CASI Pharmaceuticals — Evomela approved in China

CASI Pharmaceuticals (US: CASI)

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CASI Pharmaceuticals — Evomela approved in China

CASI announced that it has received approval in China for Evomela. The drug is a formulation of melphalan hydrochloride used in the treatment of multiple myeloma, and CASI obtained the rights to the drug in Greater China from its original developer, Spectrum Pharmaceuticals, in 2014. This put CASI in a unique position to take advantage of the regulatory reforms in China. The drug was approved under the new priority review pathway at the National Medical Products Administration (NMPA, formerly the CFDA) and serves as a test case for this new regulatory regime.

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Healthcare

CASI Pharmaceuticals

Evomela approved in China

Regulatory update

Pharma & biotech

10 December 2018

Price

US$3.90

Market cap

US$365m

Net cash ($m) at Q318

98.5

Shares in issue

93.6m

Free float

47.4

Code

CASI

Primary exchange

NASDAQ

Secondary exchange

N/A

Share price performance

%

1m

3m

12m

Abs

2.9

(40.2)

18.9

Rel (local)

10.0

(34.8)

19.1

52-week high/low

US$8.2

US$2.7

Business description

CASI is a pharmaceutical company that has acquired or licensed a series of drugs that it intends to market in China. These include proprietary drugs licensed from Spectrum Pharmaceuticals and a portfolio of ANDAs. The goal is to seek approval through new pathways that have been opened in the quickly changing Chinese regulatory environment.

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Marqibo and Zevalin CTAs

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Analyst

Nathaniel Calloway

+1 646 653 7036

CASI Pharmaceuticals is a research client of Edison Investment Research Limited

CASI announced that it has received approval in China for Evomela. The drug is a formulation of melphalan hydrochloride used in the treatment of multiple myeloma, and CASI obtained the rights to the drug in Greater China from its original developer, Spectrum Pharmaceuticals, in 2014. This put CASI in a unique position to take advantage of the regulatory reforms in China. The drug was approved under the new priority review pathway at the National Medical Products Administration (NMPA, formerly the CFDA) and serves as a test case for this new regulatory regime.

Year end

Revenue ($m)

PBT*
($m)

EPS*
($)

DPS
($)

P/E
(x)

Yield
(%)

12/16

0.0

(6.5)

(0.12)

0.0

N/A

N/A

12/17

0.0

(10.1)

(0.16)

0.0

N/A

N/A

12/18e

0.0

(18.8)

(0.23)

0.0

N/A

N/A

12/19e

10.9

(14.3)

(0.15)

0.0

N/A

N/A

Note: *PBT and EPS are normalised, excluding amortisation of acquired intangibles, exceptional items and share-based payments.

Approved for the same indications as in the US

Evomela was approved by the NMPA for the use as a conditioning agent prior to stem cell transplant and for palliative treatment for multiple myeloma patients who cannot take oral drugs, with the former being the primary commercial driver. Conditioning is the treatment of a patient with high doses of chemotherapy to remove their native stem cells (and cancer) prior to replacement with a transplant, and is common in the treatment of multiple myeloma. The drug is approved for the same indications in the US, and Spectrum reported sales of $6.8m for Q318.

Multiple myeloma: A significant burden

There is uncertainty about the precise estimates of the rate of multiple myeloma in China, but it is understood that it is rarer (along with other hematologic malignancies) in China than in the US. Estimates of the incidence rate are approximately one per 100,000 compared with seven per 100,000 in the US (on an age adjusted bases). However, given the substantially larger population, it is estimated to have the second highest number of patients after the US with ~17,000.

A successful test of the new priority review pathway

CASI sought approval of Evomela through a previously untested pathway. The regulatory authorities in China recently underwent a series of reforms aimed at increasing the number of foreign drugs approved, which included instituting a priority review pathway for select set of drugs. Evomela qualified for this pathway because it would be the first formulation of melphalan approved in China. This allowed it to be approved with its existing data package and without the need for confirmatory Chinese trials.

