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Novartis profit beat driven by cost control as patent expiries bite

By Thomson Reuters Jul 21, 2026 | 12:10 AM

By Bhanvi Satija and Marleen Kaesebier

LONDON, July 21 – Novartis beat second-quarter profit forecasts and kept its 2026 expectations unchanged on Tuesday, which analysts said signalled it had shifted some costs into the second ​half.

The Swiss drugmaker’s shares rose 3% after it said quarterly core ‌operating profit increased to $5.94 billion, above analysts’ predictions of about $5.31 billion cited by Visible Alpha. Novartis, which has a market capitalization of about $310 billion after a 14% share rise so far this year, faces its most intense period of patent expiries, most notably for Entresto, which accounted ‌for ​about 10% of total sales.

Sales of the heart ⁠drug fell 50% to $1.18 billion, ⁠worse than analysts forecast, due to generic competition in the U.S., its largest market. Although Entresto will lose patent exclusivity in Europe from November, Novartis expects the drop-off to be less steep in the second half.

Entresto sales had ​declined 42% in the first quarter and are expected to fall by $4 billion this year.HIGHER SPENDING IN SECOND HALFNovartis kept its 2026 guidance unchanged, forecasting ⁠low-single-digit sales growth and a low-single-digit decline in ⁠core operating profit, both excluding currency swings.

James Eugene, analyst at ​Novartis shareholder Verso Investment Management, said its research and development expenses were also lower ​than expected.

Barclays analysts said the outlook implied higher second-half spending after ‌operating expense control helped the second-quarter beat.

Novartis said core SG&A expenses fell 6% to $3.24 billion, helped by productivity gains, but analysts expect costs to rise from the third quarter as it absorbs its $12 billion Avidity Biosciences acquisition and launches newer ⁠drugs.RETURN TO SALES GROWTH

A U.S. inventory benefit for psoriasis drug Cosentyx and cost control helped Novartis post a 1% constant-currency rise in quarterly sales to $14.41 billion, ahead of ⁠expectations and its previous ‌guidance for growth to return in the second half.

Novartis is ⁠relying on newer drugs including Kisqali, Scemblix, Kesimpta and ​Cosentyx to ‌offset Entresto’s decline. Kisqali sales rose 44% to $1.7 billion, ​Scemblix nearly ⁠doubled to $562 million and Cosentyx grew 12% to $1.82 billion, helped by a roughly $100 million stocking benefit, analysts said.

Investors are also watching trial readouts for pelacarsen, remibrutinib and del-desiran, which analysts estimate could together generate $10 billion in peak annual sales and support growth beyond 2030.

(Reporting by Bhanvi Satija and Marleen Kaesebier; Editing by Miranda Murray, Lincoln ​Feast and Alexander Smith)