Total Net debt at end of the period                           (17,950)    (19,351)

 

 

 Net debt analysis

 

                                          31 March      31 December

                                          2023          2022

                                          £m            £m

 Liquid investments                       65            67
 Cash and cash equivalents                2,890         3,723
 Short-term borrowings                    (4,261)       (3,952)
 Long-term borrowings                     (16,644)      (17,035)

 Total Net debt at the end of the period  (17,950)      (17,197)

 

 

 Free cash flow reconciliation from continuing operations

 

                                                                   Q1 2023    Q1 2022

                                                                   £m         £m

 Net cash inflow/(outflow) from continuing operating activities    53         2,206
 Purchase of property, plant and equipment                         (233)      (193)
 Proceeds from sale of property, plant and equipment               7          6
 Purchase of intangible assets                                     (296)      (377)
 Proceeds from disposals of intangible assets                      4          5
 Net finance costs                                                 (91)       (74)
 Dividends from joint ventures and associates                      1          -
 Contingent consideration paid (reported in investing activities)  (1)        (26)
 Distributions to non-controlling interests                        (140)      (78)
 Contributions from non-controlling interests                      7          8

 Free cash inflow from continuing operations                       (689)      1,477

 

 

 R&D commentary

 

 Pipeline overview

 

 Medicines and vaccines in phase III development (including major lifecycle  17  Infectious Diseases (7)
 innovation or under regulatory review)
                                                                             ·                                                                                 RSV older adult vaccine candidate
                                                                             ·                                                                                 SKYCovione (SK) COVID-19
                                                                             ·                                                                                 gepotidacin (bacterial topoisomerase inhibitor) uncomplicated urinary tract
                                                                                                                                                               infection and urogenital gonorrhoea
                                                                             ·                                                                                 bepirovirsen (HBV ASO) hepatitis B virus
                                                                             ·                                                                                 Bexsero infants vaccine (US)
                                                                             ·                                                                                 MenABCWY (gen 1) vaccine candidate
                                                                             ·                                                                                 tebipenem pivoxil (antibacterial carbapenem) complicated urinary tract
                                                                                                                                                               infection

                                                                                 Immunology/Respiratory (3)
                                                                             ·   Nucala chronic obstructive pulmonary disease
                                                                             ·   depemokimab (long acting anti-IL5) severe eosinophilic asthma, eosinophilic
                                                                                 granulomatosis with polyangiitis, chronic rhinosinusitis with nasal polyps,
                                                                                 hyper-eosinophilic syndrome
                                                                             ·   latozinemab (AL001, anti-sortilin) frontotemporal dementia

                                                                                 Oncology (5)
                                                                             ·   momelotinib (JAK1, JAK2 and ACVR1 inhibitor) myelofibrosis with anaemia
                                                                             ·   Blenrep (anti-BCMA ADC) multiple myeloma
                                                                             ·   Jemperli (anti-PD-1) 1L endometrial cancer
                                                                             ·   Zejula (PARP inhibitor) 1L ovarian, and lung cancer
                                                                             ·   cobolimab (anti-TIM-3) non-small cell lung cancer

                                                                                 Opportunity driven (2)
                                                                             ·   Jesduvroq (HIF-PHI) anaemia of chronic kidney disease
                                                                             ·   linerixibat (IBATi) cholestatic pruritus in primary biliary cholangitis
 Total vaccines and medicines in all phases of clinical development          68
 Total projects in clinical development (inclusive of all phases and         86
 indications)

 

 

 Our key growth assets by therapy area

 

 The following outlines several key vaccines and medicines by therapy area that
 will help drive growth for GSK to meet its outlooks and ambition for 2021-2026
 and beyond.

 

 Infectious Diseases

 

 bepirovirsen (HBV ASO)

 

 Bepirovirsen is a potential new treatment option for people with chronic
 hepatitis B being evaluated a monotherapy or combination therapy with both
 existing and novel treatments. Two randomised, double-blind,
 placebo-controlled phase III trials (B-Well 1 and B-Well 2) evaluating the
 safety and efficacy of bepirovirsen started in Q1 2023 and are actively
 recruiting patients.

 

 Key trials for bepirovirsen:

 

 Trial name (population)                                                        Phase  Design                                                                           Timeline      Status
 B-Well 1 bepirovirsen in nucleos(t)ide treated patients (chronic hepatitis B)  III    A multi-centre, randomised, double-blind, placebo-controlled trial to confirm    Trial Start:  Recruiting

                                                                                     the efficacy and safety of treatment with bepirovirsen in participants with

                                                                                       chronic hepatitis B virus                                                        Q1 2023

 NCT05630807
 B-Well 2 bepirovirsen in nucleos(t)ide treated patients (chronic hepatitis B)  III    A multi-centre, randomised, double-blind, placebo-controlled trial to confirm    Trial Start:  Recruiting

                                                                                     the efficacy and safety of treatment with bepirovirsen in participants with

                                                                                       chronic hepatitis B virus                                                        Q1 2023

 NCT05630820
 B-Clear bepirovirsen monotherapy (chronic hepatitis B)                         IIb    A multi-centre, randomised, partial-blind parallel cohort trial to assess the    Trial start:  Complete;

                                                                                     efficacy and safety of treatment with bepirovirsen in participants with

                                                                                       chronic hepatitis B virus                                                        Q3 2020       full data presented

 NCT04449029
 B-Together bepirovirsen sequential combination therapy with Peg-interferon     IIb    A multi-centre, randomised, open label trial to assess the efficacy and safety   Trial start:  Active, not recruiting
 (chronic hepatitis B)                                                                 of sequential treatment with bepirovirsen followed by Pegylated Interferon

                                                                                     Alpha 2a in participants with chronic hepatitis B virus                          Q1 2021

 NCT04676724
 bepirovirsen sequential combination therapy with targeted immunotherapy        II     A trial on the safety, efficacy and immune response following sequential         Trial start:  Recruiting

