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Upfront Briefing

Gilead’s back in the shopping aisle: a Tubulis takeout worth up to $5B to deepen its ADC bench beyond Trodelvy.

Meanwhile, policy put Humira on the TrumpRx list alongside cheaper biosimilars — and deal filings around Merck’s Terns buy added some spicy color on bid dynamics (read: price).

Tape Action

Instrument Last close 1D % YTD %
S&P 500 6,616.9 +0.1% (3.3%)
Nasdaq 100 24,202.4 0.0% (5.0%)
Russell 2000 2,544.9 +0.2% +1.8%
Healthcare (XLV) 146.6 +0.2% (5.3%)
Biotech (XBI) 128.9 0.0% +1.9%
Nasdaq Biotech (NBI) 5,814.2 (0.2%) (2.2%)
Clinical Trials (BBC) 43.1 +0.7% +11.6%
  • U.S. tape finished mixed after a volatile session tied to Iran / Strait of Hormuz headlines: the S&P 500 still closed modestly higher (+0.1%) and the Russell 2000 added +0.2%, suggesting investors were willing to buy the late-day rebound rather than de-risk wholesale.
  • Biotech lagged broader risk appetite: XBI was essentially flat (+0.04%) while NBI fell (0.4%), which reads less like broad capitulation and more like continued selectivity around large-cap biotech and earnings-quality names.
  • Healthcare held in better than biotech, with XLV up +0.2%, reinforcing the market’s current preference for defensiveness and cash-flow durability even as investors still selectively added small-cap beta.
  • Market data: U.S. close Tue 07-Apr-2026.

The Big 3

1
Gilead to buy Tubulis in ADC deal worth up to $5B
  • Gilead agreed to acquire Tubulis for $3.15B upfront plus up to $1.85B in milestones, adding next-generation ADC capability and two key assets: TUB-040, already in Phase 1b/2 in ovarian and lung cancer, and earlier-stage TUB-030.
  • Why it matters: Gilead is paying real money for a clinical-stage payload/linker toolkit and an asset base that can matter beyond Trodelvy. For investors, the readthrough is that differentiated ADC engineering still commands scarcity value — especially when attached to programs already moving toward later-stage development — and that large-cap pharma remains willing to pay up for oncology platform depth rather than wait for fully de-risked assets.
  • Source: BioCentury
2
White House adds AbbVie's Humira to TrumpRx list
  • The White House added AbbVie's Humira to TrumpRx alongside cheaper biosimilars. The move spotlights public-channel pricing pressure in the Humira market.
  • Why it matters: Humira is already a melting-ice-cube franchise, so the key investor question is not whether public scrutiny hurts sentiment — it is whether channel pressure accelerates price compression faster than AbbVie can manage mix, rebates and switch dynamics. Putting Humira on TrumpRx sharpens attention on the pace of residual cash-flow erosion in a franchise the market already treats as ex-growth, while also reminding investors that policy pressure can still drag legacy blockbuster math lower even late in the loss-of-exclusivity curve.
  • Source: Endpoints
3
Filings: Terns accepted lower Merck bid after updated data review
  • Updated merger filings show Terns previously received higher offers, including proposals at up to $61/share and a CVR structure, before bidders revisited valuation after additional diligence on TERN-701 and Merck ultimately won with a $53/share takeout.
  • Why it matters: The investor signal is not simply “there was a higher bid.” It is that incremental clinical diligence changed how buyers underwrote TERN-701’s differentiation versus Scemblix, which in turn reset price. That is a useful reminder that in competitive biotech auctions, valuation can compress quickly when updated datasets make a lead asset look less cleanly de-risked than headline ASH enthusiasm first implied.
  • Source: BioPharma Dive

Everything Else that broke

  • Novo Nordisk launches high-dose Wegovy. — STAT
  • Study: $35 monthly insulin cap increased patient access. — Endpoints
  • FDA approves and launch begins for generic nintedanib capsules. — PR
  • BioCentury: Precision mTOR targeting in TSC epilepsy. — BioCentury
  • Endpoints: What’s familiar in health tech’s Q1 funding totals. — Endpoints

Deal Flow

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

M&A / BD&L

  • Gilead to buy Tubulis in ADC deal worth up to $5B, adding depth beyond Trodelvy. — BioCentury
  • Filings: Terns rebuffed a higher bid before Merck deal. — BioPharma Dive
  • Lilly pays AC Immune CHF10M (~$12.5M) to expand Alzheimer’s collaboration as a candidate moves closer to the clinic. — Fierce Biotech
  • Novonesis buys Southeast Asia production facility. — PR
  • ATLATL and Daiichi Sankyo sign APAC biotech innovation deal. — PR
  • RoosterBio, MineBio partner in China on MSC, exosome bioprocessing. — PR

VC / Private Financings

  • Kytopen disclosed a Series B financing led by Telegraph Hill Partners, with participation from existing investors, to support commercial expansion of its non-viral cell-engineering platform. — PR

IPOs / Follow-Ons

  • Daré Biosciences opens public offering aimed at retail. — BioSpace

Things that make you go hmmm ...

Oncology has taken the majority of M&A dollars. — Source: L.E.K.

Chart / visual from L.E.K.

Academic Corner

  • Zodasiran for cholesterol and triglyceride lowering in patients with hyperlipidemia: final report of phase 1 basket trial. — Nature Medicine
That’s it for today — may your term sheets be clean and your pricing pressure purely theoretical. See you tomorrow. BioBucks Team