>>> Europe : Brokers Upgrades & Downgrades - 2nd of September 2025 V2(+)

>>> Up
* Aker Solutions Raised to Buy at SEB Equities; PT 37 kroner
* Continental Raised to Neutral at Oddo BHF; PT 79 euros
* CTS Eventim Raised to Buy at Rothschild & Co Redburn
* Ferrari Raised to Buy at Deutsche Bank; PT 520 euros (+)
* Huber+Suhner PT Raised to 140 Swiss francs at Berenberg
* ING Raised to Overweight at Morgan Stanley; PT 25.40 euros
* Kering Raised to Buy at HSBC; PT 300 euros
* LVMH Raised to Buy at HSBC; PT 625 euros
* NIO Inc. ADRs Raised to Buy at Huatai Research; PT $7.56
* Sanofi Raised to Buy at Deutsche Bank; PT 110 euros (+)
* Schneider Electric Raised to Buy at Deutsche Bank; PT 240 euros
* Technip Energies Raised to Overweight at JPMorgan; PT 47 euros

>>> Down
* Aker Solutions Cut to Underweight at JPMorgan; PT 30 kroner
* B&M European Cut to Hold at Shore Capital; PT 250 pence
* BAT Cut to Underperform at RBC; PT 3,400 pence
* Borr Drilling Cut to Sell at SEB Equities; PT $2.40
* Commerzbank Cut to Equal-Weight at Morgan Stanley; PT 36 euros
* Elis Cut to Add at IDMidcaps; PT 26 euros (+)
* Eni Cut to Sector Perform at RBC
* EnQuest Cut to Neutral at JPMorgan; PT 14 pence
* Equinor Cut to Hold at SEB Equities; PT 266 kroner
* Hermes Cut to Hold at HSBC; PT 2,350 euros
* Legal & General Cut to Reduce at AlphaValue/Baader
* Noble Corp. Cut to Hold at SEB Equities; PT $30
* Seadrill Cut to Hold at SEB Equities; PT $33
* Siemens Cut to Market Perform at Bernstein
* Taylor Wimpey Cut to Neutral at BofA; PT 105 pence (+)
* Var Energi Cut to Neutral at JPMorgan; PT 33 kroner
* Var Energi Cut to Sell at SEB Equities; PT 32 kroner

>>> Initiation
* Brookfield Corp Reinstated Buy at Goldman; PT C$107.24
* Harbour Energy Rated New Overweight at JPMorgan; PT 298 pence
* IPC Rated New Sector Perform at RBC; PT 177.90 kronor
* Shelly Group Rated New Buy at Berenberg; PT 70 euros
* Siemens ADRs Rated New Outperform at BNPP Exane; PT $158.50

>>> Call
* BAT New Category Business Expectations Overblown, RBC Downgrades
* Continental Transformation Welcome, Oddo BHF Upgrades to Neutral
* Eni Cut to Sector Perform at RBC, Pause After Execution Success (+)
* MS Stays Positive on European Banks; Names ING Top Pick

>>> What to look at today - 2nd of September 2025

Stocks trod water as traders awaited Wall Street’s reopening after the long weekend for direction in what is historically the weakest month for US equities. A gauge of Asian shares swung between small gains and losses while equity-index futures for the US and Europe edged marginally lower. Gold reached a record high Tuesday with traders positioning for an interest-rate cut by the Federal Reserve this month.
The Bloomberg Dollar Spot Index gained for the first time in six days while the Treasury curve steepened as cash trading resumed following the Monday holiday. The yield on the 10-year benchmark rose almost two basis points to 4.25%. Oil drifted higher with attention on an upcoming OPEC+ meeting.  After a selloff in technology shares on Wall Street Friday, the record-breaking stock rally faces a pivotal test this month, with jobs numbers, inflation data and the Fed’s rate call all landing within the next three weeks. Tariff tensions and questions over the Fed’s independence are also compounding the risks in September, historically the weakest month of the year for US markets. Traders’ attention Tuesday was on gold, the go-to haven in times of political and economic turmoil that also tends to benefit from lower rates. The metal has also found support this year as investors seek safety from market turmoil fueled by US President Donald Trump’s global trade war. Trump’s escalating attacks on the Fed have become the latest cause for investor alarm, with concerns over the central bank’s independence threatening to erode confidence in the US. Michael Hartnett, Chief Investment Strategist at BofA Global Research, discusses his outlook for global markets and investment strategy. Another key factor for the markets is the Cboe Volatility Index sitting at 16.12, not far off its 2025 closing low of 14.22. It’s a crucial time for the markets with major catalysts beginning to hit starting Friday with the monthly jobs report. Then, inflation takes the stage with the consumer price index report arriving on Sept. 11 and on Sept. 17, the Fed will give its policy decision and quarterly interest-rate projections. Swaps markets are pricing in roughly 90% odds that the Fed will cut them at this meeting. Also, the pace of new corporate bond sales is expected to pick up dramatically this week with syndicate desks forecasting $55 billion on offer. In Japan, 10-year bonds gained after the strongest auction since 2023. The yen fell 0.3% against the dollar after Bank of Japan Deputy Governor Ryozo Himino’s speech provided few clues on the future direction of interest rates. Meanwhile, Trump said India offered to cut its tariff rates following the US imposition last week of 50% levies as punishment for the South Asian country’s purchases of Russian oil. In Indonesia, stocks rebounded Tuesday after the nation’s finance minister pledged to improve the government’s policies, a move seen as easing political tensions.

