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 February 2018
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
AstraZeneca
PLC
2 February 2018
07:00
Full-Year
2017 Results
Encouraging progress made on commercial execution and cost
discipline; Product Sales growth in the quarter.
AstraZeneca positioned for Product Sales growth from FY
2018
Financial
Summary
|
FY
2017
|
Q4
2017
|
$m
|
%
change
|
$m
|
%
change
|
|
Actual
|
CER1
|
Actual
|
CER
|
Total
Revenue
|
22,465
|
(2)
|
(2)
|
5,777
|
3
|
2
|
Product Sales
|
20,152
|
(5)
|
(5)
|
5,487
|
4
|
3
|
Externalisation Revenue
|
2,313
|
37
|
38
|
290
|
(11)
|
(12)
|
|
|
|
|
|
|
|
Reported Operating
Profit2
|
3,677
|
(25)
|
(28)
|
686
|
(73)
|
(71)
|
Core Operating
Profit3
|
6,855
|
2
|
-
|
1,787
|
(12)
|
(11)
|
|
|
|
|
|
|
|
Reported Earnings
Per Share (EPS)
|
$2.37
|
(14)
|
(15)
|
$1.03
|
(29)
|
(24)
|
Core
EPS
|
$4.28
|
(1)
|
(2)
|
$1.30
|
7
|
13
|
Financial
Highlights
● Total Revenue declined by 2%
in the year, in line with guidance. Externalisation Revenue
increased by 37% (38% at CER) in the year to $2,313m. Ongoing
Externalisation Revenue4 of $821m in the
year represented 35% of total Externalisation Revenue (FY 2016:
$356m, 21%)
● Cost discipline in the year
continued:
-
Reported R&D costs declined by 2% (1% at CER) to $5,757m; Core
R&D costs declined by 4% (3% at CER) to $5,412m
- Reported SG&A costs increased
by 9% (10% at CER) to $10,233m; Core SG&A costs declined by 4%
(3% at CER) to $7,853m
● Reported EPS of $2.37 and Core
EPS of $4.28 for the year, including:
- A $617m net benefit in Q4 2017
to Reported Profit After Tax, reflecting adjustments to deferred
taxes in line with the recently reduced US federal income tax rate
from 35% to 21%
- A $321m benefit to Reported
and Core Taxation in Q4 2017; the Reported Tax Rate in FY 2017 was
(29)% and the Core Tax Rate in FY 2017 was 14%, driven by
reductions in tax provisions
● The Board reaffirms its
commitment to the progressive dividend policy; a second interim
dividend of $1.90 per share has been declared, taking the full-year
dividend per share to $2.80
(unchanged)
● FY 2018 guidance (CER):
Product Sales - a low single-digit percentage increase; Core EPS -
$3.30 to $3.50
Pascal
Soriot, Chief Executive Officer, commenting on the results
said:
"AstraZeneca's
revenues improved over the course of the year, a sign of how our
company is steadily turning a corner. Strong commercial execution
helped us bring our science to more patients, making the most of
our exciting pipeline. We made encouraging progress across the main
therapy areas and delivered strong growth in China.
Alongside our CVMD
medicines Brilinta and
Farxiga reaching
blockbuster status, we launched our first Respiratory biologic
medicine, Fasenra and new
cancer medicines, Imfinzi
and Calquence. As well as
bringing five new medicines to patients last year, we continued to
find more potential uses for existing treatments, including
Lynparza and Tagrisso.
We remain committed
to our progressive dividend policy. Our strategy is working,
propelled by a strong pipeline, good sales performance and
continued cost discipline."
Commercial
Highlights
Product Sales growth of 4% (3%
at CER) in Q4 2017 to $5,487m, which included favourable true-up
adjustments relating to the first nine months of 2017; the great
majority of these true-up adjustments concerned legacy medicines.
The Growth Platforms gathered momentum in the year and represented
68% of Total Revenue. They grew by 5% (6% at CER) in the year and
by 12% in the quarter:
● Emerging Markets: Full-year
growth of 6% (8% at CER), in line with long-term ambitions. China
sales in the year grew by 12% (15% at CER) and in the quarter by
33% (30% at CER), supported by the launches of new
medicines
● Respiratory: Full-year sales
declined by 1%; Q4 2017 sales up by 10% (8% at CER), reflecting
improved performances by Symbicort and Pulmicort
● New CVMD5: Full-year growth
of 9%. Growth of 23% in the quarter (21% at CER), with strong
performances from Farxiga
and Brilinta, each becoming
blockbusters by exceeding $1bn in sales in the
year
● Japan: 1% full-year growth (4%
at CER), underpinned by the growth of Tagrisso and Forxiga, partly mitigated by the impact
of the entry of generic competition to Crestor in the second half of the
year
● New Oncology6: 98% full-year
growth. Tagrisso reached
$955m to become AstraZeneca's largest-selling Oncology medicine.
Imfinzi sales of $18m in
the quarter vs. $19m in the full year
FY
2018 Guidance
All measures in
this section are at CER. Company guidance is on Product Sales and
Core EPS only.
Product
Sales
|
A low
single-digit percentage increase
|
Core
EPS
|
$3.30 to
$3.50
|
The aforementioned
growth in Product Sales is anticipated to be weighted towards the
second half of the year. This reflects the remaining impact of
generic competition, in particular Crestor in Europe and
Japan.
Variations in performance between quarters can
be expected to continue. The Company is unable to provide guidance
and indications on a Reported basis because the Company cannot
reliably forecast material elements of the Reported result,
including the fair-value adjustments arising on acquisition-related
liabilities, intangible asset impairment charges and legal
settlement provisions. Please refer to the section 'Cautionary
Statements Regarding Forward-Looking Statements' at the end of this
announcement.
FY
2018 Currency Impact
Based only on
average exchange rates in January 2018 and the Company's published
currency sensitivities, there would be a low single-digit
percentage favourable impact from currency movements on Product
Sales and a minimal impact on Core EPS in the year. Further details
on currency sensitivities are contained within the Operating and
Financial Review.
FY
2018: Additional Commentary
Outside of
guidance, the Company today provides additional indications for FY
2018 vs. the prior year:
● The sum of Externalisation Revenue and
Other Operating Income and Expense is anticipated to reduce vs. FY
2017. As part of its long-term growth strategy, the Company remains
committed to focusing on appropriate cash-generating and
value-accretive externalisation activities that reflect the ongoing
productivity of the pipeline. It is also committed to the continued
management of its portfolio disposals and to increasing the focus
on the three main therapy areas over time
● Core R&D costs in FY 2018 are
anticipated to be in the range of a low single-digit percentage
decline to stable. This expectation includes the favourable impact
on development costs from the MSD collaboration (Merck & Co.,
Inc., Kenilworth, NJ, US (known as MSD outside the US and
Canada))
● The Company maintains its focus on reducing
operational and infrastructure costs. Total Core SG&A costs,
however, are expected to increase by a low to mid single-digit
percentage in FY 2018, wholly reflecting targeted support for
launches and potential launches, including Fasenra in severe, uncontrolled
asthma and Imfinzi in
locally-advanced, unresectable lung cancer. The Company also
anticipates a reduction in restructuring costs in 2018 vs. the
prior year
● A Core Tax Rate of 16-20% (FY 2017:
14%)
Achieving
Scientific Leadership
The table below
highlights the development of the late-stage pipeline since the
prior results announcement:
Regulatory
Approvals
|
Faslodex - breast cancer (combinations)
(US, EU)
Lynparza - ovarian cancer
(JP)
Lynparza - breast cancer
(US)
Fasenra (benralizumab) - severe,
uncontrolled asthma (US, EU, JP)
|
Regulatory
Submissions and/or Acceptances
|
Tagrisso - lung cancer (1st line) (US -
Priority Review, EU, JP)
ZS-9 -
hyperkalaemia (US)
|
Major Phase III
Data Readouts and Developments
|
Lynparza - ovarian cancer: Priority
review (CN)
roxadustat -
anaemia: Priority review (CN)
PT010 -
COPD1
(KRONOS trial) (most2 primary endpoints
met)
tezepelumab -
severe, uncontrolled asthma: First patient commenced
dosing
|
1Chronic Obstructive Pulmonary
Disease.
2Eight of the nine primary endpoints in the KRONOS
trial were met, including two non-inferiority endpoints to qualify
PT009, one of the comparators.
Notes
1. Constant exchange rates. These
are non-GAAP financial measures because they remove the effects of
currency movements from Reported results.
2. Reported financial measures are
our financial results presented in accordance with IFRS, the
Generally Accepted Accounting Principles (GAAP) on the basis of
which we prepare our financial results.
3. Core financial measures. These
are non-GAAP financial measures because, unlike Reported
performance, they cannot be derived directly from the information
in the Group Financial Statements. See the Operating and Financial
Review for a definition of Core financial measures and a
reconciliation of Core to Reported financial measures.
4. Ongoing Externalisation Revenue is
defined as Externalisation Revenue excluding Initial
Externalisation Revenue (which is defined as Externalisation
Revenue that is recognised at the date of completion of an
agreement or transaction, in respect of upfront consideration).
Ongoing Externalisation Revenue comprises, among other items,
royalties, milestones and profit sharing income. Ongoing
Externalisation Revenue and Initial Externalisation Revenue are
non-GAAP financial measures because they cannot be derived directly
from the information included in the Group Financial
Statements.
5. New Cardiovascular and Metabolic
Diseases, incorporating Brilinta and Diabetes.
6. New Oncology, comprising
Lynparza, Tagrisso, Iressa (US), Imfinzi and Calquence.
All growth rates in
this announcement are shown at actual exchange rates, unless stated
otherwise. Only one rate of growth is shown if the actual and
constant exchange rates of growth are identical. All commentary in
this announcement refers to the performance in the year and are vs.
the prior year, unless stated otherwise.
Pipeline:
Forthcoming Major News Flow
Innovation is
critical to addressing unmet patient needs and is at the heart of
the Company's growth strategy. The focus on research and
development is designed to yield strong results from the
pipeline.
H1
2018
|
Lynparza - ovarian cancer (2nd line):
Regulatory decision (EU)
Lynparza - ovarian cancer (1st line):
Data readout
Lynparza - breast cancer: Regulatory
submission (EU)
Tagrisso - lung cancer:
Regulatory decision (US)
Imfinzi - lung cancer (PACIFIC):
Regulatory decision (US)
Imfinzi +/- treme - lung cancer
(ARCTIC) (3rd line): Data readout, regulatory
submission
Imfinzi +/- treme - lung cancer
(MYSTIC) (1st line): Data readout (final overall-survival
(OS))
Imfinzi +/- treme - head & neck
cancer (KESTREL) (1st line): Data readout
Imfinzi +/- treme - head & neck
cancer (EAGLE) (2nd line): Data readout
selumetinib -
thyroid cancer: Data readout
ZS-9 -
hyperkalaemia: Regulatory decision (US, EU)
Bevespi - COPD: Regulatory submission
(JP)
Duaklir - COPD: Regulatory submission
(US)
|
H2
2018
|
Lynparza - breast cancer: Regulatory
decision (JP)
Lynparza - ovarian cancer (1st line):
Regulatory submission
Lynparza - pancreatic cancer: Data
readout
Tagrisso - lung cancer:
Regulatory decision (EU, JP)
Imfinzi - lung cancer (PACIFIC):
Regulatory decision (EU, JP)
Imfinzi +/- treme - lung cancer
(MYSTIC): Regulatory submission
Imfinzi + treme - lung cancer
(NEPTUNE): Data readout, regulatory submission
Imfinzi +/- treme - head & neck
cancer (KESTREL): Regulatory submission
Imfinzi +/- treme - head & neck
cancer (EAGLE): Regulatory submission
selumetinib - thyroid cancer: Regulatory submission
Farxiga - type-2 diabetes (DECLARE):
Data readout
Bydureon autoinjector - type-2
diabetes: Regulatory decision (EU)
roxadustat -
anaemia: Regulatory submission (US)
Bevespi - COPD: Regulatory decision
(EU)
Fasenra - COPD: Data
readout
PT010 - COPD:
Regulatory submission
anifrolumab -
lupus: Data readout
|
2019
|
Lynparza - pancreatic cancer:
Regulatory submission
Lynparza - ovarian cancer
(3rd line): Data readout, regulatory submission
Imfinzi - lung cancer (PACIFIC): Data
readout (final OS)
Imfinzi +/- treme - lung cancer
(POSEIDON): Data readout, regulatory submission
Imfinzi +/- treme -
small-cell lung cancer (CASPIAN): Data readout, regulatory
submission
Imfinzi +/- treme - bladder cancer (DANUBE): Data readout,
regulatory submission
Calquence - chronic lymphocytic
leukaemia: Data readout
Brilinta - coronary artery
disease / type-2 diabetes: Data readout, regulatory
submission
Farxiga - type-2 diabetes (DECLARE):
Regulatory submission
Farxiga - heart failure: Data
readout
Fasenra - COPD: Regulatory
submission
anifrolumab - lupus: Regulatory submission
lanabecestat -
Alzheimer's disease: Data readout
|
The term 'data readout' in this
section refers to Phase III data readouts.
Conference
Call
A live presentation
and webcast for investors and analysts, hosted by management, will
begin at 12:30pm UK time today. Details can be accessed via
astrazeneca.com.
Reporting
Calendar
The Company intends
to publish its first-quarter financial results on 18 May
2018.
About
AstraZeneca
AstraZeneca is a
global, science-led biopharmaceutical company that focuses on the
discovery, development and commercialisation of prescription
medicines, primarily for the treatment of diseases in three main
therapy areas - Oncology, CVMD and Respiratory. The Company also is
selectively active in the areas of autoimmunity, neuroscience and
infection. AstraZeneca operates in over 100 countries and its
innovative medicines are used by millions of patients
worldwide.
For more
information, please visit astrazeneca.com and follow us on
Twitter @AstraZeneca.
