Six-month interim report (Q2) 2024 (unaudited)  
Company release No. 16/2024  
ALK delivers 21% organic revenue growth with an operating profit margin of 19% in Q2  
Revenue growth was driven by a continued strong momentum in tablet sales, and improved performance of injection-  
and drop-based allergy immunotherapy products. ALK’s European and International markets were key contributors to  
growth. The increase in operating profit (EBIT) of 189% is in-line with ALK’s financial targets. Full-year outlook has  
been upgraded.  
Q2 performance highlights  
Comparative figures for Q2 2023 are shown in brackets. Revenue growth rates are stated in local currencies, unless otherwise indicated.  
Total revenue increased by 21% in local currencies to DKK 1,374 million (1,135) on broad-based growth.  
Tablet sales were up 32% to DKK 716 million (547) on double-digit growth in all sales regions. Europe was a key  
contributor with 35% growth.  
Combined SCIT and SLIT-drops sales grew by 16% to DKK 490 million (423) and saw robust growth in Europe and  
increasing SCIT shipments to China.  
Sales of Other products and services increased by 1% to DKK 168 million (165). Jext® sales increased by 17% and  
is recovering from previous supply shortages while sales of other products declined.  
Operating profit (EBIT) increased by 189% in local currencies to DKK 264 million (97), with an EBIT margin of 19%  
(9%). Progress was driven by sales growth, gross margin improvements, and prudent cost management leading to  
lower total costs to R&D, Sales & Marketing and Administration. EBIT included one-off costs of DKK 38 million (0)  
associated with previously announced optimisation initiatives.  
Financial highlights  
Growth  
Growth  
In DKKm  
Q2 2024  
1,374  
264  
l.c.  
21%  
r.c.  
21%  
H1 2024  
2,725  
580  
l.c.  
15%  
84%  
r.c.  
15%  
78%  
Revenue  
EBIT  
189%  
172%  
EBIT margin – %  
19%  
21%  
l.c.: local currency; r.c.: reported currency  
Progress on strategic priorities  
ALK launched its new strategy ‘Allergy+’ on 03 June 2024 with new long-term financial ambitions for 2028.  
Implementation has started and is prioritising high-potential growth levers.  
The regulatory processes to secure approvals of the house dust mite and tree pollen allergy tablets for children in  
Europe and North America are ongoing. The 2024/25 launch preparations progress as planned. The clinical trial  
with the tablet for peanut allergy is on track and is still expected to report next set of results in H2 2024.  
Following its decision on 21 June to withdraw the license application for the house dust mite allergy tablet in China,  
ALK is working with the authorities on the documentation needed to obtain local approval.  
Optimisation activities are on track to free up resources for growth investments and support the 2025 earnings  
ambitions of a 25% EBIT margin.  
2024 full-year outlook has been upgraded  
With reference to Company Announcement no 15/2024, released earlier today, the full-year financial outlook has been  
upgraded to reflect current performance and outlook for the remainder of the year:  
Revenue is now expected to grow by 14-16% organically in local currencies (previously: 12-15%) on broad-based  
growth across sales regions and product groups. European tablet sales remain key to growth.  
The EBIT margin is now expected to improve to 19-21% (previously: 18-20%) (vs. 14% last year) mainly driven by  
the higher sales growth. One-off costs of DKK ~60 million related to optimisation efforts are included in the  
guidance.  
Page 1 of 17  
Company release No 16/2024 – 22 August 2024  
ALK-Abelló A/S – Bøge Allé 6-8 – DK-2970 Hørsholm – Denmark – www.alk.net  
Tel +45 4574 7576 – CVR No 63 71 79 16 – LEI code: 529900SGCREUZCZ7P020  
 
Commenting on the Q2 results, CEO Peter Halling said: “Results in 2024 have so far exceeded expectations, and  
we are particularly encouraged by the continued robust tablet growth and the positive impact of the cost optimisation  
initiatives. The implementation of our new strategy ‘Allergy+’ is well underway and we have taken the first steps to  
effectively scale up ALK for future growth in revenue and earnings.”  
Hørsholm, 22 August 2024  
ALK-Abelló A/S
For further information, contact:  
Investor Relations: Per Plotnikof, tel. +45 4574 7527, mobile +45 2261 2525  
Media: Maiken Riise Andersen, tel. +45 5054 1434  
ALK is hosting a conference call for analysts and investors at 1.30 p.m. (CEST) on 23 August 2024 at which Management will  
review the financial results and the outlook. The conference call will be audio cast on https://ir.alk.net where the relevant  
presentation will be available shortly before the call begins.  
To register for the conference call, please use this link https://dpregister.com/sreg/10189973/fcbfb4285f  
and follow the registration instructions. You will receive an email from diamondpass@choruscall.com with dial-in details,  
including a passcode and a pin code. Please make sure to whitelist diamondpass@choruscall.com and/or check your spam  
filter. We advise you to register well in advance and to call in before 1.25 p.m. (CEST).  
Page 2 of 17  
Company release No 16/2024 – 22 August 2024  
ALK-Abelló A/S – Bøge Allé 6-8 – DK-2970 Hørsholm – Denmark – www.alk.net  
Tel +45 4574 7576 – CVR No 63 71 79 16 – LEI code: 529900SGCREUZCZ7P020  
 
