Merck Completes Acquisition of Cidara Therapeutics, Strengthening Its Influenza Pipeline
Merck (known as MSD outside the US and Canada) has successfully completed its cash tender offer to acquire Cidara Therapeutics, marking a major expansion of its respiratory disease portfolio.
The deal brings CD388, a potentially first-in-class, long-acting antiviral for influenza prevention, fully under Merck’s control.
Deal Snapshot: What Merck Acquired
Offer price: $221.50 per Cidara share (all-cash)
Shares tendered: 27.15 million
Acceptance rate: ~86% of outstanding shares
Transaction structure: Merger following tender offer
Status: Cidara becomes a wholly owned subsidiary of Merck
Nasdaq listing: To be discontinued
All remaining untendered shares will be converted to cash at the same offer price.
Financial Impact for Merck
Merck expects to account for the transaction as an asset acquisition.
Key financial effects
~$9.0 billion increase in 2026 R&D expenses
Approx. $3.65 per share impact
GAAP and non-GAAP EPS reduction of ~$0.30 per share over the first 12 months
(driven by CD388 development and financing costs)
Why Merck Bought Cidara: The CD388 Thesis
At the center of the acquisition is CD388, a novel antiviral designed to prevent influenza in people at high risk of complications.
What makes CD388 different?
Investigational drug–Fc conjugate (DFC)
Long-acting, strain-agnostic antiviral activity
Targets influenza A and B, including pandemic-risk strains
Designed for season-long protection
Not a vaccine and not an antibody
Efficacy does not depend on immune response
This makes CD388 particularly relevant for:
Elderly populations
Immunocompromised patients
Individuals with chronic conditions
Clinical Status of CD388
Trial: Phase 3 ANCHOR study (NCT07159763)
Population: Adults and adolescents at high risk of influenza complications
Goal: Prevention of symptomatic influenza
If successful, CD388 could redefine prophylactic flu protection beyond traditional vaccines.
Influenza: A Persistent Global Burden
Despite vaccines and antivirals, influenza remains a major unmet medical need.
Global impact
~1 billion infections annually
3–5 million severe cases
290,000–650,000 deaths each year worldwide
Up to 52,000 deaths annually in the US
Merck is clearly betting that long-acting, non–immune-dependent antivirals can fill critical gaps in prevention.
Strategic Fit for Merck
“This acquisition strengthens and complements our expanding respiratory portfolio,” said Robert M. Davis, Merck’s Chairman and CEO.
The deal reflects Merck’s broader strategy:
Invest in compelling science
Target large, underserved markets
Build durable franchises in infectious diseases
Bottom Line
Merck’s acquisition of Cidara is not just an M&A event—it is a strategic commitment to next-generation influenza prevention.
If CD388 delivers in Phase 3, Merck could emerge with:
A first-in-class, long-acting flu antiviral
A powerful complement—or alternative—to vaccines
A differentiated asset for high-risk populations
This is a bold, expensive move—but one squarely aligned with Merck’s long-term respiratory ambitions.