Mad Hedge Biotech and Healthcare Letter
December 19, 2024
Fiat Lux
Featured Trade:
(SURVIVAL OF THE SOLVENT)
(KOD), (GOSS), (BLUE), (SIOX), (CDAK), (GLPG)
Mad Hedge Biotech and Healthcare Letter
December 19, 2024
Fiat Lux
Featured Trade:
(SURVIVAL OF THE SOLVENT)
(KOD), (GOSS), (BLUE), (SIOX), (CDAK), (GLPG)
The biotech industry likes to measure success in breakthroughs, but 2024 taught us to count it in survivors.
Sure, we saw remarkable wins in schizophrenia and obesity treatments - enough to keep Big Pharma writing checks that would make anyone pause.
But those layoff numbers? They keep climbing, and I've seen enough market cycles to know what that means.
Yes, the Nasdaq Biotechnology Index eked out a 5.4% gain in 2023, but don’t let that calm surface fool you.
Beneath it, some companies were taking on water faster than a paper boat in a tsunami. It’s not exactly the environment to make your local biotech cheerleader grin ear to ear.
Still, there is value in understanding what went wrong.
Take Kodiak Sciences (KOD) - and I mean that literally because the market sure did. They watched their high hopes for an age-related macular degeneration treatment encounter the brick wall of trial results that proved no better than existing standards of care.
The market’s reaction was swift and merciless, erasing more than 70% of Kodiak’s valuation. Back in my hedge fund days, we called this kind of drop a "character-building event."
Then there's Gossamer Bio (GOSS), which missed its endpoints in pulmonary arterial hypertension so badly you'd think they were aiming for a different disease altogether.
They learned the hard way that lofty ambitions can deflate at high altitudes when critical endpoints fail to materialize, leaving the company staring at a gaping hole where investor confidence used to be.
Bluebird Bio (BLUE)? They've been playing regulatory red light green light with their gene therapy platform.
Despite having the science that could make this possible, they struggled to justify the hefty R&D spending necessary to bring complex and costly treatments to a market that can turn stingy when results arrive late and uncertain.
Speaking of tough breaks, Sio Gene Therapies (SIOX) discovered the cruel reality that neurodegenerative pipelines rarely behave the way spreadsheets say they should.
And poor Codiak BioSciences (CDAK) - their exosome therapy platform imploded so spectacularly that they were forced to declare bankruptcy.
Even Galapagos NV (GLPG) found itself stuck reassessing once-promising late-stage candidates. Those strategic alliances they bragged about last year aren't looking quite so strategic anymore, either.
It would be easy to pin the blame on management missteps or scientific overreach, but the numbers are showing something else.
FDA’s Center for Drug Evaluation and Research did not exactly smile on the biotech crowd’s ambitions. In 2022, it approved 37 novel drugs. By December 2023, fewer than 30 had made the cut.
Want more sobering statistics? The probability of a drug making it from Phase I to FDA approval sits at 7.9%. In immuno-oncology alone, we've got over 1,500 active trials fighting for attention. Overcrowding would be an understatement.
Meanwhile, global biopharmaceutical R&D spending topped $200 billion in 2022 - that's a lot of investor cash burning through labs with no guarantee of return.
Remember the IPO party from a few years back? Well, 2023 saw fewer than 20 biotech IPOs brave the public markets. That's not caution - that's fear.
For those still interested in this sector - and I know you're out there - some of these disasters might offer lessons, or even opportunities.
The iShares Biotechnology ETF exists for those who prefer to spread their risk. Smart move, considering what we've seen this year.
Let's talk specific names. Bluebird Bio might still have a chance if they can get their regulatory act together and convince insurers to cover their therapies.
Sio Gene Therapies could find new partners - though I wouldn't hold my breath. Galapagos has Gilead (GILD) in their corner, which counts for something in this market.
So here's my take: hold Kodiak if you can stomach more volatility - they've already taken their biggest hits.
Same goes for Bluebird Bio, but only if you've got patience. Galapagos? Keep it, but watch those pipeline updates like a hawk.
Gossamer Bio? Time to consider an exit. Sio Gene Therapies lacks catalysts, and Codiak - well, bankruptcy speaks for itself.
The lesson from Kodiak, Gossamer, Bluebird, Sio, Codiak, and Galapagos is simple: brilliant science means nothing without solid analysis, realistic timelines, and serious cash. 2024 proved that point six times over.
Sure, everyone in biotech wants to change the world. The hard part? Staying solvent long enough to make it happen.
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