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Upfront Briefing

Lilly gave Verve's cholesterol gene-editing story an early read, and the takeaway was simple: one-shot cardiometabolic competition is not getting quieter.

Elsewhere, conference season is doing what conference season does — pulling focus forward. ASCO previews put Akeso, Summit and Revolution in the frame, while REGENXBIO, Novartis and Dyne are edging closer to neuromuscular FDA filings.

Tape Action

Instrument Last close 1D % YTD %
S&P 500 7,473.5 0.4% 9.2%
Nasdaq 100 29,481.6 0.4% 17.0%
Russell 2000 2,869.2 0.9% 14.4%
Healthcare (XLV) 149.9 1.2% (3.6%)
Biotech (XBI) 131.7 (0.8%) 8.4%
Nasdaq Biotech (NBI) 5,891.5 (0.2%) 3.2%
Clinical Trials (BBC) 42.7 (1.4%) 13.6%
  • Quiet U.S. tape into the long weekend: Russell led on dovish growth/yield mix and small-cap re-rate (+0.9%), with XLV (+1.2%) outperforming the broader market as defensive flows picked up.
  • Biotech split — XBI (-0.8%) and BBC (-1.4%) lagged on idiosyncratic single-stock drag (Biogen/Denali BIIB122 fail still in the tape) even as XLV pharma-heavies held bid.
  • Market data: U.S. cash close Friday 22-May-2026; U.S. markets closed Monday 25-May for Memorial Day.

The Big 3

1
Lilly reports early Verve cholesterol gene-editing data
  • Lilly reported Phase 1b Heart-2 data for VERVE-102 — a single-shot in vivo PCSK9 base editor — showing up to 62% mean LDL-C reduction and 88% PCSK9 knockdown at the 1.0 mg/kg dose, durable to 18 months, in 35 HeFH/CAD patients. Late-breaking oral at EAS, simultaneously published in NEJM. Phase 2 planned by year-end.
  • Why it matters: A clean, on-statin >60% LDL-C drop sustained at 18 months — with no SAEs — clears the efficacy and safety bar Lilly needed post-VERVE-101 hold to take VERVE-102 into Phase 2. Read-through: cardio-metabolic franchise optionality for LLY; renewed pressure on chronic PCSK9 (Repatha, Leqvio), and a higher bar for one-shot competitors (Beam, Tune, Korro).
  • Source: STAT More: Fierce; PR
2
ASCO preview spotlights Akeso, Summit and Revolution
  • ASCO 2026 (29 May–2 Jun, Chicago) previews are firming up: Akeso's HARMONi-6 OS data in 1L squamous NSCLC selected for the Sunday 31 May plenary as a late-breaker, head-to-head vs tislelizumab + chemo. Revolution, BioNTech, Mabwell and Innovent also drop key oncology updates.
  • Why it matters: Plenary-selected OS for ivonescimab + chemo is the single biggest competitive read for Summit (SMMT) — positive data validates the PD-1/VEGF bispecific class and tightens commercial setup ahead of the November ivonescimab US PDUFA, with read-across to BNT327, AK112 ex-China economics, and the entire PD-1/VEGF cohort competing with Keytruda.
  • Source: BioSpace More: PR
3
Muscular dystrophy developers near FDA submissions
  • REGENXBIO (mid-2026 BLA for RGX-202 in DMD, accelerated approval pathway), Avidity/Novartis (del-zota BLA filing this quarter post the ~$12B Avidity acquisition) and Dyne (DYNE-251/zeleciment rostudirsen BLA Q2 2026) all converging on FDA submissions in neuromuscular this summer.
  • Why it matters: With Sarepta's Elevidys safety overhang still capping the AAV gene-therapy comp, a clean BLA acceptance for RGX-202 reopens an accelerated-approval window in DMD and de-risks Novartis' ~$12B Avidity rationale. The setup creates a binary calendar through 2H26 — every filing accepted re-rates the cohort; every CRL widens the gap to Capricor's deramiocel decision.
  • Source: BioSpace

Everything Else that broke

  • WuXi Vaccines drug substance facility wins Brazil ANVISA GMP certification for dengue vaccine manufacturing. — PR
  • Hansa highlights ConfIdeS Phase 3 late-breaking abstract for oral presentation at ATC 2026. — PR
  • Cornerstone Robotics' Sentire surgical system wins CE Mark MDR. — PR
  • Novartis previews kidney portfolio data for ERA 2026 Congress. — PR
  • Resolution Therapeutics cites positive 4-year MATCH trial data for RMT in liver cirrhosis (University of Edinburgh). — PR
  • BioSpace reviews four biopharma targets that have thwarted multiple programs. — BioSpace
  • GENFIT outlines broad scientific and strategic presence at EASL Congress 2026. — PR
  • Menarini Group previews new ASCO 2026 oncology data. — PR
  • BioCentury spotlights ASCO pancreatic cancer innovation beyond KRAS. — BioCentury
  • Labiotech: Bayer's 2026 outlook hinges on sales, lawsuits, approvals. — Labiotech
  • BioCentury: Europe's next growth fund could help narrow biotech's capital gap. — BioCentury

Deal Flow

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

M&A / BD&L

  • CVC Capital Partners and Groupe Bruxelles Lambert (GBL) launch a €10.7B (~$12.4B) all-cash tender offer for Recordati at €51.29/share (12.9% premium to 25-Mar undisturbed), targeting delisting from Euronext Milan — largest European pharma deal and largest 2026 LBO announced to date. Co-invest syndicate: ADIA's Luxinva, CPP Investments, PSP Europe, StepStone, AlpInvest, MGG Strategic, CapSol and Andrea Recordati. — Bloomberg

VC / Private Financings

  • No new biotech venture financings of note in the last 24 hours (US Memorial Day).

IPOs / Follow-Ons

  • No new IPO pricings or material follow-ons over the long weekend.

Academic Corner

  • Updated trends in the global prevalence and burden of mental disorders, 1990–2023: a systematic analysis for the Global Burden of Disease Study 2023. — Lancet
That’s it for today — may your conference abstracts be late-breaking and your regulatory clocks stay on schedule. BioBucks Team