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    Innovative Strategies for Cancer Care

    Innovative Strategies for Cancer Care

    F4 months ago 237

    As cancer treatment evolves, innovative strategies are crucial for improving patient outcomes. This discussion focuses on AstraZeneca's leading role in advancing oncology through a diversified portfolio, novel therapies, and a commitment to clinical trials. Emphasizing the importance of integrating cutting-edge research and technology in treatment plans ensures better patient support and long-term survival rates in challenging cases.

    Investor Day • 2024
Oncology and Haematology
David Fredrickson, EVP, Oncology Business
Susan Galbraith, EVP, Oncology R&D
Cristian Massacesi, CMO & Oncology Chief Development Officer
Anas Younes, SVP, Global Head of Haematology, Oncology R&D
Sunil Verma, SVP, Global Medical Affairs
Matt Hellmann, VP, Early Oncology Development
    1/56
    Investor Day • 2024
Forward looking statements
2
In order, among other things, to utilise the 'safe harbour' provisions of the US Private Securities Litigation Reform Act of 1995, AstraZeneca (hereafter ‘the Group’) provides 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 or targeted
revenues, margins, earnings per share or other financial or other measures (including the Financial Ambition Statements described in this presentation). Although the Group believes its expectations and targets are
based on reasonable assumptions and has used customary forecasting methodologies used in the pharmaceutical industry and risk-adjusted projections for individual medicines (which take into account the
probability of success of individual clinical trials, based on industry-wide data for relevant clinical trials at a similar stage of development), any forward-looking statements, by their very nature, involve risks and
uncertainties and may be influenced by factors that could cause actual outcomes and results to be materially different from those predicted. The forward-looking statements reflect knowledge and information
available at the date of preparation of this document and the Group undertakes no obligation to update these forward-looking statements. The Group identifies the forward-looking statements by using the words
'anticipates', 'believes', 'expects', 'intends' and similar expressions in such statements. Important factors that could cause actual results to differ materially from those contained in forward-looking statements, certain
of which are beyond the Group’s control, include, among other things: the risk of failure or delay in delivery of pipeline or launch of new medicines; the risk of failure to meet regulatory or ethical requirements for
medicine development or approval; the risk of failures or delays in the quality or execution of the Group’s commercial strategies; the risk of pricing, affordability, access and competitive pressures; the risk of failure to
maintain supply of compliant, quality medicines; the risk of illegal trade in the Group’s medicines; the impact of reliance on third-party goods and services; the risk of failure in information technology or cybersecurity;
the risk of failure of critical processes; the risk of failure to collect and manage data in line with legal and regulatory requirements and strategic objectives; the risk of failure to attract, develop, engage and retain a
diverse, talented and capable workforce; the risk of failure to meet regulatory or ethical expectations on environmental impact, including climate change; the risk of the safety and efficacy of marketed medicines
being questioned; the risk of adverse outcome of litigation and/or governmental investigations; intellectual property-related risks to the Group’s products; the risk of failure to achieve strategic plans or meet targets
or expectations; the risk of failure in financial control or the occurrence of fraud; the risk of unexpected deterioration in the Group’s financial position; the impact that global and/or geopolitical events may have, or
continue to have, on these risks, on the Group’s ability to continue to mitigate these risks, and on the Group’s operations, financial results or financial condition There can be no guarantees that the conditions to the
closing of the proposed transaction with Fusion will be satisfied on the expected timetable, or at all, or that “FPI-2265” (Ac225-PSMA I&T) or any combination product will receive the necessary regulatory approvals
or prove to be commercially successful if approved. There can be no guarantees that the conditions to the closing of the proposed transaction with Amolyt Pharma will be satisfied on the expected timetable, or at all,
or that eneboparatide (‘AZP-3601’) will receive the necessary regulatory approvals or prove to be commercially successful if approved.
This presentation includes references to new molecular entities and life-cycle management programmes that are being investigated in current or future clinical trials, and as such have not been approved by any
regulatory agency. For a list of new molecular entities and indications in development, see pages 7-11 of the Clinical Trials Appendix that accompanied AstraZeneca’s Q1 2024 results.
Basis of AstraZeneca ambitions, forecasts and targets
AstraZeneca ambitions, forecasts and targets in this presentation (the “Financial Ambition Statements”) are derived from AstraZeneca’s most recent risk-adjusted mid- and long-term plans, adjusted for developments
in the business since those plans were finalised. Financial Ambition Statements presented are based on management’s risk-adjusted projections for individual medicines and individual clinical trials. Estimates for
these probabilities are based on industry-wide data for relevant clinical trials in the pharmaceutical industry at a similar stage of development adjusted for management's view on the risk profile of the specific asset.
The peak year revenue (PYR) potential for individual medicines referred to in this presentation are the maximum estimated Total Revenue to be recognised by AstraZeneca in a single calendar year, during the lifecycle
of the medicine, and are based on management’s latest non-risk adjusted forecast estimates. Estimates are based on customary forecasting methodologies used in the pharmaceutical industry. Peak year revenue
may occur in different years for each NME depending on trial outcomes, approval label, competition, launch dates and exclusivity periods, amongst other variables. The peak year revenue figures are derived from net
sales at nominal values and are not risk-adjusted or time-value discounted. The development of pharmaceutical products has inherent risks given scientific experimentation and there are a range of possible outcomes
in clinical results, safety, efficacy and product labelling. Clinical results may not achieve the desired product profile and competitive environment, pricing and reimbursement may have material impact on commercial
revenue forecasts. By their nature, forecasts are based on a multiplicity of assumptions and actual performance in future years may vary, significantly and materially, from these assumptions. The Financial Ambition
Statements in this presentation are based on Q1 2024 exchange rates; AZ undertakes no obligation to update those statements based on future currency movements
    2/56
    3 Investor Day • 2024
1. 5 million patients across G7 markets (US, UK, FR, DE, IT, ES, JP) and China. 2. Solid tumours: new cases: Globocan; survival rates: 3. American Cancer Society. Haematology: new cases: Cerner Enviza, survival rates (PFS/EFS): literature review. 
Acronym definitions can be found in Glossary. 
Unmet need in cancer remains a global challenge
Five million new cancer patients diagnosed globally1 per year with low 5-year survival
1L 5yr 
survival
Solid tumours2
New cases (‘000), 2022
G7 China
600k
650k
600k
200k
150k
130k
60k
1,050k
350k
130k
350k
370k
80k
60k
110k
70k
40k
40k
10k
40k
20k
20k
10k
10k
1L 5yr 
survival
Haematology3
New cases (‘000), 2022
G7 China
Lung
Breast
Gastric
Liver
Endo
Ovarian
Prostate
DLBCL/ 
FL
MM
CLL
B-ALL
AML
50%
55%
10%
35% / 85%
adult paed.
70%
5-10%
30%
30%
5-10%
<5%
15-20%
30%
    3/56
    Investor Day • 2024
Critical trends in transforming cancer treatment
4 ADC = Antibody drug conjugates; IO = immuno-oncology. Acronym definitions can be found in Glossary. 
1 Replace the backbone of chemotherapy and radiotherapy
Novel IO 1 Next wave of IO agents will segment the IO-sensitive space
1 Scalable, accessible therapies in both liquid and solid tumours
Powerful 
combinations 1 Transform outcomes with novel ADC, Radioconjugate
and next-generation IO combinations
Early 
intervention 1 Improve long-term outcomes with neoadjuvant combinations
2
3
4
5
1
Cell therapy and 
T-cell engagers
Novel ADCs and 
Radioconjugates
    4/56
    Investor Day • 2024
Our strategy to transform patient outcomes 
5
Attack cancer from 
multiple angles Treat earlier and smarter Lead with 
innovative technology
Treatment journey today
Future treatment journey
Data and AI in 
clinical trials
HER2
TROP2
Accelerating 
computational 
pathology
Improving 
patient outcomes 
through digital health
Acronym definitions can be found in Glossary.
    5/56
    Investor Day • 2024
Powerful combinations to transform survival in cancer
6 Acronym definitions can be found in Glossary. 
Debulk tumour with ADCs or 
Radioconjugates, clear 
micro-metastatic disease with 
cell therapy or T-cell engagers
ADCs and Radioconjugates potential to 
replace systemic chemotherapy, 
combine with novel IO bispecifics 
PARP1 inhibitors to potentiate clinical 
benefit of ADCs and Radioconjugates
Kill cancer cells, debulk tumour and activate 
immune system with checkpoint inhibitors
ADCs Radioconjugates IO bispecifics
Enhance immune system when checkpoint 
inhibition alone is insufficient
T-cell engagers CAR-Ts
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    Investor Day • 2024
We are leading the ADC revolution to replace systemic 
chemotherapy
7
1. AZ internal estimates. G7 proportion of patients treated with Chemotherapy CancerMPact®, Cerner Enviza. 2. AGA actionable genomic alterations in NSCLC (e.g. EGFR, ALK, ROS1, RET, MET, NTRK, BRAF). Acronym definitions can be found 
in Glossary. 
Estimated number of patients treated with ADCs at peak (est. G7, 000s)1
Significant potential ADC opportunity across multiple tumours
AstraZeneca robust ADC portfolio 
with proven execution
Combination opportunities 
with IO and DDR
Strong foundation in ADCs
Six clinical-stage internal ADCs
B7H4 • CLDN18.2 • CD123
EGFR/cMET • GPRC5D • FRα
2
2
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    Investor Day • 2024
10
40
70
100
90
80
60
50
30
20
0
Time, months
0 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36 38 40 42 44 46 48
OS probability (%)
TPC (n = 163)
Enhertu (n = 331)
Enhertu – leading HER2 ADC with transformational data 
across multiple tumour types
8
1. Hurvitz SA et al. Lancet. 2023 Jan 14;401(10371):105-117. 2. Modi S et al. N Engl J Med. 2022 Jul 7;387(1):9-20. 3. Meric-Bernstam F et al. J Clin Oncol. 2024 Jan 1;42(1):47-58. 4. Solid tumours including endometrial, cervical, ovarian, bladder, 
BTC, pancreatic. 5. AstraZeneca press release. https://www.astrazeneca.com/media-centre/press-releases/2024/enhertu-improved-pfs-in-her2-low-and-ultralow.html. Accessed May 2024. Acronym definitions can be found in Glossary.
Collaboration partners: Daiichi Sankyo (Enhertu).
DESTINY-Breast031
HER2+ 2L+ breast cancer
DESTINY-Breast06 (HER2-low/ultra-low) – statistically significant, clinically meaningful improvement in PFS5
DESTINY-Breast042
HER2-low 3L+ breast cancer
DESTINY-PanTumor023
HER2+ 2L+ tumours4
0.64 OS HR 0.69 OS HR
100
80
60
40
20
0
0 3 6 9 12 15 18 21 24 27 30 33
Time from first dose (months)
OS probability (%)
All cohorts: IHC 2+ 12.2 (10.7, 13.5)
All cohorts: IHC 3+ 21.1 (15.3, 29.6)
All cohorts: Total 13.4 (11.9, 15.5)
Median OS in months (95% CI)
OS events, n (%): 176 (66%)
0
20
40
60
80
100
OS probability (%)
Enhertu (n = 261)
T-DM1 (n = 263)
0 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36 38 40 42 44 46
Time, months
    8/56
    Investor Day • 2024
0 3 6 9 12 15
Time from randomisation (months)
0
20
40
60
80
100
PFS probability (%)
Dato-DXd
ICC
Dato-DXd – potential to displace chemotherapy in NSCLC 
and breast cancer
9
1. Lisberg A et al. Abstract LBA12 presented at European Society of Medical Oncology 2023. 2. Bardia A et al. Abstract LBA11 presented at European Society of Medical Oncology 2023. Acronym definitions can be found in Glossary.
Collaboration partners: Daiichi Sankyo (Dato-DXd).
First TROP2 ADC in NSCLC to demonstrate statistically significant, clinically meaningful outcomes in Phase III
TROPION-Lung011
2L+ Non-squamous NSCLC
0.63 PFS HR
TROPION-Breast012
2-3L HR+ HER2- breast cancer
0.63 PFS HR
Dato-DXd
docetaxel
    9/56
    Investor Day • 2024
Next-generation bispecifics – going beyond PD-1/PD-L1 
inhibitors to establish new IO segments
10
Acronym definitions can be found in Glossary. 
Collaboration partners: Compugen (rilvegostomig).
rilvegostomig (PD-1/TIGIT) volrustomig (PD-1/CTLA-4)
Increasing PD-1 activity in 
PD-(L)1 sensitive tumours
Driving survival in CTLA-4 
sensitive tumours
    10/56
    Investor Day • 2024
1. Schmid P et al. Abstract 379MO presented at European Society of Medical Oncology 2023. 2. Papadopoulos KP et al. Abstract OA05.06 presented at the World Conference on Lung Cancer 2023. Acronym definitions can be found in Glossary. 
11 Collaboration partners: Daiichi Sankyo (Enhertu, Dato-DXd).
ADC + IO combinations proven to transform outcomes
Breast cancer Lung cancer Upcoming early-stage data
Early data support strong efficacy and safety in metastatic disease
BEGONIA (1L TNBC)1
Dato-DXd + Imfinzi
TROPION-Lung04 (1L NSCLC)2
Dato-DXd + Imfinzi
Dato-DXd + Imfinzi + platinum
50% ORR
77% ORR
79% ORR, 13.8m mPFS
I-SPY 2
Neoadj. TNBC, HR+ HER2- breast
Dato-DXd + Imfinzi
NeoCOAST2.0
Neoadj./adj. NSCLC
Dato-Dxd + Imfinzi + platinum
2024 congress presentation
Best change from baseline 
in target lesion size (%) 100
50
#
#
0
–50
–100
*
Best percent change in sum 
of diameters from baseline (%)100 
80 
60 
40 
20 
0 
-20 
-40 
-60 
-80 
-100 
<1% (n=5)
1-49% (n=4)
≥50% (n=5)
Treatment ongoing
PD-L1 status
100 
80 
60 
40 
20 
0 
-20 
-40 
-60 
-80 
-100 
Best percent change in sum 
of diameters from baseline (%)
<1% (n=5)
1-49% (n=3)
≥50% (n=5)
Treatment ongoing
PD-L1 status
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    Investor Day • 2024
We have the right portfolio to lead in ADC + IO combinations
12
Phase II trials ongoing include DESTINY-Lung03, TROPION-Lung04, AstraZeneca Phase I/II first-in-human 1L NSCLC, TROPION-Lung02, TROPION-Lung04, NeoCOAST2.0, DESTINY-Gastric03, GEMINI Gastric, TROPION-PanTumor03, BEGONIA, 
ISPY2. 1. Data on file, not yet published or presented. Acronym definitions can be found in Glossary. 
Collaboration partners: Daiichi Sankyo (Enhertu, Dato-DXd).
Illustrative 5-year OS curve
Striving to lift OS curves
Indications Combinations
NSCLC 1L bispecific + Enhertu ± platinum (HER2+)1
bispecific + Dato-DXd ± platinum1
volrustomig + CTx
Imfinzi or pembrolizumab + Dato-DXd ± platinum
NSCLC Neo-adj. volrustomig + CTx1
Imfinzi + Dato-DXd + platinum1
Gastric 1L bispecific + Enhertu + 5-FU1
bispecific + AZD0901 + 5-FU1
bispecific + CTx1
TNBC 1L Imfinzi + Dato-DXd or Enhertu
Imfinzi + CTx
TNBC HR+ HER2- breast 
Neo-adj.
Imfinzi + Dato-DXd1
Bladder 1L
Endometrial 2-3L
bispecific + B7H4 ADC
bispecific + Dato-DXd or Enhertu1
Imfinzi + Dato-DXd1
Ongoing novel IO bispecifics + ADC Phase II proof-of-concept data
AZ bispecific + ADC 
(biomarker+)
AZ bispecific + ADC
AZ bispecific + CTx
PDx + ADC/CTx
    12/56
    Investor Day • 2024
Our commercial strategy to transform patient outcomes
13
Acronym definitions can be found in Glossary. 
Collaboration partners: Daiichi Sankyo (Enhertu); Merck & Co., Inc. (Lynparza).
