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Lilly seals up to $7.8 billion deal for Centessa in sleep disorder bet

By Thomson Reuters Mar 31, 2026 | 5:53 AM

By Sneha S K

March 31 (Reuters) – Eli Lilly said on Tuesday it would buy Centessa Pharmaceuticals in a deal valued at up to $7.8 billion as the U.S. drugmaker looks to diversify beyond its metabolic ​portfolio and expand into treatments for sleep disorders.

UK-based Centessa is developing ‌a new class of treatments designed to target orexin, a molecule in the brain that regulates the sleep-wake cycle. Its lead drug, cleminorexton, is in mid-stage studies for narcolepsy and idiopathic hypersomnia, disorders that cause excessive daytime sleepiness.

Sales of narcolepsy drugs are currently worth about $2.5 billion ‌and ​can significantly expand following the entry of orexin agonists, ⁠Oppenheimer analyst Kostas Biliouris said ⁠in a note.

About 50 million to 70 million Americans have a sleep disorder, according to the U.S. National Institutes of Health.

Lilly has offered $38 per share in cash, a premium of 37.8% to the last close of ​Centessa’s U.S.-listed stock. Its

U.S.-listed shares jumped 45% in morning trading. Shares of Lilly were up 3.1% at $914.29.

The U.S. company has also offered one non-transferable contingent ⁠value right (CVR) of about $9 per share, or worth ⁠about $1.5 billion.

The deal is expected to close in the third ​quarter.

BIG PHARMA AWAKENS TO NEW OPPORTUNITY

This marks Lilly’s biggest deal since its buyout ​of Loxo Oncology for about $8 billion in 2019.

Eli Lilly, which hit ‌a trillion-dollar valuation last year on the blockbuster success of its weight-loss treatments, has been ramping up investments to strengthen other parts of its pipeline.

This year, it snapped up Orna Therapeutics for $2.4 billion to expand its next-generation cell therapy capabilities, ⁠and paid more than $1 billion to buy autoimmune drug developer Ventyx Biosciences.

Still, several analysts said the premium was modest and left the door open for rival bids, ⁠given Centessa’s promising pipeline.

“Johnson & Johnson ‌has also recently expressed desire to expand its neuroscience ⁠franchise and could make sense as rival bidder,” Biliouris ​said.

Other companies ‌developing drugs that target orexin include Alkermes and Takeda.

Lilly’s ​deal is ⁠favorable for Alkermes, said RBC Capital Markets analyst Leonid Timashev, as it highlights large pharma interest in the sleep space and underscores what could be a large indication.

It would not be surprising if Alkermes could be a takeout target as well, he said.

(Reporting by Sneha S K in Bengaluru; Additional reporting by Puyaan Singh; ​Editing by Sriraj Kalluvila)