                                                                                     treatment with an anti-sense oligonucleotide against chronic hepatitis B (CHB)

 (chronic hepatitis B)                                                                 and chronic hepatitis B targeted immunotherapy (CHB-TI) in CHB patients          Q2 2022

                                                                                     receiving nucleos(t)ide analogue (NA) therapy

 NCT05276297

 

 gepotidacin (bacterial topoisomerase inhibitor)

 

 In April 2023, GSK presented positive results from the pivotal EAGLE-2 and
 EAGLE-3 phase III trials on 15 April 2023 for gepotidacin as a potential
 treatment for uncomplicated urinary tract infections (uUTI) in an oral
 presentation at the European Congress of Clinical Microbiology and Infectious
 Diseases in Copenhagen, Denmark. In the EAGLE-2 and EAGLE-3 phase III trials,
 gepotidacin demonstrated non-inferiority to nitrofurantoin, an existing
 first-line treatment for uUTI, in patients with a confirmed uUTI and a
 uropathogen susceptible to nitrofurantoin. Additionally, in the EAGLE-3 phase
 III trial, gepotidacin demonstrated statistically significant superiority
 versus nitrofurantoin. These results are based on a primary efficacy endpoint
 of therapeutic success, an endpoint comprised of combined clinical resolution
 and microbiological eradication of bacteria at the Test-of-Cure (ToC) visit
 10-13 days after initiation of treatment. In the EAGLE-2 phase III trial,
 gepotidacin demonstrated therapeutic success in 50.6% of patients compared to
 47% for nitrofurantoin. In the EAGLE-3 phase III trial, gepotidacin
 demonstrated therapeutic success in 58.5% of patients compared to 43.6% for
 nitrofurantoin. The safety and tolerability profile of gepotidacin in the
 EAGLE-2 and EAGLE-3 phase III trials was consistent with previous trials.

 The presentation follows the decision to stop the EAGLE-2 and EAGLE-3 pivotal
 trials early for efficacy following a recommendation made by the Independent
 Data Monitoring Committee in November 2022. The full results will be submitted
 for publication in a peer-reviewed scientific journal later this year.

 

 Key phase III trials for gepotidacin:

 

 Trial name (population)                        Phase  Design                                                                          Timeline      Status
 EAGLE-1 (uncomplicated urogenital gonorrhoea)  III    A randomised, multi-centre, open-label trial in adolescent and adult            Trial start:  Recruiting

                                                     participants comparing the efficacy and safety of gepotidacin to ceftriaxone

                                                       plus azithromycin in the treatment of uncomplicated urogenital gonorrhoea       Q4 2019

                                                     caused by Neisseria gonorrhoeae
 NCT04010539
 EAGLE-2 (females with uUTI / acute cystitis)   III    A randomised, multi-centre, parallel-group, double-blind, double-dummy trial    Trial start:  Complete; primary endpoint met

                                                     in adolescent and adult female participants comparing the efficacy and safety

                                                       of gepotidacin to nitrofurantoin in the treatment of uncomplicated urinary      Q4 2019

                                                     tract infection (acute cystitis)
 NCT04020341
 EAGLE-3 (females with uUTI / acute cystitis)   III    A randomised, multi-centre, parallel-group, double-blind, double-dummy trial    Trial start:  Complete; primary endpoint met

                                                     in adolescent and adult female participants comparing the efficacy and safety

                                                       of gepotidacin to nitrofurantoin in the treatment of uncomplicated urinary      Q2 2020

                                                     tract infection (acute cystitis)
 NCT04187144

 

 MenABCWY vaccine candidate

 

 GSK's MenABCWY combination vaccine candidate met all primary endpoints of the
 pivotal phase III clinical trial and was well tolerated with a safety profile
 consistent with Bexsero and Menveo. The primary endpoint data demonstrated
 statistical non-inferiority compared to Bexsero and Menveo in individuals
 10-25 years old, eliciting a clinically meaningful immune response. If
 approved, this five-in-one vaccine candidate could provide the broadest
 meningococcal serogroup coverage and could lead to a simplified immunisation
 schedule. Detailed results from this phase III trial will be presented in a
 peer-reviewed publication and at upcoming scientific meetings. Based on these
 results, GSK intends to submit a Biologics License Application to the US Food
 and Drug Administration (FDA) to approve of its MenABCWY combination vaccine
 candidate.

 

 Key trials for MenABCWY vaccine candidate:

 

 Trial name (population)  Phase  Design                                                                         Timeline      Status
 MenABCWY - 019           IIIb   A randomised, controlled, observer-blind trial to evaluate safety and          Trial start:  Active, not recruiting

                               immunogenicity of GSK's meningococcal ABCWY vaccine when administered in

                                 healthy adolescents and adults, previously primed with meningococcal ACWY      Q1 2021

                               vaccine
 NCT04707391
 MenABCWY - V72 72        III    A randomised, controlled, observer-blind trial to demonstrate effectiveness,   Trial start:  Complete; primary endpoints met

                               immunogenicity, and safety of GSK's meningococcal Group B and combined ABCWY

                                 vaccines when administered to healthy adolescents and young adults             Q3 2020

 NCT04502693

 

 RSV vaccine candidates

 

 In March 2023, the US FDA Vaccines and Related Biological Products Advisory
 Committee (VRBPAC) voted that the available data supported the safety and
 effectiveness of GSK's respiratory syncytial virus (RSV) older adult vaccine
 candidate for the prevention of lower respiratory tract disease caused by RSV
 in adults aged 60 years and older. The Committee voted unanimously 12-0 on
 effectiveness and 10-2 on safety. The US FDA has assigned a Prescription Drug
 User Fee Act action date of 3 May 2023. Regulatory reviews are ongoing
 elsewhere, including in the EU and Japan.

 The VRBPAC vote followed the publication of positive phase III trial results
 for the vaccine candidate in The New England Journal of Medicine.

