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Biotech IPOs heated up to start 2024. Will the surge last?

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After more than two years in the doldrums, initial public offerings, an important indicator of the biotechnology industry’s health, have shown signs of life. 

A run of offerings in the first six weeks of 2024, most worth around $100 million or more, has put the sector on its strongest pace since 2021. Those IPOs, combined with the recovery of biotech’s two flagship stock funds and a dealmaking surge, have given industry watchers reasons to be optimistic

“Some of the trends that are going on are in the right direction,” said Mike Perrone, a managing director at Baird, an investment bank. If they continue, “we can feel confident that the worst is behind us.” 

Yet, it’s unclear whether that’s the case for IPOs. Since a torrid two-week stretch in late January and early February, no biotechs have revealed IPO plans or priced. Offerings appear most accessible to companies with drugs in advanced testing; those earlier on still seem to be having difficulty. Some predict offerings won’t pick up until later this year or even 2025. 

“There’s still a lot of selectivity,” said Peter Maag, the CEO of Kyverna Therapeutics, which raised one of the year’s largest offerings. The market is “skewed towards late-stage, de-risked types of assets.” 

Whether it stays that way could have important consequences for how drug startups are built and financed in the near future. Here are three questions to watch.

Is the recent IPO surge a mirage? 

Since the start of the year, eight biotechnology companies have priced an IPO. They’ve raised roughly $1.2 billion combined, far more than the total at this point in each of the last two years. In 2023, four companies raised a total of $375 million, while the year before eight biotechs pulled in $675 million, according to BioPharma Dive data.

CG Oncology, Kyverna Therapeutics and ArriVent Biopharma each raised more than initially projected. Their stock prices climbed after pricing, too, a sign of public investor demand. All three currently trade well above their IPO price.

Yet, over the past two years, dry periods have typically followed spurts of IPO activity. That appears to be happening again this year. 

Industry insiders interviewed by BioPharma Dive had mixed views on whether that pattern will change. 

Kazi Helal, Pitchbook’s senior healthcare analyst, said the surge in successful offerings could convince other biotechs to capitalize on the momentum. “More people will go IPO now because there’s now money, and they don’t want to be the last guy when there’s no money,” he said.

Others are more cautious. Michael Cohen, co-leader of Brown Rudnick’s venture capital group, expects more activity in late 2024 and early next year. To his colleague Chris Jeffers, Brown Rudnick’s vice president of life sciences, the pace of offerings by April will be a better barometer of whether the IPO window is actually open. 

Economic uncertainty or swings in the broader market may also impact the pace of activity, noted Kale Frank, managing director in Silicon Valley Bank’s life science and healthcare practice. Poor performance by newly public companies could push others to adjust.

“You will see some bursts of activity,” but also “some cold spells,” Frank said. 

A glut of biotechs are waiting. The current backlog of companies looking to go public is bigger “than we’ve ever had,” Frank said. Investors are telling a lot of those companies “to be ready and be opportunistic.”

Will the IPO market open up?

Since the start of 2023, there has been a change in the type of company that can successfully go public. 

More than half of the 28 IPOs since — and nine of the largest 10 offerings — involved companies with drugs in mid-stage testing or later, according to BioPharma Dive data. By comparison, only six companies without a drug in human trials have priced. They raised an average of about $88 million. Half pulled in less than $10 million. 

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