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REG - GSK PLC - 3rd Quarter Results

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RNS Number : 1209K  GSK PLC  30 October 2024

 

 GSK on track to deliver 2024 outlooks with further good progress made in
 R&D

 Q3 2024 sales and core earnings growth driven by strong performance of
 Specialty Medicines helping to offset lower Vaccines sales
 •    Total Q3 2024 sales £8.0 billion -2% AER; +2% CER
 •    Vaccines sales -15%. Shingrix -7% and Arexvy -72% reflecting ACIP guideline
      changes, prioritisation of COVID vaccinations in the US  and annualisation of
      Arexvy launch in Q3 2023
 •    Specialty Medicines sales +19%. HIV sales +12%. Oncology +94%.
      Respiratory/Immunology and other +14%
 •    General Medicines sales +7%. Trelegy +16%
 •    Total operating profit -86% and Total EPS -100% driven by a charge of £1.8
      billion ($2.3 billion) in relation to the Zantac settlement
 •    Core operating profit +5% and Core EPS +5% reflecting strong Specialty
      Medicines performance, together with effective cost management
 •    Cash generated from operations in the quarter £2.5 billion with Free cash
      flow of £1.3 billion
 (Financial Performance - Q3 2024 results unless otherwise stated, growth % and
 commentary at CER as defined on page 52).

                                 Q3 2024                                   Year to date
                                 £m          % AER           % CER         £m           % AER            % CER
 Turnover                        8,012       (2)             2             23,259       4                8
 Turnover ex COVID               8,012       (2)             2             23,258       5                9
 Total operating profit          189         (90)            (86)          3,325        (46)             (41)
 Total operating margin %        2.4%        (21.6ppts)      (20.6ppts)    14.3%        (13.4ppts)       (12.5ppts)
 Total EPS                       (1.4p)      >(100)          (100)         53.0p        (53)             (48)
 Core operating profit           2,761       -               5             7,717        10               16
 Core operating margin %         34.5%       0.4ppts         1.0ppts       33.2%        1.6ppts          2.2ppts
 Core EPS                        49.7p       (1)             5             136.2p       8                14
 Cash generated from operations  2,499       -                             5,275        19

 Further progress in R&D with growth prospects strengthened in all key
 therapeutic areas:
 •    Infectious Diseases: EU approval for Arexvy in adults aged 50-59 at increased
      risk, and positive new data indicates protection over three RSV seasons; US
      FDA file acceptance for gepotidacin in uncomplicated UTI; bepirovirsen granted
      SENKU designation in Japan for chronic hepatitis B
 •    HIV: Real-world studies demonstrate 99% effectiveness for Apretude, the only
      approved long-acting medicine for HIV PrEP
 •    Respiratory/Immunology: Positive results announced for ultra long-acting
      biologic, depemokimab, for phase III ANCHOR trial (CRSwNP)(1) and full results
      for SWIFT-1&2 trials (severe asthma) supporting filing for severe asthma
      and CRSwNP before year end with dual indication, potential launch in 2025.
      Positive headline results announced for phase III MATINEE trial for Nucala in
      COPD. Nucala approved in Japan for CRSwNP
 •    Oncology: Expanded US FDA approval for Jemperli in endometrial cancer; Blenrep
      filed in US, EU and Japan and received Breakthrough Therapy Designation in
      China; US FDA Breakthrough Therapy Designation for GSK5764227 (B7-H3-targeted
      antibody-drug conjugate) in small-cell lung cancer

 

 2024 guidance confirmed; Q3 2024 dividend of 15p declared and continue to
 expect 60p full year dividend:
 •    2024 turnover growth of 7% to 9%; Core operating profit growth of 11% to 13%;
      Core EPS growth of 10% to 12%. Expected to deliver broadly around the middle
      of existing ranges

Guidance all at CER and excluding COVID-19 solutions

 

 Emma Walmsley, Chief Executive Officer, GSK:

 "We have delivered another quarter of sales and core operating profit growth,
 and further good progress in R&D. Strong growth in specialty medicines
 helped to offset lower vaccine sales and reflected successful new product
 launches in oncology and HIV, as well as the resilience we have now built into
 GSK's portfolio and performance. Our pipeline continues to strengthen with 11
 positive phase III trials reported so far this year and we are currently
 planning launches for 5 major new product approval opportunities next year:
 Blenrep, Depemokimab, Nucala for COPD, Gepotidacin, and our new vaccine to
 prevent meningitis (MenABCWY). We also resolved the vast majority of Zantac
 litigation in the quarter, to remove uncertainty and so we can focus forward.
 All this means we are on track to deliver our 2024 guidance, and we are even
 more confident in our 2026 and 2031 outlooks."

The Total results are presented in summary above and on page 8 and Core
results reconciliations are presented on pages 20 and 23. Core results are a
non-IFRS measure that may be considered in addition to, but not as a
substitute for, or superior to, information presented in accordance with IFRS.
The following terms are defined on page 52: Core results, £% or AER% growth,
CER% growth, COVID-19 solutions, turnover excluding COVID-19 solutions; and
other non-IFRS measures. GSK provides guidance on a Core results basis only,
for the reasons set out on page 18. All expectations, guidance and targets
regarding future performance and dividend payments should be read together
with 'Guidance and outlooks, assumptions and cautionary statements' on page
54. (1) CRSwNP - Chronic rhinosinusitis with nasal polyps.

 

2024 Guidance

 

GSK confirms its full-year sales, core profit and EPS guidance at constant
exchange rates (CER) and expects to deliver broadly around the middle of the
existing ranges. All guidance, expectations and full-year growth rates exclude
any contributions from COVID-19 solutions.

Despite some challenges this quarter, particularly with lower than anticipated
vaccine demand and a tough comparator, GSK delivered growth in both sales and
core profits in the quarter at CER. Specialty Medicines continue to grow
strongly, particularly reflecting successful new launches in Oncology and for
long-acting HIV medicines. General Medicines, including Trelegy, also
continued to perform better than expected.

Sales are expected to grow between 7 to 9 per cent range at CER. Improved
sales performances in Specialty and General Medicines are expected to offset
lower sales growth of Vaccines this year, primarily due to lower sales of
Arexvy and Shingrix. Key factors driving Arexvy performance are guideline
restrictions, prioritisation of COVID vaccination in the US, and an
unfavourable comparison to the vaccine's outstanding launch last year.

 All Guidance excludes the contributions of COVID-19 solutions  Confirmed 2024 guidance at CER  Previous 2024 guidance at CER
 Turnover                                                       Increase between 7% to 9%       Increase between 7% to 9%
 Core operating profit                                          Increase between 11% to 13%     Increase between 11% to 13%
 Core earnings per share                                        Increase between 10% to 12%     Increase between 10% to 12%

 

This guidance is supported by the following revised turnover expectations for
full-year 2024 at CER:

 All turnover expectations exclude the contributions of COVID-19 solutions  Revised 2024 guidance at CER                    Previous 2024 guidance at CER
 Vaccines                                                                   Decrease low-single digit per cent in turnover  Increase low to mid-single digit per cent in turnover
 Specialty Medicines                                                        Increase high teens per cent in turnover        Increase mid to high teens per cent in turnover
 General Medicines                                                          Increase mid-single digit per cent in turnover  Increase low to mid-single digit per cent in turnover

 

Core operating profit is expected to grow between 11 to 13 per cent at CER.
This is despite a 6 percentage point impact to operating profit growth
following the loss of the majority of Gardasil royalties effective from the
beginning of 2024. SG&A continues to be expected to grow low-single
digits, with effective cost control driving operating leverage and further
margin improvements. R&D expenditure is expected to increase slightly
below sales growth and royalty income is expected to be around £600 million
for the full year.

Core earnings per share is expected to increase between 10 to 12 percent at
CER. Expectations for non-controlling interests remain unchanged relative to
2023, and GSK continues to anticipate an increase in the core effective tax
rate to around 17% for the full year following implementation of new global
minimum corporate income tax rules which came into effect from 1 January 2024
in line with the Organisation for Economic Co-Operation and Development
'Pillar 2' model framework.

 

Additional commentary

 

Dividend policy

The Dividend policy and the expected pay-out ratio remain unchanged.
Consistent with this, and reflecting strong business performance during the
quarter, GSK has declared a dividend for Q3 2024 of 15p per share and expects
to declare a dividend of 60p per share for the full year 2024.

 

COVID-19 solutions

For the full year 2024, GSK does not anticipate any further COVID-19
pandemic-related sales or operating profit. Consequently, and in comparison to
2023, it is anticipated that the full year growth in sales and Core operating
profit will be adversely impacted by one and two percentage points,
respectively.

 

Exchange rates

If exchange rates were to hold at the closing rates on 30 September 2024
($1.34/£1, €1.20/£1 and Yen 191/£1) for the rest of 2024, the estimated
impact on 2024 Sterling turnover growth for GSK would be -5% and if exchange
gains or losses were recognised at the same level as in 2023, the estimated
impact on 2024 Sterling Core Operating Profit growth for GSK would be -8%.

 

Results presentation

A conference call and webcast for investors and analysts of the quarterly
results will be hosted by Emma Walmsley, CEO, at 12 noon GMT (US EDT at 8 am)
on 30 October 2024. Presentation materials will be published on www.gsk.com
prior to the webcast and a transcript of the webcast will be published
subsequently.

Notwithstanding the inclusion of weblinks, information available on the
company's website, or from non GSK sources, is not incorporated by reference
into this Results Announcement.

 Performance: turnover

 Turnover                          Q3 2024                             Year to date
                                   £m         Growth      Growth       £m           Growth        Growth

                                              AER%        CER%                      AER%          CER%
 Shingles                          739        (10)        (7)          2,516        (1)           2
 Meningitis                        520        18          22           1,142        16            20
 RSV (Arexvy)                      188        (73)        (72)         432          (39)          (37)
 Influenza                         283        (24)        (22)         303          (26)          (23)
 Established Vaccines              920        6           10           2,533        2             5
 Vaccines ex COVID                 2,650      (18)        (15)         6,926        (3)           -
 Pandemic vaccines                 -          (100)       >(100)       -            (100)         (100)
 Vaccines                          2,650      (18)        (15)         6,926        (5)           (2)
 HIV                               1,750      8           12           5,120        10            13
 Respiratory/Immunology and Other  843        10          14           2,389        10            15
 Oncology                          373        86          94           1,002        >100          >100
 Specialty Medicines ex COVID      2,966      14          19           8,511        16            20
 Xevudy                            -          -           -            1            (97)          (97)
 Specialty Medicines               2,966      14          19           8,512        16            20
 Respiratory                       1,617      6           11           5,407        6             11
 Other General Medicines           779        (5)         -            2,414        (6)           (1)
 General Medicines                 2,396      3           7            7,821        2             7
 Total                             8,012      (2)         2            23,259       4             8
 Total ex COVID                    8,012      (2)         2            23,258       5             9
 By Region:
 US                                4,321      (5)         (1)          12,057       5             9
 Europe                            1,618      4           6            4,911        -             2
 International                     2,073      2           8            6,291        6             12
 Total                             8,012      (2)         2            23,259       4             8

 Turnover ex COVID is excluding COVID-19 solutions during the years from 2020
 to 2023 and is a non-IFRS measure defined on page 52 with the reconciliation
 to the IFRS measure Turnover included in the table above. Financial
 Performance - Q3 2024 results unless otherwise stated, growth % and commentary
 at CER.

 

                            Q3 2024                Year to date
                            £m     AER    CER      £m     AER    CER
 Vaccines  Total            2,650  (18%)  (15%)    6,926  (5%)   (2%)
           Excluding COVID  2,650  (18%)  (15%)    6,926  (3%)   -%

In Q3 2024 and Total Vaccines sales decreased, while in YTD ex COVID sales
were broadly stable. Performance was primarily impacted by lower sales of
Arexvy with changes in ACIP guidelines, prioritisation of COVID-19
vaccinations in the quarter, lower seasonal infections and a tough comparator
following launch stocking last year. Shingrix decreased in the quarter, but
grew YTD, as lower demand in the US more than offset growth in International.
Meningitis vaccines continued to show strong demand with double-digit sales
growth. The overall Vaccines YTD performance was adversely impacted due to
COVID-19 solution sales in 2023.

 Shingles  739  (10%)  (7%)    2,516  (1%)  2%

Sales of Shingrix, a vaccine against herpes zoster (shingles), decreased in
the quarter, while continuing to grow YTD.

In the US, sales in the quarter decreased by 23%. The US cumulative
immunisation penetration rate at the end of Q2 2024 reached 39% of the more
than 120 million US adults(1) currently recommended to receive Shingrix, up
six percentage points(2) since the end of Q2 2023. However the pace of
increased penetration is slowing reflecting the continued challenge of
activating harder-to-reach consumers. Shingrix sales YTD were also negatively
impacted by changes in retail vaccine prioritisation in part due to a
transition to a new CMS(3) rule that changed how pharmacies process
reimbursements from payers.

Shingrix grew significantly in International in the quarter and YTD, driven by
a national immunisation programme in Australia and supply to our co-promotion
partner in China. In Europe, Shingrix decreased in the quarter and YTD from
lower demand in Germany partially offset by expanded public funding in other
countries. Markets outside the US now represent 58% of Q3 2024 global sales
(Q3 2023: 50%), with Shingrix launched in 48 countries. The overwhelming
majority of ex-US Shingrix opportunity is concentrated in 10 markets where
the average immunisation rate is around 6%.

 

Footnotes:

 (1)  United States Census Bureau, International Database, Year 2024 (2) Reflects
      latest United States Census Bureau data and delivery orders (3) Centers for
      Medicare & Medicaid Services

             Q3 2024          Year to date
             £m   AER  CER    £m     AER    CER
 Meningitis  520  18%  22%    1,142  16%    20%

In Q3 2024 and YTD, Meningitis vaccines grew double-digit achieving record
quarterly sales. Bexsero, a vaccine against meningitis B, grew primarily
reflecting Centers for Disease Control and Prevention (CDC) purchasing
patterns and favourable pricing mix in the US, recommendation in Germany and
the launch in Vietnam partly offset by tender phasing in Europe during H1
2024. Growth of Menveo, a vaccine against meningitis ACWY, benefitted from CDC
purchasing patterns in the US and favourable H1 2024 delivery timing in
International.

 RSV (Arexvy)  188  (73%)  (72%)    432  (39%)  (37%)

Arexvy, a respiratory syncytial virus (RSV) vaccine for older adults, declined
in both the quarter and YTD. US sales in Q3 2024 decreased due to a more
restrictive recommendation from the Advisory Committee on Immunization
Practices (ACIP) for individuals aged 60 to 74, prioritisation of COVID
vaccinations related to a resurgence of COVID-19 infection rates and lower
channel inventory versus significant launch stocking in the prior year.
Arexvy maintained around two-thirds of the vaccination share YTD in retail
where the overwhelming majority of doses are administered. More than nine
million of the 85 million US adults(1) aged 60 and older at risk have been
protected by Arexvy since the launch in Q3 2023. The performance in YTD also
reflected new launch inventory build in Australia and Brazil, initial tender
deliveries in Saudi Arabia and continued consumer uptake in Canada. While
Arexvy is approved in 51 markets globally, 16 countries had national RSV
vaccination recommendations for older adults and 6, including the US, had
reimbursement programmes in place at the quarter end.

 Influenza  283  (24%)  (22%)    303  (26%)  (23%)

Fluarix/FluLaval sales declined in Q3 2024 driven by competitive pressure and
volume phasing in the US and lower demand across other regions.

 Established Vaccines  920  6%  10%    2,533  2%  5%

Established Vaccines grew in Q3 2024, reflecting favourable CDC purchasing
patterns across several paediatric brands together with increased demand for
Boostrix. This was partly offset by the timing of deliveries and competitive
pressure for Synflorix in International. YTD sales were also impacted by
adverse CDC stockpile movements for Rotarix and Infanrix/Pediarix in the US,
partly offset by increased supply of measles, mumps, rubella, and varicella
(MMR/V) vaccines in International.

 Specialty Medicines  Total            2,966  14%  19%    8,512  16%  20%
                      Excluding COVID  2,966  14%  19%    8,511  16%  20%

Specialty Medicines sales increased by double digits in the quarter,
reflecting continued growth across disease areas, with strong performances in
HIV, Respiratory/Immunology and Oncology.

 HIV  1,750  8%  12%    5,120  10%  13%

HIV sales grew double digits in both the quarter and YTD, primarily reflecting
a 2 percentage point increase in market share compared to the prior period.
This was driven by strong patient demand for Oral 2DR (Dovato, Juluca) and
long-acting medicines (Cabenuva, Apretude) and favourable in-year pricing,
including the positive impact from channel mix related to adjustments to
returns and rebates.

 Oral 2DR  730  13%  17%    2,097  17%  21%

Sales of oral 2-drug regimens for the quarter were £730 million, which now
represents 42% of the total HIV portfolio. Dovato continues to be the highest
selling product in the HIV portfolio with sales of £567 million in the
quarter and growing 23% versus Q3 2023.

 Long-Acting Medicines  314  43%  49%    898  54%  59%

Long-Acting Medicine sales in the quarter now represent 18% of the total HIV
portfolio compared to 13% for Q3 2023 and contributed over 50% of the total
HIV growth. Cabenuva sales reached £245 million in Q3 2024, growing 40% due
to strong patient demand. Apretude sales in Q3 2024 were £69 million, growing
95% compared to Q3 2023.

 Respiratory/Immunology and Other  843  10%  14%    2,389  10%  15%

Sales primarily comprise contributions from Nucala in respiratory and Benlysta
in immunology. In Q3 2024, double digit sales growth continued for Nucala and
Benlysta, driven by patient demand globally across US, European and
International markets.

 

Footnote:

 (1)  United States Census Bureau, International Database, Year 2024

         Q3 2024          Year to date
         £m   AER  CER    £m     AER    CER
 Nucala  444  8%   12%    1,300  10%    14%

Nucala, is an IL-5 antagonist monoclonal antibody treatment for severe asthma,
with additional indications including chronic rhinosinusitis with nasal
polyps, eosinophilic granulomatosis with polyangiitis (EGPA), and
hypereosinophilic syndrome (HES). In Q3 2024, sales growth continued to be
strong, particularly in Europe and International regions, reflecting higher
patient demand for treatments addressing eosinophilic-led disease.

 Benlysta  389  11%  16%    1,067  11%  15%

Benlysta, a monoclonal antibody treatment for Lupus, continues to grow
consistently in Q3 2024, representing strong demand and volume growth in US,
European and International regions, with bio-penetration rates having
increased across many markets.

 Oncology  373  86%  94%    1,002  >100%     >100%

In Q3 2024, strong Oncology sales growth continued driven by increasing
patient demand for Zejula, a PARP(1) inhibitor, Jemperli, a PD-1(2) blocking
antibody, and Ojjaara/Omjjara, a daily JAK1/JAK2 and ACVR1(3) inhibitor.
Jemperli, a medicine for front-line treatment in combination with chemotherapy
for patients with dMMR/MSI-H primary advanced or recurrent endometrial cancer,
received US FDA approval in the quarter expanding the indication to include
all adult patients with primary advanced or recurrent endometrial cancer.
Jemperli sales continued to grow strongly with sales of £130 million
delivered in the quarter. Ojjaara/Omjjara, a treatment for myelofibrosis
patients with anaemia, launched in the US in Q3 2023, in the UK and Germany in
Q1 2024, and in Japan in Q3 2024, has seen strong uptake since launch and
delivered £98 million of sales in the quarter.

 Zejula  144  3%  6%    450  21%  25%

Zejula, a PARP inhibitor treatment for ovarian cancer, continues to grow
globally across all regions with sustained increase in patient demand and
higher volumes, further enhanced by positive price impacts in the US. Growth
in the quarter was adversely impacted by channel inventory build associated
with the launch of the tablet formulation in the US in Q3 2023, partially
offset by favourable impacts from comparator adjustments to returns and
rebates.

 General Medicines  2,396  3%  7%    7,821  2%  7%

Sales include contributions from both the Respiratory and Other General
Medicine portfolios. In Q3 2024, sales growth increased primarily driven by
Trelegy, a chronic obstructive pulmonary disease (COPD) and asthma medicine,
with strong demand across all regions. Performance was adversely impacted by
the removal of the Average Manufacturer Price (AMP) cap on Medicaid drug
prices in the US. This removal impacted Advair, Flovent, and Lamictal due to
significant pricing reductions, reduced commercial contracting, and the
decision to discontinue branded Flovent. However, this has been fully offset
by the increased use of authorised generic versions of Advair and Flovent
while, significantly, continuing to provide access to patients.

 Respiratory  1,617  6%  11%    5,407  6%  11%

In Q3 2024 and YTD, sales growth reflected Trelegy's strong performance in all
regions and the increased demand for Anoro, particularly in Europe and
International. Seretide/Advair also grew in the quarter due to favourable
impacts from comparator adjustments in the US to return and rebates. As
mentioned above, in the US adverse impacts from the removal of the AMP cap
were fully offset by the increased use of authorised generic versions of
Advair and Flovent, providing access to medicines for patients.

 Trelegy  600  12%  16%    2,033  26%  31%

Trelegy is the most prescribed single inhaler triple therapy (SITT) treatment
worldwide for COPD and asthma. In Q3 2024 sales grew 16% with continued strong
growth across all regions, reflecting patient demand, single-inhaled triple
therapy class growth, and increased market share. YTD growth of 31% was
positively impacted by favourable US pricing impacts in the first six months
of 2024, including adjustments to return and rebates, which moderated in Q3
2024.

 Seretide/Advair  218  8%  13%    798  (8%)  (4%)

Seretide/Advair is a combination treatment used to treat asthma and COPD. In
Q3 2024, sales grew 13% reflecting growth in the US driven by favourable
impacts from comparator adjustments to returns and rebates, partially offset
by decreases in sales in Europe and International from continued generic
erosion by competitor products. The decline year to date reflected continued
generic erosion from competitor products in Europe and International,
partially offset by mid-single digit growth in the US, driven by favourable
impacts from comparator adjustments to returns and rebates, and the continued
use of authorised generics offsetting the removal of the AMP cap on Medicaid
drug prices.

