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 November 2016
Commission
File Number: 001-11960
AstraZeneca PLC
1
Francis Crick Avenue
Cambridge
Biomedical Campus
Cambridge
CB2 0AA
United
Kingdom
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by check mark whether the registrant files or will file annual
reports under cover of Form 20-F or Form 40-F.
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20-F X
Form
40-F __
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by check mark if the registrant is submitting the Form 6-K in paper
as permitted by Regulation S-T Rule 101(b)(1):
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by check mark if the registrant is submitting the Form 6-K in paper
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by check mark whether the registrant by furnishing the information
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to the Commission pursuant to Rule 12g3-2(b) under the Securities
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assigned to the Registrant in connection with Rule
12g3-2(b): 82-_____________
AstraZeneca
PLC
10
November 2016 07:00
Year-To-Date
and Q3 2016 Results
Performance in line with our
expectations
Financial
Summary
|
YTD 2016
|
|
Q3 2016
|
|
$m
|
% change
|
$m
|
% change
|
|
|
|
|
CER1
|
Actual
|
CER
|
Actual
|
Total Revenue
|
17,417
|
(3)
|
(5)
|
5,699
|
(4)
|
(4)
|
Product
Sales
|
16,059
|
(6)
|
(8)
|
5,025
|
(14)
|
(14)
|
Externalisation
Revenue
|
1,358
|
56
|
55
|
674
|
n/m
|
n/m
|
|
|
|
|
|
|
|
Reported Operating
Profit
|
2,369
|
(26)
|
(22)
|
1,028
|
(29)
|
(12)
|
Core Operating Profit2
|
4,695
|
(13)
|
(12)
|
1,696
|
(13)
|
(2)
|
|
|
|
|
|
|
|
Reported Earnings Per Share
(EPS)
|
$1.31
|
(26)
|
(18)
|
$0.80
|
4
|
32
|
Core EPS
|
$3.10
|
(10)
|
(7)
|
|
$1.32
|
12
|
28
|
The Reported and
Core EPS performance in Q3 2016 included a non-recurring tax
benefit of $0.36, resulting from agreements on transfer pricing
arrangements between various tax authorities.
●
Total
Revenue declined by 3% in the year to date to $17,417m, reflecting
a decline in Product Sales that was driven by the entry in the US
of multiple Crestor generic
medicines
●
Continued good progress on cost control:
-
Reported
and Core R&D expenses grew by 4% to $1,402m and were stable at
$1,337m in the third quarter, respectively
-
Reported
and Core SG&A expenses reduced by 8% to $2,403m and by 12% to
$1,892m in the third quarter, respectively
●
Reported
EPS declined by 26% in the year to date, reflecting the fall in
Product Sales. Core EPS declined by 10%, reflecting the phasing of
Other Operating Income towards the final quarter of the
year
●
Full-year
financial guidance remains unchanged
Commercial
Highlights
The
Growth Platforms grew by 6% in the year to date (Q3 2016: Up by
3%):
●
Emerging
Markets: 6% growth supported by China (up by 10%); Latin America
sales declined by 11%, impacted by the reduction of activities in
Venezuela
●
Diabetes:
Growth of 13%. Farxiga became
the Company's largest-selling Diabetes medicine. Slower
Diabetes growth of 6% in the third quarter, reflecting an expected
decline in the sales of Onglyza
●
Respiratory:
A decline of 2%, with marked declines in the sale of
Symbicort
in the
US and Europe, reflecting the competitive environment and a Q3
rebate true-up in the US
●
Brilinta: Growth
of 39%. Deceleration in the third quarter, a function of wholesaler
stocking in the comparative period
●
New
Oncology: Strong sales of $197m in Q3 2016 (H1: $251m), driven
by Tagrisso and
Lynparza
Achieving
Scientific Leadership: Progress Since The Last Results
Announcement
Regulatory
Approvals
|
- Brilinta - cardiovascular (CV) disease
(JP)
|
Regulatory
Submissions*
/Acceptances
|
- Faslodex - breast cancer
(1st line) (JP)*
- Tagrisso - lung cancer
(CN)*
- ZS-9 - hyperkalaemia
(US)
|
Positive
Phase III Data Readouts
|
- Lynparza - ovarian cancer (2nd
line)
- Farxiga + Bydureon - type-2
diabetes
- benralizumab - severe, uncontrolled
asthma
|
Other
Key Developments
|
- Priority Review Designation:
Tagrisso
(CN)
- Fast Track Designation: AZD3293 -
Alzheimer's disease (US)
|
Pascal Soriot, Chief Executive
Officer, commenting on the results said:
"The
performance in the third quarter was in line with our expectations,
reflecting the transitional impact from the first full quarter of
generic competition to Crestor in the US. We sharpened
significantly our focus on our three therapy areas, by prioritising
our portfolio through externalisation and divestments. This focus,
underpinned by our productivity initiatives, supported the rapid
reduction in SG&A costs. This enabled our increased investment
in Oncology, as well as in China and launched new medicines in key
markets.
Our late-stage pipeline continued to advance at a
pace we could not have anticipated three years ago, as we saw with
recent positive results for Tagrisso in lung cancer, Lynparza in ovarian cancer and our
first respiratory biologic medicine, benralizumab, in severe,
uncontrolled asthma.
Importantly, we are entering an intensive period
of news flow over the next twelve months, in particular revealing
the potential of our Immuno-Oncology and targeted medicines. Our
focus on scientific excellence keeps us on track with our goals, as
we approach an inflection point of a pipeline designed to transform
our company and the lives of patients."
FY 2016
Guidance
Guidance
for FY 2016 is unchanged and is shown at CER1:
Total
Revenue
|
A low to
mid single-digit percentage decline
|
Core
EPS
|
A low to
mid single-digit percentage decline
|
The above guidance
incorporates the dilutive effects arising from the Acerta Pharma B.V. (Acerta Pharma) and ZS
Pharma, Inc. (ZS Pharma) transactions announced in FY
2015.
Core R&D costs
are now expected to be ahead of those in FY 2015. The Company will
materially reduce Core SG&A costs in FY 2016 versus the prior
year. These measures are based on constant exchange
rates.
The
Company presents Core EPS guidance. It is unable to provide
guidance on a Reported/GAAP basis because the Company cannot
reliably forecast material elements of the Reported/GAAP result,
including the fair-value adjustments arising on acquisition-related
liabilities, intangible-asset impairment charges and
legal-settlement provisions.
FY 2016 Currency Impact
Based on
average exchange rates in the year to
date and the Company's published currency sensitivities, there is
expected to be an immaterial impact from currency movements on
Total Revenue in FY 2016. Core EPS is expected to benefit from
currency movements by a low to mid single-digit percentage versus
the prior year. Further details on currency sensitivities are
contained within the Operating and Financial
Review.
Notes
1.
All growth rates and guidance are shown at constant exchange rates
(CER) unless otherwise specified.
2.
See the Operating and Financial Review for a definition of Core
financial measures and a reconciliation of Core to Reported
financial measures.
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.
Q4
2016
|
Tagrisso - lung cancer: Regulatory
submission (US, EU) (AURA3)
roxadustat - anaemia: Rolling
regulatory submission (CN)
benralizumab
- severe, uncontrolled asthma: Regulatory submission (US,
EU)
|
H1
2017
|
Faslodex - breast cancer (1st line): Regulatory decision
(JP); regulatory submission (US, EU) Lynparza - breast cancer: Data
readout
Lynparza - ovarian cancer (2nd line): Regulatory
submission
durva +
treme - lung cancer (MYSTIC): Data readout
durva +
treme - lung cancer (ARCTIC): Data readout
durva +
treme - HNSCC# (CONDOR):
Data readout, regulatory submission (US) (Phase
II)*
acalabrutinib - blood cancer: Data
readout, regulatory submission (US) (Phase II)*
saxagliptin/dapagliflozin
- type-2 diabetes: Regulatory decision (US)
Bydureon - autoinjector: Regulatory
submission (US)
ZS-9 - hyperkalaemia: Regulatory
decision (US, EU)
benralizumab - severe, uncontrolled asthma:
Regulatory submission (JP)
brodalumab
- psoriasis: Regulatory decision (US, EU)
|
H2
2017
|
Lynparza - ovarian cancer (1st line): Data
readout
Lynparza - breast cancer: Regulatory
submission
Tagrisso - lung cancer: Regulatory decision
(CN)
Tagrisso - lung cancer (1st line): Data
readout
durvalumab - lung cancer (PACIFIC): Data readout,
regulatory submission (US)
durva + treme - lung cancer
(MYSTIC): Regulatory submission
durva + treme - lung cancer
(ARCTIC): Regulatory submission
durva + treme - HNSCC# (KESTREL): Data
readout
moxetumomab - leukaemia: Data
readout
roxadustat - anaemia: Data readout
(AstraZeneca-sponsored trial)
tralokinumab - severe, uncontrolled
asthma: Data readout
|
The term 'data readout' in this
section refers to Phase III data readouts, unless specified
otherwise.
*Potential fast-to-market opportunity
ahead of randomised, controlled trials.
#Head and Neck
Squamous Cell Carcinoma
Results Presentation
A conference call and webcast for investors and
analysts, hosted by management, will begin at midday UK time
today. Click here
to register for the webcast, with
further details available via astrazeneca.com/investors.
Reporting Calendar
The Company intends
to publish its full-year and fourth-quarter financial results on 2
February 2017.
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, Cardiovascular & Metabolic Diseases 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 www.astrazeneca.com and follow us on Twitter
@AstraZeneca.
Media Enquiries
|
Esra Erkal-Paler
|
UK/Global
|
+44 203 749 5638
|
Neil Burrows
|
UK/Global
|
+44 203 749 5637
|
Vanessa Rhodes
|
UK/Global
|
+44 203 749 5736
|
Karen Birmingham
|
UK/Global
|
+44 203 749 5634
|
Rob Skelding
|
UK/Global
|
+44 203 749 5821
|
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
|
+1 240 477 3771
|
Lindsey
Trickett
|
Cardiovascular & Metabolic
Diseases
|
+1 240 543 7970
|
Nick Stone
|
Respiratory
|
+44 203 749
5716
|
Christer
Gruvris
|
Autoimmunity, neuroscience &
infection
|
+44 203 749
5711
|
US toll
free
|
|
+1 866 381 7277
|
Operating and Financial Review
_______________________________________________________________________________________
All narrative on
growth and results in this section is based on CER unless stated
otherwise. Financial figures are in US$ millions ($m). The
performance shown in this announcement covers the nine and
three-month periods to 30 September 2016 (the year to date (YTD)
and the third quarter, respectively) compared to the nine and
three-month periods to 30 September 2015.