Valuation: Increased to $759m or $8.11

We have increased our valuation to $759m or $8.11 per basic share from $754m or $8.06 per basic share. This reflects the approval; the increase is relatively small given that most of the decision was already priced in given our high level of confidence.

Evomela approved in China

On 3 December 2018, CASI announced that the NMPA had approved its priority review application for marketing of Evomela in China. This was the company’s first attempt at independent approval and one of the first tests of the new priority review pathway in China by any company. Regional rights to Evomela in Greater China were originally licensed from Spectrum Pharmaceuticals in 2014 in a deal that also included Marqibo and Zevalin rights in exchange for 17% of CASI stock and a $1.5m promissory note.

Evomela is most commonly used as a conditioning agent prior to stem cell transplant in patients with multiple myeloma. To ensure that a patient’s own diseased bone marrow is replaced with the transplanted tissue, prior to transplantation the patient is ‘conditioned’ either with radiation or a large dose of chemotherapy. The melphalan in Evomela is a nitrogen mustard chemotherapy that is commonly used as a conditioning agent. The innovative aspect of Evomela is that it contains the solubilizing agent Captisol (developed by Ligand Pharmaceuticals) to aid the dissolution of the drug in water. This avoids the use of propylene glycol used in other formulations that can cause adverse reactions. Spectrum had sales of $6.8m in Q318, which was down year-on-year (from $10.5m in Q317) due to pricing pressure.

The multiple myeloma market

Multiple myeloma, like other forms of hematologic cancers, is substantially less common in China (and other East Asian countries) than in the west. There are varying estimates of the epidemiology of the disease in China, but the most consistent estimates we have found based on reported cases indicate an age adjusted incidence of approximately one per 100,000. 1,2 However, this statistic masks the true burden of the disease. There are an estimated 17,000 new cases of multiple myeloma in China every year, which makes it the second largest geography of the disease after the US (~24,000). The burden of multiple myeloma has also grown dramatically across East Asia – 262% between 1990 and 2016 – driven by ageing populations, population growth and increases in age-specific incidence factors.2

  Globocan

  Cowan AJ, et al. (2018) Global Burden of Multiple Myeloma A Systematic Analysis for the Global Burden of Disease Study 2016. J Am Med Assoc Oncol 4, 1221-1227.

A test of the priority review process

The priority review process was only recently established by the NMPA to encourage an increase in drug approvals. One of the factors that can qualify a drug for priority review is that it is not commercially available in China and is already approved overseas. Although generic melphalan is available elsewhere, there are no approvals in China, making Evomela the first formulation of the drug marketed in the country and therefore a candidate for priority review. Additionally, as part of these reforms, the government stipulated that under certain circumstances, a drug could be approved using purely foreign clinical trial data, without the need for confirmatory Chinese clinical trials. There was some uncertainly regarding this regulation, as the process stipulated that the ‘existence of ethnic differences’ be considered in the data. However, this approval stands as a testament to the regulators’ flexibility in this regard. The pivotal study performed by Spectrum was a 61-patient Phase IIb with a single Asian patient. No additional data were necessary for Evomela’s approval.

Valuation

We have increased our valuation to $759m or $8.11 per basic share from of $754m or $8.06 per basic share. The change is associated with increasing the probability of success for Evomela from 90% to 100%. We have also slightly moved forward the commercialization timeline because we expected the NMDA decision in 2019. The change in valuation is small because a majority of the value of the asset was already priced in, in accordance with our high level of confidence. Our model only accounts for penetration into the urban population given better insurance coverage and financial means in this population (approximately 35%), although we may update our valuation in the future if further reforms improve the access to medical products in other population groups.

