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Mad Hedge Fund Trader

Why 1 + 1 = 4 With the Bristol-Myers/Celgene Merger

Biotech Letter

The treasure trove of Bristol-Myers Squibb’s (BMY) growth products expanded considerably following the completion of its $74 billion merger with Celgene (CELG). This deal marks the end of a long chapter in the industry’s history, as Celgene, founded way back in 1986, was one of the first biotech companies created.

From a financial standpoint, the combined company is hailed as one of the most exciting powerhouses of profitability until at least 2023. As things stand, the newly minted biotech behemoth is trading at roughly nine times forward earnings.

The current company also offers an attractive dividend yield of 2.9% -- and that’s not even the best part of the news. The most exciting part of the deal is the fact that the new company now owns one of the most valuable oncology franchises in the biotech sector.

Under the terms, Celgene shareholders got the following for every share: 1.00 share of BMY common, cash worth $50 without interest, and one Contingent Value Right (CVR) they can trade. If they choose to not trade it, then the Celgene shareholder will receive payment of $9 in cash depending on future milestones achieved. As for (BMY), the company received $13.4 billion following Celgene’s sale of blockbuster psoriasis and psoriatic arthritis drug Otezla to Amgen (AMGN) as part of regulatory requirements.

The CVRs are contingent on three drugs in Celgene’s pipeline. One is the multiple sclerosis treatment Ozanimod. Another is a liso-cel lymphoma drug, which is expected to get the green light by December 31, 2020. The third is multiple myeloma treatment bb2121, which is eyed for approval by March 31, 2021.

Ozanimod actually has a high chance of winning an FDA approval by early 2020. The drug’s peak annual sales is expected to be in the ballpark of $5 billion. Meanwhile, Celgene’s liso-cel treatments are anticipated to rake in an additional $4 billion or so in annual sales. The company’s recently approved Reblozyl is also estimated to tack on another $2 billion in peak sales. 

Celgene’s CelMOD treatments, which are in their early-stage clinical studies, could be massive moneymakers as well. Another cell therapy under development with Massachusetts-based gene therapy developer bluebird bio (BLUE), bb21217, is also projected as a big winner.

While the Celgene cancer pipeline is promising, the company came into this union with a number of already top-selling oncology drugs like multiple myeloma medication Revlimid as well as blood cancer treatments Inrebic and Pomalyst.

As for BMY, the biopharma giant also has its own high-profile lineup led by leukemia target therapy Sprycel, atrial fibrillation treatment Eliquis, advanced stage lung cancer injection Opdivo, and metastatic melanoma treatment Yervoy.

In fact, Opdivo and Eliquis are projected to rank as among the highest-selling drugs globally in the succeeding years.

Although some BMY investors are voicing concerns over the impending sales decline for Revlimid courtesy of generic rivals by 2022, Celgene’s new candidates and already top-performing drugs could still give the combined company a firm growth runway.

Hence, BMY and Celgene have effectively built a prodigious economic moat that practically eliminates any fear of competition in several crucial areas. This is not to say that particular products won’t experience the usual rise and fall in sales. It simply means that BMY’s overall oncology portfolio wouldn’t exactly encounter major problems when it comes to income generation and growth in the years to come.

In a broader sense, the newly formed company should be able to withstand any slowing down in the economy. Cancer patients need continuous medication, and it’s highly unlikely that they would choose to put a stop to their treatment simply because the economy is taking a downturn. Consequently, this makes BMY one of the safest plays in the market right now.

Keep buying (BMY) on dips. There is far to go.

