UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 
 
FORM 6-K
 
 
REPORT OF FOREIGN PRIVATE ISSUER
PURSUANT TO RULE 13a-16 OR 15d-16
UNDER THE SECURITIES EXCHANGE ACT OF 1934

For the month of February 2024

Commission File Number: 001-31368
 
 
SANOFI
(Translation of registrant’s name into English)
 
 
46, avenue de la Grande Armée, 75017 Paris, FRANCE
(Address of principal executive offices)


Indicate by check mark whether the registrant files or will file annual reports under cover Form 20-F or Form 40-F.
Form 20-F  ☒            Form 40-F  ☐





In February 2024, Sanofi issued the press release attached hereto as Exhibit 99.1 which is incorporated herein by reference.


Exhibit Index


Exhibit No.
                                               Description
Exhibit 99.1
Press release dated February 1, 2024: Sanofi Delivers Solid Sales and Business EPS Growth at CER Amidst Successful Product Launches and Advancements in Immunology Pipeline




SIGNATURES

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.

Dated: February 1, 2024SANOFI
By:                              /s/ Alexandra Roger
Name:Alexandra Roger
Title:Head of Legal Corporate & Finance


Press Release imagea.jpg

Sanofi Delivers Solid Sales and Business EPS Growth at CER Amidst Successful Product Launches and Advancements in Immunology Pipeline
Paris, February 1, 2024
Q4 2023 sales growth of 9.3% at CER and business EPS(1) increase of 8.2% at CER
•Specialty Care grew 13.7% driven by Dupixent and ALTUVIIIO launch performance, more than offsetting competition from generics of Aubagio in all key markets
•Vaccines sales increased strongly (up 21.1%) mainly as a result of the unprecedented uptake of Beyfortus, reaching €410 million in the second quarter of its launch
•General Medicines decline moderated (down 2.4%), reflecting accelerated growth of core assets (up 6.3%), offset by lower sales of Lantus and non-core asset divestment
•CHC rose 8.5% due to Digestive Wellness and Physical and Mental Wellness which benefited from Qunol acquisition
Full-year 2023 delivered 5.3% sales growth and 5.4% business EPS growth at CER
•Sales reached €43,070 million driven by Dupixent (€10,715 million, +34.0%, adding €2.8bn at CER), Vaccines (up 8.3%) which benefited from strong launch performance of Beyfortus (€547 millions) and CHC (+6.3%)
•Business EPS(1) of €8.11 down 1.8% on a reported basis and up 5.4% at CER
•IFRS EPS of €4.31 (down 35.6%) mainly reflecting an impairment loss of technology assets resulting from de-prioritization of R&D programs and a charge related to the liability remeasurement of expected future royalty payments on U.S. Beyfortus sales, which mainly occurred in Q4
•Board held on January 31, proposes annual dividend of €3.76 an increase of 5.6%
R&D transformation and Key milestones in Q4
•Strong pipeline including record 12 blockbuster opportunities under clinical evaluation detailed at recent R&D Day
•Dupixent submitted for COPD (Chronic Obstructive Pulmonary Disease) in the U.S., EU, and China
•Sarclisa delivered positive phase 3 results in 1L transplant-ineligible Multiple Myeloma (IMROZ)
Progress on Corporate Social Responsibility strategy in Q4
•Sanofi Global Health Unit announced three new investments through its Impact Fund to support healthcare start-ups in Sub-Saharan Africa
•Sanofi at COP28: supporting the decarbonization of healthcare systems
Full-year 2024 business EPS guidance
•Sanofi expects 2024 business EPS(1) to remain roughly stable excluding the impact of an expected effective tax rate increase to 21% and decrease low single-digit(2) at CER including the higher expected tax rate, barring unforeseen major adverse events. Applying average January 2024 exchange rates, the currency impact on 2024 business EPS is estimated between -3.5% to -4.5%.
Paul Hudson, Sanofi Chief Executive Officer, commented:
“2023 marked a critical year on our journey to become a development-driven, tech-powered biopharma company committed to serving patients and accelerating growth. We have delivered another year of strong underlying performance of our core drivers in Specialty Care and Vaccines supported by the outstanding launch execution of Beyfortus, Altuviiio and Tzield. With scientific news flow at an all-time high, pipeline advances and 12 potential blockbusters in late-stage development including amlitelimab, frexalimab and tolebrutinib, our R&D transformation has reached an inflection point on the road to industry leadership in immunology. Looking forward, we remain committed to investing in R&D to fully unlock the value of our pipeline, powered by AI at scale, and continue to focus on our expected launch opportunities such as Dupixent in COPD. At the same time, we are taking steps to become a pure-play biopharma company with more than €10bn sales contribution from Pharma launches by 2030(4).”
Q4 2023ChangeChange
at CER		2023ChangeChange
at CER
IFRS net sales reported€10,919m+1.8%+9.3%€43,070m+0.2%+5.3%
IFRS net income reported-€555m-117.8%_€5,400m-35.5%—
IFRS EPS reported-€0.44-117.7%_€4.31-35.6%—
Free cash flow(3)
€3,496m+37.3%_€8,478m-0.1%—
Business operating income€2,583m-5.2%+5.3%€12,670m-2.8%+4.3%
Business net income(1)
€2,083m-2.7%+8.2%€10,155m-1.8%+5.5%
Business EPS(1)
€1.66-2.9%+8.2%€8.11-1.8%+5.4%
Changes in net sales are expressed at constant exchange rates (CER) unless otherwise indicated (definition in Appendix 9). (1) In order to facilitate an understanding of operational performance, Sanofi comments on the business net income statement. Business net income is a non-IFRS financial measure (definition in Appendix 9). The consolidated income statement for Q4 2023 is provided in Appendix 3 and a reconciliation of reported IFRS net income to business net income is set forth in Appendix 4; (2) 2023 business EPS was €8.11; (3) Free cash flow is a non-IFRS financial measure (definition in Appendix 9). (4) Risk-adjusted net sales at CER . Already launched: ALTUVIIIO, TZIELD, Sarclisa, Nexviazyme, Rezurock, Xenpozyme, Enjaymo, Cablivi; Potential launches tolebrutinib, itepekimab, amlitelimab, frexalimab, rilzabrutinib, lunsekimig, Oral TNFR1si

1



2023 fourth quarter and full-year summary
----------------------------
Unless otherwise indicated, all percentage changes in sales in this press release are stated at CER1
---------------------
In the fourth quarter of 2023, on a reported basis, Sanofi sales were €10,919 million, up 1.8%. Exchange rate movements had a negative effect of 7.5 percentage points. At CER, company sales were up 9.3%.
In 2023, Sanofi sales reached €43,070 million, up 0.2% on a reported basis. Exchange rate movements had a negative effect of 5.1 percentage points. At CER, company sales were up 5.3%.
Global Business Units
Fourth quarter 2023 net sales by Global Business Unit (growth at CER; in € million; % of total sales)
chart-22b986bd4a964014b65a.jpg
Business operating income
Fourth-quarter 2023 business operating income (BOI) decreased 5.2% to €2,583 million. At CER, BOI increased 5.3%. The ratio of BOI to net sales decreased 1.7 percentage points (ppts) to 23.7% (down 0.9 ppts to 24.5% at CER).
In 2023, BOI decreased 2.8% to €12,670 million. At CER, BOI increased 4.3%. The ratio of business operating income to net sales decreased 0.9 ppts to 29.4% (down 0.2 ppt to 30.1% at CER).
Acquisitions and major collaborations
On November 9, Sanofi announced the completion of closing for its collaborative agreements with Janssen Pharmaceuticals, Inc., a Johnson & Johnson company, to develop and commercialize SP0282, the 9-valent vaccine candidate for extraintestinal pathogenic E. coli (ExPEC9V).
On November 30, Sanofi announced the completion of closing for its collaborative agreements with Teva Pharmaceuticals, to develop and co-commercialize asset TEV'574, currently in Phase 2b clinical trials for the treatment of ulcerative colitis and Crohn's disease, two types of inflammatory bowel disease.
Sales by geographic region
Sanofi sales (€ million)Q4 2023Change
at CER		2023Change
at CER
United States4,876 +10.1 %18,512 +4.8 %
Europe2,651 +0.6 %10,392 +4.3 %
Rest of the World3,392 +14.7 %14,166 +6.5 %
 of which China644 +19.2 %2,912 +0.4 %
1 See Appendix 9 for definitions of financial indicators
2

