Pharmaceuticals turnover in the nine months was £12,996 million, up 4% AER, 1% CER. Respiratory sales were up 23% AER, 18% CER, to £2,189 million, on growth of Trelegy Ellipta and Nucala. HIV sales were up 4% AER, 1% CER, to £3,597 million, with growth in Juluca and Dovato partly offset by a decline in Triumeq. Sales of Established Pharmaceuticals were £6,603 million, down 4% AER, 6% CER, including the impact of loss of exclusivity of Advair. In the US, sales grew 2% AER but declined 4% CER. Excluding Advair and Relvar/Breo Ellipta, impacted by genericisation of the ICS/LABA market, growth was 15% AER, 9% CER. Continued growth of Nucala, Trelegy Ellipta and Benlysta was offset by the decline in Established Products including the loss of exclusivity of Advair. In Europe, sales grew 4% AER, 4% CER, with strong growth in Respiratory partly offset by a decline in Established Pharmaceuticals. International grew 7% AER, 6% CER, with growth in all therapy areas. Respiratory Total Respiratory sales were up 23% AER, 18% CER, with strong growth in all regions. Ellipta product sales grew 17% AER, 13% CER, with Europe up 30% AER, 30% CER and International up 33% AER, 30% CER on Trelegy and Relvar/Breo growth. Nucala was up 39% AER, 39% CER in Europe and 65% AER, 56% CER in International. In the US, Trelegy Ellipta and Nucala growth more than offset the decline in Relvar/Breo Ellipta on post generic ICS/LABA price pressure. Sales of Nucala were £550 million in the nine months and grew 41% AER, 35% CER, continuing to benefit from the global rollout of the product. US sales of Nucala grew 37% AER, 29% CER to £321 million. Sales of Ellipta products were up 17% AER, 13% CER to £1,639 million, driven by growth in Europe and International regions. In the US, sales grew 8% AER, 2% CER, reflecting continued competitive pricing pressures for ICS/LABAs, post generic Advair. Sales of Trelegy Ellipta contributed £346 million globally in the nine months, driven by an increase in US market share. Relvar/Breo Ellipta sales were down 7% AER, 10% CER. This was driven by the US, where Relvar/Breo Ellipta declined 31% AER, 35% CER as a result of 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 14% AER, 14% CER in Europe, and 23% AER, 21% CER in International. HIV HIV sales grew 4% AER, 1% CER to £3,597 million in the nine months. The dolutegravir franchise grew 7% AER, 3% CER, delivering sales of £3,425 million. The remaining portfolio, with sales of £172 million (5% of total HIV sales), declined 26% AER, 26% CER and reduced the overall HIV growth by two percentage points. Sales of dolutegravir products were £3,425 million, with Triumeq and Tivicay delivering sales of £1,911 million and £1,236 million, respectively. The two-drug regimens, Juluca and Dovato, delivered sales of £278 million in the nine months with combined growth more than offsetting the decline in the three-drug regimen, Triumeq, as the business transitions to the new portfolio. In the US, following the launch of Dovato in April 2019, combined sales of the two-drug regimens were £234 million. US dolutegravir sales grew 5% AER but declined 1% CER, reflecting a year-on-year share decline as the business transitions to the new two-drug portfolio, partly offset by a net price benefit. In Europe, Dovato and Juluca reported combined sales of £40 million, and total dolutegravir sales grew 1% AER, 1% CER, with growth in market share more than offsetting price erosion and the timing of clawback payments. International performed strongly with total dolutegravir sales growth of 27% AER, 26% CER, driven by Tivicay and Triumeq. Oncology Sales of Zejula, were £163 million in the period from the date of acquisition, comprising £97 million in the US and £66 million in Europe. Immuno-inflammation Sales of Benlysta in the nine months were up 32% AER, 26% CER to £443 million, including sales of the sub-cutaneous formulation of £189 million. In the US, Benlysta grew 29% AER, 22% CER to £387 million. Established Pharmaceuticals Sales of Established Pharmaceuticals in the nine months were £6,603 million, down 4% AER, 6% CER. Established Respiratory products declined 7% AER, 9% CER to £2,935 million, with the decline in Advair/Seretide partly offset by higher sales of Ventolin and allergy products. In the US, a generic version of Advair was launched in February, resulting in a 50% AER, 53% CER decline in the nine months. In Europe, Seretide sales were down 15% AER, 15% CER to £383 million, reflecting continued competition from generic products and the transition of the Respiratory portfolio to newer products. In International, sales of Seretide grew 1% AER but were flat at CER. Globally, Ventolin grew by 36% AER, 32% CER, driven by the strong uptake of an authorised generic version in the US. The remainder of the Established Pharmaceuticals portfolio declined 2% AER, 3% CER to £3,668 million, with Lamictal down 8% AER, 11% CER to £421 million on generic competition in the US and International, partly offset by growth in Augmentin in the nine months and a European Relenza tender. |