Nine-month interim report (Q3) 2024 (unaudited)  
Company release No. 19/2024  
ALK delivers 18% organic revenue growth and an operating profit margin of 23% in Q3  
Revenue growth was mainly driven by a continued strong momentum in tablet sales and a recovery in Jext® sales.  
Europe and International markets were key contributors to growth. The operating profit improved in line with ALK’s  
financial ambitions, and the full-year outlook remains unchanged.  
Q3 performance highlights  
Comparative figures for Q3 2023 are shown in brackets. Revenue growth rates are stated in local currencies, unless otherwise indicated.  
Total revenue increased by 18% in local currencies to DKK 1,313 million (1,110) on broad-based growth.  
Tablet sales were up 29% to DKK 634 million (491) on double-digit growth in all regions. Europe continued to be a  
key contributor with 27% growth, reflecting both new patient inflow during the past year and improved pricing.  
Combined SCIT and SLIT-drops sales grew by 5% to DKK 510 million (484) against a strong quarter last year  
where improved pricing and rebate adjustments elevated European SCIT sales.  
Sales of Other products and services increased by 26% to DKK 169 million (135). Jext® sales increased by 112%  
and has recovered from last year’s supply shortages.  
Operating profit (EBIT) more than doubled to DKK 306 million (147), with an EBIT margin of 23% (13%). Progress  
was driven by sales growth, gross margin improvements, and cost optimisations. EBIT included one-off costs of  
DKK 11 million (0) related to previously announced optimisation initiatives.  
Financial highlights  
Growth  
Growth  
In DKKm  
Q3 2024  
1,313  
306  
l.c.  
18%  
r.c.  
18%  
9M 2024  
4,038  
886  
l.c.  
16%  
91%  
r.c.  
16%  
88%  
Revenue  
EBIT  
107%  
108%  
EBIT margin – %  
23%  
22%  
l.c.: local currency; r.c.: reported currency  
Progress on strategic priorities  
The regulatory processes to secure approvals of the house dust mite and tree pollen allergy tablets for children are  
still ongoing. Launch preparations progress as planned with first launches estimated late 2024/early 2025.  
The clinical Phase I/II trial with the tablet for peanut allergy is on track and expected to report next set of results in  
late Q4.  
ALK is finalising the design of a local clinical trial aimed at obtaining approval of the house dust mite allergy tablet  
in China. The trial is expected to begin in 2025. ALK is also revising its Chinese plans and activities to the delayed  
launch timeline (as previously announced).  
All previously announced optimisation activities are on track to free up resources for growth investments and  
support the 2025 earnings ambitions of a 25% EBIT margin.  
ALK has licensed rights to neffy®, the first approved adrenaline nasal spray for emergency treatment of allergic  
reactions (anaphylaxis) in return for USD 145 million in upfront and additional future milestones and sales royalties.  
2024 full-year outlook remains unchanged  
Revenue is still expected to grow by 14-16% organically in local currencies on broad-based growth across sales  
regions and product groups. European tablet sales remain key to growth.  
The EBIT margin is still expected to improve to 19-21% vs. 14% last year, mainly driven by sales growth.  
Commenting on the results, CEO Peter Halling said: “The results in Q3 confirm that we are on track to improve  
revenue and earnings for the sixth consecutive year, and we are particularly encouraged by the robust tablet growth  
and the positive impact of our optimisation initiatives. The implementation of our Allergy+ strategy is progressing well,  
as evidenced by the newly announced license agreement with ARS Pharma, granting ALK rights to the adrenaline  
nasal spray neffy®. We are thereby taking steps to build new revenue streams to supplement our core offering in  
respiratory allergy.”  
Page 1 of 17  
Company release no 19/2024 – 14 November 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  
 
Hørsholm, 14 November 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. (CET) on 14 November 2024 at which the executive  
leadership team 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 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. (CET).  
