AstraZeneca plc

10/30/2026 | Press release | Distributed by Public on 10/30/2026 05:36

Continued strong commercial performance and 12 positive Phase III programme readouts in the year to date (Form 6-K)

FORM 6-K
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Report of Foreign Issuer
Pursuant to Rule 13a-16 or 15d-16 of
the Securities Exchange Act of 1934
For the month of October 2026
Commission File Number: 001-11960
AstraZeneca PLC
1 Francis Crick Avenue
Cambridge Biomedical Campus
Cambridge CB2 0AA
United Kingdom
Indicate by check mark whether the registrant files or will file annual reports under cover of Form 20-F or Form 40-F.
Form 20-F X Form 40-F __
Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(1):
Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(7): ______
Indicate by check mark whether the registrant by furnishing the information contained in this Form is also thereby furnishing the information to the Commission pursuant to Rule 12g3-2(b) under the Securities Exchange Act of 1934.
Yes __ No X
If "Yes" is marked, indicate below the file number assigned to the Registrant in connection with Rule 12g3-2(b): 82-_____________
AstraZeneca PLC
INDEX TO EXHIBITS
1.
3rd Quarter Results
30 October 2026
AstraZeneca results: 9M and Q3 2026
Continued strong commercial performance and 12 positive Phase III programme readouts in the year to date
http://www.rns-pdf.londonstockexchange.com/rns/0827B_1-2026-10-29.pdf
Revenue and EPS summary
9M 2026
% Change
Q3 2026
% Change
$m
Actual
CER1
$m
Actual
CER
- Product Sales
43,962
7
5
15,066
5
5
- Alliance Revenue
2,806
33
32
1,107
36
36
Product Revenue
46,768
8
6
16,173
7
7
Collaboration Revenue
113
22
23
36
>3x
>3x
Total Revenue
46,881
8
7
16,209
7
7
Reported EPS ($)
5.62
10
11
2.02
23
26
Core2 EPS ($)
8.00
14
14
2.79
17
19
Key performance elements for 9M 2026
(Growth numbers at constant exchange rates)
*
Total Revenue up 7%, with double-digit growth in Oncology, R&I and Rare Disease offsetting headwinds from Farxiga and Brilinta loss of exclusivity and volume-based procurement in China
*
Core Operating profit and Core EPS increased 14%
*
47 approvals in major regions since Q4 2025 results, including first approvals for four new medicines (Etcamah, Baxfendy, Klygefa and Amlypave)
*
First Phase III data for three NMEs (tozorakimab, efzimfotase alfa and sonesitatug vedotin)
Pascal Soriot, Chief Executive Officer, AstraZeneca, said:
"In the first nine months we saw strong commercial momentum with total revenue up 7% and Core EPS up 14%, driven by our diverse therapy areas and global presence. We have had approvals for four new medicines and reported 12 positive Phase III programme readouts with a collective peak year revenue potential well in excess of ten billion dollars. Our rich series of upcoming readouts in 2027 has a potential of more than twenty billion dollars.
With multiple potential blockbuster assets in late-stage development and transformative technologies scaling rapidly, we are on track to deliver our 2030 ambition and to sustain growth through the next decade."
Guidance
AstraZeneca reconfirms Total Revenue and Core EPS guidance3 for FY 2026 at CER, based on the average foreign exchange rates through 2025.

Total Revenue is expected to increase by a mid-to-high single-digit percentage
Core EPS is expected to increase by a low double-digit percentage
The Core Tax rate is expected to be between 18-22%
If foreign exchange rates for October 2026 to December 2026 were to remain at the average rates seen in September 2026, it is anticipated that Total Revenue in FY 2026 would benefit from a low single-digit percentage positive impact (unchanged) compared to the performance at CER, and Core EPS growth would be broadly similar (unchanged) to the growth at CER.
Results highlights
Table 1: Milestones achieved since the prior results announcement
Phase III and other registrational data readouts
Medicine
Trial
Indication
Event
Enhertu
DESTINY-Lung04
1L HER2m NSCLC
Primary endpoint met
Etcamah
SERENA-4
1L HR+ HER2- advanced breast cancer
Primary endpoint not met
Imfinzi + tarlatamab
DeLLphi-305
1L ES-SCLC (maintenance)
Primary endpoint met
Lynparza
MONO-OLA1
1L BRCAwt ovarian cancer
Dual primary endpoints met
Tagrisso + Orpathys
SAFFRON
2L+ EGFRm, MET-overexpressed and/or amplified NSCLC
Primary endpoint met
Tagrisso + Orpathys
SANOVO
1L EGFRm, MET-overexpressed NSCLC
Primary endpoint met
volrustomig
eVOLVE-Lung02
1L PD-L1 <50% mNSCLC
Discontinued due to futility
Tezspire
CROSSING
Eosinophilic esophagitis
Co-primary endpoints met
Ultomiris
AWAKE
Delayed Graft Function
Discontinued due to lack of efficacy
Regulatory approvals
Medicine
Trial
Indication
Region
Datroway
TROPION-Breast02
1L TNBC for patients where immunotherapy is not an option
EU, JP, CN
Enhertu
DESTINY-Breast09
1L HER2+ mBC
EU, JP, CN
Enhertu
DESTINY-Breast05
High-risk HER2+ early breast cancer (post-neoadjuvant)
EU, CN
Enhertu
DESTINY-PanTumor02
HER2+ solid tumours
CN
Etcamah
SERENA-6
ESR1m HR+ HER2- 1L advanced breast cancer
US
Imfinzi
POTOMAC
NMIBC
JP
Breztri
KALOS / LOGOS
Asthma
EU, JP
Klygefa (gefurulimab)
PREVAIL
Generalised myasthenia gravis
JP
Amlypave (anselamimab)
CARES
Kappa light chain amyloidosis
JP
Ultomiris
I CAN
IgAN
US
Ultomiris
ALXN1210-PNH-323
PNH
CN
Regulatory submissions or acceptances* in major regions
Medicine
Trial
Indication
Region
Calquence
AMPLIFY
1L CLL (fixed duration)
CN
Imfinzi
VOLGA
MIBC not candidates for cisplatin
US, EU, JP
Truqap
CAPItello-281
PTEN-deficient mHSPC
CN
tozorakimab
OBERON / TITANIA / PROSPERO
COPD
US, JP
Ultomiris
I CAN
IgAN
CN
Ultomiris
ALXN1210-TMA-314
HSCT-TMA (paediatric)
US
efzimfotase alfa
MULBERRY / CHESTNUT / HICKORY
HPP
US, EU, CN
* US, EU and China regulatory entries in this table denote filing acceptance
Other pipeline updates
For recent trial starts and anticipated timings of key trial readouts, please refer to the Clinical Trials Appendix document in the financial results section of the AstraZeneca investor relations website: www.astrazeneca.com/investor-relations.html
Table 2: Key elements of financial performance: Q3 2026
For the quarter
Reported
Change
Core
Change
ended 30 September
$m
Act
CER
$m
Act
CER
Product Revenue
16,173
7
7
16,173
7
7
* See Tables 3, 7, 23, 24 and 25 for further details of Product Revenue, Product Sales and Alliance Revenue
Collaboration Revenue
36
>3x
>3x
36
>3x
>3x
* See Tables 4 and 26 for further details of Collaboration Revenue
Total Revenue
16,209
7
7
16,209
7
7
* See Tables 5 and 6 for Total Revenue by Therapy Area and by region
Gross Margin (%)
82
-
+1pp
82
-
+1pp
+ Positive product mix effects
- Pricing headwinds, including those driven by loss of exclusivity and VBP in China
* Variations in Gross Margin can be expected between periods due to various factors, including fluctuations in foreign exchange rates, product seasonality and Collaboration Revenue
R&D expense
3,894
6
7
3,645
3
3
* Core R&D: 22% of Total Revenue (23% for 9M 2026)
+ Increasing number of trials, and patients in those trials
+ Investments in transformative technologies
+ Addition of R&D projects from business development
Positive data readouts for high value pipeline opportunities that have ungated large late-stage trials
* Variations in the year-on-year change in R&D expenses can be expected between periods due to the phasing of trial starts and completions
SG&A expense
5,108
-
-
3,909
2
2
* Core SG&A: 24% of Total Revenue (25% for 9M 2026)
+ Investment to support ongoing and future launches
* Variations in the year-on-year change in SG&A expenses can be expected between periods due to the phasing of product launches and other programmes
Other operating income and expense4
277
>3x
>3x
277
>2x
>2x
+ Various partner milestones and royalties
+ Disposal of Zoryve interest
Operating profit
4,387
22
26
5,855
17
20
+ See commentary above on Gross Margin, R&D, SG&A
Operating Margin (%)
27
+3pp
+4pp
36
+3pp
+4pp
and Other operating income and expense
Net finance expense
410
17
22
371
22
27
+ Lower interest income on short-term deposits and higher interest expense on short-term borrowings
+ Higher discount unwind on lease liabilities, principally due to the new strategic R&D centre in Massachusetts, US
- Reported Net finance expense benefitted from a lower discount unwind on contingent consideration liabilities
Tax rate (%)
21
-1pp
-1pp
21
-
-1pp
* Variations in the tax rate can be expected between periods
EPS ($)
2.02
23
26
2.79
17
19
+ See commentary above
For dollar values in this table, the unit of change is percent. For Gross Margin, Operating Margin and Tax rate, the unit of change is percentage points (pp).
In the table above, R&D expense, SG&A expense and Net finance expense are displayed as positive numbers. The plus and minus symbols next to comments denote the directional impact of the item being discussed. For example, a plus symbol next to a comment about an R&D item indicates that the item increased R&D expenditure relative to the prior year period.
Corporate and business development
Summit Therapeutics
In October AstraZeneca completed a $2bn equity investment in Summit Therapeutics Inc. (Summit). The investment gives AstraZeneca rights equivalent to approximately 12.0% of Summit Therapeutics' outstanding common stock, or approximately 10.6% on a fully diluted basis.
AstraZeneca and Summit entered into a clinical collaboration agreement to evaluate sonesitatug vedotin in combination with Summit's PD-1/VEGF bispecific antibody ivonescimab. The two companies also entered into a clinical collaboration with Daiichi Sankyo to evaluate Datroway in combination with ivonescimab.
AstraZeneca and Summit intend to enter into an additional agreement initiating a global development programme combining other AstraZeneca cancer medicines, including additional ADCs, with ivonescimab.
Kendall Square R&D Centre
In October, AstraZeneca formally opened its new global strategic R&D centre, in Kendall Square, Cambridge, Massachusetts. The state-of-the-art facility builds on the Company's existing presence in Boston and Cambridge, Massachusetts and will be home to nearly 2,000 world-class researchers and scientists.
Reshaping for Sustainable Growth
AstraZeneca is in a catalyst rich period with more than 180 pipeline projects driving its next wave of growth and scientific innovation. To capitalise on this opportunity, the Company has initiated the Reshaping for Sustainable Growth (RSG) programme to create additional capacity to invest behind its industry-leading pipeline and transformative technologies. Over the next three years, the programme will redeploy resources and strengthen capabilities across AstraZeneca's existing business and therapy areas. The RSG programme is expected to cost up to $2.0bn in one-time restructuring costs and deliver $1.5bn in annualised pre-tax run-rate benefits. The savings generated will continue to be reinvested back into the Company, principally in the pipeline. The Company anticipates activities to be essentially complete by the end of 2029.
insitro
In October, AstraZeneca entered into a strategic drug discovery collaboration and licensing agreement with insitro. Using advanced AI systems, the collaboration will identify novel drug targets and advance the design of new therapeutics for MASH and cardiomyopathies.
Under the terms of the agreement, insitro will receive an upfront payment of $40m, and is also eligible for up to approximately $1.46bn in potential development and commercial milestones, plus potential single digit royalties based on global commercial sales. AstraZeneca will have exclusive worldwide rights to advance selected programmes identified under the collaboration.
Dizal Pharmaceutical Co
In August, AstraZeneca completed the license agreement with Dizal Pharmaceutical Co., Ltd for Zegfrovy, which is approved in the US and China for the 2nd-line treatment of adult patients with locally advanced or metastatic NSCLC with EGFR exon 20 insertion mutations. See Interim Financial Statements, Note 5, for further details.

Sustainability highlights
AstraZeneca ranked fifth on TIME Magazine's 2026 World's Best Companies list - its highest position to date and the top ranking among pharmaceutical companies - based on sustainability transparency, revenue growth, and employee satisfaction.
Reporting calendar
The Company intends to publish its FY and Q4 2026 results on 9 February 2027.
Conference call
A conference call and webcast for investors and analysts will begin today, 30 October 2026, at 14:30 UK time. Details can be accessed via astrazeneca.com.
Notes
1.
Constant exchange rates. The differences between Actual Change and CER Change are due to foreign exchange movements between periods in 2026 vs. 2025. 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.
Core financial measures are adjusted to exclude certain items. The differences between Reported and Core measures are primarily due to costs relating to the amortisation of intangibles, impairments, legal settlements and restructuring charges. A full reconciliation between Reported EPS and Core EPS is provided in Tables 10 and 11 in the Financial Performance section of this document.
3.
The Company is unable to provide guidance on a Reported basis because it cannot reliably forecast material elements of the Reported results, 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.
4.
Income from disposals of assets and businesses, where the Group does not retain a significant ongoing economic interest, is recorded in Other operating income and expense in the Group's financial statements.
