Full-Year and Q4 2017 Results - Live presentation, conference call and webcast for investors and analysts 2 February 2018 - AstraZeneca

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Full-Year and Q4 2017 Results - Live presentation, conference call and webcast for investors and analysts 2 February 2018 - AstraZeneca
Full-Year and Q4 2017 Results

Live presentation, conference call and webcast for investors and analysts   2 February 2018
Full-Year and Q4 2017 Results - Live presentation, conference call and webcast for investors and analysts 2 February 2018 - AstraZeneca
Forward-looking statements

    In order, among other things, to utilise the 'safe harbour' provisions of the US Private Securities Litigation Reform Act 1995, we are providing the following cautionary
    statement:
    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 we believe our 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 AstraZeneca undertakes no obligation to update these forward-looking statements. We identify 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 our control, include, among other things: the loss or expiration of, or
    limitations to, patents, marketing exclusivity or trademarks, or the risk of failure to obtain and enforce patent protection; effects of patent litigation in respect of IP rights;
    the impact of any delays in the manufacturing, distribution and sale of any of our products; the impact of any failure by third parties to supply materials or services; the
    risk of failure of outsourcing; the risks associated with manufacturing biologics; the risk that R&D will not yield new products that achieve commercial success; the risk
    of delay to new product launches; the risk that new products do not perform as we expect; the risk that strategic alliances and acquisitions, including licensing and
    collaborations, will be unsuccessful; the risks from pressures resulting from generic competition; the impact of competition, price controls and price reductions; the
    risks associated with developing our business in emerging markets; the risk of illegal trade in our products; the difficulties of obtaining and maintaining regulatory
    approvals for products; the risk that regulatory approval processes for biosimilars could have an adverse effect on future commercial prospects; the risk of failure to
    successfully implement planned cost reduction measures through productivity initiatives and restructuring programmes; the risk of failure of critical processes affecting
    business continuity; economic, regulatory and political pressures to limit or reduce the cost of our products; failure to achieve strategic priorities or to meet targets,
    expectations, guidance or indications of failure to adhere to applicable laws, rules and regulations; the risk of failure to adhere to applicable laws, rules and regulations
    relating to anti-competitive behaviour; the impact of increasing implementation and enforcement of more stringent anti-bribery and anti-corruption legislation; taxation
    risks; exchange rate fluctuations; the risk of an adverse impact of a sustained economic downturn; political and socio-economic conditions; the risk of environmental
    liabilities; the risk of occupational health and safety liabilities; the risk associated with pensions liabilities; the impact of failing to attract and retain key personnel and to
    successfully engage with our employees; the risk of misuse of social medial platforms and new technology; and the risk of failure of information technology and
    cybercrime. Nothing in this presentation or any related webcast should be construed as a profit forecast.

2
Full-Year and Q4 2017 Results - Live presentation, conference call and webcast for investors and analysts 2 February 2018 - AstraZeneca
Presenters

        Pascal Soriot             Mark Mallon                    Dave Fredrickson
        Executive Director and    Executive Vice President,      Executive Vice President and
        Chief Executive Officer   Global Products & Portfolio    Head, Oncology Business Unit
                                  Strategy, Global Medical
                                  Affairs, Corporate Affairs

        Marc Dunoyer              Sean Bohen
        Executive Director and    Executive Vice President,
        Chief Financial Officer   Global Medicines Development
                                  and Chief Medical Officer

3
Full-Year and Q4 2017 Results - Live presentation, conference call and webcast for investors and analysts 2 February 2018 - AstraZeneca
Agenda

       Overview

       Growth Platforms
                                     Pancreatic beta cells at different
                                stages of regeneration: AstraZeneca
                                   is investing in research that could

       Oncology                    stimulate the regeneration of beta
                                 cells in the pancreas with the aim of
                                       stopping the progression of, or
                                   reversing, the course of diabetes.

       Finance

       Pipeline and news flow

       Closing and Q&A

4
Full-Year and Q4 2017 Results - Live presentation, conference call and webcast for investors and analysts 2 February 2018 - AstraZeneca
Highlights
    Full-Year 2017: Encouraging progress across the company
    Business & financials

    Total Revenue declined by 2%, with Product Sales improving during the year (+3% Q4 vs. -5% FY)

    Product Sales
    • Oncology: Encouraging growth across all major medicines
    • CVMD*: Brilinta (+29%) and Farxiga (+28%) now blockbusters (>$1bn)
    • Respiratory: Quarterly Symbicort improvement; Fasenra launch
    • Emerging Markets: +8%; accelerating in Q4
      • China: +15%, including growth of +30% in Q4

    Core EPS better than expected due to Product Sales, including sales true-ups, and tax rate

    Guidance: FY 2018
    • A low single-digit percentage increase in Product Sales and Core EPS in the range of $3.30 to $3.50

    Sustainability
    • AstraZeneca ranked 34th in Corporate Knights’ 14th annual Global 100 list of the most sustainable companies in the world
    • AstraZeneca identified as a ‘biggest achiever’ for a 300% increase in renewable electricity in a single year
    * Cardiovascular and Metabolic Diseases.
    Absolute values at actual exchange rates; change at Constant Exchange Rates (CER) and for FY 2017, unless otherwise stated.
    Guidance at CER.
5
Full-Year and Q4 2017 Results - Live presentation, conference call and webcast for investors and analysts 2 February 2018 - AstraZeneca
Highlights continued
    News flow continued at high speed in the period
    Pipeline developments

