Alzecure Q1 2024: Strengthening the cash position

Research Update

2024-04-26

11:40

Analyst Q&A

Closed

Fredrik Thor answered 2 questions.

Redeye returns with a research update on Alzecure following its Q1 report and recent events in the company. We further discuss the company's ongoing rights issue and the strategy ahead.

FT

Fredrik Thor

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Announced a rights issue

About a month ago, Alzecure announced a rights issue of up to SEK53m, plus an over-allotment option of an additional SEK15m, thus with the potential to raise SEK68m in total. The subscription price is SEK1.7 per share, and the issue is covered by subscription commitments (SEK18.8m) and guarantees (SEK14.7m) of 63%.

Report in line with expectations

Alzecure’s Q1 report aligned well with expectations, with operating expenses amounting to SEK-10m and a cash position at SEK19m. We had already assumed a rights issue of SEK60m at SEK1.65 per share, which is close to what we assume is the net proceeds of the full rights issue and overallotment option. The company further participated in the AD/PD conference and moved forward with its TrkA-NAM platform.

Tweak our valuation

Following the announcement of the rights issue, we have tweaked our dilution assumptions and adjusted our FX assumption and deal estimates related to ACD440. This leads to a new base case of SEK13 (13.5) per share.

Key financials

SEKm202220232024e2025e
Revenues0.000.000.0058.3
Revenue Growthnm.nm.nm.nm.
EBITDA-56.4-44.3-46.5-7.0
EBIT-56.4-44.3-46.5-7.0
EBIT Marginnm.nm.nm.nm.
Net Income-56.2-43.2-46.5-7.0
EV/Salesnm.nm.nm.nm.
EV/EBIT-4.5-5.8-5.5-36.5

Announced a rights issue

About a month ago, Alzecure announced a rights issue of up to SEK53m, plus an over-allotment option of an additional SEK15m, thus with the potential to raise SEK68m in total. The subscription price is SEK1.7 per share, and the issue is covered by subscription commitments (SEK18.8m) and guarantees (SEK14.7m) of 63%. In relation to the rights issue, Alzecure has secured a guarantee without a fee from Jan Lundberg of SEK1m, and he will, in return, be prioritized if the over-allotment option is exercised. Mr. Lundberg has a notable background in major pharmaceutical companies like AstraZeneca and Eli Lilly, where he served as the global head of R&D and was recently proposed as a new board member in Alzecure, which we argue is a solid addition to the board. Yesterday, the rights issue was also approved by an extraordinary board meeting.

Alzecure will use the proceeds to advance its Alzstatin program to candidate selection, take its TrkA-NAM candidate ACD137 through pre-clinical development, and further plan an upcoming phase II study with ACD856. The proceeds will also be used to cover overhead costs and business development-related costs. In the press release and yesterday’s report, Alzecure states that it has several ongoing discussions with potential partners and that a stronger balance sheet will improve its negotiation power. With the current cash position, a fully subscribed issue should last well into 2025, potentially throughout most of the year, but we note that it also depends on the number of activities initiated. We assume that Alzecure's strategy is to out-license one of its candidates, most likely ACD440 in our opinion, before initiating a phase II trial. As Alzecure now has a longer cash runway, we think that the company has more time to find the right partner, also coming from a better bargaining position. We push our estimates for an ACD440 deal into early 2025 (previously 2024), but note that it is challenging to predict the exact timing, and could also happen before or after.

Report in line

Alzecure’s Q1 report aligned well with expectations, with operating expenses amounting to SEK-10m and a cash position at SEK19m. We had already assumed a rights issue of SEK60m at SEK1.65 per share, ie, close to what we assume is the net proceeds of the full rights issue and overallotment option. During the quarter, the company presented new data on ACD856 at AD/PD in Lisbon, discussing its potentially disease-modifying and neuroprotective effects. Specifically, the data showed that the substance has memory-enhancing and growth-stimulating effects. As we have previously written, Alzecure's Trk-PAM target has been validated by Eisai’s investments in its TrkA-PAM drug candidate E2511, which is in clinical development. Compared to E2511, ACD856 also boosts BDNF, a validated mechanism that relates to memory and learning. During the quarter, Alzecure also advanced ACD137 as a drug candidate as part
of its TrkA-NAM platform and moved into preclinical development. While early stage, the
target is well established, including by Japanese company Asahi Kasei, which recently advanced its TrkA-NAM project into phase IIb targeting osteoarthritic pain. It could be an early target for a deal. The company also strengthened its patent portfolio for ACD856 in six countries. Overall, the company is continuing to create awareness around its candidates and will, with the strengthened cash position, continue the development of its several platforms.

