Onxeo Company update Key catalyst approaching Pharma & biotech 23 August 2016 With its H116 results, Onxeo reported that R&D is progressing according to plan. Preliminary data from the Phase III ReLive trial with Livatag are due around mid-2017, which is the main catalyst in the next 12 months. Update on the newly acquired DNA repair asset, AsiDNA, revealed that the Price €3.11 project could enter the clinic already next year. Although sales of Onxeo’s third product Beleodaq somewhat lagged our expectations, H116 operating costs were managed well, suggesting that the key catalysts are achievable with current cash. Net cash (€m) at end H116 Market cap €129m 19.5 Shares in issue 41.5m Free float 85% Code Year end 12/14 12/15 12/16e 12/17e Revenue (€m) 22.1 3.5 3.5 8.7 PBT* (€m) 0.2 (20.0) (21.5) (16.8) EPS* (€) (0.05) (0.44) (0.52) (0.41) DPS (€) 0.0 0.0 0.0 0.0 P/E (x) N/A N/A N/A N/A Yield (%) N/A N/A N/A N/A ONXEO Primary exchange Euronext Paris Secondary exchange OMX Copenhagen Share price performance Note: *PBT and EPS are normalised, excluding amortisation of acquired intangibles, exceptional items and share-based payments. H116 results: Sales somewhat behind, costs in line Onxeo reported H116 results, with recurring sales of its marketed products somewhat below our expectations but still representing 50% growth year-on-year, although from a low base of €1.2m in H115 to €1.8m in H116. The company mentioned that its partners Spectrum Pharmaceuticals and Cipher, which market Beleodaq (HDAC inhibitor for peripheral T-cell lymphoma, PTCL) and Sitavig (mucoadhesive formulation of acyclovir for herpes labialis) respectively, continue with intensive marketing efforts. Operating expenses were well in line with our expectations. % 1m 3m 12m Abs 0.3 (1.6) (21.3) (0.4) (2.6) (17.9) Rel (local) 52-week high/low €4.5 €2.3 Business description R&D progress according to plan The development plan for AsiDNA, announced at the end of June, was a major R&D update, which provided more granularity about what lies ahead for the recently acquired first-in-class asset in the DNA repair field. Development progress with Beleodaq and Livatag is on track. The preparations for Beleodaq’s labelexpansion Phase III trial in first-line PTCL are ongoing, in partnership with Spectrum and scheduled to start around end-2016. Of the planned 400 patients, 80% are now recruited in Livatag’s Phase III trial ReLive, with the first results Onxeo is focused on orphan cancer and has three late-stage orphan oncology assets it could commercialise alone in Europe (Livatag, Beleodaq and Validive). Royalty-earning Beleodaq (belinostat) is launched in the US, along with two non-core, partnered, specialty products. Recent acquisition of DNA Therapeutics adds a Phase I stage asset in DNA repair field to Onxeo’s pipeline. Next events expected in mid-2017, as guided previously. Start of Phase III Beleodaq combo trial Valuation: €339m or €8.2/share Preclinical data from ongoing Livatag and Beleodaq collaborations Our valuation of Onxeo is largely unchanged at €339m or €8.2/share (from €343m or €8.3/share). The main adjustments include somewhat slower than expected Beleodaq sales uptake and a lower net cash position, partially offset by moving our model forward in time. Livatag Phase III preliminary data and results from preclinical studies with Beleodaq and Livatag in combination with other undisclosed anti-cancer compounds are the key catalysts within the next 12 months and achievable with current cash. AsiDNA preclinical data End-2016 H216 H216/H117 Livatag Phase III data Mid-2017 Analysts Jonas Peciulis +44 (0)20 3077 5728 Lala Gregorek +44 (0)20 3681 2527 [email protected] Edison profile page Onxeo is a research client of Edison Investment Research Limited Update on AsiDNA: likely to move into clinic in 2017 According to the update on