      Oncology                                         • Faslodex                                       breast cancer (combinations)                         Approval (US, EU)
                                                       • Lynparza                                       ovarian cancer 2L                                    Approval (JP), Priority review (CN)
                                                                                                        breast cancer                                        Approval (US)
                                                       • Tagrisso                                       lung cancer 1L (FLAURA)                              Regulatory submission acceptance
                                                                                                                                                             (US - Priority Review, EU, JP)

      Cardiovascular and                               • Bydureon + insulin                             type-2 diabetes                                      Approval (EU)
      Metabolic Diseases                               • ZS-9                                           hyperkalaemia                                        Regulatory submission (US)
                                                                                                                                                             CHMP positive opinion reiterated (EU)
                                                       • roxadustat                                     anaemia                                              Priority review (CN)1

      Respiratory                                      • Fasenra (benralizumab)                         severe, uncontrolled asthma                          Approval (US, EU, JP)
                                                       • PT010                                          COPD2                                                Phase III KRONOS trial - most primary endpoints
                                                                                                                                                             met3
                                                       • tezepelumab                                    severe, uncontrolled asthma                          Phase III programme initiated
    1. By partner Fibrogen.
    2. Chronic obstructive pulmonary disease.
    3. Eight of the nine primary endpoints in the KRONOS trial were met, including two non-inferiority endpoints to qualify PT009, one of the comparators.
    Status since the previous results announcement on 9 November 2017.
6
Product Sales: Improving momentum

             US patent losses
             (Crestor/Nexium/Seroquel)

                                                                                    Externalisation
             Other out-of-patent medicines                                       Emerging Markets
             (outside Emerging Markets)                                    (established medicines)

                                                                                        Respiratory
                                                                                                           +6%
                                                                                          Oncology         FY 2017
                                                                                 Brilinta & Diabetes
                                                                                                           (+11% Q4 2017)
     FY 2012                             FY 2013   FY 2014   FY 2015   FY 2016                   FY 2017

    Absolute values and change at CER.
7
2017: A defining year

                                    Launches of new medicines                            Some of the key news flow
                                     from main therapy areas                            opportunities we had in 2017

                                                                       ü        Imfinzi      ü          ZS-9        û         Fasenra       ü
                                                                            bladder cancer         hyperkalaemia               asthma

                                                                       ü     reg. decision          reg. decision           reg. decision

                                                                       ü      Imfinzi        ü        Imfinzi       û       Tagrisso        ü
                                                                                                  Imfinzi + treme
                                                                       ü   NSCLC* Stage III
                                                                            PACIFIC PFS
                                                                                                    NSCLC 1L
                                                                                                   MYSTIC PFS
                                                                                                                            NSCLC 1L
                                                                                                                             FLAURA

                                                                       ü
                                                                                          Lynparza        ü          Calquence      ü
         2012               2013         2014    2015   2016    2017                   multiple cancers             blood cancer
                                                                                        reg. decision               reg. decision

    * Non-small cell lung cancer.
8
2018: Focus on return to growth
    Momentum improved during 2017
                                        Significantly-improved momentum                        Many opportunities to support growth in 2018
                                        (FY 2010 - Q4 2017 Product Sales growth)

                                                                                               Lynparza                           Tagrisso                            Imfinzi
                                                                                               launched tablet                launch in 1st line lung           launch in Stage III lung
                                                                                          launched in breast cancer           cancer (FLAURA trial)              cancer (PACIFIC trial)
                                                   Diabetes
                                                   Alliance
     Product Sales growth (%)

                                                     BMS

                                                                                                                  Brilinta                              Farxiga
                                                                                                               continued global                 continued global growth,
                                                                                                                    growth                           DECLARE trial

                                                                                                         Crestor                              Fasenra
                                                                                                      loss of exclusivity                 launched in severe,
                                                                                                           (EU, JP)                       uncontrolled asthma

                                 FY   FY   FY   FY   FY   FY   FY   Q1   Q2   Q3   Q4
                                2010 2011 2012 2013 2014 2015 2016 2017 2017 2017 2017   Low single-digit percentage increase in Product Sales

    Change (Product Sales growth) and 2018 guidance at CER.
9
Agenda

     Overview

     Growth Platforms
                                   Pancreatic beta cells at different
                              stages of regeneration: AstraZeneca
                                 is investing in research that could

     Oncology                    stimulate the regeneration of beta
                               cells in the pancreas with the aim of
                                     stopping the progression of, or
                                 reversing, the course of diabetes.

