Pharmaceuticals turnover in the quarter was £4,158 million, up 4% AER, 2% CER. HIV sales were up 7% AER, 4% CER, to £1,121 million, driven by growth of Tivicay and Juluca. Respiratory sales were up 29% AER, 25% CER, to £631 million, on growth of Trelegy and Nucala. Sales of Established Pharmaceuticals declined 5% AER, 6% CER to £2,242 million, including the impact of the loss of exclusivity of Advair, partly offset by the launches of authorised generics for Advair and Ventolin in the US. In the US, sales grew 8% AER, 1% CER, reflecting growth in HIV, Respiratory and Benlysta, more than offsetting the decline in Established Products including the loss of exclusivity of Advair. In Europe, sales declined 2% AER, 1% CER, with strong growth in Respiratory offset by declines in Established Pharmaceuticals. International grew 4% AER and 4% CER, with growth in HIV and Respiratory. Respiratory New Respiratory sales (Ellipta products plus Nucala) were up 29% AER, 25% CER, with strong growth in all regions. Higher demand for Trelegy Ellipta and Nucala resulted in US growth of 27% AER, 19% CER and Europe growth of 31% AER, 33% CER. International grew 31% AER, 30% CER, including Relvar/Breo Ellipta up 19%. Sales of Nucala were £152 million in the quarter and grew 46% AER, 41% CER, continuing to benefit from the global rollout of the product. US sales of Nucala grew 44% AER, 36% CER to £85 million. Sales of Ellipta products were up 24% AER, 20% CER to £479 million driven by continued growth in all regions. In the US, sales grew 22% AER, 14% CER, reflecting further market share gains partly offset by the impact of continued competitive pricing pressures, particularly for ICS/LABA products. In Europe, sales grew 27% AER, 28% CER. In the US, sales of Trelegy Ellipta contributed £66 million in the quarter, continuing to benefit from the expanded US label. Relvar/Breo Ellipta sales were down 2% AER, 5% CER. In the US, Relvar/Breo Ellipta declined 22% AER, 27% CER, impacted by competitive pricing pressures and the impact of generic Advair on the ICS/LABA market. In Europe and International, Relvar/Breo Ellipta continued to grow, up 8% AER, 10% CER and 23% AER, 19% CER respectively. HIV HIV sales increased 7% AER, 4% CER to £1,121 million in the quarter. The growth was driven by the dolutegravir franchise, which grew 11% AER, 7% CER in the quarter, partly offset by a decline in the rest of the portfolio. Sales of dolutegravir products were £1,067 million in the quarter, with Triumeq and Tivicay delivering sales of £614 million and £383 million, respectively. Juluca, the first of our two drug regimens, recorded sales of £70 million driven by continued share growth. The US and International regions grew 10% AER, 3% CER and 28% AER, 29% CER respectively, driven by Juluca in the US and a Tivicay tender in International. In Europe, dolutegravir products declined 3% AER, 2% CER with volume growth offset by price erosion and government clawback adjustments in Q1 2018. The remaining portfolio delivered sales of £54 million, representing 5% of total HIV sales, declining 36% AER, 35% CER. This reflected continued competition from generic products and transition to new regimens and reduced the overall growth of total HIV by approximately three percentage points. Immuno-inflammation Sales of Benlysta in the quarter were up 21% AER, 15% CER to £121 million, including sales of the sub-cutaneous formulation of £47 million. In the US, Benlysta grew 18% AER, 11% CER to £105 million. Oncology Zejula recorded sales of £42 million, following the completion of the acquisition of Tesaro on 22 January 2019. Established Pharmaceuticals Sales of Established Pharmaceuticals in the quarter were £2,242 million, down 5% AER, 6% CER. Established Respiratory products were flat at AER but declined 2% CER to £1,083 million, with the decline in Advair/Seretide partially offset by higher sales of Ventolin and allergy products. In the US, a generic version of Advair was launched in February, resulting in 23% AER, 27% CER decline in the quarter. In Europe, Seretide sales were down 20% AER, 19% CER to £133 million, reflecting continued competition from generic products and the transition of the Respiratory portfolio to newer products. In International, sales of Seretide were up 4% AER and CER. Ventolin grew by 36% AER, 33% CER driven by strong initial sales from the launch of an authorised generic version in the US. The remainder of the Established Pharmaceuticals portfolio declined by 10% AER, 9% CER, including Lamictal which declined 10% AER, 12% CER to £132 million due to generic competition in the US, together with declines in Relenza, Coreg and Levitra. |