TIDMAZN

RNS Number : 1686U

AstraZeneca PLC

29 July 2022

AstraZeneca PLC

29 July 2022 07:00 GMT

H1 2022 results

Strong revenue performance and R&D success enables further investment in the pipeline and new launches

Revenue and EPS summary

 
                                   H1 2022                   Q2 2022 
                           ------  -------  -------  ------  -------  ---- 
                                        % Change                 % Change 
                               $m   Actual  CER [1]      $m   Actual   CER 
------------------------   ------  -------  -------  ------  -------  ---- 
- Product Sales            21,610       41       47  10,630       32    38 
- Collaboration Revenue       551      n/m      n/m     141     (20)  (20) 
-------------------------  ------  -------  -------  ------  -------  ---- 
Total Revenue              22,161       43       48  10,771       31    37 
-------------------------  ------  -------  -------  ------  -------  ---- 
Reported [2] EPS [3]        $0.48     (70)     (66)   $0.23     (45)  (46) 
Core [4] EPS                $3.61       43       44   $1.72       92    89 
-------------------------  ------  -------  -------  ------  -------  ---- 
 

H1 2022 Financial performance ( growth numbers and commentary at CER)

-- Total Revenue increased 48% to $22,161m, with growth coming from all disease areas and from the addition of Alexion

-- Total Revenue from Oncology increased 22% [5] , including receipt of a milestone payment. Product Sales from Oncology increased 18%. Total Revenue from R&I [6] increased 3%, CVRM [7] increased 19% [8] and Rare Disease increased 10% (8) . Excluding a one-off historical pricing adjustment, Rare Disease increased 8%

-- Core Gross Margin of 81%, with the second quarter benefitting from currency fluctuations, and phasing of COVID-19 medicine contracts

-- Core Operating Margin of 33%. Core Total Operating Expense increased 33%, reflecting the addition of Alexion, and continued investment in new launches and the pipeline to build industry-leading mid-to-long term growth

-- Core EPS of $3.61, with the second quarter benefitting from a Core Tax Rate of 15%. The FY 2022 expectation for the Core Tax Rate remains 18-22%

-- Interim dividend declared of $0.93 (76.4 pence, 9.49 SEK) per ordinary share, reflecting the Board's intent to increase to $2.90 in FY 2022, as announced at FY 2021

-- FY 2022 Total Revenue guidance at CER increased due to an updated outlook for COVID-19 medicines and continued strong performance of the overall business, enabling further investment in the pipeline. With an expectation that Other Operating Income in H2 2022 will be similar to H1 2022, EPS guidance is unchanged

Key milestones achieved since the prior results

-- Key data: Positive read-outs for Farxiga in HFpEF [9] (DELIVER), Imfinzi in early NSCLC [10] (AEGEAN), eplontersen in ATTRv-PN [11] (NEURO-TTRansform) and Ultomiris in NMOSD [12] (CHAMPION-NMOSD). Full results from the Enhertu DESTINY-Breast04 trial in HER2 [13] -low breast cancer, presented at ASCO

-- Key approvals: Enhertu for HER2-positive breast cancer (DESTINY-Breast03) in the US and EU; positive CHMP [14] opinions in the EU for Tezspire in severe asthma (NAVIGATOR), Lynparza [15] in early breast cancer (OlympiA) and Ultomiris in gMG [16] (CHAMPION-MG)

-- Other regulatory milestones: US Priority Review for Imfinzi in biliary tract cancer (TOPAZ-1) and Enhertu in HER2-low metastatic breast cancer (DESTINY-Breast04), China Priority Review for Koselugo in NF1-PN [17]

Pascal Soriot, Chief Executive Officer, AstraZeneca, said:

"AstraZeneca had a strong financial first half of 2022, and great pipeline delivery. We announced practice-changing data for several medicines including Enhertu in breast cancer, Farxiga in heart failure and Ultomiris in neuromyelitis optica spectrum disorder.

We have made great progress in our efforts to combat COVID-19 . Vaxzevria is estimated to have saved more than six million lives during the first year of roll-out, and Evusheld has protected hundreds of thousands of immunocompromised people, enabling them to return to a more normal life. Evusheld continues to demonstrate activity against new variants.

Given the ongoing performance of our underlying business and the contribution of our COVID-19 medicines, we are updating our revenue guidance for 2022. This has enabled us to increase our R&D investment in the exciting number of pipeline opportunities that can benefit patients and drive long term sustainable growth for our company. We look forward to announcing the results of several important late-stage trials this year and next ".

Guidance

The Company updates FY 2022 guidance due to strength in its overall business, an updated outlook for COVID--19 medicines, as well as increased investment in R&D to drive long term sustainable growth.

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

Core EPS is expected to increase by a mid-to-high twenties percentage (unchanged)

-- The CER growth rates include the full-year contribution of Vaxzevria in both FY 2021 and FY 2022

-- Total Revenue from COVID-19 medicines is anticipated to be broadly flat versus FY 2021 (previously a low-to-mid twenties percentage decline), with growth in Evusheld offsetting an expected decline in Vaxzevria sales. The majority of Vaxzevria revenue in 2022 is expected to come from initial contracts

-- As previously indicated, the Gross Margin from the COVID-19 medicines is expected to be lower than the Company average

-- Core Operating Expenses are expected to increase by a mid-to-high teens percentage, driven in part by the full year integration of Alexion expenses. (Previous guidance was a low-to-mid teens percentage increase. The update is a result of increased R&D spend following positive trial readouts, and increased spend to support new launches, including Evusheld)

   --    Other Operating Income in H2 2022 is expected to be similar to the level seen in H1 2022 

-- Emerging Markets Total Revenue, including China, is expected to grow by a mid single-digit percentage in FY 2022 (unchanged). China Total Revenue is expected to decline by a mid single-digit percentage in FY 2022 (unchanged), primarily due to the continued NRDL [18] and VBP [19] programmes impacting various medicines. The Company remains confident in the longer-term outlook for Emerging Markets, driven by a large market opportunity, broader patient access and an increased mix of new medicines

   --    A Core Tax Rate between 18-22% (unchanged) 

AstraZeneca continues to recognise and actively manage the heightened risks from COVID-19 and geopolitical and supply chain uncertainties on overall business performance. Variations in performance between quarters can be expected to continue.

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

Currency impact

If foreign-exchange rates for July to December 2022 were to remain at the spot rates seen on 30 June 2022, it is anticipated that FY 2022 Total Revenue would incur a mid single-digit adverse impact (previously a low single-digit adverse impact) versus the financials at CER, and, as previously indicated, FY 2022 Core EPS would incur a mid-single-digit adverse impact.

The Company's foreign-exchange rate sensitivity analysis is contained in Table 18.

Table 1 : Key elements of Total Revenue performance in Q2 2022

 
                                        % Change 
Revenue type                  $m     Actual   CER 
-----------------------   ------  ---------  ----  --------------------------------------------- 
                                                      $1,776m from medicines acquired 
Product Sales             10,630         32    38      with Alexion 
                                                      $100m for Enhertu (Q2 2021: 
                                                       $46m) 
                                                       $13m for Tezspire (Q2 2021: 
Collaboration Revenue        141       (20)  (20)      $nil) 
Total Revenue             10,771         31    37 
------------------------  ------  ---------  ----  --------------------------------------------- 
Disease areas                 $m     Actual   CER 
-----------------------   ------  ---------  ----  --------------------------------------------- 
Oncology                   3,810         15    20     Good performance across key 
                                                       medicines and regions, despite 
                                                       lower diagnosis rates and adverse 
                                                       impact in China from COVID-19-related 
                                                       lockdowns 
                                                      Farxiga achieved another blockbuster 
                                                       quarter with $1,104m in revenues 
CVRM(8)                    2,356         14    19      in the quarter 
R&I                        1,395        (2)     1     Growth across Breztri and Fasenra 
                                                       offsetting a decline in Pulmicort 
                                                       of 30% (28% at CER) primarily 
                                                       due to the impact of VBP implementation 
                                                       and COVID-19 lockdowns in China 
                                                      $455m from Vaxzevria [21] , 
                                                       $445m from Evusheld 
                                                       Majority of Vaxzevria revenue 
V&I [20]                     981          7    12      from initial contracts 
                                                      Durable C5 franchise growth, 
                                                       including continued conversion 
                                                       to Ultomiris in PNH and aHUS 
                                                       and launch in gMG in the US 
                                                       Excluding a one-off historic 
                                                       pricing adjustment in Q2 that 
                                                       benefitted ex-US Total Revenue, 
                                                       Rare Disease pro forma revenue 
                                                       growth would have been 2% (8% 
Rare Disease(8)            1,801          6    12      at CER) 
Other Medicines              427       (17)  (10) 
Total Revenue             10,771         31    37 
------------------------  ------  ---------  ----  --------------------------------------------- 
Regions inc. Vaxzevria        $m     Actual   CER 
-----------------------   ------  ---------  ----  --------------------------------------------- 
Emerging Markets           2,792        (3)     1 
                                                      Pricing pressure associated 
                                                       with the NRDL and VBP programmes 
- China                    1,435        (6)   (5)      COVID-19-related lockdowns 
- Ex-China Emerging 
 Markets                   1,357          1     7 
US                         4,348         72    72 
Europe                     2,080         21    35 
Established RoW            1,550         39    55 
Total Revenue inc. 
 Vaxzevria                10,771         31    37 
------------------------  ------  ---------  ----  --------------------------------------------- 
 
                                                    Contribution of medicines acquired 
Regions exc. Vaxzevria        $m     Actual   CER   with Alexion 
-----------------------   ------  ---------  ----  --------------------------------------------- 
Emerging Markets           2,603          7    11     $81m 
- China                    1,435        (6)   (5) 
- Ex-China Emerging 
 Markets                   1,167         31    39     $81m 
US                         4,348         72    72     $1,041m 
Europe                     1,952         43    59     $377m 
Established RoW            1,412         39    56     $277m 
Total Revenue exc. 
 Vaxzevria                10,316         41    47     $1,776m 
------------------------  ------  ---------  ----  --------------------------------------------- 
 
 
 

Table 2 : Key elements of financial performance in Q2 2022

 
Metric      Reported   Reported     Core       Core     Comments [22] 
 ($m or                 change                change 
 %) 
----------  --------  ----------  --------  ----------  ------------------------------------------------------------ 
                                                           See Table 1 and the Total 
Total                 31% Actual            31% Actual      Revenue section of this document 
 Revenue    $10,771m    37% CER   $10,771m    37% CER       for further details 
----------  --------  ----------  --------  ----------  ------------------------------------------------------------ 
Gross         72%       (1pp)       83%     10% Actual     + Addition of Alexion 
Margin                  Actual                8% CER       + Increasing mix of Oncology 
[23]                  (2pp) CER                            sales 
                                                           + Positive effect from phasing 
                                                           of COVID-19 contracts 
                                                           + Positive impact from currency 
                                                           fluctuations 
                                                            *    China impact of NRDL and VBP 
 
 
                                                            *    Impact from profit-sharing arrangements (e.g. 
                                                                 Lynparza) 
 
 
                                                            *    Reported Gross Margin impacted by unwind of Alexion 
                                                                 inventory fair value adjustment 
 
 
                                                           Foreign exchange fluctuations 
                                                           may have a positive or negative 
                                                           impact on Gross Margin in 
                                                           future quarters 
----------  --------  ----------  --------  ----------  ------------------------------------------------------------ 
                                                           + Addition of Alexion 
                                                            + Increased investment in 
                                                            the pipeline following un-gating 
                                                            of additional late-stage trials 
                                                            + One-off $89m impairment 
                                                            (included in Reported and 
                                                            Core) of a pre-paid asset 
                                                            relating to a discontinued 
                                                            collaboration with an external 
                                                            partner 
                                                            + Reversal of the beneficial 
                                                            cost phasing effects seen 
                                                            in Q1 2022 
R&D                   39% Actual            35% Actual      Core R&D-to-Total Revenue 
 Expense    $2,546m     44% CER   $2,431m     40% CER       ratio of 23% (Q2 2021: 22%) 
----------  --------  ----------  --------  ----------  ------------------------------------------------------------ 
                                                         + Addition of Alexion 
                                                          + Market development activities 
                                                          for recent launches, including 
                                                          Evusheld 
                                                          + Core SG&A-to-Total Revenue 
SG&A                  51% Actual            27% Actual    ratio of 29% 
 Expense    $4,681m     56% CER   $3,137m     33% CER     (Q2 2021: 30%) 
----------  --------  ----------  --------  ----------  ------------------------------------------------------------ 
Other        $122m       (5%)      $112m      (12%)        Includes $61m divestment from 
Operating               Actual                Actual        Plendil, and income coming 
Income                 (5%) CER             (13%) CER       from royalties and prior transactions 
[24] 
----------  --------  ----------  --------  ----------  ------------------------------------------------------------ 
                        (9pp) 
Operating               Actual              9% Actual      See Gross Margin and Expenses 
 Margin        5%     (9pp) CER     31%       8% CER        commentary above 
----------  --------  ----------  --------  ----------  ------------------------------------------------------------ 
Net          $293m       (8%)      $223m    1% Actual    + Alexion debt financing costs 
Finance                 Actual                26% CER      *    Reported impacted by lower discount unwind on 
Expense                10% CER                                  acquisition-related liabilities 
----------  --------  ----------  --------  ----------  ------------------------------------------------------------ 
                                                           15% tax rate in the quarter 
                                                            reflected geographical mix 
                                                            of profits and favourable 
                                                            adjustments to prior year 
                                                            tax liabilities in a number 
                                                            of major jurisdictions 
                                                            Variations in the tax rate 
                                                            can be expected to continue 
                                               (8%)         quarter to quarter 
                                              Actual        Full year expectation remains 
Tax Rate     (46%)       n/m        15%      (9%) CER       18-22% 
----------  --------  ----------  --------  ----------  ------------------------------------------------------------ 
                        (45%)                              Further details of differences 
                        Actual              92% Actual      between Reported and Core 
EPS          $0.23    (46%) CER    $1.72      89% CER       are shown in Table 13 
----------  --------  ----------  --------  ----------  ------------------------------------------------------------ 
 

Corporate and business development

In May 2022, AstraZeneca entered into a licence agreement with RQ Biotechnologies Ltd for a portfolio of early-

stage mAbs [25] targeted against SARS-CoV-2, the virus that causes COVID-19. Under the agreement, AstraZeneca acquired an exclusive worldwide licence to develop, manufacture and commercialise mAbs against SARS-CoV-2.

Also in May, AstraZeneca completed the sale of commercial rights to Plendil in 35 markets globally, resulting in a $61m gain being recognised in Other Operating Income in the quarter.

In June 2022, the Company entered into a broad strategic collaboration with GRAIL, LLC to develop and commercialise companion diagnostic assays for use with AstraZeneca's therapies. The collaboration will initially focus on developing companion diagnostic tests to identify patients with high-risk, early-stage disease, with plans to embark on numerous trials across multiple indications over the next several years. The deal also encompasses the use of GRAIL's technology to enable recruitment of patients with early-stage cancer for AstraZeneca's clinical trials.

In July 2022, AstraZeneca announced an agreement to acquire TeneoTwo, Inc., including its Phase I clinical-stage CD19xCD3 T-cell engager, TNB-486 , currently under evaluation in relapsed and refractory B-cell non-Hodgkin lymphoma. AstraZeneca will acquire all outstanding equity of TeneoTwo in exchange for an upfront payment of $100m on deal closing. Under the terms of the agreement, AstraZeneca will make additional contingent R&D-related milestone payments of up to $805m and additional contingent commercial-related milestone payments of up to $360m to TeneoTwo's equity holders. The transaction is expected to close in the third quarter of 2022.

Sustainability summary

Airfinity, an independent provider of global real-time health intelligence, estimates that the AstraZeneca COVID-19 vaccine saved over six million lives during the period 8 December 2020 to 8 December 2021. This analysis is based on data from Imperial College, London, published in The Lancet in June 2022.

Management changes

AstraZeneca PLC today announced the appointment of Michel Demar as the Chair-designate of the Board. His appointment followed a robust succession planning process led by Philip Broadley in his capacity as senior

independent Non-Executive Director.

As previously communicated, Leif Johansson, current Chair of the Board of AstraZeneca will be retiring at the conclusion of the Company's Annual General Meeting in April 2023. Michel's appointment is effective immediately thereafter allowing for a managed handover period over the coming months.

Michel was appointed to the Board of AstraZeneca in September 2019 as an independent Non-Executive Director and is currently Chair of the Company's Remuneration Committee and member of the Audit Committee and the Nomination and Governance Committee. He is a Non-Executive Director of Vodafone Group Plc and Louis Dreyfus Int'l Holdings BV. He is also Chairman of IMD Business School and Chairman of Nomoko AG.

Conference call

A conference call and webcast for investors and analysts will begin today, 29 July 2022, at 11:45 BST. Details can be accessed via astrazeneca.com.

Reporting calendar

The Company intends to publish its year-to-date and third quarter results on Thursday 10 November 2022.

Table 3 : Pipeline highlights since prior results announcement

 
Event            Medicine      Indication / Trial              Event 
---------------  ------------  ------------------------------  ------------------------ 
                 Enhertu       HER2-positive breast cancer     Regulatory approval (US, 
                                (2nd-line) (DESTINY-Breast03)   EU) 
Regulatory       Lynparza      gBRCAm [26] breast cancer       CHMP positive opinion 
 approvals                      (adjuvant) (OlympiA)            (EU) 
 and other 
 regulatory 
 actions 
                 Tezspire      Severe asthma (NAVIGATOR)       CHMP positive opinion 
                                                                (EU) 
                 Ultomiris     gMG (CHAMPION-MG)               CHMP positive opinion 
                                                                (EU) 
                 Ultomiris     Subcutaneous, PNH [27]          Regulatory approval (US) 
                                and aHUS [28] 
                 Imfinzi       Biliary tract cancer (TOPAZ-1)  Priority Review (US), 
                                                                regulatory submission 
                                                                (EU) 
                 Enhertu       HER2-low breast cancer          Priority Review (US), 
                                (3rd-line) (DESTINY-Breast04)   regulatory submission 
                                                                (EU, JP) 
                 Enhertu       HER2-positive breast cancer     Regulatory submission 
                                (2nd-line) (DESTINY-Breast03)   (CN) 
Regulatory       PT027         Asthma (MANDALA/DENALI)         Regulatory submission 
 submissions                                                    (US) 
 or acceptances 
                 Evusheld      COVID-19 (PROVENT/TACKLE)       Regulatory submission 
                                                                (JP) 
                 Soliris       gMG                             Regulatory submission 
                                                                (CN) 
                 Koselugo      NF1-PN (SPRINT)                 Priority Review (CN) 
                 Imfinzi       NSCLC (neoadjuvant) (AEGEAN)    Primary co-endpoint met 
                                                                (pCR) 
Major Phase      camizestrant  HR+ [29] /HER2-neg breast       Fast Track Designation 
 III data                       cancer (SERENA-6)               (US) 
 readouts 
 and other 
 developments 
                 Farxiga       HFpEF (DELIVER)                 Primary endpoint met 
                 eplontersen   ATTRv-PN (NEURO-TTRansform)     Primary co-endpoints met 
                 Ultomiris     NMOSD (CHAMPION-NMOSD)          Primary endpoint met 
---------------  ------------  ------------------------------  ------------------------ 
 

