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Friday, January 3, 2020

1Life Healthcare files for IPO

1Life Healthcare (ONEM) has filed a prospectus for a $100M IPO.
The San Francisco, CA-based company has developed a membership-based primary care platform that provides around-the-clock access to digital health services paired with in-office care in convenient locations. It currently has 397K members and 77 physical offices across nine U.S. markets.
2019 Financials (9 mo.): Revenue: $198.9M (+29%); Net Loss: ($33.1M) (-27%); CF Ops: ($24.1M) (-111%).

Janssen Doesn’t Want Crohn’s Asset Back from Provention Post Trial Failure

Shares of Provention Bio took a slight hit in premarket trading before rebounding after it was revealed that Janssen has no wish to buy back the rights to a mid-stage Crohn’s disease treatment following a mid-stage trial failure.
In a recent filing with the U.S. Securities and Exchange Commission, Provention said it was told by Janssen that the Johnson & Johnson subsidiary will not take up an option to buy back the rights to PRV-6527, an oral Colony Stimulating Factor-1 Receptor (CSF-1R) small molecule inhibitor that was developed by Janssen and licensed to Provention in 2017. Janssen said it will “support and expand the field” of the agreement between the two companies to allow continued development of the asset. The expansion of the agreement will give Provention the right to aim the asset at other indications or possibly sublicense it to another company – which means Janssen does not want the property back.
According to the filing, Janssen will assist Provention in transferring the manufacturing rights of PRV-6527 to either Provention for continued development or assist in the transference of rights to a third party. Additionally, Janssen said it will “irrevocably waive its rights to assume distribution and pricing decision making authority” of PRV-6527, Provention said in the federal filing. Provention said it has no real intention of attempting to develop the asset any longer and could explore sublicensing the compound to a third party.
In 2017, Janssen licensed PRV-6527 to Provention, along with PRV-300, an anti-Toll-Like Receptor 3 (TLR3) monoclonal antibody.
In October, Provention announced that PRV-6527 failed to hit endpoints in the Phase IIa PRINCE trial. The trial included patients with moderate-to-severe Crohn’s disease, the majority of which had never been treated with a biologic. The primary efficacy endpoint of the trial was change in the Crohn’s Disease Activity Index score at 12 weeks. At the end of the trial, the drug did not differentiate itself from placebo, although Provention sought to put a positive spin on it saying PRV-6527 demonstrated a “substantial improvement in this symptom-driven score” at 12 weeks. As BioSpace reported at the time, Provention said the “high placebo response” is related to the background medication about 85% of the biologic-naïve patient population were on. In the Phase IIa trial, PRV-6527 did show improvement in several key secondary objective endpoints in the steroid-free population, which was about 75% of the patients, as was previously reported. Those endpoints included mucosal endoscopy and tissue histology.
Following the Phase IIa failure, Provention said it was shifting its resources to focus on PRV-031 (teplizumab) for the prevention or delay of type 1 diabetes.

Avadim Health on deck for IPO

Avadim Health (AHI) has filed a prospectus for a $50M IPO.
The Asheville, NC-based healthcare and wellness company sells topical products aimed at improving immune health, neuromuscular health and skin barrier health targeted to institutional and self-care markets.
Currently marketed brands are: Theraworx pre-saturated towelettes, foams and sprays, Combat One pre-saturated towelettes and Phuel pre-saturated towelettes.
2019 Financials (9 mo.): Revenues: $34.4M (+73.7%); Net Loss: ($31.8M) (-21.4%); CF Ops: ($20.0M) (+8.7%).

Analyst action, Dec. 3

Kodiak Sciences (NASDAQ:KOD) initiated with Buy rating and $100 (47% upside) price target at Jefferies. Shares up 1% premarket.
Tivity Health (NASDAQ:TVTY) initiated with Neutral rating and $22 (6% upside) price target at Credit Suisse.
Endo International (NASDAQ:ENDP) upgraded to Overweight with a $7 (56% upside) price target at Piper Jaffray. Shares up 4% premarket.
Humana (NYSE:HUM) added to Conviction Buy List at Goldman Sachs.
Zimmer Biomet Holdings (NYSE:ZBH) named a Top Pick at BTIG Research.
Incyte (NASDAQ:INCY) downgraded to Neutral with a $79 (8% downside risk) price target at Mizuho Securities. Shares down 12% premarket after failed itacitinib study in GvHD.
MEDNAX (NYSE:MD) downgraded to Neutral with a $29 (5% upside) price target at Citigroup. Shares down 2% premarket.
Novo Nordisk (NYSE:NVO) downgraded to Neutral at Guggenheim. Shares down 1% premarket.

Acorda up on Point72 stake

Nano cap Acorda Therapeutics (NASDAQ:ACOR) is up 16% premarket on light volume in reaction to disclosure from Steve Cohen’s Point72 Asset Management, L.P. of 9.8% stake of ~4.7M common shares.
The company currently markets two products: Ampyra (dalfampridine) to improve walking in MS patients and Inbrija (levodopa inhalation powder) for OFF episodes in Parkinson’s patients. The company is expecting the latter to be the growth driver since the former now has generic competition.
Q3 revenue was $47.7M, down 67%.

Managed care providers could see healthy 2020 on repeal of insurance tax

Goldman’s Stephen Tanal and JPMorgan’s Gary Taylor are bullish on Humana’s (NYSE:HUM) growth prospects on the basis of the expected permanent repeal of the health insurance tax (HIT) associated with the Affordable Care Act (ACA). Mr. Tanal has raised his price target to $425 (17% upside) from $397 and raised in non-GAAP EPS target ~10% to $24.10. Mr. Taylor has raised his price target to $448 from $437 and maintains his “Top Pick” tag on the stock.
The tax on providers, enacted by the Obama administration, was intended to subsidize the cost of insurance for uninsured families and individuals. Companies have been lobbying to kill the tax for years since they have had to absorb part of the expense in order to remain competitive in the Medicare Advantage market.
In its year-end spending deal, Congress appears ready to do just that (the House passed the package on Tuesday, December 31). If the Senate goes along, a virtual certainty, the tax would be repealed in 2021.
In 2018, UnitedHealth Group (NYSE:UNH) paid $2.60B, the highest HIT tab, followed by Anthem (NYSE:ANTM) ($1.54B), Humana ($1.04B) and Centene (NYSE:CNC) ($709M).
Related tickers: Cigna (NYSE:CI), WellCare Health Plans (NYSE:WCG), Molina Healthcare (NYSE:MOH), CVS Health (NYSE:CVS).

End-of-year US drug approvals tied to more adverse events – study

Results from a new study showed that drugs approved near the end of the year in the U.S. are linked to more hospitalizations, life-threatening events and deaths, a rate about twice as high as medicines approved earlier in the year.
Investigators also found similar bumps at the end of each month, implying that the reviewers are “clearing their desks” at these timepoints. They found that 15% of all new drugs were OK’d in December, a rate 80% higher than the average month, although the FDA says only 12% of new molecular entities are approved in that month.
in the 1980s and 1990s, 40% of U.S. approvals occurred in December but the trend is more evenly distributed since PDUFA was approved in 1992.
Selected tickers: BIBTHWARKGBMEGRXIXJBISCHNAXLVIDNAGDNAKMEDXBIBMYPFEOTCQX:RHHBYMRKLLYABBVJNJAMGNBIIBGILDGSKAZNMYLBHCTEVA