Avacta is developing its Affimer technology for use in therapeutic and diagnostic/reagent applications. The potential of the Affimer technology lies in its formatting capabilities, particularly in the creation of bispecific and TMAC Affimer drug conjugates. Its lead therapeutic asset (AVA004) is a programmed death-ligand 1 (PD-L1)-targeting Affimer for which the company expects to submit an investigational new drug (IND) application in Q420. AVA004 will serve as the first clinical validation of the Affimer technology and will form the base of the clinical development of a PD-L1/LAG-3 bispecific (AVA021) and the first TMAC Affimer drug conjugate (AVA004/100). We value Avacta at £51m or 44p/share.
Written by
Avacta Group |
Affimer - potential best-in-class antibody mimetic |
Initiation of coverage |
Pharma & biotech |
13 June 2019 |
Share price performance
Business description
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Avacta Group is a research client of Edison Investment Research Limited |
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Avacta is developing its Affimer technology for use in therapeutic and diagnostic/reagent applications. The potential of the Affimer technology lies in its formatting capabilities, particularly in the creation of bispecific and TMAC Affimer drug conjugates. Its lead therapeutic asset (AVA004) is a programmed death-ligand 1 (PD-L1)-targeting Affimer for which the company expects to submit an investigational new drug (IND) application in Q420. AVA004 will serve as the first clinical validation of the Affimer technology and will form the base of the clinical development of a PD-L1/LAG-3 bispecific (AVA021) and the first TMAC Affimer drug conjugate (AVA004/100). We value Avacta at £51m or 44p/share.
Year end |
Revenue (£m) |
PBT* |
EPS* |
DPS |
P/E |
Yield |
12/17 |
2.7 |
(7.9) |
(9.8) |
0.0 |
N/A |
N/A |
12/18 |
2.8 |
(10.4) |
(13.5) |
0.0 |
N/A |
N/A |
12/19e |
3.2 |
(12.3) |
(9.0) |
0.0 |
N/A |
N/A |
12/20e |
5.2 |
(12.4) |
(9.0) |
0.0 |
N/A |
N/A |
Note: *PBT and EPS are normalised, excluding amortisation of acquired intangibles, exceptional items and share-based payments.
Formatting capabilities point to future potential
Avacta is progressing its therapeutic Affimers towards the clinic with its PD-L1 (AVA004) and PD-L1/lymphocyte-activation gene 3 (LAG-3) (AVA021) product candidates expected to start oncology clinical trials in 2021 and 2022 respectively. Post the clinical validation of AVA004, we expect Avacta will focus on the development of the AVA021 bispecific (a component of which is AVA004) and its TMAC Affimer drug conjugate (AfDC) (in collaboration with Tufts University) that targets PD-L1 and uses an I-DASH toxin together with a novel fibroblast activation protein (FAP)α cleavable linker (AVA004/100).
TMAC drug conjugate into the clinic in 2020
Avacta has accelerated its tumour microenvironment activated drug conjugates (TMAC) programme and will now test the novel FAPα cleavable linker in a Phase I trial in 2020. The FAPα cleavable linker will be conjugated to a well-known chemotherapeutic agent (doxorubicin) rendering it inactive until the linker is cleaved in the tumour microenvironment. The FAPα cleavable linker forms a key component of AVA004/100, for which Avacta expects to submit an IND application in late 2021.
Partnerships continue to validate technology
Avacta’s partnerships continue to show the potential of Affimers for multiple applications; most recently it announced a deal with LG Chem worth over $300m (+ royalties) to develop a range of therapeutic Affimers. In February 2019, Moderna exercised its option on an Affimer developed in its partnership with Avacta.
Valuation: £51m or 44p/share
We value Avacta at £51m or 44p/share based on a sum-of-the-parts valuation built on an rNPV for AVA021, the LG Chem partnership and the peer valuation of the reagents/diagnostic and animal health divisions, in addition to adding in net cash. AVA021 (PD-L1/LAG-3) contributes approximately 50% to our valuation.
Investment summary
Company description: Antibody mimetics
Avacta is a UK biopharmaceutical company specialising in the development of its proprietary Affimer platform. Its lead assets are its PD-L1 Affimer (AVA004), its PD-L1/LAG-3 bispecific Affimer (AVA021) and its PD-L1 TMAC drug conjugate (AVA004/100) for use in cancers, both in preclinical development. In addition to Avacta’s therapeutic platform, it has a diagnostic reagents division and an animal health division. Avacta has multiple partnerships, notably with LG Chem, Moderna and Tufts University. Avacta raised net £10.9m in August 2018 (c 46,000 shares at 25p/share) and had net cash as of 31 January of £11.8m. In 2018, Avacta’s average employee count grew to 114 compared with 103 in 2017.