Revenue drivers
Table 3: Product Revenue (PR) by medicine
9M 2026
% Change
Q3 2026
% Change
$m
% Total
Actual
CER
$m
% Total
Actual
CER
Tagrisso
5,862
13
10
8
2,087
13
12
12
Imfinzi
5,538
12
28
27
1,990
12
24
26
Calquence
3,009
6
18
16
1,065
7
16
16
Lynparza
2,421
5
1
(2)
811
5
(3)
(3)
Enhertu
2,688
6
36
33
969
6
36
35
Zoladex
967
2
9
5
336
2
13
10
Truqap
641
1
30
29
210
1
9
9
Imjudo
263
1
4
4
103
1
23
25
Datroway
176
-
>4x
>4x
78
-
>3x
>3x
Etcamah
10
-
n/m
n/m
7
-
n/m
n/m
Other Oncology
313
1
(3)
(4)
109
1
2
3
Oncology PR
21,888
47
18
16
7,765
48
17
17
Farxiga
5,603
12
(12)
(15)
1,605
10
(25)
(25)
Crestor
1,018
2
8
5
332
2
9
6
Lokelma
638
1
23
23
219
1
16
17
Seloken
519
1
11
6
182
1
14
9
Brilinta
261
1
(61)
(62)
75
-
(48)
(50)
Wainua
189
-
33
33
68
-
16
17
roxadustat
78
-
(66)
(68)
21
-
(73)
(74)
Baxfendy
12
-
n/m
n/m
9
-
n/m
n/m
Other CVRM
298
1
(29)
(30)
92
1
(36)
(34)
Cardiovascular, Renal & Metabolism PR
8,616
18
(11)
(15)
2,603
16
(19)
(20)
Symbicort
2,084
4
(4)
(7)
666
4
(10)
(11)
Fasenra
1,655
4
14
13
602
4
13
14
Breztri
1,073
2
18
16
374
2
16
14
Tezspire
1,123
2
46
44
429
3
50
51
Saphnelo
615
1
27
27
235
1
31
32
Pulmicort
378
1
6
2
109
1
18
16
Airsupra
129
-
12
13
42
-
(7)
(4)
Other R&I
211
-
(9)
(11)
61
-
3
1
Respiratory & Immunology PR
7,268
16
12
10
2,518
16
11
11
Beyfortus
427
1
(10)
(10)
233
1
(1)
(2)
FluMist
172
-
30
29
146
1
20
20
Other ID
136
-
(38)
(41)
44
-
(24)
(25)
Infectious Disease PR
735
2
(11)
(12)
423
3
2
1
Ultomiris
4,016
9
16
16
1,432
9
17
19
Soliris
1,076
2
(25)
(26)
298
2
(35)
(35)
Strensiq
1,641
4
38
37
588
4
33
34
Koselugo
585
1
17
15
238
1
6
9
Other Rare Disease
226
-
28
25
77
-
20
24
Rare Disease PR
7,544
16
12
11
2,633
16
9
10
Other Medicines PR
717
1
(5)
(6)
231
1
(3)
(3)
Product Revenue
46,768
100
8
6
16,173
100
7
7
Alliance Revenue included above:
Enhertu
1,670
4
29
27
612
4
34
34
Tezspire
614
1
36
35
242
1
44
44
Beyfortus
279
1
11
11
156
1
11
10
Datroway
164
-
>4x
>4x
71
-
>2x
>2x
Other royalty revenue
76
-
8
8
25
-
8
4
Other Alliance Revenue
3
-
(16)
(16)
1
-
3
3
Alliance Revenue
2,806
6
33
32
1,107
7
36
36

Table 4: Collaboration Revenue
9M 2026
% Change
Q3 2026
% Change
$m
Actual
CER
$m
Actual
CER
Farxiga: sales milestones
80
(2)
(1)
36
>6x
>7x
Crestor: sales milestones
32
n/m
n/m
-
n/m
n/m
Others
1
(89)
(87)
-
n/m
n/m
Collaboration Revenue
113
22
23
36
>3x
>3x
Table 5: Total Revenue by Therapy Area
9M 2026
% Change
Q3 2026
% Change
$m
% Total
Actual
CER
$m
% Total
Actual
CER
Oncology
21,889
47
18
16
7,765
48
17
17
- Cardiovascular, Renal & Metabolism
8,728
19
(11)
(14)
2,639
16
(18)
(18)
- Respiratory & Immunology
7,268
16
12
10
2,518
16
11
11
- Infectious Disease
735
2
(11)
(12)
423
3
2
1
BioPharmaceuticals
16,731
36
(2)
(5)
5,580
34
(5)
(6)
Rare Disease
7,544
16
12
11
2,633
16
9
10
Other Medicines
717
2
(6)
(8)
231
1
(5)
(5)
Total Revenue
46,881
100
8
7
16,209
100
7
7
Table 6: Total Revenue by region
9M 2026
% Change
Q3 2026
% Change
$m
% Total
Actual
CER
$m
% Total
Actual
CER
US
19,789
42
7
7
6,899
43
5
5
- Emerging Markets ex. China
7,085
15
11
8
2,276
14
4
4
- China
5,430
12
3
(3)
1,920
12
9
3
Emerging Markets
12,515
27
7
3
4,196
26
6
4
Europe
10,528
22
15
10
3,706
23
11
12
Established RoW
4,049
9
4
7
1,408
9
4
11
Total Revenue
46,881
100
8
7
16,209
100
7
7
Table 7: Product Revenue by region
9M 2026
% Change
Q3 2026
% Change
$m
% Total
Actual
CER
$m
% Total
Actual
CER
US
19,788
42
7
7
6,899
43
5
5
- Emerging Markets ex. China
7,085
15
11
8
2,276
14
4
4
- China
5,430
12
3
(3)
1,920
12
9
3
Emerging Markets
12,515
27
7
3
4,196
26
6
4
Europe
10,528
23
15
10
3,706
23
11
12
Established RoW
3,937
8
3
7
1,372
8
3
9
Total Product Revenue
46,768
100
8
6
16,173
100
7
7
Total Revenue by Medicine
Oncology
Tagrisso
9M 2026$m
Total
Revenue
% Change
Actual CER
* Strong demand growth across indications and key regions, positioned as backbone across all stages of EGFRm NSCLC. Leading combination in 1L NSCLC (FLAURA2)
US
2,467
11
11
* Robust underlying demand
Emerging Markets
1,656
10
6
* More competitive environment in China in a slowing EGFRm TKI market
Europe
1,169
13
8
Established RoW
570
(3)
1
* Recent competitor entrant
Total
5,862
10
8
Imfinzi
9M 2026
$m
Total
Revenue
% Change
Actual CER
* Strong demand growth across all regions from existing indications and new launches
US
3,128
26
26
* Demand growth led by new GI and GU launches (MATTERHORN, NIAGARA)
Emerging Markets
627
35
33
* Strong growth in GI (HIMALAYA, TOPAZ) including new launches (MATTERHORN)
Europe
1,210
38
31
* Early momentum for new lung (ADRIATIC), GI (MATTERHORN) and GU (NIAGARA) launches
Established RoW
573
17
23
* Demand growth from new launches across GYN (DUO-E), GU (NIAGARA) and lung (ADRIATIC, AEGEAN)
Total
5,538
28
27
Calquence
9M 2026$m
Total
Revenue
% Change
Actual CER
* Sustained BTKi leadership in front-line CLL with launch momentum across finite use for 1L CLL (AMPLIFY) and 1L MCL (ECHO)
US
1,982
16
16
* Strong demand growth from ongoing leadership in front-line CLL BTKi market
Emerging Markets
214
31
25
Europe
690
21
16
* Rapid AMPLIFY adoption across key markets and further expansion in 1L MCL
Established RoW
123
6
6
Total
3,009
18
16
Lynparza
9M 2026$m
Total
Revenue
% Change
Actual CER
* Global leadership in mature first-generation PARPi market, volume growth offset by pricing in some markets
US
1,012
(4)
(4)
* Demand growth offset by gross to net adjustments
Emerging Markets
507
4
(1)
* Affected by generic competition in China and VBP implementation
Europe
710
6
1
* Stable volumes
Established RoW
192
-
3
Total
2,421
1
(2)
Enhertu
Combined sales of Enhertu, recorded by Daiichi Sankyo and AstraZeneca, amounted to $4,675m in 9M 2026 (9M 2025: $3,575m). US in-market sales, recorded by Daiichi Sankyo, amounted to $2,329m in 9M 2026 (9M 2025: $1,734m). For periods up to and including Q3 2025, AstraZeneca's mid-single-digit percentage royalty on Daiichi Sankyo's sales in Japan is recorded in Europe; from Q4 2025 this royalty is recorded in Established RoW.
9M 2026$m
Total
Revenue
% Change
Actual CER
* Standard-of-care in HER2-positive (DESTINY-Breast03) and HER2-low (DESTINY-Breast04) metastatic breast cancer, early uptake in other cancers
US
1,122
35
35
* Ongoing adoption in 1L HER2-positive breast cancer (DESTINY-Breast09) and early uptake following early breast cancer launches (DESTINY-Breast05, DESTINY-Breast11)
Emerging Markets
849
44
41
* Broader adoption and improved access across regions
Europe
596
22
15
* Further demand growth in chemotherapy naĂŻve HER2-low breast cancer
Established RoW
121
91
90
Total
2,688
36
33
Other Oncology medicines
9M 2026$m
Total
Revenue
% Change
Actual CER
Zoladex
968
9
5
* Growth across Emerging Markets, partly offset by divestment of rights in Japan in May 2026
Truqap
641
30
29
* Achieved peak share in US in second-line biomarker-altered metastatic breast cancer; Q3 2026 affected by US destocking following bottle to blister transition
Imjudo
263
4
4
* Continued GI (HIMALAYA) growth ex-US and China launch in Q3 2026, offset by lower demand in some markets
Datroway
176
>4x
>4x
* Continued uptake in breast cancer with early adoption in 1L TNBC (TROPION-Breast02), and EGFRm later-line lung cancer
* Combined global sales by AstraZeneca and Daiichi Sankyo: $413m (9M 2025: $115m)
Etcamah
10
n/m
n/m
* Initial uptake following US launch (SERENA-6)
Other Oncology
313
(3)
(4)
* Generic erosion across markets
Other Oncology includes $14m of Total Revenue from Orpathys, partnered with HUTCHMED and $3m of Total Revenue from Zegfrovy
BioPharmaceuticals - Cardiovascular, Renal & Metabolism
Farxiga
9M 2026$m
Total
Revenue
% Change
Actual CER
* Growth impacted by US LoE and China VBP
US
795
(36)
(36)
* Multiple generics launched in Q2 2026
Emerging Markets
2,200
(16)
(21)
* Affected by generic competition, VBP implementation in China in Q1 2026 and unfavourable tender timing in some Emerging Markets
Europe
2,385
11
6
* Demand growth partly offset by generic entry in the UK in Q3 2025
Established RoW
303
(27)
(25)
* Generic T2D entry in Japan in Q4 2025. Milestone receipts in Q1 and Q3 2026
Total
5,683
(12)
(15)
Other CVRM medicines
9M 2026$m
Total
Revenue
% Change
Actual CER
Crestor
1,050
11
8
* Growth driven by Emerging Markets
Lokelma
638
23
23
* Growth in all major regions
Seloken
519
11
6
* Growth driven by Emerging Markets
Brilinta
261
(61)
(62)
* Decline driven by generic entry in the US and Europe in Q2 2025
Wainua
189
33
33
* Demand growth in ATTR-PN and geographic expansion
roxadustat
78
(66)
(68)
* Affected by generic competition in China and VBP implementation in Q1 2026
Baxfendy
12
n/m
n/m
* US launch in hypertension in Q2 2026
Other CVRM
298
(29)
(30)
* Generic erosion
BioPharmaceuticals - Respiratory & Immunology
Symbicort
9M 2026$m
Total
Revenue
% Change
Actual CER
* Market leader in ICS/LABA class with increasing generic competition
US
772
(15)
(15)
* Demand for brand offset by price pressure; launch of additional generic in market
Emerging Markets
653
5
1
Europe
425
5
(1)
Established RoW
234
(5)
(7)
Total
2,084
(4)
(7)
Fasenra
9M 2026$m
Total
Revenue
% Change
Actual CER
* Continued severe eosinophilic asthma market share leadership in IL-5 class, further fuelled by accelerated EGPA and HES indication launches
US
949
7
7
* Strong demand with IL-5 class leadership
Emerging Markets
149
85
78
* Strong China uptake post Q1 2026 NRDL listing with growth in other key markets
Europe
389
11
5
* Increased leadership in severe eosinophilic asthma partially offset by pricing
Established RoW
168
26
30
* Strong growth supported by EGPA in Japan
Total
1,655
14
13
Breztri
9M 2026$m
Total
Revenue
% Change
Actual CER
* Fastest growing medicine within the expanding FDC triple class (ICS/LABA/LAMA)
US
479
4
4
* Share growth in COPD and asthma launch offset by gross-to-net adjustments
Emerging Markets
329
38
31
* Market share leadership within FDC triple class in China
Europe
183
34
28
* Sustained growth from market share gains
Established RoW
82
19
21
Total
1,073
18
16
Tezspire
Combined sales of Tezspire, recorded by Amgen and AstraZeneca, amounted to $1,876m in 9M 2026 (9M 2025: $1,321m).
9M 2026$m
Total
Revenue
% Change
Actual CER
* Sustained demand growth in severe asthma with launch momentum across multiple markets
US
614
36
35
* Continued strong demand growth in severe asthma and launch of CRSwNP
Emerging Markets
64
>2x
>2x
* Strong continued uptake
Europe
322
56
49
* Continued new-to-brand leadership across multiple markets and market growth
Established RoW
123
43
48
Total
1,123
46
44
Other R&I medicines
9M 2026$m
Total
Revenue
% Change
Actual CER
Saphnelo
615
27
27
* Strong demand growth fuelled by s.c. launches
Pulmicort
378
6
2
* Emerging Market growth offset by pressure in Europe and Established RoW
Airsupra
129
12
13
* US demand volume growth partially offset by pricing pressures
Other R&I
211
(9)
(11)
BioPharmaceuticals - Infectious Disease
Total Revenue for Beyfortus reflects the sum of Product Sales from AstraZeneca's sales of manufactured product to Sanofi, and Alliance Revenue from AstraZeneca's share of gross profits and royalties on sales in major markets outside the US.
9M 2026$m
Total
Revenue
% Change
Actual CER
Beyfortus
427
(10)
(10)
* Partner's adjustment of inventory levels
FluMist
172
30
29
Other ID
136
(38)
(41)
* Other includes Synagis, which declined due to competition from Beyfortus
Rare Disease
Ultomiris
Total Revenue for Ultomiris includes sales of Voydeya, which is approved as an add-on treatment to Ultomiris and Soliris for the ~20-30% of PNH patients who experience clinically significant EVH.