Medicines that matter
Building transformative brands
Leveraging scale
Tumour area leadership
Transforming patient care
Closing the care gap
/
Lung 
Breast
Haematology
Gastrointestinal
GYN/GU 
Precision 
diagnostics
Patient 
experience
Early detection
Guideline-based 
treatment
    13/56
    Investor Day • 2024
Leading in lung cancer today and tomorrow
14 Internal estimates. 1. Market share in the US.
Commercial delivery to date has helped to transform the 
lung cancer treatment paradigm
Extending leadership 
tomorrow
Metastatic NSCLC EGFR testing 
rate in Stage IV >80% 73% FLAURA 
market share1 10+ ongoing Phase III trials
Unresectable 
NSCLC
CRT rate of 70% unresectable patients
50%
at launch 67% PACIFIC
market share1
LAURA
Resectable NSCLC
Adjuvant 
treatment rate 
in early EGFRm
65% ~25% at 
launch 67% ADAURA 
market share1
AEGEAN
BR.31 | H2 2024
    14/56
    Investor Day • 2024
Oncology and Haematology – next wave of growth to 2030 
and beyond
15
Existing portfolio1
2023 2030
Loss of Exclusivity
(Lynparza)
Launching NMEs1
AZD0120
AZD0486
camizestrant
Dato-DXd
rilvegostomig
saruparib
volrustomig
AZN ADCs 
IRA impact
Sustained leadership in 
disruptive categories
ADCs • Radioconjugates • IO bispecifics
• cell therapy • T-cell engagers
Broad portfolio with unique 
combination potential and precision 
medicine expertise
Global, differentiated commercial 
model and footprint
Multiple blockbuster medicines across 
major tumour types and haematology
Beyond 2030
$18bn
1. includes select medicines and pipeline opportunities. Acronym definitions can be found in Glossary. 
Collaboration partners: Daiichi Sankyo (Enhertu, Dato-DXd); Merck & Co., Inc. (Lynparza); Compugen (rilvegostomig).
Illustrative only, not to scale
    15/56
    Investor Day • 2024
We are investing in clinical trials today for future growth
16 Source: Trialtrove. Patient enrolment from collaboration and company sponsored studies averaged over 3 years from start date. Acronym definitions can be found in Glossary. 
Company 5 Company 6 Company 7 Company 8
Company 3 Company 4
0
5
10
15
20
25
2010 2014 2018 2022
Number of patients 
20K
2010 2014 2018 2022 2010 2014 2018 2022 2010 2014 2018 2022
0
5
10
15
20
25
2010 2014 2018 2022
Number of patients 
2010 2014 2018 2022 2010 2014 2018 2022 2010 2014 2018 2022
15K 15K
8K
7K 6K 6K 6K
Company 2
    16/56
    Investor Day • 2024
Significant news flow across key medicines through 2025
17 Collaboration partners: Daiichi Sankyo (Enhertu, Dato-DXd); Compugen (rilvegostomig).
2024 2025
Dato-DXd
TROPION-Lung01
OS data, regulatory decision
Dato-DXd
TROPION-Breast02
1L TNBC data readout
Imfinzi
EMERALD-2
adj. HCC 
data readout (≥2025)
Imfinzi
EMERALD-3
locoregional HCC 
data readout (>2025)
Imfinzi
MATTERHORN
early-stage gastric 
data readout
Imfinzi
ADRIATIC
ASCO plenary (June 2024)
Tagrisso
LAURA
ASCO plenary (June’24)
Enhertu
DESTINY-Breast09
1L HER2+ breast 
data readout
Enhertu
DESTINY-Breast06
ASCO LBA (June 2024)
Truqap
CAPitello-281
dPTEN prostate 
data readout
Imfinzi + ceralasertib
LATIFY
2L NSCLC data readout
camizestrant
SERENA-4/6
1L HR+ HER2- breast
data readout (>2025)
Multiple Phase III trial initiations planned with IO bispecifics and ADC combinations over next 12-18 months
Dato-DXd
TROPION-Breast01
regulatory decision
Dato-DXd + Imfinzi
AVANZAR
1L NSCLC data readout
Enhertu
DESTINY-Lung04
1L HER2m NSCLC 
data readout
Calquence
AMPLIFY
1L CLL data readout
Calquence
ECHO
MCL updated data cut
volrustomig + CTx
AZ FIH Phase I/II
updated data cut
rilvegostomig
Phase I/II ARTEMIDE-01
1L PD-L1>1% NSCLC update
rilvegostomig + CTX
Phase I/II GEMINI
1L gastric data cut
Imfinzi
BR.31
Adjuvant NSCLC 
data readout
Enhertu
DESTINY-Breast11
early-stage HER2+ 
breast data readout
Tagrisso + savolitinib
SAFFRON
2L MET+ EGFRm 
data readout
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    18 Investor Day • 2024
Targeted oral therapies
    18/56
    19 *Peak Year Revenue, non-risk adjusted across all indications. Acronym definitions can be found in Glossary. Investor Day • 2024
Tagrisso – backbone enables expansion of leadership in 
EGFRm NSCLC 
Established backbone in 
EGFRm NSCLC, expanding 
across stages of disease
• FLAURA2 and ADAURA increase 
market share and duration of 
therapy
• LAURA establishes new SoC in 
EGFRm Stage III unresectable
• TROPION-Lung14 and TROPIONLung15 advance combinations 
with ADCs, first with Dato-DXd
• Pre-clinical L858R allosteric 
inhibitor for all-oral combinations
Strengthening leadership as backbone TKI in EGFRm NSCLC
Early-stage 1L 2L+
ADAURA2
readout ≥2025
LAURA
Positive readout
ASCO 2024
FLAURA AURA 1-3 NeoADAURA
readout H2 2024
New combinations
FLAURA2
SAVANNAH/ 
SAFFRON
readout 2024/2025
Building on TKI leadership with powerful combinations, including ADCs
ADC combination trials
TROPION-Lung14
+ Dato-DXd
readout >2025
TROPION-Lung15
+ Dato-DXd
readout >2025
$5bn+*
ADAURA
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    Investor Day • 2024
Calquence – foundational leadership in haematology
20 *Peak Year Revenue, non-risk adjusted across all indications. Acronym definitions can be found in Glossary. 
Leading BTK inhibitor in CLL 
across most major markets
• ECHO first-in-class BTKi 1L MCL
• AMPLIFY potential best-in-class 
finite treatment for 1L CLL
• ESCALADE potential to expand 
into lymphoma 
1L
Increasing leadership with first-in-class combinations
2L+
ELEVATE-TN ASCEND
CLL
MCL
DLBCL
AMPLIFY
data readout 2025
ECHO
positive data readout
ESCALADE
data readout ≥2025
ACE-LY-004
$3-5bn*
Expanding Calquence in MCL and DLBCL
    20/56
    Investor Day • 2024
Truqap – first and best-in-class AKT inhibitor
21 *Peak Year Revenue, non-risk adjusted across all indications. 1. Biomarker alteration in PIK3CA, AKT1 or PTEN. 2. de novo. Acronym definitions can be found in Glossary. 
Establishing new SoC, 
extending benefit from 
hormone-based therapies
• CAPItello-291 strong US launch 
uptake in biomarker1 positive 
breast cancer; recent JP approval 
and positive EU CHMP 
• CAPItello-281 expand into PTENdeficient metastatic prostate 
cancer2
First and best-in-class AKT inhibitor across breast and prostate
1L 2L+
HR+ breast 
cancer
mCSPC
mCRPC
CAPItello-292
data readout >2025
CAPItello-290
data readout H1 2024
CAPItello-281
data readout H2 2024
CAPItello-280
data readout >2025
CAPItello-291
TNBC
Establishing Truqap as a combination partner of choice
$1-3bn*
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    Investor Day • 2024
camizestrant – new endocrine backbone in 
breast cancer
22 *Peak Year Revenue, non-risk adjusted across all indications. Acronym definitions can be found in Glossary. 
Establishing the next 
endocrine therapy backbone 
• SERENA-4 and SERENA-6 
endocrine backbone in 
combination with CDK4/6 
inhibitors in 1L breast cancer
• CAMBRIA-1 and CAMBRIA-2 
addressing high unmet need for 
breast cancer patients with 
intermediate/high-risk earlystage disease
Early-stage (adjuvant)
Multiple Phase III CDK4/6i combination studies 
in 1L and early-stage breast cancer
1L
HR+ 
breast 
cancer
CAMBRIA-2 
upfront adjuvant
camizestrant +/- abemaciclib
data readout >2025
SERENA-6 
ESR1m
camizestrant + CDK4/6i
data readout 2025
SERENA-4 
camizestrant + palbociclib
data readout >2025
CAMBRIA-1 
extended adjuvant
camizestrant 
data readout >2025
$5bn+*
Extending next-generation oral SERD into early breast cancer
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    Investor Day • 2024
saruparib – next-generation PARP inhibitor 
23 *Peak Year Revenue, non-risk adjusted across all indications. Yap TA el al. Abstract CT014 presented at American Association for Cancer Research 2024. Acronym definitions can be found in Glossary. 
Building the next-generation 
of PARP inhibition
• Improved target engagement and 
safety
— Enables longer duration of 
treatment and lower 
discontinuation rates 
• Deep and durable responses
Advancing Phase III trials in prostate and breast cancers
Castrate-sensitive 
prostate cancer
(HRRm and non-HRRm)
PETRA (60mg RP2D)1 showed 9.1m 
mPFS, 7.3m mDOR in late-line 
gBRCAm HER2- breast cancer
Breast cancer
(BRCA/PALB2m)
EvoPAR-Prostate01 
data readout >2025
EvoPAR-Breast01 
data readout >2025
Leverage combinability and 
improved tolerability with NHAs 
to advance PARPi + NHA into 
earlier settings
First PARPi to generate headto-head data vs CDK4/6i in 
1L HR+ BRCA1/2m/PALB2m
setting
Additional Phase III trials planned in genitourinary and 
gynaecological tumours and IO combinations
$5bn+*
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    24 Investor Day • 2024
Replacing systemic 
chemotherapy with ADCs
    24/56
    Investor Day • 2024
Enhertu – transforming the treatment of 
breast cancer
25
Enhertu: #1 prescribed 
therapy in 2L HER2+ and 
HER2-low breast cancer
• Continued demand growth in US 
and EU, with acceleration in China
• Moving Enhertu earlier and 
broader
— 1L and early-stage HER2+ 
— Chemotherapy-naïve 
HER2-low and HER2-ultralow 
HR+ segments with 
DESTINY-Breast06
Redefining HER2 expression across breast cancer
HER2+ 
breast
HR+
HER2-low 
breast
Launches in 2024-2026 will address all stages of HER2+ disease 
and chemotherapy-naïve HR+ HER2-low mBC
Early-stage Metastatic
DESTINYBreast11
data readout 
2025
DESTINYBreast05
data readout 
2025
DESTINYBreast09
data readout 
2025
DESTINYBreast03
launched
2022
DESTINYBreast01/02
launched
2019
DESTINY- Breast06
positive data 
readout
ASCO 2024
DESTINYBreast04
launched
2022
*Peak Year Revenue, non-risk adjusted (Product Sales and Alliance Revenue) across all indications. Acronym definitions can be found in Glossary. 
Collaboration partners: Daiichi Sankyo (Enhertu).
$5bn+*
    25/56
    Investor Day • 2024
Enhertu – planned Phase III trials with 
IO combinations
26
Enhertu – moving beyond 
breast
• First ADC tumour-agnostic FDA 
approval – multiple Phase III 
studies in 1L HER2+ tumours
planned
• Enhertu + IO bispecific 
combinations (rilvegostomig, 
volrustomig) being tested in 
Phase II lung and gastric cancers
Establishing Enhertu benefit in other solid tumours 
Moving into 1L with multiple Phase III studies and IO combinations
1L+
Tumour 
agnostic
DESTINY-PanTumor02
launched
Ongoing Phase II
IO combination trials
Acronym definitions can be found in Glossary. 
Collaboration partners: Daiichi Sankyo (Enhertu).
NSCLC
Gastric
Biliary
Endo
DESTINY-Lung03
+IO ± CTx
DESTINY-Lung04
data readout 2025
DESTINY-Lung01/02 
launched
DESTINY-Gastric03
+IO ± CTx
DESTINY-Gastric04
data readout 2025
DESTINY-Gastric01/02 
launched
DESTINY-BTC01
Phase III trial in planning
Exploring Phase III 
opportunities
Exploring Phase III opportunity
    26/56
    Investor Day • 2024
AVANZAR 
TROP2 BM+
data readout 
2025
Imfinzi
TROPIONLung07
data readout 
>2025
Dato-DXd – potential first TROP2 ADC for NSCLC 
27
*Peak Year Revenue, non-risk adjusted (Product Sales and Alliance Revenue) across all indications. 1. Lisberg A et al. Abstract LBA12 presented at European Society of Medical Oncology 2023 2. AGA = actionable genomic alterations in NSCLC
(e.g. EGFR, ALK, ROS1, RET, MET, NTRK, BRAF). Acronym definitions can be found in Glossary. 
Collaboration partners: Daiichi Sankyo (Dato-DXd); Compugen (rilvegostomig).
• First TROP2 ADC with positive and 
clinically meaningful PFS (HR 0.63 
2/3L non-sq NSCLC)1
• Unique profile allows combinability 
with chemotherapy and IO 
(TROPION-Lung02/04)
• Phase III started with novel 
combinations (rilvegostomig, 
Tagrisso) (TROPION-Lung10/14/15) 
• Novel TROP2 QCS biomarkers 
incorporated into clinical 
development plan
Ongoing Phase II
IO or Tagrisso combination trials
Early stage 1L 2L+
NeoCOAST 2.0
TROPION- Lung10
TROP2 BM+
data readout 
>2025
rilvegostomig
TROPIONLung08
data readout 
>2025
NSCLC
(non-AGA2)
TROPIONLung14
data readout 
>2025
Tagrisso
TROPIONLung15
data readout 
>2025
Tagrisso
TROPIONLung01
OS data 
readout 2024
EGFRm 
NSCLC
Moving into earlier lines and early-stage NSCLC 
$5bn+*
    27/56
    Investor Day • 2024
Dato-DXd – setting a new standard for TROP2 ADCs 
in breast cancer and beyond
28
1. Bardia A et al. Abstract LBA11 presented at European Society of Medical Oncology 2023. 2.Bladder, ovarian, endometrial, prostate, gastric, colorectal cancers. Acronym definitions can be found in Glossary. 
Collaboration partners: Daiichi Sankyo (Dato-DXd).
• Strong efficacy TROPION-Breast01 
(0.63 PFS HR in HR+ HER2-), 
differentiated safety, Q3W dosing1
• Novel IO combinations ongoing –
Phase III with Imfinzi (breast 
cancer), Phase II with IO 
bispecifics (multiple tumours)
Moving into earlier lines and early-stage breast and other Ongoing Phase II
Early stage 1L 2L+
TROPION-Breast04
data readout >2025
Imfinzi
TROPION-Breast02
data readout 2H24
TNBC
TROPION-Breast03
data readout >2025
Imfinzi
TROPION-Breast05
data readout >2025
Imfinzi
TROPION-Breast01
regulatory decision 2025
HR+ breast
TROPION-Pantumour03
IO bispecific Multiple2
IO combination trials
    28/56
    Investor Day • 2024
Internal investment to deliver industry-leading ADCs
29
Build end-to-end capabilities: ADC conjugation | PK/PD tox models | Biology-translational-clinical development
Payloads
match disease biology
Antibody engineering
differentiated novel mAbs and chemistry
Targets
novel targets via surface proteomics
Topoisomerase I
Microtubules 
+ alternative MoAs
nnAA/ss conjugation bispecific mAb
Combat resistance, improve 
therapeutic index and 
increase patient coverage
Premier database for first-in-class 
ADC, T-cell engagers and 
cell therapy targets
+ + Tumour + 
normal
PDx
models
Tox 
species
Acronym definitions can be found in Glossary.