Page 2 of 17  
Company release no 19/2024 – 14 November 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  
Q3  
2024  
Q3  
2023  
9M  
2024  
9M  
2023  
Full year  
2023  
Amounts in DKKm  
Income statement  
1,313  
4,038  
Revenue  
1,110  
8%  
3,479  
9%  
4,824  
9%  
Revenue growth (local currencies)  
Revenue growth (reported)  
Operating profit (EBIT)  
18%  
18%  
306  
16%  
16%  
886  
5%  
7%  
7%  
147  
472  
666  
EBIT growth (local currencies)  
EBIT growth (reported)  
Operating profit before depreciation (EBITDA)  
Net financial items  
107%  
108%  
369  
128%  
116%  
208  
91%  
88%  
1,082  
(27)  
55%  
42%  
653  
50%  
42%  
911  
(25)  
8
(11)  
461  
(19)  
647  
281  
859  
Profit before tax (EBT)  
155  
212  
645  
Net profit  
117  
346  
486  
2,778  
2,795  
Average number of employees (FTE)  
2,787  
2,740  
2,752  
Balance sheet  
Total assets  
Invested capital  
Equity  
7,149  
4,056  
5,086  
7,149  
4,056  
5,086  
6,568  
3,771  
4,341  
6,568  
3,771  
4,341  
6,726  
3,765  
4,447  
Cash flow and investments  
218  
(65)  
(11)  
(54)  
-
760  
(335)  
(34)  
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  
178  
(79)  
(15)  
(63)  
-
341  
(290)  
(52)  
(239)  
-
667  
(375)  
(69)  
(310)  
-
(187)  
(115)  
425  
153  
99  
51  
292  
Information on shares  
Share capital  
111  
222,824  
172  
111  
222,824  
172  
111  
222,824  
79  
111  
222,824  
79  
111  
222,824  
101  
Shares in thousands of DKK 0.5 each  
Share price, end of period  
Net asset value per share  
23  
23  
19  
19  
20  
Key figures  
64  
23  
64  
22  
Gross margin – %  
62  
13  
63  
14  
63  
14  
EBIT margin – %  
71  
71  
Equity ratio – %  
66  
66  
66  
1.0  
1.0  
7.5  
2.9  
2.9  
7.5  
Earnings per share (EPS)  
Earnings per share (DEPS), diluted  
Share price/Net asset value  
0.5  
0.5  
4.1  
1.6  
1.6  
4.1  
2.2  
2.2  
5.1  
Page 3 of 17  
Company release no 19/2024 – 14 November 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  
Q3  
% of  
Q3  
% of  
9M  
% of  
9M  
% of  
2024 revenue  
2023 revenue  
Amounts in DKKm  
2024  
revenue  
2023  
revenue  
1,313  
100  
36  
1,110  
100  
38  
Revenue  
4,038  
1,440  
2,598  
100  
36  
3,479  
1,288  
2,191  
100  
37  
471  
425  
685  
Cost of sales  
Gross profit  
842  
64  
62  
64  
63  
109  
427  
-
8
33  
-
149  
390  
1
14  
35  
0
Research and development expenses  
Sales, marketing and administrative expenses  
Other operating items, net  
364  
1,351  
3
9
33  
-
467  
1,253  
1
13  
36  
0
306  
23  
147  
13  
Operating profit (EBIT)  
886  
22  
472  
14  
(25)  
(2)  
8
1
Net financial items  
(27)  
(1)  
21  
(11)  
461  
(1)  
13  
281  
21  
155  
14  
Profit before tax (EBT)  
859  
69  
5
38  
3
Tax on profit  
214  
5
115  
346  
3
212  
16  
117  
11  
Net profit  
645  
16  
10  
Operating profit before depreciation  
and amortisation (EBITDA)  
369  
28  
208  
19  
1,082  
27  
653  
19  
finalisation and approval by the authorities, the trial is  
expected to start in 2025 and enrol 300 local subjects.  
In parallel, ALK is revising its Chinese plans and  
activities to the delayed launch timeline, which was  
originally scheduled for launch in 2025.  