9M 2026$m
Total
Revenue
% Change
Actual CER
* Growth due to patient demand, both naĂŻve to C5 medicines and conversion from Soliris across all indications (gMG, NMOSD, aHUS and PNH)
US
2,190
12
12
* Demand growth across indications, including within the competitive gMG and PNH landscapes
Emerging Markets
306
73
73
* Expansion into new markets and growth in patient demand
Europe
915
19
14
* Demand growth following launches; competition in gMG and PNH
Established RoW
605
11
16
* Continued conversion and strong patient demand
Total
4,016
16
16
Soliris
9M 2026$m
Total
Revenue
% Change
Actual CER
* Decline driven by conversion of patients to Ultomiris across all indications
US
595
(30)
(30)
* Affected by biosimilar pressure
Emerging Markets
311
(5)
(7)
Europe
89
(44)
(47)
* Affected by biosimilar pressure in PNH and aHUS
Established RoW
81
(24)
(23)
Total
1,076
(25)
(26)
Strensiq
9M 2026$m
Total
Revenue
% Change
Actual CER
* Growth driven by continued HPP patient demand
US
1,332
40
40
Emerging Markets
111
81
67
* Continued launches in new markets
Europe
104
17
12
* Demand growth and improved access following new launches
Established RoW
94
11
17
Total
1,641
38
37
Other Rare Disease medicines
9M 2026$m
Total
Revenue
% Change
Actual CER
Koselugo
585
17
15
* Continued patient demand, strong uptake following launch of adult indication. Q3 2026 benefitted from tender order timing in Emerging Markets
Other Rare Disease
226
28
25
* Other Rare Disease medicines include Kanuma, and Beyonttra (JP only)
Other Medicines
9M 2026$m
Total
Revenue
% Change
Actual CER
Other Medicines
717
(6)
(8)
* Generic erosion
R&D progress
This section covers R&D events and milestones that occurred from 27 July 2026 up to and including 29 October 2026. A comprehensive view of AstraZeneca's pipeline of medicines in human trials can be found in the latest Clinical Trials Appendix, available on AstraZeneca's investor relations webpage. 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 since the prior results announcement: the IASLC 2026 World Conference on Lung Cancer (WCLC) and the European Society for Medical Oncology Congress 2026 (ESMO). Across the two meetings, more than 140 abstracts were presented featuring 27 approved and potential new medicines including 38 oral presentations.
Datroway
Approval
EU
TROPION-Breast02
July 2026
* As monotherapy for the 1st-line treatment of adult patients with unresectable or metastatic TNBC who are not candidates for PD-1/PD-L1 inhibitor therapy.
Approval
JP
TROPION-Breast02
September 2026
New disclosure
* 1st-line treatment of unresectable or metastatic TNBC not candidates for PD-1/PD-L1 inhibitor therapy.
Approval
CN
TROPION-Breast02
October 2026
New disclosure
* For patients with unresectable or metastatic TNBC not candidates for PD-1/PD-L1 inhibitor therapy.
Enhertu
Phase III readout and data presentation
WCLC
DESTINY-Lung04
August/September 2026
* Positive results from the DESTINY-Lung04 Phase III trial showed Enhertu reduced the risk of disease progression or death by 37% versus pembrolizumab plus chemotherapy (HR 0.63; 95% CI 0.50-0.79; p<0.0001) as 1st-line treatment of patients with unresectable, locally advanced or metastatic HER2-mutant non-squamous NSCLC. Median PFS was 14.3 months with Enhertu compared to 8.3 months for pembrolizumab plus chemotherapy.
Approval
CN
DESTINY-Breast09
August 2026
New disclosure
* In combination with pertuzumab for the 1st-line treatment of adult patients with unresectable or metastatic HER2-positive breast cancer.
Approval
EU
DESTINY-Breast09
September 2026
* In combination with pertuzumab for the 1st-line treatment of adult patients with unresectable or metastatic HER2-positive breast cancer.
Approval
JP
DESTINY-Breast09
September 2026
New disclosure
* In combination with pertuzumab for the 1st-line treatment of adult patients with unresectable or metastatic HER2-positive breast cancer.
Approval
CN
DESTINY-Breast05
October 2026
New disclosure
* Adjuvant treatment of adult patients with HER2-positive early breast cancer who have residual invasive disease after neoadjuvant taxane and trastuzumab-based treatment.
Approval
CN
DESTINY-PanTumor02, DESTINY-Lung01, DESTINY-CRC02 and DESTINY-PanTumor03
October 2026
New disclosure
* Unresectable or metastatic solid tumours with HER2 expression (IHC 3+) who have received prior treatment or have no satisfactory alternative treatment options.
Approval
EU
DESTINY-Breast05
October 2026
* As monotherapy for the adjuvant treatment of adult patients with resected HER2-positive breast cancer who have residual invasive disease after neoadjuvant taxane-based and HER2-targeted treatment.
Etcamah (camizestrant)
Approval
US
SERENA-6
September 2026
* In combination with a CDK4/6 inhibitor (abemaciclib, palbociclib or ribociclib) for HR-positive, HER2-negative, locally advanced or metastatic breast cancer upon detection of ESR1 mutation during aromatase inhibitor and CDK4/6 inhibitor therapy, based on an FDA-authorised test.
Phase III readout
SERENA-4
September 2026
* The SERENA-4 Phase III trial of Etcamah in combination with palbociclib did not meet the primary endpoint of PFS, however a numerical improvement was observed in the upfront 1st-line treatment of patients with ER-positive, HER2-negative advanced breast cancer who have not received any systemic treatment for advanced disease. The trial evaluated the Etcamah combination versus treatment with an aromatase inhibitor (anastrozole) in combination with palbociclib.
Imfinzi
Approval
JP
POTOMAC
August 2026
New disclosure
* In combination with Bacillus Calmette-Guérin for the treatment of adult patients with BCG-naïve, high-risk non-muscle-invasive bladder cancer.
Phase III readout and data presentation
ESMO
DeLLphi-305
September/October 2026
* Positive results from the DeLLphi-305 Phase III trial showed Imfinzi plus tarlatamab reduced the risk of death by 58% versus Imfinzi alone (HR 0.42; 95% CI 0.32-0.54; p<0.001) as 1st-line maintenance treatment for patients with ES-SCLC who had not progressed following standard induction treatment with Imfinzi plus platinum-etoposide chemotherapy. Median OS was 21.1 months with Imfinzi plus tarlatamab compared to 12.7 months for Imfinzi alone.
CHMP opinion
EU
Label update
September 2026
New disclosure
* Recommended update to the Imfinzi label reducing the infusion time from 60 to 30 minutes.
Priority Review
US
VOLGA
September 2026
* Perioperative treatment with Imfinzi in combination with neoadjuvant enfortumab vedotin for patients with MIBC who are ineligible for or have declined cisplatin-based chemotherapy.
Data presentation
ESMO
VOLGA
October 2026
* Positive results from a planned interim analysis of the VOLGA Phase III trial showed perioperative Imfinzi plus neoadjuvant enfortumab vedotin reduced the risk of disease progression, recurrence, not undergoing surgery or death by 49% versus radical cystectomy with or without approved adjuvant treatment (EFS HR 0.51; 95% CI 0.38-0.67; p<0.0001) in patients with MIBC who were ineligible for or had refused cisplatin-based chemotherapy. Median EFS was not reached with the Imfinzi regimen compared to 12.1 months for the comparator arm. For the key secondary endpoint of OS, the Imfinzi regimen reduced the risk of death by 42% (HR 0.58; 95% CI 0.40-0.83; p=0.0027).
Lynparza
Phase III readout
MONO-OLA1
Q3 2026
New disclosure
* Positive high-level results from the MONO-OLA1 Phase III trial showed that both primary endpoints were met, with Lynparza demonstrating statistically significant improvements in PFS versus placebo in both the BRCAwt HRD-positive and BRCAwt populations when used as 1st-line maintenance treatment for patients with newly diagnosed high grade serous or endometrioid ovarian cancer. The safety profile of Lynparza observed in MONO-OLA1 was generally consistent with its known profile. AstraZeneca does not intend to progress with regulatory filings in US, Europe, China or Japan given the increasing trend towards PARP inhibitors being approved and used primarily in the BRCAm and HRD-positive settings in 1L ovarian cancer, a population where Lynparza +/- bevacizumab, is already the established standard of care.
Tagrisso
Phase III readout and data presentation
ESMO
SAFFRON
August/October 2026
* Positive results from the SAFFRON Phase III trial showed Tagrisso plus Orpathys reduced the risk of disease progression or death by 45% versus doublet platinum-based chemotherapy (HR 0.55; 95% CI 0.42-0.72; p<0.001) in patients with EGFRm locally advanced or metastatic NSCLC with high levels of MET overexpression or amplification who had progressed on prior treatment with Tagrisso. Median PFS was 7.6 months with Tagrisso plus Orpathys compared to 5.4 months for chemotherapy. For the key secondary endpoint of OS, Tagrisso plus Orpathys reduced the risk of death by 32% (HR 0.68; 95% CI 0.50-0.91; p=0.010), extending median OS by 4.9 months (17.8 versus 12.9 months).
Phase III readout and data presentation
ESMO
SANOVO
September/October 2026
* Positive results from the SANOVO China-only Phase III trial showed Tagrisso plus Orpathys reduced the risk of disease progression or death by 44% versus Tagrisso alone in the intention-to-treat population (HR 0.56; 95% CI 0.43-0.74; p<0.0001) and by 55% in the high MET (IHC 3+) population (HR 0.45; 95% CI 0.31-0.66; p<0.0001) in treatment-naĂŻve patients with EGFRm locally advanced or metastatic NSCLC and MET overexpression. Median PFS was 24.9 months with Tagrisso plus Orpathys compared to 13.8 months for Tagrisso alone in the intention-to-treat population. For the secondary endpoint of OS in the intention-to-treat population, Tagrisso plus Orpathys showed a very encouraging clinical benefit versus Tagrisso alone (HR 0.48; 95% CI 0.33-0.68), with median OS of 44.5 months compared to 34.9 months.
Data presentation
WCLC
ADAURA
September 2026
* Updated exploratory results from the ADAURA Phase III trial showed Tagrisso demonstrated a sustained, clinically meaningful OS benefit at eight years compared to placebo in the adjuvant treatment of patients with early-stage (IB, II and IIIA) EGFRm NSCLC after complete tumour resection, reducing the risk of death by 47% in the primary population (Stage II-IIIA) (HR 0.53; 95% CI 0.38-0.75) and by 48% in the overall trial population (HR 0.52; 95% CI 0.39-0.71).
Truqap
Regulatory update
EU
CAPItello-281
October 2026
New disclosure
* Withdrawal of the Type II variation application for Truqap in combination with abiraterone for the treatment of PTEN-deficient metastatic hormone-sensitive prostate cancer, based on the CAPItello-281 Phase III trial.
sonesitatug vedotin (sone-ve)
Data presentation
ESMO
CLARITY-Gastric01
October 2026
* Positive results from a planned interim analysis of the CLARITY-Gastric01 Phase III trial showed sonesitatug vedotin reduced the risk of death by 53% versus investigator's choice of therapy (HR 0.47; 95% CI 0.36-0.62; p<0.001) in patients with 3rd- and later-line CLDN18.2-positive advanced gastric, GEJ or oesophageal adenocarcinoma. Median OS was 10.0 months with sonesitatug vedotin compared to 5.0 months for investigator's choice of therapy. In the overall 2nd- and later-line trial population, sonesitatug vedotin reduced the risk of death by 42% (HR 0.58; 95% CI 0.47-0.73; p<0.001); the other dual primary endpoint of PFS in this population did not reach statistical significance.
volrustomig
Phase III trial update
eVOLVE-Lung02
August 2026
* The eVOLVE-Lung02 Phase III trial of volrustomig in combination with chemotherapy versus pembrolizumab and chemotherapy as 1st-line treatment for patients with metastatic NSCLC whose tumours express PD-L1 <50% has been discontinued, following an IDMC recommendation that the combination was unlikely to meet either of the dual primary endpoints of PFS or OS in the primary analysis population of patients with PD-L1 negative tumours (<1%). The other Phase III volrustomig trials continue as planned.
BioPharmaceuticals - Cardiovascular, Renal & Metabolism
Wainua
Data presentationESC
CARDIO-TTRansform
August 2026
* Wainua in patients with ATTR-CM did not meet the primary efficacy endpoint of the composite outcome of CV mortality and recurrent CV clinical events up to 140 weeks compared with placebo (rate ratio (RR) 0.89, 95% CI, 0.73-1.09, P=0.277). In a prespecified analysis, Wainua reduced the risk of CV death and recurrent CV events by 29% vs. placebo in patients not receiving a stabiliser at baseline (RR 0.71, 95% CI, 0.54-0.93).
BioPharmaceuticals - Respiratory & Immunology
Breztri (Trixeo)
Approval
EU (Trixeo)
KALOS / LOGOS
September 2026
* Maintenance treatment of asthma in patients 12 years of age and older who are not adequately controlled by a combination of a medium dose inhaled corticosteroid and long-acting bâ‚‚-agonist.
Approval
JP (Breztri)
KALOS / LOGOS
September 2026
New disclosure
* For bronchial asthma (when a combination of an inhaled corticosteroid, a long-acting inhaled anticholinergic agent and a long-acting inhaled bâ‚‚-agonist is necessary). The intended use population includes both adults and children aged 12 years or above.
Approval
US (Breztri)
NGP programme
October 2026
New disclosure
* Breztri, already licensed for the treatment of COPD in adults and asthma in patients 12 years of age and older, has received approval in the US for the updated formulation containing AstraZeneca's next-generation propellant with near-zero global warming potential.
