Home 5 Articles 5 Illumina Makes Audacious Move by Completing Grail Acquisition Without Regulatory Approval

Illumina Makes Audacious Move by Completing Grail Acquisition Without Regulatory Approval

by | Sep 13, 2021 | Articles, Deals-lir, Essential, Laboratory Industry Report

It’s damn the torpedoes and full speed ahead for Illumina. Recognizing that it had no chance of securing the necessary regulatory approval in time to make the hard closing deadline and staring a $300 million termination fee in the face, Illumina did the unthinkable by completing the deal without clearance from regulators in the U.S. or Europe. Close-now-get-approval-later is a highly dangerous strategy that could blow up in the San Diego-based genetic testing giant’s face. The Illumina Acquisition of Grail On September 21, 2020, Illumina announced that it had signed a definitive agreement to acquire Grail, the liquid biopsy firm it spun off in 2016 for $8 billion, including $3.5 billion in cash and $4.5 billion in shares of Illumina common stock. The acquisition agreement also provided Grail shareholders payments of 2.5 percent off the first $1 billion of Grail-related revenues and 9 percent off revenues above $1 billion per year over 12 years. While the price was high—too high in the eyes of many investors—the deal strongly bolsters Illumina’s position in early cancer diagnostics. Grail, which was itself getting set to go public, has just launched a highly touted blood-based screening test called Galleri that uses methylation sequencing for […]

It’s damn the torpedoes and full speed ahead for Illumina. Recognizing that it had no chance of securing the necessary regulatory approval in time to make the hard closing deadline and staring a $300 million termination fee in the face, Illumina did the unthinkable by completing the deal without clearance from regulators in the U.S. or Europe. Close-now-get-approval-later is a highly dangerous strategy that could blow up in the San Diego-based genetic testing giant’s face.

The Illumina Acquisition of Grail

On September 21, 2020, Illumina announced that it had signed a definitive agreement to acquire Grail, the liquid biopsy firm it spun off in 2016 for $8 billion, including $3.5 billion in cash and $4.5 billion in shares of Illumina common stock. The acquisition agreement also provided Grail shareholders payments of 2.5 percent off the first $1 billion of Grail-related revenues and 9 percent off revenues above $1 billion per year over 12 years.

While the price was high—too high in the eyes of many investors—the deal strongly bolsters Illumina’s position in early cancer diagnostics. Grail, which was itself getting set to go public, has just launched a highly touted blood-based screening test called Galleri that uses methylation sequencing for ultra-early detection of over 50 different types of cancers. Illumina’s president and CEO described Galleri as being “among the most promising new tools in the fight against cancer,” and said that the acquisition would help Illumina “transform cancer care using genomics and our NGS platform.” Illumina, which currently owns 12 percent of its former spinoff, is also the supplier of the sequencers that Grail uses for performing its genomic tests. Bringing the two companies back together would put the testing and sequencing under one roof.

The Regulatory Hurdles

Of course, it was these very advantages that caused the regulatory problems with which Illumina is currently struggling. Soon after the deal was announced, the U.S. Federal Trade Commission (FTC) expressed concerns over the new cancer genomics powerhouse’s potential to dampen competition. But while Illumina was probably prepared for potential opposition from the FTC, it didn’t expect a deal forged in the U.S. to encounter regulatory turbulence in Europe.

The company’s rude awakening was served up in April 2021, when the European Commission (EC) Directorate-General of Competition announced that it planned to review the Grail acquisition under controversial new guidance that enables the Commission to demand notification of deals even when no such notification is required by the member states. “The combined [Illumina/Grail] entity “could restrict access to or increase prices of next-generation sequencers and reagents to the detriment of Grail’s rivals active in genomic cancer tests following the transaction,” according to a Commission statement.

Illumina challenged the Commission’s jurisdiction. But the Commission had time on its side and delayed its investigation in what Illumina described was an “attempt to run out the clock” before the deal closing deadline. Meanwhile, the Commission’s opposition enabled the FTC to temporarily stand down by securing federal court approval to postpone legal action to block the deal pending resolution of the situation in Europe.

Illumina Hurls Down the Gauntlet

But Illumina decided that it wasn’t going to wait for the regulators to come around. On August 18, the company announced that it has gone ahead and acquired Grail, which it will hold as a wholly-owned company that will operate independently while the EU reviews the deal. “The stakes here are high because, simply put, this deal saves lives,” Illumina CEO Francis deSouza told investors.

Truer words were never spoken. The stakes are indeed high, especially for Illumina. In addition to opposing the deal, the Commission is now investigating whether to impose a fine of 10 percent of Illumina’s consolidated annual turnover for closing without approval. Illumina may well go to court to challenge not just the fine but the Commission’s jurisdiction over the deal. Of course, litigation is never a sure thing. And even if Illumina prevailed in court, it would still face potential opposition from the FTC. One way or another, Illumina may end up having to wind down the acquisition, resulting in a massive distraction and waste of money, time and energy.

