Biopharmaceutical Sector - Market Update - February 28, 2022 - Torreya

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Biopharmaceutical Sector - Market Update - February 28, 2022 - Torreya
Biopharmaceutical Sector
Market Update – February 28, 2022

© 2022. All rights reserved. Securities offered in the United States are offered through Torreya Capital LLC, Member FINRA/SIPC. In Europe
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Biopharmaceutical Sector - Market Update - February 28, 2022 - Torreya
Ukraine and the Stock Market

                               2
Biopharmaceutical Sector - Market Update - February 28, 2022 - Torreya
Unwelcome Geopolitical News

Source: New York Times, Feb 24, 2022
                                       3
Biopharmaceutical Sector - Market Update - February 28, 2022 - Torreya
Ukraine Invasion Is Putin’s Most Aggressive Move Yet to
Restore Russia’s Place in the World
The Russian president has sought for two decades to recapture status lost with the Soviet Union’s collapse

WSJ 2/24/2022 —Russia’s invasion of Ukraine is President Vladimir Putin’s
most aggressive move yet in his two-decade-long campaign to reassert Russia’s
place in the world and redeem the humiliation of the fall of the Soviet Union.

It is an extraordinary gamble.

In invading his smaller neighbor, Mr. Putin now faces a breakdown in Moscow’s
ties with the West, which will slap sanctions on Russia aimed at inflicting deep
pain on its economy.

Members of the North Atlantic Treaty Organization, which have already sent
fresh military equipment and forces to its eastern members in recent weeks,
have found new unity in deterring Russia. “He’s given priority to his own
obsession over Russia’s interests,” said Kadri Liik, a senior policy fellow at the                           Russian President Vladimir Putin now faces a breakdown in Moscow’s ties with the West.

European Council on Foreign Relations. “But he risks Russia’s economic
development, Russia’s global position and also Russia’s internal stability in
order to get hold of Ukraine.”

Source: https://www.wsj.com/articles/ukraine-invasion-is-putins-boldest-move-yet-to-restore-russias-place-in-the-world-11645731030
                                                                                                                                                                                              4
Biopharmaceutical Sector - Market Update - February 28, 2022 - Torreya
Invasion Has Been Associated with an Increase in
Energy Prices

Feb 25, 2022: Russia’s invasion of Ukraine threatens to restrict global energy supplies, with the resulting rise in
oil and natural-gas prices likely to hit Europe hard and potentially ripple out to the U.S. and other global
markets.

It’s the last thing the global economy needs: Another “supply shock,” or a sudden shortage of key products—in
this case oil, natural gas and other commodities—that is likely to exacerbate a global inflation problem and
make matters harder for the Federal Reserve and other central banks, which are trying to prevent consumer
prices from rising out of control.

The global economy is still recovering from a series of supply shocks over the past two years, having suffered
shortages of grains and meats, durable goods and other products. Now, military conflict in Ukraine, Western
sanctions against Russia, and Russian economic retaliation have driven oil prices near $100 a barrel, and
natural-gas prices are also up.

                                                                                                                      5
Biopharmaceutical Sector - Market Update - February 28, 2022 - Torreya
Market Moves on Friday, Feb 25, Positive

Feb 25, 2022: “U.S. stock benchmarks, led by the Dow Jones Industrial Average, ended sharply higher Friday,
as investors who were cautious about buying at the onset of the military clash in Eastern Europe turned eager
to hunt down bargains.

The upbeat tone on the markets was tied, at least in part, to reports that Russia was in favor of talks with
Ukrainian leadership. However, Moscow’s military force was on display as it pressed toward the capital of
Ukraine.

How did stock indices perform?
The Dow Jones Industrial Average DJIA, +2.51% surged 834.92 points, or 2.5%, to close at 34,058.75, with the
blue-chip gauge notching its best daily gain since early November 2020.
The S&P 500 SPX, +2.24% rose 95.95 points, or 2.2%, to end at 4,384.65.
The Nasdaq Composite Index COMP, +1.64% added 221.04 points, or 1.6%, to finish at 13,694.62.
For the week, the Dow dipped by less than 0.1% while the S&P 500 rose 0.8% and Nasdaq Composite
climbed 1.1%. The S&P 500 and Nasdaq benchmarks wiped out losses from earlier in the week.”
Source: https://www.marketwatch.com/story/u-s-stock-futures-fall-amid-ukraine-invasion-jitters-despite-late-rally-on-wall-street-11645752694   6
Biopharmaceutical Sector - Market Update - February 28, 2022 - Torreya
Market Reaction to Ukraine Invasion Has Been
Manageable
Barrons (2/25/2022): “It’s been a pretty seismic 36 hours and at some points yesterday
the outlook for markets and economies felt very bleak,” said Jim Reid, a strategist at
Deutsche Bank DB-11.07% . “S&P 500 and Nasdaq futures are down again this morning
but this is still clearly well off the lows.”

Markets have been on edge for weeks over the threat of war in Europe. Russian troops
had been massing at the country’s borders amid Moscow’s objections to Ukraine’s
possible membership in the North Atlantic Treaty Organization, the Western defensive
alliance. The situation darkened from Monday as the prospect of a diplomatic resolution
faded, before Moscow ordered a full-scale invasion early Thursday, attacking Ukraine from   "There are decades
the south, east, and north.
                                                                                            where nothing happens;
                                                                                            and there are weeks
One of the greatest concerns for investors is how conflict could impact the oil market.
                                                                                            where decades
Global crude supply remains tight and prices were already around seven-year highs before
                                                                                            happen."
Russia attached Ukraine. Sanctions against Russian oil—which have yet to materialize—or
major disruptions to crude production due to war could lead to the price of the
commodity surging even further.                                                             Vladimir Ilyich Lenin

Source: https://www.barrons.com/articles/stock-market-today-51645784920                                        7
Biopharmaceutical Sector - Market Update - February 28, 2022 - Torreya
No Quick Victory for Putin. Increasing International
Consequences
               Vladimir Putin was facing growing international isolation and the prospect of pariah status on Saturday night as long-
               term allies dramatically turned against him following the invasion of Ukraine, and western nations planned further
               decisive military and financial action against Moscow.

