AstraZeneca2003年度报告

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中国制药行业的研究报告

中国制药行业的研究报告

中国制药行业研究报告行业研究/深度研究风险评级:偏多投资要点:1、人口的自然增长和老龄化趋势、环境污染、生活节奏和饮食习惯的变化、社会财宝和收进水平的提高、人类对疾病的熟悉加深以及对药物知识产权保卫程度的提高构成了制药产业价值增长的驱动因素。

药物知识产权保卫对制药产业开展具有重要意义。

受上述因素的驱动,今后10年内全球药品市场将维持10%的速度增长,而中国那么为15%.2、“创新〞是制药行业开展的核心动力,专利药物是全球药品市场的主流,创新专利药物的不断推出,支持了全球药品市场规模的不断扩大。

在今后的几年中,新一轮的专利新药上市高潮立即到来。

而与药品市场销售规模相对应,药物研发的重点领域接着是抗心血管药、神经系统药物、抗感染药物、抗肿瘤药等领域,其中,抗肿瘤药领域是目前药物在研工程最多的。

3、专利药物具有生命周期,在此期间内,其市场价值将会受到各种因素的碍事。

包括Me-too药和通用名药都将对专利药物构成威胁。

4、受大量重磅炸弹级的专利名药在专利期满后转为非处方药,近年来,全球OTC市场市场快速增长,到达整个药品市场的20%。

全球85%以上的药品销售收进产生在美国、日本、欧洲如此的标准药政市场,随着国内药物知识产权保卫程度的提高,中国、印度如此的非标准市场也正在向标准市场转化,孕育着巨大的市场时机。

生物制药技术的开展药物研究提供了新的手段。

5、制药厂商开展模式要紧有四大类:创新型的专利药厂商、非专利药〔通用名药〕厂商、原料药厂商、区域性的仿制药厂商。

通用名药厂商与特色原料药厂商之间一般具有比立稳固的合作关系。

不同类型厂商具有不同的本钞票结构。

6、制药产业链由“研究〞和“生产〞两条相对独立但又有所交错的价值链组成,成为一个完整的产业分工体系。

7、通用名药市场差不多占全球药品市场的40%以上,随着众多“重磅炸弹级〞’s3-4年前的水平相当,从技术角度瞧,国内领先型的制药企业差不多站在飞跃的起点上。

与此同时,国内以仿制药为主,缺乏研发投进的制药企业竞争日趋剧烈,利润空间开始萎缩,而另一方面WTO后仿制药将面临强大的被索赔的压力。

(医疗药品)世界强的制药企业

(医疗药品)世界强的制药企业

2010年世界500强的制药企业强生为首2010-08-1608:44:41来源:949健康网世界制药巨头们在世界500强中的表现,2010世界500强中的制药企业有强生,辉瑞,罗氏,诺华,葛兰素史克,赛诺菲-安万特,拜耳,阿斯利康,雅培,默克,礼来等企业,在医药经济快速发展的时代,这些制药巨头们不负众望进入500强的行列。

排名情况如下:1、强生(Johnson&Johnson)排名:108营收:61,897百万美元净利润:12,266百万美元2、辉瑞(Pfizer)排名:140营收:50,009百万美元净利润:8,635百万美元3、瑞士罗氏公司(RocheGroup)排名:153营收:47,109百万美元净利润:7,169百万美元4、瑞士诺华公司(Novartis)排名:160营收:45,103百万美元净利润:8,400百万美元5、英国葛兰素史克公司(GlaxoSmithKline)排名:163营收:44,240百万美元净利润:8,626百万美元6、法国赛诺菲-安万特集团(Sanofi-Aventis)排名:169营收:43,405百万美元净利润:7,318百万美元7、拜耳集团(Bayer)排名:170营收:43,322百万美元净利润:1,889百万美元8、英国阿斯利康公司(AstraZeneca)排名:226营收:32,804百万美元净利润:7,521百万美元9、美国雅培公司(AbbottLaboratories)排名:250营收:30,765百万美元净利润:5,746百万美元10、美国默克集团(Merck)排名:294营收:27,428百万美元净利润:12,901百万美元11、美国礼来公司(EliLilly)排名:396营收:21,836百万美元净利润:4,329百万美元12、美国百时美施贵宝公司(Bristol-MyersSquibb)排名:405营收:21,634百万美元净利润:10,612百万美元13、德国勃林格殷格翰公司(BoehringerIngelheim)排名:463营收:18,630百万美元净利润:2,445百万美元以下是部分国际闻名的医药企业在华公司信息及任职医药销售职位的一些待遇信息:通用电气集团/医疗事业部:GE在外企中的待遇属于顶级水平,但进入的门槛相当高,成功应聘后即使是应届本科毕业到GE底薪就可以拿到8000元每月,加上各种福利补贴,买房买车很快就能实现,即使在生活富裕的美国,能够在GE任职也是一个令四周人群羡慕的职业。

激酶抑制剂类药物

激酶抑制剂类药物

Sutent药物基本信息〖NDA申请人〗CPPY CV〖NDA原始批准日期〗2006年07月26日〖剂型/规格〗胶囊剂/12.5mg;胶囊剂/25mg;胶囊剂/50mg;胶囊剂/37.5mg〖适应证〗50mg QD,用于治疗:Ⅰ、病情恶化后或对马来酸伊马替尼不耐受的胃肠间质瘤;Ⅱ、晚期肾细胞瘤活性成分信息〖USAN名称〗Sunitinib Malate,苹果酸舒尼替尼〖CAS号〗341031-54-7(苹果酸盐);557795-19-4(游离碱)〖曾用代号〗SU-11248(苹果酸盐)〖作用类别〗激酶抑制剂类抗肿瘤药〖化学名〗(Z)-N-(2-(二乙基氨基)乙基)-5-((5-氟-2-氧代吲哚-3-亚基)甲基)-2,4-二甲基-1H-吡咯-3-羧酰胺苹果酸盐〖化学结构式〗专利信息年度销售情况(亿美元,信息来源:辉瑞公司年度财务报告及SEC报表)Tykerb药物基本信息〖NDA申请人〗Smithkline Beecham〖NDA原始批准日期〗2007年03月13日〖剂型/规格〗片剂/250mg;〖适应证〗1250mg QD+卡培他滨治疗肿瘤过度表达HER2且使用过包括蒽环类抗生素、紫杉烷类抗生素曲妥珠单抗在内的抗肿瘤药物治疗的晚期或转移性乳腺癌;1500 QD+来曲唑治疗HER2过度表达且需要进行激素治疗的绝经后妇女的激素受体阳性的转移性乳腺癌活性成分信息〖USAN名称〗Lapatinib ditosylate (monohydrate),拉帕替尼二(对甲基苯磺酸)盐(单水合物)〖CAS号〗388082-78-8〖曾用代号〗〖作用类别〗激酶抑制剂类抗肿瘤药;〖化学名〗N-[3-氯-4-[(3-氟苯基)甲氧基]苯基]-6-[5[[[2-(甲磺酰基)乙基]氨基]甲基]-2-呋喃基]-4-喹啉胺二(对甲基苯磺酸)盐单水合物〖理化性质〗黄色固体,25℃下于水中的溶解度为0.007mg/mL,于0.1N HCl中的溶解度为0.001mg/mL〖化学结构式〗专利信息年度销售情况(亿英磅)Tasigna药物基本信息〖NDA申请人〗诺华制药〖NDA原始批准日期〗2007.10.29〖剂型/规格〗片剂/200mg(按游离碱计)〖适应证〗300mg BID用于于慢性期治疗新近确认成年患者的费城染色体阳性慢性髓样白血病;400mg BID用于于慢性期或急性期治疗成年患者对包括伊马替尼在内的先前治疗方法耐药或不耐受的费城染色体阳性慢性髓样白血病。