Valuation: £51m or 44p/share
We value Avacta at £51m or 44p/share. This is based on a sum-of-the-parts model including a risk-adjusted NPV of AVA021 (PD-L1/LAG-3 bispecific) (rNPV: £23.9m) and LG Chem research partnership (rNPV: £7.7m) and a peer valuation of both its reagents and animal health divisions (c £7.2m), in addition to adding in net cash (£11.8m). The main driver of our valuation is AVA021, which contributes approximately 50% of the total valuation. We assume AVA021 is out-licensed before the Phase I start in 2022 and model c £300m of milestones split across an upfront payment, clinical and commercial milestones. Due to the early nature of its development, we model its market potential in a basket of relapsed refractory cancers that are PD-L1/LAG-3 positive and for which patients have already received PD-L1 treatment. This is benchmarked against the total PD-L1 global market, resulting in approximate market penetration of 5%, generating peak sales of c £800m. The next most advanced asset, the AVA004/100 (PD-L1/I-DASH) product candidate (first product from the TMAC platform), is of significant scientific interest; however, due to the very early nature of development and the complexities involved in the asset, we await for its advancement into the clinic before considering its inclusion into our valuation. Potential significant upside exists if Avacta is successfully able to develop the TMAC platform. For the LG Chem partnership, we model the $180m milestone payments for the deal with payments spread to 2030 on assumed classical drug development timelines (eg Phase I start).
Sensitivities: Clinical validation needed
Avacta is subject to the risks typically associated with biotech company drug development, including the possibility of unfavourable outcomes in clinical trials, trial shortfalls or failures, cash-flow limitations, success of competitors and negative commercial decisions by partners or potential partners. Cancer immunotherapy has become a highly competitive landscape and Avacta’s technology platforms are still in relatively early stages of development. The key short-term sensitivities for Avacta relate to crystallising value from the early-stage pipeline, particularly the PD-L1/LAG-3 bispecific (AVA021). Additionally, the entry of the first Affimer into the clinic (PD-L1 Affimer) will be critical inflection point for the company as the technology is tested in humans for the first time. If Affimers are found to be immunogenic or generate severe side effects, it would affect any potential applications. We note AVA021 represents 50% of our valuation and any failure of the asset or changes to timings would materially affect our valuation.
Financials: Cost base expected to rise as the clinic approaches
The net loss for H119 was £5.2m (vs £3.95 in H118) driven by the decrease in revenues and increase in R&D investment. Net cash at 31 January 2019 was £11.79m and we forecast a current cash reach into 2020. We forecast illustrative debt of £10m in 2020 to fund operations into 2021.
Affimers: First human data will be a key inflection point
Avacta is built around its proprietary Affimer platform of engineered proteins (acquired IP in 2012; current patents), which are engineered to possess binding capabilities similar to antibodies (antibody mimetics). Since the FDA approved the first antibody in 1985 (muromonab), antibodies have become the dominant therapeutic options for countless diseases with total sales of antibodies recently reaching $120bn globally in 2018 (source: EvaluatePharma). Although antibodies are, and will continue to be, the dominant therapeutic option in many diseases, there are numerous disadvantages including their relatively bulky size, complexity in creation and manufacturing, difficulties in formatting (making drug conjugates, bispecifics etc) and a high cost of production.
Avacta has developed Affimers to address many of these problems and offer an array of potential advantages including high expression levels (in eukaryotic and prokaryotic cells), customisable kinetics (Koff, Kon etc), stability (AVA04 demonstrated stability up to seven months in phosphate-buffered saline at 4°C) and solubility (400mg/ml dimeric Affimers, 200mg Affimer Fc). One of the key capabilities of Affimers is their formatting flexibility which allows the relatively simple construction of complex molecules such as TMAC drug conjugates (AVA004/100) and bispecifics (AVA021). This could be an important differentiator for the platform. While technically promising, the platform remains in its infancy (not yet tested in humans) and significant risk remains in their ability to perform in a therapeutic clinical context. Questions including whether Affimers will generate an unwanted immune reaction and subsequently be neutralised in the body (preclinical data to date have determined a non-immunogenic nature), whether they are therapeutically safe and if there inherently short half-life will limit efficacy are all still to be answered (formatting with other component as a bispecific or AfDC will increase half-life). Key to Avacta’s future prospects will be it rapidly achieving Affimer data in human patients (IND forecast to be submitted for AVA004 in Q420).
All therapeutic Affimers are based on stefin A (Exhibit 1), a human protease inhibitor. They are typically 12–14kDa in size (approximately 10-fold smaller than antibodies), which brings the advantage of typically better tissue penetration and increased packing density (for diagnostics/reagent applications). However, their small size means Affimers have a relatively short half-life (hours). This can sometimes be advantageous in limiting systemic toxicity (the Affimer acts at site of interest and is cleared from the body before it has a chance to act elsewhere), there are often multiple scenarios where a longer half-life is need. Avacta has developed half-life extending technologies in the form of serum albumin binding (Affimer XT platform) to address this. Preclinical data to date have demonstrated minimal disruption of Affimer binding to its target when using the XT format. Additionally, the ease of formatting of Affimers means novel drug conjugates and multi-specific Affimers can be created, which offer unique ways to increase the half-life.
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Exhibit 1: Affimer structures |
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Source: Avacta |
Affimers are selected by phage display (-1010 library size) and produced in E. Coli protein expression systems. The time between the initial screen of the Affimer to animal models is typically six months, putting it on par with therapeutic antibody development. Lot-to-lot variability is a common problem for antibodies (mainly for polyclonal and less so for monoclonal and synthetic); however, as Affimers are manufactured by a non-eukaryotic process there is more lot-to-lot consistency. Due to Affimers’ simple, stable, known structure, they can be easily functionalised, which aids in the ability to produce drug conjugates of bispecific molecules without the loss of binding or stability.