 Other General Medicines  779  (5%)  -%    2,414  (6%)  (1%)

Performance in Q3 2024 remained consistent with YTD performance, and continued
to be impacted by ongoing generic competition globally.

 

Footnotes:

 (1)  PARP: a Poly ADP ribose polymerase  (2) PD-1: a programmed death receptor-1
      blocking antibody  (3) JAK1/JAK2 and ACVR1: once a-day, oral JAK1/JAK2 and
      activin A receptor type 1 (ACVR1) inhibitor

 

By Region

                      Q3 2024              Year to date
                      £m     AER   CER     £m      AER    CER
 US  Total            4,321  (5%)  (1%)    12,057  5%     9%
     Excluding COVID  4,321  (5%)  (1%)    12,057  5%     9%

Vaccine sales decreased in Q3 2024 and YTD primarily in Arexvy due to a more
restrictive recommendation from the from the Advisory Committee on
Immunization Practices (ACIP) for individuals aged 60 to 74, RSV vaccine
de-prioritisation in the current season due to earlier COVID-19 vaccination
and lower channel inventory versus a significant launch stocking in the
comparator quarter. Shingrix also decreased reflecting lower demand driven by
the continued challenge of activating harder-to-reach consumers. Established
Vaccines grew due to increased demand partly offset by adverse CDC stockpile
movements.

Specialty Medicines growth continued in Q3 2024 and YTD driven by Oncology and
HIV performance and continued growth in Nucala and Benlysta.

General Medicine's growth in Q3 2024 and YTD was primarily driven by increased
demand for Trelegy, with strong volume growth driven by patient demand, growth
of the SITT market, and price benefits from channel mix. Performance continues
to be impacted following the removal of the AMP cap on Medicaid drug prices,
which particularly impacted Advair, Flovent and Lamictal. This was fully
offset by the increased use of authorised generic versions of Advair and
Flovent, providing access to medicines for patients.

 Europe  Total            1,618  4%  6%    4,911  -%  2%
         Excluding COVID  1,618  4%  6%    4,911  3%  5%

In Q3 2024, Vaccine sales growth was broadly flat driven by Bexsero
recommendation in Germany and increased Established vaccines sales partly
offset by lower Shingrix demand in Germany. YTD sales also reflected Shingrix
growth across several markets following public funding expansion.

Specialty Medicines sales grew in the quarter and YTD by a double-digit
percentage due to the performance in Oncology, Benlysta in immunology, and
Nucala in respiratory including the impact of new indication launches. HIV
growth continued in the quarter and YTD at a high single digit percentage.

General Medicines sales were strong in the quarter with mid-single digit
growth, reflecting strong performance on Trelegy and Anoro, partially offset
by declines across other general medicines. YTD performance remains broadly
stable.

 International  Total            2,073  2%  8%    6,291  6%  12%
                Excluding COVID  2,073  2%  8%    6,290  7%  13%

In Q3 2024, sales increased 8% which reflected year-on-year exchange movements
in several International markets compared to Q3 2023.

Vaccines' strong growth in Q3 2024 and YTD was driven by Shingrix related to
the national immunisation programme in Australia and supply to our
co-promotion partner in China. Established vaccines sales declined in Q3 2024
impacted by the timing of deliveries across the region, lower demand and
competitive pressure for Synflorix and Cervarix, but grew YTD on increased
supply and higher demand for MMR/V vaccines and Boostrix.

Specialty Medicine's double-digit growth in the quarter and YTD was driven by
HIV, Nucala in Respiratory, Benlysta in Immunology, and Zejula in Oncology.

General Medicines sales grew low single digit percentage in the quarter and
YTD, with strong growth in Trelegy partially offset by a decrease in other
general medicine products.

 

 Financial performance

 Total Results                                     Q3 2024                              Year to date
                                                   £m           % AER          % CER    £m            % AER       % CER

 Turnover                                          8,012        (2)            2        23,259        4           8
 Cost of sales                                     (2,397)      6              8        (6,489)       6           8
 Selling, general and administration               (3,800)      66             72       (8,352)       25          29
 Research and development                          (1,459)      (7)            (5)      (4,370)       5           7
 Royalty income                                    168          (46)           (46)     463           (36)        (36)
 Other operating income/(expense)                  (335)                                (1,186)

 Operating profit                                  189          (90)           (86)     3,325         (46)        (41)
 Net finance expense                               (124)        (22)           (19)     (408)         (16)        (14)
 Share of after tax profit/(loss) of associates    (1)                                  (3)

   and joint ventures

 Profit before taxation                            64           (96)           (92)     2,914         (49)        (43)

 Taxation                                          1                                    (464)
 Tax rate %                                        (1.6%)                               15.9%

 Profit after taxation                             65           (96)           (91)     2,450         (50)        (45)
 Profit attributable to non-controlling interests  123                                  289
 Profit/(loss) attributable to shareholders        (58)                                 2,161
                                                   65           (96)           (91)     2,450         (50)        (45)

 Earnings/(loss) per share                         (1.4)p       >(100)         (100)    53.0p         (53)        (48)
 Financial Performance - Q3 2024 results unless otherwise stated, growth % and
 commentary at CER.

 

 Core results

 Reconciliations between Total results and Core results for Q3 2024, Q3 2023,
 YTD 2024 and YTD 2023 are set out on pages 20, 21, 23 and 24.

                                              Q3 2024                          Year to date
                                              £m           % AER      % CER    £m            % AER       % CER

 Turnover                                     8,012        (2)        2        23,259        4           8
 Cost of sales                                (1,921)      (7)        (5)      (5,531)       -           1
 Selling, general and administration          (2,070)      (5)        (2)      (6,272)       (3)         1
 Research and development                     (1,428)      -          3        (4,202)       6           8
 Royalty income                               168          (46)       (46)     463           (36)        (36)

 Core operating profit                        2,761        -          5        7,717         10          16

 Core profit before taxation                  2,646        1          7        7,320         12          18
 Taxation                                     (461)        14         21       (1,288)       26          33
 Tax rate %                                   17.4%                            17.6%
 Core profit after taxation                   2,185        (1)        5        6,032         9           15
 Core profit attributable to non-controlling  157                              481

   interests
 Core profit attributable to shareholders     2,028                            5,551
                                              2,185        (1)        5        6,032         9           15
 Core Earnings per share                      49.7p        (1)        5        136.2p        8           14

                            Q3 2024                  Year to date
                            £m     AER     CER       £m     AER     CER
 Cost of sales  Total       2,397  6%      8%        6,489  6%      8%
                % of sales  29.9%  2.0%    1.5%      27.9%  0.3%    (0.2%)
                Core        1,921  (7%)    (5%)      5,531  -%      1%
                % of sales  24.0%  (1.5%)  (1.9%)    23.8%  (1.1%)  (1.5%)

Total cost of sales as a percentage of sales increased in the quarter
primarily due to additional amortisation for Zejula and Jemperli.

Core cost of sales as a percentage of sales was down in the quarter and year
to date. The quarter and year to date benefitted from price benefits from
channel mix and adjustments to returns and rebates in the US, as well as
ongoing mix benefits in higher margin Specialty Medicines products. The
quarter also benefitted from a favourable comparator to adverse inventory
provision adjustments in Q3 2023.

                                                    Q3 2024                  Year to date
                                                    £m     AER     CER       £m     AER     CER
 Selling, general & administration      Total       3,800  66%     72%       8,352  25%     29%
                                        % of sales  47.4%  19.2%   19.1%     35.9%  5.8%    5.8%
                                        Core        2,070  (5%)    (2%)      6,272  (3%)    1%
                                        % of sales  25.8%  (1.0%)  (1.0%)    27.0%  (1.9%)  (2.0%)

Total SG&A growth in the quarter and year to date was primarily driven by
the increase in Significant legal costs reflecting a charge of £1.8 billion
($2.3 billion) in relation to Zantac for the State Courts Settlement, the Qui
Tam Settlement, and the remaining 7% of pending state court product liability
cases, partially offset by reduced future legal costs (see details on page
38).

In the quarter and year to date, Core SG&A improved as a percentage of
sales due to continued disciplined investment to support global market
expansion and disease awareness particularly for Arexvy and Shingrix and
investment behind long-acting HIV medicines. The quarter also benefited from a
favourable comparator to Q3 2023 due to spend phasing and investment behind
the US launch of Arexvy in 2023. The year to date growth was partly offset by
a 2 percentage point favourable impact of the reversal of the legal provision
taken in Q1 2023 for the Zejula royalty dispute, following a successful
appeal.

                             Q3 2024                  Year to date
                             £m     AER     CER       £m     AER    CER
 Research &      Total       1,459  (7%)    (5%)      4,370  5%     7%

 development
                 % of sales  18.2%  (1.1%)  (1.4%)    18.8%  -%     (0.2%)
                 Core        1,428  -%      3%        4,202  6%     8%
                 % of sales  17.8%  0.3%    -%        18.1%  0.3%   -%

Total R&D growth in the year to date is driven by an increase in Core
R&D expense, partly offset by lower impairment charges compared with the
same quarter and year to date in 2023.

Year to date, Core R&D expense increased due to continued investment
across the portfolio. In Specialty Medicines, investment increased to support
late-stage clinical development programmes for camlipixant (refractory chronic
cough), the long acting TSLP asset acquired as part of the Aiolos Bio, Inc.
(Aiolos) acquisition, and bepirovirsen (chronic hepatitis B), with ongoing
strong investment in depemokimab (asthma and eosinophilic inflammation). In
Oncology, investment increased in Jemperli (endometrial cancer), and
antibody-drug-conjugates including those acquired from Hansoh Pharma at the
end of 2023. This was partly offset by cost decreases following the launches
of Arexvy and Ojjaara, and progression to completion of Zejula and Blenrep
studies. In Vaccines, clinical trial programmes associated with the
pneumococcal Multi Antigen Presenting System (MAPS) and mRNA continued to
drive investment. HIV investment increased on next-generation long-acting
treatment and preventative medicines.

These were also the main drivers of Core R&D expense growth in the
quarter.

                        Q3 2024              Year to date
                        £m   AER    CER      £m     AER    CER
 Royalty income  Total  168  (46%)  (46%)    463    (36%)  (36%)
                 Core   168  (46%)  (46%)    463    (36%)  (36%)

The decrease in Total and Core royalty income in Q3 2024 and year to date
primarily reflected the cessation of the majority of Gardasil royalties at the
end of 2023, with Q3 2024 Gardasil royalties of £8 million (Q3 2023: £189
million). This was partly offset by increases in Kesimpta and Biktarvy
royalties.

                           Q3 2024            Year to date
                           £m     AER  CER    £m       AER         CER
 Other operating    Total  (335)  9%   9%     (1,186)  >(100%)     >(100%)

 income/(expense)

In Q3 2024 the other operating expense reflected a charge of £359 million (Q3
2023: £576 million) principally arising from the remeasurement of contingent
consideration liabilities (CCL) primarily reflecting improved longer term HIV
prospects partly offset by favourable foreign currency movements, an increase
in liability for the Vaccines CCL, and the remeasurement of the Pfizer, Inc.
(Pfizer) put option. In the quarter, there were no fair value movements
recorded for Haleon plc (Haleon) shares (Q3 2023: £184 million gain)
following the sale of the remaining shares in May 2024. Other net income was
comparable to the same period last year at £24 million (Q3 2023: £25
million).

The year to date other operating expense reflected a charge of £1,422 million
(YTD 2023: £116 million) principally arising from the remeasurement of CCLs
primarily reflecting improved longer term HIV prospects partly offset by
favourable foreign currency movements, an increase in liability for the
Vaccines CCL, and remeasurement of the Pfizer put option. This was partly
offset by a fair value gain of £22 million (YTD 2023: £154 million gain) on
the retained stake in Haleon, as well as higher other net income of £214
million (YTD 2023: £170 million).

                               Q3 2024                    Year to date
                               £m     AER      CER        £m     AER      CER
 Operating profit  Total       189    (90%)    (86%)      3,325  (46%)    (41%)
                   % of sales  2.4%   (21.6%)  (20.6%)    14.3%  (13.4%)  (12.5%)
                   Core        2,761  -%       5%         7,717  10%      16%
                   % of sales  34.5%  0.4%     1.0%       33.2%  1.6%     2.2%

Total operating profit margin was lower in Q3 2024 and year to date primarily
due to a charge of £1.8 billion ($2.3 billion) for the Zantac settlement (see
details on page 38), additional amortisation for Zejula and Jemperli, and no
fair value movements on Haleon shares (Q3 2023 and year to date fair value
gain). This was partly offset by lower charges in the quarter in the ViiV
Healthcare CCL reflecting favourable foreign currency movements offset by
improved longer term HIV prospects. In the year to date higher CCL charges
were driven by improved longer term HIV prospects and other remeasurements,
partly offset by favourable foreign currency movements.

Core operating profit in the quarter and year to date benefitted from strong
Specialty Medicines sales performance, with favourable product and regional
mix. This was partly offset by increased investment in R&D and growth
assets, and lower royalty income. The year to date also includes a favourable
impact from the reversal of the legal provision taken in Q1 2023 for the
Zejula royalty dispute, following a successful appeal. The adverse impact of
lower sales of COVID-19 solutions had minimal impact in the quarter on Core
operating profit growth and three percentage points year to date, with minimal
impact on Core operating profit margin.

                             Q3 2024              Year to date
                             £m   AER    CER      £m     AER    CER
 Net finance expense  Total  124  (22%)  (19%)    408    (16%)  (14%)
                      Core   114  (27%)  (24%)    394    (18%)  (16%)

The decrease in net finance costs in Q3 2024 and year to date was mainly
driven by lower interest on short-term financing as a result of cash received
from the successful disposal of all Haleon shares and savings from maturing
bonds, partly offset by higher lease interest expense. Year to date also
benefitted from the net cost of bond buybacks completed in Q1 2023.

                       Q3 2024                      Year to date
                       £m      AER         CER      £m     AER    CER
 Taxation  Total       (1)     >(100%)     (95%)    464    (40%)  (33%)
           Tax rate %  (1.6%)                       15.9%
           Core        461     14%         21%      1,288  26%    33%
           Tax rate %  17.4%                        17.6%

The effective tax rate on Total results reflected the different tax effects of
the various Adjusting items included in Total results, including the impact of
the Zantac settlement.

The effective tax rate on Core profits is broadly in line with expectations
for the year and included the impact of new global minimum corporate income
tax rules which came into effect from 1 January 2024 in line with the OECD's
'Pillar 2' model framework. Issues related to taxation are described in Note
14, 'Taxation' in the Annual Report 2023. The Group continues to believe it
has made adequate provision for the liabilities likely to arise from periods
that are open and not yet agreed by relevant tax authorities. The ultimate
liability for such matters may vary from the amounts provided and is dependent
upon the outcome of agreements with relevant tax authorities.

                             Q3 2024            Year to date
                             £m   AER   CER     £m     AER    CER
 Non-controlling      Total  123  76%   84%     289    (13%)  (5%)

 interests ("NCIs")
                      Core   157  (7%)  (5%)    481    15%    20%

The increase in Total profit after taxation allocated to NCIs in the quarter
was primarily driven by higher ViiV Healthcare profits (including a lower
remeasurement loss on the CCL), partly offset by lower net profits in some of
the Group's other entities. The decrease in the year to date Total profit
after taxation allocated to NCIs was driven by lower ViiV Healthcare Total
profits (including a higher remeasurement loss on the CCL) with an allocation
of £270 million (YTD 2023: £324 million), partly offset by higher net
profits in some of the Group's other entities.

The decrease in Core profit after taxation allocated to NCIs in Q3 2024
primarily reflected lower net profits in some of the Group's other entities
with NCIs. The increase in the year to date Core profit after taxation
allocated to NCIs reflected higher core profit allocations from ViiV
Healthcare, with £462 million in the year to date (YTD 2023: £412 million),
as well as higher net profits in some of the Group's other entities with NCIs.

                                   Q3 2024                       Year to date
                                   £p      AER         CER       £p      AER    CER
 Earnings/(loss) per share  Total  (1.4p)  >(100%)     (100%)    53.0p   (53%)  (48%)
                            Core   49.7p   (1%)        5%        136.2p  8%     14%

The decrease in the Q3 2024 and year to date Total EPS is primarily due to a
charge of £1.8 billion ($2.3 billion) for the Zantac settlement (see details
on page 38).

The increase in the Core EPS in the quarter primarily reflected the growth in
Core operating profit as well as lower finance costs and lower non-controlling
interests, partly offset by a higher effective taxation rate. The increase in
the year to date Core EPS is driven by the growth in Core operating profit and
lower finance costs, partly offset by higher non-controlling interests and a
higher effective taxation rate. Lower sales of COVID-19 solutions reduced Core
EPS by three percentage points in the year to date.

 

Currency impact on results

The results for Q3 2024 are based on average exchange rates, principally
$1.31/£1, €1.19/£1 and Yen192/£1. The period-end exchange rates were
$1.34/£1, €1.20/£1 and Yen 191/£1. Comparative exchange rates are given
on page 40.

                                   Q3 2024                        Year to date
                                   £m/£p    AER         CER       £m/£p    AER    CER
 Turnover                          8,012    (2%)        2%        23,259   4%     8%
 Earnings/(loss) per share  Total  (1.4p)   >(100%)     (100%)    53.0p    (53%)  (48%)
                            Core   49.7p    (1%)        5%        136.2p   8%     14%

In Q3 2024 and year to date, the adverse currency impact primarily reflected
the strengthening of Sterling against the US Dollar, Euro, Yen and emerging
market currencies. Exchange gains or losses on the settlement of intercompany
transactions had a marginal impact on Total and Core EPS.

 Cash generation

 Cash flow
                                                     Q3 2024     Q3 2023     9 months 2024    9 months 2023

                                                     £m          £m          £m               £m
 Cash generated from operations (£m)                 2,499       2,508       5,275            4,415
 Net cash generated from operating activities (£m)   2,154       2,212       4,225            3,572
 Free cash inflow/(outflow)* (£m)                    1,322       1,655       1,939            1,314
 Free cash flow growth (%)                           (20%)       >100%       48%              (41%)
 Free cash flow conversion* (%)                      >100%       >100%       90%              29%
 Total net debt** (£m)                               12,847      17,589      12,847           17,589

 *   Free cash flow and free cash flow conversion are defined on page 52. Free cash
     flow is analysed on page 43.
 **  Net debt is analysed on page 43.

 

Q3 2024

Cash generated from operations for the quarter was £2,499 million (Q3 2023:
£2,508 million). The slight decrease primarily reflected the timing of
returns and rebates, including the impact of the removal of the AMP cap, and
various adverse movements in other payables, including the phasing of trade
payables. These were largely offset by higher trade receivables in Q3 2023 due
to the outstanding 2023 launch of Arexvy in the US.

Total contingent consideration cash payments in the quarter were £309 million
(Q3 2023: £281 million), including cash payments made to Shionogi & Co.
Ltd (Shionogi) of £295 million (Q3 2023: £269 million). £305 million (Q3
2023: £278 million) of these were recognised in cash flows from operating
activities.

Free cash inflow was £1,322 million for the quarter (Q3 2023:
£1,655 million). The decrease is driven by higher capital expenditure on
intangible assets including the £342 million upfront payment to CureVac N.V
(CureVac), higher tax payments and higher dividends paid to non-controlling
interests, partly offset by higher proceeds from the sale of intangible
assets.

 

9 months 2024

Cash generated from operating activities was £5,275 million (9 months 2023:
£4,415 million). The increase primarily reflected higher Core operating
profit, higher receivables' collections, particularly for Arexvy, and lower
pension contributions. This was partly offset by the timing of returns and
rebates, including the impact of the removal of the AMP cap.

Total contingent consideration cash payments in 9 months 2024 were
£935 million (9 months 2023: £860 million), including cash payments made
to Shionogi of £900 million (9 months 2023: £834 million). £924 million
(9 months 2023: £853 million) of these were recognised in cash flows from
operating activities.

Free cash inflow was £1,939 million for 9 months 2024 (9 months 2023: £1,314
million). The increase was primarily driven by the increase in cash generated
from operating activities, as well as higher proceeds from the sale of
intangible assets as well as lower net interest paid and lower dividends paid
to non-controlling interests. These were partly offset by higher capital
expenditure on intangible assets including the £342 million upfront payment
to CureVac, and higher tax payments.

 

Total Net debt

At 30 September 2024, net debt was £12,847 million, compared with £15,040
million at 31 December 2023, comprising gross debt of £16,059 million and
cash and liquid investments of £3,212 million. See net debt information on
page 42 and 43.

Net debt decreased by £2,193 million primarily due to £1,939 million free
cash inflow and £2,354 million proceeds from the disposal of investments,
primarily the sale of the remaining retained stake in Haleon, and exchange on
net debt of £504 million. This was partly offset by the net acquisition costs
of Aiolos and Elsie Biotechnologies for £748 million, and dividends paid to
shareholders of £1,832 million.

At 30 September 2024, GSK had short-term borrowings (including overdrafts and
lease liabilities) repayable within 12 months of £2,815 million and £1,417
million repayable in the subsequent year.

                                                               Page
 Q3 2024 pipeline highlights                                   14
 ESG                                                           16
 Total and Core results                                        18
 Income statement                                              26
 Statement of comprehensive income                             27
 Balance sheet                                                 28
 Statement of changes in equity                                29
 Cash flow statement                                           30
 Sales tables                                                  31
 Segment information                                           36
 Legal matters                                                 38
 Returns to shareholders                                       39
 Additional information                                        40
 Net debt information                                          42
 Post balance sheet event                                      43
 Related party transactions                                    43
 R&D commentary                                                44
 Reporting definitions                                         52
 Guidance and outlooks, assumptions and cautionary statements  54
 Independent Auditor's review report to GSK plc                55

 

 Contacts

 GSK plc (LSE/NYSE:GSK) is a global biopharma company with a purpose to unite
 science, technology, and talent to get ahead of disease together. Find out
 more at www.gsk.com (http://www.gsk.com/) .