In the U.S., fourth-quarter sales increased 10.1% to €4,876 million. The strong performance of Dupixent as well as the launches of Beyfortus and ALTUVIIIO were partially offset by the impact of generic competition on Aubagio and Mozobil as well as lower sales of influenza vaccines and Lantus.
In Europe, fourth-quarter sales were up 0.6% (to €2,651 million) driven by Dupixent, and the launch of Beyfortus, which were partially offset by the impact of generic competition on Aubagio and lower sales of Lantus and CHC.
In the Rest of World region, fourth-quarter sales increased 14.7% (to €3,392 million), mainly driven by Dupixent, General Medicines core assets, influenza Vaccines and CHC. Sales in China increased 19.2% to €644 million driven by Dupixent, Toujeo and Plavix.
Biopharma
The Biopharma segment includes the Global Business Units Specialty Care, General Medicines and Vaccines. Please also see Appendix 1 and 2 for the comprehensive segment reporting.
In the fourth quarter, Biopharma sales increased 9.4% to €9,704 million, driven by Specialty Care (up 13.7%) and Vaccines (up 21.1%) while General Medicines decreased 2.4%.
In 2023, Biopharma sales increased 5.1% to €37,890 million driven by Specialty Care and Vaccines growth, partially offset by lower sales of non-core assets in General Medicines.
Specialty Care
Net sales (€ million)Q4 2023Change
at CER		2023Change
at CER
Dupixent
2,990 +31.3 %10,715 +34.0 %
Aubagio
121 -74.0 %955 -52.6 %
Myozyme / Lumizyme
160 -20.4 %783 -15.1 %
Fabrazyme
242 +9.2 %991 +11.2 %
Cerezyme
134 +5.0 %687 +9.1 %
Eloctate
103 -21.0 %471 -15.5 %
Alprolix
142 +6.4 %540 +11.3 %
Aldurazyme
62 +7.7 %279 +12.0 %
Nexviazyme/Nexviadyme
131 +115.4 %425+126.0 %
Jevtana
77 -5.7 %320 -14.8 %
Sarclisa
103 +30.2 %381 +37.1 %
Cablivi
58 -3.2 %227 +10.0 %
Xenpozyme
26 +58.8 %91 +347.6 %
ALTUVIIIO
94 — %159 — %
Enjaymo
23 +109.1 %72 +240.9 %
In the fourth quarter, Dupixent (collaboration with Regeneron) sales increased 31.3% to €2,990 million. In the U.S., Dupixent sales of €2,299 million (up 28.2%) were driven by continued strong demand in the approved indications: atopic dermatitis (AD), asthma, chronic rhinosinusitis with nasal polyposis (CRSwNP), eosinophilic esophagitis and prurigo nodularis. Dupixent total prescriptions (TRx) increased 30% (year-over-year) and new-to-brand prescriptions (NBRx) grew 24%. In Europe, fourth-quarter Dupixent® sales grew 32.5% to €329 million reflecting continued growth in AD, asthma and CRSwNP. In the Rest of World region, fourth-quarter sales reached €362 million, up 52.5%, driven mainly by sales in Japan and China. In 2023, Dupixent® sales reached €10,715 million, up 34.0%.
Aubagio sales decreased 74.0% in the fourth quarter to €121 million, reflecting competition from generics across all regions, including Europe where generics entered the market at the end of September 2023.
Fourth-quarter sales of the Pompe Franchise (Nexviazyme/Nexviadyme + Myozyme/Lumizyme) were at €291 million (up 11.0%). Nexviazyme/Nexviadyme sales were €131 million, up +115.4% (of which €76 million in the U.S.) driven by the conversion of Myozyme/Lumizyme in the eligible Pompe population (late-onset disease) and by new patient accruals. Conversely, Myozyme/Lumizyme sales decreased 20.4% to €160 million reflecting the conversion to Nexviazyme/Nexviadyme. Nexviazyme®/Nexviadyme sales now represent 45% of Global Pompe sales.
Fourth-quarter Fabrazyme sales increased 9.2% to €242 million, mainly reflecting new patient accruals across all three geographic regions, partially offset by unfavorable shipment patterns in the Rest of the World region.
3

Cerezyme /Cerdelga sales were up 7.4% to €209 million, reflecting growth in high inflationary countries (Argentina and Turkey) in the Rest of World region.
Eloctate sales were €103 million in the fourth quarter, down 21.0%, reflecting the uptake of ALTUVIIIO.
ALTUVIIIO, a once-weekly first-in-class high-sustained factor VIII therapy for hemophilia A that offers significant bleed protection, was launched at the end of March 2023 in the U.S. and generated sales of €94 million in the fourth quarter. ALTUVIIIO was launched in Japan in the fourth quarter.
Fourth-quarter Alprolix sales were €142 million, up 6.4%, driven by the U.S., which largely offset lower sales to Sobi recorded in the Rest of World region.
Sarclisa sales were €103 million, up 30.2%, driven by strong growth in the U.S. and the Rest of the Word region.
Fourth-quarter Jevtana sales decreased 5.7% to €77 million due to generic competition in Europe and lower sales in the U.S., reflecting increased competition.
Cablivi sales decreased 3.2% to €58 million in the fourth quarter primarily reflecting lower sales in the U.S.
Sales of Xenpozyme were €26 million in the fourth quarter driven by the U.S.
Fourth-quarter sales of Enjaymo were €23 million mainly generated in the U.S. and Japan.
General Medicines
Core assets2
Net sales (€ million)Q4 2023Change
at CER		2023Change
at CER
Lovenox
263 -0.3 %1,125 -8.7 %
Toujeo
278 +11.4 %1,123 +6.2 %
Plavix
254 +13.1 %948 +4.4 %
Thymoglobulin
112 +5.1 %478 +14.1 %
Praluent
118 +26.0 %422 +15.2 %
Multaq
87 -12.5 %344 -7.6 %
Rezurock
86 +44.4 %310 +54.6 %
TZIELD10 — %25 — %
In the fourth quarter, core assets sales increased 6.3% (to €1,576 million), mainly driven by the performance of Plavix, Toujeo, Rezurock, and Praluent partially offset by lower sales of Mozobil due to generic competition, which started in the U.S. in July 2023. In 2023, core asset sales increased by 3.3% to €6,270 million.
Fourth-quarter Lovenox sales remained roughly stable (-0.3%) to €263 million, reflecting biosimilar competition as well as VBP (Value Base Procurement) impact in China, which was largely offset by growth in some other countries in the rest of the World Region.
Fourth-quarter Toujeo sales increased 11.4% to €278 million driven by China where its market share now exceeds that of Lantus. In the U.S., sales decreased mainly due to a shift in channel mix, resulting in a lower average net price.
Plavix fourth quarter sales were up 13.1% to €254 million driven by China.
Praluent fourth-quarter sales were €118 million, up 26.0%, driven by Europe and the Rest of the Word region.
Sales of Rezurock were €86 million, up 44.4% in the fourth quarter driven by new patient adoption and improved patient adherence in the U.S.
In the fourth quarter, TZIELD sales were €10 million, reflecting the anticipated gradual ramp up in the U.S., which is supported by early patient identification programs. In 2023, consolidated sales of TZIELD were €25 million.
Mozobil sales were down 50.7% to €33 million in the fourth quarter, reflecting the entry of generic competition in the U.S. in July. Sanofi expects generic competition to enter the European market in 2024.
2 Sanofi has prioritized core assets in its General Medicines portfolio with differentiated and/or established profiles that have significant opportunity for growth in key markets.

4

Non-core assets
In the fourth quarter, non-core assets sales decreased 11.6% to €1,252 million, mainly due to lower sales of Lantus and divestments (-4.2 ppt). In 2023, non-core-asset sales decreased by 16.5% to €5,524 million.
Lantus sales were €277 million, down 24.9% in the fourth quarter. In the U.S., sales decreased 68.7% (to €34 million), reflecting lower net pricing as a result of a change in channel mix and a shelf-stock adjustment in anticipation of the previously announced 2024 U.S. list price decrease.
Vaccines
Net sales (€ million)Q4 2023Change
at CER		2023Change
at CER
Influenza vaccines741 -4.0 %2,669 -5.5 %
Polio/Pertussis/Hib vaccines434 +3.4 %2,165 -0.1 %
Meningitis, Travel and endemic vaccines
242 +10.4 %1,170 +0.5 %
Booster vaccines
139 -1.4 %598 +5.1 %
Beyfortus
410 — %547 — %
Others20 -76.1%325 +96.4%
In the fourth quarter, Vaccines sales increased 21.1% (to €1,986 million) driven by strong Beyfortus uptake partly offset by lower Influenza vaccines sales compared to last year and COVID-19 vaccines sales recorded in the fourth quarter of 2022. In 2023, Vaccines sales reached €7,474 million, up 8.3%.
Beyfortus sales reached €410 million in the fourth quarter, reflecting the progressive implementation of “All Infant Protection programs” in the U.S., France and Spain. In 2023, Beyfortus sales reached €547 million.
Influenza vaccines sales decreased 4.0% to €741 million in the fourth quarter due to lower vaccination rates and increased competition in the U.S. Rest of the World region increased 80.7% as a result of favorable delivery phasing compared to fourth quarter of 2022. Full-year 2023 influenza sales decreased 5.5% to €2,669 million.
Polio/Pertussis/Hib (PPH) vaccines sales increased 3.4% to €434 million driven by the favorable Pentacel CDC buying pattern in the U.S. and increased sales in Rest of the World region. In the U.S., Vaxelis became market leader in the three doses primary series market at the end of 2023. Vaxelis in-market sales are not consolidated and the profits are shared equally between Sanofi and Merck & Co.
Meningitis, Travel and endemic vaccines sales increased 10.4% (to €242 million) reflecting favorable CDC buying pattern in the U.S. while the divestment of the Japanese Encephalitis vaccine in 2022 impacted the Rest of the World Region.
Booster vaccines sales decreased 1.4% in the fourth quarter to €139 million, reflecting lower sales in the Rest of the World region.

Biopharma business operating income
In the fourth quarter, business operating income (BOI) of Biopharma decreased 2.8% to €2,279 million. At CER, Biopharma BOI was up 6.2% reflecting higher gross profit more than offsetting lower capital gains as compared to the fourth quarter of 2022 and litigation-related reserves. The ratio of BOI to net sales decreased 1.2 ppts to 23.5% (24.0% at CER).
In 2023 business operating income of Biopharma decreased 2.1% to €11,247 million (up 4.8% at CER). The ratio of BOI to net sales decreased 0.7 ppts to 29.7% (30.3% at CER).


