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REG - GSK PLC - 2nd Quarter Results

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RNS Number : 1738H  GSK PLC  26 July 2023

 Strong performance and momentum drive upgraded guidance

 

 Sales and earnings growth delivered by key growth drivers
 ·   Q2 2023 sales +4% and +11% ex COVID
 ·   Vaccines sales +18%, +15% ex COVID with Shingrix +20%
 ·   Specialty Medicines sales -7%, +12% ex COVID with HIV +12%
 ·   General Medicines sales +8% with Trelegy +30%
 ·   Strong sales growth of products launched since 2017 including in Vaccines and
     HIV contributing to step change in performance
 ·   Total operating profit and Total continuing EPS >100% driven by strong
     operating performance and favourable movements in contingent consideration
     liabilities
 ·   Adjusted operating profit +11% and Adjusted EPS +16% reflects strong sales ex
     COVID and higher royalty income offset by increased investment in R&D and
     new product launches

 

 (Financial Performance - Q2 2023 results unless otherwise stated, growth % and
 commentary at CER, ex COVID is excluding COVID-19 solutions as defined on page
 54).

 

                                 Q2 2023                                Year to Date
                                 £m           % AER        % CER        £m             % AER         % CER

 Turnover                        7,178        4            4            14,129         -             (2)

 Turnover ex COVID-19 solutions  7,137        10           11           13,956         13            11

 Total operating profit          2,141        98           >100         4,223          25            23

 Total continuing EPS            40.1p        >100         >100         76.9p          40            39

 Adjusted operating profit       2,170        8            11           4,262          8             6

 Adjusted operating margin %     30.2%        1.3ppts      2.0ppts      30.2%          2.2ppts       2.3ppts

 Adjusted EPS                    38.8p        12           16           75.8p          13            12

 Cash generated from operations  1,620        3                         1,907          (52)

 

 R&D innovation continued delivery of organic portfolio and targeted
 business development
 ·   Arexvy, world's first RSV vaccine in older adults, approved in US and EU
 ·   Shingrix approved, for shingles in at-risk adults aged 18 and over in Japan
 ·   Positive phase III data for MenABCWY vaccine candidate presented at ESPID and
     supports filing in 2024
 ·   US FDA Fast Track designation granted to gonorrhoea vaccine candidate
 ·   CHMP positive opinion for long-acting treatment cabotegravir in HIV prevention
 ·   Paediatric exclusivity granted for dolutegravir extends US LOE to April 2028
 ·   Completion of Bellus Health acquisition adds camlipixant, a phase III asset
     for refractory chronic cough
 ·   Next US FDA approval decisions include momelotinib (myelofibrosis) and
     Jemperli (1L endometrial cancer)
 ·   Development decisions on key phase I/II assets before year end include:
     bepirovirsen (Hep B), mRNA influenza, CCL17 (pain), IL18 (atopic dermatitis)
     and therapeutic HSV

 

 2023 guidance upgraded, Q2 2023 dividend of 14p declared, 56.5p expected for
 full year
 ·   Turnover to increase 8-10% (from 6-8%)
 ·   Adjusted operating profit growth 11-13% (from 10-12%)
 ·   Adjusted EPS growth 14-17% (from 12-15%)

 

 Guidance all at CER and excluding COVID-19 solutions.

 

 Emma Walmsley, Chief Executive Officer, GSK:

 "We have delivered another excellent quarter of performance, with strong sales
 and earnings growth, notably in HIV and Vaccines, and continued strengthening
 of the R&D pipeline and product portfolio. The approval of Arexvy, the
 world's first RSV vaccine, was an important milestone for us and is at the
 forefront of a next wave in vaccine innovation for GSK. Completion of the
 Bellus Health acquisition also strengthened our late-stage respiratory
 pipeline. Our momentum supports the upgrade we have made to our financial
 guidance for 2023 and further increases our confidence in delivering
 longer-term profitable growth for shareholders."

 

 The Total results are presented in summary above and on page 7 and Adjusted
 results reconciliations are presented on pages 19, 20, 22 and 23. 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 17 and £% or AER% growth, CER% growth, turnover
 excluding COVID-19 solutions and other non-IFRS measures are defined on page
 54, COVID-19 solutions are defined on page 54. GSK provides guidance on an
 Adjusted results basis only, for the reasons set out on page 17. All
 expectations, guidance and targets regarding future performance and dividend
 payments should be read together with 'Guidance, assumptions and cautionary
 statements' on page 55.

 

 

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

 During the first half of 2023, GSK exceeded its full-year guidance
 expectations with a strong performance. This was due to GSK's strong business
 momentum across all product areas but particularly in HIV, as well as in
 General Medicines. The strong allergy season and a favourable post-pandemic
 recovery in comparison to the first half of 2022 also contributed to the
 performance. As a result, GSK has upgraded its full-year 2023 guidance at
 constant exchange rates (CER), excluding any contributions from COVID-19
 solutions:

 

 Turnover is expected to increase between 8 to 10 per cent (from 6 to 8 per
 cent)

 Adjusted operating profit is expected to increase between 11 to 13 per cent
 (from 10 to 12 per cent)

 Adjusted earnings per share is expected to increase between 14 to 17 per cent
 (from 12 to 15 per cent)

 

 In the second half of 2023, GSK expects continued strong performance across
 all three product areas but with lower growth reflecting a tough comparison to
 the second half of 2022, particularly in HIV and General Medicines. GSK still
 expects Adjusted operating profit growth to be higher in the second half of
 2023 relative to full-year expectations, with growth of investment reducing in
 the second half, particularly in the fourth quarter.

 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 (unchanged)
 Specialty Medicines  -  expected increase of high single-digit per cent in turnover (from mid to high
                         single-digit increase)
 General Medicines    -  expected increase of low single-digit per cent in turnover (from broadly flat
                         to slightly down)

 

 Adjusted Operating profit is now expected to grow between 11 to 13 per cent at
 CER (previously 10 to 12 per cent increase), reflecting higher sales and
 higher royalty income partially offset by cost of sales which is now expected
 to increase broadly in line with turnover, reflecting a greater contribution
 from General Medicines. SG&A is anticipated to increase at a rate broadly
 aligned to turnover, reflecting targeted support for launches and R&D
 continues to be expected to increase at a rate slightly below turnover.
 Adjusted earnings per share are now expected to increase between 14 to 17 per
 cent at CER, reflecting higher operating profit and more favourable net
 finance costs. Expectations for non-controlling interests and tax rate of
 around 15% are unchanged.

 

 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 36.

 

 COVID-19 solutions
 In Q2 2023, turnover increased by 4% at CER reflecting the comparison to Q2
 2022.  Excluding COVID-19 solutions, turnover increased by 11% at CER. The
 adverse impact of lower sales of COVID-19 solutions was one percentage point
 of growth in the quarter on Adjusted operating profit but increased the margin
 by 1.8 percentage points. GSK does not anticipate further significant COVID-19
 pandemic-related sales or operating profit in 2023. Consequently, GSK now
 expects full-year 2023 turnover growth to be impacted by approximately 8%,
 with Adjusted Operating profit growth being reduced between 4% to 5% 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 page 55. If exchange rates were to hold at the
 closing rates on 30 Jun 2023 ($1.26/£1, €1.17/£1 and Yen 183/£1) for the
 rest of 2023, the estimated impact on 2023 Sterling turnover growth for GSK
 would be -2% 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 ‑5%.

 

 Results presentation
 A conference call and webcast for investors and analysts of the quarterly
 results will be hosted by Emma Walmsley, CEO, at 12pm BST on 26 July 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                            Q2 2023                            Year to date

                                     £m         Growth      Growth      £m           Growth       Growth

                                                AER%        CER%                     AER%         CER%

 Shingles                            880        20          20          1,713        20           16
 Meningitis                          266        13          13          546          22           19
 Influenza                           23         (28)        (28)        35           (30)         (28)
 Established Vaccines                812        13          13          1,627        12           8

 Vaccines excluding COVID-19         1,981      16          15          3,921        16           12

   solutions
 COVID-19 solutions: Pandemic        41         -           -           142          -            -

   vaccines

 Vaccines                            2,022      18          18          4,063        20           16

 HIV                                 1,580      13          12          3,048        18           14
 Respiratory/Immunology and Other    792        16          16          1,393        16           13
 Oncology                            151        (2)         (3)         287          2            (1)

 Specialty Medicines excluding       2,523      13          12          4,728        16           12

   COVID-19 solutions

 COVID-19 solutions: Xevudy          -          (100)       (100)       31           (98)         (98)

 Specialty Medicines                 2,523      (7)         (7)         4,759        (18)         (21)

 Respiratory                         1,792      9           9           3,559        12           10
 Other General Medicines             841        (2)         4           1,748        2            6

 General Medicines                   2,633      5           8           5,307        8            8

 Total                               7,178      4           4           14,129       -            (2)

 Total excluding COVID-19 solutions  7,137      10          11          13,956       13           11

 By Region:
 US                                  3,610      9           7           6,880        -            (5)
 Europe                              1,644      6           4           3,348        4            1
 International                       1,924      (7)         -           3,901        (3)          1

 Total                               7,178      4           4           14,129       -            (2)

 

 Turnover excluding COVID-19 solutions is a non-IFRS measure defined on page 54
 with the reconciliation to the IFRS measure Turnover included in the table
 above.

 

                                                £m     AER  CER       £m     AER  CER
 Vaccines  Total                         Q2 23  2,022  18%  18%  YTD  4,063  20%  16%
           Excluding COVID-19 solutions  Q2 23  1,981  16%  15%  YTD  3,921  16%  12%

 Double-digit growth for Vaccines in Q2 23 and YTD was driven by geographical
 expansion and market growth for Shingrix, favourable US Center for Disease
 Control (CDC) stockpile movements for Rotarix, and uptake in National
 Immunisation Programmes for Bexsero.

 

 Shingles  Q2 23  880  20%  20%  YTD  1,713  20%  16%

 Shingrix, a vaccine against herpes zoster (shingles), grew in Q2 23 and YTD in
 International and Europe reflecting geo-expansion and increased demand. Sales
 outside of the US in the quarter also include stocking for the UK national
 immunisation programme and channel inventory replenishment in China. US sales
 declined 10% in the quarter impacted by unfavourable wholesaler and
 distributor inventory movements plus lower non-retail demand partly offset by
 strong retail growth and pricing. The US cumulative immunisation rate grew
 from 30% at year end to 32% at the end of Q1 23 with vaccination in adults 65
 and older boosted by co-pay removal in the Inflation Reduction Act. Shingrix
 is now available in 33 countries.

 

 Meningitis  Q2 23  266  13%  13%  YTD  546  22%  19%

 Building upon the momentum from Q1 23, Meningitis vaccines grew again in Q2 23
 primarily driven by Bexsero, the vaccine against meningitis B, with higher
 sales in Europe mainly from inclusion in National Immunisation Programmes and
 in International due to increased private and public market demand. YTD sales
 benefitted from the initial stocking of Menveo liquid formulation and higher
 CDC purchases in the US as well as demand in anticipation of a Bexsero price
 increase in International in Q1 23.

 

                                  £m   AER  CER       £m     AER  CER
 Established Vaccines      Q2 23  812  13%  13%  YTD  1,627  12%  8%

 Established Vaccines growth in Q2 23 was driven by Rotarix, benefitting from
 the favourable impacts of a US CDC stockpile borrow in 2022 and a
 replenishment in the current quarter. Cervarix, grew in Q2 23 in International
 and Europe reflecting higher demand and timing of deliveries. This is partly
 offset by Infanrix/Pediarix, due to the negative impact of a CDC stockpile
 borrow in the quarter and continued competitive pressure in the US. Outside of
 Q2 23 performance drivers, YTD turnover includes growth of Hepatitis vaccines
 resulting from continued travel market recovery in Europe and International
 and a decline on Synflorix, reflecting lower demand related to decreased birth
 cohorts and phasing of public market supply in International.

 

 Specialty Medicines  Total                         Q2 23  2,523  (7%)  (7%)  YTD  4,759  (18%)  (21%)
                      Excluding COVID-19 solutions  Q2 23  2,523  13%   12%   YTD  4,728  16%    12%

 In Q2 23 and YTD there were minimal sales of Xevudy contrasting with strong
 sales YTD 2022. Specialty Medicines growth excluding COVID-19 solutions
 reflects consistent performance in Q2 23 and YTD driven by HIV and
 Respiratory/Immunology and Other categories.

 

 HIV  Q2 23  1,580  13%  12%  YTD  3,048  18%  14%

 The performance of HIV benefitted from strong patient demand, driven by the
 Oral two-drug regimen (Oral 2DR) and Long-Acting medicines which contributed
 approximately eight percentage points of growth. Pricing favourability driven
 by the US contributed two percentage points of growth. YTD includes the
 majority of the inventory depletion now expected from the 2022 build.

 

 Oral 2DR and Long-Acting  Q2 23  805  46%  44%  YTD  1,502  53%  47%

 Oral 2DR (Dovato, Juluca) and Long-Acting medicines (Cabenuva, Apretude) sales
 growth continues and now represent 51% of the total HIV portfolio compared to
 39% for Q2 22, driven by market share growth of 4 percentage points versus Q2
 22. Long-Acting medicines sales in the quarter were £212 million, growing
 £128 million versus Q2 22 and £61 million versus Q1 23, with approximately
 three quarters of sales coming from patient switches from competitor products.

 

 Respiratory/Immunology and Other  Q2 23  792  16%  16%  YTD  1,393  16%  13%

 This therapy area includes sales of Nucala and Benlysta plus Duvroq
 (Daprodustat) in Japan. Growth in Q2 23 exceeds YTD reflecting the impact of
 wholesaler inventory movements in US and International regions in Q1 23.

 

 Nucala  Q2 23  424  16%  15%  YTD  771  16%  13%

 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). Strong growth in all regions in Q2 23
 reflected patient demand in severe eosinophilic asthma and for the new
 indications with ongoing launches. YTD growth is slightly lower due to impact
 of US inventory depletion in Q1 23 and an unfavourable prior period Return and
 Rebates (RAR) adjustment.

 

 Benlysta  Q2 23  358  21%  19%  YTD  611  19%  15%

 Benlysta, a monoclonal antibody treatment for Lupus, continues to show
 consistent growth representing strong demand in US and Europe alongside
 biological penetration and volume uptake in China and Japan. US growth in Q2
 23 shows an acceleration following wholesaler inventory movements in Q1 23.

 

                  £m   AER   CER        £m   AER  CER
 Oncology  Q2 23  151  (2%)  (3%)  YTD  287  2%   (1%)

 In Q2 23 and YTD sales were impacted by the withdrawal of Blenrep from the US
 market in November 2022. Jemperli grew strongly in Q2 23, achieving £25
 million sales driven by increasing new patient starts in the US, and is now
 available in 18 markets worldwide.

 

 Zejula  Q2 23  117  (3%)  (2%)  YTD  231  6%  4%

 In the US, growth of the first line indication of Zejula, a PARP inhibitor
 treatment for ovarian cancer, was more than offset by reduction in use in
 second line following the update to prescribing information agreed with the
 FDA in Q4 2022. Zejula delivered strong sales growth in Europe and
 International markets in both Q2 23 and YTD.

 

 General Medicines  Q2 23  2,633  5%  8%  YTD  5,307  8%  8%

 Growth driven in Q2 23 and YTD by both Respiratory and Other General Medicines
 categories, with ongoing demand for Trelegy in all regions. YTD benefitted
 from a strong allergy season in Japan and continued post pandemic recovery of
 the antibiotic market in Europe and International regions.

 

 Respiratory  Q2 23  1,792  9%  9%  YTD  3,559  12%  10%

 Performance in Q2 23 and YTD reflects growth of Trelegy and the single inhaled
 triple therapy (SITT) class across all regions and of Anoro in Europe and
 International. YTD growth also includes the benefits of a strong allergy
 season in Japan. In Q2 23 and YTD favourable US prior period RAR adjustments
 to Seretide/Advair and Trelegy were offset by adverse adjustments to
 Relvar/Breo and Flixotide/Flovent.

 

 Trelegy  Q2 23  611  31%  30%  YTD  1,076  33%  29%

 Trelegy is the most prescribed SITT treatment for COPD and asthma. Trelegy
 grew in Q2 23 and YTD with strong performance across all regions, reflecting
 increased patient demand and growth of the SITT market. Favourable US prior
 period RAR adjustments contributed 7 percentage points of growth in Q2 23 and
 3 percentage points YTD.

 

 Seretide/Advair  Q2 23  322  23%  26%  YTD  661  17%  16%

 Seretide/Advair is an ICS/LABA treatment for asthma and COPD. Growth in Q2 23
 and YTD reflected targeted promotion in certain International markets and the
 benefit of favourable US prior period RAR adjustments which contributed 16
 percentage points in Q2 23 and 14 percentage points YTD. Growth was partially
 offset by the ongoing impact of generic competition in Europe, US and certain
 International markets.

 

 Other General Medicines  Q2 23  841  (2%)  4%  YTD  1,748  2%  6%

 Growth in Q2 23 reflects ongoing post pandemic demand for anti-infectives in
 Europe and International, and certain third party manufacturing agreements.
 Ongoing generic competition continues to impact this product group in Q2 23
 and YTD.

