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Upfront Briefing

The FDA issued a CRL for REGENXBIO’s Hunter syndrome gene therapy — a reminder that “ultra-rare + external controls + biomarker surrogates” still faces real regulatory friction at the finish line.

On the deal tape, Lilly kept writing checks (up to ~$2.4B for Orna; plus a $350M-upfront Innovent pipeline pact with milestone back-end), while AgomAb’s $200M IPO closed and multiple private rounds printed across the AI/drug discovery stack.

Tape Action

Instrument Last close 1D % YTD %
S&P 500 6,964.8 +0.5% +1.7%
Nasdaq 100 25,268.1 +0.8% +0.1%
Russell 2000 2,689.1 +0.7% +8.3%
Healthcare (XLV) 156.3 (0.9%) +1.0%
Biotech (XBI) 126.1 +0.5% +3.4%
Nasdaq Biotech (NBI) 5,970.1 (0.2%) +4.6%
Clinical Trials (BBC) 41.0 +0.2% +6.2%
  • Broad tape finished green with mega-cap/growth leadership (Nasdaq-100 outperformed).
  • Healthcare (XLV) lagged: a sharp drawdown in lab tools (notably Waters after guidance) weighed on the sector even as the index tape stayed risk-on.
  • Biotech internals were mixed (XBI up modestly while NBI dipped), consistent with stock-picking rather than a clean beta day.

The Big 3

1
FDA rejects Regenxbio gene therapy for Hunter syndrome
  • The FDA issued a Complete Response Letter (CRL) for REGENXBIO’s RGX-121 (Hunter syndrome/MPS II), citing concerns around trial design and eligibility criteria, the comparability of the external natural-history control, and whether the CSF biomarker surrogate is reasonably likely to predict clinical benefit.
  • Why it matters: This is another reminder that “ultra-rare + accelerated approval + external controls” is not a free pass—FDA is tightening the bar on surrogate endpoints and comparability. Practically, a CRL can force longer follow-up or additional study work, extending time-to-revenue and raising read-through risk for other CNS/lysosomal gene therapy programs leaning on biomarker endpoints.
  • Source: STAT
  • More: Endpoints; Reuters
2
Lilly to buy Orna in ~$2.4B platform deal (in vivo CAR-T bet)
  • Eli Lilly agreed to acquire Orna Therapeutics in a deal reported at up to ~$2.4B, adding an RNA/LNP-enabled platform aimed at generating CAR-T cells in vivo (with early focus on autoimmune indications).
  • Why it matters: Big-cap willingness to pay real money for pre-/early-platform optionality is the signal. This sets a valuation reference point for in vivo cell engineering and RNA delivery platforms—and can re-rate adjacent private comps (plus pull forward BD interest for “platform + wedge program” stories).
  • Source: PR
  • More: Reuters
3
QuantX Biosciences raises $85M in Series B financing
  • QuantX Biosciences closed an oversubscribed $85M Series B. Syndicate: co-led by Lilly Asia Ventures (LAV) and Sanofi Ventures; joined by Hongshan plus existing investors.
  • Why it matters: A “real” mid-cycle Series B with pharma venture participation is a useful risk-appetite read—especially when proceeds are earmarked to push named programs toward the clinic. It can also pull forward partnering expectations (or set a higher bar for platform stories that can’t show near-term IND cadence).
  • Source: PR

Everything Else that broke

  • RFK Jr. comments on European drug prices and tariffs. — Endpoints
  • VolitionRx receives NYSE American non-compliance notice. — PR
  • FDA grants MUMS status for AB Science's Masivet in canine tumors. — PR
  • MerryLife reports positive Phase 1 TML-6 results in Alzheimer's. — PR
  • Applied Medical wins $381M antitrust verdict against Medtronic. — PR
  • Ferronova completes enrollment for gastric/oesophageal cancer trial. — PR

Deal Flow

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

M&A / BD&L

  • Lilly to buy Orna in deal worth up to ~$2.4B (cash; incl. upfront + milestones) to add an in vivo CAR-T/RNA platform. — Reuters
  • Iambic–Takeda AI discovery partnership: upfront/research/tech-access payments + success-based payments potentially >$1.7B, plus royalties. — Business Wire
  • XOMA completes acquisition of Generation Bio: $4.2913/share cash + a non-tradeable CVR. — PR

VC / Private Financings

  • QuantX closes oversubscribed $85M Series B — co-led by Lilly Asia Ventures (LAV) + Sanofi Ventures; joined by Hongshan + existing investors. — PR
  • Galux raises $29M Series B — joined by InterVest + DAYLI Partners + PATHWAY Investment (existing); plus Yuanta + Korea Development Bank (KDB) + SL Investment (new) (and others). — PR
  • Aerska Therapeutics raises $39M Series A — led by EQT Life Sciences Dementia Fund + age1; joined by Iaso Ventures + existing investors. — PR

IPOs / Follow-Ons

  • SpyGlass Pharma closes $172.5M IPO with full overallotment. — PR
  • Satellos closes US$57.2M public offering (incl. overallotment). — PR
  • AgomAb closes $200M IPO (12.5M ADS @ $16; underwriters option 1.875M ADS). — PR

Academic Corner

  • Sensitive detection of cancer antigens enabled by user-defined peptide libraries. — Nature Biotech
  • Reliability of LLMs as medical assistants for the general public: a randomized preregistered study. — Nature Medicine
That’s it for today — keep your CRLs short and your term sheets legible. See you tomorrow. BioBucks Team