Valuation
Percheron Therapeutics’ valuation is inherently complex at this stage, given HMBD-002’s
novelty as a VISTA-targeting checkpoint inhibitor and the limited visibility on indication
selection and trial design for the planned Phase II studies (expected initiation in
CY26). While a risk-adjusted net present value remains our primary framework for valuing
clinical-stage biotechs, in this case we believe it prudent to validate outcomes using
complementary methodologies including peer benchmarking and a top-down market-based
approach.
Methodology 1: Risk-adjusted NPV
Risk-adjusted NPV (rNPV) is a bottom-up approach most commonly employed to value clinical-stage
biotechs. It involves forecasting future cash flows from each clinical asset to the
end of market exclusivity/patent life and discounting them using appropriate discount
rates (the standard Edison discount rate is 12.5%). We believe that the rNPV approach
is most representative of the long-term value creation potential for Percheron, although
it requires us to make several key assumptions, given the widespread expression of
VISTA across tumour types and the current lack of visibility around target indication(s)
for Phase II. We list below the underlying assumptions for our rNPV valuation for
HMBD-002. Note that these assumptions are subject to change as we gain more clarity
on the company’s Phase II plans in the coming months, which may require a reassessment
of our valuation for HMBD-002.
Combination strategy: as highlighted previously, we believe that the most practical approach for HMBD-002
will be to develop it as a combination treatment with a PD-1 inhibitor, given the
favourable safety and toxicity profile and synergistic results seen in preclinical
studies. Our model assumes that the Phase II trials will test HMBD-002 in combination
with Merck’s Keytruda.
Indication focus: we assume that the HMBD-002-Keytruda combination will be evaluated in three sperate
indications as a first-line treatment in metastatic NSCLC, HNSCC and melanoma. These
were selected based on VISTA expression, large addressable patient populations and
overlap with Keytruda’s strongest commercial franchises (top three indications, accounting
for c 50% of its annual sales). Note that this is subject to modification as the company’s
Phase II plans become clearer.
Trial design and costs: immuno-oncology trials are associated with large capital outlays. In an effort to
optimise capital usage and maximise the runway, we model Percheron undertaking a two-step
Phase II programme (IIa and IIb). We assume each Phase IIa and Phase IIb trial enrols
around 30 and 75 patients, respectively. We calculate a Phase IIa trial cost of
US$4.5m and Phase IIb trial cost of
US$11m, based on a per patient cost of
US$150k. Note that this does not include any incremental costs related to Keytruda on the
assumption that the trials will either include patients already eligible to receive
Keytruda or be undertaken in collaboration with Merck. We assume the first Phase IIa
trial to commence in H1 CY26 in NSCLC, with HNSCC and melanoma following at six-month
intervals.
Drug pricing: we model an annual treatment cost of
US$130,000 for HMBD-002 (list price), with an effective price of
US$90,000 assuming a 30% payor discount. The pricing is benchmarked (with a slight discount)
to the average
US$150,000–200,000 price tags carried by the approved PD-1 inhibitors. This assumption is also validated
by Bristol Myers Squibb’s Opdualag (a combination of the PD-1 inhibitor nivolumab/Opdivo
and the novel LAG-3 antibody relatlimab), which was launched in March 2022 with an
annual treatment cost of c
US$360,000 (per vial cost or c
US$15,000; two vials administered every four weeks).
Market opportunity: we estimate US target populations of 80,000 in NSCLC, 8,000 in HNSCC and 4,000 in
melanoma, assuming only locally advanced, metastatic cases. For our base case, we
assume a 20% peak market penetration for HMBD-002 in NSCLC (due to the space being
highly competitive) and a higher 30% in HNSCC and melanoma. Based on the global revenue
performance of approved ICIs, we assume the US accounts for c 60% of HMBD-002’s commercial
market, with Europe and other international markets contributing the remaining 40%.
Timelines: we model that the combined Phase IIa and Phase IIb studies across all three target
indications will complete by 2028 and will cost the company a total of around
US$45m in R&D. This excludes any potential development milestone payments due to Hummingbird
Biosciences related to the Phase II trials. We assume the Phase III trials commence
in 2029 under an out-licensing partnership (discussed in more detail below) with a
Biologics Licence Application (BLA) filing in 2031 and launch in 2032.
Peak sales potential: we model 12 years of market exclusivity in the US following approval (in line with
the FDA guidelines for biologics) with a steady decline in sales assumed thereafter.
Our base case estimates peak sales of
US$3.0bn for HMBD-002, to be achieved in 2045. Given the early stage of clinical development,
uncertainty on the Phase II design and limited human efficacy data to date, we assume
a conservative 10% PoS. This is subject to revision with further clarity on the company’s
Phase II plans and chosen indications. If early trial results are positive, we highlight
the possibility of label expansion to other oncology indications, which would add
to the upside potential.
Licensing economics: we expect the company to seek partnership opportunities before commencement of Phase
III studies in 2029. Based on our assessment of previous licensing deals in the ICI
space (Exhibit 13) and taking directional guidance from the in-licensing terms with
Hummingbird Biosciences, we estimate a total deal value of
US$750m for HMBD-002 in 2029, with an upfront payment of
US$75m. We also assume tiered royalty rates starting at 20% (as noted previously, this would
be crucial for the deal to make economic sense for Percheron given the royalty payout
terms to Hummingbird Biosciences) and the remaining milestone payments of
US$675m will be split 30:70 between development and sales milestone payments, which we have
accounted for over the course of clinical development and subsequent commercialisation
of HMBD-002. We also highlight that the assumed deal dynamics are subject to revision,
based on the strength of the data presented by the company on HMBD-002 as clinical
development progresses.