Revenue Growth and Sales Performance - Total revenues increased 22% to 7.4billioninQ12024,drivenby25914 million in sales, with products like TEPEZZA, KRYSTEXXA, and UPLIZNA driving growth[3] - Repatha sales increased 33% year-over-year to 517million,drivenby44173 million, primarily driven by volume growth[10] - TEPEZZA generated 424millioninsales,KRYSTEXXA235 million, and UPLIZNA 80millioninQ12024[12]−TotalrevenuesforQ12024were7.447 billion, compared to 6.105billioninQ12023,representinga227.118 billion, up from 5.846billioninQ12023,a21.81.9 billion to 1.0billion,withGAAPoperatingmargindropping19.0percentagepointsto13.92.8 billion to 3.1billion,butnon−GAAPoperatingmargindecreased5.1percentagepointsto43.2991 million, compared to 1,921millioninQ12023,withNon−GAAPoperatingincomeat3,078 million, up from 2,821millioninthesameperiodlastyear[65]−GAAPoperatingincomeasapercentageofproductsalesdecreasedto13.90.5 billion in Q1 2024 from 0.7billioninQ12023,duetoan800 million tax deposit[4] - Free Cash Flow decreased to 0.5billioninQ12024from0.7 billion in Q1 2023, impacted by an 800milliontaxdeposit[19]−Cashandinvestmentstotaled9.7 billion, while debt outstanding was 64.0billionasofMarch31,2024[19]−Netcashprovidedbyoperatingactivitiesdecreasedto689 million in Q1 2024 from 1,064millioninQ12023,withfreecashflowalsodecliningto459 million from 720million[68]−Capitalexpendituresdecreasedto230 million in Q1 2024 from 344millioninQ12023,contributingtothedeclineinfreecashflow[68]−Thecompany′scashandcashequivalentsdecreasedby1,236 million in Q1 2024, ending the quarter at 9,708million,comparedtoanincreaseof23,931 million in Q1 2023, ending at 31,560million[68]OperatingExpensesandCostStructure−Totaloperatingexpensesincreased543.200 billion, representing 45.0% of product sales, compared to 1.720billion(29.41.343 billion, or 18.9% of product sales, compared to 1.058billion(18.11.808 billion, or 25.4% of product sales, compared to 1.258billion(21.5113 million, compared to a net income of 2.841billioninQ12023[61]−GAAPnetlossforQ12024was113 million, compared to a net income of 2,841millioninQ12023,withNon−GAAPnetincomeremainingstableat2,140 million and 2,141millionrespectively[65][67]−Netlossesfromequityinvestmentswere510 million in Q1 2024, compared to net gains of 1,853millioninQ12023,primarilyrelatedtoBeiGene,Ltd.equityfairvalueadjustments[65][67]−TheGAAPtaxrateguidancefor2024is9.560.061 billion as of March 31, 2024, from 63.170billionasofDecember31,2023[63]−Totalassetsdecreasedto92.980 billion as of March 31, 2024, from 97.154billionasofDecember31,2023[63]−Cashandcashequivalentsdecreasedto9.708 billion as of March 31, 2024, from 10.944billionasofDecember31,2023[63]RevenueandEPSGuidance−2024revenueguidanceisprojectedtobeintherangeof32.5 billion to 33.8billion[21]−GAAPdilutedEPSguidancefor2024isprojectedbetween7.15 and 8.40,whileNon−GAAPdilutedEPSguidanceisexpectedtorangefrom19.00 to $20.20[70] Clinical Trials and Pipeline Updates - MariTide Phase 2 study in overweight or obesity with or without type 2 diabetes is ongoing, with topline data expected in late 2024[23] - Tarlatamab BLA for small cell lung cancer is under FDA priority review with a PDUFA date of June 12, 2024[27] - BLINCYTO supplemental BLA for early-stage B-ALL is under FDA priority review with a PDUFA date of June 21, 2024[28] - LUMAKRAS Phase 3 CodeBreaK 300 trial overall survival data will be presented at ASCO in June 2024[32] - FORTITUDE-101, a Phase 3 study of bemarituzumab in first-line gastric cancer, continues to enroll patients[33] - TEZSPIRE reduced the annualized rate of moderate or severe COPD exacerbations by 17% compared to placebo, with a 37% reduction in patients with baseline BEC ≥ 150 cells/μL[34] - The ROCKET Phase 3 program for rocatinlimab has enrolled over 2,800 patients, with three studies completed and data readout anticipated in H2 2024[36] - Otezla demonstrated sustained efficacy in pediatric patients with moderate to severe plaque psoriasis over 52 weeks in the SPROUT Phase 3 study[37] - The Phase 4 AGILE study of KRYSTEXXA with methotrexate showed a 67.2% response rate at a 60-minute infusion duration[43] - A Phase 3 study of UPLIZNA in myasthenia gravis is fully enrolled, with data readout expected in H2 2024[44] - Two Phase 3 studies of dazodalibep in Sjögren's disease are enrolling patients, with Phase 2 data accepted for publication in Nature Medicine[45] - A Phase 2 study of fipaxalparant in idiopathic pulmonary fibrosis has completed enrollment, with data readout anticipated in H2 2024[47] - The company initiated a Phase 3 study comparing ABP 234 to Keytruda in advanced or metastatic non-squamous non-small cell lung cancer[48] Non-GAAP Financial Measures - The company presented non-GAAP financial measures for Q1 2024, including Free Cash Flow (FCF), to enhance understanding of financial performance[50] Risks and Integration Challenges - The company faces risks related to the integration of Horizon, including potential delays, difficulties, and higher-than-expected costs[58]