Exhibit 1: Valuation of CASI

Portfolio

Asset

Region

Peak sales ($m)

Margin

Clinical risk adjustment

Value ($m)

Spectrum

Evomela

China

15.5

46%

100%

26.26

Marqibo

China

8.3

58%

90%

7.97

Zevalin

China

23.9

64%

90%

47.00

Generics

China & US

249.7

49%

100%

578.17

Internal

ENMD-2076

China & US

25.2

51%

20%

1.43

Total

660.83

Net cash and equivalents (Q218) ($m)

98.53

Total firm value ($m)

759.36

Total shares (m)

93.59

Value per basic share ($)

8.11

Dilutive warrants and options (est.)

31.81

Value per diluted share ($)

6.81

Source: Edison Investment Research, CASI reports

Financials

Our financial projections have changed slightly to reflect the earlier than expected approval of Evomela. Our expected revenue for 2019 is $10.9m (up from $9.6m) to reflect this development, but the largest proportion of this revenue remains the generics portfolio. We believe the company’s current assets are sufficient to bring it to profitability in 2021.

Exhibit 2: Financial summary

$'000s

2016

2017

2018e

2019e

31-December

US GAAP

US GAAP

US GAAP

US GAAP

INCOME STATEMENT

Revenue

 

 

0.0

0.0

0.0

10,853.3

Cost of Sales

0.0

0.0

0.0

(3,046.0)

Gross Profit

0.0

0.0

0.0

7,807.3

EBITDA

 

 

(6,358.9)

(9,983.1)

(18,433.0)

(9,823.3)

Normalised operating profit

 

 

(6,425.4)

(10,100.9)

(18,733.2)

(14,332.0)

Amortisation of acquired intangibles

0.0

0.0

(1,291.8)

(1,388.8)

Exceptionals

0.0

0.0

(687.0)

0.0

Share-based payments

(2,995.2)

(650.4)

(5,222.8)

(5,222.8)

Reported operating profit

(9,420.6)

(10,751.3)

(25,934.7)

(20,943.6)

Net Interest

(26.1)

1.0

38.5

0.0

Joint ventures & associates (post tax)

0.0

0.0

0.0

0.0

Exceptionals

(6.8)

(19.9)

(67.3)

0.0

Profit Before Tax (norm)

 

 

(6,458.2)

(10,119.8)

(18,762.0)

(14,332.0)

Profit Before Tax (reported)

 

 

(9,453.5)

(10,770.2)

(25,963.5)

(20,943.6)

Reported tax

0.0

0.0

0.0

0.0

Profit After Tax (norm)

(6,458.2)

(10,119.8)

(18,762.0)

(14,332.0)

Profit After Tax (reported)

(9,453.5)

(10,770.2)

(25,963.5)

(20,943.6)

Minority interests

0.0

0.0

0.0

0.0

Discontinued operations

0.0

0.0

0.0

0.0

Net income (normalised)

(6,458.2)

(10,119.8)

(18,762.0)

(14,332.0)

Net income (reported)

(9,453.5)

(10,770.2)

(25,963.5)

(20,943.6)

Basic average number of shares outstanding (m)

56

62

83

95

EPS - basic normalised (c)

 

 

(11.56)

(16.45)

(22.61)

(15.01)

EPS - diluted normalised (c)

 

 

(11.56)

(16.45)

(22.61)

(15.01)

EPS - basic reported (c)

 

 

(16.92)

(17.51)

(31.29)

(21.94)

Dividend (c)

0.00

0.00

0.00

0.00

BALANCE SHEET

Fixed Assets

 

 

264.1

1,288.5

39,535.4

33,953.0

Intangible Assets

0.0

0.0

16,763.2

15,374.4

Tangible Assets

229.6

1,046.5

22,543.7

18,350.2

Investments & other

34.5

242.0

228.4

228.4

Current Assets

 

 

27,448.8

43,812.4

72,641.3

59,825.0

Stocks

0.0

0.0

0.0

751.1

Debtors

0.0

0.0

0.0

1,784.1

Cash & cash equivalents

27,092.9

43,489.9

71,297.6

56,219.2

Other

355.9

322.5

1,343.7

1,343.7

Current Liabilities

 