While the aforementioned capabilities are key for Affimers to differentiate themselves from antibodies, one key strength is the unencumbered patent protection Avacta holds on the technology. This is a result of Affimers not being based on antibodies and gives Avacta freedom to operate in areas where antibody patents exist and, for example, allows it to go after many well-known targets (eg PD-L1) without infringing on other antibody patents and is a significant attraction for potential partners.
Therapeutic pipeline
Avacta has multiple Affimer assets in early-stage development (Exhibit 2) across three key technology areas: checkpoint antagonists (AVA004 and AVA017), costimulatory agonists (AVA026 and AVA023) and drug conjugates (AVA004/100). Although AVA004, AVA017 and AVA023 are similar to other assets in development in the sector, its Affimer TMAC drug conjugates, of which AVA004/100 is the most advanced, could prove be a key driver of value in the long term. The Affimer TMAC drug conjugates are based around a FAPα cleavable linker that connects a deadly toxin with a tumour-targeting Affimer. The FAPα cleavable linker is cleaved in the tumour microenvironment (demonstrated to date by data in animal and in-vitro models) and it could enable the localised release of tumour killing toxins in humans. Combined with the multiple formatting options of Affimers, a range of possible combinations and product candidates could emerge. The proprietary (FAPα) cleavable linker to be used in AVA004/100 will be tested separately next year, while an IND application testing the full Affimer drug conjugate is expected to be submitted for AVA004/100 in late 2021.
Its most advanced asset in the pipeline is AVA004, a PD-L1 targeting Affimer for which Avacta expects to submit an IND application by the end of 2020. Most recently it was announced that a clinical development candidate has been selected for AVA004 and that the Phase I study is expected to test AVA004 in 20 to 30 patients with PD-L1 positive solid tumours. The trial will test both intravenous and subcutaneous routes of administration. This clinical trial will provide the first proof of concept for Affimers in humans and would de-risk the entire platform if successful. While the data produced by AVA004 will be informative, we do not expect Avacta to progress the asset past Phase I trials and will instead utilise it to inform the design of its bispecific PD-L1/LAG3 AVA021 and drug conjugate AVA004/100 trials. We believe this decision will be driven by the significantly increased potential value of developing (if successful) a unique therapy instead of a similar version of an already available commercial product (eg another PD-L1 monotherapy in the case of AVA004). We believe long-term value for Avacta is developing the AVA021 bispecific (component of which is AVA004), which is expected to enter the clinic in 2022 and its TMAC AfDC (in collaboration with Tufts University) that targets PD-L1 and uses an I-DASH toxin (AVA004/100) coupled together with a FAPα cleavable linker (IND filling expected in H221).
Exhibit 2: Therapeutic pipeline (key assets)
Asset/target |
Status |
Notes |
AVA004/ PD-L1 |
Preclinical |
Plan to submit an IND by end 2020 |
AVA017/ LAG-3 |
Lead optimisation |
Unlikely to be developed into the clinic |
AVA021/ PD-L1 and LAG-3 |
Pre-clinical |
Plan to initiate a Phase I trial in 2022. |
AVA004/100/ PD-L1/I-DASH |
Discovery |
IND filing planned for late 2021 |
AVA003 Affimer XT (serum albumin) |
Pre-clinical |
N/A |
AVA026/4-1BB |
Discovery |
N/A |
AVA023/CD40 |
Discovery |
N/A |
Source: Avacta
Checkpoint antagonists: PD-L1 and LAG-3
Avacta’s lead assets are based on targeting PD-L1 and LAG-3. The most advanced is AVA004, in development as a PD-L1 inhibitor. Avacta expects to submit an IND by end 2020 with data potentially in 2021. This will be a major inflection point for Avacta as it will represent the first human dataset for an Affimer. As usual, the initial Phase I trial will focus on safety but evidence of efficacy could prove an important early indicator of how the Affimer technology compares to antibodies, particularly PD-L1 inhibitors. Preclinical mouse model data have demonstrated that AVA004 produced comparable changes in tumour volume to that of atezolizumab (Tecentriq) (Exhibit 3) and avelumab (Bavencio) and durvalumab (imfinzi). We forecast that AVA04 will not be developed past Phase I (as it will have enabled the proof of concept of Affimer technology in humans) and Avacta will focus on AVA021 (LAG-3/PD-L1 bispecific) and AVA004/100 (PD-L1/I-DASH AfDC).
AVA017 is designed to be an Affimer LAG-3 inhibitor. It is in lead optimisation and Avacta expects to select a lead candidate in H219. Avacta has no plans to develop AVA017 as a monotherapy into the clinic and will utilise it as part of AVA021, which will combine AVA017 and AVA004 into an LAG-3/PD-L1 bispecific. Avacta predicts the first patient is likely to be treated with AVA021 in 2022.