 

By Region

 

                                          £m     AER  CER       £m     AER  CER
 US  Total                         Q2 23  3,610  9%   7%   YTD  6,880  -    (5%)
     Excluding COVID-19 solutions  Q2 23  3,611  10%  8%   YTD  6,881  13%  7%

 Strong Xevudy sales in 2022 caused a 12 percentage points adverse impact on
 growth YTD, but in Q2 23 the impact is not significant. Excluding this effect,
 Specialty Medicines grew in Q2 23 and YTD driven by strong HIV performance and
 Nucala and Benlysta continued growth, partially offset by Oncology, due to the
 withdrawal of Blenrep in November 2022. General Medicines growth was driven by
 Trelegy increased patient demand and growth of the SITT market. Vaccines
 product group was broadly flat in Q2 23 and YTD reflecting lower non-retail
 demand, wholesaler destocking and a strong Q1 22 comparator on Shingrix growth
 resulting in a decline of 10% in the quarter for Shingrix, offset by
 favourable CDC stockpile movements in Established Vaccines.

 

 Europe  Total                         Q2 23  1,644  6%   4%   YTD  3,348  4%   1%
         Excluding COVID-19 solutions  Q2 23  1,621  14%  12%  YTD  3,224  16%  13%

 Strong Xevudy sales in 2022 caused a 8 percentage points adverse impact on
 growth in Q2 23 and 12 percentage points in YTD. Excluding this effect, Europe
 grew strongly in Q2 23 and YTD. Vaccines strong growth reflected Shingrix
 stocking, launches and uptake and Bexsero national immunisation campaigns in
 France and Spain alongside ongoing travel vaccine recovery. Specialty
 Medicines delivered double digit growth due to HIV, Oncology, and in
 Respiratory/ Immunology for Benlysta and Nucala which included the impact of
 new indication launches.

 

 International  Total                         Q2 23  1,924  (7%)  -    YTD  3,901  (3%)  1%
                Excluding COVID-19 solutions  Q2 23  1,905  9%    17%  YTD  3,851  11%   15%

 Strong Xevudy sales in 2022 caused a 17 percentage points adverse impact on
 growth in Q2 23 and 14 percentage points in YTD. Excluding this effect, all
 product groups grew in Q2 23 and YTD. Vaccines double digit growth was driven
 by Shingrix stocking in China and uptake in Japan plus launches in other
 markets. Specialty Medicines grew due to HIV, Oncology and
 Respiratory/Immunology 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 growth was driven by strong post pandemic
 antibiotic demand for Augmentin.

 

 Financial performance

 

 Total Results                                   Q2 2023                                    Year to Date
                                                 £m           % AER          % CER          £m             % AER       % CER

 Turnover                                        7,178        4              4              14,129         -           (2)
 Cost of sales                                   (1,932)      (11)           (11)           (3,875)        (21)        (21)
 Selling, general and administration             (2,268)      10             9              (4,411)        14          10
 Research and development                        (1,341)      8              7              (2,601)        11          8
 Royalty income                                  226          42             44             406            37          36
 Other operating income/(expense)                278                                        575

 Operating profit                                2,141        98             >100           4,223          25          23

 Net Finance expense                             (152)                                      (326)          (14)        (17)
 Share of after tax profit/(loss) of associates  (2)                                        (4)

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

   associates

 Profit before taxation                          1,987        >100           >100           3,894          30          28

 Taxation                                        (242)                                      (518)
 Tax rate %                                      12.2%                                      13.3%

 Profit after taxation                           1,745        >100           >100           3,376          34          32

 Profit attributable to non-controlling          121                                        262

   interests
 Profit attributable to shareholders             1,624                                      3,114

                                                 1,745        >100           >100           3,376          34          32

 Earnings per share                              40.1p        >100           >100           76.9p          40          39

 

 Financial Performance - Q2 2023 results unless otherwise stated, growth % and
 commentary at CER.

 

 Adjusted results

 Reconciliations between Total results and Adjusted results for Q2 2023, Q2
 2022, H1 2023 and H1 2022 are set out on pages 19, 20, 22 and 23.

 

                                                            Q2 2023                            Year to Date
                                                            £m           % AER      % CER      £m             % AER       % CER

 Turnover                                                   7,178        4          4          14,129         -           (2)

 Cost of sales                                              (1,728)      (12)       (12)       (3,480)        (23)        (23)
 Selling, general and administration                        (2,191)      12         11         (4,256)        14          11
 Research and development                                   (1,315)      14         13         (2,537)        13          10
 Royalty income                                             226          42         44         406            37          36

 Adjusted operating profit                                  2,170        8          11         4,262          8           6

 Adjusted profit before taxation                            2,016        10         14         3,936          10          8
 Taxation                                                   (315)        14         18         (618)          10          8

 Adjusted profit after taxation                             1,701        10         14         3,318          10          9

 Adjusted profit attributable to non-controlling interests  130                                251
 Adjusted profit attributable to shareholders               1,571                              3,067

                                                            1,701        10         14         3,318          10          9

 Earnings per share                                         38.8p        12         16         75.8p          13          12

 

                            Q2 2023                      Year to Date
                            £m       AER     CER         £m       AER     CER
 Cost of sales  Total       1,932    (11%)   (11%)       3,875    (21%)   (21%)
                % of sales  26.9%    (4.5%)  (4.5%)      27.4%    (7.2%)  (6.8%)
                Adjusted    1,728    (12%)   (12%)       3,480    (23%)   (23%)
                % of sales  24.1%    (4.4%)  (4.3%)      24.6%    (7.2%)  (6.8%)

 The decrease in Total and Adjusted cost of sales as a percentage of sales in
 Q2 2023 and year to date primarily reflected lower sales of lower margin
 Xevudy compared to Q2 2022 and YTD 2022. In the quarter, positive mix and
 efficiencies were offset by higher freight and energy costs and the year to
 date also reflected an unfavourable comparator to a one-time benefit from
 inventory adjustments in Q1 2022.

 

                                                    Q2 2023                  Year to Date
                                                    £m       AER   CER       £m       AER    CER
 Selling, general & administration      Total       2,268    10%   9%        4,411    14%    10%
                                        % of sales  31.6%    1.8%  1.3%      31.2%    3.8%   3.4%
                                        Adjusted    2,191    12%   11%       4,256    14%    11%
                                        % of sales  30.5%    2.3%  1.8%      30.1%    3.7%   3.4%

 Growth in Total and Adjusted SG&A in Q2 2023 primarily reflected an
 increased level of launch investment in Specialty Medicines, particularly HIV
 and Vaccines including Shingrix and preparation for the launch of Arexvy.
 Total SG&A also reflected an increase in significant legal costs in the
 quarter (see details on page 19).

 Year to date growth in Total and Adjusted SG&A is primarily relating to an
 increased level of launch investment in Specialty Medicines, particularly HIV
 and Vaccines, and the Zejula royalty dispute provision in Q1 2023. Growth was
 partly offset by favourable comparison due to impairment provisions relating
 to Ukraine in the year to date 2022 and the continuing benefit of
 restructuring and tight control of ongoing costs.

 

                                         Q2 2023                  Year to Date
                                         £m       AER   CER       £m       AER    CER
 Research & development      Total       1,341    8%    7%        2,601    11%    8%
                             % of sales  18.7%    0.8%  0.5%      18.4%    1.8%   1.7%
                             Adjusted    1,315    14%   13%       2,537    13%    10%
                             % of sales  18.3%    1.7%  1.4%      18.0%    2.1%   1.9%

 Growth in Total and Adjusted R&D reflected continued investment across a
 combination of both early and late-stage programmes. There was increased
 investment in the early-stage research portfolio, particularly CCL17 for osteo
 arthritic pain and IL18 for atopic dermatitis. There was also increased
 investment in the HIV portfolio, particularly in next generation long-acting
 HIV medicines. In addition, there was higher investment in Jemperli as phase
 II/III trials in rectal and colon cancer progress as well as in ongoing trials
 in endometrial cancer and momelotinib, a potential new treatment of
 myelofibrosis patients with anaemia; and for bepirovirsen, to support
 development in chronic hepatitis B. These increases in investment were partly
 offset by decreases related to the completion of late-stage clinical
 programmes for otilimab and Cell & Gene Therapy.

 Within Vaccines there was increased investment in recently acquired
 pneumococcal programmes, partly offset by reduced investment in RSV following
 the successful completion of a phase III clinical trial and decreased spend on
 other programmes.

 The year to date factors were similar, but also included reduced R&D
 investment in Blenrep versus the same period in 2022.

 

                           Q2 2023            Year to Date
                           £m   AER  CER      £m     AER    CER
 Royalty income  Total     226  42%  44%      406    37%    36%
                 Adjusted  226  42%  44%      406    37%    36%

 Growth in Total and Adjusted royalty income in Q2 2023 primarily related to
 Gardasil royalties, which increased to £132 million in the quarter and £203
 million in the year to date, as well as Kesimpta and Biktarvy royalties.

 

                                          Q2 2023                      Year to Date
                                          £m   AER       CER           £m     AER       CER
 Other operating income/(expense)  Total  278  >100%     >100%         575    >100%     >100%

 The increase in Q2 2023 primarily reflected an accounting credit of £189
 million (Q2 2022: £699 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.

 Year to date includes a favourable comparison due to an accounting credit of
 £460 million (YTD 2022: £1,031 million charge) arising from the
 remeasurement of contingent consideration liabilities and the liabilities for
 the Pfizer put option and the Pfizer and Shionogi preferential dividends. This
 was partly offset by the upfront income in Q1 2022 of £0.9 billion received
 from the settlement with Gilead Sciences, Inc. (Gilead).

 

                               Q2 2023                       Year to Date
                               £m       AER    CER           £m       AER    CER
 Operating profit  Total       2,141    98%    >100%         4,223    25%    23%
                   % of sales  29.8%    14.2%  15.0%         29.9%    6.0%   6.2%
                   Adjusted    2,170    8%     11%           4,262    8%     6%
                   % of sales  30.2%    1.3%   2.0%          30.2%    2.2%   2.3%

 Total operating profit margin was higher in the quarter and year to date due
 to strong operating performance and favourable movements in contingent
 consideration liabilities, partly offset in the year to date by an
 unfavourable comparison due to the £0.9 billion upfront income received from
 the settlement with Gilead in Q1 2022.

 Adjusted operating profit in Q2 2023 benefitted from strong sales across all
 three product areas and higher royalty income, partly offset by increased
 investment in R&D and product launches. The adverse impact of lower sales
 of COVID-19 solutions was one percentage point of growth in the quarter but
 increased the Adjusted operating profit margin by 1.8 percentage points. Year
 to date Adjusted operating profit was also impacted by lower sales of COVID-19
 solutions which led to a drag of 3 percentage points at AER and CER but
 increased the Adjusted operating profit margin by 2.9 percentage points.
 Excluding COVID-19 solutions sales, year to date Adjusted operating profit
 benefitted from strong sales partly offset by increased legal charges
 primarily relating to the Zejula royalty dispute and an unfavourable
 comparison to one-time benefits from inventory adjustments in the year to date
 2022.

 Contingent consideration cash payments made to Shionogi and other companies
 reduce the balance sheet liability. Total contingent consideration cash
 payments in the year to date 2023 amounted to £579 million (YTD 2022: £615
 million). These included cash payments made to Shionogi of £565 million (YTD
 2022: £603 million).

 

                                                               Q2 2023                  Year to Date
                                                               £m       AER   CER       £m       AER    CER
 Adjusted operating profit by business  Commercial Operations  3,481    5%    6%        6,856    7%     4%
                                        % of sales             48.5%    0.8%  0.7%      48.5%    3.0%   2.6%
                                        R&D                    (1,273)  11%   10%       (2,505)  11%    8%

 Commercial Operations Adjusted operating profit in the quarter and year to
 date 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 in the year to date.

 The R&D segment operating expenses primarily reflected continued
 investment across a combination of both early and late-stage programmes, as
 well as pneumococcal programmes. This was partly offset by decreases related
 to the completion of late-stage clinical development programmes and reduced
 investment in RSV and Blenrep versus the same period in 2022.

 

                              Q2 2023                Year to Date
                              £m   AER    CER        £m     AER    CER
 Net finance costs  Total     152  (17%)  (17%)      326    (14%)  (17%)
                    Adjusted  152  (16%)  (17%)      322    (15%)  (17%)

 The decrease in net finance costs in Q2 2023 and year to date is mainly driven
 by the net savings from maturing bonds including the Sterling Notes repurchase
 in Q4 2022 and higher interest income on cash.

 

                       Q2 2023              Year to Date
                       £m     AER  CER      £m     AER    CER
 Taxation  Total       242    61%  67%      518    10%    7%
           Tax rate %  12.2%                13.3%
           Adjusted    315    14%  18%      618    10%    8%
           Tax rate %  15.6%                15.7%

 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.

 

                                      Q2 2023                      Year to Date
                                      £m   AER       CER           £m     AER    CER
 Non-controlling interests  Total     121  >100%     >100%         262    (17%)  (22%)
                            Adjusted  130  (13%)     (15%)         251    (19%)  (24%)

 The increase in Total profit from continuing operations allocated to
 non-controlling interests in Q2 2023 was primarily driven by a higher
 allocation of ViiV Healthcare profits of £127 million (Q2 2022: £41
 million). The year to date was impacted by lower net profits in some of the
 Group's other entities with non-controlling interests with a stable allocation
 of ViiV Healthcare profits of £267 million (2022: £268 million).

 The Q2 2023 and year to date decreases in Adjusted profit from continuing
 operations allocated to non-controlling interests reflected lower profit
 allocations from ViiV Healthcare of £136 million in the quarter (Q2 2022:
 £151 million) and year to date £256 million (2022: £264 million) and lower
 net profits in some of the Group's other entities with non-controlling
 interests.

 

                               Q2 2023                        Year to Date
                               £p     AER       CER           £p     AER    CER
 Earnings per share  Total     40.1p  >100%     >100%         76.9p  40%    39%
                     Adjusted  38.8p  12%       16%           75.8p  13%    12%

 The increase in Total EPS in the quarter primarily reflected remeasurement
 credits for contingent consideration liabilities compared to charges in Q2
 2022 partly offset by higher non-controlling interests. In the year to date
 there is an unfavourable comparison due to upfront income received from the
 settlement with Gilead in Q1 2022.

 Adjusted EPS in the quarter and YTD reflected strong growth in sales across
 all product areas excluding COVID-19 solutions, a benefit from mix, higher
 royalty income, lower finance costs and lower non-controlling interests,
 partly offset by investment behind launches in Specialty Medicines including
 HIV and Vaccines and higher supply chain costs, freight and distribution
 costs. The year to date growth was also impacted by increased legal charges
 primarily relating to royalties. The decline in lower margin COVID-19
 solutions sales resulted in 1 percentage point impact on Adjusted EPS growth
 in the quarter and 3 percentage points in the year to date.

 

 Currency impact on results

 The results for the year to date 2023 are based on average exchange rates,
 principally £1/$1.23, £1/€1.14 and £1/Yen 168. The results for Q2 2023
 are based on average exchange rates, principally £1/$1.25, £1/€1.15 and
 £1/Yen 173. The period-end exchange rates were £1/$1.26, £1/€1.17 and
 £1/Yen 183. Comparative exchange rates are given on page 37.

 In Q2 2023, turnover was up 4% at AER and 4% at CER. Total EPS from continuing
 operations was 40.1p compared with 17.5p in Q2 2022. Adjusted EPS was 38.8p
 compared with 34.7p in Q2 2022, up 12% at AER and 16% at CER. The adverse
 currency impact primarily reflected the weakening of emerging market
 currencies against Sterling partly offset by weakening of Sterling against the
 US Dollar and the Euro. Exchange gains or losses on the settlement of
 intercompany transactions had a two percent adverse impact on the four
 percentage points adverse currency impact on Adjusted EPS.

 In the year to date 2023, turnover was stable at AER and down 2% at CER. Total
 EPS from continuing operations was 76.9p compared with 54.8p in YTD 2022.
 Adjusted EPS was 75.8p compared with 67.0p in YTD 2022, up 13% at AER and 12%
 at CER. The favourable currency impact primarily reflected the weakening of
 Sterling against the US Dollar and the Euro partly offset by the weakening of
 emerging market currencies against Sterling. Exchange gains or losses on the
 settlement of intercompany transactions had a one percent adverse impact on
 the one percentage point favourable currency impact on Adjusted EPS.

 

 Cash generation

 

 Cash flow
                                                               Q2 2023       H1 2023         H1 2022

                                                               £m            £m              £m

 Cash generated from operations attributable to continuing     1,620         1,907           3,936

   operations (£m)
 Cash generated from operations attributable to discontinued   -             -               918

   operations (£m)

 Total cash generated from operations (£m)                     1,620         1,907           4,854

 Total net cash generated from operating activities (£m)       1,307         1,360           4,177

 Free cash inflow/(outflow) from continuing operations* (£m)   348           (341)           1,741
 Free cash flow from continuing operations growth (%)          34%           <(100)%         >100%
 Free cash flow conversion from continuing operations* (%)     21%           -               79%
 Total net debt** (£m)                                         18,220        18,220          21,458

 

 *   Free cash flow from continuing operations and free cash flow conversion are
     defined on page 54. Free cash flow from continuing operations is analysed on
     page 44.
 **  Net debt is analysed on page 44.

