6-K

NOVARTIS AG (NVS)

6-K 2025-04-29 For: 2025-03-31
View Original
Added on April 02, 2026


UNITED STATES SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 6-K

REPORT OF FOREIGN PRIVATE ISSUER

PURSUANT TO RULE 13a-16 or 15d-16 OF

THE SECURITIES EXCHANGE ACT OF 1934

Report on Form 6-K dated April 29, 2025

(Commission File No. 1-15024)


Novartis AG

(Name of Registrant)

Lichtstrasse 35

4056 Basel

Switzerland

(Address of Principal Executive Offices)


Indicate by check mark whether the registrant files or will file annual reports under cover of Form 20-F or Form 40-F:

Form 20-F: x Form 40-F: o


Exhibits:

99.1 Financial Report Q1 2025

99.2 Condensed Financial Report

SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

Novartis AG
Date:<br>April 29, 2025 By: /s/ PAUL PENEPENT
Name: Paul Penepent
Title: Head Financial Reporting and Accounting

99.1 Financial Report Q1 2025

Novartis International AG<br><br> <br>CH-4002 Basel <br><br> <br>Switzerland<br><br> <br>https://www.novartis.com<br><br> <br>http://x.com/NovartisNews

FINANCIAL RESULTS | FINANZERGEBNISSE

Novartis continues strong momentum with double-digit sales growth, robust margin expansion and multiple approvals in Q1

Ad hoc announcement pursuant to Art. 53 LR

Net sales grew +15% (cc^1^, +12% USD) with core operating income^1^ up +27% (cc, +23%<br> USD)
o Sales growth driven by continued strong performance from Entresto (+22% cc), Kisqali (+56% cc), Kesimpta<br> (+43% cc), Cosentyx (+18% cc), Leqvio (+72% cc) and Scemblix (+76% cc)
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o Core operating income margin^1^ reached 42.1%, +400 basis points (cc), mainly driven by higher net sales
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Operating income grew +44% (cc, +38% USD); net income up +37% (cc, +34% USD)
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Core EPS^1^ grew +31% (cc, +27% USD) to USD 2.28
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Free cash flow^1^ of USD 3.4 billion (+66% USD) driven by higher net cash flows from operating<br> activities
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Selected innovation milestones:
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o Pluvicto FDA approval for pre-taxane mCRPC
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o Vanrafia (atrasentan) FDA accelerated approval for IgA nephropathy
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o Fabhalta (iptacopan) FDA,<br> EC and China NMPA approvals for C3G
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o Remibrutinib global submissions for CSU, with<br> priority review voucher in US
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o OAV101 IT Phase III STEER study positive<br> readout in SMA
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Full-year 2025 guidance^2^ raised: Sales expected to grow high single digit, core operating income expected to grow low double-digit
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Basel, April 29, 2025 – Commenting on Q1 2025 results, Vas Narasimhan, CEO of Novartis, said:

“Novartis has had a strong start to the year, delivering a +15% cc increase in sales and a +27% cc rise in core operating income in Q1. Our priority brands, including Kisqali, Kesimpta and Leqvio, continue to show strong momentum, which we anticipate will drive our growth through 2030 and beyond. We also achieved significant innovation milestones in the quarter, with new approvals for Pluvicto in the pre-taxane setting, Vanrafia for IgA nephropathy, and Fabhalta for C3G. Additionally, we completed global submissions for remibrutinib in CSU, the first indication for this promising pipeline-in-a-pill. We remain focused on advancing our leading pipeline and confident in achieving our growth outlook.”

Key figures
Q1 2025 Q1 2024 % change
USD m USD m USD cc
Net sales to third parties 13 233 11 829 12 15
Operating income 4 663 3 373 38 44
Net income 3 609 2 688 34 37
EPS (USD) 1.83 1.31 40 42
Free cash flow 3 391 2 038 66
Core operating income 5 575 4 537 23 27
Core net income 4 482 3 681 22 26
Core EPS (USD) 2.28 1.80 27 31
  1. Constant currencies (cc), core results and free cash flow are non-IFRS measures. An explanation of non-IFRS measures can be found on page 31 of the Condensed Interim Financial Report. Unless otherwise noted, all growth rates in this Release refer to same period in prior year.    2. Please see detailed guidance assumptions on page 5.

Strategy

Our focus

Novartis is a “pure-play” innovative medicines company. We have a clear focus on four core therapeutic areas (cardiovascular-renal-metabolic, immunology, neuroscience and oncology), with multiple significant in-market and pipeline assets in each of these areas, that address high disease burden and have substantial growth potential. In addition to two established technology platforms (chemistry and biotherapeutics), three emerging platforms (gene & cell therapy, radioligand therapy and xRNA) are being prioritized for continued investment into new R&D capabilities and manufacturing scale. Geographically, we are focused on growing in our priority geographies – the US, China, Germany and Japan.

Our priorities

1. Accelerate growth: Renewed attention to deliver high-value<br> medicines (NMEs) and focus on launch excellence, with a rich pipeline across our core therapeutic areas.
2. Deliver returns: Continuing to embed operational<br> excellence and deliver improved financials. Novartis remains disciplined and shareholder-focused in our approach to capital allocation, with substantial cash generation and a strong capital structure supporting continued<br> flexibility.
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3. Strengthen foundations: Unleashing the power<br> of our people, scaling data science and technology and continuing to build trust with society.
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Financials

Net sales were USD 13.2 billion (+12%, +15% cc), with volume contributing 15 percentage points to growth. Generic competition had a negative impact of 2 percentage points and pricing had a positive impact of 2 percentage points, benefiting from revenue deduction adjustments mainly in the US.

Operating income was USD 4.7 billion (+38%, +44% cc), mainly driven by higher net sales, partly offset by higher investments behind priority brands and launches.

Net income was USD 3.6 billion (+34%, +37% cc), mainly driven by higher operating income, partly offset by higher income taxes. EPS was USD 1.83 (+40%, +42% cc), benefiting from the lower weighted average number of shares outstanding.

Core operating income was USD 5.6 billion (+23%, +27% cc), mainly driven by higher net sales, partly offset by higher investments behind priority brands and launches, and R&D investments. Core operating income margin was 42.1% of net sales, increasing 3.7 percentage points (4.0 percentage points cc).

Core net income was USD 4.5 billion (+22%, +26% cc), mainly due to higher core operating income. Core EPS was USD 2.28 (+27%, +31% cc), benefiting from the lower weighted average number of shares outstanding.

Free cash flow amounted to USD 3.4 billion (+66% USD), compared with USD 2.0 billion in the prior-year quarter, driven by higher net cash flows from operating activities.

Q1 priority brands

Underpinning our financial results in the quarter is a continued focus on key growth drivers (ranked in order of contribution to Q1 growth) including:

Entresto (USD 2 261 million, +22% cc) sustained robust, demand-led growth globally, including in China and Japan with increased penetration in<br> hypertension
Kisqali (USD 956 million, +56% cc) sales grew strongly across all regions, including +87% growth in the US with strong momentum from the<br> recently launched early
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breast cancer indication as well as continued share gains in metastatic breast cancer
Kesimpta (USD 899 million, +43% cc) sales grew across all regions driven by increased demand and strong access
Cosentyx (USD 1 534 million, +18% cc) sales grew mainly in the US, emerging growth markets and Europe, driven by recent launches as well as volume<br> growth in core indications
Leqvio (USD 257 million, +72% cc) continued steady growth, with a focus on increasing account and patient adoption, and continuing medical education
Scemblix (USD 238 million, +76% cc) sales grew across all regions, demonstrating the continued high unmet need in CML and strong momentum from the<br> recently launched early-line indication in the US
Fabhalta (USD 81 million) sales grew driven by continued launch execution across all markets in PNH as well as the recent launch in IgAN in the US
Pluvicto (USD 371 million, +21% cc) continued stable performance in the US and grew in Europe in the mCRPC post-taxane setting. With the FDA’s approval<br> for earlier use before chemotherapy, which approximately triples the eligible patient population, the focus is on driving demand in established RLT sites while activating new sites and supporting referring providers to enable<br> patient access
Zolgensma (USD 327 million, +13% cc) sales grew as it continues to demonstrate strong performance in the incident population
Lutathera (USD 193 million, +15% cc) sales grew mainly in the US, Europe and Japan due to increased demand and earlier line adoption particularly in the<br> US and Japan

Net sales of the top 20 brands in the first quarter

Q1 2025 % change
USD m USD cc
Entresto 2 261 20 22
Cosentyx 1 534 16 18
Kisqali 956 52 56
Kesimpta 899 41 43
Tafinlar + Mekinist 552 16 19
Promacta/Revolade 546 5 8
Jakavi 492 3 7
Xolair 456 14 19
Ilaris 419 18 20
Tasigna 377 -5 -2
Pluvicto 371 20 21
Zolgensma 327 11 13
Sandostatin Group 317 -11 -9
Leqvio 257 70 72
Scemblix 238 75 76
Lutathera 193 14 15
Lucentis 189 -40 -38
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Exforge Group 179 -7 -1
Diovan Group 150 7 12
Galvus Group 124 -17 -11
Top 20 brands total 10 837 17 19

R&D update - key developments from the first quarter

New approvals

Pluvicto<br><br> <br>(lutetium Lu177 vipivotide tetraxetan) FDA expanded the indication for Pluvicto to<br> include patients with PSMA-positive metastatic castration-resistant prostate cancer (mCRPC) who have been treated with an androgen receptor pathway inhibitor and are considered appropriate to delay chemotherapy, approximately<br> tripling the eligible patient population.
Vanrafia<br><br> <br>(atrasentan) FDA granted an accelerated approval for Vanrafia for<br> the reduction of proteinuria in adults with primary immunoglobulin A nephropathy (IgAN) at risk of rapid disease progression. Vanrafia can be<br> seamlessly added to supportive care in IgAN and used as a foundational therapy.
Fabhalta<br><br> <br>(iptacopan) Fabhalta was approved by the US FDA, European<br> Commission and China’s NMPA for adult patients with C3 glomerulopathy (C3G), making it the first and only treatment approved for this condition in all three markets.

Regulatory updates

Remibrutinib Regulatory submissions for remibrutinib for the treatment of chronic spontaneous urticaria (CSU) were completed in the US, EU and<br> China. A priority review voucher was used in the US and approval is anticipated in H2 2025, and priority review was granted in China.
Scemblix<br><br> <br>(asciminib) Regulatory submission for Scemblix in adults with<br> newly diagnosed CML was completed in the EU based on 96-week data from the Phase III ASC4FIRST study.

Results from ongoing trials and other highlights

OAV101 IT<br><br> <br>(onasemnogene<br><br> <br>abeparvovec) Novartis announced positive safety and efficacy results from the Phase III program for<br> investigational intrathecal OAV101 IT in a broad population of patients aged two to <18 years with spinal muscular atrophy (SMA). In the Phase III STEER study, treatment with OAV101 IT led to a statistically significant and<br> clinically meaningful 2.39-point improvement on the Hammersmith Functional Motor Scale Expanded vs. 0.51 points in the sham control arm. In addition, in the Phase IIIb STRENGTH study, treatment with OAV101 IT in patients who have<br> discontinued treatment with nusinersen or risdiplam demonstrated stabilization of motor function over 52 weeks of follow-up. OAV101 IT demonstrated a favorable safety profile, consistent in both treatment-naïve and<br> treatment-experienced patients. Data were presented at MDA.
Remibrutinib The New England Journal of Medicine published data from the 24-week double-blind placebo-controlled period of the Phase III REMIX-1 and -2 studies. Remibrutinib<br> showed early symptom improvement and sustained efficacy, with improvements in CSU symptoms compared to placebo observed as early as week 1 and response rate maintained through the double-blind treatment period. Remibrutinib was<br> well tolerated, with overall adverse event rates comparable to placebo.<br><br> <br><br><br> <br>Multiple analyses of the REMIX-1 and -2 trials were presented at medical congresses in Q1. At AAAAI,<br> long-term results showed that patients experienced improved urticaria control within two weeks of starting treatment. Patients who switched from placebo to remibrutinib at week 24 achieved similar improvements through week 52. At<br> AAD, data was presented showing that treatment with remibrutinib had positive effects on sleep and daily activities for CSU patients.
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Ianalumab The results of Phase II VAYHIT3 study in adult patients with advanced primary ITP, previously<br> treated with at least a corticosteroid and a thrombopoietin receptor agonist, indicate that a short course of ianalumab has clinically meaningful efficacy and is well tolerated in these patients. These results will be presented<br> at a future medical meeting and are expected to support a filing in second-line ITP, based on the Phase III VAYHIT2 study, expected to read out in H2 2025.
Selected transactions Novartis has completed the acquisition of Anthos Therapeutics, a clinical-stage<br> biopharmaceutical company developing abelacimab, a potential first-in-class monoclonal antibody targeting the FXI inhibition pathway in development for the prevention of stroke and systemic embolism in patients with atrial<br> fibrillation. The acquisition adds a Phase III asset and is aligned with the Novartis growth strategy and expertise in the cardiovascular therapeutic area.

