Innovative Strategies for Cancer Care

Innovative Strategies for Cancer Care

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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.

Innovative Strategies for Cancer Care

@financepresentations1 week ago

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

                                Forward looking statements

                                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

                                                              Unmet need in cancer remains a global challenge

                                                              Five million new cancer patients diagnosed globally 1 per year with low 5-year survival

                                                                                            4

                                                                                            Critical trends in transforming cancer treatment

                                                                                                                          Our strategy to transform patient outcomes

                                                                                                                          Attack cancer from multiple angles

                                                                                                                          Treat earlier and smarter

                                                                                                                          Lead with innovative technology

                                                                                                                                                        6

                                                                                                                                                        Powerful combinations to transform survival in cancer

                                                                                                                                                        Kill cancer cells, debulk tumour and activate immune system with checkpoint inhibitors

                                                                                                                                                        ADCs

                                                                                                                                                        IO bispecifics

                                                                                                                                                        Radioconjugates

                                                                                                                                                        Enhance immune system when checkpoint inhibition alone is insufficient

                                                                                                                                                        T-cell engagers

                                                                                                                                                        CAR-Ts

                                                                                                                                                        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

                                                                                                                                                                                      7

                                                                                                                                                                                      We are leading the ADC revolution to replace systemic chemotherapy

                                                                                                                                                                                      Significant potential ADC opportunity across multiple tumours

                                                                                                                                                                                      AstraZeneca robust ADC portfolio with proven execution

                                                                                                                                                                                                                    Enhertu - leading HER2 ADC with transformational data across multiple tumour types

                                                                                                                                                                                                                    DESTINY-Breast03 1

                                                                                                                                                                                                                    HER2+ 2L+ breast cancer

                                                                                                                                                                                                                    DESTINY-Breast04 2

                                                                                                                                                                                                                    HER2-low 3L+ breast cancer

                                                                                                                                                                                                                    DESTINY-Breast06 (HER2-low/ultra-low) - statistically significant, clinically meaningful improvement in PFS 5

                                                                                                                                                                                                                    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-PanTumor02 3

                                                                                                                                                                                                                    HER2+ 2L+ tumours 4

                                                                                                                                                                                                                                                  Dato-DXd - potential to displace chemotherapy in NSCLC and breast cancer

                                                                                                                                                                                                                                                  1

                                                                                                                                                                                                                                                  2

                                                                                                                                                                                                                                                  First TROP2 ADC in NSCLC to demonstrate statistically significant, clinically meaningful outcomes in Phase III

                                                                                                                                                                                                                                                                                Next-generation bispecifics - going beyond PD-1/PD-L1 inhibitors to establish new IO segments

                                                                                                                                                                                                                                                                                                              ADC + IO combinations proven to transform outcomes

                                                                                                                                                                                                                                                                                                              Breast cancer

                                                                                                                                                                                                                                                                                                              Upcoming early-stage data

                                                                                                                                                                                                                                                                                                              Early data support strong efficacy and safety in metastatic disease

                                                                                                                                                                                                                                                                                                              Lung cancer

                                                                                                                                                                                                                                                                                                                                            We have the right portfolio to lead in ADC + IO combinations

                                                                                                                                                                                                                                                                                                                                            Ongoing novel IO bispecifics + ADC Phase II proof-of-concept data

                                                                                                                                                                                                                                                                                                                                            Illustrative 5-year OS curve

                                                                                                                                                                                                                                                                                                                                            Striving to lift OS curves

                                                                                                                                                                                                                                                                                                                                            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.

                                                                                                                                                                                                                                                                                                                                                                          Our commercial strategy to transform patient outcomes

                                                                                                                                                                                                                                                                                                                                                                          Medicines that matter

                                                                                                                                                                                                                                                                                                                                                                          Building transformative brands

                                                                                                                                                                                                                                                                                                                                                                          Leveraging scale

                                                                                                                                                                                                                                                                                                                                                                          Tumour area leadership

                                                                                                                                                                                                                                                                                                                                                                          Transforming patient care

                                                                                                                                                                                                                                                                                                                                                                          Closing the care gap

                                                                                                                                                                                                                                                                                                                                                                                                        Leading in lung cancer today and tomorrow

                                                                                                                                                                                                                                                                                                                                                                                                                                      Oncology and Haematology - next wave of growth to 2030 and beyond

                                                                                                                                                                                                                                                                                                                                                                                                                                                                    We are investing in clinical trials today for future growth

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Significant news flow across key medicines through 2025