    29/56
    Investor Day • 2024
Proprietary QCS technology can optimise patient selection
30
AI enabled QCS can allow precise 
assessment of biomarker expression and 
superior patient selection
% tumour cells
Positivity cut-off
QCS positive responder
QCS IHC
Distinguish tumour vs normal (better)
Quantify membrane vs cytoplasm
Associates with internalisation
Associates with cytotoxicity
Prevalence associates with histology
Predictive of clinical efficacy
Solutions and opportunity of TROP2 QCS biomarker
Acronym definitions can be found in Glossary.
    30/56
    Investor Day • 2024
Vision to establish at least 2-3 foundational ADCs in major 
tumours with >80% coverage
31 AZ internal translational data. 1. Coverage inclusive of other targets in development. Acronym definitions can be found in Glossary. 
84
95 92
78
100 100 100
NSCLC Colorectal HR+ breast Gastric Ovarian TNBC Endometrial
% coverage across AZ ADCs 
HER2
FRα
TROP2
EGFR/MET
HER2
CEACAM5/6 
HER2
TROP2
B7H4
HER2
CLDN18.2
HER2
TROP2 
B7H4
TROP2
HER2
EGFR/MET
FRα
HER2
TROP2
B7H4
Future potential 
G7 patients 
treated with ADCs
310k 213k 169k 107k 61k 47k 40k
    31/56
    Investor Day • 2024
Growing our portfolio of differentiated ADCs
32
*Peak Year Revenue, non-risk adjusted; includes several medicines with multi-blockbuster potential. Acronym definitions can be found in Glossary. 
Collaboration partners: Compugen (rilvegostomig).
PHASE I PHASE II PHASE III
Endometrial, ovarian, 
breast, biliary
NSCLC, HNSCC, CRC
Ovarian, NSCLC
Gastric, GEJ, pancreatic 
R/R multiple myeloma
Tumors
Acute myelocytic leukemia, 
myelodysplastic syndrome
AZD8205
B7H4 
TOP1i
AZD9552
EGFR/cMET 
TOP1i
AZD5335
FRα
TOP1i
AZD0305
GPRC5D
MMAE
AZD9829
CD123
TOP1i
MMAE
CLDN18.2
AZD0901
Claudin 18.2 
MMAE GEMINI Phase II: 
AZD0901 + rilvegostomig
1L CLDN18.2+ Gastric
AZD0901 Phase I dose escalation 
2L+ CLDN18.2-positive gastric/GEJ 
Leading CLDN18.2 ADC in Phase III gastric cancer
$5bn+*
• CLARITY-01 (Phase III AZD0901 2L+ CLDN18.2+ gastric) ongoing
• AZD0901 + rilvegostomig being tested in Phase II 1L CLDN18.2+ gastric 
60
40
20
0
-20
-40
-60
-80
-100
Maximum decrease from baseline in sum of longest diameter (%)
PD
PD
PD
PD
PD
PD
PD
PD
PD
NE
SD
PD
SDPD
PD
PD
NE
PD
SDPD
PD
NE
PD
SD
PD
SDSD
SD
SD
PD
SD
SD
SD
PDSDPD
SD
SD
SD
SD
PD
SD
SD
SD
SD
SDSD
PD
SD
SD
PRPRPR
PR *
PR
PR
PR *
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
PR
PRPRPR
PR
PR
PR
PR
PR
PR
PR
PRPRPR
PR
PR
PR
PR
PR
CRPRCR
-30
20%
Patients
    32/56
    33 Investor Day • 2024
Expanding beyond PD-(L)1 
with next-generation 
immuno-oncology
    33/56
    Investor Day • 2024
Imfinzi and Imjudo – IO leadership in GI cancer, 
NSCLC and beyond
34
*Peak Year Revenue, non-risk adjusted across all indications. 1. Market share of new patients 6 months from launch. Acronym definitions can be found in Glossary. 
Collaboration partners: Daiichi Sankyo (Dato-DXd).
• Establishing Imfinzi + Dato-DXd in 
NSCLC and TNBC 
• Building on CASPIAN success 
with ADRIATIC in LS-SCLC 
• Strengthening leadership in GI
— Build on HIMALAYA with 
EMERALD-1, -2 and -3 
— Move into early gastric with 
MATTERHORN 
— ~75% market share1 in 1L 
BTC with TOPAZ-1 
Significant potential across tumours
NSCLC
SCLC
HCC
BTC
Breast
Early-stage 1L
TROPION-Breast03
data readout >2025
+ Dato-DXd
TROPION-Breast04
data readout >2025
+ Dato-DXd
TROPION-Breast05
data readout >2025
+ Dato-DXd
TOPAZ-1
launched 2022 
HIMALAYA
launched 2022
CASPIAN
launched 2020
POSEIDON
launched 2022
PACIFIC
launched 2018
PACIFIC-4
data readout >2025
AEGEAN
regulatory decision
BR.31
data readout H2 2024
PACIFIC-8, -9
data readout >2025
AVANZAR
+ Dato-DXd data 
readout 2025
ADRIATIC
positive readout
ASCO 2024
EMERALD-1
positive data readout
ASCO GI
EMERALD-2 data 
readout ≥2025
EMERALD-3
data readout ≥2025
DELLphi-305 data 
readout >2025
ADC combination trials
Gastric MATTERHORN
data update 2025
$5bn+*
    34/56
    Investor Day • 2024
rilvegostomig – potential to displace single agent
PD-1/PD-L1 across IO sensitive tumours
35
*Peak Year Revenue, non-risk adjusted across all indications. Acronym definitions can be found in Glossary. 
Collaboration partners: Daiichi Sankyo (Enhertu, Dato-DXd); Compugen (rilvegostomig). 
Demonstrating higher anti-tumour
activity than αPD-1/TIGIT bivalent 
combinations or αPD-1 monotherapy
rilvegostomig (PD-1/TIGIT)
Differentiated bispecific format
Updated Phase I/II data to be presented at medical congress in 2024
Differentiated clinical development programme
Leveraging combinations with our robust ADC pipeline 
Current ADC combinations
• Enhertu
• Dato-DXd
• AZD0901 (CLDN18.2)
Future ADC combinations 
• AZD8205 (B7H4)
• AZD9592 (EGFR/cMET)
• AZD5335 (FRα) 
$5bn+*
Isotype Ctl
anti-PD-1
anti-PD-1 + anti-TIGIT
rilvegostomig
2000
1500
1000
500
Tumour Volume (mm3)
0
0 10 20 30 40
Study days
i.p. dosing
    35/56
    Investor Day • 2024
rilvegostomig – accelerating development programme
36
Acronym definitions can be found in Glossary. 
Collaboration partners: Daiichi Sankyo (Enhertu, Dato-DXd); Compugen (rilvegostomig). 
Initiating up to 10 pivotal trials with novel combinations across NSCLC, GI, and GU/GYN tumours
TROPION-Lung10 | Phase III rilvegostomig ± Dato-DXd vs pembrolizumab
TROPION-Lung10
1L PD-L1 ≥ 50% 
non-squamous NSCLC
rilvegostomig + Dato-DXd
rilvegostomig
pembrolizumab Dual primary endpoints
mPFS and OS in TROP2 BM+
    36/56
    Investor Day • 2024
volrustomig – potential to displace single agent 
PD-(L)1 across CTLA-4 sensitive tumours
37 *Peak Year Revenue, non-risk adjusted across all indications. 1. Ahn MJ et al. Abstract LBA56 presented at European Society of Medical Oncology 2022. Acronym definitions can be found in Glossary. 
volrustomig 
Increases CTLA-4 therapeutic index
Updated Phase I/II data to be presented at medical congress in 2024
volrustomig + CTx
Showed depth of response
Addressing unmet need for 
PD-L1-low patients 
Anti-PD-1 
Fab
Anti-CTLA-4 Fab
Knob-into-hole 
IgG1-TM Fc
Peripheral CD4+ T-cell proliferation of 
volrustomig ≥500mg is greater than 
Imjudo 3mg/kg + Imfinzi 10mg/kg 
• 44% ORR (PD-L1<1%)
• 56% ≥30% reduction in target lesions
• 20% TEAEs (discontinuation rate)
Phase I/II volrustomig + CTx 1L non-sq NSCLC1 Phase III ongoing in 1L PD-L1 <50% NSCLC
Comprehensive ongoing Phase III programme 
• eVOLVE-Meso
• eVOLVE-HNSCC
• eVOLVE-Cervical 
eVOLVE-Lung02
1L PD-L1<50% NSCLC
volrustomig + CTx
pembrolizumab + CTx
$5bn+*
PD-L1 NE PD-L1 <1% PD-L1 1-49% PD-L1 >50%
Best change from baseline (%)
0
-10
-20
-30
-40
-50
-60
-70
-80
    37/56
    38 Investor Day • 2024
Leadership in breast, NSCLC
and gastric cancers
    38/56
    Investor Day • 2024
Extending leadership in NSCLC and breast cancer
AstraZeneca select NSCLC portfolio AstraZeneca select breast cancer portfolio
IO sensitive 
NSCLC
EGFRm 
NSCLC
HER2m
Imfinzi 
PACIFIC-8/9
AEGEAN, BR.31
PACIFIC-4
Dato-DXd to replace CTx
TROPION-Lung01 
AVANZAR, TROPION-Lung07, -08
Dato-DXd ±
Tagrisso
HER2+
HR+
TNBC
Expanding Enhertu Enhertu to replace 
trastuzumab + CTx
DESTINY-Breast11, -05, -09
Enhertu and DatoDXd to replace CTx
DESTINY-Breast04, -06, 
TROPION-Breast01
camizestrant to become the 
backbone ET of choice
CAMBRIA-1/2, SERENA-4/6, 
eVOPAR-Breast01 (BRCA1/2, PALB2)
Truqap
addresses key 
drivers of 
resistance
CAPItello-292
CAPItello-290
Dato-DXd ± Imfinzi replace IO + CTx
TROPION-Breast04, -03, -05, -02
Truqap
established 
SoC
CAPItello-291
Tagrisso ± CTx 
FLAURA, FLAURA-2
ADAURA, ADAURA-2, Neo-ADAURA
LAURA
TROPION-Lung01
TROPION-Lung-15, -14
Early Metastatic Early Metastatic
DESTINY-Breast02, 
-03, -06
Enhertu 
For HER2m and HER2+
Novel combinations
Acronym definitions can be found in Glossary. 
39 Collaboration partners: Daiichi Sankyo (Enhertu, Dato-DXd); Compugen (rilvegostomig). 
Next-generation IO bispecifics to replace PD-(L)1 
eVOLVE-Lung02, NeoCOAST2.0
TROPION-Lung10
    39/56
    Investor Day • 2024
Building leadership position in gastric cancer
Targeting key segments with bispecifics + ADCs within a ~$12bn market1
Stg. I-III
Metastatic
Est. epi (G7) 48-100K
Early-stage
2L 3L
58-128K 30-71K
HER2-high
~20%
HER2-low
~11%
HER2-low/ CLDN18.2+
~11%
CLDN18.2+
~35%
Other
MATTERHORN Enhertu Established SoC
Enhertu Established SoC
CLARITY-01
established SoC
1. Reflects projected estimate of gastric cancer market across G7 countries (ex-China). G7 drug-treated patients based on data from Cerner, DRG, and Epic Oncology (early perioperative and 1L-2L metastatic disease). Duration of therapy 
calculated based on mPFS or time of fixed regimen. AZN internal pricing estimates used for monotherapy and combination therapies and market potentials assume maximum novel share and testing rates based on Cerner analogues. 
Acronym definitions can be found in Glossary. 
40 Collaboration partners: Daiichi Sankyo (Enhertu, Dato-DXd); Compugen (rilvegostomig). 
AZD0901 (CLDN18.2) 
replaces systemic 
chemotherapy
1L
91-170K
DESTINY-Gastric03
Enhertu replaces 
trastuzumab in HER2-high
GEMINI Phase I/II
Next-generation IO bispecifics
(volrustomig, rilvegostomig) 
replace PDx
Opportunity to combine with 
AZD0901
Establishing IO in 
early gastric cancer
    40/56
    41 Investor Day • 2024
Next-wave haematology
portfolio
    41/56
    Investor Day • 2024
Eight haematology assets spanning multiple modalities
Cell 
therapy
BCMA/CD19
αCD19 
αCD3 
Fc Tail
Immune
engagers
CD19,
CD20
ADCs
CD123, 
GPRC5D
CD123 GPCR5D
CD222
Tumour 
drivers
BTK, 
IRAK4C
Epigenetics
PRMT5
42 Acronym definitions can be found in Glossary.
    42/56
    Investor Day • 2024
Haematology – combinations will drive increased cure
43 1. 2030 incidence: Cerner Enviza. 2. PFS/EFS rates based on SoC in largest patient segment from landmark clinical studies. Acronym definitions can be found in Glossary. 
DLBCL/FL, MCL CLL B-ALL
B-cell lymphoid malignancies
130k 44k 10k
50-70% 70% 35%
adult
85%
paed.
AZD0486
CD19/CD3 TCE
Calquence
BTKi
Multiple myeloma
79k
55%
AZD0305
GPRC5D ADC
AZD0120
BCMA/CD19 CAR-T
Acute myeloid 
leukaemia
43k
10%
AZD9829
CD123 ADC
Estimated 
new cases 
(G7, 2030)1
1L 5-year 
PFS/EFS rates2
Building 
regimens 
around core 
assets
    43/56
    Investor Day • 2024
*Peak Year Revenue, non-risk adjusted across all indications. 1. Gaballa S et al,. Abstract 1662 presented at American Society of Hematology 2023. 2. Michot JM et al. Cancer Drug Resist. 2021 Mar 26;4(3):710-718. 3. Lunsumio
44 (mosunetuzumab-axgb) US Prescribing information. Acronym definitions can be found in Glossary. 
AZD0486 (CD19/3 T-cell engager) – demonstrated 
high responses in B-cell lymphoma, now in Phase II
Targeting CD19 vs CD20 Engineered to reduce toxicity 
and increase stability
Demonstrated strong early 
efficacy data
r/r follicular lymphoma
AZD0486 ≥2.4mg 
double step-up1
CD20xCD3 
TCE3
ORR 88%
(15/17) 80%
CR 82%
(14/17) 60%
Historical 
benchmark
αCD19
High-affinity heavychain-only domain
Activating αCD3
Unique binding 
site reduce 
cytokine release
Silenced IgG4 Fc tail
Prevents nonspecific binding, antibodydependent cellular cytotoxicity, and 
confers a long half-life
29% CRS
(all Gr1)1
Q2W + IV dosing
(SC in development)
CD19 CD19 CD19 CD19 CD19 CD19 CD19
CD20 CD20 CD20 CD20 CD20
CD3 AZD0486
rituxan CD20-TCE
CD3
Combination potential
up to 16% antigen loss across 
lymphomas for CD19 and CD202
CD19 
expressed 
across broader 
range of B-cells
CD19 CD20
$5bn+*
    44/56
    Investor Day • 2024
AZD0120 (GC012F) – pioneering BCMA/CD19 
dual-targeting CAR-T cell therapy, Phase III ready
45
*Peak Year Revenue, non-risk adjusted across all indications. Data cut-off 1 October 2023. 1. MRD was tested by Euroflow at a sensitivity of 106. Chen X et al. Abstract 1022 presented at American Society of Hematology 2023. Acronym 
definitions can be found in Glossary. 
Differentiated cell therapy product profile
• Dual BCMA/CD19 CAR-T targets both myeloma and progenitor cells
— BCMA targets plasma cells with proven efficacy in myeloma
— CD19 targets progenitor cells – deep durable response
• Clean safety profile for early-stage disease
— Younger, fitter T-cells mean lower cell dose required
— No neurotoxicity or ICANs across existing data (N=15) 
• Gracell FAST-CAR manufacturing accelerated to 24-36 hours
Efficacy in 1L high-risk myeloma
$5bn+*
0
25
50
75
100
All patients
(N=22)
Evaluable patients
(N=15)
Patients (%)
VGPR
CR/sCR
MRD- MRD+
12 month
MRD1 100% 
ORR 100%
CR/sCR 95%
    45/56
    46 Investor Day • 2024
Transforming outcomes with 
next-generation therapies
    46/56
    Investor Day • 2024
Building leadership in Radioconjugates
47 Fusion Pharmaceuticals acquisition remains subject to customary external clearances; all clinical development plans mentioned herein subject to deal closure. Acronym definitions can be found in Glossary. 