Media
Relations
|
|
|
Esra
Erkal-Paler
|
UK/Global
|
+44 203 749
5638
|
Gonzalo
Viña
|
UK/Global
|
+44 203 749
5916
|
Rob
Skelding
|
UK/Global
|
+44 203 749
5821
|
Karen
Birmingham
|
UK/Global
|
+44 203 749
5634
|
Matt
Kent
|
UK/Global
|
+44 203 749
5906
|
Jacob
Lund
|
Sweden
|
+46
8 553 260 20
|
Michele
Meixell
|
US
|
+1 302 885
2677
|
|
|
|
Investor
Relations
|
|
|
Thomas Kudsk
Larsen
|
|
+44 203 749
5712
|
Craig
Marks
|
Finance; Fixed
Income; M&A
|
+44 7881 615
764
|
Henry
Wheeler
|
Oncology
|
+44 203 749
5797
|
Mitchell
Chan
|
Oncology;
Other
|
+1 240 477
3771
|
Christer
Gruvris
|
Brilinta; Diabetes
|
+44 203 749
5711
|
Nick
Stone
|
Respiratory;
Renal
|
+44 203 749
5716
|
US toll
free
|
|
+1 866 381
7277
|
Operating
and Financial Review
_______________________________________________________________________________________
All narrative on
growth and results in this section is based on actual exchange
rates, unless stated otherwise. Financial figures are in US$
millions ($m). The performance shown in this announcement covers
the twelve and three-month periods to 31 December 2017 (the year
(FY 2017), or the quarter (Q4 2017), respectively) compared to the
twelve and three-month periods to 31 December 2016 (FY 2016 and Q4
2016, respectively). All commentary in the Operating and Financial
Review relates to the full year, unless stated
otherwise.
Core financial
measures, EBITDA, Net Debt, Initial Externalisation Revenue and
Ongoing Externalisation Revenue are non-GAAP financial measures
because they cannot be derived directly from the Group Condensed
Consolidated Financial Statements. Management believes that these
non-GAAP financial measures, when provided in combination with
Reported results, will provide readers with helpful supplementary
information to better understand the financial performance and
position of the Company 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 global restructuring programmes, which
includes charges that relate to the impact of global restructuring
programmes on capitalised IT assets
● Other specified
items, principally comprising acquisition-related costs, which
include fair value adjustments and the imputed finance charge
relating to contingent consideration on business combinations,
legal settlements and foreign-exchange gains and losses on certain
non-structural intra-group loans*
Details on the
nature of Core financial measures are provided on page 64 of the
Annual Report and Form 20-F
Information 2016. Reference should be made to the reconciliation of
Core to Reported financial information included therein and in the
Reconciliation of Reported to Core Financial Measures table
included in the Financial Performance section of this
announcement.
*This element has
been added to the definition of Core financial measures during
2017. There were no such gains and losses in the income statement
in prior periods.
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 of this
announcement.
Net Debt is defined
as interest-bearing loans and borrowings net of cash and cash
equivalents, other investments and net derivative financial
instruments. Reference should be made to the Reconciliation of
Interest-Bearing Loans and Borrowings to Net Debt included in the
Cash Flow and Balance Sheet section of this
announcement.
Ongoing
Externalisation Revenue is defined as Externalisation Revenue
excluding Initial Externalisation Revenue (which is defined as
Externalisation Revenue that is recognised at the date of
completion of an agreement or transaction, in respect of upfront
consideration). Ongoing Externalisation Revenue comprises, among
other items, royalties, milestones and profit sharing
income.
The Company
strongly encourages readers not to rely on any single financial
measure, but to review AstraZeneca's financial statements,
including the notes thereto, and other publicly-filed Company
reports, carefully and in their entirety.
Total Revenue
|
FY
2017
|
Q4
2017
|
$m
|
%
change
|
$m
|
%
change
|
Actual
|
CER
|
Actual
|
CER
|
Total
Revenue
|
22,465
|
(2)
|
(2)
|
5,777
|
3
|
2
|
|
|
|
|
|
|
|
Product Sales
|
20,152
|
(5)
|
(5)
|
5,487
|
4
|
3
|
Externalisation Revenue
|
2,313
|
37
|
38
|
290
|
(11)
|
(12)
|
Product Sales
Growth in Product
Sales was reached in the final quarter of the year after a number
of years of decline. Quarterly growth rates in FY 2017 Product
Sales are shown below:
|
%
change
|
Actual
|
CER
|
Q1
2017
|
(13)
|
(12)
|
Q2
2017
|
(10)
|
(8)
|
Q3
2017
|
(3)
|
(2)
|
Q4
2017
|
4
|
3
|
The growth in the
fourth quarter included the favourable impact from true-up
adjustments in the US relating to the first nine months of 2017,
resulting from improved data insight and methodology in the
estimation of payer rebates, product returns and discounts;
AstraZeneca does not anticipate a similar magnitude of adjustments
in future periods.
Over the full year,
Product Sales declined by 5% from $21,319m to $20,152m, a
difference of $1,167m; Crestor sales declined by $1,036m and
Seroquel XR sales declined
by $403m. Both medicines lost exclusivity in the US in the second
half of 2016.
Emerging Markets
sales grew by 6% (8% at CER) to $6,149m, in line with an unchanged
average-growth ambition of a mid to high single-digit percentage.
In the quarter, Emerging Markets sales grew by 10% (9% at CER) to
$1,630m. China sales increased by 12% (15% at CER) to $2,955m in
the year and, in the quarter, by 33% (30% at CER) to $813m. These
results reflected strong performances across all three main therapy
areas, including the impact of the launches of new
medicines.
US sales declined
by 16% to $6,169m and were, alongside the effects of the
Crestor and Seroquel XR losses of exclusivity,
impacted by the adverse sales performance of Symbicort, which declined by 12% to
$1,099m. US sales, however, grew by 9% to $1,770m in the quarter as
the effects of the Crestor
and Seroquel XR losses of
exclusivity dissipated. Sales in the quarter also benefitted from
favourable true-up adjustments in the US relating to the first nine
months of 2017.
Product Sales in
Europe declined by 6% (7% at CER) to $4,753m in the year, partly
driven by pricing pressures on Symbicort and the initial impact from
generic competition to Crestor.
The Growth
Platforms grew by 5% (6% at CER) to $15,231m, representing 68% of
Total Revenue and, in the quarter, by 12% to $4,180m:
|
FY 2017
|
Q4 2017
|
$m
|
% change
|
$m
|
% change
|
|
Actual
|
CER
|
Actual
|
CER
|
Emerging
Markets
|
6,149
|
6
|
8
|
1,630
|
10
|
9
|
Respiratory
|
4,706
|
(1)
|
(1)
|
1,334
|
10
|
8
|
New
CVMD
|
3,567
|
9
|
9
|
1,024
|
23
|
21
|
Japan
|
2,208
|
1
|
4
|
563
|
(5)
|
2
|
New
Oncology
|
1,313
|
98
|
98
|
437
|
102
|
100
|
|
|
|
|
|
|
|
Total*
|
15,231
|
5
|
6
|
4,180
|
12
|
12
|
*Total Product
Sales for Growth Platforms are adjusted to remove duplication on a
medicine and regional basis.
Externalisation
Revenue
Where AstraZeneca
retains a significant ongoing interest in medicines or potential
new medicines, revenue arising from externalisation agreements is
reported as Externalisation Revenue in the Company's financial
statements. A breakdown of Initial Externalisation Revenue in the
year is shown below:
Medicine
|
Partner
|
Region
|
$m
|
Lynparza
|
MSD
|
Global
|
997
|
Zoladex
|
TerSera
Therapeutics LLC (TerSera)
|
US and
Canada
|
250
|
MEDI8897
|
Sanofi
Pasteur, Inc. (Sanofi Pasteur)
|
Global
|
127
|
Tudorza/Duaklir
|
Circassia
Pharmaceuticals plc (Circassia)
|
US
|
64
|
MEDI1341
|
Takeda
Pharmaceutical Company Limited
|
Global
|
50
|
Other
|
|
|
4
|
|
|
|
|
Total
|
|
|
1,492
|
A breakdown of
Ongoing Externalisation Revenue in the year is shown
below:
Medicine
|
Partner
|
Region
|
$m
|
Lynparza
|
MSD
- option
payment
|
Global
|
250
|
Anaesthetics
|
Aspen Global, Inc.
(Aspen)1
- milestone
revenue
|
Global
(excl.US)
|
150
|
Siliq
|
Valeant
Pharmaceuticals International, Inc. (Valeant)
- milestone
revenue
|
US
|
130
|
Lanabecestat
|
Eli Lilly and
Company
- milestone
revenue
|
Global
|
50
|
Crestor AG2
|
Daiichi Sankyo
Company, Ltd
(Daiichi
Sankyo)
- milestone
revenue
|
Japan
|
45
|
Bydureon
|
3SBio Inc.
(3SBio)
- milestone
revenue
|
China
|
25
|
Other
|
|
|
171
|
|
|
|
|
Total
|
|
|
821
|
1Following the
sale of the remaining rights to the anaesthetics portfolio to Aspen
in Q4 2017, any future income relating to these medicines will be
recorded as Other Operating Income and
Expense.
2Authorised
Generic.
Ongoing
Externalisation Revenue of $821m represented 35% of total
Externalisation Revenue (FY 2016: $356m, 21%). The Company
anticipates that Ongoing Externalisation Revenue will grow as a
proportion of Externalisation Revenue over time.
|
FY
2017
|
Q4
2017
|
|
$m
|
%
of total1
|
%
change
|
$m
|
%
of total
|
%
change
|
Actual
|
CER
|
Actual
|
CER
|
Royalties
|
108
|
5
|
(9)
|
(6)
|
8
|
3
|
(82)
|
(72)
|
Milestones/Other2
|
713
|
31
|
n/m
|
n/m
|
282
|
97
|
n/m
|
n/m
|
|
|
|
|
|
|
|
|
|
Ongoing
Externalisation Revenue
|
821
|
35
|
n/m
|
n/m
|
290
|
100
|
n/m
|
n/m
|
|
|
|
|
|
|
|
|
|
Initial
Externalisation Revenue
|
1,492
|
65
|
12
|
12
|
-
|
-
|
n/m
|
n/m
|
|
|
|
|
|
|
|
|
|
Total
Externalisation Revenue
|
2,313
|
100
|
37
|
38
|
290
|
100
|
(11)
|
(12)
|
1Due to rounding,
the sum of individual medicine percentages may
not agree to totals.
2May include,
inter alia, option and profit sharing
income.
A number of
AstraZeneca medicines were externalised or disposed of in FY 2017,
thus adversely impacting the Product Sales
performance:
Completion
|
Medicine
|
Region
|
FY
2017*
|
FY
2016
|
Difference
|
Adverse
Impact on FY 2017 Product Sales
|
$m
|
$m
|
$m
|
|
March
|
Zoladex
|
US and
Canada
|
23
|
66
|
(43)
|
|
June
|
Seloken
|
Europe
|
52
|
90
|
(38)
|
|
June
|
Zomig
|
Global (excl.
Japan)
|
58
|
78
|
(20)
|
|
October
|
Anaesthetics
|
Global
|
292
|
472
|
(180)
|
|
|
|
|
|
|
|
|
|
Total
|
|
425
|
706
|
(281)
|
1%
|
*FY 2017 Product Sales here
comprise sales made to
partners under manufacturing and supply
agreements.
Examples of transactions that
include Ongoing Externalisation Revenue are shown
below:
Completion
|
Medicine
|
Partner
|
Region
|
Externalisation Revenue
|
July
2017
|
Lynparza
|
MSD
|
Global
|
●
Initial $1.0bn revenue
●
Up to $0.75bn for certain licence options, including $0.25bn
paid in Q4 2017
●
Up to $6.15bn in regulatory and sales
milestones
|
March
2017
|
MEDI8897
|
Sanofi
Pasteur
|
Global
|
●
Initial €120m revenue
●
Up to €495m in sales and development-related
milestones
|
March
2017
|
Zoladex
|
TerSera
|
US and
Canada
|
●
Initial $250m revenue
●
Up to $70m in sales-related milestones
●
Mid-teen percentage royalties on sales
|
October
2016
|
Toprol-XL
|
Aralez
Pharmaceuticals Inc.
|
US
|
●
Initial $175m revenue
●
Up to $48m milestone and sales-related revenue
●
Mid-teen percentage royalties on sales
|
August
2016
|
tralokinumab
- atopic dermatitis
|
LEO
Pharma A/S
(LEO
Pharma)
|
Global
|
●
Initial $115m revenue
●
Up to $1bn in commercially-related milestones
●
Up to mid-teen tiered percentage royalties on
sales
|
October
2015
|
Siliq
|
Valeant
|
Global,
later
amended
to US
|
●
Initial $100m revenue
●
Pre-launch milestone of $130m
●
Sales-related royalties up to $175m
●
Profit sharing
|
March
2015
|
Movantik
|
Daiichi
Sankyo
|
US
|
●
Initial $200m revenue
●
Up to $625m in sales-related revenue
|
Product
Sales
_____________________________________________________________________________________
The performance of
key medicines is shown below, with a geographical split shown in
Notes 6 and 7.
