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Eli Lilly to Acquire Centessa for $6.3 Billion With Potential Payout Up to $7.8 Billion

The purchase gives Lilly a foothold in orexin-based sleep medicine with a shot at a multibillion-dollar market.

Overview

  • Lilly agreed Tuesday to buy Centessa for $38 per share in cash, a $6.3 billion deal that lifted Centessa’s U.S. shares about 45% in premarket trading.
  • A non-transferable contingent value right worth about $9 per share could take the total to roughly $7.8 billion if FDA approvals hit set deadlines.
  • Centessa’s lead candidates are orexin receptor agonists that switch on the brain’s wake system to treat narcolepsy and other daytime sleep disorders.
  • Takeda has a competing orexin drug under FDA review, with some analysts not expecting a Centessa approval until 2028, a timeline that shapes CVR risk and market entry.
  • Lilly also announced a $2.75 billion Insilico Medicine deal on Monday, signaling a push funded by Zepbound and Mounjaro sales to widen its pipeline.