Why the drug industry's center of gravity is shifting to China

3 September 2026
© Li Yang on Unsplash

An Expert View from Ethan Smith, Director of Oncology, Norstella.

For most of the past two decades, the flow of pharmaceutical innovation followed a familiar route. Assets originated in the USA and Europe, and China was a destination market. That model has all but gone. China is now a net exporter of drug rights, and the Western companies that once sold into it are increasingly buying out of it. For any pharma company building a pipeline or planning a business development strategy, understanding why this has happened is crucial.

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