Nikkei +0.09% Hang Seng -0.29% CSI -0.74% Shanghai -0.50% Shenzen -1.87%

Eur$ 1.1692 CNH 7.1411 CNY 7.1431 JPY 147.88 GBP 1.3523 CHF 0.8018 RUB 80.7135 TRY 41.1492 WTI$ 64.93 +1.44% Gold 3,495 +0.55% BTC 110,149 +1.18% ETH 4,384 +2.20%

S&P -0.12% Nasdaq -0.20% EuroStoxx -0.09% FTSE -0.07% Dax -0.13% SMI +0.04%

Macro :
- French Far Right Builds Momentum as Premier Heads Toward Exit
- Deutsche Bank, Siemens Energy, Argenx to Join Euro Stoxx 50
- Norway Decides on Three Areas for Offshore Fish Farming

Keep an eye on :
- ABVX FP ; added to Stoxx Europe 600
- ACKB BB : Ackermans & Van Haaren Commits $20M to 2nd Fund of Venturi
- BABA US : 9988 HK : -1.68%
- ARGX BB : added to EuroStoxx 50
- BAS GY : deleted from EuroStoxx 50
- BBVA SM : added to EuroStoxx 50
- BWLPG NO : BW LPG’s Unit Sells Lord for About $61M Net Cash on 100% Basis
- BYD 1211 HK +0.55%
- CATL : 3750 HK : -2.10%
- CNA LN : Centrica Reports Life Extensions for Two Nuclear Power Stations
- CRI FP : Chargeurs Invest Considering Possible Sale of Novacel
- COLOB DC : Coloplast Sees Organic Revenue Growth of 7-8% Until FY 2029/30
- DBK GY : added to EuroStoxx 50
- DBK GY : Deutsche Bank to Rejoin Euro Stoxx 50 After Seven-Year Absence
- DKG GY : Deutsche Konsum REIT-AG Completes Restructuring Concept
- DEZ GY : Deutz Buys Sobek Group; No Deal Terms
- DKSH SW : DKSH to Buy Distributor Aston Chemicals With Sales of ~CHF20m
- DOKA SW : Dormakaba FY Net Sales Meet Estimates
- FRA GY : added to Stoxx Europe 600
- GX1 GY : added to Stoxx Europe 600
- GIMB BB : Gimv Net Asset Value per Share €52.4 at End June 2025
- GRE SM : Grenergy to Sell Phase 4 of Oasis de Atacama for $475m
- INPST NA : InPost 2Q Revenue Beats Estimates
- ITH LN : Ithaca Energy Holders Delek, Eni UK Offer About 33m Shares
- LLBN SW : Liechtensteinische LB to Exit UAE, Refer Clients to Rothschild
- MAR PL : Martifer Board Calls Visabeira Takeover Offer ‘Adequate’
- MB IM : Monte Paschi Raises Mediobanca Bid by Adding About €750M Cash
- MBG GY : deleted from EuroStoxx 50
- NESN SW : Nestle Names Philipp Navratil CEO After Dismissal of Freixe
- NESN SW : Nestle Dismisses CEO Freixe Over Relationship With Subordinate
- NIO US : 9866 HK : -1.70%
- NOKIA NO : deleted from EuroStoxx 50
- NDX1 GY : added to Stoxx Europe 600
- NOVN SW : FT : How Novartis got ahead on ‘incredible’ cancer breakthrough
- ORSTED DC : Orsted to Announce Rightsizing Before Year-End: Berlingske
- ONT LN : Oxford Nanopore 1H Revenue Beats Estimates
- PGHN SW : Partners Group 1H Profit Meets Estimates
- PHARM NA : Pharming Group Names Kenneth Lynard as CFO
- PRADA : 1913 HK : +1.20%
- RHM GY : added to EuroStoxx 50
- RI FP : deleted from EuroStoxx 50
- ENR GY : added to EuroStoxx 50
- GLE FP : ASIC Fines SocGen Securities A$3.88m Over Gatekeeper Failures
- S92 Gy : SMA adjusts sales and earnings guidance for the 2025 fiscal year and broadens scope of restructuring measures --> -18%
- STLA IM : Italy Aug. New Car Sales Fall 2.68% Y/y
- STLA IM ; deleted from EuroStoxx 50
- TSLA US : Tesla Books About 600 Orders in India Debut, Well Short of Goals
- Thames Water Thames Water’s Senior Creditors Mull Deal Sweetener: Sky
- TXGN SW : Swiss Marketplace Group Plans to List on SIX Swiss Exchange
- UBSG SW : Swiss Marketplace Group to IPO in Switzerland, Terms Show
- UPR ID : Uniphar 1H Revenue Beats Estimates
- VLRA FP : deleted from Stoxx Europe 600
- WHA NA : Wereldhave Says Dennis de Vreede to Step Down as CFO at 2026 AGM
- WIZZ LN : Wizz Air Aug. Passenger Traffic +11.4%
- ZEG LN : added to Stoxx Europe 600

