The following was posted by Claude Walker on his "A Rich Life" site on 24th Feb:
That's Claude's take on what has recently happened with CGS. I won't reproduce it here now because it may be behind a paywall. I'm a supporter of (or subscriber to) A Rich Life, and if you're into small caps and value Claude's opinion (I don't always agree with him but I value his opinions and he always explains his reasoning very well), then for around $400/year (might be a little more now), it's worth a go. I don't generally buy the same companies that Claude does, and I don't actually hold any of his current 4 official "Buy" recommendations, however I find that reading his stuff makes me a better investor. And investing in yourself is one of the best investments you can make!
Just regarding today's trading pause followed up with a trading halt. The reason CGS gave is that they are drafting a reply to the "Please Explain" query letter from the ASX over recent price action (i.e. a speeding ticket, but in reverse, sort of, coz the share price was speeding lower, not higher). The usual response to such ASX queries is "No, we have no explanation, and no, there is nothing that is market sensitive that we have not already disclosed to the market." (in a nutshell).
Those "No Idea!" responses do NOT require trading halts. They are trotted out immediately. The trading halt means that CGS have a reasonable idea why their stock is being sold down and they are taking the time to get their wording right, because these queries do sometimes end up being a series of letters that go back and forwards between the company and the ASX until the ASX is satisfied that no rules have been broken and they stop asking more questions. And that can take time if the ASX believes that a company is in breach of the rules around continuous disclosure, meaning keeping the market informed of all relevant news as quickly as possible.
Could be Cogstate's accounts, could be a major contract loss, we'll find out soon enough, but it's definitely something, or they wouldn't have needed to call for the trading halt.
For those who glazed over the very long post on clinical experience, the TLDR version is:
- Cogstate works, but it isn't suited to all use cases.
- Cogstate software can be administered by trained non-clinicians, and is definitely easier for a clinician not familiar with cognitive testing.
- A trained clinician can do 'pen and paper' faster than the Cogstate Brief Battery, both F2F or by telehealth.
- The Cogstate software offers little current advantage over existing tools and it doesn't make a lot of sense for users in primary care (time is money) or small scale public sector use (what money?).
- There is a use case, but it's IMO limited to large tertiary centres, unless it's made available at low or no cost.
@mkkle, I'm not privy to the ins and outs of this trial, and having been involved in medical research (not drug related, and on much smaller budgets), many micro level decisions like which tool to use are made for reasons that are never going to be apparent to the end reader.
As a lay observer, it is still worth asking why if a pharmaceutical company has multiple billions in sunk costs on the line and blue sky of many more billions, for a huge study of n = 1800, why get stingy over US$10 or even $100 per test administration if there is an alternative that is considered to be the 'best test' out there? The biggest cost in this trial is going to be recruitment and labour, so if a particular tool is going to produce a better result, saves money on related costs etc, why wouldn't you choose it?
Re: minimum cost per test administration, that cost is only covered if you are getting the test from Eisai.
With legislators worldwide moving towards tighter regulation about freebies from pharma and device manufacturers, except perhaps in the USA, such an arrangement would count against Cogstate for widespread use in clinical practice.
Locally, moves are underway to publish the names of every single doctor who so much as accepts a printed copy of a journal article from a pharma company. The current threshold to get onto that list is accepting a $10 meal in the name of 'free' education (i.e. marketing). The days of free pens for me to do my 'pen and paper' tests have been long banned.
Accepting a license to administer a Cogstate screener is undoubtedly going to get you onto that naughty list. It might not bother some practitioners, but I suspect that it will be enough of a hurdle that it will push many clinicians to choose an 'untarnished' alternative.