     Finance

     Pipeline and news flow

     Closing and Q&A

10
Growth Platforms: Improved momentum
 China and New Oncology were top contributors

                                                                      Q4 2017                                    % Total   % Product   FY 2017              % Total   % Product
                                                                                           % change              Revenue     Sales
                                                                                                                                                 % change   Revenue     Sales
                                                                        $m                                                               $m

                       Growth Platforms                                 4,180                    12                72         76       15,231       6         68         76

                       Emerging Markets                                 1,630                      9                -          -       6,149        8          -          -

                       Respiratory                                      1,334                      8                -          -       4,706       (1)         -          -

                       New CVMD                                         1,024                    21                 -          -       3,567        9          -          -

                       Japan                                             563                       2                -          -       2,208        4          -          -

                       New Oncology                                      437                    100                 -          -       1,313       98          -          -

 Total Product Sales for Growth Platforms are adjusted to remove duplication on a medicine and regional basis.
 Product Sales values at actual exchange rates; change at CER.
11
Main therapy areas: Growth in all areas
 New framework for reporting of Product Sales

                                                                             Q4 2017                                        % Product                  FY 2017                % Product
                                                                                                    % change                                                       % change
                                                                               $m                                             Sales                      $m                     Sales

                         Product Sales                                        5,487                        3                      100                  20,152        (5)        100

                         Oncology                                             1,120                       19                       20                    4,024       19          20

                         New CVMD                                             1,024                       21                       19                    3,567        9          18

                         Respiratory                                          1,334                        8                       24                    4,706       (1)         23

                         Emerging Markets                                     1,630                        9                       30                    6,149        8          31

 The individual components of Product Sales do not add up due to overlaps in Emerging Markets and the omission of products outside the three main therapy areas.
 Product Sales values at actual exchange rates; change at CER.
12
Emerging Markets
 China growth accelerated
                                Product Sales accelerated                                                     China growth was a highlight;
                         Long-term target: Mid to high single-digit                                              other EMs solid overall
                                                                                  9%
                                     12% 12%                                                8%      •   Mid to high single-digit growth in EMs continued
      Emerging Markets

                                                             Emerging Markets
                               8%                      8%
                                                                                                        • Growth impacted by economic conditions in Russia
                                                 6%                                                       and parts of LatAm/MEA*
                         4%

                                                                                                    •   Oncology +20%: Lung cancer $0.4bn; Iressa (+8%)
                          FY   FY   FY   FY   FY   FY
                                                                                                        and Tagrisso launched. Hormone-receptor medicines
                         2012 2013 2014 2015 2016 2017                          Q4 2017   FY 2017       $0.7bn with Faslodex (+18%)
                                     22%
                         17%
                               19%                                               30%                •   New CVMD +23%: Key medicines continued to grow;
                                           15%         15%
                                                                                                        Brilinta (+21%) and Forxiga, largest Diabetes
      China

                                                             China

                                                 10%
                                                                                           15%          medicine (+73%)

                                                                                                    •   Respiratory +13%: Continued double-digit growth for
                          FY   FY   FY   FY   FY   FY                                                   Pulmicort (+23%; 61% of total); Symbicort (+10%)
                         2012 2013 2014 2015 2016 2017                          Q4 2017   FY 2017

 * Latin America and Middle-East & Africa.
 Change at CER.
13
Emerging Markets - additional analysis
 Strong growth driven by underlying demand
                                            Impact of partnerships and divestments                                                                                       China Inventory

     • China growth reduced by                                        • Emerging Markets outside China                                         • China growth was not materially
       partnerships and divestments                                     kept good momentum when                                                  impacted by inventory changes
                                                                        adjusting for partnerships and
                                                                        divestments                                                                                                49             48 47
                                                            22%                                                                                                    41                   43
                                                                                                                                                                        37 39 37             39
                                                                                                                                                                                                          35 36

                                                                         Emerging Markets (excl.
                                                   18%
      China Growth Rate

                                                            7%

                                                                                                                                                  Inventory Days
                                                    8%

                                                                                                                                                      China
                                                                                China)
                                   22%                                                                                               5%
                           19%                                                                                      10%     4%
                                           15%              15%                                              8%
                                                                                                                            1%      3%
                                                   10%
                                                                                                     4%
                                                                                                                            3%
                                                                                                                                    2%

                                                                                                                                                  FY 013
                                                                                                                                                  FY 014

                                                                                                                                                   1 5
                                                                                                                                                  Q 016
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                                                                                                                                                        17
                                                                                                                                                  Q 01

                                                                                                                                                     20
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                                                                                                                                                   4
                          FY 2013 FY 2014 FY 2015 FY 2016 FY 2017                                  FY 2013 FY 2014 FY 2015 FY 2016 FY 2017

                                                                                                                                                  FY
 Chart legend: Product Sales Partnerships and divestments           Chart legend: Product Sales Partnerships and divestments                 Chart legend: 2012 2013 2014 2015 2014 2015
 Change at CER.
14
Respiratory
 Symbicort sustained in a competitive market
              Steady Pulmicort growth                                          Symbicort US and Europe                                                                                      Global focus: Emphasis on
     $m                                                                          market share stable                                                                                      Symbicort’s competitive profile
     1,500                                5,000
                                                            -1%
                     8%                                                                                                                                                                  US -8%
                                                            3%                                                                                                                           • Symbicort access maintained, but

                                                                              US 5-week NBRx
                    15%                                                                                                                                                         33.0%

                                                                                market share
                                          4,000                                                                                                                                            pricing pressure remained despite
                                                            12%
                    26%                                                                                                                                                                    some improvement in H2 2017
     1,000
                                                                                                                                                                                         • Growth in new medicines