FT : European banks push for lower cross-border hurdles

European banks push for lower cross-border hurdles
Call for end to ‘fragmented approach that is trapping capital and liquidity’ and putting lenders at disadvantage to US rivals

European banks are intensifying their calls for regulators to remove obstacles to cross-border banking services in the EU, claiming they are increasingly being put at a disadvantage against bigger US rivals.

In a report released on Tuesday, many of the top lenders in Europe criticise regulators for trapping hundreds of billions of euros in capital and liquidity behind national barriers, being too slow to approve mergers and failing to harmonise EU rules.

“In theory, you can collect deposits in Germany and make loans in Italy — just like you can get deposits in Kansas and lend them in California — but in reality you can’t because of national barriers,” said a senior executive at a large European bank.

The Association for Financial Markets in Europe, which published the report, called on the European Central Bank and national authorities to remove many of the hurdles to cross-border banking services, saying this was necessary to boost EU financial stability and growth prospects.

“For banks operating within the banking union on a cross-border basis, their profitability is severely hindered by the fragmented approach that is trapping capital and liquidity,” said Adam Farkas, head of the AFME. “Changing this would be transformational in terms of economic efficiency.”

The renewed lobbying effort comes as US and UK regulators adopt a more bank-friendly approach in response to political pressure to reduce the burden of regulation on the sector — raising fears of European lenders being left behind. 

EU banks have long been frustrated by a political impasse over creating a pan-European deposit insurance scheme. But Farkas said that even without this “there is still plenty that can be done to significantly improve how the banking union functions”.

The EU has been slower to cut red tape despite the shake-up recommended in last year’s landmark report by Mario Draghi, the former Italian premier and head of the European Central Bank. 

Draghi called for the EU to set up a 28th regime for the largest banks in the bloc that supersedes the rules of its 27 member countries. Brussels is consulting on creating such a regime — but one aimed at innovative start-ups, not big banks.

The AFME said it had identified “a number of critical implementation gaps” in the Eurozone’s banking union, citing ECB estimates that €225bn of capital and €250bn of liquidity have been trapped by national restrictions that impede cross-border activities.


Cross-border mergers between EU banks have “consistently declined over the last two decades, limiting consolidation and efficiency gains”, the report said, blaming “cumbersome authorisation processes involving multiple authorities”. 

Banking mergers and acquisitions in the EU took 285 days to complete on average over the past three years, 100 days more than a decade ago, the AFME said. That compares with 219 days for the average US banking deal, 173 days in the UK and 85 in Switzerland.

