19September2016 Europe’sflawedandunderfundedBiotech-ecosystem -EBEpositionpaper- Biotechnologyaisimportantfor Europe:thesectorhelpstheeconomy growandprovidesnewjobs,while supportingpublichealth.In2015, morethan10.000newjobswere createdinthebiotechindustryin Europeand93medicinesforhuman usewererecommendedformarket authorisationbytheEuropean MedicalAgencywith39newactive substances,mostofwhichare Note: Europe is defined here as the EU-28 plus Norway; Gross value added for each industry is defined as the gross income biopharmaceuticalproducts.Europe from operating activities per employee. Source: Health Advances analysis; Eurostat Database (accessed February 2016). hasworld-classresearchinstitutions,andahostofnovelinnovativedrugsthataremakingtheirway throughtheclinicaldevelopmentphase.Beingatthecompetitiveedgeofinnovationinthe biopharmaceuticalfieldiscrucialfor continuingtodeliveronnovel medications,newjobsandeconomic growth1,2.IfEuropewantstoremain atthiscompetitiveedge,anumberof strongandnovelactionsmustbe implementedacrosstheEuropean UnionanditsMemberStates. Summary Europe,despiteyear-on-yeargrowth,isincreasinglylaggingbehindtheUSincreatingamature biotechfundingecosystem.Thisresultsinsignificantcapitalleakageandinnovationdraintoregions outsideofthecontinent.Inthisrespect,Universitiesandresearchinstitutionsneedtoplayamuch moreimportantrolebyincreasingtheentrepreneurshipofscientistsandTechnicalTransferOffices (TTOs),withtheaimtoimproveEurope’stranslationcapabilityofbasicscienceintocommercial ventures.Ontopofthat,weneedtoimplementmeasurementstocreateastrongspecialistinvestor communityandanoptimallyfunctioningsinglecapitalmarketinEuropeforbiotechcompanies,in ordertopreventthatotherregionsthanEuropewilleconomicallybenefitfromtheexcellentbasic sciencethatEuropegenerates. EuropeanScience&TechnologyTransfer Europe’sbasicscienceiscompetitivewithanyregionintheworldandthereisnostructural differenceinqualityofsciencecomparedtospecificregionsinNorthAmericaorAsia3,4,5.However, a Biotechnologyistheuseoflivingsystemsandorganismstodevelopormakeproducts,or"anytechnologicalapplicationthatuses biologicalsystems,livingorganismsorderivativesthereof,tomakeormodifyproductsorprocessesforspecificuse"(UNConventionon BiologicalDiversity,Art.2).Inthistext,theterm‘biotechnology’and‘biopharmaceuticals’companiesareusedinterchangeablyandreferto companiesorproductsmeetingthedefinitioninthefirstsentence,whereaspharmaceuticalcompaniesmakemostlysmallmolecule medicineswithachemicalbasis.Whilstmostclassicalpharmaceuticalcompaniesnowadaysareaddingbiotechproductstotheirportfolio, companieslikeAmgenorGileadgrewonthestrengthoftheirbiotechproductsandareconsideredtypicalbiotechcompanies. Page1of6 afundamentalissueinEuropeisitstranslationcapabilityofbasicscienceintoacommercialventure, inparticularontheaspectsofdefininganattractivebusinesscaseandfindingsufficientinvestment capitaltoexecuteaviablebusinessplan. Strikingly,someofthemostinterestingdiscoveriesthat arecurrentlyappliedtoproductsindevelopmentoriginate fromEuropeaninstitutionsbutarepredominantly employedbyUScompanies:RNAib,CRISPR-Cas9candnextgenerationTcellreceptors.Thismeansthatotherregions thanEuropearereapingtheeconomicbenefitsfrom Europe’sexcellentbasicscience. CRISPR/Cas9, a promising gene editing technology, has been co-discovered