Lipum Q4 report: Focus on clinical progress

Research Update

2023-03-24

10:26

Redeye provides a research update on Lipum following the Q4 report published by the company earlier today. We make some slight adjustments to our overall estimates following a revision of our model. However, we reiterate our previous fair value range (SEK5 – SEK35) with a base case valuation of SEK22 as we continue to see substantial upside potential in the stock.

KS

Kevin Sule

Contents

Investment thesis

Share price development

Events during the quarter

Financials

Valuation

Key Catalysts

Quality Rating

Financial statements

Rating definitions

The team

Disclaimer

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Summary of the Q4 report

In the last quarter of 2022, Lipum reported an operating profit (loss) of SEK-13m (-29.2), while Free cash flow for the period amounted to SEK23.4m (-14.9). The increase in cash burn compared to Q3 was highly expected due to the company’s clinical trial initiation. The company also reported a cash position at quarter-end of SEK32.8m (47.1), which we expect will be sufficient to fund operations well into Q3 2023.

Clinical progress

Q4 2022 saw Lipum initiate its first-in-human clinical phase I trial with lead candidate SOL-116. The trial studies the safety, tolerability and pharmacokinetics of the candidate in healthy volunteers and rheumatoid arthritis patients. Following a recent safety evaluation, confirming that the candidate is safe and well-tolerated, the trial is now continuing as planned with a dose escalation for the fifth patient group. Topline results from the study are expected in Q4 2023 and will be an important inflection point for the company.

Base case of SEK22 per share

We value Lipum using a discounted cash flow (DCF) model of the company’s current clinical pipeline. We reiterate our fair value range of SEK5-35 per share with a base case of SEK22, bull case: SEK27; bear case: SEK4. Our base case represents a significant upside potential from current share price levels (c.12) as we continue to see multiple inflection points ahead that could narrow the valuation gap.

Key financials

SEKm2020202120222023e2024e
Revenues0.000.000.000.000.00
Revenue Growthnm.nm.nm.nm.nm.
EBITDA-21.1-53.0-37.9-53.4-56.0
EBIT-21.1-53.0-37.9-53.4-56.0
EBIT Marginnm.nm.nm.nm.nm.
Net Income-21.1-53.2-38.1-53.4-56.0
EV/Revenue-nm.---
EV/EBIT--1,761---

Investment thesis

Case

Potential to satisfy market need

Lipum has its sight set for the multibillion dollar rheumatoid arthritis (RA) market with the aim of providing a new first-in-class treatment to a population in need of a paradigm shift. RA continues to be one of the largest pharmaceutical markets globally, yet, despite the vast number of approved drugs, the medical need remains high as no drug has been able to achieve disease-free remission. The demand for cost-effective and safe treatments is glaring as current standard of care entail multiple side-effects and lack efficacy in a significant part of the patient population. However, we believe that Lipum’s lead candidate, SOL-116, has the potential to eradicate this discrepancy and offer a resolution-based therapy. The candidate has a unique mechanism of action (MOA), targeting the previously-overlooked BSSL protein, suggested to play a central role in inflammation and inflammatory response. Should SOL-116 prove a good safety profile and repeat the efficacy shown in preclinical studies in the clinical setting, we believe that it is well-positioned to attract interest from the public and catch the eye of large industry players.

Evidence

Establishing a platform to broaden pipeline

Lipum is simultaneously establishing a platform of preclinical data on the therapeutic effect of SOL-116 in several other diseases of interest, which could lead to the discovery of further potential indications. The list of viable chronic inflammatory diseases and proinflammatory conditions can be made long given the candidate’s potential in both autoimmune and autoinflammatory illness. The company continually evaluates the indications and carries out selections for in-depth preclinical studies.

