Financial Data and Key Metrics Changes - Novartis achieved high single-digit growth with an 8% increase in sales and a 14% rise in core operating income for the full year 2025, reaching a core margin of 40.1% [4][35] - For Q4, sales declined by 1%, while core operating income increased by 1%, with core EPS rising 2% to $2.03 [5][38] - Free cash flow reached an all-time high of CHF 17.6 billion, growing 8% year-over-year [35][39] Business Line Data and Key Metrics Changes - Kisqali sales grew 57% year-over-year to CHF 4.8 billion, with Q4 growth at 44% [6][7] - Kesimpta saw a 36% increase to $4.4 billion, with a 27% growth in Q4 [10] - Pluvicto achieved $2 billion in global sales, with a 75% increase in the U.S. [12] - Leqvio reached blockbuster status with 57% growth for the year [14] - Scemblix also reached blockbuster status with 87% growth in Q4 [15] Market Data and Key Metrics Changes - Kisqali's U.S. sales growth was 62%, with over 80% NBRX share in Germany for early breast cancer [7][9] - Kesimpta is leading in NBRX share in 9 out of 10 major markets outside the U.S. [10] - Pluvicto secured approvals in Japan and China, contributing to strong growth outside the U.S. [12] - Scemblix has a 41% NBRX share in the U.S. and 72% in the third-line setting across major markets [17] Company Strategy and Development Direction - Novartis aims to grow through the largest patent expiry in its history, focusing on key growth brands and pipeline replacement [6] - The company plans to continue investing in R&D while managing productivity improvements [43][44] - Novartis is committed to maintaining a 5%-6% sales CAGR from 2025 to 2030 [44][49] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in achieving mid-single-digit sales growth in 2026 despite anticipated challenges from generic entries [43][44] - The company expects to return to a core margin of over 40% by 2029 [44] - Management highlighted the importance of pipeline advancements and upcoming pivotal readouts in 2026 [32][50] Other Important Information - Novartis has completed its CHF 15 billion share buyback program and initiated a new CHF 10 billion program [41] - The proposed dividend for 2025 is CHF 3.70 per share, marking a 6% increase [41][42] Q&A Session Questions and Answers Question: Insights on remibrutinib and FDA conversations - Management noted that remibrutinib has an approved label without liver safety discussions, and they plan to advocate for limited liver monitoring based on FDA feedback [53][54] Question: Commercial opportunities for remibrutinib in MS - Management indicated that the commercial opportunity will depend on data-driven results, with a significant market for oral options in MS [60][61] Question: Thoughts on Pelacarsen's event-based study risks - Management expressed confidence in the study's design and powering assumptions, despite lower than expected event rates [62][63] Question: Launch plans for Rhapsido and Ianalumab in an MFN world - Management acknowledged the importance of adjusting launch strategies for significant assets like Rhapsido and Ianalumab in the ex-U.S. market [73]

Content Click below to navigate through the document Company overview 2025 financial review 2026 guidance Conclusions Appendix References Q4 2025 Results Investor presentation February 4, 2025 Novartis Q4 Results | February 4, 2026 1 Content Click below to navigate through the document Company overview 2025 financial review 2026 guidance Conclusions This presentation contains forward-looking statements within the meaning of the United States Private Securities Litigation Reform Act of 1995, that can general ...

Group 1 - Novartis AG is recognized as a strong slow growth stock, with a projected sales CAGR of 6% from 2024 to 2029, supported by recent meetings with TD Cowen [1][2] - Key growth contributors include existing medicines such as Cosentyx, Pluvicto, Kisqali, Leqvio, Kesimpta, and Scemblix, which are expected to mitigate the impact of generic erosion, particularly for Entresto [2] - The company has a robust position in immunology with products like Rhapsido and ianalumab, which are considered "substantially de-risked" and likely to contribute to growth before 2030 [2] Group 2 - Novartis revised its mid-term sales target for 2025-2030 to a CAGR of 5-6% in constant currencies and aims to achieve margins above 40% by 2029, despite a projected 1-2 percentage points dilution from the acquisition of Avidity Biosciences [3] - The company is focused on discovering, developing, and manufacturing innovative treatments aimed at improving and extending lives while addressing serious diseases [4]

Core Insights - Novartis (NVS) received FDA approval for Itvisma, a gene replacement therapy for spinal muscular atrophy (SMA) in patients aged two years and older, including teens and adults [1][7] - Itvisma is the first and only gene replacement therapy targeting the genetic cause of SMA, delivering a functional SMN1 gene in a single fixed dose [2][3] FDA Approval and Clinical Data - The approval was based on positive results from the phase III STEER study and the open-label phase IIIb STRENGTH study, showing significant motor function gains and stabilization of motor abilities over 52 weeks [4][7] - Itvisma demonstrated a consistent safety profile across both studies, addressing the unmet needs of approximately 9,000 individuals in the U.S. affected by SMA [5] Company Strategy and Market Position - Novartis is focusing on diversifying its portfolio amid generic competition for key drugs like Entresto, with new drug approvals and label expansions expected to mitigate adverse impacts [6] - The company’s shares have increased by 30.1% year-to-date, outperforming the industry growth of 16% [6] Future Growth Projections - Management projects a compounded annual growth rate (CAGR) of 5-6% for sales from 2025 to 2030, with an upgraded sales guidance for 2024-2029 to 6% from 5% [9] - Strong performance from key products such as Kisqali, Kesimpta, Pluvicto, and Scemblix supports the company's growth despite challenges from generic competition [10] Recent Acquisitions - Novartis announced plans to acquire Avidity Biosciences for $12 billion to enhance its late-stage neuroscience pipeline, with the acquisition expected to close in the first half of 2026 [11][12]