FINANCIAL HIGHLIGHTS AND KEY RATIOS FOR THE ALK GROUP  
Q2  
2024  
Q2  
2023  
H1  
2024  
H1  
2023  
Full year  
2023  
Amounts in DKKm  
Income statement  
1,374  
2,725  
Revenue  
1,135  
11%  
9%  
2,369  
9%  
4,824  
9%  
Revenue growth (local currencies)  
Revenue growth (reported)  
Operating profit (EBIT)  
21%  
21%  
264  
15%  
15%  
580  
8%  
7%  
97  
325  
666  
EBIT growth (local currencies)  
EBIT growth (reported)  
Operating profit before depreciation (EBITDA)  
Net financial items  
189%  
172%  
331  
120%  
98%  
157  
(8)  
84%  
78%  
713  
33%  
23%  
445  
50%  
42%  
911  
5
(2)  
(19)  
306  
(19)  
647  
269  
578  
Profit before tax (EBT)  
89  
201  
433  
Net profit  
66  
229  
486  
2,811  
2,806  
Average number of employees (FTE)  
2,759  
2,727  
2,752  
Balance sheet  
Total assets  
Invested capital  
Equity  
7,045  
4,025  
4,919  
7,045  
4,025  
4,919  
6,457  
3,691  
4,184  
6,457  
3,691  
4,184  
6,726  
3,765  
4,447  
Cash flow and investments  
259  
(98)  
(13)  
(84)  
-
542  
(270)  
(23)  
Cash flow from operating activities  
Cash flow from investing activities  
- of w hich investment in intangible assets  
- of w hich investment in tangible assets  
- of w hich acquisitions of companies and operations  
Free cash flow  
9
(120)  
(20)  
(102)  
-
163  
(211)  
(37)  
(176)  
-
667  
(375)  
(69)  
(310)  
-
(133)  
(115)  
272  
161  
(111)  
(48)  
292  
Information on shares  
Share capital  
111  
222,824  
153  
111  
222,824  
153  
111  
222,824  
74  
111  
222,824  
74  
111  
222,824  
101  
Shares in thousands of DKK 0.5 each  
Share price, end of period  
Net asset value per share  
22  
22  
19  
19  
20  
Key figures  
63  
19  
64  
21  
Gross margin – %  
62  
9
64  
14  
63  
14  
EBIT margin – %  
70  
70  
Equity ratio – %  
65  
0.3  
0.3  
4.0  
65  
66  
0.9  
0.9  
6.9  
2.0  
2.0  
6.9  
Earnings per share (EPS)  
Earnings per share (DEPS), diluted  
Share price/Net asset value  
1.0  
1.0  
4.0  
2.2  
2.2  
5.1  
Page 3 of 17  
Company release No 16/2024 – 22 August 2024  
ALK-Abelló A/S – Bøge Allé 6-8 – DK-2970 Hørsholm – Denmark – www.alk.net  
Tel +45 4574 7576 – CVR No 63 71 79 16 – LEI code: 529900SGCREUZCZ7P020  
 
INCOME STATEMENT  
Q2  
% of  
Q2  
% of  
H1  
% of  
H1  
% of  
2024 revenue  
2023 revenue  
Amounts in DKKm  
2024  
revenue  
2023  
revenue  
1,374  
100  
37  
1,135  
100  
38  
Revenue  
2,725  
969  
100  
36  
2,369  
863  
100  
36  
507  
428  
707  
Cost of sales  
Gross profit  
867  
63  
62  
1,756  
64  
1,506  
64  
125  
480  
2
9
35  
-
160  
450  
-
14  
39  
-
Research and development expenses  
Sales, marketing and administrative expenses  
Other operating items, net  
255  
924  
3
9
34  
-
318  
863  
-
13  
37  
-
264  
19  
97  
9
Operating profit (EBIT)  
580  
21  
325  
14  
5
1
(8)  
(1)  
Net financial items  
(2)  
-
(19)  
306  
(1)  
13  
269  
20  
89  
8
Profit before tax (EBT)  
578  
21  
68  
5
23  
66  
2
6
Tax on profit  
145  
5
77  
3
201  
15  
Net profit  
433  
16  
229  
10  
Operating profit before depreciation  
and amortisation (EBITDA)  
331  
24  
157  
14  
713  
26  
445  
19  
and tree tablets to include young children is ongoing.  
ALK’s applications for the HDM tablet were recently  
accepted for review by the US Food and Drug  
Administration and Health Canada. Subject to  
approval, the HDM tablet could become available for  
children, aged five to 11, in North America in 2025. A  
regulatory review is already ongoing in Europe where  
the HDM tablet, subject to approval, could become  
available for children, aged five to 11, in late  
2024/2025.  
STRATEGIC PRIORITIES  
Implementation of Allergy+ strategy  
In the beginning of June 2024, ALK presented its new  
Allergy+ strategy and new long-term financial  
aspirations in connection with a well-attended Capital  
Markets Day. Allergy+ aims to further strengthen ALK’s  
global leadership in respiratory AIT, establish leading  
positions in food allergy and anaphylaxis, and pursue  
new innovations to address adjacent allergic  
conditions. The implementation of the strategy has  
started and prioritises high-potential growth levers –  
markets, projects and innovations –with the largest  
potential to generate strong returns and the greatest  
impact for patients and prescribers.  
Likewise, regulatory filings for paediatric use of the  
tree tablet were recently accepted for review by the  
relevant authorities in Europe and Canada. Subject to  
approvals, the tree tablet could become available for  
children and adolescents in 2025 in Canada and  
Europe.  
Allergy+ targets average revenue growth of minimum  
10% in local currencies (5-year CAGR) until 2028.  
ALK continues to aim for an EBIT margin of ~25% in  
2025 after which earnings improvements beyond the  
~25% margin will be re-invested in initiatives to bolster  
ALK’s long-term growth and profitability trajectory.  
ALK’s commercial organisation is also advancing the  
launch preparations for the above-mentioned children  
indications – a key initiative in the efforts to expand the  
tablet portfolio’s reach to new patient groups.  
Optimisation and prioritisation initiatives are being  
implemented in 2024 to free up approximately DKK  
250 million in savings in 2025, of which roughly half  
will be reinvested in strategic initiatives and roughly  
half will support the earnings ambitions for 2025. ALK  
estimates that around 125 positions will be eliminated  
through natural attrition and redundancies. These  
activities are expected to entail one-off costs of  
approximately DKK 60 million in 2024, of which DKK  
38 million were recognized in Q2, when ALK  
reorganized parts of its operations. This will free up  
resources that will be reallocated to high-impact  
markets with sustainable demand for AIT and strong  
endorsement of evidence-based AIT from regulators,  
payers, and prescribers.  
In Japan, ALK’s partner Torii is conducting a number  
of initiatives to expand manufacturing capacity for the  
cedar pollen tablet to overcome intermittent capacity  
limitations amidst high demand. Initiatives include a  
scheme to increase cedar pollen collection volumes  
and an upscaling of manufacturing capacity, which is  
expected to become operational from late 2025.  
In China, ALK in June decided to withdraw its  
application for the HDM tablet after feedback from the  
authorities, indicating that additional clinical data in  
Chinese patients will be required to obtain approval.  
This was confirmed in a recent dialogue with the  
authorities and ALK is now evaluating the best  
possible approach to the fast-growing Chinese AIT  
market. Consequently, ALK’s commercial plans and  
activities in China will be adapted to a new launch  
timeline (previously planned for 2025).  
The work to secure regulatory approvals to expand  
key product indications for the house dust mite (HDM)  
Page 4 of 17  
Company release No 16/2024 – 22 August 2024  
ALK-Abelló A/S – Bøge Allé 6-8 – DK-2970 Hørsholm – Denmark – www.alk.net  
Tel +45 4574 7576 – CVR No 63 71 79 16 – LEI code: 529900SGCREUZCZ7P020  
 