Therapy Area
|
Medicine
|
FY 2017
|
Q4 2017
|
$m
|
% of total*
|
% change
|
$m
|
% of total
|
% change
|
Actual
|
CER
|
Actual
|
CER
|
Oncology
|
Tagrisso
|
955
|
5
|
126
|
126
|
304
|
6
|
107
|
105
|
Iressa
|
528
|
3
|
3
|
3
|
130
|
2
|
10
|
8
|
Lynparza
|
297
|
1
|
36
|
35
|
100
|
2
|
61
|
58
|
Imfinzi
|
19
|
-
|
n/m
|
n/m
|
18
|
-
|
n/m
|
n/m
|
Calquence
|
3
|
-
|
n/m
|
n/m
|
3
|
-
|
n/m
|
n/m
|
Legacy:
|
|
|
|
|
|
|
|
|
Faslodex
|
941
|
5
|
13
|
13
|
238
|
4
|
7
|
5
|
Zoladex
|
735
|
4
|
(10)
|
(9)
|
187
|
3
|
(20)
|
(21)
|
Casodex
|
215
|
1
|
(13)
|
(11)
|
54
|
1
|
(10)
|
(8)
|
Arimidex
|
217
|
1
|
(6)
|
(4)
|
57
|
1
|
-
|
(2)
|
Others
|
114
|
-
|
10
|
13
|
29
|
1
|
-
|
3
|
Total Oncology
|
4,024
|
20
|
19
|
19
|
1,120
|
20
|
20
|
19
|
CVMD
|
Brilinta
|
1,079
|
5
|
29
|
29
|
299
|
5
|
27
|
24
|
Farxiga
|
1,074
|
5
|
29
|
28
|
332
|
6
|
39
|
37
|
Onglyza
|
611
|
3
|
(15)
|
(16)
|
180
|
3
|
21
|
19
|
Bydureon
|
574
|
3
|
(1)
|
(1)
|
147
|
3
|
4
|
2
|
Byetta
|
176
|
1
|
(31)
|
(30)
|
48
|
1
|
(13)
|
(13)
|
Symlin
|
48
|
-
|
20
|
20
|
13
|
-
|
-
|
-
|
Qtern
|
5
|
-
|
n/m
|
n/m
|
5
|
-
|
n/m
|
n/m
|
Legacy:
|
|
|
|
|
|
|
|
|
Crestor
|
2,365
|
12
|
(30)
|
(30)
|
594
|
11
|
(6)
|
(7)
|
Seloken/Toprol-XL
|
695
|
3
|
(6)
|
(4)
|
168
|
3
|
(6)
|
(7)
|
Atacand
|
300
|
1
|
(5)
|
(3)
|
73
|
1
|
(10)
|
(10)
|
Others
|
339
|
2
|
(15)
|
(13)
|
80
|
1
|
(8)
|
(10)
|
Total CVMD
|
7,266
|
36
|
(10)
|
(10)
|
1,939
|
35
|
7
|
6
|
Respiratory
|
Symbicort
|
2,803
|
14
|
(6)
|
(6)
|
752
|
14
|
2
|
-
|
Pulmicort
|
1,176
|
6
|
11
|
12
|
371
|
7
|
29
|
26
|
Daliresp/Daxas
|
198
|
1
|
29
|
28
|
53
|
1
|
29
|
27
|
Tudorza/Eklira
|
150
|
1
|
(12)
|
(12)
|
42
|
1
|
17
|
11
|
Duaklir
|
79
|
-
|
25
|
25
|
23
|
-
|
21
|
16
|
Bevespi
|
16
|
-
|
n/m
|
n/m
|
8
|
-
|
n/m
|
n/m
|
Others
|
284
|
1
|
(10)
|
(9)
|
85
|
2
|
1
|
(2)
|
Total Respiratory
|
4,706
|
23
|
(1)
|
(1)
|
1,334
|
24
|
10
|
8
|
Other
|
Nexium
|
1,952
|
10
|
(4)
|
(3)
|
427
|
8
|
(13)
|
(12)
|
Synagis
|
687
|
3
|
1
|
1
|
234
|
4
|
(23)
|
(23)
|
Losec/Prilosec
|
271
|
1
|
(2)
|
(1)
|
69
|
1
|
17
|
14
|
Seroquel XR
|
332
|
2
|
(55)
|
(55)
|
108
|
2
|
(8)
|
(9)
|
Movantik/Moventig
|
122
|
1
|
34
|
34
|
30
|
1
|
15
|
15
|
FluMist/Fluenz
|
78
|
-
|
(25)
|
(28)
|
58
|
1
|
(13)
|
(18)
|
Others
|
714
|
4
|
(38)
|
(38)
|
168
|
3
|
(32)
|
(33)
|
Total Other
|
4,156
|
21
|
(18)
|
(17)
|
1,094
|
20
|
(16)
|
(17)
|
|
Total
Product Sales
|
20,152
|
100
|
(5)
|
(5)
|
5,487
|
100
|
4
|
3
|
*Due to rounding,
the sum of individual medicine percentages may not agree to
totals.
Product
Sales Summary
_______________________________________________________________________________________
ONCOLOGY
Product Sales of
$4,024m; an increase of 19%. Oncology Product Sales represented 20%
of total Product Sales, up from 16% in FY 2016.
Lung Cancer
Tagrisso
Product Sales of
$955m; an increase of 126%. In the year, the medicine became
AstraZeneca's largest-selling Oncology medicine and, by the end of
2017, the medicine had received regulatory approval in more than 60
countries. Global growth partly reflected higher testing rates, led
by Japan and the US.
Sales in the US
were $405m and
grew by 59%, with a steady increase in epidermal growth factor
receptor (EGFR) T790M-mutation testing
rates. In
September 2017, US National Comprehensive Cancer Network (NCCN)
clinical-practice guidelines were updated to include the use of
Tagrisso as a 1st-line
treatment of patients with metastatic EGFR-mutated non-small cell
lung cancer (NSCLC). The use of Tagrisso in this indication is not yet
approved by the US FDA.
Within Emerging Markets,
Tagrisso sales were $135m
in the year (FY 2016: $10m). In Europe, sales of $187m
represented growth of 146% (142% at CER) and were driven by a
continued
uptake, positive reimbursement decisions and further growth in
testing rates. Tagrisso was
reimbursed in 15 European countries at the end of the year and was
under reimbursement review in additional European countries, with
positive decisions anticipated in 2018.
Testing rates in Japan
continued to exceed 90%, with full-year sales of $219m (FY 2016:
$82m) reflecting a high penetration rate in the currently-approved
2nd-line EGFR T790M-mutation setting.
Iressa
Product Sales of
$528m; an increase of 3%.
Emerging Markets
sales increased by 8% to $251m. China Product Sales increased by
24% (28% at CER) to $144m, reflecting an improvement in patient
access following the conclusion of the national negotiation process
in 2016; Iressa was
subsequently included on the National Reimbursement Drug List
(NRDL). Other Emerging Markets sales, however, were adversely
impacted by competition from branded and generic medicines, most
notably in the Republic of Korea.
Sales in the US
increased by 70% to $39m and declined in Europe by 7% (8% at CER)
to $112m. Given the significant future potential of Tagrisso, the Company continues to
prioritise commercial support for Tagrisso in established markets over
Iressa.
Other
Cancers
Lynparza
Product Sales of
$297m; an increase of 36% (35% at CER). By the end of 2017, the
medicine had received regulatory approval in 57 countries, with
reviews underway in a number of additional markets.
US sales grew by
11% in the year to $141m. First-half sales were adversely impacted
by the introduction of competing poly ADP ribose polymerase
(PARP)-inhibitor medicines. A much-improved performance in the
second half, however, reflected the launch of Lynparza tablets for patients
regardless of BRCA-mutation status, for the treatment of 2nd-line
ovarian cancer. This was illustrated by sequential quarterly US
sales from Q3 2017 to Q4 2017, where sales grew by 46%, from $37m
to $54m. By the end of November 2017, Lynparza was the leading PARP inhibitor
in the US, measured by total prescription volumes.
Sales in Europe
increased by 60% (58% at CER) to $130m, reflecting high
BRCA-testing rates and a number of successful launches, most
recently in Finland and the Republic of Ireland.
On 27 July 2017,
AstraZeneca and MSD announced a global strategic oncology
collaboration to co-develop Lynparza and the potential medicine
selumetinib for multiple cancer types as monotherapies and in
combinations. The integration of development and commercial
activities is progressing well.
Imfinzi
Product Sales of
$19m ($18m in Q4 2017); launched in the US in May 2017. By the end
of 2017, Imfinzi had also
received regulatory approvals in Canada, Brazil and
Israel.
Imfinzi was approved under the US FDA's
Accelerated-Approval pathway and launched on the same day as a
fast-to-market, limited commercial opportunity, indicated for the
2nd-line treatment of patients with locally-advanced or metastatic
urothelial carcinoma (bladder cancer).
The Company is
actively preparing for the potential launch of Imfinzi in locally-advanced,
unresectable NSCLC in H1 2018, reflecting the US FDA regulatory
submission acceptance and the award of Priority Review status in
the quarter.
Calquence
Product Sales of
$3m. Approved and launched in the US on 31 October 2017,
Calquence delivered a
promising performance in the number of new-patient starts in
previously-treated mantle cell lymphoma (MCL). The medicine was
included within NCCN MCL guidelines on 15 November
2017.
Legacy: Faslodex
Product Sales of
$941m; an increase of 13%.
Emerging Markets
sales grew by 20% (18% at CER) to $115m. In 2017, the Company
received a label extension for Faslodex in Russia in the 1st-line
monotherapy setting, based on data from the FALCON trial. Russia
sales grew by 29% in the year (14% at CER) to $18m.
US sales increased
by 12% to $492m, mainly reflecting a continued strong uptake of the
combination with palbociclib, a medicine approved for the treatment
of hormone-receptor-positive (HR+) breast cancer.
Europe sales
increased by 12% (11% at CER) to $256m but increased by only 5%
(down by 3% at CER) to $62m in the quarter, reflecting the impact
of generic entrants in certain markets. In June 2017, a label
extension based upon the FALCON trial in the 1st-line setting was
approved in Japan, where sales grew by 14% (17% at CER) in the year
to $72m.
Legacy: Zoladex
Product Sales of
$735m; a decline of 10% (9% at CER).
Emerging Markets
sales declined by 1% to $353m in the year. Sales in Europe declined
by 10% (8% at CER) to $141m, reflecting the impact of generic
competition, mainly in Central and Eastern Europe. In Established
Rest Of World (ROW, comprising Japan, Canada, Australia and New
Zealand), sales fell by 16% (15% at CER) to $226m, driven by
increased competition. On 31 March 2017, the Company completed an
agreement with TerSera for the sale of the commercial rights to
Zoladex in the US and
Canada.
CVMD
Product Sales of
$7,266m; a decline of 10%. CVMD Product Sales represented 36% of
total Product Sales, down from 38% in FY 2016.
Within the New CVMD
Growth Platform, comprising Brilinta and Diabetes and excluding
medicines such as Crestor,
sales grew by 9% to $3,567m. Strong performances were delivered by
Farxiga and Brilinta, each becoming blockbusters by
exceeding $1bn in sales in the year.
Brilinta
Product Sales of
$1,079m; an increase of 29%.
Emerging Markets
sales of Brilinta in the
year grew by 19% (21% at CER) to $224m. Growth in Emerging Markets
was reflected in a continued outperformance of growth in the oral
anti-platelet market. Encouraging sales performances were delivered
in many markets.
US sales of
Brilinta, at $509m,
represented an increase of 46% for the full year, including growth
of 47% in the quarter. The performance was driven primarily by an
increase in the average duration of therapy and strong growth in
the number of patients sent home from hospital with Brilinta. Furthermore, Brilinta achieved a record
total-prescription market share of 7.2% at the end of the year;
days-of-therapy volume market-share data was particularly
encouraging. The performance reflected the growth in demand that
was partly supported by updated preferred guidelines from the
American College of Cardiology and the American Heart Association
in 2016, as well as the narrowing of a competitor's label.
Brilinta is the standard of
care in the treatment of ST-segment elevation myocardial infarction
(STEMI) and remained the branded oral anti-platelet market leader
in the US in the period.
Sales of
Brilique in Europe
increased by 14% (13% at CER) to $295m, reflecting indication
leadership across a number of markets and bolstered by the
inclusion in high-risk, post myocardial infarction (HR PMI)
guidelines from the European Society of Cardiology in 2017. Volume
share reached 6.5% at the end of the year, with improvements
delivered across the major markets; Brilique continued to outperform the
oral anti-platelet market in the year. Brilique gained further reimbursement
in key markets in its HR PMI indication with the 60mg
dose.
Farxiga
Product Sales of
$1,074m; an increase of 29% (28% at CER), consolidating its global
leadership position within the sodium-glucose co-transporter 2
(SGLT2) inhibitor class.
Emerging Markets
sales increased by 74% (73% at CER) to $232m, reflecting ongoing
launches and improved levels of patient access. In March 2017,
Forxiga became the first
SGLT2-inhibitor medicine to be approved in China.
US sales in the
year increased by 7% to $489m. The first-half performance, with a
sales decline of 1% to $206m, was adversely impacted by the
Company's level of participation in affordability programmes.
Significant changes to the Company's approach to these programmes,
however, saw a much-improved performance in the second half,
illustrated by Q4 2017 sales growth of 15% to $150m. SGLT2-class
growth was supported by growing evidence around cardiovascular (CV)
benefits, including data from the CVD-REAL study that was published
in March 2017.
Sales in Europe
increased by 29% (28% at CER) to $242m as the medicine continued to
gain market share in the innovative oral class; it also retained
leadership in the SGLT2 class, which had the strongest class growth
amongst innovative oral diabetes medicines in the year. In Japan,
where Ono Pharmaceutical Co., Ltd is a partner and records
in-market sales, sales to the partner amounted to $53m,
representing a growth of 89% (93% at CER).
Onglyza
Product Sales of
$611m in the year, a decline of 15% (16% at CER). Onglyza sales, however, grew by 21% in
Q4 2017 (19% at CER) to $180m. The performance in the latter period
partly reflected favourable true-up adjustments relating to the
first nine months of 2017 in the US, as well as an encouraging
performance in Emerging Markets. Given the significant future
potential of Farxiga, the
Company continues to prioritise its commercial support over
Onglyza.
The full-year
performance reflected adverse pressures on the dipeptidyl
peptidase-4 (DPP-4) class and an acceleration of ongoing Diabetes
market dynamics, where patients are moving to medicines and classes
of medicines with documented CV benefits.
Sales in Emerging
Markets declined by 8% (10% at CER) to $130m. Onglyza, however, entered the NRDL in
China in the year, underpinning Q4 2017 Emerging Markets sales
growth of 16% (13% at CER) in the quarter to $37m. Sales in Europe
in the year declined by 21% to $104m, reflecting the broader
dynamic of shift away from the DPP-4 class. In Japan, in-market
sales are recorded by Kyowa Hakko Kirin Co., Ltd, to whom sales
totalled $13m.
Bydureon
Product Sales of
$574m; a decline of 1%, driven by pricing pressures. Favourable
sales volumes were a result of continued growth in the
glucagon-like peptide-1 (GLP-1) class at the expense of
insulin.
Sales of
Bydureon in Emerging
Markets were $9m. In 2016, AstraZeneca entered a strategic
collaboration with 3SBio for the rights to commercialise
Bydureon in China as the
Company focused on its oral Diabetes strategy.
