Ep. 346 - 2026 Public Markets Preview
Episode
30 min
Read time
2 min
Topics
Health & Wellness, Investing, Fundraising & VC
AI-Generated Summary
Key Takeaways
- ✓Recovery Benchmark: The XBI rose 36% in 2024 and 83% from its April trough, outperforming the S&P 500, tech sector, and Magnificent Seven. Investors tracking sector re-entry should use this baseline to assess whether current valuations still represent undervalued entry points relative to four years of underperformance.
- ✓2012–2013 Analog: Investors who lived through the post-2008 recovery draw a direct parallel to today: then, six mid-cap biotechs (Gilead HCV, Vertex Kalydeco, Regeneron Eylea, Biogen Tecfidera, Amgen Denosumab, Celgene Revlimid) drove a sector-wide IPO wave. Today, at least 23 companies enter 2026 with high-growth commercial launches, distributing risk more broadly.
- ✓Generalist Capital Signal: On December 9, 2024 alone, $3.3 billion in follow-on offerings closed, all substantially upsized. Mutual funds that previously requested minimum allocations began offering to fund entire deals solo. Investors monitoring sector momentum should track follow-on upsizing rates as a leading indicator of generalist re-entry before IPO windows open.
- ✓IPO Quality Discipline: Bankers and investors identify a slew of underperforming post-IPO stocks as the single most likely momentum killer for 2026. The strategy: only the highest-quality, late-stage private companies—seasoned through an extended bear market—should price first, with a broader window expected around May–June if early names like Aptis Oncology hold their pricing.
- ✓FDA Risk Framework: FDA remains the sole major overhang, splitting investors into two camps. One camp notes that most portfolio companies still report normal FDA interactions despite staffing reductions. The other warns that accumulated disruption will compound over time, potentially delaying PDUFA-dated launches and shifting valuation models by one to two years for pipeline-stage assets.
What It Covers
BioCentury's 2026 public markets preview examines why biotech's recovery—marked by XBI returning 36% in 2024 and outperforming the Magnificent Seven—may finally be durable, analyzing 23 commercial-stage companies, generalist capital rotation, sustained M&A activity, and FDA regulatory uncertainty as the primary remaining headwind.
Key Questions Answered
- •Recovery Benchmark: The XBI rose 36% in 2024 and 83% from its April trough, outperforming the S&P 500, tech sector, and Magnificent Seven. Investors tracking sector re-entry should use this baseline to assess whether current valuations still represent undervalued entry points relative to four years of underperformance.
- •2012–2013 Analog: Investors who lived through the post-2008 recovery draw a direct parallel to today: then, six mid-cap biotechs (Gilead HCV, Vertex Kalydeco, Regeneron Eylea, Biogen Tecfidera, Amgen Denosumab, Celgene Revlimid) drove a sector-wide IPO wave. Today, at least 23 companies enter 2026 with high-growth commercial launches, distributing risk more broadly.
- •Generalist Capital Signal: On December 9, 2024 alone, $3.3 billion in follow-on offerings closed, all substantially upsized. Mutual funds that previously requested minimum allocations began offering to fund entire deals solo. Investors monitoring sector momentum should track follow-on upsizing rates as a leading indicator of generalist re-entry before IPO windows open.
- •IPO Quality Discipline: Bankers and investors identify a slew of underperforming post-IPO stocks as the single most likely momentum killer for 2026. The strategy: only the highest-quality, late-stage private companies—seasoned through an extended bear market—should price first, with a broader window expected around May–June if early names like Aptis Oncology hold their pricing.
- •FDA Risk Framework: FDA remains the sole major overhang, splitting investors into two camps. One camp notes that most portfolio companies still report normal FDA interactions despite staffing reductions. The other warns that accumulated disruption will compound over time, potentially delaying PDUFA-dated launches and shifting valuation models by one to two years for pipeline-stage assets.