 

 Key phase III trials for RSV older adult vaccine candidates:

 

 Trial name (population)                 Phase  Design                                                                           Timeline      Status
 RSV OA=ADJ-004                          III    A randomised, open-label, multi-country trial to evaluate the immunogenicity,    Trial start:  Active, not recruiting; primary endpoint met

                                              safety, reactogenicity and persistence of a single dose of the RSVPreF3 OA

 (Adults ≥ 60 years old)                        investigational vaccine and different revaccination schedules in adults aged     Q1 2021

                                              60 years and above

 NCT04732871
 RSV OA=ADJ-006                          III    A randomised, placebo-controlled, observer-blind, multi-country trial to         Trial start:  Active, not recruiting; primary endpoint met

                                              demonstrate the efficacy of a single dose of GSK's RSVPreF3 OA investigational

 (ARESVI-006; Adults ≥ 60 years old)            vaccine in adults aged 60 years and above                                        Q2 2021

 NCT04886596
 RSV OA=ADJ-007                          III    An open-label, randomised, controlled, multi-country trial to evaluate the       Trial start:  Complete; primary endpoint met

                                              immune response, safety and reactogenicity of RSVPreF3 OA investigational

 (Adults ≥ 60 years old)                        vaccine when co-administered with FLU-QIV vaccine in adults aged 60 years and    Q2 2021

                                              above

 NCT04841577
 RSV OA=ADJ-008                          III    A phase III, open-label, randomised, controlled, multi country trial to          Trial start:  Active, not recruiting

                                              evaluate the immune response, safety and reactogenicity of RSVPreF3 OA

                                                investigational vaccine when co-administered with FLU HD vaccine in adults       Q4 2022

                                              aged 65 years and above
 (Adults ≥ 65 years old)

 NCT05559476
 RSV OA=ADJ-009                          III    A randomised, double-blind, multi-country trial to evaluate consistency,         Trial start:  Complete; primary endpoint met

                                              safety, and reactogenicity of 3 lots of RSVPreF3 OA investigational vaccine

 (Adults ≥ 60 years old)                        administrated as a single dose in adults aged 60 years and above                 Q4 2021

 NCT05059301
 RSV OA=ADJ-017                          III    A phase III, open-label, randomised, controlled, multi-country trial to          Trial start:  Active, not recruiting

                                              evaluate the immune response, safety and reactogenicity of an RSVPreF3 OA

 (Adults ≥ 65 years old)                        investigational vaccine when co-administered with FLU aQIV (inactivated          Q4 2022

                                              influenza vaccine - adjuvanted) in adults aged 65 years and above

 NCT05568797
 RSV OA=ADJ-018                          III    A phase III, observer-blind, randomised, placebo-controlled trial to evaluate    Trial start:  Active, not recruiting

                                              the non-inferiority of the immune response and safety of the RSVPreF3 OA

 (Adults 50-59 years)                           investigational vaccine in adults 50 59 years of age, including adults at        Q4 2022

                                              increased risk of respiratory syncytial virus lower respiratory tract disease,
                                                compared to older adults ≥60 years of age.

 NCT05590403

 

 HIV

 

 cabotegravir

 

 In February 2023, ViiV Healthcare announced positive 12-month findings from
 the SOLAR phase IIIb trial, presented at the 30th Conference on Retroviruses
 and Opportunistic Infections, in Seattle, Washington. SOLAR is the first
 head-to-head, phase IIIb trial of the first and only complete long-acting
 injectable regimen Cabenuva (cabotegravir, rilpivirine) compared against
 complete daily oral regimen bictegravir/emtricitabine/tenofovir alafenamide.

 The trial showed that Cabenuva dosed every two months achieved the primary
 endpoint of non-inferior virologic efficacy versus daily oral
 bictegravir/emtricitabine/tenofovir alafenamide. At the same time, 90% of
 participants who switched to Cabenuva from bictegravir/emtricitabine/tenofovir
 alafenamide, and who completed a survey (n=425), preferred the long-acting
 regimen. Switching to Cabenuva from bictegravir/emtricitabine/tenofovir
 alafenamide during the SOLAR trial was efficacious, well-tolerated, and
 improved treatment satisfaction from baseline based on adjusted HIV Treatment
 Satisfaction Questionnaire status version scores.

 Additionally, together with the Medicines Patent Pool (MPP), ViiV announced
 that MPP has signed sublicence agreements with Aurobindo Pharma, Cipla Inc.
 and Viatris Inc - through its subsidiary Mylan - to manufacture generic
 versions of cabotegravir long-acting (LA) for HIV pre-exposure prophylaxis
 (PrEP). This is enabled by signing a voluntary licensing agreement for patents
 relating to cabotegravir LA for PrEP with MPP in July 2022. Through the
 MPP-ViiV Healthcare agreement, the selected generic manufacturers will be able
 to develop, manufacture, and supply generic versions of cabotegravir LA for
 PrEP, in 90 countries, subject to required regulatory approvals being
 obtained.

 

 Key phase III trials for cabotegravir:

 

 Trial name (population)                                                      Phase    Design                                                                           Timeline      Status
 HPTN 083                                                                     IIb/III  A double-blind safety and efficacy trial of injectable cabotegravir compared     Trial start:  Active; not recruiting; primary endpoint met (superiority)

                                                                                     to daily oral tenofovir disoproxil fumarate/emtricitabine (TDF/FTC), for

 (HIV uninfected cisgender men and transgender women who have sex with men)            Pre-Exposure Prophylaxis in HIV-uninfected cisgender men and transgender women   Q4 2016

                                                                                     who have sex with men

 NCT02720094
 HPTN 084                                                                     III      A double-blind safety and efficacy trial of long-acting injectable               Trial start:  Active; not recruiting; primary endpoint met (superiority)

                                                                                     cabotegravir compared to daily oral TDF/FTC for Pre-Exposure Prophylaxis in

 (HIV uninfected women who are at high risk of acquiring HIV)                          HIV-Uninfected women                                                             Q4 2017