                                                                            Jan-17
                                                                                               Feb-17
                                                                                               Mar-17
                                                                                                        Apr-17
                                                                                                                 May-17
                                                                                                                          Jun-17
                                                                                                                                   Jul-17
                                                                                                                                            Aug-17
                                                                                                                                                     Sep-17
                                                                                                                                                              Oct-17
                                                                                                                                                                       Nov-17
                                                                                                                                                                                Dec-17
                                          3,000
                                                                                                                                                                                           • Daliresp (+25%); Bevespi
                                                            -6%                                                                                                                               progressed
                     0%
                                          2,000
      500                                                                                                                                                                                Europe -5%
                                                                                                                                                                                         • Overall stable Symbicort volume
                                                                            Europe volume
                                                                                                                                                                                30.0%
                                                                             market share
                                          1,000
                                                                                                                                                                                         Emerging Markets +13%
                                                                                            Nov-16
                                                                                            Dec-16
                                                                                            Jan-17
                                                                                            Feb-17
                                                                                            Mar-17
                                                                                            Apr-17
                                                                                            May-17
                                                                                            Jun-17
                                                                                             Jul-17
                                                                                            Aug-17
                                                                                            Sep-17
                                                                                            Oct-17
                                                                                            Nov-17
          0                                    0
                  Q4 2017                               FY 2017

 Chart legend: Symbicort Pulmicort Others                         NBRx = New-to-brand prescriptions.
 Absolute values at actual exchange rates; change at CER.         Source: IQVIA, formally Quintiles IMS Holdings, Inc..
15
Fasenra: Our first respiratory biologic                                          28-51%                     1

 Now approved in the US, the EU and Japan                                      reduction in the annual asthma
                                                                             exacerbation rate versus placebo

                                                                            116-159mL                        1

                                                                                significant improvement in lung
                                                                               function as measured by forced
                                                                              expiratory volume in one second
                                                                                         (FEV1) versus placebo

                                                                                              75%
                                                                               reduction in median OCS2 dose
                                                                                                             1

                                                                            from baseline (vs 25% for placebo)
                                                                             and discontinuation of OCS use in
                                                                                       52% of eligible patients

 1. Source: Summary of product characteristics, AstraZeneca data on file.
 2. Oral corticosteroids
16
New CVMD
 Brilinta and Farxiga each reached >$1bn milestone
           Brilinta: Blockbuster                                                       Diabetes: Farxiga blockbuster                                                    Commercial focus maintained
     $m US NBRx continued to grow                                                    $m Global leadership ongoing                                                       on the two largest medicines
                                                                                     800                                        2,500                 2%
                                                                                                         20%
     300                                           1,000
                                                                                                                                                                      Brilinta +29%
                                                                                                                                2,000
                     -8%                                         21%                 600                  2%                                          -1%             • Sustained solid growth in all
     200                                                                                                                        1,500
                     15%                                         13%                 400                 19%                                          -16%              regions
                                                    500                                                                         1,000
     100             47%                                         46%                                     37%                                          28%
                                                                                     200                                             500
                                                                                                                                                                      Farxiga +28%
       0                                              0                                  0                                             0
                    Q4 2017                                     FY 2017                                 Q4 2017                                   FY 2017
                                                                                                                                                                      • US (+7%) continued growth;
                                                                                                                                                                        stable share in a growing market
                               Brilinta                Competitor                                           Farxiga                        Competitor 1
                                                                         16.6%                              Competitor 2
                                                                                                                                                             40.6%
                                                                                                                                                                      • Ex-US (54% of total)
                                                                                                                                                                        Continuous strong growth, e.g.
                                                                                                                                                             34.9%
                                                                          4.2%                                                                                          Emerging Markets (+73%),
                                                                                                                                                             17.0%      Europe (+28%)
           Jun-16

                      Sep-16

                                 Dec-16

                                                       Jun-17

                                                                Sep-17

                                                                         Dec-17

                                                                                               Nov-16

                                                                                                                                             Aug-17

                                                                                                                                                             Nov-17
                                          Mar-17

                                                                                                               Feb-17

                                                                                                                            May-17
 Chart legend: US Europe Emerging Markets Established Rest of World               Chart legend: Farxiga Onglyza Bydureon Byetta Others
 Absolute values at actual exchange rates; change at CER.                         Source: IQVIA, formally Quintiles IMS Holdings, Inc., Farxiga: Includes fixed-
 Source: IQVIA, formally Quintiles IMS Holdings, Inc.,                            dose combinations.
17
Japan
 Tagrisso supported the sustained growth; Crestor offset
                    Growth ongoing                                Key medicines remained                      Tagrisso: Back to growth
     $m             +2% Q4; +4% FY                                 volume-share leaders                    $m  after Ryotanki1 lift in Q2
     600                              2,400                  •   Symbicort
                                                                 In-market growth; sales reduced by
                 -11%                                 0%         tough comparison and partner buying       70
                                      2,000                                                                                                                  64
                 67%                                  n/m                                                                                                                  61
                                                             •   Tagrisso                                  60                                                         55
     400
                  -6%
                                      1,600
                                                      4%         Continued strong growth; sequential
                                                                 maturation due to 90%+ testing and        50
                                                                 prescription rate                                                           39      39
                 -21%                 1,200           -4%                                                  40
                                                             •   Nexium                                                             28
                                                                 Tough comparison; remained market         30
                 10%
     200                                 800          -6%        leader in the class
                                                                                                           20               15
                                         400
                                                             •   Crestor
                                                                                                           10
                                                                 Decline as a result of 20+ generic
                                                                                                                     0
                                                                 competitors                                 0
       0                                    0                                                                      Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4
               Q4 2017                             FY 2017   •   New approvals: Lynparza and Fasenra              2016 2016 2016 2016 2017 2017 2017 2017