The second part of the phase I/II trial with the tablet for  
peanut allergy – ALK’s most advanced programme  
within food allergy – is progressing according to plans.  
Next results from the trial are still expected in H2 2024  
and ALK has made a provisional decision to extend  
the trial with a third part to explore efficacy of the tablet  
as well. The development of a new, next-generation  
autoinjector (the Genesis project) also progresses as  
planned, and further administration forms are being  
evaluated to establish a portfolio of solutions for the  
treatment of acute life-threatening allergic reactions  
(anaphylaxis).  
less influenced by pan-European trading patterns at  
wholesaler levels than previously.  
Combined sales of SCIT/SLIT-drops increased by  
15%. SCIT sales progressed well in most Central and  
Northern European markets, with growth in both the  
venom and non-venom sub-segments. Sales in main  
market Germany grew in solid double digits, supported  
by competitive dynamics and the market transition  
towards evidence-based products. SCIT sales were  
also influenced positively by certain price and rebate  
adjustments. Sales of SLIT-drops, which are  
predominantly marketed in France, exceeded  
expectations with growth linked to higher patient flow  
to existing and new allergy doctors.  
To facilitate the planned growth, efforts also  
progressed to expand manufacturing capacity for  
tablets to around 800 million units in 2030. Activities  
are also on track to establish the supply chain for the  
ongoing Genesis autoinjector development project and  
strengthen the existing supply chain for the Jext®  
autoinjector.  
Sales of Other products and services (predominantly  
the adrenaline pen Jext®, diagnostics, etc.) increased  
by 12%. European Jext® sales grew by 14% as market  
supply continued to normalise after last year’s supply  
limitations, caused by issues at a contract  
manufacturer from Q2 to Q4 2023.  
Q2 SALES AND MARKET TRENDS  
(Comparative figures for Q2 2023 are shown in brackets.  
Revenue growth rates are stated in local currencies, unless  
otherwise indicated)  
North America  
Revenue in North America increased by 3% in local  
currencies to DKK 241 million (232).  
Revenue by geography  
DKKm  
Q2  
2024  
900  
241  
233  
Share of  
revenue  
65%  
Q2  
2023  
721  
232  
182  
Tablet sales increased by 29% and was positively  
influenced by higher realised selling prices in the USA  
and volume growth in both the USA and Canada.  
Growth*  
25%  
Europe  
North America  
Int’l markets  
3%  
32%  
21%  
18%  
17%  
100% 1,135  
Sales of bulk allergen extracts (SCIT) to US allergists,  
grew by 4% and growth has improved compared to the  
previous quarter. Sales of Other products (diagnostics,  
PRE-PEN® and life science products) fell short of  
expectations with a 9% decrease mainly due to lower  
PRE-PEN® sales. The integration of the newly  
acquired penicillin diagnostic operation progressed as  
planned, but sales continued to be impacted by  
stocking at wholesalers prior to ALK’s take-over in  
January.  
Revenue  
1,374  
* In local currencies  
Revenue in Europe was better than previously  
forecasted in the Q1 report and grew by 25% in local  
currencies to DKK 900 million (721) on double-digit  
growth in all product lines. Particularly sales of tablets  
and SLIT-drops exceeded expectations.  
Double-digit sales growth was seen in most markets in  
Q2 – including the region’s largest markets; Germany,  
France, the Nordic countries, and the Benelux  
countries – as ALK further progressed its efforts to  
activate patients, prescribers, payers, and key opinion  
leaders.  
International markets  
Revenue in International markets increased by 32% in  
local currencies to DKK 233 million (182). Growth was  
attributable to the timing of product shipments to China  
and Japan, the two largest markets in the region.  
European tablet sales grew by 35% against a weak  
quarter last year. The growth was primarily due to  
higher volumes driven by a strong inflow of new  
patients particularly in Central and Northern Europe  
during the past year, combined with certain price and  
rebate adjustments. The reversal of last year’s  
Revenue from China, especially from SCIT product  
shipments, grew by high double digits. Chinese in-  
market sales of SCIT products continued to show  
double-digit growth supported by the ongoing  
expansion of the prescriber base.  
mandatory rebate increase in Germany influenced  
growth positively by more than 2 percentage points.  
Tablet sales in Germany continued to benefit from the  
accelerated market transition towards evidence-based,  
registered products, leading to high-double digit sales  
growth. ALK also saw a pick-up in the number of  
patients initiated on tablets in France. Furthermore,  
ALK continued to observe that Q2 tablet sales were  
Revenue from Japan (product shipments and sales  
royalties) grew by double digits, mirroring continued  
growth in Torii’s in-market tablet sales, despite  
intermittent capacity limitations at Torii.  
Tablet sales also progressed in Southeast Asia and  
other, minor international markets.  
Page 5 of 17  
Company release No 16/2024 – 22 August 2024  
ALK-Abelló A/S – Bøge Allé 6-8 – DK-2970 Hørsholm – Denmark – www.alk.net  
Tel +45 4574 7576 – CVR No 63 71 79 16 – LEI code: 529900SGCREUZCZ7P020  
 
