Pinned straw:
FWIW this in from UBS today
Reaction to TLX591 data looks overdone
TLX591 is not a substantial part of our investment case
Telix shares are down c.10% at the time of writing, despite a more or less inline quarter yesterday. The company has released early data for pipeline asset TLX591 (prostate cancer therapeutic), which was expected in 4Q but has triggered a negative reaction, which we believe is overdone. TLX591 is not an asset we are counting on because we believe Novartis' incumbent position in the space with Pluvicto (UBSe peak sales c.USD8b) will prove commercially unassailable unless TLX591 proves to be a substantial leg up in efficacy, and it forms less than 2% of our valuation (unch) for this reason
Either way, the data we have are not the data needed to draw conclusions
Valuation notwithstanding, we make the following observations about the data that Telix has disclosed: 1) PSA reduction can be prognostic of end points typically used for regulatory submission, namely rPFS (radiographic progression free survival) and/or OS (overall survival) but is not necessarily so. Telix has specified 64% of patients seeing PSA reduction overall (variety of time frames) with 27% achieving 30% reduction and 18% demonstrating 50% reduction. Post-hoc analysis of the data for Novartis' VISION trial with Pluvicto detailed 73% of patients with PSA decline, and 28% achieved over 90% reduction (the next group up from 50%). However, the patients in VISION were analysed at a fixed point immediately after the second dose (12 weeks). 2) We know little about the baseline characteristics of the population (n=28) in the Telix trial including baseline PSA levels and background therapy. 3) The Telix safety data appear to us consistent with a prior earlier study using the same dose; safety is the primary end point of the trial. 4) The data for TLX591 were never expected to look characteristically similar to the Pluvicto data given TLX591 uses an antibody backbone to carry the radioactive particle and uses two doses in 14 days, whereas Pluvicto uses a small molecule carrier and doses over up to six cycles over a longer period. The only way to draw useful comparisons is using rPFS data, which we do not have yet. Longer time to median PFS in a single arm study is usually not a bad thing
DISC: Held in RL & SM