 

 Q2 2023

 Cash generated from operating activities from continuing operations for the
 quarter was £1,620 million (Q2 2022: £1,584 million). The increase primarily
 reflected favourable timing of profit share payments for Xevudy and timing of
 returns and rebates, partly offset by additional pension contributions and an
 increase in trade receivables due to higher sales.

 Total cash payments to Shionogi in relation to the ViiV Healthcare contingent
 consideration liability in the quarter were £278 million (Q2 2022: £395
 million), all of which was recognised in cash flows from operating activities.
 These payments are deductible for tax purposes.

 Free cash inflow was £348 million for the quarter (Q2 2022: £264 million
 inflow). The increase primarily reflected favourable timing of profit share
 payments for Xevudy and timing of returns and rebates, partly offset by an
 increase in trade receivables due to higher sales, additional pension
 contributions and higher dividend payments to non-controlling interests.

 H1 2023

 Cash generated from operating activities from continuing operations was
 £1,907 million (H1 2022: £3,936 million). The decrease primarily reflected
 an unfavourable comparison due to the upfront income from the settlement with
 Gilead received in Q1 2022, additional pension contributions, increase in
 trade receivables due to higher sales, 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 half year were £565 million (H1 2022: £603
 million), all of which was recognised in cash flows from operating activities.
 These payments are deductible for tax purposes.

 Free cash outflow was £341 million for the six months (H1 2022: £1,741
 million inflow). The decrease primarily reflected an unfavourable comparison
 due to the upfront income from the settlement with Gilead received in Q1 2022,
 additional pension contributions, increase in trade receivables due to higher
 sales, increase in seasonal inventory, lower payable balances reflecting
 increased investment in 2022 and higher dividend payments to non-controlling
 interests.

 

 Total Net debt

 At 30 June 2023, net debt was £18,220 million, compared with £17,197 million
 at 31 December 2022, comprising gross debt of £21,474 million and cash and
 liquid investments of £3,254 million.

 Net debt increased by £1 billion primarily due to the net acquisition cost of
 Bellus Health for £1.4 billion, dividends paid to shareholders of £1.1
 billion, and £0.3 billion free cash outflow. This was partly offset by £0.8
 billion disposal of investments, £0.1 billion disposal of businesses, £0.2
 billion of income received from equity investments and net favourable exchange
 impacts of £0.7 billion from the translation of non-Sterling denominated debt
 and exchange on other financing items.

 At 30 June 2023, GSK had short-term borrowings (including overdrafts and lease
 liabilities) repayable within 12 months of £5,921 million with loans of
 £2,286 million repayable in the subsequent year.

 

 Q2 2023 pipeline highlights (since 26 April 2023)

 

                                                      Medicine/vaccine                         Trial (indication, presentation)                                    Event
 Regulatory approvals or other regulatory action      Arexvy                                   RSV, older adults aged                                              Regulatory approval

                                                                                               60+ years                                                           (US, EU)
                                                      Shingrix                                 Shingles, at-risk adults aged 18+ years                             Regulatory approval (JP)
                                                      cabotegravir                             HIV, pre-exposure prophylaxis, long-acting injectable and tablets   Positive CHMP opinion (EU)
                                                      daprodustat                              ASCEND-D (anaemia of chronic kidney disease on dialysis)            Positive CHMP opinion (EU) refer to page 52
 Regulatory submissions or acceptances                Menveo                                   Liquid formulation, meningitis ACWY                                 Regulatory acceptance (EU)
                                                      Jemperli                                 RUBY (1L mismatch repair deficient/microsatellite instability-high  Regulatory acceptance (US)
                                                                                               (dMMR/MSI‑H) endometrial cancer)
 Phase III data readouts or other significant events  Arexvy                                   RSV, older adults aged                                              Positive phase III data (season two)

                                                                                               60+ years
                                                      Arexvy                                   RSV, older adults aged                                              US CDC ACIP recommendation

                                                                                               60+ years
                                                      MenABCWY (gen 1)                         Meningitis ABCWY                                                    Phase III data presentation

                                                      vaccine candidate
                                                      Neisseria gonorrhoeae vaccine candidate  Neisseria gonorrhoeae                                               US FDA Fast Track designation granted
                                                      GSK3858279 (anti-CCL17 antibody)         Osteoarthritis pain, diabetic peripheral neuropathic pain           US FDA Fast Track designation granted

 

 Anticipated news flow

 

 Timing   Medicine/vaccine         Trial (indication, presentation)                               Event
 H2 2023  Arexvy                   RSV, older adults aged                                         Phase III data readout

                                   50-59 years
          Arexvy                   RSV, older adults aged                                         Regulatory submission

                                   50-59 years                                                    (US, EU, JP)
          RSV older adult vaccine  RSV, older adults aged                                         Regulatory decision (JP)

          candidate                60+ years
          bepirovirsen             B-Together (hepatitis B virus)                                 Phase IIb data readout
          gepotidacin              EAGLE-2/3 (uncomplicated urinary tract infection)              Regulatory submission

                                                                                                  (US, EU)
          cabotegravir             HIV, pre-exposure prophylaxis, long-acting injectable          Regulatory decision (EU)
          Vocabria                 HIV                                                            Regulatory decision (CN)
          Nucala                   Chronic rhinosinusitis with nasal polyps                       Regulatory submission

                                                                                                  (CN, JP)
          Blenrep                  DREAMM-7 (2L+ multiple myeloma)                                Phase III data readout
          Blenrep                  DREAMM-8 (2L+ multiple myeloma)                                Phase III data readout
          Jemperli                 RUBY (1L dMMR/MSI-H endometrial cancer)                        Regulatory decision (US)
          momelotinib              MOMENTUM (myelofibrosis with anaemia)                          Regulatory decision (US)
          momelotinib              MOMENTUM (myelofibrosis with anaemia)                          Regulatory submission (JP)
 H1 2024  gepotidacin              EAGLE-1 (urogenital gonorrhoea)                                Phase III data readout
          MenABCWY (gen 2)         Meningitis ABCWY                                               Phase II data readout

          vaccine candidate
          MenABCWY (gen 1)         Meningitis ABCWY                                               Regulatory submission

          vaccine candidate                                                                       (US, EU)
          Blenrep                  DREAMM-7 (2L+ multiple myeloma)                                Regulatory submission

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

                                                                                                  (US, EU)
          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, JP)
          Zejula                   FIRST (1L maintenance ovarian cancer)                          Phase III data readout
 H2 2024  Arexvy                   RSV, older adults aged                                         Regulatory decision

                                   50-59 years                                                    (US, EU, JP)
          gepotidacin              EAGLE-2/3 (uncomplicated urinary tract infection)              Regulatory decision

                                                                                                  (US, EU)
          gepotidacin              EAGLE-1 (urogenital gonorrhoea)                                Regulatory submission (US)
          depemokimab              SWIFT-1/2 (severe asthma)                                      Phase III data readout
          depemokimab              ANCHOR-1/2 (chronic rhinosinusitis with nasal polyps)          Phase III data readout
          Nucala                   Severe asthma                                                  Regulatory decision (CN)
          Nucala                   Chronic rhinosinusitis with nasal polyps                       Regulatory decision (JP)
          Nucala                   MATINEE (chronic obstructive pulmonary disease)                Phase III data readout
          Nucala                   MATINEE (chronic obstructive pulmonary disease)                Regulatory submission (US)
          cobolimab                COSTAR (non-small cell lung cancer)                            Phase III data readout
          Zejula                   ZEAL (1L maintenance non-small cell lung cancer)               Phase III data readout
          linerixibat              GLISTEN (cholestatic pruritus in primary biliary cholangitis)  Phase III data readout

 

 Refer to pages 45 to 52 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 Q1 2023 results. For more details on annual updates, please see
 GSK'S ESG Performance Report 2022 at: https://gsk.to/2022ESGPerf
 (https://gsk.to/2022ESGPerf) .

 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 since Q1 2023:

 

 ·   GSK continues to support access to vaccines through Gavi, the Vaccine
     Alliance. In July, Gavi announced the first countries to be allocated doses of
     the RTS,S/AS01E vaccine against malaria, a vaccine developed by GSK and
     partners for use in malaria endemic countries. These nine new countries will
     start rolling out the vaccine with Gavi support from early 2024, joining the
     three countries (Ghana, Kenya and Malawi) involved in the Malaria Vaccine
     Implementation Programme. The announcement marks an important step towards
     reaching millions more children with this ground-breaking vaccine.

 ·   In 2013, GSK and Save the Children formed an ambitious and strategic global
     partnership using the companies' combined expertise, resources and influence
     to help save one million children's lives. In June, the partnership reached a
     ten-year milestone and reported progress reaching over 3.5 million children in
     51 countries with essential healthcare, training over 39,000 health workers
     and immunising over 240,000 children under the age of five.

 ·   Performance metrics related to access are updated annually with details from
     the most recent year on page 9 of GSK's ESG Performance Report 2022.

 

 Global health and health security

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

 

 Progress since Q1 2023:

 

 ·   GSK is committed to tackling tuberculosis, the world's second-leading cause of
     death by infectious diseases after COVID-19. GSK's early research, up to
     proof-of-concept (phase IIb), led to the development of candidate vaccine
     M72/AS01E against tuberculosis. GSK partnered with the Bill and Melinda Gates
     Medical Research institute for further development. In June, Wellcome and the
     Bill & Melinda Gates Foundation announced funding (approximately $550
     million) for a phase III trial of the M72/AS01E candidate vaccine. If
     successful in late-stage clinical trials, it will be the first new vaccine to
     help prevent pulmonary tuberculosis in over a century.

 ·   GSK has been working with partners since 1999 to tackle neglected tropical
     diseases, including lymphatic filariasis (LF), a debilitating disease caused
     by a parasite transmitted to humans through the bites of mosquitoes. A key
     component in eliminating LF, is the use of GSK's albendazole to reduce the
     level of parasites in infected people and break the cycle of transmission to
     endemic countries. GSK provides albendazole to endemic countries, including
     Bangladesh, through its donation programme. In June, Bangladesh, via the WHO's
     South-East Asia Regional Office, announced that it has eliminated LF - a
     significant milestone in our joint effort to get ahead of disease together.

 ·   Performance metrics related to global health and health security are updated
     annually with details from the most recent year on page 13 of GSK's ESG
     Performance Report 2022.

 

 Environment

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

 

 Progress since Q1 2023:

 

 ·    GSK is dedicated to doing more to protect the environment and was selected by
      the Science Based Target Network (SBTN) to be part of the first group of
      companies preparing to set science-based targets for nature, building on our
      existing nature targets. GSK will be using their new guidance and
      methodologies to reduce our impacts on nature, increase positive outcomes for
      people, and build business resilience.

 ·    GSK remains resolutely focused on delivering on existing nature targets while
      following new guidance and methodologies. GSK is supporting key suppliers to
      reduce their impact on nature by setting ambitious new standards for suppliers
      who provide materials that are highly dependent on nature, like lactose,
      gelatine and soy. The standards, developed in collaboration with third-party
      experts, aim to support these suppliers to assess, improve, and verify their
      approach to addressing a range of nature impacts - and associated climate and
      social impacts - including land-use, water stewardship and biodiversity.
      Meeting these standards should have positive impacts for nature and people and
      make our supply chains more resilient. More information can be found at:
      https://gsk.to/sustainable (https://gsk.to/sustainable) .

 ·    Performance metrics related to environment are updated annually with details
      from the most recent year on page 16 of GSK's ESG Performance Report 2022

 

 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 since Q1 2023:

 

 ·   GSK is committed to reducing health inequities and understands the industry
     can do more by investing in local interventions to help create healthier
     communities and sustain best practices from the pandemic. In June, GSK
     announced the launch of the COiMMUNITY Initiative to contribute to a more
     equitable and resilient public health infrastructure and bolster existing
     partner efforts - leading to more vaccinated adults. Through the initiative,
     grant funding will be provided to support national, state, and local
     non-profit organisations and community-based groups focused on adult
     immunisation and health equity, increased information on adult immunisation
     trends will be made available through enhanced vaccine tracking capabilities
     and new resources will help implement tangible solutions. More information can
     be found at https://gsk.to/COiMMUNITY (https://gsk.to/COiMMUNITY) .

 ·   Performance metrics related to diversity, equity and inclusion are updated
     annually with details from the most recent year on page 23 of GSK's ESG
     Performance Report 2022.

 

 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 GSK'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.

 

                                                       Current         Previous

 External benchmark                                    score/ranking   score/ranking   Comments
 S&P Global's Corporate Sustainability Assessment      86              88              2nd in the pharmaceutical industry group; Assessment conducted annually,
                                                                                       current score based on 2022 submission
 Access to Medicines Index                             4.23            4.06            Led the bi-annual index since its inception in 2008; Updated bi-annually,
                                                                                       current results from Nov 2022
 Antimicrobial resistance benchmark                    86%             84%             Led the bi-annual benchmark since its inception in 2018; Current ranking
                                                                                       updated Nov 2021
 CDP Climate Change                                    A-              A-              Updated annually, current scores updated Dec 2022 (for supplier engagement,
                                                                                       March 2023)
 CDP Water Security                                    B               B
 CDP Forests (palm oil)                                A-              B
 CDP Forests (timber)                                  B               B
 CDP supplier engagement rating                        Leader          Leader
 Sustainalytics                                        18.6            18.8            2nd percentile in pharma subindustry group; Lower score represents lower risk.
                                                                                       Current ranking updated Apr 2022
 MSCI                                                  AA              AA              Last rating action date: Nov 2022
 Moody's ESG solutions                                 61              61              2nd in the pharmaceutical sector; Current score updated Sept 2021
 ISS Corporate Rating                                  B+              B+              Current score updated June 2023
 FTSE4Good                                             Member          Member          Member since 2004
 ShareAction's Workforce Disclosure Initiative         77%             75%             Current score updated Feb 2023

 

 Contents                                              Page
 Q2 2023 pipeline highlights                           12
 ESG                                                   14
 Total and Adjusted results                            17
 Income statement                                      25
 Statement of comprehensive income                     26
 Balance sheet                                         27
 Statement of changes in equity                        28
 Cash flow statement                                   29
 Sales tables                                          30
 Segment information                                   33
 Legal matters                                         35
 Returns to shareholders                               36
 Additional information                                37
 Net assets                                            38
 Reconciliation of cash flow to movements in net debt  43
 Net debt analysis                                     44
 Free cash flow reconciliation                         44
 R&D commentary                                        45
 Principal risks and uncertainties                     53
 Reporting definitions                                 54
 Guidance, assumptions and cautionary statements       55
 Directors' responsibility statement                   56
 Independent review report to GSK plc                  57

 

 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 (http://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 54.

 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 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 19, 20, 22 and
 23.

 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 H1 2023
 were £565 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 Q2 2023 and
 Q2 2022 are set out below.