 NCT03164564
 ATLAS                                                                        III      A randomised, multi-centre, parallel-group, non-inferiority, open-label trial    Trial start:  Active; not recruiting; primary endpoint met (non-inferiority)

                                                                                     evaluating the efficacy, safety, and tolerability of switching to long-acting

                                                                                       cabotegravir plus long-acting rilpivirine from current INI- NNRTI-, or           Q4 2016

                                                                                     PI-based antiretroviral regimen in HIV-1-infected adults who are virologically
 NCT02951052                                                                           suppressed
 ATLAS-2M                                                                     IIIb     A randomised, multi-centre, parallel-group, non-inferiority, open-label trial    Trial start:  Active; not recruiting; primary endpoint met (non-inferiority)

                                                                                     evaluating the efficacy, safety, and tolerability of long-acting cabotegravir

                                                                                       plus long-acting rilpivirine administered every 8 weeks or every 4 weeks in      Q4 2017

                                                                                     HIV-1-infected adults who are virologically suppressed
 NCT03299049
 FLAIR                                                                        III      A randomised, multi-centre, parallel-group, open-label trial evaluating the      Trial start:  Active; not recruiting; primary endpoint met (non-inferiority)

                                                                                     efficacy, safety, and tolerability of long-acting intramuscular cabotegravir

                                                                                       and rilpivirine for maintenance of virologic suppression following switch from   Q4 2016

                                                                                     an integrase inhibitor single tablet regimen in HIV-1 infected antiretroviral
 NCT02938520                                                                           therapy naïve adult participants

 

 Immunology/Respiratory

 

 depemokimab (ultra-long-acting anti-IL5)

 

 The phase III programme for our ultra-long-acting IL5 inhibitor, depemokimab
 continues to make progress across a range of eosinophil-driven diseases. Phase
 III trials of depemokimab were initiated in the second half of 2022 in
 indications for chronic rhinosinusitis with nasal polyps (CRSwNP),
 eosinophilic granulomatosis with polyangiitis (EGPA) and hypereosinophilic
 syndrome (HES). Trials of depemokimab in severe eosinophilic asthma which
 started in 2021 continued throughout 2022 with the open label extension of
 these trials starting recruitment in Q1 of 2022. Depemokimab is a unique and
 distinct monoclonal antibody developed specifically for its affinity for IL-5
 and long duration of inhibition.

 

 Key phase III trials for depemokimab:

 

 Trial name (population)                    Phase            Design                                                                           Timeline      Status
 SWIFT-1 (severe eosinophilic asthma; SEA)  III              A 52-week, randomised, double-blind, placebo-controlled, parallel-group,         Trial start:  Active, not recruiting

                                                           multi-centre trial of the efficacy and safety of depemokimab adjunctive

                                                             therapy in adult and adolescent participants with severe uncontrolled asthma     Q1 2021

                                                           with an eosinophilic phenotype
 NCT04719832
 SWIFT-2 (SEA)                              III              A 52-week, randomised, double-blind, placebo-controlled, parallel-group,         Trial start:  Recruiting

                                                           multi-centre trial of the efficacy and safety of depemokimab adjunctive

                                                             therapy in adult and adolescent participants with severe uncontrolled asthma     Q1 2021

                                                           with an eosinophilic phenotype
 NCT04718103
 AGILE (SEA)                                III (extension)  A 52-week, open label extension phase of SWIFT-1 and SWIFT-2 to assess the       Trial start:  Recruiting

                                                           long-term safety and efficacy of depemokimab adjunctive therapy in adult and

                                                             adolescent participants with severe uncontrolled asthma with an eosinophilic     Q1 2022

                                                           phenotype
 NCT05243680
 NIMBLE (SEA)                               III              A 52-week, randomised, double-blind, double-dummy, parallel group,               Trial start:  Recruiting

                                                           multi-centre, non-inferiority trial assessing exacerbation rate, additional

                                                             measures of asthma control and safety in adult and adolescent severe asthmatic   Q1 2021

                                                           participants with an eosinophilic phenotype treated with depemokimab compared
 NCT04718389                                                 with mepolizumab or benralizumab
 ANCHOR-1 (CRSwNP)                          III              Efficacy and safety of depemokimab in participants with CRSwNP                   Trial start:  Recruiting

                                                                                                                                              Q2 2022

 NCT05274750
 ANCHOR-2 (CRSwNP)                          III              Efficacy and safety of depemokimab in participants with CRSwNP                   Trial start:  Recruiting

                                                                                                                                              Q2 2022

 NCT05281523
 OCEAN (EGPA)                               III              Efficacy and safety of depemokimab compared with mepolizumab in adults with      Trial start:  Recruiting

                                                           relapsing or refractory EGPA

                                                                                                                                              Q3 2022

 NCT05263934
 DESTINY (HES)                              III              A 52-week, randomised, placebo-controlled, double-blind, parallel group,         Trial start:  Recruiting

                                                           multicentre trial of depemokimab in adults with uncontrolled HES receiving

                                                             standard of care (SoC) therapy                                                   Q4 2022

 NCT05334368

 

 Oncology

 

 Blenrep (belantamab mafodotin)

 

 Trials within the DREAMM (DRiving Excellence in Approaches to Multiple
 Myeloma) clinical trial programme are ongoing, evaluating belantamab mafodotin
 in earlier lines of therapy and in combination. We anticipate data from
 DREAMM-7 and DREAMM-8 in the second-line setting in the second half of 2023.