 

(1,315.6)

(5,062.1)

(6,022.9)

(4,199.9)

Creditors

(1,064.6)

(4,316.1)

(3,722.7)

(3,398.9)

Tax and social security

0.0

0.0

0.0

0.0

Short term borrowings

0.0

0.0

(1,499.3)

0.0

Other

(251.0)

(746.0)

(801.0)

(801.0)

Long Term Liabilities

 

 

(5,613.5)

(1,498.8)

0.0

0.0

Long term borrowings

(1,491.3)

(1,498.8)

0.0

0.0

Other long term liabilities

(4,122.3)

0.0

0.0

0.0

Net Assets

 

 

20,783.8

38,540.1

106,153.7

89,647.6

Minority interests

0.0

0.0

0.0

0.0

Shareholders' equity

 

 

20,783.8

38,540.1

106,153.7

89,647.6

CASH FLOW

Op Cash Flow before WC and tax

(6,358.9)

(9,983.1)

(18,433.0)

(9,823.3)

Working capital

348.0

3,572.4

(1,055.7)

(2,859.0)

Exceptional & other

(12.2)

8.5

44.6

0.0

Tax

0.0

0.0

0.0

0.0

Net operating cash flow

 

 

(6,023.1)

(6,402.2)

(19,444.0)

(12,682.2)

Capex

(64.8)

(934.7)

(21,861.1)

(315.2)

Acquisitions/disposals

0.0

0.0

(19,172.0)

0.0

Net interest

0.0

0.0

0.0

0.0

Equity financing

28,049.7

23,733.9

89,580.4

0.0

Dividends

0.0

0.0

0.0

0.0

Other

0.0

0.0

(117.2)

0.0

Net Cash Flow

21,961.8

16,397.0

28,986.2

(12,997.5)

Opening net debt/(cash)

 

 

(3,639.8)

(25,601.7)

(41,991.7)

(69,798.3)

FX

0.0

0.0

(1,178.5)

0.0

Other non-cash movements

0.0

(7.0)

(1.0)

0.0

Closing net debt/(cash)

 

 

(25,601.7)

(41,991.7)

(69,798.3)

(56,219.2)

Source: Edison Investment Research, CASI reports

General disclaimer and copyright

This report has been commissioned by CASI Pharmaceuticals and prepared and issued by Edison, in consideration of a fee payable by CASI Pharmaceuticals. Edison Investment Research standard fees are £49,500 pa for the production and broad dissemination of a detailed note (Outlook) following by regular (typically quarterly) update notes. Fees are paid upfront in cash without recourse. Edison may seek additional fees for the provision of roadshows and related IR services for the client but does not get remunerated for any investment banking services. We never take payment in stock, options or warrants for any of our services.

Accuracy of content: All information used in the publication of this report has been compiled from publicly available sources that are believed to be reliable, however we do not guarantee the accuracy or completeness of this report and have not sought for this information to be independently verified. Opinions contained in this report represent those of the Edison analyst at the time of publication. Forward-looking information or statements in this report contain information that is based on assumptions, forecasts of future results, estimates of amounts not yet determinable, and therefore involve known and unknown risks, uncertainties and other factors which may cause the actual results, performance or achievements of their subject matter to be materially different from current expectations.

Exclusion of Liability: To the fullest extent allowed by law, Edison shall not be liable for any direct, indirect or consequential losses, loss of profits, damages, costs or expenses incurred or suffered by you arising out or in connection with the access to, use of or reliance on any information contained on this note.

No personalised advice: The information that we provide should not be construed in any manner whatsoever as, personalised advice. Also, the information provided by us should not be construed by any subscriber or prospective subscriber as Edison’s solicitation to effect, or attempt to effect, any transaction in a security. The securities described in the report may not be eligible for sale in all jurisdictions or to certain categories of investors.

