TIDMAZN

RNS Number : 3756P

AstraZeneca PLC

09 February 2023

AstraZeneca

9 February 2023 07:00 GMT

Full year and Q4 2022 results

Strong performance and pipeline progress in 2022 underpins 2023 outlook

On track to deliver industry-leading revenue growth through 2025 and beyond

Revenue and EPS summary

 
                                        FY 2022                   Q4 2022 
                                ------  -------  -------  ------  -------  ---- 
                                             % Change                 % Change 
                                    $m   Actual  CER [1]      $m   Actual   CER 
-----------------------------   ------  -------  -------  ------  -------  ---- 
 
  *    Product Sales            42,998       18       24  10,798      (6)     2 
 
  *    Collaboration Revenue     1,353       54       56     409     (20)  (19) 
------------------------------  ------  -------  -------  ------  -------  ---- 
Total Revenue                   44,351       19       25  11,207      (7)     1 
------------------------------  ------  -------  -------  ------  -------  ---- 
Reported [2] EPS [3]             $2.12      n/m      n/m   $0.58      n/m   n/m 
Core [4] EPS                     $6.66       26       33   $1.38     (17)   (5) 
------------------------------  ------  -------  -------  ------  -------  ---- 
 

Financial performance (FY 2022 figures unless otherwise stated , growth numbers and commentary at CER)

-- Total Revenue increased 25% to $44,351m, with growth coming from all therapy areas, and from the addition of Alexion, which was incorporated into the Group's results from 21 July 2021

-- Total Revenue in the fourth quarter was impacted by the decline in Vaxzevria. Excluding Vaxzevria, Total Revenue in the quarter increased 17%

-- Oncology Total Revenue including milestone receipts increased 20%; Oncology Product Sales increased 19%. Total Revenue CVRM [5] increased 19% [6] , R&I [7] increased 3%, and Rare Disease increased 10% (6)

-- Core Gross Margin of 80%, up six percentage points, reflecting the lower revenue from Vaxzevria and the increased share of Oncology and Rare Disease medicines. Core Gross Margin of 77% in the fourth quarter was impacted by inventory write downs and manufacturing termination fees for Evusheld

-- Core Total Operating Expense increased 23%, reflecting the addition of Alexion, and continued investment in new launches and the pipeline to deliver sustainable long-term growth

   --    Core Operating Margin of 30%, up four percentage points 

-- Core EPS increased 33% to $6.66. Second interim dividend declared of $1.97 per share, making a total dividend declared for FY 2022 of $2.90 for the year. The Core Tax Rate for the year was 17%, reflecting IP incentive regimes, geographical mix of profits and adjustments to prior year tax liabilities

FY 2023 Guidance summary (Growth numbers at CER)

   --    Total Revenue is expected to increase by a low-to-mid single-digit percentage 

-- Total Revenue excluding COVID-19 medicines [8] is expected to increase by a low double-digit percentage

   --    Core EPS is expected to increase by a high single-digit to low double-digit percentage 

Pascal Soriot, Chief Executive Officer, AstraZeneca, said:

"2022 was a year of continued strong company performance and execution of our long-term growth strategy . We made excellent pipeline progress with a record 34 approvals in major markets and we are initiating new late-stage trials for high potential medicines such as camizestrant, datopotamab deruxtecan and volrustomig.

In 2023, we expect to see another year of double-digit revenue growth at CER, excluding our COVID-19 medicines. We will continue to invest behind our pipeline and recent launches while continuing to improve profitability. We plan to initiate more than thirty Phase III trials this year, of which ten have the potential to deliver peak year sales over one billion dollars.

Our R&D success and revenue increase in 2022 demonstrate that we are on track to deliver industry-leading revenue growth through 2025 and beyond, and have set AstraZeneca on a path to deliver at least fifteen new medicines before the end of the decade."

Key milestones achieved since the prior results

-- Key regulatory approvals: US approval for Airsupra (PT027) in asthma. EU approvals for Lynparza [9] in mCRPC [10] (PROpel), Enhertu in gastric cancer (DESTINY-Gastric01) and HER2 [11] -low breast cancer (DESTINY-Breast04), Imfinzi in biliary tract cancer (TOPAZ-1), Imfinzi+Imjudo in HCC [12] and Forxiga in heart failure with preserved ejection fraction. Five approvals in Japan, including Imfinzi and Imjudo in liver cancer (TOPAZ-1) and NSCLC [13] (POSEIDON) and Calquence for treatment-naïve CLL (ELEVATE-TN)

-- Other regulatory milestones: US Fast Track designations for capivasertib in HR-positive HER2-negative breast cancer (CAPItello-291), tozorakimab in treatment/prevention of acute respiratory failure in patients with viral lung infection (TILIA), and Orpathys plus Tagrisso in NSCLC with MET [14] overexpression (SAVANNAH/SAFFRON); US Orphan Drug Designation for Saphnelo in idiopathic inflammatory myopathies; US Emergency Use Authorisation for Evusheld revised - as of January 2023, Evusheld is not currently authorised for use in the US.

Guidance

The Company provides guidance for FY 2023 at CER, based on the average exchange rates through 2022.

Total Revenue is expected to increase by a low-to-mid single-digit percentage

Excluding COVID-19 medicines, Total Revenue is expected to increase by a low double-digit percentage

Core EPS is expected to increase by a high single-digit to low double-digit percentage

-- While challenging to forecast, Total Revenue from COVID-19 medicines (Vaxzevria, Evusheld and AZD3152, the COVID-19 LAAB [15] currently in development) is expected to decline significantly in FY 2023, with minimal revenue from Vaxzevria

-- Total Revenue from China is expected to return to growth and increase by a low single-digit percentage in FY 2023

-- Collaboration Revenue and Other Operating Income are both expected to increase, driven by continued growth of our partnered medicines, success-based milestones, and certain anticipated transactions

-- Core Operating Expenses are expected to increase by a low-to-mid single-digit percentage, driven by investment in recent launches and the ungating of new trials

   --    The Core Tax Rate is expected to be between 18-22% 

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

Currency impact

If foreign exchange rates for February to December 2023 were to remain at the average rates seen in January 2023, it is anticipated that FY 2023 Total Revenue and FY 2023 Core EPS would both incur a low single-digit adverse impact versus the performance at CER.

The Company's foreign exchange rate sensitivity analysis is provided in Table 17.

Table 1 : Key elements of Total Revenue performance in Q4 2022

 
  % Change 
 
 
Revenue type                  $m  Actual   CER 
-----------------------   ------  ------  ----  -------------------------------------- 
                                                 * Decline of 6% (2% increase 
                                                  at CER) due to lower sales of 
                                                  Vaxzevria [16] 
                                                  * Strong growth in Oncology, 
Product Sales             10,798     (6)     2    CVRM and Rare Disease 
                                                 * $188m for Enhertu (Q4 2021: 
                                                  $60m) 
                                                  * $37m for Tezspire (Q4 2021: 
                                                  $nil) 
Collaboration Revenue        409    (20)  (19)    * Milestone of $105m for Lynparza 
                                                 * Excluding Vaxzevria, Q4 2022 
                                                  Total Revenue increased by 8% 
Total Revenue             11,207     (7)     1    (17% at CER) - see below 
------------------------  ------  ------  ----  -------------------------------------- 
Therapy areas                 $m  Actual   CER 
-----------------------   ------  ------  ----  -------------------------------------- 
                                                 * Strong performance across key 
Oncology                   4,046       4    12    medicines and regions 
                                                 * Farxiga up 39% (52% CER) , 
                                                  Lokelma up 50% (63% at CER), 
                                                  roxadustat up 61% (83% CER), 
                                                  Brilinta decreased 1% (increased 
CVRM (6)                   2,284      12    22    4% at CER) 
                                                 * Growth in Fasenra, Breztri 
                                                  and Saphnelo offset by decline 
                                                  in Pulmicort of 33% (28% at CER) 
                                                  primarily due to the impact of 
R&I                        1,485     (7)   (1)    VBP [17] implementation in China 
                                                 * $734m from Evusheld (Q4 2021: 
                                                  $135m) 
                                                  * $95m from Vaxzevria (Q4 2021: 
V&I [18]                   1,163    (50)  (43)    $1,762m) 
                                                 * Ultomiris up 52% (62% at CER) 
                                                  as gMG launch and conversion 
                                                  progressed; offset by decline 
                                                  in Soliris 
                                                  * Strensiq up 24% (27% at CER) 
                                                  reflecting strength of patient 
Rare Disease (6)           1,816       4    10    demand and geographic expansion 
Other Medicines              412     (2)    12 
Total Revenue             11,207     (7)     1 
------------------------  ------  ------  ----  -------------------------------------- 
Regions inc. Vaxzevria        $m  Actual   CER 
-----------------------   ------  ------  ----  -------------------------------------- 
                                                 * Decline due to lower sales 
                                                  of Vaxzevria (growth rates excluding 
Emerging Markets           2,733    (25)  (18)    Vaxzevria shown below) 
                                                 * Second consecutive quarter 
- China                    1,194     (9)     3    of growth at CER 
- Ex-China Emerging                              * Decline due to lower sales 
 Markets                   1,538    (35)  (29)    of Vaxzevria 
US                         4,788      22    22 
                                                 * Decline due to lower sales 
Europe                     2,308    (20)   (8)    of Vaxzevria 
Established RoW            1,378    (11)     8 
Total Revenue inc. 
 Vaxzevria                11,207     (7)     1 
------------------------  ------  ------  ----  -------------------------------------- 
Regions exc. Vaxzevria        $m  Actual   CER 
-----------------------   ------  ------  ----  -------------------------------------- 
Emerging Markets           2,678       7    18 
                                                 * Second consecutive quarter 
- China                    1,194     (8)     4    of growth at CER 
                                                 * Strong growth in Oncology and 
                                                  CVRM 
- Ex-China Emerging                               * $246m from Evusheld in Q4 (Q4 
 Markets                   1,484      24    33    2021: $69m) 
US                         4,788      24    24   * Growth in Oncology medicines 
Europe                     2,268    (12)     1 
Established RoW            1,378       4    27 
Total Revenue exc. 
 Vaxzevria                11,112       8    17 
------------------------  ------  ------  ----  -------------------------------------- 
 

Table 2 : Key elements of financial performance in Q4 2022

 
Metric      Reported   Reported      Core       Core      Comments [19] 
                         change                 change 
----------  --------  -----------  --------  -----------  ---------------------------------------------------------- 
                                                           * Excluding Vaxzevria, Q4 
                                                            2022 Total Revenue increased 
                                                            by 8% (17% at CER) 
                                                            * See Table 1 and the Total 
Total                 -7% Actual             -7% Actual     Revenue section of this document 
 Revenue    $11,207m     1% CER    $11,207m     1% CER      for further details 
----------  --------  -----------  --------  -----------  ---------------------------------------------------------- 
Gross         73%     13pp Actual    77%     3pp Actual    + Increasing mix of sales 
margin                  15pp CER               4pp CER     from Oncology and Rare Disease 
[20]                                                       medicines 
                                                           + Decreasing mix of Vaxzevria 
                                                           sales 
                                                            *    Negative impact in the quarter from currency 
                                                                 fluctuations 
 
 
                                                            *    Inventory write downs and manufacturing termination 
                                                                 fees relating to Evusheld reduced Gross Profit by 
                                                                 $335m in Q4 2022 
 
 
                                                            *    Mix impact from profit-sharing arrangements (e.g. 
                                                                 Lynparza) 
 
 
                                                            *    Reported Gross Margin impacted by unwind of Alexion 
                                                                 inventory fair value adjustment 
----------  --------  -----------  --------  -----------  ---------------------------------------------------------- 
                                                           + Increased investment in 
                                                            the pipeline 
                                                            * Core R&D-to-Total Revenue 
R&D                    2% Actual              5% Actual     ratio of 23% 
 expense    $2,625m      9% CER    $2,526m     12% CER      (Q4 2021: 20%) 
----------  --------  -----------  --------  -----------  ---------------------------------------------------------- 
                                                           + Market development activities 
                                                            for recent launches 
                                                            + Core SG&A-to-Total Revenue 
                                                            ratio of 32% 
                                                            (Q4 2021: 28%). The year-on-year 
                                                            comparison is impacted by 
SG&A                  -10% Actual             6% Actual     differences in cost phasing 
 expense    $4,621m     -3% CER    $3,583m     15% CER      during H2 2021 and H2 2022 
----------  --------  -----------  --------  -----------  ---------------------------------------------------------- 
Other 
 operating                                                 * Reported and Core OOI includes 
 income               29% Actual             -11% Actual    income from sale of t he Waltham 
 [21]        $189m      33% CER     $130m      -7% CER      site 
----------  --------  -----------  --------  -----------  ---------------------------------------------------------- 
Operating             12pp Actual            -4pp Actual   * See Gross Margin and Expenses 
 margin       10%       14pp CER     23%       -3pp CER     commentary above 
----------  --------  -----------  --------  -----------  ---------------------------------------------------------- 
Net                   -6% Actual                           * Reported impacted by a reduction 
 finance               stable at              5% Actual     in the discount unwind on 
 expense     $315m        CER       $245m       9% CER      acquisition-related liabilities 
----------  --------  -----------  --------  -----------  ---------------------------------------------------------- 
                                                           * The Reported and Core Tax 
                                                            Rates in the quarter reflected 
                                                            IP incentive regimes, geographical 
                                                            mix of profits and adjustments 
                                                            to prior year tax liabilities 
                                                            including several one-time 
                                                            items 
                                                            * Variations in the tax rate 
                                             -7pp Actual    can be expected to continue 
Tax rate      -16%        n/m        10%       -6pp CER     quarter to quarter 
----------  --------  -----------  --------  -----------  ---------------------------------------------------------- 
                                                           * Further details of differences 
                                             -17% Actual    between Reported and Core 
EPS          $0.58        n/m       $1.38      -5% CER      are shown in Table 12 
----------  --------  -----------  --------  -----------  ---------------------------------------------------------- 
 

Table 3 : Pipeline highlights since prior results announcement

 
Event            Medicine      Indication / Trial               Event 
---------------  ------------  -------------------------------  ---------------------------- 
Regulatory       Imfinzi       NSCLC (1st-line) (POSEIDON)      Regulatory approval (US, 
 approvals        +/- Imjudo                                     JP) 
 and other 
 regulatory 
 actions 
                 Imfinzi       Hepatocellular carcinoma         Regulatory approval (JP) 
                  + Imjudo      (1st-line) (HIMALAYA) 
                 Imfinzi       Biliary tract cancer (TOPAZ-1)   Regulatory approval (EU, 
                                                                 JP) 
                 Lynparza      mCRPC (1st-line) (PROpel)        Regulatory approval (EU) 
                 Enhertu       HER2-positive breast cancer      Regulatory approval (JP) 
                                (2nd-line) (DESTINY-Breast03) 
                 Enhertu       HER2-low breast cancer           Regulatory approval (EU) 
                                (3rd-line) (DESTINY-Breast04) 
                 Enhertu       HER2-positive/HER2-low           Regulatory approval (EU) 
                                gastric 
                                (2nd-line) (DESTINY-Gastric01, 
                                DESTINY-Gastric02) 
                 Calquence     CLL [22] (ELEVATE-TN)            Regulatory approval (JP) 
                 Calquence     Maleate tablet formulation       Regulatory approval (EU) 
                 Forxiga       HFpEF [23] (DELIVER)             Regulatory approval (EU, 
                                                                 JP) 
                 Airsupra      Severe asthma (MANDALA/DENALI)   Regulatory approval (US) 
                 Tezspire      Pre-filled pen                   Regulatory approval (US, 
                                                                 EU) 
Regulatory       Enhertu       HER2-mutated NSCLC (2nd-line+)   Regulatory submission 
 submissions                    (DESTINY-Lung01)                 (EU, JP) 
 or acceptances 
--------------- 
                 Calquence     CLL (ASC)                     Regulatory submission 
                                                                 (CN) 
--------------- 
                 Beyfortus     RSV [24] (MELODY/MEDLEY)         Regulatory submission 
                                                                 (US) 
                 Soliris       NMOSD [25]                       Regulatory submission 
                                                                 (CN) 
---------------  ------------  -------------------------------  ---------------------------- 
Major Phase      Imfinzi       NSCLC (1st-line) (PEARL)         Primary endpoint not met 
 III data 
 readouts 
 and other 
 developments 
--------------- 
                 capivasertib  HR [26] +/HER2-negative          Fast Track Designation 
                                breast cancer (1st-line)         (US) 
                                (CAPItello-291) 
--------------- 
                 Orpathys      NSCLC with MET overexpression    Fast Track Designation 
                  + Tagrisso    (SAVANNAH/SAFFRON)               (US) 
                 tozorakimab   Treatment/prevention of          Fast Track Designation 
                                acute respiratory failure        (US) 
                                in patients with viral 
                                lung infection (TILIA) 
                 Saphnelo      Idiopathic inflammatory          Orphan Drug Designation 
                                myopathies                       (US) 
                 Evusheld      Pre-exposure prophylaxis         Revision of Emergency 
                                of COVID-19                      Use Authorisation (US) 
                                                                 - Evusheld is not currently 
                                                                 authorised in the US until 
                                                                 further notice from the 
                                                                 FDA [27] 
---------------  ------------  -------------------------------  ---------------------------- 
 

Corporate and business development

In January 2023, AstraZeneca entered into a definitive agreement to acquire CinCor Pharma, Inc. (CinCor), a US-based clinical-stage biopharmaceutical company focused on developing novel treatments for resistant and uncontrolled hypertension as well as chronic kidney disease. The acquisition will bolster AstraZeneca's cardiorenal pipeline by adding CinCor's candidate drug, baxdrostat (CIN-107), an aldosterone synthase inhibitor for blood pressure lowering in treatment-resistant hypertension.

AstraZeneca has initiated a tender offer to acquire all of CinCor's outstanding shares for a price of $26 per share in cash at closing, plus a non-tradable contingent value right of $10 per share in cash payable upon a specified regulatory submission of a baxdrostat product. Combined, the upfront and maximum potential contingent value payments represent, if achieved, a transaction value of approximately $1.8bn. As part of the transaction, AstraZeneca will acquire the cash and marketable securities on CinCor's balance sheet, which totalled approximately $522m as of 30 September 2022.

In January 2023, AstraZeneca completed the acquisition of Neogene Therapeutics Inc. (Neogene), a global clinical-stage biotechnology company pioneering the discovery, development and manufacturing of next-generation T-cell receptor therapies that offer a novel cell therapy approach for targeting cancer. AstraZeneca acquired outstanding equity of Neogene for a total consideration of up to $320m, on a cash and debt free basis. This includes an initial payment of $200m on deal closing, and a further up to $120m in both contingent milestones-based and non-contingent consideration.

Following the approval of Airsupra in January 2023, AstraZeneca has notified Avillion of its intention to commercialise Airsupra in the US. Under the terms of the agreement with Avillion, AstraZeneca will pay single-digit royalties and milestones based on future sales and developments.

In December 2022, AstraZeneca completed the sale of its R&D facility in Waltham, Massachusetts, US, to Alexandria Real Estate Equities, Inc, (ARE), a leading owner, operator and developer of life science campuses. ARE will lease the site back to AstraZeneca for a four-year term while construction is being completed on the new AstraZeneca R&D Centre and Alexion Headquarters in Kendall Square, Cambridge, Massachusetts, announced in April 2022.

In January 2023, AstraZeneca completed the sale of its West Chester site in Ohio, US, to National Resilience, Inc., a technology-focused manufacturing company dedicated to broadening access to complex medicines. The West Chester site will continue to manufacture medicines for AstraZeneca.

Post Alexion Acquisition Group Review (PAAGR)

In conjunction with the acquisition of Alexion in 2021, AstraZeneca initiated a comprehensive review, aimed at integrating systems, structure and processes, optimising the global footprint and prioritising resource allocations and investments. These activities are expected to be substantially complete by the end of 2025, with a number of planned activities having commenced in late 2021 and during 2022.

