UNITED STATES LIFE SCIENCES 2022 - Global Business Reports

 
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UNITED STATES LIFE SCIENCES 2022 - Global Business Reports
UNITED STATES
                               LIFE SCIENCES
                                                 2022

Funding and Regulatory Climate - Drug Discovery - Contract Services - Hubs and Academia - Artificial Intelligence
UNITED STATES LIFE SCIENCES 2022 - Global Business Reports
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                                                                                                                                                                                                                       Dear Reader,
                    The Heart of                                                                                                                                      Bangor

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                                                                                                                                                                                             Welcome to the 2022 edition of the United States Life Sciences Industry Report.

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                                                                                                                     Montpelier                                                              After two years of fighting Covid-19, the United States has offered a glimpse
                                                                                                                                        NEW
                                                                                                                                      HAMPSHIRE            Portland                          of what the industry may look like in a post-pandemic world. Compared with
                                                                                 Kingston                                                                                                    the investment frenzy that led to a peak in capital inflow into the industry in

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                                                                                                                                       Concord                                               early 2021, the financial climate has cooled considerably. The ensuing period

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                                                                                                                                                                                             of dramatic correction has forced companies to work harder to prove their
                                         Toronto                                                                                                                                             worthiness of investors’ dollars. Within this context, it is increasingly small and
                                                                                                                    Albany                   BOSTON
                                                                                                                                                                                             mid-sized companies claiming ownership to the development pipeline and
                                                                                    Rochester                                        M ASSACHUSETTS
                                                                                                 NEW YORK                                                                                    commercialization of new drugs. Tireless advances have been made across
                                                                                                                                                                                             a variety of fields, such as gene editing and cell-based therapies, as well as
                                                                      Buffalo                                                                          Providence
                                                                                                                                       Hartford                                              in the introduction of novel drug delivery platforms and diagnostics tools.
nsing                                                                                                                                             RHODE ISLAND
                                                                                                             i                                                                               These efforts culminated in 50 new drug approvals in 2021, in line with the
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                                                                                                                                                                                             past five years of consistently strong output.
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                                                       Erie
                                                                                                                                    NEW YORK                                                 Of course, the magnitude of success does not rest squarely on the shoulders
                                   Cleveland
                                                                      P E N N S Y LVANIA                           Jersey City
                                                                                                             TRENTON                                                                         of only pharmaceutical and biopharmaceutical companies – contract service
                                                                                                      GREATER                                                                                providers are crucial to the health of the life sciences ecosystem. Responding
                                            Pittsburgh                              Harrisburg    PHILADELPHIA
                                                                                                                                                                                             to the heightened complexity of the field, the explosion of streamlined com-
                              OHIO                                                                                          NEW JERSEY                                                       panies with modern in-house manufacturing capabilities, and an industry-
                                                                                                   Wilmington
                                                                                                  Baltimore                                                                                  wide rallying cry for increased domestic production, CROs and CDMOs are
                                                  mi

                        Columbus                                                                                     Dover                                                                   stepping up to create a more robust environment.
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         Dayton                                                        Washington D.C.                   Annapolis       DELAWARE
                                                                                                                                                                                             The following pages bring together insights from interviews conducted with
    Cincinnati
                                             WEST                                                                                                                                            over 80 industry leaders whose experiences collectively span all areas of
                                            VIRGINIA                                                                                                                                         the sector. We would like to warmly thank these executives and researchers
                                         Charleston                                                                                                                                          whose thoughtful contributions were invaluable to the report as well as our
                                                                           VIRGINIA                                                                                                          association partners at BioNJ and Biocom California. We hope that you enjoy
 Frankfort
                                                                                             Richmond
                                                                                                                                                                                             reading our 2022 edition of the United States Life Sciences Industry Report.
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                                                                      DURHAM           RESEARCH
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                                   Asheville                                        N ORTH
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                                                i               Charlotte         C A R OLINA                                                                                                                                Alfonso Tejerina
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                                                                                                                                                                                                                         Global Business Reports
                                       Greenville                                                                                                                                                                                 (GBR)

                                      SOUTH
                                                                Columbia
                                     CAROLINA
                    Atlanta

                                   Augusta
UNITED STATES LIFE SCIENCES 2022 - Global Business Reports
6 Introduction to USA Life Sciences                     22 Introducing the Hubs                                           44     Interview with Aphios                                                                   60       Interviews with Lubrizol Life Science and               78     Interview with Ascendia Pharmaceuticals
                                                                                                                                                                        45     Innovations Enhancing the Patient                                                                with Lonza                                              79     Interviews with AGC Biologics and with
                                               8   The End of an Era?                                 26     The East Coast                                                    Experience                                                                              61       Keeping Up with Demands                                        Forge Biologics
                                                                                                                                                                        47     Interview with Karius and with Sight                                                    64       Interview with AMPAC Fine Chemicals                     80     Chemical Producers and Distributers
USA LI FE SCI ENCES 2 0 2 2 / C O N TE N TS

                                               9   Interview with J.P.Morgan                          28     Interview with BioNJ
                                              10   Interview with Janssen Pharmaceuticals             29     Interview with MassBio                                            Diagnostics                                                                             65       Interview with Cureline                                 82     Interview with Brenntag
                                              11   Interview with EY                                  30     Interview with Pennsylvania                                49     Interview with First Wave BioPharma                                                     66       Interview with Murli Krishna Pharma                     83     Interview with BASF Pharma Solutions
                                              12   The Life Sciences Investment Climate                      Biotechnology Center                                       50     Interviews with Rani Therapeutics,                                                      67       Interview with PsychoGenics
                                              14   Interview with MPM Capital                         31     The West Coast                                                    Nano Precision Medical and with Dyve                                                    68       Industry Thoughts: Unique Offerings                    84 Technology Services
                                              15   Interview with Signet Healthcare Partners          33     Interview with QB3 Berkeley                                       Biosciences                                                                             69       Interview with TCG Lifesciences
                                                                                                                                                                        51     Industry Thoughts: Advancing                                                            70       Interview with CordenPharma                             86     Life Sciences Go Digital
                                                                                                                                                                                                                                                                                                                                                                                            Introduction to
                                              16   Interview with EisnerAmper                         34     Interview with Biocom California
                                              17   Interviews with Xontogeny, Vertex                                                                                           Therapeutics                                                                            71       Interviews with Piramal Pharma Solutions,               88     Interview with AiCure
                                                   Ventures and with Edgewater Capital               36 Drug Discovery and Development                                                                                                                                          Woodstock Sterile Solutions and with                    91     Interview with RxS
                                                   Partners                                                                                                             52 Contract Manufacturing and
                                                                                                                                                                           Chemicals                                                                                   72
                                                                                                                                                                                                                                                                                Contract Pharmacal Corp
                                                                                                                                                                                                                                                                                A Post-Pandemic World
                                                                                                                                                                                                                                                                                                                                        92
                                                                                                                                                                                                                                                                                                                                        93
                                                                                                                                                                                                                                                                                                                                               Interview with Markem-Imaje
                                                                                                                                                                                                                                                                                                                                               Interviews with WhizAI and with Quartic.ai
                                                                                                                                                                                                                                                                                                                                                                                            USA Life Sciences
                                              18   The Life Science Regulatory Climate                38     Therapeutic Fields on Fire
                                              20   Interviews with PhRMA and with PBOA                40     Interview with Insmed                                                                                                                                     74       Interviews with Vetter Pharma                                                                               GBR investigates the regulatory
                                              21   Interviews with LaVoieHealthScience and            42     Interviews with Mammoth Biosciences                        54     A Shifting Landscape                                                                             International and with Nivagen                          94     Concluding Thoughts                          and investment climates
                                                   with Buchanan Ingersoll &                                 and with Arcturus Therapeutics                             56     Interview with Cambrex                                                                           Pharmaceuticals
                                                                                                                                                                                                                                                                                                                                                                                            currently impacting progress in
                                                   Rooney PC                                          43     Interviews with ConSynance                                 57     Interview with Syngene International                                                    76       Interview with New Vision                               96     Company Directory
                                                                                                                                                                                                                                                                                                                                                                                            the life sciences.
                                                                                                             Therapeutics, AC Immune and with                           58     Interview with Adare Pharma Solutions                                                            Pharmaceuticals
                                                                                                                                                                        59     Interview with Aenova Group                                                             77       Interview with Quotient Sciences
                                                                                                             Evrys Bio
                                                                                                                                                                                                                                                                                                                                                                                            6-21