R&D update at the end of the fourth quarter 2023
Regulatory update
•The supplemental Biologics License Application (sBLA) of Dupixent (dupilumab) in Chronic Obstructive Pulmonary Disease (COPD) in the U.S. was completed in December 2023 and for China in 2024, following its Marketing Authorization Application (MAA) submission in Europe. The submission was based on overwhelming positive results from an interim analysis of the Phase 3 replicate trial NOTUS, along with positive results from the previous Phase 3 trial BOREAS.
5

The NOTUS trial, evaluating Dupixent compared to placebo in adults currently on maximal standard-of-care triple inhaled therapy with uncontrolled COPD and evidence of type 2 inflammation, met its primary endpoint with overwhelming efficacy, showing significantly reduced exacerbations by 34% compared to placebo, confirming results from the landmark BOREAS pivotal trial. The results also proved that treatment with Dupixent led to rapid and significant improvements in lung function (by 139 mL from baseline in FEV1) compared to placebo (by 57 mL from baseline in FEV1) by 12 weeks and were sustained at 52 weeks.
•The U.S. Food and Drug Administration (FDA) accepted for review the sBLA of Kevzara for the treatment of Polyarticular Juvenile Idiopathic Arthritis, with a PDUFA date of June 10, 2024.
•The National Medical Products Administration (NMPA) in China approved Beyfortus (nirsevimab) for the prevention of respiratory syncytial virus (RSV) lower respiratory tract infection (LRTI) in neonates and infants entering or during their first RSV season.
•The European Medicines Agency’s (EMA) Committee for Medicinal Products for Human Use (CHMP) adopted a positive scientific opinion of Fexinidazole Winthrop as the first oral treatment of acute form of sleeping sickness (Trypanosoma brucei rhodesiense), a lethal form of this parasitic disease found in Eastern and Southern Africa, in adults and children six years of age or older and weighing at least 20 kg.
Portfolio update
Phase 3:
•The IMROZ trial evaluating the investigational use of Sarclisa (isatuximab) in combination with standard-of-care bortezomib, lenalidomide and dexamethasone (VRd) met its primary endpoint at a planned interim analysis for efficacy, demonstrating statistically significant improvement in progression-free survival compared with VRd alone in transplant-ineligible patients with newly diagnosed multiple myeloma. The data will be the basis for future regulatory submission.
Additionally, the European Myeloma Network-sponsored IsKia Phase 3 trial investigating Sarclisa in combination with carfilzomib, lenalidomide and dexamethasone (KRd) showed a statistically significant improvement in the rate of minimal residual disease negativity, compared with KRd alone, after autologous stem cell transplant consolidation in transplant-eligible patients with newly diagnosed multiple myeloma. The results were presented at the American Society of Hematology (ASH) 2023 annual meeting.
•The study evaluating the efficacy and safety of Dupixent for the treatment of eosinophilic gastritis (EoG), had its first patients treated.
•The studies evaluating the efficacy and safety of subcutaneous amlitelimab, our potential first and best-in-class novel investigational anti-OX40L mAb, compared to placebo in adults with moderate-to-severe atopic dermatitis (COAST 1 NCT06130566 and COAST 2 NCT06181435) had their first participants treated. These studies were initiated following positive results from the STREAM-AD Phase 2b study showing significantly improved signs and symptoms of moderate-to-severe AD in adults whose disease cannot be adequately controlled with topical medications or for whom topical medications are not a recommended treatment approach. These results were presented as part of a late-breaking session at the European Academia of Dermatology & Venereology (EADV) 2023 congress.
•New data from TZIELD (teplizumab-mzwv) PROTECT study, evaluating the efficacy and safety, compared to placebo, of the therapy to slow the loss of beta cells and preserve beta cell function as measured by C-peptide, in children and adolescents aged 8-17 years with Stage 3 autoimmune type 1 diabetes, were presented at the International Society for Pediatric and Adolescent Diabetes (ISPAD) 2023 annual conference. Additionally, the full data set was simultaneously published in The New England Journal of Medicine.
•Two additional studies evaluating the efficacy and safety of Rezurock (belumosudil) for the treatment of chronic lung allograft dysfunction (ROCKaspire NCT06082037), and first line graft-versus-host disease (ROCKnrol-1 NCT06143891) were initiated.
•Following positive Phase 2b data from frexalimab, our investigational first and best-in-class anti-CD40L mAb for the treatment of multiple sclerosis (MS), shared at the joint European/Americas Committee for Treatment and Research in Multiple Sclerosis (ECTRIMS-ACTRIMS) 2023 meeting, the two planned Phase 3 studies evaluating its efficacy and safety for the treatment of relapsing MS (FREXALT-1 NCT06141473) and nrSPMS (FREVIVA NCT06141486) had their first patients treated.
•SP0282, the Extraintestinal Pathogenic E. coli 9-valent Vaccine (ExPEC9V) entered our pipeline after the closing of the development agreement with Janssen Pharmaceuticals (NCT04899336).
•The FDA issued a Complete Response Letter for the sBLA of Dupixent in chronic spontaneous urticaria (CSU), stating that additional efficacy data are required to support an approval, while not identifying any issues with safety or manufacturing. The ongoing Study C of the Phase 3 trial
6

continues to enroll patients, with results expected in late 2024 that are anticipated to provide the additional efficacy data.
•An Independent Data Monitoring Committee found that tusamitamab ravtansine as a monotherapy did not meet its dual primary endpoint of progression-free survival compared to docetaxel. Despite an improved overall survival trend, termination of the program was based on non-improvement in PFS at the final analysis. Tusamitamab ravtansine had a similar safety profile as previously presented with a lower incidence of various important clinical categories of adverse events versus docetaxel. Trial participants will have the option to stay on their current therapy if they are benefitting, as deemed by their provider, or to transition to an appropriate standard-of-care therapy. Sanofi will continue exploring the potential of tusamitamab-based antibody-drug conjugates and CEACAM5 research in several types of cancer.
Phase 2:
•The study evaluating subcutaneous amlitelimab in adult participants with moderate to severe hidradenitis suppurativa (HS) started to treat its first patients (NCT06118099).
•The study evaluating frexalimab in preservation of endogenous insulin secretion compared to placebo in adults and adolescents on top of insulin therapy (FABULINUS NCT06111586) had its first participants treated.
•Following positive data of SAR441566, our differentiated oral TNFR1 signaling inhibitor, showing potential for antibody-like efficacy with no serious adverse event in inflammatory diseases, two Phase 2 studies in psoriasis (SPECIFIC-PSO NCT06073119) and rheumatoid arthritis (SPECIFIC-RA NCT06073093) started to enroll their first participants.
•The Phase 2b study evaluating lunsekimig, the anti-IL-13/TSLP Nanobody® VHH with potential to break efficacy ceilings in type 2 inflammation and beyond, for the treatment of asthma (AIRCULES NCT06102005), has dosed its first patients.
•SAR447189 (also known as TEV-48574), the anti-TL1A mAb with potential best-in-class efficacy, developed in collaboration with Teva Pharmaceuticals, entered our pipeline in Phase 2b for the treatment of inflammatory bowel disease (IBD) (NCT05668013).
•The study evaluating the efficacy, safety, tolerability, and PK/PD of SAR442501, an anti-FGFR3 antibody, for the treatment of achondroplasia had its first patients treated.
•New findings of SAR443820, a first-in-class oral investigational brain-penetrant RIPK1 inhibitor for the treatment of amyotrophic lateral sclerosis (ALS), were presented at the joint European/Americas Committee for Treatment and Research in Multiple Sclerosis (ECTRIMS-ACTRIMS) 2023 meeting.
•The study evaluating Sarclisa in combination with chemotherapy in pediatric patients with relapsed/refractory Acute Lymphoblastic Leukemia or Acute Myeloid Leukemia (ISAKIDS) has fulfilled its pediatric investigation plan (PIP) as part of the overall clinical development plan and is terminated.
•The repeated dose-finding study of Kevzara in children and adolescents with systemic Juvenile Idiopathic Arthritis (SKYPS) is ongoing in EU and ROW, under the pediatric investigation plan (PIP) as part of the overall clinical development plan. Submission is currently planned for 2027. Given the integral nature of the project it is not detailed anymore on the overall Sanofi pipeline chart.
Phase 1:
•The study evaluating SAR446422, an anti-CD28/OX40 bispecific antibody being developed for the treatment of inflammatory indications, had its first participant treated.
•The study evaluating SAR445953, an anti-CEACAM5/Topo1 ADC being developed for the treatment of colorectal cancer (CRC), had its first participant treated (NCT06131840).
•Positive previously shared Phase 1 results of the mRNA RSV OA monovalent laid the foundation for SP0256, the mRNA RSV combination vaccine program being developed for the prevention of multiple infections in older adults, which had its first participant treated (NCT05639894).
•SP0230, the meningococcal ABCWY conjugate vaccine, including the Meningitis B component following positive Phase 1/2 results shared at the Vaccines event, is being developed for the prevention of Meningitis, and treated its first participant.
•The three studies evaluating SAR442257 (CD38/CD28/CD3 T-Cell engager), SAR443216 (CD3/CD28/HER2 T-Cell engager), and SAR445710 (anti-PDL1/IL-15 fusion protein) were discontinued based on preliminary results.
An update of the R&D pipeline as of December 31, 2023, is available on our website: https://www.sanofi.com/en/science-and-innovation/research-and-development


7



Consumer Healthcare
Net sales (€ million)Q4 2023
Change
at CER
2023
Change
at CER
Allergy147 -5.4 %769 +4.3 %
Cough & Cold 125 -0.8 %512 +11.1 %
Pain Care275 +1.0 %1,106 +0.6 %
Digestive Wellness322 +18.5 %1,502 +15.6 %
Physical and Mental Wellness182 +58.4 %606 +12.5 %
Personal Care138 -6.4 %550 -3.2 %
In the fourth quarter, Consumer Healthcare (CHC) sales were up 8.5% to €1,215 million supported by growth in the Rest of World region and the U.S. which includes the acquisition of Qunol. The divestments of non-core products had a negative impact of -2.3 ppts, mainly reflected in the non-core/others category in the fourth quarter. In 2023, total CHC sales reached €5,180 million, up 6.3%. Excluding divestments and Qunol acquisition, CHC organic sales growth was 4.8% in the fourth quarter, and 6.6% in 2023.
In the U.S., fourth quarter CHC sales increased by 10.1% to €341 million driven by the consolidation of Qunol sales this quarter in Physical and Mental Wellness category more than offsetting lower Allegra demand.
In Europe, fourth quarter CHC sales decreased by 5.4% to €353 million mainly due to lower sales of Cough & Cold categories and Digestive Wellness as well as divestments of non-core products.
In Rest of World, fourth quarter CHC sales increased 17.1% to €521 million, driven by strong performance of the Digestive Wellness category.