亚马逊2003年年报数据

亚马逊2003年年报数据

orDelaware91-1646860 (State or other jurisdiction(I.R.S. Employer of incorporation or organization)Identification No.)____________________________Created by Morningstar Document Research./PagePART IItem 1.Business 3Item 2.Properties18Item 3.Legal Proceedings19Item 4.Submission of Matters to a Vote of Security 19HoldersPART IIItem 5.Market for the Registrant s Common Stock 20and Related Stockholder Matters Item 6.Selected Consolidated Financial Data21Item 7.Management s Discussion and Analysis of21Financial Condition and Results of Operations Item 7A.Quantitative and Qualitative Disclosure 40About Market RiskItem 8.Financial Statements and Supplementary 43DataItem 9.Changes in and Disagreements with Accountants 79on Accounting and Financial Disclosure Item 9A.Controls and Procedures79PART IIIItem 10.Directors and Executive Officers of the 79RegistrantItem 11.Executive Compensation79Item 12.Security Ownership of Certain Beneficial79Owners and Management and Related Stockholder MattersItem 13.Certain Relationships and Related Transactions 79Item 14.Principal Accountant Fees and Services79PART IVItem 15.Exhibits, Financial Statement Schedules 80and Reports on Form 8-K82/Created by Morningstar Document Research.____________________________SignaturesApparel, shoes and accessories Home, garden, and outdoor living products Baby care products Jewelry and watchesBooks Kitchenware and housewaresCamera and photography Magazine subscriptionsCell phones and service MusicComputers and computer add-ons Office productsConsumer electronics SoftwareDVD s and videos Sports & OutdoorsGourmet food Tools and hardwareHealth and personal care Toys____________________________Created by Morningstar Document Research./Executive OfficersName Age PositionJeffrey P. Bezos40President, Chief Executive Officer, andChairman of the BoardRichard L. Dalzell46Senior Vice President, Worldwide Architectureand Platform Software, and Chief InformationOfficerJason Kilar32Senior Vice President, Worldwide ApplicationSoftwareMark S. Peek46Vice President and Chief Accounting Officer Diego Piacentini43Senior Vice President, Worldwide Retailand MarketingThomas J. Szkutak43Senior Vice President and Chief FinancialOfficerJeffrey A. Wilke37Senior Vice President, Worldwide Operationsand Customer ServiceL. Michelle Wilson41Senior Vice President, General Counsel,and Secretary____________________________Created by Morningstar Document Research./Board of DirectorsName Age Jeffrey P. Bezos40Tom A. Alberg64L. John Doerr52 Thomas O. Ryder59 Patricia Q. Stonesifer47 William B. Gordon54____________________________Created by Morningstar Document Research. /PositionPresident, Chief Executive Officer, andChairman of the BoardManaging Director of Madrona Venture Group General Partner, Kleiner Perkins Caufield& ByersChairman and CEO of Reader s Digest Association, Inc.President and Co-Chair of the Bill & Melinda Gates FoundationExecutive Vice President and Chief Creative Officer of Electronic Arts, Inc.Market InformationYear ended December 31, 2002First Quarter Second Quarter 20.4012.52Third Quarter 17.9312.26Fourth Quarter25.0016.01Year ended December 31, 2003First Quarter Second Quarter 37.2424.13Third Quarter 51.3034.00Fourth Quarter61.1547.00HighLow/Created by Morningstar Document Research.____________________________$28.04$18.55$16.96$9.03Balance SheetNet cash provided by (used in) operating activitiesNet sales 5,263,699Gross profit1,257,168Income (loss) from operations 270,595Interest income 21,955Interest expense (129,979)Net income (loss)35,282Basic earnings (loss) per share (1)Diluted earnings (loss) per share (1)Weighted average shares used in computation 395,479of basic earnings (loss) per share (1)Weighted average shares used in computation 419,352of diluted earnings (loss) per share (1)Balance Sheet and Other Data:Cash and cash equivalents Marketable securities 292,550Total assets2,162,033Long-term debt and other1,945,439Stockholders Equity (Deficit)(1,036,107)2003.00$392,022$0.08$0.09/Created by Morningstar Document Research.____________________________$1,102,273As of and for the Years Ended December 31,2002.002001.00200(in thousands, except per share data)$174,291($119,782)3,932,9363,122,433992,618798,55864,124(412,257)23,68729,103(142,925)(139,232)(149,132)(567,277)($0.39)($1.56)($0.39)($1.56)378,363364,211378,363364,211$738,254$540,282562,715456,3031,990,4491,637,5472,277,3052,156,133(1,352,814)(1,440,000)2000.001999.00 ($130,442)($90,875) 2,761,9831,639,839 655,777290,645 (863,880)(605,755) 40,82145,451 (130,921)(84,566) (1,411,273)(719,968) ($4.02)($2.20)($4.02)($2.20)350,873326,753350,873326,753$822,435$133,309278,087572,879 2,135,1692,465,850 2,127,4641,466,338 (967,251)266,278AMAZON COM INC 10-K02/25/2004Liquidity and Capital ResourcesRestructuring-related commitments:Operating leases, net of estimated sublease income Other897300Restructuring-related commitments 10,4745,298Other commitments:Debt principal and other (1)(2)3,01374Debt interest (1)(2)############Capital leases1,678868Operating leases (3)51,49843,323Purchase obligations (4)######Other commitments ############Total commitments2004.002005.00$9,577$4,998/Created by Morningstar Document Research.____________________________$364,200$159,2192006.002007.002008.00Therea $3,421$3,356$2,6913,4213,3562,691246109,656109,656109,65634142,39139,10038,181152,388148,756148,083$155,809$152,112$150,774$2,1,1975,30030,5401,931,1601,934,493144,517692,7972,887131,040345,533187,8812,206,7173,163,591$29,343ereafter Total$5,300$2,212,017$3,194,131AMAZON COM INC 10-K02/25/2004Segment Operating Income (Loss)Segment Operating Income:North America International 78,193435ConsolidatedYear-over-year improvement:North America 58%212%International 17,875N/A Consolidated101N/ASegment Operating Margin:North America 9%7%International 40Consolidated75Years Ended December 31,$283,045$179,667(amounts in thousands)2003.002002.00/Created by Morningstar Document Research.____________________________$361,238$180,1022001.00$57,501(102,503)($45,002)2%(15)(1)AMAZON COM INC 10-K02/25/2004Net Sales and Gross ProfitNet SalesNorth America MediaElectronics and other general merchandise 878,519Other110,422Total North America3,258,413International Media1,779,476Electronics and other general merchandise 224,606Other1,204Total International2,005,286Consolidated Media4,048,948Electronics and other general merchandise 1,103,125Other111,626Total consolidatedNet Sales Growth Rate North America Media14%Electronics and other general merchandise 29Other29Total North America 18International Media61Electronics and other general merchandise 241Other(38)Total International 71Consolidated Media31Electronics and other general merchandise 48Other28Total Consolidated34Consolidated Revenue Mix Media77%Electronics and other general merchandise 21Other2Total Consolidated100%Years Ended$2,269,472$2003.002002/Created by Morningstar Document Research.____________________________$5,263,699$ded December 31,2002.002001.00$1,994,949$1,810,175 681,041577,52485,46772,637 2,761,4572,460,3361,103,665645,453 65,87716,1341,937510 1,171,479662,0973,098,6142,455,628 746,918593,65887,40473,147 $3,932,936$3,122,43310%18181271308280772626192679%79%191922100%100%AMAZON COM INC 10-K02/25/2004Net Sales and Gross ProfitGross Profit North America International 390,504251,633ConsolidatedGross Profit Growth Rate North America 17%13%International 5578Consolidated 2724Gross Margin North America 27%27%International 1921Consolidated2425Years Ended December 31,$866,664$740,9852003.002002.00/Created by Morningstar Document Research.____________________________$1,257,168$992,6182001.00$657,229141,329$798,55827%2126AMAZON COM INC 10-K02/25/2004Net Sales and Gross ProfitSupplemental Information Shipping Activity Shipping revenue Net shipping cost(136,468)(39,554)2003.002002.00Years Ended December 31,/Created by Morningstar Document Research.____________________________$372,000$364,74931,2001.00$357,325(19,163)AMAZON COM INC 10-K02/25/2004Amortization of Goodwill and Other IntangiblesYears Ending December 31,2004.002005.004,9983002006.003,4212007.003,3562008.002,691Thereafter5,300Total estimated cash outflows (1)$9,577$897LeasesOther/Created by Morningstar Document Research.____________________________$29,343$1,197Total$10,4745,2983,4213,3562,6915,300$30,540AMAZON COM INC 10-K02/25/2004Other Income (Expense), NetForeign-currency gain (loss) on 6.875%PEACS (1)Loss on redemption of long-term debt (2)(23,829)Foreign currency effect on intercompany 35,574balances (3)Other-than-temporary impairments and (1,276)other (4)Total remeasurement of 6.875% PEACS and otherYears($140,130)2003.00/Created by Morningstar Document Research.