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  2024

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  2025

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Multiple Phase III trial initiations planned with IO bispecifics and ADC combinations over next 12-18 months

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                18

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Targeted oral therapies

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                1

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Tagrisso - backbone enables expansion of leadership in EGFR m NSCLC

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Strengthening leadership as backbone TKI in EGFR m NSCLC

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Established backbone in EGFR m NSCLC, expanding across stages of disease

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              • · FLAURA2 and ADAURA increase market share and duration of therapy
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              • · LAURA establishes new SoC in EGFR m Stage III unresectable
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              • · TROPION-Lung14 and TROPIONLung15 advance combinations with ADCs, first with Dato-DXd
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              • · Pre-clinical L858R allosteric inhibitor for all-oral combinations

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Calquence - foundational leadership in haematology

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Truqap - first and best-in-class AKT inhibitor

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          First and best-in-class AKT inhibitor across breast and prostate

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Establishing Truqap as a combination partner of choice

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Establishing new SoC, extending benefit from hormone-based therapies

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • · CAPItello-291 strong US launch uptake in biomarker 1 positive breast cancer; recent JP approval and positive EU CHMP
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          • · CAPItello-281 expand into PTEN -deficient metastatic prostate cancer 2

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        camizestrant - new endocrine backbone in breast cancer

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Extending next-generation oral SERD into early breast cancer

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        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)

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        CAMBRIA-2

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        upfront adjuvant camizestrant +/- abemaciclib data readout >2025

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        CAMBRIA-1 extended adjuvant camizestrant data readout >2025

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        1L

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        SERENA-6 ESR1 m camizestrant + CDK4/6i data readout 2025

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        SERENA-4 camizestrant + palbociclib

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        data readout >2025

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Multiple Phase III CDK4/6i combination studies in 1L and early-stage breast cancer

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        HR+ breast cancer

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      saruparib - next-generation PARP inhibitor

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Advancing Phase III trials in prostate and breast cancers

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      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

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      PETRA (60mg RP2D) 1 showed 9.1m mPFS, 7.3m mDOR in late-line gBRCAm HER2- breast cancer

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Castrate-sensitive prostate cancer (HRRm and non-HRRm)

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Breast cancer ( BRCA/PALB2 m)

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      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+ BRCA1/2 m /PALB2 m setting

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Additional Phase III trials planned in genitourinary and gynaecological tumours and IO combinations

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    24

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Replacing systemic

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    chemotherapy with ADCs

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    1

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Enhertu - transforming the treatment of breast cancer

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Redefining HER2 expression across breast cancer

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  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

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Launches in 2024-2026 will address all stages of HER2+ disease and chemotherapy-naïve HR+ HER2-low mBC

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Enhertu - planned Phase III trials with IO combinations

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Establishing Enhertu benefit in other solid tumours

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                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

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Dato-DXd - potential first TROP2 ADC for NSCLC

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Moving into earlier lines and early-stage NSCLC

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              IO or

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Tagrisso

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              combination trials

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Ongoing Phase II

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              • · 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

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Dato-DXd - setting a new standard for TROP2 ADCs in breast cancer and beyond

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Internal investment to deliver industry-leading ADCs

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Build end-to-end capabilities: ADC conjugation | PK/PD tox models | Biology-translational-clinical development

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Proprietary QCS technology can optimise patient selection

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        AI enabled QCS can allow precise assessment of biomarker expression and superior patient selection

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        s

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        l

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        l

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        ce

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        r

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        u

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        o

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        m

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        tu

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        %

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Solutions and opportunity of TROP2 QCS biomarker

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Vision to establish at least 2-3 foundational ADCs in major tumours with >80% coverage

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Growing our portfolio of differentiated ADCs

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  33

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Expanding beyond PD-(L)1

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  immuno-oncology

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  with next-generation

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Imfinzi and Imjudo - IO leadership in GI cancer, NSCLC and beyond

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                *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.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                • 34 Collaboration partners: Daiichi Sankyo (Dato-DXd).