Capital structure and net debt

Retaining a good balance between investment in the business, a strong capital structure, and attractive shareholder returns remains a priority.

In Q1 2025, Novartis repurchased a total of 24.8 million shares for USD 2.6 billion on the SIX Swiss Exchange second trading line under the up-to USD 15 billion share buyback announced in July 2023 (with up to USD 2.7 billion still to be executed). In addition, 1.5 million shares (equity value of USD 0.2 billion) were repurchased from employees. In the same period, 10.5 million shares (equity value of USD 0.3 billion) were delivered to employees related to equity-based compensation plans. Novartis aims to offset the dilutive impact from equity-based compensation plans of employees over the remainder of the year. Consequently, the total number of shares outstanding decreased by 15.8 million versus December 31, 2024. These treasury share transactions resulted in an equity decrease of USD 2.5 billion and a net cash outflow of USD 2.7 billion.

Net debt increased to USD 22.3 billion at March 31, 2025, compared with USD 16.1 billion at December 31, 2024. The increase was mainly due to the free cash flow of USD 3.4 billion being more than offset by the USD 5.3 billion annual net dividend payment in March (which is the gross dividend of USD 7.8 billion reduced by the USD 2.5 billion Swiss withholding tax that was paid in April 2025, according to its due date), cash outflows for treasury share transactions of USD 2.7 billion and cash outflows for purchases of intangible assets of USD 1.2 billion.

As of Q1 2025, the long-term credit rating for the company is Aa3 with Moody’s Ratings and AA- with S&P Global Ratings.

2025 outlook

Barring unforeseen events; growth vs. prior year in cc
Net sales Expected to grow high single-digit
Core operating income Expected to grow low double-digit

Key assumptions:

We assume Tasigna, Promacta and Entresto US generic entry mid-2025 for forecasting purposes

Foreign exchange impact

If late-April exchange rates prevail for the remainder of 2025, the foreign exchange impact for the year would be 0 percentage points on net sales and negative 2 percentage points on core operating income. The estimated impact of exchange rates on our results is provided monthly on our website.

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Key figures^1^

Q1 2025 Q1 2024 % change
USD m USD m USD cc
Net sales to third parties 13 233 11 829 12 15
Operating income 4 663 3 373 38 44
As a % of sales 35.2 28.5
Net income 3 609 2 688 34 37
EPS (USD) 1.83 1.31 40 42
Net cash flows from operating activities 3 645 2 265 61
Non-IFRS measures
Free cash flow 3 391 2 038 66
Core operating income 5 575 4 537 23 27
As a % of sales 42.1 38.4
Core net income 4 482 3 681 22 26
Core EPS (USD) 2.28 1.80 27 31
  1. Constant currencies (cc), core results and free cash flow are non-IFRS measures. An explanation of non-IFRS measures can be found on page 31 of the Condensed Interim Financial Report. Unless otherwise noted, all growth rates in this Release refer to same period in prior year.

Detailed financial results accompanying this press release are included in the Condensed Interim Financial Report at the link below:

https://ml-eu.globenewswire.com/resource/download/f5843473-7c9e-4c13-b263-db739fdcf6d6/

Disclaimer

This press release contains forward-looking statements within the meaning of the United States Private Securities Litigation Reform Act of 1995, that can generally be identified by words such as “anticipate,” “can,” “will,” “continue,” “ongoing,” “growth,” “launch,” “expect,” “expand,” “deliver,” “accelerate,” “deliver,” “guidance,” “outlook,” “priority,” “potential,” “momentum,” or similar expressions, or by express or implied discussions regarding potential new products, potential new indications for existing products, potential product launches, or regarding potential future revenues from any such products; or regarding results of ongoing clinical trials; or regarding potential future, pending or announced transactions; regarding potential future sales or earnings; or by discussions of strategy, plans, expectations or intentions, including discussions regarding our continued investment into new R&D capabilities and manufacturing; or regarding our capital structure. Such forward-looking statements are based on the current beliefs and expectations of management regarding future events and are subject to significant known and unknown risks and uncertainties. Should one or more of these risks or uncertainties materialize, or should underlying assumptions prove incorrect, actual results may vary materially from those set forth in the forward-looking statements. You should not place undue reliance on these statements. There can be no guarantee that the investigational or approved products described in this press release will be submitted or approved for sale or for any additional indications or labeling in any market, or at any particular time. Nor can there be any guarantee that such products will be commercially successful in the future. Neither can there be any guarantee that the expected benefits or synergies from the transactions described in this press release will be achieved in the expected timeframe, or at all. In particular, our expectations could be affected by, among other things: uncertainties concerning global healthcare cost containment, including ongoing government, payer and general public pricing and reimbursement pressures and requirements for increased pricing transparency; uncertainties regarding the success of key products, commercial priorities and strategy; uncertainties in the research and development of new products, including clinical trial results and additional analysis of existing clinical data; our ability to obtain or maintain proprietary intellectual property protection, including the ultimate extent of the impact on Novartis of the loss of patent protection and exclusivity on key products; uncertainties regarding our ability to realize the strategic benefits, operational efficiencies or opportunities expected from our external business opportunities; uncertainties in the development or adoption of potentially transformational digital technologies, including artificial intelligence, and business models; uncertainties surrounding the implementation of our new IT projects and systems; uncertainties regarding potential significant breaches of information security or disruptions of our information technology systems; uncertainties regarding actual or potential legal proceedings, including regulatory actions or delays or government regulation related to the products and pipeline products described in this press release; safety, quality, data integrity, or manufacturing issues; our performance on and ability to comply with environmental, social and governance measures and requirements; major macroeconomic and geo- and

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socio-political developments, including the impact of any potential tariffs on our products or the impact of war in certain parts of the world; uncertainties regarding future global exchange rates; uncertainties regarding future demand for our products; and other risks and factors referred to in Novartis AG’s most recently filed Form 20-F and in subsequent reports filed with, or furnished to, the US Securities and Exchange Commission. Novartis is providing the information in this press release as of this date and does not undertake any obligation to update any forward-looking statements as a result of new information, future events or otherwise.

All product names appearing in italics are trademarks owned by or licensed to Novartis.

About Novartis

Novartis is an innovative medicines company. Every day, we work to reimagine medicine to improve and extend people’s lives so that patients, healthcare professionals and societies are empowered in the face of serious disease. Our medicines reach nearly 300 million people worldwide.

Reimagine medicine with us: Visit us at https://www.novartis.com and connect with us on LinkedIn, Facebook, X and Instagram.

Novartis will conduct a conference call with investors to discuss this news release today at 14:00 Central European time and 8:00 Eastern Time. A simultaneous webcast of the call for investors and other interested parties may be accessed by visiting the Novartis website. A replay will be available after the live webcast by visiting https://www.novartis.com/investors/event-calendar.

Detailed financial results accompanying this press release are included in the Condensed Interim Financial Report at the link below. Additional information is provided on our business and pipeline of selected compounds in late-stage development. A copy of today's earnings call presentation can be found at https://www.novartis.com/investors/event-calendar.

Important dates
July 17, 2025 Second quarter & half year 2025 results
October 28, 2025 Third quarter & nine months 2025 results
November 19-20, 2025 Meet Novartis Management 2025 (London, UK)

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Novartis Media Relations<br><br> <br>E-mail: media.relations@novartis.com
Novartis Investor Relations<br><br> <br>Central investor relations line: +41 61 324 7944<br><br> <br>E-mail: investor.relations@novartis.com
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99.2 Condensed Financial Report

![](coverifr.jpg)

Novartis First Quarter 2025 Condensed Interim Financial Report – Supplementary Data

INDEX

Page

OPERATING PERFORMANCE REVIEW

3

CASH FLOW AND BALANCE SHEET

9

INNOVATION REVIEW

12

CONDENSED INTERIM CONSOLIDATED FINANCIAL STATEMENTS

Consolidated income statements

14

Consolidated statements of comprehensive income

15

Consolidated balance sheets

16

Consolidated statements of changes in equity

17

Consolidated statements of cash flows

18

Notes to condensed interim consolidated financial statements

19

SUPPLEMENTARY INFORMATION

31

CORE RESULTS - Reconciliation from IFRS^®^ Accounting Standards results to non-IFRS measure core results

33

NON-IFRS MEASURE FREE CASH FLOW

35

ADDITIONAL INFORMATION

Net debt

36

Share information

36

Effects of currency fluctuations

37

DISCLAIMER

38

2


Operating performance review

Key figures

First quarter

(USD millions unless indicated otherwise) Q1 2025<br> USD m Q1 2024<br> USD m % change<br> USD % change<br> cc^1^
Net sales to third parties 13 233 11 829 12 15
Other revenues 387 291 33 33
Cost of goods sold -3 227 -3 096 -4 -6
Gross profit 10 393 9 024 15 18
Selling, general and administration -3 058 -2 840 -8 -10
Research and development -2 366 -2 421 2 1
Other income 226 249 -9 -6
Other expense -532 -639 17 15
Operating income 4 663 3 373 38 44
% of net sales 35.2 28.5
Loss from associated companies -3 -29 90 90
Interest expense -270 -221 -22 -26
Other financial income and expense 17 6 183 -46
Income before taxes 4 407 3 129 41 44
Income taxes -798 -441 -81 -84
Net income 3 609 2 688 34 37
Basic earnings per share (USD) 1.83 1.31 40 42
Net cash flows from operating activities 3 645 2 265 61
Non-IFRS measures^1^
Free cash flow 3 391 2 038 66
Core operating income 5 575 4 537 23 27
% of net sales 42.1 38.4
Core net income 4 482 3 681 22 26
Core basic earnings per share (USD) 2.28 1.80 27 31
^1^ Constant currencies (cc), core results and free cash flow are non-IFRS measures. An<br> explanation of non-IFRS measures can be found on page 31. Unless otherwise noted,<br> all growth rates in this release refer to same period in prior-year.

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Strategy

Our focus

Novartis is a “pure-play” innovative medicines company. We have a clear focus on four core therapeutic areas (cardiovascular-renal-metabolic, immunology, neuroscience and oncology), with multiple significant in-market and pipeline assets in each of these areas, that address high disease burden and have substantial growth potential. In addition to two established technology platforms (chemistry and biotherapeutics), three emerging platforms (gene & cell therapy, radioligand therapy and xRNA) are being prioritized for continued investment into new R&D capabilities and manufacturing scale. Geographically, we are focused on growing in our priority geographies – the US, China, Germany and Japan.

Our priorities

  1. Accelerate growth: Renewed attention to deliver high-value medicines (NMEs) and focus on launch excellence, with a rich pipeline across our core therapeutic areas.

  2. Deliver returns: Continuing to embed operational excellence and deliver improved financials. Novartis remains disciplined and shareholder-focused in our approach to capital allocation, with substantial cash generation and a strong capital structure supporting continued flexibility.

  3. Strengthen foundations: Unleashing the power of our people, scaling data science and technology and continuing to build trust with society.

Financials

Net sales

Net sales were USD 13.2 billion (+12%, +15% cc), with volume contributing 15 percentage points to growth. Generic competition had a negative impact of 2 percentage points and pricing had a positive impact of 2 percentage points, benefiting from revenue deduction adjustments mainly in the US. Sales in the US were USD 5.7 billion (+24%) and in the rest of the world USD 7.5 billion (+4%, +8% cc).

Sales growth was mainly driven by continued strong performance from Entresto (USD 2.3 billion, +20%, +22% cc), Kisqali (USD 956 million, +52%, +56% cc), Kesimpta (USD 899 million, +41%, +43% cc), Cosentyx (USD 1.5 billion, +16%, +18% cc) and Leqvio (USD 257 million, +70%, +72% cc), partly offset by erosion due to generic competition, mainly for Lucentis and Gilenya.

In the US (USD 5.7 billion, +24%), sales growth was mainly driven by Kisqali, Entresto, Kesimpta and Cosentyx. In Europe (USD 3.9 billion, +4%, +7% cc), sales growth was mainly driven by Kesimpta, Entresto, Tafinlar + Mekinist, Pluvicto, Leqvio and Kisqali, partly offset by erosion due to generic competition for Lucentis and Gilenya. Sales in emerging growth markets were USD 3.6 billion (+7%, +13% cc), including USD 1.2 billion of sales from China (+17%, +19% cc).

Operating income

Operating income was USD 4.7 billion (+38%, +44% cc), mainly driven by higher net sales, partly offset by higher investments behind priority brands and launches. Operating income margin was 35.2% of net sales, increasing 6.7 percentage points (7.1 percentage points in cc). Other revenue as a percentage of net sales increased by 0.4 percentage points (0.4 percentage points cc). Cost of goods sold as a percentage of net sales decreased by 1.8 percentage points (1.9 percentage points cc). R&D expenses as a percentage of net sales decreased by 2.6 percentage points (2.8 percentage points cc). SG&A expenses as a percentage of net sales decreased by 0.8 percentage points (1.1 percentage points cc). Other income and expense as a percentage of net sales increased the margin by 1.1 percentage points (0.9 percentage points cc).