the development plans for AsiDNA, preclinical pharmacokinetic/ pharmacodynamic profile data after the intravenous administration should be obtained later this year, which will allow the project to progress into Phase I in 2017. Onxeo acquired AsiDNA, together with its original developer DNA Therapeutics, earlier this year. The compound has already been tested in Phase I DRIIM trial with 23 skin melanoma patients, where it was injected intratumourally or peritumourally alongside the radiation therapy. Onxeo’s plan is to expand AsiDNA’s potential by changing the administration route to intravenous administration. Onxeo is able to leverage the existing clinical data from melanoma patients. Among other findings, lesions that were not injected with AsiDNA also demonstrated a response, indicating AsiDNA’s ability to circulate and potentially provide a systemic effect. Together with a good safety profile, this allowed for testing systemic delivery of AsiDNA (oral or intravascular), which in turn opens up possibilities for developing the drug in a variety of tumours and expanding product potential. Onxeo has not yet disclosed the first indication for AsiDNA, but the two likely indications are triple-negative breast cancer (TNBC) and platinum-resistant ovarian cancer, which we discuss in detail in our previous report. First-in-class AsiDNA is based on signal-interfering DNA technology which, if introduced into a cell, acts as a signal mimicking the damage of the cell’s own DNA. AsiDNA then activates a cascade of repair proteins, which are recruited to ‘repair the damage’, as a result of which the actual damage of a cell’s DNA (such as from radiotherapy or chemotherapy) remains unrepaired, leading to cell death. Beleodaq’s commercialisation and new R&D initiatives In June Onxeo announced the first steps of an R&D initiative to develop belinostat in oral formulation. The newly obtained preclinical pharmacokinetic data on belinostat’s bioavailability in an oral formulation were positive. The oral formulation could open several opportunities for belinostat. This would be a competitive advantage compared to other PTCL treatments (more convenient administration than injectibles, likely better patient compliance, pain-free). Oral formulation would also allow for more flexibility in expanding to other indications and developing the drug in combination with other medicines. While still an early initiative and potential clinical development timelines are yet to be clarified, as a next step Onxeo plans to conduct preclinical in vivo efficacy studies. With another new R&D initiative announced in July, Onxeo, together with the Royal College of Surgeons in Ireland (RCSI), will explore derivatives of belinostat (Beleodaq) with the goal of optimising the pharmacokinetic profile, which could lead to new IP. Research costs will be shared between the partners and Onxeo will have an option to license RCSI’s patents. Results are expected in 2017. On the commercialisation front, Onxeo also released news about the addition of a new distributor, Pint Pharma, which will cover seven South American countries. The data filed with the NDA will most likely be sufficient to register Beleodaq in the same indication – second-line PTCL. Onxeo will receive an upfront payment, milestone payments and double-digit royalties for Beleodaq with a total deal value of $20m. While the timing for the registration remains somewhat undefined, Pint Pharma plans to establish an early access programme by end-2016. Onxeo | 23 August 2016 2 Financials Onxeo’s total revenues for H116 were €1.9m, of which €54k were non-recurring related to licensing agreements. Our focus was on recurrent sales, which totalled €1.8m. Onxeo does not provide a split per product, but breaks down sales into oncology products and other products. Consequently, the former