H1 2021 results

On July 29, 2021 AstraZeneca reported that strong revenue growth of 23% (18% at CER1) in the half to $15,540m while, in the second quarter, revenue increased by 31% (25% at CER) to $8,220m (Press release, AstraZeneca, JUL 29, 2021, View Source [SID1234585451]). Excluding the contribution from the pandemic COVID-19 vaccine, revenue increased by 14% (9% at CER) in the half to $14,371m and by 17% (12% at CER) in the quarter to $7,326m. Further pipeline progress and the recent acquisition of Alexion Pharmaceuticals Inc. (Alexion) supports the Company’s transition to long-term sustainable growth. AstraZeneca is updating its full-year 2021 guidance to reflect the contribution of Alexion in the year.

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Pascal Soriot, Chief Executive Officer, commented: "AstraZeneca has delivered another period of strong growth thanks to robust performances across all regions and disease areas, particularly Oncology, New CVRM and Fasenra in Respiratory. As a result, we have delivered further earnings progression, supported ongoing launches, and continued our investment in R&D.

We continue to advance our portfolio of life-changing medicines with further significant progress across disease areas. In Oncology, we recently presented Lynparza’s OlympiA Phase III trial at the plenary session of the 2021 American Society of Clinical Oncology (ASCO) (Free ASCO Whitepaper) Annual Meeting, and we also shared the final results from Calquence’s head-to-head trial with ibrutinib. In BioPharmaceuticals, the US approved Farxiga for chronic kidney disease and granted tezepelumab Priority Review to treat patients with asthma. Alexion will enable us to enhance our pipeline, extending the Company’s presence in rare diseases and immunology with its complement biology.

Following the successful acquisition of Alexion, we are today updating our full-year 2021 guidance; our longterm goals to accelerate scientific discovery, invest for sustainable growth and deliver more benefits for patients remains unchanged."

Highlights of Total Revenue in the half included:-

An increase in Product Sales of 24% (19% at CER) to $15,302m. New medicines8 Total Revenue improved by 31% (27% at CER) in the half to $8,332m, including growth in Emerging Markets of 35% (29% at CER) to $1,895m. Globally, new medicines represented 54% of Total Revenue (H1 2020: 50%)

-Oncology growth of 19% (15% at CER) to $6,360m and an increase in New CVRM9 of 21% (16% at CER) to $2,731m. Similarly, Respiratory & Immunology (R&I) increased by 11% (6% at CER) to $2,970m, despite the adverse impact of mature, inhaled respiratory medicines on the performance in the half

-An increase in Emerging Markets of 26% (21% at CER) to $5,459m with the performance benefitting from sales of the pandemic COVID-19 vaccine of $455m. China growth of 21% (11% at CER) to $3,209m. In the US, Total Revenue increased by 16% to $4,834m and in Europe by 33% (21% at CER) to $3,261m, also benefitting from sales of the pandemic COVID-19 vaccine of $572m 2

Alexion, acquired by AstraZeneca on 21 July 2021, does not form any part of the Company’s financial results during the period. Alexion’s post-acquisition results will be consolidated post-completion and included in AstraZeneca’s year-to-date and Q3 2021 results to be announced on 12 November 2021. Details of the acquisition are included in the subsequent events note.

Guidance Following the completion of the acquisition of Alexion on 21 July 2021 and the issuance of new shares10, the Company is updating its FY 2021 guidance at CER to include the contribution from Alexion and reflect the increase in weighted average number of shares outstanding to 1,418 million. The previous expectations issued by both companies earlier in 2021 remain broadly in line with current assumptions and underpin the updated guidance: Total revenue is expected to increase by a low-twenties percentage, accompanied by a faster growth in Core EPS to $5.05 to $5.40. The guidance does not incorporate any revenue or profit impact from sales of the pandemic COVID-19 vaccine.

In general, AstraZeneca continues to recognise the heightened risks and uncertainties from the effects of COVID-19, including the impact from potential new medicines for COVID-19 in clinical development. Variations in performance between quarters can be expected to continue.

The Company is unable to provide guidance and indications on a Reported basis because AstraZeneca cannot reliably forecast material elements of the Reported result, 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.

