Valuation
We value BioVersys at CHF361.1m (CHF61.9/share) using an rNPV methodology. Our enterprise
value is derived exclusively from the company’s clinical-stage portfolio, comprising:
- BV100 in HABP, VABP and BSIs related to CRAB, and
- alpibectir in TB meningitis and isoniazid-resistant/MDR pulmonary TB.
Preclinical assets (BV200 and BV500) are currently excluded and will be incorporated
as they advance into the clinic.
Our equity value includes an estimated end-FY25 net cash position of CHF63.4m, comprising
CHF78.0m gross cash, offset by CHF14.6m bank debt (primarily European Investment Bank
facilities, with maturities in H227 and H229, with a further CHF7.5m available for
drawdown) and CHF0.2m of lease liabilities.
All assets are modelled through patent expiry/market exclusivity, with a steady decline
assumed thereafter. We apply stage-adjusted PoS, flexed for indication-specific risk,
and discount cash flows at 12.5%, Edison’s standard rate for clinical-stage assets.
BV100: Core value driver (c 75% of group rNPV)
BV100 is the principal contributor to our valuation, reflecting its advanced stage
and the unmet need in CRAB infections, a WHO priority-1 pathogen associated with 30–60%
mortality and carbapenem resistance exceeding 50% in many regions.
Key valuation assumptions
Geographic focus: we model the US, EU and China as the core markets, reflecting both disease incidence
and commercial potential. Japan is excluded given low carbapenem resistance rates
(<5%). In China, resistance rates are among the highest globally (>70%).
Target population: our addressable population is ICU patients, representing the highest unmet need.
We assume:
- VABP, HABP and BSIs represent c 20% of ICU admissions;
- of the above, around 10% are due to Acinetobacter baumannii; and
- of these, 50–70% of these are carbapenem resistant.
This implies an annual BV100 eligible population of c 70,000 in the US, c 85,000 in
the EU and c 400,000 in China.
Pricing and treatment duration: we assume a 10-day average treatment course, in line with guideline ranges (7–14
days) and the longer durations typically required for MDR infections. We assume a
treatment cost of $2,000 per patient per day in the US, with a realisable price of
$1,500 assuming a 25% payor discount. This is benchmarked against the c $1,900 per
day treatment cost for Xacduro. For the EU and China, we assume more conservative
per-patient per-day realisable prices of $900 and $300, respectively.
Clinical timelines and costs:
- Phase III pivotal trial (n=250) starting in Q126: estimated cost of c $50m, including
c $120k per patient plus $5–7m overheads (2026–28).
- Phase IIb open-label study (n=90) in South-East Asia: total cost of c $12m, with c
75% funded by the Wellcome Trust.
We assume combined data from both studies support registration in the US, EU and China.
Commercial ramp:
- Launch is assumed in 2028, following Phase III completion in 2027.
- Patent exclusivity to 2040 (the EU/China) and 2045 (the US), reflecting incremental
US QIDP exclusivity.
- Peak penetration: 25% in the US/EU and 15% in China, with peak sales in 2037.
This results in implied global peak sales of c $700m for BV100. We apply a 50% PoS,
slightly below typical anti-infective benchmarks, reflecting the biological and clinical
complexity of CRAB. We will reassess our assumption as the Phase III programme progresses.
We assume self-commercialisation in major markets, although regional partnerships
(notably in China) remain a likely option.
Reflecting these assumptions, BV100 contributes CHF270.8m (CHF46.4/share), representing
c 75% of the total group value for BioVersys.
Alpibectir: Secondary value driver
BioVersys’s other clinical-stage asset, alpibectir, represents a secondary value component
for the company, reflecting both the clinical and commercial complexities in TB. Its
dual strategy of targeting TB meningitis (BioVersys-led) and MDR pulmonary TB (partnered
with GSK) aims to provide diversified exposure to TB.
Key valuation assumptions
Target geographies: with TB incidence disproportionately skewed towards emerging geographies, we segment
key geographies into high-income markets (the US, EU, Japan) and low-to-mid-income
markets (LMICs, including China, India, others), where incidence is highest.
Target population:
- TB meningitis: c 250,000 patients (based on an incidence rate of 2–4% of all TB cases),
predominantly located in emerging markets (c 10% of patients in China).
- MDR/isoniazid-resistant TB: c 1.6 million patients, assuming 10% incidence in high-income
markets and 25% in LMICs. Similar to TB meningitis, emerging markets make up the majority
of the target patient population.
Drug pricing and treatment duration: we assume tiered pricing across geographies:
- the US/EU: $30k per course.
- Upper-middle income (eg China): $3k.
- Lower-middle income: $900.
Pricing is benchmarked to bedaquiline, a key component of the current SoC BPaLM regimen
for MDR cases. We assume a treatment duration of six months across all patient subsets.
Development plan: while the Phase II trial in pulmonary TB is ongoing (undertaken by GSK), the investigator-initiated
Phase II trial in TB meningitis is expected to commence in Q126. We assume both Phase
II trials to complete in 2027, with the pivotal Phase III study (n=350) to be initiated
in 2028. For now, we assume a single Phase III study will suffice for regulatory approval
across both indications, but we will reassess this assumption with further clarity
on the clinical plans and pathway. We also model that 50% of the R&D-related expenses
for the Phase III are funded through non-dilutive research grants and public financing.
Commercial ramp:
- TB meningitis: given the high unmet need and mortality rates (c 50%), we assume penetration
rates of 30–60% across geographies, including 45% in China. Overall, we estimate peak
sales potential of $100m in TB meningitis, assigning a 30% PoS, with market launch
in 2031.
- MDR-TB: lower peak penetration rates of 10–25% (including 20% in China), reflecting
the more competitive treatment landscape with the established BPaLM regime. We estimate
peak sales potential of $300m in this sub-set, albeit with a lower 15% PoS, given
the elevated development and commercial risk. We assume market launch in 2032.
Overall alpibectir contributes CHF27.0m (CHF4.6/share) to our valuation.
Exhibit 11 presents a breakdown of our rNPV valuation for BioVersys.