Core measures,
which are presented in addition to Reported financial information,
are non-GAAP measures provided to enhance understanding of the
Company's underlying financial performance. 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 (this will include such
charges that relate to the impact of global restructuring
programmes on capitalised IT assets)
- other specified
items, principally comprising legal settlements and
acquisition-related costs, which include fair value adjustments and
the imputed finance charge relating to contingent consideration on
business combinations
Details on the
nature of these measures are provided on page 64 of the Annual
Report and
Form 20-F Information 2015.
Total Revenue
|
YTD 2016
|
Q3 2016
|
$m
|
% CER change
|
$m
|
% CER change
|
Product
Sales
|
16,059
|
(6)
|
5,025
|
(14)
|
Externalisation
Revenue
|
1,358
|
56
|
674
|
n/m
|
|
|
|
|
|
Total Revenue
|
17,417
|
(3)
|
5,699
|
(4)
|
Based on actual
exchange rates, Total Revenue declined by 5% in the year to date,
reflecting the strength of the US dollar.
Product
Sales
The level of
decline in Product Sales was driven by the US market entry of
multiple Crestor generic
medicines in the third quarter, as well as the ongoing impact of
Nexium generic medicines in
the US. Q3 2016 sales of Crestor and Nexium in the US declined by 82% and
50%, respectively. Overall US Product Sales declined by 17% in the
year to date (Q3 2016: Down by 35%), with Product Sales in Europe
declining by 2% (Q3 2016: Down by 1%).
Within
Product Sales, the Growth Platforms grew by 6% in the year to date,
representing 62% of Total Revenue:
Growth Platforms
|
YTD 2016
|
Q3 2016
|
Product Sales ($m)
|
% CER change
|
Product Sales ($m)
|
% CER change
|
Emerging
Markets
|
4,308
|
6
|
1,395
|
3
|
Respiratory
|
3,543
|
(2)
|
1,110
|
(8)
|
Diabetes
|
1,829
|
13
|
606
|
6
|
Japan
|
1,593
|
(2)
|
595
|
-
|
Brilinta
|
603
|
39
|
208
|
25
|
New
Oncology1
|
448
|
n/m
|
197
|
n/m
|
|
|
|
|
|
Total2
|
10,763
|
6
|
3,584
|
3
|
1New Oncology comprises
Lynparza, Iressa (US) and Tagrisso
2Total Product Sales for
Growth Platforms adjusted to remove duplication on a medicine and
regional basis
Externalisation
Revenue
Externalisation
Revenue recognised in the year to date amounted to $1,358m.
Highlights included:
Medicine
|
Partner
|
Region
|
$m
|
Anaesthetics
|
Aspen Global
Incorporated (Aspen) - initial revenue
|
Global (excl.
US)
|
520
|
Plendil
|
China Medical
System Holdings Ltd -commercialisation rights - initial
revenue
|
China
|
298
|
Tralokinumab
- atopic dermatitis
|
LEO Pharma A/S (LEO
Pharma) - initial revenue
|
Global
|
115
|
AZD3293
|
Eli Lilly and
Company (Lilly) - milestone revenue
|
Global
|
100
|
Nexium
OTC
20mg
|
Pfizer Inc.
(Pfizer) - milestone revenue
|
Global
|
93
|
Moventig
|
ProStrakan Group
plc (ProStrakan) - commercialisation rights - initial and milestone
revenue
|
EU
|
78
|
Examples of
sustainable future Externalisation Revenue streams are shown
below:
Announcement Date
|
Medicine
|
Partner
|
Region
|
Externalisation Revenue
|
1 July 2016
|
Tralokinumab
- atopic dermatitis
|
LEO
Pharma
|
Global
|
●
Initial
$115m milestone
●
Up to
$1bn in commercially-related milestones
●
Up to
mid-teen tiered percentage royalties on sales
|
9 June
2016
|
Anaesthetics
|
Aspen
|
Global (excl.
US)
|
●
Initial
$520m milestone
●
Up to
$250m in sales-related revenue
●
Double-digit
percentage trademark royalties on sales
|
2 September
2015
|
FluMist
|
Daiichi Sankyo
Company, Ltd. (Daiichi Sankyo)
|
Japan
|
●
Initial
(undisclosed) milestone
●
Sales-related
revenue (undisclosed)
|
1 September
2015
|
Brodalumab
|
Valeant
Pharmaceuticals International, Inc. (Valeant)
|
Global, later
amended to US
|
●
Initial
$100m milestone
●
Pre-launch
milestone up to $170m
●
Sales-related
royalties up to $175m
|
19 March
2015
|
Movantik
|
Daiichi
Sankyo
|
US
|
●
Initial
$200m milestone
●
Up to
$625m in Product Sales-related revenue
|
Product Sales
_______________________________________________________________________________________
The performance of
key medicines is shown below, with a geographical split shown in
Notes 8 and 9.
|
YTD 2016
|
Q3 2016
|
|
$m
|
% of Total
|
% Change
|
$m
|
% Change
|
|
CER
|
Actual
|
CER
|
Actual
|
Oncology
|
|
|
|
|
|
|
|
Iressa
|
395
|
2
|
(3)
|
(5)
|
125
|
(13)
|
(11)
|
Tagrisso
|
276
|
2
|
n/m
|
n/m
|
133
|
n/m
|
n/m
|
Lynparza
|
156
|
1
|
n/m
|
n/m
|
58
|
111
|
107
|
|
|
|
|
|
|
|
|
Legacy:
|
|
|
|
|
|
|
|
Faslodex
|
608
|
4
|
19
|
17
|
207
|
11
|
11
|
Zoladex
|
581
|
4
|
(4)
|
(6)
|
199
|
(5)
|
(5)
|
Casodex
|
187
|
1
|
(9)
|
(8)
|
62
|
(8)
|
(5)
|
Arimidex
|
175
|
1
|
(6)
|
(8)
|
56
|
(14)
|
(13)
|
Others
|
75
|
-
|
(32)
|
(29)
|
27
|
(29)
|
(21)
|
Total Oncology
|
2,453
|
15
|
17
|
16
|
867
|
17
|
19
|
Cardiovascular & Metabolic Diseases
|
|
|
|
|
|
|
|
Brilinta
|
603
|
4
|
39
|
36
|
208
|
25
|
22
|
Farxiga
|
596
|
4
|
79
|
75
|
220
|
64
|
63
|
Onglyza
|
571
|
4
|
(2)
|
(4)
|
169
|
(16)
|
(17)
|
Bydureon
|
436
|
3
|
3
|
3
|
145
|
(10)
|
(10)
|
Byetta
|
199
|
1
|
(18)
|
(18)
|
61
|
(15)
|
(15)
|
|
|
|
|
|
|
|
|
Legacy:
|
|
|
|
|
|
|
|
Crestor
|
2,770
|
17
|
(24)
|
(25)
|
688
|
(44)
|
(44)
|
Seloken/Toprol-XL
|
559
|
3
|
8
|
2
|
185
|
12
|
8
|
Atacand
|
234
|
1
|
(9)
|
(15)
|
74
|
(3)
|
(6)
|
Others
|
337
|
2
|
(24)
|
(27)
|
95
|
(28)
|
(29)
|
Total Cardiovascular & Metabolic Diseases
|
6,305
|
39
|
(8)
|
(10)
|
1,845
|
(21)
|
(21)
|
Respiratory
|
|
|
|
|
|
|
|
Symbicort
|
2,249
|
14
|
(10)
|
(11)
|
697
|
(17)
|
(18)
|
Pulmicort
|
773
|
5
|
8
|
4
|
224
|
4
|
1
|
Tudorza/Eklira
|
134
|
1
|
(5)
|
(6)
|
47
|
(17)
|
(19)
|
Daliresp/Daxas
|
113
|
1
|
57
|
57
|
42
|
27
|
27
|
Duaklir
|
44
|
-
|
n/m
|
n/m
|
14
|
88
|
75
|
Others
|
230
|
1
|
23
|
19
|
86
|
46
|
41
|
Total Respiratory
|
3,543
|
22
|
(2)
|
(4)
|
1,110
|
(8)
|
(10)
|
Other
|
|
|
|
|
|
|
|
Nexium
|
1,541
|
10
|
(19)
|
(20)
|
516
|
(21)
|
(20)
|
Seroquel XR
|
617
|
4
|
(20)
|
(21)
|
190
|
(26)
|
(26)
|
Synagis
|
375
|
2
|
(3)
|
(3)
|
104
|
(11)
|
(11)
|
Losec/Prilosec
|
217
|
1
|
(15)
|
(17)
|
72
|
(11)
|
(12)
|
Movantik/Moventig
|
65
|
-
|
n/m
|
n/m
|
25
|
n/m
|
n/m
|
FluMist/Fluenz
|
37
|
-
|
(58)
|
(62)
|
26
|
(61)
|
(66)
|
Others
|
906
|
6
|
(15)
|
(19)
|
270
|
(25)
|
(25)
|
Total Other
|
3,758
|
23
|
(16)
|
(18)
|
1,203
|
(22)
|
(22)
|
Total Product Sales
|
16,059
|
100
|
(6)
|
(8)
|
5,025
|
(14)
|
(14)
|
Product Sales Summary
_______________________________________________________________________________________
ONCOLOGY
YTD sales of
$2,453m; up by 17%. Oncology
sales represented 15% of Total Product Sales.
Iressa
(YTD sales of $395m; down by
3%)
Sales in the US
were $16m as the Company prioritised the launch of Tagrisso.
In Europe, sales
declined by 5% to $91m, reflected primarily in lower market
shares.
Emerging Markets
sales declined by 6% to $187m. China sales declined by 13% to $98m,
as a result of the price re-set following national reimbursement
listing in China that was obtained in June. The price adjustment
was partially offset by an expected increase in volume
demand.
Tagrisso
(YTD sales of $276m)
In the third quarter, sales of Tagrisso were higher than Iressa sales for the first time.
