Graig Suvannavejh

Daphne Zohar × Eric Schmidt × Sam Fazeli × Graig Suvannavejh

Biotech’s 80% XBI rally is structurally M&A-led, with roughly $138B announced against $59B of equity issuance, compressing premiums and leaving no preclinical IPOs.Moderna’s melanoma vaccine suggests a durable trade-secret franchise, while BioNTech’s colorectal failure leaves tumor context unresolved; daraxonrasib’s $478K price and frontline label, and ivonescimab’s HARMONi-3 in 6–9 months, set the key monitoring points.

Chris Garabedian × Graig Suvannavejh × Paul Matteis × Tess Cameron

Biotech’s tape is “healthy but discerning,” with 19 Nasdaq issues year-to-date and the XBI outperforming, yet market-neutral shorts have struggled as heavily shorted names such as Crinetics and Apogee were acquired.Tenex and Sionna failures show how sharply negative data is punished, while MindMed’s durable Phase 3 LSD effect and Belite’s February 12, 2027 PDUFA create catalysts amid continuing diligence and competitive risks.

Graig Suvannavejh × Tim Opler × Yaron Werber × Paul Matteis × Brian Skorney

Biotech is decisively outperforming, with XBI +24% YTD versus +9% for the S&P 500, as Graig sees FDA headwinds turning into tailwinds alongside 14 IPOs and $300B+ of pharma revenue at LOE risk.Reverse mergers now rival traditional IPOs, while J&J’s $785M Sail deal and $2.6B acquisition option reinforce hot in vivo CAR-T M&A.Alnylam’s roughly 30% TTR sell-off and Novo’s ZEUS miss leave upcoming data and year-end M&A as key tests.

Graig Suvannavejh × Eric Schmidt × Paul Matteis × Oliver Barnes

Biotech is outperforming healthcare, with XBI up 10.5% year-to-date and Parabilis Medicines setting a $771M IPO record.Selective capital remains pivotal: Summit withdrew its $500M offering before the binary global HARMONi-3 readout, while Tango and Revolution reported a 90%+ response rate.Major deals and regulatory shifts offer catalysts, but financing needs, commercial competition, and follow-on capital allocation remain unresolved risks.

Chris Garabedian × Brian Skorney × Graig Suvannavejh × Jason Kelly

Biotech capital markets are recovering: Cardigan is the 11th 2026 IPO filing, while Endpoints sentiment reached 96 and finance/investment stakeholders reached 120.Ginkgo’s cell-engineering thesis, Lilly’s up-to-$3.8B vaccine buying, Apogee’s up-to-$1.3B financing, and ASCO’s RESOLUTE 302 readout leave regulation and tolerability to monitor.

Eric Schmidt × Matt Gline × Chris Garabedian × Sam Fazeli × Graig Suvannavejh

Biotech’s IPO window remains open: ten deals have raised $3.2B YTD, with the respiratory IPO moving from $18 to near $29.Yet no governor limits the cycle, and generalists remain selective around de-risked clinical- or commercial-stage names.Lilly’s six acquisitions and $14.5B upfront make it a category of one, leaving 2026 M&A and the XBI’s shrinking lead to monitor.

Graig Suvannavejh × Josh Schimmer × Yaron Werber × Sam Fazeli × Oliver Barnes

XBI has rebounded 84% from its Liberation Day low to a fresh 52-week high, with financing and IPO activity pointing to improving risk appetite.Merck’s $6.7B Terns deal shows updated data can erase bidding leverage, while Gilead’s $3.15B Tubulis acquisition backs a differentiated ADC platform; Replimune’s second CRL leaves the FDA’s bar unclear, and obesity pricing competition remains a catalyst.

Graig Suvannavejh × Mike Yee × Eric Schmidt

Biotech is up 7.4% YTD versus the S&P 500 down 4%, as Q1 delivered a record first quarter for public-company M&A: nine deals totaling $32B.Biogen’s $5.6B Apellis acquisition paid a 140% premium to address a potential $1.5B Ocrevus royalty shortfall in 2029–2030, but Alexion and Regeneron Phase 3 GA readouts later this year could test the economics.

Sam Fazeli × Josh Schimmer × Paul Matteis × Graig Suvannavejh

Biotech’s data-to-financing loop and emerging cash-flow profile challenge the macro bear case that $100 oil and war will revive inflation, rates, and risk-off.FDA turnover, DNL310’s April 5 PDUFA, and IDEAYA’s month-end uveal-melanoma readout create near-term tests of regulatory flexibility and clinical translation.Servier’s Day One deal and NMIBC’s shift to doublets highlight external innovation and commercial positioning, while PFS-to-OS translation remains unresolved.

Eric Schmidt × Paul Matteis × Sam Fazeli × Graig Suvannavejh × Luba Greenwood

Graig Suvannavejh’s 15-year Sentometer shifted from record small-cap enthusiasm to “winter is coming,” pointing to probably another three months before biotech sentiment bottoms.Profitability is approaching across SMID biotech, but its value depends on reinvestment-driven growth, not modest earnings.SpringWorks’ expected Merck KGaA catalyst and Moderna’s cancer-vaccine timeline lead the watchlist, while FDA and NIH changes remain unresolved risks.