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              rilvegostomig - potential to displace single agent PD-1/PD-L1 across IO sensitive tumours

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              rilvegostomig (PD-1/TIGIT)

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Differentiated bispecific format

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Demonstrating higher anti-tumour activity than αPD-1/TIGIT bivalent combinations or αPD-1 monotherapy

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              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)

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Updated Phase I/II data to be presented at medical congress in 2024

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            rilvegostomig - accelerating development programme

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Initiating up to 10 pivotal trials with novel combinations across NSCLC, GI, and GU/GYN tumours

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          volrustomig - potential to displace single agent PD-(L)1 across CTLA-4 sensitive tumours

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          volrustomig

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Increases CTLA-4 therapeutic index

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          volrustomig + CTx

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Showed depth of response

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Addressing unmet need for PD-L1-low patients

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Updated Phase I/II data to be presented at medical congress in 2024

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        38

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Leadership in breast, NSCLC

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        and gastric cancers

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        1

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Extending leadership in NSCLC and breast cancer

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      AstraZeneca select NSCLC portfolio

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      AstraZeneca select breast cancer portfolio

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Acronym definitions can be found in Glossary.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Building leadership position in gastric cancer

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Targeting key segments with bispecifics + ADCs within a ~$12bn market 1

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    established SoC

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    • Collaboration partners: Daiichi Sankyo ( Enhertu , Dato-DXd); Compugen (rilvegostomig). 40

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  41

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Next-wave haematology

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  1

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  portfolio

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Investor Day

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ·

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  2024 2024

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Investor Day

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ·

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Eight haematology assets spanning multiple modalities

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Haematology - combinations will drive increased cure

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            AZD0486 (CD19/3 T-cell engager) - demonstrated high responses in B-cell lymphoma, now in Phase II

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Engineered to reduce toxicity and increase stability

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Demonstrated strong early efficacy data

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Targeting CD19 vs CD20

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          AZD0120 (GC012F) - pioneering BCMA/CD19 dual-targeting CAR-T cell therapy, Phase III ready

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          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

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        46

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Transforming outcomes with

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        next-generation therapies

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        1

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Building leadership in Radioconjugates

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Potential to redefine use or replace traditional radiation therapy

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Becoming a key backbone modality with significant combination potential

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    FPI-2265 (PSMA-α) - leading alpha Radioconjugate in prostate cancer

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    PSMA

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    proven prostate cancer target

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    α emission

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    more potent than β emission

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Pursuing IO combinations

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    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.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Building leadership in cell therapy

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Bringing the curative potential of cell therapy with several potential launches before 2030

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Advancing seven medicines into clinical trials

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Haematology/ autoimmune

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ·

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  BCMA/CD19

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ·

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  GPC3 dnTGFb

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Multiple myeloma,

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  SLE

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ·

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  STEAP2 dnTGFb

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Solid tumours

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Liver cancer

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Prostate cancer

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  • · Claudin 18.2 dnTGFb Gastric cancer

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  T-cell receptor therapies

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  ·

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Individualised TCRs

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Colorectal, lung cancer

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  • · TP53 R175H Pancreatic, colorectal, lung cancer
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  • · KRASG12D Pancreatic, colorectal, lung cancer

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Highest quality cells in spec

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Capacity to meet clinical scale and potential commercial demand

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  Improved profitability through decreased COGS

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                50

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Concluding remarks

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                1

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              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

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            52

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Appendix

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          AstraZeneca in lung cancer

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Ambition for >50% of lung cancer patients to be eligible for AZN medicine by 2030

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          established SoC

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        AstraZeneca in breast cancer

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Ambition to eliminate breast cancer as a cause of death

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        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.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        • 54 Collaboration partners: Daiichi Sankyo ( Enhertu , Dato-DXd).