Tagrisso became the leading
AstraZeneca medicine for the treatment of lung cancer.
Regulatory approvals were granted in
a number of additional markets, including Korea, Switzerland and
Canada; the Company anticipates additional regulatory approvals and
reimbursement decisions in due course. To date, Tagrisso has received regulatory
approval in 41 markets worldwide.
Sales in the US increased by 33% in the third
quarter as compared to the second quarter, taking year-to-date
sales to $180m. Sales growth in the third quarter was driven by new
patient starts and treatment duration.
On 29 September 2016, a third-party, blood-based
companion-diagnostic test for Tagrisso was approved in the US, to
confirm the presence of a T790M mutation in patients with
locally-advanced or metastatic EGFR T790M mutation-positive
non-small cell lung cancer (NSCLC), who have been previously
treated with EGFR tyrosine kinase inhibitor (TKI)
therapy.
After regulatory approval in the EU and Japan
earlier in the year, sales in the year to date were $49m in Europe
and $43m in Japan.
Lynparza
(YTD sales of $156m)
Lynparza
is now
available to patients in 30 countries, with regulatory reviews
underway in seven additional countries including Singapore, Brazil,
and Russia. Almost 4,800 patients have been prescribed Lynparza since the US launch in
December 2014.
Sales in the US
increased by 109% in the year to date to
$96m, primarily driven by longer duration of therapy, as patients
stayed on treatment for longer due to efficacy
benefits.
Sales
in Europe increased to $56m, following several successful
launches.
Legacy:
Faslodex (YTD sales of
$608m; up by 19%)
Sales
in the US in the year to date increased by 23% to $321m, mainly
driven by an expanded label in March 2016 for 2nd-line advanced or
metastatic breast cancer, in combination with another
recently-approved medicine.
Europe
year-to-date sales increased by 11% to $169m.
An
increase in demand in Brazil (sales up by 4% to $20m) and China
(sales up by 114% to $14m) drove Emerging Markets sales to $70m,
representing an increase of 26%.
Legacy:
Zoladex (YTD sales of
$581m; down by 4%)
The decline in
global sales was attributed to Europe sales (down 5% to $117m) and
Established Rest Of World (ROW) sales (down by 6% to $199m). This
decline in demand was partially offset by favourable sales
performances in the US (up by 23% to $27m) and China (up by 22% to
$105m). Latin America sales, outside of Brazil, declined by 40% in
the year to date, reflecting the
reduction of AstraZeneca's activities in
Venezuela.
CARDIOVASCULAR & METABOLIC DISEASES
YTD sales of $6,305m;
down by 8%. Cardiovascular & Metabolic Diseases sales
represented 39% of Total Product Sales.
Brilinta (YTD sales of
$603m; up by
39%)
A slowdown in
third-quarter sales growth of 25% to $208m reflected inventory
built by US wholesalers in Q3 2015, during the launch of the 60mg
dose; underlying growth remained strong in the
period.
Sales
in the US in the year to date were $243m,
representing an increase of 43%. The overall performance reflected
updated preferred guidelines from the American College of
Cardiology and the American Heart Association in the first half of
the year; Brilinta remained
the branded oral anti-platelet market leader in the US.
Brilinta's new-to-brand
prescription market share was 12.8% at the end of the third
quarter, representing an increase of four basis
points.
Year-to-date
sales of Brilique
in
Europe increased by 15% to $192m, reflecting indication leadership
across a number of markets. In the first half of the year, the
German Institute for Quality and Efficiency in Healthcare gave its
assessment of the additional benefit from Brilique at the 60mg dose. This
assessment referred to the new indication (high-risk,
post-myocardial infarction), reflecting the PEGASUS
trial.
Emerging Markets
year-to-date sales grew by 88% to $136m, with China representing
48% of Emerging Markets sales at $65m, despite the medicine not
being included on the National Reimbursement Drug List yet. The
Company anticipates inclusion in due course. Growth in China was
underpinned by strong levels of hospital-listing expansion.
Year-to-date sales in the overall Asia-Pacific region increased by
52% to $30m.
Farxiga
(YTD sales of $596m; up by 79%)
In the year to
date, sales of Farxiga
surpassed those of Onglyza
and became the leading AstraZeneca medicine for type-2
diabetes.
Sales of
Farxiga in the US increased
by 78% to $327m in the year to date, primarily reflecting overall
market growth and increased market share. Greater emphasis on
promotional activity and improved levels of patient access resulted
in higher market share. As a consequence, total prescription share
grew against the backdrop of a US slowdown in SGLT2 market
growth.
Year-to-date sales
of Forxiga in Europe
increased by 58% to $136m, as the medicine continued to lead the
SGLT2 class.
Emerging Markets
sales increased by 120% to $92m, driven by ongoing launches and
improved access across all regions. In particular, strong
performances were seen in the Asia-Pacific region (up by 124% to
$36m), Brazil (up by 53% to $19m), and Middle East, Africa &
Others (up to $22m).
Onglyza
(YTD
sales of $571m; down by 2%)
Year-to-date
sales in the US declined by 6% to $304m, as the Company prioritised
sales and marketing resources towards Farxiga. Continued competitive
pressures in the DPP-4 class were partially offset by favourable
restocking activity, encouraging federal-business sales and lower
utilisation of patient-access programmes.
Year-to-date sales in Europe
declined by 5% to $102m. In contrast, sales in Canada (up by 8% to
$39m) and Emerging Markets sales (up by 3% to $110m) reflected
encouraging volume demand.
Sales in Japan to Kyowa Hakko Kirin
Co., Ltd (Kyowa), who are responsible for the sale and marketing of
Onglyza, increased to
$11m.
Bydureon/Byetta
(YTD sales of $635m; down by 4%)
Combined
year-to-date US sales for Bydureon/Byetta were $476m.
Bydureon sales in the US
declined by 3% to $349m, representing 73% of total Bydureon/Byetta US sales. Around 75% of sales
came from the new dual-chamber pen compared to the previous tray
presentation. The decline in Byetta sales of 23% to $127m was
attributed to the Company's promotional focus on Bydureon. The decline in both
Bydureon and Byetta US sales was attributed to lower
market growth, increased competition from new market entrants and
the lack of a competitive delivery device. A regulatory submission
for the new Bydureon
autoinjector is anticipated in the US in the first half of
2017.
Year-to-date sales
in Europe increased by 12% to $112m, reflecting the Company's
ongoing effort to expand its Diabetes presence. Year-to-date sales
of Byetta and Bydureon in Emerging Markets increased
by 31% to $19m and by 50% to $4m, respectively. On 10 October
2016, AstraZeneca
entered into a strategic collaboration with 3SBio Inc. (3SBio), a
leading Chinese biotechnology business, for the rights to
commercialise Byetta and
Bydureon in the Chinese
market and drive greater access for patients.
Legacy:
Crestor (YTD sales of
$2,770m; down by 24%)
In the US,
Crestor year-to-date sales
declined by 45% to $1,128m, reflecting generic Crestor (rosuvastatin) penetration
since May 2016. Third-quarter sales declined by 82% to $124m and
reflected the multiple generic Crestor medicines that entered the US
market from July 2016.
In Europe,
year-to-date sales declined by 3% to $657m, reflecting the
increasing prevalence of generic-medicine competition. Crestor consolidated its position as
the leading statin in Japan, with year-to-date sales growth of 6%
to $392m. Year-to-date sales in China grew by 24% to $238m, while
Russia sales grew by 33% to $20m.
RESPIRATORY
YTD sales of $3,543m;
down by 2%. Respiratory sales represented 22% of Total
Product Sales.
Symbicort
(YTD sales of $2,249m; down by 10%)
Year-to-date
sales in the US declined by 14% to $958m. This reflected a Q3
rebate true-up in the US and the competitive environment. These
influences were partially offset by volume and market-share
growth.
In
Europe, year-to-date sales declined by 15% to $679m, a result of
reducing market demand in the class, as well as increased
competition from analogue medicines.
In
contrast to western markets, year-to-date Emerging Markets sales
grew by 11% to $302m, reflecting sales growth in China of 33% to
$120m, Latin America sales growth of 10% to $26m and Russia sales
growth of 3% to $25m. Emerging Markets sales in the third quarter,
down by 13% to $93m, were adversely impacted by significant
healthcare spending cuts in Saudi Arabia.
Pulmicort
(YTD sales of $773m; up by 8%)
Strong
underlying growth in Emerging Markets drove a 20% sales increase to
$501m in the year to date.
Emerging
Markets represented 65% of Pulmicort sales, which more than offset
sales declines in the US, Europe and Established ROW. China sales
increased by 21% to $408m and represented 53% of sales of
Pulmicort. Volume demand in
China reflected the increasing prevalence of acute chronic
obstructive pulmonary disease (COPD) and paediatric asthma.
AstraZeneca continued its expansion of treatment centres and
provided increased access to home-based patient-care
systems.
Tudorza/Eklira
(YTD sales of $134m; down by 5%)
Sales
in the US declined by 22% to $61m in the year to date, reflecting
adverse market demand and limited Medicare Part D access in the
first half of the year. Sales in Europe increased by 14% to
$65m.
Daliresp/Daxas
(YTD sales of $113m; up by 57%)
Sales
in the US increased by 40% to $101m in the year to date, driven
primarily by favourable market penetration. US rights were acquired
in March 2015 and US sales represented 89% of total global sales in
the year to date; European rights were added in May 2016.
Since
completion, Daxas
year-to-date
sales in Europe amounted to $10m.
Duaklir
(YTD sales of $44m)
Duaklir
has
been launched successfully in more than 25 countries
and
sales grew to $44m in the year to date.
OTHER
YTD sales of $3,758m;
down by 16%. Other sales represented 23% of Total Product
Sales.
Nexium
(YTD sales of $1,541m; down by
19%)
Sales
in the US declined by 42% to $419m in the year to date, reflecting
lower demand and inventory destocking, which followed the loss of
exclusivity in 2015.
Year-to-date
sales in Europe declined by 7% to $190m, with Emerging Markets
sales stable at $543m. Japan sales declined by 5% to $312m,
reflecting
a mandated biennial price reduction, effective from April
2016.
Seroquel
XR
(YTD sales of $617m; down by 20%)
Year-to-date
sales of Seroquel XR in the
US declined by 18% to $444m. Since 1 November 2016, two generic
medicines have had the ability to launch in the
US.