               As his hopes of a quick victory evaporated in the face of fierce resistance by Ukrainian soldiers and armies of citizen
               volunteers, Russia’s president was deserted by his key ally, China, and had his ultimatum demanding Kyiv’s surrender
Feb 26, 2022   defiantly brushed aside by Ukraine’s president, Volodymyr Zelenskiy.

               In perhaps the most striking development, Germany announced on Saturday night that it would supply Ukrainian
               troops with 1,000 anti-tank weapons as well as 500 Stinger missiles from its own military reserves.

               “The Russian assault on Ukraine marks a turning point,” Germany’s chancellor, Olaf Scholz, said, signalling a major
               shift in his country’s postwar military stance. “It threatens our entire postwar order. In this situation it is our duty to
               support Ukraine to the best of our ability in its defence against the invasive army of Vladimir Putin. Germany stands
               closely on the side of Ukraine.”

               Significantly, the German government was also said to be bowing to intense pressure from Britain, the US and Canada
               to ban Russia from the crucial Swift banking payments system after repeated appeals from Kyiv for the west to do so.
               Sources in Berlin said German ministers’ views were shifting on the issue and they were actively discussing measures
               that “would hit the right people”, having previously resisted, partly because of fears that a ban would affect the flow
               of funds to aid agencies in Russia.
                                                                                                                                             8
Biopharmaceutical Sector - Market Update - February 28, 2022 - Torreya
Potential Impact on the Global Economy

Feb 25, 2022: A conflict that could develop into Europe’s
biggest since the second world war has shattered hopes of a
strong global economic recovery from coronavirus at least in the
short term. Russia’s invasion of Ukraine on Thursday shook
financial markets and the increased geopolitical tensions are set
to exacerbate high inflation and supply chain bottlenecks. The
direct impacts of lower trade with Russia, economic sanctions
levied on Moscow by the US and EU, and financial contagion are
likely to be outweighed by the indirect consequences from the
effect on business and consumer confidence and commodity
markets, economists said. These repercussions could range from
relatively limited to extremely serious. If energy prices continued
to soar, for example, it could easily tip the global economy into
a second recession in three years.

Source: https://www.ft.com/content/a6227910-751b-443c-883f-2ed41a828426   9
Biopharmaceutical Sector - Market Update - February 28, 2022 - Torreya
Geopolitical and Industry Implications
There are obvious negative geopolitical implications of Russia’s invasion of
Ukraine. We were surprised to see a positive market response on Feb 25th.
Our own sense is that the invasion may presage destabilizing geopolitical
changes.

We live in a world that principally features economic rather than military
competition between powerful countries. It’s surprising, obviously, to see a
sitting member of the UN Security Council engage in a conventional military
attack on a neighboring country. Russia had historically given the Ukraine a
security guarantee under the 1994 Budapest Memorandum as part of
Ukraine’s agreement to give up its nuclear weapons. Russia has received
quiet support from China which is also not happy with its neighbor, Taiwan.    There are obvious potential repercussions on the life
There are implications as well for NATO membership in countries such as        sciences sector which is present in every country.
Finland and Sweden.                                                            Multinationals with direct presence in the Ukraine and
                                                                               Russia include Bayer, Sanofi, Novartis, Menarini, Recordati,
The U.S. and other Western countries have thus far responded with              Servier, Sun Pharma, Reddys and Teva. To say nothing of
economic sanctions and one could expect retaliatory moves from Russia. The     highly successful Ukraine pharma companies such as
context is potentially disruptive given the possibility of cyberattacks,       Darnitsa and Farmak. Some Ukrainian companies are also
countersanctions and the like.                                                 deeply embedded in the biotech sector’s drug design
                                                                               efforts. Ukraine is also an important site for clinical trials.
The long-term implications of changing geopolitical sands are not good for     The current dispute has potential to slow a host of ongoing
the world’s order and, by implication, the market’s circumstances and          clinical trials.
background.
                                                                                                                                           10
How Russia's invasion of Ukraine may impact pharma-
   biotech R&D
        Feb 26, 2022: “As the Russian invasion of Ukraine continues, several pharma and biotech companies have exposure to both countries through
        clinical trials being conducted there.

        One biotech, Karuna Therapeutics (NASDAQ:KRTX), has already said the disturbance has impacted a late-stage trial. On Thursday, the company
        indicated that a top-line data readout of the EMERGENT-3 trial of KarXT for schizophrenia expected in the second half of this year may not
        happen. The study is ongoing in the U.S. and Ukraine.

        Jefferies analyst Chris Howerton noted that any delays in Ukraine may not have as big an impact as feared if data from the EMERGENT-2 trial,
        which has U.S. sites only, has a positive readout around mid-year.

        Howerton added that several other small biotechs he follows have at least some exposure to Ukraine: Applied Molecular Transport
        (NASDAQ:AMTI), Intra-Cellular Therapies (NASDAQ:ITCI), TG Therapeutics (NASDAQ:TGTX), and Veru (NASDAQ:VERU).

        For example, Veru (VERU) has a phase 3 trial evaluating enobosarm in breast cancer. About one-third of the trial sites outside of the U.S. are in
        Ukraine. However, Howerton wrote that since the trial only recently began, the company can make adjustments and meet timelines. Intra-
        Cellular Therapies (ITCI) has a phase 3 study of its antipsychotic Caplyta (lumateperone) as a monotherapy for bipolar depression and major
        depressive disorder ongoing. Seven of 42 trial sites are in Ukraine, and another eight are in Russia.

