0001654954-22-005571.txt : 20220429 0001654954-22-005571.hdr.sgml : 20220429 20220429063923 ACCESSION NUMBER: 0001654954-22-005571 CONFORMED SUBMISSION TYPE: 6-K PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220429 FILED AS OF DATE: 20220429 DATE AS OF CHANGE: 20220429 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ASTRAZENECA PLC CENTRAL INDEX KEY: 0000901832 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 000000000 STATE OF INCORPORATION: X0 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 6-K SEC ACT: 1934 Act SEC FILE NUMBER: 001-11960 FILM NUMBER: 22869958 BUSINESS ADDRESS: STREET 1: 1 FRANCIS CRICK AVENUE STREET 2: CAMBRIDGE BIOMEDICAL CAMPUS CITY: CAMBRIDGE STATE: X0 ZIP: CB2 0AA BUSINESS PHONE: 011 44 20 7304 5000 MAIL ADDRESS: STREET 1: 1 FRANCIS CRICK AVENUE STREET 2: CAMBRIDGE BIOMEDICAL CAMPUS CITY: CAMBRIDGE STATE: X0 ZIP: CB2 0AA FORMER COMPANY: FORMER CONFORMED NAME: ZENECA GROUP PLC DATE OF NAME CHANGE: 19930422 6-K 1 a7847j.htm FIRST QUARTER 2022 RESULTS a7847j
 
FORM 6-K
 
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 
 
Report of Foreign Issuer
 
Pursuant to Rule 13a-16 or 15d-16 of
the Securities Exchange Act of 1934
 
For the month of April 2022
 
Commission File Number: 001-11960
 
AstraZeneca PLC
 
1 Francis Crick Avenue
Cambridge Biomedical Campus
Cambridge CB2 0AA
United Kingdom
 
 
Indicate by check mark whether the registrant files or will file annual reports under cover of Form 20-F or Form 40-F.
 
Form 20-F X Form 40-F __
 
Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(1):
 
Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(7): ______
 
Indicate by check mark whether the registrant by furnishing the information contained in this Form is also thereby furnishing the information to the Commission pursuant to Rule 12g3-2(b) under the Securities Exchange Act of 1934.
 
Yes __ No X
 
If “Yes” is marked, indicate below the file number assigned to the Registrant in connection with Rule 12g3-2(b): 82-_____________
 
 
 
 
 
 
AstraZeneca PLC
 
INDEX TO EXHIBITS
 
 
1.
First quarter 2022 results
 
AstraZeneca PLC
29 April 2022 07:00 GMT
 
First quarter 2022 results
 
 Strong start to the year. Continued investment in the pipeline to drive sustainable long-term growth.
 
Revenue and EPS summary
 
 
 
 
Q1 2022 
 
 
 
 
    % Change
 
 
$m 
Actual 
CER1 
- Product Sales 
 
10,980
51 
56 
- Collaboration Revenue
 
410
n/m 2
n/m 
Total Revenue 
 
11,390
56 
60 
Reported3 EPS4
 
$0.25
(79)
(73)
Core5 EPS 6 
 
$1.89
16 
20 
 
 
 
 
 
 
 
Financial performance (growth numbers at CER)
 
‒    Total Revenue increased 60% to $11,390m, reflecting growth across the Company, the contribution of the Alexion medicines and several Vaxzevria contracts that are expected to complete delivery by half year 2022
 
‒    Total Revenue from Oncology increased 25%7, including a milestone payment; Product Sales from Oncology increased 18%. Total Revenue from CVRM8 increased 18%, R&I9 increased 4% and Rare Disease increased 7%10
 
‒    Operating Margin in the quarter benefitted from phasing of costs
 
‒    Core EPS increased 20% to $1.89
 
‒    FY 2022 guidance at CER reiterated
 
Key milestones achieved since the prior results
 
‒    Key data: Enhertu11 in HER212-low breast cancer (DESTINY-Breast04), AZD8233 in hypercholesterolaemia (ETESIAN, Phase IIb) and publication of data for Lynparza in prostate cancer (PROpel) and nirsevimab in RSV13 (MELODY/MEDLEY)
 
‒    Key approvals: Saphnelo and Evusheld in the EU, Ondexxya in Japan, and in the US, approvals of Ultomiris for gMG14 and Lynparza15 for early breast cancer (OlympiA)
 
‒    Other key milestones: US FDA16 Breakthrough Therapy Designation for Enhertu in HER2-low breast cancer (DESTINY-Breast04), Priority Reviews for Enhertu in HER2-mutant metastatic non-small cell lung cancer (DESTINY-Lung01), and Imfinzi and tremelimumab in advanced liver cancer (HIMALAYA), and EMA17 accelerated assessment for nirsevimab in RSV (MELODY/MEDLEY)
 
Pascal Soriot, Chief Executive Officer, AstraZeneca, said:
 
"2022 has started strongly for AstraZeneca. Farxiga achieved $1bn revenue in the quarter and our Oncology medicines delivered Product Sales growth of 18%, despite COVID-19 continuing to impact cancer diagnosis and treatment. High-level results from the DESTINY-Breast04 trial pointed to Enhertu's potential to redefine treatment of HER2-low metastatic breast cancer, and Ultomiris became the first and only long-acting C5 inhibitor approved for generalised myasthenia gravis in the US.
 
Today we have unveiled plans for a new strategic research and development centre in the heart of Cambridge, Massachusetts' scientific hub. In line with our sustainability commitments, it will be designed to the highest environmental standards. Our investments in pioneering science give us confidence of further advances in the years to come."  
 
 
Guidance
 
The Company reiterates FY 2022 guidance at CER.
 
 

 
Total Revenue is expected to increase by a high teens percentage
 
Core EPS is expected to increase by a mid-to-high twenties percentage
 
 
‒    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 decline by a low-to-mid twenties percentage, with an expected decline in sales of Vaxzevria being partially offset by growth in Evusheld sales. The majority of Vaxzevria revenue in 2022 is expected to come from initial contracts. 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 low-to-mid teens percentage, driven in substantial part by the full year integration of Alexion expenses
 
‒    Emerging Markets Total Revenue, including China, is expected to grow mid-single-digits in FY 2022. China Total Revenue is expected to decline by a mid-single-digit percentage in FY 2022, primarily due to continued NRDL and VBP programme 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%
 
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 April to December 2022 were to remain at the average of rates seen in Q1 2022, it is anticipated that there would be a low single-digit adverse impact on Total Revenue and a mid single-digit adverse impact on Core EPS versus the financials at CER. The Company's foreign-exchange rate sensitivity analysis is contained in Table 15.
 
 
Table 1: Key elements of Total Revenue performance
 
 
 
 
% Change
 
 
Revenue type 
 
$m 
Actual 
CER 
 
 
Product Sales 
 
10,980 
51 
56 
 
$1,688m from medicines acquired with Alexion 
 
Collaboration Revenue 
 
410 
n/m 
n/m 
 
$76m for Enhertu (Q1 2021: $39m), and milestone payments of $175m for Lynparza and $70m for tralokinumab (Q1 2021: $nil)
 
Total Revenue
 
11,390 
56 
60 
 
 
Disease areas 
 
$m 
Actual 
CER 
 
 
Oncology 
 
3,644 
21 
25 
 
Product Sales up 14% (18% CER). Strong performance despite a continuing COVID-19 impact on cancer diagnoses and treatment rates
 
CVRM
 
2,219 
14 
18 
 
Farxiga grew 60% (67% at CER) to $1,001m 
 
R&I
 
1,584 
2 
4 
 
Pulmicort declined 34% primarily due to inclusion in China's VBP18 programme, implemented in October 2021 
 
V&I19 
 
1,814 
20 >6x 
>6x 
 
$1,145m from Vaxzevria21 and $469m from Evusheld 
Majority of Vaxzevria revenue from initial contracts, several of which completed during the quarter. In-line with guidance, Vaxzevria revenue is expected to decline in later quarters
 
Rare Disease 
 
1,694 
3 
7 
 
Durable C5 franchise growth, including continued conversion from Soliris to Ultomiris in PNH22 and aHUS23, and Soliris growth in gMG and NMOSD24
 
Other Medicines
 
435 
(18)
(15)
 
 
Total Revenue
 
11,390 
56 
60 
 
 
Regions exc. Vaxzevria 
 
$m 
Actual 
CER 
 
 
Emerging Markets 
 
2,833 
11 
14 
 
 
- China 
 
1,575 
(6)
(8)
 
Pricing pressure associated with the NRDL25 and VBP programmes
 
- Ex-China Emerging Markets 
 
1,258 
45 
57 
 
$110m from medicines acquired with Alexion 
 
US 
 
4,055 
76 
76 
 
$1,014m from medicines acquired with Alexion 
 
Europe 
 
2,150 
63 
73 
 
$366m from medicines acquired with Alexion 
 
Established RoW 
 
1,207 
40 
51 
 
$208m from medicines acquired with Alexion 
 
Total Revenue exc. Vaxzevria
 
10,245 
45 
50 
 
$1,698m from medicines acquired with Alexion 
 
Regions inc. Vaxzevria
 
$m 
Actual 
CER 
 
 
Emerging Markets 
 
3,364 
30 
32 
 
Impacted by quarterly phasing of Vaxzevria
 
- China 
 
1,622 
(3)
(6)
 
In line with FY 2022 guidance
 
- Ex-China Emerging Markets 
 
1,742 
91 
>2x 
 
 
US 
 
4,134 
79 
79 
 
 
Europe 
 
2,284 
48 
57 
 
 
Established RoW 
 
1,608 
85 
98 
 
 
Total Revenue
 
11,390 
56 
60 
 
 
 
 
 
 
 
 
 
 
 
 
Table 2: Key elements of financial performance
 
 
Q1 2022
 
 
Metric($m or %)
Reported
Reported change
Core
Corechange
 
Comments26
Total Revenue
11,390
56% Actual 60% CER
11,390
56% Actual 60% CER
 
See Table 1
 
Gross Margin27
68%
-6pp Actual-7pp CER
79%
+5pp Actual
+4pp CER
 
+ Contribution of Alexion
+ Increasing mix of Oncology sales
‒ Increasing mix of COVID-19 therapies
‒ China impact of NRDL and VBP
‒ Increasing impact from profit-sharing arrangements including the Lynparza collaboration with MSD
‒ Reported impacted by unwind of Alexion inventory fair value adjustment
 
R&D Expense
2,133
24% Actual 26% CER
2,186
33% Actual 36% CER
 
+ Increased investment in pipeline
+ Addition of Alexion R&D 
‒ Beneficial phasing of costs resulted in a Core R&D-to-Total Revenue ratio of 19% (FY 2021: 21%)
 
SG&A Expense
4,840
65% Actual 68% CER
2,946
23% Actual 25% CER
 
+ Addition of Alexion
+ Reported impacted by $775m legal settlement with Chugai Pharmaceutical Co. Ltd and amortisation related to Alexion acquisition
‒ Beneficial phasing of costs resulted in a Core SG&A-to-Total Revenue ratio of 26% (FY 2021: 30%)
 
Other Operating Income28
97
(92%) Actual
(92%) CER
98
(92%) Actual (92%) CER
 
Limited divestments in quarter, majority of income coming from royalties and prior transactions
 
Operating Margin
8%
-18pp Actual-18pp CER
35%
Stable Actualand CER
 
See Gross Margin and Expensescommentary above
 
Net Finance Expense
319
13% Actual 7% CER
252
35% Actual 23% CER
 
+ Alexion debt financing costs
‒ Reported impacted by lower discount unwind on acquisition-related liabilities
 
Tax Rate
30%
+27pp
21%
+13pp
 
In-line with full year expectation of 18-22%
+ The Tax Rate in the comparable period of Q1 2021 was favourably impacted by the disposal of Viela and settlements with tax authorities
 
EPS
$0.25
(79%) Actual(73%) CER
$1.89
16% Actual 20% CER
 
Further details of differences between Reported and Core are shown in Table 10
 
 
Corporate and business development
 
In April 2022, AstraZeneca and Harbour BioMed (HBM) committed to a global out-license agreement for HBM7022, a pre-clinical bispecific antibody targeting Claudin18.2 and CD3. AstraZeneca will be granted an exclusive global license for research, development, registration, manufacturing, and commercialisation of HBM7022.
 