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Exhibit 3: Comparison of AVA04 to atezolizumab in a mouse tumour model |
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Source: Avacta |
Since the commercial launch of Keytruda (Merck) and Opdivo (Bristol Myers Squib) in melanoma in 2014, PD-L1 immune checkpoint inhibitors (ICIs) have become the standard of care in many cancers (FY18 sales of Opdivo and Keytruda were $7.6bn and $7.2bn respectively). PD-L1 is a transmembrane protein that plays a key role in immune regulation. The binding of receptor PD-1 to its ligand PD-L1 activates suppressive signals that limit immune activation, an effect that cancerous cells exploit to limit the response against them. PD-L1 inhibitors have been developed to try and prevent this immune suppression and have proven successful across a range of cancers. PD-L1 ICIs, alone or in combination, have quickly become the standard of care for many patients; however, the best responses generally remain confined to high PD-L1-expressing patients. For example, Keytruda’s approved label (Keynote-042) in stage three non-small cell lung cancer (NSCLC) demonstrated it had a 39% overall response rate (ORR) as a monotherapy in first-line patients whose tumour proportion score (TPS) for PD-L1 expression was above 50%; however, in a broader patient population (TPS score of 1% and above), the ORR fell to 27%. Across indications, companies are now looking to test ICIs in combination with other treatments to broaden their therapeutic window. Avacta is aiming to address this with assets including its AVA021 bispecific and its first TMAC Affimer drug conjugate AVA004/100.
LAG-3 demonstrating potential in the clinic
Like PD-L1, LAG-3, also known as CD233, is a transmembrane protein immune checkpoint receptor found on T-cells. LAG-3 is typically upregulated to control T-cell activation and prevent over activation of T-cells (and subsequent autoimmunity). In cancer models it has been demonstrated that persistent expression of antigens to T-cells enables continuous LAG3 expression and subsequently T-cell exhaustion (limited killing, proliferation and cytokine production). It is thought that inhibition of LAG-3 could prevent T-cell exhaustion and lead to tumour killing activity. The target has received significant interest and there are currently 45 LAG-3 trials ongoing (according to clinicaltrials.gov) either alone or in combination with other therapies. One of the most advanced is relatlimab (Bristol Myers Squib) and is in 19 active studies across multiple cancer types, the most advanced of which is a Phase III study testing relatlimab in combination with nivolumab (Opdivo) in first-line advanced melanoma.
Data were presented at ESMO 2017 on the combination of relatlimab and nivolumab in melanoma patients who have previously progressed on anti-PD-L1 therapy. Overall (n=68) ORR (one complete response, six partial responses) and disease control rate (DCR) were 11.5% and 49% respectively. In patients with LAG-3 expression >1%, the ORR was 18% (n=33) compared with 5% in patients with LAG-3 expression <1% (n=22). The combination demonstrated a similar AE profile to that of nivolumab alone.
Multiple other LAG-3 antibodies are in development (GSK:GSK2831781, MacroGenics: MGD013, Merck: MK-4280), notably FS118 from F-star, a bispecific (targets LAG-3 and PD-L1) that is in a Phase I trial across a range of advanced/metastatic cancers (expected enrolment of 51 patients). F-star originally partnered FS118 with Merck in 2017; however, it has recently had the rights returned and will now develop and commercialise it.
Whether a LAG-3/PD-L1 bispecific will be more potent than separate mAbs in combination has yet to be clinically determined; however, early pre-clinical data hint at the potential. Data on AVA021 (LAG-3/PD-L1 bispecific) remain early but recently presented data (at the Avacta R&D day, February 2019) demonstrated that in ELISA-binding assays, AVA021 bound PD-L1 and LAG-3 as well as single-target Affimers (Exhibit 4), demonstrating the conjugation of the two Affimers did not affect binding. More advanced pre-clinical data demonstrating the potential of a LAG-3/PD-L1 bispecific come from F-star, which demonstrated in a colon carcinoma mouse model that FS118 more potently inhibited tumour growth than a combination of an LAG-3 mAb and PD-L1 mAb. Recently F-star presented data at ASCO 2019 from its enrolling Phase I trial that demonstrated no dose-limiting toxicities were observed to date in the first 29 patients recruited.
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Exhibit 4: Comparison of bispecific binding of LAG-3/PD-L1 Affimer (AVA21) vs monospecific Affimers |
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Source: Avacta |
Partners: Affimers attractive across applications
Avacta’s range of partnerships continues to demonstrate the potential of Affimers for multiple applications (Exhibit 5). These include classical discovery partnerships with LG Chem and Moderna, deals focused on specific applications such as the development of AfDCs with Tufts University and partnerships focused on testing the potential of Affimers in cell and gene therapies with Oncosec and Memorial Sloan Kettering.
