Pharmaceuticals turnover in the nine months was £12,459 million, down 2% AER but up 2% CER, driven primarily by the growth in HIV sales, which were up 8% AER, 12% CER to £3,446 million, reflecting further strong performances by Triumeq and Tivicay and continued growth from Juluca. Respiratory sales declined 3% AER but grew 1% CER, to £4,937 million, with growth from the Ellipta portfolio and Nucala partly offset by lower sales of Seretide/Advair. Sales of Established Pharmaceuticals fell 10% AER, 6% CER. In the US, sales declined 4% AER but grew 2% CER, with growth in the HIV portfolio and Benlysta offsetting declines in Established Pharmaceuticals and Respiratory. In Europe, sales grew 1% AER but declined 1% CER, with growth in the Respiratory portfolio only partly offsetting the continued impact of generic competition to Epzicom and Avodart. International sales declined 2% AER but grew 4% CER, driven by HIV and the new Respiratory portfolio. Respiratory Total Respiratory sales declined 3% AER but grew 1% CER, with the US down 8% AER, 3% CER. In Europe, sales grew 4% AER, 3% CER and International sales were flat at AER but up 6% CER, driven primarily by higher sales in Japan. Growth from the Ellipta portfolio and Nucala was offset by lower sales of Seretide/Advair. Sales of Nucala were £390 million in the nine months, up 75% AER, 81% CER, continuing to benefit from the global rollout of the product. US sales of Nucala grew 53% AER, 61% CER to £234 million. Sales of Ellipta products were up 26% AER, 31% CER, driven by continued growth in all regions. In the US, sales grew 20% AER, 27% CER, reflecting further market share gains, partly offset by the impact of continued competitive and pricing pressures, particularly for ICS/LABAs. In Europe, sales grew 38% AER, 37% CER, and International sales grew 34% AER, 42% CER. Sales of Trelegy Ellipta, our new once daily closed triple product, contributed £79 million to total Ellipta sales, benefiting from an expanded label in the US. Relvar/Breo Ellipta sales grew 6% AER, 11% CER, to £756 million, primarily driven by growth in Europe, which was up 23% AER, 22% CER to £182 million, and in International, which was up 27% AER, 33% CER to £179 million. In the US, Breo Ellipta sales declined 6% AER, 1% CER, with volume growth of 32%, reflecting continued market share growth, more than offset by the combined impact of prior period payer rebate adjustments and increased competitive pricing pressures. Anoro Ellipta sales grew 42% AER, 48% CER to £332 million, driven by gains in the US. All Ellipta products, Breo, Anoro, Incruse, Arnuity and Trelegy, continued to grow market share in the US during the nine months. Sales of New Respiratory products, comprising Ellipta products and Nucala, grew 34% AER, 40% CER to £1,785 million. Seretide/Advair sales declined 24% AER, 21% CER to £1,775 million. Sales of Advair in the US declined 34% AER, 30% CER (6% volume decline and 24% negative impact of price) primarily reflecting increased competitive pricing pressures. In Europe, Seretide sales were down 19% AER, 20% CER to £449 million (12% volume decline and an 8% price decline). This reflected continued competition from generic products and the transition of the Respiratory portfolio to newer products. In International, sales of Seretide were down 10% AER, 5% CER, to £528 million (5% volume decline and no price impact), with a decline in markets with generic competition partly offset by growth from certain other developing markets. HIV HIV sales increased 8% AER, 12% CER to £3,446 million in the nine months, with the US up 7% AER, 13% CER, Europe up 7% AER, 6% CER and International up 14% AER, 21% CER. The growth was driven by increased market share for Triumeq and Tivicay with sales of £1,957 million and £1,187 million, respectively, in the nine months. Juluca was approved in the US in November 2017 and recorded sales of £71 million in the nine months. This growth was partly offset by the impact of generic competition to Epzicom/Kivexa, particularly in Europe. Sales declined 54% AER, 52% CER to £87 million. Immuno-inflammation Sales in the nine months were up 20% AER, 26% CER, primarily driven by Benlysta, which grew 21% AER, 27% CER to £335 million. In the US, Benlysta grew 19% AER, 25% CER to £299 million. Established Pharmaceuticals Sales of Established Pharmaceuticals were £3,740 million, down 10% AER, 6% CER, with the decline partly mitigated by favourable prior period payer rebate adjustments and some post-divestment inventory sales. The Avodart franchise was down 9% AER, 6% CER to £423 million, primarily due to the loss of exclusivity in Europe, with the US generic impact now broadly annualised. Coreg franchise sales declined 68% AER, 67% CER to £36 million following a generic Coreg CR entrant to the US market in Q4 2017. Augmentin sales declined 5% AER but grew 1% CER to £424 million with improved demand in Emerging Markets. |