____________________________($129,661)ears Ended December 31,2002.002001.00($103,136)$46,6136,863(48,754) ($96,273)($2,141)AMAZON COM INC10-K02/25/2004Limitations of Free Cash FlowConsolidated segment operating incomePro forma net incomeConsolidated segment operating income7% as a percentage of net salesPro forma basic earnings per sharePro forma diluted earnings per shareWeighted average shares used in computation395,479 of pro forma basic earnings per shareWeighted average shares used in computation419,352 of pro forma diluted earnings per shareNet cash provided by (used in) operatingactivitiesNet cash provided by (used in) investing236,651 activitiesNet cash provided by (used in) financing(331,986) activitiesConsolidated segment operating incomePro forma net income (loss)Consolidated segment operating income5% as a percentage of net salesPro forma basic earnings (loss) per sharePro forma diluted earnings (loss) per shareWeighted average used in computation of378,363 pro forma basic earnings (loss) per shareWeighted average shares used in computation399,656 of pro forma diluted earnings (loss) pershareNet cash provided by (used in) operatingactivitiesNet cash provided by (used in) investing(121,684) activitiesNet cash provided by financing activities106,894 Consolidated segment operating income(loss)Pro forma net income (loss)Consolidated segment operating income(1)% (loss) as a percentage of net salesPro forma basic earnings (loss) per sharePro forma diluted earnings (loss) per shareWeighted average shares used in computation364,211 of pro forma basic earnings (loss) per shareWeighted average shares used in computation364,211 of pro forma diluted earnings (loss) pershareNet cash provided by (used in) operatingactivitiesNet cash provided by (used in) investing(253,294)QuarFull Year Fou $256,022$361,238$0.61$0.65$392,022Quar Full Year Fou $66,487$180,102$0.17$0.18$174,291Quar Full Year Fou ($157,031)($45,002)($0.43)($0.43)($119,782)activitiesNet cash provided by (used in) financing106,881 activities____________________________Created by Morningstar Document Research./Year Ended December 31, 2003Fourth Third Second Fir Quarter Quarter Quarter Quar $152,936$73,653$67,189$124,979$48,427$42,2688%6%6%$0.31$0.12$0.11$0.29$0.11$0.10401,422397,912393,876425,214422,802418,138$480,963$36,817$126,024( 93,489(60,012)233,668(177,242)37,798(227,876)Year Ended December 31, 2002Fourth Third Second Fir Quarter Quarter Quarter Quar $101,958$27,492$25,994$75,382$353($4,409)7%3%3%$0.20$0.00($0.01)$0.19$0.00($0.01)383,702379,650376,937407,056398,361376,937$372,579$38,108$4,637( (36,279)11,082(93,981)62,7021,91239,434Year Ended December 31, 2001Fourth Third Second Fir Quarter Quarter Quarter Quar $58,680($27,072)($28,009)$34,785($58,005)($57,528)5%(4)%(4)%$0.09($0.16)($0.16)$0.09($0.16)($0.16)371,420368,052359,752384,045368,052359,752$349,120($64,403)$2,485( (232,630)(95,018)29,803(2,393)94,4663,550FirstQuarter$67,460$40,3486%$0.10$0.10388,541411,091($251,782)(30,494)35,334 FirstQuarter$24,658($4,839)3%($0.01)($0.01)373,031373,031($241,033)(2,506)2,846 FirstQuarter($48,601)($76,283)(7)%($0.21)($0.21)357,424357,424($406,984)44,55111,258AMAZON COM INC 10-K02/25/2004Limitations of Free Cash FlowNet salesCost of sales4,006,531Gross profit1,257,168Operating expenses:Fulfillment 477,032Marketing122,787Technology and content207,809General and administrative 88,302Stock-based compensation87,751Amortization of goodwill and other intangibles 2,752Restructuring-related and other 140Total operating expenses986,573Income (loss) from operations 270,595Interest income 21,955Interest expense(129,979)Other income (expense), net2,808Remeasurement of 6.875% PEACS and other (129,661)Total non-operating expenses, net(234,877)Income (loss) before equity in losses of 35,718equity-method investeesEquity in losses of equity-method investees,(436)NetIncome (loss) before change in accounting 35,282principleCumulative effect of change in accounting principleNet income (loss)AsReported(1)$5,263,699/Created by Morningstar Document Research.____________________________$35,282Year Ended December 31, 2003Adjustments ProForma Repor (in thousands)$0$5,263,6994,006,5311,257,168477,032122,787207,80988,302(87,751)(2,752)(140)(90,643)895,93090,643361,238(2)21,955(129,979)2,808129,661129,661(105,216)220,304256,022436220,740256,022$220,740$256,022Year Ended December 31, 2002As Adjustments Proeported(1)Forma(in thousands)$3,932,936$0$3,932,936 2,940,3182,940,318 992,618992,618 392,467392,467 125,383125,383 215,617215,61779,04979,04968,927(68,927)5,478(5,478)41,573(41,573)928,494(115,978)812,51664,124115,978180,10223,68723,687 (142,925)(142,925) 5,6235,623 (96,273)96,273(209,888)96,273(113,615) (145,764)212,25166,487 (4,169)4,169(149,933)216,42066,487 801(801)($149,132)$215,619$66,4872,323,875798,558374,250138,283241,16589,8624,637(4,637)181,033(181,033)181,585(181,585)1,210,815(367,255)(2)(412,257)367,25529,103(139,232)(1,900)(2,141)2,141(114,170)2,141(526,427)369,396(30,327)30,327(556,754)399,723(10,523)10,523AsAdjustmentsYear Ended December 31, 2001(in thousands)Reported(1)$410,246$3,122,433$0($567,277)ProForma$3,122,4332,323,875798,558374,250138,283241,16589,862843,560(45,002)(2)29,103(139,232)(1,900)(112,029)(157,031)(157,031)($157,031)AMAZON COM INC 10-K02/25/2004Limitations of Free Cash FlowBasic earnings (loss) per share:Prior to cumulative effect of change in accounting principleCumulative effect of change in accounting principleDiluted earnings (loss) per share:Prior to cumulative effect of change in accounting principleCumulative effect of change in accounting principleWeighted average shares used in computation of earnings (loss) per share:Basic 395,479Diluted419,352Net cash provided by (used in) operating activitiesPurchases of fixed assets, including internal-use software and Website development Free cash flowNet cash provided by (used in) investing activitiesNet cash provided by (used in) financing activitiesYear EndAsReported(1)$0.09$0.09$0.08$0.08/Created by Morningstar Document Research.____________________________Ended December 31, 2003Year Adjustments Pro AsForma Reported(1) (in thousands)$0.56$0.65($0.40)0.01$0.56$0.65($0.39)$0.53$0.61($0.40)0.01$0.53$0.61($0.39)395,479378,363419,352378,363$392,022(45,963)$346,059$236,651($331,986)(0.01)(0.03)(0.01)(0.03)378,363364,211399,656364,211(39,163)Asear Ended December 31, 2002AdjustmentsPro FormaReported(1)($1.53)(in thousands)$0.58$0.18$0.57$0.18($1.56)$0.57$0.17($1.53)$174,291$0.56$0.17($1.56)($121,684)$135,128$106,8940.030.03364,211364,211(50,321)AdjustmentsPro Year Ended December 31, 2001Forma$1.10($0.43)(in thousands)($0.43)$1.13($0.43)$1.13($0.43)$1.10($119,782)($253,294)($170,103)$106,881AMAZON COM INC 10-K02/25/2004Interest Rate RiskCommercial paper and short-term obligations Weighted average interest rate 2.00%Certificates of deposit27,395Weighted average interest rate 2.00%Corporate notes and bonds11,280Weighted average interest rate1.34%Asset-backed and agency securities 20,700Weighted average interest rate 1.22%Treasury notes and bonds4,000Weighted average interest rate1.12%Cash equivalents and marketable fixed-income securities2004.002005.$675,061/Created by Morningstar Document Research.____________________________$738,436005.002006.002007.002008.00 $0$0$0$0 2,0008,5202,3301.51% 1.96% 1.96%18,87530,37014,4401.88%2.03% 2.32%6,75195,77037,6001.59% 1.50%2.12%$27,626$134,660$54,370$02.00%27,39527,3952.00%24,13024,9971.68%84,38585,6921.83%144,121145,7781.96%Estimated 2003.00December 31,Fair Value at Thereafter Total$958,923$0$675,061$675,061$0$955,092AMAZON COM INC 10-K02/25/2004Interest Rate RiskCommercial paper and short-term obligations Weighted average interest rate 2.10%Certificates of deposit22,326Weighted average interest rate 3.16%Corporate notes and bonds2,745Weighted average interest rate2.06%Asset-backed and agency securities 20,572Weighted average interest rate 2.09%Treasury notes and bonds9,320Weighted average interest rate1.42%Cash equivalents and marketable fixed-income securities2003.002004$437,363/Created by Morningstar Document Research.____________________________$492,3262004.002005.002006.002007.00 $0$0$0$0 26,61813,4931.75%2.24%175,330115,6051.48%2.13%105,38537,83122,1421.48% 1.91%2.10%$307,333$166,929$22,142$02.10%22,32622,3263.16%42,85642,9411.93%4,953316,460316,7156.71%1.89%174,678174,7261.62%Estimated 2002.00December 31,Fair Value at Thereafter Total$994,071$0$437,363$437,363$4,953$993,683INDEX TO CONSOLIDATED FINANCIAL STATEMENTSPageReport of Ernst & Young LLP, Independent44 AuditorsConsolidated Statements of Cash Flows45 Consolidated Statements of Operations46 Consolidated Balance Sheets47 Consolidated Statements of Stockholders48 DeficitNotes to Consolidated Financial Statements49____________________________Created by Morningstar Document Research./Cash FlowsCASH AND CASH EQUIVALENTS, BEGINNING OF PERIODOPERATING ACTIVITIES:Net income (loss)35,282Adjustments to reconcile net income (loss)to net cash provided by (used in) operating activities:Depreciation of fixed assets, including75,558website development costs, and other amortization Stock-based compensation87,751Equity in losses of equity-method investees,436netAmortization of goodwill and other intangibles 2,752Non-cash restructuring-related and other Gain on sale of marketable securities,(9,598)netRemeasurement of 6.875% PEACS and other 129,661(See Note 12)Non-cash interest expense and other12,918Cumulative effect of change in accounting principleChanges in operating assets and liabilities:Inventories(76,786)Accounts receivable, net and other current 305assetsAccounts payable167,732Accrued expenses and other current liabilities (25,740)Additions to unearned revenue101,641Amortization of previously unearned revenue (111,740)Interest payable1,850Net cash provided by (used in) operating 392,022activitiesINVESTING ACTIVITIES:Sales and maturities of marketable securities 813,184and other investmentsPurchases of marketable securities(535,642)Purchases of fixed assets, including internal-use (45,963)software and website developmentProceeds from sale of subsidiary and other 5,072Investments in equity-method investees and other investmentsNet cash provided by (used in) investing 236,651activitiesFINANCING ACTIVITIES:Proceeds from exercise of stock options 163,322and otherProceeds from issuance of common stock,net of issuance costsProceeds from long-term debt and otherRepayment of long-term debt, capital lease (495,308)obligations, and other2003.00$738,254Net cash provided by (used in) financing (331,986)activitiesForeign-currency effect on cash and cash 67,332equivalentsNet increase (decrease) in cash and cash 364,019equivalentsCASH AND CASH EQUIVALENTS, END OF PERIOD SUPPLEMENTAL CASH FLOW INFORMATION:Fixed assets acquired under capital leases and other financing arrangementsStock issued in connection with minority investmentCash paid for interest119,947Cash paid for income taxes1,825$1,102,273/Created by Morningstar Document Research.____________________________$2,677Years Ended December 31,2002.002001.00$540,282$822,435(149,132)(567,277)82,27484,70968,9274,6374,16930,3275,478181,0333,47073,293 (5,700)(1,335)96,2732,14129,58626,629(801)10,523 (51,303)30,628(32,948)20,732156,542(44,438)4,49150,03195,404114,738 (135,466)(135,808)3,027(345) 174,291(119,782)553,289370,377 (635,810)(567,152)(39,163)(50,321)(6,198) (121,684)(253,294)121,68916,62599,83110,000 (14,795)(19,575)。

