Respiratorius: Liquidity secured

Research Update

2024-05-22

07:10

Analyst Q&A

Closed

Martin Wahlström answered 6 questions.

Redeye provides a research update following the Q1 2024 report from Respiratorius. After market close yesterday, the company announced a rights issue amounting to cSEK28.6m in gross proceeds. The money is raised following positive signals regarding the patent situation in the US, and management views this as an opportunity to prolong the compay's runway in the face of increased interest for VAL-001. We maintain our operational estimates, provide an overview of the sentiment in the biopharma deal landscape, and adjust our valuation to account for the capital raise.

MW

FE

Martin Wahlström

Filip Einarsson

Q1 2024 review

The cash position ended the quarter at SEK0.7m, with a quarterly burn rate of SEK-1.2m. We argue that the company’s cost control is solid, which we believe is appropriate as the focus should be on minimising the burn rate until a deal is announced. However, with the announced capital raise, the burn rate is not our primary concern any longer.

Rights issue announced

The rights issue, amounting to SEK28.6m in gross proceeds, is secured to 50%, of which 48.3% is secured via guarantee commitments and 1.7% through subscription undertakings from the CEO. A bridge loan of SEK2m will be taken to finance the company during the capital raising process, and the loan will be repaid immediately upon receiving the proceeds. If the rights issue is fully subscribed, the dilution will be c58% for investors who choose not to defend their ownership.

Estimate changes and valuation

Following the report, we maintain our estimates regarding VAL-001, as the uptick in deal sentiment we witnessed was not enough to warrant a change in the likelihood of a deal. As for our valuation, we add the dilution effect from the rights issue and adjust our fair value range accordingly. Assuming a subscription rate of c60%, our new fair value range is SEK0.03(0.05)-0.55(1.00), with a Base Case of SEK0.22(0.40) per share.

Key financials

Q1 2024 review

The Q1 2024 report came in mostly in line with our estimates, although the deviations are irrelevant in absolute amounts.

Respiratorius: Estimates vs actual figures
SEKmQ1 2024e Q1 2024aDiff vs estQ1 2023aGrowth y/y
Revenue0.00.2n/a0.00n/a
Growth y/y (%)n/an/a
OPEX-0.7-1.166%-1.7-61%
Growth y/y (%)-61%-35%
EBITDA-0.7-0.937%-1.7-61%
Growth y/y (%)-61%-46%
Source: Redeye research

We have previously commented in detail on the cash position, which ended the quarter at SEK0.7m. However, with the announcement of the rights issue, which is guaranteed to bring in at least SEK14.3m in gross proceeds (guarantee commitments + subscription undertakings), these discussions are not especially interesting anymore. With an estimated cash position of SEK14.1m by the end of Q2 2024e (we will comment on our assumptions related to the rights issue in the next section of this update), the quarterly burn rate of SEK1.2m-SEK1.5m is likely to suffice for at least 24 months, providing the company with ample time to pursue a licensing deal.

Respiratorius: Cash position and burn rate
Q4 2023Q1 2024Q2 2024eQ3 2024eQ4 2024e
Cash position, end of period*1.90.714.112.444.3
Burn rate** -1.1-0.9-1.3-1.332.2
Rights issue0.00.015.00.00.0
* Excluding milestones from a potential deal
** Until a licensing deal is announced, the burn rate is forecasted as net sales - OPEX
Source: Redeye research

Rights issue

The main event in conjunction with the report was naturally the rights issue, which amounted to SEK28.6m in gross proceeds. Assuming full subscription, the company will receive net proceeds of SEK25m, where the issue costs are SEK3.5m. In addition, the company will pay cSEK0.1m in fees and interest for the bridge loan of SEK2m that will be taken to cover the period until the capital from the rights issue reaches the company’s books. The bridge loan will be repaid immediately after receiving the proceeds.

The subscription price is SEK0.07 per share, which is a discount of approximately 67% compared to yesterday’s closing price. As mentioned, the dilution will be c58% in the case of full subscription.

We don’t assume that the rights issue will be fully subscribed, given the continuously challenging climate for Swedish biotech. For our valuation, we model net proceeds of SEK15m, which should cover the company’s burn rate for the coming 24 months. Our estimates correspond to a subscription rate of c60% (50% is guaranteed) and a dilution of c45%.

The rationale behind the rights issue is the progress made with regard to the US patent, where the company expects the patent application to be approved within the coming months. For a potential partner, patent protection is naturally a big deal, especially in the US. Consequently, prolonging the runway in order to explore these opportunities seems worthwhile. Furthermore, it was stated in the report that the company has had deepened discussions with a potential partner for the project during the first quarter of 2024. Although the initial plan didn’t end up working, the potential partner is still interested in co-financing a phase III study, which can be an important part of securing a deal.