Becoming a key backbone modality with 
significant combination potential
Potential to redefine use or replace
traditional radiation therapy
Current state Future state
Unlocking novel target space
Small molecule VHH Peptide
    47/56
    Investor Day • 2024
OS HR 0.62 
Patients alive (%)
0
10
20
30
40
50
60
70
80
90
100
0 2 4 6 8 10
Months since randomisation
12 14 16 18 20 22 24 26 28 30 32
177Lu-PSMA-617 + 
standard care
Standard 
care alone
FPI-2265 (PSMA-α) – leading alpha Radioconjugate in 
prostate cancer
48
Fusion Pharmaceuticals acquisition remains subject to customary external clearances; all clinical development plans mentioned herein subject to deal closure. 1. Morris MJ et al. Abstract LBA4 presented at American Society of Clinical 
Oncology 2021. 2. Sathekge MM et al, Lancet Oncol 2024; 25:175-83. 3. Patel S et al. Abstract LB155 presented at American Association for Cancer Research 2021; includes IGF1R data. Acronym definitions can be found in Glossary. 
PSMA
proven prostate cancer target 
α emission 
more potent than β emission 
Pursuing IO combinations
Lutetium PSMA β-emitting RIC
VISION Phase III mCPRC1
Retrospective meta-analysis:
PSMA⍺ > PSMAβ (PSA50 57% vs 46%)2
Immunogenic cell death from αRIC can 
drive RIC + IO combinations Potency 3
Energy deposited 
per unit length 
(LET,keV/um)
⍺ β
80-300 0.2
0
5
10
0 4 8 12 16 20 24 28
Days after treatment initiation
Vehicle control
Anti-PD-1 mAb (5 mg/kg)
[
225Ac]-TAT only
[
225Ac]-TAT + 
anti-PD-1 mAb
Change from baseline in PSA (%)
Patients
CT26 relative tumour volume (RTV)
    48/56
    Investor Day • 2024
Building leadership in cell therapy 
49
Bringing the curative potential of cell therapy with 
several potential launches before 2030
Advancing seven medicines into clinical trials
Haematology/ 
autoimmune Solid tumours T-cell receptor therapies
• BCMA/CD19 • GPC3 dnTGFb
• STEAP2 dnTGFb
• Claudin 18.2 dnTGFb
• Individualised TCRs
• TP53 R175H
• KRASG12D
Multiple myeloma, 
SLE
Liver cancer
Prostate cancer
Gastric cancer
Colorectal, lung cancer
Pancreatic, colorectal, 
lung cancer
Pancreatic, colorectal, 
lung cancer
Highest quality cells in spec
Capacity to meet clinical 
scale and potential 
commercial demand
Improved profitability 
through decreased COGS
Acronym definitions can be found in Glossary.
    49/56
    50 Investor Day • 2024
Concluding remarks
    50/56
    Investor Day • 2024
*Peak Year Revenue, non-risk adjusted, for some medicines includes Product Sales and Alliance Revenue and across all indications. Acronym definitions can be found in Glossary. 
51 Collaboration partners: Daiichi Sankyo (Enhertu, Dato-DXd); Merck & Co., Inc. (Lynparza); Compugen (rilvegostomig).
Multiple high-value opportunities and rich near-term 
catalyst path support growth to 2030 and beyond
Growth drivers to 2030 Upcoming Key Phase II and Phase III readouts
Dato-DXd
TROPION-Lung01
OS data readout
camizestrant
SERENA-4/6
1L HR+ HER2- (>2025)
volrustomig + CTx
FIH Phase I/II
updated data cut
Dato-DXd
TROPION-Breast02
1L TNBC data readout
Enhertu
DESTINY-Breast11
early-stage HER2+ 
rilvegostomig
Phase I/II ARTEMIDE
1L PD-L1>1% NSCLC 
data cut
Dato-DXd
AVANZAR
1L NSCLC data readout
Enhertu
DESTINY-Breast09
1L HER2+ 
rilvegostomig + CTx
Phase I/II GEMINI
1L gastric data cut
Truqap
CAPItello-281
dPTEN prostate data 
readout
Calquence
AMPLIFY
1L CLL
$5bn+ PYR*
$3-5bn PYR*
AZN ADCs
AZD0486
AZD0120
Dato-DXd
saruparib
rilvegostomig
volrustomig
/
camizestrant
    51/56
    52 Investor Day • 2024
Appendix
    52/56
    Investor Day • 2024
AstraZeneca in lung cancer
Ambition for >50% of lung cancer patients to be eligible for AZN medicine by 2030
53
All numbers are approximate. Illustrative settings and populations, not to scale. Acronym definitions can be found in Glossary. 
Collaboration partners: Daiichi Sankyo (Enhertu, Dato-DXd), Compugen (rilvegostomig). 
Leading the future of 
lung cancer treatment
• Establishing Tagrisso as backbone 
TKI in EGFRm
• Imfinzi leading IO in unresectable 
• Advancing best-in-class ADCs to 
replace systemic chemotherapy
• Delivering next-wave bispecifics
to improve on PD-(L)1
• Developing novel combinations, 
including IO & Tagrisso + ADCs
• Investing behind new 
technologies and platforms, 
including cell therapy and 
testing/screening
APPENDIX | Oncology tumour maps
EGFRm
c.16% 
IO sensitive
c.70% 
Stg. I-III
metastatic
1L 2L+
Est. epi (G7) ~200K ~30K ~70K ~350K ~290K
HER2m c.2% 
Other tumour
drivers c.12% 
Imfinzi / 
Osi
w/ SBRT
PACIFIC-4
Imfinzi combos 
PACIFIC-8, -9 
improvements across 
PD-L1 spectrum
Stg. I-II Stg. III
unresectable
CRT à Tagrisso
LAURA
Imfinzi 
AEGEAN
volrustomig + CTx
Imfinzi + Dato + plat
NEOCOAST-2
Enhertu
DESTINY-Lung04
Imfinzi + Imjudo + CTx
POSEIDON
resectable
CRT à Imfinzi 
PACIFIC
Dato-DXd +/- Tagrisso
TROPION-Lung15/ 01
AZD9592 (EGFR/cMET ADC) 
EGRET
Dato-DXd
TROPION-Lung01
Imfinzi + ceralasertib
LATIFY
savolitinib + Tagrisso
SAFFRON/SAVANNAH
CRT à Imfinzi 
PACIFIC
Tagrisso 
FLAURA
AZD9592 (EGFR/cMET ADC) 
EGRET
Enhertu + IO + CTx
DESTINY-Lung03
established SoC
Dato-DXd + IO +/- Platinum
TROPION-Lung08/TROPION-Lung07/AVANZAR
sabestomig
(PD-1/TIM3)
Enhertu
DESTINY-Lung02
volrustomig + CTx
eVOLVE-Lung02
Tagrisso
neoADAURA
Tagrisso 
ADAURA
Dato-DXd + Rilvegostomig
TROPION-Lung10
Tagrisso + CTx
FLAURA-2
Dato-DXd + Tagrisso
TROPION-Lung14
    53/56
    54 Investor Day • 2024
All numbers are approximate. Illustrative settings and populations, not to scale. All numbers for epi are drug-treated. Acronym definitions can be found in Glossary. 
Collaboration partners: Daiichi Sankyo (Enhertu, Dato-DXd).
AstraZeneca in breast cancer
Ambition to eliminate breast cancer as a cause of death
APPENDIX | Oncology tumour maps
gBRCAm
5% of HR-positive
15% of TNBC
HER2-positive
15-20%
HR-positive
65-75%
TNBC
10-15%
Est. epi (G7) 520k 130k 100k 70k 55k
1st line 2nd line 3rd line 4th line +
Early drug-treated
Neoadjuvant Adjuvant
Metastatic drug-treated
CTx à Lynparza
OlympiA
NSTà residual disease à
Enhertu
DESTINY-Breast05
Enhertu ± THP
DESTINY-Breast11
NST 
à residual disease 
à Dato-DXd ± Imfinzi
TROPION-Breast03
CTx à AI (± CDK4/6i) 2-5 yrs
à camizestrant
CAMBRIA-1
Good outcomes with current SoC
CTx à camizestrant
(± CDK4/6i) 
CAMBRIA-2
Enhertu
DESTINY-Breast03
Lynparza
OlympiAD
Enhertu
DESTINY-Breast02
camizestrant + CDK4/6i
SERENA-4
AI + CDK4/6i à
camizestrant + CDK4/6i 
SERENA-6 ESR1m 35%
Enhertu ± pertuzumab
DESTINY-Breast09
Dato-DXd
TROPION-Breast02
Dato-DXd
TROPIONBreast01
PD-L1-
60%
RECURRENCE
established SoC
Dato-DXd + Imfinzi
TROPION-Breast05
PD-L1+ 
40%
Dato-DXd + 
Imfinzi
TROPIONBreast04
Truqap + Faslodex
CAPItello291
PIK3CA, AKT1, PTEN alt.40%
Truqap + paclitaxel
CAPItello290
Truqap + Faslodex + CDK4/6i
CAPItello292
saruparib + camizestrant
EvoPAR-Breast01 tBRCAm, PALB2m 9%
Low
risk
Enhertu
DESTINY-Breast06
HER2-low (1+, 2+) 60%
HER2-ultralow (0-1+) 25%
Enhertu
DESTINYBreast04
HER2-low (1+, 2+) 
60%
HER2-low (1+, 2+) 35%
Int/High
risk
    54/56
    55 Investor Day • 2024
Glossary – 1 of 2
CLL chronic lymphocytic leukaemia
cm centimetre
CM cardiomyopathy
cMET c-mesenchymal epithelial transition factor 
COPD chronic obstructive pulmonary disease
CRwNP chronic rhinosinusitis with nasal polyps
CSA-AKI cardiac surgery-associated acute kidney injury 
ctDNA circulating tumour DNA
CTLA4 cytotoxic T-lymphocyte associated protein 4
CTx chemotherapy
CV cardiovascular
CVRM Cardiovascular, Renal and Metabolism
DDR DNA damage response
DGF delayed graft function
DLBCL diffuse large B-cell lymphoma
dnTGFb dominant-negative transforming growth factor-beta
dPTEN phosphatase and tensin homolog deficient
EBITDA Earnings before interest, tax, depreciation and amortisation
EGFR epidermal growth factor receptor
eGFR estimated glomerular filtration rate
EGPA eosinophilic granulomatosis with polyangiitis 
EM Emerging Markets
EOS eosinophil
EPI epigenetics
EPS earnings per share
ERoW Established Rest of World
ESR1 estrogen receptor alpha
ESRD end stage renal disease
ETA RA endothelin receptor A antagonist
ETARA endothelin receptor A antagonist
FDC fixed dose combination
FeNO fractional exhaled nitric oxide
FL Follicular lymphoma
FLAP 5-lipoxygenase activating protein
FRα folate receptor alpha
FX foreign exchange
G7 US, Japan, EU5
GA geographic atrophy
GLP-1/glu glucagon-like peptide 1 receptor/glucagon dual peptide agonist
GLP-1RA glucagon-like peptide 1 receptor agonist
gMG generalised myasthenia gravis
GN glomerulonephritis
GPC3 Glypican-3
GPRC5D G protein-coupled receptor class C group 5 member D
GU genitourinary
GYN gynaecologic
HbA1c glycated haemoglobin
HCC hepatocellular carcinoma
HER2 human epidermal growth factor receptor 2
HF heart failure
HFrEF heart failure with reduced ejection fraction
HK hyperkalaemia
HLR high-level results
hMPV human metapneumovirus
HNSCC head and neck squamous cell carcinoma
HR hazard ratio
HR+ hormone receptor positive
HRR homologous recombination repair
HSCT-TMA hematopoietic stem cell transplantation-associated thrombotic 
microangiopathy
i.v. intravenous
IBD inflammatory bowel disease
ICS inhaled corticosteroid
ICU intensive care unit
IgAN IgA nephropathy
IIT investigated initiated trial
iJAK1 inhaled Janus kinase 
IL-33 interleukin-33
IL-5 interleukin-5
IND investigational new drug
IO Immuno-oncology
IPF idiopathic pulmonary fibrosis
IRA Inflation Reduction Act
iTSLP inhaled thymic stromal lymphopoietin
ITT intent to treat
IVIg intravenous immunoglobulin
1L, 2L, 3L first-, second-, third-line
6MWT 6-minute walk test 
AAV adeno-associated virus
ACE angiotensin-converting enzyme
AChR+ acetylcholine receptor-positive
ADC antibody conjugate
ADsCa albumin-adjusted serum calcium
AER annual exacerbation rate
AEs adverse effects
AGA actional genomic alteration
aHUS atypical haemolytic uraemic syndrome
AL amyloidosis light-chain amyloidosis
AML acute myelogenous leukaemia
AMR antibody mediated rejection
anti-PCD anti plasma cell dyscrasia
AQP4+ aquaporin-4 antibody positive 
ARB angiotensin receptor blockers
ASCO American Society of Clinical Oncology
ASI aldosterone synthase inhibitor
ASO antisense oligonucleotide
ATTR-CM transthyretin amyloid cardiomyopathy
ATTR-PN transthyretin amyloid polyneuropathy
B-ALL B-cell acute lymphoblastic leukaemia
BCMA B-cell maturation antigen
BRCA breast cancer gene
BTC biliary tract cancer
BTKi Bruton's tyrosine kinase
C5 complement component 5
CAGR compound adjusted growth rate
cAMR chronic antibody-medicated rejection
CAR-T chimeric antigen receptor T-cells
CD19 Cluster of differentiation 19
CD3 Cluster of differentiation 3
CDK4/6i cyclin-dependent kinase 4/6 inhibitor
CER constant exchange rates
CI confidence interval
CKD chronic kidney disease
CLDN 18.2 Claudin-18.2
    55/56
    56 Investor Day • 2024
Glossary – 2 of 2
NST neoadjuvant systemic treatment
NT-proBNP N-terminal pro-B-type natriuretic peptide
NYHA New York Heart Association
oGLP1 oral glucagon-like receptor peptide 1
oPCSK9 oral protein convertase subtilisin/kexin type 9
ORR overall response rate 
oRXFP1 oral relaxin family peptide receptor 1
OS overall survival
PALB2m partner and localizer of BRCA2
PARP1 poly(ADP-ribose) polymerase-1
PARPi poly-ADP ribose polymerase inhibitor
PD1 programmed cell death protein 1
PD-L1 programmed cell death ligand 1
PFS progression free survival
PIK3CA phosphatidylinositol-4,5-biphosphate 3-kinase catalytic subunit
PK/PD pharmacokinetic/pharmacodynamic
PLEX plasma exchange
PN polyneuropathy
PNH paroxysmal nocturnal haemoglobinuria
PNH-EVH paroxysmal nocturnal haemoglobinuria with extravascular haemolysis
PNPLA3 phospholipase domain-containing protein 3
PP plasmapheresis 
PSA prostate-specific antigen
PSA50 prostate-specific antigen 50
PTEN phosphatase and TENsin homolog deleted on chromosome 10
PYR peak year revenue
Q2W every 2 weeks
Q4W every 4 weeks
Q8W every 8 weeks
QCS quantitative continuous scoring
QoQ quarter on quarter
R&D research and development
R&I Respiratory and Immunology
r/r relapsed/refractory
RA rheumatoid arthritis
RAGE receptor for advanced glycation end products
RC radioconjugates
RP2D recommended Phase II dose
RSV respiratory syncytial virus
s. asthma severe asthma
s.c. subcutaneous
SABA short acting beta agonist
SBP systolic blood pressure
SBRT stereotactic brain radiotherapy
SC subcutaneous
SG&A Selling, General and Administrative
SGLT2i sodium/glucose cotransporter 2 inhibitor
sK serum potassium
SLE systemic lupus erythematosus 
SoC standard of care
ST2 suppression of tumorigenicity 2
Stg. I/II/III Stage I/II/III
Stg. III u/r NSCLC Stage III unresectable non-small cell lung cancer
T2D type-2 diabetes
T8 US, China, Japan, EU5
TCE T-cell engager
tCO2e tonnes of carbon dioxide equivalent
TCR T-cell receptor
TDR tumour drivers and resistance
TIGIT T-cell immunoreceptor with immunoglobulin and ITIM domains
TIM-3 T-cell immunoglobulin and mucin domain-containing protein 
TKI tyrosine kinase inhibitor
TNBC triple negative breast cancer
TP53 tumour protein 53
Treg Regulatory T-cell
TROP2 trophoblast cell surface antigen 2
TTR transthyretin 
u/r HTN uncontrolled or treatment resistant hypertension
UACR urinary albumin/creatinine ratio
ULN upper limit of normal
V&I Vaccines and Immune Therapies
VLP virus-like particle
K+ potassium
KCCQ Kansas City Cardiomyopathy Questionnaire
LA amylin long-acting amylin
LABA long-acting beta 2-agonists 
LAMA long-acting muscarinic antagonists
LCM life cycle management
LDL-C low-density lipoprotein cholesterol
LN lupus nephritis
LoE loss of exclusivity
LS-SCLC limited stage small-cell lung cancer
LV left ventricular
mAb monoclonal antibody
MASH metabolic dysfunction-associated steatohepatitis, also known as nonalcoholic steatohepatitis (NASH)
MASLD metabolic dysfunction-associated steatotic liver disease
mBC metastatic breast cancer
MCL mantle cell lymphoma
mDOR median duration of response
mg/dL milligrams per decilitre
MGFA Myasthenia Gravis Foundation of America
mHSPC metastatic hormone sensitive prostate cancer
mL millilitre
MM multiple myeloma
MoA mechanism of action
MPO myeloperoxidase
MRA mineralocorticoid receptor antagonist
MRM mineralocorticoid receptor modulator
n/m not material
NBRx new-to-brand prescription
Neo-adj neoadjuvant
NF1-PN neurofibromatosis type 1-plexiform neurofibromas
ngSERD next-generation oral selective estrogen receptor degrader
