Although companies pivoting to the development of novel coronavirus vaccines have soared this year for obvious reasons, the investment community may have been on the receiving end of a reality check. Plus, with so much profit in hand, many decided to head for the exits. However, renewed interest in the space has seen even smaller players like Inovio Pharmaceuticals (NASDAQ:INO) jump once again. Is it time to get back into INO stock?
First, let’s discuss the reason why Inovio recently received its sentiment burst. According to InvestorPlace web content editor Sarah Smith, Inovio CEO Joseph Kim made a presentation at the H.C. Wainwright Annual Global Investment Conference. In it, Kim shared that peer review of its Covid-19 vaccine candidate INO-4800 could be ready in the next few weeks.
This is important to address some lingering questions regarding the candidate’s efficacy.
In addition, Kim “shared that later-stage human trials could begin later this month. Inovio is simply waiting for approval from the U.S. Food and Drug Administration.”
Because Inovio is one of the relatively few competitors in the DNA vaccine space, investors were encouraged at the company’s progress. Thus, buyers decided to re-up their risk profile and head back into INO stock.
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While I want to avoid making too strong an opinion on vaccine profitability, Inovio may be relevant until the end of this crisis. That’s because investors must be aware that efficacy alone does not equate to wholesale victory. As you know, manufacturing, distribution and administration all present different challenges in the vaccine supply chain.
Thanks to Inovio’s thermal-stable DNA vaccine candidate, this automatically offers INO stock a distribution/administration advantage that shouldn’t be overlooked.
The Vaccine Race Is Tightening Favorably for INO Stock
Another reason why investors have suddenly renewed their interest in INO stock after months of volatility could be the narrowing of the vaccination race. In my opinion, the longer Inovio sticks around, the likelier it is that it could play at least a secondary role in the battle against Covid-19.
To understand why, you must look at the different approaches biotechnology firms are taking to develop their candidates. First up is the traditional approach, the one we’re all familiar with. By taking a weakened or inactivated form of the novel coronavirus and injecting it into the body, our cells develop antibodies that prevent active forms of the virus from infecting healthy cells.
While this approach has a track record of success on its side, it takes too long. Obviously, that runs counter to the spirit of the Trump administration’s Operation Warp Speed.
Second, we have subunit vaccines, which is a type Novavax (NASDAQ:NVAX) is running with. This involves injecting protein fragments (subunits) of the coronavirus into a patient to foster antibody production. While effective, I noted that “manufacturing the nanoparticle subunits is more expensive … and lengthier than developing the oligonucleotides (short DNA fragments) associated with nucleic-acid vaccines.”
Again, time is not a luxury we have.
Third, a compelling concept is viral-vector vaccines. This involves placing the genetic sequence of the coronavirus into a carrier (vector) virus, such as the adenovirus. Injecting this into a patient leverages the natural infectiousness of a virus but with the intent of producing positive health outcomes.
This sounds great but one of the problems is that patients can develop a negative response to the carrier virus. And that may have been the culprit behind AstraZeneca’s (NYSE:AZN) hiccup in its Covid-19 vaccine candidate when a trial participant suffered an unexplained illness.
For this reason, viral-vector vaccines may have a PR problem.
By process of elimination, we have nucleic-acid vaccines. Here, the clear front runner is Moderna (NASDAQ:MRNA). Utilizing a messenger RNA (mRNA) injection to provide the “recipe” for cells to develop coronavirus antibodies, Moderna to my knowledge has not suffered any glaring setbacks. As well, nucleic-acid vaccines, which includes Inovio’s INO-4800, are much easier to manufacture and deploy than other vaccine types.
But the beauty of Inovio’s candidate – and why INO stock is still relevant – is that the company focuses on DNA.
The Science Behind Inovio
At first glance, Inovio’s proposal might seem inefficient. Basically, the process works by injecting the novel coronavirus’ DNA into a patient’s cell. From there, the cell forms mRNA, which eventually leads to the production of antibodies against the coronavirus.
But Moderna’s proposal sidesteps the initial step altogether. By engineering mRNA in a laboratory and injecting it into the patient, the body’s cells instantly have the recipe for antibody production. Additionally, mRNA vaccines are easier to manufacture because they can be made without using cells.
This sounds like a double whammy. So, why bother with Inovio’s longer DNA process and by extension, INO stock?