Cash flow from operating activities was DKK 542  
million (163), with higher earnings clearly offsetting  
changes in working capital, mainly related to planned  
inventory build-up to support revenue growth. Cash  
flow from investment activities was DKK minus 270  
million (minus 211) as ALK continued to build up  
capacity for tablet production, upgrade its legacy  
production, and invest in the next generation  
adrenaline auto-injector. Investments also included the  
acquisition of the PRE-PEN® operation in the USA.  
Free cash flow was positive at DKK 272 million  
(negative at 48).  
Global revenue by product line  
DKKm  
Q2  
2024  
716  
Share of  
revenue  
52%  
Q2  
2023  
547  
Growth*  
32%  
SLIT-tablets  
SCIT/  
SLIT-drops  
Other  
490  
16%  
36%  
423  
165  
products  
168  
1%  
12%  
100% 1,135  
Revenue  
1,374  
21%  
* In local currencies  
SIX-MONTH FINANCIAL REVIEW  
(Comparative figures for H1 2023 are shown in brackets.  
Revenue growth rates are stated in local currencies, unless  
otherwise indicated)  
Cash flow from financing was DKK minus 329  
million (minus 8), mainly related to repayment of loans.  
At the end of June, ALK held 1,491,873 of its own  
shares, or 0.7% of the share capital, unchanged  
compared to the end of Q1 2024.  
Revenue exceeded expectations and increased by  
15% in local currencies to DKK 2.725 million (2,369),  
mainly driven by a strong momentum for tablet sales,  
particularly in Europe. Exchange rates had an  
immaterial impact on reported revenue.  
Equity totalled DKK 4.919 million (4,184) at the end of  
the half-year, and the equity ratio was 70% (65%).  
Cost of sales increased by 11% in local currencies to  
DKK 969 million (863). The gross profit of DKK 1,756  
million (1,506) yielded a slightly improved gross  
margin of 64% (64%), mainly reflecting changes to the  
sales mix, improved pricing, and production  
efficiencies. As expected, these positive factors were  
somewhat offset by inflationary pressure on the cost  
base and minor one-off costs related to optimisation  
activities.  
FULL-YEAR OUTLOOK FOR 2024  
The full-year financial outlook has been upgraded  
primarily to reflect the strong sales of tablets and  
injection- and drop-based allergy immunotherapy  
products (SCIT/SLIT-drops) achieved in Europe. The  
sales growth in 2024 in Europe is influenced by a  
number of extraordinary factors, including a high  
number of new patients starting treatment over the  
past year, improved pricing and rebate adjustments as  
well as certain competitive dynamics in key markets.  
(Reference is made to Company Announcement no.  
15/2024).  
Capacity costs were unchanged at DKK 1,179 million  
(1,181). R&D expenses decreased 20% in local  
currencies to DKK 255 million after last year’s  
completion of late-stage clinical trials. Sales and  
marketing expenses were up 7% in local currencies to  
DKK 741 million. Administration costs were DKK 183  
million, an increase of 8% in local currencies, mainly  
related to costs linked to the Allergy+ strategy process.  
Optimisation of resources and general savings  
contributed positively to the overall cost development.  
Capacity costs included one-off costs associated with  
previously announced optimisation initiatives which  
mainly impacted Sales and marketing expenses.  
Revenue is now expected to grow by 14-16%  
organically in local currencies (previously: 12-15%)  
on broad-based growth across sales regions and  
product groups. European tablet sales remain key  
to growth.  
The EBIT margin is now expected to improve to  
19-21% (previously: 18-20%) (up from 14% last  
year) mainly driven by the higher sales growth.  
One-off costs of DKK ~60 million related to  
One-off costs related to optimisations totalled DKK 38  
million (0), and EBIT (operating profit) amounted to  
DKK 580 million (325), an improvement of 84% in local  
currencies and 78% in reported currency. The EBIT  
margin increased to 21% (14%). Progress was due to  
higher sales, gross margin improvements and a lower  
capacity cost-to-revenue ratio – the ratio was down to  
43% (50%).  
optimisation efforts are included in the guidance.  
The outlook is based on the following assumptions:  
Revenue  
Europe is expected to deliver robust, double-digit  
revenue growth, while mid to high single-digit growth is  
projected in North America and International markets.  
Net financials were a loss of DKK 2 million (a loss of  
19) related to interest expenses partly offset by  
currency gains.  
European tablet sales are expected to be the main  
growth driver. Growth in European tablet sales is  
expected at a level significantly above the growth in  
2023, driven by an increased inflow of new patients  
and improved pricing. Growth will be supported by  
expansion of patient and prescriber bases, market  
share gains and the shift towards evidence-based  
Tax on the profit totalled DKK 145 million (77), and  
the net profit increased to DKK 433 million (229).  
Page 6 of 17  
Company release No 16/2024 – 22 August 2024  
ALK-Abelló A/S – Bøge Allé 6-8 – DK-2970 Hørsholm – Denmark – www.alk.net  
Tel +45 4574 7576 – CVR No 63 71 79 16 – LEI code: 529900SGCREUZCZ7P020  
 
