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Supernus PharmaceuticalsNASDAQ: SUPN
Recommendation: BUY
DC Morris, Garrett Smith, Evan Radomski
Investment Thesis
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Recommendation: Given Supernus’ strong drug pipeline along with current products already on the market, we recommend the Investment Club to take a position in Supernus to be better represented in the Healthcare Industry
Rationale: Supernus’ unique portfolio of approved and developing drugs that treat Central Nervous System Disorders offers significant upside
1
2
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Supernus has revolutionary drugs in development that will change the way diseases like ADHD and IA are treated
The Investment Club must invest more in healthcare, and specifically pharmaceuticals, given the industry’s long term growth projections
Price Target: $50.83
37.53% upside to current price $36.96
Approved drugs offer a stable source of revenue for years into the future
3Sources: IBISWorld US
Federal Funding From Medicare & Medicaid ($bn) Healthcare Stock Performance vs. S&P 500
Potential Risks
Increased Regulation• Industry is subject to many regulations influencing
manufacturing, pricing, and marketing• Industry regulation is expected to increase slowly in the
coming years
International Trade• Brand name pharmaceuticals are traded on international
markets• When domestically manufactured drugs become relatively
more expensive, global demand for industry exports decreases, which is bad for the industry
2018 Revenue $174 billion
Average profit margin 19.5% of revenue
Drugs for rare diseases 50% of new drugs
Sales volume lost at LOE 90% of sales
Industry R&D + SG&A costs 17% of revenue
Average cost to bring a drug to market
$2.6 billion
Biopharma Industry Growth
$0
$200
$400
$600
$800
$1,000
$1,200
2014 2015 2016 2017 2018 2019 2020 2021 2022 2023
• Medium volatility levels but high average growth• Funding for both programs has increased for 27 out of the last
30 years
CAGR: 4.1%
$187
$207
$227
$247
$267
$287
$307
$58
$63
$68
$73
$78
$83
$88
$93
$98
Apr-14 Apr-15 Apr-16 Apr-17 Apr-18 Apr-19
XLV SPY
Fast Facts
Drug Development Process
4Sources: Seeking Alpha, Bloomberg
Early Stage Research Life Cycle of a Drug (Years)
Clinical Trials Probability of Advancing at Each Phase
Preclinical Testing
• Once a molecule of interest is identified, a company or private research group conducts studies using non-human subjects to check for safety and biological activity
• This stage lasts for about three and a half years. Roughly 1 in 1,000 potential drugs survives this stage
Investigational New Drug Application (IND)
• The company files an IND with the FDA to begin testing in human patients
• The IND includes the results of experiments, the structure of the molecule, and how it is manufactured
Phase I• This study involves around 50 healthy people. The goal of
phase I is to prove that the drug is safe, determine the proper dosage range, and track how the molecule moves through the body. This process takes about a year
Phase II• The number of people in the study grows to over a hundred
individuals with the illness meant to be treated. The drug is tested for efficacy against placebos and alternatives
Phase III• Over 1,000 patients are tested in hospitals and clinics. The
goal is find any rare or inconvenient side effects that arise across a larger sample size
63%
31%
58%
11%
0%10%20%30%40%50%60%70%
Phase I Phase II Phase III Phase I toNDA
Preclinical Development
Clinical Trials
NDA
Market Maturation
Loss of Exclusivity
1 3 10 15~20 16~23
5Sources: IBISWorld US
Description Healthcare Stock Performance vs. S&P 500
Potential RisksExpiring Patents• Both of Supernus’ drugs currently on the market will lose
exclusivity in 2027• This caused significant sell-off in the markets during 2019 Q1
Drug Candidates’ Competitive Advantage• There is worry surrounding the ability for new drugs to
significantly differentiate themselves from current generic drugs
Supernus Overview
Key Financials
• Supernus Pharmaceuticals (NASDAQ: SUPN) was founded in 2005 in Rockville, Maryland and incorporated in Delaware. It had its initial public offering on the NASDAQ in May 2012
• SUPN is a pharmaceutical company focused on the development and commercialization of drugs that treat central nervous system disorders
Current Drugs & Candidates
• The company currently has two drugs on the market: Oxtellar XR, which treats epilepsy and Trokendi XR, which treats both epilepsy and migraines.
• There are three drug candidates that have a significant chance of hitting the market
• SPN-812—Phase III, ADHD• SPN-810—Phase III, impulsive aggression• SPN-604— Phase III ready, Bipolar disorder
Jack A. Khattar– CEO and Founder• Began business after high-level experiences at other
pharmaceutical companies• Has served as CEO, President, and Director since inception
Padmanabh P. Bhatt, PhD– Chief Scientific Officer• Joined Supernus at inception after working with Mr.