Core adjustments were USD 0.9 billion, mainly from amortization, compared with USD 1.2 billion in the prior-year quarter. Core adjustments decreased compared with the prior-year quarter mainly due to lower impairments and contingent consideration adjustments.

Core operating income was USD 5.6 billion (+23%, +27% cc), mainly driven by higher net sales, partly offset by higher investments behind priority brands and launches, and R&D investments. Core operating income margin was 42.1% of net sales, increasing 3.7 percentage points (4.0 percentage points cc). Other revenue as a percentage of net sales increased by 0.1 percentage points (cc). Core cost of goods sold as a percentage

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of net sales decreased by 0.7 percentage points (cc). Core R&D expenses as a percentage of net sales decreased by 1.4 percentage points (cc). Core SG&A expenses as a percentage of net sales decreased by 1.1 percentage points (cc). Core other income and expense as a percentage of net sales increased the margin by 0.7 percentage points (cc).

Interest expense and other financial income/expense

Interest expense amounted to USD 270 million compared with USD 221 million in the prior-year quarter, mainly due to higher financial debt.

Other financial income and expense amounted to an income of USD 17 million, broadly in line with the prior-year quarter.

Core other financial income and expense amounted to an income of USD 46 million compared with USD 96 million in the prior-year quarter, mainly due to lower interest income.

Income taxes

The tax rate in the first quarter was 18.1% compared with 14.1% in the prior-year quarter. The current year tax rate was negatively impacted by deferred tax expense related to a tax rate change in Switzerland, which will become effective January 1, 2026, and a true-up adjustment to the prior-year income tax provision. The prior-year tax rate was favorably impacted by the effect of changes in uncertain tax positions. Excluding these impacts, the current and prior-year tax rate would have been 16.7% and 17.3% respectively. The decrease from the prior-year quarter was mainly the result of a change in profit mix.

The core tax rate (core taxes as a percentage of core income before tax) was 16.2% compared with 16.5% in the prior-year quarter. The decrease from the prior-year quarter was mainly the result of a change in profit mix.

Net income, EPS and free cash flow

Net income was USD 3.6 billion (+34%, +37% cc), mainly driven by higher operating income, partly offset by higher income taxes. EPS was USD 1.83 (+40%, +42% cc), benefiting from the lower weighted average number of shares outstanding.

Core net income was USD 4.5 billion (+22%, +26% cc), mainly due to higher core operating income. Core EPS was USD 2.28 (+27%, +31% cc), benefiting from the lower weighted average number of shares outstanding.

Net cash flows from operating activities amounted to USD 3.6 billion (+61% USD), compared with USD 2.3 billion in the prior-year quarter. Free cash flow amounted to USD 3.4 billion (+66% USD), compared with USD 2.0 billion in the prior-year quarter, driven by higher net cash flows from operating activities.

Product commentary (relating to Q1 performance)

Cardiovascular, RENAL and METABOLIC

Q1 2025 Q1 2024 % change % change
USD m USD m USD cc
Cardiovascular, renal and metabolic
Entresto 2 261 1 879 20 22
Leqvio 257 151 70 72
Total cardiovascular, renal and metabolic 2 518 2 030 24 26

Entresto (USD 2 261 million, +20%, +22% cc) sustained robust, demand-led growth, driven by the heart failure indication in the US and Europe, and both heart failure and hypertension in China and Japan. In the US, Novartis is in ANDA litigation with generic manufacturers, and in other litigations with generic manufacturers and FDA to protect its Entresto IP and regulatory rights. Novartis successfully appealed to uphold the validity of its combination patent covering Entresto and combinations of sacubitril and valsartan, which expires in 2025 (with pediatric exclusivity). Several generics have received final approval in the US. Any US commercial launch of a generic Entresto product prior to the final outcome of these litigations may be at risk of later litigation developments.

5


Leqvio (USD 257 million, +70%, +72% cc) sales grew across all regions, delivering a medicine with effective and consistent LDL-C reduction in two maintenance doses per year. Focus remains on increased account and patient adoption and continuing medical education. Leqvio is registered in more than 105 countries world-wide and commercially available in 86 countries. Novartis obtained global rights to develop, manufacture and commercialize Leqvio under a license and collaboration agreement with Alnylam Pharmaceuticals.

Immunology

Q1 2025 Q1 2024 % change % change
USD m USD m USD cc
Immunology
Cosentyx 1 534 1 326 16 18
Xolair^1^ 456 399 14 19
Ilaris 419 356 18 20
Total immunology 2 409 2 081 16 18
^1^ Net sales to third parties reflect Xolair sales for all indications.

Cosentyx (USD 1 534 million, +16%, +18% cc) sales grew mainly in the US, emerging growth markets and Europe, driven by strong demand from recent launches and volume growth in core indications. Since initial approval in 2015, Cosentyx has shown sustained efficacy and a robust safety profile, treating more than 1.7 million patients across 8 indications.

Xolair (USD 456 million, ex-US +14%, +19% cc) growth was driven by the CSU indication, with a strong contribution from emerging growth markets. Novartis co-promotes Xolair with Genentech in the US and shares a portion of revenue as operating income but does not record any US sales.

Ilaris (USD 419 million, +18%, +20% cc) sales grew across all regions, led by the US and Europe. Contributors to growth include strong performance in the Periodic Fever Syndromes and Still’s disease indications.

Neuroscience

Q1 2025 Q1 2024 % change % change
USD m USD m USD cc
Neuroscience
Kesimpta 899 637 41 43
Zolgensma 327 295 11 13
Aimovig 76 76 0 3
Total neuroscience 1 302 1 008 29 31

Kesimpta (USD 899 million, +41%, +43% cc) sales grew across all regions, driven by increased demand and strong access. Kesimpta is a high efficacy B-cell therapy, with a favorable safety and tolerability profile and an at-home self-administration for a broad population of RMS patients. Kesimpta is now approved in 90 countries with more than 135,000 patients treated.

Zolgensma (USD 327 million, +11%, +13% cc) sales grew as it continues to demonstrate strong performance in the incident population. Zolgensma is now approved in 59 countries with more than 4,500 patients treated globally through clinical trials, early access programs and in the commercial setting.

Aimovig (USD 76 million, 0%, +3% cc) sales remained stable (USD) and grew (cc) driven by increased demand for migraine prevention. Novartis commercializes Aimovig ex-US and ex-Japan, while Amgen retains all rights in the US and in Japan.

6


ONCOLOGY

Q1 2025 Q1 2024 % change % change
USD m USD m USD cc
Oncology
Kisqali 956 627 52 56
Tafinlar + Mekinist^1^ 552 474 16 19
Promacta/Revolade 546 520 5 8
Jakavi 492 478 3 7
Tasigna 377 395 -5 -2
Pluvicto 371 310 20 21
Scemblix 238 136 75 76
Lutathera 193 169 14 15
Piqray/Vijoice 100 109 -8 -8
Fabhalta^2^ 81 6 nm nm
Total oncology 3 906 3 224 21 24
^1^ Majority of sales for Mekinist and Tafinlar are combination, but both<br> can be used as monotherapy.
^2^ Net sales to third parties reflect Fabhalta sales for all indications.
nm = not meaningful

Kisqali (USD 956 million, +52%, +56% cc) sales grew strongly across all regions, including +87% growth in the US, with strong momentum from the HR+/HER2- early breast cancer (eBC) launch as well as continued share gains in HR+/HER2- metastatic breast cancer (mBC). Kisqali performance reflects increasing recognition of the consistently demonstrated overall survival benefit across all Phase III clinical trials in mBC, as well as Category 1 preferred NCCN Guidelines recommendation and highest ESMO-MCBS scores in both mBC and eBC indications. Novartis is in US ANDA litigation with a generic manufacturer.

Tafinlar + Mekinist (USD 552 million, +16%, +19% cc) sales grew across all regions, driven by demand in BRAF+ adjuvant melanoma, NSCLC, pediatric low-grade glioma and tumor agnostic indications, while maintaining demand in the highly competitive BRAF+ metastatic melanoma market.

Promacta / Revolade (USD 546 million, +5%, +8% cc) sales grew despite discontinued promotion in most markets.

Jakavi (USD 492 million, +3%, +7% cc) sales grew across all regions driven by strong demand in all indications. Incyte retains all rights to ruxolitinib (Jakafi®) in the US.

Tasigna (USD 377 million, -5%, -2% cc) sales declined across most regions due to lower demand and increasing competition, partly offset by increased sales in the US.

Pluvicto (USD 371 million, +20%, +21% cc) continued stable performance in the US and grew in Europe in the metastatic castration-resistant prostate cancer (mCRPC) post-taxane setting, while laying the foundation for the pre-taxane launch in the US. Pluvicto is the only PSMA-targeted radioligand therapy approved by the FDA to significantly delay progression after one ARPI and now before chemotherapy, for the treatment of adult patients with progressive, PSMA+ mCRPC. Pluvicto is now on the market in several ex-US countries in the mCRPC post-taxane setting. Novartis is in patent litigation with a manufacturer developing a radiopharmaceutical to treat PSMA+ prostate cancer.

Scemblix (USD 238 million, +75%, +76% cc) sales grew across all regions, demonstrating continued high unmet need for effective and tolerable treatment options for adult CML patients previously treated with two or more tyrosine kinase inhibitors, as well as a steady influx of early-line patients in the US following approval in late 2024.

Lutathera (USD 193 million, +14%, +15% cc) sales grew mainly in the US, Europe and Japan due to increased demand, and earlier line adoption (within indication) in the US and Japan. Novartis is in patent litigation with manufacturers having FDA applications referencing Lutathera.

Piqray / Vijoice (USD 100 million, -8%, -8% cc) sales declined, driven by increased competition for Piqray in the US, partially offset by higher demand for Vijoice.

Fabhalta (USD 81 million) sales grew driven by continued launch execution across all markets in PNH as well as the recent launch in IgAN in the US.

7


Established BRANDS

Q1 2025 Q1 2024 % change % change
USD m USD m USD cc
Established brands
Sandostatin Group 317 355 -11 -9
Lucentis 189 314 -40 -38
Exforge Group 179 192 -7 -1
Diovan Group 150 140 7 12
Galvus Group 124 149 -17 -11
Kymriah 100 120 -17 -15
Contract manufacturing 343 279 23 26
Other 1 696 1 937 -12 -8
Total established brands 3 098 3 486 -11 -7

Sandostatin Group (USD 317 million, -11%, -9% cc) sales declined, primarily in the US due to erosion from generic competition.

Lucentis (USD 189 million, ex-US -40%, -38% cc) sales declined in Europe, emerging growth markets and Japan, mainly due to competition.

Exforge Group (USD 179 million, -7%, -1% cc) sales declined mainly in Europe and the US.

Diovan Group (USD 150 million, +7%, +12% cc) sales grew in China, the US and other emerging growth markets, partially offset by a decline in Europe.

Galvus Group (USD 124 million, -17%, -11% cc) sales declined mainly in Japan due to generic competition.

Kymriah (USD 100 million, -17%, -15% cc) sales declined across most markets, partly offset by increased uptake in the follicular lymphoma indication ex-US.

8


Cash Flow and Balance Sheet

Cash flow

First quarter

Net cash flows from operating activities amounted to USD 3.6 billion, compared with USD 2.3 billion in the prior-year quarter. This increase was mainly driven by higher net income, adjusted for non-cash items and other adjustments, including divestment gains, and favorable changes in working capital.

Net cash inflows from investing activities amounted to USD 0.3 billion, compared with USD 0.9 billion net cash outflows in the prior-year quarter.

In the current-year quarter, net cash inflows from investing activities were mainly driven by the net proceeds from marketable securities, commodities and time deposits, amounting to USD 1.8 billion, mainly due to the maturity of time deposits. These cash inflows were partly offset by cash outflows of USD 1.2 billion for purchases of intangible assets and by USD 0.3 billion for purchases of property, plant and equipment.

In the prior-year quarter, net cash outflows used in investing activities of USD 0.9 billion were driven by USD 0.9 billion for purchases of intangible assets; USD 0.2 billion for purchases of property, plant and equipment; and USD 0.3 billion for acquisitions and divestments of businesses, net. These cash outflows were partly offset by net proceeds of USD 0.5 billion from the sale of marketable securities, commodities and time deposits.

Net cash outflows used in financing activities amounted to USD 8.5 billion, compared with USD 5.2 billion in the prior-year quarter.

In the current-year quarter, net cash outflows used in financing activities were mainly driven by USD 5.3 billion for the annual net dividend payment (which is the gross dividend of USD 7.8 billion reduced by the USD 2.5 billion Swiss withholding tax, paid in April 2025, according to its due date), the USD 2.7 billion payments for treasury share transactions, and the USD 1.0 billion repayment of a US dollar denominated bond at maturity. These cash outflows were partly offset by the net increase in current financial debts of USD 0.6 billion.

In the prior-year quarter, net cash outflows used in financing activities of USD 5.2 billion were mainly driven by USD 5.2 billion for the annual net dividend payment (which is the gross dividend of USD 7.6 billion reduced by the USD 2.4 billion Swiss withholding tax, paid in April 2024, according to its due date), as the payments for treasury share transactions of USD 1.1 billion were offset by the net increase in current financial debts of USD 1.2 billion.