他汀类药物的不良反应

他汀类药物的不良反应
研究证实两者配伍还是比较安全的。抗凝药
与他汀类药物合用可增加国际标准化比值 (INR),因此两类药物合用时必须密切观察 INR的变化。
► c. CYP3A4代谢体内半数以上的药物。脂溶性他汀 类药物(如辛伐他汀、阿托伐他汀、洛伐他汀、西 立伐他汀)和贝特类、氯吡格雷、华法林、地高辛、 地尔硫唑、维拉帕米、大环内酯类抗生素、抗真菌 药、环孢菌素等,均通过此酶代谢,因此在临床合 用时,他汀类药物的血药浓度升高,有可能诱发肌 病及其他不良反应的发生。氟伐他汀、普伐他汀、 瑞舒伐他汀等则不经CYP3A4途径代谢或经多途径代 谢,故与其他药物在代谢水平发生相互作用的危险 性较小。因此,应尽量选择与其他药物发生相互作 用小或无相互作用的他汀类药物进行治疗,如果必 须使用相互作用大的药物,则选用小剂量。
► 为减小不良反应的发生,服用任何他汀
类药应从较小剂量开始,急性冠状动脉综合征 患者开始可用较大剂量,但以后应根据临床情 况,及时调整剂量。服药过程中应进行随访,注 意询问有无肌无力或肌痛症状,若有则应及时 检测CK及ALT。开始服药6~8周后,复查血脂 水平及CK及ALT。若无肌无力或肌痛症状,CK 及ALT在正常范围,可3~6个月复查上述指标。 若调整血脂效果欠理想,则应加大剂量或更换 用药品种,如CK>正常上限5倍,ALT>正常上限 3倍,应考虑减少剂量或停药;若CK>正常上限 10倍或ALT>正常上限5倍,应立即停药,并追踪 监测直到恢复正常。
O O
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H 3CH 3C
O CH3 1 H
2
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8
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7
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6 5
辛伐他汀的体内代谢
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阿斯利康全球研发(中国)有限公司介绍企业发展分析报告

阿斯利康全球研发(中国)有限公司介绍企业发展分析报告

Enterprise Development专业品质权威Analysis Report企业发展分析报告阿斯利康全球研发(中国)有限公司免责声明:本报告通过对该企业公开数据进行分析生成,并不完全代表我方对该企业的意见,如有错误请及时联系;本报告出于对企业发展研究目的产生,仅供参考,在任何情况下,使用本报告所引起的一切后果,我方不承担任何责任:本报告不得用于一切商业用途,如需引用或合作,请与我方联系:阿斯利康全球研发(中国)有限公司1企业发展分析结果1.1 企业发展指数得分企业发展指数得分阿斯利康全球研发(中国)有限公司综合得分说明:企业发展指数根据企业规模、企业创新、企业风险、企业活力四个维度对企业发展情况进行评价。