 

https://www.madhedgefundtrader.com/wp-content/uploads/2019/12/bmy.png 470 899 Mad Hedge Fund Trader https://madhedgefundtrader.com/wp-content/uploads/2019/05/cropped-mad-hedge-logo-transparent-192x192_f9578834168ba24df3eb53916a12c882.png Mad Hedge Fund Trader2019-12-05 04:00:502019-12-04 16:11:50Why 1 + 1 = 4 With the Bristol-Myers/Celgene Merger
Mad Hedge Fund Trader

December 3, 2019

Biotech Letter

Mad Hedge Biotech & Health Care Letter
December 3, 2019
Fiat Lux

Featured Trade:

(WHY VERTEX WENT BALLISTIC),
(VRTX), (CRSP)

https://madhedgefundtrader.com/wp-content/uploads/2019/05/cropped-mad-hedge-logo-transparent-192x192_f9578834168ba24df3eb53916a12c882.png 0 0 Mad Hedge Fund Trader https://madhedgefundtrader.com/wp-content/uploads/2019/05/cropped-mad-hedge-logo-transparent-192x192_f9578834168ba24df3eb53916a12c882.png Mad Hedge Fund Trader2019-12-03 08:00:292019-12-03 08:38:08December 3, 2019
Mad Hedge Fund Trader

Why Vertex Went Ballistic (and CRSPR Pharma Too)

Biotech Letter

Since I first recommended this stock two months ago, it has risen a ballistic 35%. In fact, so have most of our other Biotech and Healthcare recommendations.

Vertex Pharmaceuticals Inc. (VRTX) is the unequivocal king of the genetically rare lung condition cystic fibrosis (CF). To further prove its stronghold of the market, the company recently received FDA approval for its fourth CF treatment called Trikafta — five full months ahead of schedule and merely three months following the company’s application.

In a few weeks, the drug will be available in pharmacies carrying a price tag of $311,000. This puts Trikafta somewhere in the range of another prized Vertex CF treatment, Kalydeco. Sales of this newest drug is estimated to reach $4.6 billion by 2023 and more than $6.6 billion by 2025, with the drug projected to hit its peak at $10 billion by the second half of 2020.

Hence, this latest addition to Vertex’s pipeline practically guarantees the company’s supremacy over the lucrative multi-billion-dollar sector for the next decade or so. More importantly, sales from this CF drug could — at the very least — double the annual revenue of Vertex.

The projected earnings of Trikafta places it in the blockbuster tier as early as 2020, with the drug anticipated to be marketed as a treatment with a “whole new level” of efficacy compared to the earlier CF medications released by Vertex. With this new addition, the company can now reach 90% of CF patients in the United States — a huge leap from 50% it’s currently allowed to treat.

However, the launch of Trikafta is a bittersweet deal with Vertex as sales of older CF treatments are anticipated to weaken. In particular, the company expects Symdeko and Orkambi to eventually fade away from the market as more and more patients opt for the newer and more potent Trikafta.

Despite the impending success of Trikafta, it appears that Vertex has no intention of letting up. Since its CF products have translated into healthy profits in the past four quarters and a whopping $950 million in the third quarter alone, it’s no wonder the company continues to work on new offerings for this market.

Even with the weakening sales of Symdeko, the performance of CF drugs in the most recent earnings report showed a 21% jump over the same period in 2018. To date, the company has three additional treatments submitted for Phase II trials.

Beyond the CF realm, Vertex has also been looking to expand in other sectors. One of its exciting partnerships is with gene-editing company CRISPR Therapeutics (CRSP), another one of our core recommendations. (CRSP) has only doubled since September.

The two companies have been working closely to come up with game-changing treatments that could pioneer therapies for rare conditions like sickle cell disease, Duchenne muscular dystrophy, and beta thalassemia. All three of these orphan designation drugs have the potential to turn into blockbuster treatments.

For 2019, Vertex projects a product revenue somewhere between $3.70 billion to $3.75 billion. Meanwhile, its full-year earnings per share is estimated to be $4.77, which is a 17% increase from last year’s report.

A clear downside of Vertex is the fact that it’s one of the most highly valued stocks in the biotech industry at 31.1 times forward earnings. Nonetheless, a long-term study of the company’s performance would show that the shares are actually grossly undervalued even at their present-day levels.

After all, this biotech stock has the potential to triple or even quadruple its yearly revenue over the next five years or so especially if its partnership with CRISPR Therapeutics comes into fruition.