Year-to-date
sales of Seroquel XR in
Europe declined by 33% to $106m as a number of European markets
continued to face generic competition.
Synagis
(YTD sales of $375m; down by 3%)
Sales in the US
increased by 9% to $171m in the year to date, despite
more-restrictive guidelines from the American Academy of Pediatrics
Committee on Infectious Disease which has reduced the number of
patients eligible for preventative therapy with Synagis.
Sales in Europe to
AbbVie Inc., who are responsible for the sale and marketing,
declined by 11% to $204m.
FluMist/Fluenz
(YTD sales of $37m; down by
58%)
The Company
confirmed on 23 June 2016 that the Advisory Committee on
Immunization Practices (ACIP) of the US Centers for Disease Control
and Prevention had provided its interim recommendation not to use
FluMist Quadrivalent Live
Attenuated Influenza Vaccine (FluMist Quadrivalent) in the US for the
2016-2017 influenza season. The ACIP's updated recommendation is
expected to result in very limited US demand in this influenza
season.
The Company
consequently wrote down the value of its inventory of FluMist by $47m in the first half of
the year, which was reflected within the Cost of Sales.
Year-to-date sales of FluMist in the US declined by 85% to
$13m.
Regional Product Sales
_______________________________________________________________________________________
|
YTD 2016
|
Q3 2016
|
|
$m
|
% of Total
|
% Change
|
$m
|
% Change
|
|
CER
|
Actual
|
CER
|
Actual
|
US
|
5,747
|
36
|
(17)
|
(17)
|
1,538
|
(35)
|
(35)
|
|
|
|
|
|
|
|
|
Europe
|
3,732
|
23
|
(2)
|
(4)
|
1,265
|
(1)
|
(3)
|
|
|
|
|
|
|
|
|
Established ROW1
|
2,272
|
14
|
(3)
|
2
|
827
|
(1)
|
11
|
|
Japan
|
1,593
|
10
|
(2)
|
8
|
595
|
-
|
19
|
|
Canada
|
371
|
2
|
(1)
|
(7)
|
126
|
1
|
-
|
|
Other Established
ROW
|
308
|
2
|
(10)
|
(14)
|
106
|
(11)
|
(10)
|
|
|
|
|
|
|
|
|
Emerging Markets2
|
4,308
|
27
|
6
|
(2)
|
1,395
|
3
|
(2)
|
|
China
|
2,027
|
13
|
10
|
5
|
643
|
10
|
3
|
|
Ex. China
|
2,281
|
14
|
2
|
(7)
|
752
|
(1)
|
(6)
|
|
|
|
|
|
|
|
|
Total
|
16,059
|
100
|
(6)
|
(8)
|
5,025
|
(14)
|
(14)
|
|
|
|
|
|
|
|
|
|
|
1 Established ROW
comprises Japan, Canada, Australia and New
Zealand.
2
Emerging Markets
comprises all remaining Rest of World markets, including Brazil,
China, India, Mexico, Russia and Turkey.
US
(YTD sales of $5,747m; down by 17%)
The
year-to-date decline in US sales reflected generic Crestor (rosuvastatin) competition
since May 2016, and in particular, multiple generic Crestor medicines that entered the US
market from July 2016. Unfavourable managed-care pricing and
continued competitive intensity also impacted sales of Symbicort.
Europe
(YTD sales of $3,732m; down by 2%)
Strong
growth in sales of Forxiga
(up by 58% to $136m) and Brilique (up by 15% to $192m) was more
than offset by a 15% decline in Symbicort sales to $679m in the year to
date. However, Symbicort
maintained its position as the number one ICS/LABA medicine by
volume despite competition from analogue medicines. Lynparza and Tagrisso sales increased to $56m and
$49m respectively, following encouraging
launches.
Established
ROW (YTD sales of $2,272m; down by 3%)
Year-to-date
sales of Forxiga in
Established ROW increased by 82% to $41m. Nexium sales declined by 12% to
$389m.
Japan
sales declined by 2% to $1,593m, reflecting the biennial price
reduction effective from April 2016 of around 6%. The decline was
partly offset by sales of Crestor, up by 6% to $392m in the year
to date. Since
the launch of Tagrisso in
Japan in May 2016, sales amounted to $43m.
Emerging
Markets (YTD
sales of $4,308m; up by 6%)
Sales growth in the year to date in
Emerging Markets was impacted by challenging macro-economic
conditions in Latin America, where year-to-date sales declined by
11% to $364m. The effects of significant reductions in Saudi
Arabian governmental healthcare spending, as well as the reduction
of AstraZeneca's activities in Venezuela, also adversely impacted
sales. China sales, however,
grew by 10% to $2,027m, representing 47% of Emerging Markets sales
in the year to date.
Sales in
Brazil increased
by 5% to
$265m, reflecting the strong performances of Forxiga (up by 53% to $19m), Oncology medicines (up by 3% to
$59m) and Seloken (up by 9% to $47m). Russia sales increased by
13% to $155m, led by
strong performances in Cardiovascular & Metabolic Diseases
medicine sales (up by 35% to
$54m).
Financial Performance
______________________________________________________________________________________
Year To Date
|
Reported
|
% Change
|
|
Core
|
% Change
|
YTD 2016
|
YTD 2015
|
CER
|
Actual
|
|
YTD 2016
|
YTD 2015
|
CER
|
Actual
|
Product
Sales
|
16,059
|
17,434
|
(6)
|
(8)
|
|
16,059
|
17,434
|
(6)
|
(8)
|
Externalisation
Revenue
|
1,358
|
875
|
56
|
55
|
|
1,358
|
875
|
56
|
55
|
Total Revenue
|
17,417
|
18,309
|
(3)
|
(5)
|
|
17,417
|
18,309
|
(3)
|
(5)
|
|
|
|
|
|
|
|
|
|
|
Cost of
Sales
|
(2,966)
|
(3,377)
|
(9)
|
(12)
|
|
(2,785)
|
(2,910)
|
(1)
|
(4)
|
|
|
|
|
|
|
|
|
|
|
Gross Profit
|
14,451
|
14,932
|
(2)
|
(3)
|
|
14,632
|
15,399
|
(3)
|
(5)
|
Gross
Margin1
|
81.7%
|
80.6%
|
+0.6
|
+0.9
|
|
82.9%
|
83.3%
|
-0.9
|
-0.4
|
|
|
|
|
|
|
|
|
|
|
Distribution
Expense
|
(243)
|
(240)
|
7
|
2
|
|
(243)
|
(240)
|
7
|
2
|
% Total
Revenue
|
1.4%
|
1.3%
|
-0.1
|
-0.1
|
|
1.4%
|
1.3%
|
-0.1
|
-0.1
|
R&D
Expense
|
(4,347)
|
(4,251)
|
5
|
2
|
|
(4,150)
|
(4,036)
|
6
|
3
|
% Total
Revenue
|
25.0%
|
23.2%
|
-2.1
|
-1.8
|
|
23.8%
|
22.0%
|
-2.0
|
-1.8
|
SG&A
Expense
|
(8,027)
|
(8,444)
|
(2)
|
(5)
|
|
(6,119)
|
(6,804)
|
(7)
|
(10)
|
% Total
Revenue
|
46.1%
|
46.1%
|
-0.4
|
-
|
|
35.1%
|
37.2%
|
+1.7
|
+2.1
|
Other Operating
Income
|
535
|
1,029
|
(47)
|
(48)
|
|
575
|
1,027
|
(43)
|
(44)
|
% Total
Revenue
|
3.1%
|
5.6%
|
-2.5
|
-2.5
|
|
3.3%
|
5.6%
|
-2.3
|
-2.3
|
|
|
|
|
|
|
|
|
|
|
Operating Profit
|
2,369
|
3,026
|
(26)
|
(22)
|
|
4,695
|
5,346
|
(13)
|
(12)
|
% Total
Revenue
|
13.6%
|
16.5%
|
-4.0
|
-2.9
|
|
27.0%
|
29.2%
|
-3.2
|
-2.2
|
|
|
|
|
|
|
|
|
|
|
Net Finance
Expense
|
(978)
|
(750)
|
37
|
30
|
|
(489)
|
(355)
|
50
|
38
|
Joint
Ventures
|
(22)
|
(9)
|
|
|
|
(22)
|
(9)
|
|
|
|
|
|
|
|
|
|
|
|
|
Profit Before Tax
|
1,369
|
2,267
|
(46)
|
(40)
|
|
4,184
|
4,982
|
(18)
|
(16)
|
Taxation
|
220
|
(249)
|
|
|
|
(325)
|
(790)
|
|
|
Tax Rate %
|
(16)%
|
11%
|
|
|
|
8%
|
16%
|
|
|
Profit After Tax
|
1,589
|
2,018
|
(30)
|
(21)
|
|
3,859
|
4,192
|
(11)
|
(8)
|
|
|
|
|
|
|
|
|
|
|
Non-controlling
Interests
|
68
|
(1)
|
|
|
|
63
|
(1)
|
|
|
Net Profit
|
1,657
|
2,017
|
(26)
|
(18)
|
|
3,922
|
4,191
|
(10)
|
(6)
|
|
|
|
|
|
|
|
|
|
|
Weighted Average
Shares
|
1,265
|
1,264
|
|
|
|
1,265
|
1,264
|
|
|
|
|
|
|
|
|
|
|
|
|
Earnings Per Share ($)
|
1.31
|
1.60
|
(26)
|
(18)
|
|
3.10
|
3.32
|
(10)
|
(7)
|
1
Gross Margin
reflects Gross Profit derived from Product Sales, divided by
Product Sales
2
All financial figures, except
Earnings Per Share, are in $ millions ($m). Weighted Average Shares
are in millions.