                                                                                                                                                                                                       CANADA

                                                                                                                                             Olympia   WASHINGTON

                                                                                                                                                                                                                            NORTH                                                                                                                                           MAINE
                                                                                                                                                                                                                           DAKOTA
                                                                                                                                         Salem                                                                                                        MINNESOTA
                                                                                                                                                                                       Helena       MONTANA                       Bismarck                                                                                                                              Augusta
                                                                                                                                                                    IDAHO                                                                                                                                                                               Montpelier
                                                                                                                                         OREGON
                                                                                                                                                                                                                                                                                                                                                                   NEW
                                                                                                                                                                                                                                                                                                                                                          VERMONTHAMPSHIRE
                                                                                                                                                                Boise                                                                                                                                                                           NEW YORK Concord

                                                                                                                                                                                                                        SOUTH
                                                                                                                                                                                                                       DAKOTA
                                                                                                                                                                                                                                   Pierre
                                                                                                                                                                                                                                                                  St. Paul

                                                                                                                                                                                                                                                                             WISCONSIN            MICHIGAN
                                                                                                                                                                                                                                                                                                                                                     Albany                  Boston         Introducing the Hubs
                                                                                                                                                                                                 WYOMING                                                                                                Lansing                                         Hartford
                                                                                                                                                                                                                                                                                                                                                                            Providence      The concentration of strong
                                                                                                                                                                                                                                                                                                                                                                                            academic and research institutions,
                                                                                                                                                                                                                                                                                                                                                                         Rhode Island
                                                                                                                                                                                                                                                                                                                                                                   Connecticut
                                                                                                                                                                                                                                                                         Madison
                                                                                                                                                                                                                                                            IOWA                                                                  PENNSYLVANIA                                              assertive organizations, and top
                                                                                                                                             Carson City                                               Cheyenne
                                                                                                                                                                                                                                NEBRASKA
                                                                                                                                                                                                                                                                                                                                        Harrisburg        Trenton                           pharma companies make certain
                                                                                                                                                                                                                                                                                                                                                                                            regions sparkle.
                                                                                                                                                                             Salt Lake City                                                                   Des Moines          ILLINOIS
                                                                                                                                    Sacramento         NEVADA                                                                                                                                             Columbus OHIO
                                                                                                                                                                                                                                            Lincoln                                      Indianapolis                                                    Dover
                                                                                                                                                                                                                                                                                                                                                                 Delaware

                                                                                                                                                                                                                                                                                                                                                                                            22-35
                                                                                                                                                                                                              Denver                                                  Springfield                                                                    Annapolis
                                                                                                                                                                               UTAH                                                              Topeka                                          INDIANA                               Washington D.C.Maryland
                                                                                                                                                                                                                                                                                                                                        VIRGINIA
                                                                                                                                                                                                COLORADO                                                                                                                      Charleston
                                                                                                                                                                                                                                                                                                                             WEST
                                                                                                                                                                                                                                        KANSAS                                                                              VIRGINIA
                                                                                                                                                                                                                                                                                                                                      Richmond                       Atlantic Ocean
                                                                                                                        CALIFORNIA                                                                                                                          Jefferson                                       Frankfort
                                                                                                                                                                                                                                                                  City MISSOURI                  KENTUCKY
                                                                                                                                                                                                                                                                                                                                             Raleigh
                                                                                                                                                                             ARIZONA                   Santa Fe                   OKLAHOMA                                                                                  NORTH CAROLINA
                                                                                                                                                                                                                                                                                          Nashville
                                                                                                                                                                                                                                                                                                      TENNESSEE
                                                                                                                                                                                                                                                                       Little
                                                                                                                                                                                                                                  Oklahoma                             Rock
                                                                                                                                                                        Phoenix                                                                                                                                                     Columbia
                                               USA LIFE SCIENCES 2022                                                                                                                             NEW MEXICO                           City
                                                                                                                                                                                                                                                                                                                  Atlanta          SOUTH
                                               Industry Explorations                                                                                                                                                                                        ARKANSAS
                                                                                                            United States                                                                                                                                                                                                         CAROLINA
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                                               This research has been conducted by                          Pacific Ocean
                                                                                                                International Boundary
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                                                                                                                   State Boundary
                                                                                                                                                                                                                                                                  LOUISIANA         Jackson     ALABAMA
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                                                                                                                                                                                                                                TEXAS
                                               Elisa Iannacone

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                                               Edited by Mungo Smith                                                                                                                                                                                                                                    Tallahassee
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                                               Graphic design by Gonzalo Da Cunha                                                                                                                                                   Austin
                                               Graphic layout and artworks by Özgür Ergüney

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UNITED STATES LIFE SCIENCES 2022 - Global Business Reports
INTRODUCTION TO
                                                                                         USA LIFE SCIENCES
“The industry’s response to Covid-19 was unprecedented - bringing a vaccine to
market in record time. Companies developed revolutionary therapies to curb the
severity of SARS infection, and new diagnostics continue to enter the market. It is an
enormous understatement to say the industry changed the world.”

– Joe Panetta,
President & CEO,                                                                              GBR • Industry Explorations • USA LIFE SCIENCES 2022

Biocom California                                                                                     Image courtesy of Vedanta Biosciences
UNITED STATES LIFE SCIENCES 2022 - Global Business Reports
EDITORIAL                                                                                                        Global Business Reports    Industry Explorations                                                                                                 INTERVIEW

                                                                                                                                                ↘↘
    Introduction to                                                                                                                                 Throughout the pandemic, we
    USA Life Sciences                                                                                                                                have seen an unprecedented
                                                                                                                                                 level of collaboration across the
                                                                                                                                                                                                                                        industry with broad and deep insights
                                                                                                                                                                                                                                        on venture capital, partnerships and
                                                                                                                                                                                                                                        funding for high-growth life sciences
                                                                                                                                                 private sector and among public                                                        companies.
    The end of an era?                                                                                                                          and private sector actors toward
                                                                                                                                                                                                                                        What is your assessment of the cur-
                                                                                                                                                    a common goal of combatting                                                         rent biotech investment landscape?

                                                                                                                                                    Covid-19. Biopharmaceutical               Kathryn                                   The biopharma and medtech deal
                                                                                                                                                                                                                                        space has seen several ups—and a few
                                                                                                                                                                                                                                        downs—since 2020. Despite market

