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Luckily, a handful of recent launches are positioned to help offset those losses. In particular, psoriasis treatment Cosentyx earned approval in 2015, and it finished the third quarter on an annualized run rate of $1.32 billion. The drug outperformed Johnson & Johnson's popular Stelara in a clinical trial, and could generate annual sales of around $4 billion at its peak. Heart failure drug Entresto could be Novartis' largest growth driver, but its launch has been somewhat disappointing. In a clinical outcome study, it reduced patient risk of heart failure hospitalizations and cardiovascular death by at least 20% compared with the standard ACE inhibitor, enalapril.With millions of heart failure patients eligible for treatment, peak annual sales estimates top out at around $10 billion. Unfortunately, end payers haven't been too thrilled about replacing cheap, generic ACE inhibitors with Entresto, which costs around $4,600 per year.However, more than a year following its launch, U.S. sales of Entresto appear to be accelerating, and Novartis expects the drug to contribute about $200 million to total 2016 revenue. Further out, planned filings for three new entities, three biosimilars , and five label expansions for commercial-stage drugs this year alone give Novartis a solid chance of offsetting future losses to generic competition. In the numbers Although Exelixis is still losing money, rapid uptake of Cabometyx in the second-line RCC setting is largely expected to push the bottom line into positive territory this year.
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