Quarter
|
Reported
|
% Change
|
|
Core
|
% Change
|
Q3 2016
|
Q3 2015
|
CER
|
Actual
|
|
Q3 2016
|
Q3 2015
|
CER
|
Actual
|
Product
Sales
|
5,025
|
5,850
|
(14)
|
(14)
|
|
5,025
|
5,850
|
(14)
|
(14)
|
Externalisation
Revenue
|
674
|
95
|
n/m
|
n/m
|
|
674
|
95
|
n/m
|
n/m
|
Total Revenue
|
5,699
|
5,945
|
(4)
|
(4)
|
|
5,699
|
5,945
|
(4)
|
(4)
|
|
|
|
|
|
|
|
|
|
|
Cost of
Sales
|
(900)
|
(1,041)
|
(6)
|
(14)
|
|
(805)
|
(992)
|
(11)
|
(19)
|
|
|
|
|
|
|
|
|
|
|
Gross Profit
|
4,799
|
4,904
|
(4)
|
(2)
|
|
4,894
|
4,953
|
(2)
|
(1)
|
Gross
Margin1
|
82.2%
|
82.2%
|
-1.6
|
-0.1
|
|
84.1%
|
83.0%
|
-0.5
|
+1.1
|
|
|
|
|
|
|
|
|
|
|
Distribution
Expense
|
(76)
|
(79)
|
2
|
(3)
|
|
(76)
|
(79)
|
2
|
(3)
|
% Total
Revenue
|
1.3%
|
1.3%
|
-0.1
|
-
|
|
1.3%
|
1.3%
|
-0.1
|
-
|
R&D
Expense
|
(1,402)
|
(1,429)
|
4
|
(2)
|
|
(1,337)
|
(1,400)
|
-
|
(5)
|
% Total
Revenue
|
24.6%
|
24.0%
|
-1.9
|
-0.6
|
|
23.5%
|
23.5%
|
-1.1
|
-
|
SG&A
Expense
|
(2,403)
|
(2,679)
|
(8)
|
(10)
|
|
(1,892)
|
(2,220)
|
(12)
|
(15)
|
% Total
Revenue
|
42.2%
|
45.1%
|
+1.9
|
+2.9
|
|
33.2%
|
37.3%
|
+3.1
|
+4.1
|
Other Operating
Income
|
110
|
453
|
(75)
|
(76)
|
|
107
|
474
|
(76)
|
(77)
|
% Total
Revenue
|
1.9%
|
7.6%
|
-5.6
|
-5.7
|
|
1.9%
|
8.0%
|
-6.0
|
-6.1
|
|
|
|
|
|
|
|
|
|
|
Operating Profit
|
1,028
|
1,170
|
(29)
|
(12)
|
|
1,696
|
1,728
|
(13)
|
(2)
|
% Total
Revenue
|
18.0%
|
19.7%
|
-5.3
|
-1.7
|
|
29.8%
|
29.1%
|
-2.8
|
+0.7
|
|
|
|
|
|
|
|
|
-.
|
|
Net Finance
Expense
|
(342)
|
(237)
|
45
|
44
|
|
(174)
|
(105)
|
62
|
64
|
Joint
Ventures
|
(10)
|
(2)
|
|
|
|
(10)
|
(2)
|
|
|
|
|
|
|
|
|
|
|
|
|
Profit Before Tax
|
676
|
931
|
(49)
|
(27)
|
|
1,512
|
1,621
|
(18)
|
(7)
|
Taxation
|
319
|
(161)
|
|
|
|
136
|
(318)
|
|
|
Tax Rate %
|
(47)%
|
17%
|
|
|
|
(9)%
|
20%
|
|
|
Profit After Tax
|
995
|
770
|
1
|
29
|
|
1,648
|
1,303
|
11
|
26
|
|
|
|
|
|
|
|
|
|
|
Non-controlling
Interests
|
19
|
-
|
|
|
|
19
|
-
|
|
|
Net Profit
|
1,014
|
770
|
4
|
32
|
|
1,667
|
1,303
|
12
|
28
|
|
|
|
|
|
|
|
|
|
|
Weighted Average
Shares
|
1,265
|
1,264
|
|
|
|
1,265
|
1,264
|
|
|
|
|
|
|
|
|
|
|
|
|
Earnings Per Share ($)
|
0.80
|
0.61
|
4
|
32
|
|
1.32
|
1.03
|
12
|
28
|
1
Gross Margin
reflects Gross Profit derived from Product Sales, divided by
Product Sales
2
All financial figures, except
Earnings Per Share, are in $ millions ($m). Weighted Average Shares
are in millions.
Reconciliation of Reported to
Core Performance
YTD 2016
|
Reported
|
Restructuring
|
Intangible Asset
Amortisation & Impairments
|
Diabetes Alliance
|
Other1
|
Core
|
$m
|
$m
|
$m
|
$m
|
$m
|
$m
|
Cost of
Sales
|
(2,966)
|
87
|
94
|
-
|
-
|
(2,785)
|
R&D
Expense
|
(4,347)
|
146
|
51
|
-
|
-
|
(4,150)
|
SG&A
Expense
|
(8,027)
|
504
|
754
|
311
|
339
|
(6,119)
|
Other Operating
Income
|
535
|
(24)
|
64
|
-
|
-
|
575
|
Net Finance
Expense
|
(978)
|
-
|
-
|
292
|
197
|
(489)
|
Taxation
|
220
|
(150)
|
(221)
|
(139)
|
(35)
|
(325)
|
Non-controlling
Interests
|
68
|
(5)
|
-
|
-
|
-
|
63
|
Total
|
|
558
|
742
|
464
|
501
|
|
Q3 2016
|
Reported
|
Restructuring
|
Intangible Asset
Amortisation & Impairments
|
Diabetes Alliance
|
Other1
|
Core
|
$m
|
$m
|
$m
|
$m
|
$m
|
$m
|
Cost of
Sales
|
(900)
|
59
|
36
|
-
|
-
|
(805)
|
R&D
Expense
|
(1,402)
|
39
|
26
|
-
|
-
|
(1,337)
|
SG&A
Expense
|
(2,403)
|
176
|
250
|
93
|
(8)
|
(1,892)
|
Other Operating
Income
|
110
|
(24)
|
21
|
-
|
-
|
107
|
Net Finance
Expense
|
(342)
|
-
|
-
|
97
|
71
|
(174)
|
Taxation
|
319
|
(53)
|
(81)
|
(44)
|
(5)
|
136
|
Non-controlling
Interests
|
19
|
-
|
-
|
-
|
-
|
19
|
Total
|
|
197
|
252
|
146
|
58
|
|
1
Other adjustments
include provision charges related to certain legal matters (see
Note 7) and fair value adjustments arising on acquisition-related
liabilities (see Note 6).
Profit and Loss Commentary
Gross
Profit
Reported Gross
Profit declined by 2% in the year to date to $14,451m reflecting
the market entry of multiple Crestor generic medicines in the US.
Excluding the impact of externalisation revenue, the Reported Gross
Profit Margin was 81.7%, representing an increase of one percentage
point driven by lower restructuring and amortisation charges,
partially offset by an adverse impact from the mix of sales and a
write-down of FluMist
inventory in the US. Excluding these lower restructuring and
amortisation charges, Core Gross Profit declined by 3% in the year
to date to $14,632m and, excluding the impact of externalisation,
the Core Gross Profit margin declined by one percentage point to
82.9%.
In the third
quarter, Reported Gross Profit declined by 4% to $4,799m and
Reported Gross Margin declined by two percentage points to 82.2%.
Excluding restructuring and amortisation charges, Core Gross Profit
declined by 2% to $4,894m and Core Gross Margin was stable,
including the favourable impact of the growth in the sale of
specialty-care medicines.
Operating Expenses:
R&D
Reported R&D
costs increased by 5% in the year to date to $4,347m (Q3 2016:
$1,402m, growth of 4%). These increases reflected the number of
potential medicines in pivotal trials as
well as the absorption of the R&D costs of ZS Pharma
and Acerta Pharma. These costs
were partially offset by lower
restructuring costs and impairment charges. Without the impact of
ZS Pharma and Acerta Pharma, Reported R&D costs in the year to
date would have increased by 1%.
Excluding
the impact of lower restructuring and impairment charges,
Core R&D costs
increased by 6% in the year to date to $4,150m (Q3 2016: $1,337m,
stable). Without the impact of the
aforementioned investments in ZS Pharma and Acerta Pharma, Core
R&D costs in the year to date would have increased by
1%.
Operating Expenses:
SG&A
Reported SG&A
costs declined by 2% in the year to date to $8,027m, with
efficiency savings in sales and marketing operations and further
reductions in IT costs partly offset by higher restructuring costs,
amortisation charges and other adjustments, which are excluded from
the Core measurement. Reported SG&A costs declined by 8% in the
third quarter to $2,403m.
Core SG&A costs
declined by 7% in the year to date to $6,119m, in line with
full-year expectations of a material reduction. Core SG&A costs
declined by 12% in the quarter to $1,892m.
Other Operating
Income
Reported Other
Operating Income of $535m in the year to date
included:
Agreement
|
$m
|
Sale of ex-US
rights to Imdur
|
183
|
Crestor
royalties
|
165
|
HPV
royalties
|
94
|
Ertapenem
royalties
|
36
|
A number of
transactions have closed or are expected to close in the fourth
quarter of 2016, favourably impacting Other Operating Income. These
include:
Agreement
|
$m
|
Sale of the
small-molecule antibiotics business to Pfizer. The total
payment
is to be recognised net of the carrying values disposed and other
costs to sell
|
c.335
net
|
Sale
of the
ex-US rights to Rhinocort
Aqua to Cilag GmbH International (Cilag)
|
330
|
Out-licensing of a
potential medicine (MEDI2070) for inflammatory diseases to Allergan
plc (Allergan)
|
167 net, reflecting
an agreement with Amgen Inc. (Amgen)
|
Licensing agreement
with Insmed Inc. for global exclusive rights to AZD7986, a novel
oral inhibitor of dipeptidyl peptidase
|
30
|
Operating
Profit
Reported Operating
Profit declined by 26% in the year to date to $2,369m. The Reported
Operating Margin declined by four percentage points to 14% of Total
Revenue.
Core Operating
Profit declined by 13% to $4,695m in the year to date. The Core
Operating Margin declined by three percentage points to 27% of
Total Revenue.
Net Finance
Expense
Reported Net
Finance Expense increased by 37% in the year to date to $978m
reflecting an increase in Net Debt that was driven by the
acquisition of ZS Pharma and the majority investment in Acerta
Pharma. Excluding the discount unwind on acquisition-related
liabilities, Core Net Finance Expense increased by 50% in the year
to date to $489m.
Taxation
Excluding 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 13-year period from 2004-2016, the Reported
and Core tax rates for the year to date were 17% and 19%
respectively. Including the impact of this benefit, the Reported
and Core tax rates for the year to date were (16)% and 8%
respectively. The cash tax paid for the year to date was $445m,
which was 33% of Reported Profit Before Tax and 11% of Core Profit
Before Tax.