NHA novel hormone agent
NME new molecular entity
NMOSD neuromyelitis optica spectrum disorder
NP nasal polyps
NRDL national reimbursement drug list
NSCLC non-small cell lung cancer
    56/56

    Innovative Strategies for Cancer Care

    • 1. Investor Day • 2024 Oncology and Haematology David Fredrickson, EVP, Oncology Business Susan Galbraith, EVP, Oncology R&D Cristian Massacesi, CMO & Oncology Chief Development Officer Anas Younes, SVP, Global Head of Haematology, Oncology R&D Sunil Verma, SVP, Global Medical Affairs Matt Hellmann, VP, Early Oncology Development
    • 2. Investor Day • 2024 Forward looking statements 2 In order, among other things, to utilise the 'safe harbour' provisions of the US Private Securities Litigation Reform Act of 1995, AstraZeneca (hereafter ‘the Group’) provides 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 or targeted revenues, margins, earnings per share or other financial or other measures (including the Financial Ambition Statements described in this presentation). Although the Group believes its expectations and targets are based on reasonable assumptions and has used customary forecasting methodologies used in the pharmaceutical industry and risk-adjusted projections for individual medicines (which take into account the probability of success of individual clinical trials, based on industry-wide data for relevant clinical trials at a similar stage of development), any forward-looking statements, by their very nature, involve risks and uncertainties and may be influenced by factors that could cause actual outcomes and results to be materially different from those predicted. The forward-looking statements reflect knowledge and information available at the date of preparation of this document and the Group undertakes no obligation to update these forward-looking statements. The Group identifies the forward-looking statements by using the words 'anticipates', 'believes', 'expects', 'intends' and similar expressions in such statements. Important factors that could cause actual results to differ materially from those contained in forward-looking statements, certain of which are beyond the Group’s control, include, among other things: the risk of failure or delay in delivery of pipeline or launch of new medicines; the risk of failure to meet regulatory or ethical requirements for medicine development or approval; the risk of failures or delays in the quality or execution of the Group’s commercial strategies; the risk of pricing, affordability, access and competitive pressures; the risk of failure to maintain supply of compliant, quality medicines; the risk of illegal trade in the Group’s medicines; the impact of reliance on third-party goods and services; the risk of failure in information technology or cybersecurity; the risk of failure of critical processes; the risk of failure to collect and manage data in line with legal and regulatory requirements and strategic objectives; the risk of failure to attract, develop, engage and retain a diverse, talented and capable workforce; the risk of failure to meet regulatory or ethical expectations on environmental impact, including climate change; the risk of the safety and efficacy of marketed medicines being questioned; the risk of adverse outcome of litigation and/or governmental investigations; intellectual property-related risks to the Group’s products; the risk of failure to achieve strategic plans or meet targets or expectations; the risk of failure in financial control or the occurrence of fraud; the risk of unexpected deterioration in the Group’s financial position; the impact that global and/or geopolitical events may have, or continue to have, on these risks, on the Group’s ability to continue to mitigate these risks, and on the Group’s operations, financial results or financial condition There can be no guarantees that the conditions to the closing of the proposed transaction with Fusion will be satisfied on the expected timetable, or at all, or that “FPI-2265” (Ac225-PSMA I&T) or any combination product will receive the necessary regulatory approvals or prove to be commercially successful if approved. There can be no guarantees that the conditions to the closing of the proposed transaction with Amolyt Pharma will be satisfied on the expected timetable, or at all, or that eneboparatide (‘AZP-3601’) will receive the necessary regulatory approvals or prove to be commercially successful if approved. This presentation includes references to new molecular entities and life-cycle management programmes that are being investigated in current or future clinical trials, and as such have not been approved by any regulatory agency. For a list of new molecular entities and indications in development, see pages 7-11 of the Clinical Trials Appendix that accompanied AstraZeneca’s Q1 2024 results. Basis of AstraZeneca ambitions, forecasts and targets AstraZeneca ambitions, forecasts and targets in this presentation (the “Financial Ambition Statements”) are derived from AstraZeneca’s most recent risk-adjusted mid- and long-term plans, adjusted for developments in the business since those plans were finalised. Financial Ambition Statements presented are based on management’s risk-adjusted projections for individual medicines and individual clinical trials. Estimates for these probabilities are based on industry-wide data for relevant clinical trials in the pharmaceutical industry at a similar stage of development adjusted for management's view on the risk profile of the specific asset. The peak year revenue (PYR) potential for individual medicines referred to in this presentation are the maximum estimated Total Revenue to be recognised by AstraZeneca in a single calendar year, during the lifecycle of the medicine, and are based on management’s latest non-risk adjusted forecast estimates. Estimates are based on customary forecasting methodologies used in the pharmaceutical industry. Peak year revenue may occur in different years for each NME depending on trial outcomes, approval label, competition, launch dates and exclusivity periods, amongst other variables. The peak year revenue figures are derived from net sales at nominal values and are not risk-adjusted or time-value discounted. The development of pharmaceutical products has inherent risks given scientific experimentation and there are a range of possible outcomes in clinical results, safety, efficacy and product labelling. Clinical results may not achieve the desired product profile and competitive environment, pricing and reimbursement may have material impact on commercial revenue forecasts. By their nature, forecasts are based on a multiplicity of assumptions and actual performance in future years may vary, significantly and materially, from these assumptions. The Financial Ambition Statements in this presentation are based on Q1 2024 exchange rates; AZ undertakes no obligation to update those statements based on future currency movements
    • 3. 3 Investor Day • 2024 1. 5 million patients across G7 markets (US, UK, FR, DE, IT, ES, JP) and China. 2. Solid tumours: new cases: Globocan; survival rates: 3. American Cancer Society. Haematology: new cases: Cerner Enviza, survival rates (PFS/EFS): literature review. Acronym definitions can be found in Glossary. Unmet need in cancer remains a global challenge Five million new cancer patients diagnosed globally1 per year with low 5-year survival 1L 5yr survival Solid tumours2 New cases (‘000), 2022 G7 China 600k 650k 600k 200k 150k 130k 60k 1,050k 350k 130k 350k 370k 80k 60k 110k 70k 40k 40k 10k 40k 20k 20k 10k 10k 1L 5yr survival Haematology3 New cases (‘000), 2022 G7 China Lung Breast Gastric Liver Endo Ovarian Prostate DLBCL/ FL MM CLL B-ALL AML 50% 55% 10% 35% / 85% adult paed. 70% 5-10% 30% 30% 5-10% <5% 15-20% 30%
    • 4. Investor Day • 2024 Critical trends in transforming cancer treatment 4 ADC = Antibody drug conjugates; IO = immuno-oncology. Acronym definitions can be found in Glossary. 1 Replace the backbone of chemotherapy and radiotherapy Novel IO 1 Next wave of IO agents will segment the IO-sensitive space 1 Scalable, accessible therapies in both liquid and solid tumours Powerful combinations 1 Transform outcomes with novel ADC, Radioconjugate and next-generation IO combinations Early intervention 1 Improve long-term outcomes with neoadjuvant combinations 2 3 4 5 1 Cell therapy and T-cell engagers Novel ADCs and Radioconjugates
    • 5. Investor Day • 2024 Our strategy to transform patient outcomes 5 Attack cancer from multiple angles Treat earlier and smarter Lead with innovative technology Treatment journey today Future treatment journey Data and AI in clinical trials HER2 TROP2 Accelerating computational pathology Improving patient outcomes through digital health Acronym definitions can be found in Glossary.
    • 6. Investor Day • 2024 Powerful combinations to transform survival in cancer 6 Acronym definitions can be found in Glossary. Debulk tumour with ADCs or Radioconjugates, clear micro-metastatic disease with cell therapy or T-cell engagers ADCs and Radioconjugates potential to replace systemic chemotherapy, combine with novel IO bispecifics PARP1 inhibitors to potentiate clinical benefit of ADCs and Radioconjugates Kill cancer cells, debulk tumour and activate immune system with checkpoint inhibitors ADCs Radioconjugates IO bispecifics Enhance immune system when checkpoint inhibition alone is insufficient T-cell engagers CAR-Ts
    • 7. Investor Day • 2024 We are leading the ADC revolution to replace systemic chemotherapy 7 1. AZ internal estimates. G7 proportion of patients treated with Chemotherapy CancerMPact®, Cerner Enviza. 2. AGA actionable genomic alterations in NSCLC (e.g. EGFR, ALK, ROS1, RET, MET, NTRK, BRAF). Acronym definitions can be found in Glossary. Estimated number of patients treated with ADCs at peak (est. G7, 000s)1 Significant potential ADC opportunity across multiple tumours AstraZeneca robust ADC portfolio with proven execution Combination opportunities with IO and DDR Strong foundation in ADCs Six clinical-stage internal ADCs B7H4 • CLDN18.2 • CD123 EGFR/cMET • GPRC5D • FRα 2 2
    • 8. Investor Day • 2024 10 40 70 100 90 80 60 50 30 20 0 Time, months 0 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36 38 40 42 44 46 48 OS probability (%) TPC (n = 163) Enhertu (n = 331) Enhertu – leading HER2 ADC with transformational data across multiple tumour types 8 1. Hurvitz SA et al. Lancet. 2023 Jan 14;401(10371):105-117. 2. Modi S et al. N Engl J Med. 2022 Jul 7;387(1):9-20. 3. Meric-Bernstam F et al. J Clin Oncol. 2024 Jan 1;42(1):47-58. 4. Solid tumours including endometrial, cervical, ovarian, bladder, BTC, pancreatic. 5. AstraZeneca press release. https://www.astrazeneca.com/media-centre/press-releases/2024/enhertu-improved-pfs-in-her2-low-and-ultralow.html. Accessed May 2024. Acronym definitions can be found in Glossary. Collaboration partners: Daiichi Sankyo (Enhertu). DESTINY-Breast031 HER2+ 2L+ breast cancer DESTINY-Breast06 (HER2-low/ultra-low) – statistically significant, clinically meaningful improvement in PFS5 DESTINY-Breast042 HER2-low 3L+ breast cancer DESTINY-PanTumor023 HER2+ 2L+ tumours4 0.64 OS HR 0.69 OS HR 100 80 60 40 20 0 0 3 6 9 12 15 18 21 24 27 30 33 Time from first dose (months) OS probability (%) All cohorts: IHC 2+ 12.2 (10.7, 13.5) All cohorts: IHC 3+ 21.1 (15.3, 29.6) All cohorts: Total 13.4 (11.9, 15.5) Median OS in months (95% CI) OS events, n (%): 176 (66%) 0 20 40 60 80 100 OS probability (%) Enhertu (n = 261) T-DM1 (n = 263) 0 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36 38 40 42 44 46 Time, months
    • 9. Investor Day • 2024 0 3 6 9 12 15 Time from randomisation (months) 0 20 40 60 80 100 PFS probability (%) Dato-DXd ICC Dato-DXd – potential to displace chemotherapy in NSCLC and breast cancer 9 1. Lisberg A et al. Abstract LBA12 presented at European Society of Medical Oncology 2023. 2. Bardia A et al. Abstract LBA11 presented at European Society of Medical Oncology 2023. Acronym definitions can be found in Glossary. Collaboration partners: Daiichi Sankyo (Dato-DXd). First TROP2 ADC in NSCLC to demonstrate statistically significant, clinically meaningful outcomes in Phase III TROPION-Lung011 2L+ Non-squamous NSCLC 0.63 PFS HR TROPION-Breast012 2-3L HR+ HER2- breast cancer 0.63 PFS HR Dato-DXd docetaxel
    • 10. Investor Day • 2024 Next-generation bispecifics – going beyond PD-1/PD-L1 inhibitors to establish new IO segments 10 Acronym definitions can be found in Glossary. Collaboration partners: Compugen (rilvegostomig). rilvegostomig (PD-1/TIGIT) volrustomig (PD-1/CTLA-4) Increasing PD-1 activity in PD-(L)1 sensitive tumours Driving survival in CTLA-4 sensitive tumours
    • 11. Investor Day • 2024 1. Schmid P et al. Abstract 379MO presented at European Society of Medical Oncology 2023. 2. Papadopoulos KP et al. Abstract OA05.06 presented at the World Conference on Lung Cancer 2023. Acronym definitions can be found in Glossary. 11 Collaboration partners: Daiichi Sankyo (Enhertu, Dato-DXd). ADC + IO combinations proven to transform outcomes Breast cancer Lung cancer Upcoming early-stage data Early data support strong efficacy and safety in metastatic disease BEGONIA (1L TNBC)1 Dato-DXd + Imfinzi TROPION-Lung04 (1L NSCLC)2 Dato-DXd + Imfinzi Dato-DXd + Imfinzi + platinum 50% ORR 77% ORR 79% ORR, 13.8m mPFS I-SPY 2 Neoadj. TNBC, HR+ HER2- breast Dato-DXd + Imfinzi NeoCOAST2.0 Neoadj./adj. NSCLC Dato-Dxd + Imfinzi + platinum 2024 congress presentation Best change from baseline in target lesion size (%) 100 50 # # 0 –50 –100 * Best percent change in sum of diameters from baseline (%)100 80 60 40 20 0 -20 -40 -60 -80 -100 <1% (n=5) 1-49% (n=4) ≥50% (n=5) Treatment ongoing PD-L1 status 100 80 60 40 20 0 -20 -40 -60 -80 -100 Best percent change in sum of diameters from baseline (%) <1% (n=5) 1-49% (n=3) ≥50% (n=5) Treatment ongoing PD-L1 status