category represents Beleodaq (€964k, up 48% y-o-y) and the latter Loramyc/Oravig and Sitavig (together €914k, up 4% y-o-y). Beleodaq grew substantially y-o-y, although from a low base and below our expectations, hence we have revised our sales ramp-up expectations downwards somewhat. Nevertheless, Beleodaq is the most advanced of Onxeo’s products, relatively recently marketed in the US by Spectrum since July 2014 and with at least another 10 years of IP protection, which provides leeway for market penetration. The drug is currently approved for second-line treatment of PTCL, but could also be developed for first-line treatment with the Phase III trial of Beleodaq in combination with standard-of-care chemotherapy to start around end 2016 (positive Phase I data released in December 2015). Total H116 operating costs were in line with our expectations and came in at €13.0m versus €13.5m in H115. The only change to our cost estimates is the delay in sales and marketing costs related to Livatag, which we initially included in 2017, but now postpone to 2018. This allows time for Onxeo to deliver both preliminary (mid-2017) and full data readout from the ReLive Phase III study and file for regulatory approval in the case of a positive outcome. Following these changes, we have decreased our 2016 EPS estimate from -€0.48 to -€0.52, and increased our 2017 estimate from -€0.46 to -€0.41. Onxeo reported cash and equivalents at end-H116 of €19.6m (net cash €19.5m). In line with the company’s guidance, we believe this should be sufficient to fund operations well into 2017, likely until Q417. Exhibit 1: Key changes to our financial forecasts €m 2015 Actual 3.482 (22.334) (19.972) (17.648) (0.44) Revenue Operating profit (reported) Profit before tax (reported) Profit after tax (reported) EPS (norm, €) 2016e Old 5.260 (21.707) (19.614) (19.614) (0.48) New 3.483 (23.614) (21.521) (21.354) (0.52) 2017e Change (%) (34) 9 10 9 8 Old 11.339 (20.878) (19.018) (19.018) (0.46) New 8.697 (18.682) (16.822) (16.822) (0.41) Change (%) (23) (11) (12) (12) (12) Source: Onxeo accounts, Edison Investment Research Valuation Our valuation of Onxeo is largely unchanged at €339m or €8.2/share from €343m or €8.3/share. The main adjustments include a somewhat slower than expected Belodaq’s sales uptake, although we have not changed our peak sales assumption. Together with the lower net cash position (H116), this was partially offset by moving our model forward in time. Our other assumptions remain unchanged, including the recently added TNBC indication with AsiDNA. AsiDNA has clearly added value to Onxeo’s R&D pipeline and, to capture that, we have focused on TNBC, although the company has not revealed the precise indication for this asset. TNBC has a significant unmet need with no novel targeted treatment approved (see our previous report for more details). Preliminary data from the c 400-patient, 80%-recruited ReLive Phase III trial with Livatag for liver cancer patients (hepatocellular carcinoma) are due in mid-2017 and represent the main catalyst for the company in the near term, which is reachable with current cash. In preclinical studies Onxeo is also exploring both Livatag and Beleodaq in combination with other undisclosed anti-cancer compounds, which may also deliver interesting feasibility data in the coming months. Onxeo | 23 August 2016 3 Exhibit 2: Onxeo rNPV valuation Product Indication Launch Peak sales (€m) NPV (€m) Probability (%) rNPV (€m) NPV/share (€/share) Validive Livatag Oral mucositis (H&N cancer) Liver cancer 2021 2018 200 250 67.7 183.7 50% 40% 33.3 70.4 0.8 1.7 Beleodaq US Beleodaq EU AsiDNA PTCL PTCL TNBC 2014 2020 2024 80 60 1,110 40.0 65.3 179.6 100% 70% 15% 40.0 44.0 35.5 1.0 1.1 0.9 Loramyc/Oravig Sitavig Oropharyngeal candidiasis Recurrent herpes labialis 2007 2014 50 110 26.1 70.5 100% 100% 26.1 