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Novartis misses quarterly sales, profit estimates as Entresto generics hit growth

Published by Global Banking & Finance Review

Posted on April 28, 2026

2 min read

· Last updated: April 28, 2026

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Novartis misses quarterly sales, profit estimates as Entresto generics hit growth
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Novartis Q1 Sales Miss Estimates as Entresto Generics Hit Growth Prospects

Novartis Faces Challenges from Entresto Generics and Patent Expiries

First-Quarter Financial Performance

April 28 (Reuters) - Swiss drugmaker Novartis reported first-quarter core operating profit and sales below market expectations on Tuesday, as generic competition for its top-selling heart drug Entresto weighed on results.

Shares of the drugmaker declined 3% in premarket trading on Tuesday.

Operating Income and Analyst Expectations

Quarterly group operating income, adjusted for special items, declined 12% to $4.9 billion, below average analyst expectations of about $5.1 billion cited by Visible Alpha.

Impact of Patent Expiries

Novartis is navigating its largest patent expiry in the last two decades, including for Entresto, which made up 14% of its total net sales last year.

Company Response and Outlook

CFO Mukul Mehta said on a call with reporters that the results were in line with the company's internal expectations.

Growth Prospects for the Second Half

"We do expect growth to return back to our P&L in second half of this year," he said.

Entresto Sales and Generic Competition

Entresto saw first-quarter sales drop 42% to $1.31 billion after its U.S. patents expired and competing generics were launched. Entresto faces patent expiries in Europe starting November. 

Analysts were expecting sales of $1.37 billion for the first quarter ended March 31, according to data compiled by Visible Alpha.

Other Drugs Facing Generic Pressure

    Blood disorder drug Promacta and leukemia treatment Tasigna also face competition from generics, increasing the pressure on Novartis to deliver sales growth from newer drugs.

Total Net Sales and Full-Year Forecast

Total net sales for the quarter came in at $13.11 billion, compared with analysts' expectations of $13.40 billion.

The Swiss group has said it expects its sales to decline by $4 billion this year due to competition from generics for Entresto and the other two drugs.      The Basel-based company also confirmed its full-year forecast of a low single-digit percentage core operating income drop, excluding currency swings.

(Reporting by Marleen Kaesebier and Bhanvi SatijaEditing by Ludwig Burger and Louise Heavens)

Key Takeaways

  • Entresto U.S. sales plunged 42 % to around $1.31 billion after generics entered the market, dragging down overall results.
  • Growth in newer priority brands—like Kisqali, Pluvicto, Kesimpta, Scemblix and Leqvio—partially offset generic erosion, though not enough in Q1.
  • Novartis sticks with its guidance: low single‑digit decline in adjusted operating income and low single‑digit net sales growth for full‑year 2026, aiming for improvement in the second half.

Frequently Asked Questions

Why did Novartis miss its quarterly sales and profit estimates?
Novartis missed quarterly sales and profit estimates due to generic competition for Entresto and other major drugs, impacting overall results.
How much did Entresto sales decline in the first quarter?
Entresto sales dropped 42% to $1.31 billion in the first quarter following U.S. patent expiries and the launch of generics.
What is Novartis' outlook for the rest of the year?
Novartis expects growth to return in the second half of the year and reaffirmed a forecast of a low single-digit core operating income drop.
Which other Novartis drugs are facing generic competition?
Besides Entresto, Novartis' Promacta and Tasigna are also facing increasing competition from generics.
What are analysts' sales expectations for Novartis?
Analysts expected $13.40 billion in quarterly net sales, but Novartis reported $13.11 billion for the first quarter.

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