The acquisition of Verona shows that a novel mechanism of action with a substantial clinical effect can make a company a prime M&A target. This holds true even with weaknesses like no composition of matter patent or an unfashionable drug delivery method, especially in disease areas lacking innovation.
Instead of remaining a single-asset M&A target, companies like Madrigal are acquiring complementary assets to build a broader franchise. Inspired by bidding wars for multi-asset companies, this strategy can increase long-term value and acquisition appeal beyond that of a single-drug company.
When comparing drugs with the same mechanism, like Alkermes' and Takeda's orexin agonists, a wider therapeutic index is a crucial differentiator. This superior safety-to-efficacy ratio allows for higher, more effective dosing without significant side effects, creating a competitive advantage and potential for broader market use.
While broad biotech indices performed poorly, the past two years were manageable and even ideal for investors who were highly selective. The downturn created an environment for skilled stock pickers to identify high-quality companies that could withstand market pressures, proving that sector-wide performance is not the whole story.