                                                                                                                                                                                             McDonough
                                                                                                                                                      companies continue to work
    The achievements of the life sciences      including longstanding intellectual        would look like if the industry came to-                                                                                                      volatility in the first quarter of 2022,
    industry over the past two years have      property protections and voluntary         gether to solve cancer in the same way                    around the clock to research,                                                       many of these changes point to op-
    been nothing short of astounding. In       technology transfers. Partnerships         it came together around Covid-19, but                                                                                                         portunities for life sciences companies
                                                                                                                                                   develop and produce safe and                                                         to build on their strengths and grow.
    a previously unimaginably short time       between industries and governments         science is not simple and collaboration                                                             Co-Head of Healthcare for Middle
                                                                                                                                                                                                                                           What does this mean for the rest
    frame, the sector developed and pro-       were also significant: The US govern-      is even harder.”                                       effective Covid-19 vaccines and               Market Banking & Specialized             of 2022? The pressure is on clinical
    duced multiple Covid-19 vaccines that      ment invested US$13 billion into the          Nevertheless, the past two years
                                                                                                                                                          treatments to save lives.                     Industries                      programs as an already sensitive pub-
    were effectively distributed to billions   development of vaccines, and the FDA       have created and strengthened bonds
                                                                                                                                                                                               J.P. MORGAN COMMERCIAL                   lic market leaves no room for missed
    of people across the globe. Simultane-     accelerated its regulatory review pro-     between unlikely actors who may not
                                                                                                                                                                                                        BANKING                         scientific milestones and valuation
    ously, revolutionary therapies to curb     cess without sacrificing quality to meet   be so quick to forget what they can
                                                                                                                                                                                                                                        catalysts.
    the severity of infection and a host of    the emergency.                             achieve when working together. While                                  - Anne Pritchett,                                                          Also, licensing and private fund-
    new diagnostics tools were introduced.        Yet the driver of this collaboration    collaboration may be challenging, this
                                                                                                                                                  Senior Vice President of Policy,                                                      raising will continue to support early-
       Rather than celebrating a singular      was a common enemy: the Covid-19           period has proven that life sciences                                                                                                          stage science and company growth
    entity – whether it be a pharma or         virus. Individual motives took a back-     companies are more than up to the                                        Research and                                                         given the challenges in M&A exits
    biotech company, a research institu-       seat to an issue in which all stood to     task. That is not a lesson that will likely                                                        Can you provide an update on how           and IPOs.
    tion, or even an administration – it is    gain or lose collectively. With this in    be so quickly unlearned.                                                  Membership,              2021 was from J.P. Morgan’s per-
    instead a particular ethos that carried    mind, a question naturally arises –                                                                                                           spective, including any initiatives        What trends do you see driving the
    the day: the willingness to collaborate.   once the pandemic is over, will every-     The popularity of the life sciences
                                                                                                                                                                         PhRMA               the company took on in the life sci-       sector forward?
    A DNA map of the virus was distrib-        body go home?                              Covid-19 presented a much-needed                                                                   ences sector?                              Following multiple record years for
    uted around the world to enable ef-           Juliet Hart, CEO and founder of Hart    facelift to the reputation of the life sci-                                                ↖↖      2021 was another banner year for           licensing and venture funding, bio-
    ficient collaboration in discovering       & Chin, believes this will be the case.    ences industry. Public opinion reached                                                             deal making in the life sciences sector.   pharma deal making is off to a slower
    vaccines. According to Anne Pritch-        “Once this period is over, companies       an all-time high, as people witnessed                                                              Biopharma therapeutics and discov-         start in 2022. Most deal categories
    ett of PhRMA, voluntary partnerships       will no longer be unified by the same      for the first time in recent history                  step up, who would? This level of al-        ery platform companies led the way         showed a decline, except for licensing
    around the world led to over 370 col-      goal, and competition will resume,”        what it is like to live with a global un-             truism from a public company allowed         in licensing and venture attraction—       in specific therapy areas, advanced
    laborations for Covid-19 vaccine man-      Hart predicts. “The experience has         met medical need. As vaccines flew                    them, if only momentarily, to shift from     while medtech activity remained well       modalities and late-stage venture in-
    ufacturing and 155 for therapeutics,       made some people wonder what it            through the development and regu-                                                                  above its pre-pandemic levels.             vestment.
                                                                                                                                                “villain” to “hero” in the eyes of many.
                                                                                          latory processes, the public watched                                                                  We have a team of relationship             Big pharma is in-licensing earlier
                                                                                                                                                   At the same time, undercurrents of
                                                                                          with a keen interest, and in doing so,                                                             bankers and specialists dedicated to       into discovery and technology plat-
                                                                                                                                                a war on science came to a boiling
    ↘↘                                                                                    learned about the groundbreaking                      point. Spectators and officials began
                                                                                                                                                                                             the life sciences and healthcare sec-      forms. Large-cap biopharma has been
                                                                                          achievements being made in fields                                                                  tors. Our focus continues to be on         signing deals earlier in development
                                                                                                                                                publicly arguing with scientific facts.
                                                                                                                                                                                             delivering the full strength of J.P.       since the early 2000s. As high as 90%
          The experience has made some people wonder what it would look                   such as mRNA technology.                              The lessons learned from this period
                                                                                                                                                                                             Morgan’s network, capabilities, and        of deals happened in preclinical and
                                                                                             In the US, there has historically been             are messy and contradictory, and it re-
         like if the industry came together to solve cancer in the same way                                                                                                                  resources to help these companies          earlier stages in 2019. Q1 2022 has
                                                                                          a pervading sentiment that pharma-                    mains to be seen whether in years to
                                                                                                                                                                                             thrive at every stage of growth. We        seen much of the same following two
                                                                                          ceutical companies are overly profit-                 come the pandemic will have served
           it came together around Covid-19, but science is not simple, and               driven. The pandemic gave these com-
                                                                                                                                                                                             believe in the pivotal contributions       years of Covid-related deal making
                                                                                                                                                as a rallying point around the triumphs      these entrepreneurs add to society,        and a recent return to licensing dis-
                                                collaboration is even harder.             panies a platform to prove otherwise.                 of science, or a further solidification of   shareholders and employees alike.          covery programs.
                                                                                          AstraZeneca, for example, was not                     a dividing line between its advocates           We provide tailored solutions in-          Large-cap biopharma is doubling
                                                                                          even in the vaccine business before                   and disbelievers.                            cluding day-to-day credit, financing       up on oncology and neurology across
                                                                      - Juliet Hart,      the start of the pandemic. That did not                  If 2020 was about reaction and 2021       and treasury services, as well as fi-      all modalities. Tracking large-cap bio-
                                                                                          stop their executive leaders from mak-                about action, 2022 will be a year of         nancial solutions offered across other     pharma’s deal activity among therapy
                                                                    CEO & Founder,        ing a decision to pour resources into                 picking up the pieces to create a stron-     lines of business, including invest-       areas and treatment modalities is top
                                                                                          developing a Covid-19 vaccine, aware                  ger, more unified force that is better       ment banking, wealth management            of mind to all business developers.
                                                                       Hart & Chin        that the global need had to be ad-                    equipped to confront large-scale pub-        and more.                                  Most of the top five within each cat-
                                                                                          dressed immediately. If leading phar-                 lic health crises that the future holds         Through a new collaboration with        egory saw increased upfront cash and
                                                                                  ↖↖      ma and biotech companies did not                      in store. ■                                  Dealforma, we are able to provide the      equity totals since 2019. ■

8                                                       USA LIFE SCIENCES 2022                                          Industry Explorations   Global Business Reports                            USA LIFE SCIENCES 2022                                                          9
UNITED STATES LIFE SCIENCES 2022 - Global Business Reports
INTERVIEW                                                                                                              Global Business Reports    Industry Explorations                                                                                                 INTERVIEW

