Barron\'s - 02.09.2019

(Axel Boer) #1

September 2, 2019 BARRON’S 19


After a selloff, the company now has a market


capitalization of $5 billion, with cash and invest-


ments worth a total of $1.4 billion. Moderna


reported quarterly revenue of $13.1 million in


early August, and a net loss for the quarter of


$135.1 million.


Without earnings, its valuation is difficult to


measure, but Wall Street analysts have set an


average price target of $30.25 on the stock, ac-


cording to FactSet, which implies a return of


99% from its current price.


Moderna’s Cambridge offices are modest;


done up more like a reasonably profitable medi-


cal clinic than a multibillion-dollar biotech super-


star. The old Polaroid plant, secluded amid


densely packed trees and a 45-minute drive from


Fenway Park, is where the unicorn gets flashy.


“It’s not built for today,” Moderna’s head of


quality, Scott Nickerson, said of the 200,000-


square-foot plant.


When Moderna’s first drugs make it to mar-


ket, assuming they do, the Norwood plant could


help fill the orders. It is at the core of Mod-


erna’s development approach.


In hyperclean labs with shiny floors, manu-


facturing operators wear color-coded hairnets


and stand at color-coded lab benches, delin-


eated by color-coded tape, making mRNA-


based cancer vaccines built for a particular


patient’s tumor. The color coding is to prevent


cross-contamination.


Nickerson shows off the enormous invest-


ment that Moderna has put into the place, with


its vast quality-assurance and quality-control


suites, its automation, and digital tools that can


track individual lab workers within their work-


spaces.


There’s a point to all of this expensive equip-


ment. According to Hartaj Singh, an analyst


who covers the company for Oppenheimer,


mRNA companies like Moderna are solving


issues around manufacturing and patents early


in the game.


“What you’re paying for, as an investor with


RNA companies, is that they’ve learned from


the.... mistakes the antibody companies, for ex-


ample, made. And what you’re getting now are


companies that are much more efficient in going


through the clinical drug-development process,”


Singh said. “Where the risk is coming from...is


actually will they be able to solve the disease.”


Moderna has spread its bets across


the whole table. It is currently recruiting pa-


tients for its first rare-disease Phase 1 trial,


which will include multiple dosing, for a therapy


targeting methylmalonic acidemia. The person-


alized cancer vaccines are currently in Phase 2


clinical trials, in which the vaccines are being


given in conjunction with Merck’s Keytruda.


“The idea is that it would stimulate your


immune response,” Moderna’s Zaks said.


In addition to the personalized cancer vac-


cines, Moderna is developing mRNA-based pro-


phylactic vaccines, where a small amount of


mRNA is used to activate the immune system


against a particular virus. Theoretically, mRNA


vaccines can be built quickly, and can target


diseases with no other vaccine available.


“It is the ideal application,” Zaks said.


Moderna has already completed six Phase 1


prophylactic vaccine trials, five of which have


had a positive readout, the company said.


In August, meanwhile, Moderna said it had


received a “fast track” designation from the


FDA for a new Zika vaccine currently in a


Phase 1 trial.


Translate, meanwhile, is all-in on rare dis-


eases. With one exception—a vaccine program


funded by Sanofi Pasteur—the company’s efforts


are clustered around the most technically chal-


lenging end of the mRNA therapy scale.


It is valued accordingly: The company has a


fraction of the market value of Moderna, at


$471 million, with cash and investments worth


$147 million. In July, the company reported a


net loss of $27.8 million for the quarter, and


said its current cash could fund operations into


the second half of 2020. Wall Street analysts


have an average target price of $20.67, which


implies a return of 124% over the current


share price.


That assumes things go well. The challenge


for Translate isn’t just developing rare disease


treatments. It’s that the company is starting


with a drug that needs to be delivered not


directly into the veins, as most of the mRNA


drugs are, but inhaled from a nebulizer, which


adds another layer of difficulty.


“Getting a [lipid nanoparticle], designing it so


it can go into a nebulizer....It’s got to fly through


the sheer forces of what happens inside that


nebulizer, [get inhaled], go down the respiratory


tract, make it across that hostile mucous layer


on the surface of the lung, get in, and let the


cellular machinery take over,” Translate CEO


Renaud said. “Yeah, that’s not something for the


faint of heart.”


If Translate’s cystic fibrosis drug makes it to


market, it would compete with a handful of


treatments made by Vertex Pharmaceuticals


(VRTX). Vertex’s drugs work only for certain


cystic fibrosis patients, though the company is


awaiting FDA approval on a new drug that


would significantly expand the number of pa-


tients it can treat. Translate’s drug theoretically


would work for all cystic fibrosis patients.


Translate could eventually face other compe-


tition, too. Moderna has joined with Vertex on a


cystic fibrosis research project, which it an-


nounced in August it was extending. That proj-


ect is in an earlier phase than Translate’s.


Eun K. Yang, a Jefferies analyst, projected


that Translate’s cystic fibrosis drug could reach


peak sales of $1.8 billion a year in the U.S. and


The Cell Side


CompanieslikeModernandTranslateBiocreatemessengerRNAthatencodesforproteins.WhenthemRNAisdeliveredintothe


cell, it triggers the cell’s own machinery to produce the desired protein to treat or prevent disease.


Lipid nanoparticle encapsulating mRNA


of desired protein enters the cell.


Nucleus


mRNA


Lipid


nanoparticle
Endosome

Cell membrane


Cytoplasm


Transmembrane protein


Intracellular


protein


Desired


protein


Secreted protein


Ribosome mRNA directs


protein synthesis


Delivery vehicle degrades


Source: Translate Bio

Free download pdf