Exhibit 5: Current active partners
Partner |
Notes |
LG Chem Life Sciences |
In December 2018, Avacta announced a partnership with LG Chem Life Sciences to develop therapeutic Affimers for multiple targets. Avacta is responsible for generating Affimers to the undisclosed targets and for early optimisation work. Both parties will then collaborate to progress the candidates through to drug candidate selection, after which LG Chem will be responsible for all pre-clinical and clinical development in addition to worldwide marketing. LG Chem aims to have the first clinical trial regulatory submission in 2021. At H119 results, further financial information on the deal was disclosed. The deal included an upfront payment of $2.5m, near-term milestone payments of $5.5m and long-term clinical milestones of $180m. LG Chem will reimburse Avacta for any incurred R&D costs associated with the collaboration and pay Avacta royalties on any potential future product sales. In addition, if LG Chem exercises its option for additional targets, Avacta will be eligible to receive up to $130m in option fees and milestones. |
Moderna |
In May 2015, Avacta entered into a licensing partnership ($500,000 upfront) with Moderna Therapeutics to develop Affimers for undisclosed targets. Under the terms of the agreement, Moderna has exclusive access to the Affimer technology for certain targets and Moderna is able to extend the partnership to other targets. Moderna was also liable to pay Avacta for R&D relating to pre-clinical work. In February 2019, Moderna opted in on an undisclosed target that granted the company an exclusive product licence. Under the terms of the agreement, Avacta can now potentially receive clinical development milestones and royalties (on potential future sales) on the asset. The scope and size of any milestones are undisclosed and we have no information regarding when clinical development will initiate or if it will at all. |
Oncosec |
In January 2018, Avacta and OncoSec entered into a collaboration to develop gene therapy delivery of therapeutic Affimers. OncoSec’s gene delivery technology, ImmunoPulse, has clinically demonstrated safe and efficient delivery into a patient’s tumour in previous clinical trials. The collaboration will test whether ImmunoPulse can deliver clinically relevant concentrations of Affimers including AVA04 (PD-L1) in in-vivo tumour models. |
Memorial Sloan Kettering Cancer Center (MSK) |
In November 2016, Avacta entered into a research collaboration with MSK to use Affimers for CAR-T therapies. The collaboration is led by Renier J. Brentjens, MD, PhD, director of cellular oncology and was originally focused on developing Affimer CAR-T cells that target CD19. Generating Affimers to CD19 proved problematic, research has now shifted to finding binders to CD22. |
New England Biolabs |
In October 2018, Avacta agreed an Affimer reagent licensing deal with NEB to commercialise a product incorporating the Affimer technology. The product is for use in both life science research and diagnostic assays and is in final stages of product testing. Under the terms of the agreement Avacta will receive royalties on sales (may occur as soon as 2019). NEB and Avacta will continue its collaboration with the aim to generate further products. |
Tufts/Bach Biosciences |
In July 2018, Avacta announced a collaboration with Bach Biosciences, a company founded on the research of William Bachovchin at Tufts University School of Medicine, Boston. The collaboration aims to develop novel AfDC using Tufts’ novel linker chemistry that is designed to release attached drugs in only a tumour. The first proof-of-concept AfDC will involve the use of a PD-L1 Affimer and an I-DASH small molecule inhibitor. AVA004/100 (PD-L1/I-DASH) is now in discovery. |
Partner |
LG Chem Life Sciences |
Moderna |
Oncosec |
Memorial Sloan Kettering Cancer Center (MSK) |
New England Biolabs |
Tufts/Bach Biosciences |
Notes |
In December 2018, Avacta announced a partnership with LG Chem Life Sciences to develop therapeutic Affimers for multiple targets. Avacta is responsible for generating Affimers to the undisclosed targets and for early optimisation work. Both parties will then collaborate to progress the candidates through to drug candidate selection, after which LG Chem will be responsible for all pre-clinical and clinical development in addition to worldwide marketing. LG Chem aims to have the first clinical trial regulatory submission in 2021. At H119 results, further financial information on the deal was disclosed. The deal included an upfront payment of $2.5m, near-term milestone payments of $5.5m and long-term clinical milestones of $180m. LG Chem will reimburse Avacta for any incurred R&D costs associated with the collaboration and pay Avacta royalties on any potential future product sales. In addition, if LG Chem exercises its option for additional targets, Avacta will be eligible to receive up to $130m in option fees and milestones. |
In May 2015, Avacta entered into a licensing partnership ($500,000 upfront) with Moderna Therapeutics to develop Affimers for undisclosed targets. Under the terms of the agreement, Moderna has exclusive access to the Affimer technology for certain targets and Moderna is able to extend the partnership to other targets. Moderna was also liable to pay Avacta for R&D relating to pre-clinical work. In February 2019, Moderna opted in on an undisclosed target that granted the company an exclusive product licence. Under the terms of the agreement, Avacta can now potentially receive clinical development milestones and royalties (on potential future sales) on the asset. The scope and size of any milestones are undisclosed and we have no information regarding when clinical development will initiate or if it will at all. |
In January 2018, Avacta and OncoSec entered into a collaboration to develop gene therapy delivery of therapeutic Affimers. OncoSec’s gene delivery technology, ImmunoPulse, has clinically demonstrated safe and efficient delivery into a patient’s tumour in previous clinical trials. The collaboration will test whether ImmunoPulse can deliver clinically relevant concentrations of Affimers including AVA04 (PD-L1) in in-vivo tumour models. |
In November 2016, Avacta entered into a research collaboration with MSK to use Affimers for CAR-T therapies. The collaboration is led by Renier J. Brentjens, MD, PhD, director of cellular oncology and was originally focused on developing Affimer CAR-T cells that target CD19. Generating Affimers to CD19 proved problematic, research has now shifted to finding binders to CD22. |
In October 2018, Avacta agreed an Affimer reagent licensing deal with NEB to commercialise a product incorporating the Affimer technology. The product is for use in both life science research and diagnostic assays and is in final stages of product testing. Under the terms of the agreement Avacta will receive royalties on sales (may occur as soon as 2019). NEB and Avacta will continue its collaboration with the aim to generate further products. |
In July 2018, Avacta announced a collaboration with Bach Biosciences, a company founded on the research of William Bachovchin at Tufts University School of Medicine, Boston. The collaboration aims to develop novel AfDC using Tufts’ novel linker chemistry that is designed to release attached drugs in only a tumour. The first proof-of-concept AfDC will involve the use of a PD-L1 Affimer and an I-DASH small molecule inhibitor. AVA004/100 (PD-L1/I-DASH) is now in discovery. |
Source: Avacta
Tufts/Bach Biosciences: Novel conjugate potential
The collaboration with Tufts/Bach Biosciences aims to develop novel AfDC using Tufts novel linker chemistry that is designed to release attached drugs in the tumour microenvironment. This TMAC platform coupled with the Affimer technology could generate a unique pipeline of assets. The first proof of concept AfDC will involve the use of a PD-L1 Affimer (AVA004/100/ PD-L1/I-DASH), an FAPα cleavable linker and an I-DASH small molecule inhibitor (Exhibit 6). Avacta recently accelerated its TMAC programme and will now test the novel FAPα cleavable linker in a Phase I trial in 2020. The FAPα cleavable linker will be conjugated to a well-known chemotherapeutic agent (doxorubicin), rendering it inactive until the linker is cleaved in the tumour microenvironment. The FAPα cleavable linker is key to Avacta’s drug conjugate ambitions and these clinical data will be an important inflection point for the technology. The first Affimer drug conjugate to use the FAPα cleavable linker is AVA004/100, for which Avacta expects to submit an IND application in late 2021.