 Chart legend: Other Crestor Nexium Tagrisso Symbicort                                                 1. Ryotanki: Regulation in Japan that restricts prescriptions for
 Absolute values at actual exchange rates; change at CER.                                                 medicines in their first year on the market to just two weeks.
18
Oncology
 Growth being delivered
                       Oncology Product Sales
     $m             New medicines boosting growth                                                           • Total Oncology +19%
     1,200
                                                                                                             • 20% of total Product Sales
     1,000
                                                                                                             • Faslodex approaching $1bn
      800
                                                                                                            • Six new medicines 2014-2020, with four
      600
                                                                                                             delivered
      400
                                                                                                             • Lynparza: Growth accelerating
      200
                                                                                                             • Tagrisso: Success in 2L; preparing for 1L
          0
                                                                                                             • Imfinzi: Q4 inflection point
          14

               14

                        14

                               14

                                       15

                                            15

                                                    Q 15

                                                    Q 015

                                                    Q 16

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       20

              20

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      1

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                                                      1

                                                      2

                                                      3

                                                      4
                                                                                                             • Calquence: Encouraging early uptake
                                                     1
     Q

          Q

                Q

                        Q

                               Q

                                       Q

                                             Q

               Othe r      Zo ladex    Fa slodex    Ire ssa   Lynparza   Ta grisso   Imfin zi   Calquence

 Absolute values at CER.
19
Lynparza
 The leading PARP inhibitor with revitalised US growth
        Continued strong growth                                                 Strong US sales momentum         MRK collaboration update
     $m   +58% Q4; +35% FY                                                      Europe awaiting new tablet

                                                                         • US +11%, but +74% in Q4           • Continued integration of both
                                                                           Continued strong growth;            development and commercial
     100
                                                                           launch of tablets and the broad     efforts
                                                                           label in OC1
      80
                                                                                                             • Joint US field force being
      60
                                                                         • Europe +58%                         deployed. Other countries to follow
                                                                           Steady progress in 2L OC;
      40
                                                                           awaiting tablet label

      20
                                                                         • Next commercial milestones
                                                                           • BC2 launch in US (ongoing)
       0                                                                   • First launch in Japan; OC
                                                                             (ongoing) followed by BC (H2)
      2 5
      3 5
      4 5
      1 5
      2 6
      3 6
      4 6
      1 6
      2 7
      3 7
      4 7
           17
     Q 01
     Q 01
     Q 01
     Q 01
     Q 01
     Q 01
     Q 01
     Q 01
     Q 01
     Q 01
     Q 01
        20

                                                                           • Tablets in Europe (H1)
        2
        2
        2
        2
        2
        2
        2
        2
        2
        2
        2
      1
     Q

 Chart legend: US Europe Emerging Markets Established Rest of World   1. Ovarian cancer.
 Absolute values at actual exchange rates.                            2. Breast cancer.
20
Tagrisso and Imfinzi
 Q4: Accelerating growth
                                                          Tagrisso                                                                            Imfinzi
     $m                                            68 approvals; 16 awaited
     350                                                          • US +59%                                   • Product sales $19m; $18m in Q4
                                                                    Higher testing rates of ~70%
     300                                                            underpinned continued growth;             • Current approvals
                                                                    preparing for 1st-line launch               2nd-line bladder cancer: US (3rd
     250                                                                                                        in the market), Brazil, Canada,
                                                                      • Europe +142%                            and Israel
     200
                                                                        Testing rates generally below US;
     150                                                                France leading, momentum from         • Next steps
                                                                        launches in Italy and Germany           Launch in Stage III unresectable
     100                                                                                                        lung cancer*
                                                                      • Japan
      50
                                                                        Back to sequential growth
       0
                                                                      • Emerging Markets
           15

                15

                     16

                          16

                               16

                                     16

                                           17

                                                17

                                                      17

                                                           17
       20

             20

                  20

                        20

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                                              20

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                                                         20

                                                                        China, other launches
      3

            4

                 1

                      2

                           3

                                 4

                                      1

                                            2

                                                 3

                                                       4
     Q

           Q

                Q

                     Q

                          Q

                                Q

                                     Q

                                           Q

                                                Q

                                                      Q

 Chart legend: US Europe Emerging Markets Established Rest of World                                         * Imfinzi is not yet approved in lung cancer.
 Absolute values at actual exchange rates.
21
Global launches underway
 Building out the new medicines

22
Agenda

     Overview

     Growth Platforms
                                   Pancreatic beta cells at different
                              stages of regeneration: AstraZeneca
                                 is investing in research that could

     Oncology                    stimulate the regeneration of beta
                               cells in the pancreas with the aim of
                                     stopping the progression of, or
                                 reversing, the course of diabetes.

