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Lilly to expand its pain pipeline with acquisition of SiteOne Therapeutics

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Eli Lilly (NYSE: LLY) has announced a definitive agreement to acquire SiteOne Therapeutics, a private biotech company specializing in sodium channel inhibitors for pain treatment. The deal, valued at up to $1.0 billion in cash, includes upfront payment and milestone-based payments. The key asset is STC-004, a Phase 2-ready Nav1.8 inhibitor being developed as a potential next-generation, non-opioid treatment for chronic pain. This acquisition aligns with Lilly's strategy to advance addiction-free pain therapies and address the growing global burden of chronic pain. The transaction is subject to customary closing conditions and will be reflected in Lilly's financial guidance upon completion.
Eli Lilly (NYSE: LLY) ha annunciato un accordo definitivo per l'acquisizione di SiteOne Therapeutics, una società biotecnologica privata specializzata in inibitori dei canali del sodio per il trattamento del dolore. L'operazione, del valore fino a 1,0 miliardi di dollari in contanti, prevede un pagamento iniziale e ulteriori pagamenti legati al raggiungimento di obiettivi. L'elemento chiave è STC-004, un inibitore Nav1.8 pronto per la Fase 2, sviluppato come potenziale trattamento non oppioide di nuova generazione per il dolore cronico. Questa acquisizione è in linea con la strategia di Lilly di promuovere terapie per il dolore senza dipendenza e di affrontare il crescente onere globale del dolore cronico. La transazione è soggetta a condizioni di chiusura consuete e sarà riflessa nelle previsioni finanziarie di Lilly al completamento.
Eli Lilly (NYSE: LLY) ha anunciado un acuerdo definitivo para adquirir SiteOne Therapeutics, una empresa biotecnológica privada especializada en inhibidores de canales de sodio para el tratamiento del dolor. La operación, valorada en hasta 1.000 millones de dólares en efectivo, incluye un pago inicial y pagos basados en hitos. El activo principal es STC-004, un inhibidor Nav1.8 listo para la Fase 2, desarrollado como un posible tratamiento no opioide de próxima generación para el dolor crónico. Esta adquisición se alinea con la estrategia de Lilly de avanzar en terapias para el dolor libres de adicciones y abordar la creciente carga mundial del dolor crónico. La transacción está sujeta a las condiciones habituales de cierre y se reflejará en la guía financiera de Lilly una vez completada.
Eli Lilly (NYSE: LLY)는 통증 치료를 위한 나트륨 채널 억제제에 특화된 비상장 바이오텍 회사 SiteOne Therapeutics를 인수하는 최종 계약을 발표했습니다. 이번 거래는 최대 10억 달러의 현금 거래로, 선불금과 성과 기반 지급금이 포함되어 있습니다. 주요 자산은 만성 통증에 대한 차세대 비오피오이드 치료제로 개발 중인 2상 준비 단계의 Nav1.8 억제제 STC-004입니다. 이번 인수는 중독 없는 통증 치료제를 개발하고 전 세계적으로 증가하는 만성 통증 문제에 대응하려는 Lilly의 전략과 일치합니다. 거래는 통상적인 종료 조건을 충족해야 하며 완료 시 Lilly의 재무 전망에 반영될 예정입니다.
Eli Lilly (NYSE : LLY) a annoncé un accord définitif pour acquérir SiteOne Therapeutics, une société biotechnologique privée spécialisée dans les inhibiteurs des canaux sodiques pour le traitement de la douleur. L'opération, d'une valeur pouvant atteindre 1,0 milliard de dollars en espèces, comprend un paiement initial ainsi que des paiements conditionnés à l'atteinte d'étapes clés. L'atout principal est STC-004, un inhibiteur Nav1.8 prêt pour la phase 2, développé comme un traitement non opioïde de nouvelle génération pour la douleur chronique. Cette acquisition s'inscrit dans la stratégie de Lilly visant à promouvoir des thérapies contre la douleur sans dépendance et à répondre au fardeau mondial croissant de la douleur chronique. La transaction est soumise aux conditions habituelles de clôture et sera intégrée aux prévisions financières de Lilly une fois finalisée.
Eli Lilly (NYSE: LLY) hat eine endgültige Vereinbarung zur Übernahme von SiteOne Therapeutics bekannt gegeben, einem privaten Biotech-Unternehmen, das sich auf Natriumkanal-Inhibitoren zur Schmerzbehandlung spezialisiert hat. Der Deal hat einen Wert von bis zu 1,0 Milliarden US-Dollar in bar und umfasst eine Vorauszahlung sowie zahlungsabhängige Meilensteinzahlungen. Der Hauptbestandteil ist STC-004, ein Nav1.8-Inhibitor, der bereit für Phase 2 ist und als potenzielle nicht-opioide Behandlung der nächsten Generation für chronische Schmerzen entwickelt wird. Diese Übernahme entspricht Lillys Strategie, suchtfreie Schmerztherapien voranzutreiben und die wachsende globale Belastung durch chronische Schmerzen anzugehen. Die Transaktion unterliegt den üblichen Abschlussbedingungen und wird nach Abschluss in Lillys Finanzprognosen berücksichtigt.
Positive
  • Acquisition adds STC-004, a Phase 2-ready non-opioid pain treatment to Lilly's pipeline
  • Deal structure includes up to $1.0 billion in milestone-based payments, reducing upfront financial risk
  • Expands Lilly's presence in the growing pain management market
  • Acquisition includes SiteOne's broader platform technology for treating neuronal hyperexcitability disorders
Negative
  • Significant financial commitment of up to $1.0 billion for an early-stage (Phase 2) asset
  • Success of STC-004 not guaranteed as it's still in development phase
  • Integration risks associated with acquiring and incorporating new technology platform