medicine in key markets. Tablet sales in North  
America and International markets are expected to  
grow, albeit at lower rates than in 2023. Growth in  
North America is expected to slow down in H2 2024 as  
a consequence of a lower impact from recent  
improvements to the average selling prices in the  
USA. Growth in Japan will continue to reflect  
intermittent capacity limitations at ALK’s partner,  
despite recent improvements of yields in the  
production of active ingredients (ref. to page 4).  
Respiratory infection waves across markets are not  
assumed to materially affect capacity at allergy  
clinics or patient behaviour, nor are they likely to  
impact ALK’s activities.  
Changes in consumers’ spending power are not  
expected to materially affect demand for AIT.  
When excluding the acquisition of PRE-PEN®, free  
cash flow is projected to increase. CAPEX  
investments are projected at around DKK 400  
million, and ALK plans to continuously build up  
inventories in support of revenue growth.  
Fluctuations in quarterly tablet sales are expected,  
primarily reflecting the timing of product shipments to  
Japan.  
The outlook does not include any revenue from  
new acquisitions, new partnerships or in-licensing  
of products and services, nor does it include  
payments in relation to M&A or in-licensing.  
Combined sales of SCIT/SLIT-drops are projected to  
grow by high single-digits, driven by both higher SCIT  
sales and improved SLIT-drops sales in Europe.  
Modest growth is anticipated for North American SCIT-  
sales.  
The outlook is based on current exchange rates,  
resulting, resulting in an immaterial currency effect  
on reported growth in revenue and a minor  
negative effect on reported growth in EBIT.  
Sales of other products are expected to grow by mid to  
high single digits, driven by the normalization of  
market supply of the adrenaline autoinjector Jext®.  
Sales of other products in North America are assumed  
to be flattish following continued market volatility.  
RISK FACTORS  
This interim report contains forward-looking  
statements, including forecasts of future revenue,  
operating profit and cash flow, as well as expected  
business-related events. Such statements are, by their  
very nature, subject to risks and uncertainties, as  
various factors, some of which are beyond the control  
of ALK, may cause actual results and performance to  
differ materially from the forecasts made in this report.  
Without being exhaustive, such factors include, e.g.,  
consequences of the general economic and business-  
related conditions, including legal issues, uncertainty  
relating to demand, pricing, reimbursement rules,  
partners’ plans and forecasts, fluctuations in exchange  
rates, competitive factors, and reliance on suppliers.  
Additional factors include the risks associated with the  
sourcing and manufacturing of ALK’s products as well  
as the potential for side effects from the use of ALK’s  
existing and future products, as allergy  
Margins  
The gross margin is expected to increase by around 1  
percentage point. The margin will benefit from  
changes to the sales mix, improved pricing and  
efficiencies. These factors will be somewhat offset by  
inflationary pressures in product supply.  
Capacity costs  
The capacity cost-to-revenue ratio is expected to  
further improve as ALK capitalises on existing  
platforms to enhance efficiencies, reduces R&D spend  
and implements optimisation measures. R&D  
expenses are still projected to decline to around 10%  
of the expected revenue, while single digit increases  
are assumed for both sales and marketing expenses  
and administrative costs.  
immunotherapy may be associated with allergic  
reactions of differing extents, durations, and severities.  
Around DKK 60 million in one-off costs associated with  
optimisation initiatives are factored into the guidance.  
Other assumptions  
Financial calendar  
The European AIT markets are generally expected  
to be stable. Exceptions include the reversal of last  
year’s mandatory rebate increase in Germany and  
the possibility of minor adjustments in select  
Southern European markets.  
Silent period  
17 October 2024  
Nine-month interim report (Q3)  
14 November 2024  
Page 7 of 17  
Company release No 16/2024 – 22 August 2024  
ALK-Abelló A/S – Bøge Allé 6-8 – DK-2970 Hørsholm – Denmark – www.alk.net  
Tel +45 4574 7576 – CVR No 63 71 79 16 – LEI code: 529900SGCREUZCZ7P020  
 
R&D TABLET PORTFOLIO STATUS  
ALK aims to globalise a portfolio of SLIT-tablets for all relevant ages, covering five of the most common respiratory  
allergies: house dust mite, grass, tree, ragweed and Japanese cedar and the most common food allergy, peanut.  
Page 8 of 17  
Company release No 16/2024 – 22 August 2024  
ALK-Abelló A/S – Bøge Allé 6-8 – DK-2970 Hørsholm – Denmark – www.alk.net  
Tel +45 4574 7576 – CVR No 63 71 79 16 – LEI code: 529900SGCREUZCZ7P020  
 
