FY16 was defined by the contrasting performance of the quoted and unquoted portfolios. Net portfolio value increased to £335.1m for FY16 from £327.2m in FY15. However, this is a decrease from H116 results, where IVO reported a portfolio value of £355.1m. A negative Phase III cat allergy readout in June 2016 at Circassia, formerly IVO’s largest portfolio company, was the main contributor to this decline in portfolio value (£54.8m of the £67.1m). Nevertheless, Circassia remains IVO’s largest quoted company and value inflection points over the next 12 months could see it recover some of its lost value. The unquoted portfolio continues to gather momentum, with significant funding rounds, clinical success and business partnerships throughout FY16.Below we outline key points from FY16 in the unquoted and quoted portfolios.
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Unquoted portfolio: the unquoted portfolio generated a net fair value gain of £10.7m in FY16. Multiple funding rounds in FY16, the majority of which involved other leading investors, indicate the promise that the wider investor community sees in these private companies. Funding rounds of note are highlighted in Exhibit 1. Since IVO’s admission to AIM in 2006, it has invested a total of £306.7m across its portfolio companies, which have collectively raised c £1.5bn in total investment. Approximately 85% of IVO’s investments have been in the last three years, indicating the increased momentum in the portfolio. In FY16, £69.9m was invested across 33 companies compared with £60.8m across 30 companies in 2015. This included the addition of seven accelerated growth companies to the investment portfolio. The strengthening of IVO’s balance sheet with the £100m February 2016 placing has enabled investment to accelerate. The current cash balance of £133.3m, £15m in short-term liquidity investments plus an undrawn second loan facility (£50m) from the EIB, provides IVO with sufficient funds to implement its strategy.
Exhibit 1: Significant funding rounds for unquoted portfolio in FY16
Portfolio company |
Funds raised (£m) / date / type |
Cash invested by IVO (£m) |
IVO commitment (£m) |
Stake in company (%) |
Total funds raised to date (£m) |
Kesios Therapeutics |
19.0/Dec 2015/Series A |
3.3 |
6.0 |
42.0 |
20.8 |
Inivata Therapeutics |
31.5/Jan 2016/Series A |
4.8 |
10.0 |
27.3 |
35.5 |
MISSION Therapeutics |
60.0/Feb 2016/Series C |
3.9 |
11.3 |
11.6 |
87.0 |
Nexeon Limited |
30.0/May 2016/Series D |
5.0 |
5.0 |
33.7 |
85.0 |
Storm Therapeutics |
12.0/June 2016/Series A |
0.2 |
3.0 |
22.3 |
12.6 |
Precision Ocular |
15.5/July 2016/Series A |
- |
6.9 |
- |
- |
Source: Edison Investment Research, Imperial Innovations
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Quoted portfolio: the £67.1m loss on the quoted portfolio – of which £54.8m was attributed to Circassia, £9.6m to Abzena and £2.5m to Oxford Immunotec – had a significant negative effect on overall net portfolio value. In June, Circassia announced that it had missed the primary endpoint of its Phase III cat allergy trial. At its full year results in September Circassia outlined its new strategy in the wake of the detailed review of the Phase III Cat-SPIRE results. The focus will now be on the respiratory business, including the NIOX asthma management franchise, generic respiratory products and novel formulations. The strategy for the allergy portfolio will be finalised once results from the ongoing Phase IIb house dust mite study are available (expected spring 2017) and two-year follow-up data from Cat-SPIRE could also influence this. IVO has invested £25.5m into Circassia, representing 9.3% of the issued share capital. Circassia’s current market capitalisation is £236.5m, representing a current net carrying value of £22.0m (at 2 November 2016).
Other quoted companies in the portfolio with material newsflow include Abzena and Oxford Immunotec. Key partnerships with Halozyme Therapeutics and Faron Pharmaceuticals underscore a year of significant business progress for Abzena, although this has not been mirrored by stock performance, which has supressed its net carrying value. IVO has invested £13.0m, representing 19.8% of the issued share capital; with a current market capitalisation of £47.3m, this represents a current net carrying value of £9.37m (at 2 November 2016). Oxford Immunotec (OXFD) has recovered from a July low of $7.73/share and is now trading c 77% higher at $13.66. At its Q3 results, revenues exceeded company’s expectations with solid growth from the US, China and Japan. It reported total revenues in the three months ending 30 June 2016 of $19.2m, a 34% increase over the same period in 2015. IVO has invested £7.6m, representing 4.6% of share capital, which at a current market capitalisation of $308.7m is valued at a current net carrying value of $14.2m (at 1 November 2016).
Healthcare portfolio approaching maturity
A range of development and business milestones have been achieved across the unquoted portfolio in addition to significant funding rounds. Therapeutics and medtech companies could be a major value driver in the next 12-36 months as key trial readouts and potential public listings/private follow-ons come into view. Oncology companies, which represent c 25% of the total portfolio value (£86m) and on average a 1.5x increase in value on cash invested, exemplify this. Our recently published in-depth look at seven of the eight oncology companies (excluding the recently formed Artios Pharma) provides more information on the scope and breadth of the oncology portfolio (see report). Artios Pharma, a company focused on therapeutics for DNA damage, raised £25m in a Series A round in September, of which IVO committed £5.1m.