Sales in the US
declined by 1% to $458m, reflecting the level of competition and
resulting price pressures. US sales in the quarter grew by 1% to
$115m, partly reflecting market growth and the impact of the
aforementioned true-up sales adjustments. In the third quarter of
the year, the Company successfully launched the injectable
suspension autoinjector, known as Bydureon BCise in the US. The new
autoinjector is a new formulation of Bydureon injectable suspension in an
improved once-weekly, single-dose autoinjector device. It is
designed for patient convenience in a pre-filled device with a
pre-attached, hidden needle.
Bydureon sales in Europe declined by
12% (11% at CER) in the year to $88m, resulting from the impact of
increased levels of competition.
Legacy: Crestor
Product Sales of
$2,365m; a decline of 30%.
Sales in China grew
by 20% (23% at CER) to $373m. In the US, sales declined by 70% to
$373m, driven by the market entry in July 2016 of multiple
Crestor generic medicines.
In the quarter, US sales increased by 34% to $127m, benefitting
from true-up adjustments. In Europe, sales declined by 23% to
$666m; in Q4 2017, Europe sales of Crestor declined by 27% (32% at CER) to
$152m, reflecting the impact of generic medicines in certain
markets, such as France and Spain. This impact on Europe sales is
anticipated to continue in FY 2018.
In Japan, where
Shionogi Co. Ltd is a partner, Crestor maintained its position as the
leading statin, despite sales declining by 6% (4% at CER) to $489m.
This decline reflected the recent entry of multiple Crestor competitors in the market in
the latter stages of the year.
RESPIRATORY
Product Sales of
$4,706m; a decline of 1%. Respiratory Product Sales represented 23%
of total Product Sales, from 22% in FY 2016.
Symbicort
Product Sales of
$2,803m; a decline of 6%. In Q4 2017, sales increased by 2% (stable
at CER) to $752m, partly reflecting the aforementioned favourable
true-up adjustments relating to the first nine months of 2017 in
the US.
Symbicort continued to lead the global
market by volume within the inhaled corticosteroids (ICS) /
Long-Acting Beta Agonist (LABA) class. Emerging Markets sales grew
by 9% (10% at CER) to $439m, partly reflecting growth in China of
13% (17% at CER) to $177m and in Latin America (ex-Brazil), where
sales grew by 24% (30% at CER) to $46m.
In contrast, US
sales declined by 12% to $1,099m, in line with expectations of
continued challenging market conditions; these conditions were a
result of the impact of managed-care access programmes on pricing
within the class. Competition also remained intense from other
classes, such as Long-Acting Muscarinic Antagonist (LAMA)/LABA
combination medicines. Symbicort sales in the US in the
quarter grew by 1% to $288m, driven by market growth, the impact of
the aforementioned true-up sales adjustments and increased demand
in government and non-retail channels.
In Europe, sales
declined by 10% to $819m, reflecting the level of competition from
other branded and Symbicort-analogue medicines.
Symbicort, however,
continued to retain its class-leadership position and stabilise its
volume market share in the LABA/ICS class.
In Japan, where
Astellas Pharma Co. Ltd assists as a promotional partner, sales
declined by 3% (stable at CER) to $205m.
Pulmicort
Product Sales of
$1,176m; an increase of 11% (12% at CER).
Emerging Markets
sales increased by 20% (23% at CER) to $840m, reflecting strong
underlying volume growth, with sales in China, Middle East and
North Africa proving particularly encouraging. Emerging Markets
represented 71% of global sales and, in the quarter, sales
increased by 37% (34% at CER), reflecting a significant level of
seasonal demand. Usage in China progressed further, with an
increasing prevalence of acute COPD and paediatric asthma
accompanied by continued investment by the Company in new hospital
nebulisation centres by around 2,000 to 15,000.
Sales in the US and
Europe declined by 10% to $156m and by 7% (8% at CER) to $92m,
respectively.
Daliresp/Daxas
Product Sales of
$198m; an increase of 29% (28% at CER).
US sales,
representing 84% of global sales, increased by 25% to $167m, driven
by increased adoption of the medicine which is the only oral,
selective, long-acting inhibitor of the enzyme phosphodiesterase-4,
an inflammatory agent in COPD. Sales in Europe increased by 73% to
$26m.
Tudorza/Eklira
Product Sales of
$150m; a decline of 12%.
Sales in the US
declined by 14% to $66m, reflecting lower levels of use of inhaled
monotherapy medicines for COPD and the Company's commercial focus
on the launch of Bevespi.
On 17 March 2017, AstraZeneca announced that it had entered a
strategic collaboration with Circassia for the development and
commercialisation of Tudorza in the US. Circassia began its
promotion of Tudorza in the
US in May 2017 and, in the quarter, sales increased by 19% to $19m.
AstraZeneca books Product Sales of Tudorza in the US.
Sales in Europe
declined by 12% (11% at CER) to $73m, impacted by the decline of
the overall LAMA monotherapy class.
Duaklir
Product Sales of $79m; an increase of
25%.
Duaklir, the Company's first inhaled
dual bronchodilator, is now available for patients in over 25
countries, with almost all sales emanating from Europe. The growth
in sales in the year was favourably impacted by the performances in
Germany and the UK, as well as the recent launch in Italy. The
LAMA/LABA class continued to grow strongly, albeit below
expectations. Duaklir is
expected to be submitted for US regulatory review in H1 2018.
Duaklir is a registered
trademark in certain European countries. The US trademark is to be
confirmed.
Bevespi
Product Sales of
$16m; launched in early 2017. Q4 2017 sales of $8m.
Bevespi was launched commercially in
the US during early 2017. Prescriptions in the period tracked
in line with other LAMA/LABA launches. The overall class in the US,
however, continued to grow more slowly than anticipated.
Bevespi was the first
medicine launched using the Company's Aerosphere Delivery Technology
delivered in a pressurised metered-dose inhaler.
OTHER
Product Sales of
$4,156m; a decline of 18% (17% at CER). Other Product Sales
represented 21% of total Product Sales, down from 24% in FY
2016.
Nexium
Product Sales of
$1,952m; a decline of 4% (3% at CER).
Emerging Markets
sales declined by 1% (up 2% at CER) to $684m. Sales in the US
declined by 10% to $499m in the year and by 58% in the quarter to
$57m, reflecting a true-up adjustment. Sales in Europe declined by
1% (3% at CER) in the year to $248m. In Japan, where Daiichi Sankyo
is a partner, sales increased by 1% (4% at CER) to
$439m.
Synagis
Product Sales of
$687m; an increase of 1%.
US sales decreased
by 2% to $317m, constrained by the guidelines from the American
Academy of Pediatrics Committee on Infectious Diseases, which
restricted the number of patients eligible for preventative therapy
with Synagis. Product Sales
to AbbVie Inc., which is responsible for the commercialisation of
Synagis in over 80
countries outside the US, increased by 5% to $370m.
Seroquel XR
Product Sales of
$332m; a decline of 55%.
Sales of
Seroquel XR in the US,
where several competitors launched generic Seroquel XR medicines from November
2016, declined by 66% to $175m. Sales of Seroquel XR in Europe declined by 42%
to $78m, also reflecting the impact of generic-medicine
competition.
FluMist/Fluenz
Product Sales of
$78m; a decline of 25% (28% at CER).
No US sales of
FluMist were recorded in
the quarter due to the continued absence of a recommendation for
use by the US Advisory Committee on Immunization Practices (ACIP)
during the 2017-2018 influenza season. FluMist continues to be recommended for
use outside the US. Sales in Europe increased by 17% (12% at CER)
to $76m, driven primarily by higher usage rates in the UK, which
reflected the favourable impact of the UK National Immunisation
Programme.
Regional
Product Sales
|
FY 2017
|
Q4 2017
|
$m
|
% of total1
|
% change
|
$m
|
% of total
|
% change
|
Actual
|
CER
|
Actual
|
CER
|
Emerging
Markets2
|
6,149
|
31
|
6
|
8
|
1,630
|
30
|
10
|
9
|
|
China
|
2,955
|
15
|
12
|
15
|
813
|
15
|
33
|
30
|
|
Ex. China
|
3,194
|
16
|
1
|
2
|
817
|
15
|
(7)
|
(6)
|
|
|
|
|
|
|
|
|
|
US
|
6,169
|
31
|
(16)
|
(16)
|
1,770
|
32
|
9
|
9
|
|
|
|
|
|
|
|
|
|
Europe
|
4,753
|
24
|
(6)
|
(7)
|
1,293
|
24
|
(3)
|
(9)
|
|
|
|
|
|
|
|
|
|
Established
ROW
|
3,081
|
15
|
-
|
1
|
794
|
14
|
(4)
|
-
|
|
Japan
|
2,208
|
11
|
1
|
4
|
563
|
10
|
(5)
|
2
|
|
Canada
|
484
|
2
|
(3)
|
(5)
|
131
|
2
|
4
|
(2)
|
|
Other
Established ROW
|
389
|
2
|
(6)
|
(9)
|
100
|
2
|
(7)
|
(8)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total
|
20,152
|
100
|
(5)
|
(5)
|
5,487
|
100
|
4
|
3
|
1Due to rounding,
the sum of individual medicine percentages may
not agree to totals.
2Emerging Markets
comprises all remaining Rest of World markets, including Brazil,
China, India, Mexico, Russia and Turkey.
Emerging
Markets
Product Sales of
$6,149m; an increase of 6% (8% at CER).
China sales grew by
12% (15% at CER) to $2,955m, representing 48% of total Emerging
Markets sales. Onglyza and
Iressa were included on the
NRDL in China in the year, as were Brilinta, Faslodex and Seroquel XR; the benefits of this
inclusion are anticipated to favourably impact Product Sales after
FY 2017. Crestor also had
its 2nd-line usage restriction removed and Zoladex was reclassified from the
hormone and endocrine classification to oncology, which is expected
to continue to support growth. In the quarter, China sales grew
strongly by 33% (30% at CER), reflecting strong performances from
newly-launched medicines.
Tagrisso was launched in China in April 2017.
Emerging Markets
sales excluding China, however, declined by 7% (6% at CER) in Q4
2017, primarily driven by challenging conditions in Russia and
Latin America, as well as the adverse impact of medicines
externalised or disposed of in FY 2017. Sales in Latin America
(ex-Brazil) declined by 12% (10% at CER) to $453m. Brazil sales
increased by 4% (but declined by 5% at CER) to $361m. Russia sales
declined by 1% (14% at CER) to $231m. Sales of Symbicort grew by 9% (10% at CER) to
$439m, reflecting higher prescription demand, with notable
performances in Latin America and China.
US
Product Sales of
$6,169m; a decline of 16%. Q4 2017 sales in the US grew by 9% to
$1,770m, partly reflecting favourable true-up adjustments relating
to the first nine months of 2017.
The decline in
sales in the year reflected generic-medicine launches that impacted
sales of Crestor and
Seroquel XR. Unfavourable
managed-care pricing and continued competitive intensity impacted
sales of Symbicort, which
declined by 12% to $1,099m.
The New Oncology
Growth Platform in the US grew by 50% to $607m, primarily driven by
encouraging Tagrisso sales
growth of 59% to $405m in the year (FY 2016: $254m). Brilinta sales grew by 46% in the US to
$509m. The New CVMD Growth Platform increased sales by 5% in the US
to $1,942m, reflecting strong performances from Farxiga and Brilinta.
Europe
Product Sales of
$4,753m; a decline of 6% (7% at CER).
The New Oncology
Growth Platform in Europe grew by 102% (99% at CER) to $317m,
partly driven by Tagrisso
sales of $187m. Lynparza
sales of $130m represented growth of 60% (58% at CER). Forxiga sales growth of 29% (28% at
CER) to $242m was accompanied by Brilique growth of 14% (13% at CER) to
$295m. These performances were more than offset by declines in
other areas, however, including a 10% decline in Symbicort sales to $819m. Symbicort maintained its position,
however, as the number one ICS/LABA medicine, despite competition
from branded and analogue medicines. Crestor sales declined by 23% to $666m,
reflecting the entry of generic medicines in certain markets in the
year.
Established ROW
Product Sales of
$3,081m; stable (up 1% at CER).
Japan sales
increased by 1% (4% at CER) to $2,208m. EGFR T790M-mutation testing
rates in Japan continued to exceed 90% through the year, with
full-year Tagrisso sales of
$219m (FY 2016: $82m) reflecting a high penetration rate in the
currently-approved 2nd-line setting. Faslodex sales in Japan were favourably
impacted by a new label in the year; Faslodex sales in Japan increased by
14% (17% at CER) to $72m.
The first generic
competitor to Crestor was
launched in Japan in Q3 2017 and further generic competition
entered the market in the final quarter. Full-year Crestor sales in Japan declined by 6%
(4% at CER) to $489m; in the quarter, they declined by 26% (21% at
CER) to $95m. Nexium sales
in Japan increased by 1% (4% at CER) in the year to $439m and sales
of Forxiga increased by 89%
(93% at CER) in the year to $53m.
Financial
Performance
|
Reported
|
FY
2017
|
FY
2016
|
Actual
|
CER
|
$m
|
$m
|
%
change
|
Total
Revenue
|
22,465
|
23,002
|
(2)
|
(2)
|
Product Sales
|
20,152
|
21,319
|
(5)
|
(5)
|
Externalisation Revenue
|
2,313
|
1,683
|
37
|
38
|
|
|
|
|
|
Cost of
Sales
|
(4,318)
|
(4,126)
|
5
|
7
|
\
|
|
|
|
|
Gross
Profit
|
18,147
|
18,876
|
(4)
|
(4)
|
Gross Margin*
|
79.6%
|
80.8%
|
-1
|
-1
|
|
|
|
|
|
Distribution
Expense
|
(310)
|
(326)
|
(5)
|
(3)
|
% Total Revenue
|
1.4%
|
1.4%
|
-
|
-
|
R&D
Expense
|
(5,757)
|
(5,890)
|
(2)
|
(1)
|
% Total Revenue
|
25.6%
|
25.6%
|
-
|
-
|
SG&A
Expense
|
(10,233)
|
(9,413)
|
9
|
10
|
% Total Revenue
|
45.5%
|
40.9%
|
-5
|
-5
|
Other Operating
Income and Expense
|
1,830
|
1,655
|
11
|
11
|
% Total Revenue
|
8.1%
|
7.2%
|
+1
|
+1
|
|
|
|
|
|
Operating
Profit
|
3,677
|
4,902
|
(25)
|
(28)
|
% Total Revenue
|
16.4%
|
21.3%
|
-5
|
-6
|
Net Finance
Expense
|
(1,395)
|
(1,317)
|
6
|
(4)
|
Joint Ventures and
Associates
|
(55)
|
(33)
|
66
|
66
|
Profit Before
Tax
|
2,227
|
3,552
|
(37)
|
(38)
|
Taxation
|
641
|
(146)
|
|
|
Tax
Rate
|
(29)%
|
4%
|
|
|
Profit After
Tax
|
2,868
|
3,406
|
(16)
|
(16)
|
|
|
|
|
|
Earnings Per
Share
|
$2.37
|
$2.77
|
(14)
|
(15)
|
*Gross Margin, as a percentage of
Product Sales, reflects Gross Profit derived from Product Sales,
divided by Product Sales.