STATEMENT BY MANAGEMENT
The Board of Directors and Board of Management today considered and approved the interim report of ALK-Abelló
A/S for the period 1 January to 30 June 2024. The interim report has not been audited or reviewed by the company's
independent auditor.
The consolidated interim report has been prepared in accordance with IAS 34 'Interim financial reporting' and
additional Danish disclosure requirements for the presentation of quarterly interim reports by listed companies.
In our opinion, the interim report gives a true and fair view of the ALK Group's assets, equity and liabilities, financial
position, results of operations and cash flow for the period 1 January to 30 June 2024. We further consider that the
Management review in the preceding pages gives a true and fair statement of the development in the ALK Group's
activities and business, the profit for the period and the ALK Group's financial position as a whole, and a description of
the most significant risks and uncertainties to which the ALK Group is subject. Besides what has been disclosed in the
interim report, no changes in the ALK Group’s most significant risks and uncertainties have occurred relative to what
was disclosed in the consolidated annual report 2023.
Hørsholm, 22 August 2024
Board of Management  
Peter Halling
Henriette Mersebach
Søren Daniel Niegel
President & CEO
Executive Vice President
Research & Development
Executive Vice President
Commercial Operations
Claus Steensen Sølje
CFO & Executive Vice President
Board of Directors  
Anders Hedegaard
Chair
Lene Skole
Vice Chair
Gitte Aabo
Katja Barnkob
Nanna Rassov Carlson
Bertil Lindmark
Lars Holmqvist
Alan Main
Jesper Høiland
Johan Smedsrud
Lise Lund Mærkedahl
Page 9 of 17  
Company release No 16/2024 – 22 August 2024  
ALK-Abelló A/S – Bøge Allé 6-8 – DK-2970 Hørsholm – Denmark – www.alk.net  
Tel +45 4574 7576 – CVR No 63 71 79 16 – LEI code: 529900SGCREUZCZ7P020  
 
INCOME STATEMENT FOR THE ALK GROUP  
Q2  
Q2  
H1  
H1  
2024  
2023  
2024  
2023  
Amounts in DKKm  
1,374
507
1,135
428
Revenue  
2,725
969
2,369
863
Cost of sales  
Gross profit  
867
707
1,756
1,506
125
387
93
160
351
99
-
Research and development expenses  
Sales and marketing expenses  
Administrative expenses  
255
741
183
3
318
694
169
-
2
Other operating items, net  
Operating profit (EBIT)  
264
97
580
325
5
(8)
Net financial items
(2)
(19)
306
Profit before tax (EBT)  
269
89
578
Tax on profit  
68
23
66
145
77
201
Net profit  
433
229
Earnings per share (EPS)  
0.9
0.9
0.3
0.3
Earnings per share (EPS)  
2.0
2.0
1.0
1.0
Earnings per share (DEPS), diluted  
STATEMENT OF COMPREHENSIVE INCOME  
Q2  
Q2  
H1  
H1  
2024  
2023  
2024  
2023  
Amounts in DKKm  
201
66
Net profit  
433
229
Other comprehensive income  
Items that will subsequently be reclassified to the income statement,  
when specific conditions are met:  
15
3
Foreign currency translation adjustment of foreign affiliates  
42
(19)
210
Total comprehensive income  
216
69
475
Page 10 of 17  
Company release No 16/2024 – 22 August 2024  
ALK-Abelló A/S – Bøge Allé 6-8 – DK-2970 Hørsholm – Denmark – www.alk.net  
Tel +45 4574 7576 – CVR No 63 71 79 16 – LEI code: 529900SGCREUZCZ7P020  
 
CASH FLOW STATEMENT FOR THE ALK GROUP  
H1  
H1  
Amounts in DKKm  
2024  
2023  
Net profit  
433
229
Adjustments for non-cash items (note 3)  
Changes in w orking capital  
339
(177)
8
228
(237)
4
Financial income, received  
Financial expenses, paid  
(10)
(51)
542
(12)
(49)
163
Income taxes, paid (net)  
Cash flow from operating activities  
Acquisitions of companies and operations (note 4)  
Investments in intangible assets  
(115)
(23)
(133)
1
-
(37)
(176)
2
Investments in tangible assets  
Investments in other financial assets  
Cash flow from investing activities  
(270)
(211)
Free cash flow  
272
(48)
Exercised share options, paid  
Repayment of lease liabilities  
Proceeds fromborrow ings  
(37)
(22)
-
(20)
(16)
75
Repayment of borrow ings  
(270)
(329)
(47)
(8)
Cash flow from financing activities  
Net cash flow  
(57)
474
(56)
Cash beginning of year  
221
Unrealised gains/(losses) on cash held in foreign currency and financial  
assets carried as cash  
Net cash flow  
3
-
(57)
(56)
Cash end of period  
420
165
The consolidated statement of cash flow is compiled using the indirect method. As a result, the individual figures in the  
cash flow statement cannot be reconciled directly to the income statement and the balance sheet.  
Page 11 of 17  
Company release No 16/2024 – 22 August 2024  
ALK-Abelló A/S – Bøge Allé 6-8 – DK-2970 Hørsholm – Denmark – www.alk.net  
Tel +45 4574 7576 – CVR No 63 71 79 16 – LEI code: 529900SGCREUZCZ7P020  
 