 

 Three months ended 30 June 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                                        7,178                                                                                         7,178
 Cost of sales                                   (1,932)       164                             33                            7                 (1,728)

 Gross profit                                    5,246         164                             33                            7                 5,450

 Selling, general and administration             (2,268)                                       11                            66                (2,191)
 Research and development                        (1,341)       20              4               2                                               (1,315)
 Royalty income                                  226                                                                                           226
 Other operating income/(expense)                278                                                           (189)         (89)              -

 Operating profit                                2,141         184             4               46              (189)         (16)              2,170

 Net finance cost                                (152)                                         1                             (1)               (152)
 Share of after tax profit/(loss) of associates  (2)                                                                                           (2)

   and joint venture

 Profit before taxation                          1,987         184             4               47              (189)         (17)              2,016

 Taxation                                        (242)         (40)            (1)             (11)            17            (38)              (315)
 Tax rate %                                      12.2%                                                                                         15.6%

 Profit after taxation from continuing           1,745         144             3               36              (172)         (55)              1,701

   operations

 Profit attributable to non-controlling          121                                                           9                               130

   interests from continuing operations

 Profit attributable to shareholders from        1,624         144             3               36              (181)         (55)              1,571

   continuing operations

                                                 1,745         144             3               36              (172)         (55)              1,701

 Earnings per share from continuing operations   40.1p         3.5p            0.1p            0.9p            (4.5)p        (1.3)p            38.8p

 Weighted average number of shares (millions)    4,053                                                                                         4,053

 

 Three months ended 30 June 2022

 

                                      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                             6,929                                                                                                          6,929
 Cost of sales                        (2,176)                        166                             21              10            9                 (1,970)

 Gross profit                         4,753                          166                             21              10            9                 4,959

 Selling, general and administration  (2,066)                                                        107                           4                 (1,955)
 Research and development             (1,242)                        26              55              6                                               (1,155)
 Royalty income                       159                                                                                                            159
 Other operating income/(expense)     (523)                                                                          675           (152)             -

 Operating profit                     1,081                          192             55              134             685           (139)             2,008

 Net finance cost                     (183)                                                          1                             1                 (181)
 Share of after tax losses of         (2)                                                                                                            (2)

   associates and joint ventures

 Profit before taxation               896                            192             55              135             685           (138)             1,825

 Taxation                             (150)                          (41)            (10)            (24)            (78)          26                (277)
 Tax rate %                           16.7%                                                                                                          15.2%

 Profit after taxation from           746                            151             45              111             607           (112)             1,548

   continuing operations

 Profit after taxation from           229           (229)                                                                                            -

   discontinued operations

 Total profit after taxation for      975           (229)            151             45              111             607           (112)             1,548

   the period

 Profit attributable to non-          40                                                                             110                             150

   controlling interest from

   continuing operations

 Profit attributable to shareholders  706                            151             45              111             497           (112)             1,398

   from continuing operations

 Profit attributable to non-          97            (97)                                                                                             -

   controlling interest from

   discontinued operations

 Profit attributable to               132           (132)                                                                                            -

   shareholders from

   discontinued operations

                                      975           (229)            151             45              111             607           (112)             1,548

 Total profit attributable to         137           (97)                                                             110                             150

   non-controlling interests

 Total profit attributable to         838           (132)            151             45              111             497           (112)             1,398

   shareholders

                                      975           (229)            151             45              111             607           (112)             1,548

 Earnings per share from              17.5p                          3.8p            1.1p            2.8p            12.3p         (2.8)p            34.7p

   continuing operations

 Earnings per share from              3.3p          (3.3)p                                                                                           -

   discontinued operations

 Total earnings per share             20.8p         (3.3)p           3.8p            1.1p            2.8p            12.3p         (2.8)p            34.7p

 Weighted average number of           4,025                                                                                                          4,025

   shares (millions)

 

 Major restructuring and integration

 

 Total Major restructuring charges from continuing operations incurred in Q2
 2023 were £46 million (Q2 2022: £134 million), analysed as follows:

 

                                       Q2 2023                       Q2 2022

                                       Cash      Non-       Total    Cash      Non-       Total

                                       £m        cash       £m       £m        cash       £m

                                                 £m                            £m

 Separation Preparation restructuring  25        4          29       28        105        133

   programme
 Significant acquisitions              15        1          16       -         -          -
 Legacy programmes                     2         (1)        1        (1)       2          1

                                       42        4          46       27        107        134

 

 The Separation Preparation programme incurred cash charges of £25 million
 primarily from the restructuring of some administrative functions as well as
 Global Supply Chain and R&D.

 

 The benefit in Q2 2023 from restructuring programmes was £0.1 billion,
 primarily relating to the Separation Preparation restructuring programme. The
 programme has delivered £1.0 billion of annual savings to date and targets to
 deliver £1.1 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 Inc. (Affinivax) which were acquired in
 Q3 2022.

 

 Transaction-related adjustments

 Transaction-related adjustments from continuing operations resulted in a net
 credit of £189 million (Q2 2022: £685 million charge) all of which related
 to accounting (credits)/charge for the remeasurement of contingent
 consideration liabilities, the liabilities for the Pfizer put option, and
 Pfizer and Shionogi preferential dividends in ViiV Healthcare.

 

 Charge/(credit)                                                            Q2 2023    Q2 2022

                                                                            £m         £m

 Contingent consideration on former Shionogi-ViiV Healthcare joint Venture  (9)        585

   (including Shionogi preferential dividends)
 ViiV Healthcare put options and Pfizer preferential dividends              (138)      118
 Contingent consideration on former Novartis Vaccines business              (53)       (4)
 Contingent consideration on acquisition of Affinivax                       11         -
 Other adjustments                                                          -          (14)

 Total transaction-related charges                                          (189)      685

 

 The £9 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 £106 million primarily from exchange rates as well as sales
 forecasts, partly offset by the unwind of the discount for £97 million. The
 £138 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 18.

 The £53 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 including £35
 million fair value gain on the investment in Haleon plc (Haleon) and £30
 million dividend income in the quarter. Legal charges provide for all
 significant legal matters, including Zantac, and are not broken out separately
 by litigation or investigation. Significant legal charges in the quarter
 primarily reflected increased legal charges for Zantac of which the vast
 majority relate to the prospective legal costs for the defence of the
 litigation.

 

 The reconciliations between Total results and Adjusted results for H1 2023 and
 H1 2022 are set out below.

 Six months ended 30 June 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                                             14,129                                                                                        14,129
 Cost of sales                                        (3,875)       315                             68                            12                (3,480)

 Gross profit                                         10,254        315                             68                            12                10,649

 Selling, general and administration                  (4,411)                                       80                            75                (4,256)
 Research and development                             (2,601)       38              20              6                                               (2,537)
 Royalty income                                       406                                                                                           406
 Other operating income/(expense)                     575                                                           (460)         (115)             -

 Operating profit                                     4,223         353             20              154             (460)         (28)              4,262

 Net finance cost                                     (326)                                         1                             3                 (322)
 Share of after tax profit/(loss) of associates       (4)                                                                                           (4)

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

 Profit before taxation                               3,894         353             20              155             (460)         (26)              3,936

 Taxation                                             (518)         (76)            (5)             (33)            32            (18)              (618)
 Tax rate %                                           13.3%                                                                                         15.7%

 Profit after taxation from continuing                3,376         277             15              122             (428)         (44)              3,318

   operations

 Profit attributable to non-controlling               262                                                           (11)                            251

   interests from continuing operations

 Profit attributable to shareholders from             3,114         277             15              122             (417)         (44)              3,067

   continuing operations

                                                      3,376         277             15              122             (428)         (44)              3,318

 Earnings per share from continuing operations        76.9p         6.8p            0.4p            3.0p            (10.3)p       (1.0)p            75.8p

 Weighted average number of shares (millions)         4,048                                                                                         4,048

 

 Six months ended 30 June 2022

 

                                      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                             14,119                                                                                                         14,119
 Cost of sales                        (4,893)                        329                             36              22            9                 (4,497)

 Gross profit                         9,226                          329                             36              22            9                 9,622

 Selling, general and administration  (3,878)                                                        135                           18                (3,725)
 Research and development             (2,345)                        49              39              14                                              (2,243)
 Royalty income                       297                                                                                                            297
 Other operating                      74                                                                             1,010         (1,084)           -

   income/(expense)

 Operating profit                     3,374                          378             39              185             1,032         (1,057)           3,951

 Net finance cost                     (381)                                                          1                             1                 (379)
 Share of after tax losses of         (3)                                                                                                            (3)

   associates and joint ventures

 Profit before taxation               2,990                          378             39              186             1,032         (1,056)           3,569

 Taxation                             (473)                          (80)            (7)             (36)            (131)         163               (564)
 Tax rate %                           15.8%                                                                                                          15.8%

 Profit after taxation from           2,517                          298             32              150             901           (893)             3,005

   continuing operations

 Profit after taxation from           625           (625)                                                                                            -

   discontinued operations

 Total profit after taxation          3,142         (625)            298             32              150             901           (893)             3,005

   for the period

 Profit attributable to non-          315                                                                            (4)                             311

   controlling interest from

   continuing operations

 Profit attributable to               2,202                          298             32              150             905           (893)             2,694

   shareholders from

   continuing operations

 Profit attributable to non-          187           (187)                                                                                            -

   controlling interest from

   discontinued operations

 Profit attributable to shareholders  438           (438)                                                                                            -

   from discontinued operations

                                      3,142         (625)            298             32              150             901           (893)             3,005

 Total profit attributable to         502           (187)                                                            (4)                             311

   non-controlling interests

 Total profit attributable to         2,640         (438)            298             32              150             905           (893)             2,694

   shareholders

                                      3,142         (625)            298             32              150             901           (893)             3,005

 Earnings per share from              54.8p                          7.4p            0.8p            3.7p            22.5p         (22.2)p           67.0p

   continuing operations

 Earnings per share from              10.9p         (10.9)p                                                                                          -

   discontinued operations

 Total earnings per share             65.7p         (10.9)p          7.4p            0.8p            3.7p            22.5p         (22.2)p           67.0p

 Weighted average number of           4,021                                                                                                          4,021

   shares (millions)

 

 Major restructuring and integration

 

 Total Major restructuring charges from continuing operations incurred in H1
 2023 were £154 million (H1 2022: £185 million), analysed as follows:

 

                                       H1 2023                       H1 2022

                                       Cash      Non-       Total    Cash      Non-       Total

                                       £m        cash       £m       £m        cash       £m

                                                 £m                            £m

 Separation Preparation restructuring  62        51         113      39        142        181

   programme
 Significant acquisitions              36        2          38       -         -          -
 Legacy programmes                     2         1          3        1         3          4

                                       100       54         154      40        145        185

 

 The Separation Preparation programme incurred cash charges of £62 million
 primarily from the restructuring of some administrative functions as well as
 Global Supply Chain and R&D. The non-cash charges of £51 million
 primarily reflected the write-down of assets in administrative as well as
 manufacturing locations.

 

 The benefit in H1 2023 from restructuring programmes was £0.2 billion,
 primarily relating to the Separation Preparation restructuring programme. The
 programme has delivered £1.0 billion of annual savings to date and targets to
 deliver £1.1 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 and
 Affinivax which were acquired in Q3 2022.

 

 Transaction-related adjustments

 Transaction-related adjustments from continuing operations resulted in a net
 credit of £460 million (H1 2022: £1,032 million charge) all of which related
 to accounting (credits)/charge for the remeasurement of contingent
 consideration liabilities, the liabilities for the Pfizer put option, and
 Pfizer and Shionogi preferential dividends in ViiV Healthcare.

 

 Charge/(credit)                                                            H1 2023    H1 2022

                                                                            £m         £m

 Contingent consideration on former Shionogi-ViiV Healthcare joint Venture  (73)       841

   (including Shionogi preferential dividends)
 ViiV Healthcare put options and Pfizer preferential dividends              (243)      150
 Contingent consideration on former Novartis Vaccines business              (122)      40
 Contingent consideration on acquisition of Affinivax                       (22)       -
 Other adjustments                                                          -          1

 Total transaction-related charges                                          (460)      1,032

 

 The £73 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 £278 million primarily from exchange rates as well as sales
 forecasts, partly offset by the unwind of the discount for £205 million. The
 £243 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 18.

 The £122 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 including £30
 million dividend from the retained investment in Haleon which was partly
 offset by a £29 million fair value loss in H1 2023. Significant legal charges
 in the year to date primarily reflected increased legal charges for Zantac of
 which the vast majority relate to the prospective legal costs for the defence
 of the litigation.

 

 Financial information

 

 Income statements

 

                                                           Q2 2023      Q2 2022      H1 2023       H1 2022

                                                           £m           £m           £m            £m

 TURNOVER                                                  7,178        6,929        14,129        14,119

 Cost of sales                                             (1,932)      (2,176)      (3,875)       (4,893)

 Gross profit                                              5,246        4,753        10,254        9,226

 Selling, general and administration                       (2,268)      (2,066)      (4,411)       (3,878)
 Research and development                                  (1,341)      (1,242)      (2,601)       (2,345)
 Royalty income                                            226          159          406           297
 Other operating income/(expense)                          278          (523)        575           74

 OPERATING PROFIT                                          2,141        1,081        4,223         3,374

 Finance income                                            33           21           62            28
 Finance expense                                           (185)        (204)        (388)         (409)
 Share of after tax profit/(loss) of associates and joint  (2)          (2)          (4)           (3)

   ventures
 Profit/(loss) on disposal of interests in associates      -            -            1             -

 PROFIT BEFORE TAXATION                                    1,987        896          3,894         2,990

 Taxation                                                  (242)        (150)        (518)         (473)
 Tax rate %                                                12.2%        16.7%        13.3%         15.8%

 PROFIT AFTER TAXATION FROM CONTINUING OPERATIONS          1,745        746          3,376         2,517

 Profit after taxation from discontinued operations        -            229          -             625

   and other gains from the demerger
 PROFIT AFTER TAXATION FROM DISCONTINUED OPERATIONS        -            229          -             625

 PROFIT AFTER TAXATION FOR THE PERIOD                      1,745        975          3,376         3,142

 Profit attributable to non-controlling interests from     121          40           262           315

   continuing operations

 Profit attributable to shareholders from continuing       1,624        706          3,114         2,202

   operations

 Profit attributable to non-controlling interests from     -            97           -             187

   discontinued operations

 Profit attributable to shareholders from discontinued     -            132          -             438

   operations

                                                           1,745        975          3,376         3,142

 Profit attributable to non-controlling interests          121          137          262           502
 Profit attributable to shareholders                       1,624        838          3,114         2,640

                                                           1,745        975          3,376         3,142

 EARNINGS PER SHARE FROM CONTINUING OPERATIONS             40.1p        17.5p        76.9p         54.8p

 EARNINGS PER SHARE FROM DISCONTINUED OPERATIONS           -            3.3p         -             10.9p

 TOTAL EARNINGS PER SHARE                                  40.1p        20.8p        76.9p         65.7p

 Diluted earnings per share from continuing operations     39.7p        17.4p        76.2p         54.3p

 Diluted earnings per share from discontinued              -            3.2p         -             10.7p

   operations

 Total diluted earnings per share                          39.7p        20.6p        76.2p         65.0p

 

 Statement of comprehensive income

 

                                                                                 Q2 2023    Q2 2022    H1 2023    H1 2022

                                                                                 £m         £m         £m         £m

 Total profit for the period                                                     1,745      975        3,376      3,142

 Items that may be reclassified subsequently to continuing operations income
 statement:
 Exchange movements on overseas net assets and                                   (80)       (179)      7          (198)

   net investment hedges
 Reclassification of exchange movements on liquidation                           (10)       9          (13)       9

   or disposal of overseas subsidiaries and associates
 Fair value movements on cash flow hedges                                        1          -          1          2
 Deferred tax on fair value movements on cash flow                               (1)        -          (1)        -

   hedges
 Reclassification of cash flow hedges to income                                  2          14         3          13

   statement

                                                                                 (88)       (156)      (3)        (174)

 Items that will not be reclassified to continuing operations income statement:
 Exchange movements on overseas net assets of                                    (8)        (3)        (22)       -

   non-controlling interests
 Fair value movements on equity investments                                      51         (81)       (117)      (624)
 Tax on fair value movements on equity investments                               (5)        10         17         57
 Fair value movements on cash flow hedges                                        (34)       -          (34)       -
 Remeasurement gains/(losses) on defined benefit plans                           (300)      200        50         513
 Tax on remeasurement losses/(gains) on defined                                  79         (53)       (8)        (126)

   benefit plans

                                                                                 (217)      73         (114)      (180)

 Other comprehensive expense for the period from                                 (305)      (83)       (117)      (354)

   continuing operations

 Other comprehensive income for the period from                                  -          493        -          928

   discontinued operations

 Total comprehensive income for the period                                       1,440      1,385      3,259      3,716

 Total comprehensive income for the period attributable

   to:
   Shareholders                                                                  1,327      1,277      3,019      3,239
   Non-controlling interests                                                     113        108        240        477

                                                                                 1,440      1,385      3,259      3,716

 

 Balance sheet

 

                                               30 June 2023      31 December 2022

                                               £m                £m
 ASSETS
 Non-current assets
 Property, plant and equipment                 8,661             8,933
 Right of use assets                           654               687
 Goodwill                                      6,716             7,046
 Other intangible assets                       15,531            14,318
 Investments in associates and joint ventures  64                74
 Other investments                             1,286             1,467
 Deferred tax assets                           5,799             5,658
 Other non-current assets                      1,402             1,194

 Total non-current assets                      40,113            39,377

 Current assets
 Inventories                                   5,512             5,146
 Current tax recoverable                       319               405
 Trade and other receivables                   6,776             7,053
 Derivative financial instruments              164               190
 Current equity investments                    3,250             4,087
 Liquid investments                            114               67
 Cash and cash equivalents                     3,140             3,723
 Assets held for sale                          73                98

 Total current assets                          19,348            20,769

 TOTAL ASSETS                                  59,461            60,146

 LIABILITIES
 Current liabilities
 Short-term borrowings                         (5,921)           (3,952)
 Contingent consideration liabilities          (947)             (1,289)
 Trade and other payables                      (13,951)          (16,263)
 Derivative financial instruments              (136)             (183)
 Current tax payable                           (544)             (471)
 Short-term provisions                         (609)             (652)

 Total current liabilities                     (22,108)          (22,810)

 Non-current liabilities
 Long-term borrowings                          (15,553)          (17,035)
 Corporation tax payable                       (76)              (127)
 Deferred tax liabilities                      (500)             (289)
 Pensions and other post-employment benefits   (2,337)           (2,579)
 Other provisions                              (544)             (532)
 Contingent consideration liabilities          (5,280)           (5,779)
 Other non-current liabilities                 (904)             (899)

 Total non-current liabilities                 (25,194)          (27,240)

 TOTAL LIABILITIES                             (47,302)          (50,050)

 NET ASSETS                                    12,159            10,096

 EQUITY
 Share capital                                 1,348             1,347
 Share premium account                         3,450             3,440
 Retained earnings                             6,418             4,363
 Other reserves                                1,475             1,448

 Shareholders' equity                          12,691            10,598

 Non-controlling interests                     (532)             (502)