Indications The Company provides indications for FY 2021 at CER:
-AstraZeneca continues its focus on improving operating leverage while allocating appropriate resources to continued investment in R&D, the support of newly launched medicines, and patient access in key markets to underpin long-term sustainable growth
-A Core Tax Rate of 18-22%. Variations in the Core Tax Rate between quarters are anticipated to continue Currency impact If foreign-exchange rates for July to December 2021 were to remain at the average of rates seen in the half, it is anticipated that there would be a low single-digit favourable impact on Total Revenue and Core EPS. The Company’s foreign-exchange rate sensitivity analysis is contained within the operating and financial review.

Financial summary-Total Revenue, comprising Product Sales and Collaboration Revenue, increased by 23% in the half (18% at CER) to $15,540m. Product Sales grew by 24% (19% at CER) to $15,302m, driven primarily by the performances of new medicines across Oncology and BioPharmaceuticals, including Tagrisso, Calquence and Farxiga. Total Revenue included $1,169m of pandemic COVID-19 vaccine sales-The Reported Gross Profit Margin11 declined by seven (six at CER) percentage points to 73.5% and the Core Gross Profit Margin declined by seven (six at CER) percentage points in the half to 73.8%.

The performance predominantly reflected the significant impact of the equitable supply, at no profit to AstraZeneca, of the pandemic COVID-19 vaccine, together with an increasing impact from profit-sharing arrangements, primarily Lynparza and roxadustat, and the impact of the Chinese National Reimbursement Drug List (NRDL) and the value-based procurement (VBP) patient-access programmes. A higher proportion of Oncology sales and increasing patient access in China partially offsets these impacts.

These variations in gross margin performance between periods can be expected to continue-Reported Total Operating Expense increased by 17% (12% at CER) in the half to $9,771m and represented 63% of Total Revenue (H1 2020: 66%). Core Total Operating Expense increased by 17% (12% at CER) to $8,511m and comprised 55% of Total Revenue (H1 2020: 57%) 3-Reported and Core R&D Expense increased in the half by 28% (22% at CER) to $3,542m and by 27% (21% at CER) to $3,439m, respectively.

The increases primarily reflected the Company’s continued investment in its COVID-19 vaccine and potential new medicines to prevent and treat COVID-19. The increases also reflected the investment in several late-stage Oncology trials, including datopotamab deruxtecan, and the advancement of a number of Phase II clinical development programmes in BioPharmaceuticals, mainly in CVRM-Reported SG&A Expense increased by 13% (7% at CER) in the half to $6,027m; Core SG&A Expense increased by 12% (7% at CER) to $4,870m, representing 31% of Total Revenue (H1 2020: 34%).

The increases were driven by additional SG&A investment in launches of Oncology medicines, the launch of several BioPharmaceutical medicines, particularly in the US, and AstraZeneca’s further expansion in China-Reported Other Operating Income and Expense12 increased by 117% (116% at CER) in the half to $1,308m. Core Other Operating Income and Expense increased by 117% (115% at CER) to $1,309m during the period. The growth predominately reflected the $776m of income from the divestment of AstraZeneca’s 26.7% share of Viela Bio, Inc. (Viela) as part of the acquisition by Horizon Therapeutics plc-The Reported Operating Profit Margin was stable in the half (increased by one percentage point at CER) to 19.4%; the Core Operating Profit Margin decreased by one percentage point (stable at CER) to 27.9%.

The performance predominately reflected the aforementioned one-time benefit from Other Operating Income and Expense11-Reported EPS of $1.61 in the half represented an increase of 37% (45% at CER). Core EPS grew by 26% (27% at CER) to $2.53. Reported and Core EPS were adversely impacted by $0.04 due to the pandemic COVID-19 vaccine-An unchanged first interim dividend of $0.90 (64.8 pence, 7.77 SEK) per ordinary share

EISAI LISTED FOR 20TH CONSECUTIVE YEAR IN FTSE4GOOD INDEX SERIES, AN INDEX FOR SOCIALLY RESPONSIBLE INVESTMENT

On July 29, 2021 Eisai Co., Ltd. (Headquarters: Tokyo, CEO: Haruo Naito, "Eisai") reported that it has been included in the FTSE4Good Index Series for the 20th consecutive year since its initial inclusion in 2002 (Press release, Eisai, JUL 29, 2021, View Source [SID1234585450]). The FTSE4Good Index Series is a global index series for socially responsible investment.

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The FTSE4Good Index Series is designed to help investors integrate the global standard factors of environmental, social and governance (ESG) into their investment decisions. Eisai received particularly high scores in "Corporate Governance", "Human Rights & Community", "Labor Standards", and "Anti-Corruption", among others. As of the end of June 2021, a total of 1,045 companies from around the world have been selected for the FTSE4Good Developed Index, including 204 companies from Japan.