                                                                                                  ↘↘                                                                                                                                             ↘↘
     What are the most important initia-                                                                                                               What role has digitization played for
     tives that have been undertaken by                                                            In vaccines, we are progressing late-               EY in the past year?                                                                         Our primary objective is to
     Janssen’s infectious diseases & vac-                                                            stage programs of break-through                   Our business has seen a positive uplift
                                                                                                                                                                                                                                                   pivot to areas that our clients
     cines segment within the past year?                                                              vaccines against diseases where                  as we focused on digital initiatives to
     We have been focused on multiple areas                                                                                                            continue supporting our clients in the                                                         are focusing on, such as
     in the vaccine space, including RSV, Co-                                                       vaccines are not currently available,              life sciences sector. The pandemic has                                                     digitalization, ESG, and supply
     vid-19, and antimicrobial resistance.                                                         such as RSV and multidrug resistant                 shed light on the importance of digiti-
     We see an incredible opportunity in the                                                       bacterial infections, including ExPEC               zation and AI, and EY’s Smart Review-                                                            chain management.
     respiratory infection space, including                                                                                                            er process has received significantly
                                                                                                        and Staphylococcus aureus.
     solutions for both Covid-19 and respira-                                                                                                          more attention over the past months.
     tory syncytial virus, or RSV, which affects
                                                                                                                                          ↖↖           This technology solution leverages AI                                                                                       ↖↖
     over 64 million people worldwide per                                                                                                              and ML algorithms to automate key
     year, yet no vaccines or antiviral treat-                                                                                                         activities in the promotional materials'
     ments currently exist. For our Covid-19                                                                                                           review process. It allows for more ef-
     vaccine, we implemented a develop-
     ment plan that studied our vaccine in
     diverse populations in Asia, Africa, Latin
                                                                          Candice Long                                                                 ficiency and reliability, ultimately miti-
                                                                                                                                                       gating the challenge of human error
                                                                                                                                                       and allowing better quality informa-
                                                                                                                                                                                                                               Arda Ural
     America, the US and Europe. We also                                                                                                               tion to enter the market faster, while
     made a commitment to make up to 900                               President – US Infectious Diseases & Vaccines                                   reducing risks and cutting costs. The                          Partner & EY Americas Industry Markets Leader,
     million vaccine doses available to the                                JANSSEN PHARMACEUTICALS                                                     solution accelerates the products of                                    Health Sciences and Wellness
     African Union and COVAX Facility, com-                                                                                                            our biopharma clients to reach their                                               EY US
     bined, through 2022.                                                                                                                              patients faster.
        Another area of focus for us is antimi-                                                                                                           2021 was a year defined by un-
     crobial resistance, or AMR, which is one                                                                                                          certainty, but EY experienced solid
     of the top ten threats to global health          In antimicrobial resistance, we are                                                              growth, and we have a positive out-          of product and process quality in the       Related to the topic of an aging pop-
                                                                                                 to target it. This allows the individual’s
     and is quickly becoming one of the lead-      targeting multidrug resistant bacte-          immune system to recognize the SARS-                  look for the future. Our primary objec-      pharmaceutical manufacturing indus-         ulation, what innovations are enter-
     ing infectious disease-related causes of      rial infections through a variety of ap-      CoV-2 spike protein and be ready to                   tive is to pivot to areas that our clients   try. Given the complexity of pharma-        ing the market?
     death worldwide. Our investigational          proaches, including via CRISPR-Cas3           defend against it.                                    are focusing on, such as digitalization,     ceutical businesses, the supply chain       Population age continues to feed what
     extra-intestinal pathogenic E. Coli vac-      engineered bacteriophage cocktails,                                                                 ESG, and supply chain management.            cannot afford one misstep, and conse-       diseases pharmaceutical companies
     cine candidate (ExPEC9V) is currently in      aiming for first-in-class precision medi-     Could you provide insight into Jans-                                                               quently the product and process qual-       need to target, and oncology is by far
     Phase 3 development for the prevention        cine in the fight against AMR.                sen’s recent agreement with Aspen                     With a change in government ad-              ity have become even more important.        the most common disease area of focus
     of invasive ExPEC disease.                       In vaccines, we are progressing late-      SA Operations and the impact you                      ministration, how has the regulatory                                                     for pharma. In addition to oncology,
        Finally, we are working on developing      stage programs of break-through vac-          anticipate this having for Covid-19                   landscape evolved?                           How has the Omicron wave altered            cell and gene therapies are starting to
     a functional cure for chronic hepatitis B     cines against diseases where vaccines         relief efforts in Africa?                             The life sciences industry is keeping its    the IPO and special purpose acquisi-        receive significant focus as a way to ad-
     as well as focusing on steps that can be      are not currently available, such as RSV      The agreement enables the first Co-                   eye on H.R.5376, a legislation related to    tion company (SPAC) landscape, and          dress patient and population needs.
     taken to mitigate the stigma associated       and multidrug resistant bacterial infec-      vid-19 vaccine to be manufactured and                 drug pricing that will require producers     what is the trajectory we can expect
     with the disease. We are investigating        tions, including ExPEC.                       made available by an African company                  and pharma companies to behave dif-          to see in 2022?                             Which of EY’s services are in most de-
     multiple promising modalities, includ-                                                      for people living in Africa. Currently                ferently. This regulation as part of the     IPOs in 2021 were at an all-time high,      mand within the life sciences sector?
     ing combining antivirals with immuno-         How does Janssen leverage innova-             only about 12 percent of people in Af-                Build Back Better Act will require our       but factors causing uncertainty such        EY continues to focus on addressing
     modulators to transform how infectious        tive technology for vaccine R&D?              rica are fully vaccinated, well below the             clients to double down on value-based        as potentially increased interest rates,    business challenges enabled by tech-
     disease pathogens such as the hepatitis       Our Covid-19 vaccine program leverag-         WHO’s targets.                                        contracting and outcomes-based pric-         geopolitical tensions, inflation risks,     nology-inspired solutions, and espe-
     B virus (HBV) are managed by achieving        es Janssen’s AdVac technology, which is                                                             ing. They will not only assign a price to    and the possible emergence of new           cially today, digitalization is extremely
     high rates of functional cure.                the same technology used to develop           What is your prediction for the long-                 a pharmaceutical product but will also       Covid-19 variants, may hinder eco-          important to our clients. ESG has also
        We developed a long-acting inject-         and manufacture Janssen’s European            term impacts that Covid-19 will have                  commit to an outcome for which they          nomic recovery and play a role in the       become a massive trend that is here to
     able HIV treatment regimen in partner-        Commission-approved Ebola vaccine             on public perception of infectious                    can charge differently.                      financing environment in 2022.              stay as investors and stakeholders want
     ship with ViiV Healthcare to reduce the       regimen and to construct both our RSV         diseases and the importance of vac-                      There is attention on how the Fed-           IPO candidates should remain flex-       better ESG disclosures to help them un-
     frequency of treatment. We are currently      and HIV vaccine candidates.                   cines?                                                eral Trade Commission (FTC) in the US        ible with a plan B in place to meet         derstand more about how a company
     working to expand our partnership with           Our AdVac technology is based on           Covid-19 gave us a close look at our                  will regulate M&A activity. With a focus     financing needs in case the IPO time-       performs. Consumers also want to un-
     ViiV Healthcare to explore our long-act-      the development and production of ad-         capacity for preparedness and rapid                   on protecting the public against anti-       table is delayed. SPACs are currently in    derstand the impact their choices are
     ing rilpivirine and cabotegravir regimen      enovirus vectors, or gene carriers. Ad-       response when an infectious disease                   competitive behavior and unfair trade        a more dire state than in 2021 due to       having on the world, and employees
     as both a monthly self-administered           enovirus vectors are genetically altered      outbreak becomes a pandemic. It illu-                 practices, the FTC can require a merg-       the decreased availability of late-stage    seek to know whether their company is
     regimen and an ultra-long-acting regi-        forms of an adenovirus that lack the          minated the gaps in public understand-                ing company to divest assets and rights      assets and the window for IPOs start-       driving greater equality, empowerment,
     men, administered every three months          DNA needed to replicate, so the vac-          ing about the development and safety                  to refrain the new company from hav-         ing to close. Companies need to start       better working conditions and safer
     or more.                                      cine cannot cause a cold. In the case of      of vaccines. We know vaccines can lead                ing a monopoly position in the market.       prioritizing their pipelines to put their   and more sustainable communities. EY
        For influenza, we believe that pre-ex-     the Covid-19 vaccine, the immune sys-         to higher quality, longer lives, but wide                Additionally, the FDA has imple-          next milestone in sight and avoid dilu-     assists our clients in their ESG goals
     posure prophylaxis has the potential to       tem of someone who receives our vac-          acceptance and uptake, in addition to                 mented a draft reporting program             tion. I believe that companies without      through nonfinancial reporting advisory
     revolutionize the prevention of seasonal      cine recognizes the Covid spike protein       an adequate supply chain and access,                  so that certain key quality metrics          a current late-stage asset will experi-     and assurance, climate-related report-
     respiratory viral infections in the most      as foreign once it enters their cells, pro-   need to occur for vaccines to be effec-               are reported to the agency in an ef-         ence choppy waters in this uncertain        ing, sustainability and supply chain ad-
     vulnerable populations.                       ducing antibodies and activating T cells      tive for the global community. ■                      fort to ensure continual improvement         environment.                                visory, and outcomes measurement. ■

10                                                          USA LIFE SCIENCES 2022                                             Industry Explorations   Global Business Reports                               USA LIFE SCIENCES 2022                                                         11
UNITED STATES LIFE SCIENCES 2022 - Global Business Reports
EDITORIAL                                                                                                       Global Business Reports    Industry Explorations                                                                                                               EDITORIAL

