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Upfront Briefing

The FDA declined to review Moderna’s mRNA flu vaccine — a clean reminder that “filed” and “in play” aren’t always synonyms.

Also: Novocure landed an FDA approval in locally advanced pancreatic cancer, and BridgeBio posted positive Phase 3 topline for oral infigratinib in achondroplasia. Elsewhere, Novartis released final Phase 3 Vanrafia data in IgAN and Coherus priced equity at $1.75/sh.

Tape Action

Instrument Last close 1D % YTD %
S&P 500 6,832.8 (1.6%) (0.2%)
Nasdaq 100 24,687.6 (2.0%) (2.2%)
Russell 2000 2,615.8 (2.0%) +5.4%
Healthcare (XLV) 156.0 (0.2%) +0.8%
Biotech (XBI) 123.2 (1.2%) +1.0%
Nasdaq Biotech (NBI) 5,860.7 (1.1%) +2.7%
Clinical Trials (BBC) 40.3 (0.7%) +4.5%
  • Risk-off tape: AI “disruption” angst + Cisco-led tech weakness dragged the Nasdaq complex; defensives (including Healthcare) cushioned the broader S&P.
  • Healthcare (XLV) was comparatively steady as rates eased into Friday’s CPI print — a classic “hide in quality” move vs high-duration growth.
  • Biotech still fell, but held up better than mega-cap tech (XBI -1.2% vs NDX -2.0%) on idiosyncratic catalyst flow.

The Big 3

1
FDA declines to review Moderna mRNA flu vaccine
  • Moderna received a refuse-to-file / refusal-to-review decision for its mRNA flu submission, citing concerns that the pivotal study comparator didn’t reflect best-available U.S. standard of care.
  • Why it matters: This is a timing + credibility hit to the “respiratory franchise bundle” narrative (flu + Covid + RSV). Practically: it can force additional work (trial design/bridging/label discussions) and pushes revenue optionality rightward. Read-through: the FDA may be raising the bar on what counts as “adequate and well-controlled” for next-gen vaccine updates — relevant for the broader mRNA/vaccine cohort.
  • Source: BioPharma Dive
  • More: STAT; BioSpace
2
FDA approves Novocure’s Optune Pax for locally advanced pancreatic cancer
  • The FDA approved Optune Pax (tumor treating fields) for use with gemcitabine + nab-paclitaxel in locally advanced pancreatic cancer.
  • Why it matters: This is a high-profile regulatory win in a tough indication and can drive a real commercial inflection if adoption sticks. Key investor debate shifts from “can they get the label?” to “can they scale utilization?” — given wear-time burden and real-world adherence risk.
  • Source: FDA
  • More: Barron’s
3
BridgeBio posts positive Phase 3 topline for oral infigratinib in achondroplasia
  • PROPEL 3 met the primary endpoint in children with achondroplasia, with statistically significant improvements in annualized height velocity and body proportionality metrics.
  • Why it matters: An effective oral option is a differentiated competitive wedge vs injectable incumbents and materially de-risks BBIO’s regulatory path (now about filing strategy/timing). If durability + safety hold, this becomes a real share-shift threat in a defined rare disease market.
  • Source: Company PR
  • More: Reuters

Everything Else that broke

  • Novartis posts final Phase 3 ALIGN results for Vanrafia (atrasentan) in IgA nephropathy (eGFR slope / kidney function). — PR
  • AbbVie sues over Botox selection for IRA Medicare negotiations. — Endpoints
  • ICON stock drops after internal accounting probe disclosed. — Endpoints
  • Novo Nordisk to expand Irish factory for Wegovy pill. — Endpoints
  • Pharma pushes back on FDA plans for OTC drug switches. — Endpoints
  • Ultragenyx restructuring includes approximately 130 layoffs. — Endpoints
  • PTC Therapeutics withdraws Translarna NDA resubmission. — PR
  • HanchorBio gets FDA Orphan Drug Designation for HCB101. — PR
  • Innovent doses first patient in Phase 3 HER2 ADC breast cancer trial. — PR
  • CRISPR Therapeutics reports Q4 and full-year 2025 results. — PR

Deal Flow

BioBucks 2026 Deal Trackers • Updated weekly ⬇️
M&A Rumors BD&L VC

M&A / BD&L

  • Alkermes completes acquisition of Avadel Pharmaceuticals. — PR
  • Nxera Pharma licenses GPCR-targeted program to newly founded spin-out company. — BioSpace

VC / Private Financings

  • No newly disclosed therapeutic biotech venture rounds in the last ~24 hours.

IPOs / Follow-Ons

  • Evommune announces $125M private placement at $27.88/sh — investors undisclosed; placement agents: Morgan Stanley, Leerink, Evercore ISI, Cantor Fitzgerald, William Blair. — PR
  • Xilio Therapeutics prices ~$40M offering — led by Coastlands Capital, joined by Gilead, OrbiMed, and Perceptive; Leerink Partners sole bookrunner. — PR
  • Coherus Oncology prices public offering of common stock ($50.1M at $1.75/sh). — PR
  • BioMarin closes $850M senior notes offering (debt). — PR

Academic Corner

  • PD-1 blockade reprograms antiviral immunity and reduces the HIV reservoir. — Nature Medicine
That’s it for today — stay hydrated and keep your filings reviewable. See you next edition. BioBucks Team