There have been signs of a pick-up in cross-border EU banking deals, such as the €6.4bn bid by France’s BPCE for Portugal’s Novo Banco in June. But such moves often stir up political opposition, as with the investment by Italy’s UniCredit in Germany’s Commerzbank.

Last year the number of mergers between Eurozone banks rose slightly, but it remained at one of the lowest levels for the past three decades, according to Dealogic. 

Once Eurozone banks grew beyond €451bn of total assets, the AFME estimated they suffered from negative synergies, as their administrative costs started to rise in relation to total assets. “The limits to economies of scale and the lack of a completed banking union means that EU banks cannot match the size and profitability of their US counterparts,” it said.

The lobby group said the EU had more onerous requirements than the US or UK for banks to raise an extra layer of debt that regulators can wipe out or convert to equity in a crisis — known as MREL, or minimum requirement for own funds and eligible liabilities.

It also called for waivers to free up trapped capital and liquidity and a simplification of national macroprudential capital buffers in different EU countries. “If you can’t move funds across borders, what is the point of expanding cross-border?” said the senior executive at a large European bank.

FT : Poland’s late entry into offshore wind draws foreign investors to Baltic Se

Poland’s late entry into offshore wind draws foreign investors to Baltic Sea
Donald Tusk’s government in drive to move away from coal dependence and bolster energy security

Some 20km off Poland’s Baltic coast, five wind turbines rise high above the waves, with their red-tipped blades cutting through the sea air.

They look like an oddity, but Poland’s first offshore turbines will be joined by dozens more over the next year as an expansion of wind farms reshapes the country’s energy landscape and attracts foreign investors.

Poland has been a relative laggard in the transition to clean energy and depends on coal — considered the dirtiest fossil fuel — for just over half of its electricity generation compared with 12 per cent for the EU in 2023.


Warsaw previously prioritised the interests of its powerful coal industry over EU climate targets, despite strong winds and shallow waters along the Baltic coast making Poland an attractive location for offshore wind projects.

But the offshore sector has been gaining support from the government, which has also been motivated by the need for energy security after the country stopped importing Russian oil and gas following Moscow’s full-scale invasion of Ukraine in 2022.

“It wasn’t a question of wanting to stay away from Poland, but for a very long time the regulatory framework just wasn’t in place here,” said Toby Edmonds, executive vice-president for offshore projects at Northland Power.

The Canadian energy group is partnering Poland’s state-controlled oil and gas group Orlen in the €4.7bn Baltic Power project — the most advanced of three flagship ventures pairing domestic companies with foreign partners who provide technology expertise.

Speaking last month during a tour of the first cluster of installed Baltic Power turbines, Prime Minister Donald Tusk hailed the project as a “gigantic investment” that would bring Poland “closer to full energy security and independence”.

Orlen holds 51 per cent of the venture — with Northland owning the rest — which aims to activate its 76 planned turbines before the end of 2026.

Ørsted, the world’s largest offshore wind developer, is constructing a slightly larger wind farm with state-owned utility PGE nearby, while Polish company Polenergia is developing an offshore project with Norway’s Equinor.

The ventures are set to provide almost 6GW gigawatts of capacity by 2030 and, as more projects come on board, Tusk’s government aims for 18GW by 2040, equivalent to roughly half of Europe’s existing capacity.

Poland’s wind energy association has estimated that the country could eventually have 33GW and cover more than 50 per cent of the country’s existing electricity demand through offshore wind energy.

“The previous government was generally thinking about coal and not renewable resources,” said energy minister Miłosz Motyka, adding that the Tusk administration had created better conditions for foreign companies to support Poland’s energy transition.

About 15km down the coast, Ørsted and PGE’s Baltica 2 venture is progressing despite financial problems at the Danish company, which announced a $9.4bn rights issue last month. US President Donald Trump’s hostility to offshore wind has also dented confidence in the sector among some investors.

In late July Polish contractors began drilling cable trenches behind a tourist beach to allow offshore turbines to supply power via lines running beneath the seabed, and construction at sea is due to start next year. Ørsted said the project “will not be impacted by the rights issue”.


As a late entrant — Denmark inaugurated the world’s first offshore wind farm in 1991 — Poland is getting more modern and efficient technology. Baltic Power’s turbines can each generate 15MW, compared with 4MW for units installed at Northland’s Dutch wind farm a decade ago.