Investment in securities mentioned: Edison has a restrictive policy relating to personal dealing and conflicts of interest. Edison Group does not conduct any investment business and, accordingly, does not itself hold any positions in the securities mentioned in this report. However, the respective directors, officers, employees and contractors of Edison may have a position in any or related securities mentioned in this report, subject to Edison's policies on personal dealing and conflicts of interest.

Copyright: Copyright 2018 Edison Investment Research Limited (Edison). All rights reserved FTSE International Limited (“FTSE”) © FTSE 2018. “FTSE®” is a trade mark of the London Stock Exchange Group companies and is used by FTSE International Limited under license. All rights in the FTSE indices and/or FTSE ratings vest in FTSE and/or its licensors. Neither FTSE nor its licensors accept any liability for any errors or omissions in the FTSE indices and/or FTSE ratings or underlying data. No further distribution of FTSE Data is permitted without FTSE’s express written consent.

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New Zealand

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This Communication is being distributed in the United Kingdom and is directed only at (i) persons having professional experience in matters relating to investments, i.e. investment professionals within the meaning of Article 19(5) of the Financial Services and Markets Act 2000 (Financial Promotion) Order 2005, as amended (the "FPO") (ii) high net-worth companies, unincorporated associations or other bodies within the meaning of Article 49 of the FPO and (iii) persons to whom it is otherwise lawful to distribute it. The investment or investment activity to which this document relates is available only to such persons. It is not intended that this document be distributed or passed on, directly or indirectly, to any other class of persons and in any event and under no circumstances should persons of any other description rely on or act upon the contents of this document (nor will such persons be able to purchase shares in the placing).

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Schumannstrasse 34b

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Germany

London +44 (0)20 3077 5700

280 High Holborn

London, WC1V 7EE

United Kingdom

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10017, New York

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Level 4, Office 1205

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NSW 2000, Australia

General disclaimer and copyright

This report has been commissioned by CASI Pharmaceuticals and prepared and issued by Edison, in consideration of a fee payable by CASI Pharmaceuticals. Edison Investment Research standard fees are £49,500 pa for the production and broad dissemination of a detailed note (Outlook) following by regular (typically quarterly) update notes. Fees are paid upfront in cash without recourse. Edison may seek additional fees for the provision of roadshows and related IR services for the client but does not get remunerated for any investment banking services. We never take payment in stock, options or warrants for any of our services.

Accuracy of content: All information used in the publication of this report has been compiled from publicly available sources that are believed to be reliable, however we do not guarantee the accuracy or completeness of this report and have not sought for this information to be independently verified. Opinions contained in this report represent those of the Edison analyst at the time of publication. Forward-looking information or statements in this report contain information that is based on assumptions, forecasts of future results, estimates of amounts not yet determinable, and therefore involve known and unknown risks, uncertainties and other factors which may cause the actual results, performance or achievements of their subject matter to be materially different from current expectations.

Exclusion of Liability: To the fullest extent allowed by law, Edison shall not be liable for any direct, indirect or consequential losses, loss of profits, damages, costs or expenses incurred or suffered by you arising out or in connection with the access to, use of or reliance on any information contained on this note.

No personalised advice: The information that we provide should not be construed in any manner whatsoever as, personalised advice. Also, the information provided by us should not be construed by any subscriber or prospective subscriber as Edison’s solicitation to effect, or attempt to effect, any transaction in a security. The securities described in the report may not be eligible for sale in all jurisdictions or to certain categories of investors.

Investment in securities mentioned: Edison has a restrictive policy relating to personal dealing and conflicts of interest. Edison Group does not conduct any investment business and, accordingly, does not itself hold any positions in the securities mentioned in this report. However, the respective directors, officers, employees and contractors of Edison may have a position in any or related securities mentioned in this report, subject to Edison's policies on personal dealing and conflicts of interest.