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Exhibit 6: AVA004/100 |
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Source: Avacta |
The third component of AVA004/100 is the I-DASH inhibitor. The inhibition of DASH enzymes has been demonstrated both in preclinical and clinical populations to promote tumour regression (Positive Phase II study in NSCLC). However, one of the key problems with DASH inhibitors to date has been the dose-limiting toxicities commonly associated with chemotherapies (Phase III trial testing talabostat receives a clinical hold and is later terminated). Avacta and Tufts believe AfDC can address the toxic problems seen with DASH inhibitors as administration of I-DASH is theorised to be limited to the tumour microenvironment. Additionally, the inherently short half-life of Affimers could be beneficial in reducing toxicity; however, it could limit efficacy. As AVA004/100 remains in the early stages of development, clinical data will be needed to confirm or disprove these hypotheses.
Reagents and diagnostics: Stable base
Avacta’s reagent and diagnostic division, a separate team based in Wetherby (therapeutics team based in Cambridge) continues to be a key component of the business and Avacta continues to develop in house technologies with the aim of providing a stable revenue base for the company. The ability of Affimers to retain their chemical and thermal stability in a wide array of environments means the technology is suited to a variety of applications; combine this with the ability to easily functionalise Affimers with an array of compounds (enzymes, dyes etc) and Affimers quickly present themselves as ideal research tools.
Avacta has ongoing paid technology evaluations with numerous undisclosed partnerships, including global in vitro diagnostic, pharma, biotech and bioprocessing companies. Avacta is pursuing three commercialisation strategies:
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Paid-for evaluations of Affimer technology with the aim to generate licence deals where the technology is incorporated into partner products (multiple evaluations ongoing).
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Custom Affimer services to support partner in-house R&D (eg anti-idiotypics).
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Development of diagnostic assays to be partnered out. Aim to generate two diagnostic assets with supporting data packages during 2019, with the aim of out-licensing them once the work is complete.
Paid-for evaluations and the development of diagnostic assays remain important for the long-term growth of the division. In the short term, custom reagents, particularly anti-idiotypics, remain important income generators and continue to demonstrate revenue growth. Anti-idiotypics are antibodies or, in Avacta’s case, Affimers that bind to the idiotope (variable part of an antibody that includes the unique antigen-binding site) of another antibody. These are needed in setting up pharmacokinetic assays that measure total or free-drug levels in pre-clinical/clinical samples, an important step in the drug-creation process.
Anti-idiotypics are a significant growth area for Avacta. It recently launched a marketing campaign and set up multiple new contracts (£40k revenue per anti-idiotypics). As the majority of antibodies in development will typically need an anti-idiotypic, Avacta believes there is significant market potential and estimates an ongoing revenue stream of several million pounds at peak. We note that while Affimers potentially offer advantages in the creation of anti-idiotypics, market leaders such as Bio-Rad will be difficult to displace.
In October 2018, Avacta agreed an Affimer-reagent licensing deal with NEB to commercialise a product incorporating Affimer technology. The product is for use in both life science research and diagnostic assays and is in final stages of testing. Under the terms of the agreement, Avacta will receive royalties on sales (may occur as soon as this year). NEB and Avacta will continue their collaboration with the aim to generate further products.
Animal health: Pre-Affimer legacy business
Avacta Animal Health remains a legacy of the original Avacta business before the acquisition of the Affimer IP in 2012. Employing approximately 20 people, Avacta Animal Health is focused on four main categories: allergy diagnostic tests, immunotherapy vaccine sales, export sales and contract research organisation services. Trading in H119 was broadly in line (£0.69m vs £0.77m in H118) with H118 and Avacta expect a pick-up in H219 numbers as the seasonal effects of the allergy business boost sales. The division continues to market its capabilities with the pet allergy awareness campaign in its fifth year. In the long term we expect Avacta to spin-off or sell the animal health division as it continues to focus on its therapeutic ambitions.
