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Jonathan Poyer

Illumnia Acquires Fluent Biosciences and CMS Rule Changes Ignite Lantheus Holdings Up +35% As Biotech Continues Its Summer Bump




Macro factors dominated biotech share price performance as earnings season looms.  The S&P Select Biotech Index testing the top end of the recent trading range after seven straight up days on cooler-than-expected June CPI data.  



The initial move coincided with only the second time in history since inception in 1979 that the small-cap Russell 2,000 gained 3%+ while the S&P 500 fell on the day. 



Investors are now boosting the odds of the Fed Reserve rate cut in September and expectations are for 2-3 cuts this year.  The sector also seems to be moving on raising expectations for a GOP win in this election cycle.  Democrats have signaling the desire to be more aggressive on drug pricing legislation while looking to further subsidize Medicaid, exchanges, and hospitals.


M&A:


  • Illumnia (ILMN) acquired Fluent Biosciences (private), a consumables-only solution for single cell sequencing.  The news pressured competitor 10X Genomics (TXG) given its leading position in the single cell mkt (70% of revs come from single cell)



Regulatory:


  • The Centers for Medicare and Medicaid Services (CMS) released proposed rule changes for the CY25 Hospital Outpatient Prospective Payment System (HOPPS) that would exempt diagnostic radiopharmaceuticals that cost >$630 per day from being bundled with the costs of the overall imaging procedure.  Lantheus Holdings (LNTH) shares rallied >35% on the news as they would have subject to negative reimbursement headwinds starting in 2025 due to expiration of a temporary pass through status



  • WSJ reported the FTC plans to sue pharmacy-benefit managers (PBMs) over drug price negotiation tactics.  The FTC recently completed a two year investigation as to whether they steer patients to higher priced or higher margin products


Clinical:


  • UniQure (QURE) reported 24 month data for AMT-130 in Huntington's Disease patients that showed slowing of disease progression in a composite disease rating scale and reduction of biomarker NfL.  FDA awarded the company RMAT designation to facilitate further clinical development.  QURE had been trading as negative $200+ million enterprise value before the update



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