Key oncology achievements in 2016 include: the collaboration between Cell Medica and Baylor College of Medicine to develop next-generation cell-based immunotherapy products; a deal, including a $10m upfront payment, between PsiOxus and Bristol Myers Squib to test its oncolytic adenovirus therapeutic enadenotucirev in combination with BMY’s Opdivo (nivolumab) (a recent Edison TV interview with Dr John Beadle, the CEO of PsiOxus, can be found on our website); and a collaboration between Crescendo Biologics and Takeda, worth potentially up to $790m, to develop Humabody candidates against multiple targets (a recent interview with Dr Peter Pack, the CEO of Crescendo, can be found on our website).
Progress remains strong within the rest of the healthcare portfolio as key clinical and commercial milestones were achieved:
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TopiVert: Founded in 2011 as a spin-out from RespiVert (now part of Janssen Biotech), TopiVert is focused on the development of narrow spectrum kinase inhibitors (NSKIs) for inflammatory diseases of the gut and the eye. In March its lead candidate TOP1288 was successful in a Phase I ulcerative colitis (UC) trial, demonstrating an “excellent safety and tolerability profile”. TopiVert has since dosed the first patient (October 2016) in a Phase II, TOP1288 UC. IVO’s total investment of £8.5m represents a 29.5% shareholding, which, as of 31 July, has a carrying value of £12.7m, with an implied value for TopiVert of £43.1m.
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Abzena: A number of key deals and partnerships signed in 2016 provide further validation of Abzena’s service offering. Key partnerships include a licensing deal worth up to $150m with Halozyme Therapeutics to develop antibody drug conjugates, and a manufacturing agreement with Faron Pharmaceuticals (AIM: FARN) to manufacture Clevegen, a therapeutic antibody used to reduce immune suppression in cancer. Abzena is an Edison research client and our ongoing coverage can be located here. A net fair value loss of £9.6m was realised by IVO for Abzena in FY16. IVO’s £13.0m investment had a net carrying value of £10.7m as of 31 July and represents 19.8% of the issued share capital.
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Abingdon Health: Progress continues to be made with Abingdon Health’s range of medical diagnostics. A multiyear global distribution agreement has been signed with Sebia for its Seralite product range including the recently CE mark approved Seralite-FLC urine and Seralite-FLC ELISA. Its devices are focused on B cell dyscrasias in the context of rapid multiple myeloma diagnosis. IVO has invested £11.0m with a net carrying value as of 31 July of £10.4m, representing 33.7% of the issued share capital, with an implied value for Abingdon Health of £31.0m.
Ieso Digital Health: A rising star in treating mental health
At IVO’s FY16 results, it showcased one of its ‘rising star’ portfolio companies: Ieso Digital Health. Ieso was launched in July 2011 with seed investment from Cambridge Angels; IVO joined as an investor in 2013. IVO has invested £1.4m to date, representing a 28.8% share with a carrying value of £1.5m, which gives Ieso an implied valuation of £5.2m. Ieso aims to address the “treatment, affordability and accountability” of mental health treatment through a digital platform that is focused on cognitive treatment behaviour. It offers a web-based platform that enables the real time one-to-one treatment of people dealing with depression and anxiety.
Ieso has seen threefold year-on-year growth with a focus on the UK market. It believes it can continue to build and learn from its experience with the NHS as it looks to make inroads in the US. In readying its approach to the US, Ieso has developed a detailed US market access strategy with Navigant. Partnerships within the UK, for example with Beacon Health Options, continue to validate the platform. Ieso predicts that patients treated to completion will rise from about 11,000 in 2016 to around 180,000 by 2021. Approximately 30,000 will come from the UK, but Ieso predicts that the majority of its patients treated will be US-based. The US behavioural health ecosystem is changing dramatically with an array of start-ups with significant backing each looking to address problems in both the management and provision of care.
Exhibit 2: Percentage of patients who recovered from a mental disorder utilising the Ieso platform in comparison with other providers in the same period (2013/14)
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Source: Ieso Digital Health, Edison Investment Research, NHS Digital – national statistics
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To date Ieso has treated more than 7,000 patients within the UK and captured over 75m individual pieces of data. It utilises this data to improve the care provided to patients, in particular monitoring the effectiveness of clinicians in delivering care, something that is difficult in conventional mental health treatment. Notably if a clinician does not deliver the standard of care required, they are no longer utilised, ensuring a consistently high standard of care. Ieso has benchmarked its care against NHS Digital national statistics for other providers in 2013/14 as shown in Exhibit 2. In ever-constrained healthcare systems, the ability to deliver treatment cost effectively is vital. An analysis by the York Health Economics Consortium in October 2014 predicted that if Ieso Digital health was rolled out to 50% of the available UK market it would result in cost savings of £108m a year. Ieso plans to accelerate the uptake of its platform in the UK and US markets and hopes to treat over forty thousand patients by 2018. Key to this will be continuing to prove the effectiveness of its technology at a cost that payers can accommodate.