        There are a few larger pharmas and biotechs with R&D efforts in Russia and Ukraine, namely Biogen (NASDAQ:BIIB), Incyte (NASDAQ:INCY),
        and Eli Lilly (NYSE:LLY). Biogen (BIIB) has some sites in Russia for several phase 3 trials, including one for the the Alzheimer's drug lecanemab.”

Source: https://seekingalpha.com/news/3806107-how-the-russia-invasion-ukraine-may-impact-pharma-biotech-research-developmment
                                                                                                                                                              11
XBI Biotech Index Flat Last Week
                                                                                          NASDAQ Biotech Index, Aug 1,
Biotech Stocks Flat                                   VIX Flat for Week                      2021 to Feb 25, 2022

Return: Feb 18 to Feb 25, 2022                        Jan 3: 16.6%                 5400

                                                      Jan 18: 22.8%
                                                                                   5200
                                                      Feb 4: 23.2%
Nasdaq Biotech Index: 1.0%                            Feb 11: 27.4%
Arca XBI Index: 0%                                    Feb 18: 27.9%
                                                                                   5000

Torreya Global Biotech: -1.1%                         Feb 25: 27.6%
                                                                                   4800
S&P 500: +0.8%
                                                                                   4600

Return: Jan 1 to Feb 25, 2022                         Ten-Year Treasury Yield Up
                                                                                   4400

                                                                                   4200
Nasdaq Biotech Index: -15.2%                          Jan 3: 1.63%
Arca XBI Index: -19.8%                                Jan 18: 1.87%                4000
Torreya Global Biotech: -38%                          Jan 28: 1.78%
S&P 500: -8%                                          Feb 10: 1.92%                3800

                                                      Feb 18: 1.92%
                                                      Feb 25: 1.98%

Source: S&P Capital IQ, Google and Torreya analysis
                                                                                                                         12
Life Sciences Equity Markets is at an All-Time Value
Value of Public Life Sciences Companies Worldwide by Subsector
Record ($8.5 Trillion)
The global life sciences sector rose in value by 1.6% last week ($155 billion). Biotech was down 1.1%.
Diagnostics, CDMO’s and devices were all up.

                                Enterprise Value        Change in Last Week   Change in Last    Change in Last Year
Sector              Count
                            (Feb 26, 2022, $millions)        (percent)        Month (percent)       (percent)

API                  82             $102,158                   0.7%                4.0%                7.6%

Biotech              896            $277,086                   -1.1%               3.2%               -44.8%

CDMO                 42             $271,959                   3.5%                1.5%                0.6%

Diagnostics          82             $292,234                   4.1%                2.7%               -14.5%

OTC                  33              $27,741                   -0.3%               4.4%                1.5%

Pharma               714            $5,600,597                 0.6%                1.1%                3.9%

Services             42             $264,776                   3.3%                -0.1%               6.0%

Tools                54             $803,319                   3.0%                2.2%                9.9%

Devices              186            $1,928,234                 3.9%                5.3%                -3.3%

HCIT                 12              $78,217                   1.5%                7.4%               -37.5%

Total               2143           $9,646,465                  1.6%                2.2%                -0.9%

Source: CapitalIQ                                                                                                     13
145 Negative Enterprise Life Sciences Companies

Source: CapitalIQ                                 14
Global Public Biotech Market Statistics
The pandemic’s impact on our sector is now two years old. Since the start, the median biotech
market cap is up 12.7%. However, since market peak over half of biotechs are down 50% or more.

Market Capitalization Statistics for Worldwide Biotechnology Company Population, Feb 25, 2020 to Present

                                Over Last        Over Last                     Since Market    Over Last Two
 Item                            Week             Month        Year to Date    Peak (2/8/21)       Years
 Number of Companies               894             891             887             776              644

 Market Cap is Down                62%             55%             87%             85%             44%

 Down More than 25%                1.5%            7.1%           43.6%           73.3%            32.6%

 Down More than 40%                0.4%            1.6%           17.4%           62.2%            24.5%

 Down More than 50%                0.2%            0.9%            6.4%           51.2%            20.5%

 Up More than 50%                  0.1%            1.6%            1.1%            6.1%            37.4%

 Up More than 40%                  0.2%            3.0%            1.9%             7%             39.8%

 Up More than 25%                  0.6%            8.2%            6.1%            8.4%            45.7%

 Median Return                    -2.3%           -1.6%           -21.7%          -51.9%          12.7%

Source: CapitalIQ                                                                                              15
Biotech Returns by Country / Exchange
                                                                                                                                                  Since Market       Over Last Two
 Item                                                   Over Last Week               Over Last Month                  Year to Date                Peak (2/8/21)          Years
 Australia (N=31)

 Negative Return                                                  87%                          70%                           97%                          82%            38%

 Median Return                                                   -7.5%                        -5.6%                        -23.6%                       -42.9%          104.6%

 Canada (N=24)

 Negative Return                                                  83%                          54%                           75%                          74%            36%

 Median Return                                                   -4.2%                        -3.5%                        -11.7%                       -31.1%           25.5%

 China/HK (N=26)

 Negative Return                                                  65%                          50%                           92%                          90%            65%

 Median Return                                                   -3.3%                        -1.0%                        -25.2%                       -43.7%          -10.2%

 Europe (N=139)

 Negative Return                                                  80%                          82%                           92%                          83%            38%

 Median Return                                                   -5.0%                        -8.4%                        -21.5%                       -39.7%           21.8%