该企业的综合评价得分需要您得到该公司授权后,我们将协助您分析给出。

1.2 企业画像类别内容行业研究和试验发展-工程和技术研究和试验发展资质增值税一般纳税人产品服务事医药科技领域内的技术服务、技术开发、技1.3 发展历程2工商2.1工商信息2.2工商变更2.3股东结构2.4主要人员2.5分支机构2.6对外投资2.7企业年报2.8股权出质2.9动产抵押2.10司法协助2.11清算2.12注销3投融资3.1融资历史3.2投资事件3.3核心团队3.4企业业务4企业信用4.1企业信用4.2行政许可-工商局4.3行政处罚-信用中国4.5税务评级4.6税务处罚4.7经营异常4.8经营异常-工商局4.9采购不良行为4.10产品抽查4.12欠税公告4.13环保处罚4.14被执行人5司法文书5.1法律诉讼(当事人)5.2法律诉讼(相关人)5.3开庭公告5.4被执行人5.5法院公告5.6破产暂无破产数据6企业资质6.1资质许可6.2人员资质6.3产品许可6.4特殊许可7知识产权7.1商标7.2专利7.3软件著作权7.4作品著作权7.5网站备案7.6应用APP7.7微信公众号8招标中标8.1政府招标8.2政府中标8.3央企招标8.4央企中标9标准9.1国家标准9.2行业标准9.3团体标准9.4地方标准10成果奖励10.1国家奖励10.2省部奖励10.3社会奖励10.4科技成果11 土地11.1大块土地出让11.2出让公告11.3土地抵押11.4地块公示11.5大企业购地11.6土地出租11.7土地结果11.8土地转让12基金12.1国家自然基金12.2国家自然基金成果12.3国家社科基金13招聘13.1招聘信息感谢阅读:感谢您耐心地阅读这份企业调查分析报告。

GOLD2011前言翻译

GOLD2011前言翻译

前言慢性阻塞性肺疾病(COPD)仍是一种主要的公共健康问题。

根据世界银行/世界卫生组织发表的研究,致2020年COPD将位居世界疾病经济负担的第五位。

尽管在近几年COPD受到了医学界的广泛关注,但它仍是一个被政府官员、公共卫生、公众所不了解或忽略了的疾病。

在1998年,因为对“COPD的处理和预防”更加重视影响,一个科学委员会组建了慢性阻塞性肺疾病全球倡议(GOLD)。

而GOLD得重要目标就是提高公众对COPD的认识,帮助数以百万罹患COPD和可能过早死于COPD及其并发症的人。

在2001年,GOLD通过了一个共识报告,“慢性阻塞性肺疾病诊断、处理和预防全球策略”,这份文件于2006年进行修订。

2011版沿袭了2001版和2006版风格,并反映了很多2006年以后出版的刊物中的新进展。

基于从2011年GOLD报告发表后这10年的多学科的研究和临床成就,这次修订版本提供了基于最好的、科学的、有效的证据的对稳定期COPD治疗的新规范。

我们对GOLD科学委员会的工作表示感谢,他们在百忙中挤出时间来审阅科学文献和准备对在这次修订报告中所描述的对COPD病人的治疗的建议。

接下来的几年,GOLD科学委员会将继续更新新方法,审阅出版文献和准备每年度更新报告。

很幸运的是,GOLD有了一个在众多学科中专注于健康专业的国际化网站。

很多专家在他们自己的国家进行COPD的病因和流行病学调查,致力于创新COPD指南的传播和推广。

我们特别感谢各国COPD 组织领导人在代表他们的COPD病人的利益上的优异工作。

GOLD创议将继续和各国GOLD组织领导人及其他致力于提高政府对COPD重视的组织,公共卫生官员、健康关怀工程和普遍公众一起,共同提高对COPD负担的意识和推进COPD的早期发现、预防和处理的发展问题。

我们更感谢来自于Almiral,AstraZeneca,Boehringer Ingelheim,Chiesi,Dey Pharma,Ferrer Intemational,Forest Laboratories,GlaxoSmithKline ,Merck Sharp&Dohme,andPfizer等公司的对这个报告的无常赞助Roberto Rodriguez Roisin医学博士GOLD执行委员会主席西班牙、巴塞罗那、巴塞罗那大学临床医院内科学教授Jorgen Vestbo医学博士GOLD科学委员会主席英国、曼彻斯特、曼彻斯特大学丹麦、哈维得夫、哈维得夫大学医院目录前言 (5)简介 (5)1.定义和回顾 (11)关键要点 (12)定义 (12)慢性阻塞性肺病负担 (12)预防 (13)流行病学 (13)死亡率 (13)经济负担 (13)社会负担 (14)疾病影响因素、进展、预后 (14)基因 (14)年龄和遗传 (14)肺的发育和成长 (14)粉尘的接触 (15)社会经济状况 (15)哮喘/气道高反应性 (15)慢性支气管炎 (15)感染 (16)病理学、发病机理、病理生理学 (16)病理学 (16)发病机理 (16)病理生理学 (16)2.诊断和评估 (19)关键要点 (20)诊断 (20)症状 (21)病史 (21)体格检查 (22)肺功能测定 (22)疾病的评估 (22)症状的评估 (23)肺功能测定的评估 (23)急性加重风险的评估 (23)合并症的评估 (24)慢性阻塞性肺病的综合评估 (25)附加的调查 (26)鉴别诊断 (27)3.治疗方案 (29)关键要点 (30)戒烟 (30)戒烟的药物疗法 (30)稳定期慢性阻塞性肺病的药物治疗 (31)药物回顾 (31)支气管扩张剂 (33)糖皮质激素 (35)磷酸二酯酶-4抑制剂 (35)其它药物治疗 (36)非药物治疗 (37)康复治疗 (37)肺康复治疗方案的构成 (37)其它治疗 (39)氧疗 (39)辅助通气支持 (39)外科治疗 (39)4.稳定期慢性阻塞性肺病的治疗 (41)关键要点 (42)简介 (42)发现和减少危险因素的接触 (42)吸烟 (42)工业接触 (42)室内和室外的空气污染 (43)稳定期慢性阻塞性肺病的治疗 (43)从临床试验推荐到日常实践的思考 (43)非药物治疗 (44)戒烟 (44)体育锻炼 (44)康复治疗 (44)疫苗 (44)药物治疗 (44)支气管扩张剂-建议 (46)糖皮质激素和磷酸二酯酶-4抑制剂的吸入剂-建议 (46)监控和随访 (46)疾病和并发症的的进展监控 (46)药物治疗的监控 (46)急性加重病史的监控 (47)合并症的监控 (47)在慢性阻塞性肺病患者的外科治疗 (47)5.急性加重期的处理 (49)关键要点 (50)定义 (50)诊断 (50)评估 (50)治疗方案 (51)治疗设置 (51)药物治疗 (51)呼吸支持 (53)出院和随访 (54)急性加重期的家庭处理 (56)急性加重的预防 (56)6.慢性阻塞性肺病和合并症 (57)关键要点 (58)简介 (58)心血管疾病 (58)骨质疏松 (59)焦虑和抑郁 (60)肺癌 (60)感染 (60)代谢综合征和糖尿病 (60)参考文献慢性阻塞性肺疾病诊断、处理和预防全球倡议简介从GOLD发布第一份报告——慢性阻塞性肺疾病诊断、处理和预防全球倡议后的10年里,GOLD发生了很多变化。

(简体)57 零售调研(尼尔森20031011-护垫)

(简体)57  零售调研(尼尔森20031011-护垫)

