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AstraZeneca

Latest Rankings

AstraZeneca falls three places to sixth on the 2026 Global Pharmaceutical Innovation Index and one place to second on the Invention Index, reflecting the competitive pressure at the top of both rankings rather than any deterioration in performance. Full-year revenues have grown strongly, with oncology up 21%, respiratory and immunology up 23%, CVRM up 18%, and rare diseases up 16%.

Enhertu (trastuzumab deruxtecan) delivered a standout year in breast cancer. DESTINY-Breast09 supported US approval of Enhertu plus Perjeta (pertuzumab) as the first new first-line standard of care in HER2-positive metastatic disease in over a decade, reducing the risk of disease progression or death by 44% and achieving median progression-free survival beyond three years. In early disease, DESTINY-Breast05 showed a 53% reduction in invasive disease recurrence or death versus T-DM1 in high-risk HER2-positive patients, earning Breakthrough Therapy Designation, while DESTINY-Breast11 reported a 67% pathologic complete response rate in the neoadjuvant setting: the highest observed in a Phase 3 registrational trial.

Datroway (datopotamab deruxtecan) also advanced the portfolio, with positive Phase 3 TROPION-Breast02 overall survival data in metastatic triple-negative breast cancer ineligible for immunotherapy. US approvals were granted in HR-positive, HER2-negative breast cancer and EGFR-mutated non-small cell lung cancer.

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IDEA Pharma’s Pharmaceutical Innovation and Invention Index, and their accompanying White Papers, explore the performance of individual companies in much greater detail. By accessing our White Papers, you are given an inside look into our research and findings.

  1. 1 Methodology and analysis
  2. 2 Extended profiles of the Top 10 overall companies
  3. 3 The full top 30 ranking
  4. 4 The report in full
  5. 5 Disruptive Pioneers in Biotech list