Within one week, Eli Lilly executed two massive deals: an $8.5B potential collaboration with Innovent for antibody therapeutics and a $2.4B acquisition of Orna Therapeutics for its circular RNA CAR-T platform. This signals an aggressive, multi-pronged strategy to dominate both established and next-generation therapeutic modalities.

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Flush with cash from their GLP-1 franchises, Eli Lilly and Novo Holdings have become the most active participants in Series A biotech funding. They are leveraging their deep pockets to stimulate company formation and strategically branch into new therapeutic areas, shaping the next wave of innovation.

The nature of biopharma M&A changed dramatically in a year. After a period with no deals over $5 billion, there are now seven or eight such transactions, reflecting a pivot by large pharma to acquire de-risked assets with large market potential to offset looming patent expirations.

Major pharmaceutical companies are committing to bio-buck deals worth billions for unproven, preclinical assets. The Sanofi-Irindale deal ($2.56B potential) and the Pfizer-Cartography deal ($850M+ potential) for discovery-stage programs show a high appetite for risk when accessing innovative technology platforms and novel targets early on.

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.

Eli Lilly's recent deal-making reveals an aggressive, multi-modal strategy. It secured an AI partnership for obesity (Nimbus), invested in an AI platform for oncology (InduPro), and spent $1.2B acquiring Ventix Biosciences for its oral inflammation pipeline, demonstrating a broad approach to securing leadership in its focus areas.

Sanofi announced three significant collaborations in just one week with Indupro, Adel, and Drenbio. This rapid-fire deal-making underscores a concentrated strategic effort to build a leading pipeline in autoimmune and neurodegenerative diseases by acquiring innovative, early-stage assets like bispecific antibodies and tau-targeting MABs.

The Simcirzyming and Ipsen deal, valued up to $1.06 billion for a preclinical antibody-drug conjugate (ADC), shows the immense value of promising therapeutic modalities. Technologies like ADCs with features like 'enhanced tumor penetration' can secure massive bio-dollar deals long before human trials, signaling intense competition for next-generation oncology assets.

Big pharma is heavily investing in AI-driven drug discovery platforms. Deals like Sanofi with Irindale Labs, Eli Lilly with Nimbus, and AstraZeneca's acquisition of Modelo AI highlight a strategic shift towards acquiring foundational AI capabilities for long-term pipeline generation, rather than just licensing individual preclinical assets.

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.

The current biotech M&A boom is less about frantically plugging near-term patent cliff gaps (e.g., 2026-2027) and more about building long-term, strategic franchises. This forward-looking approach allows big pharma to acquire earlier-stage platforms and assets, signaling a healthier, more sustainable M&A environment.