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Biotech Readout

A development-stage biotech is worth one of two things the day after its lead trial reads out. A healthcare analyst values both before the result: what the company is worth if the trial works, what it is worth if it fails, and where today’s share price sits between them.

What is a binary event? A single result, such as a trial readout or a regulatory decision, that moves a company’s value to one of two levels. Read backwards, the share price before it implies the probability the market is paying for, which is the number to compare with your own.

Four steps on one company, marked together. The biotech rNPV model builds the same values from patients, prices and probabilities for three programmes.

Company 3 · the Phase 3 trial reads out next

The company

Lead programme
Phase 3
Phase 1 to Phase 2
55%
Phase 2 to Phase 3
35%
Phase 3 to filing
55%
Filing to approval
90%
PV of cash flows in the current stage
$-80m
PV after the stage, if it gets there
$1000m
Everything else, net cash included
$80m
Net cash
$150m
Diluted shares
80m
Share price
$4.75

Step 1 · Reaching the market

Multiply the probabilities of every stage still ahead of the lead programme, the current one included.

Step 2 · The programme’s rNPV

The current stage is spent whatever happens; everything after it is weighted by that probability.

Step 3 · The two companies after the readout

On success the trial’s own probability drops out and only the stages after it remain. On failure the programme is worth its in-stage costs, but investors expect a failed company to stop spending, so a share is never worth less than net cash per share.

Step 4 · What the price implies

Where does today’s price sit between the two outcomes? That position is the probability of success the market is paying for.