Table 4 : Pipeline - anticipated major news flow

 
Timing   Medicine       Indication / Trial                  Event 
-------  -------------  ----------------------------------  ------------------------------- 
H2 2022  Tagrisso       NSCLC (adjuvant) (ADAURA)           Regulatory decision (JP) 
          Imfinzi       Liver cancer (locoregional)         Data readout 
                          (EMERALD-1) 
         Imfinzi        NSCLC (unresectable, Stg.           Data readout 
                         III) (PACIFIC-2) 
         Imfinzi        NSCLC (1st-line) (PEARL)            Data readout 
         Imfinzi        Biliary tract cancer (TOPAZ-1)      Regulatory decision 
         Imfinzi        Liver cancer (1st-line)             Regulatory decision 
          +/-            (HIMALAYA) 
          tremelimumab 
         Imfinzi        NSCLC (1st-line) (POSEIDON)         Regulatory decision 
          +/- 
          tremelimumab 
         Lynparza       gBRCAm breast cancer (adjuvant)     Regulatory decision (JP) 
                         (OlympiA) 
         Lynparza       Prostate cancer (1st-line)          Regulatory submission 
                         (PROpel)                            (US), regulatory decision 
         Enhertu        HER2-positive breast cancer         Data readout, regulatory 
                         (3rd-line) (DESTINY-Breast02)       submission 
         Enhertu        HER2-positive breast cancer         Regulatory decision 
                         (2nd-line) (DESTINY-Breast03) 
         Enhertu        HER2-low breast cancer (3rd-line)   Regulatory decision, regulatory 
                         (DESTINY-Breast04)                  submission (CN) 
         Enhertu        HER2-positive gastric cancer        Regulatory decision (EU) 
                         (2nd-line) (DESTINY-Gastric01) 
         Enhertu        HER2m NCSLC (2nd-line+)             Regulatory decision 
                         (DESTINY-Lung01) 
         Calquence      CLL [30] (ELEVATE-TN)               Regulatory decision (JP) 
         capivasertib   HR+/HER2-neg breast cancer          Data readout 
                         (1st-line) (CAPItello-291) 
         Farxiga        HFpEF (DELIVER)                     Regulatory submission 
         Forxiga        CKD [31] (DAPA-CKD)                 Regulatory decision (CN) 
         eplontersen    ATTRv-PN (NEURO-TTRansform)         Regulatory submission 
                                                             (US) 
         Fasenra        EOE [32] (MESSINA)                  Data readout 
         Tezspire       Severe asthma (NAVIGATOR)           Regulatory decision 
         PT027          Asthma (MANDALA/DENALI)             Regulatory decision (US) 
         nirsevimab     RSV [33] (MELODY/MEDLEY)            Regulatory submission 
                                                             (US), regulatory decision 
                                                             (EU) 
         Evusheld       COVID-19 (PROVENT/TACKLE)           Regulatory submission 
                                                             (CN) 
         Evusheld       COVID-19 outpatient treatment       Regulatory decision 
                         (TACKLE) 
         Vaxzevria      COVID-19                            Regulatory submission 
                                                             (US) 
         Soliris        Guillain-Barr syndrome              Data readout 
         Ultomiris      gMG (CHAMPION-MG)                   Regulatory decision 
         Ultomiris      Subcutaneous, PNH and aHUS          Regulatory decision (EU) 
         Ultomiris      NMOSD (CHAMPION-NMOSD)              Regulatory submission 
         Koselugo       NF1-PN (SPRINT)                     Regulatory decision (JP) 
H1 2023  Tagrisso       EGFRm [34] NSCLC (1st-line)         Data readout 
                         (FLAURA2) 
         Tagrisso       EGFRm NSCLC (unresectable           Data readout 
                         Stg. III) (LAURA) 
         Imfinzi        Bladder cancer (muscle invasive)    Data readout 
                         (NIAGARA) 
         Imfinzi        Bladder cancer (1st-line)           Data readout 
                         (NILE) 
         Imfinzi        NSCLC (neoadjuvant) (AEGEAN)        Data readout 
         Imfinzi        NSCLC (unresectable, Stg.           Regulatory submission 
                         III) (PACIFIC-2) 
          Imfinzi       Liver cancer (locoregional)         Regulatory submission 
                          (EMERALD-1) 
         Imfinzi        Liver cancer (adjuvant)             Data readout, regulatory 
                         (EMERALD-2)                         submission 
         Imfinzi        NSCLC (1st-line) (PEARL)            Regulatory submission 
         Imfinzi        SCLC (limited-stage) (ADRIATIC)     Data readout 
         Lynparza       gBRCAm [35] breast cancer           Regulatory submission 
                         (adjuvant) (OlympiA)                (CN) 
         Lynparza       Ovarian cancer (1st-line)           Regulatory decision (CN) 
                         (PAOLA-1) 
         Lynparza       Ovarian cancer (1st-line)           Data readout 
          + Imfinzi      (DUO-O) 
         Enhertu        HER2-low breast cancer (2nd-line)   Data readout 
                         (DESTINY-Breast06) 
         capivasertib   HR+/HER2-negative breast            Regulatory submission 
                         cancer (1st-line) (CAPItello-291) 
         Dato-DXd       NSCLC (3rd-line) (TROPION-Lung01)   Data readout, regulatory 
                                                             submission 
         roxadustat     Anaemia of myelodysplastic          Data readout 
                         syndrome 
         Fasenra        EOE (MESSINA)                       Regulatory submission 
         nirsevimab     RSV (MELODY/MEDLEY)                 Regulatory submission 
                                                             (JP, CN) 
         danicopan      PNH with extravascular haemolysis   Data readout 
H2 2023  Tagrisso       EGFRm NSCLC (1st-line) (FLAURA2)    Regulatory submission 
         Tagrisso       EGFRm NSCLC (unresectable           Regulatory submission 
                         Stg. III) (LAURA) 
         Imfinzi        Biliary tract cancer (TOPAZ-1)      Regulatory submission 
                                                             (CN) 
         Imfinzi        Bladder cancer (muscle invasive)    Regulatory submission 
                         (NIAGARA) 
         Imfinzi        Bladder cancer (1st-line)           Regulatory submission 
                         (NILE) 
         Imfinzi        Liver cancer (locoregional)         Regulatory submission 
                         (EMERALD-1)                         (CN) 
         Imfinzi        NSCLC (neoadjuvant) (AEGEAN)        Regulatory submission 
         Imfinzi        SCLC (limited-stage) (ADRIATIC)     Regulatory submission 
         Lynparza       Endometrial cancer (1st-line)       Data readout 
          + Imfinzi      (DUO-E) 
         Calquence      CLL (ACE-CL-311)                    Data readout 
         Calquence      MCL [36] (1st-line) (ECHO)          Data readout 
         capivasertib   TNBC [37] (locally adv./met.)       Data readout, regulatory 
                                                             submission 
                          (CAPItello-290) 
         camizestrant   HR+/HER2-neg breast cancer          Data readout 
                         (SERENA-6) 
         Farxiga        Myocardial infarction (DAPA-MI)     Data readout 
         Fasenra        EGPA [38] (MANDARA)                 Data readout 
         Fasenra        HES [39] (NATRON)                   Data readout 
         Soliris        gMG                                 Regulatory decision (CN) 
         Koselugo       NF1-PN (SPRINT)                     Regulatory decision (CN) 
         ALXN1840       Wilson disease                      Regulatory submission 
         danicopan      PNH with extravascular haemolysis   Regulatory submission 
-------  -------------  ----------------------------------  ------------------------------- 
 

Operating and financial review

All narrative on growth and results in this section is based on actual exchange rates, and financial figures are in US$ millions ($m), unless stated otherwise. Unless stated otherwise, the performance shown in this announcement covers the six-month period to 30 June 2022 ('the half' or 'H1 2022') compared to the six-month period to 30 June 2021 (H1 2021), or the three-month period to 30 June 2022 ('the quarter' or 'Q2 2022') compared to the three-month period to 30 June 2021 (Q2 2021).

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

Core financial measures are adjusted to exclude certain significant items, such as:

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

-- Charges and provisions related to restructuring programmes, which includes charges that relate to the impact of restructuring programmes on capitalised IT assets as well as Post Alexion Acquisition Group Review items

-- Alexion acquisition-related items, primarily fair-value adjustments on acquired inventories and fair-value impact of replacement employee share awards

-- Other specified items, principally the imputed finance charge relating to contingent consideration on business combinations and legal settlements

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

Details on the nature of Core financial measures are provided on page 54 of the Annual Report and Form 20-F Information 2021 .

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

Gross Margin, previously termed Gross Profit Margin, is the percentage by which Product Sales exceeds the Cost of sales, calculated by dividing the difference between the two by the sales figure. The calculation of Reported and Core Gross Margin excludes the impact of Collaboration Revenue and any associated costs, thereby reflecting the underlying performance of Product Sales.

EBITDA is defined as Reported Profit Before Tax after adding back Net Finance Expense, results from Joint Ventures and Associates and charges for Depreciation, Amortisation and Impairment. Reference should be made to the Reconciliation of Reported Profit Before Tax to EBITDA included in the financial performance section in this announcement.

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.

Ongoing Collaboration Revenue is defined as Collaboration Revenue excluding Initial Collaboration Revenue (which is defined as Collaboration Revenue that is recognised at the date of completion of an agreement or transaction, in respect of upfront consideration). Ongoing Collaboration Revenue comprises, among other items, royalties, milestone revenue and profit-sharing income. Reference should be made to the Collaboration Revenue table in this Operating and financial review.

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

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

Total Revenue

Table 5 : Disease area and medicine performance

 
                                    H1 2022                        Q2 2022 
                         -----------------------------  ----------------------------- 
                                            % Change                       % Change 
Product Sales                $m  % Total  Actual   CER      $m  % Total  Actual   CER 
----------------------   ------  -------  ------  ----  ------  -------  ------  ---- 
Oncology                  7,089       32      14    18   3,701       34      14    18 
-----------------------  ------  -------  ------  ----  ------  -------  ------  ---- 
- Tagrisso                2,704       12      10    14   1,400       13       7    12 
- Imfinzi                 1,294        6      12    16     695        6      15    20 
- Lynparza                1,291        6      14    18     673        6      15    20 
- Calquence                 903        4      84    87     489        5      74    77 
- Enhertu                    29        -     >6x   >6x      18        -     >5x   >5x 
- Orpathys                   23        -     n/m   n/m      11        -     n/m   n/m 
- Zoladex                   477        2       2     7     236        2     (3)     2 
- Faslodex                  178        1    (21)  (16)      86        1    (18)  (11) 
- Iressa                     63        -    (41)  (39)      32        -    (32)  (29) 
- Arimidex                   61        -    (17)  (13)      28        -     (1)     5 
- Casodex                    42        -    (49)  (47)      21        -    (50)  (48) 
- Others                     24        -     (4)     3      12        -     (8)     1 
-----------------------  ------  -------  ------  ----  ------  -------  ------  ---- 
BioPharmaceuticals: 
 CVRM (8)                 4,559       21      14    18   2,352       22      14    19 
-----------------------  ------  -------  ------  ----  ------  -------  ------  ---- 
- Farxiga                 2,103        9      55    63   1,103       10      51    59 
- Brilinta                  675        3    (10)   (7)     350        3     (7)   (4) 
- Lokelma                   129        1      79    87      66        1      68    79 
- Roxadustat                 91        -       1     1      50        -     (2)   (1) 
- Andexxa (8)                70        -       9    12      37        -       5    11 
- Crestor                   547        2       2     6     280        3       6    11 
- Seloken/Toprol-XL         467        2     (9)   (7)     223        2    (16)  (13) 
- Bydureon                  141        1    (29)  (28)      73        1    (23)  (22) 
- Onglyza                   139        1    (31)  (28)      71        1    (28)  (25) 
- Others                    197        1     (9)   (7)      99        1     (1)     1 
BioPharmaceuticals: 
 R&I                      2,891       13     (2)     -   1,381       13     (3)     1 
-----------------------  ------  -------  ------  ----  ------  -------  ------  ---- 
- Symbicort               1,288        6     (6)   (3)     614        6    (10)   (6) 
- Fasenra                   662        3      14    18     354        3      11    15 
- Breztri                   179        1     >2x   >2x      93        1      66    72 
- Saphnelo                   36        -     n/m   n/m      24        -     n/m   n/m 
- Pulmicort                 334        2    (33)  (32)     116        1    (30)  (28) 
- Daliresp                  109        -     (5)   (4)      58        1       7     8 
- Bevespi                    30        -      13    16      15        -      12    17 
- Others                    253        1    (13)  (12)     107        1    (18)  (17) 
-----------------------  ------  -------  ------  ----  ------  -------  ------  ---- 
BioPharmaceuticals: 
 V&I                      2,734       12     >2x   >2x     977        9      10    15 
-----------------------  ------  -------  ------  ----  ------  -------  ------  ---- 
- Vaxzevria               1,540        7      36    41     451        4    (48)  (44) 
- Evusheld                  914        4     n/m   n/m     445        4     n/m   n/m 
- Synagis                   280        1     >5x   >6x      80        1     >3x   >3x 
- FluMist                     -        -     n/m   n/m       1        -     n/m   n/m 
-----------------------  ------  -------  ------  ----  ------  -------  ------  ---- 
Rare Disease (8)          3,495       16       5    10   1,801       17       6    12 
-----------------------  ------  -------  ------  ----  ------  -------  ------  ---- 
- Soliris (8)             2,017        9     (5)     1   1,027       10     (5)     2 
- Ultomiris (8)             853        4      22    28     434        4      23    31 
- Strensiq (8)              450        2      11    13     242        2      16    18 
- Koselugo                  101        -     >2x   >2x      62        1     >2x   >2x 
- Kanuma (8)                 74        -       9    14      36        -       9    13 
-----------------------  ------  -------  ------  ----  ------  -------  ------  ---- 
Other Medicines             842        4    (11)   (6)     418        4     (3)     6 
-----------------------  ------  -------  ------  ----  ------  -------  ------  ---- 
- Nexium                    674        3     (9)   (2)     343        3       2    12 
- Others                    168        1    (21)  (20)      75        1    (19)  (17) 
-----------------------  ------  -------  ------  ----  ------  -------  ------  ---- 
Product Sales            21,610       98      41    47  10,630       99      32    38 
-----------------------  ------  -------  ------  ----  ------  -------  ------  ---- 
Collaboration Revenue       551        2     >2x   >2x     141        1    (20)  (20) 
-----------------------  ------  -------  ------  ----  ------  -------  ------  ---- 
Total Revenue            22,161      100      43    48  10,771      100      31    37 
-----------------------  ------  -------  ------  ----  ------  -------  ------  ---- 
 

Table 6 : Collaboration Revenue

 
                                  H1 2022                     Q2 2022 
                         --------------------------  -------------------------- 
                                         % Change                    % Change 
                          $m  % Total  Actual   CER   $m  % Total  Actual   CER 
----------------------   ---  -------  ------  ----  ---  -------  ------  ---- 
Lynparza : regulatory 
 milestones              175       32     n/m   n/m    -        -     n/m   n/m 
Enhertu : share of 
 gross profits           173       31     >2x   >2x   99       70     >2x   >2x 
Tezspire: share of 
 gross profits            16        3     n/m   n/m   13        9     n/m   n/m 
Vaxzevria : royalties     60       11      83    77    4        3    (87)  (88) 
Tralokinumab: sales 
 milestone                70       13     n/m   n/m    -        -     n/m   n/m 
Other royalty income      37        7       2     2   20       14       7     9 
Other Collaboration 
 Revenue                  20        4    (77)  (77)    5        4    (93)  (93) 
-----------------------  ---  -------  ------  ----  ---  -------  ------  ---- 
Total                    551      100     >2x   >2x  141      100    (20)  (20) 
-----------------------  ---  -------  ------  ----  ---  -------  ------  ---- 
 

Table 7 : Total Revenue by disease area

 
                                 H1 2022                         Q2 2022 
-------------------   ------------------------------  ------------------------------ 
                                         % Change                        % Change 
                          $m  % Total   Actual   CER      $m  % Total   Actual   CER 
-------------------   ------  -------  -------  ----  ------  -------  -------  ---- 
Oncology               7,454       34       18    22   3,810       35       15    20 
BioPharmaceuticals    10,350       47       26    31   4,733       44        8    13 
--------------------  ------  -------  -------  ----  ------  -------  -------  ---- 
- CVRM                 4,576       21       14    19   2,356       22       14    19 
- R&I                  2,979       13        -     3   1,395       13      (2)     1 
- V&I                  2,795       13      >2x   >2x     981        9        7    12 
--------------------  ------  -------  -------  ----  ------  -------  -------  ---- 
Rare Disease           3,495       16        5    10   1,801       17        6    12 
Other Medicines          862        4     (18)  (12)     427        4     (17)  (10) 
--------------------  ------  -------  -------  ----  ------  -------  -------  ---- 
Total                 22,161      100       43    48  10,771      100       31    37 
--------------------  ------  -------  -------  ----  ------  -------  -------  ---- 
 

Table 8 : Total Revenue by region

 
                               H1 2022                        Q2 2022 
-----------------   -----------------------------  ----------------------------- 
                                       % Change                       % Change 
                        $m  % Total   Actual  CER      $m  % Total   Actual  CER 
-----------------   ------  -------  -------  ---  ------  -------  -------  --- 
Emerging Markets     6,156       28       13   16   2,792       26      (3)    1 
------------------  ------  -------  -------  ---  ------  -------  -------  --- 
- China              3,057       14      (5)  (5)   1,435       13      (6)  (5) 
- Ex-China           3,099       14       38   46   1,357       13        1    7 
------------------  ------  -------  -------  ---  ------  -------  -------  --- 
US                   8,482       38       75   75   4,348       40       72   72 
Europe               4,364       20       34   45   2,080       19       21   35 
Established RoW      3,159       14       59   74   1,551       14       39   55 
------------------  ------  -------  -------  ---  ------  -------  -------  --- 
Total               22,161      100       43   48  10,771      100       31   37 
------------------  ------  -------  -------  ---  ------  -------  -------  --- 
 

Table 9 : Total Revenue by region - excluding Vaxzevria

 
                               H1 2022                        Q2 2022 
-----------------   -----------------------------  ----------------------------- 
                                       % Change                       % Change 
                        $m  % Total   Actual  CER      $m  % Total   Actual  CER 
-----------------   ------  -------  -------  ---  ------  -------  -------  --- 
Emerging Markets     5,436       25        9   13   2,603       24        7   11 
------------------  ------  -------  -------  ---  ------  -------  -------  --- 
- China              3,011       14      (6)  (7)   1,435       13      (6)  (5) 
- Ex-China           2,425       11       38   48   1,167       11       31   39 
------------------  ------  -------  -------  ---  ------  -------  -------  --- 
US                   8,403       38       74   74   4,348       40       72   72 
Europe               4,102       19       53   66   1,952       18       43   59 
Established RoW      2,620       12       40   53   1,412       13       39   56 
------------------  ------  -------  -------  ---  ------  -------  -------  --- 
Total               20,561       93       43   48  10,316       96       41   47 
------------------  ------  -------  -------  ---  ------  -------  -------  --- 
 

Oncology

Oncology Total Revenue increased by 18% (22% at CER) in H1 2022 to $7,454m and represented 34% of overall Total Revenue (H1 2021: 41%). This included Lynparza Collaboration Revenue of $175m (H1 2021: $nil) and Enhertu Collaboration Revenue of $175m (H1 2021: $85m). Product Sales increased by 14% (18% at CER) in H1 2022 to $7,089m, reflecting new launches and increased patient access for Tagrisso, Imfinzi, Lynparza and Calquence partially offset by declines in legacy medicines.

Overall rates of cancer diagnosis, testing and treatment in the half continued to show a cumulative impact from the COVID-19 pandemic with rates in CLL, lung cancer and ovarian cancer remaining below pre-COVID-19 baseline, with some signs of improvement. Rates of breast cancer diagnosis in the US appear to be approaching normal levels. In China, COVID-19 related lockdowns in several major cities had an adverse impact during the second quarter.