 GSK enquiries:
 Media               Tim Foley                  +44 (0) 20 8047 5502  (London)
                     Kathleen Quinn             +1 202 603 5003       (Washington)

 Investor Relations  Annabel Brownrigg-Gleeson  +44 (0) 7901 101944   (London)
                     James Dodwell              +44 (0) 7881 269066   (London)
                     Mick Readey                +44 (0) 7990 339653   (London)
                     Jeff McLaughlin            +1 215 589 3774       (Philadelphia)

 Registered in England & Wales:

 No. 3888792

 Registered Office:

 79 New Oxford Street

 London,

 WC1A 1DG.

 

 Q3 2024 pipeline highlights (since 31 July 2024)

                                                       Medicine/vaccine                                     Trial (indication, presentation)                                               Event
 Regulatory approvals or other regulatory actions      Arexvy                                               RSV, adults aged 50-59 years at increased risk                                 Regulatory approval (EU)
                                                       Bexsero                                              Meningitis B                                                                   Regulatory full approval (US)
                                                       Menveo                                               Liquid formulation, meningitis ACWY                                            Positive CHMP opinion (EU)
                                                       Nucala                                               Chronic rhinosinusitis with nasal polyps                                       Regulatory approval (JP)
                                                       Jemperli                                             RUBY part 1 (OS overall population, 1L endometrial cancer)                     Regulatory approval (US)
 Regulatory submissions or acceptances                 gepotidacin                                          EAGLE-2/3 (uncomplicated urinary tract infection)                              Regulatory submission accepted (US) with Priority Review
                                                       Blenrep                                              DREAMM-7/8 (2L+ multiple myeloma)                                              Regulatory submission accepted (JP) with Orphan Drug designation and Priority
                                                                                                                                                                                           Review
 Phase III data readouts or other significant events   Arexvy                                               RSV, adults aged 60 years and older                                            Positive phase III data readout (season three)
                                                       Arexvy                                               RSV, adults aged 18-49 years at increased risk; immunocompromised adults aged  Positive phase IIIb, IIb data readout
                                                                                                            18+
                                                       Seasonal influenza vaccine mRNA candidate            Seasonal influenza, older and younger adults                                   Positive phase II data readout
                                                       depemokimab                                          ANCHOR-1/2 (chronic rhinosinusitis with nasal polyps)                          Positive phase III data readout
                                                       Nucala                                               MATINEE (chronic obstructive pulmonary disease)                                Positive phase III data readout
 Regulatory designations and other significant events  bepirovirsen                                         B-Clear; B-Sure (chronic hepatitis B)                                          SENKU designation granted (JP)
                                                       Blenrep                                              DREAMM-7 (2L+ multiple myeloma)                                                Breakthrough Therapy Designation and Priority Review granted (CN)
                                                       GSK5764227 (B7-H3-targeted antibody-drug conjugate)  Extensive-stage small-cell lung cancer                                         Breakthrough Therapy Designation granted (US)

 Anticipated news flow

 Timing   Medicine/vaccine  Trial (indication, presentation)                               Event
 H2 2024  Arexvy            RSV, adults aged 50-59 years at increased risk                 Regulatory decision (JP)
          Menveo            Liquid formulation, meningitis ACWY                            Regulatory decision (EU)
          depemokimab       SWIFT-1/2 (severe asthma)                                      Regulatory submission (US)
          depemokimab       ANCHOR-1/2 (chronic rhinosinusitis with nasal polyps)          Regulatory submission (US)
          Nucala            MATINEE (chronic obstructive pulmonary disease)                Regulatory submission (US)
          Blenrep           DREAMM-7/8 (2L + multiple myeloma)                             Regulatory file acceptance (US)
          Blenrep           DREAMM-7 (2L + multiple myeloma)                               Regulatory submission (CN)
          Zejula            FIRST (1L maintenance ovarian cancer)                          Phase III data readout
          Zejula            ZEAL (1L maintenance non-small cell lung cancer)               Phase III data readout
          linerixibat       GLISTEN (cholestatic pruritus in primary biliary cholangitis)  Phase III data readout

 

 Anticipated news flow continued

 Timing   Medicine/vaccine                    Trial (indication, presentation)                               Event
 H1 2025  MenABCWY (gen 1) vaccine candidate  Meningococcal ABCWY                                            Regulatory decision (US)
          Shingrix                            Shingles, adults aged 18+ years                                Regulatory decision (CN)
          gepotidacin                         EAGLE-2/3 (uncomplicated urinary tract infection)              Regulatory decision (US)
          gepotidacin                         EAGLE-1 (urogenital gonorrhoea)                                Regulatory submission (US)
          depemokimab                         SWIFT-1/2 (severe asthma)                                      Regulatory submission

                                                                                                             (EU, CN, JP)
          depemokimab                         ANCHOR-1/2 (chronic rhinosinusitis with nasal polyps)          Regulatory submission

                                                                                                             (EU, CN, JP)
          depemokimab                         AGILE (severe asthma)                                          Phase III data readout
          Nucala                              Chronic rhinosinusitis with nasal polyps                       Regulatory decision (CN)
          Nucala                              MATINEE (chronic obstructive pulmonary disease)                Regulatory decision (US)
          Nucala                              MATINEE (chronic obstructive pulmonary disease)                Regulatory submission

                                                                                                             (CN, EU)
          Ventolin                            Low carbon MDI (asthma)                                        Phase III data readout
          Blenrep                             DREAMM-7/8 (2L+ multiple myeloma)                              Regulatory decision (JP)
          cobolimab                           COSTAR (non-small cell lung cancer)                            Phase III data readout
          Jemperli                            RUBY part 1 (OS overall population, 1L endometrial cancer)     Regulatory decision (EU)
          linerixibat                         GLISTEN (cholestatic pruritus in primary biliary cholangitis)  Regulatory submission

                                                                                                             (US, EU, CN)
 H2 2025  Arexvy                              RSV, adults aged 18-49 years at increased risk                 Regulatory submission (US)
          Bexsero                             Meningococcal B (infants)                                      Phase III data read out
          Bexsero                             Meningococcal B (infants)                                      Regulatory submission (US)
          gepotidacin                         EAGLE-1 (urogenital gonorrhoea)                                Regulatory decision (US)
          gepotidacin                         EAGLE-J (uncomplicated urinary tract infection)                Regulatory submission (JP)
          tebipenem pivoxil                   PIVOT-PO (complicated urinary tract infection)                 Phase III data readout
          tebipenem pivoxil                   PIVOT-PO (complicated urinary tract infection)                 Regulatory submission (US)
          camlipixant                         CALM-1/2 (refractory chronic cough)                            Phase III data readout
          camlipixant                         CALM-1/2 (refractory chronic cough)                            Regulatory submission

                                                                                                             (US, EU)
          depemokimab                         SWIFT-1/2 (severe asthma)                                      Regulatory decision (US)
          depemokimab                         ANCHOR-1/2 (chronic rhinosinusitis with nasal polyps)          Regulatory decision (US)
          depemokimab                         NIMBLE (asthma)                                                Phase III data readout
          Ventolin                            Low carbon MDI (asthma)                                        Regulatory submission (EU)
          Blenrep                             DREAMM-7/8 (2L+ multiple myeloma)                              Regulatory decision

                                                                                                             (US, EU)
          Blenrep                             DREAMM-8 (2L + multiple myeloma)                               Regulatory submission (CN)
          cobolimab                           COSTAR, (2L non-small cell lung cancer)                        Regulatory submission

                                                                                                             (US, EU)
          linerixibat                         GLISTEN (cholestatic pruritus in primary biliary cholangitis)  Regulatory decision (US)
          linerixibat                         GLISTEN (cholestatic pruritus in primary biliary cholangitis)  Regulatory submission (JP)

 Refer to pages 44 to 51 for further details on several key medicines and
 vaccines in development by therapy area.

Trust: progress on our six priority areas for responsible business

 

Building Trust by operating responsibly is integral to GSK's strategy and
culture. This will support growth and returns to shareholders, reduce risk,
and help GSK's people thrive while delivering sustainable health impact at
scale. The Company has identified six Environmental, Social, and Governance
(ESG) focus areas that address what is most material to GSK's business and the
issues that matter the most to its stakeholders. Highlights below include
activity since Q2 2024 results. For more details on annual updates, please see
GSK's ESG Performance Report 2023
(https://www.gsk.com/media/11009/esg-performance-report-2023.pdf) (1).

 

Access

Commitment: to make GSK's vaccines and medicines available at value-based
prices that are sustainable for the business and implement access strategies
that increase the use of GSK's vaccines and medicines to treat and protect
underserved people.

 

Progress since Q2 2024:

 •    In October ViiV Healthcare announced a commitment to make at least two million
      doses of CAB LA for PrEP available for procurement in low-and middle-income
      countries during 2025-2026. This new commitment triples the available supply
      versus 2024 to accelerate access and meet growing demand where the HIV burden
      and unmet need are the greatest.
 •    ViiV Healthcare continues to progress the rollout of the first long-acting
      injectable for HIV pre-exposure prophylaxis (CAB LA for PrEP) at record pace
      in Sub-Saharan Africa (SSA) and lower income countries. In Q3 2024, ViiV
      started roll-out to 2 additional countries - eSwatini and Ukraine - with our
      global partner The United States President's Emergency Plan for AIDS Relief
      (PEPFAR) programme. Rollout of CAB LA for PrEP in low-income and SSA countries
      at a not-for-profit price began in Zambia in February 2024, just two years
      after the U.S. FDA approval and is currently supplied to key partners in 5
      countries.
 •    In September, GSK donated
      (https://unitingtocombatntds.org/en/news-and-views/zanzibar-marks-historic-milestone-with-12-billionth-medicine-dose-in-fight-against-ntds)
      (2) the 12 billionth tablet of Albendazole which will help in the eradication
      of lymphatic filariasis (LF) and treatment of soil transmitted helminths
      (STH). Since 2000, GSK has been committed to change the trajectory of NTDs by
      eliminating LF as a public health issue worldwide. At the end of September,
      Brazil became the 20th country to eliminate LF as a public health problem. GSK
      contributed to this through support for diagnosis and transmission assessment
      surveys.
 •    Performance metrics related to access are updated annually with related
      details in GSK's ESG Performance Report 2023
      (https://www.gsk.com/media/11009/esg-performance-report-2023.pdf) (1) on page
      10.

 

Global health and health security

Commitment: develop novel products and technologies to treat and prevent
priority diseases, including pandemic threats.

 

Progress since Q2 2024:

 •    In September it was announced that GSK will commit €4.5m over three years to
      Global Antibiotic Research and Development partnership (Gard-P), to ensure
      equitable access to antibiotics in lower-income countries. This funding aims
      to tackle the challenges that hinder critical antibiotics from reaching those
      in need. More information can be found here
      (https://gardp.org/funders-invest-an-unprecedented-eur-60-million-in-innovative-antibiotic-rd-and-access-partnership/#:~:text=GSK,%20a%20leading%20global%20biopharma%20company)
      (3).
 •    In September, TRIC-TB, the European Union's IMI2 programme for developing new
      treatments for infectious diseases, successfully delivered a Phase 2-ready
      tuberculosis clinical candidate, alpibectir, that is being jointly developed
      by BioVersys and GSK. More information can be found here
      (https://www.bioversys.com/nature-reviews-highlights-significant-successes-of-antibiotic-collaboration-and-calls-for-sustainable-rd-funding-schemes/)
      (4).
 •    Performance metrics related to global health and health security are updated
      annually with related details in GSK's ESG Performance Report 2023 on page 15.

 

Environment

Commitment: committed to a net zero, nature-positive, healthier planet with
ambitious goals set for 2030 and 2045.

 

Progress since Q2 2024:

 •    GSK's Worthing manufacturing facility has become the first
      (https://www.bsigroup.com/en-GB/insights-and-media/media-centre/press-releases/2024/september/gsk-site-announced-as-first-in-the-uk-to-achieve-bsi-amr-kitemark-certification-showcasing-responsible-approach-to-antibiotic-manufacturing/?utm_source=linkedin&utm_medium=organic&utm_campaign=UNGA24&utm_content=UNGA24_BSI&linkId=100000290447004)
      (5) in the UK to achieve BSI Kitemark Certification for Minimised Risk of
      Antimicrobial Resistance. Achieving this rigorous international certification
      demonstrates GSK's commitment to the responsible manufacturing of antibiotics
      and ambition to ensure all global antibiotic manufacturing sites are certified
      by the end of 2026.
 •    The Energize programme, which was co-founded by GSK and supports suppliers to
      access renewable energy, announced its first deal which includes four of GSK's
      suppliers in Europe and will support seven new solar energy projects in Spain,
      as well as bringing additional renewable capacity to the European grid. This
      marks an important step in our plan to reduce our value chain emissions by 80%
      from 2020 to 2030.
 •    Performance metrics related to environment are updated annually with related
      details in GSK's ESG Performance Report 2023 on page 18.

 

Diversity, equity and inclusion

Commitment: create a diverse, equitable and inclusive workplace; enhance
recruitment of diverse patient populations in GSK clinical trials; and support
diverse communities.

 •    Performance metrics related to diversity, equity and inclusion are updated
      annually with related details in GSK's ESG Performance Report 2023 on page 26.
      More information on DEI at GSK can be found here
      (https://www.gsk.com/en-gb/responsibility/diversity-equity-and-inclusion/)
      (6).

 

Ethical standards

Commitment: promote ethical behaviour across GSK's business by supporting its
employees to do the right thing and working with suppliers that share GSK's
standards and operate responsibly.

 •    Performance metrics related to ethical standards are updated annually with
      related details in GSK's ESG Performance Report 2023 on page 30.

 

Product governance

Commitment: maintain robust quality and safety processes and responsibly use
data and new technologies.

 •    Performance metrics related to product governance are updated annually with
      related details in GSK's ESG Performance Report 2023 on page 35.

 

ESG rating performance

 

Detailed below is how GSK performs in key ESG ratings.

                                                       Current         Previous

 External benchmark                                    score/ranking   score/ranking   Comments
 S&P Global's Corporate Sustainability Assessment      78              80              Current score updated September 2024
 Access to Medicines Index                             4.06            4.23            Led the bi-annual index since its inception in 2008; Updated bi-annually,
                                                                                       current results from Nov 2022
 Antimicrobial resistance benchmark                    84%             86%             Led the bi-annual benchmark since its inception in 2018; Current ranking
                                                                                       updated Nov 2021
 CDP Climate Change                                    A-              A-              Updated annually, current scores updated February 2024 (for supplier
                                                                                       engagement, March 2023)
 CDP Water Security                                    A-              B
 CDP Forests (palm oil)                                B               A-
 CDP Forests (timber)                                  B               B
 CDP supplier engagement rating                        Leader          Leader
 Sustainalytics                                        15.4            16.7            2nd percentile in pharma subindustry group; lower score represents lower risk.
                                                                                       Current ranking updated May 2024
 MSCI                                                  AA              AA              Last rating action date: September 2023
 Moody's ESG solutions                                 62              61              Current score updated August 2023
 ISS Corporate Rating                                  B+              B+              Current score updated October 2024
 FTSE4Good                                             Member          Member          Member since 2004, latest review in June 2024
 ShareAction's Workforce Disclosure Initiative         79%             77%             Current score updated Jan 2024

 

Footnotes:

 (1)  https://www.gsk.com/media/11009/esg-performance-report-2023.pdf
      (https://www.gsk.com/media/11009/esg-performance-report-2023.pdf)
 (2)  https://unitingtocombatntds.org/en/news-and-views/zanzibar-marks-historic-milestone-with-12-billionth-medicine-dose-in-fight-against-ntds
      (https://unitingtocombatntds.org/en/news-and-views/zanzibar-marks-historic-milestone-with-12-billionth-medicine-dose-in-fight-against-ntds/#:~:text=September%2019,%202024%20%E2%80%94%20Mzambarauni%20Village)
 (3)  https://gardp.org/funders-invest-an-unprecedented-eur-60-million-in-innovative-antibiotic-rd-and-access-partnership
      (https://gardp.org/funders-invest-an-unprecedented-eur-60-million-in-innovative-antibiotic-rd-and-access-partnership/#:~:text=GSK,%20a%20leading%20global%20biopharma%20company)
 (4)  https://www.bioversys.com/nature-reviews-highlights-significant-successes-of-antibiotic-collaboration-and-calls-for-sustainable-rd-funding-schemes/
      (https://www.bioversys.com/nature-reviews-highlights-significant-successes-of-antibiotic-collaboration-and-calls-for-sustainable-rd-funding-schemes/)
 (5)  https://www.bsigroup.com/en-GB/insights-and-media/media-centre/press-releases/2024/september/gsk-site-announced-as-first-in-the-uk-to-achieve-bsi-amr-kitemark-certification-showcasing-responsible-approach-to-antibiotic-manufacturing
      (https://www.bsigroup.com/en-GB/insights-and-media/media-centre/press-releases/2024/september/gsk-site-announced-as-first-in-the-uk-to-achieve-bsi-amr-kitemark-certification-showcasing-responsible-approach-to-antibiotic-manufacturing/?utm_source=linkedin&utm_medium=organic&utm_campaign=UNGA24&utm_content=UNGA24_BSI&linkId=100000290447004)
 (6)  https://www.gsk.com/en-gb/responsibility/diversity-equity-and-inclusion/
      (https://www.gsk.com/en-gb/responsibility/diversity-equity-and-inclusion/)

Total and Core results

 

Total reported results represent the Group's overall performance.

GSK made one update to its reporting framework in Q1 2024 which was to change
the description of Adjusted results to Core to align with European peers in
the pharmaceutical industry but with no change to the basis or figures. In Q2
2024 an update was made to the definition of Core results to exclude amounts
greater than £25 million from the foreign currency translation reserve which
are reclassified to the income statement upon the liquidation of a subsidiary.
There is no change to Total Results.

GSK uses a number of non-IFRS measures to report the performance of its
business. Core results and other non-IFRS measures may be considered in
addition to, but not as a substitute for, or superior to, information
presented in accordance with IFRS. Core results are defined below and other
non-IFRS measures are defined on page 52.

GSK believes that Core results, when considered together with Total results,
provide investors, analysts and other stakeholders with helpful complementary
information to understand better the financial performance and position of the
Group from period to period, and allow the Group's performance to be more
easily compared against the majority of its peer companies. These measures are
also used by management for planning and reporting purposes. They may not be
directly comparable with similarly described measures used by other companies.

GSK encourages investors and analysts not to rely on any single financial
measure but to review GSK's quarterly results announcements, including the
financial statements and notes, in their entirety.

GSK is committed to continuously improving its financial reporting, in line
with evolving regulatory requirements and best practice. In line with this
practice, GSK expects to continue to review and refine its reporting
framework.

Core results exclude the following items in relation to our operations from
Total results, together with the tax effects of all of these items:

 •    amortisation of intangible assets (excluding computer software and capitalised
      development costs)
 •    impairment of intangible assets (excluding computer software) and goodwill
 •    major restructuring costs, which include impairments of tangible assets and
      computer software, (under specific Board approved programmes that are
      structural, of a significant scale and where the costs of individual or
      related projects exceed £25 million), including integration costs following
      material acquisitions
 •    transaction-related accounting or other adjustments related to significant
      acquisitions
 •    proceeds and costs of disposal of associates, products and businesses;
      significant settlement income; Significant legal charges (net of insurance
      recoveries) and expenses on the settlement of litigation and government
      investigations; other operating income other than royalty income, and other
      items including amounts reclassified from the foreign currency translation
      reserve to the income statement upon the liquidation of a subsidiary where the
      amount exceeds £25 million

Costs for all other ordinary course smaller scale restructuring and legal
charges and expenses from operations are retained within both Total and Core
results.

As Core results include the benefits of Major restructuring programmes but
exclude significant costs (such as Significant legal, major restructuring and
transaction items) they should not be regarded as a complete picture of the
Group's financial performance, which is presented in Total results. The
exclusion of other Adjusting items may result in Core earnings being
materially higher or lower than Total earnings. In particular, when
significant impairments, restructuring charges and legal costs are excluded,
Core earnings will be higher than Total earnings.

GSK has undertaken a number of Major restructuring programmes in response to
significant changes in the Group's trading environment or overall strategy or
following material acquisitions. Within the Pharmaceuticals sector, the highly
regulated manufacturing operations and supply chains and long lifecycle of the
business mean that restructuring programmes, particularly those that involve
the rationalisation or closure of manufacturing or R&D sites are likely to
take several years to complete. Costs, both cash and non-cash, of these
programmes are provided for as individual elements are approved and meet the
accounting recognition criteria. As a result, charges may be incurred over a
number of years following the initiation of a Major restructuring programme.

Significant legal charges and expenses are those arising from the settlement
of litigation or government investigations that are not in the normal course
and materially larger than more regularly occurring individual matters. They
also include certain major legacy matters.

Reconciliations between Total and Core results, providing further information
on the key Adjusting items, are set out on pages 20 and 23.

GSK provides earnings guidance to the investor community on the basis of Core
results. This is in line with peer companies and expectations of the investor
community, supporting easier comparison of the Group's performance with its
peers. GSK is not able to give guidance for Total results as it cannot
reliably forecast certain material elements of the Total results, particularly
the future fair value movements on contingent consideration and put options
that can and have given rise to significant adjustments driven by external
factors such as currency and other movements in capital markets.

 

ViiV Healthcare

ViiV Healthcare is a subsidiary of the Group and 100% of its operating results
(turnover, operating profit, profit after tax) are included within the Group
income statement.

Earnings are allocated to the three shareholders of ViiV Healthcare on the
basis of their respective equity shareholdings (GSK 78.3%, Pfizer 11.7% and
Shionogi 10%) and their entitlement to preferential dividends, which are
determined by the performance of certain products that each shareholder
contributed. As the relative performance of these products changes over time,
the proportion of the overall earnings allocated to each shareholder also
changes. In particular, the increasing proportion of sales of dolutegravir and
cabotegravir-containing products has a favourable impact on the proportion of
the preferential dividends that is allocated to GSK. Adjusting items are
allocated to shareholders based on their equity interests. GSK was entitled to
approximately 84% of the Total earnings and 83% of the Core earnings of ViiV
Healthcare for 2023.