in Europe, but sees its further development predominantly pursued in the US. Recently, the three major companies in this field, all headquartered in Cambridge (MA), raised some large amounts of capital: Editas Medicine ($120 million), Intellia Cambridge Therapeutics ($70 million) and CRISPR Therapeutics ($64 million). The newly raised capital shall be used for hiring new employees and doing investments in the region. Interestingly, CRISPR Therapeutics started its operations in Basel, Switzerland, but partially moved its headquarters to the US as part of its latest financing round. Europemaybemoreriskadverseandthereisno“license tofail”forentrepreneurs,butforemostthereisnostrong cultureofinstitutionsorindividualsseekinguseful applicationoftheirwork,takingoutpatentsandcreating start-upcompanies6.AtEuropeanuniversities,sciencestudentsarenotofferedcoursesin entrepreneurship;abetterintegrationwithbusinessschoolswouldbebeneficialforcreatinga cultureofentrepreneurshipamongstscientists.Forexample,USuniversitiestrainandincentivize scientists,anditisnotuncommontohaveserialbiotechentrepreneursbasedattheuniversities7. Trainingofscientistsinbusinessandmanagementaspectswouldinthelongrunalsoaddressthe needinEuropeofwell-trainedandexperiencedmanagementwithinbiotechcompanies.Currently, scientistswithbusinessandmanagementexperiencearemostlyfoundclosetopharmaceutical companiesinDenmark,SwitzerlandandBelgium,whereinconsequencemanybiotechcompanies arefoundaswell.Ingeneral,however,Europeanbiotechcompaniesdonotseemtohavetheability toattractexperiencedseniormanagersthathaveworkedinmultiplesmallbiotechcompaniesand haveasuccessfultrackrecord8. AnotherproblematEuropeanuniversitiesisthelackofrealismandexperienceatTTOs,negotiating unrealisticequitysharesinspin-offcompaniesanddistributingrevenuespredominantlytothe universitiesthemselves.Inmostcases,thisleadstolengthynegotiationprocesses,frustrated scientist-inventorsandlossofmomentumintermsofbusinessopportunities.Oneapparentreason forsuchunderperformanceisthatmostTTOsatEuropeanuniversitiesarepoorlyfinancedanddo nothavetheabilitytoattractandtrainexperiencedstaff.AsurveyinaNaturepublication9has shownequitysharesofuniversitiesrangingfrom1%to50%withUSuniversitieshavingthelowest, mostrealisticrates. Recommendations: - BusinessandManagementtrainingshouldbeprovidedtoscientistsacrossEuropean universitiesandresearchinstitutions AdequatefundingofTTOsandmoreentrepreneurialawarenessatEuropeanuniversities shouldbecreated:onlywheninnovativeideasareactuallyputintopracticewilltheyresultin economicgrowth,newjobsandwelfareforsociety. b RNAi:RNAinterference(RNAi)isabiologicalprocessinwhichRNAmoleculesinhibitgeneexpression,typicallybycausingthedestruction ofspecificmRNAmolecules.Thepathwayisinvestigatedtodeveloptherapiesforviralinfections,neurodegenerativediseasesandcancer. c CRISPR-Cas9:Clusteredregularlyinterspacedshortpalindromicrepeats(CRISPR)aresegmentsofprokaryoticDNAcontainingshort repetitionsofbasesequences.Eachrepetitionisfollowedbyshortsegmentsof"spacerDNA"frompreviousexposurestoabacteriophage virusorplasmid.TheCRISPR/Cassystemisaprokaryoticimmunesystemthatconfersresistancetoforeigngeneticelementssuchasthose presentwithinplasmidsandphages,andprovidesaformofacquiredimmunity.TheCasprotein(s)usetheCRISPRspacerstorecognizeand