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Novartis Misses Q1 Profit, Sales Estimates as Generics Hurt Blockbuster Entresto Sales

Entresto sales fell 42% as Novartis said generic competition and patent expiries pushed quarterly profit and revenue below analyst estimates.

  • On Tuesday, April 28, 2026, Swiss drugmaker Novartis reported first-quarter core operating profit and sales below market expectations, with total net sales of $13.1 billion missing analyst expectations of $13.4 billion.
  • Generic competition for Entresto in the United States caused the revenue slump, with the blockbuster heart drug's sales plummeting 46% to $1.3 billion after U.S. patent expiry.
  • Growth products including Kisqali and Kesimpta performed well, rising 55% to $1.52 billion and 26% to $1.16 billion respectively, while Tasigna and Promacta/Revolade continue facing generic competition.
  • Shares fell 2.5% following the earnings report as quarterly operating income declined 12% to $4.9 billion and earnings per share dropped 13% to $1.99.
  • CEO Vas Narasimhan expects growth to return in the second half of this year, though the company anticipates a $4 billion revenue hit this year and notes the U.S. Most-Favoured Nation pricing policy may impact results over the next 18 months.
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Seeking Alpha broke the news in United States on Tuesday, April 28, 2026.
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