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Sanofi's first quarter earnings edges past estimates ahead of CEO change

Published by Global Banking & Finance Review

Posted on April 23, 2026

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· Last updated: April 23, 2026

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Sanofi's first quarter earnings edges past estimates ahead of CEO change
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LONDON, April 23 (Reuters) - French drugmaker Sanofi on Thursday reported first-quarter profit and revenue above market expectations, boosted by resilient demand for its blockbuster asthma and eczema

Sanofi's solid earnings set stage for new CEO after drug trial 'setbacks'

Sanofi's First Quarter Performance and Leadership Transition

By Bhanvi Satija and Mariam Sunny

LONDON, April 23 (Reuters) - Sanofi beat first-quarter estimates on Thursday as demand for its asthma and eczema drug Dupixent remained high, though analysts looked to incoming CEO Belén Garijo to ignite growth beyond the blockbuster drug.

Shares of the Paris-based firm rose nearly 3% in morning trading. Belén Garijo, a former Sanofi executive who later led Germany's Merck, is set to take charge by the end of the month.

Leadership Changes and Strategic Challenges

Sanofi's results come after the sudden ouster of former CEO Paul Hudson in February after he failed to revive the company's drug pipeline and was hit by a string of disappointing trial updates for treatments hoped to reduce reliance on Dupixent.

Garijo will need to address investor concerns about finding a successor to Dupixent that makes up around a third of revenues and faces key patent expiries in the earlier 2030s.

Investor Expectations for New CEO

"The arrival of Belén will be an occasion ... to revisit if we want to expand into potentially other therapeutic areas," CFO François‑Xavier Roger said on a call with journalists. "It is true that last year we had a certain number of setbacks."

Dupixent Performance and Outlook

Growth Projections for Dupixent

DUPIXENT GROWTH OUTLOOK BRIGHTENS

Sanofi now expects Dupixent to generate about $30 billion in annual sales by 2030, Roger said, above earlier forecasts of some $25 billion sales that year. Analysts expect sales of 23.77 billion euros or around $27 billion in 2030 for Dupixent.

Market Penetration and Competition

Roger said penetration of biologic treatments like Dupixent remains low across its main markets leaving room for growth even as rival drugs enter. He said Sanofi remained "very positive" about Dupixent's outlook.

First-quarter sales of the drug, developed with U.S. partner Regeneron, rose around 31% at constant exchange rates to 4.17 billion euros ($4.88 billion), topping expectations of 3.89 billion euros.

"Although Dupixent beating is a positive, we note the market would have liked less reliance on Dupixent, and greater contribution from assets that provide more diversification and longer patent life," Barclays analysts said in a note.

Overall Sales and Vaccine Segment Performance

Quarterly Financial Highlights

OVERALL SALES BEAT, VACCINES UNDER PRESSURE

Sanofi reaffirmed its expectations of a high-single-digit percentage sales growth at constant currency rates for the year, with business operating income expected to grow slightly faster.

Sanofi reported total sales of 10.51 billion euros ($12.29 billion) for the quarter ended March 31, 2026. Analysts on average expected sales of 10.22 billion euros, according to data compiled by Vara Research.

Quarterly business operating income was 2.97 billion euros ($3.47 billion), beating estimates of 2.85 billion euros.

Vaccine Unit Performance and Outlook

The vaccines unit posted sales of 1.29 billion euros ($1.51 billion), up around 2% at constant exchange rates and in line with expectations, as demand for combined polio and pertussis vaccines partly offset weaker sales of flu and RSV shots.

However, CFO Roger said vaccine sales would have declined by about 2% in the quarter without the contribution from Dynavax's vaccines, which Sanofi acquired in December for $2.2 billion.

Sanofi expects vaccine sales to decline slightly this year, partly due to changes in U.S. vaccine policy under Health Secretary Robert F. Kennedy Jr.

Additional Information

($1 = 0.8543 euros)

(Reporting by Bhanvi Satija in London and Mariam Sunny in Bengaluru; Editing by Nivedita Bhattacharjee)

Key Takeaways

  • Sanofi posted Q1 sales of €10.51 billion versus €10.22 billion expected, with business operating income at €2.97 billion beating €2.85 billion estimates
  • Dupixent sales surged ~31% at constant currency to €4.17 billion, outperforming analyst forecasts of €3.89 billion
  • New CEO Belén Garijo will assume the role after the April 29, 2026 AGM, succeeding Paul Hudson who stepped down February 17

Frequently Asked Questions

How did Sanofi perform in the first quarter of 2026?
Sanofi exceeded analyst expectations with total sales of 10.51 billion euros and business operating income of 2.97 billion euros in Q1 2026.
What drug contributed most to Sanofi's strong quarterly results?
The asthma and eczema drug Dupixent, developed with Regeneron, saw sales rise 30.8% to 4.17 billion euros, significantly boosting the quarter's results.
Who will be the new CEO of Sanofi and when will they take office?
Belén Garijo is set to become Sanofi's new CEO at the end of April 2026, succeeding Paul Hudson.
What growth outlook did Sanofi provide for 2026?
Sanofi reaffirmed its forecast for high single-digit percentage sales growth at constant currency rates, with operating income expected to grow slightly faster.

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