Novartis Immunology Update Summary Company Overview - **Company**: Novartis (NYSE:NVS) - **Date of Briefing**: November 20, 2025 Key Industry and Company Insights Immunology Performance - Novartis reported a strong year for its immunology team, particularly with the performance of **Cosentyx**, aiming for an **$8 billion** guidance in PIC/SAILS [3][29]. - Positive Phase III results for **Cosentyx** in **Polymyalgia Rheumatica (PMR)** were highlighted, with plans for early registration submission next year [3][4]. Product Approvals and Pipeline - **Rapsido (remibrutinib)** received FDA approval for **chronic spontaneous urticaria (CSU)**, marking it as the first BTK inhibitor approved in immunology [3][4]. - The launch of Rapsido is progressing well, with strong feedback from patients and physicians regarding its rapid onset of action and broad label [4][18]. - Upcoming Phase III trials for Rapsido in **hidradenitis suppurativa (HS)** and **food allergies** are in the pipeline, with promising Phase II results already reported [4][18][19]. Clinical Trials and Future Expectations - Novartis expects **13 pivotal readouts** before 2030, including two Phase III readouts in multiple sclerosis next year [7]. - **Enalumab** showed positive results in Phase III trials for **Sjogren's disease**, with potential for approval in an area with significant unmet need [5][6]. - Ongoing trials for Enalumab in **lupus** and **systemic sclerosis** are set for readouts in 2027 [6][10]. Market Opportunities - The CSU market is estimated to have **415,000** patients in the U.S. who could benefit from Rapsido, with a total of **1.1 million** patients suffering from CSU [22][23]. - The food allergy market is vast, with over **3 million** patients with severe food allergies across major markets, presenting a significant opportunity for Rapsido [25][26]. - The HS market is projected to be worth **$3 billion to $5 billion**, with Novartis aiming to introduce an oral therapy that could replicate Phase II efficacy [24][25]. Competitive Landscape and Strategy - Novartis is focusing on areas with high unmet medical needs and less crowded markets, such as Sjogren's disease and CSU, to ensure clinical differentiation [49][50]. - The company is confident in maintaining a **50% market share** in HS, with ongoing efforts to diagnose and treat more patients [60][61]. Life Cycle Management - For **Cosentyx**, Novartis plans to leverage life cycle management strategies to protect its franchise against potential biosimilars and maintain growth [21][26]. - The company is exploring options to enhance patient retention on Cosentyx, including dose adjustments and better communication with physicians [64][65]. Regulatory Alignment - Novartis is aligned with regulatory authorities regarding the data required for submissions related to Enalumab and YTB, with expectations for transformative data by 2027 [72]. Additional Important Insights - The company is optimistic about the potential of its CAR-T therapies, particularly YTB, which aims to reset the immune system in autoimmune diseases [37][41]. - Manufacturing capabilities for YTB are robust, with a two-day manufacturing time and a 14-day delivery window, positioning Novartis well for future launches [43][44]. This summary encapsulates the key points from the Novartis immunology update, highlighting the company's strategic focus, product pipeline, market opportunities, and future expectations in the immunology sector.