                                                                                                                                                More M&A activity?                                       ↘↘
     The Life Sciences                                                                                                                          What remains uncertain is the extent
                                                                                                                                                to which the cooling down of the mar-
                                                                                                                                                                                                              Tough times can scare off newer investors and entrepreneurs,
     Investment Climate
                                                                                                                                                ket will trigger increased M&A activity.
                                                                                                                                                Some believe that large pharmaceuti-                      which is not all bad. These cycles help to screen out those investors
                                                                                                                                                cal companies like Pfizer and Merck that
                                                                                                                                                had been observing over-valuations                              and entrepreneurs who are not as committed to creating and
                                                                                                                                                from the sidelines may find the current                                                              reaching a long-term goal.
                                                                                                                                                climate more suitable for action.
     A reckoning?                                                                                                                                  EisnerAmper, one of the largest ac-
                                                                                                                                                counting, tax and business advisory
                                                                                                                                                firms in the US, helps life sciences com-
                                                                                                                                                                                                                                                                        - Chris Garabedian,
                                                                                                                                                panies going through IPO or second-                                                                                     Chairman and CEO,
                                                                                                                                                ary offerings. John Pennett, partner-in-
                                                                                                                                                charge of the national technology and                                                                                            Xontogeny
     During the period of Covid-related anxiety in which the         years. Over half of these were for preclinical or phase 1
                                                                                                                                                life sciences group, revealed that the
     industry received unprecedented media coverage, gov-            companies.
                                                                                                                                                company is increasingly busy with new
     ernments pitched extensive resources into combatting the           The frenzy has now ended, however, and the pendulum                                                                                                                                                                ↖↖
                                                                                                                                                company formations, with four clients
     spread of the virus. The ensuing ‘lockdowns’ meant that         has swung far – arguably too far, according to some observ-
                                                                                                                                                going public in Q4 of 2021 alone. While
     people had more time at home, and more time therefore           ers – in the other direction. In early 2022 the Financial Times
                                                                                                                                                this is in many ways a testament to the                     For others, this shift may not hap-       of activity will remain consistent despite
     to spend on online trading platforms, and much atten-           reported that 83% of recently listed US biotech and pharma                 perennial dynamism of the industry, it                   pen quite so definitively. James Gale,       the market turbulence, as pharmaceu-
     tion was drawn towards biotech. Zero interest rates also        stocks were trading below their IPO price in what they called              does not serve as a litmus test for the                  founding partner and managing di-            tical companies are constantly on the
     helped ensure that huge amounts of capital flowed into          a “stock market bloodbath.” Yet there is a Wall Street adage               current state of the life sciences finan-                rector of Signet Healthcare Partners,        hunt for new and innovative drugs to
     high-risk technology. Furthermore, according to Pitch-          that in a strong wind even turkeys can fly, meaning that in                cial climate.                                            commented: “As the capital market            incorporate into their distribution pipe-
     book data, venture capital firms invested record amounts        a booming market it is nearly impossible to distinguish the                   According to Lori Hu, managing                        valuations fall back and exits via the       lines after undertaking thorough due
     of capital in the biotech industry over the past two years –    winners from the losers.                                                   director of Vertex Ventures HC, the                      public markets become less viable or         diligence. “M&A is like picking apples
     US$12.6 billion in 2020 and US$16.1 billion in 2021. Overall,      Christiana Bardon, co-managing partner of MPM’s BioIm-                  industry is currently experiencing a                     attractive, sellers may pause. At the        – you only want to eat the apple when
     IPOs pulled in almost three times more than in previous         pact Capital and portfolio manager of BioImpact Equities                   temporary “hangover” effect and the                      same time, buyers may be affected by         it is ripe. No one wants to eat an unripe
                                                                     and Oncology Impact Funds, believes this period of dra-                    market will soon bounce back. “Expec-                    rising interest rates and the change in      apple, even if its 50% off. Similarly, M&A
                                                                     matic correction is currently close to the bottom, given that              tations to finance for the long term are                 the market to dig in on lower pricing.       occurs when companies meet their
        Delivering                                                   many biotech companies are trading at cash balances. From
                                                                     Bardon’s perspective, the extreme market corrections have
                                                                                                                                                again receiving priority,” explained Hu.
                                                                                                                                                “The M&A market has been relatively
                                                                                                                                                                                                         We could thus see a protracted period
                                                                                                                                                                                                         of lessened activity before we see the
                                                                                                                                                                                                                                                      proof of concepts and have de-risked
                                                                                                                                                                                                                                                      their assets such that the drug looks
        sophisticated                                                been largely appropriate. “Many of these corrections are ap-
                                                                     propriate, because a lot of credit was given to companies
                                                                                                                                                slow over the past year, as pharma ex-                   M&A markets start to build again.”           promising to be successful in future clin-

        formulations.                                                that had exciting technologies or platforms but were still far
                                                                                                                                                ecutives wait on the sidelines for the
                                                                                                                                                valuation correction to play out, but I
                                                                                                                                                                                                            The conviction that lower valuations
                                                                                                                                                                                                         will lead to more M&A activity is not
                                                                                                                                                                                                                                                      ical trials,” said Bardon. “The question
                                                                                                                                                                                                                                                      that remains is which companies are ripe
                                                                     from developing a real drug that would enter a clinical trial,             believe that we will see M&A activities                  shared by all industry stakeholders.         and ready for the picking.”
      •    Formulation                                               receive regulatory approval, and ultimately help patients,”                increase in this coming year.”                           MPM Capital’s Bardon believes the level          Overall, the health of the life sci-
          Development                                                said Bardon. “Not all companies deserve to have their assets                                                                                                                     ences investment climate is expected
          for Poorly                                                 taken forward. Having a more stringent funding environment
                                                                                                                                                                                                                                                      to return to the trajectory it had been
          Soluble Drugs                                              is not negative; it just means that companies must generate                    After setting record pace, biotech IPOs                                                           on pre-pandemic. “We are excited
      •    cGMP                                                      clinically meaningful data to deserve their valuations.”
          Manufacture                                                   Chris Garabedian, chairman and CEO of the life sciences                     slump to start 2022                                                                               about the health and the growth of
                                                                                                                                                                                                                                                      the industry and the pace at which it
          for Clinical
                                                                     accelerator Xontogeny, views the market corrections from
          Materials
                                                                     a similar perspective. “After record years of private invest-
                                                                                                                                                    Number of biotech IPOs priced, by quarter                                                         has continued to evolve over the last
      •    CR, Parenteral                                            ment, facilitating crossover rounds and taking companies                       30
                                                                                                                                                                                                                                                      20 years,” commented Ryan Meany,
          & Topical                                                                                                                                                                                                                                   managing partner of Edgewater Capi-
                                                                     through IPOs, people are realizing that our sector may need
          Dosage Forms                                                                                                                                                                                                                                tal Partners. “The hallmark for us is its
                                                                     to be more discerning in deciding which companies are wor-
                                                                     thy and mature enough to bring to the public markets,” said                                                                                                                      malleability to consumer needs, which
          O U R T E C H N O LO G I E S
                                                                     Garabedian. “Tough times can scare off newer investors and                     20                                                                                                has manifested in important therapies
                     EmulSol                                         entrepreneurs, which is not all bad. These cycles help to                                                                                                                        and broad adaptability to the business
                                                                     screen out those investors and entrepreneurs who are not                                                                                                                         model and cycle.”
                     AmorSol                                                                                                                                                                                                                              The past two years have brought
                                                                     as committed to creating and reaching a long-term goal.”
                                                                                                                                                    10                                                                                                about unprecedented levels of inter-
                     NanoSol                                            While it may appear that companies with good technology
                                                                     are being indiscriminately punished just as they had been in-                                                                                                                    est and investment and reshaped the
                                                                     discriminately rewarded earlier in the pandemic, the shift has                                                                                                                   way the broader world interacts with
          732.640.0058                                                                                                                                                                                                                                life sciences companies, particularly
                                                                     been an important one in remembering the fundamentals                            0
          Robert.bloder@ascendiapharma.com                                                                                                                 Q1 Q2          Q3   Q4    Q1 Q2   Q3   Q4    Q1 Q2   Q3     Q4    Q1 Q2   Q3   Q4    Q1    in biotech, and this bodes well for the
                                                                     of the industry: no matter how sexy a particular company’s                           2018                      2019               2020                 2021               2022
          ascendiapharma.com                                         technology or platform is, the end goal must remain to pro-                                                                                                                      financial support it will attract in the
                                                                     vide products that help patients live healthier, longer lives.             Source: BioPharma Dive                                                                                years to come. ■

12                                                      USA LIFE SCIENCES 2022                                          Industry Explorations   Global Business Reports                                              USA LIFE SCIENCES 2022                                                        13
UNITED STATES LIFE SCIENCES 2022 - Global Business Reports
INTERVIEW                                                                                                              Global Business Reports    Industry Explorations                                                                                                 INTERVIEW

                                                                                                 ↘↘                                                                                                                                              ↘↘
     What is your assessment of the cur-                                                                                                               What have been the key milestones
     rent health of the life sciences invest-                                                    Having a more stringent funding                       for Signet over the past year, particu-                                                     We see a risk of rationing of
     ment climate?                                                                                                                                     larly with the company’s Fourth Fund
                                                                                                  environment is not negative; it                                                                                                                capital by biopharma companies
     Since the peak of capital inflow into                                                                                                             (Fund IV)?
     the industry in February 2021, we have                                                      just means that companies must                        Signet has made several investments                                                         leading to a pullback in the
     been in a period of dramatic correc-                                                                                                              in Fund IV. We completed the invest-
                                                                                                  generate clinically meaningful                                                                                                                  amount of funds being spent in
     tion where the biotech indices have                                                                                                               ment in Ascendia Pharmaceuticals in
     fallen over 50%. I believe we are close                                                      data to deserve the valuations                       the first half of 2021. We participated                                                                 R&D.
     to the bottom of that correction period                                                          they are fundraising at.                         with Novo Holdings in acquiring Altas-
     because many biotech companies are                                                                                                                ciences, a fast-growing, well-run clinical
                                                                                                                                                                                                                                                                                    ↖↖
     trading at cash balances, meaning very                                                                                               ↖↖           research services organization. We also
     little is being attributed to their tech-                                                                                                         made a strategic investment into Juno
     nology and programs.                                                                                                                              Pharmaceuticals, a Canadian marketer
        Many of these corrections are appro-                                                                                                           of complex generic injectables. Signet