%Sales Growth( MAT ON03 vs ON02 ) •+10% - in volume •0% - in value
D J0 2 FM 02 AM 02 JJ 02 AS 02 O N 02 D J0 3 FM 03 AM 03 JJ 03 AS 03 O N 03
Volume Sales(Mil Pcs) Value Sales(Mil.Rmb) Rmb/Pcs
0.9 0.8 3.1 0.3 1.0 31.0
1.5 0.9 4.2 1.0 1.3 33.2
1.4 1.0 4.4 0.8 1.2 30.9
1.5 1.4 3.7 2.0 2.4 31.9
1.8 1.9 3.5 1.2 2.0 31.2
2.4 1.8 3.3 1.3 1.4 31.7
3.0 2.5 2.9 1.5 1.4 30.5
1.3 8.8
1.4 8.6
ON01 DJ02 FM02 AM02 JJ02 AS02 ON02 DJ03 FM03 AM03 JJ03 AS03 ON03
4
Copyright © 2003 ACNielsen a VNU company
Liner Prod. Segment Importance, Nat.
2.3 1.9 2.2 1.9 1.7 37
2.9 2.7 1.9 2.3 1.7 35.4
2.6 2.6 1.9 2.2 1.8 34.3
3 1.6 1.7 1.5 1.8 36.9
3.1 1.9 1.8 1.4 1.8 40.4
3.4 2.1 1.7 1.3 1.5 39.7
7
Copyright © 2003 ACNielsen a VNU company
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AstraZeneca PLCFourth Quarter and Full Year Results 2003“Achievements in 2003 position AstraZeneca for strong sales and profitgrowth”Financial Highlights (before Exceptional Items)Group4th Quarter2003$m 4th Quarter2002$mActual%CER%Full Year2003$mFull Year2002$mActual%CER%Sales 4,8754,901-1-818,84917,841+6- Operating Profit 8491,074-21-264,1114,356-6-11 Profit before Tax 8691,081-20-254,2024,387-4-9 Earnings per ShareBefore Exceptional Items $0.38$0.45-17-22$1.78$1.84-3-9 Statutory (FRS3) $0.38$0.25+52+42$1.78$1.64+9+3 All narrative in this section refers to growth rates at constant exchange rates (CER)x Sales for key growth and launch products increased by 45 percent to $8.2 billion and now comprise 44 percent of total company sales.x Sales for the full year were unchanged at CER whilst absorbing the loss of$2.6 billion in US sales of Prilosec TM , Zestril TM and Nolvadex TM.x Operating profit for the full year was $4,111 million, down 11 percent, on planned investments in R&D and SG&A required to effect the portfolio transformation.x Nexium TM sales were $3.3 billion for the full year, up 62 percent.x Seroquel TM sales increased by 27 percent to $1.5 billion for the full year. Approval in the US for the use of Seroquel TM in the treatment of acute bipolar mania was received 12 January 2004.x Iressa TM sales reached $228 million for the full year, chiefly in the US ($102million)and Japan($101 million).x Crestor TM sales were $129 million for the full year. In the week ending16January,Crestor TM share of new prescriptions in the US statin market reached 4.6 percent.x On 23 December Exanta TM received its first regulatory approval (in France) and regulatory submissions were made in the US and European Union for key chronic indications, including prevention of stroke associated with atrial fibrillation.x Dividend increased by 13.6 percent to $0.795 for the full year. New $4 billion share repurchase programme approved, for completion by the end of 2005.Sir Tom McKillop, Chief Executive, said: “Achievements in 2003 when sales of key growth and launch products increased by 45 percent to $8.2 billion, propel AstraZeneca into an era of strong sales and profit growth, with a financial performance likely to rank amongst the best of our peer group. For 2004 we anticipate earnings per share should be in the range of $2.00 to $2.15.”London, 29 January 2004Media Enquiries: Steve Brown/Edel McCaffrey (London) (020) 7304 5033/5034Staffan Ternby (Södertälje) (8) 553 26107Rachel Bloom-Baglin (Wilmington) (302) 886 7858Analyst/Investor Enquiries: Mina Blair-Robinson (London) (020) 7304 5084Jonathan Hunt (London) (020) 7304 5087Staffan Ternby (Södertälje) (8) 553 26107Ed Seage/Jörgen Winroth (US) (302) 886 4065/(212) 581 8720 Interviews with Sir Tom McKillop, Chief Executive and Jonathan Symonds, Chief Financial Officer are available in video/audio and text on and . Photographs on .Business Highlights All narrative in this section refers to growth rates at constant exchange rates (CER) unless otherwise indicatedFull YearSales for the full year were unchanged in CER terms, as the strong sales performance of growth products offset the loss of $2.6 billion in US sales of Prilosec TM, Zestril TM and Nolvadex TM. Sales of growth and recently launched products increased 45 percent to $8.2 billion.The weaker US dollar lifted reported sales growth to 6 percent. Combined R&D and SG&A costs increased by an underlying 5.8 percent, but including the effects of currency movements, were up 14 percent on an“as reported”basis. Operating profit was down 11 percent at CER. Earnings per share for the full year were $1.78 versus $1.64 ($1.84 before exceptional items) in 2002.Sales for the full year in the US were down 6 percent, following an aggregate 72 percent decline in Prilosec TM, Zestril TM and Nolvadex TM. Sales excluding these products grew 36 percent. Sales outside the US increased by 6 percent, helped by 15 percent growth in Asia Pacific. Sales in Europe were up 2 percent.Nexium TM sales reached$3.3 billion for the full year on strong growth in both the US (up 62 percent) and in the rest of the world (up 60 percent). Market share of total prescriptions in the US PPI market is now over25 percent.Sales of Cardiovascular products increased by 3 percent, as a 50 percent decline in Zestril TM was more than offset by a 19 percent increase in other products. Sales of Seloken TM/Toprol-XL TM were up 38 percent, exceeding the one billion dollar mark for the first time. Atacand TM sales were up 21 percent. Crestor TM added $129 million in sales from its first launches (25 countries to date), including $62 million since launch in the US in September. Across all launch markets the Company estimates that more than 1.5 million prescriptions have been written for Crestor TM so far. In the week ending 16 January, Crestor TM share of new prescriptions in the US statin market reached 4.6 percent.In December, Exanta TM received its first regulatory approval(in France) for the prevention of venous thromboembolic events in major orthopaedic surgery. France will now act as the reference member state for seeking approval in the European Union via the Mutual Recognition Procedure for this indication. Also in December, regulatory submissions were made in Europe and in the US for the first key chronic indications, including the prevention of stroke associated with atrial fibrillation.Respiratory product sales were up 15 percent. Symbicort TM sales were $549 million, mostly in Europe,as further market share gains were fueled by approval for treatment of chronic obstructive pulmonary disease and by the appeal of its unique adjustable maintenance dose regimen in the treatment of asthma. Growth in the US for Pulmicort TM Respules TM and Rhinocort TM Aqua also contributed to the strong performance of the Respiratory franchise.Sales of Oncology products increased 8 percent despite generic erosion for Nolvadex TM in the US. Casodex TM sales were up 22 percent overall on strong growth in markets outside the US. Arimidex TM sales were up 46 percent on increased usage in early breast cancer. Iressa TM sales reached $228 million for the full year,with sales of just over$100million each in Japan and the US. In the US, more than 42,000 retail prescriptions have been dispensed for Iressa TM since launch in May 2003.Neuroscience product sales were up 12 per cent, as Seroquel TM continued strong growth in the US (up 22 percent) and in the rest of the world (up 45 percent). Earlier this month the US FDA approved Seroquel TM for use in the treatment of acute bipolar mania.Fourth QuarterSales in the fourth quarter were down by 8 percent in CER terms. Exchange rate movements against the US dollar resulted in a reported sales decline of just 1 percent. As expected, fourth quarter sales in the US were affected not only by the ongoing generic competition for Prilosec TM, Zestril TM and Nolvadex TM, but also by the projected unwinding of wholesaler stocks, which had been estimated to be around $300 million higher than normal at the end of the third quarter (chiefly in Nexium TM and Toprol-XL TM). At the end of the year, the Company believes wholesaler inventory across the product range that can be considered above normal has been reduced to well under $100 million.Fourth quarter sales for Nexium TM in the US increased by 12 percent, which was below the prescription trend, resulting in normal inventories at the end of the year. Substantial destocking also occurred for Toprol-XL TM (US sales down 21 percent versus last year’s fourth quarter), but levels still remain higher than normal at year end.Sales outside the US in the fourth quarter increased 7 percent at CER, on growth in Europe (up 5 percent) and Asia Pacific (up 8 percent).R&D and SG&A were up 8 percent at CER in the fourth quarter and, set against the fourth quarter sales decline, resulted in operating profits down 26 percent(21percent as reported with currency benefit of 5 percentage points included). Earnings per share in the fourth quarter were $0.38 compared with $0.25($0.45before exceptional items)in2002.Future ProspectsContinued good performance from the Company’s newer products should deliver strong sales and profit growth over the next several years, as the impact of generic erosion on the business diminishes. The