FY 2017 Cost of Sales included $198m of costs
relating to externalisation activities, which is excluded from the
calculation of Gross Margin (FY 2016: $32m). Movements in Gross
Margin are expressed in percentage points.
|
Reported
|
Q4
2017
|
Q4
2016
|
Actual
|
CER
|
$m
|
$m
|
%
change
|
Total
Revenue
|
5,777
|
5,585
|
3
|
2
|
Product Sales
|
5,487
|
5,260
|
4
|
3
|
Externalisation Revenue
|
290
|
325
|
(11)
|
(12)
|
|
|
|
|
|
Cost of
Sales
|
(1,225)
|
(1,160)
|
6
|
2
|
\
|
|
|
|
|
Gross
Profit
|
4,552
|
4,425
|
3
|
2
|
Gross Margin*
|
77.6%
|
77.9%
|
-
|
-
|
|
|
|
|
|
Distribution
Expense
|
(85)
|
(83)
|
3
|
-
|
% Total Revenue
|
1.5%
|
1.5%
|
-
|
-
|
R&D
Expense
|
(1,551)
|
(1,543)
|
-
|
(2)
|
% Total Revenue
|
26.8%
|
27.6%
|
+1
|
+1
|
SG&A
Expense
|
(3,078)
|
(1,386)
|
n/m
|
n/m
|
% Total Revenue
|
53.3%
|
24.8%
|
-28
|
-28
|
Other Operating
Income and Expense
|
848
|
1,120
|
(24)
|
(25)
|
% Total Revenue
|
14.7%
|
20.1%
|
-5
|
-5
|
|
|
|
|
|
Operating
Profit
|
686
|
2,533
|
(73)
|
(71)
|
% Total Revenue
|
11.9%
|
45.4%
|
-33
|
-32
|
Net Finance
Expense
|
(267)
|
(339)
|
(21)
|
(27)
|
Joint Ventures and
Associates
|
(12)
|
(11)
|
19
|
19
|
Profit Before
Tax
|
407
|
2,183
|
(81)
|
(78)
|
Taxation
|
854
|
(366)
|
|
|
Tax
Rate
|
(210)%
|
17%
|
|
|
Profit After
Tax
|
1,261
|
1,817
|
(31)
|
(25)
|
|
|
|
|
|
Earnings Per
Share
|
$1.03
|
$1.46
|
(29)
|
(24)
|
*Gross Margin, as a percentage of Product Sales,
reflects Gross Profit derived from Product Sales, divided by
Product Sales.
Q4 2017 Cost of
Sales included $2m of income relating to externalisation activities
(Q4 2016: $nil), which is excluded from the calculation of Gross
Margin. Movements in Gross Margin are expressed in percentage
points.
Reconciliation of Reported Profit Before Tax to
EBITDA
|
FY
2017
|
Q4
2017
|
|
$m
|
%
change
|
$m
|
%
change
|
Actual
|
CER
|
Actual
|
CER
|
Reported Profit
Before Tax
|
2,227
|
(37)
|
(38)
|
407
|
(81)
|
(78)
|
Net Finance
Expense
|
1,395
|
6
|
(4)
|
267
|
(21)
|
(27)
|
Joint Ventures and
Associates
|
55
|
66
|
66
|
12
|
19
|
19
|
Depreciation,
Amortisation and Impairment
|
3,036
|
29
|
29
|
1,107
|
88
|
81
|
|
|
|
|
|
|
|
EBITDA*
|
6,713
|
(8)
|
(10)
|
1,793
|
(43)
|
(42)
|
*EBITDA is a non-GAAP financial measure. See the
Operating and Financial Review for a definition of
EBITDA.
Reconciliation of Reported to Core Financial
Measures
FY
2017
|
Reported
|
Restructuring
|
Intangible
Asset
Amortisation
& Impairments
|
Diabetes
Alliance
|
Other1
|
Core2
|
Core
|
Actual
|
CER
|
$m
|
$m
|
$m
|
$m
|
$m
|
$m
|
%
change
|
Gross
Profit
|
18,147
|
181
|
149
|
-
|
-
|
18,477
|
(3)
|
(3)
|
Gross Margin3
|
79.6%
|
-
|
-
|
-
|
-
|
81.2%
|
-1
|
-1
|
|
|
|
|
|
|
|
|
|
Distribution
Expense
|
(310)
|
-
|
-
|
-
|
-
|
(310)
|
(5)
|
(3)
|
R&D
Expense
|
(5,757)
|
201
|
144
|
-
|
-
|
(5,412)
|
(4)
|
(3)
|
SG&A
Expense
|
(10,233)
|
347
|
1,469
|
641
|
(77)
|
(7,853)
|
(4)
|
(3)
|
Other Operating
Income and Expense
|
1,830
|
78
|
45
|
-
|
-
|
1,953
|
14
|
14
|
|
|
|
|
|
|
|
|
|
Operating
Profit
|
3,677
|
807
|
1,807
|
641
|
(77)
|
6,855
|
2
|
-
|
% Total Revenue
|
16.4%
|
-
|
-
|
-
|
-
|
30.5%
|
+1
|
+1
|
|
|
|
|
|
|
|
|
|
Net Finance
Expense
|
(1,395)
|
-
|
-
|
313
|
432
|
(650)
|
(2)
|
(4)
|
|
|
|
|
|
|
|
|
|
Taxation
|
641
|
(169)
|
(453)
|
(198)
|
(681)
|
(860)
|
31
|
23
|
|
|
|
|
|
|
|
|
|
Earnings Per
Share
|
$2.37
|
$0.50
|
$1.07
|
$0.60
|
$(0.26)
|
$4.28
|
(1)
|
(2)
|
1Other
adjustments include fair value adjustments relating to contingent
consideration on business combinations (see Note 4), discount
unwind on acquisition-related liabilities (see Note 4), provision
charges related to certain legal matters (see Note
5), foreign-exchange gains and losses relating to the
classification of certain non-structural intra-group loans and a
one-off adjustment of $617m reflecting adjustments to
deferred
taxes in line with the recently reduced US federal income tax
rate.
2Each of the measures in the
Core column in the above table are non-GAAP financial measures. See
the Operating and Financial Review for related
definitions.
3Gross Margin, as a percentage of Product Sales,
reflects gross profit derived from Product Sales, divided by
Product Sales. FY 2017 Cost of
Sales included $198m of costs relating to externalisation
activities (FY 2016: $32m), which is excluded from the calculation
of Gross Margin. Movements in
Gross Margin are expressed in percentage
points.
Q4
2017
|
Reported
|
Restructuring
|
Intangible
Asset
Amortisation
& Impairments
|
Diabetes
Alliance
|
Other1
|
Core2
|
Core
|
Actual
|
CER
|
$m
|
$m
|
$m
|
$m
|
$m
|
$m
|
%
change
|
Gross
Profit
|
4,552
|
53
|
46
|
-
|
-
|
4,651
|
3
|
3
|
Gross Margin3
|
77.6%
|
-
|
-
|
-
|
-
|
79.4%
|
-
|
+1
|
|
|
|
|
|
|
|
|
|
Distribution
Expense
|
(85)
|
-
|
-
|
-
|
-
|
(85)
|
3
|
-
|
R&D
Expense
|
(1,551)
|
24
|
71
|
-
|
-
|
(1,456)
|
(2)
|
(4)
|
SG&A
Expense
|
(3,078)
|
82
|
696
|
406
|
(281)
|
(2,175)
|
6
|
5
|
Other Operating
Income and Expense
|
848
|
3
|
1
|
-
|
-
|
852
|
(25)
|
(26)
|
|
|
|
|
|
|
|
|
|
Operating
Profit
|
686
|
162
|
814
|
406
|
(281)
|
1,787
|
(12)
|
(11)
|
% Total Revenue
|
11.9%
|
-
|
-
|
-
|
-
|
30.9%
|
-5
|
-5
|
|
|
|
|
|
|
|
|
|
Net Finance
Expense
|
(267)
|
-
|
-
|
79
|
64
|
(124)
|
(28)
|
(31)
|
|
|
|
|
|
|
|
|
|
Taxation
|
854
|
(34)
|
(213)
|
(54)
|
(595)
|
(42)
|
(87)
|
(100)
|
|
|
|
|
|
|
|
|
|
Earnings Per
Share
|
$1.03
|
$0.10
|
$0.48
|
$0.34
|
$(0.65)
|
$1.30
|
7
|
13
|
1Other adjustments include fair value adjustments
relating to contingent consideration on business combinations (see
Note 4), discount unwind on acquisition-related liabilities (see
Note 4), provision charges related to certain legal matters (see
Note 5), foreign-exchange
gains and losses relating to the classification of certain
non-structural intra-group loans and a one-off adjustment of $617m
reflecting adjustments to
deferred taxes in line with the recently reduced
US federal income tax rate.
2Each of the measures in the Core column in the
above table are non-GAAP financial measures. See the Operating and
Financial Review for related
definitions.
3Gross Margin, as a percentage of Product Sales,
reflects gross profit derived from Product Sales, divided by
Product Sales. Q4 2017 Cost of
Sales included $2m of income relating to externalisation activities
(Q4 2016: $nil), which is excluded from the calculation of Gross
Margin. Movements in Gross Margin are expressed in
percentage points.
Profit and Loss Commentary for the Year
Gross Profit
Reported Gross
Profit declined by 4% to $18,147m; Core Gross Profit declined by 3%
to $18,477m, one percentage point more than the Total Revenue
decline. Externalisation Revenue of $2,313m included $1,247m
received as part of the Lynparza and selumetinib collaboration
with MSD. This was outweighed by the adverse impact of product mix,
the ramp-up of manufacturing capacity for new medicines and the
inclusion of the profit-share on the aforementioned
collaboration.
The calculation
of Reported and Core Gross Margin excludes the impact of
Externalisation Revenue, thereby reflecting the underlying
performance of Product Sales. The Reported Gross Margin
declined by one percentage point to 79.6%. The Core Gross Margin
declined by one percentage point to 81.2%. The declines were
primarily driven by the effect of losses of exclusivity on
higher-margin Crestor and
Seroquel XR, as well as the
factors mentioned above.
In the quarter, the
Reported Gross Margin was stable at 77.6%; the Core Gross Margin
was stable (increased by one percentage point at CER) to
79.4%.
Operating Expenses:
R&D
Reported R&D
costs declined by 2% (1% at CER) to $5,757m, with the Company
continuing to focus on resource prioritisation and cost discipline.
Core R&D costs declined by 4% (3% at CER) to $5,412m. The
movement vs. the prior year was in line with commitments made in
February 2017.
Operating Expenses:
SG&A
Reported SG&A
costs increased by 9% (10% at CER) to $10,233m in the year and by
122% (119% at CER) to $3,078m in the quarter. This reflected the
impact of fair-value adjustments to contingent consideration on
business combinations in the comparative period and, to a lesser
extent, impairment charges recorded in the quarter.
Core SG&A costs
declined by 4% (3% at CER) to $7,853m. This was in line with
commitments made in February 2017 and despite strategic investment
in new launches.
Core SG&A costs
in the quarter increased by 6% (5% at CER) to $2,175m. This
reflected the aforementioned increased investment, including in
medical-affairs capability and capacity in order to support the
launches and early-stage commercialisation phases of specialty-care
medicines such as Tagrisso,
Imfinzi, Lynparza and Fasenra. SG&A general
infrastructure costs declined in the quarter as the Company
maintained its focus on cost discipline. The Company booked a
one-time gain of $92m in the quarter following adjustments to its
retirement benefit plans in the US.
In the year, the
Company continued to consolidate its operations that support the
business. It is committed to driving simplification and
standardisation through targeted centralisation of back and middle
office activities that are currently performed in various enabling
units, including Finance, Compliance, HR, Procurement and IT. As a
result, underlying operational-infrastructure costs were
consistently reduced, in line with prior trends. The
recently-launched Global Business Services organisation provides
integration of governance, locations and business practices to
shared services and outsourcing activities across
AstraZeneca.
Other Operating Income and
Expense
Where AstraZeneca
does not retain a significant ongoing interest in medicines or
potential new medicines, income from disposal transactions is
reported within Other Operating Income and Expense in the Company's
financial statements. Reported Other Operating Income and Expense
increased by 11% in the year to $1,830m and included:
● $555m resulting from the sale of
remaining rights to the anaesthetics portfolio to
Aspen
● $301m resulting from the sale of rights
to Seloken in Europe to
Recordati S.p.A (Recordati)
● $175m of milestone receipts in relation
to the disposal of Zavicefta to Pfizer Inc.
● $165m resulting from the sale of the
global rights to Zomig
outside Japan to the Grünenthal Group
(Grünenthal)
● $161m of gains recognised on the sale of
short-term investments
● $73m from the sale of Prilosec royalty streams
● Other gains on disposal of intangible
assets
Core Other
Operating Income and Expense increased by 14% to $1,953m, with the
difference to Reported Other Operating Income and Expense primarily
driven by a restructuring charge taken against land and
buildings.
Operating
Profit
Reported Operating
Profit declined by 25% (28% at CER) in the year to $3,677m. In the
quarter, Reported Operating Profit declined by 73% (71% at CER) to
$686m, driven by higher Other Operating Income and Expense in Q4
2016. The Reported Operating Profit margin declined by five
percentage points (six percentage points at CER) to 16% of Total
Revenue. Core Operating Profit increased by 2% (stable at CER) to
$6,855m. The Core Operating Profit margin increased by one
percentage point to 31% of Total Revenue.