Free cash flow amounted to USD 3.4 billion (+66% USD), compared with USD 2.0 billion in the prior-year quarter, driven by higher net cash flows from operating activities.

9


Balance sheet

Assets

Total non-current assets of USD 74.8 billion increased by USD 2.3 billion compared with December 31, 2024.

Intangible assets other than goodwill increased by USD 0.6 billion, mainly due to favorable currency translation adjustments and additions, partially offset by amortization.

Goodwill increased by USD 0.2 billion due to favorable currency translation adjustments.

Property, plant and equipment increased by USD 0.2 billion, mainly due to favorable currency translation adjustments and additions, partially offset by depreciation.

Other non-current assets increased by USD 0.6 billion, mainly due to the increase in prepaid post-employment benefit plans primarily resulting from changes in the discount rates used to calculate the actuarial defined benefit obligations.

Deferred tax assets increased by USD 0.7 billion, and right-of-use assets, investments in associated companies and financial assets were broadly in line with December 31, 2024.

Total current assets of USD 25.1 billion decreased by USD 4.6 billion compared with December 31, 2024.

Cash and cash equivalents decreased by USD 4.4 billion as cash generated through operating activities of USD 3.6 billion was more than offset by the USD 5.3 billion annual net dividend payment (which is the gross dividend of USD 7.8 billion reduced by the USD 2.5 billion Swiss withholding tax paid in April 2025, according to its due date), and USD 2.7 billion purchase of treasury shares.

Marketable securities, commodities, time deposits and derivative financial instruments decreased by USD 1.9 billion, mainly due to the maturity of time deposits.

Trade receivables increased by USD 1.2 billion, mainly due to the increase in net sales.

Other current assets increased by USD 0.4 billion, and inventories and income tax receivables were broadly in line with December 31, 2024.

Liabilities

Total non-current liabilities of USD 29.9 billion increased by USD 0.4 billion compared with December 31, 2024.

Non-current financial debt increased by USD 0.3 billion, and deferred tax liabilities, non-current lease liabilities and provisions and other non-current liabilities were broadly in line with December 31, 2024.

Total current liabilities of USD 31.6 billion increased by USD 2.9 billion compared with December 31,2024.

Current financial debts and derivative financial instruments decreased by USD 0.4 billion compared with December 31, 2024, mainly due to the repayment of a US dollar denominated bond of USD 1.0 billion at maturity, partially offset by the issuance of commercial paper notes of USD 0.4 billion mainly under the US commercial paper program.

Provisions and other current liabilities increased by USD 2.7 billion, mainly due to USD 2.5 billion Swiss withholding tax on the annual dividend to Novartis AG shareholders that was paid in April 2025, according to its due date. Trade payables decreased by USD 0.3 billion.

Current income tax liabilities increased by USD 1.0 billion, and current lease liabilities were broadly in line with December 31, 2024.

Equity

The Company’s equity decreased by USD 5.7 billion to USD 38.5 billion compared with December 31, 2024.

This decrease was mainly driven by the net income of USD 3.6 billion and favorable impact from currency translation differences of USD 0.7 billion being more than offset by the annual gross dividend to Novartis AG shareholders of USD 7.8 billion and the purchase of treasury shares of USD 2.8 billion.

10


Net debt and debt/equity ratio

The Company’s liquidity amounted to USD 7.2 billion as at March 31, 2025, compared with USD 13.5 billion as at December 31, 2024. Total non-current and current financial debts, including derivatives, amounted to USD 29.5 billion as at March 31, 2025, compared with USD 29.6 billion as at December 31, 2024.

The debt/equity ratio increased to 0.77:1 as at March 31, 2025, compared with 0.67:1 as at December 31, 2024. The net debt increased to USD 22.3 billion as at March 31, 2025, compared with USD 16.1 billion as at December 31, 2024.

11


Innovation Review

Novartis continues to focus its R&D portfolio prioritizing high value medicines with transformative potential for patients. We now focus on ~100 projects in clinical development.

Selected Innovative Medicines approvals in Q1

Product Active ingredient/<br> Descriptor Indication Region
Pluvicto lutetium (177Lu) <br> vipivotide tetraxetan Metastatic<br> castration-resistant <br> prostate cancer, <br> pre-taxane US
Vanrafia atrasentan IgA nephropathy US
Fabhalta iptacopan C3 glomerulopathy US, EU, China

Selected Innovative Medicines projects awaiting regulatory decisions

Completed submissions
Product Indication US EU Japan News update
LOU064 <br> (remibrutinib) Chronic spontaneous urticaria Q1 2025 Q1 2025 – US, EU and CN submissions
Scemblix 1L chronic myeloid leukemia Approved Q1 2025 Q3 2024 – EU submission
Fabhalta C3G Approved Approved Q3 2024 – US, EU and China approvals
Lutathera Gastroenteropancreatic <br> neuroendocrine tumors, <br> 1L in G2/3 tumors Q2 2024
Beovu Diabetic retinopathy Q4 2024
Coartem Malaria (<5kg patients) – Submission using MAGHP procedure <br> in Switzerland to facilitate rapid approvals in <br> developing countries

Selected Innovative Medicines pipeline projects

Compound/<br>product Potential indication/<br> Disease area First planned<br> submissions Current <br> Phase News update
Aimovig Migraine, pediatrics ≥2028 3
Cosentyx Giant cell arteritis 2025 3
Polymyalgia rheumatica 2026 3
DAK539<br> (pelabresib) Myelofibrosis 3 – MorphoSys aquisition<br> – Based on Novartis review of 48-week data<br> from the PhIII MANIFEST-2 study, longer<br> follow-up time is needed to determine, in<br> consultation with Health Authorities, the<br> regulatory path for pelabresib in myelofibrosis
FUB523<br> (zigakibart) IgA nephropathy 2027 3
KAE609 <br> (cipargamin) Malaria, uncomplicated ≥2028 2
Malaria, severe ≥2028 2
Kesimpta Multiple sclerosis <br> new dosing regimen ≥2028 3 – PhIII trial FILIOS started
KLU156 <br> (ganaplacide <br> + lumefantrine) Malaria, uncomplicated 2026 3 – FDA Orphan Drug designation <br> – FDA Fast Track designation
Leqvio Secondary prevention of cardiovascular <br> events in patients with elevated LDL-C 2027 3
Primary prevention CVRR ≥2028 3

12


Compound/<br>product Potential indication/<br> Disease area First planned<br> submissions Current <br> Phase News update
LNP023 <br> (iptacopan) Myasthenia gravis 2027 3
IC-MPGN ≥2028 3
Atypical haemolytic uraemic syndrome ≥2028 3
LOU064 <br> (remibrutinib) CINDU 2026 3
Hidradenitis suppurativa ≥2028 3 – PhIII trials RECHARGE-1 <br> and -2 started
Multiple sclerosis 2027 3
Myasthenia gravis ≥2028 3
Lutathera GEP-NETs ≥2028 3 – PhIII trial NETTER-3 started
^177^Lu-NeoB Multiple solid tumors ≥2028 1
LXE408 Visceral leishmaniasis ≥2028 2 – US Orphan Drug designation granted
MAA868<br> (abelacimab) Atrial fibrillation 2027 3 – Anthos Therapeutics acquisition
OAV101 Spinal muscular atrophy <br> (IT formulation) 2025 3 – PhIII STEER and STRENGTH data <br> presented at MDA 2025
Pluvicto Metastatic hormone sensitive prostate cancer 2025 3 – Event-driven trial
Oligometastatic prostate cancer ≥2028 3
QCZ484 Hypertension ≥2028 2 – PhII trial started
TQJ230 <br> (pelacarsen) Secondary prevention of cardiovascular <br> events in patients with elevated levels <br> of lipoprotein(a) 2026 3 – FDA Fast Track designation <br> – China Breakthrough Therapy designation <br> – Lp(a)HORIZON PhIII trial design publication <br> in the American Heart Journal
VAY736 <br> (ianalumab) Sjögren’s syndrome 2026 3 – FDA Fast Track designation
Lupus nephritis ≥2028 3
Systemic lupus erythematosus ≥2028 3
Systemic scleroderma ≥2028 2
1L immune thrombocytopenia 2027 3
2L immune thrombocytopenia 2027 3
Warm autoimmune hemolytic anemia 2027 3
Vijoice Lymphatic malformations ≥2028 3 – US, EU Orphan Drug designation
YTB323 Severe refractory lupus nephritis / <br> Systemic lupus erythematosus ≥2028 2
1L high-risk large B-cell lymphoma ≥2028 2
Systemic scleroderma ≥2028 2
Myositis ≥2028 2
ANCA associated vasculitis ≥2028 2 – PhII trial started

13


Condensed Interim Consolidated Financial Statements

Consolidated income statements

First quarter (unaudited)

( millions unless indicated otherwise) Q1 2025 Q1 2024
Net sales to third parties 13 233 11 829
Other revenues 387 291
Cost of goods sold -3 227 -3 096
Gross profit 10 393 9 024
Selling, general and administration -3 058 -2 840
Research and development -2 366 -2 421
Other income 226 249
Other expense -532 -639
Operating income 4 663 3 373
Loss from associated companies -3 -29
Interest expense -270 -221
Other financial income and expense 17 6
Income before taxes 4 407 3 129
Income taxes -798 -441
Net income 3 609 2 688
Attributable to:
Shareholders of Novartis AG 3 606 2 688
Non-controlling interests 3 0
Weighted average number of shares outstanding – Basic (million) 1 968 2 044
Basic earnings per share () 1 1.83 1.31
Weighted average number of shares outstanding – Diluted (million) 1 979 2 056
Diluted earnings per share () 1 1.82 1.31
1  Earnings per share (EPS) is calculated on the amount of net income attributable to<br> shareholders of Novartis AG.
The accompanying Notes form an integral part of the condensed interim consolidated<br> financial statements

All values are in US Dollars.

14


Consolidated statements of comprehensive income

First quarter (unaudited)

(USD millions) Q1 2025 Q1 2024
Net income 3 609 2 688
Other comprehensive income
Items that are or may be recycled into the consolidated income statement
Cash flow hedge, net of taxes 1
Net investment hedge, net of taxes -60 37
Currency translation effects, net of taxes 720 -1 404
Total of items that are or may be recycled 661 -1 367
Items that will never be recycled into the consolidated income statement
Actuarial gains from defined benefit plans, net of taxes 436 79
Fair value adjustments on equity securities, net of taxes -56 25
Total of items that will never be recycled 380 104
Total other comprehensive income 1 041 -1 263
Total comprehensive income 4 650 1 425
Total comprehensive income for the period attributable to:
Shareholders of Novartis AG 4 646 1 427
Non-controlling interests 4 -2
The accompanying Notes form an integral part of the condensed interim consolidated<br> financial statements

15


Consolidated balance sheets

(USD millions) Mar 31, <br> 2025<br> (unaudited) Dec 31, <br> 2024<br> (audited)
Assets
Non-current assets
Property, plant and equipment 9 680 9 458
Right-of-use assets 1 407 1 415
Goodwill 24 965 24 756
Intangible assets other than goodwill 27 476 26 915
Investments in associated companies 114 119
Deferred tax assets 5 099 4 359
Financial assets 1 981 2 015
Other non-current assets 4 111 3 505
Total non-current assets 74 833 72 542
Current assets
Inventories 5 829 5 723
Trade receivables 8 596 7 423
Income tax receivables 129 133
Marketable securities, commodities, time deposits and derivative financial instruments 130 1 998
Cash and cash equivalents 7 066 11 459
Other current assets 3 358 2 968
Total current assets 25 108 29 704
Total assets 99 941 102 246
Equity and liabilities
Equity
Share capital 766 793
Treasury shares -19 -53
Reserves 37 622 43 306
Equity attributable to Novartis AG shareholders 38 369 44 046
Non-controlling interests 83 80
Total equity 38 452 44 126
Liabilities
Non-current liabilities
Financial debts 21 666 21 366
Lease liabilities 1 561 1 568
Deferred tax liabilities 2 548 2 419
Provisions and other non-current liabilities 4 095 4 075
Total non-current liabilities 29 870 29 428
Current liabilities
Trade payables 4 261 4 572
Financial debts and derivative financial instruments 7 801 8 232
Lease liabilities 242 235
Current income tax liabilities 2 570 1 599
Provisions and other current liabilities 16 745 14 054
Total current liabilities 31 619 28 692
Total liabilities 61 489 58 120
Total equity and liabilities 99 941 102 246
The accompanying Notes form an integral part of the condensed interim consolidated<br> financial statements

16


Consolidated statements of changes in equity

First quarter (unaudited)