Along with being listed in the FTSE4Good Index Series, Eisai is also listed in the MSCI Japan Empowering Women Index (WIN), the FTSE Blossom Japan Index, the MSCI Japan ESG Select Leaders Index, and S&P/JPX Carbon Efficient Index, which are the four ESG investment indices for Japanese stocks adopted by the Government Pension Investment Fund (GPIF).

Eisai’s corporate philosophy is to give first thought to patients and their families, and increase the benefits that health care provides as well as address diverse healthcare needs worldwide. By strengthening its ESG initiatives and increasing non-financial value, Eisai is striving to sustainably enhance corporate value based on this corporate philosophy.

QUARTERLY ACTIVITIES REPORT & 4C

On July 29, 2021 Patrys reported its Quarterly Activities Report and 4C for the quarter ended 30 June 2021 (Press release, Patrys, JUL 29, 2021, View Source [SID1234585449]).

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Our R&D program has continued to thrive, with significant progress in the development of our deoxymab antibodies.

Key achievements include:

New pharmacokinetic data highlighting the potential to use PAT-DX1 and PAT-DX3 for different therapeutic applications
Collaboration with Imagion Biosystems established to develop new, improved imaging agents for brain cancers using Patrys’ deoxymabs
Preclinical data supporting potential for PAT-DX1 to be used for primary and secondary brain cancers published in peer-reviewed scientific journal
The Company has a strong financial position, with cash and short-term investment balance of $10.9 M on 30 June 202, following the receipt of $627k from the R&D Tax Incentive Refund scheme.

BioTools Innovator Selects Ten Leading Life Science Startups for Inaugural Accelerator Finalists to Compete in Grand Finals for an Opportunity to Win up to $200,000 in Non-Dilutive Funding

On July 29, 2021 BioTools Innovator , a new program focused on accelerating life science tools and diagnostics, reported the ten companies selected to participate in the organization’s inaugural three-month virtual mentorship-focused Accelerator program (Press release, Research Corporation Tech, JUL 29, 2021, View Source [SID1234585448]). With in-depth, customized mentorship and support from senior industry leaders, finalists will compete for up to $200,000 in non-dilutive cash prizes during the final competition on October 15 in Carlsbad, Calif.

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The top ten leading-edge biotechnology startups are developing solutions for cell research, genomics, data and informatics, and synthetic biology and hail from across the U.S. and Europe.

BioTools Innovator’s 2021 Top 10 Accelerator Companies Include:

Celldom – San Carlos, Calif. Clara Biotech – Lawrence, Kan. Elemental Machines – Cambridge, Mass. Enrich Therapeutics – Branford, Conn. EpiCypher – Durham, N.C. Glyphic Biotechnologies – Cambridge, Mass. Kino Discovery – Irvine, Calif. lino Biotech – Zurich Machine Bio – Claremont, Calif. Stellate DNA – Farmington, Conn .

"Congratulations to the finalists selected for our first BioTools Innovator cohort, an impressive group of cutting-edge life science startups poised to advance research with exciting new innovations," said Kathryn Zavala, managing director of BioTools Innovator. "We built this Accelerator to support innovators in bringing their promising ideas to market. Together with our partners, we are proud to provide valuable education and expert mentorship to these entrepreneurs working to make a real impact on human health."

"As a founding partner of BioTools Innovator, we were honored to be part of the selection process for the companies that will participate in the first Accelerator program," said Shaun Kirkpatrick, president, RCT. "These talented entrepreneurs are developing technologies that could bring significant value to the life science research tools space, and we are eager to help accelerate these products towards commercialization and scale-up."

"The BioTools Innovator Accelerator cohort are developing products, platforms and services that have the potential to solve unmet needs in the industry," said Bill Snider, partner, BroadOak Capital Partners. "We look forward to sharing our expertise in helping life science companies grow and succeed with these entrepreneurs, and we look forward to supporting them in their journey to bring new innovations to the market."

The BioTools Innovator Capstone Event including the Final Competition will be held in Carlsbad, Calif. from October 14-15. Over 160 companies applied for the BioTools program, but only four startups from the 2021 BioTools cohort will advance to compete in the Grand Finals. The winning company, which will be determined by a live audience vote, stands to win a non-dilutive cash prize and the title of the BioTools Innovator 2021 Winner.

