Daily BriefsHealthcare

Daily Brief Health Care: WuXi XDC Cayman Inc, Alfresa Holdings, TSE Tokyo Price Index TOPIX, Intuitive Surgical, Medtronic Plc, Novartis , Avantor , Align Technology and more

In today’s briefing:

  • WuXi XDC IPO: The Bull Case
  • WuXi XDC Cayman Pre-IPO – PHIP Updates – Margins Remain Depressed Although Growth Still Strong
  • Alfresa Holdings (2784 JP): Better-Than-Expected H1FY24 Performance; FY24 Guidance Raised
  • Pre-IPO WuXi XDC (PHIP Updates) – Some Points Worth the Attention
  • Fewer TOPIX Remaining Companies Show the Difficulty of Producing Convincing Disclosures
  • Intuitive Surgical Inc.: Next-Gen Robotics Might Just Rewrite Medical History! – Major Drivers
  • Medtronic plc: Initiation of Coverage – Business Strategy
  • Novartis AG: Unraveling the Potential of Kesimpta
  • Avantor Inc.: Initiation of Coverage – Business Strategy
  • Align Technology Inc: Initiation of Coverage – Business Strategy


WuXi XDC IPO: The Bull Case

By Arun George

  • WuXi XDC Cayman Inc (1877628D HK), a leading contract research, development and manufacturing organization (CRDMO), is pre-marketing an HKEx IPO to raise US$500 million, according to press reports.   
  • WuXi XDC ranked No. 2 globally and No. 1 in China among CRDMO for antibody-drug conjugates and other bioconjugates in terms of revenue in 2022, according to Frost & Sullivan.
  • The bull case rests on large addressable markets, market share gains, fast-paced revenue growth, strong revenue visibility, a solid balance sheet and ambitious capacity expansion plans.

WuXi XDC Cayman Pre-IPO – PHIP Updates – Margins Remain Depressed Although Growth Still Strong

By Clarence Chu

  • WuXi XDC Cayman Inc (1877628D HK) is looking to raise around US$500m in its upcoming Hong Kong IPO.
  • WuXi XDC Cayman (WXDC) is a CRDMO focused on the global antibody drug conjugates (ADC) and broader bioconjugate market providing integrated and end-to-end services.
  • In our previous notes we looked at the company’s past performance, peer comparison, and shared our thoughts on valuations. In this note, we discuss WXDC’s PHIP updates.

Alfresa Holdings (2784 JP): Better-Than-Expected H1FY24 Performance; FY24 Guidance Raised

By Tina Banerjee

  • Alfresa Holdings (2784 JP)‘s H1FY24 revenue, operating profit, and net profit are expected to exceed the previous expectations due to greater-than-expected growth in the ethical pharmaceuticals business.  
  • Encouraged by the growth in the pharmaceutical market and better-than-expected H1FY24 performance, the company has raised FY24 revenue, operating profit, and net profit guidance by 4%, 30%, and 36%, respectively.
  • New FY24 guidance implies, H2FY24 revenue run-rate will be similar to H1F24, while H2FY24 operating profit will accelerate to ¥20.1 billion from ¥15.9 billion in H1FY24.

Pre-IPO WuXi XDC (PHIP Updates) – Some Points Worth the Attention

By Xinyao (Criss) Wang

  • We’ve seen increasing global cooperation for ADC pipelines. However, licensing deals alone cannot be used as the only basis for judgment. We still need to wait for solid clinical evidence.
  • ADCs are far less “general and popularized” than PD-1. If compare ADC with GLP-1s, the difference is more obvious.How big the real market is for ADC is a question mark.
  • WuXi XDC’s share price could perform well after IPO due to positive sentiments towards ADC, but whether its long-term valuation would be higher than peers remains to be seen.  

Fewer TOPIX Remaining Companies Show the Difficulty of Producing Convincing Disclosures

By Aki Matsumoto

  • 439 companies that will be excluded from TOPIX aren’t expected to face further selling pressure, but 43 companies that remain in TOPIX may have a positive impact in the future.
  • Only 43 companies (8.9%) succeeded in exceeding 10 billion yen in tradable market capitalization; compared to 22.3% rise in TOPIX, the stock performance of the TOPIX exclusion candidates were lackluster.
  • These companies with small market capitalizations represent a challenge that has made it difficult for them to attract investor attention and to come up with convincing disclosures.

Intuitive Surgical Inc.: Next-Gen Robotics Might Just Rewrite Medical History! – Major Drivers

By Baptista Research

  • Intuitive Surgical, Inc. delivered mixed results for the previous quarter, with revenues below the analyst consensus.
  • Procedure growth for da Vinci saw a remarkable 19% increase during the quarter.
  • System utilization growth remained strong at 6%, down from 9% in the previous quarter but still exceeding historical growth rates.

Medtronic plc: Initiation of Coverage – Business Strategy

By Baptista Research

  • This is our first report on medtech giant, Medtronic plc.
  • In the Cranial & Spinal Technologies division, Medtronic achieved impressive global growth, with an even more impressive 8% growth in the US.
  • In the Surgical Innovations segment, a 7% growth was realized, facilitated by supply improvements and strong performance in Advanced Surgical Technologies.

Novartis AG: Unraveling the Potential of Kesimpta

By Baptista Research

  • Novartis AG delivered a mixed set of results in the quarter, with revenues falling short of Wall Street expectations but above-par earnings.
  • The last quarter for Novartis AG was marked by significant achievements, including strong sales growth and margin expansion, leading to a guidance raise for the third time in the year.
  • Kesimpta also showed impressive results and other products like Pluvicto and Lutathera demonstrated their potential in earlier disease settings.

Avantor Inc.: Initiation of Coverage – Business Strategy

By Baptista Research

  • This is our first report on Avantor, Inc, a well-known provider of mission-critical products to the healthcare industry as well as other domains.
  • The company delivered a disappointing set of results as the company was unable to meet the revenue and earnings expectations of Wall Street.
  • Market trends weakened sequentially, particularly in biopharma, where larger pharmaceutical customers moderated their spending, and small biotech companies faced ongoing funding constraints.

Align Technology Inc: Initiation of Coverage – Business Strategy

By Baptista Research

  • This is our first report on health-tech player, Align Technology Inc. exceeded analyst expectations in terms of revenue as well as earnings.
  • Notably, 195,000 teens and kids commenced Invisalign clear aligner treatment in Q2, marking a 7% sequential increase and a significant 10% year-over-year growth.
  • Total Clear Aligner revenues for Q2 amounted to $832.7 million, reflecting a 5.4% sequential and 4.3% year-over-year increase.

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