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New year, new opportunities: M&A life sciences trends

Explore our 2024 life sciences M&A predictions

Life sciences M&A: Looking back at 2023

Life sciences M&A dealmaking in 2023 was brighter than many expected, eclipsing the $135 billion figure from 2022, with $163 billion worth of deals announced through the end of October. The primary driver of strength in 2023 was the pharmaceutical segment, where 2023 M&A activity exceeded the same period in 2022 by 35%.

Based on these key life sciences trends, Deloitte sees momentum continuing into 2024.

Deloitte’s 2024 life sciences M&A predictions

With big pharma continuing to face loss of exclusivity events across various therapeutic areas, we believe 2024 will be another strong year for big pharma to plug portfolio gaps through M&A.

The rise of GLP-1s has created tremendous opportunities for obesity and obesity-related assets. We predict that pharma companies will seek out superior obesity drugs or complementary assets and flock to “GLP-1 resistant” therapeutic areas, and we think MedTech companies may search for assets that are not impacted by GLP-1s or assets for which an increase in longevity could portend an increase in utilization.

As AI continues to broadly disrupt all sectors of the economy, we believe life sciences companies will revisit AI opportunities. Our clients have expressed renewed interest in the space, and we have seen several AI-based drug development partnerships signed in Q3 and Q4.

Throughout 2023, we saw many big pharma companies rethink their portfolios. This entailed divesting assets to smaller companies and retaining minority stakes, as well as selling pipeline assets to other big pharma companies. Given a few high-profile successes, we think this trend will continue in 2024.

After slow periods in 2022 and 2023, we think the flurry of divestitures being used to reduce debt and improve capital structures across the industry over the past two years will lead to MedTech companies returning to growth M&A.

Another positive year ahead

2023 will not go down as a banner year for life sciences M&A, but overall, deal value and transaction activity were resilient in spite of several macro headwinds that curtailed M&A activity in other sectors. With MedTech potentially rebounding, we think the life sciences M&A backdrop for 2024 looks favorable if not slightly more positive than it did heading into 2023.

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