Company believes that its financial performance over this period is likely to rank amongst the best in the global peer group of large capitalisation pharmaceutical companies.For 2004, on the basis of current exchange rates, the Company anticipates earnings per share in the range of $2.00 to $2.15 per share.The outcome is sensitive to exchange rate fluctuations and the sales performance attained for Nexium™, Crestor™ and Seroquel™.Disclosure Notice: The preceding forward-looking statements relating to expectations for earnings and business prospects for AstraZeneca PLC are subject to risks and uncertainties, which may cause results to differ materially from those set forth in the forward-looking statements. These include, but are not limited to: the rate of growth in sales of generic omeprazole in the US, continued growth in currently marketed products (in particular Crestor TM, Nexium TM, Seroquel TM, Symbicort TM, Arimidex TM and Iressa TM), the successful registration and launch of Exanta TM,the growth in costs and expenses, interest rate movements, exchange rate fluctuations and the tax rate. For further details on these and other risks and uncertainties, see AstraZeneca PLC’s Securities and Exchange Commission filings, including the 2002 Annual Report on Form 20-F.SalesAll narrative in this section refers to growth rates at constant exchange rates (CER) unless otherwise indicatedGastrointestinalFourth Quarter CER %Full Year CER %2003200220032002Losec™/ Prilosec™5281,115-582,5654,623-49Nexium™836686+173,3021,978+62Total1,3871,819-295,9436,664-16x In the US, sales of Nexium TM for the full year increased by 62 percent to $2,477 million. Total prescriptions for Nexium TM were up 46 percent and its share of total prescriptions in the US PPI market grew by nearly 5 percentage points over the course of the year, to 25.3 percent in December.x US sales for Nexium TM in the fourth quarter were up 12 percent as high wholesaler inventories following strong third quarter stocking were unwound to normal levels by year end.x Sales of Nexium TM outside the US increased by 60 percent for the full year, with excellent growth in the major markets in Europe, particularly France, Germany and the UK and a strong performance in Australia.x On14January 2004 the Company announced that the European Mutual Recognition Procedure for the intravenous formulation of Nexium TM had been successfully completed. An application for approval in the US is under review by the FDA.x US sales of Prilosec TM for the full year declined by 70 percent, in line with the decline in prescriptions. At the end of the year, Prilosec TM share of total prescriptions for omeprazole had fallen to 27.4 percent, with the balance held by generic products.x In markets outside the US, sales of Losec TM continued to grow strongly in Japan (up 39 percent) but otherwise sales were down in all major markets, resulting in a 16 percent decline.CardiovascularFourth Quarter CER %Full Year CER %2003200220032002Seloken™/ Toprol-XL™246263-101,280901+38Atacand™207160+18750569+21Plendil™157139+8540489+5Zestril™136144-15478877-50Crestor™41-n/m129-n/mTotal990894+33,9103,569+3x For the full year, worldwide sales of Seloken™/Toprol-XL™ exceeded one billion dollars for the first time, on continued strong growth in the US (up 47 percent).x Total prescriptions for Toprol-XL TM in the US increased by 25 percent, and market share of total beta blocker prescriptions reached 26.2 percent in December, up 2.6 points versus last year.x As anticipated, US sales for Toprol-XL TM in the fourth quarter (down 21 percent) were affected by wholesaler destocking. At the end of the year, however, wholesaler inventories remained higher than normal.x Atacand TM sales for the full year increased by 28 percent in the US, and by 18 percent in the markets outside the US, which account for nearly two-thirds of global Atacand TM sales. US sales growth exceeded growth in total prescriptions, indicating some increase in wholesaler inventories.x Crestor TM sales for the full year were $129 million, including $62 million in the US.x Since its first launch in the Netherlands in February, the Company estimates that more than 750,000 patients have taken Crestor TM and over 1.5 million prescriptions have been dispensed. Post marketing surveillance confirms excellent tolerability for Crestor TM, with a safety profile comparable to the other marketed statins.x The early launch markets for Crestor TM included the Netherlands, Canada and the UK. Based on the most recent market research data, Crestor TM share of total prescriptions in these markets has reached 8.2 percent (Netherlands), 6.9 percent (Canada) and 2.9 percent (UK) respectively.x In the US, Crestor TM was launched in mid-September. In the week ending 16 January, Crestor TM share of new prescriptions in the US statin market was 4.6 percent, a good start in a highly competitive market.Crestor TM dynamic share of new statin treatments (new and switch therapy only) is 13.7 percent.RespiratoryFourth Quarter CER %Full Year CER %2003200220032002Symbicort™172105+43549299+61Pulmicort™294237+17968812+12Rhinocort™9276+17364299+19Accolate™3152-42107144-28Oxis™2929-10120120-12Total661537+142,2611,818+15x Symbicort TM sales for the full year increased61percent to $549 million, as the product continues to gain share in the rapidly growing market for fixed combination asthma treatments. Launches for the chronic obstructive pulmonary disease indication as well as promotion of its unique adjustable maintenance dose regimen for asthma treatment are fuelling this growth.x On9December the Company announced submission of a regulatory application in the European Union for the new asthma treatment concept Symbicort TM Single inhaler Therapy (SiT), which is a further development of Symbicort TM adjustable maintenance dosing. Symbicort TM Single inhaler Treatment, once approved,will make asthma treatment more convenient for both the physician and the patient.x Pulmicort TM sales for the full year increased by 12 percent as a result of growth in the US market (up 41 percent). Pulmicort TM Respules TM accounts for most of this growth, with total prescriptions in the US market up32percent for the year.x Sales growth for Rhinocort TM Aqua in the US (up 58 percent) accounts for nearly all of the19percent increase in global Rhinocort TM sales for the full year.OncologyFourth Quarter CER %Full Year CER %2003200220032002Casodex™207184+2854644+22Zoladex™239206+5869794-Arimidex™14792+47519331+46Iressa™9241+11422867+227Faslodex™2116+317735+120Nolvadex™40138-74178480-66Total750681+12,7432,369+8x Casodex TM sales outside the US increased by 23 percent for the full year, on continued penetration into the treatment of early prostate cancer. Sales in Japan were up 28 percent, with good growth in Germany and Italy contributing to a 20 percent increase in Europe.x In the US, the market for anti-androgen therapy in the treatment of advanced prostate cancer is quite mature; estimated underlying demand for Casodex TM was unchanged for the year. Reported sales growth of18 percent reflects wholesaler destocking that occurred in 2002.x Arimidex TM is the leading aromatase inhibitor for the treatment of breast cancer. Approval for use in the adjuvant treatment of early breast cancer has been granted in 57 countries. Sales for the full year increased by 47 percent in the US and by 45 percent in the rest of the world, including a 61 percent increase in Japan.x Faslodex TM sales reached $77 million for the full year,virtually all in the US market. Formal approval in the European Union for Faslodex TM is expected shortly, with first launches anticipated in the second quarter.x Iressa TM sales were$228 million for the full year, with sales evenly split between Japan ($101 million) and the US ($102 million). In December alone,more than 7,300 retail prescriptions were dispensed for Iressa TM in the US, bringing the total to over 42,000 since launch in May.NeuroscienceFourth Quarter CER %Full Year CER %2003200220032002Seroquel™428357+171,4871,145+27Zomig™10494+4349328-1Diprivan™119117-3458443-2Local anaesthetics 122121-9466432-Others1916+67370-7Total792705+72,8332,418+12x Sales of Seroquel TM in markets outside the US increased 44 percent for the full year. Sales in Europe were up 40 percent and sales in Japan rose 67 percent.x In the US, Seroquel TM sales reached$1,134million for the full year, an increase of 22 percent. Total prescriptions for Seroquel TM in the US were up 34 percent for the year. Seroquel TM share of total prescriptions in the US antipsychotic market reached a new high at 21.2 percent in December, up 3.4 points versus last year. Seroquel TM was the only product among the three leading brands to increase its market share in 2003.x Seroquel TM prescriptions grew by 33 percent in the US in the fourth quarter. Sales growth was 16 percent versus the fourth quarter 2002, which included some increases in wholesaler stocking.x On 12 January 2004 the Company announced that the US FDA approved Seroquel TM for the treatment of acute bipolar mania.x