AstraZeneca
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AstraZeneca (AZN) investor relations material

AstraZeneca Q1 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Q1 2026 earnings summary29 Apr, 2026

Executive summary

  • Q1 2026 delivered strong commercial momentum, with total revenue up 13% year-over-year (8% at constant exchange rates) to $15.3bn, led by double-digit growth in Oncology and Rare Disease, and robust demand for innovative medicines across all major therapy areas and geographies.

  • Core operating profit increased 12% and core EPS rose 5% to $2.58, reflecting robust operational execution and a favorable prior-year tax rate.

  • Four positive Phase III program readouts, including pivotal data for tozorakimab and efzimfotase alfa, reinforce pipeline strength and support growth ambitions through 2030 and beyond.

  • 14 new regulatory approvals secured across major regions since Q4 2025, highlighting portfolio breadth and global reach.

Financial highlights

  • Total revenue reached $15.3bn, up 13% year-over-year (8% at CER); product revenue was $14.4bn, up 7%, and alliance revenue rose 26%.

  • Core gross margin was 83%; core R&D expenses rose 8% to 23% of total revenue; core SG&A costs increased 7–12% year-over-year.

  • Core operating profit up 12%; core EPS up 5% to $2.58; reported EPS was $1.99.

  • Cash flow from operations was $3.4bn, slightly down due to prior year milestone receipts; CapEx was $645m, with further increases expected.

  • Net debt increased by $2.5bn in Q1 2026 to $25.9bn, mainly due to dividend payments.

Outlook and guidance

  • FY 2026 guidance reaffirmed: total revenue expected to grow mid- to high-single digits at CER, and core EPS by a low double-digit percentage.

  • Core tax rate projected between 18–22%; FX expected to have a low single-digit positive impact on revenue and neutral impact on core EPS.

  • Strategic focus remains on pipeline delivery, commercial execution, and investments in R&D and new launches to achieve long-term growth ambitions.

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