Primarily, clinical trials have demonstrated that DNA approaches enjoy long-term safety profiles. Conceptually, the standard flu vaccine revolves around DNA. Further, less harmful viruses are known to inject their DNA into our cells, leading to an immune response. All this to say that DNA as a broad concept has its own extensive natural and clinical track record.
Of course, the upside potential and risk of INO stock is that modern biotechs can design DNA or mRNA on a computer in a matter of hours. However, this specific process has never been pressure tested. Inovio could be the first or it could fail like the others.
Further, beyond the advantages of safer profiles, quick production, and thermal stability, DNA vaccines have demonstrated long-term effectiveness against the target virus – and only the target virus. At the same time, a lingering concern about this process is that insertion of foreign DNA may impact the host genome, causing cells to become cancerous.
I don’t know about you, but I’ll take my chances with Covid over cancer.
Pros and Cons
Still, I want to be fair with Inovio. With so many unknowns regarding this accelerated push for a vaccine, any of the vaccine types mentioned above could cause temporary and long-term negative health outcomes. Unfortunately, that’s the risk people will assume if they decide to take a vaccine.
However, what’s critically important about the vaccine race is that the true winner (or winners) will offer holistic solutions. For instance, if a vaccine works but it takes too long to manufacture, that setback alone may cost that candidate. Contextually, Inovio’s INO-4800 has advantages – scalability, stability, and low cost, among many others – that are vital.
Is that enough to justify buying INO stock today? For those that believe in the DNA process, taking a modest bet isn’t a bad idea. However, conservative investors may want to wait until the peer review is released before deciding.
On the date of publication, Josh Enomoto did not have (either directly or indirectly) any positions in the securities mentioned in this article.
A former senior business analyst for Sony Electronics, Josh Enomoto has helped broker major contracts with Fortune Global 500 companies. Over the past several years, he has delivered unique, critical insights for the investment markets, as well as various other industries including legal, construction management, and healthcare.
Gallery: 4 Pharmaceutical Stocks With Deep Pipelines (InvestorPlace)
I’m very optimistic that we will see a successful vaccine for the novel coronavirus launch within a few months. Still, the stocks of the smaller vaccine makers have already soared, so they may not be the best pharmaceutical stocks to buy at this point. So far this year, Moderna (NASDAQ:MRNA) stock has jumped 220%, BioNTech (NASDAQ:BNTX) has rallied 70% and Novavax (NASDAQ:NVAX) has soared an incredible 2,500%. Pfizer (NYSE:PFE), Johnson & Johnson (NYSE:JNJ) and AstraZeneca (NYSE:AZN) haven’t climbed too much, but they are gargantuan companies. And Johnson & Johnson and AstraZeneca have vowed not to profit from their vaccines while the pandemic continues. Further, the degree to which the vaccines will work and how long they will keep people immune from the coronavirus are uncertain. And what happens if the coronavirus disappears more quickly than we expect? Given these points, I think it is probably too late to make big profits from the vaccine makers. As a result, I don’t think they are good pharmaceutical stocks to buy now. Consequently, I believe that investors are better off buying coronavirus plays within the pharma sector other than the vaccine makers. Here are four pharmaceutical stocks to buy in that category: West Pharmaceutical Services (NYSE:WST) Gilead Sciences (NASDAQ:GILD) Regeneron Pharmaceuticals (NASDAQ:REGN) Sorrento Therapeutics (NASDAQ:SRNE)
Pharmaceutical Stocks: West Pharmaceutical (WST)
West Pharmaceutical makes stoppers, seals and syringe components. And importantly, it also develops “custom solutions” for injectable drugs. Trading with a market capitalization of $20.8 billion, West is clearly a huge player when it comes to supplying equipment for intravenous drugs. As a result, I am not surprised that — as the company disclosed during its second-quarter conference call — multiple makers of coronavirus vaccines are among its customers. On the call, CEO Eric Green said: “We’re helping our customers in the selection, testing and verification of components. We’re doing this in a way that prepares our customers for the future commercial scale up and launch of any successful vaccine candidates.” Hundreds of millions, if not billions, of people are likely to receive coronavirus vaccines. And West is ready to supply much of the equipment to actually inject those vaccines. The fact that West is spending time and money on developing vaccine components indicates that it is confident that it will generate meaningful revenue and profits from the endeavor. Also positive is commentary from Green. On the conference call, he indicated the company was prepared to provide equipment for at least hundreds of millions of doses. The forward price-earnings ratio of 67 times sounds high, but it is actually pretty low for a company set to benefit tremendously from the launch of coronavirus vaccines.