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Metastatic drug-treated

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Glossary - 1 of 2

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Glossary - 2 of 2

Investor Day • 2024
Oncology and Haematology
David Fredrickson, EVP, Oncology Business
Susan Gal…
1/56
Investor Day • 2024
Forward looking statements
2
In order, among other things, to utilise the 's…
2/56
3 Investor Day • 2024
1. 5 million patients across G7 markets (US, UK, FR, DE, IT, ES, JP) and Chi…
3/56
Investor Day • 2024
Critical trends in transforming cancer treatment
4 ADC = Antibody drug conjug…
4/56
Investor Day • 2024
Our strategy to transform patient outcomes 
5
Attack cancer from 
multiple …
5/56
Investor Day • 2024
Powerful combinations to transform survival in cancer
6 Acronym definitions c…
6/56
Investor Day • 2024
We are leading the ADC revolution to replace systemic 
chemotherapy
7
1. AZ…
7/56
Investor Day • 2024
10
40
70
100
90
80
60
50
30
20
0
Time, months
0 2 4 6 8 10 12 14 1…
8/56
Investor Day • 2024
0 3 6 9 12 15
Time from randomisation (months)
0
20
40
60
80
100
PFS p…
9/56
Investor Day • 2024
Next-generation bispecifics – going beyond PD-1/PD-L1 
inhibitors to establis…
10/56
Investor Day • 2024
1. Schmid P et al. Abstract 379MO presented at European Society of Medical Onc…
11/56
Investor Day • 2024
We have the right portfolio to lead in ADC + IO combinations
12
Phase II tri…
12/56
Investor Day • 2024
Our commercial strategy to transform patient outcomes
13
Acronym definitions…
13/56
Investor Day • 2024
Leading in lung cancer today and tomorrow
14 Internal estimates. 1. Market sh…
14/56
Investor Day • 2024
Oncology and Haematology – next wave of growth to 2030 
and beyond
15
Exist…
15/56
Investor Day • 2024
We are investing in clinical trials today for future growth
16 Source: Trialt…
16/56
Investor Day • 2024
Significant news flow across key medicines through 2025
17 Collaboration part…
17/56
18 Investor Day • 2024
Targeted oral therapies
18/56
19 *Peak Year Revenue, non-risk adjusted across all indications. Acronym definitions can be found i…
19/56
Investor Day • 2024
Calquence – foundational leadership in haematology
20 *Peak Year Revenue, non…
20/56
Investor Day • 2024
Truqap – first and best-in-class AKT inhibitor
21 *Peak Year Revenue, non-ris…
21/56
Investor Day • 2024
camizestrant – new endocrine backbone in 
breast cancer
22 *Peak Year Revenu…
22/56
Investor Day • 2024
saruparib – next-generation PARP inhibitor 
23 *Peak Year Revenue, non-risk a…
23/56
24 Investor Day • 2024
Replacing systemic 
chemotherapy with ADCs
24/56
Investor Day • 2024
Enhertu – transforming the treatment of 
breast cancer
25
Enhertu: #1 presc…
25/56
Investor Day • 2024
Enhertu – planned Phase III trials with 
IO combinations
26
Enhertu – movin…
26/56
Investor Day • 2024
AVANZAR 
TROP2 BM+
data readout 
2025
Imfinzi
TROPIONLung07
data readou…
27/56
Investor Day • 2024
Dato-DXd – setting a new standard for TROP2 ADCs 
in breast cancer and beyond…
28/56
Investor Day • 2024
Internal investment to deliver industry-leading ADCs
29
Build end-to-end cap…
29/56
Investor Day • 2024
Proprietary QCS technology can optimise patient selection
30
AI enabled QCS …
30/56
Investor Day • 2024
Vision to establish at least 2-3 foundational ADCs in major 
tumours with >80…
31/56
Investor Day • 2024
Growing our portfolio of differentiated ADCs
32
*Peak Year Revenue, non-risk…
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…
34/56
Investor Day • 2024
rilvegostomig – potential to displace single agent
PD-1/PD-L1 across IO sensi…
35/56
Investor Day • 2024
rilvegostomig – accelerating development programme
36
Acronym definitions ca…
36/56
Investor Day • 2024
volrustomig – potential to displace single agent 
PD-(L)1 across CTLA-4 sensi…
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 port…
39/56
Investor Day • 2024
Building leadership position in gastric cancer
Targeting key segments with bi…
40/56
41 Investor Day • 2024
Next-wave haematology
portfolio
41/56
Investor Day • 2024
Eight haematology assets spanning multiple modalities
Cell 
therapy
BCMA/CD…
42/56
Investor Day • 2024
Haematology – combinations will drive increased cure
43 1. 2030 incidence: Ce…
43/56
Investor Day • 2024
*Peak Year Revenue, non-risk adjusted across all indications. 1. Gaballa S et …
44/56
Investor Day • 2024
AZD0120 (GC012F) – pioneering BCMA/CD19 
dual-targeting CAR-T cell therapy, P…
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 …
47/56
Investor Day • 2024
OS HR 0.62 
Patients alive (%)
0
10
20
30
40
50
60
70
80
90
100
0…
48/56
Investor Day • 2024
Building leadership in cell therapy 
49
Bringing the curative potential of c…
49/56
50 Investor Day • 2024
Concluding remarks
50/56
Investor Day • 2024
*Peak Year Revenue, non-risk adjusted, for some medicines includes Product Sal…
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 el…
53/56
54 Investor Day • 2024
All numbers are approximate. Illustrative settings and populations, not to …
54/56
55 Investor Day • 2024
Glossary – 1 of 2
CLL chronic lymphocytic leukaemia
cm centimetre
CM car…
55/56
56 Investor Day • 2024
Glossary – 2 of 2
NST neoadjuvant systemic treatment
NT-proBNP N-terminal…
56/56


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