 

 Key phase III trials for Blenrep:

 

 Trial name (population)  Phase  Design                                                                          Timeline      Status
 DREAMM-7 (2L+ MM pts)    III    A multi-centre, open-label, randomised trial to evaluate the efficacy and       Trial start:  Active, not recruiting

                               safety of the combination of belantamab mafodotin, bortezomib, and

                                 dexamethasone (B-Vd) compared with the combination of daratumumab, bortezomib   Q2 2020

                               and dexamethasone (D-Vd) in participants with relapsed/refractory multiple
 NCT04246047                     myeloma
 DREAMM-8 (2L+ MM pts)    III    A multi-centre, open-label, randomised trial to evaluate the efficacy and       Trial start:  Enrolment complete

                               safety of belantamab mafodotin in combination with pomalidomide and

                                 dexamethasone (B-Pd) versus pomalidomide plus bortezomib and dexamethasone      Q4 2020

                               (P-Vd) in participants with relapsed/refractory multiple myeloma
 NCT04484623

 

 Jemperli (dostarlimab)

 

 In February 2023, the US FDA Oncologic Drugs Advisory Committee voted in
 support of trials designed to evaluate Jemperli as a potential treatment for
 mismatch repair-deficient/microsatellite instability-high (dMMR/MSI-H) locally
 advanced rectal cancer. Following the committee's positive vote, in March
 2023, GSK initiated a global, open-label, phase II clinical trial to
 investigate the efficacy and safety of dostarlimab as monotherapy - as a
 replacement for chemotherapy, radiation and/or surgery - for treatment-naïve
 patients with dMMR/MSI-H locally advanced rectal cancer. The first patient was
 dosed in April 2023. GSK intends to use data from this trial, alongside data
 from Memorial Sloan Kettering Cancer Center's ongoing trial of 30 patients, to
 support a supplemental Biologics License Application (sBLA) for accelerated
 regulatory approval in this indication. Earlier in Q1 2023, the US FDA granted
 dostarlimab Fast Track designation for the treatment of dMMR/MSI-H locally
 advanced rectal cancer.

 In February 2023, the US FDA granted full approval for Jemperli for the
 treatment of adult patients with dMMR recurrent or advanced endometrial
 cancer, as determined by a US FDA-approved test, that has progressed on or
 following a prior platinum-containing regimen in any setting and are not
 candidates for curative surgery or radiation. This approval was based on
 additional data collected from the A1 expansion cohort of the ongoing GARNET
 phase I trial, a multicentre, open-label, single-arm trial of Jemperli
 monotherapy in patients with advanced or recurrent solid tumours. Long-term
 outcomes from GARNET demonstrated an overall response rate of 45.4%.

 In March 2023, GSK announced interim results from Part 1 of the
 RUBY/ENGOT-EN6/GOG3031/NSGO phase III trial investigating dostarlimab plus
 standard-of-care chemotherapy (carboplatin-paclitaxel) followed by dostarlimab
 compared to chemotherapy plus placebo followed by placebo in adult patients
 with primary advanced or recurrent endometrial cancer. The results
 demonstrated the potential of dostarlimab plus chemotherapy to redefine the
 treatment of primary advanced or recurrent endometrial cancer versus
 chemotherapy alone. A 72% and 36% reduction in the risk of disease progression
 or death were observed in the dMMR/MSI-H and overall patient populations,
 respectively. A clinically meaningful overall survival trend was also observed
 at the interim analysis.

 In April 2023, GSK announced that the European Medicines Agency (EMA)
 validated the marketing authorisation application (MAA) for Jemperli plus
 chemotherapy for the treatment of dMMR/MSI-H primary advanced or recurrent
 endometrial cancer.

 

 Key trials for Jemperli:

 

 Trial name (population)                            Phase  Design                                                                           Timeline      Status
 RUBY                                               III    A randomised, double-blind, multi-centre trial of dostarlimab plus               Trial start:  Active, not recruiting; primary endpoint met in RUBY Part 1

                                                         carboplatin-paclitaxel with and without niraparib maintenance versus placebo

 ENGOT-EN6                                                 plus carboplatin-paclitaxel in patients with recurrent or primary advanced       Q3 2019

                                                         endometrial cancer
 GOG-3031 (1L Stage III or IV endometrial cancer)

 NCT03981796
 PERLA (1L metastatic non-small cell lung cancer)   II     A randomised, double-blind trial to evaluate the efficacy of dostarlimab plus    Trial start:  Active, not recruiting; primary endpoint met

                                                         chemotherapy versus pembrolizumab plus chemotherapy in metastatic non-squamous

                                                           non-small cell lung cancer                                                       Q4 2020

 NCT04581824
 GARNET (advanced solid tumours)                    I/II   A multi-center, open-label, first-in-human trial evaluating dostarlimab in       Trial start:  Recruiting

                                                         participants with advanced solid tumors who have limited available treatment

                                                           options                                                                          Q1 2016

 NCT02715284
 AZUR-1 (locally advanced rectal cancer)            II     A single-arm, open-label trial with dostarlimab monotherapy in participants      Trial start:  Recruiting

                                                         with untreated stage II/III dMMR/MSI-H locally advanced rectal cancer

                                                                                                                                            Q1 2023

 NCT05723562

 

 momelotinib (JAK1/2 and ACVR1/ALK2 inhibitor)

 

 A European Union MAA for momelotinib, a potential new oral treatment for
 myelofibrosis, is currently under review with the EMA. A Committee for
 Medicinal Products for Human Use (CHMP) regulatory action is anticipated by
 year-end 2023. A New Drug Application (NDA) for momelotinib is also currently
 under regulatory review by the US FDA with a Prescription Drug User Fee Act
 action date of 16 June 2023.

 

 Key phase III trial for momelotinib:

 

 Trial name (population)   Phase  Design                                                                          Timeline      Status
 MOMENTUM (myelofibrosis)  III    A randomised, double-blind, active control phase III trial intended to confirm  Trial start:  Active, not recruiting; primary endpoint met

                                the differentiated clinical benefits of the investigational drug momelotinib

                                  (MMB) versus danazol (DAN) in symptomatic and anaemic subjects who have         Q1 2020

                                previously received an approved Janus kinase inhibitor (JAKi) therapy for
 NCT04173494                      myelofibrosis (MF)

 

 Zejula (niraparib)

 

 Zejula is approved in more than 40 countries as a maintenance treatment for
 certain types of ovarian, fallopian tube and primary peritoneal cancer. The
 ongoing development programme includes several combination trials, including
 the FIRST phase III trial assessing niraparib in combination with dostarlimab
 as a potential treatment for first-line ovarian cancer maintenance and the
 phase III ZEAL trial assessing niraparib in combination with standard of care
 for the maintenance treatment of first-line advanced non-small cell lung
 cancer.

