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Half-year Report

25 Jul 2024 07:00

RNS Number : 7427X
AstraZeneca PLC
25 July 2024
Β 

AstraZeneca

25 July 2024

H1 and Q2 2024 results

Β 

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

Β 

Revenue and EPS summary

Β 

H1 2024

% Change

Q2 2024

% Change

Β 

Β 

$mΒ 

ActualΒ 

CER

$mΒ 

ActualΒ 

CER

- Product Sales

24,629Β 

15Β 

18Β 

12,452Β 

14Β 

18Β 

- Alliance Revenue

939Β 

50Β 

50Β 

482Β 

42Β 

42Β 

- Collaboration Revenue

49Β 

(78)

(78)

4Β 

(98)

(98)

Total Revenue

25,617Β 

15Β 

18Β 

12,938Β 

13Β 

17Β 

Reported EPS

$2.65Β 

13Β 

23Β 

$1.24Β 

6Β 

15Β 

Core[2] EPS

$4.03Β 

(1)

5Β 

$1.98Β 

(8)

(3)

Β 

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

Β 

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

Β 

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

Β 

β€’ Core Product Sales Gross Margin[3] of 82%

Β 

β€’ Core Operating Margin of 33%

Β 

β€’ Core Tax Rate of 20%

Β 

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

Β 

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

Β 

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

Β 

Pascal Soriot, Chief Executive Officer, AstraZeneca, said:

Β 

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

Β 

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

Β 

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

Β 

Key milestones achieved since the prior results announcement

Β 

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

Β 

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

Β 

Guidance

Β 

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

Β 

Total Revenue is expected to increase by a mid teens percentage(previously a low double-digit to low teens percentage)Β 

Core EPS is expected to increase by a mid teens percentage(previously a low double-digit to low teens percentage)

Β 

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

Β 

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

Β 

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

Β 

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

Β 

Currency impact

Β 

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

Β 

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

Β 

Β 

% ChangeΒ 

Β 

Β 

Β 

Revenue typeΒ 

$mΒ 

Actual %Β 

CER %Β 

Β 

Β 

Product SalesΒ 

12,452Β 

14Β 

18Β 

Alliance Revenue

482Β 

42Β 

42Β 

* $344m Enhertu (Q2 2023: $255m)

* $104m Tezspire (Q2 2023: $62m)

Collaboration RevenueΒ 

4Β 

(98)

(98)

* Q2 2023 included $180m for COVID-19 mAbs

Total RevenueΒ 

12,938Β 

13Β 

17Β 

Therapy areasΒ 

$mΒ 

ActualΒ %

CERΒ %

Β 

Β 

OncologyΒ 

5,331Β 

15Β 

19Β 

* Tagrisso up 8% (12% at CER) due to strong global demand, Calquence up 21% (22% at CER) with sustained leadership in 1L CLL. Enhertu Total Revenue up 46% (49% at CER)

CVRMΒ 

3,160Β 

18Β 

22Β 

Β 

* Farxiga up 29% (32% at CER), Lokelma up 36% (41% at CER)

R&IΒ 

1,905Β 

23Β 

26Β 

* Breztri up 44% (47% at CER). Saphnelo up 65%, Tezspire up 97% (>2x at CER), Symbicort up 20% (25% CER)

V&I

119Β 

(57)

(53)

* The drop in V&I revenue was primarily driven by lower Collaboration Revenue from COVID-19 mAbs

* Beyfortus revenue was $35m (Q2 2023: $2m), which more than offset a $6m decline in Synagis

Rare DiseaseΒ 

2,147Β 

10Β 

14Β 

* Ultomiris up 33% (36% at CER), partially offset by decline in Soliris of 14% (8% at CER)

* Strensiq up 13% (14% at CER) and Koselugo up 43% (45% at CER)

Other MedicinesΒ 

276Β 

(11)

(5)

Total RevenueΒ 

12,938Β 

13Β 

17Β 

Regions

$mΒ 

ActualΒ %

CERΒ %

Β 

Β 

USΒ 

5,571Β 

17Β 

17Β 

Emerging MarketsΒ 

3,386Β 

9Β 

18Β 

- ChinaΒ 

Β 

1,630Β 

13Β 

18Β 

Β 

Β 

- Ex-China Emerging MarketsΒ 

Β 

1,756Β 

5Β 

18Β 

Β 

Β 

EuropeΒ 

2,732Β 

24Β 

24Β 

Established RoWΒ 

1,249Β 

(5)

6Β 

Total Revenue

12,938Β 

13Β 

17Β 

Β 

Key partnered medicines

Β 

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

Β 

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

β€’

Table 2: Key elements of financial performance in Q2 2024

Β 

Metric

Reported

Reported change

Core

Corechange

Comments[4]

Total Revenue

$12,938m

13% Actual 17% CER

$12,938m

13% Actual 17% CER

* See Table 1 and the Total Revenue section of this document for further details

Product Sales Gross Margin

82%

Stable Actual Stable CER

83%

Stable Actual Stable CER

* Variations in Product Sales Gross Margin can be expected between periods due to product seasonality (e.g. FluMist and Beyfortus in H2), foreign exchange fluctuations and other effects

R&D

Β expense

$3,008m

13% Actual 13% CER

$2,872m

12% Actual 13% CER

+ Increased investment in the pipeline

* Core R&D-to-Total Revenue ratio of 22%(Q2 2023: 22%)

SG&A expense

$4,929m

-1% Actual 1% CER

$3,735m

13% Actual 16% CER

+ Market development for recent launches and pre-launch activities

* Core SG&A-to-Total Revenue ratio of 29%(Q2 2023: 29%)

Other operating income and expense[5]

$60m

-92% Actual -92% CER

$60m

-92% Actual -92% CER

β€’ The prior year quarter included a $712m gain relating to updates to contractual arrangements for Beyfortus

Operating Margin

21%

Stable Actual +1pp CER

32%

-6pp Actual -5pp CER

* See commentary above on Gross Margin, R&D, SG&A and Other operating income and expense

Net finance expense

$343m

-7% Actual -7% CER

$285m

10% Actual 10% CER

+ Higher level of Net debt

Tax rate

20%

+7pp Actual +7pp CER

19%

+2pp Actual +2pp CER

* Variations in the tax rate can be expected between periods

EPS

$1.24

6% Actual 15% CER

$1.98

-8% Actual -3% CER

* Further details of differences between Reported and Core are shown in Table 12

Β 

Β 

Table 3: Pipeline highlights since prior results announcement

Β 

Event

Medicine

Indication / Trial

Β 

Event

Regulatory approvals and other regulatory actions

Imfinzi

Primary advanced or recurrent endometrial cancer with mismatch repair deficiency (DUO-E)

Regulatory approval (US), CHMP positive opinion (EU)

Imfinzi + Lynparza

Primary advanced or recurrent endometrial cancer with mismatch repair proficiency (DUO-E)

CHMP positive opinion (EU)

Tagrisso

EGFRm NSCLC (1st-line)

(FLAURA2)

Regulatory approval (EU, JP, CN)

Truqap

Biomarker-positive ER-positive HER2-negative locally advanced or metastatic breast cancer (CAPItello-291)

Regulatory approval (EU)

Regulatory submissionsor acceptances*

Tagrisso

EGFRm NSCLC (Stage III unresectable) (LAURA)

sNDA acceptance and Priority Review (US)

Dato-DXd

Β 

Non-squamous NSCLC (2nd- and 3rd-line) (TROPION-Lung01)

Regulatory submission (EU)

sipavibart

Prevention of COVID-19

(SUPERNOVA)

Regulatory submission (EU)

Β 

Β 

Β 

Major Phase III data readouts and other developments

Calquence

Mantle cell lymphoma (1st‑line) (ECHO)

Primary endpoint met

Dato-DXd

Locally advanced or metastatic NSCLC (TROPION-Lung01)

Dual primary endpoint OS not met in the intention to treat population

Enhertu

HER2-low breast cancer (2nd-line) (DESTINY-Breast-06)

Primary endpoint met

Imfinzi

Muscle-invasive bladder cancer (NIAGARA)

Primary endpoint met

Imfinzi

Adjuvant use in early-stage PD-L1 β‰₯25% NSCLC (Adjuvant BR.31)

Primary endpoint not met

Truqap

Locally advanced or metastatic TNBC (CAPItello-290)

Primary endpoint not met

sipavibart

Prevention of COVID-19 (SUPERNOVA)

Primary endpoint met

Β 

*US, EU and China regulatory submission denotes filing acceptance

Β 

Upcoming pipeline catalysts

Β 

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

Β 

Corporate and business development

Β 

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

Β 

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

Β 

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

Β 

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

Β 

Sustainability highlights

Β 

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

Β 

Conference call

Β 

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

Β 

Reporting calendar

Β 

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

Β 

Conclusion of audit tender

Β 

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

Β 

Operating and financial review

Β 

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

Β 

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

Β 

Core financial measures are adjusted to exclude certain significant items:

Β 

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

Β 

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

Β 

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

Β 

β€’ The tax effects of the adjustments above are excluded from the Core Tax charge

Β 

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

Β 

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

Β 

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

Β 

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

Β 

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

Β 

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

Β 

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

Β 

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

Β 

Total Revenue

Β 

Table 4: Total Revenue by therapy area and medicine[6]

Β 

Β 

Β 

H1 2024Β 

Q2 2024Β 

Β 

Β 

Β 

Β 

Β 

% ChangeΒ 

Β 

Β 

% ChangeΒ 

Β 

Total Revenue

Β 

$mΒ 

% TotalΒ 

ActualΒ 

CERΒ 

$mΒ 

% TotalΒ 

ActualΒ 

CERΒ 

OncologyΒ 

10,440Β 

41Β 

19Β 

22Β 

5,331Β 

41Β 

15Β 

19Β 

- TagrissoΒ 

3,203Β 

13Β 

10Β 

13Β 

1,608Β 

12Β 

8Β 

12Β 

- Imfinzi

2,259Β 

9Β 

20Β 

25Β 

1,147Β 

9Β 

13Β 

18Β 

- CalquenceΒ 

1,508Β 

6Β 

27Β 

28Β 

790Β 

6Β 

21Β 

22Β 

- LynparzaΒ 

1,450Β 

6Β 

6Β 

9Β 

744Β 

6Β 

4Β 

7Β 

- EnhertuΒ 

932Β 

4Β 

61Β 

62Β 

472Β 

4Β 

46Β 

49Β 

- Zoladex

567Β 

2Β 

19Β 

26Β 

282Β 

2Β 

17Β 

25Β 

- Imjudo

136Β 

1Β 

35Β 

38Β 

74Β 

1Β 

17Β 

19Β 

- Truqap

142Β 

1Β 

n/mΒ 

n/mΒ 

92Β 

1Β 

n/mΒ 

n/mΒ 

- OrpathysΒ 

25Β 

-Β 

14Β 

18Β 

13Β 

-Β 

(5)

(1)

- Other Oncology

216Β 

1Β 

(21)

(15)

109Β 

1Β 

(17)

(11)

BioPharmaceuticals: CVRMΒ 

6,220Β 

24Β 

19Β 

22Β 

3,160Β 

24Β 

18Β 

22Β 

- FarxigaΒ 

3,836Β 

15Β 

35Β 

38Β 

1,945Β 

15Β 

29Β 

32Β 

- BrilintaΒ 

665Β 

3Β 

-Β 

2Β 

342Β 

3Β 

3Β 

5Β 

- Crestor

590Β 

2Β 

1Β 

6Β 

293Β 

2Β 

4Β 

11Β 

- Lokelma

249Β 

1Β 

26Β 

30Β 

136Β 

1Β 

36Β 

41Β 

- Seloken/Toprol-XLΒ 

315Β 

1Β 

(8)

(1)

150Β 

1Β 

(8)

-Β 

- roxadustat

167Β 

1Β 

22Β 

27Β 

90Β 

1Β 

20Β 

25Β 

- Andexxa

105Β 

-Β 

18Β 

21Β 

59Β 

-Β 

29Β 

35Β 

- Wainua

21Β 

-Β 

n/mΒ 

n/mΒ 

16Β 

-Β 

n/mΒ 

n/mΒ 

- Other CVRM

272Β 

1Β 

(30)

(28)

130Β 

1Β 

(26)

(24)

BioPharmaceuticals: R&IΒ 

3,791Β 

15Β 

19Β 

22Β 

1,905Β 

15Β 

23Β 

26Β 

- SymbicortΒ 

1,491Β 

6Β 

16Β 

19Β 

722Β 

6Β 

20Β 

25Β 

- Fasenra

781Β 

3Β 

5Β 

6Β 

423Β 

3Β 

4Β 

5Β 

- Breztri

454Β 

2Β 

48Β 

51Β 

235Β 

2Β 

44Β 

47Β 

- PulmicortΒ 

379Β 

1Β 

10Β 

14Β 

155Β 

1Β 

25Β 

30Β 

- Tezspire

280Β 

1Β 

>2xΒ 

>2xΒ 

160Β 

1Β 

97Β 

>2xΒ 

- SaphneloΒ 

203Β 

1Β 

77Β 

77Β 

112Β 

1Β 

65Β 

65Β 

- Airsupra

21Β 

-Β 

n/mΒ 

n/mΒ 

14Β 

-Β 

n/mΒ 

n/mΒ 

- Other R&IΒ 

181Β 

1Β 

(26)

(25)

83Β 

1Β 

(21)

(19)

BioPharmaceuticals: V&IΒ 

350Β 

1Β 

(45)

(42)

119Β 

1Β 

(57)

(53)

- Beyfortus

Β 

80Β 

-Β 

>10xΒ 

>10xΒ 

35Β 

-Β 

>10xΒ 

>10xΒ 

- Synagis

Β 

253Β 

1Β 

(11)

(6)

81Β 

1Β 

(6)

8Β 

- COVID-19 mAbs

3Β 

-Β 

(99)

(99)

1Β 

-Β 

(99)

(99)

- FluMist

8Β 

-Β 

(34)

(36)

2Β 

-Β 

(84)

(84)

- Other V&I

6Β 

-Β 

(79)

(80)

