When the IPO window opens, nearly every stakeholder—from bankers and lawyers to VCs and management—is financially motivated to go public. This collective "irrational exuberance" can lead to a rush of mixed-quality companies, perpetuating the industry's historical boom-bust IPO cycles.

Biotech leaders often fixate on share price after an IPO, but trading volume is the more important metric for long-term health. High liquidity attracts institutional investors and makes it easier to raise future capital. A stock that "trades by appointment" due to low volume signals a lack of interest and severely limits a company's financial options.

Unlike the 2020-2022 bubble, the expected wave of biotech IPOs features mid-to-late-stage companies with de-risked assets. The market's recent discipline, forced by a tough funding environment, has created a backlog of high-quality private companies that are better prepared for public markets than their predecessors.

The recent rally in some biotech stocks is likely just the beginning. Key indicators of a full-blown bull market, such as a resurgence in biotech IPOs and a rally in large tool companies (e.g., Thermo Fisher), have not yet occurred, suggesting the cycle is still in its early innings.

The reopening of the biotech IPO market is fragile. A key risk identified by investors is a series of failed IPOs, which could halt the sector's positive momentum. Consequently, there is intense pressure on bankers and VCs to exhibit "quality discipline," ensuring that only the most mature and high-potential companies go public first to build a track record of success.

The robust performance of early 2026 follow-on offerings, which were upsized and traded significantly above issue price, serves as a strong, real-time indicator of high investor enthusiasm and available capital. This suggests a bullish sentiment and a receptive market for further biotech financing.

The current IPO window sees companies with significant clinical data going public. The previously closed market forced them to advance programs with private funding, resulting in higher-quality offerings compared to the pre-clinical companies that IPO'd during the last boom.

As the IPO window reopens, the initial companies going public are likely those that couldn't get out during choppier markets. Venture investors with "surefire winners" are probably waiting, meaning the highest quality IPO candidates are yet to come, posing a risk for early investors jumping back in.

The biotech industry is entering a paradoxical period. Financial markets show signs of recovery with rising follow-ons and potential IPOs, suggesting a bear market end. However, this optimism is contrasted by significant uncertainty and political turmoil at key US agencies like the FDA and NIH, creating a challenging operating environment for innovation.