Overall, the growth and profitability profile of Vertex makes it an attractive stock to own. Add to that its promising pipeline and you have one of the most attractive names in the biotech sector. Hence, now is the ideal time for investors to buy Vertex shares as you can confidently bet on its dominance on the CF market as well as its exciting gene-editing ventures and potential revenue stream.

Keep buying both (VRTX) AND (CRSP) on the next substantial dip.

 

 

https://www.madhedgefundtrader.com/wp-content/uploads/2019/11/vertex.png 356 675 Mad Hedge Fund Trader https://madhedgefundtrader.com/wp-content/uploads/2019/05/cropped-mad-hedge-logo-transparent-192x192_f9578834168ba24df3eb53916a12c882.png Mad Hedge Fund Trader2019-12-03 07:58:302019-12-03 08:38:28Why Vertex Went Ballistic (and CRSPR Pharma Too)
Mad Hedge Fund Trader

November 28, 2019

Biotech Letter

Mad Hedge Biotech & Health Care Letter
November 28, 2019
Fiat Lux

Featured Trade:

(THE BATTLE FOR YOUR HEART IS ON),
(NOVN), (MDCO), (SNY), (AMGN), (TAK)

https://madhedgefundtrader.com/wp-content/uploads/2019/05/cropped-mad-hedge-logo-transparent-192x192_f9578834168ba24df3eb53916a12c882.png 0 0 Mad Hedge Fund Trader https://madhedgefundtrader.com/wp-content/uploads/2019/05/cropped-mad-hedge-logo-transparent-192x192_f9578834168ba24df3eb53916a12c882.png Mad Hedge Fund Trader2019-11-28 18:02:322019-11-28 18:03:32November 28, 2019
Mad Hedge Fund Trader

The Battle for Your Heart is On

Biotech Letter

The rumors are confirmed. Novartis AG (NOVN) has no plans of sitting out the lucrative heart treatment race. The Swiss biopharma giant made its presence known via a $9.7 billion takeover of The Medicine Company (MDCO), putting Sanofi SA (SNY), Amgen (AMGN), and Regeneron Pharmaceuticals (REGN) on high alert for some major league rivalry.

This takeover signifies the latest attempt by Novartis to redirect the future of the company, which currently has a market value of $203 billion through a number of takeovers, mergers, and disposals.

Novartis will be paying $85 in cash for every share, marking a 24% premium over The Medicine Co.’s recent closing price. In return, Novartis will gain control of the smaller biotech’s experimental cholesterol-lowering injection Inclisiran. This breakthrough treatment is currently being prepared for US approval by the end of 2019. Meanwhile, the company will mark the first quarter of 2020 with an EU filing for the treatment.

 

The pricey bid puts Novartis at the forefront of a market where at least one drug, high cholesterol treatment Repatha, is projected to give Amgen another blockbuster by 2021. Another similar challenger is Sanofi and Regeneron’s joint cholesterol-lowering drug Praluent. So far, these companies have been pounding away to carve out markets with steep prices.

Unfortunately, payer resistance fueled by the estimated patient population affected has been dragging their sales revenue. To add to that, prices for both medications have been limited to somewhere around $6,000 annually.

This is where Novartis’ partnership with The Medicines Company comes in handy.

To be effective, Inclisiran is only needed to be injected twice yearly to patients. This is a far cry from the 26-injection procedure required by both Amgen’s Repatha and Sanofi and Regeneron’s Praluent. The key to Inclisiran’s potency is a technology involving gene silencing or RNA interference, which basically limits “bad cholesterol” production.

Needless to say, Novartis offers an attractive option to over 58 million patients in the United States alone who cannot keep their “bad cholesterol” at bay given the current standard of care. If it gains approval, the company is looking at annual peak sales of roughly $4 billion, with Inclisiran expected to start contributing to their revenue by 2021.

Apart from that, Inclisiran is anticipated to complement Novartis’ existing combination heart failure drug Entresto, which topped the $1 billion yearly revenue threshold in 2018.

