On October 29, Novartis released its Q3 2024 results, reporting third-quarter revenue of $12.823 billion, a year-over-year growth of 10%. Total revenue for the first nine months reached $37.164 billion, marking an 11% increase. Net income in Q3 was $3.185 billion (+121%), and the cumulative net income for the first three quarters was $9.119 billion (+62%).

Novartis’ R&D investment in Q3 was $2.392 billion (-40%), with total R&D spending for the first three quarters at $7.18 billion (-19%).
Revenue from major segments in the first three quarters included:
- Cardiovascular, Renal, and Metabolic: $6.173 billion (+35%)
- Immunology: $6.886 billion (+22%)
- Neuroscience: $3.459 billion (+31%)
- Oncology: $10.808 billion (+15%)
Several of Novartis' major products have shown steady growth, such as Entresto (sacubitril/valsartan), Cosentyx (secukinumab), and Kesimpta (ofatumumab). Some products have achieved rapid growth, including Kisqali (ribociclib), Pluvicto (lutetium Lu 177 vipivotide tetraxetan), Leqvio (inclisiran), and Scemblix (asciminib).
Novartis' TOP 20 best-selling drugs in the first three quarters of 2024
Cardiovascular, Renal, and Metabolic
In the cardiovascular-renal-metabolic field, Novartis' two revolutionary drugs Entresto (sacubitril valsartan) and Leqvio (Incosilan) contributed revenues of $5.642 billion (+30%) and $531 million (+130%) respectively. Entresto will face a greater threat next year. On the one hand, Novartis expects that generic Entresto will enter the US market in mid-2025. On the other hand, Entresto has entered the first round of US health insurance negotiation price reduction list, with a price reduction of 53% (starting in 2026).
Although Leqvio (Inxilma) is also under competitive pressure from PCSK9 monoclonal antibodies such as evolocumab and tolcizumab, it has a good growth momentum. Novartis is still continuing to expand the application boundaries of Leqvio and has planned to submit a marketing application for the drug to reduce LDL-C levels in patients with low or medium ASCVD risk.
Notably, in the third quarter, Novartis received approval for Fabhalta (ipkacopan) for IgA nephropathy, marking it as the first complement-targeting drug approved for the treatment of this condition, offering a new therapeutic option for these patients. Additionally, following the successful Phase III APPEAR-C3G study, Novartis has submitted applications in both the U.S. and China to expand Fabhalta's indication for the treatment of C3 glomerulopathy.
Neuroscience
In the immunology field, Novartis’ flagship product Cosentyx (secukinumab) also faces competitive pressure from multiple products. However, it gained approval in 2023 for the treatment of hidradenitis suppurativa (HS), making Cosentyx the first new therapy in nearly a decade for HS, providing new momentum for its sales growth. Cosentyx's patent will expire in 2025, after which it will face competition from biosimilar products. Currently, several pharmaceutical companies (including Bio-Thera, CSPC, and Mabwell) have secukinumab biosimilars in Phase III trials.
Oncology
In the neuroscience field, Kesimpta (ofatumumab) remains the only self-injectable anti-CD20 monoclonal antibody, giving it a distinct advantage in the multiple sclerosis (MS) market and supporting its steady growth. A strong competitor from Roche, Ocrevus (ocrelizumab), introduced a subcutaneous formulation this year with the benefit of a lower injection frequency (twice a year versus once a month). However, Ocrevus still requires administration under medical supervision. Kesimpta's patent expired in 2023, but no biosimilar is currently in clinical development.
In the oncology field, the CDK4/6 inhibitor Kisqali (ribociclib) has made the largest contribution to revenue, with sales reaching $2.131 billion (+48%), accounting for 20% of oncology revenue. In Q3, Kisqali gained two new indications in the U.S.: (1) in combination with an aromatase inhibitor as initial endocrine therapy for adult patients with HR+/HER2- advanced or metastatic breast cancer, or in combination with fulvestrant for patients whose disease has progressed following endocrine therapy; and (2) in combination with an aromatase inhibitor as adjuvant therapy for HR+/HER2- early breast cancer (EBC) patients with high recurrence risk in Stage II and III, including lymph node-negative (N0) patients. This expanded coverage to earlier-stage HR+/HER2- breast cancer patients has created new growth opportunities for Kisqali.
Another major oncology product from Novartis, Pluvicto, also delivered impressive results, with revenue reaching $1.041 billion in the first three quarters (+47%). Currently, Pluvicto is approved for third-line treatment of PSMA-positive metastatic castration-resistant prostate cancer (mCRPC). According to the Novartis financial report, the company has submitted an application for Pluvicto's use in second-line treatment for PSMA-positive mCRPC. If this indication is approved, Pluvicto's annual sales are expected to reach new highs.
Scemblix (asciminib) is currently approved only for third-line treatment of chronic-phase Philadelphia chromosome-positive chronic myeloid leukemia (Ph+ CML-CP), yet it has already performed well in the market. Following positive results from the Phase III ASC4FIRST study, Novartis has submitted an application to the FDA for Scemblix as a first-line treatment for Ph+ CML-CP, with potential approval expected in Q4. Additionally, Novartis submitted a marketing application for asciminib in China in June of this year.
In light of its current performance, Novartis has raised its 2024 full-year growth forecast from high single digits to low double digits.