BioTools Innovator works closely with stakeholders across the industry to foster the growth of early to mid-stage startups. Funding for BioTools Innovator is provided by the Frederick Gardner Cottrell Foundation of Research Corporation Technologies, Inc. (RCT). Additional support is provided by BroadOak Capital Partners .

Results of Celsion’s OVATION 1 Study with GEN-1 in Patients with Advanced Ovarian Cancer Published in the Journal of Clinical Cancer Research

On July 29, 2021 Celsion Corporation (NASDAQ: CLSN), a clinical-stage company focused on DNA-based immunotherapy and next-generation vaccines, reported the publication of data from its Phase 1b OVATION 1 Study with GEN-1 in combination with neoadjuvant chemotherapy (NACT) in patients with advanced ovarian cancer in Clinical Cancer Research, a journal of the American Association for Cancer Research (AACR) (Free AACR Whitepaper) (Press release, Celsion, JUL 29, 2021, View Source [SID1234585425]). The study, authored by Premel H. Thaker, et al. is titled "GEN-1 in Combination with Neoadjuvant Chemotherapy for Patients with Advanced Epithelial Ovarian Cancer: A Phase I Dose-Escalation Study." The publication is available here.

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GEN-1 is a DNA-based interleukin-12 (IL-12) immunotherapy currently in Phase I/II clinical development for the localized treatment of advanced ovarian cancer (the OVATION 2 Study). GEN-1 is an immunotherapy that produces safe and durable local levels of IL-12, a pluripotent cytokine associated with the stimulation of innate and adaptive immune response against cancer. The GEN-1 nanoparticle comprises a DNA plasmid encoding IL-12 gene and a synthetic polymer facilitating plasmid delivery vector. Premal H. Thaker, M.D., M.S., Professor of Gynecologic Oncology and Director of Gynecologic Oncology Clinical Research at the Washington University School of Medicine at Washington University Medical Center in St. Louis, is the study chair for the OVATION program.

The OVATION 1 Study enrolled 18 patients with newly diagnosed stage IIIC and IV epithelial ovarian cancer in a standard 3+3 dose-escalation design testing four GEN-1 doses (36 mg/m2, 47 mg/m2, 61 mg/m2 and 79mg/m2) in combination with NACT (carboplatin-paclitaxel). There were 15 patients evaluable for safety, and 14 underwent interval debulking and were evaluable for Response Evaluation Criteria in Solid Tumors (RECIST).

As previously reported, there were no dose-limiting toxicities. As shown in the chart below, in the two highest doses of GEN-1 the objective response rate was 100% and the R0 resection rate was 88%. Newly published data show the chemotherapy response score (CRS), which is analyzed in this paper for the first time, was 50% in the two highest doses of GEN-1, compared with 28% from a major publication evaluating CRS scoring. The chemotherapy response score is a three-tier standardized scoring system for histological tumor regression into complete/near complete (CRS 3), partial (CRS 2) and no/minimal (CRS 1) response based on omental examination. Like R0 resection rates, CRS 3 response is believed to be a predictor of progression-free survival.

Clinical Responses: Tumor Response, Surgical Outcome, Pathological Response and Chemotherapy Response Score with NAC/GEN-1 escalating doses

Radiographic Response Total (n) Cohort 1
36 mg/m2 Cohort 2
47 mg/m2 Cohort 3
61 mg/m2 Cohort 4
79 mg/m2
Tumor Response

CR 2 1 0 0 1
PR 10 0 3 3 4
SD 2 2 0 0 0
Objective Response Rate 67 % 100 %
Surgical Outcome

R0 9 2 0 2 5
R1 3 1 2 0 0
R2 2 0 1 1 0
R0 Resection Rate 33 % 88 %
Pathological Response

cPR 1 1 0 0 0
Micro 8 1 2 1 4
Macro 5 1 1 2 1
cPR/Micro Rate 60 % 63 %
Chemotherapy
Response
Score

CRS 3 5 1 0 2 2
CRS 2 5 2 1 0 2
CRS 1 4 0 2 1 1
CRS 3 Rate 17 % 50 %
Commenting on the abstract, Dr. Thaker said, "My colleagues and I are very encouraged by the data generated from the OVATION 1 Study, which is informing the ongoing Phase I/II OVATION 2 Study. Importantly, the repeated durable increase in lL-12 and IFN-γ levels at the tumor site for an eight-week treatment period provides for a pharmacologic remodeling of the tumor microenvironment. These immunomodulatory effects of GEN-1 may result in an increased sensitivity of tumor microenvironment to other anticancer agents including cytotoxic drugs and immunotherapies such as checkpoint inhibitors and adaptive T cell therapies. The OVATION 2 Study of concurrent GEN-1 at a dose of 100 mg/m2 weekly for up to 17 doses administered during chemotherapy is actively recruiting."