“We’re now using the largest and latest model of turbines available outside of China,” Edmonds said, while sailing around Poland’s new offshore turbines. “Poland is getting a real transfer of knowledge and experience in an industry that has been getting better and better.”

Other foreign companies are also moving in. Germany’s RWE is pursuing its own Polish offshore project, while Siemens Gamesa agreed in July to supply 26 turbines for a project by Ocean Winds, a joint venture between Portugal’s EDP Renewables and France’s Engie. 


The offshore wind drive is also spurring activity in the wider supply chain, with foreign companies heeding a call by Tusk for the “re-Polonisation” of the economy and support for domestic players.

Poland “can become an offshore hub for the Baltic region and the rest of Europe,” said Nils de Baar, from Danish manufacturer Vestas, which opened a Polish factory that produces nacelles for offshore turbines this year, and is considering adding a facility for offshore blades.

Rebecca Cooke, who oversees drilling for Ørsted, said local subcontractors were adapting quickly despite their lack of offshore experience, vindicating its decision not to take the “easy option” of bringing in international contractors.

“If your background is land-to-land drilling and suddenly you’ve got also to deal with the sea, it’s a big challenge,” she said.

Poland’s Baltic coast is also set to host the country’s first nuclear power plant, under a 2022 deal struck by the previous government with US companies Westinghouse and Bechtel. The plant is scheduled to become operational in 2036, and will use seawater to cool down its reactors.

“Poland’s energy transition, and its goals for decarbonisation and energy security, have created favourable conditions,” said Dan Lipman, a senior Westinghouse executive handling nuclear projects.

>>> Europe : Brokers Upgrades & Downgrades - 2nd of September 2025

>>> Up
* Aker Solutions Raised to Buy at SEB Equities; PT 37 kroner
* Continental Raised to Neutral at Oddo BHF; PT 79 euros
* CTS Eventim Raised to Buy at Rothschild & Co Redburn
* Huber+Suhner PT Raised to 140 Swiss francs at Berenberg
* ING Raised to Overweight at Morgan Stanley; PT 25.40 euros
* Kering Raised to Buy at HSBC; PT 300 euros
* LVMH Raised to Buy at HSBC; PT 625 euros
* NIO Inc. ADRs Raised to Buy at Huatai Research; PT $7.56
* Schneider Electric Raised to Buy at Deutsche Bank; PT 240 euros
* Technip Energies Raised to Overweight at JPMorgan; PT 47 euros

>>> Down
* Aker Solutions Cut to Underweight at JPMorgan; PT 30 kroner
* B&M European Cut to Hold at Shore Capital; PT 250 pence
* BAT Cut to Underperform at RBC; PT 3,400 pence
* Borr Drilling Cut to Sell at SEB Equities; PT $2.40
* Commerzbank Cut to Equal-Weight at Morgan Stanley; PT 36 euros
* Eni Cut to Sector Perform at RBC
* EnQuest Cut to Neutral at JPMorgan; PT 14 pence
* Equinor Cut to Hold at SEB Equities; PT 266 kroner
* Hermes Cut to Hold at HSBC; PT 2,350 euros
* Legal & General Cut to Reduce at AlphaValue/Baader
* Noble Corp. Cut to Hold at SEB Equities; PT $30
* Seadrill Cut to Hold at SEB Equities; PT $33
* Siemens Cut to Market Perform at Bernstein
* Var Energi Cut to Neutral at JPMorgan; PT 33 kroner
* Var Energi Cut to Sell at SEB Equities; PT 32 kroner

>>> Initiation
* Harbour Energy Rated New Overweight at JPMorgan; PT 298 pence
* IPC Rated New Sector Perform at RBC; PT 177.90 kronor
* Shelly Group Rated New Buy at Berenberg; PT 70 euros
* Siemens ADRs Rated New Outperform at BNPP Exane; PT $158.50

>>> Call
* BAT New Category Business Expectations Overblown, RBC Downgrades
* Continental Transformation Welcome, Oddo BHF Upgrades to Neutral
* MS Stays Positive on European Banks; Names ING Top Pick

>>> Novartis : got ahead on ‘incredible’ cancer breakthrough, New methode of Rad

How Novartis got ahead on ‘incredible’ cancer breakthrough, The Swiss pharma group has become a pioneer in a new type of targeted radiotherapy

--> FT Article

Read Across Nanobiotix : From the article I shared, Novartis is pioneering radioligand therapies — targeted radioactive drugs that deliver radiation inside cancer cells instead of externally. While the mechanisms differ (nanoparticles vs. radioligands), both aim to make radiation more precise and effective while sparing healthy tissue
.