STRATEGIC PRIORITIES  
Implementation of Allergy+ strategy  
In Q3, ALK took additional steps to progress its new  
Allergy+ strategy. Allergy+ aims to further strengthen  
ALK’s global leadership in respiratory AIT, establish  
leading positions in food allergy and anaphylaxis, and  
pursue innovations to address new, adjacent disease  
areas. The strategy targets average revenue growth of  
minimum 10% in local currencies (5-year CAGR) until  
2028, while ALK continues to aim for an EBIT margin  
of ~25% in 2025. After 2025, earnings improvements  
beyond the ~25% margin will be re-invested in  
initiatives to bolster ALK’s long-term growth and  
profitability trajectory.  
ALK’s previously announced optimisation and  
prioritisation initiatives are on track. The overall aim  
is to free up savings in 2025, which partly will support  
the earnings ambitions for 2025, and partly be  
reinvested in growth levers – markets, projects and  
innovations – with the largest potential to generate  
strong returns and the greatest impact for patients and  
prescribers. Focus in 2024 is particularly on  
reallocating resources to European high-impact  
markets with sustainable demand for AIT and strong  
endorsement of evidence-based AIT from regulators,  
payers, and prescribers.  
ALK works to secure regulatory approvals to expand  
key product indications for the house dust mite (HDM)  
and tree tablets to include young children, and  
regulatory reviews are ongoing in Europe, the USA,  
and Canada. Subject to approval, the house dust mite  
(HDM) tablet could become available for children,  
aged five to 11, in Europe and North America from late  
2024 or early 2025, while the tree tablet could become  
available for children and adolescents from mid-2025  
in Canada and Europe.  
Patient recruitment for the second of three parts of the  
ongoing phase I/II clinical trial with the tablet for  
peanut allergy has been completed and the trial is on  
track to report next set of interim results in late Q4.  
The second part of the trial is investigating safety and  
tolerability of different doses across the up-dosing  
regimen. Subject to a positive outcome, ALK has  
previously made a provisional decision to extend the  
trial with a third part to explore the tablet’s efficacy, as  
well. Trial investigators have been allowed to initiate  
screening of patients for the third part, however dosing  
for this part awaits conclusions from the ongoing  
second part, where patients still are receiving  
treatment.  
ALK’s commercial organisation is advancing the  
launch preparations for the children indications – a key  
initiative in ALK’s efforts to expand the tablet portfolio’s  
reach to new patient and prescriber groups.  
In Japan, ALK’s partner Torii continues to work on  
initiatives to expand manufacturing capacity for the  
cedar pollen tablet to overcome intermittent capacity  
limitations. The upscaled capacity is still expected to  
become operational from late 2025.  
In the area of anaphylaxis, ALK recently entered into  
a strategic licensing agreement with ARS Pharma.  
The agreement grants ALK exclusive global rights to  
the neffy® adrenaline nasal spray, with the exception  
of the USA, Australia, New Zealand, Japan, and  
China. neffy® has the potential to transform  
Based on dialogue with the authorities in China, ALK  
is finalising the design of a local clinical trial aimed at  
obtaining approval of the HDM tablet. Subject to  
anaphylaxis management, and the deal supports  
Page 4 of 17  
Company release no 19/2024 – 14 November 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  
 
ALK’s long-term financial ambitions. Under the  
agreement, ARS Pharma is entitled to receive an  
upfront payment of USD 145 million (DKK 1 billion)  
from ALK. Furthermore, ARS Pharma may receive up  
to USD 320 million (DKK 2.2 billion) related to  
regulatory and commercial milestones as well as  
tiered royalties in the teens on future sales. ARS  
Pharma will supply finished goods to ALK, while ALK  
will be responsible for local market access, marketing  
and sales. ALK’s internal development of a new, next-  
generation autoinjector (Genesis) is progressing as  
planned.  