During 2022, the Company has refined the scope and estimates of the planned activities, resulting in an increase to the expected one-time restructuring costs over the life of the programme of $0.5bn, of which $0.3bn are non-cash costs, an increase in capital investments of $0.1bn, and an increase to the anticipated annual run-rate pre-tax benefits by the end of 2025 of $0.7bn.

In addition, initial financial estimates for the Company's planned upgrade of its Enterprise Resource Planning IT systems have been completed, resulting in anticipated incremental capital investments for software assets of $0.6bn and one-time restructuring cash costs of $0.3bn. This investment builds strongly on the PAAGR and is expected to be substantially complete by the end of 2030, realising significant strategic and compliance-related benefits from transforming core enterprise-wide processes, harmonising systems architecture and enabling future digital capabilities.

Consequently, the total programme activities are now anticipated to incur one-time restructuring costs of approximately $2.9bn, of which approximately $1.9bn are cash costs and $1.0bn are non-cash costs, and capital investments of approximately $0.9bn.

Run-rate pre-tax benefits, before reinvestment, are now expected to be approximately $1.9bn by the end of 2025. In line with established practice, restructuring costs will be excluded from our Core (non-GAAP) financial measures.

During 2022, AstraZeneca recorded restructuring charges of approximately $0.7bn in relation to the PAAGR (2021: $1.0bn), bringing the cumulative charges to date under this programme to $1.7bn. Of these costs, $0.7bn are non-cash costs arising primarily from impairments and accelerated depreciation on affected assets. As at 31 December 2022, the PAAGR has realised annual run-rate pre-tax benefits, before reinvestment, of $0.8bn.

Sustainability summary

In November 2022, AstraZeneca achieved third position overall in the 2022 Access to Medicine Index.

In January 2023, Chair Leif Johansson alongside Senior Executive Team members Marc Dunoyer, Dave Fredrickson and Iskra Reic attended the World Economic Forum in Davos, focusing on investing in health as the foundation of strong and resilient societies, and the need for collective early action to build more sustainable and equitable healthcare systems, including through collaborations such as the Partnership for Health System Sustainability and Resilience and the Sustainable Markets Initiative.

Management changes

Katarina Ageborg, EVP Global Sustainability and Chief Compliance Officer, has announced her retirement. Jeffrey Pott, Chief Human Resources Officer and General Counsel, will assume responsibility as Chief Compliance Officer in addition to his current responsibilities. Pam Cheng, Executive Vice-President, Operations and Information Technology, will assume responsibility for leadership of Sustainability strategy and function in addition to her existing responsibilities. The Board thanks Katarina for her lasting legacy, having positioned AstraZeneca amongst the global leaders in sustainability, backed by world-leading platforms and science-based targets.

Conference call

A conference call and webcast for investors and analysts will begin today, 9 February 2023, at 11:45 GMT. Details can be accessed via astrazeneca.com .(R)

Reporting calendar

The Company intends to publish its results for the first quarter of 2023 on Thursday 27 April 2023.

Operating and financial review

All narrative on growth and results in this section is based on actual exchange rates, and financial figures are in US$ millions ($m), unless stated otherwise. Unless stated otherwise, the performance shown in this announcement covers the twelve-month period to 31 December 2022 ('the year' or 'FY 2022') compared to the twelve-month period to 31 December 2021 (FY 2021), or the three-month period to 31 December 2022 ('the fourth quarter' or 'Q4 2022') compared to the three-month period to 31 December 2021 ('Q4 2021').

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

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

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

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

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

-- Other specified items, principally the imputed finance charge relating to contingent consideration on business combinations, legal settlements and the one-off deferred tax credit arising from the internal reorganisation to integrate Alexion

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

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

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

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

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

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

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

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

Total Revenue

Table 4 : Therapy area and medicine performance

 
                                    FY 2022                        Q4 2022 
                         -----------------------------  ----------------------------- 
                                            % Change                       % Change 
Product Sales                $m  % Total  Actual   CER      $m  % Total  Actual   CER 
----------------------   ------  -------  ------  ----  ------  -------  ------  ---- 
  Oncology               14,631       33      13    19   3,746       33       9    18 
-----------------------  ------  -------  ------  ----  ------  -------  ------  ---- 
  - Tagrisso              5,444       12       9    15   1,342       12       2    12 
  - Imfinzi [28]          2,784        6      15    21     752        7      19    27 
  - Lynparza              2,638        6      12    18     689        6      10    17 
  - Calquence             2,057        5      66    69     588        5      49    53 
  - Enhertu                  79        -     >4x   >4x      28        -     >3x   >3x 
  - Orpathys                 33        -     >2x   >2x     (1)        -     n/m   n/m 
  - Zoladex                 927        2     (2)     6     210        2     (9)     4 
  - Faslodex                334        1    (22)  (14)      74        1    (27)  (14) 
  - Iressa                  114        -    (38)  (34)      24        -    (32)  (24) 
  - Arimidex                 99        -    (29)  (24)      14        -    (57)  (50) 
  - Casodex                  78        -    (45)  (40)      16        -    (28)  (16) 
  - Others                   44        -    (14)   (6)      10        -    (29)  (18) 
-----------------------  ------  -------  ------  ----  ------  -------  ------  ---- 
  BioPharmaceuticals: 
   CVRM (6)               9,188       21      13    19   2,281       20      12    22 
-----------------------  ------  -------  ------  ----  ------  -------  ------  ---- 
  - Farxiga               4,381       10      46    56   1,177       11      39    52 
  - Brilinta              1,358        3     (8)   (4)     345        3     (1)     4 
  - Lokelma                 289        1      65    75      81        1      50    63 
  - Roxadustat              197        -      13    18      49        -      65    87 
  - Andexxa (6)             150        -       5    14      39        -       -    14 
  - Crestor               1,048        2     (4)     2     224        2    (13)   (2) 
  - Seloken/Toprol-XL       862        2     (9)   (4)     157        1    (23)  (12) 
  - Bydureon                280        1    (27)  (26)      73        1    (20)  (20) 
  - Onglyza                 257        1    (28)  (25)      52        -    (31)  (24) 
  - Others                  366        1    (10)   (7)      84        1    (13)   (6) 
-----------------------  ------  -------  ------  ----  ------  -------  ------  ---- 
  BioPharmaceuticals: 
   R&I                    5,765       13     (4)     -   1,447       13     (9)   (3) 
-----------------------  ------  -------  ------  ----  ------  -------  ------  ---- 
  - Symbicort             2,538        6     (7)   (2)     620        6     (9)   (2) 
  - Fasenra               1,396        3      11    15     381        3       7    12 
  - Breztri                 398        1      96   >2x     116        1      59    68 
  - Saphnelo                116        -    >10x  >10x      48        -     >6x   >6x 
  - Tezspire                  4        -     n/m   n/m       4        -     n/m   n/m 
  - Pulmicort               645        1    (33)  (31)     166        1    (33)  (28) 
  - Daliresp/Daxas          189        -    (17)  (16)      28        -    (52)  (52) 
  - Bevespi                  58        -       7     9      14        -     (5)   (1) 
  - Others                  421        1    (29)  (27)      70        1    (53)  (47) 
-----------------------  ------  -------  ------  ----  ------  -------  ------  ---- 
  BioPharmaceuticals: 
   V&I                    4,736       11       2     8   1,129       10    (51)  (44) 
-----------------------  ------  -------  ------  ----  ------  -------  ------  ---- 
  - Vaxzevria             1,798        4    (54)  (52)      85        1    (95)  (94) 
  - Evusheld              2,185        5    >10x  >10x     734        7     >8x   >9x 
  - Synagis                 578        1      41    59     194        2    (19)   (3) 
  - FluMist                 175        -    (31)  (20)     116        1    (35)  (24) 
-----------------------  ------  -------  ------  ----  ------  -------  ------  ---- 
  Rare Disease (6)        7,053       16       4    10   1,816       16       4    10 
-----------------------  ------  -------  ------  ----  ------  -------  ------  ---- 
  - Soliris (6)           3,762        8    (11)   (5)     844        8    (22)  (16) 
  - Ultomiris (6)         1,965        4      34    42     593        5      52    62 
  - Strensiq (6)            958        2      16    18     272        2      24    27 
 
     *    Koselugo          208        -      93    96      58        1      74    77 
  - Kanuma (6)              160        -      16    19      49        -      45    44 
-----------------------  ------  -------  ------  ----  ------  -------  ------  ---- 
  Other Medicines         1,625        4     (5)     4     379        3     (7)     7 
-----------------------  ------  -------  ------  ----  ------  -------  ------  ---- 
  - Nexium                1,285        3     (3)     8     300        3     (9)     7 
  - Others                  340        1    (10)   (7)      79        1     (1)     5 
-----------------------  ------  -------  ------  ----  ------  -------  ------  ---- 
Product Sales            42,998       97      18    24  10,798       96     (6)     2 
-----------------------  ------  -------  ------  ----  ------  -------  ------  ---- 
Collaboration Revenue     1,353        3      54    56     409        4    (20)  (19) 
-----------------------  ------  -------  ------  ----  ------  -------  ------  ---- 
Total Revenue            44,351      100      19    25  11,207      100     (7)     1 
-----------------------  ------  -------  ------  ----  ------  -------  ------  ---- 
 

Table 5 : Collaboration Revenue

 
                                   FY 2022                      Q4 2022 
                         ----------------------------  -------------------------- 
                                           % Change                    % Change 
                            $m  % Total  Actual   CER   $m  % Total  Actual   CER 
----------------------   -----  -------  ------  ----  ---  -------  ------  ---- 
Enhertu : alliance 
 revenue [29]              519       38     >2x   >2x  187       46     >3x   >3x 
Tezspire: alliance 
 revenue                    79        6     n/m   n/m   37        9     n/m   n/m 
Lynparza : regulatory 
 milestones                355       26     n/m   n/m  105       26     n/m   n/m 
Tralokinumab: sales 
 milestones                110        8     n/m   n/m    -        -       -     - 
Vaxzevria : royalties       76        6      19    16   10        2     n/m   n/m 
Other royalty income        72        5    (42)  (41)   17        4    (75)  (74) 
Other Collaboration 
 Revenue                   142       10      49    69   53       13    >10x  >10x 
-----------------------  -----  -------  ------  ----  ---  -------  ------  ---- 
Total                    1,353      100      54    56  409      100    (20)  (19) 
-----------------------  -----  -------  ------  ----  ---  -------  ------  ---- 
 

Table 6 : Total Revenue by therapy area

 
                                 FY 2022                        Q4 2022 
-------------------   -----------------------------  ------------------------------ 
                                         % Change                       % Change 
                          $m  % Total   Actual  CER      $m  % Total   Actual   CER 
-------------------   ------  -------  -------  ---  ------  -------  -------  ---- 
Oncology              15,539       35       15   20   4,046       36        4    12 
BioPharmaceuticals 
 (6)                  20,010       45        5   11   4,932       44     (17)   (9) 
--------------------  ------  -------  -------  ---  ------  -------  -------  ---- 
- CVRM (6)             9,211       21       13   19   2,284       20       12    22 
- R&I                  5,963       13      (1)    3   1,485       13      (7)   (1) 
- V&I                  4,836       11        1    8   1,163       10     (50)  (43) 
--------------------  ------  -------  -------  ---  ------  -------  -------  ---- 
Rare Disease(6)        7,053       16        4   10   1,816       16        4    10 
Other Medicines        1,748        4      (4)    5     412        4      (2)    12 
--------------------  ------  -------  -------  ---  ------  -------  -------  ---- 
Total                 44,351      100       19   25  11,207      100      (7)     1 
--------------------  ------  -------  -------  ---  ------  -------  -------  ---- 
 

Table 7 : Total Revenue by region

 
                               FY 2022                        Q4 2022 
-----------------   -----------------------------  ------------------------------ 
                                       % Change                       % Change 
                        $m  % Total   Actual  CER      $m  % Total   Actual   CER 
-----------------   ------  -------  -------  ---  ------  -------  -------  ---- 
Emerging Markets    11,745       26      (4)    1   2,733       24     (25)  (18) 
------------------  ------  -------  -------  ---  ------  -------  -------  ---- 
- China              5,792       13      (4)    -   1,194       11      (9)     3 
- Ex-China           5,953       13      (5)    1   1,538       14     (35)  (29) 
------------------  ------  -------  -------  ---  ------  -------  -------  ---- 
US                  17,920       40       47   47   4,788       43       22    22 
Europe               8,738       20        9   21   2,308       21     (20)   (8) 
Established RoW      5,948       13       22   40   1,378       12     (11)     8 
------------------  ------  -------  -------  ---  ------  -------  -------  ---- 
Total               44,351      100       19   25  11,207      100      (7)     1 
------------------  ------  -------  -------  ---  ------  -------  -------  ---- 
 

Table 8 : Total Revenue by region - excluding Vaxzevria

 
                               FY 2022                        Q4 2022 
-----------------   -----------------------------  ----------------------------- 
                                       % Change                       % Change 
                        $m  % Total   Actual  CER      $m  % Total   Actual  CER 
-----------------   ------  -------  -------  ---  ------  -------  -------  --- 
Emerging Markets    10,940       25       10   16   2,678       24        7   18 
------------------  ------  -------  -------  ---  ------  -------  -------  --- 
- China              5,746       13      (4)  (1)   1,194       11      (8)    4 
- Ex-China           5,195       12       31   41   1,484       13       24   33 
------------------  ------  -------  -------  ---  ------  -------  -------  --- 
US                  17,840       40       47   47   4,788       43       24   24 
Europe               8,372       19       19   33   2,268       20     (12)    1 
Established RoW      5,323       12       24   43   1,378       12        4   27 
------------------  ------  -------  -------  ---  ------  -------  -------  --- 
Total               42,476       96       27   34  11,112       99        8   17 
------------------  ------  -------  -------  ---  ------  -------  -------  --- 
 

Oncology

Oncology Total Revenue increased by 15% (20% at CER) in FY 2022 to $15,539m and represented 35% of overall Total Revenue (FY 2021: 36%). This included Lynparza Collaboration Revenue of $355m (FY 2021: $400m) and Enhertu Collaboration Revenue of $523m (FY 2021: $197m). Product Sales increased by 13% (19% at CER) in FY 2022 to $14,631m, reflecting new launches and increased patient access for Tagrisso, Imfinzi, Lynparza and Calquence partially offset by declines in some older medicines.

Tagrisso

 
Total Revenue    Worldwide  Emerging Markets   US    Europe  Established 
                                                                 RoW 
--------------   ---------  ----------------  -----  ------  ----------- 
FY 2022 $m         5,444         1,567        2,007  1,023       847 
Actual change       9%            17%          13%     4%       (7%) 
CER change          15%           22%          13%    17%        8% 
---------------  ---------  ----------------  -----  ------  ----------- 
 
 
Region               Drivers and commentary 
----------------    ------------------------------------------------------------- 
Worldwide            * Increased use of Tagrisso in adjuvant and 1st-line 
                      setting and expansion of reimbursed access, partially 
                      offset by COVID-19 headwinds 
Emerging Markets     * Rising demand from increased patient access in China 
                      continues to offset the impact of the March 2021 NRDL 
                      [30] price reduction 
                      * The fourth quarter saw some impact from year-end ordering 
                      dynamics in China 
US                   * Improving use in 1st-line with longer duration of 
                      treatment and increasing adjuvant penetration, partially 
                      offset by lower 2nd-line use 
Europe               * Greater use in 1st-line and adjuvant settings; established 
                      1st-line standard of care in EU5 [31] , partially offset 
                      by lower 2nd-line use 
Established          * Increased use in 1st-line setting and launch progress 
 RoW                  in adjuvant, including Japan 
----------------    ------------------------------------------------------------- 
 

Imfinzi

 
Total Revenue    Worldwide  Emerging Markets   US    Europe  Established 
                                                                 RoW 
--------------   ---------  ----------------  -----  ------  ----------- 
FY 2022 $m         2,784          287         1,552   544        401 
Actual change       15%            4%          25%    12%       (1%) 
CER change          21%            7%          25%    26%        15% 
---------------  ---------  ----------------  -----  ------  ----------- 
 
 
Region               Drivers and commentary 
----------------    ------------------------------------------------------------ 
Worldwide            * The Imfinzi revenue line includes sales of Imjudo, 
                      which commenced in Q4 2022 following approvals in the 
                      US for patients with unresectable liver cancer (HIMALAYA) 
                      and Stage IV NSCLC (POSEIDON) 
                      * Increased use of Imfinzi in GI, liver and lung cancer 
                      * Continued recovery in diagnosis and treatment rates 
                      following the COVID-19 pandemic across all regions, 
                      excluding China 
Emerging Markets     * Growth in ex-China driven by improved diagnosis and 
                      treatment rates following the COVID--19 pandemic 
US                   * New patient starts across Stage III NSCLC and ES-SCLC 
                      [32] 
                      * Strong launch in BTC [33] following September 2022 
                      FDA approval (TOPAZ-1), and growing penetration of Imfinzi 
                      + Imjudo in metastatic NSCLC and HCC 
Europe               * Increased market penetration in ES-SCLC, growth in 
                      the number of reimbursed markets, and ongoing recovery 
                      in rates of diagnosis and treatment 
Established          * New reimbursements 
 RoW 
----------------    ------------------------------------------------------------ 
 

Lynparza

 
Total Revenue    Worldwide  Emerging Markets   US    Europe  Established 
                                                                 RoW 
--------------   ---------  ----------------  -----  ------  ----------- 
FY 2022 $m         2,993          488         1,226  1,010       269 
Actual change       9%            27%          13%    (1%)       4% 
CER change          14%           31%          13%     7%        20% 
---------------  ---------  ----------------  -----  ------  ----------- 
 
 
Product Sales    Worldwide  Emerging Markets   US    Europe  Established 
                                                                 RoW 
--------------   ---------  ----------------  -----  ------  ----------- 
FY 2022 $m         2,638          488         1,226   655        269 
Actual change       12%           27%          13%     6%        4% 
CER change          18%           31%          13%    19%        20% 
---------------  ---------  ----------------  -----  ------  ----------- 
 
 
Region               Drivers and commentary 
----------------    ---------------------------------------------------------------- 
Worldwide            * Lynparza remains the leading medicine in the PARP 
                      [34] inhibitor class globally across four tumour types, 
                      as measured by total prescription volume 
                      * Total Revenue includes $355m in regulatory milestones 
                      received from MSD and recognised in Europe, following 
                      approval in the US and EU for the adjuvant treatment 
                      of patients with gBRCAm [35] breast cancer (OlympiA), 
                      and approval in the EU for the treatment of mCRPC (PROpel) 
Emerging Markets     * Increased patient access following admission to China's 
                      NRDL as a 1st-line maintenance treatment for BRCAm [36] 
                      ovarian cancer patients, with effect from March 2021; 
                      launches in other markets 
US                   * US launch in early breast cancer following March 2022 
                      FDA approval (OlympiA) 
                      * Increased use in breast, ovarian and prostate cancers 
Europe               * Increasing HRD testing rates and use in 1st-line HRD-positive 
                      ovarian cancer, increased Lynparza uptake in BRCAm mCRPC 
                      [37] and gBRCAm HER2-negative advanced breast cancer 
                      and the EU launch in gBRCAm early breast cancer following 
                      EMA [38] approval in August (OlympiA) 
Established          * New launches and high levels of HRD testing in Japan 
 RoW 
----------------    ---------------------------------------------------------------- 
 

Enhert u

 
Total Revenue    Worldwide  Emerging Markets  US   Europe  Established 
                                                               RoW 
--------------   ---------  ----------------  ---  ------  ----------- 
FY 2022 $m          602            80         405   110         7 
Actual change       >2x           >6x         >2x   >3x       >10x 
CER change          >2x           >6x         >2x   >3x       >10x 
---------------  ---------  ----------------  ---  ------  ----------- 
 
 
Region               Drivers and commentary 
----------------    --------------------------------------------------------------------- 
Worldwide            * Excluding Japan, Enhertu global in-market sales recorded 
                      by Daiichi Sankyo Company Limited (Daiichi Sankyo) and 
                      AstraZeneca, amounted to $1,173m in the year (FY 2021: 
                      $426m) 
                      * AstraZeneca's Total Revenue of $602m includes $523m 
                      of Collaboration Revenue from its share of gross profit 
                      in territories where Daiichi Sankyo records product 
                      sales and royalties on sales in Japan 
Emerging Markets     * Strong uptake in early launch markets 
US                   * US in-market sales, recorded by Daiichi Sankyo, amounted 
                      to $850m in the year (FY 2021: $357m) 
                      * Now standard of care in 2nd-line HER2-positive metastatic 
                      breast cancer following May 2022 FDA approval (DESTINY-Breast03) 
                      and after first chemotherapy in HER2-low metastatic 
                      breast cancer following August 2022 FDA approval (DESTINY-Breast04) 
Europe               * Growth in 3rd-line+ HER2-positive metastatic breast 
                      and launch in 2nd-line HER2-positive metastatic breast 
                      cancer after EMA approval in July 2022 (DESTINY-Breast03) 
Established          * In Japan, AstraZeneca receives a mid-single-digit 
 RoW                  percentage royalty on sales made by Daiichi Sankyo 
----------------    --------------------------------------------------------------------- 
 

Calquence

 
Total Revenue    Worldwide  Emerging Markets   US    Europe  Established 
                                                                 RoW 
--------------   ---------  ----------------  -----  ------  ----------- 
FY 2022 $m         2,057           45         1,657   286        69 
Actual change       66%           >2x          52%    >2x        >3x 
CER change          69%           >2x          52%    >2x        >4x 
---------------  ---------  ----------------  -----  ------  ----------- 
 
 
Region        Drivers and commentary 
---------    -------------------------------------------------------------- 
Worldwide     * Increased penetration globally; leading BTKi [39] 
               in key markets 
US            * Increased share of new patient starts 
               * Inventory build in Q3 following maleate tablet formulation 
               launch in August; Q4 observed partial inventory work 
               down 
Europe        * Increased share of new patient starts 
---------    -------------------------------------------------------------- 
 

Orpathys

Total Revenue of $33m (FY 2021: $16m), growth was driven by the 2021 launch in China, where it is approved for patients with lung cancer and MET gene alterations. Orpathys has been included in the updated NRDL in China for the treatment of patients with NSCLC with MET exon 14 skipping alterations. The updated NRDL will take effect from 1 March 2023.