-Β 

-Β 

n/mΒ 

n/mΒ 

Rare Disease

4,243Β 

17Β 

11Β 

15Β 

2,147Β 

17Β 

10Β 

14Β 

- UltomirisΒ 

1,804Β 

7Β 

32Β 

35Β 

946Β 

7Β 

33Β 

36Β 

- Soliris

1,439Β 

6Β 

(13)

(8)

700Β 

5Β 

(14)

(8)

- StrensiqΒ 

653Β 

3Β 

16Β 

18Β 

340Β 

3Β 

13Β 

14Β 

- KoselugoΒ 

247Β 

1Β 

55Β 

64Β 

114Β 

1Β 

43Β 

45Β 

- KanumaΒ 

100Β 

-Β 

17Β 

20Β 

47Β 

-Β 

3Β 

8Β 

Other MedicinesΒ 

573Β 

2Β 

(9)

(2)

276Β 

2Β 

(11)

(5)

- NexiumΒ 

Β 

469Β 

2Β 

(6)

2Β 

227Β 

2Β 

(10)

(3)

- OthersΒ 

104Β 

-Β 

(21)

(18)

49Β 

-Β 

(16)

(12)

Total

25,617Β 

100Β 

15Β 

18Β 

12,938Β 

100Β 

13Β 

17Β 

Β 

Table 5: Alliance Revenue

H1 2024

Q2 2024

Β 

% Change

Β 

Β 

% Change

Β 

Β 

$mΒ 

% TotalΒ 

ActualΒ 

CERΒ 

$mΒ 

% TotalΒ 

ActualΒ 

CERΒ 

Enhertu

683Β 

73Β 

44Β 

44Β 

344Β 

71Β 

35Β 

36Β 

Tezspire

180Β 

19Β 

72Β 

72Β 

104Β 

22Β 

67Β 

67Β 

Beyfortus

26Β 

3Β 

n/mΒ 

n/mΒ 

7Β 

1Β 

n/mΒ 

n/mΒ 

Other Alliance RevenueΒ 

50Β 

5Β 

4Β 

4Β 

27Β 

6Β 

17Β 

17Β 

TotalΒ 

Β 

939Β 

100Β 

50Β 

50Β 

482Β 

100Β 

42Β 

42Β 

Β 

Β 

Table 6: Collaboration Revenue

H1 2024

Q2 2024

Β 

Β 

Β 

% Change

Β 

Β 

% Change

Β 

Β 

$mΒ 

% TotalΒ 

ActualΒ 

CERΒ 

$mΒ 

% TotalΒ 

ActualΒ 

CERΒ 

Farxiga: sales milestonesΒ 

49Β 

100Β 

96Β 

96Β 

4Β 

100Β 

>5xΒ 

>5xΒ 

COVID-19 mAbs: licence fees

-Β 

-Β 

n/mΒ 

n/mΒ 

-Β 

-Β 

n/mΒ 

n/mΒ 

Other Collaboration RevenueΒ 

-Β 

-Β 

(98)

(98)

-Β 

-Β 

n/mΒ 

n/mΒ 

TotalΒ 

Β 

49Β 

100Β 

(78)

(78)

4Β 

100Β 

(98)

(98)

Β 

Table 7: Total Revenue by therapy area

Β 

H1 2024

Q2 2024

Β 

% Change

% Change

Β 

$mΒ 

% TotalΒ 

Β ActualΒ 

CERΒ 

$mΒ 

% TotalΒ 

Β ActualΒ 

CERΒ 

Oncology

10,440Β 

41Β 

19Β 

22Β 

5,331Β 

41Β 

15Β 

19Β 

Biopharmaceuticals

10,362Β 

40Β 

14Β 

17Β 

5,184Β 

40Β 

15Β 

19Β 

CVRM

Β 

6,220Β 

24Β 

19Β 

22Β 

3,160Β 

24Β 

18Β 

22Β 

R&I

Β 

3,791Β 

15Β 

19Β 

22Β 

1,905Β 

15Β 

23Β 

26Β 

V&I

Β 

350Β 

1Β 

(45)

(42)

119Β 

1Β 

(57)

(53)

Rare Disease

4,243Β 

17Β 

11Β 

15Β 

2,147Β 

17Β 

10Β 

14Β 

Other Medicines

573Β 

2Β 

(9)

(2)

276Β 

2Β 

(11)

(5)

Total

Β 

25,617Β 

100Β 

15Β 

18Β 

12,938Β 

100Β 

13Β 

17Β 

Β 

Table 8: Total Revenue by region

Β 

H1 2024Β 

Q2 2024

Β 

% ChangeΒ 

% Change

Β 

$mΒ 

% TotalΒ 

Β ActualΒ 

CERΒ 

$mΒ 

% TotalΒ 

Β ActualΒ 

CERΒ 

US

10,695Β 

42Β 

18Β 

18Β 

5,571Β 

43Β 

17Β 

17Β 

Emerging Markets

7,119Β 

28Β 

13Β 

22Β 

3,386Β 

26Β 

9Β 

18Β 

China

Β 

3,378Β 

13Β 

11Β 

15Β 

1,630Β 

13Β 

13Β 

18Β 

Emerging Markets ex. China

Β 

3,740Β 

15Β 

16Β 

29Β 

1,756Β 

14Β 

5Β 

18Β 

Europe

5,365Β 

21Β 

23Β 

22Β 

2,732Β 

21Β 

24Β 

24Β 

Established ROW

2,438Β 

10Β 

(5)

4Β 

1,249Β 

10Β 

(5)

6Β 

Total

Β 

25,617Β 

100Β 

15Β 

18Β 

12,938Β 

100Β 

13Β 

17Β 

Β 

Oncology

Β 

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

Β 

Tagrisso

Β 

H1 2024, $m

Worldwide

US

Emerging Markets

Europe

Established RoW

Total Revenue

3,203

1,282

919

628

374

Actual change

10%

16%

8%

16%

(11%)

CER change

13%

16%

16%

15%

(2%)

Β 

Region

Β Drivers and commentary

Worldwide

* Strong global demand for Tagrisso in adjuvant (ADAURA) and 1st-line settings (FLAURA, FLAURA2)

US

* Continued adjuvant and 1st-line demand growth

Emerging Markets

* Encouraging demand growth across markets despite local competition in China

Europe

* Continued demand growth in 1st-line and adjuvant settings

Established RoW

* Continued growth across indications, impacted by 10.5% mandatory price reduction in Japan effective from June 2023

Β 

Imfinzi

Β 

H1 2024, $m

Worldwide

US

Emerging Markets

Europe

Established RoW

Total Revenue

2,259

1,202

245

459

353

Actual change

20%

17%

35%

38%

7%

CER change

25%

17%

58%

36%

19%

Β 

Region

Β Drivers and commentary

Worldwide

* Continued growth driven by BTC (TOPAZ-1), HCC (HIMALAYA), and increased patient share in Stage IV NSCLC (POSEIDON) and extensive-stage SCLC (CASPIAN)

US

* Continued demand growth driven primarily by HCC and extensive-stage SCLC, having achieved peak market share and stabilisation in BTC

Emerging Markets

* New patient share growth across all indications

* China growth driven largely by increasing demand in BTC

Europe

* Growth driven by share gains in extensive-stage SCLC and new launches in HCC, BTC and NSCLC

Established RoW

* Increased demand in GI indications, offset by a 25% mandatory price reduction in Japan effective from 1 February 2024

Β 

Calquence

Β 

H1 2024, $m

Worldwide

US

Emerging Markets

Europe

Established RoW

Total Revenue

1,508

1,048

75

320

65

Actual change

27%

21%

82%

42%

30%

CER change

28%

21%

>2x

41%

34%

Β 

Region

Β Drivers and commentary

Worldwide

* Sustained leadership in front-line CLL (ELEVATE-TN) and increased global penetration

US

* Growth driven by leading share of new patient starts in front-line CLL, and improved affordability

Europe

* Continued strong growth in front-line

Β 

Lynparza

Β 

H1 2024, $m

Worldwide

US

Emerging Markets

Europe

Established RoW

Total Revenue

1,450

607

320

398

125

Actual change

6%

5%

15%

9%

(14%)

CER change

9%

5%

26%

8%

(6%)

Β 

Region

Β Drivers and commentary

Worldwide

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

* No Collaboration Revenue for Lynparza was recognised in either H1 2024 or H1 2023, hence the Product Sales numbers are identical to the Total Revenue numbers shown above

US

* Continued leadership within PARP inhibitor class despite competition, offset by negative class pressure and maturity

Emerging Markets

* Volume growth in China from increased share in newly diagnosed BRCA-mutated ovarian cancer (SOLO-1) and inclusion of HRD-positive ovarian cancer (PAOLA-1) on NRDL with no price reduction

Europe

* Demand growth driven by recent launches in mCRPC (PROpel) and early breast cancer (OlympiA)

Established RoW

* Demand growth from 1st-line ovarian cancer, offset by price reduction in Japan effective from November 2023

Β 

Β 

Enhertu

Β 

H1 2024, $m

Worldwide

US

Emerging Markets

Europe

Established RoW

Total Revenue

932

414

224

263

31

Actual change

61%

22%

>2x

>2x

>3x

CER change

62%

22%

>2x

>2x

>3x

Β 

Region

Β Drivers and commentary

Worldwide

* Combined sales of Enhertu, recorded by Daiichi Sankyo and AstraZeneca, amounted to $1,772m in H1 2024 (H1Β 2023: $1,169m)

US

* US in-market sales, recorded by Daiichi Sankyo, amounted to $865m in H1 2024 (H1 2023: $712m)

* Continued demand across all indications with encouraging early launch following tumour-agnostic approval in April 2024 (DESTINY-PanTumor02, DESTINY-Lung01, DESTINY‑CRC02)

Emerging Markets

* Sustained demand growth, with quarterly phasing impacted by launch-related inventory build in China in Q1 2024 and subsequent destocking

Europe

* Continued demand growth due to increasing adoption in HER2-positive (DESTINY-Breast03) and HER2-low (DESTINY-Breast04) metastatic breast cancer

Established RoW

* AstraZeneca's Alliance Revenue includes a mid single-digit percentage royalty on Daiichi Sankyo's sales in Japan

Β 

Other Oncology medicines

Β 

H1 2024

Change

Β 

Total Revenue

$m

Actual

CER

Drivers and commentary

Zoladex

567

19%

26%

* Strong underlying growth in China and Emerging Markets and moderate growth in Europe offset by drop in Japan

Imjudo

136

35%

38%

* Continued growth across markets slightly offset by US inventory destocking in H1 2024

Truqap

142

n/m

n/m

* Strong demand growth with strong uptake in biomarker altered subgroup of HR-positive HER2-negative metastatic breast cancer (CAPItello-291)

Orpathys

25

14%

18%

* Demand in China for the treatment of patients with NSCLC with MET exon 14 skipping alterations

Other Oncology

216

(21%)

(15%)

* Decline in Faslodex Total Revenue due to VBP implementation in China in March 2024 in addition to ongoing generic erosion in Europe

Β 

Β 

BioPharmaceuticals

Β 

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

Β 

BioPharmaceuticals - CVRM

Β 

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

Β 

Farxiga

Β 

H1 2024, $m

Worldwide

US

Emerging Markets

Europe

Established RoW

Total Revenue

3,836

869

1,474

1,233

260

Actual change

35%

37%

37%

45%

(5%)

CER change

38%

37%

44%

44%

3%

Β 

Region

Β Drivers and commentary

Worldwide

* Farxiga volume is growing faster than the overall SGLT2 market in all major regions, driven by continued demand in heart failure and CKD

* SGLT2 class growth underpinned by updated cardiorenal guidelines

US

* Growth driven by underlying demand in HFrEF and CKD

* Launch of an authorised generic in the first quarter of 2024

Emerging Markets

Β 

* Increased reimbursement supporting solid growth despite entry of generic competition in some markets

* Strong momentum in Latin America

Europe

* Continued strong class growth and market share gains fuelled by HFpEF approval in 2023 and guidelines updates

Established RoW

* Performance impacted by generic competition in Canada

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

Β 

Other CVRM medicines

Β 

H1 2024

Change

Β 

Total Revenue

$m

Actual

CER

Drivers and commentary

Brilinta

665

-

2%

* Continued sales growth in Emerging Markets, decline in Est. RoW driven by generic competition in Canada

Crestor

590

1%

6%

* Continued sales growth in Emerging Markets

Seloken

315

(8%)

(1%)

* Stable following VBP implementation in China in 2022

Lokelma

249

26%

30%

* Strong growth in all major regions. Continued launches in new markets

roxadustat

167

22%

27%

* Increased demand in both the dialysis and non-dialysis-dependent populations. NRDL listing renewed

Andexxa

105

18%

21%

* Growth in all major regions

Wainua

21

n/m

n/m

* Encouraging launch uptake following ATTRv-PN approval in the US in December 2023

Other CVRM

272

(30%)

(28%)

Β 

BioPharmaceuticals - R&I

Β 

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

Β 

Fasenra

Β 

H1 2024, $m

Worldwide

US

Emerging Markets

Europe

Established RoW

Total Revenue

781

478

41

192

70

Actual change

5%

2%

45%

9%

(2%)

CER change

6%

2%

53%

8%

6%

Region

Β Drivers and commentary

Worldwide

* Continued asthma market share leadership in IL-5 class across major marketsΒ 

US

* Maintained share of a growing severe asthma biologics market

Emerging Markets

* Continued strong demand growth driven by launch acceleration across key marketsβ€―

Europe

* Expanded leadership in severe eosinophilic asthmaΒ 

Established RoW

* In Japan, maintained class leadership in a broadly stable market

Β 

Breztri

Β 

H1 2024, $m

Worldwide

US

Emerging Markets

Europe

Established RoW

Total Revenue

454

225

131

65

33

Actual change

48%

37%

61%

80%

33%

CER change

51%

37%

69%

79%

44%

Β 

Region

Β Drivers and commentary

Worldwide

* Fastest growing medicine within the expanding FDC triple class, across major markets

US

* Consistent share growth within the expanding FDC triple class

Emerging Markets

* Maintained market share leadership in China with strong triple FDC class penetration