HBM shall receive an upfront payment of $25m with the potential for additional payments up to $325m pending achievement of certain development, regulatory and commercial milestones. HBM is also eligible to receive tiered royalties on net sales.
 
Sustainability summary
 
AstraZeneca published its eighth annual Sustainability Report and Sustainability Data summary, released in conjunction with the 2021 Annual Report. The report outlines progress on strategic priorities, material focus areas, challenges and aims for the future.
 
AstraZeneca continues to provide urgent humanitarian support in Ukraine and neighbouring countries. To date, AstraZeneca has committed over $7m to response efforts, including donations of:
 
‒    Medicines to the Company's humanitarian relief partner Direct Relief, which is working directly with the Ukrainian Ministry of Health
 
‒    Medicines via The Red Cross affiliates in neighbouring countries
 
‒    $2m to support relief agencies working in Ukraine, Poland and surrounding areas with a focus on providing healthcare and humanitarian assistance. Funding is being provided to Project HOPE, working with and through the World Health Organization, and International Medical Corps
 
‒    More than $1m to UNICEF and The Red Cross
 
Reporting changes for Q1 2022
 
AstraZeneca's Total Revenue and Product Sales tables in FY 2022 include a new disease area: BioPharmaceuticals: Vaccines & Immune Therapies (V&I). This incorporates revenues from Vaxzevria, Evusheld, FluMist, Synagis and nirsevimab. In the FY 2021 quarterly and annual reports, Vaxzevria and Evusheld revenues were shown under COVID-19, and FluMist, Synagis and nirsevimab revenues were shown under Other Medicines. In addition, revenue from Koselugo have moved from Oncology to Rare Disease, and revenue from Andexxa has moved from Rare Disease to BioPharmaceuticals: CVRM.
 
The growth rate for each disease area has been calculated as though these changes had been implemented in FY 2021.
 
Conference call
 
A conference call and webcast for investors and analysts will begin today (29 April 2022) at 11:45 BST. Details can be accessed via astrazeneca.com.
 
Reporting calendar
 
The Company intends to publish its half-year and second-quarter results on Friday 29 July 2022.
 
Notes
 
The following notes refer to pages one to five.
 
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.    Not meaningful
 
3.    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.
 
4.    Earnings per share.
 
5.    Core financial measures. These are non-GAAP financial measures because, unlike Reported performance, they cannot be derived directly from the information in the Group's Financial Statements. See the Operating and financial review for a definition of Core financial measures and a reconciliation of Core to Reported financial measures.
 
6.    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 that will lead to a payment of $775m in the Q2 2022. A full reconciliation between Reported EPS and Core EPS is provided in Table 10 in the Financial performance section of this document.
 
7.    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 for each disease area has been calculated as though these changes had been implemented in FY 2021.
 
8.    Cardiovascular, Renal & Metabolism.
 
9.    Respiratory & Immunology.
 
10.  FY 2022 Q1 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.
 
11.  AstraZeneca is collaborating with Daiichi Sankyo to develop and commercialise Enhertu.
 
12.  Human epidermal growth factor receptor 2.
 
13.  Respiratory syncytial virus.
 
14.  Generalised myasthenia gravis.
 
15.  AstraZeneca is collaborating with MSD (Merck & Co., Inc. in the US and Canada) to develop and commercialise Lynparza.
 
16.  US Food and Drug Administration.
 
17.  European Medicines Agency.
 
18.  Volume based procurement.
 
19.  Vaccines & Immune Therapies.
 
20.  Growth rates greater than 100% are displayed as a multiple, for example Ô>2x' signifies that the value is more than double that of the comparable period
 
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.  Paroxysmal nocturnal haemoglobinuria.
 
23.  Atypical haemolytic uraemic syndrome.
 
24.  Neuromyelitis optica spectrum disorder.
 
25.  National Reimbursement Drug List.
 
26.  The plus and minus signs in Table 2 indicate the directional impact of the item being discussed, e.g. a plus sign in R&D Expenses signifies that the comment refers to an item that increased the R&D Expense relative to the prior year.
 
27.  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.
 
28.  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 Company's financial statements.
 
 
 
 
Pipeline
 
Table 3: Pipeline highlights since prior results announcement
 
 
Event
Medicine
Indication / Trial
Event
 
Lynparza
gBRCA[29] breast cancer (adjuvant) (OlympiA)
Regulatory approval (US)
Regulatory
approvals and
other regulatory
actions
Saphnelo
SLE[30]
Regulatory approval (EU)
Ondexxya
Acute major bleed
Regulatory approval (JP)
Evusheld
COVID-19 pre-exposure prophylaxis (PROVENT)
Regulatory approval (EU)
 
Ultomiris
gMG (CHAMPION-MG)
Regulatory approval (US)
 
Imfinzi
Biliary tract cancer (TOPAZ-1)
Regulatory submission (JP)
 
Imfinzi + tremelimumab
Advanced liver cancer (1st-line) (HIMALAYA)
Priority review (US), regulatory submission (EU, JP)
 
Lynparza
Prostate cancer (1st-line) (PROpel)
Regulatory submission (JP)
Regulatory
submissions or
acceptances
Enhertu
HER2m NSCLC[31] (2nd-line+) (DESTINY-Lung01)
Priority review (US)
Calquence
CLL[32] (ELEVATE-TN)
Regulatory submission (JP)
 
nirsevimab
RSV (MELODY/MEDLEY)
Regulatory submission and EMA accelerated assessment (EU)
 
Evusheld
COVID-19 outpatient treatment (TACKLE)
Regulatory submission (US, EU)
 
Ultomiris
Subcutaneous, PNH and aHUS
Regulatory submission (EU)
 
Imfinzi
Cervical cancer (CALLA)
Primary endpoint not met
Major Phase III
data readouts
and other
developments
Imfinzi
Biliary tract cancer (TOPAZ-1)
Orphan Drug Designation (JP)
Enhertu
HER2+ breast cancer (2nd-line) (DESTINY-Breast03)
Breakthrough Drug Designation (CN)
Enhertu
HER2-low breast cancer(DESTINY-Breast04)
Primary endpoint met, Breakthrough Drug Designation, RTOR[33] (US)
 
Fasenra
Nasal polyps (OSTRO)
Complete response letter (US)
 
Brilinta
 
Paediatric exclusivity (US)
 
Table 4: Pipeline anticipated major news flow
 
 
Timing
Medicine
Indication / Trial
Event
H1 2022
Imfinzi
Biliary tract cancer (TOPAZ-1)
Regulatory submission (US, EU)
 
Lynparza
Prostate cancer (1st-line) (PROpel)
Regulatory submission (US)
 
Enhertu
HER2+ breast cancer (2nd-line) (DESTINY-Breast03)
Regulatory decision (US), regulatory submission (CN)
 
Enhertu
HER2-low breast cancer (3rd-line) (DESTINY-Breast04)
Regulatory submission
 
Forxiga
CKD[34] (DAPA-CKD)
Regulatory decision (CN)
 
Farxiga
HFpEF[35] (DELIVER)
Data readout
 
eplontersen
hATTR-PN[36] (NEURO-TTRansform)
Data readout[37]
 
Brilinta
Stroke (THALES)
Regulatory decision (CN)
 
Tezspire
Severe asthma (NAVIGATOR)
Regulatory decision (EU, JP)
 
PT027
Asthma
Regulatory submission (US)
 
Evusheld
COVID-19 outpatient treatment (EU)
Regulatory decision (EU)
 
Vaxzevria
COVID-19
Regulatory submission (US)
 
Ultomiris
NMOSD
Data readout
H2 2022
Tagrisso
EGFRm NSCLC (adjuvant) (ADAURA)
Regulatory decision (JP)
 
Imfinzi
Biliary tract cancer (TOPAZ-1)
Regulatory decision
 
Imfinzi
Liver cancer (locoregional)(EMERALD-1)
Data readout, regulatory submission
 
Imfinzi
NSCLC (1st-line) (PEARL)
Data readout
 
Imfinzi
NSCLC (unresectable, Stg. III) (PACIFIC-2)
Data readout
 
Imfinzi
Limited-stage SCLC (ADRIATIC)
Data readout
 
Imfinzi +/- tremelimumab
NSCLC (1st-line) (POSEIDON)
Regulatory decision
 
Imfinzi +/- tremelimumab
Liver cancer (1L) (HIMALAYA)
Regulatory decision
 
Lynparza
gBRCA breast cancer (adjuvant) (OlympiA)
Regulatory decision (EU, JP)
 
Lynparza
Ovarian cancer (1st-line) (PAOLA-1)
Regulatory decision (CN)
 
Lynparza
Prostate cancer (1st-line) (PROpel)
Regulatory decision
 
Enhertu
HER2+ breast cancer (3rd-line) (DESTINY-Breast02)
Data readout, regulatory submission
 
Enhertu
HER2+ breast cancer (2nd-line) (DESTINY-Breast03)
Regulatory decision (EU, JP)
 
Enhertu
HER2+ gastric cancer (2nd-line) (DESTINY-Gastric01)
Regulatory decision (EU)
 
Enhertu
HER2m NSCLC (2nd-line+)(DESTINY-Lung01)
Regulatory decision
 
capivasertib
HR+/HER2-neg breast cancer (1st-line) (CAPItello-291)
Data readout
 
Farxiga
HFpEF (DELIVER)
Regulatory submission
 
eplontersen
hATTR-PN
Regulatory submission (US)
 
Fasenra
EOE[38] (MESSINA)
Data readout
 
nirsevimab
RSV (MELODY/MEDLEY)
Regulatory submission (US) and regulatory decision
 
Evusheld
COVID-19 (TACKLE/PROVENT)
Regulatory submission (JP, CN)
 
Evusheld
COVID-19 outpatient treatment (TACKLE)
Regulatory decision
 
Utomiris
gMG (CHAMPION-MG)
Regulatory decision (EU, JP)
 
Ultomiris
Subcutaneous, PNH and aHUS
Regulatory decision
 
Ultomiris
NMOSD
Regulatory submission
 
Koselugo
NF1-PN (SPRINT)
Regulatory submission (CN), regulatory decision (JP)
2023
Tagrisso
EGFRm[39] NSCLC (1st-line) (FLAURA2)
Data readout, regulatory submission
 
Tagrisso
EGFRm NSCLC (unresectable Stg. III) (LAURA)
Data readout, regulatory submission
 
Imfinzi
Bladder cancer (muscle invasive) (NIAGARA)
Data readout, regulatory submission
 
Imfinzi
Bladder cancer (1st-line) (NILE)
Data readout, regulatory submission
 
Imfinzi
NSCLC (neoadjuvant) (AEGEAN)
Data readout, regulatory submission
 
Imfinzi
Liver cancer (adjuvant) (EMERALD-2)
Data readout, regulatory submission
 
Imfinzi
NSCLC (unresectable, Stg. III) (PACIFIC-2)
Regulatory submission
 
Imfinzi
NSCLC (1st-line) (PEARL)
Regulatory submission
 
Imfinzi
Limited-stage SCLC (ADRIATIC)
Regulatory submission
 
Lynparza
gBRCA breast cancer (adjuvant) (OlympiA)
Regulatory submission (CN)
 
Lynparza + Imfinzi
Endometrial cancer (1st-line) (DUO-E)
Data readout
 
Lynparza + Imfinzi
Ovarian cancer (1st-line) (DUO-O)
Data readout
 
Enhertu
HER2-low breast cancer (2nd-line) (DESTINY-Breast06)
Data readout
 
Calquence
CLL (ELEVATE-TN)
Regulatory decision (JP)
 
Calquence
CLL (ACE-CL-311)
Data readout
 
Calquence
MCL[40] (1st-line) (ECHO)
Data readout
 
capivasertib
TNBC[41] (locally adv./met.)(CAPItello-290) 
Data readout, regulatory submission
 
capivasertib
HR+/HER2-neg breast cancer (1st-line) (CAPItello-291)
Regulatory submission
 
camizestrant
HR+/HER2-neg breast cancer (SERENA-6)
Data readout
 
Dato-DXd
NSCLC (3rd-line) (TROPION-Lung01)
Data readout, regulatory submission
 
Farxiga
Myocardial infarction (DAPA-MI)
Data readout
 
roxadustat
Anaemia of myelodysplastic syndrome
Data readout
 
Fasenra
Bullous pemphigoid (FJORD)
Data readout
 
Fasenra
CRwNP[42] (ORCHID)
Data readout
 
Fasenra
EGPA[43] (MANDARA)
Data readout
 
Fasenra
EOE (MESSINA)
Regulatory submission
 
Fasenra
HES (NATRON)
Data readout
 
Fasenra
Severe asthma (MIRACLE)
Data readout
 
nirsevimab
RSV (MELODY/MEDLEY)
Regulatory submission (JP, CN)
 
Soliris
Guillain-Barre syndrome
Data readout
 
ALXN1840
Wilson disease
Regulatory submission
 
danicopan
PNH with extravascular haemolysis
Data readout, 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. The performance shown in this announcement covers the three-month period to 31 March 2022 (Ôthe quarter' or ÔQ1 2022') compared to the three-month period to 31 March 2021 (Q1 2021), unless stated otherwise.
 