Entresto isn’t the only foray of Novartis in the cardiovascular market. Prior to this blockbuster drug, the company led the sector with high blood pressure medication Diovan, which used to rake in $6 billion annually until 2012 when it lost its patent protection.

Now, Novartis appears to be ensuring that history does not repeat itself. That is, the company has been actively seeking acquisitions in an effort to bolster its drug pipeline and portfolio with promising products and groundbreaking technologies.

While this latest deal with The Medicines Company sounds promising, Novartis remains on guard as it looks for alternatives, especially with the upcoming patent expirations of some of its main moneymakers like eye medication Lucentis, genetic blood disorder drug Exjade, and multiple sclerosis treatment Gilenya.

This deal with The Medicines Co fits hand-in-glove with the type of diversification and development projects that Novartis has been pursuing as of late. These deals include the $8.7 billion AveXis (AVXS) agreement, which allowed Novartis access to a landmark gene therapy for spinal muscular atrophy.

Prior to that, the giant biopharma acquired nuclear medicines business Advanced Accelerator Applications (AAAP) for $3.9 billion in 2017. A $2.1 billion deal with target cancer therapy maker Endocyte (ECYT) followed in 2018. Earlier this year, Novartis completed its $5.3 billion acquisition of dry eye treatment Xiidra from Takeda Pharmaceutical (TAK). So far, the Swiss giant has already spent $27.5 billion in its deal spree -- and the company isn’t going to stop anytime soon.

I know I’ve said this already, but keep buying (NOVN) on dips.

 

https://www.madhedgefundtrader.com/wp-content/uploads/2019/11/novartis.png 335 672 Mad Hedge Fund Trader https://madhedgefundtrader.com/wp-content/uploads/2019/05/cropped-mad-hedge-logo-transparent-192x192_f9578834168ba24df3eb53916a12c882.png Mad Hedge Fund Trader2019-11-28 18:00:502019-11-28 18:04:24The Battle for Your Heart is On
Mad Hedge Fund Trader

November 26, 2019

Biotech Letter

Mad Hedge Biotech & Healthcare Letter
November 26, 2019
Fiat Lux

Featured Trade:

(WHY KARUNA THERAPEUTICS IS THE BIG ONE THAT GOT AWAY),
(KRTX)

https://madhedgefundtrader.com/wp-content/uploads/2019/05/cropped-mad-hedge-logo-transparent-192x192_f9578834168ba24df3eb53916a12c882.png 0 0 Mad Hedge Fund Trader https://madhedgefundtrader.com/wp-content/uploads/2019/05/cropped-mad-hedge-logo-transparent-192x192_f9578834168ba24df3eb53916a12c882.png Mad Hedge Fund Trader2019-11-26 08:02:432019-11-26 08:05:50November 26, 2019
Mad Hedge Fund Trader

Why Karuna Therapeutics is the Big One That Got Away

Biotech Letter

In many respects, buying the shares of small biotech companies is a lot like purchasing lottery tickets. Look no further than Karuna Therapeutics (KRTX), which has just soared sevenfold on the back of wildly successful phase II trials for its schizophrenia drug KarXT.

While it is too late to buy (KRTX), it is illustrative of what is going on in the space with ever-increasing frequency. And the great news for you and me is that biotech is only months into a meteoric move that could last for decades.

 KarXT is the next “gamechanger” in the field of schizophrenia. Why is this important? In the United States alone, schizophrenia already affects roughly 2.7 million people or almost 1% of the population. Needless to say, this condition makes handling relationships and maintaining jobs virtually impossible.

 With its tendency to become a recurring condition as one of its key defining features, schizophrenics need recurring treatment as well. To make matters worse, the conditions are distinct from one patient to another. Hence, it no longer comes as a surprise that over a third of people afflicted by this condition do not respond to the antipsychotic treatments available in the market today.

As for the treatments that do take effect, the side effects associated with the drugs also hinder the day-to-day activities of the patients causing them to discontinue taking it altogether. Currently, one of the most popular antipsychotic drugs used to treat schizophrenics is Johnson and Johnson’s (JNJ) Invega Sustenna. Based on its 2019 revenues so far, the drug is projected to be on pace to hit the projected sales of $3.3 billion by the fourth quarter.