Tagrisso

 
Total Revenue    Worldwide  Emerging Markets  US   Europe  Established 
                                                               RoW 
--------------   ---------  ----------------  ---  ------  ----------- 
H1 2022 $m         2,704          805         951   509        439 
Actual change       10%           16%         11%    9%        1% 
CER change          14%           17%         11%   19%        12% 
---------------  ---------  ----------------  ---  ------  ----------- 
 
 
Region               Drivers and commentary 
----------------    ------------------------------------------------------------- 
Worldwide              Increased use of Tagrisso in adjuvant and 1st-line setting 
Emerging Markets       Increased 1st-line use in China and continued growth 
                        in other Emerging Markets 
                        Rising demand from increased patient access in China 
                        continues to offset the impact of the March 2021 NRDL 
                        price reduction 
                        In China, COVID-19 related lockdowns in several major 
                        cities had an adverse impact 
US                     Increasing EGFR testing rates. 
                        Greater use in 1st-line 
                        Strong adjuvant launch momentum 
Europe                 Greater use in 1st-line and adjuvant settings, with 
                        longer duration of treatment, partially offset by lower 
                        2nd-line use 
Established            Increased use in 1st-line setting and launch progress 
 RoW                    in adjuvant 
----------------    ------------------------------------------------------------- 
 

Imfinzi

 
Total Revenue    Worldwide  Emerging Markets  US   Europe  Established 
                                                               RoW 
--------------   ---------  ----------------  ---  ------  ----------- 
H1 2022 $m         1,294          134         689   267        204 
Actual change       12%            1%         15%   18%        1% 
CER change          16%            2%         15%   29%        12% 
---------------  ---------  ----------------  ---  ------  ----------- 
 
 
Region               Drivers and commentary 
----------------    ------------------------------------------------------------- 
Worldwide              Increased use of Imfinzi to treat patients with ES-SCLC 
                        [40] , offset by impact from lower rates of diagnosis 
                        and treatment due to the ongoing COVID-19 pandemic 
Emerging Markets       Growth in ex-China, offset by an adverse impact in CRT 
                        [41] rates and hospital use of infused oncology medicines 
                        due to COVID-19 lockdowns in several major cities in 
                        China during the period 
US                     New patient starts across Stage III NSCLC and ES-SCLC 
Europe                 Increased market penetration in ES-SCLC, growth in the 
                        number of reimbursed markets, offsetting the impact 
                        of COVID-19 on rates of diagnosis and treatment 
Established            New reimbursements 
 RoW 
----------------    ------------------------------------------------------------- 
 

Lynparza

 
Total Revenue    Worldwide  Emerging Markets  US   Europe  Established 
                                                               RoW 
--------------   ---------  ----------------  ---  ------  ----------- 
H1 2022 $m         1,466          241         582   504        139 
Actual change       30%           30%         11%   67%        15% 
CER change          34%           32%         11%   78%        27% 
---------------  ---------  ----------------  ---  ------  ----------- 
 
 
Product Sales    Worldwide  Emerging Markets  US   Europe  Established 
                                                               RoW 
--------------   ---------  ----------------  ---  ------  ----------- 
H1 2022 $m         1,291          241         582   329        139 
Actual change       14%           30%         11%    9%        15% 
CER change          18%           32%         11%   20%        27% 
---------------  ---------  ----------------  ---  ------  ----------- 
 
 
Region               Drivers and commentary 
----------------    ---------------------------------------------------------------- 
Worldwide              Lynparza remains the leading medicine in the PARP [42] 
                        -inhibitor class globally across four tumour types, 
                        as measured by total prescription volume 
                        Total Revenue includes a $175m regulatory milestone 
                        received from MSD and recognised in Europe, in respect 
                        of the approval in the US for the adjuvant treatment 
                        of patients with breast cancer, based on the data from 
                        the OlympiA Phase III trial 
Emerging Markets       Increased patient access following admission to China's 
                        NRDL as a 1st-line treatment for ovarian cancer patients, 
                        with effect from March 2021; also launches in other 
                        markets 
                        In China, COVID-19-related lockdowns in several major 
                        cities had an adverse impact 
US                     US launch in early breast cancer following US FDA [43] 
                        approval in March based on data from the OlympiA Phase 
                        III trial 
                        Growth in use in ovarian and prostate cancers 
Europe                 Reimbursements introduced in additional countries, increasing 
                        BRCAm-testing rates, and successful launches in 1st-line 
                        BRCAm ovarian, 2nd-line HRRm [44] prostate and gBRCAm 
                        HER2-negative advanced breast cancer 
Established            New product launches and high levels of HRD [45] testing 
 RoW                    in Japan 
----------------    ---------------------------------------------------------------- 
 

Enhert u

 
Total Revenue    Worldwide  Emerging Markets  US   Europe  Established 
                                                               RoW 
--------------   ---------  ----------------  ---  ------  ----------- 
H1 2022 $m          204            26         130    46         2 
Actual change       >2x           >6x         72%   >4x        n/m 
CER change          >2x           >6x         72%   >4x        n/m 
---------------  ---------  ----------------  ---  ------  ----------- 
 
 
Region               Drivers and commentary 
----------------    --------------------------------------------------------------- 
Worldwide              Excluding Japan, Enhertu global in-market sales recorded 
                        by Daiichi Sankyo Company Limited (Daiichi Sankyo) and 
                        AstraZeneca, amounted to $ 397 m in the half (H1 2021: 
                        $183m) 
                        AstraZeneca's Total Revenue of $204m includes $175m 
                        of Collaboration Revenue from its share of gross profit 
                        in territories where Daiichi Sankyo records product 
                        sales 
Emerging Markets       Strong uptake in early launch markets 
US                     US in-market sales, recorded by Daiichi Sankyo, amounted 
                        to $274m in the half (H1 2021: $161m) 
                        US launch in 2nd-line HER2-positive metastatic breast 
                        cancer after US FDA approval in May based on data from 
                        the DESTINY-Breast03 Phase III trial 
Europe                 Growth in 3rd-line+ HER2-positive metastatic breast 
                        cancer in large European markets 
                        ESMO guidelines updated in late 2021 to include Enhertu 
                        use in 2nd-line 
Established            In Japan, AstraZeneca receives a mid-single-digit percentage 
 RoW                    royalty on sales made by Daiichi Sankyo 
----------------    --------------------------------------------------------------- 
 

Calquence

 
Total Revenue    Worldwide  Emerging Markets  US   Europe  Established 
                                                               RoW 
--------------   ---------  ----------------  ---  ------  ----------- 
H1 2022 $m          903            16         735   122        30 
Actual change       84%           >2x         65%   >3x        >4x 
CER change          87%           >2x         65%   >4x        >5x 
---------------  ---------  ----------------  ---  ------  ----------- 
 
 
Region 
------    ------------------------------------------------------------------ 
US           Increased new patient market share led to a strong performance, 
              despite continued COVID--19 impacts on CLL diagnosis 
              rates 
Europe       Increased market share in new patient starts after launches 
              in the region 
------    ------------------------------------------------------------------ 
 

Orpathys

Orpathys Total Revenue of $24m in the half (H1 2021: $nil) was driven by the 2021 launch in China, where it is approved for patients with lung cancer and MET [46] gene alterations.

Other Oncology medicines

 
                  H1 2022    % Change 
Total Revenue       $m     Actual   CER 
---------------   -------  ------  -----  ---------------------------------------------- 
Zoladex             491      3%     8%       Increased use in ex-China Emerging Markets, 
                                              offsetting a price cut in Japan 
Faslodex            178    (21%)   (16%)     Generic competition 
Iressa              63     (41%)   (39%)     Continued share loss to next generation 
                                              TKI [47] s 
Arimidex            61     (17%)   (13%) 
Casodex             42     (49%)   (47%)     Ongoing impact from VBP implementation 
Other Oncology      24      (4%)    3% 
----------------  -------  ------  -----  ---------------------------------------------- 
 
 

BioPharmaceuticals

Including Vaccines & Immune Therapies medicines, BioPharmaceuticals Total Revenue increased by 26% (31% at CER) in H1 2022 to $10,350m, representing 47% of overall Total Revenue (H1 2021: 53%). Growth was driven by strong Farxiga performance and growth in the COVID-19 medicines.

Cardiovascular, Renal & Metabolism

Total Revenue from CVRM medicines increased by 14% (19% at CER) in H1 2022, driven by a strong Farxiga performance, to $4,576m and represented 21% of overall Total Revenue (H1 2021: 25%).

Farxiga

 
Total Revenue    Worldwide  Emerging Markets  US   Europe  Established 
                                                               RoW 
--------------   ---------  ----------------  ---  ------  ----------- 
H1 2022 $m         2,105          814         468   627        197 
Actual change       55%           46%         55%   69%        54% 
CER change          62%           50%         55%   85%        68% 
---------------  ---------  ----------------  ---  ------  ----------- 
 
 
Region 
----------------    --------------------------------------------------------------- 
Worldwide              Farxiga volume is growing faster than the overall SGLT2 
                        [48] market in most major regions 
                        Growth in the SGLT2 inhibitor class 
                        Further HF [49] and CKD launches and updated treatment 
                        guidelines including from ESC [50] and AHA [51] /ACC 
                        [52] /HFSA [53] 
Emerging Markets       uACR [54] and MRF [55] testing programs in China, and 
                        solid growth in ex-China Emerging Markets, particularly 
                        Latin America 
                        In China, Forxiga's NRDL status was renewed in the fourth 
                        quarter of 2021 
US                     Regulatory approval for HFrEF [56] in May 2020, treatment 
                        of CKD in May 2021, and favourable gross-to-net adjustments 
                        Both approvals included patients with and without T2D 
                        [57] 
                        Farxiga continued to gain in-class brand share, driven 
                        by HF and CKD launches 
Europe                 The beneficial addition of cardiovascular outcomes trial 
                        data to the label, the HFrEF regulatory approval in 
                        November 2020, and CKD regulatory approval in August 
                        2021 
                        Forxiga continued gains in-class market share in the 
                        period 
Established            In Japan, sales to collaborator Ono Pharmaceutical Co., 
 RoW                    Ltd, which records in-market sales, were $134m (H1 2021: 
                        $71m) 
----------------    --------------------------------------------------------------- 
 

Brilinta

 
Total Revenue    Worldwide  Emerging Markets   US   Europe  Established 
                                                                RoW 
--------------   ---------  ----------------  ----  ------  ----------- 
H1 2022 $m          675           146         351    150        28 
Actual change      (10%)         (19%)        (2%)  (16%)      (12%) 
CER change         (7%)          (15%)        (2%)   (8%)      (8%) 
---------------  ---------  ----------------  ----  ------  ----------- 
 
 
Region 
----------------    ------------------------------------------------------ 
Emerging Markets       Adverse impact from Brilinta's inclusion in China's 
                        VBP programme 
                        Strong growth in ex-China Emerging Markets 
US, Europe             Fewer elective procedures due to the effects of the 
                        pandemic 
----------------    ------------------------------------------------------ 
 

Lokelma

Total Revenue increased 79% (87% at CER) to $129m in H1, driven by Lokelma extending its branded market share lead in the US and also achieving total market share leadership in the period. Continued progress in Europe from recent launches across the region. In China, Lokelma was included on the NRDL with effect from 1 January 2022.

Andexxa

On a pro forma basis, Total Revenue increased 25% (28% at CER) to $80m. Andexxa launched in Japan in May 2022.

Roxadustat

Total Revenue increased 1% to $94m. Total Revenue also increased quarter-on-quarter, with roxadustat benefitting from increased volumes in China following NRDL price cuts.

Other CVRM medicines

 
                  H1 2022    % Change 
Total Revenue       $m     Actual   CER 
-------------- 
Crestor             548      2%     6%       Sales growth driven in Emerging Markets, 
                                              offset by declines in the US and Europe 
Seloken             468     (9%)   (7%)      Emerging Markets sales impacted by China 
                                              VBP implementation of Betaloc [58] oral 
                                              in H2 2021. Betaloc ZOK VBP to be implemented 
                                              later in 2022 
Onglyza             139    (31%)   (28%)     Ongoing impact from VBP implementation 
Bydureon            141    (29%)   (28%)     Continued competitive pressures 
Other CVRM          197     (9%)   (7%) 
----------------  -------  ------  -----  ------------------------------------------------- 
 
 

Respiratory & Immunology

Total Revenue from R&I medicines was stable in H1 2022 (increased 3% at CER) at $2,979m and represented 13% of overall Total Revenue (H1 2021: 19%).

Symbicort

 
Total Revenue    Worldwide  Emerging Markets   US   Europe  Established 
                                                                RoW 
--------------   ---------  ----------------  ----  ------  ----------- 
H1 2022 $m         1,288          306         481    312        189 
Actual change      (6%)            -          (9%)   (9%)      (1%) 
CER change         (3%)            3%         (9%)   (1%)       4% 
---------------  ---------  ----------------  ----  ------  ----------- 
 
 
Region 
----------------    -------------------------------------------------------------- 
Worldwide              Symbicort remains the global market leader within the 
                        ICS [59] /LABA [60] class 
                        The global ICS/LABA market continues to be eroded as 
                        fixed-dose triple therapies (LAMA [61] /LABA/ICS) continue 
                        to launch in major markets (US, China and Japan) 
Emerging Markets       Growth in Ex-China Emerging Markets 
                        Continued impact of fixed-dose triple therapy launches 
                        and COVID-19 restrictions in China 
US                     Maintained market share and leadership in a declining 
                        ICS/LABA market as fixed-dose triple therapy launches 
                        continue 
                        Unfavourable gross-to-net adjustment during the second 
                        quarter 
Established            Sales in Japan continued to decline due to continued 
 RoW                    generic erosion as well as the annual mandatory price 
                        reduction, which occurred in April 
----------------    -------------------------------------------------------------- 
 

Fasenra

 
Total Revenue    Worldwide  Emerging Markets  US   Europe  Established 
                                                               RoW 
--------------   ---------  ----------------  ---  ------  ----------- 
H1 2022 $m          662            17         419   153        73 
Actual change       14%           >2x         18%   12%       (8%) 
CER change          18%           >2x         18%   23%        1% 
---------------  ---------  ----------------  ---  ------  ----------- 
 
 
Region 
-----------    ------------------------------------------------------------ 
Worldwide         Fasenra continued to lead the IL-5 class, in severe 
                   eosinophilic asthma, in major markets (US, Japan and 
                   some EU countries) 
US                Maintained a stable new-to-brand share of the severe 
                   uncontrolled asthma class 
Europe            Growth driven by increased market share performance 
Established       Increased demand and sustained leadership in new-to-brand 
 RoW               prescriptions in Japan, offset by the mandatory price 
                   reduction, which took effect in April 
-----------    ------------------------------------------------------------ 
 

Breztri

 
Total Revenue    Worldwide  Emerging Markets  US   Europe  Established 
                                                               RoW 
--------------   ---------  ----------------  ---  ------  ----------- 
H1 2022 $m          179            43         106    14        16 
Actual change       >2x           61%         >2x   >10x       46% 
CER change          >2x           61%         >2x   >10x       65% 
---------------  ---------  ----------------  ---  ------  ----------- 
 
 
Region 
----------------    --------------------------------------------------------------- 
Worldwide              Breztri continued to gain market share within the fixed-dose 
                        triple class in major markets 
Emerging Markets       Continued its market share leadership within the fixed-dose 
                        triple class in China, which continues to gain share 
                        from the ICS/LABA class 
                        COVID-19 restrictions impacted inhaled maintenance market 
                        growth 
US                     Increased new-to-brand market share within the fixed-dose 
                        triple class 
Europe                 Sustained growth across markets as new launches continue 
                        to progress 
Established            Strong launch performance in Japan 
 RoW 
----------------    --------------------------------------------------------------- 
 

Saphnelo

Total Revenue of $36m in the half (H1 2021: $nil) was driven by the 2021 launch in the US, where Saphnelo has been approved for SLE [62] and received a permanent J-code facilitating reimbursement. In Japan, there was an adverse impact as COVID-19 lockdowns limited access to hospitals.

Tezspire

Total Revenue of $16m in the half (H1 2021: $nil) was comprised entirely of Collaboration Revenue and reflected the US launch of Tezspire as add-on maintenance treatment for patients with severe asthma following US FDA approval in December 2021. Amgen records sales in the US and AstraZeneca records its share of gross profits in the US as Collaboration Revenue. US in-market sales were $36m.

Other R&I medicines

 
                    H1 2022       % Change 
Total Revenue          $m     Actual    CER 
--------------       ------  --------  -----  ------------------------------------------ 
Pulmicort             334     (33%)    (32%)     Revenue from Emerging Markets decreased 
                                                  42% (41% at CER) to $236m, impacted by 
                                                  VBP implementation in China and lower 
                                                  rates of elective surgery and limited 
                                                  access to nebulisation centres due to 
                                                  COVID-19 lockdowns 
Daliresp              109      (5%)    (4%) 
Bevespi                30      13%      16% 
Other R&I             326       9%      9% 
-------------------  ------  --------  -----  ------------------------------------------ 
 
 

Vaccines & Immune Therapies

Total Revenue from Vaccines & Immune Therapies medicines increased to $2,795m (H1 2021: $1,221m) and represented 13% of overall Total Revenue (H1 2021: 8%).

Vaxzevria

 
Total Revenue    Worldwide  Emerging Markets  US   Europe  Established 
                                                               RoW 
--------------   ---------  ----------------  ---  ------  ----------- 
H1 2022 $m         1,600          720         80    262        538 
Actual change       37%           47%         n/m  (54%)       >4x 
CER change          42%           47%         n/m  (50%)       >5x 
---------------  ---------  ----------------  ---  ------  ----------- 
 
 
Region 
----------------    ------------------------------------------------------------------ 
Worldwide              The majority of Vaxzevria revenue in H1 2022 came from 
                        initial, not-for-profit contracts 
                        Revenue in the second quarter decreased by 49% (46% 
                        at CER) 
Emerging Markets       Growth was driven by initial and commercial contracts 
                        in Latin America and Asia 
                        $46m of Collaboration Revenue came from a Chinese sub-licensee 
                        producing vaccines for export 
                        Revenue in the second quarter decreased by 57% 
US                     Purchases by the US government for donation overseas 
                        No revenue recorded in the second quarter 
Europe                 Revenue in the second quarter decreased by 63% (59% 
                        at CER) 
Established            Sales in Japan, Canada and Australia 
 RoW                    Revenue in the second quarter increased by 36% (50% 
                        at CER) 
----------------    ------------------------------------------------------------------ 
 

Evusheld

 
Total Revenue    Worldwide  Emerging Markets  US   Europe  Established 
                                                               RoW 
--------------   ---------  ----------------  ---  ------  ----------- 
H1 2022 $m          914            93         556   143        122 
Actual change       n/m           n/m         n/m   n/m        n/m 
CER change          n/m           n/m         n/m   n/m        n/m 
---------------  ---------  ----------------  ---  ------  ----------- 
 
 
Region 
----------------    --------------------------------------------------------------- 
US                     Evusheld received Emergency Use Authorisation for prevention 
                        of COVID-19 in December 2021 
                        In H1 2022, AstraZeneca continued fulfilment of the 
                        US Government's order for 1.7m units. The remainder 
                        of that order is expected to be fulfilled before the 
                        end of 2022 
Emerging Markets       Multiple government contracts in Central and Eastern 
                        Europe, Latin America and South East Asia and China. 
                        Evusheld is the first non-Chinese medicine to be used 
                        for the prevention of COVID-19 in China 
Europe                 Approved in the EU for prevention of COVID-19 in March 
                        2022 
----------------    --------------------------------------------------------------- 
 

Other V&I medicines

 
                     H1 2022     % Change 
Total Revenue         $m      Actual   CER 
-------------       -------  --------  ----  -------------------------------------------- 
Synagis               280      >5x     >6x      The year-on-year increase reflects the 
                                                 reversion of ex-US rights to AstraZeneca 
                                                 following expiry of the collaboration 
                                                 agreement with AbbVie Inc. on 30 June 
                                                 2021 
FluMist                -       n/m     n/m      Normal seasonality of FluMist sales 
-------------       -------  --------  ----  -------------------------------------------- 
 
 

Rare Disease

On a pro forma basis, Total Revenue from Rare Disease medicines increased by 5% (10% at CER) in H1 2022 to $3,495m. In H1 2022, Rare Disease represented 16% of overall Total Revenue. Excluding a one-off historic pricing adjustment that benefited ex-US Total Revenue in the second quarter, Rare Disease pro forma revenue growth would have been 2% (8% at CER). Performance was driven by continued conversion from Soliris to Ultomiris, and initial uptake of Ultomiris in gMG following US launch. Strensiq and Koselugo performances were driven by patient growth and market expansion respectively.

These tables show pro forma growth rates for the medicines acquired with Alexion, calculated by comparing H1 2022 revenues with the revenues to 30 June 2021 as reported by Alexion.