cuttheseexogenousgeneticelementsinamanneranalogoustoRNAinterferenceineukaryoticorganisms.BydeliveringtheCas9nuclease andappropriateguideRNAsintoacell,thecell'sgenomecanbecutatadesiredlocation,allowingexistinggenestoberemovedand/or newonesadded.Cas9wasthefirstnucleasediscovered.Othersuchsystemsarethoughttoexist. Page2of6 EuropeanFundingEcosystem ThereissignificantpublicresearchfundingavailableinEuropesuchasthepublic-privatepartnership InnovativeMedicinesInitiative(IMI),theEuropeanCommission’sHorizon2020andInnovFin,the jointinitiativelaunchedbytheEuropeanInvestmentBankGroup(EuropeanInvestmentBank(EIB), andEuropeanInvestmentFund(EIF))incooperationwiththeEuropeanCommissionunderHorizon 2020.Theseareperceivedasgoodfundingvehiclesforbiotechcompanies.Inordertobeevenmore attractiveandefficient,theseresearchfundsneedtobecarefulnottodividethefundingtoothinly overallcandidates,andacrossdifferentcountries.Instead,thefocusshouldlieonthequalityofthe researchwiththeaimtofullyexploititsscientificandcommercialpotential. ThenumberofEuropeanseeddandseriesAroundsehaveincreasedoverthepastfiveyearsand Europeaninvestorscurrentlycollectmoremoneyintheirfundsthaneverbefore.However,taking intoaccounttheinvestmentsneededtodevelopbiopharmaceuticalproductsformarketlaunch,the totalamountofEuropeanVentureCapital(VC)moneyisbyfartoolowtofinanceEuropeanbiotech companiesthroughoutthewholeproductdevelopmentprocess.Maturebiotechcompanies, meaningcompaniesthatareabletodevelop,launchandsellamedicinalproductindependently,are lackinginEurope.Suchmaturebiotechcompaniesareessentialforaconfidentbiotechinvestment ecosystem,astheygeneraterevenuesandaredrivingtheinterestofinvestors.In2015,thetopfive commercialbiotechcompaniesintheUSaccountedforrevenuesof80billionUSD,representinghalf oftheworldwiderevenuesinbiotech.Itisevidentthatsuchrevenuesfrommaturebiotech companiescreateahealthyinvestmentecosystemthatattractsnovelinvestments.Withrespectto thematurationofbiotechcompaniesinEurope,only13%ofitsPhaseIIcompaniesmanagetomove intoPhaseIIIorbeyond,leadingtoasignificantlossofinnovation.Mostothercompaniesdonotfind theirfundinginEurope,butinsteadmovetotheUSseekingalistingontheNASDAQforacquisition byalarger,oftenUSbasedcompany,representingahugeinnovationdrainfromEuropetotheUS. g 10 Table2:Costofbiopharmaceuticaldevelopment , d Seedmoney,sometimesknownasseedfundingorseedcapital,isaformofsecuritiesofferinginwhichaninvestorinvestscapitalin exchangeforanequitystakeinthecompany.Thetermseedsuggeststhatthisisaveryearlyinvestment,meanttosupportthebusiness untilitcangeneratecashofitsown(seecashflow),oruntilitisreadyforfurtherinvestments. e SeriesAroundsaretraditionallyacriticalstageinthefundingofnewcompanies.SeriesAPreferredStockisthefirstroundofstock offeredduringtheseedorearlystageroundbyaportfoliocompanytotheventurecapitalinvestor.SeriesApreferredstockisoften convertibleintocommonstockincertaincasessuchasanIPOorthesaleofthecompany.ThecapitalraisedduringaSeriesAisusually intendedtofinancethecompanyfor6monthsto2yearsasitdevelopsitsproducts,performsinitialmarketingandbranding,hiresits initialemployees,andotherwiseundertakesearlystagebusinessoperations. f NASDAQ:NationalAssociationofSecuritiesDealersAutomatedQuotations,thekeyUSstockexchangeforbiotechcompanies. g AcronymsusedinTable2:WIP=workinprocess,i.e.numberofassets;NME=newmolecularentity