                                                                  Christiana Bardon                                                                                                                                          James Gale
     priate, because a lot of credit was given                                                                                                         is hoping to leverage relationships with
     to companies that had exciting tech-                                                                                                              our portfolio companies and other enti-
     nologies or platforms but were still far                                                                                                          ties to find products for investment and
     from developing a real drug that would                                                                                                            to create partnership arrangements. In
     enter a clinical trial, receive regulatory                Co-Managing Partner, MPM’s BioImpact Capital and Portfolio                              early 2022, we acquired the consumer                                Founding Partner & Managing Director
     approval, and ultimately help patients.                     Manager, BioImpact Equities and Oncology Impact Funds                                 health contract manufacturing business                             SIGNET HEALTHCARE PARTNERS
     When shifts like this happen, we must                                                                                                             of Fagron, a Dutch personalized medi-
                                                                  BIOIMPACT CAPITAL LLC, AN MPM COMPANY
     remember the fundamentals of the in-                                                                                                              cine pharmaceutical company. This ac-
     dustry; despite how attractive a com-                                                                                                             quisition was done not through Fund IV,
     pany's technology or platform may be,
                                                                                                                                                       but rather through a special investment
     the ultimate goal is to make progress
                                                  they want to buy companies who have           and therefore what targets we should                   vehicle and fits in with Signet’s theme       How have these trends impacted
     towards bringing new drugs to patients.                                                                                                                                                                                                    a reliable partner. At the start of 2020,
                                                                                                                                                       of investing in consumer health.
        Additionally, not all companies de-       met their proof of concept.                   address with our new developed drugs.                                                                Signet?                                    they temporarily placed an export ban
     serve to have their assets taken for-                                                      Additionally, we have developed many                                                                 We build our investment models             on 27 critical medications and in 2021,
                                                  To what extent has the turbulence             genetic tools that have enabled whole                  To what extent do you see the gen-
     ward. Having a more stringent fund-                                                                                                                                                             around particular investment situ-         redirected Serum Institute to repriori-
                                                  impacted MPM Capital’s portfolio              new classes of treatments, such as us-                 eral correction of market activity as
     ing environment is not negative; it just                                                                                                                                                        ations, paying careful attention to        tize the production of the AstraZen-
                                                  companies?                                    ing living cells and living viruses to treat           an opportunity for the industry?
     means that companies must generate                                                                                                                                                              terminal values and exit multiples.        eca vaccine for their domestic market.
                                                  MPM Capital portfolio companies were          cancer or genetic illness. We are in the               Signet’s thesis is that interest rates will
     clinically meaningful data to deserve                                                                                                                                                           We assess the climate relative to his-     More recently, India’s tilt towards Rus-
                                                  the beneficiaries of a great capital fun-     midst of an incredible innovation era                  rise. Rising interest rates will have an
     their valuations. I see corrections as a                                                                                                                                                        torical norms under different interest     sia in the Ukraine-Russia war further
                                                  draising environment over the past two        that is only accelerating. For example,                effect in two parts. First, there is gener-
     positive force in the industry, as it re-                                                                                                                                                       rate environments. Additionally, as        raises questions about their alignment
                                                  years. Many of our portfolio companies        last year we saw the first patient who                 ally a rotation in the investment market
     minds us of basic principles such as                                                                                                                                                            we build an investment case, we are        of interest with the US.
                                                  had the opportunity to raise private fi-      was genome edited and cured of their                   away from high-tech growth and futuris-
     capital efficiency.                                                                                                                                                                             often risk adjusting management’s ro-         We clearly need to secure drug sup-
        MPM Capital is optimistic about the       nancing, IPO and secondary financings         hereditary genetic disease.                            tic earning streams towards companies
                                                                                                                                                                                                     bust projections to consider downside      ply in the US. That said, the market
     future and sees the present as a great       as public companies. That said, all our          Several innovations abound regard-                  with revenues and earnings today. The
                                                                                                                                                                                                     scenarios. This includes the prospect      structure in the US, particularly for
     buying time to be entering the market.       companies have been affected by both          ing RNA and DNA; mRNA enabled us                       decline in public share prices of biotech
                                                                                                                                                       companies over the past six months            of a delay in the recovery of financing    the purchase of generic medications
     The long term fundamentals on the in-        the upward and downward drafts, but           to vaccine the world against Covid-19.
                                                                                                                                                       reflects that pivot towards value. Sec-       for biotech companies. We see a risk       which account for 80-85% of all pre-
     dustry are healthy and intact.               we hope they will go on to be success-        Circular RNA is particularly exciting as
                                                                                                                                                       ond, if interest rates climb, the cost of     of rationing of capital by biopharma       scriptions, disincentivizes onshoring of
                                                  ful in their clinical trials. At the end of   it enables us to not only deliver RNA
                                                                                                                                                       capital climbs. This has a converse ef-       companies leading to a pullback in         production. While branded pharmaceu-
     Do you believe this market correc-           the day, a successful outcome is how          more broadly to the organs but also to
                                                                                                                                                       fect on multiples – meaning multiples         the amount of funds being spent in         tical companies would prefer to keep
     tion will lead to an uptick in M&A           you create value, and it is not subject       produce proteins beyond for vaccina-
                                                                                                                                                       come down as the cost of capital rises.       R&D. We are cautious with our port-        production closer to the markets they
     activity?                                    to volatility.                                tion purposes.
                                                                                                                                                       If this happens, perceptions of valua-        folio companies about rapid increases      serve to mitigate potential supply chain
     I do not believe that lower valuations
                                                  What advancements within the bio-             Looking ahead, what themes will                        tion begin to shift on the buy and sell       in personnel or capital expenditures in    disruptions, the generic industry is still
     lead to more M&A activity. M&A is
                                                  tech industry are you most excited            MPM Capital hone its investment                        side. However, multiples often slowly         capacity until we have better visibility   highly dependent on India and China.
     like picking apples – you only want to
     eat the apple when it is ripe. No one        about?                                        around?                                                decline, which induces a period of dis-       about the future utilization of that ca-
     wants to eat an unripe apple, even if its      In the oncology space we are in the         We are on our second oncology im-                      intermediation between buyers (who            pacity. We thus have a wary eye about      What key trends do you see driving
     50% off. M&A occurs when companies           middle of an incredible period of in-         pact fund. While we have made great                    sense it has become a buyers’ market          the impact of a slowdown in biotech        growth for Signet over the next few
     meet their proof of concepts and have        novation, particularly regarding the          progress regarding immunotherapy,                      and offer lower prices), and sellers (who     financing on R&D spend and CDMO            years?
     de-risked their assets such that the         genome sequencing revolution. This            cell therapies, and our ability to cure                still have a memory of higher valuations      profitability.                             Signet’s investment strategy is guided
     drug looks promising to be successful        started in the early 2000s when we            certain types of cancers, we cannot                    and hold their ground). It is then diffi-                                                by determining which technologies will
     in future clinical trials. From this per-    sequenced the first human genome.             yet cure all patients with those can-                  cult to bridge the gap between bid and        How do you view the feasibility of         be potential winners. We also track
     spective, the M&A environment is ev-         Two decades later, we now have ge-            cers, nor can we cure all cancers. We                  ask unless people are becoming more           reshoring efforts for American man-        complimentary services that can create
     ergreen, which is that pharmaceutical        netic information about almost every          still see a lot of exciting work to do in              financially desperate to sell. We could       ufacturing of pharmaceuticals?             a more comprehensive offering to cus-
     companies have an ongoing need for           cancer patient as well as about various       this space. Additionally, we are excit-                thus see a protracted period of less-         India’s actions recently have raised       tomers. While Signet is a commercial
     new and innovative drugs to fill their       rare diseases. We can start to under-         ed about the next frontiers in virology                ened activity before we see the M&A           questions about the security of drug       stage growth equity fund, technology
     commercial distribution pipelines and        stand the genetic causes of diseases          and neurology. ■                                       markets start to build again.                 supply from that country, traditionally    guides our investment decisions.■

14                                                         USA LIFE SCIENCES 2022                                              Industry Explorations   Global Business Reports                                USA LIFE SCIENCES 2022                                                         15
UNITED STATES LIFE SCIENCES 2022 - Global Business Reports
INTERVIEW                                                                                                               Global Business Reports    Industry Explorations                                                                                                INTERVIEW

                                                                                                   ↘↘
     Can you give an overview of Eisner-
     Amper’s activities and performance in                                                             The past 12 months have
     the life sciences sector over the past                                                           been busy as we have seen
     year?
     The life sciences division is the leading                                                       a significant amount of new
     industry vertical for our public company                                                        company formations, which
     practice, more specifically for companies
     that are going through IPO or second-                                                         require accounting, tax advisory
     ary offerings. The past 12 months have                                                            and structuring support.
     been busy as we have seen a significant

                                                                                                                                                                Chris                                              Lori                                    Ryan
     amount of new company formations,                                                                                                     ↖↖
     which require accounting, tax advisory
     and structuring support. We have also