Notable Moment
A banker described how mutual fund behavior reversed completely within twelve months: funds that once requested only minimum follow-on allocations began offering to purchase entire $150 million deals outright, forcing banks to upsize offerings just to accommodate other investors seeking access to the same positions.
Episode Transcript
BioTech's bull is back, and investors think it can stick. On a special edition of the BioCentury This Week podcast, we'll explore why. This podcast coincides with BioCentury Publishing, the four part 2026 public markets preview. Joining me to discuss this are the author and my fellow BioCentury this week host, Steven Hansen, and editor in chief Simone Fishburne and executive editor, Selena Koch, who edited the package. I'm Jeff Cranmer, executive editor here at BioCentury. Let's get to it. Steven, we've had about four years in a row where we're like, yay. We can make a comeback, but people think it can stick this time. Break it down for us. Yeah. Thanks, Jeff. Yeah. As you say, there's been I think in the story I counted, we've maybe said five false starts sort of over the past four years where people thought there was a chance the market was finally in a recovery, and then something always happened that, you know, shot it down and, sent everyone back to the doldrums. And so sort of in hindsight looking back here, I mean, we can definitely say that biotech is now fully in recovery mode. I think we can say. Tech Index has, you know, finally outperformed the broader markets last year. You know, the XBI was even better than, not only was it better than tech and sort of the S and P, I mean, it even beat the Magnificent Seven, which are the, you know, the seven tech stocks, AI stocks that, were up 25% last year. Whereas if you look at the XBI, it was about 36% for the year and up 83% from its trough in April. So I think it's clear we can say that that the recovery is underway. Now, the main question that we were then looking at was why won't this be another false start for the sector? There were a couple key points and I'll just mention them here briefly and then we can maybe dig into them. But one was about this enthusiasm for sort of a new cohorts of commercial growth stories of of new companies that are in early launch phase where there's a significant opportunity for them to see sort of rapid revenue growth and so that is one thing that's very, very enticing from the investors perspective. Continued M and A was another strong theme. We saw a ton of deals this past year, and there's every expectation that those are gonna continue into 2026. And then just the capital capital formation, I mean, part of that being, you know, a rotation sort of from generalist more into biotech and that being able to then fuel more follow ons, the potential for IPO's this year. And then finally, when we look at sort of what could potentially halt the momentum, there were a number of things over the past several years that were kind of overhangs for the sector. You know, whether they were sort of …
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“six mid-cap biotechs (Gilead HCV, Vertex Kalydeco, Regeneron Eylea, Biogen Tecfidera, Amgen Denosumab, Celgene Revlimid) drove a sector-wide IPO wave.”
“six mid-cap biotechs (Gilead HCV, Vertex Kalydeco, Regeneron Eylea, Biogen Tecfidera, Amgen Denosumab, Celgene Revlimid) drove a sector-wide IPO wave.”
“six mid-cap biotechs (Gilead HCV, Vertex Kalydeco, Regeneron Eylea, Biogen Tecfidera, Amgen Denosumab, Celgene Revlimid) drove a sector-wide IPO wave.”
“six mid-cap biotechs (Gilead HCV, Vertex Kalydeco, Regeneron Eylea, Biogen Tecfidera, Amgen Denosumab, Celgene Revlimid) drove a sector-wide IPO wave.”
“only the highest-quality, late-stage private companies—seasoned through an extended bear market—should price first, with a broader window expected around May–June if early names like Aptis Oncology hold their pricing.”
“six mid-cap biotechs (Gilead HCV, Vertex Kalydeco, Regeneron Eylea, Biogen Tecfidera, Amgen Denosumab, Celgene Revlimid) drove a sector-wide IPO wave.”
“six mid-cap biotechs (Gilead HCV, Vertex Kalydeco, Regeneron Eylea, Biogen Tecfidera, Amgen Denosumab, Celgene Revlimid) drove a sector-wide IPO wave.”
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