Soliris

 
Total Revenue    Worldwide  Emerging Markets   US    Europe  Established 
                                                                 RoW 
--------------   ---------  ----------------  -----  ------  ----------- 
H1 2022 $m         2,017          134         1,165   437        281 
Actual change 
 (8)               (5%)          (45%)         2%    (17%)       34% 
CER change 
 (8)                1%           (29%)         2%     (8%)       46% 
---------------  ---------  ----------------  -----  ------  ----------- 
 
 
Region 
------    ---------------------------------------------------------- 
US           Growth in neurology indications (gMG and NMOSD), offset 
              by continued conversion from Soliris to Ultomiris 
Ex-US        Performance driven by neurology growth in new markets 
              and a one-off adjustment in the second quarter 
------    ---------------------------------------------------------- 
 

Ultomiris

 
Total Revenue    Worldwide  Emerging Markets  US   Europe  Established 
                                                               RoW 
--------------   ---------  ----------------  ---  ------  ----------- 
H1 2022 $m          853            30         456   225        142 
Actual change 
 (8)                22%           >6x         10%   65%       (3%) 
CER change 
 (8)                28%           >6x         10%   81%        11% 
---------------  ---------  ----------------  ---  ------  ----------- 
 
 
Region 
---------    --------------------------------------------------------------- 
Worldwide       Continued conversion from Soliris to Ultomiris and expansion 
                 into new markets 
                 Quarter-on-quarter revenue growth variability can be 
                 expected due to Ultomiris every eight-week dosing schedule 
                 and lower average annual treatment cost per patient 
                 compared to Soliris 
US              Continued conversion and patient growth in PNH and aHUS, 
                 as well as initial uptake following recent gMG approval 
                 and launch 
Ex-US           Accelerated conversion in newly-launched markets 
---------    --------------------------------------------------------------- 
 

Other Rare Disease medicines

 
                  H1 2022     % Change 
Total Revenue      $m      Actual   CER   Commentary 
-------------    -------  --------  ----  --------------------------------------------- 
Strensiq (8)       450      11%     13%      Performance driven by demand growth and 
                                              one-time benefit from timing of inventory 
                                              dynamics 
Koselugo           101      >2x     >2x      Performance driven by expansion in the 
                                              US and new markets, as well as timing 
                                              of certain ex-US tender market orders 
Kanuma (8)         74        9%     14%      Continued demand growth in ex-US markets 
-------------    -------  --------  ----  --------------------------------------------- 
 
 

Other medicines (outside the main disease areas)

 
                 H1 2022    % Change 
Total Revenue      $m     Actual   CER   Commentary 
--------------   -------  ------  -----  ------------------------------------------------ 
Nexium             685    (17%)   (11%)     Nexium (oral) was included in China's 
                                             VBP programme implemented in February 
                                             2021 and Nexium (i.v. [63] ) was implemented 
                                             in the fifth round of VBP in October 2021 
Others             177    (20%)   (19%) 
---------------  -------  ------  -----  ------------------------------------------------ 
 
 

Financial performance

Table 10 : Reported Profit and Loss

 
                           H1 2022  H1 2021    % Change    Q2 2022  Q2 2021           % Change 
                                $m       $m  Actual   CER       $m       $m        Actual           CER 
------------------------   -------  -------  ------  ----  -------  -------  ------------  ------------ 
Total Revenue               22,161   15,540      43    48   10,771    8,220            31            37 
- Product Sales             21,610   15,302      41    47   10,630    8,045            32            38 
- Collaboration Revenue        551      238     n/m   n/m      141      175          (20)          (20) 
-------------------------  -------  -------  ------  ----  -------  -------  ------------  ------------ 
Cost of Sales              (6,509)  (4,055)      61    71  (2,998)  (2,191)            37            49 
-------------------------  -------  -------  ------  ----  -------  -------  ------------  ------------ 
Gross Profit                15,652   11,485      36    40    7,773    6,029            29            33 
Gross Margin                 69.9%    73.5%      -4    -4    71.8%    72.8%            -1            -2 
-------------------------  -------  -------  ------  ----  -------  -------  ------------  ------------ 
Distribution Expense         (254)    (202)      26    32    (129)    (103)            25            33 
% Total Revenue               1.1%     1.3%       -     -     1.2%     1.3%             -             - 
R&D Expense                (4,679)  (3,542)      32    35  (2,546)  (1,829)            39            44 
% Total Revenue              21.1%    22.8%       2     2    23.6%    22.2%            -1            -1 
SG&A Expense               (9,521)  (6,027)      58    62  (4,681)  (3,098)            51            56 
% Total Revenue              43.0%    38.8%      -4    -4    43.5%    37.7%            -6            -5 
OOI [64] & Expense             219    1,308    (83)  (83)      122      128           (5)           (5) 
% Total Revenue               1.0%     8.4%      -7    -7     1.1%     1.6%             -             - 
-------------------------  -------  -------  ------  ----  -------  -------  ------------  ------------ 
Operating Profit             1,417    3,022    (53)  (49)      539    1,127          (52)          (53) 
Operating Margin              6.4%    19.4%     -13   -13     5.0%    13.7%            -9            -9 
-------------------------  -------  -------  ------  ----  -------  -------  ------------  ------------ 
Net Finance Expense          (612)    (602)       2     9    (293)    (319)           (8)            10 
Joint Ventures and 
 Associates                    (5)     (48)    (90)  (88)        1     (44)           n/m           n/m 
-------------------------  -------  -------  ------  ----  -------  -------  ------------  ------------ 
Profit before tax              800    2,372    (66)  (62)      247      764          (68)          (75) 
-------------------------  -------  -------  ------  ----  -------  -------  ------------  ------------ 
Taxation                      (52)    (260)    (80)  (77)      113    (214)           n/m           n/m 
Tax rate                        7%      11%                   -46%      28% 
-------------------------  -------  -------  ------  ----  -------  -------  ------------  ------------ 
Profit after tax               748    2,112    (65)  (60)      360      550          (35)          (37) 
-------------------------  -------  -------  ------  ----  -------  -------  ------------  ------------ 
Earnings per share           $0.48    $1.61    (70)  (66)    $0.23    $0.42          (45)          (46) 
-------------------------  -------  -------  ------  ----  -------  -------  ------------  ------------ 
 

Table 11 : Reconciliation of Reported Profit before tax to EBITDA

 
                              H1 2022  H1 2021    % Change    Q2 2022  Q2 2021    % Change 
                                   $m       $m  Actual   CER       $m       $m  Actual   CER 
---------------------------   -------  -------  ------  ----  -------  -------  ------  ---- 
Reported Profit before 
 tax                              800    2,372    (66)  (62)      247      764    (68)  (75) 
Net Finance Expense               612      602       2     9      293      319     (8)    10 
Joint Ventures and 
 Associates                         5       48    (90)  (88)      (1)       44     n/m   n/m 
Depreciation, Amortisation 
 and Impairment                 2,666    1,550      72    73    1,357      753      80    82 
----------------------------  -------  -------  ------  ----  -------  -------  ------  ---- 
EBITDA                          4,083    4,572    (11)   (8)    1,896    1,880       1     1 
----------------------------  -------  -------  ------  ----  -------  -------  ------  ---- 
 

EBITDA of $4,083m in the half (H1 2021: $4,572m) has been negatively impacted by the $2,318m (H1 2021: $nil) unwind of inventory fair value uplift recognised on the acquisition of Alexion. EBITDA of $1,896m in the quarter (Q2 2021: $1,880m) has been negatively impacted by the $1,138m (Q2 2021: $nil) unwind of inventory fair value uplift recognised on the acquisition of Alexion. The unwind of inventory fair value is expected to depress EBITDA over the year in line with associated revenues.

Table 12 : Reconciliation of Reported to Core financial measures: H1 2022

 
H1 2022              Reported  Restructuring           Intangible  Acquisition  Other      Core      Core 
                                               Asset Amortisation   of Alexion                     % Change 
                                                    & Impairments 
                           $m             $m                   $m           $m     $m        $m  Actual   CER 
------------------   --------  -------------  -------------------  -----------  -----  --------  ------  ---- 
Gross Profit           15,652             81                   16        2,320      -    18,069      57    60 
Gross Margin            69.9%                                                             81.1%    +7pp  +6pp 
-------------------  --------  -------------  -------------------  -----------  -----  --------  ------  ---- 
Distribution 
 Expense                (254)              1                    -            -      -     (253)      25    32 
R&D Expense           (4,679)             38                    6           18      -   (4,617)      34    38 
                                                                                1,129 
SG&A Expense          (9,521)            198                2,081           30   [65]   (6,083)      25    29 
-------------------  --------  -------------  -------------------  -----------  -----  --------  ------  ---- 
Total Operating 
 Expense             (14,454)            237                2,087           48  1,129  (10,953)      29    33 
-------------------  --------  -------------  -------------------  -----------  -----  --------  ------  ---- 
Other Operating 
 Income & Expense         219            (9)                    -            -      -       210    (84)  (84) 
-------------------  --------  -------------  -------------------  -----------  -----  --------  ------  ---- 
Operating 
 Profit                 1,417            309                2,103        2,368  1,129     7,326      69    71 
Operating 
 Margin                  6.4%                                                             33.1%    +5pp  +4pp 
-------------------  --------  -------------  -------------------  -----------  -----  --------  ------  ---- 
Net Finance 
 Expense                (612)              -                    -                 137     (475)      16    24 
Taxation                 (52)           (61)                (387)        (546)  (207)   (1,253)     n/m   n/m 
-------------------  --------  -------------  -------------------  -----------  -----  --------  ------  ---- 
EPS                     $0.48          $0.16                $1.10        $1.18  $0.69     $3.61      43    44 
-------------------  --------  -------------  -------------------  -----------  -----  --------  ------  ---- 
 

Table 13 : Reconciliation of Reported to Core financial measures: Q2 2022

 
Q2 2022              Reported  Restructuring           Intangible  Acquisition  Other     Core      Core 
                                               Asset Amortisation   of Alexion                    % Change 
                                                    & Impairments 
                           $m             $m                   $m           $m     $m       $m  Actual   CER 
------------------   --------  -------------  -------------------  -----------  -----  -------  ------  ---- 
Gross Profit            7,773             30                    8        1,139      -    8,950      48    52 
Gross Margin            71.8%                                                            82.9%   +10pp  +8pp 
-------------------  --------  -------------  -------------------  -----------  -----  -------  ------  ---- 
Distribution 
 Expense                (129)              -                    -            -      -    (129)      25    33 
R&D Expense           (2,546)             33                   75            7      -  (2,431)      35    40 
SG&A Expense          (4,681)            181                  983           13    367  (3,137)      27    33 
-------------------  --------  -------------  -------------------  -----------  -----  -------  ------  ---- 
Total Operating 
 Expense              (7,356)            214                1,058           20    367  (5,697)      30    36 
-------------------  --------  -------------  -------------------  -----------  -----  -------  ------  ---- 
Other Operating 
 Income & Expense         122           (10)                    -            -      -      112    (12)  (13) 
-------------------  --------  -------------  -------------------  -----------  -----  -------  ------  ---- 
Operating 
 Profit                   539            234                1,066        1,159    367    3,365      86    87 
Operating 
 Margin                  5.0%                                                            31.2%    +9pp  +8pp 
-------------------  --------  -------------  -------------------  -----------  -----  -------  ------  ---- 
Net Finance 
 Expense                (293)              -                    -            -     70    (223)       1    26 
Taxation                  113           (46)                (196)        (266)   (86)    (481)      32    28 
-------------------  --------  -------------  -------------------  -----------  -----  -------  ------  ---- 
EPS                     $0.23          $0.12                $0.56        $0.58  $0.23    $1.72      92    89 
-------------------  --------  -------------  -------------------  -----------  -----  -------  ------  ---- 
 

Profit and Loss drivers

Gross Profit

   --    The Gross Profit Margin (Reported and Core) in the half was impacted by: 

-- Positive mix effects: the increased contribution from Rare Disease and Oncology medicines had a positive impact on the Gross Margin

-- Negative mix effects: sales of Vaxzevria and medicines with profit-sharing arrangements (primarily Lynparza) had a dilutive impact on the Gross Margin. In the second quarter, there was less dilution from Vaxzevria than in previous quarters, due to phasing on Vaxzevria contracts that were fulfilled in the quarter

   --      Pricing pressure relating to the VBP and NRDL procurement programmes in China 

-- Reported Gross Profit was also impacted by the unwind of the fair value adjustment to Alexion inventories at the date of acquisition. The fair value uplift is expected to unwind through Reported Cost of Sales over 2022 in line with associated revenues, and in H1 2022, the impact of the fair value uplift unwind on Cost of Sales was $2,318m

-- Currency fluctuations had a positive impact in the first half. Currency fluctuations may have a positive or negative impact on Gross Margin in future quarters

   --    Variations in Gross Margin performance between periods can be expected to continue 

R&D Expense

   --    The increase in Reported and Core R&D Expense was driven by: 
   --      The acquisition of Alexion in July 2021 

-- Recent positive data read outs for several high priority medicines that ungated late-stage Oncology trials

-- The advancement of a number of Phase II clinical development programmes in BioPharmaceuticals

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

-- A one-off $89m impairment of a pre-paid asset relating to a discontinued collaboration with an external partner

   --    Reported R&D Expense in H1 2022 was also impacted by intangible asset impairment reversals 

SG&A Expense

   --    The increase in Reported and Core SG&A Expense was driven by: 
   --      The acquisition of Alexion 
   --      Market development activities for recent launches, including Evusheld 

-- Reported SG&A Expense was also impacted by amortisation of intangible assets related to the Alexion acquisition and a $775m legal settlement with Chugai

Other Operating Income

-- Other Operating Income of $219m consisted primarily of royalties and disposal proceeds on small divestments, including the divestment of rights to Plendil in the second quarter

-- In H1 2021, Other Operating Income of $1,308m included $776m of divestment gains from AstraZeneca's share of Viela Bio, Inc. and $309m from the commercial rights to Crestor in over 30 countries in Europe (excluding UK and Spain)

Net Finance Expense

-- The increase in Net Finance Expense in the half was driven by financing costs on debt for the Alexion transaction, increased interest on tax, and currency fluctuations

Taxation

-- Reported Tax rate is lower than H1 2021 and Core Tax rate is higher than H1 2021. Reported tax rate is lower due to impact of non-core charges on the level of Reported Profit Before Tax in H1 2022 and both Reported and Core Tax rates were impacted by one-off items in 2021, including the non-taxable gain on the divestment of Viela and updates to estimates of prior period tax liabilities following settlements with tax authorities

-- The net cash paid for the half was $1,006m (H1 2021: $869m) representing 126% of Reported Profit Before Tax (H1 2021: 37%). The cash tax rate increased due to the impact of Non-core charges on the level of Reported Profit Before Tax and effects of US rules around deferral of tax relief on R&D costs

-- The Reported Tax rate of 7% was lower than Core Tax rate of 18% due to the impact of Non-Core charges on the level of Reported Profit Before Tax. Q2 2022 Reported and Core Tax rates also benefited from the geographical mix of profits and favourable adjustments to prior year tax liabilities in a number of major jurisdictions in the quarter

-- On 20 July 2022, the UK Government issued draft legislation in relation to the new global minimum tax framework, expected to be brought into effect in the UK from 2024. The Company is currently assessing potential impact of these draft rules upon its financial statements.

Dividend

   --    Interim dividend declared of $0.93 (76.4 pence, 9.49 SEK) per ordinary share 

Table 14 : Cash Flow summary

 
                                                    H1 2022  H1 2021   Change 
                                                         $m       $m       $m 
-------------------------------------------------   -------  -------  ------- 
Reported Operating Profit                             1,417    3,022  (1,605) 
Depreciation, Amortisation and Impairment             2,666    1,550    1,116 
Decrease in Working Capital and Short-term 
 Provisions                                           2,391      857    1,534 
Gains on Disposal of Intangible Assets                 (81)    (354)      273 
Gains on Disposal of Investments in Associates 
 and Joint Ventures                                       -    (776)      776 
Fair value movements on contingent consideration 
 arising from business combinations                     293       82      211 
Non-Cash and Other Movements                          (814)    (363)    (451) 
Interest Paid                                         (386)    (323)     (63) 
Taxation Paid                                       (1,006)    (869)    (137) 
--------------------------------------------------  -------  -------  ------- 
Net Cash Inflow from Operating Activities             4,480    2,826    1,654 
--------------------------------------------------  -------  -------  ------- 
Net Cash Inflow before Financing Activities           3,512    3,145      367 
--------------------------------------------------  -------  -------  ------- 
Net Cash (Outflow)/Inflow from Financing 
 Activities                                         (5,035)    4,558  (9,593) 
--------------------------------------------------  -------  -------  ------- 
 

The increase in Net Cash Inflow from Operating Activities of $1,654m primarily reflected an underlying

improvement in business performance, including the contribution from Alexion.

The Reported Operating Profit of $1,417m in the period includes a negative impact of $2,318m relating to the unwind of the inventory fair value uplift recognised on the acquisition of Alexion. This is offset by a corresponding item (positive impact of $2,318m) in Decrease in Working Capital and Short-term Provisions. Overall, the unwind of the fair value uplift has no impact on Net Cash Inflow from Operating Activities.

The change in Working Capital and Short-term Provisions of $1,534m, whilst being positively impacted by the aforementioned inventory fair value uplift unwind, has been adversely impacted by the reduction of Vaxzevria working capital balances predominantly within Trade and other payables.

Capital Expenditure

Capital Expenditure amounted to $472m in the half (H1 2021: $508m). The Company anticipates an increase in Capital Expenditure relative to FY 2021, partly driven by an expansion in its capacity for growth and the acquisition of Alexion.

Table 15 : Net Debt summary

 
                                                          At 30      At 31      At 30 
                                                       Jun 2022   Dec 2021   Jun 2021 
                                                             $m         $m         $m 
---------------------------------------------------   ---------  ---------  --------- 
Cash and cash equivalents                                 4,817      6,329     15,567 
Other investments                                            70         69         62 
----------------------------------------------------  ---------  ---------  --------- 
Cash and investments                                      4,887      6,398     15,629 
----------------------------------------------------  ---------  ---------  --------- 
Overdrafts and short-term borrowings                      (747)     (387 )      (560) 
Lease liabilities                                         (905)     (987 )      (690) 
Current instalments of loans                            (1,415)   (1,273 )    (2,136) 
Non-current instalments of loans                       (26,461)  (28,134 )   (24,109) 
----------------------------------------------------  ---------  ---------  --------- 
Interest-bearing loans and borrowings (Gross Debt)     (29,528)   (30,781)   (27,495) 
----------------------------------------------------  ---------  ---------  --------- 
Net derivatives                                            (48)         61        145 
----------------------------------------------------  ---------  ---------  --------- 
Net Debt                                               (24,689)  (24,322 )   (11,721) 
----------------------------------------------------  ---------  ---------  --------- 
 

Net Debt increased by $367m in the half to $24,689m. 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 are disclosed in Note 3.

Capital allocation

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

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

Summarised financial information for guarantee of securities of subsidiaries

AstraZeneca Finance LLC ("AstraZeneca Finance") is the issuer of 0.700% Notes due 2024, 1.200% Notes due 2026, 1.750% Notes due 2028 and 2.250% Notes due 2031 (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 by AstraZeneca PLC is full and unconditional and joint and several.

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

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

Please refer to the consolidated financial statements of AstraZeneca PLC in our Annual Report on Form 20-F and reports on Form 6-K with our quarterly financial results as filed or furnished with the SEC 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 Form 6-K furnished to the SEC on 28 May 2021.

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

Table 16 : Obligor group summarised Statement of comprehensive income

 
                                                                     H1 2022  H1 2021 
                                                                          $m       $m 
------------------------------------------------------------------   -------  ------- 
Total revenue                                                              -        - 
Gross profit                                                               -        - 
Operating loss                                                           (2)     (43) 
Loss for the period                                                    (275)    (336) 
Transactions with subsidiaries that are not issuers or guarantors        331    2,582 
-------------------------------------------------------------------  -------  ------- 
 

Table 17 : Obligor group summarised Statement of financial position information

 
                                                                    At 30 Jun 2022  At 30 Jun 2021 
                                                                                $m              $m 
-----------------------------------------------------------------   --------------  -------------- 
Current assets                                                                   7               7 
Non-current assets                                                               -               4 
Current liabilities                                                        (1,838)         (2,341) 
Non-current liabilities                                                   (23,994)        (23,808) 
Amounts due from subsidiaries that are not issuers or guarantors             7,459          15,039 
Amounts due to subsidiaries that are not issuers or guarantors               (295)           (295) 
------------------------------------------------------------------  --------------  -------------- 
 

Foreign exchange

The Company's transactional currency exposures on working-capital balances, which typically extend for up to three months, are hedged where practicable using forward foreign-exchange contracts against the individual companies' reporting currency. Foreign-exchange gains and losses on forward contracts for transactional hedging are taken to profit or loss. In addition, the Company's external dividend payments, paid principally in pounds sterling and Swedish krona, are fully hedged from announcement to payment date.

