4SC Upcoming Clinical Milestones

Published 11/15/2013, 02:07 AM
Updated 07/09/2023, 06:31 AM
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Lead programme resminostat progressed in Q313, with 4SC refining its Phase II/III plans in front-line HCC and Japanese partner Yakult initiating a Phase I/II trial in second-line NSCLC. Separately, 4SC’s two Phase I programmes should both readout by early 2014. We remain optimistic that 4SC can secure financing and/or a partner for the resminostat Phase IIb/III trial and model €789m peak sales. Our fair value is €122m or €2.41/share.
4SC Financials
Resminostat: biomarker data and NSCLC trial start
In July 2013, Japanese partner Yakult Honsha initiated a Phase I/II study of resminostat in second-line non-small cell lung cancer (NSCLC). In September, 4SC presented a subgroup analysis from the SHELTER Phase II trial in advanced liver cancer (HCC), which suggests that baseline patient characteristics and a blood-based biomarker (ZFP64) correlate with improved survival in HCC subjects receiving resminostat. These findings are guiding 4SC’s pivotal trial design, which will shortly be submitted to the FDA for protocol approval (Q413). Pending further financing and/or a partnership, the Phase II/III trial could start mid-2014.

Earlier stage pipeline: Upcoming milestones
4SC’s other active clinical programmes – 4SC-202 (oral HDAC inhibitor), 4SC-205 (oral Eg5 inhibitor) – are nearing important clinical data points. In Q413, we expect results from the Phase I TOPAS dose-finding trial of 4SC-202 in up to 36 patients with haematological malignancies. Initial data suggest that 4SC-202 has good pharmacokinetic properties for oral therapy, is well tolerated, and can stabilise heavily pre-treated patients. Around end-2013/early-2014, we anticipate final results from the Phase I AEGIS trial of 4SC-205 in advanced solid tumours.

4SC Discovery: Deals continue apace
4SC Discovery announced its seventh drug discovery collaboration in Q3, this time with Panoptes Pharma in the field of inflammatory eye diseases. In early November, it added an eighth partnership with AiCuris (and CRELUX) to identify novel therapies for infectious diseases. Based on its strong operating performance in 2013, we expect 4SC’s Discovery business to be cash flow neutral in 2013.

Valuation: rNPV of €122m (€2.41/share)
We value 4SC at €122m (€2.41/share) based on a risk-adjusted NPV analysis. Our rNPV includes resminostat at €108.5m, an indicative contribution from Phase I assets of €20m, year-end net cash of €4.5m, and deducts €11m for central costs.

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