Active Biotech Q4 2024: Funded through 2025
Research Update
2025-02-14
11:18
Analyst Q&A
Closed
Richard Ramanius answered 2 questions.
Redeye comments on Active Biotech’s Q4 report. The main event in the quarter was the oversubscribed rights issue. Laquinimod’s biodistribution study is the next main trigger while tasquinimod is slowly approaching the recruitment of the first patients in myelofibrosis.
Richard Ramanius
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Investment Thesis
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The proximate major trigger is the biodistribution study of laquinimod, which investigates whether laquinimod eye drops reach the internal and posterior parts of the eye. While a phase I study has been successfully concluded, potential partners are uncertain about whether the active pharmaceutical ingredient reaches the back of the eye, which is difficult to accomplish with an eye drop. The biodistribution thus study de-risks a phase II study. Active Biotech’s management is optimistic about reaching a deal upon positive results. Preliminary results from September 2024 showed that laquinimod entered the vitreous part of the eye (the substance that fills the eyeball) at effective concentrations. The myelofibrosis studies in the US and Europe have taken longer to start than expected. The first patients have not yet been recruited, but Active Biotech expects this to occur in the coming month or months as both studies are open for recruitment. The study in late-stage multiple myeloma has completed recruitment, and Active Biotech expects the final results from this study within a few months. We do not include multiple myeloma in our valuation, but the results can be valuable if they provide clues about effects in multiple myeloma, a similar disease.
Unexpectedly, the share price remained above SEK0.15 and even rose to around SEK0.25 during the subscription period despite a strike price of SEK0.05. This led to a subscription rate of 188% and the company exercising the over-allotment option. In total, SEK43.3m was raised before costs (ca SEK2m) which will fund the company through 2025. The number of shares increased from ca 360m to 1230m. The cash position is SEK36m, which we believe should fund the company during 2025.
Using a new rating model, our WACC increases to 16.5% (15%). We have added one year to the development of tasquinimod in myelofibrosis, now with an estimated launch year of 2032 (2031). This results in a base case of SEK0.34 (SEK0.4).
Key Financials | |||||
---|---|---|---|---|---|
SEKm | 2023 | 2024 | 2025e | 2026e | 2027e |
Total Revenue | 0.0 | 0.0 | 9.3 | 28.0 | 97.0 |
Revenue Growth | nm. | nm. | nm. | 200% | 247% |
EBITDA | -46.5 | -39.9 | -26.8 | -2.5 | 66.2 |
EBIT | -46.5 | -39.9 | -26.8 | -2.5 | 66.2 |
EBIT Margin | nm. | nm. | nm. | nm. | nm. |
Net Income | -45.8 | -39.5 | -26.8 | -2.5 | 66.2 |
EV/Sales | nm. | nm. | nm. | nm. | nm. |
EV/EBIT | 0.8 | 0.9 | 1.3 | 14.3 | -0.5 |
Case
Laquinimod deal will drive the share
Laquinimod's eye distribution study can lead to a licensing deal and phase II programme. The other main focus now is the two phase II studies with tasquinimod in myelofibrosis, TasqForce (n=20) in the second line funded by the Oncode Institute in Europe, the other in the US funded by MD Anderson (n=33), with first patients in likely in Q1. The US study has two arms: add-on to first-line ruxolitinib and second-line. The first readout could be in 2026 or 2027. Active Biotech contributes with minor funding. Myelofibrosis is very rare with no disease-modifying treatments. It is commercially attractive, as proven in two recent deals with late-stage myelofibrosis companies valued at USD1.7-1.9bn. Strong results might set the stage for a licensing deal in the upcoming years. The third candidate, naptumomab, a cancer drug, is outlicensed to NeoTX in a deal worth up to USD 71m with favourable royalty rates, but NeoTX needs funding for further studies.
Evidence
Repurposed, well-studied compounds reduce risks
A major strength of Active Biotech over similar companies has been its ability to obtain external financing, or licensing deals, for its projects, leading to substantially lower costs than would otherwise be expected. The second main strength is the fact that the projects have previously undergone unsuccessful phase III trials, but have demonstrated some level of clinical efficacy. Data from previous trials come from several hundred to more than a thousand patients, which can be referenced. This could help Active Biotech achieve a licensing deal for the second candidate laquinimod in 2025 after the completion of the ongoing biodistribution study.
Supportive Analysis
Tasquinimod has shown disease-modifying properties in preclinical studies in myelofibrosis. It is also being tested in an externally funded phase I/IIa trial in multiple myeloma in the US, demonstrating safety and some level of clinical activity. Laquinimod, developed for inflammatory eye diseases, has a new eye drop formulation that was proven safe in a phase I trial in early 2023. There are positive early signals from Naptumomab; in combination with durvalumab it demonstrated a disease control rate of 19% and ORR of 9.5% in 42 heavily pre-treated patients not expected to respond.
Challenge
Partnering with laquinimod
Active Biotech needs to find a partner for laquinimod to advance the programme. It does not (as of now) have the financial resources to conduct a phase II study and a specialist company in opthalmology is better suited to do it.
Delays
A potential risk with the myelofibrosis studies, being investigator-sponsored and, in the case of the US, conducted at one site, is a delay in recruitment, especially since it is a very rare disease. Screening might be a challenge.
Valuation
Base case could be reached with with laquinimod deal
Our Base Case is SEK0.34 and includes the valuation of two projects using a WACC of 16.5%. We assume a licensing deal for laquinimod in 2025 worth USD125m with USD2.5m in upfront and 15% royalties; for tasquinimod we assume a licensing in 2027 deal worth USD650m with USD40m in upfront and 10% in royalties.
Disclosures and disclaimers
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Investment Thesis
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