Source: Alzecure (historical financials); Redeye Research (estimates)

Tweak our valuation

We have tweaked our dilution assumptions somewhat following the announcement of the rights issue, and assume that the rights issue is fully subscribed. We will return to this assumption once the outcome is announced. We also make some FX assumptions and somewhat push our deal assumption for ACD440 following the assumed extended cash runway. This leads to a new base case of SEK13 (13.5) per share.

Sum-of-the-parts Valuation

Investment thesis

Case

Well Diversified Neurology Play

Alzecure offers significant upside thanks to the market’s continued under-estimation of the strong fundamental value in the company, shadowed by a period of relatively few significant catalysts and selling pressure in the wake of the recent rights issue. Alzecure is a neurology platform case focused on developing first-in-class small molecule drugs. The company’s R&D projects are split into three research platforms addressing Alzheimer’s disease and pain: two key therapy areas of significant unmet medical need in the central nervous system.

Evidence

Strong R&D team and distinguished approach

We view the company’s internal R&D capacity and experienced management team (with Big Pharma origins) as an asset that differentiates Alzecure from peers at the same development stage. The company’s in-house expertise in the discovery and development of small molecules—a process that has generated most of the company’s lead projects—should not be under-estimated and forms a compelling part of the investment case in Alzecure. Small molecules are more flexible, convenient (can be taken orally), and can naturally penetrate the blood/brain barrier, a key obstacle when developing drugs for the central nervous system. Furthermore, after recent setbacks with antibody treatments for Alzheimer’s, the strong need for additional treatments and modalities appears even more convincing.

Supportive Analysis

Alternatives to current treatments for Alzheimer’s disease—a progressive and ultimately deadly neurodegenerative disease—represent perhaps the most significant unmet medical need today and are expected to grow significantly in the upcoming decades due to an aging population and the cost of this, which will severely burden healthcare systems. The disease burden in the US alone (today USD 355bn) is expected to increase to USD 1tn by 2050. Alzecure has a holistic approach to the disease but has consistently focused on convenient, orally formulated drugs through its promising (but early-stage) preventive treatment (Alzstatin) and its symptomatic treatment addressing cognitive decline (Neurorestore). Preventing the progression of Alzheimer’s, especially in the pre-symptomatic stage, has very strong health economic benefits given the high costs at later stages of the disease. We also see a good rationale for improving the quality of life for Alzheimer’s patients—given a situation that will persist for many years to come

Challenge

Additional Funding Required

Alzecure is a platform company with an active agenda. To fully reap the benefits of the vast pipeline potential, it will need additional funding in the upcoming 12-18 months, in our view. The most prominent catalyst to close this gap is a licensing deal with non-dilutive upfront payments – but our base case today includes a rights issue to stay conservative.

Challenge

Risky Inflection Points in Key Projects Remain

Alzecure business model revolves around early clinical development within Alzheimer’s disease and pain – two indications with historically low success rates. At this stage, risky inflection points (most notably phase II readouts) remain in the company. On the positive side, we note that Alzecure is a platform company with strong R&D expertise – thus not a one-trick -pony dependent on a single readout. Furthermore, early out-licensing could be an option to mitigate risk

Valuation

Ample Upside Remains

Despite recent recovery, the weak biotech sentiment of the past years and neutral newsflow in the company has led to the stock to be undervalued. We believe that the recent increase in share price is due to both internal advancements, a solid capital injection with strong insider participation and external news, such as the approval of Lecanemab. Our assessment sets a base case of SEK13 per share, which represents a significant upside from today's levels.

Quality Rating

People: 3

Business: 3

Financials: 0

Financials

Income statement
SEKm20232024e2025e
Revenues0.000.0058.3
Cost of Revenue0.000.000.00
Operating Expenses44.346.565.3
EBITDA-44.3-46.5-7.0
Depreciation0.000.000.00
Amortizations0.000.000.00
EBIT-44.3-46.5-7.0
Shares in Associates0.000.000.00
Interest Expenses-0.010.000.00
Net Financial Items1.10.000.00
EBT-43.2-46.5-7.0
Income Tax Expenses0.000.000.00
Net Income-43.2-46.5-7.0

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Contents

Investment thesis

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