Combined sales of injection- and drop-based allergy  
immunotherapy products (SCIT/SLIT-drops) increased  
by 5% against a strong quarter last year when  
improved pricing and rebate adjustments positively  
impacted revenue. SCIT sales progressed in most  
Central and Northern European markets. Furthermore,  
in Germany, sales growth weakened temporarily due  
to changes in the product and price mix. Sales of  
SLIT-drops, mainly marketed in France, continued to  
perform well with growth linked to higher patient inflow  
to both existing and new allergy doctors.  
Sales of Other products and services (the adrenaline  
pen Jext®, diagnostics, etc.) increased by 91%, driven  
by the recovery in Jext® sales. Jext® sales grew by  
124% against a weak Q3 2023, where issues at a  
contract manufacturer limited market supply.  
To support ALK's growth, efforts are underway to  
expand tablet manufacturing capacity to approximately  
800 million units by 2030, alongside establishing the  
supply chain for Genesis.  
North America  
Revenue in North America increased by 3% in local  
currencies to DKK 219 million (218).  
Q3 SALES AND MARKET TRENDS  
(Comparative figures for Q3 2023 are shown in brackets.  
Revenue growth rates are stated in local currencies, unless  
otherwise indicated)  
Tablet sales increased by 13% on higher volumes in  
the USA and Canada. As previously announced, the  
impact from higher realised selling prices in the USA  
started to decline in the quarter.  
Revenue by geography  
DKKm  
Q3  
2024  
884  
Share of  
revenue  
67%  
Q3  
2023  
730  
Growth*  
21%  
Europe  
North America  
Int’l markets  
219  
210  
1,313  
3%  
27%  
18%  
17%  
16%  
100% 1,110  
218  
162  
Sales of bulk allergen extracts (SCIT) to US allergists  
grew by 4% and is recovering slower than expected.  
Revenue  
* In local currencies  
Sales of Other products (diagnostics, PRE-PEN® and  
life science products) decreased 4%, mainly due to  
lower PRE-PEN® sales. The integration of the PRE-  
PEN® penicillin diagnostic operation has now been  
completed, however, sales continued to perform below  
expectations.  
Revenue in Europe grew by 21% in local currencies to  
DKK 884 million (730) on growth in all product lines.  
Double-digit sales growth was seen in most Northern  
and Central European markets – 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 27% in  
local currencies to DKK 210 million (162). Growth was  
mainly attributable to the timing of product shipments  
to China and Japan, the region’s two largest markets.  
European tablet sales increased by 27%. The growth  
was primarily due to higher volumes driven by the  
strong inflow of new patients starting treatment during  
the previous initiation season, particularly in Central,  
Western and Northern Europe combined with certain  
price and rebate adjustments. Underlying volume  
growth was roughly in line with H1 of this year, while  
the impact of price adjustments was slightly lower than  
in H1. The reversal of last year’s mandatory rebate  
increase in Germany influenced tablet growth  
Tablet revenue in the region was up 39%. Sales  
progressed in Southeast Asia and other, minor  
markets, while revenue from the main tablet market  
Japan (product shipments and sales royalties) grew by  
solid double digits, mirroring continued growth in  
Torii’s in-market tablet sales.  
Revenue from China, from SCIT product shipments,  
grew by single digits against a strong Q3 2023 which  
saw an elevated level of shipments to China. Chinese  
in-market sales of SCIT products continued to show  
double-digit growth supported by an expanded  
prescriber base at hospitals.  
positively by more than 2 percentage points.  
Tablet sales in main market Germany continued to  
benefit from the accelerated market transition towards  
evidence-based, registered products, leading to  
double digit sales growth. Across markets, ALK  
continued to observe that tablet sales were less  
influenced by pan-European trading patterns at  
wholesaler levels than last year, although these  
movements are still impacting the development.  
Page 5 of 17  
Company release no 19/2024 – 14 November 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  
 
in the working capital, which mainly related to planned  
inventory build-up in support of future revenue growth.  