In comparison, Karuna’s KarXT functions on muscarinic receptors that respond to acetylcholine, which is basically an organic chemical found in the brain. Meanwhile, JNJ’s drugs focus on dopamine and serotonin receptors. This primary difference between the two drugs puts Karuna’s drug on the lead. However, Karuna is not the first in looking into muscarinic receptors. In 2016, Allergan (AGN) paid Heptares Therapeutics $3.3 billion in an effort to license drugs similar to KarXT.

What really inspired excitement though is the tolerability of KarXT. Since the majority of antipsychotic drugs on the market today are notorious for their adverse effects, Karuna’s drug achieved a discontinuation rate of only 20% -- an impressive result considering that the placebo group had a 21% discontinuation rate. More impressively, KarXT users did not experience any of the commonly feared side effects like weight gain or drowsiness.

Aside from schizophrenia, Karuna is also looking into ways to use KarXT as a treatment option for other CNS disorders that can offer none of the debilitating side effects of current antipsychotic drugs. This could cover treatments for Alzheimer’s disease and even for pain management.

Following this exciting revelation, Karuna announced its intention to conduct a public offering of 2.6 million shares in an effort to raise additional capital. All things considered, the small biotech company has been moving at a notable pace. Just last June, this PureTech-backed company opened with a $75 million IPO -- a humongous jump from its initial price point of $42 million.

So far, the companies competing in the same space as Karuna are Novus Biologicals, Anavex, and TheraVida.

The next important step for Karuna is its meeting with the FDA in the second quarter of 2020, which is anticipated to push KarXT to Phase 3 of its clinical trial. If all goes well, this phase will be launched in the latter part of 2020.

Volatility is always to be expected particularly when investing in biotech companies. Karuna’s amazing news demonstrates why volatility can sometimes be a good thing. Although there are more trials and testing to be performed, the results of KarXT’s study should put Karuna on the hot list of biotech investors.

While this one got away, the Mad Hedge Biotechnology and Healthcare letter has a long list of letters coming promising similar potential.

 

https://www.madhedgefundtrader.com/wp-content/uploads/2019/11/karuna-e1574772405523.png 85 300 Mad Hedge Fund Trader https://madhedgefundtrader.com/wp-content/uploads/2019/05/cropped-mad-hedge-logo-transparent-192x192_f9578834168ba24df3eb53916a12c882.png Mad Hedge Fund Trader2019-11-26 08:00:532019-11-26 08:05:36Why Karuna Therapeutics is the Big One That Got Away
Mad Hedge Fund Trader

November 21, 2019

Biotech Letter

Mad Hedge Biotech & Healthcare Letter
November 21, 2019
Fiat Lux

Featured Trade:

(WHY VERTEX HAS BEEN ON FIRE),
(VRTX), (CRSP)

https://madhedgefundtrader.com/wp-content/uploads/2019/05/cropped-mad-hedge-logo-transparent-192x192_f9578834168ba24df3eb53916a12c882.png 0 0 Mad Hedge Fund Trader https://madhedgefundtrader.com/wp-content/uploads/2019/05/cropped-mad-hedge-logo-transparent-192x192_f9578834168ba24df3eb53916a12c882.png Mad Hedge Fund Trader2019-11-21 06:02:382019-11-21 06:20:05November 21, 2019
Mad Hedge Fund Trader

Why Vertex has Been on Fire

Biotech Letter

Vertex Pharmaceuticals Inc. (VRTX) is the unequivocal king of the genetically rare lung condition cystic fibrosis (CF). To further prove its stronghold of the market, the company recently received FDA approval for its fourth CF treatment called Trikafta — five full months ahead of schedule and merely three months following the company’s application.

In a few weeks, the drug will be available in pharmacies, carrying a price tag of $311,000. This puts Trikafta somewhere in the range of another prized Vertex CF treatment, Kalydeco.