The Reported and Core tax rates for
the first nine months of 2015 were 24% and 22% respectively when
excluding a one-off tax benefit of $186m following agreement of US
federal tax liabilities of open years up to 2008, other provision
releases and the benefit of the UK patent box. Including the impact
of these benefits, the Reported and Core tax rates were 11% and 16%
respectively.
Earnings Per Share
(EPS)
Reported EPS of
$1.31 in the year to date represented a 26% decline, with Core EPS
in the year to date declining by 10% to $3.10. Both Reported and
Core EPS in the year to date included a non-recurring benefit of
$0.36 in the third quarter, resulting from the aforementioned
agreement on transfer pricing.
The declines were
driven by the market entry of multiple Crestor generic medicines in the US, as
well as the ongoing impact of US Nexium generic medicines. The
reductions reflected higher Other Operating Income in 2015. The
anticipated phasing of Other Operating Income in 2016 is towards
the final quarter of the year.
Productivity
AstraZeneca
continues to enhance productivity through the implementation of its
restructuring initiatives, including those announced on 29 April
2016. Restructuring charges of $713m were incurred in the year to
date. The Company remains on track to realise benefits and incur
costs in line with prior announcements.
To continue the
focus on cost discipline, the Company disposed of its R&D
facility in Bangalore, India in the period and announced plans to
bring together five of its San Francisco Bay Area, US sites into
one location. More than 350 employees in existing AstraZeneca,
Acerta Pharma, MedImmune and Pearl facilities will move to the new
location in 2017.
Cash Flow and Balance Sheet
Cash
Flow
The Company generated a net cash inflow from
operating activities of $2,185m, compared with $2,753m in the
comparative period. This primarily reflected the material decline
in Profit Before Tax in the year to date.
Net cash outflows from investing activities were
$4,572m compared with $1,654m in the comparative period. The
increase primarily reflected the net cash outflow of $2,383m in
relation to the majority investment in Acerta Pharma. On 10 August
2016, the Company also announced that it had increased its equity
interest in Moderna Therapeutics (Moderna) with a $140m investment,
as part of Moderna's preferred-stock financing.
Net cash outflows from financing activities were
$1,020m, incorporating $2,483m of new long-term loans, net of
dividend payments in the year to date of $3,561m. This compared to
an outflow of $3,406m in the comparative
period.
The cash payment of contingent consideration in
respect of the Bristol-Myers Squibb Company share of the global
Diabetes alliance amounted to $197m in the year to date. The
consideration is based on a tiered structure, whereby a higher
royalty rate is applied until a specified level of sales is
achieved in the year; thereafter a lower rate is applied to the
remaining sales in the year and settled in the quarter following
the application of the charge. From 2017 a single annual rate will
be applied.
Debt and Capital
Structure
At 30 September
2016, outstanding gross debt (interest-bearing loans and
borrowings) was $17,683m (30 September 2015: $10,947m). Of the
gross debt outstanding at 30 September 2016, $2,939m was due within
one year (30 September 2015: $2,671m). The Company's net debt
position at 30 September 2016 was $13,399m (30 September 2015:
$5,886m).
Shares in
Issue
During the year to
date, 0.9 million shares were issued in respect of share option
exercises for a consideration of $40m. The total number of shares
in issue as at 30 September 2016 was 1,265
million.
Capital Allocation
The Board's aim is to continue to strike a
balance between the interests of the business, financial creditors
and the Company's shareholders. After providing for investment in
the business, supporting the progressive dividend policy and
maintaining a strong, investment-grade credit rating, the Board
will keep under review potential investment in immediately
earnings-accretive, value-enhancing
opportunities.
Sensitivity: Foreign-Exchange
Rates
The
Company provides the following currency sensitivity
information:
|
|
|
|
Average Exchange Rates Versus USD
|
|
|
|
Impact Of 5% Weakening In Exchange
Rate Versus USD ($m)2
|
Currency
|
|
Primary Relevance
|
|
FY 2015
|
|
YTD 20161
|
|
Change %
|
|
Total Revenue
|
|
Core Operating Profit
|
EUR
|
|
Product
Sales
|
|
0.90
|
|
0.90
|
|
1
|
|
(178)
|
|
(103)
|
JPY
|
|
Product
Sales
|
|
121.04
|
|
108.64
|
|
11
|
|
(102)
|
|
(66)
|
CNY
|
|
Product
Sales
|
|
6.28
|
|
6.59
|
|
(5)
|
|
(133)
|
|
(62)
|
SEK
|
|
Costs
|
|
8.43
|
|
8.40
|
|
-
|
|
(8)
|
|
71
|
GBP
|
|
Costs
|
|
0.65
|
|
0.72
|
|
(9)
|
|
(34)
|
|
96
|
Other3
|
|
|
|
|
|
|
|
|
|
(201)
|
|
(122)
|
1Based
on average daily spot rates in the nine months to the end of
September 2016.
2Based
on 2015 actual results at 2015 actual exchange
rates.
3Other
important currencies include AUD, BRL, CAD, KRW and
RUB.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Currency Hedging
AstraZeneca monitors the impact of adverse
currency movements on a portfolio basis, recognising correlation
effects. The Company may hedge to protect against adverse impacts
on cash flow over the short to medium term. As at 30 September
2016, AstraZeneca had hedged 86% of forecast short-term currency
exposure that arises between the booking and settlement dates on
Product Sales and non-local currency purchases.
Corporate and Business Development Update
______________________________________________________________________________________
The highlights of the Company's corporate and
business development activities since the prior results
announcement are shown below.
a)
Sale Of
Small-Molecule Antibiotics Business
On 24 August 2016, the Company announced that it
had entered into an agreement with Pfizer to sell the
commercialisation and development rights to its small-molecule
antibiotics business and late-stage pipeline in most markets
outside the US. The agreement with Pfizer is expected to close in
the fourth quarter of 2016, subject to customary closing
conditions.
As AstraZeneca will de-recognise an intangible
product asset and will not maintain a significant ongoing interest
in the late-stage, small-molecule antibiotics business, all
payments will be reported as Other Operating Income in the
Company's financial statements. This includes the upfront payment
of $550m and an unconditional payment of $175m in 2019 (both to be
recognised net of the carrying value of assets disposed and other
costs to sell in 2016), the milestones of up to $250m,
sales-related payments of up to $600m and recurring double-digit
royalties on sales of Zavicefta and ATM
AVI.
b) Sale Of Rhinocort Aqua
On 7 October 2016, the Company announced that it
had entered into an agreement with Cilag, an affiliate of Johnson
& Johnson, for the divestment of the rights to Rhinocort Aqua outside the US.
Rhinocort Aqua is a nasal
spray indicated for allergic and non-allergic rhinitis
(inflammation of the inside of the nose), and for the treatment of
nasal polyps (swelling of the nasal lining). The active ingredient
is the anti-inflammatory medicine budesonide.
The agreement is subject to customary closing
conditions and is expected to complete in the fourth quarter of
2016. As AstraZeneca will not maintain a significant ongoing
interest in Rhinocort Aqua,
the $330m payment received from Cilag upon completion of the
transaction will be recognised as Other Operating Income in the
Company's financial statements.
c) Externalisation Of Beta-Blocker Medicine
Toprol-XL
On 31 October 2016, the Company completed an
agreement with Aralez Pharmaceuticals Trading DAC, a subsidiary of
Aralez Pharmaceuticals Inc., for the rights to branded and
authorised generic Toprol-XL (metoprolol succinate) in the
US. Toprol-XL is a
beta-blocker medicine for the control of hypertension (high blood
pressure), angina (chest pain) and heart failure. It was first
approved in the US in 1992.
AstraZeneca will retain a significant ongoing
interest in Toprol-XL
through retained ownership of the brand in Rest of World (ROW)
markets and product supply to Aralez. Therefore the upfront payment
of $175m, milestones and sales-related payments of up to $48m and
mid-teen percentage royalties will be reported as Externalisation
Revenue in the Company's financial statements.
d) Licensing Agreement: Monoclonal Antibody
MEDI2070
On 3 October 2016, the Company announced that
MedImmune, its global biologics research and development arm, had
entered into a licensing agreement with Allergan for the global
rights to MEDI2070. MEDI2070 is an IL-23 monoclonal antibody
currently in a Phase IIb clinical trial for moderate-to-severe
Crohn's disease (a chronic inflammatory disease of the intestines)
and is ready for Phase II for ulcerative colitis (a chronic
inflammatory condition of the colon and rectum). MedImmune will
continue the ongoing Phase II trials until a mutually-agreed
transition date.
The transaction is expected to close in the
fourth quarter of 2016, subject to customary closing conditions,
including the expiration or early termination of the waiting period
under the Hart Scott Rodino Act. AstraZeneca is expected to retain
approximately $167m of the upfront payment and up to approximately
$847m in future potential milestones, as well as the tiered royalty
payments of up to low double-digit percent, following payment to
Amgen under the provisions of the original agreement. As
AstraZeneca will not retain a significant ongoing interest in
MEDI2070, all income will be reported as Other Operating Income in
the Company's financial statements.
e)
Benralizumab
in Japan
On 28 October 2016, AstraZeneca exercised its
exclusive option to commercialise benralizumab for the treatment of
severe, uncontrolled asthma and COPD in Japan. This follows the
option agreement entered into with Kyowa in July 2015. Previously,
Kyowa held the exclusive development and commercialisation rights
for benralizumab in Japan, as well as certain other countries in
Asia, while AstraZeneca has exclusive rights in all other
countries, including the US and Europe. On exercising the option,
AstraZeneca is responsible for all sales and marketing activity for
benralizumab in asthma and COPD in Japan.
f) Externalisation of Bydureon and Byetta in China
On 10 October 2016, AstraZeneca entered into a
strategic collaboration with 3SBio for the rights to commercialise
Bydureon and Byetta in the Chinese market. The
agreement allows the Company to benefit from 3SBio's established
expertise in injectable medicines and also focus resources on
AstraZeneca's oral diabetes franchise, including Onglyza, which is already marketed in
China, as well as Forxiga
and Kombiglyze, which are
anticipated to launch in China in 2017.