Antibody mimetics continue to generate interest
As the limits of antibody technology become ever clearer, more investment is being made into the sector to develop antibody mimetic technology. Here we highlight a few key competitors.
Molecular Partners (MOLN) is a Switzerland-listed biotechnology company (market cap: CHF340m) focused on developing its DARPin platform. The platform is based on a large library (1012) of small proteins with single domains (15kDa) that are used as building blocks for its therapeutic molecules (currently up to six DARPin proteins can be linked together). Multiple assets are in clinical trials with lead assets MP0250 (inhibit VEGF and HGF) in multiple myeloma and Abicipar (inhibit VEGF) in wet age-related macular degeneration. Abicipar is in development with its partner Allergan, which expects to file a BLA in H119. Recently a clinical trial testing MP0250 in combination with Tagrisso in EGFR mutated NSCLC was placed on clinical hold due to adverse events.
Pieris Pharmaceuticals (PIRS) is a Nasdaq-listed biotechnology company (market cap: $184m) focused on developing its Anticalin technology. The technology is built on engineered lipocalins (a family of proteins that transport small hydrophobic molecules, 18–40KDa), which, in a similar vein to Affimers, have a ridged backbone and a (four-loop) variable region. Its most advanced assets are in Phase I clinical trials, including a PRS-343, a 4-1BB/HER2 bispecific being tested in a range of HER2 positive solid cancers and PRS-060 a IL4Ra inhibitor for use in asthma (partnered with AstraZeneca).
Bicycle Therapeutics (BCYC) is a recently Nasdaq-listed biotechnology company (23 May, market cap: $278m) focused on developing its bicycle technology. Bicycles are short synthetic peptides constrained to form two loops to stabilise their structure and form regions for binding. The company has one asset in the clinic, BT1718, which targets membrane Type 1 Matrix Metalloproteinase (MT1-MMP) and is believed to be indicated in cancer metastasis. A Phase I trial (carried out by Cancer Research UK) in an array of solid tumours is ongoing.
As evidenced by MOLN, PIRS and BCYC, there is significant investor interest in antibody mimetic platforms, particularly those with clinical assets.
Financials: Funded into 2020
H119 revenue was £0.97m, a 44% decrease from H118 (£1.47m) driven by a significant reduction in life sciences revenue to £0.29m (vs £0.69m in 1H18). This was a result of the planned reduction in Moderna R&D income as development at Avacta completed and assets were transitioned to Moderna. In H219, Avacta expects revenue to pick up as the LG Chem partnership comes online and we forecast FY19 revenues of £3.2m (vs FY18: £2.8m) driven by income from LG Chem and Moderna in addition to the reagents/diagnostics and animal health divisions. We note a substantial increase in FY20 revenue compared with previous years due to the assumption of additional milestone payments from LG Chem.
Admin expenses remained one of the biggest contributors to the cost base and increased slightly to £4.12m (vs H118: £4.0m). COGS fell in the period from £0.46m in H118 to £0.31m in H119 and R&D costs increased substantially to £2.41m (vs H118: £1.47m) as a result of increased investment in the Affimer therapeutics programmes. We forecast FY19 administrative costs of £8.6m (vs FY18: £8.5m), COGS of £0.83m (vs FY18: £0.9m) and R&D of £6.1m (vs FY18: £3.8m). The substantial y-o-y increase in R&D costs is a result of the expected ramp in AVA004 related expenses as the asset moves towards the clinic.
Net loss for H119 was £5.2m (vs £3.95 in H118) driven by the aforementioned decrease in revenues and increase in R&D costs. We forecast FY19 net loss of £10.5m.
Net cash as of 31 January 2019 was £11.79m, mainly as result of the net £10.9m capital raise in August 2018. We forecast a cash reach into 2020; however, we forecast a cash raise (by illustrative debt) in 2020 of £10m to fund operations into 2021. This is for illustrative purposes only and the funding gap could be provided by additional partnerships, an equity raise or debt. Further funding needs beyond 2021 will predominately depend on the income received from new and existing business and the ramp of R&D costs in relation to the clinical programmes.