Insights

Lilly's $1B acquisition of SiteOne adds promising non-opioid pain drug to pipeline, strategically entering large market with significant unmet needs.

Lilly's acquisition of SiteOne Therapeutics represents a strategic expansion into the non-opioid pain management market, which has substantial unmet needs globally. The deal, valued at up to $1 billion, brings STC-004, a Phase 2-ready Nav1.8 sodium channel inhibitor, into Lilly's neuroscience pipeline.

The structure of the deal is particularly telling - it includes an upfront payment plus regulatory and commercial milestone payments totaling $1 billion. This suggests Lilly sees significant potential in SiteOne's platform while prudently managing risk through the milestone structure.

Pain management represents an enormous market opportunity. The global burden of chronic pain affects hundreds of millions of patients worldwide, with limited effective non-addictive treatment options. The current standard treatments include NSAIDs with limited efficacy for severe pain, and opioids which carry significant addiction risks. A non-opioid treatment that effectively manages chronic pain would address a critical medical need and could capture substantial market share.

STC-004's mechanism as a Nav1.8 inhibitor is scientifically promising. Nav1.8 sodium channels are highly expressed in pain-sensing neurons and play a crucial role in pain transmission. By selectively targeting these channels, the drug may block pain signals without affecting other neurological functions, potentially offering improved efficacy with fewer side effects compared to existing treatments.

For Lilly, this acquisition aligns with their growing neuroscience portfolio and provides them with a differentiated asset in the competitive pain management space. The company clearly views pain as a strategic therapeutic area, likely driven by the massive market size and the persistent unmet needs despite decades of research.

Transaction will augment Lilly's efforts to advance non-opioid medicines for pain management

INDIANAPOLIS, May 27, 2025 /PRNewswire/ -- Eli Lilly and Company (NYSE: LLY) and SiteOne Therapeutics, Inc. ("SiteOne"), a private biotechnology company developing small molecule inhibitors of sodium channels to treat pain and other neuronal hyperexcitability disorders, today announced a definitive agreement for Lilly to acquire SiteOne.

The transaction includes STC-004, a Phase 2 ready Nav1.8 inhibitor being studied for the treatment of pain. STC-004 may represent a next-generation, non-opioid treatment for patients suffering from chronic pain.

"The global burden of chronic pain continues to increase, and an effective non-opioid treatment remains elusive," said Mark Mintun, Lilly group vice president Neuroscience Research and Development. "Lilly is eager to continue the development of STC-004 with the outstanding SiteOne team as part of our efforts to advance novel, addiction-free pain therapies. Innovation in pain management is critical to address the unmet needs of millions of patients around the world."  

Under the terms of the agreement, Lilly will acquire SiteOne and SiteOne shareholders could receive up to $1.0 billion in cash, inclusive of an upfront payment and subsequent payments upon achievement of certain regulatory and commercial milestones.

"At SiteOne, we've spent more than a decade advancing a vision to deliver safer, more effective, non-opioid therapies for patients suffering from pain and other sensory hyperexcitability disorders," said John Mulcahy, Ph.D., chief executive officer and cofounder of SiteOne Therapeutics. "Lilly shares our deep commitment to scientific rigor, innovation, and patient-centered drug development. We believe their global capabilities and neuroscience leadership will accelerate our efforts to realize the full potential of STC-004 and our broader platform. This acquisition reflects the expertise and dedication of the SiteOne team and marks an exciting new chapter in our mission to transform pain treatment."