Tezspire
Phase III readout and data presentation
UEGW
CROSSINGSeptember / October 2026
* Positive results from the CROSSING Phase III trial demonstrated that treatment with Tezspire achieved histologic remission for 64.8% (210mg dose) and 68.9% (420mg dose) of patients at week 24, compared to 3.5% of patients on placebo (p<0.001). Tezspire also reduced the frequency and severity of dysphagia symptoms by 18.8 points (210mg dose; p=0.049) and 22.0 points (420mg dose, p<0.001) from baseline vs. 14.7 on placebo, as measured by the Dysphagia Symptom Questionnaire (DSQ) score, a patient-reported outcome measure. Efficacy was sustained in both doses through week 52, as measured in key secondary endpoints.
tozorakimab
Data presentation
ERS
OBERON / TITANIA
September 2026
* Positive results from the OBERON and TITANIA Phase III trials demonstrated that tozorakimab, administered once every four weeks, demonstrated a reduction in moderate and severe COPD exacerbations in the primary population of former smokers by 29% (OBERON) and 34% (TITANIA), and in the overall population of current and former smokers by 30% (OBERON) and 29% (TITANIA) compared with placebo while on inhaled standard of care. In addition, based on a pooled analysis of OBERON and TITANIA, patients on tozorakimab with a baseline blood eosinophil count of less than 150 cells/uL achieved a 23% reduction in moderate and severe exacerbations; patients at or above 150 achieved a 34% reduction; and patients at or above 300 achieved a 43% reduction.
Priority Review
US
OBERON / TITANIA / PROSPERO
August 2026
* Add-on maintenance treatment for adult patients with COPD.
Data presentationCHEST
PROSPEROOctober 2026
* In the PROSPERO long-term extension trial of OBERON and TITANIA, tozorakimab demonstrated a numerical, but not statistically significant, reduction in severe exacerbations (a different primary endpoint than OBERON and TITANIA) in the primary endpoint population of former smokers (21%; 0.26 vs 0.33 annualised rates; RR 0.79 (95% CI 0.61,1.01) p=0.0587). There was a nominally significant reduction in severe exacerbations in the overall population of former and current smokers (27%; 0.26 vs 0.36 annualised rates; RR 0.73 (95% CI 0.58, 0.91) p=0.0046). Consistent with the primary endpoint in the OBERON and TITANIA trials, PROSPERO, in a secondary endpoint, showed continued tozorakimab treatment maintained the reduction in moderate and severe COPD exacerbations in former smokers and the overall population at 104 weeks. The safety and tolerability profile of tozorakimab through 104 weeks in PROSPERO was consistent with the profile observed in the OBERON and TITANIA trials.
Rare Disease
Amlypave (anselamimab)
Approval
JP
CARES
September 2026
* For systemic light chain (AL) amyloidosis (only in patients with predominantly kappa immunoglobulin light chain).
efzimfotase alfa
Data presentation
ASBMR
HICKORY
October 2026
* In the overall population, at week 25, efzimfotase alfa achieved a least squares (LS) mean difference of 17.05 metres (p=0.1675) change from baseline in the primary endpoint of 6MWT, compared to placebo. The lack of statistical significance was largely due to better-than-expected results observed in the adult-onset HPP placebo group.
* In a combination of prespecified subgroups of adolescents and adults with paediatric-onset HPP, efzimfotase alfa demonstrated nominally significant and clinically meaningful benefits in the primary endpoint of 6MWT, achieving an LS mean difference of 35.6 metres (nominal p=0.0386) vs placebo at week 25, as well as the key secondary endpoints of 30s-STS (LS mean difference vs placebo: 1.3; nominal p=0.0384) and BPI-SF Pain Severity (LS mean difference vs placebo: -1.0; nominal p=0.0260).
Priority Review
US
HICKORY/MULBERRY/CHESTNUT
September 2026
Patients with hypophosphatasia aged ≥2 years.
Klygefa (gefurulimab)
Approval
JP
PREVAIL
September 2026
New disclosure
* For generalised myasthenia gravis (only for patients who are not adequately responsive to steroids or nonsteroidal immunosuppressants).
CHMP opinion
EU
PREVAIL
September 2026
* Recommended as an add-on to standard therapy for the treatment of generalised myasthenia gravis (gMG) in adults who are anti-acetylcholine receptor (AChR) antibody-positive.
Ultomiris
Approval
CN
ALXN1210-PNH-323
August 2026
New disclosure
* For the treatment of adult and paediatric patients one month of age and older with paroxysmal nocturnal haemoglobinuria.
Phase III trial update
AWAKE
October 2026
New disclosure
* AWAKE Phase III clinical trial evaluating Ultomiris in adult kidney transplant recipients who are at risk of delayed graft function has been discontinued, following an IDMC recommendation that Ultomiris was unlikely to meet the trial's primary endpoint of time to freedom from dialysis through 90 days post-transplant versus placebo. The safety profile observed in this trial was consistent with the known profile of Ultomiris, with no new safety concerns identified.
Approval
US
I CAN
October 2026
* For the reduction of proteinuria in adults with primary immunoglobulin A nephropathy who are at risk for disease progression.
Priority Review
US
ALXN1210-TMA-314
ALX-TMA-502
September 2026
New disclosure
* Paediatric patients with haematopoietic stem cell transplant-associated thrombotic microangiopathy.
Sustainability
Sustainability highlights
AstraZeneca ranked fifth on TIME Magazine's 2026 World's Best Companies list - its highest position to date and the top ranking among pharmaceutical companies - based on sustainability transparency, revenue growth, and employee satisfaction.
At Climate Week NYC, AstraZeneca's delegation, led by Pam Cheng, EVP Global Operations, IT and Chief Sustainability Officer, engaged with more than 60 stakeholders, and advancing dialogues on sustainable, equitable and resilient healthcare. The Company announced the next phase of its flagship Young Health Programme in partnership with UNICEF, bringing its total investment from 2010-2030 to more than $100 million. The programme, which supports young people in underserved communities, aims to prevent non-communicable diseases by activating young people to advance health equity and address the health impacts of climate change in more than 60 countries. Pam Cheng gave a live broadcast interview on the Company's sustainability action at the New York Stock Exchange.
Climate and nature
AstraZeneca has successfully completed the transition of Breztri/Trixeo Aerosphere to its next-generation propellant (NGP) with near-zero global warming potential in 30 countries, following approvals in the UK, EU and Australia. In the US, Breztri received regulatory approval as the first inhaled respiratory medicine to use NGP. Regulatory filings have also been submitted in China and Japan.
The Company officially launched CARESA (CARe pathways Environmental Sustainability Assessment) a free tool that helps healthcare professionals model the potential environmental impact of patient care pathways and explore choices that could improve health outcomes for patients and the planet.
The European Network on Climate & Health Education, supported by AstraZeneca through the Sustainable Markets Initiative Health Systems Task Force which Pascal Soriot chairs, has helped 61 medical schools integrate sustainability into medical training, engaging over 3,000 faculty members and reaching 6,000 medical students to date.
AstraZeneca received the My Green Lab and International Institute for Sustainable Laboratories (I2SL) 2026 Freezer Challenge Award for the Biotech and Pharmaceutical sector for the third time. The Freezer Challenge is a global initiative that promotes more sustainable laboratory operations through improved freezer and cold storage management, helping reduce energy use and improve efficiency. In addition, in the UK, AstraZeneca maintained the highest achievable rating, Level 4, in the NHS Evergreen Sustainable Supplier Assessment for 2026-2027.
Health equity
A new report, Addressing Inequalities in COPD and Lung Cancer: A Framework for Action, was launched to help policymakers and health system leaders address inequalities in care. The report was informed by a literature review and international expert input, including from Brazil, Italy, Saudi Arabia, Spain and Vietnam, and the London School of Economics (LSE Health).
In the US, AstraZeneca held community engagement events in Baltimore and Houston to increase awareness of lung health and improve understanding of clinical research.
Through Cancer Care Africa (CCA), AstraZeneca advanced patient support, evidence generation and clinical capacity across several African countries. This includes digitalising the 'Sanady' patient support programme in Morocco; generating evidence in Egypt on the potential of AI-supported triage; publishing national lung cancer registry data in Algeria; and strengthening respiratory care capabilities in Kenya through training in pleural procedures, bronchoscopy and endobronchial ultrasound.
Healthy Heart Africa (HHA) partnered with Kenya's Ministry of Health to launch the country's first National CKD Guidelines and the second phase of the National CKD Registry. Since May 2025, HHA has screened over 11,000 high-risk individuals across Kenya for CKD. Uganda's Ministry of Health launched HHA-supported CKD Guidelines.
Health systems resilience
AstraZeneca continued to advance its work to strengthen health systems through the Partnership for Health System Sustainability and Resilience (PHSSR), which has now collaborated with 36 countries.
Policy roadmaps on early action on NCDs were launched in seven countries, convening government representatives, policymakers and patient groups to help unlock system-level changes, including to advance and accelerate screening programs, early detection capability and sustainable funding for innovative medicines. In Q3, launches in Spain and Greece convened government representatives, policymakers and patient groups to unlock system-level change based on the roadmap's recommendations. Spain's State Secretary for Health spoke at the roadmap launch at the Congress of Deputies. In France, PHSSR brought together more than 50 participants to discuss health system sustainability and resilience, including the former French Minister for Solidarity and Health.
PHSSR also engaged stakeholders in Mexico on research recommendations, and Germany's Monitor Versorgungsforschung, a peer-reviewed healthcare research journal, published an article examining the PHSSR Synthesis Report and its comparison of eight advanced health systems.
Operating and financial review
Reporting currency
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.
Reporting period
The performance shown in this announcement covers the nine-month period to 30 September 2026 ('9M 2026') compared to the nine-month period to 30 September 2025 ('9M 2025'), and the three-month period to 30 September 2026 ('the quarter' or 'Q3 2026') compared to the three-month period to 30 September 2025 ('Q3 2025'), unless stated otherwise.
Non-GAAP financial measures
Core financial measures, EBITDA, Net debt, Core Tax rate 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 better understand 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.
Non-GAAP financial measures (cont.)
Core financial measures are adjusted to exclude certain significant items:
-
Charges and provisions related to our global restructuring programmes, which includes charges that relate to the impact of restructuring programmes on our capitalised manufacturing assets and IT assets
-
Amortisation and impairment of intangible assets, including impairment reversals but excluding any charges relating to IT assets
-
Other specified items, principally comprising acquisition-related costs and credits, which include the imputed finance charges and fair value movements relating to contingent consideration on business combinations, imputed finance charges and remeasurement adjustments on certain other payables arising from intangible asset acquisitions, remeasurement adjustments relating to certain other payables, debt items assumed from the Alexion acquisition and legal settlements
-
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 53 of the Annual Report and Form 20-F Information 2025.
Reference should be made to the Reconciliation of Reported to Core financial measures table included in the Financial Performance section in this announcement.
Definitions
Gross Margin is defined as Gross Profit as a percentage of Total Revenue.
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.
Operating Margin is defined as Operating profit as a percentage of Total Revenue.
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 Interim 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.
Financial performance
Table 8: Reported Profit and Loss
9M 2026
9M 2025
% Change
Q3 2026
Q3 2025
% Change
$m
$m
Actual
CER
$m
$m
Actual
CER
- Product Sales
43,962
41,035
7
5
15,066
14,365
5
5
- Alliance Revenue
2,806
2,108
33
32
1,107
815
36
36
Product Revenue
46,768
43,143
8
6
16,173
15,180
7
7
Collaboration Revenue
113
93
22
23
36
11
>3x
>3x
Total Revenue
46,881
43,236
8
7
16,209
15,191
7
7
Cost of sales
(8,147)
(7,515)
8
3
(2,946)
(2,801)
5
2
Gross profit
38,734
35,721
8
7
13,263
12,390
7
8
Distribution expense
(437)
(426)
3
(1)
(151)
(148)
3
2
R&D expense
(11,439)
(10,370)
10
9
(3,894)
(3,663)
6
7
SG&A expense
(15,679)
(14,441)
9
7
(5,108)
(5,085)
-
-
Other operating income & expense
618
281
>2x
>2x
277
89
>3x
>3x
Operating profit
11,797
10,765
10
10
4,387
3,583
22
26
Net finance expense
(1,085)
(985)
10
9
(410)
(349)
17
22
Joint ventures and associates
(41)
(7)
>5x
>5x
(19)
10
n/m
n/m
Profit before tax
10,671
9,773
9
10
3,958
3,244
22
25
Taxation
(1,966)
(1,869)
5
6
(842)
(709)
19
22
Tax rate
18%
19%
21%
22%
Profit after tax
8,705
7,904
10
11
3,116
2,535
23
26
Earnings per share
$5.62
$5.10
10
11
$2.02
$1.64
23
26
Table 9: Reconciliation of Reported Profit before tax to EBITDA
9M 2026
9M 2025
% Change
Q3 2026
Q3 2025
% Change
$m
$m
Actual
CER
$m
$m
Actual
CER
Reported Profit before tax
10,671
9,773
9
10
3,958
3,244
22
25
Net finance expense
1,085
985
10
9
410
349
17
22
Joint ventures and associates
41
7
>5x
>5x
19
(10)
n/m
n/m
Depreciation, amortisation and impairment
4,900
4,222
16
15
1,605
1,549
4
4
EBITDA
16,697
14,987
11
11
5,992
5,132
17
19
Table 10: Reconciliation of Reported to Core financial measures: 9M 2026
For the nine months ended 30 September
Reported
Restructuring
Intangible Asset Amortisation & Impairments
Other
Core
% Change
$m
$m
$m
$m
$m
Actual
CER
Gross profit
38,734
13
19
3
38,769
9
7
- Gross Margin
83%
83%
-
+1pp
Distribution expense
(437)
1
-
-
(436)
2
(1)
R&D expense
(11,439)
157
511
3
(10,768)
7
5
- R&D % of Total Revenue
24%
23%
-
-
SG&A expense
(15,679)
258
3,194
409
(11,818)
7
4
- SG&A % of Total Revenue
33%
25%
-
+1pp
Total operating expense
(27,555)
416
3,705
412
(23,022)
7
5
Other operating income & expense
618
(1)
-
1
618
>2x
>2x
Operating profit
11,797
428
3,724
416
16,365
14
14
- Operating Margin
25%
35%
+2pp
+2pp
Net finance expense
(1,085)
-
-
93
(992)
21
20
Taxation
(1,966)
(103)
(738)
(122)
(2,929)
11
12
EPS
$5.62
$0.21
$1.93
$0.24
$8.00
14
14
Table 11: Reconciliation of Reported to Core financial measures: Q3 2026
For the quarter ended 30 September
Reported
Restructuring
Intangible Asset Amortisation & Impairments
Other
Core
% Change
$m
$m
$m
$m
$m
Actual
CER
Gross profit
13,263
16
3
-
13,282
7
8
- Gross Margin
82%
82%
-
+1pp
Distribution expense
(151)
1
-
-
(150)
2
1
R&D expense
(3,894)
100
147
2
(3,645)
3
3
- R&D % of Total Revenue
24%
22%
+1pp
+1pp
SG&A expense
(5,108)
152
1,038
9
(3,909)
2
2
- SG&A % of Total Revenue
32%
24%
+1pp
+1pp
Total operating expense
(9,153)
253
1,185
11
(7,704)
2
2
Other operating income & expense
277
(1)
-
1
277
>2x
>2x
Operating profit
4,387
268
1,188
12
5,855
17
20
- Operating Margin
27%
36%
+3pp
+4pp
Net finance expense
(410)
-
-
39
(371)
22
27
Taxation
(842)
(63)
(224)
(11)
(1,140)
14
16
EPS
$2.02
$0.13
$0.62
$0.02
$2.79
17
19
Profit and Loss drivers
Gross profit
The movement in Gross Margin (Reported and Core) in 9M 2026 was a result of:
-
Positive effects from geographic mix
-
The changing mix of Product Sales with profit sharing arrangements (Lynparza, Enhertu, Datroway, Tezspire, plus Koselugo in the prior year period) reduces Gross Margin because AstraZeneca records Product Sales in certain markets and pays away a share of the gross profits to its collaboration partners. The profit share paid to partners is recorded in AstraZeneca's Cost of sales line
-
Pricing adjustments to medicines that have reached the end of their exclusivity periods, and implementation of the US government agreement announced in 2025
Variations in Gross Margin performance between periods can continue to be expected due to product seasonality, foreign exchange fluctuations, and other effects.
