Re: Farmas USA
NOVAVAX - WEDBUSH UPDATE - 4 Mayo 2016 - Eyes Towards Pivotal Data in 3Q as Novavax Reports 1Q16;
Reiterate OUTPERFORM - PT $14
The Wedbush view: Novavax is developing a first in class RSV vaccine for high risk individuals such as the elderly and newborns (via maternal immunization). It has pivotal trials underway for each population; we expect data from the elderly study to read out in 3Q16. In our view, the study has been de-risked by Phase II data and is set up for success.
Novavax reports 1Q16 results. Novavax reported a loss per share of $0.29, greater than our estimates and consensus due to increased spend. Novavax finished 1Q16 with $433.9M in cash, including a $325M convertible debt financing; in our view, sufficient to see it through BLA filing for its RSV vaccine in the elderly, at least. We also anticipate potential non-dilutive financing through an ex-US partnership for its vaccine after data.
Pivotal trial data expected in 3Q16. Novavax is testing its RSV vaccine adults 60 years of age and older. The primary endpoint is a decrease in moderate to severe RSV, defined by RSV positive with at least three lower respiratory tract symptoms including chough, sputum production, wheezing and dyspnea; in the Phase II study, those vaccinated lowered events by 64%. Moderate to severe RSV occurred in the Phase II at a rate of 1.8%; our analysis of this RSV season suggests percentage of RSV positive cases this season is more or less in line with last year; in addition, Novavax has powered the study to account for a lower rate. (Figure 2). We believe the previous data de-risk the Phase III study and believe there is a high probability of success for the study.
Eye on Commercialization. Although there is inherent risk in commercializing a first RSV vaccine, we believe previous experience with a flu vaccine sets a clear path forward. According to the CDC, in 2014-15, 67% of the elderly 65 years or older were vaccinated for flu, this number is up 1.7% from 2013-14. Novavax is targeting adults above 60; this population generally sees physicians regularly and is vaccinated in doctor's offices or clinics. See more on page 2.
Influenza/RSV combination studies set to start in 1H17 can be an inflection point for shares.
We reiterate our OUTPERFORM rating and price target of $14, based on a sum-of-the-parts analysis for its RSV and flu programs, discounted by 25% and 15%, respectively.
Eye on commercialization. We believe Novavax can leverage these visits as a logical entry point for RSV vaccination; the burden of disease for these two viruses is similar. Novavax has begun an awareness campaign, including a website, www.discoverrsv.com. The company is working with the CDC on accruing data on the burden of RSV, which should culminate into an Advisory Committee on Immunization Practices (ACIP) working group this summer. Although a CDC recommendation comes after approval, we believe the groundwork on disease burden should lay the foundation for a recommendation after potential FDA approval and ahead of the 2018 RSV season.
Influenza/RSV combination studies set to start in 1H17 could be an inflection point for share. Early next year, Novavax plans to initiate a robust trial incorporating its flu and RSV vaccines separately and in combination, both with and without adjuvant. Data from this study should direct future efforts for a combination respiratory vaccine, which we believe could be game changing.
Risks to our price target include failure of RSV-F vaccine to demonstrate a clinical benefit in the ongoing Phase III study. There is also regulatory risk; even with positive data, its vaccines may not get approved. Commercially, there is potential Novavax will not be able to market its vaccine and that competitors will come to market to take share.