Top pharmaceutical companies by capex growth in 2018/2019

Kiniksa Pharmaceuticals had the highest capex growth among pharma and biotech companies worldwide during the 2018/2019 period, with a growth rate of over 7,500 percent. Capital expenditures are defined as funds used by a company to acquire or upgrade physical assets, such as property, industrial buildings, or equipment.

U.S. pharmaceutical and biotech industry

Several of the pharmaceutical companies with high capex growth rates are based in the United States, for example, TG Therapeutics, Karyopharm, and Odonate Therapeutics. In 2018, the country accounted for roughly 40 percent of the global pharmaceutical market. China, which has a much larger population than the United States, had an 11 percent market share. In the same year, the United States spent roughly 480 billion U.S. dollars on medicine. This was more than double the amount spent 16 years earlier.

In 2019, the largest American pharmaceutical company based on revenue was Cardinal Health Inc (according to the FT Global 500). The multinational health care services company is headquartered in Dublin, Ohio, and generated over 140 billion U.S. dollars’ worth of revenue during 2019. However, Cardinal Health is not a ‘classical’ pharmaceutical manufacturing company, but more involved in pharma distribution.

World's top 50 pharmaceutical and biotechnology companies based on capital expenditure growth in 2018/2019

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Release date

December 2019



Survey time period

2018 and 2019

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