Other Oncology medicines

 
  FY 2022  % Change 
 
 
Total Revenue     $m   Actual   CER 
---------------   ---  ------  -----  ---------------------------------------------- 
Zoladex           957   (1%)    7%     * Increased use in ex-China Emerging Markets, 
                                        offsetting a price cut in Japan 
Faslodex          334  (22%)   (14%)   * Generic competition 
Iressa            114  (38%)   (34%)   * Continued share loss to next-generation 
                                        TKIs [40] 
Arimidex          99   (29%)   (24%) 
Casodex           78   (45%)   (40%)   * Ongoing impact from VBP implementation 
Other Oncology    44   (14%)   (6%) 
----------------  ---  ------  -----  ---------------------------------------------- 
 

BioPharmaceuticals

Including V&I medicines, BioPharmaceuticals Total Revenue increased by 5% (11% at CER) in FY 2022 to $20,010m, representing 45% of overall Total Revenue (FY 2021: 51%). Growth was driven by strong Farxiga performance, Evusheld revenues offsetting the decline in Vaxzevria, and growth from newer R&I medicines offsetting decreases in Pulmicort and other older R&I medicines.

BioPharmaceuticals - CVRM

CVRM Total Revenue increased by 13% (19% at CER) to $9,211m in FY 2022, driven by a strong Farxiga performance, and represented 21% of overall Total Revenue (FY 2021: 22%).

Farxiga

 
Total Revenue    Worldwide  Emerging Markets   US    Europe  Established 
                                                                 RoW 
--------------   ---------  ----------------  -----  ------  ----------- 
FY 2022 $m         4,386         1,665        1,071  1,297       353 
Actual change       46%           39%          46%    60%        31% 
CER change          56%           47%          46%    81%        48% 
---------------  ---------  ----------------  -----  ------  ----------- 
 
 
Region               Drivers and commentary 
----------------    ----------------------------------------------------------------- 
Worldwide            * Farxiga volume is growing faster than the overall 
                      SGLT2 [41] market in all major regions 
                      * Additional benefit from continued growth in the overall 
                      SGLT2 inhibitor class 
                      * Further HF [42] and CKD launches and supportive updates 
                      to treatment guidelines including from ESC [43] and 
                      AHA [44] /ACC [45] /HFSA [46] . HF and CKD indications 
                      now launched in >100 markets 
Emerging Markets     * Growth despite generic competition in some markets. 
                      Solid growth in ex-China Emerging Markets, particularly 
                      Latin America 
US                   * Regulatory approval for HFrEF [47] in May 2020, treatment 
                      of CKD in May 2021. Both approvals included patients 
                      with and without T2D [48] 
                      * Farxiga continued to gain in-class brand share, driven 
                      by HF and CKD launches 
Europe               * The beneficial addition of cardiovascular outcomes 
                      trial data to the label, the HFrEF regulatory approval 
                      in November 2020, and CKD regulatory approval in August 
                      2021 
                      * Forxiga continued gaining in-class market share in 
                      the period 
Established          * In Japan, AstraZeneca sells to collaborator Ono Pharmaceutical 
 RoW                  Co., Ltd, which records in-market sales. Continued volume 
                      growth driven by HF and CKD launches 
----------------    ----------------------------------------------------------------- 
 

Brilinta

 
Total Revenue    Worldwide  Emerging Markets  US   Europe  Established 
                                                               RoW 
--------------   ---------  ----------------  ---  ------  ----------- 
FY 2022 $m         1,358          286         744   282        46 
Actual change      (8%)          (13%)        1%   (18%)      (27%) 
CER change         (4%)          (10%)        1%    (8%)      (22%) 
---------------  ---------  ----------------  ---  ------  ----------- 
 
 
Region               Drivers and commentary 
----------------    ------------------------------------------------------- 
Emerging Markets     * Adverse impact from Brilinta's inclusion in China's 
                      VBP programme 
                      * Growth in ex-China Emerging Markets 
US, Europe           * Q4 US sales growth favourably impacted by a one-time 
                      adjustment. Some market recovery of oral antiplatelet 
                      therapies following the pandemic 
----------------    ------------------------------------------------------- 
 

Lokelma

Total Revenue increased 65% (75% at CER) to $289m in FY 2022, driven by Lokelma extending its branded market share lead in the US and also achieving total potassium binder market share leadership in the period. Continued progress in Europe from recent launches across the region where Lokelma extended its market share in the period. In China, Lokelma was admitted to the NRDL with effect from 1 January 2022 and is now the leading potassium binder in the country.

Roxadustat

Total Revenue increased 12% (17% at CER) to $202m, with roxadustat benefitting from increased volumes in China following NRDL price cuts.

Andexxa

On a pro forma basis, Andexxa Total Revenue increased 12% (21% at CER) to $160m.

Other CVRM medicines

 
  FY 2022  % Change 
 
 
Total Revenue     $m    Actual   CER 
-------------- 
Crestor          1,050   (4%)    2%     * Sales growth at CER driven by Emerging 
                                         Markets, offset by declines in the US 
                                         and Europe 
Seloken           863    (9%)   (4%)    * Emerging Markets sales impacted by China 
                                         VBP implementation of Betaloc [49] oral 
                                         in H2 2021. Betaloc ZOK VBP was implemented 
                                         in Q4 2022 
Onglyza           257   (28%)   (25%)   * Ongoing impact from VBP implementation 
Bydureon          280   (27%)   (26%)   * Continued competitive pressures 
Other CVRM        366   (10%)   (7%) 
---------------  -----  ------  -----  --------------------------------------------- 
 

BioPharmaceuticals - R&I

Total Revenue of $5,963m from R&I medicines in FY 2022 decreased 1% (increased 3% at CER) and represented 13% of overall Total Revenue (FY 2021: 16%). This reflected growth in recently launched brands, including Fasenra, Tezspire, Breztri and Saphnelo, offset by the erosion of Pulmicort revenue following its inclusion in VBP in China in Q4 2021, and a smaller decline in Symbicort revenue.

Symbicort

 
Total Revenue    Worldwide  Emerging Markets   US   Europe  Established 
                                                                RoW 
--------------   ---------  ----------------  ----  ------  ----------- 
FY 2022 $m         2,538          608         973    582        375 
Actual change      (7%)            -          (9%)  (13%)      (2%) 
CER change         (2%)            5%         (9%)   (3%)       5% 
---------------  ---------  ----------------  ----  ------  ----------- 
 
 
Region               Drivers and commentary 
----------------    ------------------------------------------------------------ 
Worldwide            * Symbicort remains the global market leader within 
                      a stable ICS [50] /LABA [51] class 
Emerging Markets     * Growth driven primarily by Latin America, Middle East 
                      and Asia Area, offset by decrease in China due to COVID-19 
                      restrictions 
US                   * Strong market share performance, consolidating leadership 
                      in a declining ICS/LABA market, offset by pricing pressure 
Europe               * Resilient market share in growing ICS/LABA market, 
                      offset by pricing pressure 
Established          * Growth in some countries driven by share gains and 
 RoW                  a continued recovery in the ICS/LABA market. That growth 
                      was offset by generic erosion in other countries 
----------------    ------------------------------------------------------------ 
 

Fasenra

 
Total Revenue    Worldwide  Emerging Markets  US   Europe  Established 
                                                               RoW 
--------------   ---------  ----------------  ---  ------  ----------- 
FY 2022 $m         1,396           43         906   305        142 
Actual change       11%           >2x         15%    7%       (12%) 
CER change          15%           >2x         15%   20%       (1%) 
---------------  ---------  ----------------  ---  ------  ----------- 
 
 
Region               Drivers and commentary 
----------------    --------------------------------------------------------------- 
Worldwide            * Fasenra continues to be market leader in severe eosinophilic 
                      asthma in major markets, and leading in the IL-5 [52] 
                      class 
Emerging Markets     * Strong volume growth driven by launch acceleration 
                      across key markets 
US                   * Maintained a strong total patient share in the severe 
                      asthma market 
Europe               * Sustained growth by expanding leadership in severe 
                      eosinophilic asthma 
Established          * Maintained market leadership in Japan, partially offset 
 RoW                  by price adjustments and impact in the dynamic market 
                      [53] related to the rise in COVID-19 cases 
----------------    --------------------------------------------------------------- 
 

Breztri

 
Total Revenue    Worldwide  Emerging Markets  US   Europe  Established 
                                                               RoW 
--------------   ---------  ----------------  ---  ------  ----------- 
FY 2022 $m          398            92         239    33        34 
Actual change       96%           68%         >2x   >4x        32% 
CER change          >2x           75%         >2x   >5x        56% 
---------------  ---------  ----------------  ---  ------  ----------- 
 
 
Region               Drivers and commentary 
----------------    ------------------------------------------------------------ 
Worldwide            * Breztri continued to gain market share within the 
                      growing FDC [54] triple class across major markets 
Emerging Markets     * In China, the FDC triple class continued to penetrate 
                      the inhaled maintenance market, with growth impacted 
                      by COVID-19. Breztri continued its market share leadership 
                      within the fixed-dose triple class 
US                   * Consistent new-to-brand [55] and total market share 
                      growth within the FDC triple class 
Europe               * Sustained growth across markets as new launches continue 
                      to progress 
Established          * Strong new-to-brand market share performance in Japan, 
 RoW                  with the dynamic market impacted by access restrictions 
                      related to the rise in COVID-19 cases 
----------------    ------------------------------------------------------------ 
 

Saphnelo

Total Revenue of $116m in the year (FY 2021: $8m) was driven by demand acceleration in the US, where Saphnelo achieved new-to-brand leadership in the i.v. [56] segment for SLE [57] and received a permanent J-code facilitating reimbursement. Growth was further supported by launches in Germany and Japan during the year.

Tezspire

Tezspire is approved in the US, EU and Japan (as well as other countries) for the treatment of severe asthma without biomarker or phenotypic limitation. Collaboration Revenue of $82m in the year (FY 2021: $nil) reflected the strong early launch performance in the US. In Europe and Established RoW, AstraZeneca recorded $4m revenue ($2m in each region).

Amgen records sales in the US and AstraZeneca records its share of gross profits in the US as Collaboration Revenue. Total ex-US product sales are recorded as AstraZeneca revenue ($4m in 2022). Global in-market sales of Tezspire were $174m in 2022.

Other R&I medicines

 
  FY 2022  % Change 
 
 
Total Revenue     $m   Actual   CER 
---------------   ---  ------  -----  ----------------------------------------------- 
Pulmicort         645  (33%)   (31%)   * Emerging Markets revenue decreased 40% 
                                        (39% at CER) to $462m, impacted by VBP 
                                        implementation in China, lower rates of 
                                        hospitalisations and limited access to 
                                        nebulisation centres in China due to COVID-19 
                                        lockdowns 
                                        * Revenues in Ex-China Emerging Markets 
                                        grew following recovery of nebulisation 
                                        demand 
Daliresp/Daxas    189  (17%)   (16%)   * Impacted by uptake of multiple generics 
                                        following loss of exclusivity in the US 
                                        * Total Revenue in the fourth quarter 
                                        decreased by 52% 
Bevespi           58     7%     9% 
Other R&I         540  (11%)   (9%)    * Collaboration Revenue of $119m (FY 2021: 
                                        $15m), including $110m of milestones relating 
                                        to tralokinumab (FY 2021: $nil) 
                                        * Product Sales of $421m decreased 29% 
                                        (27% at CER) 
----------------  ---  ------  -----  ----------------------------------------------- 
 

BioPharmaceuticals - V&I

Total Revenue from V&I medicines was broadly flat at $4,836m (FY 2021: $4,779m) and represented 11% of overall Total Revenue (FY 2021: 13%).

Vaxzevria

 
Total Revenue    Worldwide  Emerging Markets  US   Europe  Established 
                                                               RoW 
--------------   ---------  ----------------  ---  ------  ----------- 
FY 2022 $m         1,875          805         79    365        625 
Actual change      (53%)         (65%)        24%  (65%)       8% 
CER change         (51%)         (65%)        24%  (61%)       17% 
---------------  ---------  ----------------  ---  ------  ----------- 
 
 
Region               Drivers and commentary 
----------------    ---------------------------------------------------------------- 
Worldwide            * Revenue in the fourth quarter decreased by 95% (94% 
                      at CER) due to the conclusion of Vaxzevria contracts 
Emerging Markets     * $76m of Collaboration Revenue from sub-licensees in 
                      FY 2022, including $46m in Q1 2022 from a Chinese sub-licensee 
                      producing vaccines for export 
                      * Revenue in the fourth quarter decreased by 95% 
US                   * Purchases by the US Government for donation overseas 
                      in Q1 2022 
                      * No revenue was recorded after Q1 2022 
Europe               * Revenue in the fourth quarter decreased by 87% (84% 
                      at CER) vs Q4 2021 
Established          * No revenue was recorded for Established RoW in the 
 RoW                  fourth quarter 
----------------    ---------------------------------------------------------------- 
 

Evusheld

 
Total Revenue    Worldwide  Emerging Markets   US    Europe  Established 
                                                                 RoW 
--------------   ---------  ----------------  -----  ------  ----------- 
FY 2022 $m         2,184          413         1,067   298        407 
Actual change      >10x           >6x          n/m    >4x        n/m 
CER change         >10x           >6x          n/m    >5x        n/m 
---------------  ---------  ----------------  -----  ------  ----------- 
 
 
Region               Drivers and commentary 
----------------    --------------------------------------------------------- 
US                   * AstraZeneca fulfilled the US Government's order for 
                      1.7 million units during the year 
Emerging Markets     * Government contracts in Central and Eastern Europe, 
                      Latin America and South East Asia 
Europe               * Approved in the EU for prevention of COVID-19 in March 
                      2022 and treatment of COVID-19 in September 2022 
Established          * Approved in Japan for prevention and treatment of 
 RoW                  COVID-19 in August 2022 
----------------    --------------------------------------------------------- 
 

Other V&I medicines

 
  FY 2022  % Change 
 
 
Total Revenue    $m   Actual   CER 
--------------   ---  ------  -----  ------------------------------------------- 
Synagis          578   41%     59%    * Ex-US rights reverted to AstraZeneca 
                                       after 30 June 2021, from AbbVie Inc. 
                                       * In Q4 2022, Synagis sales decreased 
                                       by 19% (3% CER), reflecting the early 
                                       start to the RSV season in the prior year 
                                       period 
                                      * Late start to the influenza season in 
FluMist          175  (31%)   (20%)    Europe 
---------------  ---  ------  -----  ------------------------------------------- 
 

Rare Disease

On a pro forma basis, Total Revenue from Rare Disease medicines increased by 4% (10% at CER) in FY 2022 to $7,053m, representing 16% of overall Total Revenue.

Performance was driven by the durability of the C5 [58] franchise, Soliris and Ultomiris growth in neurology indications, Ultomiris gMG launch, and expansion into new markets.

Strensiq and Koselugo performances were driven by continued patient demand and geographic expansion.

These tables show pro forma growth rates for each of the medicines acquired with Alexion, calculated by comparing FY 2022 revenues with the medicine's revenues from 1 January 2021 to 31 December 2021.