    • 12. Investor Day • 2024 We have the right portfolio to lead in ADC + IO combinations 12 Phase II trials ongoing include DESTINY-Lung03, TROPION-Lung04, AstraZeneca Phase I/II first-in-human 1L NSCLC, TROPION-Lung02, TROPION-Lung04, NeoCOAST2.0, DESTINY-Gastric03, GEMINI Gastric, TROPION-PanTumor03, BEGONIA, ISPY2. 1. Data on file, not yet published or presented. Acronym definitions can be found in Glossary. Collaboration partners: Daiichi Sankyo (Enhertu, Dato-DXd). Illustrative 5-year OS curve Striving to lift OS curves Indications Combinations NSCLC 1L bispecific + Enhertu ± platinum (HER2+)1 bispecific + Dato-DXd ± platinum1 volrustomig + CTx Imfinzi or pembrolizumab + Dato-DXd ± platinum NSCLC Neo-adj. volrustomig + CTx1 Imfinzi + Dato-DXd + platinum1 Gastric 1L bispecific + Enhertu + 5-FU1 bispecific + AZD0901 + 5-FU1 bispecific + CTx1 TNBC 1L Imfinzi + Dato-DXd or Enhertu Imfinzi + CTx TNBC HR+ HER2- breast Neo-adj. Imfinzi + Dato-DXd1 Bladder 1L Endometrial 2-3L bispecific + B7H4 ADC bispecific + Dato-DXd or Enhertu1 Imfinzi + Dato-DXd1 Ongoing novel IO bispecifics + ADC Phase II proof-of-concept data AZ bispecific + ADC (biomarker+) AZ bispecific + ADC AZ bispecific + CTx PDx + ADC/CTx
    • 13. Investor Day • 2024 Our commercial strategy to transform patient outcomes 13 Acronym definitions can be found in Glossary. Collaboration partners: Daiichi Sankyo (Enhertu); Merck & Co., Inc. (Lynparza). Medicines that matter Building transformative brands Leveraging scale Tumour area leadership Transforming patient care Closing the care gap / Lung Breast Haematology Gastrointestinal GYN/GU Precision diagnostics Patient experience Early detection Guideline-based treatment
    • 14. Investor Day • 2024 Leading in lung cancer today and tomorrow 14 Internal estimates. 1. Market share in the US. Commercial delivery to date has helped to transform the lung cancer treatment paradigm Extending leadership tomorrow Metastatic NSCLC EGFR testing rate in Stage IV >80% 73% FLAURA market share1 10+ ongoing Phase III trials Unresectable NSCLC CRT rate of 70% unresectable patients 50% at launch 67% PACIFIC market share1 LAURA Resectable NSCLC Adjuvant treatment rate in early EGFRm 65% ~25% at launch 67% ADAURA market share1 AEGEAN BR.31 | H2 2024
    • 15. Investor Day • 2024 Oncology and Haematology – next wave of growth to 2030 and beyond 15 Existing portfolio1 2023 2030 Loss of Exclusivity (Lynparza) Launching NMEs1 AZD0120 AZD0486 camizestrant Dato-DXd rilvegostomig saruparib volrustomig AZN ADCs IRA impact Sustained leadership in disruptive categories ADCs • Radioconjugates • IO bispecifics • cell therapy • T-cell engagers Broad portfolio with unique combination potential and precision medicine expertise Global, differentiated commercial model and footprint Multiple blockbuster medicines across major tumour types and haematology Beyond 2030 $18bn 1. includes select medicines and pipeline opportunities. Acronym definitions can be found in Glossary. Collaboration partners: Daiichi Sankyo (Enhertu, Dato-DXd); Merck & Co., Inc. (Lynparza); Compugen (rilvegostomig). Illustrative only, not to scale
    • 16. Investor Day • 2024 We are investing in clinical trials today for future growth 16 Source: Trialtrove. Patient enrolment from collaboration and company sponsored studies averaged over 3 years from start date. Acronym definitions can be found in Glossary. Company 5 Company 6 Company 7 Company 8 Company 3 Company 4 0 5 10 15 20 25 2010 2014 2018 2022 Number of patients 20K 2010 2014 2018 2022 2010 2014 2018 2022 2010 2014 2018 2022 0 5 10 15 20 25 2010 2014 2018 2022 Number of patients 2010 2014 2018 2022 2010 2014 2018 2022 2010 2014 2018 2022 15K 15K 8K 7K 6K 6K 6K Company 2
    • 17. Investor Day • 2024 Significant news flow across key medicines through 2025 17 Collaboration partners: Daiichi Sankyo (Enhertu, Dato-DXd); Compugen (rilvegostomig). 2024 2025 Dato-DXd TROPION-Lung01 OS data, regulatory decision Dato-DXd TROPION-Breast02 1L TNBC data readout Imfinzi EMERALD-2 adj. HCC data readout (≥2025) Imfinzi EMERALD-3 locoregional HCC data readout (>2025) Imfinzi MATTERHORN early-stage gastric data readout Imfinzi ADRIATIC ASCO plenary (June 2024) Tagrisso LAURA ASCO plenary (June’24) Enhertu DESTINY-Breast09 1L HER2+ breast data readout Enhertu DESTINY-Breast06 ASCO LBA (June 2024) Truqap CAPitello-281 dPTEN prostate data readout Imfinzi + ceralasertib LATIFY 2L NSCLC data readout camizestrant SERENA-4/6 1L HR+ HER2- breast data readout (>2025) Multiple Phase III trial initiations planned with IO bispecifics and ADC combinations over next 12-18 months Dato-DXd TROPION-Breast01 regulatory decision Dato-DXd + Imfinzi AVANZAR 1L NSCLC data readout Enhertu DESTINY-Lung04 1L HER2m NSCLC data readout Calquence AMPLIFY 1L CLL data readout Calquence ECHO MCL updated data cut volrustomig + CTx AZ FIH Phase I/II updated data cut rilvegostomig Phase I/II ARTEMIDE-01 1L PD-L1>1% NSCLC update rilvegostomig + CTX Phase I/II GEMINI 1L gastric data cut Imfinzi BR.31 Adjuvant NSCLC data readout Enhertu DESTINY-Breast11 early-stage HER2+ breast data readout Tagrisso + savolitinib SAFFRON 2L MET+ EGFRm data readout
    • 18. 18 Investor Day • 2024 Targeted oral therapies
    • 19. 19 *Peak Year Revenue, non-risk adjusted across all indications. Acronym definitions can be found in Glossary. Investor Day • 2024 Tagrisso – backbone enables expansion of leadership in EGFRm NSCLC Established backbone in EGFRm NSCLC, expanding across stages of disease • FLAURA2 and ADAURA increase market share and duration of therapy • LAURA establishes new SoC in EGFRm Stage III unresectable • TROPION-Lung14 and TROPIONLung15 advance combinations with ADCs, first with Dato-DXd • Pre-clinical L858R allosteric inhibitor for all-oral combinations Strengthening leadership as backbone TKI in EGFRm NSCLC Early-stage 1L 2L+ ADAURA2 readout ≥2025 LAURA Positive readout ASCO 2024 FLAURA AURA 1-3 NeoADAURA readout H2 2024 New combinations FLAURA2 SAVANNAH/ SAFFRON readout 2024/2025 Building on TKI leadership with powerful combinations, including ADCs ADC combination trials TROPION-Lung14 + Dato-DXd readout >2025 TROPION-Lung15 + Dato-DXd readout >2025 $5bn+* ADAURA
    • 20. Investor Day • 2024 Calquence – foundational leadership in haematology 20 *Peak Year Revenue, non-risk adjusted across all indications. Acronym definitions can be found in Glossary. Leading BTK inhibitor in CLL across most major markets • ECHO first-in-class BTKi 1L MCL • AMPLIFY potential best-in-class finite treatment for 1L CLL • ESCALADE potential to expand into lymphoma 1L Increasing leadership with first-in-class combinations 2L+ ELEVATE-TN ASCEND CLL MCL DLBCL AMPLIFY data readout 2025 ECHO positive data readout ESCALADE data readout ≥2025 ACE-LY-004 $3-5bn* Expanding Calquence in MCL and DLBCL
    • 21. Investor Day • 2024 Truqap – first and best-in-class AKT inhibitor 21 *Peak Year Revenue, non-risk adjusted across all indications. 1. Biomarker alteration in PIK3CA, AKT1 or PTEN. 2. de novo. Acronym definitions can be found in Glossary. Establishing new SoC, extending benefit from hormone-based therapies • CAPItello-291 strong US launch uptake in biomarker1 positive breast cancer; recent JP approval and positive EU CHMP • CAPItello-281 expand into PTENdeficient metastatic prostate cancer2 First and best-in-class AKT inhibitor across breast and prostate 1L 2L+ HR+ breast cancer mCSPC mCRPC CAPItello-292 data readout >2025 CAPItello-290 data readout H1 2024 CAPItello-281 data readout H2 2024 CAPItello-280 data readout >2025 CAPItello-291 TNBC Establishing Truqap as a combination partner of choice $1-3bn*
    • 22. Investor Day • 2024 camizestrant – new endocrine backbone in breast cancer 22 *Peak Year Revenue, non-risk adjusted across all indications. Acronym definitions can be found in Glossary. Establishing the next endocrine therapy backbone • SERENA-4 and SERENA-6 endocrine backbone in combination with CDK4/6 inhibitors in 1L breast cancer • CAMBRIA-1 and CAMBRIA-2 addressing high unmet need for breast cancer patients with intermediate/high-risk earlystage disease Early-stage (adjuvant) Multiple Phase III CDK4/6i combination studies in 1L and early-stage breast cancer 1L HR+ breast cancer CAMBRIA-2 upfront adjuvant camizestrant +/- abemaciclib data readout >2025 SERENA-6 ESR1m camizestrant + CDK4/6i data readout 2025 SERENA-4 camizestrant + palbociclib data readout >2025 CAMBRIA-1 extended adjuvant camizestrant data readout >2025 $5bn+* Extending next-generation oral SERD into early breast cancer
    • 23. Investor Day • 2024 saruparib – next-generation PARP inhibitor 23 *Peak Year Revenue, non-risk adjusted across all indications. Yap TA el al. Abstract CT014 presented at American Association for Cancer Research 2024. Acronym definitions can be found in Glossary. Building the next-generation of PARP inhibition • Improved target engagement and safety — Enables longer duration of treatment and lower discontinuation rates • Deep and durable responses Advancing Phase III trials in prostate and breast cancers Castrate-sensitive prostate cancer (HRRm and non-HRRm) PETRA (60mg RP2D)1 showed 9.1m mPFS, 7.3m mDOR in late-line gBRCAm HER2- breast cancer Breast cancer (BRCA/PALB2m) EvoPAR-Prostate01 data readout >2025 EvoPAR-Breast01 data readout >2025 Leverage combinability and improved tolerability with NHAs to advance PARPi + NHA into earlier settings First PARPi to generate headto-head data vs CDK4/6i in 1L HR+ BRCA1/2m/PALB2m setting Additional Phase III trials planned in genitourinary and gynaecological tumours and IO combinations $5bn+*
    • 24. 24 Investor Day • 2024 Replacing systemic chemotherapy with ADCs
    • 25. Investor Day • 2024 Enhertu – transforming the treatment of breast cancer 25 Enhertu: #1 prescribed therapy in 2L HER2+ and HER2-low breast cancer • Continued demand growth in US and EU, with acceleration in China • Moving Enhertu earlier and broader — 1L and early-stage HER2+ — Chemotherapy-naïve HER2-low and HER2-ultralow HR+ segments with DESTINY-Breast06 Redefining HER2 expression across breast cancer HER2+ breast HR+ HER2-low breast Launches in 2024-2026 will address all stages of HER2+ disease and chemotherapy-naïve HR+ HER2-low mBC Early-stage Metastatic DESTINYBreast11 data readout 2025 DESTINYBreast05 data readout 2025 DESTINYBreast09 data readout 2025 DESTINYBreast03 launched 2022 DESTINYBreast01/02 launched 2019 DESTINY- Breast06 positive data readout ASCO 2024 DESTINYBreast04 launched 2022 *Peak Year Revenue, non-risk adjusted (Product Sales and Alliance Revenue) across all indications. Acronym definitions can be found in Glossary. Collaboration partners: Daiichi Sankyo (Enhertu). $5bn+*
    • 26. Investor Day • 2024 Enhertu – planned Phase III trials with IO combinations 26 Enhertu – moving beyond breast • First ADC tumour-agnostic FDA approval – multiple Phase III studies in 1L HER2+ tumours planned • Enhertu + IO bispecific combinations (rilvegostomig, volrustomig) being tested in Phase II lung and gastric cancers Establishing Enhertu benefit in other solid tumours Moving into 1L with multiple Phase III studies and IO combinations 1L+ Tumour agnostic DESTINY-PanTumor02 launched Ongoing Phase II IO combination trials Acronym definitions can be found in Glossary. Collaboration partners: Daiichi Sankyo (Enhertu). NSCLC Gastric Biliary Endo DESTINY-Lung03 +IO ± CTx DESTINY-Lung04 data readout 2025 DESTINY-Lung01/02 launched DESTINY-Gastric03 +IO ± CTx DESTINY-Gastric04 data readout 2025 DESTINY-Gastric01/02 launched DESTINY-BTC01 Phase III trial in planning Exploring Phase III opportunities Exploring Phase III opportunity
    • 27. Investor Day • 2024 AVANZAR TROP2 BM+ data readout 2025 Imfinzi TROPIONLung07 data readout >2025 Dato-DXd – potential first TROP2 ADC for NSCLC 27 *Peak Year Revenue, non-risk adjusted (Product Sales and Alliance Revenue) across all indications. 1. Lisberg A et al. Abstract LBA12 presented at European Society of Medical Oncology 2023 2. AGA = actionable genomic alterations in NSCLC (e.g. EGFR, ALK, ROS1, RET, MET, NTRK, BRAF). Acronym definitions can be found in Glossary. Collaboration partners: Daiichi Sankyo (Dato-DXd); Compugen (rilvegostomig). • First TROP2 ADC with positive and clinically meaningful PFS (HR 0.63 2/3L non-sq NSCLC)1 • Unique profile allows combinability with chemotherapy and IO (TROPION-Lung02/04) • Phase III started with novel combinations (rilvegostomig, Tagrisso) (TROPION-Lung10/14/15) • Novel TROP2 QCS biomarkers incorporated into clinical development plan Ongoing Phase II IO or Tagrisso combination trials Early stage 1L 2L+ NeoCOAST 2.0 TROPION- Lung10 TROP2 BM+ data readout >2025 rilvegostomig TROPIONLung08 data readout >2025 NSCLC (non-AGA2) TROPIONLung14 data readout >2025 Tagrisso TROPIONLung15 data readout >2025 Tagrisso TROPIONLung01 OS data readout 2024 EGFRm NSCLC Moving into earlier lines and early-stage NSCLC $5bn+*
    • 28. Investor Day • 2024 Dato-DXd – setting a new standard for TROP2 ADCs in breast cancer and beyond 28 1. Bardia A et al. Abstract LBA11 presented at European Society of Medical Oncology 2023. 2.Bladder, ovarian, endometrial, prostate, gastric, colorectal cancers. Acronym definitions can be found in Glossary. Collaboration partners: Daiichi Sankyo (Dato-DXd). • Strong efficacy TROPION-Breast01 (0.63 PFS HR in HR+ HER2-), differentiated safety, Q3W dosing1 • Novel IO combinations ongoing – Phase III with Imfinzi (breast cancer), Phase II with IO bispecifics (multiple tumours) Moving into earlier lines and early-stage breast and other Ongoing Phase II Early stage 1L 2L+ TROPION-Breast04 data readout >2025 Imfinzi TROPION-Breast02 data readout 2H24 TNBC TROPION-Breast03 data readout >2025 Imfinzi TROPION-Breast05 data readout >2025 Imfinzi TROPION-Breast01 regulatory decision 2025 HR+ breast TROPION-Pantumour03 IO bispecific Multiple2 IO combination trials
    • 29. Investor Day • 2024 Internal investment to deliver industry-leading ADCs 29 Build end-to-end capabilities: ADC conjugation | PK/PD tox models | Biology-translational-clinical development Payloads match disease biology Antibody engineering differentiated novel mAbs and chemistry Targets novel targets via surface proteomics Topoisomerase I Microtubules + alternative MoAs nnAA/ss conjugation bispecific mAb Combat resistance, improve therapeutic index and increase patient coverage Premier database for first-in-class ADC, T-cell engagers and cell therapy targets + + Tumour + normal PDx models Tox species Acronym definitions can be found in Glossary.