Khattar at Shire Labratories• Earned B.Pharm and M.Pharm degrees from the University
of Bombay, India
Gregory S. Patrick– Chief Financial Officer• Joined Supernus in 2011 as the CFO• Began career at Exxon Chemical Company and was hired
from ROI2
Market Capitalization $1,934 million
EPS (TTM) $2.05
P/E Multiple 18.01x
52 Week High-Low $61.25-$30.05
Average cost to bring a drug to market
$2.6 billion
EV/EBITDA Multiple 12.7x
Supernus’ FDA Approved Drugs
6Sources: 10-K, Earnings Call
Strong Growth in Prescriptions Epilepsy Overview
Oxtellar XR
• Epilepsy is a neurological disorder that results in unpredictable seizures
• Seizures cause uncontrollable muscle spasms and are associated with rhythmic muscle jerks and twitches
• A major issue with epilepsy control is adherence to prescription drugs, which usually must be taken multiple times a day
• Americans spend $16bn treating epilepsy annually
• Oxtellar XR is a prodrug, which means that when it is consumed it is biologically inert. Once it reaches the liver, the drug is metabolized into its active form, 10-MHD
• 10-MHD stabilizes electrical impulses in the brain by inhibiting sodium-gated voltage channels
• Oxtellar is the only MHD that is an extended-release drug• This limits side effects and also allows patients to only have to
take one pill a day • Oxtellar XR currently represents only 3% of the MHD-
epilepsy treatment market• Loss of exclusivity: April 2027
Trokendi XR
63.2 97.9 124.3 132.1 147.5135.2
278.7378.7
477.1
638.1
0
100
200
300
400
500
600
700
800
900
2014 2015 2016 2017 2018
Pres
crip
tions
(Tho
usan
ds)
Oxtellar Trokendi
• Trokendi XR is a tropiramate that treats both epilepsy and migraines
• Like Oxtellar, Trokendi inhibits sodium-gated voltage channels in the CNS to reduce electrical impulses in the brain that lead to seizures
• It is also an extended release drug, so it is only required once a day and has less side effects than other tropiramatescurrently on the market
• Trokendi XR currently represents 5% of the tropiramate market
• Loss of exclusivity: November 2027
SPN-812
7Sources: AlleyDog.com, Supernus 10k, Seeking Alpha
Overview
Current Progress
ADHD
• SPN-812’s active chemical is viloxazine hydrochloride (VAH)
• VAH is a non-stimulant norepinephrine reuptake inhibitor
• By increasing norepinephrine levels in the body, individuals have a higher capacity to store and retrieve information in the brain
• For years, the chemical has been marketed in Europe as an anti-depressant
• The ADHD prescription market is currently valued at $9.1bn, and the non-stimulant share of this is expected to grow
• Supernus executives hope to file a new drug application (NDA) in the second half of 2019
Market Competitors
• SPN-812 is currently in Phase III of drug testing
• Supernus is developing an XR form of SPN-812 to meet demands in the pediatric market
• Trials so far have shown a significant enough difference from stimulant ADHD medication
• Positive topline data from three successful Phase III clinical trials were reported in 2018, and data from a fourth Phase III trial is expected to be released very soon
• After filing the NDA, Supernus executives believe SPN-812 can reach consumers some time in 2020
• ADHD stands for Attention Deficit Hyperactivity Disorder
• Individuals with ADHD may exhibit signs of inattentiveness, hyperactivity, and impulsivity
• The majority of the medications currently on the market are stimulants
• There is rising demand for extended release (XR) drugs that can treat ADHD, as most major ADHD drugs on the market have developed poor reputations for side effects
• Parents, in particular, are in favor of treating their children with XR, non-stimulant drugs to mitigate adverse impacts
44%
26%
19%
6%5%
Amphetamine Methlyphenidate XR
Vyvanse ® Desmethylphenidate XR
Strattera ®
SPN-810
8Sources: AlleyDog.com, Supernus 10k,
Overview
Clinical Results
Impulsive Aggression (IA)• SPN-810 (molindone hydrochloride) is a drug that Supernus is
currently in the process of developing to treat Impulsive Aggression (IA)
• The drug is meant to be a novel treatment for impulsive aggression (IA), which is common in people with ADHD
• Molindone hydrochloride blocks the effects of dopamine in the brain, and it has been used in the past to treat schizophrenia
• Dopamine is tied to impulsive, risky, and destructive behavior
• By targeting this neurotransmitter, Supernus hopes to reduce aggressive tendencies in individuals with CNS disorders
Potential IA Drug Sales ($bn)
3.2
0.8
2.3
ADHD
Autism
PTSD
0 1 2 3 4
• SPN-810 is currently in Phase III of drug testing, and is expected to be the first product approved explicitly for the treatment of IA