Reserves
(USD millions) Note Share<br> capital Treasury<br> shares Retained<br> earnings Total value<br> adjustments Equity<br> attributable to<br> Novartis AG<br> shareholders Non-<br> controlling<br> interests Total<br> equity
Total equity at January 1, 2025 793 -53 46 561 -3 255 44 046 80 44 126
Net income 3 606 3 606 3 3 609
Other comprehensive income 1 040 1 040 1 1 041
Total comprehensive income 3 606 1 040 4 646 4 4 650
Dividends 4.1 -7 818 -7 818 -7 818
Purchase of treasury shares -14 -2 778 -2 792 -2 792
Reduction of share capital -27 42 -15
Equity-based compensation plans 6 267 273 273
Taxes on treasury share transactions -31 -31 -31
Changes in non-controlling interests 1 1 -1
Value adjustments related to financial assets sold and divestments 2 -2
Other movements 4.3 44 44 44
Total of other equity movements -27 34 -10 328 -2 -10 323 -1 -10 324
Total equity at March 31, 2025 766 -19 39 839 -2 217 38 369 83 38 452
The accompanying Notes form an integral part of the condensed interim consolidated<br> financial statements
Reserves
--- --- --- --- --- --- --- --- ---
(USD millions) Note Share<br> capital Treasury<br> shares Retained<br> earnings Total value<br> adjustments Equity<br> attributable to<br> Novartis AG<br> shareholders Non-<br> controlling<br> interests Total<br> equity
Total equity at January 1, 2024 825 -41 49 649 -3 766 46 667 83 46 750
Net income 2 688 2 688 0 2 688
Other comprehensive income -1 261 -1 261 -2 -1 263
Total comprehensive income 2 688 -1 261 1 427 -2 1 425
Dividends 4.1 -7 624 -7 624 -7 624
Purchase of treasury shares -6 -1 135 -1 141 -1 141
Reduction of share capital -32 26 6
Exercise of options and employee transactions -34 -34 -34
Equity-based compensation 4 280 284 284
Shares delivered to Sandoz employees as a result of the Sandoz spin-off 10 10 10
Taxes on treasury share transactions 20 20 20
Fair value adjustments on financial assets sold -92 92
Other movements 4.3 66 66 66
Total of other equity movements -32 24 -8 503 92 -8 419 -8 419
Total equity at March 31, 2024 793 -17 43 834 -4 935 39 675 81 39 756
The accompanying Notes form an integral part of the condensed interim consolidated<br> financial statements

17


Consolidated statements of cash flows

First quarter (unaudited)

(USD millions) Note Q1 2025 Q1 2024
Net income 3 609 2 688
Adjustments to reconcile net income to net cash flows from operating activities
Reversal of non-cash items and other adjustments 6.1 2 712 2 497
Interest received 122 164
Interest paid -232 -147
Other financial payments -21 -29
Income taxes paid -540 -576
Net cash flows from operating activities before working capital and provision changes 5 650 4 597
Payments out of provisions and other net cash movements in non-current liabilities -237 -343
Change in net current assets and other operating cash flow items 6.2 -1 768 -1 989
Net cash flows from operating activities 3 645 2 265
Purchases of property, plant and equipment -254 -227
Proceeds from sale of property, plant and equipment 10 1
Purchases of intangible assets -1 240 -929
Purchases of financial assets -18 -47
Proceeds from sale of financial assets 25 63
Acquisitions and divestments of interests in associated companies, net -3 16
Acquisitions and divestments of businesses, net 6.3 -4 -279
Purchases of marketable securities, commodities and time deposits -37 -3
Proceeds from sale of marketable securities, commodities and time deposits 1 851 506
Net cash flows from/(used in) investing activities 330 -899
Dividends paid to shareholders of Novartis AG 4.1 -5 333 -5 207
Purchases of treasury shares -2 716 -1 099
Proceeds from exercised options and other treasury share transactions, net 1
Repayments of the current portion of non-current financial debts -1 010
Change in current financial debts 556 1 220
Payments of lease liabilities -69 -67
Other financing cash flows, net 23 -11
Net cash flows used in financing activities -8 548 -5 164
Net change in cash and cash equivalents before effect of exchange rate changes -4 573 -3 798
Effect of exchange rate changes on cash and cash equivalents 180 -126
Net change in cash and cash equivalents -4 393 -3 924
Cash and cash equivalents at January 1 11 459 13 393
Cash and cash equivalents at March 31 7 066 9 469
The accompanying Notes form an integral part of the condensed interim consolidated<br> financial statements

18


Notes to the Condensed Interim Consolidated Financial Statements for the three month period ended March 31, 2025 (unaudited)

  1. Basis of preparation

The consolidated financial statements of the Company are prepared in accordance with International Financial Reporting Standards (IFRS^®^) Accounting Standards as issued by the International Accounting Standards Board. They are prepared in accordance with the historical cost convention, except for items that are required to be accounted for at fair value.

These Condensed Interim Consolidated Financial Statements for the three month period ended March 31, 2025, were prepared in accordance with International Accounting Standards (IAS®) Standards 34 Interim Financial Reporting and accounting policies set out in the 2024 Annual Report published on January 31, 2025.

  1. Accounting policies

The Company’s accounting policies are set out in Note 1 to the Consolidated Financial Statements in the 2024 Annual Report and conform with IFRS Accounting Standards as issued by the International Accounting Standards Board.

The preparation of financial statements requires management to make certain estimates and assumptions, either at the balance sheet date or during the period, which affect the reported amounts of revenues, expenses, assets, liabilities, and contingent amounts.

Estimates are based on historical experience and other assumptions that are considered reasonable under the given circumstances and are regularly monitored. Actual outcomes and results could differ from those estimates and assumptions. Revisions to estimates are recognized in the period in which the estimate is revised.

As disclosed in the 2024 Annual Report, goodwill, and the intangible assets not available for use (in-process research and development (IPR&D)) are evaluated for impairment annually, or when facts and circumstances warrant. The intangible assets available for use (currently marketed products and other intangible assets) are evaluated for potential impairment whenever facts and circumstances indicate that their carrying value may not be recoverable. The amount of goodwill and other intangible assets other than goodwill on the Company’s consolidated balance sheet has risen significantly in recent years, primarily from acquisitions. Impairment testing may lead to potentially significant impairment charges in the future that could have a materially adverse impact on the Company’s results of operations and financial condition.

The Company’s activities are not subject to significant seasonal fluctuations.

Status of adoption of significant new or amended IFRS standards or interpretations

No new IFRS Accounting Standards were adopted by the Company in 2025. There were no new IFRS Accounting Standards amendments or interpretations that became effective in 2025 that had a material impact on the Company’s consolidated financial statements.

Based on the Company’s assessment, other than IFRS 18 Presentation and Disclosure in Financial Statements that will become effective on January 1, 2027, which Novartis is currently assessing the impact of adopting, there were no other IFRS Accounting Standards, amendments or interpretations not yet effective in 2025 that would be expected to have a material impact on the Company’s consolidated financial statements.

19


  1. Significant acquisitions of businesses

The Company applied the acquisition method of accounting for businesses acquired, and did not elect to apply the optional concentration test to account for acquired business as an asset separately acquired.

Significant acquisitions of businesses – 2025

There were no acquisitions of businesses in the first quarter of 2025.

Significant acquisitions of businesses – 2024

Acquisition of Kate Therapeutics Inc.

On October 31, 2024, Novartis acquired Kate Therapeutics Inc. (Kate Therapeutics), a US based, preclinical-stage biotechnology company focused on developing adeno-associated viruses (AAV) based gene therapies to treat genetically defined muscle and heart diseases.

The purchase price consisted of a cash payment of USD 427 million (including purchase price adjustments of USD 2 million) and potential additional milestones of up to USD 700 million, which the Kate Therapeutics shareholders are eligible to receive upon the achievement of specified development milestones.

The fair value of the total purchase consideration was USD 518 million, consisting of a cash payment of USD 427 million and the fair value of contingent consideration of USD 91 million. The purchase price allocation resulted in net identifiable assets of USD 234 million, consisting primarily of IPR&D intangible assets of USD 135 million, other intangible assets (scientific infrastructure) of USD 135 million, cash and cash equivalents of USD 6 million, net deferred tax liabilities of USD 41 million and other net liabilities of USD 1 million. Goodwill amounted to USD 284 million.

The 2024 results of operations since the date of acquisition were not material.

Acquisition of Mariana Oncology Inc.

On May 3, 2024, Novartis acquired Mariana Oncology Inc. (Mariana Oncology), a US based, preclinical-stage biotechnology company focused on developing novel radioligand therapies (RLTs) with a portfolio of RLT programs across a range of solid tumor indications.

The purchase price consisted of a cash payment of USD 1.04 billion and potential additional milestones of up to USD 750 million, which Mariana Oncology shareholders are eligible to receive upon the achievement of specified milestones.

The fair value of the total purchase consideration was USD 1.28 billion, consisting of a cash payment of USD 1.04 billion and the fair value of contingent consideration of USD 239 million. The purchase price allocation resulted in net identifiable assets of USD 754 million, consisting primarily of IPR&D intangible assets of USD 344 million, other intangible assets (scientific infrastructure) of USD 473 million, cash and cash equivalents of USD 80 million, net deferred tax liabilities of USD 133 million and other net liabilities of USD 10 million. Goodwill amounted to USD 528 million.

The 2024 results of operations since the date of acquisition were not material.

Acquisition of MorphoSys AG

On February 5, 2024, Novartis entered into an agreement to acquire MorphoSys AG (MorphoSys), a Germany-based, global biopharmaceutical company developing innovative medicines in oncology. The acquisition of MorphoSys adds to our oncology pipeline pelabresib, a late-stage BET inhibitor for myelofibrosis and tulmimetostat, an early-stage investigational dual inhibitor of EZH2 and EZH1 for solid tumors or lymphomasis.

On April 11, 2024, Novartis, through a subsidiary, commenced a voluntary public takeover offer (the “Offer”) to acquire all outstanding shares of MorphoSys for EUR 68 per share, representing a total consideration of approximately EUR 2.6 billion in cash on a fully diluted basis. The settlement of the Offer was conditional on a minimum acceptance threshold of 65% of the MorphoSys outstanding shares.

Novartis purchased during the Offer acceptance period MorphoSys shares on the market for a total amount of EUR 0.3 billion (USD 0.3 billion). The closing conditions of the Offer, including the minimum acceptance threshold of 65% were fulfilled by the end of the Offer acceptance period, and the acquisition of MorphoSys closed on May 23, 2024, with the settlement payment amounting to EUR 1.7 billion (USD 1.9 billion) to the MorphoSys shareholders for their tendered shares. Subsequent to May 23, 2024, Novartis acquired additional MorphoSys outstanding shares through the German statutory two-week extension period of the Offer (ending on May 30, 2024) for EUR 0.3 billion (USD 0.3 billion). As a result, as at May 30, 2024, Novartis held 89.7% of the total outstanding share capital of MorphoSys. Total cash paid for the MorphoSys shares purchased by Novartis through to the end of the statutory two-week extension period of the Offer amounted to EUR 2.3 billion (USD 2.5 billion). Non-controlling interests represented 10.3% of MorphoSys outstanding shares amounting to USD 0.1 billion and were recognized in equity.

In June 2024, outside the Offer Novartis purchased an additional 1.7% of MorphoSys shares for EUR 44 million (USD 47 million). As a result, at June 30, 2024, Novartis held approximately 91.4% of outstanding MorphoSys shares.

On July 4, 2024, Novartis filed a public purchase offer to delist the MorphoSys shares admitted to trading on regulated markets and acquire all MorphoSys AG shares and American Depository Shares (ADS) not held directly by Novartis. In August 2024, the delisting of the MorphoSys shares admitted to trading on regulated markets was completed, and Novartis purchased an additional 3.2% of MorphoSys shares for EUR 83 million (USD 90 million). As a result,

20


at September 30, 2024 Novartis held approximately 94.5% of outstanding MorphoSys shares.

On October 15, 2024, the “squeeze-out” of the remaining minority shareholders of MorphoSys was completed by way of a merger into a wholly-owned Novartis entity. As a result, Novartis held 100% of the outstanding shares of MorphoSys and non-controlling interests in equity were reduced to nil. On October 21, 2024, Novartis paid EUR 144 million (USD 156 million) to the former remaining minority shareholders in connection with the “squeeze-out.”

The fair value of the total purchase consideration for the 89.7% stake held on May 30, 2024, was USD 2.5 billion (including cash acquired). The purchase price allocation resulted in net identifiable assets of USD 0.7 billion, consisting primarily of intangible assets other than goodwill of USD 1.1 billion, comprising IPR&D intangible assets of USD 0.6 billion and other intangible assets (customer out-licensing contracts) of USD 0.5 billion, financial investments and other receivables of USD 0.2 billion, marketable securities of USD 0.4 billion, cash and cash equivalents of USD 0.2 billion, financial debt to third parties of USD 0.9 billion, net deferred tax liabilities of USD 0.1 billion and other net liabilities of USD 0.2 billion. Non-controlling interests amounted to USD 0.1 billion, which were recognized at the non-controlling interests’ proportionate share of MorphoSys identifiable net assets. Goodwill as at the acquisition date amounted to USD 1.9 billion.

The 2024 results of operations since the date of acquisition were not material.