Cash flow from investment activities was DKK  
minus 335 million (minus 290), reflecting investments  
in continued capacity build-up for tablet production,  
upgrades of legacy production, and the development  
of 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 425 million (51).  
Global revenue by product line  
DKKm  
Q3  
Share of  
revenue  
48%  
Q3  
2023  
491  
2024 Growth*  
SLIT-tablets  
SCIT/  
634  
29%  
SLIT-drops  
Other products  
510  
169  
1,313  
5%  
26%  
18%  
39%  
13%  
100% 1,110  
484  
135  
Revenue  
* In local currencies  
NINE-MONTH FINANCIAL REVIEW  
(Comparative figures for 9M 2023 are shown in brackets.  
Revenue growth rates are stated in local currencies, unless  
otherwise indicated)  
Cash flow from financing was DKK minus 344  
million (minus 65), mainly related to repayment of  
loans.  
At the end of September, ALK held 1,436,906 of its  
own shares, or 0.6% of the share capital, down from  
0.7% at the end of Q2 2024.  
Revenue in the first three quarters increased by 16%  
in local currencies to DKK 4,038 million (3,479), mainly  
driven by a strong momentum for tablet sales,  
particularly in Europe. Exchange rates had an  
immaterial impact on reported revenue.  
Equity totalled DKK 5.086 million (4,341) at the end of  
the period, and the equity ratio was 71% (66%).  
Cost of sales increased by 11% in local currencies to  
DKK 1,440 million (1,288). The gross profit of DKK  
2,598 million (2,191) yielded an improved gross  
margin of 64% (63%), mainly reflecting changes to the  
sales mix, improved pricing, and production  
efficiencies. These positive factors were, as expected,  
somewhat offset by inflationary pressure on the cost  
base and minor one-off costs related to optimisation  
activities in product supply.  
FULL-YEAR OUTLOOK FOR 2024  
The outlook is unchanged:  
Revenue is still expected to grow by 14-16%  
organically in local currencies on broad-based  
growth across sales regions and product groups.  
European tablet sales remain key to growth.  
The EBIT margin is still expected to improve to  
19-21% vs. 14% last year, mainly driven by high  
sales growth.  
Capacity costs were unchanged in local currencies at  
DKK 1,715 million (1,720). R&D expenses decreased  
22% in local currencies to DKK 364 million after last  
year’s completion of late-stage clinical trials. Sales and  
marketing expenses were up 8% in local currencies to  
DKK 1,090 million. Administration costs were DKK 261  
million, an increase of 9% in local currencies, mainly  
linked to costs for the Allergy+ strategy process.  
Optimisation of resources and general savings  
The outlook is based on the following assumptions:  
Revenue  
Europe is expected to deliver robust, double-digit  
revenue growth, while single-digit growth is projected  
in North America and International markets.  
contributed positively to the overall cost development.  
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, mainly driven by the past years’ inflow of new  
patients and improved pricing. Tablet sales in North  
America and International markets are also expected  
to grow, albeit at lower rates than in 2023.  
Capacity costs included one-off costs associated with  
previously announced optimisation initiatives which  
mainly impacted Sales and marketing expenses.  
These one-off costs totalled DKK 49 million (0).  
The operating profit (EBIT) amounted to DKK 886  
million (472), an improvement of 91% in local  
Combined sales of SCIT/SLIT-drops are now  
projected to grow by mid to high single-digits  
(previously: high-single digit), driven by increasing  
SCIT and SLIT-drops sales in Europe while ALK now  
expects low growth for North American SCIT-sales.  
currencies and 88% in reported currency. Despite the  
above-mentioned one-off costs, the EBIT margin  
progressed to 22% (14%) due to higher sales, gross  
margin improvements and a lower capacity cost-to-  
revenue ratio – the ratio was down to 42% (49%).  
Sales of other products are still expected to grow by  
mid to high single digits, led by the normalisation of  
market supply of the adrenaline autoinjector Jext®.  
Sales of other products in North America are assumed  
to decline following continued market volatility.  