70.5 0.6 1.7 19.5 652.4 100% 19.5 339.3 0.5 8.2 Net cash (at end H116) Valuation Source: Edison Investment Research. Note: Specialty products shaded. PTCL = peripheral T-cell lymphoma, TNBC = triple negative breast cancer. Onxeo | 23 August 2016 4 Exhibit 3: Financial summary Year-end December PROFIT & LOSS Revenue Cost of Sales Gross Profit EBITDA Operating Profit (before amort. and except.) Intangible Amortisation Exceptionals Operating Profit Other Net Interest Profit Before Tax (norm) Profit Before Tax (reported) Tax Profit After Tax (norm) Profit After Tax (reported) €000s 2010 IFRS 2011 IFRS 2012 IFRS 2013 IFRS 2014 IFRS 2015 IFRS 2016e IFRS 2017e IFRS 22,532 (859) 21,673 3,065 2,698 (105) 0 2,593 0 217 2,914 2,809 (0) 2,914 2,809 3,231 (750) 2,481 (14,429) (14,841) (97) 0 (14,938) 0 316 (14,525) (14,622) 0 (14,525) (14,622) 4,028 (375) 3,653 (11,300) (11,506) (9) 0 (11,515) 0 (33) (11,539) (11,548) 0 (11,539) (11,548) 1,467 (264) 1,202 (15,189) (15,412) (10) 0 (15,422) (29) 126 (15,286) (15,325) 0 (15,315) (15,325) 22,081 (249) 21,832 (4,505) 184 (800) (4,861) (5,477) (77) 5 189 (5,549) (2,150) (2,038) (7,699) 3,482 (337) 3,145 (20,355) (20,574) (1,600) (160) (22,334) (29) 602 (19,972) (21,761) 2,353 (17,648) (19,408) 3,483 (453) 3,030 (21,605) (22,009) (1,605) 0 (23,614) 0 488 (21,521) (23,126) 167 (21,354) (22,959) 8,697 (453) 8,244 (16,638) (17,058) (1,624) 0 (18,682) 0 236 (16,822) (18,446) 0 (16,822) (18,446) Average Number of Shares Outstanding (m) EPS - normalised (€) EPS - normalised and fully diluted (€) EPS - (reported) (€) Dividend per share (€) 13.6 0.21 0.21 0.21 0.0 17.7 (0.82) (0.82) (0.83) 0.0 17.7 (0.65) (0.65) (0.65) 0.0 20.7 (0.74) (0.74) (0.74) 0.0 40.5 (0.05) (0.05) (0.19) 0.0 40.5 (0.44) (0.44) (0.48) 0.0 41.0 (0.52) (0.52) (0.56) 0.0 41.5 (0.41) (0.41) (0.44) 0.0 Gross Margin (%) EBITDA Margin (%) Operating Margin (before GW and except.) (%) 96.2 13.6 12.0 76.8 N/A N/A 90.7 N/A N/A 82.0 N/A N/A 98.9 N/A 0.8 90.3 N/A N/A 87.0 N/A N/A 94.8 N/A N/A 2,083 117 1,632 334 24,251 38 243 20,947 3,023 (5,737) (5,680) (57) (1,745) (1,131) (614) 18,852 1,793 27 1,401 366 32,288 1 456 28,666 3,164 (7,051) (6,881) (170) (4,128) (2,237) (1,891) 22,902 1,540 33 1,086 422 20,581 3 2,089 14,503 3,986 (6,147) (6,090) (57) (4,231) (511) (3,720) 11,742 1,300 23 908 369 16,432 3 338 11,329 4,762 (6,357) (6,266) (91) (3,487) (303) (3,185) 7,888 89,052 87,932 711 409 62,946 65 582 57,227 5,073 (12,919) (11,290) (1,630) (17,108) (138) (16,970) 121,971 87,539 86,367 841 331 41,697 106 1,036 33,793 6,762 (10,606) (10,537) (69) (15,831) 0 (15,831) 102,799 87,371 86,429 611 331 22,974 142 1,036 15,033 6,762 (11,621) (11,552) (69) (15,831) 0 (15,831) 82,892 85,761 84,805 625 331 10,492 142 2,588 1,000 6,762 (11,732) (11,663) (69) (20,690) (4,859) (15,831) 63,831 3,492 (61) 0 (108) 0 2,867 0 6,191 (13,569) 0 0 (19,760) (11,614) (1,106) 0 (148) 0 19,367 0 6,499 (19,760) 0 0 (26,259) (14,076) 1,837 0 (39) 0 (46) 0 (12,324) (26,259) 0 0 (13,935) (14,020) 333 0 (119) 0 10,807 0 (3,000) (13,935) 0 (0) (10,935) (7,733) 843 0 (2) 14,208 37,207 0 44,524 (10,935) 0 0 (55,459) (20,067) 579 (2,448) (410) 0 611 0 (21,735) (55,459) 0 0 (33,724) (20,788) 489 714 (174) 0 1,000 0 (18,760) (33,724) 0 0 (14,964) (17,736) 236 42 (435) (1,000) 0 0 (18,893) (14,964) 0 0 3,928 BALANCE SHEET Fixed Assets Intangible Assets Tangible Assets Investments Current Assets Stocks Debtors Cash Other Current Liabilities Creditors Short term borrowings Long Term Liabilities Long term borrowings Other long term liabilities Net Assets CASH FLOW Operating Cash Flow Net Interest Tax Capex Acquisitions/disposals Financing Dividends Net Cash Flow Opening net debt/(cash) HP finance leases initiated Other Closing net debt/(cash) Source: Edison Investment Research, Onxeo accounts. 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