Under the terms of the collaboration agreement,
3SBio will make an upfront payment of $50m and will pay development
milestones of up to a further $50m for the exclusive rights to
commercialise Bydureon and
Byetta in the Chinese
market (excluding Hong Kong) for an initial period of 20 years.
AstraZeneca will retain a significant ongoing interest in
Bydureon and Byetta through retained ownership of
the brands in other markets and will manufacture and supply these
medicines to 3SBio for an agreed purchase price. Therefore the
upfront payment and development milestones will be reported as
Externalisation Revenue in the Company's financial
statements.
Research and Development Update
______________________________________________________________________________________
A
comprehensive table with AstraZeneca's pipeline of medicines in
human trials can be found later in this
document.
Since the results announcement on 28 July 2016 (the
period):
Regulatory Approvals
|
1
|
- Brilinta - CV disease
(JP)
|
Regulatory Submissions*
/Acceptances
|
3
|
- Faslodex - breast cancer (1st line)
(JP)*
- Tagrisso - lung cancer
(CN)*
- ZS-9 - hyperkalaemia
(US)
|
Positive Phase III Data
Readouts
|
3
|
-
Lynparza - ovarian cancer (2nd line)
- Farxiga + Bydureon - type-2
diabetes
- benralizumab - severe, uncontrolled
asthma
|
Other Key
Developments
|
2
|
- Priority Review Designation:
Tagrisso
(CN)
- Fast Track Designation: AZD3293 -
Alzheimer's disease (US)
|
New Molecular Entities (NMEs) in
Pivotal Trials or under Regulatory Review**#
|
13
|
Oncology
- durvalumab - multiple
cancers
- durva + treme - multiple
cancers
- acalabrutinib - blood
cancers
- moxetumomab pasudotox -
leukaemia
- selumetinib - thyroid
cancer
Cardiovascular & Metabolic Diseases
- ZS-9** - hyperkalaemia
- roxadustat -
anaemia
Respiratory
- benralizumab - severe, uncontrolled
asthma
- tralokinumab - severe, uncontrolled
asthma
- PT010 - COPD
Other
- brodalumab - psoriasis**
- anifrolumab -
lupus
- AZD3293 - Alzheimer's
disease
|
Projects in clinical
pipeline#
|
138
|
|
#
As
at 10 November
2016
ONCOLOGY
AstraZeneca has a deep-rooted
heritage in Oncology and offers a growing portfolio of new
medicines that has the potential to transform patients' lives and
the Company's future. With at least six new medicines to be
launched between 2014 and 2020 and a broad pipeline of small
molecules and biologics in development, the Company is committed to
advancing New Oncology as one of AstraZeneca's six Growth Platforms
focused on lung, ovarian, breast and blood
cancers.
In addition to core capabilities,
the Company is actively pursuing innovative collaborations and
investments that accelerate the delivery of AstraZeneca's strategy,
as illustrated by the Company's recent investment in Acerta Pharma
in haematology.
At the recent European Society for Medical
Oncology meeting, AstraZeneca highlighted its progress in Oncology
with 46 scientific presentations, including new 1st-line data that
demonstrated the superiority of Faslodex over the current standard of
care in postmenopausal women with HR-positive, locally-advanced or
metastatic breast cancer. The Company also presented updated safety
and efficacy data from two cohorts from Study 1108; durvalumab
monotherapy in NSCLC and HNSCC, in addition to a comparative
analysis of PD-L1 diagnostic assays in c.500 HNSCC-tumour
samples.
a) Lynparza (ovarian and other
cancers)
Lynparza
continues to be the
cornerstone of the AstraZeneca DNA Damage Response (DDR) line of
medicines. An extensive lifecycle programme is underway, including
in earlier lines of treatment in metastatic ovarian, breast and
prostate cancers. For the potential treatment in metastatic
BRCA-mutated breast cancer, the OLYMPIAD trial has seen fewer
events than originally expected and, as a consequence, the data
readout is now anticipated to be in the first half of
2017.
During the period,
the Company reported positive results from the Phase III SOLO-2
trial designed to determine the efficacy of Lynparza tablets (300mg, twice daily)
as a monotherapy for the maintenance treatment of
platinum-sensitive relapsed, BRCA-mutated ovarian cancer. Results
from the trial demonstrated a clinically-meaningful and
statistically-significant improvement of progression-free survival
(PFS) among patients treated with Lynparza, compared to placebo and
provided additional evidence to support the use of Lynparza in this patient
population.
b) Tagrisso (lung
cancer)
During the period, Tagrisso was accepted for submission
and granted Priority Review status by the China Food and Drug
Administration agency as a potential treatment for patients with
locally-advanced, or metastatic EGFR T790M mutation-positive NSCLC,
who have been previously treated with EGFR TKI therapy. The
designation has the potential to expedite more rapid access to
Tagrisso for patients in
China. The Chinese application was supported by three key trials -
a China-led Asian regional trial (AURA17), a pharmaco-kinetic trial
in the local population (AURA18) and the global AURA3 trial, which
included Chinese patients.
c) Cediranib (ovarian cancer)
On 21 September
2016, AstraZeneca announced the decision to voluntarily withdraw
the marketing authorisation application (MAA) submitted to the
EMA's Committee for Medicinal Products for Human Use for cediranib
in combination with platinum-based chemotherapy, followed by
maintenance monotherapy for the treatment of adult patients with
platinum-sensitive relapsed ovarian cancer (including fallopian
tube or primary peritoneal). The decision to withdraw the MAA was
based on questions raised by the EMA at the late stage of the
review process. The MAA for cediranib was supported by data from
ICON6, a Phase III trial led by investigators from University
College, London and the Medical Research Council. The Company has
not made additional regulatory submissions for cediranib in this
indication in any other markets.
Cediranib remains
an important part of AstraZeneca's ovarian cancer pipeline, and a
number of Phase III trials are ongoing to test cediranib as a
potential combination partner with Lynparza and other pipeline medicines;
these trials are not affected by the aforementioned
withdrawal.
d) Selumetinib (multiple cancers)
On 9 August 2016,
the Company announced the high-level results from the Phase III
SELECT-1 trial for selumetinib in patients with 2nd-line KRAS
mutant (KRASm) NSCLC. The results showed that the trial did not
meet its primary endpoint of PFS, and selumetinib did not have a
significant effect on overall survival (OS). The adverse event
profiles for selumetinib and docetaxel were consistent with those
seen previously. This outcome did not impact the on-going
selumetinib programme in differentiated thyroid cancer, in
paediatric neurofibromatosis Type 1 (in collaboration with the US
National Cancer Institute), and in combination with other potential
medicines in a range of tumour types.
e) Savolitinib
(multiple cancers)
Based on data from multiple Phase I/II trials,
savolitinib has shown early clinical benefit as a highly selective
c-Met inhibitor in a number of cancers. As a result, Chi-Med (part
of CK Hutchison Holdings Limited) and AstraZeneca have expanded the
joint development plan for savolitinib to cover multiple
c-Met-driven, solid tumour indications including NSCLC, kidney,
gastric and colorectal cancers.
f)
Durvalumab (multiple cancers)
The Company continues to advance
multiple monotherapy trials of durvalumab and combination trials of
durvalumab with tremelimumab and other potential medicines in
Immuno-Oncology (IO). An update on key AstraZeneca-sponsored
ongoing trials with durvalumab is provided over the
page:
LUNG
CANCER
Name
|
Phase
|
Line of treatment
|
Population
|
Design
|
Timelines
|
Status
|
Early
disease
Monotherapy
|
ADJUVANT1
|
III
|
N/A
|
Stage Ib-IIIa
NSCLC
|
durvalumab vs
placebo
|
FPD2 Q1
2015
Data expected
2020
|
Ongoing
|
PACIFIC
|
III
|
N/A
|
Stage III unresectable
NSCLC
|
durvalumab vs
placebo
|
FPD Q2 2014
LPCD3 Q2
2016
Data expected H2
2017
|
Recruitment
completed
|
Advanced/metastatic
disease
Combination
therapy
|
MYSTIC
|
III
|
1st line
|
NSCLC
|
durvalumab vs durva + treme vs
SoC4
|
FPD Q3 2015
LPCD Q3
2016
Data expected H1
2017
|
Recruitment
completed
|
NEPTUNE
|
III
|
1st line
|
NSCLC
|
durva + treme vs
SoC
|
FPD Q4 2015
Data expected
2018
|
Ongoing
|
-
|
III
|
1st line
|
NSCLC
|
durvalumab + chemotherapy +/-
tremelimumab
|
-
|
Ongoing in safety lead-in Phase
I/II trial
|
ARCTIC
|
III
|
3rd line
|
PD-L1 neg.
NSCLC
|
durvalumab vs tremelimumab vs durva
+ treme vs SoC
|
FPD Q2 2015
LPCD Q3 2016
Data expected H1
2017
|
Recruitment
completed
|
1 Conducted by the
National Cancer Institute of
Canada 2 FPD = First
Patient Dosed 3LPCD = Last Patient
Commenced Dosing
4 SoC = Standard of Care 5 SCLC = Small Cell
Lung Cancer
METASTATIC
OR RECURRENT HEAD AND NECK CANCER
Name
|
Phase
|
Line of treatment
|
Population
|
Design
|
Timelines
|
Status
|
Monotherapy
|
HAWK
|
II
|
2nd line
|
PD-L1 pos.
HNSCC
|
Durvalumab (single
arm)
|
FPD Q1 2015
LPCD Q2
2016
Data
expected Q4 2016 (internal availability)
|
Recruitment
completed
|
Combination
therapy
|
CONDOR
|
II
|
2nd line
|
PD-L1 neg.
HNSCC
|
durvalumab vs tremelimumab vs durva
+ treme
|
FPD Q2 2015
LPCD Q2 2016
Data expected H1
2017
|
Recruitment
completed
|
KESTREL
|
III
|
1st line
|
HNSCC
|
durvalumab vs durva + treme vs
SoC
|
FPD Q4 2015
Data expected H2
2017
|
Ongoing
|
EAGLE
|
III
|
2nd line
|
HNSCC
|
durvalumab vs durva + treme vs
SoC
|
FPD Q4 2015
Data expected
2018
|
Ongoing
|
With recent changes in the HNSCC
competitive landscape, including the approval in the US for PD-1
monotherapy for recurrent or metastatic HNSCC with disease
progression on or after platinum-containing chemotherapy, the
Company is unlikely to make a regulatory submission for this
single-arm Phase II trial. This trial in PD-L1+ patients was
originally designed as a potential fast-to-market opportunity in
2nd-line HNSCC. The HAWK trial results are anticipated to be
available internally in due course, following trial conclusion and
data analysis.
