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Novartis Faces Investor Backlash After Second Late‑Stage Trial Failure

The company is reviewing full del‑desiran data to guide regulator talks with remibrutinib's October readouts serving as the next major test.

Overview

  • Del‑desiran, an Avidity‑acquired therapy for myotonic dystrophy type 1, failed its Phase III HARBOR primary endpoint of video hand opening time and showed no meaningful improvement versus placebo.
  • Novartis shares plunged in the immediate trading after the result, with a one‑day drop of about 11% that erased roughly $30 billion of market value.
  • Large shareholders have increased scrutiny of Novartis's acquisition strategy, with some, including Artisan Partners, calling for stronger board oversight of M&A decisions.
  • Novartis says it will review the full del‑desiran dataset and discuss findings with regulators, has reaffirmed its 5%–6% annual sales‑growth target through 2030, and an anonymous source says there are no current plans to change M&A approach.
  • The company now places heightened weight on remibrutinib data due in October and on other late‑stage programs to offset lost potential from the $12 billion Avidity deal and pressure from looming patent expiries that threaten future revenue.