Following the completion of management’s analysis of the third-party integrated safety report related to certain clinical trial data readouts, that became available prior to closing the MorphoSys acquisition, the necessity to perform an interim impairment test of the goodwill attributable to the MorphoSys business acquired at the provisional level of the grouping of CGUs of the MorphoSys business was triggered. This impairment test required the use of valuation techniques to estimate the fair value less cost of disposal of the MorphoSys business. These valuations required the use of management assumptions and estimates related to the MorphoSys business’ future cash flows and assumptions on, among others, discount rate (8.5%) and terminal growth/decline rates (-15.0%). These fair value measurements are classified as “Level 3” in the fair value hierarchy. The section “—Goodwill and intangible assets other than goodwill” in Note 1 to the Consolidated Financial Statements in the Annual Report 2024 provides additional information on key assumptions that are highly sensitive in the estimation of fair values using valuation techniques. The interim impairment test indicated an impairment of the goodwill attributable to the MorphoSys business in the amount of USD 0.9 billion, which was recognized as “Other expense” in the consolidated income statement in the second half of 2024. As at December 31, 2024, the remaining carrying value of the goodwill attributable to the MorphoSys business amounting to USD 1.0 billion was allocated to the grouping of CGUs at the level of the operating segment of the Company, which is the level where the future synergies will be realized.

Fair value of assets and liabilities arising from acquisitions of businesses

There were no acquisitions of businesses in the first quarter of 2025. The following table presents the fair value of the assets and liabilities acquired through acquisitions of businesses and the total purchase consideration for the year ended December 31, 2024:

(USD millions) Dec 31, <br> 2024
Property, plant and equipment 20
Right-of-use assets 47
In-process research and development 1 424
Other intangible assets 1 156
Deferred tax assets 465
Non-current financial and other assets 31
Trade receivables and financial and other current assets 613
Cash and cash equivalents 242
Deferred tax liabilities -799
Current and non-current financial debts -852
Current and non-current lease liabilities -47
Trade payables and other liabilities -297
Net identifiable assets acquired 2 003
Non-controlling interests -75
Goodwill 2 701
Total purchase consideration for acquisitions of businesses 4 629

The significant business acquisitions in 2024, were Kate Therapeutics, Mariana Oncology and MorphoSys. The goodwill arising out of 2024 acquisitions is not tax deductible and is attributable to synergies, including the cost synergies from pre-acquisition in-licensed IP from MorphoSys, accounting for deferred tax liabilities on acquired assets, and the assembled workforce. In the second half of 2024, an impairment of goodwill was recognized related to the MorphoSys business acquisition of USD 0.9 billion. See Acquisition of MorphoSys AG section of this Note 3 for additional information.

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  1. Summary of equity attributable to Novartis AG shareholders
Number of outstanding shares (in millions) Equity attributable to Novartis AG shareholders
Note 2025 2024 Q1 2025<br> USD millions Q1 2024<br> USD millions
Balance at beginning of year 1 975.1 2 044.0 44 046 46 667
Shares acquired to be canceled -24.8 -10.3 -2 639 -1 033
Other share purchases -1.5 -1.0 -153 -108
Equity-based compensation plans and employee transactions 10.4 7.6 273 250
Taxes on treasury share transactions -31 20
Dividends 4.1 -7 818 -7 624
Net income of the period attributable to shareholders of Novartis AG 3 606 2 688
Other comprehensive income attributable to shareholders of Novartis AG 1 040 -1 261
Changes in non-controlling interests 1
Other movements 4.3 0.1 0.1 44 76
Balance at March 31 1 959.3 2 040.4 38 369 39 675

4.1. In the first quarter of 2025, the annual gross dividend to shareholders of Novartis AG amounted to USD 7.8 billion (2024: USD 7.6 billion). The net dividend payment to Novartis AG shareholders paid in March 2025 amounted to USD 5.3 billion (2024: USD 5.2 billion paid in March 2024). The USD 2.5 billion Swiss withholding tax on the gross dividend was paid at its due date in April 2025 (2024: USD 2.4 billion paid at its due date in April 2024).

4.2. In July 2023, Novartis entered into an irrevocable, non-discretionary arrangement with a bank to repurchase Novartis shares on the second trading line under its up-to USD 15.0 billion share buyback.

In June 2024, Novartis amended the arrangement to include the repurchase of an additional 8.7 million Novartis shares on the second trading line to mitigate the impact of the shares deliveries under the equity-based compensation plans for employees. These additional repurchases concluded in October 2024. Novartis was able to cancel this arrangement but could have been subject to a 90-day waiting period. As of March 31, 2025, and December 31, 2024, these waiting period conditions were not applicable and as a result, there was no requirement to record a liability under this arrangement as of March 31, 2025, and December 31, 2024.

4.3. Other movements include, for subsidiaries in hyperinflationary economies, the impact of the application of IAS Standards 29 “Financial Reporting in Hyperinflationary Economies.”

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  1. Financial instruments

Fair value by hierarchy

The following table illustrates the three hierarchical levels for valuing financial instruments at fair value as of March 31, 2025, and December 31, 2024. For additional information on the hierarchies and other matters, please refer to the Consolidated Financial Statements in the 2024 Annual Report, published on January 31, 2025.

Level 1 Level 2 Level 3 Total
(USD millions) Mar 31, <br> 2025 Dec 31, <br> 2024 Mar 31, <br> 2025 Dec 31, <br> 2024 Mar 31, <br> 2025 Dec 31, <br> 2024 Mar 31, <br> 2025 Dec 31, <br> 2024
Financial assets
Cash and cash equivalents
Debt securities 50 50 50 50
Total cash and cash equivalents at fair value 50 50 50 50
Marketable securities
Derivative financial instruments 59 106 59 106
Total marketable securities and derivative financial instruments at fair value 59 106 59 106
Current contingent consideration receivables 107 120 107 120
Current equity securities 23 24 18 18 41 42
Long-term financial investments
Debt and equity securities 135 193 8 7 572 599 715 799
Fund investments 11 15 183 195 194 210
Non-current contingent consideration receivables 686 671 686 671
Total long-term financial investments at fair value 146 208 8 7 1 441 1 465 1 595 1 680
Associated companies at fair value through profit or loss 103 109 103 109
Financial liabilities
Current contingent consideration liabilities -339 -281 -339 -281
Derivative financial instruments -90 -143 -90 -143
Total current financial liabilities at fair value -90 -143 -339 -281 -429 -424
Non-current contingent consideration liabilities -466 -527 -466 -527

The fair value of straight bonds amounted to USD 21.9 billion at March 31, 2025 (USD 22.5 billion at December 31, 2024) compared with the carrying amount of USD 23.4 billion at March 31, 2025 (USD 24.1 billion at December 31, 2024). For all other financial assets and liabilities, the carrying amount is a reasonable approximation of the fair value.

The carrying amount of financial assets included in the line total long-term financial investments at fair value of USD 1.6 billion at March 31, 2025 (USD 1.7 billion at December 31, 2024) is included in the line “Financial assets” of the consolidated balance sheets. The carrying amount of current contingent consideration liabilities of USD 0.3 billion at March 31, 2025 (USD 0.3 billion at December 31, 2024) is included in the line “Provisions and other current liabilities” of the consolidated balance sheets. The carrying amount of non-current contingent consideration liabilities of USD 0.5 billion at March 31, 2025 (USD 0.5 billion at December 31, 2024) is included in the line “Provisions and other non-current liabilities” of the consolidated balance sheets.

The Company’s exposure to financial risks has not changed significantly during the period and there have been no major changes to the risk management department or in any risk management policies.

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  1. Details to the consolidated statements of cash flows

6.1. Non-cash items and other adjustments

The following table shows the reversal of non-cash items and other adjustments in the consolidated statements of cash flows.

(USD millions) Q1 2025 Q1 2024
Depreciation, amortization and impairments on:
Property, plant and equipment 217 219
Right-of-use assets 65 63
Intangible assets 872 1 032
Financial assets^1^ 41 28
Change in provisions and other non-current liabilities 182 163
Losses on disposal on property, plant and equipment; intangible assets; other non-current<br> assets; and other adjustments on financial assets and other non-current assets, net 22 70
Equity-settled compensation expense 262 260
Loss from associated companies 3 29
Income taxes 798 441
Net financial expense 253 215
Other -3 -23
Total 2 712 2 497
^1^ Includes fair value changes

6.2. Cash flows from changes in working capital and other operating items included in the net cash flows from operating activities

(USD millions) Q1 2025 Q1 2024
Decrease/(increase) in inventories 55 -128
Increase in trade receivables -1 043 -920
Decrease in trade payables -172 -409
Change in other current and non-current assets -424 -272
Change in other current liabilities -184 -260
Total -1 768 -1 989

6.3. Cash flows arising from acquisitions and divestments of businesses, net

The following table is a summary of the cash flow impact of acquisitions and divestments of businesses.

( millions) Q1 2024
Total purchase consideration for acquisitions of businesses -298
Acquired cash and cash equivalents 2
Contingent consideration payable, net 47
Deferred considerations 8
Cash flows used for acquisitions of businesses -241
Cash flows used for divestments of businesses, net 1 -38
Cash flows used for acquisitions and divestments of businesses, net -279
1  In the first quarter of 2025, 4 million (Q1 2024: 38 million) represented<br> the net cash outflows from divestments in previous years.

All values are in US Dollars.

Note 3 provides further information regarding significant acquisitions of businesses. All acquisitions were for cash.

24


  1. Legal proceedings update

A number of Novartis companies are, and will likely continue to be, subject to various legal proceedings, including litigations, arbitrations and governmental investigations, that arise from time to time. Legal proceedings are inherently unpredictable. As a result, the Company may become subject to substantial liabilities that may not be covered by insurance and may in the future incur judgments or enter into settlements of claims that could have a material adverse effect on its results of operations or cash flow. Note 20 to the Consolidated Financial Statements in our 2024 Annual Report and 2024 Form 20-F contains a summary as of the date of these reports of significant legal proceedings to which Novartis or its subsidiaries were a party. As of April 28, 2025, there have been no significant developments in those proceedings, as well as no new significant proceedings commenced since the date of the 2024 Annual Report and 2024 Form 20-F.

Novartis believes that its total provisions for investigations, product liability, arbitration and other legal matters are adequate based upon currently available information. However, given the inherent difficulties in estimating liabilities, there can be no assurance that additional liabilities and costs will not be incurred beyond the amounts provided.

  1. Operating segment

Novartis operates as a single global operating segment innovative medicines company that is engaged in the research, development, manufacturing, distribution and commercialization and sale of innovative medicines, with a focus on the core therapeutic areas: cardiovascular, renal and metabolic; immunology; neuroscience; oncology; and established brands. The Company’s research, development, manufacturing and supply of products and functional activities are managed globally on a vertically integrated basis. Commercial efforts that coordinate marketing, sales and distribution of these products are organized by geographic region, therapeutic area and established brands.

The Executive Committee of Novartis (ECN), chaired by the CEO, is the governance body responsible for allocating resources and assessing the business performance of the operating segment of the Company on a global basis and is the chief operating decision-maker (CODM) for the Company.

The determination of a single operating segment is consistent with the financial information regularly reviewed by the CODM for purposes of assessing performance and allocating resources.

See Note 9 for revenues and geographic information disclosures.

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  1. Revenues and geographic information

Net sales to third parties

Net sales to third parties by region^1^

First quarter

Q1 2025<br> USD m Q1 2024<br> USD m % change<br> USD % change<br> cc^2^ Q1 2025<br> % of total Q1 2024<br> % of total
US 5 712 4 588 24 24 43 39
Europe 3 905 3 764 4 7 30 32
Asia/Africa/Australasia 2 772 2 580 7 10 21 22
Canada and Latin America 844 897 -6 9 6 7
Total 13 233 11 829 12 15 100 100
Of which in established markets 9 669 8 488 14 15 73 72
Of which in emerging growth markets 3 564 3 341 7 13 27 28
^1^ Net sales to third parties by location of customer. Emerging growth markets comprise<br> all markets other than the established markets of the US, Canada, Western Europe,<br> Japan, Australia and New Zealand. Novartis definition of Western Europe includes Austria,<br> Belgium, Finland, France, Germany, Greece, Iceland, Ireland, Italy, Luxembourg, Malta,<br> The Netherlands, Norway, Portugal, Spain, Sweden, Switzerland, and the United Kingdom.
^2^ Constant currencies (cc) is a non-IFRS measure. A definition of non-IFRS measures<br> used by Novartis can be found starting on page 31.