 TOTAL EQUITY                                  12,159            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                                                       3,114                         3,114          262               3,376
   Other comprehensive                                                         15             (110)          (95)           (22)              (117)

     income/(expense) for the period

 Total comprehensive income/(expense)                                          3,129          (110)          3,019          240               3,259

   for the period

 Distributions to non-controlling interests                                                                                 (277)             (277)
 Contributions from non-controlling                                                                                         7                 7

   interests
 Dividends to shareholders                                                     (1,112)                       (1,112)                          (1,112)
 Realised after tax losses on disposal                                         (9)            9              -                                -

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

   realised profit/(loss) on disposal of equity

   investments
 Shares issued                                     1             8                                           9                                9
 Write-down on shares held by ESOP                                             (101)          101            -                                -

   Trusts
 Shares acquired by ESOP Trusts                                  2             1              (3)            -                                -
 Share-based incentive plans                                                   145                           145                              145
 Hedging gain/loss after taxation                                                             32             32                               32

   transferred to non-financial assets

 At 30 June 2023                                   1,348         3,450         6,418          1,475          12,691         (532)             12,159

 

 

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

   Profit for the period                                                 2,640                         2,640          502               3,142
   Other comprehensive                                                   1,010          (411)          599            (25)              574

     income/(expense) for the period

 Total comprehensive income/(expense)                                    3,650          (411)          3,239          477               3,716

   for the period

 Distributions to non-controlling interests                                                                           (506)             (506)
 Contributions from non-controlling                                                                                   8                 8

   interests
 Dividends to shareholders                                               (2,108)                       (2,108)                          (2,108)
 Realised after tax losses on disposal                                   (23)           23             -                                -

   or liquidation of equity investments
 Shares issued                                             20                                          20                               20
 Write-down on shares held by ESOP                                       (510)          510            -                                -

   Trusts
 Shares acquired by ESOP Trusts                            118           704            (822)          -                                -
 Share of associates and joint ventures                                  (1)            1              -                                -

   realised profits on disposal of equity

   investments
 Share-based incentive plans                                             168                           168                              168

 At 30 June 2022                             1,347         3,439         9,824          1,764          16,374         6,266             22,640

 

 Cash flow statement six months ended 30 June 2023

 

                                                                              H1 2023      H1 2022

                                                                              £m           £m

 Profit after tax from continuing operations                                  3,376        2,517
 Tax on profits                                                               518          473
 Share of after tax loss/(profit) of associates and joint ventures            4            3
 (Profit)/loss on disposal of interest in associates and joint ventures       (1)          -
 Net finance expense                                                          326          381
 Depreciation, amortisation and other adjusting items                         1,092        1,335
 Increase in working capital                                                  (1,237)      (198)
 Contingent consideration paid                                                (575)        (542)
 Decrease in other net liabilities (excluding contingent consideration paid)  (1,596)      (33)

 Cash generated from operations attributable to continuing operations         1,907        3,936
 Taxation paid                                                                (547)        (534)

 Net cash inflow/(outflow) from continuing operating activities               1,360        3,402
 Cash generated from operations attributable to discontinued operations       -            918
 Taxation paid from discontinued operations                                   -            (143)
 Net operating cash flows attributable to discontinued operations             -            775

 Total net cash inflows/(outflows) from operating activities                  1,360        4,177

 Cash flow from investing activities
 Purchase of property, plant and equipment                                    (529)        (430)
 Proceeds from sale of property, plant and equipment                          10           6
 Purchase of intangible assets                                                (535)        (597)
 Proceeds from sale of intangible assets                                      12           13
 Purchase of equity investments                                               (59)         (59)
 Proceeds from sale of equity investments                                     809          -
 Share transactions with minority shareholders                                -            1
 Purchase of businesses, net of cash acquired                                 (1,399)      -
 Contingent consideration paid                                                (4)          (73)
 Disposal of businesses                                                       58           (12)
 Interest received                                                            62           26
 Proceeds from disposal of associates and joint ventures                      1            -
 Dividend and distributions from investments                                  201          -
 Dividends from associates and joint ventures                                 1            -

 Net cash inflow/(outflow) from continuing investing activities               (1,372)      (1,125)
 Net investing cash flows attributable to discontinued operations             -            (3,013)

 Total net cash inflow/(outflow) from investing activities                    (1,372)      (4,138)

 Cash flow from financing activities
 Issue of share capital                                                       9            20
 Shares acquired by ESOP trust                                                -            (3)
 Decrease in long-term loans                                                  (150)        (3)
 Repayment of short-term loans((1))                                           (653)        (2,645)
 Net increase/(repayment) of short-term loans((1))                            2,247        (417)
 Repayment of lease liabilities                                               (94)         (99)
 Interest paid                                                                (448)        (437)
 Dividends paid to shareholders                                               (1,112)      (2,108)
 Distribution to non-controlling interests                                    (277)        (177)
 Contributions from non-controlling interests                                 7            8
 Other financing items                                                        184          264

 Net cash inflow/(outflow) from continuing financing activities               (287)        (5,597)
 Net financing cash flows attributable to discontinued operations             -            9,084

 Total net cash inflow/(outflow) from financing activities                    (287)        3,487

 Increase/(decrease) in cash and bank overdrafts in the period                (299)        3,526

 Cash and bank overdrafts at beginning of the period                          3,425        3,817
 Exchange adjustments                                                         (88)         83
 Increase/(decrease) in cash and bank overdrafts                              (299)        3,526

 Cash and bank overdrafts at end of the period                                3,038        7,426

 Cash and bank overdrafts at end of the period comprise:
 Cash and cash equivalents                                                    3,140        6,465
 Cash and cash equivalents reported in assets held for sale/distribution      -            1,421
 Overdrafts                                                                   (102)        (460)

                                                                              3,038        7,426

 

 (1)  Amended to reflect the gross cashflows with no impact on overall financing
      cashflows.

 

 Vaccines turnover - three months ended 30 June 2023

 

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

 Shingles                 880        20              20             473      (9)             (10)           243      61              58             164       >100            >100

 Shingrix                 880        20              20             473      (9)             (10)           243      61              58             164       >100            >100

 Meningitis               266        13              13             120      -               (2)            105      21              18             41        46              61

 Bexsero                  194        18              18             69       6               5              102      26              22             23        21              42
 Menveo                   66         (4)             (4)            51       (7)             (9)            2        (60)            (40)           13        44              44
 Other                    6          >100            >100           -        -               -              1        -               -              5         >100            >100

 Influenza                23         (28)            (28)           -        >(100)          >(100)         -        -               -              23        (26)            (26)

 Fluarix, FluLaval        23         (28)            (28)           -        >(100)          >(100)         -        -               -              23        (26)            (26)

 Established Vaccines     812        13              13             309      20              20             189      7               5              314       11              11

 Infanrix, Pediarix       85         (29)            (27)           34       (33)            (29)           20       (35)            (39)           31        (18)            (13)
 Boostrix                 164        4               2              101      6               4              32       (16)            (18)           31        24              24
 Hepatitis                158        (1)             (2)            83       (15)            (15)           46       18              15             29        32              27
 Rotarix                  184        53              53             78       >100            >100           28       (3)             (7)            78        1               4
 Synflorix                76         (10)            (11)           -        -               -              11       10              10             65        (12)            (14)
 Priorix, Priorix Tetra,  54         35              32             5        -               -              30       30              39             19        12              -

   Varilrix
 Cervarix                 52         >100            >100           -        -               -              19       >100            >100           33        83              89
 Other                    39         >100            >100           8        >100            >100           3        50              (100)          28        >100            >100

 Vaccines excluding       1,981      16              15             902      1               -              537      30              27             542       34              37

   COVID-19 solutions

 Pandemic vaccines        41         -               -              -        -               -              22       -               -              19        -               -
 Pandemic adjuvant        41         -               -              -        -               -              22       -               -              19        -               -

 Vaccines                 2,022      18              18             902      1               -              559      35              33             561       39              41

 

 Vaccines turnover - Six months ended 30 June 2023

 

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

 Shingles                 1,713      20         16        981        (3)             (7)            457        47              42             275       >100            >100

 Shingrix                 1,713      20         16        981        (3)             (7)            457        47              42             275       >100            >100

 Meningitis               546        22         19        239        9               4              220        29              25             87        50              55

 Bexsero                  412        26         22        143        9               4              212        32              28             57        54              59
 Menveo                   125        13         9         96         9               3              6          (25)            (25)           23        53              60
 Other                    9          13         13        -          -               -              2          -               -              7         17              17

 Influenza                35         (30)       (28)      1          (50)            (50)           -          -               -              34        (29)            (27)

 Fluarix, FluLaval        35         (30)       (28)      1          (50)            (50)           -          -               -              34        (29)            (27)

 Established Vaccines     1,627      12         8         662        18              13             382        12              8              583       5               4

 Infanrix, Pediarix       262        (11)       (14)      142        (13)            (17)           53         (12)            (13)           67        (7)             (7)
 Boostrix                 303        7          2         193        17              11             63         (11)            (14)           47        (2)             (2)
 Hepatitis                328        17         12        181        3               (2)            92         35              31             55        49              46
 Rotarix                  322        36         33        125        >100            >100           61         -               (3)            136       7               9
 Synflorix                138        (16)       (18)      -          -               -              19         19              19             119       (20)            (22)
 Priorix, Priorix Tetra,  107        23         20        7          -               -              63         24              22             37        3               -

   Varilrix
 Cervarix                 79         55         57        -          -               -              28         >100            >100           51        19              23
 Other                    88         52         45        14         >100            >100           3          (57)            (86)           71        58              51

 Vaccines excluding       3,921      16         12        1,883      5               -              1,059      29              25             979       27              27

   COVID-19 solutions

 Pandemic vaccines        142        -          -         -          -               -              123        -               -              19        -               -
 Pandemic adjuvant        142        -          -         -          -               -              123        -               -              19        -               -

 Vaccines                 4,063      20         16        1,883      5               -              1,182      44              39             998       29              30

 

 Specialty Medicines turnover - three months ended 30 June 2023

 

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

 HIV                               1,580      13              12             1,056        18              16             358        7               4              166         (5)             4

 Dolutegravir products             1,325      4               3              845          6               5              326        2               -              154         (6)             6
   Tivicay                         340        (2)             -              211          5               3              69         (4)             (7)            60          (18)            (3)
   Triumeq                         392        (15)            (16)           270          (12)            (13)           74         (24)            (26)           48          (16)            (11)
   Juluca                          163        7               6              126          9               6              34         3               3              3           -               33
   Dovato                          430        34              33             238          38              37             149        26              24             43          43              53

 Rukobia                           27         42              37             25           39              39             1          >100            >100           1           -               (100)
 Cabenuva                          176        >100            >100           148          >100            >100           25         >100            >100           3           >100            >100
 Apretude                          36         >100            >100           36           >100            >100           -          -               -              -           -               -
 Other                             16         (38)            (46)           2            (78)            (67)           6          (25)            (13)           8           (11)            (56)

 Respiratory/Immunology and Other  792        16              16             554          14              11             116        26              24             122         21              30

 Nucala                            424        16              15             256          8               6              95         28              26             73          28              40
 Benlysta                          358        21              19             297          18              16             25         25              25             36          38              46
 Other                             10         (38)            (38)           1            -               -              (4)        >(100)          >(100)         13          (28)            (28)

 Oncology                          151        (2)             (3)            67           (19)            (20)           75         21              19             9           -               11

 Zejula                            117        (3)             (2)            51           (19)            (21)           57         19              19             9           -               22
 Blenrep                           9          (70)            (73)           (2)          >(100)          >(100)         11         -               (9)            -           -               -
 Jemperli                          25         >100            >100           18           >100            >100           8          >100            >100           (1)         -               -
 Other                             -          -               -              -            -               -              (1)        -               -              1           -               -

 Specialty Medicines               2,523      13              12             1,677        15              12             549        12              10             297         5               13

   excluding COVID-19

   solutions

 Pandemic                          -          (100)           (100)          (1)          >(100)          >(100)         1          (99)            (99)           -           (100)           (100)

 Xevudy                            -          (100)           (100)          (1)          >(100)          >(100)         1          (99)            (99)           -           (100)           (100)

 Specialty Medicines               2,523      (7)             (7)            1,676        13              11             550        (10)            (12)           297         (51)            (47)

 

 Specialty Medicines turnover - six months ended 30 June 2023

 

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

 HIV                               3,048      18              14             1,973        24              18             704        11              7              371       3               4

 Dolutegravir products             2,602      9               5              1,605        12              6              645        6               3              352       4               6
   Tivicay                         697        5               1              396          10              4              135        (1)             (4)            166       (1)             (1)
   Triumeq                         766        (10)            (13)           519          (6)             (11)           149        (22)            (25)           98        (11)            (9)
   Juluca                          313        10              5              237          10              5              69         10              6              7         -               14
   Dovato                          826        43              38             453          47              39             292        35              31             81        56              62

 Rukobia                           52         49              40             48           45              39             3          >100            >100           1         -               (100)
 Cabenuva                          303        >100            >100           251          >100            >100           45         >100            >100           7         >100            >100
 Apretude                          60         >100            >100           60           >100            >100           -          -               -              -         -               -
 Other                             31         (37)            (41)           9            (44)            (44)           11         (15)            (15)           11        (45)            (55)

 Respiratory/Immunology and Other  1,393      16              13             947          14              8              224        27              23             222       17              23

 Nucala                            771        16              13             445          8               2              184        32              28             142       29              36
 Benlysta                          611        19              15             501          19              13             48         23              21             62        19              23
 Other                             11         (58)            (54)           1            -               -              (8)        >(100)          >(100)         18        (36)            (32)

 Oncology                          287        2               (1)            122          (20)            (24)           147        27              23             18        38              54

 Zejula                            231        6               4              101          (11)            (16)           112        23              20             18        38              62
 Blenrep                           20         (64)            (65)           (2)          >(100)          >(100)         22         10              5              -         -               -
 Jemperli                          36         >100            >100           23           >100            >100           13         >100            >100           -         -               -
 Other                             -          -               -              -            -               -              -          -               -              -         -               -

 Specialty Medicines               4,728      16              12             3,042        18              12             1,075      16              12             611       9               12

   excluding COVID-19

   solutions

 Pandemic                          31         (98)            (98)           (1)          >(100)          >(100)         1          (100)           (100)          31        (94)            (95)

 Xevudy                            31         (98)            (98)           (1)          >(100)          >(100)         1          (100)           (100)          31        (94)            (95)

 Specialty Medicines               4,759      (18)            (21)           3,041        (10)            (14)           1,076      (21)            (23)           642       (42)            (41)

 

 General Medicines turnover - three months ended 30 June 2023

 

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

 Respiratory              1,792      9          9         950        12              11             351      1          (1)       491         8          15

   Arnuity Ellipta        13         -          (8)       11         -               -              -        -          -         2           -          (50)
   Anoro Ellipta          140        19         19        69         17              14             48       23         21        23          15         30
   Avamys/Veramyst        74         -          3         -          -               -              17       (15)       (15)      57          6          9
   Flixotide/Flovent      96         (33)       (31)      53         (46)            (45)           17       (6)        (6)       26          (4)        4
   Incruse Ellipta        44         (14)       (14)      24         (17)            (21)           14       (18)       (18)      6           20         40
   Relvar/Breo Ellipta    288        (7)        (6)       121        (19)            (21)           92       6          3         75          4          14
   Seretide/Advair        322        23         26        125        >100            >100           65       (11)       (12)      132         3          10
   Trelegy Ellipta        611        31         30        461        30              28             67       16         14        83          51         60
   Ventolin               171        (2)        1         87         2               2              20       (26)       (26)      64          3          10
   Other Respiratory      33         (13)       (11)      (1)        -               -              11       22         11        23          (23)       (20)

 Other General Medicines  841        (2)        4         82         (6)             (7)            184      6          3         575         (4)        6

 Dermatology              88         (3)        3         -          -               -              26       (7)        (7)       62          (2)        8
 Augmentin                134        3          11        -          -               -              40       8          5         94          1          13
 Avodart                  90         11         15        -          -               -              30       11         4         60          11         20
 Lamictal                 115        (9)        (6)       56         (14)            (12)           27       -          (4)       32          (9)        3
 Other                    414        (4)        4         26         18              9              61       11         11        327         (8)        2

 General Medicines        2,633      5          8         1,032      11              9              535      2          1         1,066       1          10

 

 General Medicines turnover - six months ended 30 June 2023

 

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

 Respiratory              3,559      12         10        1,782      14         8         723        6          3         1,054       13         16

   Arnuity Ellipta        21         (19)       (23)      17         (23)       (23)      -          -          -         4           -          (25)
   Anoro Ellipta          260        20         18        120        20         14        94         22         19        46          18         23
   Avamys/Veramyst        198        18         18        -          -          -         35         (3)        (6)       163         23         25
   Flixotide/Flovent      253        (6)        (9)       159        (13)       (17)      38         6          3         56          10         14
   Incruse Ellipta        79         (22)       (24)      37         (33)       (36)      30         (9)        (12)      12          (8)        -
   Relvar/Breo Ellipta    562        (4)        (5)       221        (18)       (22)      190        12         8         151         5          10
   Seretide/Advair        661        17         16        245        69         61        136        (7)        (10)      280         3          6
   Trelegy Ellipta        1,076      33         29        788        33         27        134        21         18        154         48         54
   Ventolin               376        -          (1)       195        (3)        (8)       48         (16)       (18)      133         15         18
   Other Respiratory      73         -          3         -          -          -         18         20         13        55          (7)        (2)