Brexit
Planning
Following the UK
referendum outcome of a decision for the UK to leave the European
Union (EU) in June 2016, the progress of current negotiations
between the UK Government and the EU will likely determine the
future terms of the UK's relationship with the EU, as well as to
what extent the UK will be able to continue to benefit from the
EU's single market and its regulatory frameworks.
In response to
this, the Company has taken the decision to implement certain
actions to mitigate the potential risk of disruption to the supply
of medicines including but not limited to duplication of release
testing and procedures for products based in the EU27 and the UK,
transfer of regulatory licenses, customs and duties set up for
introduction or amendment of existing tariffs or processes and
associated IT systems upgrades. The costs associated with this and
certain other actions directly related to Brexit will be charged as
restructuring with the majority of such costs expected to be cash
costs. However, until the Brexit negotiation process is completed,
it is difficult to anticipate the overall potential impact on
AstraZeneca's operations and hence the final expected costs to be
incurred.
Net Finance
Expense
Reported Net
Finance Expense increased by 6% in the year to $1,395m, primarily
reflecting a foreign-exchange impact relating to the classification
of certain non-structural intra-group loans. Reported Net Finance
Expense declined by 4% at CER, reflecting reduced levels of
discount unwind on acquisition-related liabilities resulting from
the diabetes alliance with Bristol-Myers Squibb Company (BMS).
Excluding the discount unwind on acquisition-related liabilities
and the adverse foreign-exchange impact, the Core Net Finance
Expense declined by 2% (4% at CER) to $650m.
Profit Before
Tax
Reported Profit
Before Tax declined by 37% (38% at CER) to $2,227m, reflecting the
lower Reported Gross Margin and an increase in Reported SG&A
costs. EBITDA declined by 8% (10% at CER) to $6,713m.
Taxation
The Reported Tax
Rate of (29)% in the year benefitted from a favourable net
adjustment of $617m to deferred taxes, reflecting the recently
reduced US federal income tax rate and non-taxable remeasurements
of acquisition-related liabilities. Additionally, there was a $321m
benefit in the final quarter to the Reported and Core Tax Rates,
reflecting:
● reductions in tax provisions
and provision to return adjustments,
reflecting:
− the
expiry of statute of limitations
− favourable progress of
discussions with tax authorities
● the recognition of previously
unrecognised tax losses
● the favourable impact of UK
Patent box profits
The Core Tax Rate
for the year was 14%. Excluding these benefits, both the Reported
and Core Tax Rates would have been 22%. The net cash tax paid for
the year was $454m, representing 20% of Reported Profit Before
Tax.
The Reported and
Core Tax Rates for the comparative period were 4% and 11%
respectively. These rates included a one-off benefit of $453m
following agreements between the Canadian tax authority and the UK
and Swedish tax authorities in respect of transfer pricing
arrangements for the period from 2004-2016. Excluding this effect,
the Reported and Core Tax Rates for the comparative period were 17%
and 18% respectively. The cash tax paid for the comparative period
was $412m, which was 12% of Reported Profit Before
Tax.
Earnings Per Share
(EPS)
Reported EPS of
$2.37 represented a decline of 14% (15% at CER) in the year. The
performance was driven by a decline in Total Revenue and increased
SG&A costs, partly offset by the aforementioned net tax
benefit, continued progress on R&D cost control and an increase
in Other Operating Income and Expense. Core EPS declined by 1% (2%
at CER) to $4.28.
Dividend Per Share
and Dividend Commitment
The Board has
declared a second interim dividend of $1.90 per share (133.6 pence,
14.97 SEK) bringing the dividend per share for the full year to
$2.80 (202.5 pence, 22.37 SEK). The Board reaffirms its commitment
to the Company's progressive dividend policy.
For holders of the
Company's American Depositary Shares (ADSs), the $1.90 per Ordinary
Share equates to $0.95 per ADS. Two ADSs equal one Ordinary
Share.
Cash Flow and Balance Sheet
Cash Flow
|
FY
2017
|
FY
2016
|
Difference
|
$m
|
$m
|
$m
|
Reported operating
profit
|
3,677
|
4,902
|
(1,225)
|
Depreciation,
amortisation and impairment
|
3,036
|
2,357
|
679
|
|
|
|
|
(Increase)/decrease
in working capital and short-term provisions
|
(50)
|
926
|
(976)
|
(Gains)/losses on
disposal of intangible assets
|
(1,518)
|
(1,301)
|
(217)
|
Fair value movement
on contingent consideration arising from business
combinations
|
109
|
(1,158)
|
1,267
|
Non-cash and other
movements
|
(524)
|
(492)
|
(32)
|
Interest
paid
|
(698)
|
(677)
|
(21)
|
Tax
paid
|
(454)
|
(412)
|
(42)
|
|
|
|
|
Net
cash inflow from operating activities
|
3,578
|
4,145
|
(567)
|
The Company
generated a net cash inflow from operating activities of $3,578m in
the year, compared with $4,145m in FY 2016. In Q3 2017, the Company
received an upfront cash receipt of $1.6bn from the global
strategic oncology collaboration with MSD, $997m of which was
recorded in Operating Profit, with the remainder deferred to the
balance sheet.
Net cash outflows
from investing activities were $2,328m in the year compared with
$3,969m in FY 2016. In the final quarter, $1.5bn was paid to
shareholders of Acerta Pharma B.V. (Acerta Pharma), a contractual
obligation triggered by the first regulatory approval for
Calquence. The prior-period
outflow included an upfront payment as part of the majority
investment in Acerta Pharma. The cash payment of contingent
consideration in respect of the BMS share of the global Diabetes
alliance amounted to $284m in the year, which included a $100m
milestone payment in respect of Qtern and royalty
payments.
Net cash outflows
from financing activities were $2,936m in the year compared to
$1,324m in FY 2016, as the Company repaid a loan falling
due.
Capital
Expenditure
Capital expenditure
amounted to $1,326m in the year, which included investment in the
new global headquarters in Cambridge, UK, as well as strategic
manufacturing capacity in the UK, the US, Sweden and
China.
Debt and Capital
Structure
|
At
31 Dec 2017
|
At
31 Dec 2016
|
$m
|
$m
|
Cash and cash
equivalents
|
3,324
|
5,018
|
Other
investments
|
1,300
|
898
|
Net
derivatives
|
504
|
235
|
|
|
|
Cash,
short-term investments and derivatives
|
5,128
|
6,151
|
|
|
|
Overdrafts and
short-term borrowings
|
(845)
|
(451)
|
Finance
leases
|
(5)
|
(93)
|
Current instalments
of loans
|
(1,397)
|
(1,769)
|
Loans due after one
year
|
(15,560)
|
(14,495)
|
|
|
|
Interest-bearing
loans and borrowings (gross debt)
|
(17,807)
|
(16,808)
|
|
|
|
Net
Debt
|
(12,679)
|
(10,657)
|
Capital
Allocation
The Board's aim is
to continue to strike a balance between the interests of the
business, financial creditors and the Company's shareholders. After
providing for investment in the business, supporting the
progressive dividend policy and maintaining a strong,
investment-grade credit rating, the Board will keep under review
potential investment in immediately earnings-accretive,
value-enhancing opportunities.
Foreign-Exchange Rates
Sensitivity
The Company
provides the following currency sensitivity
information:
|
Average
Exchange Rates vs. USD
|
|
Impact
Of 5% Strengthening in Exchange Rate vs. USD ($m)1
|
Currency
|
Primary
Relevance
|
FY
2017
|
YTD 20182
|
%
change
|
Product
Sales
|
Core
Operating Profit
|
EUR
|
Product
Sales
|
0.89
|
0.82
|
+8
|
+160
|
+93
|
JPY
|
Product
Sales
|
112.18
|
111.07
|
+1
|
+117
|
+82
|
CNY
|
Product
Sales
|
6.75
|
6.43
|
+5
|
+146
|
+75
|
SEK
|
Costs
|
8.54
|
8.06
|
+6
|
+5
|
-44
|
GBP
|
Costs
|
0.78
|
0.73
|
+7
|
+23
|
-46
|
Other3
|
|
|
|
|
+193
|
+97
|
1Based on 2017 results at 2017 actual exchange
rates.
2Based on average daily spot rates between 1
January and 31 January
2018.
3Other important currencies
include AUD, BRL, CAD, KRW and RUB.
Foreign-Exchange
Hedging
The Group'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 Group Companies' reporting currency. In addition, the
Group's external dividend payments, paid principally in pounds
sterling and Swedish krona, are fully hedged from announcement to
payment date. Foreign-exchange gains and losses on forward
contracts for transactional hedging are taken to
profit.
Corporate
and Business Development Update
________________________________________________________________________________________
On 20 December
2017, it was announced by ANI Pharmaceuticals, Inc. that it had
acquired the rights to market Atacand, Arimidex and Casodex from AstraZeneca for $47m in
cash upfront, recorded as Other Operating Income and Expense in the
Company's financial statements in the quarter. AstraZeneca will
receive future royalties and sales-based milestones.
Research
and Development Update
________________________________________________________________________________________
comprehensive
table comprising AstraZeneca's pipeline of medicines in human
trials can be found later in this document. Highlights of
developments in the Company's late-stage pipeline since the prior
results announcement are shown below:
Regulatory
Approvals
|
7
|
-
Faslodex - breast cancer
(combinations) (US, EU)
-
Lynparza - ovarian cancer
(JP)
-
Lynparza - breast cancer
(US)
-
Fasenra - severe,
uncontrolled asthma (US, EU, JP)
|
Regulatory
Submissions and/or Acceptances
|
4
|
-
Tagrisso - lung cancer (1st
line) (US - Priority Review, EU, JP)
-
ZS-9 - hyperkalaemia (US)
|
Major
Phase III
Data
Readouts and Developments
|
4
|
-
Lynparza - ovarian cancer:
Priority review (CN)
-
roxadustat - anaemia: Priority review (CN)
-
PT010 - COPD (KRONOS trial): Most primary endpoints met1
-
tezepelumab - severe, uncontrolled asthma: First patient commenced
dosing
|
New
Molecular Entities(NMEs) in Phase III Trials or Under Regulatory
Review and Major Lifecycle Medicines
|
15
|
Oncology
-
Lynparza - multiple
cancers2
-
Tagrisso - lung
cancer2
-
Imfinzi - multiple
cancers2
-
Calquence - blood
cancers
-
Imfinzi + treme - multiple
cancers
-
moxetumomab pasudotox - leukaemia
-
selumetinib - thyroid cancer
-
savolitinib - kidney cancer
CVMD
-
ZS-9 (sodium zirconium cyclosilicate) - hyperkalaemia2
-
roxadustat - anaemia2
Respiratory
-
Fasenra - COPD
-
PT010 - COPD, asthma
-
tezepelumab - severe, uncontrolled asthma
Other
-
anifrolumab - lupus
-
lanabecestat - Alzheimer's disease
|
Projects
in Clinical Pipeline
|
132
|
|
1Eight of the nine primary endpoints in the KRONOS
trial were met, including two non-inferiority endpoints to qualify
PT009, one of the comparators
2Under Regulatory Review. The table shown above as
at today.
ONCOLOGY
AstraZeneca has a
deep-rooted heritage in Oncology and offers a growing line of new
medicines that has the potential to transform patients' lives and
the Company's future. At least six Oncology medicines are expected
to be launched between 2014 and 2020, of which Lynparza, Tagrisso, Imfinzi and Calquence are already benefitting
patients. An extensive pipeline of small-molecule and biologic
medicines is in development and the Company is committed to
advancing New Oncology, primarily focused on the treatment of lung,
ovarian, breast and blood cancers, as one of AstraZeneca's Growth
Platforms.
During the period,
the Company presented Lynparza data at the San Antonio Breast
Cancer annual symposium; highlights included data from the MEDIOLA
combination trial (Lynparza
+ Imfinzi) and the
Asian-cohort data from the OlympiAD Lynparza metastatic breast-cancer
trial. The Company also presented data from the new and emerging
haematology portfolio at the American Society of Hematology (ASH)
annual meeting; highlights included Calquence data in several cancer types,
including MCL and chronic lymphocytic leukaemia (CLL).
a) Faslodex (breast cancer)
On 13 November
2017, the Company announced that the European Medicines Agency
(EMA) had approved a new indication for Faslodex in Europe in combination with
a CDK4/6 inhibitor, palbociclib, for the treatment of hormone
receptor-positive (HR+), human epidermal growth factor receptor 2
negative (HER2-), locally-advanced or metastatic breast cancer in
patients who have received prior endocrine therapy.
On 14 November
2017, the Company announced that the US FDA had approved a new
indication for Faslodex,
expanding the indication to include use with abemaciclib, a CDK4/6
inhibitor, for the treatment of HR+, HER2- advanced or metastatic
breast cancer in patients with disease progression after endocrine
therapy.
b) Lynparza (multiple cancers)
On 12 January 2018,
the Company announced that the US FDA
had approved Lynparza for use in
patients with deleterious or suspected deleterious germline
BRCA
(gBRCA)-mutated HER2-negative metastatic breast
cancer who have been previously treated with chemotherapy in the
neoadjuvant, adjuvant or metastatic setting. The approval was based
on data from the randomised, open-label, Phase III OlympiAD
trial, which investigated
Lynparza vs.
physician's choice of chemotherapy (capecitabine, eribulin or
vinorelbine). In the trial, Lynparza
significantly prolonged progression-free survival (PFS) compared
with chemotherapy and reduced the risk of disease progression or
death by 42% (Hazard Ratio (HR) 0.58; median PFS of 7.0 vs 4.2
months).
On 19 January 2018,
AstraZeneca and MSD announced that the Japanese Ministry of Health,
Labour and Welfare had approved Lynparza tablets (300mg twice daily)
for use in patients as a maintenance therapy for platinum-sensitive
relapsed ovarian cancer, regardless of their BRCA mutation status,
who are in response to their last platinum-based chemotherapy.
Lynparza was the first PARP
inhibitor to be approved in Japan. During the period, the Company
also received priority review status for Lynparza in platinum-sensitive relapsed
ovarian cancer from the China FDA.