* Further expansion with launches in additional geographies

Europe

* Sustained growth across markets driven by new launches

Established RoW

* Increased market share in Japan

Β 

Tezspire

Β 

H1 2024, $m

Worldwide

US

Emerging Markets

Europe

Established RoW

Total Revenue

280

Β 

180

5

61

34

Actual change

>2x

Β 

72%

>10x

>3x

>2x

CER change

>2x

Β 

72%

>10x

>3x

>2x

Β 

Region

Β Drivers and commentary

Worldwide

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

US

* Continued growth in total prescriptions, and maintained new-to-brand market share with majority of patients new-to-biologics

Europe

* Achieved new-to-brand leadership across multiple markets, new launches continue to progressΒ 

Established RoW

* Japan maintained new-to-brand leadership

Β 

Symbicort

Β 

H1 2024, $m

Worldwide

US

Emerging Markets

Europe

Established RoW

Total Revenue

1,491

598

450

286

157

Actual change

16%

38%

11%

-

(4%)

CER change

19%

38%

21%

(1%)

(2%)

Β 

Region

Β Drivers and commentary

Worldwide

* Symbicort remained the global market leader within a stable ICS/LABA class

US

* Continued strong demand for the authorised generic and favourable channel mix

Emerging Markets

* Strong demand growth

Europe

* Continued price and volume erosion from generics and a slowing overall market partially offset by growth in some markets within mild asthma

Established RoW

* Continued generic erosion in Japan

Β 

Other R&I medicines

Β 

H1 2024

Change

Β 

Total Revenue

$m

Actual

CER

Drivers and commentary

Pulmicort

Β 

379

10%

14%

* >80% of revenues from Emerging Markets

Saphnelo

Β 

203

77%

77%

* Demand acceleration in the US, and additional growth driven by ongoing launches in Europe and Established RoW

Airsupra

Β 

21

n/m

n/m

* Strong US launch momentum and volume uptake. Revenue in the period reflects introductory discounts as early access continues to build

Other R&I

181

(26%)

(25%)

* Generic competition

Β 

BioPharmaceuticals - V&I

Β 

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

Β 

V&I medicines

Β 

H1 2024

Change

Β 

Total Revenue

$m

Actual

CER

Drivers and commentary

Beyfortus

Β 

80

>10x

>10x

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

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

* AstraZeneca has no participation in US profits or losses

Synagis

Β 

253

(11%)

(6%)

* Decline has been more than offset by Beyfortus growth

COVID-19 mAbs

3

(99%)

(99%)

* Decline in Evusheld sales and Collaboration Revenue (Total Revenue H1 2023: $306m)

FluMist

8

(34%)

(36%)

Other V&I

6

(79%)

(80%)

* Decline in Vaxzevria sales (H1 2023: $28m)

Β 

Rare Disease

Β 

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

Β 

Ultomiris

Β 

H1 2024, $m

Worldwide

US

Emerging Markets

Europe

Established RoW

Total Revenue

1,804

1,032

66

411

295

Actual change

32%

27%

>2x

32%

42%

CER change

35%

27%

>2x

31%

58%

Β 

Region

Β Drivers and commentary

Worldwide

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

* The reported revenues for Ultomiris include sales of Voydeya, which is approved as an add‑on treatment to Ultomiris and Soliris for the 10-20% of PNH patients who experience clinically significant EVH.

* Voydeya is a strategic launch in this small subset of PNH patients. Voydeya ensures these patients can remain on the standard of care, Ultomiris

US

* Patient growth in gMG and newly launched NMOSD, continued conversion from Soliris

Emerging Markets

* Continued growth following launches in new markets

Europe

* Strong demand growth following recent launches, particularly from neurology indications, accelerated conversion from Soliris in key markets, partially offset by price reductions to secure reimbursement for new indications

Established RoW

* Continued conversion from Soliris and strong demand following new launches

Β 

Β 

Soliris

Β 

H1 2024, $m

Worldwide

US

Emerging Markets

Europe

Established RoW

Total Revenue

1,439

808

255

260

116

Actual change

(13%)

(9%)

19%

(29%)

(33%)

CER change

(8%)

(9%)

54%

(30%)

(30%)

Β 

Region

Β Drivers and commentary

US

* Decline driven by successful conversion of Soliris patients to Ultomiris

Emerging Markets

* Growth driven by patient demand following launches in new markets

Europe

* Decline driven by biosimilar erosion in PNH and aHUS and successful conversion from Soliris to Ultomiris

Established RoW

* Decline driven by successful conversion from Soliris to Ultomiris

Β 

Strensiq

Β 

H1 2024, $m

Worldwide

US

Emerging Markets

Europe

Established RoW

Total Revenue

653

529

31

48

45

Actual change

16%

17%

30%

14%

4%

CER change

18%

17%

47%

12%

15%

Β 

Region

Β Drivers and commentary

Worldwide

* Growth driven by strong patient demand

Β 

Other Rare Disease medicines

Β 

H1 2024

Change

Β 

Total Revenue

$m

Actual

CER

Drivers and commentary

Koselugo

247

55%

64%

* Driven by patient demand and expansion in new markets

Kanuma

100

17%

20%

* Continued global demand

Β 

Other medicines (outside the main therapy areas)

Β 

H1 2024

Change

Β 

Total Revenue

$m

Actual

CER

Drivers and commentary

Nexium

Β 

469

(6%)

2%

* Growth in Emerging Markets offset declines elsewhere

Others

104

(21%)

(18%)

* Continued impact of generic competition

Β 

Β 

Financial performance

Β 

Table 9: Reported Profit and Loss

Β 

H1 2024

H1 2023

% ChangeΒ 

Q2 2024

Q2 2023

% Change

Β 

Β 

Β 

$mΒ Β 

$mΒ Β 

ActualΒ 

CERΒ 

$mΒ 

$mΒ 

ActualΒ 

CERΒ 

Total Revenue

Β 

25,617Β 

22,295Β 

15Β 

18Β 

12,938Β 

11,416Β 

13Β 

17Β 

- Product Sales

24,629Β 

21,448Β 

15Β 

18Β 

12,452Β 

10,882Β 

14Β 

18Β 

- Alliance Revenue

939Β 

627Β 

50Β 

50Β 

482Β 

341Β 

42Β 

42Β 

- Collaboration Revenue

49Β 

220Β 

(78)

(78)

4Β 

193Β 

(98)

(98)

Cost of sales

(4,401)

(3,865)

14Β 

17Β 

(2,183)

(1,960)

11Β 

17Β 

Gross profit

Β 

21,216Β 

18,430Β 

15Β 

18Β 

10,755Β 

9,456Β 

14Β 

17Β 

Distribution expense

(267)

(265)

1Β 

3Β 

(132)

(131)

1Β 

4Β 

R&D expense

(5,791)

(5,278)

10Β 

10Β 

(3,008)

(2,667)

13Β 

13Β 

SG&A expense

(9,424)

(9,045)

4Β 

6Β 

(4,929)

(4,986)

(1)

1Β 

Other operating income & expense

127Β 

1,163Β 

(89)

(89)

60Β 

784Β 

(92)

(92)

Operating profit

5,861Β 

5,005Β 

17Β 

25Β 

2,746Β 

2,456Β 

12Β 

20Β 

Net finance expense

(645)

(654)

(1)

(4)

(343)

(367)

(7)

(7)

Joint ventures and associates

(19)

(1)

n/m

n/mΒ 

(6)

(1)

n/m

n/mΒ 

Profit before tax

Β 

5,197Β 

4,350Β 

19Β 

29Β 

2,397Β 

2,088Β 

15Β 

24Β 

Taxation

(1,089)

(726)

50Β 

62Β 

(469)

(268)

75Β 

90Β 

Tax rate

Β 

21%Β 

17%Β 

Β 

20%Β 

13%Β 

Profit after tax

Β 

4,108Β 

3,624Β 

13Β 

23Β 

1,928Β 

1,820Β 

6Β 

15Β 

Earnings per share

Β 

$2.65Β 

$2.34Β 

13Β 

23Β 

$1.24Β 

$1.17Β 

6Β 

15Β 

Β 

Table 10: Reconciliation of Reported Profit before tax to EBITDA

Β 

H1 2024

H1 2023

% Change

Q2 2024

Q2 2023

% Change

Β 

$mΒ 

$mΒ Β 

ActualΒ 

CERΒ 

$mΒ 

$mΒ 

ActualΒ 

CERΒ 

Reported Profit before taxΒ 

5,197Β 

4,350Β 

19Β 

29Β 

2,397Β 

2,088Β 

15Β 

24Β 

Net finance expenseΒ 

645Β 

654Β 

(1)

(4)

343Β 

367Β 

(7)

(7)

Joint ventures and associatesΒ 

19Β 

1Β 

n/m

n/mΒ 

6Β 

1Β 

n/m

n/m

Depreciation, amortisation and impairmentΒ 

2,534Β 

2,778Β 

(9)

(9)

1,279Β 

1,276Β 

-Β 

1Β 

EBITDAΒ 

8,395Β 

7,783Β 

8Β 

13Β 

4,025Β 

3,732Β 

8Β 

14Β 

Β 

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

Β 

H1 2024

Reported

Restructuring

Intangible Asset Amortisation & Impairments

Other

Core

Core

% Change

Β 

$mΒ 

$mΒ 

$mΒ 

$mΒ 

$mΒ 

ActualΒ 

CERΒ 

Gross profit

Β 

21,216Β 

36Β 

19Β 

-Β 

21,271Β 

14Β 

17Β 

Product Sales Gross Margin

Β 

82%Β 

Β 

Β 

Β 

82%Β 

-1ppΒ 

-1ppΒ 

Distribution expense

(267)

-Β 

-Β 

-Β 

(267)

1Β 

3Β 

R&D expense

(5,791)

177Β 

39Β 

5Β 

(5,570)

14Β 

15Β 

% of Total Revenue

23%Β 

22%Β 

-Β 

+1pp

SG&A expense

(9,424)

138Β 

1,884Β 

254Β 

(7,148)

13Β 

15Β 

% of Total Revenue

37%Β 

28%Β 

+1ppΒ 

+1ppΒ 

Total operating expense

(15,482)

315Β 

1,923Β 

259Β 

(12,985)

13Β 

15Β 

Other operating income & expense

127Β 

(2)

-Β 

-Β 

125Β 

(89)

(89)

Operating profit

Β 

5,861Β 

349Β 

1,942Β 

259Β 

8,411Β 

2Β 

7Β 

Operating Margin

Β 

23%Β 

Β 

Β 

Β 

33%Β 

-4ppΒ 

-3ppΒ 

Net finance expense

(645)

-Β 

-Β 

115Β 

(530)

6Β 

3Β 

Taxation

(1,089)

(80)

(368)

(71)

(1,608)

13Β 

19Β 

EPS

Β 

$2.65Β 

$0.17Β 

$1.01Β 

$0.20Β 

$4.03Β 

(1)

5Β 

Β 

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

Q2 2024

Reported

Restructuring

Intangible Asset Amortisation & Impairments

Other

Core

Core

% Change

$mΒ 

$mΒ 

$mΒ 

$mΒ 

$mΒ 

ActualΒ 

CERΒ 

Gross profit

Β 

10,755Β 

16Β 

9Β 

-Β 

10,780Β 

13Β 

17Β 

Product Sales Gross Margin

Β 

82%Β 

Β 

Β 

Β 

83%Β 

-Β 

-Β 

Distribution expense

(132)

-Β 

-Β 

-Β 

(132)

1Β 

4Β 

R&D expense

(3,008)

97Β 

35Β 

4Β 

(2,872)

12Β 

13Β 

% of Total Revenue

23%Β 

22%Β 

-Β 

+1ppΒ 

SG&A expense

(4,929)

41Β 

943Β 

210Β 

(3,735)

13Β 

16Β 

% of Total Revenue

38%Β 

29%Β 

-Β 

-Β 

Total operating expense

(8,069)

138Β 

978Β 

214Β 

(6,739)

12Β 

14Β 

Other operating income & expense

60Β 

-Β 

-Β 

-Β 

60Β 

(92)

(92)

Operating profit

Β 

2,746Β 

154Β 

987Β 

214Β 

4,101Β 

(4)

1Β 

Operating Margin

Β 

21%Β 

Β 

Β 

Β 

32%Β 

-6ppΒ 

-5ppΒ 

Net finance expense

(343)

-Β 

-Β 

58Β 

(285)

10Β 

10Β 

Taxation

(469)

(35)

(185)

(52)

(741)

7Β 

13Β 

EPS

Β 

$1.24Β 

$0.08Β 

$0.51Β 

$0.15Β 

$1.98Β 

(8)

(3)

Β 

Profit and Loss drivers

Β 

Gross profit

Β 

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

Β 

β€’ The change in Product Sales Gross Margin (Reported and Core) in H1 2024 was impacted by:

Β 

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

Β 

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

Β 

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

Β 

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

Β 

R&D expense

Β 

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

Β 

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

Β 

β€’ Investment in platforms, new technology and capabilities to enhance R&D capabilities

Β 

β€’ Addition of R&D projects following completion of previously announced business development activity including Icosavax, Gracell and Fusion

Β 

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

Β 

SG&A expense

Β 

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

Β 

Other operating income and expense

Β 

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

Β 

Net finance expense

Β 

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

Β 

Taxation

Β 

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

Β 

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

Β 

Dividend

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

Β 

Table 13: Cash Flow summary

Β 

H1 2024Β 

H1 2023Β 

ChangeΒ 

$mΒ 

$mΒ 

$mΒ 

Reported Operating profit

5,861Β 

5,005Β 

856Β 

Depreciation, amortisation and impairment

2,534Β 

2,778Β 

(244)

Movement in working capital and short-term provisions

(584)

(747)

163Β 

Gains on disposal of intangible assets

(21)

(249)

228Β 

Fair value movements on contingent consideration arising from

business combinations

251Β 

202Β 

49Β 

Non-cash and other movements

(550)

(594)

44Β 

Interest paid

(583)

(483)

(100)

Taxation paid

(1,337)

(1,061)

(276)

Net cash inflow from operating activities

5,571Β 

4,851Β 

720Β 

Net cash inflow before financing activities

286Β 

3,085Β 

(2,799)

Net cash inflow/(outflow) from financing activities

806Β 

(3,550)

4,356Β 

Β 

The change in Net cash inflow before financing activities in the half year to 30 June 2024 is primarily driven by the movement in Acquisitions of subsidiaries, net of cash acquired and initial investment, of $2,771m, and relates to the acquisition of Gracell Biotechnologies, Inc. for $774m and acquisition of Fusion Pharmaceuticals Inc., for $1,997m as compared to the acquisition of Neogene Therapeutics, Inc. for $189m in H1 2023.

