Amgen Stock Sinks 10% After Novartis LP(a) Drug Fails Phase 3
Why is Amgen stock down today?
Amgen (AMGN) stock fell about 10% to around $393 on Tuesday after Novartis's Lp(a)-lowering drug pelacarsen failed Phase 3, prompting a BMO Capital downgrade.
Key numbers
| AMGN 1-day decline | ~10%closed near $393; steepest single-day drop since October 2000 |
|---|---|
| Lp(a)HORIZON trial size | 8,323 patientspelacarsen missed primary cardiovascular endpoint despite Lp(a) reduction [3] |
| Pelacarsen Lp(a) reduction achieved | up to 80%vs placebo, but no reduction in CV death, MI, or stroke [3] |
| BMO price target (AMGN) | $450rating cut from Outperform to Market Perform on Sept 8 [2] |
| LLY 1-day decline | -2.03%class-wide Lp(a) contagion sell-off [4][5] |
| Ionis 1-day decline (Sept 4) | -13.1%co-developer of pelacarsen with Novartis (per [3]) |
What happened
Amgen (AMGN) stock fell about 10% to around $393 on Tuesday after Novartis's Lp(a)-lowering drug pelacarsen failed Phase 3, prompting a BMO Capital downgrade. Pelacarsen enrolled 8,323 patients and cut Lp(a) by up to 80% — yet still failed to reduce heart attacks, strokes, or cardiovascular death. That raised a troubling question: if lowering Lp(a) does not prevent heart attacks, rival drugs built on the same idea may face the same fate. BMO analyst Evan Seigerman cut Amgen's rating from Outperform to Market Perform, keeping a $450 price target, citing the clouded outlook for Amgen's olpasiran trial, due to report results in 2028.
Why it matters
Amgen's plunge matters because it is not really about one bad drug — it is a verdict on whether the entire Lp(a)-lowering approach works as a way to prevent heart disease. Millions of people have high Lp(a) levels and no approved drug to treat them, so this drug class represents a massive untapped market. If the class is genuinely broken, years of late-stage trial work and billions in investment across multiple companies could be lost. Eli Lilly and Ionis are now in the same boat.
Who this affects
- MarketbearishHigh impact
- Pharma stocks with Lp(a) programs sold off broadly.
- CompanybearishHigh impact
- Amgen's olpasiran pipeline now faces deep investor skepticism.
- CompetitorsbearishMedium impact
- Eli Lilly fell 2%; Ionis fell 13% on class fear.
- IndustrybearishHigh impact
- Lp(a) drug class must now prove it prevents heart disease.
Amgen vs Eli Lilly, Ionis Pharmaceuticals, Novartis
| AmgenAMGN:NASDAQ | ~$205B | -10% | ~+21% | 16.3x |
|---|---|---|---|---|
| Eli LillyLLY:NYSE | ~$994B | -2% | ~+38% | 27.5x |
| Ionis PharmaceuticalsIONS:NASDAQ | ~$9.1B | -13.1% | — | — |
| NovartisNVS:NYSE | — | -3% | — | — |
As of 2026-09-08
How we got here
Novartis announces Lp(a)HORIZON Phase 3 failure; Ionis falls 13%
Novartis drops 3% on first trading day after announcement
BMO Capital cuts Amgen to Market Perform; $450 price target held
Amgen sinks ~10%; Eli Lilly falls 2% on Lp(a) class contagion
What to watch
- Amgen OCEAN(a)-Outcomes trial topline readout expected2028-03
- Eli Lilly ACCLAIM-Lp(a) Phase 3 primary completion2029
- Full Lp(a)HORIZON data publication and mechanistic analysisQ4 2026
Educational content only. Not investment advice.
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