FORM 6-K
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Report of Foreign Issuer
Pursuant to Rule 13a-16 or 15d-16 of
the Securities Exchange Act of 1934
For December 2023
Commission File Number: 001-11960
AstraZeneca PLC
1 Francis Crick Avenue
Cambridge Biomedical Campus
Cambridge CB2 0AA
United Kingdom
Indicate by check mark whether the registrant files or will file annual reports under cover of Form 20-F or Form 40-F:
Form 20-F x Form 40-F ¨
Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(1):
¨
Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(7):
¨
Indicate by check mark whether the registrant by furnishing the information contained in this Form is also thereby furnishing the
information to the
Commission pursuant to Rule 12g3-2(b) under the Securities Exchange Act of 1934.
Yes ¨ No x
If “Yes” is marked, indicate below the file number assigned to the Registrant in connection with Rule 12g3-2(b): 82-
__________
AstraZeneca PLC
INDEX TO EXHIBITS
1. AstraZeneca
to acquire Icosavax
PUBLISHED
12 December 2023
AstraZeneca to acquire Icosavax, including potential
first-in-class RSV and hMPV combination vaccine with positive Phase II data
Building on expertise in RSV prevention,
acquisition will accelerate ambition to deliver portfolio of protective interventions to address high unmet needs in infectious diseases
AstraZeneca has entered into a definitive agreement
to acquire Icosavax, Inc. (NASDAQ: ICVX), a US-based clinical-stage biopharmaceutical company focused on developing differentiated,
high-potential vaccines using an innovative, protein virus-like particle (VLP) platform.
The proposed acquisition will build on AstraZeneca’s
expertise in respiratory syncytial virus (RSV), strengthening AstraZeneca’s Vaccines & Immune Therapies late-stage pipeline
with Icosavax’s lead investigational vaccine candidate, IVX-A12. IVX-A12 is a potential first-in- class, Phase III-ready, combination
protein VLP vaccine which targets both RSV and human metapneumovirus (hMPV), two leading causes of severe respiratory infection and hospitalisation
in adults 60 years of age and older and those with chronic conditions such as cardiovascular, renal and respiratory disease.1-3 There
are currently no treatments or preventative therapies for hMPV and no combination vaccines for RSV.4
IVX-A12
is the most advanced investigational vaccine targeting both RSV and hMPV and has a differentiated profile versus currently approved RSV
vaccines. Phase II data demonstrate that IVX-A12 elicits robust immune responses against both RSV and hMPV one
month after vaccination and reconfirm previous immunogenicity data seen in the Phase I trial.5
As VLP vaccines mimic how naturally occurring
viruses appear to the body’s immune system, they may offer potential benefits over non-VLP vaccines, including a stronger immune
response, greater breadth of protection, greater durability requiring fewer boosters and, compared to the current adjuvanted RSV vaccine,
a lower incidence of side effects.6
Alongside Icosavax’s proprietary technology
and leadership in protein design, the acquisition is expected to also bring their expertise and capabilities in protein virus-like particle
science and development to AstraZeneca to support the progression of IVX-A12 and other differentiated VLP vaccines for high-burden respiratory
infections.
Iskra Reic, Executive Vice President, Vaccines &
Immune Therapies, AstraZeneca, said: “This virus-like particle vaccine technology has the potential to transform prevention against
severe infectious diseases, including RSV and hMPV. With the addition of Icosavax’s Phase III-ready lead asset to our late-stage
pipeline, we will have a differentiated, advanced investigational vaccine, and a platform for further development of combination vaccines
against respiratory viruses. This aligns with our strategy to deliver a portfolio of therapies to address high unmet needs in infectious
diseases, and our ambition to protect the most vulnerable patients who have high risk of severe outcomes.”
Adam Simpson, Chief Executive officer, Icosavax,
said: “We are pleased to announce the proposed acquisition of Icosavax by AstraZeneca as we believe it offers the opportunity to
accelerate, and expand access to, our potential first-in-class combination vaccine for older adults at risk of RSV and hMPV. We look forward
to combining our skills and expertise in advancing the development of IVX-A12 with AstraZeneca’s decades of experience in RSV, resources,
and capabilities in late-stage development.”