 Other General Medicines  1,748      2          6         174        (1)        (6)       367        7          3         1,207       1          8

 Dermatology              185        1          5         -          -          -         54         (2)        (4)       131         2          9
 Augmentin                311        20         24        -          -          -         96         32         27        215         16         23
 Avodart                  182        12         12        -          -          -         59         9          4         123         14         16
 Lamictal                 244        (1)        (2)       122        (2)        (6)       55         4          2         67          (4)        -
 Other                    826        (4)        2         52         -          (8)       103        (6)        (8)       671         (4)        4

 General Medicines        5,307      8          8         1,956      12         7         1,090      6          3         2,261       6          12

 

 Commercial Operations turnover
                     Total                           US                             Europe                         International
                                 Growth                         Growth                         Growth                          Growth
                     £m          £%        CER%      £m         £%        CER%      £m         £%        CER%      £m          £%        CER%

 Three months ended  7,178       4         4         3,610      9         7         1,644      6         4         1,924       (7)       -

 30 June 2023

 Six months ended    14,129      -         (2)       6,880      -         (5)       3,348      4         1         3,901       (3)       1

 30 June 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  7,137        10         11         3,611       10         8          1,621       14         12         1,905       9          17

 30 June 2023

 Six months ended    13,956       13         11         6,881       13         7          3,224       16         13         3,851       11         15

 30 June 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.

 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
                                         Q2 2023    Q2 2022      Growth    Growth

                                         £m         £m           £%        CER%

 Commercial Operations (total turnover)  7,178      6,929        4         4

 

 Operating profit by segment
                                                    Q2 2023      Q2 2022      Growth     Growth

                                                    £m           £m           £%         CER%

 Commercial Operations                              3,481        3,304        5          6
 Research and Development                           (1,273)      (1,152)      11         10

 Segment profit                                     2,208        2,152        3          4
 Corporate and other unallocated costs              (38)         (144)

 Adjusted operating profit                          2,170        2,008        8          11
 Adjusting items                                    (29)         (927)

 Total operating profit                             2,141        1,081        98         >100

 Finance income                                     33           21
 Finance costs                                      (185)        (204)
 Share of after tax profit/(loss) of associates     (2)          (2)

   and joint ventures

 Profit before taxation from continuing operations  1,987        896          >100       >100

 

 Adjusting items reconciling segment profit and operating profit comprise items
 not specifically allocated to segment profit. These include impairment and
 amortisation of intangible assets, major restructuring costs, which include
 impairments of tangible assets and computer software, transaction-related
 adjustments related to significant acquisitions, proceeds and costs of
 disposals of associates, products and businesses, significant legal charges
 and expenses on the settlement of litigation and government investigations,
 other operating income other than royalty income and other items.

 

 Turnover by segment
                                         H1 2023     H1 2022       Growth    Growth

                                         £m          £m            £%        CER%

 Commercial Operations (total turnover)  14,129      14,119        -         (2)

 

 Operating profit by segment
                                                      H1 2023      H1 2022      Growth    Growth

                                                      £m           £m           £%        CER%

 Commercial Operations                                6,856        6,421        7         4
 Research and Development                             (2,505)      (2,247)      11        8

 Segment profit                                       4,351        4,174        4         1
 Corporate and other unallocated costs                (89)         (223)

 Adjusted operating profit                            4,262        3,951        8         6
 Adjusting items                                      (39)         (577)

 Total operating profit                               4,223        3,374        25        23

 Finance income                                       62           28
 Finance costs                                        (388)        (409)
 Share of after tax profit/(loss) of associates       (4)          (3)

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

 Profit before taxation from continuing operations    3,894        2,990        30        28

 

 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 30 June 2023,
 the Group's aggregate provision for legal and other disputes (not including
 tax matters described on page 10 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 Q1 2023 results:

 Intellectual Property

 Coreg

 In 2014, GSK initiated suit against Teva in the US District Court for the
 District of Delaware for inducing infringement of its patent relating to the
 use of carvedilol (Coreg). In 2017, the jury returned a verdict in GSK's
 favour, awarding GSK lost profits and reasonable royalties for a total award
 of $235.51 million, which was ultimately upheld by the Court of Appeals for
 the Federal Circuit. On 11 July 2022, Teva filed a petition for writ of
 certiorari with the Supreme Court of the United States seeking to overturn the
 Federal Court decision. On 15 May 2023, the US Supreme Court denied Teva's
 request. Certain issues remain to be resolved at the District Court and the
 parties await the scheduling of a status conference.

 Product Liability

 Zantac

 On 23 June 2023, GSK reached a confidential settlement in the first case that
 was scheduled to go to trial in California state court (the Goetz case). The
 settlement reflects the Company's desire to avoid distraction related to
 protracted litigation in this case. GSK does not admit any liability in this
 settlement and will continue to vigorously defend itself based on the facts
 and the science in all other Zantac cases.

 The next case in California (the Cantlay/Harper case) has been set for trial
 in November 2023. Cases in Texas, Illinois, and Florida have also been
 scheduled for trial in 2024 and 2025. The Delaware Superior Court has
 scheduled a hearing regarding admissibility of expert testimony as to general
 causation for 22 January 2024. GSK will continue to defend itself vigorously
 against all claims.

 On 12 May 2023, the British Columbia Supreme Court dismissed a proposed class
 action on behalf of a class of ranitidine users in Canada. Plaintiffs have
 filed an appeal. GSK will continue to vigorously defend proposed class actions
 by ranitidine users that have been filed in Ontario and Quebec as well as
 individual actions filed by ranitidine users in Canada.

 Commercial and corporate

 Zejula Royalty Dispute

 On 12 June 2023, the Court of Appeal of England and Wales granted the Group's
 request for permission to appeal the 5 April 2023 judgment which upheld
 AstraZeneca's interpretation of the two license agreements. The appeal will be
 heard in January 2024.

 

 Returns to shareholders

 

 Quarterly dividends

 The Board has declared a second interim dividend for 2023 of 14p per share (Q2
 2022: 16.25p((1)) per share).

 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. In
 setting its dividend policy, GSK considers the capital allocation priorities
 of the Group, its investment strategy for growth alongside the sustainability
 of the dividend.

 Payment of dividends

 The equivalent interim dividend receivable by ADR holders will be calculated
 based on the exchange rate on 10 October 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 17 August 2023, with a record date of 18 August 2023 and a
 payment date of 12 October 2023.

 

                 Paid/              Pence per         Pence per         £m

                 Payable            share/            share/

                                    pre share         post share

                                    consolidation     consolidation

 2023
 First interim   13 July 2023       -                 14                567
 Second interim  12 October 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 54.

 

 Weighted average number of shares
                                                        Q2 2023      Q2 2022

                                                        millions     millions

 Weighted average number of shares - basic              4,053        4,025
 Dilutive effect of share options and share awards      40           39

 Weighted average number of shares - diluted            4,093        4,064

 

 Weighted average number of shares
                                                        H1 2023      H1 2022

                                                        millions     millions

 Weighted average number of shares - basic              4,048        4,021
 Dilutive effect of share options and share awards      41           38

 Weighted average number of shares - diluted            4,089        4,059

 

 At 30 June 2023, 4,053 million shares (Q2 2022: 4,026 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 0.1
 million shares under employee share schemes in the quarter for proceeds of £1
 million (Q2 2022: £3 million).

 

 At 30 June 2023, the ESOP Trusts held 42.0 million GSK shares against the
 future exercise of share options and share awards. The carrying value of £228
 million has been deducted from other reserves. The market value of these
 shares was £587 million.

 At 30 June 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.

 IAS 12 'Income Taxes'

 On 20 June 2023, the UK Government substantively enacted legislation
 introducing a global minimum corporate income tax rate, to have effect from
 2024 in line with the Organisation for Economic Co-operation and Development's
 (OECD) Pillar Two model framework. GSK has applied the mandatory IAS 12
 'Income Taxes' exception under paragraph 98 M (b) and is not recognising any
 deferred tax impact.

 Accounting policies and basis of preparation

 This unaudited Results Announcement contains condensed financial information
 for the three and six months ended 30 June 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:

 

                          Q2 2023      Q2 2022    H1 2023    H1 2022    2022

 Average rates:
                 US$/£    1.25         1.26       1.23       1.30       1.24
                 Euro/£   1.15         1.18       1.14       1.19       1.17
                 Yen/£    173          162        168        159        161

 Period-end rates:
                 US$/£    1.26         1.21       1.26       1.21       1.20
                 Euro/£   1.17         1.16       1.17       1.16       1.13
                 Yen/£    183          165        183        165        159

 

 Net assets
 The book value of net assets increased by £2,063 million from £10,096
 million at 31 December 2022 to £12,159 million at 30 June 2023. This
 primarily reflected contribution from Total comprehensive income for the
 period partly offset by dividends paid to shareholders.

 At 30 June 2023, the net deficit on the Group's pension plans was £945
 million compared with £1,355 million at 31 December 2022. This decrease in
 the net deficit is primarily related to higher UK asset values, an increase to
 the UK discount rate from 4.8% to 5.3%, decrease to the US Cash balance credit
 rate from 3.9% to 3.7% and cash contributions of £353 million made to the UK
 Pension schemes offset by an actuarial experience adjustment for higher
 inflation than expected in UK pension increases of approximately £400
 million.

 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 £850 million (31 December 2022: £1,093 million).

 Contingent consideration amounted to £6,227 million at 30 June 2023 (31
 December 2022: £7,068 million), of which £5,252 million (31 December 2022:
 £5,890 million) represented the estimated present value of amounts payable to
 Shionogi relating to ViiV Healthcare, £516 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
 30 June 2023, £903 million (31 December 2022: £940 million) is expected to
 be paid within one year.

 

 Movements in contingent consideration are as follows:
 H1 2023                                                     ViiV             Group

                                                             Healthcare       £m

                                                             £m

 Contingent consideration at beginning of the period         5,890            7,068
 Remeasurement through income statement and other movements  (73)             (262)
 Cash payments: operating cash flows                         (565)            (575)
 Cash payments: investing activities                         -                (4)

 Contingent consideration at end of the period               5,252            6,227

 

 H1 2022                                                     ViiV             Group

                                                             Healthcare       £m

                                                             £m

 Contingent consideration at beginning of the period         5,559            6,076
 Remeasurement through income statement and other movements  841              899
 Cash payments: operating cash flows                         (534)            (542)
 Cash payments: investing activities                         (69)             (73)

 Contingent consideration at end of the period               5,797            6,360

 

 Contingent liabilities
 There were contingent liabilities at 30 June 2023 in respect of arrangements
 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 35 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 Inc. (Bellus). On 28 June 2023, GSK
 completed the acquisition which was effected through a Plan of Arrangement
 (the "Arrangement") pursuant to the Canada Business Corporations Act. The
 Arrangement was approved by Bellus' shareholders on 16 June 2023. Upon
 completion, GSK acquired all outstanding common shares of Bellus for US$14.75
 per common share in cash, representing a 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). The values in the table on the next page are
 provisional and are subject to change.

 

 The provisional fair values of the net assets acquired, including goodwill,
 are as follows:

 

                                        £m

 Net assets acquired:
   Intangible assets                    1,630
   Cash and cash equivalents            145
   Other net assets/(liabilities)       55
   Deferred tax liabilities             (216)

                                        1,614
 Goodwill                               -

 Total consideration                    1,614

 

 Of the £1,614 million consideration, £70 million was unpaid as at 30 June
 2023 and was subsequently settled in July 2023.

 

 Related party transactions

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

 

 Financial instruments fair value disclosures
 The following tables categorise the Group's financial assets and liabilities
 held at fair value by the valuation methodology applied in determining their
 fair value. Where possible, quoted prices in active markets are used (Level
 1). Where such prices are not available, the asset or liability is classified
 as Level 2, provided all significant inputs to the valuation model used are
 based on observable market data. If one or more of the significant inputs to
 the valuation model is not based on observable market data, the instrument is
 classified as Level 3. Other investments classified as Level 3 in the tables
 below comprise equity investments in unlisted entities with which the Group
 has entered into research collaborations and also investments in emerging life
 science companies.

 

 At 30 June 2023                                                              Level 1      Level 2      Level 3      Total

                                                                              £m           £m           £m           £m

 Financial assets at fair value
 Financial assets at fair value through other comprehensive income (FVTOCI):
   Other investments designated at FVTOCI                                     899          -            174          1,073
   Trade and other receivables                                                -            2,244        -            2,244
 Financial assets mandatorily at fair value through

   profit or loss (FVTPL):
   Current equity investments and Other investments                           3,250        -            213          3,463
   Other non-current assets                                                   -            -            14           14
   Trade and other receivables                                                -            55           -            55
   Held for trading derivatives that are not in a                             -            39           -            39

     designated and effective hedging relationship
   Cash and cash equivalents                                                  1,641        -            -            1,641
 Derivatives designated and effective as hedging                              -            125          -            125

   instruments (FVTOCI)

                                                                              5,790        2,463        401          8,654

 

 Financial liabilities at fair value
 Financial liabilities mandatorily at fair value through profit or loss
 (FVTPL):
   Contingent consideration liabilities                                  -       -          (6,227)      (6,227)
   Held for trading derivatives that are not in a                        -       (119)      -            (119)

   designated and effective hedging relationship
 Derivatives designated and effective as hedging                         -       (17)       -            (17)

   instruments (FVTOCI)

                                                                         -       (136)      (6,227)      (6,363)

 

 At 31 December 2022                                                          Level 1      Level 2      Level 3      Total

                                                                              £m           £m           £m           £m

 Financial assets at fair value
 Financial assets at fair value through other comprehensive income (FVTOCI):
   Other investments designated at FVTOCI                                     823          -            330          1,153
   Trade and other receivables                                                -            2,327        -            2,327
 Financial assets mandatorily at fair value through profit or loss (FVTPL):
   Current equity investments and Other investments                           4,087        -            314          4,401
   Other non-current assets                                                   -            -            13           13
   Trade and other receivables                                                -            50           -            50
   Held for trading derivatives that are not in a                             -            165          -            165

     designated and effective hedging relationship
   Cash and cash equivalents                                                  2,399        -            -            2,399
 Derivatives designated and effective as hedging                              -            25           -            25

   instruments (FVTOCI)

                                                                              7,309        2,567        657          10,533

 

 Financial liabilities at fair value
 Financial liabilities mandatorily at fair value through profit or loss
 (FVTPL):
   Contingent consideration liabilities                                  -       -          (7,068)      (7,068)
   Held for trading derivatives that are not in a                        -       (77)       -            (77)

   designated and effective hedging relationship
 Derivatives designated and effective as hedging                         -       (106)      -            (106)

   instruments (FVTOCI)

                                                                         -       (183)      (7,068)      (7,251)

 

 Movements in the six months to 30 June 2023 and the six months to 30 June 2022
 for financial instruments measured using Level 3 valuation methods are
 presented below:

 

                                                          Financial      Financial

                                                          assets         liabilities

                                                          £m             £m

 At 1 January 2023                                        657            (7,068)
 Gains/(losses) recognised in the income statement        (88)           262
 Gains/(losses) recognised in other comprehensive income  (149)          -
 Additions                                                30             -
 Disposals and settlements                                (17)           -
 Transfer from Level 3                                    (8)            -
 Payments in the period                                   -              579
 Exchange adjustments                                     (24)           -

 At 30 June 2023                                          401            (6,227)

 

 At 1 January 2022                                        419        (6,076)
 Gains/(losses) recognised in the income statement        (7)        (900)
 Gains/(losses) recognised in other comprehensive income  32         -
 Additions                                                60         -
 Disposals and settlements                                -          -
 Transfer from Level 3                                    -          -
 Payments in the period                                   -          615

 At 30 June 2022                                          504        (6,361)

 

 Net gains of £174 million (H1 2022: net losses of £907 million) reported in
 other operating income were attributable to Level 3 financial instruments held
 at the end of the period. £8 million of investments transferred from Level 3
 as a result of the exchange of shares in an unlisted investee entity for
 shares in a listed entity (H1 2022: £nil). A gain of £4m arose prior to
 transfer from Level 3 on the equity investment which transferred to a Level 1
 valuation methodology. Net gains and losses include the impact of exchange
 movements.

 Financial liabilities measured using Level 3 valuation methods at 30 June 2023
 included £5,252 million (31 December 2022: £5,890 million) of contingent
 consideration for the acquisition in 2012 of the former Shionogi-ViiV
 Healthcare joint venture, £516 million (31 December 2022: £673 million) of
 contingent consideration for the acquisition of the Novartis Vaccines business
 in 2015 and £455 million (31 December 2022: £501 million) of contingent
 consideration payable for the acquisition of Affinivax in 2022. Contingent
 consideration is expected to be paid over a number of years and will vary in
 line with the future performance of specified products, the achievement of
 certain milestone targets and movements in certain foreign currencies.

