Market Perspectives

Revisiting the Promise and Hope of Biotech

Head of Portfolio Management / Chief Investment Officer

When the COVID-19 pandemic struck in 2019, biotech found itself in the spotlight as never before. Researchers and scientists across the globe raced to develop vaccines and treatments that had become urgent seemingly overnight.

In FEG’s June 2020 Insights Bridge podcast, Peter Kolchinsky—virologist, investor, and founder of RA Capital—talked to our co-CEO Greg Dowling. Peter rightly predicted that biotech innovation would bring life-saving vaccines and treatments to market, but he speculated that that their success, and the very public attention that this success would bring, had the potential to fuel a new “golden age” for biotech innovation and investment if certain conditions were met. His caveat was prescient. After a period of broad optimism, a more bearish scenario emerged.

Today, we see green shoots of opportunity emerging. From the impact of AI on testing and research, to growing opportunities in the field of autoimmune disorders, biotech is undergoing another seismic shift. Nevertheless, patience, experience and vigilance are essential.

In FEG's latest podcast, Peter and Greg revisit what happened during this period and analyze why – and where – there is renewed optimism for select biotech opportunities today. It is well worth a listen

Patience: Acknowledge and Adapt to Market Cycles

Biotech has a long history of growth and contraction cycles, and of investor optimism and pessimism. While transformative breakthroughs have emerged in the past half‑decade, investor enthusiasm cooled quickly after pandemic relief. After initial valuations surged on promise alone, a correction set in. Since its peak in February 2021, the S&P Biotech Index has fallen by more than 45%, and lagged the S&P 500 Index by more than 100% over the 5-year period ending June 30, 2025. Many early‑stage IPOs that capitalized on COVID‑era optimism ended up trading below their cash values – a common occurrence in periods of speculative fervor. Nonetheless, FEG believes the sector is far from broken; rather, it has reset. Still, while counseling investors to take a long-term view is preferred, this perspective is even more important when it comes to investing in biotech opportunities.

Experience: Navigate the Landscape

The most profitable path for biotech firms and their investors is often to focus and invest where science and technology can address unmet needs, rather than crowd into areas more likely to be solved by existing players who may have legacy advantages.

This level of specialty knowledge favors managers that focus solely on the biotech sector and, as a result, have the deep foundational coverage to look beyond headlines and current balance sheets. Whether investing in long-only or hedge fund strategies, smaller-cap publicly traded companies, or VC opportunities targeting new and innovative private companies, FEG views specialization and experience across biotech market cycles as essential.

Vigilance: Closely Monitor M&A and the Impact of Policy

Despite industry volatility, pharma giants continue to pursue mergers and acquisitions. With hundreds of billions of dollars in purchasing power and strong balance sheets, FEG believes biotech M&A to be robust in the coming years. While policy uncertainty has periodically roiled markets, price controls have been moderated, and efforts are underway to help ensure entrepreneurship and innovation are not stifled.

Investment across the biotech sector is uneven and there is less capital being invested in the sector overall. Still, emerging therapies for autoimmune diseases, early cancer detection via blood tests, and innovations in treating neurodegenerative disorders, to name a few, continue to be developed. While the past five years have been disappointing from an investment standpoint, we believe the case for more attractive opportunities over the next five is compelling.


A Large Universe of Public Opportunities
Number of Biotech Firms with Less Than $10 Billion Market Cap
Picture1-Aug-28-2025-08-25-50-7722-PM-1

Data Source: RTW Capital


As the chart above highlights, there is a large universe of publicly traded biotech firms, many of which trade at reasonable valuations. At the same time, science and innovation continue to have significant impact in both public and private markets. In a classic form of creative destruction, there will no doubt be winners and losers in this space. Opportunities may sometimes be narrow, but they are there. In such an environment, we seek to find active managers in biotech, and avoid indexing. Those managers with the experience and focus to understand the science, capital markets, business building, policy background and the broader pharma industry may be best positioned to leverage this environment and add value.

 

 

 

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