Financial considerations
Under the terms of the agreement, AstraZeneca,
through a subsidiary, will initiate a tender offer to acquire all of Icosavax’s outstanding shares for a price of $15.00 per share
in cash at closing, plus a non-tradable contingent value right for up to $5.00 per share in cash payable upon achievement of a specified
regulatory milestone and a sales milestone. The upfront cash portion of the consideration represents a transaction value of approximately
$0.8bn, a 43% premium to Icosavax’s closing market price on 11th December 2023 and a 73% premium to the 60-day
volume-weighted average price (VWAP) of $8.68 before this announcement. Combined, the upfront and maximum potential contingent value payments
represent, if achieved, a transaction value of approximately $1.1bn, a 91% premium to Icosavax’s closing market price on 11th December 2023
and a 130% premium to the 60-day VWAP. As part of the transaction, AstraZeneca will acquire the cash and marketable securities on Icosavax’s
balance sheet, which totaled $229m as of 30th September 2023.
Notes
Icosavax
Icosavax is a biopharmaceutical company leveraging
its innovative VLP platform technology to develop vaccines against infectious diseases, with an initial focus on life-threatening respiratory
diseases and a vision for combination and pan-respiratory vaccines. Icosavax’s VLP platform incorporates antigen design capabilities
and technology to enable multivalent, particle-based display of complex viral antigens, which it believes will induce broad, robust, and
durable protection against the specific viruses targeted. Icosavax’s lead program is a combination vaccine candidate targeting respiratory
syncytial virus (RSV) and human metapneumovirus (hMPV). Its pipeline includes additional candidates that provide optionality as potential
components of future combination and pan-respiratory vaccines, including influenza and SARS-CoV-2. Icosavax was formed in 2017 to advance
the breakthrough VLP technology from the Institute for Protein Design at the University of Washington with the goal to discover, develop,
and commercialize vaccines against infectious diseases. Icosavax is located in Seattle.
RSV and hMPV in older adults
RSV is a common, contagious virus that is a major
cause of lower respiratory tract infection in adults.7 Most adult RSV disease cases occur among older adults, with an
estimated 60,000-160,000 hospitalisations and 6,000-10,000 deaths annually among US adults >65 years.8 RSV infection
can cause serious complications such as pneumonia or exacerbation of congestive heart failure, asthma, and chronic obstructive pulmonary
disease.7
hMPV causes disease very similar to RSV, including
upper and lower respiratory tract infections that can be more severe in young children, older adults, and people with weakened immune
systems.4 Adults with hMPV infection may have viral pneumonia, worsening asthma, or COPD symptoms.9 Data
support similar morbidity and mortality for hMPV and RSV.2 There are currently no treatment or prevention options for
hMPV.4
IVX-A12
IVX-A12 is a liquid, refrigerator-stable formulation
comprised of IVX-121, Icosavax’s RSV prefusion F protein VLP vaccine candidate, and IVX-241, Icosavax’s hMPV prefusion
F protein VLP vaccine candidate.
In Icosavax’s Phase II trial, IVX-A12
showed robust immune responses across RSV and hMPV antibodies, reconfirming previous immunogenicity data seen in the smaller Phase I trial.
The data are the first to demonstrate hMPV immune response in a Phase II combination vaccine trial. IVX-A12 was generally well-tolerated
in the trial, with a safety profile similar to that seen in the Phase I trial.5
IVX-A12 has been granted Fast Track Designation
from the US Food and Drug Administration, a programme designed to facilitate the development and expedite the review of investigational
drugs to treat serious conditions and fulfill an unmet medical need.10
Icosavax VLP technology
VLPs are a proven technology with multiple products
on the market, including vaccines for human papillomavirus and hepatitis B.6 While currently available vaccines utilise
the few proteins that naturally fold into VLPs,11 the Icosavax protein VLP platform builds on that success with intentionally
designed VLPs to create highly differentiated vaccines.
VLPs are designed to resemble the structure of
viruses, with high-density, multivalent display of antigens.6,11 This technology is believed to induce a stronger and
more durable immune response versus traditional soluble antigens.6,11
Transaction details
The closing of the tender offer will be subject
to certain conditions, including the tender of shares representing at least a majority of the total number of Icosavax’s outstanding
shares, and other customary closing conditions and regulatory clearances. Upon the successful completion of the tender offer, AstraZeneca’s
acquisition subsidiary will be merged with and into Icosavax and any remaining shares of common stock of Icosavax will be cancelled and
converted into the right to receive the same merger consideration (including the contingent value right) per share payable in the tender
offer. Subject to the satisfaction of the conditions in the merger agreement, the acquisition is expected to close in the first quarter
of 2024.