     Finance

     Pipeline and news flow

     Closing and Q&A

23
Reported Profit & Loss

                                                                    FY 2017                            % Total   Q4 2017              % Total
                                                                                            % change                       % change
                                                                      $m                               Revenue     $m                 Revenue
 Total Revenue                                                        22,465                   (2)       100      5,777       2         100

 - Product Sales                                                      20,152                   (5)       90       5,487       3         95

 - Externalisation Revenue                                             2,313                   38        10       290        (12)        5

 Gross Margin                                                         79.6%                  (1) pp*      -      77.6%      (-) pp       -

 R&D Expenses                                                          5,757                   (1)       26       1,551      (2)        27

 SG&A Expenses                                                        10,233                   10        46       3,078      n/m        53

 Other Operating Income                                                1,830                   11         8       848        (25)       15

 Tax Rate                                                              -29%                     -         -      -210%        -          -

 EPS                                                                   $2.37                  (15)                $1.03      (24)
 * Percentage points.
 Absolute values at actual exchange rates; change at CER.
 Gross Margin reflects Gross Profit derived from Product Sales, divided by Product Sales.
24
Core Profit & Loss

                                                                    FY 2017                            % Total   Q4 2017              % Total
                                                                                            % change                       % change
                                                                      $m                               Revenue     $m                 Revenue
 Total Revenue                                                        22,465                  (2)        100      5,777       2         100

 - Product Sales                                                      20,152                  (5)        90       5,487       3         95

 - Externalisation Revenue                                             2,313                   38        10       290        (12)        5

 Gross Margin                                                         81.2%                  (1) pp       -      79.4%       1 pp        -

 R&D Expenses                                                          5,412                  (3)        24       1,456      (4)        25

 SG&A Expenses                                                         7,853                  (3)        35       2,175       5         38

 Other Operating Income                                                1,953                   14         9       852        (26)       15

 Tax Rate                                                               14%                    -          -        3%         -          -

 EPS                                                                   $4.28                  (2)                 $1.30       13

 Absolute values at actual exchange rates; change at CER.
 Gross Margin reflects Gross Profit derived from Product Sales, divided by Product Sales.
25
Externalisation Revenue
 Ongoing income increased
                    Increasing contribution from Ongoing                                                                  Key observations
     $m               Externalisation Revenue, incl. MRK
     1,600
                                                                                                       • Ongoing Externalisation Revenue of $821m in 2017
     1,400

     1,200
                                                                                                       MRK collaboration benefit
     1,000

      800
                                                                                                       • 2017: $1.85bn; ~$1.25bn in Externalisation Revenue

      600                                                                                              • Further income in the years to come
      400                                                                                                •   First approval milestone of $70m in Q1 2018
      200                                                                                                •   Remaining option payments of $500m in 2018-2019
        0                                                                                                •   Regular milestones; approval (~1/3) and sales-
             14

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                                                                                                20           related (~2/3); mono and combo therapy up to
        1

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             Total Ongoing Externalisation Revenue          MRK Collaboration        Initial Revenue         ~$6bn remaining

 Absolute values at actual exchange rates.
26
Continued progress and focus on cost discipline

               Reduction in Core R&D costs: -3% FY 2017                                                          Continued reduction in Core costs
     $m
     1,500
     1,000                                                                                             • Core R&D costs
      500
                                                                                                        • FY 2017: Down by 3%
          0
                                                                                                           Investment concentrated in main therapy areas
              14

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       Q

              Q

                   Q

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                                                               Q

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                                                                         Q

                                                                              Q

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                                                                                        Q

                                                                                             Q
                                                                                                        • FY 2018: Anticipated to be in the range of a low
                               Oncology          CVMD          Respiratory    Other
     $m                                                                                                    single-digit percentage decline to stable
              Reduction in Core SG&A costs: -3% FY 2017
     4,000                                                                                             • Core SG&A costs (split in SMM1 and G&A2)
     3,000
     2,000                                                                                              • FY 2017: Down by 3%
     1,000
         0
                                                                                                           Investment increasingly in Sales support vs G&A
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                                                                                            20

                                                                                                 20     • FY 2018: Anticipated to be increase by a low to mid
        1

               2

                    3

                          4

                                1

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                                             3

                                                   4

                                                         1

                                                                2

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       Q

              Q

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                         General and admin                  Sales, marketing and medical                   single-digit percentage
 1. Sales, marketing and medical
 2. General and admin
 Absolute values at actual exchange rates; change at CER.
27
Focus: Cash flow
 Detailed breakdown
     $m

                                                                                                                                                 (0.1)

                                                                                                                                  1.1
                                                                                                                                                                 1.3

              0.2                                                                                           0.6

                                                                                      0.1
                                             (0.5)
                                                              (0.1)
     2016 net cash inflow          Reduction in cash   Higher tax & interest   Lower purchase of     Lower purchase of       Lower upfront       Other   2017 net cash inflow
       before financing             generated from             paid            property, plant and    intangible assets   payments on business             before financing
          activities                  operations                                   equipment                                  combinations                    activities