LumiraDx Revises Terms of Its CAHC Merger
On August 23, point-of-care diagnostics firm LumiraDx and special purpose acquisition company CA Healthcare Acquisition said that they’ve revised the terms of the merger they previously announced in April. The new terms lower the enterprise value of the combined company from $5 billion to $3 billion. The move is an attempt to make the company, to be called LumiraDx and listed on the Nasdaq under the ticker symbol LMDX, more attractive to investors. The deal is scheduled to close this fall.

Here’s a summary of the key new M&A diagnostic deals announced or closed in August 2021:

MERGERS, ACQUISITIONS & ASSET SALES

Acquiring Company Target(s) Deal Summary
Illumina Grail
  • Price: $8 billion, including $3.5 billion cash + $4.5 billion shares of Illumina common stock; Grail shareholders to also get payments of 2.5% off first $1 billion of Grail revenue + 9% off revenues above $1 billion per year over 12 years
  • Status: Closed without regulatory approval in US or EU, raising risk deal may have to be later unwound
  • Acquisition of former spinoff significantly expands Illumina’s position in early cancer detection and producer of Galleri, with Grail to operate as standalone division within Illumina
  • Illumina may have to pay fines and unwind deal if regulators don’t approve
Quest Diagnostics National Laboratory Services
  • Price: Undisclosed
  • Status: Closed
  • Quest acquires several NLS patient service centers in South Florida with testing services previously provided by NLS moving to Quest’s Miramar, Florida, lab
AccessDx Holdings 2bPrecise
  • Price: Undisclosed
  • Status: Closed
  • Acquisition of tech provider that integrates genetic and genomic test results into electronic health records, from EHR giant Allscripts Healthcare Solutions
Genetic Technologies EasyDNA
  • Price: $2 million cash up front + $1.5 million in Genetic Technologies American Depository Receipts + $500,000 in cash on first anniversary of closing
  • Status: Closed
  • Genetic Technologies acquires all websites, brand identities, lab testing and distribution agreements associated with General Genetics Corporation, which trades as EasyDNA
BioReference Laboratories (Opko subsidiary) Roche
  • Price: Undisclosed
  • Status: Closed
  • Acquisition of Roche’s US Ariosa centralized lab prenatal testing business, which produces Harmony Prenatal Test, complements BioReference’s GenPath specialty health division (which currently offers ClariTest Core assay)
HiberCell Genuity Science
  • Price: Undisclosed all-stock deal
  • Status: Closed
  • Newly acquired provider of contract genomics and AI-driven data sourcing and analytics services for drug development becomes wholly-owned subsidiary of HiberCell
Clarified Precision Interpares Biomedicine
  • Price: Undisclosed
  • Status: Closed
  • Acquisition of molecular diagnostics firm and provider OncoGuardian genetic sequencing test
Labcorp Ovia Health
  • Price: Undisclosed
  • Status: Closed
  • Acquisition of a digital health platform offering women information and support with family planning, pregnancy and parenting with annual revenues of about $20 million
ProPhase Labs Nebula Genomics
  • Price: $14.6 million stock and cash
  • Status: Closed
  • Acquisition of direct-to-consumer genome testing firm, which will be integrated into new ProPhase Precision Medicine genetic testing subsidiary
Fulgent Genetics CSI Laboratories
  • Price: Undisclosed
  • Status: Closed
  • Acquisition of Georgia-based cancer testing lab, coupled with newly announced exclusive partnership to commercialize Helio Health’s liquid biopsies tests in North America, bolsters Fulgent’s position in molecular diagnostics and oncology testing markets
Veracyte HalioDx
  • Price: €260 million, including about €147 million in cash and up to approximately €113 million in stock (about $318 million total)
  • Status: Closed
  • Acquisition of French immuno-oncology diagnostics firm and maker of Immunoscore colorectal cancer test, which will become a subsidiary of Veracyte
Meridian Bioscience Otsuka America Pharmaceutical
  • Price: $20 million cash
  • Status: Closed
  • Meridian acquires Otsuka’s BreathTek, a urea breath test for detection of Helicobacter pylori
Todos Medical Provista Diagnostics
  • Price: $1.25 million in cash upfront + $1.25 million cash payment before July 1 + $1.5 million in Todos common stock priced at $.0512 per share + $3.5 million convertible promissory note
  • Status: Closed
  • Israel-based Todos bolsters presence in U.S. market via acquisition of Provista’s Videssa proteomic breast cancer test and a PCR- and ELISA-capable lab currently performing SARS-CoV-2 testing
MyHeritage Filae
  • Price: €30.5 million ($42.4 million)
  • Status: No closing date announced
  • MyHeritage to acquire 90.9 percent of share capital and 89.1 percent of voting rights of family history service based in France
Pacific Biosciences Circulomics
  • Price: Undisclosed
  • Status: Closed
  • Pac Bio acquires producer of kits for extracting high molecular weight DNA
Abcam BioVision
  • Price: $340 million
  • Status: No closing date announced
  • Acquisition of global supplier of products for research, diagnostics and drug discovery with revenues of $33.8 million in 2020, operating profit of $12.6 million and net assets of $21.9 million
Immunai Nebion
  • Price: Undisclosed
  • Status: Closed
  • Acquisition of Swiss bioinformatics firm bolsters Immunai’s target discovery and drug development capabilities

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