Source: CapitalIQ. Biotech is defined as a therapeutics / drug development company without an approved product. Return is defined as percent change in market cap.                   16
Biotech Returns by Country / Exchange (Continued)
                                                                                                                  Since                                       These data reveal how the
                                              Over Last             Over Last                                  Market Peak             Over Last              pandemic has impacted
  Item                                         Week                  Month               Year to Date           (2/8/21)               Two Years              individual national biotech
                                                                                                                                                              sectors over a period of two
  Japan (N=24)                                                                                                                                                years.
  Negative Return                                 88%                    58%                   88%                    95%                   75%
                                                                                                                                                              The U.S. has, by far, the largest
  Median Return                                  -4.9%                  -3.8%                 -16.1%                -49.1%                 -25.0%             biotech sector. Two years later,
                                                                                                                                                              the sector’s value has ended
  South Korea (N=41)
                                                                                                                                                              close to where it started. The
  Negative Return                                 80%                    56%                   90%                    81%                   32%               median U.S. biotech’s market cap
                                                                                                                                                              is up 5.6%. 47% traded down
  Median Return                                  -2.7%                  -1.5%                 -23.2%                -24.4%                 26.3%              and 53% traded up. The sector,
  Taiwan (N=30)                                                                                                                                               today, is down 60.8% from peak.

  Negative Return                                 53%                    37%                   60%                    33%                   22%               Unlike the U.S., the biotech
                                                                                                                                                              sectors in Australia, Canada and
  Median Return                                  -1.2%                  2.7%                  -2.4%                  14.1%                 86.0%
                                                                                                                                                              Europe have fared well and are
  United States (N=552)                                                                                                                                       up since the start of the
                                                                                                                                                              pandemic. In contrast, China and
  Negative Return                                 52%                    47%                   87%                    89%                   47%
                                                                                                                                                              Japan have traded down since
  Median Return                                  -0.5%                  0.7%                  -24.2%                -60.8%                  5.6%              the start.

Source: CapitalIQ. Biotech is defined as a therapeutics / drug development company without an approved product. Return is defined as percent change in market cap.                           17
Perceived Risk of a Big Fed Tightening Has Collapsed
After Ukraine Invasion

                                                                             Probability of a 50 bp Increase in Fed Funds at March 16, 2022 FOMC
US Treasuries have caught                                                                                   Meeting
their usual flight-to-safety bid              100%
and expectations for                           90%
upcoming Federal Reserve                       80%
rate hikes have collapsed. (See
                                               70%
chart at right.)
                                               60%

All else equal, lower rates and                50%
a flatter treasury yield curve                 40%
should be a net positive for
                                               30%
risk assets and is a positive for
the markets in near term.                      20%

                                               10%

                                                0%
                                                     1/3/2022
                                                                1/5/2022
                                                                           1/7/2022
                                                                                      1/9/2022

                                                                                                                                                                                                                                     2/2/2022
                                                                                                                                                                                                                                                2/4/2022
                                                                                                                                                                                                                                                           2/6/2022
                                                                                                                                                                                                                                                                      2/8/2022
                                                                                                 1/11/2022
                                                                                                             1/13/2022
                                                                                                                         1/15/2022
                                                                                                                                     1/17/2022
                                                                                                                                                 1/19/2022
                                                                                                                                                             1/21/2022
                                                                                                                                                                         1/23/2022
                                                                                                                                                                                     1/25/2022
                                                                                                                                                                                                 1/27/2022
                                                                                                                                                                                                             1/29/2022

                                                                                                                                                                                                                                                                                 2/10/2022
                                                                                                                                                                                                                                                                                             2/12/2022
                                                                                                                                                                                                                                                                                                         2/14/2022
                                                                                                                                                                                                                                                                                                                     2/16/2022
                                                                                                                                                                                                                                                                                                                                 2/18/2022
                                                                                                                                                                                                                                                                                                                                             2/20/2022
                                                                                                                                                                                                                                                                                                                                                         2/22/2022
                                                                                                                                                                                                                         1/31/2022
Source: CME, https://www.cmegroup.com/trading/interest-rates/countdown-to-fomc.html                                                                                                                                                                                                                                                                                  18
Berkshire Hathaway Annual Shareholder Letter
      Highlights Market Valuations

Warren Buffet, CEO, Berkshire Hathaway

  Berkshire Hathaway’s annual shareholder
  letter is out today and makes for great
  reading. Warren Buffett and Charlie Munger
  complain about high valuations in the
  public markets caused by low interest rates.

  Source: https://berkshirehathaway.com/letters/2021ltr.pdf
                                                              19
Industry News