Core financial measures, EBITDA, Net Debt, 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
 
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 ÔNet 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 may not agree to totals.
 
Total Revenue
 

Table 5: Disease area and medicine performance
 
 
 
Q1 2022
 
 
 
 
% Change
Product Sales 
 
$m 
% Total 
Actual 
CER 
Oncology 
 
3,388 
30 
14 
18 
- Tagrisso 
 
1,304 
11 
14 
17 
- Imfinzi 
 
599 
5 
8 
11 
- Lynparza 
 
617 
5 
14 
17 
- Calquence 
 
414 
4 
98 
100 
- Enhertu 
 
11 
- 
>9x 
>9x 
- Orpathys 
 
13 
- 
n/m 
n/m 
- Zoladex 
 
240 
2 
9 
12 
- Faslodex 
 
93 
1 
(24)
(20)
- Iressa 
 
32 
- 
(47)
(47)
- Arimidex 
 
32 
- 
(27)
(25)
- Casodex 
 
21 
- 
(48)
(47)
- Others 
 
12 
- 
1 
6 
BioPharmaceuticals: CVRM 
 
2,207 
19 
14 
17 
- Farxiga 
 
1,000 
9 
60 
67 
- Brilinta 
 
325 
3 
(13)
(10)
- Lokelma
 
63 
1 
92 
97 
- Roxadustat
 
41 
- 
6 
4 
- Andexxa10 
 
33 
- 
13 
14 
- Crestor 
 
267 
2 
(2)
- 
- Seloken/Toprol-XL 
 
244 
2 
(2)
(1)
- Bydureon
 
68 
1 
(34)
(33)
- Onglyza
 
68 
1 
(33)
(31)
- Others 
 
98 
1 
(15)
(13)
BioPharmaceuticals: R&I 
 
1,509 
13 
(2)
- 
- Symbicort 
 
674 
6 
(2)
- 
- Fasenra
 
308 
3 
18 
22 
- Breztri
 
87 
1 
>3x 
>3x
- Saphnelo 
 
11 
- 
n/m 
n/m 
- Pulmicort 
 
217 
2 
(34)
(34)
- Daliresp 
 
51 
- 
(16)
(16)
- Bevespi
 
15 
- 
15 
14 
- Others 
 
146 
1 
(9)
(9)
BioPharmaceuticals: V&I 
 
1,757 
15 
>5x 
>6x 
- Vaxzevria 
 
1,089 
10 
>3x 
>4x 
- Evusheld 
 
469 
4 
n/m
n/m 
- Synagis
 
200 
2 
>8x 
>8x 
- FluMist
 
(1)
- 
n/m 
n/m 
Rare Disease10 
 
1,694 
15 
3 
7 
- Soliris10 
 
990 
9 
(5)
- 
- Ultomiris10 
 
419 
4 
20 
25 
- Strensiq10 
 
208 
2 
5 
7 
- Koselugo 
 
39 
- 
82 
85 
- Kanuma10 
 
38 
- 
9 
15 
Other Medicines 
 
425 
4 
(19)
(15)
- Nexium 
 
332 
3 
(18)
(13)
- Others 
 
93 
1 
(22)
(22)
Product Sales 
 
10,980 
96 
51 
56 
Collaboration Revenue 
 
410 
4 
n/m
 n/m
Total Revenue 
 
11,390 
100 
56 
60 
 
Table 6: Collaboration Revenue
 
 
 
Q1 2022
 
 
 
 
    % Change
 
 
$m
% Total
Actual
CER
 
Lynparza: milestone revenue
 
175
43
n/m
n/m
Enhertu: share of gross profits
 
75
18
96
96
Royalty income
 
73
18
n/m
n/m
Tralokinumab: sales milestones
 
70
17
n/m
n/m
Other Collaboration Revenue
 
17
4
n/m
n/m
Total
 
410
100
n/m
n/m
 
Table 7: Total Revenue by region
 
 
 
Q1 2022 
 
 
 
% of 
% Change 
 
 
$m 
Total 
 Actual 
CER 
Emerging Markets 
 
3,364 
30 
30 
32 
- China 
 
1,622 
14 
(3)
(6)
- Ex-China 
 
1,742 
15 
91 
>2x 
US 
 
4,134 
36 
79 
79 
Europe 
 
2,284 
20 
48 
57 
Established RoW 
 
1,608 
14 
85 
98 
Total 
 
11,390 
100 
56 
60 
 
Oncology
 
Total Revenue increased by 21% (25% at CER) in Q1 2022 to $3,644m and represented 32% of overall Total Revenue (Q1 2021: 41%). This included Lynparza Collaboration Revenue of $175m and Enhertu Collaboration Revenue of $76m. Product Sales increased by 14% (18% at CER) in Q1 2022 to $3,388m, reflecting new launches and increased patient access for Tagrisso, Imfinzi, Lynparza, Calquence and Enhertu partially offset by declines in legacy medicines and an adverse gross-to-net[44] movement from the seasonal increase in Part-D related deductions typically seen in the first quarter.
 
Tagrisso
 
Total Revenue
 
Worldwide
 
Emerging Markets
US
Europe
Established RoW
Q1 2022 $m
 
1,304
 
406
439
252
207
Actual change
 
14%
 
32%
6%
12%
2%
CER change
 
17%
 
33%
6%
21%
11%
 
Region
 
 
Worldwide
 
Increased adjuvant and 1st-line use offset by a continued adverse COVID-19 impact on diagnosis, testing and treatment
 
Emerging Markets
 
Increased 1st-line use in China and continued growth in other Emerging Markets
Tagrisso was admitted to the China NRDL in March 2021 for the 1st-line setting and renewed in the 2nd-line setting, resulting in an adverse effect on the comparator period from lower sales to distributors prior to the change and stock compensation payments
Rising demand from increased patient access in China has now offset the impact of the March 2021 NRDL price reduction
 
US
 
Greater 1st-line and adjuvant use, with longer duration of treatment, partially offset by lower 2nd-line use and a continued adverse COVID-19 impact
At the end of Q1 rates of diagnosis, testing and treatment in lung cancer are showing some signs of recovery, but remained around 5-15% below baseline
 
Established RoW
 
Increased use in 1st-line and adjuvant settings
 
 
Imfinzi
 
Total Revenue
 
Worldwide
 
Emerging Markets
US
Europe
Established RoW
Q1 2022 $m
 
599
 
58
315
125
101
Actual change
 
8%
 
2%
8%
15%
4%
CER change
 
11%
 
3%
8%
23%
12%
 
Region
 
 
Worldwide
 
Increased use of Imfinzi to treat patients with ES-SCLC[45] was offset by impact from lower rates of diagnosis and treatment due to the current COVID-19 wave
 
Emerging Markets
 
Growth in ex-China continued, offset in China by reduction in inventory held by distributors and hospitals
 
US
 
Growth driven new patient starts across Stage III NSCLC and ES-SCLC, despite the impact of COVID-19 on lung cancer diagnoses in recent months, offset by unfavourable seasonal inventory and gross-to-net movements
 
Europe
 
ES-SCLC market penetration increased, as did the number of reimbursed markets, offsetting the COVID-19 impact on rates of diagnosis and treatment
 
Established RoW
 
Growth driven by new reimbursements
 
 
Lynparza
 
Total Revenue
 
Worldwide
 
Emerging Markets
US
Europe
Established RoW
Q1 2022 $m
 
792
 
121
270
335
66
Actual change
 
46%
 
39%
7%
>2x
22%
CER change
 
50%
 
43%
7%
>2x
32%
 
 
Product Sales
 
Worldwide
 
Emerging Markets
US
Europe
Established RoW
Q1 2022 $m
 
617
 
121
270
160
66
Actual change
 
14%
 
39%
7%
8%
22%
CER change
 
17%
 
43%
7%
16%
32%
 
Region
 
 
Worldwide
 
Total Revenue includes a $175m regulatory milestone received from MSD and recognised in the Europe geographic segment, 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
Product sales growth was driven by further launches across multiple cancer types globally. Lynparza remains the leading medicine in the PARP[46]-inhibitor class globally across four tumour types, as measured by total prescription volume
 
Emerging Markets
 
Patient access to Lynparza increased following admission to China's NRDL as a 1st-line treatment for ovarian cancer patients with effect from March 2021 and launches in other markets
 
US
 
Growth in use in ovarian, breast and prostate cancers, offset by an adverse gross-to-net movement related to seasonal increase in Part-D related deductions typically seen in the first quarter, and reductions in inventory held by distributors
 
Europe
 
Reimbursements introduced in additional countries, increasing BRCAm-testing rates, and successful 1st-line BRCAm ovarian, 2nd-line HRRm[47] prostate and gBRCAm HER2-negative advanced breast cancer launches
 
Established RoW
 
Strong year on year growth driven by new product launches and high levels of HRD testing in Japan
 
 
Enhertu
 
Total Revenue
 
Worldwide
 
Emerging Markets
US
Europe
Established RoW
Q1 2022 $m
 
86
 
9
57
20
1
Actual change
 
>2x
 
>7x
61%
>5x
n/m
CER change
 
>2x
 
>7x
61%
>5x
n/m
 
Region
 
 
Worldwide
 
Excluding Japan, global in-market sales recorded by Daiichi Sankyo Company Limited (Daiichi Sankyo) and AstraZeneca, amounted to $166m in the quarter (Q1 2021: $81m)
 
US
 
US in-market sales, recorded by Daiichi Sankyo, amounted to $119m in the quarter (Q1 2021: $73m)
 
Established RoW
 
In Japan, AstraZeneca receives a mid-single-digit percentage royalty on sales made by Daiichi Sankyo
 
 
Calquence
 
Total Revenue
 
Worldwide
 
Emerging Markets
US
Europe
Established RoW
Q1 2022 $m
 
414
 
7
339
55
13
Actual change
 
98%
 
>3x
74%
>5x
>4x
CER change
 
100%
 
>3x
74%
>6x
>4x
 
Region
 
 
US
 
Strong performance despite COVID-19 impacts on CLL diagnosis rates, benefitting from increased new patient market share
 
Europe
 
Increased market share in new patient starts after launches in the region
 
 
Orpathys
 
Total Revenue of $11m in the quarter (2021: $nil) was driven by the 2021 launch in China, where Orpathys has been approved for patients with lung cancer and MET[48] gene alterations.
 
Other Oncology medicines
 
 
 
Q1 2022
% Change
 
Total Revenue
 
$m
Actual
CER
Commentary
Zoladex
 
247
10
13
Increase driven by usage in emerging markets
 
Faslodex
 
93
(24)
(20)
 
Iressa
 
32
(47)
(47)
 
Arimidex
 
32
(27)
(25)
 
Casodex
 
21
(48)
(47)
 
Others
 
12
1
6
 
 
 
 
 
 
 
 
 
 
BioPharmaceuticals
 
Including Vaccines & Immune Therapies medicines, BioPharmaceuticals Total Revenue increased by 49% (53% at CER) in Q1 2022 to $5,617m, representing 49% of overall Total Revenue (Q1 2021: 51%). Growth was driven by strong Farxiga performance and growth in the COVID-19 medicines.
 
Cardiovascular, Renal & Metabolism
 
CVRM Total Revenue increased by 14% (18% at CER) in Q1 2022, driven by strong Farxiga performance, to $2,219m and represented 19% of overall Total Revenue (Q1 2021: 26%).
 
