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Biopharma March Madness Has Begun: Obesity & NASH 😃


• Lots of clinical readouts in March 🚀

• Obesity/NASH readouts continue to drive stocks

• See NOVO obesity update on 3/7/24 👇


$NVO

⇒ Released Ph1 obesity data on 3/7/24 for oral amycretin

⇒ Average weight loss of 13.1% after 12 weeks! 👏

See image 📸

⇒ No safety data that we could find

⇒ SC amycretin Ph1 trial ongoing, with readout in 2025


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2 key positive smid-cap obesity/NASH trials read out recently:

$VKTX GLP-1 obesity & AKRO FGF21 NASH


Comparing the markets rxn to these readouts...

gives us insights into how the market values

smid-cap obesity vs. NASH pure plays


$VKTX VK2735 Ph2 obesity read out 

2/27/24 

• ~13% placebo adj weight loss in 13 wks

• Safety profile at least as good as other GLP1-s

• Best in class efficacy? 👇📷

• GLP-1/GIP 

• Weekly subQ 

⇒ Same as $LLY tirzepatide

⇒ But VK2735 may require less frequent dosing

• Stock up 121% on readout 🚀



$AKRO Efruxifermin (EFX) Ph2 NASH/MASH read out 3/4/24

• Wk 96 data Ph2b HARMONY trial

• FGF21

• once-weekly subQ dosing

• stat sig histological improvements vs. placebo

⇒ Fibrosis & MASH resolution 😀

• Best NASH therapeutic? 👇📷

⇒⇒ only slight blemish - bone density effect?

• Stock up only 12% on readout?



Why was VKTX up 121% and AKRO up only 12%? 🤔

This Market rxn confirms

that Market values obesity plays > pure NASH plays


VKTX is up >650% since Nov 1 

VKTX enterprise value = $7.63B


AKRO is up >135% since Nov 1

AKRO enterprise value = $1.21B


Why does the market value VKTX 

so much more than AKRO?🤔


VKTX is an OBESITY/NASH play

• VKTX has a pure-NASH asset too

whereas

AKRO is a pure NASH play


Keep in mind, as we’ve written about

GLP-1s appear to treat NASH

• Not as well as some pure NASH plays like AKRO?

& maybe ORAL NASH pure-plays (e.g., $MDGL) 

have advantages

time will tell

Market seems to conclude that GLP-1s 

have leapfrogged NASH-targeted therapies for NASH

(See our post on recent LLY tirzepatide NASH data)


Situation is tough for smid-cap NASH pure plays


So with all this competition and noise

Do smid-cap NASH and obesity plays have a chance?

⇒ Obesity players like $GPCR & $ZEAL

⇒ Obesity/NASH players like VKTX, $TERN, & $ALT?

⇒ NASH players like $MDGL & AKRO?


Heck yeah!


Other large caps need to compete with NOVO and LLY

Lots of room in these markets, for multiple players

• $PFE, $AMGN, etc.


Makes these smid-caps excellent buyouts

• 2/12/24 $GILD buying $CBAY for liver asset


M&A is a great outcome for smid-cap investors

• VKTX has been in M&A rumor mill for months


& most importantly

These obesity and NASH breakthroughs

are great news for patients! 😊


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Smid-caps with key obesity assets

[$Ticker % move 3/7/24, (Market cap)] 

$ALT -11.9% ($530M)

$GPCR -9.8% ($1.6B)

$TERN -4.76% ($459M)

$VKTX -18.8% ($6.8B)

$ZEAL +6%* ($6.3B)

*Not on a major U.S. stock exchange  (Copenhagen Nasdaq and OTC in US)


Do smid-caps need some St. Pat’s luck  🍀🍀

to compete with $NOVO and $LLY in obesity/NASH?


Did 3/7/24 price drop create a buying opportunity

for these smid-caps? 🤔

⚠️ Most of these obesity smid-caps still up big lately



🍀 In honor of St. Patty’s Day were offering 50% off 🍀


At BPIQ, we are feeling lucky because of all the progress being made in new therapies to treat obesity/liver/metabolic disorders.


Get 50% off with our St. Pat’s Day Sale


Get instant access to which obesity smid-caps are hedge fund favorites [CLICK HERE]


Hurry - sale ends on St. Pat’s Day!


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The March Madness Obesity and NASH fun continues this month with the following:

MDGL PDUFA

VKTX oral GLP/GIP Ph1 data readout

IVA ⇨ Ph2a data readout


💡To read more about obesity candidates, check out our prior post in this forum:

Investing in Obesity Drug Breakthroughs



This article is not investment or legal advice.


Article history:

3/11/24 EJV & AV


#NVO #VKTX #AKRO #LLY #PFE #AMGN #GILD #CBAY #ALT #GPCR #TERN #ZEAL #MDGL #IVA


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