- Joined
- Jan 17, 2010
- Messages
- 12,581
- Reaction score
- 15,518
Elsa Ohlen
A multitude of factors are coming together to bring a big burst in biotech M&A.
The high-profile bidding war between Pfizer and Novo Nordisk over Metsera and its leading weight loss drug candidate shows just how competitive some pockets of the sector have become, as Big Pharma frantically works to fill the looming revenue hole.
Some of the best-selling drugs in the world are facing a loss of exclusivity in key jurisdictions in what the sector calls “the patent cliff.” By 2032, losses of exclusivity for best-selling brands are worth at least $173.9 billion in annual sales, according to CNBC calculations. Estimates vary on the total amount of revenue at risk when factoring in smaller brands, with some analysts putting the number between $200 billion and $350 billion.
That poses a real threat to their makers’ top lines — unless they manage to replenish their pipelines with new, revenue-bearing innovations.
The need for pharma to top up their pipelines coincides with the broader biotech sector coming back to life after years of depressed valuations following a boom in healthcare investing during the Covid-19 pandemic.
M&A in the sector picked up dramatically in September and October 2025, following a terrible start to the year. The lifting of overhangs from Trump’s war on high drug prices for Americans and threats of triple-digit pharma sector tariffs, as well as the beginning of an interest-rate cutting cycle, has further encouraged dealmaking.
Now, companies are facing a situation where they need to fill their pipelines, while also navigating a competitive environment for the best assets.
“Biotech, being the innovation kind of engine of healthcare, is where pharmaceutical companies have come historically to build their biopharma businesses,” Linden Thomson, senior portfolio manager at Candriam, told CNBC.
Pharmaceutical firms, many of which started as chemical companies, typically built their businesses on simpler, small molecule drugs, while biotechs use living organisms to make medicines like antibodies and mRNA. Over time, the distinction between the two has blurred as pharma invested heavily in biotech and many of the drugs on the market today were instead discovered by biotech companies or involved with biotech manufacturing, Thomson said.
The looming patent cliff, which includes the loss of exclusivity on Bristol Myers Squibb’s Eliquis, Merck’s Keytruda, and Novo Nordisk’s Ozempic, is a driving force behind M&A and a key part of many large-cap pharma companies’ business strategy.
According to analysis by healthcare market researcher and consultant Joanna Sadowska, about half of the blockbuster drugs approved between 2014 and 2023 were bought, as opposed to being developed internally. The two most successful drugmakers in terms of the number of blockbusters approved over those years were Eli Lilly and AstraZeneca, which acquired eight and five medicines out of a total of 13, respectively.
European heavyweights GSK and Novartis are among those clear about the need to add to their pipelines through deals. Both are looking for what they call “bolt-on deals” that fit in with their key therapeutic and technology areas.
During an investor event in London in November, Novartis CEO Vasant Narasimhan emphasized the company’s strong cash generation “that really allows us to invest in the business.”
While Novartis doesn’t put a size on these bolt-on deals, having done deals of up to $12 billion, GSK is more specific.
Chris Sheldon, global head of business development at GSK, calls it the “sweet spot”: going after validated biology, often in mid-stage development in the $1 billion to $2 billion range, where the outcome of a drug candidate isn’t yet obvious. Many acquisitions of late-stage assets end up becoming a maths problem, Sheldon told CNBC, particularly if it’s a listed company that has reached fair value.
“BD [Business development] I always describe as a contact sport. If an asset is good enough, there’s multiple suitors,” he added.
Deals can range from partnerships and licensing and royalties agreements to clear-cut buyouts.
“We would do licensing every day of the week versus M&A if we could, because you can manage risk and reward the partner as value is unlocked and risk is discharged,” Sheldon said.
However, an acquisition with a big price tag paid up front may at times be the only option, and it can have some attractive benefits, such as taking total control of the development plans and acquiring talent as well as the molecules. “The reality is actually the seller often dictates that, a lot of people don’t realize that,” Sheldon said.
- Some of the best-selling drugs in the world are facing a loss of exclusivity in key jurisdictions in the upcoming years in what the sector calls “the patent cliff.”