Net financials were a loss of DKK 27 million (a loss of  
11) related to interest expenses and currency losses.  
Tax on the profit totalled DKK 214 million (115), and  
the net profit increased to DKK 645 million (346).  
Revenue growth in Q4 is anticipated to be lower than  
in Q2 and Q3 of this year: Q4 will be impacted by  
Cash flow from operating activities was DKK 760  
million (341), as higher earnings clearly offset changes  
Page 6 of 17  
Company release no 19/2024 – 14 November 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  
 
fluctuations in the timing of product shipments to  
International markets with no SCIT shipments planned  
for China during the renewal of ALK’s import license  
and lower tablet shipments planned for Japan.  
Moreover, sales growth in North America is expected  
to continue at a low level because of weak  
developments in legacy products and a lower impact  
from recent improvements to the average selling  
prices for tablets in the USA.  
Changes in consumers’ spending power are not  
expected to materially affect demand for AIT.  
CAPEX investments are now projected at around  
DKK 350 million (previously: 400), and ALK plans  
to continuously build up inventories in support of  
revenue growth. As a consequence of the upfront  
payment related to the license agreement with  
ARS Pharma, free cash flow is now expected to be  
negative at around DKK 500 million.  
While still early in the 2024/25 initiation season, the  
forecast assumes an average new patient inflow in Q4  
which is indicated to be lower than the exceptional  
2023 initiation season, but still better than in 2022.  
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 new M&A or in-licensing.  
The outlook is based on current exchange rates,  
resulting in an immaterial currency effect on  
reported growth in revenue and a minor negative  
effect on reported growth in EBIT.  
Margins  
The gross margin is now expected to increase by  
more than 1 percentage point (previously: around 1  
pp). The margin will benefit from changes to the sales  
mix, improved pricing, and efficiencies. Inflationary  
pressures in product supply will partly offset these  
positive factors.  
RISK FACTORS  
Capacity costs  
This interim report contains forward-looking  
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 projected to decline to around 10% of  
the expected revenue, while increases are assumed  
for both sales and marketing expenses and  
administrative costs.  
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 beyond ALK’s control -  
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  
The outlook for capacity costs still includes  
approximately DKK 60 million in one-off costs  
associated with the previously announced optimisation  
initiatives. ALK may entail additional costs associated  
with revisions of its Chinese plans and activities. Any  
such costs will be kept within ALK’s current earnings  
outlook.  
immunotherapy may be associated with allergic  
reactions of differing extents, durations, and severities.  
Other assumptions  
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 selected  
Southern European markets.  
Financial calendar  
Silent period  
22 January 2025  
19 February 2025  
Annual Report (2024)  
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.  
Page 7 of 17  
Company release no 19/2024 – 14 November 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 19/2024 – 14 November 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 September 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 September 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, 14 November 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 19/2024 – 14 November 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  
Q3  
Q3  
9M  
9M  
2024  
2023 Amounts in DKKm  
2024  
2023  
1,313
471
1,110
Revenue  
4,038
1,440
2,598
3,479
1,288
2,191
425
685
Cost of sales  
Gross profit  
842
109
349
78
149
321
69
Research and development expenses  
Sales and marketing expenses  
Administrative expenses  
364
1,090
261
3
467
1,015
238
1
-
1
Other operating items, net  
306
147
Operating profit (EBIT)  
886
472
(25)
8
Net financial items  
(27)
(11)
461
281
155
Profit before tax (EBT)  
859
69
38
Tax on profit  
214
115
346
212
117
Net profit  
645
Earnings per share (EPS)  
1.0
1.0
0.5
0.5
Earnings per share (EPS)  
2.9
2.9
1.6
1.6
Earnings per share (DEPS), diluted  
STATEMENT OF COMPREHENSIVE INCOME  
Q3  
Q3  
9M  
9M  
2024  
2023 Amounts in DKKm  
2024  
2023  
212
117
Net profit  
645
346