                20
The Post-Theranos World
Point of care testing is coming of age
                                                                                        That global market is currently valued at ~$208 billion, with an expected
2/8/2022: Advances in technology and changes to healthcare during the                   combined annual growth rate of 10%. In the United States, blood tests can
pandemic may finally realize the vision of patient-centric blood testing espoused       cost hundreds of dollars, depending on the state, clinical center or insurer.
by disgraced Theranos CEO Elizabeth Holmes.                                             And for ambulatory testing, it can take days to receive results, delaying
                                                                                        changes to treatment plans and forcing patients to make multiple trips to
On 10 January, Elizabeth Holmes was found guilty of defrauding investors out of         their doctor. As a result, nearly a third of patients getting blood drawn in a
hundreds of millions of dollars. The conviction is the culmination of a meteoric fall   doctor’s office never follow up on their test results — not to mention the
from grace — just six years ago, she was the iconic CEO heading blood-testing           many who cannot afford to travel or miss work for clinical checkups.
company Theranos, with a >$9 billion valuation and partnerships with the
Cleveland Clinic and pharmacy chain Walgreens.                                          This is what motivated Theranos — and motivates firms like Genaltye and
                                                                                        Cepheid — to pursue integrated POC blood testing. It can transform acute
Of course, Holmes and Theranos never delivered. She habitually lied about the           care in neonatal units, emergency rooms and operating rooms; and it can
company’s Edison miniaturized blood analyzer, which was supposedly running              be rapid, convenient and integrated into outpatient care. Cepheid’s
~240 tests on a disposable cartridge containing 10 μL of blood. And she went to         GeneXpert system (already in 25,000 locations worldwide) runs up to 20
great lengths to conceal the inaccuracy of those tests, all but 12 of which were        tests, giving results in 20–120 min; Genalyte’s Maverick photonic ring
running on other manufacturers’ machines modified to work on diluted samples.           resonance system runs up to 26 tests on a blood drop in 30 mins — fast
                                                                                        enough to have results back while the patient waits in the doctor’s office.
But four years after Theranos’s lights went out, advances in blood analysis —
including volumetric adsorptive microsampling (VAM), integrated point-of-care           Many new startups — Drawbridge Health, Neoteryx, Tasso, Captainer,
(POC) devices, wearables and telemedicine — are reaching an inflection point that       PanoHealth, HemaXis and On the Spot — are looking into VAM, a form of
could make Holmes’s fantasy attainable. And, with the COVID-19 pandemic                 the dried blood spot, which is less invasive than a traditional vein draw and
forcing healthcare providers to adopt a more patient-centric model, the                 doesn’t require cold-chain transportation. But this also has drawbacks:
centralized laboratory testing market appears ripe for disruption.                      sample exposure to humidity and temperature swings can accelerate
                                                                                        hemolysis, altering the content of lipids and other analytes and interfering
                                                                                        with spectrophotometric assays. Some companies are seeking to overcome
                                                                                        this by separating plasma from hematocrit before drying.
  Source: https://www.nature.com/articles/s41587-022-01242-0
                                                                                                                                                                   21
New Insights into ALS
A pioneering new study led by UCL and National Institutes of Health (NIH) scientists
has revealed, for the first time, why a common genetic variant worsens disease
outcomes for people with the devastating adult-onset neurodegenerative diseases
amyotrophic lateral sclerosis (ALS) and frontotemporal dementia (FTD).

Published in Nature, the study shows how TDP-43 protein depletion, associated with
almost all cases (97%) of ALS and half of FTD cases, corrupts the genetic instructions
for the critical neuronal protein UNC13A.

Strikingly, it found that a mysterious genetic variant previously associated with
disease risk increases the chance of UNC13A's genetic instructions being corrupted
among people with the diseases, thereby worsening risk and severity of ALS and
FTD.

UNC13A enables neurons (nerve cells) to communicate with each other via
neurotransmitter release, and data from animal models suggests its loss from
neurons can be fatal. The researchers believe that the corruption of UNC13A's
genetic instructions in patients may have similarly harmful consequences.

ALS is the most common motor neuron disease and there is no known cure; it
affects the brain and spinal cord by attacking the neurons and nerves which control
movement, causing them to die. There is currently only one approved drug for ALS
in the UK, which extends lifespan by a few months, and is only effective for a tiny
minority of patients. One third of patients die within one year of diagnosis.
                                                                                         22
Source: https://www.sciencedaily.com/releases/2022/02/220223111310.htm
23
GSK Consumer Brand Name Announced

Feb 22, 2022

Some cool graphical info on
Haleon at:

https://www.gsk.com/en-
gb/investors/a-new-consumer-
healthcare-company/

                                    24
tRNA therapeutics burst
onto startup scene
2/24/2022: Alltrna launched in November 2021 billing itself as “the world’s first
tRNA platform company.” By engineering transfer RNA molecules — the cellular
couriers of protein synthesis — the startup, backed by $50 million in initial
financing, aims to address the mechanisms of faulty protein production that can
trigger all manner of disease.

But Alltrna is hardly alone in its pursuit of tRNA-based therapeutics. ReCode
Therapeutics, Shape Therapeutics and Tevard Biosciences all came before it; and
the field continues to expand with the arrival of hC Bioscience, a startup that
emerged from stealth mode in late February with $24 million and a plan to fight
cancer and rare diseases with tRNA.                                                 discovery at the non-profit Cystic Fibrosis Foundation. “It unlocks an ability
                                                                                    to meet unmet need in patient populations that otherwise are completely
All of the companies are focused, at least in part, on designing tRNAs to bypass    neglected,” adds Alltrna’s founding CEO and director, Lovisa Afzelius.
premature stop signals and incorporate desired amino acids instead. Such
premature termination codons — which function like misplaced periods in the         Yet, for all the preclinical promise of tRNA technologies, it is not yet certain
middle of a sentence to muddle the message encoded in messenger RNA (mRNA)          that the platform will outperform small-molecule ‘readthrough’ drugs such
— are responsible for an estimated 11% of all inherited disease. In theory then,    as Translarna (ataluren), a treatment approved in Europe and Brazil for
just one ‘suppressor’ tRNA could conceivably remedy thousands of different rare     patients with nonsense mutation–mediated Duchenne muscular dystrophy.
inherited disorders, each caused by the same types of truncating ‘nonsense’         Plus, gene-editing strategies under development could rival tRNA drugs as
mutations that result in faulty gene expression.                                    well.

“If it can be done safely, it really opens the door for an entire new class of      “We don’t know the efficacy of the suppressor tRNAs in vivo yet,” notes Kim
therapies,” says William Skach, a strategic adviser for research and drug           Keeling, a molecular geneticist at the University of Alabama at Birmingham
                                                                                    who continues to search for compounds with improved readthrough
                                                                                    activity. “I’m not sure we can exclude one technology over another yet.”