Soliris

 
Total Revenue       Worldwide  Emerging Markets   US    Europe  Established 
                                                                    RoW 
-----------------   ---------  ----------------  -----  ------  ----------- 
FY 2022 $m            3,762          301         2,180   805        476 
Actual change(6)      (11%)         (29%)        (7%)   (21%)       11% 
CER change(6)         (5%)          (10%)        (7%)   (12%)       24% 
------------------  ---------  ----------------  -----  ------  ----------- 
 
 
Region     Drivers and commentary 
------    ------------------------------------------------------------- 
US         * Performance impacted by successful conversion to Ultomiris 
            in PNH [59] , aHUS [60] and gMG [61] , partially offset 
            by Soliris growth in NMOSD 
Ex-US      * Decline driven by successful conversion to Ultomiris, 
            slightly offset by growth in NMOSD and expansion in 
            new markets 
------    ------------------------------------------------------------- 
 

Ultomiris

 
Total Revenue       Worldwide  Emerging Markets   US    Europe  Established 
                                                                    RoW 
-----------------   ---------  ----------------  -----  ------  ----------- 
FY 2022 $m            1,965           38         1,136   481        310 
Actual change(6)       34%           >2x          35%    49%        6% 
CER change(6)          42%           >2x          35%    68%        26% 
------------------  ---------  ----------------  -----  ------  ----------- 
 
 
Region          Drivers and commentary 
-----------    ----------------------------------------------------------- 
Worldwide       * Performance driven by gMG launch in the US and expansion 
                 into new markets 
                 * Quarter-on-quarter variability in revenue growth can 
                 be expected due to Ultomiris every eight-week dosing 
                 schedule and lower average annual treatment cost per 
                 patient compared to Soliris 
US              * Performance driven by successful conversion from Soliris 
                 across PNH, aHUS and gMG 
Europe          * Growth driven by strong demand generation following 
                 new launch markets 
Established     * Rapid conversion in new launch markets, strong growth 
 RoW             in Japan following gMG launch 
-----------    ----------------------------------------------------------- 
 

Other Rare Disease medicines

 
  FY 2022  % Change 
 
 
Total Revenue    $m   Actual  CER  Commentary 
--------------   ---  ------  ---  -------------------------------------------- 
                                    * Performance driven by strong patient 
Strensiq         958   16%    18%    demand and geographic expansion 
Koselugo         208   93%    96%   * Growth driven by expansion in new markets 
Kanuma           160   16%    19%   * Continued demand growth in ex-US markets 
---------------  ---  ------  ---  -------------------------------------------- 
 

Other medicines (outside the main therapy areas)

 
  FY 2022  % Change 
 
 
Total Revenue     $m    Actual  CER   Commentary 
--------------   -----  ------  ----  ------------------------------------------- 
Nexium           1,367   (4%)    7%    * Nexium (oral) was implemented in China's 
                                        VBP programme in February 2021 and Nexium 
                                        i.v. was implemented in October 2021 
                                        * Generic competition in Japan increased 
                                        in the fourth quarter 
Others            381    (4%)   (1%) 
---------------  -----  ------  ----  ------------------------------------------- 
 

Financial performance

Table 9 : Reported Profit and Loss

 
                            FY 2022   FY 2021    % Change     Q4 2022  Q4 2021      % Change 
                                 $m        $m  Actual    CER       $m       $m    Actual        CER 
------------------------   --------  --------  ------  -----  -------  -------  --------  --------- 
Total Revenue                44,351    37,417      19     25   11,207   12,011       (7)          1 
- Product Sales              42,998    36,541      18     24   10,798   11,498       (6)          2 
- Collaboration Revenue       1,353       876      54     56      409      513      (20)       (19) 
-------------------------  --------  --------  ------  -----  -------  -------  --------  --------- 
Cost of sales              (12,391)  (12,437)       -      4  (2,900)  (4,625)      (37)       (35) 
-------------------------  --------  --------  ------  -----  -------  -------  --------  --------- 
Gross profit                 31,960    24,980      28     35    8,307    7,386        12         24 
Gross Margin                  71.2%     66.0%    +5pp   +5pp    73.1%    59.8%     +13pp      +15pp 
-------------------------  --------  --------  ------  -----  -------  -------  --------  --------- 
Distribution expense          (536)     (446)      20     29    (156)    (124)        26         38 
% Total Revenue                1.2%      1.2%       -      -     1.4%     1.0%         -          - 
R&D expense                 (9,762)   (9,736)       -      5  (2,625)  (2,584)         2          9 
% Total Revenue               22.0%     26.0%    +4pp   +4pp    23.4%    21.5%      -2pp       -2pp 
SG&A expense               (18,419)  (15,234)      21     26  (4,621)  (5,117)      (10)        (3) 
% Total Revenue               41.5%     40.7%    -1pp      -    41.2%    42.6%      +1pp       +2pp 
OOI [62] & expense              514     1,492    (66)   (65)      189      147        29         33 
% Total Revenue                1.2%      4.0%    -3pp   -3pp     1.7%     1.2%         -          - 
-------------------------  --------  --------  ------  -----  -------  -------  --------  --------- 
Operating profit/(loss)       3,757     1,056     >3x    >3x    1,094    (292)       n/m        n/m 
Operating Margin               8.5%      2.8%       6      7     9.8%    -2.4%     +12pp      +14pp 
-------------------------  --------  --------  ------  -----  -------  -------  --------  --------- 
Net finance expense         (1,251)   (1,257)     (1)      5    (315)    (335)       (6)          - 
Joint ventures and 
 associates                     (5)      (64)    (92)   (91)      (1)      (9)      (89)       (89) 
-------------------------  --------  --------  ------  -----  -------  -------  --------  --------- 
Profit/(loss) before 
 tax                          2,501     (265)     n/m    n/m      778    (636)       n/m        n/m 
-------------------------  --------  --------  ------  -----  -------  -------  --------  --------- 
Taxation                        792       380     >2x    >3x      124      290      (57)         21 
Tax rate                       -32%      143%                    -16%      46% 
-------------------------  --------  --------  ------  -----  -------  -------  --------  --------- 
Profit/(loss) after 
 tax                          3,293       115     n/m    n/m      902    (346)       n/m        n/m 
-------------------------  --------  --------  ------  -----  -------  -------  --------  --------- 
Earnings per share           $ 2.12     $0.08     n/m    n/m    $0.58  $(0.22)       n/m        n/m 
-------------------------  --------  --------  ------  -----  -------  -------  --------  --------- 
 
 

Table 10 : Reconciliation of Reported Profit before tax to EBITDA

 
                              FY 2022  FY 2021    % Change    Q4 2022  Q4 2021    % Change 
                                   $m       $m  Actual   CER       $m       $m  Actual   CER 
---------------------------   -------  -------  ------  ----  -------  -------  ------  ---- 
Reported Profit/(loss) 
 before tax                     2,501    (265)     n/m   n/m      778    (636)     n/m   n/m 
Net finance expense             1,251    1,257     (1)     5      315      335     (6)     - 
Joint ventures and 
 associates                         5       64    (92)  (91)        1        9    (89)  (89) 
Depreciation, amortisation 
 and impairment                 5,480    6,530    (16)  (12)    1,480    2,192    (32)  (28) 
----------------------------  -------  -------  ------  ----  -------  -------  ------  ---- 
EBITDA                          9,237    7,586      22    33    2,574    1,900      36    56 
----------------------------  -------  -------  ------  ----  -------  -------  ------  ---- 
 

EBITDA of $9,237m in the year (FY 2021: $7,586m) has been negatively impacted by the $3,484m (FY 2021: $2,198m) unwind of inventory fair value uplift recognised on the acquisition of Alexion. EBITDA of $2,574m in the quarter (Q4 2021: $1,900m) has been negatively impacted by the $309m (Q4 2021: $1,154m) unwind of inventory fair value uplift recognised on the acquisition of Alexion. The unwind of the remaining $114m inventory fair value uplift is expected to depress EBITDA in 2023.

Table 11 : Reconciliation of Reported to Core financial measures: FY 2022

 
FY 2022    Reported  Restructuring           Intangible  Acquisition  Other  Core    Core 
                                     Asset Amortisation   of Alexion                % Change 
                                          & Impairments 
 
 
                           $m     $m     $m     $m        $m        $m  Actual   CER 
------------------   --------  -----  -----  -----  --------  --------  ------  ---- 
Gross profit           31,960    266     32  3,506       (1)    35,763      28    35 
Gross Margin            71.2%                                    80.0%    +6pp  +6pp 
-------------------  --------  -----  -----  -----  --------  --------  ------  ---- 
Distribution 
 expense                (536)      2      -      -         -     (534)      20    28 
R&D expense           (9,762)    111    124     27         -   (9,500)      19    24 
SG&A expense         (18,419)    405  4,165     38  985 [63]  (12,826)      15    21 
-------------------  --------  -----  -----  -----  --------  --------  ------  ---- 
Total operating 
 expense             (28,717)    518  4,289     65       985  (22,860)      17    23 
-------------------  --------  -----  -----  -----  --------  --------  ------  ---- 
Other operating 
 income & expense         514   (67)      -      -         -       447    (70)  (69) 
-------------------  --------  -----  -----  -----  --------  --------  ------  ---- 
Operating 
 profit                 3,757    717  4,321  3,571       984    13,350      34    42 
Operating 
 Margin                  8.5%                                    30.1%    +4pp  +4pp 
-------------------  --------  -----  -----  -----  --------  --------  ------  ---- 
Net finance 
 expense              (1,251)      -      -      -       277     (974)      13    18 
                                                     (1,049) 
Taxation                  792  (165)  (804)  (832)      [64]   (2,058)      38    46 
-------------------  --------  -----  -----  -----  --------  --------  ------  ---- 
EPS                     $2.12  $0.36  $2.27  $1.77     $0.14     $6.66      26    33 
-------------------  --------  -----  -----  -----  --------  --------  ------  ---- 
 

Table 12 : Reconciliation of Reported to Core financial measures: Q4 2022

 
Q4 2022    Reported  Restructuring           Intangible  Acquisition  Other  Core    Core 
                                     Asset Amortisation   of Alexion                % Change 
                                          & Impairments 
 
 
                          $m     $m     $m     $m      $m       $m  Actual   CER 
------------------   -------  -----  -----  -----  ------  -------  ------  ---- 
Gross profit           8,307    110      8    320       -    8,745     (3)     6 
Gross Margin           73.1%                                 77.2%    +3pp  +4pp 
-------------------  -------  -----  -----  -----  ------  -------  ------  ---- 
Distribution 
 Expense               (156)      -      -      -       -    (156)      27    39 
R&D expense          (2,625)     54     41      4       -  (2,526)       5    12 
SG&A expense         (4,621)    142  1,105      3   (212)  (3,583)       6    15 
-------------------  -------  -----  -----  -----  ------  -------  ------  ---- 
Total operating 
 expense             (7,402)    196  1,146      7   (212)  (6,265)       6    14 
-------------------  -------  -----  -----  -----  ------  -------  ------  ---- 
Other operating 
 income & expense        189   (59)      -      -       -      130    (11)   (7) 
-------------------  -------  -----  -----  -----  ------  -------  ------  ---- 
Operating 
 profit                1,094    247  1,154    327   (212)    2,610    (21)  (10) 
Operating 
 Margin                 9.8%                                 23.3%    -4pp  -3pp 
-------------------  -------  -----  -----  -----  ------  -------  ------  ---- 
Net finance 
 expense               (315)      -      -      -      70    (245)       5     9 
Taxation                 124   (72)  (223)   (84)      29    (226)    (55)  (44) 
-------------------  -------  -----  -----  -----  ------  -------  ------  ---- 
                                                   ($0.07 
EPS                    $0.58  $0.11  $0.60  $0.16       )    $1.38    (17)   (5) 
-------------------  -------  -----  -----  -----  ------  -------  ------  ---- 
 

Profit and Loss drivers

Gross profit

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

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

-- Negative mix effects: sales of Vaxzevria and medicines with profit-sharing arrangements (primarily Lynparza) had a dilutive impact on the Gross Margin

-- Inventory write downs and provisions for excess manufacturing reservation fees relating to Evusheld

   --    Pricing pressure relating to procurement programmes in China 

-- Reported Gross Profit was also impacted by the unwind of the fair value adjustment to Alexion inventories at the date of acquisition. The fair value uplift is expected to unwind through Reported Cost of sales in line with associated revenues, and in FY 2022, the impact of the fair value uplift unwind on Cost of sales was $3,484m (FY 2021: $2,198m)

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

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

R&D expense

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

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

-- The advancement of a number of mid-stage clinical development programmes in BioPharmaceuticals

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

SG&A expense

   --    The increase in Reported and Core SG&A expense was driven by: 
   --    The acquisition of Alexion in July 2021 
   --    Market development activities for launches 

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

Other operating income

-- Reported Other operating income of $514m consisted primarily of disposal proceeds on small divestments, including the divestment of rights to Plendil in the second quarter, disposal proceeds on sale of tangible assets, and royalties

-- In FY 2021, Reported Other operating income of $1,492m included $776m of divestment gains from AstraZeneca's share of Viela Bio, Inc. and $317m from the divestment of commercial rights to Crestor in over 30 countries in Europe (excluding UK and Spain)

Net finance expense

-- The change in Reported and Core Net finance expense in the year was primarily driven by financing costs on debt for the Alexion transaction. Reported Net finance expense was also impacted by a reduction in the discount unwind on acquisition-related liabilities, including the Diabetes Alliance

Taxation

-- The effective Reported Tax Rate for the year was -32% (FY 2021: 143%) and the Core Tax rate was 17% (FY 2021: 17%)

-- The Reported Tax Rate for the year included a one-time favourable net adjustment of $876m to deferred taxes arising from an internal reorganisation to integrate the Alexion organisation which took place in the third quarter. The internal legal entity reorganisation did not result in any corporate income tax becoming payable in the year, however it did result in a one-off deferred tax adjustment of $876m to the income statement, and a further $49m credit associated with the reorganisation is included in Other Comprehensive Income. Following the reorganisation, it was necessary to re-measure certain deferred tax balances to reflect the tax rates applicable on their reversal as under the revised structure there is a change in the income flows to the relevant territories

-- The Reported Tax rate of -32% was lower than the Core Tax Rate of 17% primarily due to the impact of the aforementioned internal restructuring. The 2022 Reported and Core Tax rates also benefited from IP incentive regimes, geographical mix of profits and net favourable adjustments to prior year tax liabilities in a number of major jurisdictions, many of which were one-time items

-- 2021 Reported and Core Tax rates were impacted by one-off items in 2021, including the non-taxable gain on the divestment of Viela Bio, Inc and updates to estimates of prior period tax liabilities following settlements with tax authorities

-- The net cash paid for the year was $1,623m (2021: $1,743m) representing 65% of Reported Profit before tax (2021: -658%). The cash tax amount decreased due to refunds received in the year relating to prior periods and phasing of payments between current and future years

-- On 20 July 2022, the UK Government issued draft legislation in relation to the new global minimum tax framework, expected to be brought into effect in the UK from 2024. The UK corporation tax rate continues to be expected to increase to 25%, effective April 2023. The Company is currently assessing the potential impact of these draft rules upon its financial statements

Dividend per share

-- A second interim dividend of $1.97 per share (162.8 pence, 20.69 SEK) has been declared, meaning a full-year dividend per share of $2.90 (239.2 pence, 30.18 SEK). Dividend payments are normally paid as follows:

-- First interim dividend - announced with half-year and second-quarter results and paid in September

-- Second interim dividend - announced with full-year and fourth-quarter results and paid in March

-- The record date for the second interim dividend for 2022, payable on 27 March 2023, will be 24 February 2023. The ex-dividend date will be 23 February 2023. The record date for the first interim dividend for 2023, payable on 11 September 2023, will be 11 August 2023. The ex-dividend date will be 10 August 2023.

Table 13 : Cash Flow summary

 
                                                    FY 2022  FY 2021    Change 
                                                         $m       $m        $m 
-------------------------------------------------   -------  -------  -------- 
Reported Operating Profit                             3,757    1,056     2,701 
Depreciation, Amortisation and Impairment             5,480    6,530   (1,050) 
Decrease in Working Capital and Short-term 
 Provisions                                           3,757    2,021     1,736 
Gains on Disposal of Intangible Assets                (104)    (513)       409 
Gains on Disposal of Investments in Associates 
 and Joint Ventures                                       -    (776)       776 
Fair value movements on contingent consideration 
 arising from business combinations                      82       14        68 
Non-Cash and Other Movements                          (692)       95     (787) 
Interest Paid                                         (849)    (721)     (128) 
Taxation Paid                                       (1,623)  (1,743)       120 
--------------------------------------------------  -------  -------  -------- 
Net Cash Inflow from Operating Activities             9,808    5,963     3,845 
--------------------------------------------------  -------  -------  -------- 
Net Cash Inflow/(Outflow) before Financing 
 Activities                                           6,848  (5,095)    11,943 
--------------------------------------------------  -------  -------  -------- 
Net Cash (Outflow)/Inflow from Financing 
 Activities                                         (6,823)    3,649  (10,472) 
--------------------------------------------------  -------  -------  -------- 
 

The increase in Net Cash Inflow from Operating Activities of $3,845m primarily reflects an underlying

improvement in business performance, including the contribution from Alexion for the full year.

The Reported Operating Profit of $3,757m in the year includes a negative impact of $3,484m relating to the unwind of the inventory fair value uplift recognised on the acquisition of Alexion. The corresponding positive impact of $3,484m in Decrease in Working Capital and Short-term Provisions offsets the negative impact on Reported Operating Profit. Overall, the unwind of the fair value uplift has no impact on Net Cash Inflow from Operating Activities.

The change in Working Capital and Short-term Provisions of $1,736m, whilst being positively impacted by the aforementioned inventory fair value uplift unwind, has been adversely impacted by the reduction of Vaxzevria working capital balances predominantly within Trade and other payables.

The change in Non-Cash and Other Movements of ($787m) is primarily driven by changes in non-current Provisions, as well as increased foreign exchange volatility on intercompany transactions.

Capital Expenditure

Capital Expenditure amounted to $1,091m in the year (FY 2021: $1,091m) including expenditure relating to Alexion.

Table 14 : Net Debt summary

 
                                                          At 31      At 31 
                                                       Dec 2022   Dec 2021 
                                                             $m         $m 
---------------------------------------------------   ---------  --------- 
Cash and cash equivalents                                 6,166      6,329 
Other investments                                           239         69 
----------------------------------------------------  ---------  --------- 
Cash and investments                                      6,405     6,3 98 
----------------------------------------------------  ---------  --------- 
Overdrafts and short-term borrowings                      (350)     (387 ) 
Lease liabilities                                         (953)     (987 ) 
Current instalments of loans                            (4,964)   (1,273 ) 
Non-current instalments of loans                       (22,965)  (28,134 ) 
----------------------------------------------------  ---------  --------- 
Interest-bearing loans and borrowings (Gross Debt)    (29,232 )   (30,781) 
----------------------------------------------------  ---------  --------- 
Net derivatives                                            (96)         61 
----------------------------------------------------  ---------  --------- 
Net Debt                                              (22,923 )  (24,322 ) 
----------------------------------------------------  ---------  --------- 
 

Net Debt decreased by $1,399m in the year to $22,923m. Details of the committed undrawn bank facilities are disclosed within the going concern section of Note 1. Details of the Company's solicited credit ratings are disclosed in Note 3.

Capital allocation

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

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

Summarised financial information for guarantee of securities of subsidiaries

AstraZeneca Finance LLC ("AstraZeneca Finance") is the issuer of 0.700% Notes due 2024, 1.200% Notes due 2026, 1.750% Notes due 2028 and 2.250% Notes due 2031 (the "AstraZeneca Finance Notes"). Each series of AstraZeneca Finance Notes has been fully and unconditionally guaranteed by AstraZeneca PLC. AstraZeneca Finance is 100% owned by AstraZeneca PLC and each of the guarantees by AstraZeneca PLC is full and unconditional and joint and several.

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

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

Please refer to the consolidated financial statements of AstraZeneca PLC in our Annual Report on Form 20-F and reports on Form 6-K with our quarterly financial results as filed or furnished with the SEC [65] for further financial information regarding AstraZeneca PLC and its consolidated subsidiaries. For further details, terms and conditions of the AstraZeneca Finance Notes please refer to AstraZeneca PLC's Form 6-K furnished to the SEC on 28 May 2021.