 Absolute values at actual exchange rates.
28
2018 Guidance and unchanged capital-allocation priorities

                                                       Unchanged capital-allocation priorities

                    Product Sales                  • Investment in the business
          A low single-digit percentage increase
                                                   • Progressive dividend policy

                                                   • Strong, investment-grade credit rating
                           Core EPS
                                 $3.30 to $3.50    • Immediately earnings-accretive, value-
                                                     enhancing opportunities

 Guidance at CER.
29
Agenda

     Overview

     Growth Platforms
                                   Pancreatic beta cells at different
                              stages of regeneration: AstraZeneca
                                 is investing in research that could

     Oncology                    stimulate the regeneration of beta
                               cells in the pancreas with the aim of
                                     stopping the progression of, or
                                 reversing, the course of diabetes.

     Finance

     Pipeline and news flow

     Closing and Q&A

30
Q4 2017 late-stage pipeline update

                              Oncology                                                         Cardiovascular and                     Respiratory
                                                                                        •      Metabolic Diseases          •
     • Faslodex - breast cancer                                                         • Bydureon + insulin - type-2      • Symbicort - asthma (safety):
       (combinations): Approval (US, EU)                                                  diabetes (DURATION-7 trial):       Approval (US)
                                                                                          Approval (EU)
     • Lynparza                                                                                                            • Fasenra - severe, uncontrolled
       - ovarian cancer 2L: Approval (JP),                                              • ZS-9                               asthma: Approval (US, EU, JP)
       priority review (CN)                                                               - hyperkalaemia: Regulatory
       - breast cancer: Approval (US)                                                       submission acceptance (US)     • PT010 - COPD: Phase III
                                                                                          - CHMP reiterated previous         KRONOS trial met 8 of 9 primary
     • Tagrisso - lung cancer 1L                                                            positive opinion (EU)            endpoints2
       (FLAURA): Regulatory submission
       acceptance (US - Priority Review,                                                • roxadustat - anaemia: Priority   • tezepelumab - severe,
       EU, JP)                                                                            review (CN)1                       uncontrolled asthma: Phase III
                                                                                                                             programme initiated (NAVIGATOR
                                                                                                                             trial)

 1. By partner Fibrogen.
 2. Including two non-inferiority endpoints to qualify PT009, one of the comparators.
 Status since the latest results announcement on 9 November 2017.
31
Oncology
 FLAURA and PACIFIC regulatory submissions moving fast
 in lung cancer

     FLAURA and PACIFIC regulatory status
     Activity                Region       Timing
     Regulatory submission   US, EU, JP   H2 2017
     Priority Review         US
     Regulatory decision     US           H1 2018
                             EU, JP       H2 2018

                                                    Tagrisso and Imfinzi   Imfinzi
                                                    submissions            submission

32
Cardiovascular and Metabolic Diseases
 Key 2018 Phase III readouts
                                                                              Roxadustat Phase III programme
                           Farxiga DECLARE Phase III trial
                                                                    First-in-class, anti-anaemia potential new medicine
     • Primary efficacy endpoints                                     Patient population                                      Company   Phase III trial
       • Superiority for MACE (CV death, non-fatal
          myocardial infarction or non-fatal stroke)                                                                                    ANDES

       • Superiority for the composite endpoint of CV death
                                                                                                                                        OLYMPUS
          or hospitalisation for heart failure                    Anaemia in CKD patients
                                                                    not receiving dialysis
                                                                                                                                        ALPS
     • Primary safety endpoint
       • Non-inferiority for MACE                                                                                                       DOLOMITES

                                                                                                                                        SIERRAS
     • Data anticipated in H2 2018                                   Anaemia in CKD in
                                                                  patients receiving dialysis                                           ROCKIES

                    ~17,000 patients                                                                                                    PYRENEES

         including patients with multiple CV risk factors
               (~10,000) or established CVD* (~7,000)                  Anaemia in newly-                                                HIMALAYAS
                                                                   initiated dialysis patients

 *Cardiovascular disease
                                                              In partnership with Fibrogen and their collaborator Astellas.
33
Respiratory
 Late-stage pipeline programmes delivering
                     PT010                                                                       Tezepelumab                                 Fasenra
           Triple combination therapy                                                        Phase III programme                          Data for severe
                 (COPD, asthma)                                                           PATHFINDER (severe asthma)                      COPD in 2018

     • Eight of the nine primary endpoints in                                           • First Phase III trial NAVIGATOR      • Approved in severe, uncontrolled
       the Phase III KRONOS trial were                                                    initiated enrolment in Q4              asthma
       met1
                                                                                        • Phase III programme based on         • Phase III VOYAGER programme
     • PT010 demonstrated a statistically-                                                results from the Phase IIb PATHWAY     evaluating the efficacy and safety
       significant improvement in six out of                                              trial                                  of Fasenra in patients with severe
       seven lung-function primary                                                                                               COPD
       endpoints2                                                                       • Results published in the New
                                                                                          England Journal of Medicine and      • Data readout anticipated in H2 2018
     • Results to be presented at a                                                       presented at the European
       forthcoming medical meeting                                                        Respiratory Society Congress
     • Regulatory                                                                       • Potential to help a broad group of
       submission                                                                         patients; including those without
       anticipated                                                                        presence of a Th2 biomarker
       in H2 2018

