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In a move that is reshaping the global pharmaceutical landscape, U.S. biopharmaceutical companies are increasingly turning to China for drug discoveries. Once perceived as a market for generic drugs and copycat treatments, China has emerged as a powerhouse in innovative drug development. The surge in licensing deals between American pharmaceutical giants and Chinese biotech firms underscores a major transformation in the industry.
As the industry witnesses a record number of cross-border agreements, the question arises: What is driving this shift, and what does it mean for the future of drug development and accessibility?
Several factors contribute to the increasing reliance on Chinese biotech firms:
Chinese biotech companies are producing high-quality molecules that rival, and in some cases, outperform those developed in the U.S. This is exemplified by the case of Summit Therapeutics, which stunned the industry with its experimental cancer drug, licensed from China’s Akeso Inc., showing greater efficacy than Merck’s Keytruda.
China offers an attractive alternative for conducting early-stage clinical trials. The cost of running a trial in China is significantly lower than in the U.S., allowing biotech firms to advance drug candidates at a fraction of the price. Companies like Gilead and Bain Capital Life Sciences have capitalized on this by acquiring assets that have already demonstrated promising results in Chinese trials.
China’s regulatory environment allows biotech companies to test molecules in human subjects more quickly than in the U.S. Streamlined approval processes and government incentives accelerate the development cycle, making Chinese biotech firms appealing partners for U.S. pharmaceutical companies eager to bring new treatments to market.
Chinese biotech firms are increasingly looking outward for funding as local investment dries up. Venture capital in China’s biotech industry dropped from a peak of $6.3 billion in 2021 to just $1 billion in 2024, forcing companies to seek licensing deals with U.S. and European firms.
The shift toward Chinese-developed drugs is reflected in the growing number of licensing agreements between U.S. and Chinese companies. According to DealForma, nearly 30% of Big Pharma deals involving at least $50 million upfront in 2024 were with Chinese companies, compared to 20% in 2023 and virtually none five years ago.
The trend has major implications for U.S. biotech startups. If large pharmaceutical companies continue sourcing innovative treatments from China, American biotech startups may struggle to attract investments and secure partnerships with major industry players.
Company | Drug Licensed | Chinese Partner | Deal Value |
Summit Therapeutics | Ivonescimab (Cancer) | Akeso Inc. | $500M+ |
Merck | Obesity Drug | Hansoh Pharmaceutical | $2B |
Bain Capital Life Sciences | Experimental Asthma Drug | Hengrui | $1.4B |
Gilead | Undisclosed Drug Assets | Multiple Chinese Firms | Varies |
These deals reflect a seismic shift in the industry’s approach to drug development and signal growing confidence in China’s pharmaceutical capabilities.
Despite the momentum, the increasing reliance on Chinese drug innovation presents challenges:
U.S. regulators have expressed concerns about data from trials conducted exclusively in China. The FDA has rejected multiple drug applications from China-based studies, citing concerns over patient diversity and applicability to broader populations. Companies like Summit Therapeutics are now running global Phase 3 trials to meet regulatory standards.
There is growing concern that U.S. policymakers may introduce restrictions on biopharma collaboration with China. The proposed Biosecure Act aimed to limit U.S. companies’ reliance on Chinese contract manufacturers. If similar restrictions extend to licensing deals, it could disrupt the current flow of biopharma innovation from China to the U.S.
If Big Pharma finds cost-effective, late-stage drug candidates in China, will they continue investing in early-stage U.S. biotech firms? Some experts argue this could stifle domestic innovation and slow the pipeline of new drugs developed within the U.S.
The emergence of China as a leader in pharmaceutical innovation is reshaping global drug development. As more U.S. firms integrate Chinese-developed therapies into their pipelines, we may see a hybrid approach where early-stage development occurs in China, followed by late-stage trials and regulatory approvals in the U.S.
This model enables U.S. companies to acquire validated, cost-effective drug candidates while ensuring that regulatory requirements are met.
The influx of Chinese-developed drugs into the U.S. market is not a passing trend—it is a fundamental industry shift. Large pharmaceutical companies will continue to leverage China’s innovative biotech sector for affordable, high-quality drug candidates.
However, regulatory challenges, geopolitical risks, and potential pushback from U.S. biotech startups could shape the trajectory of this evolution.
The race in biopharma is on, and China is proving to be a formidable contender. Whether this trend strengthens the global pharmaceutical industry or disrupts the traditional U.S. biotech ecosystem remains to be seen.
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Effortlessly grow your global workforce with EOR services. Find out how an Employer of Record manages payroll, taxes, and compliance for you.
This blog looks at the wide range of employer of record benefits, how they enable smooth global expansion, and why companies wishing to grow abroad find this tool to be absolutely essential.
Global HR compliance encircles around respect to labor standards, tax laws, and employment policies implemented internationally. Regulations distinctive to every jurisdiction control employee contracts, benefits, payroll processing, and termination policies as per their SOPs.