Supportive Analysis

Preclinical studies performed by founders Prof. Olle Hernell, prof. Lennart Lundberg and prof. Susanne Lindqvist demonstrated strong support of BSSL being a key player in the inflammatory process and disease development of arthritis. The researchers used a Collagen-induced arthritis (CIA) model in rodents – a commonly used experimental model to reproduce the pathogenic features of human RA – to compare the response in BSSL wild type (BSSL-WT) mice with BSSL-deficient ‘knock-out’ (BSSL-KO) mice. In two consecutive trials, they found that BSSL-KO mice were significantly protected from developing arthritis, suggesting a direct correlation between BSSL levels and disease development. Moreover, they also found that injection with BSSL-neutralizing antibodies (similar to SOL-116) reduced both the incidence and severity of arthritis in rodents.

Challenge

Unproven target

SOL-116 targets the BSSL protein, which is an unproven target in previous biopharmaceuticals. While showing great promise in preclinical models, there is no guarantee that the enzyme is an effective target in humans as well. However, the fact that SOL-116 is developed as a monoclonal antibody, as are the current biological disease-modifying antirheumatic drugs (TNFα-inhibitors), could prove to be an advantage when it comes to clinical implementation in patients.

Challenge

Highly competitive market

The market for RA is one of the world’s most competitive markets within the pharmaceutical industry – with many drugs approved, or under development, and an established treatment protocol. Should SOL-116 fail to show substantial safety or efficacy benefits over today’s established treatments, it may struggle to gain meaningful market share even if it receives marketing authorization.

Valuation

Long-term value potential

Our Base Case fair valuation amounts to SEK 22 per share, suggesting some 30% upside from today's share price levels. Further, our Bull and Bear Cases equal SEK 35 and 5 per share, respectively. We argue that the share trades at a discount to its fundamental value and offers an attractive entry point at current levels. We foresee an exciting 2023 and beyond for Lipum. Primarily, we judge that interim- and top-line data from the ongoing phase I study and in-depth preclinical data on further indications could induce share price re-ratings.

Share price development

Over the last six months, the Lipum stock has generally traded at a quite stable share price with a slight decline overall. Going forward, we expect an encouraging news flow to regain the positive momentum in the share and take it closer to our fair value Base Case. Primarily, we judge that interim- and topline data from the phase I SAD & MAD studies and in-depth preclinical data on further potential indications could induce share price re-ratings in the coming 12 months.

Events during the quarter

Clinical study initiation

Lipum announced in November 2022 that it had launched the initial clinical trial of SOL-116, its lead candidate. This trial is a single ascending dose (SAD) phase I, double-blind, randomized, placebo-controlled study consisting of up to six groups of eight healthy volunteers (HV) and aims to determine the safety and tolerability of the candidate, with a secondary objective of studying its pharmacokinetics. Between each separate patient group, there is an escalation in dose level, given that the previous dose level did not infer any safety issues. Additionally, a group of rheumatoid arthritis (RA) patients will participate in the study to investigate possible differences in effects between HV and RA patients. Exploratory endpoints includes the effect of SOL-116 on BSSL and inflammatory biomarkers.

Lipum recently released a study status update, indicating that the trial is proceeding as planned. After a fourth dose escalation, a safety evaluation was carried out, which confirmed that SOL-116 is still safe and well-tolerated. As a result, the trial is continuing with the fifth HV group receiving a higher dose level. The study is also approaching the stage where RA patients will be included, which will be a vital step in providing guidance for the design of subsequent studies.

We will closely monitor the trial's progress and anticipate further updates from Lipum in the future. The topline results of the study are expected in Q4 2023, 12 months after trial initiation, and will be a significant milestone for the company.

Favourable directed share issue

In October 2022, Lipum carried out a directed share issue to anchor investor Flerie Invest, alongside other long-term oriented investors such as Lars Stenlund and Torgny Stigbrand. The issue consisted of 2,601,732 shares at a subscription price of SEK 14.99 per share, representing a 6.3% premium compared to the previous day’s close, and was fully subscribed. Through the share issue, Lipum raised gross proceeds of approximately SEK 39m. Furthermore, the overall transaction costs represented a mere 2% of the issue.

