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Novartis falls as failed cholesterol drug study raises stakes for pipeline

By Thomson Reuters Sep 7, 2026 | 2:27 AM

LONDON, Sept 7 (Reuters) – Shares of Novartis fell 3.3% on Monday morning after its cholesterol drug failed in a closely watched study, casting doubt on the therapeutic ​approach and raising the stakes for the Swiss ‌drugmaker’s upcoming data for a gene therapy.

Late on Friday, Novartis said its drug pelacarsen did not cut heart attack and stroke risk in a large, late-stage study of patients with high Lp(a), an inherited, cholesterol-related risk ‌factor ​with no approved targeted treatments.

Analysts had ⁠forecast peak annual sales between $3 ⁠billion and $6 billion if the drug proved successful.

The failure also raises the bar for rival Lp(a)-lowering drugs from Amgen and Eli Lilly, both running late-stage trials for their experimental ​drugs.

The data “marks a meaningful setback for dedicated Lp(a)-lowering therapies,” BMO Capital Markets analyst Evan Seigerman wrote in a note, ⁠adding that lowering the protein may ⁠offer only a modest heart benefit once other ​risk factors like cholesterol are already under control.

It also increases ​the pressure on data from an experimental muscular dystrophy ‌drug del-desiran, expected in the fourth quarter. Barclays analysts said success in that trial “is needed to justify” the $12 billion price Novartis paid for its deal to acquire the drug.

Data from another ⁠study of Novartis’ anti-inflammatory drug remibrutinib in patients with a skin condition called hidradenitis suppurativa is also expected this year. The drug ⁠succeeded in a ‌trial of multiple sclerosis patients last week.

Jefferies analysts ⁠said the multiple sclerosis drug’s recent success “should ​make ‌the conclusion of the pelacarsen study more palatable” ​for investors.

As ⁠of Friday’s market close, Novartis shares have gained around a fifth in value so far this year, buoyed by optimism over its pipeline even as it navigates a wave of patent expirations for older drugs.

(Reporting by Bhanvi Satija; Editing by Joe Bavier ​and Louise Heavens)