Pharma BD Deal Intelligence

Horizon Therapeutics plc / Viela Bio Inc.

2021 · Acquisition/Merger · $3.0B · Complete

A $53-per-share, ~$3.05B cash tender offer that gave Horizon Therapeutics its first approved autoimmune drug, Uplizna, plus a mid-stage pipeline—though Horizon itself sold to Amgen for $27.8B just two and a half years later, folding Uplizna into someone else's rare-disease portfolio.

CALLED IT — OFF BY 4
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The coverage arc

Feb 01, 2021 BioSpace Bullish

Horizon Therapeutics augments its rare disease portfolio with the $3.05 billion Viela Bio buy, adding Uplizna and a pipeline of biologic candidates targeting…

Feb 01, 2021 GEN Neutral

Horizon Therapeutics to expand pipeline and R&D capabilities with the $3 billion Viela Bio acquisition, strengthening its position in rare disease alongside…

Sep 01, 2021 Nature Reviews Drug Discovery Neutral

Horizon acquired Viela Bio for $3.5B.

Source summaries from our enrichment pipeline; follow links for originals.

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Horizon Therapeutics plc agreed on February 1, 2021 to acquire Viela Bio, Inc. for $53.00 per share in cash, a fully diluted equity value of approximately $3.05 billion (about $2.67 billion net of Viela's cash and equivalents). The deal closed March 15, 2021 via tender offer and merger after holders of ~94% of shares tendered. Viela, a 2018 MedImmune/AstraZeneca spinout, brought Horizon its first approved autoimmune medicine, Uplizna (inebilizumab) for neuromyelitis optica spectrum disorder (NMOSD), plus a clinical pipeline (VIB7734/daxdilimab, VIB4920/dazodalibep) and a Uplizna expansion program in myasthenia gravis. AstraZeneca, holding ~26.7% of Viela, netted roughly $760-780 million. Horizon itself was later acquired by Amgen, which completed its ~$27.8 billion purchase on October 6, 2023, folding Uplizna into Amgen's rare-disease portfolio.

Key facts

Disease & market context

Neuromyelitis Optica Spectrum Disorder (NMOSD)

15K US cases/yr · $800M US NMOSD Market (2024)

Disease Overview

NMOSD is a rare autoimmune disorder causing inflammation of the optic nerves and spinal cord. AQP4-IgG antibodies drive most cases. Treatment aims to prevent relapses, which can cause permanent vision loss and paralysis. The market has rapidly evolved with three FDA-approved therapies since 2019.

Treatment Landscape

Approved therapies include Uplizna (inebilizumab), Soliris (eculizumab), and Enspryng (satralizumab). Uplizna targets CD19+ B cells, while competitors target complement (C5) and IL-6 pathways. First-line steroids and immunosuppressants remain backbone therapy.

Deal timeline

Related deals — scored

DealYearValueOutcome
Horizon Therapeutics plc / Viela Bio Inc. (this deal)2021$3.0B71
Amgen Inc. / Immunex Corporation2002$16.0B92
PerkinElmer, Inc. / EUROIMMUN Medizinische Labordiagnostika AG2017$1.3B88
Vertex Pharmaceuticals Incorporated / Alpine Immune Sciences2024$4.9B78
Roche Holding AG / Genentech, Inc. (Roche Group)2009$46.8B72
Travere Therapeutics, Inc. / Everest Medicines Limited2026$1.1B72
Amgen Inc. / Horizon Therapeutics plc2022$27.8B72

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