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

Table 15 : Obligor group summarised Statement of comprehensive income

 
                                                                     FY 2022 
                                                                          $m 
------------------------------------------------------------------   ------- 
Total Revenue                                                              - 
Gross Profit                                                               - 
Operating loss                                                          (27) 
Loss for the period                                                    (687) 
Transactions with subsidiaries that are not issuers or guarantors      1,071 
-------------------------------------------------------------------  ------- 
 

Table 16 : Obligor group summarised Statement of financial position

 
                                                                    At 31 Dec 2022 
                                                                                $m 
-----------------------------------------------------------------   -------------- 
Current assets                                                                   4 
Non-current assets                                                               - 
Current liabilities                                                        (2,839) 
Non-current liabilities                                                   (22,797) 
Amounts due from subsidiaries that are not issuers or guarantors             7,806 
Amounts due to subsidiaries that are not issuers or guarantors               (293) 
------------------------------------------------------------------  -------------- 
 

Foreign exchange

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

Table 17 : Currency sensitivities

The Company provides the following currency-sensitivity information:

 
       Average spot     Annual impact of 5% strengthening in 
       rates vs. USD     FY average rate vs. USD ($m) ([66]) 
      --------------    ------------------------------------ 
 
 
Currency       Primary Relevance            FY         Jan  Change  Total Revenue  Core Operating Profit 
                                     2022 [67]   2023 [68]     (%) 
EUR            Total Revenue              0.95        0.93       2            323                    159 
CNY            Total Revenue              6.74        6.79     (1)            309                    174 
JPY            Total Revenue            131.59      130.37       1            181                    122 
Other ([69])                                                                  385                    202 
----------------------------------  ----------  ----------  ------  -------------  --------------------- 
GBP            Operating expense          0.81        0.82     (1)             46                   (92) 
SEK            Operating expense         10.12       10.39     (3)              7                   (55) 
 

Sustainability

Since the last quarterly report, AstraZeneca:

Access to healthcare

-- Presented the main findings of health system research conducted by the Partnership for Health System Sustainability and Resilience (PHSSR), which the Company co-founded, at the second Global PHSSR Summit in November. The results highlighted key themes across workforce and health service delivery, finance and governance, and the role of technology in strengthening health systems, as well as the importance of prevention and early intervention in non-communicable diseases

-- Achieved third position overall in the 2022 Access to Medicine Index and was recognised as the industry leader in Product Delivery, including for its application of tailored access strategies for countries reflecting their income classifications across all product categories. The Company's approach to patent transparency and sharing of intellectual property assets, using technology transfers, was also highlighted as key to ensuring continuous supply of medicines in low- and middle-income countries. It also performed well in the Governance of Access and Research & Development categories

-- Chair Leif Johansson alongside Senior Executive Team members Marc Dunoyer, Dave Fredrickson and Iskra Reic attended the World Economic Forum (WEF) in Davos in January 2023, for engagements with global, regional and national leaders. The Company focused on investing in health as the foundation of strong and resilient societies, and the need for collective early action to build more sustainable and equitable healthcare systems, including through collaborations such as the PHSSR and Sustainable Markets Initiative (SMI). AstraZeneca hosted a high-level roundtable on investing in non-communicable diseases attended by global health leaders, and signed the Zero Health Gaps Pledge in support of the WEF Global Health Equity Network vision to advance health equity

-- Committed to expand the Healthy Heart Africa programme into 10 countries over two years, starting in 2023, in addition to the nine countries where the programme is currently active. Over 32 million blood pressure screenings have been conducted since launch in 2015 and over 10,600 healthcare workers trained, as at end of December 2022

-- Reached more than nine million young people through the Young Health Programme with health information and trained more than 260,000 young people as peer educators in 39 countries, by end of December 2022

Environmental protection

-- CEO Pascal Soriot hosted a high-level engagement on climate and health at COP27, in his capacity as champion of the SMI Health Systems Task Force, which made sector-first commitments, actions and recommendations to deliver near-term targets and support the transition to net-zero sustainable healthcare. The Company also launched new commitments during COP27 in support of its Ambition Zero Carbon strategy

-- Achieved a double-A rating for Climate Change and Water Security from CDP for the seventh consecutive year, and an improved Forest score of B for timber, B for palm oil and C for cattle products. AstraZeneca received a CDP UK Leadership Award in recognition of the double-A rating and commitment to environmental transparency. AZ Forest has also published a pledge implementation update report

-- Achieved a 100% electric vehicle fleet in the Netherlands, the first Company location to do so, as part of the fleet decarbonisation strategy to support Ambition Zero Carbon emissions reduction targets

-- Earned the US Environmental Protection Agency's ENERGY STAR(R) certification for superior energy efficiency for the Company's Wilmington, US site, which is more energy-efficient than 85 percent of similar properties nationwide

Ethics and transparency

-- Featured in the latest Dow Jones Sustainability Index Series and the Corporate Knights list of the Global 100 world's most sustainable corporations

-- Marked International Day of People with Disabilities on 3 December, which aims to promote an understanding of disability issues with an emphasis on accessibility, including with an article on Accessibility in the workplace: the importance of allyship, highlighting key themes such as access to technology

-- Featured in the 2023 Bloomberg Gender-Equality Index, for the fifth consecutive year, recognising the Company's continued commitment to gender equality and transparency

Research and development

This section covers R&D events and milestones that have occurred since the prior results announcement on 10 November 2022, up to and including events on 8 February 2023.

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

Oncology

AstraZeneca presented new data across its diverse portfolio of cancer medicines at two major medical congresses during the quarter: the 2022 San Antonio Breast Cancer Symposium (SABCS) and the 64th American Society of Hematology (ASH), both in December. At SABCS, AstraZeneca presented 56 abstracts spanning five approved medicines and seven pipeline medicines with four late-breaking oral presentations. At ASH, AstraZeneca presented 47 abstracts showcasing new data across its haematology portfolio and clinical pipeline.

Significant new trials that achieved first patient dosed during the period included:

-- TROPION-Breast03, a Phase III trial of datopotamab deruxtecan with or without Imfinzi for patients with Stage I-III triple negative breast cancer

-- AVANZAR, a Phase III trial of datopotamab deruxtecan in combination with Imfinzi and chemotherapy for 1st-line NSCLC regardless of histology and PD-L1 expression

Tagrisso and savolitinib

 
Event               Commentary 
------------        ---------------------------------------------------------- 
Fast Track    US    Tagrisso in combination with savolitinib for 
 Designation         the treatment of patients with locally advanced 
                     or metastatic NSCLC whose tumours have MET overexpression 
                     and/or amplification, as detected by an FDA-approved 
                     test, and who have had disease progression during 
                     or following prior Tagrisso. 
------------        ---------------------------------------------------------- 
 

Imfinzi and Imjudo (tremelimumab)

 
Event                    Commentary 
--------  -----------    ------------------------------------------------------ 
Approval  US             Imfinzi in combination with Imjudo plus platinum-based 
                          chemotherapy for the treatment of adult patients 
                          with Stage IV NSCLC with no sensitising EGFR 
                          [70] mutations or anaplastic lymphoma kinase. 
                          (POSEIDON, November 2022) 
Approval  EU             Imfinzi for the 1st-line treatment of adult 
                          patients with unresectable or metastatic BTC 
                          in combination with chemotherapy. (TOPAZ-1, December 
                          2022) 
Approval  JP             Imfinzi with or without Imjudo for the treatment 
                          of adult patients with unresectable HCC. (HIMALAYA, 
                          December 2022) 
 
                          Imfinzi for the treatment of adult patients 
                          with curatively unresectable BTC in combination 
                          with chemotherapy. (TOPAZ-1, December 2022 ) 
 
                          Imfinzi for the treatment of adult patients 
                          with unresectable, advanced or recurrent NSCLC 
                          in combination with chemotherapy. (POSEIDON, 
                          December 2022) 
Read-out  PEARL Phase    The PEARL Phase III trial for Imfinzi did not 
           III trial      achieve statistical significance for the primary 
                          endpoints of improving overall survival versus 
                          platinum-based chemotherapy as a monotherapy 
                          for the treatment of patients with Stage IV NSCLC 
                          whose tumour cells express high levels (25% or 
                          more) of PD-L1 [71] , or in a subgroup of patients 
                          at low risk of early mortality. (December 2022) 
--------  -----------    ------------------------------------------------------ 
 

Lynparza

 
Event               Commentary 
------------        --------------------------------------------------- 
Approval      EU    Lynparza in combination with abiraterone for 
                     the treatment of mCRPC in adult men for whom 
                     chemotherapy is not clinically indicated. (PROpel, 
                     December 2022) 
PDUFA [72]    US    The FDA indicated it will extend the PDUFA date 
 date change         by three months to March 2023 in order to provide 
                     further time for a full review of the sNDA [73] 
                     for Lynparza in combination with abiraterone 
                     for the treatment of mCRPC. (PROpel, December 
                     2022) 
------------        --------------------------------------------------- 
 

Calquence

 
Event                            Commentary 
-------------  --------------    ------------------------------------------------ 
Presentation:  Real-world        Real-world evidence and long-term follow-up data 
 ASH            evidence          support consistent efficacy and safety profile 
                and long-term     of Calquence. 
                follow-up 
                data 
Approval       JP                Calquence for the treatment of adult patients 
                                  with treatment-naïve chronic lymphocytic 
                                  leukaemia (ELEVATE-TN) 
CHMP positive  EU                Maleate tablet formulation 
 opinion 
-------------  --------------    ------------------------------------------------ 
 

Enhertu

 
Event                              Commentary 
-------------  ----------------    ------------------------------------------------------- 
Presentation:  DESTINY-Breast03    Updated OS [74] results from the DESTINY-Breast03 
 SABCS          Phase III           Phase III trial, presented at SABCS 2022, demonstrated 
                trial               Enhertu statistically significant and clinically 
                                    meaningful improvement in OS compared to T-DM1 
                                    [75] in patients with HER2--positive unresectable 
                                    and/or metastatic breast cancer. 
               DESTINY-Breast02    Primary results from the DESTINY-Breast02 Phase 
                Phase III           III trial demonstrated clinical benefit of Enhertu 
                trial               compared to conventional chemotherapy-based regimens 
                                    in patients with HER2-positive metastatic breast 
                                    cancer previously treated with T--DM1. 
Approval       EU                  Enhertu for patients with advanced HER2-positive 
                                    gastric or gastroesophageal junction adenocarcinoma 
                                    who have received prior trastuzumab-based regimen, 
                                    based on DESTINY-Gastric02 and DESTINY-Gastric01 
                                    trials. (December 2022) 
-------------  ----------------    ------------------------------------------------------- 
 

Datopotamab deruxtecan (Dato-DXd)

 
Event                                Commentary 
-------------  ------------------    -------------------------------------------------------- 
Presentation:  TROPION-PanTumor01    Initial results from the TROPION-PanTumor01 Phase 
 SABCS          Phase I trial         I trial showed encouraging and durable efficacy 
                                      of Dato--DXd in patients with heavily pre-treated 
                                      HR-positive, HER2-low or HER2-negative unresectable 
                                      or metastatic breast cancer. In this cohort, 
                                      Dato-DXd demonstrated an objective response rate 
                                      of 27% as assessed by blinded independent central 
                                      review. All responses were partial and 56% of 
                                      patients achieved stable disease. The disease 
                                      control rate was 85% and median PFS was 8.3 months. 
 
                                      Updated results from the TROPION-PanTumor01 Phase 
                                      I trial demonstrated Dato--DXd continued to demonstrate 
                                      encouraging responses in patients with heavily 
                                      pretreated metastatic TNBC and disease progression 
                                      following standard treatment. 
 
                                      In the TNBC cohort, Dato--DXd demonstrated an 
                                      ORR [76] of 32% including one complete response, 
                                      13 partial responses and 18 cases of stable disease 
                                      as assessed by blinded independent central review. 
                                      In the overall cohort, Dato--DXd demonstrated 
                                      median PFS of 4.4 months and median OS of 13.5 
                                      months. (December 2022) 
-------------  ------------------    -------------------------------------------------------- 
 

Camizestrant

 
Event                       Commentary 
Presentation:  SERENA-2     Detailed results from the SERENA-2 Phase II trial 
 SABCS          Phase II     of camizestrant, AstraZeneca's next-generation 
                trial        oral selective oestrogen receptor degrader, were 
                             presented at SABCS 2022 and demonstrated statistically 
                             significant and clinically meaningful improvement 
                             in PFS at both 75mg and 150mg dose levels versus 
                             Faslodex (fulvestrant) in post-menopausal patients 
                             with ER-positive locally advanced or metastatic 
                             breast cancer, previously treated with endocrine 
                             therapy for advanced disease. 
 
                             In the overall population, camizestrant significantly 
                             reduced risk of disease progression or death 
                             by 42% at a 75mg dose (based on HR of 0.58, 90% 
                             confidence interval) and mPFS of 7.2 versus 3.7 
                             months and 33% at a 150mg dose (based on HR of 
                             0.67, 90% confidence interval) and mPFS of 7.7 
                             versus 3.7 months compared to Faslodex, the current 
                             SERD standard of care. 
-------------  ---------    ------------------------------------------------------- 
 

Capivasertib

 
Event                           Commentary 
-------------  -------------    ------------------------------------------------------- 
Presentation:  CAPItello-291    Detailed results from the CAPItello-291 Phase 
 SABCS          Phase III        III trial of capivasertib in combination with 
                trial            Faslodex demonstrated a statistically significant 
                                 and clinically meaningful improvement in PFS 
                                 versus placebo plus Faslodex in patients with 
                                 HR-positive, HER2-low or negative, locally advanced 
                                 or metastatic breast cancer following recurrence 
                                 or progression on, or after, endocrine therapy 
                                 (with or without a CDK4/6 inhibitor). 
 
                                 Capivasertib in combination with Faslodex demonstrated 
                                 a 40% reduction in the risk of disease progression 
                                 or death versus placebo plus Faslodex in the 
                                 overall trial population (based on a HR of 0.60, 
                                 95% confidence interval) and median PFS 7.2 versus 
                                 3.6 months. In the AKT pathway biomarker-altered 
                                 population, which affects up to 50% of patients 
                                 with advanced HR-positive breast cancer, capivasertib 
                                 plus Faslodex reduced risk of disease progression 
                                 or death by 50% versus placebo plus Faslodex. 
-------------  -------------    ------------------------------------------------------- 
 

BioPharmaceuticals - CVRM

Farxiga

 
Event           Commentary 
--------        ---------------------------------------------------- 
Approval  EU    Forxiga for heart failure with reduced ejection 
                 fraction to cover patients across the full spectrum 
                 of left ventricular ejection fraction including 
                 heart failure with mildly reduced and preserved 
                 ejection fraction. (DELIVER, February 2023) 
--------        ---------------------------------------------------- 
 

BioPharmaceuticals - R&I

Significant new trials in R&I initiated since the previous results included:

-- TILIA, a Phase III trial for tozorakimab in acute respiratory failure in patients with viral lung infection

Tezspire

 
Event               Commentary 
--------  ------    ------------------------------------------------------ 
Approval  US, EU    The Tezspire pre-filled pen for self-administration 
                     in a pre-filled, single-use pen for patients 
                     aged 12 years and older with severe asthma. (January, 
                     February 2023) 
--------  ------    ------------------------------------------------------ 
 

Airsupra (PT027)

 
Event           Commentary 
--------        -------------------------------------------------- 
Approval  US    Airsupra for the as-needed treatment or prevention 
                 of bronchoconstriction and to reduce the risk 
                 of exacerbations in people with asthma aged 18 
                 years and older. This is the first approval for 
                 Airsupra, formerly known as PT027. (January 2023) 
--------        -------------------------------------------------- 
 

Saphnelo

 
Event               Commentary 
------------        ---------------------------------------------------- 
Orphan Drug   US    Saphnelo for idiopathic inflammatory myopathies 
 Designation         (including myositis), a group of diseases in 
                     which type I interferon plays a key role. (December 
                     2022) 
------------        ---------------------------------------------------- 
 

Fasenra

 
Event                          Commentary 
-------------------  ------    -------------------------------------------------- 
Phase III            HUDSON    Eosinophilic gastritis (EG/EGE) trial discontinued 
 trial discontinued             due to strategic portfolio prioritisation. This 
                                discontinuation was not related to any safety 
                                or efficacy findings. (January 2023) 
-------------------  ------    -------------------------------------------------- 
 

Tozorakimab

 
Event               Commentary 
------------        ----------------------------------------------------- 
Fast Track    US    Tozorakimab to reduce the risk of invasive mechanical 
 Designation         ventilation, extracorporeal membrane oxygenation 
                     or death (acute respiratory failure) in adults 
                     hospitalised with viral lung infection and requiring 
                     supplemental oxygen. (December) 
------------        ----------------------------------------------------- 
 

BioPharmaceuticals - V&I

A significant new trial commenced in the period:

-- SUPERNOVA, a PhaseI/III trial to evaluate the safety and neutralising activity of AZD3152 for the prevention of symptomatic COVID-19 in adults and adolescents 12 years of age or older with conditions that cause immune impairment

SUPERNOVA was originally planned to evaluate a combination of AZD3152 and cilgavimab, one of the two monoclonal antibodies that make up Evusheld. In January 2023, the decision was taken to investigate AZD3152 alone, which has been shown to neutralise all known variants to date. AstraZeneca is aiming to make AZD3152 available as a new option for COVID-19 in the second half of 2023, subject to trial readouts and regulatory reviews.

In February 2023, AstraZeneca reached agreement with the U.S. Department of Defense's Joint Program Executive Office for Chemical, Biological, Radiological and Nuclear Defense (JPEO-CBRND), in collaboration with the U.S. Department of Health and Human Services' Biomedical Advanced Research and Development Authority (BARDA), part of the Administration for Strategic Preparedness and Response within the U.S. Department of Health and Human Services, via the Medical CBRN Defense Consortium (MCDC) Other Transaction Agreement (OTA) to develop an RNA-based universal pandemic influenza prototype vaccine. As part of the resulting prototype project, AstraZeneca could receive up to approximately $80m over three years to develop the vaccine from preclinical research through a Phase I/II clinical study.

Evusheld

 
Event                     Commentary 
------------------        ------------------------------------------------------ 
Revision            US    The FDA has revised Evusheld's Emergency Use 
 to Emergency              Authorisation to limit the use of Evusheld to 
 Use Authorisation         when the combined frequency of non-susceptible 
                           SARS-CoV-2 variants nationally in the US is <=90%. 
                           (January 2023) 
 
                           Evusheld is not currently authorised by the 
                           US FDA for pre-exposure prophylaxis of COVID-19 
                           (as of January 2023), due to sustained high frequency 
                           of circulating SARS-CoV-2 variants against which 
                           Evusheld does not retain in vitro neutralisation. 
------------------        ------------------------------------------------------ 
 

Beyfortus

 
Event              Commentary 
-----------        --------------------------------------------------- 
Regulatory   US    Nirsevimab for prevention of lower respiratory 
 submission         tract disease in newborns and infants entering 
                    or during their first RSV season, and for children 
                    up to 24 months of age who remain vulnerable 
                    to severe RSV disease through their second RSV 
                    season. (January 2023) 
 
                    The FDA has indicated it will work to expedite 
                    its review. The PDUFA date is in the third quarter 
                    of 2023. 
-----------        --------------------------------------------------- 
 

Rare Disease

A significant new trial achieved first patient dosed during the period:

-- ALXN1720-MG-301, a Phase III trial of gefurulimab (ALXN1720), an anti-C5 albumin-binding humanised bispecific V(H) H antibody in gMG

Vemircopan (ALXN2050)

 
Event                           Commentary 
-----------  ---------------    ------------------------------------------------------ 
Conference:  PNH monotherapy    An oral presentation detailing interim results 
 ASH          Phase II           from a Phase II open-label trial of vemircopan 
              trial              (ALXN2050) highlighted efficacy and safety data 
                                 from the treatment-naïve patient group, 
                                 establishing proof-of-concept as a monotherapy 
                                 for PNH. 
 