Β 

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

Β 

Capital expenditure

Β 

Capital expenditure amounted to $799m in H1 2024 (H1 2023: $517m). Capital expenditure is expected to increase substantially in 2024, driven by investment in several major manufacturing projects and continued investment in technology upgrades.

Β 

Table 14: Net debt summary

Β 

AtΒ 30Β 

Β Jun 2024Β 

AtΒ 31Β 

Β Dec 2023Β 

AtΒ 30Β 

JunΒ 2023Β 

$mΒ 

$mΒ 

$mΒ 

Cash and cash equivalents

6,916Β 

5,840Β 

5,664Β 

Other investments

160Β 

122Β 

148Β 

Cash and investments

7,076Β 

5,962Β 

5,812Β 

Overdrafts and short-term borrowings

(596)

(515)

(421)

Commercial paper

(2,453)

-Β 

-Β 

Lease liabilities

(1,241)

(1,128)

(953)

Current instalments of loans

(2,018)

(4,614)

(4,135)

Non-current instalments of loans

(27,225)

(22,365)

(24,329)

Interest-bearing loans and borrowings (Gross debt)

(33,533)

(28,622)

(29,838)

Net derivatives

133Β 

150Β 

56Β 

Net debt

(26,324)

(22,510)

(23,970)

Β 

Β 

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

Β 

Capital allocation

Β 

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

Β 

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

Β 

Summarised financial information for guarantee of securities of subsidiaries

Β 

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

Β 

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

Β 

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

Β 

Please refer to the Consolidated financial statements of AstraZeneca PLC in our Annual Report on Form 20‑F as filed with the SEC and information contained herein for further financial information regarding AstraZeneca PLC and its consolidated subsidiaries. For further details, terms and conditions of the AstraZeneca Finance Notes please refer to AstraZeneca PLC's reports on Form 6-K furnished to the SEC on 22 February 2024, 3 March 2023 and 28 May 2021.

Β 

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

Β 

Table 15: Obligor group summarised Statement of comprehensive income

Β 

Β 

H1 2024

H1 2023

Β 

$mΒ 

$mΒ 

Total Revenue

-Β 

-Β 

Gross profit

-Β 

-Β 

Operating loss

-Β 

(2)

Loss for the period

(545)

(480)

Transactions with subsidiaries that are not issuers or guarantors

964Β 

9,487Β 

Β 

Table 16: Obligor group summarised Statement of financial position

Β 

Β 

AtΒ 30 Jun 2024Β 

AtΒ 30 Jun 2023Β 

Β 

$mΒ 

$mΒ 

Current assets

13Β 

7Β 

Non-current assets

-Β 

-Β 

Current liabilities

(4,795)

(4,091)

Non-current liabilities

(27,133)

(24,165)

Amounts due from subsidiaries that are not issuers or guarantors

20,730Β 

15,761Β 

Amounts due to subsidiaries that are not issuers or guarantors

-Β 

(290)

Β 

Foreign exchange

Β 

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

Β 

Table 17: Currency sensitivities

Β 

The Company provides the following information on currency-sensitivity:

Β 

Β 

Β 

Average

rates vs. USD

Β 

Annual impact ($m) of 5% strengthening (FYΒ 2024 average rate vs. FY 2023 average) [8]

Currency

Primary Relevance

Β 

FY 2023[9]

YTD 2024[10]

Change

Β (%)

June Β 2024[11]

Change

Β (%)

Β 

Total Revenue

Core Operating Profit

EUR

Total Revenue

0.92

0.93

(0)

0.93

(0)

397

179Β 

CNY

Total Revenue

7.09

7.23

(2)

7.27

(3)

322

182Β 

JPY

Total Revenue

140.60

152.26

(8)

158.03

(11)

177

119Β 

Other[12]

453

227Β 

GBP

Operating expense

0.80

0.79

2Β 

0.79

2Β 

60

(126)

SEK

Operating expense

10.61

10.54

1Β 

10.49

1Β 

9

(63)

Β 

Related-party transactions

Β 

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

Β 

Principal risks and uncertainties

Β 

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

Β 

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

Β 

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

Β 

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

Β 

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

Β 

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

Β 

Sustainability

Β 

AstraZeneca released its first Sustainability Impact Publication as a complement to its ninth annual Sustainability Report. This publication spotlights the diverse ways in which the Company is contributing to the health of people, society and the planet.

Β 

Access to healthcare

Β 

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

Β 

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

Β 

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

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

Β 

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

Β 

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

Β 

Environmental protection

Β 

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

Β 

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

Β 

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

Β 

Ethics and transparency

Β 

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

Β 

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

Β 

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

Β 

Research and development

Β 

This section covers R&D events and milestones that have occurred since the prior results announcement on 25Β April 2024, up to and including events on 24 July 2024.

Β 

A comprehensive view of AstraZeneca's pipeline of medicines in human trials can be found in the latest Clinical Trials Appendix, available on www.astrazeneca.com/investor-relations. The Clinical Trials Appendix includes tables with details of the ongoing clinical trials for AstraZeneca medicines and new molecular entities in the pipeline.

Β 

Oncology

Β 

AstraZeneca presented new data across its diverse portfolio of cancer medicines at two major medical congresses since the prior results announcement: the American Society of Clinical Oncology (ASCO) in May and June 2024 and European Hematology Association (EHA) in June 2024. At ASCO, AstraZeneca presented more than 100 abstracts featuring 25 approved and potential new medicines across the Company's diverse oncology portfolio and pipeline, including two late-breaking plenary presentations, a special late-breaking abstract session presentation and 15 oral presentations. At EHA, AstraZeneca presented 17 abstracts including one oral presentation and 10 posters across one approved and four investigational products.

Β 

Tagrisso

Β 

Event

Commentary

Presentation: ASCO

LAURA

Primary analysis of the Phase III LAURA trial, presented at ASCO, showed Tagrisso reduced the risk of disease progression or death by 84% compared to placebo (HR 0.16, 95% CI 0.10-0.24, pTagrisso versus 5.6 months for placebo.

sNDA acceptance and Priority Review

US

For the treatment of adult patients with unresectable, Stage III EGFRm NSCLC after chemoradiotherapy. (LAURA, June 2024)

Approvals

Japan, China

Tagrisso with the addition of pemetrexed and platinum-based chemotherapy for the 1st-line treatment of adult patients with locally advanced or metastatic EGFRm NSCLC whose tumours have exon 19 deletions or exon 21 (L858R) mutations. (FLAURA2, June 2024)

Approval

Europe

Β 

Tagrisso with the addition of pemetrexed and platinum-based chemotherapy for the 1st-line treatment of adult patients with advanced EGFRm NSCLC whose tumours have exon 19 deletions or exon 21 (L858R) mutations. (FLAURA2, July 2024)

Β 

Imfinzi and Imjudo

Β 

Event

Commentary

Presentation: ASCO

ADRIATIC

Β 

Β 

Planned interim analysis of the Phase III ADRIATIC trial, presented at ASCO, demonstrated Imfinzi reduced the risk of death by 27% versus placebo (OS HR 0.73, 95% CI 0.57-0.93, p=0.0104) with an estimated 57% of patients treated with Imfinzi alive at three years compared to 48% on placebo. (June 2024)

Approval

US

Β 

Imfinzi in combination with carboplatin and paclitaxel followed by Imfinzi monotherapy for treatment for adult patients with primary advanced or recurrent endometrial cancer that is mismatch repair deficient. (DUO-E, June 2024)

Phase III data readout

NIAGARA

Β 

Met primary endpoint, with Imfinzi in combination with chemotherapy demonstrating a statistically significant and clinically meaningful improvement in the primary endpoint of event-free survival and the key secondary endpoint of OS versus neoadjuvant chemotherapy for patients with muscle-invasive bladder cancer. (June 2024)

Trial update

BR.31

Β 

BR.31 Phase III trial for Imfinzi in early-stage (IB-IIIA) NSCLC after complete tumour resection in patients whose tumours express PD-L1 on 25% or more tumour cells did not achieve statistical significance for the primary endpoint of disease-free survival versus placebo. (June 2024)

CHMP positive opinion

Europe

Β 

Imfinzi plus chemotherapy as 1st-line treatment followed by Lynparza and Imfinzi for patients with mismatch repair proficient disease. Imfinzi plus chemotherapy followed by Imfinzi alone for patients with mismatch repair deficient disease. (DUO‑E, July 2024)

Β 

Lynparza

Β 

Event

Commentary

CHMP positive opinion

Europe

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

Β 

Enhertu

Β 

Event

Commentary

Phase III readout and presentation: ASCO

DESTINY-Breast06

Β 

Met primary endpoint, demonstrating Enhertu resulted in a statistically significant and clinically meaningful improvement in PFS in HR-positive, HER2-low metastatic breast cancer following one or more lines of endocrine therapy. (April 2024)

Β 

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

Β 

Calquence

Β 

Event

Commentary

Phase III readout and presentation: EHA

ECHO

Β 

Β 

Met primary endpoint with Calquence combination regimen demonstrating a statistically significant and clinically meaningful improvement in PFS in 1st-line mantle cell lymphoma. (May 2024)

Β 

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

Β 

Truqap

Β 

Event

Commentary

Phase III trial update

CAPItello-290

Β 

CAPItello-290 Phase III trial for Truqap in combination with paclitaxel in patients with locally advanced or metastatic TNBC did not meet the dual primary endpoints of improvement in OS vs paclitaxel in combination with placebo in either the overall trial population or in a subgroup of patients with tumours harbouring specific biomarker alterations (PIK3CA, AKT1 or PTEN). (June 2024)

Approval

Europe

Β 

In combination with Faslodex for the treatment of adult patients with estrogen receptor-positive, HER2‑negative locally advanced or metastatic breast cancer with one or more PIK3CA, AKT1, or PTEN-alterations following recurrence or progression on or after an endocrine-based regimen. (CAPItello-291, June 2024)

Β 

Datopotamab deruxtecan (Dato-DXd)

Β 

Event

Commentary

Phase IIII trial update

TROPION-Lung01

Β 

Β 

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

Β 

BioPharmaceuticals - CVRM

Β 

Farxiga

Β 

Event

Commentary

Approval

US

Β 

Β 

Improvement of glycaemic control in paediatric patientsΒ with type-2 diabetes aged 10 years and older (T2NOW, June 2024)

Β 

AZD0780 (oral PCSK9)

Β 

Event

Commentary

Presentation: European Atherosclerosis Society

Β 

Β 

Β 

Positive Phase I data demonstrating a statistically significant reduction of 52% in LDL-C levels on top of rosuvastatin treatment, with 78% total reduction from baseline, in treatment-naive participants with hypercholesterolaemia. (May 2024)

Β 

BioPharmaceuticals - R&I

Β 

TezspireΒ 

Β 

Event

Commentary

Presentation: American Thoracic Society

COURSE

Results from the COURSE Phase II trial demonstrated that treatment with Tezspire led to a 17% numerical reduction in the annual rate of moderate or severe COPD exacerbations compared to placebo at week 52. In patients with blood eosinophil counts of 150 cell/Β΅l or more, treatment with Tezspire led to a nominally significant reduction of 37% in the rate of moderate or severe exacerbations compared to placebo. (May 2024)

Phase III readout

DIRECTION

Met the primary endpoint, demonstrating a statistically significant reduction in annual asthma exacerbation rate (AAER) over 52 weeks compared to placebo in patients in China with a history of uncontrolled asthma. (July 2024)

Β 

BioPharmaceuticals - V&I

Β 

sipavibart (COVID-19 mAb)

Β 

Event

Commentary

Phase III readout

SUPERNOVA

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

Β 

Rare Disease

Β 

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

Β 

Interim financial statements

Β 

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

Β 

For the half year ended 30 June

Β 

2024Β 

2023Β 

Β 

Β 

$mΒ 

$mΒ 

Total Revenue

Β 

25,617Β 

22,295Β 

Product Sales

Β 

24,629Β 

21,448Β 

Alliance Revenue

Β 

939Β 

627Β 

Collaboration Revenue

Β 

49Β 

220Β 

Cost of sales

(4,401)

(3,865)

Gross profit

Β 

21,216Β 

18,430Β 

Distribution expense

(267)

(265)

Research and development expense

(5,791)

(5,278)

Selling, general and administrative expense

(9,424)

(9,045)

Other operating income and expense

127Β 

1,163Β 

Operating profit

Β 

5,861Β 

5,005Β 

Finance income

211Β 

141Β 

Finance expense

(856)

(795)

Share of after tax losses in associates and joint ventures

(19)

(1)

Profit before tax

Β 

5,197Β 

4,350Β 

Taxation

(1,089)

(726)

Profit for the period

Β 

4,108Β 

3,624Β 

Other comprehensive income:

Β 

Β 

Β 

Items that will not be reclassified to profit or loss:

Β 

Β 

Β 

Remeasurement of the defined benefit pension liability

101Β 

7Β 

Net gains/(losses) on equity investments measured at fair value through other comprehensive income

89Β 

(48)

Fair value movements related to own credit risk on bonds designated as fair value through profit or loss

12Β 

4Β 

Tax on items that will not be reclassified to profit or loss

(27)

(5)

Β 

Β 

175Β 

(42)

Items that may be reclassified subsequently to profit or loss:

Foreign exchange arising on consolidation

(554)

105Β 

Foreign exchange arising on designated liabilities in net investment hedges

(96)

(101)

Fair value movements on cash flow hedges

(138)

89Β 

Fair value movements on cash flow hedges transferred to profit and loss

102Β 

(71)

Fair value movements on derivatives designated in net investment hedges

45Β 

40Β 

Gains/(costs) of hedging

14Β 

(1)

Tax on items that may be reclassified subsequently to profit or loss

38Β 

12Β 

(589)

73Β 

Other comprehensive (expense)/income, net of tax

Β 

(414)

31Β 

Total comprehensive income for the period

Β 

3,694Β 

3,655Β 

Profit attributable to:

Owners of the Parent

4,106Β 

3,621Β 

Non-controlling interests

2Β 

3Β 

4,108Β 

3,624Β 

Total comprehensive income attributable to:

Owners of the Parent

3,692Β 

3,652Β 

Non-controlling interests

2Β 

3Β 

3,694Β 

3,655Β 

Basic earnings per $0.25 Ordinary Share

$2.65Β 

$2.34Β 

Diluted earnings per $0.25 Ordinary Share

$2.63Β 

$2.32Β 

Weighted average number of Ordinary Shares in issue (millions)

1,549Β 

1,549Β 

Diluted weighted average number of Ordinary Shares in issue (millions)

1,560Β 

1,560Β 

Β 

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

Β 

For the quarter ended 30 June

Β 

Unreviewed[13]Β 

UnreviewedΒ 

Β 

2024Β 

2023Β 

Β 

Β 

$mΒ 

$mΒ 

Total Revenue

Β 

12,938Β 

11,416Β 

Product Sales

Β 

12,452Β 

10,882Β 

Alliance Revenue

Β 

482Β 

341Β 

Collaboration Revenue

Β 

4Β 

193Β 

Cost of sales

(2,183)

(1,960)

Gross profit

Β 

10,755Β 

9,456Β 

Distribution expense

(132)

(131)

Research and development expense

(3,008)

(2,667)

Selling, general and administrative expense

(4,929)

(4,986)

Other operating income and expense

60Β 

784Β 

Operating profit

Β 

2,746Β 

2,456Β 

Finance income

100Β 

64Β 

Finance expense

(443)

(431)

Share of after tax losses in associates and joint ventures

(6)

(1)

Profit before tax

Β 

2,397Β 

2,088Β 

Taxation

(469)

(268)

Profit for the period

Β 

1,928Β 

1,820Β 

Other comprehensive income:

Β 

Β 

Β 

Items that will not be reclassified to profit or loss:

Β 

Β 

Β 

Remeasurement of the defined benefit pension liability

(43)

17Β 

Net gains/(losses) on equity investments measured at fair value through other comprehensive income

54Β 

(94)

Fair value movements related to own credit risk on bonds designated as fair value through profit or loss

12Β 

2Β 

Tax on items that will not be reclassified to profit or loss

12Β 

(29)

Β 

Β 

35Β 

(104)

Items that may be reclassified subsequently to profit or loss:

Foreign exchange arising on consolidation

(39)

(209)

Foreign exchange arising on designated liabilities in net investment hedges

2Β 

(94)

Fair value movements on cash flow hedges

(52)

33Β 

Fair value movements on cash flow hedges transferred to profit and loss

32Β 

4Β 

Fair value movements on derivatives designated in net investment hedges

23Β 

24Β 

Costs of hedging

(1)

(1)

Tax on items that may be reclassified subsequently to profit or loss

3Β 

-Β 

(32)

(243)

Other comprehensive income/(expense), net of tax

Β 

3Β 

(347)

Total comprehensive income for the period

Β 

1,931Β 

1,473Β 

Profit attributable to:

Owners of the Parent

1,927Β 

1,818Β 

Non-controlling interests

1Β 

2Β 

1,928Β 

1,820Β 

Total comprehensive income attributable to:

Owners of the Parent

1,930Β 

1,471Β 

Non-controlling interests

1Β 

2Β 

1,931Β 

1,473Β 

Basic earnings per $0.25 Ordinary Share

$1.24Β 

$1.17Β 

Diluted earnings per $0.25 Ordinary Share

$1.24Β 

$1.17Β 

Weighted average number of Ordinary Shares in issue (millions)

1,550Β 

1,550Β 

Diluted weighted average number of Ordinary Shares in issue (millions)

1,560Β 

1,560Β 

Β 

Β 

Table 20: Condensed consolidated statement of financial position

Β 

Β 

Reviewed[14]

At 30 Jun

2024

Audited

At 31 Dec

2023

Reviewed

At 30 Jun

2023

Β 

$mΒ 

$mΒ 

$mΒ 

Assets

Non-current assets

Property, plant and equipment

9,630Β 

9,402Β 

8,675

Right-of-use assets

1,203Β 

1,100Β 

949

Goodwill

21,060Β 

20,048Β 

19,960

Intangible assets

39,426Β 

38,089Β 

38,326

Investments in associates and joint ventures

264Β 

147Β 

72

Other investments

1,607Β 

1,530Β 

1,071

Derivative financial instruments

217Β 

228Β 

163

Other receivables

806Β 

803Β 

752

Deferred tax assets

4,734Β 

4,718Β 

3,736

Β 

78,947Β 

76,065Β 

73,704

Current assets

Inventories

5,667Β 

5,424Β 

5,051

Trade and other receivables

11,047Β 

12,126Β 

11,092

Other investments

160Β 

122Β 

148

Derivative financial instruments

28Β 

116Β 

44

Income tax receivable

1,575Β 

1,426Β 

840

Cash and cash equivalents

6,916Β 

5,840Β 

5,664

Β 

25,393Β 

25,054Β 

22,839

Total assets

Β 

104,340Β 

101,119Β 

96,543

Liabilities

Β 

Β 

Β 

Β 

Current liabilities

Interest-bearing loans and borrowings

(5,067)

(5,129)

(4,556)

Lease liabilities

(292)

(271)

(231)

Trade and other payables

(20,463)

(22,374)

(19,738)

Derivative financial instruments

(51)

(156)

(83)

Provisions

(1,168)

(1,028)

(567)

Income tax payable

(1,525)

(1,584)

(1,200)

Β 

(28,566)

(30,542)

(26,375)

Non-current liabilities

Interest-bearing loans and borrowings

(27,225)

(22,365)

(24,329)

Lease liabilities

(949)

(857)

(722)

Derivative financial instruments

(61)

(38)

(68)

Deferred tax liabilities

(3,333)

(2,844)

(2,800)

Retirement benefit obligations

(1,326)

(1,520)

(1,078)

Provisions

(1,074)

(1,127)

(1,357)

Other payables

(2,208)

(2,660)

(2,398)

(36,176)

(31,411)

(32,752)

Total liabilities

Β 

(64,742)

(61,953)

(59,127)

Net assets

Β 

39,598Β 

39,166Β 

37,416Β 

Equity

Capital and reserves attributable to equity holders of the Parent

Share capital

388Β 

388Β 

387

Share premium account

35,199Β 

35,188Β 

35,163

Other reserves

2,078Β 

2,065Β 

2,076

Retained earnings

1,847Β 

1,502Β 

(234)

Β 

39,512Β 

39,143Β 

37,392Β 

Non-controlling interests

86Β 

23Β 

24Β 

Total equity

Β 

39,598Β 

39,166Β 

37,416Β 

Β 

Β 

Table 21: Condensed consolidated statement of changes in equity

Β 

Share capital

Share premium account

Other reserves

Retained earnings

Total attributable to owners of the parent

Non-controlling interests

Total equity

Β 

$mΒ 

$mΒ 

$mΒ 

$mΒ 

$mΒ 

$mΒ 

$mΒ 

At 1 Jan 2023

387Β 

35,155Β 

2,069Β 

(574)

37,037Β 

21Β 

37,058Β 

Profit for the period

-Β 

-Β 

-Β 

3,621Β 

3,621Β 

3Β 

3,624Β 

Other comprehensive income

-Β 

-Β 

-Β 

31Β 

31Β 

-Β 

31Β 

Transfer to other reserves

-Β 

-Β 

7Β 

(7)

-Β 

-Β 

-Β 

Transactions with owners

Dividends

-Β 

-Β 

-Β 

(3,047)

(3,047)

-Β 

(3,047)

Issue of Ordinary Shares

-Β 

8Β 

-Β 

-Β 

8Β 

-Β 

8Β 

Share-based payments charge for the period

-Β 

-Β 

-Β 

274Β 

274Β 

-Β 

274Β 

Settlement of share plan awards

-Β 

-Β 

-Β 

(532)

(532)

-Β 

(532)

Net movement

Β 

-Β 

8Β 

7Β 

340Β 

355Β 

3Β 

358Β 

At 30 Jun 2023

Β 

387Β 

35,163Β 

2,076Β 

(234)

37,392Β 

24Β 

37,416Β 

Β 

Β 

Β 

Β 

Β 

Β 

Β 

Β 

Β 

At 1 Jan 2024

Β 

388Β 

35,188Β 

2,065Β 

1,502Β 

39,143Β 

23Β 

39,166Β 

Profit for the period

-Β 

-Β 

-Β 

4,106Β 

4,106Β 

2Β 

4,108Β 

Other comprehensive expense

-Β 

-Β 

-Β 

(414)

(414)

-Β 

(414)

Transfer to other reserves

-Β 

-Β 

13Β 

(13)

-Β 

-Β 

-Β 

Transactions with owners

Dividends

-Β 

-Β 

-Β 

(3,052)

(3,052)

-Β 

(3,052)

Issue of Ordinary Shares

-Β 

11Β 

-Β 

-Β 

11Β 

-Β 

11Β 

Changes in non-controlling interests

-Β 

-Β 

-Β 

-Β 

-Β 

61Β 

61Β 

Share-based payments charge for the period

-Β 

-Β 

-Β 

307Β 

307Β 

-Β 

307Β 

Settlement of share plan awards

-Β 

-Β 

-Β 

(589)

(589)

-Β 

(589)

Net movement

-Β 

11Β 

13Β 

345Β 

369Β 

63Β 

432Β 

At 30 Jun 2024

Β 

388Β 

35,199Β 

2,078Β 

1,847Β 

39,512Β 

86Β 

39,598Β 

Β 

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

Β 

For the half year ended 30 June

2024Β 

2023Β 

$mΒ 

$mΒ 

Β 

Cash flows from operating activities

Profit before tax

5,197Β 

4,350Β 

Finance income and expense

645Β 

654Β 

Share of after tax losses of associates and joint ventures

19Β 

1Β 

Depreciation, amortisation and impairment

2,534Β 

2,778Β 

Movement in working capital and short-term provisions

(584)

(747)

Gains on disposal of intangible assets

(21)

(249)

Fair value movements on contingent consideration arising from business combinations

251Β 

202Β 

Non-cash and other movements

(550)

(594)

Cash generated from operations

Β 

7,491Β 

6,395Β 

Interest paid

(583)

(483)

Tax paid

(1,337)

(1,061)

Net cash inflow from operating activities

Β 

5,571Β 

4,851Β 

Β 

Cash flows from investing activities

Β 

Acquisition of subsidiaries, net of cash acquired

(2,771)

(189)

Payments upon vesting of employee share awards attributable to business combinations

-Β 

(23)

Payment of contingent consideration from business combinations

(474)

(398)

Purchase of property, plant and equipment

(799)

(517)

Disposal of property, plant and equipment

53Β 

126Β 

Purchase of intangible assets

(1,474)

(1,436)

Disposal of intangible assets

75Β 

288Β 

Movement in profit-participation liability

-Β 

175Β 

Purchase of non-current asset investments

(67)

(26)

Disposal of non-current asset investments

51Β 

10Β 

Movement in short-term investments, fixed deposits and other investing instruments

42Β 

90Β 

Payments to associates and joint ventures

(140)

-Β 

Disposal of investments in associates and joint ventures

13Β 

-Β 

Interest received

206Β 

134Β 

Net cash outflow from investing activities

(5,285)

(1,766)

Net cash inflow before financing activities

Β 

286Β 

3,085Β 

Β 

Cash flows from financing activities

Proceeds from issue of share capital

11Β 

8Β 

Issue of loans and borrowings

4,976Β 

3,816Β 

Repayment of loans and borrowings

(2,643)

(3,408)

Dividends paid

(3,050)

(3,069)

Hedge contracts relating to dividend payments

(8)

27Β 

Repayment of obligations under leases

(150)

(129)

Movement in short-term borrowings

2,503Β 

72Β 

Payment of Acerta Pharma share purchase liability

(833)

(867)

Net cash inflow/(outflow) from financing activities

Β 

806Β 

(3,550)

Net increase/(decrease) in Cash and cash equivalents in the period

1,092Β 

(465)

Cash and cash equivalents at the beginning of the period

5,637Β 

5,983Β 

Exchange rate effects

(52)

(47)

Cash and cash equivalents at the end of the period

Β 

6,677Β 

5,471Β 

Cash and cash equivalents consist of:

Cash and cash equivalents

6,916Β 

5,664Β 

Overdrafts

(239)

(193)

Β 

Β 

6,677Β 

5,471Β 

Β 

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

Β 

We confirm that to the best of our knowledge:

Β 

β€’ the condensed consolidated Interim Financial Statements have been prepared in accordance with IAS 34

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

Β 

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

Β 

β€’ the half-yearly management report includes a fair review of the information required by:

Β 

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

Β 

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

Β 

The Board

Β 

The Board of Directors that served during all or part of the six month period to 30 June 2024 and their respective responsibilities can be found on the Leadership team section of astrazeneca.com.

Β 

Approved by the Board and signed on its behalf by

Β 

Pascal Soriot

Chief Executive Officer

Β 

25 July 2024

Β 

Independent review report to AstraZeneca PLC

Β 

Report on the Interim financial statements

Β 

Our conclusion

Β 

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

Β 

Based on our review, nothing has come to our attention that causes us to believe that the Interim financial statements are not prepared, in all material respects, in accordance with International Accounting Standard 34, 'Interim Financial Reporting' (IAS 34), as issued by the International Accounting Standards Board (IASB), IAS 34 as adopted by the European Union, UK-adopted IAS 34, and the Disclosure Guidance and Transparency Rules sourcebook of the United Kingdom's Financial Conduct Authority.

Β 

The Interim financial statements comprise:

Β 

β€’ the Condensed consolidated statement of financial position as at 30 June 2024;

β€’ the Condensed consolidated statement of comprehensive income: H1 2024 for the period then ended;

β€’ the Condensed consolidated statement of changes in equity for the period then ended;

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

β€’ the explanatory notes to the Interim financial statements.

Β 

The Interim financial statements included in the half-yearly financial report of AstraZeneca PLC have been prepared in accordance with International Accounting Standard 34, 'Interim Financial Reporting' (IAS 34), as issued by the International Accounting Standards Board (IASB), IAS 34 as adopted by the European Union, UK-adopted IAS 34, and the Disclosure Guidance and Transparency Rules sourcebook of the United Kingdom's Financial Conduct Authority.

Β 

Basis for conclusion

Β 

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

Β 

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.

