The 2020-2021 biotech "bubble" pushed very early-stage companies into public markets prematurely. The subsequent correction, though painful, has been a healthy reset. It has forced the sector back toward a more suitable, long-duration private funding model where companies can mature before facing public market pressures.

The current market recovery is drawing parallels to the 2012-2013 period, where a handful of mid-cap biotechs like Gilead and Vertex emerged with blockbuster products post-financial crisis. Today, a larger cohort of over 20 companies is poised for similar high-growth commercial launches, suggesting a fundamental reshaping of the industry rather than just a cyclical upswing.

The recent biotech market upswing isn't just a reaction to broader economic shifts. It's fundamentally supported by greater clarity on drug pricing, successful commercial launches by biotech firms, and a strong M&A environment, indicating robust industry health.

The biotech sector lacks mid-cap companies because successful small firms are typically acquired by large pharma before reaching that stage. This creates a barbell structure of many small R&D shops and a few commercial giants. The assets, not the companies, transition from small to large.

The strong biotech market performance in 2025 was not a case of a rising tide lifting all boats. Outperformance was concentrated in companies with strong fundamentals and backing from specialist investors, indicating a healthy, discerning market that rewards quality over speculation.

Unlike the 2021-2022 froth where all stocks rose together, the current market is highly discerning. Investors are rewarding strong data while heavily punishing mediocre results. This selective environment indicates a more sustainable and fundamentally driven rally.

The current biotech bull market is fundamentally different from past rallies. It's driven by small and mid-sized companies successfully launching products and generating revenue, shifting the sector from a "dream-based" industry to one focused on execution and profitability.

Despite significant stock price increases (e.g., 3-4x for some names), the current biotech rally is not a sign of an overheated market. Many small-cap companies are still trading at a fraction of their potential value based on their pipelines, suggesting the rally is a recovery from deeply distressed, sub-cash valuations.

The current biotech bull market is more resilient than past cycles. Previously, enthusiasm often centered on a single theme, like Hepatitis C (HCV), making the rally fragile. Today's strength is distributed across many disease areas and dozens of companies, creating a more robust and sustainable foundation for growth that isn't dependent on a single success story.