CHC business operating income
In the fourth quarter, business operating income (BOI) of CHC increased 3.1% to €304 million. At CER, the BOI of CHC was up 22.7% mainly reflecting the consolidation of Qunol. The ratio of BOI to net sales increased 1.2 ppts to 25.0% (26.9% at CER) compared to the fourth quarter of 2022.
In 2023, BOI of CHC decreased 5.5% to €1,438 million. At CER, BOI of CHC grew 4.7% mainly driven by higher sales which more than offset OPEX growth. The ratio of BOI to net sales decreased 1.6 ppts to 27.8% (down 0.5 ppts to 28.9% at CER).
8


Corporate Social Responsibility update at the end of the fourth quarter 2023
Access to healthcare
Sanofi Global Health Unit announces three new investments through its Impact Fund to support healthcare start-ups in Sub-Saharan Africa
The Sanofi Global Health Unit (GHU) Impact Fund completed three further investments in Q4.

Viebeg Technologies is leveraging its proprietary data and artificial intelligence (AI) technology to make quality medical equipment more accessible and affordable to healthcare providers with a ‘one-stop-shop’ procurement platform, flexible payment terms, and a digital inventory management system to optimize stock and automate reorders. Viebeg currently operates in Rwanda, Democratic Republic of Congo, and Kenya, and plans to expand in additional countries. Sanofi’s investment will support Viebeg’s efforts to strengthen their pharmacy segment and to assess the opportunity to expand its product offering to drugs.

mPharma provides innovative services, such as vendor-managed inventory services, data analytics and primary care solutions for community pharmacies. mPharma currently operates in Ghana, Nigeria, Kenya, Uganda, Zambia and Rwanda. Sanofi investment in mPharma and in-house business expertise will support its expansion in countries including Togo, Benin, Tanzania and Uganda.

The third new investment with Dawa Mkononi, a wholesaler utilizing a business-to-business e-marketplace and last-mile delivery services, supports strengthening existing operations in Tanzania and expansion possibilities in Mozambique and Rwanda.

EMA gives positive opinion to Fexinidazole Winthrop as first oral treatment of sleeping sickness (rhodesiense)
Sleeping sickness, or human African trypanosomiasis (HAT), is usually fatal without treatment, and is transmitted by the bite of infected tsetse flies, which are found in 36 African countries. In December 2023, Sanofi, DNDi and the HAT-r-ACC consortium announced the CHMP (EMA) has adopted a positive scientific opinion of Fexinidazole Winthrop for the treatment in patients 6 years of age or older of both first-stage (haemo-lymphatic) and second-stage (meningo-encephalitic) Trypanosoma brucei (T.b.) rhodesiense sleeping sickness. A positive opinion of both stages of the more common form (T.b. gambiense, found in West and Central Africa) was adopted in 2018.

This second positive opinion demonstrates Sanofi’s 23 year commitment to develop innovative therapies to fight sleeping sickness and paves the way for updated WHO guidelines on the treatment of the T.b. rhodesiense form of sleeping sickness. Once the guidelines are updated, Foundation S, Sanofi’s philanthropic organization will donate Fexinidazole Winthrop to the World Health Organization.
Sanofi is committed to contribute to the elimination of sleeping sickness by 2030, supporting the WHO Neglected Tropical Diseases roadmap.

Environment
Sanofi at COP28: supporting the decarbonization of healthcare systems
Health was for the first time on the official agenda of the COP28 with a dedicated Health Day with 143 countries signing a declaration on climate and health. Sanofi, with a delegation led by CEO Paul Hudson, held discussions with health ministers, healthcare actors and NGOs willing to engage in low-carbon and climate resilient healthcare systems. Sanofi showcased its commitments on climate change and health, going beyond its own operations and Foundation S stressed the importance of channeling philanthropic funds to help vulnerable populations adapt to climate change.

As a company committed to fight climate change and its impact on health, Sanofi has taken the lead of the Sustainable Markets Initiative (SMI) - Patient Care Pathways Working Group. In this context, Sanofi is working to decarbonize the delivery of healthcare that accounts for 45% of global healthcare systems emissions by:
•Re-thinking the delivery of care, creating healthcare systems that are low carbon, resilient and more equitable, and that detect disease early and provide access to high-quality therapies using the latest innovations. For example, by implementing an all-infant immunization policy, the emission of the current management of RSV infections in some countries could be reduced up to 68%.
•Advancing transparency in how we collectively contribute to actioning real change that improves health outcomes. For example, by setting up a standardized, data-driven Life Cycle Assessment framework (LCA) to measure the environmental footprint of Sanofi’s products – from manufacturing and supply chain to the end-life of the product.
9


Sanofi’s strategy to contribute to the fight against climate change and its impact on people’s health is grounded in two focus areas:
•Reducing the impact of its activities and products on the environment: between 2019 and 2023 we reduced our scope 1 and 2 carbon emissions by 38%, achieving top tier internationally recognized scores in the mitigation of climate change impact. Sanofi is implementing an action plan to arrive at net zero emissions by 2045.
•Bringing innovative, science-based solutions to tackle new or existing diseases exacerbated by climate change, especially in heavily affected areas such as respiratory diseases, allergies, diabetes, cardiovascular disease, or infectious diseases.


ESG ratings
Sanofi’s DJSI ranking improved with a score of 79/100
This achievement places Sanofi among the top-performing companies of the DJSI index and enables its inclusion in the DJSI World and DJSI Europe indexes. The improvement was driven both by a reduction of the negative score impact of a product-related controversy due to increased transparency on the issue and by performance increases in the Governance and Environmental dimensions.


S&P ESG rating update

Latest Sanofi ESG rankings:
capturedecran2024-01x23a18a.jpg


10

Fourth-quarter and full-year 2023 financial results
Business Net Income3
In the fourth quarter of 2023, Sanofi generated net sales of €10,919 million, an increase of 1.8% (up 9.3% at CER). Full-year 2023 net sales were €43,070 million, up 0.2% (up 5.3% at CER).
Fourth-quarter other revenues increased 75.4% (up 90.8% at CER) to €1,282 million, including higher VaxServe sales of non-Sanofi products of €711 million (up 82.8% at CER) as well as €411 million COVID-19 related revenues. In 2023, other revenues increased 41.1% (up 50.0% at CER) to €3,374 million, including VaxServe sales of non-Sanofi products of €2,167 million (up 43.8% at CER) and COVID-19 vaccine related revenues (€505 million).
Fourth-quarter Gross Profit increased 5.8% (up 13.5% at CER) to €8,167 million. The gross margin ratio increased 2.8 ppts to 74.8% (74.8% at CER) compared with the same period of 2022. This increase mainly reflected an improvement of the Biopharma gross margin ratio (from 73.3% to 76.5%) due to favorable Specialty Care product mix, as well as the COVID-19 related revenues and was partially offset by the impact of generic competition on Aubagio and lower net pricing of Lantus in the U.S. CHC gross margin ratio decreased from 61.8% to 61.5% due to currency effect and was up 0.2 ppt at CER benefiting from Qunol consolidation. In 2023, the gross margin ratio increased 1.1 ppts to 74.8% (74.9% at CER) driven by Biopharma which benefited from COVID-19 vaccine related revenues.
Research and Development (R&D) expenses increased 2.7% to €1,872 million in the fourth quarter. At CER, R&D expenses were up 6.6%, reflecting increased expenses in Vaccines. In 2023, R&D expenses increased 0.3% to €6,728 million (up 3.0% at CER).
Fourth-quarter selling general and administrative expenses (SG&A) increased 1.2% to €2,931 million. At CER, SG&A expenses were up 7.4%, reflecting increased commercial investments and launch costs in Specialty Care and Vaccines as well as higher CHC commercial expenses. In the fourth quarter, the ratio of SG&A to sales decreased 0.2 ppt to 26.8% compared to the prior year. In 2023, SG&A expenses increased 1.9% to €10,692 million (up 6.1% at CER) and the ratio of SG&A to sales was 0.4 percentage point higher at 24.8% compared to 2022.
Fourth-quarter and full-year 2023 operating expenses were €4,803 million (up 1.8% and up 7.1% at CER) and €17,420 million (up 1.3% and 4.9% at CER), respectively.
Fourth-quarter other current operating income net of expenses was -€821 million compared to -€276 million in the fourth quarter of 2022. Other current operating income net of expenses included an expense of €889 million (compared to an expense of €659 million in the fourth quarter of 2022) corresponding to the share of profit to Regeneron from the monoclonal antibodies Alliance, the share of profit paid by Regeneron towards development costs and the reimbursement of commercialization-related expenses incurred by Regeneron. In the fourth quarter and full-year 2023, this line also included €149 million and €651 million of capital gains related to portfolio streamlining, respectively, compared to €227 million and €615 million in the same periods of 2022. In the fourth quarter, this line also included litigation-related reserves. Sanofi expects the amount of capital gains from portfolio streamlining to exceed €500 million in 2024.
Fourth-quarter and full-year 2023 share of profit from associates was €47 million and €122 million, respectively, compared to €6 million and €88 million in the same periods of 2022 and included the share of U.S. profit related to Vaxelis.
Fourth-quarter business operating income5 (BOI) decreased 5.2% to €2,583 million. At CER, BOI increased 5.3%. The ratio of BOI to net sales decreased 1.7 ppts to 23.7% (and down 0.9 ppts at CER). In 2023, business operating income was €12,670 million, down 2.8% (up 4.3% at CER). In 2023, the ratio of business operating income to net sales decreased 0.9 percentage points to 29.4% (30.1% at CER).
Net financial expenses were €49 million and €181 million in the fourth quarter and full-year 2023, respectively, compared to €28 million and €234 million in the same periods of 2022.
Fourth-quarter 2023 effective tax rate decreased to 18.1% from 20.6% in the fourth quarter of 2022 which led the full-year 2023 effective tax rate of 18.8% compared to 19.3% in 2022. Sanofi expects its effective tax rate to be around 21% in 2024.
Fourth-quarter business net income5 decreased 2.7% to €2,083 million and increased 8.2% at CER. The ratio of business net income to net sales decreased 0.9 ppts to 19.1% compared to the fourth quarter of 2022 (down 0.2 ppts at CER). In 2023, business net income decreased 1.8% to €10,155 million and increased 5.5% at CER. The ratio of business net income to net sales decreased 0.5 ppt to 23.6% compared to 2022 (stable at CER).
3See Appendix 3 for 2023 fourth-quarter consolidated income statement; see Appendix 9 for definitions of financial indicators, and Appendix 4 for reconciliation of IFRS net income reported to business net income.
11

In the fourth quarter of 2023, business earnings per share5 (EPS) was €1.66, down 2.9% on a reported basis (up 8.2% at CER). The average number of shares outstanding was 1,253.6 million compared to 1,254.0 million in the fourth quarter of 2022. In 2023, business earnings per share8 was €8.11, down 1.8% on a reported basis and up 5.4% at CER. The average number of shares outstanding was 1,251.7 million compared to 1,251.9 million in 2022.

