We are a Life Science Venture Capital with a passion for investing in drug development, both because it is extremely exciting but also because we contribute to moving new therapies closer to patients with severe, untreated diseases – we matter! – we make a tangible difference!
While this may be obvious because we finance the drug development process, the nature of venture capital is that we sell these investments before the potential new therapies are approved or have realized a benefit for patients.
So! How tangible is the difference actually and how can we communicate more specifically our contribution? This has recently been an ongoing topic of debate at Sunstone, and we would like to share some of our thoughts for your consideration!
Conceptually, the challenge has already been solved by financial valuations. Most of us are familiar with the risk adjusted net present value – rNPV, where future terminal financial value is discounted by the risk of failure and the cost of getting to that terminal value. The concept allows you to attribute increased value to progress, provided you decrease the risk of failure and increase the likelihood of achieving the terminal value.
If we can estimate the potential number of life years a novel therapy can save – and if we can estimate the increased likelihood of approval through the drug development progress that we finance, then we should be able to estimate our contribution of life years saved by the therapy. Risk Adjusted Life Years Saved – or RALYS for short.
Conceptually, we are claiming that an approved therapy is the result of many R&D projects, and the lifetime benefit of that final therapy can be redistributed to all the projects needed for that one success – and that the redistribution can be calculated from the typical clinical attrition rates for that specific therapy area. As you progress through clinical development you can calculate and report a specific RALYS contribution for each project.
Simple and tangible!…or is it!?
We will be sharing more thoughts and calculations of RALYS – but until then feel free to let us know what you think of RALYS.
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Are we making a tangible difference?
Sunstone has over the past years continuously highlighted observations and learnings from successes in European biotech. The learnings have consolidated, tuned and verified our current investment strategy.
Sunstone is today primarily an early stage (pre-clinical/phase 1) Series A investor with a strong focus on generating value within the first EUR 50 million spent by our portfolio companies to demonstrate human safety and efficacy – simply because this is where European biotech has generated the best returns in the past 15 years.
We have previously highlighted that with a median return of around 6x per M&A transaction, a portfolio of 15 companies will need a substantial number of successful companies to return a fund 3x! Some might argue that venture capital is an outlier business, where performance is driven by the outlier transactions that return the entire fund rather than the on-average 6x transactions! Everything before and after that transaction just becomes more icing on the cake!
To find and characterize potential fund returners transactions we have studied 71 EUR >50 million M&A transactions from 2010 to 2024 extracted and processed from Pitchbook®.
The figures below show the total transaction values (the bio-$!) (left) and our best estimate of the actual transaction returns (right) subdivided into clinical stages.
In our experience a VC ownership is typically 10-15% and a small to medium sized fund will be EUR 100 to 150 million. Thus, in ballpark figures only M&A transactions above EUR 1 billion can create fund returner outcomes.
When considering the likelihood of achieving post-transactional milestone payments the number is only 8 companies of the 71 (right figure). That highlights the need for an investment strategy that also captures returns from M&A transactions below EUR 1 billion.
An important observation from our data is that only biotech companies sold at phase 2 or later achieve M&A transaction values above EUR 1 billion and a VC portfolio needs to have companies that progress to phase 2, or human efficacy studies, to be exposed to fund returners.
If the combined M&A value from all 71 transactions is distributed by clinical stages (data not shown) 23% of the value originates from preclinical and phase 1 transactions and 36% from phase 2 transactions. Nevertheless, from previous analyses we also know that return multiples before phase 2 are substantially better relative to transactions in phase 2, despite a lower total value.
In summary, an investment strategy embracing early investments with the objective to potentially achieve efficacy results in humans in phase 2 should capture the best of everything.
By no coincidence, this is exactly what we try to do at Sunstone.
And while we wait for the fund returner and enjoy the summer break, we can prep by humming the old Beach Boys hit: “Wouldn’t it be nice”:
Have a great summer break.