Respiratorius: Minimal activity, case intact

Research Update

2024-02-14

07:15

Analyst Q&A

Closed

Martin Wahlström answered 6 questions.

Redeye finetunes its estimates following the Q4 2023 report from Respiratorius. The company is waiting for a licensing partner to take its lead candidate VAL-001 through phase III. The cash position was SEK1.9m at the end of Q4, with free cash flow of SEK-0.9m for the quarter. Until a licensing deal is announced, the cash burn is expected to remain minimal.

MW

FE

Martin Wahlström

Filip Einarsson

Q4 2023: Review

The cash position in the quarter was SEK1.9m, with a quarterly burn rate of SEK-0.9m. OPEX came in slightly higher than what we had anticipated, but this was counteracted by some positive effects from working capital. The reason for the increase in OPEX q/q is a direct result of taking year-end costs related to patent maintenance etc. Respiratorius basically remains a holding company with a strict focus on minimising the burn rate until it secures a licensing deal.

Sentiment check

In this update, we provide a summary of a recent report from JP Morgan regarding the sentiment on the deal market within the life science sector. We view the deal sentiment as one of the few moving pieces in the case from this point forth, and more deals taking place will naturally be positive for Respiratorius. As for Q4 2024, the sentiment remained soft, with a downturn in activity since the go-go years of 2021-2022.

Estimate changes and valuation

We make limited estimate changes following the report. We don’t make any changes to our fair value range, as deal sentiment has remained at the levels seen in previous quarters and the overall outlook for the company is the same as at the end of Q3. We maintain our assumption that the company will need cSEK1.5m in financing at the beginning of Q3 2024, which we believe could be solved through a loan. Our fair value range is SEK0.05 (0.05) to SEK1.00 (1.00), with a Base Case of SEK0.40 (0.40) per share.

Key financials

SEKm202220232024e2025e2026e
Revenues0.000.0033.40.000.00
Revenue Growthnm.nm.nm.-100%nm.
EBITDA-35.3-4.830.4-1.6-1.6
EBIT-39.0-8.029.2-2.9-2.9
EBIT Marginnm.nm.nm.nm.nm.
Net Income-39.0-8.029.2-2.9-2.9
EV/Revenuenm.nm.1.9nm.nm.
EV/EBIT-1.6-7.82.1-21.7-21.4

Q4 2023 review

The Q4 2023 report in itself came in without any significant surprises, the total OPEX, which is very highly correlated to the burn rate for the company at this stage, was cSEK-1.3m, against our estimates of cSEK-0.7m. Although this is a large miss in relative terms, most of the difference can be derived from costs associated with “closing the year”. We are choosing to look at OPEX as a proxy for cash burn given that speculating about changes in NWC is highly uncertain and unlikely to add much value. The company remains focused on securing a deal and is likely to maintain exceptionally tight cost control while it waits.

Respiratorius: Estimates vs actual figures
SEKmQ4 2023e Q4 2023aDiff vs estQ4 2022Growth y/y
Revenue0.00.2n/a0.00n/a
Growth y/y (%)n/an/a
OPEX-0.7-1.391%-4.3-84%
Growth y/y (%)-84%-69%
EBITDA-0.7-1.160%-4.3-84%
Growth y/y (%)-84%-74%
Source: Redeye research

We slightly adjust our estimates for the upcoming year. We put more of the burn rate in Q4 2024e, and reduce the preceding three quarters slightly. The overall burn rate for 2024e remains almost identical. See the chart below for our assumptions of burn rate and cash position for the upcoming four quarters.

Respiratorius: Cash position and burn rate
Q4 2023Q1 2024eQ2 2024eQ3 2024eQ4 2024e
Cash position, end of period*1.91.00.00.532.6
Burn rate** -1.1-0.7-0.7-0.732.4
New borrowings0.00.00.01.50.0
* Excluding milestones from a potential deal
** Until a licensing deal is announced, the burn rate is forecasted as net sales - OPEX
Source: Redeye research

Another event worth mentioning is the SEK10m unconditional shareholder contribution between Respiratorius and Valcuria AB. Valcuria is a fully owned subsidiary of Respiratorius and the action is simply carried out to clean up the balance sheet for the parent company. It has no effect on the group level.