R&D expense
The increase in R&D expense (Reported and Core) in the period was driven by:
-
Positive data readouts for high-value pipeline opportunities that have ungated late-stage trials
-
Investment in platforms, new technology and capabilities to enhance R&D capabilities
-
Addition of R&D projects following completion of previously announced business development activity
-
The change in Reported R&D expense also reflects impairment charges of $483m recorded against intangible assets in 9M 2026
SG&A expense
The increase in SG&A expense (Reported and Core) in the period was driven primarily by ongoing and future launches and to support continued growth in existing brands.
Other operating income and expense
The increase in Other operating income and expense (Reported and Core) was driven by increased royalty income and disposals of financial interests in mature medicines such as Zoryve.
Net finance expense
Core Net finance expense increased 21% (20% at CER) in 9M 2026, principally due to higher interest expense on short-term borrowings, lower interest income on short-term deposits and higher discount unwind on lease liabilities, also due to the prior year benefitting from adjustments relating to settlements with tax authorities.
Taxation
The effective Reported and Core tax rates in 9M 2026 were 18% and 19% respectively (9M 2025: both 19%). The cash tax paid in 9M 2026 was $2,634m (9M 2025: $2,193m), representing 25% of Reported Profit before tax (9M 2025: 22%).
Cash Flow
Table 12: Cash Flow summary: 9M 2026
For the nine months ended 30 September
9M 2026
$m
9M 2025
$m
Change$m
Reported Operating profit
11,797
10,765
1,032
Depreciation, amortisation and impairment
4,900
4,222
678
Movement in working capital and short-term provisions
(1,730)
64
(1,794)
Gains on disposal of intangible assets
(156)
(118)
(38)
Fair value movements on contingent consideration arising from business combinations
(15)
(29)
14
Non-cash and other movements
(125)
591
(716)
Interest paid
(1,147)
(1,069)
(78)
Taxation paid
(2,634)
(2,193)
(441)
Net cash inflow from operating activities
10,890
12,233
(1,343)
Net cash outflow from investing activities
(6,589)
(5,362)
(1,227)
Net cash outflow from financing activities
(2,066)
(4,262)
2,196
Net increase in cash and cash equivalents in the period
2,235
2,609
(374)
Net cash flow
The decrease in Net cash inflow from operating activities of $1,343m was primarily driven by Movement in working capital and short-term provisions including the impact of Farxiga loss of exclusivity in the US, higher taxation paid and foreign exchange fluctuations, offset by increased Operating profit.
The increase in Net cash outflow from investing activities of $1,227m was primarily driven by increased Purchase of intangible assets, including an upfront payment of $1,104m to CSPC Pharmaceuticals during Q2 2026.
The decrease in Net cash outflow from financing activities of $2,196m was primarily driven by the issue of new long-term loans of $4,972m, partially offset by the repayment of long-term loans of $2,456m in 9M 2026. There were no significant issuances or repayments of long-term loans in 9M 2025.
Capital expenditure
Capital expenditure on Property, plant and equipment and software-related intangible assets amounted to $2,284m in 9M 2026 (9M 2025: $2,091m). The increase of capital expenditure in 9M 2026 was driven by investment in several major manufacturing projects and continued investment in technology upgrades.
Net debt
Net debt increased by $2,459m in the nine months to 30 September 2026 to $25,833m. 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 and further details on Net debt are disclosed in Note 3.
Net debt
Table 13: Net debt summary
At 30 Sep 2026
$m
At 31 Dec 2025
$m
At 30 Sep 2025
$m
Cash and cash equivalents
7,936
5,711
8,143
Other investments
230
30
39
Cash and investments
8,166
5,741
8,182
Overdrafts and short-term borrowings
(473)
(644)
(622)
Commercial paper
(1,619)
-
(1,091)
Lease liabilities
(2,777)
(1,803)
(1,758)
Current instalments of loans
(2,857)
(2,460)
(4,461)
Non-current instalments of loans
(26,465)
(24,715)
(24,700)
Interest-bearing loans and borrowings (Gross debt)
(34,191)
(29,622)
(32,632)
Net derivatives
192
507
485
Net debt
(25,833)
(23,374)
(23,965)
Summarised financial information for guarantee of securities of subsidiaries
AstraZeneca Finance LLC ("AstraZeneca Finance") is the issuer of 4.800% Notes due 2027, 4.875% Notes due 2028, 1.750% Notes due 2028, 4.850% Notes due 2029, 4.900% Notes due 2030, 4.900% Notes due 2031, 2.250% Notes due 2031, 4.000% Notes due 2031, 4.875% Notes due 2033, 4.300% Notes due 2033, 5.000% Notes due 2034 and 4.600% Notes due 2036 (the "AstraZeneca Finance USD Notes"). Each series of AstraZeneca Finance USD Notes has been fully and unconditionally guaranteed by AstraZeneca PLC. AstraZeneca Finance is 100% owned by AstraZeneca PLC and each of the guarantees issued by AstraZeneca PLC is full and unconditional and joint and several.
The AstraZeneca Finance USD 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 USD 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 USD Notes are structurally subordinated to indebtedness and other liabilities of the subsidiaries of AstraZeneca PLC, none of which guarantee the AstraZeneca Finance USD 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 as filed with the SEC and information contained herein for further financial information regarding AstraZeneca PLC and its consolidated subsidiaries. For further details, terms and conditions of the AstraZeneca Finance USD Notes please refer to AstraZeneca PLC's reports on Form 6-K furnished to the SEC on 26 February 2026, 22 February 2024, 3 March 2023 and 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.
Obligor group summarised statements
Table 14: Obligor group summarised Statement of comprehensive income: 9M 2026
For the nine months ended 30 September
2026
$m
2025
$m
Total Revenue
-
-
Gross profit
-
-
Operating loss
(5)
-
Loss for the period
(832)
(957)
Transactions with subsidiaries that are not issuers or guarantors
6,740
6,509
Table 15: Obligor group summarised Statement of financial position
At 30 Sep 2026
$m
At 30 Sep 2025
$m
Current assets
129
13
Non-current assets
11
141
Current liabilities
(4,704)
(5,976)
Non-current liabilities
(26,568)
(24,704)
Amounts due from subsidiaries that are not issuers or guarantors
25,450
21,519
Amounts due to subsidiaries that are not issuers or guarantors
-
-
Capital allocation
The Group's capital allocation priorities include: investing in the business and pipeline; maintaining a strong, investment-grade credit rating; pursuing 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.
In FY 2026, the Company intends to increase the annual dividend declared to $3.30 per share.
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.
In FY 2025, capital expenditure on Property, plant and equipment and Software-related intangible assets amounted to $3,270m. In FY 2026 the Group expects to increase expenditure on Property, plant and equipment and Software-related intangible assets by a low-teens percentage, driven by manufacturing expansion projects and investments in systems and technology.
Foreign exchange
The Company's transactional currency exposures on working capital balances, which typically extend for up to three months, are hedged where practicable using forward foreign exchange contracts against the individual companies' reporting currency.
Foreign exchange gains and losses on forward contracts transacted for transactional hedging are taken to profit or to Other comprehensive income if the contract is in a designated cash flow hedge.
In addition, the Company's external dividend payments paid in pound sterling and Swedish krona, are fully hedged from the time of their announcement to the payment date.
Table 16: Currency sensitivities
Currency
Primary Relevance
Exchange rate vs USD (average rate in period)
Annual impact of 5% strengthening vs USD1 ($m)
FY 20252
YTD 20263
Change
(%)
Sep 20264
Change
(%)
Total Revenue
Core Operating Profit
EUR
Total Revenue
0.88
0.86
3
0.87
2
499
234
CNY
Total Revenue
7.19
6.82
5
6.71
7
329
178
JPY
Total Revenue
149.64
158.51
(6)
156.40
(5)
179
120
GBP
Operating expense
0.76
0.74
2
0.75
2
50
(180)
SEK
Operating expense
9.81
9.38
4
9.75
1
9
(71)
Other
615
339
1. Assumes the average exchange rate vs USD in FY 2026 is 5% higher than the average rate in FY 2025. The impact data are estimates, based on best prevailing assumptions around currency profiles.