Portfolio diversification on track
Significant progress is also being made in both the engineering & materials and ICT & digital portfolio companies. At end-FY16 Nexeon (net carrying value: £41.9m) had overtaken Circassia as IVO’s largest holding within the entire portfolio (representing 11.25% of the portfolio). A £30m funding round in May provides the funds for refinement of Nexeon’s silicon material technology for use in batteries, a technology that outperforms current available systems. Nexeon has advanced significantly over the last 12 months and is now able to provide potential clients with product samples. It recently opened a new office and development laboratory in Yokohama to be closer to its key clients. In the next 12-18 months it expects to move from sampling to pre-production quantities and remains on the lookout for complementary technology and IP.
Featurespace, a technology company focused on adaptive behavioural analytics for fraud detection, has also made significant progress in the last 12-18 months including adding a number of major clients, including but not limited to TSYS, William Hill and Camelot. For more information on Featurespace please see our recently published ICT and digital portfolio update report and a recent interview with CEO Martina King. IVO has invested £3.9m, representing a 37.5% shareholding and a last reported carrying value of £6.8m.
Of the seven new companies added to the portfolio in FY16, five are in ICT & digital (Garrison Technology, Import.io, Telectic, WaveOptics and SAM labs) and one each in engineering & materials (Silicon Microgravity) and therapeutics (Precision Ocular), demonstrating IVO’s continued drive to diversify its portfolio. Of new companies added in the last five years, 38% have been in ICT & digital, compared with 29% for therapeutics, 18% for engineering & materials and 15% for medtech & diagnostics. Five technology companies have been sold in the last three years and the technology franchise has generated c $25m to date from exits.
While the top 10 portfolio companies comprise mostly healthcare companies, Nexeon (11.25%) is now the biggest holding. Major funding rounds and revaluations have caused changes in the portfolio composition, as seen in Exhibit 3.
Exhibit 3: Top 10 portfolio companies (as at 31 July 2016)
Company |
Fair value movement (£m) |
Net investment carrying value (£m) |
Cumulative cash invested (£m) |
% issued share capital held |
Value added (£m) |
Multiplier (x) |
Nexeon |
2.8 |
41.9 |
27.4 |
33.7% |
14.5 |
1.53 |
Cell Medica |
- |
28.5 |
19.8 |
25.5% |
8.7 |
1.44 |
Veryan Holdings |
- |
26.5 |
19.3 |
46.1% |
7.2 |
1.37 |
Circassia Pharmaceuticals |
-54.8 |
24.9 |
25.5 |
9.3% |
-0.6 |
0.98 |
PsiOxus Therapeutics |
- |
22.6 |
13.7 |
27.8% |
8.9 |
1.65 |
Mission Therapeutics |
4.1 |
14.1 |
9.8 |
11.6% |
4.3 |
1.44 |
TopiVert Pharma |
4.0 |
12.6 |
8.5 |
29.5% |
4.1 |
1.49 |
Abzena |
-9.6 |
10.7 |
13.0 |
19.8% |
-2.3 |
0.82 |
Abingdon Health |
- |
10.4 |
11.0 |
33.7% |
-0.6 |
0.95 |
Econic Technologies |
1.5 |
10.2 |
6.9 |
53.7% |
3.3 |
1.48 |
Other companies |
-4.3 |
132.6 |
119.6 |
- |
13.0 |
1.11 |
Net total |
-56.2 |
335.1 |
274.4 |
- |
47.6 |
1.22 |
Value of quoted investments (in top 10) |
-64.4 |
35.6 |
38.5 |
- |
-2.9 |
0.93 |
Value of unquoted investments (in top 10) |
12.5 |
166.9 |
116.4 |
- |
50.5 |
1.43 |
Source: Imperial Innovations, Edison Investment Research
Building and improving relationships
IVO continues to expand its access to IP. Two major strategic developments have been announced this year: the £50m University College London (UCL) technology fund and Apollo Therapeutics, a £40m collaboration between some of the world’s top universities and global pharmaceutical companies. IVO has committed £25m over five years to the UCL fund and is joined by UCL, UCLB, Albion Ventures and the European Investment Fund. The fund will have access to all UCLB projects and IVO has co-investment and step-in pre-emption rights. Of the £50m, £5m is earmarked for proof-of-concept projects and the fund has already backed a spin out from the department of computer science and has provided later stage funding to two therapeutic companies.
Apollo Therapeutics is a collaboration between UCL, University of Cambridge and Imperial College London and three global pharmaceutical companies: AstraZeneca, GSK and J&J. The company has launched with £40m in investment, £3.3m of which is committed by IVO, and is focused on translational research. The company has visibility of IP from all three universities and has appointed Dr Richard Butt as CEO. Dr Butt joined from Pfizer where he was most recently a senior director and research project leader of clinical research at Pfizer Neusentis within the Neuroscience and Pain Research Unit. Additionally he recently led Pfizer Neusentis’s translational medicine strategy through a series of collaborative clinical trials.