Β 

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

Β 

Conclusions relating to going concern

Β 

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

Β 

Independent review report to AstraZeneca PLC (continued)

Β 

Responsibilities for the Interim financial statements and the review

Β 

Our responsibilities and those of the directors

Β 

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

Β 

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

Β 

PricewaterhouseCoopers LLP

Chartered Accountants

London

Β 

25 July 2024

Β 

Notes to the Interim financial statements

Β 

Note 1: Basis of preparation and accounting policies

Β 

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

Β 

The unaudited Interim financial statements for the six months ended 30 June 2024 were approved by the Board of Directors for publication on 25 July 2024.

Β 

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

Β 

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

Β 

Going concern

The Group has considerable financial resources available. As at 30 June 2024, the Group has $11.8bn in financial resources (cash and cash equivalent balances of $6.9bn and undrawn committed bank facilities of $4.9bn, with $5.4bn of borrowings due within one year). These facilities contain no financial covenants and were undrawn at 30 June 2024. The $4.9bn facilities are available until April 2029. Additionally, there are a further $2.0bn undrawn committed bank facilities available until February 2025.

Β 

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

Β 

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

Β 

Legal proceedings

The information contained in Note 6 updates the disclosures concerning legal proceedings and contingent liabilities in the Group's Annual Report and Form 20-F Information 2023.

Β 

Employee Benefit Trust

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

Β 

Note 2: Intangible assets

Β 

In accordance with IAS 36 'Impairment of Assets', reviews for triggers of impairment or impairment reversals at an individual asset or cash generating unit level were conducted, and impairment tests carried out where triggers were identified. As a result, total impairment charge of $26m has been recorded against intangible assets during the six months ended 30 June 2024 (H1 2023: $320m net charge). In H1 2023, net impairment charges included the $244m impairment of the ALXN1840 intangible asset, following the decision to discontinue this development programme in Wilson's disease.

Β 

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

Β 

Note 3: Net debt

Β 

The table below provides an analysis of Net debt and a reconciliation of Net Cash flow to the movement in Net debt. The Group monitors Net debt as part of its capital management policy as described in Note 28 of the Annual Report and Form 20-F Information 2023. Net debt is a non-GAAP financial measure.

Β 

Table 23: Net debt

Β 

Β 

At 1 Jan 2024

Cash flow

Acquisitions

Non-cash & other

Exchange movements

At 30 Jun 2024

Β 

$m

$m

$m

$m

$m

$m

Non-current instalments of loans

(22,365)

(4,973)

(3)

(2)

118Β 

(27,225)

Non-current instalments of leases

(857)

-Β 

(12)

(97)

17Β 

(949)

Total long-term debt

Β 

(23,222)

(4,973)

(15)

(99)

135Β 

(28,174)

Current instalments of loans

(4,614)

2,583Β 

(9)

(5)

27Β 

(2,018)

Current instalments of leases

(271)

174Β 

(6)

(197)

8Β 

(292)

Commercial paper

-Β 

(2,453)

-Β 

-Β 

-Β 

(2,453)

Collateral received from derivative counterparties

(215)

13Β 

-Β 

-Β 

-Β 

(202)

Other short-term borrowings excluding overdrafts

(97)

(63)

-Β 

-Β 

5Β 

(155)

Overdrafts

(203)

(35)

-Β 

-Β 

(1)

(239)

Total current debt

Β 

(5,400)

219Β 

(15)

(202)

39Β 

(5,359)

Gross borrowings

Β 

(28,622)

(4,754)

(30)

(301)

174Β 

(33,533)

Net derivative financial instruments

150Β 

65Β 

-Β 

(82)

-Β 

133Β 

Net borrowings

Β 

(28,472)

(4,689)

(30)

(383)

174Β 

(33,400)

Cash and cash equivalents

5,840Β 

885Β 

242Β 

-Β 

(51)

6,916Β 

Other investments - current

122Β 

(42)

87Β 

-Β 

(7)

160Β 

Cash and investments

Β 

5,962Β 

843Β 

329Β 

-Β 

(58)

7,076Β 

Net debt

Β 

(22,510)

(3,846)

299Β 

(383)

116Β 

(26,324)

Β 

Net debt increased by $3,814m in the half year to $26,324m. Details of the committed undrawn bank facilities are disclosed within the going concern section of Note 1. Non-cash movements in the period include fair value adjustments under IFRS 9 'Financial Instruments'.

Β 

In February 2024, AstraZeneca issued the following:

Β 

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

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

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

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

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

Β 

The Group has agreements with some bank counterparties whereby the parties agree to post cash collateral on financial derivatives, for the benefit of the other, equivalent to the market valuation of the derivative positions above a predetermined threshold. The carrying value of such cash collateral held by the Group at 30 June 2024 was $202m (31 December 2023: $215m) and the carrying value of such cash collateral posted by the Group at 30 June 2024 was $97m (31 December 2023: $102m).

Β 

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

Β 

During the six months ended 30 June 2024, there have been no changes to the Company's solicited long term credit ratings. Moody's credit ratings were long term: A2; short term: P-1. Standard and Poor's credit ratings were long term: A; short term: A-1.

Β 

Note 4: Financial Instruments

Β 

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

Β 

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

Β 

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

Β 

Table 24: Financial instruments - contingent consideration

Β 

Β 

2024

Β 

2023

Β 

Β 

Β 

Diabetes alliance

Other

Total

Total

Β 

Β 

$m

$m

$m

$m

At 1 January

1,945Β 

192Β 

2,137Β 

2,222Β 

Additions through business combinations

-Β 

198Β 

198Β 

60Β 

Settlements

(473)

(1)

(474)

(398)

Revaluations

220Β 

31Β 

251Β 

202Β 

Discount unwind

50Β 

7Β 

57Β 

66Β 

At 30 June

Β 

1,742Β 

427Β 

2,169Β 

2,152Β 

Β 

Contingent consideration arising from business combinations is fair valued using decision-tree analysis, with key inputs including the probability of success, consideration of potential delays and the expected levels of future revenues.

Β 

The contingent consideration balance relating to BMS's share of the global diabetes alliance of $1,742m (31Β December 2023: $1,945m) would increase/decrease by $174m with an increase/decrease in sales of 10%, as compared with the current estimates.

Β 

Note 5: Business combinations

Β 

Gracell

Β 

On 22 February 2024, AstraZeneca completed the acquisition of Gracell Biotechnologies Inc. (Gracell), a global clinical-stage biopharmaceutical company developing innovative cell therapies for the treatment of cancer and autoimmune diseases. Gracell will operate as a wholly owned subsidiary of AstraZeneca, with operations in China and the US.

Β 

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

Β 

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

Β 

Β 

Β 

Fair values

Β 

Β 

$m

Intangible assets

1,038Β 

Cash and cash equivalents

212Β 

Net deferred tax liability

(260)

Other immaterial balances

(89)

Total net assets acquired

Β 

901Β 

Goodwill

136Β 

Consideration

Β 

1,037Β 

Β 

The total consideration fair value of $1,037m includes cash consideration of $983m and future regulatory milestone-based consideration of $54m. Intangible assets recognised relate to products in development, principally AZD0120, and were fair valued using the multi-period excess earnings method, which uses several estimates regarding the amount and timing of future cash flows. The key assumptions in the cash flows are PTRS, peak year sales and revenue erosion profiles.

Β 

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

Β 

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

Β 

Gracell's results have been consolidated into the Group's results from 22 February 2024.

Β 

Fusion

Β 

On 4 June 2024, AstraZeneca completed the acquisition of Fusion Pharmaceuticals Inc., (Fusion) a clinical-stage biopharmaceutical company developing next-generation radioconjugates. The acquisition marks a major step forward in AstraZeneca delivering on its ambition to transform cancer treatment and outcomes for patients by replacing traditional regimens like chemotherapy and radiotherapy with more targeted treatments. As a result of the acquisition, Fusion became a wholly owned subsidiary of AstraZeneca, with operations in Canada and the US.

Β 

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

Β 

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

Β 

Β 

Β 

Fair values

Β 

Β 

$m

Intangible assets

1,326Β 

Cash and cash equivalents

30Β 

Current investments

87Β 

Net deferred tax liability

(246)

Other immaterial balances

51Β 

Total net assets acquired

Β 

1,248Β 

Goodwill

947Β 

Consideration

Β 

2,195Β 

Β 

The total consideration fair value of $2,195m includes cash consideration of $2,051m and future regulatory milestone-based consideration of $144m. Intangible assets relating to products in development comprise the FPI-2265 ($848m), FPI-2059 ($165m) and AZD2068 ($313m) programmes. These were fair valued using the multi-period excess earnings method, which uses several estimates regarding the amount and timing of future cash flows. The key assumptions in the cash flows are PTRS, peak year sales and revenue erosion profiles.

Β 

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

Β 

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

Β 

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

Β 

Fusion's results have been consolidated into the Group's results from 4 June 2024.

Β 

Note 6: Legal proceedings and contingent liabilities

Β 

AstraZeneca is involved in various legal proceedings considered typical to its business, including litigation and investigations, including Government investigations, relating to product liability, commercial disputes, infringement of intellectual property (IP) rights, the validity of certain patents, anti-trust law and sales and marketing practices. The matters discussed below constitute the more significant developments since publication of the disclosures concerning legal proceedings in the Company's Annual Report and Form 20-F Information 2023 (the Disclosures). Information about the nature and facts of the cases is disclosed in accordance with IAS 37.

Β 

As discussed in the Disclosures, the majority of claims involve highly complex issues. Often these issues are subject to substantial uncertainties and, therefore, the probability of a loss, if any, being sustained and/or an estimate of the amount of any loss is difficult to ascertain.

Β 

In cases that have been settled or adjudicated, or where quantifiable fines and penalties have been assessed and which are not subject to appeal, or where a loss is probable and we are able to make a reasonable estimate of the loss, AstraZeneca records the loss absorbed or makes a provision for its best estimate of the expected loss. The position could change over time and the estimates that the Company made, and upon which the Company have relied in calculating these provisions are inherently imprecise. There can, therefore, be no assurance that any losses that result from the outcome of any legal proceedings will not exceed the amount of the provisions that have been booked in the accounts. The major factors causing this uncertainty are described more fully in the Disclosures and herein.

Β 

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

Β 

Matters disclosed in respect of the second quarter of 2024 and to 25 July 2024

Β 

Patent litigation

Β 

Legal proceedings brought against AstraZeneca considered to be contingent liabilities

Β 

Enhertu

US patent proceedings

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

Β 

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

Β 

Tagrisso

US patent proceedings

In September 2021, Puma Biotechnology, Inc. (Puma) and Wyeth LLC (Wyeth) filed a patent infringement lawsuit in the US District Court for the District of Delaware (District Court) against AstraZeneca relating to Tagrisso. In March 2024, the District Court dismissed Puma. The trial, with Wyeth as the plaintiff, took place in May 2024. The jury found Wyeth's patents infringed and awarded Wyeth $107.5m in past damages. The jury also found that the infringement was not wilful. A bench trial on AstraZeneca's indefiniteness and equitable defenses took place in June 2024. The parties await the court's decision on the bench trial issues and consideration of post-trial motions.

Β 

Legal proceedings brought by AstraZeneca considered to be contingent assets

Β 

Calquence

US patent proceedings

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

Β 

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

Β 

Lokelma

US patent proceedings

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

Β 

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

Β 

Lynparza

US patent proceedings

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

Β 

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

Β 

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

Β 

Β 

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

Β 

Soliris

US patent proceedings

In January 2024, Alexion initiated patent infringement litigation against Samsung Bioepis Co. Ltd. (Samsung) in the US District Court for the District of Delaware alleging that Samsung's biosimilar eculizumab product will infringe six Soliris-related patents. No trial date has been scheduled. Five of the six asserted patents are also the subject of inter partes review (IPR) proceedings before the US Patent and Trademark Office. Alexion filed a motion for a preliminary injunction seeking to enjoin Samsung from launching its biosimilar eculizumab product upon FDA approval. The court denied Alexion's motion and Alexion has appealed that decision. On 22 July 2024, Samsung announced FDA approval of Samsung's biosimilar.

Β 

European patent proceedings

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

Β 

UK patent proceedings

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

Β 

Tagrisso

Russia patent proceedings

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

Β 

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

Β 

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

Β 

Commercial litigation

Β 

Legal proceedings brought against AstraZeneca considered to be contingent liabilities

Β 

Anti-Terrorism Act Civil Lawsuit

US proceedings

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

Β 

Employment Litigation

US proceedings

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

Β 

Pay Equity Litigation

US proceedings

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

Β 

University of Sheffield Contract Dispute

UK proceedings

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

Viela Bio, Inc. Shareholder Litigation

US proceedings

In February 2023, AstraZeneca was served with a lawsuit filed in Delaware state court against AstraZeneca and certain officers (collectively, Defendants), on behalf of a putative class of Viela Bio, Inc. (Viela) shareholders. The complaint alleged that the Defendants breached their fiduciary duty to Viela shareholders in the course of Viela's 2021 merger with Horizon Therapeutics, plc. In July 2024, the Court granted with prejudice AstraZeneca's motion to dismiss.