                                                                                                                                                              Garabedian                                           Hu                                      Meany
     seen many companies going through
     significant M&A transactions and/or
     preparing for IPOs. In Q4 of 2021 alone,
     we had four clients go public, which was
                                                                            John Pennett
     extremely exciting. The largest growth                                                                                                                               Chairman and CEO                     Managing Director                        Managing Partner
                                                                         Partner-in-Charge of the National Technology
     engine for us is the capital markets, and                                                                                                                                  XONTOGENY                    VERTEX VENTURES HC                   EDGEWATER CAPITAL PARTNERS
                                                                                   and Life Sciences Group
     if they stay strong, it will be greatly ben-
     eficial to our business moving forward.                                           EISNERAMPER
         EisnerAmper has added capabilities to
     its portfolio, including grant accounting
                                                                                                                                                        How has the biotech sector been im-           How does Vertex differentiate itself       What excites you about the life sci-
     capabilities in our South Florida office;
                                                                                                                                                        pacted over the past year and how did         in the market?                             ences space?
     managed services, which allow virtual          ginning, it is hard to get there as there     lic marketplace. There has been pres-                 Xontogeny’s activities evolve?                Vertex is a global investment fund with    We are excited about life sciences
     companies to have a managed services           is a significant volume of companies          sure on biotech stock, and some of the                The past year saw significant pull-back in    offices in the US, China, Singapore, In-   because of the development oppor-
     computer solution; and outsourced ac-          with interesting ideas, and investors are     recent vintage biotech IPOs are trading               public valuations. The XBI had one of its
                                                                                                                                                                                                      dia and Israel. Vertex is a female-led     tunities for small to middle market
     counting capabilities in San Francisco         going to the sources they feel are most       well below their IPO price. This is not a             worst years on record in 2021, which con-
                                                                                                                                                                                                      fund, and we strive to increase diver-     enterprises outside the control of big
     through acquiring Keating Consulting           likely to succeed.                            great sign for the industry as a whole,               tinued into 2022. After record years of
                                                                                                                                                                                                      sity. We are driven by early stage sci-    pharma. This is due to the increased
     Group, which provides outsourced fi-                                                         but there is still cautious optimism for              private investment, facilitating crossover
                                                                                                                                                        rounds and taking companies through           ence and are pragmatists in the way we     development of personalized medi-
     nancing and accounting services to ven-        What advice would you give first time         what the markets are going to look like
                                                                                                                                                        IPOs, people are realizing that our sector    deploy capital to most effectively drive   cine, particularly with the advent of
     ture-backed companies. We continue to          entrepreneurs?                                for at least the first part of 2022.
                                                                                                                                                        may need to be more discerning in decid-      companies to success.                      gene therapies.
     increase our geographical footprint.           Finding a strong partner to help supple-
                                                                                                                                                        ing which companies are worthy and ma-                                                   We are also observing a shift away
         We aim to become more visible and          ment skill sets is extremely important.       If there was one thing you could                                                                                                               from one-size-fits-all drugs, which cre-
                                                                                                                                                        ture enough to bring to the public markets.   What have been the recent high-
     reach all the life sciences communities in     For example, if it is a scientific founder,   change in the Tax Act that would help                    We set out with an early private equity                                               ates more opportunities for CDMOs
     the areas where we operate. We support         finding a partner with business devel-        people across the board, what would                                                                 lights?
                                                                                                                                                        model that would work in any macro-mar-                                                  and CROs—spurring the development
     universities and their entrepreneurial         opment expertise can be critical. At a        it be?                                                                                              Over the past year we invested in So-
                                                                                                                                                        ket environment. We developed our thesis                                                 of mid to small biopharma companies
     programs, and regularly speak at vari-         very early stage, companies do not nec-       An expansion of the R&D credit, which                 around investing in lead products that fo-    noma Biotherapeutics, which uses a
                                                                                                                                                                                                                                                 that match our portfolio. Finally, the
     ous events, accelerators and incubators,       essarily have the funds to bring such a       will help innovative companies attract                cus on specific value creation.               Treg therapy platform to treat auto-
                                                                                                                                                                                                                                                 speed of recent innovation in the life
     encouraging entrepreneurship.                  person on board, but we have seen cre-        more capital to allow them to determine                                                             immune diseases; Allay Therapeutics,
                                                                                                                                                                                                                                                 sciences has been profound, as exem-
                                                    ative deals where the company is able to      if their science is worthwhile.                       Can you highlight some upcoming in-           which delivers durable pain relief in an
                                                                                                                                                                                                                                                 plified by the Covid-19 vaccine rollout,
     How many entrepreneurs have you seen           share some equity, most often a future                                                              vestments Xontogeny is excited about?         effort to reduce the opioid usage in the
                                                                                                                                                        We are continuing to incubate companies                                                  which bodes well from a growth stand-
     successfully form companies and IPOs?          equity arrangement and maybe a prom-          Which services have been in most de-                                                                US; and Indapta Therapeutics, which
                                                                                                                                                        at Xontogeny and anticipate announcing                                                   point.
     Across the technology and life sciences        ise of employment when the company            mand and driving growth for Eisner-                                                                 has developed a natural killer (NK) cell
                                                                                                                                                        several new seed investments in this up-
     community, we have seen many en-               is funded. There are also public and          Amper?                                                                                              therapy platform to increase access to     Could you speak to the consolidation
                                                                                                                                                        coming year. We are very excited when
     trepreneurs become successful. They            private incubator groups that help early-     Support for IPOs and SPACs—whether                    these companies receive their Series A        cell therapies for cancer patients.        trend in the CDMO industry and the
     mostly gain their experience in larger         stage companies complete their man-           they be tax, auditing or consulting cli-              funding, often through the Perceptive                                                    attractiveness of CDMOs from a pri-
     organizations, and from there start            agement teams and skill sets by using an      ents—has been in significant demand.                  Xontogeny Venture (PXV) fund, created         What is Vertex’s vision for 2022 and       vate equity standpoint?
     their own companies from the experi-           outsource model.                              EisnerAmper has seen substantial                      through a strategic relationship between      beyond?                                    While we have only invested in hybrid
     ence and lessons learned. From a pub-                                                        growth in its tax services division, with             Xontogeny and Perceptive Advisors. Be-        We want to develop products that can       CDMOs in the past, they are attractive
     lic company perspective, credibility is        What can we expect to see in the M&A          demand coming especially from clients                 tween our funding mechanisms for Seed         deliver a step-change benefit for pa-      to private equity in the sense that they
                                                                                                                                                        and Series A investments, we have a full      tients. The market will always have ups
     critical, and we are seeing this even          and IPO landscape moving forward?             that have an international aspect to their                                                                                                     combine traditional manufacturing
                                                                                                                                                        portfolio of over 20 companies.
     more so in the venture capital commu-          The IPO markets have certainly tight-         businesses. We are also supporting com-                                                             and downs, but we remain optimistic        with cutting edge technology.
     nity. At the early stage of investment, if     ened with a bit of a slowdown in the pro-     panies regarding ownership and the tax                                                              about funding new science and innova-      We are bullish on CDMOs because of
                                                                                                                                                        How do you see Xontogeny evolving?
     you are not able to secure a significant       cess. There is still a substantial amount     ramifications surrounding shares and                  We want to create the next generation of      tion. We are always excited to invest in   several domestic trends, including a
     venture capital round it will be very dif-     of money to be spent, some deals are          stock options, especially as companies                biotech leaders not only through financial    and partner with new companies work-       general onshoring effort that is being
     ficult to do so at a later stage. If you do    still getting done, and a lot of compa-       are growing and thinking about what an                investment, but also through exposing them    ing towards making a difference for pa-    driven largely by quality control con-
     not have the inside track from the be-         nies are in the queue to go into the pub-     exit might look like. ■                               to the decades of experience of our team. ■   tients worldwide. ■                        cerns from pharma. ■

16                                                           USA LIFE SCIENCES 2022                                             Industry Explorations   Global Business Reports                                USA LIFE SCIENCES 2022                                                       17
UNITED STATES LIFE SCIENCES 2022 - Global Business Reports
EDITORIAL                                                                                                        Global Business Reports    Industry Explorations                                                                                                 EDITORIAL
                                                                                                                                                                                              Image courtesy of Mammoth Biosciences.