Important information about the tender offer
The tender offer for the outstanding common stock
of the Company has not yet commenced. This communication does not constitute a recommendation, an offer to purchase or a solicitation
of an offer to sell the Company’s securities. An offer to purchase shares of the Company’s common stock will only be made
pursuant to an Offer to Purchase and related tender offer materials. At the time the tender offer is commenced, AstraZeneca PLC (AstraZeneca),
AstraZeneca Finance and Holdings Inc. and Isochrone Merger Sub Inc., a wholly owned indirect subsidiary of AstraZeneca, will file a Tender
Offer Statement on Schedule TO with the Securities and Exchange Commission (the SEC) and thereafter the Company will file a Solicitation/Recommendation
Statement on Schedule 14D-9 with the SEC with respect to the tender offer. The tender offer materials (including the Offer to Purchase,
a related Letter of Transmittal and other tender offer documents) and the Solicitation/Recommendation Statement on Schedule 14D-9 will
contain important information.
THE COMPANY’S STOCKHOLDERS ARE URGED
TO READ THESE DOCUMENTS (INCLUDING THE OFFER TO PURCHASE AND RELATED LETTER OF TRANSMITTAL AND CERTAIN OTHER DOCUMENTS), AND THE SOLICITATION/RECOMMENDATION
STATEMENT, AS MAY BE AMENDED FROM TIME TO TIME, CAREFULLY WHEN THEY BECOME AVAILABLE BECAUSE THEY WILL CONTAIN IMPORTANT INFORMATION
THAT THEY SHOULD CONSIDER BEFORE MAKING ANY DECISION REGARDING TENDERING THEIR SHARES OF COMMON STOCK.
The
tender offer materials and the Solicitation/Recommendation Statement will be made available for free at the SEC’s website at www.sec.gov.
Copies of the documents filed with the SEC by AstraZeneca may be obtained at no charge on the investor relations page of AstraZeneca’s
internet website at www.astrazeneca.com/investors. Copies of the documents filed with the SEC by Icosavax may be obtained
at no charge under the “Investors” section of Icosavax’s internet website at www.Icosavax.com.
Forward-looking statements
This announcement may include statements that
are not statements of historical fact, or “forward-looking statements,” including with respect to AstraZeneca’s proposed
acquisition of Icosavax. Such forward-looking statements include, but are not limited to, the ability of AstraZeneca and Icosavax to complete
the transactions contemplated by the acquisition agreement, including the parties’ ability to satisfy the conditions to the consummation
of the offer contemplated thereby and the other conditions set forth in the merger agreement, statements about the expected timetable
for completing the transaction, AstraZeneca’s and Icosavax’s beliefs and expectations and statements about the benefits sought
to be achieved in AstraZeneca’s proposed acquisition of Icosavax, the potential effects of the acquisition on both AstraZeneca and
Icosavax, the possibility of any termination of the merger agreement, as well as the expected benefits and success of IVX-A12 and any
combination product. These statements are based upon the current beliefs and expectations of AstraZeneca’s and Icosavax’s
management and are subject to significant risks and uncertainties. There can be no guarantees that the conditions to the closing of the
proposed transaction will be satisfied on the expected timetable or at all or that IVX-A12 or any further vaccines using the virus-like
particle technology will receive the necessary regulatory approvals or prove to be commercially successful if approved. If underlying
assumptions prove inaccurate or risks or uncertainties materialise, actual results may differ materially from those set forth in the forward-looking
statements.
Risks and uncertainties include, but are not limited
to, uncertainties as to the timing of the offer and the subsequent merger; uncertainties as to how many of Icosavax’s stockholders
will tender their shares in the offer; the possibility that various conditions to the consummation of the offer and the merger contemplated
by the merger agreement may not be satisfied or waived; the ability to obtain necessary regulatory approvals or to obtain them on acceptable
terms or within expected timing; the effects of disruption from the transactions contemplated by the merger agreement and the impact of
the announcement and pendency of the transactions on Icosavax’s business; the risk that stockholder litigation in connection with
the offer or the merger may result in significant costs of defense, indemnification and liability; the possibility that the achievement
of the specified milestones described in the contingent value rights agreement may take longer to achieve than expected or may never be
achieved and the resulting contingent milestone payments may never be realized; general industry conditions and competition; general economic
factors, including interest rate and currency exchange rate fluctuations; the impact of COVID-19; the impact of pharmaceutical industry
regulation and health care legislation in the United States and internationally; competition from other products; and challenges inherent
in new product development, including obtaining regulatory approval.
