Transactions
The value of everything
Buoyed by the flurry of activity at the tail end of 2023, we entered 2024 with optimism that it would be a strong year for dealmaking in the pharma sector. However, despite some early promising signs, the year can probably be best classified as subdued. As December closed out, activity levels – particularly in terms of value – had not reach the highs that many had hoped or, indeed, expected.
Mirroring 2023, activity continued to be primarily fuelled by big pharma spurred on by the now well-rehearsed list of drivers, including patent cliffs, pricing pressures and an evolving regulatory environment, which present new challenges for innovators. Oncology, immunology, neurology and rare diseases remained key focus areas for these buyers and competition for in-demand assets stayed strong (noting that GLP-1 remains a key talking point in the sector but was not the subject of many M&A deals in 2024). Yet, beyond those sought after "chosen ones", buyer caution and valuation gaps often made processes harder and longer, a theme not unique to this sector.
The stand-out deal for the pharma sector in 2024 was Novo Holdings' $16.5 billion acquisition of CDMO, Catalent (with Novo Nordisk acquiring three of Catalent's fill-finish sites). With heavy demand for its blockbuster GLP-1 products, the deal represented a significant move by Novo to cement its leading position in this lucrative space.
Beyond Novo/Catalent, there was a notable absence of mega deals and a lack of biopharma transactions over the $5 billion mark. Vertex Pharmaceuticals’ acquisition of clinical stage immunotherapies-focused Alpine Immune Sciences fell just short at $4.9 billion. Meanwhile, with the exception of a small number of other deals (including Gilead's $4.3 billion acquisition of liver disease biopharma, CymaBay, and Eli Lilly's $3.2 billion acquisition of inflammatory bowel disease focused Morphic), the deal landscape was instead dominated by deals in the $1 billion to $2.5 billion range, a reflection of big biopharma's general current preference for small and mid-size targets with later stage clinical, de-risked assets with strong underlying data.
Venture capital has still not made a full recovery but it is positive to see investment levels increasing from 2023 (this was, however, in part driven by a higher number of larger deals). Meanwhile, the global IPO tale was mixed. Performance in Europe remains poor but the US saw continued upward momentum with US biopharma IPO numbers almost doubling compared to 2023 (albeit with a mix bag of post-float performance). Mirroring M&A themes, VC investor preference continues to be clinical stage assets with oncology, immunology, neurology and metabolic assets the therapeutic areas attracting the most interest, as well as new areas of growth, including digital health delivery and AI-enabled solutions across developed and emerging markets.
In Asia-Pacific, we saw an uptick in deals, in terms of both deal value and deal volume. With ageing populations, a growing middle-class and a renewed focus on healthcare systems following the Covid-19 pandemic, we expect continued investment in this area across the region. However, mega deals in the region remain rare, with both strategics and private capital players focusing on more targeted transactions, such as biotech investments, strategic collaborations and licensing deals, and niche healthtech applications. Of course, the region comprises a number of different sub-regions and markets, from Japan and China through to Southeast Asia and Australia, each of which has its own story to tell.
The pharmaceutical sector remains a top priority for merger control authorities around the world, with many seeking to expand their powers to intervene in so-called "killer-acquisitions" ie, acquisitions of smaller companies aimed at preventing a competing product from reaching the market or eliminating a nascent competitor (see our CRT killer acquisitions article here for more information). However, at the same time there is growing political pressure in many jurisdictions (including the US and the UK) to pursue a pro-growth, pro-innovation agenda and encourage investment in key sectors including pharma. It remains to be seen how these competing concerns will impact pharma M&A in the coming months. Alongside merger control, foreign direct investment (FDI) regulation continues to be an important consideration for cross-border pharma M&A with regimes expanding and many imposing mandatory notification obligations in the sector. Ultimately, this means that merger control and FDI regimes are now a critical consideration on virtually every pharma M&A deal but one that can usually be navigated with early engagement and the right preparation. For more on managing the regulatory burden on transactions see our piece "Regulatory risk, some give some take".
As we look ahead to 2025, biopharma innovators are expected to continue to focus on 2024's popular therapeutic areas and deploy their cash to achieve their strategic aims of top line growth and pipeline replenishment. It will be interesting to see whether appetite might improve for earlier stage assets – particularly those offering differentiated potential which could reward the companies willing to gamble on a high risk, high reward approach. Meanwhile, the announcement of J&J's $14.6 billion acquisition of CNS-focused Intra Cellular Therapies in the opening days of 2025 begs the question as to whether mega deals are to make their return (particularly with speculation rife as to whether we will see a less interventionist Federal Trade Commission under the new Trump administration). We also expect to see continued interest in accessing science developed in China, whether through licensing (which has been a growing trend in recent years) or through M&A activity.
For generic players in the sector, we expect to see increased activity concentrated on growth and moves to position themselves up the value chain with a focus on higher barrier to entry, higher margin, differentiated products (such as biologics, specialties and niche products) as well as expanding geographical coverage in attractive markets like the US, the UK, Europe, LATAM and the Middle East. With M&A an obvious tool to achieve those aims, generic focused companies are anticipated to play their part in an M&A resurgence in the sector.
Meanwhile (and at the risk of sounding like an echo from 2024), there is heightened anticipation that private equity (PE) will properly return to the table in 2025, particularly with predicted interest rate reductions on the horizon. The drivers remain, including substantial levels of dry powder and ever-lengthening hold periods. But we can now add to that another year gone by. Investor pressure on firms to return invested capital through divestments and deploy new capital is expected to increase – which is likely to drive activity.
Whilst an uptick in VC funding is expected, the sector's share of global VC deal count is expected to stay the same with the need for meaningful exit activity to justify additional allocation to the sector. The expectation is that 2025 will continue to see fewer but larger deals, with a focus on later stage assets supported by clinical validation (such as phase 2 validation) with commercialisation potential. Metabolic health (in particular, GLP-1 therapies for obesity), brain-computer interfaces, AI, personalised medicine and digital health delivery will be key themes for VC investment.
Overall, there is once again a feeling that the signs all point to a more upbeat year for pharma M&A activity in 2025. Of course, headwinds remain. Yet we are seeing broader acceptance that they are here to stay and must be navigated, rather than allowing activity to draw to a halt. Strategics have already been rolling up their sleeves to get on with it. If PE follows suit, the scene is set for an exciting year ahead.
The contents of this publication are for reference purposes only and may not be current as at the date of accessing this publication. They do not constitute legal advice and should not be relied upon as such. Specific legal advice about your specific circumstances should always be sought separately before taking any action based on this publication.
© Herbert Smith Freehills 2025
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