Biopharma deal landscape

Given that Respiratorius is currently looking for a partner to take VAL-001 through a phase III trial and has no ongoing studies, one of the key aspects of the investment case relates to the more general sentiment on the biopharma deal market. If we take a look at the current state of venture totals, we can see that the market is currently at one of the lower points of the past few years. There was a three-quarter uptick up until Q4, but that trend unfortunately reversed again in Q4. By the number of rounds, the trend has been pointing downwards over the three past quarters, although we lack comparable data for the past few years.

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

If we look at another indicator of investor sentiment, the number and amount raised through IPOs, the bearish attitude is further confirmed. Up until Q4, there was a four-quarter streak of increases in the total value raised through IPOs, but that trend was also reversed in the latest quarter. In Q4 2023, there was just one IPO (Cargo Therapeutics), raising a total of USD300m.

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

It is worth clarifying that there is no direct causality between these statistics and the likelihood of Respiratorius securing a deal, and 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 slightly shift our estimates for OPEX to be heavier during Q4 2024e and slightly lower for the rest of the year. It should be noted, however, that if the company strikes a deal during the latter half of 2024e, these OPEX estimates will not apply regardless.

Respiratorius: Estimate changes (SEKm)
SEKm2024e2025e2026e
Revenue
Old*35.300
New33.400
% change-5%n/an/a
Free cash flow**
Old31.4-1.6-1.6
New29.1-1.6-1.6
% change-7%0%0%
*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 SEK0.40 per share. Our Bull Case assumes 100% deal probability while holding all other parameters constant and remains intact at SEK1.0. Our Bear Case assumes no deal and amounts to SEK0.05, valuing the company based on its net cash position and recoverable technology value. See the table below for a summary of key aspects in the valuation:

Respiratorius: Valuation components
VAL-001Q4 2023
LoA*41%
Royalty12%
Peak sales (USDm) 167
Est. launch2029
Deal size80
rNPV (SEKm)111
WACC17%
*Assuming licensing deal is struck

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 SEK0.40 per share. Our bull case assumes 100% deal probability while holding all other parameters constant and comes in at SEK1.0. Our bear case assumes no deal and amounts to SEK0.05, 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

Financials

Income statement
SEKm202220232024e2025e2026e
Revenues0.000.0033.40.000.00
Cost of Revenue0.000.000.000.000.00
Operating Expenses35.34.83.01.61.6
EBITDA-35.3-4.830.4-1.6-1.6
Depreciation0.000.000.000.000.00
Amortizations3.73.31.31.31.3
EBIT-39.0-8.029.2-2.9-2.9
Shares in Associates0.000.000.000.000.00
Interest Expenses0.000.000.000.000.00
Net Financial Items0.000.000.000.000.00
EBT-39.0-8.029.2-2.9-2.9
Income Tax Expenses0.000.000.000.000.00
Net Income-39.0-8.029.2-2.9-2.9
Balance sheet
Assets
Non-current assets
SEKm202220232024e2025e2026e
Property, Plant and Equipment (Net)0.000.000.000.000.00
Goodwill0.000.000.000.000.00
Intangible Assets27.525.624.323.021.7
Right-of-Use Assets0.000.000.000.000.00
Other Non-Current Assets0.000.000.000.000.00
Total Non-Current Assets27.525.624.323.021.7
Current assets
SEKm202220232024e2025e2026e
Inventories0.000.000.000.000.00
Accounts Receivable0.000.000.000.000.00
Other Current Assets0.430.280.280.280.28
Cash Equivalents7.61.932.629.527.9
Total Current Assets8.02.232.929.828.1
Total Assets35.527.857.252.849.9
Equity and Liabilities
Equity
SEKm202220232024e2025e2026e
Non Controlling Interest0.000.000.000.000.00
Shareholder's Equity34.326.555.752.849.9
Non-current liabilities
SEKm202220232024e2025e2026e
Long Term Debt0.000.000.000.000.00
Long Term Lease Liabilities0.000.000.000.000.00
Other Long Term Liabilities0.000.000.000.000.00
Total Non-Current Liabilities0.000.000.000.000.00
Current liabilities
SEKm202220232024e2025e2026e
Short Term Debt0.000.001.50.000.00
Short Term Lease Liabilities0.000.000.000.000.00
Accounts Payable0.000.000.000.000.00
Other Current Liabilities1.21.30.000.000.00
Total Current Liabilities1.21.31.50.000.00
Total Liabilities and Equity35.527.857.252.849.9

Rating definitions

The team

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