The number of infectious disease deals reached an unprecedented level in 2020 (Fig. 1), with approximately 300 deals being signed as companies sought to develop new vaccines and treatments to combat COVID-19. Although COVID-19 continues to be prominent, a number of companies working in the infectious diseases field have invested substantially in the development of drugs and vaccines for other indications, as high-value deals in 2021 compiled with the help of DealForma demonstrate (Table 1).

Bar chart of R&D partnerships in infectious diseases, from 2008 to 2021, showing total values and number of deals

Fig. 1 | R&D partnerships in infectious diseases. Source: DealForma database. Financials based on disclosed figures as of 4 May 2022.

Since the beginning of 2021, over $5 billion has been spent on infectious disease dealmaking, including $888 million in upfront payments. A few of these deals are linked to platforms that have had a key role in the response to COVID-19, such as mRNA vaccines, both for COVID-19 and for other infectious diseases. However, the majority of the top-ten partnerships by deal value are for diseases other than COVID-19, including influenza, HIV, and hepatitis B or C infection.

Table 1 | Top 10 infectious disease partnerships by upfront cash and equity announced since 1 January 2021

Licensor and licensee

Total deal value ($ million), date

Description

Vir Biotechnology and GlaxoSmithKline

845

17 Feb 2021

GlaxoSmithKline partners with Vir Biotechnology to co-develop and commercialize mAbs, including VIR-2482, and undisclosed small molecule programs for the prevention and treatment of influenza and other respiratory viruses.

BioNTech and Pfizer

425

5 Jan 2022

Companies partner to develop an mRNA-based vaccine using Pfizer’s antigen technology and BioNTech's mRNA platform technology for shingles (herpes zoster virus). BioNTech will pay Pfizer $25 million for its antigen technology.

Gritstone Bio and Gilead

785

1 Feb 2021

Gritstone signs research partnership to develop a vaccine-based immunotherapy for HIV using its prime-boost vaccine platform comprised of self-amplifying mRNA and adenoviral vectors for Gilead's antigens.

Arbutus Biopharma and Qilu Pharmaceutical

300

13 Dec 2021

Arbutus and Quli sign deal to develop RNAi therapy AB-729 as a treatment for hepatitis B (HBV) in mainland China, Hong Kong, Macau, and Taiwan. AB-729 is designed to reduce HBV viral proteins and antigens.

Nykode Therapeutics and Regeneron

925

23 Nov 2021

Nykode signs multi-target deal with Regeneron to develop off-the-shelf vaccines. The deal combines Nykode’s modular vaccine platform with Regeneron’s antigen selection expertise for 5 cancer and infectious disease programs.

Providence Therapeutics and Everest Medicines

150

13 Sep 2021

Everest signs deal to gain exclusive rights to develop Providence's mRNA COVID-19 vaccine candidate, PTX-COVID19-B, in Asia. Additionally, Everest will gain access to Providence's preclinical mRNA COVID-19 vaccines.

ViiV Healthcare and Shionogi & Co.

48

28 Sep 2021

Shionogi partners with ViiV Heathcare to develop S-365598 for the treatment of HIV. Shionogi will contribute up to annual development costs in addition to disclosed deal payments.

Cidara Therapeutics and Janssen Pharmaceutica

780

5 Apr 2021

Janssen collaborates to develop Cidara's cloudbreak antiviral conjugates (AVCs), CD-388 and other influenza AVCs for the prevention and treatment of influenza. Cidara will develop the AVCs through phase 2.

Merck & Co. and Atea Pharmaceuticals

460

1 Dec 2021

Atea partners with Merck & Co. to develop, manufacture, and commercialize ruzasvir for the treatment of HCV. Atea retains rights to sublicense ruzasvir.

AM-Pharma and Kyowa Hakko Kirin Co.

289

8 Sep 2021

Kyowa signs license agreement to develop and commercialize AM-Pharma’s recombinant human alkaline phosphatase drug, Ilofotase alfa, for the treatment of sepsis-associated acute kidney injury (SA-AKI) in Japan.