Reconciliation of IFRS net income reported to business net income (see Appendix 4)
In 2023, the IFRS net income was €5,400 million. The main items excluded from the business net income were:
•An amortization charge of €2,172 million related to fair value remeasurement on intangible assets (primarily Bioverativ: €633 million, Genzyme: €405 million, Boehringer Ingelheim CHC business: €184 million, Ablynx: €168 million, Kadmon: €156 million, Provention Bio: €144 million and Beyfortus: €76 million) and to intangible assets from separate acquisitions - measured initially at acquisition cost (licenses/products): €80 million. These items have no cash impact on the Company.
•An impairment charge of €896 million of which €877 million recorded in the fourth quarter and reflecting the impact of the strategic decision to de-prioritize some R&D programs, notably linked to the NK cell and PRO-XTEN technology platforms.
•Restructuring costs and similar items of €1,490 million of which €684 million recorded in the fourth quarter related to streamlining initiatives.
•A financial charge of €541 million related to the remeasurement of expected future royalty of Beyfortus U.S. sales of which €414 million recorded in the fourth quarter primarily due to the product ramping up faster than initially expected.
•A €1,097 million tax effect arising from the items listed above, mainly comprising €567 million of deferred taxes generated by amortization and impairments of intangible assets and €397 million associated with restructuring costs and similar items (see Appendix 4).
•A €365 million of deferred tax related to investments in subsidiaries in connection with the proposed separation of the Consumer Healthcare business at the earliest in Q4 2024.
•A loss of €231 million corresponding to an impairment on the stake in EuroAPI following the share price drop in the fourth quarter.

Capital Allocation
In 2023, free cash flow before restructuring, acquisitions and disposals increased by 10.4% to €9,830 million, after net changes in working capital (€478 million) and capital expenditures (-€1,771 million). After acquisitions4 (-€1,113 million), proceeds from disposals4 (€997 million) and payments related to restructuring and similar items (-€1,236 million), free cash flow5 is stable at €8,478 million. After the acquisition of Provention Bio (-€2,580 million), the acquisition of Qunol (-€1,335 million) and the dividend paid by Sanofi (-€4,454 million), net debt increased from €6,437 million on December 31, 2022 to €7,793 million on December 31, 2023 (amount net of €8,710 million cash and cash equivalents).

--------
The Board of Directors of Sanofi, chaired by Chairman Frédéric Oudéa, met on January 31, to approve the fourth quarter and full year 2023 financial statements.
This press release presents the results for the fourth quarter and the full-year 2023 from the consolidated financial statements of Sanofi as of December 31, 2023 (unaudited). The audit procedures by the Statutory Auditors are underway.
--------
4 Not exceeding €500 million per transaction (inclusive of all payments related to the transaction).
5 Non-IFRS financial measure (definition in Appendix 9).
12


Forward-Looking Statements

This press release contains forward-looking statements as defined in the Private Securities Litigation Reform Act of 1995, as amended. Forward-looking statements are statements that are not historical facts. These statements include projections and estimates and their underlying assumptions, statements regarding plans, business transformations, objectives, intentions and expectations with respect to future financial results, events, operations, services, product development and potential, and statements regarding future performance. Forward-looking statements are generally identified by the words “expects”, “anticipates”, “believes”, “intends”, “estimates”, “plans”, “potential”, “outlook”, “guidance” and similar expressions. Although Sanofi’s management believes that the expectations reflected in such forward-looking statements are reasonable, investors are cautioned that forward-looking information and statements are subject to various risks and uncertainties, many of which are difficult to predict and generally beyond the control of Sanofi, that could cause actual results and developments to differ materially from those expressed in, or implied or projected by, the forward-looking information and statements. These risks and uncertainties include among other things, the uncertainties inherent in research and development, future clinical data and analysis, including post marketing, decisions by regulatory authorities, such as the FDA or the EMA, regarding whether and when to approve any drug, device or biological application that may be filed for any such product candidates as well as their decisions regarding labelling and other matters that could affect the availability or commercial potential of such product candidates, the fact that product candidates if approved may not be commercially successful, the future approval and commercial success of therapeutic alternatives, Sanofi’s ability to benefit from external growth opportunities, to complete capital markets or other transactions and/or obtain regulatory clearances, risks associated with developing standalone businesses, risks associated with intellectual property and any related pending or future litigation and the ultimate outcome of such litigation,  trends in exchange rates and prevailing interest rates, volatile economic and capital market conditions, cost containment initiatives and subsequent changes thereto, and the impact that pandemics, political disruption or armed conflicts or other global crises may have on us, our customers, suppliers, vendors, and other business partners, and the financial condition of any one of them, as well as on our employees and on the global economy as a whole. The risks and uncertainties also include the uncertainties discussed or identified in the public filings with the SEC and the AMF made by Sanofi, including those listed under “Risk Factors” and “Cautionary Statement Regarding Forward-Looking Statements” in Sanofi’s annual report on Form 20-F for the year ended December 31, 2022. Other than as required by applicable law, Sanofi does not undertake any obligation to update or revise any forward-looking information or statements.
All trademarks mentioned in this document are protected.

Appendices

Fourth-quarter and full-year 2023 consolidated income statement
Appendix 6Simplified consolidated balance sheet
Appendix 7Other current operating income net of expenses – Regeneron Alliances
Appendix 8:
Currency sensitivity
Appendix 10:CSR Dashboards

Media Relations
Sandrine Guendoul | + 33 6 25 09 14 25 | sandrine.guendoul@sanofi.com
Nicolas Obrist | + 33 6 77 21 27 55 | nicolas.obrist@sanofi.com
Victor Rouault | + 33 6 70 93 71 40 | victor.rouault@sanofi.com
Sally Bain | + 1 617 834 6026 | sally.bain@sanofi.com
Evan Berland | +1 215 432 0234 | evan.berland@sanofi.com

Investor Relations
Eva Schaefer-Jansen | + 33 7 86 80 56 39 | eva.schaefer-jansen@sanofi.com
Arnaud Delépine | + 33 6 73 69 36 93 | arnaud.delepine@sanofi.com
Corentine Driancourt | + 33 6 40 56 92 21 | corentine.driancourt@sanofi.com
Felix Lauscher | + 1 908 612 7239 | felix.lauscher@sanofi.com
Nathalie Pham | + 33 7 85 93 30 17 | nathalie.pham@sanofi.com
Tarik Elgoutni | + 1 617 710 3587 | Tarik.Elgoutni@sanofi.com



