Exact Sciences Pre- Cancer Claim

The Human Body -- Cancer

The Human Body — Cancer (Photo credit: n0cturbulous)

EXAS : NASDAQ : US$9.21
BUY 
Target: US$14.00

COMPANY DESCRIPTION:
Exact Sciences Corporation is a molecular diagnostics company focused on the early detection and prevention of colorectal cancer. It is developing a patient-friendly, stool-based (sDNA) test known as Cologuard, for the early detection of colorectal pre-cancer and cancer. Cologuard has completed validation studies and has commenced its pivotal study for FDA review. The company employs 50 people and is based in Madison, WI.

Investment recommendation


We believe FDA will approve Cologuard given its superiority to FIT/FOBT and increase compliance rates for colon cancer screening. We raise our price target to $14 from $13 and reiterate our BUY rating.
Investment highlights
 Q1 takeaways. EXAS reiterated its enthusiasm following recent release of top-line data that demonstrated superiority over FIT; notably with 42% and 66% pre-cancer sensitivity for polyps > 1cm and 2cm, respectively. EXAS estimates 7-year cumulative precancer sensitivity rises to 90% with repeat testing on 3-yr. intervals.
 Timing remains on track. We do not expect any changes to the timeline for dual path approval: third module submitted to FDA by June; FDA advisory panel later this year; FDA approval by early 2014; and a CMS coverage decision shortly after.
 Commercialization strategy. EXAS will initially target the 1% of PCPs that order 20% of the FIT/FOBT testing in the U.S., and focus on health care systems with strong existing screening programs. EXAS expects to build its own CLIA-lab and may seek a partner to help with operational aspects.
 Service strategy. EXAS seeks to become a value-added partner, making it easy for doctors to order Cologuard. EXAS looks to send kits to patients, provide patient follow-up, and track patient use, ensuring high rates of compliance.

Exact Sciences – Physician Survey : BUY Target $ 15

Logo of the United States National Cancer Inst...

Logo of the United States National Cancer Institute, part of the National Institutes of Health. (Photo credit: Wikipedia)

EXAS : NASDAQ : US$10.63 Buy , Target US$15.00

 

August 7
• Physician survey indicates sDNA to drive compliance

 
Investment recommendation
We reiterate our BUY on EXAS following our physician survey on colorectal cancer (CRC) screening, which supports sDNA adoption. We expect EXAS to receive FDA approval of its Cologuard test by late 2013.
Investment highlights
• Cologuard expected to drive compliance. While the National Cancer Institute strives for greater compliance of CRC screening, our survey of 33 physicians indicates that >80% expect sDNA testing to increase compliance in the future.
• Receptivity for sDNA test appears positive. Our respondents indicate that about 73% expect to replace current CRC testing modalities with sDNA testing.
• Familiarity appears greater than we thought, which bodes well for adoption. The majority of physicians surveyed (approximately 82%) stated they were at least somewhat familiar with sDNA testing.
• Specialist referrals likely to benefit. Based on conversations with GIs, sDNA can improve testing compliance, increase colonoscopy referrals, and drive better outcomes for patients.
Valuation
Our $15 price target uses a 5x P/S multiple on our 2017 revenue estimate of $510M, discounted back at a 30% rate to 2013

AEterna Zentaris – A Double On Drug Pipleline

Micrograph of a colorectal adenocarcinoma meta...

Micrograph of a colorectal adenocarcinoma metastasis to a lymph node, also lymph node metastasis. H&E stain. The cancer (forming glands) is seen at the centre-top. Adipose tissue is present on the upper right. See also Image:Breast carcinoma in a lymph node.jpg - met to a lymph node in breast carcinoma. Image:Lymph node with papillary thyroid carcinoma.jpg - met to a lymph node in papillary thyroid carcinoma. (Photo credit: Wikipedia)

AEterna Zentaris Inc.

April 1

AEZS : NASDAQ : US$2.00

Speculative Buy , Target US$ 4.00

Q4/F11 results, Phase III data imminent

 

Recommendation

AEterna Zentaris reported Q4 and F2011 financial results. With pivotal Phase III results from perifosine looming, we note that the financial results are not a key driver for the stock. For the full year, AEterna Zentaris reported a net loss of $29.2 million, compared to our estimate of $33.5 million.

Pro forma cash and equivalents were $53.3 million at year end, representing more than one year of cash at projected burn.

We believe that investor focus remains firmly on lead drug perifosine, with Phase III data in colorectal cancer expected in April. Despite the recent volatility in the stock, we believe that risk-tolerant investors should position for a rally into this data, keeping in mind the opportunity to take profits ahead of this binary event.

Highlights

AEterna Zentaris presents a very deep pipeline of novel drug products, including lead drug perifosine, which is in Phase III testing in both  colorectal cancer (CRC) and multiple myeloma (MM).

AEterna Zentaris holds full rights to perifosine outside of North America, which we believe represents a considerable asset. Phase III results in CRC are expected next month and, if successful, could be followed by concurrent filings in the US and Europe by mid-year.

A second novel cancer compound, AEZS-108, is expected to enter a Phase III study this year. This would represent the company’s second oncology drug candidate in late-stage pivotal testing.

Valuation

We value AEterna Zentaris using a probability-weighted NPV (pNPV) model of the company’s most advanced cancer and endocrinology therapies. Based on this analysis we arrive at a target price of US$ 4.00 which is supportive of our SPECULATIVE BUY rating.

 

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