- The need for pharma to top up their pipelines coincides with the broader biotech sector coming back to life after years of depressed valuations.
- M&A in the sector picked up dramatically in September and October 2025 as overhangs lifted.
A multitude of factors are coming together to bring a big burst in biotech M&A.
The high-profile bidding war between Pfizer and Novo Nordisk over Metsera and its leading weight loss drug candidate shows just how competitive some pockets of the sector have become, as Big Pharma frantically works to fill the looming revenue hole.
Some of the best-selling drugs in the world are facing a loss of exclusivity in key jurisdictions in what the sector calls “the patent cliff.” By 2032, losses of exclusivity for best-selling brands are worth at least $173.9 billion in annual sales, according to CNBC calculations. Estimates vary on the total amount of revenue at risk when factoring in smaller brands, with some analysts putting the number between $200 billion and $350 billion.
That poses a real threat to their makers’ top lines — unless they manage to replenish their pipelines with new, revenue-bearing innovations.
The need for pharma to top up their pipelines coincides with the broader biotech sector coming back to life after years of depressed valuations following a boom in healthcare investing during the Covid-19 pandemic.
M&A in the sector picked up dramatically in September and October 2025, following a terrible start to the year. The lifting of overhangs from Trump’s war on high drug prices for Americans and threats of triple-digit pharma sector tariffs, as well as the beginning of an interest-rate cutting cycle, has further encouraged dealmaking.
Now, companies are facing a situation where they need to fill their pipelines, while also navigating a competitive environment for the best assets.
Filling the revenue hole
The biopharma sector is unique in that companies face a loss of patent for lead assets every decade or so. That lifecycle of assets requires companies to constantly come up with new innovations – or buy those who do.“Biotech, being the innovation kind of engine of healthcare, is where pharmaceutical companies have come historically to build their biopharma businesses,” Linden Thomson, senior portfolio manager at Candriam, told CNBC.
Pharmaceutical firms, many of which started as chemical companies, typically built their businesses on simpler, small molecule drugs, while biotechs use living organisms to make medicines like antibodies and mRNA. Over time, the distinction between the two has blurred as pharma invested heavily in biotech and many of the drugs on the market today were instead discovered by biotech companies or involved with biotech manufacturing, Thomson said.
The looming patent cliff, which includes the loss of exclusivity on Bristol Myers Squibb’s Eliquis, Merck’s Keytruda, and Novo Nordisk’s Ozempic, is a driving force behind M&A and a key part of many large-cap pharma companies’ business strategy.
According to analysis by healthcare market researcher and consultant Joanna Sadowska, about half of the blockbuster drugs approved between 2014 and 2023 were bought, as opposed to being developed internally. The two most successful drugmakers in terms of the number of blockbusters approved over those years were Eli Lilly and AstraZeneca, which acquired eight and five medicines out of a total of 13, respectively.
European heavyweights GSK and Novartis are among those clear about the need to add to their pipelines through deals. Both are looking for what they call “bolt-on deals” that fit in with their key therapeutic and technology areas.
During an investor event in London in November, Novartis CEO Vasant Narasimhan emphasized the company’s strong cash generation “that really allows us to invest in the business.”
While Novartis doesn’t put a size on these bolt-on deals, having done deals of up to $12 billion, GSK is more specific.
Chris Sheldon, global head of business development at GSK, calls it the “sweet spot”: going after validated biology, often in mid-stage development in the $1 billion to $2 billion range, where the outcome of a drug candidate isn’t yet obvious. Many acquisitions of late-stage assets end up becoming a maths problem, Sheldon told CNBC, particularly if it’s a listed company that has reached fair value.
“BD [Business development] I always describe as a contact sport. If an asset is good enough, there’s multiple suitors,” he added.
Deals can range from partnerships and licensing and royalties agreements to clear-cut buyouts.
“We would do licensing every day of the week versus M&A if we could, because you can manage risk and reward the partner as value is unlocked and risk is discharged,” Sheldon said.
However, an acquisition with a big price tag paid up front may at times be the only option, and it can have some attractive benefits, such as taking total control of the development plans and acquiring talent as well as the molecules. “The reality is actually the seller often dictates that, a lot of people don’t realize that,” Sheldon said.