Gilead Sciences (GILD)
In the first month or two after vaccines are ready, only the most vulnerable members of society are likely to receive doses. Further, some people with weak immune systems may not be able to ever receive vaccines. And of course, particularly if there is a second wave of the virus in the fall and winter, millions of people are likely to have it for at least a couple of months after vaccines are introduced. Also likely to boost the results of coronavirus treatment makers is stockpiling. Nations will probably collectively buy successful coronavirus treatments in case a different strain surfaces. Given all of these points, buying GILD stock definitely makes sense. In a previous article on Gilead, I argued that its remdesivir clearly helped moderately ill patients. Specifically, I wrote, “1.3% of the patients who received the drug died, versus 2% of those who did not receive it. And just 0.25% of the patients who received remdesivir were on ventilators or an ECMO machine, versus 2% for those who did not receive the drug. Apparently, the U.S. Food and Drug Administration agreed with me. The agency approved the drug for the treatment of patients with moderate cases. Remdesivir had previously been approved for use in patients with severe cases of the virus. Further, Gilead is testing inhaled versions of remdesivir that could be given to patients before they have been admitted to the hospital. As I noted in my previous column, I expect the company to sell $10 billion of remdesivir this year, excluding royalties from generic drug makers. For context, its total 2019 revenue came in at $22.5 billion. As a result, I think that the revenue from remdesivir will ultimately lift GILD stock meaningfully.
Regeneron is developing a single treatment consisting of two antibodies. The company thinks that the cocktail may both cure and prevent the coronavirus. It is looking to release data on the antibodies by the end of September. On its earnings conference call, Regeneron Chief Science Officer George Yancopoulos noted that, in lab studies, the antibodies thwarted the virus’ spike protein. The double-antibody approach prevents the virus from overcoming the impact of a single antibody through mutation, he explained. Yancopoulos also noted that, in monkeys, the antibodies were able to prevent coronavirus infection as effectively as vaccines. In addition to the positive preclinical data, there are two other reasons to be optimistic on Regeneron’s antibodies. First, the company was previously able to develop antibodies that effectively treat the Ebola virus. Second, the federal government has already signed a $450 million contract with Regeneron “to manufacture and supply” the antibodies. Although the deal appears to be contingent on emergency approval by the FDA, the fact that the government is willing to invest a meaningful amount of money in manufacturing the drug after it is approved indicates that Washington has significant confidence in Regeneron.
Sorrento Therapeutics (SRNE)
Sorrento has many shots on goal when it comes to combating the coronavirus — the company has a test, multiple therapies and a vaccine candidate. By far the most promising arrow in its quiver, though, is the coronavirus test it bought from Columbia University. As I’ve explained in previous columns, the test, which evaluates saliva, does not require lab equipment or a health professional. Importantly, it generates results within 30 minutes. Consequently, the diagnostic, which may cost only $10, should be a cheap and relatively fast alternative for many businesses, hospitals and schools. Recently, a competing test from Abbott Laboratories (NYSE:ABT) received a great deal of publicity. I pointed out, however, that the test is more invasive. Although it yields results in 15 minutes, it requires a nasal swab, making it quite uncomfortable. Further, since a medical professional has to administer the test, I believe that it will be much more expensive. The rival test from Sorrento seems simple enough for use by those without medical backgrounds. Another positive? Sorrento’s test also helps identifies those who have the virus but are asymptomatic. And as I noted previously, I believe that the company’s coronavirus treatments could generate significant revenue in the future, while its recent merger with SmartPharm is also likely to boost Sorrento’s shares in the long term. On the date of publication, Larry Ramer held a long position in WST, GILD, and SRNE. Larry has conducted research and written articles on U.S. stocks for 13 years. He has been employed by The Fly and Israel’s largest business newspaper, Globes. Among his highly successful contrarian picks have been solar stocks, Roku, and Snap. You can reach him on StockTwits at @larryramer. Larry began writing columns for InvestorPlace in 2015.
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