Table 18 : Currency sensitivities

The Company provides the following currency-sensitivity information:

 
               Exchange    Annual impact of 5% strengthening in exchange rate versus USD ($m) ([66]) 
       rates versus USD 
      -----------------    ------------------------------------------------------------------------- 
 
 
Currency       Primary Relevance    FY 2021 [67]   30 Jun 2022 ([68])  % Change  Total Revenue        Core Operating 
                                                                                                              Profit 
CNY            Total Revenue                6.43                 6.70       (4)            277                   158 
EUR            Total Revenue                0.85                 0.96      (12)            317                   160 
JPY            Total Revenue              109.83               136.34      (19)            229                   158 
Other ([69])                                                                               420                   196 
----------------------------------  ------------  -------------------  --------  -------------  -------------------- 
GBP            Operating Expense            0.73                 0.82      (12)             61                  (93) 
SEK            Operating Expense            8.58                10.26      (16)              6                  (82) 
-------------  -------------------  ------------  -------------------  --------  -------------  -------------------- 
 

Sustainability

Since the last quarterly report, AstraZeneca:

Access to healthcare

-- Expanded the Healthy Heart Africa programme into Rwanda in collaboration with the Rwanda Ministry of Health and PATH, the programme implementing partner

-- Launched a collaboration with the Kenya Ministry of Health and Amref Health Africa to deploy mobile clinics to bring COVID-19 vaccines and non-communicable disease awareness to hard-to-reach communities across Kenya

-- Joined EDISON Alliance's One Billion Lives Challenge, to improve access to innovative and scalable digital health solutions by 2025. As part of the Challenge, AstraZeneca aims to screen five million patients for lung cancer using AI-based technology, in collaboration with Qure.ai

-- Expanded its in-depth health system research as part of the Partnership for Health System Resilience and Sustainability into 13 new countries (now 21 in total), with Japan and Greece being the first Phase 2 countries to announce their research results

-- Announced findings from Young Health Programme-funded research by RTI International that shows for every $1 invested in evidence-based interventions to prevent and treat mental health issues among adolescents, $24 in health and economic benefits would be returned to the global economy over 80 years

-- Also, analysis from health analytics firm Airfinity showed that the AstraZeneca COVID-19 Vaccine helped save over six million lives during the period 8 December 2020 to 8 December 2021

Environmental protection

   --    Continued to progress conversion of its fleet to electric/hybrid vehicles, currently at 59% 

-- Confirmed collaboration with the WHO-led Alliance for Transformative Action of Climate and Health, to share recommendations with governments on how to deliver low-carbon, climate resilient healthcare

-- Wrote, together with SMI [70] Health Systems Taskforce, an editorial calling for the healthcare sector to consider what it can contribute to decarbonisation

-- Reinforced its commitment to reforestation through tree planting at sites around the world, including Algeria, Canada, Ghana, Greece, India, Libya and the US

-- Also, the ground source heat pump at AstraZeneca's Discovery Centre in Cambridge, one of the largest in the UK, became the first of its kind to be independently certified as a source of renewable heat by the UK Government

Ethics and transparency

-- Contributed to a study by the Tufts Center for the Study of Drug Development on clinical trial diversity

   --    Revised sustainability standards in the Company's Expectations of Third Parties 

-- Celebrated Pride Month with activities across the world focused on allyship and education to promote progression towards LGBTQIA+ rights and equality

-- Was recognised by Diversity Inc in the 'Top 50 Companies for Diversity' list, for the third successive year

-- Was recognised as a 2022 Gold Top Global for Supplier Diversity & Inclusion Champion by WEConnect International

-- Was awarded the EcoVadis Silver Medal for the second time, in recognition of the quality of the company's sustainability management system

Research and development

This section covers R&D events and milestones that have occurred since the prior results announcement.

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.

Oncology

AstraZeneca presented new data across its diverse portfolio of cancer medicines at the ASCO [71] Annual Meeting, underscoring its ambition to redefine cancer care. More than 100 abstracts featured 18 approved and potential new medicines across the Company's industry-leading oncology portfolio, including one plenary presentation and nine oral presentations.

Significant new trials in Oncology initiated during the period included ADAURA2, a Phase III trial of Tagrisso in Stage IA2 to IA3 NSCLC after complete resection, TROPION-Breast02, a Phase III trial of datopotamab deruxtecan in patients with previously untreated locally recurrent inoperable or metastatic TNBC not eligible to receive PD-1 [72] /PD-L1 [73] inhibitor therapy; and CAPItello-280, a Phase III trial of capivasertib in combination with docetaxel in participants with metastatic castrate-resistant prostate cancer.

Imfinzi

During the period, the Company received US regulatory submission acceptance with Priority Review for Imfinzi in combination with chemotherapy for the treatment of locally advanced or metastatic biliary tract cancer. The regulatory submission was based on positive results from the TOPAZ-1 Phase III trial. The PDUFA [74] date [75] is anticipated to be during the third quarter of 2022.

In June 2022, positive high-level results from a planned interim analysis of the AEGEAN Phase III trial showed treatment with AstraZeneca's Imfinzi in combination with neoadjuvant chemotherapy before surgery demonstrated a statistically significant and meaningful improvement in pathologic complete response compared to neoadjuvant chemotherapy alone for patients with resectable NSCLC. A statistically significant improvement in major pathologic response was also observed. The trial will continue as planned to assess the additional primary endpoint of event-free survival to which the Company, investigators and participants remain blinded.

In July 2022, Imfinzi was assigned category 1 status in the US NCCN [76] guidelines for the 1st-line treatment of patients with biliary tract cancer, based on the results from the TOPAZ-1 Phase III trial.

Lynparza

During the period, AstraZeneca and MSD's Lynparza was recommended for marketing authorisation in the EU as monotherapy or in combination with endocrine therapy for the adjuvant treatment of adult patients with germline BRCA1/2 mutations who have HER2-negative high-risk early breast cancer previously treated with neoadjuvant or adjuvant chemotherapy, by the Committee for CHMP of the EMA, based on the results of the OlympiA Phase III trial.

In July 2022, AstraZeneca and MSD received notification from an Independent Data Monitoring Committee that data from a pre-specified interim efficacy analysis of the LYNK-003 Phase III trial of Lynparza in patients with unresectable or metastatic colorectal cancer was unlikely to demonstrate a benefit to patients and recommended that the trial be discontinued. Accordingly, MSD announced that the trial would stop for futility.

Calquence

In June 2022, at the aforementioned ASCO Annual Meeting, updated results from the ELEVATE-TN Phase III trial showed Calquence maintained a statistically significant PFS [77] benefit versus chlorambucil plus obinutuzumab and a safety and tolerability profile consistent with the known profile for Calquence at a median follow up of approximately five years in combination and as a monotherapy in CLL. Results also showed longer OS [78] for Calquence combined with obinutuzumab compared with chlorambucil combined with obinutuzumab in previously untreated adults with CLL.

Separately, follow-up data from the ASC Phase III trial showed Calquence demonstrated a sustained PFS benefit at four years based on investigator assessment compared with investigator's choice of rituximab combined with either idelalisib or bendamustine in adults with relapsed or refractory CLL.

Enhertu

In May 2022, AstraZeneca and Daiichi Sankyo's Enhertu was approved in the US for the treatment of patients with unresectable or metastatic HER2-positive breast cancer who have received a prior anti-HER2-based regimen either in the metastatic setting, or in the neoadjuvant or adjuvant setting and have developed disease recurrence during or within six months of completing therapy. The approval by the US FDA [79] was based on positive results from the DESTINY-Breast03 Phase III trial.

In July 2022, Enhertu was approved for use in the EU as a monotherapy for the treatment of adult patients with unresectable or metastatic HER2-positive breast cancer who have received one or more prior anti-HER2-based regimens. The approval followed the EMA's positive CHMP opinion based on the results from DESTINY-Breast03 Phase III trial.

At this year's ASCO Annual Meeting, results from the DESTINY-Breast04 Phase III trial were presented during the Plenary Session. Enhertu demonstrated superior and clinically meaningful PFS and OS in previously treated patients with HER2-low unresectable and/or metastatic breast cancer with HR-positive or HR-negative disease versus standard of care physician's choice of chemotherapy. Results were simultaneously published in The New England Journal of Medicine.

Soon after the presentation of these data, Enhertu was assigned category 1 status in the US NCCN guidelines for the treatment of patients with (HR-positive and HR-negative) tumours that are HER2-low, who have received at least one prior line of chemotherapy for metastatic disease and, where the tumour is HR-positive, are refractory to endocrine therapy. In July, ASCO guidelines were updated to recommend Enhertu in the same setting.

During the period, based on the results of the DESTINY-Breast04 Phase III trial, AstraZeneca and Daiichi Sankyo received US regulatory submission acceptance with Priority Review, EU regulatory submission acceptance, and completed regulatory submission in Japan.

Camizestrant

During the period, the US FDA granted Fast Track Designation to camizestrant in combination with palbociclib or abemaciclib in the treatment of in patients with HR-positive/HER2-negative metastatic breast cancer with detectable ESR1 [80] mutations who have not experienced disease progression on first-line therapy (SERENA-6).

BioPharmaceuticals - CVRM

Brilinta

During the period, AstraZeneca withdrew Brilinta's regulatory submission in China to prevent acute ischaemic stroke or TIA [81] . The submission was based on the THALES Phase III trial where Brilinta plus aspirin significantly reduced the rate of stroke and death compared to aspirin alone in patients with acute ischaemic stroke or TIA. Brilinta was approved in the US in the aforementioned indication in November 2020.

Farxiga

In May 2022, the Company announced positive high-level results from the DELIVER Phase III trial where Farxiga showed a statistically significant and clinically meaningful reduction in the primary endpoint of cardiovascular death or worsening heart failure. The trial was conducted in patients with heart failure with mildly reduced or preserved ejection fraction, defined as left ventricular ejection fraction greater than 40%.

Bydureon

During the period, AstraZeneca received a marketing extension in the EU for Bydureon BCise to include the treatment of type-2 diabetes in children and adolescents aged 10 years and above.

Eplontersen

In June 2022, AstraZeneca and Ionis Pharmaceuticals, Inc. announced positive high-level results from the NEURO-TTRansform Phase III trial for eplontersen in patients with hereditary transthyretin-mediated amyloid polyneuropathy. In the trial, eplontersen reached a statistically significant and clinically meaningful change from baseline for its co-primary endpoint of percent change in serum TTR [82] concentration, reducing TTR protein production. Eplontersen also reached its co-primary endpoint of change from baseline in the modified Neuropathy Impairment Score +7, a measure of neuropathic disease progression, versus the external placebo group. The secondary endpoint of change from baseline in the Norfolk Quality of Life Questionnaire-Diabetic Neuropathy was also met, showing that treatment with eplontersen significantly improved patient-reported quality of life versus the external placebo group.

BioPharmaceuticals - R&I

During the period the Company initiated IRIS, a Phase III trial of Saphnelo in lupus nephritis.

Tezspire

In July 2022, Tezspire was recommended for approval in the EU by the CHMP for the treatment of severe asthma. Tezspire is the first and only biologic approved in a broad population of severe asthma irrespective of biomarker status.

The GINA [83] severe asthma guidelines were updated during the period, to include anti-TSLP, as an add-on biologic therapy for patients 12 years and over with severe asthma.

PT027

In May 2022, full results from the Phase III MANDALA trial were published in The New England Journal of Medicine and presented along with results from the Phase III DENALI trial at the American Thoracic Society International Conference. The use of PT027, a novel fixed-dose combination of albuterol and budesonide, as an as-needed rescue medicine significantly reduced the risk of severe exacerbation by 27% in patients with asthma, compared with albuterol alone.

BioPharmaceuticals - V&I

Evusheld

Detailed results published in The Lancet Respiratory Medicine from the Phase III TACKLE outpatient treatment trial showed that Evusheld provided clinically and statistically significant protection against progression to severe COVID-19 or death from any cause compared to placebo, with treatment with Evusheld earlier in the disease course leading to more favourable outcomes.

A single 600mg intramuscular dose of Evusheld significantly reduced the relative risk of progressing to severe COVID-19 or death (from any cause) by 50% through Day 29 compared to placebo in non-hospitalised patients with mild-to-moderate COVID-19 who were symptomatic for seven days or less, the trial's primary endpoint. In pre-specified analyses of participants who received treatment within three days of symptom onset, Evusheld reduced the risk of developing severe COVID-19 or death (from any cause) by 88% compared to placebo, and the risk reduction was 67% when participants received Evusheld within five days of symptom onset.

Preclinical pseudovirus assay data from the University of Oxford, published in Cell , demonstrated that Evusheld retains neutralisation activity against the Omicron BA.4 and BA.5 variants.

Nirsevimab

Results from a pre-specified pooled analysis of the pivotal Phase III/IIb MELODY trial presented at the European Society for Paediatric Infectious Diseases meeting showed that nirsevimab demonstrated efficacy (relative risk reduction versus placebo) of 79.5% against medically-attended LRTI [84] , such as bronchiolitis or pneumonia, caused by RSV in infants born at term or preterm entering their first RSV season. The pooled analysis evaluated healthy preterm and term infants who received the optimised dose of nirsevimab compared to placebo through Day 151 and showed efficacy of 77.3% against RSV LRTI hospitalisations.

Vaxzevria

In May 2022, Vaxzevria was granted EMA approval for use in the EU as a third dose booster in adults.

Airfinity, the provider of global real-time health intelligence, has analysed data from Imperial College, London, and estimates that Vaxzevria saved over six million lives during the period 8 December 2020 to 8 December 2021. The data from Imperial College was published in The Lancet in June 2022.

Vaxzevria was found to be 73% effective at preventing Omicron-related infections after a fourth dose in a real-world evidence study by Chiang Mai University in Thailand.

Rare Disease

Ultomiris

In May 2022, the Company announced results of the CHAMPION-NMOSD Phase III trial demonstrating Ultomiris achieved a statistically significant and clinically meaningful reduction in the risk of relapse in adults with anti-aquaporin-4 antibody-positive NMOSD compared to the external placebo arm. Ultomiris met primary endpoint of time to first on-trial relapse and as confirmed by an independent adjudication committee; notably, zero adjudicated relapses were observed over a median treatment duration of 73 weeks.

Ultomiris also received regulatory submission acceptance in China for the treatment of gMG, as well as positive CHMP opinion in the EU as an add-on to standard therapy for the treatment of adult patients with gMG. The regulatory submission were based on positive results from the CHAMPION-MG Phase III trial. Additionally, Ultomiris subcutaneous formulation received regulatory approval in the US for the treatment of PNH and aHUS.

Koselugo

Koselugo was granted Priority Review in China for the treatment of NF1-PN in children 2 years old or over.

ALXN1840

In June 2022, Results from the FoCus Phase III trial in Wilson disease were presented at the 2022 International Liver Congress. The detailed results showed ALXN1840, a novel once-daily oral medicine, met its primary endpoint, demonstrating three-times greater copper mobilisation from tissues compared to standard of care, including in patients who had been treated previously for an average of 10 years. Patients taking ALXN1840 experienced rapid copper mobilisation, with a response at four weeks and sustained through 48 weeks.

Interim financial statements

Table 19 : Condensed consolidated statement of comprehensive income - H1 2022

 
For the half year ended 30 June                                                                  2022     2021 
                                                                                                   $m       $m 
                                                                                              -------  ------- 
Total Revenue                                                                                  22,161   15,540 
Product Sales                                                                                  21,610   15,302 
Collaboration Revenue                                                                             551      238 
--------------------------------------------------------------------------------------------  -------  ------- 
Cost of Sales                                                                                 (6,509)  (4,055) 
--------------------------------------------------------------------------------------------  -------  ------- 
Gross profit                                                                                   15,652   11,485 
--------------------------------------------------------------------------------------------  -------  ------- 
Distribution expense                                                                            (254)    (202) 
Research and development expense                                                              (4,679)  (3,542) 
Selling, general and administrative expense                                                   (9,521)  (6,027) 
Other operating income and expense                                                                219    1,308 
--------------------------------------------------------------------------------------------  -------  ------- 
Operating profit                                                                                1,417    3,022 
--------------------------------------------------------------------------------------------  -------  ------- 
Finance income                                                                                     35       27 
Finance expense                                                                                 (647)    (629) 
Share of after tax losses in associates and joint ventures                                        (5)     (48) 
--------------------------------------------------------------------------------------------  -------  ------- 
Profit before tax                                                                                 800    2,372 
--------------------------------------------------------------------------------------------  -------  ------- 
Taxation                                                                                         (52)    (260) 
--------------------------------------------------------------------------------------------  -------  ------- 
Profit for the period                                                                             748    2,112 
--------------------------------------------------------------------------------------------  -------  ------- 
Other comprehensive (loss)/income 
--------------------------------------------------------------------------------------------  -------  ------- 
Items that will not be reclassified to profit or loss 
Remeasurement of the defined benefit pension liability                                          1,031      692 
Net losses on equity investments measured at fair value through other comprehensive income       (12)     (27) 
Fair value movements related to own credit risk on bonds designated as fair value through 
 profit or loss                                                                                     2        2 
Tax on items that will not be reclassified to profit or loss                                    (275)       52 
--------------------------------------------------------------------------------------------  -------  ------- 
                                                                                                  746      719 
                                                                                              -------  ------- 
Items that may be reclassified subsequently to profit or loss 
Foreign exchange arising on consolidation                                                     (1,326)       59 
Foreign exchange arising on designated borrowings in net investment hedges                      (195)    (230) 
Fair value movements on cash flow hedges                                                        (138)     (59) 
Fair value movements on cash flow hedges transferred to profit or loss                            131       73 
Fair value movements on derivatives designated in net investment hedges                            34        7 
Costs of hedging                                                                                 (13)      (2) 
Tax on items that may be reclassified subsequently to profit or loss                               46       18 
--------------------------------------------------------------------------------------------  -------  ------- 
                                                                                              (1,461)    (134) 
                                                                                              -------  ------- 
Other comprehensive (loss)/income, net of tax                                                   (715)      585 
--------------------------------------------------------------------------------------------  -------  ------- 
Total comprehensive income for the period                                                          33    2,697 
--------------------------------------------------------------------------------------------  -------  ------- 
Profit attributable to: 
--------------------------------------------------------------------------------------------  -------  ------- 
Owners of the Parent                                                                              746    2,111 
Non-controlling interests                                                                           2        1 
--------------------------------------------------------------------------------------------  -------  ------- 
                                                                                                  748    2,112 
                                                                                              -------  ------- 
Total comprehensive income attributable to: 
--------------------------------------------------------------------------------------------  -------  ------- 
Owners of the Parent                                                                               33    2,696 
Non-controlling interests                                                                           -        1 
--------------------------------------------------------------------------------------------  -------  ------- 
                                                                                                   33    2,697 
                                                                                              -------  ------- 
Basic earnings per $0.25 Ordinary Share                                                         $0.48    $1.61 
Diluted earnings per $0.25 Ordinary Share                                                       $0.48    $1.60 
Weighted average number of Ordinary Shares in issue (m)                                         1,548    1,312 
Diluted weighted average number of Ordinary Shares in issue (m)                                 1,561    1,319 
--------------------------------------------------------------------------------------------  -------  ------- 
 

Table 20 : Condensed consolidated statement of comprehensive income - Q2 2022

 
For the quarter ended 30 June                                                  Unreviewed [85] 2022  Unreviewed 2021 
                                                                                                 $m               $m 
----------------------------------------------------------------------------   --------------------  --------------- 
Total Revenue                                                                                10,771            8,220 
Product Sales                                                                                10,630            8,045 
Collaboration Revenue                                                                           141              175 
-----------------------------------------------------------------------------  --------------------  --------------- 
Cost of Sales                                                                               (2,998)          (2,191) 
-----------------------------------------------------------------------------  --------------------  --------------- 
Gross profit                                                                                  7,773            6,029 
-----------------------------------------------------------------------------  --------------------  --------------- 
Distribution expense                                                                          (129)            (103) 
Research and development expense                                                            (2,546)          (1,829) 
Selling, general and administrative expense                                                 (4,681)          (3,098) 
Other operating income and expense                                                              122              128 
-----------------------------------------------------------------------------  --------------------  --------------- 
Operating profit                                                                                539            1,127 
-----------------------------------------------------------------------------  --------------------  --------------- 
Finance income                                                                                   18                7 
Finance expense                                                                               (311)            (326) 
Share of after tax losses in associates and joint ventures                                        1             (44) 
-----------------------------------------------------------------------------  --------------------  --------------- 
Profit before tax                                                                               247              764 
-----------------------------------------------------------------------------  --------------------  --------------- 
Taxation                                                                                        113            (214) 
-----------------------------------------------------------------------------  --------------------  --------------- 
Profit for the period                                                                           360              550 
-----------------------------------------------------------------------------  --------------------  --------------- 
Other comprehensive (loss)/income 
Items that will not be reclassified to profit or loss 
Remeasurement of the defined benefit pension liability                                          696              211 
Net (losses)/gains on equity investments measured at fair value through other 
 comprehensive 
 income                                                                                        (30)               81 
Fair value movements related to own credit risk on bonds designated as fair 
 value through 
 profit or loss                                                                                   2                1 
Tax on items that will not be reclassified to profit or loss                                  (181)              146 
-----------------------------------------------------------------------------  --------------------  --------------- 
                                                                                                487              439 
                                                                               --------------------  --------------- 
Items that may be reclassified subsequently to profit or loss 
Foreign exchange arising on consolidation                                                   (1,107)              166 
Foreign exchange arising on designated borrowings in net investment hedges                    (163)               72 
Fair value movements on cash flow hedges                                                      (143)               27 
Fair value movements on cash flow hedges transferred to profit or loss                          120             (48) 
Fair value movements on derivatives designated in net investment hedges                          42              (6) 
Costs of hedging                                                                               (13)              (1) 
Tax on items that may be reclassified subsequently to profit or loss                             45              (8) 
-----------------------------------------------------------------------------  --------------------  --------------- 
                                                                                            (1,219)              202 
                                                                               --------------------  --------------- 
Other comprehensive (loss)/income, net of tax                                                 (732)              641 
-----------------------------------------------------------------------------  --------------------  --------------- 
Total comprehensive (loss)/income for the period                                              (372)            1,191 
-----------------------------------------------------------------------------  --------------------  --------------- 
Profit attributable to: 
----------------------------------------------------------------------------   --------------------  --------------- 
Owners of the Parent                                                                            360              550 
Non-controlling interests                                                                         -                - 
----------------------------------------------------------------------------   --------------------  --------------- 
                                                                                                360              550 
                                                                               --------------------  --------------- 
Total comprehensive (loss)/income attributable to: 
----------------------------------------------------------------------------   --------------------  --------------- 
Owners of the Parent                                                                          (372)            1,190 
Non-controlling interests                                                                         -                1 
-----------------------------------------------------------------------------  --------------------  --------------- 
                                                                                              (372)            1,191 
                                                                               --------------------  --------------- 
Basic earnings per $0.25 Ordinary Share                                                       $0.23            $0.42 
Diluted earnings per $0.25 Ordinary Share                                                     $0.23            $0.42 
Weighted average number of Ordinary Shares in issue (m)                                       1,549            1,312 
Diluted weighted average number of Ordinary Shares in issue (m)                               1,560            1,318 
-----------------------------------------------------------------------------  --------------------  --------------- 
 