 1. Including two non-inferiority endpoints to qualify PT009, one of the comparators.
 2. Improvement compared with dual combination therapies.
34
Late-stage pipeline news flow in 2018 and 2019
 Unlocking and realising the potential of new medicines
                                     H1 2018                                       H2 2018                                        2019
     Regulatory decision             Lynparza - ovarian cancer 2L (EU)             Lynparza - breast cancer (JP)
                                     Tagrisso - lung cancer (US)                   Tagrisso - lung cancer (EU, JP)
                                     Imfinzi - lung cancer (PACIFIC) (US)          Imfinzi - lung cancer (PACIFIC) (EU, JP)

                                     ZS-9 - hyperkalaemia (US, EU)                 Bydureon autoinjector - type-2 diabetes (EU)

                                                                                   Bevespi - COPD (EU)

     Regulatory submission           Lynparza - breast cancer (EU)                 Lynparza - ovarian cancer 1L                   Lynparza
                                     Imfinzi +/- treme - lung cancer 3L (ARCTIC)   Imfinzi + treme - lung cancer 1L (NEPTUNE)     - pancreatic cancer
                                                                                   Imfinzi +/- treme                              - ovarian cancer 3L
                                     Bevespi - COPD (JP)                           - lung cancer 1L (MYSTIC)                      Imfinzi +/- treme
                                     Duaklir - COPD (US)                           - head & neck cancer 1L (KESTREL)              - lung cancer 1L (POSEIDON)
                                                                                   - head & neck cancer 2L (EAGLE)                - small-cell lung cancer (CASPIAN)
                                                                                   selumetinib - thyroid cancer                   - bladder cancer 1L (DANUBE)

                                                                                   roxadustat - anaemia (US)                      Brilinta - CAD2/type-2 diabetes CVOT
                                                                                                                                  Farxiga - type-2 diabetes CVOT (DECLARE)
                                                                                   PT010 - COPD
                                                                                                                                  Fasenra - COPD
                                                                                                                                  anifrolumab - lupus

     Key Phase III data              Lynparza - ovarian cancer 1L                  Lynparza - pancreatic cancer                   Lynparza - ovarian cancer 3L
                                     Imfinzi +/- treme                             Imfinzi + treme - lung cancer 1L (NEPTUNE)     Imfinzi - lung cancer (PACIFIC) (final OS)
     readouts                        - lung cancer 3L (ARCTIC)                                                                    Imfinzi +/- treme
                                     - lung cancer 1L (MYSTIC) (final OS)          Farxiga - type-2 diabetes CVOT1 (DECLARE)      - lung cancer 1L (POSEIDON)
                                     - head & neck cancer 1L (KESTREL)                                                            - small-cell lung cancer (CASPIAN)
                                     - head & neck cancer 2L (EAGLE)               Fasenra - COPD                                 - bladder cancer 1L (DANUBE)
                                     selumetinib - thyroid cancer                                                                 Calquence - chronic lymphocytic leukaemia
 1. Cardiovascular outcomes trial.                                                 anifrolumab - lupus
 2. Coronary artery disease.         PT010 - COPD                                                                                 Brilinta - CAD/type-2 diabetes CVOT
 Status as of 2 February 2018.                                                                                                    Farxiga - Heart failure
35                                                                                                                                lanabecestat - Alzheimer’s disease
Agenda

     Overview

     Growth Platforms
                                   Pancreatic beta cells at different
                              stages of regeneration: AstraZeneca
                                 is investing in research that could

     Oncology                    stimulate the regeneration of beta
                               cells in the pancreas with the aim of
                                     stopping the progression of, or
                                 reversing, the course of diabetes.

     Finance

     Pipeline and news flow

     Closing and Q&A

36
Pipeline-driven transformation
 A new AstraZeneca emerging
 FY 2017
  • Financials delivered and momentum in Product Sales
  • Unprecedented pipeline news flow

 Commercial execution
  • Strong Lynparza, Tagrisso growth, Imfinzi emerging and Calquence launched
  • Brilinta and Farxiga became blockbusters
  • Fasenra launched in the US, with recent EU and JP approvals
  • China had strongest-ever growth in Q4

 Guidance: FY 2018
  • A low single-digit percentage increase in Product Sales
  • Core EPS of $3.30 to $3.50

 Guidance at CER.
37
Q&A
Pipeline-driven transformation
 A new AstraZeneca emerging
 FY 2017
  • Financials delivered and momentum in Product Sales
  • Unprecedented pipeline news flow

 Commercial execution
  • Strong Lynparza, Tagrisso growth, Imfinzi emerging and Calquence launched
  • Brilinta and Farxiga became blockbusters
  • Fasenra launched in the US, with recent EU and JP approvals
  • China had strongest-ever growth in Q4

 Guidance: FY 2018
  • A low single-digit percentage increase in Product Sales
  • Core EPS of $3.30 to $3.50

39
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40
Full-Year and Q4 2017 Results

Live presentation, conference call and webcast for investors and analysts   2 February 2018
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