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Weekly Barometer 25 janvier 2012
Biotechnology Certificate – New Technologies For Health
April 2017
ATONRÂ PARTNERS SA 12, Rue Pierre Fatio – 1204 GENEVA – SWITZERLAND - Tel: + 41 22 310 15 01 http://www.atonra.ch
2
Investment Case
➢ After two very tough years marked notably by political rhetoric on drug pricing and a very low
level of drug approvals by the FDA in 2016, we believe Biotechnology is ripe for a rerating in 2017
✓ as some important drug approvals might change the perception around the sector and
valuations are undemanding, a catalyst for M&A
➢ Specifically, the first drug to be potentially approved using genes as medicines (Spark
Therapeutics) and the first potential approval for the CAR-T drug (Kite Pharmaceuticals) could
support sentiment as we move towards mid-2017
➢ We also believe that personalized medicine is not far away from becoming ubiquitous as prices
for new testing (including DNA analysis) and analysis are coming down sharply
➢ Against this backdrop, we favor Biotech companies exposed to gene therapies, antibodies and
rare diseases over the larger market cap names which benefited more from rising drug prices
than from volume growth
Biotechnology Certificate details
✓ Issuing bank: UBS AG Zurich, Calculation agent: UBS AG, London Branch
✓ ISIN: CH0275762380
✓ Currency: USD
✓ Fees: 1.6% management fee
Biotechnology Certificate
3Biotechnology Certificate
Personalized
Medicine
Cardiovascular
Immunotherapy
Rare
diseases Neurology
Biotechnology Certificate
➢ The term has appeared for the first time with the discovery of DNA
➢ Modern biotechnology involves the use of live organisms or their products (bacteria or enzymes)
to manufacture drugs
➢ Biotechnology products have wider applications than classic pharma
➢ A completely different business model than pharma:
➢ Today lines are blurred between pure biotech and pharmaceutical companies as these industries
are partially consolidating
4
Smaller sizeR&D intensive
Entrepreneurial
High risk, high reward profile
What Is Biotechnology?
Solution To A Global Social Issue - The "Hope Offering"
5
Entrepreneurial, knowledge intensive
High risk, high reward profile, strictly regulated
R&D dependent, high capital requirements (private and public funding)
Reimbursement and pricing – important success factors
Computing power is an underlying fundamental of the industry
Constant business model evolution
Biotechnology Certificate
6
$ 358 bn$ 383 bn
$ 416 bn
$ 452 bn
$ 491 bn
$ 533 bn
0
100
200
300
400
500
600
2015 2016 2017 2018 2019 2020
$ b
illio
n
Year Source: MarketLine Industry Profile
Global Biotechnology Market Expected To Grow By 8% CAGR Through 2020
Biotechnology Certificate
7
Geography 2015 (in $ Bn) Market share (%)
United States 147.0 41.1%
Europe 73.8 20.6%
Asia-Pacific (ex.
Japan)49.2 13.8%
Japan 39.4 11.0%
Middle East 6.5 1.8%
Rest of the World 42.0 11.7%
Total $357.9B
Source: AtonRâ Partners & MarketLine
➢ Why? An entrepreneurial ecosystem, more active venture capital, M&A and IPO
market
United States Dominate The Biotechnology Market
Biotechnology Certificate
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Communicable, maternal, neonatal, and
nutritional 6%
Chronic liver 2%
Digestive 2%
Neurological and mental4%
Diabetes, urogenital, blood, and endocrine
6%
Other1%
Injuries8%
Global Mortality Causes In 2015 (nb. of cases)
Cardiovascular
32%
Cancer
16%
Infections
16%
Chronic respiratory
7%
Biotechnology Certificate
➢ Oncology cases have increased by 17% worldwide during the last 10 years
✓ due to the aging of the population (probability increases with age)
➢ Neurological Diseases are affecting more and more people (+35.2% growth from 2005)
✓ due to: Aging, Obesity, Smoking and Genetic Predisposition
➢ Diabetes and chronic kidney diseases increased worldwide by 30% from 2005
✓ due to: Obesity, High Blood Pressure, Smoking, Environmental, Inactivity
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New Challenges For A New World (I)
Biotechnology Certificate
➢ Infection cases have decreased by 10% during the last 10 years led primarily by decreases in
HIV/AIDS and tuberculosis cases
➢ Cheaper gene sequencing trigger the development of personalized medicine notably in oncology
➢ Rare diseases are more and more “attractive” due to governmental support and high profit margins
10
Orphan drug sales could
reach $178 bn by 2020
(2015-20 CAGR 12%)
In the last 5 years
of all new drug approvals
were for rare diseases
Rare diseases affect
That’s 1 in 10!