Given the development stage the company is in and the market conditions, we judge this capital raise as truly impressive. Managing to raise a necessary amount of capital without imposing any rebated subscription prices or hefty issue costs is a true testament to the management’s executive abilities and the company’s solid ownership base. The ability to raise capital in a sustainable manner is one the most important attributes for a biotech company in R&D stage. We believe that this directed share issue has created long-term shareholder value and induced confidence in shareholders ahead of potential rights issues in the future.  

Financials

Operating expenditures for the period amounted to SEK12.9m (29.7m). While being somewhat lower than our expectations of SEK14.2m, this is not a significant difference in the long run. Accordingly, the Q4 EBIT of SEK-12.9m (-29.1m) was lower in absolute terms than our expectations of SEK-14.2m. This was primarily due to somewhat lower external expenses (R&D costs) than expected. However, following this, we have made some downwards adjustments to our future estimates for operational costs.

Following the directed share issue, we argue that the reported cash position of the company was in a healthy position at SEK32.8m, in line with our expectations. Our Belief is that this will be enough to finance operations until the backend of Q3 2023. Accordingly, we believe that Lipum will perform a capital raise sometime during the coming months to avoid ending up in a financially precarious situation. Therefore, we factor in a share issue in the range of SEK40m (before the deduction of transaction costs) later this year in our valuation model.

Valuation

We estimate the sales potential in each program in the company's clinical pipeline along with an associated likelihood of reaching market approval. We then incorporated this into a sum-of-the-parts (SOTP) valuation model based on a risk-adjusted discounted cash flow (DCF) model, which provides us with our fair value Base Case.

Summary of the changes to our valuation of Lipum:

  • We change the risk-free rate to 2.5% (previously 2.0%) according to Redeye policy.
  • We update the SEK/USD exchange rate to 10.725 (a running average for the period 1/10-30/12, 2022) according to Redeye policy.
  • We model a projected issue of new shares in 2023.  
  • We have updated our Redeye Rating for Lipum according to our new Redeye Rating 2.2.
  • We make some slight adjustments to our overall estimates following a revision of our model.

Key Catalysts

  • SOL-116 phase I SAD topline data

Topline data from the ongoing first clinical study of SOL-116 will be a major milestone for the company, an analysis of the results is expected in the last quarter of this year.

Timeframe: 6-9 months

Impact: Major

  • SOL-116 phase I MAD study

Following the initial phase I SAD study, Lipum is planning a phase Ib Multiple Ascending Dose (MAD) trial further studying safety, immunogenicity and selected biomarkers in RA patients. Top-line data is expected in 2024 and should have a big impact on the share.

Timeframe: 12-18 months

Impact: Major

  • Preclinical data on further indications

Lipum is establishing a platform of preclinical data on the therapeutic effect of SOL116 in several other diseases and targets. This could potentially lead to the discovery of further possible indications for the candidate.

Time frame: 6-18 months

Impact: Moderate

Quality Rating

People: 3

We view the company's management and board as competent, and we believe shareholders can be confident in its executive and strategic abilities. Despite being small, the management team is dynamic and experienced. CEO Einar Pontén has “done it before”, having been co-founder and CEO of chromatography company SeQuant AB for more than 10 years, as it was acquired by pharmaceutical giant Merck.

Business: 3

Lipum is a biotech company in research and development stage. Consequently, the company is yet to register any recurring revenue. Instead, the company is highly dependent on capital markets for near-term funding and potential licensing partners for future late-stage development. However, we argue that the future sales potential for SOL-116 is significant as our sales model estimates global annual peak sales of more than USD 600m.

Financials: 0

Following its capital raise in 2022, Lipum strengthened its short-term cash position and secured financing into Q3 2023. However, the company is in a pre-revenue stage and will likely remain dependent on the capital markets or licensing partners for some years to come before recording any recurrent revenue.

Financial statements

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Contents

Investment thesis

Share price development

Events during the quarter

Financials

Valuation

Key Catalysts

Quality Rating

Financial statements

Rating definitions

The team

Disclaimer

Download article