Copyright: Copyright 2018 Edison Investment Research Limited (Edison). All rights reserved FTSE International Limited (“FTSE”) © FTSE 2018. “FTSE®” is a trade mark of the London Stock Exchange Group companies and is used by FTSE International Limited under license. All rights in the FTSE indices and/or FTSE ratings vest in FTSE and/or its licensors. Neither FTSE nor its licensors accept any liability for any errors or omissions in the FTSE indices and/or FTSE ratings or underlying data. No further distribution of FTSE Data is permitted without FTSE’s express written consent.

Australia

Edison Investment Research Pty Ltd (Edison AU) is the Australian subsidiary of Edison. Edison AU is a Corporate Authorised Representative (1252501) of Myonlineadvisers Pty Ltd who holds an Australian Financial Services Licence (Number: 427484). This research is issued in Australia by Edison AU and any access to it, is intended only for "wholesale clients" within the meaning of the Corporations Act 2001 of Australia. Any advice given by Edison AU is general advice only and does not take into account your personal circumstances, needs or objectives. You should, before acting on this advice, consider the appropriateness of the advice, having regard to your objectives, financial situation and needs. If our advice relates to the acquisition, or possible acquisition, of a particular financial product you should read any relevant Product Disclosure Statement or like instrument.

New Zealand

The research in this document is intended for New Zealand resident professional financial advisers or brokers (for use in their roles as financial advisers or brokers) and habitual investors who are “wholesale clients” for the purpose of the Financial Advisers Act 2008 (FAA) (as described in sections 5(c) (1)(a), (b) and (c) of the FAA). This is not a solicitation or inducement to buy, sell, subscribe, or underwrite any securities mentioned or in the topic of this document. For the purpose of the FAA, the content of this report is of a general nature, is intended as a source of general information only and is not intended to constitute a recommendation or opinion in relation to acquiring or disposing (including refraining from acquiring or disposing) of securities. The distribution of this document is not a “personalised service” and, to the extent that it contains any financial advice, is intended only as a “class service” provided by Edison within the meaning of the FAA (i.e. without taking into account the particular financial situation or goals of any person). As such, it should not be relied upon in making an investment decision.

United Kingdom

Neither this document and associated email (together, the "Communication") constitutes or form part of any offer for sale or subscription of, or solicitation of any offer to buy or subscribe for, any securities, nor shall it or any part of it form the basis of, or be relied on in connection with, any contract or commitment whatsoever. Any decision to purchase shares in the Company in the proposed placing should be made solely on the basis of the information to be contained in the admission document to be published in connection therewith.

This Communication is being distributed in the United Kingdom and is directed only at (i) persons having professional experience in matters relating to investments, i.e. investment professionals within the meaning of Article 19(5) of the Financial Services and Markets Act 2000 (Financial Promotion) Order 2005, as amended (the "FPO") (ii) high net-worth companies, unincorporated associations or other bodies within the meaning of Article 49 of the FPO and (iii) persons to whom it is otherwise lawful to distribute it. The investment or investment activity to which this document relates is available only to such persons. It is not intended that this document be distributed or passed on, directly or indirectly, to any other class of persons and in any event and under no circumstances should persons of any other description rely on or act upon the contents of this document (nor will such persons be able to purchase shares in the placing).

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Frankfurt +49 (0)69 78 8076 960

Schumannstrasse 34b

60325 Frankfurt

Germany

London +44 (0)20 3077 5700

280 High Holborn

London, WC1V 7EE

United Kingdom

New York +1 646 653 7026

295 Madison Avenue, 18th Floor

10017, New York

US

Sydney +61 (0)2 8249 8342

Level 4, Office 1205

95 Pitt Street, Sydney

NSW 2000, Australia

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Britvic — Managing events for sustained returns

In FY18 the UK sugar levy (SDIL) and CO2 shortage took the shine off a potentially landmark summer. Nevertheless, Britvic (BVIC) delivered good EPS growth of 6.4% on revenue up 5.1%. A five-year track record of 10% EPS CAGR, with debt within target, indicates earnings quality. Looking ahead, as the business capability programme ends, bringing planned returns, further growth and lower leverage may narrow the wide discount to peers.

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