Translational Responses: IL-12 and IFN-γ Levels, Response to Immune-Suppressive Agents; Ratio of CD8+ cells to Immune Suppressive Agents

Results from translational studies show the following:

A dose-dependent increase in immunostimulatory cytokines IL-12 and its downstream cytokine IFN-γ in ascitic fluid. The anticancer effects of these cytokines are widely recognized in human malignancies.
The proportion of myeloid dendritic cells in the peritoneal fluid trended higher (3.1-fold) accompanied by a similar 3.0-fold rise in CD8+ cells.
GEN-1 appeared to reduce four immunosuppressive signals (Foxp3, IDO1, PD-1 and PD-L1) within the tumor microenvironment, a trend not seen with NAC therapy alone.
GEN-1 also appeared to stimulate the body’s immune system through the production of CD4 and CD8 cells.
GEN-1 gene therapy was associated with an apparent increase in the cytotoxic state of T cells within the tumor microenvironment as indicated by the increases in the ratios of CD8+/CD4+ and CD8+/Treg cells. Indeed, higher CD8+/CD4+ T cell and CD8+/Treg ratios are considered prognostic for prolonged survival.
Junko Matsuzaki, Ph.D., Director of the Immune Analysis Facility at Roswell Park Comprehensive Cancer Center in Buffalo, N.Y. and a study author, said, "The results from our translational studies show the activation of a multitude of immune responses following GEN-1 + NAC treatment. The multifactorial nature of GEN-1 immune response built on a durable local production of IL-12 may be activating the innate and adaptive immune system creating a unique microenvironment potentially favorable to anti-tumor responses and also conducive to other therapeutic drugs that may be suboptimal as single agents due to the highly immunosuppressive tumor microenvironment in ovarian cancer. The peritoneal cavity of advanced ovarian cancer patients contains the primary tumor environment and is an attractive target for a regional approach to immune modulation."

Nicholas Borys, M.D., Chief Medical Officer of Celsion, said, "We are delighted that our OVATION 1 Study has been published in the Journal of Clinical Cancer Research. As patients with advanced ovarian cancer have a poor prognosis, these data are particularly encouraging. We believe this publication will create additional awareness of the work we are doing to treat these patients and provide them with new hope. While we know that R0 resection scores are important to survival and that GEN-1 has exhibited impressive R0 scores, its ability to improve CRS is also compelling. Adding GEN-1 to standard neoadjuvant chemotherapy is safe, appears to be clinically active with translational data suggesting a positive impact on the tumor microenvironment."

About the Journal of Clinical Cancer Research

The Journal of Clinical Cancer Research is a publication of the American Association for Cancer Research (AACR) (Free AACR Whitepaper). It publishes innovative clinical and translational cancer research studies that bridge the laboratory and the clinic. The Journal is especially interested in clinical trials evaluating new treatments, accompanied by research on pharmacology, and molecular alterations or biomarkers that predict response or resistance to treatment. The Journal also prioritizes laboratory and animal studies of new drugs and molecule-targeted agents with the potential to lead to clinical trials, and studies of targetable mechanisms of oncogenesis, progression of the malignant phenotype and metastatic disease.

About Epithelial Ovarian Cancer

Epithelial ovarian cancer (EOC) is the 5th deadliest malignancy among women in the United States. There are approximately 22,000 new cases of ovarian cancer every year and the majority (approximately 70%) are diagnosed in advanced stages III and IV. EOC is characterized by dissemination of tumor in the peritoneal cavity with a high risk of recurrence (75%, stage III and IV) after surgery and chemotherapy. Since the 5-year survival rates of patients with stages III and IV disease at diagnosis are poor (41% and 20%, respectively), there remains a need for a therapy that not only reduces the recurrence rate but also improves overall survival. The peritoneal cavity of advanced ovarian cancer patients contains the primary tumor environment and is an attractive target for regional approach to immune modulation.