Given the new information provided in the report, we argue that extending the cash runway is a sensible decision.

Biopharma deal landscape

As Respiratorius has no ongoing studies and the primary focus is a licensing deal, the general sentiment on the biopharma deal market is a data point of primary interest. By taking a step back from the rights issue at hand and looking at the current state of venture totals, we can see that there seems to have been an uptick in activity during Q1 2024. The data is based on information from JP Morgan’s quarterly report covering the global biopharma deal market.

Venture LIGHT

Source: JP Morgan and DealForma (underlying data), Redeye research (chart structuring)

This uptick in activity is mirrored in the number and total deal value regarding IPOs. Both data points rebounded following a weak end to last year, and the total value surpassed the local high from the third quarter of last year. There is usually a lag between an uptick in activity in the US market spilling over into the Nordics, but there seems to be some activity picking up here as well. For example, Flerie Invest stated its intention to go public through a reverse merger just a couple of days ago, which seems to indicate that investors’ risk appetite is picking up somewhat.

IPOs LIGHT

Source: JP Morgan and DealForma (underlying data), Redeye research (chart structuring)

All in all, we argue that the sentiment of the deal landscape seems to be picking up, although we are naturally far away from the highs of the go-go years.

It is worth clarifying that there is no direct causality between these statistics and the likelihood of Respiratorius securing a deal. The outcome in Respiratorius’ case is likely to be determined to a much higher extent by firm-specific factors. Nevertheless, it is always good to have a feel for general investor sentiment when evaluating these parameters.

Estimate changes

We make no major estimate changes following the report, but our estimated burn rate is increased somewhat as we foresee costs will increase slightly from the exceptionally low levels seen in the most recent quarters. There is also the usual fluctuation from FX changes in the quarter. Note that our estimated FCF is risk-adjusted for 2025e and 2026e.

Respiratorius: Estimate changes (SEKm)
SEKm2024e2025e2026e
Revenue
Old*33.400
New34.200
% change2%n/an/a
Free cash flow**
Old29.1-1.6-1.6
New26.9-2.4-2.4
% change-8%50%50%
*Our revenue estimate is the risk-adjusted milestone payment received
if a deal is struck. As it is estimated in USD, it varies with the exchange rate
**Our estimate for free cash flow is risk adjusted for 2025e and 2026e
Source: Redeye research

Valuation

We value Respiratorius through a 2023e-2043e DCF model, with a WACC of 17.0% and a 40% estimated likelihood of a deal coming through. Our Base Case valuation is at SEK0.22 (0.40) per share. Our Bull Case assumes 100% deal probability while holding all other parameters constant and remains intact at SEK0.55 (1.00) per share. Our Bear Case assumes no deal and amounts to SEK0.03 (0.05) per share, valuing the company based on its net cash position and recoverable technology value. See the table below for a summary of key aspects of the base Case valuation as of Q1 2024:

Respiratorius: Valuation components
VAL-001Q1 2024
LoA*41%
Royalty12%
Peak sales (USDm) 167
Est. launch2029e
Deal size (USDm)80
rNPV (SEKm)118
WACC17%
*Assuming licensing deal is struck

The valuation changes are solely an effect of the increased dilution from the rights issue and FX, and we make no changes to our “operational” estimates.

Investment thesis

Case

A pure orphan oncology play

Respiratorius offers a pure orphan oncology play with a clear trigger. The company has a straightforward offering to a potential licensee, with only one candidate kept in the company. Based on our estimates of product sales and similar deals in the sector, the upfront payment could exceed the current market cap.

Evidence

Strong clinical evidence and management with deal experience

The company has a strong data set, patent protection, and a CEO with experience of securing deals. In 2019, the EMA suggested that VAL001 was ready for a direct start of a phase III study, stating that around 700 patients would be necessary. This serves to reduce the development risk for a potential licensee, making Respiratorius an attractive takeover target. Additionally, Respiratorius’ CEO, Johan Drott, has previous experience securing deals, further supporting the likelihood of a deal coming through.