 In April 2023, GSK took the decision to permanently discontinue enrolment in
 the ZEST phase III 800-patient trial, initiated in 2021. This decision was due
 to eligibility challenges impacting the ability to fully enrol patients with
 early-stage breast cancer. During the conduct of the trial, GSK learned that
 the prevalence of a radiologically detectable metastatic disease among
 patients who are ctDNA positive is much higher than expected. This enabled
 patients to be referred for treatment of metastatic cancer ahead of clinical
 symptoms. Consequently, because these patients were ineligible for the ZEST
 phase III trial, it has made enrolment in the trial much more challenging than
 previously thought.

 

 Key phase III trials for Zejula:

 

 Trial name (population)                      Phase  Design                                                                          Timeline      Status
 ZEAL-1L (maintenance for 1L advanced NSCLC)  III    A randomised, double-blind, placebo-controlled, multi-centre trial comparing    Trial start:  Active, not recruiting

                                                   niraparib plus pembrolizumab versus placebo plus pembrolizumab as maintenance

                                                     therapy in participants whose disease has remained stable or responded to       Q4 2020

                                                   first-line platinum-based chemotherapy with pembrolizumab for Stage IIIB/IIIC
 NCT04475939                                         or IV non-small cell lung cancer
 FIRST (1L ovarian cancer maintenance)        III    A randomised, double-blind, comparison of platinum-based therapy with           Trial start:  Active, not recruiting

                                                   dostarlimab (TSR-042) and niraparib versus standard of care platinum-based

                                                     therapy as first-line treatment of stage III or IV non-mucinous epithelial      Q4 2018

                                                   ovarian cancer
 NCT03602859

 

 Opportunity driven

 

 Jesduvroq (daprodustat)

 

 In February 2023, the US FDA approved Jesduvroq (daprodustat) for the
 treatment of anaemia due to chronic kidney disease (CKD) in adults who have
 been receiving dialysis for at least four months. Jesduvroq is the first
 innovative medicine for anaemia treatment in over 30 years and the only
 hypoxia-inducible factor prolyl hydroxylase inhibitor approved in the US,
 providing a new oral, convenient option for patients in the US with anaemia of
 CKD on dialysis and for healthcare providers. Jesduvroq is currently under
 regulatory review with the EMA, with a regulatory decision anticipated in the
 first half of 2023.

 When left untreated or undertreated, anaemia of CKD is associated with poor
 clinical outcomes and leads to a substantial burden on patients and healthcare
 systems. There remains an unmet need for convenient treatment options with
 efficacy and safety comparable to current treatments.

 

 Key phase III trials for daprodustat:

 

 Trial name (population)                                     Phase  Design                                                                           Timeline  Status
 ASCEND-D (Dialysis subjects with anaemia of CKD)            III    A randomised, open-label (sponsor-blind), active-controlled, parallel-group,     Reported  Complete; primary endpoint met

                                                                  multi-centre, event driven trial in dialysis subjects with anaemia associated
                                                                    with chronic kidney disease to evaluate the safety and efficacy of daprodustat

                                                                  compared to recombinant human erythropoietin, following a switch from
 NCT02879305                                                        erythropoietin-stimulating agents
 ASCEND-ID (Incident Dialysis subjects with anaemia of CKD)  III    A 52-week open-label (sponsor-blind), randomised, active-controlled,             Reported  Complete; primary endpoint met

                                                                  parallel-group, multi-centre trial to evaluate the efficacy and safety of
                                                                    daprodustat compared to recombinant human erythropoietin in subjects with

                                                                  anaemia of chronic kidney disease who are initiating dialysis
 NCT03029208
 ASCEND-TD (Dialysis subjects with anaemia of CKD)           III    A randomised, double-blind, active-controlled, parallel-group, multi-centre      Reported  Complete; primary endpoint met

                                                                  trial in haemodialysis participants with anaemia of chronic kidney disease to
                                                                    evaluate the efficacy, safety, and pharmacokinetics of three-times weekly

                                                                  dosing of daprodustat compared to recombinant human erythropoietin, following
 NCT03400033                                                        a switch from recombinant human erythropoietin or its analogues
 ASCEND-ND (Non-dialysis subjects with anaemia of CKD)       III    A randomised, open-label (sponsor-blind), active-controlled, parallel-group,     Reported  Complete; primary endpoint met

                                                                  multi-centre, event driven trial in non-dialysis subjects with anaemia of
                                                                    chronic kidney disease to evaluate the safety and efficacy of daprodustat

                                                                  compared to darbepoetin alfa
 NCT02876835
 ASCEND-NHQ (Non-dialysis subjects with anaemia of CKD)      III    A 28-week, randomised, double-blind, placebo-controlled, parallel-group,         Reported  Complete; primary endpoint met

                                                                  multi-centre, trial in recombinant human erythropoietin (rhEPO) naïve
                                                                    non-dialysis participants with anaemia of chronic kidney disease to evaluate

                                                                  the efficacy, safety, and effects on quality of life of daprodustat compared
 NCT03409107                                                        to placebo

 

 

 Reporting definitions

 

 Total, Continuing and Adjusted results

 Total reported results represent the Group's overall performance including
 discontinued operations. Continuing results represents performance excluding
 discontinued operations.

 GSK also uses a number of adjusted, non-IFRS, measures to report the
 performance of its business. Adjusted results and other non-IFRS measures may
 be considered in addition to, but not as a substitute for or superior to,
 information presented in accordance with IFRS. Adjusted results are defined on
 page 16 and other non-IFRS measures are defined below and are based on
 continuing operations.