    • 30. Investor Day • 2024 Proprietary QCS technology can optimise patient selection 30 AI enabled QCS can allow precise assessment of biomarker expression and superior patient selection % tumour cells Positivity cut-off QCS positive responder QCS IHC Distinguish tumour vs normal (better) Quantify membrane vs cytoplasm Associates with internalisation Associates with cytotoxicity Prevalence associates with histology Predictive of clinical efficacy Solutions and opportunity of TROP2 QCS biomarker Acronym definitions can be found in Glossary.
    • 31. Investor Day • 2024 Vision to establish at least 2-3 foundational ADCs in major tumours with >80% coverage 31 AZ internal translational data. 1. Coverage inclusive of other targets in development. Acronym definitions can be found in Glossary. 84 95 92 78 100 100 100 NSCLC Colorectal HR+ breast Gastric Ovarian TNBC Endometrial % coverage across AZ ADCs HER2 FRα TROP2 EGFR/MET HER2 CEACAM5/6 HER2 TROP2 B7H4 HER2 CLDN18.2 HER2 TROP2 B7H4 TROP2 HER2 EGFR/MET FRα HER2 TROP2 B7H4 Future potential G7 patients treated with ADCs 310k 213k 169k 107k 61k 47k 40k
    • 32. Investor Day • 2024 Growing our portfolio of differentiated ADCs 32 *Peak Year Revenue, non-risk adjusted; includes several medicines with multi-blockbuster potential. Acronym definitions can be found in Glossary. Collaboration partners: Compugen (rilvegostomig). PHASE I PHASE II PHASE III Endometrial, ovarian, breast, biliary NSCLC, HNSCC, CRC Ovarian, NSCLC Gastric, GEJ, pancreatic R/R multiple myeloma Tumors Acute myelocytic leukemia, myelodysplastic syndrome AZD8205 B7H4 TOP1i AZD9552 EGFR/cMET TOP1i AZD5335 FRα TOP1i AZD0305 GPRC5D MMAE AZD9829 CD123 TOP1i MMAE CLDN18.2 AZD0901 Claudin 18.2 MMAE GEMINI Phase II: AZD0901 + rilvegostomig 1L CLDN18.2+ Gastric AZD0901 Phase I dose escalation 2L+ CLDN18.2-positive gastric/GEJ Leading CLDN18.2 ADC in Phase III gastric cancer $5bn+* • CLARITY-01 (Phase III AZD0901 2L+ CLDN18.2+ gastric) ongoing • AZD0901 + rilvegostomig being tested in Phase II 1L CLDN18.2+ gastric 60 40 20 0 -20 -40 -60 -80 -100 Maximum decrease from baseline in sum of longest diameter (%) PD PD PD PD PD PD PD PD PD NE SD PD SDPD PD PD NE PD SDPD PD NE PD SD PD SDSD SD SD PD SD SD SD PDSDPD SD SD SD SD PD SD SD SD SD SDSD PD SD SD PRPRPR PR * PR PR PR * PR PR PR PR PR PR PR PR PR PR PR PRPRPR PR PR PR PR PR PR PR PRPRPR PR PR PR PR PR CRPRCR -30 20% Patients
    • 33. 33 Investor Day • 2024 Expanding beyond PD-(L)1 with next-generation immuno-oncology
    • 34. Investor Day • 2024 Imfinzi and Imjudo – IO leadership in GI cancer, NSCLC and beyond 34 *Peak Year Revenue, non-risk adjusted across all indications. 1. Market share of new patients 6 months from launch. Acronym definitions can be found in Glossary. Collaboration partners: Daiichi Sankyo (Dato-DXd). • Establishing Imfinzi + Dato-DXd in NSCLC and TNBC • Building on CASPIAN success with ADRIATIC in LS-SCLC • Strengthening leadership in GI — Build on HIMALAYA with EMERALD-1, -2 and -3 — Move into early gastric with MATTERHORN — ~75% market share1 in 1L BTC with TOPAZ-1 Significant potential across tumours NSCLC SCLC HCC BTC Breast Early-stage 1L TROPION-Breast03 data readout >2025 + Dato-DXd TROPION-Breast04 data readout >2025 + Dato-DXd TROPION-Breast05 data readout >2025 + Dato-DXd TOPAZ-1 launched 2022 HIMALAYA launched 2022 CASPIAN launched 2020 POSEIDON launched 2022 PACIFIC launched 2018 PACIFIC-4 data readout >2025 AEGEAN regulatory decision BR.31 data readout H2 2024 PACIFIC-8, -9 data readout >2025 AVANZAR + Dato-DXd data readout 2025 ADRIATIC positive readout ASCO 2024 EMERALD-1 positive data readout ASCO GI EMERALD-2 data readout ≥2025 EMERALD-3 data readout ≥2025 DELLphi-305 data readout >2025 ADC combination trials Gastric MATTERHORN data update 2025 $5bn+*
    • 35. Investor Day • 2024 rilvegostomig – potential to displace single agent PD-1/PD-L1 across IO sensitive tumours 35 *Peak Year Revenue, non-risk adjusted across all indications. Acronym definitions can be found in Glossary. Collaboration partners: Daiichi Sankyo (Enhertu, Dato-DXd); Compugen (rilvegostomig). Demonstrating higher anti-tumour activity than αPD-1/TIGIT bivalent combinations or αPD-1 monotherapy rilvegostomig (PD-1/TIGIT) Differentiated bispecific format Updated Phase I/II data to be presented at medical congress in 2024 Differentiated clinical development programme Leveraging combinations with our robust ADC pipeline Current ADC combinations • Enhertu • Dato-DXd • AZD0901 (CLDN18.2) Future ADC combinations • AZD8205 (B7H4) • AZD9592 (EGFR/cMET) • AZD5335 (FRα) $5bn+* Isotype Ctl anti-PD-1 anti-PD-1 + anti-TIGIT rilvegostomig 2000 1500 1000 500 Tumour Volume (mm3) 0 0 10 20 30 40 Study days i.p. dosing
    • 36. Investor Day • 2024 rilvegostomig – accelerating development programme 36 Acronym definitions can be found in Glossary. Collaboration partners: Daiichi Sankyo (Enhertu, Dato-DXd); Compugen (rilvegostomig). Initiating up to 10 pivotal trials with novel combinations across NSCLC, GI, and GU/GYN tumours TROPION-Lung10 | Phase III rilvegostomig ± Dato-DXd vs pembrolizumab TROPION-Lung10 1L PD-L1 ≥ 50% non-squamous NSCLC rilvegostomig + Dato-DXd rilvegostomig pembrolizumab Dual primary endpoints mPFS and OS in TROP2 BM+
    • 37. Investor Day • 2024 volrustomig – potential to displace single agent PD-(L)1 across CTLA-4 sensitive tumours 37 *Peak Year Revenue, non-risk adjusted across all indications. 1. Ahn MJ et al. Abstract LBA56 presented at European Society of Medical Oncology 2022. Acronym definitions can be found in Glossary. volrustomig Increases CTLA-4 therapeutic index Updated Phase I/II data to be presented at medical congress in 2024 volrustomig + CTx Showed depth of response Addressing unmet need for PD-L1-low patients Anti-PD-1 Fab Anti-CTLA-4 Fab Knob-into-hole IgG1-TM Fc Peripheral CD4+ T-cell proliferation of volrustomig ≥500mg is greater than Imjudo 3mg/kg + Imfinzi 10mg/kg • 44% ORR (PD-L1<1%) • 56% ≥30% reduction in target lesions • 20% TEAEs (discontinuation rate) Phase I/II volrustomig + CTx 1L non-sq NSCLC1 Phase III ongoing in 1L PD-L1 <50% NSCLC Comprehensive ongoing Phase III programme • eVOLVE-Meso • eVOLVE-HNSCC • eVOLVE-Cervical eVOLVE-Lung02 1L PD-L1<50% NSCLC volrustomig + CTx pembrolizumab + CTx $5bn+* PD-L1 NE PD-L1 <1% PD-L1 1-49% PD-L1 >50% Best change from baseline (%) 0 -10 -20 -30 -40 -50 -60 -70 -80
    • 38. 38 Investor Day • 2024 Leadership in breast, NSCLC and gastric cancers
    • 39. Investor Day • 2024 Extending leadership in NSCLC and breast cancer AstraZeneca select NSCLC portfolio AstraZeneca select breast cancer portfolio IO sensitive NSCLC EGFRm NSCLC HER2m Imfinzi PACIFIC-8/9 AEGEAN, BR.31 PACIFIC-4 Dato-DXd to replace CTx TROPION-Lung01 AVANZAR, TROPION-Lung07, -08 Dato-DXd ± Tagrisso HER2+ HR+ TNBC Expanding Enhertu Enhertu to replace trastuzumab + CTx DESTINY-Breast11, -05, -09 Enhertu and DatoDXd to replace CTx DESTINY-Breast04, -06, TROPION-Breast01 camizestrant to become the backbone ET of choice CAMBRIA-1/2, SERENA-4/6, eVOPAR-Breast01 (BRCA1/2, PALB2) Truqap addresses key drivers of resistance CAPItello-292 CAPItello-290 Dato-DXd ± Imfinzi replace IO + CTx TROPION-Breast04, -03, -05, -02 Truqap established SoC CAPItello-291 Tagrisso ± CTx FLAURA, FLAURA-2 ADAURA, ADAURA-2, Neo-ADAURA LAURA TROPION-Lung01 TROPION-Lung-15, -14 Early Metastatic Early Metastatic DESTINY-Breast02, -03, -06 Enhertu For HER2m and HER2+ Novel combinations Acronym definitions can be found in Glossary. 39 Collaboration partners: Daiichi Sankyo (Enhertu, Dato-DXd); Compugen (rilvegostomig). Next-generation IO bispecifics to replace PD-(L)1 eVOLVE-Lung02, NeoCOAST2.0 TROPION-Lung10
    • 40. Investor Day • 2024 Building leadership position in gastric cancer Targeting key segments with bispecifics + ADCs within a ~$12bn market1 Stg. I-III Metastatic Est. epi (G7) 48-100K Early-stage 2L 3L 58-128K 30-71K HER2-high ~20% HER2-low ~11% HER2-low/ CLDN18.2+ ~11% CLDN18.2+ ~35% Other MATTERHORN Enhertu Established SoC Enhertu Established SoC CLARITY-01 established SoC 1. Reflects projected estimate of gastric cancer market across G7 countries (ex-China). G7 drug-treated patients based on data from Cerner, DRG, and Epic Oncology (early perioperative and 1L-2L metastatic disease). Duration of therapy calculated based on mPFS or time of fixed regimen. AZN internal pricing estimates used for monotherapy and combination therapies and market potentials assume maximum novel share and testing rates based on Cerner analogues. Acronym definitions can be found in Glossary. 40 Collaboration partners: Daiichi Sankyo (Enhertu, Dato-DXd); Compugen (rilvegostomig). AZD0901 (CLDN18.2) replaces systemic chemotherapy 1L 91-170K DESTINY-Gastric03 Enhertu replaces trastuzumab in HER2-high GEMINI Phase I/II Next-generation IO bispecifics (volrustomig, rilvegostomig) replace PDx Opportunity to combine with AZD0901 Establishing IO in early gastric cancer
    • 41. 41 Investor Day • 2024 Next-wave haematology portfolio
    • 42. Investor Day • 2024 Eight haematology assets spanning multiple modalities Cell therapy BCMA/CD19 αCD19 αCD3 Fc Tail Immune engagers CD19, CD20 ADCs CD123, GPRC5D CD123 GPCR5D CD222 Tumour drivers BTK, IRAK4C Epigenetics PRMT5 42 Acronym definitions can be found in Glossary.
    • 43. Investor Day • 2024 Haematology – combinations will drive increased cure 43 1. 2030 incidence: Cerner Enviza. 2. PFS/EFS rates based on SoC in largest patient segment from landmark clinical studies. Acronym definitions can be found in Glossary. DLBCL/FL, MCL CLL B-ALL B-cell lymphoid malignancies 130k 44k 10k 50-70% 70% 35% adult 85% paed. AZD0486 CD19/CD3 TCE Calquence BTKi Multiple myeloma 79k 55% AZD0305 GPRC5D ADC AZD0120 BCMA/CD19 CAR-T Acute myeloid leukaemia 43k 10% AZD9829 CD123 ADC Estimated new cases (G7, 2030)1 1L 5-year PFS/EFS rates2 Building regimens around core assets
    • 44. Investor Day • 2024 *Peak Year Revenue, non-risk adjusted across all indications. 1. Gaballa S et al,. Abstract 1662 presented at American Society of Hematology 2023. 2. Michot JM et al. Cancer Drug Resist. 2021 Mar 26;4(3):710-718. 3. Lunsumio 44 (mosunetuzumab-axgb) US Prescribing information. Acronym definitions can be found in Glossary. AZD0486 (CD19/3 T-cell engager) – demonstrated high responses in B-cell lymphoma, now in Phase II Targeting CD19 vs CD20 Engineered to reduce toxicity and increase stability Demonstrated strong early efficacy data r/r follicular lymphoma AZD0486 ≥2.4mg double step-up1 CD20xCD3 TCE3 ORR 88% (15/17) 80% CR 82% (14/17) 60% Historical benchmark αCD19 High-affinity heavychain-only domain Activating αCD3 Unique binding site reduce cytokine release Silenced IgG4 Fc tail Prevents nonspecific binding, antibodydependent cellular cytotoxicity, and confers a long half-life 29% CRS (all Gr1)1 Q2W + IV dosing (SC in development) CD19 CD19 CD19 CD19 CD19 CD19 CD19 CD20 CD20 CD20 CD20 CD20 CD3 AZD0486 rituxan CD20-TCE CD3 Combination potential up to 16% antigen loss across lymphomas for CD19 and CD202 CD19 expressed across broader range of B-cells CD19 CD20 $5bn+*
    • 45. Investor Day • 2024 AZD0120 (GC012F) – pioneering BCMA/CD19 dual-targeting CAR-T cell therapy, Phase III ready 45 *Peak Year Revenue, non-risk adjusted across all indications. Data cut-off 1 October 2023. 1. MRD was tested by Euroflow at a sensitivity of 106. Chen X et al. Abstract 1022 presented at American Society of Hematology 2023. Acronym definitions can be found in Glossary. Differentiated cell therapy product profile • Dual BCMA/CD19 CAR-T targets both myeloma and progenitor cells — BCMA targets plasma cells with proven efficacy in myeloma — CD19 targets progenitor cells – deep durable response • Clean safety profile for early-stage disease — Younger, fitter T-cells mean lower cell dose required — No neurotoxicity or ICANs across existing data (N=15) • Gracell FAST-CAR manufacturing accelerated to 24-36 hours Efficacy in 1L high-risk myeloma $5bn+* 0 25 50 75 100 All patients (N=22) Evaluable patients (N=15) Patients (%) VGPR CR/sCR MRD- MRD+ 12 month MRD1 100% ORR 100% CR/sCR 95%
    • 46. 46 Investor Day • 2024 Transforming outcomes with next-generation therapies
    • 47. Investor Day • 2024 Building leadership in Radioconjugates 47 Fusion Pharmaceuticals acquisition remains subject to customary external clearances; all clinical development plans mentioned herein subject to deal closure. Acronym definitions can be found in Glossary. Becoming a key backbone modality with significant combination potential Potential to redefine use or replace traditional radiation therapy Current state Future state Unlocking novel target space Small molecule VHH Peptide
    • 48. Investor Day • 2024 OS HR 0.62 Patients alive (%) 0 10 20 30 40 50 60 70 80 90 100 0 2 4 6 8 10 Months since randomisation 12 14 16 18 20 22 24 26 28 30 32 177Lu-PSMA-617 + standard care Standard care alone FPI-2265 (PSMA-α) – leading alpha Radioconjugate in prostate cancer 48 Fusion Pharmaceuticals acquisition remains subject to customary external clearances; all clinical development plans mentioned herein subject to deal closure. 1. Morris MJ et al. Abstract LBA4 presented at American Society of Clinical Oncology 2021. 2. Sathekge MM et al, Lancet Oncol 2024; 25:175-83. 3. Patel S et al. Abstract LB155 presented at American Association for Cancer Research 2021; includes IGF1R data. Acronym definitions can be found in Glossary. PSMA proven prostate cancer target α emission more potent than β emission Pursuing IO combinations Lutetium PSMA β-emitting RIC VISION Phase III mCPRC1 Retrospective meta-analysis: PSMA⍺ > PSMAβ (PSA50 57% vs 46%)2 Immunogenic cell death from αRIC can drive RIC + IO combinations Potency 3 Energy deposited per unit length (LET,keV/um) ⍺ β 80-300 0.2 0 5 10 0 4 8 12 16 20 24 28 Days after treatment initiation Vehicle control Anti-PD-1 mAb (5 mg/kg) [ 225Ac]-TAT only [ 225Ac]-TAT + anti-PD-1 mAb Change from baseline in PSA (%) Patients CT26 relative tumour volume (RTV)
    • 49. Investor Day • 2024 Building leadership in cell therapy 49 Bringing the curative potential of cell therapy with several potential launches before 2030 Advancing seven medicines into clinical trials Haematology/ autoimmune Solid tumours T-cell receptor therapies • BCMA/CD19 • GPC3 dnTGFb • STEAP2 dnTGFb • Claudin 18.2 dnTGFb • Individualised TCRs • TP53 R175H • KRASG12D Multiple myeloma, SLE Liver cancer Prostate cancer Gastric cancer Colorectal, lung cancer Pancreatic, colorectal, lung cancer Pancreatic, colorectal, lung cancer Highest quality cells in spec Capacity to meet clinical scale and potential commercial demand Improved profitability through decreased COGS Acronym definitions can be found in Glossary.