As consideration for the acquisition of Shionogi's interest in the former
Shionogi-ViiV Healthcare joint venture in 2012, Shionogi received the 10%
equity stake in ViiV Healthcare and ViiV Healthcare also agreed to pay
additional future cash consideration to Shionogi, contingent on the future
sales performance of the products being developed by that joint venture,
dolutegravir and cabotegravir. Under IFRS 3 'Business combinations', GSK was
required to provide for the estimated fair value of this contingent
consideration at the time of acquisition and is required to update the
liability to the latest estimate of fair value at each subsequent period end.
The liability for the contingent consideration recognised in the balance sheet
at the date of acquisition was £659 million. Subsequent remeasurements are
reflected within other operating income/(expense) and within Adjusting items
in the income statement in each period.

Cash payments to settle the contingent consideration are made to Shionogi by
ViiV Healthcare each quarter, based on the actual sales performance and other
income of the relevant products in the previous quarter. These payments reduce
the balance sheet liability and hence are not recorded in the income
statement. The cash payments made to Shionogi by ViiV Healthcare in the nine
months ended 30 September 2024 were £900 million.

As the liability is required to be recorded at the fair value of estimated
future payments, there is a significant timing difference between the charges
that are recorded in the Total income statement to reflect movements in the
fair value of the liability and the actual cash payments made to settle the
liability.

Further explanation of the acquisition-related arrangements with ViiV
Healthcare are set out on pages 84 and 85 of the Annual Report 2023.

 

Adjusting items

 

The reconciliations between Total results and Core results for Q3 2024 and Q3
2023 are set out below.

 

Three months ended 30 September 2024

                                                 Total       Intangible    Intangible    Major         Trans-      Significant        Core

                                                 results     amort-        impair-       restruct-     action-     legal, Divest-     results

                                                 £m          isation       ment          uring         related     ments and          £m

                                                             £m            £m            £m            £m          other

                                                                                                                   items

                                                                                                                   £m

 Turnover                                        8,012                                                                                8,012
 Cost of sales                                   (2,397)     402                         67            2           5                  (1,921)

 Gross profit                                    5,615       402                         67            2           5                  6,091

 Selling, general and administration             (3,800)                                 33                        1,697              (2,070)
 Research and development                        (1,459)     13            17            1                                            (1,428)
 Royalty income                                  168                                                                                  168
 Other operating income/(expense)                (335)                                   (1)           359         (23)               -

 Operating profit                                189         415           17            100           361         1,679              2,761

 Net finance expense                             (124)                                   1                         9                  (114)

 Share of after tax profit/(loss) of associates  (1)                                                                                  (1)

   and joint ventures

 Profit before taxation                          64          415           17            101           361         1,688              2,646

 Taxation                                        1           (88)          (3)           (22)          (103)       (246)              (461)
 Tax rate %                                      (1.6%)                                                                               17.4%

 Profit after taxation                           65          327           14            79            258         1,442              2,185

 Profit attributable to non-controlling          123                                                   34                             157

   interests

 Profit/(loss) attributable to shareholders      (58)        327           14            79            224         1,442              2,028

                                                 65          327           14            79            258         1,442              2,185

 Earnings/(loss) per share                       (1.4)p      8.0p          0.3p          1.9p          5.5p        35.4p              49.7p

 Weighted average number of shares (millions)    4,080                                                                                4,080

 

 

Three months ended 30 September 2023

                                               Total       Intangible    Intangible    Major         Trans-      Significant        Core

                                               results     amort-        impair-       restruct-     action-     legal, Divest-     results

                                               £m          isation       ment          uring         related     ments and          £m

                                                           £m            £m            £m            £m          other

                                                                                                                 items

                                                                                                                 £m

 Turnover                                      8,147                                                                                8,147
 Cost of sales                                 (2,272)     162                         29                        8                  (2,073)

 Gross profit                                  5,875       162                         29                        8                  6,074

 Selling, general and administration           (2,296)                                 83            1           27                 (2,185)
 Research and development                      (1,575)     20            129           (2)                       (1)                (1,429)
 Royalty income                                312                                                                                  312
 Other operating income/(expense)              (367)                                                 576         (209)              -

 Operating profit                              1,949       182           129           110           577         (175)              2,772

 Net finance expense                           (158)                                                             2                  (156)

 Profit before taxation                        1,791       182           129           110           577         (173)              2,616

 Taxation                                      (257)       (40)          (30)          (19)          (61)        3                  (404)
 Tax rate %                                    14.3%                                                                                15.4%
 Profit after taxation                         1,534       142           99            91            516         (170)              2,212

 Profit attributable to non-controlling        70                                                    99                             169

   interests
 Profit attributable to shareholders           1,464       142           99            91            417         (170)              2,043
                                               1,534       142           99            91            516         (170)              2,212

 Earnings per share                            36.1p       3.5p          2.4p          2.2p          10.3p       (4.1)p             50.4p

 Weighted average number of shares (millions)  4,055                                                                                4,055

 

 

Adjusting items Q3 2024

 

Major restructuring and integration

 

Total Major restructuring charges incurred in Q3 2024 were £100 million (Q3
2023: £110 million), analysed as follows:

                                     Q3 2024                       Q3 2023
                                     Cash      Non-       Total    Cash      Non-       Total

                                     £m        cash       £m       £m        cash       £m

                                               £m                            £m

 Separation restructuring programme  42        (2)        40       45        50         95
 Significant acquisitions            15        -          15       18        (1)        17
 Legacy programmes                   45        -          45       (1)       (1)        (2)
                                     102       (2)        100      62        48         110

 

The Separation restructuring programme incurred cash charges of £42 million
primarily from restructuring of some commercial and administrative functions
as well as Global Supply Chain. The non-cash credit of £2 million primarily
reflected an adjustment to the write down of assets in manufacturing
locations.

Costs of significant acquisitions relate to integration costs of Sierra
Oncology Inc. (Sierra) and Affinivax Inc. (Affinivax) which were acquired in
Q3 2022, BELLUS Health Inc. (Bellus) acquired in Q2 2023 and Aiolos acquired
in Q1 2024.

Cash charges of £45 million under Legacy programmes primarily arose from the
divestment of the cephalosporins business.

 

Transaction-related adjustments

Transaction-related adjustments resulted in a net charge of £361 million (Q3
2023: £577 million), the majority of which related to charges/(credits) for
the remeasurement of contingent consideration liabilities, the liabilities for
the Pfizer put option, and Pfizer and Shionogi preferential dividends in ViiV
Healthcare.

 Charge/(credit)                                                            Q3 2024    Q3 2023

                                                                            £m         £m
 Contingent consideration on former Shionogi-ViiV Healthcare joint Venture  292        479

   (including Shionogi preferential dividends)
 ViiV Healthcare put options and Pfizer preferential dividends              (16)       40
 Contingent consideration on former Novartis Vaccines business              46         (12)
 Contingent consideration on acquisition of Affinivax                       15         69
 Other adjustments                                                          24         1

 Total transaction-related charges                                          361        577

 

The £292 million charge relating to the contingent consideration for the
former Shionogi-ViiV Healthcare joint venture represented an increase in the
valuation of the contingent consideration due to Shionogi by £185 million
driven by updated sales forecasts partly offset by exchange rates, and the
unwind of the discount for £107 million. The £16 million credit relating to
the ViiV Healthcare put option and Pfizer preferential dividends represented
updated exchange rates and higher preference dividends, partly offset by an
increase in the valuation of the put option primarily as a result of updated
sales forecasts. The ViiV Healthcare contingent consideration liability is
fair valued under IFRS. An explanation of the accounting for the
non-controlling interests in ViiV Healthcare is set out on page 19.

The £46 million charge relating to the contingent consideration on the former
Novartis Vaccines business primarily related to changes to future sales
forecasts.

The £15 million charge relating to the contingent consideration on the
acquisition of Affinivax primarily related to the unwind of the discount.

 

Significant legal charges, Divestments, and other items

Significant legal charges in the quarter primarily reflected a charge of £1.8
billion ($2.3 billion) in relation to Zantac for the State Courts Settlement,
the Qui Tam Settlement, and the remaining 7% of pending state court product
liability cases, partially offset by reduced future legal costs.

Legal charges provide for all significant legal matters and are not broken out
separately by litigation or investigation.

Divestments and other items included other net income of £23 million, which
includes milestones and royalty income.

 

 The reconciliations between Total results and Core results for 9 months 2024
 and 9 months 2023 are set out below.

 Nine months ended 30 September 2024

                                                 Total       Intangible    Intangible    Major         Trans-      Significant        Core

                                                 results     amort-        impair-       restruct-     action-     legal, Divest-     results

                                                 £m          isation       ment          uring         related     ments and          £m

                                                             £m            £m            £m            £m          other

                                                                                                                   items

                                                                                                                   £m

 Turnover                                        23,259                                                                               23,259
 Cost of sales                                   (6,489)     764                         141           40          13                 (5,531)

 Gross profit                                    16,770      764                         141           40          13                 17,728

 Selling, general and administration             (8,352)                                 125           1           1,954              (6,272)
 Research and development                        (4,370)     40            118           10                                           (4,202)
 Royalty income                                  463                                                                                  463
 Other operating income/(expense)                (1,186)                                 5             1,422       (241)              -

 Operating profit                                3,325       804           118           281           1,463       1,726              7,717

 Net finance expense                             (408)                                   1                         13                 (394)
 Share of after tax profit/(loss) of associates  (3)                                                                                  (3)

   and joint venture

 Profit before taxation                          2,914       804           118           282           1,463       1,739              7,320

 Taxation                                        (464)       (172)         (28)          (69)          (300)       (255)              (1,288)
 Tax rate %                                      15.9%                                                                                17.6%

 Profit after taxation                           2,450       632           90            213           1,163       1,484              6,032

 Profit attributable to non-controlling          289                                                   192                            481

   interests

 Profit attributable to shareholders             2,161       632           90            213           971         1,484              5,551

                                                 2,450       632           90            213           1,163       1,484              6,032

 Earnings per share                              53.0p       15.5p         2.2p          5.2p          23.8p       36.5p              136.2p

 Weighted average number of shares (millions)    4,076                                                                                4,076

 

 Nine months ended 30 September 2023

 

                                               Total       Intangible    Intangible    Major         Trans-      Significant    Core

                                               results     amort-        impair-       restruct-     action-     legal,         results

                                               £m          isation       ment          uring         related     Divest-        £m

                                                           £m            £m            £m            £m          ments and

                                                                                                                 other

                                                                                                                 items

                                                                                                                 £m

 Turnover                                      22,276                                                                           22,276
 Cost of sales                                 (6,147)     477                         97                        20             (5,553)

 Gross profit                                  16,129      477                         97                        20             16,723

 Selling, general and administration           (6,707)                                 163           1           102            (6,441)
 Research and development                      (4,176)     58            149           4                         (1)            (3,966)
 Royalty income                                718                                                                              718
 Other operating income/(expense)              208                                                   116         (324)          -

 Operating profit                              6,172       535           149           264           117         (203)          7,034

 Net finance expense                           (484)                                   1                         5              (478)
 Share of after tax profit/(loss) of           (4)                                                                              (4)

   associates and joint ventures
 Profit/(loss) on disposal of interest in      1                                                                 (1)            -

   associates

 Profit before taxation                        5,685       535           149           265           117         (199)          6,552

 Taxation                                      (775)       (116)         (35)          (52)          (29)        (15)           (1,022)
 Tax rate %                                    13.6%                                                                            15.6%

 Profit after taxation                         4,910       419           114           213           88          (214)          5,530

 Profit attributable to non-controlling        332                                                   88                         420

   interests
 Profit attributable to shareholders           4,578       419           114           213           -           (214)          5,110

                                               4,910       419           114           213           88          (214)          5,530
 Earnings per share                            113.0p      10.3p         2.8p          5.3p          -           (5.2)p         126.2p
 Weighted average number of shares (millions)  4,050                                                                            4,050

 

 

Adjusting items year to date 2024

 

Major restructuring and integration

 Total Major restructuring charges incurred in nine months ended 30 September
 2024 were £281 million (nine months ended 30 September 2023: £264 million),
 analysed as follows:

                                     9 months 2024                   9 months 2023

                                     Cash       Non-        Total    Cash       Non-        Total

                                     £m         cash        £m       £m         cash        £m

                                                £m                              £m

 Separation restructuring programme  169        14          183      107        101         208
 Significant acquisitions            50         1           51       54         1           55
 Legacy programmes                   47         -           47       1          -           1
                                     266        15          281      162        102         264

 

The Separation restructuring programme incurred cash charges of £169 million
primarily from the restructuring of some commercial and administrative
functions as well as Supply Chain. The non-cash charges of £14 million
primarily reflected the write-down of assets in manufacturing locations.

The programme is now largely complete and has delivered its target of £1.1
billion of annual savings, with total costs still expected at £2.4 billion,
with slightly higher cash charges of £1.7 billion but lower non-cash charges
of £0.7 billion.

Costs of significant acquisitions relate to integration costs of Sierra and
Affinivax which were acquired in Q3 2022, Bellus acquired in Q2 2023 and
Aiolos acquired in Q1 2024.

Cash charges of £47 million under Legacy programmes primarily arose from the
divestment of the cephalosporins business.

 

Transaction-related adjustments

 

Transaction-related adjustments resulted in a net charge of £1,463 million
(YTD 2023: £117 million net charge), the majority of which related to
charges/(credits) for the remeasurement of contingent consideration
liabilities, the liabilities for the Pfizer put option, and Pfizer and
Shionogi preferential dividends in ViiV Healthcare.

 Charge/(credit)                                                            9 months 2024    9 months 2023

                                                                            £m               £m

 Contingent consideration on former Shionogi-ViiV Healthcare joint Venture  1,106            406

   (including Shionogi preferential dividends)
 ViiV Healthcare put options and Pfizer preferential dividends              54               (203)
 Contingent consideration on former Novartis Vaccines business              206              (134)
 Contingent consideration on acquisition of Affinivax                       31               47
 Other adjustments                                                          66               1

 Total transaction-related charges                                          1,463            117

 

The £1,106 million charge relating to the contingent consideration for the
former Shionogi-ViiV Healthcare joint venture represented an increase in the
valuation of the contingent consideration due to Shionogi, driven by £789
million from updated future sales forecasts and exchange rates, and the unwind
of the discount for £317 million. The £54 million charge relating to the
ViiV Healthcare put option and Pfizer preferential dividends represented an
increase in the valuation of the put option primarily as a result of updated
sales forecasts. The ViiV Healthcare contingent consideration liability is
fair valued under IFRS. An explanation of the accounting for the
non-controlling interests in ViiV Healthcare is set out on page 19.

The £206 million charge relating to the contingent consideration on the
former Novartis Vaccines business primarily related to changes to future sales
forecasts.

The £31 million charge relating to the contingent consideration on the
acquisition of Affinivax primarily related to the unwind of the discount.

 

Significant legal charges, Divestments, and other items

 

Significant legal charges in the year to date primarily reflected the Q3 2024
charge of £1.8 billion ($2.3 billion) in relation to Zantac for the State
Courts Settlement, the Qui Tam Settlement, and the remaining 7% of pending
state court product liability cases, partially offset by reduced future legal
costs.

Legal charges provide for all significant legal matters and are not broken out
separately by litigation or investigation.

Divestments and other items primarily included £241 million of other net
income from milestones and dividends related to investments, including a £16
million final dividend received from the investment in Haleon, as well as a
fair value gain of £22 million on the investment in Haleon, which was sold in
May 2024.

 Financial information
 Income statement

                                                                    Q3 2024    Q3 2023    9 months 2024    9 months 2023

                                                                    £m         £m         £m               £m

 TURNOVER                                                           8,012      8,147      23,259           22,276

 Cost of sales                                                      (2,397)    (2,272)    (6,489)          (6,147)
 Gross profit                                                       5,615      5,875      16,770           16,129

 Selling, general and administration                                (3,800)    (2,296)    (8,352)          (6,707)
 Research and development                                           (1,459)    (1,575)    (4,370)          (4,176)
 Royalty income                                                     168        312        463              718
 Other operating income/(expense)                                   (335)      (367)      (1,186)          208

 OPERATING PROFIT                                                   189        1,949      3,325            6,172

 Finance income                                                     32         24         88               86
 Finance expense                                                    (156)      (182)      (496)            (570)
 Share of after tax profit/(loss) of associates and joint ventures  (1)        -          (3)              (4)
 Profit/(loss) on disposal of interests in associates and joint     -          -          -                1

   ventures

 PROFIT BEFORE TAXATION                                             64         1,791      2,914            5,685

 Taxation                                                           1          (257)      (464)            (775)
 Tax rate %                                                         (1.6%)     14.3%      15.9%            13.6%

 PROFIT AFTER TAXATION                                              65         1,534      2,450            4,910

 Profit attributable to non-controlling interests                   123        70         289              332
 Profit/(loss) attributable to shareholders                         (58)       1,464      2,161            4,578
                                                                    65         1,534      2,450            4,910

 EARNINGS/(LOSS) PER SHARE                                          (1.4)p     36.1p      53.0p            113.0p

 Diluted earnings/(loss) per share                                  (1.4)p     35.6p      52.2p            111.4p

 

 Statement of comprehensive income

                                                                   Q3 2024    Q3 2023    9 months 2024    9 months 2023

                                                                   £m         £m         £m               £m

 Total profit for the period                                       65         1,534      2,450            4,910

 Items that may be reclassified subsequently to income statement:
 Exchange movements on overseas net assets and net                 164        (94)       (47)             (87)

   investment hedges
 Reclassification of exchange movements on liquidation or          (57)       (7)        (56)             (20)

   disposal of overseas subsidiaries and associates
 Fair value movements on cash flow hedges                          (1)        -          (1)              1
 Cost of hedging                                                   (5)        -          (5)              -
 Deferred tax on fair value movements on cash flow hedges          (1)        -          (1)              (1)
 Reclassification of cash flow hedges to income statement          2          1          4                4

                                                                   102        (100)      (106)            (103)

 Items that will not be reclassified to income statement:
 Exchange movements on overseas net assets of                      (24)       5          (17)             (17)

   non-controlling interests
 Fair value movements on equity investments                        (27)       (242)      (108)            (359)
 Tax on fair value movements on equity investments                 3          18         6                35
 Fair value movements on cash flow hedges                          3          -          2                (34)
 Remeasurement gains/(losses) on defined benefit plans             192        (266)      373              (216)
 Tax on remeasurement losses/(gains) on defined benefit            (45)       63         (87)             55

   plans

                                                                   102        (422)      169              (536)

 Other comprehensive income/(expense) for the period               204        (522)      63               (639)

 Total comprehensive income for the period                         269        1,012      2,513            4,271

 Total comprehensive income for the period attributable to:
   Shareholders                                                    170        937        2,241            3,956
   Non-controlling interests                                       99         75         272              315

                                                                   269        1,012      2,513            4,271

 

 Balance sheet

 

                                               30 September 2024    31 December 2023

                                               £m                   £m
 ASSETS
 Non-current assets
 Property, plant and equipment                 8,885                9,020
 Right of use assets                           840                  937
 Goodwill                                      6,680                6,811
 Other intangible assets                       15,010               14,768
 Investments in associates and joint ventures  81                   55
 Other investments                             1,023                1,137
 Deferred tax assets                           6,288                6,049
 Derivative instruments                        4                    -
 Other non-current assets                      1,940                1,584

 Total non-current assets                      40,751               40,361

 Current assets
 Inventories                                   5,918                5,498
 Current tax recoverable                       484                  373
 Trade and other receivables                   7,383                7,385
 Derivative financial instruments              241                  130
 Current equity investments                    -                    2,204
 Liquid investments                            20                   42
 Cash and cash equivalents                     3,192                2,936
 Assets held for sale                          60                   76

 Total current assets                          17,298               18,644

 TOTAL ASSETS                                  58,049               59,005

 LIABILITIES
 Current liabilities
 Short-term borrowings                         (2,815)              (2,813)
 Contingent consideration liabilities          (1,105)              (1,053)
 Trade and other payables                      (14,375)             (15,844)
 Derivative financial instruments              (146)                (114)
 Current tax payable                           (568)                (500)
 Short-term provisions                         (2,450)              (744)

 Total current liabilities                     (21,459)             (21,068)

 Non-current liabilities
 Long-term borrowings                          (13,244)             (15,205)
 Corporation tax payable                       (19)                 (75)
 Deferred tax liabilities                      (294)                (311)
 Pensions and other post-employment benefits   (2,028)              (2,340)
 Other provisions                              (492)                (495)
 Contingent consideration liabilities          (6,020)              (5,609)
 Other non-current liabilities                 (1,040)              (1,107)

 Total non-current liabilities                 (23,137)             (25,142)

 TOTAL LIABILITIES                             (44,596)             (46,210)

 NET ASSETS                                    13,453               12,795

 EQUITY
 Share capital                                 1,348                1,348
 Share premium account                         3,473                3,451
 Retained earnings                             8,187                7,239
 Other reserves                                1,000                1,309

 Shareholders' equity                          14,008               13,347

 Non-controlling interests                     (555)                (552)

 TOTAL EQUITY                                  13,453               12,795

 

 

 Statement of changes in equity

 

                                               Share       Share       Retained     Other        Share-       Non-            Total

                                               capital     premium     earnings     reserves     holder's     controlling     equity

                                               £m          £m          £m           £m           equity       interests       £m

                                                                                                 £m           £m

 At 1 January 2024                             1,348       3,451       7,239        1,309        13,347       (552)           12,795

 Profit for the period                                                 2,161                     2,161        289             2,450
   Other comprehensive                                                 146          (66)         80           (17)            63

     income/(expense) for the period

 Total comprehensive income/(expense)                                  2,307        (66)         2,241        272             2,513

   for the period

 Distributions to non-controlling interests                                                                   (288)           (288)
 Dividends to shareholders                                             (1,832)                   (1,832)                      (1,832)
 Realised after tax losses on disposal                                 15           (15)                                      -

   or liquidation of equity investments
 Share of associates and joint ventures                                52           (52)                                      -

   realised profit/(loss) on disposal of

   equity investments
 Shares issued                                             20                                    20                           20
 Write-down on shares held by ESOP Trusts                              (283)        283                                       -
 Shares acquired by ESOP Trusts                            2           457          (459)                                     -
 Share-based incentive plans                                           232                       232                          232
 Contributions from non-controlling interests                                                                 9               9
 Changes to non-controlling interests                                                            -            4               4