Neither AstraZeneca nor Icosavax undertakes any
obligation to publicly update any forward-looking statement, whether as a result of new information, future events or otherwise, except
to the extent required by law. Additional factors that could cause results to differ materially from those described in the forward-looking
statements can be found in AstraZeneca’s Annual Report on Form 20-F for the year ended 31 December 2022, Icosavax’s
Annual Report on Form 10-K for the year ended 31 December 2022 and Icosavax’s Quarterly Reports on Form 10-Q for
the three months ended 31 March 2023, 30 June 2023 and 30 September 2023, in each case as amended by any subsequent filings
made with the SEC. These and other filings made by AstraZeneca and Icosavax with the SEC are available at www.sec.gov.
AstraZeneca
AstraZeneca (LSE/STO/Nasdaq: AZN) is a global,
science-led biopharmaceutical company that focuses on the discovery, development, and commercialisation of prescription medicines in Oncology,
Rare Diseases, and BioPharmaceuticals, including Cardiovascular, Renal & Metabolism, and Respiratory & Immunology. Based
in Cambridge, UK, AstraZeneca operates in over 100 countries and its innovative medicines are used by millions of patients worldwide.
Please visit astrazeneca.com and follow the Company on social media @AstraZeneca.
Contacts
For
details on how to contact the Investor Relations Team, please click here. For Media contacts, click here.
References
| 1. | Sieling WD, Goldman CR, et al. Comparative incidence and burden of respiratory viruses associated with
hospitalization in adults in New York City. Influenza Resp Viruses. 2021;15(5):670-677. doi:10.1111/irv.12842 |
| 2. | Widmer K, Zhu Y, et al. Rates of hospitalizations for respiratory syncytial virus, human metapneumovirus,
and influenza virus in older adults. J Infect Dis. 2012;206(1):56-62. doi:10.1093/infdis/jis309 |
| 3. | Jain S, Self WH, et al. Community-Acquired Pneumonia Requiring Hospitalization among U.S. Adults. N
Engl J Med. 2015 Jul 30;373(5):415-27. |
| 4. | Human metapneumovirus. CDC.
Published 20 September 2023. Accessed 5 December 2023. https://www.cdc.gov/ncird/human-metapneumovirus.html |
| 5. | Icosavax. Press Releases. Last Accessed
11 December 2023. https://ir.icosavax.com/press-releases |
| 6. | Tariq H, Batool S, et al. Virus-like particles: revolutionary platforms for developing vaccinesagainst
emerging infectious diseases. Front Microbiol. 2022; Jan 3;12:790121. |
| 7. | RSV
in Older Adults and Adults with Chronic Medical Conditions. CDC. Published 7
November, 2023. Accessed 6 December 2023. https://www.cdc.gov/rsv/high-risk/older-adults.html. |
| 8. | Havers FP, Whitaker M, et al. Characteristics and Outcomes Among Adults Aged ≥60 Years Hospitalized
with Laboratory-Confirmed Respiratory Syncytial Virus - RSV-NET, 12 States, July 2022-June 2023. MMWR Morb Mortal Wkly
Rep. 2023 Oct 6;72(40):1075-1082. |
| 9. | Esposito S, Mastrolia MV. Metapneumovirus Infections and Respiratory Complications. Semin Respir
Crit Care Med. 2016 Aug;37(4):512-21. |
| 10. | Icosavax. (21 February 2023). Icosavax
Granted FDA Fast Track Designation for IVX-A12. Accessed 6 December 2023 https://ir.icosavax.com/news-releases/news-release-details/icosavax-granted-fda-fast-track-designation-ivx-a12 |
| 11. | Nooraei, S, Bahrulolum H, et al. Virus-like particles: preparation, immunogenicity and their roles as
nanovaccines and drug nanocarriers. J Nanobiotechnol. 2021;19(59). |
Adrian Kemp
Company Secretary
AstraZeneca PLC
SIGNATURE
Pursuant to the requirements of the Securities Exchange Act of 1934,
the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.
Date: December 12, 2023
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ASTRAZENECA
PLC |
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By: |
/s/ Adrian Kemp |
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Name:
Adrian Kemp |
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Title:
Company Secretary |
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