Β 

Legal proceedings brought by AstraZeneca considered to be contingent assets

Β 

PARP Inhibitor Royalty Dispute

UK proceedings

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

Β 

Government investigations/proceedings

Β 

Legal proceedings brought against AstraZeneca considered to be contingent liabilities

Β 

Boston US Attorney Investigation

US Proceedings

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

Β 

Turkish Ministry of Health Matter

Turkey proceedings

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

Β 

Legal proceedings brought by AstraZeneca considered to be contingent assets

Β 

Inflation Reduction Act Litigation

US proceedings

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

Β 

340B State Litigation

US proceedings

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

Β 

Other

Β 

Additional government inquiries

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

Β 

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

Β 

Patent litigation

Β 

Legal proceedings brought against AstraZeneca considered to be contingent liabilities

Β 

Forxiga

UK patent proceedings

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

Β 

Tagrisso

US patent proceedings

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

Β 

Legal proceedings brought by AstraZeneca considered to be contingent assets

Β 

Calquence

US patent proceedings

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

Β 

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

Β 

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

Β 

Lokelma

US patent proceedings

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

Β 

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

Β 

Soliris

US patent proceedings

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

Β 

European patent proceedings

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

Β 

Tagrisso

Russia patent proceedings

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

Β 

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

Β 

Product liability litigation

Β 

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

Β 

Nexium and Losec/Prilosec

US proceedings

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

Β 

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

Β 

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

Β 

Canada proceedings

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

Β 

Legal proceedings brought against AstraZeneca considered to be contingent liabilities

Β 

Onglyza and Kombiglyze

US proceedings

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

Β 

Vaxzevria

UK proceedings

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

Β 

Commercial litigation

Β 

Legal proceedings brought against AstraZeneca considered to be contingent liabilities

Β 

340B Antitrust Litigation

US proceedings

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

Β 

Definiens

Germany proceedings

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

Β 

Legal proceedings brought by AstraZeneca considered to be contingent assets

Β 

PARP Inhibitor Royalty Dispute

UK proceedings

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

Β 

Government investigations/proceedings

Β 

Legal proceedings brought against AstraZeneca considered to be contingent liabilities

Β 

340B Qui Tam

US proceedings

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

Β 

Legal proceedings brought by AstraZeneca considered to be contingent assets

Β 

Inflation Reduction Act Litigation

US proceedings

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

Β 

Arkansas 340B Litigation

US proceedings

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

Β 

Other

Β 

Additional government inquiries

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

Β 

Note 7: Subsequent events

Β 

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

Β 

Note 8

Table 25: H1 2024 - Product Sales year-on-year analysis[15]

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

Β 

Β 

World

US

Emerging Markets

Europe

Established RoW

Β 

$m

Act % chg

CER % chg

$m

% chg

$m

Act % chg

CER % chg

$m

Act % chg

CER % chg

$m

Act % chg

CER % chg

Oncology

9,737Β 

17Β 

21Β 

4,387Β 

20Β 

2,300Β 

18Β 

28Β 

1,967Β 

25Β 

23Β 

1,083Β 

(2)

8Β 

Tagrisso

3,203Β 

10Β 

13Β 

1,282Β 

16Β 

919Β 

8Β 

16Β 

628Β 

16Β 

15Β 

374Β 

(11)

(2)

Imfinzi

2,259Β 

20Β 

25Β 

1,202Β 

17Β 

245Β 

35Β 

58Β 

459Β 

38Β 

36Β 

353Β 

7Β 

19Β 

Calquence

1,508Β 

27Β 

28Β 

1,048Β 

21Β 

75Β 

82Β 

n/m

320Β 

42Β 

41Β 

65Β 

30Β 

34Β 

Lynparza

1,450Β 

6Β 

9Β 

607Β 

5Β 

320Β 

15Β 

26Β 

398Β 

9Β 

8Β 

125Β 

(14)

(6)

Enhertu

249Β 

n/m

n/m

-Β 

-Β 

161Β 

n/m

n/m

57Β 

n/m

n/m

31Β 

n/m

n/m

Zoladex

549Β 

19Β 

27Β 

8Β 

20Β 

415Β 

22Β 

31Β 

77Β 

16Β 

14Β 

49Β 

2Β 

12Β 

Imjudo

136Β 

35Β 

38Β 

88Β 

30Β 

7Β 

n/m

n/m

16Β 

n/m

n/m

25Β 

(5)

6Β 

Truqap

142Β 

n/m

n/m

141Β 

n/m

-Β 

-Β 

-Β 

-Β 

-Β 

-Β 

1Β 

n/m

n/m

Orpathys

25Β 

14Β 

19Β 

-Β 

-Β 

25Β 

14Β 

19Β 

-Β 

-Β 

-Β 

-Β 

-Β 

-Β 

Others

216Β 

(21)

(15)

11Β 

6Β 

133Β 

(21)

(15)

12Β 

(36)

(36)

60Β 

(21)

(12)

BioPharmaceuticals: CVRM

6,164Β 

18Β 

22Β 

1,483Β 

16Β 

2,749Β 

17Β 

24Β 

1,559Β 

33Β 

32Β 

373Β 

(8)

2Β 

Farxiga

3,785Β 

35Β 

38Β 

867Β 

37Β 

1,474Β 

37Β 

44Β 

1,233Β 

45Β 

44Β 

211Β 

(15)

(5)

Brilinta

665Β 

-Β 

2Β 

354Β 

(1)

166Β 

4Β 

14Β 

136Β 

-Β 

(1)

9Β 

(26)

(19)

Crestor

589Β 

1Β 

6Β 

22Β 

(18)

475Β 

4Β 

9Β 

22Β 

(30)

(29)

70Β 

3Β 

13Β 

Seloken/Toprol-XL

315Β 

(8)

(1)

-Β 

n/m

307Β 

(8)

(1)

6Β 

4Β 

7Β 

2Β 

(39)

(37)

Lokelma

249Β 

26Β 

30Β 

115Β 

10Β 

42Β 

75Β 

83Β 

41Β 

62Β 

61Β 

51Β 

16Β 

31Β 

roxadustat

163Β 

22Β 

27Β 

-Β 

-Β 

163Β 

22Β 

27Β 

-Β 

-Β 

-Β 

-Β 

n/m

n/m

Andexxa

105Β 

18Β 

21Β 

42Β 

14Β 

2Β 

n/m

n/m

40Β 

38Β 

36Β 

21Β 

(9)

4Β 

Wainua

21Β 

n/m

n/m

21Β 

n/m

-Β 

-Β 

-Β 

-Β 

-Β 

-Β 

-Β 

-Β 

-Β 

Others

272Β 

(30)

(28)

62Β 

(50)

120Β 

(27)

(22)

81Β 

(10)

(10)

9Β 

(7)

(5)

BioPharmaceuticals: R&I

3,601Β 

17Β 

20Β 

1,567Β 

21Β 

1,032Β 

16Β 

23Β 

680Β 

17Β 

16Β 

322Β 

7Β 

12Β 

Symbicort

1,491Β 

16Β 

19Β 

598Β 

38Β 

450Β 

11Β 

21Β 

286Β 

-Β 

(1)

157Β 

(4)

(2)

Fasenra

781Β 

5Β 

6Β 

478Β 

2Β 

41Β 

45Β 

53Β 

192Β 

9Β 

8Β 

70Β 

(2)

6Β 

Pulmicort

379Β 

10Β 

14Β 

8Β 

(53)

317Β 

16Β 

22Β 

37Β 

1Β 

(1)

17Β 

(13)

(9)

Breztri

454Β 

48Β 

51Β 

225Β 

37Β 

131Β 

61Β 

69Β 

65Β 

80Β 

79Β 

33Β 

33Β 

44Β 

Tezspire

100Β 

n/m

n/m

-Β 

-Β 

5Β 

n/m

n/m

61Β 

n/m

n/m

34Β 

n/m

n/m

Saphnelo

203Β 

77Β 

77Β 

184Β 

71Β 

2Β 

n/m

n/m

10Β 

n/m

n/m

7Β 

86Β 

91Β 

Airsupra

21Β 

n/m

n/m

21Β 

n/m

-Β 

-Β 

-Β 

-Β 

-Β 

-Β 

-Β 

-Β 

-Β 

Others

172Β 

(27)

(26)

53Β 

(47)

86Β 

(18)

(14)

29Β 

3Β 

2Β 

4Β 

(12)

(10)

BioPharmaceuticals: V&I

324Β 

(27)

(24)

55Β 

n/m

131Β 

(12)

(7)

81Β 

(28)

(30)

57Β 

(68)

(65)

Synagis

253Β 

(11)

(6)

(1)

n/m

131Β 

4Β 

10Β 

67Β 

(27)

(29)

56Β 

(15)

(6)

Beyfortus

54Β 

n/m

n/m

53Β 

n/m

-Β 

-Β 

-Β 

-Β 

(81)

(61)

1Β 

n/m

n/m

FluMist

8Β 

n/m

n/m

3Β 

n/m

-Β 

-Β 

-Β 

5Β 

n/m

97Β 

-Β 

n/m

n/m

COVID-19 mAbs

3Β 

(98)

(98)

-Β 

-Β 

-Β 

n/m

n/m

3Β 

(58)

(59)

-Β 

n/m

n/m

Others

6Β 

(79)

(80)

-Β 

-Β 

-Β 

n/m

n/m

6Β 

(41)

(43)

-Β 

n/m

n/m

Rare Disease

4,243Β 

11Β 

15Β 

2,517Β 

10Β 

454Β 

40Β 

70Β 

794Β 

3Β 

2Β 

478Β 

9Β 

20Β 

Ultomiris

1,804Β 

32Β 

35Β 

1,032Β 

27Β 

66Β 

n/m

n/m

411Β 

32Β 

31Β 

295Β 

42Β 

58Β 

Soliris

1,439Β 

(13)

(8)

808Β 

(9)

255Β 

19Β 

54Β 

260Β 

(29)

(30)

116Β 

(33)

(30)

Strensiq

653Β 

16Β 

18Β 

529Β 

17Β 

31Β 

30Β 

47Β 

48Β 

14Β 

12Β 

45Β 

4Β 

15Β 

Koselugo

247Β 

55Β 

64Β 

101Β 

13Β 

83Β 

n/m

n/m

45Β 

95Β 

92Β 

18Β 

n/m

n/m

Kanuma

100Β 

17Β 

20Β 

47Β 

18Β 

19Β 

7Β 

20Β 

30Β 

24Β 

25Β 

4Β 

11Β 

20Β 

Other medicines

560Β 

(9)

(2)

52Β 

(24)

385Β 

(1)

8Β 

53Β 

10Β 

10Β 

70Β 

(35)

(29)

Nexium

459Β 

(7)

1Β 

47Β 

(22)

318Β 

4Β 

15Β 

26Β 

3Β 

2Β 

68Β 

(34)

(28)

Others

101Β 

(17)

(14)

5Β 

(40)

67Β 

(22)

(18)

27Β 

18Β 

19Β 

2Β 

(53)

(49)

Total Product Sales

24,629Β 

15Β 

18Β 

10,061Β 

17Β 

7,051Β 

16Β 

26Β 

5,134Β 

21Β 

19Β 

2,383Β 

(6)

3Β 

Β 

Β 

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

Β 

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

Β 

Β 

World

US

Emerging Markets

Europe

Established RoW

Β 

$m

Act % chg

CER % chg

$m

% chg

$m

Act % chg

CER % chg

$m

Act % chg

CER % chg

$m

Act % chg

CER % chg

Oncology

4,976Β 

14Β 

18Β 

2,302Β 

17Β 

1,098Β 

11Β 

22Β 

1,015Β 

24Β 

24Β 

561Β 

(9)

2Β 

Tagrisso

1,608Β 

8Β 

12Β 

658Β 

13Β 

432Β 

6Β 

15Β 

327Β 

15Β 

15Β 

191Β 

(12)

(1)

Imfinzi

1,147Β 

13Β 

18Β 

620Β 

15Β 

117Β 

16Β 

39Β 

227Β 

33Β 

33Β 

183Β 

(9)

3Β 

Calquence

790Β 

21Β 

22Β 

554Β 

14Β 

36Β 

51Β 

72Β 

167Β 

42Β 

43Β 

33Β 

20Β 

23Β 

Lynparza

744Β 

4Β 

7Β 

319Β 

3Β 

153Β 

8Β 

18Β 

206Β 

10Β 

11Β 

66Β 

(15)

(6)

Enhertu

127Β 

89Β 

99Β 

-Β 

-Β 

77Β 

60Β 

72Β 

31Β 

n/m

n/m

19Β 

n/m

n/m

Zoladex

273Β 

17Β 

25Β 

5Β 

29Β 

201Β 

17Β 

28Β 

42Β 

23Β 

21Β 

25Β 

6Β 

17Β 

Imjudo

74Β 

17Β 

19Β 

49Β 

37Β 

4Β 

n/m

n/m

8Β 

64Β 

55Β 

13Β 

(38)

(30)

Truqap

92Β 

n/m

n/m

91Β 

n/m

-Β 

-Β 

-Β 

-Β 

-Β 

-Β 

1Β 

n/m

n/m

Orpathys

12Β 

(7)

(3)

-Β 

-Β 

12Β 

(7)

(3)

-Β 

-Β 

-Β 

-Β 

-Β 

-Β 

Others

109Β 

(17)

(11)

6Β 

24Β 

66Β 

(16)

(10)

7Β 

(11)

(10)

30Β 

(26)

(16)

BioPharmaceuticals: CVRM

3,153Β 

18Β 

22Β 

735Β 

11Β 

1,384Β 

17Β 

24Β 

843Β 

38Β 

38Β 

191Β 

(14)

(3)

Farxiga

1,940Β 

29Β 

32Β 

394Β 

16Β 

763Β 

32Β 

39Β 

680Β 

49Β 

49Β 

103Β 

(23)

(14)

Brilinta

342Β 

3Β 

5Β 

191Β 

7Β 

78Β 

(1)

6Β 

69Β 

1Β 

1Β 

4Β 

(38)

(23)

Crestor

292Β 

4Β 

11Β 

12Β 

(2)

234Β 

8Β 

14Β 

10Β 

(34)

(32)

36Β 

3Β 

15Β 

Seloken/Toprol-XL

150Β 

(8)

-Β 

-Β 

n/m

146Β 

(8)

-Β 

3Β 

46Β 

53Β 

1Β 

(40)

(38)

Lokelma

136Β 

36Β 

41Β 

64Β 

29Β 

21Β 

68Β 

78Β 

23Β 

63Β 

64Β 

28Β 

16Β 

33Β 

roxadustat

88Β 

20Β 

26Β 

-Β 

-Β 

88Β 

20Β 

26Β 

-Β 

-Β 

-Β 

-Β 

-Β 

-Β 

Andexxa

59Β 

29Β 

35Β 

22Β 

34Β 

1Β 

n/m

n/m

22Β 

51Β 

51Β 

14Β 

(6)

8Β 

Wainua

16Β 

n/m

n/m

16Β 

n/m

-Β 

-Β 

-Β 

-Β 

-Β 

-Β 

-Β 

-Β 

-Β 

Others

130Β 

(26)

(24)

36Β 

(45)

53Β 

(19)

(14)

36Β 

(9)

(8)

5Β 

(14)

(12)