Here are some groups “similar” to Nanobiotix in this space:

  • Novartis – Leader in radioligand therapies with Lutathera (GI cancers) and Pluvicto (prostate cancer).
  • Lilly, AstraZeneca, Sanofi – Recently acquired start-ups in radioligand therapy, trying to catch up with Novartis.
  • Smaller biotechs – Many start-ups are emerging in Europe and the US, focusing on radioligand chemistry and isotope supply (e.g., actinium, lutetium).
  • Other nanoparticle/radiotherapy enhancers – Companies like Blue Earth Therapeutics or Fusion Pharmaceuticals are also advancing radiopharmaceuticals.

Difference vs. Nanobiotix:

  • Nanobiotix uses nanoparticles that are injected directly into tumors, boosting standard radiotherapy locally.
  • Novartis and peers use radioligands, systemic drugs carrying radioactive isotopes directly to cancer cells.


--> Both represent the broader “next-gen radiation oncology” trend: making radiotherapy highly targeted, effective, and safer.

>>> Stoxx 600 Pre-Market Indications

  • CTS Eventim (EVD TH) +1.7%
    • CTS Eventim Raised to Buy at Rothschild & Co Redburn
  • Rolls-Royce (RRU TH) +1.4%
  • RENK Group (R3NK TH) +1.3%
  • Fresnillo (FNL TH) +1.2%
  • BAE (BSP TH) +1.1%
  • SSE (SCT TH) +1.1%
  • Siemens (SIE TH) -1%
  • K+S (SDF TH) -1.1%
  • Vodafone (VODI TH) -1.3%
  • Commerzbank (CBK TH) -1.5%
    • Commerzbank Cut to Equal-Weight at Morgan Stanley; PT 36 euros
  • Fresenius Medical Care (FME TH) -4%
    • Stock cut to sell at UBS: APA

FT : How Novartis got ahead on ‘incredible’ cancer breakthrough

How Novartis got ahead on ‘incredible’ cancer breakthrough
The Swiss pharma group has become a pioneer in a new type of targeted radiotherapy

Doctors and drug developers who first saw scans from a new targeted form of radiotherapy were amazed. For some patients in the clinical trial, Novartis’ radioligand therapy had — in just six months — completely cleared cancer that had spread around their bodies. 

Michael Morris, an oncologist at New York’s Memorial Sloan Kettering Cancer Center, said it was “incredible” and “never seen before”. In the first trial he worked on, the scans were clear of cancer for about 9 per cent of the participants. In the second trial, it was 21 per cent.

“We can’t cure metastatic disease, but in most cases, treatment [also] really doesn’t impact how the disease appears on a scan,” he said. “We have something very different here.” 

Novartis has been involved in developing cancer drugs for decades but it became a pioneer in radioligand therapy after acquiring the technology in two deals. In 2017, it bought Advanced Accelerator Applications, which was founded by scientists from Cern, the European organisation for nuclear research. The following year it announced a $2.1bn deal for US biotech Endocyte.

Radiotherapy, which is used to treat about half of all cancer patients, is usually delivered from outside the body to kill cancerous cells, but healthy tissues are damaged in the process. Radioligand therapy is given intravenously as an infusion containing radioactive isotopes attached to a ligand. These are molecules that bind to receptors on cancer cells and allow a much more targeted dose of radiation to be delivered.


Lutathera, a radioligand therapy that Novartis acquired in the AAA deal, was first approved in 2017 as a treatment for some gastrointestinal cancers. The Swiss drugmaker received its first US approval for its prostate cancer drug Pluvicto in 2022, and has since expanded into treating patients with earlier stage disease.  

In 2021, chief executive Vas Narasimhan estimated the market could be worth about $10bn. Earlier this year, he told the Financial Times that if the therapy lives up to its promise, it could be a $25bn to $30bn market.

“We think there’s a whole set of targets that are unique that we think could only be targeted with radioligand therapy,” he said. 

But the promising therapy comes with major logistical challenges. The radioisotopes must be made in a nuclear reactor, then the radioactive drug has to be safely manufactured, transported and delivered to patients.