2. Based on average daily spot rates 1 January 2025 to 31 December 2025.
3. Based on average daily spot rates 1 January 2026 to 30 September 2026.
4. Based on average daily spot rates 1 September 2026 to 30 September 2026.
Interim financial statements
Table 17: Condensed consolidated statement of comprehensive income: 9M 2026
For the nine months ended 30 September
2026
$m
2025
$m
- Product Sales
43,962
41,035
- Alliance Revenue
2,806
2,108
Product Revenue
46,768
43,143
Collaboration Revenue
113
93
Total Revenue
46,881
43,236
Cost of sales
(8,147)
(7,515)
Gross profit
38,734
35,721
Distribution expense
(437)
(426)
Research and development expense
(11,439)
(10,370)
Selling, general and administrative expense
(15,679)
(14,441)
Other operating income and expense
618
281
Operating profit
11,797
10,765
Finance income
217
225
Finance expense
(1,302)
(1,210)
Share of after tax losses in associates and joint ventures
(41)
(7)
Profit before tax
10,671
9,773
Taxation
(1,966)
(1,869)
Profit for the period
8,705
7,904
Other comprehensive income
Items that will not be reclassified to profit and loss:
Remeasurement of the defined benefit pension liability
268
116
Net gains/(losses) on equity investments measured at fair value through Other comprehensive income
529
(21)
Tax expense on items that will not be reclassified to profit or loss
(77)
(13)
720
82
Items that may be reclassified subsequently to profit and loss:
Foreign exchange arising on consolidation
(862)
2,266
Foreign exchange arising on designated liabilities in net investment hedges
47
15
Fair value movements on cash flow hedges
(12)
256
Fair value movements on cash flow hedges transferred to profit and loss
114
(318)
Fair value movements on derivatives designated in net investment hedges
(17)
(7)
(Costs)/gains of hedging
(70)
8
Tax expense on items that may be reclassified subsequently to profit and loss
(14)
(50)
(814)
2,170
Other comprehensive (expense)/income for the period, net of tax
(94)
2,252
Total comprehensive income for the period
8,611
10,156
Profit attributable to:
Owners of the Parent
8,704
7,899
Non-controlling interests
1
5
8,705
7,904
Total comprehensive income attributable to:
Owners of the Parent
8,612
10,149
Non-controlling interests
(1)
7
8,611
10,156
Earnings per share
Basic earnings per $0.25 Ordinary Share
$5.62
$5.10
Diluted earnings per $0.25 Ordinary Share
$5.58
$5.06
Weighted average number of Ordinary Shares in issue (millions)
1,550
1,550
Diluted weighted average number of Ordinary Shares in issue (millions)
1,561
1,561
Table 18: Condensed consolidated statement of comprehensive income: Q3 2026
For the quarter ended 30 September
2026
$m
2025
$m
- Product Sales
15,066
14,365
- Alliance Revenue
1,107
815
Product Revenue
16,173
15,180
Collaboration Revenue
36
11
Total Revenue
16,209
15,191
Cost of sales
(2,946)
(2,801)
Gross profit
13,263
12,390
Distribution expense
(151)
(148)
Research and development expense
(3,894)
(3,663)
Selling, general and administrative expense
(5,108)
(5,085)
Other operating income and expense
277
89
Operating profit
4,387
3,583
Finance income
67
85
Finance expense
(477)
(434)
Share of after tax (losses)/gains in associates and joint ventures
(19)
10
Profit before tax
3,958
3,244
Taxation
(842)
(709)
Profit for the period
3,116
2,535
Other comprehensive income
Items that will not be reclassified to profit and loss:
Remeasurement of the defined benefit pension liability
35
146
Net gains on equity investments measured at fair value through Other comprehensive income
64
104
Tax expense on items that will not be reclassified to profit or loss
(26)
(10)
73
240
Items that may be reclassified subsequently to profit and loss:
Foreign exchange arising on consolidation
(163)
(198)
Foreign exchange arising on designated liabilities in net investment hedges
4
5
Fair value movements on cash flow hedges
69
(17)
Fair value movements on cash flow hedges transferred to profit and loss
18
(3)
Fair value movements on derivatives designated in net investment hedges
(21)
13
Costs of hedging
(70)
(2)
Tax (expense)/income on items that may be reclassified subsequently to profit and loss
(21)
2
(184)
(200)
Other comprehensive (expense)/income for the period, net of tax
(111)
40
Total comprehensive income for the period
3,005
2,575
Profit attributable to:
Owners of the Parent
3,117
2,533
Non-controlling interests
(1)
2
3,116
2,535
Total comprehensive income attributable to:
Owners of the Parent
3,006
2,575
Non-controlling interests
(1)
-
3,005
2,575
Earnings per share
Basic earnings per $0.25 Ordinary Share
$2.02
$1.64
Diluted earnings per $0.25 Ordinary Share
$2.00
$1.62
Weighted average number of Ordinary Shares in issue (millions)
1,551
1,551
Diluted weighted average number of Ordinary Shares in issue (millions)
1,560
1,561
Table 19: Condensed consolidated statement of financial position
At 30 Sep 2026
At 31 Dec 2025
At 30 Sep 2025
Assets
$m
$m
$m
Non-current assets
Property, plant and equipment
14,064
12,962
12,083
Right-of-use assets
2,714
1,741
1,700
Goodwill
21,157
21,242
21,219
Intangible assets
38,146
37,846
38,191
Investments in associates and joint ventures
268
302
296
Other investments
2,676
2,223
1,990
Derivative financial instruments
306
498
502
Other receivables
1,426
1,327
1,159
Income tax receivable
1,062
1,391
1,247
Deferred tax assets
6,655
5,819
6,129
88,474
85,351
84,516
Current assets
Inventories
6,883
6,557
6,593
Trade and other receivables
14,736
15,177
14,338
Other investments
230
30
39
Derivative financial instruments
20
90
12
Income tax receivable
1,643
1,158
815
Cash and cash equivalents
7,936
5,711
8,143
31,448
28,723
29,940
Total assets
119,922
114,074
114,456
Liabilities
Current liabilities
Interest-bearing loans and borrowings
(4,949)
(3,104)
(6,174)
Lease liabilities
(445)
(382)
(379)
Trade and other payables
(23,572)
(25,280)
(25,028)
Derivative financial instruments
(26)
(81)
(29)
Provisions
(654)
(686)
(1,176)
Income tax payable
(1,621)
(1,084)
(1,268)
(31,267)
(30,617)
(34,054)
Non-current liabilities
Interest-bearing loans and borrowings
(26,465)
(24,715)
(24,700)
Lease liabilities
(2,332)
(1,421)
(1,379)
Derivative financial instruments
(108)
-
-
Deferred tax liabilities
(3,617)
(3,500)
(3,604)
Retirement benefit obligations
(780)
(1,105)
(1,271)
Provisions
(988)
(918)
(929)
Income tax payable
(293)
(700)
(535)
Other payables
(2,258)
(2,379)
(2,013)
(36,841)
(34,738)
(34,431)
Total liabilities
(68,108)
(65,355)
(68,485)
Net assets
51,814
48,719
45,971
Equity
Share capital
388
388
388
Share premium account
35,286
35,266
35,243
Other reserves
1,985
2,041
2,044
Retained earnings
14,069
10,972
8,213
Capital and reserves attributable to equity holders of the Parent
51,728
48,667
45,888
Non-controlling interests
86
52
83
Total equity
51,814
48,719
45,971
Table 20: Condensed consolidated statement of changes in equity
Share capital
Share premium account
Other reserves
Retained earnings
Total attributable to owners of the Parent
Non-controlling interests
Total equity
$m
$m
$m
$m
$m
$m
$m
At 1 January 2025
388
35,226
2,012
3,160
40,786
85
40,871
Profit for the period
-
-
-
7,899
7,899
5
7,904
Other comprehensive (expense)/income
-
-
(61)
2,311
2,250
2
2,252
Transfer to Other reserves
-
-
48
(48)
-
-
-
Transactions with owners
Dividends
-
-
-
(4,846)
(4,846)
-
(4,846)
Dividends paid to non-controlling interests
-
-
-
-
-
(2)
(2)
Issue of Ordinary Shares
-
17
-
-
17
-
17
Changes in non-controlling interests
-
-
-
8
8
(7)
1
Movement in shares held by Employee Benefit Trusts
-
-
45
-
45
-
45
Share-based payments charge for the period
-
-
-
529
529
-
529
Settlement of share plan awards
-
-
-
(800)
(800)
-
(800)
Net movement
-
17
32
5,053
5,102
(2)
5,100
At 30 September 2025
388
35,243
2,044
8,213
45,888
83
45,971
At 1 January 2026
388
35,266
2,041
10,972
48,667
52
48,719
Profit for the period
-
-
-
8,704
8,704
1
8,705
Other comprehensive income/(expense)
-
-
27
(119)
(92)
(2)
(94)
Transfer to Other reserves
-
-
10
(10)
-
-
-
Transactions with owners
Dividends
-
-
-
(5,002)
(5,002)
-
(5,002)
Dividends paid to non-controlling interests
-
-
-
-
-
(2)
(2)
Issue of Ordinary Shares
-
20
-
-
20
-
20
Changes in non-controlling interests
-
-
-
-
-
37
37
Movement in shares held by Employee Benefit Trusts
-
-
(93)
-
(93)
-
(93)
Share-based payments charge for the period
-
-
-
574
574
-
574
Settlement of share plan awards
-
-
-
(1,050)
(1,050)
-
(1,050)
Net movement
-
20
(56)
3,097
3,061
34
3,095
At 30 September 2026
388
35,286
1,985
14,069
51,728
86
51,814

Table 21: Condensed consolidated statement of cash flows: 9M 2026
For the nine months ended 30 September
2026
$m
2025
$m
Cash flows from operating activities
Profit before tax
10,671
9,773
Finance income and expense
1,085
985
Share of after tax losses of associates and joint ventures
41
7
Depreciation, amortisation and impairment
4,900
4,222
Movement in working capital and short-term provisions
(1,730)
64
Gains on disposal of intangible assets
(156)
(118)
Fair value movements on contingent consideration arising from business combinations
(15)
(29)
Non-cash and other movements
(125)
591
Cash generated from operations
14,671
15,495
Interest paid
(1,147)
(1,069)
Tax paid
(2,634)
(2,193)
Net cash inflow from operating activities
10,890
12,233
Cash flows from investing activities
Acquisition of businesses, net of cash acquired1
(600)
(60)
Payment of contingent consideration from business combinations
(290)
(897)
Purchase of property, plant and equipment
(1,986)
(1,774)
Disposal of property, plant and equipment
13
10
Purchase of intangible assets
(3,862)
(2,844)
Disposal of intangible assets
180
96
Purchase of non-current asset investments
(18)
(218)
Disposal of non-current asset investments
3
-
Movement in short-term investments, fixed deposits and other investing instruments
(196)
122
Payments to associates and joint ventures
(14)
(10)
Interest received
181
213
Net cash outflow from investing activities
(6,589)
(5,362)
Net cash inflow before financing activities
4,301
6,871
Cash flows from financing activities
Proceeds from issue of share capital
20
17
Own shares purchased by Employee Benefit Trusts
(763)
(508)
Payments to acquire non-controlling interests
-
(14)
Issue of loans and borrowings
4,972
9
Repayment of loans and borrowings
(2,456)
(20)
Dividends paid
(4,955)
(4,968)
Hedge contracts relating to dividend payments
(52)
113
Repayment of obligations under leases
(282)
(273)
Movement in short-term borrowings
1,450
1,382
Net cash outflow from financing activities
(2,066)
(4,262)
Net increase in Cash and cash equivalents in the period
2,235
2,609
Cash and cash equivalents at the beginning of the period
5,698
5,429
Exchange rate effects
(16)
42
Cash and cash equivalents at the end of the period
7,917
8,080
Cash and cash equivalents consist of:
Cash and cash equivalents
7,936
8,143
Overdrafts
(19)
(63)
7,917
8,080
1. This item was previously named "Acquisition of subsidiaries, net of cash acquired".
Notes to the Interim financial statements
Note 1: Basis of preparation and accounting policies
These unaudited Interim financial statements for 9M and Q3 ended 30 September 2026 have been prepared in accordance with International Accounting Standard 34, 'Interim Financial Reporting' (IAS 34), as issued by the International Accounting Standards Board (IASB), IAS 34 as adopted by the European Union, UK-adopted IAS 34 and the Disclosure Guidance and Transparency Rules sourcebook of the United Kingdom's Financial Conduct Authority and with the requirements of the Companies Act 2006 as applicable to companies reporting under those standards.
The unaudited Interim financial statements for 9M and Q3 ended 30 September 2026 were approved by the Board of Directors for publication on 30 October 2026.
This results announcement does not constitute statutory accounts of the Group within the meaning of sections 434(3) and 435(3) of the Companies Act 2006. The annual financial statements of the Group for the year ended 31 December 2025 were prepared in accordance with UK-adopted international accounting standards and with the requirements of the Companies Act 2006. The annual financial statements also comply fully with IFRS Accounting Standards as issued by the IASB and International Accounting Standards as adopted by the European Union. Except for the estimation of the interim income tax charge, the Interim 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 2025.
The comparative figures for the financial year ended 31 December 2025 are not the Group's statutory accounts for that financial year. Those accounts have been reported on by the Group's auditors and have been delivered to the Registrar of Companies; their report (i) was 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.
Going concern
The Group has considerable financial resources available. As at 30 September 2026, the Group has $12.8bn in financial resources (Cash and cash equivalents of $7.9bn and undrawn committed bank facilities of $4.9bn that are available until April 2031), with $5.4bn of borrowings due within one year. These facilities contain no financial covenants.
The Group has assessed the prospects of the Group over a period of at least 12 months from the date of Board approval of these consolidated financial statements, with no deterioration noted requiring a further extension of this review. 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 Interim 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 2025.
Note 2: Intangible assets
An intangible asset of $946m has been recognised in Q3 2026 comprising the rights to Zegfrovy from Dizal Pharmaceutical Co., Ltd (see Note 5).
During Q3, impairment charges recorded against products in development totalled $138m recorded within R&D expense.
During Q2, as previously announced, the strategic collaboration and license agreement with CSPC Pharmaceuticals closed. Under this agreement, the companies will initially progress four programmes, which utilise CSPC Pharmaceuticals' advanced AI-driven peptide drug discovery platform and their proprietary LiquidGel once-monthly dosing platform technology. AstraZeneca paid an upfront payment of $1.2bn, of which $1.1bn was capitalised within intangible assets in Q2 2026. Contingent consideration of up to $3.5bn could be paid on achievement of regulatory milestones; these potential liabilities would be recorded when the relevant recognition event for a regulatory milestone is achieved. Further contingent sales milestones, as well as tiered royalties, could be payable and would be recognised when the associated milestones are triggered.
Note 3: Net debt
Table 22: Net debt
At 1 Jan 2026
Cash flow
Non-cash
and other
Exchange
movements
At 30 Sep 2026
$m
$m
$m
$m
$m
Non-current instalments of loans
(24,715)
(4,952)
2,979
223
(26,465)
Non-current instalments of leases
(1,421)
-
(930)
19
(2,332)
Total long-term debt
(26,136)
(4,952)
2,049
242
(28,797)
Current instalments of loans
(2,460)
2,453
(2,872)
22
(2,857)
Current instalments of leases
(382)
368
(437)
6
(445)
Commercial paper
-
(1,619)
-
-
(1,619)
Collateral received from derivative counterparties
(473)
155
-
-
(318)
Other short-term borrowings excluding overdrafts
(158)
14
-
8
(136)
Overdrafts
(13)
(6)
-
-
(19)
Total current debt
(3,486)
1,365
(3,309)
36
(5,394)
Gross borrowings
(29,622)
(3,587)
(1,260)
278
(34,191)
Net derivative financial instruments
507
457
(772)
-
192
Net borrowings
(29,115)
(3,130)
(2,032)
278
(33,999)
Cash and cash equivalents
5,711
2,241
-
(16)
7,936
Other investments - current
30
200
-
-
230
Cash and investments
5,741
2,441
-
(16)
8,166
Net debt
(23,374)
(689)
(2,032)
262
(25,833)
The table above 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 2025. Net debt is a non-GAAP financial measure.
Net debt increased by $2,459m in the nine months to 30 September 2026 to $25,833m, which includes the issue of new long-term loans of $4,972m, of which $20m was received from derivative financial instruments designated as hedges of those loans, and the repayment of long-term loans of $2,456m in 9M 2026. Details of the committed undrawn bank facilities are disclosed within the going concern section of Note 1. 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 30 September 2026 was $318m (31 December 2025: $473m) and the carrying value of such cash collateral posted by the Group at 30 September 2026 was $181m (31 December 2025: $22m).
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 above.
During the nine months ended 30 September 2026, there have been no changes to the Group's solicited credit ratings. Moody's credit ratings were long term: A1; short term: P-1. Standard and Poor's credit ratings were long term: A+; short term: A-1.
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 $605m (31 December 2025: $458m) and for which a fair value gain of $158m has been recognised in the nine months ended 30 September 2026 (9M 2025: loss of $47m). In the absence of specific market data, these unlisted investments are held at fair value based on the cost of investment and adjusted 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 gains/(losses) on equity investments measured at fair value through Other comprehensive income, in the Condensed consolidated statement of comprehensive income for the nine months ended 30 September 2026, are Level 1 fair value measurements, valued based on quoted prices in active markets.