Farxiga
 
Total Revenue
 
Worldwide
 
Emerging Markets
US
Europe
Established RoW
Q1 2022 $m
 
1,001
 
391
193
318
99
Actual change
 
60%
 
50%
48%
83%
64%
CER change
 
67%
 
54%
48%
97%
76%
 
Region
 
 
Worldwide
 
The SGLT2[49] inhibitor class saw growth in many regions, with Farxiga volume growing faster than the overall SGLT2 market in most major regions. Performance also reflecting further HF and CKD launches and updated treatment guidelines including from ESC[50], AHA[51] and ACC[52], and beneficial impact from gross-to-net adjustments in the US versus Q1 2021
 
Emerging Markets
 
China performance was enhanced by uACR[53] and MRF[54] testing program, and solid growth in ex-China Emerging Markets. Forxiga's NRDL status in China was renewed in the fourth quarter of 2021
 
US
 
Continued strong growth, following the regulatory approval for HFrEF in May 2020, the approval for the treatment of CKD in May 2021, and the aforementioned gross-to-net adjustments. Both approvals included patients with and without T2D[55]. Farxiga continued to gain in-class brand share driven by HF and CKD launches.
 
Europe
 
SGLT2 inhibitor class growth, 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
 
Established RoW
 
In Japan, sales to collaborator Ono Pharmaceutical Co., Ltd, which records in-market sales, more than doubled to $69m
 
 
Brilinta
 
Total Revenue
 
Worldwide
 
Emerging Markets
US
Europe
Established RoW
Q1 2022 $m
 
325
 
69
166
76
14
Actual change
 
(13%)
 
(35%)
-
(13%)
(5%)
CER change
 
(10%)
 
(32%)
-
(6%)
(1%)
 
Region
 
 
Worldwide
 
Continued adverse China VBP impact and fewer elective procedures in the EU and US due to the effects of the pandemic
 
 
Lokelma
 
Total Revenue increased 92% (97% at CER) to $63m in the quarter, driven by Lokelma extending its branded market share lead in the US and continued progress from recent launches across Europe. In China, Lokelma was included on the NRDL from 1 January 2022.
 
Andexxa
 
On a pro forma basis, Total Revenue increased 48% (49% at CER) to $43m.
 
Roxadustat
 
Total Revenue increased 1% (2% decrease at CER) to $41m. Total Revenue also increased sequentially, benefitting from increased volumes in China following NRDL price cuts.
 
Other CVRM medicines
 
Total Revenue
 
Q1 2022
% Change
 
 
 
$m
Actual
CER
 
Crestor
 
268
(2)
-
Sales decline in the US and Europe offset by growth in Emerging Markets
 
Seloken/Toprol-XL
 
245
(2)
(1)
Emerging Markets sales impacted by China VBP implementation of Betaloc[56] oral in H2 2021. Betaloc ZOK VBP to be implemented later in 2022
 
Bydureon
 
68
(34)
(33)
Continued competitive pressures
 
Onglyza
 
68
(33)
(31)
Continued declines in DPP-4[57] inhibitor class
 
Others
 
98
(15)
(13)
 
 
 
 
 
 
 
 
 
Respiratory & Immunology
 
R&I Total Revenue, which included Collaboration Revenue of $75m, increased by 2% in Q1 2022 (4% at CER) to $1,584m and represented 14% of overall Total Revenue (Q1 2021: 21%). COVID-19 continued to have a material impact across markets and the portfolio.
 
Symbicort
 
Total Revenue
 
Worldwide
 
Emerging Markets
US
Europe
Established RoW
Q1 2022 $m
 
674
 
167
259
157
91
Actual change
 
(2%)
 
1%
(2%)
(7%)
(1%)
CER change
 
-
 
3%
(2%)
-
3%
 
Region
 
 
Worldwide
 
Symbicort remains the global market-volume and value leader within the ICS/LABA class.
Market share performance was driven by Established RoW and Emerging Markets, and growth in anti-inflammatory reliever launch markets
The global ICS/LABA market continues to be eroded as fixed-dose triple therapies (LAMA/LABA/ICS) continue to launch
 
Emerging Markets
 
Driven by growth outside China. China continues to be impacted by fixed-dose triple therapy launches
 
US
 
Maintained total prescription market share in a declining ICS/LABA market as fixed-dose triple therapy launches continue.  Continued growth in the authorised generic
 
Established RoW
 
Sales in Japan declined due to continued generic erosion
 
 
Fasenra
 
Total Revenue
 
Worldwide
 
Emerging Markets
US
Europe
Established RoW
Q1 2022 $m
 
308
 
7
189
75
37
Actual change
 
18%
 
>2x
22%
20%
(5%)
CER change
 
22%
 
>2x
22%
29%
2%
 
Region
 
 
Worldwide
 
Expanded total market leadership in eosinophilic asthma, Fasenra is the leading IL-5 class biologic, in major markets (US, Japan and some EU countries). COVID-19 continues to impact total severe asthma market growth with most regions experiencing a slower growth
 
US
 
Sustained growth driven by volume
 
Europe
 
Increased volume from sustained leadership in new to brand prescriptions, in most EU markets
 
Established RoW
 
In Japan, revenues declined by 13% (5% at CER) to $23m, with rising demand and sustained leadership in new to brand prescriptions, offset by reduced demand from distributors ahead of expected mandatory price reduction in April
 
 
Breztri
 
Total Revenue
 
Worldwide
 
Emerging Markets
US
Europe
Established RoW
Q1 2022 $m
 
87
 
22
53
5
7
Actual change
 
>3x
 
>2x
>4x
>7x
46%
CER change
 
>3x
 
>2x
>4x
>8x
59%
 
Region
 
 
Worldwide
 
Continued to gain market share within the fixed-dose triple markets; in US, China and Japan.
 
Emerging Markets
 
Continued its market share leadership within the fixed-dose triple market in China, which continues to gain share from the ICS/LABA class
 
US
 
Progress made in new to brand market share growth in the fixed-dose triple market
 
Europe
 
Launches continued in Europe
 
Established RoW
 
Sales in Japan were impacted by COVID-19 restrictions
 
 
Saphnelo
 
Total Revenue of $11m in the quarter (Q1 2021: $nil) was driven by the 2021 launch in the US, where Saphnelo has been approved for SLE.
 
Tezspire
 
Tezspire is being developed in collaboration with Amgen, and was approved in the US for severe asthma in December 2021. Amgen will record sales in the US and AstraZeneca's share of gross profits in the US will be recognised as Collaboration Revenue. Outside of the US, AstraZeneca will record Product Sales. In Q1 2022, AstraZeneca recognised $3m of Collaboration Revenue from $7m of in-market sales recorded by Amgen (Q1 2021: $nil).
 
Other R&I Medicines
 
 
 
Q1 2022
% Change
 
Total Revenue
 
$m
Actual
CER
 
Pulmicort
 
217
(34)
(34)
Revenue from Emerging Markets decreased 43% to $164m
Pulmicort Respules was included in the latest round of VBP in China, implemented in October 2021, resulted in significantly lower market access and a mandatory price reduction.
 
Daliresp
 
51
(16)
(16)
 
Bevespi
 
15
15
14
 
Others
 
218
32
32
 
 
 
 
 
 
 
 
 
Vaccines & Immune Therapies
 
Total Revenue from Vaccines and Immune Therapies medicines increased from $301m in Q1 2021 to $1,814m in Q1 2022 and represented 16% of overall Total Revenue (Q1 2021: 4%).
 
Vaxzevria
 
Total Revenue
 
Worldwide
 
Emerging Markets
US
Europe
Established RoW
Q1 2022 $m
 
1,145
 
530
79
135
400
Actual change
 
>4x
 
>10x
n/m
(40%)
>10x
CER change
 
>4x
 
>10x
n/m
(37%)
>10x
 
Region
 
 
Worldwide
 
The majority of revenue in Q1 2022 came from initial, not-for-profit contracts
 
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
 
US
 
Purchases by the US government for donation overseas
 
Europe
 
Sales were down versus Q1 2021, when Europe accounted for 82% of Vaxzevria revenue as vaccination programmes were rolled out in the UK and the EU
 
Established RoW
 
Sales in Japan, Canada and Australia
 
 
Evusheld
 
Total Revenue
 
Worldwide
 
Emerging Markets
US
Europe
Established RoW
Q1 2022 $m
 
469
 
89
307
66
8
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
 
Emergency Use Authorisation was granted in December 2021, and in Q1 2022
AstraZeneca fulfilled a proportion of the US government order for 1.7m units of Evusheld (a unit consists of one 150mg vial of cilgavimab and one 150mg vial of tixagevimab). The remainder of that order will be fulfilled before the end of 2022
 
Emerging Markets
 
Multiple government contracts
 
Europe
 
Evusheld was approved in the EU in the quarter
 
 
Other V&I Medicines
 
 
 
Q1 2022
% Change
 
Total Revenue
 
$m
Actual
CER
 
Synagis
 
 
200
>8x
>8x
Q1 2022 captures all global revenues from Synagis by destination. In the comparable period, revenues reflected AstraZeneca's ex-US collaboration agreement with AbbVie, which expired on 30 June 2021 in which all ex-US revenue was reported in Europe. The regional growth rates shown in Table 22 have also been impacted by the change
 
FluMist
 
(1)
n/m
n/m
Normal seasonality of FluMist sales
 
 
 
 
 
 
 
 
 
Rare Disease
 
Rare Disease Total Revenue increased by 3% (7% at CER) pro forma in Q1 2022 to $1,694m, representing 15% of overall Total Revenue (Q1 2021: 0%).  Performance was driven by continued durability of the C5 franchise, including continued conversion from Soliris to Ultomiris in PNH and aHUS as well as Soliris growth in Neurology indications, gMG and NMOSD.
 
The pro forma growth rates on medicines acquired with Alexion shown in these tables have been calculated by comparing Q1 revenues with the corresponding prior year pre-acquisition revenues previously published by Alexion.
 
Soliris
 
Total Revenue
 
Worldwide
 
Emerging Markets
US
Europe
Established RoW
Q1 2022 $m
 
990
 
71
591
221
107
Actual change
 
(5%)
 
(41%)
7%
(15%)
4%
CER change
 
-
 
(28%)
7%
(8%)
11%
 
Region
 
 
US
 
Performance driven by Soliris growth in neurology indications, gMG and NMOSD, offset by continued conversion to Ultomiris in PNH and aHUS
 
Ex-US
 
Strong underlying demand growth in EU and ERoW, EM growth impacted by prior year tender market order timing
 
 
Ultomiris
 
Total Revenue
 
Worldwide
 
Emerging Markets
US
Europe
Established RoW
Q1 2022 $m
 
419
 
24
220
105
70
Actual change
 
20%
 
n/m
6%
54%
(4%)
CER change
 
25%
 
n/m
6%
65%
7%
 
 
Region
 
 
Worldwide
 
Continued conversion and launches in new markets outside the US
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 COVID-19 impact on rate of aHUS diagnoses and treatment coupled with hospital reimbursement dynamics favouring Soliris
 
Ex-US
 
Performance driven by new market approvals for PNH
 
 
Other Rare Disease medicines
 
 
 
Q1 2022
% Change
 
Total Revenue
 
$m
Actual
CER
Commentary
 
Strensiq
 
208
5
7
Performance impacted by inventory and payer dynamics
 
 
Koselugo
 
39
82
85
Reimbursed in 14 markets with ambition to continue expansion
 
 
Kanuma
 
38
9
15
Performance driven by markets outside the US
 
 
 
 
 
 
 
 
 
 
 
Other medicines (outside the main disease areas)
 
 
 
 
Q1 2022
% Change
 
Total Revenue
 
$m
Actual
CER
Commentary
 
Nexium
 
338
(17)
(13)
Nexium (oral) was included in China's VBP programme implemented in February 2021 and Nexium (i.v.) was implemented in the fifth round of VBP in October 2021.
 