Novartis has spent years working to overcome these hurdles. Yet other companies see the opportunities in the therapy and are racing to catch up. In 2023 and 2024, US drugmaker Lilly, UK pharmaceutical company AstraZeneca, and French company Sanofi all bought start-ups developing radioligand therapies. 

Philipp Holzer, executive director of radioligand therapy chemistry at Novartis, said companies were now popping up like “mushrooms”, and so were the suppliers of the isotopes. “There’s a market being created now,” he said. 

Novartis has seven potential radioligand therapies in 15 clinical trials, with more in pre-clinical testing. It is exploring different isotopes, and therapies in combination, and expanding into other cancers including lung, breast, pancreatic and colon. 

On the Novartis campus in Basel, the main radioligand lab had to be reinforced so 40 tonnes of lead could be installed to prevent radiation seeping into the rest of the building. All the scientists that work in it wear two dosimeters, including a mini one on their finger, to measure their radioactive exposure. 

They are trying to find ways to make the therapy work for a wider range of cancers. This includes finding drugs that will bind to genetic mutations that are very common in tumours, but not elsewhere, to avoid irradiating healthy tissues. 

“For every cancer type, it’ll be a unique solution,” said Narasimhan. “Very little in the human body is just like plug and play. You have to solve the challenges.” 

Once new radioligand therapies are approved, the challenge is making them at scale. Novartis has purchased much of the supply of the radioactive isotope lutetium, so other companies are looking at alternatives such as actinium. Much of this isotope is sourced from Russia, so they are also looking for supplies elsewhere. 

Once the radioactive material has been made, the company has only three to five days to create the drug and deliver it to the patient before the decay process starts to make it less effective. Each vial is made for an individual patient, tailored to their planned treatment date. Novartis has previously struggled to keep up with demand for Pluvicto, but 99.5 per cent of injections are now administered on the planned day, it said. 

Steffen Lang, president of operations at Novartis, said the isotope must be bound to the molecule that targets the cancer in the right concentration, and then checked for quality. “It’s not only quick, it needs to be right the first time.”

Then, a team works 24/7 to track GPS-tagged vials. Novartis is starting to use generative AI to help it anticipate logistical problems and select routes to hospitals. To get closer to hospitals and patients, it is expanding manufacturing plants from its current six in the US and Europe, adding more in China, Japan, and the US. 

“Air traffic problems, severe weather conditions, we’ve seen it all,” Lang said.

There are further challenges when the radioligand therapy is given to patients: unlike with external radiotherapy, the radioactive material remains in the body, continuing to work after the dose is delivered. In some countries, including Germany and Japan, patients must remain isolated overnight in a radiation-proof hospital room. At the moment, there are few companies that can build this type of specialist facility. 

Clinicians also need to be trained in how to care for these patients. In some countries, patients’ urine must be collected and stored for 70 days until the radioactive material in it has decayed. 

Carla Baenziger, portfolio manager at asset manager Vontobel — a Novartis shareholder — said that despite the hurdles, targeted therapies like this are the “future for cancer treatment”. 

She said this year is important for Novartis, partly because it received expanded approval for Pluvicto, doubling the potential patient population. Yet she believes it will still take 10 to 15 years to build the ecosystem required for radioligand therapy to be mainstream. 

Novartis has surmounted many of the problems, especially scaling production, creating a “high barrier to entry for other competitors”, she said.

Narasimhan agrees Novartis has an advantage. “When you enter this field by acquiring a biotech, which some of our peers have done, it gives you a start. But it’s a lot of work and investment to figure this out,” he said. “We have a five year head start.” 

>>> TradeGate Pre-Market Indications

DAX:
  • Siemens (SIE TH) -0.8%
    • Siemens Cut to Market Perform at Bernstein
  • Commerzbank (CBK TH) -1.6%
    • Commerzbank Cut to Equal-Weight at Morgan Stanley; PT 36 euros
  • Fresenius Medical Care (FME TH) -3.5%
    • Stock cut to sell at UBS: APA
MDAX:
  • CTS Eventim (EVD TH) +1.6%
    • CTS Eventim Raised to Buy at Rothschild & Co Redburn
  • K+S (SDF TH) -1%
SDAX:
  • Deutz (DEZ TH) +3.8%
    • Deutz Buys Sobek Group; No Deal Terms
  • Kontron (KTN TH) +1.3%
  • SMA Solar (S92 TH) -16%
    • EQS-Adhoc: SMA adjusts sales and earnings guidance for the 2025