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Net sales to third parties by core therapeutic area and established brands

First quarter

Q1 2025 Q1 2024 % change % change
USD m USD m USD cc^1^
Cardiovascular, renal and metabolic
Entresto 2 261 1 879 20 22
Leqvio 257 151 70 72
Total cardiovascular, renal and metabolic 2 518 2 030 24 26
Immunology
Cosentyx 1 534 1 326 16 18
Xolair^2^ 456 399 14 19
Ilaris 419 356 18 20
Total immunology 2 409 2 081 16 18
Neuroscience
Kesimpta 899 637 41 43
Zolgensma 327 295 11 13
Aimovig 76 76 0 3
Total neuroscience^3^ 1 302 1 008 29 31
Oncology
Kisqali 956 627 52 56
Tafinlar + Mekinist 552 474 16 19
Promacta/Revolade 546 520 5 8
Jakavi 492 478 3 7
Tasigna 377 395 -5 -2
Pluvicto 371 310 20 21
Scemblix 238 136 75 76
Lutathera 193 169 14 15
Piqray/Vijoice 100 109 -8 -8
Fabhalta^4^ 81 6 nm nm
Total oncology^3^ 3 906 3 224 21 24
Established brands
Sandostatin Group 317 355 -11 -9
Lucentis 189 314 -40 -38
Exforge Group 179 192 -7 -1
Diovan Group 150 140 7 12
Galvus Group 124 149 -17 -11
Kymriah^3^ 100 120 -17 -15
Contract manufacturing 343 279 23 26
Other^3^ 1 696 1 937 -12 -8
Total established brands^3^ 3 098 3 486 -11 -7
Total net sales to third parties 13 233 11 829 12 15
^1^ Constant currencies (cc) is a non-IFRS measure. A definition of non-IFRS measures<br> used by Novartis can be found starting on page 31.
^2^ Net sales to third parties reflect Xolair sales for all indications.
^3^ Reclassified to conform with 2025 presentation of brands by therapeutic area and established<br> brands.
^4^ Net sales to third parties reflect Fabhalta sales for all indications.
nm = not meaningful

27


Net sales to third parties of the top 20 brands in 2025^1^

First quarter

US Rest of world Total
Brands Brand classification by therapeutic area or established brands Key indications USD m % change USD/cc^2^ USD m % change USD % change cc^2^ USD m % change USD % change cc^2^
Entresto Cardiovascular, renal and metabolic Chronic heart failure, hypertension 1 169 23 1 092 17 21 2 261 20 22
Cosentyx Immunology Psoriasis (PsO), ankylosing spondylitis (AS), psoriatic arthritis (PsA), non-radiographic axial spondyloarthritis (nr-axSPA), hidradenitis suppurativa (HS) 815 23 719 8 12 1 534 16 18
Kisqali Oncology HR+/HER2- metastatic breast cancer and early breast cancer 586 87 370 18 24 956 52 56
Kesimpta Neuroscience Relapsing forms of multiple sclerosis (MS) 587 41 312 41 45 899 41 43
Tafinlar + Mekinist Oncology BRAF V600+ metastatic and adjuvant melanoma, advanced non-small cell lung cancer (NSCLC), tumor agnostic with BRAF mutation indication, pediatric low grade glioma (pLGG) 208 13 344 19 23 552 16 19
Promacta/Revolade Oncology Immune thrombocytopenia (ITP), severe aplastic anemia (SAA) 288 8 258 2 7 546 5 8
Jakavi Oncology Myelofibrosis (MF), polycythemia vera (PV), graft-versus-host disease (GvHD) 492 3 7 492 3 7
Xolair^3^ Immunology Severe allergic asthma (SAA), chronic spontaneous urticaria (CSU), nasal polyps, food allergy (FA) 456 14 19 456 14 19
Ilaris Immunology Auto-inflammatory (CAPS, TRAPS, HIDS/MKD, FMF, SJIA, AOSD, gout) 218 31 201 6 10 419 18 20
Tasigna Oncology Chronic myeloid leukemia (CML) 197 13 180 -19 -14 377 -5 -2
Pluvicto Oncology PSMA-positive mCRPC patients post-ARPI, post-Taxane 287 2 84 190 205 371 20 21
Zolgensma Neuroscience Spinal muscular atrophy (SMA) 129 24 198 4 7 327 11 13
Sandostatin Group Established brands Carcinoid tumors, acromegaly 197 -18 120 3 9 317 -11 -9
Leqvio Cardiovascular, renal and metabolic Atherosclerotic cardiovascular disease (ASCVD) 127 72 130 69 74 257 70 72
Scemblix Oncology Philadelphia chromosome-positive chronic myeloid leukemia (Ph+ CML) in chronic phase (CP); Ph+ CML in CP with the T315I mutation 154 75 84 75 77 238 75 76
Lutathera Oncology GEP-NETs gastroenteropancreatic neuroendocrine tumors 139 19 54 4 7 193 14 15
Lucentis Established brands Age-related macular degeneration (AMD), diabetic macular edema (DME), retinal vein occlusion (RVO) 189 -40 -38 189 -40 -38
Exforge Group Established brands Hypertension 2 -50 177 -6 0 179 -7 -1
Diovan Group Established brands Hypertension 13 44 137 5 10 150 7 12
Galvus Group Established brands Type 2 diabetes (RMS) 124 -17 -11 124 -17 -11
Top 20 brands total 5 116 27 5 721 9 13 10 837 17 19
Rest of portfolio 596 9 1 800 -9 -4 2 396 -5 -1
Total net sales to third parties 5 712 24 7 521 4 8 13 233 12 15
^1^ Net sales to third parties by location of customer.
^2^ Constant currencies (cc) is a non-IFRS measure. A definition of non-IFRS measures<br> used by Novartis can be found starting on page 31.
^3^ Net sales to third parties reflect Xolair sales for all indications.

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Other revenues

(USD millions) Q1 2025 Q1 2024
Profit sharing income 257 214
Royalty income 8 19
Milestone income 54 6
Other^1^ 68 52
Total other revenues 387 291
^1^ Other includes revenue from activities such as manufacturing or other services rendered,<br> to the extent such revenue is not recorded under net sales to third parties.
  1. Other interim disclosures

Property, plant and equipment, right-of-use assets and intangible assets

The following table shows additional disclosures related to property, plant and equipment, right-of-use assets and intangible assets:

(USD millions) Q1 2025 Q1 2024
Property, plant and equipment impairment charges -2 -1
Property, plant and equipment depreciation charge -215 -218
Right-of-use assets depreciation charge -65 -63
Intangible assets impairment charges -2 -157
Intangible assets amortization charge -870 -875

In the first quarter of 2025 and 2024, there were no impairment charges on right-of-use assets and no reversals of impairment changes on property, plant and equipment, right-of-use assets and intangible assets.

The following table shows the additions to property, plant and equipment, right-of-use assets and intangible assets other than goodwill excluding the impact of business acquisitions, which are disclosed in Note 3:

(USD millions) Q1 2025 Q1 2024
Additions to property, plant and equipment 210 223
Additions to right-of-use assets 56 28
Additions to intangible assets other than goodwill 1 179 663

Financial debt

In February 2025, Novartis repaid a 5-year US dollar denominated bond of USD 1.0 billion with a coupon of 1.75% at maturity.

Income taxes

The Basel-Stadt cantonal tax rate change, enacted March 23, 2025, and effective January 1, 2026, will increase the cantonal tax rate from 6.5% to 8.5% and the blended Swiss cantonal and federal tax rate from 13.04% to 14.53%, impacting the Company’s Basel-Stadt-domiciled operating subsidiaries. The enactment required revaluation of deferred tax assets and liabilities to the new tax rates at the date of enactment. The impact of the deferred tax assets and liabilities revaluation recorded in March 2025 was not material.

29


Commitments

Other commitments

The Company routinely acquires interests in intellectual property focused on key disease areas and indications that the Company expects to be growth drivers in the future. The Company has a commitment related to the acquisition of an IPR&D intangible asset through a purchase agreement that was entered into in the first quarter of 2025 that closed on April 3, 2025 totaling USD 2.9 billion, of which USD 0.9 billion was paid in April 2025 and USD 2.0 billion is due to the selling entities shareholders dependent on achievement of specified regulatory and sales milestones.

  1. Events subsequent to the March 31, 2025, consolidated balance sheet date

Significant transaction closed in April 2025

In the first quarter of 2025, Novartis entered into a purchase agreement to acquire an IPR&D intangible asset which closed on April 3, 2025. For additional information see Note 10.

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Supplementary information (unaudited)

Non-IFRS measures as defined by Novartis

Novartis uses certain non-IFRS Accounting Standards metrics when measuring performance, especially when measuring current-year results against prior periods, including core results, constant currencies and free cash flow. These are referred to by Novartis as non-IFRS measures.

Despite the use of these measures by management in setting goals and measuring the Company’s performance, these are non-IFRS measures that have no standardized meaning prescribed by IFRS Accounting Standards. As a result, such measures have limits in their usefulness to investors.

Because of their non-standardized definitions, the non-IFRS measures (unlike IFRS Accounting Standards measures) may not be comparable to the calculation of similar measures of other companies. These non-IFRS measures are presented solely to permit investors to more fully understand how the Company’s management assesses underlying performance. These non-IFRS measures are not, and should not be viewed as, a substitute for IFRS Accounting Standards measures and should be viewed in conjunction with the consolidated financial statements presented in accordance with IFRS Accounting Standards.

As an internal measure of Company performance, these non-IFRS measures have limitations, and the Company’s performance management process is not solely restricted to these metrics.

Core results

The Company’s core results – including core operating income, core net income and core earnings per share – exclude fully the amortization and impairment charges of intangible assets, excluding software, net gains and losses on fund investments and equity securities valued at fair value through profit and loss, impact of IAS Standards 29 “Financial Reporting in Hyperinflationary Economies” to other financial income and expense, and certain acquisition- and divestment-related items. The following items that exceed a threshold of USD 25 million are also excluded: integration- and divestment-related income and expenses; divestment gains and losses; restructuring charges/releases and related items; legal-related items; impairments of property, plant and equipment, software, and financial assets, and income and expense items that management deems exceptional and that are or are expected to accumulate within the year to be over a USD 25 million threshold.

Novartis believes that investor understanding of the Company’s performance is enhanced by disclosing core measures of performance since, core measures exclude items that can vary significantly from year to year, they enable better comparison of business performance across years. For this same reason, Novartis uses these core measures in addition to IFRS Accounting Standards measures and other measures as important factors in assessing the Company’s performance.

The following are examples of how these core measures are used:

• In addition to monthly reports containing financial information prepared under IFRS Accounting Standards, senior management receives a monthly analysis incorporating these non-IFRS core measures.

• Annual budgets are prepared for both IFRS Accounting Standards and non-IFRS core measures.

As an internal measure of Company performance, the core results measures have limitations, and the Company’s performance management process is not solely restricted to these metrics. A limitation of the core results measures is that they provide a view of the Company’s operations without including all events during a period, such as the effects of an acquisition, divestment, or amortization/impairments of intangible assets, impairments to property, plant and equipment and restructurings and related items.

Constant currencies

Changes in the relative values of non-US currencies to the US dollar can affect the Company’s financial results and financial position. To provide additional information that may be useful to investors, including changes in sales volume, we present information about our net sales and various values relating to operating and net income that are adjusted for such foreign currency effects.

Constant currency calculations have the goal of eliminating two exchange rate effects so that an estimate can be made of underlying changes in the consolidated income statement excluding the impact of fluctuations in exchanges rates:

• The impact of translating the income statements of consolidated entities from their non-USD functional currencies to USD

• The impact of exchange rate movements on the major transactions of consolidated entities performed in currencies other than their functional currency.

We calculate constant currency measures by translating the current year’s foreign currency values for sales and other income statement items into USD (excluding the IAS Standards 29 “Financial Reporting in Hyperinflationary Economies” adjustments to the local currency income statements of subsidiaries operating in hyperinflationary economies), using the average exchange rates from the prior year and comparing them to the prior year values in USD.

We use these constant currency measures in evaluating the Company’s performance, since they may assist us in evaluating our ongoing performance from year to year. However, in performing our evaluation, we also consider equivalent measures of performance

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that are not affected by changes in the relative value of currencies.

Growth rate calculation

For ease of understanding, Novartis uses a sign convention for its growth rates such that a reduction in operating expenses or losses compared with the prior year is shown as a positive growth.

Free cash flow

Novartis defines free cash flow as net cash flows from operating activities less purchases of property, plant and equipment. Management believes that this definition provides a performance measure that focuses on core operating activities, and also excludes items that can vary significantly from year to year, thereby enabling better comparison of business performance across years.

Free cash flow is a non-IFRS measure, which means it should not be interpreted as a measure determined under IFRS Accounting Standards. Free cash flow is not intended to be a substitute measure for net cash flows from operating activities as determined under IFRS Accounting Standards. Free cash flow is presented as additional information because management believes it is a useful supplemental indicator of the Company’s ability to operate without reliance on additional borrowing or use of existing cash. Free cash flow is a measure of the net cash generated that is available for investment in strategic opportunities, returning to shareholders and for debt repayment.

Additional information

Net debt

Novartis calculates net debt as current financial debts and derivative financial instruments plus non-current financial debts less cash and cash equivalents and marketable securities, commodities, time deposits and derivative financial instruments.

Net debt is presented as additional information because it sets forth how management monitors net debt or liquidity and management believes it is a useful supplemental indicator of the Company’s ability to pay dividends, to meet financial commitments, and to invest in new strategic opportunities, including strengthening its balance sheet.

See page 36 for additional disclosures related to net debt.