Supportive Analysis

The data presented in the phase I/IIa VALFRID study showed statistically significant effects following an analysis of 32 patients. The overall survival (OS) in patients receiving VAL001 together with R-CHOP was 100% and 96.8% 1-and 2-years post-treatment. The comparable numbers were 89.6% and 81.7% for data collected from the Swedish Lymphoma Registry. Respiratorius has received orphan drug designation in the EU and the US, and a reformulation of VAL001 has bolstered the patent situation, enhancing the commercial viability of the asset. Respiratorius’ CEO, Johan Drott, has extensive experience from leading companies within both medtech and biotech. He sold the candidate VAL001 to Respiratorius through his company Valcuria in 2012 and has contributed to advancing the research to its current state. Johan also has previous experience dealing with large pharmaceutical companies. In both 2017 and 2021, he managed to secure deals in similar indications with a total potential value above USD100m per deal. We believe that the experience he brings from these deals increases the likelihood of him achieving a three-peat.

Challenge

Good things come to those who wait…

One of the primary question marks lies in the company not yet having secured a deal. Respiratorius’ data package is promising, but it has been promising on paper for the past five years. The VALFRID study was conducted in 2018, and since then, the company has acknowledged that it needs a licensing partner to pursue a phase III study. Although the delay is a valid concern, we argue that the company is in its strongest position to date. The spin-off of Arcede Pharma and the extended patent protection following the new formulation make the case straightforward, with previous obstacles out of the way.

Challenge

The deal market is cooling off

After researching the biopharma deal landscape and investigating niched deals within DLBCL, we see that the deal market is cooling off. The go-go years of 2020-21 are no longer with us, which should reduce the likelihood of a deal. During 2024, we will make the deal climate a recurring section in our quarterly updates. We believe that the possibility of a deal is relatively high, estimating it at 40% in our base case valuation.

Valuation

Current valuation implies no deal

We value Respiratorius through a 2023e-2043e DCF model using risk-adjustments and a WACC of 17.0%. In our base case, we assume a 40% deal likelihood, resulting in a valuation of SEK0.22 per share. Our bull case assumes 100% deal probability while holding all other parameters constant and comes in at SEK0.55. Our bear case assumes no deal and amounts to SEK0.03, valuing the company based on its net cash position and recoverable technology value.

Quality Rating

People: 3

Respiratorius’ board and management support the investment case as they provide broad experience from the pharmaceutical, finance, and entrepreneurship fields. The CEO Johan Drott has previously led two oncology projects to deals with partners exceeding USD 100m in value. 

Business: 2

Respiratorius leading proejct VAL001 has acquired orphan drug designation (ODD) and is currently in clinical development for use in a cancer form called DLBCL. The company has a slim structure which allows for a capital-light development that aims to outlicense the project to a larger player on the back of its encouraging clinical data and has no plans for self-commercialization of VAL001. 

Financials: 0

Respiratorius is a pre-revenue company without a previous track record from commercialisation. As such, it scores a 0 on the financial dimension. 

Financials

Income statement
SEKm20232024e2025e
Revenues0.0034.20.00
Cost of Revenue0.000.000.00
Operating Expenses4.86.02.4
EBITDA-4.828.2-2.4
Depreciation0.000.000.00
Amortizations3.31.31.3
EBIT-8.026.9-3.7
Shares in Associates0.000.000.00
Interest Expenses0.000.000.00
Net Financial Items0.000.000.00
EBT-8.026.9-3.7
Income Tax Expenses0.000.000.00
Net Income-8.026.9-3.7
Balance sheet
Assets
Non-current assets
SEKm20232024e2025e
Property, Plant and Equipment (Net)0.000.000.00
Goodwill0.000.000.00
Intangible Assets25.624.323.0
Right-of-Use Assets0.000.000.00
Other Non-Current Assets0.000.000.00
Total Non-Current Assets25.624.323.0
Current assets
SEKm20232024e2025e
Inventories0.000.000.00
Accounts Receivable0.000.000.00
Other Current Assets0.280.280.28
Cash Equivalents1.928.925.0
Total Current Assets2.229.125.2
Total Assets27.853.448.3
Equity and Liabilities
Equity
SEKm20232024e2025e
Non Controlling Interest0.000.000.00
Shareholder's Equity26.553.449.8
Non-current liabilities
SEKm20232024e2025e
Long Term Debt0.000.000.00
Long Term Lease Liabilities0.000.000.00
Other Non-Current Lease Liabilities0.000.000.00
Total Non-Current Liabilities0.000.000.00
Current liabilities
SEKm20232024e2025e
Short Term Debt0.000.00-1.5
Short Term Lease Liabilities0.000.000.00
Accounts Payable0.000.000.00
Other Current Liabilities1.30.000.00
Total Current Liabilities1.30.00-1.5
Total Liabilities and Equity27.853.448.3

Rating definitions

The team

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