 
Others
 
97
(22)
(21)
 
 
 
 
 
 
 
 
 
 
 
 
 
Financial performance
 

 
Table 8: Reported Profit and Loss
 
 
 
Q1 2022
Q1 2021
         % Change 
 
 
$m 
$m 
Actual 
CER 
 
Total Revenue
 
11,390 
7,320 
56 
60 
 
- Product Sales
 
10,980 
7,257 
51 
56 
 
- Collaboration Revenue
 
410 
63 
n/m 
n/m 
 
Cost of Sales
 
(3,511)
(1,864)
88 
98 
 
Gross Profit
 
7,879 
5,456 
44 
48 
 
Gross Margin
 
68.0% 
74.3% 
-6 
-7 
 
Distribution Expense
 
(125)
(99)
26 
32 
 
% Total Revenue
 
1.1% 
1.4% 
- 
- 
 
R&D Expense
 
(2,133)
(1,713)
24 
26 
 
% Total Revenue
 
18.7% 
23.4% 
+5 
+5 
 
SG&A Expense
 
(4,840)
(2,929)
65 
68 
 
% Total Revenue
 
42.5% 
40.0% 
-2 
-2 
 
OOI[58] & Expense
 
97 
1,180 
(92)
(92)
 
% Total Revenue
 
0.9% 
16.1% 
-15 
-15 
 
Operating Profit
 
878 
1,895 
(54)
(46)
 
Operating Margin
 
7.7% 
25.9%
-18 
-18 
 
Net Finance Expense
 
(319)
(283)
13 
7 
 
Joint Ventures and Associates
 
(6)
(4)
38 
53 
 
Profit before tax
 
553 
1,608 
(66)
(56)
 
Taxation
 
(165)
(46)
n/m 
n/m 
 
Tax rate
 
30% 
3% 
 
 
 
Profit after tax
 
388 
1,562 
(75)
(68)
 
Earnings per share
 
$0.25 
$1.19 
(79)
(73)
 
 
Table 9: Reconciliation of Reported Profit before tax to EBITDA
 
 
 
Q1 2022 
Q1 2021 
         % Change
 
 
$m 
$m 
Actual 
CER 
Reported Profit before tax 
 
553 
1,608 
(66)
(56)
Net Finance Expense 
 
319 
283 
13 
7 
Joint Venture and Associates 
 
6 
4 
38 
53 
Depreciation, Amortisation and Impairment 
 
1,309 
797 
64 
56 
EBITDA 
 
2,187
2,692
(19)
(16)
 
EBITDA of $2,187m in the quarter (Q1 2021: $2,692m) has been negatively impacted by the $1,180m (Q1 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 10: Reconciliation of Reported to Core financial measures
 
Q1 2022
Reported
Restructuring
Intangible Asset Amortisation & Impairments
Acquisition of Alexion
Other
Core[59]
Core
% Change
 
$m
$m 
$m
$m 
$m 
$m 
Actual 
CER 
Gross Profit
7,879 
51 
8 
1,181 
- 
9,119 
66 
70 
Gross Margin
68.0% 
 
 
 
 
79.3% 
+5 
+4 
Distribution Expense
(125)
1 
- 
- 
- 
(124)
25 
30 
R&D Expense
(2,133)
5 
(69)
11 
- 
(2,186)
33 
36 
SG&A Expense
(4,840)
17 
1,098 
17 
762 
(2,946)
23 
25 
Total Operating Expense
(7,098)
23 
1,029 
28 
762 
(5,256)
27 
29 
OOI & Expense
97 
1 
- 
- 
- 
98 
(92)
(92)
Operating Profit
878 
75 
1,037 
1,209 
762 
3,961 
57 
60 
Operating Margin
7.7% 
 
 
 
 
34.8% 
- 
- 
Net Finance Expense
(319)
- 
- 
- 
67 
(252)
35 
23 
Taxation
(165)
(15)
(191)
(280)
(121)
(772)
n/m 
n/m 
EPS
$0.25 
$0.04 
$0.55 
$0.60 
$0.45 
$1.89 
16 
20 
 
Profit and Loss drivers
 
Gross Profit
 
 
‒    The Gross Profit Margin (Reported and Core) in the quarter was impacted by:
 
‒      Mix effects. The increased sales of Vaxzevria, and medicines with profit-sharing arrangements (primarily Lynparza) have a dilutive impact on the Gross Margin. The increased contribution from Rare Disease and Oncology medicines have a positive impact on the Gross Margin
 
‒      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 Q1 2022, the impact of the fair value uplift unwind on Cost of Sales was $1,180m
 
‒    Variations in Gross Margin performance between periods can be expected to continue
 
R&D Expense
 
 
‒    The increased Reported and Core R&D Expense was driven by:
 
‒      Increased investment in several late-stage Oncology trials and the advancement of a number of Phase II clinical development programmes in BioPharmaceuticals
 
‒      The acquisition of Alexion in July 2021
 
‒    Reported R&D Expense in Q1 was also impacted by intangible asset impairment reversals
 
SG&A Expense
 
 
‒    The increased Reported and Core SG&A Expense was driven primarily by the acquisition of Alexion in July 2021
 
‒    Reported SG&A Expense was also impacted by amortisation of intangible assets related to the Alexion acquisition and a $775m legal settlement with Chugai Pharmaceutical Co. Ltd
 
Other Operating Income
 
 
‒    Other Operating Income of $97m consisted primarily of royalties and disposal proceeds on small divestments
 
‒    In Q1 2021, Other Operating Income of $1,180m included $776m of divestment gains from AstraZeneca's share of Viela 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 quarter was driven by financing costs on debt for the Alexion transaction, increased interest on tax, and exchange movements
 
Taxation
 
 
‒    Both Reported and Core Tax rates are higher than the prior period due to 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 quarter was $228m (Q1 2021: $332m) representing 41% of Reported Profit Before Tax (Q1 2021: 21%)
 
‒    The Reported Tax rate of 30% was higher than Core Tax rate of 21% due to the impact of Non-Core charges on the level of Reported Profit Before Tax
 
Table 11: Cash Flow summary
 
 
 
Q1 2022 
Q1 2021 
Change 
 
 
$m 
$m 
$m 
Reported Operating Profit
 
878 
1,895 
(1,017)
Depreciation, Amortisation and Impairment
 
1,309 
797 
512 
Decrease in Working Capital and Short-term Provisions
 
1,804 
1,210 
594 
Gains on Disposal of Intangible Assets
 
(10)
(310)
300 
Gains on Disposal of Investments in Associates and Joint Ventures
 
- 
(776)
776 
Non-Cash and Other Movements
 
(327)
(363)
36 
Interest Paid
 
(194)
(187)
(7)
Taxation Paid
 
(228)
(332)
104 
Net Cash Inflow from Operating Activities
 
3,232 
1,934 
1,298 
Net Cash Inflow before Financing Activities
 
3,064 
2,489 
575 
Net Cash Outflow from Financing Activities
 
(3,740)
(2,731)
(1,009)
 
 
The increase in Net Cash Inflow from Operating Activities of $1,298m primarily reflected an underlying improvement in business performance, including the contribution from Alexion.
 
The Reported Operating Profit of $878m in the quarter includes a negative impact of $1,180m 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 $1,180m) 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 $594m, 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 $219m in the quarter (Q1 2021: $220m). 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 12: Net Debt summary
 
 
At 31 Mar 2022 
At 31 Dec 2021 
At 31 Mar 2021 
 
 
$m 
$m 
$m 
Cash and cash equivalents
 
5,762 
6,329 
7,636 
Other investments
 
61 
69 
129 
Cash and investments
 
5,823 
6,398 
7,765 
Overdrafts and short-term borrowings
 
(805)
(387)
(581)
Lease liabilities
 
(949)
(987)
(680)
Current instalments of loans
 
(1,264)
(1,273)
(1,461)
Non-current instalments of loans
 
(28,081)
(28,134)
(17,410)
Interest-bearing loans and borrowings
(Gross Debt)
 
(31,099)
(30,781)
(20,132)
Net derivatives
 
59 
61 
162 
Net Debt
 
(25,217)
(24,322)
(12,205)
 
Net Debt increased by $895m in the year to date to $25,217m. 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 13: Obligor group summarised Statement of comprehensive income
 
 
 
 
Q1 2022
Q1 2021 
 
 
$m 
$m 
Total revenue
 
- 
- 
Gross profit
 
- 
- 
Operating loss
 
(1)
(20)
Loss for the period
 
(155)
(166)
Transactions with subsidiaries that are not issuers or guarantors
 
164 
2,148 
 
Table 14: Obligor group summarised Statement of financial position information
 
 
 
At 31 Mar 2022 
At 31 Mar 2021
 
 
$m 
$m 
Current assets
 
19 
28 
Non-current assets
 
- 
- 
Current liabilities
 
(1,682)
(1,656)
Non-current liabilities
 
(25,605)
(17,072)
Amounts due from subsidiaries that are not issuers or guarantors
 
8,652 
6,243 
Amounts due to subsidiaries that are not issuers or guarantors
 
(297)
(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 15: Currency sensitivities
 
The Company provides the following currency-sensitivity information:
 
 
 
Average exchange
rates versus USD
 
Annual impact of 5% strengthening in exchange rate versus USD ($m)[60]
 
Currency
Primary Relevance
 
FY 2021[61]
 Q1 2022[62]
% Change
Total Revenue
Core Operating Profit
CNY
Total Revenue
 
6.43
6.35
1 
 277
 158 
EUR
Total Revenue
 
0.85
0.89
(5)
 317
 160 
JPY
Total Revenue
 
109.83
116.32
(6)
 229
 158 
Other[63]
 
 
 
 
 
 420
 196 
GBP
Operating Expense
 
0.73
0.75
(2)
 61
 (93)
SEK
Operating Expense
 
8.58
9.33
(8)
 6
 (82)
 
Sustainability
 

Since the last quarterly report, AstraZeneca:
 
‒    Published its eighth annual Sustainability Report and Sustainability Data summary via its website and social media, released in conjunction with the Annual Report. Two fireside discussions from the accompanying investor roadshow are available on the AstraZeneca IR website
 
‒    Facilitated a Climate and Health Policy Roundtable at Expo 2020 Dubai with global experts from the World Health Organisation, UNFCCC, Sustainability Healthcare Coalition, and health and environmental authorities from Sweden, Egypt, and the UAE to discuss the health of people and the planet
 
‒    Convened a hybrid summit on health system sustainability and resilience, culminating in a global call to action to rebuild health system integrity following the COVID-19 pandemic
 
Access to healthcare
 
‒    Released, along with its sub-licensees, more than 2.8 billion vaccine doses, for supply in over 180 countries. Approximately two-thirds of the doses have gone to low and middle-income countries
 
‒    The Company's Healthy Heart Africa (HHA) programme expanded into Nigeria, its ninth country of operation, with the signing of a Memorandum of Understanding with the Federal Government of Nigeria. Launched the second phase in Tanzania with the Ministry of Health and our local partner PATH. The two-year project aims to reach over 500,000 people, providing services and support at 35 primary health care facilities. Since the programme launched in 2015, HHA has conducted over 25 million blood pressure screenings, identified over 4.8 million elevated readings, activated over 950 sites and trained more than 9,000 healthcare workers and volunteers
 
‒    Expanded its Young Health Programme (YHP) into Italy and Israel, bringing the number of countries to 34
 
‒    Awards to two youth-led organisations tackling air pollution, through the Lead2030 Challenge in partnership with One Young World (OYW), in line with the Company's commitment to SDG3. Winners receive mentorship from AstraZeneca, and a Scholarship to attend the OYW Summit
 
Environmental protection
 
‒    Announced a collaboration with Honeywell to develop next-generation respiratory inhalers (pMDI) with a near-zero Global Warming Potential propellant. The innovation, using the propellant HFO-1234ze, is a key element supporting the delivery of AstraZeneca's Ambition Zero Carbon goals. AstraZeneca also announced that by the end of 2025, 95% of its key suppliers will have targets to limit global warming to <1.5C
 
‒    Announced two new forestry commitments in Ghana (three million trees) and the US (one million trees) at the Global Forest Summit, building on existing AZ Forest projects in Australia, Indonesia, the UK
 
‒    Marked World Water Day with an updated Position Paper on Water Stewardship. The Company has championed a water risk assessment of the global pharmaceutical supply chain in collaboration with WWF Sweden. AstraZeneca also joined the Alliance for Water Stewardship (AWS)
 
‒    Featured in the Financial Times' list of Europe's Climate Leaders, for the second year running.  This recognises companies with the highest reduction in Scope 1 and 2 emissions from 2015 to 2020 
 
Ethics and transparency
 
‒    Revised its Global Standard for Bioethics, which ensures its ethical principles cover evolving R&D activities
 
‒    Marked International Day of Women and Girls in Science and International Women's Day with external and internal communications campaigns featuring members of the Senior Executive team and other Company scientists. AstraZeneca also signed the Wellbeing of Women Menopause Workplace Pledge
 
‒    Observed Black History Month, with events hosted by the AstraZeneca African Heritage Business Resource Group, Alexion Black Professionals Network, AZ Inspire and the Inclusion and Diversity (I&D) team
 
‒    Became a founding member of Neurodiversity in Business and celebrated Neurodiversity Week with the Company's TH!NK ERG programme of events
 
Research and development
 

This section covers R&D events and milestones in the period 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
 
Significant new trials in Oncology included, EMERALD-3, a Phase III trial of Imfinzi plus tremelimumab, with and without lenvatinib, in combination with transarterial chemoembolisation in patients with locoregional HCC, PACIFIC-9, a Phase III trial of Imfinzi plus oleclumab and Imfinzi plus monalizumab in patients with locally advanced, Stage III, unresectable non-small cell lung cancer who have not progressed following platinum-based cCRT, and SAFFRON - a Phase III trial of Tagrisso in combination with AstraZeneca and HUTCHMED's Orpathys in patients EGFR-mutated NSCLC patients with MET-driven tumours following progression after treatment with Tagrisso.
 