                                 Vemircopan monotherapy controlled IVH as demonstrated 
                                 by reduction in LDH to <1.5xULN and prevented 
                                 clinically significant EVH, demonstrated by 3.9 
                                 g/dL increase in Hgb level and ARC reduction. 
-----------  ---------------    ------------------------------------------------------ 
 

Condensed Consolidated Financial Statements

Table 18 : Condensed consolidated statement of comprehensive income: FY 2022

 
For the year ended 31 December                                                                    2022      2021 
                                                                                                    $m        $m 
                                                                                              --------  -------- 
Total Revenue                                                                                   44,351    37,417 
Product Sales                                                                                   42,998    36,541 
Collaboration Revenue                                                                            1,353       876 
--------------------------------------------------------------------------------------------  --------  -------- 
Cost of sales                                                                                 (12,391)  (12,437) 
--------------------------------------------------------------------------------------------  --------  -------- 
Gross profit                                                                                    31,960    24,980 
--------------------------------------------------------------------------------------------  --------  -------- 
Distribution expense                                                                             (536)     (446) 
Research and development expense                                                               (9,762)   (9,736) 
Selling, general and administrative expense                                                   (18,419)  (15,234) 
Other operating income and expense                                                                 514     1,492 
--------------------------------------------------------------------------------------------  --------  -------- 
Operating profit                                                                                 3,757     1,056 
--------------------------------------------------------------------------------------------  --------  -------- 
Finance income                                                                                      95        43 
Finance expense                                                                                (1,346)   (1,300) 
Share of after tax losses in associates and joint ventures                                         (5)      (64) 
--------------------------------------------------------------------------------------------  --------  -------- 
Profit/(loss) before tax                                                                         2,501     (265) 
--------------------------------------------------------------------------------------------  --------  -------- 
Taxation                                                                                           792       380 
--------------------------------------------------------------------------------------------  --------  -------- 
Profit for the period                                                                            3,293       115 
--------------------------------------------------------------------------------------------  --------  -------- 
Other comprehensive income 
--------------------------------------------------------------------------------------------  --------  -------- 
Items that will not be reclassified to profit or loss 
Remeasurement of the defined benefit pension liability                                           1,118       626 
Net losses on equity investments measured at fair value through other comprehensive income        (88)     (187) 
Fair value movements related to own credit risk on bonds designated as fair value through 
 profit or loss                                                                                      2         - 
Tax on items that will not be reclassified to profit or loss                                     (216)       105 
--------------------------------------------------------------------------------------------  --------  -------- 
                                                                                                   816       544 
                                                                                              --------  -------- 
Items that may be reclassified subsequently to profit or loss 
Foreign exchange arising on consolidation                                                      (1,446)     (483) 
Foreign exchange arising on designated liabilities in net investment hedges                      (282)     (321) 
Fair value movements on cash flow hedges                                                          (97)     (167) 
Fair value movements on cash flow hedges transferred to profit and loss                             73       208 
Fair value movements on derivatives designated in net investment hedges                            (8)        34 
Costs of hedging                                                                                   (7)       (6) 
Tax on items that may be reclassified subsequently to profit or loss                                73        46 
--------------------------------------------------------------------------------------------  --------  -------- 
                                                                                               (1,694)     (689) 
                                                                                              --------  -------- 
Other comprehensive loss, net of tax                                                            (878 )     (145) 
--------------------------------------------------------------------------------------------  --------  -------- 
Total comprehensive income/(loss) for the period                                                 2,415      (30) 
--------------------------------------------------------------------------------------------  --------  -------- 
Profit attributable to: 
--------------------------------------------------------------------------------------------  --------  -------- 
Owners of the Parent                                                                             3,288       112 
Non-controlling interests                                                                            5         3 
--------------------------------------------------------------------------------------------  --------  -------- 
                                                                                                 3,293       115 
                                                                                              --------  -------- 
Total comprehensive income/(loss) attributable to: 
--------------------------------------------------------------------------------------------  --------  -------- 
Owners of the Parent                                                                             2,413      (33) 
Non-controlling interests                                                                            2         3 
--------------------------------------------------------------------------------------------  --------  -------- 
                                                                                                 2,415      (30) 
                                                                                              --------  -------- 
Basic earnings per $0.25 Ordinary Share                                                          $2.12     $0.08 
Diluted earnings per $0.25 Ordinary Share                                                        $2.11     $0.08 
Weighted average number of Ordinary Shares in issue (millions)                                   1,548     1,418 
Diluted weighted average number of Ordinary Shares in issue (millions)                           1,560     1,427 
--------------------------------------------------------------------------------------------  --------  -------- 
 

Table 19 : Condensed consolidated statement of comprehensive income: Q4 2022

 
For the quarter ended 31 December                                                                2022     2021 
                                                                                                   $m       $m 
                                                                                              -------  ------- 
Total Revenue                                                                                  11,207   12,011 
Product Sales                                                                                  10,798   11,498 
Collaboration Revenue                                                                             409      513 
--------------------------------------------------------------------------------------------  -------  ------- 
Cost of sales                                                                                 (2,900)  (4,625) 
--------------------------------------------------------------------------------------------  -------  ------- 
Gross profit                                                                                    8,307    7,386 
--------------------------------------------------------------------------------------------  -------  ------- 
Distribution expense                                                                            (156)    (124) 
Research and development expense                                                              (2,625)  (2,584) 
Selling, general and administrative expense                                                   (4,621)  (5,117) 
Other operating income and expense                                                                189      147 
--------------------------------------------------------------------------------------------  -------  ------- 
Operating profit/(loss)                                                                         1,094    (292) 
--------------------------------------------------------------------------------------------  -------  ------- 
Finance income                                                                                     45        1 
Finance expense                                                                                 (360)    (336) 
Share of after tax losses in associates and joint ventures                                        (1)      (9) 
--------------------------------------------------------------------------------------------  -------  ------- 
Profit/(loss) before tax                                                                          778    (636) 
--------------------------------------------------------------------------------------------  -------  ------- 
Taxation                                                                                          124      290 
--------------------------------------------------------------------------------------------  -------  ------- 
Profit/(loss) for the period                                                                      902    (346) 
--------------------------------------------------------------------------------------------  -------  ------- 
Other comprehensive income 
Items that will not be reclassified to profit or loss 
Remeasurement of the defined benefit pension liability                                          (165)       34 
Net losses on equity investments measured at fair value through other comprehensive income       (67)    (331) 
Fair value movements related to own credit risk on bonds designated as fair value through 
 profit or loss                                                                                     1      (4) 
Tax on items that will not be reclassified to profit or loss                                       75       34 
--------------------------------------------------------------------------------------------  -------  ------- 
                                                                                                (156)    (267) 
                                                                                              -------  ------- 
Items that may be reclassified subsequently to profit or loss 
Foreign exchange arising on consolidation                                                       1,047    (115) 
Foreign exchange arising on designated liabilities in net investment hedges                        39     (46) 
Fair value movements on cash flow hedges                                                          117     (64) 
Fair value movements on cash flow hedges transferred to profit and loss                         (177)       71 
Fair value movements on derivatives designated in net investment hedges                          (41)       12 
Costs of hedging                                                                                    4        - 
Tax on items that may be reclassified subsequently to profit or loss                             (22)        9 
--------------------------------------------------------------------------------------------  -------  ------- 
                                                                                                  967    (133) 
                                                                                              -------  ------- 
Other comprehensive income/(loss), net of tax                                                     811    (400) 
--------------------------------------------------------------------------------------------  -------  ------- 
Total comprehensive income/(loss) for the period                                                1,713    (746) 
--------------------------------------------------------------------------------------------  -------  ------- 
Profit/(loss) attributable to: 
--------------------------------------------------------------------------------------------  -------  ------- 
Owners of the Parent                                                                              901    (347) 
Non-controlling interests                                                                           1        1 
--------------------------------------------------------------------------------------------  -------  ------- 
                                                                                                  902    (346) 
                                                                                              -------  ------- 
Total comprehensive income/(loss) attributable to: 
--------------------------------------------------------------------------------------------  -------  ------- 
Owners of the Parent                                                                            1,712    (747) 
Non-controlling interests                                                                           1        1 
--------------------------------------------------------------------------------------------  -------  ------- 
                                                                                                1,713    (746) 
                                                                                              -------  ------- 
Basic earnings per $0.25 Ordinary Share                                                         $0.58  $(0.22) 
Diluted earnings per $0.25 Ordinary Share                                                       $0.58  $(0.22) 
Weighted average number of Ordinary Shares in issue (millions)                                  1,549    1,547 
Diluted weighted average number of Ordinary Shares in issue (millions)                          1,559    1,547 
--------------------------------------------------------------------------------------------  -------  ------- 
 

Table 20 : Condensed consolidated statement of financial position

 
                                                                     At 31 Dec  At 31 Dec 
                                                                          2022       2021 
                                                                            $m         $m 
------------------------------------------------------------------   ---------  --------- 
Assets 
Non-current assets 
Property, plant and equipment                                            8,507      9,183 
Right-of-use assets                                                        942        988 
Goodwill                                                                19,820     19,997 
Intangible assets                                                       39,307     42,387 
Investments in associates and joint ventures                                76         69 
Other investments                                                        1,066      1,168 
Derivative financial instruments                                            74        102 
Other receivables                                                          835        895 
Deferred tax assets                                                      3,263      4,330 
-------------------------------------------------------------------  ---------  --------- 
                                                                        73,890     79,119 
                                                                     ---------  --------- 
Current assets 
Inventories                                                              4,699      8,983 
Trade and other receivables                                             10,521      9,644 
Other investments                                                          239         69 
Derivative financial instruments                                            87         83 
Intangible assets                                                            -        105 
Income tax receivable                                                      731        663 
Cash and cash equivalents                                                6,166      6,329 
Assets held for sale                                                       150        368 
-------------------------------------------------------------------  ---------  --------- 
                                                                        22,593     26,244 
                                                                     ---------  --------- 
Total assets                                                            96,483    105,363 
-------------------------------------------------------------------  ---------  --------- 
Liabilities 
Current liabilities 
Interest-bearing loans and borrowings                                  (5,314)    (1,660) 
Lease liabilities                                                        (228)      (233) 
Trade and other payables                                              (19,040)   (18,938) 
Derivative financial instruments                                          (93)       (79) 
Provisions                                                               (722)      (768) 
Income tax payable                                                       (896)      (916) 
-------------------------------------------------------------------  ---------  --------- 
                                                                     (26,293 )   (22,594) 
                                                                     ---------  --------- 
Non-current liabilities 
Interest-bearing loans and borrowings                                 (22,965)   (28,134) 
Lease liabilities                                                        (725)      (754) 
Derivative financial instruments                                         (164)       (45) 
Deferred tax liabilities                                               (2,944)    (6,206) 
Retirement benefit obligations                                         (1,168)    (2,454) 
Provisions                                                               (896)      (956) 
Other payables                                                         (4,270)    (4,933) 
-------------------------------------------------------------------  ---------  --------- 
                                                                     (33,132 )   (43,482) 
                                                                     ---------  --------- 
Total liabilities                                                    (59,425 )   (66,076) 
-------------------------------------------------------------------  ---------  --------- 
Net assets                                                              37,058     39,287 
-------------------------------------------------------------------  ---------  --------- 
Equity 
Capital and reserves attributable to equity holders of the Parent 
Share capital                                                              387        387 
Share premium account                                                   35,155     35,126 
Other reserves                                                           2,069      2,045 
Retained earnings                                                        (574)      1,710 
-------------------------------------------------------------------  ---------  --------- 
                                                                        37,037     39,268 
Non-controlling interests                                                   21         19 
-------------------------------------------------------------------  ---------  --------- 
Total equity                                                            37,058     39,287 
-------------------------------------------------------------------  ---------  --------- 
 

Table 21 : Condensed consolidated statement of changes in equity

 
                             Share     Share      Other   Retained          Total  Non-controlling    Total 
                           capital   premium   reserves   earnings   attributable        interests   equity 
                                     account                            to owners 
                                                                           of the 
                                                                           parent 
                                $m        $m         $m         $m             $m               $m       $m 
-----------------------   --------  --------  ---------  ---------  -------------  ---------------  ------- 
At 1 Jan 2021                  328     7,971      2,024      5,299         15,622               16   15,638 
------------------------  --------  --------  ---------  ---------  -------------  ---------------  ------- 
Profit for the period            -         -          -        112            112                3      115 
Other comprehensive 
 loss                            -         -          -      (145)          (145)                -    (145) 
Transfer to other 
 reserves                        -         -         21       (21)              -                -        - 
Transactions with 
 owners 
Dividends                        -         -          -    (3,882)        (3,882)                -  (3,882) 
Issue of Ordinary 
 Shares                         59    27,155          -          -         27,214                -   27,214 
Share-based payments 
 charge for the period           -         -          -        615            615                -      615 
Settlement of share 
 plan awards                     -         -          -      (781)          (781)                -    (781) 
Issue of replacement 
 Alexion share awards 
 upon acquisition                -         -          -        513            513                -      513 
------------------------  --------  --------  ---------  ---------  -------------  ---------------  ------- 
Net movement                    59    27,155         21    (3,589)         23,646                3   23,649 
------------------------  --------  --------  ---------  ---------  -------------  ---------------  ------- 
At 31 Dec 2021                 387    35,126      2,045      1,710         39,268               19   39,287 
------------------------  --------  --------  ---------  ---------  -------------  ---------------  ------- 
 
At 1 Jan 2022                  387    35,126      2,045      1,710         39,268               19   39,287 
------------------------  --------  --------  ---------  ---------  -------------  ---------------  ------- 
Profit for the period            -         -          -      3,288          3,288                5    3,293 
Other comprehensive 
 loss                            -         -          -      (875)          (875)              (3)    (878) 
Transfer to other 
 reserves                        -         -         24       (24)              -                -        - 
Transactions with 
 owners 
Dividends                        -         -          -    (4,485)        (4,485)                -  (4,485) 
Issue of Ordinary 
 Shares                          -        29          -          -             29                -       29 
Share-based payments 
 charge for the period           -         -          -        619            619                -      619 
Settlement of share 
 plan awards                     -         -          -      (807)          (807)                -    (807) 
------------------------  --------  --------  ---------  ---------  -------------  ---------------  ------- 
Net movement                     -        29         24    (2,284)        (2,231)                2  (2,229) 
------------------------  --------  --------  ---------  ---------  -------------  ---------------  ------- 
                                                              (574 
At 31 Dec 2022                 387    35,155      2,069          )         37,037               21   37,058 
------------------------  --------  --------  ---------  ---------  -------------  ---------------  ------- 
 

Table 22 : Condensed consolidated statement of cash flows

 
For the year ended 31 December    2022  2021 
                                    $m    $m 
 
 
Cash flows from operating activities 
Profit/(loss) before tax                                   2,501     (265) 
Finance income and expense                                 1,251     1,257 
Share of after tax losses of associates and 
 joint ventures                                                5        64 
Depreciation, amortisation and impairment                  5,480     6,530 
Increase in trade and other receivables                  (1,349)     (961) 
Decrease in inventories                                    3,941     1,577 
Increase in trade and other payables and provisions        1,165     1,405 
Gains on disposal of intangible assets                     (104)     (513) 
Gains on disposal of investments in associates 
 and joint ventures                                            -     (776) 
Fair value movements on contingent consideration 
 arising from business combinations                           82        14 
Non-cash and other movements                               (692)        95 
------------------------------------------------------  --------  -------- 
Cash generated from operations                            12,280     8,427 
------------------------------------------------------  --------  -------- 
Interest paid                                              (849)     (721) 
Tax paid                                                 (1,623)   (1,743) 
------------------------------------------------------  --------  -------- 
Net cash inflow from operating activities                  9,808     5,963 
------------------------------------------------------  --------  -------- 
Cash flows from investing activities 
Acquisition of subsidiaries, net of cash acquired           (48)   (9,263) 
Payments upon vesting of employee share awards 
 attributable to business combinations                     (215)     (211) 
Payment of contingent consideration from business 
 combinations                                              (772)     (643) 
Purchase of property, plant and equipment                (1,091)   (1,091) 
Disposal of property, plant and equipment                    282        13 
Purchase of intangible assets                            (1,480)   (1,109) 
Disposal of intangible assets and assets held 
 for sale                                                    447       587 
Movement in profit-participation liability                     -        20 
Purchase of non-current asset investments                   (45)     (184) 
Disposal of non-current asset investments                     42         9 
Movement in short-term investments, fixed deposits 
 and other investing instruments                           (114)        96 
Payments to associates and joint ventures                   (26)      (92) 
Disposal of investments in associates and joint 
 ventures                                                      -       776 
Interest received                                             60        34 
------------------------------------------------------  --------  -------- 
                                                          (2,960 
Net cash outflow from investing activities                     )  (11,058) 
------------------------------------------------------  --------  -------- 
Net cash inflow/(outflow) before financing 
 activities                                                6,848   (5,095) 
------------------------------------------------------  --------  -------- 
Cash flows from financing activities 
Proceeds from issue of share capital                          29        29 
Issue of loans and borrowings                                  -    12,929 
Repayment of loans and borrowings                        (1,271)   (4,759) 
Dividends paid                                           (4,364)   (3,856) 
Hedge contracts relating to dividend payments              (127)      (29) 
Repayment of obligations under leases                      (244)     (240) 
Movement in short-term borrowings                             74     (276) 
Payments to acquire non-controlling interests                  -     (149) 
Payment of Acerta Pharma share purchase liability          (920)         - 
------------------------------------------------------  --------  -------- 
                                                          (6,823 
Net cash (outflow)/inflow from financing activities            )     3,649 
------------------------------------------------------  --------  -------- 
Net increase/(decrease) in Cash and cash equivalents 
 in the period                                                25   (1,446) 
Cash and cash equivalents at the beginning of 
 the period                                                6,038     7,546 
Exchange rate effects                                       (80)      (62) 
------------------------------------------------------  --------  -------- 
Cash and cash equivalents at the end of the 
 period                                                    5,983     6,038 
------------------------------------------------------  --------  -------- 
Cash and cash equivalents consist of: 
Cash and cash equivalents                                  6,166     6,329 
Overdrafts                                                 (183)     (291) 
------------------------------------------------------  --------  -------- 
                                                           5,983     6,038 
                                                        --------  -------- 
 

Notes to the Condensed Consolidated Financial Statements

Note 1: Basis of preparation and accounting policies

The Condensed Consolidated Financial Statements for the year ended 31 December 2022 have been prepared in accordance with UK-adopted International Accounting Standards and with the requirements of the Companies Act 2006 as applicable to companies reporting under those standards. The Condensed Consolidated Financial Statements also comply fully with International Financial Reporting Standards (IFRSs) as issued by the International Accounting Standards Board (IASB) and International Accounting Standards as adopted by the European Union.

The Condensed Consolidated Financial Statements for the year ended 31 December 2022 include Alexion's results for the period. Alexion's post-acquisition results for 2021 were consolidated into the Group's results from 21 July 2021 therefore the respective comparative periods shown are not entirely comparable with the current period.

These Condensed Consolidated Financial Statements comprise the financial results of AstraZeneca PLC for the years to 31 December 2022 and 2021 together with the Statement of financial position as at 31 December 2022 and 2021. The results for the year to 31 December 2022 have been extracted from the 31 December 2022 audited Consolidated Financial Statements which have been approved by the Board of Directors. These have not yet been delivered to the Registrar of Companies but are expected to be published on 21 February 2023 within the Annual Report and Form 20-F Information 2022.

The financial information set out above does not constitute the Group's statutory accounts for the years to 31 December 2022 or 2021 but is derived from those accounts. The auditors have reported on those accounts: their reports (i) were unqualified, (ii) did not include a reference to any matters to which the auditors drew attention by way of emphasis without qualifying their report and (iii) did not contain a statement under section 498 (2) or (3) of the Companies Act 2006 in respect of the accounts for the year to 31 December 2022 or 31 December 2021. Statutory accounts for the year to 31 December 2022 were approved by the Board of Directors for release on 9 February 2023.

The Condensed Consolidated Financial Statements have been prepared applying the accounting policies that were applied in the preparation of the Group's published consolidated financial statements for the year ended 31 December 2021.

AstraZeneca has assessed the impact of the uncertainty presented by the COVID-19 pandemic and the Russia-Ukraine conflict on the Financial Statements, specifically considering the impact on key judgements and significant estimates along with several other areas of increased risk. No material accounting impacts relating to COVID-19 or the Russia-Ukraine conflict were recognised in the year.

Going concern

The Group has considerable financial resources available. As at 31 December 2022, the Group has $11.1bn in financial resources (Cash and cash equivalent balances of $6.2bn and undrawn committed bank facilities of $4.9bn available until April 2026 with only $5.5bn of borrowings due within one year). All facilities contain no financial covenants and were undrawn at 31 December 2022. On 2 February 2023, the Group entered into an additional $2.0bn of two-year committed bank facilities.

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

Consequently, the Directors believe that, overall, the Group is well placed to manage its business risks successfully. Accordingly, they continue to adopt the going concern basis in preparing the Condensed Consolidated Financial Statements.

Legal proceedings

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

Note 2: Intangible assets

In accordance with IAS 36 'Impairment of Assets', reviews for triggers of impairment or impairment reversals at an individual asset or cash generating unit level were conducted, and impairment tests carried out where triggers were identified. As a result, total net impairment charges of $224m have been recorded against intangible assets during the year ended 31 December 2022 (FY 2021: $2,085m net charge). Net impairment charges in respect of medicines in development and launched medicines were $95m (FY 2021: $1,464m) and $146m (FY 2021: $603m charge) respectively.