Financial instruments measured at fair value include $2,724m of other investments, $6,073m held in money-market funds and $192m of derivatives as at 30 September 2026. With the exception of derivatives being Level 2 fair valued, and certain equity instruments of $605m categorised as Level 3, the aforementioned balances are Level 1 fair valued. Financial instruments measured at amortised cost include $181m of cash collateral pledged to counterparties. The total fair value of Interest-bearing loans and borrowings as at 30 September 2026, which have a carrying value of $34,191m in the Condensed consolidated statement of financial position, was $32,494m.
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 final contingent consideration payment of $257m relating to BMS's share of the global diabetes alliance was made in Q1 2026.
Note 5: Business combinations
On 31 August 2026, AstraZeneca completed the exclusive license agreement with Dizal Pharmaceutical Co., Ltd for Zegfrovy (sunvozertinib), an oral irreversible epidermal growth factor receptor (EGFR) inhibitor for patients with lung cancer. Through this acquisition agreement, AstraZeneca has acquired worldwide rights to develop and commercialise Zegfrovy, along with China based employees and related contracts to support the manufacture of Zegfrovy.
The transaction is recorded as a business combination using the acquisition method of accounting in accordance with IFRS 3 'Business Combinations'. Consequently, the assets acquired, and liabilities assumed are required to be recorded at fair value. Given the proximity of the acquisition to the reporting date, the purchase price allocation exercise under IFRS 3 is in process, with the following items disclosed on a provisional basis.
The total consideration fair value of $946m includes upfront cash consideration of $600m, and contingent consideration of $346m. Additional future payments are contingent upon achievement of specific development, regulatory and sales-related milestones. Additionally, Dizal will receive tiered royalties on the global sales of Zegfrovy. An intangible asset of $946m has been recognised comprising the rights to Zegfrovy.
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 2025 and the Interim Financial Statements for the six months ended 30 June 2026 (the Disclosures). Information about the nature and facts of the cases is disclosed in accordance with IAS 37 'Provisions, Contingent Liabilities and Contingent Assets'.
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.
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 third quarter of 2026 and up to and including 29 October 2026
Patent litigation
Legal proceedings brought by AstraZeneca
Farxiga patent proceedings, US
* In May 2021, AstraZeneca proceeded to trial against ANDA filer Zydus Pharmaceuticals (USA) Inc. (Zydus) in the US District Court for the District of Delaware (District Court). 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 decision. Zydus's appeal has been dismissed.
* In December 2023, AstraZeneca initiated ANDA litigation against Sun Pharmaceutical Industries Ltd. and Sun Pharmaceutical Industries, Inc. in the District Court. In September 2026, the District Court dismissed the matter.
* This matter is concluded.
Koselugo patent proceedings, US
* In September 2026, AstraZeneca received a paragraph IV notice from Hetero USA, Inc. challenging patents relating to Koselugo.
* AstraZeneca intends to file responsive ANDA litigation.
* This matter remains at an early stage.
Lynparza patent proceedings, Canada
* In July 2025, AstraZeneca was served with a Notice of Allegation from Cipla Ltd (Cipla) challenging a patent relating to Lynparza. AstraZeneca commenced an action in response in August 2025. In August 2026, AstraZeneca entered into a settlement agreement with Cipla resolving all Canada patent litigation with Cipla relating to Lynparza.
* In August 2025, AstraZeneca was served with a Notice of Allegation from Natco Pharma (Canada) Inc. (Natco) challenging a patent relating to Lynparza. AstraZeneca commenced an action in response in October 2025. In September 2026, AstraZeneca entered into a settlement agreement with Natco resolving all Canada patent litigation with Natco relating to Lynparza.
* In November 2025, AstraZeneca was served with a Notice of Allegation from Zydus Lifesciences Limited challenging a patent relating to Lynparza. AstraZeneca commenced an action in response in December 2025. A summary trial related to infringement is scheduled for January 2027 and a trial on other matters has not yet been scheduled.
Lynparza patent proceedings, US
* AstraZeneca received a Paragraph IV notice relating to Lynparza patents from Natco Pharma Limited (Natco) in December 2022, Sandoz Inc. (Sandoz) in December 2023, Cipla USA, Inc. and Cipla Limited (collectively, Cipla) in May 2024, and Zydus Pharmaceuticals (USA) Inc. (Zydus) in November 2024.
* In response to these Paragraph IV notices, AstraZeneca, MSD International Business GmbH, and the University of Sheffield initiated ANDA litigations against Natco, Sandoz, Cipla, and Zydus in the US District Court for the District of New Jersey. In the complaints, AstraZeneca alleged that the defendants' generic versions of Lynparza, if approved and marketed, would infringe AstraZeneca's patents.
* In April 2026, AstraZeneca entered into a settlement agreement with Sandoz resolving all US patent litigation with Sandoz relating to Lynparza.
* Trial has been scheduled to commence with the remaining defendants in January 2027.
* In June 2026, AstraZeneca received Paragraph IV notices from Cipla relating to Lynparza dosage strengths not at issue in the previous litigation. In July 2026, AstraZeneca commenced responsive litigation. That matter remains at an early stage.
Tagrisso patent proceedings, Russia
* In August 2023, AstraZeneca filed lawsuits in the Arbitration Court of the Moscow region (Court) against the Russian Ministry of Health (MOH) and Axelpharm LLC (Axelpharm) for improper use of AstraZeneca information in the authorisation of a generic version of Tagrisso. The suit against the MOH was dismissed in July 2024, after two appeals. The case against Axelpharm was dismissed in September 2024, and a subsequent appeal by AstraZeneca was also dismissed.
* In November 2023, Axelpharm sought a compulsory licence under a patent related to Tagrisso; the action remains pending. The Axelpharm patent on which the compulsory licensing action was based was held invalid by the Russian Patent and Trademark Office (PTO) in August 2024, following a challenge by AstraZeneca. The PTO's decision was upheld in June 2025, following an appeal by Axelpharm. At a further appeal hearing in November 2025, the Intellectual Property Court Presidium reversed earlier decisions and held Axelpharm's patent valid. The Supreme Court rejected appeals by AstraZeneca and the PTO against this decision in February 2026. AstraZeneca filed a new invalidity claim against Axelpharm's patent in May 2026.
* In July 2024, AstraZeneca filed a patent infringement claim against Axelpharm in relation to a generic version of Tagrisso. The action was stayed by the Court pending resolution of the compulsory licensing action. In July 2026, AstraZeneca filed a patent infringement claim against OncoTarget LLC (OncoTarget) in relation to the manufacture of a generic version of Tagrisso and a further claim against Pharmproekt Limited Liability Company based on their participation in tenders relating to a generic version of Tagrisso.
* In August 2024, after AstraZeneca filed a complaint, the Federal Anti-Monopoly Service of Russia (FAS) initiated a case against Axelpharm and OncoTarget. In November 2024, the FAS found Axelpharm (but not OncoTarget) to have committed unfair competition. In June 2025, the finding against Axelpharm was reversed on appeal. In December 2025, on appeal by AstraZeneca, the appellate decision was affirmed. AstraZeneca filed a further appeal, and in April 2026, the Intellectual Property Court restored the FAS's finding of unfair competition and prohibited Axelpharm from selling the generic drug. 
Commercial litigation
Legal proceedings brought against AstraZeneca
Farxiga Privacy Litigation, US
Considered to be a contingent liability
* In September 2026, a putative class action was filed in California State Court alleging that tracking technologies used on the Farxiga website collected and disclosed certain visitor information in violation of the privacy laws of California and other states.
* This matter remains at an early stage.
Syntimmune Milestone Litigation, US
Considered to be a contingent liability
* As previously disclosed, since 2020, AstraZeneca has been defending a lawsuit filed in connection with AstraZeneca's acquisition of Syntimmune, Inc. (Syntimmune) by the stockholders' representative for Syntimmune in Delaware State Court (Court) that alleged, among other things, breaches of the 2018 merger agreement (Merger Agreement).
* The stockholders' representative alleged that AstraZeneca failed to meet its obligations under the Merger Agreement to use commercially reasonable efforts to achieve the milestones. AstraZeneca also filed a claim for breach of the representations in the Merger Agreement.
* A trial was held in July 2023. The Court issued partial decisions in September 2024, June 2025, and May 2026, concluding that the first milestone was achieved, that AstraZeneca had breached its contractual obligation to use commercially reasonable efforts to achieve the milestones, and that sellers breached a material representation in the Merger Agreement regarding manufacturing of drug substance and product supply.
* In October 2026, the Court entered final judgment on its earlier decisions issuing a $392 million judgment, plus post judgment interest, against AstraZeneca.
* AstraZeneca intends to appeal.
Government investigations and proceedings
Legal proceedings brought against AstraZeneca
Respiratory Biologics False Claims
Act Litigation, US
Considered to be a contingent liability
* In October 2026, AstraZeneca was served with an unsealed civil lawsuit brought by qui tam relators on behalf of the federal government and several states, which alleges that AstraZeneca engaged in unlawful marketing practices in connection with its promotion of Fasenra and Tezspire. Several other manufacturers are also named in the complaint with respect to their promotion of other respiratory biologics.
* This matter remains at an early stage.
Legal proceedings brought by AstraZeneca
340B State Litigation, US
Considered to be a contingent asset
* AstraZeneca has ongoing lawsuits against Arkansas, Colorado, Hawaii, Louisiana, Maine, Maryland, Mississippi, Missouri, Nebraska, New Mexico, North Dakota, Oklahoma, Oregon, Rhode Island, South Dakota, Tennessee, Utah, Vermont, Washington, and West Virginia challenging the constitutionality of each state's 340B statute.
* AstraZeneca has ongoing enforcement actions in Arkansas and Louisiana for alleged non-compliance with each state's 340B statute. In July 2026, Louisiana issued a cease-and-desist letter concerning AstraZeneca's 340B policy.
* In August and September 2026, the Mississippi and Arkansas District Courts, respectively, granted summary judgment in favor of those states. AstraZeneca has appealed or intends to appeal those decisions.
* In August 2026, courts in Colorado, Maine, and South Dakota dismissed AstraZeneca's complaints. AstraZeneca has appealed.
* In August 2026, AstraZeneca was served with an unfair trade practices complaint by the State of Arkansas concerning its 340B policies.
Calquence Inflation Reduction Act Litigation, US
Considered to be a contingent asset
* In December 2025, AstraZeneca filed a lawsuit in the US District Court for the District of Maryland (District Court) challenging the Center for Medicare and Medicaid Studies' interpretation of "qualifying single source drug" under the Inflation Reduction Act and its application in selecting Calquence for drug price negotiation.
* In August 2026, the District Court entered judgment against AstraZeneca and AstraZeneca appealed.
Tagrisso Regulatory Proceedings, UK and Europe
* In May 2026, AstraZeneca filed separate legal actions in the UK High Court and the General Court of the European Union challenging determinations by the Medicines and Healthcare products Regulatory Agency and the * European Medicines Agency to grant marketing authorizations for Hansoh's aumolertinib. No trial date has been set.
* In September 2026, the European Commission revoked the marketing authorization for aumolertinib.
Other
Additional government inquiries
As is true for most, if not all, major prescription pharmaceutical companies, AstraZeneca is currently involved in multiple inquiries into drug marketing and pricing practices. In addition to the investigations described above, various law enforcement offices have, from time to time, requested information from the Group. There have been no material developments in those matters.
Note 7: Subsequent events
On 5 October 2026, AstraZeneca completed its $2.0 billion equity investment in Summit Therapeutics Inc., with the full amount paid at closing. The investment gives AstraZeneca rights equivalent to approximately 12.0% of Summit Therapeutics outstanding common stock, or approximately 10.6% on a fully diluted basis, and has been recognised as a non-current investment in Q4 2026.
