Pharma M&A round-up 2025: protecting against patent cliffs to come

30 December 2025

With 2025's pharma M&A spend exceeding $150 billion—going by deals reported on by The Pharma Letter—the total was higher than the sum spent in both 2024 and 2023. 

The major reason for the flurry of acquisitions, especially in the second half of the year, is evidently big pharma's need to replenish pipelines ahead of upcoming patent expiries for some of the industry's biggest-selling medicines.

Of the biggest spenders, US pharma giant Merck & Co (NYSE: MRK) splashed out the most at $19.2 billion, followed by healthcare conglomerate Johnson & Johnson (NYSE: JNJ) at $17.65 billion. The top five was completed by European heavyweights Novartis (NOVN: VX) ($16.35 billion) and Sanofi (Euronext: SAN) ($12.92 billion), along with Danish biotech major Genmab (CPH: GMAB), which spent $8 billion.

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