Pharma BD Deal Intelligence

Merck & Co., Inc. / Afferent Pharmaceuticals, Inc.

2016 · Acquisition/Merger · $1.2B · Complete

WRONG BY 27 POINTS

Merck bought a $1.25B chronic-cough bet in gefapixant; the FDA rejected it twice, Merck wrote off $779M, and the US application was withdrawn for good.

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The coverage arc

Jun 09, 2016 Genetic Engineering & Biotechnology News Bullish

Merck agreed to acquire Afferent for up to $1.25B, securing AF-219 as a potential first-in-class P2X3 antagonist for refractory chronic cough, a…

Jan 21, 2022 BioPharma Dive Bearish

The FDA issued a CRL for gefapixant citing effectiveness concerns from mixed Phase 3 data, dealing a setback to Merck's $1.25B Afferent thesis and potentially…

Dec 19, 2023 FierceBiotech Bearish

Merck suffered a second FDA rejection of gefapixant after an advisory committee voted against approval, calling into question the commercial viability of the…

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

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Merck acquired clinical-stage Afferent Pharmaceuticals for $500M cash upfront plus up to $750M tied to clinical and commercial milestones (~$1.25B total). Lead asset AF-219, a selective P2X3 antagonist in Phase 2b for refractory chronic cough and Phase 2 in IPF cough. Closed Q3 2016. Later renamed gefapixant (MK-7264).

Did it work? Outcome assessment

Merck bought a $1.25B chronic-cough bet in gefapixant; the FDA rejected it twice, Merck wrote off $779M, and the US application was withdrawn for good.

Strategic verdict
Failed to Achieve
Pipeline outcome
Mixed

Key facts

Related deals — scored

DealYearValueOutcome
Merck & Co., Inc. / Afferent Pharmaceuticals, Inc. (this deal)2016$1.2B23
Merck & Co., Inc. / IOmet Pharma Ltd.2016$400M23
Merck & Co., Inc. / cCAM Biotherapeutics Ltd.2015$605M17
Vertex Pharmaceuticals Incorporated / Concert Pharmaceuticals, Inc.2017$250M85
Madison Dearborn Partners / Ikaria, Inc.2013$1.6B85
AstraZeneca PLC / Amgen Inc.2020$2.3B84
GlaxoSmithKline plc / Theravance, Inc.2012$213M82

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