 At 30 September 2024                          1,348       3,473       8,187        1,000        14,008       (555)           13,453

 

                                             Share       Share       Retained     Other        Share-       Non-            Total

                                             capital     premium     earnings     reserves     holder's     controlling     equity

                                             £m          £m          £m           £m           equity       interests       £m

                                                                                               £m           £m

 At 1 January 2023                           1,347       3,440       4,363        1,448        10,598       (502)           10,096

 Profit for the period                                               4,578        -            4,578        332             4,910
   Other comprehensive                                               (279)        (343)        (622)        (17)            (639)

     income/(expense) for the period

 Total comprehensive income/(expense)                                4,299        (343)        3,956        315             4,271

   for the period

 Distributions to non-controlling interests                                                                 (334)           (334)
 Contributions from non-controlling                                                                         7               7

   interests
 Dividends to shareholders                                           (1,679)                   (1,679)                      (1,679)
 Realised after tax losses on disposal or                            (33)         33                                        -

   liquidation of equity investments
 Share of associates and joint ventures                              2            (2)                                       -

   realised profit/(loss) on disposal of

   equity investments
 Share issued                                1           8                                     9                            9
 Write-down of shares held by ESOP Trusts                            (153)        153                                       -
 Shares acquired by ESOP Trusts                          2           1            (3)                                       -
 Share-based incentive plans                                         217                       217                          217
 Hedging gain/(loss) after taxation                                               32           32                           32

   transferred to non-financial assets
 At 30 September 2023                        1,348       3,450       7,017        1,318        13,133       (514)           12,619

 

 

 Cash flow statement nine months ended 30 September 2024

                                                                         9 months 2024    9 months 2023

                                                                         £m               £m
 Profit after tax                                                        2,450            4,910
 Tax on profits                                                          464              775
 Share of after tax loss/(profit) of associates and joint ventures       3                4
 (Profit)/loss on disposal of interest in associates and joint ventures  -                (1)
 Net finance expense                                                     408              484
 Depreciation, amortisation and other adjusting items                    2,139            1,671
 (Increase)/decrease in working capital                                  (1,669)          (2,669)
 Contingent consideration paid                                           (924)            (853)
 Increase/(decrease) in other net liabilities (excluding contingent      2,404            94
 consideration paid)
 Cash generated from operations                                          5,275            4,415
 Taxation paid                                                           (1,050)          (843)
 Total net cash inflow/(outflow) from operating activities               4,225            3,572

 Cash flow from investing activities
 Purchase of property, plant and equipment                               (855)            (828)
 Proceeds from sale of property, plant and equipment                     4                21
 Purchase of intangible assets                                           (992)            (733)
 Proceeds from sale of intangible assets                                 126              12
 Purchase of equity investments                                          (76)             (92)
 Proceeds from sale of equity investments                                2,354            834
 Purchase of businesses, net of cash acquired                            (748)            (1,459)
 Investment in joint ventures and associates                             (42)             -
 Contingent consideration paid                                           (11)             (7)
 Disposal of businesses                                                  (13)             56
 Interest received                                                       91               83
 (Increase)/decrease in liquid investments                               21               47
 Dividends from joint ventures and associates                            15               1
 Dividend and distributions from investments                             16               201
 Proceeds from disposal of associates and Joint ventures                 -                1
 Total net cash inflow/(outflow) from investing activities               (110)            (1,863)

 Cash flow from financing activities
 Issue of share capital                                                  20               9
 Repayment of long-term loans                                            -                (144)
 Issue of long-term notes                                                -                238
 Repayment of short-term loans                                           (787)            (1,088)
 Net increase/(repayment) of other short-term loans                      (623)            1,394
 Repayment of lease liabilities                                          (170)            (148)
 Interest paid                                                           (385)            (480)
 Dividends paid to shareholders                                          (1,832)          (1,679)
 Distribution to non-controlling interests                               (288)            (334)
 Contributions from non-controlling interests                            9                7
 Other financing items                                                   172              176
 Total net cash inflow/(outflow) from financing activities               (3,884)          (2,049)
 Increase/(decrease) in cash and bank overdrafts in the period           231              (340)
 Cash and bank overdrafts at beginning of the period                     2,858            3,425
 Exchange adjustments                                                    (61)             (65)
 Increase/(decrease) in cash and bank overdrafts                         231              (340)
 Cash and bank overdrafts at end of the period                           3,028            3,020
 Cash and bank overdrafts at end of the period comprise:
 Cash and cash equivalents                                               3,192            3,177
 Overdrafts                                                              (164)            (157)
                                                                         3,028            3,020

 

 

Sales tables

 

Vaccines turnover - three months ended 30 September 2024

                          Total                               US                                 Europe                            International
                                     Growth                             Growth                            Growth                             Growth
                          £m         £%          CER%         £m        £%            CER%       £m       £%            CER%       £m        £%            CER%
 Shingles                 739        (10)        (7)          307       (26)          (23)       194      (15)          (13)       238       29            35
 Shingrix                 739        (10)        (7)          307       (26)          (23)       194      (15)          (13)       238       29            35
 Meningitis               520        18          22           316       16            20         122      12            15         82        37            47
 Bexsero                  334        26          30           168       27            31         120      15            17         46        53            73
 Menveo                   173        3           7            148       6             10         1        (67)          (33)       24        (4)           (8)
 Other                    13         86          100          -         -             -          1        (50)          (50)       12        >100          >100
 RSV                      188        (73)        (72)         177       (75)          (74)       5        >100          >100       6         (14)          (29)
 Arexvy                   188        (73)        (72)         177       (75)          (74)       5        >100          >100       6         (14)          (29)
 Influenza                283        (24)        (22)         243       (23)          (21)       15       (29)          (29)       25        (31)          (22)
 Fluarix, FluLaval        283        (24)        (22)         243       (23)          (21)       15       (29)          (29)       25        (31)          (22)
 Established Vaccines     920        6           10           415       21            26         186      9             12         319       (10)          (6)
 Infanrix, Pediarix       151        4           8            95        16            21         27       4             8          29        (22)          (19)
 Boostrix                 211        25          30           141       15            19         35       21            21         35        >100          >100
 Hepatitis                183        17          22           112       18            22         46       15            20         25        14            27
 Rotarix                  153        6           10           52        53            59         29       4             7          72        (12)          (10)
 Synflorix                50         (44)        (42)         -         -             -          4        (50)          (50)       46        (43)          (41)
 Priorix, Priorix Tetra,  83         1           4            12        >100          >100       32       (9)           (6)        39        (9)           (5)

   Varilrix
 Cervarix                 18         (42)        (42)         -         -             -          4        100           100        14        (52)          (52)
 Other                    71         39          41           3         (40)          -          9        >100          >100       59        34            34
 Vaccines excluding       2,650      (18)        (15)         1,458     (29)          (26)       522      (1)           1          670       4             10

   COVID-19 solutions
 Pandemic vaccines        -          (100)       >(100)       -         -             -          -        -             -          -         (100)         >(100)
 Pandemic adjuvant        -          (100)       >(100)       -         -             -          -        -             -          -         (100)         >(100)
 Vaccines                 2,650      (18)        (15)         1,458     (29)          (26)       522      (1)           1          670       4             9

 

 

Vaccines turnover - nine months ended 30 September 2024

                          Total                           US                                 Europe                              International
                                     Growth                         Growth                              Growth                               Growth
                          £m         £%          CER%     £m        £%            CER%       £m         £%            CER%       £m          £%            CER%
 Shingles                 2,516      (1)         2        1,078     (23)          (20)       667        (2)           (1)        771         68            76
 Shingrix                 2,516      (1)         2        1,078     (23)          (20)       667        (2)           (1)        771         68            76
 Meningitis               1,142      16          20       580       14            17         339        3             5          223         52            60
 Bexsero                  783        15          19       325       18            22         331        5             7          127         46            56
 Menveo                   337        15          19       255       8             11         5          (44)          (33)       77          60            65
 Other                    22         37          44       -         -             -          3          (25)          (25)       19          58            67
 RSV                      432        (39)        (37)     387       (45)          (43)       6          >100          >100       39          >100          >100
 Arexvy                   432        (39)        (37)     387       (45)          (43)       6          >100          >100       39          >100          >100
 Influenza                303        (26)        (23)     244       (23)          (21)       14         (33)          (33)       45          (36)          (31)
 Fluarix, FluLaval        303        (26)        (23)     244       (23)          (21)       14         (33)          (33)       45          (36)          (31)
 Established Vaccines     2,533      2           5        1,012     1             4          542        (2)           -          979         4             9
 Infanrix, Pediarix       390        (4)         (1)      206       (8)           (5)        87         10            13         97          (7)           (2)
 Boostrix                 532        13          16       337       7             10         104        13            15         91          42            50
 Hepatitis                521        7           11       295       7             10         143        8             11         83          8             14
 Rotarix                  431        (8)         (4)      137       (14)          (11)       88         (1)           1          206         (6)           -
 Synflorix                157        (31)        (28)     -         -             -          7          (74)          (74)       150         (25)          (22)
 Priorix, Priorix Tetra,  240        27          31       26        >100          >100       93         (5)           (3)        121         51            58

   Varilrix
 Cervarix                 66         (40)        (38)     -         -             -          11         (63)          (63)       55          (31)          (29)
 Other                    196        41          44       11        (42)          (37)       9          80            60         176         53            57
 Vaccines excluding       6,926      (3)         -        3,301     (16)          (13)       1,568      (1)           1          2,057       27            33

   COVID-19 solutions
 Pandemic vaccines        -          (100)       (100)    -         -             -          -          (100)         (100)      -           (100)         (100)
 Pandemic adjuvant        -          (100)       (100)    -         -             -          -          (100)         (100)      -           (100)         (100)
 Vaccines                 6,926      (5)         (2)      3,301     (16)          (13)       1,568      (8)           (7)        2,057       25            31

 

 

Specialty Medicines turnover - three months ended 30 September 2024

                         Total                                   US                                   Europe                                International
                                    Growth                                 Growth                              Growth                                 Growth
                         £m         £%              CER%         £m        £%            CER%         £m       £%              CER%         £m        £%              CER%
 HIV                     1,750      8               12           1,172     8             12           363      5               7            215       13              18
 Dolutegravir products   1,388      2               6            867       -             4            318      2               4            203       12              15
 Tivicay                 335        (1)             2            187       (3)           1            60       (6)             (5)          88        5               8
 Triumeq                 323        (13)            (10)         230       (13)          (9)          52       (20)            (20)         41        (9)             (2)
 Juluca                  163        (5)             (1)          128       (4)           1            31       (9)             (9)          4         33              -
 Dovato                  567        19              23           322       16            21           175      17              20           70        40              44
 Rukobia                 39         30              37           37        32            36           2        -               -            -         -               -
 Cabenuva                245        35              40           200       32            38           39       50              54           6         20              20
 Apretude                69         86              95           66        78            86           -        -               -            3         -               -
 Other                   9          (31)            (31)         2         (60)          >(100)       4        (20)            -            3         -               33
 Respiratory/Immunology  843        10              14           555       5             9            139      17              20           149       22              29

   and Other
 Nucala                  444        8               12           235       (2)           2            114      18              19           95        27              36
 Benlysta                389        11              16           318       11            15           28       12              16           43        16              22
 Other                   10         43              43           2         >100          >100         (3)      -               67           11        10              -
 Oncology                373        86              94           264       >100          >100         88       22              24           21        24              41
 Zejula                  144        3               6            72        1             4            55       2               4            17        13              27
 Blenrep                 3          (70)            (80)         -         -             -            3        (70)            (80)         -         -               -
 Jemperli                130        >100            >100         106       >100          >100         21       >100            >100         3         >100            >100
 Ojjaara/Omjjara         98         >100            >100         86        >100          >100         11       -               -            1         -               -
 Other                   (2)        >(100)          >(100)       -         -             -            (2)      >(100)          >(100)       -         >(100)          -
 Specialty Medicines     2,966      14              19           1,991     15            20           590      10              12           385       17              23

   excluding COVID-19

   solutions
 Pandemic                -          -               -            -         -             -            -        -               -            -         -               -
 Xevudy                  -          -               -            -         -             -            -        -               -            -         -               -
 Specialty Medicines     2,966      14              19           1,991     15            20           590      10              12           385       17              23

 

 

Specialty Medicines turnover - nine months ended 30 September 2024

                         Total                                   US                                 Europe                                  International
                                    Growth                                 Growth                              Growth                                   Growth
                         £m         £%              CER%         £m        £%            CER%       £m         £%              CER%         £m          £%              CER%
 HIV                     5,120      10              13           3,394     11            14         1,109      6               8            617         10              16
 Dolutegravir products   4,083      3               6            2,520     2             5          981        3               4            582         9               14
 Tivicay                 1,007      (3)             -            566       (4)           (1)        190        (5)             (3)          251         -               5
 Triumeq                 979        (14)            (11)         682       (13)          (10)       172        (20)            (19)         125         (13)            (8)
 Juluca                  496        2               6            391       5             9          95         (8)             (6)          10          -               -
 Dovato                  1,601      23              26           881       21            24         524        19              21           196         50              56
 Rukobia                 110        34              39           104       37            41         6          20              20           -           >(100)          -
 Cabenuva                703        45              49           575       43            48         110        55              58           18          50              58
 Apretude                195        >100            >100         189       95            >100       -          -               -            6           -               -
 Other                   29         (34)            (32)         6         (57)          (64)       12         (25)            (19)         11          (21)            (14)
 Respiratory/Immunology  2,389      10              15           1,570     6             10         409        19              22           410         19              29

   and Other
 Nucala                  1,300      10              14           702       2             6          335        19              21           263         21              32
 Benlysta                1,067      11              15           866       10            13         85         16              19           116         17              25
 Other                   22         22              33           2         >100          -          (11)       -               9            31          11              18
 Oncology                1,002      >100            >100         701       >100          >100       249        14              16           52          49              57
 Zejula                  450        21              25           232       35            39         174        5               7            44          33              39
 Blenrep                 1          (97)            (97)         (3)       (50)          (50)       4          (88)            (88)         -           -               -
 Jemperli                318        >100            >100         259       >100          >100       52         >100            >100         7           >100            >100
 Ojjaara/Omjjara         235        >100            >100         213       >100          >100       21         -               -            1           -               -
 Other                   (2)        >(100)          >(100)       -         -             -          (2)        >(100)          >(100)       -           >(100)          -
 Specialty Medicines     8,511      16              20           5,665     19            22         1,767      10              12           1,079       15              22

   excluding COVID-19

   solutions
 Pandemic                1          (97)            (97)         -         100           100        -          >(100)          >(100)       1           (97)            (97)
 Xevudy                  1          (97)            (97)         -         100           100        -          >(100)          >(100)       1           (97)            (97)
 Specialty Medicines     8,512      16              20           5,665     19            23         1,767      10              12           1,080       11              18

 

 

General Medicines turnover - three months ended 30 September 2024

                                  Total                        US                               Europe                     International
                                             Growth                    Growth                            Growth                        Growth
                                  £m         £%        CER%    £m      £%            CER%       £m       £%        CER%    £m          £%         CER%
 Respiratory                      1,617      6         11      820     10            15         338      7         9       459         1          7
 Anoro Ellipta                    146        3         6       67      (6)           (1)        56       17        19      23          -          4
 Flixotide/Flovent                113        15        20      73      11            15         15       25        33      25          25         30
 Relvar/Breo Ellipta              241        1         5       86      -             3          85       5         7       70          (3)        4
 Seretide/Advair                  218        8         13      61      >100          >100       50       (9)       (7)     107         (17)       (12)
 Trelegy Ellipta                  600        12        16      420     8             13         79       14        17      101         26         31
 Ventolin                         176        1         5       90      (2)           1          25       4         4       61          3          12
 Other Respiratory                123        (3)       2       23      (12)          (4)        28       -         -       72          (1)        4
 Other General Medicines          779        (5)       -       52      30            37         168      (5)       (4)     559         (7)        (1)
 Augmentin                        146        (8)       (1)     -       -             -          43       5         7       103         (12)       (4)
 Lamictal                         94         13        18      37      61            70         27       (4)       (4)     30          (6)        -
 Other "Other General Medicines"  539        (6)       (2)     15      (12)          (6)        98       (9)       (8)     426         (6)        -
 General Medicines                2,396      3         7       872     11            16         506      2         4       1,018       (4)        2

 

 

General Medicines turnover - nine months ended 30 September 2024

                                  Total                         US                           Europe                        International
                                             Growth                       Growth                        Growth                         Growth
                                  £m         £%         CER%    £m        £%         CER%    £m         £%         CER%    £m          £%         CER%
 Respiratory                      5,407      6          11      2,912     15         19      1,055      1          3       1,440       (5)        2
 Anoro Ellipta                    425        6          9       192       1          4       164        15         18      69          -          6
 Flixotide/Flovent                384        9          13      259       15         19      51         2          4       74          (3)        3
 Relvar/Breo Ellipta              792        (1)        3       300       (2)        1       275        1          4       217         (3)        5
 Seretide/Advair                  798        (8)        (4)     273       4          7       166        (13)       (12)    359         (12)       (7)
 Trelegy Ellipta                  2,033      26         31      1,512     29         33      230        13         15      291         24         33
 Ventolin                         532        (3)        -       276       (4)        (1)     76         6          7       180         (6)        (1)
 Other Respiratory                443        (11)       (7)     100       25         29      93         (16)       (15)    250         (19)       (13)
 Other General Medicines          2,414      (6)        (1)     179       (16)       (13)    521        (4)        (3)     1,714       (5)        1
 Augmentin                        474        1          6       -         -          -       138        1          2       336         1          8
 Lamictal                         304        (7)        (3)     123       (15)       (12)    81         (2)        (1)     100         1          8
 Other "Other General Medicines"  1,636      (8)        (2)     56        (19)       (14)    302        (7)        (5)     1,278       (7)        (1)
 General Medicines                7,821      2          7       3,091     13         16      1,576      (1)        1       3,154       (5)        1

 

 

Commercial Operations turnover

                                       Total                         US                           Europe                       International
                                                   Growth                       Growth                       Growth                        Growth
                                       £m          £%        CER%    £m         £%        CER%    £m         £%        CER%    £m          £%        CER%
 Three months ended 30 September 2024  8,012       (2)       2       4,321      (5)       (1)     1,618      4         6       2,073       2         8
 Nine months ended 30 September 2024   23,259      4         8       12,057     5         9       4,911      -         2       6,291       6         12

 

 

Commercial Operations turnover excluding COVID-19 solutions

                                       Total                         US                           Europe                       International
                                                   Growth                       Growth                       Growth                        Growth
                                       £m          £%        CER%    £m         £%        CER%    £m         £%        CER%    £m          £%        CER%
 Three months ended 30 September 2024  8,012       (2)       2       4,321      (5)       (1)     1,618      4         6       2,073       2         8
 Nine months ended 30 September 2024   23,258      5         9       12,057     5         9       4,911      3         5       6,290       7         13

 

Segment information

 

Operating segments are reported based on the financial information provided to
the Chief Executive Officer and the responsibilities of the GSK Leadership
Team (GLT). GSK reports results under two segments: Commercial Operations and
Total R&D. Members of the GLT are responsible for each segment.

R&D investment is essential for the sustainability of the business.
However, for segment reporting the Commercial operating profits exclude
allocations of globally funded R&D.

The Total R&D segment is the responsibility of the Chief Scientific
Officer and is reported as a separate segment. The operating costs of this
segment includes R&D activities across Specialty Medicines, including HIV
and Vaccines. It includes R&D and some SG&A costs relating to
regulatory and other functions.

The Group's management reporting process allocates intra-Group profit on a
product sale to the market in which that sale is recorded, and the profit
analyses below have been presented on that basis.

Adjusting items reconciling segment profit and operating profit comprise items
not specifically allocated to segment profit. These include impairment and
amortisation of intangible assets, major restructuring costs, which include
impairments of tangible assets and computer software, transaction-related
adjustments related to significant acquisitions, proceeds and costs of
disposals of associates, products and businesses, Significant legal charges
and expenses on the settlement of litigation and government investigations,
other operating income other than royalty income, and other items including
amounts reclassified from the foreign currency translation reserve to the
income statement upon the liquidation of a subsidiary where the amount exceeds
£25 million.

 Turnover by segment
                                         Q3 2024    Q3 2023    Growth    Growth

                                         £m         £m         £%        CER%

 Commercial Operations (total turnover)  8,012      8,147      (2)       2

 

 

 Operating profit by segment
                                                     Q3 2024    Q3 2023    Growth    Growth

                                                     £m         £m         £%        CER%

 Commercial Operations                               4,195      4,188      -         5
 Research and Development                            (1,334)    (1,371)    (3)       -

 Segment profit                                      2,861      2,817      2         7
 Corporate and other unallocated costs               (100)      (45)

 Core operating profit                               2,761      2,772      -         5
 Adjusting items                                     (2,572)    (823)

 Total operating profit                              189        1,949      (90)      (86)

 Finance income                                      32         24
 Finance costs                                       (156)      (182)
 Share of after tax profit/(loss) of associates and  (1)        -

   joint ventures

 Profit before taxation                              64         1,791      (96)      (92)

 

Commercial Operations Core operating profit of £4,195 million grew in the
quarter from strong Specialty Medicines sales performance, favourable product
and regional mix as well as price benefits from channel mix and adjustments to
returns and rebates in the US, partly offset by continued disciplined
investment in growth assets and lower royalty income.

The R&D segment operating expense of £1,334 million in the quarter
reflected continued spend across the portfolio, with Specialty Medicines spend
driven by camlipixant, bepirovirsen and depemokimab as well as the long acting
TSLP asset acquired as part of the Aiolos acquisition, and in HIV on
long-acting medicines. In Vaccines, pneumococcal (MAPS) and mRNA continued to
drive investment, and, in Oncology, increased investment in Jemperli and ADC
assets was offset by cost decreases following the launches of Arexvy and
Ojjaara, and progression to completion of Zejula and Blenrep studies.