Page3of6 In2015Europeancompanieshaveraisedmorecapitalthanever,butitstillrepresentsonlyafraction ofthecapitalraisedbyUScompanies.Europeislosingevenmoreofacompetitiveedge,when comparingthemodestincreaseof6%incapitalraisedover2014tothe35%increaseincapitalraised byUScompaniesoverthesameperiod.ThehugeincreaseintheUSisfuelledbythepresenceof maturebiotechcompanieslaunchingmedicinalproductsindependently,andgeneratingsignificant revenuesforbiotechcompaniesthatotherwisewouldhavegonetotheirpharmapartners.These largerevenuesaredrawingtheinterestofmoreinvestorstothebiotechspace. Capitalraised,numberofcompanies&employeesinUSvsEU(2014vs2015)* Capitalraisedbycompanies Numberofcompanies Numberofemployees US(2014) $45,1B 2.763 109.450 US(2015) $61,1B(+35%) 2.772(+0%) 131.690(+20%) EU(2014) $9.3B 2.268 61.320 EU(2015) $9.9B(+6%) 2.259(0%) 72.160(+18%) *Source:BiotechnologyReport2016EY ApartfromafewcompaniessuchasShirePlc(Ireland),UCB(Belgium)andActelion(Switzerland), Europelacksmaturebiopharmaceuticalcompaniesthatgeneratesignificantrevenuesfromthesales oftheirinnovativeproducts. ConsideringtheamountofcapitalraisedbyEuropeanbiotechcompanies,thenumberofcompanies andtheamountofmoneynecessarytoputamedicinalproductonthemarket,itisevidentthatthe Europeanbiotechecosystemisheavilyunderfunded.Littlematurationofbiotechcompaniescanbe expectedinEuropeinthenearfuture.EvenlargeEuropeanfundsfindUScompaniesmore compellingcasesforinvestmentthanEurope-basedcompanies,basicallybecauseUScompanies createamuchhighervalueandgreaterreturnoninvestment.Someofthesefundseveninvest80% oftheirmoneyintheUS,withonly20%inEurope11:abigleakageofcapitalforinnovationfrom EuropetotheUS. Inaddition,venturecapitalfirmsinEuropeareperceivedastoosmallinfundsizeandsometimesare geographicallylimitedintheirinvestments.TheEIBandEIFareimportantbodieswithinthe EuropeanUniontoprovidelong-termfinancing,includingthefundingofventurecapitalfirms,butas withtheIMI,fundingisspreadtoothinlyoverthedifferentventurecapitalfirms.BothEIBandEIF, whenfinancinginvestmentfunds,shouldprovidefundingwiththeaimofcreatinglargerfundsthat caninvestacrossEurope.Furthermore,itiscrucialforahealthybiotechinvestmentecosystemto createcrossoverinvestorsthatcaninvestinabiotechcompanybothwhenitisprivateaswellasin itspublicphase,inadditiontotheclassicalVCfundsthatinvestinprivatecompanies.Whenever crossoverinvestorsareinvolvedinabiotechcompany,theirwaytothestockmarketismadeeasier andtheperformanceafteranInitialPublicOffering(IPO)aswellastheliquidityofthestockismuch better.Theperspectiveofagoodafter-IPOperformanceisimportantforattractingtheinterestof investorsinprivatebiotechcompanies,asthisisperceivedasapossibleexitfortheinvestors.There aremanycrossoverinvestorsintheUS,mostlywithdeeppockets.IntheEUthereareonlyafew smallcrossoverinvestors,whilethereisclearneedforatleasttwooftheselargeinvestorfundsthat couldhelpdevelopingthecapitalmarketsandprovidingexitopportunitiesforinvestorsinprivate biotechcompanies. Recommendations: - EIB/EIFtomakelargefinancialticketsavailableforcreatingatleasttwolargeindependent EuropeanBiotechcrossoverinvestorswithbudgetsofmorethanonebillionEuros; EIB/EIF,whenfinancinginvestmentfunds,toprovidefundingtolargerEuropeanBiotech venturecapitalfundsthatcaninvestacrossEurope; Page4of6 - Europeanresearchfundingforbiotechtofocusonqualityandsufficientfundingtoaddress thescientificpotential. CapitalMarketsandotherincentives Europeneedstobuildabiggerandbettercapitalmarketforbiotechcompaniestoovercomethe fundinggapthatpreventstheneededgrowthofthebiotechsector.CapitalmarketsinEuropeare fragmentednationalmarketswithseparaterules,regulationsandbusinesspracticesandprovide littleliquidityforinvestorsinbiotechcompanies.Furthermore,capitalmarketsinEuropearenot deepenoughtotakeupanydownfalls,necessarytocreatetrustandcontinuityinahighlyrisky sectorsuchasthebiotechindustry.Withoutsuchadeepercapitalmarket,Europewillnotbeableto createamaturebiotechnologysectorabletogeneratesalesfromtheproductsdevelopedin-house. WeappreciatetheactivitiesundertakenbytheEuropeanCommissiontobuildatruesinglemarket forcapital–aCapitalMarketsUnionforallMemberStates–,butwebelievethatspecificmeasures forthebiotechsectorshouldbetaken. BecauseofthesuboptimalfunctioningofcapitalmarketsforthebiotechsectorinEurope,anIPOfor abiotechcompanyisnotgenerallyseenasanexitoptionforventurecapitalinvestors.Theyrather seetheirEuropeanportfoliocompaniesbeingacquiredbyanothercompany,inmostcasesalarger USbasedcompany,thantakingthemtotheEuropeanstockmarket.LowliquidityandnegativepostIPOperformancearebeingperceivedasdriversforsuchpreferredbehaviour.IntheUS,thereis competitionbetweenacquisitionandIPOasexitstrategies,resultinginamuchhighervalueinboth situationsandthusgreaterreturnoninvestmentfortheinvestors. ThereisastrongtrendofEuropeanbiotechcompanies beinglistedontheNASDAQ.Ingeneral,these companiesraisealmostdoubletheamountthanthat raisedbycompanieslistedonEuronextandAIM, however,Euronextcompaniesshowmuchstronger after-IPOperformancecomparedtoanoverallnegative post-IPOperformanceofEuropeanfirmslistedon NASDAQ.Thiscreatesamomentumforaunited EuropeancapitalmarketforbiotechIPOs,accelerating theEuropeanventurecapitalindustrytobecomethe samesizerelativetotheeconomyasintheUSand providefundingforfuturepotentialEuropean ‘Amgens’and‘Gileads’thatarenownotgettingthefundinginEurope. ArGEN-X (Ghent, BE), Affimed (Heidelberg, DE) and Five Prime (San Francisco, US) are antibody companies in the field of oncology, all with a similar clinical stage of development. ArGEN-X is listed on the Euronext with a market cap of €176M, while Affimed and Five Prime are both listed on the NASDAQ; the German based Affimed with a market cap of $96M and the US based Five Prime with a market cap of nearly $1,4B. These companies were listed within a year time frame between Sept 2013 – Sept 2014. Compared to their introduction price, their stock price performed markedly different: ArGEN-X +31%, Five Prime +288% and Affimed -58% (dd 3/8/2016). Additionalconcessionstostimulategreaterinvestment,currentlyrandomly(haphazardly)available atnational,orsub-nationallevel,suchastaxcreditsforresearchorspecificcommercialisation agreementsforIntellectualProperty(IP)developedatEuropeanuniversitiesthroughinvestorsin biotechstart-upcompaniescanpresentstrongincentivestobiotechcompaniesandassistin obtaininglongertermfunding.Rollingoutthemostsuccessfulofsuchincentivesinamannerthat createssynergiesacrossEurope,forexampleinformofEUCommissionsupportedandMember StatesimplementedBestPracticestoincentiviseinnovation,wouldprovideadditionalsupportto