Table 21 : Condensed consolidated statement of financial position

 
                                                                      Reviewed [86]         Audited        Reviewed 
                                                                     At 30 Jun 2022  At 31 Dec 2021  At 30 Jun 2021 
                                                                                 $m              $m              $m 
------------------------------------------------------------------   --------------  --------------  -------------- 
Assets 
Non-current assets 
Property, plant and equipment                                                 8,722           9,183           8,357 
Right-of-use assets                                                             905             988             674 
Goodwill                                                                     19,821          19,997          11,798 
Intangible assets                                                            39,900          42,387          20,006 
Investments in associates and joint ventures                                     56              69              48 
Other investments                                                             1,124           1,168           1,072 
Derivative financial instruments                                                113             102             124 
Other receivables                                                               881             895             565 
Deferred tax assets                                                           4,140           4,330           3,723 
-------------------------------------------------------------------  --------------  --------------  -------------- 
                                                                             75,662          79,119          46,367 
                                                                     --------------  --------------  -------------- 
Current assets 
Inventories                                                                   6,220           8,983           4,762 
Trade and other receivables                                                   8,908           9,644           6,356 
Other investments                                                                70              69              62 
Derivative financial instruments                                                109              83              41 
Intangible assets                                                                89             105               - 
Income tax receivable                                                           704             663             486 
Cash and cash equivalents                                                     4,817           6,329          15,567 
Assets held for sale                                                              -             368               - 
-------------------------------------------------------------------  --------------  --------------  -------------- 
                                                                             20,917          26,244          27,274 
                                                                     --------------  --------------  -------------- 
Total assets                                                                 96,579         105,363          73,641 
-------------------------------------------------------------------  --------------  --------------  -------------- 
Liabilities 
Current liabilities 
Interest-bearing loans and borrowings                                       (2,162)         (1,660)         (2,696) 
Lease liabilities                                                             (220)           (233)           (198) 
Trade and other payables                                                   (17,821)        (18,938)        (17,729) 
Derivative financial instruments                                               (90)            (79)            (17) 
Provisions                                                                    (541)           (768)           (802) 
Income tax payable                                                            (981)           (916)           (780) 
-------------------------------------------------------------------  --------------  --------------  -------------- 
                                                                           (21,815)        (22,594)        (22,222) 
                                                                     --------------  --------------  -------------- 
Non-current liabilities 
Interest-bearing loans and borrowings                                      (26,461)        (28,134)        (24,109) 
Lease liabilities                                                             (685)           (754)           (492) 
Derivative financial instruments                                              (180)            (45)             (3) 
Deferred tax liabilities                                                    (5,275)         (6,206)         (2,927) 
Retirement benefit obligations                                              (1,310)         (2,454)         (2,383) 
Provisions                                                                    (892)           (956)           (620) 
Other payables                                                              (4,010)         (4,933)         (5,192) 
-------------------------------------------------------------------  --------------  --------------  -------------- 
                                                                           (38,813)        (43,482)        (35,726) 
                                                                     --------------  --------------  -------------- 
Total liabilities                                                          (60,628)        (66,076)        (57,948) 
-------------------------------------------------------------------  --------------  --------------  -------------- 
Net assets                                                                   35,951          39,287          15,693 
-------------------------------------------------------------------  --------------  --------------  -------------- 
Equity 
Capital and reserves attributable to equity holders of the Parent 
Share capital                                                                   387             387             328 
Share premium account                                                        35,134          35,126           7,980 
Other reserves                                                                2,068           2,045           2,033 
Retained earnings                                                           (1,657)           1,710           5,335 
-------------------------------------------------------------------  --------------  --------------  -------------- 
                                                                             35,932          39,268          15,676 
Non-controlling interests                                                        19              19              17 
-------------------------------------------------------------------  --------------  --------------  -------------- 
Total equity                                                                 35,951          39,287          15,693 
-------------------------------------------------------------------  --------------  --------------  -------------- 
 

Table 22 : Condensed consolidated statement of changes in equity

 
                             Share     Share      Other   Retained          Total  Non-controlling    Total 
                           capital   premium   reserves   earnings   attributable        interests   equity 
                                     account                            to owners 
                                                                           of the 
                                                                           parent 
                                $m        $m         $m         $m             $m               $m       $m 
-----------------------   --------  --------  ---------  ---------  -------------  ---------------  ------- 
At 1 Jan 2021                  328     7,971      2,024      5,299         15,622               16   15,638 
------------------------  --------  --------  ---------  ---------  -------------  ---------------  ------- 
Profit for the period            -         -          -      2,111          2,111                1    2,112 
Other comprehensive 
 income                          -         -          -        585            585                -      585 
Transfer to other 
 reserves                        -         -          9        (9)              -                -        - 
Transactions with 
 owners: 
Dividends                        -         -          -    (2,490)        (2,490)                -  (2,490) 
Issue of Ordinary 
 Shares                          -         9          -          -              9                -        9 
Share-based payments 
 charge for the period           -         -          -        160            160                -      160 
Settlement of share 
 plan awards                     -         -          -      (321)          (321)                -    (321) 
------------------------  --------  --------  ---------  ---------  -------------  ---------------  ------- 
Net movement                     -         9          9         36             54                1       55 
------------------------  --------  --------  ---------  ---------  -------------  ---------------  ------- 
At 30 Jun 2021                 328     7,980      2,033      5,335         15,676               17   15,693 
------------------------  --------  --------  ---------  ---------  -------------  ---------------  ------- 
 
At 1 Jan 2022                  387    35,126      2,045      1,710         39,268               19   39,287 
------------------------  --------  --------  ---------  ---------  -------------  ---------------  ------- 
Profit for the period            -         -          -        746            746                2      748 
Other comprehensive 
 loss                            -         -          -      (713)          (713)              (2)    (715) 
Transfer to other 
 reserves                        -         -         23       (23)              -                -        - 
Transactions with 
 owners: 
Dividends                        -         -          -    (3,046)        (3,046)                -  (3,046) 
Issue of Ordinary 
 Shares                          -         8          -          -              8                -        8 
Share-based payments 
 charge for the period           -         -          -        346            346                -      346 
Settlement of share 
 plan awards                     -         -          -      (677)          (677)                -    (677) 
------------------------  --------  --------  ---------  ---------  -------------  ---------------  ------- 
Net movement                     -         8         23    (3,367)        (3,336)                -  (3,336) 
------------------------  --------  --------  ---------  ---------  -------------  ---------------  ------- 
At 30 Jun 2022                 387    35,134      2,068    (1,657)         35,932               19   35,951 
------------------------  --------  --------  ---------  ---------  -------------  ---------------  ------- 
 

Table 23 : Condensed consolidated statement of cash flows

 
For the half year ended 30 June                             2022     2021 
                                                              $m       $m 
Cash flows from operating activities 
Profit before tax                                            800    2,372 
Finance income and expense                                   612      602 
Share of after tax losses of associates and 
 joint ventures                                                5       48 
Depreciation, amortisation and impairment                  2,666    1,550 
Decrease in working capital and short-term provisions      2,391      857 
Gains on disposal of intangible assets                      (81)    (354) 
Gains on disposal of investments in associates 
 and joint ventures                                            -    (776) 
Fair value movements on contingent consideration 
 arising from business combinations                          293       82 
Non-cash and other movements                               (814)    (363) 
-------------------------------------------------------  -------  ------- 
Cash generated from operations                             5,872    4,018 
-------------------------------------------------------  -------  ------- 
Interest paid                                              (386)    (323) 
Tax paid                                                 (1,006)    (869) 
-------------------------------------------------------  -------  ------- 
Net cash inflow from operating activities                  4,480    2,826 
-------------------------------------------------------  -------  ------- 
Cash flows from investing activities 
Payments upon vesting of employee share awards 
 attributable to business combinations                     (158)        - 
Payment of contingent consideration from business 
 combinations                                              (367)    (309) 
Purchase of property, plant and equipment                  (472)    (508) 
Disposal of property, plant and equipment                      -        4 
Purchase of intangible assets                              (434)    (314) 
Disposal of intangible assets and assets held 
 for sale                                                    442      573 
Purchase of non-current asset investments                   (28)     (10) 
Disposal of non-current asset investments                     35        - 
Movement in short-term investments, fixed deposits 
 and other investing instruments                               9      135 
Payments to associates and joint ventures                    (5)     (55) 
Disposal of investments in associates and joint 
 ventures                                                      -      776 
Interest received                                             10       27 
-------------------------------------------------------  -------  ------- 
Net cash (outflow)/inflow from investing activities        (968)      319 
-------------------------------------------------------  -------  ------- 
Net cash inflow before financing activities                3,512    3,145 
-------------------------------------------------------  -------  ------- 
Cash flows from financing activities 
Proceeds from issue of share capital                           8        9 
Repayment of loans and borrowings                        (1,257)    (611) 
Issue of loans                                                 -    7,944 
Dividends paid                                           (2,971)  (2,469) 
Hedge contracts relating to dividend payments               (77)     (22) 
Repayment of obligations under leases                      (134)    (111) 
Movement in short-term borrowings                            316    (182) 
Payment of Acerta Pharma share purchase liability          (920)        - 
-------------------------------------------------------  -------  ------- 
Net cash (outflow)/inflow from financing activities      (5,035)    4,558 
------------------------------------------------------- 
Net (decrease)/increase in cash and cash equivalents 
 in the period                                           (1,523)    7,703 
Cash and cash equivalents at the beginning of 
 the period                                                6,038    7,546 
Exchange rate effects                                       (35)     (52) 
-------------------------------------------------------  -------  ------- 
Cash and cash equivalents at the end of the 
 period                                                    4,480   15,197 
-------------------------------------------------------  -------  ------- 
Cash and cash equivalents consist of: 
Cash and cash equivalents                                  4,817   15,567 
Overdrafts                                                 (337)    (370) 
-------------------------------------------------------  -------  ------- 
                                                           4,480   15,197 
                                                         -------  ------- 
 

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

We confirm that to the best of our knowledge:

-- the condensed consolidated Interim financial statements have been prepared in accordance with IAS 34 'Interim Financial Reporting' as issued by the International Accounting Standards Board (IASB), IAS 34 as adopted by the European Union and UK-adopted IAS 34;

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

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

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

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

The Board

The Board of Directors that served during all or part of the six month period to 30 June 2022 and their respective responsibilities can be found on the Leadership team section of astrazeneca.com.

Approved by the Board and signed on its behalf by

Pascal Soriot

Chief Executive Officer

29 July 2022

Independent review report to AstraZeneca PLC

Report on the condensed consolidated interim financial statements

Our conclusion

We have reviewed AstraZeneca PLC's condensed consolidated interim financial statements (the "Interim financial statements") in the half-yearly financial report of AstraZeneca PLC for the 6 month period ended 30 June 2022 (the "period").

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

The Interim financial statements comprise:

-- the Condensed consolidated statement of comprehensive income for the period then ended - H1 2022;

   --    the Condensed consolidated statement of financial position as at 30 June 2022; 
   --    the Condensed consolidated statement of changes in equity for the period then ended; 
   --    the Condensed consolidated statement of cash flows for the period then ended; and 
   --    the explanatory notes to the Interim financial statements. 

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

Basis for conclusion

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

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

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

Conclusions relating to going concern

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

Independent review report to AstraZeneca PLC

Responsibilities for the Interim financial statements and the review

Our responsibilities and those of the directors

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

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

PricewaterhouseCoopers LLP

Chartered Accountants

London

29 July 2022

Notes to the Interim financial statements

Note 1: Basis of preparation and accounting policies

These unaudited condensed consolidated Interim financial statements for the six months ended 30 June 2022 have been prepared in accordance with International Accounting Standard 34, 'Interim Financial Reporting' (IAS 34), as issued by the International Accounting Standards Board (IASB), IAS 34 as adopted by the European Union, UK-adopted IAS 34 and the Disclosure Guidance and Transparency Rules sourcebook of the United Kingdom's Financial Conduct Authority and with the requirements of the Companies Act 2006 as applicable to companies reporting under those standards.

The unaudited Interim financial statements for the six months ended 30 June 2022 include Alexion's results for the period. Alexion was consolidated into the Group's results from 21 July 2021, hence Alexion's results are not included in the comparative periods shown.

The unaudited Interim financial statements for the six months ended 30 June 2022 were approved by the Board of Directors for publication on 29 July 2022.

This results announcement does not constitute statutory accounts of the Group within the meaning of sections 434(3) and 435(3) of the Companies Act 2006. The annual financial statements of the Group for the year ended 31 December 2021 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 IFRSs 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 2021.

The comparative figures for the financial year ended 31 December 2021 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.

Global and/or geopolitical events

There were no material accounting impacts identified relating to COVID-19 during the six months ended 30 June 2022.

The Group's current focus is to continue compliant business operations in Russia and Ukraine, focussing on safeguarding our employees, ensuring continuity of supply of essential and life-saving medicines and contributing to humanitarian relief efforts. There are no material accounting impacts arising from the conflict impacting our H1 2022 reporting. The situation is dynamic and any future impact on our business is uncertain.

Throughout July 2022, a range of EU/US/Swiss and UK sanctions have come into force placing restrictions on specific business activities and/or individuals related to on-going business with Russia. We are monitoring closely and our work in this regard continues to progress to provide assurance over managements activities to ensure ongoing sanctions compliance.

The Group will continue to monitor these areas of increased judgement, estimation and risk for material changes.

Going concern

The Group has considerable financial resources available. As at 30 June 2022, the Group had $9.7bn in financial resources (cash and cash-equivalent balances of $4.8bn and undrawn committed bank facilities of $4.9bn available until April 2025, with only $2.4bn of borrowings due within one year). All facilities contain no financial covenants and were undrawn at 30 June 2022.

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 affect adversely revenues in some of our significant markets. The Group, however, anticipates new revenue streams from both recently launched medicines and those in development, and the Group has a wide diversity of customers and suppliers across different geographic areas.

Consequently, the Directors believe that, overall, the Group is well-placed to manage its business risks successfully.

Accordingly, the going concern basis has been adopted in these Interim financial statements.

Legal proceedings

The information contained in Note 6 updates the disclosures concerning legal proceedings and contingent liabilities in the Group's Annual Report and Form 20-F Information 2021 .

Note 2: Intangible assets

In accordance with IAS 36 'Impairment of Assets', reviews for triggers of impairment or impairment reversals at an individual asset or cash-generating-unit level were conducted, and impairment tests carried out where triggers were identified. As a result, total net impairment reversals of $26m have been recorded against intangible assets during the six months ended 30 June 2022 (H1 2021: $55m charge). Net impairment reversals in respect of medicines in development and launched medicines were $9m (H1 2021: $nil) and $nil (H1 2021: $55m charge) respectively.

Note 3: Net Debt

The table below provides an analysis of Net Debt and a reconciliation of Net Cash Flow to the movement in Net Debt. The Group monitors Net Debt as part of its capital-management policy as described in Note 28 of the Annual Report and Form 20-F Information 2021 . Net Debt is a non-GAAP financial measure.

Table 24 : Net Debt

 
                                              At 1 Jan 2022  Cash flow  Non-cash  Exchange movements  At 30 Jun 2022 
                                                                         & other 
                                                         $m         $m        $m                  $m              $m 
-------------------------------------------   -------------  ---------  --------  ------------------  -------------- 
Non-current instalments of loans                   (28,134)          -     1,409                 264        (26,461) 
Non-current instalments of leases                     (754)          -        37                  32           (685) 
--------------------------------------------  -------------  ---------  --------  ------------------  -------------- 
Total long-term debt                               (28,888)          -     1,446                 296        (27,146) 
Current instalments of loans                        (1,273)      1,257   (1,399)                   -         (1,415) 
Current instalments of leases                         (233)        133     (131)                  11           (220) 
Commercial paper                                          -      (256)         -                   -           (256) 
Bank collateral                                        (93)       (18)         -                   -           (111) 
Other short-term borrowings excluding 
 overdrafts                                             (3)       (42)         -                   2            (43) 
Overdrafts                                            (291)       (65)         -                  19           (337) 
--------------------------------------------  ------------- 
Total current debt                                  (1,893)      1,009   (1,530)                  32         (2,382) 
--------------------------------------------  -------------  ---------  --------  ------------------  -------------- 
Gross borrowings                                   (30,781)      1,009      (84)                 328        (29,528) 
Net derivative financial instruments                     61         66     (175)                   -            (48) 
--------------------------------------------  -------------  ---------  --------  ------------------  -------------- 
Net borrowings                                     (30,720)      1,075     (259)                 328        (29,576) 
Cash and cash equivalents                             6,329    (1,458)         -                (54)           4,817 
Other investments - current                              69          2         -                 (1)              70 
--------------------------------------------  ------------- 
Cash and investments                                  6,398    (1,456)         -                (55)           4,887 
--------------------------------------------  -------------  ---------  --------  ------------------  -------------- 
Net Debt                                           (24,322)      (381)     (259)                 273        (24,689) 
--------------------------------------------  -------------  ---------  --------  ------------------  -------------- 
 

Non-cash movements in the period include fair-value adjustments under IFRS 9.

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 2022 was $111m (31 December 2021: $93m) and the carrying value of such cash collateral posted by the Group at 30 June 2022 was $184m (31 December 2021: $47m). Cash collateral posted by the Group is presented within Cash and cash equivalents.

Restricted cash and cash equivalents at 30 June 2022 totalled $236m (31 December 2021: $47m), comprising cash collateral posted by the Group and other items.

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 $1,590m (31 December 2021: $2,458m), $838m of which is shown in current other payables and $752m is shown in non-current other payables.

Net Debt increased by $367m in the year to date to $24,689m. Details of the committed undrawn bank facilities are disclosed within the going concern section of Note 1.

During the six months to 30 June 2022, there were no changes to the Company's solicited credit ratings issued by Standard and Poor's (long term: A-; short term: A-2) and from Moody's (long term: A3; short term: P--2).

Note 4: Financial Instruments

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

The Group has certain equity investments held at $180m at 30 June 2022 (31 December 2021: $104m) that are categorised as Level 3 in the fair-value hierarchy and for which fair-value gains of $48m (FY 2021: $nil) have been recognised in the six months ended 30 June 2022. In the absence of specific market data, these

unlisted investments are held at fair value based on the cost of investment and adjusting 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 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 2022 are Level 1 fair-value measurements, valued based on quoted prices in active markets.

Financial instruments measured at fair value include $1,194m of other investments, $3,098m held in money-market funds, $301m of loans designated at fair value through profit or loss and $48m of derivatives as at 30 June 2022. With the exception of derivatives being Level 2 fair-valued, the aforementioned balances are Level 1 fair-valued. The total fair value of interest-bearing loans and borrowings at 30 June 2022, which have a carrying value of $29,528m in the Condensed consolidated statement of financial position, was $29,019m.

