Vas Narasimhan, Novartis CEO (Getty Images)

No­var­tis' Q4 earn­ings cloud­ed by reg­u­la­to­ry set­backs on in­clisir­an, Zol­gens­ma

When No­var­tis CEO Vas Narasimhan hops on the phone with in­vestors at 8 a.m. Tues­day, he will do so with his com­pa­ny al­ready 4 points in the red.

The cul­prit? Reg­u­la­to­ry de­lays and set­backs that have im­ped­ed two of the Swiss phar­ma’s ma­jor new drugs and made for a rocky Q4 re­port.

No­var­tis had planned to en­ter 2021 with an ap­proval in the bag for in­clisir­an, the RNAi heart drug they pur­chased for $9.7 bil­lion in 2019. In De­cem­ber, though, the FDA is­sued a sur­pris­ing com­plete re­sponse let­ter, which No­var­tis chalked up to “un­re­solved fa­cil­i­ty in­spec­tion-re­lat­ed con­di­tions.” They em­pha­sized that there were no safe­ty or ef­fi­ca­cy is­sues, cast­ing the re­jec­tion as an­oth­er ca­su­al­ty of the FDA’s in­abil­i­ty to con­duct on-site in­spec­tions in Eu­rope dur­ing the pan­dem­ic.

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