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Upfront Briefing

Merck fired the biggest strategic shot of the day, agreeing to acquire Terns Pharmaceuticals for up to $6.7B as it adds CML asset TERN-701 and keeps building beyond Keytruda.

Novo Nordisk also put fresh metabolic proof points on the board: triple agonist UBT251 cut HbA1c by up to 2.16% at 24 weeks in a Phase 2 trial in Chinese patients with type 2 diabetes, with improvements versus semaglutide 1 mg.

Meanwhile, the capital and compliance calendars stayed busy: Apogee priced a $350M public offering, and FDA criticized Patrick Soon-Shiong and ImmunityBio over misleading Anktiva claims.

Tape Action

Instrument Last close 1D % YTD %
S&P 500 6,556.4 (0.4%) (4.4%)
Nasdaq 100 24,002.4 (0.8%) (4.8%)
Russell 2000 2,505.4 +0.4% (0.1%)
Healthcare (XLV) 144.8 0.0% (6.5%)
Biotech (XBI) 119.5 (1.8%) (1.6%)
Nasdaq Biotech (NBI) 5,582.3 (0.7%) (2.2%)
Clinical Trials (BBC) 39.4 (1.2%) +4.7%
  • Macro turned risk-off again: the S&P 500 fell 0.4% and Nasdaq 100 dropped 0.8% as oil rebounded and Treasury yields firmed, reviving inflation and duration concerns after Monday’s relief rally.
  • Biotech beta underperformed the large-cap complex: XBI fell 1.8% versus NBI down 0.7%, consistent with investors trimming earlier-stage and financing-sensitive exposure first when the tape turns defensive.
  • Small caps were the outlier: Russell 2000 rose 0.4%, suggesting the session was not a blanket growth unwind so much as a rotation away from mega-cap tech and speculative biotech.

The Big 3

1
Merck to acquire Terns Pharmaceuticals in oncology deal worth up to $6.7B
  • Merck said it will acquire Terns Pharmaceuticals for $53 per share in cash, in a deal valued at up to $6.7B, adding chronic myeloid leukemia candidate TERN-701.
  • Why it matters: This is the sharper signal for biotech investors: large-cap pharma is still willing to pay meaningful premiums for targeted oncology assets that can help offset looming patent cliffs. For Merck specifically, Terns strengthens the post-Keytruda oncology bench; for the broader market, it reinforces strategic value for differentiated late-precommercial cancer assets.
  • Source: Reuters
2
Novo Nordisk triple agonist UBT251 posts Phase 2 T2D data
  • Novo Nordisk said triple agonist UBT251 cut HbA1c by up to 2.16% at 24 weeks in a Phase 2 trial in Chinese patients with type 2 diabetes, with superior HbA1c and body-weight reductions versus semaglutide 1 mg.
  • Why it matters: The more important signal is not just that UBT251 worked, but that it outperformed semaglutide 1 mg on both HbA1c and weight at 24 weeks in China Phase 2. That strengthens Novo’s next-wave incretin bench, supports lifecycle optionality beyond semaglutide, and raises the odds the company will keep funding multi-agonist programs aggressively despite a crowded metabolic field.
  • Source: PR
3
Apogee Therapeutics prices $350M underwritten public offering
  • Apogee Therapeutics priced a $350 million underwritten public offering. The raise could extend runway but adds dilution and potential supply overhang.
  • Why it matters: Upsizing the deal from the initially marketed $300M to $350M is a constructive read on demand and meaningfully de-risks the balance sheet into multiple clinical catalysts. The trade-off is the usual one for secondaries: fresh capital improves strategic flexibility, but the new paper can cap near-term upside until the book is fully absorbed.
  • Source: PR

Everything Else that broke

  • FDA warned ImmunityBio and Patrick Soon-Shiong over “false and misleading” promotional claims for Anktiva, saying risks were omitted and efficacy was overstated. — STAT
  • Ocugen advances geographic atrophy gene therapy into Phase 3. — Endpoints
  • Rezolute cites supportive FDA feedback on ersodetug path. — BioSpace
  • Biomea Fusion reports full-year 2025 results, corporate updates. — PR
  • Spectral AI posts 2025 results, introduces 2026 revenue guidance. — PR
  • TELA Bio reports Q4 and full-year 2025 financial results. — PR
  • BioCardia reports 2025 business highlights and financial results. — PR
  • BrightGene reports Phase 1 topline results for oral BGM0504. — PR
  • Clover posts additional U.S. Phase 1 RSV re-vaccination data. — PR
  • Hope Medicine doses first patient in Phase 3 endometriosis trial. — PR
  • Akeso advances IO 2.0 + ADC 2.0 strategy with Phase 2 start. — PR
  • AL-S Pharma Phase 2 readout probes SOD1 biology in ALS. — BioCentury
  • Gilead outlines 2026 agenda across HIV, I&I and oncology. — BioCentury
  • DBV Technologies to join CAC Mid 60 and SBF 120 indices. — PR

Deal Flow

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

M&A / BD&L

  • Merck will acquire Terns Pharmaceuticals for $53 per share in cash, in a deal valued at up to $6.7B, adding CML candidate TERN-701 as it builds beyond Keytruda. — Reuters
  • Merck will pay Quotient Therapeutics $20M upfront in a deal worth up to $2.2B to identify inflammatory bowel disease targets using somatic genomics. — Fierce Biotech
  • Apnimed monetized its stake in the Shionogi-Apnimed Sleep Science JV for $150M plus royalties, sharpening focus on its wholly owned OSA program AD109. — PR

VC / Private Financings

  • Immutrin raises $87M Series A to advance an ATTR cardiomyopathy antibody into proof-of-concept; led by Frazier Life Sciences, joined by F-Prime, Qiming Venture Partners, SR One, Cambridge Innovation Capital and Cambridge Enterprise Ventures. — Fierce Biotech

IPOs / Follow-Ons

  • Apogee Therapeutics prices a $350M underwritten public offering at $70.00 per share, above the $300M size initially floated Tuesday. — PR

Things that make you go hmmm ...

A useful reminder that biotech IPO timing is often driven as much by process mechanics as by pure market appetite. Source: Bruce Booth (@LifeSciVC).

Chart / visual from Bruce Booth

Academic Corner

  • A pocket-sized drug for p53-mutant cancers. — Nature Medicine
  • LRRK2-targeting antisense oligonucleotide in Parkinson’s disease: a phase 1 randomized controlled trial. — Nature Medicine
  • AI-based chest X-ray prioritization in the lung cancer diagnostic pathway: the LungIMPACT randomized controlled trial. — Nature Medicine
That’s it for today — see you tomorrow. BioBucks Team