13

Appendix 1: 2023 fourth-quarter net sales by GBU, franchise, geographic region and product
Q4 2023 (€ million)Total Sales% CER% reported United States% CER Europe% CER Rest of the world% CER
Dupixent2,990+31.3 %+24.5 %2,299+28.2 %329+32.5 %362+52.5 %
Aubagio121-74.0 %-75.5 %43-87.4 %70-43.1 %80.0 %
Myozyme160-20.4 %-25.9 %58-15.1 %77-23.2 %25-22.7 %
Fabrazyme242+9.2 %+0.8 %129+9.8 %60+3.4 %53+13.6 %
Cerezyme134+5.0 %-15.7 %48+2.0 %54-1.8 %32+15.1 %
Eloctate103-21.0 %-25.4 %69-23.7 %—0.0 %34-14.6 %
Alprolix142+6.4 %+0.7 %111+14.9 %—0.0 %31-15.0 %
Nexviazyme/Nexviadzyme131+115.4 %+101.5 %76+63.3 %35+337.5 %20+212.5 %
Jevtana77-5.7 %-11.5 %55-1.7 %2-71.4 %20+4.8 %
Sarclisa103+30.2 %+19.8 %45+34.3 %28+7.4 %30+50.0 %
Kevzara105+41.8 %+32.9 %61+45.5 %31+24.0 %13+70.0 %
Cerdelga75+12.7 %+5.6 %42+10.0 %30+7.1 %3+100.0 %
Aldurazyme62+7.7 %-4.6 %17+12.5 %210.0 %24+10.7 %
Cablivi58-3.2 %-6.5 %28-19.4 %25+13.6 %5+50.0 %
Fasturtec40-10.6 %-14.9 %26-12.9 %10-8.3 %40.0 %
Enjaymo23+109.1 %+109.1 %13+85.7 %10.0 %9+125.0 %
Xenpozyme26+58.8 %+52.9 %17+350.0 %6-50.0 %3+200.0 %
Alltuviio940.0 %0.0 %920.0 %—0.0 %20.0 %
Others28-11.4 %-20.0 %6+20.0 %4-33.3 %18-12.5 %
 Specialty Care4,714+13.7 %+6.8 %3,235+12.9 %783+4.4 %696+28.4 %
Toujeo278+11.4 %+2.2 %47-27.5 %109+3.8 %122+47.4 %
Lovenox263-0.3 %-9.0 %1-66.7 %150-3.2 %112+4.5 %
Plavix254+13.1 %+3.7 %20.0 %24-8.0 %228+15.6 %
Thymoglobulin112+5.1 %-5.1 %70-2.6 %90.0 %33+24.2 %
Multaq87-12.5 %-16.3 %78-12.8 %30.0 %6-14.3 %
Praluent118+26.0 %+22.9 %—0.0 %80+24.6 %38+29.0 %
Rezurock86+44.4 %+36.5 %83+38.1 %2+100.0 %1-300.0 %
Mozobil33-50.7 %-52.2 %8-80.5 %17-5.6 %8-10.0 %
Soliqua/iGlarLixi61+18.2 %+10.9 %280.0 %9+42.9 %24+38.9 %
Others core assets284+5.9 %-1.0 %35-40.3 %98+4.3 %151+29.0 %
Core Assets1,576+6.3 %-1.4 %352-15.7 %501+4.1 %723+22.0 %
Lantus277-24.9 %-35.4 %34-68.7 %83-20.2 %160-3.3 %
Aprovel106+7.7 %+1.9 %20.0 %200.0 %84+9.8 %
Others non-core assets869-8.0 %-16.9 %77-26.8 %238-12.3 %554-3.2 %
Non-Core Assets1,252-11.6 %-20.7 %113-47.6 %341-13.7 %798-2.1 %
Industrial Sales176+1.1 %-0.6 %20.0 %167-1.2 %7+100.0 %
 General Medicines3,004-2.4 %-10.4 %467-26.5 %1,009-3.4 %1,528+8.1 %
Influenza vaccines
741-4.0 %-7.6 %224-40.3 %258+4.0 %259+80.7 %
Polio/Pertussis/Hib vaccines
434+3.4 %-2.0 %91+20.0 %66-18.8 %277+4.9 %
Meningitis, Travel and endemic vaccines
242+10.4 %+5.2 %114+46.3 %44+51.7 %84-24.4 %
Booster vaccines
139-1.4 %-6.1 %72+2.7 %44+12.8 %23-25.0 %
Beyfortus
4100.0 %0.0 %3150.0 %950.0 %—0.0 %
 Vaccines1,986+21.1 %+15.8 %833+34.7 %506+8.6 %647+15.9 %
Biopharma9,704+9.4 %+2.3 %4,535+10.1 %2,298+1.6 %2,871+14.3 %
Allergy147-5.4 %-11.4 %71-16.5 %8+28.6 %68+5.9 %
Cough and Cold125-0.8 %-5.3 %—0.0 %65-12.2 %60+13.8 %
Pain Care275+1.0 %-3.8 %46-12.5 %135+3.1 %94+6.0 %
Digestive Wellness322+18.5 %-4.2 %35-20.0 %114-4.2 %173+43.9 %
Physical and Mental Wellness182+58.4 %+45.6 %84+521.4 %26-10.3 %72+3.7 %
Personal Care138-6.4 %-11.5 %103-13.5 %—0.0 %35+23.3 %
Non-Core / Others25-31.7 %-39.0 %2-133.3 %4-76.9 %19-32.4 %
Consumer Healthcare1,215+8.5 %-2.2 %341+10.1 %353-5.4 %521+17.1 %
Company10,919+9.3 %+1.8 %4,876+10.1 %2,651+0.6 %3,392+14.7 %


14


2023 net sales by GBU, franchise, geographic region and product
Full year 2023
(€ million)		Total Sales% CER% reported United States% CER Europe% CER Rest of the world% CER
Dupixent10,715+34.0 %+29.2 %8,145+32.6 %1,224+30.9 %1,346+46.1 %
Aubagio955-52.6 %-53.0 %460-67.8 %437-14.3 %58-33.0 %
Myozyme783-15.1 %-18.3 %254-17.9 %341-16.4 %188-9.1 %
Fabrazyme991+11.2 %+5.7 %503+9.8 %241+6.1 %247+18.8 %
Cerezyme687+9.1 %-2.8 %189+0.5 %229-3.3 %269+25.9 %
Eloctate471-15.5 %-18.8 %341-22.0 %—0.0 %130+6.9 %
Alprolix540+11.3 %+7.1 %440+11.6 %—0.0 %100+10.2 %
Nexviazyme/Nexviadzyme425+126.0 %+116.8 %272+77.8 %100+494.1 %53+190.5 %
Jevtana320-14.8 %-18.2 %230-14.2 %12-63.6 %78+2.4 %
Sarclisa381+37.1 %+29.6 %165+33.9 %111+27.3 %105+53.2 %
Kevzara357+9.7 %+5.3 %195+8.6 %115+8.5 %47+17.0 %
Cerdelga298+6.9 %+3.5 %164+5.6 %118+6.3 %16+23.5 %
Aldurazyme279+12.0 %+4.5 %67+13.1 %82-4.7 %130+23.3 %
Cablivi227+10.0 %+7.6 %112+4.5 %98+4.3 %17+171.4 %
Fasturtec170-1.1 %-4.0 %1100.0 %43-8.3 %17+12.5 %
Enjaymo72+240.9 %+227.3 %42+152.9 %60.0 %24+420.0 %
Xenpozyme91+347.6 %+333.3 %52+980.0 %31+106.7 %8+800.0 %
Alltuviio1590.0 %0.0 %1550.0 %—0.0 %40.0 %
Others119-46.3 %-50.4 %21-32.3 %18-80.4 %80-23.1 %
Specialty Care18,040+14.2 %+9.6 %11,917+13.2 %3,206+6.7 %2,917+26.6 %
Toujeo1,123+6.2 %+0.5 %213-23.0 %441+5.5 %469+26.9 %
Lovenox1,125-8.7 %-14.1 %7-58.8 %622-5.5 %496-10.7 %
Plavix948+4.4 %-3.6 %8-11.1 %96-5.0 %844+5.6 %
Thymoglobulin478+14.1 %+7.2 %292+11.9 %37+8.8 %149+19.6 %
Multaq344-7.6 %-10.2 %310-8.1 %12-25.0 %22+15.0 %
Praluent422+15.2 %+12.2 %(1)-101.8 %296+30.6 %127+46.7 %
Rezurock310+54.6 %+49.8 %303+51.9 %5+400.0 %20.0 %
Mozobil220-14.6 %-15.7 %119-22.1 %70+6.0 %31-20.0 %
Soliqua/iGlarLixi217+5.6 %+0.9 %95-18.5 %35+24.1 %87+40.3 %
Others core assets1,083+3.5 %-0.7 %139-25.8 %374+3.9 %570+13.8 %
Core Assets6,270+3.3 %-1.9 %1,485-7.7 %1,988+4.2 %2,797+9.3 %
Lantus1,420-32.3 %-37.1 %281-62.6 %357-15.7 %782-17.5 %
Aprovel417-8.8 %-12.8 %9+28.6 %78-4.9 %330-10.3 %
Others non-core assets3,687-9.2 %-15.8 %302-24.5 %961-14.6 %2,424-4.9 %
Non-Core Assets5,524-16.5 %-22.4 %592-48.7 %1,396-14.4 %3,536-8.5 %
Industrial Sales582-5.5 %-6.1 %7-58.8 %548-6.1 %27+75.0 %
General Medicines12,376-7.1 %-12.4 %2,084-24.9 %3,932-4.6 %6,360-1.3 %
Influenza vaccines2,669-5.5 %-10.3 %1,406-12.8 %694+1.9 %569+8.2 %
Polio/Pertussis/Hib vaccines
2,165-0.1 %-5.3 %398-10.5 %297-8.6 %1,470+4.9 %
Meningitis, Travel and endemic vaccines
1,170+0.5 %-3.5 %650-0.7 %154+41.3 %366-8.1 %
Booster vaccines
598+5.1 %+1.9 %323+1.2 %180+16.9 %950.0 %
Beyfortus
5470.0 %0.0 %4070.0 %1400.0 %—0.0 %
Vaccines7,474+8.3 %+3.4 %3,264+4.9 %1,697+26.6 %2,513+3.3 %
Biopharma37,890+5.1 %+0.2 %17,265+5.2 %8,835+4.3 %11,790+5.5 %
Allergy769+4.3 %-0.1 %412-4.6 %70+29.1 %287+13.4 %
Cough and Cold512+11.1 %+7.1 %—0.0 %300+14.1 %212+7.4 %
Pain Care1,106+0.6 %-3.0 %180-12.7 %502-0.6 %424+8.7 %
Digestive Wellness1,502+15.6 %+3.7 %138-2.1 %520+8.1 %844+23.1 %
Physical and Mental Wellness606+12.5 %+6.9 %118+139.2 %126-3.1 %362+1.0 %
Personal Care550-3.2 %-6.1 %409-7.3 %10.0 %140+10.6 %
Non-Core / Others132-24.6 %-32.3 %(10)0.0 %35-46.2 %107-12.9 %
Consumer Healthcare5,180+6.3 %-0.1 %1,247-0.9 %1,557+3.9 %2,376+11.7 %
Company43,070+5.3 %+0.2 %18,512+4.8 %10,392+4.3 %14,166+6.5 %
15