AstraZeneca presented new data across its diverse portfolio of cancer medicines at the American Society of Clinical Oncology Genitourinary Cancers Symposium (ASCO GU) in February 2022. Presentations included a late-breaking presentation by AstraZeneca and MSD from the PROpel Phase III trial of Lynparza plus abiraterone, which showed the combination significantly delayed disease progression in 1st-line metastatic castration-resistant prostate cancer regardless of biomarker status. Lynparza is the first PARP inhibitor to demonstrate clinical benefit in combination with a new hormonal agent in this setting.
 
At the American Association for Cancer Research General Meeting 2022, new preclinical and early clinical data was presented across its pipeline. Data from 60 presentations, including five oral and three mini-oral presentations, featured the Company's next wave of potential cancer medicines spanning its immuno-oncology, DNA Damage Response and Antibody Drug Conjugate scientific platforms. This includes key data shared from three potential new medicines that illustrate the Company's innovative approach to designing molecules that address key challenges in treating cancer, including the ability to target different, complementary mechanisms.
 
Imfinzi
 
 
During the period, the Company announced that the CALLA Phase III trial for Imfinzi given concurrently with CRT did not achieve statistical significance for the primary endpoint of improving progression-free survival versus CRT alone in the treatment of patients with locally advanced cervical cancer.
 
In April 2022 the Company announced the regulatory submission acceptance for tremelimumab with Priority Review in the US, by the US FDA. The submission is supported by data from the HIMALAYA trial, in which a single priming dose of the anti-CTLA4[64] antibody added to Imfinzi for the treatment of patients with unresectable hepatocellular carcinoma significantly improved overall survival. A supplemental Biologics Licence Application has also been submitted for Imfinzi in this indication. The Prescription Drug User Fee Act date, the US FDA action date for their regulatory decision, is during the fourth quarter of 2022, following the use of a priority review voucher.
 
During the period, AstraZeneca completed regulatory submissions for tremelimumab and Imfinzi in Japan. The submissions were based on data from the aforementioned HIMALAYA trial, as well as the TOPAZ-1 trial in which Imfinzi, in combination with standard-of-care chemotherapy, demonstrated a statistically significant and clinically meaningful overall survival benefit versus chemotherapy alone as a 1st-line treatment for patients with advanced biliary tract cancer.
 
Lynparza
 
 
In February 2022, AstraZeneca presented results from the PROpel Phase III trial at the aforementioned 2022 ASCO GU meeting. AstraZeneca and MSD's Lynparza in combination with abiraterone demonstrated a statistically significant and clinically meaningful improvement in rPFS[65] versus abiraterone as a 1st-line treatment for patients with mCRPC[66] with or without HRR[67] gene mutations.
 
Lynparza in combination with abiraterone reduced the risk of disease progression or death by 34% versus abiraterone alone (HR[68] 0.66; 95% CI 0.54-0.81; p<0.0001). Median rPFS was 24.8 months for Lynparza plus abiraterone versus 16.6 for abiraterone alone.
 
Results also showed a favourable trend towards improved OS[69] with Lynparza plus abiraterone versus abiraterone alone, however the difference did not reach statistical significance at the time of this data cut-off (analysis at 29% data maturity). The trial will continue to assess OS as a key secondary endpoint.
 
During the period, Lynparza was also approved in the US for the adjuvant treatment of patients with germline BRCA-mutated HER2-negative high-risk early breast cancer who have already been treated with chemotherapy either before or after surgery. The approval by the US FDA was based on results from the OlympiA Phase III trial, in which Lynparza demonstrated a statistically significant and clinically meaningful improvement in invasive disease-free survival, reducing the risk of invasive breast cancer recurrences, second cancers or death, by 42% versus placebo (based on a HR of 0.58; 95% CI 0.46-0.74; p<0.0001).
 
In March, new updated results from the OlympiA trial presented at the European Society for Medical Oncology virtual plenary showed Lynparza demonstrated a statistically significant and clinically meaningful improvement in the key secondary endpoint of OS, reducing the risk of death by 32% versus placebo (based on a HR of 0.68; 95% CI 0.50-0.91; p=0.0091).
 
Enhertu
 
 
In February 2022, AstraZeneca announced positive high-level results from the DESTINY-Breast04 Phase III trial. Enhertu demonstrated a statistically significant and clinically meaningful improvement in both PFS[70] and OS in patients with HER2-low unresectable and/or metastatic breast cancer previously treated with one or two prior lines of chemotherapy, regardless of hormone receptor (HR) status, versus physician's choice of chemotherapy.
 
The US FDA has subsequently notified AstraZeneca and Daiichi Sankyo that the sBLA[71] for Enhertu has been accepted and granted Breakthrough Therapy Designation for the treatment of HER2-low unresectable and/or metastatic breast cancer in patients previously treated with one or two prior lines of chemotherapy.
 
The sBLA is being reviewed under the Real-Time Oncology Review (RTOR) programme. RTOR allows the FDA to review components of an application before submission of the complete application.
 
In April 2022, AstraZeneca and Daiichi Sankyo were notified by the US FDA that the sBLA for Enhertu has been accepted and granted Priority Review for the treatment of adult patients with previously treated HER2-mutant metastatic non-small cell lung cancer based on the results of the DESTINY-Lung01 Phase II trial.
 
Primary results from previously-treated patients with HER2-mutations (cohort 2) of DESTINY-Lung01 demonstrated a confirmed objective response rate (ORR) of 54.9% (95% CI: 44.2-65.4) in patients treated with Enhertu (6.4mg/kg).
 
During the period, the China Center for Drug Evaluation granted Breakthrough Therapy Designation for Enhertu for the 2nd-line treatment of patients with HER2+ metastatic breast cancer based on the results of the DESTINY-Breast03 Phase III trial.
 
BioPharmaceuticals - CVRM
 
Brilinta
 
During the period, the US FDA granted AstraZeneca six months paediatric exclusivity for Brilinta.
 
Andexxa
 
During the period, Ondexxya was approved in Japan for patients treated with Factor Xa inhibitors apixaban, rivaroxaban or edoxaban when reversal of anticoagulation is needed due to life-threatening or uncontrolled bleedings. Ondexxya is approved in the EU, and in the US under the trade name Andexxa.
 
AZD8233
 
 
At the American College of Cardiology's 71st Annual Scientific Session, AstraZeneca and Ionis Pharmaceuticals, Inc. presented Phase IIb data for AZD8233, an antisense oligonucleotide, in development for the treatment of hypercholesterolemia. In the ETESIAN Phase IIb trial, AZD8233 showed reduction in LDL-C[72]  levels of 73% and PCSK9 reduction of 89%.
 
BioPharmaceuticals Ð R&I
 
As disclosed in the Sustainability section, AstraZeneca announced a collaboration with Honeywell, to develop next-generation respiratory inhalers (pMDI) using the propellant HFO-1234ze, which has up to 99.9% less Global Warming Potential (GWP) than propellants currently used in respiratory medicines. Recent results from the first in-human Phase I trial of the near-zero GWP propellant HFO-1234ze in a pMDI containing budesonide, glycopyrronium, formoterol fumarate in healthy adults were positive, demonstrating similar safety, tolerability and systemic exposure of the active ingredients when compared to Breztri Aerosphere (budesonide/glycopyrronium/formoterol fumarate). AstraZeneca expects Breztri to be the first medicine to transition to this new pMDI platform, subject to regulatory approval.
 
As of 29 April 2022, significant new trials in Respiratory & Immunology in which the first patient was dosed included; HUDSON, a Phase III trial of Fasenra in eosinophilic gastritis and eosinophilic gastroenteritis and,  OBERON and TITANIA, Phase III trials of tozorakimab in COPD.
 
Fasenra
 
 
During the period, the US FDA issued a CRL[73] regarding the sBLA for Fasenra for patients with inadequately controlled CRwNP
 
The sBLA included data from the OSTRO Phase III trial, which met both co-primary endpoints with a safety profile consistent with the known profile of the medicine. The CRL requested additional clinical data and AstraZeneca is working closely with the US FDA regarding next steps. AstraZeneca remains committed to bringing Fasenra to patients with CRSwNP and a second Phase III trial, ORCHID, in this indication is ongoing.
 
Saphnelo
 
 
During the period, Saphnelo received approval in the EU as an add-on therapy for the treatment of adult patients with moderate to severe, active autoantibody-positive SLE, despite receiving standard therapy, making it the first biologic for SLE approved in Europe with an indication that is not restricted to patients with a high degree of disease activity. The approval is based on results from the Saphnelo clinical development programme, which included the TULIP 1 and TULIP 2 Phase III trials and the MUSE Phase II trial. In these trials, more patients treated with Saphnelo experienced a reduction in overall disease activity across all affected organ systems from baseline and achieved sustained reduction in oral corticosteroid use compared to placebo, with both groups receiving standard therapy.  
 
BioPharmaceuticals Ð Vaccines and Immune Therapies
 
Evusheld
 
 
During the period, Evusheld was granted marketing authorisation in the EU for the pre-exposure prophylaxis (prevention) of COVID-19 in a broad population of adults and adolescents aged 12 years and older weighing at least 40kg.
 
Preclinical authentic Ôlive' virus data from Washington University School of Medicine demonstrated that Evusheld retains neutralising activity against the highly transmissible Omicron BA.2 subvariant. This study also showed that Evusheld reduced viral burden and limited inflammation in the lungs (in vivo) across all tested Omicron variants.
 
Detailed results from the PROVENT Phase III pre-exposure prophylaxis (prevention) trial, published in The New England Journal of Medicine, showed that AstraZeneca's Evusheld reduced the risk of developing symptomatic COVID-19 by 77% in the primary analysis and by 83% in the six-month follow-up analysis, compared to placebo. There were no cases of severe disease or COVID-19 related deaths in the Evusheld group through the six-month follow up.
 
Nirsevimab
 
 
Nirsevimab was accepted under an accelerated assessment procedure by the EMA, for the prevention of medically attended LRTI[74] in all infants from birth entering their first RSV season.
 
Detailed results from the MELODY Phase III trial were published in the New England Journal of Medicine and demonstrated that nirsevimab showed 74.5% efficacy against medically attended LRTI caused by RSV in healthy infants compared to placebo. Additionally, results from the MEDLEY Phase II/III trial were also published in the journal. The results demonstrated nirsevimab had a similar safety and tolerability profile compared to Synagis, and that serum levels of nirsevimab following dosing (on day 151) in this trial were comparable with those observed in the MELODY Phase III trial.
 
Rare Disease
 
Ultomiris
 
Ultomiris was approved in the US for the treatment of adult patients with gMG who are anti-acetylcholine receptor antibody-positive, which represents 80% of people living with the disease. The approval by the US FDA was based on positive results from the CHAMPION-MG Phase III trial, in which Ultomiris was superior to placebo in the primary endpoint of change from baseline in the Myasthenia Gravis-Activities of Daily Living Profile (MG-ADL) total score at Week 26, a patient-reported scale that assesses patients' abilities to perform daily activities.
 
