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Upfront Briefing

Washington served a two-parter: a narrowly passed U.S. spending bill reauthorized rare pediatric disease vouchers and funded PBM reform, putting both pricing mechanics and priority-review economics back on the menu.

In earnings land, Novo Nordisk’s 2026 sales outlook triggered a selloff (guidance: the original risk factor).

And the FDA asked Amgen to withdraw Tavneos — with Amgen refusing, setting up an uncomfortable benefit-risk showdown.

Tape Action

Instrument Last close 1D % YTD %
S&P 500 6,917.8 (0.8%) +1.1%
Nasdaq 100 25,338.6 (1.6%) +0.4%
Russell 2000 2,648.5 +0.3% +6.7%
XBI (Biotech ETF) 127.3 +0.2% +2.3%
Nasdaq Biotech 5,913.5 (0.1%) +3.6%
Clinical Trials ETF (BBC) 42.2 +0.7% +5.2%
  • Risk-off was tech-led (Nasdaq 100 (1.6%)), while biotech was relatively resilient (XBI +0.2%) as defensives + idiosyncratic catalyst names offset broader index pressure.
  • Small caps kept grinding higher (Russell 2000 +0.3%) — consistent with rotation away from crowded mega-cap growth.
  • Market data: U.S. close Feb 03, 2026.

The Big 3

1
US spending law reauthorizes pediatric vouchers, funds PBM reform
  • A narrowly passed U.S. spending bill reauthorizes rare pediatric disease vouchers and funds PBM reform, potentially shifting drug pricing dynamics.
  • Why it matters: Reauthorizing rare pediatric PRVs reopens a real source of “regulatory optionality” for rare-disease developers (a PRV can accelerate a separate asset’s review and is often monetizable), while PBM reform headlines can tighten gross-to-net assumptions and reprice U.S. commercial leverage across therapies with heavy rebate exposure.
  • Source: BioSpace
  • More: BioCentury; Endpoints
2
Novo Nordisk shares fall on 2026 sales outlook
  • Novo Nordisk's shares dropped after the company's 2026 sales outlook and 2025 results were released, triggering a selloff.
  • Why it matters: A 2026 sales/profit reset is more than “one bad quarter” — it signals tougher U.S. pricing (gross-to-net) and intensifying competition, which can compress the premium multiple on the category leader and drag sentiment across the broader GLP-1 complex (large-cap peers plus mid-cap obesity developers).
  • Source: Endpoints
  • More: BioSpace; PR; PR
3
FDA asks Amgen to withdraw Tavneos; Amgen refuses
  • The FDA has requested Amgen withdraw its drug Tavneos, but the company states it will not comply, setting up a potential dispute.
  • Why it matters: A withdrawal request that the sponsor contests is a high-friction regulatory scenario: it raises the probability of near-term revenue disruption, creates headline risk over data integrity/benefit–risk, and can lift the discount rate investors apply to programs where post-approval evidence is likely to be litigated.
  • Source: Endpoints

Everything Else that broke

  • FDA national priority voucher program legality challenged. — BioCentury
  • UK pharma trade deal with US expected to cost £1B. — Endpoints
  • Pfizer obesity program: early Metsera data draws scrutiny. — BioSpace
  • Novartis reports high single-digit sales growth in 2025. — PR
  • Merck emphasizes pipeline breadth and recent deals. — BioSpace
  • HHS launches $100M antiviral prize program. — Fierce Pharma
  • India to invest $1.1B in biologics and biosimilars. — Fierce Pharma
  • Daiichi Sankyo ends ADC work; GSK R&D unit sees layoffs. — Endpoints
  • Lu-PSMA-I&T registrational trial in Japan doses first patient. — PR
  • Neomorph doses first patient in Phase 1/2 trial for NEO-811. — PR
  • RESTEM doses first patient in Phase 2/3 study of Restem-L. — PR
  • NIH director Senate hearing highlights agency turmoil. — Fierce Biotech
  • Novo Nordisk launches 2026 share repurchase program. — PR

Deal Flow

BioBucks 2026 Deal Trackers Links • Click below ⬇️
M&A Rumors BD&L VC

M&A / BD&L

  • A quiet deal tape today, but an article on health tech M&A drivers. — Endpoints

VC / Private Financings

  • China gene editing startup AccurEdit raises $75M Series A. — Endpoints

IPOs / Follow-Ons

  • Sangamo prices $25M underwritten offering. — PR

Academic Corner

  • Global and regional cancer burden attributable to modifiable risk factors to inform prevention. — Nature Medicine
  • Spatiotemporal in vivo protein degradation. — Nature RDD
  • Targeting extrachromosomal DNA in human cancers. — Nature RDD
  • AAV-delivered UGA suppressor tRNA for disease-agnostic in vivo gene therapy. — Nature Biotech
  • Customizing CRISPR–Cas PAM specificity with protein language models. — Nature Biotech
Thanks for reading and see you tomorrow. — BioBucks Team