Note 3: Net Debt

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

Table 23 : Net Debt

 
                                At 1 Jan 2022  Cash flow  Acquisitions  Non-cash  Exchange movements  At 31 Dec 2022 
                                                                         & other 
                                           $m         $m            $m        $m                  $m              $m 
-----------------------------   -------------  ---------  ------------  --------  ------------------  -------------- 
Non-current instalments of 
 loans                               (28,134)          -           (2)     4,957                 214        (22,965) 
Non-current instalments of 
 leases                                 (754)          -           (3)       (2)                  34           (725) 
------------------------------  -------------  ---------  ------------  --------  ------------------  -------------- 
Total long-term debt                 (28,888)          -           (5)     4,955                 248       (23,690 ) 
Current instalments of loans          (1,273)      1,271           (3)   (4,959)                   -         (4,964) 
Current instalments of leases           (233)        253           (1)     (260)                  13           (228) 
Bank collateral received                 (93)          4             -         -                   -            (89) 
Other short-term borrowings 
 excluding overdrafts                     (3)       (78)             -         -                   3            (78) 
Overdrafts                              (291)         85             -         -                  23           (183) 
------------------------------  -------------  ---------  ------------  --------  ------------------  -------------- 
Total current debt                    (1,893)      1,535           (4)  (5,219 )                  39        (5,542 ) 
------------------------------  -------------  ---------  ------------  --------  ------------------  -------------- 
Gross borrowings                     (30,781)      1,535           (9)     (264)                 287       (29,232 ) 
Net derivative financial 
 instruments                               61         73             -     (230)                   -            (96) 
------------------------------  -------------  ---------  ------------  --------  ------------------  -------------- 
Net borrowings                       (30,720)      1,608           (9)    (494 )                 287       (29,328 ) 
Cash and cash equivalents               6,329       (72)            12         -               (103)           6,166 
Other investments - current                69        168             8         -                 (6)             239 
------------------------------  -------------  ---------  ------------  --------  ------------------  -------------- 
Cash and investments                    6,398         96            20         -              (109 )           6,405 
------------------------------  -------------  ---------  ------------  --------  ------------------  -------------- 
Net Debt                             (24,322)      1,704            11     (494)                 178        (22,923) 
------------------------------  -------------  ---------  ------------  --------  ------------------  -------------- 
 

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

The Group has agreements with some bank counterparties whereby the parties agree to post cash collateral on financial derivatives, for the benefit of the other, equivalent to the market valuation of the derivative positions above a predetermined threshold. The carrying value of such cash collateral held by the Group at 31 December 2022 was $89m (31 December 2021: $93m) and the carrying value of such cash collateral posted by the Group at 31 December 2022 was $162m (31 December 2021: $47m). Cash collateral pledged to counterparties is recognised as a financial asset and is included in Other investments - current as at 31 December 2022. In prior years, cash collateral pledged to counterparties was included in Cash and cash equivalents.

The equivalent GAAP measure to Net Debt is 'liabilities arising from financing activities', which excludes the amounts for cash and overdrafts, other investments and non-financing derivatives shown above and includes the Acerta Pharma share purchase liability of $1,646m (31 December 2021: $2,458m), $867m of which is shown in current other payables and $779m is shown in non-current other payables.

Net Debt decreased by $1,399m in the year to $22,923m. Details of the committed undrawn bank facilities are disclosed within the going concern section of Note 1.

During the year ended 31 December 2022, Standard and Poor's upgraded the Company's solicited credit ratings to long term: A; and short term: A-1. There were no changes to Moody's solicited credit ratings (long term: A3; short term: P-2).

Note 4: Financial Instruments

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

The Group has certain equity investments that are categorised as Level 3 in the fair value hierarchy that are held at $186m at 31 December 2022 (31 December 2021: $104m) and for which fair value gains of $50m (FY 2021: $nil) have been recognised in the year ended 31 December 2022. In the absence of specific market data, these unlisted investments are held at fair value based on the cost of investment and adjusting as necessary for impairments and revaluations on new funding rounds, which are seen to approximate the fair value. All other fair value gains and/or losses that are presented in Net losses on equity investments measured at fair value through other comprehensive income in the Condensed consolidated statement of comprehensive income for the year ended 31 December 2022 are Level 1 fair value measurements, valued based on quoted prices in active markets.

Financial instruments measured at fair value include $1,079m of other investments, $4,486m held in money-market funds, $294m of loans designated at fair value through profit or loss and ($96m) of derivatives as at 31 December 2022. With the exception of derivatives being Level 2 fair valued, certain equity investments as described above and an equity warrant of $19m categorised as Level 3, the aforementioned balances are Level 1 fair valued. Financial instruments measured at amortised cost include $64m of fixed deposits and $162m of cash collateral pledged to counterparties. The total fair value of interest-bearing loans and borrowings at 31 December 2022, which have a carrying value of $29,232m in the Condensed consolidated statement of financial position, was $27,898m.

Table 24 : Financial instruments - contingent consideration

 
  2022  2021 
 
 
                             Diabetes alliance  Other  Total  Total 
                                            $m     $m     $m     $m 
--------------------------   -----------------  -----  -----  ----- 
At 1 January                             2,544    321  2,865  3,323 
---------------------------  -----------------  -----  -----  ----- 
Settlements                              (763)    (9)  (772)  (643) 
Disposals                                    -  (121)  (121)      - 
Revaluations                               182  (100)     82     14 
Reclass to other payables                    -      -      -   (55) 
Discount unwind                            161      7    168    226 
---------------------------  -----------------  -----  -----  ----- 
At 31 December                           2,124     98  2,222  2,865 
---------------------------  -----------------  -----  -----  ----- 
 

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

The contingent consideration balance relating to BMS's share of the global diabetes alliance of $2,124m (31 December 2021: $2,544m) would increase/decrease by $212m with an increase/decrease in sales of 10%, as compared with the current estimates.

Note 5: Pensions and other post-retirement benefit obligations

The net pensions and other post-retirement benefit obligations position, as recorded under IAS 19 Employee Benefits, at 31 December 2022 was a liability of $1,078m (31 December 2021: $2,454m liability). Pension schemes in a net surplus position at 31 December 2022 totalled $90m and are recorded within Other receivables in non-current assets. Pension schemes in a net deficit position at 31 December 2022 totalled $1,168m (31 December 2021: $2,454m) and are recorded within Retirement benefit obligations in non-current liabilities.

The decrease in the net liability of $1,376m is driven by actuarial gains of $1,118m that have been reflected within the Condensed consolidated statement of comprehensive income.

Changes in actuarial assumptions, primarily movements in discount rates, led to an actuarial gain on scheme obligations in the year of $3,585m (gains in UK, Sweden, US and RoW liabilities of $2,243m, $806m, $268m and $268m respectively), which reflected increases in corporate bond yields. These movements were partially offset by actuarial losses on the pension fund asset values in the year of $2,467m (losses in UK, Sweden, US and ROW assets of $1,964m, $153m, $295m and $55m respectively).

Note 6: Legal proceedings and contingent liabilities

AstraZeneca is involved in various legal proceedings considered typical to its business, including litigation and investigations, including Government investigations, relating to product liability, commercial disputes, infringement of intellectual property (IP) rights, the validity of certain patents, anti-trust law and sales and marketing practices. The matters discussed below constitute the more significant developments since publication of the disclosures concerning legal proceedings in the Company's Annual Report and Form 20-F Information 2021, H1 2022 and Q3 2022 results (the Disclosures). Unless noted otherwise below or in the Disclosures, no provisions have been established in respect of the claims discussed below.

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

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

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

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

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

Matters disclosed in respect of the fourth quarter of 2022 and to 9 February 2023

Patent litigation

Calquence

US patent proceedings

As previously disclosed, in February 2022, in response to Paragraph IV notices from multiple ANDA filers, AstraZeneca filed patent infringement lawsuits in the US District Court for the District of Delaware. In its complaint, AstraZeneca alleges that a generic version of Calquence, if approved and marketed, would infringe patents listed in the US FDA Orange Book with reference to Calquence that are owned or licensed by AstraZeneca. Trial has been scheduled for March 2025.

In February 2023, Sandoz Inc. filed a petition for inter partes review with the US Patent and Trademark Office (USPTO) of certain Calquence patent claims in US Patent No. 10,272,083 (the '083 patent)). AstraZeneca has asserted claims for infringement of the '083 patent against Sandoz and other defendants in the US ANDA litigation. AstraZeneca is considering its response to Sandoz's petition before the USPTO.

Farxiga

US patent proceedings

As previously disclosed, i n 2018, in response to Paragraph IV notices, AstraZeneca initiated abbreviated new drug application (ANDA) litigation against Zydus Pharmaceuticals (USA) Inc. (Zydus) in the US District Court for the District of Delaware (the District Court). In May 2021, trial against Zydus proceeded and in October 2021, the District Court issued a decision finding the asserted claims of AstraZeneca's patent as valid and infringed by Zydus's ANDA product. In August 2022, Zydus appealed the District Court's decision. In November 2022, Zydus's appeal was dismissed. Additional ANDA challenges are pending.

Imjudo

US patent proceedings

In January 2023, Bristol-Myers Squibb Co. and E.R. Squibb & Sons, LLC filed a lawsuit in US District Court for the District of Delaware against AstraZeneca alleging that AstraZeneca's marketing of Imjudo infringes two of their patents.

Lokelma

US patent proceedings

As previously disclosed, in August 2022, in response to Paragraph IV notices, AstraZeneca initiated ANDA litigation against multiple generic filers in the US District Court for the District of Delaware. A trial has been scheduled for March 2025.

Symbicort

US patent proceedings

As previously disclosed, AstraZeneca is involved in two ongoing ANDA patent litigations with Mylan Pharmaceuticals Inc. (Mylan) and Kindeva Drug Delivery L.P. (Kindeva) brought in the US District Court for the Northern District of West Virginia (the District Court). In one of those matters, in November 2022, the District Court determined that the asserted patent was invalid. AstraZeneca appealed that decision to the United States Court of Appeals for the Federal Circuit (the Federal Circuit). With respect to the other matter, following a stipulation of infringement and validity by Mylan and Kindeva that was subject to certain appeal issues, in December 2022, the District Court issued a Final Judgment in favour of AstraZeneca. In December 2022, Mylan and Kindeva appealed the Final Judgment to the Federal Circuit. Both appeals are scheduled to be heard in March 2023.

Tagrisso

Patent proceedings outside the US

As previously disclosed, in Russia in October 2021, AstraZeneca filed a lawsuit in the Arbitration Court of the Moscow Region (the Court) against Axelpharm, LLC to prevent it from obtaining authorisation to market a generic version of Tagrisso prior to the expiration of AstraZeneca's patents covering Tagrisso. The lawsuit also names the Ministry of Health of the Russian Federation as a third party. In March 2022, the Court dismissed the lawsuit. In June 2022, the dismissal was affirmed on appeal. In January 2023, the dismissal was affirmed on further appeal. AstraZeneca is considering its option.

Lynparza

US patent proceedings

In December 2022, AstraZeneca received a Paragraph IV notice letter from an ANDA filer relating to patents listed in the FDA Orange Book with reference to Lynparza. AstraZeneca is reviewing the notice letter.

Product liability litigation

Byetta /Bydureon

US proceedings

As previously disclosed, Amylin Pharmaceuticals, LLC (a wholly owned subsidiary of AstraZeneca) and AstraZeneca are among multiple defendants in various lawsuits filed in federal and state courts involving claims of physical injury from treatment with Byetta and/or Bydureon. The lawsuits allege several types of injuries including pancreatic cancer and thyroid cancer. A multidistrict litigation was established in the US District Court for the Southern District of California (the District Court) in regard to the alleged pancreatic cancer cases in federal courts. Further, a coordinated proceeding has been established in Superior Court in Los Angeles, California (the California Court) for cases in California state courts. In March and April 2021, the District Court and the California Court respectively granted Defendants' summary judgment motions, dismissing all cases alleging pancreatic cancer with prejudice. All remaining claims in both courts, including those alleging thyroid cancer, have since been dismissed. This matter is now concluded.

Nexium and Losec/Prilosec

US proceedings

As previously disclosed, AstraZeneca is defending various lawsuits brought in US federal and state courts involving multiple plaintiffs claiming that they have been diagnosed with various injuries following treatment with proton pump inhibitors (PPIs), including Nexium and Prilosec. The vast majority of these lawsuits relate to allegations of kidney injuries. In August 2017, the pending federal court cases were consolidated in a multidistrict litigation ( MDL) proceeding in the US District Court for the District of New Jersey for pre-trial purposes. A bellwether trial has been scheduled for June 2023, with subsequent bellwether trials scheduled for July and September 2023. In addition to the MDL cases, there are cases filed in several state courts around the US; a case that was previously set to go to trial in Delaware state court was dismissed in October 2022.

Commercial Litigation

Anti-Terrorism Act Civil Lawsuit

As previously disclosed, in October 2017, AstraZeneca and certain other pharmaceutical and/or medical device companies were named as defendants in a complaint filed in US District Court for the District of Columbia (the District Court) by US nationals (or their estates, survivors, or heirs) who were killed or wounded in Iraq between 2005 and 2013. The plaintiffs allege that the defendants violated the US Anti-Terrorism Act and various state laws by selling pharmaceuticals and medical supplies to the Iraqi Ministry of Health. In July 2020, the District Court granted AstraZeneca's and the other defendants' motion and dismissed the lawsuit, and the plaintiffs appealed to the DC Circuit Court of Appeals (the Appellate Court). In January 2022, a panel of the Appellate Court reversed the dismissal and remanded the case back to the District Court. AstraZeneca and the other defendants filed petitions requesting en banc review by the entire Appellate Court, which were denied in February 2023.

Employment Litigation (US)

In December 2022, AstraZeneca was served with a lawsuit filed by seven former employees in the US District Court for the District of Delaware asserting age, religion, and disability discrimination claims related to AstraZeneca's COVID-19 vaccine mandate. These claims are pled on a single-plaintiff and class action basis.

Pay Equity Litigation (US)

AstraZeneca is defending a putative class and collective action matter in the US District Court for the Northern District of Illinois brought by three named plaintiffs, who are former AstraZeneca pharmaceutical sales representatives. The case involves claims under the federal and Illinois Equal Pay Acts, with the plaintiffs alleging they were paid less than male employees who performed substantially similar and/or equal work. The plaintiffs seek various damages on behalf of themselves and the putative class and/or collective, including without limitation backpay, liquidated damages, compensatory and punitive damages, attorneys' fees, and interest. In January 2023, the District Court granted AstraZeneca's motion to dismiss plaintiffs' complaint.

Government investigations/proceedings

Brazilian Operations Investigation (Brazil)

In May 2017, Brazilian authorities seized records and data from Alexion's Brazil offices as part of an investigation being conducted into Alexion's Brazilian operations. AstraZeneca cooperated with this enquiry. The prosecutor recommended discontinuance in September 2022 after determining that there was insufficient evidence to support a legal claim. The judicial authority approved discontinuance of the investigation, without any further enforcement action, in November 2022. This matter is now concluded.

Texas Qui Tam

US proceedings

In December 2022, AstraZeneca was served with an unsealed civil lawsuit brought by a qui tam relator on behalf of the State of Texas in Texas state court, which alleges that AstraZeneca engaged in unlawful marketing practices.

US 340B Litigations and Proceedings

US proceedings

As previously disclosed, in January 2021, AstraZeneca filed a lawsuit in US District Court for the District of Delaware (the District Court) alleging that an Advisory Opinion issued by the Department of Health and Human Services violates the Administrative Procedure Act. AstraZeneca later amended its complaint to include allegations challenging letters the US government issued in May 2021 asserting that AstraZeneca's contract pharmacy policy violates the 340B statute. In February 2022, the District Court ruled in favour of AstraZeneca. In January 2023, the Court of Appeals affirmed the District Court decision.

Note 7: Subsequent events

On 9 January 2023, it was announced that AstraZeneca had entered into a definitive agreement to acquire CinCor Pharma, Inc., a US-based clinical-stage biopharmaceutical company, focused on developing novel treatments for resistant and uncontrolled hypertension as well as chronic kidney disease. On 23 January 2023, AstraZeneca initiated a tender offer to acquire all of CinCor's outstanding shares for a price of $26 per share in cash at closing, plus a non-tradable contingent value right of $10 per share in cash payable upon a specified regulatory submission of a baxdrostat product. Combined, the upfront and maximum potential contingent value payments represent, if achieved, a transaction value of approximately $1.8bn. As part of the transaction, AstraZeneca will acquire the cash and marketable securities on CinCor's balance sheet, which totalled approximately $522m as of 30 September 2022. The transaction is expected to close in the first quarter of 2023.

On 16 January 2023, AstraZeneca completed the acquisition of Neogene Therapeutics Inc. AstraZeneca acquired all outstanding equity of Neogene for a total consideration of up to $320m, on a cash and debt free basis. This includes an initial payment of $200m on deal closing, and a further up to $120m in both contingent milestones-based and non-contingent consideration.

On 30 January 2023, AstraZeneca completed the sale of its West Chester site in Ohio, US, to National Resilience, Inc. On completion of the sale, the Property, plant and equipment assets associated with this transaction of $150m which were recorded as Assets held for sale as at 31 December 2022 have been disposed of, with no net impact recorded in the Consolidated statement of comprehensive income.

On 2 February 2023, the Group entered into an additional $2.0bn of two-year committed bank facilities.

Table 25 : FY 2022 - Product Sales year-on-year analysis [77]

The CER information in respect of FY 2022 included in the Consolidated Financial Information has not been audited by PricewaterhouseCoopers LLP.