Other comprehensive income  
Items that will subsequently be reclassified to the income statement,  
when specific conditions are met:  
(61)
33
Foreign currency translation adjustment of foreign affiliates  
(19)
14
151
150
Total comprehensive income  
626
360
Page 10 of 17  
Company release no 19/2024 – 14 November 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  
9M  
9M  
Amounts in DKKm  
2024  
2023  
Net profit  
645
346
Adjustments for non-cash items (note 3)  
Changes in w orking capital  
497
(310)
12
329
(251)
5
Financial income, received  
Financial expenses, paid  
(14)
(70)
760
(17)
(71)
341
Income taxes, paid (net)  
Cash flow from operating activities  
Acquisitions of companies and operations (note 4)  
Investments in intangible assets  
(115)
(34)
(187)
1
-
(52)
(239)
1
Investments in tangible assets  
Investments in other financial assets  
Cash flow from investing activities  
(335)
(290)
Free cash flow  
425
51
Sale of treasury shares  
5
(38)
(36)
-
-
Exercised share options, paid  
Repayment of lease liabilities  
Proceeds from borrow ings  
Repayment of borrow ings  
(20)
(26)
75
(275)
(344)
(94)
(65)
Cash flow from financing activities  
Net cash flow  
81
(14)
Cash beginning of year  
474
221
Unrealised gains/(losses) on cash held in foreign currency and financial  
assets carried as cash  
Net cash flow  
1
-
81
(14)
Cash end of period  
556
207
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 19/2024 – 14 November 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 Sep  
2024  
30 Sep  
2023  
31 Dec  
2023  
Amounts in DKKm  
Non-current assets  
Intangible assets  
Goodwill  
458
324
782
461
206
667
459
212
671
Other intangible assets  
Tangible assets  
Land and buildings  
1,007
505
1,021
476
994
511
Plant and machinery  
Other fixtures and equipment  
Property, plant and equipment in progress  
76
73
80
670
607
596
2,258
2,177
2,181
Other non-current assets  
Prepayments  
29
658
209
896
65
729
188
982
49
659
198
906
Deferred tax assets  
Income tax receivables  
Total non-current assets  
3,936
3,826
3,758
Current assets  
Inventories  
1,608
861
-
1,413
824
14
1,423
816
-
Trade receivables  
Receivables from group companies  
Income tax receivables  
Other receivables  
Prepayments  
15
52
34
38
58
74
135
556
3,213
174
207
2,742
147
474
2,968
Cash  
Total current assets  
Total assets  
7,149
6,568
6,726
Page 12 of 17  
Company release no 19/2024 – 14 November 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 Sep  
2024  
30 Sep  
2023  
31 Dec  
2023  
Amounts in DKKm  
Equity  
Share capital  
111
(37)
111
34
111
(18)
Currency translation adjustment  
Retained earnings  
Total equity  
5,012
5,086
4,196
4,341
4,354
4,447
Liabilities  
Non-current liabilities  
Mortgage debt  
170
251
274
1
189
243
259
-
184
245
255
1
Pensions and similar liabilities  
Lease liabilities  
Provisions  
Deferred tax liabilities  
Deferred income  
2
3
4
45
48
46
Income tax payables  
231
974
203
945
230
965
Current liabilities  
Mortgage debt  
Bank loans  
19
-
18
206
116
46
19
261
128
46
Trade payables  
Lease liabilities  
Deferred income  
Provisions  
118
47
4
4
4
20
3
2
Income tax payables  
Other payables  
146
735
1,089
85
17
804
1,282
837
1,314
Total liabilities  
2,063
7,149
2,227
6,568
2,279
6,726
Total equity and liabilities  
Page 13 of 17  
Company release no 19/2024 – 14 November 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  
-
-
-
-
645
-
645
645
(19)
626
Other comprehensive income  
Total comprehensive income  
(19)
(19)
Share-based payments  
-
-
-
-
-
-
-
-
-
-
37
(38)
5
37
(38)
5
Share options settled  
Sale of treasury shares  
Tax related to items recognised directly in equity  
Other transactions  
9
9
13
13
Equity at 30 September 2024  
Equity at 1 January 2023  
111
(37)
5,012
5,086
111
20
3,857
3,988
Net profit  
-
-
-
-
14
14
346
-
346
14
Other comprehensive income  
Total comprehensive income  
346
360
Share-based payments  
-
-
-
-
-
-
-
-
15
(20)
(2)
15
(20)
(2)
Share options settled  
Tax related to items recognised directly in equity  
Other transactions  
(7)
(7)
Equity at 30 September 2023  
111
34
4,196
4,341
Page 14 of 17  
Company release no 19/2024 – 14 November 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 interimreport for the first nine months of 2024 has been prepared in accordance w ith IAS 34 and the additional  
Danish regulations for the presentation of quarterly interimreports by listed companies. The Interimreport for the first nine months of  
2024 follow s 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 interimreport.  