BioPharmaceuticals: R&I

1,797Β 

21Β 

24Β 

830Β 

23Β 

444Β 

23Β 

34Β 

350Β 

21Β 

21Β 

173Β 

8Β 

14Β 

Symbicort

722Β 

20Β 

25Β 

299Β 

49Β 

197Β 

12Β 

25Β 

143Β 

4Β 

5Β 

83Β 

(4)

(1)

Fasenra

423Β 

4Β 

5Β 

268Β 

-Β 

19Β 

33Β 

46Β 

99Β 

11Β 

11Β 

37Β 

3Β 

11Β 

Pulmicort

155Β 

25Β 

30Β 

3Β 

(53)

126Β 

40Β 

47Β 

17Β 

6Β 

2Β 

9Β 

(18)

(13)

Breztri

235Β 

44Β 

47Β 

120Β 

43Β 

61Β 

42Β 

49Β 

35Β 

68Β 

69Β 

19Β 

26Β 

37Β 

Tezspire

57Β 

n/m

n/m

-Β 

-Β 

3Β 

n/m

n/m

35Β 

n/m

n/m

19Β 

n/m

n/m

Saphnelo

112Β 

65Β 

65Β 

101Β 

59Β 

1Β 

28Β 

n/m

6Β 

n/m

n/m

4Β 

90Β 

86Β 

Airsupra

14Β 

n/m

n/m

14Β 

n/m

-Β 

-Β 

-Β 

-Β 

-Β 

-Β 

-Β 

-Β 

-Β 

Others

79Β 

(24)

(22)

25Β 

(52)

37Β 

7Β 

12Β 

15Β 

2Β 

3Β 

2Β 

(6)

(4)

BioPharmaceuticals: V&I

112Β 

28Β 

42Β 

28Β 

n/m

41Β 

(10)

4Β 

7Β 

(55)

(53)

36Β 

36Β 

55Β 

Synagis

81Β 

(6)

8Β 

(1)

n/m

41Β 

(16)

(2)

6Β 

(42)

(42)

35Β 

27Β 

46Β 

Beyfortus

28Β 

n/m

n/m

27Β 

n/m

-Β 

-Β 

-Β 

-Β 

n/m

(91)

1Β 

n/m

n/m

FluMist

2Β 

n/m

n/m

2Β 

n/m

-Β 

-Β 

-Β 

-Β 

(26)

(21)

-Β 

-Β 

-Β 

COVID-19 mAbs

1Β 

n/m

n/m

-Β 

-Β 

-Β 

n/m

n/m

1Β 

(65)

(64)

-Β 

(99)

(99)

Others

-Β 

n/m

n/m

-Β 

-Β 

-Β 

-Β 

-Β 

-Β 

n/m

n/m

-Β 

-Β 

-Β 

Rare Disease

2,147Β 

10Β 

14Β 

1,311Β 

10Β 

203Β 

35Β 

67Β 

392Β 

3Β 

3Β 

241Β 

7Β 

18Β 

Ultomiris

946Β 

33Β 

36Β 

550Β 

27Β 

35Β 

n/m

n/m

209Β 

38Β 

38Β 

152Β 

38Β 

56Β 

Soliris

700Β 

(14)

(8)

398Β 

(11)

129Β 

30Β 

74Β 

118Β 

(36)

(36)

55Β 

(36)

(33)

Strensiq

340Β 

13Β 

14Β 

283Β 

14Β 

10Β 

7Β 

15Β 

24Β 

13Β 

13Β 

23Β 

4Β 

17Β 

Koselugo

114Β 

43Β 

45Β 

55Β 

13Β 

24Β 

73Β 

80Β 

26Β 

n/m

n/m

9Β 

63Β 

85Β 

Kanuma

47Β 

3Β 

8Β 

25Β 

21Β 

5Β 

(54)

(49)

15Β 

28Β 

33Β 

2Β 

11Β 

41Β 

Other medicines

267Β 

(11)

(5)

28Β 

(13)

179Β 

(3)

5Β 

24Β 

(7)

(7)

36Β 

(38)

(32)

Nexium

219Β 

(12)

(5)

25Β 

(17)

146Β 

(2)

7Β 

13Β 

(5)

(5)

35Β 

(37)

(32)

Others

48Β 

(9)

(6)

3Β 

39Β 

33Β 

(8)

(4)

11Β 

(9)

(9)

1Β 

(54)

(49)

Total Product Sales

12,452Β 

14Β 

18Β 

5,234Β 

16Β 

3,349Β 

15Β 

25Β 

2,631Β 

23Β 

23Β 

1,238Β 

(5)

5Β 

Β 

Β 

Table 27: Alliance Revenue

Β 

H1 2024Β 

H1 2023Β 

$mΒ 

$mΒ 

Enhertu

683Β 

475Β 

Tezspire

180Β 

105Β 

Beyfortus

26Β 

-Β 

Other Alliance Revenue

50Β 

47Β 

Total

939Β 

627Β 

Β 

Table 28: Collaboration Revenue

Β 

H1 2024Β 

H1 2023Β 

$mΒ 

$mΒ 

Farxiga: sales milestones

49Β 

25Β 

COVID-19 mAbs licence fees

-Β 

180Β 

Other Collaboration Revenue

-Β 

15Β 

Total

49Β 

220Β 

Β 

Table 29: Other operating income and expense

Β 

H1 2024Β 

H1 2023Β 

$mΒ 

$mΒ 

brazikumab licence termination funding

-Β 

75Β 

Divestment of US rights to Pulmicort Flexhaler

-Β 

241Β 

Update to the contractual relationships for Beyfortus (nirsevimab)

-Β 

712Β 

Other

127Β 

135Β 

Total

127Β 

1,163Β 

Β 

Other shareholder information

Β 

Financial calendar

Β 

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

Announcement of FY and Q4 2024 results: 6 February 2025

Β 

Dividends are normally paid as follows:

Β 

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

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

Β 

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

Β 

Conclusion of audit tender

Β 

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

Β 

Contacts

Β 

For details on how to contact the Investor Relations Team, please click here. For Media contacts, click here.

Β 

Addresses for correspondence

Β 

Registered office

Registrar and transfer office

Swedish Central Securities Depository

US depositary

Deutsche Bank Trust Company Americas

1 Francis Crick Avenue

Cambridge Biomedical Campus

Cambridge

CB2 0AA

Equiniti Limited

Aspect House

Spencer Road

Lancing

West Sussex

BN99 6DA

Euroclear Sweden AB PO Box 191

SE-101 23 Stockholm

American Stock Transfer

6201 15th Avenue

Brooklyn

NY 11219

Β 

United Kingdom

United Kingdom

Sweden

United States

+44 (0) 20 3749 5000

0800 389 1580

+46 (0) 8 402 9000

+1 (888) 697 8018

+44 (0) 121 415 7033

+1 (718) 921 8137

db@astfinancial.com

Β 

Trademarks

Β 

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

Β 

Information on or accessible through AstraZeneca's websites, including astrazeneca.com, does not form part of and is not incorporated into this announcement.

Β 

AstraZeneca

Β 

AstraZeneca (LSE/STO/Nasdaq: AZN) is a global, science-led biopharmaceutical company that focuses on the discovery, development, and commercialisation of prescription medicines in Oncology, Rare Disease, and BioPharmaceuticals, including Cardiovascular, Renal & Metabolism, and Respiratory & Immunology. Based in Cambridge, UK, AstraZeneca operates in over 100 countries and its innovative medicines are used by millions of patients worldwide. Please visit astrazeneca.com and follow the Company on Social Media @AstraZeneca.

Β 

Cautionary statements regarding forward-looking statements

Β 

In order, among other things, to utilise the 'safe harbour' provisions of the US Private Securities Litigation Reform Act of 1995, AstraZeneca (hereafter 'the Group') provides the following cautionary statement:

Β 

This document contains certain forward-looking statements with respect to the operations, performance and financial condition of the Group, including, among other things, statements about expected revenues, margins, earnings per share or other financial or other measures. Although the Group believes its expectations are based on reasonable assumptions, any forward-looking statements, by their very nature, involve risks and uncertainties and may be influenced by factors that could cause actual outcomes and results to be materially different from those predicted. The forward-looking statements reflect knowledge and information available at the date of preparation of this document and the Group undertakes no obligation to update these forward-looking statements. The Group identifies the forward-looking statements by using the words 'anticipates', 'believes', 'expects', 'intends' and similar expressions in such statements. Important factors that could cause actual results to differ materially from those contained in forward-looking statements, certain of which are beyond the Group's control, include, among other things:

Β 

β€’ the risk of failure or delay in delivery of pipeline or launch of new medicines

β€’ the risk of failure to meet regulatory or ethical requirements for medicine development or approval

β€’ the risk of failures or delays in the quality or execution of the Group's commercial strategies

β€’ the risk of pricing, affordability, access and competitive pressures

β€’ the risk of failure to maintain supply of compliant, quality medicines

β€’ the risk of illegal trade in the Group's medicines

β€’ the impact of reliance on third-party goods and services

β€’ the risk of failure in information technology or cybersecurity

β€’ the risk of failure of critical processes

β€’ the risk of failure to collect and manage data in line with legal and regulatory requirements and strategic objectives

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

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

β€’ the risk of the safety and efficacy of marketed medicines being questioned

β€’ the risk of adverse outcome of litigation and/or governmental investigations

β€’ intellectual property-related risks to the Group's products

β€’ the risk of failure to achieve strategic plans or meet targets or expectations

β€’ the risk of failure in financial control or the occurrence of fraud

β€’ the risk of unexpected deterioration in the Group's financial position

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

Β 

Glossary

Β 

Β 

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

ADC Antibody drug conjugate

aHUS Atypical haemolytic uraemic syndrome

AKT Protein kinase B

AL amyloidosis Light chain amyloidosis

ANDA Abbreviated New Drug Application (US)

ASO Antisense oligonucleotide

ATTR-CM Transthyretin-mediated amyloid cardiomyopathy

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

BCMA B-cell maturation antigen

BRCA / m Breast cancer gene / mutation

BTC Biliary tract cancer

BTK Bruton tyrosine kinase

C5 Complement component 5

CAR-T Chimeric antigen receptor T-cell

cCRT Concurrent chemoradiotherapy

CD19 A gene expressed in B-cells

CER Constant exchange rates

CHMP Committee for Medicinal Products for Human Use (EU)

CI Confidence interval

CKD Chronic kidney disease

CLL Chronic lymphocytic leukaemia

COPD Chronic obstructive pulmonary disease

COP28 28th annual United Nations (UN) climate meeting

CRC Colorectal cancer

CRL Compete Response Letter

CRPC Castration-resistant prostate cancer

CSPC Castration-sensitive prostate cancer

CTLA-4 Cytotoxic T-lymphocyte-associated antigen 4

CVRM Cardiovascular, Renal and Metabolism

DDR DNA damage response

DNA Deoxyribonucleic acid

EBITDA Earnings before interest, tax, depreciation and amortisation

EGFR / m Epidermal growth factor receptor / gene mutation

EGPA Eosinophilic granulomatosis with polyangiitis

EPS Earnings per share

ER Estrogen receptor

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

EVH Extravascular haemolysis

FDA Food and Drug Agency (US)

FDC Fixed dose combination

g Germline, e.g. gBRCAm

GAAP Generally Accepted Accounting Principles

GEJ Gastro oesophageal junction

GI Gastrointestinal

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

gMG Generalised myasthenia gravis

HCC Hepatocellular carcinoma

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

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

hMPV Human metapneumovirus

HR Hazard ratio

HR / + / - Hormone receptor / positive / negative

HRD Homologous recombination deficiency

HRR / m Homologous recombination repair gene / mutation

i.m. Intramuscular injection

i.v. Intravenous injection

IAS / B International AccountingStandards / Board

ICS Inhaled corticosteroid

IFRS International Financial Reporting Standards

IgAN Immunoglobulin A neuropathy

IHC Immunohistochemistry

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

IP Intellectual Property

IVIg Intravenous immune globulin

LABA Long-acting beta-agonist

LAMA Long-acting muscarinic-agonist

LS-SCLC Limited stage small cell lung cancer

LRTD Lower respiratory tract disease

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

mAb Monoclonal antibody

MDL Multidistrict litigation

MET Mesenchymal epithelial transition

NF1-PN Neurofibromatosis type 1 with plexiform neurofibromas

n/m Not meaningful

NMOSD Neuromyelitis optica spectrum disorder

NRDL National reimbursement drug list

NSCLC Non-small cell lung cancer

OECD Organisation for EconomicCo-operation and Development

OOI Other operating income

ORR Overall response rate

OS Overall survival

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

pCR Pathologic complete response

PCSK9 Proprotein convertase subtilisin/kexin type 9

PD Progressive disease

PD-1 Programmed cell death protein 1

PD-L1 Programmed cell death ligand 1

PDUFA Prescription Drug User Fee Act

PHSSR Partnership for Health System Sustainability and Resilience

PFS Progression free survival

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

PMDI Pressure metered dose inhaler

PNH / -EVH Paroxysmal nocturnal haemoglobinuria / with extravascular haemolysis

PPI Proton pump inhibitors

PSR Platinum sensitive relapse

PTEN Phosphatase and tensin homologue

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

R&D Research and development

R&I Respiratory & Immunology

RSV Respiratory syncytial virus

sBLA Supplemental biologics license application (US)

SCLC Small cell lung cancer

s.c. Subcutaneous injection

SEA Severe eosinophilic asthma

SEC Securities Exchange Commission (US)

SG&A Sales, general and administration

SGLT2 Sodium-glucose cotransporter 2

SLL Small lymphocytic lymphoma

SMI Sustainable Markets Initiative

sNDA Supplemental new drug application

SPA Share Purchase Agreement

T2D Type-2 diabetes

TACE Transarterial chemoembolization

THP A treatment regimen: docetaxel, trastuzumab and pertuzumab

TNBC Triple negative breast cancer

TNF Tumour necrosis factor

TOP1 Topoisomerase I

TROP2 Trophoblast cell surface antigen 2

USPTO US Patent and Trademark Office

V&I Vaccines & Immune Therapies

VBP Volume-based procurement

VLP Virus like particle

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Β 

- End of document -


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

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

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

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

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

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

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

[8] Based on best prevailing assumptions around currency profiles.

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

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

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

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

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

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

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

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

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END
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