Interim Financial Statements
 

 
Table 16: Q1 2022 - Condensed consolidated statement of comprehensive income
 
For the quarter ended 31 March
2022
2021
$m
$m
 
Total Revenue
11,390 
7,320 
Product Sales
10,980 
7,257 
Collaboration Revenue
410 
63 
Cost of Sales
(3,511)
(1,864)
Gross profit
7,879 
5,456 
Distribution expense
(125)
(99)
Research and development expense
(2,133)
(1,713)
Selling, general and administrative expense
(4,840)
(2,929)
Other operating income and expense
97 
1,180 
Operating profit
878 
1,895 
Finance income
17 
20 
Finance expense
(336)
(303)
Share of after tax losses in associates and joint ventures
(6)
(4)
Profit before tax
553 
1,608 
Taxation
(165)
(46)
Profit for the period
388 
1,562 
 
 
 
Other comprehensive income
 
 
Items that will not be reclassified to profit or loss
 
 
Remeasurement of the defined benefit pension liability
335 
481 
Net gains/(losses) on equity investments measured at fair value through other comprehensive income
18 
(108)
Fair value movements related to own credit risk on bonds designated as fair value through profit or loss
- 
1 
Tax on items that will not be reclassified to profit or loss
(94)
(94)
 
259 
280 
Items that may be reclassified subsequently to profit or loss
 
 
Foreign exchange arising on consolidation
(219)
(107)
Foreign exchange arising on designated borrowings in net investment hedges
(32)
(302)
Fair value movements on cash flow hedges
5 
(86)
Fair value movements on cash flow hedges transferred to profit or loss
11 
121 
Fair value movements on derivatives designated in net investment hedges
(8)
13 
Costs of hedging
- 
(1)
Tax on items that may be reclassified subsequently to profit or loss
1 
26 
 
(242)
(336)
Other comprehensive income/(loss) for the period, net of tax
17 
(56)
Total comprehensive income for the period
405 
1,506 
 
 
 
Profit attributable to:
 
 
Owners of the Parent
386 
1,561 
Non-controlling interests
2 
1 
 
388 
1,562 
Total comprehensive income attributable to:
 
 
Owners of the Parent
405 
1,506 
Non-controlling interests
- 
- 
 
405 
1,506 
Basic earnings per $0.25 Ordinary Share
$0.25 
$1.19 
Diluted earnings per $0.25 Ordinary Share
$0.25 
$1.18 
Weighted average number of Ordinary Shares in issue (millions)
1,548 
1,312 
Diluted weighted average number of Ordinary Shares in issue (millions)
1,561 
1,319 
 
 
 
 
Table 17: Condensed consolidated statement of financial position
 
 
At 31 Mar 2022
At 31 Dec 2021
At 31 Mar 2021
 
$m 
$m 
$m 
Assets
 
 
 
Non-current assets
 
 
 
Property, plant and equipment
9,061 
9,183 
8,189 
Right-of-use assets
954 
988 
660 
Goodwill
19,963 
19,997 
11,765 
Intangible assets
41,265 
42,387 
20,347 
Investments in associates and joint ventures
63 
69 
88 
Other investments
1,174 
1,168 
972 
Derivative financial instruments
87 
102 
115 
Other receivables
864 
895 
549 
Deferred tax assets
4,195 
4,330 
3,506 
 
77,626 
79,119 
46,191 
Current assets
 
 
 
Inventories
7,624 
8,983 
4,278 
Trade and other receivables
8,683 
9,644 
6,281 
Other investments
61 
69 
129 
Derivative financial instruments
54 
83 
64 
Intangible assets
96 
105 
- 
Income tax receivable
367 
663 
347 
Cash and cash equivalents
5,762 
6,329 
7,636 
Assets held for sale
- 
368 
- 
 
22,647 
26,244 
18,735 
Total assets
100,273 
105,363 
64,926 
 
 
 
 
Liabilities
 
 
 
Current liabilities
 
 
 
Interest-bearing loans and borrowings
(2,069)
(1,660)
(2,042)
Lease liabilities
(225)
(233)
(216)
Trade and other payables
(17,864)
(18,938)
(17,370)
Derivative financial instruments
(35)
(79)
(16)
Provisions
(1,423)
(768)
(875)
Income tax payable
(1,124)
(916)
(994)
 
(22,740)
(22,594)
(21,513)
Non-current liabilities
 
 
 
Interest-bearing loans and borrowings
(28,081)
(28,134)
(17,410)
Lease liabilities
(724)
(754)
(464)
Derivative financial instruments
(47)
(45)
(1)
Deferred tax liabilities
(5,626)
(6,206)
(2,823)
Retirement benefit obligations
(1,991)
(2,454)
(2,545)
Provisions
(949)
(956)
(576)
Other payables
(3,756)
(4,933)
(5,148)
 
(41,174)
(43,482)
(28,967)
Total liabilities
(63,914)
(66,076)
(50,480)
Net assets
36,359 
39,287 
14,446 
Equity
 
 
 
Capital and reserves attributable to equity holders of the Parent
 
 
 
Share capital
387 
387 
328 
Share premium account
35,131 
35,126 
7,976 
Other reserves
2,050 
2,045 
2,037 
Retained earnings
(1,228)
1,710 
4,089 
 
36,340 
39,268 
14,430 
Non-controlling interests
19 
19 
16 
Total equity
36,359 
39,287 
14,446 
 
Table 18: Condensed consolidated statement of changes in equity
 
 
Share capital
Share premium account
Other reserves
Retained earnings
Total attributable to owners of the parent
Non-controlling interests
Total equity
 
$m 
$m 
$m 
$m 
$m 
$m 
$m 
At 1 Jan 2021
328 
7,971 
2,024 
5,299 
15,622 
16 
15,638 
Profit for the period
- 
- 
- 
1,561 
1,561 
1 
1,562 
Other comprehensive loss
- 
- 
- 
(55)
(55)
(1)
(56)
Transfer to other reserves
- 
- 
13
(13)
-  
- 
- 
Transactions with owners:
 
 
 
 
 
 
 
Dividends
- 
- 
- 
(2,490)
(2,490)
- 
(2,490)
Issue of Ordinary Shares
- 
5 
- 
- 
5 
- 
5 
Share-based payments charge for the period
- 
- 
- 
82 
82 
- 
82 
Settlement of share plan awards
- 
- 
- 
(295)
(295)
- 
(295)
Net movement
- 
5 
13 
(1,210)
(1,192)
- 
(1,192)
At 31 Mar 2021
328 
7,976 
2,037 
4,089 
14,430 
16 
14,446 
At 1 Jan 2022
387 
35,126 
2,045 
1,710 
39,268 
19 
39,287 
Profit for the period
- 
- 
- 
386 
386 
2 
388 
Other comprehensive income
- 
- 
- 
19 
19 
(2)
17 
Transfer to other reserves
- 
- 
5 
(5)
- 
- 
- 
Transactions with owners:
 
 
 
 
 
 
 
Dividends
- 
- 
- 
(3,046)
(3,046)
- 
(3,046)
Issue of Ordinary Shares
- 
5 
- 
- 
5 
- 
5 
Share-based payments charge for the period
- 
- 
- 
182 
182 
- 
182 
Settlement of share plan awards
- 
- 
- 
(474)
(474)
- 
(474)
Net movement
- 
5 
5 
(2,938)
(2,928)
- 
(2,928)
At 31 Mar 2022
387 
35,131 
2,050 
(1,228)
36,340 
19 
36,359 
 
Table 19: Condensed consolidated statement of cash flows
 
 
For the quarter ended 31 March
2022 
2021 
$m 
$m 
 
Cash flows from operating activities
 
 
Profit before tax
553 
1,608 
Finance income and expense
319 
283 
Share of after tax losses of associates and joint ventures
6 
4 
Depreciation, amortisation and impairment
1,309 
797 
Decrease in working capital and short-term provisions
1,804 
1,210 
Gains on disposal of intangible assets
(10)
(310)
Gains on disposal of investments in associates and joint ventures
- 
(776)
Non-cash and other movements
(327)
(363)
Cash generated from operations
3,654 
2,453 
Interest paid
(194)
(187)
Tax paid
(228)
(332)
Net cash inflow from operating activities
3,232 
1,934 
Cash flows from investing activities
 
 
Payments upon vesting of employee share awards attributable to business combinations
(55)
-
Payment of contingent consideration from business combinations
(182)
(171)
Purchase of property, plant and equipment
(219)
(220)
Disposal of property, plant and equipment
- 
4 
Purchase of intangible assets
(144)
(249)
Disposal of intangible assets and assets held for sale
385 
418 
Purchase of non-current asset investments
(4)
- 
Disposal of non-current asset investments
32 
- 
Movement in short-term investments, fixed deposits and other investing instruments
21 
28 
Payments to associates and joint ventures
(5)
(55)
Disposal of investments in associates and joint ventures
- 
776 
Interest received
3 
24 
Net cash (outflow)/inflow from investing activities
(168)
555 
Net cash inflow before financing activities
3,064 
2,489 
Cash flows from financing activities
 
 
Proceeds from issue of share capital
5 
5 
Repayment of loans and borrowings
(4)
(4)
Dividends paid
(2,971)
(2,469)
Hedge contracts relating to dividend payments
(77)
(23)
Repayment of obligations under leases
(74)
(50)
Movement in short-term borrowings
301 
(190)
Payment of Acerta Pharma share purchase liability
(920)
 - 
Net cash outflow from financing activities
(3,740)
(2,731)
Net decrease in cash and cash equivalents in the period
(676)
(242)
Cash and cash equivalents at the beginning of the period
6,038 
7,546 
Exchange rate effects
(9)
(67)
Cash and cash equivalents at the end of the period
5,353 
7,237 
Cash and cash equivalents consist of:
 
 
Cash and cash equivalents
5,762 
7,636 
Overdrafts
(409)
(399)
 
5,353 
7,237 
 
Notes to the Interim Financial Statements
 
Note 1: Basis of preparation and accounting policies
 
These unaudited Interim Financial Statements for the three months ended 31 March 2022 have been prepared in accordance with UK-adopted International Accounting Standards and with the requirements of the Companies Act 2006 as applicable to companies reporting under those standards. The Interim Financial Statements also comply fully with International Financial Reporting Standards (IFRSs) as issued by the International Accounting Standards Board (IASB) and International Accounting Standards as adopted by the European Union.
 
The unaudited Interim Financial Statements for the three months ended 31 March 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 three months ended 31 March 2022 were approved by the Board of Directors for publication on 29 April 2022.
 
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 will be 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 three months ended 31 March 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 Q1 2022 reporting. The situation is dynamic and any future impact on our business is uncertain. We continue to closely monitor the situation.
 
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 31 March 2022, the Group had $10.7bn in financial resources (cash and cash-equivalent balances of $5.8bn and undrawn committed bank facilities of $4.9bn available until April 2025, with only $2.3bn of borrowings due within one year). All facilities contain no financial covenants and were undrawn at 31 March 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 5 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 ÔImpairment of Assets', reviews for triggers 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 $94m have been recorded against intangible assets during the three months ended 31 March 2022 (Q1 2021: $55m charge). Net impairment reversals in respect of medicines in development and launched medicines were $77m (Q1 2021: $nil) and $nil (Q1 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 20: Net Debt
 
 
At 1 Jan 2022
Cash flow
Non-cash& other
Exchange movements
At 31 Mar 2022
 
$m
$m
$m
$m
$m
Non-current instalments of loans
(28,134)
- 
6 
47 
(28,081)
Non-current instalments of leases
(754)
- 
21 
9 
(724)
Total long-term debt
(28,888)
- 
27 
56 
(28,805)
Current instalments of loans
(1,273)
4 
5 
- 
(1,264)
Current instalments of leases
(233)
70 
(66)
4 
(225)
Commercial paper
- 
(256)
- 
- 
(256)
Bank collateral
(93)
12 
- 
- 
(81)
Other short-term borrowings excluding overdrafts
(3)
(57)
- 
1 
(59)
Overdrafts
(291)
(123)
- 
5 
(409)
Total current debt
(1,893)
(350)
(61)
10 
(2,294)
Gross borrowings
(30,781)
(350)
(34)
66 
(31,099)
Net derivative financial instruments
61 
66 
(68)
- 
59 
Net borrowings
(30,720)
(284)
(102)
66 
(31,040)
Cash and cash equivalents
6,329 
(553)
- 
(14)
5,762 
Other investments - current
69 
(10)
- 
2 
61 
Cash and investments
6,398 
(563)
- 
(12)
5,823 
Net Debt
(24,322)
(847)
(102)
54 
(25,217)
 
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 was $81m (31 December 2021: $93m) and the carrying value of such cash collateral posted by the Group was $64m (31 December 2021: $47m). Cash collateral posted by the Group is presented within Cash and cash equivalents.
 
