Pharmaceuticals turnover in the quarter was £4,102 million, down 5% AER, 5% CER. HIV sales were down 2% AER, 3% CER, to £1,185 million, with growth in Juluca and Dovato offset by declines in Tivicay and Triumeq. Respiratory sales were up 17% AER, 16% CER, to £883 million, on growth of Trelegy and Nucala. Sales of Established Pharmaceuticals declined 17% AER, 17% CER, to £1,780 million. In the quarter, as expected, the COVID-19 related first quarter customer stockbuilding, which predominantly impacted Europe and the US, broadly reversed with only a minor dolutegravir impact in Europe and the US remaining. The quarter also saw lower levels of new patient prescriptions in the US and Europe, reduced market demand for allergy and antibiotic products in International and pressure on net prices in the US. In the US, sales grew 1% AER but declined 1% CER. Continued growth of Nucala, Trelegy, Benlysta and the HIV two-drug regimens was more than offset by the decline and COVID-19 destocking in Tivicay, Triumeq and Established Pharmaceuticals, including the impact of generic albuterol substitutes. In Europe, sales declined 10% AER, 11% CER, reflecting the impact of destocking and generic competition and almost fully offsetting the additional demand experienced in the first quarter related to COVID-19. International declined 8% AER, 7% CER, with Respiratory growth offset by lower Established Pharmaceutical sales including the impact of a weaker allergy season in Japan, lower Augmentin sales across the region and lower sales in China. Respiratory Total Respiratory sales were up 17% AER, 16% CER, with strong growth from Trelegy and Nucala in all regions. International Respiratory sales grew 17% AER, 17% CER, including Nucala, up 42% AER, 31% CER, and Relvar/Breo up 8% AER, 12% CER to £81 million. In Europe, Respiratory sales grew 13% AER, 13% CER despite the impact of the reversal of the customer stockbuilding in Q1 2020 related to the COVID-19 pandemic. In the US, Trelegy and Nucala growth continued while Relvar/Breo sales were down 11% AER, 12% CER, impacted by competitive pricing pressures and the impact of generic Advair on the US ICS/LABA market. Sales of Nucala were £241 million in the quarter and grew 24% AER, 21% CER, with US sales up 28% AER, 26% CER to £150 million. Europe sales of £54 million grew 4% AER, 6% CER and International sales of £37 million grew 42% AER, 31% CER including growth of the at-home use application. Trelegy sales were up 62% AER, 58% CER to £194 million with strong growth in all regions. In the US, sales grew 65% AER, 60% CER, reflecting continued market share growth. In Europe, sales grew 64% AER, 59% CER and in International sales grew 38% AER, 46% CER. Relvar/Breo sales were up 2% AER, 2% CER to £242 million in the quarter. In the US, Relvar/Breo declined 11% AER, 12% CER, reflecting competitive pricing pressures and the impact of generic Advair on the US ICS/LABA market. In Europe and International, Relvar/Breo continued to grow, up 11% AER, 9% CER and 8% AER, 12% CER, respectively. HIV HIV sales were £1,185 million, down 2% AER, 3% CER in the quarter. The dolutegravir franchise declined 1% AER, 2% CER, delivering sales of £1,140 million. The remaining portfolio, with sales of £45 million and 4% of total HIV sales, declined 27% AER, 32% CER and reduced the overall growth of total HIV by one percentage point. Sales of dolutegravir products were £1,140 million in the quarter. Sales were impacted by customer destocking following the customer stockbuilding in Q1 2020 due to COVID-19, mainly on Tivicay and Triumeq. Tivicay delivered sales of £373 million and declined 9% AER, 10% CER. Triumeq delivered sales of £586 million and declined 9% AER, 11% CER. The two-drug regimens, Juluca and Dovato delivered sales of £181 million in the quarter, with combined growth more than offsetting the decline of the three-drug regimen Triumeq. In the US, dolutegravir sales grew 1% AER, but declined 2% CER and in Europe sales declined 4% AER, 5% CER impacted by customer destocking following the customer stockbuilding in Q1 2020 due to COVID-19. Following recent launches of Dovato, combined sales of the two-drug regimens were £139 million in the US and £38 million in Europe, with growth more than offsetting the decline in Triumeq. International was flat at AER, but grew 4% CER, driven by Tivicay. Oncology Sales of Zejula, the PARP inhibitor asset acquired from Tesaro in Q1 2019 were £77 million in the quarter, up 35% AER, 32% CER. Sales comprised £47 million in the US and £30 million in Europe. Immuno-inflammation Sales of Benlysta in the quarter were up 18% AER, 15% CER to £177 million, including sales of the sub-cutaneous formulation of £89 million. In the US, Benlysta grew 16% AER, 14% CER to £153 million. Established Pharmaceuticals Sales of Established Pharmaceuticals in the quarter were £1,780 million, down 17% AER, 17% CER. Established Respiratory products declined 12% AER, 12% CER to £805 million. This reflected the impact of generic albuterol substitutes on Ventolin in the US, the impact of COVID-19 pandemic related destocking in Europe and allergy market contraction in Japan. In the US, sales of Advair/Seretide grew 36% AER, 34% CER to £143 million, reflecting a spike in the ICS/LABA class during April and May. In Europe and International, Seretide sales were down 12% AER, 13% CER and 7% AER, 6% CER, respectively, impacted by generic competition in Europe, COVID-19 related destocking. The remainder of the Established Pharmaceuticals portfolio declined 20% AER, 20% CER to £975 million on lower demand for Dermatology products and Antibiotics during the COVID-19 pandemic period, the impact of government mandated changes increasing the use of generics in China, and comparison with a strong Q2 2019, which included a European Relenza contract. |