On 27 October 2016, AstraZeneca
confirmed that the FDA had placed a partial clinical hold on the
enrolment of new patients with HNSCC in clinical trials of
durvalumab as monotherapy and in combination with tremelimumab or
other potential medicines. All trials are continuing with existing
patients. The partial clinical hold on new patient enrolment
relates only to HNSCC. Trials for durvalumab in different cancer
types, as monotherapy, or in combination with tremelimumab or other
potential medicines, are progressing as planned with pivotal data
in lung cancer anticipated in the first half of
2017.
METASTATIC UROTHELIAL BLADDER CANCER
Name
|
Phase
|
Line of treatment
|
Population
|
Design
|
Timelines
|
Status
|
Combination
therapy
|
DANUBE
|
III
|
1st line
|
Cisplatin
chemo-
therapy-
eligible/
ineligible bladder
cancer
|
durvalumab vs durva + treme vs
SoC
|
FPD Q4 2015
Data expected
2018
|
Ongoing
|
g) Acalabrutinib (blood
cancers)
Based on maturity of clinical data
in an intended fast-to-market indication of unmet need in B-cell
blood cancers, the Company rolled the potential data readout and
regulatory submission for one blood cancer to the first half of
2017.
Acalabrutinib is a cornerstone of
the AstraZeneca strategy in haematology and the Company continues
to see important progress in the clinical-development programme for
the potential medicine. With more than 2,000 patients now having
been treated with acalabrutinib in clinical trials, the safety
profile supports the potential for acalabrutinib to become a
best-in-class BTK inhibitor for patients intolerant to a
currently-approved BTK inhibitor with B-cell
cancers.
CARDIOVASCULAR & METABOLIC DISEASES
This therapy area includes a broad
type-2 diabetes portfolio, differentiated devices and unique small
and large-molecule programmes to reduce morbidity, mortality and
organ damage across CV
disease, diabetes and chronic kidney
disease (CKD) indications.
a) Brilinta (CV
disease)
During the period, the EUCLID Phase III trial in
Peripheral Artery Disease (PAD) readout, with the data
demonstrating that the primary endpoint of superiority over
clopidogrel was not met. Safety findings from the trial were in
line with the known safety profile of Brilinta. Based on the current
expectations, it is unlikely that the Company will seek regulatory
submission of an indication in PAD.
During the period, the Japanese Ministry of
Health, Labour and Welfare approved Brilinta 90mg for patients with acute
coronary syndrome (ACS) for whom the use of other antiplatelet
medicines in combination with aspirin is difficult. Brilinta 60mg was also approved for
patients who have suffered a heart attack at least one year prior
and are at high risk of developing a further atherothrombotic
event.
b) Farxiga + Bydureon (type-2
diabetes)
With the increasing evidence suggesting the
beneficial effect of SGLT2 inhibitors, such as Farxiga, on renal and CV outcomes in
patients with type-2 diabetes, the decision was made to design two
large Phase IIIb outcome trials to further investigate the
potential role of Farxiga
in the management of CKD and chronic heart failure (CHF), in
patients with or without type-2 diabetes. This marked the first
time that a major outcome trial will be conducted to evaluate an
SGLT2 inhibitor in CKD, for which there are currently few treatment
options and a significant unmet medical need.
During the period,
the DURATION-8 combination trial of Farxiga and Bydureon showed reduced blood sugar,
weight and systolic blood pressure. The Phase III trial
demonstrated that the
combination of these medicines provides benefits to patients above
and beyond what is seen with the individual medicines. The Company
is currently assessing the potential for a regulatory submission
based on these data.
c) Type-2 diabetes medicines in CV
outcomes trials
As the field of type-2 diabetes
medicines consistently evolves, with multiple outcomes trials
producing data, AstraZeneca continues to assess both Farxiga and Bydureon for potential long-term CV
benefits. Two significant type-2 diabetes outcomes trials are
underway and are ongoing:
Medicine
|
Trial
|
Mode of Action
|
Number of Patients
|
Primary Endpoint
|
Timeline
|
Bydureon
|
EXSCEL
|
GLP-1 agonist
|
~15,000
|
Time to first occurrence of CV
death, non-fatal MI or non-fatal stroke
|
Latest 2018
(final
analysis)
|
Farxiga
|
DECLARE
|
SGLT2 inhibitor
|
~17,000*
|
Time to first occurrence of CV
death, non-fatal MI or non-fatal stroke
|
Latest 2019
(final
analysis)
2017
(anticipated interim
analysis)
|
*Includes ~10,000
patients who have had no prior index event (primary prevention) and
~7,000 patients who have suffered an index event (secondary
prevention).
d) ZS-9
(hyperkalaemia)
In the beginning of
the fourth quarter, the FDA accepted AstraZeneca's resubmission of
the new drug application (NDA) for ZS-9 (sodium zirconium
cyclosilicate), the medicine in development for the treatment of
hyperkalaemia (high potassium level in blood serum) by ZS Pharma, a
wholly owned subsidiary of AstraZeneca. The FDA indicated that this
was a complete Class 2 response; the Agency is anticipated to act
on the resubmission within 6 months of the date of
receipt.
e) Roxadustat
(anaemia)
Roxadustat is a
potential first-in-class oral HIF-PH inhibitor in Phase III
development for the treatment of anaemia in CKD patients, including
those on dialysis and not on dialysis. AstraZeneca, FibroGen, Inc.
(Fibrogen) and Astellas Pharma Inc. are jointly undertaking an
extensive worldwide Phase III programme consisting of 15 trials
enrolling more than 8,000 patients.
FibroGen,
responsible for regulatory activities in China, recently announced
that enrolment had completed in both Phase III clinical trials,
intended for regulatory submission. These trials include both CKD
patients on and not on dialysis. Further, FibroGen has confirmed
that roxadustat is on track to initiate the rolling
regulatory-submission process in 2016.
RESPIRATORY
AstraZeneca's Respiratory portfolio includes a
range of differentiated potential medicines such as novel
combinations, biologics and devices for the treatment of asthma and
COPD.
Benralizumab
(severe, uncontrolled asthma)
AstraZeneca shared positive benralizumab Phase
III data from the SIROCCO and CALIMA trials at the recent European
Respiratory Society meeting. These data were also published in
The Lancet on 5 September
2016. These results demonstrated that adding benralizumab to the
standard of care significantly reduced exacerbations and improved
lung function and asthma symptoms in severe, uncontrolled asthma.
The outcomes were demonstrated for the 8-week dosing regimen, with
no additional benefit observed with 4-week
dosing.
During the period,
the Phase III ZONDA trial also met its primary endpoint. ZONDA is
an efficacy and safety trial of benralizumab to reduce oral
corticosteroid use in patients with uncontrolled asthma on
high-dose, inhaled corticosteroid plus long-acting Beta2 agonist
and chronic oral corticosteroid therapy. Full results will be
presented at a forthcoming medical meeting. ZONDA is the fourth
positive efficacy trial supporting benralizumab's unique efficacy
and safety profile in severe, uncontrolled
asthma.
OTHER
a)
Anifrolumab (lupus)
During the period, the first
patient completed the anifrolumab systemic lupus erythematosus
(SLE) Phase III trial and rolled over to the long-term extension
trial for another three years of treatment/follow-up. The Phase III
programme consists of two double-blind placebo controlled trials
(TULIP SLE1 and TULIP SLE2) as well as the long-term extension; the
Company continues to anticipate regulatory submission in
2019.
Anifrolumab is a monoclonal
antibody that blocks the type I interferon (IFN) receptor, thereby
inhibiting the activity of all type I IFNs, which play a central
role in lupus pathophysiology. Anifrolumab is currently in Phase
III development for SLE and Phase II for Lupus Nephritis; a Phase I
trial for expansion from current intravenous to subcutaneous
administration was recently completed.
b)
AZD3293 (Alzheimer's Disease)
On 22 August 2016, AstraZeneca and
Lilly announced the receipt of the FDA's Fast Track Designation for
the development programme in Alzheimer's disease for AZD3293, an
oral beta secretase cleaving enzyme (BACE) inhibitor currently in
Phase III clinical trial. The FDA's Fast Track programme is
designed to expedite the development and review of new therapies to
treat serious conditions and tackle key unmet medical needs. Lilly
leads clinical development, in collaboration with scientists from
AstraZeneca who will be responsible for
manufacturing.
AZD3293 has been shown in trials to
reduce levels of amyloid beta in the cerebrospinal fluid of people
with Alzheimer's and healthy volunteers. The progression of
Alzheimer's disease is characterised by the accumulation of amyloid
plaque in the brain. BACE is an enzyme associated with the
development of amyloid beta. Inhibiting BACE is expected to prevent
the formation of amyloid plaque and eventually slow the progression
of the disease. In addition to
the AMARANTH Phase III trial for AZD3293, AstraZeneca and Lilly
have dosed patients in a second Phase III trial, DAYBREAK-ALZ,
which studies the safety and efficacy of AZD3293 in patients with
mild Alzheimer's disease.
ASTRAZENECA DEVELOPMENT PIPELINE 30 SEPTEMBER
2016
AstraZeneca-sponsored or -directed studies
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
|
Tagrisso
AURA, AURA2, (AURA17 Asia
regional)
|
EGFR tyrosine kinase
inhibitor
|
≥2nd-line advanced EGFRm T790M
NSCLC
|
Q2 2014
|
Launched
(Breakthrough Therapy, Priority Review, Orphan
drug)
|
Launched (Accelerated assessment)
|
Approved
|
Accepted1
|
Tagrisso
AURA3
|
EGFR tyrosine kinase
inhibitor
|
≥2nd-line advanced EGFRm T790M
NSCLC
|
Q3 2014
|
Q4 2016
|
Q4 2016
|
N/A2
|
N/A
|
acalabrutinib#
|
BTK
inhibitor
|
B-cell malignancy
|
Q1 2015
|
2017
(Orphan drug)
|
|
|
|
acalabrutinib#
|
BTK
inhibitor
|
|