citi: CVTX: More Shares, More Shareholder Dilution - Reducing Target Price
HOLD (2) Speculative (S) Mkt Cap: $460 mil. August 17, 2006 SUMMARY * CVT announced earlier this week that its plans to sell 9M of its shares in a public offering for $9.50/share, raising a total of $85.5M. In addition, the underwriters Lehman Brothers and Merrill Lynch have been granted a 30 day option to buy up to 1.35M additional shares to cover over-allotments.
* This transaction will dilute shareholder value by 20% while raising only a quarter's worth of cash. Current cash total of 416M will last approx. 5Qs, and CVT will to raise additional capital in H2:07, by our estimation.
* Recall that CVT has $400 million in convertible debt and the ability to meet the annual interest rate payments (~$11M) related to these bonds will be important, especially with the high cash-burn and the need for additional financing.
* Despite no meaningful near-term catalysts and poor Ranexa sales prospects, we maintain a Hold due to a substantial upside in the stock if Merlin is positive, although the outcome is tough to call. We are reducing our TP to $12 from $16. FUNDAMENTALS P/E (12/06E) NA P/E (12/07E) NA TEV/EBITDA (12/06E) NA TEV/EBITDA (12/07E) NA Book Value/Share (12/06E) ($0.27) Price/Book Value (37.4x) Revenue (12/06E) $47.2 mil. Proj. Long-Term EPS Growth NA ROE (12/06E) (1123.0%) Long-Term Debt to Capital(a) 103.6% (a) Data as of most recent quarter
SHARE DATA . RECOMMENDATION Price (8/17/06) $10.21 Rating (Cur/Prev) 2S/2S 52-Week Range $29.62-$9.75 Target Price (Cur/Prev) $12.00/$16.00 Shares Outstanding(a) 45.1 mil. Expected Share Price Return 17.5% Div(E) (Cur/Prev) $0.00/$0.00 Expected Dividend Yield 0.0% Expected Total Return 17.5% OPINION
Earlier in the week, CVT announced its plans to sell 9M of its shares in a public offering for $9.50/share, raising a total of $85.5M. In addition, the underwriters Lehman Brothers and Merrill Lynch have been granted a 30 day option to buy up to 1.35M additional shares to cover over-allotments.
The announced transaction will dilute shareholder value by 20% while only raising a quarter's worth of cash at the current expenditure levels.
In our note, "Poor Ranexa Sales Continue -- All Attention Turned to Merlin," we previously conjectured that the company would likely draw down their equity line with Azimuth in Q3, especially as the stock continued to move towards the $10/share level under which the company will not be able to access additional funds from this agreement. In our view, CVT's current cash position of $416M will last approximately 5 quarters, suggesting that additional financing are likely in H2:07. The fact that CVT decided to tap into the public markets instead of drawing down on its equity line with Azimuth also supports our view that further financing are likely in the future.
Recall that CVT has $400 million in long-term debt in the form of convertible debt. While the first set of convertible bonds do not mature until 2012, the ability to meet annual interest rate payments (~$11M) related to these bonds will be important, especially with the high cash-burn and the need for additional financing.
Despite no meaningful near-term catalysts and poor Ranexa sales prospects, positive results from Merlin will lead to a significant upside in the stock, although the outcome is tough to call. If the outcome is negative, however, the stock could have a substantial downside. A negative outcome could also provide difficulties for the company to raise additional financing, further jeopardizing CVT's ability to meet its debt obligations over the long-term.
We are maintaining our Hold rating and reducing our target price to $12 from $16.
VALUATION
We are reducing our target price to $12 from $16. Our $12 target price is based on an average of two different valuation metrics: 1) 20x our discounted fully taxed 2010 EPS estimate of $0.54 (previously $0.62); and 2) 4x our discounted EV-to-projected 2010 revenues estimate of $352 million. We use an average of these two diverging valuation techniques to neutralize the effects on any single parameter and obtain a more balanced view of the underlying value of the business.
We are valuing CV Therapeutics compared to a group of similar mid-cap, emerging biotech companies based on forward P/E multiples (based on 2009 average peer group P/E and EV/R multiples) applied to our projected 2010 revenues and fully taxed, non-GAAP earnings projections. We employ 2009 P/E multiples since in 12 months' time, investors will be willing to attribute similar multiples to 2010 earnings. We then discount these by 2.5 years to mid-2007 to reflect our 12- months target price.
Our analysis suggests that investors typically attribute a 25x forward P/E multiple to the 2009 projected non-GAAP earnings of the peer group. Previously, we applied a forward P/E multiple 24x to our 2010 EPS estimates for CVT to reflect the multiples that investors will be willing to attribute on a NTM basis. This valuation technique suggested a $10/share price target.
However, we feel that this comparable assignment is no longer justifiable, given disappointing Ranexa sales, CVT's flagship product, uncertainty surrounding the pivotal MERLIN outcome and probability of further dilutional events. Therefore, we assign a 20x, which represents a discount to the peer multiple and reflects more accurately the current systematic and non-systematic valuation risks of CVT. This methology implies a $7/share price target.
We used a 20% discount rate in this calculation to account for the risk associated with this projected revenue stream. We discount our 2010 projections by 2.5 years to account for the value in mid-'07 reflecting our 12- months price target based on NTM forward multiples.