Core Insights - Novartis (NVS) projects a compounded annual growth rate (CAGR) of 5-6% for sales from 2025 to 2030, with an upgraded sales guidance for 2024-2029 to 6% from 5% due to strong growth drivers and upcoming launches [1][7] - The company faces generic competition for its drug Entresto, but strong performances from products like Kisqali, Kesimpta, Pluvicto, and Scemblix support its momentum [2][12] - Novartis raised its peak sales guidance for Kisqali to over $10 billion from over $8 billion, reflecting its strong performance [3] Sales Performance - Kisqali's sales increased by 68% to $1.33 billion in Q3, driven by growth in the U.S. market, particularly from the early breast cancer indication [4] - Scemblix sales surged by 95% to $358 million in Q3, supported by growth in chronic myeloid leukemia and new indications in the U.S. and Japan [5] - Novartis has eight de-risked, in-market drugs with peak sales potential ranging from $3 billion to $10 billion [5] Regulatory Approvals and Pipeline - Novartis received FDA approval for remibrutinib (Rhapsido) as an oral treatment for chronic spontaneous urticaria, marking it as the first FDA-approved Bruton's tyrosine kinase inhibitor for this condition [8] - The company is focused on four core therapeutic areas: cardiovascular-renal-metabolic, immunology, neuroscience, and oncology [8] - Key pipeline candidates include ianalumab, pelacarsen, OAV101 IT, del-desiran, abelacimab, and farabursen [9] Strategic Acquisitions - Novartis announced the acquisition of Avidity Biosciences for $12 billion to enhance its neuroscience pipeline, with the deal expected to close in the first half of 2026 [10][11] - The acquisition of Tourmaline Bio for $1.4 billion adds a phase III-ready candidate to Novartis' cardiovascular pipeline [13] - Novartis has entered into collaboration agreements with Monte Rosa Therapeutics and Arrowhead Pharmaceuticals to expand its research capabilities [14][15]

Core Insights - Novartis AG projects a stronger growth trajectory through 2030, with expectations for key medicines and a pipeline strategy to sustain momentum into the next decade [1] - The company anticipates a compound annual sales growth rate of 5% to 6% on a constant-currency basis from 2025 to 2030, reflecting higher confidence in long-term demand drivers and upcoming drug launches [2] Financial Performance - Novartis has a strong track record of sales growth and core margin expansion, with core operating income margin reaching 41.2% for the first nine months of 2025, two years ahead of schedule [3][7] - Management expects margins to remain above 40% starting in 2029, even after accounting for dilution from the planned acquisition of Avidity Biosciences Inc [7] Product Pipeline and Sales Projections - The company raised peak sales projections for several core products, including Kisqali, now expected to generate over $10 billion in peak sales, and Scemblix, with guidance lifted to more than $4 billion [5] - Novartis highlights eight commercialized assets with multibillion-dollar potential, forming a stable base for mid-term revenue growth [6] Strategic Initiatives - Over the past two years, Novartis executed more than 30 strategic deals to bolster its pipeline and strengthen business outlook into the mid-2030s [4] - The company is entering a catalyst-heavy period with over 15 potentially submission-enabling readouts expected in the next two years [6] Expansion Plans - Novartis announced plans to expand operations in North Carolina as part of a $23 billion investment in U.S.-based infrastructure, expected to create 700 new jobs and over 3,000 indirect jobs by the end of 2030 [8]

Core Insights - Novartis has updated its mid-term sales guidance for 2025-2030 to a compound annual growth rate (CAGR) of +5-6% at constant currencies, reflecting strong growth momentum from existing products and upcoming launches [2][7] - The company has raised peak sales guidance for key products, now identifying eight de-risked, in-market assets with peak sales potential ranging from USD 3 billion to USD 10 billion [2][8] - Novartis anticipates over 15 potentially submission-enabling readouts in the next two years, supported by a robust pipeline of more than 30 high-value medicines [3][7] Financial Performance - Novartis achieved a core operating income margin of 41.2% in the first nine months of 2025, ahead of its plan, and expects to maintain margins above 40% by 2029 despite some dilution from the acquisition of Avidity Biosciences [4][5] - The company has executed over 30 strategic deals in the past two years, enhancing its pipeline and long-term growth outlook [5] Product and Pipeline Highlights - Key products Kisqali and Scemblix have seen their peak sales forecasts increased, with Kisqali now projected to exceed USD 10 billion and Scemblix expected to reach over USD 4 billion [8] - The pipeline includes over 30 potential high-value medicines, with more than 10 licensed or acquired in the last two years, positioning Novartis for sustainable growth beyond 2030 [3][7]