Respiratory Q3 2016 (£1,589 million; up 8%) Respiratory sales in the quarter were up 8% at £1,589 million, reflecting growth in the new Respiratory products, which recorded combined sales of £269 million in the quarter, including Relvar/Breo Ellipta sales of £156 million, more than offsetting the 7% decline in Seretide/Advair. Flixotide/Flovent sales decreased 5% to £158 million and Ventolin sales grew 5% to £182 million. In the US, Respiratory sales increased 14% to £806 million in the quarter (15% volume growth and a 1% negative impact of price). Growth of new Respiratory products in the quarter more than offset the 2% decline in Advair (7% volume decline and a 5% positive impact of price). Payer rebate adjustments related to prior quarters favourably impacted sales of Advair, with Advair's underlying sales performance in the quarter more consistent with the first half of 2016. The new Ellipta products recorded combined sales of £142 million in the quarter including Breo Ellipta sales of £85 million, with Nucala, the newly launched treatment for severe asthma, reporting sales of £21 million. Established Respiratory assets included Ventolin, with sales up 4% to £93 million, and Flovent, which declined 4% to £99 million. Ventolin sales reflected strong volume growth largely offset by the impact of pricing pressures and negative adjustments to payer rebates related to prior quarters. Flovent sales also continued to be impacted by ongoing pricing pressures in the ICS market. The net impact of adjustments to prior quarters for payer rebates across the Respiratory portfolio was broadly neutral to reported US sales. European Respiratory sales were down 9% to £328 million, with Seretide sales down 24% to £195 million (11% volume decline and a 13% negative impact of price), reflecting continued competition from generics and the transition of the Respiratory portfolio to newer products. The new Respiratory products recorded combined sales of £58 million in the quarter, including Relvar Ellipta sales of £35 million. Respiratory sales in the International region were up 11% to £455 million, with Emerging Markets up 19% and Japan in line with last year, while sales in Canada declined 1%. In Emerging Markets, sales of Seretide were up 16% at £130 million, including China up 48%, reflecting the benefit of wholesaler stocking ahead of a systems upgrade but also the recent restructuring and refocusing of the China business. Excluding China, Emerging Markets Respiratory sales grew 13%, including Ventolin up 8% to £48 million. In Japan, Relvar Ellipta sales grew 29% to £24 million. 9 months 2016 (£4,592 million; up 2%) Respiratory sales in the nine months were up 2% at £4,592 million, reflecting the continuing transition of the Respiratory portfolio to newer products. Growth in the new Respiratory products, which recorded combined sales of £688 million, including Relvar/Breo Ellipta sales of £413 million, more than offset the decline in Seretide/Advair. Flixotide/Flovent sales decreased 10% to £447 million and Ventolin sales grew 7% to £540 million. In the US, Respiratory sales increased 8% to £2,253 million in the nine months (16% volume growth and a 8% negative impact of price). Growth of new Respiratory products more than offset the 9% decline in Advair (4% volume decline and a 5% negative impact of price). Payer rebate adjustments related to prior periods favourably impacted sales in this period. The new Ellipta products recorded combined sales of £379 million in the nine months, including Breo Ellipta sales of £222 million, with Nucala, the newly launched treatment for severe asthma, reporting sales of £41 million. Established Respiratory assets included Ventolin, with sales up 8% to £280 million, and Flovent, which declined 13% to £263 million, with both products impacted by pricing pressures and negative adjustments to payer rebates related to prior periods. Flovent sales also continued to be impacted by ongoing pricing pressures in the ICS market. The net impact of adjustments to prior quarters for payer rebates across the Respiratory portfolio was broadly neutral to reported US sales. European Respiratory sales were down 11% to £1,023 million, with Seretide sales down 24% to £634 million (16% volume decline and a 8% negative impact of price), reflecting continued competition from generics and the transition of the Respiratory portfolio to newer products. The new Respiratory products recorded combined sales of £153 million in the nine months, including Relvar Ellipta sales of £98 million. Respiratory sales in the International region were up 4% to £1,316 million with Emerging Markets up 7% and Japan up 3%. In Emerging Markets, sales of Seretide were down 1% at £354 million, while Ventolin grew 10% to £157 million. In Japan, the growth in sales of Relvar Ellipta of 47% to £64 million more than offset the Adoair decline of 10%. Cardiovascular, metabolic and urology Q3 2016 (£206 million; down 22%) Sales in the category were down 22% to £206 million. The Avodart franchise was down 24% to £161 million, primarily due to a 84% decline in the US, following the launch of generic competition in Q4 2015. Sales of Eperzan/Tanzeum were £29 million in the quarter, primarily in the US. Prolia was divested at the end of 2015 and therefore no sales were recorded in Q3 2016, compared with £11 million in Q3 2015. 9 months 2016 (£626 million; down 16%) Sales in the category were down 16% to £626 million. The Avodart franchise was down 21% to £471 million, primarily due to a 67% decline in the US following the launch of generic competition in Q4 2015. Sales of Eperzan/Tanzeum were £83 million, primarily in the US. Prolia was divested at the end of 2015 and therefore no sales were recorded in 2016, compared with £31 million in the nine months of 2015. Immuno-inflammation Q3 2016 (£85 million; up 4%) Immuno-inflammation sales grew 4% to £85 million. Sales of Benlysta were £74 million, up 10%, with sales in the US of £66 million, up 8%, adversely impacted by stocking patterns in the quarter. 9 months 2016 (£228 million; up 11%) Immuno-inflammation sales grew 11% to £228 million. Sales of Benlysta were £217 million, up 19% with sales of £196 million, up 19%, in the US. Other pharmaceuticals Q3 2016 (£564 million; down 7%) Sales in other therapy areas decreased 7% to £564 million. Dermatology sales declined 10% to £96 million, adversely affected by supply constraints, while Augmentin sales grew 10% to £144 million. Sales of products for Rare diseases declined 1% to £108 million, including sales of Volibris, which were up 3% to £45 million. 9 months 2016 (£1,661 million; down 14%) Sales in other therapy areas decreased 14% to £1,661 million. Dermatology sales declined 14% to £280 million, adversely affected by supply constraints, while Augmentin sales declined 1% to £417 million. Sales of products for Rare diseases declined 1% to £306 million, including sales of Volibris, which were up 3% to £127 million. Established products Q3 2016 (£677 million; down 3%) Established products turnover fell 3% to £677 million, primarily reflecting a decline in International, including loss of exclusivity in Canada for Valtrex, partly offset by the phasing of tenders and phasing benefits ahead of systems upgrades. Sales of Lovaza in the US were down 42% to £12 million, and sales of Zeffix in International were down 10% to £30 million. 9 months 2016 (£1,888 million; down 9%) Established products turnover fell 9% to £1,888 million with Valtrex sales down 40% to £87 million. Zeffix sales were down 18% to £91 million and Lovaza sales in the US fell 55% to £35 million. |