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Oral GLP-1 gets an FDA greenlight, CMS floats new pricing demos, and Shionogi drops $2.5B on ALS.
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Upfront Briefing

Big day for obesity: the FDA approved Novo Nordisk’s oral Wegovy as the first oral GLP-1 for weight management (yes, a pill).

Policy also stayed loud: CMS floated new Medicare drug pricing models that look built to attract industry pushback.

And in deal-land, Shionogi is paying $2.5B for one of the few approved ALS drugs — a reminder that rare disease appetite hasn’t gone anywhere.

Tape Action

Instrument Last close 1D % YTD %
S&P 500 6,878.5 0.6% 16.9%
Nasdaq 100 25,461.7 0.5% 21.2%
Russell 2000 2,558.8 1.2% 14.7%
XBI (Biotech ETF) 125.9 2.0% 39.8%
Nasdaq Biotech 5,824.2 1.5% 35.1%
Clinical Trials ETF (BBC) 40.2 1.8% 67.8%
  • Biotech outpaced the big indices: XBI (+2.0%) beat the S&P 500 (+0.6%) into the close.
  • Broad biotech kept the bid — BBC (+1.8%) was among the day’s standouts.
  • Market data: US close Mon 22 Dec 2025.

The Big 3

1
FDA approves oral Wegovy for weight management
  • The FDA has approved Novo Nordisk's oral version of Wegovy, marking the first oral GLP-1 treatment for weight management. This approval could significantly broaden access to obesity treatments.
  • Why it matters: FDA just made GLP-1 weight loss a pharmacy-counter habit: a daily pill can broaden adoption (needle-averse patients), shift adherence dynamics, and intensify the “capacity + access” chess match as Novo tries to meet demand.
  • Source: STAT
  • More: Endpoints; PR
2
Trump administration proposes Medicare drug pricing models
  • The Trump administration has proposed new Medicare drug pricing models, which are expected to face pushback from the pharmaceutical industry. These models could significantly impact company revenues and drug access.
  • Why it matters: This is a live policy stress-test for pricing power: even “demo” models can reset contracting expectations, pull PBMs/payers into new lanes, and create real downside risk for exposed products long before anything becomes permanent.
  • Source: Endpoints
  • More: STAT; BioPharma Dive
3
Shionogi to acquire ALS drug for $2.5 billion
  • Shionogi is set to acquire one of the few approved ALS drugs for $2.5 billion. This significant acquisition will impact the ALS treatment landscape and Shionogi's market position.
  • Why it matters: A significant acquisition in the rare disease space, impacting the ALS treatment landscape and Shionogi's market position.
  • Source: Endpoints

Everything Else that broke

  • Dupixent approved in Japan for pediatric asthma. — PR
  • Biogen's QALSODY Phase 3 results published in JAMA Neurology. — PR
  • Bristol Myers Squibb challenges IRA drug pricing in Supreme Court. — Endpoints
  • China's new insurance model to broaden Alzheimer's drug access. — Endpoints
  • US charges six with insider trading, including Olema Oncology. — Endpoints
  • BioSpace reviews 2025 features and manufacturing trends. — BioSpace

Deal Flow

M&A / BD&L

  • Shionogi to acquire ALS drug for $2.5 billion. — Endpoints
  • Windward Bio acquires bispecific from Qyuns in China deal. — Endpoints
  • Samsung Biologics to buy GSK’s U.S. biologics manufacturing site in Rockville, Maryland for $280M, adding stateside capacity as it expands beyond Korea. — Fierce Pharma

VC / Private Financings

  • Celularity announces closing of financing transactions. — PR

IPOs / Follow-Ons

  • No notable IPOs / follow-ons in the last 24 hours.

Academic Corner

  • Vagus nerve-mediated neuroimmune modulation for rheumatoid arthritis: a pivotal randomized controlled trial. — Nature Medicine
Thanks for reading - Biobucks Team

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