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Life sciences M&A trends

Looking back at 2025 and ahead to 2026

2026 life sciences M&A outlook: Five industry themes we’re tracking

We present our annual outlook for 2026 in an industry with innovation that is more geographically and technologically dispersed than ever.

A year of rebound and redirection

Life sciences mergers and acquisitions (M&A) deal flow in 2025 experienced a dynamic shift between the first and second half of the year. Limited dealmaking, driven by market uncertainty at the beginning of the year, was followed by a robust rebound in activity in late 2025. By the end of November, 193 transactions totaling $220 billion had taken place, surpassing 2024’s total deal value (figure 1).



Pharma led the charge, accounting for more than half of the year’s deal value as companies pursued larger, more strategic transactions (figure 2). With the average deal size rising by $450 million year over year, a 70% increase over 2024, we observed a shift to derisked assets and deal activity in highly competitive disease areas (e.g., metabolic dysfunction-associated steatohepatitis or MASH) to drive the next phase of innovation and growth in life sciences.

Figure 1. M&A and venture activity in life sciences (2021–2025)

Source: Deloitte analysis of CapIQ and Crunchbase data on November 30, 2025.

 

The sluggish start to 2025 dealmaking was driven by lingering global economic turbulence, persistent inflation, and an unclear regulatory environment, which slowed both M&A and venture activity (figure 2). The combination of factors raised both cost and complexity, causing investors to be highly selective and more risk averse. 



However, as the year progressed, life sciences M&A showed renewed momentum with buyers looking at external innovation opportunities to replenish pipelines and reposition portfolio priorities. This late-year improvement suggests that the market is rebuilding its footing and points to a cautiously optimistic outlook for 2026, as investors continue stepping off the sidelines in search of derisked, growth-oriented assets.

Figure 2. M&A and venture activity in life sciences by subsector (2021–2025)

Note: Percentages may not total 100 due to rounding.

Source: Deloitte analysis of CapIQ and Crunchbase data on November 30, 2025.

 

Other signals revealed themselves during 2025, shaping deal activity:

  • A shift toward acquisitions of single or smaller portfolios of clinical assets, which are subsequently tucked into existing portfolios.

  • An uptick in MedTech and surge in diagnostics dealmaking, driving greater deal volume and value in 2025. A notable amount of diagnostic activity occurred as sellers divested noncore assets.

  • Lesser dealmaking in the CRO/CDMO subsector, which stalled in 2025, with deal value retrenching by more than 70% compared to 2024.

 

4 key takeaways from the 2025 life sciences M&A market

Life sciences venture deals declined in 2025, with completed deals down more than 30% from 2024 and total value at $18 billion through October. Pharma decreased by $6 billion. The downturn reflects greater capital discipline as investors responded to volatile markets and tighter policy. Over 60% of the deal value went to Series A-C funding, and 80% supported companies with lead assets in Phase 1 and Phase 2 clinical trials. Investors moved away from early-phase and transformative assets to technologies with strong evidence and clear paths. MedTech attracted nearly $5 billion and was the only sector with venture capital growth in 2025.

Pharma dealmaking balanced established therapies and innovations. Oncology was the top with 30% of $120 billion deals, with buyers pursuing immune cell therapies, multi-specific antibodies, and radioligand technologies. Activity increased in neurology, rare disease, and cardiovascular, driving $36 billion in transactions. Buyers targeted brain-penetrant biologics, small molecules for neurological delivery challenges, and novel cardiovascular delivery systems—nanoparticles, peptides, polymer-based vehicles. Trends show a shift toward programmable, modular, targeted therapies. Buyers are building adaptable platforms to expand beyond oncology.

MedTech and diagnostics M&A delivered $78 billion in deals. Diagnostics grew in deal value and volume from 2024, reaching $42 billion, driven by advances in spatial multi-omics, AI clinical bioinformatics, and scalable molecular diagnostics. The industry is shifting from laboratory essentials to clinical services. In MedTech, portfolio optimization and consolidation continued, with larger players acquiring mature, high-growth technologies. Overall sector M&A grew slightly, up 20% from 2024 despite financial and macroeconomic factors. Buyers targeted cardiovascular, oncology, and neurovascular assets; implantable devices; and closed-loop neuromodulation. Trends show a focus on growth, as organizations seek technologies supporting long-term resilience.

CRO (contract research organizations), CDMO (contract development and manufacturing organizations), and life sciences supplier dealmaking declined to $8 billion as 2024 consolidation momentum slowed. High capital costs, trade friction, and operational challenges cut deal activity, making inorganic growth a lower priority. Buyers focused on advanced pharma manufacturing and integrated platforms. Companies are building digital partner networks to manage complexity and support future growth.

Turning insight into action for life sciences leaders


In 2025, the life sciences deal landscape was shaped by strategic transactions targeting proven assets in oncology, diagnostics, and next-generation manufacturing. Across all segments, stakeholders prioritized clinical value, technological sophistication, and the ability to navigate regulatory and market uncertainty. In 2026, the environment is expected to remain bullish, with both public and private companies driving significant acquisitions.

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