Appendix 2: Business net income statement
Fourth quarter 2023BiopharmaConsumer Healthcare
Other
Total Group
€ millionQ4 2023
Q4 2022 (a)
ChangeQ4 2023
Q4 2022 (a)
ChangeQ4 2023
Q4 2022 (a)
ChangeQ4 2023
Q4 2022 (a)
Change
Net sales9,7049,4832.3%1,2151,242-2.2%———%10,91910,7251.8%
Other revenues1,26871577.3%1416-12.5%———%1,28273175.4%
Cost of Sales(3,550)(3,250)9.2%(482)(491)-1.8%(2)7-128.6%(4,034)(3,734)8.0%
As % of net sales(36.6%)(34.3%)(39.7%)(39.5%)(36.9%)(34.8%)
Gross Profit7,4226,9486.8%747767-2.6%(2)7-128.6%8,1677,7225.8%
As % of net sales76.5%73.3%61.5%61.8%74.8%72.0%
Research and development expenses(1,816)(1,762)3.1%(56)(61)-8.2%———%(1,872)(1,823)2.7%
As % of net sales(18.7%)(18.6%)(4.6%)(4.9%)(17.1%)(17.0%)
Selling and general expenses(2,460)(2,444)0.7%(473)(448)5.6%2(3)-166.7%(2,931)(2,895)1.2%
As % of net sales(25.4%)(25.8%)(38.9%)(36.1%)(26.8%)(27.0%)
Other current operating income/expenses(905)(395)8438—81(821)(276)
Share of profit/loss of associates* and joint ventures42353——476
Net income attributable to non controlling interests(4)(6)(3)(4)——(7)(10)
Business operating income2,2792,344-2.8%3042953.1%—85-100.0%2,5832,724-5.2%
As % of net sales23.5%24.7%25.0%23.8%23.7%25.4%
Financial income and expenses(49)(28)
Income tax expenses(451)(555)
Tax rate**(18.1%)(20.6%)
Business net income2,0832,141-2.7%
As % of net sales19.1%20.0%
Business earnings / share(in euros)***1.661.71-2.9%

* Net of tax.

** Determined on the basis of Business income before tax, associates, and non-controlling interests.

*** Based on an average number of shares outstanding of 1,253.6 million in the fourth quarter of 2023 and 1,254.0 million in the fourth quarter of 2022.
                                                                        
(a) 2022 figures have been adjusted to take account of the two new operating segments, Biopharma and Consumer Healthcare, effective from January 1, 2023.





























16




Full Year 2023BiopharmaConsumer Healthcare
Other
Total Group
€ millionFY 2023
FY 2022 (a)
ChangeFY 2023
FY 2022 (a)
ChangeFY 2023
FY 2022 (a)
ChangeFY 2023
FY 2022 (a)
Change
Net sales37,89037,8120.2%5,1805,185-0.1%———%43,07042,9970.2%
Other revenues3,3222,33042.6%5262-16.1%———%3,3742,39241.1%
Cost of Sales(12,282)(11,793)4.1%(1,933)(1,903)1.6%(1)4-125.0%(14,216)(13,692)3.8%
As % of net sales(32.4%)(31.2%)(37.3%)(36.7%)(33.0%)(31.8%)
Gross Profit28,93028,3492.0%3,2993,344-1.3%(1)4-125.0%32,22831,6971.7%
As % of net sales76.4%75.0%63.7%64.5%74.8%73.7%
Research and development expenses(6,509)(6,503)0.1%(219)(205)6.8%—2-100.0%(6,728)(6,706)0.3%
As % of net sales(17.2%)(17.2%)(4.2%)(4.0%)(15.6%)(15.6%)
Selling and general expenses(8,868)(8,736)1.5%(1,828)(1,761)3.8%45-20.0%(10,692)(10,492)1.9%
As % of net sales(23.4%)(23.1%)(35.3%)(34.0%)(24.8%)(24.4%)
Other current operating income/expenses(2,387)(1,679)181148(18)17(2,224)(1,514)
Share of profit/loss of associates* and joint ventures 101762112——12288
Net income attributable to non controlling interests(20)(17)(16)(16)——(36)(33)
Business operating income
11,24711,490-2.1%1,4381,522-5.5%(15)28-153.6%12,67013,040-2.8%
As % of net sales29.7%30.4%27.8%29.4%29.4%30.3%
Financial income and expenses(181)(234)
Income tax expenses(2,334)(2,465)
Tax rate**(18.8%)(19.3%)
Business net income10,15510,341-1.8%
As % of net sales23.6%24.1%
Business earnings / share(in euros)***8.118.26-1.8%

* Net of tax.    
** Determined on the basis of Business income before tax, associates, and non-controlling interests.

*** Based on an average number of shares outstanding of 1,251.7 million in the full year of 2023 and 1,251.9 million in the full year of 2022.
                                                                        
(a) 2022 figures have been adjusted to take account of the two new operating segments, Biopharma and Consumer Healthcare, effective from January 1, 2023.

17

Appendix 3: Consolidated income statements
€ millionQ4 2023Q4 2022FY 2023FY 2022
Net sales10,919 10,725 43,070 42,997 
Other revenues1,282 731 3,374 2,392 
Cost of sales(4,048)(3,734)(14,236)(13,695)
Gross profit8,153 7,722 32,208 31,694 
Research and development expenses(1,872)(1,823)(6,728)(6,706)
Selling and general expenses(2,931)(2,895)(10,692)(10,492)
Other operating income287 344 1,292 1,969 
Other operating expenses(1,108)(524)(3,516)(2,531)
Amortization of intangible assets(575)(457)(2,172)(2,053)
Impairment of intangible assets
(877)2,127 (896)454 
Fair value remeasurement of contingent consideration(64)12 (93)27 
Restructuring costs and similar items(684)(170)(1,490)(1,336)
Other gains and losses, and litigation
13 (233)(38)(370)
Operating income342 4,103 7,875 10,656 
Financial expenses(625)(148)(1,313)(440)
Financial income162 120 591 206 
Income before tax and associates and joint ventures(121)4,075 7,153 10,422 
Income tax expense(309)(910)(1,602)(2,006)
Share of profit/(loss) of associates and joint ventures(128)3 (115)68 
Net income(558)3,168 5,436 8,484 
Net income attributable to non-controlling interests(3)57 36 113 
Net income attributable to equity holders of Sanofi(555)3,111 5,400 8,371 
Average number of shares outstanding (million)1,253.6 1,254.0 1,251.7 1,251.9 
IFRS Earnings per share (in euros)(0.44)2.48 4.31 6.69 


18

Appendix 4: Reconciliation of Net income attributable to equity holders of Sanofi to Business net income
€ millionQ4 2023Q4 2022FY 2023FY 2022
Net income attributable to equity holders of Sanofi(555)3,111 5,400 8,371 
Amortization of intangible assets (1)
575 457 2,172 2,053 
Impairment of intangible assets (2)
877 (2,127)896 (454)
Fair value remeasurement of contingent consideration54 35 93 53 
Expenses arising from the impact of acquisitions on inventories14 — 20 3 
Income resulting from license-out— (96)— (952)
Restructuring costs and similar items684 170 1,490 1,336 
Other gains and losses, and litigation
(13)233 38 370 
Financial (income) / expense related to liabilities carried at amortized cost other than net indebtedness414 — 541 — 
Tax effect of the items listed above:(507)355 (1,097)(459)
Amortization and impairment of intangible assets(240)419 (567)(267)
Fair value remeasurement of contingent consideration(5)2 (13)(9)
Expenses arising from the impact of acquisitions on inventories(3)— (3)— 
Restructuring costs and similar items(167)(30)(397)(231)
Other items(92)(36)(117)48 
Other tax effects (3)
365 — 365 — 
Other items175 3 237 20 
Business net income2,083 2,141 10,155 10,341 
IFRS earnings per share (4) (in euros)
(0.44)2.48 4.31 6.69 

(1)Of which related to amortization expense generated by the intangible assets measured at their acquisition-date fair values: €559 million in the fourth quarter of 2023 and €443 million in the fourth quarter of 2022.
(2)For 2023, this amount mainly comprises an impairment loss of €833 million, reflecting the impact of the strategic decision to de-prioritize certain R&D programs, in particular those related to the NK Cell and PRO-XTENTM technology platforms.
(3)In 2023, deferred tax related to investments in subsidiaries in connection with the proposed separation of the Consumer Healthcare business at the earliest in Q4 2024.
(4)Q4: Based on an average number of shares outstanding of 1,253.6 million in the fourth quarter of 2023 and 1,254.0 million in the fourth quarter of 2022.
    FY: based on an average number of shares outstanding of 1,251.7 million in the full year of 2023 and 1,251.9 million in the full year of 2022.





















19

Appendix 5: Change in net debt
€ millionFY 2023FY 2022
Business net income10,155 10,341 
Depreciation & amortization & impairment of property, plant and equipment and software1,589 1,587 
Other items(621)(955)
Operating cash flow11,123 10,973 
Changes in Working Capital478 (477)
Acquisitions of property, plant and equipment and software(1,771)(1,594)
Free cash flow before restructuring, acquisitions and disposals9,830 8,902 
Acquisitions of intangibles assets, investments and other long-term financial assets (1)
(1,113)(824)
Restructuring costs and similar items paid(1,236)(1,126)
Proceeds from disposals of property, plant and equipment, intangible assets and other non-current assets net of taxes (1)
997 1,531 
Free cash flow8,478 8,483 
Acquisitions of investments in consolidated undertakings including
assumed debt (2)
(4,484)(1,192)
Proceeds from disposals of assets net of taxes (2)
— 101 
Issuance of Sanofi shares195 188 
Acquisition of treasury shares(593)(497)
Dividends paid to shareholders of Sanofi(4,454)(4,168)
Other items(498)631 
Change in net debt(1,356)3,546 
Beginning of period6,437 9,983 
Closing of net debt7,793 6,437 
(1)Free cash flow includes investments and divestments not exceeding a cap of €500 million per transaction (inclusive of all payments related to the transaction).
(2)Includes transactions that are above a cap of €500 million per transaction (inclusive of all payments related to the transaction).