    • 50. 50 Investor Day • 2024 Concluding remarks
    • 51. Investor Day • 2024 *Peak Year Revenue, non-risk adjusted, for some medicines includes Product Sales and Alliance Revenue and across all indications. Acronym definitions can be found in Glossary. 51 Collaboration partners: Daiichi Sankyo (Enhertu, Dato-DXd); Merck & Co., Inc. (Lynparza); Compugen (rilvegostomig). Multiple high-value opportunities and rich near-term catalyst path support growth to 2030 and beyond Growth drivers to 2030 Upcoming Key Phase II and Phase III readouts Dato-DXd TROPION-Lung01 OS data readout camizestrant SERENA-4/6 1L HR+ HER2- (>2025) volrustomig + CTx FIH Phase I/II updated data cut Dato-DXd TROPION-Breast02 1L TNBC data readout Enhertu DESTINY-Breast11 early-stage HER2+ rilvegostomig Phase I/II ARTEMIDE 1L PD-L1>1% NSCLC data cut Dato-DXd AVANZAR 1L NSCLC data readout Enhertu DESTINY-Breast09 1L HER2+ rilvegostomig + CTx Phase I/II GEMINI 1L gastric data cut Truqap CAPItello-281 dPTEN prostate data readout Calquence AMPLIFY 1L CLL $5bn+ PYR* $3-5bn PYR* AZN ADCs AZD0486 AZD0120 Dato-DXd saruparib rilvegostomig volrustomig / camizestrant
    • 52. 52 Investor Day • 2024 Appendix
    • 53. Investor Day • 2024 AstraZeneca in lung cancer Ambition for >50% of lung cancer patients to be eligible for AZN medicine by 2030 53 All numbers are approximate. Illustrative settings and populations, not to scale. Acronym definitions can be found in Glossary. Collaboration partners: Daiichi Sankyo (Enhertu, Dato-DXd), Compugen (rilvegostomig). Leading the future of lung cancer treatment • Establishing Tagrisso as backbone TKI in EGFRm • Imfinzi leading IO in unresectable • Advancing best-in-class ADCs to replace systemic chemotherapy • Delivering next-wave bispecifics to improve on PD-(L)1 • Developing novel combinations, including IO & Tagrisso + ADCs • Investing behind new technologies and platforms, including cell therapy and testing/screening APPENDIX | Oncology tumour maps EGFRm c.16% IO sensitive c.70% Stg. I-III metastatic 1L 2L+ Est. epi (G7) ~200K ~30K ~70K ~350K ~290K HER2m c.2% Other tumour drivers c.12% Imfinzi / Osi w/ SBRT PACIFIC-4 Imfinzi combos PACIFIC-8, -9 improvements across PD-L1 spectrum Stg. I-II Stg. III unresectable CRT à Tagrisso LAURA Imfinzi AEGEAN volrustomig + CTx Imfinzi + Dato + plat NEOCOAST-2 Enhertu DESTINY-Lung04 Imfinzi + Imjudo + CTx POSEIDON resectable CRT à Imfinzi PACIFIC Dato-DXd +/- Tagrisso TROPION-Lung15/ 01 AZD9592 (EGFR/cMET ADC) EGRET Dato-DXd TROPION-Lung01 Imfinzi + ceralasertib LATIFY savolitinib + Tagrisso SAFFRON/SAVANNAH CRT à Imfinzi PACIFIC Tagrisso FLAURA AZD9592 (EGFR/cMET ADC) EGRET Enhertu + IO + CTx DESTINY-Lung03 established SoC Dato-DXd + IO +/- Platinum TROPION-Lung08/TROPION-Lung07/AVANZAR sabestomig (PD-1/TIM3) Enhertu DESTINY-Lung02 volrustomig + CTx eVOLVE-Lung02 Tagrisso neoADAURA Tagrisso ADAURA Dato-DXd + Rilvegostomig TROPION-Lung10 Tagrisso + CTx FLAURA-2 Dato-DXd + Tagrisso TROPION-Lung14
    • 54. 54 Investor Day • 2024 All numbers are approximate. Illustrative settings and populations, not to scale. All numbers for epi are drug-treated. Acronym definitions can be found in Glossary. Collaboration partners: Daiichi Sankyo (Enhertu, Dato-DXd). AstraZeneca in breast cancer Ambition to eliminate breast cancer as a cause of death APPENDIX | Oncology tumour maps gBRCAm 5% of HR-positive 15% of TNBC HER2-positive 15-20% HR-positive 65-75% TNBC 10-15% Est. epi (G7) 520k 130k 100k 70k 55k 1st line 2nd line 3rd line 4th line + Early drug-treated Neoadjuvant Adjuvant Metastatic drug-treated CTx à Lynparza OlympiA NSTà residual disease à Enhertu DESTINY-Breast05 Enhertu ± THP DESTINY-Breast11 NST à residual disease à Dato-DXd ± Imfinzi TROPION-Breast03 CTx à AI (± CDK4/6i) 2-5 yrs à camizestrant CAMBRIA-1 Good outcomes with current SoC CTx à camizestrant (± CDK4/6i) CAMBRIA-2 Enhertu DESTINY-Breast03 Lynparza OlympiAD Enhertu DESTINY-Breast02 camizestrant + CDK4/6i SERENA-4 AI + CDK4/6i à camizestrant + CDK4/6i SERENA-6 ESR1m 35% Enhertu ± pertuzumab DESTINY-Breast09 Dato-DXd TROPION-Breast02 Dato-DXd TROPIONBreast01 PD-L1- 60% RECURRENCE established SoC Dato-DXd + Imfinzi TROPION-Breast05 PD-L1+ 40% Dato-DXd + Imfinzi TROPIONBreast04 Truqap + Faslodex CAPItello291 PIK3CA, AKT1, PTEN alt.40% Truqap + paclitaxel CAPItello290 Truqap + Faslodex + CDK4/6i CAPItello292 saruparib + camizestrant EvoPAR-Breast01 tBRCAm, PALB2m 9% Low risk Enhertu DESTINY-Breast06 HER2-low (1+, 2+) 60% HER2-ultralow (0-1+) 25% Enhertu DESTINYBreast04 HER2-low (1+, 2+) 60% HER2-low (1+, 2+) 35% Int/High risk
    • 55. 55 Investor Day • 2024 Glossary – 1 of 2 CLL chronic lymphocytic leukaemia cm centimetre CM cardiomyopathy cMET c-mesenchymal epithelial transition factor COPD chronic obstructive pulmonary disease CRwNP chronic rhinosinusitis with nasal polyps CSA-AKI cardiac surgery-associated acute kidney injury ctDNA circulating tumour DNA CTLA4 cytotoxic T-lymphocyte associated protein 4 CTx chemotherapy CV cardiovascular CVRM Cardiovascular, Renal and Metabolism DDR DNA damage response DGF delayed graft function DLBCL diffuse large B-cell lymphoma dnTGFb dominant-negative transforming growth factor-beta dPTEN phosphatase and tensin homolog deficient EBITDA Earnings before interest, tax, depreciation and amortisation EGFR epidermal growth factor receptor eGFR estimated glomerular filtration rate EGPA eosinophilic granulomatosis with polyangiitis EM Emerging Markets EOS eosinophil EPI epigenetics EPS earnings per share ERoW Established Rest of World ESR1 estrogen receptor alpha ESRD end stage renal disease ETA RA endothelin receptor A antagonist ETARA endothelin receptor A antagonist FDC fixed dose combination FeNO fractional exhaled nitric oxide FL Follicular lymphoma FLAP 5-lipoxygenase activating protein FRα folate receptor alpha FX foreign exchange G7 US, Japan, EU5 GA geographic atrophy GLP-1/glu glucagon-like peptide 1 receptor/glucagon dual peptide agonist GLP-1RA glucagon-like peptide 1 receptor agonist gMG generalised myasthenia gravis GN glomerulonephritis GPC3 Glypican-3 GPRC5D G protein-coupled receptor class C group 5 member D GU genitourinary GYN gynaecologic HbA1c glycated haemoglobin HCC hepatocellular carcinoma HER2 human epidermal growth factor receptor 2 HF heart failure HFrEF heart failure with reduced ejection fraction HK hyperkalaemia HLR high-level results hMPV human metapneumovirus HNSCC head and neck squamous cell carcinoma HR hazard ratio HR+ hormone receptor positive HRR homologous recombination repair HSCT-TMA hematopoietic stem cell transplantation-associated thrombotic microangiopathy i.v. intravenous IBD inflammatory bowel disease ICS inhaled corticosteroid ICU intensive care unit IgAN IgA nephropathy IIT investigated initiated trial iJAK1 inhaled Janus kinase IL-33 interleukin-33 IL-5 interleukin-5 IND investigational new drug IO Immuno-oncology IPF idiopathic pulmonary fibrosis IRA Inflation Reduction Act iTSLP inhaled thymic stromal lymphopoietin ITT intent to treat IVIg intravenous immunoglobulin 1L, 2L, 3L first-, second-, third-line 6MWT 6-minute walk test AAV adeno-associated virus ACE angiotensin-converting enzyme AChR+ acetylcholine receptor-positive ADC antibody conjugate ADsCa albumin-adjusted serum calcium AER annual exacerbation rate AEs adverse effects AGA actional genomic alteration aHUS atypical haemolytic uraemic syndrome AL amyloidosis light-chain amyloidosis AML acute myelogenous leukaemia AMR antibody mediated rejection anti-PCD anti plasma cell dyscrasia AQP4+ aquaporin-4 antibody positive ARB angiotensin receptor blockers ASCO American Society of Clinical Oncology ASI aldosterone synthase inhibitor ASO antisense oligonucleotide ATTR-CM transthyretin amyloid cardiomyopathy ATTR-PN transthyretin amyloid polyneuropathy B-ALL B-cell acute lymphoblastic leukaemia BCMA B-cell maturation antigen BRCA breast cancer gene BTC biliary tract cancer BTKi Bruton's tyrosine kinase C5 complement component 5 CAGR compound adjusted growth rate cAMR chronic antibody-medicated rejection CAR-T chimeric antigen receptor T-cells CD19 Cluster of differentiation 19 CD3 Cluster of differentiation 3 CDK4/6i cyclin-dependent kinase 4/6 inhibitor CER constant exchange rates CI confidence interval CKD chronic kidney disease CLDN 18.2 Claudin-18.2
    • 56. 56 Investor Day • 2024 Glossary – 2 of 2 NST neoadjuvant systemic treatment NT-proBNP N-terminal pro-B-type natriuretic peptide NYHA New York Heart Association oGLP1 oral glucagon-like receptor peptide 1 oPCSK9 oral protein convertase subtilisin/kexin type 9 ORR overall response rate oRXFP1 oral relaxin family peptide receptor 1 OS overall survival PALB2m partner and localizer of BRCA2 PARP1 poly(ADP-ribose) polymerase-1 PARPi poly-ADP ribose polymerase inhibitor PD1 programmed cell death protein 1 PD-L1 programmed cell death ligand 1 PFS progression free survival PIK3CA phosphatidylinositol-4,5-biphosphate 3-kinase catalytic subunit PK/PD pharmacokinetic/pharmacodynamic PLEX plasma exchange PN polyneuropathy PNH paroxysmal nocturnal haemoglobinuria PNH-EVH paroxysmal nocturnal haemoglobinuria with extravascular haemolysis PNPLA3 phospholipase domain-containing protein 3 PP plasmapheresis PSA prostate-specific antigen PSA50 prostate-specific antigen 50 PTEN phosphatase and TENsin homolog deleted on chromosome 10 PYR peak year revenue Q2W every 2 weeks Q4W every 4 weeks Q8W every 8 weeks QCS quantitative continuous scoring QoQ quarter on quarter R&D research and development R&I Respiratory and Immunology r/r relapsed/refractory RA rheumatoid arthritis RAGE receptor for advanced glycation end products RC radioconjugates RP2D recommended Phase II dose RSV respiratory syncytial virus s. asthma severe asthma s.c. subcutaneous SABA short acting beta agonist SBP systolic blood pressure SBRT stereotactic brain radiotherapy SC subcutaneous SG&A Selling, General and Administrative SGLT2i sodium/glucose cotransporter 2 inhibitor sK serum potassium SLE systemic lupus erythematosus SoC standard of care ST2 suppression of tumorigenicity 2 Stg. I/II/III Stage I/II/III Stg. III u/r NSCLC Stage III unresectable non-small cell lung cancer T2D type-2 diabetes T8 US, China, Japan, EU5 TCE T-cell engager tCO2e tonnes of carbon dioxide equivalent TCR T-cell receptor TDR tumour drivers and resistance TIGIT T-cell immunoreceptor with immunoglobulin and ITIM domains TIM-3 T-cell immunoglobulin and mucin domain-containing protein TKI tyrosine kinase inhibitor TNBC triple negative breast cancer TP53 tumour protein 53 Treg Regulatory T-cell TROP2 trophoblast cell surface antigen 2 TTR transthyretin u/r HTN uncontrolled or treatment resistant hypertension UACR urinary albumin/creatinine ratio ULN upper limit of normal V&I Vaccines and Immune Therapies VLP virus-like particle K+ potassium KCCQ Kansas City Cardiomyopathy Questionnaire LA amylin long-acting amylin LABA long-acting beta 2-agonists LAMA long-acting muscarinic antagonists LCM life cycle management LDL-C low-density lipoprotein cholesterol LN lupus nephritis LoE loss of exclusivity LS-SCLC limited stage small-cell lung cancer LV left ventricular mAb monoclonal antibody MASH metabolic dysfunction-associated steatohepatitis, also known as nonalcoholic steatohepatitis (NASH) MASLD metabolic dysfunction-associated steatotic liver disease mBC metastatic breast cancer MCL mantle cell lymphoma mDOR median duration of response mg/dL milligrams per decilitre MGFA Myasthenia Gravis Foundation of America mHSPC metastatic hormone sensitive prostate cancer mL millilitre MM multiple myeloma MoA mechanism of action MPO myeloperoxidase MRA mineralocorticoid receptor antagonist MRM mineralocorticoid receptor modulator n/m not material NBRx new-to-brand prescription Neo-adj neoadjuvant NF1-PN neurofibromatosis type 1-plexiform neurofibromas ngSERD next-generation oral selective estrogen receptor degrader NHA novel hormone agent NME new molecular entity NMOSD neuromyelitis optica spectrum disorder NP nasal polyps NRDL national reimbursement drug list NSCLC non-small cell lung cancer


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