Table 25 : Financial instruments - contingent consideration

 
                                                    2022                        2021 
                                   Diabetes alliance      Other     Total      Total 
                                                  $m         $m        $m         $m 
                                  ------------------  ---------  --------  --------- 
At 1 January                                   2,544        321     2,865      3,323 
--------------------------------  ------------------  ---------  --------  --------- 
Settlements                                    (358)        (9)     (367)      (309) 
Disposals                                          -      (121)     (121)          - 
Revaluations                                     320       (27)       293         82 
Discount unwind                                   81          4        85        112 
--------------------------------  ------------------  ---------  --------  --------- 
At 30 June                                     2,587        168     2,755      3,208 
--------------------------------  ------------------  ---------  --------  --------- 
 
 

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

The contingent consideration balance relating to BMS's share of the global diabetes alliance of $2,587m (31 December 2021: $2,544m) would increase/decrease by $259m with an increase/decline in sales of 10%, as compared with the current estimates.

Note 5: Pensions and other post-retirement benefit obligations

The net pensions and other post-retirement benefit obligations position, as recorded under IAS 19, at 30 June 2022 was a liability of $1,136m (31 December 2021: $2,454m liability). Pension schemes in a net surplus position at 30 June 2022 totalled $174m (31 December 2021: $nil) and are recorded within Other receivables in non-current assets. Pension schemes in a net deficit position at 30 June 2022 totalled $1,310m (31 December 2021: $2,454m) and are recorded within Retirement benefit obligations in non-current liabilities.

The decrease in the net liability of $1,318m is driven by actuarial gains of $1,031m that have been reflected within the Condensed consolidated statement of comprehensive income.

Changes in actuarial assumptions, primarily movements in discount rates, led to a decrease in the net liability in the half of $2,599m (a decrease in UK, Sweden, US and German liabilities of $1,698m, $518m, $221m and $162m respectively), which reflected increases in corporate bond yields. These movements were partially offset by decreases in the pension fund asset values in the half of $1,563m and experience losses of $5m.

Note 6: Legal proceedings and contingent liabilities

AstraZeneca is involved in various legal proceedings considered typical to its business, including litigation and investigations, including Government investigations, relating to product liability, commercial disputes, infringement of intellectual property (IP) rights, the validity of certain patents, anti-trust law and sales and marketing practices. The matters discussed below constitute the more significant developments since publication of the disclosures concerning legal proceedings in the Company's Annual Report and Form 20-F Information 2021 (the Disclosures). Unless noted otherwise below or in the Disclosures, no provisions have been established in respect of the claims discussed below.

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.

Unless specifically identified below that a provision has been taken, AstraZeneca considers each of the claims to represent a contingent liability and discloses information with respect to the nature and facts of the cases in accordance with IAS 37.

There is one matter concerning legal proceedings in the Disclosures, which is considered probable that an outflow will be required, but for which we are unable to make an estimate of the possible loss or range of possible losses at this stage.

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

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

Matters disclosed in respect of the second quarter of 2022 and to 29 July 2022

Patent litigation

Enhertu

US patent proceedings

As previously disclosed, 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 (the Court) alleging that Enhertu infringes US Patent No. 10,808,039 (the '039 patent). AstraZeneca co-commercialises Enhertu with Daiichi Sankyo, Inc. in the US. The trial took place in April 2022. The jury found that the '039 patent was infringed and awarded Seagen $41.82m in past damages. In July 2022, the Court decided not to enhance damages based on the jury's finding of willfulness and entered judgment for Seagen. The parties await consideration of post-trial motions.

As previously disclosed, in December 2020 and January 2021, AstraZeneca and Daiichi Sankyo filed post-grant review (PGR) petitions with the US Patent and Trademark Office (USPTO) alleging, inter alia, that the '039 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, instituting 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 AstraZeneca and Daiichi Sankyo's other PGR petition.

Faslodex

Patent Proceedings outside the US

As previously disclosed, in Japan, Sandoz K.K. and Sun Pharma Japan Ltd are seeking to invalidate the Faslodex formulation patent at the Japan Patent Office (JPO) and AstraZeneca is defending the challenged patent. The JPO held the hearing in the matter in May 2022. A decision is awaited.

Lokelma

US patent proceedings

In July 2022, AstraZeneca received Paragraph IV notices from multiple ANDA filers relating to patents listed in the FDA Orange Book with reference to Lokelma. AstraZeneca is reviewing the notices in preparation for litigation.

Symbicort

US patent proceedings

As previously disclosed, AstraZeneca is involved in ongoing ANDA patent litigation with Mylan Pharmaceuticals Inc. (Mylan) and Kindeva Drug Delivery L.P. (Kindeva) brought in the US District Court for the Northern District of West Virginia (the District Court). A trial in the matter was held in May 2022 and closing arguments were held in June 2022. A decision is awaited.

As previously disclosed, in April 2022, AstraZeneca filed a separate ANDA action against Mylan and Kindeva in the District Court asserting infringement of a patent covering Symbicort. In June 2022, Mylan and Kindeva responded and claim noninfringement of the asserted patent and that the asserted patent is invalid. A trial in the matter is scheduled for November 2022.

Tagrisso

US patent proceedings

As previously disclosed, in September 2021, Puma Biotechnology, Inc. and Wyeth LLC filed a patent infringement lawsuit in the US District Court for the District of Delaware against AstraZeneca relating to Tagrisso. A claim construction hearing has been scheduled for January 2023 and a trial has been scheduled for May 2024.

Patent proceedings outside the US

As previously disclosed, in Russia, in October 2021, AstraZeneca filed a lawsuit in the Arbitration Court of the Moscow Region against Axelpharm, LLC to prevent it from obtaining authorisation to market a generic version of Tagrisso prior to the expiration of AstraZeneca's patents covering Tagrisso. The lawsuit also names the Ministry of Health of the Russian Federation as a third party. In March 2022, the court dismissed the lawsuit. In June 2022, the dismissal was affirmed on appeal, and AstraZeneca is considering its options.

Commercial litigation

Array BioPharma

As previously disclosed, in the US, in December 2017, AstraZeneca was served with a complaint filed in New York State court by Array BioPharma, Inc. (Array) alleging breaches of contractual obligations relating to a 2003 collaboration agreement between AstraZeneca and Array. In May 2022, the parties resolved this dispute. This matter is now concluded.

Portola Shareholder Litigation

As previously disclosed, in the US, in connection with Alexion's July 2020 acquisition of Portola Pharmaceuticals, Inc (Portola), Alexion assumed litigation to which Portola is a party. In January 2020, putative securities class action lawsuits were filed in the US District Court for the Northern District of California against Portola and certain officers and directors, on behalf of purchasers of Portola publicly traded securities during the period 8 January 2019 through 26 February 2020.The complaints allege that defendants made materially false and/or misleading statements or omissions with regard to Andexxa. In June 2022, the parties reached a settlement in principle of this matter, which is subject to court approval. A provision has been recognised in the quarter.

Seroquel XR (Antitrust Litigation)

As previously disclosed, in the US, in 2019, AstraZeneca was named in several related complaints which are currently pending in the US District Court for the District of Delaware (the Court), including several putative class action lawsuits that were purportedly brought on behalf of classes of direct purchasers or end payors of Seroquel XR. The complaints allege that AstraZeneca and two different generic drug manufacturers violated antitrust laws when settling patent litigation related to Seroquel XR. In July 2022, in response to AstraZeneca's motions, the Court dismissed all plaintiffs' claims to the extent they were based on the settlement with one of the generic manufacturers but denied the motions with respect to certain claims relating to the second generic manufacturer and allowed such claims to proceed.

Matters disclosed in respect of the first quarter of 2022 and to 29 April 2022

Patent litigation

Enhertu

US patent proceedings

As previously disclosed, 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 alleging that Enhertu infringes US Patent No. 10,808,039 (the '039 patent). AstraZeneca co-commercialises Enhertu with Daiichi Sankyo, Inc. in the US. The trial took place in April 2022. The jury found that the '039 patent was infringed and awarded Seagen $41.82m in past damages. The parties await the schedules for a bench trial on equitable issues and for consideration of post-trial motions.

As previously disclosed, in December 2020 and January 2021, AstraZeneca and Daiichi Sankyo filed post-grant review petitions with the US Patent and Trademark Office (USPTO) alleging, inter alia, that the '039 patent is invalid for lack of written description and enablement. The USPTO initially declined to institute the post-grant reviews, but in April 2022, the USPTO granted the rehearing requests, instituting both post-grant review petitions. An oral hearing is scheduled for January 2023 and a decision is expected by April 2023.

Imfinzi

US patent proceedings

In March 2022, Bristol-Myers Squibb Co. and E.R. Squibb & Sons, LLC filed a lawsuit in US District Court for the District of Delaware against AstraZeneca alleging that AstraZeneca's marketing of Imfinzi infringes several of their patents. No trial date has been scheduled.

Patent proceedings outside the US

In February 2022, Ono Pharmaceuticals filed a lawsuit in Tokyo District Court, Civil Division against AstraZeneca alleging that AstraZeneca's marketing of Imfinzi in Japan infringes several of their patents. No trial date has been scheduled.

Symbicort

US patent proceedings

As previously disclosed, AstraZeneca is involved in ongoing ANDA patent litigation with Mylan Pharmaceuticals Inc. (Mylan) and Kindeva Drug Delivery L.P. (Kindeva) brought in the US District Court for the Northern District of West Virginia (the District Court). In March 2022, the US Court of Appeals for the Federal Circuit (the Federal Circuit) denied AstraZeneca's Combined Petition for Panel Rehearing and Rehearing En Banc of the Federal Circuit's December 2021 decision and the case was remanded back to the District Court for further proceedings. In April 2022, the District Court entered a Stipulation and Order dismissing patent infringement claims related to various asserted patents and otherwise narrowing the issues for trial. A trial in the matter is scheduled to commence in May 2022.

In April 2022, AstraZeneca filed another ANDA action against Mylan and Kindeva in the District Court asserting patent infringement.

Tagrisso

US patent proceedings

In February 2020, 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. In its complaint, AstraZeneca alleged that a generic version of Tagrisso, if approved and marketed, would infringe a US Orange Book-listed Tagrisso patent. In the fourth quarter of 2021, AstraZeneca entered into settlement agreements with Zydus Pharmaceuticals (USA) Inc., Cadila Healthcare Limited, MSN Laboratories Pvt. Ltd., and MSN Pharmaceuticals Inc. In April 2022, AstraZeneca entered into a settlement agreement with Alembic Pharmaceuticals Limited. These settlements resolve all US patent litigation between the parties relating to Tagrisso .

Patent proceedings outside the US

In Russia, in October 2021, AstraZeneca filed a lawsuit in the Arbitration Court of the Moscow Region against Axelpharm, LLC to prevent it from obtaining authorisation to market a generic version of Tagrisso prior to the expiration of AstraZeneca's patents covering Tagrisso. The lawsuit also names the Ministry of Health of the Russian Federation as a third party. In March 2022, the court dismissed the lawsuit, and AstraZeneca has filed an appeal.

Ultomiris

As previously disclosed, Chugai Pharmaceutical Co., Ltd. (Chugai) filed lawsuits against Alexion in the Delaware District Court as well as in Tokyo District Court, alleging that Ultomiris infringed US and Japanese patents held by Chugai.

In March 2022, Alexion entered into a settlement agreement with Chugai that resolves all patent disputes between the two companies related to Ultomiris.

In accordance with the settlement agreement, Alexion and Chugai have taken steps to withdraw patent infringement proceedings filed with US District Court for the District of Delaware and Tokyo District Court. Under the terms of the agreement, Alexion made a single payment of $775m in the second quarter of 2022, for which a related charge was recognised through the non-core P&L in the first quarter of 2022. No further amounts are payable by either party.

Product liability litigation

Onglyza and Kombiglyze

In the US, AstraZeneca is defending various lawsuits alleging heart failure, cardiac injuries, and/or death from treatment with Onglyza or Kombiglyze. In February 2018, the Judicial Panel on Multidistrict Litigation ordered the transfer of various pending federal actions to the US District Court for the Eastern District of Kentucky (the District Court) for consolidated pre-trial proceedings with the federal actions pending in the District Court. In the previously disclosed California State Court coordinated proceeding, AstraZeneca's motion for summary judgment was granted in March 2022. A motion for summary judgment is pending in the District Court.

Commercial litigation

Pay Equity Litigation (US)

AstraZeneca is defending a putative class and collective action matter in the US District Court for the Northern District of Illinois brought by three named plaintiffs, who are former AstraZeneca pharmaceutical sales representatives. 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. The plaintiffs seek various damages on behalf of themselves and the putative class and/or collective, including without limitation backpay, liquidated damages, compensatory and punitive damages, attorneys' fees, and interest.

The Court has not set a trial date and no class or collective certification has been sought or granted as of this time.

Government investigations/proceedings

COVID-19 Vaccine Supply and Manufacturing Inquiries

As previously disclosed, in June 2021, Argentina's Federal Criminal Prosecutor's Office (the Prosecutor) contacted AstraZeneca Argentina seeking documents and electronic records in connection with a local criminal investigation relating to the public procurement and supply of Vaxzevria in that country. In October 2021, the Prosecutor filed a submission with the presiding court requesting dismissal of the criminal investigation, and that request was granted by the court in February 2022. This matter is now closed.

In February 2022, a Brazilian Public Prosecutor filed a lawsuit against several defendants including the Brazilian Federal Government, AstraZeneca, and other COVID-19 vaccine manufacturers. In April 2022, a Brazilian Court issued an order dismissing the lawsuit.

US 340B Litigations and Proceedings

As previously disclosed, AstraZeneca is involved in several matters relating to its contract pharmacy recognition policy under the 340B Drug Pricing Program in the US. AstraZeneca has sought to intervene in three lawsuits against several US government agencies and their officials relating to the appropriate interpretation of the governing statute for the 340B Drug Pricing Program. Two of the three cases are currently stayed pending further proceedings and the third case has been dismissed. Administrative Dispute Resolution proceedings have also been initiated against AstraZeneca before the US Health Resources and Services Administration.

As previously disclosed, in January 2021, AstraZeneca filed a separate lawsuit in federal court in Delaware alleging that an Advisory Opinion issued by the Department of Health and Human Services violates the Administrative Procedure Act. In June 2021, the Court found in favour of AstraZeneca, invalidating the Advisory Opinion. Prior to the Court's ruling, however, in May 2021, the US government issued new and separate letters to AstraZeneca (and other companies) asserting that our contract pharmacy policy violates the 340B statute. AstraZeneca amended the complaint to include allegations challenging the letter sent in May, and in February 2022, the Court ruled in favour of AstraZeneca invalidating those letters sent by the US Government. The US government has appealed the decision.

Table 26 : H1 2022 - Product Sales year-on-year analysis [87]

The CER information in respect of H1 2022 included in the Interim financial statements has not been reviewed by PricewaterhouseCoopers LLP.

 
                                     World               Emerging Markets              US                   Europe                   Established RoW 
                          $m  Act % chg  CER % chg     $m  Act % chg  CER % chg     $m  % Change     $m  Act % chg  CER % chg     $m  Act % chg  CER % chg 
--------------------  ------  ---------  ---------  -----  ---------  ---------  -----  --------  -----  ---------  ---------  -----  ---------  --------- 
Oncology               7,089         14         18  1,792         10         12  2,979        22  1,341         13         24    977          1         12 
Tagrisso               2,704         10         14    805         16         17    951        11    509          9         19    439          1         12 
Imfinzi                1,294         12         16    134          1          2    689        15    267         18         29    204          1         12 
Lynparza               1,291         14         18    241         30         32    582        11    329          9         20    139         15         27 
Calquence                903         84         87     16        n/m        n/m    735        65    122        n/m        n/m     30        n/m        n/m 
Enhertu                   29        n/m        n/m     19        n/m        n/m      -         -      8        n/m        n/m      2        n/m        n/m 
Orpathys                  23        n/m        n/m     23        n/m        n/m      -         -      -          -          -      -          -          - 
Zoladex                  477          2          7    332         12         14      7      (14)     68        (8)          -     70       (21)       (11) 
Faslodex                 178       (21)       (16)     81          1          5     10      (36)     32       (54)       (50)     55        (8)          3 
Iressa                    63       (41)       (39)     52       (41)       (40)      4      (24)      1       (55)       (44)      6       (44)       (36) 
Arimidex                  61       (17)       (13)     47       (16)       (15)      -         1      1       (69)       (69)     13       (14)        (1) 
Casodex                   42       (49)       (47)     27       (58)       (58)      -       n/m      1         49         21     14       (19)       (11) 
Others                    24        (4)          3     15          4          9      1       n/m      3          6         16      5       (32)       (24) 
--------------------  ------  ---------  ---------  -----  ---------  ---------  -----  --------  -----  ---------  ---------  -----  ---------  --------- 
BioPharmaceuticals: 
 CVRM*                 4,559         14         18  2,099          9         12  1,151        10    945         28         40    364         21         33 
Farxiga                2,103         55         63    814         46         50    468        55    627         69         85    194         55         70 
Brilinta                 675       (10)        (7)    146       (19)       (15)    351       (2)    150       (16)        (8)     28       (12)        (8) 
Lokelma                  129         79         87      5        n/m        n/m     78        58     13        n/m        n/m     33        n/m        n/m 
Roxadustat                91          1          1     91          1          1      -         -      -          -          -      -          -          - 
Andexxa*                  70          9         12      -          -          -     42      (23)     18         90        n/m     10        n/m        n/m 
Crestor                  547          2          6    414         11         15     35      (15)     21       (36)       (30)     77       (18)       (10) 
Seloken/Toprol-XL        467        (9)        (7)    456        (9)        (7)      -       n/m      6          5          2      5       (10)          1 
Bydureon                 141       (29)       (28)      2          1          3    119      (27)     20       (31)       (25)      -       (93)       (93) 
Onglyza                  139       (31)       (28)     66       (39)       (36)     40       (9)     21       (32)       (26)     12       (29)       (28) 
Others                   197        (9)        (7)    105        (2)          -     18      (35)     69        (6)        (4)      5       (27)       (20) 
--------------------  ------  ---------  ---------  -----  ---------  ---------  -----  --------  -----  ---------  ---------  -----  ---------  --------- 
BioPharmaceuticals: 
 R&I                   2,891        (2)          -    731       (17)       (16)  1,300        13    551       (11)        (3)    309        (1)          6 
Symbicort              1,288        (6)        (3)    306          -          3    481       (9)    312        (9)        (1)    189        (1)          4 
Fasenra                  662         14         18     17        n/m        n/m    419        18    153         12         23     73        (8)          1 
Pulmicort                334       (33)       (32)    236       (42)       (41)     37         5     35          3         13     26         13         20 
Breztri                  179        n/m        n/m     43         61         61    106       n/m     14        n/m        n/m     16         46         65 
Saphnelo                  36        n/m        n/m      -          -          -     34       n/m      1        n/m        n/m      1        n/m        n/m 
Daliresp                 109        (5)        (4)      1       (32)       (30)    102       (2)      5       (37)       (31)      1         16         18 
Bevespi                   30         13         16      3         49         47     22         9      5         21         32      -       (26)         43 
Others                   253       (13)       (12)    125        (8)        (8)     99        65     26       (71)       (68)      3       (50)       (48) 
--------------------  ------  ---------  ---------  -----  ---------  ---------  -----  --------  -----  ---------  ---------  -----  ---------  --------- 
BioPharmaceuticals: 
 V&I                   2,734        n/m        n/m    861         89         92    638       n/m    511       (17)       (10)    724        n/m        n/m 
Vaxzevria              1,540         36         41    660         45         45     80       n/m    262       (54)       (50)    538        n/m        n/m 
Evusheld                 914        n/m        n/m     93        n/m        n/m    556       n/m    143        n/m        n/m    122        n/m        n/m 
Synagis                  280        n/m        n/m    108        n/m        n/m      2      (55)    106        n/m        n/m     64        n/m        n/m 
FluMist                    -        n/m        n/m      -        n/m        n/m      -         -      -        n/m        n/m      -          -          - 
--------------------  ------  ---------  ---------  -----  ---------  ---------  -----  --------  -----  ---------  ---------  -----  ---------  --------- 
Rare Disease*          3,495          5         10    206       (24)        (8)  2,090         7    733          1         12    466         17         30 
Soliris*               2,017        (5)          1    134       (45)       (29)  1,165         2    437       (17)        (8)    281         34         46 
Ultomiris*               853         22         28     30        n/m        n/m    456        10    225         65         81    142        (3)         11 
Strensiq*                450         11         13     18         24         16    353        12     40          -          9     39          4         18 
Koselugo                 101        n/m        n/m     15        n/m        n/m     78        65      8        n/m        n/m      -          -          - 
Kanuma*                   74          9         14      9          4         12     38        11     23          7         18      4         16         20 
--------------------  ------  ---------  ---------  -----  ---------  ---------  -----  --------  -----  ---------  ---------  -----  ---------  --------- 
Other medicines          842       (11)        (6)    395       (26)       (24)     75      (21)     67       (32)       (28)    305         38         54 
Nexium                   674        (9)        (2)    289       (31)       (28)     63       (5)     26       (26)       (19)    296         36         52 
Others                   168       (21)       (20)    106        (9)        (8)     12      (59)     41       (36)       (34)      9        n/m        n/m 
--------------------  ------  ---------  ---------  -----  ---------  ---------  -----  --------  -----  ---------  ---------  -----  ---------  --------- 
Total Product Sales   21,610         41         47  6,084         12         15  8,233        74  4,148         28         40  3,145         65         81 
--------------------  ------  ---------  ---------  -----  ---------  ---------  -----  --------  -----  ---------  ---------  -----  ---------  --------- 
 

Table 27 : Q2 2022 - Product Sales year-on-year analysis (Unreviewed) [88]

The Q2 2022 information in respect of the three months ended 30 June 2022 included in the Interim financial statements has not been reviewed by PricewaterhouseCoopers LLP.