2 REVENUE AND SEGMENT INFORMATION  
North  
International  
Markets  
Europe  
9M 2024  
America  
Total  
9M 2024  
Amounts in DKKm  
SLIT-tablets  
9M2023  
1,127  
1,001  
160  
9M 2024  
9M2023  
135  
9M 2024  
9M2023  
9M2023  
1,619  
1,417  
443  
1,468  
1,098  
210  
161  
264  
246  
427  
138  
26  
357  
154  
21  
2,056  
1,500  
482  
SCIT/SLIT-drops  
262  
Other products and services  
262  
Total revenue  
2,776  
2,288  
671  
659  
591  
532  
4,038  
3,479  
Sale of goods  
Royalties  
3,963  
73  
3,409  
69  
Services  
2
1
Total revenue  
4,038  
3,479  
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, M9 2024  
SLIT-tablets  
(reported)  
currencies  
(reported)  
currencies  
(reported)  
currencies  
(reported)  
30%  
9%  
30%  
21%  
19%  
21%  
20%  
27%  
27%  
6%  
SCIT/SLIT-drops  
10%  
1%  
1%  
-8%  
-10%  
6%  
Other products and services  
31%  
31%  
-6%  
-6%  
24%  
24%  
9%  
9%  
Total revenue  
21%  
21%  
3%  
2%  
13%  
11%  
16%  
16%  
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 19/2024 – 14 November 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  
Q3 2024  
International  
Markets  
Europe  
Q3 2024  
Total  
Q3 2024  
Amounts in DKKm  
SLIT-tablets  
Q3 2023  
352  
Q3 2023  
43  
Q3 2024  
Q3 2023  
Q3 2023  
491  
450  
354  
80  
46  
89  
84  
138  
67  
5
96  
62  
4
634  
510  
169  
SCIT/SLIT-drops  
335  
87  
484  
Other products and services  
43  
88  
135  
Total revenue  
884  
730  
219  
218  
210  
162  
1,313  
1,110  
Sale of goods  
Royalties  
1,287  
25  
1,087  
23  
Services  
1
-
Total revenue  
1,313  
1,110  
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, Q3 2024  
SLIT-tablets  
(reported)  
currencies  
(reported)  
currencies  
(reported)  
currencies  
27%  
5%  
28%  
13%  
7%  
39%  
44%  
29%  
29%  
5%  
SCIT/SLIT-drops  
6%  
4%  
2%  
7%  
8%  
5%  
Other products and services  
91%  
86%  
-4%  
-5%  
20%  
25%  
26%  
25%  
Total revenue  
21%  
21%  
3%  
0%  
27%  
30%  
18%  
18%  
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  
9M  
2024  
9M  
2023  
Tax on profit  
214  
27  
115  
11  
Financial income and expenses  
Share-based payments  
Depreciation, amortisation and impairment  
Other adjustments  
37  
15  
196  
23  
181  
7
Total  
497  
329  
Page 16 of 17  
Company release no 19/2024 – 14 November 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 19/2024 – 14 November 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