Note 8: Analysis of Revenue and Other operating income and expense
Table 23: Product Sales year-on-year analysis: 9M 2026
For the nine months
World
US
Emerging Markets
Europe
Established RoW
ended 30 September
Change
Change
Change
Change
Change
$m
Act %
CER %
$m
Act %
$m
Act %
CER %
$m
Act %
CER %
$m
Act %
CER %
Tagrisso
5,862
10
8
2,467
11
1,656
10
6
1,169
13
8
570
(3)
1
Imfinzi
5,538
28
27
3,128
26
627
35
33
1,210
38
31
573
17
23
Calquence
3,009
18
16
1,982
16
214
31
25
690
21
16
123
6
6
Lynparza
2,421
1
(2)
1,012
(4)
507
4
(1)
710
6
1
192
-
3
Enhertu
1,019
49
45
-
-
701
47
44
205
41
33
113
78
75
Zoladex
932
9
5
18
35
745
13
8
119
6
1
50
(24)
(26)
Truqap
641
30
29
450
9
55
n/m
n/m
97
n/m
n/m
39
82
87
Imjudo
263
4
4
157
(5)
33
89
86
43
21
16
30
(14)
(10)
Datroway
12
n/m
n/m
-
-
11
n/m
n/m
1
n/m
n/m
-
-
-
Etcamah
10
n/m
n/m
7
n/m
3
n/m
n/m
-
-
-
-
-
-
Other Oncology
311
(3)
(4)
7
20
215
-
(3)
12
(20)
(21)
77
(11)
(5)
Oncology
20,018
16
14
9,228
14
4,767
19
15
4,256
22
16
1,767
6
10
Farxiga
5,602
(12)
(15)
795
(36)
2,200
(16)
(21)
2,385
11
6
222
(32)
(30)
Crestor
1,017
8
5
27
(25)
912
13
9
1
28
(14)
77
(19)
(16)
Lokelma
638
23
23
239
6
149
50
44
136
50
44
114
13
20
Seloken
518
11
6
-
n/m
500
11
6
15
6
3
3
6
(4)
Brilinta
261
(61)
(62)
16
(95)
207
2
(1)
33
(75)
(76)
5
(33)
(36)
Wainua
189
33
33
170
24
5
39
47
12
n/m
n/m
2
n/m
n/m
roxadustat
78
(66)
(67)
-
-
78
(66)
(67)
-
-
-
-
-
-
Baxfendy
12
n/m
n/m
11
n/m
1
n/m
n/m
-
-
-
-
-
-
Other CVRM
298
(29)
(30)
(11)
n/m
212
2
-
55
(54)
(55)
42
(11)
(6)
CVRM
8,613
(11)
(15)
1,247
(38)
4,264
(8)
(12)
2,637
5
-
465
(20)
(17)
Symbicort
2,084
(4)
(7)
772
(15)
653
5
1
425
5
(1)
234
(5)
(7)
Fasenra
1,655
14
13
949
7
149
85
78
389
11
5
168
26
30
Breztri
1,073
18
16
479
4
329
38
31
183
34
28
82
19
21
Tezspire
509
61
57
-
-
64
n/m
n/m
322
56
49
123
43
48
Saphnelo
615
27
27
516
23
18
72
72
57
68
61
24
36
41
Pulmicort
378
6
2
5
43
309
10
6
42
(9)
(14)
22
(19)
(19)
Airsupra
129
12
13
120
6
9
n/m
n/m
-
-
-
-
-
-
Other R&I
182
(14)
(16)
22
(67)
79
(17)
(20)
76
74
68
5
(6)
(6)
R&I
6,625
10
8
2,863
-
1,610
19
14
1,494
22
16
658
12
14
Beyfortus
147
(34)
(34)
84
(39)
-
-
-
61
(26)
(27)
2
(17)
(29)
FluMist
172
30
29
19
(3)
7
n/m
n/m
102
24
24
44
52
49
Other ID
136
(38)
(41)
(1)
(38)
106
(34)
(38)
21
(43)
(48)
10
(60)
(57)
ID*
455
(21)
(22)
102
(34)
113
(30)
(34)
184
(9)
(10)
56
(1)
(2)
Ultomiris
4,016
16
16
2,190
12
306
73
73
915
19
14
605
11
16
Soliris
1,076
(25)
(26)
595
(30)
311
(5)
(7)
89
(44)
(47)
81
(24)
(23)
Strensiq
1,641
38
37
1,332
40
111
81
67
104
17
12
94
11
17
Koselugo
585
17
15
149
(5)
225
20
17
149
29
23
62
63
72
Other Rare Disease
226
28
25
89
7
51
39
25
60
20
14
26
n/m
n/m
Rare Disease
7,544
12
11
4,355
9
1,004
27
24
1,317
11
6
868
11
16
Other Medicines
707
(5)
(6)
56
14
531
(6)
(8)
60
3
-
60
(14)
(12)
Total Medicines
43,962
7
5
17,851
4
12,289
7
3
9,948
15
9
3,874
4
7
The table provides an analysis of year-on-year Product Sales, with Actual and CER growth rates reflecting year-on-year growth.
* ID: Infectious Disease
Table 24: Product Sales year-on-year analysis: Q3 2026
For the quarter
World
US
Emerging Markets
Europe
Established RoW
ended 30 September
Change
Change
Change
Change
Change
$m
Act %
CER %
$m
Act %
$m
Act %
CER %
$m
Act %
CER %
$m
Act %
CER %
Tagrisso
2,087
12
12
888
13
608
21
18
400
7
8
191
(8)
(1)
Imfinzi
1,990
24
26
1,120
23
229
36
35
429
25
27
212
19
29
Calquence
1,065
16
16
696
14
77
26
24
248
24
25
44
2
4
Lynparza
811
(3)
(3)
353
(3)
164
-
(2)
230
(5)
(4)
64
(3)
3
Enhertu
357
39
37
-
-
261
42
40
73
40
41
23
8
4
Zoladex
325
14
10
9
n/m
265
21
16
38
(5)
(5)
13
(41)
(42)
Truqap
210
9
9
144
(10)
20
n/m
n/m
32
83
85
14
56
66
Imjudo
103
23
25
57
4
20
n/m
n/m
15
17
21
11
5
11
Datroway
7
n/m
n/m
-
n/m
6
n/m
n/m
1
n/m
n/m
-
-
-
Etcamah
7
n/m
n/m
7
n/m
-
-
-
-
-
-
-
-
-
Other Oncology
108
2
3
3
64
74
7
5
4
(17)
(3)
27
(10)
-
Oncology
7,070
15
15
3,277
13
1,724
25
22
1,470
15
16
599
2
9
Farxiga
1,605
(25)
(25)
127
(71)
582
(35)
(37)
799
14
16
97
(5)
1
Crestor
332
9
6
9
(25)
300
15
11
-
n/m
n/m
23
(27)
(23)
Lokelma
219
16
17
75
(8)
56
55
50
49
41
43
39
8
15
Seloken
181
13
9
-
n/m
174
14
9
6
3
2
1
6
3
Brilinta
75
(48)
(50)
-
n/m
65
(1)
(5)
9
(61)
(60)
1
(51)
(45)
Wainua
68
16
17
61
11
1
(63)
(32)
5
n/m
n/m
1
n/m
n/m
roxadustat
21
(73)
(74)
-
-
21
(73)
(74)
-
-
-
-
-
-
Baxfendy
9
n/m
n/m
9
n/m
-
-
-
-
-
-
-
-
-
Other CVRM
92
(36)
(34)
(2)
n/m
67
(3)
(4)
13
(70)
(68)
14
(4)
5
CVRM
2,602
(19)
(20)
279
(58)
1,266
(19)
(21)
881
9
11
176
(6)
-
Symbicort
666
(10)
(11)
227
(26)
236
5
2
129
(4)
(4)
74
(6)
(5)
Fasenra
602
13
14
355
8
57
n/m
95
131
7
8
59
18
25
Breztri
374
16
14
170
2
121
45
37
56
15
17
27
12
16
Tezspire
188
58
61
-
-
20
n/m
n/m
120
53
53
48
51
58
Saphnelo
235
31
32
198
27
7
94
88
21
60
66
9
29
38
Pulmicort
109
18
16
2
n/m
90
25
23
11
(9)
(10)
6
(32)
(22)
Airsupra
42
(7)
(4)
42
(3)
-
n/m
n/m
-
-
-
-
-
-
Other R&I
52
(3)
(3)
7
(43)
24
(2)
(4)
19
28
28
2
11
(12)
R&I
2,268
9
9
1,001
(1)
555
25
21
487
15
15
225
11
16
Beyfortus
76
(19)
(20)
23
(34)
-
-
-
52
(12)
(12)
1
-
-
FluMist
146
20
20
21
7
6
n/m
n/m
102
24
24
17
(11)
(7)
Other ID
44
(24)
(25)
-
n/m
36
(8)
(12)
5
(54)
(52)
3
(65)
(55)
ID*
266
(3)
(3)
44
(19)
42
5
1
159
5
5
21
(24)
(22)
Ultomiris
1,432
17
19
792
15
116
82
86
310
14
16
214
7
15
Soliris
298
(35)
(35)
181
(34)
63
(38)
(37)
28
(40)
(42)
26
(29)
(27)
Strensiq
588
33
34
473
28
46
n/m
n/m
36
13
15
33
12
23
Koselugo
238
6
9
55
7
110
(2)
-
50
13
15
23
47
59
Other Rare Disease
77
20
24
31
7
17
2
(1)
19
18
22
10
n/m
n/m
Rare Disease
2,633
9
10
1,532
8
352
15
17
443
8
9
306
8
16
Other Medicines
227
(2)
(3)
14
48
172
-
(1)
21
(9)
(13)
20
(30)
(24)
Total Medicines
15,066
5
5
6,147
2
4,111
5
3
3,461
12
13
1,347
2
9
The table provides an analysis of year-on-year Product Sales, with Actual and CER growth rates reflecting year-on-year growth.
* ID: Infectious Disease
Table 25: Alliance Revenue: 9M 2026
For the nine months ended 30 September
2026
$m
2025
$m
Enhertu
1,670
1,291
Tezspire
614
453
Beyfortus
279
252
Datroway
164
38
Other royalty revenue
76
70
Other Alliance Revenue
3
4
Total
2,806
2,108
Table 26: Collaboration Revenue: 9M 2026
For the nine months ended 30 September
2026
$m
2025
$m
Farxiga: sales milestones
80
81
Crestor: sales milestones
32
-
Other Collaboration Revenue
1
12
Total
113
93
Table 27: Other operating income and expense: 9M 2026
For the nine months ended 30 September
2026
$m
2025
$m
Disposal of Zoryve interest
100
-
Other
518
281
Total
618
281
Other shareholder information
Financial calendar
-
Announcement of FY and Q4 2026 results: 9 February 2027
Dividend payment dates
Dividends are normally paid as follows:
-
First interim: Announced with the half-year results and paid in September
-
Second interim: Announced with the full-year results and paid in March
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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: Beyfortus, a trademark of Sanofi Pasteur Inc.; Enhertu and Datroway, trademarks of Daiichi Sankyo; 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); Tezspire, a trademark of Amgen, Inc; and Zoryve a trademark of Arcutis Biotherapeutics, Inc.
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AstraZeneca
AstraZeneca (LSE/STO/NYSE: AZN) is a global, science-led biopharmaceutical company that focuses on the discovery, development, and commercialisation of prescription medicines in Oncology, Rare Diseases, and BioPharmaceuticals, including Cardiovascular, Renal & Metabolism, and Respiratory & Immunology. Based in Cambridge, UK, AstraZeneca's innovative medicines are sold in more than 125 countries and used by millions of patients worldwide. Please visit astrazeneca.com and follow the Company on Social Media @AstraZeneca.
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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:
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Glossary
1L, 2L, etc First line, second line, etc
6MWT Six-minute walk test
ADC Antibody drug conjugate
aHUS Atypical haemolytic uraemic syndrome
AI Aromatase inhibitors
AL Amyloid light chain
ANDA Abbreviated New Drug Application (US)
ASBMR American Society for Bone and Mineral Research
ATTR / -CM / -PN Transthyretin-mediated amyloid / cardiomyopathy / polyneuropathy
BC Breast cancer
BCG Bacillus Calmette-Guérin therapy
BPI-SF Brief Pain Inventory - Short Form
BRCA / m / wt Breast cancer gene / mutation / wild-type
BTK Bruton tyrosine kinase
CDK4, CDK6 Cyclin-dependent kinase 4 / 6
CER Constant exchange rates
CHMP Committee for Medicinal Products for Human Use (EU)
CI Confidence interval
CLDN-18 Claudin-18
CLL Chronic lymphocytic leukaemia
CN China
COPD Chronic obstructive pulmonary disease
CRSwNP Chronic rhinosinusitis with nasal polyps
CV Cardiovascular
CVRM Cardiovascular, Renal and Metabolism
DSQ Dysphagia Symptom Questionnaire
EBITDA Reported Profit before tax after adding back Net finance expense, results from joint ventures and associates, and charges for Depreciation, amortisation and impairment
EFS Event-free survival
EGFR / m Epidermal growth factor receptor gene / mutation
EGPA Eosinophilic granulomatosis with polyangiitis
EPS Earnings per share
ER Oestrogen receptor
ERS European Respiratory Society
ESC European Society of Cardiology
ESMO European Society for Medical Oncology
ESR1 / m Oestrogen Receptor 1 gene / mutation
ES-SCLC Extensive stage small cell lung cancer
EU Europe (in financial tables) or European Union
EVH Extravascular haemolysis
FDA US Food and Drug Administration
FDC Fixed dose combination
FY Full year / Financial year
GAAP Generally Accepted Accounting Principles
GAAP Generally Accepted Accounting Principles
GEJ Gastro oesophageal junction
GI Gastrointestinal
gMG Generalised myasthenia gravis
GU Genito-urinary
GYN Gynaecological
HER2 / +/- /low /m Human epidermal growth factor receptor 2 gene / positive / negative / low expression / mutant
HES Hypereosinophilic syndrome
HPP Hypophosphatasia
HR / + / - Hormone receptor / positive / negative
HRD Homologous recombination deficiency
HSCT-TMA Hematopoietic stem cell transplantation-associated thrombotic microangiopathy
HSPC Hormone-sensitive prostate cancer
IAS / B International Accounting Standards / Board
IASLC International Association for the Study of Lung Cancer
ICS Inhaled corticosteroid
ID Infectious Disease
IDMC Independent Data Monitoring Committee
IFRS International Financial Reporting Standards
IgAN Immunoglobulin A nephropathy
IHC Immunohistochemistry
IL-5, IL-33, etc Interleukin-5, interleukin-33, etc
JP Japan
LABA Long-acting beta-2 agonist
LAMA Long-acting muscarinic-antagonist
LOE Loss of exclusivity
m Metastatic (e.g. mBTC , mCRPC)
MASH Metabolic dysfunction-associated steatohepatitis
MCL Mantle cell lymphoma
MET Mesenchymal-epithelial transition
MIBC Muscle-invasive bladder cancer
n/m Growth rate not meaningful
NGP Next-generation propellant
NME New molecular entity
NMIBC Non muscle-invasive bladder cancer
NMOSD Neuromyelitis optica spectrum disorder
NRDL National reimbursement drug list
NSCLC Non-small cell lung cancer
o Oral (e.g. oGLP1, oPCSK9)
OS Overall survival
PARP / i / -1sel Poly ADP ribose polymerase / inhibitor /
-1 selective
PD-1 Programmed cell death protein 1
PD-L1 Programmed death-ligand 1
PFS Progression-free survival
PNH Paroxysmal nocturnal haemoglobinuria
PR Partial response
PTEN Phosphatase and tensin homologue gene
R&I Respiratory & Immunology
RR Relative reduction
SEC Securities Exchange Commission (US)
SG&A Sales, general and administration
TKI Tyrosine kinase inhibitor
TNBC Triple negative breast cancer
UEGW United European Gastroenterology Week
VBP Volume-based procurement
VEGF Vascular endothelial growth factor
WCLC World Conference on Lung Cancer
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.
AstraZeneca PLC
Date: 30 October 2026
By: /s/ Matthew Bowden
Name: Matthew Bowden
Title: Company Secretary
AstraZeneca plc published this content on October 30, 2026, and is solely responsible for the information contained herein. Distributed via EDGAR on October 30, 2026 at 11:38 UTC. If you believe the information included in the content is inaccurate or outdated and requires editing or removal, please contact us at [email protected]