Opko Health IncOPKO raised $125M in senior secured notes against its mazdutide royalty stream, gaining fresh capital without issuing new shares.

OPKO Health expanded its financing relationship with HealthCare Royalty, a business of KKR, issuing an additional $125 million in senior secured notes secured by the royalty stream tied to mazdutide, the GLP-1 drug OPKO licensed to Eli Lilly and now collects royalties on in China. The notes mature in 2044, matching the maturity of OPKO's original HCRx notes, and give the company fresh capital without selling a single new share. Total payments under the expanded deal are capped at 1.5 times the amount OPKO actually receives, after which OPKO keeps the future royalty economics on that stream for itself. Mazdutide is commercialized in China by Innovent Biologics, and OPKO recorded its first mazdutide royalty revenue in 2025 after the drug's China launch. On July 27, OPKO reported second-quarter revenue of $163.5 million, up from $156.8 million a year earlier, and a net loss of $8.4 million, or a penny a share, a sharp improvement from the $148.4 million loss in the same 2025 quarter, while diagnostics revenue fell to $74.5 million from $101.1 million after the sale of its oncology assets to Labcorp in September 2025.
Opko Health IncOPKO raised $125M in senior secured notes against its mazdutide royalty stream, gaining fresh capital without issuing new shares.
Innovent Biologics Inc
Laboratory Corporation of America Holdings
Eli Lilly and Company
KKR & Co. Inc.