  Source: https://www.nature.com/articles/s41587-022-01252-y
                                                                                                                                                                       25
RNA Continues to be Hot: Lilly Investing $700mm Into
a New RNA Medicines Site

Source: https://investor.lilly.com/news-releases/news-release-details/lilly-announces-institute-genetic-medicine-and-700-million   26
Decentralized Science Landscape
                                           The notion of science
                                           without traditional
                                           peer review, exploiting
                                           the web and
                                           blockchain has gained
                                           momentum. This
                                           recent chart highlights
                                           progress in this area.

Source: https://twitter.com/UltraRareBio                       27
CVS Drug Trend Report Highlights Impact of Biosimilars
on U.S. Pharma Market

Source: https://insightslp.cvshealth.com/2021-drug-trend-report.html
                                                                       28
CVS Drug Trend Report Highlights Importance of
Autoimmune Drugs in U.S. Spending Growth

Source: https://insightslp.cvshealth.com/2021-drug-trend-report.html
                                                                       29
Public Equity Offerings

                          30
Weekly Global
Biopharma     Biopharma
          Sector         IPO by
                 IPO Activity Volume
                                 Month, 2020 to 2021
Last week saw a Lepu’s China IPO price. Otherwise, the market was closed.

                                                               Biopharma IPO Volume ($ million), Weekly, May 24, 2020 to Feb 25, 2022
                      4000

                      3500

                      3000

                      2500
Volume ($ millions)

                      2000

                      1500

                      1000

                       500

                        0
                        30-May   30-Jun   31-Jul   31-Aug   30-Sep   31-Oct   30-Nov   31-Dec   31-Jan 28-Feb   31-Mar   30-Apr   31-May   30-Jun   31-Jul   31-Aug   30-Sep   31-Oct   30-Nov   31-Dec   31-Jan
                                                                                                                Week Ended

       Source: Data from CapitalIQ
                                                                                                                                                                                                                   31
Lepu Biopharma IPO
Feb 24, 2022: Lepu completed a US$116.1 million
initial public offering (IPO) and listing on the
mainboard of the Hong Kong Stock Exchange under
Chapter 18A of the Listing Rules.

The deal underwriters were CICC and Morgan
Stanley.

China-based Lepu Biopharma's product pipeline
features broad-spectrum anti-tumour drugs,
including primarily the anti-PD-1 antibody candidate,
as the backbone, and a dual focus on ADC and
oncolytic virus drug candidates, maximizing
synergies in both drug efficacy and
commercialization.

 Source: https://menafn.com/1103753163/Lepu-Biopharma-Co-Ltd-Successfully-Listed-on-the-Main-Board-of-HKEX&source=26
                                                                                                                       32
This is Not the Time to Go Public
Biotech IPOs in the current market environment? Experts say it's 'a bit silly, if not suicidal'
Feb 22, 2022: But the number of listings can’t be viewed in isolation. The stocks' performance and uptake in investor confidence—or
lack thereof—should be considered, too. The average biotech IPO was down 22% last year, according to Jefferies. Jordan Saxe, Head of
Healthcare Listings at NASDAQ, said it’s too early to comment on who outshone the competition last year, pointing to Moderna as an
example of a biotech that wouldn’t have been expected to produce one of the quickest vaccine developments in history. Put more
simply, it takes time to judge the new public entrants.

Stampacchia didn’t mince words when he characterized the last 11 or so months as a bear market. As a case in point, nine of the top 10
biotech IPOs of 2021 are now trading well below their initial offering price. The largest debut, Sana Biotechnology’s $675 million raise
last February, is a shell of its former self. The cancer and cell therapy biotech priced at $25 and shares are now roughly one-third, at
$8.81 apiece in early February.

Verve Therapeutics, a heart disease and gene therapy biotech, is the only company to fare better than on its first day of trading among
Fierce Biotech’s top 10 list. The stock woes haven't deterred everyone, though, as cell therapy biotech Arcellx launched an IPO anyway
earlier this month. The Takeda- and Novo-backed biotech raised about $124 million to fund a phase 2 study of its CAR-T BCMA therapy
in multiple myeloma.

Biotechs should have two to three years of capital runway, and, in a stock market environment that is “not conducive,” companies
should come up with a Plan B, Saxe said.

“[R]ight now, it just feels a bit silly, if not suicidal” to consider going public, Stampacchia said.
  Source: https://www.fiercebiotech.com/biotech/biotech-ipos-current-public-market-dump-its-little-silly                                   33
Biopharma Sector IPO Activity by Month, 2020 to 2021
Weekly Global Biopharma Follow-On Equity Volume
Last week saw nine follow-on offerings price for total issuance of $434 million. By any measure, it was a slow week. It’s
remarkable, in a way, that there was any activity in this market given the confluence of geopolitical turbulence with an upcoming
Fed tightening.
                                                       Biopharma Equity Follow-On Volume ($ million), Weekly, May 2020 to Feb 25, 2022
                      12000

                      10000

                       8000
Volume ($ millions)

                       6000

                       4000

                       2000

                         0
                         30-May   30-Jun   31-Jul   31-Aug 30-Sep   31-Oct   30-Nov   31-Dec   31-Jan 28-Feb   31-Mar   30-Apr   31-May   30-Jun   31-Jul   31-Aug 30-Sep   31-Oct   30-Nov   31-Dec   31-Jan
                                                                                                               Week Ended

   Source: Data from CapitalIQ
                                                                                                                                                                                                                34
Amgen Issues $750 million Green Bond
AMGEN ISSUES INAUGURAL GREEN BOND TO ADVANCE ESG GOALS

THOUSAND OAKS, Calif., Feb. 22, 2022 /PRNewswire/ -- Amgen (NASDAQ:AMGN) today announced the issuance
of its inaugural $750 million green bond, with a 3.000% semi-annual coupon and maturing in 2029, to advance the
environmental goals that are part of Amgen's environmental, social and governance (ESG) framework.

