Bristol-Myers Squibb’s Bold Move: Acquiring Karuna Therapeutics for $14 Billion

Amidst a relatively sluggish M&A landscape, the pharmaceutical and biotech sectors have emerged as hotbeds of deal-making activity. Flush with cash, healthcare companies are eager to fortify their drug portfolios, resulting in a flurry of acquisitions. The latest addition to this trend is Bristol-Myers Squibb (BMY), which recently announced its intent to acquire Karuna Therapeutics (KRTX), a clinical-stage biotech company specializing in neurological disease treatments, for a staggering $14.0 billion. In this article, we delve into the details of this significant acquisition and its potential impact on Bristol-Myers Squibb.

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A Surge in Healthcare Sector Deals

Over the past month, the healthcare sector has witnessed a series of high-profile acquisitions. Notable transactions include Roche Holdings’ $2.7 billion acquisition of Carmot Therapeutics on December 4, along with two purchases by AbbVie (ABBV): the $8.7 billion acquisition of Cerevel Therapeutics on December 1 and the $10 billion acquisition of ImmunoGen (IMGN) on November 30. These deals reflect the industry’s drive to expand and enhance their offerings in a competitive landscape.

Bristol-Myers Squibb’s Strategic Acquisitions

Bristol-Myers Squibb’s acquisition of Karuna Therapeutics is not its first strategic move. In October, the company acquired oncology firm Mirati Therapeutics (MRTX), strengthening its cancer treatment portfolio. However, the KRTX acquisition holds the potential to significantly boost its neuroscience business.

The Star of the Deal: KarXT

At the heart of this acquisition lies KarXT, a groundbreaking treatment for schizophrenia and Alzheimer’s disease psychosis. This potential first-in-class drug is on track for potential FDA approval in September 2024, with a current PDUFA date set for September 26, 2024. In March, Karuna Therapeutics reported encouraging Phase 3 data, meeting its primary endpoint by achieving a substantial 8.4-point reduction in Positive and Negative Syndrome Scale (PANSS) total score compared to placebo.

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Promising Tolerability and Safety Profile

One of the standout features of KarXT is its favorable tolerability and safety profile. Unlike existing schizophrenia treatments that often come with severe side effects, such as Parkinson’s disease-like shaking, sedation, insomnia, and weight gain, KarXT targets different receptors (M1/M4 Muscarinic Receptors). Clinical trial data indicates that the drug offers milder side effects, making it a potentially more attractive option for patients.

A Potential Blockbuster Drug

Should KarXT secure FDA approval in September, it has the potential to become a blockbuster drug for Bristol-Myers Squibb, generating billions in revenue. With an estimated 1.6 million individuals treated for schizophrenia in the United States alone, the market is substantial. Furthermore, if KarXT gains approval for additional indications, such as Alzheimer’s disease psychosis, its total addressable market expands significantly.

The Hefty Price Tag and Market Response

Bristol-Myers Squibb’s willingness to pay a substantial $330 per share, representing a 53% premium over the previous day’s closing price, highlights the company’s conviction in the potential of Karuna Therapeutics. This acquisition comes at a time when Bristol-Myers Squibb is facing a slowdown in growth, with its chemotherapy treatment Revlimid facing increasing competition from generics. In Q3, Revlimid sales plunged by 41% to $1.4 billion, while its blood thinner treatment Eliquis saw flat sales of $2.7 billion.

Investor Enthusiasm Despite Dilution

Investors have responded positively to the news, with Bristol-Myers Squibb shares trading higher. This is noteworthy, as acquiring companies typically see their stock prices dip on buyout news, especially when the deal dilutes earnings per share (EPS). Bristol-Myers Squibb anticipates that the acquisition will be dilutive to EPS by approximately $0.30 per share in 2024 due to financing costs associated with raising debt to fund the transaction.

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Bottom-line: The acquisition of Karuna Therapeutics for $14 billion underscores Bristol-Myers Squibb’s commitment to expanding its neuroscience treatment portfolio and potentially offering a best-in-class solution for the challenging condition of schizophrenia. As the healthcare sector continues to witness robust M&A activity, Bristol-Myers Squibb’s strategic move aligns with its goal of delivering innovative treatments and maintaining a competitive edge in a dynamic market landscape.

Lance Jepsen
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This content is provided for informational purposes only and does not constitute financial, investment, tax or legal advice or a recommendation to buy any security or other financial asset. The content is general in nature and does not reflect any individual’s unique personal circumstances. The above content might not be suitable for your particular circumstances. Before making any financial decisions, you should strongly consider seeking advice from your own financial or investment advisor.

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