Zomig TM sales for the full year increased 7 percent outside the US,and were down 8 percent in the US market. From 1 January 2004 Medpointe Inc.,a specialty pharmaceutical company, has assumed responsibility to promote and sell the Zomig TM family of prescription migraine products in the US, including Zomig TM Nasal Spray,which was launched in the fourth quarter2003.Geographic SalesFourth Quarter CER %Full Year CER %2003200220032002US2,0442,564-208,7479,351-6Europe1,8461,528+56,7095,695+2Japan356314+31,189977+14RoW629495+142,2041,818+16x In the US, sales for the full year (excluding the three products which faced generic erosion—Prilosec TM, Zestril TM and Nolvadex TM) increased 36 percent, holding the decline in overall sales to 6 percent. Growth products with strong performances included Nexium TM (up 62 percent), Toprol-XL TM (up 47 percent), and Seroquel TM (up 22 percent). In addition, Iressa TM and Crestor TM were launched in the US in 2003.x Sales in Europe increased 2 percent for the full year,as strong sales growth for Nexium TM (up 55 percent), Symbicort TM(up 53 percent), Seroquel TM (up 40 percent), and the oncology products (up 18 percent) more than offset declines in Losec TM, Zestril TM and Pulmicort TM.x Sales in Japan were up 14 percent for the full year, as a result of increases in Losec TM (up 39 percent), Seroquel TM (up 67 percent), and a strong oncology portfolio (up 16 percent).x Sales in the rest of the world increased by 16 percent for the full year,with good growth achieved in China, Mexico and Australia.Operating ReviewAll narrative in this section refers to growth rates at constant exchange rates (CER) unless otherwise indicatedFull YearReported sales grew by 6 percent and operating profits declined by 6 percent. At constant exchange rates sales were unchanged and operating profit declined by 11 percent. Currency movements continued to have a significant effect in 2003 as, compared with average 2002 rates, the US dollar weakened against the euro (17 percent), benefiting sales, and also against the Swedish krona (17 percent) and sterling (9 percent), increasing operating costs.Operating margin fell from 24.4 percent to 21.8 percent. Currency had a neutral effect on operating margin as a positive impact on gross margin was offset by the negative effect on SG&A and R&D costs as a percentage of sales. Gross margin increased 1.6 percentage points from 74.7 percent to 76.3 percent as a result of three factors: lower payments to Merck (related to proportionally lower US sales of products subject to these contingent payments) improved margin by 1.7 percentage points; underlying costs of sales increased by 0.7 percentage points; and the remainder was largely explained by exchange benefits.In aggregate R&D and SG&A grew by just under 6 percent in CER terms, with currency movements adding a further 8 percent. Against unchanged sales, both R&D and SG&A increased as a percentage of sales and exchange added a further 0.6 percentage points to these lines in aggregate. R&D increased by 1.1 percentage points to 18.3 percent. SG&A grew by 2.8 percentage points to 36.4 percent of sales as a result of the launches of Crestor TM and some field force increases in Europe and Japan.Other income was $43 million lower than last year, which included the gain on the disposal of Sular TM marketing rights in the first quarter 2002.Fourth QuarterReported sales declined by 1 percent and operating profits by 21 percent. At constant exchange rates sales fell by 8 percent and operating profit by 26 percent.Operating margin fell from 21.9 percent to 17.4 percent. Overall, currency was neutral on margin. Gross margin increased by 3.9 percentage points from 74.4 percent to 78.3 percent. Reduced payments to Merck following low Prilosec TM sales and destocking of Nexium TM and Toprol-XL TM accounted for 3.0 percentage points of this improvement, 0.7 percentage points were accounted for by underlying cost of sales and the balance being exchange.In aggregate R&D and SG&A grew by 8 percent in CER terms, with currency movements adding a further 9 percent. R&D and SG&A increased as a percentage of sales on increased spending set against the decline in sales versus the strong fourth quarter 2002, and currency effects. R&D increased by 3.2 points to 21.4 percent, as the phasing of spending was weighted toward the fourth quarter, which included several up-front payments for collaboration agreements signed in December and recruitment of additional staff in Discovery Research and Development. SG&A grew by 6.1 points to 40.0 percent of sales as a result of spending in support of the launches of new products.Wholesaler StockingWholesaler stocking continues to have an effect on the quarterly phasing of sales. As expected, wholesaler inventories unwound this quarter from an excess at the end of quarter three estimated at around $300 million to well under $100 million. For the year as a whole we estimate that excess wholesaler inventories had little or no effect on sales growth.InterestNet interest and dividend income in the quarter was $20 million, resulting in $91 million for the full year.Both the quarter and the full year benefited in comparison with 2002, as several small exchange and market revaluation losses in 2002 were absent in 2003.TaxationThe effective tax rate for the fourth quarter was 26.0 percent, bringing the rate for the full year to 27.2 percent compared with 26.8 percent in 2002.In the fourth quarter AstraZeneca concluded a negotiated settlement with the UK and the US Governments covering all tax liabilities potentially arising from transfer pricing in respect of ex-Zeneca products for the years 1987 to 2001.Cash FlowCash generated from operating activities before exceptional cash outflows was $4,617 million compared with $5,686 million in 2002. The principal cause of this decline was an increase in working capital of$1,101million compared to a decrease of $305 million in 2002. Debtors increased by $540 million, partly due to higher invoiced sales in December in the US compared with 2002 and partly due to a higher proportion of sales from Europe where average credit terms are longer than in the US. The stronger European and Japanese currencies also increased the cash flow effect compared with last year. In addition, prepayments into pension funds increased, in particular a one-off payment of $165 million to the UK fund. Inventories increased by $131 million in support of Crestor™ launches and other rapidly growing products while inventories of mature products declined. Creditors have fallen by $430 million, partly due to a reduction in payables to Merck, but also due to the settlement of several one-off items notably commitments to pension funds in the US and Sweden at the end of 2002.Cash expenditure on exceptional items increased to $391 million principally as a result of the settlement of $355 million in respect of the Zoladex™ investigation.Tax paid was $886 million, including the transfer pricing settlement which had been provided for in previous years. Capital expenditures including intangible assets and new fixed asset investments totalled $1,597 million. Without the effect of exchange movements, expenditure on tangible fixed assets is slightly lower than in 2002. The cash inflow in respect of the disposal of Marlow Foods contributed $80 million in the year.After accounting for dividends paid of $1,222 million and net share repurchases of $1,107 million there was a $348 million decrease in net cash funds, which totalled $3,496 million at 31 December 2003.DividendsThe Board has recommended a 15 percent increase in the second interim dividend to $0.54 (29.4 pence, 3.91 SEK) to be paid on 6 April 2004. This brings the dividend for the full year to $0.795 (45.3 pence, 5.98 SEK), an increase of 13.6 percent.It is the Board’s intention that subsequently,dividends will increase broadly in line with earnings growth whilst bringing dividend cover to around the middle of the two to three times range.Share Repurchase ProgrammeDuring the quarter 11.7 million shares were repurchased for cancellation at a total cost of $547 million, bringing the total for the year to 27.2 million shares at a total cost of $1,154 million.This was the final phase of share repurchases under the $4 billion programme that commenced in August 1999. Under this programme the total number of shares repurchased for cancellation stands at 92.8 million at an aggregate cost of $3,959 million.The Board has approved a new programme of share repurchases of $4 billion to be completed by the end of 2005, assuming continued market access and the absence of strategic uses for cash.The total number of shares that remain in issue at 31 December 2003 is 1,693 million.Upcoming Milestones and Key Events29 April Announcement of first quarter results29 April Annual General Meeting22 July Announcement of second quarter results6 October Annual Business Review meeting21 October Announcement of third quarter and nine months resultsSir Tom McKillopChief Executive。

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