Cancer pipeline to power future gains for AstraZeneca shares?

Dr James Fox takes a closer look at AstraZeneca shares after the stock lost £14bn in value on Monday as a cancer trial proved inconclusive.

| More on:

The content of this article was relevant at the time of publishing. Circumstances change continuously and caution should therefore be exercised when relying upon any content contained within this article.

You’re reading a free article with opinions that may differ from The Motley Fool’s Premium Investing Services. Become a Motley Fool member today to get instant access to our top analyst recommendations, in-depth research, investing resources, and more. Learn More.

A senior woman sits up on the exam table at a doctors appointment. She is dressed casually in a blue sweater and has a smile on her face as she glances at the doctor. Her female doctor is wearing a white lab coat and seated in front of her as she takes notes on a tablet.

Image source: Getty Images

AstraZeneca (LSE:AZN) shares are the crown jewels of the FTSE 100. Under the company’s current strategy, it focuses on areas such as cancer, cardiovascular, kidney, rare- and respiratory-diseases. 

Today, I’m looking at the cancer unit and assessing whether this area will continue to drive AstraZeneca forward.

Top performer

In 2022, revenue from oncology — the branch of medicine that specialises in the diagnosis and treatment of cancer — amounted to £14.6bn, meaning it’s the pharma stock’s largest business unit. As a whole, AstraZeneca earned $43bn — a fact that further demonstrates the importance of oncology unit.

Over the past three years, revenue from the cancer unit has risen from $10.8bn to $14.6bn. A rebound in diagnosis and treatment following the pandemic has boosted revenue, and will likely continue to do so.

Source:
Source: Statista

The company hit CEO Pascal Soriot’s $40bn target by 2023 but, going forward, investors will be looking at the oncology unit to continue driving the business forward.

The oncology business

AstraZeneca develops and markets a portfolio of oncology drugs — such as Calquence, Enhertu, Tagrisso, Imfinzi, and Lynparza — used in the treatment of different types of cancer. These drugs to healthcare providers, hospitals, clinics, and wholesalers.

The biotech/pharma giant also enters into collaborations and licensing agreements which may see the company receive upfront payments, milestone payments, and royalties as part of these agreements. AstraZeneca also receives funding to support clinical trials.

Key trial data

Nearly £14bn was wiped off the stock market value of AstraZeneca on Monday after it published the first results from its phase three trial for datopotamab deruxtecan. It wasn’t that the drug proved ineffective, but that it was too soon to say with statistical significance whether patients would live longer.

This sent the share price tumbling, despite the drug, which was developed alongside Daiichi Sankyo, demonstrating that it could halt the progression of a patient’s cancer for longer than the drug currently considered the standard for chemotherapy.

Still, investors will be keeping a close eye on the trial’s development. These results weren’t what the market was hoping for as some analysts had suggested datopotamab deruxtecan may deliver up to $18bn in sales.

While AstraZeneca couldn’t publish the results, there may be a hidden positive. It could be interpreted that the patients are living longer and that is why there’s not enough data for comparison. Maybe the market overreacted. It’s hard to tell.

In short, datopotamab deruxtecan, if successful, would undoubtedly power the already strong oncology unit forward. It’s a wait and see moment.

Huge pipeline

There’s a lot of anticipation around datopotamab deruxtecan, but AstraZeneca has a huge pipeline of 178 projects — 24 additional projects, many in oncology, which are due to start this year. In many respects, the size of the pipeline dwarfs its peers.

A good number of these projects are line extensions, rather than entirely new products. There’s two ways to look at this. Entirely new products could be more lucrative. But line extensions should be less risky — and pharma trials are risky as most drugs just don’t make it.

Personally, I see this trial-induced fall as a great opportunity for me to buy AstraZeneca shares — it’s not over for datopotamab deruxtecan. Oncology is a huge, and sadly growing market. It will continue to power share gains in the coming years.

James Fox has no position in any of the shares mentioned. The Motley Fool UK has no position in any of the shares mentioned. Views expressed on the companies mentioned in this article are those of the writer and therefore may differ from the official recommendations we make in our subscription services such as Share Advisor, Hidden Winners and Pro. Here at The Motley Fool we believe that considering a diverse range of insights makes us better investors.

More on Investing Articles

Stack of one pound coins falling over
Investing Articles

Want to turn your ISA into a passive income machine? These 3 steps help

Christopher Ruane looks at a trio of factors he reckons could help an investor as they aim to earn passive…

Read more »

Investing For Beginners

2 FTSE shares that have been oversold in this stock market correction

Jon Smith reviews the recent market slump and points out a couple of FTSE shares he believes have been oversold…

Read more »

Warren Buffett at a Berkshire Hathaway AGM
Investing Articles

As the stock market moves down, I’m taking the Warren Buffett approach!

Rather than getting nervous as markets move around, our writer is looking to the career of Warren Buffett to see…

Read more »

Fans of Warren Buffett taking his photo
Investing Articles

Here’s how a stock market crash could be brilliant news for your retirement!

This writer isn't peering into a crystal ball trying to time the next stock market crash. Instead, he's making an…

Read more »

Burst your bubble thumbtack and balloon background
Investing Articles

Down 93%, should I load up on this penny stock while it’s under 1p?

The small-cap company behind this penny stock is eyeing up a substantial global market opportunity. So why did it crash…

Read more »

Portrait of pensive bearded senior looking on screen of laptop sitting at table with coffee cup.
Investing Articles

Is Fundsmith Equity still worth holding in a Stocks and Shares ISA or SIPP in 2026?

The performance of the Fundsmith Equity fund has been shocking over the last two years. Is it still smart to…

Read more »

Young female hand showing five fingers.
Investing Articles

5 smart moves to make before the 2025/2026 ISA deadline

Taking advantage of the annual allowance isn’t the only smart move to make before the upcoming ISA deadline, says Edward…

Read more »

Businesswoman calculating finances in an office
Investing Articles

Here’s the dividend forecast for Lloyds shares through to 2028

Can dividend forecasts tell investors much about the outlook for banking shares? Stephen Wright sets out what investors really need…

Read more »