20


Appendix 6: Simplified consolidated balance sheet

Assets (€ million)December 31, 2023December 31, 2022Liabilities & equity (€ million)December 31, 2023December 31, 2022
Equity attributable to equity holders of Sanofi74,04074,784
Equity attributable to non-controlling interests313368
Total equity74,35375,152
Long-term debt14,34714,857
Property, plant and equipment - Owned Assets10,1609,869Non-current lease liabilities1,7551,904
Right-of-use assets1,6541,815Non-current liabilities related to business combinations and to non-controlling interests501674
Intangible assets (including goodwill)73,57371,532Non-current provisions and other non-current liabilities7,6396,341
Non-current income tax assets188242Non-current income tax liabilities1,8421,979
Non-current financial assets & investments in associates and deferred tax assets10,0699,153Deferred tax liabilities1,8571,841
Non-current assets95,64492,611Non-current liabilities27,94127,596
Accounts payable & Other current liabilities20,88218,834
Current liabilities related to business combinations and to non-controlling interests208105
Inventories, accounts receivable and other current assets21,55420,916Current income tax liabilities597574
Current income tax assets391374Current lease liabilities275277
Cash and cash equivalents8,71012,736Short-term debt and current portion of long-term debt2,0454,174
Current assets30,65534,026Current liabilities24,00723,964
Assets held for sale or exchange1585Liabilities related to assets held for sale or exchange1310
Total assets126,314126,722Total equity and liabilities126,314126,722




21




Appendix 7: Other current operating income net of expenses related to Regeneron
€ millionFY 2023FY 2022
Monoclonal Antibodies Alliance
Income & Expense related to profit/loss sharing
(3,321)(2,325)
Additional share of profit paid by Regeneron related to development costs
668434
Regeneron commercial operating expenses reimbursement
(543)(476)
Total: Monoclonal Antibody Alliance
(3,196)(2,367)
Immuno-Oncology Alliance
Total Immuno-Oncology Alliance
—16
Other Regeneron
Total others related to Regeneron (mainly Libtayo® and Zaltrap®) (1)
217168 
Total related to Regeneron(2,979)(2,183)
(1) In 2022, this line excludes an upfront payment of $900 million and a regulatory milestone payment of $100 million received by Sanofi from Regeneron in connection with the Amended IO Discovery Agreement signed in June 2022. These items are included in the Consolidated income statements line Other Operating Income.

Appendix 8: Currency sensitivity
2024 business EPS currency sensitivity
CurrencyVariationBusiness EPS Sensitivity
U.S. Dollar+0.05 USD/EUR -EUR 0.17
Japanese Yen+5 JPY/EUR-EUR 0.02
Chinese Yuan+0.2 CNY/EUR
 -EUR 0.02
Brazilian Real+0.4 BRL/EUR
 -EUR 0.01
Russian Ruble+10 RUB/EUR
 -EUR 0.01
Currency exposure on Q4 2023 sales
CurrencyQ4 2023
US $46.0 %
Euro €21.0 %
Chinese Yuan5.7 %
Japanese Yen3.7 %
Mexican pesos2.7 %
Brazilian Real
2.0 %
Canadian $
1.6 %
Australian $1.2 %
British Pound
1.2 %
South Korean won1.1 %
Others13.8 %
Currency average rates
Q4 2022Q4 2023Change
€/$1.021 1.076 +5.4 %
€/Yen144.203 159.030 +10.3%
€/Yuan7.264 7.778 +7.1%
€/Real5.372 5.329 -0.8 %
€/Ruble64.072 99.644 +55.5%

22


Appendix 9: Definitions of non-IFRS financial indicators
Company sales at constant exchange rates (CER)
When we refer to changes in our net sales “at constant exchange rates” (CER), this means that we exclude the effect of changes in exchange rates.
We eliminate the effect of exchange rates by recalculating net sales for the relevant period at the exchange rates used for the previous period.
Reconciliation of net sales to Company sales at constant exchange rates for the fourth quarter and the full-year 2023.
€ millionQ4 20232023
Net sales10,919 43,070 
Effect of exchange rates(799)(2,189)
Company sales at constant exchange rates11,718 45,259 
Business net income
Sanofi publishes a key non-IFRS indicator. Business net income is defined as net income attributable to equity holders of Sanofi excluding:
•amortization of intangible assets,
•impairment of intangible assets,
•fair value remeasurement of contingent consideration related to business combinations or to disposals,
•expenses arising from the impact of acquisitions on inventories
•restructuring costs and similar items(1),
•other gains and losses (including gains and losses on disposals of non-current assets(1)),
•costs or provisions associated with litigation(1),
•upfront payments and regulatory milestone payments recognized in the line item Other operating income and arising from transactions outside the scope of Sanofi's ordinary activities,
•financial (income)/expense related to liabilities carried at amortized cost other than net indebtedness,
•tax effects related to the items listed above as well as effects of major tax disputes,
•the share of profits/losses from investments accounted for using the equity method, except for joint ventures and associates with which Sanofi has a strategic alliance,
•net income attributable to non-controlling interests related to the items listed above.
(1) Reported in the line items Restructuring costs and similar items and Gains and losses on disposals, and litigation, which are defined in Notes B.16. and B.17. to our consolidated financial statements.
Free cash flow
Free cash flow is a non-IFRS financial indicator which is reviewed by our management, and which we believe provides useful information to measure the net cash generated from the Company’s operations that is available for strategic investments1 (net of divestments1), for debt repayment, and for capital return to shareholders. Free Cash Flow is determined from the Business Net Income adjusted for depreciation, amortization and impairment, share of profit/loss in associates and joint ventures net of dividends received, gains & losses on disposals, net change in provisions including pensions and other post-employment benefits, deferred taxes, share-based expense and other non-cash items. It comprises net changes in working capital, capital expenditures and other asset acquisitions2 net of disposal proceeds2, and payments related to restructuring and similar items. Free cash flow is not defined by IFRS and it is not a substitute measure for the IFRS aggregate net cash flows in operating activities.
1 Amount of the transaction above a cap of €500 million per transaction (inclusive of all payments related to the transaction).
2 Not exceeding a cap of €500 million per transaction (inclusive of all payments related to the transaction).






23

Reconciliation from net cash provided by/(used in) operating activities to free cash flow
€ million 2023 2022
Net cash provided by/(used in) operating activities in the Consolidated statements of cash flows(1)
10,258 10,526 
Acquisition of property, plant and equipment and software(1,771)(1,656)
Acquisitions of intangibles assets, investments and other long-term financial assets(2)
(1,113)(824)
Proceeds from disposals of property, plant and equipment, intangible assets and other non-current assets net of taxes(2)
997 1,531 
Repayment of lease liabilities
(265)(291)
Others372 (803)
Free cash flow(3)
8,478 8,483 
1 Most directly comparable IFRS measure to free cash flow.
2 Transactions up to €500 million per transaction.
3 Non IFRS indicator (see definition in Appendix 9).

24


Appendix 10: CSR dashboards

Data is presented in YTD unless stated otherwise.
TopicAmbitionProgress
FY 2023FY 2022
Affordable access
Sanofi Global Health
Reach 1.5 million NCD patients by 2026 (cumulative since 2022) and 2 million by 2030

261,977 patients treated in 31 countries

33 active healthcare partnerships in 15 countries

3 investments signed through the Impact Fund
185,151 patients treated in 28 countries

19 active healthcare partnerships in 11 countries

1 investment signed through the Impact Fund
Vials donations
Donate 100,000 vials a year to treat people with rare diseases1,163 patients treated
124,136 vials donated		1,122 patients treated
121,025 vials donated
Global Access Plans
Develop a Global Access Plan for all new products to make them available within two years after first launch8 Global Access Plans initiated or
developed covering more than 12
indications		2 Global Access Plans initiated
R&D for unmet needs
Sleeping sickness
Develop and supply innovative treatments to support the elimination of sleeping sickness by 2030

Data updated annually, next update in Q2 2024
1.5 million patients tested
837 patients treated
Polio
Provide inactivated polio vaccines (IPV) to UNICEF for GAVI countries to support polio eradication efforts
35 million IPV doses supplied to UNICEF for GAVI countries
47 million IPV doses supplied to UNICEF for GAVI countries
Pediatric cancer treatment development

Develop innovative treatments to eliminate cancer death in children
3 assets undergoing pre-clinical assessment

First pediatric patient dosed with 1 clinical asset in a clinical study (less than 2 years after the 1st adult patient was dosed with this compound)




1 asset pre-clinical assessment complete

1 asset in protocol preparation for clinical study

1 additional asset identified for clinical development
Planet Care
Climate change - Carbon footprint
(CO2 emissions)
55% reduction in scope 1&2 greenhouse gas emissions (CO2 equivalent) by 2030 (cumulative vs 2019 baseline) to contribute to carbon neutrality by 2030 and net zero emissions by 2045 (all scopes)
38% GHG reduction vs 201929% GHG reduction vs 2019
Renewable electricity
100% of renewable electricity in all our sites by 2030
79%62%
Eco-car fleet
100% eco-car fleet in 2030

43% eco-car fleet
34% eco-car fleet
Blister free syringe vaccines
100% blister free syringe vaccines by 2027
39% blister free syringe vaccines33% blister free syringe vaccines
Eco-designAll new products to be eco-designed by 2025

13 LCAs completed & 2 in progress (new and
marketed products)		7 LCAs completed & 1 in progress (new and
marketed products)
Eco design digital solution launched
In and beyond the workplace
25

Global Gender balance
Ambition of 50% of women in senior leadership roles by 2025
44%42%
Ambition of 40% of women in executive roles by 202540%37%
Engagement with communities

Engage socially and economically with all communities where we operate
12,240 volunteers
75,376 hours		6,825 volunteers
46,976 hours
From Leaders to Citizens

100% of Sanofi leaders have CSR in their development path71% of the leaders have completed the eLearning phase

30% of the leaders have completed the full program		>50% of the leaders have completed the eLearning phase







26
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