During the period,
the Company presented an analysis of the comparison in endpoints
from the Phase III trials of Lynparza and niraparib in patients with
platinum-sensitive, relapsed germline BRCA (gBRCA)-mutated ovarian
cancer at the International Society for PharmacoEconomics and
Outcomes Research European Congress. Lynparza and niraparib are PARP
inhibitors.
A key summary of
the efficacy and tolerability measures are detailed in the table
below, which includes an investigator-assessed 14.8 months of
median PFS (mPFS) for niraparib in gBRCA patients:
Efficacy -
platinum-sensitive, relapsed gBRCA-mutated ovarian
cancer
PARP
inhibitor
|
Trial
|
HR
and
mPFS
(Independent
Review Committee)
|
HR
and
mPFS
(Investigator
Assessed)
|
HR
(median
time to first subsequent therapy or death)
|
Lynparza 300mg tablets, bid1
|
SOLO-2
(Lynparza vs. placebo)
|
0.25
30.2m vs.
5.5m
|
0.30
19.1m vs.
5.5m
|
0.28
27.9m vs.
7.1m
|
niraparib 300mg
capsules, qd2
|
NOVA
(niraparib vs.
placebo)
|
0.27
21.0m vs.
5.5m
|
0.27
14.8m vs.
5.5m
|
0.31
21.0m vs.
8.4m
|
1bid = twice daily.
2qd = once daily.
Hettle, et al., ISPOR 20th Annual European
Congress, November 2017
Safety - platinum-sensitive, relapsed
gBRCA-mutated ovarian cancer
PARP
inhibitor
|
Trial
|
Grade
3-4 adverse event %
(PARP
inhibitor vs. placebo)
|
Treatment
interruption %
(PARP
inhibitor vs. placebo)
|
Dose
reduction %
(PARP
inhibitor vs. placebo)
|
Drug
discontinuation % (PARP inhibitor vs. placebo)
|
Lynparza 300mg tablets,
bid
|
SOLO-2
(Lynparza vs. placebo)
|
36.9 vs.
18.2
|
45.1 vs.
18.2
|
25.1 vs.
3.0
|
10.8 vs.
2.0
|
niraparib 300mg
capsules, qd
|
NOVA
(niraparib vs.
placebo)
|
74.1 vs.
22.9
|
68.9 vs.
5.0
|
66.5 vs.
15.5
|
14.7 vs.
2.2
|
Hettle, et
al., ISPOR 20th Annual European Congress, November
2017
The Company also presented an
update on an Asian cohort from the Phase III OlympiAD trial of
Lynparza in HER2-negative,
gBRCA-mutated metastatic breast-cancer patients. Data from the 87
Asian patients demonstrated that PFS was prolonged in patients
receiving Lynparza compared
with those treated with physician's choice treatment (median
value of 5.7 months vs. 4.2 months, HR 0.53).
The findings demonstrated that Lynparza is generally well tolerated in
Asian patients and provides a clinically-meaningful PFS benefit
compared with physician's choice treatment. Efficacy and safety
profiles were generally consistent with those seen in the global
population.
Updated data from the gBRCAm
HER2-negative metastatic breast-cancer cohort of the MEDIOLA Phase
II basket trial of Lynparza
and Imfinzi were also
presented: 20 patients (80%) had disease control (comprising
complete response, partial response and stable disease) at 12 weeks
(primary efficacy endpoint) and 12 patients (48%) at 28 weeks
(secondary endpoint). The
combination was well tolerated and the 12-week disease control rate
(80%) exceeded the pre-specified target. The data supported the
hypothesis that the addition of Imfinzi may enhance the efficacy of
Lynparza monotherapy.
Ongoing key Lynparza
combination trials include:
Name
|
Phase
|
Line
of Treatment
|
Population
|
Design
|
Timelines
|
Status
|
PAOLA1
|
III
|
1st
line
|
Ovarian
cancer
|
Lynparza maintenance + bevacizumab
vs.
bevacizumab
maintenance
|
FPCD2
Q2
2015
First data
anticipated 2022
|
Recruitment
ongoing
|
MEDIOLA
|
I/II
|
Advanced
|
gBRCA-mutated
ovarian cancer 2nd line
gBRCA-mutated
HER2-negative breast cancer (1st to 3rd line)
Small cell lung
cancer (SCLC)
(2nd
line)
Gastric cancer (2nd
line)
|
Lynparza + Imfinzi
|
FPCD
Q2
2016
|
Recruitment
ongoing
Initial data from lung and breast cancer cohorts presented in
2017
|
VIOLETTE
|
II
|
Advanced
|
Triple-negative
breast cancer:
-HRRm3
(BRCA)
-HRRm
(Non-BRCA)
-Non-HRRm
|
Lynparza + ATR (AZD6738)
Lynparza + Wee1 (AZD1775)
Lynparza
|
FPCD
Q4
2017
|
Recruitment
ongoing
|
Study
8
|
II
|
Advanced
|
Metastatic
castration resistant prostate cancer
|
Lynparza + abiraterone vs.
abiraterone
|
FPCD
Q3
2014
LPCD4
Q3
2015
|
Recruitment
complete
|
11Conducted by the
ARCAGY/Groupe d'Investigateurs National des Etudes des Cancers
Ovariens et du sein
2First Patient Commenced
Dosing
3Homologous Recombination Repair
mutated
4Last Patient Commenced
Dosing
c) Tagrisso (lung cancer)
On 18 December
2017, the Company announced that the US FDA had accepted a
supplemental New Drug Application (sNDA) for the use of
Tagrisso in the 1st-line
treatment of patients with metastatic NSCLC whose tumours have EGFR
mutations (exon 19 deletions or exon 21 (L858R) substitution
mutations). The application was based on data from the Phase III
FLAURA trial, which showed that Tagrisso significantly improves PFS
compared to current 1st-line EGFR tyrosine kinase inhibitors,
erlotinib or gefitinib, in previously-untreated patients with
locally-advanced or metastatic EGFR-mutated NSCLC. The US FDA
granted Tagrisso Priority
Review status in 2017 and previously granted Breakthrough Therapy
Designation in the 1st-line treatment of patients with metastatic
EGFR-mutated NSCLC.
On 28 November
2017, the Company announced that the EMA had accepted a variation
to the Marketing Authorisation Application for Tagrisso. The application was in line
with the aforementioned US application. On
27 November 2017,
the Company announced the submission of a sNDA to Japan's
Pharmaceuticals and Medical Devices Agency for the use of
Tagrisso for the 1st-line
treatment of patients with inoperable or recurrent EGFR-mutated
NSCLC.
d) Imfinzi (lung and other
cancers)
The Company
continues to advance multiple monotherapy trials of Imfinzi and combination trials of
Imfinzi with tremelimumab
and other potential new medicines:
Lung
Cancer
In November 2017, the Company
presented further data at the European Society For Medical Oncology
meeting in Singapore in respect of the PACIFIC Phase III trial,
including clinical activity, patient-reported outcomes and safety
data regarding sequential treatment with Imfinzi in patients with
locally-advanced, unresectable NSCLC, who had not progressed
following standard platinum-based chemotherapy concurrent with
radiation therapy. The analysis demonstrated a PFS improvement
across all pre-specified subgroups and the incidence of new
lesions, including new brain metastases, was lower with
Imfinzi vs.
placebo.
During the period,
the Brazil Health Regulatory
Agency granted Imfinzi an
expedited review, based on the PACIFIC trial data, as a sequential
treatment in patients with locally-advanced, unresectable NSCLC,
who had not progressed following standard platinum-based
chemotherapy concurrent with radiation therapy. The Republic of Korea
Ministry
of Food
and Drug Safety also accepted the marketing authorisation
application of Imfinzi, based on the
aforementioned
PACIFIC trial
data.
Ongoing key lung
cancer late-stage trials include:
Name
|
Phase
|
Line
of Treatment
|
Population
|
Design
|
Timelines
|
Status
|
Monotherapy
|
ADJUVANT1
|
III
|
N/A
|
Stage Ib-IIIa
NSCLC
|
Imfinzi vs placebo
|
FPCD
Q1
2015
First data
anticipated 2020
|
Recruitment
ongoing
|
PACIFIC
|
III
|
N/A
|
Locally-advanced,
unresectable NSCLC
|
Imfinzi vs placebo
|
FPCD
Q2
2014
LPCD
Q2
2016
OS2 data anticipated
2019
|
Recruitment
completed
PFS primary
endpoint met
|
PEARL
|
III
|
1st
line
|
NSCLC
(Asia)
|
Imfinzi vs SoC3
chemotherapy
|
FPCD
Q1
2017
First data
anticipated 2020
|
Recruitment
ongoing
|
Combination
therapy
|
PACIFIC-3
|
III
|
N/A
|
Locally-advanced,
unresectable NSCLC
|
Imfinzi + epacadostat vs Imfinzi
|
First data
anticipated 2021
|
Recruitment
initiating
|
MYSTIC
|
III
|
1st
line
|
NSCLC
|
Imfinzi, Imfinzi + treme vs SoC
chemotherapy
|
FPCD
Q3
2015
LPCD
Q3
2016
Final OS data
anticipated H1 2018
|
Recruitment
completed
PFS primary
endpoint not met
|
NEPTUNE
|
III
|
1st
line
|
NSCLC
|
Imfinzi + treme vs SoC
chemotherapy
|
FPCD
Q4
2015
LPCD
Q2
2017
First data
anticipated H2 2018
|
Recruitment
completed
|
POSEIDON
|
III
|
1st
line
|
NSCLC
|
Imfinzi + SoC, Imfinzi + treme + SoC vs SoC
chemotherapy
|
FPCD
Q2
2017
First data
anticipated 2019
|
Recruitment
ongoing
|
ARCTIC
|
III
|
3rd
line
|
PDL1- low/neg.
NSCLC
|
Imfinzi, tremelimumab, Imfinzi + treme vs SoC
chemotherapy
|
FPCD
Q2
2015
LPCD
Q3
2016
First data
anticipated H1 2018
|
Recruitment
completed
|
CASPIAN
|
III
|
1st
line
|
Small-cell lung
cancer
|
Imfinzi + SoC, Imfinzi + treme + SoC vs SoC
chemotherapy
|
FPCD
Q1
2017
First data
anticipated 2019
|
Recruitment
ongoing
|
1Conducted by the National Cancer Institute of
Canada
2Overall survival
3Standard of
care
Other Cancers
During the period,
the Brazil Health Regulatory Agency granted approval to
Imfinzi for the treatment
of patients with locally-advanced or metastatic bladder cancer who
have suffered disease progression during or following
platinum-containing chemotherapy or who have suffered disease
progression within 12 months of neoadjuvant or adjuvant treatment
with platinum-containing chemotherapy. The regulatory decision was
the fastest-ever immuno-oncology approval in Brazil. Imfinzi's approval, based on Phase
Ib/II clinical-trial data, was received only 10 months after
submission, reflecting the importance of a new treatment option for
patients and compelling clinical data. Ongoing key trials are
listed below:
Name
|
Phase
|
Line
of Treatment
|
Population
|
Design
|
Timelines
|
Status
|
DANUBE
|
III
|
1st
line
|
Cisplatin
chemotherapy- eligible/
ineligible bladder
cancer
|
Imfinzi, Imfinzi + treme vs SoC
chemotherapy
|
FPCD
Q4
2015
LPCD
Q1
2017
First data
anticipated 2019
|
Recruitment
completed
|
KESTREL
|
III
|
1st
line
|
Head and neck
squamous cell carcinoma (HNSCC, head and neck cancer)
|
Imfinzi, Imfinzi + treme vs SoC
|
FPCD
Q4
2015
LPCD
Q1
2017
First data
anticipated H1 2018
|
Recruitment
completed
|
EAGLE
|
III
|
2nd
line
|
HNSCC
|
Imfinzi, Imfinzi + treme vs SoC
|
FPCD
Q4
2015
LPCD
Q3
2017
First data
anticipated H1 2018
|
Recruitment
completed
|
HIMALAYA
|
III
|
1st
line
|
hepatocellular
carcinoma (HCC, liver cancer)
|
Imfinzi, Imfinzi + treme (two dosing regimens)
vs sorafenib
|
FPCD
Q4 2017
First data anticipated 2020
|
Recruitment
ongoing
|
During the period,
it was confirmed that the FUSION programme, conducted by Celgene
Corporation (Celgene), will not enrol further patients in the
clinical trials in multiple myeloma (MM) (MM-001, MM-002, MM-003,
and MM-005). This update followed an announcement in September 2017
that Celgene had been informed that the US FDA had placed a partial
clinical hold on five trials and a full clinical hold on one trial
in the programme.
The trials were testing Imfinzi in combination with
immunomodulatory agents such as lenalidomide, with or without
chemotherapy, in blood cancers such
as MM, CLL and lymphoma. Two ongoing Company trials of
Imfinzi in myelodysplastic
syndrome (MDS) and diffuse large B-cell lymphoma (DLBCL) will
continue as planned. The MDS-001 trial, that has separate cohorts
for newly-diagnosed acute myeloid leukaemia and MDS patients, has
completed enrolment and will continue as planned. The DLBCL-001
trial will continue to enrol, with all patients receiving
Imfinzi + R-CHOP, a
chemotherapy treatment using rituximab.
e) Calquence (blood cancer)
Following the US
FDA accelerated approval of Calquence on 31 October 2017,
AstraZeneca presented data from MCL and CLL clinical trials at the
aforementioned ASH meeting. Results were presented in MCL from the
open-label, single-arm Phase II ACE-LY-004 clinical trial, which
served as the basis for the approval. The data demonstrated an
objective response rate of 81%, with a complete response rate of
40%.
Efficacy
measure
|
Patients
(percent response)
|
Objective response
rate
(Complete response + partial response)
Complete
response
Partial
response
|
81%
40%
41%
|
Stable
disease
|
9%
|
Progressive
disease
|
8%
|
Not
evaluable
|
2%
|
The data shown in the table above are
as per the 2014 Lugano classification response criteria for
non-Hodgkin lymphoma; high concordance was observed between
investigator-assessed and independent review committee-assessed
overall response and complete response rates,
respectively.