BALANCE SHEET - ASSETS FOR THE ALK GROUP  
30 Jun  
2024  
30 Jun  
2023  
31 Dec  
2023  
Amounts in DKKm  
Non-current assets  
Intangible assets  
Goodwill  
461
331
792
459
200
659
459
212
671
Other intangible assets  
Tangible assets  
Land and buildings  
1,000
495
968
440
994
511
Plant and machinery  
Other fixtures and equipment  
Property, plant and equipment in progress  
75
75
80
703
616
596
2,273
2,099
2,181
Other non-current assets  
Prepayments  
32
661
209
902
73
723
197
993
49
659
198
906
Deferred tax assets  
Income tax receivables  
Total non-current assets  
3,967
3,751
3,758
Current assets  
Inventories  
1,593
846
-
1,391
849
18
1,423
816
-
Trade receivables  
Receivables from group companies  
Income tax receivables  
Other receivables  
Prepayments  
29
35
34
34
54
74
156
420
3,078
194
165
2,706
147
474
2,968
Cash  
Total current assets  
Total assets  
7,045
6,457
6,726
Page 12 of 17  
Company release No 16/2024 – 22 August 2024  
ALK-Abelló A/S – Bøge Allé 6-8 – DK-2970 Hørsholm – Denmark – www.alk.net  
Tel +45 4574 7576 – CVR No 63 71 79 16 – LEI code: 529900SGCREUZCZ7P020  
 
BALANCE SHEET - EQUITY AND LIABILITIES FOR THE ALK GROUP  
30 Jun  
2024  
30 Jun  
2023  
31 Dec  
2023  
Amounts in DKKm  
Equity  
Share capital  
111
24
111
1
111
(18)
Currency translation adjustment  
Retained earnings  
Total equity  
4,784
4,919
4,072
4,184
4,354
4,447
Liabilities  
Non-current liabilities  
Mortgage debt  
175
249
267
1
194
241
227
-
184
245
255
1
Pensions and similar liabilities  
Lease liabilities  
Provisions  
Deferred tax liabilities  
Deferred income  
3
3
4
46
48
46
Income tax payables  
231
972
203
916
230
965
Current liabilities  
Mortgage debt  
Bank loans  
19
-
18
247
127
44
19
261
128
46
Trade payables  
Lease liabilities  
Deferred income  
Provisions  
189
46
4
4
4
29
4
2
Income tax payables  
Other payables  
116
751
1,154
58
17
855
1,357
837
1,314
Total liabilities  
2,126
7,045
2,273
6,457
2,279
6,726
Total equity and liabilities  
Page 13 of 17  
Company release No 16/2024 – 22 August 2024  
ALK-Abelló A/S – Bøge Allé 6-8 – DK-2970 Hørsholm – Denmark – www.alk.net  
Tel +45 4574 7576 – CVR No 63 71 79 16 – LEI code: 529900SGCREUZCZ7P020  
 
EQUITY FOR THE ALK GROUP  
Currency  
translation  
adjustment  
Share  
capital  
Retained  
earnings  
Total  
equity  
Amounts in DKKm  
Equity at 1 January 2024  
111
(18)
4,354
4,447
Net profit  
-
-
-
-
42
42
433
-
433
433
42
475
Other comprehensive income  
Total comprehensive income  
Share-based payments  
-
-
-
-
-
-
-
-
30
(37)
4
30
(37)
4
Share options settled  
Tax related to items recognised directly in equity  
Other transactions  
(3)
(3)
Equity at 30 June 2024  
111
24
4,784
4,919
Equity at 1 January 2023  
111
20
3,857
3,988
Net profit  
-
-
-
-
229
-
229
(19)
210
Other comprehensive income  
Total comprehensive income  
(19)
(19)
229
Share-based payments  
-
-
-
-
-
-
-
-
9
(20)
(3)
9
(20)
(3)
Share options settled  
Tax related to items recognised directly in equity  
Other transactions  
(14)
(14)
Equity at 30 June 2023  
111
1
4,072
4,184
Page 14 of 17  
Company release No 16/2024 – 22 August 2024  
ALK-Abelló A/S – Bøge Allé 6-8 – DK-2970 Hørsholm – Denmark – www.alk.net  
Tel +45 4574 7576 – CVR No 63 71 79 16 – LEI code: 529900SGCREUZCZ7P020  
 
