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Novartis Q2 surpasses estimates despite 50% Entresto sales drop

Novartis Q2 surpasses estimates despite 50% Entresto sales drop
Rivanshi Rakhrai
21 Jul 2026, 15:27 PM

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Novartis (NVS) buy

Buy NVS. The stock is being punished for Entresto’s 50% sales drop, but the quarter still beat on core operating profit thanks to lower costs. Management also reaffirmed full-year guidance and low single-digit core operating income growth, while newer drugs (Kisqali, Scemblix, Cosentyx) are already offsetting some established-drug decline. This sets up a “bad news priced in” setup ahead of late-stage pipeline readouts that can re-rate the multiple.

Key Risk: Pipeline readouts disappoint or fail to show meaningful commercial potential, making Entresto losses the dominant story for years.

Entresto exposure via Novartis (NVS) sell

Sell NVS if the market is still treating the Entresto decline as temporary. Generics are hitting both the US and Europe (exclusivity loss in November), and the company expects a $4B annual sales decline tied to generic competition. If investors conclude cost cuts are one-off and newer launches can’t fully replace Entresto, the guidance “low single-digit” becomes too optimistic and the stock rerates lower.

Key Risk: Entresto erosion accelerates faster than management’s expectation and newer-drug growth can’t close the gap.

  • Novartis beat second-quarter core operating profit expectations on lower-than-expected costs.
  • Entresto sales fell 50% amid generic competition in the United States.
  • Investors are watching late-stage drug trials to support Novartis' future growth.

Novartis beat market expectations for second-quarter core operating profit on Tuesday.

Lower-than-expected costs helped the Swiss drugmaker offset a sharp decline in sales of its top-selling heart failure drug Entresto.

The company reported quarterly group operating income of $5.94 billion, adjusted for special items.

That was above average analyst expectations of about $5.31 billion, according to estimates cited by Visible Alpha.

Novartis fasten driven by lower gross profit.

This was partly offset by lower costs during the quarter.

The results come as Novartis faces a major period of patent expiries.

The drugmaker is particularly exposed to the loss of exclusivity for Entresto, its leading heart failure treatment.

Entresto accounted for 14% of Novartis' total net sales last year.

However, sales of the drug fell sharply during the second quarter.

The decline highlights the growing pressure from generic competition on one of the company's most important products.

Entresto sales decline 50%

Entresto sales declined by 50% in the second quarter.

Generic competition in the United States, its largest market, weighed heavily on sales.

The drug generated $1.18 billion in sales during the quarter.

That was slightly below analysts' expectations of $1.23 billion.

The decline was steeper than in the previous quarter.

Entresto sales had fallen 42% in the first quarter.

The drug is also set to lose patent exclusivity in Europe starting in November.

Novartis expects the decline in Entresto sales to be less severe during the second half of the year.

The company has previously said it expects sales to decline by $4 billion this year.

The expected reduction is linked to competition from generic drugs.

The pressure from patent expiries remains a key challenge for Novartis.

The company is now working to strengthen growth from newer medicines and its pipeline of experimental treatments.

Investors focus on experimental drug pipeline

Investors are increasingly looking beyond Novartis' quarterly financial results.

Attention is shifting toward data from late-stage studies of three experimental drugs.

The drugs are pelacarsen, remibrutinib and del-desiran.

The results from these programmes are expected to play an important role in determining Novartis' growth prospects beyond 2030.

That period is particularly important for the company.

Novartis maintains full-year guidance

Novartis said it remains on track to deliver its full-year guidance and mid-term outlook.

"We are on track for multiple important readouts ahead in the second half, and ⁠remain on track to deliver our full-year guidance and mid-term outlook," chief executive Vas Narasimhan said in a statement.

The company expects low single-digit percentage growth in core operating income for the full year.

The outlook excludes the impact of currency swings.

The guidance comes as Novartis balances strong growth from newer medicines against falling sales of key established products.

The second-quarter results showed the impact of that transition.

Entresto sales declined sharply as generic competition increased.

At the same time, Kisqali, Scemblix and Cosentyx delivered growth that helped support the wider business.

Investors will now be watching the company's pipeline closely.

The upcoming trial readouts could provide further indications of whether Novartis can maintain growth as more of its established medicines approach patent expiry.

For now, the company remains focused on delivering its full-year targets while managing the ongoing impact of generic competition and preparing for the next stage of its product cycle.