A bidding war between Pfizer and Novo Nordisk for weight loss drug developer Metsera caught investor attention due to its rare occurrence. Genmab joined big pharma in the top ten M&A deals despite being a biotech. In addition, another league-topping deal for a neuroscience specialist indicated the commercial prospects of central nervous system (CNS) pipelines.
With less than a month of 2025 to go, data already shows a significant jump in deal value compared to 2024. What acted as M&A fuel this year, and what could be in store in 2026?
2025’s tail-heavy deals

Compared to the largest deals exclusively between two biopharma companies, it is on par with Bristol Myers Squibb’s $14bn takeover of Karuna Therapeutics in 2024.
However, when comparing across the board of pharma M&A activity, 2025 has outperformed the previous year.
“Overall deal value is up, but the volume’s down. That’s an indication that the deal sizes have gone up. The average deal size now is nearly at about $1.9bn-$2bn mark, which is significantly higher than full year 2024,” says EY LifeSciences global deals leader Subin Baral.
Although J&J’s deal for Intra-Cellular Therapies occurred early in the year, much of the M&A activity unfolded in a surge in the second half of 2025. US President Donald Trump, who assumed office in January, created market volatility with the imposition of tariffs and drug pricing reforms. As a result, many pharma companies opted to steer clear of significant acquisitions.
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