 Free cash flow from continuing operations

 Free cash flow is defined as the net cash inflow/outflow from continuing
 operating activities less capital expenditure on property, plant and equipment
 and intangible assets, contingent consideration payments, net finance costs,
 and dividends paid to non-controlling interests, contributions from
 non-controlling interests plus proceeds from the sale of property, plant and
 equipment and intangible assets, and dividends received from joint ventures
 and associates (all attributable to continuing operations). It is used by
 management for planning and reporting purposes and in discussions with and
 presentations to investment analysts and rating agencies. Free cash flow
 growth is calculated on a reported basis. A reconciliation of net cash inflow
 from continuing operations to free cash flow from continuing operations is set
 out on page 34.

 Free cash flow conversion

 Free cash flow conversion is free cash flow from continuing operations as a
 percentage of profit attributable to shareholders from continuing operations.

 Working capital

 Working capital represents inventory and trade receivables less trade
 payables.

 CER and AER growth

 In order to illustrate underlying performance, it is the Group's practice to
 discuss its results in terms of constant exchange rate (CER) growth. This
 represents growth calculated as if the exchange rates used to determine the
 results of overseas companies in Sterling had remained unchanged from those
 used in the comparative period. CER% represents growth at constant exchange
 rates. £% or AER% represents growth at actual exchange rates.

 Total Net debt

 Net debt is defined as total borrowings less cash, cash equivalents, liquid
 investments, and short-term loans to third parties that are subject to an
 insignificant risk of change in value.

 Share Consolidation

 Shareholders received 4 new Ordinary shares with a nominal value of 31¼ pence
 each for every 5 existing Ordinary shares which had a nominal value of 25
 pence each. Earnings per share, diluted earnings per share, adjusted earnings
 per share and dividends per share were retrospectively adjusted to reflect the
 Share Consolidation in all the periods presented.

 Earnings per share

 Earnings per share has been retrospectively adjusted for the Share
 Consolidation on 18 July 2022, applying a ratio of 4 new Ordinary shares for
 every 5 existing Ordinary shares.

 Total Earnings per share

 Unless otherwise stated, Total earnings per share refers to Total basic
 earnings per share.

 Total Operating Margin

 Total Operating margin is operating profit divided by turnover.

 COVID-19 solutions

 COVID-19 solutions include the sales of pandemic adjuvant and other COVID-19
 solutions including vaccine manufacturing and Xevudy and the associated costs
 but does not include reinvestment in R&D. This categorisation is used by
 management and we believe is helpful to investors through providing clarity on
 the results of the Group by showing the contribution to growth from COVID-19
 solutions.

 Turnover excluding COVID-19 solutions

 Turnover excluding COVID-19 solutions excludes the impact of sales of pandemic
 adjuvant within Vaccines and Xevudy within Specialty Medicines related to the
 COVID-19 pandemic. Management believes that the exclusion of the impact of
 these COVID-19 solutions sales aids comparability in the reporting periods and
 understanding of GSK's growth including by region versus prior periods and
 also 2023 Guidance which excludes any contributions from COVID-19 solutions.

 General Medicines

 General Medicines are usually prescribed in the primary care or community
 settings by general healthcare practitioners. For GSK, this includes medicines
 in inhaled respiratory, dermatology, antibiotics and other diseases.

 Specialty Medicines

 Specialty Medicines are typically prescription medicines used to treat complex
 or rare chronic conditions. For GSK, this comprises medicines in infectious
 diseases, HIV, oncology, immunology/respiratory and Other.

 Percentage points

 Percentage points of growth which is abbreviated to ppts.

 

 

 Brand names and partner acknowledgements

 Brand names appearing in italics throughout this document are trademarks of
 GSK or associated companies or used under licence by the Group.

 

 

 Guidance, assumptions and cautionary statements

 

 2023 guidance

 GSK expects 2023 turnover to increase between 6 to 8 per cent, Adjusted
 operating profit to increase between 10 to 12 per cent and Adjusted earnings
 per share to increase between 12 to 15 per cent. This guidance is provided at
 CER and excludes any contributions from COVID-19 solutions.

 Assumptions related to 2023 guidance

 In outlining the guidance for 2023, the Group has made certain assumptions
 about the healthcare sector, the different markets in which the Group operates
 and the delivery of revenues and financial benefits from its current
 portfolio, pipeline and restructuring programmes. Taking Q1 2023 performance
 and the latest expectations for Q2 2023 into account, GSK now expects first
 half and second half turnover growth to be broadly similar and for General
 Medicines to be broadly flat to slightly down this year. GSK expects Adjusted
 operating profit growth to be lower in the first half of 2023 and higher in
 the second half, relative to full-year expectations. Despite the recovery of
 healthcare systems, uncertain economic conditions prevail across many markets
 in which GSK operates and we continue to expect to see variability in
 performance between quarters.

 We expect sales of Vaccines to increase mid-teens per cent, Specialty
 Medicines to increase mid to high single-digit per cent, and sales of General
 Medicines to be broadly flat to slightly down.

 These planning assumptions as well as operating profit guidance and dividend
 expectations assume no material interruptions to supply of the Group's
 products, no material mergers, acquisitions or disposals, no material
 litigation or investigation costs for the Company (save for those that are
 already recognised or for which provisions have been made) and no change in
 the Group's shareholdings in ViiV Healthcare. The assumptions also assume no
 material changes in the healthcare environment or unexpected significant
 changes in pricing as a result of government or competitor action. The 2023
 guidance factors in all divestments and product exits announced to date.

 The Group's guidance assumes successful delivery of the Group's integration
 and restructuring plans. Material costs for investment in new product launches
 and R&D have been factored into the expectations given. Given the
 potential development options in the Group's pipeline, the outlook may be
 affected by additional data-driven R&D investment decisions. The guidance
 is given on a constant currency basis.

