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Novo Nordisk on M&A, and why BioNTech moved beyond mRNA

January 14, 2026

It's Day 3 of JPM and all of us — Matt, Elaine, Adam, and Allison — are still here! Also, surprisingly, it's not raining here in San Francisco, as it usually is around JPM. (Remember the umbrellas?)

The Readout Loud crew chatted with new Novo Nordisk CEO Mike Doustdar, who said this is his first JPM — not just as the Danish pharma company's CEO, but ever. How many times have you been? The highest tally I've heard is around 30. Can you beat that? Shout it out on social media (tag STAT!) or via email at allison.deangelis@statnews.com.

Now, to the news.

AP_20168394196031Gonzalo Fuentes/Pool via AP

Pharma

Threading the MFN needle

Listening to pharmaceutical executives talk about the "most-favored nation" deals they signed with the Trump administration, it can often sound as if everyone won. But Paul Hudson, the CEO of Sanofi, believes investors should not make that assumption; this was, instead, a deal where both sides had to make some compromises.

"I would say the government got what it needed, and we worked very hard to make sure that we could still deliver what we think is an attractive investment thesis for the company without breaking stride," Hudson said at a reporter breakfast. "So it was a very difficult needle to thread. I don't want to give the impression that there's no impact from MFN, because the question for us is: Can we manage that and deliver an attractive long-range plan?"

Christopher Boerner, the CEO of Bristol Myers Squibb, struck a similar note in an interview. "​​I think what we did with the agreement we signed at the end of last year is find a way to balance the interest of the administration in 'most-favored nation' with, obviously, what's best for the company, but importantly, how can we find ways to provide real value to patients?" A key example, in his view? Making medicines available at a lower cost directly to patients.



PODCAST

Novo Nordisk on M&A, and Bob Nelsen on U.S. competitiveness

Novo Nordisk's new CEO, Mike Doudstar, wants to make his company much more visible and active at JPM. In fact, he said at a live recording of the Readout LOUD podcast, he brought his whole executive team here to meet other companies.

And they're on the lookout for opportunities. Novo was willing to pay up to $10 billion to acquire obesity startup Metsera, before Pfizer ultimately secured the deal last year. And "we could have actually, on a different deal, something that was worth more, go twice, three times, four times more" due to the company's financial strength, Doudstar said.

We also spoke with ARCH Venture Partners' Bob Nelsen on the podcast.

He thinks U.S. regulators need to move much faster in order to help the industry compete with China. "How come we're not acting like we were in the pandemic all the time? We know we can go faster. Why aren't we going faster? Why did we go back to this old, shitty, slow system," he said.

"I don't blame China for being competitive. I blame the U.S. for not stepping up and competing," he added.

When asked about his thoughts on the FDA commissioner's new voucher program, he said, "I'm very much in favor of it and I think the issue is just the transparency of the process." Experts outside the FDA, including former veteran regulator Richard Pazdur, have raised concerns that the voucher program politicizes the drug review process.

Listen to the whole podcast here.


pharma

Pfizer CEO: Trump is a net positive, but FDA a concern

Pfizer CEO Albert Bourla said earlier this week that "the goal in obesity is to become a leading player." No surprise. But he was also asked about his prediction a year ago that President Trump would be a net positive for the pharmaceutical industry.

"Yes," he said, "but I have to say that I got scared big time" along the way. The big win, from his perspective: The United Kingdom agreeing to raise prices for medicines as part of a trade deal with the U.S. This, he said, changed the dynamic between European companies and the pharmaceutical industry and would not have happened without Trump, who, Bourla also reiterated, deserved a Nobel Prize for supporting the development of Covid vaccines.

But Bourla also expressed some worries about elements of the administration. He continued to say that the pressure it was putting on vaccines is "an anomaly that will correct itself" and reiterated that Pfizer is doing its own vaccine research, including developing a Lyme disease inoculation.

He also expressed concern about developments at the Food and Drug Administration, including the departure of former top official Richard Pazdur. Bourla called Pazdur "a legend in regulatory work globally" and said that he was "very concerned" when Pazdur resigned after only two weeks on the job.


BIOTECH

Why BioNTech moved beyond mRNA

BioNTech became internationally famous for developing the Covid vaccine sold by Pfizer. But in the time since, Ugur Sahin, the CEO, has pivoted the company back to his original goal: fighting cancer. In particular, the company's bispecific PDL1-VEGF antibody generated an $11 billion partnership with Bristol Myers Squibb. BioNTech's $28 billion market capitalization is almost double that of Moderna's.

Why did he pivot?

"I didn't see a game plan for many mRNA-based indications as a stand-alone approach in oncology," Sahin told STAT. Cancer vaccines that use mRNA are one way of attacking cancer; but other tools were needed. "I am an extreme believer, mRNA, but, but we have to use the super powers in a reasonable way," he said.

STAT also asked Sahin if he saw the U.S. backlash against mRNA and vaccines coming.

"Usually, I see a lot of things before they happen," Sahin said. "I didn't see this."


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Thanks for reading! One more day!

Matt, Allison, Elaine, Adam


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