• Phase III trials will finish in 2019 for patients aging from 6-11 years old, while trials for adolescents will continue into 2020
• Trials completed so far have shown a favorable clinical profile compared to existing therapies
• Phase II trials also indicated that the immediate release formulation of the drug was safe and had a significant effect on its patients
• Impulsive Aggression (IA) is defined as the sudden or unpredictable use of force by an individual without taking the time to consider the action or its consequences
• One-third of all ADHD prescriptions are meant to treat IA, however, there is no drug that effectively cures IA
• Market research by Supernus has indicated that IA also occurs in other CNS diseases such as Autism, Alzheimer’s, bipolar disorder, and dementia
• Pharmaceutical executives maintain that the prescription market for IA is over $6bn ($3.2bn in ADHD, $0.8bn in Autism, and $2.3bn in PTSD)
SPN-604
9Sources: NAMI.org, Supernus 10k,
Overview
Development
Bipolar Disorder
• SPN-604 is designed to treat bipolar disorder, a condition that impacts over 5 million Americans. Many of them struggle to find effective treatment options
• Like Oxtellar XR, SPN-604 is an oxcarbazepine that is entering Phase III of clinical research
• Oxcarbazepine’s are anticonvulsants; these types of drugs are becoming increasing popular in the treatment of bipolar disorder as they have less side effects than traditional antidepressants
• SPN-604, therefore, has the potential to capture a large share of the prescription bipolar market
Percent of US population with Bipolar Disorder
• SPN-604 is advancing into Phase III of testing, with clinical programs set to start in the second half of 2019
• The next tests will test to see if the drug’s extended release yields an effect on patients
• SPN-604 will likely reach the market in 4-5 years, given its position in the development process
• Bipolar disorder is a brain disorder that causes unusual shifts in mood, energy, activity levels, and the ability to carry out day to day tasks
• The current market size for the pharmaceutical treatment of bipolar disorder is $5bn
• The disorder is becoming increasingly common in younger Americans, and therefore analysts believe the prescription market will significantly expand
• Typical methods of treatment include therapy, medication, psychotherapy, and other various treatment options
4.7%
3.5%
2.2%
0.7%
0.0%0.5%1.0%1.5%2.0%2.5%3.0%3.5%4.0%4.5%5.0%
18-29 30-44 45-59 60+
Perc
ent o
f Po
pula
tion
Age
10
SPN-817
Pipeline Overview
§ In October, 2018, Supernus bought Biscayne Neurotherapeutics, thereby acquiring SPN-817
§ SPN-817 is a novel synthetic form of huperzine A. It will treat people with severe epilepsy
§ Huperzine A acts as an acetylcholinesterase inhibitor. In the body, this chemical results in higher levels of acetylcholine. Acetylcholine is the neurotransmitter that activates muscles throughout the body
§ SPN-817 will have new chemical entity status in the US and is currently in Phase I of the clinical trial process
SPN-809
§ SPN-809 uses the same chemical as SPN-812, viloxazine hydrochloride, and is designed to treat patients with depression
§ Viloxazine is a norepinephrine reuptake inhibitor. Viloxazine raises norepinephrine levels in the body to stimulate muscle action and increase positive emotions
§ In Europe, viloxazine has been approved to treat depression, however, previous attempts in the 1970s to sell it in America as an anti-depressant failed
§ SPN-809 is about to enter Phase II in the clinical trial process
Supernus’ Early Stage Drugs
Sources: Bloomberg, Company Annual Reports
Final Recommendation
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Recommendation: Supernus (NASDAQ: SUPN) is undervalued in the market with substantial long-term upside; therefore, we recommend a buy
Base Case
Price Target: $50.83Upside: 37.53%
Upside Case
Price Target: $75.45Upside: 104.14%
Downside Case
Price Target: $32.58Downside: -11.85%
Appendix
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Valuation – Comparable Companies
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Valuation – WACC
Valuation – DCF (Base)
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Valuation – DCF (Base)
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Valuation – DCF (Upside)
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Valuation – DCF (Upside)
18
Valuation – DCF (Downside)
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Valuation – DCF (Downside)
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