     The Life Sciences                                                                                                                                                                           James Sapirstein, chairman, presi-
                                                                                                                                                                                              dent and CEO of First Wave BioPhar-
                                                                                                                                                                                                                                         CDMO division of Lubrizol Life Sci-
                                                                                                                                                                                                                                         ence, which, for this reason, sticks to

     Regulatory Climate
                                                                                                                                                                                              ma, believes that what the general         technologies he views as scalable and
                                                                                                                                                                                              public typically fails to understand       cost-effective.
                                                                                                                                                                                              about the high price tags associated          Some drug manufacturers have found
                                                                                                                                                                                              with the industry is that US companies     alternative ways to bring their prod-
                                                                                                                                                                                              have a narrow window to monetize           ucts to market to lower costs. When
                                                                                                                                                                                              their product under patent before re-      Medicure Inc. went to introduce its
     Clearing up confusion                                                                                                                                                                    strictions are lifted and generic com-     cardiovascular drug Zypitamag to the
                                                                                                                                                                                              panies enter the marketplace with          market, the company found it challeng-
     about quality metrics                                                                                                                                                                    alternative formulations. The money        ing to attain insurance coverage given
                                                                                                                                                                                              gained during this initial period is       the low pricing of generics. Not want-
                                                                                                                                                                                              crucial for gaining capital for new de-    ing to increase the price of the drug in
                                                                                                                                                                                              velopments. “Although I believe that       accordance with the desires of PBMs,
     In 2015, the FDA produced an original draft of an initiative      complexity of pharmaceutical businesses – with focus now                  medicines they need… We support              we should do whatever we can to pro-       Medicure Inc. decided instead to sell
     to create a more objective system of measuring, evaluat-          shifting to biologics, antibodies, and cell and gene thera-               policies to address market distortions       vide access to drugs for patients that     directly to people who are uninsured
     ing, and monitoring both the product and process lifecycle        pies—the supply chain cannot afford one misstep, and con-                 such as 340B reforms and policies like       need medications, patenting is very        or underinsured through a partnership
     within pharmaceutical manufacturing. Seven years and a            sequently the product and process quality have become                     the West Virginia law that requires the      important,” explained Sapirstein. “If a    with North Carolina-based pharmacy
     few revisions later, confusion remains over exactly how com-      even more important.”                                                     rebates and discounts that insurance         company cannot protect its rights and      Marley Drug. “Through our partnership
     panies should incorporate the FDA Quality Metrics report             Rather than simply discard the initiative, the administra-             companies and middlemen receive              have the ability to make some kind of      with Marley Drug, we sell Zypitamag for
     to measure quality management. The most basic problem             tion should continue to collaborate meaningfully with those               are shared directly with patients at the     money on what it’s developing, there       just US$1/day and are generating more
     deals with the obfuscation of the metrics themselves.             it affects most directly. The current minimum standard to                 pharmacy.”                                   will never be innovation.”                 revenue than if we had insured the
        “When it comes to quality metrics there remains no             ensure a manufacturer’s products are of safe and sufficient                  For Pritchett, such reforms are clear        This is a top concern not only for      product through a PBM,” commented
     consensus on definitions – for example what constitutes a         quality is through compliance with CGMP requirements.                     ways to address issues like the high         pharma companies but also for cer-         Albert Friesen, the company’s CEO and
     'batch'?" posited Gil Roth, president of the Pharma & Bio-        Yet CGMP compliance by itself does little to demonstrate                  out-of-pocket costs patients see due to      tain CDMOs that deal with complex          chairman of the board. “In truth, most
     pharma Outsourcing Association (PBOA), a non-profit that          whether that company is actively striving to improve its                  the increasing use of deductibles and        manufacturing processes such as            pharmaceuticals are inexpensive to
     works to enhance the regulatory and legislative business          sustainable compliance. Quality metrics can help evaluate                 coinsurance. Yet according to Jason          technologies related to drug device        make, and it is the insurance that signifi-
     interests of CDMOs. “My standard joke for this is that until      supply chain robustness by demonstrating opportunities to                 Parish, co-leader of the life sciences in-   combination or complex nanopar-            cantly drives up costs.”
     we all spell ‘harmonization’ the same way, we are not go-         improve manufacturing practices. As such, decision makers                 dustry group at Buchanan Ingersoll &         ticles. While these types of technolo-        With no clear-cut solution, the prob-
     ing to make a lot of progress. We need to have a common           at contract manufacturing companies would be wise to of-                  Rooney PC, the consequences of state-        gies pave the way for future innovative    lem of drug pricing continues to fester
     language.”                                                        fer their feedback within the FDA’s designated timeframe to               level involvement do not mirror these        therapeutics that may ultimately help      unproductively. The elusive challenge
        The result of this confusion is that even companies that       ensure their voices are taken into account concerning future              legislators’ intentions: “The result is a    patients, their sophistication impacts     is to find a compromise that allows for
     want to comply have difficulty understanding how to. Fur-         renditions of the initiative.                                             complicated patchwork of regulation          the cost of manufacture and thus the       an innovative research, development,
     thermore, the report’s industry-wide implementation may                                                                                     around the country, and one of the           cost of goods. “I am concerned the         and manufacturing climate while ensur-
     actually cause more harm than good in terms of operations.        Drug pricing remains contentious                                          perverse side effects of this is that cre-   current regulatory environment will        ing patients can afford the medications
        For CMOs and CDMOs that make an expansive range of             The issue of drug pricing in the US has always been messy,                ating transparency in the system has         make innovation more challenging as        they need. Looking beyond the cost of
     products, one small slip-up may not be representative of          and the failure to address the issue at the federal level has             led to higher prices. The problem of         it will become increasingly difficult to   innovation, legislators should also pay
     overall operations. For facilities that handle only one prod-     further complicated matters. As a result, state governments               not having federal legislation in place      justify the costs of certain products,”    attention to the earnings made by inter-
     uct, any problems could ruin the entire operation’s reputa-       are attempting to independently regulate their jurisdictions.             is far bigger than anyone recognizes         admitted Robert Lee, president of the      mediaries downstream. ■
     tion. Roth sees a reputational problem at play: “The FDA has      Over the past year, roughly 500 drug pricing bills were in-               and has gotten worse throughout the
     been pushing to create a rating system for all sites, so payers   troduced by state legislators with the aim of forcing drug                pandemic.”
     can pressure license holders into revealing their manufacture     price transparency, capping price increases for state payers,                In addition to leading to purportedly
                                                                                                                                                                                              ↘↘
     site ratings. This involves public shaming and splits the goal    and regulating PBMs. For example, West Virginia recently                  higher prices, many worry that the cur-
     of what Quality Management Maturity Metrics are supposed          passed a law mandating that rebates and discounts current-                rent regulatory environment is threat-           Through our partnership with Marley Drug, we sell Zypitamag for just
     to do: incentivizing quality vs. identifying potential quality    ly offered by biopharmaceutical companies to insurers and                 ening the very ethos of the life sci-
     problems that could lead to shortages. These are issues for       other intermediaries will be shared with patients. In 2020,               ences industry – its cult of innovation.
                                                                                                                                                                                                 US$1/day and are generating more revenue than if we had insured the
     the whole value chain, not just CMOs.”                            the state’s legislature had passed a bill requiring pharma-               Speaking of the current policy environ-        product through a PBM. In truth, most pharmaceuticals are inexpensive
        To their credit, the FDA acknowledges that reception of        ceutical drug manufacturers and companies offering health                 ment under the Biden administration,
     its Quality Metrics could be more positive and has request-       benefit plans to submit pricing information to be posted on               Donna LaVoie, president and CEO of                    to make, and it is the insurance that significantly drives up costs.
     ed feedback from industry stakeholders. In March 2022,            the state transparency website.                                           LaVoieHealthScience, acknowledged
     the administration established a docket to solicit com-              Anne Pritchett, senior vice president of policy, research              that no real progress has been made on
     ments on changes to the reporting program and will ac-            and membership at PhRMA, a trade group that lobbies on                    the problem: “The regulation of drug                                                                    - Albert Friesen,
     cept recommendations until June 7, 2022. Despite its com-         behalf of pharmaceutical companies, believes such reforms                 pricing remains an ongoing issue, with
     plications, the Quality Metrics Reporting program remains         can be beneficial. Speaking on behalf of her organization                 many drugs treating rare diseases re-                                                        CEO & Chairman of the Board,
     imperative, especially with the heightened sophistication         about its patient-centered agenda, Pritchett said: “There is              tailing at prohibitive prices. The trade-                                                                   Medicure Inc
     of manufacturing.                                                 no doubt that the system needs to work better for patients,               off of innovation and drug pricing is a
        Arda Ural, partner and EY Americas industry markets lead-      and many common-sense reforms are available to policy-                    tricky topic and not one that has been
     er health sciences and wellness, acknowledged: “Given the         makers who support helping patients access and afford the                 resolved.”                                                                                                                    ↖↖
18                                                        USA LIFE SCIENCES 2022                                         Industry Explorations   Global Business Reports                                USA LIFE SCIENCES 2022                                                         19
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