Annexin Q2: RVO readout closing in

Research Update

2024-07-19

09:00

Analyst Q&A

Closed

Fredrik Thor answered 4 questions.

Redeye comments on Annexin's Q2 report and recent events in the company. We note that interest in Annexin has increased rapidly lately following a strong outcome in the rights issue and upcoming phase II topline data in RVO with its drug candidate ANXV - and we expect an eventful summer/autumn ahead for the company.

Fredrik Thor

No surprises in Q2 report

Annexin’s Q2 report did not offer any surprises, as expected for a pre-revenue biotech company. Operating expenses amounted to SEK-14.5m, which was more or less as expected. The cash position amounted to SEK37m, and the company mentions in the report that it has extended the cash runway to the end of Q1 2025, rather than the previously communicated Q4, as a few activities have been postponed.

Phase II RVO study closing in

The final patient was treated in April in the ongoing phase IIa RVO study, and the company writes in the report that the final patient concludes the last visit to the physician now in July. Results are expected later this summer (we assume August), and the company has previously stated it will finalize the study report and detailed analyses by Q3. We expect that partnering discussions will accelerate following the top-line readout. In line with previous communication, the company mentions that it aims for a global deal but also considers regional agreements.

Reiterate our valuation

We do some minor model housekeeping (FX, cash position) but reiterate our base case for now. We expect to return to Annexin and our model assumptions soon, as top-line data from the phase IIa RVO is to be expected this soon.

Key financials

SEKm202220232024e2025e
Revenues0.00.00.039.6
EBIT-40.7-44.2-52.1-16.6
EBIT Marginnm.nm.nm.-41.9%
Net Income-40.7-44.1-52.1-16.6

Annexin Q2 - No surprises

Annexin’s Q2 report did not offer any surprises, as expected for a pre-revenue biotech company. Operating expenses amounted to SEK-14.5m, which was more or less as expected. The cash position amounted to SEK37m, and the company mentions in the report that it has extended the cash runway to the end of Q1 2025, rather than the previously communicated Q4, as a few activities have been postponed. We have a positive interpretation of this decision as it should give the company some additional time for partnering discussions, which we expect will accelerate following the top-line readout. In line with previous communication, the company mentions that it aims for a global deal but also considers regional agreements. We have mainly focused on a regional deal (Japan) and that Annexin retains the rights in the rest of the world in our valuation. As RVO is a relatively small indication, we argue that there are several options to reach the market (regional agreements, in-house development and global license). However, the company would, in the end, need distribution. From a valuation perspective, a global licensing agreement (depending on terms) would not necessarily lead to a higher valuation, at least theoretically (more rights would be given away). Still, we think that a strong global deal with a partner with a strategic interest in RVO (and potentially oncology) would further derisk the case, especially the commercialization. As also mentioned in the CEO letter, Merck recently acquired EyeBio for up to USD3bn, including with a very significant upfront payment of USD1.3bn, to give some perspective on numbers. In the report, the company further writes that it has received increased attention, for example, at international congresses, and we again get the impression that Annexin has a strong standing amongst academics and specialists and that the results in RVO are well received so far.

Disclosures and disclaimers

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