 

 Turnover by segment
                                         9 months 2024    9 months 2023    Growth    Growth

                                         £m               £m               £%        CER%

 Commercial Operations (total turnover)  23,259           22,276           4         8

 

 Operating profit by segment
                                                             9 months 2024    9 months 2023    Growth    Growth

                                                             £m               £m               £%        CER%

 Commercial Operations                                       12,012           11,044           9         14
 Research and Development                                    (4,055)          (3,876)          5         7

 Segment profit                                              7,957            7,168            11        17
 Corporate and other unallocated costs                       (240)            (134)

 Core operating profit                                       7,717            7,034            10        16
 Adjusting items                                             (4,392)          (862)

 Total operating profit                                      3,325            6,172            (46)      (41)

 Finance income                                              88               86
 Finance costs                                               (496)            (570)
 Share of after tax profit/(loss) of associates              (3)              (4)

   and joint ventures
 Profit/(loss) on disposal of associates and joint ventures  -                1

 Profit before taxation                                      2,914            5,685            (49)      (43)

 

Commercial Operations Core operating profit of £12,012 million grew year to
date driven by continued leverage from strong sales and favourable product and
regional mix, as well as price benefits from channel mix and adjustments to
returns and rebates in the US, and a reversal of the Zejula royalty dispute
legal provision in Q1 2024, partly offset by continued disciplined investment
in growth assets and lower royalty income.

The R&D segment operating expense of £4,055 million grew year to date
driven by continued spend across the portfolio, with a significant increase in
investment in Specialty Medicines including camlipixant, bepirovirsen and
depemokimab as well as the long acting TSLP asset acquired as part of the
Aiolos acquisition. In addition, there was continued spend in HIV on
long-acting medicines. In Vaccines, pneumococcal (MAPS) and mRNA continued to
drive investment, and, in Oncology, increased investment in Jemperli and ADC
assets was offset by cost decreases following the launches of Arexvy and
Ojjaara, and progression to completion of Zejula and Blenrep studies.

 

Legal matters

 

The Group is involved in significant legal and administrative proceedings,
principally product liability, intellectual property, tax, anti-trust,
consumer fraud and governmental investigations, which are more fully described
in the 'Legal Proceedings' note in the Annual Report 2023. At 30 September
2024, the Group's aggregate provision for legal and other disputes (not
including tax matters described on page 10) was £2,033 million (31 December
2023: £267 million).

 

The Group may become involved in significant legal proceedings in respect of
which it is not possible to meaningfully assess whether the outcome will
result in a probable outflow, or to quantify or reliably estimate the
liability, if any, that could result from ultimate resolution of the
proceedings. In these cases, the Group would provide appropriate disclosures
about such cases, but no provision would be made.

 

The ultimate liability for legal claims may vary from the amounts provided and
is dependent upon the outcome of litigation proceedings, investigations and
possible settlement negotiations. The Group's position could change over time,
and, therefore, there can be no assurance that any losses that result from the
outcome of any legal proceedings will not exceed by a material amount the
amount of the provisions reported in the Group's financial accounts.

 

Significant legal developments since the date of the Q2 2024 results:

 

Product Liability

 

Zantac

On 9 October 2024 GSK reached agreements with 10 plaintiff firms who together
represent 93% (approximately 80,000 claimants) of the Zantac state court
product liability cases pending against GSK in the United States. Under these
agreements, GSK will make an aggregate payment of up to $2.2 billion to
resolve all U.S. state court product liability cases handled by these
plaintiff firms that meet agreed eligibility and participation criteria (the
"State Courts Settlement"). The participating plaintiff firms are unanimously
recommending to their clients that they accept the terms of the State Courts
Settlement, which is expected to be fully implemented by the end of H1 2025.
Terms of the agreements are confidential.

 

On 9 October 2024 GSK also reached an agreement in principle to pay a total of
$70 million to resolve the Zantac qui tam complaint previously filed by
Valisure. The agreement in principle is subject to final approval from the
Department of Justice (the "Qui Tam Settlement").

 

GSK has not admitted any liability in the State Courts Settlement or in the
agreement in principle for the Qui Tam Settlement. While the scientific
consensus remains that there is no consistent or reliable evidence that Zantac
increases the risk of any cancer, GSK strongly believes that these settlements
are in the best long-term interests of the company and its shareholders as
they remove significant financial uncertainty, risk and distraction associated
with protracted litigation.

 

There remain approximately 6,000 cases filed in various state court
jurisdictions, the vast majority of which are in Delaware. On 27 August 2024,
the Delaware Supreme Court accepted Defendants' appeal of the Superior Court's
decision allowing Plaintiffs to present expert evidence of general causation
on all ten cancer types to a jury.

 

The State Courts Settlement resolved all state court product liability trials
which were scheduled for 2024 and 2025.

 

As previously disclosed, approximately 14,000 product liability cases were
dismissed following the grant of defendants' Daubert motions in December 2022
in the MDL proceeding. These are now on appeal by the plaintiffs to the United
States Court of Appeals for the Eleventh Circuit, along with appeals in the
medical monitoring and consumer class action cases. GSK remains confident in
its position and will continue to vigorously defend against those appeals.

 

The trial in the Mayor & City of Baltimore action is scheduled to begin 1
June 2026.

 

GSK took a charge in Q3 2024 of £1.8 billion ($2.3 billion) in relation to
the State Courts Settlement, the Qui Tam Settlement, and the remaining 7% of
pending state court product liability cases, partially offset by reduced
future legal costs.

 

 

Intellectual Property

 

RSV

 

On 5 August 2024, GSK filed a patent infringement suit against Pfizer in the
European Unified Patent Court ("UPC") alleging infringement of a single GSK
patent by Pfizer's RSV vaccine, Abrysvo. On 14 August 2024, Pfizer filed a
separate action in the UPC seeking revocation of the patent. First instance
decisions on the merits are not expected until late 2025.

 

On 7 October 2024, the London High Court ruled in Pfizer's favour and
invalidated two of GSK's patents relating to RSV vaccine technology. GSK plans
to appeal that decision.

 

mRNA

 

On 14 August 2024, GSK filed a First Amended Complaint in the United States
District Court for the District of Delaware asserting 3 additional GSK patents
against Pfizer/BioNTech bringing the total number of asserted patents to 8.
Pfizer/BioNTech filed an Answer and Counterclaims to GSK's First Amended
Complaint on 30 August 2024. Trial has yet to be scheduled.

 

On 12 October 2024, GSK filed two separate patent infringement suits against
Moderna, Inc. in the United States District Court for the District of
Delaware. The first suit alleges infringement of 7 GSK patents by the COVID-19
vaccine, SPIKEVAX. The second suit alleges infringement of 6 GSK patents by
the RSV vaccine, mRESVIA.

 

Returns to shareholders

 

Quarterly dividends

The Board has declared a third interim dividend for Q3 2024 of 15p per share
(Q3 2023: 14p per share).

Dividends remain an essential component of total shareholder return and GSK
recognises the importance of dividends to shareholders. On 23 June 2021, at
the GSK Investor Update, GSK set out that from 2022 a progressive dividend
policy will be implemented guided by a 40 to 60 percent pay-out ratio through
the investment cycle. Consistent with this, GSK has declared a dividend of 15p
for Q3 2024 and expects to declare a dividend of 60p per share for full year
2024. In setting its dividend policy, GSK considers the capital allocation
priorities of the Group and its investment strategy for growth alongside the
sustainability of the dividend.

 

Payment of dividends

The equivalent interim dividend receivable by ADR holders will be calculated
based on the exchange rate on 7 January 2025. An annual fee of $0.03 per ADS
(or $0.0075 per ADS per quarter) is charged by the Depositary. The ex-dividend
and record dates will be 15 November 2024 with a payment date of 9 January
2025.

                 Paid/              Pence per    £m

                 Payable            share

 2024
 First interim   11 July 2024       15           612
 Second interim  10 October 2024    15           612
 Third interim   9 January 2025     15           612

 2023
 First interim   13 July 2023       14           567
 Second interim  12 October 2023    14           568
 Third interim   11 January 2024    14           568
 Fourth interim  11 April 2024      16           652

                                    58           2,355

 

 

Share capital in issue

At 30 September 2024, 4,080 million shares (Q3 2023: 4,056 million) were in
free issue (excluding Treasury shares and shares held by the ESOP Trusts). No
Treasury shares have been repurchased since 2014. In the quarter, the company
issued a small number of shares under employee share schemes for proceeds of
£1 million (Q3 2023: nil).

 

At 30 September 2024, the ESOP Trusts held 64.6 million shares of GSK shares,
of which 64.3 million were held for the future exercise of share options and
share awards and 0.3 million were held for the Executive Supplemental Savings
plan. The carrying value of £431 million has been deducted from other
reserves. The market value of these shares was £980 million.

 

At 30 September 2024, the company held 169 million Treasury shares at a cost
of £2,958 million which has been deducted from retained earnings.

 

Weighted average number of shares

The numbers of shares used in calculating basic and diluted earnings per share
are reconciled below:

 Weighted average number of shares
                                                    Q3 2024               Q3 2023      9 months 2024    9 months 2023

                                                    millions              millions     millions         millions

 Weighted average number of shares - basic          4,080                 4,055        4,076            4,050
 Dilutive effect of share options and share awards  61                    57           61               58

 Weighted average number of shares - diluted        4,141                 4,112        4,137            4,108

 

 

Additional information

 

Accounting policies and basis of preparation

This unaudited Results Announcement contains condensed financial information
for the three and nine months ended 30 September 2024 and should be read in
conjunction with the Annual Report 2023, which was prepared in accordance with
United Kingdom adopted International Financial Reporting Standards. This
Results Announcement has been prepared applying consistent accounting policies
to those applied by the Group in the Annual Report 2023.

The Group has not identified any changes to its key sources of accounting
judgements or estimations of uncertainty compared with those disclosed in the
Annual Report 2023.

This Results Announcement does not constitute statutory accounts of the Group
within the meaning of sections 434(3) and 435(3) of the Companies Act 2006.
The full Group accounts for 2023 were published in the Annual Report 2023,
which has been delivered to the Registrar of Companies and on which the report
of the independent auditor was unqualified and did not contain a statement
under section 498 of the Companies Act 2006.

 

Exchange rates

 

GSK operates in many countries and earns revenues and incurs costs in many
currencies. The results of the Group, as reported in Sterling, are affected by
movements in exchange rates between Sterling and other currencies. Average
exchange rates, as modified by specific transaction rates for large
transactions, prevailing during the period, are used to translate the results
and cash flows of overseas subsidiaries, associates and joint ventures into
Sterling. Period-end rates are used to translate the net assets of those
entities. The currencies which most influenced these translations and the
relevant exchange rates were:

                          Q3 2024    Q3 2023    9 months 2024    9 months 2023    2023

 Average rates:
                 US$/£    1.31       1.26       1.28             1.24             1.24
                 Euro/£   1.19       1.16       1.18             1.15             1.15
                 Yen/£    192        182        192              173              175

 Period-end rates:
                 US$/£    1.34       1.23       1.34             1.23             1.27
                 Euro/£   1.20       1.16       1.20             1.16             1.15
                 Yen/£    191        183        191              183              180

 

Contingent liabilities

 

There were contingent liabilities at 30 September 2024 in respect of
arrangements entered into as part of the ordinary course of the Group's
business. No material losses are expected to arise from such contingent
liabilities. Provision is made for the outcome of legal and tax disputes where
it is both probable that the Group will suffer an outflow of funds and it is
possible to make a reliable estimate of that outflow. Descriptions of the
Significant legal disputes to which the Group is a party are set out on page
38, and pages 263 to 266 of the 2023 Annual Report.

 

Net assets

 

The book value of net assets increased by £658 million from £12,795 million
at 31 December 2023 to £13,453 million at 30 September 2024. This primarily
reflected contribution from Total comprehensive income for the period partly
offset by dividends paid to shareholders.

At 30 September 2024, the net deficit on the Group's pension plans was £175
million compared with £764 million at 31 December 2023. This decrease in the
net deficit is primarily due to an increase in the UK discount rate, partly
offset by a decrease in the US discount rate.

The estimated present value of the potential redemption amount of the Pfizer
put option related to ViiV Healthcare, recorded in Other payables in Current
liabilities, was £902 million (31 December 2023: £848 million).

Contingent consideration amounted to £7,125 million at 30 September 2024 (31
December 2023: £6,662 million), of which £5,924 million (31 December 2023:
£5,718 million) represented the estimated present value of amounts payable to
Shionogi relating to ViiV Healthcare, £575 million (31 December 2023: £424
million) represented the estimated present value of contingent consideration
payable to Novartis related to the Vaccines acquisition, £520 million (31
December 2023: £516 million) represented the estimated present value of
contingent consideration payable to Affinivax, and £95 million (31 December
2023: £nil) represented the estimated present value of contingent
consideration payable in relation to the Aiolos acquisition. Of the contingent
consideration payable to Shionogi at 30 September 2024, £1,054 million (31
December 2023: £1,017 million) is expected to be paid within one year.

 

Movements in contingent consideration are as follows:

 9 months 2024                                               ViiV           Group

                                                             Healthcare     £m

                                                             £m

 Contingent consideration at beginning of the period         5,718          6,662
 Additions                                                   -              104
 Remeasurement through income statement and other movements  1,106          1,294
 Cash payments: operating cash flows                         (900)          (924)
 Cash payments: investing activities                         -              (11)

 Contingent consideration at end of the period               5,924          7,125

 

 9 months 2023                                               ViiV           Group

                                                             Healthcare     £m

                                                             £m

 Contingent consideration at beginning of the period         5,890          7,068
 Remeasurement through income statement and other movements  406            302
 Cash payments: operating cash flows                         (834)          (853)
 Cash payments: investing activities                         -              (7)

 Contingent consideration at end of the period               5,462          6,510

 

Business acquisitions

 

On 9 January 2024, GSK announced it had entered into an agreement to acquire
100% of Aiolos Bio, Inc. (Aiolos), a clinical stage biopharmaceutical company
focused on addressing the unmet treatment needs of patients with certain
respiratory and inflammatory conditions, for a total consideration of
US$1,004 million (£800 million) as adjusted for working capital acquired
paid upon closing and up to US$400 million (£319 million) in certain
success-based regulatory milestone payments. The estimated fair value of the
contingent consideration payable was US$120 million (£96 million). In
addition, GSK will also be responsible for success-based milestone payments as
well as tiered royalties owed to Jiangsu Hengrui Pharmaceuticals Co. Ltd.
(Hengrui). The acquisition completed on 14 February 2024. The values in the
table below are provisional and subject to change.

 

Goodwill of £191 million has been recognised. The goodwill represents
specific synergies available to GSK from the business combination. The
goodwill has been allocated to the Group's R&D segment.

 

The provisional fair values of the net assets acquired, including goodwill,
are as follows:

                                £m

 Net assets acquired:
 Intangible assets              886
 Cash and cash equivalents      23
 Other net liabilities          (16)
 Deferred tax liabilities       (188)

                                705
 Goodwill                       191

 Total consideration            896

 

As at 30 September 2024, the present value of the contingent consideration
payable was £95 million.

 

On 6 June 2024, GSK announced that it had acquired Elsie Biotechnologies, a
San Diego-based private biotechnology company dedicated to unlocking the full
potential of oligonucleotide therapeutics, for a total cash consideration of
up to US$51 million (approximately £40 million). The acquisition is
accounted for as a business combination but is not considered a significant
acquisition for the Group. This agreement is not subject to closing conditions
and the acquisition has been completed.

 

 

 Net debt information

 

 Reconciliation of cash flow to movements in net debt

                                                  9 months 2024    9 months 2023

                                                  £m               £m

 Total Net debt at beginning of the period        (15,040)         (17,197)

 Increase/(decrease) in cash and bank overdrafts  231              (340)
 Increase/(decrease) in liquid investments        (21)             (47)
 Net (increase)/repayment of short-term loans     1,410            (306)
 Repayment of long-term notes                     -                (94)
 Repayment of lease liabilities                   170              148
 Net debt of subsidiary undertakings acquired     -                50
 Exchange adjustments                             504              304
 Other non-cash movements                         (101)            (107)

 (Increase)/decrease in net debt                  2,193            (392)
 Total Net debt at end of the period              (12,847)         (17,589)

 

 Net debt analysis

                                          30 September 2024    31 December 2023

                                          £m                   £m

 Liquid investments                       20                   42
 Cash and cash equivalents                3,192                2,936
 Short-term borrowings                    (2,815)              (2,813)
 Long-term borrowings                     (13,244)             (15,205)

 Total Net debt at the end of the period  (12,847)             (15,040)

 

 

 Free cash flow reconciliation

                                                                   Q3 2024    Q3 2023    9 months 2024    9 months 2023

                                                                   £m         £m         £m               £m

 Net cash inflow/(outflow) from operating activities               2,154      2,212      4,225            3,572
 Purchase of property, plant and equipment                         (305)      (299)      (855)            (828)
 Proceeds from sale of property, plant and equipment               1          11         4                21
 Purchase of intangible assets                                     (537)      (198)      (992)            (733)
 Proceeds from disposals of intangible assets                      98         -          126              12
 Net finance costs                                                 (13)       (11)       (294)            (397)
 Dividends from associates and joint ventures                      -          -          15               1
 Contingent consideration paid (reported in investing activities)  (4)        (3)        (11)             (7)
 Distributions to non-controlling interests                        (80)       (57)       (288)            (334)
 Contributions from non-controlling interests                      8          -          9                7

 Free cash inflow/(outflow)                                        1,322      1,655      1,939            1,314

 

 

Post balance sheet event

 

GSK plc announced on 9 October 2024 that it has reached agreements with 10
plaintiff firms who together represent 93% (approximately 80,000) of the
Zantac state court product liability cases pending against GSK in the United
States. Under these agreements, GSK will make an aggregate payment of up to
$2.2 billion to resolve all U.S. state court product liability cases handled
by those plaintiff firms that meet agreed eligibility and participation
criteria (the "State Courts Settlement"). GSK also confirmed that it has
reached an agreement in principle to pay a total of $70 million to resolve the
Zantac qui tam complaint previously filed by Valisure. The agreement in
principle is subject to final approval from the Department of Justice (the
"Qui Tam Settlement"). GSK has not admitted any liability in the State Courts
Settlement or in the agreement in principle for the Qui Tam Settlement.

GSK has recognised a charge in Q3 2024 of £1.8 billion ($2.3 billion) in
relation to the State Courts Settlement, the Qui Tam Settlement, and the
remaining 7% of pending state court product liability cases, partially offset
by reduced future legal costs. Further details are set out on page 38.

 

Related party transactions

 

Details of GSK's related party transactions are disclosed on page 235 of our
2023 Annual Report.

 

 R&D commentary

 

 Pipeline overview

 Medicines and vaccines in phase III development (including major lifecycle  18   Infectious Diseases (7)
 innovation or under regulatory review)
                                                                             •                    Arexvy (RSV vaccine) RSV older adults (18-59 years of age at increased risk
                                                                                                  (AIR))
                                                                             •                    gepotidacin (bacterial topoisomerase inhibitor) uncomplicated urinary tract
                                                                                                  infection and urogenital gonorrhoea
                                                                             •                    bepirovirsen (HBV ASO) hepatitis B virus
                                                                             •                    Bexsero infants vaccine (US)
                                                                             •                    MenABCWY (gen 1) vaccine candidate
                                                                             •                    tebipenem pivoxil (antibacterial carbapenem) complicated urinary tract
                                                                                                  infection
                                                                             •                    ibrexafungerp (antifungal glucan synthase inhibitor) invasive candidiasis
                                                                                  Respiratory/Immunology (6)
                                                                                  •               Nucala (anti-IL5 biologic) chronic obstructive pulmonary disease
                                                                                  •               depemokimab (ultra long-acting anti-IL5 biologic) severe eosinophilic asthma,
                                                                                                  eosinophilic granulomatosis with polyangiitis (EGPA), chronic rhinosinusitis
                                                                                                  with nasal polyps (CRSwNP), hyper-eosinophilic syndrome (HES)
                                                                                  •               latozinemab (AL001, anti-sortilin) frontotemporal dementia
                                                                                  •               camlipixant (P2X3 receptor antagonist) refractory chronic cough
                                                                                  •               Ventolin (salbutamol, Beta 2 adrenergic receptor agonist) asthma
                                                                                  •               linerixibat (IBATi) cholestatic pruritus in primary biliary cholangitis
                                                                                  Oncology (5)
                                                                                  •               Blenrep (anti-BCMA ADC) multiple myeloma
                                                                                  •               Jemperli (anti-PD-1) 1L endometrial cancer, colon cancer, rectal cancer, head
                                                                                                  and neck cancer
                                                                                  •               Zejula (PARP inhibitor) 1L ovarian and non-small cell lung cancer,
                                                                                                  glioblastoma
                                                                                  •               belrestotug (anti-TIGIT) 1L non-small cell lung cancer
                                                                                  •               cobolimab (anti-TIM-3) 2L non-small cell lung cancer
 Total vaccines and medicines in all phases of clinical development          67
 Total projects in clinical development (inclusive of all phases and         88
 indications)

 

Our key growth assets by therapy area

 

The following outlines several key vaccines and medicines by therapy area that
will help drive growth for GSK to meet its outlooks for 2021-2026 and beyond.

 

Infectious Diseases

 

Arexvy (respiratory syncytial virus vaccine, adjuvanted)

 

In August 2024, the European Commission authorised the extended use of Arexvy
for the prevention of lower respiratory tract disease (LRTD) caused by RSV to
adults 50 to 59 years of age at increased risk. This follows US approval in
this population earlier this year. Regulatory review is ongoing in Japan and
other countries.

 

New data from the AReSVi-006 (Adult Respiratory Syncytial Virus) phase III
trial showed clinically meaningful efficacy over three full RSV seasons
against RSV-LRTD and severe LRTD with one dose in adults aged 60 years and
older. These results were presented at the CHEST 2024 Annual Meeting, and
included efficacy against different RSV subtypes, in adults with advancing age
(70-79 years of age), and those with certain underlying medical conditions.
Safety and reactogenicity data were consistent with initial observation from
the phase III programme.

 

Positive data were also reported showing the vaccine's efficacy and safety in
adults aged 18 and above at increased risk from RSV, including
immunocompromised patients. In addition, positive data on its
co-administration with Shingrix were presented at the European Geriatric
Medicine Society meeting (EuGMS) in September 2024. These results indicated a
non-inferior immune response of both AS01-adjuvanted vaccines when
administered together, with acceptable reactogenicity and safety profiles,
further strengthening the body of evidence supporting their use.