Biotechnology Certificate
New Challenges For A New World (II)
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Oncology; 16.30%
Anti-diabetics
Anti-rheumatics
Anti-viralsVaccines
Bronchodilators
Sensory Organs
Anti-hypertensives
Dermatologicals
MS therapies0%
2%
4%
6%
8%
10%
12%
14%
16%
18%
20%
-4% -2% 0% 2% 4% 6% 8% 10% 12% 14% 16%
WW
Mark
et
Sh
are
(%
), 2
022
Top 10 Therapeutic Areas By 2022 - Market Share & Sales Growth
Oncology treatment sales
are expected to reach
$190bn by 2022
market share
Source: EvaluatePharma 2016% sales growth 2015-2022
Oncology Has The Largest Market Potential
Biotechnology Certificate
➢ Emerging markets will lead “Anti-diabetics” growth
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➢ A record year for FDA approvals in 2015, followed by an unprecedented low number in 2016 as fewer
applications were submitted and complete response letters (CRLs) were sent due to manufacturing
practice deficiencies (GMP)
➢ 2017 is expected to be much more promising as:
✓ many important drugs in the last stages of development are awaiting approval
✓ the 21st Century Cure Bill is aimed at getting new drugs and devices approved faster
✓ Trump is to overhaul and streamline the FDA → Accelerate the approval process for new drugs
Source: AtonRâ Partners, EvaluatePharma 2016
32
26
35
38
28
29
26
31
34
26
35
43
35
41
45
22
15
20
25
30
35
40
45
50
2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Number of new drugs approved by FDA
Biotechnology Certificate
➢ Food and Drug Administration → The first level of decision-making before commercialization
✓ consistent legal and political framework across states
✓ the FDA has the most demanding approval standards in the world
➢ The FDA does not decide on a drug’s reimbursement policy:
✓ insurance companies have the right to decide individually
✓ biotech companies start reimbursement discussions at the earliest stages of research
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9%
91%
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Uninsured
With Health Insurance
7%
49%
56%
Direct purchase
Employment based
Private insurance
2%
14%
20%
36%
Military Health Care
Medicare
Medicaid
Government plan
Source: Census Bureau's March 2014, March 2015, and March 2016 Current
Population Survey (CPS: Annual Social and Economic Supplements).
Biotechnology Certificate
Percentage of People by Type of Health Insurance Coverage in US
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Growth
Aging population
Chronic diseases
Emerging countries
Nutrition habits
Government support
Orphan drugs
M&A potential
Personalized Medicine
Upcoming Catalysts
Biotechnology Certificate
➢ Treatments targeted to the needs of individual patients
➢ Technological breakthroughs and computer power are giving a boost to this field
➢ Strong government support
15
Find DNA mutation
Identify the best drug against
this mutation
Personalized Treatment
28%
of 2015
FDA Approvals
were
personalized
medicines
Source: 2015 Progress Report: Personalized Medicine at FDA
Personalized Medicine: The Future Of Medicine?
Biotechnology Certificate
Changing Nutrition Habits
➢ Obesity levels (13% of worldwide obese population comes from the U.S.).
➢ The two countries showing the highest growth in obesity are China and India (15% of the worldwide
obese population) leading to:
Emerging Markets: A Real Opportunity For Biotech
✓ huge populations
✓ increasing prosperity and standards of living (growing middle class)
✓ aging population
➢ Global executives are expecting 30% of their biopharmaceutical sales to come from emerging
markets by 2018
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Cardiovascular
diseasesDiabetes
Musculoskeletal
DisordersCancers
A Fast Changing World
Biotechnology Certificate
Strong pipeline in
high growth therapeutics
Novel technologies
platform
Cheap Valuations
High returns potential
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2017 Is Expected To Be A Very Strong Year In M&A
2015 worldwide biopharma M&A
Record deal value of $430 billion
Biotechnology Certificate
External growth through M&A
represents an attractive
opportunity
Disclaimer
This report has been produced by the organizational unit responsible for investment research (Research
unit) of AtonRâ Partners and sent to you by the company sales representatives.
As an internationally active company, AtonRâ Partners SA may be subject to a number of provisions in
drawing up and distributing its investment research documents. These regulations include the Directives
on the Independence of Financial Research issued by the Swiss Bankers Association.
Although AtonRâ Partners SA believes that the information provided in this document is based onreliable sources, it cannot assume responsibility for the quality, correctness, timeliness or completenessof the information contained in this report.
The information contained in these publications is exclusively intended for a client base consisting ofprofessionals or qualified investors. It is sent to you by way of information and cannot be divulged to athird party without the prior consent of AtonRâ Partners.
While all reasonable effort has been made to ensure that the information contained is not untrue ormisleading at the time of publication, no representation is made as to its accuracy or completeness and itshould not be relied upon as such.
Past performance is not indicative or a guarantee of future results. Investment losses may occur, andinvestors could lose some or all of their investment.
Any indices cited herein are provided only as examples of general market performance and no index isdirectly comparable to the past or future performance of the Certificate.
It should not be assumed that the Certificate will invest in any specific securities that comprise any index,nor should it be understood to mean that there is a correlation between the Certificate’s returns and anyindex returns.
Any material provided to you is intended only for discussion purposes and is not intended as an offer orsolicitation with respect to the purchase or sale of any security and should not be relied upon by you inevaluating the merits of investing in any securities.
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