Madrigal Pharmaceuticals Expands MASH Pipeline with Arrowhead Pharmaceuticals Licensing Agreement Up to $1 Billion

In The News
May 7, 2026

Ropes & Gray advised Madrigal Pharmaceuticals in an exclusive global license agreement with Arrowhead Pharmaceuticals for up to $1 billion for a clinical stage small-interfering RNA candidate, ARO-PNPLA3. The therapeutic targets a certain genetic mutation associated with a form of fatty liver disease called metabolic dysfunction-associated steatohepatitis (MASH). The transaction was announced on May 5.

Under the agreement, Madrigal will pay Arrowhead $25 million upfront. Arrowhead is eligible to receive up to $975 million in development, regulatory, and sales milestone payments, plus tiered royalties on commercial sales. Madrigal will receive rights to develop, manufacture and commercialize ARO-PNPLA3 worldwide.

The Ropes & Gray team was led by life sciences licensing partner Hannah England and life sciences licensing associates Ryan Kramer and James Gould.