establishingsuccessfulbusinessesinEuropebasedoninnovativeideasdevelopedinEurope. Recommendations: - EuropeanCommissiontofacilitateasinglecapitalmarketforbiotechnologycompanies; EuropeanCommissionandMemberStatestofacilitateEuropeantaxincentivesandother incentivesforinvestinginprivateandpublicBiotechcompaniesthroughidentificationof BestPractices Page5of6 Conclusion Europehasgreatscienceinthebiotechsectorbutlagsbehindintranslatingthescienceinto successfulbusinesses.Addressingthekeyfactorscontributingtoamigrationofbusinessventures outsideofEuropeidentifiedbytheEuropeanBiopharmaceuticalEnterprises(EBE)wouldimprovethe currentgapintranslatinginnovationintobusinesses.Therecommendedkeyactionsfocuson improvingtechnologytransferandbusinessacumenofinnovators,specificactionswithinthe EuropeanfundingecosystemtoimproveinvestmentwithinEurope,speedingupdevelopmentofa singlecapitalmarketforbiotechcompanies,supplementedbyidentificationandEurope-wide ImplementationofbestsupportiveincentivesacrossEuropesuchastaxcreditsforresearchandIP commercializationagreementswithinvestorsinbiotechcompanieswouldprovidefurtherincentives toestablishingbiotechcompaniesinEurope. References: 1 EFPIAThePharmaceuticalIndustryinFigures,2016Edition,pp12-13;EmploymentinthePharmaceutical Industry: http://www.efpia.eu/uploads/Modules/Documents/the-pharmaceutical-industry-in-figures-2016.pdf 2 McKinsey&Company,December2014.Rapidgrowthinbiopharma:Challengesandopportunities,ByRalf Otto,AlbertoSantagostino,andUlfSchrader,http://www.mckinsey.com/industries/pharmaceuticals-and medical-products/our-insights/rapid-growth-in-biopharma 3 GlobalUniversityrankings:https://www.timeshighereducation.com/world-university-rankings/2016/worldranking#!/page/0/length/25/sort_by/rank_label/sort_order/asc/cols/rank_only 4 TheWorld'sMostInnovativeResearchInstitutions:http://www.reuters.com/article/us-innovation-rankingsidUSKCN0WA2A5 5 TheWorld’sMostInnovativeUniversities:http://www.reuters.com/article/idUSL1N11K16Q20150915 6 AlexandervonGabain(2016);Whatinnovationis:onpatents,techtransferandentrepreneurialuniversities; http://stateofinnovation.thomsonreuters.com/what-innovation-is-on-patents-tech-transfer-andentrepreneurial-universities 7 Guestpost(2Aug.2016)byLukeTimmerman(founder&editoroftheTimmermanReport,regularcontributor toForbesandSTATNews);12SerialEntrepreneursWho’veCreatedValueinBiotechOver,andOver,Again; http://insight.ebdgroup.com/h/i/277019964-12-serial-entrepreneurs-who-ve-created-value-in-biotech-over-andover-again/274119?utm_source=event&utm_medium=email&utm_term=08032016_Article&utm_campaign=BPA16 8 seeErnest&Young‘BeyondbordersBiotechnologyreport2016’(page51); http://www.ey.com/Publication/vwLUAssets/EY-beyond-borders-2016/$FILE/EY-beyond-borders-2016.pdf 9 WongSKC,SasportasLS,RichardsonKetal.,KeystotheKingdom,NatureBiotechnology,Publishedonline:26 February2015,doi:10.1038/bioe.2015.2 10 PaulSM,MytelkaDS,DunwiddieCTetal.,HowtoimproveR&Dproductivity:thepharmaceuticalindustry’s grandchallenge,NatureReviewsDrugDiscovery9,203-2014(2010) 11 PersonalcommunicationtoEBE European Biopharmaceutical Enterprises (EBE), a specialised group of EFPIA LeopoldPlazaBuilding RueduTrône108 1050Brussels Belgium T+3226262561 [email protected] www.ebe-biopharma.eu VATBE0418762559 Page6of6
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