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news release May 2, 2003 ASTRAZENECA RECEIVES AUSTRALIAN APPROVAL FOR IRESSA™ FOR ADVANCED NON-SMALL CELL LUNG CANCER Second Approval for Novel Anti-cancer Treatment AstraZeneca announced today that the Australian Therapeutic Goods Administration has granted approval of IRESSA™ (gefitinib, ZD1839) for the treatment of patients with locally advanced or metastatic non-small cell lung cancer (NSCLC) who have previously received treatment with chemotherapy. The decision in Australia represents the second approval world-wide for IRESSA— the first in a new class of anti-cancer drugs known as ‘Epidermal Growth Factor Receptor (EGFR) inhibitors’. IRESSA was approved by the Japanese Ministry of Health, Labour and Welfare for the treatment of inoperable or recurrent NSCLC in July 2002 and is under review elsewhere, including the US Food and Drug Administration and the European Medicines Evaluation Agency. Brent Vose, Vice President and Head of Oncology at AstraZeneca commented, "The approval of IRESSA in Australia offers great hope to thousands of lung cancer patients and their families. Australia is the second country to approve IRESSA, and we look forward to a similar outcome in a number of other countries, where regulatory reviews are underway, so that this important new treatment can be made available to the patients who suffer from the devastating results of advanced lung cancer.” The approval in Australia reflects both confidence in IRESSA and a recognition of the critical need for new treatment options for NSCLC ― a complex, severely symptomatic illness with a devastating impact on the patient and their family. In the year 2000 there were over 1.2 million people diagnosed with lung cancer world-wide and more than 1 million people died from the disease. In the region of South-East Asia, there were over 65,000 new cases (of which 8,157 were reported in Australia) and 60,599 deaths (6,938 in Australia) from lung cancer. The worldwide market for NSCLC is valued at $1.6 billion, and is forecasted to grow to $8 billion by 2011. The approval in Australia is based on data from two large, randomised Phase II trials, IDEAL 1 and IDEAL 2 (IRESSA Dose Evaluation in Advance Lung Cancer). These studies demonstrated that taking one tablet of IRESSA 250mg per day monotherapy provided clinically-significant anti-tumour activity in patients with previously treated advanced NSCLC. AstraZeneca S-151 85 Södertälje Sweden Tel Fax +46 8 553 260 00 +46 8 553 290 00 www.astrazeneca.com www.astrazeneca.se Reg Office AstraZeneca AB (publ) S-151 85 Södertälje Sweden Reg No 556011-7482 VAT No SE556011748201 news release May 2, 2003 The effectiveness of IRESSA is based on objective response rates. Most responses were seen in the first eight weeks of treatment and at least 40 per cent of patients gained clinical benefit and improvement in their disease-related symptoms. Approximately 30 per cent of patients taking IRESSA were alive after one year of commencing treatment. IRESSA is a once-a-day 250 mg pill and is not typically associated with the severe side-effects often seen with standard cytotoxic chemotherapy treatments used to treat NSCLC patients. Most patients experience some side-effects but these are generally mild and well-tolerated including rash and diarrhoea. Interstitial Lung Disease (ILD) is a known complication of lung cancer and has been observed in patients taking IRESSA in about 1 per cent of patients. Media Enquiries: Staffan Ternby, 070-557 43 00 Emily Denney, +44 (0) 207 304 5034 Louise Marland, Global PR Manager, Oncology +44 (0) 1625 510782 Mobile: +44 (0) 7900 607794 Investor Relations: Staffan Ternby, 070-557 43 00 Mina Blair Robinson, +44 (0) 207 304 5084 Jonathan Hunt, +44 (0) 207 304 5087 Notes to editors: IRESSA™ is a trademark of the AstraZeneca group of companies. For further information on the Epidermal Growth Factor Receptor and its potential role in cancer treatment, please visit www.EGFR-INFO.com For further information on IRESSA™ and lung cancer, please visit www.iressa.com For further press information regarding IRESSA™ and other AstraZeneca cancer therapies, please visit www.cancerpressoffice.com and www.astrazenecapressoffice.com 2/2