 

Key phase III trials for Arexvy:

 Trial name (population)                 Phase  Design                                                                           Timeline                              Status
 RSV OA=ADJ-004                          III    A randomised, open-label, multi-country trial to evaluate the immunogenicity,    Trial start:                          Active, not recruiting; primary endpoint met

                                              safety, reactogenicity and persistence of a single dose of the RSVPreF3 OA

 (Adults ≥ 60 years old)                        investigational vaccine and different revaccination schedules in adults aged     Q1 2021

                                              60 years and above

 NCT04732871                                                                                                                     Primary data reported:

                                                                                                                                 Q2 2022
 RSV OA=ADJ-006                          III    A randomised, placebo-controlled, observer-blind, multi-country trial to         Trial start:                          Complete; primary endpoint met

                                              demonstrate the efficacy of a single dose of GSK's RSVPreF3 OA investigational

 (ARESVI-006; Adults ≥ 60 years old)            vaccine in adults aged 60 years and above                                        Q2 2021

 NCT04886596                                                                                                                     Primary data reported:

                                                                                                                                 Q2 2022;

                                                                                                                                 two season data reported:

                                                                                                                                 Q2 2023;

                                                                                                                                 three season data reported: Q3 2024
 RSV OA=ADJ-007                          III    An open-label, randomised, controlled, multi-country trial to evaluate the       Trial start:                          Complete; primary endpoint met

                                              immune response, safety and reactogenicity of RSVPreF3 OA investigational

 (Adults ≥ 60 years old)                        vaccine when co-administered with FLU-QIV vaccine in adults aged 60 years and    Q2 2021

                                              above

 NCT04841577                                                                                                                     Primary data reported:

                                                                                                                                 Q4 2022
 RSV OA=ADJ-008                          III    A phase III, open-label, randomised, controlled, multi country trial to          Trial start:                          Complete; primary endpoint met

                                              evaluate the immune response, safety and reactogenicity of RSVPreF3 OA

                                                investigational vaccine when co-administered with FLU HD vaccine in adults       Q4 2022

                                              aged 65 years and above

 (Adults ≥ 65 years old)

                                                                                                                                 Primary data reported:

 NCT05559476                                                                                                                     Q2 2023
 RSV OA=ADJ-009                          III    A randomised, double-blind, multi-country trial to evaluate consistency,         Trial start:                          Complete; primary endpoint met

                                              safety, and reactogenicity of 3 lots of RSVPreF3 OA investigational vaccine

 (Adults ≥ 60 years old)                        administrated as a single dose in adults aged 60 years and above                 Q4 2021

 NCT05059301                                                                                                                     Trial end:

                                                                                                                                 Q2 2022
 RSV OA=ADJ-017                          III    A phase III, open-label, randomised, controlled, multi-country trial to          Trial start:                          Complete; data analysis ongoing

                                              evaluate the immune response, safety and reactogenicity of an RSVPreF3 OA

 (Adults ≥ 65 years old)                        investigational vaccine when co-administered with FLU aQIV (inactivated          Q4 2022

                                              influenza vaccine - adjuvanted) in adults aged 65 years and above

 NCT05568797                                                                                                                     Primary data reported:

                                                                                                                                 Q2 2023

 

Key phase III trials for Arexvy (continued):

 Trial name (population)                                                    Phase  Design                                                                           Timeline                 Status
 RSV OA=ADJ-018                                                             III    A phase III, observer-blind, randomised, placebo-controlled trial to evaluate    Trial start:             Complete; primary endpoint met

                                                                                 the non-inferiority of the immune response and safety of the RSVPreF3 OA

 (Adults 50-59 years)                                                              investigational vaccine in adults 50-59 years of age, including adults at        Q4 2022

                                                                                 increased risk of respiratory syncytial virus lower respiratory tract disease,

                                                                                   compared to older adults ≥60 years of age

 NCT05590403                                                                                                                                                        Primary data reported:

                                                                                                                                                                    Q4 2023
 RSV OA=ADJ-019                                                             III    An open-label, randomised, controlled, multi-country trial to evaluate the       Trial start:             Complete

                                                                                 immune response, safety and reactogenicity of RSVPreF3 OA investigational

 (Adults ≥ 60 years old)                                                           vaccine when co-administered with PCV20 in adults aged 60 years and older        Q2 2023

                                                                                                                                                                    Data anticipated:

 NCT05879107                                                                                                                                                        H2 2024
 RSV OA=ADJ-023                                                             IIb    A randomised, controlled, open-label trial to evaluate the immune response and   Trial start:             Active, not recruiting; primary endpoint met

                                                                                 safety of the RSVPreF3 OA investigational vaccine in adults (≥50 years of

 (Immunocompromised Adults 50-59 years)                                            age) when administered to lung and renal transplant recipients comparing one     Q3 2023

                                                                                 versus two doses and compared to healthy controls (≥50 years of age)

                                                                                   receiving one dose                                                               Primary data reported:

 NCT05921903                                                                                                                                                        Q4 2024
 RSV-OA=ADJ-020                                                             III    A study on the safety and immune response of investigational RSV OA vaccine in   Trial start:             Active, not recruiting; primary endpoint met

                                                                                 combination with herpes zoster vaccine in healthy adults

 (Adults aged >=50 years of age)                                                                                                                                    Q3 2023

 NCT05966090                                                                                                                                                        Primary data reported:

                                                                                                                                                                    Q3 2024
 RSV-OA=ADJ-013                                                             III    An open-label, randomized, controlled study to evaluate the immune response,     Trial start:             Active, not recruiting

                                                                                 safety and reactogenicity of RSVPreF3 OA investigational vaccine when

 (Adults aged 50 years and above)                                                  co-administered with a COVID-19 mRNA vaccine                                     Q2 2024

 NCT06374394                                                                                                                                                        Data anticipated:

                                                                                                                                                                    H2 2024
 RSV OA=ADJ-025                                                             IIIb   An open-label study to evaluate the non-inferiority of the immune response and   Trial start:             Active, not recruiting; primary endpoint met

                                                                                 to evaluate the safety of the RSVPreF3 OA investigational vaccine in adults

 (Adults, 18-49 years of age, at increased risk for RSV disease and older          18-49 years of age at increased risk for Respiratory Syncytial Virus disease,    Q2 2024
 adults participants, >=60 YOA)                                                    compared to older adults >=60 years of age

                                                                                                                                                                  Primary data reported:
 NCT06389487

                                                                                                                                                                    Q4 2024
 RSV OA=ADJ-021                                                             III    A study on the immune response, safety and the occurrence of Respiratory         Trial start:             Recruiting

                                                                                 Syncytial Virus (RSV)-associated respiratory tract illness after

 (Adults aged 60 years and above)                                                  administration of RSV OA vaccine in adults 60 years and older                    Q3 2024

 NCT06551181                                                                                                                                                        Data anticipated:

                                                                                                                                                                    H2 2025
 RSV OA+ADJ-012                                                                    An Extension and Crossover Vaccination Study on the Immune Response and Safety   Trial start: Q3 2024     Recruiting

                                                                                 of a Vaccine Against Respiratory Syncytial Virus Given to Adults 60 Years of

 (Adults aged 60 years and above)                                                  Age and Above Who Participated in RSV OA=ADJ-006 Study                           Data anticipated: 2026

 NCT06534892

 

bepirovirsen (HBV ASO)

 

Bepirovirsen, a triple-action antisense oligonucleotide, is a potential new
treatment option for people with chronic hepatitis B (CHB). Based on the
potential to address an unmet medical need for a serious and life-threatening
condition, bepirovirsen has been granted Fast Track designation by the US FDA
and SENKU designation by the Japanese Ministry of Health, Labour and Welfare
for the treatment of CHB. The B-Well 1 and 2 phase III trials are on track and
have achieved full recruitment ahead of schedule.

 

This quarter GSK received FDA approval to start phase II combination studies
with daplusiran/tomligisiran (GSK5637608, formerly JNJ-3989), an
investigational hepatitis B virus-targeted small interfering ribonucleic acid
(siRNA) therapeutic, as a novel sequential regimen to pursue functional cure
in an even broader CHB patient population.

 

Key trials for bepirovirsen:

 Trial name (population)                                                        Phase  Design                                                                           Timeline                  Status
 B-Well 1 bepirovirsen in nucleos(t)ide treated patients (chronic hepatitis B)  III    A multi-centre, randomised, double-blind, placebo-controlled trial to confirm    Trial Start:              Active, not recruiting

                                                                                     the efficacy and safety of treatment with bepirovirsen in participants with

 NCT05630807                                                                           chronic hepatitis B virus                                                        Q1 2023

                                                                                                                                                                        Data anticipated: 2026+
 B-Well 2 bepirovirsen in nucleos(t)ide treated patients (chronic hepatitis B)  III    A multi-centre, randomised, double-blind, placebo-controlled trial to confirm    Trial Start:              Active, not recruiting

                                                                                     the efficacy and safety of treatment with bepirovirsen in participants with

                                                                                       chronic hepatitis B virus                                                        Q1 2023

 NCT05630820

                                                                                                                                                                        Data anticipated: 2026+
 bepirovirsen sequential combination therapy with targeted immunotherapy        II     A trial on the safety, efficacy and immune response following sequential         Trial start:              Active, not recruiting

                                                                                     treatment with an anti-sense oligonucleotide against chronic hepatitis B (CHB)

 (chronic hepatitis B)                                                                 and chronic hepatitis B targeted immunotherapy (CHB-TI) in CHB patients          Q2 2022

                                                                                     receiving nucleos(t)ide analogue (NA) therapy

 NCT05276297                                                                                                                                                            Data anticipated: 2026+

 

gepotidacin (bacterial topoisomerase inhibitor)

 

Gepotidacin is an investigational bactericidal, first-in-class antibiotic with
a novel mechanism of action for the treatment of uncomplicated urinary tract
infections (uUTI) and urogenital gonorrhoea. Positive data from three pivotal
trials demonstrate its potential to provide a new oral treatment option for
patients, including against drug resistant infections.

 

In October 2024, a regulatory submission in uUTI was accepted by the US FDA
under Priority Review. A decision on approval is expected in March 2025. If
approved, gepotidacin could be the first in a new class of oral antibiotics in
uUTI in over 20 years. Filings for gonorrhoea are expected to follow in 2025.

 

Key phase III trials for gepotidacin:

 Trial name (population)                        Phase  Design                                                                          Timeline         Status
 EAGLE-1 (uncomplicated urogenital gonorrhoea)  III    A randomised, multi-centre, open-label trial in adolescent and adult            Trial start:     Complete;

                                                     participants comparing the efficacy and safety of gepotidacin to ceftriaxone

                                                       plus azithromycin in the treatment of uncomplicated urogenital gonorrhoea       Q4 2019          primary endpoint met

                                                     caused by Neisseria gonorrhoeae

 NCT04010539

                                                                                                                                       Data reported:

                                                                                                                                       Q1 2024
 EAGLE-2 (females with uUTI / acute cystitis)   III    A randomised, multi-centre, parallel-group, double-blind, double-dummy trial    Trial start:     Complete; primary endpoint met

                                                     in adolescent and adult female participants comparing the efficacy and safety

                                                       of gepotidacin to nitrofurantoin in the treatment of uncomplicated urinary      Q4 2019

                                                     tract infection (acute cystitis)

 NCT04020341

                                                                                                                                       Data reported:

                                                                                                                                       Q2 2023
 EAGLE-3 (females with uUTI / acute cystitis)   III    A randomised, multi-centre, parallel-group, double-blind, double-dummy trial    Trial start:     Complete; primary endpoint met

                                                     in adolescent and adult female participants comparing the efficacy and safety

                                                       of gepotidacin to nitrofurantoin in the treatment of uncomplicated urinary      Q2 2020

                                                     tract infection (acute cystitis)

 NCT04187144

                                                                                                                                       Data reported:

                                                                                                                                       Q2 2023

MenABCWY vaccine candidate

 

GSK's 5-in-1 meningococcal ABCWY (MenABCWY) vaccine candidate combines the
antigenic components of its two well-established meningococcal vaccines with
demonstrated efficacy and safety profiles: Bexsero (Meningococcal Group B
Vaccine) and Menveo (Meningococcal Groups A, C, Y, and W-135). Combining the
protection offered by these vaccines aims to reduce the number of injections,
simplifying immunisation and potentially increasing series completion and
vaccination coverage of adolescents and young adults in the US.

 

A Biologics License Application (BLA) is currently under review by the US FDA
with a Prescription Drug User Fee Act (PDUFA) action date of 14 February 2025.
In October 2024, the cost effectiveness analysis and grading for MenABCWY were
discussed at the CDC's ACIP meeting ahead of a potential vote in February
2025.

 

Key trials for MenABCWY vaccine candidate:

 Trial name (population)  Phase  Design                                                                         Timeline         Status
 MenABCWY - 019           IIIb   A randomised, controlled, observer-blind trial to evaluate safety and          Trial start:     Complete, primary endpoints met

                               immunogenicity of GSK's meningococcal ABCWY vaccine when administered in

                                 healthy adolescents and adults, previously primed with meningococcal ACWY      Q1 2021

                               vaccine

 NCT04707391

                                                                                                                Data reported:

                                                                                                                Q1 2024
 MenABCWY - V72 72        III    A randomised, controlled, observer-blind trial to demonstrate effectiveness,   Trial start:     Complete; primary endpoints met

                               immunogenicity, and safety of GSK's meningococcal Group B and combined ABCWY

                                 vaccines when administered to healthy adolescents and young adults             Q3 2020

 NCT04502693

                                                                                                                Data reported:

                                                                                                                Q1 2023

HIV

 

GSK continues to transform the HIV marketplace through its oral two-drug and
long-acting injectable regimens for the treatment and prevention of HIV.

 

cabotegravir

 

In October 2024, ViiV Healthcare presented 22 abstracts at the ID Week
congress. These data included real-world evidence from the OPERA and Trio
Health cohorts showing more than 99% effectiveness of Apretude (cabotegravir
long-acting (LA)) for HIV pre-exposure prophylaxis (PrEP). In addition,
patient-reported results from the implementation study, PILLAR, were reported,
showing a reduction in stigma and anxiety when using long-acting injectable
PrEP. These studies add to the growing body of evidence reinforcing the
real-world impact of this medicine today and offer new insight for healthcare
providers seeking to optimise care to suit individual needs and circumstances.

 

Respiratory/Immunology

 

camlipixant (P2X3 receptor antagonist)

 

Camlipixant (BLU-5937) is an investigational, highly selective oral P2X3
antagonist currently in development for first-line treatment of adult patients
suffering from refractory chronic cough (RCC). The CALM phase III development
programme to evaluate the efficacy and safety of camlipixant for use in adults
with RCC is ongoing.

 Trial name (population)            Phase  Design                                                                          Timeline            Status
 CALM-1 (refractory chronic cough)  III    A 52-week, randomised, double-blind, placebo-controlled, parallel-arm efficacy  Trial start:        Recruiting

                                         and safety trial with open-label extension of camlipixant in adult

                                           participants with refractory chronic cough, including unexplained chronic       Q4 2022

                                         cough

 NCT05599191

                                                                                                                           Data anticipated:

                                                                                                                           H2 2025
 CALM-2 (refractory chronic cough)  III    A 24-week, randomised, double-blind, placebo-controlled, parallel-arm efficacy  Trial start:        Recruiting

                                         and safety trial with open-label extension of camlipixant in adult

                                           participants with refractory chronic cough, including unexplained chronic       Q1 2023

                                         cough

 NCT05600777

                                                                                                                           Data anticipated:

                                                                                                                           H2 2025

 

depemokimab (long acting anti-IL5)

 

Depemokimab is in late-stage development in a range of IL-5 mediated
conditions including, severe asthma, chronic rhinosinusitis with nasal polyps
(CRSwNP), hypereosinophilic syndrome (HES) and eosinophilic granulomatosis
with polyangiitis (EGPA). It is the first ultra-long-acting biologic
engineered to have an extended half-life and high binding affinity and potency
for IL-5, enabling six-month dosing intervals for patients with severe asthma.

 

The phase III programme for depemokimab continues to make progress. In
September 2024, the full positive results from the pivotal SWIFT-1 and SWIFT-2
trials evaluating the efficacy and safety of depemokimab in severe asthma with
type 2 inflammation were presented at the European Respiratory Society
International Conference with simultaneous publication in the New England
Journal of Medicine. Both trials met their primary endpoints with
statistically significant reductions in the annualised rate of clinically
significant exacerbations (asthma attacks) over 52 weeks versus placebo. The
pre-specified pooled analysis showed a 54% reduction in exacerbations (Rate
Ratio 0.46, 95% CI, 0.36 - 0.59, p<0.001) (AER depemokimab = 0.51
exacerbations per year versus placebo = 1.11) and a 72% reduction(*) in the
secondary endpoint of clinically significant exacerbations requiring
hospitalisation or emergency department visit compared to placebo (RR 0.28,
95% CI 0.13 - 0.61, p=0.002) (AER: depemokimab = 0.02 versus placebo = 0.09).

 

In October 2024, positive headline results were announced from the ANCHOR-1
and ANCHOR-2 phase III trials assessing the safety and efficacy of depemokimab
in patients with CRSwNP. Both trials met their co-primary endpoints with a
statistically significant reduction in nasal polyp size and nasal obstruction
versus placebo plus standard of care, at 52 weeks. Further analysis of these
data is ongoing and the full results will be presented at an upcoming
scientific congress.

 

Data from SWIFT-1 and -2 along with ANCHOR-1 and -2 will be used to support
regulatory submissions to health authorities worldwide.

 

Footnotes:

 (*)  As the pooled analysis of SWIFT-1 and SWIFT-2 did not control for multiple
      comparisons, results with a significant p-value (>0.05) are termed
      nominally significant.

 

Key phase III trials for depemokimab:

 Trial name (population)                                      Phase      Design                                                                           Timeline                 Status
 SWIFT-1 (severe eosinophilic asthma)                         III        A 52-week, randomised, double-blind, placebo-controlled, parallel-group,         Trial start:             Complete; primary endpoint met

                                                                       multi-centre trial of the efficacy and safety of depemokimab adjunctive

                                                                         therapy in adult and adolescent participants with severe uncontrolled asthma     Q1 2021

                                                                       with an eosinophilic phenotype

 NCT04719832

                                                                                                                                                          Data reported:

                                                                                                                                                          Q2 2024
 SWIFT-2 (severe eosinophilic asthma)                         III        A 52-week, randomised, double-blind, placebo-controlled, parallel-group,         Trial start:             Complete; primary endpoint met

                                                                       multi-centre trial of the efficacy and safety of depemokimab adjunctive

                                                                         therapy in adult and adolescent participants with severe uncontrolled asthma     Q1 2021

                                                                       with an eosinophilic phenotype

 NCT04718103

                                                                                                                                                          Data reported:

                                                                                                                                                          Q2 2024
 AGILE (SEA)                                                  III        A 52-week, open label extension phase of SWIFT-1 and SWIFT-2 to assess the       Trial start:             Active, not recruiting

          long-term safety and efficacy of depemokimab adjunctive therapy in adult and

                                                              (exten     adolescent participants with severe uncontrolled asthma with an eosinophilic     Q1 2022

          phenotype

 NCT05243680                                                    sion)

                                                                                                                                                          Data anticipated:

                                                                                                                                                          H1 2025
 NIMBLE (SEA)                                                 III        A 52-week, randomised, double-blind, double-dummy, parallel group,               Trial start:             Active, not recruiting

                                                                       multi-centre, non-inferiority trial assessing exacerbation rate, additional

                                                                         measures of asthma control and safety in adult and adolescent severe asthmatic   Q1 2021

                                                                       participants with an eosinophilic phenotype treated with depemokimab compared

 NCT04718389                                                             with mepolizumab or benralizumab

                                                                                                                                                          Data anticipated:

                                                                                                                                                          H2 2025
 ANCHOR-1 (chronic rhinosinusitis with nasal polyps; CRSwNP)  III        Efficacy and safety of depemokimab in participants with CRSwNP                   Trial start:             Complete; primary endpoint met

                                                                                                                                                          Q2 2022

 NCT05274750

                                                                                                                                                          Data reported: Q3 2024
 ANCHOR-2 (CRSwNP)                                            III        Efficacy and safety of depemokimab in participants with CRSwNP                   Trial start:             Complete; primary endpoint met

                                                                                                                                                          Q2 2022

 NCT05281523

                                                                                                                                                          Data reported:

                                                                                                                                                          Q3 2024
 OCEAN (eosinophilic granulomatosis with polyangiitis; EGPA)  III        Efficacy and safety of depemokimab compared with mepolizumab in adults with      Trial start:             Recruiting

                                                                       relapsing or refractory EGPA

                                                                                                                                                          Q3 2022

 NCT05263934

                                                                                                                                                          Data anticipated:

                                                                                                                                                          2026+
 DESTINY (hyper-eosinophilic syndrome; HES)                   III        A 52-week, randomised, placebo-controlled, double-blind, parallel group,         Trial start:             Recruiting

                                                                       multicentre trial of depemokimab in adults with uncontrolled HES receiving

                                                                         standard of care (SoC) therapy                                                   Q3 2022

 NCT05334368

                                                                                                                                                          Data anticipated:

                                                                                                                                                          2026+

 

Nucala (mepolizumab)

 

Nucala, is a first in class anti-IL-5 biologic and the only treatment approved
for use in the US and Europe across four IL-5 medicated conditions: severe
asthma with an eosinophilic phenotype, EGPA, HES and CRSwNP.

 

In September 2024, positive results from MATINEE, a phase III trial
investigating Nucala in patients with chronic obstructive pulmonary disease
(COPD) were announced. MATINEE met its primary endpoint with the addition of
Nucala to inhaled maintenance therapy showing a statistically significant and
clinically meaningful reduction in the annualised rate of moderate/severe
exacerbations versus placebo, with patients treated for up to 104 weeks.

 

The full results of MATINEE will be presented at a future scientific congress
and will inform ongoing discussions with regulatory authorities.