 The financial liabilities are measured at the present value of expected future
 cash flows, the most significant inputs and assumptions in the valuation
 models being future sales forecasts, probability of milestone success, the
 discount rate, the Sterling/US Dollar exchange rate and the Sterling/Euro
 exchange rate. The exchange rates used are consistent with market rates at 30
 June 2023.

 

 The table below shows, on an indicative basis, the income statement and
 balance sheet sensitivity to reasonably possible changes in key inputs to the
 valuation of the largest contingent consideration liabilities.

 

 Increase/(decrease) in liability                   Shionogi-         Novartis          Affinivax

                                                    ViiV              Vaccines          contingent

                                                    Healthcare        contingent        consideration

                                                    contingent        consideration     £m

                                                    consideration     £m

                                                    £m

 10% increase in sales forecasts*                   519               72                -
 15% increase in sales forecasts*                   776               109               -
 10% decrease in sales forecasts*                   (516)             (71)              -
 15% decrease in sales forecasts*                   (776)             (106)             -
 10% increase in probability of milestone success   -                 20                75
 10% decrease in probability of milestone success   -                 (10)              (75)
 1% (100 basis points) increase in discount rate    (169)             (38)              (9)
 1.5% (150 basis points) increase in discount rate  (248)             (55)              (13)
 1% (100 basis points) decrease in discount rate    182               45                9
 1.5% (150 basis points) decrease in discount rate  275               70                14
 10 cent appreciation of US Dollar                  349               22                39
 15 cent appreciation of US Dollar                  549               35                61
 10 cent depreciation of US Dollar                  (299)             (18)              (33)
 15 cent depreciation of US Dollar                  (432)             (26)              (48)
 10 cent appreciation of Euro                       90                17                -
 15 cent appreciation of Euro                       140               27                -
 10 cent depreciation of Euro                       (74)              (14)              -
 15 cent depreciation of Euro                       (106)             (20)              -

 

 *  The sales forecasts for the Shionogi-ViiV Healthcare contingent consideration
    are for ViiV Healthcare sales only.

 

 The Group transfers financial instruments between different levels in the fair
 value hierarchy when, as a result of an event or change in circumstances, the
 valuation methodology applied in determining their fair values alters in such
 a way that it meets the definition of a different level. There were no
 transfers between the Level 1 and Level 2 fair value measurement categories.

 

 The following methods and assumptions are used to measure the fair value of
 the significant financial instruments carried at fair value on the balance
 sheet:

 ·   Current equity investments and Other investments - equity investments traded
     in an active market determined by reference to the relevant stock exchange
     quoted bid price; other equity investments determined by reference to the
     current market value of similar instruments, recent financing rounds or the
     discounted cash flows of the underlying net assets

 ·   Trade receivables carried at fair value - based on invoiced amount, which is
     not materially different to the present value of future cash flows.

 ·   Interest rate swaps, foreign exchange forward contracts, swaps and options -
     based on the present value of contractual cash flows or option valuation
     models using market-sourced data (exchange rates or interest rates) at the
     balance sheet date

 ·   Cash and cash equivalents carried at fair value - based on net asset value of
     the funds

 ·   Contingent consideration for business acquisitions and divestments - based on
     present values of expected future cash flows

 

 There are no material differences between the carrying value of the Group's
 other financial assets and liabilities and their estimated fair values, with
 the exception of bonds, for which the carrying values and fair values are set
 out in the table below:

 

                                             30 June 2023                   31 December 2022

                                             Carrying         Fair          Carrying          Fair

                                             value            value         value             value

                                             £m               £m            £m                £m

 Bonds in a designated hedging relationship  (5,476)          (5,209)       (6,322)           (6,035)
 Other bonds                                 (11,490)         (11,270)      (12,017)          (11,930)

                                             (16,966)         (16,479)      (18,339)          (17,965)

 

 The following methods and assumptions are used to estimate the fair values of
 financial assets and liabilities which are not measured at fair value on the
 balance sheet:

 ·   Receivables and payables, including put options over non-controlling interests
     carried at amortised cost - approximates to the carrying amount

 ·   Liquid investments - approximates to the carrying amount

 ·   Cash and cash equivalents carried at amortised cost - approximates to the
     carrying amount

 ·   Short-term loans, overdrafts and commercial paper - approximates to the
     carrying amount because of the short maturity of these instruments

 ·   Long-term loans (European and US Medium Term Notes) - based on quoted market
     prices (a Level 1 fair value measurement); approximates to the carrying amount
     in the case of  floating rate bank loans

 

 Put option

 Other payables in Current liabilities includes the present value of the
 expected redemption amount of the Pfizer put option over its non-controlling
 interest in ViiV Healthcare of £850 million (31 December 2022: £1,093
 million). This reflects a number of assumptions around future sales, profit
 forecasts and the Sterling/US Dollar exchange rate and the Sterling/Euro
 exchange rate. The exchange rates used are consistent with market rates at 30
 June 2023.

 The table below shows on an indicative basis the income statement and balance
 sheet sensitivity to reasonably possible changes in the key inputs to the
 measurement of this liability.

 

 Increase/(decrease) in liability                   ViiV

                                                    Healthcare

                                                    put option

                                                    £m

 10% increase in sales forecasts*                   85
 15% increase in sales forecasts*                   128
 10% decrease in sales forecasts*                   (85)
 15% decrease in sales forecasts*                   (127)
 1% (100 basis points) increase in discount rate    (22)
 1.5% (150 basis points) increase in discount rate  (33)
 1% (100 basis points) decrease in discount rate    24
 1.5% (150 basis points) decrease in discount rate  36
 10 cent appreciation of US Dollar                  58
 15 cent appreciation of US Dollar                  90
 10 cent depreciation of US Dollar                  (49)
 15 cent depreciation of US Dollar                  (71)
 10 cent appreciation of Euro                       25
 15 cent appreciation of Euro                       40
 10 cent depreciation of Euro                       (21)
 15 cent depreciation of Euro                       (31)

 

 *  The sales forecasts for the ViiV Healthcare put option are for the ViiV
    Healthcare sales only.

 

 Reconciliation of cash flow to movements in net debt

 

                                                               H1 2023     H1 2022

                                                               £m          £m

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

 Increase/(decrease) in cash and bank overdrafts               (299)       (3,320)
 Net decrease/(increase) in short-term loans                   (1,594)     3,062
 Net decrease/(increase) in long-term loans                    150         3
 Repayment of lease liabilities                                94          99
 Net debt of subsidiary undertakings acquired                  49          -
 Exchange adjustments                                          660         (1,381)
 Other non-cash movements                                      (83)        (52)

 Decrease/(increase) in net debt from continuing operations    (1,023)     (1,589)
 Decrease/(increase) in net debt from discontinued operations  -           (31)

 Total Net debt at end of the period                           (18,220)    (21,458)

 

 Net debt analysis

 

                                          30 June       31 December

                                          2023          2022

                                          £m            £m

 Liquid investments                       114           67
 Cash and cash equivalents                3,140         3,723
 Short-term borrowings                    (5,921)       (3,952)
 Long-term borrowings                     (15,553)      (17,035)

 Total Net debt at the end of the period  (18,220)      (17,197)

 

 Free cash flow reconciliation from continuing operations

 

                                                                   Q2 2023      H1 2023    H1 2022

                                                                   £m           £m         £m

 Net cash inflow/(outflow) from continuing operating activities    1,307        1,360      3,402
 Purchase of property, plant and equipment                         (296)        (529)      (430)
 Proceeds from sale of property, plant and equipment               3            10         6
 Purchase of intangible assets                                     (239)        (535)      (597)
 Proceeds from disposals of intangible assets                      8            12         13
 Net finance costs                                                 (295)        (386)      (411)
 Dividends from associates and joint ventures                      -            1          -
 Contingent consideration paid (reported in investing activities)  (3)          (4)        (73)
 Distributions to non-controlling interests                        (137)        (277)      (177)
 Contributions from non-controlling interests                      -            7          8

 Free cash inflow/(outflow) from continuing operations             348          (341)      1,741

 

 R&D commentary

 

 Pipeline overview

 

 Medicines and vaccines in phase III development (including major lifecycle  17  Infectious Diseases (7)
 innovation or under regulatory review)
                                                                             ·                                                                                 Arexvy (RSV vaccine) RSV older adults
                                                                             ·                                                                                 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
                                                                             ·                                                                                 ibrexafungerp (antifungal glucan synthase inhibitor) invasive candidiasis

                                                                                 Respiratory/Immunology (4)
                                                                             ·   Nucala (anti-IL5) 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
                                                                             ·   camlipixant (P2X2/P2X3 receptor antagonist) refractory chronic cough

                                                                                 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 non-small cell lung cancer
                                                                             ·   cobolimab (anti-TIM-3) 2L non-small cell lung cancer

                                                                                 Opportunity driven (1)
                                                                             ·   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         87
 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

 

 Arexvy (respiratory syncytial virus vaccine, adjuvanted)

 

 In May 2023, the US Food and Drug Administration (FDA) approved Arexvy
 (respiratory syncytial virus vaccine, adjuvanted) for the prevention of lower
 respiratory tract disease (LRTD) caused by respiratory syncytial virus (RSV)
 in individuals 60 years of age and older. This was the first RSV vaccine for
 older adults to be approved anywhere in the world. The US Centers for Disease
 Control and Prevention's (CDC) Advisory Committee on Immunisation Practices
 (ACIP) voted in favour of recommending the vaccine in adults aged 60 and older
 using shared clinical decision making in June 2023.

 Also in June 2023, the European Commission authorised the vaccine for active
 immunisation for the prevention of LRTD caused by RSV in adults 60 years of
 age and older. This followed a positive opinion from the European Medicines
 Agency's Committee for Medicinal Products for Human Use (CHMP) which was
 adopted in April 2023.

 New data from the AReSVi-006 (Adult Respiratory Syncytial Virus) phase III
 trial showing that one dose of the vaccine is efficacious against RSV-LRTD and
 severe LRTD in adults aged 60 years and older over two full RSV seasons were
 reported in June 2023. Safety and reactogenicity data were consistent with
 initial observation from the phase III programme. The trial also evaluated
 efficacy following an annual revaccination schedule. Results suggested
 revaccination after 12 months does not appear to confer additional benefit for
 the overall population. The clinical development programme will continue to
 evaluate longer term follow up and the optimal timing for potential
 revaccination.

 

 Key phase III trials for Arexvy:

 

 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                                                                                                                      Primary data reported:

                                                                                                                                  Q2 2022
 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                                                                                                                      Primary data reported:

                                                                                                                                  Q2 2022; two season data reported:

                                                                                                                                  Q2 2023
 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                                                                                                                      Primary data reported:

                                                                                                                                  Q4 2022
 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)

                                                                                                                                  Primary data reported:

 NCT05559476                                                                                                                      Q2 2023
 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                                                                                                                      Trial end: Q2 2022
 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                                                                                                                      Primary data reported:

                                                                                                                                  Q2 2023
 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                                                                                                                      Data anticipated: H2 2023
 RSV OA=ADJ-019                           III    An open-label, randomised, controlled, multi-country trial to evaluate the       Trial start: Q2 2023                 Active, recruiting

                                               immune response, safety and reactogenicity of RSVPreF3 OA investigational
 (Adults ≥ 60 years old)                         vaccine when co-administered with PCV20 in adults aged 60 years and older

 NCT05879107
 RSV OA=ADJ-023                           IIb    A randomised, controlled, open-label trial to evaluate the immune response and   Trial start: Q3 2023                 Not yet recruiting

                                               safety of the RSVPreF3 OA investigational vaccine in adults (≥50 years of
 (Immunocompromised Adults 50-59 years)          age) when administered to lung and renal transplant recipients comparing one

                                               versus two doses and compared to healthy controls (≥50 years of age)
                                                 receiving one dose

 NCT05921903

 

 bepirovirsen (HBV ASO)

 

 Bepirovirsen is a potential new treatment option for people with chronic
 hepatitis B being evaluated in nucleos(t)ide analogue-treated patients, and as
 a sequential 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 in nucleos(t)ide analogue
 treated patients started in Q1 2023 and are actively recruiting.

 

 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

                                                                                                                                                                        Data anticipated: 2025+
 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

                                                                                                                                                                        Data anticipated: 2025+
 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

                                                                                                                                                                        Data anticipated: H2 2023
 bepirovirsen sequential combination therapy with targeted immunotherapy        II     A trial on the safety, efficacy and immune response following sequential         Trial start:                Active, not 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                                                                                                                                                            Data anticipated: 2025+

 

 gepotidacin (bacterial topoisomerase inhibitor)

 

 Gepotidacin is an investigational bactericidal, first-in-class antibiotic with
 a novel mechanism of action for the treatment of uncomplicated urinary tract
 infections (uUTI).

 In April 2023, GSK presented positive results from the pivotal EAGLE-2 and
 EAGLE-3 phase III trials for gepotidacin in an oral presentation at the
 European Congress of Clinical Microbiology and Infectious Diseases in
 Copenhagen, Denmark. In the EAGLE-2 and EAGLE-3 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.

 

 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

                                                                                                                                       Data anticipated: H1 2024
 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

                                                                                                                                       Data reported:

                                                                                                                                       Q2 2023
 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

                                                                                                                                       Data reported:

                                                                                                                                       Q2 2023

 

 MenABCWY vaccine candidate

 

 In May 2023, GSK presented preliminary positive results from the phase III
 trial (NCT04502693) evaluating the immunological vaccine effectiveness and
 safety of its MenABCWY combination vaccine candidate, administered as two
 doses given six months apart in healthy individuals aged 10-25 years. The
 preliminary data were disclosed at the 41st Annual Meeting of the European
 Society for Paediatric Infectious Diseases (ESPID) in Lisbon, Portugal.

 The vaccine candidate demonstrated non-inferiority in primary endpoints for
 the five Neisseria meningitidis serogroups (A, B, C, W, and Y) compared to two
 doses of Bexsero (meningococcal group B vaccine) and one dose of Menveo
 (meningococcal group A, C, W, and Y conjugate vaccine). Furthermore, the
 MenABCWY candidate showed immunological vaccine effectiveness against a panel
 of 110 diverse meningococcal serogroup B (MenB) invasive strains, which
 account for 95% of strains circulating in the US. The vaccine candidate was
 generally well tolerated, with a safety profile consistent with Bexsero and
 Menveo.

 

 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:     Complete

                               immunogenicity of GSK's meningococcal ABCWY vaccine when administered in

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

                               vaccine

 NCT04707391

                                                                                                                Trial end:

                                                                                                                Q2 2023
 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

                                                                                                                Data reported:

                                                                                                                Q1 2023

 

 HIV

 

 cabotegravir

 

 In July 2023, ViiV Healthcare welcomed a positive opinion by the European
 Medicines Agency's (EMA) CHMP recommending marketing authorisation for
 cabotegravir long-acting (LA) injectable and tablets for HIV prevention.
 Cabotegravir is recommended in combination with safer sex practices for
 pre-exposure prophylaxis (PrEP) to reduce the risk of sexually acquired HIV-1
 infection in high-risk adults and adolescents weighing at least 35 kg.
 Cabotegravir is the first and only long-acting injectable option for PrEP to
 reduce the risk of sexually acquired HIV-1. With approximately 100,000 people
 in Europe newly diagnosed with HIV each year, this is an important step
 towards expanding HIV prevention options in the region.

 Also in July, ViiV Healthcare shared 12-month patient reported outcomes data
 from SOLAR, a phase IIIb, randomised, open-label, multi-centre,
 non-inferiority trial which assessed switching virologically suppressed adults
 to cabotegravir + rilpivirine long-acting dosed every two months versus
 continuing bictegravir/emtricitabine/tenofovir alafenamide at the
 International AIDS Society 2023 Conference on HIV Science.

 The results show that after 12 months of treatment most (90%) participants
 preferred cabotegravir + rilpivirine long-acting versus
 bictegravir/emtricitabine/tenofovir alafenamide (5%), Not having to worry
 about taking daily HIV medicine (85%) was cited as a top reason for preferring
 long-acting therapy. There were also emotional well-being benefits of
 switching to cabotegravir + rilpivirine long-acting; over 70% of participants
 who switched showed improvements in adherence anxiety and fear of disclosure
 after 12 months of therapy. Previously presented findings showed that the
 regimen of cabotegravir + rilpivirine long-acting dosed every two months
 demonstrated non-inferior efficacy compared to continuation of daily oral
 bictegravir/emtricitabine/tenofovir alafenamide.

 

 Respiratory/Immunology

 

 camlipixant (P2X2/P2X3 receptor antagonist)

 

 In June 2023, GSK announced the completed acquisition of BELLUS Health Inc., a
 biopharmaceutical company working to better the lives of patients suffering
 from refractory chronic cough (RCC). The acquisition of Bellus included
 camlipixant (BLU-5937), an investigational, highly selective oral P2X3
 antagonist currently in development for first-line treatment of adult patients
 with RCC. The CALM phase III development programme to evaluate the efficacy
 and safety of camlipixant for use in adults with RCC is ongoing.