 
                                     World                Emerging Markets             US                  Europe                   Established RoW 
                          $m  Act % chg  CER % chg      $m  Act % chg  CER % chg      $m  % chg     $m  Act % chg  CER % chg     $m  Act % chg  CER % chg 
--------------------  ------  ---------  ---------  ------  ---------  ---------  ------  -----  -----  ---------  ---------  -----  ---------  --------- 
Oncology              14,631         13         19   3,537         10         14   6,484     23  2,726         10         23  1,884        (5)         10 
Tagrisso               5,444          9         15   1,567         17         22   2,007     13  1,023          4         17    847        (7)          8 
Imfinzi                2,784         15         21     287          4          7   1,552     25    544         12         26    401        (1)         15 
Lynparza               2,638         12         18     488         27         31   1,226     13    655          6         19    269          4         20 
Calquence              2,057         66         69      45        n/m        n/m   1,657     52    286        n/m        n/m     69        n/m        n/m 
Enhertu                   79        n/m        n/m      51        n/m        n/m       -      -     21        n/m        n/m      7        n/m        n/m 
Orpathys                  33        n/m        n/m      33        n/m        n/m       -      -      -          -          -      -          -          - 
Zoladex                  927        (2)          6     657          6         12      15     15    133       (10)          1    122       (28)       (15) 
Faslodex                 334       (22)       (14)     159        (4)          3      17   (45)     55       (52)       (46)    103       (15)          1 
Iressa                   114       (38)       (34)      94       (38)       (35)       9   (19)      2       (52)       (41)      9       (44)       (35) 
Arimidex                  99       (29)       (24)      76       (29)       (26)       -      -      -       (87)       (86)     23       (23)       (11) 
Casodex                   78       (45)       (40)      53       (50)       (47)       -      -      1       (49)       (48)     24       (31)       (19) 
Others                    44       (14)        (6)      27        (6)          1       1     59      6        (4)          4     10       (36)       (26) 
--------------------  ------  ---------  ---------  ------  ---------  ---------  ------  -----  -----  ---------  ---------  -----  ---------  --------- 
BioPharmaceuticals: 
 CVRM*                 9,188         13         19   4,119          9         15   2,479     11  1,906         25         40    684         10         25 
Farxiga                4,381         46         56   1,665         39         47   1,071     46  1,297         60         81    348         32         49 
Brilinta               1,358        (8)        (4)     286       (13)       (10)     744      1    282       (18)        (8)     46       (27)       (22) 
Lokelma                  289         65         75      20        n/m        n/m     170     47     30        n/m        n/m     69         55         83 
Roxadustat               197         13         18     197         13         18       -      -      -          -          -      -          -          - 
Andexxa*                 150          5         14       -          -          -      77   (32)     41         41         58     32        n/m        n/m 
Crestor                1,048        (4)          2     794          2          9      65   (19)     41       (21)       (12)    148       (21)       (10) 
Seloken /Toprol-XL       862        (9)        (4)     839       (10)        (4)       -    n/m     14         26         27      9       (16)       (13) 
Bydureon                 280       (27)       (26)       3       (16)       (18)     242   (24)     35       (37)       (29)      -       (95)       (94) 
Onglyza                  257       (28)       (25)     121       (32)       (28)      76   (13)     38       (37)       (29)     22       (32)       (30) 
Others                   366       (10)        (7)     194        (1)          4      34   (35)    128       (12)       (10)     10       (32)       (24) 
--------------------  ------  ---------  ---------  ------  ---------  ---------  ------  -----  -----  ---------  ---------  -----  ---------  --------- 
BioPharmaceuticals: 
 R&I                   5,765        (4)          -   1,443       (18)       (14)   2,655     10  1,054       (15)        (5)    613        (3)          7 
Symbicort              2,538        (7)        (2)     608          -          5     973    (9)    582       (13)        (3)    375        (2)          5 
Fasenra                1,396         11         15      43        n/m        n/m     906     15    305          7         20    142       (12)        (1) 
Breztri                  398         96        n/m      92         68         75     239    n/m     33        n/m        n/m     34         32         56 
Saphnelo                 116        n/m        n/m       -          -          -     111    n/m      2        n/m        n/m      3        n/m        n/m 
Tezspire                   4        n/m        n/m       -          -          -       -      -      2        n/m        n/m      2        n/m        n/m 
Pulmicort                645       (33)       (31)     462       (40)       (39)      65    (9)     69        (6)          6     49          5         15 
Daliresp/Daxas           189       (17)       (16)       3       (28)       (24)     176   (15)      9       (39)       (32)      1          3          7 
Bevespi                   58          7          9       5         31         38      42      7     10        (7)          5      1        n/m        n/m 
Others                   421       (29)       (27)     230       (20)       (17)     143     32     42       (77)       (75)      6       (53)       (46) 
--------------------  ------  ---------  ---------  ------  ---------  ---------  ------  -----  -----  ---------  ---------  -----  ---------  --------- 
BioPharmaceuticals: 
 V&I                   4,736          2          8   1,316       (43)       (41)   1,168    n/m  1,027       (33)       (24)  1,225         68         89 
Vaxzevria              1,798       (54)       (52)     729       (67)       (67)      79     24    365       (65)       (61)    625          8         17 
Evusheld               2,185        n/m        n/m     413        n/m        n/m   1,067    n/m    298        n/m        n/m    407        n/m        n/m 
Synagis                  578         41         59     173        n/m        n/m       1   (94)    213          5         17    191         28         51 
FluMist                  175       (31)       (20)       1       (51)       (54)      21   (21)    151       (32)       (20)      2        (4)       (10) 
--------------------  ------  ---------  ---------  ------  ---------  ---------  ------  -----  -----  ---------  ---------  -----  ---------  --------- 
Rare Disease*          7,053          4         10     431       (10)          6   4,324      8  1,428        (3)          9    870          8         24 
Soliris*               3,762       (11)        (5)     301       (29)       (10)   2,180    (7)    805       (21)       (12)    476         11         24 
Ultomiris*             1,965         34         42      38        n/m        n/m   1,136     35    481         49         68    310          6         26 
Strensiq*                958         16         18      35         41         31     769     19     78        (3)          9     76        (1)         16 
Koselugo                 208         93         96      26        n/m        n/m     162     55     20        n/m        n/m      -          -          - 
Kanuma*                  160         16         19      31         73         61      77     12     44        (3)         10      8         21         38 
--------------------  ------  ---------  ---------  ------  ---------  ---------  ------  -----  -----  ---------  ---------  -----  ---------  --------- 
Other medicines        1,625        (5)          4     788       (14)        (9)     144   (16)    123       (28)       (24)    570         28         50 
Nexium                 1,285        (3)          8     568       (19)       (13)     120    (6)     46       (26)       (17)    551         28         50 
Others                   340       (10)        (7)     220          4          7      24   (45)     77       (29)       (27)     19         37         54 
--------------------  ------  ---------  ---------  ------  ---------  ---------  ------  -----  -----  ---------  ---------  -----  ---------  --------- 
Total Product Sales   42,998         18         24  11,634        (4)          1  17,254     44  8,264          9         22  5,846         22         40 
--------------------  ------  ---------  ---------  ------  ---------  ---------  ------  -----  -----  ---------  ---------  -----  ---------  --------- 
 

Table 26 : Q4 2022 - Product Sales year-on-year analysis [78]

The Q4 2022 information in respect of the three months ended 31 December 2022 included in the Consolidated Financial Information has not been audited by PricewaterhouseCoopers LLP.

 
                                     World               Emerging Markets             US                 Europe                   Established RoW 
                          $m  Act % chg  CER % chg     $m  Act % chg  CER % chg     $m  % chg     $m  Act % chg  CER % chg     $m  Act % chg  CER % chg 
--------------------  ------  ---------  ---------  -----  ---------  ---------  -----  -----  -----  ---------  ---------  -----  ---------  --------- 
Oncology               3,746          9         18    814          4         14  1,789     23    689          4         21    454      (13 )          7 
Tagrisso               1,342          2         12    356         10         22    535     10    245        (5)         10    206       (16)          4 
Imfinzi                  752         19         27     63        (4)          3    450     37    142          3         20     97        (4)         18 
Lynparza                 689         10         17    130         27         33    331     13    162          -         16     66        (7)         15 
Calquence                588         49         53     17        n/m        n/m    465     39     86        n/m        n/m     20        n/m        n/m 
Enhertu                   28        n/m        n/m     17        n/m        n/m      -      -      8        n/m        n/m      3        n/m        n/m 
Orpathys                 (1)        n/m        n/m    (1)        n/m        n/m      -      -      -          -          -      -          -          - 
Zoladex                  210        (9)          4    149        (3)         10      4     71     33        (6)         10     24       (42)       (25) 
Faslodex                  74       (27)       (14)     38       (14)        (2)      1   (76)     11       (46)       (38)     24       (23)        (3) 
Iressa                    24       (32)       (24)     19       (34)       (26)      3     55      -       (44)         21      2       (52)       (44) 
Arimidex                  14       (57)       (50)     10       (61)       (56)      -      -      -          -          -      4       (39)       (27) 
Casodex                   16       (28)       (16)     10       (27)       (16)      -      -      1        n/m        n/m      5       (38)       (23) 
Others                    10       (29)       (18)      6       (18)        (6)      -      -      1        (8)       (10)      3       (40)       (31) 
--------------------  ------  ---------  ---------  -----  ---------  ---------  -----  -----  -----  ---------  ---------  -----  ---------  --------- 
BioPharmaceuticals: 
 CVRM                  2,281         12         22    938          8         20    696     15    493         25         44    154       (11)          6 
Farxiga                1,177         39         52    441         39         52    323     42    342         52         76     71        (8)          9 
Brilinta                 345        (1)          4     64       (11)        (6)    206     16     67       (19)        (6)      8       (48)       (41) 
Lokelma                   81         50         63      6        n/m        n/m     48     40      9         98        n/m     18         18         49 
Roxadustat                49         65         87     49         66         87      -      -      -          -          -      -          -          - 
Andexxa                   39          -         14      -          -          -     15   (51)     12         37         63     12        n/m        n/m 
Crestor                  224       (13)        (2)    164        (8)          4     15   (28)     11         24         42     34       (33)       (18) 
Seloken /Toprol-XL       157       (23)       (12)    150       (24)       (13)      -      -      4        n/m        n/m      3       (23)       (30) 
Bydureon                  73       (20)       (20)      -       (51)       (59)     66   (16)      7       (47)       (38)      -       (49)       (98) 
Onglyza                   52       (31)       (24)     22       (20)        (8)     16   (38)      9       (37)       (26)      5       (36)       (32) 
Others                    84       (13)        (6)     42        (6)          6      7   (42)     32       (11)        (8)      3       (13)        (3) 
--------------------  ------  ---------  ---------  -----  ---------  ---------  -----  -----  -----  ---------  ---------  -----  ---------  --------- 
BioPharmaceuticals: 
 R&I                   1,447       (9 )        (3)    341      (23 )      (16 )    692      7    259      (23 )      (10 )    155       (5 )         10 
Symbicort                620        (9)        (2)    133       (13)        (3)    255    (2)    137       (20)        (7)     95        (2)         11 
Fasenra                  381          7         12     13        n/m        n/m    257     10     76          2         18     35       (18)        (2) 
Breztri                  116         59         68     21         44         66     75     59     11        n/m        n/m      9          8         34 
Saphnelo                  48        n/m        n/m      -          -          -     46    n/m      1        n/m        n/m      1        n/m        n/m 
Tezspire                   4        n/m        n/m      -          -          -      -      -      2        n/m        n/m      2        n/m        n/m 
Pulmicort                166       (33)       (28)    123       (36)       (32)     12   (37)     19       (19)        (7)     12        (5)         11 
Daliresp /Daxas           28       (52)       (52)      1       (53)       (49)     25   (54)      2       (39)       (30)      -          -          - 
Bevespi                   14        (5)        (1)      1         28         46     10    (1)      3       (27)       (15)      -          -          - 
Others                    70       (53)       (47)     49       (36)       (27)     12   (20)      8       (86)       (83)      1       (57)       (43) 
--------------------  ------  ---------  ---------  -----  ---------  ---------  -----  -----  -----  ---------  ---------  -----  ---------  --------- 
BioPharmaceuticals: 
 V&I                   1,129      (51 )      (44 )    321      (74 )      (72 )    226    n/m    334      (49 )      (40 )    248      (25 )        (7) 
Vaxzevria                 85       (95)       (94)     45       (96)       (95)      -      -     40       (87)       (84)      -          -          - 
Evusheld                 734        n/m        n/m    246        n/m        n/m    217    n/m     99         50         74    172        n/m        n/m 
Synagis                  194       (19)        (3)     29         46         77    (1)    n/m     90       (26)       (14)     76       (21)        (3) 
FluMist                  116       (35)       (24)      1       (39)       (43)     10    n/m    105       (39)       (27)      -       (88)       (86) 
--------------------  ------  ---------  ---------  -----  ---------  ---------  -----  -----  -----  ---------  ---------  -----  ---------  --------- 
Rare Disease           1,816          4         10    116       (12)          2  1,149     10    349       (6 )          7    202        (1)         19 
Soliris                  844       (22)       (16)     83       (29)       (12)    491   (19)    179       (26)       (15)     91       (18)        (4) 
Ultomiris                593         52         62      4        (6)          8    365     71    134         34         53     90         23         52 
Strensiq                 272         24         27     10         59         48    224     29     19        (1)         13     19        (6)         16 
Koselugo                  58         74         77      3        n/m        n/m     48     51      7        n/m        n/m      -          -          - 
Kanuma                    49         45         44     16        n/m        n/m     21     18     10        (8)          4      2         68        n/m 
--------------------  ------  ---------  ---------  -----  ---------  ---------  -----  -----  -----  ---------  ---------  -----  ---------  --------- 
Other medicines          379        (7)          7    180          1         12     32  (11 )     28      (23 )      (19 )    139       (12)         11 
Nexium                   300        (9)          7    131          1         13     26   (12)      9       (40)       (32)    134       (13)          9 
Others                    79        (1)          5     49          1          8      6    (2)     19       (12)       (10)      5         34         70 
--------------------  ------  ---------  ---------  -----  ---------  ---------  -----  -----  -----  ---------  ---------  -----  ---------  --------- 
Total Product Sales   10,798        (6)          2  2,710      (25 )      (18 )  4,584     19  2,152       (12)          1  1,352       (13)          6 
--------------------  ------  ---------  ---------  -----  ---------  ---------  -----  -----  -----  ---------  ---------  -----  ---------  --------- 
 

Table 27 : Collaboration Revenue

 
                                    FY 2022     FY 2021 
                                         $m          $m 
---------------------------------   -------  ---------- 
Enhertu : alliance revenue              519         193 
Tezspire: alliance revenue               79           - 
Lynparza : regulatory milestones        355           - 
Lynparza : sales milestones               -         400 
Tralokinumab: sales milestones          110           - 
Vaxzevria: royalties                     76          64 
Other royalty income                     72          74 
Other Collaboration Revenue             142         145 
----------------------------------  -------  ---------- 
Total                                 1,353         876 
----------------------------------  -------  ---------- 
 

Table 28 : Other Operating Income and Expense

 
                                                        FY 2022  FY 2021 
                                                             $m       $m 
-----------------------------------------------------   -------  ------- 
Brazikumab licence termination funding                      138       99 
Waltham site gain on sale and leaseback                     125        - 
Divestment of rights to Plendil                              61        - 
Divestment of Viela Bio, Inc. shareholding                    -      776 
Crestor (Europe ex-UK and Spain)                              -      317 
Late stage small-molecule antibiotics assets (ex-US)          -      100 
Other                                                       190      200 
------------------------------------------------------  -------  ------- 
Total                                                       514    1,492 
------------------------------------------------------  -------  ------- 
 

Other shareholder information

Financial calendar

   Announcement of first quarter 2023 results                                         27 April 2023 
   Announcement of half year and second quarter 2023 results                28 July 2023 
   Announcement of year to date and third quarter 2023 results        9 November 2023 

Dividends are normally paid as follows:

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

The record date for the second interim dividend for 2022, payable on 27 March 2023, will be 24 February 2023. The ex-dividend date will be 23 February 2023.

Contacts

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

Addresses for correspondence

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

Trademarks

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

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

AstraZeneca

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

Cautionary statements regarding forward-looking statements

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

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

-- the ability of the Group and CinCor to complete the transactions contemplated by the acquisition agreement, including the parties' ability to satisfy the conditions to the consummation of the offer contemplated thereby and the other conditions set forth in the merger agreement;

-- the Group's and CinCor's beliefs and expectations and statements about the benefits sought to be achieved in the Group's proposed acquisition of CinCor;

   --    the potential effects of the acquisition on both the Group and CinCor; 
   --    the possibility of any termination of the acquisition agreement; 

-- the expected benefits and success of baxdrostat and any combination product, the possibility that the milestone related to the contingent value right will not be achieved;the risk of failure or delay in delivery of pipeline or launch of new medicines

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

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

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

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

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

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

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

-- the impact that global and/or geopolitical events such as the COVID-19 pandemic and the Russia-Ukraine war may have or continue to have on these risks, on the Group's ability to continue to mitigate these risks, and on the Group's operations, financial results or financial condition

Nothing in this document, or any related presentation/webcast, should be construed as a profit forecast. There can be no guarantees that the conditions to the closing of the proposed transaction with CinCor will be satisfied on the expected timetable or at all or that baxdrostat or any combination product will receive the necessary regulatory approvals or prove to be commercially successful if approved.

- End of document -

[1] Constant exchange rates. The differences between Actual Change and CER Change are due to foreign exchange movements between periods in 2022 vs 2021. CER financial measures are not accounted for according to generally accepted accounting principles (GAAP) because they remove the effects of currency movements from Reported results.

[2] Reported financial measures are the financial results presented in accordance with UK-adopted International Accounting Standards and International Financial Reporting Standards (IFRSs) as issued by the International Accounting Standards Board (IASB) and International Accounting Standards as adopted by the European Union.

[3] Earnings per share.

[4] Core financial measures are adjusted to exclude certain items. The differences between Reported and Core measures are primarily due to costs relating to the acquisition of Alexion, amortisation of intangibles, impairments, restructuring charges, and, as previously disclosed, a charge to provisions relating to a legal settlement with Chugai Pharmaceutical Co. Ltd (Chugai) that led to a payment of $775m in Q2 2022. A full reconciliation between Reported EPS and Core EPS is provided in Tables 11 and 12 in the Financial performance section of this document.

[5] Cardiovascular, Renal and Metabolism.

[6] FY 2022 growth rates on medicines acquired with Alexion have been calculated on a pro forma basis comparing to the corresponding period in the prior year. In FY 2022, Total Revenue from Koselugo is included in Rare Disease (FY 2021: Oncology) and Total Revenue from Andexxa is included in BioPharmaceuticals: CVRM (FY 2021: Rare Disease). The growth rate shown for each therapy area has been calculated as though these changes had been implemented in FY 2021.

[7] Respiratory & Immunology.

[8] The COVID-19 medicines are Vaxzevria, Evusheld, and AZD3152 - the COVID-19 antibody currently in development.

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

[10] Metastatic castration-resistant prostate cancer.

[11] Human epidermal growth factor receptor 2.

[12] Hepatocellular carcinoma.

[13] Non-small cell lung cancer.

[14] Mesenchymal-epithelial transition.

[15] Long-acting antibody.

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

   [17]             Volume-based procurement. 
   [18]             Vaccines & Immune Therapies. 

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

[20] Gross Profit is defined as Total Revenue minus Cost of sales. The calculation of Reported and Core Gross Margin excludes the impact of Collaboration Revenue.

[21] Where AstraZeneca does not retain a significant ongoing interest in medicines or potential new medicines, income from divestments is reported within Reported and Core Other operating income and expense in the Company's financial statements.

[22] Chronic lymphocytic leukaemia.

[23] Heart failure with preserved ejection fraction.

[24] Respiratory syncytial virus.

[25] Neuromyelitis optica spectrum disorder.

[26] Hormone receptor.

[27] US Food and Drug Administration.

[28] Imfinzi Product Sales includes sales of Imjudo, which commenced in Q4 2022.

[29] Alliance revenue (previously referred to as share of gross profits) comprises income arising from collaborative arrangements, where AstraZeneca is entitled to a profit share, but does not include product sales where AstraZeneca is leading commercialisation in a territory. Alliance revenue is included within Collaboration Revenue.

[30] National reimbursement drug list.

[31] France, Germany, Italy, Spain, UK.

[32] Extensive-stage small cell lung cancer.

[33] Biliary tract cancer.

[34] Poly ADP ribose polymerase.

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

[36] Breast cancer gene mutation.

[37] Metastatic castration resistant prostate cancer.

[38] European Medicines Agency.

[39] Bruton tyrosine kinase inhibitor.

[40] Tyrosine kinase inhibitor.

[41] Sodium-glucose cotransporter 2.

[42] Heart failure.

[43] European Society of Cardiology.

[44] American Heart Association.

[45] American College of Cardiology.

[46] Heart Failure Society of America.

[47] Heart failure with reduced ejection fraction.

[48] Type-2 diabetes.

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

[50] Inhaled corticosteroid.

[51] Long-acting beta-agonist.

[52] Interleukin-5.

[53] The 'dynamic market' refers to patients who have recently changed their medicine to a branded biologic. It captures patients who have adopted a biologic medicine for the first time, and patients who have switched from one biologic brand to another.

[54] Fixed dose combination.

[55] 'New-to-brand' share represents a medicine's share in the dynamic market

[56] Intravenous injection.

[57] Systemic lupus erythematosus.

[58] Complement component 5.

[59] Paroxysmal nocturnal haemoglobinuria.

[60] Atypical haemolytic uraemic syndrome.

[61] Generalised myasthenia gravis.

[62] Other Operating Income.

[63] Other SG&A expense of $985m predominantly includes the $775m charge to provisions relating to the legal settlement with Chugai and $82m of fair value movements on contingent consideration arising from business combinations.

[64] Other Taxation of ($1,049m) includes a one-off favourable net adjustment of ($876m) to deferred taxes arising from an internal reorganisation to integrate the Alexion organisation.

[65] Securities Exchange Commission.

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

[67] Based on average daily spot rates 1 Jan 2022 to 31 Dec 2022

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

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

[70] Epidermal growth factor receptor.

[71] Programmed death-ligand 1.

[72] Prescription Drug User Fee Act.

[73] Supplemental new drug application.

[74] Overall survival.

[75] Ado-trastuzumab emtansine.

[76] Overall response rate.

[77] The table provides an analysis of year-on-year Product Sales, with Actual and CER growth rates reflecting year-on-year growth. Due to rounding, the sum of a number of dollar values and percentages may not agree to totals. *FY 2022 growth rates on medicines acquired with Alexion have been calculated on a pro forma basis comparing to the corresponding period in the prior year. The growth rates shown for Rare Disease and CVRM therapy area totals include these pro forma adjustments.

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

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

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

END

FR UPUMWPUPWPUR

(END) Dow Jones Newswires

February 09, 2023 02:00 ET (07:00 GMT)

Astrazeneca (LSE:AZN)
Historical Stock Chart
From Mar 2024 to Apr 2024 Click Here for more Astrazeneca Charts.
Astrazeneca (LSE:AZN)
Historical Stock Chart
From Apr 2023 to Apr 2024 Click Here for more Astrazeneca Charts.