 

Key trials for Nucala:

 Trial name (population)                                Phase  Design                                                                           Timeline         Status
 MATINEE (chronic obstructive pulmonary disease; COPD)  III    A multicentre randomised, double-blind, parallel-group, placebo-controlled       Trial start:     Active, not recruiting; primary endpoint met

                                                             trial of mepolizumab 100 mg subcutaneously as add-on treatment in participants

                                                               with COPD experiencing frequent exacerbations and characterised by eosinophil    Q4 2019

                                                             levels

 NCT04133909

                                                                                                                                                Data reported:

                                                                                                                                                Q3 2024

Oncology

 

Blenrep (belantamab mafodotin)

 

GSK continues to explore the potential for Blenrep to help address unmet need
for patients with multiple myeloma, in early treatment lines and in
combination with novel therapies and standard of care treatments.

 

GSK is pursuing regulatory approvals based on positive results from the phase
III head-to-head DREAMM-7 and DREAMM-8 trials, which found that the
belantamab-mafodotin-based combinations studied reduced the risk of disease
progression or death by nearly 60% and 50% respectively versus standards of
care in patients with relapsed or refractory multiple myeloma.

 

In September 2024, Japan's Ministry of Health, Labour and Welfare (MHLW)
accepted for review a new drug application (NDA) based on DREAMM-7 and
DREAMM-8. MHLW also granted an orphan drug designation for belantamab
mafodotin, which reflects the high unmet medical need and ensures priority NDA
review. This follows earlier marketing authorisation application acceptances
by regulatory agencies in Europe and the UK. A regulatory application has been
filed in the US.

 

In September 2024, the Center for Drug Evaluation (CDE) of the National
Medical Products Administration (NMPA) in China granted Breakthrough Therapy
Designation (BTD) for belantamab mafodotin combined with bortezomib plus
dexamethasone based on the results of DREAMM-7. NMPA BTD is intended to
expedite the development of therapies for serious and life-threatening
diseases for which there are no existing treatments or where initial evidence
has shown an improvement in patient outcomes over available treatment options.
A regulatory authorisation application in China is expected to be filed by the
end of 2024.

 

Key phase III trials for Blenrep:

 Trial name (population)              Phase  Design                                                                          Timeline                 Status
 DREAMM-7 (2L+ multiple myeloma; MM)  III    A multi-centre, open-label, randomised trial to evaluate the efficacy and       Trial start:             Primary endpoint met

                                           safety of the combination of belantamab mafodotin, bortezomib, and

                                             dexamethasone (B-Vd) compared with the combination of daratumumab, bortezomib   Q2 2020

                                           and dexamethasone (D-Vd) in participants with relapsed/refractory multiple

 NCT04246047                                 myeloma

                                                                                                                             Primary data reported:

                                                                                                                             Q4 2023
 DREAMM-8 (2L+ MM)                    III    A multi-centre, open-label, randomised trial to evaluate the efficacy and       Trial start:             Primary endpoint met

                                           safety of belantamab mafodotin in combination with pomalidomide and

                                             dexamethasone (B-Pd) versus pomalidomide plus bortezomib and dexamethasone      Q4 2020

                                           (P-Vd) in participants with relapsed/refractory multiple myeloma

 NCT04484623

                                                                                                                             Primary data reported:

                                                                                                                             Q1 2024

 

Jemperli (dostarlimab)

 

Jemperli (dostarlimab) is the foundation of GSK's ongoing
immuno-oncology-based research and development programme. In August 2024, the
US FDA approved Jemperli plus chemotherapy followed by Jemperli as a single
agent for the treatment of adult patients with primary advanced or recurrent
endometrial cancer. This approval broadens the previous indication to include
patients with mismatch repair proficient (MMRp)/microsatellite stable (MSS)
tumours who represent 70-75% of patients diagnosed with endometrial cancer and
who have limited treatment options.

 

The expanded approval was based on results from Part 1 of the RUBY phase III
trial, which is the only clinical trial in this setting to show a
statistically significant overall survival benefit in the full population of
patients with primary advanced or recurrent endometrial cancer, demonstrating
a 31% reduction in risk of death (HR: 0.69; 95% CI: 0.54-0.89) compared to
chemotherapy alone.

 

The application received Priority Review and was approved ahead of the
Prescription Drug User Fee Act action date.

 

Key trials for Jemperli:

 Trial name (population)                                                        Phase   Design                                                                           Timeline                  Status
 RUBY (1L stage III or IV endometrial cancer)                                   III     A randomised, double-blind, multi-centre trial of dostarlimab plus               Trial start:              Active, not recruiting; primary endpoints met

                                                                                      carboplatin-paclitaxel with and without niraparib maintenance versus placebo

                                                                                        plus carboplatin-paclitaxel in patients with recurrent or primary advanced       Q3 2019

                                                                                      endometrial cancer

 NCT03981796                                                                                                                                                             Part 1 data reported:

                                                                                                                                                                         Q4 2022

                                                                                                                                                                         Part 2 data reported:

                                                                                                                                                                         Q4 2023
 PERLA (1L metastatic non-small cell lung cancer)                               II      A randomised, double-blind trial to evaluate the efficacy of dostarlimab plus    Trial start:              Active, not recruiting; primary endpoint met

                                                                                      chemotherapy versus pembrolizumab plus chemotherapy in metastatic non-squamous

                                                                                        non-small cell lung cancer                                                       Q4 2020

 NCT04581824                                                                                                                                                             Primary data reported:

                                                                                                                                                                         Q4 2022
 GARNET (advanced solid tumours)                                                I/II    A multi-centre, open-label, first-in-human trial evaluating dostarlimab in       Trial start:              Recruiting

                                                                                      participants with advanced solid tumours who have limited available treatment

                                                                                        options                                                                          Q1 2016

 NCT02715284                                                                                                                                                             Primary data reported:

                                                                                                                                                                         Q1 2019
 AZUR-1 (locally advanced rectal cancer)                                        II      A single-arm, open-label trial with dostarlimab monotherapy in participants      Trial start:              Active, not recruiting

                                                                                      with untreated stage II/III dMMR/MSI-H locally advanced rectal cancer

                                                                                                                                                                         Q1 2023

 NCT05723562                                                                                                                                                             Data anticipated: 2026+
 AZUR-2 (untreated perioperative T4N0 or stage III colon cancer)                III     An open-label, randomised trial of perioperative dostarlimab monotherapy         Trial start:              Recruiting

                                                                                      versus standard of care in participants with untreated T4N0 or stage III

                                                                                        dMMR/MSI-H resectable colon cancer                                               Q3 2023

 NCT05855200                                                                                                                                                             Data anticipated: 2026+
 COSTAR Lung (advanced non-small cell lung cancer that has progressed on prior  II/III  A multi-centre, randomised, parallel group treatment, open label trial           Trial start:              Active, not recruiting
 PD-(L)1 therapy and chemotherapy)                                                      comparing cobolimab + dostarlimab + docetaxel to dostarlimab + docetaxel to

                                                                                      docetaxel alone in participants with advanced non-small cell lung cancer who     Q4 2020
                                                                                        have progressed on prior anti-PD-(L)1 therapy and chemotherapy

 NCT04655976

                                                                                                                                                                         Data anticipated:

                                                                                                                                                                         H1 2025
 JADE (locally advanced unresected head and neck cancer)                        III     A randomised, double-blind, study to evaluate dostarlimab versus placebo as      Trial start:              Recruiting

                                                                                      sequential therapy after chemoradiation in participants with locally advanced

 NCT06256588                                                                            unresected head and neck squamous cell carcinoma                                 Q1 2024

                                                                                                                                                                         Data anticipated: 2026+

 

Zejula (niraparib)

 

GSK continues to assess the potential of Zejula across multiple tumour types
and in combination with other agents. The ongoing development programme
includes several phase III combination studies including the RUBY Part 2 trial
of niraparib and dostarlimab in recurrent or primary advanced endometrial
cancer; the FIRST trial of niraparib and dostarlimab in stage III or IV
nonmucinous epithelial ovarian cancer; and the ZEAL trial of niraparib plus
pembrolizumab in advanced/metastatic non-small cell lung cancer. In addition,
niraparib is being evaluated in patients with newly diagnosed, MGMT
unmethylated glioblastoma in a recently initiated phase III trial sponsored by
the Ivy Brain Tumor Center and supported by GSK.

 

Key ongoing phase III trials for Zejula (see also RUBY Part 2 in Jemperli
section):

 Trial name (population)                                       Phase  Design                                                                          Timeline            Status
 ZEAL-1L (1L advanced non-small cell lung cancer maintenance)  III    A randomised, double-blind, placebo-controlled, multi-centre trial comparing    Trial start:        Active, not recruiting

                                                                    niraparib plus pembrolizumab versus placebo plus pembrolizumab as maintenance

                                                                      therapy in participants whose disease has remained stable or responded to       Q4 2020

                                                                    first-line platinum-based chemotherapy with pembrolizumab for Stage IIIB/IIIC

 NCT04475939                                                          or IV non-small cell lung cancer

                                                                                                                                                      Data anticipated:

                                                                                                                                                      H2 2024
 FIRST (1L ovarian cancer maintenance)                         III    A randomised, double-blind, comparison of platinum-based therapy with           Trial start:        Active, not recruiting

                                                                    dostarlimab (TSR-042) and niraparib versus standard of care platinum-based

                                                                      therapy as first-line treatment of stage III or IV non-mucinous epithelial      Q4 2018

                                                                    ovarian cancer

 NCT03602859

                                                                                                                                                      Data anticipated:

                                                                                                                                                      H2 2024

 

 

Reporting definitions

 

CER and AER growth

In order to illustrate underlying performance, it is the Group's practice to
discuss its results in terms of constant exchange rate (CER) growth. This
represents growth calculated as if the exchange rates used to determine the
results of overseas companies in Sterling had remained unchanged from those
used in the comparative period. CER% represents growth at constant exchange
rates. For those countries which qualify as hyperinflationary as defined by
the criteria set out in IAS 29 'Financial Reporting in Hyperinflationary
Economies' (Argentina and Turkey) CER growth is adjusted using a more
appropriate exchange rate reflecting depreciation of their respective
currencies in order to provide comparability and not to distort CER growth
rates.

 

£% or AER% represents growth at actual exchange rates.

 

Core Operating Margin

Core Operating margin is Core operating profit divided by turnover.

 

COVID-19 solutions

COVID-19 solutions include the sales of pandemic adjuvant and other COVID-19
solutions during the years from 2020-2023 and includes vaccine manufacturing
and Xevudy and the associated costs but does not include reinvestment in
R&D. This categorisation is used by management who believe it is helpful
to investors through providing clarity on the results of the Group by showing
the contribution to growth from COVID-19 solutions during this period.

 

Free cash flow

Free cash flow is defined as the net cash inflow/outflow from operating
activities less capital expenditure on property, plant and equipment and
intangible assets, contingent consideration payments, net finance costs, and
dividends paid to non-controlling interests, contributions from
non-controlling interests plus proceeds from the sale of property, plant and
equipment and intangible assets, and dividends received from joint ventures
and associates. The measure is used by management as it is considered a good
indicator of net cash generated from business activities (excluding any cash
flows arising from equity investments, business acquisitions or disposals and
changes in the level of borrowing) available to pay shareholders dividends and
to fund strategic plans. Free cash flow growth is calculated on a reported
basis. A reconciliation of net cash inflow from operations to free cash flow
from operations is set out on page 43.

 

Free cash flow conversion

Free cash flow conversion is free cash flow from operations as a percentage of
profit attributable to shareholders.

 

General Medicines

General Medicines are usually prescribed in the primary care or community
settings by general healthcare practitioners. For GSK, this includes medicines
for inhaled respiratory, dermatology, antibiotics and other diseases.

 

Non-controlling interest

Non-controlling interest is the equity in a subsidiary not attributable,
directly or indirectly, to a parent.

 

Percentage points

Percentage points of growth which is abbreviated to ppts.

 

RAR (Returns and Rebates)

GSK sells to customers both commercial and government mandated contracts with
reimbursement arrangements that include rebates, chargebacks and a right of
return for certain pharmaceutical products principally in the US. Revenue
recognition reflects gross-to-net sales adjustments as a result. These
adjustments are known as the RAR accruals and are a source of significant
estimation uncertainty and fluctuation which can have a material impact on
reported revenue from one accounting period to the next.

 

Risk adjusted sales

Pipeline risk-adjusted sales are based on the latest internal estimate of the
probability of technical and regulatory success for each asset in development.

 

Specialty Medicines

Specialty Medicines are typically prescription medicines used to treat complex
or rare chronic conditions. For GSK, this comprises medicines for infectious
diseases, HIV, Respiratory/Immunology and Other, and Oncology.

 

Total Net debt

Net debt is defined as total borrowings less cash, cash equivalents, liquid
investments, and short-term loans to third parties that are subject to an
insignificant risk of change in value. The measure is used by management as it
is considered a good indicator of GSK's ability to meet its financial
commitments and the strength of its balance sheet.

 

Total and Core results

Total reported results represent the Group's overall performance. GSK uses a
number of non-IFRS measures to report the performance of its business. Core
results and other non-IFRS measures may be considered in addition to, but not
as a substitute for or superior to, information presented in accordance with
IFRS. Core results are defined on page 18 and other non-IFRS measures are
defined below.

 

Turnover excluding COVID-19 solutions

Turnover excluding COVID-19 solutions excludes the impact of sales of pandemic
adjuvant within Vaccines and Xevudy within Specialty Medicines related to the
COVID-19 pandemic during the years 2020-2023. Management believes that the
exclusion of the impact of these COVID-19 solutions sales aids comparability
in the reporting periods and understanding of GSK's growth including by region
versus prior periods and also 2024 Guidance which excludes any contributions
from COVID-19 solutions in current year or comparator periods.

 

Total Operating Margin

Total Operating margin is Total operating profit divided by turnover.

 

Total Earnings/(loss) per share

Unless otherwise stated, Total earnings/(loss) per share refers to Total basic
earnings/(loss) per share.

 

Working capital

Working capital represents inventory and trade receivables less trade
payables.

 

Year to date

Year to date is the nine-month period in the year to 30 September 2024 or the
same prior period in 2023 as appropriate.

 

Brand names and partner acknowledgements: brand names appearing in italics
throughout this document are trademarks of GSK or associated companies or used
under licence by the Group.

 

Guidance and outlooks, assumptions and cautionary statements

 

2024 Guidance

GSK confirms its full-year sales, core profit and EPS guidance at constant
exchange rates (CER) and expects to deliver broadly around the middle of the
existing ranges. Turnover is expected to increase between 7 to 9 per cent.
Core operating profit is expected to increase between 11 to 13 per cent and
Core Earnings per share is expected to increase between 10 to 12 per cent.

The Group revises turnover expectations for Vaccines to a decrease of
low-single digit per cent, for Specialty Medicines to an increase of high
teens per cent and for General Medicines to an increase of mid-single digit
per cent.

This guidance is provided at CER and excludes any contribution from COVID-19
related solutions.

 

Assumptions and basis of preparation related to 2024 guidance

In outlining the guidance for 2024, the Group has made certain planning
assumptions about the macro-economic environment, the healthcare sector
(including regarding existing and possible additional governmental legislative
and regulatory reform), the different markets and competitive landscape in
which the Group operates and the delivery of revenues and financial benefits
from its current portfolio, its development pipeline and restructuring
programmes.

These planning assumptions as well as operating profit and earnings per share
guidance and dividend expectations assume no material interruptions to supply
of the Group's products, no material mergers, acquisitions or disposals, no
material litigation or investigation costs for the Company (save for those
that are already recognised or for which provisions have been made) and no
change in the Group's shareholdings in ViiV Healthcare. The assumptions also
assume no material changes in the healthcare environment or unexpected
significant changes in pricing as a result of government or competitor action.
The 2024 guidance factors in all divestments and product exits announced to
date.

Notwithstanding our guidance, outlooks and expectations, there is still
uncertainty as to whether our assumptions, guidance, outlooks and expectations
will be achieved.

The guidance is given on a constant currency basis.

 

Assumptions and cautionary statement regarding forward-looking statements

The Group's management believes that the assumptions outlined above are
reasonable, and that the guidance, outlooks, and expectations described in
this report are achievable based on those assumptions. However, given the
forward-looking nature of these guidance, outlooks, and expectations, they are
subject to greater uncertainty, including potential material impacts if the
above assumptions are not realised, and other material impacts related to
foreign exchange fluctuations, macro-economic activity, the impact of
outbreaks, epidemics or pandemics, changes in legislation, regulation,
government actions or intellectual property protection, product development
and approvals, actions by our competitors, and other risks inherent to the
industries in which we operate.

This document contains statements that are, or may be deemed to be,
"forward-looking statements". Forward-looking statements give the Group's
current expectations or forecasts of future events. An investor can identify
these statements by the fact that they do not relate strictly to historical or
current facts. They use words such as 'anticipate', 'estimate', 'expect',
'intend', 'will', 'project', 'plan', 'believe', 'target' and other words and
terms of similar meaning in connection with any discussion of future operating
or financial performance. In particular, these include statements relating to
future actions, prospective products or product approvals, future performance
or results of current and anticipated products, sales efforts, expenses, the
outcome of contingencies such as legal proceedings, dividend payments and
financial results. Other than in accordance with its legal or regulatory
obligations (including under the Market Abuse Regulation, the UK Listing Rules
and the Disclosure and Transparency Rules of the Financial Conduct Authority),
the Group undertakes no obligation to update any forward-looking statements,
whether as a result of new information, future events or otherwise. The reader
should, however, consult any additional disclosures that the Group may make in
any documents which it publishes and/or files with the SEC. All readers,
wherever located, should take note of these disclosures. Accordingly, no
assurance can be given that any particular expectation will be met and
investors are cautioned not to place undue reliance on the forward-looking
statements.

All guidance, outlooks and expectations should be read together with the
guidance and outlooks, assumptions and cautionary statements in this Q3 2024
earnings release and in the Group's 2023 Annual Report on Form 20-F.

Forward-looking statements are subject to assumptions, inherent risks and
uncertainties, many of which relate to factors that are beyond the Group's
control or precise estimate. The Group cautions investors that a number of
important factors, including those in this document, could cause actual
results to differ materially from those expressed or implied in any
forward-looking statement. Such factors include, but are not limited to, those
discussed under Item 3.D 'Risk Factors' in the Group's Annual Report on Form
20-F for 2023. Any forward-looking statements made by or on behalf of the
Group speak only as of the date they are made and are based upon the knowledge
and information available to the Directors on the date of this report.

 

 

Independent review report to GSK plc

 

Conclusion

We have been engaged by GSK plc ("the company") to review the condensed
financial information in the Results Announcement of the company for the three
and nine months ended 30 September 2024.

 

The condensed financial information comprises:

 •    the income statement and statement of comprehensive income for the three and
      nine month periods ended 30 September 2024 on page 26 and 27;
 •    the balance sheet as at 30 September 2024 on page 28;
 •    the statement of changes in equity for the nine-month period then ended on
      page 29;
 •    the cash flow statement for the nine-month period then ended on page 30; and
 •    the accounting policies and basis of preparation and the explanatory notes to
      the condensed financial information on pages 31 to 43 that have been prepared
      applying consistent accounting policies to those applied by GSK plc and its
      subsidiaries ("the Group") in the Annual Report 2023, which was prepared in
      accordance with International Financial Reporting Standards ("IFRS") as
      adopted by the United Kingdom.

Based on our review, nothing has come to our attention that causes us to
believe that the condensed financial information in the Results Announcement
for the three and nine months ended 30 September 2024 is not prepared, in all
material respects in accordance with the accounting policies set out in the
accounting policies and basis of preparation section on page 40.

 

Basis for Conclusion

We conducted our review in accordance with International Standard on Review
Engagements (UK) 2410 "Review of Interim Financial Information Performed by
the Independent Auditor of the Entity" issued by the Financial Reporting
Council for use in the United Kingdom (ISRE (UK) 2410). A review of interim
financial information consists of making inquiries, primarily of persons
responsible for financial and accounting matters, and applying analytical and
other review procedures. A review is substantially less in scope than an audit
conducted in accordance with International Standards on Auditing (UK) and
consequently does not enable us to obtain assurance that we would become aware
of all significant matters that might be identified in an audit. Accordingly,
we do not express an audit opinion.

As disclosed on page 40, the annual financial statements of the Company are
prepared in accordance with United Kingdom adopted international accounting
standards. The condensed set of financial information included in this Results
Announcement have been prepared in accordance with the accounting policies set
out in the accounting policies and basis of preparation section on page 40.

 

Conclusion Relating to Going Concern

Based on our review procedures, which are less extensive than those performed
in an audit as described in the Basis for Conclusion section of this report,
nothing has come to our attention to suggest that the directors have
inappropriately adopted the going concern basis of accounting or that the
directors have identified material uncertainties relating to going concern
that are not appropriately disclosed.

This Conclusion is based on the review procedures performed in accordance with
ISRE (UK) 2410, however future events or conditions may cause the entity to
cease to continue as a going concern.

 

Responsibilities of the directors

The directors are responsible for preparing the Results Announcement of the
company in accordance with the Disclosure Guidance and Transparency Rules of
the United Kingdom's Financial Conduct Authority.

In preparing the Results Announcement, the directors are responsible for
assessing the Company's ability to continue as a going concern, disclosing as
applicable, matters related to going concern and using the going concern basis
of accounting unless the directors either intend to liquidate the company or
to cease operations, or have no realistic alternative but to do so.

 

Auditor's Responsibilities for the review of the financial information

In reviewing the Results Announcement, we are responsible for expressing to
the company a conclusion on the condensed financial information in the Results
Announcement based on our review. Our Conclusion, including our Conclusion
Relating to Going Concern, are based on procedures that are less extensive
than audit procedures, as described in the Basis for Conclusion paragraph of
this report.

 

Use of our report

This report is made solely to the company in accordance with ISRE (UK) 2410.
Our work has been undertaken so that we might state to the company those
matters we are required to state to it in an independent review report and for
no other purpose. To the fullest extent permitted by law, we do not accept or
assume responsibility to anyone other than the company, for our review work,
for this report, or for the conclusions we have formed.

 

 

 

Deloitte LLP

Statutory Auditor

London, United Kingdom

29 October 2024

 

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