Exhibit 9: Financial summary
Accounts: IFRS, year-end: December, £000s |
|
|
2017 |
2018 |
2019e |
2020e |
INCOME STATEMENT |
|
|
|
|
|
|
Total revenues |
|
|
2,735 |
2,763 |
3,190 |
5,161 |
Cost of sales |
|
|
(941) |
(893) |
(829) |
(1,032) |
Gross profit |
|
|
1,794 |
1,870 |
2,361 |
4,129 |
SG&A (expenses) |
|
|
(7,178) |
(8,518) |
(8,603) |
(8,689) |
R&D costs |
|
|
(2,597) |
(3,783) |
(6,106) |
(7,821) |
Other income/(expense) |
|
|
0 |
0 |
0 |
0 |
Exceptionals and adjustments |
|
|
0 |
0 |
0 |
0 |
Depreciation and amortisation |
|
|
0 |
0 |
0 |
0 |
Reported EBIT |
|
|
(7,981) |
(10,431) |
(12,348) |
(12,382) |
Finance income/(expense) |
|
|
88 |
41 |
39 |
28 |
Other income/(expense) |
|
|
0 |
0 |
0 |
0 |
Exceptionals and adjustments |
|
|
0 |
0 |
0 |
0 |
Reported PBT |
|
|
(7,893) |
(10,390) |
(12,309) |
(12,354) |
Income tax expense (includes exceptionals) |
|
|
1,526 |
1,561 |
1,849 |
1,856 |
Reported net income |
|
|
(6,367) |
(8,829) |
(10,460) |
(10,498) |
Basic average number of shares, m |
|
|
65.2 |
65.4 |
116.2 |
116.2 |
Basic EPS (p) |
|
|
(9.8) |
(13.5) |
(9.0) |
(9.0) |
BALANCE SHEET |
|
|
|
|
|
|
Property, plant and equipment |
|
|
3,453 |
3,054 |
2,760 |
2,542 |
Goodwill |
|
|
0 |
0 |
0 |
0 |
Intangible assets |
|
|
12,299 |
12,204 |
12,256 |
12,301 |
Other non-current assets |
|
|
0 |
0 |
0 |
0 |
Total non-current assets |
|
|
15,752 |
15,258 |
15,016 |
14,843 |
Cash and equivalents |
|
|
9,166 |
5,220 |
4,976 |
3,558 |
Inventories |
|
|
158 |
187 |
174 |
216 |
Trade and other receivables |
|
|
1,277 |
1,288 |
1,487 |
2,406 |
Other current assets |
|
|
5,200 |
1,500 |
2,088 |
2,683 |
Total current assets |
|
|
15,801 |
8,195 |
8,725 |
8,864 |
Non-current loans and borrowings |
|
|
0 |
0 |
0 |
10,000 |
Other non-current liabilities |
|
|
0 |
0 |
0 |
0 |
Total non-current liabilities |
|
|
0 |
0 |
0 |
10,000 |
Trade and other payables |
|
|
1,664 |
2,040 |
1,895 |
2,358 |
Current loans and borrowings |
|
|
0 |
0 |
0 |
0 |
Other current liabilities |
|
|
0 |
0 |
0 |
0 |
Total current liabilities |
|
|
1,664 |
2,040 |
1,895 |
2,358 |
Equity attributable to company |
|
|
29,889 |
21,413 |
21,846 |
11,349 |
Non-controlling interest |
|
|
0 |
0 |
0 |
0 |
CASH FLOW STATEMENT |
|
|
|
|
|
|
Profit for the year |
|
|
(6,367) |
(8,829) |
(10,460) |
(10,498) |
Taxation expenses |
|
|
(1,526) |
(1,561) |
(1,849) |
(1,856) |
Profit before tax |
|
|
(7,893) |
(10,390) |
(12,309) |
(12,354) |
Net finance expenses |
|
|
(88) |
(41) |
(39) |
(28) |
EBIT |
|
|
(7,981) |
(10,431) |
(12,348) |
(12,382) |
Depreciation and amortisation |
|
|
1,583 |
2,856 |
2,771 |
2,708 |
Share based payments |
|
|
386 |
308 |
0 |
0 |
Other adjustments |
|
|
11 |
161 |
(1) |
(1) |
Movements in working capital |
|
|
(73) |
336 |
(331) |
(498) |
Interest paid / received |
|
|
88 |
41 |
39 |
28 |
Income taxes paid |
|
|
1,745 |
1,261 |
1,261 |
1,261 |
Cash from operations (CFO) |
|
|
(4,241) |
(5,468) |
(8,609) |
(8,883) |
Capex |
|
|
(658) |
(578) |
(584) |
(590) |
Acquisitions & disposals net |
|
|
0 |
0 |
0 |
0 |
Other investing activities |
|
|
4,530 |
2,055 |
(1,945) |
(1,945) |
Cash used in investing activities (CFIA) |
|
|
3,872 |
1,477 |
(2,529) |
(2,535) |
Net proceeds from issue of shares |
|
|
14 |
45 |
10,893 |
0 |
Movements in debt |
|
|
0 |
0 |
0 |
10,000 |
Dividends paid |
|
|
0 |
0 |
0 |
0 |
Other financing activities |
|
|
0 |
0 |
0 |
0 |
Cash from financing activities (CFF) |
|
|
14 |
45 |
10,893 |
10,000 |
Currency translation differences and other |
|
|
0 |
0 |
0 |
0 |
Increase/(decrease) in cash and equivalents |
|
|
(355) |
(3,946) |
(244) |
(1,418) |
Currency translation differences and other |
|
|
0 |
0 |
0 |
0 |
Cash and equivalents at beginning of period |
|
|
9,521 |
9,166 |
5,221 |
4,976 |
Cash and equivalents at end of period |
|
|
9,166 |
5,221 |
4,976 |
3,558 |
Source: Company data, Edison Investment Research
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Research: Healthcare
Oncology Venture (OV) continues to make progress developing its oncology assets and the drug response predictor (DRP) companion diagnostic. The company has licensed six assets to date with prior clinical experience, with the hope of identifying patients with the DRP who will have an enhanced response. The most clinically advanced candidate is LiPlaCis (liposomal cisplatin). We are taking this opportunity to provide a comprehensive clinical outlook of the company.