 
                                     World               Emerging Markets              US                   Europe                   Established RoW 
                          $m  Act % chg  CER % chg     $m  Act % chg  CER % chg     $m  % Change     $m  Act % chg  CER % chg     $m  Act % chg  CER % chg 
--------------------  ------  ---------  ---------  -----  ---------  ---------  -----  --------  -----  ---------  ---------  -----  ---------  --------- 
Oncology               3,701         14         18    897          4          6  1,605        26    691         14         26    508        (1)         12 
Tagrisso               1,400          7         12    400          2          4    513        17    256          5         17    231        (1)         12 
Imfinzi                  695         15         20     75          -          1    374        22    142         21         34    104        (2)         11 
Lynparza                 673         15         20    120         21         23    312        16    169         11         23     72          8         23 
Calquence                489         74         77      8         80         77    396        59     67        n/m        n/m     18        n/m        n/m 
Enhertu                   18        n/m        n/m     12        n/m        n/m      -         -      4        n/m        n/m      2        n/m        n/m 
Orpathys                  11        n/m        n/m     11        n/m        n/m      -         -      -          -          -      -          -          - 
Zoladex                  236        (3)          2    165          3          7      3       (7)     34        (7)          3     34       (23)       (14) 
Faslodex                  86       (18)       (11)     37        (1)          3      5      (29)     16       (48)       (42)     28        (8)          5 
Iressa                    32       (32)       (29)     26       (28)       (26)      2      (32)      -       (63)       (43)      4       (48)       (39) 
Arimidex                  28        (1)          5     22          8         11      -      (45)      -       (93)       (93)      6       (19)        (4) 
Casodex                   21       (50)       (48)     14       (57)       (57)      -      (99)      1        n/m        n/m      6       (29)       (19) 
Others                    12        (8)          1      7          5         11      -         -      2       (14)        (4)      3       (35)       (25) 
--------------------  ------  ---------  ---------  -----  ---------  ---------  -----  --------  -----  ---------  ---------  -----  ---------  --------- 
BioPharmaceuticals: 
 CVRM*                 2,352         14         19  1,074         10         14    629        14    463         26         39    186         16         30 
Farxiga                1,103         51         59    423         42         47    275        61    309         56         74     96         45         63 
Brilinta                 350        (7)        (4)     78          4          8    185       (5)     73       (19)       (10)     14       (17)       (14) 
Lokelma                   66         68         79      2         89        n/m     39        55      7        n/m        n/m     18         78        n/m 
Roxadustat                50        (2)        (1)     50        (2)        (1)      -         -      -          -          -      -          -          - 
Andexxa*                  37          5         11      -          -          -     18      (37)      9         49         61     10        n/m        n/m 
Crestor                  280          6         11    217         19         24     16      (14)     10       (14)        (4)     37       (30)       (22) 
Seloken/Toprol-XL        223       (16)       (13)    218       (16)       (13)      -         -      3        (3)        (4)      2       (13)          1 
Bydureon                  73       (23)       (22)      1       (20)       (18)     62      (20)     10       (34)       (26)      -       (95)       (95) 
Onglyza                   71       (28)       (25)     32       (36)       (32)     22      (15)     10       (33)       (26)      7        (8)        (7) 
Others                    99        (1)          1     53        (8)        (7)     12       (6)     32         19         22      2       (28)       (19) 
--------------------  ------  ---------  ---------  -----  ---------  ---------  -----  --------  -----  ---------  ---------  -----  ---------  --------- 
BioPharmaceuticals: 
 R&I                   1,381        (3)          1    294       (14)       (12)    654        10    274       (14)        (4)    159        (2)          6 
Symbicort                614       (10)        (6)    139        (1)          2    222      (16)    155       (12)        (3)     98        (1)          5 
Fasenra                  354         11         15     10         94         89    230        15     78          6         18     36       (11)          - 
Pulmicort                116       (30)       (28)     72       (40)       (39)     15      (16)     17        (4)          8     12          3         12 
Breztri                   93         66         72     21         20         21     53        71      9        n/m        n/m     10         47         69 
Saphnelo                  24        n/m        n/m      -          -          -     23       n/m      -          -          -      1        n/m        n/m 
Daliresp                  58          7          8      1       (37)       (34)     54        11      3       (27)       (19)      -         34         38 
Bevespi                   15         12         17      1         46         73     11         8      3         25         39      -       (59)         49 
Others                   107       (18)       (17)     50       (14)       (14)     46        90      9       (79)       (77)      2       (47)       (45) 
--------------------  ------  ---------  ---------  -----  ---------  ---------  -----  --------  -----  ---------  ---------  -----  ---------  --------- 
BioPharmaceuticals: 
 V&I                     977         10         15    231       (44)       (44)    252       n/m    225       (39)       (32)    269        n/m        n/m 
Vaxzevria                451       (48)       (44)    185       (55)       (55)      -         -    128       (63)       (59)    138         36         50 
Evusheld                 445        n/m        n/m      4        n/m        n/m    250       n/m     77        n/m        n/m    114        n/m        n/m 
Synagis                   80        n/m        n/m     42        n/m        n/m      2      (32)     19        (9)        (6)     17        n/m        n/m 
FluMist                    1        n/m        n/m      -          -          -      -         -      1        n/m        n/m      -        n/m        n/m 
--------------------  ------  ---------  ---------  -----  ---------  ---------  -----  --------  -----  ---------  ---------  -----  ---------  --------- 
Rare Disease*          1,801          6         12     91       (35)       (19)  1,070         8    373          2         15    267         33         50 
Soliris*               1,027        (5)          2     63       (48)       (30)    574       (2)    216       (19)        (8)    174         63         81 
Ultomiris*               434         23         31      6         21         25    236        14    120         76         98     72        (3)         15 
Strensiq*                242         16         18      9          1       (13)    193        21     21          -         12     19          2         17 
Koselugo                  62        n/m        n/m     10        n/m        n/m     47        83      5        n/m        n/m      -          -          - 
Kanuma*                   36          9         13      3       (36)       (39)     20        15     11         15         30      2         22         24 
--------------------  ------  ---------  ---------  -----  ---------  ---------  -----  --------  -----  ---------  ---------  -----  ---------  --------- 
Other medicines          418        (3)          6    191       (20)       (16)     36      (17)     31       (33)       (29)    160         60         84 
Nexium                   343          2         12    145       (22)       (17)     30      (13)     12       (35)       (28)    156         59         82 
Others                    75       (19)       (17)     46       (14)       (13)      6      (32)     19       (32)       (30)      4        n/m        n/m 
--------------------  ------  ---------  ---------  -----  ---------  ---------  -----  --------  -----  ---------  ---------  -----  ---------  --------- 
Total Product Sales   10,630         32         38  2,778        (2)          1  4,246        72  2,057         21         34  1,549         49         67 
--------------------  ------  ---------  ---------  -----  ---------  ---------  -----  --------  -----  ---------  ---------  -----  ---------  --------- 
 

Table 28 : Collaboration Revenue

 
                                    H1 2022  H1 2021 
                                         $m       $m 
---------------------------------   -------  ------- 
Lynparza : regulatory milestones        175        - 
Enhertu : share of gross profits        173       83 
Vaxzevria: royalties                     60       33 
Tezspire: share of gross profits         16        - 
Tralokinumab: sales milestones           70        - 
Other royalty income                     37       36 
Other Collaboration Revenue              20       86 
----------------------------------  -------  ------- 
Total                                   551      238 
----------------------------------  -------  ------- 
 

Table 29 : Other Operating Income and Expense

 
                                              H1 2022  H1 2021 
                                                   $m       $m 
-------------------------------------------   -------  ------- 
Brazikumab licence termination funding             69       51 
Divestment of rights to Plendil                    61        - 
Divestment of Viela Bio, Inc. shareholding          -      776 
Crestor (Europe ex-UK and Spain)                    -      309 
Other                                              89      172 
--------------------------------------------  -------  ------- 
Total                                             219    1,308 
--------------------------------------------  -------  ------- 
 

Other shareholder information

Financial calendar

   Announcement of year to date and third quarter results       10 November 2022 
   Announcement of full year and fourth quarter results               9 February 2023 

Dividends are normally paid as follows:

   First interim:          Announced with the half year results and paid in September 
   Second interim:     Announced with full year results and paid in March 

The record date for the first interim dividend for 2022, payable on 12 September 2022, will be 12 August 2022. The ex-dividend date will be 11 August 2022.

Contacts

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

Addresses for correspondence

 
 
  Registered office     Registrar and       Swedish Central           US depositary 
                        transfer office   Securities Depository    Deutsche Bank Trust 
                                                                     Company Americas 
   1 Francis Crick     Equiniti Limited     Euroclear Sweden     American Stock Transfer 
        Avenue           Aspect House         AB PO Box 191          6201 15th Avenue 
 Cambridge Biomedical    Spencer Road      SE-101 23 Stockholm           Brooklyn 
        Campus              Lancing                                      NY 11219 
      Cambridge           West Sussex 
       CB2 0AA             BN99 6DA 
   United Kingdom       United Kingdom           Sweden               United States 
 
   +44 (0) 20 3749 
         5000           0800 389 1580      +46 (0) 8 402 9000       +1 (888) 697 8018 
                       +44 (0) 121 415 
                             7033                                   +1 (718) 921 8137 
                                                                   db@astfinancial.com 
 

Trademarks

Trademarks of the AstraZeneca group of companies appear throughout this document in italics. Medical publications also appear throughout the document in italics. AstraZeneca, the AstraZeneca logotype and the AstraZeneca symbol are all trademarks of the AstraZeneca group of companies. Trademarks of companies other than AstraZeneca that appear in this document include Arimidex and Casodex, owned by AstraZeneca or Juvis (depending on geography); Enhertu, a trademark of Daiichi Sankyo; Seloken, owned by AstraZeneca or Taiyo Pharma Co., Ltd (depending on geography); Synagis, owned by AstraZeneca or AbbVie Inc. (depending on geography); and Tezspire, a trademark of Amgen, Inc .

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

AstraZeneca

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

Cautionary statements regarding forward-looking statements

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

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

   --    the risk of failure or delay in delivery of pipeline or launch of new medicines 

-- the risk of failure to meet regulatory or ethical requirements for medicine development or approval

-- the risk of failures or delays in the quality or execution of the Group's commercial strategies

   --    the risk of pricing, affordability, access and competitive pressures 
   --    the risk of failure to maintain supply of compliant, quality medicines 
   --    the risk of illegal trade in the Group's medicines 
   --    the impact of reliance on third-party goods and services 
   --    the risk of failure in information technology or cybersecurity 
   --    the risk of failure of critical processes 

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

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

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

   --    the risk of the safety and efficacy of marketed medicines being questioned 
   --    the risk of adverse outcome of litigation and/or governmental investigations 
   --    intellectual property-related risks to our products 
   --    the risk of failure to achieve strategic plans or meet targets or expectations 
   --    the risk of failure in financial control or the occurrence of fraud 
   --    the risk of unexpected deterioration in the Group's financial position 

-- the impact that global and/or geopolitical events such as the COVID-19 pandemic and the Russia-Ukraine war, 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

Nothing in this document, or any related presentation/webcast, should be construed as a profit forecast.

- End of document -

[1] Constant exchange rates. The differences between Actual Change and CER Change are due to foreign exchange movements between periods in 2022 vs 2021. 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] Reported financial measures are the financial results presented in accordance with UK-adopted International Accounting Standards and International Financial Reporting Standards (IFRSs) as issued by the International Accounting Standards Board (IASB) and International Accounting Standards as adopted by the European Union.

[3] Earnings per share.

[4] Core financial measures are adjusted to exclude certain items. The differences between Reported and Core measures are primarily due to items related to the acquisition of Alexion, amortisation of intangibles, impairments, restructuring charges, and, as previously disclosed, a charge to provisions relating to a legal settlement with Chugai Pharmaceutical Co. Ltd (Chugai) that led to a payment of $775m in Q2 2022. A full reconciliation between Reported EPS and Core EPS is provided in Tables 12 and 13 in the Financial performance section of this document.

[5] In FY 2022, Total Revenue from Koselugo is included in Rare Disease (FY 2021: Oncology) and Total Revenue from Andexxa is included in BioPharmaceuticals: CVRM (FY 2021: Rare Disease). The growth rate shown for each disease area has been calculated as though these changes had been implemented in FY 2021.

[6] Respiratory & Immunology.

[7] Cardiovascular, Renal and Metabolism.

[8] H1 2022 and Q2 2022 growth rates on medicines acquired with Alexion have been calculated on a pro forma basis comparing to the corresponding period in the prior year, pre-acquisition as previously published by Alexion. The growth rates shown for the Rare Disease and CVRM disease areas include these pro forma adjustments.

[9] Heart failure with preserved ejection fraction.

   [10]             Non-small cell lung cancer. 
   [11]             Hereditary transthyretin-mediated amyloid polyneuropathy. 
   [12]             Neuromyelitis optica spectrum disorder. 
   [13]             Human epidermal growth factor receptor 2. 
   [14]             Committee for Medicinal Products for Human Use. 

[15] AstraZeneca is collaborating with MSD (Merck & Co., Inc. in the US and Canada) to develop and commercialise Lynparza.

   [16]             Generalised myasthenia gravis. 
   [17]             Neurofibromatosis type 1 plexiform neurofibromas. 
   [18]             National reimbursement drug list. 
   [19]             Volume-based procurement. 
   [20]             Vaccines & Immune Therapies. 

[21] Vaxzevria is AstraZeneca's trademark for the Company's supply of the AstraZeneca COVID-19 Vaccine. In the financial tables in this report, 'Vaxzevria Total Revenue' includes Collaboration Revenue from sub-licensees that produce and supply the AstraZeneca COVID--19 Vaccine under their own trademarks.

[22] In Table 2, the Ô+ / -Õ symbols indicate the directional impact of the item being discussed, e.g. a Ô+Õ symbol next to an item relating to R&D Expenses signifies that the item increased the R&D Expense relative to the prior year.

[23] Gross Profit is defined as Total Revenue minus Cost of Sales. The calculation of Reported and Core Gross Margin excludes the impact of Collaboration Revenue and any associated costs, thereby reflecting the underlying performance of Product Sales.

[24] Where AstraZeneca does not retain a significant ongoing interest in medicines or potential new medicines, income from divestments is reported within Reported and Core Other Operating Income and Expense in the CompanyÕs financial statements.

   [25]             Monoclonal antibodies. 

[26] Germline (hereditary) breast cancer gene mutation.

[27] Paroxysmal nocturnal haemoglobinuria.

[28] Atypical haemolytic uraemic syndrome.

[29] Hormone receptor positive.

[30] Chronic lymphocytic leukaemia.

[31] Chronic kidney disease.

[32] Eosinophilic oesophagitis.

[33] Respiratory syncytial virus.

[34] Epidermal growth factor receptor mutation.

[35] Germline (hereditary) breast cancer gene mutation.

[36] Mantle cell lymphoma.

[37] Triple negative breast cancer.

[38] Eosinophilic granulomatosis with polyangiitis.

[39] Hyper-eosinophilic syndrome.

[40] Extensive-stage small cell lung cancer.

[41] Chemoradiation therapy.

[42] Poly ADP ribose polymerase.

[43] US Food and Drug Administration.

[44] Homologous recombination repair gene mutation.

[45] Homologous recombination deficiency.

[46] Mesenchymal-epithelial transition.

[47] Tyrosine kinase inhibitor.

[48] Sodium-glucose cotransporter 2.

[49] Heart failure.

[50] European Society of Cardiology.

[51] American Heart Association.

[52] American College of Cardiology.

[53] Heart Failure Society of America.

[54] Urine albumin creatine ratio.

[55] Measured renal function.

[56] Heart failure with reserved ejection fraction.

[57] Type-2 diabetes.

[58] Betaloc is the brand name for Seloken in China.

[59] Inhaled corticosteroid.

[60] Long-acting beta-agonist.

[61] Long-acting muscarinic-agonist.

[62] Systemic lupus erythematosus.

[63] Intravenous injection.

[64] Other Operating Income.

[65] Other SG&A expense of $1,129m predominantly includes the $775m charge to provisions relating to the legal settlement with Chugai and $293m of fair value movements on contingent consideration arising from business combinations.

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

[67] Based on average daily spot rates in FY 2021.

[68] Spot rates on 30 June 2022.

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

[70] Sustainable Markets Initiative.

[71] American Society of Clinical Oncology.

[72] Programmed cell death protein 1.

[73] Programmed death-ligand 1.

[74] Prescription Drug User Fee Act.

[75] The PDFUA date is the day the US FDA targets for regulatory decision.

[76] National Comprehensive Cancer Network.

[77] Progression free survival.

[78] Overall survival.

[79] US Food and Drug Agency

[80] Oestrogen Receptor 1 gene.

[81] Transient ischaemic attack of stroke.

[82] Transthyretin.

[83] Global Initiative for Asthma.

[84] Lower respiratory tract infection.

[85] The Q2 2022 and Q2 2021 information in respect of the three months ended 30 June 2022 and 30 June 2021 respectively included in the Interim financial statements has not been reviewed by PricewaterhouseCoopers LLP.

[86] The Condensed consolidated statement of financial position as at 30 June 2022 and 30 June 2021 has been reviewed by PricewaterhouseCoopers LLP. The Condensed consolidated statement of financial position as at 31 December 2021 has been audited by PricewaterhouseCoopers LLP.

[87] 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. * FY 2022 Q2 growth rates on medicines acquired with Alexion have been calculated on a pro forma basis comparing to the corresponding period in the prior year, pre-acquisition as previously published by Alexion. The growth rates shown for Rare Disease and CVRM disease area totals include these pro forma adjustments.

[88] 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. * FY 2022 Q2 growth rates on medicines acquired with Alexion have been calculated on a pro forma basis comparing to the corresponding period in the prior year, pre-acquisition as previously published by Alexion. The growth rates shown for Rare Disease and CVRM disease area totals include these pro forma adjustments.

This information is provided by RNS, the news service of the London Stock Exchange. RNS is approved by the Financial Conduct Authority to act as a Primary Information Provider in the United Kingdom. Terms and conditions relating to the use and distribution of this information may apply. For further information, please contact rns@lseg.com or visit www.rns.com.

RNS may use your IP address to confirm compliance with the terms and conditions, to analyse how you engage with the information contained in this communication, and to share such analysis on an anonymised basis with others as part of our commercial services. For further information about how RNS and the London Stock Exchange use the personal data you provide us, please see our Privacy Policy.

END

IR UWOWRUBUBUAR

(END) Dow Jones Newswires

July 29, 2022 02:00 ET (06:00 GMT)

Astrazeneca (LSE:AZN)
Gráfica de Acción Histórica
De Mar 2024 a Abr 2024 Haga Click aquí para más Gráficas Astrazeneca.
Astrazeneca (LSE:AZN)
Gráfica de Acción Histórica
De Abr 2023 a Abr 2024 Haga Click aquí para más Gráficas Astrazeneca.