Pharma Patent Cliffby readouts.io
Company · patent cliff and acquisitions

Novartis’ patent cliff

The 4 drugs tracked here made $23.6B of Novartis’ 2025 revenue (43%) and lose US exclusivity by 2031. Since 2023, Novartis has closed 7 acquisitions of $1B or more, worth $23.6B in total.

Losing US exclusivity by 2030
$14.4B26% of 2025 revenue
By 2037
$23.6B43% of $54.5B
Acquisitions since 2023
$23.6B7 deals of $1B or more
2025 sales from acquired products
NoneNo acquired product on sale
Bought with an approved product
0 of 7All pipeline only

2025 revenue losing US exclusivity, by year

Already facing copies (2025–2026)2027–20302031–2037
0%25%50%75%100%
2025
14%$7.7B · Entresto
2029
12%$6.7B · Cosentyx
2031
17%$9.2B · Kisqali, Kesimpta

Bars are each drug's 2025 sales as a share of Novartis’ total revenue ($54.5B). Only drugs tracked here are counted, so full exposure can be higher. Tap a bar for the drug's page.

Acquisitions since 2023

ClosedCompany boughtValueAreaWhat it broughtAt closing
Aug 2023 Chinook TherapeuticsNovartis, June 2023 · Novartis, August 2023 $3.2B Other Atrasentan and zigakibart, two Phase 3 drugs for IgA nephropathy, a kidney diseasePlus a CVR worth up to $0.3B. Pipeline only
May 2024 Mariana OncologyNovartis, May 2024 $1.0B Oncology Early radioligand cancer therapies, led by MC-339 for small cell lung cancerUpfront payment; up to $0.75B more in milestones. Pipeline only
May 2024 MorphoSysNovartis, February 2024 · Novartis, May 2024 $2.9B Oncology Pelabresib, a late-stage drug for myelofibrosis, and tulmimetostatAnnounced as €2.7B; converted at the February 2024 exchange rate. Pipeline only
Oct 2025 Tourmaline BioNovartis, October 2025 · Novartis Q2 2026 report $1.4B Cardiometabolic Pacibekitug, an IL-6 antibody in development for atherosclerotic cardiovascular disease Pipeline only
Feb 2026 Avidity BiosciencesNovartis, October 2025 · Novartis, February 2026 $12.0B Neuroscience Late-stage RNA drugs for neuromuscular diseases, including myotonic dystrophy Pipeline only
May 2026 Pikavation TherapeuticsNovartis, March 2026 $2.0B Oncology SNV4818, a PI3Kα inhibitor in early trials for breast cancerUpfront payment; up to $1.0B more in milestones. Pipeline only
Jul 2026 Myricx BioNovartis, 2026 · Novartis Q2 2026 report $1.1B Oncology Early antibody-drug conjugates with a new type of payloadUpfront payment; up to $0.4B more in milestones. Pipeline only
7 counted$23.6B

Acquisitions of whole companies closed since January 2023 with a headline price of $1B or more. Values are the price Novartis announced, excluding milestone payments unless noted. Licensing deals are not included. Compare all 65 deals →

Losing vs buying, by area

AreaAt risk by 2037Acquisitions since 2023
Neuroscience$4.4B$12.0B
Oncology$4.8B$7.0B
Cardiometabolic$7.7B$1.4B
Immunology$6.7B–
Other–$3.2B

Novartis has the most revenue at risk in cardiometabolic, but has spent the most on acquisitions in neuroscience. At risk is 2025 sales of tracked drugs losing US exclusivity by 2037; acquisitions are the headline value of counted deals closed since 2023.

How to read this

The two figures measure different things. Revenue at risk is what the drugs earned in 2025. A deal's value is what Novartis paid, not the sales it will bring in. None of the companies it bought had an approved product at closing, so any sales from them are years away and may never arrive. So this page shows the figures side by side rather than claiming how much of the gap the deals fill.

What changed for Novartis

  1. Acquisition
    Novartis completes its $12B Avidity acquisition

    Avidity brings late-stage RNA drugs for neuromuscular diseases. It is Novartis's largest acquisition since 2023. Novartis

  2. Medicare price
    Trulicity, Biktarvy, Cosentyx and Entyvio selected for Medicare price negotiation

    Negotiated prices take effect in 2028. CMS must publish them by 30 November 2026. CMS

  3. US copies launched
    First US generics of Entresto launched

    MSN's generic launched through Novadoz, and Torrent followed two days later. Optum Rx

  4. Medicare price
    First Medicare prices set, including Eliquis, Farxiga, Entresto, Enbrel and Stelara

    From 2026: Farxiga 68%, Enbrel 67%, Stelara 66%, Eliquis 56% and Entresto 53% below list price. CMS

Other companies

Sources

Revenue: Novartis FY2025. Drug sales and dates are sourced on each drug's page; each deal links to Novartis’ announcement or filing in the table above.

See all 45 drugs on the patent cliff →