NOTES  
1 ACCOUNTING POLICIES  
This non-audited interim report for the first six months of 2024 has been prepared in accordance with IAS 34 and the additional  
Danish regulations for the presentation of quarterly interim reports by listed companies. The Interim report for the first six months of  
2024 follows the same accounting policies as the annual report for 2023, except for new, amended or revised accounting standards  
and interpretations (IFRSs) endorsed by the EU effective for the accounting period beginning on 1 January 2024. These IFRSs  
have not had any impact on the Group’s interim report.  
2 REVENUE AND SEGMENT INFORMATION  
North  
International  
Markets  
Europe  
H1 2024  
America  
Total  
H1 2024  
Amounts in DKKm  
SLIT-tablets  
H1 2023  
775  
H1 2024  
H1 2023  
92  
H1 2024  
H1 2023  
261  
H1 2023  
1,128  
933  
1,018  
744  
115  
175  
162  
289  
71  
1,422  
990  
SCIT/SLIT-drops  
666  
175  
92  
Other products and services  
130  
117  
174  
21  
17  
313  
308  
Total revenue  
1,892  
1,558  
452  
441  
381  
370  
2,725  
2,369  
Sale of goods  
Royalties  
2,676  
48  
2,322  
46  
Services  
1
1
Total revenue  
2,725  
2,369  
International  
Markets  
Organic  
Grow th grow th local  
North  
America  
Organic  
Grow th grow th local  
Europe  
Total  
Organic  
Grow th growth local  
Organic  
grow th local  
currencies  
Growth  
Grow th, H1 2024  
SLIT-tablets  
(reported)  
currencies  
(reported)  
currencies  
(reported)  
currencies  
(reported)  
31%  
12%  
10%  
31%  
24%  
25%  
14%  
11%  
27%  
26%  
6%  
SCIT/SLIT-drops  
12%  
0%  
0%  
-20%  
-23%  
6%  
Other products and services  
11%  
-6%  
-7%  
25%  
24%  
1%  
2%  
Total revenue  
21%  
21%  
3%  
2%  
6%  
3%  
15%  
15%  
Geographical markets (based on customer location):  
o Europe comprises the EU, the UK, Norwayand Switzerland  
o North America comprises the USAand Canada  
o International Markets comprise Japan, China and all other countries  
Page 15 of 17  
Company release No 16/2024 – 22 August 2024  
ALK-Abelló A/S – Bøge Allé 6-8 – DK-2970 Hørsholm – Denmark – www.alk.net  
Tel +45 4574 7576 – CVR No 63 71 79 16 – LEI code: 529900SGCREUZCZ7P020  
 
NOTES  
2 REVENUE AND SEGMENT INFORMATION (CONTINUED)  
North  
America  
Q2 2024  
International  
Markets  
Europe  
Q2 2024  
Total  
Q2 2024  
Amounts in DKKm  
SLIT-tablets  
Q2 2023  
361  
Q2 2023  
47  
Q2 2024  
Q2 2023  
Q2 2023  
547  
487  
345  
68  
61  
92  
88  
168  
53  
139  
35  
8
716  
490  
168  
SCIT/SLIT-drops  
300  
88  
423  
Other products and services  
60  
97  
12  
165  
Total revenue  
900  
721  
241  
232  
233  
182  
1,374  
1,135  
Sale of goods  
Royalties  
1,350  
23  
1,110  
24  
Services  
1
1
Total revenue  
1,374  
1,135  
North  
America  
Organic  
Grow th grow th local  
International  
Markets  
Organic  
Grow th grow th local  
Europe  
Total  
Organic  
Grow th growth local  
Organic  
grow th local  
currencies  
Growth  
(reported)  
Grow th, Q2 2024  
SLIT-tablets  
(reported)  
currencies  
(reported)  
currencies  
(reported)  
currencies  
35%  
15%  
12%  
35%  
29%  
30%  
25%  
21%  
32%  
31%  
16%  
2%  
SCIT/SLIT-drops  
15%  
4%  
5%  
55%  
51%  
16%  
Other products and services  
13%  
-9%  
-9%  
51%  
50%  
1%  
Total revenue  
25%  
25%  
3%  
4%  
32%  
28%  
21%  
21%  
Geographical markets (based on customer location):  
o Europe comprises the EU, the UK, Norwayand Switzerland  
o North America comprises the USAand Canada  
o International markets comprise Japan, China and all other countries  
3 ADJUSTMENTS FOR NON-CASH ITEMS  
Amounts in DKKm  
H1  
2024  
H1  
2023  
Tax on profit  
145  
2
77  
19  
9
Financial income and expenses  
Share-based payments  
Depreciation, amortisation and impairment  
Other adjustments  
30  
133  
29  
120  
3
Total  
339  
228  
Page 16 of 17  
Company release No 16/2024 – 22 August 2024  
ALK-Abelló A/S – Bøge Allé 6-8 – DK-2970 Hørsholm – Denmark – www.alk.net  
Tel +45 4574 7576 – CVR No 63 71 79 16 – LEI code: 529900SGCREUZCZ7P020  
 
NOTES  
4 ACQUISITION OF OPERATION  
On 2 January 2024, the ALK Group acquired the operating assets of AllerQuest for a total cash  
consideration of DKK 125 million. The consideration amount includes an escrow amount of DKK 10 million  
w hich serves as reserve for potential indemnifications over 18 months fromacquisition date.  
AllerQuest w as a U.S.-based company dedicated to manufacturing PRE-PEN® Skin Antigen Test. This  
acquisition makes ALK the sole manufacturer and distributor of PRE-PEN® in the U.S. and Canada, w ith global  
ow nership rights to all assets of AllerQuest. PRE-PEN® is the only FDA-approved diagnostic skin test for the  
evaluation of penicillin allergy and is indicated for the assessment of sensitization to penicillin in patients  
suspected to have clinical penicillin hypersensitivity.  
The transaction is on a debt and cash free basis. No liabilities w ere transferred.  
AllerQuest w as previously a supplier of the ALK Group and w ill be fully integrated into ALK during 2024. The  
integration of the activities is ongoing and the allocation of the preliminary values could be subject to change.  
CONSOLIDATED FAIR VALUES OF ACQUISITIONS  
Amounts in DKKm  
Tangible assets and inventory  
Product rights  
Acquisition cost  
Contingent considerations  
Cash acquisition cost  
7
118  
125  
(10)  
115  
Page 17 of 17  
Company release No 16/2024 – 22 August 2024  
ALK-Abelló A/S – Bøge Allé 6-8 – DK-2970 Hørsholm – Denmark – www.alk.net  
Tel +45 4574 7576 – CVR No 63 71 79 16 – LEI code: 529900SGCREUZCZ7P020