Despite representing only 12% of total Asian out-licensing deals, Korean biotechs account for a disproportionately high 20% of "first-in-class" partnerships. This indicates a strong appetite for novel science and high-risk, high-reward innovation, challenging the stereotype of Asian biotech as purely "fast followers."

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With a highly concentrated population, a single-payer system, and vast hospital capacity (90,000 beds in Seoul vs. 4,000 in Boston), South Korea offers a significant advantage for clinical development. This infrastructure allows trials to be completed 40% faster and at 40% lower cost compared to the US.

After years of focusing on de-risked late-stage products, the M&A market is showing a renewed appetite for risk. Recent large deals for early-stage and platform companies signal a return to an era where buyers gamble on foundational science.

When prioritizing pipelines, biotechs must consider commercial viability, not just science. With China's ecosystem specializing in fast-follow "Me Too" drugs, such assets are becoming commoditized. To secure funding and premium exits, companies must focus on truly differentiated "first-in-class" or "best-in-class" programs.

As CFIUS reviews increasingly complicate US venture investment in Chinese companies, investors are seeking alternatives. South Korea is emerging as a key "CFIUS-safe" location, offering access to high-quality, early-stage healthcare assets without the geopolitical and regulatory risks associated with investing in China.

A VC advises Korean entrepreneurs to abandon gradual US entry strategies. The effective model is to "parachute" in—relocating solo to a hub like Boston and immersing oneself in the network. This radical, face-time-centric approach is deemed essential for building the momentum needed for US investment and partnerships.

China is no longer just a low-cost manufacturing hub for biotech. It has become an innovation leader, leveraging regulatory advantages like investigator-initiated trials to gain a significant speed advantage in cutting-edge areas like cell and gene therapy. This shifts the competitive landscape from cost to a race for speed and novel science.

A Boehringer Ingelheim executive noted a key differentiator of Korean biotechs: they enter initial partnership discussions with a well-defined strategy and understanding of their needs. This "readiness to partner" accelerates deal-making and demonstrates a higher level of business sophistication compared to many global counterparts.

With patent cliffs looming and mature assets acquired, large pharmaceutical companies are increasingly paying billion-dollar prices for early-stage and even preclinical companies. This marks a significant strategic shift in M&A towards accepting higher risk for earlier innovation.

Contrary to common belief, a BioCentury analysis revealed that two-thirds of out-licensing deals from Asian innovators were with Western biotechs, not large multinational pharmaceutical corporations. This indicates a significant trend of smaller Western companies actively sourcing innovation from Asia.

The next decade in biotech will prioritize speed and cost, areas where Chinese companies excel. They rapidly and cheaply advance molecules to early clinical trials, attracting major pharma companies to acquire assets that they historically would have sourced from US biotechs. This is reshaping the global competitive landscape.

Korean Biotechs Outpace Asia in First-in-Class Deals, Signaling a High-Risk Appetite | RiffOn