The equivalent GAAP measure to Net Debt is Ôliabilities 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 $1,564m (31 December 2021: $2,458m), $824m of which is shown in current other payables and $740m is shown in non-current other payables.
 
Net Debt increased by $895m in the year to date to $25,217m. Details of the committed undrawn bank facilities are disclosed within the going concern section of Note 1.
 
 
During the three months to 31 March 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.
 
All fair value gains and/or losses that are presented in Net gains/(losses) on equity investments measured at fair value through other comprehensive income in the Condensed consolidated statement of comprehensive income for the three months ending 31 March 2022 are Level 1 fair value measurements.
 
Financial instruments measured at fair value include $1,235m of other investments, $4,175m held in money-market funds, $308m of loans designated at fair value through profit or loss and $59m of derivatives as at 31 March 2022. The total fair value of interest-bearing loans and borrowings at 31 March 2022, which have a carrying value of $31,099m in the Condensed consolidated statement of financial position, was $31,902m.
 
Table 21: 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
 
(173)
(9)
(182)
(171)
Disposals
 
- 
(121)
(121)
- 
Discount unwind
 
41 
1 
42 
55 
At 31 March
 
2,412 
192 
2,604 
3,207 
 
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 $2,412m (31 December 2021: $2,544m) would increase/decrease by $241m with an increase/decline in sales of 10%, as compared with the current estimates.
 
Note 5: Legal proceedings and contingent liabilities
 
AstraZeneca is involved in various legal proceedings considered typical to its business, including litigation and 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 fourth quarter of 2021 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 Ô039 patent). AstraZeneca co-commercialises Enhertu with Daiichi Sankyo, Inc. in the US. The trial took place in April 2022. The jury found that the Ô039 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 Ô039 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 will make 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 22: Q1 2022 - Product Sales year-on-year analysis[75]
 
 
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
3,388
14
18
895
17
19
1,374
17
650
13
21
469
4
12
Tagrisso
1,304
14
17
406
32
33
439
6
252
12
21
207
2
11
Imfinzi
599
8
11
58
2
3
315
8
125
15
23
101
4
12
Lynparza
617
14
17
121
39
43
270
7
160
8
16
66
22
32
Calquence
414
98
n/m
7
n/m
n/m
339
74
55
n/m
n/m
13
n/m
n/m
Enhertu
11
n/m
n/m
6
n/m
n/m
-
-
4
n/m
n/m
1
n/m
n/m
Orpathys
13
n/m
n/m
13
n/m
n/m
-
-
-
-
-
-
-
-
Zoladex
240
9
12
167
22
23
4
(19)
34
(9)
(3)
35
(18)
(9)
Faslodex
93
(24)
(20)
44
3
6
5
(41)
17
(59)
(56)
27
(8)
-
Iressa
32
(47)
(47)
27
(50)
(50)
2
(16)
1
(48)
(44)
2
(35)
(30)
Arimidex
32
(27)
(25)
25
(30)
(29)
-
51
1
(56)
(56)
6
(7)
1
Casodex
21
(48)
(47)
13
(59)
(59)
-
n/m
-
(24)
(24)
8
(10)
(1)
Others
12
1
6
8
3
7
-
n/m
1
49
61
3
(29)
(24)
BioPharmaceuticals: CVRM*
2,207
14
17
1,025
8
11
522
7
482
31
40
178
28
37
Farxiga
1,000
60
67
391
50
54
193
48
318
83
97
98
66
78
Brilinta
325
(13)
(10)
69
(35)
(32)
166
-
76
(13)
(6)
14
(5)
(1)
Lokelma
63
92
97
3
n/m
n/m
39
62
6
n/m
n/m
15
n/m
n/m
Roxadustat
41
6
4
41
6
4
-
-
-
-
-
-
-
-
Andexxa*
33
13
14
-
-
-
24
(7)
9
n/m
n/m
-
-
-
Crestor
267
(2)
-
197
4
6
18
(16)
11
(48)
(44)
41
(2)
6
Seloken/Toprol-XL
244
(2)
(1)
238
(2)
(1)
-
n/m
4
13
7
2
(7)
-
Bydureon
68
(34)
(33)
1
60
63
57
(34)
10
(28)
(23)
-
(92)
(91)
Onglyza
68
(33)
(31)
34
(42)
(40)
18
(2)
11
(31)
(26)
5
(45)
(44)
Others
98
(15)
(13)
51
5
7
7
(58)
37
(20)
(19)
3
(27)
(20)
BioPharmaceuticals: R&I
1,509
(2)
-
437
(19)
(19)
645
17
277
(7)
(1)
150
-
5
Symbicort
674
(2)
-
167
1
3
259
(2)
157
(7)
-
91
(1)
3
Fasenra
308
18
22
7
n/m
n/m
189
22
75
20
29
37
(5)
2
Pulmicort
217
(34)
(34)
164
(43)
(43)
22
26
18
11
20
13
24
28
Breztri
87
n/m
n/m
22
n/m
n/m
53
n/m
5
n/m
n/m
7
46
59
Saphnelo
11
n/m
n/m
-
-
-
11
n/m
-
-
-
-
-
-
Daliresp
51
(16)
(16)
1
(28)
(25)
47
(13)
3
(45)
(41)
-
6
7
Bevespi
15
15
14
2
51
30
11
10
2
16
24
-
24
35
Others
146
(9)
(9)
74
(3)
(4)
53
47
17
(62)
(60)
2
(53)
(51)
BioPharmaceuticals: V&I
1,757
n/m
n/m
630
n/m
n/m
386
n/m
286
15
22
455
n/m
n/m
Vaxzevria
1,089
n/m
n/m
475
n/m
n/m
79
n/m
135
(40)
(37)
400
n/m
n/m
Evusheld
469
n/m
n/m
89
n/m
n/m
307
n/m
65
n/m
n/m
8
n/m
n/m
Synagis
200
n/m
n/m
66
n/m
n/m
-
(97)
87
n/m
n/m
47
-
-
FluMist
(1)
n/m
n/m
-
(98)
(98)
-
n/m
(1)
n/m
n/m
-
(4)
(2)
Rare Disease*
1,694
3
7
115
(12)
3
1,020
7
361
-
8
198
1
10
Soliris*
990
(5)
-
71
(41)
(28)
591
7
221
(15)
(8)
107
4
11
Ultomiris*
419
20
25
24
n/m
n/m
220
6
105
54
65
70
(4)
7
Strensiq*
208
5
7
9
65
68
161
3
19
(1)
6
19
7
19
Koselugo
39
82
85
5
n/m
n/m
30
43
4
n/m
n/m
-
-
-
Kanuma*
38
9
15
6
42
59
18
8
12
(1)
7
2
10
15
Other medicines
425
(19)
(15)
204
(31)
(29)
39
(24)
36
(31)
(28)
146
19
30
Nexium
332
(18)
(13)
144
(38)
(36)
33
4
15
(17)
(11)
140
17
28
Others
93
(22)
(22)
60
(4)
(4)
6
(71)
21
(39)
(37)
6
n/m
n/m
Total Product Sales
10,980
51
56
3,306
28
30
3,986
76
2,092
36
46
1,596
83
97
 
 
 
Table 23: Collaboration Revenue
 
 
 
Q1 2022
Q1 2021
 
 
$m
$m
Lynparza: regulatory milestones
 
175
-
Enhertu: share of gross profits
 
75
38
Royalty income
 
73
18
Tralokinumab: sales milestones
 
70
-
Other Ongoing Collaboration Revenue
 
17
7
Total
 
410
63
 
 
Table 24: Other Operating Income and Expense
 
 
 
Q1 2022
Q1 2021
 
 
$m
$m
Brazikumab licence termination funding
 
35
26
Divestment of Viela Bio, Inc. shareholding
 
-
776
Crestor (Europe ex-UK and Spain)
 
-
309
Other
 
62
69
Total
 
97
1,180
 
Other shareholder information
 
 
Financial calendar
 
Announcement of half year and second quarter results            29 July 2022
Announcement of year to date and third quarter results           10 November 2022
Announcement of full year and fourth quarter results                 9 February 2023 (tentative)
 
 
Dividends are normally be paid as follows:
First interim:          Announced with the half-year and second-quarter results and paid in September
Second interim:     Announced with full-year and fourth-quarter 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 transfer office
Swedish Central Securities Depository
US depositary
Deutsche Bank Trust Company Americas
1 Francis Crick Avenue
Cambridge Biomedical Campus
Cambridge
CB2 0AA
Equiniti Limited
Aspect House
Spencer Road
Lancing
West Sussex
BN99 6DA
Euroclear Sweden AB PO Box 191
SE-101 23 Stockholm
American Stock Transfer
6201 15th Avenue
Brooklyn
NY 11219
 
United Kingdom
United Kingdom
Sweden
United States
 
 
 
 
+44 (20 3749 5000
0800 389 1580
+46 (8 402 9000
+1 (88697 8018
 
+44 (121 415 7033
 
+1 (71921 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 JuvisŽ (depending on geography); Duaklir and Eklira, trademarks of Almirall, S.A.; 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 www.astrazeneca.com 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 Ôthe 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 -
 
 
 
 
[29] A breast cancer gene mutation.
 
[30] Systemic lupus erythematosus.
 
[31] Non-small cell lung cancer.
 
[32] Chronic lymphocytic leukaemia.
 
[33] Real-Time Oncology Review.
 
[34] Chronic kidney disease.
 
[35] Heart failure with preserved ejection fraction.
 
[36] Hereditary amyloid transthyretin polyneuropathy.
 
[37] Interim analysis, as disclosed by Ionis Pharmaceuticals, Inc.
 
[38] Eosinophilic oesophagitis.
 
[39] Epidermal growth factor receptor mutation.
 
[40] Mantle cell lymphoma.
 
[41] Triple negative breast cancer.
 
[42] Chronic rhinosinusitis with nasal polyps.
 
[43] Eosinophilic granulomatosis with polyangiitis.
 
[44] Sales of medicines through managed care and other channels are subject to rebates, discounts, return fees, etc.  An estimate of the likely levels of these items is subtracted from the gross (or total) sales of a medicine in order to establish the net product sales. A gross-to-net adjustment corrects any divergence between the actual and prior estimated level of rebate, discount or fee, once those items are known.
 
[45] Extensive stage non-small cell lung cancer.
 
[46] Poly ADP ribose polymerase.
 
[47] Homologous recombination repair gene mutation.
 
[48] MesenchymalÐepithelial transition.
 
[49] Sodium-glucose co-transporter-2.
 
[50] European Society of Cardiology.
 
[51] American Heart Association.
 
[52] American College of Cardiology.
 
[53] Urine albumin creatine ratio.
 
[54] Meaured renal function.
 
[55] Type-2 diabetes.
 
[56] Betaloc is the brand name for Seloken in China.
 
[57] Dipeptidyl peptidase IV.
 
[58] Other Operating Income.
 
[59] Core financial measures are adjusted to exclude certain items. For more information on the Reported to Core financial adjustments, please refer to the Operating and financial review.
 
[60] Based on best prevailing assumptions around currency profiles.
 
[61] Based on average daily spot rates in FY 2021.
 
[62] Based on average daily spot rates from 1 January 2022 to 31 March  2022.
 
[63] Other currencies include AUD, BRL, CAD, KRW and RUB.
 
[64] An immune checkpoint receptor.
 
[65] Radiographic progression-free survival.
 
[66] Metastatic castration-resistant prostate cancer.
 
[67] Homologous recombination repair.
 
[68] Hazard ratio.
 
[69] Overall survival.
 
[70] Progression-free survival.
 
[71] Supplemental Biologics License Application.
 
[72] Low-density lipoprotein cholesterol.
 
[73] Complete response letter.
 
[74] Lower respiratory tract infections.
 
[75] 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 Q1 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.
 
 
 
 
 
SIGNATURES
 
Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.
 
 
AstraZeneca PLC
 
 
Date: 29 April 2022
 
 
By: /s/ Adrian Kemp
 
Name: Adrian Kemp
 
Title: Company Secretary