We also employ an enterprise value-to-revenue multiple approach in valuating commercial stage biotech companies. Previously, we assigned a 5x EV-to-2010 revenue multiple which represents parity to the peer group and suggested a target price of $22. However, we feel that this comparable assignment is no longer valid, given similar reasons in the P/E multiple analysis mentioned above.
Therefore, we assign a 4x EV-to-2010 revenue multiple which represents a discount to the peer group multiple. This methodology yields a target price of $17.
We also applied a 20% discount rate over a 2.5 year period to this analysis as noted above.
RISKS
We rate CV Therapeutics shares Speculative risk since the company's future growth prospects are mainly dependent upon the successful development and commercialization of Ranexa in stable angina and ACEON for hypertension and stable coronary artery disease. Since these markets are highly competitive, CV Therapeutics must successfully compete to establish these drugs in their indications. Failure to do so could prevent the company from reaching profitability.
In the following, we discuss the primary risk factors that could have a material impact on the potential for the shares to achieve our target price:
Ranexa is approved with a narrow label for use in refractory stable angina, a relatively small market. Since the angina market is highly competitive and dominated by well-entrenched, generic drugs, Ranexa has been off to a slow launch. Our sales estimates reflect this slow uptake. However, it is possible that our projections might still under estimate the degree by which Ranexa's high costs and modest efficacy might be a barrier to uptake.
Ranexa's label includes prominent warnings about a potential for modest increase in QTc prolongation that can lead to life threatening arrhythmias. If patients develop this side effect in commercial setting, this could detrimentally impact the market potential of Ranexa.
The ongoing MERLIN study is also facing a high bar to show efficacy in acute coronary syndromes. However, we believe that expectations are reasonable in this regard. MERLIN is a 6,500 patient global study evaluating Ranexa's ability to reduce the rate of angina, myocardial infarction, and death in an acute coronary syndrome (ACS) populations.
The composition of matter patent on Ranexa expired in 2003, but several patents have been issued on the sustained release formulation that will be used commercially. In addition, method of use patents of sustained release Ranexa in the treatment of angina will offer protection through 2019. There is always a risk that these patents will be challenged. The two composition of matter patents on Regadenoson and ACEON expire in 2009 and 2019, respectively.
CV Therapeutics is dependent on partner Astellas Pharma for the marketing of Regadenoson if approved in 2008. Astellas is currently marketing Adenoscan, the market leading myocardial perfusion imaging (MPI) agent. Adenoscan could face generic competition in 2007, approximately a year earlier than when Regadenoson could be launch. The entrance of generic competition could disrupt the dynamics of the market and reduce its commercial value.
CV Therapeutics is dependent on outside contract manufacturers to produce their products leaving the company exposed to lapses in quality control or interruptions to the supply if these supply contracts are disrupted.
We project that CV will need to seek additional funding in late 2007 to meet its convertible debt obligation and operating expenses. If market conditions at that time are not favorable, CVT's financial outlook disappoints, or the outcome in MERLIN is negative, attaining additional funds might be difficult.
Given our Hold rating, there are several risks that could drive the stock to outperform our rating. As a case in point, if Ranexa is used off-label, sales might be higher than we predict.
If the impact of these risk factors is greater than we anticipate, shares may have difficulty achieving our target price. Conversely, if these risks have less of an impact than we envision, the stock may exceed our target price.
INVESTMENT THESIS
Our $12/share target reflects a slow uptake of Ranexa leading us to conclude that the commercial opportunity is more modest than we originally projected. Our target price supports our Hold/Speculative rating. In our view, Ranexa's slow launch is due to the drug's narrow label for refractory angina encompassing <5% of all chronic angina patients. Over the balance of the year, we see little catalysts to change the recent trajectory of sales that could change our opinion on the stock. In early 2007, we expect the outcome of the ongoing MERLIN study in patients with acute coronary syndromes (ACS). The results could prove that Ranexa is safe, thereby broadening the label to the whole angina population. While this would be a positive, we do not currently anticipate that this will lead to a strong uptake in the front-line population since Ranexa has only shown symptomatic relief that will not be sufficient to unseat the current standard of care. We would become more positive on the stock only if Ranexa's launch picks up steam or if the ongoing MERLIN study also proves that Ranexa shows a clinical improvement in ACS, thereby substantially broadening the label.
COMPANY DESCRIPTION
CV Therapeutics is focused on developing small molecule drugs for cardiovascular diseases with unmet medical needs. CV Therapeutics has received approval of Ranexa for refractory chronic stable angina in January 2006 with prominent warnings about modest elevations in QTc that theoretically could lead to life-threatening arrhythmias. In addition to Ranexa, CVT also co-promotes Solvay Pharmaceuticals's ACEON for the treatment of hypertension and stable coronary disease using its 250 person cardiovascular sales force. Regadenoson, partnered with Astellas, is a selective A2A-adenosine receptor agonist in phase III development intended for use as a cardiac stimulating agent in myocardial perfusion imaging studies. Tecadenoson is a selective A1-adenosine receptor agonist in phase III trials for the conversion of rapid heart rate during atrial arrhythmias. Rounding up the pipeline is CVT 6883, an adenosine A2B antagonist, for asthma in phase I.
I, Yaron Werber, research analyst and the author of this report, hereby certify that all of the views expressed in this research report accurately reflect my personal views about any and all |