Thanks, Erik, I've been asleep at the switch.
NPS Pharmaceuticals Inc. (NPSP; $30.90; C-1-9) Raising Target to $46 Based on Increased Confidence in Preos (Comment Available) Volatility Risk: High 03E d$3.55; 04E d$2.92; Market Cap.: $1,119mn • We are raising our price target from $37 to $46 based on greater confidence in Preos for osteoporosis. Our increased confidence in Preos reflects strong Forteo sales trends and data expected to be released during the weekend. We believe that yesterday’s weakness due to concerns about the Cinacalcet launch expected in 2H04 created an opportunity to buy the stock in front of multiple catalysts during the next 6 – 9 months. • We believe that investors have ignored recent sales strength of Eli Lilly’s Forteo, which is an osteoporosis drug of the same class as NPS’s Preos. Forteo sales trends indicate a major market opportunity for Preos. According to NDC prescription data, Forteo has reached sales of $1.7 MM on a weekly basis, which translates into an annual run rate of $87 MM just 9 months into the launch, despite marketing restrictions placed on the company by the FDA. In addition, a recent increase in prescriptions written by internal medicine doctors suggests broader use than expected. • Clinical data to be presented at ASBMR this weekend will highlight the drug’s efficacy versus Fosamax. We expect the data to suggest that Preos is as good or better at building new bone and increasing bone strength in all areas of the body although we believe that daily injections will limit its use versus Fosamax. Importantly, we believe that the data can be extrapolated to suggest a higher likelihood of success in the phase III study from which we expect data in late 1Q04. • Yesterday, investors were concerned that Cinacalcet’s launch would be slow due to reimbursement issues and use of Vitamin D at dialysis centers, which may reduce need for the drug. Although we agree that the launch will require reimbursement before widespread use occurs, we do not expect Vitamin D usage to limit use of Cincalcet since most patients optimized on Vitamin D still do not attain PTH levels suggested by K-DOQI guidelines. Phase III data at ASN will likely support this point. • Important near-term catalysts include Preos data from the 1st year of the PaTH study and Cinacalcet data in PHPT and parathyroid carcinoma in Sept. at ASBMR, phase III data for Cinacalcet in SHPT in Nov. at ASN, phase II data released for ALX-0600 in Short Bowel Syndrome in 2H03, data from the Preos rat carcinogenicity study in Nov. and a Preos BLA filing by mid-2004. • We have increased our target to $46 based on a higher probability of success for Preos. Our value for Preos reflects peak sales of $500 MM and an assumed success rate of 70%. Risks for the stock include clinical trial failures and the fact that Eli Lilly is about 30 months ahead of NPS with the launch of Forteo. Amgen also has full control over the development of Cinacalcet. (E. Ende/T. McGahren/G. Cohen) |