 

 Trial name (population)            Phase  Design                                                                          Timeline            Status
 CALM-1 (refractory chronic cough)  III    A 52-week, randomised, double-blind, placebo-controlled, parallel-arm efficacy  Trial start:        Recruiting

                                         and safety trial with open-label extension of camlipixant in adult

                                           participants with refractory chronic cough, including unexplained chronic       Q4 2022

                                         cough

 NCT05599191

                                                                                                                           Data anticipated:

                                                                                                                           2025+
 CALM-2 (refractory chronic cough)  III    A 24-week, randomised, double-blind, placebo-controlled, parallel-arm efficacy  Trial start:        Recruiting

                                         and safety trial with open-label extension of camlipixant in adult

                                           participants with refractory chronic cough, including unexplained chronic       Q1 2023

                                         cough

 NCT05600777

                                                                                                                           Data anticipated:

                                                                                                                           2025+

 

 Depemokimab (ultra-long acting anti-IL5)

 

 Depemokimab is a unique and distinct monoclonal antibody developed
 specifically for its affinity for IL-5 and long duration of inhibition. The
 phase III programme for depemokimab continues to make progress across a range
 of eosinophil-driven diseases.

 

 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

                                                                                                                                                             Data anticipated:

                                                                                                                                                             H2 2024
 SWIFT-2 (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

 NCT04718103

                                                                                                                                                             Data anticipated:

                                                                                                                                                             H2 2024
 AGILE (SEA)                                                  III           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

                                                              (extension)   adolescent participants with severe uncontrolled asthma with an eosinophilic     Q1 2022

                                                                          phenotype

 NCT05243680

                                                                                                                                                             Data anticipated:

                                                                                                                                                             2025+
 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

                                                                                                                                                             Data anticipated:

                                                                                                                                                             2025+
 ANCHOR-1 (chronic rhinosinusitis with nasal polyps; CRSwNP)  III           Efficacy and safety of depemokimab in participants with CRSwNP                   Trial start:        Recruiting

                                                                                                                                                             Q2 2022

 NCT05274750

                                                                                                                                                             Data anticipated:

                                                                                                                                                             H2 2024
 ANCHOR-2 (CRSwNP)                                            III           Efficacy and safety of depemokimab in participants with CRSwNP                   Trial start:        Recruiting

                                                                                                                                                             Q2 2022

 NCT05281523

                                                                                                                                                             Data anticipated:

                                                                                                                                                             H2 2024
 OCEAN (eosinophilic granulomatosis with polyangiitis)        III           Efficacy and safety of depemokimab compared with mepolizumab in adults with      Trial start:        Recruiting

                                                                          relapsing or refractory EGPA

                                                                                                                                                             Q3 2022

 NCT05263934

                                                                                                                                                             Data anticipated:

                                                                                                                                                             2025+
 DESTINY (hyper-eosinophilic syndrome)                        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                                                   Q3 2022

 NCT05334368

                                                                                                                                                             Data anticipated:

                                                                                                                                                             2025+

 

 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+ multiple myeloma; MM)  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

                                                                                                                             Data anticipated:

                                                                                                                             H2 2023
 DREAMM-8 (2L+ MM)                    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

                                                                                                                             Data anticipated:

                                                                                                                             H2 2023

 

 Jemperli (dostarlimab)

 

 In June 2023, the US FDA accepted the supplemental Biologics License
 Application for Jemperli in combination with chemotherapy for the treatment of
 adult patients with mismatch repair deficient (dMMR)/microsatellite
 instability-high (MSI-H) primary advanced or recurrent endometrial cancer.
 Endometrial cancer is one of the most common gynaecologic cancers in developed
 countries. An estimated 20-29% of all endometrial cancers are dMMR/MSI-H.

 In May 2023, GSK began recruiting for AZUR-2, a phase III trial to evaluate
 the efficacy of perioperative dostarlimab compared with standard of care in
 participants with untreated T4N0 or Stage III (resectable), defective mismatch
 repair/ microsatellite instability high (dMMR/MSI-H) colon cancer.

 We continue to study the full potential of Jemperli with other oncology
 compounds, including our ongoing phase III COSTAR Lung trial, a randomised,
 open label 3-arm trial comparing cobolimab, an investigational selective
 anti-TIM-3 monoclonal antibody, plus dostarlimab plus docetaxel to dostarlimab
 plus docetaxel to docetaxel alone in patients with advanced non-small cell
 lung cancer who have progressed on prior anti-PD-(L)1 therapy and
 chemotherapy.

 

 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)

                                                                                                                                                                         Part 1 data reported:

 NCT03981796                                                                                                                                                             Q4 2022

                                                                                                                                                                         Part 2 data anticipated: H1 2024
 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

                                                                                                                                                                         Primary data reported:

                                                                                                                                                                         Q4 2022
 GARNET (advanced solid tumours)                                                I/II    A multi-centre, open-label, first-in-human trial evaluating dostarlimab in       Trial start:                       Recruiting

                                                                                      participants with advanced solid tumours who have limited available treatment

                                                                                        options                                                                          Q1 2016

 NCT02715284

                                                                                                                                                                         Primary data reported:

                                                                                                                                                                         Q1 2019
 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

                                                                                                                                                                         Data anticipated: 2025+
 AZUR-2 (untreated perioperative T4N0 or stage III colon cancer)                III     An open-label, randomised trial of perioperative dostarlimab monotherapy         Trial start:                       Active, not yet recruiting

                                                                                      versus standard of care in participants with untreated T4N0 or stage III

                                                                                        dMMR/MSI-H resectable colon cancer                                               Q2 2023

 NCT05855200

                                                                                                                                                                         Data anticipated: 2025+
 COSTAR Lung (advanced non-small cell lung cancer that has progressed on prior  II/III  A multi-centre, randomised, parallel group treatment, open label trial           Trial start:                       Recruiting
 PD-(L)1 therapy and chemotherapy)                                                      comparing cobolimab + dostarlimab + docetaxel to dostarlimab + docetaxel to

                                                                                      docetaxel alone in participants with advanced non-small cell lung cancer who     Q4 2020
                                                                                        have progressed on prior anti-PD-(L)1 therapy and chemotherapy

 NCT04655976

                                                                                                                                                                         Data anticipated: H2 2024

 

 momelotinib (JAK1/2 and ACVR1/ALK2 inhibitor)

 

 In June 2023, GSK announced that the US FDA has extended the review period of
 the new drug application (NDA) for momelotinib by three months to provide time
 to review recently submitted data. The extended action date is 16 September
 2023. GSK is confident in the momelotinib NDA and looks forward to working
 with the FDA as they finalise their review.

 

 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)

                                                                                                                  Primary data reported:

                                                                                                                  Q1 2022

 

 Zejula (niraparib)

 

 GSK is building a robust clinical development programme by assessing activity
 across multiple tumour types and evaluating several potential combinations of
 Zejula with other therapeutics. The ongoing development programme includes
 several combination studies, including the FIRST phase III trial assessing
 niraparib in combination with dostarlimab, a programmed death receptor-1
 (PD-1)-blocking antibody, as a potential treatment for first-line ovarian
 cancer maintenance; RUBY Part II, the phase III trial of niraparib and
 dostarlimab in recurrent or primary advanced (stage III or IV) endometrial
 cancer; and the ZEAL phase III trial assessing niraparib in combination with
 standard of care for the maintenance treatment of first line advanced
 non-small cell lung cancer.

 

 Key phase III trials for Zejula:

 

 Trial name (population)                                        Phase  Design                                                                          Timeline            Status
 ZEAL-1L (1L advanced non-small cell lung cancer maintenance )  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

                                                                                                                                                       Data anticipated:

                                                                                                                                                       H2 2024
 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

                                                                                                                                                       Data anticipated:

                                                                                                                                                       H1 2024

 

 Opportunity driven

 

 Jesduvroq (daprodustat)

 

 Following the positive CHMP opinion for daprodustat for symptomatic anaemia
 associated with chronic kidney disease in adults on chronic maintenance
 dialysis, due to the significant reduction in the size of the opportunity and
 the exclusion of the non-dialysis population, as well as the availability in
 Europe of other medicines for patients living with anaemia of chronic kidney
 disease (CKD), the decision has been made to not commercialise in Europe, to
 withdraw the file for EU and to cease filing in further markets.

 The application withdrawal in the EU does not include the US, where Jesduvroq
 is currently approved for the treatment of anaemia due to CKD in adults who
 have been receiving dialysis for at least four months. In February 2023, the
 US FDA approved Jesduvroq tablets for the once-a-day treatment of anaemia due
 to CKD in adults who have been receiving dialysis for at least four months. In
 June 2020, Duvroq (daprodustat) tablets were approved by Japan's Ministry of
 Health, Labour and Welfare for the treatment of patients with anaemia of CKD
 not on dialysis and on dialysis. Duvroq is the market leading and preferred
 hypoxia-inducible factor-prolyl hydroxylase inhibitor (HIF-PHI) in Japan.

 

 Principal risks and uncertainties

 The principal risks and uncertainties affecting the Group for 2023 are those
 described under the headings below. These are not listed in order of
 significance. In our December 2022 annual risk review, the Audit & Risk
 Committee agreed our principal risks for 2023, which remain largely unchanged.
 We identified a new principal risk, Legal Matters, which brings into greater
 focus a range of legal risks. As a result, Anti-bribery and Corruption will no
 longer be a stand-alone principal risk in 2023. Additionally, we expanded our
 Information Security principal risk to explicitly include cyber risks.

 We describe our risk management process on page 51-52 of our 2022 Annual
 Report, along with more detailed information on our risks, including
 definitions, trends, potential impact, context and mitigation activities as
 set out on pages 53-54 and pages 285-295 of our 2022 Annual Report.

 Other risks, not at the level of principal risk, and opportunities, related to
 Environmental, Social, and Governance (ESG), including environmental
 sustainability and climate change, are managed through our six focus areas, as
 described in our 2022 ESG Performance Report. Additional information on
 climate related risk management is in our climate related financial disclosure
 on pages 55-63 of our 2022 Annual Report.

 

 2023 Principal Risks
 Enterprise Risk Title                 Definition
 Patient safety                        The risk that GSK, including our third parties, fails to appropriately
                                       collect, assess, follow up, or report human safety information, including
                                       adverse events, from all potential sources or that GSK potentially fails to
                                       appropriately act on any relevant findings that may affect the benefit-risk
                                       profile of a medicine or vaccine in a timely manner.
 Product quality                       The risk that GSK or our third parties potentially fail to ensure appropriate
                                       controls and governance of quality for development and commercial products are
                                       in place; compliance with industry practices and regulations in manufacturing
                                       and distribution activities; and terms of GSK product licenses and supporting
                                       regulatory activities are met.
 Financial controls and reporting      The risk that GSK fails to comply with current tax laws; fails to report
                                       accurate financial information in compliance with accounting standards and
                                       applicable legislation; or incurs significant losses due to treasury
                                       activities.
 Legal matters                         The risk that GSK or our third parties potentially fail to comply with certain
                                       legal requirements for the development, supply and commercialisation of our
                                       products and operation of business, and specifically in relation to
                                       requirements for competition law, anti-bribery and corruption, and sanctions.
                                       Any failure to meet compliance and legal standards for these particular areas
                                       could lead to increasing scrutiny and enforcement from government agencies.
 Commercial practices                  The risk that GSK or our third parties potentially engage in commercial
                                       activities that fail to comply with laws, regulations, industry codes, and
                                       internal controls and requirements.
 Scientific and patient engagement     The risk that GSK or our third parties potentially fail to engage externally
                                       to gain insights, educate and communicate on the science of our medicines and
                                       associated disease areas, and provide grants and donations in a legitimate and
                                       transparent manner compliant with laws, regulations, industry codes and
                                       internal controls and requirements.
 Data ethics and privacy               The risk that GSK or our third parties potentially fail to ethically collect;
                                       use; re-use through artificial intelligence, data analytics or automation;
                                       secure; share and destroy personal information in accordance with laws,
                                       regulations, and internal controls and requirements.
 Research practices                    The risk that GSK or our third parties potentially fail to adequately conduct
                                       ethical and credible pre-clinical and clinical research, collaborate in
                                       research activities compliant with laws, regulations, and internal controls
                                       and requirements.
 Environment, health and safety (EHS)  The risk that GSK or our third parties potentially fail to ensure appropriate
                                       controls and governance of the organisation's assets, facilities,
                                       infrastructure, and business activities, including execution of hazardous
                                       activities, handling of hazardous materials, or release of substances harmful
                                       to the environment that disrupts supply or harms employees, third parties or
                                       the environment.
 Information and cyber security        The risk that GSK or our third parties potentially fail to ensure appropriate
                                       controls and governance to identify, protect, detect, respond, and recover
                                       from cyber incidents through unauthorised access, disclosure, theft,
                                       unavailability or corruption of GSK's information, key systems, or technology
                                       infrastructure in accordance with applicable laws, regulations, industry
                                       standards, internal controls and requirements.
 Supply continuity                     The risk that GSK or our third parties potentially fail to deliver a
                                       continuous supply of compliant finished product or respond effectively to a
                                       crisis incident in a timely manner to recover and sustain critical supply
                                       operations.

 

 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 17 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 44.

 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.

 Discontinued operations

 Consumer Healthcare was presented as a discontinued operation from Q2 2022.
 The demerger of Consumer Healthcare was completed on 18 July 2022. The Group
 Income Statement and Group Cash Flow Statement distinguish discontinued
 operations from continuing operations.

 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. 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 Total 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, Respiratory/Immunology and Other.

 Percentage points

 Percentage points of growth which is abbreviated to ppts.

 Year-to-date

 Year-to-date is the six-month period in the year to 30 June 2023 or the same
 prior period in 2022 as appropriate.

 

 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 now expects 2023 turnover to increase between 8 to 10 per cent, Adjusted
 operating profit to increase between 11 to 13 per cent and Adjusted earnings
 per share to increase between 14 to 17 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. In the second half of 2023,
 GSK expects continued strong performance across all three product areas but
 with lower growth reflecting a tough comparison to the second half of 2022,
 particularly in HIV and General Medicines. For full year sales, Vaccines is
 expected to increase by mid-teens per cent, Specialty Medicines, including
 HIV, is now expected to grow high single-digit per cent, and General Medicines
 is now expected to grow low single digit per cent. GSK still expects Adjusted
 operating profit growth to be higher in the second half of 2023 relative to
 full-year expectations, with growth of investment reducing in the second half,
 particularly in the fourth quarter.

 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 Q2 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. 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.

 

 Directors' responsibility statement

 The Board of Directors approved this Half-yearly Financial Report on 26 July
 2023.

 The Directors confirm that to the best of their knowledge the unaudited
 condensed financial information has been prepared in accordance with IAS 34 as
 contained in UK-adopted International Financial Reporting Standards (IFRS) and
 that the interim management report includes a fair review of the information
 required by DTR 4.2.7 and DTR 4.2.8.

 After making enquiries, the Directors considered it appropriate to adopt the
 going concern basis in preparing this Half-yearly Financial Report.

 The Directors of GSK plc are as follows:

 Sir Jonathan Symonds      Non-Executive Chair, Nominations & Corporate Governance Committee Chair
 Dame Emma Walmsley        Chief Executive Officer (Executive Director)
 Julie Brown               Chief Financial Officer (Executive Director)

 Elizabeth McKee Anderson  Independent Non-Executive Director
 Charles Bancroft          Senior Independent Non-Executive Director, Audit & Risk Committee Chair
 Dr Hal Barron             Non-Executive Director
 Dr Anne Beal              Independent Non-Executive Director, Corporate Responsibility Committee Chair
 Dr Harry (Hal) Dietz      Independent Non-Executive Director, Science Committee Chair
 Dr Jesse Goodman          Independent Non-Executive Director
 Urs Rohner                Independent Non-Executive Director, Remuneration Committee Chair
 Dr Vishal Sikka           Independent Non-Executive Director

 

 By order of the Board

 Emma Walmsley             Julie Brown

 Chief Executive Officer   Chief Financial Officer

 26 July 2023

 

 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
 and six months ended 30 June 2023.

 

 The condensed financial information comprises:
 ·   the income statement and statement of comprehensive income for the three and
     six month periods ended 30 June 2023 on pages 25 to 26;
 ·   the balance sheet as at 30 June 2023 on page 27;
 ·   the statement of changes in equity for the six month period then ended on page
     28;
 ·   the cash flow statement for the six month period then ended on page 29; and
 ·   the accounting policies and basis of preparation and the explanatory notes to
     the condensed financial information on pages 30 to 44 that have been prepared
     applying consistent accounting policies to those applied by GSK plc and its
     subsidiaries ("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 30 to 44 and considered
 whether it contains any apparent misstatements or material inconsistencies
 with the information in the condensed 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 and six months ended 30 June 2023 is not prepared, in all
 material respects, in accordance with United Kingdom adopted International
 Accounting Standard 34 and the Disclosure Guidance and Transparency Rules of
 the United Kingdom's Financial Conduct Authority.

 Basis for Conclusion

 We conducted our review in accordance with International Standard on Review
 Engagements (UK) 2410 "Review of Interim Financial Information Performed by
 the Independent Auditor of the Entity" issued by the Financial Reporting
 Council for use in the United Kingdom (ISRE(UK)2410). A review of interim
 financial information consists of making 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 37, 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 United Kingdom adopted
 International Accounting Standard 34, "Interim Financial Reporting".

 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 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 July 2023

 

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