Sales of this newest drug is estimated to reach $4.6 billion by 2023 and more than $6.6 billion by 2025, with the drug projected to hit its peak at $10 billion by the second half of 2020. Hence, this latest addition to Vertex’s pipeline practically guarantees the company’s supremacy over the lucrative multi-billion dollar sector for the next decade or so. More importantly, sales from this CF drug could — at the very least — double the annual revenue of Vertex.

The projected earnings of Trikafta places it in the blockbuster tier as early as 2020, with the drug anticipated to be marketed as a treatment with a “whole new level” of efficacy compared to the earlier CF medications released by Vertex. With this new addition, the company can now reach 90% of CF patients in the United States — a huge leap from 50% it’s currently allowed to treat.

However, the launch of Trikafta is a bittersweet deal with Vertex as sales of older treatments are anticipated to weaken. In particular, the company expects Symdeko and Orkambi to eventually fade away from the market as more and more patients opt for the newer and more potent Trikafta.

Despite the impending success of Trikafta, it appears that Vertex has no intention of letting up. Since its CF products have translated into healthy profits in the past four quarters and a whopping $950 million in the third quarter alone, it’s no wonder the company continues to work on new offerings for this market.

Even with the weakening sales of Symdeko, the performance of the CF drugs in the most recent earnings report showed a 21% jump over the same period in 2018. To date, the company has three additional treatments submitted for Phase II trials.

Beyond the CF realm, Vertex has also been looking to expand in other sectors. One of its exciting partnerships is with gene-editing company CRISPR Therapeutics (CRSP). The two companies have been working closely to come up with game-changing treatments that could pioneer therapies for rare conditions like sickle cell disease, Duchenne muscular dystrophy, and beta thalassemia. All three of these orphan designation drugs have the potential to turn into blockbuster treatments.

For 2019, Vertex projects a product revenue somewhere between $3.70 billion to $3.75 billion. Meanwhile, its full-year earnings per share is estimated to be $4.77, which is a 17% increase from last year’s report.

A clear downside of Vertex is the fact that it’s one of the most highly valued stocks in the biotech industry at 31.1 times forward earnings. Nonetheless, a long-term study of the company’s performance would show that the shares are actually grossly undervalued even at their present-day levels. After all, this biotech stock has the potential to triple or even quadruple its yearly revenue over the next five years or so especially if its partnership with CRISPR Therapeutics comes into fruition.

Overall, the growth and profitability profile of Vertex makes it an attractive stock to own. Add to that its promising pipeline, and you have one of the most attractive names in the biotech sector. Hence, now is the ideal time for investors to buy Vertex shares as you can confidently bet on its dominance on the CF market as well as its exciting gene-editing ventures and potential revenue stream.

Don’t chase Vertex up here but buy the next substantial dip.

 

https://www.madhedgefundtrader.com/wp-content/uploads/2019/11/vertex.png 356 675 Mad Hedge Fund Trader https://madhedgefundtrader.com/wp-content/uploads/2019/05/cropped-mad-hedge-logo-transparent-192x192_f9578834168ba24df3eb53916a12c882.png Mad Hedge Fund Trader2019-11-21 06:00:202019-11-21 06:19:39Why Vertex has Been on Fire
Mad Hedge Fund Trader

November 19, 2019

Biotech Letter

Mad Hedge Biotech & Healthcare Letter
November 19, 2019
Fiat Lux

Featured Trade:
(TAKE A WALK ON THE WILD SIDE WITH GENE EDITING),

(EDIT), (NTLA), (CRSP), (VRTX), (REGN), (NOVN)

https://madhedgefundtrader.com/wp-content/uploads/2019/05/cropped-mad-hedge-logo-transparent-192x192_f9578834168ba24df3eb53916a12c882.png 0 0 Mad Hedge Fund Trader https://madhedgefundtrader.com/wp-content/uploads/2019/05/cropped-mad-hedge-logo-transparent-192x192_f9578834168ba24df3eb53916a12c882.png Mad Hedge Fund Trader2019-11-19 05:02:222019-11-19 04:51:34November 19, 2019
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