The green bond is part of a $4 billion underwritten public offering of senior notes that were issued on February 22,
2022 and the use of proceeds from the green bond is aligned with the Company's Green Financing Framework.
S&P Global Ratings provided the second party opinion on the Framework and reported that it is aligned with the
Green Bond Principles (2021) administered by the International Capital Market Association.

Since 2007, Amgen has implemented environmentally focused projects resulting in a 33% reduction in carbon
emissions, a 30% reduction in water use and a 28% reduction in waste disposed. These reductions were achieved
even as the Company increased production capacity, expanded its presence to approximately 100 countries, and
grew revenues significantly. In January 2021, Amgen announced plans to achieve carbon neutrality in its operations
by 2027, while further reducing water use by 40% and waste disposed by 75%.

"As a science-based company, we understand the profound impact that climate change is having on human health
around the world," said Judy Brown, senior vice president, Corporate Affairs at Amgen. "This green bond will fund
specific projects across our company that are intended to mitigate our impact on the environment."
                                                                                                                       35
Private Capital Markets Environment

                                      36
Weekly Global
             Biopharma     Biopharma
                       Sector         Venture
                              IPO Activity    Equity Placements
                                           by Month, 2020 to 2021
              We saw $810 million in private venture equity placements complete last week. The market picked up from a week ago.

                                                     Biopharma Venture Equity Privates Trend ($ million), Weekly, May 2020 to Feb 2022
                      5000

                      4500

                      4000

                      3500
Volume ($ millions)

                      3000

                      2500

                      2000

                      1500

                      1000

                       500

                         0
                         30-May   30-Jun    31-Jul   31-Aug      30-Sep   31-Oct   30-Nov   31-Dec   31-Jan   28-Feb   31-Mar   30-Apr   31-May   30-Jun   31-Jul   31-Aug   30-Sep   31-Oct   30-Nov   31-Dec   31-Jan
                                                                                                                       Week Ended

                      Source: Data from CapitalIQ, Crunchbase.
                                                                                                                                                                                                                          37
Plexium Raises $102 Million
Plexium Announces $102M Financing To Advance Pipeline Of Targeted
Protein Degradation Therapies And Technology Platform

Feb 23, 2022: Plexium, Inc., a leading next-generation targeted protein
degradation (TPD) company, today announced the completion of an
oversubscribed $102M financing, led by BVF Partners, L.P. and TCG X, with
participation from new investors Softbank Vision Fund 2, RA Capital Management,
Surveyor Capital (a Citadel company), and Pappas Capital. Existing investors The
Column Group, DCVC Bio, Pivotal bioVenture Partners, Lux Capital, M Ventures,
CRV, and Neotribe Ventures also participated in the round. In connection with the
financing, Cariad Chester, partner at TCG X, has joined the Plexium Board of
Directors.

"We are proud of Plexium's significant progress toward becoming the premier
targeted protein degradation company. From attracting the highest quality
investors in our latest financing announced today to establishing a validating
partnership with Amgen for oncology, we continue to enhance our best-in-class
platform and expand our pipeline to improve patients' lives," said Plexium
President & CEO Percival Barretto-Ko. "Plexium is well positioned to accelerate our
programs toward the clinic and broaden our capabilities with a comprehensive and
agnostic approach across multiple TPD modalities to address the vast undrugged
landscape of opportunity that remains."
Source: https://www.prnewswire.com/news-releases/plexium-announces-102m-financing-to-advance-pipeline-of-targeted-protein-degradation-therapies-
and-technology-platform-301488513.html                                                                                                             38
Mergers and Acquisitions Environment

                                       39
Global Biopharma M&A Activity Continues to Be Soft
Biopharma Weekly M&A Volume, June 2020 to Feb 2022
Through 2021. Quite a Few Smaller Deals Happening.
There was no meaningful M&A activity in the biopharma sector last week.

                                      Biopharma M&A Volume Trend ($ million), Weekly, May 2020 to Feb 2022
                        50000

                        45000

                        40000

                        35000
  Volume ($ millions)

                        30000

                        25000

                        20000

                        15000

                        10000

                        5000

                           0
                           30-May 30-Jun   31-Jul   31-Aug 30-Sep   31-Oct 30-Nov 31-Dec   31-Jan 28-Feb   31-Mar 30-Apr 31-May 30-Jun   31-Jul   31-Aug 30-Sep   31-Oct 30-Nov 31-Dec   31-Jan
                                                                                                           Week Ended

Source: S&P, CapitalIQ
                                                                                                                                                                                                  40
Taro to Acquire Alchemee From Galderma for $90mm
lchemee’s flagship brand Proactiv® is an iconic product synonymous with acne care

Feb 22, 2022: Galderma and Taro Pharmaceutical Industries Ltd. (NYSE: TARO) (“Taro”) announced today they have signed a
definitive agreement for Taro to acquire Alchemee, formerly The Proactiv Company (TPC), from Galderma. The agreement between
Galderma and Taro includes Alchemee’s business and assets around the world, including the Proactiv® brand.

Proactiv® has been used and trusted by millions around the world for more than 25 years. Originally set up as a subscription-
based business, Proactiv® quickly became a leading U.S. consumer acne brand.

The acquisition is subject to customary closing conditions and any necessary regulatory approvals. Financial terms of the
transaction have not been disclosed.

