

The Top Line
Fierce Life Sciences
Biopharma and medtech explained. Every week, journalists from Fierce Biotech, Fierce Medtech, and Fierce Pharma recount the latest industry trends and why they matter. We'll analyze the week's biggest business news, from mergers and marketing to drug R&D and device development. Available every Friday morning.
Episodes
Mentioned books

Aug 22, 2025 • 15min
Big Pharma bounces back in Q2
After many U.S. biopharma companies posted sales declines in the first quarter, the domestic pharma industry largely bounced back to growth in the second quarter. In this episode of "The Top Line," Fierce Pharma's Eric Sagonowsky and Kevin Dunleavy break down the numbers behind the industry’s second-quarter performance. Among U.S. pharma heavyweights, J&J, AbbVie, Pfizer, Regeneron, Bristol Myers Squibb and Biogen each eked out gains this past quarter. Their results varied, with individual stories worth highlighting at each of these major companies. Beyond earnings, Sagonowsky and Dunleavy also discuss the growing competition in diabetes and obesity treatments between Eli Lilly and Novo Nordisk, as well as Merck’s rising financial reliance on its blockbuster cancer drug Keytruda, among other topics. To learn more about the topics in this episode: Several US pharma giants stage Q2 sales turnaround after subpar results earlier in year The battle of the obesity drug heavyweights 7 top pharmas posted revenue declines in Q1. The common thread? All are US firms Biopharma briefing: Q1 trends, gene therapy updates and ASCO preview See omnystudio.com/listener for privacy information.

Aug 15, 2025 • 26min
The battle of the obesity drug heavyweights
Fraiser Kansteiner, a journalist from Fierce Pharma, joins to unravel the fierce competition between Novo Nordisk and Eli Lilly in the obesity drug market. They discuss Novo's challenges, including product shortages and a recent pipeline clearout. Kansteiner highlights Lilly’s successful strategies amidst increasing sales and the implications of compounding pharmacies. The conversation also touches on Pfizer's exit from the obesity race and the potential emergence of smaller biotech firms, painting a vivid picture of the evolving landscape.

Aug 8, 2025 • 17min
Is Trump’s MFN pricing order more bark than bite?
The discussion kicks off with Trump's push for Most Favored Nation drug pricing, raising eyebrows over his authority. Pharmaceutical companies are on the defensive, signaling cooperation but hinting at the pressure tactics behind the scenes. Stakeholders express mixed reactions, from concerns over foreign price controls to advocacy for patient access. As the talk shifts, the connection between drug pricing reforms and tariffs reveals a tangled web that companies must navigate, leveraging investments to strengthen their negotiating power.

Aug 4, 2025 • 40min
Rebuilding trust: compassionate communication and public health (Sponsored)
Vaccine expert Dr. Paul Offit, director of the Vaccine Education Center at Children’s Hospital of Philadelphia, shares insights on combating vaccine hesitancy, a pressing issue in public health. He stresses the importance of empathy and community engagement in rebuilding trust, especially following the COVID-19 pandemic. Offit highlights the power of personal storytelling in demystifying vaccines and calls for transparent communication to address concerns. He illustrates the path forward by emphasizing the role of trusted local figures in fostering understanding and acceptance.

7 snips
Aug 1, 2025 • 27min
Untangling Sarepta’s gene therapy fallout and a growing trust deficit
Sarepta Therapeutics is in hot water after safety concerns surrounding its gene therapy, Elevidys, lead to multiple patient deaths. The podcast dives into the FDA's standoff, sudden marketing pause, and surprising reversal on the treatment. Analysts express frustration over the company’s lack of transparency and the erosion of trust among investors. With significant restructuring on the horizon, the discussion highlights the broader implications for gene therapy and regulatory challenges in the pharmaceutical industry.

Jul 25, 2025 • 36min
Making sense of China’s R&D ascent
With an uptick in licensing deals and promising data emerging from China-based biopharmas, especially in oncology, it’s clear the country is poised to play a major role in life sciences for the foreseeable future. In this week’s episode of "The Top Line," we trace China’s ascent in R&D and drug discovery and examine how U.S. and European drugmakers are capitalizing on the momentum through a surge in licensing activity. Fierce Pharma’s Fraiser Kansteiner sits down with Mark Lansdell, director at Evaluate, to break down the policies fueling China’s growth, how global companies are engaging with Chinese assets and which modalities and indications are commanding the most attention. To learn more about the topics in this episode: China approves 4 new drugs, including a global first-in-class medicine With China approval, Lilly and Innovent's mazdutide breaks into new class for GLP-1 obesity drugs China biotechs ‘reshaping’ US biopharma as outlicensing deals rise 11%: Jefferies report China proposes shorter clinical trial reviews in efforts to accelerate drug development See omnystudio.com/listener for privacy information.

Jul 18, 2025 • 13min
AI, mentorship and finding your voice in pharma marketing
Paul Murasko, Head of Digital Innovation at Azurity Pharmaceuticals, shares insights alongside Zoe Dunn, CEO of Hale Advisors. They discuss the transformation of pharma marketing from print to digital and AI. The conversation highlights the importance of mentorship in cultivating future industry leaders and how their Rising Stars program empowers young professionals. They emphasize the necessity of understanding foundational business processes while exploring the potential of AI to enhance marketing strategies and patient engagement.

5 snips
Jul 11, 2025 • 10min
Biopharma layoffs aren't letting up
Biopharma job cuts are on the rise, with a staggering 32% increase in layoffs this year. The podcast reveals how federal regulations and funding cuts contribute to this instability. Insights into major companies like Icon Therapeutics and 10X Genomics highlight the uncertainty pervading the sector. Despite this bleak outlook, there are surprising turnarounds, like Vorbio’s unexpected licensing deal, sparking discussions on future predictions in an unpredictable biotech market.

Jul 8, 2025 • 24min
Peter Pitts talks FDA direction, industry communication (Sponsored)
In the latest episode of the Health Matters podcast, Wendy Lund sits down with Peter Pitts, former FDA associate commissioner and current president of the Center for Medicine in the Public Interest, to discuss the state of regulatory science and communication in health care. Pitts shares a cautiously optimistic outlook for the FDA under Commissioner Makary, noting the agency's renewed focus on innovation, patient engagement and modernization. He also stresses the importance of alignment among marketing, legal and regulatory teams—what he calls “regulatory therapy”—to ensure health communications serve the public good. The conversation spans high-stakes topics such as direct-to-consumer advertising, misinformation, and missed PDUFA dates, with Pitts urging both regulators and industry leaders to improve transparency and collaboration. He calls on pharmaceutical companies to put patients first in communications and avoid blaming the FDA when approvals stall. Pitts also encourages the agency to learn from industry on how to better engage the public. For more insights—and a candid look at where the health care conversation needs to go—tune in to the full episode.See omnystudio.com/listener for privacy information.

17 snips
Jun 27, 2025 • 25min
Teva’s CEO shares ‘Pivot to Growth’ progress
Richard Francis, Teva's President and CEO, discusses his transformative journey at the helm. Over two and a half years, he has driven a 'Pivot to Growth' strategy, navigating challenges to achieve nine quarters of growth. Francis highlights Teva's innovative medicines like Austedo and Ajovy aimed at unmet medical needs, while also addressing the importance of expanding generics and biosimilars internationally. With a focus on modernization and a $700 million cost reduction, he shares insights into fostering long-term growth and staying committed to patient care.