 Assumptions and cautionary statement regarding forward-looking statements

 The Group's management believes that the assumptions outlined above are
 reasonable, and that the guidance, outlooks, ambitions and expectations
 described in this report are achievable based on those assumptions. However,
 given the forward-looking nature of these guidance, outlooks, ambitions and
 expectations, they are subject to greater uncertainty, including potential
 material impacts if the above assumptions are not realised, and other material
 impacts related to foreign exchange fluctuations, macro-economic activity, the
 impact of outbreaks, epidemics or pandemics, such as the COVID-19 pandemic and
 ongoing challenges and uncertainties posed by the COVID-19 pandemic for
 businesses and governments around the world, changes in legislation,
 regulation, government actions or intellectual property protection, product
 development and approvals, actions by our competitors, and other risks
 inherent to the industries in which we operate.

 This document contains statements that are, or may be deemed to be,
 "forward-looking statements". Forward-looking statements give the Group's
 current expectations or forecasts of future events. An investor can identify
 these statements by the fact that they do not relate strictly to historical or
 current facts. They use words such as 'anticipate', 'estimate', 'expect',
 'intend', 'will', 'project', 'plan', 'believe', 'target' and other words and
 terms of similar meaning in connection with any discussion of future operating
 or financial performance. In particular, these include statements relating to
 future actions, prospective products or product approvals, future performance
 or results of current and anticipated products, sales efforts, expenses, the
 outcome of contingencies such as legal proceedings, dividend payments and
 financial results. Other than in accordance with its legal or regulatory
 obligations (including under the Market Abuse Regulation, the UK Listing Rules
 and the Disclosure and Transparency Rules of the Financial Conduct Authority),
 the Group undertakes no obligation to update any forward-looking statements,
 whether as a result of new information, future events or otherwise. The reader
 should, however, consult any additional disclosures that the Group may make in
 any documents which it publishes and/or files with the SEC. All readers,
 wherever located, should take note of these disclosures. Accordingly, no
 assurance can be given that any particular expectation will be met and
 investors are cautioned not to place undue reliance on the forward-looking
 statements.

 All guidance, outlooks, ambitions and expectations should be read together
 with the guidance, assumptions and cautionary statements in this Q1 2023
 earnings release and the 2022 Annual Report.

 Forward-looking statements are subject to assumptions, inherent risks and
 uncertainties, many of which relate to factors that are beyond the Group's
 control or precise estimate. The Group cautions investors that a number of
 important factors, including those in this document, could cause actual
 results to differ materially from those expressed or implied in any
 forward-looking statement. Such factors include, but are not limited to, those
 discussed under Item 3.D 'Risk Factors' in the Group's Annual Report on Form
 20-F for 2022 and any impacts of the COVID-19 pandemic. Any forward looking
 statements made by or on behalf of the Group speak only as of the date they
 are made and are based upon the knowledge and information available to the
 Directors on the date of this report.

 

 

 Independent review report to GSK plc

 

 Conclusion

 We have been engaged by GSK plc ("the Company") to review the condensed
 financial information in the Results Announcement of the Company for the three
 months ended 31 March 2023.

 

 The condensed financial information comprises:
 ·   the income statement and statement of comprehensive income for three month
     period ended 31 March 2023 on page 21 to 22;
 ·   the balance sheet as at 31 March 2023 on page 23;
 ·   the statement of changes in equity for the three month period then ended on
     page 24;
 ·   the cash flow statement for the three month period then ended on page 25; and
 ·   the accounting policies and basis of preparation and the explanatory notes to
     the condensed financial information on pages 26 to 34 that have been prepared
     applying consistent accounting policies to those applied by the Group in the
     Annual Report 2022, which was prepared in accordance with International
     Financial Reporting Standards ("IFRS") as adopted by the United Kingdom.

 We have read the other information contained in the Results Announcement,
 including the non-IFRS measures contained on pages 26 to 34 and considered
 whether it contains any apparent misstatements or material inconsistencies
 with the information in the condensed set of financial information.

 Based on our review, nothing has come to our attention that causes us to
 believe that the condensed financial information in the Results Announcement
 for the three months ended 31 March 2023 is not prepared, in all material
 respects in accordance with the accounting policies set out in the accounting
 policies and basis of preparation section on page 31.

 Basis for Conclusion

 We conducted our review in accordance with International Standard on Review
 Engagements (UK and Ireland) 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 inquiries, 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.

 As disclosed on page 31, the annual financial statements of the Company are
 prepared in accordance with United Kingdom adopted international accounting
 standards. The condensed set of financial statements included in this Results
 Announcement have been prepared in accordance with the accounting policies set
 out in the accounting policies and basis of preparation section on page 31.

 Conclusion 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 entity to
 cease to continue as a going concern.

 Responsibilities of the directors

 The directors are responsible for preparing the Results Announcement of the
 Company in accordance with the Disclosure Guidance and Transparency Rules of
 the United Kingdom's Financial Conduct Authority.

 In preparing the Results Announcement, the directors are responsible for
 assessing the Company'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 Company or
 to cease operations, or have no realistic alternative but to do so.

 Auditor's Responsibilities for the review of the financial information

 In reviewing the Results Announcement, our responsibility is to express to the
 Company a conclusion on the condensed financial information in the Results
 Announcement based on our review. Our conclusion, including our Conclusions
 Relating to Going Concern, are based on procedures that are less extensive
 than audit procedures, as described in the Basis of Conclusion paragraph of
 this report.

 Use of our report

 This report is made solely to the Company in accordance with International
 Standard on Review Engagements (UK and Ireland) 2410 "Review of Interim
 Financial Information Performed by the Independent Auditor of the Entity"
 issued by the Financial Reporting Council (ISRE (UK) 2410). Our work has been
 undertaken so that we might state to the Company those matters we are required
 to state to it in an independent review report and for no other purpose. To
 the fullest extent permitted by law, we do not accept or assume responsibility
 to anyone other than the Company, for our review work, for this report, or for
 the conclusions we have formed.

 Deloitte LLP

 Statutory Auditor

 London, United Kingdom

 26 April 2023

 

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