In CLL, data from
the Phase Ib/II ACE-CL-003 clinical trial and updated results from
the Phase I/II ACE-CL-001 clinical trial that are testing
Calquence in combination
and alone for the treatment of CLL in multiple treatment settings
were also presented. In the ACE-CL-003 trial, the combination of
Calquence and obinutuzumab
demonstrated an objective response rate (the primary endpoint) of
95% for the 19 patients in the treatment-naïve cohort and 92%
in the 26 patients with relapsed or refractory CLL. Additionally,
the complete response rate was 16% for treatment-naïve
patients and 8% for previously-treated patients. Longer-term safety
follow-up of the Calquence
monotherapy ACE-CL-001 trial was also presented where safety
(primary endpoint) and efficacy (secondary endpoint) data of the
full-trial cohort of 134 patients with relapsed or refractory CLL
was shown, with a median time on trial and follow-up of 24.5
months.
CVMD
CV and metabolic
diseases (CVMD) are key areas of focus for AstraZeneca as the
Company sets the challenge to better understand how its portfolio
of medicines might be used to help address multiple risk factors or
co-morbidities across CVMD. Today, AstraZeneca is delivering
life-changing results in the main CV-disease areas and their
complications. AstraZeneca is investing in the science to
demonstrate CV and mortality benefits by slowing the underlying
progression of CV-related disease and protecting the organs of the
CV system. Ultimately, AstraZeneca is looking to do more than just
slow CV-related disease, by modifying or even halting the natural
course of the disease itself and regenerate organs.
The net result is a
strong, continued commitment to new CVMD treatment options that
have the potential to deliver improved outcomes to hundreds of
millions of patients across the globe.
a) Brilinta
(CV
disease)
In the period, the
Company announced the initiation of a new Brilinta outcomes trial, THALES; the
decision to initiate another stroke trial followed the encouraging
trend data seen in the prior SOCRATES trial. The THALES trial will
evaluate the safety and efficacy of 30-day treatment with
Brilinta vs. placebo, both
in addition to aspirin, for reducing stroke and death in patients
who have already suffered an acute ischaemic stroke or high-risk
transient ischaemic attack in the preceding 24 hours. During the
period, the first patient was dosed in the THALES
trial.
b)
Farxiga (diabetes)
During the period,
top-line results from the ongoing DEPICT clinical programme,
exploring the use of Farxiga in type-1 diabetes, became
available in-house. These results from the DEPICT-1 52-week and
DEPICT-2 24-week trial data demonstrated significant and
clinically-relevant reductions from baseline in HbA1c, weight
reductions and lowered total daily insulin dosing, compared to
placebo at both the 5mg and 10mg dose. The safety profile of
Farxiga in the DEPICT-1 52
week and DEPICT-2 24 week trials was similar to the known safety
profile of Farxiga in
patients with type-2 diabetes, with the exception of a higher
proportion of diabetic ketoacidosis (DKA) events in Farxiga-treated patients vs. placebo
within these type-1 diabetes trials. Further analysis of the data
is required, along with the 52 week results of the DEPICT-2
trial.
During the period,
the Company also received top-line results for DERIVE, a trial
designed to evaluate the glycemic efficacy and renal safety of
Farxiga in patients with
type-2 diabetes and moderate renal impairment who have inadequate
glycaemic control. The top-line results showed that, in patients
with type-2 diabetes and chronic kidney disease (CKD) stage 3A,
treatment with Farxiga for
24 weeks resulted in clinically-relevant and
statistically-significant improvements in glycemic control.
Farxiga was well tolerated,
with no imbalances in adverse events (AEs) or serious adverse
events or no new safety signals in the overall safety summary.
Specifically, there were no AEs of hypoglycaemia, DKA or fractures
reported in the trial. As these were the initial data, additional
sensitivity analyses and safety evaluations are being
conducted.
c)
Bydureon (type-2
diabetes)
In the period, the
EMA approved the use of Bydureon with basal insulin based on
the results of the DURATION-7 clinical trial. The decision followed
a positive recommendation in October 2017 from the Committee for
Medicinal Products for Human Use (CHMP). The DURATION-7
trial assessed the efficacy and safety of Bydureon vs. placebo when added to
titrated basal insulin with or without metformin in patients with
uncontrolled type-2 diabetes over 28 weeks.
d) ZS-9 (sodium zirconium
cyclosilicate)
(hyperkalaemia)
During the period,
the US FDA accepted the Class II regulatory resubmission for ZS-9
following the progress the Company has made in addressing the
deficiencies identified during previous inspections of the
dedicated manufacturing facility in Texas.
During the period,
the CHMP reiterated its previous positive opinion and recommended
the granting of a marketing authorisation for ZS-9 in the EU, for
the treatment of hyperkalaemia. A positive opinion was provided in
February 2017; the opinion was, however, suspended following
concerns relating to the aforementioned manufacturing deficiencies.
On the basis of recent inspection findings, the Committee
reiterated its original opinion in January 2018.
e) Roxadustat
(anaemia)
During the period,
the Company and its partner FibroGen Inc. (Fibrogen) announced that
roxadustat was granted priority review by the China FDA. The
Company anticipates a regulatory decision in H2 2018 based on the
data from two Fibrogen-led Phase III trials, conducted in China,
that met their primary efficacy endpoints in January 2017. If
approved, roxadustat will be a first-in-class medicine, with China
being the first approval country, ahead of other major
markets.
Major Ongoing
Cardiovascular Outcomes Trials
Major ongoing
outcomes trials for patients are highlighted in the following
table:
Medicine
|
Trial
|
Mechanism
|
Population
|
Primary
Endpoint
|
Timeline
|
Farxiga
|
DECLARE
|
SGLT2
inhibitor
|
c.17,0001
patients with type-2 diabetes
|
Time to first
occurrence of CV death, non-fatal myocardial infarction (MI) or
non-fatal stroke
|
Data anticipated H2
2018 (final analysis)
|
Farxiga
|
DAPA-HF
|
SGLT2
inhibitor
|
c.4,500 patients
with heart failure (HF)
|
Time to first
occurrence of CV death or hospitalisation for HF or an urgent HF
visit
|
FPCD
Q1 2017
Data anticipated 2019
|
Farxiga
|
DAPA-CKD
|
SGLT2
inhibitor
|
c.4,000 patients
with CKD
|
Time to first
occurrence of ≥50% sustained decline in eGFR2 or reaching
ESRD3 or
CV death or renal death
|
FPCD
Q1 2017
Data anticipated 2020
|
Brilinta
|
THEMIS
|
P2Y12 receptor
antagonist
|
c.19,000 patients
with type-2 diabetes
and coronary artery
disease
without a history
of
MI or
stroke
|
Composite
of
CV death, non-fatal
MI
and non-fatal
stroke
|
Data anticipated
2019
|
Epanova
|
STRENGTH
|
Omega-3 carboxylic
acids
|
c.13,000 patients
with mixed dyslipidaemia
|
Time to first
occurrence of CV death, non-fatal MI or non-fatal
stroke
|
Data anticipated
2019
|
1Includes
c.10,000 patients who have had no prior index event and c.7,000
patients who have suffered an index
event.
2Estimated
Glomerular Filtration Rate.
3End-Stage Renal
Disease.
RESPIRATORY
AstraZeneca's
Respiratory focus is aimed at transforming the treatment of asthma
and COPD through combination inhaled therapies, biologics for the
unmet medical needs of specific patient populations and an early
pipeline focused on disease modification.
The growing range
of medicines includes up to four anticipated launches between 2017
and 2020; of these, Bevespi
and Fasenra are already
benefitting patients. The capability in inhalation technology spans
both pressurised, metered-dose inhalers and dry-powder inhalers to
serve patient needs, as well as the innovative Aerosphere Delivery Technology, a focus
of AstraZeneca's future-platform development for
respiratory-disease combination therapies.
a) Symbicort (asthma)
During the period, the US FDA approved updates to
the Symbicort labelling,
including removal of the boxed warning for Symbicort and other
ICS/LABA medicines for serious
asthma-related outcomes. The update followed a 2011 post-marketing
requirement from the US FDA, which required all manufacturers of
LABA medicines to further evaluate their safety when used in
combination with ICS for the treatment of asthma. The agency
analysed four clinical trials involving over 42,000 patients and
the results did not show a significant increase in the risk of
serious asthma-related events (hospitalisation, intubations and
death) with an ICS/LABA fixed-dose combination, compared with ICS
alone.
b) Tudorza (COPD)
On 4 December 2017,
AstraZeneca announced positive top-line results of the Phase IV
ASCENT trial for Tudorza, a
long-acting muscarinic antagonist (LAMA), in patients with moderate
to very severe COPD, with a history of CV disease and/or
significant CV risk factors.
The US FDA required
data from the ASCENT trial as a post-marketing requirement to
evaluate major adverse CV events for up to three years with
aclidinium bromide, the active ingredient in Tudorza. The trial included more than
3,600 patients from Canada and the US and demonstrated a reduction
in exacerbations and CV safety. A full analysis of the data is
ongoing and results will be presented at a forthcoming medical
meeting. AstraZeneca intends to submit an sNDA for an expanded
Tudorza label.
c) Fasenra (benralizumab) (severe,
uncontrolled asthma)
On 15 November
2017, the Company announced that the US FDA had approved
Fasenra as a new medicine
for patients with severe asthma aged 12 years and older and with an
eosinophilic phenotype.
On 10 January 2018,
the EMA approved Fasenra as
an add-on maintenance treatment in adult patients with severe,
inadequately-controlled eosinophilic asthma, despite high-dose
inhaled corticosteroids plus LABA. The approvals were based on
results from the WINDWARD programme, including the pivotal Phase
III exacerbation trials SIROCCO and CALIMA, plus the Phase III oral
corticosteroid (OCS)-sparing trial, ZONDA. Regulatory decisions are
anticipated in several other jurisdictions in H1 2018.
On 19 January 2018,
the Company announced that the Japanese Ministry of Health, Labour
and Welfare had approved Fasenra as an add-on treatment for
bronchial asthma in patients who continue to experience asthma
exacerbations, despite treatment with high-dose inhaled
corticosteroid and other asthma controller(s).
During the period,
the Phase III GRECO trial met its primary endpoint, showing that
patients and caregivers could self-administer Fasenra with an autoinjector. GRECO was
a multicentre, open-label trial designed to assess the
functionality and reliability of a single use autoinjector of
Fasenra, administered
subcutaneously in an at-home setting with monitoring of the
autoinjector performance after use. The device performed as
expected during the clinical trial.
d) Tralokinumab
(asthma)
During the period,
AstraZeneca decided to discontinue the development of tralokinumab,
an investigational anti-IL-13 human immunoglobulin-G4 monoclonal
antibody, in severe, uncontrolled asthma. The decision followed the
publication of results of the Phase III programme, in which the
primary endpoint of a significant reduction in the annual asthma
exacerbation rate was not met in the two pivotal trials, STRATOS 1
and STRATOS 2. In an OCS-sparing trial, TROPOS, tralokinumab did
not achieve a statistically-significant reduction in OCS use when
added to the standard of care, in patients dependent on
OCS.
e) PT010
(COPD)
On 26 January 2018, AstraZeneca announced the
top-line results of the pivotal Phase III KRONOS trial for PT010, a
potential triple-combination therapy
(budesonide/glycopyrronium/formoterol fumarate) for the treatment of moderate to very severe COPD.
In the trial, PT010 significantly improved lung function compared
to PT009 (budesonide/formoterol fumarate), Bevespi (glycopyrronium/formoterol
fumarate) and Symbicort
Turbuhaler (budesonide/formoterol fumarate).
AstraZeneca anticipates presentation of
the results at a forthcoming medical meeting and intends to
make the first regulatory submission for PT010 in H2
2018.
During the period, the Phase III TELOS trial read
out, which compared two doses of PT009 (budesonide/formoterol
fumarate) to its individual components, PT005 (formoterol fumarate)
and PT008 (budesonide), and to Symbicort. The trial assessed lung
function in patients with moderate to very severe COPD to qualify
PT009 as an active comparator in the PT010 clinical-trial
programme.
PT009, PT005 and PT008 were all delivered using
Aerosphere Delivery
Technology. All primary endpoints were met, with the exception of
the lung-function primary endpoint that compared low-dose PT009 to
PT005. A full evaluation of the TELOS trial results is ongoing, and
the Company intends to present the results at a forthcoming medical
meeting.
f) Tezepelumab
(asthma)
In November 2017, the Company and its partner Amgen
Inc. initiated the Phase III PATHFINDER programme for tezepelumab.
During the period, the first patient was enrolled in the first
Phase III trial, NAVIGATOR. The decision to proceed with the
programme was based on the results from the Phase IIb PATHWAY trial
in patients with severe, uncontrolled asthma. Results from the
trial were published in the New
England Journal of Medicine and presented at the European
Respiratory Society International Congress in September
2017.
Development
Pipeline 31 December 2017
________________________________________________________________________________________
AstraZeneca-sponsored or -directed trials
Phase III / Pivotal Phase II / Registration
New Molecular Entities (NMEs) and significant additional
indications
Regulatory submission dates shown for
assets in Phase III and beyond. As disclosure of compound information is
balanced by the business need to maintain confidentiality,
information in relation to some compounds listed here has not been
disclosed at this time.
Compound
|
Mechanism
|
Area Under Investigation
|
Date Commenced Phase
|
Estimated Regulatory Acceptance Date /Submission
Status
|
US
|
EU
|
Japan
|
China
|
Oncology
|
Calquence# (acalabrutinib)
|
BTK
inhibitor
|
B-cell
malignancy
|
Q1
2015
|
Launched
|
|
|
|
savolitinib#
SAVOIR
|
MET inhibitor
|
papillary renal cell carcinoma
|
Q3 2017
|
2020
|
2020
|
|
|
selumetinibASTRA
|
MEK inhibitor
|
differentiated thyroid cancer
|
Q3 2013
|
H2 2018
(Orphan Drug Designation)
|
H2 2018
|
|
|
moxetumomab pasudotox#
PLAIT
|
anti-CD22 recombinantimmunotoxin
|
hairy cell leukaemia
|
Q2 2013
|
H1 2018
(Orphan Drug Designation)
|
|
|
|
Imfinzi#
+
tremelimumabARCTIC
|
|