The transaction is subject to customary closing conditions. Lilly will determine the accounting treatment of this transaction in accordance with Generally Accepted Accounting Principles (GAAP) upon closing. This transaction will thereafter be reflected in Lilly's financial results and financial guidance.

For Lilly, J.P. Morgan Securities LLC is acting as exclusive financial advisor and Jones Day is acting as legal counsel. For SiteOne, Centerview Partners LLC is acting as exclusive financial advisor and Skadden, Arps, Slate, Meagher & Flom LLP and Cooley LLP are acting as legal counsel.

About SiteOne Therapeutics
SiteOne Therapeutics is a clinical-stage biopharmaceutical company advancing a novel class of highly selective small molecule inhibitors targeting Nav1.7, Nav1.8, and other ion channels to treat pain, cough and other conditions involving hyperexcitability of the peripheral nervous system. Since its inception, SiteOne has been dedicated to the development of safe and effective pain therapeutics without the significant addiction potential and side effects of opioids. The company is also advancing additional novel drug candidates that exhibit precise selectivity for individual ion channel subtypes to treat other sensory hyperexcitability disorders such as chronic cough and chronic ocular surface pain. For more information, visit www.siteonetherapeutics.com.

About Lilly
Lilly is a medicine company turning science into healing to make life better for people around the world. We've been pioneering life-changing discoveries for nearly 150 years, and today our medicines help tens of millions of people across the globe. Harnessing the power of biotechnology, chemistry and genetic medicine, our scientists are urgently advancing new discoveries to solve some of the world's most significant health challenges: redefining diabetes care; treating obesity and curtailing its most devastating long-term effects; advancing the fight against Alzheimer's disease; providing solutions to some of the most debilitating immune system disorders; and transforming the most difficult-to-treat cancers into manageable diseases. With each step toward a healthier world, we're motivated by one thing: making life better for millions more people. That includes delivering innovative clinical trials that reflect the diversity of our world and working to ensure our medicines are accessible and affordable. To learn more, visit Lilly.com and Lilly.com/news, or follow us on Facebook, Instagram, and LinkedIn. F-LLY

Cautionary Statement Regarding Forward-Looking Statements
This press release contains forward-looking statements (as that term is defined in the Private Securities Litigation Reform Act of 1995) about the benefits of Lilly's acquisition of SiteOne and SiteOne's product candidates for treating pain, and reflects Lilly's current beliefs and expectations. However, as with any such undertaking, there are substantial risks and uncertainties in implementing the acquisition and in the process of drug research, development, and commercialization. Among other things, there can be no guarantee that Lilly will realize the expected benefits of the acquisition, that the acquisition will achieve the results discussed in this release or that the acquisition will yield commercially successful products. For further discussion of these and other risks and uncertainties that could cause actual results to differ from Lilly's expectations, see Lilly's Form 10-K and Form 10-Q filings with the United States Securities and Exchange Commission. Except as required by law, Lilly undertakes no duty to update forward-looking statements to reflect events after the date of this release.

Refer to:

Ashley Hennessey; gentry_ashley_jo@lilly.com; 317-416-4363 (Media)



Michael Czapar; czapar_michael_c@lilly.com; 317-617-0983 (Investors)



Jessica Yingling; jessica@litldog.com; 858-344-8091 (SiteOne)


 

Eli Lilly and Company logo. (PRNewsFoto, Eli Lilly and Company)

 

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SOURCE Eli Lilly and Company

FAQ

What is the value of Lilly's acquisition of SiteOne Therapeutics?

Lilly will acquire SiteOne Therapeutics for up to $1.0 billion in cash, which includes an upfront payment and subsequent payments tied to regulatory and commercial milestones.

What is STC-004 and how will it benefit Lilly's pipeline?

STC-004 is a Phase 2-ready Nav1.8 inhibitor being developed as a non-opioid treatment for chronic pain. It will expand Lilly's pain management pipeline with a potential next-generation, addiction-free therapy.

Why is Lilly (LLY) acquiring SiteOne Therapeutics?

Lilly is acquiring SiteOne to expand its pain management pipeline and advance non-opioid medicines. The acquisition adds STC-004 and SiteOne's platform for developing sodium channel inhibitors for pain treatment.

When will the Lilly-SiteOne acquisition close?

The acquisition is subject to customary closing conditions. The specific closing date was not disclosed in the press release.

How will the SiteOne acquisition impact Lilly's financials?

The transaction's accounting treatment will be determined upon closing and will be reflected in Lilly's financial results and guidance thereafter.
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