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Reconciliation from IFRS Accounting Standards results to non-IFRS measure core results

The following tables provide an overview of the reconciliation from IFRS Accounting Standards results to non-IFRS measure core results:

(USD millions unless indicated otherwise) Q1 2025 Q1 2024
IFRS Accounting Standards operating income 4 663 3 373
Amortization of intangible assets 789 807
Impairments
Intangible assets 1 157
Total impairment charges 1 157
Acquisition or divestment of businesses and related items
- Income -111 -112
- Expense 103 120
Total acquisition or divestment of businesses and related items, net -8 8
Other items
Divestment gains -12
Financial assets - fair value adjustments 41 28
Restructuring and related items
- Income -16 -58
- Expense 145 91
Legal-related items
- Income
- Expense 50
Additional income -61 -12
Additional expense 21 105
Total other items 130 192
Total adjustments 912 1 164
Core operating income 5 575 4 537
as % of net sales 42.1% 38.4%
Loss from associated companies -3 -29
Core adjustments to loss from associated companies, net of tax 26
Interest expense -270 -221
Other financial income and expense 17 6
Core adjustments to other financial income and expense 29 90
Income taxes, adjusted for above items (core income taxes) -866 -728
Core net income 4 482 3 681
Core net income attributable to shareholders of Novartis AG 4 479 3 681
Core basic EPS (USD)^1^ 2.28 1.80
^1^ Core earnings per share (EPS) is calculated by dividing core net income attributable<br> to shareholders of Novartis AG by the weighted average number of shares used in the<br> basic EPS calculation outstanding in a reporting period.

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Reconciliation from IFRS Accounting Standards results to non-IFRS measure core results

First quarter

( millions unless indicated otherwise) Amortization <br> of intangible<br> assets^1^ Impairments^2^ Acquisition or <br> divestment of <br> businesses and<br> related items^3^ Other <br> items^4^ Q1 2025<br> Core results Q1 2024<br> Core results
Gross profit 721 -32 11 082 9 802
Operating income 789 1 -8 130 5 575 4 537
Income before taxes 789 1 -8 159 5 348 4 409
Income taxes 5 -152 1 83 -866 -728
Net income 4 482 3 681
Basic EPS () 6 2.28 1.80
The following are adjustments to arrive at core gross profit
Other revenues -35 352 291
Cost of goods sold 721 3 -2 503 -2 318
The following are adjustments to arrive at core operating income
Selling, general and administration 1 -3 057 -2 840
Research and development 68 1 -5 -2 302 -2 203
Other income -111 -36 79 55
Other expense 103 202 -227 -277
The following are adjustments to arrive at core income before taxes
Other financial income and expense 29 46 96
1  Amortization of intangible assets: cost of goods sold includes the amortization of<br> currently marketed products intangible assets; research and development includes the<br> amortization of scientific infrastructure and technologies intangible assets
2  Impairments: research and development includes net impairment charges related to intangible<br> assets
3  Acquisition or divestment of businesses and related items, including integration charges:<br> other income and other expense include transitional service-fee income and expenses<br> related to the Sandoz distribution
4  Other items: other revenues includes a milestone income from an outlicensing agreement;<br> cost of goods sold, selling, general and administration, other income and other expense<br> include restructuring income and charges related to the company-wide rationalization<br> of manufacturing sites and other net restructuring charges and related items; research<br> and development includes contingent consideration adjustments; other income and other<br> expense include fair value adjustments on financial assets and other costs and items;<br> other financial income and expense includes the impact of IAS Standards 29 “Financial<br> Reporting in Hyperinflationary Economies” for subsidiaries operating in hyperinflationary<br> economies
5  Taxes on the adjustments between IFRS Accounting Standards and core results, for each<br> item included in the adjustment, take into account the tax rate that will finally<br> be applicable to the item based on the jurisdiction where the adjustment will finally<br> have a tax impact. Generally, this results in amortization and impairment of intangible<br> assets and acquisition-related restructuring and integration items having a full tax<br> impact. There is usually a tax impact on other items, although this is not always<br> the case for items arising from legal settlements in certain jurisdictions. Adjustments<br> related to income from associated companies are recorded net of any related tax effect.<br> Due to these factors and the differing effective tax rates in the various jurisdictions,<br> the tax on the total adjustments of 941 million to arrive at the core results<br> before tax amounts to 68 million. The average tax rate on the total adjustments<br> was 7.2% since the estimated full year core tax charge of 16.2% has been applied to<br> the pre-tax income of the period.
6  Core earnings per share (EPS) is calculated by dividing core net income attributable<br> to shareholders of Novartis AG by the weighted average number of shares used in the<br> basic EPS calculation outstanding in a reporting period.

All values are in US Dollars.

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Non-IFRS measure free cash flow

The following table is a reconciliation of the three major categories of the IFRS Accounting Standards consolidated statements of cash flows to the non-IFRS measure free cash flow:

First quarter

Q1 2025 Q1 2024
(USD millions) IFRS <br> Accounting <br> Standards<br> cash flow Adjustments Free <br> cash flow IFRS <br> Accounting <br> Standards<br> cash flow Adjustments Free <br> cash flow
Net cash flows from operating activities 3 645 3 645 2 265 2 265
Net cash flows from/(used in) investing activities^1^ 330 -584 -254 -899 672 -227
Net cash flows used in financing activities^2^ -8 548 8 548 0 -5 164 5 164 0
Non-IFRS measure free cash flow 3 391 2 038
^1^ With the exception of purchases of property, plant and equipment, all net cash flows<br> from/(used in) in investing activities are excluded from the free cash flow.
^2^ Net cash flows used in financing activities are excluded from the free cash flow.

The following table is a summary of the non-IFRS measure free cash flow:

First quarter

(USD millions) Q1 2025 Q1 2024
Operating income 4 663 3 373
Reversal of non-cash items and other adjustments
Depreciation, amortization and impairments 1 195 1 342
Change in provisions and other non-current liabilities 182 163
Other 281 307
Operating income adjusted for non-cash items 6 321 5 185
Interest received 122 164
Interest paid and other financial payments -253 -176
Income taxes paid -540 -576
Payments out of provisions and other net cash movements in non-current liabilities -237 -343
Change in inventories and trade receivables less trade payables -1 160 -1 457
Change in other net current assets and other operating cash flow items -608 -532
Net cash flows from operating activities 3 645 2 265
Purchases of property, plant and equipment -254 -227
Non-IFRS measure free cash flow 3 391 2 038

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Additional information

Net debt

Condensed consolidated changes in net debt

First quarter

(USD millions) Q1 2025 Q1 2024
Net change in cash and cash equivalents -4 393 -3 924
Change in marketable securities, commodities, time deposits, financial debts and derivatives financial instruments -1 737 -1 729
Change in net debt -6 130 -5 653
Net debt at January 1 -16 141 -10 183
Net debt at March 31 -22 271 -15 836

Components of net debt

(USD millions) Mar 31, <br> 2025 Dec 31, <br> 2024 Mar 31, <br> 2024
Non-current financial debts -21 666 -21 366 -17 191
Current financial debts and derivative financial instruments -7 801 -8 232 -8 339
Total financial debts -29 467 -29 598 -25 530
Less liquidity
Cash and cash equivalents 7 066 11 459 9 469
Marketable securities, commodities, time deposits and derivative financial instruments 130 1 998 225
Total liquidity 7 196 13 457 9 694
Net debt at end of period -22 271 -16 141 -15 836

Share information

Mar 31, <br> 2024
Number of shares outstanding 2 040 406 387
Registered share price (CHF) 87.37
ADR price () 96.73
Market capitalization ( billions) 1 196.8
Market capitalization (CHF billions) 1 178.3
1  Market capitalization is calculated based on the number of shares outstanding (excluding<br> treasury shares). Market capitalization in is based on the market capitalization<br> in CHF converted at the quarter end CHF/ exchange rate.

All values are in US Dollars.

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Effects of currency fluctuations

Principal currency translation rates

(USD per unit) Average <br> rates<br> Q1 2025 Average <br> rates<br> Q1 2024 Period-end <br> rates<br> Mar 31, <br> 2025 Period-end <br> rates<br> Mar 31, <br> 2024
1 CHF 1.112 1.144 1.137 1.104
1 CNY 0.137 0.139 0.138 0.138
1 EUR 1.052 1.086 1.084 1.080
1 GBP 1.259 1.268 1.297 1.262
100 JPY 0.656 0.674 0.671 0.660
100 RUB 1.074 1.101 1.177 1.086

Currency impact on key figures

The following table provides a summary of the currency impact on key Company figures due to their conversion into US dollars, the Company’s reporting currency, of the financial data from entities reporting in non-US dollars. Constant currency (cc) calculations apply the exchange rates of the prior year period to the current period financial data for entities reporting in non-US dollars.

First quarter

Change in<br> USD %<br> Q1 2025 Change in<br> constant<br> currencies %<br> Q1 2025 Percentage<br> point currency<br> impact<br> Q1 2025
Net sales to third parties 12 15 -3
Operating income 38 44 -6
Net income 34 37 -3
Basic earnings per share (USD) 40 42 -2
Core operating income 23 27 -4
Core net income 22 26 -4
Core basic earnings per share (USD) 27 31 -4

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Disclaimer

This press release contains forward-looking statements within the meaning of the United States Private Securities Litigation Reform Act of 1995, that can generally be identified by words such as “anticipate,” “can,” “will,” “continue,” “ongoing,” “growth,” “launch,” “expect,” “expand,” “deliver,” “accelerate,” “deliver,” “guidance,” “outlook,” “priority,” “potential,” “momentum,” or similar expressions, or by express or implied discussions regarding potential new products, potential new indications for existing products, potential product launches, or regarding potential future revenues from any such products; or regarding results of ongoing clinical trials; or regarding potential future, pending or announced transactions; regarding potential future sales or earnings; or by discussions of strategy, plans, expectations or intentions, including discussions regarding our continued investment into new R&D capabilities and manufacturing; or regarding our capital structure. Such forward-looking statements are based on the current beliefs and expectations of management regarding future events and are subject to significant known and unknown risks and uncertainties. Should one or more of these risks or uncertainties materialize, or should underlying assumptions prove incorrect, actual results may vary materially from those set forth in the forward-looking statements. You should not place undue reliance on these statements. There can be no guarantee that the investigational or approved products described in this press release will be submitted or approved for sale or for any additional indications or labeling in any market, or at any particular time. Nor can there be any guarantee that such products will be commercially successful in the future. Neither can there be any guarantee that the expected benefits or synergies from the transactions described in this press release will be achieved in the expected timeframe, or at all. In particular, our expectations could be affected by, among other things: uncertainties concerning global healthcare cost containment, including ongoing government, payer and general public pricing and reimbursement pressures and requirements for increased pricing transparency; uncertainties regarding the success of key products, commercial priorities and strategy; uncertainties in the research and development of new products, including clinical trial results and additional analysis of existing clinical data; our ability to obtain or maintain proprietary intellectual property protection, including the ultimate extent of the impact on Novartis of the loss of patent protection and exclusivity on key products; uncertainties regarding our ability to realize the strategic benefits, operational efficiencies or opportunities expected from our external business opportunities; uncertainties in the development or adoption of potentially transformational digital technologies, including artificial intelligence, and business models; uncertainties surrounding the implementation of our new IT projects and systems; uncertainties regarding potential significant breaches of information security or disruptions of our information technology systems; uncertainties regarding actual or potential legal proceedings, including regulatory actions or delays or government regulation related to the products and pipeline products described in this press release; safety, quality, data integrity, or manufacturing issues; our performance on and ability to comply with environmental, social and governance measures and requirements; major macroeconomic and geo- and socio-political developments, including the impact of any potential tariffs on our products or the impact of war in certain parts of the world; uncertainties regarding future global exchange rates; uncertainties regarding future demand for our products; and other risks and factors referred to in Novartis AG’s most recently filed Form 20-F and in subsequent reports filed with, or furnished to, the US Securities and Exchange Commission. Novartis is providing the information in this press release as of this date and does not undertake any obligation to update any forward-looking statements as a result of new information, future events or otherwise.

All product names appearing in italics are trademarks owned by or licensed to Novartis.

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About Novartis

Novartis is an innovative medicines company. Every day, we work to reimagine medicine to improve and extend people’s lives so that patients, healthcare professionals and societies are empowered in the face of serious disease. Our medicines reach more than 250 million people worldwide.

Reimagine medicine with us: Visit us at https://www.novartis.com and connect with us on LinkedIn, Facebook, X and Instagram.

Novartis will conduct a conference call with investors to discuss this news release today at 14:00 Central European time and 8:00 Eastern Time. A simultaneous webcast of the call for investors and other interested parties may be accessed by visiting the Novartis website. A replay will be available after the live webcast by visiting https://www.novartis.com/investors/event-calendar.

Detailed financial results accompanying this press release are included in the Condensed Interim Financial Report at the link below. Additional information is provided on our business and pipeline of selected compounds in late-stage development. A copy of today’s earnings call presentation can be found at https://www.novartis.com/investors/event-calendar.

Important dates

July 17, 2025

Second quarter & half year 2025 results

October 28, 2025

Third quarter & nine months 2025 results

November 19-20, 2025

Meet Novartis Management 2025 (London, UK)

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