Instead of a traditional IPO, Candid Therapeutics secured a NASDAQ listing and a massive capital infusion by merging with RallyBio. This reverse merger, coupled with a concurrent private investment, provides nearly $700 million in cash to fund operations through 2030, demonstrating a powerful alternative financing path to public markets.

While reverse mergers offer a faster route to public markets, they bypass the extensive investor meetings of a traditional IPO. This can result in a narrowly held story and weaker sell-side coverage, forcing companies to spend 6-12 months post-deal building the investor base they missed.

An improving IPO market doesn't cannibalize M&A activity but rather provides private companies with a dual-track option. Barclays advises clients to evaluate both public market and M&A paths simultaneously, treating them as complementary strategies for value creation, not mutually exclusive choices.

Rather than a traditional IPO, QXO acquired a small public company (SilverSun Technologies), appointed Brad Jacobs as CEO, and injected $5 billion of liquidity. This SPAC-like strategy provided immediate access to public markets and a massive capital base for acquisitions.

Albareo was ready to IPO with strong investor interest in summer 2015, but the market window slammed shut due to external events like the Martin Shkreli scandal. This forced the company into a creative reverse merger, a stark reminder that IPO timing is ultimately dictated by market sentiment beyond a company's control.

While staying private can offer strategic advantages, particularly for future M&A, the biotech industry lacks a mature private growth capital market. Companies needing hundreds of millions for late-stage trials have no choice but to go public, unlike their tech counterparts.

To tap into public market investors, Adaptin Bio merged with a 'Form 10' public shell company. This distinct route is not a SPAC as it doesn't raise money in an IPO. Instead, it provides a faster path to becoming a public reporting entity to attract a wider investor base.

When traditional venture funding dried up for Madrigal Pharmaceuticals, they found an unconventional path to capital and a public listing. They pursued a reverse merger with Cinta, a public company that had recently failed a Phase 3 trial and was seeking an exit. This "bake off" victory secured Madrigal $41 million.

The closed IPO window forced many private biotech companies to achieve significant clinical milestones, like Phase 2 proof-of-concept, while still private. This has created an unusual cohort of well-seasoned, de-risked companies with attractive valuations, poised to be highly appealing to public investors.