About Alchemee

At Alchemee, we aspire to inspire. We are alchemists at heart, harnessing science to create powerful wellness solutions. The
combination of alchemy and “me” offers the right mixture of science, expertise, and support that empowers our customers with
confidence. Through one-of-a-kind expert-designed formulas and positive guidance, Alchemee provides solutions that are as
effective as they are transformative. At Alchemee, we are committed to empowering the world one person at a time. Alchemee.
Transformation beyond expectation. www.alchemee.com

Source: https://www.businesswire.com/news/home/20220222005795/en/Taro-to-Acquire-Alchemee-From-Galderma
                                                                                                                                41
Amicus and Perceptive call off SPAC merger for gene
therapy spinout after recent setback

Feb 24, 2022: Roughly a month after Amicus Therapeutics reported an unexpected setback in a gene therapy planned
to be spun out in a SPAC deal, the biotech and its blank check partner have called off the merger — the second high-
profile SPAC decoupling in recent months. Amicus will not spin out its gene therapy unit with Arya Sciences
Acquisition IV, the fourth SPAC belonging to Joseph Edelman’s Perceptive, after all. The two say they have mutually
agreed to end merger discussions, leaving Edelman with about another year to find a partner to take public. In a
conference call Thursday morning with investors detailing full-year 2021 results, Amicus CEO John Crowley said the
decision resulted from “current unfavorable market conditions” related to biotech IPOs, SPACs and follow-on
financings. He also described an “increasingly challenging” environment for standalone gene therapy companies —
both on Nasdaq and at the FDA. Additionally, Crowley said Amicus will be laying off about 7% of employees from its
R&D department, or about 35 people in total. The long-term plan is to keep Amicus’ staff flat “over the next several
years,” he said, and the biotech will be hiring additional workers in other areas to compensate for the layoffs. Amicus
shares were down about 9% before Thursday’s opening bell but rebounded to about flat as the market opened.

Source: https://endpts.com/amicus-and-perceptive-call-off-spac-merger-for-gene-therapy-spinout-after-recent-setback/

                                                                                                                          42
DOJ Sues to Block UNH Acquisition of Change
Healthcare
                                                                                 We continue to see signs of an active
                                                                                 Biden administration antitrust stance in
                                                                                 2022.

Source: https://www.justice.gov/opa/pr/justice-department-sues-block-unitedhealth-group-s-acquisition-change-healthcare

                                                                                                                            43
Sartorius in $11 bln bid for COVID vaccine reagent
vendor Maravai -sources
Feb 25, 2022: Laboratory supplies vendor Sartorius AG (SATG.DE) has approached Maravai LifeSciences Holdings Inc (MRVI.O),
a U.S. provider of capping reagents for COVID-19 vaccines, with an $11 billion acquisition offer, people familiar with the matter
said.

Maravai rejected the $42 per share all-cash offer from Goettingen, Germany-based Sartorius earlier this month as inadequate,
the sources said. It is not clear whether Sartorius will return with a new offer or whether Maravai will attract acquisition
interest from other laboratory equipment and supplies providers.

The sources requested anonymity because the matter is confidential. A Sartorius spokeswoman declined to comment,
while Maravai representatives did not respond to requests for comment.

Maravai shares rallied on the news and ended trading in New York on Friday up 11% at $37.11.

Maravai makes reagents used in the production of mRNA vaccines, including the one developed by Pfizer Inc (PFE.N)
and BioNTech SE (22UAy.DE) against COVID-19.

Source: https://www.reuters.com/business/healthcare-pharmaceuticals/exclusive-sartorius-11-bln-bid-covid-vaccine-reagent-vendor-maravai-sources-2022-02-25

                                                                                                                                                             44
Appendix:
Weekly Transaction Listing

                             45
Biopharma Sector Transaction List. Week ended Feb 25,
2022 (deal size > $15mm)
         Date           Target/Issuer                                     Transaction Types          Value ($mm)
       2/24/2022        Provention Bio, Inc. (NasdaqGS:PRVB)              Public Equity Offering                   150.0
       2/24/2022        Kura Oncology, Inc. (NasdaqGS:KURA)               Public Equity Offering                   150.0
       2/22/2022        Lepu Biopharma Co., Ltd. (SEHK:2157)              IPO                                  115.95
       2/24/2022        Scipher Medicine                                  Private Equity Placement               110
       2/22/2022        Plexium, Inc.                                     Private Equity Placement                 102.0
       2/23/2022        Wildtype                                          Private Equity Placement                  100
       2/22/2022        Proactive Co                                      Merger/Acquisition                        90.0
       2/22/2022        Eyebiotech Limited                                Private Equity Placement                  65.0
       2/23/2022        Spatial Genomics                                  Private Equity Placement                   56
       2/22/2022        Ocugen, Inc. (NasdaqCM:OCGN)                      Public Equity Offering                    53.5
       2/22/2022        Automata                                          Private Equity Placement                  50.3
       2/24/2022        MannKind Corporation (NasdaqGM:MNKD)              Public Equity Offering                    50.0
       2/22/2022        Bio Orchestra Co., Ltd.                           Private Equity Placement                 45.25
       2/22/2022        TargED Biopharmaceuticals B.V.                    Private Equity Placement                 44.23
       2/22/2022        ImBioray (Hangzhou) Biopharmaceutical Co., Ltd.   Private Equity Placement                  36.3
       2/23/2022        SIYO Bio-Tech                                     Private Equity Placement                  31.6
       2/24/2022        Ardelyx                                           Private Debt Placement                    27.5
       2/19/2022        Hunan Kerey Pharmaceutical Co., Ltd.              Merger/Acquisition                       24.89
       2/23/2022        hC Bioscience                                     Private Equity Placement                    24
       2/24/2022        Vibliome                                          Private Equity Placement                   22
       2/23/2022        Priothera                                         Private Debt Placement                    19.8
       2/24/2022        DEARGEN Inc.                                      Private Equity Placement                  17.0

                                                                                                                           46
Source: CapIQ, Crunchbase, Biospace
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